The Genitourinary System
In the objective structured clinical examinations (OSCE), the number of stations is always limited between 10 and 14, with 1–2 pilot stations. One may or may not get a case from the genitourinary system. This is usually a history-taking station with counseling or discussing a management plan with the patient. You would not be asked to perform a pelvic, rectal, or vaginal examination. Please keep in mind that with the increasing use of manikins/plastic models in practice modules and training facilities, one can expect to take a history from a role player, and then the examiner can ask you to perform a rectal/vaginal examination on a manikin/model. So do not be surprised if you get one. Breast examination has already been introduced in some OSCE, in a similar way.
This chapter outlines common genitourinary system-related topics important for the OSCE. An overview of the history taking required for the genitourinary system stations is given in the start of the chapter. The outlines of male and female examinations of the genitourinary system are also given.
KeywordsUrine retention Burning micturition Urinary tract infection Urethral discharge Hematuria Impotence/erectile dysfunction Benign prostatic hyperplasia Urinary incontinence
- 1.https://emedicine.medscape.com/article/1947956-technique. Accessed 30 Jan 2018.
- 2.https://emedicine.medscape.com/article/1947956-periprocedure#b5. Accessed 30 Jan 2018.
- 3.Simpson KM. Table manners and beyond: the gynecological exam for women with developmental disabilities and other functional limitations. Oakland: Women’s Wellness Project. 2001. http://lurie.brandeis.edu/pdfs/TableMannersandBeyond.pdf. Accessed 30 Jan 2018.
- 5.http://www.familydoctor.co.uk/topic/hysterectomy/hysterectomy-examinations-and-test/. Accessed 30 Jan 2018.
- 8.https://www.webmd.com/erectile-dysfunction/guide/drugs-linked-erectile-dysfunction. Accessed 30 Jan 2018.
- 10.https://en.wikipedia.org/wiki/Aortoiliac_occlusive_disease. Accessed 30 Jan 2018.
- 11.https://www.webmd.com/erectile-dysfunction/guide/lifestyle-factors-linked-to-ed. Accessed 30 Jan 2018.
- 13.Jugovic PJ, Bitar R, McAdam LC. Fundamental clinical situations: a practical OSCE study guide. Elsevier Saunders, Canada; 2003.Google Scholar
- 14.Gao Z-H, Ng D. OSCE & LMCC-II: review notes. Brush Education, Canada; 2009.Google Scholar
- 15.Essentials of clinical examination handbook. 6th ed. The Medical Society Faculty of Medicine University of Toronto. The Urological Examination, Canada; 2010. p 353–372.Google Scholar
- 16.Surgery on Call, (LANGE on call) 4th ed. McGraw-Hill Education, USA; 2005.Google Scholar
- 17.Hurley KF. Chapter 4 genitourinary system. In:OSCE and clinical skill handbook. 2nd ed. Toronto: Elsevier; 2011. p. 120–38.Google Scholar