• Candidate Instructions
  • Actor Instructions
  • Mark Sheet
  • Score

Location: you are a foundation doctor in general practise

Patient: 25 year old male


– 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
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
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

Palpation Palpation
Examines testes individually
Spermatic cord

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

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
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?