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MINISTRY OF HEALTH, COMMUNITY DEVELOPMENT, GENDER, ELDERLY AND CHILDREN

TECHNICIAN CERTIFICATE IN CLINICAL MEDICINE

(NTA LEVEL 5)

OBSTETRICS AND GYNAECOLOGY

 

NAME OF INSTITUTION: -------------------------------------------------------------------------

Candidate’s Examination Number: --------------------------------------------------------

NACTE Registration number: --------------------------------------------------------------

START TIME: ------------------------------------------- END TIME: ------------------------------------------

The examiner shall observe closely when the student is demonstrating skills during history taking and physical examination, attitude when interacting with the patient and skills during the whole period of doing clinical examination

 

1 ATTITUDE DURING EXAMINATION

Procedure or steps to follow

1.       Appearance, dressing code and preparation

2.       Self-introduction

3.       Ensured patient/client privacy and confidentiality

4.       Obtains informed consent

 

2 HISTORY

Procedure or steps to follow

1.       Demographic data 2

2.       Chief complaints and duration

3.       History of Presenting Illness

4.       Review of other systems

5.       Obstetric history/ANC

6.       Gynaecological history

7.       Past medical and surgical history

8.       Family and social history

 

3 PHYSICAL EXAMINATION

Procedure or steps to follow

A.      General examination appropriately performed 10

B.      Systemic examinations appropriately

1.       Cardiovascular system

2.       Respiratory system

3.       Per abdomen (±Pelvic examination)

4.       Nervous system

 

4 SUMMARY AND PRESENTATION SKILLS 8

Procedure or steps to follow

1.       Information obtained from the history well presented

2.       All information obtained from physical examination well presented

3.       Summary

 

5 DIAGNOSIS 10

Procedure or steps to follow

1.       Provisional diagnosis (Narrates features in support 5 and against)

2.       Provides and defends differential diagnoses

 

6 INVESTIGATIONS 3

Procedure or steps to follow

1.       Provides the appropriate list and rationale of appropriate investigations

 

7 PATIENT CARE PLAN 10

Procedure or steps to follow

1.       Provide specific treatment plan

2.       Provide follow-up plan

3.       States prognosis

4.       Various modes of prevention outlined

 

8 DISCUSSION 5

Procedure or steps to follow

1.       Questions in relations to the patient 5

2.       Deduction for dangerous mistake (Maximum deduction should be 5 marks)

TOTAL SCORE 100