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 peripheral circulation. Summarise the findings and explain the urgency and purpose of any further assessment.
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 inspection
Provide a couch, cover, tape measure and appropriate Doppler/cuff equipment if available. Describe groin exposure and abdominal assessment unless an appropriate supervised teaching setting has been agreed. Do not supply invented pressure readings.
Examiner / observer · 2 of 3
Palpation and movement · ABPI and escalation
Examiner / observer · 3 of 3
Finish
What would your vascular summary include? Side, perfusion, pulses or Doppler signals, motor/sensory findings and any tissue changes. States urgency and the next assessment without allowing an isolated ABPI to override concerning symptoms.
How is ABPI calculated? Highest ankle systolic pressure for that leg divided by the highest arm systolic pressure, using a rested supine measurement.
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