Collection of a gynecological patient’s anamnesis.
Task for the student:: conduct for patient of collection of anamnesis. Describe, simultaneously, what You are doing.
The time of demonstration is 5 minutes.
Information for the examine:assess, please, the student’s actions, separately, on the every below given item.
| № | Criterion of the assessment. | 1,0 | 0,5 | 0 |
| 1 | To greet a patient respectfully and benevolently. To present yourself. To explain confidentiality of a information. | 1,0 | 0,5 | 0 |
| 2 | Collect the passport’s date: name, surname, age, address, profession, having a family. | 1,0 | 0,5 | 0 |
| 3 | Asking and finding the main complains, check a reasons of its , factors, that increasing f its or make less. | 1,0 | 0,5 | 0 |
| 4 | To take an anamnesis of disease: to make a note of a disease’s beginning, on which day of a menstrual cycle the symptoms of disease appear,sequence of a disease ‘s symptoms a appearance, conducted treatment. | 1,0 | 0,5 | 0 |
| 5 | To collect a special anamnesis : menstrual function ( the age of a menarche, coming to be of a menstrual function, regularity, continuation, painful/ painless, the amount of the blood lost) the date of the last menstruation; sexual function ( from which age), in/ out of marriage; generative function ( duration and outcome of the all previous pregnancies) | 1,0 | 0,5 | 0 |
| 6 | To collect the anamnesis of life : which number she is , according the counting in the family, a mass in the time of delivery, a pubertal and post pubertal period duration. To clear up the having common illnesses in the past, hepatitis, tuberculosis, a contact with a patients, having a tuberculosis, sexual transmitted diseases.. | 1,0 | 0,5 | 0 |
| 7 | To clear up a using by patient a contraceptive drugs during of her life, it ‘s effectiveness, previous gynaecological diseases, methods of treatment , include antibiotic therapy. | 1,0 | 0,5 | 0 |
| 8 | To clear up the allergic anamnesis, heredity. | 1,0 | 0,5 | 0 |
| 9 | To clear up of operation- hemo transfusion in anamnesis. | 1,0 | 0,5 | 0 |
| 10 | According to received date to make a conclusion.. | 1,0 | 0,5 | 0 |
Maximum quantity of collected balls – 10
Taking smear on microscopy.
Task for the student:: take a smear on microscopy for the patient. Describe, please, simultaneously, what You are doing.
The time of demonstration is 5 minutes.
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Information for the examine:assess, please, the student’s actions, separately, on the every below given item.
| № | Criterion of the assessment. | 1,0 | 0,5 | 0 |
| 1 | To explain for a patient the essence of examination. . | 1,0 | 0,5 | 0 |
| 2 | To put a patient on the gynecological armchair. . | 1,0 | 0,5 | 0 |
| 3 | Follow rules of aseptic and antiseptic wash your hands and put on the sterile gloves. | 1,0 | 0,5 | 0 |
| 4. | For collection of smear are using only sterile instruments , collection of smear is performing before gynecologic examination and performing of gynecological procedure for treatment.. | 1,0 | 0,5 | 0 |
| 5. | For collection of smear a spoon of Folkman is using from the all infected places. Collected material is put on the clean slaide. Discharges from cervix and vagina is put with particularity - like “U”-from ureter,, “C”–from cervix, “V”-vagina. | 1,0 | 0,5 | 0 |
| 6. | In the beginning we are collecting smear from ureter. We are performing with index finger massage of ureter from anterior wall of vagina. The first portion of discharges we are removing with a sterile ball and after that we are taking a discharges with Folk man spoon on depth 1,5-2 sm. Collected material is put as “U” on slid . | 1,0 | 0,5 | 0 |
| 7. | Opening of uterine cervix in speculum, before that treat the cervix with sterile material and collect a smear from cervical channel ( with light scrubbing movements, because of some infection is not on superficial of mucous but under its. Collected smear is putting on slid as “C”–cervix of uterus. | 1,0 | 0,5 | 0 |
| 8. | Vaginal smear is taken from fornex posterior and put on slid as V”-vagina. | 1,0 | 0,5 | 0 |
| 9. | Collected material is drying and taken in laboratory for microscopy. Take off gloves and through away at the special conteiner. Wash your hand and dry with disposable tower. | 1,0 | 0,5 | 0 |
| 10. | During the procedure explain your actions using a temper and friendly tone, answer the patients’ s questions.. | 1,0 | 0,5 | 0 |
Maximum quantity of collected balls – 10
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Examination of a uterine cervix and vagina in speculum’s.
Task for the student: perform, pleases, the examination of an uterine cervix in speculum, describe, simultaneously, what You are doing.
The time of demonstration is 5 minutes.
Information for the examine:assess, please, the student’s actions, separately, on the every below given item.
| № | Criterion of the assessment. | 1,0 | 0,5 | 0 |
| 1 | To explain for a patient the essence of examination. . | 1,0 | 0,5 | 0 |
| 2 | To put a patient on the gynecological armchair. . | 1,0 | 0,5 | 0 |
| 3 | To wash your hands and put on the sterile gloves. | 1,0 | 0,5 | 0 |
| 4. | Assess the external sexual organs .The growing of hair. Closing of sexual rime. Structure of labia major and minor.. | 1,0 | 0,5 | 0 |
| 5. | Using of the index finger and large finger of the left hand removing in sides labia major, assess introits in vagina, disscendance of vaginal wall, and uterus, prolapse, color of mucous, character of secret, condition of the external foramen of urethra , ducts of para urethral ‘s glands and the large glands of introit’s of vagina . | 1,0 | 0,5 | 0 |
| 6. | Perform examination of uterine cervix and vagina in speculum, for that introduce like a spoon speculum at the strait size of pelvis , after that transfer its at the transvers size of exit from small pelvis . Parallel of its to put elevator. . | 1,0 | 0,5 | 0 |
| 7. | Assess the condition of uterine cervix ( conic, cylindrical, deformed , color of mucous. Check a pathological process on uterine cervix: rupture, erosion, inflammatory process. Assess the condition of external foramen of cervical channel ( “ pupil test”) mucous of vagina ( folding, secret). | 1,0 | 0,5 | 0 |
| 8. | Take away an elevator and assess the condition of the anterior of vagina wall, after that - speculum- assess the condition of the posterior wall of vagina. | 1,0 | 0,5 | 0 |
| 9. | Put instruments at the solution of antiseptic . Gloves take off and through away at container. Wash our hands with soap and dry with towel . | 1,0 | 0,5 | 0 |
| 10. | Make some description at chart of out patient . During a procedure make explanation our actions with temper and friendly tone , make a possibility to ask some questions. | 1,0 | 0,5 | 0 |
Maximum quantity of collected balls – 10
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