Page 62 - LECTURETTE TOPICS eBOOK

Genu Recurvatum. If the hyperextension of the knee is within 10 degrees

and is unaccompanied by any other deformity, the candidate should be
accepted as fit.

Hip Joint. True lesions of the hip joint will entail rejection.

CENTRAL NERVOUS SYSTEM

Relevant Personal History

Mental Illness. A candidate giving a history of mental illness/psychological
afflictions requires detailed investigation and psychiatric referral. Such cases

should normally be rejected. Most often the history is not volunteered. The
examiner should try to elicit a history by direct questioning, which may or

may not be fruitful. Every examiner should form a general impression of
the candidate’s personality as a whole and may enquire into an

individual’s stability and habitual reactions to difficult and stressful

situations.

Insomnia, Nightmare, Sleepwalking or bed-wetting. History of insomnia,
nightmares or frequent sleepwalking, when recurrent or persistent, will be a

cause for rejection.

Severe or ‘throbbing’ Headache and Migraine. Common types of

recurrent headaches are those due to former head injury or migraine. Other
forms of occasional headache must be considered in relation to their
probable cause. A candidate with migraine, which was severe enough to

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