Head and Neck Exam Skill Sheet

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Skill Performance Evaluation: Head and Neck Examination

Directions: You will have 10 minutes to complete the skill. All critical (C) steps and 80% of the noncritical steps
must be performed or verbalized. Special tests (S) will be performed if requested by the examiner.
Start: End:
Performed Verbalized
Washes hands and dons appropriate personal protective equipment. C
Introduces self to patient using first and last name. Y/N
Notes general appearance and vital signs. Y/N
Inspection
1. Hair: quantity, distribution, texture, and any pattern of loss Y/N Y/N
2. Scalp: scaliness or lesions (including nits) Y/N Y/N
Head

3. Skull: size, contour, and any asymmetry Y/N Y/N


4. Face: expression and contours, any involuntary movements or asymmetry Y/N Y/N
5. Skin: discoloration, lesions, and distribution of facial hair Y/N Y/N
Palpation
1. Skull: deformities, depressions, lumps, or tenderness Y/N Y/N
Inspection
1. Temporomandibular joint (TMJ): swelling or redness Y/N Y/N
TMJ

Palpation
1. Range of motion (ROM): Smooth Y/N Y/N
2. Note swelling, tenderness, snapping, or clicking Y/N
Inspection
1. Neck: symmetry, scars, masses Y/N Y/N
2. Trachea: deviation Y/N Y/N
3. Thyroid gland: at rest and with swallowing, noting symmetry Y/N Y/N
4. ROM: flexion, extension, rotation, lateral bending Y/N Y/N
Palpation
Neck

1. Lymph nodes: size, shape, mobility, consistency, tenderness Y/N Y/N


2. Trachea: deviation Y/N Y/N
3. Thyroid gland: size, symmetry, consistency, tenderness, nodules Y/N Y/N
4. Cervical spine: tenderness midline Y/N Y/N
5. Cervical muscles: tenderness or spasms Y/N Y/N
Auscultation
1. Thyroid gland: if enlarged, check for bruit S Y/N
Adequate exposure was maintained for all inspection steps. C
Evaluation: #Y = #C =
min. = 30/37 min. = 2
Comments on quality of performance: Needs remediation?

Y/N

Student: Evaluator: Date:

Developed by Albany Medical College, Center for Physician Assistant Studies | Bickley: Bates’ Guide to Physical Examination
and History Taking, Twelfth Edition. Copyright © 2017 Wolters Kluwer Health

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