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 lower limb neurological examination. Present the pattern of findings and discuss where any deficit might localise.
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 · Tone
Provide a couch, safe walking space, usual walking aid if needed, tendon hammer, cotton wool, 128 Hz tuning fork and suitable sensory equipment. Use only comfortable testing and actual findings.
Examiner / observer · 2 of 3
Power · Reflexes
Examiner / observer · 3 of 3
Coordination · Finish
How do the findings fit together? Integrates tone, power, sensation, reflexes, coordination and safe gait assessment to describe a pattern. States limitations and explains the next targeted examination.
How would you report the plantar response? Records the observed response and separates extensor great-toe movement from withdrawal.
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