To conclude my examination ...

Question 1

How would you finish a cardiovascular examination?

Answer 1

• 12 lead ECG
• Sitting and standing blood pressure
• Fundoscopy for hypertensive retinopathy
• Check the femoral pulses and assess for radiofemoral delay
• Urine dipstick (proteinuria and haematuria associated with hypertension)

Question 2

How would you finish a respiratory examination?

Answer 2

• Check oxygen saturations
• Peak flow assessment and spirometry
• Cardiovascular examination
• Sputum sample

Question 3

How would you finish an abdominal examination?

Answer 3

WITHOUT PROMPTING: ISHRUG

• Inguinal lymph nodes
• Stool sample
• Hernial orifices (femoral and inguinal)
• Urinalysis
• Genitalia

Question 4

How would you finish a cranial nerve examination?

Answer 4

• Full upper and lower limb neurological examination
• Perform fundoscopy and assess colour vision
• Neuroimaging if indicated
• Formal hearing assessment if indicated

Question 5

How would you finish a lower limb neuro examination?

Answer 5

• Full neurological examination including the cranial nerves, upper limbs and a cerebellar assessment
• Neuroimaging if indicated

Question 6

How would you finish an upper limb neuro examination?

Answer 6

• Full neurological examination including the cranial nerves, lower limbs and cerebellar assessment
• Neuroimaging if indicated

Question 7

How would you finish a thyroid examination?

Answer 7

• Thyroid function tests (TSH, T3, T4)
• ECG (if irregular pulse noted to rule out AF)
• USS of neck to further assess thyroid lumps

Question 8

How would you finish a diabetic foot examination?

Answer 8

• Serum HbA1c
• Lower limb neurological examination
• Peripheral arterial examination
• Venous examination of the lower limbs
• Give foot care advice including regular podiatry input and appropriate footwear

Question 9

How would you finish a cerebellar examination?

Answer 9

• Full neurological examination including the cranial nerves and upper and lower limbs
• Neuroimaging if indicated
• Formal hearing assessment if indicated

Question 10

How would you finish a varicose vein examination?

Answer 10

• Doppler use
• Venous duplex scanning
• Ankle-brachial pressure index (ABPI)
• Peripheral arterial examination
• Abdominal examination

Question 11

How would you finish a peripheral vascular examination?

Answer 11

• Blood pressure measurement on both arms - to identify significant discrepancies between the two arms suggestive of aortic dissection.
• Cardiovascular examination
• Ankle-brachial pressure index measurement
• Upper and lower limb neurological examination if indicated

Question 12

How would you finish a GALS examination?

Answer 12

• Focussed examination of joints with suspected pathology

- Further imaging if indicated

Question 13

How would you finish a hip examination?

Answer 13

• Examination of the lumbar spine and knee joint
• Neurovascular examination of the lower limbs
• Further imaging if indicated

Question 14

How would you finish a shoulder examination?

Answer 14

• Examination of the cervical spine and elbow joint
• Neurovascular examination of the upper limbs
• Further imaging if indicated

Question 15

How would you finish a spine examination?

Answer 15

• Examination of the hip and shoulder joints
• Neurovascular examination of the upper and lower limbs
• Further imaging if indicated

Question 16

How would you finish a knee examination?

Answer 16

• Examination the hip and ankle joints
• Neurovascular examination of the lower limbs
• Further imaging if indicated

Question 17

How would you finish a hand examination?

Answer 17

• Examination of the elbow joint and shoulder joint
• Neurovascular examination of the upper limbs
• Further imaging if indicated