examinations

Question 1

thyroid hand sign

Answer 1

tremor

Question 2

Shoulder special tests and end piece

Answer 2

4 special tests- supraspinatus (abduction), painful arc, ext rotation against resistance (teres minor and infraspinatus) and int rotation against resistance (subscapularis)

End piece- neurovascular exam of UL

Question 3

GALS big thing to remember and hand things

Answer 3

Inspection
Grip strength
Precision grip
MTP squeeze

Question 4

GI lymph nodes

Answer 4

The lymph nodes are inguinal, axillary and supraclavicular

Question 5

CNS V & IX and X

Answer 5

II- Fundoscopy
V- jaw jerk and corneal reflex
VIII- webers is the middle of head one, do this second.
IX and X- cough and aaaah

Question 6

Rectal contraindications

Answer 6

Do not proceed if: 
not given informed consent, 
patient has fistulae, 
excessive rectal bleeding, 
history of 3rd degree heart block or autonomic dysreflexia, 
if the patient is a child 
if there is evidence of possible abuse 
the presence of a foreign body

Question 7

Hip one thing in inspection

How to do hip flexion and how to do Thomas’s test

Answer 7

Inspection- leg length
When you do hip flexion, knees at 90 degrees
In Thomas’s test, flex the hip

Question 8

Elbow- what are the tests for lat and med epicondlyitis?

Answer 8

Both have elbow at 90 degrees by side

Med- supination and extend wrist, fully extend elbow while stabilising the humerus

Lat- same but with pronation and flexed wrist

Question 9

Vascular end pieces

Answer 9

Auscultation of aortic, femoral and renal bruits

End pieces: carotid and SC auscultation and palpation, UL vascular and aortic palpation

Question 10

Ankle what do you forget?

Answer 10

Footwear

Question 11

Hand things to remember

Answer 11

Median and ulnar nerve power- thumb abduction and finger spread
Phalen’s test

Question 12

Urological

Answer 12

General inspection
Respiratory rate
Percussion (organomegaly and bladder)
Auscultate renal bruits
End pieces:
-Examination of external genetalia
-Examination for inguinal herniae
-Rectal examination
-Temperature
-Urinalysis

Question 13

Lumbar spine

Answer 13

In straight leg raise, the patient does it themself
Check big toe dorsiflexion specifically- problem = L5 nerve root prob.
End pieces: PNS LL and vascular LL (IF INDICATED)

Question 14

Respiratory face signs and 1 hand sign

Answer 14

Cap refill

Face signs are just pallor and cyanosis

Question 15

6 things in eye history HPC

Answer 15

Change in vision
Pain
Red eye 
Itch
Discharge
Photophobia

Question 16

8 things in eye PMH

Answer 16

Diabetes
HTN
Stroke
MS
IBD
RA
Inflammation/autoimmune
Hx trauma or surgery to the eye

Question 17

2 things to ask in eye Hx

Answer 17

Contact lenses

Driving

Question 18

Present with years long history of intermittent smelly ottorhoea and hearing loss. No otalgia.

Answer 18

Cholesteatoma

Question 19

Otitis externa, affecting cranial nerves (ipsilateral facial palsy), pain keeps awake at night,

Answer 19

Necrotising otitis externa

Question 20

Earache + URTI

Answer 20

Acute otitis media

Question 21

Itching and pain in ear, pinna painful to touch/move

Answer 21

Otitis externa

Question 22

Congestion or discharge +- facial pain/pressure +- reduction or loss of smell.

Answer 22

Rhinosinusitis

Question 23

Severe vertigo lasting hours-days, no hearing loss

Answer 23

Vestibular neuronitis

Question 24

History of migraine, vertigo lasting hours, no hearing problems

Answer 24

MAV

Question 25

Vertigo lasting hours + tinnitus, hearing loss, ear pressure

Answer 25

Meniere’s

Question 26

Vertigo for seconds triggered by head movements

Answer 26

BPPV

Question 27

Severe vertigo lasting hours-days with hearing loss

Answer 27

Labrynthitis

Question 28

6 things in throat history

Answer 28

Hoarseness
Lump feeling
Dysphagia
Mucous in throat
Reflux
Use voice in job?