1 TABLE OF CONTENTS

2
I. 3 GENERAL
II. 4 MEDICAL EXAMINATION
III. 5 HEALTH PROFILE SYSTEM
IV. 6 GENERAL EXAMINATION HEIGHT,
7WEIGHT, AND CHEST MEASUREMENT
V. 8 SKIN
VI. 9 EYES
VII. 10 EARS
VIII. 11 MOUTH, NOSE, FAUCES, LARYNX,
12TRACHEA, ESOPHAGUS, PHARYNX
IX. 13 DENTAL EXAMINATION
X. 14 HEAD AND NECK
XI. 15 FACE
XII. 16 SPINE AND PELVIS, INCLUDING SACRO-
17ILIAC AND LUMBO-SACRAL JOINTS
XIII. 18 EXTREMETIES
XIV. 19 CHEST
XV. 20 LUNGS
XVI. 21 HEART AND VASCULAR SYSTEM
XVII. 22 ABDOMINAL ORGANS AND WALLS
XVIII. 23 GENITO-URINARY SYSTEM INCLUDING
24SEXUALLY TRANSMITTED DISEASES
XIX. 25 NEUROLOGICAL AND PSYCHIATRIC
26DISORDERS
XX. 27 MALINGERING
XXI. 28 EXAMINATION OF FEMALES
XXII. 29 REPORTS AND RECORDS
XXIII. 30 RESCISSION
XXIV. 31 EFFECTIVITY
32
33
34
35
36
37
38
39
40
41
42
43
44
45

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46
47 Republic of the Philippines
48 Department of the Interior and Local Government
49 NATIONAL POLICE COMMISSION
50 PHILIPPINE NATIONA POLICE
51 HEALTH SERVICE
52 Camp Crame, Quezon
53
54
55
56 PNP CIRCULAR _____________
57 _________________
58 DATE
59
60
61 PRESCRIBING THE CRITERIA/STANDARDS FOR THE
62 PHILIPPINE NATIONAL POLICE HEALTH PROFILE SYSTEM
63 RELATIVE TO THE CONDUCT OF COMPLETE MEDICAL EXAMINATIONS
64
65
66
67 SECTION I
68
69
70 GENERAL
71
72
73 PURPOSE:
74
75 a. This Circular prescribes the criteria for determining the PNP Personnel Health
76 Profile System and sets guidelines for the conduct of Complete Medical
77 Examination on those desiring to join the Police Service and Annual Medical
78 Examination of those already in the service.
79
80 b. Standards of Medical Examinations are prescribed to secure efficiency and
81 uniformity in performing the examinations and reporting of the findings.
82 Medical examiners should always apply the standards with the object to procure
83 and retain in the police service individuals who are physically and mentally fit
84 and who are expected to remain so in the performance of police duties.
85
86 REFERENCES:
87
88 a. Republic Act 6975 (DILG Act of 1990)
89
90 b. Memo Circular No. 92-015 dated 26 November 1992
91
92 c. NAPOLCOM Resolution 94-011 dated 22 March 1994
93
94 d. NAPOLCOM Resolution 94-013 dated 29 March 1994
95
96 e. Republic Act 8551 (PNP and Reorganization Act of 1998)
97
98 f. AFPR 165-362 dated 29 October 1996 entitled “Standards of Physical
99 Examination in the Armed Forces of the Philippines”.
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119

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120 REQUESTS FOR MEDICAL EXAMINATIONS:
121
122 These will be made only by authorized officers and performed by the Medical and Dental
123 Units as indicated below:
124
125

Purpose of Exam When Done Made By Examining Bd

126
Lateral Entry As required DPRM / NSU Med-Den Bd, NHQ PNP
Directors
Promotion As required DPRM / NSU Med-Den Bd, NHQ
Directors PNP/PROs

Schooling Abroad As required DPRM / NSU Med-Den Bd, NHQ PNP

Directors

PNPA Cadetship As required DPRM / NSU Med-Den Bd, PNPA

Directors Disp

Special Training As required DPRM / NSU Med-Den Bd, NHQ PNP

Directors

Disability Separation As required DPRM / NSU Med-Den Bd, NHQ PNP

Directors

Local Schooling As required DPRM / ARDP Med-Den Bd, PRO

Recruitment As required DPRM / ARDP Med-Den Bd, PRO

Annual PE As required DPRM / ARDP Med-Den Bd, PRO

Discharge As required DPRM / ARDP Med-Den Bd, PRO

Retirement As required DPRM / ARDP Med-Den Bd, PRO

Employment of As required DPRM / ARDP Med-Den Bd, PRO

Civilians
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156

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157
158
159 APPLICATIONS OF STANDARDS:
160
161 Each individual will be examined in detail in comparison with the standards prescribed
162 herein and shall be classified according to the Health Profiling System:
163
164 a. Individuals entering the service in the Lateral Entry and Recruitment Categories
165 should be free from any defect or pathological condition that would interfere
166 with the performance of police duties, which may undergo progressive change
167 under the rigors of police work, or become a basis of a claim against the
168 government. Candidate for these categories shall retain the key Profile 1.
169
170 b. In the Annual PE of PNP members, P1, P2 and P3 classifications are acceptable.
171 Examinees with the conditions giving rise to P4 Profile are immediately
172 hospitalized for the treatment of disposition.
173
174 c. Male examinees who are 40 years old and above are categorized as P2.
175
176 d. Female uniformed police personnel shall at least qualify for a P3 Profile for
177 acceptance and retention in the police service.
178
179 e. For Retirement and Discharge from the service, physical examinations within
180 the last six (6) months shall be done.
181
182 f. The Chairman of the Examining Boards shall require all examinees sto sate
183 whether they have been previously disqualified in a medical examination and
184 this must be thoroughly evaluated and properly recorded in the medical history.
185
186
187REPORTING:
188
189 Results of medical examinations are CONFIDENTIAL and may be released only to authorized
190persons/offices. Adequate precautions during the process of examination will be made to prevent premature
191or improper release of information by unauthorized persons/agencies.
192
193 All reports, regardless of which Health Facility has conducted the examinations, are to be reflected
194in a standard format on Report of Medical Examination (RME) to be accomplished by the PNP Medical-
195Dental Board in triplicate copies, one copy for the Requesting Police Office, another copy to be forwarded
196to the Office of the Director, Health Service and the last copy to be retained by the Examining Facility.
197
198
199 SECTION II
200
201
202 MEDICAL EXAMINATION BOARDS
203
204
205BOARD OF OFFICERS TO CONDUCT MEDICAL EXAMINATIONS:
206
207 A Medical-Dental Board will be formed or created in every hospital, PRO or Special Police Unit,
208the composition of which must have the following minimum requirements:
209
210 Chairman - Chief, PNP Hospitals/Chief, Health Service, PROs
211 Members - Medical Officer-In-Charge of the PE Section
212 - Neuropsychiatrist/NP Screener
213 - Dental Officer
214
215
216AUTHORITY TO PERFORM MEDICAL EXAMINATIONS:
217
218 Physical Tests, to include Psychiatric/Psychological and Drug Test shall be done only upon a
219written request by DPRM or ARDPs or Unit Personnel of NSUs to Chief, PNP General Hospital or Chief,
220Regional Health Service who are concurrently designated Chairpersons of the Medical-Dental Boards.
221
222 Although NAPOLCOM-Accredited Government Hospitals are also given the authority to conduct
223same, this task should be basically entrusted to PNBP Health Facilities in order to have more uniformity
224and less room for personal idiosyncrasy in the conduct of the examinations and in the preparation of
225reports.
226
227 In the event that PNP Health Facilities are not capable of satisfying this mandate, they will still
228bear the responsibility of receiving requests from the Police Units, making referrals to NAPOLCOM-
229Accredited Government Hospitals if warranted, rendering reports to requesting police offices and
230maintaining health records of the examinees.

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 231
232CONDUCT OF MEDICAL EXAMINATIONS:
233
234 Procedures used in the conduct of medical examinations is an internal affair of the Board to suit
235the number of examinees, physical arrangements of rooms, facilities, personnel, and other related problems.
236A check list is used to guide examinees from one examiner to another. Findings or results will be reported
237directly to the Chairman or Recorder. In no case should any finding or result be hand-carried by the
238examinee. Every Board will prepare an SOP on the conduct of medical examinations to include the
239designations and items for which each member is responsible. The Chairman will be the last one to sign
240after his review of the whole Medical Report.
241
242GENERAL INSTRUCTIONS FOR EXAMINATIONS:
243
244 1. The examinee will be carefully questioned about his past and present physical condition
245 including his family history. Special inquiry will be made regarding any serious illness,
246 injury or operation he may have had. Following any major surgical operation, the
247 examination, of an individual should be deferred for sufficient period of time to ensure
248 complete recovery without sequelae. The minimum period of time of deferment
249 following a major surgical operation should be at least three (3) months will depend upon
250 the condition for which operated and upon the discretion of the medical examiners. It is
251 especially important that all significant data be accurately recorded in the appropriate
252 paragraph of the report of physical examination.
253
254 2. Each examinee will be subjected to a thorough medical examination
255 including an X-ray of the chest, ECG, serological test for STD, drug test
256 and a urine examination including a microscopic examination. An
257 electrocardiogram will be made for all lateral entry, recruitment, annual PE
258 examinations if the examinee is 25 years of age or older, or, when indicated.
259 All medical officers engaged in making these examinations are enjoined to
260 exercise utmost care in these procedures to assure themselves that all
261 findings are fully and accurately recorded. Sufficient time must be given to
262 the examination to make certain that every detail is purposely carried out.
263 Each defect noted must be recorded in such a clear and complete manner
264 that no question as to its character, degree and significance can arise when
265 the report of the Board is reviewed. When an examinee is disqualified, the
266 cause must be clearly established and properly recorded in order to be
267 conclusive regarding the propriety of the classification. Symptoms of a
268 disease will not be noted as causes of disqualification if it is possible to
269 arrive at a definite diagnosis. Examinees will not be accepted subject to
270 performance of surgical operations for the removal or cure of defects. The
271 same physical standards will apply to all examinees regardless of purpose.
272
273
274
275 SECTION III
276
277
278 HEALTH PROFILE SYSTEM
279
280
281 GENERAL:
282
283 1. The HEALTH PROFILE SERIAL SYSTEM is based primarily upon the
284 functional ability of an individual to perform all police duties and activities, and
285 in relation to this performance, the functions of the various organ systems and
286 integral parts of the body are considered. Since the analysis of the individual’s
287 physical and mental status plays an important role in his future assignment and
288 welfare, not only the functional grading be executed with great care but also a
289 clear and accurate description of his physical and mental conditions are
290 essential. In developing the system, the human functions have been categorized
291 into six (6) factors in accomplishing and applying the profile system designated
292 as “PULHES”. The factors to be considered, the parts affected, and the bodily
293 function involved are as follows:
294
295 a. “P” = Physical capacity or stamina
296
297 Organic defects, age, build, strength, stamina, height, weight, ability,
298 energy, muscular coordination and similar factors.
299
300 Diseases and other conditions that may be aggravated by police duties.
301
302 This is the KEY FACTOR in the physical classification of the
303 examinee.
304

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305
306
307 b. “U” = Upper extremities
308
309 Functional use of hands, arms, shoulder girdle and spine (cervical,
310 thoracic, lumbar) to include strength, range of motion, general
311 efficiency and structural defect. Use exercise test.
312
313 c. “L” = Lower extremities
314
315 Functional use, strength, range of motion and general efficiency of feet,
316 legs, pelvic girdle and lower back (sacral spine). Note defect. Use
317 exercise test.
318
319 d. “H” = Hearing (including ear defects)
320
321 The auditory acuity is to be considered as well as organic defects and
322 lesions.
323
324 e. “S” = Neuropsychiatric
325
326 Emotional stability, personality and neuropsychiatric history and
327 disorders will be considered.
328
329 2. There are four (4) grades in each of the six (6) factors. For ease of application
330 and to assure uniformity of recording, these regulations will be used as a guide
331 for considering certain defects.
332
333 3. Minor physical defects will not automatically down grade an individual because
334 defects have different values in relation to performances of duties. While the
335 defect must be given consideration in accomplishing the profile, it is important
336 to consider function and prognosis especially regarding the possibility of
337 aggravation. In this connection, a close relationship must exist between the
338 attending medical officers and PE classification officers. The determination of
339 assignments in an administrative procedure. On the basis of the medical officer’s
340 report the classification officer may more readily assess the individual’s ability
341 to fill certain duty positions.
342
343 The individual’s profile therefore must state whether or not the individual may
344 be employed in certain duty positions.
345
346 4. The “P” factor is to be used to indicate organic defects of a nature which may
347 not necessarily be reflected in the other factors “U”, “L”, “H”, “E”, and “S”.
348
349 Examples: Hernia, cardiovascular disease, asthma, newgrowth,
350 peptic ulcer, Class I dental defects, and others.
351
352 Is an individual has a higher number in one of the factors other than the “P”, it
353 follows in such a way that the “P” should always correspond to the highest
354 number or may even be higher if systematic defects are present. The “P” is the
355 key factor and is used to indicate the general health classification as follows:
356
357 a. P1 = may engage in fatiguing work, marching and prolonged hand-to-
358 hand fighting for long periods of time. Free from any disease.
359
360 b. P2 = may be exposed to the same rigors as P1, but may have minor
361 defects as slight limitation of movements. Free from any disease. Forty
362 (40) years old and above.
363
364 c. P3 = may serve in operations and support capacities including ability to
365 work for long periods of time and defend himself in close encounters.
366
367 d. P4 = unqualified for police service as he / she fails to meet the criteria
368 of the first three classifications.
369
370
371SUFFIXES TO SERIAL:
372
373 In order to make the profile serial informative, a code letter or a combination of code letters will
374be used as a suffix where applicable as specified below:
375
376 a. “R” = will be used to indicate that an individual has a remediable physical defect
377 which does not prevent utilization, the correction of which would improve the

6 6
378 general health and welfare of the individual. Thos e defect/s must be corrected
379 or treated within three (3) months after the examination.
380
381 b. “T” = will be used to indicate that the individuals has a remediable physical
382 defect, temporary in nature, which would prevent an immediate field/combat
383 assignment. Such individuals are temporarily disqualified and immediate
384 measures must be taken for their treatment/hospitalization.
385
386 c. “D” = will be used to indicate that the individual has a physical defect which
387 under current standards is permanently disqualifying and if in the service should
388 be immediately hospitalized for disposition.
389
390 d. “O” = will be used to indicate that the individual is physically qualified for
391 aircrew assignments.
392
393
394
395PROFILE SERIAL CHART:
396
397 Below is the chart including key limiting characteristics of each factor in the profile.. For details
398see succeeding sections covering the different organ systems.
399
400
401
402
403
404 PHYSICAL PROFILE SERIAL CHART
405
PROFILE “P” “U” “L”
SERIAL PHYSICAL UPPER EXTREMITIES LOWER EXTREMITIES
CAPACITY AND
STAMINA
Able to perform Bones, joints, and Muscles Bones, muscles and joints
maximum sustained effort normal; must be able to do normal. Must be capable of
over extremely long hand-to-hand fighting. performing long marching
1 periods. and continue standing for
long periods. No defects
which prevent running,
climbing and digging.
Able to perform sustained Slightly limited joint mobility; Slightly limited. Mobility of
effort for moderate muscular weakness or their joints, muscular weakness or
periods under support Muscular skeletal defects other musculo-skeletal
2 conditions. which do not prevent hand-to- defects which do not prevent
hand fighting for prolonged marching. climbing, running,
periods. or digging for prolonged
period.
Able to perform sustained Defects causing moderate Defect causing moderate
3 effort for moderate interference with function but interference with function but
periods under support capable of sustained effort for capable of sustained efforts
conditions. short periods. for short periods.
Below minimum Below minimum standards for Below minimum standards
4 standards for police police service. for police service.
service
Organic defects, stamina, Strength, range of motion and Strength, range of movement
build, height, weight, age, general efficiency of upper and efficiency of foot, pelvic
strength, agility, energy, arms, shoulder girdle and back and lower back.
muscular coordination, including cervical, and
5 function and similar thoracic lumbar vertebrae.
factors. Diseases and
other conditions that may
be aggravated by police
service/duty.
406
407
408
409
410
411
412
413
414
415
416
417

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418
419
420
PROFILE “H” ‘E’ ‘S’
SERIAL HEARING VISION NEUROPSYCHITARIC
OR EARS OR EYES
Auditory acuity 15/15 Meets acceptable Ocular No Neuropsychiatric
by whisper test. No standards with a minimum disorder. No Neurologic nor
organic defects. vision of 20/40 in each eye, psychiatric disorder.
1 corrected with glasses to 20/20
in both eyes. No organic disease
of either eye exists. Ability to
distinguish red and green, J1 or
J2, OU for near vision.
Minimum hearing of Meets acceptable Standards as No intermediate grade.
15/15 in one ear and not prescribed in these regulations
less that 8/15 in the and visual acuity should not be
other with no active or less than 20/100 in each eye
2 progressive organic correctable to 20/40 provided the
disease. defective vision is not due to
active progressive organic
disease. J3 up to J6 OU for near
vision.
Minimum hearing of Meets acceptable standards of Transient situational reaction.
8/15 in the other with these regulations with minimum Psychoneurotic disorders.
no active progressive vision of 20/20 in each eye
organic disease correctable to 20/30 in one eye Psychophysiologic system
and 20/100 in the second eye. reaction or psychosomatic
For retention in the service, this disorders.
3 includes those individuals with
any degree of defective visions
in one eye, from below 20/200,
to no light perception, if such
Defect is not due to active or
progressive organic disease, with
visions in the other eye 20/100
correctable.
Do not meet the Do not meet the standards for Psychosis, moderate or severe
standards for police police service. Chronic psychoneurosis,
service. severe
Transient psychoneurosis
(situational)
4 PPSR and personality
Disorders
Marked degrees of character
and behavior disorders
Mental deficiency
421
422
Factors to Auditory acuity and Visual acuity and Organic Type, severity and duration of
be organic defects of the defects of the eyes and lids. the psychiatric symptoms or
Evaluated audiosystem. disorders existing at the time
the profile is determined.

Amount of external
Precipitating stress.

Predisposition as determined
by the basic personality
make-up.

Intelligence
Performance

History of post-psychiatric
disorders and impairment of
the functional capacity.
423
424
425
426
427
428
429

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430
431
432 REVISION OF PROFILE:
433
434
435 The physical profiles of all individuals with “P” defects are reviewed by the unit medical
436 officer every three (3) months. This is for the purpose of remedial action. The medical officer will
437 insure that all such individuals receive medical/surgical treatment to remove the suffix. Any “R”
438 remaining for more than six (6) months shall be cause for disciplinary or dispository action by the
439 unit commander.
440
441 Individuals with “T” and “D” suffixes will be evacuated immediately to the nearest PNP
442 Health Service hospital/facility for treatment and/or disposition.
443
444
445 SECTION IV
446
447
448 GENERAL EXAMINATION
449 INCLUDING HEIGHT, WEIGHT AND CHEST MEASUREMENTS
450
451
452 GENERAL EXAMINATION:
453
454 The examination will be conducted with the subject entirely without clothes and his/her
455 shoes removed. This will be done in a well-lighted room. A thorough general inspection of the
456 entire body will be made, noting the proportion and symmetry of the various parts of the body,
457 the chest development, the condition and tone of the muscles, the general nutrition, the character
458 of the skin, and the presence of any deformity or underdevelopment. Physical examination of
459 females shall be conducted with due regard for privacy and in the presence of a female nurse or
460 female attendant. Drapes and gowns shall be used when appropriate.
461
462
463
464 HEIGHT:
465
466 The height will be taken with the applicant without shoes with a measuring scale known
467 to be accurate and will be recorded in meters and/or nearest centimeters. The measuring rod will
468 consist of a board at least 2 inches wide by 80 inches long, placed vertically, firmly fixed, with
469 accurate graduation of ¼ inch between 58 cm and the top end. Obtain the height by placing
470 horizontally, in firm contact with the top of the head square against the rod, a board of about
471 6x6x2 cms best permanently attached to the graduated board by a long cord. Where a
472 measurement rod is attached as part of the scales this may be used but should be checked for
473 accuracy. The individual will stand erect with his back to the graduated rod, eyes straight to the
474 front.
475
476
477 MINIMUM STANDARDS FOR HEIGHT AND WEIGHT:
478
479 TABLE No.1
480
481
CATEGORY Minimum Height in Centimeters
a. Male 162.00 cms.
b. Female 157.00 cms.
482
483
484
485 WEIGHT:
486
487 The applicant shall be weighed without shoes and clothes. Weights shall be made on a
488 standard set of scales that are known to be correct. The weight shall be recorded in kilograms. The
489 applicant’s weight should be well distributed and in proportion to age, sex, height and skeletal
490 structure. The purpose of the standard is to facilitate detection and disqualification of the unduly
491 obese and to avoid disqualifying muscular, healthy applicants.
492
493
494 DIRECTIONS FOR TAKING CHEST MEASUREMENTS:
495
496 The candidate will be made to stand erect with his feet together and arms hanging loosely
497 at the side. The measuring tape will be carefully adjusted around the chest, with the upper edge of
498 the tape just below the lower angles of the scapulas behind and the nipples in front. The tape
499 should be approximately horizontal. The candidate will then be directed to take several deep
500 breaths, followed by complete inhalation, in order to verify the maximum and minimum

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501 measurements. Care must be taken not to displace the tape and to avoid muscular contortions,
502 which frequently cause greater inspiratory measurement than the actual lung capacity warrants.
503 Great patience and care are often necessary to obtain correct results. The chest measurement at
504 expiration will be recorded in centimeters and fractions of a centimeter to quarters. The mobility is
505 the difference between the measurements recorded on inspiration and expiration.
506
507
508 TABLE No.2
509
510 THE STANDARDS FOR HEIGHT AND WEIGHT FOR MALES
511 “WEIGHT ACCORDING TO AGE”
Height in Age 21-25 Age 26-30 Maximum
Chest
Meters Minimum Standard Maximum Minimum Standard Maximum Requirement
1.52 49.09 54.54 68.18 50.00 55.48 69.54 73
1.54 50.00 55.45 69.54 50.00 56.36 70.45 74
1.57 50.90 56.36 70.45 51.36 57.27 71.87 74
1.60 51.36 57.27 71.82 52.72 58.18 72.73 75
1.62 52.36 56.18 72.73 53.36 59.55 74.55 76
1.65 54.00 60.00 75.00 55.00 61.36 76.82 76
1.67 55.55 61.82 77.27 56.82 63.18 79.09 76
1.70 57.27 63.64 79.55 58.64 65.00 81.56 77
1.72 59.09 65.45 81.62 60.00 66.82 83.63 78
1.75 60.46 67.27 84.09 61.82 68.64 85.91 78
1.77 61.27 69.55 86.36 63.18 70.45 88.18 80
1.80 63.64 70.91 88.64 65.00 72.27 90.45 80
1.82 65.09 73.18 91.36 67.27 74.55 93.18 81
1.85 67.13 75.46 94.55 69.09 76.82 95.91 83
1.87 70.00 77.73 97.27 71.36 79.09 99.09 85
1.90 71.92 80.00 100.00 73.18 81.36 101.82 87
1.93 74.09 82.27 102.73 75.46 83.64 104.55 88
1.95 75.90 84.55 105.45 77.27 85.91 107.27 89
1.98 78.18 86.82 108.64 79.55 88.18 110.00 90
512
513
514
515
516
Height in Age 21-25 Age 26-30
Meters Minimum Standard Maximum Minimum Standard Maximum
1.57 45.19 51.36 65.45 46.38 62.27 66.81
1.60 46.86 52.27 66.61 47.27 53.18 67.81
1.62 48.18 53.18 67.72 48.62 54.54 69.54
1.65 50.00 55.45 70.00 50.00 56.81 70.90
1.67 51.36 57.27 71.36 51.81 58.18 72.72
1.70 53.72 59.09 72.27 53.64 60.00 75.45
1.72 54.00 61.36 74.51 55.00 61.37 77.27
1.75 55.45 62.27 76.63 56.80 63.63 79.09
1.77 57.27 64.09 79.54 80.29 64.90 81.36
517
518
Height AGE 31-35 AGE 36-40 AGE 41-45 AGE 46-50 AGE 51-60 MIN
in Stan Maxi Stan Maxi Stan Maxi Stan Maxi Stan Maxi CHEST
Meters dard dard dard dard dard
mum
1.52 56.82 71.36 58.18 72.73 59.55 74.55 60.45 75.45 61.36 76.82 73.66
1.54 57.73 72.27 59.99 74.09 60.46 75.46 61.35 76.82 62.27 77.73 74.93
1.57 58.64 73.18 60.00 75.00 61.36 76.82 62.27 77.73 63.18 79.09 74.93
1.60 59.55 74.55 60.91 76.36 62.27 77.19 63.15 79.09 64.09 80.00 75.57
1.62 60.94 76.36 62.27 77.72 63.64 79.55 64.55 80.91 65.46 81.82 76.20
1.65 62.73 78.64 64.09 80.00 65.46 81.82 66.36 83.16 67.87 84.09 76.20
1.67 64.55 80.91 65.91 82.27 67.27 82.18 68.18 85.46 69.09 86.36 76.84
1.70 66.36 83.18 67.73 84.55 69.09 86.36 70.00 87.73 70.91 88.64 77.47
1.72 68.09 85.46 69.55 86.82 70.91 88.64 71.82 90.00 72.73 90.91 78.11
1.75 70.00 87.73 71.36 89.09 72.73 90.91 73.64 92.27 74.55 93.18 78.74
1.77 72.82 90.00 73.18 91.36 74.55 93.18 75.46 95.55 76.36 95.46 79.38
1.80 73.64 92.27 75.00 93.63 76.36 95.45 77.27 98.18 78.15 97.70 80.65
1.82 75.90 95.00 77.27 96.82 78.63 98.18 79.54 100.54 80.45 100.45 81.92
1.85 78.13 97.72 79.54 99.55 80.90 101.36 81.61 102.27 82.72 103.60 83.19
1.87 80.45 100.45 81.61 102.27 83.18 104.09 64.09 105.00 85.00 106.36 85.05
1.90 82.72 103.63 84.81 105.00 85.45 106.81 86.36 108.18 87.27 109.09 87.00
1.93 85.00 106.36 86.30 108.18 87.72 109.54 88.63 110.90 89.55 111.81 88.26

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 1.95 87.27 109.09 88.30 110.90 90.00 112.72 90.90 113.64 91.00 116.00 89.54
1.98 89.54 111.81 90.90 113.63 92.27 115.45 93.18 116.36 92.09 117.72 90.81
519NOTE: a. The standard weight for each height for the Group 26-30 is the ideal one to maintain
520 thereafter.
521
522 b. The candidate whose weight falls at the extremes of either the minimum or maximum
523 range is acceptable only when he is obviously active, muscular and evidently vigorous
524 and healthy.
525
526 c. A minimum chest expansion of 1 ½ inches will be required.
527
528
529 TABLE 5
530
531 THE STANDARDS FOR CHEST MEASUREMENT FOR WOMEN
532
533* Candidates entering the Police Service must not exceed Cup B.
534
SIZE CMS 65 70 75 80 85 80
UNDERBREAST 63-67 58-72 73-77 78-82 83-87 88-92
OVER DIFF
BREAST Cms
Cup A 10 73-74 78-80 83-85 88-90 93-94 98-100
Cup B 13 76-78 81-83 86-88 91-93 96-98 101-103
Cup C 15 78-80 83-85 88-90 93-95 98-100 103-105
535
536
537NOTE: Medical examinees will recommend rejection of individuals who show poor physical development,
538and those who appear to be undesirable candidates because of excessive fat, even though their
539measurements may come within the limits state in the above table. In such instances, the report will show
540in the detail the findings upon which recommendations for rejection is based.
541
542
543CONDITIONS WHICH ARE CAUSES FOR REJECTION (P4):
544
545 a. Any deformity which is repulsive ore which prevents the proper functioning of any part
546to a degree that will interfere with police efficiency
547
548
549
550
551
552
553
554
555
556
557
558
559
560
561
562
563
564
565
566
567
568
569
570
571
572
573
574
575
576
577
578
579
580
581
582
583

11 11
584
585
586
587
588
589
590
591
592
593
594
595
596
597
598
599
600
601
602
603
604
605 TABLE 5
606
607
608 THE STANDARDS FOR CHEST MEASUREMENT FOR WOMEN
609
610 • Candidates entering the Police Service must not exceed Cup B
611
612

SIZE IN CMS 65 70 75 80 85 80

UNDERBREAST 63-67 58-72 73-77 78-82 83-87 88-92

DIFF
OVERBREAST CMS

CUP A 10 73-74 78-80 83-85 93-94 98-100

CUP B 13 76-78 81-83 86-88 96-98 101-103

CUP C 15 78-80 83-85 88-90 98-100 103-105

613
614
NOTE: Medical examiners will recommend rejection of individuals who show poor physical development,
615
616 and those who appear to be undesirable candidates because of excessive fat, even though their
617 measurements may come within the limits stated in the above Table. In such instances, the report
618 will show in detail the findings upon which recommendations for rejection is based.
619
620
CONDITIONS WHICH ARE CAUSES FOR REJECTION (P4):
621
622
623 a. Any deformity which is repulsive or which prevents the proper functioning of any part to a
624 degree that will interfere with the police efficiency.
625
626 b. Deficient muscular development due to deficient nutrition.
627
628 c. Evidences of physical characteristics of congenital asthenia, such as slender bones, weak ill-
629 developed thorax, visceptosis and poor constitution.
630
631 d. All acute communicable diseases.
632
633 e. All diseases and conditions which are not easily remediable or such that it tends to incapacitate
634 the individual physically such as:
635
636
637 (1) Chronic malaria or malarial cachexia
638
639 (2) Severe unciniriasis
640
641 (3) Leprosy, actinomycosis
642
643 (4) Pellagra, beri-beri, sprue and scurvy
644

12 12
645 (5) Rheumatic fever within rhe previous five (5) years, atrophic or hypertrophic
646 arthritis, chronic myositis or fibrosis, rheumatoid arthritis
647
648 (6) Osteomyelitis
649
650 (7) Malignant disease of any kind in any location, history of operation for malignancy
651 within the preceeding five(5) years.
652
653 (8) Hemophilia; thrombocytopenic purpura
654
655 (9) Leukemia of all types
656
657 (10) Asthma
658
659 (11) Primary or secondary anemia
660
661 (12) Filariasis, trypanosomiasis, schistosomiasis
662
663 (13) Diabetes of any degree, borderline or suspected cases should undergo OGTT or
664 HBAIC determination.
665
666 (14) Hypo or Hyperfunction of endocrine glands
667 (Examples: pituitary, thyroid, parathyroid, pancreas, adrenal, etc,). Likewise, any
668 anatomic abnormality must be resolved first prior to acceptance in the service even
669 if said organ/s is/are functionally normal: auto-immune reaction.
670
671 (15) Chronic metallic poisoning
672
673 (16) Gout, Simmond’s disease
674
675 (17) Migraine
676
677 (18) Hay fever, food intolerance, angioneurotic edema or other allergic manifestations
678 if more than mild in degree.
679
680 (19) Benign newgrowth condition in OB-Gyn which might interfere with police duties.
681
682 a) dysfunctional uterine bleeding
683 b) pregnancy
684 c) dysmenorrheal
685 d) amenorrhea
686
687 (20) Immune Deficiency Syndrome as found by (+) HIV-Test.
688
689 (21) (a) PNP uniformed personnel who are in active police service diagnosed to have
690 NIDDM may be classified as Profile P3 if they fall under any of the following
691 categories:
692
693 i. Those cases which are adequately controlled by diet and exercise with
694 or without medications.
695
696 ii. Those cases without any stigma or complications definitely ascribable
697 to it and adequately controlled by oral hypoglycemics or minimal
698 amount of insulin (not more than 40 units per day).
699
700 (b) Those cases who are in active PNP service and diagnosed to have NIDDP which
701 cannot be adequately controlled by diet, exercise and medicines and/or those
702 with complications definitely related to or ascribable to DM are classified as
703 unfit for further PNP services (Disability Separation).
704
705
706
707 SECTION V
708
709
710 SKIN
711
712
713
714SKIN EXAMINATION:
715
716 The skin will be carefully inspected for presence of disease. The examination should be conducted
717in a well-lighted room, preferable by daylight.
718

13 13
719
720
721
722
723CONDITIONS WHICH ARE CAUSES FOR REJECTION OR DISPOSITORY ACTION (P4):
724
725 Eczema; allergic dermatitis
726
727 b. Pemphigus, lupus; mycosis
728
729 c. Actinomyocis: dermatitis, herpetiformis; mycosis fungoides.
730
731 d. Ichthyosis; psoriasis if more than slight degree.
732
733 e. Acne on face or neck, which is so, pronounced as to be definitely unsightly.
734
735 f. Elephantiasis
736
737 g. Scabies, impetigo
738
739 h. Furuncolosis, unless mild in degree
740
741 i. Ulcerations of the skin not amenable to treatment, or those of long standing, or of
742 considerable extent, or of syphilis, tuberculosis, malignancy or leprous origin.
743
744 j. Extensive, deep or adherent scars that interfere with muscular movement or with the
745 wearing of PNP equipment, or the show a tendency to break down and ulcerate.
746
747 k. Naevi or vascular tumors which are extensive, markedly disfiguring, or exposed to
748 constant pressure.
749
750 l. Obscenes, offensive or indecent tattooing.
751
752 m. Vitiligo of the face of sufficient severity to be markedly disfiguring.
753
754 n. Chronic trichopitosis or other chronic fungus infections which have not been amenable
755 top treatment.
756
757 o. Chronic urticaria and chronic angioneurotic edema
758
759 p. Exfoliating dermatitis, severe chronic seborrhoic dermatitis.
760
761 q. Chronic lichen planus, dermatitis factitia, sclero-derma.
762
763 r. Pilonidal cyst if painful, infected or purulent.
764
765 s. Plantar warts on weight bearing areas.
766
767
768 SECTION VI
769
770
771 EYES
772
773
774EYE EXAMINATION:
775
776 Each eye and adnexa will be examined for presence of abnormality or disease either acute or
777chronic. This includes disease of the eyelids, conjunctiva, presence of muscular imbalance, intraocular
778abnormalities including the detection of glaucoma. The examination should include eversion of the eyelids,
779digital palpation of the eye balls, oblique illuminations of the cornea, light and spatial reaction of the
780pupils, confrontation test, tonometry, opthalmoscopic survey of the optic media and retina. Color visual
781acuity test is required for all.
782
783
784DETERMINATION OF THE VISUAL ACUITY:
785
786 a. DISTANT VISION = A visual acuity will be determine at the distance of 20 feet or the
787 mirror equivalent under standard condition of illumination. This illumination is obtained
788 by using a 100 watts lamp, placed 5 feet diagonally from the 20/20 line of the test object,
789 and incident to the part of the chart at 45 degrees angle. Lamps must be shielded from
790 direct vision of the examinee by an opaque shade. The individual to be tested should be
791 examined without glasses.
792

14 14
793 Each eye is examined separately, the right eye first, covering the left eye completely with
794 an appropriate occluder without applying pressure. The applicant is directed to read the
795 prints at the top of the chart of the prints as far as he can read. His acuity of vision is
796 recorded for each eye separately with the distance of 20 feet as numerator of a fraction
797 and the size of the type of the lowest line he can read correctly as the denominator. If he
798 reads the 20 feet type correctly, his vision is normal imperfect and is recorded as 20/20. If
799 he could read the 30 feet type only, the vision if imperfect and is recorded as 20/30, if he
800 reads the 15 feet type chart or 40 feet type chart, the vision if recorded as 20/15 or 20/40,
801 respectively, etc. In case he can read all the 20 feet, except one or two letters, the visions
802 is recorded as 20/20 – 1 or 20/20 – 2, unless this deficiency is affected by the ability to
803 read equal number of letters in the 20/15 line, in which case the vision is recorded as
804 20/20 acuity for the left eye and is then tested using a different chart if there is a
805 suspicion that the examinee has memorized the letters of the chart. Reading the test
806 letters in the reverse order is another way of gauging the true vision of the examinee.
807 Prompt reading of the letters is required with 1 – 2 seconds per letter, reading time. Any
808 person having a visual acuity less than 20/20 in either eye will be given the necessary
809 examination such as refraction and to discover any organic defect of the eye. Visual
810 acuity with refractive error will be recorded as follows.
811
812 DISTANT VISION: O.D.=20/30 with - 0.50 cyl axis 180 = 20/20
813 O.S.=20/100 with – 2.00 sph = 20/20
814
815 b. NEAR VISION = Visual acuity will be determined without glasses at a distance of 14
816 inches from the eye to be examined covering the other eye with an occluder without
817 applying pressure using the Jaeger’s test type and with an illumination using a 100 watts
818 lamp. Any examinee having a visual acuity less than Jaeger 1 in either both eyes will be
819 subjected to further examination and refraction of any defect of the eye.
820
821VISUAL PROFILE CLASSIFICATION:
822
823 a. E1 = To meet acceptable ocular standards with a minimum vision of 20/40 in each eye,
824 correctable with glasses to 20/20 in both eyes for near vision would be able to read J1 to
825 J2 with no correction. No organic disease of either eye exists. Able to recognize colors
826 using the ishihara test. A normal color visions is required for entrance into the police
827 service.
828
829 b. E2 = Meets acceptable standards as prescribed in these regulations and visual acuity will
830 not be less than 20/100 in each eye correctable with glasses to 20/20 in each eye. For near
831 vision J3 to J5 correctable with glasses to J1 provided defective visions is not due to
832 active progressive organic disease.
833
834 c. E3 = Meets acceptable standards of these regulations with minimum visions of 20/200 in
835 each eye, correctable to 20/30 in one eye and 20/100 in the second eye. This
836 classification also includes those individuals with any degree of defective visions in one
837 eye from below 20/200 to no light perception. For near visions J6 to J8 correctable with
838 glasses to J1 to J3, if such defect is not due to active or progressive organic diseases, with
839 vision in the other eye 20/100 correctable to 20/20 with glasses.
840
841 d. E4 = Visual acuity below minimum standards for acceptance or the presence on non-
842 acceptable conditions enumerable below:
843
844NON-ACCEPTABLE (E4):
845
846 (1) Vision less than the minimum requirement.
847
848 (2) Extensive destruction of the eyelids with impaired protection of the eye from
849 exposure; disfiguring cicatrices and adhesions of the eyelids to each other or to
850 the eyeball, inversion or eversion of the eyelids if uncorrectable, extreme
851 lagophthalmos, ptosis, blepharospasm, chronic severe blepharitis.
852
853 (3) Trichiasis.
854
855 (4) Malignant growth.
856
857 (5) Acute or chronic dacryocystitis.
858
859 (6) Acute or chronic conjunctivitis, including severe vernal conjunctivitis and
860 trachoma.
861
862 (7) Recurrent or extensive pterygium.
863
864 (8) Keratitis, acute or chronic, intractable or recurrent cornel ulcers.
865

15 15
866 (9) Uveitis, acute chronic or recurrent , retinitis, retinal degeneration or detachment,
867 optic neuritis, papilledema and optic atrophy.
868
869 (10) Opacities or dislocations of the lens.
870
871 (11) Permanent and well-marked strabismus lower than 20 degrees deviation.
872
873 (12) Nystagmus of any degree.
874
875 (13) All types of glaucoma; abnormal visual fields because of brain lesions; any
876 tumor of the orbit.
877
878 (14) Any organic disease of the eye or adnexae not specified above which threaten
879 continuity of vision or impairment of visual function.
880
881EYE DEFECTS WHICH ARE CAUSES OF PHYSICAL UNFITNESS FOR FURTHER POLICE
882SERVICE (Disability Separation):
883
884 a. Active eye disease or any progressive organic eye disease, regardless of the
885 stage of the activity and resistant to treatment, which affect the visual acuity or
886 visual field of an eye:
887
888 (1) The distant visions in the unaffected eye cannot be corrected to 20/20
889 degrees.
890
891 (2) The diameter of the visual fields in the unaffected eye is less than 20
892 degrees.
893
894 b. Aphakia, bilateral.
895
896 c. Atrophy of the optic nerve.
897
898 d. Chronic congestive glaucoma.
899
900 e. Degeneration of the eyeball when visual loss is below the minimum limits of
901 fitness or when the visions is correctable only by the use of contact lenses or
902 other corrective devices (telescopic lenses), etc.
903
904 f. Diseases and infections of the ye, when chronic, more than mildly symptomatic,
905 progressive, and resistant to the treatment after six (6) months period.
906
907 g. Ocular manifestations of endocrine or metabolic disorders no not in themselves
908 render the individual physically unfit. However, the residuals of complications
909 of the underlying disease make one physically unfit.
910
911 h. Residuals or complications of injury to the ye which are progressive or which
912 bring visions below the criteria of fitness.
913
914 i. Retinal Detachment.
915
916 (1) UNILATERAL:
917
918 (a) When visions in the better eye cannot be corrected to 20/40.
919
920 (b) When visual field in the better eye is less than 20.
921
922 (c) When uncorrectable diplopia exists.
923
924 (d) When the detachment is the result of documented, organic,
925 progressive disease, or newgrowth, regardless of the
926 condition of the better eye.
927
928 (2) BILATERAL:
929
930 Regardless of etiology, results of surgery and/or laser therapy.
931
932
933VISUAL DEFECTS WHICH ACRE CAUSES OF PHYSICAL UNFITNESS FOR FURTHER POLICE
934SERVICE (Disability Separation):
935
936 a. Anisokeinia: Subjective eye discomfort, neurologic symptoms, sensations of motion
937 sickness and other gastrointestinal disturbance, functional disturbance, and difficulties in
938 form sense, and not corrected by isoikenic lenses.
939

16 16
940 b. Binocular diplopia: Not correctable by surgery and which is severe, constant and in a
941 zone less than 20 degrees from the primary position.
942
943 c. Loss of an eye: An individual whose loss of an eye was due to other progressive eye
944 diseases, who has a satisfactory prosthesis and who adjusts well to the wearing of the
945 prosthesis, may be recommended for continuance.
946
947 d. Night blindness: Of such a degree that the individual requires assistance for travel at
948 night.
949
950 e. Visual fields contracted to less than 20 degrees.
951
952
953
954 SECTION VII
955
956
957 EARS
958
959
960EAR EXAMINATIONS:
961
962 The auricles will be examined by inspection under proper illumination. Their shape and symmetry
963are observed. The external auditory canals and tympanic membranes are inspected with reflected light and
964ear speculum by a self-illumination otoscope. Cerumen or other objects are removed from the ear canal if
965present in order to visualize the eardrum satisfactorily. Patency of the Eustachian tube is determined by
966insulation if obstruction of this structure is suspected.
967
968
969DETERMINATION OF AUDITORY ACUITY:
970
971 a. Conventional Voice Tests:
972
973 In determining hearing acuity by conversational voice, place the examinee at
974 right angle to the examiner, 20 feet distance, with the ear to be tested toward the
975 examiner and the other ear closed by pressing the tragus firmly against the meatus, and
976 directing him to repeat promptly words spoken by the examiner. Words denoting low
977 tones like “SEVEN”, “ SISTER”, and “FEET” are spoken one at a time in a low, even
978 conversational voice. If the examinee cannot hear the word at 20 feet, the examinees
979 should approach foot by foot using the same tone but different word, until it is repeated
980 correctly. Examine the ears separately in a quite room. The acuity of hearing is expressed
981 in a fraction, the numerator of which is the distance in feet at which the words are heard
982 by the examinee and the denominator is 20, thus 20/20 indicates a normal hearing, 10/20
983 shows hearing impairment to such a degree that the examinee could only hear a 10 feet
984 distance the words which a normal ear can hear a 20 feet.
985
986 b. Whispered Voice Tests:
987
988 Hearing acuity is also determined by whispered voice. The same procedure
989 employed in the conversational voice test is used here but the distance is only 15 feet
990 between the examinee and the examiner, using an accentuated whisper (residual air), to
991 assure uniformed output of voice. Acuity of hearing is expressed as a fraction, the
992 numerator is the distance in feet at which words are repeated by the examinee, and the
993 denominator is 15. Thus, 15/15 indicates a normal hearing; 10/15 indicates that the
994 hearing of the examinee is diminished by 1/3 of a normal hearing. Reading should not be
995 over 30 decibels hearing levels.
996
997HEARING PROFILE CLASSIFICATIONS:
998
999 a. H1 = Auditory acuity of 15/15 or 20/20 in both ears. No organic defects.
1000
1001 b. H2 = Minimum hearing of 15/20 in one ear and not less than 10/20 in the other, with no
1002 active or progressive organic disease.
1003
1004 c. H3 = Minimum hearing of 10/20 in one ear and less than 10/20 in the other, with no
1005 active or progressive organic disease.
1006
1007 d. H4 = Those with non acceptable ear defects as enumerated below, (less than 5/15 wv and
1008 10/20 cv).
1009
1010NON-ACCEPTABLE EAR DEFECTS (H4):
1011
1012 (1) Hearing less than minimum requirements.
1013

17 17
 1014 (2) Acute or chronic suppuration, otitis media, chronic catarrhal otitis media.
1015
1016 (3) Acute or chronic mastoiditis.
1017
1018 (4) Severe atresia of the external auditory canal or tumors of this part.
1019
1020 (5) Total loss of an external ear, marked hypertrophy or atrophy, markedly
1021 disfiguring deformity of the organ.
1022
1023 (6) Perforation of the tympanic membrane, dry or active.
1024
1025 (7) Infection, untreated or resistant, of external auditory canal, acute or chronic.
1026
1027EAR DEFECTS THAT CAUSE PHYSICAL AND FITNESS FOR FURTHER POLICE SERVICE
1028(Disability Separation):
1029
1030 a. Infections of the external auditory canal, chronic and severe, resulting in the
1031 thickening and excoriation of the canal or chronic secondary infection requiring
1032 frequent and prolong medical treatment or hospitalization.
1033
1034 b. Malfunction of the acoustic nerve: Over 30 decibels hearing level by audiometer
1035 in the better ear, or hearing level 5/15 feet or below by whispered voice test, if
1036 auditory is not available. Severe Tinitus complicated by vertigo, otitis media
1037 associated with hearing defects below requirements.
1038
1039 c. Mastoiditis, chronic, following mastoidectomy, constant drainage from the
1040 mastoid cavity which is resistant to treatment requiring frequent dispensary care
1041 or hospitalization; and hearing level in the better ear of 30 decibels or more by
1042 audiometry or a hearing level of 5/15 or below by whispered voice test, if
1043 audiometer is not available.
1044
1045 d. Meniere’s syndrome; severe recurring attacks requiring hospitalization of
1046 sufficient frequency to interfere with the performance of police duty or when the
1047 condition is not controlled by treatment.
1048
1049 e. Otitis media; chronic, suppurative, resistant to treatment associated with
1050 impairment of hearing and necessitating frequent hospitalization.
1051
1052 f. Perforation of the tympanic membrane, dry and without any impairment of
1053 hearing is not considered to render an individual on active duty physically unfit.
1054
1055
1056
1057 SECTION VIII
1058
1059
1060 MOUTH, NOSE, FAUCES, LARYNX, TRACHEA, ESOPHAGUS, PHARYNX
1061
1062
1063METHODS OF EXAMINATION:
1064
1065 These organs will be examined by inspection and palpation. X-ray and other studies like CT-scan,
1066ultrasound, etc. will be employed if indicated. Reflected light will be employed to examine the nasal
1067cavities before and after the nasal mucosa is shrunk by the application of the vasoconstrictor. The
1068nasopharynx and oropharynx are examined with the aid of laryngeal mirrors. Transillumination of the
1069sinuses is done on individuals with rhinitis.
1070
1071
1072CONDITIONS WHICH ARE CAUSES FOR REJECTION (P4):
1073
1074 a. Harelip: Extensive loss of either lip, unsightly mutilations of the lips and nose from
1075 wounds, burn or disease.
1076
1077 b. Malformation, partial loss, atrophy or hypertrophy of the tongues, adhesions of the
1078 tongue interfering with mastications, speech or swallowing.
1079
1080 c. Malignant tumors and benign tumors of the tongue interfering with its functions.
1081
1082 d. Marked stomatitis, severe ulcerations, and leukoplakia.
1083
1084 e. Extensive ranula, salivary fistula.
1085
1086 f. Perforation, extensive loss of substance and ulceration of the hard and soft palate,
1087 extensive adhesions of the soft palate to the pharyngeal walls, paralysis of the soft palate.

18 18
1088
1089 g. Loss of nose and nasal deformities interfering with speech and respiration, extensive
1090 nasal ulceration.
1091
1092 h. Perforated nasal septum, accompanied by audible whistling sound. Examinees with
1093 perforated nasal septum should be cleared from symphilitic infection and yaws before
1094 acceptance.
1095
1096 i. Nasal obstruction due to severe septal deviation, nasal polyps, hypertrophic rhinitis, and
1097 other causes sufficient to produce mouth breathing.
1098
1099 j. Acute and chronic infection of the nasal accessory sinuses, severe and frequent attacks of
1100 hay fever (allergy).
1101
1102 k. Atrophic rhinitis.
1103
1104 l. Pharyngeal deformities and malformations interfering with its functions.
1105
1106 m. Adenoid hypertrophy causing respiratory obstruction or associated with recurrent otitis
1107 media.
1108
1109 n. Tonsillar hypertrophy sufficient enough to interfere with speech, deglutition and
1110 breathing.
1111
1112 o. Chronic laryngitis.
1113
1114 p. Paralysis of the vocal cords, aphonia.
1115
1116 q. Tracheostomy
1117
1118 r. Diverticulum, ulceration or stricture or pronounced dilatation of the esophagus.
1119
1120 s. Hoarseness of any cause.
1121
1122
1123CAUSES OF PHYSICAL UNFITNESS FOR FURTHER POLICE SERVICE FOR DEFECTS OF THE
1124MOUTH, NOSE, PHARYNX, ESOPHAGUS, AND LARYNX (Disability Separation):
1125
1126 a. Esophagus:
1127
1128 (1) Achalasia
1129
1130 (2) Esophagitis, severe
1131
1132 (3) Esophageal diverticulum associated with obstruction, regurgitation, and
1133 malnutrition.
1134
1135 (4) Esophageal stricture, severe enough to cause frequent hospitalization
1136 and malnutrition.
1137
1138 b. Nose and larynx:
1139
1140 (1) Atrophic rhinitis associated with severe crusting, foul fetid odor and
1141 anosmia.
1142
1143 (2) Sinusitis, persistent; chronic sinusitis with polyps, resistant to
1144 treatment.
1145
1146 (3) Edema of glottis, chronic recurrent obstructive edema of the glottis,
1147 requiring tracheostomy.
1148
1149 (4) Stenosis of the larynx causing respiratory embarrassment upon slight
1150 exertion.
1151
1152 (5) Vocal cord paralysis associated with speech defect and inadequate
1153 airway.
1154
1155
1156 SECTION IX
1157
1158
1159 DENTAL EXAMINATION
1160
1161

19 19
1162DENTAL PROVISIONS:
1163
1164 The teeth and surrounding tissues will be examined by an officer of the Dental Service. On the
1165Dental Health Record (accompanying the report of Physical Examination) all missing natural teeth will be
1166marked out with an “X” whether or not they are replaced by artificial appliances; all prosthetic dental
1167appliances will be indicated. All conditions falling under Sections 11, 12 and 13 of the said form shall be
1168noted and duly recorded.
1169
1170
1171 a. Definitions:
1172
1173 (1) The term “masticating teeth includes molar and bicuspid and the term “ incisors”
1174 include incisor and cuspid teeth.
1175
1176 (2) The term “opposing” means serviceable opposing teeth that
1177 can be brought into good functional occlusions by normal movements
1178 of the jaw may be considered serviceable opposing.
1179
1180 (3) Vital teeth properly filled with permanent fillings or well-
1181 crowned will be considered serviceable, if otherwise acceptable. A
1182 single tooth replacement by a standard method of fixed bridgework will
1183 be acceptable if the bridge is well constructed.
1184
1185 (4) A tooth will not be considered service if:
1186
1187 a. It fails to enter into serviceable occlusions with an opposing
1188 teeth.
1189
1190 b. It has unfilled cavity.
1191
1192 c. It supports a defective filling crown.
1193
1194 d. It is left untreated and / or improperly filled non-serviceable
1195 teeth.
1196
1197 e. There is destruction of the supporting tissues of the teeth
1198 resulting from gingivitis, periodontoclasis, etc.
1199
1200 f. It is deciduous tooth.
1201
1202 b. Causes for Rejection:
1203
1204 (1) Failure to meet the standard of minimum requirements as in the number
1205 of serviceable vital teeth present.
1206
1207 (2) Cleft palate.
1208
1209 (3) Disfiguring spaces between anterior teeth.
1210
1211 (4) Marked irregularity of the teeth.
1212
1213 (5) Marked malocclusion.
1214
1215 (6) Presence of unerupted impacted tooth.
1216
1217 c. Plaster casts will be made of both upper and lower teeth when malocclusions occur. A
1218 pencil mark will be drawn across both casts to denote centric occlusions, and the
1219 candidate’s name will be placed on each cast. X-rays of roots made of all the deciduous
1220 teeth showing clearly length of roots and any underlying unerupted tooth, devitalized
1221 teeth, as well as, any grow pathology of the supporting tissues of the teeth. Casts and X-
1222 rays will be forwarded direct to the Chief, Dental Service Division of the HS, who will be
1223 informed of such action.
1224
1225ADMISSION TO THE PHILIPPINE NATIONAL POLICE ACADEMY:
1226
1227 a. No candidate will be accepted unless he has a minimum of six (6) serviceable vital
1228 masticating teeth (bicuspids and molars) above and six (6) below serviceably opposing,
1229 and also four (4) serviceable vital incisor teeth (incisors and cuspids) above and four (4)
1230 below serviceable opposing. In cases where insufficiency of teeth may be remedied by
1231 the eruption of third molars, an X-ray of the third molar region will be taken and
1232 forwarded with the Medical Examination Report. If a normal third molar properly
1233 positioned and developed is shown, it may be credited with possession of this tooth. In
1234 such case, the report of Medical Examination will carry an appropriate remark such as X-
1235 ray showing normally developed and erupting teeth.

20 20
1236
1237 b. All of the Dental provisions on the above cited will apply.
1238
1239 c. A full mouth X-ray will be taken of all candidates for admission to the PNPA.
1240
1241ENTRANCE INTO THE PNP – LATERAL ENTRY AND RECRUITMENT:
1242
1243 All of the Dental provisions on the above cited will apply.
1244
1245
1246ENTRANCE INTO THE AVIATION SECURITY GROUP:
1247
1248 1. All of the Dental provisions on the above cited will apply.
1249
1250 2. Other causes for rejection.
1251
1252 a. Presence of partially filled root canal.
1253
1254 b. Excessively large fillings covering vital teeth.
1255
1256 c. Presence of defective crown fillings.
1257
1258ENTRANCE INTO THE PNP MARITIME GROUP:
1259
1260 All the requirements for the ground forces will apply.
1261
1262
1263
1264 SECTION X
1265
1266
1267 HEAD AND NECK
1268
1269
1270
1271EXAMINATION OF THE HEAD FOR DEFECTS:
1272
1273
1274 The head is carefully examined by inspection and palpation. The scalp and cranium are examined
1275for evidence of infection, former injury, depression and deformity. X-ray is required where bony defect is
1276suspected.
1277
1278
1279CONDITIONS OF THE HEAD WHICH ARE CAUSES FOR REJECTION (P4):
1280
1281
1282 a. Tinea in any form.
1283
1284 b. All tumors which are of sufficient size to interfere with the wearing of police headgear.
1285
1286 c. Imperfect ossification of the cranial bones.
1287
1288 d. Extensive cicatrices, adherent scars with tendency to break down and ulcerate.
1289
1290 e. Depressed fracture or loss of bony substance of the skull.
1291
1292 f. Hydrocephalus or microcephalus.
1293
1294 g. Deformities of the skull of any degree associated with evidence of disease of the brain,
1295 spinal cord or peripheral skull.
1296
1297NECK CONDITIONS WHICH ARE CAUSES FOR REJECTION (P4):
1298
1299 a. Cervical lymph node involvement other than benign in character, including cancer,
1300 Hodgkin’s disease, leukemia, tuberculosis and syphilis.
1301
1302 b. Adherent disfiguring scars.
1303
1304 c. Thyroid or adenomatous goiter, history of total thyroidectomy.
1305
1306 d. Thyroid gland hypertrophy from any cause.
1307
1308 e. Benign tumors or cysts which are big enough to interfere with the wearing of police
1309 uniform and equipment.

21 21
 1310
1311 f. Congenital cyst of bronchial cleft origin or those developing from the remains of a
1312 thyroglossal duct, with or without fistulous tracts.
1313
1314 g. Torticollis, cervical rib.
1315
1316
1317
1318
1319
1320
1321EXAMINATION OF THE FOR DEFECTS:
1322
1323 The neck will be examined by inspection and palpation. Symmetry and the presence of deformity
1324should be well served. Cervical adenopathy if present, must be carefully evaluated to determine its cause
1325and extent. This is done in conjunction with nose, ear, and hypopharyngeal survey. If the cpndition is
1326benign in character, it is not cause for rejection. Acceptance for police service, however, is deferred
1327pending clearance of the adenopathy.
1328
1329
1330 SECTION XI
1331
1332
1333 FACE
1334
1335
1336CONDITIONS OF THE FACE WHICH ARE CAUSES FOR REJECTION (P4):
1337
1338 a. Extremely repulsive facial appearance.
1339
b. 1340 b. Extensive deformities like birth marks, hairy moles, scars and
1341 mutilations due to injuries or surgical operations, tumors, ulcerations, fistulas, atrophy of
1342 a part of the face or lack of facial symmetry.
1343
1344 c. Persistent neuralgia, tic dolouroux, paralysis.
1345
1346 d. Ununited fractures, osseous cysts and extensive exostosis.
1347
1348 e. Chronic arthritis, complete or partial ankylosis, badly reduced or recurrent dislocation of
1349 the temporo-mandibular joint.
1350
1351
1352 SECTION XII
1353
1354
1355 SPINE AND PELVIS, INCLUDING SACRO-ILIAC
1356 AND LUMBO-SACRAL JOINTS
1357
1358
1359EXAMINATIONS FOR DISEASES:
1360
1361 The spine will be examined by inspection and palpation. The mobility will be observed while the
1362candidate is performing appropriate exercise. When indicated, X-ray examination will be made.
1363
1364ACCEPTABLE:
1365
1366 Physical Profile Classification “1” and “2”.
1367
1368 (1) Lateral deviation of the spine of 10 degrees or less from the middle line, if the
1369 mobility of weight-bearing power is good (P1).
1370
1371 (2) Fracture of the coccyx (L2).
1372
1373 (3) Prominent scapulae not interfering with wearing of the uniform or police
1374 equipment (U2).
1375
1376 (4) Complaint of disease of the sacroiliac and lumbo-sacral joints which is
1377 unassociated with objective signs and symptoms (L2).
1378
1379 (5) Fracture of the spine or pelvic bones which has healed without marked
1380 deformity and which has not interfered with the following of a useful vocation
1381 in civil life (L2).
1382

22 22
1383 (6) Spina-bifida occulta, provided it is asymptomatic and can be demonstrated by
1384 X-ray examination only (L1).
1385
1386
1387CONDTIONS WHICH ARE CAUSES OF PHYSICAL UNFITNESS FOR FURTHER POLICE
1388SERVICE (Disability Separation):
1389
1390 a. Abdominopelvic amputation.
1391
1392 b. Acquired anomalies:
1393
1394 (1) Dislocation of hip.
1395
1396 (2) Spondylolisthosis or spondylosis: More than mild displacement and more than
1397 mild symptoms on normal activity.
1398
1399 (3) Others: Associated with muscular spasm, pain on the lower extremities and
1400 limitation of motion which have not been amenable to treatment nor improved
1401 by assignment of limitations.
1402
1403 c. Coxa Vara: More than moderate pain, deformity and rthritic changes.
1404
1405 d. Disarticulation of hip joint, with sufficient objective findings, following appropriate
1406 treatment or reliable measure of such a degree as to interfere with the satisfactory
1407 performance of police duty.
1408
1409 e. Kyphosis: More than moderate, interfering with function, or causing bad
1410 posture/appearance.
1411
1412 f. Scoliosis: Severe deformity with over ten (10) degrees deviation of the tips of spinous
1413 processes from the midline.
1414
1415
1416 SECTION XIII
1417
1418 EXTREMITIES
1419
1420
1421EXAMINATION FOR DEFECTS:
1422
1423 The extremities will be carefully examined for deformities, old fractures and varicose veins,
1424edema and impaired function from any cause. The feet will be especially examined for pes planus, pes
1425clavus, clubfeet, corns, ingrowing nails, bunions, deformed or missing toes, hyperhydrosis, and
1426bromoidrosis. When any deformity of the fee is found, the strength of the feet should be ascertained by
1427having the candidate hop on the toes of that foot.
1428
1429ACCEPTABLE:
1430
1431 a. Physical Profile Classification “1” and “2”:
1432
1433 (1) Old recent fractures which have healed normally with no resulting impairment
1434 of function (U1 or L1).
1435
1436 (2) Webbed fingers and toes, unless severe in degree (U2) or L2).
1437
1438 (3) Entire loss of little finger (left or right) or loss of the distal two phalanges of any
1439 finger except index finger (U2).
1440
1441 (4) Loss of the terminal phalanx of index finger (left or right) (U2).
1442
1443 (5) Scars and deformities of moderate degree of the hand or hands which do not
1444 interfere with normal function (U1).
1445
1446 (6) Flat foot unless accompanied with symptoms of weak foot or when the foot is
1447 weak on toes (L2).
1448
1449 (7) Hammertoes which do not interfere with the wearing of police shoes (L1).
1450
1451 (8) Hallux valgus, unless severe (L2).
1452
1453 (9) Absence of one or two of the small toes or one or both feet, if function of the
1454 foot is good (L2).
1455
1456 (10) Ingrowing toe nails, unless severe (L2).

23 23
1457
1458 (11) History of satisfactory surgical correction of dislocated semi-lunar cartilage or
1459 loose body in the knee, provided that one year has elapsed since operation
1460 without recurrence, the knee ligaments are stable in lateral and antero-posterior
1461 directions in comparison with the normal knee; there is no weakness or atrophy
1462 of the thigh musculature in comparison with the normal side; there is full active
1463 motion in flexion and extension; and there are no symptoms of internal
1464 derangement (L2).
1465
1466 b. Physical Profile Classification “3”
1467
1468 (1) Total loss of little fingers in addition to total loss of any other one finger (except
1469 thumb) of one or both hands.
1470
1471 (2) Webbed fingers or toes, if severe in degree.
1472
1473 (3) Moderate deformities of one or both upper extremities which do not and have
1474 not interfered with function to a degree to prevent the individual from following
1475 a useful vocation in civil life.
1476
1477 (4) Loss of great toe.
1478
1479 (5) Loss of dorsal flexion of great toe.
1480
1481 (6) Slight claw toes not involving obliteration of the transverse arch and which do
1482 not interfere with the wearing of police shoes.
1483
1484 (7) Other defects of the foot which preclude the performance of all police duties but
1485 do not prevent the individual from wearing police shoes and which have not
1486 prevented him from following a useful vocation in civil life.
1487
1488 (8) Moderate deformities of one or both lower extremities which do not and have
1489 not interfered with functions to a degree to prevent the individual from
1490 following a vocation in civil life.
1491
1492 (9) Adherent scars of the skin and soft tissues of an extremity, if not incapacitating
1493 and not likely to breakdown.
1494
1495 (10) Healed disease or injury of wrist or elbow with resulting limitation of motion, if
1496 not severe in degree.
1497
1498
1499CONDITIONS WHICH ARE CAUSES FOR REJECTION (U4 or P4):
1500
1501 a. Loss of one or both thumbs.
1502
1503 b. Loss of fingers in excess of minimum requirements.
1504
1505 c. Tuberculosis of a bone or joint.
1506
1507 d. Non-united fractures.
1508
1509 e. Unreduced or recurrent dislocation of any of the major joints.
1510
1511 f. Disease of any bone joint healed with resulting functional impairment to a degree that
1512 will interfere with police service.
1513
1514 g. Muscle paralysis or contraction or atrophy which disturbs function to a degree which
1515 interferes with police service.
1516
1517 h. Extensive, deep or adherent scars that interfere with muscular movements or with
1518 wearing of police equipment or that show a tendency to breakdown and ulcerate.
1519
1520 i. Varicose veins if severe in degree or if associated with edema or with present or previous
1521 ulcer of the skin.
1522
1523 j. Rigid foot or flat feet when accompanied with symptoms of weak foot or when the foot is
1524 weak on test. Pronounced cases of flat foot attended with decided eversion of the foot and
1525 marked bulging of the astragals are disqualifying regardless of the presence or absence of
1526 subjective symptoms.
1527
1528 k. Obliteration of the transverse arch associated with permanent flexion of the small toes
1529 (claw toes).
1530

24 24
 1531 l. Clubfoot of any degree.
1532
1533 m. Disease of the bone or of the hip, knee or ankle joint which interfere with function of
1534 weight-bearing power. An authentic history of dislocated semi-lunar cartilage or loose
1535 body in knee, which has not been satisfactorily corrected by surgery. History of surgical
1536 correction of dislocated semi-lunar cartilage of loose body in knee, if at the end of one
1537 year post-operative time, the knee ligaments are not stable in the lateral and antero-
1538 posterior directions in comparison with the normal knee, the X-ray shows pathology;
1539 there is weakness or atrophy of the thigh musculature in comparison with the normal
1540 side, there is no full active motion in flexion and extension, or there are other symptoms
1541 of internal derangement.
1542
1543 n. Deformities due to fracture or other injury which interfere with function and weight
1544 bearing power.
1545
1546 o. Sciatica which is apparently intractable and disabling to the degree of interference with
1547 the function of walking and weight bearing power.
1548
1549 p. Amputations of extremities in excess of those already cited.
1550
1551 q. Active osteomyelitis of any bone, or a substantiated history of osteomyelitis of any of the
1552 long bones of the extremities.
1553
1554 r. Osteoarthritis or rheumatoid arthritis, or chronic arthritis from any cause.
1555
1556 s. Plantar warts on weight bearing areas.
1557
1558 t. Abduction or pronation of the foot.
1559
1560 u. Severe sprains.
1561
1562 v. Benign tumors if sufficiently large to interfere with function.
1563
1564 w. Chronic synovitis, floating cartilage or other internal derangement in joint.
1565
1566 x. Chronic edema of limb.
1567
1568 y. Knock knee or bow legs if severe in degree.
1569
1570 z. Perceptable lameness or limping.
1571
1572 (1) Bunions if painful or sufficiently pronounced to interfere with function.
1573
1574 (2) Ingrowing toe nail if severe.
1575
1576CONDITIONS WHICH ARE CAUSES FOR PHYSICAL UNFITNESS FOR FURTHER POLICE
1577SERVICE (Disability Separation):
1578
1579 a. Upper Extremities:
1580
1581 1. Amputations:
1582
1583 (a) Loss of fingers which precludes ability to clench fist, pick up a pin or
1584 needle, or grasp an object.
1585
1586 (b) Any loss greater than specified above to include hand, forearm or
1587 arm.
1588
1589 2. Joint ranges of motion which do not equal or exceed the measurements listed
1590 below. Range of motion limitations temporarily not meeting these standards
1591 because of disease or injury or remediable conditions do not make the individual
1592 physically unfit:
1593
1594 (a) Shoulder
1595
1596 Forward elevation to 90 degrees
1597
1598 (b) Elbow
1599
1600 Flexion to 100 degrees
1601
1602 Extension to 60 degrees
1603
1604 (c) Wrist - A total of 15 degrees (Extension-Flexion)

25 25
 1605
1606 (d) Hand – Pronation to the first quarter of the normal arc
1607
1608 3. Loss of motor and sensory functions secondary to nerve injury on the median,
1609 ulnar and radial nerves.
1610
1611 b. Lower Extremities:
1612
1613 1. Ampuations:
1614
1615 (a) Loss of toes which precludes the ability to run or walk without a
1616 preceptable limp and to engage in fairly strenuous jobs.
1617
(b) 1618Any loss great than specified above to include foot, leg, or thigh.
1619
1620 2. Feet:
1621 (a) Hallux valgus when moderately severe with exostosis or rigidity and
1622 pronounced symptoms, or severe with arthritis changes.
1623
1624 (b) Pes planus: Symptomatic, more than moderate with pronation
1625 on weight bearing which prevents the wearing of police shoes or when
1626 associated with vascular changes.
1627
1628 (c) Talipes Cavus when moderately severe, with moderate discomfort on
1629 prolonged standing or walking, metatarsalgia, and which prevents the
1630 wearing of police shoes.
1631
1632 3. Knees:
1633
1634 (a) Residual instability following remedial measures, if more than
1635 moderate in degree.
1636
1637 (b) If arthritis has supervened.
1638
1639 (c) An individual who refuses necessary treatment will be considered
1640 physically unfit only this condition precludes performance of a police
1641 job.
1642
1643 4. Joint ranges of motion which do not equal or exceed the measurement listed
1644 below. However, range of motion limitations temporarily not meeting these
1645 standards because of disease or remedial conditions do not make the individual
1646 physically unfit.
1647
1648 (a) Hip
1649
1650 Flexion to 90 degrees
1651 Extension to 10 degrees
1652
1653 (b) Knee:
1654
1655 Extension to 10 degrees
1656 Extension to 90 degrees
1657
1658 5. Shortening of an extremity which exceeds 2 inches.
1659
1660 c. Miscellaneous:
1661
1662 1. Arthritis:
1663
1664 (a) Arthritis due to infection (not including arthritis due to gonococcal
1665 infection or tuberculosis); associated with persistent pain and marked
1666 loss of function, with objective evidence and documented history of
1667 recurrent incapacity for prolonged periods.
1668
1669 (b) Arthritis due to trauma: When surgical treatment fails or is
1670 contraindicated and there is functional impairment of the involved
1671 joints as to preclude the satisfactory performance of police duty.
1672
1673 (c) Osteoarthritis: Frequent recurrences of the symptoms associated
1674 with impairment of function, supported by X-ray, evidence and
1675 documented history of recurrent incapacity for prolonged periods.
1676

26 26
1677 (d) Rheumatoid arthritis or rheumatoid myosities: Substantiated
1678 history of frequent recurrences and supported by objective and
1679 subjective findings.
1680
1681 (e) Gouty arthritis.
1682
1683 2. Bursitis per se, does not render the individual physically unfit.
1684
1685 3. Calcification of cartilages does not per se render the individual physically unfit.
1686
1687 4. Chondromalacia: Severe, manifested by frequent joint effusion, more than
1688 moderate interference with function or with severe residuals from surgery.
1689
1690 5. Fractures:
1691
1692 (a) Malunion of fractures: When after appropriate treatment, there is
1693 more than moderate malunion with marked deformity and more than
1694 moderate loss of function.
1695
1696 (b) Non-union of fracture: When after an appropriate healing period,
1697 non-union of a fracture interferes with adequate function.
1698
1699 (c) Bone fusion defect: When manifested by more than moderate pain and
1700 loss of function.
1701
1702 (d) Callus, excessive, following fracture: When it interferes with function
1703 and has not responded to treatment and observation for an adequate
1704 period of time.
1705
1706 6. Joints:
1707
1708 (a) Arthroplasty: Severe pain, limitation of motion and loss of
1709 function.
1710
1711 (b) Bony or fibrous ankylosis: Painful, major joints in unfavorable position
1712 and condition, and has not responded to treatment .
1713
1714 (c) Contracture of joints: More than moderate, loss of function is severe
1715 and the condition is not remediable by surgery.
1716
1717 (d) Loose foreign bodies within a joint: Complicated by arthritis to such a
1718 degree as to preclude favorable results of treatment or not remediable
1719 and seriously interfering with functions.
1720
1721 7. Muscles:
1722
1723 (a) Flaccid paralysis of one or more muscles: More than moderate loss
1724 of function which precludes the satisfactory performance of duty
1725 following surgical correction or if not remediable by surgery.
1726
1727 (b) Spastic paralysis of one or more muscles: More than moderate or
1728 pronounced loss of functions which precludes the satisfactory
1729 performance of police duty.
1730
1731 (c) Progressive muscular dystrophy, confirmed.
1732
1733 8. Myotonia, confirmed.
1734
1735 9. Ottoitis deformans (Paget’s disease): Involvement in single or multiple bones
1736 with resultant deformities or symptoms severely interfering with functions.
1737
1738 10. Ostoitis fibrosa cystica: Per se, does not render the individual physically
1739 unfit.
1740
1741
1742 SECTION XIV
1743
1744
1745 CHEST
1746
1747
1748CONDITIONS WHICH ARE CAUSES FOR REJECTION OR UNFITNESS (P4):
1749
1750 a. Chest expansion less than 1 ½ inches.

27 27
1751
1752 b. Congenital malformation or acquired deformities which result in reducing the chest capacity
1753 and diminishing the cardiac respiratory function to such a degree as to interfere with vigorous
1754 physical exertion or that produce disfigurement when the applicant is dressed.
1755
1756 c. Pronounced contraction of the chest wall following pleurisy or empyema.
1757
1758 d. Deformities of the chest or scapulae sufficient to interfere with the carrying of police
1759 equipment.
1760
1761 e. Absence or faulty development of the clavicle.
1762
1763 (1) Old fracture of the clavicle where there is much deformity or interference with the
1764 carrying of police equipment, ununited fractures, or partial or complete dislocation
1765 of either end of the clavicle.
1766
1767 (2) Suppurative periostitis or caries or necrosis of ribs, the sternum, the clavicles, the
1768 scapulae or the vertebrae.
1769
1770 f. Old fractures of the rib with faulty union, if interfering with functions.
1771 g. Malignant tumors of the breast or chest wall and benign tumors which interfere with the
1772 wearing of a uniform or of police equipment.
1773
1774 h. Unhealed sinuses of the chest wall.
1775
1776 i. Scars of an old operation for empyema unless the examiner is assured that the respiratory
1777 function is entirely normal.
1778
1779THE CONDITIONS LISTED IN THE PRECEEDING PARAGRAPHS ARE ALSO FOR DISABILITY
1780SEPARATION EXCEPT CONGENITAL DEFORMITIES, a, d, e and f:
1781
1782
1783
1784 SECTION XV
1785
1786
1787 LUNGS
1788
1789
1790
1791GENERAL CONSIDERATIONS:
1792
1793 The examination of the lungs will include inspection, palpation, percussion and auscultation of the
1794chest. Careful inquiry will be made into the candidate’s medical history, more particularly for any type of
1795acute, subacute or chronic pulmonary disease to be recorded in detail.
1796
1797 a. Frequency, limitation or inequality of the respiratory movements are to be noted.
1798
1799 b. Abnormal physical signs in the lungs, pleura, or mediastinum will be carefully checked to
1800 ascertain whether they persist or are only transitory.
1801
1802 c. Particular attention will be focused upon the occurrence of the pulmonary rales, which may be
1803 elicited only after the expiratory cough. The subject will be instructed to exhale completely
1804 with the mouth open, to cough before inhaling and then to inhale deeply but quietly. Rales are
1805 heard most often at the beginning of inhalation after such expiratory cough. A small patch of
1806 persistent rales at the apex in the intrascapular area or in other parts of the chest may be the
1807 only evidence of tuberculosis shown by physical examination.
1808
1809 d. It must be borne in mind that a tuberculosis lesion may not produce abnormal physical signs.
1810 In other words, the absence of abnormal signs does not exclude tuberculosis. Therefore, chest
1811 X-ray (14 x 17 film) is required for all applicants for police service. The acceptable
1812 interpretation for admission is NORMAL CHEST.
1813
1814ACCEPTABLE:
1815
1816 a. A chest X-ray interpreted by a radiologist as normal chest without clinical findings and
1817 without a history of chronic pulmonary disease is classified P1.
1818
1819 b. History of clinical tuberculosis not exceeding the minimal stage, now inactive as
1820 demonstrated by chest X-ray six months after is P2. Inactive pulmonary residues, stationery
1821 and/or stable for a minimum period of 3 months confirmed by adequate clinical observation
1822 and serial chest X-rays are P3.
1823
1824

28 28
 1825CONDITIONS WHICH ARE CAUSES FOR REJECTION (P4):
1826
1827 a. History of clinical tuberculosis or residues of pulmonary tuberculosis, inactive by X-ray,
1828 negative sputum exam for AFB culture with normal ESR determination is considered
1829 acceptable (P2).
1830
1831 b. Active tuberculosis of any organ including pleurisy with effusion, which is considered of
1832 tuberculosis origin, if no other cause can be determined.
1833
1834 c. Acute pleurisy or extensive chronic adhesive pleuritis, empyema.
1835
1836 d. Pneumothorax or hydrothorax.
1837
1838 e. Chronic bronchitis, bronchiectasis, pulmonary empyema, emphysema, cystic disease of the
1839 lungs, pneumoconiosis, or extensive fibrosis of the lungs from any cause.
1840
1841 f. Asthma of any degree.
1842
1843 g. Mycotic disease or residual cavitation therfrom, hydatid cysts, abscess of the lungs.
1844
1845 h. Tumor of the lungs, pleura or mediastinum.
1846
1847 i. Foreign body in the lungs. An individual may be accepted after a foreign body has been
1848 removed from the bronchus, provided examination shows recovery without disqualifying
1849 sequelae.
1850
1851CONDITIONS ABOVE THAT ARE ELIGIBLE FOR DISBILITY SEPARATION:
1852
1853 Conditions which are causes for rejection (P4) para b, c, d, e, f (if severe and resulting to
1854hospitalization), g and h and/or with stigmata ascribable to it (e.g. “barrel chest”, emphysema, HPN, RAH,
1855RVH, etc).
1856
1857
1858
1859 SECTION XVI
1860
1861
1862 HEART AND VASCULAR SYSTEM
1863
1864
1865METHODS OF EXAMINATION:
1866
1867 a. General = The examination should include inspection, palpation, percussion, auscultation,
1868 blood pressure determination, chest-X-ray and electrocardiography. Doppler
1869 echocardiography and other more specialized or specific studies may be done if indicated.
1870 The applicant or candidate should be examined fully relaxed and comfortable in a well
1871 ventilated room with a good light.
1872
1873 b. Inspection = Note especially color of the skin and mucous membranes, eyes of the arcus
1874 senilis, visible pulsations of vessels of the neck, enlargement of the thyroid gland,
1875 malformation of the chest, pulsations in right and left second interspaces and suprasternal
1876 notch, character of precordial impulses, location of point of maximum impulses, pulsations in
1877 epigastric and hepatic regions, and, pulsations and retraction in the back.
1878
c. Palpate for thrills/btuits over the thyroid gland (goiter), suprasternal notch (aneurysm) apex of the heart
1879
1880(mitral stenosis), and base to the right sternum (aortic stenosis). Use palm of the hand and light pressure in
1881palpating, as hard pressure may obliterate a thrill. Note location and character of the maximum apical
1882impulse. Palpate radials simultaneously noting any disparity.
1883
d. Palpate radial and posterior tibial pulse while auscultating. Note disparity.
1884
1885
e. Auscultation = Auscultate in the second interspace to right sternum (aortic area), second interspace to the
1886
1887left of sternum (pulmonic area), at level of fifth rib, left lower sternum (tricuspid area), and at the apex
1888whereve it may be located (mitral area) or if it cannot be located, then in the left fifth interspace in the
1889midclavicular line. The second sound is most distinct normally at the base.
1890
1891
f. Pulse Rate = Using discretion and allowing for the age and general appearance of the applicant, have him
1892hop 100 times (or less when in doubt as to his condition) on one foot, clearing the floor by about 1 inch at
1893each hop, or engage in equivalent exercise. Take the pulse rate before, immediately after exercise and two
1894minutes later. The response may be considered adequate if the rate two minutes after exercise is within ten
1895beats of the initial rates. The response to this test furnishes a rough estimate of a myocardial efficiency. An
1896irregular or unduly rapid pulse after exercise may occur in the presence of vasomotor instability.
1897Observation of the degree of dyspnea, cyanosis, or other symptoms of circulatory failure should be
1898terminated abruptly if untoward symptoms are noted. Auscultation should be repeated immediately after

29 29
 1899exercise to detect murmurs previously inaudible. In the presence of the pulse rate of 50/minute or under, an
1900electrocardiogram should be made. Bradycardia, not less than 50/minute in the presence of cardiac history
1901and the absence of abnormal physical or electrocardiographic findings should not be considered causes for
1902rejection.
1903
1904 g. Blood Pressure = The blood pressure will be taken with the individual relaxed and
1905 comfortable in the sitting, recumbent and standing positions. Due regard must be given to the
1906 age of the applicant and to physiological causes such as excitement, recent exercise and
1907 digestion. The condition of the arteries, the degree of the accentuation of the aortic second
1908 sound, and the relation between the systolic and the diastolic pressure must be considered. No
1909 applicant will be rejected as a result of a single reading. When the pressure is considered
1910 doubtful, the procedure will be repeated morning and afternoon daily for three (3) consecutive
1911 days to enable the examiner to reach a definite conclusion.
1912
1913 h. Cardiovascular Roengenology = The chest X-ray taken at six (6) feet distance as prescribed
1914 elsewhere in these regulations will be examined. The report will include the size and contour
1915 of the heart and great vessels. In doubtful cases, “Cardiac Flouroscopy” is advised,
1916 anteroposterior, lateral and oblique views with the barium swallow being used as indicated.
1917
1918 i. Electrocardiography = The electrocardiogram is of particular value in the diagnosis of the
1919 cardiac arrythmias, defects in conduction, cardiac hypertrophies, diseases of the coronary
1920 arteries and myocardial injuries. The standard 12-lead electrocardiogram is required of all
1921 applicants for Lateral Entry and Recruitment and abnormal findings will be considered causes
1922 for rejection. This examination is also required for those already in the service, if above 25
1923 years of age, in all types of physical examination, and, when indicated.
1924
1925 j. Electrocardiography = The heart can be imaged with reflected ultrasound by the
1926 complimentary techniques of M-Mode, cross sectional echocardiography (CSE or 2-D Echo),
1927 Doppler technique in its various forms, and contrast echocardiography.
1928
1929 (1) M-Mode Echocardiography = The M-Mode “one dimensional” echocardiogram is
1930 actually two dimensions: distance from and on the horizontal axis. The high definition
1931 of the recording system and the rapid rate at which pulses of sound are emitted
1932 (1000/second) allow cardiac structures and their motion to be defined with great
1933 accuracy.
1934
1935 (2) Cross-Sectional Echocardiography = In CSE, or 2-D ECHO, multiple ultrasound
1936 beams (3-100), each produced by a single crystal, create a “sector-shaped” cross
1937 section of the heart. CSE allows comples structural and functional relationships at
1938 estimating chamber volumes especially if there are segmental wall motion
1939 abnormalities.
1940
1941 (3) Doppler Echocardiography – This uses the principle that the frequency of a reflected
1942 sound wave depends on the velocity of the flowing blood and the angle impact of the
1943 ultrasound waves on the blood elements. The difference between the emitted and the
1944 measured frequencies is the “Doppler frequency shift”. The presence and severity of
1945 valvular regurgitation can be estimated by Doppler study. It can also detect intracardiac
1946 shunts.
1947
1948 (4) Contact Echocardiography = The injection of almost any liquid, (ex.blood, saline, or
1949 indocyanine green dye), into the intravascular space, will produce tiny microbubbles
1950 that appear as very bright echo-densecloud on the echocardiogram. This can be a
1951 sensitive method of determining right-to-left shunts such as atrial or ventricular spetal
1952 defects.
1953
1954 k. Nuclear Cardiology = This is the study of cardiac function, myocardial perfusion and blood
1955 flow, myocardial metabolism and myocardial damage with radio-pharmaceutical agents,
1956 special gamma cameras and computer systems. This can be separated into three categories:
1957 (1) Myocardial perfusion imaging (Thallium – 201 imaging and stress testing with Thallium –
1958 201); (2) Myocardial infarct imaging (Technitium – 99mm labeled phyrophosphate and
1959 Indium-III labeled antimyoson); and (3) Radionuclide angiography or radionuclide
1960 ventriculography.
1961 l. Cardiac Catheterization = This is invasive cardiology and consists in invasively placing
1962 catheters within the right and left chambers of the heart from peripheral vessels under
1963 fluoroscopic guidance. This can measure intracardiac pressures, blood oxygen content or
1964 saturation in different chambers of the heart, and cardiac output. Selective injection of radio-
1965 opaque contrast material or dye can be done so that patters of blood flow can be observed on a
1966 radiographic image intensifier, and recorded on still or cine information about structures like
1967 the coronary arteries. Cardiac catheterization is associated with the risks of: (1) damage to
1968 arteries and veins. ex. embolization in distal arteries; (2) introduction of infection; and (3)
1969 production of arrythmias. Therefore, this procedure should only be used to obtain information
1970 which cannot be provided by non-invasive techniques.

30 30
1971 m. Exercise Stress Testing (EST)= is a sensitive and informative examination of the
1972 cardiovascular response to exercise. It may referred to as exercise test, stress test, or exercise
1973 electrocardiography. It is useful in the detection and quantification of ischemic heart
1974 disease(IHD). Exercise electrocardiography may be; (1) Master’s Test, either single or two
1975 step or double two-step; (2) Treadmill exercise or bicycle provides non-invasive information
1976 about changes in rhythm, conduction, rate and ventricular repolarization as the heart responds
1977 to exercise.
1978 n. In addition to the general history elsewhere prescribed in these regulations, specially inquiry
1979 will be made in doubtful cases as to the use of alcohol, tobacco, and habit-forming drugs;
1980 also, as to whether there has been a history in the past of chorea, rheumatic fever, tonsillitis,
1981 quinsy, syphilis, gonorrhea, diphtheria, tuberculosis, chronic focal infections, general septic
1982 infection, phlebitis, and other diseases of the blood vessel.
1983
1984MURMURS:
1985
1986 Given a heart of the normal size, responding normally to exercise, a slight to moderate
1987pulmonary systolic murmur, louder in the recumbent position and on expiration and largely or entirely
1988abolished by deep inspiration, is the commonest of all murmurs and is to be considered physiologic or
1989functional. Presence of functional or physiologic murmurs will be verified further by echocardiography
1990(Droppler) to detect the presence of mitral valve prolapse and other structural defects of the heart. A faint
1991systolic murmur localized at the aortic area without thrill and followed by a normal second sound may be
1992considered normal, but any aortic murmur of moderate intensity or louder probably indicates disease (for
1993example, aortic dilatation, or stenosis) , and demands further study. A loud systolic murmur (usually with
1994thrill) Maximal at the left of the sternum in the third and fourth spaces, suggests the probability of
1995congenital septic defect; confirmation of this diagnosis is a cause of rejection. A faint systolic murmur at
1996the apex, varying in intensity with forced respiration, less well heard in the erect position than when
1997recumbent and unattended by cardiac enlargement or other evidence of heart disease, may be considered to
1998be physiologic (functional) but a moderate or loud apical systolic murmur which persist in all phases of
1999respiration and body position and is intensified by exercise is evidence of abnormality of the heart. Any
2000diastolic murmur heard over any region of the pericardium is an evidence of organic heart disease. The pre-
2001systolic (or diastolic) murmur of mitral stenosis may be confined to a small area at or just within the cardiac
2002apex and heard only in the recumbent position, best in the left lateral decubitus and with the bell
2003stethoscope chest place; it is accentuated by exercise. A slight aortic diastolic murmur, on the other hand,
2004may be heard only along the left external border, with the patient erect and leaning slightly forward. Just at
2005the end of force expiration, it is more easily heard with the Bowle’s Bell stethoscopic chest piece.
2006Frequently, interpretation must based on cumulative evidence of murmur of relatively slight deviation from
2007the normal.
2008
2009CARDIAC ENLARGEMENT:
2010
2011 An apex beat located beyond the left mid-clavicular line or below the sixth rib indicates heart
2012enlargement sufficient to disqualify examinee for police service it this is supported by electrocardiographic
2013findings and X-ray evidence of abnormality of cardiac size of or contour. The cause of such enlargement
2014should be sought for, and enlargement should not be made a primary diagnosis unless careful examination
2015fails to reveal a cause.
2016
2017ACCEPTABLE:
2018
2019 a. Those with normal cardiac size, contour and configuration by cardiovascular roentology
2020 and electrocardiographic interpretation of within normal limits.
2021
2022 b. Applicants with a heart of a normal size with slight systolic murmur considered physiologic
2023 (functional) and without evidence of organic heart pathology and verified by 2-D Echo color
2024 Doppler, with negative history of rheumatic fever or state (P1).
2025 c. Sinus arrhythmia = This consists in a quickening of the pulse rate during inspiration and
2026 slowing during expiration and is best recognized with individual recumbent and breathing
2027 deeply verified further by negative MST (P1).
2028
2029 d. Those with ECG findings of incomplete RBB with a negative or normal stress test and
2030 without any other evidence of organic heart disease (P2).
2031
2032 e. Those already in the active police service with evidence of cardiovascular disease but whose
2033 cardiac reserve is adequate for moderate physical and mental activity and had no history of
2034 congestive heart failure, negative MST, negative or normal 2D echocardiograph (P3).
2035
2036 f. Other ECG tracing findings which may be considered TWNL in the absence of any other
2037 evidence of organic heart disease are:
2038
2039 (1) LVH by voltage criteria – correlated with chest X-ray results
2040 (2) Early repolarization changes
2041 (3) Clockwise and counterclockwise rorations
2042 (4) Non-specific ST-T wave changes
2043 (5) Sinus tachycardia
2044 (6) Sinus bradycardia

31 31
 2045
2046CONDITIONS WHICH ARE CAUSES FOR REJECTION (P4):
2047
2048 a. All valvular disease of the heart.
2049
2050 b. Cardiac enlargement as noted earlier.
2051
2052 c. A heart rate of 100 or over when persistent after repeated examinations in the recumbent
2053 position. (A. M. and P. M. examination for three (3) days are considered adequate for such
2054 determination). Further studies may be due to arrive at a definite cause of tachycardia (thyroid
2055 studies, etc).
2056
2057 d. A heart rate below 6f the history, physical examination, or an electrocardiogram shows the
2058 presence of AV-block, or if with positive or abnormal stress test or other evidence of the heart
2059 disease.
2060
2061 e. Hypertension evidenced by a persistent systolic blood pressure of 150 mm Hg or more or a
2062 persistent diastolic blood pressure of 95 mm Hg or more if the candidate is over 25 years of
2063 age, and a persistent systolic blood pressure of 140 mm Hg or more, a persistent diastolic
2064 blood pressure of 90 mm Hg or more if less than 25 years of age.
2065
2066 f. Arterial hypotension, when systolic blood pressure is persistently less than 100 mm Hg in the
2067 sitting and standing positions.
2068
2069 g. Coronary heart / artery disease, including angina pectoris.
2070
2071 h. Pericarditis, endocarditis, myocarditis, or myocardial insufficiency cardiomyopathy, cardiac
2072 tumor or other myocardial diseases.
2073
2074 i. Congenital heart disease or deformity of the heart or great vessels.
2075
2076 j. Aneurysms.
2077
2078 k. Arteriosclerosis disproportionate to age.
2079
2080 l. Arrythmia, except sinus arrythmias and occasional extra systole.
2081
2082 m. History of rheumatic fever or chorea.
2083
2084 n. Evidence of vasomotor instability or neurocirculatory asthenia if persistent on examination of
2085 not less than three (3) days.
2086
2087 o. Electrocardiographic evidence of paroxysmal tachycardia, auricular fibrillation, auricular
2088 flutter, complete right or left bundle branch block, and recent or old coronary occlusion.
2089
2090 p. Orthostatic / arterial hypotension or tachycardia, if marked and persistent or if symptomatic
2091 and taken in sitting and standing positions.
2092
2093 q. Inadequate arterial blood supply to any limb.
2094
2095 r. Disease of any artery.
2096
2097 s. Intermittent claudication if confirmed by peripheral vascular tests.
2098
2099 t. Phlebitis and thrombophlebitis, or evidence of repeated thrombophlebitis in the past;
2100 varicosities of any extremity unless mild in degree.
2101
2102ALL CONDITIONS LISTED IN THE PRECEDING PARAGRAPHS ARE ELIGIBLE FOR
2103DISABILITY SEPARATION EXCEPT CONGENITAL CONDITIONS AND THOSE WHOC
2104SUCCESSFULLY PASSED THE EXERCISE TEST (MST OF 2-d ECHO-CARDIOGRAM COLOR
2105DOPPLER STUDIES).
2106
2107
2108 SECTION XVII
2109
2110
2111 ABDOMINAL ORGANS AND WALLS
2112
2113
2114GENERAL CONSIDERATIONS:
2115
2116 a. When necessary to confirm findings, examining physicians may avail themselves of
2117 fluoroscopy and roentogenology, EGD, CT Scan, Ultrasound and other more specialized
2118 studies.

32 32
 2119
2120 b. When examining physicians are able to command hospital facilities and the necessary
2121 diagnostic apparatus, they will within their discretion, use test meals and chemical and
2122 microscopic examination of the stomach contents and stools.
2123
2124 c. Examining physicians will make use of digital rectal examination of defects referable to the
2125 region and when necessary, proctoscopy will also be used.
2126
2127 d. Individual who are found to have parasites or eggs in their stools will have this condition
2128 indicated on the report of examination.
2129
2130 e. Moderate impulse produced by cough at inguinal, femoral, or umbilical ring, or at the site of a
2131 scar is not necessarily indicative of hernia.
2132
2133 f. In cases of suspected gastric or duodenal ulcer, every effort will be made to obtain a
2134 trustworthy history including authentic medical records and if necessary, G.I. series and or
2135 EGD (Esophago – gastric duodenoscopy) will be done.
2136
2137ACCEPTABLE:
2138
2139 a. Physical profile classification “1” and “2”:
2140
2141 (1) Small abdominal scars because of surgical operation or accident which show no hernia
2142 bulging (P1).
2143
2144 (2) Scar pain when found not associated with any disturbance in function of abdominal
2145 wall or contained viscera.
2146
2147 (3) Mild splenic enlargement without evidence of other disqualifying disease (P2) as
2148 verified by peripheral blood morphology, bone marrow studies, malarial smear for
2149 three consecutive determinations.
2150
2151 (4) Small, benign asymptomatic tumor of the abdominal wall if not more than 1 cm
2152 diameter (P1).
2153
2154 (5) Internal and external hemorrhoids if mild in degree and without pain or bleeding (P2).
2155
2156 (6) Hernia, small umbilical (patent umbilical ring) (P2).
2157
2158 (7) History of cholecystectomy, provided there are no residual disqualifying sequelae (P2).
2159
2160 b. Physical Profile Classification “3”: Hernia, inguinal, which has not descended into scrotum;
2161 hernia, femoral; asymptomatic situs invertus.
2162
2163CONDITIONS WHICH ARE CAUSES FOR REJECTIONS (P4):
2164
2165 a. Hernia, inguinal which has descended into scrotum, recurrent, post-operative, ventral,
2166 umbilical, if moderate or large in size.
2167
2168 b. Acute or chronic cholecystitis with or without cholelithiasis.
2169
2170 c. Ulcer of the stomach or duodenum.
2171
2172 d. Authenticated history of true intestinal obstruction of any kind.
2173
2174 e. Authenticated history of surgical operations for gastric or duodenal ulcer.
2175
2176 f. Sinuses of the abdominal wall.
2177
2178 g. Proctitis or stricture or prolapse of the rectum.
2179
2180 h. Symptomatic situs invertus.
2181
2182 i. Enlargement of the spleen associated with leukemia, Hodgkins disease splenic anemia, or
2183 other disqualifying disease, moderate or great enlargement of the spleen of any cause.
2184
2185 j. External hemorrhoids, sufficient in size to produce symptoms. Internal hemorrhoids, if large
2186 or accompanied with hemorrhage or protruding intermittently or constantly.
2187
2188 k. Megacolon, diverticulitis, ileitis, and ulcerative colitis.
2189
2190 l. Splenectomy for any cause.
2191
2192 m. Cirrhosis of the liver.

33 33
2193
2194 n. Wounds, injuries, cicatrices or weakness of muscles of the abdominal walls sufficient to
2195 interfere with function.
2196
2197 o. History of gastroenterostomy, gastric resection of peptic ulcer, partial resection of the
2198 intestines or operation for relief of intestinal adhesions.
2199
2200 p. Blood in the feces unless otherwise shown to be due to unimportant cause.
2201
2202 q. Viscerotosis other than mild.
2203
2204 r. Chronic disease of the liver, gallbladder, pancreas or spleen.
2205
2206 s. Enlargement of the liver.
2207
2208 t. Jaundice or history of recurrent jaundice with positive Hepatitis B surface antigen test and
2209 elevated liver function test [ SGOT, SGPT, Alkaline Phosphatase, total bilirubin, B1 and B2 ].
2210
2211
2212 Tests used for Liver diseases:
2213
2214 1. Hepatitis A – if positive HAV, only a self limiting infectious liver disease
2215
2216
2217
2218 2. Hepatitis B – HBs Ag
2219 Hbe Ag
2220 Anti – HBC
2221 Anti- HBc
2222 Anti-HBs Ag
2223
2224 3. Hepatitis C – Anti- HCV
2225
2226 It is important to note that Hepatitis B and Hepatitis C:
2227
2228 a. Have carrier states (normal looking individuals but are infectious);
2229
2230 b. Lead to cirrhosis, liver failure and hepatocarcinoma;
2231
2232 c. Lead to fulminant hepatitis (survival rate is < 10%);
2233
2234 d. Have an expensive treatment modality;
2235
2236 e. May cause possible contamination of PNP blood supply.
2237
2238 u. Positive AIDS (HIV) test.
2239
2240 v. Drug test for the most commonly abused drugs / substance (shabu, marijuana, ethanol).
2241
2242 w. Fissure of the anus or proctitis ani.
2243
2244 x. GIT malignancies.
2245
2246
2247THE CAUSES FOR PHYSICAL UNFITNESS FOR FURTHER POLICE SERVICE (Disability
2248Separation):
2249
2250 a. Achalasia (Cardiospasm) - Dysphagia not controlled by dilation with continuous
2251 discomfort, or inability to maintain weight.
2252
2253 b. Amoebic abscess residuals – Persistent abnormal liver function tests after appropriate
2254 treatment.
2255
2256 c. Biliary dyskinesia – Frequent abdominal pain not relieved by simple medication or with
2257 periodic jaundice.
2258
2259 d. Cirrhosis of the liver – Recurrent jaundice, ascites or demonstrable esophageal varices or
2260 history of bleeding therefrom; secondary to substance abuse (ethanol).
2261
2262 e. Gastritis, sever, chronic hypertrophic gastritis with repeated symptomatology and
2263 hospitalization and confimed by gastroscopic examination.
2264
2265 f. Hepatitis, chronic, (Hepatitis B, Hepatitis C) when after a reasonable time (6 months),
2266 symptoms persist, and there is objective evidence of impairment of liver function.

34 34
2267
2268 g. Hernia:
2269
2270 (1) Hiatal hernia: If after operation symptoms are not relieved by simple dietary or medical
2271 means, or recurrent bleeding in spite of prescribed treatment, and / or repeated surgical
2272 procedures.
2273
2274 (2) If operative repair is contraindicated for medical reasons or when not amenable to
2275 surgical repair.
2276
2277 h. Ileitis, Regional – Confirmed diagnosis thereof. However, a individuals on active duty who
2278 are able to maintain weight, have no significant abdominal pain, have no signs of anemia,
2279 average no more than three (3) bowel movements per day, have a good understanding of the
2280 disease, and who do not require frequent medical attention may be recommended for
2281 continuance of active duty (P3).
2282
2283 i. Pancreatitis, Chronic – Frequent abdominal pain of severe nature, steatorrhea or disturbance
2284 of glucose metabolism requiring insulin.
2285
2286 j. Peritoneal adhesion – Recurrent episodes of intestinal obstruction characterized by abdominal
2287 colicky pain, vomiting and intractable constipation requiring frequent admission to the
2288 hospital.
2289
2290 k. Proctitis, Chronic – Moderate to severe symptoms of bleeding, painful defecation, tenesmus,
2291 and diarrhea with repeated admission to the hospital.
2292
2293 l. Ulcer: peptic, duodenal and gastric – Frequent recurrence of symptoms (pain, vomiting and
2294 bleeding) in spite of good medical and surgical enlargement and supported by laboratory, X-
2295 ray evidence and EGD.
2296
2297 m. Ulcerative colitis – Confirmed diagnosis thereof. However, an individual on active duty who
2298 is able to maintain weight, has no significant abdominal pain has no signs of anemia, average
2299 no more than three (3) bowel movements per day, has good understanding of the disease, may
2300 be recommended for continuance of active duty (P3).
2301
2302 n. Rectum, stricture with sever symptoms of obstruction characterized by intractable
2303 constipation, pain on defecation, difficult bowel movements requiring the regular use of
2304 laxative or enema, or requiring repeated hospitalization or surgical treatment.
2305
2306 o. Colectomy, partial – When more than mild symptoms of diarrhea remain or if complicated by
2307 colostomy.
2308
2309 p. Colostomy, if permanent.
2310
2311 q. Enterostomy, if permanent.
2312
2313 r. Gastrectomy – Per se, individuals on active duty who have had a partial gastrectomy and are
2314 able to exist on a normal diet without symptoms of indigestion or loss of weight may be
2315 recommended for continuance of active duty (P3).
2316
2317 s. Gastrostomy, permanent.
2318
2319 t. Gastroduodenostomy – Per se; However, individuals on active duty who have no
2320 complications, without symptoms of ibdigestion, nausea and vomiting, or weight loss, and
2321 who can select their diet from the normal diet may be recommended for continuance of active
2322 duty (P3).
2323
2324 u. Ileostomy, permanent.
2325
2326 v. Pancreatectomy.
2327
2328 w. Pancreaticoduodenostomy and Pancreaticogastrostomy – If for malignancy, or if with more
2329 than mild symptoms of digestive disturbance or requiring insulin.
2330
2331 x. Pancreaticojejunostomy – If for cancer in the pancreas, or if more than mild symptoms of
2332 digestive disturbance and requiring insulin.
2333
2334 y. Proctopexy, proctoplasty, proctorrhaphy and proctotomy – If fecal incontinence remains after
2335 an appropriate treatment period.
2336
2337
2338
2339 SECTION XVIII
2340

35 35
2341 GENITO-URINARY SYSTEM INCLUDING
2342 SEXUALLY TRANSMITTED DISEASES (STD)
2343
2344
2345METHODS OF EXAMINATION:
2346
2347 a. Search will be made fro evidence of STD and malformation. The glans penis and corona will
2348 be exposed and the penis will be examined. Both sides of the scrotum will be palpated as well
2349 as the inguinal lymph nodes. Urinalysis including test for albumin, specific gravity, sugar, and
2350 a microscopic examination of the sediment will be made. The urine will be voided in the
2351 presence of one of the examiners. When indicated, X-ray and other laboratory examinations
2352 will be conducted.
2353
2354 b. Procedures when albumin or casts are found. The term “Albumin” will not be ordinarily used
2355 as a cause for disqualification since the presence of albumin alone does not justify a diagnosis
2356 of nephritis. When albumin or casts are found in the urine, the candidate will be retained
2357 under observation and daily complete examination of the urine will be made for at least five
2358 (5) days, unless the presence of the albumin and casts is associated with the enlargement of
2359 the left heart, elevated blood pressure, or other evidence of cardiovascular-renal disease of
2360 such a degree that the diagnosis maybe made immediately. When albumin is constantly or
2361 intermittently present, the underlying pathological condition will, if possible, be determined
2362 and stated as the cause for rejection; but if albumin is persistently present, as shown by the
2363 origin cannot be determined.
2364
2365 c. Procedure when specific gravity is abnormally low: When the specific gravity of the specimen
2366 first examined is below 1.010, further observation of the candidate and repeated complete
2367 examinations are indicated.
2368 d. Procedure when glycosuria is detected: If glucose is found in the urine at the first
2369 examination, the result will be correlated with a fasting blood sugar determination. A glucose
2370 tolerance test will be made when indicated.
2371
2372 e. Examination for the detection of STD will include inspection of the skin and genitalia for
2373 lesions. Further search will be made to exclude late complications of syphilis.
2374
2375ACCEPTABLE CONDITIONS:
2376
2377 a. Mild albuminuria without casts which is proven by observation and repeated examinations to
2378 be temporary in character or orthostatic in type (P2).
2379
2380 b. Absence or removal of one or both testicles from any cause.
2381
2382 c. Varicocele of moderate size (P2).
2383
2384 d. Hydrocele of the tunica vaginalis testis of moderate size (P3).
2385
2386 e. History of unilateral renal calculus with freedom from symptoms, and if X-ray is negative for
2387 calculi (P2).
2388
2389 f. Phimosis (P1).
2390
2391CONDITIONS WHICH ARE CAUSES FOR REJECTION (P4):
2392
2393 a. Acute or chronic nephritis, diabetes mellitus or insipidus or renal glycosuria.
2394
2395 b. Significant amount of blood, pus or albumin in the urine, if persistent.
2396
2397 c. Floating kidney, hydronephrosis, pyonephrosis, pyelitis, tumor of the kidney, absence of one
2398 kidney, renal calculi, contracted kidney.
2399
2400 d. Acute and chronic cystitis.
2401
2402 e. Vesical calculi, tumors of the bladder, incontinence or retention of urine, enuresis.
2403
2404 f. Hypertrophy or absence of the prostate glands.
2405
2406 g. Urethral stricture or urinary fistula.
2407
2408 h. Epispadias or hypospadias.
2409
2410 i. Hermaphroditism, infantile genital organs.
2411
2412 j. Amputation of the penis.
2413
2414 k. Varicocele or hydrocele, if large or painful or if found in the cord.

36 36
2415
2416 l. Sexually transmitted diseases (STD).
2417
2418 m. Pronounced atrophy of or absence of both testicles.
2419
2420 n. Undesecended testicle. Absence of one testicle, unless removed on account of malignant
2421 disease or tuberculosis (P2) or STD.
2422
2423 o. Chronic orchitis or epididymitis.
2424
2425
2426ACCEPTABLE STD CONDITIONS:
2427
2428 a. Freedom from active or chronic STD is required for entrance into the police force.
2429
2430 b. Gonorrhea, uncomplicated, acute or chronic (P3).
2431
2432 c. Syphilis, except cardiovascular, cerebro-spinal or visceral (P3).
2433
2434NON-ACCEPTABLE (P4):
2435
2436 a. Stricture of the urethra, moderate or severe.
2437
2438 b. Gonorrheal arthritis.
2439
2440 c. Other complications of gonorrhea, including acute urethritis, seminal vesiculitis, and
2441 epididymitis.
2442
2443 d. Cardiovascular, cerebro-spinal and visceral syphilis.
2444
2445 e. Lymphogranuloma venereum (active).
2446
2447 f. Confirmed positive serological reaction for syphilis who have had positive serology or other
2448 evidence of syphilis.
2449
2450THE CAUSES FOR PHYSICAL UNFITNESS FOR FURTHER POLICE SERVICE Disability
2451Separation):
2452
2453 a. Genito-urinary systems:
2454
2455 (1) Cystitis: Per se, does not render the individual physically unfit. However, the
2456 residual symptoms or complications may in themselves render the individual
2457 physically unfit.
2458
2459 (2) Endometriosis.
2460
2461 (3) Enuresis. (See Section XIX – NEUROLOGICAL AND PSYCHIATRIC
2462 DISORDERS).
2463
2464 (4) Incontinence of urine: Due to disease or defect not amenable to treatment and of
2465 such severity as to necessitate recurrent absence from duty.
2466
2467 (5) Kidney:
2468
2469 a. Calculus in kidney = Bilateral, symptomatic and not responsive to
2470 treatment.
2471
2472 b. Obstructive uropathy resulting from frequent or recurrent infections or
2473 congenital anomally not responsive to treatment.
2474
2475 c. Cystic kidney (polycystic kidney).
2476
2477 d. Hydronephrosis: More than mild, bilateral and causing continuance of or
2478 frequency of symptoms, and not responsive to treatment.
2479
2480 e. Hypoplasia of the Kidney: Symptomatic and associated with elevated blood
2481 pressure or frequent infection and not controlled by surgery.
2482
2483 f. Pyelonephritis or pyelitis: Chronic, more than mild which has not responded
2484 to medical or surgical treatment.
2485
2486 g. Preirenal abscess, residual, of such a degree which interferes with
2487 performance of duty.
2488

37 37
2489 h. Pyonephrosis.
2490
2491 i. Nephrosis.
2492
2493 j. Chronic glomerulonephritis.
2494
2495 k. Chronic nephritis.
2496
2497 (6) Menopausal syndrome, either physiologic or artificial with more than mild mental
2498 and constitutional symptoms.
2499
2500 (7) Strictures of the urethra or ureter: Severe and not amenable to treatment.
2501
2502 (8) Urethritis, chronic, non-gonorrheal, not responsive to treatment and necessitating
2503 frequent absences from duty.
2504
2505 b. Genito-urinary and Gynecological Surgery:
2506
2507 (1) Cystectomy.
2508
2509 (2) Cystoplasty: Reconstruction is unsatisfactory if residual urine or infection persists.
2510
2511
2512
2513
2514
2515
2516
2517
2518 SECTION XIX
2519
2520
2521 NEUROLOGICAL AND PSYCHIATRIC DISORDERS
2522
2523
2524GENERAL:
2525
2526
2527 For the safety, efficiency and economy of the police service it is essential that individuals with
2528neurological and psychiatric disorders be excluded. Not unfrequently, an individual suffering from a
2529neuropsychiatric disorder may appear “normal” even to a close observer. The minutest study may be
2530required to establish a diagnosis e.g. convulsive disorders in between seizures or psychosis (manic
2531depressive) during lucid intervals. Diseases of this type may and frequently do exist in persons who are
2532strong, active and apparently healthy and who volunteer no complaints. A person who has difficulty in
2533making satisfactory adjustment to stresses in life, is likely to break down under the stress of police life and
2534become an encumbrance to the PNP with its additional expenses. Investigation of the medical and social
2535histories not only gives a lead to the presence of any mental abnormalities but also gives insight into the
2536personality make-up of the individual and offers some ideas to his future police value. A history related to
2537convulsions, fainting spells, disturbances of consciousness, routine use of drugs and narcotics, head
2538injuries, education and occupational attainments should be obtained.
2539
2540EXAMINATION FOR NEUROLOGICAL DISORDERS:
2541
2542 The examinee is observed as to his movements, gait, mannerism and behavior as soon as he comes
2543into examining area. Certain conditions are immediately identified even without talking to or touching an
2544examinee, e.g., the ataxic or tabetic gait, the hemiplegic gat of post CVD, the palsies of the face and ocular
2545muscles in the brain tumors, the tremors of the extremities either at rest or involuntary activities as in
2546Parkinson’s Disease or Multiple Sclerosis and the slurred speech of Multiple White Matter Disease. The
2547examinee is asked pertinent questions that may arise during the examination to clarify certain points noted
2548at the time. The examinee is made to strip completely (women may be allowed to wear their bras and
2549panties during the examination period) for a good examination. The examinee is directed to walk in a
2550straight line, looking straight ahead and turning about briskly as required. Look for he normal associated
2551movements, abnormalities of gait, deviation to one side or the other. This test is done with eyes opened and
2552eyes closed. He or she is then told to stand up straight in the position except that the toes are brought
2553together. Asymmetries are looked for especially in the palpebral and oral fissures of the face, deltoid,
2554buttocks and extremities. Swaying to and fro to slight degree is normally noted especially when eyes are
2555closed in this position; but if it involves movements of the feet to maintain balance, then it is considered
2556pathologically significant (Romberg’s positive). The hand grips are tested and compared. The examinee is
2557next made to perform the finger to finger, finger to nose, heel to shin bone tests and the rapid pronation-
2558supination of the upper extremity for motor coordination. A confrontation test is next performed for a rough
2559estimate of the fields of vision. The examinee is next told to get to the examining table and to lie face up.
2560The cranial nerves are next tested by making him identify the smell of tobacco powder through each nostril
2561and by having him follow with his eyes the examiner’s finger that is moved around elliptically about 12-16
2562inches from his face. The pupils are tested for light and accommodation, taking not of its size and shape.

38 38
 2563The examinee is asked to bite hard for the motor component of the trigeminal, the to expose his teeth
2564without moving the jaws for facial nerve palsy. The mouth is next opened, tongue protruded to determine
2565deviation, tremors, atrophy, weaknesses of movement if any, and taste and sensory capabilities. Movement
2566of the uvula is noted by having the examinee say “AH” loudly. Gag reflex is tested for by touching the
2567oropharynx with an applicator with cotton. The head is next moved rapidly from side to side and forward.
2568Shoulders are lifted voluntarily towards the ears. After testing for the cranial nerves, the sensibilities for
2569pain, temperature, touch, position sense, vibratory sense, (using a tuning fork C-256 preferably) and two-
2570points discrimination are next noted. The reflexes come next and the following are deemed adequate:
2571normal cremasteric and corneal for the superficial reflexes; the triceps, biceps, knee jerk and ankle clonus
2572for the deep tendon reflexes; and, Hoffman’s, Babinski’s, Gordon’s and Chaddock’s for the pathological
2573reflexes.
2574
2575 The life history of the examinee is reviewed with his and abnormal findings noted during the
2576examinations are correlated for proper evaluation. The indicated laboratory tests and X-ray examinations
2577should be made. A good neurological examination is time-consuming for the beginner but one soon
2578develops his own style of examination that is reassuring and satisfying to him.
2579
2580ACCEPTABLE FOR OLICE SERVICE:
2581
2582 a. Those whose nervous system is deemed to be healthy as shown by a negative history and
2583 the absence of objective and subjective findings indicative of disorder or disease of the
2584 central, peripheral and autonomic nervous system (S1).
2585
2586 b. Individuals with minor paralysis or paresis as those of the poliomyelitis or non-progressive
2587 disease of the peripheral nerves which do not interfere with normal locomotion or with
2588 police duties, do not call attention to the condition nor have prevented the individual from
2589 successfully following a useful vocation in life (S2 or S3).
2590
2591
2592 c. Certain variations from the normal which however are clearly shown to be within
2593 physiological limits such as minor tremors of the hand or eyelids during examination (S1 or
2594 S2).
2595
2596NEUROLOGICAL CONDITIONS WHICH ARE GROUNDS FOR REJECTION OR SEPARATION
2597FROM THE POLICE SERVICE (S4), Disability Separation):
2598
2599 a. Neurosyphilis of any form: general paresis, tabes dorsalis, meningo-vascular syphilis.
2600
2601 b. Degenerative disorders: multiple sclerosis, cerebellar and Freidreich’s ataxia, athetoses,
2602 Huntington’s chorea, muscular atrophies and dystrophies of any type, cerebral
2603 arteriosclerosis, etc.
2604
2605 c. Disabling residual infections: meningitis and brain abscess, paralysis agitans, post
2606 encephalitic syndrome, Sydenham’s chorea.
2607
2608 d. Peripheral nerve disorders: chronic or recurrent neuritis or neuralgia of any intensity
2609 which is periodically incapacitating, multiple neuritis, neurofibromatosis that is
2610 disfiguring.
2611
2612 e. Residuals of trauma that are incapacitating: residuals of severe cerebral trauma, post-
2613 traumatic cerebral syndrome.
2614
2615 f. Paroxysmal convulsive disorders and disturbances of consciousness: grand mal, petit
2616 mal, and psychomotor attacks, narcolepsy, cataplexy not controlled by medication. Had
2617 been admitted at the neurology ward three times (3x).
2618
2619 g. Miscellaneous disorders: recurrent spasmodic torticolis, brain and spinal cord tumors,
2620 operated and unoperated cerebrovascular diseases, congenital malformation, including
2621 spina bifida if associated with neurological manifestations and meningocele even if
2622 uncomplicated, Meniere’s disease.
2623
2624 h. Any form of paralysis or paresis which limits locomotion or ability to perform
2625 adequately as expected in general police service.
2626
2627
2628DIAGNOSTIC EXAMINATIONS FOR NEUROLOGICAL DISORDERS:
2629
2630 a. Syphilis of the Central Nervous System:
2631
2632 (1) General paresis of meningoencephalitic syphilis. Look for unequal, irregular or
2633 sluggishly reacting pupils, or Argyll-Robertson’s pupils; facial tremor, speech or
2634 defect in test phases and in all slurring and distortion of words in conversation;
2635 wring defects consisting of omission and distortions of letters, defective
2636 memory, discrepancies in relating to facts of life, inability to perform quickly

39 39
2637 and accurately simple problems of addition and subtraction in mental arithmetic,
2638 knee jerk may be normal, overactive or underactive. The mood may be of
2639 schizophrenic or neuroasthenic type.
2640
2641 (2) Tabes dorsalis (locomotor ataxia). Look for unequal sluggishly reacting pupils
2642 or Argyll-Robertson pupils; knee jerk, positive Romberg’s ataxic gait especially
2643 when the eyes are closed; and anesthetic areas of the skin. The history is usually
2644 of slow progression, may show failing sexual power, sphincter disturbances and
2645 pains in the legs or back, usual and irregular series of short identical attacks of
2646 pain coming at intervals.
2647
2648 (3) Meningovascular or cerebro-spinal syphilis. The prominent diagnostic signs and
2649 symptoms are headaches, history of mood changes or convulsions, varying deep
2650 and superficial reflexes, papillary changes, ptosis, ocular palsies and facial
2651 paresis. The mental state is normal, dull or apathetic. Motor weakness may
2652 occur on one side of the body or in one extremity.
2653
2654 b. Multiple sclerosis: A history of transitory weakness, numbness, ataxia of one or more
2655 extremities, transient diplopia, scotomata or bladder disturbances should arouse a suspicion of
2656 multiple sclerosis. The presence of optic atrophy, scotomata, definite nystagmus, corneal
2657 hyposthesia, absence or irregularity of abnormal reflexes, exaggerated deep reflexes, a
2658 Babinski’s or similar signs, or ataxia and euphoria are common manifestations.
2659
2660 c. Muscular Dystrophies: There is atrophy of the muscles in some forms, hypertrophy in others,
2661 and in general, decrease or loss of muscle power. In pseudo-hypertrophic forms, some
2662 muscles are atrophied; others are hypertrophied. In Myasthenia Gravis, there is rapid fatigue
2663 of muscle power appearing first in the facial and extrinsic eye muscles and later becomes
2664 generalized.
2665
2666 d. Athetoses. Dystonia, Torticollis, Chorea: These names are given to various types of irregular,
2667 intermittent, involuntary movements, affecting various parts of the body, often associated
2668 with evidence of spastic paralysis; simulation is possible in doubtful cases. Previous medical
2669 records should be sought. Even mild manifestations disqualify.
2670
2671 e. Paralysis Agitans: Paralysis is recognized by masked frozen-like facies, unwinking eyes,
2672 rigidity of the muscles, stooped posture, sluggishness of movements, tremors, monotonous
2673 speech and typical gait. Even mild manifestations disqualify.
2674
2675 f. Multiple Neuritis: This may be associated with dietary deficiencies, infection or intoxication.
2676 The symptoms depend upon the cause or duration. They consist of pain, various causes of
2677 diminution or loss of motor power marked in distal parts of the extremities, sensory
2678 diminution or loss, tenderness of the muscles, loss or diminution of reflexes.
2679
2680 g. Chronic Neuralgias: A history of severe, constant or recurrent pain confined to the area of
2681 distribution of a single nerve or segment, without objective changes, suggest this diagnosis.
2682 Clearly confined entities are sciatica and trigeminal neuralgias. Less common are sub-
2683 oocipital, brachial and glossopharyngeal neuralgias. Neuralgias of other nerves are extremely
2684 rare, and the diagnosis will be made in extreme caution. Neuritis, arthritis, bursitis, sinusitis,
2685 and also hysteria, and malingering must be considered in the differential diagnosis. Evidence
2686 of previous treatment and the injection of procaine into the nerve presumably affected are
2687 important diagnostic aids.
2688
2689 h. Post-traumatic Cerebral Syndrome: A history of head injury followed by headache, dizziness,
2690 loss of initiative, or change of personality is suggestive, but independent confirmation of such
2691 alterations should be thought possible.
2692
2693 i. A dull apathetic expression, slight nystagmus, fine tremors, vasomotor changes, abnormal
2694 sweatings are confirmatory evidence. If the syndrome is definite even though mild, the
2695 individual should be rejected. The presence of signs indicating a focal lesion, even though
2696 mild, is cause for rejection.
2697
2698 j. Paroxysmal Convulsive Disorders: look for deep scars on tongue, face and head. Since no
2699 physical signs are pathognomonic, it is necessary to discover if the individual has had spells
2700 of unconsciousness, convulsions, “spells”, “lapses”, “dizziness” or fainting. The individual
2701 will be disqualified based on a brief history of such spells, or of multiple attacks of loss of
2702 consciousness, of being dazed, or of uncontrolled outbursts of rage, or irrational conduct or
2703 fugue, or unsuccessful treatment with anti-convulsive drugs. Such history will be verified, if
2704 practicable, by a confirmatory medical record from a trustworthy source. The
2705 electroencephalograph is of great assistance in the diagnosis, particularly in doubtful cases,
2706 but will not be used routinely. When an examinee is rejected for epilepsy, a statement will be
2707 made by the examining board stating the basis for the diagnosis. When the diagnosis is based
2708 wholly on the examinee’s statement, in the absence of stigmata, or a verified history, he may
2709 attempt to conceal severe defects in order to gain entrance into the police service.

40 40
 2710
2711 k. Cerebro-vascular Accidents: Characteristically, the onset is acute, with or without
2712 unconsciousness. Almost any focal disturbance may result. Evidence of peripheral disease
2713 may be inconspicuous. The diagnosis disqualifies.
2714
2715
2716EXAMINATIONS FOR PSYCHIATRIC DISORDERS:
2717
2718 a. a. The object of the neuro-psychiatric examinations is to
2719 select individuals who are without psychiatric disorders and to determine
2720 the separation or retention of PNP personnel who manifest oddities in
2721 behavior. The diagnosis of psychiatric disorders depends on whether an
2722 individual possesses qualities or patterns of behavior of such nature and
2723 severity as to have seriously handicapped him in the conduct of his private
2724 life and affairs and/or in his interpersonal relationships. The evaluation of
2725 such factors in a policeman is accomplished by psychiatric examination
2726 and knowledge of his past history. The latter may be gathered together
2727 from various sources, the man himself, other corroborative informants, his
2728 physician, hospital and court records and other social service welfare
2729 agencies. Attention will be given not only to unfavorable or negative data
2730 in the history, but also to favorable or positive data since a history of good
2731 adjustment in the past may be reasonably accepted as favoring a good
2732 adjustment in the police service as well.
2733
2734 b. A good therapeutic relationship between physician and patient must be
2735 established. Mental and personality difficulties are most clearly revealed
2736 in the subject’s behavior towards those to whom he feels relatively at ease.
2737 The most successful approach is often one of straight forward professional
2738 inquiry coupled with real respect for the individual’s personality and due
2739 consideration for his feelings. The routine or habitual use of questions
2740 that are emotionally charged, psychologically shocking, in bad taste and or
2741 not customarily used in comparable civilian examinations and practices
2742 will be avoided.
2743
2744 c. The psychiatric examination is done by clinical interviews, referred to as
2745 Mental Status Examinations (MSE) which is a reliable diagnostic tool
2746 used to determine psychiatric disorders. The number of MSE conducted
2747 depends on the individual being evaluated. A single MSE may be
2748 sufficient in some cases.
2749
2750 Interview will begin with something that is obviously relevant to
2751 the immediate situation. Information is elicited as to whether the
2752 individual suffers any symptoms of psychiatric nature, and as to whether
2753 he has been ill or poorly adjusted in the past and at present. The examiner
2754 pays close attention to everything said and ask, following up questions for
2755 clarification. The accomplished NP Screening Form will be reviewed
2756 with the examinee and points of interest or items suggestive of certain
2757 disturbance will be clarified. The NP Screening Form is a time saver for
2758 the interviewer as well as for the examinee. If it is his first contact with it,
2759 he generally answers it without reservation and problem areas are brought
2760 to focus.
2761
2762 Despite the handicap of time limitations, the neuro-psychiatrist
2763 will carefully avoid unscientific methods which give inadequate or
2764 inaccurate data. Thus a neuropsychiatric examination consisting of a few
2765 leading and suggestive questions such as “Do you worry?”, “Are you
2766 nervous?”, or “Do you have headache or stomach trouble?”, is inadequate.
2767 Positive answers to such questions are not themselves justifiable causes
2768 for rejection. Isolated signs such as nail biting, slight tremor, or
2769 vasomotor symptoms are not disqualifying.
2770
2771 The probable presence of some types of psychiatric disorders, in
2772 particular major psychoses and marked degree of feeblemindedness, may

41 41
2773 often be suspected by alert observation of the individual’s behavior if the
2774 examiner knows what to look for and what to regard as significant. In
2775 other cases, one would not be able to suspect the presence of any morbid
2776 condition without some knowledge of the individual’s history. As good
2777 Anamnesis should be prepared by the clinician.
2778
2779 The examiner by this procedure can easily determine the person’s
2780 mental status by noting his general appearance, behavior, mood, affect,
2781 attitude, speech, orientation to time, place and person, memory recall,
2782 level of intelligence, thought content and preoccupation, presence of
2783 perceptual disturbances, delusions, ideas of references, suicidal or
2784 homicidal ideations, intellectual and emotional insight, volition and
2785 judgment. These could be glimpsed during the interview with or without
2786 asking direct questions. All findings during the MSE must be summarized
2787 in paragraph form and included in the Neuro-Psychiatric Evaluation
2788 Report.
2789
2790 A battery of psychological tests may be requested by the
2791 psychiatrist which may be added to the NP report to make it
2792 comprehensive. Though a psychological test may confirm the diagnosis,
2793 these tests may be incorporated in the report to supplement the psychiatric
2794 findings. At certain times, a diagnosis may be made based only on the
2795 history and mental status examination.
2796
2797THE FOLLOWING TESTS SHALL BE ADMINISTERED AS INDICATED:
2798
2799 Criteria for qualifications as per interview and psychological tests:
2800
2801 a. For Recruitment:
2802
2803 1. Information Sheet with Auto-analysis
2804 2. Intelligence test (Note: IQ will not be reported as IQ points but in
2805 terms of range. Ex. Not 86 but “Dull Normal”
2806 (a) CFT (Culture Fair Test 3)
2807 (b) SRA VERBAL FORM A/ SRA VERBAL FORM B
2808
2809 3. Personality tests:
2810 (a) Sentence Completion Test
2811 (b) Draw a Person Test (DAPT)
2812 (c) Hand Test
2813 (d) Law Enforcement Perception Questionnaire (LEPQ)
2814 (e) Applicants Risk Profiler (ARP)
2815
2816 ** Further Tests:
2817 a) Guilford-Zimmerman Temperament Survey
2818 b) Basic Personality Inventory
2819 c) Edwards Personal Preference Schedule (EPPS)
2820
2821 b. For Lateral Entry:
2822
2823 1. Information Sheet with Auto-analysis
2824 2. IQ Tests
2825 (a) SRA FORM B
2826 (b) ACER Test of Reasoning Ability
2827
2828 3. Personality Tests:
2829 (a) Sentence Completion test/ Rhodes RSCT/Industrial
2830 (ISCT)
2831 (b) DAPT (Draw A Person Test)
2832 (c) HT (Hand Test)
2833 (d) BPI (Basic Personality Inventory)
2834 (e) Law Enforcement Perception Questionnaire (LEPQ)

42 42
2835 (f) Leadership Opinion Questionnaire
2836 (g) Applicants Risk Profiler (ARP)
2837
2838 ** Further Tests:
2839 a) Guilford Zimmerman Temperamental Survey
2840 (GZTS)
2841 b) Edwards Personal Preference Schedule (EPPS)
2842 c) 16PF
2843
2844 c. Promotions:
2845
2846 For PNCO
2847
2848 1. Information Sheet with Autoanalysis
2849 2. IQ Test: SRA
2850 3. Personality Tests:
2851 (a) SIV (Survey of Interpersonal Value)
2852 (b) Sentence Completion Test
2853 (c) DAPT (Draw A Person Test)
2854
2855 For PCO
2856
2857 1. IQ Tests:
2858 (a) ACER
2859 (b) SRA FORM A or B
2860
2861 2. Personality Tests:
2862 (a) SIV - Survey of Interpersonal Values
2863 (b) LOQ (Leadership Opinion Questionnaire
2864 (c) Human relations Inventory
2865
2866 d. Reinstatement:
2867
2868 1. PIS (Personal Information Sheet with Auto-analysis
2869 2. IQ Test: *SRA A
2870 *Ravens Progressive Matrices
2871 3. Personality Tests:
2872 (a) Sentence completion Test
2873 (b) DAPT (Draw A Person Test)
2874 (c) GZTS
2875 (d) Hand Test
2876 (e) Applicants Risk Profiler (ARP)
2877
2878 e. Clinical Case/Patient:
2879
2880 1. Adult
2881 (a) Information Sheet
2882 (b) IQ Tests: WAIS / Ravens Progressive Matrices
2883 (Depends on the Educational Attainment)
2884 (c) Personality Tests:
2885 a) SSCT (Sack’s Sentence Completion test)
2886 b) DAPT (draw A Person test)
2887 c) BGVMT (Bender Gestalt Visual Motor test)
2888 d) TAT (Thematic Apperception test)
2889 e) Rorschach Inkblot Psychodiagnostic Test
2890
2891 f. For Schooling:
2892
2893 1. PNCO:
2894 (a) CFT (Culture Fair Test)
2895 (b) PIS (Personal Information Sheet) with Auto-analysis
2896 (c) SCT Sentence Completion Test

43 43
2897 (d) DAPT (Draw A Person Test)
2898 (e) GZTS (Guilford Zimmerman Temperamental Survey)
2899 (f) Basic Personality Inventory (BPI)
2900 (g) EPI
2901
2902 2. PCO:
2903 (a) PIS (Personal Information Sheet) with Auto-analysis
2904 (b) SCT Sentence Completion Test
2905 (c) DAPT (Draw A Person Test)
2906 (d) GZTS (Guilford Zimmerman Temperamental Survey)
2907 (e) Basic Personality Inventory (BPI)
2908 (f) LOQ
2909
2910 g. Firearms License /PTCFOR – (subject for the availability of funds)
2911 (a) IQ-RPM (Ravens Progressive Matrices)
2912 (b) PIS (Personal Information Sheet) with auto-analysis
2913 (c) DAPT (Draw A Person Test)
2914 (d) Hand Test or GZ (Guilford Zimmerman)
2915 (e) SSCT (Sack’s Sentence completion test)
2916
2917 h. Employment: (PNP and other Government Agencies – Second Priority;
2918 secure request from office and subject for approval by Dir, HS)
2919 (a) IQ – any abstract test which will suit applicant’s
2920 educational attainment
2921 (b) PIS (Personal Information Sheet with Auto-analysis
2922 (c) DAPT (Draw A Person Test)
2923 (d) SCT Sentence Completion test
2924 (e) GZTS (Guilford Zimmerman Temperament Survey)
2925 (f) BPI (Basic Personality Profile)
2926 (g) Applicants Risk Profiler (ARP)
2927
2928 i. For Bond:
2929 (a) Same as criteria for schooling.
2930
2931 Addendum:
2932 1. Applicants undergo two (2) interviews:
2933 a. Initial Interview – to be conducted by a psychologist
2934 b. Final Interview – to be conducted by a psychiatrist/NP
2935 Screener
2936 2. NP Clearance is VALID only for six (6) months.
2937 3. For reinstatement purposes, retake is only allowed ONCE
2938 and may be requested after a lapse of three (3) months.
2939 Endorsement for retake of NP issued by PTD must be
2940 presented prior to accommodation for NP exam.
2941
2942THE PSYCHIATRIC REPORT SHOULD GIVE DESCRIPTIVE DATA:
2943
2944 The NP Screener should evaluate not only the mental frame of the subject under
2945present environmental conditions but also his capacity to withstand the rigors of police
2946work. Among others, he/she should also assess the subject’s foresight, reaction or
2947behavior to future stressors or problems.
2948
2949 For purposes of recording and proper communications, the classification of
2950psychiatric disorders as carried in “DSM IV is used. Multi-axial diagnosis (axis I-V) is
2951used in writing the diagnosis.
2952
2953
2954
2955
2956DIAGNOSTIC CRITERIA:
2957
2958ACCPETABLE FOR POLICE SERVICE:

44 44
2959
2960 The objective of NP Screening which is a combination of psychiatric interview
2961and psychological test is to select individuals who, aside from having no neurologic or
2962psychiatric disorders, possess personality type appropriate and desirable for police
2963service (S1).
2964
2965 A. There are personality factors considered very important in Police
2966 Psychology. Knowledge about personal-social characteristics in the
2967 individual policeman should provide answers to the following questions:
2968 (1) Who is driven to police service and who is turned off?
2969 (2) Who adjusts well to police training and who barely
2970 passes/drop out?
2971 (3) Who perseveres under the stress of unfamiliar tasks and
2972 situational demands and who quits under fire?
2973 (4) Who is proposed for promotion and who is passed over?
2974 (5) Who is admitted to specialized police training?
2975 (6) Who makes a career of the police service and who
2976 leaves?
2977 (7) Who has a high need for achievement?
2978 (8) Who has a need for job and financial stability?
2979 (9) Who has a high need for conforming?
2980 (10) Who has a high need for authoritarianism?
2981 (11) Who shows good social adaptability and interpersonal
2982 relations?
2983
2984 B. Stuttering or stammering of a degree which has not prevented the man
2985 from successfully following a useful vocation in civilian life (S3)
2986
2987NON-ACCEPTABLE CONDITIONS FOR POLICE SERVICE:
2988
2989 Those found to be suffering from any psychiatric disorder to include personality
2990disorder as listed in DSM-IV or those by whose behavior the examiner considers as sex
2991perverts (S4).
2992
2993CONDITIONS FOR SEPARATION FROM THE POLICE SERVICE EITHER
2994THROUGH MEDICAL CHANNELS (DISABILITY SEPARATION) OR THROUGH
2995ADMINISTRATIVE OR NON-MEDICAL CHANNELS:
2996
2997 a. Separation through medical channels with recommendation for Disability
2998 Separation:
2999
3000 (1) Psychotic Disorders whether classified or otherwise not
3001 elsewhere classified which manifested themselves during
3002 service and necessitated outpatient treatment or
3003 hospitalization for definitive care and management. The
3004 practice of returning such persons with a history of
3005 psychosis to duty status upon recovery from the psychotic
3006 episode shall be discontinued.
3007
3008 (2) Organic mental disorder of whatever cause which renders
3009 the individual physically or mentally unfit to render
3010 further police service due to obvious and apparent defects
3011 as determined by a police neuro-psychiatrist. Organic
3012 mental disorder due to alcohol or psychoactive substance
3013 cannot be used as basis for complete disability discharge
3014 (CDD) but can be grounds for separate for separation
3015 from police service.
3016
3017 (3) Psychoneurotic disorders shall be considered as basis for
3018 unfitness for further police service if there is persistence
3019 and severity of symptoms so as to require hospitalization;
3020 or, if there is lack of improvement of symptoms after six

45 45
3021 (6) months of continuous hospitalization and/or
3022 treatment.
3023
3024 (4) Somatoform disorders manifested by persistent signs and
3025 symptoms after maximum benefits of hospitalization or
3026 which require repeated hospitalization, sick in quarters
3027 status, or a very protected environment.
3028
3029 (5) Adjustment disorders do not render an individual in the
3030 police service as unfit for further police service. He may
3031 be classified under S3, due to the possibilities of
3032 recurrence of similar difficulties under stressful
3033 situations.
3034
3035 b. Separation through administrative or non-medical channels (Summary
3036 Dismissal Proceedings). Personality disorders are characterized by
3037 developmental or pathological trends in the personality structure, with
3038 minimal subjective anxiety and little or no sense of distress. In most
3039 instances, the disorder is manifested by a lifelong pattern of action or
3040 behavior (acting out) rather than by mental or emotional symptoms.
3041 Occasionally, organic diseases of the brain (chronic epidemic encephalitis,
3042 head injuries, epilepsy, stroke, etc.) will produce pictures resembling
3043 character or behavior disorders. Police personnel found to be with
3044 personality disorders and psychoactive substance-use disorders shall
3045 immediately be recommended as not suited for further police service.
3046
3047 Under this category, an individual is recommended for
3048 administrative discharge for reasons of unsuitability and unfitness and
3049 when it has been determined that the individual police record is
3050 characterized by one or more of the following:
3051
3052 (1) Frequent incidents of a discreditable nature with police or
3053 civil authorities.
3054
3055 (2) Sexual perversions including but not limited to:
3056 a. Lewd lascivious acts.
3057 b. Indecent exposure.
3058 c. Indecent acts with, or assault upon, a child.
3059 d. Other indecent acts or offenses.
3060 e. Latent or overt homosexuality.
3061
3062 (3) Drug addiction or the characterized use of inhibition of
3063 habit-forming narcotic drugs or marijuana, etc.
3064
3065 (4) An established pattern for shirking from and avoiding
3066 police duties.
3067
3068 (5) An established pattern showing failure to pay just debts.
3069
3070 (6) Ineptitude: Applicable to those persons best described as
3071 inept due to lack of general adaptability, want of
3072 readiness or skill, unreadiness or inability to learn.
3073
3074 (7) Apathy (lack of appropriate interest), defective attitude
3075 and inability to expend effort constructively which is not
3076 due to physical or mental disease which may warrant a
3077 disability discharge through medical channels.
3078
3079BASIC MAJOR PARAMETERS USED IN SCREENING FOR QUALIFICATIONS
3080ARE THE FOLLOWING:
3081
3082 1) Effective intelligence

46 46
3083 2) Motivation for assignment
3084 3) Emotional stability
3085 4) Tolerance for stress
3086 5) Social relation
3087 6) Security
3088 7) Leadership qualities
3089 8) Energy and Initiative
3090 9) Manner of appearance
3091 10) Absence of neurologic and psychiatric disorders
3092
3093DIAGNOSTIC CRITERIA:
3094
3095 For purposes of these regulations, reference to standard textbooks of Clinical
3096Psychiatry shall be availed of at all times for diagnostic purposes. References to be used
3097are “The American Handbook of Psychiatry” by Arriete: “Practical Clinical Psychiatry:”
3098by Noyes; “Comprehensive Textbook of Psychiatry” by Kaplan and Freedom (3
3099volumes), Synopsis Textbook of Psychiatry by Kaplan and DSM-IV
3100
3101THE CRITERIA FOR QUALIFICATIONS AS PER INTERVIEW AND
3102PSYCHOLOGICALS:
3103
3104 a. For Reinstatement and Recruitment Applicants:
3105
3106 (1) Effective average intelligence (IQ Range of 90 and above), ability to
3107 follow orders, has the capacity to do tasks usually required, does not need
3108 more than usual supervision or support, good comprehension and adequate
3109 verbal & written communication skills.
3110 (2) No psychiatric disorder.
3111 (3) Motivation for assignment, genuine interest in police assignments and real
3112 interest in rendering police service.
3113 (4) Emotional stability, ability to govern disturbing emotions, steadiness and
3114 endurance under pressure, freedom from neurotic tendencies, and good
3115 impulse control. The ability not to be easily provoked to anger should be
3116 present.
3117 (5) Tolerance for stress:
3118
3119 a. Physical danger, gunfire, bombings and other physical threats.
3120 b. Physical discomfort: unfavorable climate, weather, environmental
3121 conditions, insufficient diet, poor living/sleeping quarters, late
3122 nightshifts.
3123 c. Strain, hard work, work overload, pressure of time, confusion,
3124 difficulty, frustration, disappointments and failures.
3125 d. Authority, arbitrary commands, imposed tasks.
3126 e. Neglect, criticism, depreciation, slow promotion, reprimand
3127 punishment.
3128
3129 (6) Social relation: ability to get along well with others, goodwill, team-play ,
3130 tact, freedom from disturbing prejudices, and freedom from annoying
3131 traits.
3132 (7) Security: Ability to keep secrets, caution, discretion. Ability to keep
3133 confidential matters to self.
3134 (8) Leadership qualities: Possess good moral/spiritual values and strong sense
3135 of integrity, reasonably aggressive, self-evoked cooperation, organizing
3136 and administering ability, acceptance of responsibilities, good work
3137 attitudes and values, sense of commitment, dedication and loyalty.
3138 (9) Energy and initiative: high activity level, zest, effort, can start work
3139 without being told.
3140 (10) Manner of appearance: Pleasing general appearance, acceptable voice
3141 quality and speech, absence of physical disabilities, no unfavorable or
3142 distracting mannerisms.
3143
3144 b. For Lateral Applicants:

47 47
3145
3146 (1) Effective average intelligence (IQ Range of 100 and above), ability to
3147 select strategic goals and the most efficient means of attaining them, quick
3148 practical thought, resourcefulness, originality, and good judgment in
3149 dealing with people, things and ideas, capacity of making sound decisions,
3150 good analytical and reasoning ability.
3151 (2) No psychiatric disorder.
3152 (3) Motivation for assignment: genuine interest in police work and in
3153 rendering police service.
3154 (4) Emotional stability: Ability to govern disturbing emotions, steadiness and
3155 endurance under pressure, freedom from neurotic tendencies.
3156 (5) Tolerance for stress (same as criteria as for reinstatement and recruitment
3157 applicants).
3158 (6) Social relations: ability to get along well with others, goodwill, team-play,
3159 tact, freedom from disturbing prejudices, freedom from annoying traits.
3160 (7) Security: Ability to keep secrets, caution, discretion. Ability to keep
3161 confidential matters to self.
3162 (8) Leadership capacity: Possess good moral/spiritual values and stress sense
3163 of integrity, reasonably aggressive, self-evoked cooperation, organizing
3164 and administering ability, acceptance of responsibilities, good work
3165 attitudes and values, sense of commitment, dedication and loyalty. In
3166 addition, should have ability to supervise and manage personnel and be a
3167 good role model. Possess self-confidence.
3168 (9) Energy and initiative: high activity level, zest, effort, can start work
3169 without being told.
3170 (10) Manner of appearance: pleasing general appearance, acceptable voice
3171 quality and speech, absence of physical disabilities, no unfavorable or
3172 distracting mannerisms; satisfactory physical qualifications.
3173
3174 c. For Annual Physical Examination (APE) and Promotion:
3175
3176 (1) No psychiatric disorder, few or transient neurotic symptoms, with no
3177 serious disturbance of life adjustment.
3178 (2) Has maintained adequate intellectual capacity required by present position
3179 and function.
3180 (3) High morale/motivation for assignment and in continued rendering of
3181 police service.
3182 (4) History of good emotional adjustment.
3183 (5) No symptoms of disability.
3184 (6) Character development. Shows progressive emotional maturity and
3185 character development.
3186 (7) Absence of symptoms of instability (emotional or psychological) under
3187 pressure.
3188 (8) In life and work performance, able to sustain good ability and
3189 effectiveness.
3190 (9) Has maintained good social relations.
3191 (10) Has maintained and developed more leadership qualities in addition to
3192 those cited above.
3193 (11) Has sustained or improved security-consciousness.
3194 (12) Energy and initiative: Has sustained high activity level, zest and effort.
3195
3196 d. For Supply Accountable and Bonded Officers:
3197
3198 (1) Qualifications for Lateral Entry Officers.
3199 (2) Absence of personality disorders and psychiatric disorders.
3200 (3) Absence of vices like gambling, drinking, and use of prohibited drugs, and
3201 mistresses.
3202 (4) High degree of integrity, honesty and trustworthiness.
3203
3204 e. For Possession of Firearms/Carrying of Firearms:
3205
3206 (1) At least average intelligence (IQ 90 and above).

48 48
3207 (2) No psychiatric disorder.
3208 (3) No neurologic disorders especially seizure disorders and movement
3209 disorders.
3210 (4) Absence of personality disorder.
3211 (5) Good moral character.
3212 (6) Good sense of responsibility and sound judgment.
3213 (7) Emotional stability and good impulse control.
3214 (8) Good social relations.
3215
3216 f. For Foreign and Local Schooling: (to include deployment for UN
3217 Mission)
3218
3219 (1) For officers: at least middle average intelligence (IQ 105 and above).
3220 (2) For Non-Officer rank: at least low average intelligence (IQ 90 and above).
3221 (3) Emotional stability, flexibility and adaptability especially under stress.
3222 (4) Good interpersonal relationship: must act as an ambassador of goodwill.
3223 (5) Shows genuine interest to learn and the ability and willingness to reecho
3224 what was learned from schooling.
3225
3226 g. For Civilian Employment:
3227
3228 (1) Effective intelligence relative to the position applied for.
3229 (2) No neuro-psychiatric disorder .
3230 (3) No personality disorder.
3231 (4) Good moral character.
3232 (5) Good social relations.
3233 (6) Good work ethics.
3234
3235 h. For retirement: No neurotic nor psychotic ideations.
3236
3237 i. For clinical Referrals: The criteria for interview and psychological
3238 evaluation will depend upon the nature of the case and the needs of the requesting
3239 party.
3240
3241 SECTION XX
3242
3243 MALINGERING
3244
3245DEFINITION:
3246
3247 The malingerer is one whose complaints of bodily disorders and whose
3248 behavior or acts are simulations of some physical or mental disease for the
3249 definite purpose of attaining an end which is more satisfactory to him or of
3250 seeking an escape from a fear-infested situation. Malingering is encountered in a
3251 number of situation but more frequently during the preliminary examination and
3252 early training periods of police service. It is likewise encountered among those
3253 policemen about to retire.
3254
3255 The simulation of neuroses and of physical disorders includes a wide
3256 variety of problems which must be differentiated from the ordinary neuroses as
3257 well as from physical illness. However, simulation is always in keeping with the
3258 extent of knowledge possessed by the individual regarding the particular disorder
3259 from which he pretends to suffer and therefore constantly changes its methods and
3260 maladies. A person gifted with histrionic talent and who has a considerable degree
3261 of knowledge and skill at his command may be able to simulate a physical or
3262 mental condition to such perfection that physicians may sometimes be deceived.
3263
3264DIFFERENTIATION:
3265
3266 a. For disorder to be classed as true malingering, it must fulfill three (3)
3267 conditions, namely:
3268

49 49
3269 (1) No obvious or frank disease or personality disorder is present.
3270 (2) The individual is consciously aware of what he is doing and of the
3271 motive responsible for his attitude.
3272 (3) He is fixed in carrying out a purpose towards a preconceived result.
3273
3274 b. When confronted with case of malingering the observer will try to
3275 ascertain how much of what constitutes the dual picture is well acted
3276 drama and consciously done, and, how much is true in part and more
3277 or less unconscious. For practical purpose these reactions may be
3278 divided into the following:
3279
3280 (1) Malingering for the purpose of attaining a definite end by
3281 simulation of a disease by one who has no past history of similar patterns
3282 of reaction but who is making an attempt to escape an emergency
3283 (temporary reaction). One feigns his symptoms as a bluff and hopes to get
3284 away with it.
3285
3286 (2) Malingering to the extent of exaggerating or capitalizing on
3287 conditions of symptoms that are present for the purpose of avoiding
3288 service. This includes an enlargement on minor physical ailments or on
3289 relatively insignificant diseases, emphasizing mild personality problems or
3290 neuroses, and over emphasis on symptoms of fatigue, etc.
3291
3292 (3) Malingering as a manifestation of psychopathic or sociopathic
3293 behavior. In intelligence, the psychopathic may be retarded, of average
3294 endowment, or superior, but he is incapable of adjustment under ordinary
3295 life conditions. The ranks of psychopathic personalities contain many
3296 persons having an irresistible tendency to alcoholism, drug addiction,
3297 sexual perversion, criminality, including a number of cranks, extremists,
3298 hoboes and queer social misfits.
3299
3300 (4) The psychoneurotic suffering from hysteria who believes in the
3301 reality of a disability, which on the surface appears to be a definite
3302 simulation, requires special investigation. The confusion of hysteria with
3303 true malingering is not infrequently made by those who consider nearly all
3304 hysterics as malingerers with symptoms that could be controlled
3305 voluntarily. Some of these psychoneurotics unconsciously exaggerate
3306 more or less their symptoms to gain their end thus emphasizing the
3307 questions of how much is associated with a change in personality. This
3308 includes hypochondriacs and individuals suffering from conversion
3309 disorders or neuro-circulatory asthenia (NCA).
3310
3311 (5) Malingering or reactions considered to be malingering may appear
3312 in those who are basically psychoneurotic, insecure and apprehensive and
3313 those with organic brain disorders where there has been a definite change
3314 in personality. These reactions, frequently confused with pure
3315 malingering, may become worse during investigation or attempted
3316 correction. This is seen in individuals suffering from Factitious Disorder.
3317
3318 It is believed that a firm, just and positive leadership is the most
3319 effective aid in the prevention of psychiatric disabilities. It is well known
3320 that there is a large group of individuals whose ability to adjust to
3321 unfavorable stress is strengthened or weakened by the prevailing attitudes of
3322 their associates. They are dependent upon the support afforded them by
3323 those people in their immediate environment and particularly by such
3324 authoritarian figures as their leaders. In all social units including the PNP,
3325 the individual is dependent on some degree upon group pressure for support
3326 and his actions are largely determined by group standards of acceptable
3327 behavior. If deviations from acceptable standards of behavior are allowed to
3328 go unchallenged by those in leadership roles, the individual may conclude
3329 that the standards are wrong or that higher authority condoned or even
3330 approves of such deviation. The loss of this important support obtained

50 50
3331 from authority may further increase the individual’s conflict between his
3332 wishes (to escape unfavorable stress) and his misbehavior. When this
3333 situation is not dealt with promptly, it is conceivable that the added
3334 conflictual, psychological burden placed upon any personality under stress
3335 may precipitate a psychoneurotic response.
3336
3337 c. Among these five (5) groups, the typical members are readily
3338 distinguished but intermediate and doubtful cases make the
3339 differentiation difficult. It should be kept in mind that it is even more
3340 difficult for a healthy person to feign disease than it is for a sick person
3341 to simulate and accentuate signal symptoms but he is practically always
3342 unable to feign the entire picture of the disease he has selected and thus
3343 experts can usually detect omissions, discrepancies and contradictions.
3344
3345FEIGNED MEDICAL DISEASE:
3346
3347 a. The detection and management of malingerers simulating medical diseases
3348 depend upon the absence of positive findings in an individual who present
3349 the general characteristics of the malingerer. There is a special need for
3350 the physical examination to be thorough in this group. Some of the
3351 cardiac cases at first regarded as malingerers may later be found to have
3352 mitral stenosis or bacterial endocarditis. Similarly, proper tests may show
3353 the existence of peptic ulcer in those suspected of feigning digestive
3354 abnormalities. The estimation of the reality of rheumatic pain is always a
3355 different matter.
3356
3357 b. Tachycardia and thyrotoxicosis may be temporarily induced by ingestion
3358 of drugs such as thyroid extracts. Eggs, albumin or sugar, may be added
3359 to urine. Canned milk may be utilized to simulate urethral discharge.
3360 Cantharides may be taken to cause albuminuria. Digitalis and strephantus
3361 may be taken to cause abnormal heart findings. The skin may be irritated
3362 by various substances. Cathartics may be taken to bring about purging or
3363 to simulate chronic diarrhea. An appearance of hemoptysis may be
3364 produced by adding blood, either human or animal, to the sputum.
3365 Sometimes, merely water is added. Those who can vomit voluntarily what
3366 they swallow use the same means to create the appearance of
3367 hematemesis. Similarly, coloring matter may be added to the stools.
3368 Mechanical and chemical irritants may be used to cause inflammation on
3369 about practically all the body surfaces. Jaundice may be simulated by
3370 taking picric acid. Artificial jaundice may be recognize by demonstration
3371 of picric acid in the urine.
3372
3373
3374
3375
3376
3377
3378FEIGNED NERVOUS OR MENTAL ILLNESS:
3379
3380 a. Psychosis = rarely feigned by individuals and usually by a silly, foolish
3381 type. In cases of doubt, hospital observation is necessary with verification
3382 of the past records. Mental deficiency is frequently feigned specially by
3383 illiterates.
3384 b. Pain and hyperesthesia = The most common of all complaints. History of
3385 inconsistent, ordinary indications of suffering is absent. Absence of other
3386 symptoms usually accompanied by pains complained of. Absence of
3387 objective or evidence of localized pain. Note behavior when the registrant
3388 believes himself unobserved.
3389 c. Anesthesia = complaint of anesthesia itself creates a suspicion of
3390 malingering as most patients with anesthesia are ignorant of it.
3391 d. Epilepsy = Men who have sustained head injuries may claim fits. These
3392 complaints may be in reference to grand mal or petit mal. Petit mal

51 51
3393 attacks are spoken of as fainting attacks. In grand mal attacks, there is loss
3394 of pupil response to light, knee jerks are lost and the Babinski reflexes
3395 may be present.
3396 e. Hysteria = Not feigned in itself, but its existence creates confusion as in
3397 malingering. The question to be decided is whether the individual is too
3398 seriously affected with neurosis to work as a policeman.
3399 f. Stiff Backs -= Stiff back is a frequent symptom of hysteria immobilization
3400 among affected men. In cases of this kind, organic diseases of the
3401 vertebrae can and will be excluded if necessary by X-ray.
3402
3403FEIGNED SURGICAL CONDITIONS:
3404
3405 a. Included under these are old scars and injuries of the bones, fracture and
3406 orthopaedic conditions. Others would cut off their fingers and toes,
3407 usually on the right side, to disqualify themselves for service. Some may
3408 cut their hands albeit with care for this purpose. Retention of urine may
3409 be simulated. Crutches, braces, strappings, or trusses may be used to give
3410 the appearance of disability. Wounds are rarely self-inflicted when
3411 witnesses are present, consequently it is almost impossible to be certain of
3412 malingering in some cases. Substance may be injected under the skin to
3413 create abscesses.
3414 b. The motivation in self-inflicted wounds is a complicated psychological
3415 phenomenon. A type of personality is recognized as “accident prone” as
3416 attested by long experience in industrial plants, where 90% of all accidents
3417 occur in 16% of the workers. Most self-destructive attempts, both
3418 mutilation and suicide, are symptoms of grossly abnormal mental status
3419 and many of these mental conditions are not classified as psychotics
3420 (insanity). Such accidents are recognized to occur in mentally associated
3421 stated such as amnesia or fugues. Individuals with psychoneurosis of
3422 certain types are known to attempt self destruction, either by incomplete or
3423 successful suicides. In all cases therefore, not only is it essential to
3424 exclude the self-inflicted wound as a symptomatic expression of mental
3425 illness but it is also necessary to prove intent to evade duty.
3426
3427SIMULATED DEFECTS OF VISION AND HEARING CAN BE DETERMINED BY
3428TESTS PRESCRIBED IN THE SECTIONS FOR EYES AND EARS:
3429
3430BED WETTING:
3431
3432 Bonafide severe enuresis substantiated by a physician’s affidavit or other
3433acceptable documentary evidence is cause for unconditional rejection.
3434
3435GENERAL CONSIDERATIONS:
3436
3437 a. All men suspected of malingering will be subjected
3438 immediately to a thorough psychiatric survey, which will include a careful
3439 history of their previous behavior and adjustment record and a complete
3440 physical, neurological and laboratory evaluation. Observations in the
3441 hospital may be required. Suspected malingerers found suffering from
3442 definitive psychoneurosis and others in whom signs of mental disorders
3443 are detected will be rejected from the police service.
3444
3445 b. Whenever it appears to an examining physician that an
3446 individual is endeavoring to escape service by malingering, if otherwise
3447 mentally and physically fit, he will definitely not be accepted.
3448
3449
“S”
NEUROPSYCHIATRIC
No neuropsychiatric disorder
P1 No Neurologic nor
Psychiatric disorder.

52 52
 P2 No intermediate grade

P3 Transient situational reaction.

Psychoneurotic disorders.
Adjustment Disorder
Psychosomatic disorders.
Psychosis, moderate or severe
Major Mood Disorders (Unipolar or
Bipolar)
Chronic psychoneurosis, Severe
Transient psychoneurosis (situational)
PPSR and personality Disorders
Marked degrees of character and
behavior disorders
Organic Mental Disorders of any Causes
P4 Mental deficiency
State the type, severity and duration of
the psychiatric symptoms or disorders
existing at the time the profile is
determined.

Identify presence of external

Precipitating stressors

Predisposition as determined by the

basic personality make-up or pre-morbid
personality

Intelligence Performance. – marked

deterioration of intellectual or mental
faculties severe memory impairment.

History of previous psychiatric disorders

and impairment of the functional
capacity.
3450
3451
3452
3453
3454
3455 SECTION XXI
3456
3457
3458 EXAMINATION OF FEMALES
3459
3460
3461EXTREME CARE SHOULD BE TAKEN TO ENSURE PRIVACY DURING EXAMINATIONS.
3462FEMALE PATIENTS WILL WEAR A SURGICAL GOWN AFTER DISROBING. EXAMINATION
3463WILL BE CONDUCTED IN THE PRESENCE OF A FEMALE ATTENDANT.
3464
3465
3466HEIGHT AND WEIGHT STANDARDS (See Section IV, Table I and Section IV, TABLE 3).
3467
3468
3469
3470THOROUGH BREAST EXAMINATION:
3471
3472 Inspection of the breast should be done first with patient sitting erect with her arms raised. The
3473supraclavicular areas and the axillae are then palpated with the patient sitting erect and in supine positions.
3474Masses in the breast are best determined by palpation with the flat surface rather than the tips of the fingers.
3475The medial portion is initially examined first with the patient’s arms raised. Palpation of the lateral portion
3476of the breast is then performed with the patient’s arms at her side. The ducts and nipples should be
3477compressed. Attention should be directed to symmetry of form and mass, whether there is any retraction or
3478dimpling of the skin, retraction or inversion of one or both nipples.
3479

53 53
 3480
3481EXAMINATION OF THE ABDOMEN:
3482
3483 Examination of the abdomen is done by inspection, noting the presence of scars, striae, distortion,
3484dilated veins, and umbilical eversion. The patient is then asked to raise her head and cough; this will
3485delineate hernia or diastasis recti.
3486
3487 Both groins are inspected and palpated. Enlargement of superficial inguinal nodes may be associated
3488with STD, such as syphilis, granuloma, chancroid, lymphopathia venereum, and varying degrees of
3489ulceration, so called buboes, may be revealed. The patient should be asked to raise her head and cough,
3490careful examination should be performed for detection of inguinal and femoral areas.
3491
3492
3493PELVIC EXAMINATION:
3494
3495 The pelvic examination should be carried out with the patient on an examining table with the legs
3496supported in stir-ups and adequately abducted (lithotomy position). The buttocks should be just beyong end
3497of the table. Good light is essential.
3498
3499 The patient is instructed to urinate prior to examination.
3500
3501 Observe the distribution of the pubic hair as well as its color and texture. It is darker and coarser than
3502the remainder of the body hair. In familial hirsutism, hair may extend into abdominal wall toward the
3503umbilicus similar to the male excutcheon. Extensive distribution of hair under the abdomen, if associated
3504with abdominal hair on the face, chest, and other body surfaces, suggests the possibility of disturbed
3505ovarian or adrenal function or both. Labia majora and minora are inspected for ulcerations, discoloration,
3506furuncles, or papillomatus growths. Note for pruritus vulvae suggestive of monilial or trichomonas
3507vaginitis.
3508
3509 The condition of the hymen is assessed. If the hymen is intact or admits one finger with difficulty,
3510rectal examination is done to assess the female reproductive organs. If the hymen is not intact or admits one
3511finger with ease, vaginal speculum is inserted without lubrication and a small amount of vaginal discharge
3512is obtained for gram staining. Cervis is inspected for erosions or masses or polyps. The internal
3513examination is done where abnormalities of the vagina is noted and consistency of the cervix is determined.
3514Normal position of the uterus is anteversion with some anteflexion of the corpus on the cervix. To palpate
3515the uterus, the simplest method is to place the 2 vaginal fingers under the cervix and elevate it and the
3516uterine corpus toward the abdominal wall. The external hand is gently placed on the abdomen with the
3517fingers flat and is moved about from below the umbilicus to the symphysis. Information as to the size,
3518shape and consistency is determined. The adnexal areas are also palpated. The size, shape, consistency,
3519mobility, position and tenderness are noted.
3520
3521
3522ACCEPTABLE:
3523
3524 a. Females are not expected to have same strength and stamina as men. They should however at
3525 least satisfy the required exercise standard without weights for service support candidates (P3)
3526 except female PNPA candidates, who shall satisfy P1 Profile.
3527
3528 b. Vaginitis: cervicitis that is not recurrent or remediable be medications.
3529
3530
3531NON-ACCEPTABLE: (P4)
3532
3533 a. Dysmenorrhea which interfere with active PNP service.
3534
3535 b. Metorrhagia.
3536
3537 c. Amenorrhea not due to physiological cause.
3538
3539 d. Growths and masses in the breast, absence of one or both mammary glands, congenital
3540 abnormalities in number, shape and position.
3541
3542 e. Absence of the portion of the reproductive organs, masses, cervicitis and vaginitis (recurrent),
3543 uterine tumors, ovarian new growth.
3544
3545 f. History of previous major operations, in any part of the female reproductive organs.
3546
3547 g. Hernia, congenital or acquired such as inguinal, femoral or umbilical.
3548
3549 h. Hermaphrodism.
3550
3551CONDITIONS FOR DISABILITY SEPARATION:
3552

54 54
3553 a. Cystitis, per se, does not render the individual physically unfit. However, the residual
3554 symptoms or complications may in themselves render the individual physically unfit.
3555
3556 b. Endometriosis.
3557
3558 c. Menopausal syndrome, either physiologic or artificial with more than mild mental and
3559 constitutional symptoms.
3560
3561 d. Cystectomy or enucleation.
3562
3563 e. Hysterectomy, per se, does not make an individual physically unfit; however, residual
3564 symptoms or complications may render the individual physically unfit.
3565
3566 f. Oophorectomy when following treatment and convalescent period, there remain more than
3567 mild mental or constitutional symptoms.
3568
3569 g. Sexually transmitted diseases:
3570
3571 (1) Aneurysm of the aorta due to syphilis.
3572
3573 (2) Atrophy of the optic nerve due to syphilis.
3574
3575 (3) Symptomatic neurosyphilis in any form.
3576
3577 (4) Complications or residuals of venereal disease of such chronicity or degree that the
3578 individual is incapable of performing useful police duty.
3579
3580 h. Auto-Immune Disease System (AIDS)
3581
3582
3583
3584 SECTION XXII
3585
3586 REPORTS, RECORDS AND RESCISSION
3587
3588
3589FORMS USED:
3590
3591
3592 a. All reports of medical examination will be based one the provisions of these regulations and
3593 will be rendered in the Report of Medical Examination Form.
3594
3595 b. Examination of the civilian employees will be based on the standards prescribed by the Civil
3596 Service Commission and reported on the same form prescribed for PNP personnel.
3597
3598
3599GENERAL INSTRUCTIONS FOR FILLING UP RME FORM:
3600
3601 a. Item 1 - Last name, first name, middle name (complete).
3602
3603 b. Item 2 - Rank.
3604
3605 c. Item 3 - Badge/ID number.
3606
3607 d. Item 4 - Home address.
3608
3609 e. Item 5 - Purpose of examination. State whether for recruitment, lateral entry,
3610 annual PE, promotion, retirement, discharge, disability separation,
3611 report of pregnancy, etc.
3612
3613 f. Item 6 - Date of exam.
3614
3615 g. Item 7 - Sex
3616
3617 h. Item 8 - Age
3618
3619 i. Item 9 - Years of PNP service
3620
3621 j. Item 10 - Assignment
3622
3623 k. Item 11 - Date and place of birth.
3624
3625 l. Item 12 - Name, relationship and address of next kin.
3626

55 55
3627 m. Item 13 - Examining facility, ex: PNPGH.
3628
3629 n. Item 14 - Requesting office.
3630
3631 o. Item 15 - Height (Bare Feet) in cm or meters.
3632
3633 p. Item 16 - Weight (Stripped) in kilograms.
3634
3635 q. Item 17 - Build
3636
3637 r. Item 18 - Color of Hair
3638
3639 s. Item 19 - Color of Eyes
3640
3641 t. Item 20 - Head, Face, Neck, and Scalp
3642
3643 u. Item 21 - Nose
3644
3645 v. Item 22 - Sinuses
3646
3647 w. Item 23 - Mouth and Throat
3648
3649 x. Item 24 - Ears
3650
3651 y. Item 25 - Whispered Voice Test
3652
3653 z. Item 26 - Eyes
3654
3655 aa. Item 27 - Vision (Distant, Near)
3656
3657 bb. Item 28 - Color Vision
3658
3659 cc. Item 29 - Heart. Include statement on cardiac configuration.
3660
3661 dd. Item 30 - Vascular System
3662
3663 ee. Item 31 - Lungs and Chest
3664
3665 ff. Item 32 - Abdomen / Viscera
3666
3667 gg. Item 33 - Anus and Rectum
3668
3669 hh. Item 34 - Endocrine system. Include previous subtotal thyroidectomy and other
3670 operations with dates.
3671
3672 ii. Item 35 - GU System. For males, should include statement of examination of
3673 prostate.
3674
3675 jj. Item 36 - Upper Extremities
3676
3677 kk. Item 37 - Lower Extremities
3678
3679 ll. Item 38 - Spine and musculo-skeletal system
3680
3681 mm. Item 39 - Skin and Lymphatics. Identifying body marks especially moles and
3682 pigmented areas.
3683
3684 nn. Item 40 - Pelvic. For females, should include character of menses and parity.
3685
3686 oo. Item 41 - Neurologic
3687
3688 pp. Item 42 - Pschiatric. Should attach an NP Examination Report properly signed by
3689 a PNP Psychiatrist/NP Screener.
3690
3691 qq. Item 43 - Vascular System
3692
3693 rr. Item 44 - BP
3694
3695
3696 ss. Item 45 - Dental Classification. Should be completely filled up as required by
3697 regulations and the official dental form.
3698
3699 tt. Item 46-49 - Should enter final readings of medical specialists in the areas
3700 concerned.

56 56
 3701
3702 uu. Item 50 - Drug Test.
3703
3704 vv. Item 51 - Other tests. Specify kind of tests done.
3705
3706 ww. Item 52 - History/summary of defects noted. If any, enter in the NOTES space
3707 provided for at the right side of the form. Describe every abnormality in
3708 detail. Enter pertinent item number before each comment. Use back
3709 page if necessary.
3710
3711 xx. Item 53 - Recommendation. State whether the PE fulfills the purpose for which
3712 undertaken.
3713
3714 yy. Item 54 - Physical Profile Serial classification. Fill the corresponding spaces for
3715 the P, U, L, H, E, and S.
3716
3717 zz. Item 55 - Overall Physical Evaluation. State whether FIT or UNFIT for police
3718 service.
3719
3720
3721REPORTS OF MEDICAL – DENTAL BOARDS:
3722
3723 a. All Reports Of Medical Examinations (RME) should be signed by the Chairman, the Chief of
3724 PE Section and the Dental Officer of the respective HS unit.
3725
3726 b. The Medical-Dental Board, NHQ PNP reviews RME forms for purposes of lateral entry,
3727 officers’ promotions, schooling abroad, special training/course and Disability Separation.
3728
3729 c. The Medical-Dental Board of the HS unit reviews RME forms for purposes of recruitment,
3730 annual PE, PNCO promotions, local schooling, discharge, retirement, and employment of
3731 civilians.
3732
3733
3734ACTION OF THE DIRECTOR, HEALTH SERVICE:
3735
3736 The Director, Health Service is the reviewing officer of the Reports of Medical Examinations. If he
3737concurs with the reports, he affixes his signature to the final PE form. If not, he writes the new
3738classification and recommendation diagonally across the front of the forms and signs it. One copy is
3739retained in his office for personnel health records file.
3740
3741 SECTION XX111
3742 RESCISSION
3743
3744 All memo circulars and directives, inconsistent with this Circular are hereby rescinded.
3745
3746 SECTION XXIV
3747 EFFECTIVITY
3748
3749 This Circular shall take effect immediately after publication.
3750
3751
3752
3753
3754
3755
3756 OSCAR C CALDERON
3757 POLICE DIRECTOR GENERAL
3758 Chief, Philippine National Police
3759
3760
3761 RESTRICTED
3762
3763
3764
3765
3766
3767
3768
3769
3770
3771
3772
3773
3774

57 57
3775
3776
3777
3778
3779
3780
3781
3782
3783
3784
3785
3786

58 58