The University of Medical Sciences & Technology

Faculty of Medicine
Department of Surgery

Date: ……………………………. Centre: ……………………….

Candidate Name: ……………………………………………………………………..
……………… :Candidate index number: …………………………………… Session
STATION: Hydrocele

Steps
He washed his hand before starting examination 0 1
Introduce himself, Greets the patient & take permission 0 1 2 3
positioning of the patient & Adequate exposure of the site 0 1 2
Inspection
Ask the patient to stand up and to lie down - 2
2
Site, Size, Shape, Color and extension of the lump 0 1 2 3 4
Palpation
Hotness, Tenderness and consistency 0 1 2
Can you get above it or not - 2
2
Palpation of the testicle (Can be felt separately from the 0 1
swelling or not)
Fluctuation test 0 1 2
Trans- illumination test - 2
2
Percussion over the lump (Dull) 0 1
Examination of the scrotum on the other side 0 1 2
General examination
Examination of the abdomen for Para-aortic lymph nodes 0 1 2
Generic Skills
Carrying the examination in systematic way 0 1 2
Reacts appropriately to patient’s discomfort 0 1 2
He covered the uncovered area & thanks the patient 0 1
He washed his hand after completion of the examination. 0 1
Incorrect diagnosis, Correct, differential diagnosis 0 1 2
Global assessment U B S G E
Total = …………… / 34

Examiner name: ……………………

Examiner signature: …………………………