← Full lesson and referencesPaired practice cardsSt Emlyn’s · MLA

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.

Examiner / observer

Hand and wrist examination

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

Hand and wrist examination

Preparation · History and inspection

Agree supervision and any communication or chaperone support before starting. Provide a table, chair, cup, paper and suitable sensory equipment. Agree which special tests are relevant before starting. Demonstrate uncomfortable tendon or ligament tests on a model or with appropriate supervision; do not force a peer’s thumb or wrist.

Preparation

History and inspection

St Emlyn’s · MLA · Practice aid, not an official mark schemeObserver 1 of 4

Examiner / observer · 2 of 4

Hand and wrist examination

Palpation · Finger tendons

Palpation

Wrist and finger movement

Finger tendons

St Emlyn’s · MLA · Practice aid, not an official mark schemeObserver 2 of 4

Examiner / observer · 3 of 4

Hand and wrist examination

Thumb · Peripheral nerves and function

Thumb

Selected provocation

Peripheral nerves and function

St Emlyn’s · MLA · Practice aid, not an official mark schemeObserver 3 of 4

Examiner / observer · 4 of 4

Hand and wrist examination

Close

Close

Ask the candidate

How would you present your findings and their significance? Present joint distribution, tendon function, nerve findings, perfusion and functional effect. A wound near a tendon or nerve needs assessment even if movement remains; explain protection, imaging or specialist review for uncertainty.

What would you do next, and why? Explain the important uncertainty, a relevant next assessment and when help is needed. State what you could not assess.

St Emlyn’s · MLA · Practice aid, not an official mark schemeObserver 4 of 4

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