medical exam vs scrutiny

medical exam and scrutiny both are nouns.

Word	Noun	Adjective	Verb	Adverb
medical exam	Yes	No	No	No
scrutiny	Yes	No	No	No

As nouns, scrutiny is a hypernym of medical exam; that is, scrutiny is a word with a broader meaning than medical exam:

medical exam: a thorough physical examination; includes a variety of tests depending on the age and sex and health of the person
scrutiny: the act of examining something closely (as for mistakes)

Other hypernyms of medical exam include examination.

medical exam (noun)	scrutiny (noun)
a thorough physical examination; includes a variety of tests depending on the age and sex and health of the person	the act of examining something closely (as for mistakes)
	a prolonged intense look