My guys go for a yearly. They get whatever shots they are going to get (if any). The vet listens to their heart/lungs. Palpates them. Looks at their teeth and eyes. Asks how and what they are eating. Checks their coat. Starting this year MowMow will be getting a full blood workup yearly (he turns 8ish next month..ish). My vet usually offers to snip their nails while they are there but all the times I'd already done them.