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Checklist
Student__________________________________ Instructor_____________________________
General/Vital signs
Head
Eyes
____12. Perform ophthalmoscopy exam (dim lights, positions patient correctly), holds ophthalmoscope with
correct hand (i.e. right for right eye) and index finger to switch lenses. Verbalizes structures examined.
Ears
____13. Perform hearing test using rubbed fingers or whispered number or tuning fork.
Nose/Mouth/Sinuses
____19. Inspect mouth with tongue blade: tongue, mucosa, duct openings, tonsillar fossa, pharynx.
Neck/Shoulder/Back
____20. Palpate lymph nodes in head and neck region (verbalize node groups).
Chest
____27. Instruct patient to breathe through open mouth and auscultate posteriorly and laterally.
Cardiovascular
____30. Instruct patient to exhale and lean forward, auscultate heart with diaphragm at left sternal border third
to fourth ICS) (maneuver to determine presence of aortic insufficiency).
____34. Inspect and palpate precordium identifying PMI and palpating valve areas and left sternal border.
____37. Instruct patient to roll in left lateral position; palpate apex and auscultate apex with bell.
Breasts (may be deferred)
Abdomen
____38. Inspect.
Lower extremities
____48. Inspect and palpate legs, checking for pretibial and ankle edema.
Neurological/Musculoskeletal Exam
____50. Cranial nerve exam not done in HEENT: facial sensation, clench jaw and palpate temporal and
mandibular muscles, wrinkle forehead, show teeth, close eyes, shoulder shrug, head to side, close eyes.
____54. Test vibration (128 cps) and position sense in lower extremities.