During the Walk and Turn test, how many distinct clues are produced when a subject steps off the line twice and raises arms for balance twice?

In the Walk and Turn test, the evaluation of a subject's performance involves identifying distinct clues indicative of impaired performance. Each action a subject takes that deviates from the prescribed procedure is counted as a separate clue.

When a subject steps off the line, this is counted as one clue for each instance of deviation. In this case, if the subject steps off the line twice, that accounts for two distinct clues. Additionally, when the subject raises their arms for balance, this behavior is also identified as a clue of poor performance. Since the subject raises their arms twice, this adds two more distinct clues to the overall count.

Adding these together, two clues for stepping off the line and two clues for raising the arms results in a total of four distinct clues. Consequently, the correct interpretation of the actions performed during the Walk and Turn test leads to identifying a total of four distinct clues: two from stepping off the line and two from raising the arms.