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The phrase "a firm examination" is correct and usable in written English
It can be used when referring to a thorough and rigorous assessment or analysis of a subject or situation. Example: "The committee conducted a firm examination of the proposed policy changes before making their decision."
Exact(2)
Each patient was examined supine on a firm examination table.
In brief, each subject was examined supine on a firm examination table.
Similar(57)
In a firm-specific examination, though, such an approach would probably narrow the scope of research by limiting the examined cases and by completely disregarding unannounced events or firm-specific events.
Fat necrosis is often palpable, manifesting as a firm mass at physical examination, and the appearance can mimic that of tumor recurrence at both clinical evaluation and mammography.
On examination, a firm, non-tender mass could be palpated in the inferior portion of the superior orbital rim (Figure 5A).
At recto-vaginal examination, a firm nodule was palpable at the right sacro-uterine ligament; the uterus was of normal size and mobility.
On examination, a firm, tender right prostatic nodule was noted.
Examination revealed a firm, palpable mass in the region of the lacrimal gland (Figure 2A).
Asymmetrical laxity of the joint is present on examination but a firm end point is present.
Physical examination revealed a firm to hard, tender swelling over the anteromedial aspect of proximal third of left leg.
This usually presents as a firm nodule on digital rectal examination and elevated PSA, thus mimicking PCa.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com