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Q Cranial Nerves. If not already examined, check sense of smell, strength of the temporal and masseter muscles, corneal reflexes, facial movements, gag reflex, and strength of the trapezia and sternomastoid muscles.

Motor System. Muscle bulk, tone, and strength of major muscle groups. 'erebellar function: rapid alternating movements (RAMs), point-to-point ovements, such as finger-to-nose (F ^ N) and heel-to-shin (H ^ S); gait.

tchri 12

Sensory System. Pain, temperature, light touch, vibration, and dis-imination. Compare right with left sides and distal with proximal areas on e limbs.

Reflexes. Including biceps, triceps, brachioradialis, patellar, Achilles deep tendon reflexes; also plantar reflexes or Babinski reflex (see p._).

Additional Examinations. The rectal and genital examinations are often performed at the end of the physical examination. Patient positioning is as indicated.

Rectal Examination in Men. Inspect the sacrococcygeal and perianal areas. Palpate the anal canal, rectum, and prostate. If the patient cannot stand, examine the genitalia before doing the rectal examination.

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