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The University of Medical Sciences & Technology

Faculty of Medicine
Department of Surgery

Date: ……………………………. Centre: ……………………….


Candidate Name:……………………………..
……………… :Candidate index number: …………………………………… Session
STATION: Inguinal hernia

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(ask the patient to stand up) & - 1 2
Adequate exposure of the site 2
Inspection
Site, Size, Shape and extension of the lump 0 1 2 3 4
Palpation
Hotness, Tenderness 0 1 2
0 1
Examination of the scrotal contents 0 1
Expansile cough impulse - 2
2
Reducibility test 0 1 2
Performing Deep ring occlusion test - 1 2
2
Examination of the other inguinal side 0 1
Examination of the abdomen for masses or ascites 0 1
Mention Per Rectum Examination for prostate 0 1
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 = ………./ 33

Examiner signature: …………… Examiner name…

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