Appendices
Appendix 5Record of Your Learning: Physical Exam Maneuvers by Chapter
Introduction
- The following list of physical exam maneuvers is a self-assessment tool for students to identify opportunities for further practice, direct observation and feedback.
- Note: Select MF4 tests are highlighted in Green – these are not part of screening exams but are seen in clinical practice.
Chapter 4 – Vital Signs and Introduction to Patient-Centered Physical Exams (MF1 Week 4)
| ☐ Waist Circumference, Waist-Height Ratio, Waist-Hip Ratio and Body Mass Index (BMI) - Adult | ☐ Blood Pressure (BP) |
| ☐ Heart Rate (HR) | ☐ Orthostatic Vitals |
| ☐ Respiratory Rate (RR) | ☐ Oxygen Saturations (SaO2) |
| ☐ Temperature |
Chapter 5 – Respiratory Exam (MF1 Weeks 5 and 6)
| ☐ Vital Signs | ☐ Palpation – Tracheal Deviation |
| ☐ Inspection – Work of Breathing | ☐ Palpation – Laryngeal Height (Tracheal Descent) |
| ☐ Inspection – Rhythm of Breathing | ☐ Palpation – Bilateral Chest Expansion |
| ☐ Inspection – Central Cyanosis | ☐ Palpation – Tactile Fremitus |
| ☐ Inspection – Peripheral Cyanosis | ☐ Percussion – Intercostal Percussion |
| ☐ Inspection – Clubbing | ☐ Percussion – Diaphragmatic Excursion |
| ☐ Inspection – Pectus Excavatum and Carinatum | ☐ Auscultation – Listening to Breathing |
| ☐ Inspection – Cachexia/Sarcopenia | ☐ Auscultation – Egophony |
| ☐ Inspection – Tar Staining of Fingers | ☐ Auscultation – Whispered Pectoriloquy |
| ☐ Inspection – Scoliosis and Kyphosis | ☐ Auscultation – Bronchophony (Vocal Resonance) |
| ☐ Inspection – Scars, Medical Devices | ☐ Auscultation – Forced Expiratory Time (FET) |
| ☐ Inspection – Barrel Chest, Flail Chest |
Chapter 6 – Cardiac & Hematological Exams (MF1 Weeks 7 and 8)
| ☐ Vital Signs | ☐ Jugular Venous Pressure (JVP) |
| ☐ Pulsus Paradoxus | ☐ Palpation – Abdomino-Jugular Reflux (AJR) |
| ☐ Inspection – General, Body Habitus | ☐ Palpation – Heaves and Thrills |
| ☐ Inspection – Eyes (Pallor, Icterus, Arcus Senilis) | ☐ Palpation – Point of Maximal Impulse (PMI) |
| ☐ Inspection – Abdominal | ☐ Palpation – Edema |
| ☐ Inspection – Hands & Mouth | ☐ Palpation – Central & Upper Limb Pulses |
| ☐ Inspection – Legs | ☐ Auscultation – Cardiac Precordial Auscultation |
| ☐ Inspection – Coagulopathy | ☐ Auscultation – Carotid Bruits |
| ☐ Inspection – Xanthoma | ☐ Auscultation – Carotid Upstroke |
Chapter 7 – Head & Neck Exam (MF1 Weeks 9 and 10)
| ☐ Vital Signs | ☐ Middle Ear Otoscopy |
| ☐ Inspection – Head | ☐ Hearing Loss – Whispered Voice Screening Test |
| ☐ Inspection – Eyes | ☐ Hearing Loss – Finger Rub Test |
| ☐ Inspection – Nose (General) | ☐ Hearing Loss – Weber's Test |
| ☐ Palpation – Nose | ☐ Hearing Loss – Rinne's Test |
| ☐ Inspection – Mouth | ☐ Closer Assessment of Eyes |
| ☐ Inspection – Oropharynx | ☐ Direct Fundoscopy |
| ☐ Inspection – Mallampati Score (conditional test) | ☐ Sinus Trans-illumination |
| ☐ Inspection – Neck | ☐ Hearing Loss – Hum Test |
| ☐ Palpation – Lymph Node Exam (Explored in MF2) | ☐ HINTS Exam |
| ☐ Inspection – Outer Ear | ☐ Dix-Hallpike Test (conditional test for BPPV) |
| ☐ Palpation – Outer Ear | ☐ Supine Roll Test (conditional test for BPPV) |
Chapter 8 – Peripheral Vascular Exam (MF1, MF2 Week 8)
| ☐ Vital Signs | ☐ Palpation – Capillary Refill Time |
| ☐ Inspection – Varicose Veins | ☐ Palpation – Edema |
| ☐ Inspection – Arterial vs. Venous Disease | ☐ Palpation – Calf Circumference |
| ☐ Auscultation – Bruits | ☐ Special Test – Buerger’s Test |
| ☐ Palpation – Temperature to Touch | ☐ Special Test – Brodie-Trendelenburg Test |
| ☐ Palpation – Peripheral Pulses | ☐ Special Test – Allen’s Test |
| ☐ Palpation – Central Pulses | ☐ Special Test – Ankle Brachial Index (ABI) |
Chapter 9 – Volume Status (MF2 Weeks 1-2)
| ☐ Vital Signs | ☐ Palpation – Edema |
| ☐ Orthostatic Vitals | ☐ Palpation – Decreased Skin Turgor |
| ☐ Inspection – Work of Breathing | ☐ Palpation – Dry Axilla |
| ☐ Inspection – Central Cyanosis | ☐ Palpation – Capillary Refill Time |
| ☐ Inspection – Altered Mental Status/Confusion | ☐ Palpation – Abdomino-Jugular Reflux (AJR) |
| ☐ Inspection – Sunken Eyes | ☐ Palpation – Central & Peripheral Pulses |
| ☐ Inspection – Dry Mucous Membranes | ☐ Palpation – Temperature to Touch (Extremities) |
| ☐ Inspection – Longitudinal Tongue Furrows | ☐ Auscultation – Listening to Breathing |
| ☐ Jugular Venous Pressure (JVP) | ☐ Auscultation – Cardiac Precordial Auscultation |
Chapter 10 – Genitourinary History and Renal Exam (MF2 Weeks 3-4)
| ☐ Vital Signs | ☐ Abdominal Exam (Focus in MF3 Session 1-4) |
| ☐ Orthostatic Vitals | ☐ Palpation – Ballottement of Kidneys |
| ☐ Respiratory Exam (Focus in MF1 Sessions 5-6) | ☐ Palpation – Costovertebral Angle (CVA) Tenderness |
| ☐ Cardiac Exam (Focus in MF1 Sessions 7-8) | ☐ Palpation – Bladder |
| ☐ Volume Status Exam (Focus in MF2 Session 1-2) | ☐ Auscultation – Abdominal Bruits with Bell |
Chapter 11 – Lymph Node Exam (MF2 Weeks 5-6)
| ☐ Vital Signs | ☐ Percussion – Traube's Space |
| ☐ Inspection – General | ☐ Palpation – Lymph Nodes |
| ☐ Inspection – Tonsils | ☐ Palpation – Spleen |
| ☐ Percussion – Castell's Sign |
Chapter 12 – Dermatological Exam (Dermatology Clinical Skills Longitudinal Integrated Learning Path)
| ☐ Inspection – Primary Lesion Assessment | ☐ Inspection – Burns Assessment (including Total Body Surface Area calculation) |
| ☐ Inspection – Secondary Lesion Assessment | ☐ Inspection – Dermatitis Assessment |
| ☐ Inspection – Skin Cancers in Darker Skin Tones | ☐ Inspection – Nikolsky Sign |
| ☐ Inspection – Melanoma Assessment (ABCDE) | |
| ☐ Inspection – Common Skin and Soft Tissue Infections |
Chapter 13 – Abdominal Exam (MF3 Weeks 1-3)
| ☐ Vital Signs | ☐ Percussion – Liver Excursion |
| ☐ Inspection – General & Body Habitus | ☐ Percussion – Castell's Sign |
| ☐ Volume Status Exam (Focus in MF2 Session 1-2) | ☐ Percussion – Traube's Space |
| ☐ Inspection – General Abdomen Shape & Hernias | ☐ Palpation –Light Palpation |
| ☐ Inspection – Stigmata of Liver Disease | ☐ Palpation –Deep Palpation |
| ☐ Inspection – Cullen's Sign | ☐ Palpation – Rebound Tenderness |
| ☐ Inspection – Grey-Turner Sign | ☐ Palpation – Shake Test (Conditional Test) |
| ☐ Auscultation – Bowel Sounds with Diaphragm | ☐ Palpation – Liver Edge |
| ☐ Auscultation – Abdominal Bruits with Bell | ☐ Palpation – Spleen |
| ☐ Auscultation – Venous Hum – Liver | ☐ Palpation – Digital Rectal Exam (DRE) |
| ☐ Auscultation – Friction Rub – Peritoneal Irritation | ☐ Special Test – McBurney's Point (Appendicitis) |
| ☐ Auscultation – Liver Scratch Test (Conditional Test) | ☐ Special Test – Rovsing's Sign (Appendicitis) |
| ☐ Percussion – General Abdominal Percussion | ☐ Special Test – Psoas' Sign (Appendicitis) |
| ☐ Percussion – Fluid Wave Test (Conditional Test) | ☐ Special Test – Obturator Sign (Appendicitis) |
| ☐ Percussion – Shifting Dullness Test (Conditional Test) | ☐ Special Test – Murphy Sign (Cholecystitis, Courvoisier Law) |
Chapter 14 – Diabetes Exam (MF3 Week 4-5)
| ☐ Vital Signs | ☐ Respiratory Exam (Focus in MF1 Sessions 5-6) |
| ☐ Waist Circumference, Waist-Height Ratio, Waist-Hip Ratio and Body Mass Index (BMI) - Adult | ☐ Abdominal Exam (Focus in MF3 Sessions 1-4) |
| ☐ Inspection – Fundoscopy (Focus in Integration Foundation) | ☐ Diabetes Foot Exam – Inspection of Feet |
| ☐ Inspection – Arterial vs. Venous Disease | ☐ Diabetes Foot Exam – Inspection of Soles |
| ☐ Inspection – Skin Changes | ☐ Diabetes Foot Exam – Inspection of Gait |
| ☐ Inspection – Mouth | ☐ Diabetes Foot Exam – Touch (10 mmHg monofilament) |
| ☐ Peripheral Vascular Exam (Focus in MF2 Session 8) | ☐ Diabetes Foot Exam – Vibration (128Hz Tuning Fork) |
| ☐ Cardiac Exam (Focus in MF1 Sessions 7-8) | ☐ Diabetes Foot Exam – Proprioception |
| ☐ Diabetes Foot Exam – Ankle Jerk Reflex |
Chapter 15 – Thyroid Exam (MF3 Week 6)
| ☐ Vital Signs | ☐ Percussion – Retrosternal Goiter |
| ☐ Inspection – Head | ☐ Auscultation – Thyroid Bruits |
| ☐ Inspection – Neck | ☐ Special Test – Lid Lag Test |
| ☐ Inspection – Skin | ☐ Special Test – Pemberton's Sign |
| ☐ Inspection – Fine Tremor of Hands | ☐ Special Test – Proximal Muscle Weakness |
| ☐ Inspection – Pretibial Myxedema | ☐ Special Test – Deep Tendon Reflexes |
| ☐ Palpation – Thyroid Gland |
Chapter 16 – Adrenal Exam (MF3 Week 7)
| ☐ Vital Signs | ☐ Inspection – Abdomen |
| ☐ Waist Circumference, Waist-Height Ratio, Waist-Hip Ratio and Body Mass Index (BMI) - Adult | ☐ Inspection – Hirsutism (Conditional Test) |
| ☐ Inspection – Head and Neck | ☐ Inspection – Coagulopathy |
| ☐ Inspection – Arms | ☐ Palpation – Skinfold Measurement (Calipers) |
| ☐ Palpation – Edema |
Chapter 17 – Pediatrics (MF3 Weeks 8-9 history-only – physical exam included for reference, learned later in clerkship)
| ☐ Pediatrics – Vital Signs | ☐ Newborn Inspection – Skin Exam including Jaundice |
| ☐ Pediatrics – Growth Curves | ☐ Newborn Inspection and Palpation – Chest |
| ☐ Pediatrics – Developmental Milestones | ☐ Newborn Inspection – Work and Rhythm of Breathing |
| ☐ Newborn – Vital Signs | ☐ Newborn Auscultation – Respiratory |
| ☐ Newborn – APGAR Score | ☐ Newborn Auscultation – Cardiac Precordial |
| ☐ Newborn – Weight, Length, Head Circumference | ☐ Newborn Inspection, Auscultation, Palpation – Abdomen |
| ☐ Newborn – Pre- vs. Post-Ductal SpO2 | ☐ Newborn – genital exam, sacrum, anus |
| ☐ Newborn Inspection – Head and Neck | ☐ Newborn Palpation – Hip Exam (Barlow and Ortolani) |
| ☐ Newborn Palpation – Fontanelles and Sutures | ☐ Newborn Palpation – Femoral Pulses |
| ☐ Newborn Inspection – Red Reflex Exam | ☐ Newborn Inspection – Extremities |
| ☐ Newborn Inspection – Central Cyanosis | ☐ Newborn – Passive Tone and Posture |
| ☐ Newborn – Palate and Suck Reflex | ☐ Newborn – Developmental Reflexes |
| ☐ Newborn Inspection – Peripheral Cyanosis | ☐ Newborn – Postural Reactions |
Chapter 19 – Sensitive Pelvic Exams (Standardized Practice Sessions in MF3 and IF)
| Female Pelvic Exam | Male Pelvic Exam |
|---|---|
| ☐ Inspection – External Genitalia, Perineum, Anus | ☐ Inspection – Pubic Hair, Skin and Abdomen |
| ☐ Inspection – Tanner Staging of Pubic Hair | ☐ Inspection – Penis |
| ☐ Palpation – External | ☐ Inspection – Scrotum |
| ☐ Speculum Exam | ☐ Inspection – Tanner Staging of Pubic Hair |
| ☐ Palpation – Bimanual Exam | ☐ Palpation – Penis |
| ☐ Palpation – Rectovaginal Exam | ☐ Palpation – Testes, Epididymis, Spermatic Cord |
| ☐ Palpation – Lymph Node Exam (Focus in MF2 Session 5-6) | ☐ Palpation – Inguinal Canal |
| ☐ Special Test – Q-Tip Test for Vulvodynia | ☐ Palpation – Prostate |
| ☐ Palpation – Lymph Node Exam (Focus in MF2 Session 5-6) |
Chapter 20 – Obstetric Exam (MF3 Week 11 history-only – physical exams in Standardized Practice Session in MF3 and IF)
| ☐ Vital Signs | ☐ Palpation – Symphysis-Fundal Height (SFH) |
| ☐ Weight, Height, Body Mass Index (BMI) | ☐ Palpation – Leopold’s Maneuvers |
| ☐ Auscultation – Fetal Heart Rate (FHR) | ☐ Palpation – Light Abdominal Palpation |
| ☐ Electronic Fetal Heart Rate Monitoring (EFM) | ☐ Cervical Check and Modified Bishop Score |
| ☐ Inspection – Jaundice and Scleral Icterus | ☐ Sterile Speculum Exam for Rupture of Membranes (ROM) |
Chapter 21 – Clinical Breast Exam (Standardized Practice Session in MF3)
| ☐ Vital Signs | ☐ Inspection – Tanner Staging of Breast Development |
| ☐ Inspection – Localized Breast Differences | ☐ Palpation – Assessment for Breast Lumps |
Chapter 23 – Shoulder Exam (MF4 Session 1)
| ☐ Inspection – SEADS, Shoulder | ☐ Special Test (AC Joint) – Scarf Test |
| ☐ Palpation – Shoulder | ☐ Special Test (Labral Test) – O’Briens Test |
| ☐ Range of Motion – Shoulder | ☐ Special Test (Stability) – Sulcus Sign |
| ☐ Power Assessment – Shoulder | ☐ Special Test (Stability) – Anterior and Posterior Instability |
| ☐ Special Test (Rotator Cuff/Impingement) – Drop Arm Test | ☐ Special Test (Biceps) – Speed’s Test |
| ☐ Special Test (Rotator Cuff/Impingement) – Painful Arc | ☐ Special Test (Biceps) – Yergason’s Test |
| ☐ Special Test (Rotator Cuff/Impingement) – Empty Can Test | ☐ Special Test (AC Joint) – AC Joint Distraction Test |
| ☐ Special Test (Rotator Cuff/Impingement) – Lift Off Test | ☐ Special Test (Stability) – Apprehension Test, Anterior Relocation Test and Anterior Release Sign |
| ☐ Special Test (Rotator Cuff/Impingement) – Neer’s Test | |
| ☐ Special Test (Rotator Cuff/Impingement) – Hawkins-Kennedy Test |
Chapter 24 – Elbow Exam (MF4 Session 2)
| ☐ Inspection – SEADS, Elbow | ☐ Special Test – Lateral Epicondylitis (Tennis Elbow) Test |
| ☐ Palpation – Elbow | ☐ Special Test – Medial Epicondylitis (Golfer’s Elbow) Test |
| ☐ Range of Motion – Elbow | ☐ Special Test – Tinel’s Sign |
| ☐ Power Assessment – Elbow | ☐ Special Test – Elbow Flexion Test |
| ☐ Special Test – Elbow Stability |
Chapter 25 – Hand and Wrist Exam (MF4 Session 2)
| ☐ Inspection – SEADS, Hand/Wrist | ☐ Special Test – Piano Key Sign |
| ☐ Palpation – Hand/Wrist | ☐ Special Test – Tinel’s Sign |
| ☐ Palpation – Assessment for effusions at wrist, MCPs, IPs | ☐ Special Test – Phalen’s Sign |
| ☐ Range of Motion – Hand/Wrist | ☐ Special Test – Finkelstein’s Test |
| ☐ Power Assessment – Hand/Wrist | ☐ Special Test – Metacarpophalangeal (MCP) Stability |
| ☐ Neurological and Vascular Assessment (optional for MSK subunit, will practice further in Neurology subunit) | ☐ Special Test – Interphalangeal (IP) Stability |
| ☐ Special Test – Wrist Stability |
Chapter 26 – Knee Exam (MF4 Session 3)
| ☐ Gait – Gait Assessment | ☐ Special Test – McMurray’s Test |
| ☐ Inspection – SEADS, Knee | ☐ Special Test – Apley’s Compression Test |
| ☐ Palpation – Knee | ☐ Special Test – Apley’s Distraction Test |
| ☐ Palpation – Assessment for knee effusion | ☐ Special Test – Pivot Shift Test |
| ☐ Range of Motion – Knee | ☐ Special Test – Clarke’s Test (Patellofemoral Grind Test) |
| ☐ Power Assessment – Knee | ☐ Special Test – Patellar Apprehension/Displacement Test |
| ☐ Special Test – Anterior Drawer, Posterior Drawer Tests | ☐ Special Test – Patellar Tilt Test |
| ☐ Special Test – Lachman Test | ☐ Special Test – Functional Trendelenburg Test |
| ☐ Special Test – MCL, LCL Stress Tests |
Chapter 27 – Hip Exam (MF4 Session 4)
| ☐ Gait – Gait Assessment | ☐ Special Test – Ober Test |
| ☐ Inspection – SEADS, Hip | ☐ Special Test – FABER Test |
| ☐ Palpation – Hip | ☐ Special Test – Barlow and Ortolani Maneuvers (Neonate) |
| ☐ Range of Motion – Hip | ☐ Special Test – FADIR Test |
| ☐ Power Assessment – Hip | ☐ Special Test – Leg Length Discrepancy |
| ☐ Special Test – Thomas Test |
Chapter 28 – Ankle and Foot Exam (MF4 Session 4)
| ☐ Gait – Gait Assessment | ☐ Power Assessment – Ankle/Foot Joints |
| ☐ Inspection – SEADS, Ankle/Foot | ☐ Special Test – Stability Testing |
| ☐ Palpation – Ankle/Foot Joints | ☐ Special Test – Tinel’s Sign |
| ☐ Palpation – Assessment for ankle and MTP effusions | ☐ Special Test – Thompson Calf-Squeeze Test |
| ☐ Range of Motion – Ankle/Foot Joints |
Chapter 29 – Back Exam (MF4 Session 5)
| ☐ Gait – Gait Assessment | ☐ Special Test – Rib-Pelvis Distance |
| ☐ Inspection – SEADS, Back | ☐ Special Test – Modified Schober’s Test |
| ☐ Palpation – Back | ☐ Special Test – Straight Leg Raise Test, Lasegue’s Sign |
| ☐ Range of Motion – Back | ☐ Special Test – Crossed Straight Leg Raise Test |
| ☐ Power Assessment – Back | ☐ Special Test – Femoral Nerve Stretch Test |
| ☐ Neurological and Vascular Assessment | ☐ Special Test – FABER Test |
| ☐ Special Test – Adam’s Forward Bend Test | ☐ Special Test – Gaenslen’s Test |
| ☐ Special Test – Occiput-Wall Distance | ☐ Special Test – Spurling Test |
| ☐ Special Test – Bilateral Chest Expansion |
Chapter 30 – GALS Screening Exam (Standardized Practice Session in MF4)
| ☐ 3 Screening Questions | ☐ Arms – Active ROM: Hand |
| ☐ Gait – Gait Assessment | ☐ Arms – Active ROM: Assess Fine Precision Pinch |
| ☐ Gait – Heel-Walking and Toe-Walking (Pediatrics) | ☐ Arms – Power: Assess Grip Strength |
| ☐ Spine PLUS – Inspect from behind patient | ☐ Arms – Active ROM: Wrist Extension & Flexion (Pediatrics) |
| ☐ Spine PLUS – Inspect from the side of patient | ☐ Arms – Active ROM: Shoulder Abduction, Wrist/Elbow Extension, Neck Extension (Pediatrics) |
| ☐ Spine PLUS – Active ROM: Lumbar Spine Movement | ☐ Legs – Passive ROM: Knee Flexion, Hip Flexion |
| ☐ Spine PLUS – Inspect from the front of patient | ☐ Legs – Passive ROM: Hip Internal Rotation |
| ☐ Spine PLUS – Active ROM: Lateral Neck Flexion | ☐ Legs – Palpation: Knee Temperature |
| ☐ Spine PLUS – Active ROM: TMJ Joint (Pediatrics) | ☐ Legs – Palpation: Knee Effusion Assessment |
| ☐ Arms – Active ROM: Hands behind head | ☐ Legs – Inspection: Ankles and feet |
| ☐ Arms – Active ROM: Back of hands and wrists | ☐ Legs – Palpation: Squeeze MTP Joints |
| ☐ Arms – Inspection: Dorsum of hands and wrists | ☐ Legs – Inspection: Soles for calluses |
| ☐ Arms – Palpation: Squeeze MCP Joints | |
| ☐ Arms – Inspection: Palms of hands and wrists |
Chapter 31 – Screening Neuro Exam (MF4 Sessions 5-8)
| ☐ Vital Signs | ☐ Sensory Exam – Spinothalamic Assessment |
| ☐ General Assessment – Level of Consciousness – GCS | ☐ Coordination Exam – Finger-to-nose Testing |
| ☐ General Assessment – Behaviour | ☐ Coordination Exam – Rapid Alternating Movement, Upper Limb |
| ☐ General Assessment – Cognitive Function | ☐ Coordination Exam – Heel-to-shin Testing |
| ☐ General Assessment – Language | ☐ Coordination Exam – Toe Tapping |
| ☐ General Assessment – Dysmorphia | ☐ Stance Exam – Normal Stance Assessment |
| ☐ General Assessment – Abnormal Movements | ☐ Stance Exam – Romberg Test |
| ☐ Cranial Nerve Exam – CN I (Olfactory) | ☐ Gait Exam – Normal Walking Gait Assessment |
| ☐ Cranial Nerve Exam – CN II (Optic) | ☐ Gait Exam – Tandem Gait Assessment |
| • ☐ Visual Acuity (VA) Measurement (Patients ≥5 years old) | ☐ Hearing Loss – Hum Test |
| • ☐ Confrontational Visual Fields | ☐ Special Test – HINTS Exam |
| • ☐ Pupillary Response to Light | ☐ Special Test – Dix-Hallpike Test (Conditional Test for BPPV) |
| • ☐ Direct Fundoscopy | ☐ Special Test – Supine Roll Test (Conditional Test for BPPV) |
| ☐ Cranial Nerve Exam – CN III (Oculomotor), IV (Trochlear), VI (Abducens) | ☐ Special Test – Additional Cerebellar Exam Tests (Pronator Drift, Rebound, Arm/Finger Rolling, Finger Tapping Tests) |
| • ☐ Extraocular Movements (EOMs) | ☐ Special Test – Additional Posterior Column Sensory Tests (Vibration Test, Proprioceptive Test) |
| ☐ Cranial Nerve Exam – CN V (Trigeminal) | ☐ Special Test – Cortical Sensation Testing (Stereognosis, Graphesthesia, Two-Point Discrimination) |
| ☐ Cranial Nerve Exam – CN VII (Facial) | ☐ Special Test – Brainstem Reflexes |
| ☐ Cranial Nerve Exam – CN VIII (Vestibulocochlear) | ☐ Special Test – Frontal Release Signs |
| ☐ Cranial Nerve Exam – CN IX (Glossopharyngeal), X (Vagus) | ☐ Special Test – Digital Rectal Exam (DRE) for Rectal Tone |
| ☐ Cranial Nerve Exam – CN XI (Accessory) | ☐ Special Test – Parietal Neglect Assessment |
| ☐ Cranial Nerve Exam – CN XII (Hypoglossal) | ☐ Special Test – Gower’s Sign (Pediatrics) |
| ☐ Motor Exam – Tone Assessment | ☐ Special Test – Subclavian Steal Screen |
| ☐ Motor Exam – Power, Upper Limb | ☐ Special Test – Meningismus Signs (Kernig’s Sign, Brudzinski’s Sign, Jolt Accentuation of Headache) |
| ☐ Motor Exam – Power, Lower Limb | ☐ Special Test – Timed Up-And-Go (TUG) Test |
| ☐ Motor Exam – Bulk Assessment | |
| ☐ Reflex Exam – Reflex Testing | |
| ☐ Reflex Exam – Plantar Response | |
| ☐ Reflex Exam – Ankle Clonus | |
| ☐ Sensory Exam – Posterior Column Assessment |
Chapter 32 – Mental Status Exam (MF4 Sessions 9-12)
| ☐ Appearance (Observed) | ☐ Thought Process (Observed & Inquired) |
| ☐ Behaviour (Observed) | ☐ Thought Content (Observed & Inquired) |
| ☐ Cooperation (Observed) | ☐ Perception (Observed) |
| ☐ Mood (Inquired) | ☐ Cognition (Observed) |
| ☐ Affect (Observed) | ☐ Insight (Observed) |
| ☐ Speech (Observed) | ☐ Judgment (Observed) |
Chapter 33 – Assessment of Mood and Anxiety (MF4 Sessions 9, 10, 12)
| ☐ Depression Screening (2-Question, 1-Question Approach) | ☐ Specific Phobia Screening |
| ☐ Generalized Anxiety Disorder (GAD) Screening | ☐ Obsessive Compulsive Disorder (OCD) Screening |
| ☐ Social Anxiety Disorder Screening | ☐ Mania Screening |
| ☐ Panic Disorder Screening | ☐ Posttraumatic Stress Disorder (PTSD) Screening |
Chapter 34 – Assessment of Eating Disorders (MF4 Session 10)
| ☐ SCOFF Screening Tool for Eating Disorders | ☐ Bulimia Nervosa Screening |
| ☐ General Eating Disorders Screening | ☐ Binge Eating Disorder Screening |
| ☐ Anorexia Nervosa Screening |
Chapter 35 – Assessment of Risk: Self, Others, Children and Property (MF4 Session 9)
| ☐ Suicidal Ideation Screening | ☐ Violence Risk Assessment |
| ☐ Suicide Risk Assessment (including SADPERSONS) | ☐ Mental Health Act Forms Assessment (e.g. Form 1) |
| ☐ Homicidal Ideation Screening |
Chapter 36 – Assessment of Psychosis, Delirium and Dementia (MF4 Sessions 11, 12)
| ☐ Psychosis Screening | ☐ Delirium Screening (Confusion Assessment Method, CAM) |
| ☐ Specific Delusional Type Screening | ☐ Cognitive Screening for Major or Mild Neurocognitive Disorders (e.g. MMSE, MoCA, Mini-Cog) |
| ☐ Hallucination Screening |
Chapter 37 – Assessment of Substance Use Disorders (MF4 Session 11)
| ☐ Detailed Substance Use History | ☐ Toxidrome Assessment |
| ☐ Single Question Screen for Unhealthy Alcohol Use | ☐ Clinical Opioid Withdrawal Scale (COWS) |
| ☐ CAGE Questionnaire Screen for Alcohol Use Disorder | ☐ Clinical Institute Withdrawal Assessment for Alcohol (CIWA) |
| ☐ AUDIT-C Questionnaire Screen for At-Risk Drinking |
Chapter 38 – Motivational Interviewing and Lifestyle Interventions (IF Week 7)
| ☐ Motivational Interviewing – DEARS (Develop Discrepancy; Express Empathy; Amplify Ambivalence; Roll with Resistance; Support Self-Efficacy) | ☐ Patient Readiness Ruler |
| ☐ Motivational Interviewing – OARS (Open-Ended Questions; Affirmations; Reflections; Summaries) | ☐ Motivational Interviewing – Informing |
| ☐ NURSE Statements for Articulating Empathy | ☐ SMART Goal Setting |
| ☐ Gentle Interruption | |
| ☐ Exercise Prescription |
Chapter 39 – Pre-Operative Anesthesia Assessment (IF Week 5)
| ☐ Vital Signs | ☐ Cormack-Lehane Grade (direct laryngoscopy) |
| ☐ Volume Status Exam (Focus in MF2 Session 1-2) | ☐ Inspection – General Appearance |
| ☐ Inspection – Oropharynx | ☐ Inspection – Central Cyanosis |
| ☐ Inspection – Upper Lip Bite Test | ☐ Inspection – Work of Breathing |
| ☐ Inspection – Mandibular Protrusion Test | ☐ Inspection – Clubbing |
| ☐ Inspection – Oropharynx | ☐ Inspection – Peripheral Cyanosis |
| ☐ Inspection – 3-3-2 Rule | ☐ Palpation – Point of Maximal Impulse (PMI) |
| ☐ Inspection – Thyromental Distance (TMD) | ☐ Palpation – Peripheral Venous Access Assessment |
| ☐ Inspection – Mallampati Score | ☐ Auscultation – Listening to Breathing |
| ☐ Range of Motion – Cervical Spine | ☐ Auscultation – Cardiac Precordial Auscultation |
| ☐ Wilson Score |
Chapter 40 – Ophthalmological Exam (IF Week 11; Workshop on core bedside ophthalmology clinical skills and anatomy in IF)
| ☐ Visual Acuity (VA) Measurement (Patients ≥5 years old) | ☐ Anterior Segment (Slit-Lamp) Exam |
| ☐ Pupillary Response to Light | ☐ Direct Fundoscopy |
| ☐ Intraocular Pressure (IOP) Measurement (tonopen) | ☐ Red Reflex Exam (Pediatrics) |
| ☐ External Ocular Exam | ☐ Visual Acuity (VA) Measurement (Patients <5 years old) |
| ☐ Confrontational Visual Fields | ☐ Cover-Uncover Test (Pediatrics) |
| ☐ Extraocular Movements (EOMs) |
Chapter 41 – Adult Palliative and End-Of-Life Care Assessment (IF Week 6)
| ☐ Patient Support Network Screen | ☐ Inspection – Work of Breathing |
| ☐ Patient Dignity Question | ☐ Inspection – Asterixis (Conditional Test) |
| ☐ Spirituality Screen | ☐ Palpation – Peripheral Pulses |
| ☐ Bereavement/Grief Assessment | ☐ Palpation – Central Pulses |
| ☐ Functional Assessment | ☐ Palpation – Edema |
| ☐ Homecare Support Assessment | ☐ Palpation – Bladder |
| ☐ Palliative Performance Scale (PPS) Assessment | ☐ Abdominal Exam (Focus in MF3 Sessions 1-4) |
| ☐ Tell me more… | ☐ Palpation – Digital Rectal Exam (DRE) (Conditional Test) |
| ☐ Wish-Worry-Wonder Statement | ☐ Percussion – Intercostal Percussion |
| ☐ NURSE Statements for Articulating Empathy | ☐ Percussion – Diaphragmatic Excursion |
| ☐ Substitute Decision Maker (SDM) and Power of Attorney for Personal Care (POA-PC) Assessment | ☐ Auscultation – Listening to Breathing |
| ☐ Advanced Care Planning (ACP) Conversations | ☐ Auscultation – Cardiac Precordial Auscultation |
| ☐ Goals of Care (GOC) Discussions | ☐ Neuro Exam – Stance/Gait (MF4 Neuro Clinical Skills) |
| ☐ Vital Signs, Weight | ☐ Neuro Exam – Cognitive Status (MF4 Neuro Clinical Skills) |
| ☐ Inspection – Non-Verbal Signs of Pain | ☐ Mental Status Exam (MF4 Brain/Behavior Clinical Skills) |
| ☐ Inspection – Cachexia/Sarcopenia | ☐ Neuro Exam – Extrapyramidal Symptoms (EPS) |
| ☐ Inspection – Signs of Actively Dying | ☐ Neuro Exam – Myoclonus |
| ☐ Pupillary Response to Light (Conditional Test) | ☐ Neuro Exam – Motor (Conditional Test) |
| ☐ Inspection – Oropharynx (Conditional Test) | ☐ Neuro Exam – Reflex (Conditional Test) |
| ☐ Jugular Venous Pressure (JVP) (Conditional Test) | ☐ Neuro Exam – Sensory (Conditional Test) |
| ☐ Volume Status Exam (Conditional Test) | ☐ Pronouncing Death (Conditional Test) |