Examination Techniques
Item 41. G-U System

Genitourinary (G-U) includes genital system and urinary system (kidney/bladder/urethra/ureters)

The physical exam does not include a pelvic examination. 

Genital exam is not required unless indicated by past medical history (PMH) or symptoms (e.g., masses or areas of tenderness).  It may be performed at the discretion of the examiner and applicant.

• If PMH or symptoms do not warrant examination of these items, the AME should mark “normal” in AMCS and annotate in Item 60 that the exam was not indicated and not performed.  
• If PMH or symptoms warrant examination of these items, the AME should mark “abnormal” in AMCS and annotate in Item 60 the reason exam was performed and any findings.