← Full lesson and references Paired practice cardsSt Emlyn’s · MLA

One learner performs. One learner checks the key steps and gives feedback. Then swap roles. This is a practice aid, not an official mark scheme.

Examiner / observer

Gynaecological examination

Tick the actions you observe. Discuss any step that was not needed for this examination; unchecked boxes are not a score.

Examiner / observer · 1 of 3

Gynaecological examination

Preparation · Indication and plan

Agree supervision and any communication or chaperone support before starting. Use a pelvic clinical skills model with an appropriate supervisor, speculum, lubricant, gloves, light and cover. A partner can rehearse patient communication and the chaperone discussion. Do not perform intimate examination or foreign-body removal on a peer.

St Emlyn’s · MLA · Practice aid, not an official mark schemeObserver 1 of 3

Examiner / observer · 2 of 3

Gynaecological examination

Examination continued

External and speculum examination

Inspects external genitalia for relevant lesions, inflammation, discharge or trauma.

Renews permission, gently inserts and positions the speculum, then views the cervix and vaginal walls. Key step

Takes samples only when indicated.

Discusses foreign-body removal only within training, authorisation and supervision; stops and seeks help if difficult or painful. Key step

Checks for remaining material and removes the speculum carefully without tissue entrapment.

Bimanual examination when indicated

Treats bimanual examination as a separate indicated assessment with explanation and consent. Key step

If indicated on the model, assesses cervical motion tenderness, uterus and adnexa using a gloved, lubricated hand and abdominal palpation.

Does not use a reassuring examination to exclude ectopic pregnancy or urgent pathology. Key step

St Emlyn’s · MLA · Practice aid, not an official mark schemeObserver 2 of 3

Examiner / observer · 3 of 3

Gynaecological examination

Close

Restores comfort and privacy, offers help with dressing and thanks the patient.

Ask the candidate

How would you present your findings and their significance? Summarise actual findings and limits; significant bleeding, instability or uncertainty needs urgent gynaecology assessment. For a retained condom, discuss pregnancy testing, emergency contraception and STI assessment according to timing/risk. For a retained tampon, explain symptoms of systemic illness/toxic shock and urgent assessment; pregnancy-related tissue is not an independent student removal procedure.

What would you do next, and why? Explain the important uncertainty, a relevant next assessment and when help is needed. State what you could not assess.

Feedback

What went well:

One thing to improve:

Try again focusing on:

St Emlyn’s · MLA · Practice aid, not an official mark schemeObserver 3 of 3

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Return to the examination notes and references

Gynaecological examination

Your task

Starting information

Gynaecological examination

Gynaecological examination

Preparation

Indication and plan

Gynaecological examination

External and speculum examination

Bimanual examination when indicated

Gynaecological examination

Close

Ask the candidate

Feedback