中文   English
首页
历史沿革
教研室简介
课程简介
科室设置
教学大纲
课程目标
生源结构
课程负责人
主讲教师
师资结构
查体分段考试

Table of Physical Examination in Tianjin Medical University

Class           Name                                No.                      Total scores

 

Items

mark

Contents

Standard mark

Mark

Reasons for reducing scores

Part 1

 

(must complete in 5 minutes)

General examination

25

T; P; R; Bp

Development; nutrition; skin & mucosa

Superficial lymph nodes

5

5

15

 

 

Head;Neck

75

Head(shape; tenderness; hair)

Eyes(eyebrows; eyelashes; eyelid; eyeball; conjunctiva; sclera; cornea; pupils; motion of eyeball; direct & indirect reactions to light; uccessionon & convergence reflexes)

Ears(external auditory canal; mastoid; audition)

Nose(shape; nasal septum; nasal sinuses)

Mouth(lips; tooth; gums; mucosa; pharynx; tonsils)

Neck(shape; neck blood vessels; resistance)

Trachea

Thyroid

5

30

 

 

 

5

10

10

5

5

5

 

 

Part 2

 

(must complete in 10 minutes)

Chest (Lung)

50

Inspection: shape; breath; movement of respiraton; intercostal space

Palpation: tender; mobility of respiration; vocal fremitus; uccess friction rubs

Percussion: resonance; upper & lower borders of lungs; range of mobility

Auscultation: breath sound; vocal conduction; friction rubs

5

 

10

 

30

 

5

 

 

 

(Heart)

50

Inspection: precordial region; apex impulse

Palpation: apex impulse; thrills; pericardial friction rubs

Percussion: relative cardiac outline

Auscultation: heart rate; rhythm; extra heart sound; murmurs; cardiac valve areas for precordial auscultation(in the proper order & locations)

Peripheral vessels

5

5

 

30

5

 

 

5

 

 

Part 3

(must complete in 5 minutes)

Abdoman

100

Inspection: shape; respiration; vein; intestinal pattern; peristalsis

Auscultation: peristaltic sounds; uccession splash; vessal bruits

Percussion: borders of liver dullness; spleen; tenderness in hepatic & renal regions; shifting dullness

Palpation: light & deep palpations; tensity of abdominal wall; tenderness; rebound tenderness; mass, etc.

liver; spleen; tenderness of ureter; McBurney point; tenderness of gallbladder; Murphy’s sign

5

 

5

 

20

 

 

30

 

 

40

 

 

Part 4

(must complete in 5 minutes)

Spine; Extremities

30

Spine: deformities; tenderness; pain while percussed; mobility

Extremities: shape; mobility of joints; patellar ballottement sign; muscle strength; edema; dorsal artery of foot

10

 

20

 

 

Nerve system

70

Physiologic reflexes: abdominal skin reflex; biceps reflex; triceps reflex; brachioradialis reflex; knee jerk; Achilles jerk

Pathologic reflexes: Hoffmann sign; Babinski sign; Chadock sign; Oppenheim sign; Gordon sign

Meningeal irritation sign: Nuchal rigidity; Kernig sign; Brudzinski sign

20

 

 

30

 

20

 

 

 

                                                      

 

                                                        

                                                            Invigilator signature:

                                                                  /year    /month      /day