Faringoskopiya
Objective: pharynx
Instructions: pharynx of acute and chronic diseases
The necessary tools: a chink in the forehead reflektori mambayi staple
The implementation stages:
№
Events
1.
Doctor and patient is the correct seating position: sitting
cross -qarshi case
Forehead reflektorini tie
The right hand of the doctor and the patient's neck areas,
holding his left hand "writing feathers" captures the
condition of staple
Lips is an integral part of the mucous membrane of the oral
cavity, wrinkles, teeth and salivary glands seen the opening
of the corridor
Is seen running down the inside of the mouth, his mouth
wide open, and the language of these patients end up puts
up with a spatula for the left and right
Soft and hard palate mucosa is seen, it is for the patient's
head leans back a little bit
Interpret the results of the inspection
Total:
2.
3.
4.
5.
6.
7.
The
maximum
score
Namely
points
10
10
10
20
20
10
20
100
Hearing to determine the vulnerability (test-whisper and speech).
Objective: hearing to determine the vulnerability.
Guidelines: hearing inflamed and a decrease in inflammatory diseases of the
hearing.
The necessary tools: S.K.Agzamovaning and G.I.Grinbergning Russian language
statement, Otoscope, forehead reflektori.
The implementation stages:
№
Events
The
maximum
score
1.
Otoscopes
10
2.
Depending on the patient's physician listen to 6 m away
from the inspection side is
10
3.
Sharpens each ear separately investigated. To do this, the
patient's ear and external auditory finger completely hidden
by the
10
Namely
points
4.
Speak in a whisper, to check the correct pronunciation:
doctor residual air flows out of breath sounds, and process
words and numbers speaks in a whisper.
10
5.
Hearing acuity distance (in meters) and tested at least three
times to return 3 times.
10
6.
.Shivirlab Talk verify the accuracy of the accepted norms
20
7.
Conversational speech sounds, and sounds to make words
and numbers are spoken, heard, and patients are required to
repeat words and numbers.
20
8.
Inspections to check the accuracy of the accepted norms of
speech
10
Total:
100
Sulfur plugs washing.
Objective: external auditory way olingugurt plugs.
Guidelines: Sulfur or epithelial stoppered.
The necessary tools: a chink in the forehead reflektori mambayi, Otoscope, Jane
syringe, 1: 5000 diluted and boiled furatsillin, 3% solution of hydrogen perikis, oil
drops, gauze turundalar, ear probes, kidney-shaped jomcha towel.
The implementation stages:
The
maximum
score
№
Events
1.
The doctor put the forehead reflektorini the patient during
the procedure, and planted himself in front of what should
be explained.
10
2.
Performed to confirm the diagnosis Otoscopes
10
3.
Drug selection and ordering, sulfur closing soothed
(alkaline, oil droplets, 3% solutions of hydrogen perikisi
put)
The effects of a drop of oil drops, patient awareness
(hearing can be affected)
10
5.
Add drops of patient choice selection (B or head in the
opposite direction).
10
6.
100 ml of warm (37 degrees), washed with water
20
7.
Subject to back up the trestle of the left hand with the ear:
towards an auditory way.
10
4.
10
Namely
points
8.
Janne syringe tip of the external auditory part of the
highway will be directed back to the top of the wall and the
water flow will be sent to
10
9.
Potter will be cleaned or dried
10
Total:
100
Previous tamponade.
The purpose: to stop the blood flow in the nasal cavity.
Instructions: burunnning middle and rear parts of the bleeding.
The necessary tools: a chink in the forehead reflektori mambayi steril.dokali buffer
5/20 cm size, applikatsion anesthetic, cotton pad, an ear, nose pintseti enlarge.
The implementation stages:
The
maximum
score
№
Events
1.
To determine the source of the bleeding and loss of blood
volume prior rinoskopiya
10
2.
Applikatsion anesthesia
10
3.
Pintset gauze pad before the general way up the side of
the pad first and then conduct towards the bottom of the
nasal cavity, nasal cavity zigzaksimon filled in the series.
30
4.
Nose nostrils with cotton pad is hidden
20
5.
Faringoskopiya.
20
6.
Prashchevidsimon is dressing
10
Total:
100
Namely
points
Back packing.
Objective: To stop the flow of blood through the nose.
Instructions: Before packing avail.
The necessary tools: a chink in the forehead reflektori mambayi, sterile gauze pad,
applikatsion anesthetic, rear bumper, Courtney, nose, enlarge, spatula, rubber
catheter, leykoplastr, prashevidsimon Hay ball.
The implementation stages:
The
maximum
score
№
Events
1.
Previous rinoskopiya be accomplished applikatsion
anesthesia.
10
2.
Short-short steps with the tip of the nose that introduced by
the rubber catheter and tube behind the soft palate.
20
Namely
points
3.
Faringoskopiya removed from the card out of the tip of the
catheter through the mouth, then its associated buffer strip
2.
20
4.
Subject to the catheter through the nose. Bumper soft palate
behind the index finger through the nose is throats.
20
5.
2 nostrils thread associated with the key pad on the front of
the nose to strengthen the buffer
10
6.
Third, the free yarn out of the mouth, puffing leykoplastr
treat. (This will be spinning through the buffer)
Bumper removed after 48-72 hours
10
Total:
100
7.
10
Xiqildoq edema, false croup.
Objective: xiqildoq stricture emergency help.
Instructions: xiqildoq narrow, xiqildoq edema, false bugma.
The necessary tools: a chink in the forehead reflektori mambayi, oxygen bag,
xiqildoq oynachasi, hydrocortisone emulsion, prednisolone, lazikom demidrol.
The implementation stages:
№
Events
The
maximum
score
1.
The complaint of the patient and disease history collection
10
2.
The patient is squeezed Coat
10
3.
Place ventilation
10
4.
Soaked in oxygen;
10
5.
To identify the disease faringoskopiya
indirect and direct laryngoscopes;
10
6.
Xiqildoq tissue loss for the selection of drugs (hormonal
drugs prednisolone, hydrocortisone, urine driver means,
lazikom furasemid gipotiozid, desensitizing agents, 1%,
2.5% dimedrol suprastin pipolfen diazolin, antibiotic,
detoxifying
10
7.
Distractive therapy - foot bath, the muscles of the shin
gorchichnik
The patient sedative drugs - aminazin diprazin seduxen
10
For the prevention of cerebral and pulmonary edema
oksibutirat sodium (GOMK), mannitol, droperidol
10
8.
9.
10
Namely
points
10. The dynamics of the patient tracking, status or heavy
mikrotraxeostoniya to traxeostomiya.
Total:
10
100
Back rinoskopiya.
Objective: nose-throats.
Instructions: nose and throats, Konami, polyps, adenoid tumors, nasal throats
derivatives.
The necessary tools: a chink in the forehead reflektori mambayi, staple, nosethroats window, spirtovka cloth.
The implementation stages:
The
maximum
score
№
Events
1.
The patient's head, with a little taken back, the doctor put
the forehead reflektorni
10
2.
Held in the left hand with a spatula;
10
3.
Pressed with a spatula language 1/3
10
4.
.Burun Throats oynachasi spirtovkada qizdirilib, wipe it
with a napkin and then into the mouth
20
5.
Nose-throats oynachasini base of the rear surface of the
tekizilib heat rate is determined
20
6.
Oynachani pulling up in the corner of the arch of the palate,
the root of the tongue and throats do not need to touch the
back wall;
20
7.
Interpreting test results
10
Total:
100
Namely
points
Laryngoscopes
Objective: xikildokni.
Instructions: xikildokning of acute and chronic diseases
The necessary tools: a chink in the forehead reflektori mambayi, larynx oynachasi,
cloth, spirtovka.
The implementation stages:
№
1.
Events
The patient to see a favorable position in the selection
The
maximum
score
5
Namely
points
2.
Forehead'll reflektorini team
5
3.
Larynx window with a bit of gray Piero item
10
4.
Part of the larynx glass of alcohol flame or mother at T =
45-50 ° C water upsets
10
5.
The outer surface of the gray level through the outer
surface of the larynx window heat detection
10
6.
On the language Marlon cloth burned down the left gray
without first holding a finger at the bottom of the language
is subject to, and which finger moves with high
10
7.
Larynx window is the window of the oral cavity on the
surface of the ground at an angle of 30 ° C is added (without
touched the root of the wall of the pharynx underside watts
IL)
Sent through the surface of the mirror reflector of light
10
Through the window corners, the roots of language change,
language murtaklari, larynx pharynx side walls, colored
larynx Sinus chair. 45 ° angle larynx kinds of chair
20
10. Before the larynx is the window of the oral cavity, and then
sent to the lost language
10
8.
9.
Total:
10
100
Previous rinoskopiya
Objective: nasal cavity.
Instructions: the nose of acute and chronic diseases, Bleeding in the nose, nasal
cavity Usman diseases.
The necessary tools: a chink in the forehead reflektori enlarge mambayi ago.
The implementation stages:
№
The
maximum
score
Events
1.
The patient to see a favorable
selection.Forehead'll reflektorini team
position
in
the
5
2.
OF the top left of the gray and the patient's head, as well as the
right to conduct a finger in the nose portion of the exaltation of
moves, this is the case, the remaining bits of gray pie fingers in
the area of the forehead
5
3.
Reflex before daylight nose is an integral part yuboriladi.Bunda
daxlizini skin and hair condition, crack, nose, trying to become
a part of the occasion of the tenth
10
Namely
points
4.
The patient turned his head right and left nasal tone Kisselbax
sector construction, as well as the color of the mucous layer and
the state will be formed
10
5.
Nose to the left of the gray box is the following item: a finger
in the nose window handle on the remaining four fingers raised
detained
10
6.
End the top of the head of the patient-physician with gray
whiskers sector captures
Reflex daylight down
10
8.
Nose window nose daxliziga into the closed position of
approximately 1.0 1,5sm be made in parallel to the wall of the
nasal foreign
10
9.
At the same time, the first valid through Karachi is the case, the
general and the bottom of the nose, the nose and the bottom of
the chiganoklari shines. In the second case, the patient's head
30 ° recognized insurance through the nose and chiganogi
shines. In the third case, the patient's head chip in Burgas, nasal
tone shines through
20
10. Nose window nasal cavity is inaccessible to a call to the open
10
7.
10
position
Total:
100
Otoscopes
Objective: To configure the internal auditory Julius.
Instructions: Dish and medium roar of acute and chronic diseases
The necessary tools: a chink in the forehead reflektori mambayi, ceramic funnel,
Otoscope.
The implementation stages:
The
maximum
score
№
Events
1.
The patient to make a valid case: the patient's doctor right
side of the sitting, the torso is slightly leaning towards it,
and turning his head against the shoulder of Karachi
5
2.
Defer to the foreign sector general exams, palpation. Defer
part of perkussiyasi
5
3.
Reflektorni defer to the correct team and Otoscopes funnel
ashes
10
4.
Hearings warm through the forehead reflektori clamp
cylinder, and defer to the left with a bit of gray paint is
subject to the exaltation and Back (children down and
back) bits are subject to defer construction of the left gray
10
Namely
points
5.
Hearings ceramic funnel foreign Julius select the
appropriate razmeri
10
6.
Defer to funnel a valid arrest: three finger Piero turned to
catch taps, sinks narrow part of the internal auditory Julius
carefully into the action with a circle
10
7.
Dish Julius is a direct evaluation of the hearings, the wall
skins of wild
10
8.
Suddenly the curtain'll see the familiar signs and evaluation
10
9.
Suddenly the curtain normally valid for interpritatsiya
20
10. Pneumatic correct application of the funnel
10
Total:
100
ENT kasallialari practical skills evaluation criteria
№
Practical skills
Coefficient
Ball (%)
The highes
score (%)
Wash the palate murtaklarini
0.05
2.75
Hearing to determine the vulnerability
0.10
5.5
(test-whisper and speech).
0.05
2.75
3. Sulfur wash gridlock.
0.05
2.75
4. Previous tamponade.
0.10
5.5
5. Back packing.
0.10
5.5
6. Xiqildoq edema, false Krupp
assistance.
0.05
2.75
7. Back rinoskopiya
0.10
5.5
8. Laryngoscopes
0.05
2.75
9. Previous rinoskopiya
0.05
2.75
10. Otoscopes
A 100-ball system will be evaluated on the ability of these points multiplied by the
coefficient. The students' practical skills on the total score will be the total score for
all practical skills. (Qualifying) score the highest score should be not less than 55%
of the part.
Department of ENT diseases
Head of T. f. d., Professor: Shayhov X.E.
Faringoskopiya
Objective: pharynx
Instructions: pharynx of acute and chronic diseases
The necessary tools: a chink in the forehead reflektori mambayi staple
1.
2.
5
10
5
5
10
10
5
10
5
5
The implementation stages:
№
Events
1.
Doctor and patient is the correct seating position: sitting
cross -qarshi case
Forehead reflektorini tie
The right hand of the doctor and the patient's neck areas,
holding his left hand "writing feathers" captures the
condition of staple
Lips is an integral part of the mucous membrane of the oral
cavity, wrinkles, teeth and salivary glands seen the opening
of the corridor
Is seen running down the inside of the mouth, his mouth
wide open, and the language of these patients end up puts
up with a spatula for the left and right
Soft and hard palate mucosa is seen, it is for the patient's
head leans back a little bit
Interpret the results of the inspection
Total:
2.
3.
4.
5.
6.
7.
The
maximum
score
Namely
points
10
10
10
20
20
10
20
100
Hearing to determine the vulnerability (test-whisper and speech).
Objective: hearing to determine the vulnerability.
Guidelines: hearing inflamed and a decrease in inflammatory diseases of the
hearing.
The necessary tools: S.K.Agzamovaning and G.I.Grinbergning Russian language
statement, Otoscope, forehead reflektori.
The implementation stages:
№
Events
The
maximum
score
1.
Otoscopes
10
2.
Depending on the patient's physician listen to 6 m away
from the inspection side is
10
3.
Sharpens each ear separately investigated. To do this, the
patient's ear and external auditory finger completely hidden
by the
10
4.
Speak in a whisper, to check the correct pronunciation:
doctor residual air flows out of breath sounds, and process
words and numbers speaks in a whisper.
10
Namely
points
5.
Hearing acuity distance (in meters) and tested at least three
times to return 3 times.
10
6.
.Shivirlab Talk verify the accuracy of the accepted norms
20
7.
Conversational speech sounds, and sounds to make words
and numbers are spoken, heard, and patients are required to
repeat words and numbers.
20
8.
Inspections to check the accuracy of the accepted norms of
speech
10
Total:
100
Sulfur plugs washing.
Objective: external auditory way olingugurt plugs.
Guidelines: Sulfur or epithelial stoppered.
The necessary tools: a chink in the forehead reflektori mambayi, Otoscope, Jane
syringe, 1: 5000 diluted and boiled furatsillin, 3% solution of hydrogen perikis, oil
drops, gauze turundalar, ear probes, kidney-shaped jomcha towel.
The implementation stages:
The
maximum
score
№
Events
1.
The doctor put the forehead reflektorini the patient during
the procedure, and planted himself in front of what should
be explained.
10
2.
Performed to confirm the diagnosis Otoscopes
10
3.
Drug selection and ordering, sulfur closing soothed
(alkaline, oil droplets, 3% solutions of hydrogen perikisi
put)
The effects of a drop of oil drops, patient awareness
(hearing can be affected)
10
5.
Add drops of patient choice selection (B or head in the
opposite direction).
10
6.
100 ml of warm (37 degrees), washed with water
20
7.
Subject to back up the trestle of the left hand with the ear:
towards an auditory way.
10
8.
Janne syringe tip of the external auditory part of the
highway will be directed back to the top of the wall and the
water flow will be sent to
10
9.
Potter will be cleaned or dried
10
4.
10
Namely
points
Total:
100
Previous tamponade.
The purpose: to stop the blood flow in the nasal cavity.
Instructions: burunnning middle and rear parts of the bleeding.
The necessary tools: a chink in the forehead reflektori mambayi steril.dokali buffer
5/20 cm size, applikatsion anesthetic, cotton pad, an ear, nose pintseti enlarge.
The implementation stages:
The
maximum
score
№
Events
1.
To determine the source of the bleeding and loss of blood
volume prior rinoskopiya
10
2.
Applikatsion anesthesia
10
3.
Pintset gauze pad before the general way up the side of
the pad first and then conduct towards the bottom of the
nasal cavity, nasal cavity zigzaksimon filled in the series.
30
4.
Nose nostrils with cotton pad is hidden
20
5.
Faringoskopiya.
20
6.
Prashchevidsimon is dressing
10
Total:
100
Namely
points
Back packing.
Objective: To stop the flow of blood through the nose.
Instructions: Before packing avail.
The necessary tools: a chink in the forehead reflektori mambayi, sterile gauze pad,
applikatsion anesthetic, rear bumper, Courtney, nose, enlarge, spatula, rubber
catheter, leykoplastr, prashevidsimon Hay ball.
The implementation stages:
The
maximum
score
№
Events
1.
Previous rinoskopiya be accomplished applikatsion
anesthesia.
10
2.
Short-short steps with the tip of the nose that introduced by
the rubber catheter and tube behind the soft palate.
20
3.
Faringoskopiya removed from the card out of the tip of the
catheter through the mouth, then its associated buffer strip
2.
20
Namely
points
4.
Subject to the catheter through the nose. Bumper soft palate
behind the index finger through the nose is throats.
20
5.
2 nostrils thread associated with the key pad on the front of
the nose to strengthen the buffer
10
6.
Third, the free yarn out of the mouth, puffing leykoplastr
treat. (This will be spinning through the buffer)
Bumper removed after 48-72 hours
10
Total:
100
7.
10
Xiqildoq edema, false croup.
Objective: xiqildoq stricture emergency help.
Instructions: xiqildoq narrow, xiqildoq edema, false bugma.
The necessary tools: a chink in the forehead reflektori mambayi, oxygen bag,
xiqildoq oynachasi, hydrocortisone emulsion, prednisolone, lazikom demidrol.
The implementation stages:
№
Events
The
maximum
score
1.
The complaint of the patient and disease history collection
10
2.
The patient is squeezed Coat
10
3.
Place ventilation
10
4.
Soaked in oxygen;
10
5.
To identify the disease faringoskopiya
indirect and direct laryngoscopes;
10
6.
Xiqildoq tissue loss for the selection of drugs (hormonal
drugs prednisolone, hydrocortisone, urine driver means,
lazikom furasemid gipotiozid, desensitizing agents, 1%,
2.5% dimedrol suprastin pipolfen diazolin, antibiotic,
detoxifying
10
7.
Distractive therapy - foot bath, the muscles of the shin
gorchichnik
The patient sedative drugs - aminazin diprazin seduxen
10
For the prevention of cerebral and pulmonary edema
oksibutirat sodium (GOMK), mannitol, droperidol
10
10. The dynamics of the patient tracking, status or heavy
mikrotraxeostoniya to traxeostomiya.
Total:
10
8.
9.
10
100
Namely
points
Back rinoskopiya.
Objective: nose-throats.
Instructions: nose and throats, Konami, polyps, adenoid tumors, nasal throats
derivatives.
The necessary tools: a chink in the forehead reflektori mambayi, staple, nosethroats window, spirtovka cloth.
The implementation stages:
The
maximum
score
№
Events
1.
The patient's head, with a little taken back, the doctor put
the forehead reflektorni
10
2.
Held in the left hand with a spatula;
10
3.
Pressed with a spatula language 1/3
10
4.
.Burun Throats oynachasi spirtovkada qizdirilib, wipe it
with a napkin and then into the mouth
20
5.
Nose-throats oynachasini base of the rear surface of the
tekizilib heat rate is determined
20
6.
Oynachani pulling up in the corner of the arch of the palate,
the root of the tongue and throats do not need to touch the
back wall;
20
7.
Interpreting test results
10
Total:
100
Namely
points
Laryngoscopes
Objective: xikildokni.
Instructions: xikildokning of acute and chronic diseases
The necessary tools: a chink in the forehead reflektori mambayi, larynx oynachasi,
cloth, spirtovka.
The implementation stages:
№
Events
The
maximum
score
1.
The patient to see a favorable position in the selection
5
2.
Forehead'll reflektorini team
5
3.
Larynx window with a bit of gray Piero item
10
Namely
points
4.
Part of the larynx glass of alcohol flame or mother at T =
45-50 ° C water upsets
10
5.
The outer surface of the gray level through the outer
surface of the larynx window heat detection
10
6.
On the language Marlon cloth burned down the left gray
without first holding a finger at the bottom of the language
is subject to, and which finger moves with high
10
7.
Larynx window is the window of the oral cavity on the
surface of the ground at an angle of 30 ° C is added (without
touched the root of the wall of the pharynx underside watts
IL)
Sent through the surface of the mirror reflector of light
10
Through the window corners, the roots of language change,
language murtaklari, larynx pharynx side walls, colored
larynx Sinus chair. 45 ° angle larynx kinds of chair
20
10. Before the larynx is the window of the oral cavity, and then
sent to the lost language
10
8.
9.
Total:
10
100
Previous rinoskopiya
Objective: nasal cavity.
Instructions: the nose of acute and chronic diseases, Bleeding in the nose, nasal
cavity Usman diseases.
The necessary tools: a chink in the forehead reflektori enlarge mambayi ago.
The implementation stages:
№
The
maximum
score
Events
1.
The patient to see a favorable
selection.Forehead'll reflektorini team
position
in
the
5
2.
OF the top left of the gray and the patient's head, as well as the
right to conduct a finger in the nose portion of the exaltation of
moves, this is the case, the remaining bits of gray pie fingers in
the area of the forehead
5
3.
Reflex before daylight nose is an integral part yuboriladi.Bunda
daxlizini skin and hair condition, crack, nose, trying to become
a part of the occasion of the tenth
10
4.
The patient turned his head right and left nasal tone Kisselbax
sector construction, as well as the color of the mucous layer and
the state will be formed
10
Namely
points
5.
Nose to the left of the gray box is the following item: a finger
in the nose window handle on the remaining four fingers raised
detained
10
6.
End the top of the head of the patient-physician with gray
whiskers sector captures
Reflex daylight down
10
8.
Nose window nose daxliziga into the closed position of
approximately 1.0 1,5sm be made in parallel to the wall of the
nasal foreign
10
9.
At the same time, the first valid through Karachi is the case, the
general and the bottom of the nose, the nose and the bottom of
the chiganoklari shines. In the second case, the patient's head
30 ° recognized insurance through the nose and chiganogi
shines. In the third case, the patient's head chip in Burgas, nasal
tone shines through
20
10. Nose window nasal cavity is inaccessible to a call to the open
10
7.
10
position
Total:
100
Otoscopes
Objective: To configure the internal auditory Julius.
Instructions: Dish and medium roar of acute and chronic diseases
The necessary tools: a chink in the forehead reflektori mambayi, ceramic funnel,
Otoscope.
The implementation stages:
The
maximum
score
№
Events
1.
The patient to make a valid case: the patient's doctor right
side of the sitting, the torso is slightly leaning towards it,
and turning his head against the shoulder of Karachi
5
2.
Defer to the foreign sector general exams, palpation. Defer
part of perkussiyasi
5
3.
Reflektorni defer to the correct team and Otoscopes funnel
ashes
10
4.
Hearings warm through the forehead reflektori clamp
cylinder, and defer to the left with a bit of gray paint is
subject to the exaltation and Back (children down and
back) bits are subject to defer construction of the left gray
10
5.
Hearings ceramic funnel foreign Julius select the
appropriate razmeri
10
Namely
points
6.
Defer to funnel a valid arrest: three finger Piero turned to
catch taps, sinks narrow part of the internal auditory Julius
carefully into the action with a circle
10
7.
Dish Julius is a direct evaluation of the hearings, the wall
skins of wild
10
8.
Suddenly the curtain'll see the familiar signs and evaluation
10
9.
Suddenly the curtain normally valid for interpritatsiya
20
10. Pneumatic correct application of the funnel
10
Total:
100
ENT kasallialari practical skills evaluation criteria
№
Practical skills
Coefficient
Ball (%)
The highes
score (%)
Wash the palate murtaklarini
0.05
2.75
Hearing to determine the vulnerability
0.10
5.5
(test-whisper and speech).
0.05
2.75
3. Sulfur wash gridlock.
0.05
2.75
4. Previous tamponade.
0.10
5.5
5. Back packing.
0.10
5.5
6. Xiqildoq edema, false Krupp
assistance.
0.05
2.75
7. Back rinoskopiya
0.10
5.5
8. Laryngoscopes
0.05
2.75
9. Previous rinoskopiya
0.05
2.75
10. Otoscopes
A 100-ball system will be evaluated on the ability of these points multiplied by the
coefficient. The students' practical skills on the total score will be the total score for
all practical skills. (Qualifying) score the highest score should be not less than 55%
of the part.
Department of ENT diseases
Head of T. f. d., Professor: Shayhov X.E.
1.
2.
5
10
5
5
10
10
5
10
5
5