One learner performs. One learner checks the key steps and gives feedback. Then swap roles. This is a practice aid, not an official mark scheme.
Candidate
FRCEM · Paired examination practice
Examine the cardiovascular system. Summarise your findings, explain your working differential and propose the next steps appropriate to what you find.
Suggested practice time: 5–7 minutes. This is a practice suggestion, not an official examination timing.
Examiner / observer
Tick the actions you observe. Discuss any step that was not needed for this examination; unchecked boxes are not a score.
Examiner / observer · 1 of 3
Preparation · History and first observations
Provide a couch, stethoscope and access to observation equipment. Agree what can be examined comfortably. Supply observations only if actual measurements or agreed teaching material are available.
Examiner / observer · 2 of 3
Neck and face · Precordium
Examiner / observer · 3 of 3
Additional assessment · Finish
What is your cardiovascular summary? Relevant positive findings and negatives, haemodynamic interpretation and a supported working differential. States any examination limits and explains the next steps to the patient.
How did you assess the neck vessels safely? Carotids assessed separately; JVP reported relative to the sternal angle with the patient’s position.
What went well:
One thing to improve:
Try again focusing on:
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