Practical 2 PEs

Question 1

PE Steps: Neuro - Peripheral Nerves (7)

Answer 1

1. Hand hygeine
2. Sensation: 3x dermatomes of UEs and LEs
3. UE DTR 1x bl (biceps)
4. LE DTR 1x bl (patellar)
5. Cerebellar: rapid alternating movement
6. Gait: casual, tandem (2 types)
7. Special test (romberg)

Question 2

PE Steps: Hip (7)

Answer 2

1. Hand hygeine
2. Inspection: 3x findings (bruising, erythema, scars)
3. ROM: F, E, ABd, ADd, IR, ER (6)
4. STR: F, E, ABd, ADd, IR, ER (6)
5. Palpation: ASIS, PSIS, glutes, greater trochanter, hammys (5)
6. NV: patellar reflex, 3x dermatomes, pulses (3)
7. Special test: FABER

Question 3

PE Steps: Abdominal (7)

Answer 3

1. Hand hygeine
2. Inspection (bruises, scarring, swelling)
3. Auscultation (4 quads)
4. Percussion of liver borders (midclavicular 10cm and sternal 6cm)
5. Light palpation (4 quads)
6. Deep palpation (4 quads)
7. Specialty test: Murphy, McBurney, Heel strike, etc.

Question 4

PE Steps: Cardiac (7)

Answer 4

1. Hand hygeine
2. Inspection (chest, lips, fingers)
3. Distal pulses (2x radial, 2x post tib)
4. Auscultation 4x posts with diaphragm
5. Auscultation 4x posts with bell
6. Auscultation of abdominal aorta, renal aa, carotid
7. Special test JVD (sternal angle, 5cm + hight of pulse)

Question 5

PE Steps: UE (elbow or shoulder) (8)

Answer 5

1. Hand hygeine
2. Inspection 3x findings (bruise, swelling, scars)
3. ROM (F, E, pronation, supination)
4. Strength (F, E, pronation, supination)
5. Palpation 4x landmarks (med epicondyle, lat epicondyle, radial head, olecranon) or (AC, SC, scap spine, clav)
6. TART screen (asymmetry, ROM, tender)
7. Neurovascular: biceps DTR, 3x dermatomes, pulses (3)
8. Special test: Tinel, med/lat epicondylitis

*F, E, ABd, ADd, HABd, HADd, IR, ER (8) for shoulder ROM and STR

Question 6

PE Steps: Pulmonary (7)

Answer 6

1. Hand hygeine
2. Inspection (chest, lips, fingers)
3. Palpation of anterior and posterior chest walls
4. Percussion (2x anterior, 4x posterior)
5. Auscultation 2x anterior posts
6. Auscultation 4x posterior posts
7. Specialty test (tactile fremitus)