[vc_row row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” oblique_section=”no” text_align=”left” css_animation=””][vc_column][ultimate_heading main_heading=”Candidate brief” main_heading_color=”#000000″ sub_heading_color=”#000000″ main_heading_style=”font-weight:bold;” main_heading_font_size=”desktop:36px;”]

“This patient has complained of limb weakness.  Please examine their legs and discuss your findings with the examiners.”

[/ultimate_heading][vc_empty_space image_repeat=”no-repeat”][vc_video link=”https://vimeo.com/138191760″][vc_empty_space image_repeat=”no-repeat”][vc_row_inner row_type=”row” type=”full_width” use_row_as_full_screen_section_slide=”no” text_align=”left” css_animation=””][vc_column_inner width=”1/4″][stat_counter icon_size=”32″ counter_title=”Station time” counter_value=”20″ counter_suffix=” minutes” speed=”3″][/vc_column_inner][vc_column_inner width=”1/4″][stat_counter icon_size=”32″ counter_title=”Time for this encounter” counter_value=”10″ counter_suffix=” minutes” speed=”3″][/vc_column_inner][vc_column_inner width=”1/4″][stat_counter icon_size=”32″ counter_title=”Maximum time to examine your patient” counter_value=”6″ counter_suffix=” minutes” speed=”3″][/vc_column_inner][vc_column_inner width=”1/4″][stat_counter icon_size=”32″ counter_title=”Minimum time for discussion and questions” counter_value=”4″ counter_suffix=” minutes” speed=”3″][/vc_column_inner][/vc_row_inner][vc_empty_space image_repeat=”no-repeat”][/vc_column][/vc_row][vc_row row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” oblique_section=”no” text_align=”left” css_animation=””][vc_column][vc_accordion style=”accordion”][vc_accordion_tab title=”Common examiner questions”][vc_column_text]

  1. What clinical signs did you identify?
  2. What do you think is wrong with this patient?
  3. How would you investigate this patient next?

[/vc_column_text][/vc_accordion_tab][vc_accordion_tab title=”Diagnosis and clinical signs”][vc_column_text]This patient has completely normal legs with no clinical signs.[/vc_column_text][/vc_accordion_tab][vc_accordion_tab title=”Discussion”][vc_column_text]

Inspection

Observe for any deformity, muscle wasting, fasciculation or other abnormality.

Tone

Instruct the patient to relax then roll the legs internally and externally, lift under the knee, and check for ankle clonus (more than three beats is abnormal).

Power

Proceed systematically through examination of the hip, knee, ankle and toes.

Coordination

Ask the patient to run their heel along their shin, observing for any tremor of incoordination.

Sensation

Test, in order, light touch, pin prick, vibration sense, and joint position sense.  It is rarely necessary to test heat sensation, but if you haven’t already been instructed to stop by the examiners you should offer to do so.

Gait

Ask the patient to walk normally, then heel-toe.  Conduct Romberg’s test.[/vc_column_text][/vc_accordion_tab][vc_accordion_tab title=”Specimen case presentation”][vc_column_text]”To complete my examination I would like to examine the rest of this patient’s neurological system.  This patient has a normal neurology in his legs.”[/vc_column_text][/vc_accordion_tab][/vc_accordion][/vc_column][/vc_row]