Scribd
Upload
66 views3 pages

Physical Exam Assessment Guide

The document outlines the components that an instructor will assess in a student's physical exam skills. It lists examination techniques for different body systems including: head, eyes, ears, nose, and throat; neck; lungs; heart; abdomen; extremities; spine; and neurologic exam. The instructor will score the student on their ability to perform focused yet thorough physical exams of each body region using correct techniques.

Uploaded by

Gvanca Iordanishvili
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
66 views3 pages

Physical Exam Assessment Guide

The document outlines the components that an instructor will assess in a student's physical exam skills. It lists examination techniques for different body systems including: head, eyes, ears, nose, and throat; neck; lungs; heart; abdomen; extremities; spine; and neurologic exam. The instructor will score the student on their ability to perform focused yet thorough physical exams of each body region using correct techniques.

Uploaded by

Gvanca Iordanishvili
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

STUDENT NAME:

ENCOUNTER ELEMENT 04 – INSTRUCTOR ASSESSMENT OF PHYSICAL EXAM (20 POINTS)( (ENCOUNTER Element 4 -
Instructor’s assessment of the student’s ability to carry out a focused, but sufficiently thorough, physical examination)

PHYSICAL EXAM

General Skills Components by which to determine the score (scores are given only in case
of correct technique)

Heent  Inspect and palpate the scalp


 Inspection of the sclera 
 Sinus palpation (maxillary and frontal)

● Examination for cervical lymphadenopathy


Neck Exam
● Examination of neck for thyromegaly

● Tactile fremitus ( posterior)

● Percussion of both lung fields (posterior)


Lung Exam
● Auscultation of both lung fields ( posterior)

GU ● Costovertebral angle tenderness

ENDO ● Peripheral tremor

● Inspection of the hands and nails

● Clubbing

● Inspection of neck veins (right JVD)

● Auscultation of Carotids

● Complete auscultation of all four points of the precordium


Cardiovascular
Exam ● Auscultations of bruits on abdominal aorta

● Auscultation of bruits on renal arteries

● Posterior tibial pulses

● Examination of dorsalis pedis

● Examination of the ankles for pitting edema

Abdominal Exam ● Auscultation (bowel movements)

● General percussion in 4 quadrants

● Light palpation 4 quadrants

● Deep palpation 4 quadrants

● Liver percussion

● Liver palpation
STUDENT NAME:
● Spleen palpation

● Spleen percussion

Extremities movement and strength

● Ask the patient to fully extension the elbow and then flex
them as far as possible
● Passive full flexion and extension of the elbow
● Active full flexion of the knees and hips: ask the patient to
bend the knees and bring them towards the chest  
● Passive full flexion and extension of the knees:

● Patella tap test (minor)

● Check strength in 4 extremity

Spine flexion
SBMJ
● Assess lateral flexion of cervical spine, by asking the patient to
bring ear to shoulder (without moving the shoulder)

● Assess forward flexion, by asking the patient to bend to touch the


toes while keeping knees extended (normal: finger-floor distance
<15 cm)

Range of motion of the fingers:

● Ask the patient to make a fist

● Grip strength: ask the patient to squeeze your fingers;

● Finger opposition: ask the patient to touch the thumb with each
finger

Neuro exam ● Level of Consciousness: Orientation in time, place and person

● Test memory: Recent / long-term memory /

● Pupillary exam

● II- nerve

● III, IV, VI nerve - visual fields, eye movement

● Check V nerve - motor and sensor portions

● Check VII nerve 

● Check VIII  nerve - whispered test,

● Rinne test, Weber test

● Check the IX; X; XII nerve 

● Check the XI

● Check the sensation (extremities) – pain


STUDENT NAME:
● Finger to nose test

● Check the gait (including heel to toe, on heels/on toes)

● The Romberg test

You might also like