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
Perform a cranial nerve examination appropriate to the station brief. Summarise any abnormalities and explain which further assessment they require.
Suggested practice time: 8–10 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 4
Preparation · History and inspection
Provide a chair, acuity chart at its specified distance, occluder, pinhole, pen torch, cotton wool and 512 Hz tuning fork. Add other equipment only for agreed supervised tasks. Describe corneal or gag testing; do not perform uncomfortable reflex tests on a practice partner.
Examiner / observer · 2 of 4
Smell and vision · Trigeminal and facial nerves
Examiner / observer · 3 of 4
Hearing · Vestibular assessment
Examiner / observer · 4 of 4
Voice, palate and lower cranial nerves · Finish
How would you present your findings? Identifies the nerves or functions affected, side and pattern, with relevant limitations and targeted further assessment.
When would dizziness need urgent escalation? Uses the symptom pattern and examination uncertainty; does not apply HINTS to every dizzy patient or let untrained testing delay referral.
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