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 hand and wrist. Summarise the functional and anatomical findings and explain the next steps for the presentation.
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 table, chair, cup and paper for functional tests. Use a comfortable consenting partner; discuss trauma-related tests where injury, pain or lack of supervision makes performance inappropriate.
Examiner / observer · 2 of 4
Palpation · Thumb
Examiner / observer · 3 of 4
Radial-styloid pain · Carpal tunnel
Examiner / observer · 4 of 4
Function · Finish
What can you conclude about function and injury? Describes affected movement, tendon/nerve pattern and perfusion, stating limitations. Does not let preserved movement or a normal early X-ray falsely exclude important injury.
What needs to happen next? A targeted investigation, protection or referral plan with reasons and symptoms requiring urgent reassessment.
What went well:
One thing to improve:
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