BRANCHED EXAMINATION OF THE ENT CHECKLIST

Student________________________ Date____________ Examiner

TOTAL POINTS

(37)

Time

(15 min)

Pass Repeat

Correctly
Completed

1.

Wash hands.

2.

Pain assessment

HEAD

3.

Inspection
a. Hair
b. Scalp

4.

Palpation

FACE

5.

Inspection
a. Color
b. Facial expression
c. Skin condition

EAR

6.

Inspection
a. Position
b. Size
c. Symmetry
d. Swelling
e. Redness
f. Presence/absence of discharge from ear canal

7.

Palpation
a. Consistency of cartilage (i.e., flexibility, cysts)
b. Swelling
c. Tenderness (tragus and mastoid areas)

Insert the otoscope:

EXTERNAL AUDITORY CANAL

8.

Inspection
a. Presence/absence of cerumen, discharge, foreign bodies
b. Color
c. Swelling, scaling, other abnormalities

TYMPANIC MEMBRANE

12/08

9.

Inspection
a. Color
b. Light reflex
c. Short process
d. Long process
e. Pars tensa
f. Pars flaccida
g. Position
h. Cone of light
i. Movement with insufflation

Student
Correctly
Completed
HEARING

10.

Screen hearing (whispering, wristwatch, crinkling paper)

11.

Weber test

12.

Rinn test

NOSE: EXTERNAL

13.

Inspection of contours
a. Asymmetry
b. Abnormalities

Use a penlight or headlight:

NOSE: INTERNAL VESTIBULES

14.

Assess for patency

15.

Septum
a. Abnormalities
b. Deviations

16.

Mucosa
a. Color
b. Swelling
c. Vascularity
d. Deformity

17.

Turbinates
a. Inferior
b. Middle
c. Superior (not visible)

SINUS AREA (cheeks and supraorbital ridge)

18.

Inspection for swelling

19.

Palpation for tenderness

MOUTH

12/08

20.

Wear gloves

21.

Lips - inner and outer aspects

a. Color
b. Abnormalities

22.

Buccal Mucosa
a. Color
b. Salivary
-Submaxillary papilla (Wharton's Ducts)
-Parotid papilla (Stenson's Ducts)

23.

Gums (remove dentures or bridge work)

a. Color
b. Gingival margin
c. Pus, bleeding, localized swelling

24.

Teeth
a. Number
b. Cavities
c. Fillings, bridges

Student
Correctly
Completed

25.

Hard and Soft Palate

a. Color
b. Swelling
c. Abnormalities

26.

Uvula
a. Position
b. Color
c. Elevation - Assess elevation and movement of soft palate and uvula by
asking the patient to say, "ah-h-h-h."

27.

Pharynx
a. Color
b. Drainage

28.

Elicit gag reflex

29.

Tonsils
a. Presence/absence
b. Color
c. Size
d. Drainage and abnormalities

30.

Tongue
a. Dorsum - smoothness, size, texture
b. Symmetry - deviation from midline
c. Undersurface - frenulum, veins, fasciculation, abnormalities

NECK

31.

Inspection
-Trachea position

32.

Palpation of lymph nodes of head and neck

1.Pre-auricular
6. Submental
2.Posterior auricular 7. Superficial cervical
3.Occipital
8. Posterior cervical chain
4.Tonsillar
9. Deep cervical chain
5.Submandibular
10. Supraclavicular

33.

Temporomandibular Joint (TMJ)

- Tenderness

THYROID

34.

Observe with tangential light

35.

Swallow and observe thyroid

36.

Palpate thyroid gland from the front with patient swallowing

37.

Palpate thyroid isthmus and lateral lobes from behind with patient swallowing

PRESENTATION

COMMUNICATION SKILLS

COMMENTS:

12/08