Name ________________________

N352 Mastery Demonstration: Extremities

The student is expected to gather the necessary equipment and perform the exam without relying on other resources (including people, textbooks, notes or this form).

IMPLEMENTATION

YES

NO

COMMENTS

UPPER EXTREMITIES
Inspect skin: color, texture, hair

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1.  Hand

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2. Arms

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3. Shoulders

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4. Symmetry

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5. Bone length

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6. Rashes, lesions, birthmarks, scars

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7. Inspect nails - angle, condition

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8. Nail Fungus

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9.  Palpate: Capillary refill

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10. Muscle mass

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11. Temperature

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12. Turgor

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13. Epitrochlear lymph nodes

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14. Radial pulses

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15. Brachial pulses

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Inspect and palpate ROM (crepitus, pain, movement)
16. Finger - flexion, hyperextension, abduction, adduction

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17. Wrists - flexion, hyperextension, radial deviation, ulnar deviation

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18. Elbows - flexion, extension, pronation, supination

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19. Shoulders - forward flexion, hyperextension, abduction, adduction,
      internal rotation, external rotation

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Assess strength and tone
20. Fingers

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21. Wrists

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22. Forearms

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23. Upper arms

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24. Shoulders

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25. Stereognosis : Fingertips

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26. Palms

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Fine motor coordination
27. Finger thumb opposition

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LOWER EXTREMITIES
Inspect skin: color, texture, hair
28. Legs

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29. Feet

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30. Rashes, lesions, birthmarks, scars

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31. Symmetry

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32. Hair distribution

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33. Long bone length

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34. Inspect Nails - Condition

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35. Nail fungus

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36. Ingrown nails

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37. Palpate: capillary refill

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38. Muscle mass

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39. Temperature

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40. Turgor

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41. Popliteal pulses

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42. Posterior tibial pulses

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43. Dorsalis pedis pulses

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Inspect and palpate ROM (crepitus, pain, movement)
44. Toes - flexion, extension

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45. Ankles - dorsiflexion, plantar flexion, inversion, eversion, abduction,
      adduction

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46. Knees - flexion, extension

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47. Hips - flexion, extension, external rotation, internal rotation, abduction,
      adduction, hyperextension

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Assess strength and tone
48. Feet

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49. Lower legs

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50. Thighs

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BOTH UPPER AND LOWER EXTREMITIES
51. Vibratory sensation

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52. Sensory: Sharp/dull discrimination on each dermatome

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53. One point-two point discrimination

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54. Deep tendon reflexes: Biceps

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55. Triceps

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56. Brachioradialis

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57. Patellar

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58. Achilles

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59. Ankle clonus

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60. Superficial reflexes - plantar

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Rationale Questions:
61. Asks appropriate questions for the body system assessed

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Time allowed: 30 minutes

90% (61) = 55

Pass Not Yet
Signature ___________________________

Date _______________________________