• Candidate Instructions
  • Actor Instructions
  • Mark Sheet
  • Score

Location: you are a foundation doctor in general practise

Patient: 25 year old male

Task:

– Examine this patients external genitalia
– At 5 mins you will be asked to present your examination
– The examiner will then ask you a series of questions

You are a 25 year old patient, you are happy to be examined. This is an examination station

Category Question
Done
Excellent
Introduction Candidate appropriately introduced themselves with:
Full name
Medical school / year / grade
Clarifies who they are talking to
Asks patient for preferred name


Examination introduction
Washes hands
Chaperone
Explains examination and gains consent
Appropriately exposes patient (underwear removed, laying flat)


Inspection Inspection: testes
Enlargement / obvious testicular change
Obvious skin changes


Inspection Inspection: penis
Rash
Discharge


Palpation Palpation
Examines testes individually
Spermatic cord
Epididymis


If swelling present
Candidate attempts to get above it
Checks for groin swelling
Comments if swelling is attached or separate from testes
Attempts to transilluminate with torch


Completion
Wash hands
Thanks patient
Invites to redress


Question Please present your findings:
No overlying scrotal skin changes
Palpate both right and left testis, smooth boarders with no obvious mass
No transillumination
Epididymis and spermatic cord can be palpated as distinct entities
Not painful to examine


Question What are the systemic symptoms of testicular malignancy?
Weight loss
Fatigue
Night sweats


Question What is the most important investigation to do in suspected testicular malignancy?
Testicular ultrasound


Question What blood tests can be done for suspected testicular cancer?
AFP
b-HCG



Score