Family Medicine

1 = student says – “I evaluate external ear and palpate lymphatic node”. After palpation student says – “External ear without visible pathology, lymph nodes non palpable”

1 = otoscope turned on successfully

1 = patient's head turned sideways, the ear is pulled up, back and a little off the head

1 = when examining the right ear keep otoscope in right hand, examining the left ear keep otoscope in left hand. In visual controls end of the otoscope should be placed at the ear tragus part and only then move eye to otoscope. The nozzle can be moved forward only in visual control.

1 =  student names correct finding

( normal, ear wax, foreign body)

1 = puts on a single use nozzle or disinfects the nozzle of the peak flow meter  using real alcohol wipe

1 = student checks whether the indicator is in “0” position

1 = describes the procedure: You will have to exhale 3 times. Hold the peak flow meter with both hands and put the mouthpiece in your mouth, secure the nozzle with lips. Make sure that flow indicator is not pressed by hand

1 = maximum inspiration and expiration performance is evaluated visually.

Expiration should be done through mouth fluently.

1 = correctly interprets a theoretical result using table and knowing age, sex and height of the theoretical patient

1 = student says – breast symmetry without visual pathology, skin without damage

1 = above and below the clavicle on both sides. Palpate all group lymphatic nodes in axillary cavity - front, medium and posterior

1 = breast palpation from the periphery to center in a clockwise direction

1 = nipple and areolar regions is palpated

1= correct lymph node finding

1 = properly put on both gloves

1 = student says – student inspects area around anus and explains that anal region is inspected for fissures, haemorrhoids, fistulas, inflammation

1 = lubricant is used

1 = Palpates the prostate, commenting that prostate size, symmetry and shape are evaluated”. Gently rotates finger 3600 (or 180 to the right and 180 to the left). Student removes the finger from rectum, checks the colour of the faecal material on the removed finger; wipes the excess lubricant around anus and thanks the patient

1 = student correctly interprets the findings   (normal prostate, enlarged prostate, suspected carcinoma)