pe

Question 1

Cardiovascular system examination

Answer 1

I would like to complete my examination by offering to
1. review vital signs - Temperature, BP, HR, RR, O2 saturation
2. palpate the remaining peripheral pulses
3. examine for hepatomegaly
4. perform urine dipstick test
5. do a fundoscopy

Question 2

Respiratory system examination

Answer 2

I would like to complete my examination by offering to
1. examine the cervical lymph nodes
2. review vital signs - Temperature, BP, HR, RR, O2 saturation
3. review the patient’s sputum mug
4. do a peak flow measurement

Question 3

Abdominal examination

Answer 3

I would like to complete my examination by offering to
1. examine the cervical lymph nodes
2. examine the hernia orifices
3. perform a per rectal examination
4. examine external genitalia
5. do a urinalysis
6. review vital signs - Temperature, BP, HR, RR, O2 saturation

Question 4

Cranial Nerves & Cerebellar Examination

Answer 4

I would like to complete my examination by offering to
1. examine the rest of the neurological system
2. assess 1st CN (sense of smell)
3. test corneal reflex
4. test jaw jerk
5. do a fundoscopy

Question 5

Neurological examination of UL

Answer 5

I would like to complete my examination by offering to
1. examine the rest of the neurological system

Question 6

Neurological examination of LL

Answer 6

I would like to complete my examination by offering to
1. examine the rest of the neurological system

Question 7

Hand examination

Answer 7

I would like to complete my examination by offering to
1. do a neurovascular examination of the upper limbs
2. examine the shoulders and joints of the lower limb

Question 8

Thyroid gland examination

no offers

Answer 8

General inspection: body habitus, skin quality, eye signs, quality of voice

Thyroid inspection: swellings / nodules, scars, pulsations

Palpate thyroid gland / nodule: symmetry, consistency, mobility, tenderness

Hands: thyroid acropachy, nail changes / onycholysis, sweaty palms / dry skin

Radial pulse: tachycardia, atrial fibrillation

Question 9

Breast and axillary system examination

Answer 9

I would like to complete my examination by offering to
1. examine the supraclavicular lymph nodes
2. auscultate and percuss the chest for pleural effusions
3. palpate the abdomen for hepatomegaly
4. percuss the spine for tenderness

brain lung liver bone

Question 10

Vascular arterial system examination

Answer 10

I would like to complete my examination by offering to
1. perform a full neurological exam of the lower limbs
2. examine the rest of the arterial system - palpate for carotid, brachial and radial pulse, palpate abdomen for abdominal aortic aneurysm (AAA)
3. auscultate for renal bruit, femoral bruit, carotid bruit, cardiac auscultation

I would like to suggest using Doppler to check for pulses and Ankle Brachial Index

Question 11

Vascular venous system examination

Answer 11

I would like to complete my examination by offering to
1. perform a full arterial examination to assess for concomitant arterial disease
2. examine the abdomen for abdominal masses that may impair lower limb venous return

I would like to suggest using Doppler ultrasound of the venous system for further evaluation

Question 12

Inguinal hernia examination

Answer 12

I would like to complete my examination by offering to do respiratory, abdominal and per rectal examination to look for underlying cause

Question 13

Examination of lumps and bumps

Answer 13

I would like to complete my examination by offering to assess other lymph node regions for lymphadenopathy