FEU – Nicanor Reyes Medical Foundation

Department of Medicine
Introduction to Physical Diagnosis

Name: ______________________________________ Section: ____________

Proctor: ___________________________________ Date: _______________

SET A
To get a score of very satisfactory, the technique should be correct, the examination should
be complete and the reporting should be proper.

Not done NS S VS
Remarks:
60 80 100
I. CEREBRUM (15)
A. Level of consciousness 0 1 2 3 4 5
B. Orientation 0 1 2 3 4 5 At least
1 question each for time, place and person.
C. Reporting 0 1 2 3 4 5

II. CRANIAL NERVES (18)

a. CN 1 0 1 2 3 4 5 Check
patency and ability to smell of each nostril.
b. CN 2 - funduscopy 0 1 2 3 4 5 Should
perform on each eye.
c. Reporting 0 2 3 5 6.5 8

III. MOTOR FUNCTION (17)

a. Muscle size symmetry (inspection only) and
involuntary movements 0 1 2 3 4 5 Should
inspect all 4 extremities.
b. Test for latent paralysis and Manual muscle testing
i. Lower extremities 0 1 2 3 4 5 Should
perform on both sides.
c. Reporting 0 2 3 4 5.5 7

IV. CEREBELLUM (15)

a. Finger-to-nose test 0 1 2 3 4 5 Should
perform on both sides.
b. Gait evaluation 0 1 2 3 4 5 Tandem
gait, on heels and on toes.
c. Reporting 0 1 2 3 4 5

V. DEEP TENDON REFLEXES (15)

a. Biceps 0 1 2 3 4 5 Should
perform on both sides.
b. Patellar/Knee jerk 0 1 2 3 4 5 Should
perform on both sides.
c. Reporting 0 1 2 3 4 5

VI. SENSORY FUNCTION (10)

 a. Graphesthesia 0 1 2 3 4 5 Should
perform on both sides.
b. Reporting 0 1 2 3 4 5

VII. MENINGEAL SIGNS (10)

a. Nuchal rigidity 0 1 2 3 4 5 Should

perform on supine patient.
b. Reporting 0 1 2 3 4 5

BONUS: Any test the proctor asks the student to perform.

0 2