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 an upper 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 · Power assessment
Provide a supported chair or couch, tendon hammer, cotton wool, 128 Hz tuning fork and appropriate sensory testing equipment. Agree comfortable non-invasive steps; describe sharp or temperature testing if appropriate equipment is unavailable.
Examiner / observer · 2 of 3
Key movements · Sensation
Examiner / observer · 3 of 3
Reflexes · Finish
Where might the deficit localise? Integrates power, tone, reflexes, sensation and coordination; does not infer localisation from one sign alone. States side, distribution, examination limitations and the next useful assessment.
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