CMS Skills

Wheel entries:

• Heart rate
• Respiration rate
• Blood pressure (brachial)
• Skin examination of a lower limb
• Heart auscultation
• Jugular venous pressure
• Auscultation: posterior and/or anterior
• chest
• Egophony, bronchophony, and/or
• whispered pectoriloquy (bilateral)
• Percussion: posterior and/or anterior
• chest
• DTR: biceps, brachioradialis, and/or
• triceps (bilateral)
• DTR: patellar and/or Achilles/ankle
• reflex (bilateral)
• Plantar reflex (test for Babinski
• response)
• Rapid alternating movements (upper
• and lower body) (bilateral)
• Point-to-point testing (Finger-to-Nose
• and Heel-to-Shin tests) (bilateral)
• Gait assessment (normal walking,
• tandem/heel-to-toe, toes, heels)
• Romberg Test
• Pronator Drift test
• Extraocular movements
• Pupillary response to light and
• accommodation
• Ophthalmoscopic exam (bilateral)
• Otoscopic exam (bilateral)
• Abdominal auscultation
• Abdominal percussion
• Abdominal palpation (light and deep)
• McBurney’s point tenderness
• Shifting dullness (ascites)
• Fluid wave (ascites)
• Liver percussion
• Liver palpation
• Liver span
• Thyroid inspection (including tangential
• lighting)
• Thyroid palpation
• Cervical lymph node palpation
• (bilateral)
• Spleen percussion
• Spleen palpation