Which of the following is NOT part of an effective physical exam?

Asking the patient for their preferred treatment is not considered a standard part of a physical exam. An effective physical exam focuses on objective assessments and observational checks that aid in diagnosing and managing a patient's condition.

The physical exam typically includes checking for medical identification, taking vital signs, and conducting a thorough head-to-toe assessment, which can involve palpating for tenderness. These elements provide critical information directly related to the patient’s current state and do not rely on the patient’s personal preferences. In contrast, asking for treatment preferences does not help in the immediate evaluation of the patient's physical health. While understanding a patient's preferences is important for overall treatment planning and rapport building, it is distinct from the physical examination process itself.