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Page 1: Clinical Skills Manual 2013

8/10/2019 Clinical Skills Manual 2013

http://slidepdf.com/reader/full/clinical-skills-manual-2013 1/44

Page 2: Clinical Skills Manual 2013

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 ACKNOWLEDGEMENT:

The college is grateful to all the e!ers fro facult" of College of Me#ici$e i$ Al 

 Ahsa% for their acti&e co$tri!utio$ i$ the tiel" co'letio$ of this a$ual a$# its

i'lee$tatio$ strateg"(

 Me!ers De'arte$t of Surger"

 Dr. Hamad Al Wadhani

 Me!ers De'arte$t of I$ter$al Me#ici$e

 Dr. Amr Darwaish

 Me!ers De'arte$t of )ail" a$# Cou$it" Me#ici$e

 Dr. Waseem Suleman

 Me!ers of Cli$ical Neuroscie$ces

 Dr. Shahid Masud Bai 

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BASIC CLINICAL SKILLS COURSE (BCS)

COLLEGE OF MEDICINE IN AL-AHSA

Venue : Skills La! Cen"#al Buil$in%! C&lle%e &' Me$iine

C#e$i" H&u#s :

*i+e : ,:. a+-:/. a+  Female S!uden!s 

0:1 2+ 3 :1 2+  Male S!uden!sDu#a"i&n &' &u#se : 4 5eeks

AIMS OF *HE COURSE

Teaching and ea!ning a!e c"n#in$"$%& changing '!"ce%%( The #eaching and ea!ning %)i% a!e *eing%hi+#ed #",a!d% #he '!"ce%% "+ %e+ ea!ning ,he!e*& %#$den#% a!e enc"$!aged #" dee"' %)i% and)n",edge #h!"$gh die!%i+ied ea!ning !e%"$!ce% %$ch a% !eading .a#e!ia #h!"$gh E-ea!ning/C".'$#e! a%%i%#ed ea!ning0( The cinica %)i% c"$!%e ,i *e a *!idge #",a!d% '!e'a!a#i"n "+ %#$den#%+"! a''ica#i"n "+ #hei! *a%ic %cience% )n",edge in#" cinica .edicine(

H",ee! in #he dee"'.en# "+ cinica c".'e#encie% ce!#ain *a%eine '!inci'e% a!e nece%%a!& #" *e

+"",ed( The%e *a%ic cinica c".'e#enc& and %)i% can *e *e##e! ea!ned "n %i.$a#ed ."d$e% %" #ha# *& #he #i.e %#$den#% a''!"ach #" #he !ea 'a#ien# #he& %h"$d *e c".'e#en# and c"n+iden# en"$gh #"a''& #hei! %)i% ,i#h .ini.$. .en#a and 'h&%ica ag"n& #" a!ead& %ic) 'a#ien#( On %i.$a#ed."d$e% #he %#$den#% ,i hae adan#age "+ !e'ea#ing ea.ina#i"n% and '!"ced$!e% #i #he& *ec".e

c"n+iden# en"$gh #" #!an%a#e #hei! %)i% "n 'a#ien#% ,i#h"$# an& '!"*e.(

OB6EC*IVES:

A" "7e en$ &' "7e &u#se! "7e s"u$en"s a#e e82e"e$ "& e ale "&:

1( De."n%#!a#e *a%ic c"..$nica#i"n %)i%(

2( O*#ain .edica hi%#"!& in a %#!$c#$!ed +"!.a#(3( 4e!+"!. 'h&%ica ea.ina#i"n in a %&%#e.a#ic .anne!(5( U%e a''!"'!ia#e& c".."n diagn"%#ic aid% %$ch a% %#e#h"%c"'e !e+e ha..e! #$ning

+"!) *""d '!e%%$!e a''a!a#$% .ea%$!ing #a'e "'h#ha."%c"'e "#"%c"'e e#c(6( 4!ac#ice a%e'#ic #echni7$e% in #he h"%'i#a %e#$' %$ch a% handing "+ *i""gica %a.'e% i%i# #" "'e!a#i"n #hea#!e a*"!a#"!ie% e#c(

8( Iden#i+& and $%e a''!"'!ia#e& c".."n e7$i'.en#% %$ch a% $!ina!& ca#he#e!% na%"ga%#!ic#$*e% in+$%i"n and in9ec#i"n %e# e#c(

:( A''& '!inci'e% "+ *a%ic i+e %$''"!#(

The%e cinica %)i% ,i *e ea!n# "n d$..ie% and .ani)in% in #he %#anda!d and '!"+e%%i"na .anne!(

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CLINICAL SKILLS LAB

IM9LEMEN*A*ION S*RA*EG

( ;#h &ea! ca%% ,i *e diided in#" #," g!"$'% /G!"$' 1 < 20( G!"$' 1 ,i a##end #he c"$!%e "nT$e%da& ,hie G!"$' 2 ,i a##end "n M"nda&(

( The!e ,i *e gene!a "!ien#a#i"n "+ #he %#$den#% "n +i!%# ,ee) "+ c"$!%e( S#$den#% ,i *e

in+"!.ed a*"$# c"nce'# "+ '!e-!eading "+ !eean# #e# and '!e-ie,ing "+ !eean# ide" +"!ne# ,ee) #"'ic(

( On #he da& "+ %e%%i"n %#$den#% ,i *e +$!#he! diided in#" 3-; %$*-g!"$'%( Each %$*g!"$'a"ng ,i#h i#% +acii#a#"! ,i *e a"##ed a cinica a!ea +"! ea.ina#i"n(

( The +acii#a#"!% ,i de."n%#!a#e cinica %)i% "n %i.$a#"!( D$!ing #hi% ee!ci%e %#$den#% ,i

 *e enc"$!aged #" a%) an& 7$e%#i"n% !ea#ed #" #he ea.ina#i"n(

( Each %#$den# ,i *e a%)ed #" 'e!+"!. cinica %)i% in #he '!e%ence "+ +acii#a#"!( The+acii#a#"!% ,i he' and g$ide %#$den# "+ an& %h"!#+a in #he 'e!+"!.ance "+ %)i%(

( A+#e! #hi% ee!ci%e #he %#$den#% ,i *e gien "''"!#$ni#& #" '"i%h #hei! cinica %)i%

#h!"$gh %e+ ea!ning(

( In #he end each %#$den# ,i *e !eea$a#ed !ega!ding c".'e#enc& "+ #hei! cinica %)i%(

( I# i% .anda#"!& +"! each %#$den# #" +i and %$*.i# #he Hand% "n %e%%i"n ea$a#i"n +"!.( A"$n#ee! a."ng #he %#$den#% ,i *e %eec#ed "n +i!%# ,ee) #" c"ec# #hi% +"!.(

( L"g +"!.% %h"$d *e %igned a+#e! "*%e!ing #he 'e!+"!.ance "n #he %a.e da&(

S9ECIFIC INS*RUC*IONS FOR S*UDEN*S

( D$!ing ea$a#i"n "+ cinica %)i% %#$den#% a!e e'ec#ed #" *e %ien# < '!".'#ing

%h"$d *e a"ided(

( Each %#$den# %ha *e ,ea!ing ,hi#e c"a#(

( Sign &"$! a##endance "n #he de%igna#ed %hee# in a",ed #i.e in each %e%%i"n(

( =!ing &"$! ",n *a%ic #""% "+ ea.ina#i"n /%ee a''endi0

( Read #he !ec"..ended *"") +"! cinica .e#h"d% /%ee a''endi0

( 4!ac#ice and 'e!+"!. ea.ina#i"n +!". !igh# %ide "+ #he *ed(

( Se+-in#!"d$c#i"n and 'e!.i%%i"n #" ea.ina#i"n i% "*iga#"!&(

( Ge# &"$! "g +"!.% %igned "n #he da& "+ %e%%i"n < %$*.i# i# a# #he end "+ c"$!%e *e+"!e +inaea.ina#i"n(

( Fi and %$*.i# #he Hand% "n %e%%i"n ea$a#i"n +"!. +"! each %e%%i"n(

;

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S9ECIFIC INS*RUC*IONS FOR FACILI*A*OR (F)

M"%# "+ #he %)i% ,i *e de."n%#!a#ed and ea$a#ed "n %i.$a#"!% and .ani)in%(

( A F a!e !e7$i!ed #" a##end #he '!e %e%%i"n .ee#ing "n Sa#$!da& in #he %a.e ,ee) '!i"! #" #he%e%%i"n(

( The F ,i adi%e #he %#$den# #" 'e!+"!. ea.ina#i"n +!". !igh# %ide "+ #he *ed(

( The F ,i adi%e and g$ide #he %#$den#% a*"$# #he i.'"!#ance "+ %e+-in#!"d$c#i"n and ge##ing 'e!.i%%i"n #" ea.ine #he 'a#ien#(

( A+#e! c".'e#i"n "+ #he 'a!#ic$a! %)i *& #he %#$den# #he F ,i highigh# #he .i%#a)e% and,i de."n%#!a#e #he c"!!ec# ,a& "+ ea.ina#i"n %eg.en#(

( The F ,i adi%e %#$den#% !ega!ding '!"'e! e'"%$!e and '"%i#i"ning "+ #he 'a#ien# *e+"!eea.ina#i"n(

( The F ,i )ee' #he *a%ic di%ci'ine "+ cinica ea.ina#i"n in +"!. "+ In%'ec#i"n 4a'a#i"n4e!c$%%i"n and A$%c$#a#i"n(

5

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E;ui2+en"s '&# Basi Clinial Skills &u#se

The +"",ing ,"$d *e !e7$i!ed +"! =a%ic Cinica S)i% /=CS0 c"$!%e and a%" in &"$! 9$ni"! and%eni"! ce!)%hi'%>-

1( ?hi#e c"a#%2( S#e#h"%c"'e /#hic) ,a #$*ing a% %h"!# a% '"%%i*e and '!e+e!a*& ,i#h *e and dia'h!ag.03( 4enigh#;( ?a#ch5( T"ng$e de'!e%%"!%6( Fei*e !$e! and .ea%$!ing #a'e

8( Cinica The!.".e#e! :( S'h&g.".an".e#e! @( Re+e ha..e! 1( T$ning +"!)% "+ 12: HB and 512 HB11( Di%'"%a*e %a+e#& 'in%12( C"##"n %,a*

An"#he! #"" "+ i..en%e i.'"!#ance ,i *e #he "'h#ha."%c"'e and "#"%c"'e and .a& *e "'#i.a #"

 *$& a g""d 7$ai#& %e# n",(

RECOMMENDED BOOK FOR 9RE-READING

1( H$#chi%"n% Cinica Me#h"d%( Edi#ed *& Michae S,a%h 28 22nd edi#i"n( 4$*i%hed *& ?(=(Sa$nde!%(

ADDI*IONAL READING

2( An In#!"d$c#i"n #" #he S&.'#".% and Sign% "+ S$!gica Di%ea%e *& N"!.an =!",%e(3( =a#e% G$ide #" 4h&%ica Ea.ina#i"n and Hi%#"!& Ta)ing( L&nn S =ic)e& 4e#e! G Siag&i 

/A$#h"!%0( 1#h Edi#i"n( Li''inc"## ?iia.% < ?i)in%( 21(

9RE-VIE<ING

h##'>,,,(ea!ne!%#(c".ec#$!e%('h'c"$!%e#32<ca#Medica<'age1

h##'>,,,(c"nn#$#"!ia%(c".ide"(h#.

h##'>ide"%(.ed(,i%c(ed$#ag%1:@

h##'>.edin+"($+(ed$"#he!"'e#ainde(h#.

h##'>,,,(.ed-ed(i!ginia(ed$c"$!%e%'".14h&%icaEa.Lin)4age(c+.

6

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<eeks Da"e G#&u2 *&2i an$ A"i=i"ies

1(3@13 2 1(1 O*9ec#ie% and In#!"d$c#i"n #" cinica %)i% a*

1(2 Hi%#"!& Ta)ing < Diagn"%#ic 4!"ce%%;@13 1

3(1@13 2

2(1 C"..$nica#i"n S)i%11@13 1

5(18@13 2

3(1 4!inci'e% "+ Gene!a 4h&%ica Ea.ina#i"n1:@13 1

8(2;@13 2

;(1 4!inci'e% "+ A*d".ina Ea.ina#i"n25@13 1

@( 1113 2 5(1 4!inci'e% "+ Re%'i!a#"!& S&%#e. Ea.ina#i"n2113 1

11(:113 2

6(1 4!inci'e% "+ Ca!di"a%c$a! S&%#e. Ea.ina#i"n@113 1

1- 2 Oc# 213 Ha99 =!ea) 

13(22113 2

Mi$ E8a+>23113 1

15(2@113 2

S2ae "& a$?us" E8a+ &' O"7e# C&u#ses3113 1

18(51113 2

@(1 4!inci'e% "+ Ne$!""gica Ea.ina#i"n 61113 1

1@(121113 2 1(1 4!inci'e% "+ Ea.ina#i"n "+ L$.' %,eing

/Th&!"id Ing$in"-%c!"#a %,eing0131113 1

21(1@1113 2

11(1 4!inci'e% "+ =!ea%# Ea.ina#i"n21113 1

23(261113 2

12(1 4!inci'e% "+ Ea.ina#i"n "+ Uce! /*ed %"!e%0281113 1

25(

31213 2

13(1 4!inci'e% "+ =a%ic Li+e S$''"!#;1213 1

28(11213 2

1;(1 Rei%i# and 4!ac#ice111213 1

2@(181213 2

FINAL E@AMINA*ION >1:1213 1

8

BASIC CLINICAL SKILLS COURSECOLLEGE OF MEDICINE-AL-HASA

Venue: Cinica S)i% La* C"ege "+ Medicine in A-Ah%a

*i+in%: Fe.ae S#$den#%> :>15 a. #" 11>;5 a.

Mae S#$den#%> 12>3 '. #" 3>3 '.

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CLINICAL SKILLS ASSESSMEN*

ASSESSMEN*:

Assess+en" 5ill e ase$ &n C&n"inu&us assess+en" an$ 0 E8a+ina"i&ns (&ne Mi$-"e#+ an$ &ne Final e8a+)

a C"n#in$"$% a%%e%%.en# a##endance < "g *"") F"!.a#ie

Mid#e!. ea.ina#i"n ;J

Fina ea.ina#i"n /ea$a#i"n "+ cinica %)i%0 6J

• C&n"inu&us assess+en"! a""en$ane l&% &&k: 

A##endance %hee# ,i *e ci!c$a#ed in #he ."!ning( I# i% .anda#"!& #" ge# #he "g +"!.% %igned "n #he %a.e da&( I# i% #he

!e%'"n%i*ii#& "+ each %#$den# #" %$*.i# #he "g +"!. 1 ,ee) *e+"!e #he +ina ea.ina#i"n(

• Mi$ "e#+ E8a+ina"i&n>

1( O?e"i=e S"#u"u#e$ Clinial E8a+ina"i&n (OSCE)>

2 %#a#i"n% *a%ed "n Cinica S)i% c"e!ed #i Mid Te!. Ea.ina#i"n

C$.$a#ie %c"!e ,i *e di%'a&ed in #he %)i% a* a+#e! a ,ee) "+ ea.ina#i"n(

L", 'e!+"!.e!% /8 J0 a!e !e7$e%#ed #" i%i# D! ?a%ee.% "++ice /D""! 213:0 a# de%igna#ed #i.e /,i *e .en#i"ned "n

c$.$a#ie %c"!e0 +"! +eed*ac)(

• Final E8a+ina"i&n:

1( OSCE: 3 %#a#i"n% *a%ed "n !and".& %eec#ed ea$a#i"n "+ 1 %$!gica %&%#e.ea.ina#i"n 1 *a%ic i+e %$''"!# and 1 ne$!""g& ea.ina#i"n(

• Mai.$. Ti.e +"! each OSCE %#a#i"n ,i *e 5 .in$#e%(

• Each OSCE %#a#i"n ,i hae 2 .a!)%(

• S#$den#% ,i *e .a!)ed a*%en# in #he %e%%i"n i+ a#e +"! ."!e #han 1 .in$#e%(

• Leae a''ica#i"n ,i *e acce'#a*e a% 'e! #he Unie!%i#& !$e% and !eg$a#i"n%(

• Fina %c"!e ,i *e di%'a&ed ia *anne! %&%#e. "n "++icia Unie!%i#& ,e* %i#e(

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S9ECIFIC OB6EC*IVES

C&++unia"i&n Skills an$ E"7is in Me$ial 9#a"ie

The %#$den#% %h"$d )n", and +"", #he '!inci'e% "+ g""d .edica '!ac#ice and #he %#anda!d% "+ c"nd$c# and ca!e in a a%'ec#% "+#hei! !ea#i"n%hi' ,i#h #he 'a#ien#% c"eag$e% and "#he!%(

*7e 2#ini2les &' %&&$ +e$ial 2#a"ie inlu$e "7e '&ll&5in%

1( G""d i%#ening2( Re%'ec#ing ie,% "+ "#he!%3( 4"i#e and c"n%ide!a#e *ehai"! ;( Re%'ec#ing #he '!iac& and digni#&

5( T!ea#ing 'a#ien#% in+"!.a#i"n a% c"n+iden#ia6( T!ea#ing "#he!% +ai!&8( N"# a*$%ing #he 'a#ien#% #!$%#:( 4a#ien#% "+ "''"%i#e gende! %h"$d *e in#e!ie,ed and ea.ined in '!e%ence "+ cha'e!"ne(@( F"",ing !e+e!!a %#anda!d%1( 4!"#ec#ing 'a#ien#% and c"eag$e% ,hen #he c"nd$c# "! 'e!+"!.ance i% a #h!ea#

11( O*#aining c"n%en# "+ #he indiid$a% #" 'a!#ici'a#e in cinica #!ia% "! "#he! !e%ea!ch

12( Re%ea!ch %h"$d n"# *e c"n#!a!& #" #he indiid$a% in#e!e%#

E=alua"i&n:

C"n#in$"$% "*%e!a#i"n "+ #he a##i#$de d$!ing each ea.ina#i"n

 

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SKILLS IN HIS*OR *AKING

Skills

His"&# "akin%

a( The %#$den# %h"$d *e a*e #" $nde!%#and #he *a%ic +"!.a# "+ hi%#"!& #a)ing %)i in "!de! #" eici#>

10 Iden#i+&ing da#a /na.e age %e !ace !eigi"n020 Chie+ c".'ain#30 Hi%#"!& "+ '!e%en# ine%%

;0 4a%# hea#h

50 S"cia and 'e!%"na hi%#"!&60 D!$g hi%#"!&80 Fa.i& hi%#"!&:0 O*%#e#!ic% < G&nae in ca%e "+ +e.ae 'a#ien#%

 *( The %#$den# %h"$d *e a*e #">

10 O!ganie #he da#a +!". 'a#ien# in a "gica "!a "! ,!i##en '!e%en#a#i"n(

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GENERAL 9RINCI9LES OF E@AMINA*ION

A# #he end "+ in#e!ie, #he %#$den# %h"$d>

• A''!"ach #he 'a#ien# '"i#e& and c"n+iden#& and ,i#h 'e!.i%%i"n

4"%i#i"n %e+ and 'a#ien# c"!!ec#& +"! a gien ea.ina#i"n( Idea& #he ea.ine! %h"$d *e "n !igh# %ide "+ #he 'a#ien#

• A!!ange igh# e++ec#ie& +"! a gien ea.ina#i"n

• E'"%e 'a!# #" *e ea.ined ade7$a#e&

• F"", #he !"$#ine "+ In%'ec#i"n 'a'a#i"n 'e!c$%%i"n and a$%c$#a#i"n in a ea.ina#i"n%

E@AMINA*ION

Skills

S#$den#% %h"$d *e a*e #" 'e!+"!. an ade7$a#e gene!a ea.ina#i"n ,hich %h"$d inc$de>

a Gene#al i+2#essi&n> Age %e '"%#$!e ee "+ c"n%ci"$%ne%% and c".+"!# n$#!i#i"na %#a#$% g!"".ing 'e!%"na

h&giene and an& "d"! "+ *"d& "! *!ea#h(

Vi"al Si%ns: 4$%e /!a#e < !h&#h.0 *""d '!e%%$!e !e%'i!a#"!& !a#e and *"d& #e.'e!a#$!e

Hei%7" an$ 5ei%7" +easu#e+en"

$ Skin an$ +uus +e+#ane e8a+ina"i&n: c$**ing c""! 'ig.en#a#i"n c&an"%i% 'a"! ic#e!$% #e#$!e and

"#he! e%i"n%

e E8a+ina"i&n &' nails: c$**ing )"i"n&chia% e$)"n&chia 'a!"n&chia %'in#e! he."!!hage%

' E8a+ina"i&n &' 7ai#: di%#!i*$#i"n and #e#$!e

% E8a+ina"i&n &' L+27 n&$es: ce!ica aia!& e'i#!"chea! ing$ina

7 E$e+a: gene!aied 'eda %ac!a

0 Kn&5le$%e

A# #he end "+ #he c"$!%e #he %#$den# %h"$d>• Kn", #he di++e!ence *e#,een cen#!a and 'e!i'he!a c&an"%i%

• Kn", #he na.e and d!ainage "+ &.'h n"de% in ce!ica aia!& and ing$ina g!"$'%

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E@AMINA*ION OF CERVICAL LM9H NODES

 

SkillThe %#$den# %h"$d *e a*e #" 'e!+"!. %&%#e.a#ic ea.ina#i"n #" inc$de>

  Ins2e"i&n>

a S$*.en#a %$*.andi*$a! '!ea$!ic$a! '"%#a$!ic$a! and "cci'i#a g!"$' "+ &.'h n"de% S$'e!+icia ce!ica < '"%#e!i"! ce!ica g!"$'% Dee' ce!ica$ S$'!acaic$a! 

9al2a"i&n:F"! #he a*"e g!"$' "+ &.'h n"de%(

0 Kn&5le$%e:

The %#$den# %h"$d )n", #he ana#".ica "caia#i"n "+ #he ce!ica &.'h n"de%(

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E@AMINA*ION OF ABDOMEN

Skill

S#$den#% %h"$d *e a*e #" 'e!+"!. %&%#e.a#ic ea.ina#i"n #" inc$de>

a Ins2e"i&n:• F"! c"n#"$!% "+ a*d".en and c"n+ig$!a#i"n "+ #he $.*iic$%

• F"! %ca!% %#!e#ch .a!)% and 'ig.en#a#i"n

• F"! ."e.en# "+ an#e!i"! a*d".ina ,a ,i#h !e%'i!a#i"n

9al2a"i&n:• S$'e!+icia and dee' 'a'a#i"n

• O+ ie! %'een )idne&% c""n

9e#ussi&n:• F"! ie! < %'een

• F"! %hi+#ing d$ne%%

$ Ausul"a"i&n:• O+ g$# %"$nd%

0 Kn&5le$%e

A# #he end "+ #he c"$!%e %#$den#% %h"$d )n",>

 

The %$!+ace ana#".& "+ #he nine !egi"n% "+ #he a*d".en and #hei! *"$nda!ie%

E@AMINA*ION OF ANO-REC*AL REGION

Skill

S#$den# %h"$d *e a*e #" 'e!+"!. %&%#e.a#ic ea.ina#i"n #" inc$de>

a In%'ec#i"n

• O+ #he ana !egi"n

Digi#a Ea.ina#i"n

• F"! #he #"ne "+ ana %'hinc#e!% #he an"-!ec#a ange #he ."!'h""g& "+ #he '!"%#a#e gand and !ec#"-e%ica '"$ch

• F"! #he cha!ac#e!i%#ic "+ %#"" "n +inge! %#a

0 Kn&5le$%e

 A# #he end "+ #he c"$!%e %#$den# %h"$d )n",>

• The %$!+ace ana#".& "+ an$% ,i#h !e%'ec# #" %ac!"-c"cc&gea !egi"n 'e!ine$. and i%chia #$*e!"%i#ie%(

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E@AMINA*ION OF RES9IRA*OR SS*EM

Skill

S#$den# %h"$d *e a*e #" 'e!+"!. %&%#e.a#ic ea.ina#i"n #" inc$de>

a Ins2e"i&n> 

F"! !e%'i!a#"!& !a#e

  F"! %ha'e "+ #he che%# and %&..e#!&

 

F"! 'a##e!n "+ !e%'i!a#i"n

  O+ acce%%"!& .$%ce% "+ !e%'i!a#i"n

 

M"e.en#% "+ che%#

9al2i"a"i&n:  O+ #!achea

  O+ a'e *ea#

  F"! che%# e'an%i"n

 

F"! #ac#ie "ca +!e.i#$%

9e#ussi&n> 

Oe! caice

  Oe! $ng%

 

F"! $''e! *"!de! "+ he'a#ic d$ne%%

  F"! dia'h!ag.a#ic ec$!%i"n

$ Ausul"a"i&n>  =!ea#h %"$nd% /ai! en#!& < cha!ac#e!0

 

F"! #&'e% "+ *!ea#hing /e%ic$a! % *!"nchia0

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E@AMINA*ION OF CARDIOVASCULAR SS*EM

Skill

S#$den# %h"$d *e a*e #" 'e!+"!. %&%#e.a#ic ea.ina#i"n #" inc$de:

a A#"e#ial 9ulses: 

Redia> +"! !a#e !h&#h.

  Ca!"#id> +"! "$.e cha!ac#e! 

  4e!i'he!a> +"! '!e%ence and %&..e#!&

Bl&&$ 9#essu#e:

  4!"'e! #echni7$e "+ .ea%$!ing *""d '!e%%$!e

 

=& 'a'a#i"n and a$%c$#a#i"n

  Chec) +"! '"%#$!a d!"' and c".'a!e =4 in *"#h a!.%

6V9 (6u%ul&=en&us 9#essu#e)

  Iden#i+& #he "ca#i"n "+ in#e!na 9$g$a! ein

  Mea%$!e #he heigh# "+ V4

$ 9#e&#$iu+:

 

Ins2e"i&n:F"! de+"!.i#ie% a'e *ea# '$%a#i"n and %ca!%

 

9al2a"i&n:F"! a'e *ea# and hea!# %"$nd%

 

Ausul"a"i&n:F"! hea!# %"$nd% in a #he +"$! a!ea% /S1 < S2 A2 < 420

0 Kn&5le$%e

( A# #he end "+ #he c"$!%e %#$den# %h"$d>

( =e a*e #" de+ine #he cha!ac#e!i%#ic% "+ n"!.a '$%e( =e a*e #" .ea%$!e *""d '!e%%$!e( =e a*e #" de+ine h&'e!#en%i"n

E@AMINA*ION OF 9ERI9HERAL VASCULAR SS*EM

SkillS#$den# %h"$d *e a*e #" 'e!+"!. 'e!i'he!a a%c$a! %&%#e. ea.ina#i"n #" inc$de>

a Ins2e"i&n:

  %&..e#!& "+ *"#h ",e! i.*%

   'a"! c&an"%i% gang!ene %,eing #"e c$**ing hai! %)in $ce!a#i"n .$%ce ,a%#ing

 

=$!ge!% 4"%#$!a #e%#> #" de#ec# adanced "cc$%ie a!#e!ia di%ea%e

9al2a"i&n:

 

+"! c"dne%% 'a'a#i"n "+ +e."!a '"'i#ea an#e!i"! #i*ia < '"%#e!i"! #i*ia and d"!%ai% 'edi% a!#e!&

Ausul"a"i&n:

 

F"! +e."!a *!$i#

Kn&5le$%e

The %#$den# %h"$d )n", #he ana#".& "+ #he a!#e!ie%(

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E@AMINA*ION OF NERVOUS SS*EM

Skills

The %#$den#% %h"$d *e a*e #" 'e!+"!. %&%#e.ic ea.ina#i"n #" inc$de>a Hi%7e# +en"al 'un"i&ns

  O!ien#a#i"n in #i.e 'ace and 'e!%"n

 

Me."!& /%h"!# #e!. and "ng #e!.0

C#anial ne#=es  C!ania ne!e% 1 #" II and iden#i+& de+ici#%

M&"&# ss"e+ 

In%'ec# #he .$%ce g!"$'% +"! *$) and in"$n#a!& ."e.en#%

  Ea.ine #he .a9"! .$%ce g!"$' +"! #"ne

  Te%# and g!ade #he '",e! in .$%ce%  Eici# and g!ade #he dee' #end"n !e+ee% and =a*in%)i %ign

  S$'e!+icia a*d".ina !e+ee%

$ Sens&# ss"e+ 

S&%#e.a#ic ea.ina#i"n +"! 'ain #"$ch and #e.'e!a#$!e

  C"!#ica %en%a#i"n%

 

4"%#e!i"! c"$.n %ign% inc$ding R".*e!g% %ign

e C&&#$ina"i&n

' Gai"  A%%e%% and iden#i+& .a9"! gai# di%"!de!%

% Si%ns &' +enin%eal i##i"a"i&n

0 Kn&5le$%e

A# #he end "+ #he c"$!%e #he %#$den# %h"$d )n",>

 

4a#h,a&% "+ c!ania ne!e% /"ca#i"n "+ n$cei 0

  Di++e!en#ia#ing +ea#$!e% "+ $''e! ."#"! and ",e! ."#"! ne$!"n e%i"n

 

R""# a$e "+ dee' #end"n !e+ee%

   Na.e "+ #he %'ina #!ac#% and #hei! .a9"! +$nc#i"n%

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E@AMINA*ION OF A S<ELLING

Skill

S#$den#% %h"$d *e a*e #" 'e!+"!. %&%#e.a#ic ea.ina#i"n #" inc$de>

a Ins2e"i&n:F"! %i#e %ie %ha'e %$!+ace "e!&ing < %$!!"$nding %)in an& '$%a#i"n

9al2a"i&n:

F"! ,a!.#h < #ende!ne%% c"n%i%#enc&F"! edge 'e!#aining #" &.'h n"de

9e#ussi&n:

$ Ausul"a"i&n:

F"! *!$i#

Kn&5le$%e

Di++e!en#ia#e *e#,een %"id < c&%#ic %,eing

E@AMINA*ION OF *HROID GLAND

Skill

The %#$den# %h"$d *e a*e #" 'e!+"!. %&%#e.a#ic ea.ina#i"n #" inc$de>

a Ins2e"i&n

( O+ #he *a%e "+ #"ng$e( O+ #he ."e.en# "+ #he #h&!"id

9al2a"i&n

( O+ #he #h&!"id gand

( O+ #!achea( O+ ce!ica &.'h n"de% and %#e!n"ceid".a%#"id

9e#ussi&n

( Oe! #he .an$*!i$. %#e!ni

$ Ausul"a"i&n

Oe! #he ca!"#id a!#e!ie% and #he #h&!"id

0 Kn&5le$%e

A# #he end "+ #he c"$!%e %#$den# %h"$d )n",>

  The %$!+ace ana#".& "+ #he #!iange% "+ #he nec) h&"id *"ne c!ic"id and #h&!"id ca!#iage% and #!achea ca!"#id a!#e!&

in#e!na and e#e!na 9$g$a! ein% ce!ica &.'h n"de% %aia!& gand% #h&!"id gand(

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E@AMINA*ION OF INGUINO-SCRO*AL REGION

Skill

S#$den#% %h"$d *e a*e #" 'e!+"!. %&%#e.a#ic ea.ina#i"n #" inc$de:

a Ins2e"i&n: 

F"! %,eing and c"$gh i.'$%e

9al2a"i&n:  F"! %,eing and c"$gh i.'$%e

o T" "cc$de #he dee' ing$ina !ing

o O+ %$'e!+icia ing$ina !ing

o O+ #e%#e%

o O+ #he e'idid&.i%

o O+ #he c"!d and a% de+e!en%

*#ans-illu+ina"i&n "es"

0 Kn&5le$%e

A# #he end "+ #he c"$!%e %#$den# %h"$d *e a*e #" )n",>

• Di++e!en#ia#ing +ea#$!e% "+ %c!"#a and ing$in"-%c!"#a %,eing

• The %$!+ace ana#".& "+ +e."!a e%%e% and +e."!a cana ing$ina iga.en# dee' and %$'e!+icia ing$ina !ing% and

ing$ina &.'h n"de%

E@AMINA*ION OF AN ULCER 

Skill

S#$den#% %h"$d *e a*e #" 'e!+"!. %&%#e.a#ic ea.ina#i"n #" inc$de>

a Ins2e"i&n• +"! %i#e %ie %ha'e edge .a!gin +""! di%cha!ge d!aining &.'h n"de%

9al2a"i&n:• edge +"! ind$!a#i"n < #ende!ne%%

• .a!gin +"! ind$!a#i"n e#ending *e&"nd a .a!gin

•  *a%e +"! a##ach.en# #" $nde!&ing %#!$c#$!e%• d!aining &.'h n"de%

0 Kn&5le$%e

T&'e% and .ain ca$%e% "+ $ce!%

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E@AMINA*ION OF BREAS* AND A@ILLA

Skill

S#$den# %h"$d *e a*e #" 'e!+"!. %&%#e.a#ic ea.ina#i"n #" inc$de>

a Ins2e"i&n

• +"! c"n#"$!% "+ #he *!ea%#% and di!ec#i"n "+ #he ni''e% +"! #he ."e.en# "+ #he *!ea%#% ,i#h change% in '"%#$!e(

 *( 9al2i"a"i&n:• "+ #he *!ea%#% +"! gand$a! #i%%$e and $.'%

• "+ aia!& &.'h n"de%

Kn&5le$%e

A# #he end "+ #he c"$!%e %#$den# %h"$d )n",>

• The *"$nda!ie% "+ aia and #he %$!+ace ana#".& "+ #he *!ea%# and aia!& #ai and #he $nde!&ing %#!$c#$!e%(

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9RINCI9LES OF FIRS* AID IN *RAUMA

Skill

The %#$den#% %h"$d *e a*e #">

a Re&%nie an$ #elie=e ai#5a &s"#u"i&n 

4!"."#i"n "+ ade7$a#e ga% echange

Ci!c$a#"!& %$''"!# i)e c"n#!" "+ ac#ie he."!!hage and

In#!aen"$% in+$%i"n%

9#i+a# Su#=e

  Ai!,a& 'a#enc& and ce!ica %'ine %$''"!#

 

=!ea#hing

Ci!c$a#i"n

 

Sec"nda!& S$!e&

  Head #" #"e ea.ina#i"n%

2( Kn&5le$%e 

Ana#".& "+ ai!,a&% /'edia#!ic e!%$% ad$#%0

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E@AMINA*ION OF BLOOD 9RESSURE (B9) MEASUREMEN*/in %i##ing '"%i#i"n0

S#$den#% Na.e>  

Acade.ic N"(>  

Ins"#u"i&ns "& s"u$en"

De."n%#!a#e &"$! #echni7$e in #a)ing #hi% 'a#ien#% *""d '!e%%$!e(

Ma8i+u+

Ma#ks

Ma#ks

S&#e$

E8a+ine# C&++en"s

Mee"! %#ee"! in"#&$ue "ake &nsen" 2

9al2a"es &"7 #a$ial 2ulses 2

9#&2e# a22lia"i&n &' u'' 

4a'a#e *!achia '$%e 1

Midine "+ c$++ i% "n *!achia '$%a#i"n 1

L",e! c$++ *"!de! i% 1P a*"e c$*i#a +"%%a 1

C$++ i% a''ied ,i#h a''!"'!ia#e #igh#ne%% 1

De"e#+ine Ss"&li 2#essu#e 2al2a"i&n 2

B9 $e"e#+ine$ ausul"a"i&n

Reea%e *adde! '!e%%$!e c".'e#e& 1

S$''"!# a!. a# hea!# ee 1

Fee# "n #he g!"$nd *ac) !e%#ed 2

In+a#e 2-3 .. ."!e #han 'a'a#"!& !eading 1

D!"' '!e%%$!e %",& 2-5 ..% 1

4ace %#e#h"%c"'e "n *!achia '$%a#i"n 1

Assis" 2a"ien" in #e+&=in% "7e e;ui2+en" an$

&=e#in% "7e e82&se$ 2a#"2

*7anks "7e 2a"ien" a" "7e en$ 1

T"#a 01

C"..en#% < Signa#$!e>

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E@AMINA*ION OF CERVICAL LM9H NODES

S#$den#% Na.e>  

Acade.ic N"(>  

Ins"#u"i&ns "& s"u$en"s:

Ea.ine #he ce!ica &.'h n"de% "+ #hi% 'a#ien#(

Ma8i+u+

Ma#ks

Ma#ks

S&#e$C&++en"s

C"..$nica#i"n < e#hica %)i% 1

4!"'e! '"%i#i"ning "+ 'a#ien# 1

Ins2e"i&n /and des"ri#e0

S$*ing$a %$*.andi*$a! '!e-'"%#a$!ic$a! < "cci'i#a 2

S$'e!+icia ce!ica < '"%#e!i"! ce!ica 2

Dee' ce!ica 2

S$'!caic$a! 2

9al2a"i&n

S$*ing$a %$*.andi*$a! '!e-'"%#a$!ic$a! < "cci'i#a 2

S$'e!+icia ce!ica < '"%#e!i"! ce!ica 2

Dee' ce!ica 2

S$'!acaic$a! 2

O!ganied a''!"ach and c"!!ec# c"nc$%i"n 2

T"#a 01

C"..en#% < Signa#$!e>

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E@AMINA*ION FOR LIVER AND ASCI*ES

S#$den#% Na.e>  

Acade.ic N"(>  

Ins"#u"i&n "& S"u$en"

Ea.ine #hi% 'a#ien#% a*d".en #" a%%e%% #he ie! and +!ee +$id in #he a*d".en( A% &"$ '!"ceed e'ain ,ha#

&"$ a!e d"ing(

Ma8i+u+

Ma#ks

Ma#ks

S&#e$

E8a+ine#

C&++en"s

C"..$nica#i"n < e#hica %)i% 2

4!"'e! '"%i#i"ning "+ 'a#ien# 2

In%'ec#i"n "+ a*d".en 2 Li=e#

4a'a#i"n

S#a!#% ", 1

C"!!ec# hand '"%i#i"n 2

4a'a#i"n ,i#h in%'ec#i"n 1

4e!c$%%i"nU''e! and ",e! *"!de! 2

Mea%$!e ie! %'an 2

0 E8a+ina"i&n '&# F#ee Flui$

Shi+#ing d$ne%% 2

F$id #h!i 2

O!ganied a''!"ach 2

T"#a 01

S#$den#% Sc"!e>  

C"..en#% < Signa#$!e>

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E@AMINA*ION OF S9LEEN AND KIDNES

S#$den#% Na.e>  

Acade.ic N"(>  

Ins"#u"i&n "& S"u$en"s

Ea.ine #hi% 'a#ien#% a*d".en #" de#e!.ine #he %ie "+ #he %'een and )idne&%( A% &"$ '!"ceed e'ain ,ha#

&"$ a!e d"ing(

Ma8i+u+

Ma#ks

Ma#ks

S&#e$

E8a+ine#

C&++en"s

C"..$nica#i"n < e#hica %)i% 2

C"!!ec# '"%i#i"n "+ 'a#ien# 2

In%'ec#i"n "+ a*d".en 2

1( S4LEEN

9al2a"i&n

S#a!#% ", in R( ",e! 7$ad!an# 1

C"!!ec# '"%i#i"n "+ hand% 2

4a'a#i"n ,i#h in%'i!a#i"n 1

T$!n% 'a#ien# #" R( a#e!a '"%i#i"n 2

9e#ussi&n 2

2( KIDNEYS

=i.an$a 4a'a#i"n 3

4e!+"!.% a"#.en# 1

O!ganied a''!"ach 2

T"#a 01

S#$den#% Sc"!e>  

C"..en#% < Signa#$!e>

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 DIGI*AL REC*AL E@AMINA*ION

S#$den#% Na.e>  

Acade.ic N"(>  

Ins"#u"i&n "& s"u$en"

4e!+"!. digi#a !ec#a ea.ina#i"n

  Ma8i+u+

Ma#ks

Ma#ks

s&#e$

E8a+ine#s

C&++en"s

E'ain% #he '!"ced$!e #" #he 'a#ien#

 '!"'e!& and #a)e% c"n%en#;

4$#% #he 'a#ien# in#" #he c"!!ec# '"%i#i"n 2

In%'ec#% #he 'e!iana !egi"n +"! 'a#h""g& ;

?ea!% g"e% and $*!ica#e% inde +inge! 2

4a%%e% #he +inge! in #he !igh# di!ec#i"n 2

A%%e%%e% #he %'hinc#e! #"ne 2

L"")% +"! #ende!ne%% "! %,eing 2

4a'a#e% #he '!"%#a#e gand 2

T"#a 01

S#$den#% Sc"!e>  

C"..en#% < Signa#$!e>

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AN*ERIOR *HORA@ E@AMINA*ION/In .ae 'a#ien#% "n&0

S#$den#% Na.e>  

Acade.ic N"(>  

Ins"#u"i&n "& S"u$en"s

Ea.ine #he an#e!i"! #h"!a "+ #hi% 'a#ien#( A% &"$ '!"ceed e'ain ,ha# &"$ a!e d"ing

Ma8i+u+

Ma#ks

Ma#ks

S&#e$

E8a+ine# C&++en"s

C"..$nica#i"n < e#hica %)i% 2

Ins2e"i&n

Sha'e and %&..e#!& "+ che%# 2

Re%'i!a#"!& !a#e 2

9al2a"i&n

4"%i#i"n "+ #!achea 2

4"%i#i"n "+ a'e *ea# 2

Che%# e'an%i"n 2

Tac#ie "ca +!e.i#$% 2

9e#ussi&n

Techni7$e and a!ea c"e!ed 2

Ausul"a"i&n

Techni7$e and a!ea c"e!ed 2

O!ganied a''!"ach and c"!!ec# c"nc$%i"n 2

T"#a 01

S#$den#% Sc"!e>  

C"..en#% < Signa#$!e>

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9OS*ERIOR *HORA@ E@AMINA*ION

S#$den#% Na.e>  

Acade.ic N"(>  

Ins"#u"i&n "& s"u$en"

Ea.ine #he '"%#e!i"! #h"!a "+ #hi% 'a#ien#( A% &"$ '!"ceed e'ain ,ha# &"$ a!e d"ing

Ma8i+u+

Ma#ks

Ma#ks

S&#e$

E8a+ine#

C&++en"s

C"..$nica#i"n < e#hica %)i% 2

Ins2e"i&n

S'ine 2

Che%# ,i#h !e%'i!a#i"n 2

9al2a"i&n

S'ine and che%# ,a 1

Che%# e'an%i"n 2

Tac#ie "ca +!e.i#$% 2

9e#ussi&n

  Techni7$e < a!ea c"e!ed 3

Ausul"a"i&n

  Techni7$e < a!ea c"e!ed ;

O!ganied a''!"ach and c"!!ec# c"nc$%i"n 2

T"#a 01

S#$den#% Sc"!e>  

C"..en#% < Signa#$!e>

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E@AMINA*ION OF 6UGULAR VENOUS 9RESSURE

S#$den#% Na.e>  

Acade.ic N"(>  

Ins"#u"i&n "& s"u$en"

Ea.ine #hi% 'a#ien#% 9$g$a! ein% and .ea%$!e #he 9$g$a! en"$% '!e%%$!e( E'ain ,ha# &"$ a!e d"ing a% &"$

 '!"ceed(

Ma8i+u+

Ma#ks

Ma#ks

S&#e$

E8a+ine#

C&++en"s

C"..$nica#i"n < e#hica )i% 2

A''!"'!ia#e eea#i"n "+ 'a#ien# ;

A''!"'!ia#e '"%i#i"n "+ head and nec) ,i#h

ade7$a#e igh#;

Iden#i+ie% in#e!na 9$g$a! ;

Mea%$!e and de%c!i*e% en"$% '!e%%$!e

c"!!ec#&(;

O!ganied a''!"ach 2

T"#a 01

S#$den#% Sc"!e>  

C"..en#% < Signa#$!e>

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E@AMINA*ION OF 9RECORDIUM

S#$den#% Na.e>  

Acade.ic N"(>  

Ins"#u"i&ns "& S"u$en"s

De."n%#!a#e h", &"$ ,"$d ea.ine #hi% 'a#ien#% hea!#(

Ma8i+u+

Ma#ks

Ma#ks

S&#e$

E8a+ine#

C&++en"s

C"..$nica#i"n < e#hica %)i% 2

4"%i#i"n "+ 'a#ien# 2

In%'ec#i"n "+ '!ec"!di$. ;

4a'a#i"n +"! 

  4"in# "+ .ai.a i.'$%e < "#he! a!ea% ;

A$%c$#a#i"n

  A$%c$#a#e% in a ca!diac a!ea

  U%e "+ *e and dia'h!ag. a''!"'!ia#e&

  A$%c$#a#e% in di++e!en# '"%i#i"n%  Le+# a#e!a dec$*i#$%

  U'!igh# eaning +"!,a!d

2

2

1

1

O!ganied a''!"ach 2

T"#a 01

S#$den#% Sc"!e>  

C"..en#% < Signa#$!e>

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E@AMINA*ION OF  9ERI9HERAL VESCULAR SS*EM

S#$den#% Na.e>  

Acade.ic N"(>  

Ins"#u"i&ns "& s"u$en"

4e!+"!. a 'h&%ica ea.ina#i"n "+ #hi% 'a#ien#% eg% #" "") +"! eidence "+ a!#e!ia in%$++icienc&( De%c!i*e ,ha#

&"$ a!e d"ing and &"$! +inding%(

Ma8i+u+

Ma#ks

Ma#ks

S&#e$

E8a+ine#

C&++en"s

C"..$nica#i"n < e#hica %)i% 2

In%'ec# eg% +"! $ce! gang!ene hai! di%#!i*$#i"n( 1

In%'ec# eg% +"! c""! #e.'( 1

Eea#e eg% #" 3 deg!ee% +"! 2 %ec #" eici#

 'a"! 1

Leg% de'endan# #" eici# !$*"! and en"$% +iing 1

4a'a#e% and c".'a!e %ide%

  F"! #e.'e!a#$!eFe."!a a!#e!ie%

4"'i#ea a!#e!ie%

D"!%ai% 4edi%

4"%#e!i"! #i*ia

22

2

2

2

Li%#en% +"! +e."!a *!$i#% 2

O!ganied a''!"ach 2

T"#a 01

S#$den#% Sc"!e>  

C"..en#% < Signa#$!e>

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#$  ! /"7  ! 4"7  CRANIAL NERVES

S#$den#% Na.e>  

Acade.ic N"(>  

Ins"#u"i&n "& S"u$en"

Ea.ine #hi% 'a#ien#% #hi!d +"$!#h and %i#h c!ania ne!e%

Ma8i+u+

Ma#ks

Ma#ks

S&#e$

E8a+ine#

C&++en"s

C"..$nica#i"n < e#hica %)i% 2

Ea.ina#i"n "+ '$'i% +"! %&..e#!& ;

Reac#i"n #" igh# di!ec# < c"n%en%$a 3

E&e% ."ed #h!"$gh 6 ca!dina di!ec#i"n% "+

gae6

O!ganied a''!"ach 2

?ha# i% #he ac#i"n "+ %$'e!i"! "*i7$e .$%ce 3

T"#a 01

S#$den# Sc"!e>  

C"..en#%>

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."7  CRANIAL NERVE

S#$den#% Na.e>  

Acade.ic N"(>  

Ins"#u"i&n "& S"u$en"

Ea.ine #hi% 'a#ien#% +i+#h c!ania ne!e( E'ain #" #he ea.ine! a% &"$ '!"ceed(

Ma8i+u+

Ma#ks

Ma#ks

S&#e$

E8a+ine#

C&++en"s

C"..$nica#i"n < e#hica %)i% 2

O'h#ha.ic dii%i"n 2

Maia!& dii%i"n 2

Mandi*$a! dii%i"n 2

C"!nea !e+e 2

C".'a!e %ide% 2

MO*OR 

Ma%%e#e! < #e.'"!ai% 2

4#e!&g"id 2

a, 9e!) 2

O!ganied a''!"ach 2

T"#a 01

S#$den#% Sc"!e>  

C"..en#% < Signa#$!e>

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"7  CRANIAL NERVE

S#$den#% Na.e>  

Acade.ic N"(>  

Ins"#u"i&n "& s"u$en"

Ea.ine #he 'a#ien#% %een#h c!ania ne!e( E'ain #" #he ea.ine! a% &"$ '!"ceed(

MO*OR Ma8i+u+

Ma#ks

Ma#ks

S&#e$

E8a+ine#

C&++en"s

C"..$nica#i"n < e#hica %)i% 2

In%'ec#i"n

- L"")ing +"! d!""'ing "+ ."$#h +a##ening"+ na%"a*ia +"d and ina*ii#& #" c"%e e&e

;

?!in)e +"!ehead 2

C"%e e&e% #igh#& 2

C"%e e&e% again%# !e%i%#ance 2

S.ie "! %h", #ee#h 2

?hi%#e "! *", "$# chee)% 2

C".'a!e% %ide% 2

O!ganied a''!"ach 2

T"#a 01

S#$den#% Sc"!e>  

C"..en#% < Signa#$!e>

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MO*OR 9O<ER IN U99ER LIMBS AND SHOULDER 

S#$den#% Na.e>  

Acade.ic N"(>  

Ins"#u"i&n "& S"u$en"

Ea.ine #he ."#"! '",e! in #hi% 'a#ien#% %h"$de!% and $''e! i.*%(

E8a+ines a%ains" #esis"aneMa8i+u+

Ma#ks

Ma#ks

S&#e$

E8a+ine#

C&++en"s

C"..$nica#i"n < e#hica %)i% 2

Sh"$de! a*d$c#i"n < Add$c#i"n 3

E*", Fei"n < E#en%i"n 3

?!i%# Fei"n < E#en%i"n 3

Finge! a*d$c#i"n < add$c#i"n 3

Hand g!i' 2

O!ganied a''!"ach 2

E8a+ine# "& Ask 

Ma8i+u+

Ma#ks

Ma#ks

S&#e$

E8a+ine#

C&++en"s

De%c!i*e h", d" &"$ g!ade '",e! /G!ade -50 2

T"#a 01

S#$den#% Sc"!e>  

C"..en#% < Signa#$!e>

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DEE9 *ENDON REFLE@ES

S#$den#% Na.e>  

Acade.ic N"(>  

Ins"#u"i&n "& S"u$en"s

Ea.ine #hi% 'a#ien#% dee' #end"n !e+ee% 'an#a! !e+e and %#a#e #he inne!a#i"n% "+ each "+ #he !e+ee%(

Ma8i+u+

Ma#ks

Ma#ks

S&#e$

E8a+ine#

C&++en"s

C"..$nica#i"n < e#hica %)i% 2

=ice'% /C5-60 2

=!achi"!adiai% /C5-60 2

T!ice'% /C6-:0 2

Knee e!) /L2-;0 2

An)e e!) /S1-20 2

4an#a! !e+e 2

Techni7$e

C".'a!e %ide

S)i% ,i#h ha..e! 

2

2

E8a+ine# "& Ask 

Ma8i+u+

Ma#ks

Ma#ks

S&#e$

E8a+ine#

C&++en"s

De%c!i*e h", d" &"$ g!ade !e+ee% /G!ade -30 2

T"#a 01

S#$den#% Sc"!e>  

C"..en#% < Signa#$!e>

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E@AMINA*ION OF SENSOR SS*EM

S#$den#% Na.e>  

Acade.ic N"(>  

Ins"#u"i&n "& S"u$en"

De."n%#!a#e "n #hi% 'a#ien#% eg h", &"$ ,"$d #e%# d"!%a c"$.n ."dai#ie%(

Ma8i+u+

Ma#ks

Ma#ks

S&#e$

E8a+ine#

C&++en"s

C"..$nica#i"n < e#hica %)i% 2

A( 4"%i#i"n Sen%e

- 4!"'e! h"ding "+ g!ea# #"e /*& i#%

%ide0

- 4!"'e! in%#!$c#i"n% #" 'a#ien# and

."e% digi# !and".&

- S$i#a*e inc!e.en#% "+ #"e ."e.en#

- Te%#ing "+ 'a#ien# ,i#h e&e% c"%ed

/a# ea%# 5 #i.e%0(

1

1

1

1

=( Fine T"$ch 2

C( Vi*!a#i"n Sen%e

- 4!"'e! in%#!$c#i"n #" 'a#ien#

- 4ace +"!) c"!!ec#& "e! *"n&

 '!".inence $%ing 12: HB #$ning

+"!) 

- Te%# ,i#h e&e% c"%ed a%%e%%e%

 'a#ien# !eia*ii#& ."e% '!"i.a&

i+ di%#a %en%a#i"n inacc$!a#e

2

1

2

D( R".*e!g Te%#

- /S#$den# #" $%e ea.ine! #"

de."n%#!a#e '!"'e! in%#!$c#i"n0 Fee#

#"ge#he! 

- C"%e e&e%

- S#$den# %#and% #" '!"#ec# 'a#ien# in

ca%e "+ +aing(

2

1

2

O!ganied a''!"ach 2

T"#a 01

S#$den#% Sc"!e>  

C"..en#% < Signa#$!e>

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E@AMINA*ION OF CEREBELLAR FUNC*ION

S#$den#% Na.e>  

Acade.ic N"(>  

Ins"#u"i&n "& S"u$en"s

Ea.ine #hi% 'a#ien#% ce!e*ea! +$nc#i"n( A% &"$ '!"ceed gie #he ea.ine! a !$nning c"..en#a!& "n ,ha# &"$

a!e d"ing and ,h&(

Ma8i+u+

Ma#ks

Ma#ks

S&#e$

E8a+ine#

C&++en"s

C"..$nica#i"n < e#hica %)i% 2

Te%# +"! %'eech 2

Ea.ina#i"n "+ e&e% +"! n&%#ag.$% 2

U''e! Li.*

Finge! #" n"%e c""!dina#i"n 2

Ra'id a#e!na#ing ."e.en#% 2

Te%# +"! !e*"$nd 2

Ea.ina#i"n "+ .$%ce #"ne 1

L",e! Li.*

Hee #" %hin c""!dina#i"n 2

Ea.ina#i"n "+ gai#Q 2

Tande. ,a)ingQ 1

O!ganied a''!"ach 2

T"#a 01

Q S#$den# .a& de."n%#!a#e "n %e+ 

C"..en#% < Signa#$!e>

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E@AMINA*ION OF A S<ELLING

S#$den#% Na.e>  

Acade.ic N"(>  

Ins"#u"i&n "& s"u$en":

Ea.ine #he 'a#ien# +"! a %,eing in #he !igh# $''e! a!.>

Ma8i+u+

+a#ks

Ma#ks

&"aine$

E8a+ine#s

&++en"s

C"..$nica#i"n < e#hica %)i% 2

Ins2e"i&n:

  Si#e %ie %ha'e %$!+ace  S)in $nde!&ing %#!$c#$!e%

 '$%a#i"n

9al2a"i&n:

  ?a!.#h #ende!ne%% c"n+i!.

Sie %ha'e %$!+ace

C"n%i%#enc& edge '$%a#i"n

  Regi"na &.'h n"de%

;;

2

2

2

2

O!ganied a''!"ach 2

T"#a 01

S#$den#% Sc"!e>  

C"..en#% < Signa#$!e>

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E@AMINA*ION OF *HROID

S#$den#% Na.e>  

Acade.ic N"(>  

Ins"#u"i&n "& s"u$en"

Ea.ine #he #h&!"id gand "+ #hi% 'a#ien#(

Ma8i+u+

Ma#ks

Ma#ks

S&#e$

E8a+ine#

C&++en"s

C"..$nica#i"n < e#hica %)i% 2

In%'ec#i"n4"%i#i"ning "+ 'a#ien# /head !eaed0

In%'ec# +!". +!"n# +"! %,eing %&..e#!&

O*%e!e% 'a#ien# %,a",

2

2

3

4a'a#i"n "+ #h&!"id

Iden#i+ie% %$!+ace and.a!) /#h&!"id

ca!#iage0

4a'a#e% i%#h.$% 4a'a#e% *"#h "*e%

/F!"n# "! !ea! a''!"ach0

A%)% 'a#ien# #" %,a", +"! each "*e

/$%ing ,a#e!0

A$%c$#a#i"n "+ #he #h&!"id gand

2

2

2

3

O!ganied a''!"ach 2

T"#a 01

S#$den#% Sc"!e>  

C"..en#% < Signa#$!e>

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E@AMINA*ION OF INGUINOSCRO*AL S<ELLING

S#$den#% Na.e>  

Acade.ic N"(>  

Ins"#u"i&n "& s"u$en"

Ea.ine #hi% 'a#ien#% ing$in"%c!"#a !egi"n +"! #he '!e%ence "+ a he!nia( E'ain ,ha# &"$ a!e d"ing a% &"$

 '!"ceed(

  Ma8i+u+

Ma#ks

Ma#ks

s&#es

E8a+ine#s

C&++en"s

C"..$nica#i"n < E#hica S)i% < "!ganied

a''!"ach;

In%'ec#% in e!ec# < &ing d",n '"%i#i"n% ;

A*e #" e'ain di++e!ence *e#,een %c!"#a

and ing$in"%c!"#a %,eing%;

De."n%#!a#e% E#e!na !ing inagina#i"n #e%# ;

De."n%#!a#e% in#e!na !ing "cc$%i"n #e%# ;

T"#a 01

S#$den#% %c"!e>  

C"..en#% < Signa#$!e>

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E@AMINA*ION OF AN ULCER 

S#$den#% Na.e>  

Acade.ic N"(>  

Ins"#u"i&n "& s"u$en":

Ea.ine #he 'a#ien# +"! an $ce! /e(g( e+# +"!ea!.0>

Ma8i+u+

+a#ks

Ma#ks

&"aine$

E8a+ine#

&++en"s

C"..$nica#i"n < e#hica %)i% 2

Ins2e"i&n:

Si#e %ie %ha'e %$!+ace 3

Edge .a!gin 2

Di%cha!ge 2

D!aining &.'h n"de% 2

9al2a"i&n:

Edge +"! #ende!ne%% < ind$!a#i"n 3

Ma!gin +"! ind$!a#i"n e#en%i"n 2

D!aining &.'h n"de% 2

O!ganied a''!"ach 2

T"#a 01

S#$den#% Sc"!e>  

C"..en#% < Signa#$!e>

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E@AMINA*ION OF BREAS*

S#$den#% Na.e>  

Acade.ic N"(>  

Ins"#u"i&ns "& s"u$en"s:

Ea.ine #he =!ea%#( A% &"$ '!"ceed e'ain ,ha# &"$ a!e d"ing(

Ma8i+u+

Ma#ks

Ma#ks

S&#e$

E8a+ine#

C&++en"s

C"..$nica#i"n < e#hica %)i% 2

Ins2e"i&n 1( Ea.ine hea#h& %ide 1

2( S&..e#!& "+ *!ea%# 1

3( Ni''e < a!e"a 1

;( S)in change% 1

5( S,eing /%0> %i#e %ie %ha'e e#c 2

6( Aiae %$'!acaic$a! !egi"n% < a!.% 2

9al2a"i&n

  1( Ea.ine hea#h& %ide +i!%# 2

  2( S,eing /%0> %i#e %ie %ha'e c"n%i%#enc&edge #ende!ne%% ,a!.#h 2

  3( Aiae 2

  ;( S$'!acaic$a! !egi"n% < a!.%( 2

O#%anie$ a22#&a7 an$ &##e" &nlusi&n 2

T"#a 01

S#$den#% Sc"!e>  

C"..en#% < Signa#$!e>

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ASSESSMEN* OF 9ERFORMANCE-ADUL* BASIC LIFE SU99OR* (BLS)/N" =!ea#hing < N" 4$%e0

S#$den#% Na.e>  

Acade.ic N"(>  

Ins"#u"i&ns "& s"u$en"

De."n%#!a#e &"$! %)i "+ 'e!+"!.ing =LS #" an Ad$# 'e!%"n +"$nd "n a %#!ee#(

(DR CAB)Ma8i+u+

Ma#ks

Ma#ks

S&#e$

E8a+ine#

C&++en"s

Dange!  $nsure sa%e!& '% (i"!im and sel%  1

Chec) +"! R e%'"n%e  sh'u! ) Pa! !he sh'ulder  1

Ca +"! he'  *asser#& 'r ++  1

C".'!e%%i"n%

 Chec) ca!"#id '$%e 1

 1 %ec"nd% #" e%#a*i%h a*%ence "+ '$%e 1

E#e!na

Che%#

C".'!e%%i"n%

 Hand "n cen#e! "+ ic#i.% che%# 1

 Finge!% In#e!"c)ed 1

 A!.% %#!aigh# a*"e #he che%# 1

 De'#h "+ c".'!e%%i"n /5-6 c.0 1

 S'eed "+ c".'!e%%i"n / 1 .in0 1

 3 > 2 C4R c&ce 1Ai!,a&

 Head Ti# 1

 Chin Li+# 1

B!ea#hing

 Re%c$e

=!ea#h%

 4inch #he n"%e 1

 Sea #he ."$#h '!"'e!& 1

 En"$gh +"!ce #" !ai%e che%# 1

 ?ai# +"! e'i!a#i"n 1

2 *!ea#h% in #"#a 1

De%c!i*e Rec"e!& '"%i#i"n 0

 T"#a 01

S#$den#% Sc"!e> 

C"..en#% < Signa#$!e>

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S#$den#% Na.e>  

Acade.ic N$.*e!>  

SrNo Clinical Skill Faculty Signature

1. Principles of General physical examination

2. Principles of Abdominal Examination

3. Principles of Respiratory System Examination

4. Principles of Cardioasc!lar System Examination

". Principles of #e!rolo$ical Examination

%. Principles of Examination of &!mp' s(ellin$ and )lcer

*. Principles of Pediatrics Examination

+. Principles of ,reast Examination

-.

Principles of emale Genital tract Examination

1/. Principles of ,asic &ife S!pport

LOG FORM

BASIC CLINICAL SKILLS COURSECOLLEGE OF MEDICINE-AL-HASA