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
Assess the neck and any relevant neurological features. Explain whether routine examination is safe, then present your findings and next steps.
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 3
Preparation · Inspection
Provide a chair or couch, tendon hammer and suitable sensory equipment. Agree a non-traumatic practice context before movement. Discuss trauma and meningism decisions verbally; do not simulate injury with forced or repeatedly provocative movements.
Examiner / observer · 2 of 3
Palpation · Selected clinical signs
Examiner / observer · 3 of 3
Upper limb neurology · Finish
Was a routine movement sequence appropriate? Explains the trauma assessment and any precautions or movement restrictions, rather than retrospectively justifying forced testing.
What would neurological findings change? Integrates upper limb findings with gait/lower limbs when needed and states the appropriate further assessment.
What went well:
One thing to improve:
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