How to Prepare for Your Physical Medical Examination (PEME/APE)
To obtain the best accurate and precise results from your medical exam, we suggest that you follow these basic steps:
- Schedule your examination during the least stressful time of the day.
- The best time to do your exam is in the morning. If a weekday is not convenient, check with the clinic if you can arrange an appointment on a Saturday.
- Please wear a short-sleeved garment or one with sleeves that easily roll up just in case you are required to undress.
- Have your photo identification available. (valid ID with picture)
- Prepare in advance for questions regarding medical conditions, surgeries, medications, or other treatments you may have had. The medical examiner may also ask you for the names and addresses of physicians and/or hospitals that have treated you.
- Drink a glass of water an hour or so before the exam to facilitate obtaining a urine specimen.
- Avoid coffee, soda, tea or other products with caffeine for several hours before the exam.
- Avoid smoking or chewing tobacco for at least one hour prior to your scheduled exam.
- Avoid alcoholic beverages for at least 24 hours prior to the exam.
- Avoid nasal decongestants.
- Do not engage in strenuous exercise for at least 24 hours before the exam.
- Get a good night's rest before the medical exam.
WHAT PEME CAN DETECT
- Current symptoms
- Previous illness
- Previous consults
- Maintenance medication/s
- Lifestyle history
- Employment history
- Vital signs and Physical measurements
- Blood pressure
- Heart rate
- Respiratory rate
- Body mass index
- Identifying marks
- Skin infections
- Head and Neck
- Facial symmetry
- Eye problems
- Throat disorder
- Thyroid disease
- Lymph nodes
- Heart murmurs
- Bowel sounds
- Umbilical hernia
- Critical waist circumference
- Inguinal hernia
- Rectal exam
- Prostate (male)
- Extremities and Neurological
- Range of motion
- Peripheral pulses
- Muscle strength
- Dental and oral health
- Gum infections
- Tooth decay
WHAT PEME CANNOT DETECT
d. Gallbladder stones
a. Brain tumor
a. Contact dermatitis
c. Psoriasis in remission
b. Spinal problems
6. Chronic diseases
a. DM on meds
b. HPN on meds
a. Asthma not in exacerbation
b. Extra-pulmonary TB
Complete Children's Health is currently scheduling physical appointments for this summer. We follow the guidelines set forth by the American Academy of Pediatrics- recommending annual physicals for children ages 3-19 years. Visiting your physician for your sports physical provides the winning combination of your complete medical history along with a thorough examination.
Complete Children's Health, P.C. will complete the necessary forms for school, sports and camps.
When scheduling your appointment keep in mind:
- Physicals for inter-scholastic sports must be completed after May 1 to qualify for the upcoming school year.
- Kindergarten physicals and the mandatory seventh grade physical must be completed within 6 months prior to the start of school (generally after March 1).
medical clinic - biomedicsmedclinic.com
Test Tips For Multiple-Choice Psychology Exams
How to Take a Multiple-Choice Psychology Exam
By Kendra Cherry, About.com Guide
While multiple-choice exams may seem challenging, you can prepare yourself by understanding the structure of a multiple-choice test and how to approach these types of exams. Remember, the correct answer is right there in front of you! By carefully analyzing each question and choices offered, you can increase your chances of performing well on each multiple-choice test you take.
The Structure of a Multiple-Choice Question
Each question consists of just three parts:
- The first part a multiple-choice problem is the basic section that asks a question, gives and incomplete sentence, or poses a problem that you are expected to solve.
- The next part of the question is a number of distracting alternatives. These are the incorrect answers that are designed to test your true knowledge of the subject. Some of these alternatives may seem correct, so it is important to know the topic well to avoid selecting an incorrect answer.
- The final part of a multiple-choice problem is the correct answer to the question or problem that is posed.
MANILA, Philippines — The government has allocated P15 million for the H1N1 project of the National Institutes of Health (NIH) enabling the country to get a bigger chance of being represented in the global vaccine development.
By putting a strong focus on H1N1 vaccine, through its work in sequencing of the virus, the government is putting the Philippines in the map of the H1N1 vaccine development of the World Health Organization (WHO). While there may no longer be developments that highlight risks in another H1N1 epidemic, having its own vaccine ensures ready supply for its people.
NIH Dr. Edsel Maurice Salvana, H1N1 program project leader, said the H1N1 program of NIH has already sequenced 52 samples of the H1N1 virus from only six sequenced samples.
Prior to the program, the six sequenced samples even came from Australia since the Philippines previously did not have DNA sequencing capability.
Part of the program is acquisition of equipment for the sequencing capability including PCR polymerase chain reaction.
“We have to generate our own data, or there’s nothing that WHO will take into consideration when they’re deciding on what strains to cover for vaccine development,” said Salvana in an interview at the Philippine Council for Health Research and Development anniversary celebration.
Medical Clinic - Biomedicsmedclinic.com
H1N1 Vaccine Global Presence Eyed By MELODY M. AGUIBA March 19, 2012, 3:11am
“If the Philippines is not represented , our unique issues will not have a say in what will come out.”
The Philippines has already published information on all 52 samples with the Genbank, a global genetic sequence database.
This data present so much significance as the DNA sequencing will help determine if the Philippine population already has resistance to existing H1N1 drugs, particularly oseltamivir.
“If you’re caught with your pants down, and the only time you know there’s resistance to oseltamivir because a lot of people are failing therapy, then it may take some time before you can bring in another drug. What we’re doing is an early warning system,” Salvana said.
NIH is working with the Research Institute for Tropical Medicine (RITM) on a collaborative DNA sequencing work. RITM has been sequencing viral cultures, while NIH has been sequencing from virus taken directly from infected patients.
Since culturing takes time of two to three weeks before sequencing may be done, the collaborative work will involve real time sequencing.
“We’re not doing real time samples yet. We’re doing archive samples. We’ll do real time samples when we collaborate with RITM hopefully beginning next month,” he said.
Since many H1N1 virus strains in the world have already developed resistance to drug adamantine, the need now is to ensure that the Philippine H1N1 strains are not yet resistant to oseltamavir.