Documente Academic
Documente Profesional
Documente Cultură
2016
Dow University of Health Sciences
CHAIRPERSON:
CO-CHAIRPERSONS:
MEMBERS:
2016
Volume 1
7
NEED FOR CURRICULAR REFORMS
With the establishment of Dow University of Health Sciences in 2004 the MBBS
curriculum was reviewed and one glaring deficiency seen was the absence of a
document which showed all the elements that a curricular document should reflect like
the objective of the curriculum, the curricular perspective, syllabus, teaching
methodologies, time tables, assessment plans and faculty development plans. The
syllabus content that needed to be covered during the five year was given by PMDC as
well as the number of hours each subject needed to be taught. Guidance was sought
from PMDC and Higher Education Commission (HEC) in this regard and the
Universitys proposal of curricular review was endorsed by both bodies. This was the
start of the needs assessment process and a curricular committee comprising of Deans,
Chairpersons and Medical Educationists was formed to suggest methodologies to
cultivate a curricular. The philosophy of any good educational system is that it focuses
on making its participant a problem solver as well as a life-long self-organized learner
and these were the guiding principles for this process.
The first change was to switch from an annual examination to a semester system. Next
was introduction of more objective assessment tools like One Best Multiple Choice
Questions (MCQ), Objective Structured Clinical Examination (OSCE). The next stage
was integration of the disciplines initially in a horizontal and then in a vertical manner.
Integration is what is needed by the graduate to function competently in real-world
practice settings.
8
With the ongoing review processes and development after a journey of nearly five years
at present a modular format has been adopted with Interactive Lectures, Case Based
Learning in a small group formats as a teaching strategy. Students are encouraged to do
elective rotation outside the setting. Also non-formal experiential learning for student
is promoted by liaising with organizations which provide civic interaction. All this has
been structured taking into account the Best Evidence Based Medical Education
literature and our local culture and context.
Hopefully with the passage of time this document will prove to be the first step in
continuing curricular reform in medical college of our country as it is an imperative
step which is needed to be taken to produce graduates who can accomplish what
society demands from them, quality patient care.
9
Curriculum Development: Initial Challenges
Prof. Salahuddian Afsar
Chairman Curriculum Committee
Dow University of Health Sciences
After the establishment of Dow University of Health Sciences, the primary focus
of the University was to improve academics. Given this, I was given the task of
developing a team to review the existing curriculum for M.B.B.S. It transpired
that there was no documented curriculum up until that point so our first step
was to critically analyze the existing system of teaching.
The teaching was subject based with no integration between different basic
science departments as well as none between the basic sciences and clinical
sciences departments. The focus was on memorizing the subject rather than on
critical thinking.
While developing this curriculum, the University changed the subject based
approach to vertically and horizontally integrated modular teaching. This
encompasses basic sciences and clinical sciences being taught in an integrated
fashion starting from first year.
Initially there were considerable reservations on the part of the faculty who were
used to the previous system and were skeptical initially, but with repeated
discussions they were eventually convinced, met the changes with enthusiasm
and took part in the development of the new curriculum.
From the first year we started Case Based Learning. After one week of teaching
the students were provided a clinical scenario in small groups so they could
relate what they studied to a more clinical approach. The University also
developed a skills lab so students learnt their hands-on skills before they
approached a patient in the wards.
10
Realizing the importance of research in the field of medicine, a research module
was incorporated in which students presented their research projects on a
research day under the supervision of faculty members.
11
CONTENTS
VOLUME-1
SECTION ONE
1. Basic organization of the integrated Modular Curriculum
2. Outline of the Curriculum Document
3. Definitions, Codes and Abbreviations
4. Five Year Curriculum Organization
5. Semester wise list of Modules
6. Skills Curriculum
SECTION TWO
a. Semester 1
b. Semester 2
c. Semester 3
d. Semester 4
VOLUME-2
e. Semetser-5
f. Semetser-6
g. Semetser-7
h. Semetser-8
i. Final year semester 9 and 10.
SECTION THREE
Consolidated Transcripts
Recommended Books
Review and Feedback
12
CONTENTS OF SEMESTER SUBSECTION
The contents of each semester subsection are in the following order in the respective
subsection :
13
Dow University of Health Sciences
Section -1
14
BASIC ORGANIZATION OF
THE INTEGRATED MODULAR CURRICULUM
In 2008 Pakistan Medical and Dental Council assigned the task of developing an Integrated Modular
Curriculum to four medical universities of Pakistan. Dow University of Health Sciences was one of
these universities. The university started developing the curriculum in early 2009 and implemented it
with the new first year batch which started in November, 2009. The development of the curriculum
and its implementation occurred side by side. The experience gained by early implementation
provided an important feedback for correction and revision while the curriculum was being
developed. Since then the curriculum has been completely implemented and two batches of students
of the University have graduated after studying on this pattern.
The modular curriculum develop by Dow University of Health Sciences is integrated both in the
vertical and the horizontal directions. However in order to prepare the students for clinical teaching
with a sound background knowledge of the basic sciences, the curriculum has been divided in three
spirals.
The Basic Sciences Spiral is spread over the first four semesters (the first two years) and clinical
sciences spiral is distributed over the next four semesters that is semester fifth to eight semester. In
the final year (9th and 10th semesters) students are given practical hands on training in the role similar
to that of a shadow house officer. They are encouraged to refer to the theoretical teaching of the first
four years for their practical training.
The whole curriculum is divided into modules, each module being related to a particular system for
example. Cardiovascular 1 module is in the Basic Sciences Spiral (Semester 2) and Cardiovascular 2
module is in the Clinical Sciences Spiral (Semester 5).
In Basic Sciences Spiral, anatomy, physiology, pharmacology, pathology, biochemistry and community
medicine are taught system wise (modules) an integrated fashion. Important clinical conditions
related to that particular system or also introduced at this stage so that the students can correlate
clinical presentation with the pathophysiology. Attempt is may to identify a particular theme from
that system for each weeks teaching. In this spiral, teaching is 80% that of basic sciences components
and 20% that of clinical sciences. Early introduction of pathology and clinical sciences provides the
students an early context of the purpose of the basic sciences teaching.
15
Case Based Learning:
During this spiral, a clinical case scenario is given to the students each week, which is made available
to them on the Curriculum Section website, prior to the commencement of teaching of that week. It
is expected that after completion of teaching of that week student will be able to analyze and discuss
the case scenario in small groups, in the presence of a faculty member whose role is primarily that of
a facilitator rather than a didactic teacher. Feedback is given to the students regarding their
discussion and assessment of the students in these sessions is forwarded to the Principal. This is part
of the formative assessment of the students.
In this spiral, distributed over fifth to eighth semesters the students revisits the basic subjects of that
system while studying the clinical aspects. All the modules which have been taught in the basic
sciences spiral have the clinical sciences component in this second spiral. Eighty percent of the
teaching in this spiral is clinical based, medicine, surgery, pediatrics and gynecology & obstructers
etc. and 20% is basic sciences. While teaching in this spiral due importance and weightage is given to
more common diseases which afflict our society.
In this spiral, in the fourth year (7th and 8th semesters) students are also given topic of
research studies which they conduct under the guidance of their assigned faculty
supervisors. Once the study is complete, it is presented in front of the faculty and students
for critique and analysis. Research studies are completed in the fourth year and are
presented in the final year.
16
THIRD SPIRAL (NINTH AND TENTH SEMESTER)
By the end of the 8th semester the students have learnt the basic and clinical sciences subjects related
to each module. In their clinical postings from the 5th to 8th semester although they are exposed, by
observation, to practical management of the patients, they are not directly involved in the
management planning and implementation. The final year (9th and 10th Semesters) has been designed
to give practical training with the intent that by the time the students has graduated he/she has
already attained the competencies which are expected of a house officer. This practical training is
provided in the wards where the students are posted. Their responsibilities are that a shadow house
officers. They are encouraged to present and discuss cases on the ward rounds with the faculty and
amongst themselves with the supervision of the faculty members.
During the course of this education, certain subjects are taught as parallel themes and a taught in
different modules. These includes research methodology, ethics, communication skills, presentation
skills and conducting basic research studies and are encouraged to write research papers,
It is expected by the time the students have graduated and are ready for the house job, they have
already achieved the competencies required of them by the Pakistan Medical and Dental Council.
17
OUTLINE OF THE CURRICULUM DOCUMENT
The first section deals with the overall structure of the curriculum, its
five years organization into semesters and modules, list of modules
and the list of practical skills to be learnt during five years. The
assessment and promotion policies, and the codes of modules,
subjects and important abbreviations used in the document are also
given in the section.
18
*The designations of the members of module committee are those which they
actually had at the time of preparation of the module. Some faculty members
have since then been promoted.
LEARNING OBJECTIVES:
Objectives of module are listed in following grid along with contents and teaching methodology
Self Study
CBL / SBL
One Best,
Skills Lab
Tutorials
Lectures
Practical
Library
Demo:
Digital
EMQS
ATP
viva
Topic /
Objectives SUBJECT
Content
Modes of information Transfer Assessment
HEM 1 Ane-1:
Recognize the Embryological
structure of development
hAnematopoietic
ANATOMY of blood
1.75 * *
tissues and
mechanism of elements.
hAnematopoesis Hematogenesis
19
FOUNDATION MODULE TIME TABLE
(This time table was for year 2015. Holidays represent actual holidays in that year)
First Week: (Cell)
ORIENTATION DAY
DA 11:00 -
8:30- 9:30 9:30-10:30 11:45-12:30 1.30-2.30
Y 11:45
INTRODUCTIO INTRODUCTION
INTRODUCTION N TO TO ORIENTATION TO COLLEGE
WEL COME BY TO PHYSIOLOGY BIOCHEMISTRY
DA ENVIRONMENT
THE PRINCIPAL ANATOMY & FACULTY & FACULTY
Y1 Name Of Faculty & FACULTY Name Of Name Of
VISIT TO DEPARTMENTS
VENUE Name Of Faculty Faculty Faculty
VENUE VENUE VENUE
EMBRYOLOGY
KEY:
Total teaching hours of a discipline in module / total teaching hours of module100
Total 1= total of discipline based teaching
Total 2= total of integrated teaching (cbl)
21
BLUEPRINT OF ASSESMENT
FOUNDATION MODULE
(SEMESTER 1)
SUMMATIVE ASSESMENT
THEORY
ATP 25
EXAM
PAPER-I 80%
One best Questions
20
based on CBL
Total 100
10. The last section contains the Credit Hours of the module.
After all the modules of the semester have been detailed, the
Semester Assessment Plan, semester credit hours, the composition of
structured viva stations and finally a sample of the Semester
transcript which is currently being used by Dow University of Health
Sciences , is given.\
3. The last part of the final section has the outline of feedback and
evaluation process employed by the University for continuous review
and revision of the Curriculum.
22
DEFINITIONS, CODES AND ABBREVIATIONS
DEFINITIONS
Definitions of the following terms used in the Curriculum Document have been
taken from HEC Guidelines.
CREDIT HOURS:
1. A credit hour means teaching a theory course of 50 minutes each week throughout the semester .
2. One credit hour in laboratory or practical work / project would require lab contact of two hours per
week throughout the semester.
Computation of semester grade point average (GPA) and Cumulative grade point average (C.GPA)
Semester Grade point Average (GPA) and Cumulative Point Average (C.GPAs) will be calculated
using the following relationships:
GPA = Sum over courses in Semester (Course Credit Hours X Grade Point Earned)
Total Semester Credit Hours
C.GPA = Sum over all taken Courses in all Semester (Course Credit Hours X Grade Point Earned)
Total Credit Hours Taken in all Semester
23
CODES
Each of the curriculum spirals, modules, subjects and lectures have been
assigned a distinct code consisting of alphabets and numbers.
Spiral Code:
The curriculum is organized in three cycles
For instance
Foundation Module is in first Spiral FND 1
24
SUBJECT CODE
Each subject is designated by a code consistent three of alphabets.
Subjects code is as follows:
2. Anh Histology
3. Ane Embryology
4. Phy Physiology
5. Bio Biochemistry
6. Pha Pharmacology
7. Pth Pathology
8. Mic Microbiology
25
Module code:
Each Module is designated by a code consistent three of capital alphabets
followed by the number of that module.
For example: the Respiratory System Module in the Basic Sciences Cycle is
coded as:
RSP-1
And the same module in the Clinical Sciences Cycle is coded as
RSP-2
MODULE CODE:
26
Lectures And Examination Material Code:
Each lecture is coded with its module code, subject code and its serial
number in that module for example, the six physiology lecture in the
Respiratory System Module in the basic cycle coded as
27
ABBREVIATIONS
KEY:
28
LIST OF MODULES AND CREDIT HOURS
CREDIT
S.NO. SEMESTERS MODULES
HOURS
1. Sem-1 Foundation Module 9
2. Blood Module-1 9
3. Sem-2 Locomotor Module-1 9
4. Respiratory System-1 4.5
5. Cardiovascular System-1 4.5
6. Sem-3 Neurosciences-1 9
7. Head & Neck & Special Senses 4.5
8. Endocrinology-1 4.5
9. Sem-4 GIT and Liver-1 9
10. Renal and Excretory System-1 4.5
11. Reproductive System -1 4.5
12. Sem-5 Infectious diseases 4.5
13. Hematology-2 4.5
14. Respiratory System -2 4.5
15. Cardiovascular System-2 4.5
16. Sem-6 GIT and Liver- 2 9
17. Renal & Excretory System-2 4.5
18. Endocrinology-2 4.5
19. Sem-7 ENT 4.5
20. Orthopedics-2 / Trauma, 6
21. Reproductive System-2 7.5
22. Sem-8 Ophthalmology 4.5
23. Rheumatology & Rehabilitation 4.5
Genetics & Dermatology
24. Neurosciences and Psychiatry-2 9
25. Medicine 13.5
Sem-9
Pediatrics 4.5
26. Surgery 13.5
Sem-10 Gynecology & Obstetrics 4.5
29
FIVE YEAR CURRICULAR ORGANIZATION
30
Curriculum of Practical skills
The following practical skills are taught to the students by Simulation in the
Undergraduate Skills Lab of the Professional Development Centre.
First year
Semester I
1.1 FOUNDATION MODULE
1. First aid skills part 1
2. First aid skills part 2
1.2 BLOOD MODULE
3. Intramuscular injection & Venipuncture
4. Intravenous Cannulation
Semester II
31
Second Year
Semester III
3.1 NERVOUS SYSTEM
3.3 ENDOCRINOLOGY
Semester IV
4.1 GIT & LIVER
32
Third Year
Semester V
5.1 INFECTIOUS DISEASES
5.2 HEAMATOLOGY
Semester VI
6.1 GIT & LIVER (INCLUDING NUTRITIONAL DISORDERS)
6.3 ENDOCRINOLOGY
33
Fourth Year
Semester VII
7.1 ENT
25. Otoscopy
7.2 EYE
26. Ophtalmoscopy
a. instrument handling
b. knotting
c. Basic suturing
Semester VIII
8.1 NEUROSCIENCES & PSYCHIATRY
34
Final Year
Semester IX and X
9.1 31. Emergency Life Saving Skills Medicine
35
ASSESSMENT AND PROMOTION POLICIES
In its assessment and promotion policies University has followed the guidelines
of Pakistan Medical and Dental Council. Although assessment is conducting
both at the modular and semester levels, the weightage of internal
assessment, the distribution of marks, clearance of both theory and viva
components and clearance of all the examinations of a year being the pre
condition for promotion to next year are essential ingredients of these policies.
ASSESSMENT POLICIES
The assessment is both formative and summative.
FORMATIVE ASSESSMENT
In the small group discussions conducted each week on the Case Based
Learning and Scenario Based Learning sessions, the facilitator not only
encourages the students to discuss the cases amongst themselves but also
assesses them and provides a feedback for improvement to them at the e nd of
the session. A copy of this assessment is forwarded to the respective Principal.
1.
2.
3.
4.
36
5.
FACILITATOR---------------------------------------------------------------------------------------------------------------
In the Clinical postings in the third, fourth and final year the students are
regularly assessed during and at the end of the posting and are provided
feedback for improvement. Copies of the posting records are forwarded to the
Principal of the college.
*GRADE
ATTENDANCE (in word)
____(Maximum)_____
(Attended)
Ward
Ward Test Attendance Participation Total
Roll No. Grade
(50) (20) (100)
(30)
__________________________________________________________________
SUMMATIVE ASSESSMENT
The summative assessment consists of the module and semester examinations.
37
Module examinations There is a module examination at the end of each
module. The content of the whole teaching of the module are tested in this
examination. It consists of a single paper of objective type questions. The
distribution of the questions is based on the Table of Specifications of the
module. There can be 75 to 100 questions depending on the duration of the
module. Sixty percent of the questions are of single best type. The remaining
questions are divided on extended matching questions and Case based learning
type integrated questions. The examination is centralized, conducted by the
examination department and students of all constituent and affiliated colleges
have to take this examination. Twenty percent of the weightage of the
Semester theory paper of that module is based on the module examination.
The Assessment plan of each Module is given at the end of each module
document.
Written Paper There is one written paper for each module of the
semester. For example, if there are three modules in one semester,
papers I, II and III will correspond to the written components of these
modules.
Spiral I Spiral II
Subject Semester Semester Total
1 to 4 5 to 8
Anatomy 12 12
Physiology 10 10
Biochemistry 7 7
Pharmacology 1 8 9
Pathology 6 7 13
Medicine* 6 6
Surgery** 6 6
Ophthalmology 4 4
ENT 4 4
The Assessment plan of each semester along with marking and weightage
of papers and their credit hours is given at the end of each semester
document.
39
Final year
The fifth year is the third spiral, the year of supervised integrated practical
training.
Ophthalmology and ENT have already been examined in the fourth year and
although the teaching and examination in these two disciplines is modular they
have been given full weightage as that of a subject in accordance with the
PMDC requirement .
The final year examination is subject based. Medicine, Surgery, Pediatrics and
Gynecology & Obstetrics are the four subjects examined in the final year. There
is both a written and a practical examination of each subject with equal
weightage given to theory and practical examination.
The assessment plan of the final year subjects are given at the end of each
subject in the Final year section.
40
PROMOTION POLICIES
The University follows the promotion policy in accordance with the guidelines
of Pakistan of Medical and Dental council
Students who fail to clear any paper, either theory or viva, have to retake
only the component they have failed in.
As per PMDC policy, clearance of all the papers of first year in four
attempts is essential for continuation of medical studies.
41
Dow University of Health Sciences
2016
Volume 2
42
SPIRAL -1
Basic Sciences
43
SEMESTER -1
Foundation Module 8 Weeks 9 CreditHours
44
FOUNDATION MODULE
(FND 1)
Semester 1
First Year MBBS
45
5 YEAR CURRICULAR ORGANIZATION
46
MODULE COMMITTEE
Documented by:
DR. NAHEED KHAN
DR. SABAHAT ZAIDI
Coordinated by:
DR. SABAHAT ZAIDI
Reviewed by:
Module committee
Curriculum committee
47
RATIONALE:
TERMINAL OBJECTIVE:
48
LEARNING OBJECTIVES:
Objectives of module are listed in following grid along with contents and
teaching methodology
Lectures
Demo:
Tutorials
Practical
CBL / SBL
Self Study
Library
Digital
spotting
Practical /
One Best, EMQS
Skills Lab
viva
Objectives
Faculty Topic / Content
49
Lectures
Demo:
Tutorials
Practical
CBL / SBL
Self Study
Library
Digital
spotting
Practical /
One Best, EMQS
Skills Lab
viva
Objectives
Faculty Topic / Content
Fnd1Anh 5 Inclusions 1 -
* *
(Lipid, Glycogen, Pigments:Melanin,
Lipofuscin,Lutein ) & Secretory
Granules
Fnd1Anh 6 Cytoskeleton 1 -
(Microtubules, Filaments: Thick,
* *
Thin /Microfilaments, Intermediate)
50
Lectures
Demo:
Tutorials
Practical
CBL/SBL
Self Study
Library
Digital
spotting
Practical /
BCQs,SEQs,
Lab
EMQS
Skills
viva
Objectives Faculty Topic / Content
Correlate the 1
composition and HISTOLOGY Fnd1Anh7 CELL MEMBRANE :
* A
* *
basic structure of cell Composition & Structure
BIOCHEMIST Fnd1 Bio 3 Cell membrane 1.5 -
membrane with its
RY
* *
functional
importance and
adaptation
Interpret the PHYSIOLOGY Fnd1Phy4 Transport Of 1.5
physiological basis of Substances Across Cell Membrane
* * *
different types of : Passive Transport
transport
Fnd1Phy5 Transport Of 1
mechanisms through
Substances Across Cell Membrane
* * *
cell membrane
: Active Transport (Special
Reference To Sodium Pump
Recognize the exact GROSS Fnd1Ag2 Terminologies: 1.5
location of a ANATOMY Anatomical positions, Terms of
* * *
dissected/prosected positions, Anatomical planes
part /organ of
human body with
respect to various
TERMS of
POSITIONS,
DIRECTION,
Interpret theand GROSS Fnd1Ag3 Terms of movement 1.7
BODY PLANES.
movements of ANATOMY 5
* * *
different parts of
human body
PATHOLOGY Fnd1 Pth Introduction of 1
pathology , Outline of cellular
* *
response to stress and injury
the knowledge of ,Types of adaptations of Cellular
various TERMS of
Growth and Differentiation
MOVEMENT.
51
Faculty Topic / Content
Lectures
Demo:
Tutorials
Practical
/CBL/SBL
Self Study
Library
Digital
spotting
Practical /
BCQs, SEQs
Skills Lab
EMQS
viva
Objectives
Fnd1Anh10 Epithelium:2 1
Types, Location, Functions
* * *
Fnd1Anh11 Cell Surface 1
Recognize the Modification
* * *
organization of (Microvilli,
Fnd1Anh12Cilia, Flagella
Cell Junctions 1
cells in the HISTOLOGY * *
epithelium and
Fnd1Anh13 Exocrine glands 1
other basic * * *
tissues of body Fnd1Anh14 Connective 1 1.5
tissue1: components
* * *
Fnd1Anh15 Connective 1
tissue2: classification
* *
description of each type
52
Lectures
Demo:
Tutorials
Practical
CBL/SBL
Self Study
Digital Library
spotting
Practical /
BCQs, SEQs
Skills Lab
EMQS
viva
Objectives Topic / Content
Faculty
Modes of information Transfer Assesment
53
Lectures
Demo:
Tutorials
Practical
/CBL/SBL
Self Study
Library
Digital
spotting
Practical /
BCQs, SEQs
Skills Lab
EMQS
viva
Objectives Faculty Topic / Content
54
Fnd1 Pth Human Genetic 1
PATHOLOGY
Architecture
* * *
Lectures
Demo:
Tutorials
Practical
CBL/SBL
Self Study
Library
Digital
SEQs EMQS
spotting
Practical /
BCQs,
Lab
Skills
viva
Objectives
Faculty Topic / Content
55
Fnd1 Pha7 Excretion of drugs 1
& factors affecting the
* *
excretion of drugs
Fnd1 Pha8 Adverse drug 1
reactions/Drug-Drug
* *
interactions
Fnd1 Ae8 First Week Of 1
Development After
* * *
Fertilization
Fnd1 Ae9 2nd Week Of 1.75
Development
* * *
Identify the
various stages of
development of Fnd1 Ae10 3rd week of 1.75
human embryo
development,
* * *
to understand
the mechanism Gastrulation: formation of
of primitive
Fnd1 Ae11streak and of
3rd week 1.75
developmental EMBRYOLOGY notochord
development neurulation and
* * *
disorders and development of somites
anomalies
Fnd1 Ae12 Fourth To Eighth 1.75
Weeks Organogenetic Period
* * *
Phases Of Embryonic
Development
Fnd1 Ae13 Fourth to Eighth 1
Weeks Organogenetic Period
* * *
Highlights of The Fourth To
Eighth Weeks
Fnd1 Ae14 Fetal Period (9th 1
Week till birth)
* * *
56
BCQs, SEQs
Practical /
Self Study
/CBL/SBL
spotting
Lectures
Tutorials
Practical
Library
Demo:
EMQS
Skills Lab
Digital
viva
Objectives Faculty Topic / Content
57
FOUNDATION MODULE
Time Table
(This time table was for year 2015. Holidays represent actual holidays in that year)
First Week: (Cell)
HISTOLOGY PHYSIOLOGY:
HISTOLOGY : HISTOLOGY
CELL MEMBRANE : Transport Of Substances Across Cell
CELL Introduction INTRODUCTION TO
DAY 3 Composition & Membrane Passive Transport
Name Of Faculty MICROSCOPY
Structure Name Of Faculty
VENUE
VENUE Name Of Faculty
Name Of Faculty VENUE
VENUE
PHYSIOLOGY: ANATOMY 5 GROUPS
Transport Of HISTOLOGY :
HISTOLOGY : Terminologies: Anatomical
Substances Cell Organelles (Endoplasmic Reticulum, Golgi
Nucleus Apparatus, Ribosomes, Centrioles, positions, Terms of
DAY 4 Across Cell positions, Anatomical planes
Name Of Faculty Mitochondrion, Lysosomes, Peroxisomes
Membrane Active
VENUE Name Of Faculty
Transport Name Of Faculty
VENUE
(Special VENUE
Reference To
Sodium Pump PATHOLOGY:
Name Of Faculty Introduction of pathology
VENUE
PHYSIOLOGY , Outline of cellular
10.30-12.00
Physiological role response to stress and ANATOMY 5 groups
DAY 5 of Cell Organelle injury Types of TERMS OF MOVEMENT
Name Of Faculty adaptations of Cellular Name Of Faculty
Growth and VENUE
VENUE
Differentiation
Name Of Faculty
VENUE
ANATOMY
Terminologies: 10.30-12.00
DAY 6 Anatomical positions, Terms of positions, HISTOLOGY REVISION
Anatomical planes, Terms of movement CELL MEMBRANE : Composition & Structure
Revision by NUCLEUS Name Of Faculty
Name Of Faculty VENUE
VENUE
58
Time Table: Second Week:
(Theme: Intercellular connections)
Days 8:30- 9:30 11:00 -12:00 12:00 -12:45 1.30-3.00
9:30-10:30
DAY 1
DAY 2
HOLIDAY
HISTOLOGY:
Cytoskeleton HISTOLOGY
(Microtubules, PATHOLOGY : Epithelium:1 HISTOLOGY BIOCHEMISTRY
Filaments: Adaptations of Types, Epithelium:2 Water: Structure and
DAY 4 Thick, Thin Cellular Growth Location, Types, Location, Dissociation
/Microfilaments, and Differentiation Functions Functions Name Of Faculty
Intermediate) Name Of Faculty Name Of Name Of Faculty VENUE
Name Of Faculty VENUE Faculty VENUE
VENUE VENUE
HISTOLOGY :
Cell Surface BIOCHEMISTRY
Modification HISTOLOGY: PATHOLOGY
DAY 6 (Microvilli, Cilia, Cell Junctions Morphologic Alterations in Cell Injury Buffers and pH
Flagella) Name Of Faculty Name Of Faculty Name Of Faculty
Name Of Faculty VENUE VENUE VENUE
VENUE
59
Foundation Module Semester- I
Time Table: Third Week
MACROMOLECULES+SKELETAL SYSTEM
Days 8:30- 9:30 9:30-10:30 11:00 -12:00 12:00 -12:45 1.30-3.00
1-Self Study =A
2- MICROBIOLOGY
PRACTICAL: An account
of a Microbiology Lab
MICROBIOLO
BIOCHEMISTRY: BIOCHEMISTRY: Use of microscope for
GY
SELF identification of bacteria and
ASSESSMENT carbohydrates: Carbohydrates: different staining methods
Structure of
Structure, Isomerism and =B Name Of Faculty
3-PATHOLOGY
bacterial cell
DAY 1 Name Of Faculty Classification and Monosaccharide VENUE
PRACTICAL:
Name Of
VENUE Functions Derivatives An introduction to pathology
Faculty
Name Of Faculty Name Of Faculty laboratory =C Name Of
VENUE
VENUE VENUE Faculty
4-HISTOLOGY
VENUE
PRACTICAL:
Epithelium=D Name Of
Faculty
5-Self Study =E
VENUE
BEHAVIORAL HISTOLOGY EMBRYOLOGY : 1-B
SCIENCES gametogenesis:spermatogenesis and
Introduction to 2-C
DAY 2 Exocrine glands spermiogenesis
Behavioral Science Name Of Faculty Name Of Faculty 3-D
web VENUE VENUE 4-E
Name Of Faculty
VENUE 5-A
COMMUNITY BIOCHEMISTR
MEDICINE Y:
1-C
Origin and Amino Acids: PATHOLOGY 2-D
PATHOLOGY
determinants of Structure, Mechanisms of Cell
DAY 3 Injury
Apoptosis: 3-E
disease Classification and Name Of Faculty
Name Of Faculty Functions Name Of Faculty
VENUE
4-A
VENUE Name Of Faculty VENUE 5-B
VENUE
BIOCHEMISTRY HISTOLOGY: EMBRYOLOGY: 1-D
Ogenesis, Prenatal and EMBRYOLOGY
Proteins: Structure,
Classification and Connective Postnatal maturation of Female Reproductive 2-E
DAY 4 Name Of Faculty
Functions Tissue1: oocytes and Organs 3-A
VENUE Components comparison of gametes Name Of Faculty
Name Of Faculty 4-B
Name Of Faculty Name Of Faculty VENUE
VENUE
VENUE VENUE NLH-1 5-C
HISTOLOGY: 10.30-12.00
connective tissue2: GROSS ANATOMY:5groups
PATHOLOGY
classification Bones ,Division and Function of Skeletal System,
Intracellular
DAY 5 description of each
Accumulations
Classification of Bones, Gross Structure of Adult Long
type Bone, Parts of Young Long Bone
Name Of Faculty
Name Of Faculty Name Of Faculty
VENUE
VENUE VENUE
60
TIME TABLE: FOURTH Week
(SKELETAL SYSTEM/INTRODUCTION TO PHARMACOLOGY)
DAYS 8:30- 9:30 9:30-10:30 11:00 -12:00 12:00 - 1.30-3.00
12:45
1-HISTOLOGY
PRACTICAL: Connective
tissue( loose and dense)
BIOCHEMISTRY Name Of Faculty
2-PATHOLOGY
SELF GROSS ANATOMY VENUE
PRACTICAL: Intracellular
ASSESSMENT Lipids: Structure, 5 GROUPS accumulations & Pathological
DAY 1 Name Of Classification and General Concepts Of calcification (WEBPATH
Faculty Functions Muscles images=B Name Of Faculty
VENUE Name Of Faculty Name Of Faculty 3-CBL=C
VENUE
VENUE VENUE
4- Name Of Faculty
VENUE = Research
Methodology =D
5-SELF STUDY=E
BIOCHEMIST
RY
HISTOLOGY GROSS ANATOMY 1-B
MUSCULAR 5 groups 2-C
Nucleic Acids
DAY 2 TISSUE GENERAL CONCEPTS
Name Of
Name Of Faculty OF JOINTS
3-D
Faculty 4-E
VENUE Name Of Faculty
VENUE
VENUE 5-A
EMBRYOLOG HISTOLOGY:
PHARMACOLOGY
Y Female Lymphoid System
Introduction to
Reproductive Ii
DAY 5 Pharmacology
Cycle Tonsil And Spleen
Name Of Faculty
Menstrual Cycle Name Of Faculty
VENUE
Name Of VENUE
Faculty
VENUE
1-E
COMMUNITY PHARMACOLOG 2-A
MEDICINE Y Routes of EMBRYOLOGY 3-B
Health system administration of Transportation Of Ovum 4-C
DAY 6 research drugs. And Fertilization 5-D
Name Of Name Of Faculty
Faculty Name Of Faculty VENUE
VENUE VENUE
61
FOUNDATION MODULETIME TABLE: FIFTH WEEK
REGULATION AND MICRONUTRIENTS
Days 8:30- 9:30 9:30-10:30 11.00-12.45 1:30-3:00
DAY 2 HOLIDAY
GROSS ANATOMY
BIOCHEMISTRY 5 groups 1-B
BIOCHEMISTRY
Vitamins 2-C
Minerals Typical Spinal Nerve
DAY 3
Name Of Faculty
Name Of Faculty Name Of Faculty 3-D
VENUE VENUE 4-E
VENUE
5-A
PHARMACOLOGY
EMBRYOLOGY 1-C
BIOCHEMISTRY Factors Modifying The 2-D
First Week Of
Energy Flow Within Drug Response
DAY 4 Development After 3-E
The Cell 1
Fertilization 4-A
Name Of Faculty
Name Of Faculty
VENUE
VENUE
Name Of Faculty 5-B
VENUE
1-E
PHARMACOLOGY EMBRYOLOGY 2-A
DAY 6 Pharmacokinetics BIOCHEMISTRY 2nd Week Of 3-B
Absorption Of Drug, Nucleic Acid 2 Development 4-C
Name Of Faculty Name Of Faculty Name Of Faculty
VENUE VENUE VENUE 5-D
62
FOUNDATION MODULE TIME TABLE: SIXTH WEEK
DEVELOPMENT AND GENETICS
SELF BIOCHEMISTRY
EMBRYOLOGY
ASSESMENT Replication and 3rd week of development, COMMUNITY MEDICINE
DAY 1 TEST Repair gastrulation, Health System Research
Name Of Name Of Faculty formation of primitive streak Name Of Faculty
VENUE
Faculty and notochord VENUE
VENUE Name Of Faculty
VENUE 1- A=DIGITAL LIBRARY
2- B= HISTOLOGY
PRACTICAL
PHARMACO
Blood vessels Name Of Faculty
LOGY
VENUE
3- C= PHARMACOLOGY
BIOCHEMISTRY EMBRYOLOGY
Biotransformat TUTORIAL
3rd week of development ii
ion of Dosage of drugs :Calculation
DAY 2 Transcription neurulation and development of
drugs.Phase- Name Of Faculty Name Of Faculty
somites
1& Phase-11 VENUE VENUE
Name Of Faculty
Name Of 4- D= ANATOMY Museum
VENUE
Faculty :models of bones, joints and
VENUE muscles
Name Of Faculty
VENUE
5- E= CBL
63
Foundation Mod 7th Week Time Table
GENETIC DISORDERS
DAY 1
Self Study Day
A= DIGITAL LIBRARY
GROSSANATOMY 5 B= Self study
MICROBIOLOGY
SELF ASSESMENT batches
TEST Biochemistry Tutorial
Integumentary
DAY 2 Name Of Faculty Bacterial Genetics C= Gene Defects
systemParts, function,
VENUE Name Of Faculty HISTOLOGY PRACTICAL
appendages + fascia D= Skin And Facia
VENUE
Name Of Faculty Name Of Faculty
VENUE VENUE
E = CBL
PATHOLOGY: PHARMACOLOGY: EMBRYOLOGY
Fourth To Eighth Weeks 1. B
MendelianDisorders Adverse drug
DAY 3 Organogenetic Period Phases 2. C
reactions/Drug-Drug Of Embryonic Development 3. D
Name Of Faculty interactions Name Of Faculty 4. E
VENUE Name Of Faculty VENUE 5. A
VENUE
DAY 4
BS EMBRYOLOGY
12/1 Fourth to Eighth Weeks
1. C
DAY 5 Culture, Organogenetic Period
Highlights of The Fourth 2. D
CulturalInfluenc 3. E
To Eighth Weeks
es, Belief 4. A
Name Of Faculty
Name Of Faculty VENUE 5. B
VENUE
Name Of
BSFaculty EMBRYOLOGY:
PATHOLOGY:
VENUE 1. D
DAY 6 Biochemical and Molecular
Delivery culturally Fetal Period (9th 2. E
Week till birth) Basis of Some
relevant care 3. A
MendelianDisorders
4. B
Name Of Faculty Name Of Faculty
Name Of Faculty 5. C
Thurs VENUE VENUE
VENUE
64
Foundation Module Time Table: EIGHTH Week
DRUGS AND TERATOGENS 8
1. E= DIGITAL LIBRARY
-
INTRODUCTI
EMBRYOLO
ON OF 2. A= SELF STUDY
AUTONOMIC GY
NERVOUS Fetal Membranes
SYSTEM. Amnion(includin 3. B= Biochemistry Tutorial
g disorders of PATHOLOGY Gene Defects
amniotic fluid) Chromosomal Disorders Name Of Faculty VENUE
DAY 1 Synthesis, Chorion
release and fate Name Of Faculty
+umbilical cord, VENUE
of Yolk Sac
4. C= HISTOLOGY PRACTICAL Skin
neurotransmitte And Facia
Name Of
rs Name Of Faculty
Faculty
Name Of VENUE
VENUE
Faculty 5. D= CBL
VENUE
PHARMACOLO
GY:
Adrenergic PHARMACOLOGY:
receptor PATHOLOGY
EMBRYOLOGY: Adrenergic receptor antagonist,
DAY 2 agonist,
Placenta classification & Pharmacological
Classification & Single-Gene Disorders
Name Of actions
mechanism of Name Of Faculty
Faculty Name Of Faculty
VENUE action VENUE
VENUE
Name Of
Faculty
VENUE
PHARMACOLO
GY
EMBRYOLOGY EMBRYOLOGY
Cholinergic PHARMACOLOGY
EMBRYOLOGY :
receptor
Multiple PRENATAL
DAY 3 agonist,classifi Cholinergic receptor antagonist,
Teratogenesis pregnancies DIAGNOSIS
cation & classification & clinical application
Name Of Name Of Name Of
mechanism of Name Of Faculty
Faculty Faculty Faculty
action VENUE
VENUE VENUE VENUE
Name Of
Faculty
VENUE
DAY 4
SELF STUDY
DAY 5
65
LEARNING OBJECTIVES
At the end of the teaching session the student should be able to achieve the following
objectives:
HISTOLOGY
Define cell
Recognize various types of cells
Differentiate between eukaryotic and prokaryotic cell
Identify different components of a cell
Define Organelles
Enumerate cell Organelles
Discuss detailed Structure, Composition and functions of each cell Organelle (
Mitochondria, Ribosomes, Endoplasmic Reticulum, Golgi Complex and Lysosomes)
Explain the Structure and Composition of Cytoplasm and cytosol
Fnd1Anh 4 NUCLEUS
Define nucleus
Describe the structure of eukaryotic nucleus
Identify the features and functions of nuclear membrane, nucleolus, chromatin and
nucleoplasm
Fnd1Anh 5 INCLUSIONS AND SECRETORY GRANULES
66
Fnd1Anh 6 CYTOSKELETON (MICROTUBULES, FILAMENTS: THICK, THIN / INTERMEDIATE
MICROFILAMENTS
Define Cytoskeleton.
Describe the composition and functions of cytoskeleton.
Enumerate the type, distribution and function of Filaments
Describe the details of microtubules
Fnd1Anh9 EPITHELIUM: 1
Define Epithelium
Discuss general features of Epithelial cells (basal, apical and lateral
surfaces)
Differentiate between basement membrane and basal lamina
Differentiate between simple and stratified epithelia
Identify the different types of Epithelia and their examples
67
Fnd1Anh10 EPITHELIUM: 2
Define Epithelium
Discuss general features of Epithelial cells (basal, apical and lateral
surfaces)
Differentiate between basement membrane and basal lamina
Differentiate between simple and stratified epithelia
Identify the different types of Epithelia and their examples
Define glands
Discuss the general feature and structure of exocrine glands
Classify exocrine glands
-on the basis of number of cells.
-on the basis of their structure
-on the basis of type of secretion
-on the basis of mode of secretion
Fnd1Anh14 CONNECTIVE TISSUE1: COMPONENTS
Define connective tissue
Differentiate connective from epithelial tissue
Describe the components of connective tissue
-cells
-fibers
-matrix
68
Fnd1Anh15 CONNECTIVE TISSUE 2:
CLASSIFICATION DESCRIPTION OF EACH TYPE
Distinguish three types of muscles at the light and electron microscopic levels.
Identify the distinctive features of each type of muscle fiber:
-Smooth
-Skeletal
-Cardiac
Describe the structural basis of muscle striations
69
PHYSIOLOGY
Fnd1Phy1 HOMEOSTATIC MECHANISM OF MAJOR FUNCTIONAL SYSTEM
Define Homeostasis
Discuss Control Systems of the Body
Enumerate Examples of Control Mechanisms
Explain Characteristics of Control Systems
70
GROSS ANATOMY
71
Fnd1Ang7 GENERAL CONCEPTS OF MUSCLES:
72
Identify their location and site of emergence.
Identify various components of a typical spinal nerve.
Recall the fate of rami.
Associate the rami communicans with typical spinal nerve.
Recall the distribution of gray rami.
Discuss the brief gross anatomy of each part of female genital system
Recognize the different parts of female genital tract and their location in pelvic
cavity
State the blood supply, nerve supply and lymphatic drainage
Mention the microscopic features of each part in relation to ovulation,
menstruation and pregnancy
GENERAL EMBRYOLOGY
Define Meiosis
Differentiate first and second meiotic divisions.
State the phases of meiotic divisions.
Justify the importance and result of meiosis in both sexes
Differentiate between mitosis and meiosis.
73
Fnd1Ane2 OVARIAN CYCLE
Define gametogenesis
Describe the sequence events of spermatogenesis in the male.
Identify the importance of mitosis and meiosis in spermatogenesis.
List the steps in Spermeogenesis
Differentiate between spermatogenesis and Spermeogenesis
Fnd1 Ane 8 Oogenesis, Prenatal and Postnatal maturation of oocytes and comparison of
gametes
Discuss the transport of ovum from the surface of ovary to ampulla of fallopian
tube
List the factors affecting the transport of ovum
Define fertilization
State normal site of fertilization
Describe the results of fertilization
Mentions the factors affecting fertilization
Enumerate the changes that occur in spermatozoa before fertilization
74
Explain the factors affecting penetration of sperm through the zona pellucida for
formation of Pro nuclei
Define implantation
State its normal site
Explain the formation of outer and inner cell masses
Discuss the further development of outer cell mass (trophoblast),
Differentiate syncytiotrophoblast and cytotrophoblast with its microscopic
appearance
Describe the process of implantation (day wise change)
State the differentiation of embryonic pole and development of bilminar germ
disc with formation Epiblast and hypoblast, their cavities (amniotic cavity and
primary yolk sac)
Discuss the development of the chorionic sac and formation Primary chorionic villi
Enumerate the abnormal sites for implantation (ectopic pregnancy) and the
different diagnostic tools
Define Neurulation
List the steps of development of Neural Tube
Enumerate the derivatives of Neural Crest Cells
State the congenital anomalies resulting from abnormal neurulation
Describe the formation of three germ layers
Differentiate three components of Mesoderm (Paraxial, Intermediate and Lateral
plate Mesoderm)
Define Somites
75
Relate the development of Somites with the formation of axial skeleton and
associated structures
Discuss the development of Intraembryonic coelom and primordial CVS
Explain the further development of chorionic villi
Fnd1 Ane14 FOURTH TO EIGHTH WEEKS , ORGANOGENETIC PERIOD
PHASES OF EMBRYONIC DEVELOPMENT
76
Fnd1 Ane19 MULTIPLE PREGNANCIES
Define the multiple pregnancies
Know the different types of multiple pregnancies
Differences between the mono and dizygotic twins
Specify the risk factors related to multiple pregnancies
Know about conjoined twins and its different types
Fnd1 Ane 20 TERATOGENESIS
Classify the birth defects
Enumerate the causes of birth defects
Know the genetic factor involve in birth defects
Name the environmental causes producing birth defects
Fnd1 Ane 21 Prenatal diagnosis
Define the mechanism of tests of prenatal diagnosis during 1 st trimester
Define the mechanism of tests of prenatal diagnosis during 2 nd trimester
Describe the indications for amniocentesis
BIOCHEMISTRY
77
Fnd1 Bio 4 WATER: STRUCTURE AND DISSOCIATION
Define pH
Discuss the hydrogen ion production in the body
Define buffers
Explain the mechanism of action of buffers
Justify that bicarbonate buffer is the major buffer of the body.
Discuss the clinical states of disturbed pH
Fnd1 Bio6 CARBOHYDRATES: STRUCTURE, CLASSIFICATION AND FUNCTIONS
Define carbohydrates
Classify carbohydrates on the basis of functional group and carbohydrate moiety.
Describe the structure of mono, di and polysaccharides
Discuss the biomedical importance of mono, di and polysaccharides
Describe the functions of mono, di and polysaccharides
78
Fnd1 Bio9 PROTEINS: STRUCTURE, CLASSIFICATION AND FUNCTIONS
Define proteins
Justify that protein chains have a direction from amino to carboxylic end.
Differentiate between configuration and confirmation w.r.t proteins
Classify proteins on the basis of nutrition, shape, solubility and functions
Justify that function of protein depends upon the structure w.r.t. (cell membrane
proteins, cytoskeleton, hormones, enzymes, skin, and hair).
Define lipids
Classify lipids
Describe the functions of various classes of lipids.
Justify that cell membrane is made up of phospholipids
Justify that milk is needed for post natal development of brain (phospholipids,
glycolipids, sphingolipids).
Discuss the clinical significance of lipids (obesity, diabetes mellitus, cardiovascular
diseases, vitamin D deficiency, hypertension, storage diseases)
Fnd1 Bio12 EXPLAIN THE PROCESS OF ENERGY FLOW WITHIN THE CELL.
Define bioenergetics.
Define energy, energy carriers and low, moderate and high energy compounds.
Differentiate between oxidation and reduction.
Discuss the methods of electron flow from substrate to oxygen (Hydronium ion,
hydrogen atom, free electrons and oxygen).
Enumerate the substrates used for energy.
Justify the role of mitochondria in generation of energy (structure, enzymes in
membranes and matrix
, own DNA).
List the enzymes of electron transport chain in the increasing redox potential
order.
Justify that electron transport chain is also termed as respiratory chain.
Explain that oxidation is linked with phosphorylation of ATP
79
Fnd1 Bio13 Describe the structure and functions of nucleic acid and their relationship in
central dogma.
Define nucleic acids
Discuss the structure and types of nucleic acids DNA and RNA
Differentiate between DNA and RNA
Define central dogma and justify its relation with living state.
Fnd1 Bio15 EXPLAIN THE PROCESS OF REPLICATION AND REPAIR.REPLICATION AND REPAIR
Define replication.
List the requirements for replication
Deduce the appropriate time for replication in cell cycle.
State the theories of replication
Explain the process of replication
Justify the need for RNA primer in replication
Differentiate the process of replication on leading and lagging strand
Differentiate between DNA polymerase I and III.
Justify that replication is a flawless process (proofreading activity).
Explain the processes of repair in DNA replication and relate this with disease
processes like xeroderma pigmentosa.
Differentiate the replication of DNA in pro and eukaryotes
80
Fnd1 Bio17 EXPLAIN THE PROCESS OF TRANSCRIPTION AND POST TRANSCRIPTIONAL
MODIFICATION POST-TRANSCRIPTIONAL MODIFICATION
Define posttranscriptional modification
Define introns and exons.
Describe the structure of primary transcript
Describe the post-transcriptional modifications of the primary transcript with
their significance.
Discuss the clinical significance of the abnormal post-transcriptioonal
modifications.
81
Explain the methods of transmission of genetically transmitted diseases
(autosomal and X linked dominant and recessive).
Draw the pedigree of the families affected by genetic diseases.
Calculate the probability of the diseased offspring in autosomal and X- linked,
dominant and recessive diseased family
Relate the mutations in Downs syndrome Turners, Klinefelters, sickle cell
anemia, cystic fibrosis, X-linked diseases
Define micronutrients
Identify vitamins and minerals as micronutrients.
Classify vitamins on the basis of solubility
Describe the general characteristics of water and lipid soluble vitamins in
relation to sources, RDA, digestion and absorption, transport in blood, storage
and excretion, functions, toxicity and deficiency states.
Classify and list minerals as macro and micro-minerals.
Describe the sources and functions of the macro and micro-minerals
PATHOLOGY
Define pathology
Briefly describe the outline of cellular response to stress and injury
Enumerate the types of adaptations of Cellular Growth and
Differentiation
82
Fnd1 Pth2 ADAPTATIONS OF CELLULAR GROWTH AND DIFFERENTIATION
Define and briefly describe the terms: Reversible cell injury and Cell death
Enumerate the Causes of Cell Injury
Describes the sequential morphologic changes in Cell Injury that end in cell
death or apoptosis
Define Apoptosis
Enumerate pathological and physiological Causes of Apoptosis
Describe Biochemical Features and Mechanism of Apoptosis
Summarize the role of Apoptosis in health and disease
PATHOLOGIC CALCIFICATION
Fnd1 Pth7
Define and describe Pathologic Calcification.
Differentiate between Dystrophic calcification and Metastatic calcification
Discuss events in Cellular Aging
83
Fnd1 Pth8 INTRACELLULAR ACCUMULATIONS
84
Discuss the cytogenetic disorder involving sex chromosomes (Klinefelter
Syndrome, Turner Syndrome)
Define Microbiology
Briefly describe the different fields of microbiology and their role in Diagnosis
of infectious diseases
Differentiate between eukaryote and prokaryote cells and the importance of the
morphological difference in disease and diagnosis of infections
85
PHARMACOLOGY
Fnd1 Pha1 INTRODUCTION TO PHARMACOLOGY
Define the terms:
o Pharmacology branches,
o Drug, poison,
o Pharmacodynamics
o Pharmacokinetics.
o What are the Sources of drug,
o Application of basic principles in selected examples of drug use,
o Importance of Pharmacopeias
o New challenges in Pharmacogenetics
Principles
Ethnic differences
Specific examples of genetically variable enzymes
CYP2D6, CYP2C9, CYP2C19
86
Fnd1 Pha6 BIOTRANSFORMATION OF DRUGS.PHASE-1& PHASE-11
Fnd1 Pha7 EXCRETION OF DRUGS & FACTORS AFFECTING THE EXCRETION OF DRUGS.
Explain the basic principles by which drugs are excreted from the body
What are routes of drug elimination?
Describe the two primary properties of a drug receptor, and how a receptor
differs from an inert binding site.
Define the following drug properties: agonist, antagonist, partial agonist,
affinity, efficacy, potency.
Describe a typical dose-response curve for a drug, and label the positions on
the curve that are used to define drug potency and efficacy.
Explain the difference between selectivity and specificity of drug effect, and
which is more commonly observed.
Explain what is meant by additive, Potentiative and synergistic drug effects.
87
Fnd1 Pha10 SIGNALING MECHANISMS G-PROTEIN COUPLED RECEPTORS.
COMMUNITY MEDICINE
Fnd1 Com1 INTRODUCTION TO PUBLIC HEALTH AND COMMUNITY MEDICINE
& HISTORICAL DEVELOPMENT OF PUBLIC HEALTH
Descirbe basic definitions
Discuss concept of c.o.m.e (community oriented medical education)
Define comprehensive health care
Describe historical development of public health
Describe development of public health in indo-pakistan
Discuss health plans and social action programs
Discuss major health problems
Discuss who as international organization
88
BEHAVORIAL SCIENCES
89
CASE BASED LEARNING
1. CBL :1
What is menstrual cycle.
What are the phases of menstrual cycle.
What are the hormones released during the cycle how they effect and
controlled.
Explain histological changes in ovary and endometrium.
2. CBL :2
Define Osmosis and how hypernatremia disturb the osmolarity and cellular
function
Enumerate the Factors affecting the movement of water and electrolytes
across cell membrane (Between extracellular and intracellular compartment )
Enumerate the causes of HypervolemicHypernatremia ,
IsovolemicHypernatremia and HypovolemicHypernatremia
How homeostasis is achieved if water and electrolytes are distrubed
3. CBL :3
Structure, function and different parts of cell.
Importance of cell membrane in regulating various function and defects in
disease states.
Importance of cell nucleus in defining cell function and determining
phenotype and genotype of the species.
Structure, number and types of chromosomes.
Effects of Chromosomal anomalies on gross appearance and physiological
functions of human body
Clinical feature of this syndrome and name it.
Social and ethical issues associated with this syndrome.
Other syndromes of numerical and structural chromosomal abnormalities.
4. CBL :4
Define about twin pregnancy.
Classify the twin pregnancy on the basis of fetal membranes.
Describe the predisposing factor leading to twin pregnancy
Explain the types and complications of twin pregnancy.
90
LEARNING OBJECTIVE OF SKILL LAB CURRICULUM
V. Burns
Demonstrate the correct method of first aid management of burns.
91
RESEARCH METHODOLOGY
What is a questionnaire
Characteristics of good questionnaire
Close ended and Open ended questions
Develop a good study questionnaire
92
TABLE OF SPECIFICATIONS
TOTAL #Roun
WEEK 1st 2nd 3rd 4th 5th 6th 7th 8th Including(pr ***
CREDIT d of
HOURS %for
act)
PAPER
GEN 24 13.85 1
6 - 3.25 4.5 3.5 5 1.75 - 1.5 14
ANAT.
HISTO 7.75 6.5 4.5 6.25 1.5 1.5 1.5 - 29.5 17.02 1.37
17
(7.5) (0.156)
BEH.SCI - - 1 - - - 1 - 2 Fnd15
0.12 1
Total 1 22.75 18.25 25.75 25.75 22 27.25 16.75 14.75 173.25 100
10.139 100
Total 2 for 6 -
- - - 1.5 1.5 1.5 1.5 - -
III A (CBL)
93
BLUEPRINT OF ASSESMENT
FOUNDATION MODULE
(SEMESTER 1)
SUMMATIVE ASSESMENT
THEORY
ATP 25
PAPER-I
One best Questions 80%
20
based on CBL
Total 100
One best Questions 50
MODULE EXAM
EMQs 10
ATP 20
MODULE PAPER 20%
One best Questions
20
based on CBL
Total 100
STRUCTURED VIVA
SEMESTER
EXAM
See Semester
PAPER-III A Structured viva
Assessment Plan
FORMATIVE ASSESSMENT
ASSESMENT TOOLS
ASSESME
SEMESTE
SUMMATI
R EXAM
NT
NOTE: Paper II & IIIB of Semester 1 Examination are Based on Blood Module.
94
CREDIT HOURS
SEMESTER I
FOUNDATION MODULE
I 6
Foundation
III A 3
95
HEMATOLOGY MODULE
HEM 1
Semester 1
First Year MBBS
96
5 YEAR CURRICULAR ORGANIZATION
97
MODULE COMMITTEE:
Reviewed by:
Module committee
Curriculum committee
98
RATIONALE
Terminal Objective
99
LEARNING OBJECTIVES:
Objectives of module are listed in following grid along with contents and
teaching methodology
Lectures
Demo:
Tutorials
Practical
CBL / SBL
Self Study
Library
Digital
ATP
viva
SUBJECT Topic / Content
Objectives
Modes of information Transfer
Assesment
HEM 1 Ane-1: 1.75
Embryological development of
* *
ANATOMY
blood elements. Hematogenesis
100
Lectures
Demo:
Tutorials
Practical
CBL / SBL
Self Study
Library
Digital
ATP
viva
SUBJECT Topic / Content
Objectives
Modes of information Transfer
Assesment
HEM 1 Pth 2 Bone marrow 1.75
Changes with ages and disease
* * *
(Hemopoisis, Aplastic Anemia)
HEM 1 Med 1 History and 1
MEDICINE
clinical findings in an anemic
* * *
patient
INTEGRATED HEM 1 Cbl 1 Nutritional anemia 1.75
LEARNING (CBL)
*
HEM 1 Pth 3 Hemolytic 1
Explain the anAnemia(hereditary
* * *
PATHOLOGY
Mechanism of spherocytosis,G6PD def,Sickle
corpuscular and cell disease)
extra
corpuscular
in
HEMan 1anemic patientused in
Pha 1 Agents 1
Hemolytic
PHARMACOLOGY
Anemias: Hematopoietic ,
* *
anemia Growth factors
HEM 1 Bio 5 Abnormalities of Hb 1.75
synthesis, porphyria ad its
* *
diffferent types Variants of
BIOCHEMISTRY hemoglobin
HEM 1 Bio 6 Heme Degradation
and related disorders and
* *
Explain the
mechanism of hyperbilirubinemia
qualitative and
HEM 1 Bio 7 Hemoglobinopathies 1
quantitative
and Thalassemia
* *
disorders of
R.B.C. (Hyper-
bilirubinemia) HEM 1 Pth 4 Thalassemia 1
Explain the
PATHOLOGY
syndrome
* *
mechanism of
HEM 1 Bio 8 Hemoglobin 1.75
qualitative and
quantitative
BIOCHEMISTRY
electrophoresis
* * *
disorders of INTEGRATED HEM 1 Cbl 2 Hemoglobinopathies 1.75
R.B.C. (Hyper-
LEARNING (CBL)
* |*
bilirubinemia)
1
HEM 1 Phy 6 Hemostasis and * *
Role of thrombocytes
PHYSIOLOGY 1.5
Understand the
HEM 1 Phy 7 Clotting cascade * * *
and bleeding disorders
mechanism of
hemeostasis, 1
explain the role
HEM 1 Phy 8 Fibrinolytic * *
mechanism
of platelets in
homeostasis and HEM 1 Bio 9 Vitamin K and its 1
coagulation BIOCHEMISTRY disorders
* *
101
Lectures
Demo:
Tutorials
Practical
CBL / SBL
Self Study
Library
Digital
ATP
viva
SUBJECT Topic / Content
Objectives
Modes of information Transfer
Assesment
HEM 1 Pha 2 Coagulants & 1
PHARMACOLOGY
Anticoagulants
* *
Demo:
Tutorials
Practical
CBL/SBL
Self Study
Library
Digital
BCQs,SEQs,
Lab
EMQS
Skills
ATP
viva
SUBJECT Topic / Content
Objectives
Modes of information Transfer Assesment
1
Describe the
PHYSIOLOGY
HEM 1 Phy 10 blood goups * A *
different Abo/Rh system/ erythroblastosis
blood groups fetalis
1.75
HEM 1 Phy 11 Blood grouping and * * *
cross matching
Comprehend HEM 1 Pth 8 Indications of Blood 1
the Transfusion and Transfusion
* *
requirements PATHOLOGY
Reactions + Blood Banking
of transfusion
and its
1.75
complications
Define HEM 1 Phy 12 Genesis and general * *
Inflammation PHYSIOLOGY characteristics of white blood cells
and the
1.5
mechanism HEM 1 Phy 13 Functions of WBC and * *
of monocyte macrophage cell system (
phagocytosis R.E.S).
102
HEM 1 Pth 10 Chronic Inflammation 1.5
* *
PATHOLOGY HEM 1 Pth 11 The role of leukocytes in 1
acute inflammation
* *
PHARMACOL HEM 1 Pha 4 Non Steroidal anti- 1.5
OGY inflammatory drugs. Classification,
* *
Recognize the Mechanisms and Pharmacology of
mechanism Aspirin.
of HEM 1 Pth 12 morphology of acute 1.75
inflammatory
PATHOLOGY inflammation
* * *
process and
HEM 1 Pth 13 Mediators of 1
host
Inflammation
* *
responses to
inflammation PHARMACOL HEM 1 Pha 5 Basic Pharmacology of 1
OGY Eicosanoid (Prostaglandin,
* *
Thromboxane, Leukotrienes) &
Vasoactive peptides
PATHOLOGY HEM 1 Pth 13 Morphology of chronic 1.75
inflammation (granuloma)
* * *
HEM 1 SUG 1 Acute inflammatory 1
SURGERY
codition(cellulitis, abcesses and others)
* *
INTEGRATED HEM 1 Cbl 3 Cellulitis & abcess 1.75
LEARNING (CBL)
Lectures
* * *
Demo:
Tutorials
Practical
/CBL/SBL
Self Study
Library
Digital
BCQs, SEQs
Skills Lab
EMQS
ATP
viva
Objectives Topic / Content
SUBJECT
Modes of information Transfer Assesment
103
HEM 1 Anh 2 Introduction 1.5
To Lymphoid Tissue And
* * *
ANATOMY
Immune System,
Histology Of Lymph Node
&Thymus
HEM 1 Phy 14 Types And 1
PHYSIOLOGY
Functions Of Lymphocytes
* *
HEM 1 Bio 10 1
BIOCHEMISTRY Immunoglobulin
* *
Differentiate HEM 1 Anh 3 Histology Of 1.75
the Lymph Node &Thymus
* * *
mechanism of
cellular and HEM 1 Anh 4 Histology Of 1
humoral ANATOMY
Spleen And Tonsils
* * *
immunity,
hypersensitivit
HEM 1 Anh 5 Histology Of 1.75
y and
Spleen And Tonsils
* * *
immunological
disorders
HEM 1 Mic 1 Innate And 1
Acquired Immunity And Its
* *
Significance Of Infectious
Diseases
MICROBIOLOGY
HEM 1 Mic 2 Antibody 1
Mediated Immune Response
* *
Demo:
Tutorials
Practical
CBL/SBL
Self Study
Library
Digital
BCQs, SEQs
Lab
EMQS
Skills
ATP
viva
Objectives Faculty Topic / Content
104
Describe MICROBIOLOGY HEM 1 Mic 5 Antigen 1.5
Antigen antibody reaction
* *
Antibody
reactions
105
importance of medicine HEM 1 Com 2 Dynamics of
Community disease transmission
* *
medicine in
HEM 1 Com 3 outbreak
disease
transmission & investigation
* *
HEM 1 Com 4 measure of
investigation
central tendency and
* *
dispersion
Importance of HEM 1 Mic 8 Structure of 1.75
microbiology in bacteria
* * *
recognition of HEM 1 Mic 9 Classification 1.75
disease caused and Growth of bacteria
* *
by bacteria
HEM 1 Mic 10 grams 1.75
,diagnosis in lab
staining
* * *
HEM 1 Mic 11 Normal flora 1.5
* *
HEM 1 Mic 12 Pathogenesis 1
of protozoal pathogenesis
* *
MICROBIOLOGY and micro organism
HEM 1 Mic 13 Malaria 1
* * *
HEM 1 Mic 14 Culture of 1.75
bacteria
* * *
HEM 1 Mic 15 Sterilization 1
and Disinfection
* *
HEM1 Mic 16 Acid fast 1.75
staining
* * *
HEM 1 Beh 1 Child 1
Development
* *
Recognize the HEM 1 Beh 2 puberty 1
importance of
BEHAVIORAL
adolescent
* *
SCIENCES
behavioral
HEM 1 Beh 3 Learning and 1
sciences
behaviour changes
* *
regarding
human
development HEM 1 Beh 4 Metacognition 1
and behaviour for web
* *
Recognize the HEM 1 Res 1 Sample 1.5
importance of techniques
*
RESEARCH
research METHODOLOGY HEM 1 Res 2 Principles of 1.5
methodology
data analysis
*
for conducting
research work
in later year
106
HEMATOLOGY MODULE
Time Table
(This time table was for year 2015. Holidays represent actual holidays in that year)
Week1
Days 8:30- 9:30 9:30-10:30 11.00:-12:30 1:30-3:00
107
HEMATOLOGY MODULE SEMESTER 1, Time Table: Week 2
HEMOGLOBINOPATHIES & HEMOSTASIS
108
HEMATOLOGY MODULE SEMESTER I
Time Table: Week 3, WBC, INFLAMMATION
109
HEMATOLOGY MODULE SEMESTER I TIME TABLE: WEEK 4
TISSUE RENEWAL, REGENERATION, AND REPAIR+ ANTIMICROBIALS
PHARMACOLOGY
SELF
Antimicrobials PATHOLOGY
STUDY
DA (Overview of The growth factors and cytokines
Y5 antibacterial drugs, NAME OF FACULTY
10:00-10:30 VENUE
classification and drug
resistance.)
NAME OF FACULTY
VENUE
PATHOLOGY SELF 1. E
Local and systemic factors 2. A
DA STUDY
SELF STUDY
affecting tissue renewal 3. B2
Y6 NAME OF FACULTY 4. C
VENUE 10:00-10:30 5. D
110
HEMATOLOGY MODULE SEMESTER - I
TIME TABLE: WEEK 5th, IMMUNITY
ANATOMY
10.:00 1. D
Histology Of Spleen And
TO 2. E BIOCHEMISTRY
DA 10:30 Immunoglobulin
Y4 Tonsils. 3. A
NAME OF FACULTY
NAME OF FACULTY 4. B VENUE
VENUE SELF
STUDY 5. C
PHARMACOLO COMMUNITY MEDICINE
DA GY Measures Of Central Tendency
Protein synthesis SELF STUDY And Dispersion
Y5
inhibitors. NAME OF FACULTY
NAME OF VENUE
FACULTY
VENUE PHARMACOLO
MICROBIOLOG GY
Y
Overiew of
Anti-metabolites 1. E
/nucleic acid 2. A
DA protozoal synthesis inhibitors
Y6
pathogenesis and NAME OF 3. B SELF STUDY
classification FACULTY 4. C
NAME OF VENUE
FACULTY 5. D
VENUE
111
HEMATOLOGY MODULE SEMESTER I,
TIME TABLE: WEEK 6th
112
TH
HEMATOLOGY MODULE SEMESTER I, TIME TABLE: WEEK 7
DAY
S
8:30- 9:30 9:30-10:30 11:00 - 12:30 1.30-3.00
1. A= BIOCHEMISTRY:
Biochemical Interpretation of
Immune-deficient disorder NAME
OF FACULTY
VENUE
2. B= PHYSIOLOGY SGD: Cellular
PATHOLOGY
Introduction to Neoplasia: SELF and humoral Immunity NAME OF
Nemenclature of tumors + STUDY FACULTY
DA VENUE
3. C= PATHOLOGY TUTORIAL:
Y1
terminologies SELF STUDY
10:00-
NAME OF FACULTY
10:30
interpretation of Autoimmune
VENUE serology
NAME OF FACULTY
4. D= HISTOLOGY PRACTICAL:
VENUE
spleen and tonsils NAME OF
FACULTY
VENUE
5. E= CBL
PHARMACOLOGY SELF 1. B= CM
DA STUDY 2. C Normal Distribution
Antiviral agents
Y2 NAME OF FACULTY 3. D Curve
10:00- 4. E NAME OF FACULTY
VENUE
5. A VENUE
10:30
PATHOLOGY SELF
Classification of tumors, STUDY 1. C
difference between 2. D
DA
Y3 benign and malignant 10:00- 3. E SELF STUDY
tumors 10:30 4. A
NAME OF FACULTY 5. B
VENUE
PATHOLOGY SELF
STUDY 1. D
Characteristic features of 2. E
CLINICAL
DA tumors and FACULTY
10:00- 3. A
Y4 Epidemiology of cancers Approach to patient
4. B
NAME OF FACULTY 10:30 with lymphadenopathy
5. C
VENUE
SELF
PHARMACOLOGY STUDY PATHOLOGY
DA Folate Antagonists Molecular Basis of Cancer
Y5 NAME OF FACULTY 10:00- NAME OF FACULTY
VENUE 10:30 VENUE
PATHOLOGY SELF 1. E
Carcinogenic Agents and STUDY 2. A
DA Their Cellular
Y6
3. B SELF STUDY
Interactions 10:00- 4. C
NAME OF FACULTY 10:30 5. D
VENUE
113
HEMATOLOGY MODULE, SEMESTERI,
TIME TABLE: WEEK 8TH
114
LEARNING OBJECTIVES OF LECTURES
AT THE END OF THE LECTURE THE STUDENT SHOULD BE ABLE TO
EMBRYOLOGY
Define hematopoiesis.
Ideentify and Descibe the sites and source of heamopoiesis before and after
birth
Differentiate stem / pluripotentd cells, progenitor and precursor (blasts) cells
Explain the development of various types of blood cells
HISTOLOGY
115
PHYSIOLOGY
1. HEM 1 Phy 1 COMPOSITION OF BLOOD:CELLULAR COMPONENTS
Composition of blood
Functions of blood.
Plasma and its composition.
R.B.Cs: Their structure, function and count.
W.B.Cs: Their types, structure, function and count.
Platelets: Their structure, function and count.
Define hemolysis?
Describe menbrane defects.
Define
o Hereditory spherocytosis.
o Sickle cell anemiia,
o Thalesemia.
o Autoimmune hemolytic anemia.
116
5. HEM 1 Phy 6 HEMOSTASIS & ROLE OF THROMBOCYTES
Define Hemostasis.
Delineate the process of hemostasis that restricts blood loss when
vessels are damaged.
Give a picture of the structure of platelets.
Describe the Role of platelets in hemostasis.
Give the Abnormalities of Hemostasis
Define fibrinolysis
Describe mechanism of fibrinolytic mechanism
Describe the therapeutic role of fibrinolytic mechanism
Enumerate few disorders related with abnormal fibrinolytic
pathway
117
9. HEM 1 Phy 10 ABO AND RH SYSTEM (Blood Grouping)/ ERYTHROBLASTOSIS
FETALIS
118
BIOCHEMISTRY
Describe the sources, RDA and Chemical nature of Vitamin B12, Folic Acid
& Vitamin B6 .
Explain the aBehorption of B12, Folic acid & Pyridoxine.
Discuss the metabolism of B12, folic acid & B6.
Describe the deficiency states of B12, folic acid & B6.
119
3. HEM 1 Bio 5 ABNORMALITIES OF HEMOGLOBIN SYNTHESIS, PORPHYRIA & ITS
DIFFERENT TYPES VARIANTS OF HB
Define Hemoglobin structure
Describe the R and T state of the hemoglobin
Explain the Heme structure and its synthesis
Enlist defects of heme synthesis
Describe major forms of porphyrias
Explain variants of Hemoglobin according to the chains
120
PATHOLOGY
Define anaemia
List the factors that are important in regulating erythropoiesis
List the types of common anaemia
Discuss the pathogenesis of anaemia
Discuss the basis for hematological laboratory methods in anaemia
Interpret results of hematological tests in the diagnosis of anaemia
Describe the basis of Coombs Test
Name the types of anaemia due to nutritional deficiency
Discuss the pathogenesis of anaemia due to nutritional deficiency
Define haemostasis
Study the different processes in haemostasis
Study the synthesis, cytoplasmic organization and functions of platelets
Describe the role of platelets in haemostasis
Describe the steps in blood coagulation
121
Describe the fibrinolytic system
Describe the physiological basis of tests for haemostatic function
List common Haemorhhagic disorders
Describe types of thrombocytopenia
Explain the effects of low platelet count on Hemostasis
122
Describe procedures performed for the detection and diagnosis of
qualitative alterations of leukocytes.
Describe the disease states/ conditions seen in qualitative alterations
of leukocytes.
Describe the peripheral blood findings seen in qualitative alterations of
leukocytes.
Describe the categories of various quantitative alterations of
leukocytes.
Define relative and absolute values
List the major causes of quantitative alterations of leukocytes
Define hypersensitivity
Enlist Types of hypersensitivity
Describe Pathogenesis of hypersensitivity
13. HEM 1 Pth 18 HYPERSENSITIVITY REACTIONS TYPE III AND IV
Define Autoimmunity
Enlist the autoimmune diseases
Describe association between HLA and autoimmune disorders
Define Sjogrens syndrome
15. HEM 1 Pth 20 GENERAL FEATURES OF AUTOIMMUNE DISEASES
123
17. HEM 1 Pth 23 CLASSIFICATION OF TUMORS,DIFFERENCE BETWEEN BENIGN AND
MALIGNANT TUMORS
Classification of tumors.
Difference between benign and malignant tumors
Define immunity
Describe antigens associated to tumors
Explain mechanism of tumor immunity
Describe carcinoembryonic antigen & alpha fetoprotein
124
21. HEM 1 Pth 28 HEMATOLOGIC MALIGNANCY:ACUTE & CHRONIC
125
5. HEM 1 Mic 13 MALARIA
Define Malaria and list the types of plasmodium species causing
malaria
Describe the pathogenesis with relevant lab tests
7. HEM 1 Mic 1 INNATE AND ACQUIRED IMMUNITY & ITS SIGNIFICANCE OF INFECTIOUS
DISEASE
Define immunity,and differentiate b/w innate and acquired
immune response.
Describe various organs and cells involved in immunity.
8. HEM 1 Mic 2 ANTIBODY MEDIATED IMMUNE RESPONSES
126
11. HEM 1 Mic 5 ANTIGEN-ANTIBODY REACTIONS IN THE LABORATORY
PHARMACOLOGY
HEM 1 Pha 1 Agents used in Anemias: Hematopoietic , Growth factors
127
HEM 1 Pha 2 Coagulants & Anticoagulants
128
HEM 1 Pha 6 ANTIMICROBIAL AGENT
Define antibiotics.
Describe ifferent antimicrobial agents.
Explain uses and reasons of Combination of antimicrobial drugs.
Define drug resistance.
Explain Complication of antibiotic therapy.
Explain Patient factors for choosing antimicrobial agent
129
Describe the adverse effects of Tetracycline, Chloramphenicol &
Aminoglycosides, including contraindications in children
and pregnant women.
HEM 1 Pha 10 ANTI METABOLITES
Describe Folate antagonists and their classification
Discuss sulfonamides and trimethoprim and mechanism of action,
therapeutic use and resistance
Explain Co-trimoxazole and its therapeutic uses and adverse effects
Describe Quinolones and DNA gyrase inhibitors, types and
mechanism of action
HEM 1 Pha 11 Histamine and Antihistamine Agents
Explain how histamine is formed and describe the locations of its
synthesis, storage and catabolism.
Explain the difference between H1 and H2 receptors and their
physiologic/path-physiologic function .
Describe the "triple response of Lewis" and the mechanism(s)
underlying each response.
Describe the primary therapeutic uses, pharmacokinetic properties,
and side effects of H1 and H2 antagonists and the
antidegranulating drugs.
HEM 1 Pha 12 IMMUNOMODULANTS AND IMMUNOSUPPRESSENTS
Define the general principles of immunosuppression.
Name immunosuppressants and, for each, describe the mechanism
of action, clinical uses and toxicities.
Describe the mechanisms of action, clinical uses and toxicities of
antibodies used as immunosuppressants.
Describe the general principles of immunostimulants and their
indications.
Describe the different types of allergic reactions to drugs.
130
COMMUNITY MEDICINE
HEM 1 Com1 Normal distribution curve
Define epidemiology
Appreciate unique skills in epidemiology
Enlist two broad types of epidemiology
Differentiate between laboratory science and field science
Enlist Uses of epidemiology
BEHAVIORAL SCIENCES
Hem 1 Beh 1 Childdevelopment
Describe the child development
Discuss the achievement of basic milestones
Enumerate the ways of communication among children
Discuss the cognitive development
Hem 1 Beh 2 Puberty adolescent
Define puberty
Enlist the secondary sexual charaterstics
Discuss the sexual and social identity
Hem 1 Beh 3 Learning and behaviour change
Discuss meaning of 'learning'
Enlist different theories of learning
Describe difference between classical & operant conditioning
Explain conditioning in daily life and clinical setting
Enumerate concepts and principles of learning theories
131
Hem 1 Beh 4 Metacognition for web
Discuss importance of metacognition
Enlist the benefits of metacognition strategies
Enumerate factors influence metacognition
Describe dimensions of metacognition
Blood Module:
I. I/M Injection:
Introduction/ Rationale
Learning Objectives
II. Venipuncture:
Introduction/ Rationale
Venipuncture is the process of obtaining intravenous access for the purpose of
intravenous therapy and obtaining a sample of venous blood. Because of its importance
and potential hazards for the pt. every doctor should be proficient in this basic
procedure.
Learning Objective
At the end of the session the student should be able to:
Introduction (Rationale):
This is one of the most important skills for giving parenteral medications and fluids to
patients.
Learning Objectives:
132
RESEARCH METHODOLOGY
Hem 1 Res 1 Sample
techniques
Describe different types of sample
Explain random sampling
Correlate differences between probability and nonprobability
Define Lymphadenopathy
Identify different causes of lymphadenopathy
Describe the mechanism of lymphadenopathy
Explain different types of lymphnodes
5. CBL 5
133
TABLE OF SPECIFICATIONS
WEEK 1st 2nd 3rd 4th 5th 6th Round of %
TOTAL *** for PAPER II
GEN - - - - - - -
ANAT. -
134
BLUEPRINT OF ASSESMENT
HEMATOLOGY MODULE
(SEMESTER 1)
SUMMATIVE ASSESMENT
THEORY
ATP 25
PAPER-II
One best Questions 80%
20
based on CBL
Total 100
One best Questions 50
MODULE EXAM
EMQs 10
ATP 20
MODULE PAPER 20%
One best Questions
20
based on CBL
Total 100
STRUCTURED VIVA
SEMESTER
EXAM
See Semester
PAPER-III B Structured viva
Assessment Plan
FORMATIVE ASSESSMENT
ASSESMENT TOOLS
Structured Feedback
ASSESMENT DURING CBL SESSION Given to the Student by
Facilitator
NOTE: Paper I & III A of Semester 1 Examination are Based on Foundation Module.
135
CREDIT HOURS
SEMESTER I
HEMATOLOGY MODULE
II 6
Hem 1
III B 3
136
ASSESMENT PLAN, SEMESTER-1
CREDIT
PAPER CONTENT WEIGHTAGE
HOURS
Foundation Module
80 Marks
(Semester Theory)
100
I Marks 6
Foundation Module
20 Marks
(Module Exam)
Hematology Module
80 Marks
(Semester Theory)
100
II Marks 6
Hematology Module
20 Marks
(Module Exam)
Foundation Module
a
(Viva)
50 Marks 3
100
III Marks
Hematology Module
b
(Viva)
50 Marks 3
137
138
SEMESTER -2
Locomotor System-1 Module 8 Weeks 9 Credit Hours
139
LOCOMOTOR MODULE
(LCM 1)
Semester 2
First Year MBBS
140
FIVE YEAR CURRICULAR ORGANIZATION
141
MODULE COMMITTEE:
Reviewed by:
Module committee
Curriculum committee
142
RATIONALE
TERMINAL OBJECTIVE
143
LEARNING OBJECTIVES OF THE MODULE
Objectives of module are listed in following grid along with contents and teaching
methodology
Lectures
Demo:
Tutorials
Practical
CBL / SBL
Self Study
Library
Digital
spotting
Practical /
One Best, EMQS
Skills Lab
viva
Faculty
Topic / Content
Objectives (REGULAR)
144
Lectures
Demo:
Tutorials
Practical
CBL / SBL
Self Study
Library
Digital
spotting
Practical /
One Best, EMQS
Skills Lab
viva
Faculty
Topic / Content
Objectives (REGULAR)
145
Lectures
Demo:
Tutorials
Practical
CBL / SBL
Self Study
Library
Digital
spotting
Practical /
One Best, EMQS
Skills Lab
viva
Faculty
Topic / Content
Objectives (REGULAR)
development
Lectures
Demo:
Tutorials
Practical
CBL/SBL
Self Study
Library
Digital
spotting
Practical /
BCQs,SEQs,
Lab
EMQS
Skills
viva
Objectives Faculty Topic / Content
Demo:
Tutorials
Practical
/CBL/SBL
Self Study
Library
Digital
spotting
Practical /
BCQs, SEQs
Skills Lab
EMQS
viva
Objectives Topic / Content
Faculty
Modes of information Transfer
Assesment
LCM 1 Ang 10 Axilla 1.5 * *
a
Boundaries and contents:
Axillary Artery &
Vein,axillary lymph nodes
LCM 1 Ane 5 Development 1 * *
Anatomy
& histology of mammary
gland
Correlate the
structure of LCM 1 Ang 11 Gross 1.5 * *
breast with Anatomy of Breast
special emphasis
on lymphatic LCM 1 Phy 15 Physiology of 1 * *
PHYSIOLOGY lactation
drainAnge of
upper limb in LCM 1 Pth 7 Non 1 * *
carcinoma breast neoplastic lesions of
breasrt
PATHOLOGY
LCM 1 Pth 8 Neoplastic 1 * *
lesions of breasrt
147
different levels Integrated LCM 1 Cbl 4 Supra condylar 1.5 * *
learning fractures of humerus
Demo:
Tutorials
Practical
/CBL/SBL
Self Study
Library
Digital
spotting
Practical /
BCQs, SEQs
Skills Lab
EMQS
viva
Objectives Topic / Content
Faculty
Modes of information Transfer
Assesment
LCM 1 Ag 10 Axilla 1.5 * *
a
Boundaries and contents:
Axillary Artery &
Vein,axillary lymph nodes
LCM 1 Ae 5 Development 1 * *
Anatomy
& histology of mammary
gland
Correlate the
structure of LCM 1 Ag 11 Gross 1.5 * *
breast with Anatomy of Breast
special emphasis
on lymphatic LCM 1 Phy 15 Physiology 1 * *
PHYSIOLOGY of lactation
drainage of
upper limb in LCM 1 Pth 7 Non 1 * *
carcinoma breast neoplastic lesions of
breasrt
PATHOLOGY
LCM 1 Pth 8 Neoplastic 1 * *
lesions of breasrt
148
LCM 1 Ag 12 Muscles and 1.5 * *
Identify various Anatomy nerves of arm
nerve injuries in
the arm at
different levels Integrated LCM 1 Cbl 4 Supra 1.5 * *
learning condylar fractures of
humerus
Recognize the LCM 1 Ag 13 Brachial 1.5 * *
importance of Anatomy vessels
brachial artery
Demo:
Tutorials
Practical
CBL/SBL
Study
Self
Library
Digital
/ spotting
Practical
EMQS
BCQs,
SEQs
viva
Lab
Skills
149
Mark the LCM 1 Ang 26 Surface marking of 1.5 * *
surface structures of Upper Limb
anatomy of
major nerves
Anatomy
and vessels of
upper limb ,
clinical
importance of
cross section
Differentiate LCM 1 Rad 1 Normal radiological 1 * *
between the anatomy of upper limb
normal and
Radiology LCM Rad 2 Cross section of upper 1
abnormal * *
radiographs of limb
the upper limb
150
LCM 1 Ang 40 Popliteal fossa 1. * *
5
151
LCM 1 Com 2 Normal Distribution * *
curve
152
LOCOMOTOR MODULE
TIME TABLE
FIRST WEEK
THEME: STRUCTURE AND FUNCTION OF BONES AND
CARTILAGES
Day 8.30 -9.30 9.30- 10.30 11.00-12.30 1.30-3.00
Anatomy Demo
Anatomy Anatomy Demo Osteology of clavicle
Anatomy Osteology of Scapula A+C= FACULTY
Classification &
DAY
Introduction to A= FACULTY VENUE VENUE
histology of
1 locomotor system B= FACULTY VENUE B= FACULTY VENUE
FACULTY
cartilages C= FACULTY VENUE D= FACULTY HALL
FACULTY
VENUE D= FACULTY VENUE 102
VENUE
E= FACULTY VENUE E= FACULTY BIO
LAB
Anatomy
Embryology Anatomy Demo
Development of Osteology of
Biochemistry mesoderm, Anatomy Humerus
DAY
Chemistry of Paraxial Classification & A= FACULTY VENUE
2 cartilages Mesoderm and Histology of bones B= FACULTY VENUE
FACULTY Sclero Myotome FACULTY C= FACULTY VENUE
VENUE and formation of VENUE D= FACULTY VENUE
cartilages E= FACULTY BIO
FACULTY LAB
VENUE
Anatomy Demo
PHARMACOLOGY Pathology
Muscles of shoulder
Ca Preps, Vit. D Describe the
region with nerve
DAY
preps, and other deficiency states Self Study
supply and actions
4 related minerals of Vitamin D
FACULTY
A+C= FACULTY VENUE
FACULTY
B= FACULTY VENUE
VENUE D= FACULTY VENUE
VENUE
E= FACULTY VENUE
153
SEMESTER II 2011-2012
LOCOMOTOR MODULE WEEK-II
Theme: Diseases of Bones & Nerves
154
SEMESTER II 2011-2012
LOCOMOTOR MODULE WEEK-III
THEME MAMMARY GLAND
PATHOLOGY COMMUNITY 1. D
Neoplastic lesion MEDICINE 2. E
DAY of Breast Normal Distribution 3. A
5 FACULTY Curve 4. B
VENUE FACULTY VENUE 5. C
Anatomy
Cubital Fussa
A= FACULTY HISTOL
CLINICAL PHYSIOLOGY 1. E LAB
DAY FACULTY Properties of muscle 2. A
B= FACULTY VENUE
Arthritis fiber 3. B
6 4. C C= FACULTY VENUE
FACULTY FACULTY
5. D D= FACULTY VENUE
VENUE VENUE
E= FACULTY VENUE
155
LOCOMOTOR MODULE
SEMESTER II, WEEK IV (4) TIME TABLE
THEME: FOREARM AND HAND
DAY
3
Anatomy Demo
Physiology
5 BATCHES
Muscular 1. B Muscles of hand, movement of thumb,
adaptation to Anatomy 2. C Palmar
DAY exercise Development of 3. D aponeurosis, anatomical snuff box
4 Muscle Muscle 4. E 1. A= FACULTY VENUE
Metabolism FACULTY VENUE 5. A 2. B = FACULTY VENUE
FACULTY 3. C = FACULTY IN VENUE
VENUE 4. D = FACULTY RAN VENUE
5. E = FACULTY ADVENUE
1. C
Anatomy 2. D
Elbow joint & 3. E
Physiology 4. A
DAY Anastomosis
pain
Around 5. B
5 FACULTY VENUE
FACULTY
VENUE
156
LOCOMOTOR MODULE
SEMESTER II, WEEK V (5) TIME TABLE
THEME: APPLIED ANATOMY OF UPPER LIMB + INTRODUCTION OF LOWER LIMB
DAY
1 Self study
DAY
2 Self study
Anatomy Demo
Wrist joint and small joints of 1=E
SELF Radiology Faculty
hand 2=A
ASSESSMENT Normal radiological
DAY A= FACULTY VENUE 3=B
TEST anatomy of upper
3 B = FACULTY 4=C
FACULTY limb
C = FACULTY VENUE 5=D
VENUE FACULTY VENUE
D = FACULTY VENUE LAST WEEK BATCH
E = FACULTY VENUE
Anatomy Demo
RADIOLOGY Faculty of Neurology Surface anatomy of upper
Faculty Cross Examination of Anatomy lecture limb
DAY sections of upper muscles and nerves Nerve injuries of upper limb A= FACULTY VENUE
4 limb of upper limb FACULTY VENUE B = FACULTY VENUE
FACULTY FACULTY C = FACULTY ENUE
VENUE VENUE
E = FACULTY VENUE
Anatomy Demo
ORTHOPAEDIC Hip Bone I
Faculty ANATOMY A. = FACULTY OSSAIN
DAY Trauma to upper Introduction of VENUE
limb (Fractures of lower limb B. = FACULTY VENUE
5 dislocation)
FACULTY VENUE C. = FACULTY VENUE
FACULTY
D. = FACULTY VENUE
VENUE
E. = FACULTY VENUE
Anatomy Demo
Hip Bone II
Pathology Orthopedic
A. = FACULTY VENUE Community Medicine
DAY Fractures and bone Soft tissue disorders
repair B. = FACULTY FACULTY Standard Error And 95%
of upper limb Confidence Interval
6 FACULTY FACULTY
VENUE
VENUE C. = FACULTY VENUE FACULTY VENUE
VENUE
D. = FACULTY FACULTY
FACULTY VENUE
157
LOCOMOTOR MODULE
SEMESTR-II
Time Table; Week VI (6) Theme; Thigh
158
LOCOMOTOR MODULE
SEMESTER II, TIME TABLE: WEEK VII(7th)
THEME ; LEG AND FOOT
1-Physiology A
Anatomy DEMO 5 BATCHES Tetanization &Summation
COMMUNITY Tibia FACULTY
SELF MEDICINE
2. B= SELF STUDY
ASSESSMENT Health promotion A+B= FACULTY VENUE
DAY
TEST and health 3. C= CBL
1 C= FACULTY AN VENUE
FACULTY education
VENUE FACULTY D= FACULTY 102 HALL 4- D=ANATOMY MUSEUM
VENUE E= FACULTY VENUE Model Study of UPPER LIMB
5. E= SKIKLL LAB:Arterial
puncture
DAY
3
1. E
Anatomy DEMO 5 BATCHES
2. A
Anatomy Demo Anatomy Lecture
DAY 3. B
Muscles of foot Knee Joint
6 4. C
A+B+C = FACULTY FACULTY FACULTY VENUE 5. D
VENUE
159
LOCOMOTORMODULE
SEMESTER II, TIME TABLE: WEEK VIII (8th)
THEME: NEUROPATHY
Days 8.30 -9.30 9.30- 10.30 11.00-12.30 1.30-3.00
A2= VENUE arterial
puncture.
Anatomy Demo
A1= Self Study
Ankle Joint, Superior Anatomy
B= Physiology Practical
SELF ASSESSMENT and Inferior Neurovascular Supply of foot
Fatigue
DAY TEST Tibiofibular Joints & A+B = FACULTY VENUE
FACULTY
1 FACULTY Transverse Tarsal C+D= FACULTY VENUE
VENUE Joint E= FACULTY 102 HALL C= Anatomy Museum
Model Study. FACULTY
FACULTY VENUE
D= CBL
E= Self study
Anatomy 1. B2
Faculty of Neurology Radiology Faculty 2. C
DAY Clinical examination of Nerve Injuries of
Normal X-Rays of Lower Limb 3. D
2 Nerves of Lower Limbs Lower Limb 4. E
FACULTY VENUE FACULTY VENUE
FACULTY VENUE 5. A
Orthopedic Faculty
Clinical Faculty of Neurology 1. C2
Anatomy Trauma to lower
Neuromuscular disorders 2. D
DAY Arches of foot Limb
(Neuropathy) 3. E
3 VENUE (Fractures &
FACULTY 4. A
FACULTY dislocations )
VENUE 5. B
VENUE
Anatomy Demo
Radiology Faculty 1. D2
COMMUNITY Surf FACULTY anatomy of
2. E
DAY Cross Sections of Lower MEDICINE lower limb
Elderly Health 3. A
4 Limb A = FACULTY 102 HALL
FACULTY VENUE 4. B
B+C= FACULTY VENUE
FACULTY VENUE 5. C
D+E = FACULTY VENUE
FACULTY OF
Orthopedic Faculty VASCULAR SURGERY 1. E2
Deformities of Skeleton Applied vascular 2. A
DAY of lower Limb anatomy of Lower Limb 3. B
5 (Coxa Vera ,Coxa Vulga + 4. C
, Telipes Foot etc) Deep Vein Thrombosis 5. D
VENUE FACULTY VENUE
DAY
6 SELF STUDY
160
LEARNING OBJECTIVES OF LECTURES
AT THE END OF THE LECTURE THE STUDENT SHOULD BE ABLE TO:
GROSS ANATOMY
1. LCM 1 Ang 1 INTRODUCTION TO LOCOMOTOR AND UPPER LIMB
161
Subclavius,Trapezius,Latissimus Dorsi,Rhomboid major and
minor,Levator Scapulae and Serratus anterior).
Discuss the structural organization of the clavi-pectoral fascia.
Identify the triangle of auscultation.
Describe the nerves and blood vessels of this region.
162
10. LCM 1 Ang 9 NERVES OF UPPER LIMB AND THEIR INJURIES
Describe the course and branches of nerves of upper limbs.
Explain the injuries associated with these nerves.
Identify the causes and motor and sensory loss associated with nerve
injuries of upper limb.
Apply knowledge of gross anatomy to identify the deformities associated
with these nerves.
11. LCM 1 Ang 10 AXILLA
163
Describe the ossification of bones
Explain the clinical significance of bones.
16. LCM 1 Ang 16 ELBOW JOINT & ANASTOMOSIS AROUND ELBOW JOINT
17. LCM 1 Ang 17 SUPERFICIAL VEINS, LYMPHATICS AND LYMPH NODES OF UPPER LIMB
Discuss the normal anatomy of veins of upper limb.
Differenciate between superficial and deep veins.
Discuss the features of individual superficial veins of upper limb.
Corelate the applied anatomy with the gross anatomy of superficial
veins of upper limb.
Define a lymph node.
Identify the groups of lymph nodes.
Describe groups and area of drainage of each group of lymph
nodes.
Discuss the commencement, course and termination of superficial
lymphatic vessels.
Discuss the clinical conditions related to lymphatic channels of upper
limb.
19. LCM 1 Ang 19 THE MUSCLES OF THE ANTERIOR COMPARTMENT OF FOREARM AND
FLEXOR RETINACULUM
164
20. LCM 1 Ang 20 MUSCLES OF THE POSTERIOR COMPARTMENT OF FOREARM AND
EXTENSOR RETINACULUM
24. LCM 1 Ang 24 SUPERIOR & INFERIOR RADIO-ULNAR JOINTS & WRIST JOINT
Recognize the details of radio-ulnar joints.
Discuss and explain the movements occurring on these joints.
Name the muscles acting in pronation and supination.
Discuss the nerve supply and blood supply of these joints.
Describe wrist joint, nerve supply and blood supply.
Discuss clinical problems related to these joints.
165
25. LCM 1 Ang 25 SPACES OF THE PALM
Identify the different spaces of the hand on both palmar and dorsal
aspects.
Discuss the clinical importance of these spaces.
166
32. LCM 1 Ang 32 LUMBO SACRAL PLEXUS, CUTANEUS NERVES, DERMATOME MAPPING.
Identify the names of nerves and their main branches innervating lower
limb
Identify the nerves closely related to a bone or other structure of lower
limb
Recognize the main nerves commonly vulnerable to injury
Identify the main area and loss of function if particular nerve is injured
Define and under stand terms neuritis, anesthesia, par aesthesia,
paralysis, neuralgia, sciatica
35. LCM 1 Ang 35 DEEP FASCIA OF THIGH, ILIOTIBIALTRACT AND SAPHENOUS OPENING
Describe the arrangement of deep fascia in thigh and how the iliotibial
tract participates in walking and running
Describe the location of saphenous opening and its relations
Discuss clinical application of the topic
167
37. LCM 1 Ang 37 NERVES AND VESSELS OF ANTERIOR COMPARTMENT OF THIGH
41. LCM 1 Ang 41 FEMORAL SHEATH AND FEMORAL RING AND ADDUCTOR CANAL---
FEMORAL TRIANGLE AND ITS CONTENTS
168
43. LCM 1 Ang 43 THE HIP JOINT AND MOVEMENTS
169
49. LCM 1 Ang 49 THE MUSCLES AND NEUROVASCULAR SUPPLY OF THE FOOT
50. LCM 1 Ang 50 ANKLE JOINT SUPERIOR & INFERIOR TIBIOFIBULAR JOINTS SUB-TALAR &
TRANSVERSE TARSAL JOINTS
EMBRYOLOGY
170
2. LCM 1 Ane 2 DEVELOPMENT OF BONE , CARTILAGE AND JOINTS
HISTOLOGY
6. LCM 1 Anh 1 CLASSIFICATION & HISTOLOGY OF CARTILAGE
171
7. LCM 1 Anh 2 HISTOLOGY OF CARTILAGE
Identify three types of bone at the light and electron microscope levels,
including distinctive features of each.
Describe the structural basis.
PHYSIOLOGY
1. LCM 1 Phy 1 ELECTRICAL PROPERTIES OF NEURON
Describe the basic structure and function of neuron
State its basic physical and electrical properties of neuron
Explain the factors on which the resting membrane potential depends
Explain the mechanics of action potential initiation and measurements of
action potentials.
Describe the basics of patch-clamp technique
172
Define Action Potential
State the key properties of Action potentials
Describe the phases of Action Potentials
Describe the characteristics of Action Potentials
Name the types of peripheral nerve fibers and receptor types that
mediate nociception.
Explain the difference between pain and nociception.
Explain the differences between fast and slow pain and acute and
chronic pain.
Explain hyperalgesia and allodynia.
Describe and explain referred pain.
173
8. LCM 1 Phy 8SUMMATION AND TETANIZATION
Measure the effects of changing the interval between paired stimulus
pulses
Observe a short tetanic contraction
174
14. LCM 1 Phy 14 ELECTROMYOGRAPHY(PRACTICAL)
16. LCM 1 Phy 16 INTRODUCTION TO THE POWER LAB AND LAB TUTOR
Recognize the major hardware and software components of the lab tutor
system
Setup a powerlab and apply it on data acquisition, analysis and report
formulation on various lab tutor experiments
BIOCHEMISTRY
1. LCM 1 Bio 1 BIOCHEMISTRY OF CARTILAGE
175
4. LCM 1 Bio 3 CHEMISTRY OF NEUROTRANSMITTERS
Define neurotransmitters
Enlist the neurotransmitter of locomotor system. Give their structure.
Enlist different neurotransmitter receptors
Describe the synthesis of these neurotransmitters.
State and explain that acetylcholine has sympathetic & parasympathetic
functions.
Explain the mechanism of action of acetylcholine in modulating muscle
contraction.
PATHOLOGY
1. LCM 1 Pth 1 VITAMIN D DEFICIENCY STATES
Define Vitamin D
Explain significance of vitamin D in the body
Describe the different deficency states related with vitamin D
Discuss the prevention of Vitamin D Deficiency
Define of osteoporosis
Describe generalized and localized osteoporosis
List the primary and secondary causes of generalized osteoporosis
Define Pathogenesis and clinical course
Discuss its complications and management
Define Osteoarthritis?
Explain pathophysiology of osteoarthritis
Dsecribe the clinical features of osteoarthritis
176
Enlist types & classification of various forms of arthritis.
Define rheumatoid arthritis
Describe etiology & risk factors, pathogenesis, & complications
PHARMACOLOGY
1. LCM 1 Pha 1 CALCIUM AND VITAMIN D PREPARATIONS
Recognize various calcium preparations, their chemical
formulations and mode of administration
177
3. LCM 1 Pha 3 DRUGS USED FOR ARTHRITIS (ACETAMINOPHEN)
COMMUNITY MEDICINE
1. LCM 1 Com 1 EPIDEMIOLOGIC STUDY DESIGN
178
Describe epidemiologic & demographic transition in developing
countries.
Explain double burden of diseases.
Enlist causes of Epidemiologic transition.
Discuss available NCD data in Pakistan.
Define injury
Enumerate types of injuries.
Define accident.
Define intentional injuries.
Define unintentional injuries.
Define traffic injuries.
Define home accidents.
Define drowning.
Define injury prevention.
BEHAVIORAL SCIENCES
1. LCM 1 Beh 1 MEDICAL ETHICS:
179
Describe concept of ethics in light of Hippocratic Oath
Describe the importance of Ethics in the life of a doctor
Describe the different components of Ethical professionalism
Enumerate characteristics of Ethical Professionalism
Apply concept of medical ethics and professionalism in different clinical
setting
RADIOLOGY
1. LCM 1 Rad 1 NORMALX RAYS OF UPPER LIMB
Recognize the basic radiological anatomy of upper limb
Relate imaging with gross anatomy
Identify the bones and joints on x-ray
Know the different views of the x- ray
Recognize imaging vocabulary
2. LCM Rad 2 CROSS SECTION OF UPPER LIMB
Identify the anatomic structures of upper limbs on standard radiographic
and cross sectional images
180
ORTHOPAEDIC
1. LCM 1 Ort 1 FRACTURES & DISLOCATIONS OF THE UPPER LIMB
Understand the mechanisms and forces which results in fracture and dislocation
of bones of upper limb.
Know the common types of fractures of bones of upper limb and areas involved.
Understand the basic principals of management of common fractures.
Understand how to reduce common dislocations and their postoperative
management.
2. LCM 1 Ort 2 SOFT TISSUE DISORDERS UPPER LIMB
Dislocation of hip
Fracture of Neck of Femur
Injuries of mid thigh
Fracture of shaft of femur.
Injuries of lower thigh and knee
Condylar or supra condylar femur fracture.
Dislocation of knee.
Injuries of upper end of leg.
Fracture of upper end of tibia.(Bumper Fracture)
Injuries of mid leg
Fracture of tibia and fibula
Injuries of lower leg and ankle.
Potts fracture.
Sprain ankle.
Dislocation ankle.
Injuries of foot.
Fracture of calcaneus
CONGENITAL DEFORMITIES:
Wrist - Madelung's deformity.
Hand - syndactylism, poly dactylism
Congenital deformities of lower limbs:
Congenital talipus equino varus (club foot)
Congenital dislocation of hip
181
Congenital genu recurvatum, genu varus (bow knees)
Congenital pseudoarthrosis of tibia (bow legs)
Acquired deformities:
The most common causes of acquired deformities are;
Trauma
Infection
Degeneration
Tumor
Metabolic disorder
Joint disorders
Definition of arthritis
history ,examination aspect of arthritis
Different types of arthritis
Investigations required for diagnosing different types of arthritis
NEUROLOGY
1. LCM 1 Neur 1 EXAMINATION OF THE UPPER LIMB NERVES
Describe the sensory and motor nerve supplies of the different regions of Upper
limb
Perform examination of nerves of Upper limb
Apply knowledge of lesions of different nerves of Upperlimb and what
abnormality would appear in case of a lesion
2. LCM 1 Neur 2 EXAMINATION OF NERVES OF LOWER LIMB
Describe the sensory and motor nerve supplies of the different regions of lower
limb
Perform examination of nerves of lower limb
Apply knowledge of lesions of different nerves of lower limb and what
abnormality would appear in case of a lesion
3. LCM 1 Neur 3 CLINICAL PRESENTATIONS OF NEUROMUSCULAR DISEASE
VASCULAR SURGERY
1. LCM 1 Vas 1 APPLIED ANATOMY OF UPPER AND LOWER LIMB BLOOD VESSELS
182
Revise main arterial and venous supply of upper limb
Apply injuries or disease associated with vessels of upper limb
Revise main arterial and venous supply of lower limb
Apply injuries or disease associated with vessels of lower limb
5. CBL 5
Understand Course of major vessels in the thigh.
Correlate Blood loss which can be associated with gun shot injury.
Understand Clinical assessment of nerves of lower limb.
Understand that an injury at thigh can damage various tissues locally and can be
associated with systemic complications
6. CBL 6
Know the motor and sensory distribution of lumbar nerve roots.
Recognize the features that occur due to disease of a certain nerve root.
Correlate the motor and sensory impairment to identify the level of nerve root
involved.
183
LEARNING OBJECTIVE OF SKILL LAB CURRICULUM
I. VITAL SIGNS:
INTRODUCTION/RATIONALE:
This is one of the first skills that a healthcare professional needs when dealing with patients
generally and specially in suspected cases of shock due to injuries. Accurate measurement of
vital signs is of prime importance in the decision making process of diagnosis and
management. Students will watch demonstration videos and then practice the measurement of
five vital signs.
The module is divided into two sub modules and will be taught in two sessions.
Module 2A- Temperature, Pulse, Respiration and Pain
Module 2B- Measuring Blood Pressure
LEARNING OBJECTIVES:
After The Sessions The Student Should Be Able To:
Demonstrate the correct methods of assessing Vital Signs.
Demonstrate effective communication skills during and after assessment.
TEMPERATURE
1. Identify different types of thermometer
2. List the four sites for assessing temperature and Recognize expected differences
between the measurements obtained at different sites.
3. Demonstrate how to take oral temperature and read the thermometer accurately.
PULSE
4. Identify seven sites where pulse may be counted ( Superficial Temporal radial,
carotid, femoral, popliteal, posterior tibial, dorsalis pedis)
5. Demonstrate correct palpation of radial pulse, count the pulse rate and note its rhythm
accurately.
6. Describe method of assessing pulse in infants (heart rate in neonates and brachial pulse
in infants)
RESPIRATORY RATE
7. Demonstrate how to count and record respiratory rate accurately
PAIN
8. Demonstrate the ability to use a pain measurement scale (faces pain scale, visual
analog scale) to evaluate the intensity of patient's pain.
9. Demonstrate the ability to empathize with the patient in pain
184
BLOOD PRESSURE:
10. Identify the different parts of the instruments (stethoscope and sphygmomanometer)
and their types.
11. Demonstrate proper placement of BP cuff on the arm and thigh.
12. Demonstrate how to measure and record blood pressure accurately
13. Describe and demonstrate the methods used to assess blood pressure in different
pediatric age groups.
14. Demonstrate appropriate communication skills before, during and after the procedure.
Learning Objectives:
At the end of the session student should be able to
1. Demonstrate the basic steps of CPR for adults & infants
185
TABLE OF SPECIFICATIONS
WEEK 1st 2nd 3rd 4th 5th 6th 7th 8th TOTAL Round of %
Credit
hours
GROSS 8.5 5.5 9 9.5 8.5 18.5 15.5 7.5 82.5 46.4 4.9
46
ANAT. (3.0) (0.06)
EMBR 1 3 1 5 2.81
3 0.31
ORT 1 2 2 5 2.81
3 0.31
186
BLUEPRINT OF ASSESMENT
LOCOMOTOR MODULE
(SEMESTER II)
SUMMATIVE ASSESMENT
THEORY
ATP 25 80%
PAPER-I
One best Questions
20
based on CBL
Total 100
One best Questions 50
MODULE EXAM
EMQs 10
ATP 20
MODULE PAPER 20%
One best Questions
20
based on CBL
Total 100
STRUCTURED VIVA
ASSESME
SEMESTE
R EXAM
See Semester
NT
Assessment Plan
FORMATIVE ASSESSMENT
ASSESMENT TOOLS
Structured Feedback
ASSESMENT DURING CBL SESSION Given to the Student by
Facilitator
NOTE: Paper II & IV-B of Semester 2 Examination are Based on Respiraton Module.
Paper III & IV-C of Semester 2 Examination are Based on Cardiovacular Module.
187
CREDIT HOURS
SEMESTER II
LOCOMOTOR MODULE
I 6
Locomotion
IV A 3
188
Respiratory Module
(RSP 1)
Semester II
First Year MBBS
189
FIVE YEAR CURRICULAR ORGANIZATION
190
MODULE COMMITTEE
Documented by:
Dr. Mohammad ArsalanSiddiqui
Dr. Ateeba Ayesha Khan
Coordinated by:
Dr. SabahatZaidi
Reviewed by:
Modular committee
Curriculum committee
191
Rationale:
A doctor in Clinical Practice will comeacross a large number of patients who have
disorders related to respiratory system as In our community there is ahigh prevalence
of respiratory diseases particularly in children where the leading cause of morbidity
and mortality in children is ARI and pneumonia.To be able to manage these, the basis
of oxygen administration and artificial ventilation should be taught in earlier years.
The understanding of air flow dynamics will enable the student to understand the
diseases like asthma, chronic bronchitis and their remedies. At the same time the
diseases related to smoking like lung cancer and chronic bronchitis are also on the rise
and a firm understanding of the respiratory system will enable the student to prevent
such life- style diseases through spreading relevant health education messages. The
student training should also include mechanism and uses of inhalers.
Terminal Objectives:
By the end of respiratory module the students will be able to:
1. Describe the normal and abnormal structures and functions of respiratory system.
2. Interpret the biochemical changes in the body related to the respiratory system with
reference of some common respiratory disorders.
3. Describe normal changes that occur in respiratory system functioning from infancy to
old age.
4. Elaborate the pathophysiology and types of infective respiratory disorders
5. Explain obstructive and restrictive pathologies involving respiratory system
6. Identify role of respiratory system in controlling acid-base balance
7. Take history and perform a satisfactory physical examination of the respiratory
system.
8. Formulate an appropriate plan for evaluating patients with respiratory signs and
symptoms to achieve a reasonable differential diagnosis.
192
LEARNING OBJECTIVES OF THE MODULE
Lectures
Demo:
Tutorials
Practical
CBL / SBL
Self Study
spotting
Practical /
One Best,
Skills Lab
EMQS
viva
Objectives
Assesment
Modes of information transfer
ANATOMY RSP 1 Ang 1 Overview of 1
Thorax
1. Overview the
(Skeleton, wall, Outlet, inlet)
* *
components of
Thoracic Cavity and
PHYSIOLOGY RSP 1 Phy 1 Functional 1.5
their relations.
organization of respiratory
* *
system +innervation
EMBRYOLOGY RSP 1 Ane1Development of 1
ribs & vertebrae
* *
1
RSP 1 Ang 2Gross Features of * *
sternum
RSP 1 Ang 3Gross Features of 1
2. Identify the role Thoracic vertebrae
* *
of thoracic skeleton
in respiration. ANATOMY
RSP 1 Ang 4 General 1.5
Features + attachment of
* *
typical Ribs
193
Faculty Topic / Content
Lectures
Demo:
Tutorials
Practical
CBL / SBL
Self Study
spotting
Practical /
One Best,
Skills Lab
EMQS
viva
Objectives
Assesment
Modes of information transfer
Be able to diagnose, COMMUNITY RSP 1 Com 1Effects of 1.5
manage and counsel MEDICINE smoking on community
* *
patients whose
respiratory
disorders are caused
by social,
occupational,
environmental
factors.
RSP 1 Ang 6 Thoracic cavity 1.5
division & boundaries of
* *
mediastinum&Joints of
thoracic cage
5. Explain RSP 1Ang7 Thoracic muscles, 1.5
Respiration in ANATOMY Inter costal spaces
* *
relation to
RSP 1Ang 8Diaphragm 1.5
a. Anatomical * *
movements RSP 1Ang 9Thoracic 1
b. Physiological Movements with respiration
* *
mechanisms (including involvement of
c. Biochemical abdominal wall)
changes
RSP 1 Phy 2 Mechanics of 1
respiration
* *
PHYSIOLOGY 1.5
RSP 1 Phy 3 Respiratory rate * * *
with the help of-- Power lab&
breath holding effect
EMBRYOLOGY RSP 1Ane3Development of 1
Body Cavities
* *
RSP 1RadThoracic inlet 1
RADIOLOGY Relations & Cross sectional
Anatomy
PHYSIOLOGY 1.5
RSP 1Phy 4 Group, A, B, C : * *
Physiology Practical: Normal
& rapid Breathing
RSP 1Ang10 1.5
6. Get recognition
with the thoracic Superior mediastinum and its
* *
cavity development, contents
divisions and
relations of
constituent
1.5
structures.
RSP 1Ang 11 Contents of * *
ANATOMY anterior Mediastinum +
Posterior Mediastinum
194
Faculty Topic / Content
Lectures
Demo:
Tutorials
Practical
CBL / SBL
Self Study
spotting
Practical /
One Best,
Skills Lab
EMQS
viva
Objectives
Assesment
Modes of information transfer
RSP 1Ang 14 vasculature of 1
Lungs- bronchial &pulmonary
* *
+ Lymphatic
of thorax
HISTOLOGY 1.5
RSP 1Anh 4 * *
respiratory epithelium
CLINICAL RSP 1 Med 1 Clinical 1
FACULTY Examination of respiratory
* *
System
CBL: 1.5
RSP 1 CBLChest injury * *
PHYSIOLOGY RSP 1 Phy5 Lung volume and 1.5
capacities + PFTs
* *
CLINICAL 1
FACULTY RSP 1 Lab 1Clinical * *
Applications of PFTs
7. Recognize the
importance of lung SKILLS LAB AND 1.5
volumes and DIGITAL LAB
RSP 1 SklAuscultation of the * *
capacities for lungs
breathing and PHYSIOLOGY RSP 1Phy6Lung Vol& 1.5
diagnosis of Capacities (Practical)
* *
disorders.
RADIOLOGY RSP 1 Rad 2Radiology Normal 1.5
respiratory structure on chest
* *
radiograph.
structures making right & left
heart borders Identify nasal
structures on radiography
1
RSP 1 Phy7Lung Compliance * *
1
RSP 1 Phy8Pulmonary
circulation
* *
V/Q RELATIONSHIP
1.5
PHYSIOLOGY RSP 1Phy 9 * *
Diffusion of gases
RSP 1Phy 10 Transport of 1
8. Discuss the
Gases:
* *
mechanism of
Transport of O2 and O2-Hb
gaseous exchange,
dissociation curve
transport and role in
RSP 1 Phy 11 Transport of 1.5
metabolism.
CO2 in relation to physiology
* *
RSP 1Bio 2 1
Role of respiration in
* *
glycolysis, CO2 and H2O
BIOCHEMISTRY production
RSP 1 Bio 3Electron Transport 1.5
Chain& biological oxidation
* *
RSP 1 Bio4 Role of 1
Bicarbonate and electrolytes
* *
for normal gaseous exchange.
195
Faculty Topic / Content
Lectures
Demo:
Tutorials
Practical
CBL / SBL
Self Study
spotting
Practical /
One Best,
Skills Lab
EMQS
viva
Objectives
Assesment
Modes of information transfer
PHYSIOLOGY RSP 1 Phy12Regulation of 1.5
respiration (Chemical &
* *
Neural)
PHYSIOLOGY RSP 1Phy 13 Hypoxia & its 1.5
types
* *
CBL: RSP 1 CblPulmonary 1.5
Embolism
* *
9. Compare regular RSP 1 Phy 14 Respiratory 1
breathing adjustment to exercise, high
* *
acclimatization in altitude and deep sea
normal and PHYSIOLOGY 1.5
abnormal body RSP 1 Phy15Effect of re- * *
states. breathing on the respiratory
rate and Pulse rate.
CLINICAL RSP 1 Med 2Recognize the 1.5
MEDICINE signs and symptoms of
* *
common respiratory
disorders
ANATOMY RSP 1 Ang15 1.5
10. Recognize the Surface anatomy
* *
common signs and CLINICAL 1.5
symptoms of Medicine RSP 1 Med 6PFTs
* *
respiratory
COMMUNITY 1.5
disorders like cough,
MEDICINE
RSP 1 Com 2 Asthma * *
hemoptysis, SOB, RSP 1 Com 3 Tuberculosis 1.5
etc. * *
CLINICAL RSP 1 Med 6ABGs
Medicine interpretation
* *
1
RSP 1 Bio5 Role of respiratory * *
system for Acid base Balance
BIOCHEMISTRY
11. Enlist and RADIOLOGY RSP 1 Rad 3Radiology and 1
Explain disorders of Imaging of Respiratory
* *
respiratory system: System
RDS, Pulmonary 1
embolism, Chest RSP 1 Pth 1ARDS * *
injuries, COPD / PATHOLOGY
1
Asthma RSP 1Pth 2 COPD; Its types,
pathogenesis and clinical
* *
features.
Bronchitis & its pathogenesis
CBL: 1.5
RSP CblCOPD / Asthma * *
RSP 1Pth 3 Asthma, 1.5
pathogenesis, clinical
* *
manifestation.
Bronchiectasis, its etiology
PATHOLOGY and pathogenesis of
1
* *
RSP 1 Pth 4 Pleural Effusion
&Pneumo thorax
196
Faculty Topic / Content
Lectures
Demo:
Tutorials
Practical
CBL / SBL
Self Study
spotting
Practical /
One Best,
Skills Lab
EMQS
viva
Objectives
Assesment
Modes of information transfer
RSP 1Pth 5 Pulmonary 1.5
Vascular Disorders
* *
Define pulmonary embolism,
RSP 1 Mic2Mycobacterium 1
Microbiology
Tuberculosis
* *
Lectures
Demo:
Tutorials
Practical
CBL / SBL
Self Study
spotting
Practical /
One Best,
Skills Lab
EMQS
viva
Objectives
Assesment
Modes of information transfer
Community Acquired
Pneumonia(Penicillin)
RSP 1 Pha 4Drugs used for 1
Community Acquired
* *
Pneumonia(Macrolides+Quin
olones)
RSP 1 Pha 5Anti-Tuberculosis 1
therapy (1+2)
* *
198
EMESTER II, RESPIRATION MODULE
TIME TABLEWEEK 1
1.A=Biochemistry
Chemistry of inflammatory
mediators in respiratory
disordersVENUE
FACULTY R. ATIF
2.B=SELF STUDY
Anatomy 3.C= Histology Practical-
Histology Respiratory Epithelium+
Anatomy Demo
Respiratory Anatomy Demo: trachea + FACULTY General Features + attachment of
DAY 2 Epithelium+ Sternum- FACULTYVENUE Atypical Ribs
histology of larynx FACULTY 3.D= CBL of last week of A+B+C= FACULTY IALH
and trachea VENUE locomotion D+E= FACULTY VENUE
FACULTY
VENUE 4.E= Physiology Practical:
Introduction to Power
labwith respect to respiration
DR. MEHWISH / DR.
ANWAR
VENUE
199
SEMESTER II RESPIRATION MODULE
TIME TABLE WEEK2
PATHOLOGY 10:00-
DAY 1. C
Define asthma, pathogenesis, 10:30
2. D
5 clinical manifestation, Define AM
3. E
bronchiectasis, its etiology and SELF
4. A
pathogenesis ofbronchiectasis STUD
5. B
FACULTY VENUE Y
200
SEMESTER IIRESPIRATION MODULE
WEEK- 3TIME TABLE
DAY 5
Biochemistry
1. D
Role Of Buffers In Physiology
10:00-10:30 2. E
DAY 6 Hydrogen Ion Homeostasis Hypoxia & its types
am 3. A
FACULTY Self-study FACULTY VENUE
VENUE 4. B
5. C
201
SEMESTER II RESPIRATION MODULE
TIME TABLE -WK 4
Pharmacology Microbiology
Drugs used for Common Pathogens 1. B
community acquired causing Community 2. C
DAY 5 Acquired Pneumonias
pneumonia 3. D
1.Penicillin (typical and atypical) 4. E
FACULTY FACULTY 5. A
VENUE VENUE
202
SEMESTER II -RESPIRATION MODULE
TIME TABLE WEEK 5
1.A+B+C= Histopathology
practical Microscopy of TB Anatomy
Radiology Pharmacology 5 Groups Demo
CT scan FACULTY
ATT 2: VENUE Surface Anatomy of thorax
DAY 4 FACULTY AntiTuberculous A + B = FACULTY VENUE
VENUE drugs C + D= FACULTY VENUE
FACULTY 2.D+E= Microbiology Zeihl E= FACULTY
VENUE Nelson staining
FACULTY
DAY 6
SELF STUDY
203
LEARNING OBJECTIVES OF LECTURES
At The End Of The Lecture The Student Should Be Able To
GROSS ANATOMY
204
RSP 1Ang7Thoracic muscles, Inter costal spaces
Identify the different layers of thoracic walls
Identify Intercostal muscles
Discuss about the contents of intercostal spaces
Describe &Explain the origin of intercostal arteries
Describe &Explain the origin, course and distribution of intercostal
nerves
Discuss about the branches and course of internal thoracic artery
Clinically correlate to the thoracic wall& its abnormalities
205
RSP 1 Ang12Thoracic sympathetic trunk, phrenic and vagus nerve, Thoracic
duct.
Describe the relations of its contents
Discuss clinical correlates
EMBRYOLOGY
RSP 1 Ane 1Development of ribs & vertebrae
Discuss the stages of development of the vertebral column
Discuss the development of ribs from costal elements of
primitive vertebrae
Clinically correlate to associated congenital anomalies including
spina bifida, spondylolisthesis, scoliosis, kyphosis, extra rib, fused
rib and pigeon shaped chest.
206
RSP 1 Ane2Development of respiratory system& Developmental anomalies of
respiratory System
Enumerate the different Parts of Respiratory System
Name the Different Parts of Foregut
Discuss the formation of laryngo- tracheal tube
Discuss the formation of Lung Bud
Describe the Branches of Bronchi
Discuss the different Stages of development of Lung
Describe Maturation of Lung
Clinically correlate to the congenital errors during development
HISTOLOGY
207
RSP 1 Anh 2Larynx
PHYSIOLOGY
RSP 1 Phy 1Functional organization of respiratory system
Different phases of respiration
Respiration occurring at different levels in the human body
Classification of respiratory system according to structure and
function
Describe the structure and functions of nasal cavity, pharynx,
larynx, trachea, bronchi, bronchioles and alveoli
208
Explain the role of respiratory muscles in producing pressure
gradients
Explain the relevance of pulmonary compliance and elasticity
to ventilation
Define various measurements of pulmonary function
RSP 1 Phy 3Respiratory rate with the help of-- Power lab&breath holding effect
Record breathing movements
Investigate various aspects of breathing (Breath holding ability,
hyperventilation and re-breathing)
Determine the relationship between breathing and heart rate
209
Explain how do lungs adapt and why?
Explain tension on lung surface
Explain lung and chest compliance
Define laplace law
210
Describe the transport and exchange of CO2 in tissue.
Describe the transport and exchange of CO2 in lungs.
Explain the influences of CO2 on blood pH.
RSP 1 Phy 14Respiratory adjustment to exercise, high altitude and deep sea
Explain the respiratory responses in relation to exercise
Describe and Explain the changes occurring in the muscles during
exercise
Discuss the response of Oxygen hemoglobin dissociation curve
during exercise
Discuss about oxygen debt and its importance
Explain how does the respiratory system adapt to high altitude
pressures
Discuss acclimatization and its importance
Clinically correlate to under water diving and changes in the body
Describe & Explain decompression sickness and its consequences
211
RSP 1 Phy 15Effect of re-breathing on the respiratory rate and Pulse rate.
Describe and explain the effects on the respiratory pattern of re-
breathing expired gas
Describe and explain the relationship between breathing and heart
rate
BIOCHEMISTRY
212
Explain various biochemical reactions
Correlate with various biochemical cycles
RSP 1 Bio 4Role of bicarbonate and electrolytes for normal gaseous exchange
Explain the normal physiology of serum electrolytes
Explain different biochemical abnormalities
Explain the roles of electrolytes in gaseous exchange
PATHOLOGY
RSP 1 Pth 1ARDS
213
RSP 1 Pth3Asthma & Bronchiectasis; Pathogenesis & clinical manifestations
Describe the etiology of asthma& Bronchiectasis
Explain its pathogenesis
Describe its signs & symptoms
Describe the diagnostic tests
Describe its management
214
RSP 1 Pth7Tuberculosis
State it etiology
Recogize the communicable granulomatous disease caused by
mycobacterium tuberculosis
Discuss its epidemiology
Explain the pathogenesis of Granuloma formation
Recognize and describe the five different clinical patterns of
tuberculosis
Define primary and secondary tuberculosis
Describe physical examination, laboratory & radiological
findings
Describe and explain its complications
Define pneumonia
Discuss the etiological classification of pneumonia
Discuss its clinical presentation
Describe the diagnostic tools for pneumonia
MICROBIOLOGY
RSP 1 Pth1Common pathogens causing community acquired pneumonia
Define pneumonia
Discuss the etiological classification of pneumonia
Describe the features of some important causative organisms of
pneumonia
Describe the diagnostic tools for pneumonia
215
RSP 1 Pth2Mycobacterium Tuberculosis
Classify Mycobacterium associated with human disease
State the transmission
Explain its pathogenesis
Describe its clinical presentation
Discuss its management
PHARMACOLOGY
RSP 1 Pha 1Asthma
216
RSP 1 Pha 4Drugs
used for Community Acquired Pneumonia
(Macrolides+Quinolones)
Explain the mechanism of action, route of administration and adverse
effects
Discuss the pharmaco-kinetics
State the contraindications
Discuss the drug interactions
COMMUNITY MEDICINE
RSP 1 Com 1Effects of smoking on community
Define Asthma
Discuss the global burden of Asthma
Explain the etiology, triggers and clinical manifestation
Describe its management
217
BEHAVIORAL SCIENCES
RSP 1BehHysterical Breathing, Functional Breathing
RADIOLOGY
RSP 1 Rad 1 Thoracic inlet Relations & Cross-sectional Anatomy
Describe different structures that can be identified on CT chest
Recognize different levels of mediastinal CT
Describe the appearance of lung parenchyma on CT chest
MEDICINE
RSP 1 Med 1Clinical Applications of PFTs
Describe the parameters of Pulmonary Function Tests
Explain the pattern of PFTs in obstructive and restrictive disease
Differentiate between obstructive and restrictive diseases on the
basis of PFTs
218
RSP 1 Med 2Clinical Examination of the respiratory system
Enumerate the different signs elicited after a clinical examination of a
patient with respiratory disorders
The techniques of examination
Be able to correlate the findings with common diseases
RSP 1 Med 3Recognize the signs and symptoms of common respiratory disorders
Enumerate the various symptoms of respiratory disorders.
Correlate the symptoms with the signs of respiratory distress.
Determine the cause of respiratory distress in a patient with particular
sign or symptom
Respiratory Module:
I. Introduction To Respiratory System Examination:
LEARNING OBJECTIVES:
Familiar with the correct method of inspection, palpation and percussion of chest.
To demonstrate correct technique of auscultation of chest
219
CASE BASED LEARNING
CBL 1:
Define pneumonia ?
List the pathogens known to be causative agents of pneumonia?
Explain the pathogenic mechanism of pneumonia?
Describe the findings of lung consolidationand discus its clinical
implication?
Enlist the complications of pneumonia?
Describe the clinical course of pneumonia?
CBL 2:
To learn types & mechanisms of hypoxia
To learn common causes of sudden onset of Chest pain
To learn common causes of acute shortness of breath
To learn mechanism of hypoxia responsible for acute pulmonary
embolism
CBL 3:
Describe the major difference between obstructive and restrictive
lung pathology
Explain different lung capacities and volumes.
Interpret the effect of bronchodilators on lung volumes in a
obstructive scenario.
Describe different treatment options for the given pathology.
CBL 4:
Identify the patient having tuberculosis
Describe the pathophysiology of the given pathology
Interpret different types of tuberculosis
Define the management for the given scenario.
CBL 5:
Differentiate between obstructive and restrictive lung diseases.
Classify the stages of the given pathology
Describe the causes, symptoms and management for the given
pathology
Interpret the X-ray findings for the given scenario.
220
TABLE OF SPECIFICATIONS
WEEK 1st 2nd 3rd 4th 5th 6th 7th 8th #Round
TOTAL *** of %for
PAPER1
HISTO 7.75 6.5 4.5 6.25 1.5 1.5 1.5 - 29.5 17.02 17
BEH.SCI - - 1 - - - 1 - 2 1.15 1
Total 1 22.75 18.25 25.75 25.75 22 27.25 16.75 14.7 173.2 100 100
5 5
Total 2 - - - 1.5 1.5 1.5 1.5 - -
for III A
(CBL) 6 -
221
BLUEPRINT OF ASSESMENT
RESPIRATION MODULE
(SEMESTER II)
SUMMATIVE ASSESMENT
THEORY
ATP 25
EXAM
EMQs 10
ATP 20
MODULE PAPER 20%
One best Questions
20
based on CBL
Total 100
STRUCTURED VIVA
SEMESTER
EXAM
See Semester
PAPER-IV- B Structured viva
Assessment Plan
FORMATIVE ASSESSMENT
ASSESMENT TOOLS
Structured Feedback
ASSESMENT DURING CBL SESSION Given to the Student by
Facilitator
NOTE: Paper I & IV-A of Semester 2 Examination are Based on Locomotor Module.
Paper III & IV-C of Semester 2 Examination are Based on Cardiovacular Module.
222
CREDIT HOURS
SEMESTER II
RESPIRATION MODULE
II 3
RESPIRATION
IV B 1.5
223
CARDIOVASCULAR MODULE
Code: (CVS 1)
Semester: II
First Year MBBS
224
FIVE YEAR CURRICULAR ORGANIZATION
225
MODULE COMMITTEE
Documented by:
DR SAIMA RASHID
Co-ordinated by
Reviewed by
Modular Committee
Curriculum committee
226
RATIONALE:
Cardiovascular diseases are common in the community and ischemic heart
disease is one of the most common noninfectiousdisease in our society.
Understanding of the structure and function cardiovascular system and their
relationship to diseases process is essential for diagnosis and management of
cardiovascular diseases.The cardiovascular module is designed to fulfill these
expectations.
TERMINAL OBJECTIVES:
Medical graduate after completion of 5 years training program should be able
to:
227
LEARNING OBJECTIVES OF THE MODULE
Objectives of module are listed in following grid along with contents and
teaching methodology
Lectures
Demo:
Tutorials
Practical
CBL / SBL
Self Study
Library
Digital
ATP
viva
Skills Lab
1 * *
CVS:1 Ang2 Overview of
Coronary blood vessels
body
228
Lectures
Demo:
Tutorials
Practical
CBL / SBL
Self Study
Library
Digital
ATP
viva
Skills Lab
* - *
CVS:1 Bio:1 Overview of 1.5
Identify the risk Lipid metabolism
229
Lectures
Demo:
Tutorials
Practical
CBL / SBL
Self Study
Library
Digital
ATP
viva
Skills Lab
CVS:1 Bio:5(a) * *
Chemistry synthesis and 1.5
functions of lipoproteins
CVS:1 Bio:5(b) * *
Chemistry synthesis and 1.5
functions of lipoproteins
CVS:1 Pth:1
Atherosclerosis
CVS:1 Pth:2(a) * *
Ischemic Heart Diseases 1 1
CVS:1 Pth:2(b) * *
Ischemic Heart Diseases 2 1
Define cardiac * - *
output and factors PHYSIOLOGY 1
CVS:1 Phy:10 Cardiac output
modulating/
and its regulation
controlling COP.
Differentiate left
and right sided heart * *
failure and correlate PATHOLOGY CVS:1 Pth:3
it with the CARDIAC FAILURE 1.5
230
PATHOLOGY
Lectures
Demo:
Tutorials
Practical
CBL / SBL
Self Study
Library
Digital
ATP
viva
Skills Lab
CVS:1 Phy:11 * *
PHYSIOLOGY CVS adaptation during exercise 1
Understand the * *
changes in CVS:1 Phy:12Hemo-dynamics
hemodynamics by 1
pulmonary
applying and
the (bloodflow,pressure,resistance)
knowledge of PHYSIOLOGY
systemic circulation.
different types of CVS1:Bio :8 * *
blood vessels and Practical; 1.5
changes in these Interpretation of Cardiac
vessels like Enzymes
atherosclerosis.
BIOCHEMISTRY
CVS:1 Phy:13 1 * - *
Local control of blood flow
List component of
CVS:1 Phy:18
circulation,
Nervous regulation of
microcirculation, and
functions of arterial circulation and rapid control of
PHYSIOLOGY B.P.
and venous system.
Formation of edema
CVS:1 Phy:19
by applying
Circulatory shock
knowledge of
capillary/lymphatic
exchange CVS:1 Pth :4(a) * *
PATHOLOGY Hypertensive Vascular Disease 1.5
231
Lectures
Demo:
Tutorials
Practical
CBL / SBL
Self Study
Library
Digital
ATP
viva
Skills Lab
CVS:1 Pha:4a * *
Drugs used in HTN 1 1
PHARMACOLOGY
CVS:1 Pha: 4b Drugs used * *
in HTN 2 1
232
CARDIOVASCULAR MODULE
Time Table
First WEEK
(This time table was for year 2015. Holidays represent actual holidays in that year)
1. B
ANATOMY DEMO 2. C
3 Heart: Internal-features 1 3. D
Name of Faculty 4. E
Venue 5. A
1 1. C BIOCHEMISTRY:
0 2. D Chemistry synthesis and functions
ANATOMY
4 Heart: Internal-features 2
: of Lipoproteins 2
3. E
3 Name of Faculty
0 4. A
Name of Faculty Venue
Venue - 5. B
1
1
:
0
0
S
E
L
F
S
T
U
D
Y
233
SEMESTER II CARDIOVASCULAR MODULE
TIME TABLE WEEK-II
SEMESTER II CARDIOVASCULAR MODULE
234
SEMESTER II CARDIOVASCULAR MODULE
TIME TABLE WEEK-III
Anatomy PHARMACOLOGY
PATHOLOGY Anatomy :
Early Overview of principle arteries of CVS Anti Anginal Drugs
Development Of Cardiac Failure
2 Name of Faculty
Heart Name of Faculty Name of Faculty
Venue Venue Venue
Name of Faculty
Venue
A1 = SKILL LAB
EXAMINATION OF CVS
A2 = SELF STUDY
B = Physiology Practical: Major Physiology:
Physiology: components of ECG by power Lab,
ECG Abnormalities Hypertrophy and ischemia/
ECG 2: Rate and rhythm + 10:0010:30 Name of Faculty Venue myocardial infarction
3 vectoral analysis SELF
Name of Faculty STUDY C = SELF STUDY
Name of Faculty
Venue
D = Biochemistry Venue
Practical;Interpretation of Cardiac
Enzymes Name of Faculty
Venue
E= CBL
PHARMACOLOG
Physiology: Y: 1. B1
Arrhythmias + Drugs Used In 2. C
4 conduction defects Arrythmias 1 3. D SELF STUDY
Name of Faculty 4. E
Name of Faculty 5. A
Venue
Venue
PHARMACOLOGY: 1. C1
Drugs Used In 10:00 10:30 2. D
5 Arrythmias 2 3. E
SELF
Name of Faculty STUDY 4. A
Venue 5. B
Anatomy
Physiology
Late Development 1. D1
Normal and Clinical Faculty of Radiology
Of Heart And 2. E
abnormal heart X-ray chest in relation to CVS
6 Partitioning Of 3. A
sounds Name of Faculty
Heart 4. B
Name of Faculty 5. C Venue
Name of Faculty
Venue
Venue
235
SEMESTER II CARDIOVASCULAR MODULE
TIME TABLE WEEK-IV
8:30 to 9:30 9:30 to 10:30
Days 10:30 to 12:00 12:00 to 1:00
Anatomy :
Physiology: LAST WEEK PRACTICAL
Overview Of 1. E
Cardiac Output And
Principle Veins Of 2. D
1 Its Regulation
Cvs. 3. A
Name of Faculty SELF STUDY
Name of Faculty 4. B
Venue 5. C
Venue
1.A2= Skill lab. Examination of cvs
A1= Self study
Physiology:
Anatomy: 2. B=Physiology practical:ECG and
Hemo-Dynamics heart sound
2 Development Of
(Blood Flow, Arterial System Physiology:
Pressure, Resistance,) 3. C= CBL:
Name of Faculty Local Control Of Blood Flow
Name of Faculty Venue 4. D= SELF STUDY Name of Faculty Venue
Venue
5.E= SELF STUDY
Physiology:
Nervous Regulation Of
Circulation And Rapid Control 1. C
10:00- Anatomy: Development Of Venous
Of B.P 2. D
10:30 System. Name of Faculty
4 Long Term Regulation Of 3. E
SELF Venue
Arterial Pressure. 4. A
STUDY
Name of Faculty 5. B
Venue
PATHOLOGY 1. D
PHARMA
Hypertensive Heart Drugs Used In 2. E
5 Disease Hypertension 2 3. A
Name of Faculty Name of Faculty 4. B
Venue 5. C
Venue
Physiology:
PHARMA 1. E
Micro circulation
Drugs Used In 2. A
lymphatic system
6 Hypertension 2 3. B SELF STUDY
and oedema
Name of Faculty 4. C
Name of Faculty
Venue 5. D
Venue
236
LEARNING OBJECTIVES
At the end of the teaching session the student should be able to achieve the following
objectives:
ANATOMY
CVS:1 Ang1OVERVIEW OF CVS
Explain organization of cardio vascular system
Enlist the components of cardio vascular system
Describe about location, external and internal structure of heart
Explain about different chambers and valve of the heart
Discuss the different circulatory circuits and their working .
Describe the structures of different vessels
CVS:1 Ang2ANATOMY OF PERICARDIUM
Definepericardium
Describe different reflectionsof pericardium
Identify entry &exit of vessels of heart via pericardium
Discuss applied anatomyof heart
CVS:1Ang3 (a)CHAMBERS AND INTERNAL FEATURES OF HEART
237
CVS:1 Ang5CONDUCTINGSYSTEM OF THE HEART, BLOOD SUPPLY
AND NERVE SUPPLY TO HEART
CVS:1Ang 6SURFACE
MARKING OF THE HEART,AORTA,SUPERIOR VENA CAVA ,
INFERIOR VENA CAVA
238
HISTOLOGY
EMBRYOLOGY
CVS: 1 Ane1EARLY DEVELOPMENTOF HEART
239
Evaluate the further development of heart
Discuss the formation of different layers of heart
Explain the division of heart tube
Describe the Rotation of Heart tube
PHYSIOLOGY
CVS:1 Phy:1 ARRYTHMIAS AND CONDUCTION DEFECTS IN ECG
240
Define a cardiac myocyte.
Explain the Excitation and Contraction of Cardiac Myocyte.
Enumerate the role of gap Junctions?
241
CVS:1 Phy:9 CARDAIC OUTPUT AND ITS REGULATION
Define the sympathetic and parasympathetic nervous system and their role in
circulation
Explain vasoconstrictor tone
Describe vasomotor area, its location and function
Differentiate different methods of rapid nervous control of BP
Discuss baroreceptor and other reflexes
Evaluate the role of kidney in blood pressure control.
242
CVS:1 Phy:14NORMAL AND ABNORMAL HEART SOUNDS
Define of heart sounds
Enlist the types of heart sounds
Define Murmurs and types of murmurs
CVS:1 Phy:15ELECTROCARDIOGRAM
Describe where to place electrodes to record the standard limb lead ECG
(leads I, II and III )
Identify the major components of the ECG (P wave, QRS complex, T wave) in
these leads
Relate the electrical activity in the heart to these major components .
Explain the time relationships between the electrical activity of the heart (as
recorded in the ECG) and the mechanical activity of the heart (as judged from
the heart sounds).
BIOCHEMISTRY
CVS:1 Bio:1Overview of Lipid Metabolism including Cholesterol Metabolism
Classify Lipids
Explain the digestion, absorption and utilization of dietary lipids.
Describe Lipogenesis and Lipolysis.
Identify Lipid malabsorption.
Enumerate the functions of cholesterol
Explain cholesterol synthesis and metabolism
Describe transport of cho
243
CVS:1 Bio:2STRUCTURE OF FATTY ACIDS & COMPOUND LIPIDS RELATED
Define Lipids.
Explain the structure and functions of fatty Acids.
Describeun-saturated&saturatedFatty Acids.
Enumerate non- essential& Essential Fatty Acids.
Explain Simple and Complex Lipids.
244
Identify the risk factors of coronary heart diseases
Discuss the modifiable risk factors in terms of diet and physical activity
Describe the role of Antioxidants in prevention of cardiovascular diseases
Identify the levels of prevention for cardiovascular disease.
Interpret certain cardiac enzymes (CPK, LDH, and SGOT) are released from the
heart muscle cells when it is injured ("heart attack").
Evaluate the levels of cardiac enzymes in the blood which is a common test for
the diagnosis of a heart attack and extent of damage done to the heart
PATHOLOGY
CVS:1 Pth:1ATHEROSCLEROSIS
Definecardiac failure.
Describe the etiology of cardiac failure,
Discuss the patho-physiology, symptoms and physical signs,
Enlist the types of cardiac failure,
Enumerate the complications of cardiac failure.
Interpret Investigations, management and differential diagnosis of cardiac
failure.
245
CVS:1 Pth:4(a)HYPERTENSIVE VASCULAR DISEASE
PHARMACOLOGY
CVS:1Pha :1LIPID LOWERING DRUGS
246
CVS:1Pha :3(a)ANTI-ARRHYTHMIC DRUGSLECTURE-1
247
LEARNING OBJECTIVE OF SKILL LAB CURRICULUM
Introduction/Rationale:
Diseases of cardiovascular system are one of the most common causes of morbidity and
mortality, both in adults and children. Cardio vascular system examination is performed as
an integral part of physical examination, or when a patient presents with cardio vascular
problems (for example: chest pain).
Learning Objectives:
At the end of the session students should be:-
Enumerate the steps of examination of the cardiovascular system (CVS) .
To demonstrate correct technique of auscultation of heart.
CBL 2:
Recognize different types of congenital heart diseases
Understand the mechanism of cyanosis.
Understand the differences between cyanotic and acyanotic heart diseases
CBL 3:
Define Hypertension, high normal blood pressures and normal blood pressures.
Describe the mechanism of control of blood pressure.
Interpret the role of different organs for the control of blood pressure.
248
TABLE OF SPECIFICATIONS
12.50
GROSS 6.50 1.50 4.50 13.80 0.60
13
ANAT.
12.00
PATHO 3.50 2.50 2.50 3.50 12.56 0.6
13
Clinical
3.00 1.00 4.00 4.18
Faculty 4 0.25
249
BLUEPRINT OF ASSESMENT
CARDIOVASCULAR MODULE
(SEMESTER II)
SUMMATIVE ASSESMENT
THEORY
ATP 25
EXAM
Total 100
One best Questions 50
MODULE EXAM
EMQs 10
ATP 20 20%
MODULE PAPER
One best Questions
20
based on CBL
Total 100
STRUCTURED VIVA
SEMESTER
EXAM
See Semester
PAPER-IV- C Structured viva
Assessment Plan
FORMATIVE ASSESSMENT
ASSESMENT TOOLS
Structured Feedback
ASSESMENT DURING CBL SESSION Given to the Student by
Facilitator
NOTE:
Paper I& IV-A of Semester 2 Examination are Based on LocomotorModule.
Paper II & IV-B of Semester 2 Examination are Based on Respiration Module.
250
CREDIT HOURS
SEMESTER II
CARDIOVASCULAR MODULE
III 3
Cardiovascular
IV-C 1.5
251
ASSESMENT PLAN, SEMESTER-2
CREDIT
PAPER CONTENT WEIGHTAGE
HOURS
Locomotor Module
80 Marks
(Semester Theory)
100
I Marks 6
Locomotor Module
20 Marks
(Module Exam)
Respiration Module
40 Marks
(Semester Theory) 50
II Respiration Module Marks 3
10 Marks
(Module Exam)
Cardiovacular Module
40 Marks
(Semester Theory) 50
III Cardiovacular Module Marks 3
10 Marks
(Module Exam)
Locomotor Module
a
(Viva)
50 Marks 3
Cardiovacular Module
C
(Viva)
25 Marks 1.5
252
253
SEMESTER -3
Neurosciences-1 Module 8 Weeks 9 Credit Hours
254
NEUROSCIENCES MODULE
CODE: NEU-1
SEMESTER III
255
FIVE YEAR CURRICULAR ORGANIZATION
256
MODULE COMMITTEE:
257
RATIONALE
Diseases of the nervous system are common all over the world. Timely diagnosis and
management of acute CNS problems like cerebrovascular accidents and infections
prevents morbidity and mortality. Early diagnosis and prompt treatment of
degenerative and demyelinating diseases like Parkinsons disease and multiple sclerosis
is important to reduce the occurrence of disability burden on community.
Understanding the structure and function of nervous system and its relationship with
pathophysiology of diseases is essential for diagnosis and management The
neurosciences 1 module provides this basic understanding by integrating the teaching of
anatomy, physiology, and function of different structures of the nervous system along
with the biochemistry of neurotransmitters, and the basic pharmacology and pathology
related to the disorders of the central and peripheral nervous system.
TERMINAL OBJECTIVES
Describe the anatomy of brain and spinal cord and the general
organization of nervous system.
Analyze the physiology of nervous system and biochemistry of
neurotransmitters
Understand the metabolism the brain of along with the composition of
blood brain barrier
Explain the Mechanism of Ischemia, Hypoxia, infarction and intracranial
hemorrhage
Summarize all the cranial nerves with their associated clinical correlates
Elaborate the approach to a neurologic patient with its screening
258
LEARNING OBJECTIVES OF THE MODULE
Objectives of module are listed in following grid along with contents and teaching
methodology
PRACTICAL
PRACTICAL
LECTURES
SKILL LAB
LIBRARY
VIVA
CBL
LEARNING OBJECTIVES FACULTY TOPIC/CONTENT
259
ANATOMY NEU1 Ang3 : Organization 1 * *
of Autonomic Nervous
system
260
neurulation and Developmental
transformation of Anomalies of CNS
neural tube into CNS
and the anomalies in
the process PATHOLOGY NEU1 Pth2 1 * *
:Developmental
anomalies of CNS
Interpret the various NEU1 Ang8 :Spinal Cord 1.5 * * *
clinical presentations of I+
spinal cord disorders Arterial Supply and
correlating with its Venous Drainage
organization, structure NEU1 Ang9 :Meninges of 1 *
and function. brain and spinal cord
ANATOMY
NEU1 Ang10 : Spinal Cord 1 *
II
261
NEU1 Ang15 :Anatomy of 1 * *
brain stem and
associated lesions:
midbrain
NEU1 Ang16 :Summary of 1.5 * *
ANATOMY cranial nerve(1-6) nuclei
+associated clinical
correlates
NEU1 Ang17 : Summary 1.5 * *
of cranial nerve (7-12)
nuclei
+associated clinical
correlates
Deduce the neuro- HISTOLOGY NEU1 Ane4 :Histology of 1 * * *
anatomic basis of Cerebellar Cortex
ataxia and
incoordination by NEU1 Phy11 :Physiologic 1 * *
applying the knowledge correlates of various
of cerebellar cortex, parts of cerebellum and
nuclei and peduncles. its function; Effects of
Cerebellar dysfunction
Identify different PHYSIOLOGY NEU1 Phy12 1 * *
modalities of sensation :Organization, location
and correlate the lesion and function of different
in sensory system with ascending pathways
the organization of NEU1 Phy13 :Physiology 1 * *
ascending pathways, of pain
receptors and thalamus
along with the role of BIOCHEMISTRY NEU1 Bio1 :Serotonin and 1 * *
serotonin and other pain
pain modulators.
Predict the clinical NEU1 Phy14 : Motor 1 * *
significance of the functions of Spinal cord
various superficial and + Reflex arc
deep reflexes by PHYSIOLOGY NEU1 Phy15 : 1 * *
applying the knowledge Examination of
of their path ways and Superficial and deep
functions. reflexes
Differentiate between ANATOMY NEU1 Ang18 : Gray 1 * *
the functions of matter of cerebral
dominant and non- hemisphere:
dominant cerebral CEREBRAL CORTEX
hemispheres and Surfaces, lobes, sulci and
between various parts gyri of cerebral
of each hemisphere by hemisphere.
identifying the surfaces, HISTOLOGY NEU1 Anh5 :Microscopic 1 * *
lobes, sulci &gyri of anatomy of cerebral
cerebral hemisphere. cortex
NEU1 Ang19 :Functional 1 * *
areas of cerebral cortex
and their associated
lesion
NEU1 Ang20 : White 1.5 * *
matter of cerebral
hemisphere Projection
262
fibers:
Internal capsule and
ANATOMY related anomalies
NEU1 Ang21 :White 1.5 * *
matter of cerebral
hemisphere Commissural
fibers and association
fibers
NEU1 Ang22 :White 1 * *
matter of Brain
Differentiate between
pyramidal and
extrapyramidal
syndromes and upper
and lower motor
neuron lesions with the
knowledge of structure
and types of fiber
bundles traversing the
brain and their
functions
Correlate the BIOCHEMISTRY NEU1 Bio2 :Metabolism 1 * *
presentation of ofAcetylcholine
Parkinsons disease with
the topographic
anatomy and function
of basal nuclei
263
mechanism of PHYSIOLOGY NEU1 Phy19 : CSF 1 * *
formation, flow, formation, circulation
drainage and chemistry and functions
of C.S.F in normal and BIOCHEMISTRY NEU1 Bio 4:Chemical 1 * *
in disease. Composition of CSF and
changes in diseased State
PATHOLOGY NEU1 Pth3 :Cerebral 1 * *
edema, Hydrocephalus,
Raised intracranial
pressure and herniation
BIOCHEMISTRY NEU1 Bio5 :Chemical 1.5 * * *
Analysis of CSF
Correlate between COMMUNITY NEU1 Com1 :Endemic 1 * *
clinical presentations MEDICINE diseases involving
and pathogenic Nervous System:
mechanisms involved in Poliomyelitis, rabies,
CNS infections and Diphtheria, Tetanus
infestations PATHOLOGY NEU1 Pth4 :Inflammation 1 * *
of brain and meninges
PATHOLOGY
NEU1 Pth6 : Hypertensive 1 * *
cerebrovascular disease
and
intracranial hemorrhage
264
Recognize the effects of NEU1 Ang28 :Venous 1.5 * *
venous stasis and drainage of brain and
obstruction by applying spinal cord +
the knowledge of Dural venous sinuses
venous drainage and ANATOMY
dural venous sinuses
265
NEUROSCIENCES MODULE
TIME TABLE
(This time table was for year 2015. Holidays represent actual holidays in that year)
FIRST WEEK
266
NEUROSCIENCES MODULE SEMESTER III
WEEK-2 TIME TABLE
Day
8:30-10:00 10:30-11:30 11:30 -12:30 1:30 to 03:00
s
1-Anatomy Histology
Practical: Gp A Spinal Cord
2- Gp B= CBL
PHYSIOLOGY: PATHOLOGY 3- Gp C1=skill lab first aid
Organization, location and Patterns of nerve injury and Regeneration of part 2
1 function of different C2= self study
Neurons
ascending pathways 4- D Self study
Name of facultyVenue Name of facultyVenue
5- Physiology Practical
Examination of Superficial
and deep reflexes: Gp E
Name of facultyVenue
PHYSIOLOGY: PHYSIOLOGY: BIOCHEMISTR 1. B
Organization, location and REVISIT Y REVISIT 2. C
2 function of different Physiology of pain Serotonin and pain 3. D
descending pathways Name of Name of 4. E
Name of facultyVenue facultyVenue facultyVenue 5. A
PHYSIOLOGY
ANATOMY Motor, Vital and non- PHARMACOLOG 1. C
Anatomy of brain stem and vital functions of Brain Y:REVISIT 2. D
associated lesions: Medulla Stem (respiratory,
3 Opioids analgesics 3. E
Oblongata cardiac, vasomotor Name of 4. A
centers and coughing, facultyVenue 5. B
Name of facultyVenue sneezing and vomiting
reflexes) Name of
ANATOMY Anatomy of facultyVenue 1. D
brain stem and associated ANATOMY (Revisit) 2. E
4 lesions: Pons Spinal cord (Structure + Tracts) 3. A
Name of facultyVenue Name of facultyVenue 4. B
5. C
10:00- 12:00
ANATOMY
PHYSIOLOGY:
Anatomy of brain stem and
5 Physiologic correlates of various parts of
associated lesions: midbrain
cerebellum and its function; Effects of
Name of facultyVenue
Cerebellar dysfunction
Name of facultyVenue
CM
Endemic diseases ANATOMY 1. E
ANATOMY:
involving Nervous Fourth ventricle & 2. A
Histology of Cerebellar
6 System: Poliomyelitis, cerebral aqueduct 3. B
Cortex
rabies, Diphtheria, Name of 4. C
Name of facultyVenue
Tetanus facultyVenue 5. D
Name of facultyVenue
267
NEUROSCIENCES MODULE
SEMESTER III
WEEK 3 TIME TABLE (UPDATED)
DAY 8.30-10:00 10.30-12.30 1:30 to 03:00
ANATOMY
PHYSIOLOGY:
ANATOMY Structure of Diencephalon I (Thalamus)
Functions of Diencephalon
Lesions of spinal cord Structure of Diencephalon II
1 (Thalamus, Epithalamus,
Name of facultyVenue. (Epithalamus, subthalamus and third
subthalamus)
ventricle)
Name of facultyVenue
Name of facultyVenue
CLINICAL
PHYSIOLOGY: FACULTY:
ANATOMY ANATOMY REVISIT
Functions of Radiology. CT scan
Structure of Diencephalon III Organization of Autonomic
2 Hypothalamus and MRI of Spinal
(Hypothalamus) Nervous system
Name of Cord
Name of facultyVenue Name of facultyVenue
facultyVenue Name of
facultyVenue
PHYSIOLOGY:
ANATOMY
REVISIT ANATOMY REVISIT
REVISIT Organization of Autonomic
Functions of
3 Structure of Diencephalon III SELF STUDY
Nervous system
Hypothalamus
(Hypothalamus)
Name of Name of facultyVenue
Name of facultyVenue
facultyVenue
268
NEUROSCIENCES MODULE SEMESTER III
WEEK-4 TIME TABLE
Days 8:30-10:00 10.30-12.30 1:30 to 03:00
Anatomy: Histology:
Gray matter of cerebral Biochemistry: PHYSIOLOGY
Microscopic Metabolism
hemisphere: REVISIT
anatomy of
1 CEREBRAL CORTEX ofAcetylcholine Functions and integration of Autonomic
cerebral cortex
Surfaces, lobes, sulci and gyri of Name of Nervous system
Name of
cerebral hemisphere. facultyVenue Name of facultyVenue
Name of facultyVenue facultyVenue
HistologyPractical:GP:A
Microscopic anatomy of cerebellar
Anatomy:
Gray matter of cortex R. RIAZ UNAR
. Physiology:
Anatomy: cerebral Gp: B CBL:
Basal ganglia and
Functional areas of cerebral hemisphere:
2 Basal nuclei Disorders GP: CBio tuto: Types of
cortex and their associated lesion
Name of Name of Neurotransmitter
Name of facultyVenue
facultyVenue facultyVenue
GP: DPHYSIO TUTO
GP: E= SELF STUDY
Anatomy: Embryology
Biochemistry: 1. B
White matter of cerebral Development of
Dopamine and 2. C
hemisphereProjectionfibres: Nervous system and
3 parkinsonism 3. D
Internal capsule and related Neurulation
Name of 4. E
anomalies Name of
facultyVenue 5. A
Name of facultyVenue facultyVenue
08:30 10:00 10:00 to 11:00
Anatomy:
Anatomy:
Lateral Ventricles
White matter of cerebral
4 of Brain +
hemisphereCommissural fibres
Choroid Plexus
and association fibres
Name of
A+B= Name of facultyVenue facultyVenue
REVISIT
Anatomy: 1. D
White matter of cerebral 2. E
5 hemisphereCommissuralfibres 3. A
4. B
and association fibres
5. C
Name of facultyVenue
269
SEMESTER III, NEUROSCIENCES
WEEK 05 TIMETABLE
Pathology D
Mechanism of Ischemia E
5 Hypoxia, infarction and A
intracranial hemorrhage B
Name of facultyVenue C
PATHOLOGY: Clinical Faculty: E
Biochemistry
Inflammation of Radiology. CT scan A
Brain needs in different
6 brain and meninges and MRI of Brain B
metabolic states
Name of Name of C
Name of facultyVenue
facultyVenue facultyVenue D
270
SEMESTER III NEUROSCIENCES MODULE
WEEK 6 TIME TABLE
1-A= CBL
PATHOLOGY 2-PHYSIOLOGY PRACTICAL:
Hypertensive PHYSIOLOGY
ANATOMY: Gp: B= EEG
cerebrovascular disease Reticular Activating Limbic system
1 3-BIOCHEMISTRY
and System Name of PRACTICAL: Gp: C=
intracranial hemorrhage Sleep and its disorders facultyVenue Chemical Analysis of CSF
Name of facultyVenue Name of facultyVenue
4-D=SELF STUDY
5- E= SELF STUDY
BIOCHEMISTRY
Role of free radical
1. B
REVISIT ANATOMY PHYSIOLOGY: injury in 2. C
2 White matter of Brain Limbic system neurodegenerative 3. D
Name of facultyVenue Name of facultyVenue process 4. E
Name of 5. A
facultyVenue2
FACULTY OF PHYSIOLOGY:
1. C
NEUROLOGY REVISIT ANATOMY Learning and 2. D
3 Approach to Neurologic Anatomy of Cerebellum Memory 3. E
patient Name of facultyVenue Name of 4. A
Name of facultyVenue facultyVenue 5. B
ANATOMY
FACULTY OF NEUROLOGY ANATOMY Summary of cranial
Summary of cranial 1. D
Screening Neurological nerve (7-12) nuclei 2. E
nerve(1-6) nuclei
4 Examination +associated clinical 3. A
+associated clinical
Name of facultyVenue correlates 4. B
correlates
Name of 5. C
Name of facultyVenue
facultyVenue
FACULTY OF NEUROLOGY 1. E
Elector physiologic 2. A
5 investigations of 3. B
neurological disorders 4. C
(EEG & EMG/NCV) 5. D
Name of facultyVenue
6 SELF STUDY
271
LEARNING OBJECTIVES OF LECTURES
At the end of lecture student should be able to:
ANATOMY
NEU1 Ang1 : Skull as a whole and vault of Skull + Anterior Cranial fossae
272
NEU1 Ang7 : Diencephalon (revisit)
Describe parts of spinal cord and arterial supply & venous drainage of the spinal cord
Describe division of the arterial system into Carotid & Vertebral Systems
Different areas of spinal cord supplied by different branches of these arterial systems &
drainage by venous system
Describe parts of spinal cord and arterial supply & venous drainage of the spinal cord
Describe Ascending and descending tracts.
Identify Nuclei of spinal cord.
Lesions of these tracts.
Common lesions related to spinal cord.
NEU1 Ang12 :Lesions of spinal cord
NEU1 Ang13 : Anatomy of brain stem and associated lesions: Medulla Oblongata
273
Explain external features of pons
Describe internal structure of pons
Explain Lesions of pons
NEU1 Ang15 : Anatomy of brain stem and associated lesions: midbrain
Describe different functional areas of cerebral cortex including Motor areas, Sensory
areas&Association areas
Describe lesions associated with functional areas
NEU1 Ang20 :White matter of cerebral hemisphere Projection fibers: Internal capsule and
related anomalies
Give definition, location & relation of internal capsule.
Explain connections of internal capsule.
Describe Parts of internal capsule &Fiber tracts of the internal capsule.
Explain Blood supply of internal capsule.
Give Clinical correlation of related sturctures.
274
explain the connections of basal nuclei.
describe clinical aspects related to basal nuclei.
NEU1 Ang25 : Fourth ventricle & cerebral aqueduct
Define Meninges.
DescribeFunctions of Meninges.
Explain Composition of Meninges.
Describe Dura Mater &duralinfoldings.
Explain the Dural Venous Sinuses.
Describe the Arachnoid and the Pia Mater.
Describe the Meningeal Spaces.
275
EMBRYOLOGY
NEU1 Ane 1: Development of Nervous system and Neurulation
HISTOLOGY
NEU1 Anh1 : General organization of Nervous system : Different types of nerve tissue- (Neurons
and Neuroglia)
Describe the nervous tissue
Define neuron, its structure and function
Enlist types of neurons according to structure
Enlist types of neurons according to functions
Define neuroglia, their types and functions
NEU1 Anh2 : Structure of Neuron and neuroglia
276
Describe Deep Nuclei of Cerebellum
277
Describe Circulation.
Give indication of CSF examination.
Enumerate Changes in CSF in diseases states.
278
PHYSIOLOGY
NEU1 Phy1 : Neuron membrane potential: Generation and propagation of Nerve impulse
Explain Principles of neuronal resting membrane potential, action potential, gating of the
action potential, threshold potential and significance of Nernst equation.
Define the absolute and relative refractory period.
Describe Propagation of action potential
Give Significance of saltatory conduction
Describe difference between the myelinated and non-myelinated nerve conduction
NEU1 Phy2 : Sensory Receptors (including Muscle spindle) and Neuronal circuits
Define receptor
Describe Types of receptor
Explain adaptations in receptors
Explain Properties of receptors
Describe Receptor potential
279
NEU1 Phy8 : Functions of Diencephalon(Thalamus, Epithalamus, subthalamus)
List the types of peripheral nerve fibers and receptor types that mediate nociception.
Explain the difference between pain and nociception.
Explain the differences between fast and slow pain and acute and chronic pain.
Explain hyperalgesia and allodynia.
280
NEU1 Phy16 : Basal ganglia and Disorders
281
PATHOLOGY
NEU1 Pth2 : Developmental anomalies of CNS
RADIOLOGY
NEU1 Rad1 : Radiology. CT scan and MRI of Spinal Cord
COMMUNITY MEDICINE
Endemic diseases involving Nervous System: Poliomyelitis, rabies, Diphtheria,
NEU1 Com1 :
Tetanus
Define endemic disease.
describe the differential diagnosis, causes, pathogenesis, diagnostic tools &
management of diseases involving nervous system.
282
NEU1 Com2 : Risk Factors Causing Stroke And Their Prevalence In Community
NEUROLOGY
NEU1 Neu1 : Approach to Neurologic patient
Define EEG and describe the method of action and its clinical uses
Describe the different types of brain waves
Define EMG and describe the method of action and its clinical uses
283
BEHAVIORAL SCIENCES
NEU1 Beh1 : Perception
INTRODUCTION/RATIONALE:
Diseases of nervous system are common and are an important cause of disability and deformity
both in adults and children. Nervous system examination is performed as an integral part of
physical examination, or when a patient presents with a neurological problem (for example:
headache, vertigo, seizure, stroke, numbness, muscular weakness, gait difficulty, speech
disorder).
LEARNING OBJECTIVES:
284
CASE BASE LEARNIG
CBL 1:
Describe the blood supply of the brain and its meninges
Correlate different cortical areas according to motor functions
Define stroke and its causes
Correlate the clinical feature with the CT finding.
Elaborate the management plans for the given pathology
CBL 2
CBL 3
CBL 4
285
TABLE OF SPECIFICATIONS
PHYSIOLOGY 9 7 5 3 4 6 1 35 27.34 27
PATHOLOGY 1 1 - - 1 4 1 8 6.25 6
PHARMA - 1 - - 1 - 5 7 5.46 6
EMBRYOLOGY - - - 1 1 - - 2 1.56 1
COMMUNITY
- - 1 - 1 - - 2 1.56 1
MEDICINE
RADIOLOGY - - - - - 1 - 1 0.78 1
NEUROLOGY - - - - - 1 4 5 3.90 4
286
BLUEPRINT OF ASSESMENT
NEUROSCIENCES MODULE
(SEMESTER-II)
SUMMATIVE ASSESMENT
THEORY
ASSESMENT TOOLS MARKS WEIGHTAGE
ATP 25
PAPER-I
One best Questions 80%
20
based on CBL
Total 100
One best Questions 50
EMQs 10
MODULE
EXAM
ATP 20
MODULE PAPER
One best Questions 20%
20
based on CBL
Total 100
STRUCTURED VIVA
SEMESTER
EXAM
See Semester
PAPER-IV- A Structured viva
Assessment Plan
FORMATIVE ASSESSMENT
ASSESMENT TOOLS
Structured Feedback
ASSESMENT DURING CBL SESSION Given to the Student by
Facilitator
NOTE: Paper II & IV-B of Semester-3 Examination are Based on Head & Neck Module.
Paper III & IV-C of Semester-3 Examination are Based on Endocrinology Module.
287
CREDIT HOURS
SEMESTER II
NEUROSCIENCES MODULE
Paper-I 6
Neurosciences
Paper-IV-A 3
288
HEAD & NECK & SPECIAL SCIENCES
CODE: HNN-1
Semester III
SECOND (2ND) YEAR M.B; B.S
289
FIVE YEAR CURRICULAR ORGANIZATION
290
MODULE COMMITTEE
Dr. Junaid Ashraf, Professor of Neurosurgery Dow Medical College, DUHS
Dr. Naheed khan, Associate Professor of Anatomy, DUHS
DrRukhsanaRubeen, Associate Professor of Biochemistry, DUHS
Dr , KelashAssociate Professor of Physiology, DUHS
Dr Rubina, Assistant Professor of Pathology, DUHS
Dr. Mohammad ShujaFarrukh, Associate Professor of ENT, DUHS
DrMuneerQuraishy,Associate professor of Eye, DUHS.
291
RATIONALE
Head and neck is a special region of the body where brain, spinal cord, organs of special senses
like eyes, ears, nose and the proximal alimentary and respiratory tracts exist in close proximity.
The anatomical relationships of these organs to each other are important to understand as
often diseases afflicting one of these also affect other organs by contiguity. Injuries to the region
of head, face & neck are associated with high mortality & morbidity. It is necessary to study this
region as a separate entity although it is not a separate system. This module provides the basic
understanding of the anatomy and physiology of the components of head and neck.
TERMINALOBJECTIVES
292
LEARNING OBJECTIVES
Objectives of module are listed in following grid along with contents and teaching
methodology
PRACTICAL
PRACTICAL
LECTURES
SKILL LAB
LIBRARY
VIVA
CBL
OBJECTIVES FACULTY TOPIC/CONTENT
HNN1 Ane3 1 * *
:Development of Ear
HNN1 Ane5 1 * *
:Development of
Pharyngeal Apparatus
293
Identify the EMBRYOLOGY HNN1 Ane7 1.5 * * *
abnormalities of :Development of Soft and
pharyngeal arches Hard Palate & Congenital
and pouches Anomalies
294
Correlate the HISTOLOGY HNN1 Anh2 :Histology of 1.5 * * *
structures of eye Eye
with its functions.
HNN1 Phy2 :Formation & 1 * *
Circulation of Aqueous
Humor (Glaucoma)
PHYSIOLOGY HNN1 Phy3 :Photo 1 * * *
Transduction
295
Enumerate the HNN1 Ang14 :Temporal 1 * *
structures of the Region &Temporo
temporal region ANATOMY mandibular Joint
296
function of oral ANATOMY HNN1 Ang23 :Oral Cavity 1 * *
cavity &related
disorders
HISTOLOGY HNN1 Anh6 :Oral Cavity 1.5 *
297
Head & Neck and Special Sciences Module
Time Table
(This time table was for year 2015. Holidays represent actual holidays in that year)
First Week
1
CNS MODULE TEST
Anatomy
Scalp (layers, Anatomy Anatomy Demonstration:
Anatomy demonstration (5 batches) Nerves &Vessels Skull Norma frontalis (5Batches)
2 Skull as a whole and vault
Name of Norma lateralis and occipitalis
Name of faculty Venue Name of faculty Venue Name of faculty Venue
faculty Venue
BEHAVIORAL SCIENCES
BEHAVIORAL SCIENCES
Intelligence SELF STUDY
3 Motivation
Name of faculty Venue Name of faculty Venue
4 PUBLIC HOLIDAY
Anatomy
Histology
Eyelids & lacrimal Anatomy Demonstration
Anatomy Demo 5 batches Of Eyelids, Conjunctiva,
Apparatus &Ciliary 5 batches
Face (Muscles, Nerves: Extra Cranial
5 Ganglion Lacrimal Apparatus Norma Basalis
Part of V &VII)
Anterior and middle part
Name of faculty Venue Name of faculty Name of faculty
Venue Name of faculty Venue
Venue
298
Head & Neck and Special Senses
TIME TABLE SEMESTER III, Week 2
ANATOMY 1.B
PHYSIOLOGY EMBRYOLOGY
Development of Eye 2.C
Orbital cavity (boundaries & Photo Transduction
3
Extra-ocular muscles) Name of faculty 3.D
Name of faculty 4.E
Name of faculty Venue Venue Venue
5.A
8:30-10:00
1.D
10:30-12:00
2.E ANATOMY
5 External Nose & Bony Boundaries of Nasal Cavity
3.A
4.B Name of faculty Venue
5.C
CLINICAL FACULTY
ANATOMY Cranial nerve palsy 1.E
BIOCHEMISTRY
Visual Cycle affecting the eye and 2.A
6 Para-nasal Sinuses pupillary disorder 3.B
Name of faculty Venue Name of faculty
Name of faculty 4.C
Venue 5.D
Venue
299
TIME TABLE SEMESTER III
Head & Neck and Special Senses
Week 3
1=Physiology Tutorial
Eye movements & their
controlGP:A: Name of faculty
Clinical faculty Venue
(eye)
Anatomy 2=Physiology Practical
Errors of Refraction
Nerves & Blood Vessels of Nose Gross anatomy Field of Vision &Perimetery
, presbyopia & Lecture
1 & Nasal Cavity management
Name of faculty Venue GP:B
Mandible
Name of faculty Venue 3=Histology Practical Eye Name
Name of faculty Name of faculty Venue
of faculty VenueGP:C
Venue
4=Skill lab CNS examination
GP:D2
GP:D1 : SELF STUDY
5=SELF STUDY GP:E
2 Public Holiday
1.B
Histology Embryology 2.C
Physiology
Nasal Cavity Development of Nose 3.D
Respiratory & Olfactory Sense of Olfaction: its receptor &
3 & Nasal Cavity 4.E
pathway
Epithelium Name of faculty 5.A
Name of faculty Venue Venue2 Name of faculty Venue
Anatomy 1.C
External Ear (Pinna & External Histology 2.D
Anatomy 3.E
Salivary Glands
Meatus) Gross Anatomy
4 Name of faculty 4.A
Middle Ear Cavity & its Parotid Region 5.B
Contents Venue Name of faculty Venue
Name of faculty Venue
1.D 10:30-12:00
2.E
Anatomy Lecture
3.A
5 VestibulocochlearNerves&Intracranial Part of facial nerve
4.B
5.C Name of faculty Venue
Anatomy 1.E
Embryology Physiology 2.A
Gross Anatomy Development of Ear Sense of Hearing, its mechanism 3.B
6 Temporal Region
&Temporomandibular Joint Name of faculty and auditory pathway 4.C
Name of faculty Venue Venue Name of faculty Venue 5.D
300
TIME TABLE SEMESTER III
Head & Neck and Special Senses
Week 4
DAY 08:30 TO 10.00 10:30 TO 11:30
S
11:30 TO 12:30 1:30 TO 03:00
1, Physiology Practical GP A
Hearing Conduction Test
Revisit Gross Anatomy Demo 5batches Name of faculty Venue
+HISTOLOGY Embryology 2 Self Study Gp B
Gross Anatomy
External, middle And Development of Ear 3, Histology Practical Salivary
1 Temporal Region
Internal Ear Name of faculty GlandsGpC Name of faculty
&Temporomandibular Joint Venue
Name of faculty Venue Venue
Name of faculty Venue
4CBL Gp D
5 Self studyGpE
ANATOMY PHYSIOLOGY
Mechanism of 1. B
Infratemporal Fossa & its PHYSIOLOGY 2. C
contents(including muscles Disorders of hearing Balance
2
and related disorders 3. D
of mastication Name of faculty Venue 4. E
Name of faculty Venue Name of faculty
5. A
Venue
PATHOLOGY 1.C
EMBRYOLOGY
ANATOMY Inflammatory, 2.D
Development of Pharyngeal
3 Pterygopalatine Fossa neoplastic and non- 3.E
Apparatus
Name of faculty Venue neoplastic lesions of 4.A
Name of faculty Venue salivary 5.B
glandsName of
faculty Venue
HISTOLOGY 1.D
ANATOMY DEMO GROSS ANATOMY
Oral Cavity 2.E
4 Hard and soft palate Oral Cavity
Name of faculty 3.A
Name of faculty Venue Name of faculty Venue 4.B
Venue
5.C
10:00-11:00 11:00- 12:00
ANATOMY DEMO EMBRYOLOGY PATHOLOGY
Tongue + Hypoglossal Nerve Derivatives of Pharyngeal Tumor and Precancerous
5 Anatomy arches & Pharyngeal conditions ofOral cavity
Name of faculty Venue Pouches (Tongue, Thyroid,
Thymus Name of Name of faculty
faculty Venue Venue
EMBRYOLOGY
Development of Soft 1.E
GROSS ANATOMY HISTOLOGY and Hard Palate & 2.A
Deep Cervical Fascia Tongue 3.B
6 Congenital
&Platysma Name of faculty Venue 4.C
Anomalies
Name of faculty Venue Name of faculty 5.D
Venue
301
TIME TABLE SEMESTER III, Week 5
Head & Neck and Special Senses
Anatomy Demo
Posterior Triangle Physiology
Sense of Taste, its ANATOMY ANATOMY
(Trapizeus& Anterior Triangle of Neck + Prevertebral&Scaleni
Sternocleidomastoid receptors and its
1 pathway Supra and Infra Hyoid Muscles Muscles + root of neck
muscles) Cervical Name of faculty Venue Name of faculty
Plexus & Accessory Name of faculty
Venue Venue
Nerve Name of
faculty Venue
1.Anatomy demo Gp:A
Cervical vertebrae Name
of faculty Venue
Histology of Gross Anatomy 2. Histology PRACTICAL
Gross Anatomy Thyroid and Para Thyroid
Thyroid & ANATOMY 5groups
Thyroid Gland glands Gp:B Name of
2 Parathyroid Submandibular Region
Name of faculty faculty Venue
Name of faculty Name of faculty Venue
Venue
Venue 3. CBL Gp: C
302
LEARNING OBJECTIVES
At the end of the teaching session the student should be able to achieve the following
objectives:
ANATOMY
HNN1 Ang1 : Overview the head and neck regions
303
Identifythe nerves and vessels of scalp
Enumerate the clinical correlates
304
HNN1 Ang12 : Orbital cavity (boundaries & Extra-ocular muscles)
HNN1 Ang15 : Infratemporal Fossa & its contents (including muscles of mastication)
HNN1 Ang18 : External Ear (Pinna & External Meatus), Middle Ear Cavity & its Contents
Describe Parts of ear.
Explain functions of middle, internal ear.
Explain of organ of hearing and balance.
305
Interpret Applied anatomy of ear
HNN1 Ang21 : Nerves & Blood Vessels of Nose & Nasal Cavity
306
HNN1 Ang25 : Deep Cervical Fascia & Platysma
EMBRYOLOGY
HNN1 Ane1 : Development of Face
307
HNN1 Ane4 : Development of Nose & Nasal Cavity
DefineBranchial Apparatus
Describe Development of Branchial Apparatus
Enlist the different Parts of Branchial Apparatus
describe Fate of Branchial Arch, Branchial Cleft, Branchial Pouch &Branchial Membrane
HISTOLOGY
HNN1 Anh1 : Histology of Eyelids, Conjunctiva, Lacrimal Apparatus
308
HNN1 Anh6 : Oral Cavity
BIOCHEMISTRY
HNN1 Bio1 : Visual Cycle
PHYSIOLOGY
HNN1 Phy1 : Overview of Special Senses
309
Enumerate the photopigments.
Describe the steps involved in photo-transduction.
Describe the components and functions of the external, middle, and inner ear.
Define the sound stimulus.
Explain the parts of the inner ear and their roles in equilibrium and hearing.
Interpret auditory Physiology.
Describethe pathways for the sensations of hearing.
HNN1 Phy11 : Disorders of hearing
310
Explain sensorineural disorders
PATHOLOGY
HNN1 Pth1 :Inflammatory, neoplastic and non- neoplastic lesions of salivary glands
311
OPTHALMOLOGY
HNN1 Oph1 : Errors of Refraction, presbyopia & management
HNN1 Oph2 : Cranial nerve palsy affecting the eye and pupillary disorder
312
LEARNING OBJECTIVE OF SKILL LAB CURRICULUM
Head and Neck and Special senses Module:
HNN 1CBL 2
Describe the blood supply of the brain and its meninges
Correlate different cortical areas according to motor functions
Define stroke and its causes
Correlate the clinical feature with the CT finding.
Elaborate the management plans for the given pathology
HNN 1CBL 3
Identify the clinical signs & symptoms of raised intracranial pressure.
Correlate the clinical feature with the MRI finding.
Determine the type of lesion, primary or secondary.
313
TABLE OF SPECIFICATIONS
ANATOMY 17 9 5 9 15 55 52.63 52
BIOCHEMISTRY 1 1 - - - 2 1.91 2
RADIOLOGY - - - 1 - 1 0.95 1
EYE-CLINICAL
- 1 1 - - 2 1.91 2
FACULTY
314
BLUEPRINT OF ASSESSMENT
HEAD & NECK MODULE
(SEMESTER-III)
SUMMATIVE ASSESMENT
THEORY
ATP 25
EXAM
EMQs 10
ATP 20
MODULE PAPER
One best Questions 20%
20
based on CBL
Total 100
STRUCTURED VIVA
SEMESTER
EXAM
See Semester
PAPER-IV- B Structured viva
Assessment Plan
FORMATIVE ASSESSMENT
ASSESMENT TOOLS
Structured Feedback
ASSESMENT DURING CBL SESSION Given to the Student by
Facilitator
315
CREDIT HOURS
SEMESTER III
HEAD & NECK & SPECIAL SENSES-1 MODULE
Paper-II 3
HNN-1
Paper-IV B 1.5
316
ENDOCRINOLOGY MODULE I
Code: END 1
Semester III
Second Year MBBS
317
FIVE YEAR CURRICULAR ORGANIZATION
318
ENDOCRINOLOGY MODULE COMMITTEE
Dr.Rubina Gulzar (Asstt.Professor of Pathology DMC)
Dr.Tahseen (Asstt.Professor of Biochemistry DMC)
Dr.Mujtaba (Associate Professor of Anatomy DMC)
Dr.Fuad Shaikh (Senior Lecturer of Pharmacology DMC)
Dr. Kelash (Associate Professor of Physiology DMC)
Dr.Akhtar Baloch,Assisstant Professor of Medicine,DMC,CHK
Dr.Muzzamil Shabana Ejaz,Assisstant professor of Paediatrics, DMC,CHK
Prepared by :
Dr.Ateeba Ayesha Khan
Coordinated by:
Reviewed by:
Module Committee
Curriculum Committee
319
RATIONALE
The function of the endocrine system is to coordinate and integrate cellular activity
within the whole body by regulating cellular and organ function throughout life
and maintaining homeostasis. Homeostasis, or the maintenance of a constant
internal environment, is critical to ensuring appropriate cellular function. In this
module the anatomy and physiology of the endocrine organs alongwith functional
biochemistry of the hormones secreted alongwith normal physiological changes are
taught in integrated fashion with reference to common disease processes occurring
in our community.
TERMINAL OBJECTIVE
320
LEARNING OBJECTIVES OF THE MODULE
Self Study
Practical /
One Best,
CBL / SBL
Tutorials
Practical
Lectures
spotting
Skills Lab
Demo:
EMQS
viva
Faculty Topic / Content
Assesment
Objectives Modes of information transfer
Physiology END1 Phy1 * *
1
Introduction of
Endocrinology,
Control and
feedback
Overview of all Anatomy * *
endocrine glands / END1Ang1
Describe the
Anatomical 1.5 1.5
development, gross
overview of all
and microscopic endocrine glands in
features and List the body (Gross)
the endocrine
glands in the body
with their
respective
hormones
321
Anatomy END1 Ang2 1 * *
Describe the
development, Gross structure of
biochemical hypothalamus
structure,
secretions, mode of Physiology END1Phy2 * * *
action, functions, 1.5
Hypothalamus and
anomalies and
common related Ant: Pituitary
disorders of Hormones
hypothalamus Anatomy END1Ang3 * *
Gross, and 1.5
development of
Pituitary(
demonstration)
Anterior pituitary
and 1.5
Posterior pituitary
Medicine 1 * *
END1 Med1
Clinical disorders of
pituitary
Disorders of Ant.
Pituitary
END1Phy4 * *
1
Growth hormone
Synthesis, function
& related disorders
END1Phy5 * *
Physiology
Hormones of the
posterior pituitary 1
and related
disorders (Function
of Posterior
Pituitary Hormones
& diabetes insipid
us )
322
Biochem END1 Bio2 1.5 * *
Molecular
structure and
biochemical
functions of
Anterior Pituitary
Hormones
CBL END1 Cbl1 1.5 * *
Acromegaly
Development of
Thyroid and
parathyroid and
related anomalies
1 * *
END1 Bio3
Thyroid: Synthesis
mode of action,
metabolic
functions
END1 Bio4 * *
T3, T4, TSH iodine 1.5
levels, Long acting
Biochemistry thyroid Stimulator
(Lab investigation
for thyroid
functions)
1.5 * *
END1 Bio5
Parathyroid
hormone,
Calcitonin and
related disorders
Medicine 1.5 * *
END1 Med2
323
Presentations of
Hypothyroidism /
Hyperthyroidism
and Interpretation
of laboratory
CBL 1.5 * *
END1 Cbl 2
Graves disease
(hyperthyroidism)
1.5 * *
END1 Phy6
Function of Thyroid
Hormones
END1 Phy 7 1 * *
Function of
Parathyroid
Physiology
Hormones
END 1 Phy 8 1.5 * *
Physiology
Practical: Thyroid
function Test &
BMR
Pharmacology END1 Pha 1 1 * *
Drugs used in hypo
and
hyperthyroidism
1 * *
END1 Pha 2
Hypothyroidism
1.5 * *
END1 Pth3
Disorders of
parathyroid gland
1.5 * *
END1 Pth4
Hyperthyroidism
and graves disease
Discuss the Com. Med. 1 * *
epidemiology and END1 Com1
consequences of
Iodine Control
iodine deficiency
Program
and the salient
features of iodine
control program in
Pakistan
324
Describe the * *
development, END1 Ang5 1.5
structure,
secretions, mode of Gross structure of
action, functions, pancrease
anomalies and
common related 1 * *
disorders of END1 Anh3
pancreas.
Microscopic
structure of
pancreas
1.5 * *
Anatomy END1 Ane3
Development of
pancreae
1.5 * *
END1 Anh4
Microscopic
structure of
pancreas
* *
END1 Phy9 1.5
Hormonal secretion
of Pancreas
Glucagon,
somatostatin)
Physiology
1 * *
END1 Phy10
Hormonal secretion
of pancrease
(insulin)
1 * *
END1 Bio4
Endocrine
secretions of
Pancreas,
molecular structure
and biochemical
function ( insulin)
1.5 * *
END1 Bio5
Biochemical
interpretation for
the diagnosis of
Diabetes mellitus.
325
1 * *
END1 Bio6
Endocrine
secretions of
Biochemistry Pancreas,
molecular structure
and biochemical
function (Glucagon,
somatostatin)
END1 Bio7 * *
Regulation of blood 1
glucose level, hyper
and hypoglycemia.
Complications of
Diabetes Mellitus
e.g. Diabetic Keto-
acidosis and
nonketotic
complications.
Diabetes mallitus
Given a set of 1 * *
laboratory data, END1 Pth5
differentiate
between hypo and Diabetes
hyper secretion of Pathogenesis
Pancreas
* *
END1 Pth6 1
Pathology Diabetes
Complication
Describe * *
integration of 1
different hormones END1 Pha2
in growth,
Oral Hypoglycemic
metabolism and Drugs
326
maintenance of END1 Pha3 * *
blood sugar level Pharmacology 1
Insulin
Preparations
END1 Med3 1 * *
Describe the 1 * *
development,
biochemical END1Ang6
structure,
Microscopic
secretions, mode of
structure of
action, functions,
adrenal gland
anomalies and
common related 1.5 * *
disorders of adrenal
END1 Anh5
gland
Microscopic
Anatomy
structure of adrenal
gland
327
1.5 * *
END1Ane4
(Functions of gluco- 1
corticoids)
END1 Phy12 * *
END1 Phy13
Adrenal medulla
Secretions, MOA
and disorders
Pharmacology END1 Pha4 1
Steroids * *
328
Dow Medical College, DUHS
Endocrinology Module, Semester III , Week 1 Time Table
PHYSIOLOGY
Biochemistry: PHYSIOLOGY:
2
Molecular structure Hormones of the posterior
Growth
and biochemical pituitary and related
hormone
functions of disorders (Function of SELF STUDY
3 Synthesis,
Anterior Pituitary Posterior Pituitary
function &
Hormones Hormones & diabetes
related disorders
Name of faculty insipid us
Name of
Venue Name of faculty Venue
faculty Venue
329
Dow Medical College, DUHS
Endocrinology Module, Semester III , Week 1 Time Table
330
Dow Medical College, DUHS
Endocrinology Module, Semester III , Week 2 Time Table
Days
8:30- 10:00 10:30- 11:30 11:30-12:30 1:30-3:00
331
Dow Medical College, DUHS
Endocrinology Module, Semester III , Week 4 Time Table
332
LEARNING OBJECTIVES
At the end of the teaching session the student should be able to achieve the following
objectives:
ANATOMY
333
END1Ang6 ADRENAL GLANDS, RELATION OF STRUCTURE WITH FUNCTION
HISTOLOGY
Indentify :
o Points of identification.
o Histological differences.
o Disorders of Adrenal Gland
334
END1 Anh4 MICROSCOPIC STRUCTURE OF PARATHYROID GLAND
EMBRYOLOGY
PHYSIOLOGY
335
Effects of prostaglandins,
Therapeutic uses of prostaglandins.
To discuss :
What is hormone,
Types of hormones,
Physiology of hormones,
Hormones as a signal,
Control of hormone secretion.
END1 Phy 4 FUNCTIONS OF THYROID HORMONE
To discuss :
Parathyroid hormone location,histology,
Calcium & Phosphate Metabolism
Distribution & Balance of Ca & PO4
Diseases associated with the Parathyroid Gland
336
END1 Phy 6 HORMONES OF POSTERIOR PITUITARY AND RELATED DISORDERS
To discuss :
Overview of the posterior pituitary
The function of Oxytocin and ADH
Disorders of ADH
Clinical correlate
To discuss
Parathyroid hormone
Parathyroid hormone is the most important endocrine regulator of calcium
and phosphorus concentration in extra cellular fluid.
To discuss
Overview of the hormones of Adrenal Cortex.
Functions of Cortisol and actions on :
Carbohydrate metabolism.
Protein metabolism.
Fat metabolism
Anti-inflammatory action.
Immunity and blood cells
In stress
Allergic responses.
337
END1 Phy 11 THYROID SYNTHESIS, MODE OF ACTION, METABOLIC FUNCTIONS AND
DISORDERS
To discuss
BIOCHEMISTRY
To discuss :
The steps involved in Thyroid Hormone Synthesis
The chemical nature of Thyroid Hormones
Thyroid Hormone Transport and Protein Binding
The mode of action of Thyroid Hormones
The metabolic effects of Thyroid Hormones
338
Clinical Disorders of Thyroid Function
To discuss:
Molecular structure of Insulin
Biosynthesis of Insulin
Mechanism of action of Insulin
Functions of Insulin
339
END1 Bio7 ADRENAL CORTEX: FUNCTIONS OF MINERALOCORTICOIDS.
To Discuss:
The various adrenocortical hormones
The structure of these hormones
The important aspect of their synthesis
To Discuss
Mode of action
Functions
Diseases associated with deficiency and excess of mineralocorticoids
To understand :
The various adrenocortical hormones
340
The structure of these hormones
The important aspect of their synthesis.
The effects of Glucocorticoids on carbohydrate metabolism
The effects of Glucocorticoids on fat metabolism
The effects of Glucocorticoids on protein metabolism
The effects of Glucocorticoids on immune system
Glucocorticoids-As Anti-inflammatory Agents
PHARMACOLOGY
Understand the mechanism of action ,clinical uses and side effects of drugs
used in hypo and hyper calcemia
Understand the mechanism of action ,clinical uses and side effects of drugs
used in hypo and hyper thyroidism
Enlist and understand the mechanism of action ,clinical uses and side
effects of drugs used in hyperglycemia
Enlist and understand the mechanism of action ,clinical uses and side
effects of Steroids
341
PATHOLOGY
CLINICAL
END1 Med1 SIGNS & SYMPTOMS OF HYPO/HYPERTHYROIDISM
342
END1 Med2 CLINICAL DISORDERS OF ADRENAL GLAND
COMMUNITY MEDICINE
END1 COM 1 IODINE CONTROL PROGRAM IN PAKISTAN
Endocrinology Module:
I. Introduction to Examination Of Prostate
Introduction/Rationale:
Examination of prostate is an important skill for early diagnosis of cancer and other disease.
Learning Objectives:
343
CASE BASED LEARNING
END1Cbl1
END1Cbl2
END1Cbl4
344
TABLE OF SPECIFICATIONS
WEEKS/HOURS 1st 2nd 3rd 4th TOTAL *** ROUND OFF
CLINICAL
- 2.5 1 1 4.5 5.34 5
FACULTY
BIOCHEMISTRY 2.5 3 5 7.5 18 22.34 22
PHARMACOLOGY - 2 1 2 5 6.28 6
COMMUNITY
- 1 1 - 2 2.515 2
MEDICINE
DDRL - - - 1 1 1.257 1
345
BLUEPRINT OF ASSESSMENT
ENDOCRINOLOGY-1 MODULE
(SEMESTER-III)
SUMMATIVE ASSESMENT
THEORY
ATP 25
EXAM
EMQs 10
ATP 20
MODULE PAPER
One best Questions 20%
20
based on CBL
Total 100
STRUCTURED VIVA
SEMESTER
EXAM
See Semester
PAPER-IV- C Structured viva
Assessment Plan
FORMATIVE ASSESSMENT
ASSESMENT TOOLS
Structured Feedback
ASSESMENT DURING CBL SESSION Given to the Student by
Facilitator
NOTE: Paper I & IV-A of Semester-3 Examination are Based on Neurosciences Module.
Paper II & IV-B of Semester-3 Examination are Based on Head & Neck Module.
346
CREDIT HOURS
SEMESTER III
ENDOCRINOLOGY-1 MODULE
Paper-III 3
END-1
Paper-IV-C 1.5
347
ASSESMENT PLAN, SEMESTER-2
Neurosciences Module
80 Marks
(Semester Theory)
100
I Marks 6
Neurosciecnes Module
20 Marks
(Module Exam)
Endocrinology Module
40 Marks
(Semester Theory)
50
III Marks 3
Endocrinology Module
10 Marks
(Module Exam)
Neurosciences Module
a
(Viva)
50 Marks 3
Endocrinology Module
C
(Viva)
25 Marks 1.5
348
349
SEMESTER -4
GI and Liver-1 Module 8 Weeks 9 Credit Hours
350
GASTROINTESTINAL TRACT & LIVER MODULE
CODE: GIL-1
SEMESTER IV
351
FIVE YEAR CURRICULAR ORGANIZATION
352
GIL MODULE COMMITTEE
Dr Talat Yasmeen, Professor of Anatomy, DUHS
Dr Naheed, Assistant Professor of Anatomy, DUHS
Dr Aijaz Qureshi, Associate Professor of Physiology, DUHS
Dr Rubeen, Associate Professor of Biochemistry, DUHS
DrS hamama, Associate Professor of Pharmacology, DUHS
Dr. Rubina Gulzar, Assistant Professor of Pathology, DUHS
Dr. Saba , Assistant Professor of Pathology, DUHS
Dr. Aisha Mehnaz, Professor of Pediatrics. DUHS
Dr. Rauf Memon, Associate Professor of Medicine, DUHS
Dr Sajida Qureshi, Assistant Professor of Surgery, DUHS
Capt. Dr. Farhat Mirza, Professor of Forensic Medicine, DUHS (Forensic Medicine)
Dr. Nighat Nisar, Professor of Community Medicine, DUHS (Community Medicine)
Dr. Raza-ur-Rehman, Professor of Psychiatry, DUHS (Behavioral Sciences)
353
RATIONALE
Gastrointestinal tract and liver play a vital role in the life of a human beings .The
processes of ingestion, digestion, absorption, assimilation and metabolism of the food
for its ultimate utilization as a source of energy and biostructural molecules are
performed in these organs. Liver is the organ where major metabolic functions take
place. It is important for undergraduate students of medicine to have basic knowledge
about the functions & diseases of gastrointestinal tract and liver and their management
and for that a sound understanding of the structure, function, biochemical processes
and their relationship to the disease processes is essential. All of these are taught in this
module in an integrated fashion.
TERMINAL OBJECTIVE
354
LEARNING OBJECTIVES OF THE MODULE
Objectives of module are listed in following grid along with contents and teaching
methodology
PRACTICAL
PRACTICAL
LECTURES
SKILL LAB
LIBRARY
VIVA
CBL
LEARNING OBJECTIVES FACULTY TOPIC/CONTENT
Assessment
Modes of information Transfer
355
control of GIT and ANATOMY GIL1 Ang 5: Nerves of 1.5 * * *
ingestion of food. abdomen
356
and clinical anatomy of ANATOMY GIL1 Ang 13: Duodenum 1 * *
different viscera and pancreas
present in abdominal
cavity EMBRYOLOGY GIL1 Ane 2: Development 1 * *
Anatomy of GIT (2)
(derivatives of mid and
hind gut)
357
ANATOMY GIL1 Ang 15: Abdominal 1 * * *
8.Describe the major Aorta + blood supply of
vessels of GIT and Liver abdomen
GIL1 Ang 16: inferior vena 1 * * *
cava+ venous drainage of
abdomen
PATHOLOGY GIL1 Pth 3: Circulatory 1 * * *
disorders of liver
358
CBL GIL1 Cbl 4: CBL 1.5 * *
359
reducing equivalents &
other sugars
17.Describe the BIOCHEMISTRY GIL1 Bio 16: Metabolism 1 * *
synthesis of glucose of bilirubin & Bile salt
from non-carbohydrate synthesis
sources (Uronic Acid path & role
of glucuronate)
18.Relate the glucose BIOCHEMISTRY GIL1 Bio 17: Common 1 * *
oxidation with energy Metabolic pathway for
production through energy Provision from
TCA, cycle electron CHO, lipids and Amino
transport chain & acid (TCA Cycle/ Krebs
oxidative Cycle)
phosphorylation GIL1 Bio 18: Body Energy 1 * *
Gradient Maintenance
(Electron Transport Chain
& Oxidative
Phosphorylation)
360
CBL GIL1 Cbl 5: CBL 1.5 * *
361
intestinal juices. And PHYSIOLOGY GIL1 Phy 9: Gastric 1 * *
juices of accessory secretion (composition,
organs such as salivary function and regulation)
gland, pancreas and GIL1 Phy 10: Secretions of 1 * *
liver. small and large intestine
PATHOLOGY GIL1 Pth 9: Peptic ulcer 1 * *
and H. pylori association
MICROBIOLOGY GIL1 Mic 2: Diagnosis of 1 * * *
H. pylori infection in
clinical practice
PHYSIOLOGY GIL1 Phy 11: Bile 1 * *
secretion (composition,
function and regulation)
GIL1 Phy 12: Pancreatic 1 * * *
secretion (composition,
function and regulation)
PATHOLOGY GIL1 Pth 10: Pancreatitis 1 * *
362
GIT AND LIVER
TIME TABLE
(This time table was for year 2015. Holidays represent actual holidays in that year)
FIRST WEEK
363
TIME TABLE SEMESTER IV
GIT AND LIVER TIME TABLE SECOND WEEKs
PHYSIOLOGY
Gastric secretion ANATOMY
GROSS ANATOMY SELF-STUDY
(BLOOD SUPPLY
(composition, Abdominal Aorta + blood supply of
1 Duodenum and pancreas
OF GIT). function and abdomen
Name of faculty Venue regulation) Name of faculty Venue
Name of
faculty Venue
1- GP. A :Histology practical:
Pancreas, Duodenum
Name of faculty Venue
2- GP. B: SELF STUDY PATHOLOGY
Acute & chronic ANATOMY DEMO:
PHARMACOLOG
3-GP. C: Biochemistry: (5 Batches )
gastritis Y
2 Composition of Peritoneal fluid in Antacids Peritoneum
Name of horizontal disposition
relation to Peritoneal Dialysis
Name of faculty Venue faculty
Name of Name of faculty Venue
Venue
4-GP. D: CBL faculty Venue
5-GP. E1: Self-study
E2: SKILL LAB: Introduction to
abdominal examination
ANATOMY
Development
Anatomy of GIT
1. B HISTOLOGY
(2) (derivatives BIOCHEMISTRY
2. C Small intestine
of mid and hind Coenzymes derived from vitamins and
3 3. D
4. E gut) Name of their role in metabolic actions (Vit:
5. A Name of B3,4,5,6.)
faculty Venue
Name of faculty Venue
faculty
Venue
1. C HISTOLOGY PHYSIOLOGY GROSS ANATOMY
Large intestine Secretions of small
2. D Small Intestine & large intestine
4 3. E
Name of and large intestine
+(comparison of two)
4. A faculty Name of
5. B Venue faculty Venue Name of faculty Venue
PHYSIOLOGY PHARMACOLOGY
1. D Movements of Antisecretory
2. E small intestine & drugs: H2-
5 3. A large intestine
antagonists
4. B Name of
5. C
Name of
faculty
Venue faculty Venue
1. E
MICROBIOLOGY
2. A PATHOLOGY
Diagnosis of H. pylori infection in clinical
6 3. B Peptic ulcer and H. pylori association
practice
4. C Name of faculty Venue
Name of faculty Venue
5. D
364
TIME TABLE SEMESTER IV
GIT AND LIVER TIME TABLE THIRD WEEK
ANATOMY PHYSIOLOGY
PHARMACOLOGY HISTOLOGY Pancreatic secretion PATHOLOGY
1 Antisecretory: PPI & miscellaneous Pancreas (composition, function Pancreatitis
Name of faculty and regulation)
Name of faculty Venue Name of faculty Venue
Venue Name of faculty
Venue
1.A-Histology practical
small & large Intestine Name of
faculty Venue
2.B- SELF-STUDY BIOCHEMISTRY
3.C- Biochemistry Pract: Interpret Mal absorption PATHOLOGY
the estimations of bilirubin Syndromes Malabsorption and Gross Anatomy:
Name of faculty Venue celiac disease Liver
2 (Biochemical
4.-D-CBL
background) Name of faculty Name of faculty Venue
5.E- BIOCHEMISTRYHuman Name of faculty Venue
Body general needs & levels for Venue
glucose and its regulation
(Glycolysis, insulin, glucagon)
tutorial Name of faculty Venue
1. B PATHOLOGY
2. C Inflammatory bowel PHARMACOLOGY Gross Anatomy:
3 3. D disease Anti-diarrheal Hepatic portal system
4. E Name of faculty Name of faculty Name of faculty Venue
5. A Venue Venue
1. C
2. D GROSS ANATOMY- 12-00 TO
Gall bladder and biliary tract SELF STUDY
4 3. E 12:30
4. A Name of faculty Venue SELF STUDY
5. B
1. D BIOCHEMISTRY
2. E
Overview of exocrine functions of Liver and
5 3. A
Pancreas related to micro and macronutrients
4. B
5. C Name of faculty Venue
1. E COMMUNITY
Histology
2. A MEDICINE
Histology of Liver and
dynamics of disease
6 3. B gall bladder SELF STUDY
transmission
4. C Name of faculty
Name of faculty
5. D Venue
Venue
365
TIME TABLE SEMESTER IV
GIT AND LIVER TIME TABLE FOURTH WEEK
1.C-Histology practical
small & large Intestine Name of
Biochemistry
faculty Venue Physiology Metabolism of bilirubin &Bile
2.D- SELF-STUDY Anatomy Bile secretion salt synthesis
3.E- SELF-STUDY Development of liver, Gall bladder (composition, function (Uronic Acid pathway & role
1 4.-A-CBL HALL 101 and regulation)
and pancreas of glucuronate)
Name of faculty Venue Name of faculty
5.B- BIOCHEMISTRY Human Body
general needs & levels for glucose and its Venue Name of faculty
regulation (Glycolysis, insulin, glucagon) Venue
tutorial Name of faculty Venue
1-A-Biochemistry Practical:
Interpret the estimations of Glucose by
spectrophotometery and glucometer
Name of faculty Venue
2. B2: SKILL LAB=Gut Sounds BIOCHEMISTRY
Common Metabolic pathway
B1- Self-study Name of faculty ANATOMY for energy Provision from
Venue PATHOLOGY Congenital Anomalies of CHO, lipids and Amino acids
Acute hepatitis GIT(I)
2 3-C-CBL (TCA Cycle/ Krebs Cycle)
Name of faculty Venue Name of faculty Name of faculty
4-D-Histology Practical
Venue Venue
Histology of Liver and gall bladder Name
of faculty Venue
5.E= Biochemistry Pract: Interpret the
estimations of bilirubin
Name of faculty Venue.
BIOCHEMISTRY PATHOLOGY Biochemistry
Role of glycogen in well fed, Chronic hepatitis Body Energy Gradient
1. B
fasting, starvation and malnutrition & Maintenance
2. C
states Cirrhosis
3 3. D (Electron Transport Chain &
4. E (Glycogenesis&Glycogeno-lysis) Name of faculty Oxidative Phosphorylation)
5. A Name of faculty Venue Venue Name of faculty
Venue
1. C
B.S. GROSS ANATOMY:
BIOCHEMISTRY
Social support Spleen
2. D
Gluconeogenesis treatment stigma. Name of faculty
4 3. E
4. A Name of faculty Venue Name of faculty Venue
5. B Venue
1. D BIOCHEMISTRY
2. E Hexose Mono Phosphate Shunt
5 3. A ( Metabolism of sucrose & fructose, Galactose Metabolism &
4. B lactose Synthesis)
5. C= SELF STUDY
Name of faculty Venue
1. E
BIOCHEMISTRY MICROBIOLOGY
2. A Hepatotropic viruses
6 3. B JaundiceName of faculty SELF STUDY
Name of faculty
4. C Venue Venue
5. D= SELF STUDY
366
TIME TABLE SEMESTER V
GIT AND LIVER TIME TABLE FIFTH WEEK
COMMUNITY
6. D BIOCHEMISTRY MEDICINE GROSS ANATOMY: 5
7. E how to conduct BATCHES
Glycogen storage disease
1 8. A Lumbar Vertebrae
Name of faculty research
9. B
Name of faculty Name of faculty Venue
C= SELF STUDY
Venue
Venue
1-A-Biochemistry Practical:
Interpret the estimations of Alkaline
Phosphatase & aminotransferase
Name of faculty Venue BIOCHEMISTRY
2.B1-Skill lab: Gut sounds ANATOMY
ANATOMY 5 BATCHES
B2- SELF-STUDY Fatty Acids and Ketone Congenital Anomalies Posterior abdominal wall
2 bodys metabolism in of GIT (II) (boundaries, Muscles, fascia)
3-C-CBL
human body Name of faculty Name of faculty Venue
4-D- A-Biochemistry Practical: Name of faculty Venue
Interpret the estimations of cholesterol Venue
Name of faculty Venue
5.E-Self study
BIOCHEMISTRY
1. B BIOCHEMISTRY Degradation of dietary Lipids
2. C Fate of Dietary Cholesterol and indigenous Cholesterol
in human body and their transport
3 3. D
4. E (Metabolism of Cholesterol) (Lipoproteins)
5. A Name of faculty Venue Name of faculty Venue
RADIOLOGY- 1 PATHOLOGY
1. C Assessment of
2. D Circulatory disorders of ANATOMY
GIT(PLAIN X RAY &
4 3. E liver inferior vena cava+ venous drainage
BA STUDIES)
4. A Name of faculty of abdomen
Name of faculty
5. B Venue Venue Name of faculty Venue
1. D
2. E 10.30-12.00
5 3. A Anatomy : Nerves of abdomen
4. B Name of faculty Venue
5. C
1. E BIOCHEMISTRY
2. A Overview of nitrogen metabolism
6 3. B (digestion& transport of amino acid into cell, removal SELF STUDY
4. C of nitrogen from amino acids)
5. D Name of faculty Venue
367
TIME TABLE SEMESTER IV
GIT AND LIVER TIME TABLE SIXTH WEEK
6. E BIOCHEMISTRY
7. A Overview of nitrogen metabolism COMMUNITY MEDICINE
1 8. B (digestion& transport of amino acid into cell, removal of study design 1
9. C nitrogen from amino acids)
10. D Name of faculty Venue Name of faculty Venue
1: A+B-Biochemistry tutorial:
hyperammonia
Name of faculty Venue
BIOCHEMISTRY PHARMACOLOGY
2-C+ D-Biochemistry Practical:
Amino acid degradation and synthesis, Antiemetic/ pro-kinetic agents
2 Interpret the estimations of Tri-acyl-
Urea cycle and metabolism of ammonia
glycerol and Estimations of total Name of faculty Venue
lipidName of faculty Venue
Name of faculty Venue
3. E= Histology: RECTUM
Name of faculty Venue
BIOCHEMISTRY:
1. C+D Phenyl Alanine, Tyrosine, Tryptophan, Methionine
Branch chain amino acids, Glycine, Histidine, SELF STUDY
3 2. E
3. A+B Creatine&creatinine
Name of faculty Venue
BEHAVIOR
PHARMACOLOGY SCIENCES COMMUNITY MEDICINE
1. E Laxative study design 2
Family
4 2. A+B Name of faculty
3. C+D Name of faculty Name of faculty Venue
Venue
Venue
BIOCHEMISTRY ANATOMY
Metabolic defects in amino acid Rectum
5 metabolism
Name of faculty Venue Name of faculty Venue
BEHAVIOR SCIENCES
Social structure role and child BIOCHEMISTRY
rearing practices Carbohydrate, Lipids & Proteins Metabolism
6 In Well fed state and Obesity SELF STUDY
Name of faculty Venue Name of faculty Venue
368
TIME TABLE SEMESTER IV
GIT AND LIVER TIME TABLE SEVENTH WEEK
11:30 --
Days 08-:30 ---- 10:00
10:30 ----- 11:30 -- 1:30 ----- 03:00
12:30
REVISION REVISION:
GROSS ANATOMY BIOCHEMISTRY
ANATOMY SELF-
2 ANAL CANAL
Peritoneum 1 STUDY HMP SHUNT
Name of faculty Venue Name of faculty Venue
Name of faculty Venue
REVISION
BIOCHEMISTRY
Body Energy Gradient HISTOLOGY SELF-STUDY
3 Maintenance Anal Canal
(Electron Transport Chain & Name of faculty Venue
Oxidative Phosphorylation)
Name of faculty
Venue
8:30-10AM 10-11:30AM
5 RADIOLOGY CLINICAL FACULTY SELF-
ASSESMENT OF GIT(CT SCAN) Hernia STUDY
Name of faculty Venue Name of faculty Venue
REVISION
Biochemistry 10:30-11:30AM
Metabolism of bilirubin &Bile salt RADIOLOGY
6 SELF-STUDY
synthesis Assessment of GIT by ultrasound
(Uronic Acid pathway & role of
Name of faculty Venue
glucuronate)
Name of faculty Venue
369
TIME TABLE SEMESTER IV
GIT AND LIVER ,TIME TABLE 8TH WEEK
11:30 ----
Days 08-:30 ---- 10:00 10:30 ----- 11:30 1:30 ----- 03:00
12:30
REVISION
BIOCHEMISTRY
CLINICAL FACULTY
2 Role of glycogen in well fed, fasting,
Fatty liver disease starvation and malnutrition states
Name of faculty Venue (Glycogenesis&Glycogeno-lysis)
Name of faculty Venue
REVISION
BIOCHEMISTRY: REVISION
Amino acid degradation BIOCHEMISTRY
3 and synthesis, Fate of Dietary Cholesterol and College Closed at 01:00pm
indigenous Cholesterol in human body If first Ramadan
Urea cycle and metabolism (Metabolism of Cholesterol)
of ammonia Name of faculty Venue
Name of faculty Venue
4
SELF-STUDY
5 SELF-STUDY
6
Module exam
370
LEARNING OBJECTIVES
At the end of the teaching session the student should be able to achieve the following
objectives:
ANATOMY
GIL1 Ang 1: Introduction & divisions of GIT + abdominal quadrants
GIL1 Ang 2: Division of abdomen into regions and quadrants and their contents
Identify surface marking of stomach, spleen, liver, gall bladder, kidney & appendicular
orifice.
371
Identify Surface marking of inguinal canal
Describe Walls of Inguinal Canal
Describe Deep Inguinal Ring & Superficial Inguinal Ring
Identify Structures passing through the inguinal canal
Enlist Coverings of spermatic cord
Explain Mechanics of the inguinal Canal
Define hernia and describe types of hernia namely Direct & indirect Inguinal Hernia
GIL1 Ang 7: Overview of peritoneal cavity and peritoneal relations + vertical disposition
Define peritoneum
Understand the different folds of peritoneum.
Discuss the embryological development of peritoneum and its folds
Describe greater and lesser sacs
List the intra and retroperitoneal viscera
Discuss vertical tracings of peritoneum
Describe peritoneum
Describe arrangement of peritoneum in transverse section of abdomen
Describe arrangement of peritoneum in transverse section of male pelvis
Describe arrangement of peritoneum in transverse section of female pelvis
Explain general characteristics of lumbar vertebrae including body and arch of lumbar
vertebrae
Describe processes like superior and inferior articular, transverse, spinous, mammillary
accessory processes
Describe first lumbar vertebra & fifth lumbar vertebra
Discuss lumbar spinal stenosis
372
List the types of lymph nodes draining the abdomen
List the lymphatics draining the abdominal wall & the abdominal viscera
Identify the terminal group of lymph nodes around abdominal aorta
Describe the lymphatic trunks, cisterna chili & the thoracic duct
Identify duodenum
Describe all the division of duodenum
Identify the relations of different parts of duodenum
Explain the details of pancreas.
Identify the parts and relations of pancreas
GIL1 Ang 14: Small Intestine & large intestine+ (comparison of two)
Describe the position and the vertebral levels of aorta in the abdomen.
List the main branches of the aorta and its territories.
Explain the applied anatomy of the aorta.
373
GIL1 Ang 17: Liver
EMBRYOLOGY
GIL1 Ane 1: Derivatives of foregut
374
GIL1 Ane 2: Derivatives of mid and hind gut
HISTOLOGY
GIL1 Anh 1: General plan of G.I.T + esophagus
Give overview of digestive system
Describe structure of the gastrointestinal tract, GIT
Explain histological features of layers of GIT
Describe Histological featuresof structure of each layer of esophagus
375
Describe different glands and the various kind of cells present in them
376
Identify the histological appearance of gall bladder
BIOCHEMISTRY
GIL1 Bio 3: Overview of exocrine functions of Liver and Pancreas related to micro and
macronutrients
Describe the importance of liver & exocrine pancreas in metabolism and digestion of
micro and macronutrients.
Describe the overall purpose of glycogenesis and glycogenolysis, their reactants and
products, their cellular localization, and their tissue distribution
Explain the contribution of glycogenesis and glycogenolysis to blood glucose regulation
during the fed state, the fasting state, and exercise
Describe the roles of glycogen synthase and branching enzyme in glycogenesis, and
predict the biochemical and potential clinical consequences in deficiencies of these
enzymes
Explain how glycogen synthesis and glycogenolysis are regulated by insulin, glucagon,
and catecholamines
Describe the roles of glycogen phosphorylase, debranching enzyme, and glucose 6-
phosphatase in glycogen breakdown, and predict the biochemical and potential clinical
consequences in deficiencies in these enzymes glucose 6-phosphatase
Compare and contrast the purpose and regulation of glycogenolysis in hepatocytes vs
skeletal muscle
GIL1 Bio 7: Glycogen Storage diseases
377
GIL1 Bio 8: Over view of Digestion and Absorption of carbohydrates, lipids and proteins
GIL1 Bio 9: Overview of nitrogen metabolism (digestion& transport of amino acid into cell,
removal of nitrogen from amino acids)
Define malabsorption
Describe causes and mechanism of malabsorption.
Explain commonest diseases associated with malabsorption
Describe the 3 unique enzyme reactions for the gluconeogenic pathway and explain the
regulation of these reactions.
378
Discuss the contribution of fatty acid oxidation to the gluconeogenic pathway.
Describe the role of biotin and niacin in the gluconeogenic pathway.
GIL1 Bio 15: HMP shunt
Describe the general scheme of the pentose phosphate pathway
Explain the two stages of the pathway
Discuss the enzymes involved in the two cycles with special reference to the NADPH
production
Explain significance of the intermediates formed in the pathway
Describe the enzymes of the non-oxidative pentose phosphate pathway
Describe Wernicke-Korsakoff syndrome
GIL1 Bio 16: Metabolism of bilirubin & Bile salts synthesis
Describe steps of the TCA cycle & know the reactants and the products.
Relate the citric acid cycle in the role of generating energy.
Summarize the different reactions that occur during the cycle.
Give examples of condensation, dehydration, hydration, decarboxylation, oxidation and
substrate level phosphorylation.
Calculate the yield of ATP for one turn of the cycle.
Understand the reaction for the three enzyme complexes of pyruvate
dehydrogenase and how it is regulated and know which vitamins or cofactors are
involved in the PDH conversion of pyruvate to acetyl CoA.
379
GIL1 Bio 18: Body Energy Gradient Maintenance (Electron Transport Chain & Oxidative
Phosphorylation)
GIL1 Bio 19: Amino acid degradation and synthesis. Urea cycle and metabolism of ammonia
GIL1 Bio 20: Carbohydrate, Lipids & Proteins Metabolism in well fed state and Obesity
Explain biochemical mechanisms of body adaption to obesity and in well fed state
regarding macronutrient metabolism
GIL1 Bio 21: Carbohydrate, Lipids & Proteins Metabolism in Starvation and Diabetes mellitus
Define ketogenic and glucogenic amino acids, and list them as exclusively ketogenic,
glucogenic, or both.
380
Distinguish disease states associated with Inborn Errors of Metabolism, including (A) the
deficient enzyme, (B) relation of the deficiency to the buildup of secondary metabolites,
and (C) clinically relevant information related to the disease state
Cystinuria
Histidinemia
Phenylketonuria
Methylmalonyl CoA mutase deficiency
Albinism
Homocystinuria
Alcaptonuria
Maple syrup urine disease
Cystathioninuria
Tyrosinemia
Describe the importance of dietary protein quality in the maintenance of health, and the
consequences of protein-energy malnutrition (e.g. Marasmus and Kwashiorkor).
GIL1 Bio 25: Coenzymes derived from vitamins and their role in metabolic actions
GIL1 Bio 26: Fatty Acids and Ketone body metabolism in human body
Define lipogenesis
Understand formation of malonylCoA
Understand acetyl CoA production and its utilization in fatty acid synthesis
Explain acetyl CoA carboxylase regulation
Explain the role of fatty acid synthase
Describe the 7 succession steps of fatty acid synthesis
Define major sources of NADPH and their use in fatty acid synthesis
Define triacylglycerol and its formation
Differentiate between ketonemia and ketonuria
Describe three forms of ketone bodies
Explain genesis of ketone bodies and the role of the liver
381
Describe transport of ketone bodies and the utilization of the ketone bodies and the
enzymes involved on ketogenesis
Define ketoacidosis the disease and physiological significance
GIL1 Bio 27: Fate of Dietary Cholesterol and indigenous Cholesterol in human body (Metabolism
of cholesterol)
List the major steps in the biosynthesis of cholesterol, emphasizing the regulatory sites.
List the pathways of cholesterol utilization.
Explain the importance of bile acid synthesis in cholesterol turnover.
Describe how the relative amount of cholesterol vs. carbohydrate could affect blood
cholesterol.
Understand the pathways of cholesterol biosynthesis and utilization, identify potential
secondary effects of HMG-CoA reductase inhibitors.
PHYSIOLOGY
382
Describe the importance of GIT.
Describe the gastrointestinal peptides.
Describe the control of digestive functions
by nervous system.
Define the term enteric nervous system
Describe the role played by the gastrointestinal hormones in gastrointestinal motility.
383
Define Digestive system
Describe Digestive system secretions
Identify Component of small intestine
List and describe Intestinal secretions, Large intestine secretion & functions
Understand Neural control of digestive system&Integration of neural & hormonal
control
Define bile
Describe the process of bile secretion
Explain why are bile saltsimportant especially for digestion
Understand entero-hepatic circulation
Describe clinical effect in the abnormalities of bile secretion
PATHOLOGY
Define Malabsorption
Describe the normal physiology of digestion and absorption in the GIT
Explain the pathophysiological mechanisms involved in malabsorption of nutrients
Explain the clinical features of malabsorption syndrome.
Explain etiologies, pathogenesis, gross and microscopic changes & clinical presentations
of inflammatory bowel disease including Crohns disease and ulcerative colitis
384
Describe the pathogenesis, clinical presentations, gross & microscopic pathological
features of diseases caused by:
Impaired blood flow into the liver due to hepatic artery compromise, portal vein
obstruction and thrombosis
Impaired blood flow through the liver causing cirrhosis & sinusoidal occlusion
Hepatic venous outflow obstruction as hepatic vein thrombosis and inferior vena
cava thrombosis & sinusoidal obstruction syndrome (veno-occlusive disease)
GIL1 Pth 6: Motor disorders of esophagus, varices, esophagitis & Barretts esophagus
Explain the clinical presentations, etiologies, and pathogenesis, gross and microscopic
changes found in gastritis
Describe xerostomia.
Explain pathogenesis, etiology, gross and microscopic changes of sialadenitis, mucocele,
and sialolithiasis
List and describe types, pathogenesis, etiology of salivary gland tumors.
385
GIL1 Pth 9: Peptic ulcer and H. Pylori infection association
Explain the clinical presentations, etiologies, and pathogenesis, gross and microscopic
changes found in peptic ulcers & H. pylori infection
Pancreatitis
GIL1 Pth 10:
Explain the clinical presentations, etiologies, and pathogenesis, gross and microscopic
changes found in acute & chronic pancreatitis.
PHARMACOLOGY
Explain mechanism of action, types, side effects & adverse effects of drugs used in
constipation
Describe mechanism of action, types, indications & side effects of anti-emetic drugs
Describe mechanism of action, types, indications & side effects of pro-kinetic agents
Explain mechanism of action, types, indications & side effects of H2 receptor antagonist
explain Triple & quadruple therapy
386
GIL1 Pha 5: Anti-secretory drugs: proton pump inhibitors & miscellaneous
Explain mechanism of action, types, indications & side effects of Proton pump inhibitors
explain Triple & quadruple therapy.
RADIOLOGY
GIL1 Rad 1: Radiology-Assessment of GIT (PLAIN X-RAY & BARIUM STUDIES)
Explain the x-ray and barium diagnostic tests for GIT evaluation
Identify the normal GIT diagnostic tests
SURGERY
GIL1 Sur 1: Hernias
MICROBIOLOGY
GIL1 Mic 1: Hepatotropic viruses
387
GIL1 Mic 2: Diagnosis of H. pylori infection in clinical practice
COMMUNITY MEDICINE
388
Explain epidemiological triad of disease transmission
Describe factors effecting disease transmission
Define routes of transmission
Explain models of disease causation
Describe iceberg concept of infection
MEDICINE
GIL1 Med 1: Liver function tests
BEHAVIORAL SCIENCES
GIL1 Beh1:Social support treatment stigma
389
LEARNING OBJECTIVE OF SKILL LAB CURRICULUM
INTRODUCTION/RATIONALE:
Diseases of gastrointestinal system are one of the common causes of morbidity and mortality
both in adults and children Abdominal examination is performed as an integral part of physical
examination, or when a patient presents with gastro intestinal problems (for example: Abdominal
pain, nausea, vomiting, diarrhea and GI bleeding ).
LEARNING OBJECTIVES:
INTRODUCTION/RATIONALE:
Nasogastric intubation refers to the process of placing a soft plastic nasogastric (NG) tube
through a patient's nostril, past the pharynx and down the esophagus into a patient's stomach.
LEARNING OBJECTIVES:
390
CASE BASED LEARNING
GIL1 Cbl1
Describe the anatomy of the GI tract
Understand the blood supply of the GI tract
Define is the reason of generalized abdominal tenderness
the risk factors for the disease
GIL1 Cbl2
Explain the gross and microscopic anatomy of liver
Give the arterial supply of organ involved
Give the hepatic causes of abdominal distension.
Explain the mechanism of development of abdominal distension.
Explain portal hypertension.
Enumerate the clinical consequences of portal hypertension?
GIL1 Cbl3
GIL1 Cbl4
391
TABLE OF SPECIFICATIONS
ROUND
WEEKS/HOURS 1 2 3 4 5 6 T1 T1x100/T2
OFF
PHARMA - 3 1 - - 2 6 3.88 4
BEHAVIORAL
- - - 1 2.5 1 4.5 2.91 3
SCIENCES
COMMUNITY
- - 1.5 1 1.5 1.5 5.5 3.55 3
MEDICINE
RADIOLOGY - - 1 1 1 - 3 1.94 2
SURGERY - - - - - 1 1 0.64 1
392
BLUEPRINT OF ASSESSMENT
GIT-1 MODULE
(SEMESTER-III)
SUMMATIVE ASSESMENT
THEORY
ATP 25
EXAM
EMQs 10
ATP 20
MODULE PAPER
One best Questions 20%
20
based on CBL
Total 100
STRUCTURED VIVA
SEMESTER
EXAM
See Semester
PAPER-IV- A Structured viva
Assessment Plan
FORMATIVE ASSESSMENT
ASSESMENT TOOLS
Structured Feedback
ASSESMENT DURING CBL SESSION Given to the Student by
Facilitator
NOTE: Paper II & IV-B of Semester-4 Examination are Based on Renal Module.
Paper III & IV-C of Semester-4 Examination are Based on Reproduction Module.
393
CREDIT HOURS
SEMESTER- IV
GIL-1 MODULE
Paper-I 6
GIL-1
Paper-IV-A 3
394
RENAL 01 MODULE
(EXC 1)
SEMESTER IV
395
FIVE YEAR CURRICULAR ORGANIZATION
396
MODULE COMMITTEE
SPIRAL 01:
Documented by:
Dr.Tanzeela Khan (Department of Anatomy, Dow Medical College, DUHS)
Coordinated by:
Dr.Ateeba Ayesha Khan (Department of Pathology, Dow Medical College, DUHS)
Reviewed by:
Module committee
Curriculum committee
397
RATIONALE
Renal system is involved in the excretion of waste products especially nitrogenous end
products of protein metabolism. It regulates normal hydrogen ion concentration, pH and acid
base balance, maintains sodium and potassium and electrolyte balance of the body also
maintain blood pressure, osmotic pressure, water balance, plasma / extra cellular fluid volume.
Renal diseases are common in the community and renal failure is a common end stage of most
renal disorders. Understanding of the basic anatomy, physiology and biochemical processes is
essential for dealing with the disease processes afflicting the renal system. This module
provides this basic understanding.
TERMINAL OBJECTIVES
398
LEARNING OBJECTIVES OF THE MODULE
Objectives of module are listed in following grid along with contents, modes of information
transfer, duration of teaching of each content and the mode of assessment.
spotting
Practical /
DIGITAL LIBRARY
PRACTICAL
LECTURES
SKILL LAB
CBL/ SBL
LIBRARY
DEMOS
viva
LEARNING FACULTY TOPIC/CONTE
OBJECTIVES NT Assessment
Modes of information Transfer
EXC 1 Ang 1 1
ANATOMY
* *
Overview of
Excretory system
Describe the of the body and
structure and structure of
functions of kidney
excretory EXC 1 Phy 1 1
system PHYSIOLOGY
* *
General
functions of the
kidneys and
Excretory system
EXC 1 Bio 1 1
BIOCHEMISTRY
* *
Physicochemical
Aspects in
relation to water
(Diffusion,
Adsorption,
viscosity)
EXC 1 Ane 1 1
Explain the EMBRYOLOGY
* *
development of Development Of
kidneys and Kidney & Ureter
ureters with
399
their related EXC 1 Pth 1 1
anomalies
* *
PATHOLOGY
Anomalies of
kidney and lower
urinary tract
EXC 1 Anh 1 1
Describe the
* *
histological and Histological
gross features of Features of
kidneys and kidney (detailed
ureters with its microscopic
blood, lymphatic features of
and nerve nephron and
supply HISTOLOGY collecting ducts
EXC 1 Anh 2 1.5
* * *
Microscopic
features of
nephron and
collecting ducts
EXC 1 Ang 2 1 * *
Details of gross
anatomical
features of
kidney
ANATOMY EXC 1 Ang 3 1 * *
Details of blood
and nerve supply
and lymphatic
drainage of
kidney
EXC 1 Bio 2 1 * *
Osmolality,
osmolarity,
tonicity,
Colloid osmotic
pressure
(oncotic
Describe the pressure ),
BIOCHEMISTRY
biochemical Osmosis and role
and
of albumin
physiological
400
aspects of GFR EXC 1 Bio 3 1.5
* * *
and role of pH
and water Normal,
hypertonic,
hypotonic
solutions
EXC 1 Phy 2 1
PHYSIOLOGY
* *
GFR and factors
affecting GFR
EXC 1 Phy 2
*
Tubular Re-
absorption and
secretion
EXC 1 Bio 4 1 * *
BIOCHEMISTRY
The role of water
and Ph
401
of ureter and
urinary bladder
and urethra
including these
organs
EXC 1 Ane 2 1
Describe the
* *
Development of
development urinary bladder
of and
urinary EMBRYOLOGY
urethra
bladder and
EXC 1 Ane 3 1
urethra with * *
its related Anomalies
anomalies of bladder &
urethra
EXC 1 Bio 5 1 * *
Recognize the Role of Renal
concept of System
in acid base
electrolyte balance
balance and
imbalance and
its correlation EXC 1 Bio 10 1.5
with other
* *
systems and its Acid base balance,
BIOCHEMISTRY buffers, alkalosis
importance.
(Biochemistry:
EXC 1 Bio 6 1
pH, acid base * *
balance, Sodium and
buffers, chloride
alkalosis, Metabolism
acidosis )
402
PHYSIOLOGY EXC 1 Phy 3 1
Discuss
* *
Formation of The concentration
and dilution of
urine, re- Urine
absorption and
EXCretion of
urine.
403
PHARMACOLOGY EXC 1 Pha 1 1
Classify
* *
diuretics Overview Of
Diuretics
related to their
site of action
and their 1.5
adverse effects CASE BASED EXC 1 Cbl 1
* *
LEARNING
EXC 1 Bio 10 1
Describe the
* *
biochemical Purine
metabolism 2
aspects of
purine
EXC 1 Bio 11 1
metabolism BIOCHEMISTRY * *
with its related Disorders of
disorders purine
metabolism
EXC 1 Pth 2 1
* *
Explain the Nephritic
pathogenesis PATHOLOGY syndrome
of nephritic
EXC 1 Pth 3 1
and nephrotic * *
syndrome
Nephrotic
syndrome
404
l diseases and EXC 1 Pth 5 1
Pyelonephritis PATHOLOGY
* *
Pyelonephritis
1
Explain the BIOCHEMISTRY EXC 1 Bio 12
* *
relation of urea
uric acid, Relation of urea
creatinine, uric acid,
calcium and creatinine,
calcium and
albumin and
albumin and other
other
electrolytes with
electrolytes with renal disorders
renal disorders
EXC 1 Bio 13 1
Relate BIOCHEMISTRY
* *
pyrimidine Pyrimidine
metabolism metabolism
with renal
functions
EXC 1 Med 3 1
Recognize the
* *
importance of Renal failure
clinical picture
dialysis in the
and presentation
cases of renal MEDICINE
EXC 1 Med 4 1
failure
Dialysis types and
* *
importance
EXC 1 Med 5 1
Interpret the RADIOLOGY/
* *
radiographs of CLINICAL Radiographs and
urinary system other imaging
techniques of
urinary system
405
PRACTICALS: PHYSIOLOGY EXC 1 Phy 7
1.5
* *
Regulation of
Hormonal
water and
regulation of
electrolyte water and
balance by electrolytes
various
hormones (ADH,
Aldosterone,
rennin, etc.
Abnormalities:
Hyper-
aldosteronism,
Diabetes
Insipidus).
406
DATES, TEACHING FACULTY AND VENUES SHOWN IN ITALICS ARE SUBJECTED TO CHANGE
DOW UNIVERSITY OF HEALTH SCIENCES
10:00------11:00
Days 08:30------10:00 11:00------12:00 12:00-------1:00
Biochemistry
2-B=Biochemistry Practical Solutions: Anatomy Overview of EXCretory Physiology
Physicochemical Aspects in
hypotonic and hypertonic, Molal, molar, system of the body and structure of General functions of the
relation to water
Normal Solutions, Use of normal saline kidney kidneys and excretory
1 (Diffusion, Adsorption,
Name of Faculty Venue system
viscosity)
Name of Faculty Name of Faculty
Name of Faculty
Venue Venue
Venue
3-C1=Skill lab: Hands on session of Urinary
Catheterization in SKILL LAB
C2=SELF STUDY
4-D=SELF STUDY
BIOCHEMISTRY:
Osmolality, osmolarity,
1=B Anatomy Histological: tonicity, Anatomy Demo
Features of kidney: (detailed Colloid osmotic pressure
2=C 4batches
microscopic features of nephron and (oncotic pressure ),
2 Details of gross anatomical
3=D collecting ducts
Osmosis and role of features of kidney
Name of Faculty
4=A albumin Venue
Venue
Name of Faculty
Venue
1=D
10-11:30 AM
2=A Anatomy
4 SELF-
Development Of Kidney & Ureter
3=B STUDY
Name of Faculty
4=C Venue
407
DOW UNIVERSITY OF HEALTH SCIENCES
1. B PATHOLOGY
Anatomy Anomalies of Physiology
2. C Pathogenesis of
bladder & urethra the concentration and dilution of urine
3 3. D glomerular disorders
Name of Faculty Name of Faculty
4. E Name of Faculty
Venue Venue
5. A= Venue
Biochemistry
1. C Biochemistry Disturbances of water, sodium and
2. D Potassium and Phosphate PHARMACOLOGY potassium balance
4 3. E Metabolism Overview Of Diuretics Name of Faculty
4. A Name of Faculty Name of Faculty
Venue
5. B= Venue Venue
1. D 10-11:30AM
2. E Physiology
5 3. A Acidification of urine
4. B Name of Faculty
5. C= Venue
. CLINICAL FACULTY
1. E
B.S Urine detailed report Biochemistry:
2. A
Informational Care sample collection and Nucleic acid Purine Metabolism- 1
6 3. B
Name of Faculty biochemical analysis Name of Faculty
4. C
Venue 2 Name of Faculty Venue 2
5. D=
Venue
408
DOW UNIVERSITY OF HEALTH SCIENCES
1-A=-Physiology Tutorial:
Hormonal regulation of water and
electrolytes Name of Faculty
Venue
2-B=Biochemistry Practical
Discuss normal constituents of urine Biochemistry PATHOLOGY Physiology
Renal Function Tests (Plasma clearance) Purine Metabolism Nephritic syndrome Process of micturition
1 Name of Faculty 2 and micturition reflex
Name of Faculty Name of Faculty
Venue Name of Faculty
Venue
Venue Venue
3-C2=Skill lab: Hands on session of
Urinary Catheterization in SKILL LAB
C1=SELF STUDY
4-D=CBL
5.E=SELF-STUDY
MICROBIOLOGY Biochemistry
1. B Urine detailed report
2. C Disorders of Purine
sample collection and
2 3. D Metabolism SELF STUDY
biochemical analysis
4. E
Name of Faculty Name of Faculty
5. A Venue
Venue
MEDICINE
1. C Interpret the ABG
PATHOLOGY
2. D reports For the
Nephrotic syndrome
3 3. E diagnosis of acidosis
Name of Faculty
4. A and alkalosis
5. B Venue Name of Faculty
Venue
Biochemistry
Radiology
Relation of urea uric
1. D PATHOLOGY Radiographs
acid, creatinine, calcium
2. E Tubulointerstitial + other imaging
and albumin and other
4 3. A diseases Name of techniques of urinary
electrolytes with renal
4. B Faculty system
disorders
5. C Venue Name of Faculty
Name of Faculty Venue
Venue
1. E Biochemistry MEDICINE
2. A Pyrimidine Renal failure clinical
5 3. B Metabolism picture and presentation
4. C Name of Faculty Name of Faculty
5. D Venue Venue
MEDICINE
Dehydration/ over-hydration: ORS +other
Available solutions for Intra venous MEDICINE PATHOLOGY
PATHOLOGY
infusions(Dextrose water5%, 10 %, 25%, Dialysis types and Lower urinary tract
Pyelonephritis
6 importance infections
Ringerlactate, Normal saline, amino acids Name of Faculty
solutions, Hemaxcel Name of Faculty Name of Faculty
Venue Venue
Name of Faculty Venue
Venue
409
LEARNING OBJECTIVES
ANATOMY
EXC 1 Ang 1 OVERVIEW OF EXCRETORY SYSTEM OF THE BODY AND STRUCTURE OF KIDNEY
410
Perform the Surface anatomy of the kidney on human bony landmarks
Ureter,
411
EXC 1 Ane 2 DEVELOPMENT OF URINARY BLADDER AND URETHRA
Kidney,
Ureter and
Urinary bladder.
PHYSIOLOGY
EXC 1 Phy 1 GENERAL FUNCTIONS OF THE KIDNEYS AND EXCRETORY SYSTEM
412
Describe glomerular filtration membrane and how it EXCludes blood cells and proteins
from the filtrate
Discuss how will you calculate net filtration pressure if given the magnitude of these
forces
Define glomerular filtration rate (GFR) and discuss Factors affecting GFR
Explain the regulation of GFR (describe how the nervous system, hormones, kidney itself
regulate glomerular filtration).
Define acidosis and alkalosis, and give the normal mean and the range of H+
concentrations in blood.
Describe the changes in blood chemistry that occur during the development of
metabolic acidosis and metabolic alkalosis.
413
BIOCHEMISTRY
EXC 1 Bio 1 PHYSICOCHEMICAL ASPECTS IN RELATION TO WATER
Describe the Hydrogen bonding in water and its importance in the movement
Describe osmosis
414
Explain the role of Buffers in maintaining acid base balance
Interpret the Normal values of sodium & chloride in serum and urine
Discuss the role of various amino acids in the synthesis of AMP and GMP.
Describe the role of folic acid and CO2 in the synthesis AMP and GMP
415
Discuss the Role of kidney and hypothalamus
MEDICINE
Enlist the precautions necessary to collect the urine sample for Urine detailed report
examination
Define Dehydration.
Classify dehydration
Describe rehydration.
416
Discuss the clinical picture and presentation of renal failure.
PATHOLOGY
INTRODUCTION/RATIONALE:
Urethral catheterization is an invasive procedure with several potential hazards if not performed
proficiently, like trauma to the urethera and infection. It is imperative that all health professionals
be thoroughly versed with the procedure.
LEARNING OBJECTIVES:
After the session students should be able to:
List the equipment required for the procedure.
Demonstrate correct aseptic techniques and the procedure for urinary catheterization
in males & females.
417
CASE BASED LEARNING
EXC 1 Cbl 1
EXC 1 Cbl 2
418
TABLE OF SPECIFICATION
ANATOMY 3 7 - 10 17.09 18
PATHOLOGY 1 1 5 7 11.96 12
MICRO - - 1 1 1.70 2
PHARMA - 1 - 1 1.70 2
BEHAVIORAL
- 2 - 2 3.41 4
SCIENCES
RADIOLOGY - - 1 1 1.70 2
419
BLUEPRINT OF ASSESMENT
RENAL & EXCERTORY SYSTEM-1 MODULE
(SEMESTER-IV)
SUMMATIVE ASSESMENT
THEORY
ASSESMENT TOOLS MARKS WEIGHTAGE
One best Questions 55
SEMESTER
ATP 25
EXAM
Total 100
One best Questions 50
MODULE EXAM
EMQs 10
ATP 20 20%
MODULE PAPER
One best Questions
20
based on CBL
Total 100
STRUCTURED VIVA
SEMESTER
EXAM
See Semester
PAPER-IV- B Structured viva
Assessment Plan
FORMATIVE ASSESSMENT
ASSESMENT TOOLS
Structured Feedback
ASSESMENT DURING CBL SESSION Given to the Student by
Facilitator
NOTE: Paper I & IV-A of Semester 4 Examination are Based on GIT & Liver Module.
Paper III & IV-C of Semester 4 Examination are Based on Reproduction Module.
420
CREDIT HOURS
SEMESTER IV
RENAL & EXCRETORY SYSTEM-1 MODULE
Paper-II 3
EXC-1
Pper-IV-B 1.5
421
REPRODUCTION MODULE
Code: REP 1
Semester: IV
Second Year MBBS
422
FIVE YEAR CURRICULAR ORGANIZATION
423
MODULE COMMITTEE
Coordinated by:
DR. ATEEBA AYESHA KHAN
Reviewed by:
Modular committee
Curriculum committee
424
RATIONALE:
TERMINAL OBJECTIVE:
425
LEARNING OBJECTIVES OF THE MODULE
Digital library
BCQs, EMQs
Self
Skills Lab
Tutorials
Practical
Lectures
Teaching
Demo:
spottin
CBL
viva
ATP
Objectives
Study
Faculty
Content / Topic
426
Rep 1 Ang 7
GROSS Relative Anatomy
ANATOMY of pelvic organs
Pelvic sigmoid 1.5 * * *
Colon, Rectum,
Urinary Bladder
Identify the boundaries Rep 1 Ang 8
&recesses, know the ANATOMY Ischiorectal Fossae 1
details &contents of
Rep 1 UL * * *
ischiorectal fossa.
SKILL LAB Examination of
Introducing the concrpt of Rectum & Prostate 1.5 * * *
relationship between
health,sexual and
reproductive health Rep 1 Beh 1
BEHAVIOURAL Introducing the
SCIENCES concrpt of
1
relationship * - *
between
health,sexual and
reproductive health
Rep 1 Beh 2
Clarifying the components BEHAVIOURAL Clarifying the 1
of sexual and reproductive SCIENCES components * - *
individuals ofsexual and
reproductive
Rep 1 Ane 1
individuals
Explain development of EMBRYOLOGY Development of 1 * - *
male reproductive system male reproductive
system
Rep 1 Ang 9
ANATOMY Development of
external genitilia
Male external
1.5 * - *
genital organ Male
urethra
Discuss the congenital, Rep 1 Pth 1
genetic, and developmental Congenital
anomalies of male genital Anomalies of male
tract in relation to PATHOLOGY genital tract, 1 * - *
morbidity and clinical Testicular atrophy,
implications Epididymoorchitis
Rep 1 Phy 1
PHYSIOLOGY Gametogenic
function of testis
Explain spermatogenesis ( spermatogenesis ) 1 * - *
and relate the mechanism Endocrine functions
of spermatogenesis and ( secretions of
hormonal regulation. testosterone )
427
Rep 1 Phy 2
PHYSIOLOGY Functions of
testosterone,
Applied physiology
1 * - *
(hyper & hypo
gonadism)
Identify the microscopic HISTOLOGY Rep 1 Anh 2
features of the parts of Prostate, Seminal 1 1.5 * - *
male reproductive system. Vesicle,
Discuss the importance of GROSS Bulbourethral
Rep 1 Ang10
descend of testes and glands
ANATOMY Prostate, Ductus
enlargement of prostate deferens, Seminal
1.5 * - *
vesicle, Applied
Describe the enlargement
Rep 1 Pth 2
etiopathogenesis, PATHOLOGY BPH,PSA
Prostatitis, BPH
morphology and diagnostic
features of prostatitis,
1 * - *
hyperplasia and prostatic
carcinoma
Relate the mechanism of Rep 1 Phy 3
ovulation including PHYSIOLOGY Function of ovary
hormonal regulation with Ovulation
1 * - *
its abnormalities.
Define empowerment and BEHAVIOURAL Rep 1 Beh 3
factors influencing the SCIENCES Define
empowerment of empowerment and 1 * - *
individuals factors influencing
the empowerment
Evaluate the local scenario BEHAVIOURAL of
Repindividuals
1 Beh 4
of Reproductive health SCIENCES Evaluate the local
scenario of 1 * - *
Reproductive
health
Relate the mechanism of Rep 1 Phy 3
ovulation including PHYSIOLOGY Function of ovary:
hormonal regulation with Ovulation 1 * - *
its abnormalities
Describe synthesis, Rep 1 Bio 1
regulation and functions BIOCHEMISTRY Synthesis of steroid
of hormones of female hormones
1.5 * - *
reproductive system Rep 1 Bio 2
Synthesis,
regulation and
functions of
1 * - *
Estrogen
Rep 1 Bio 3
Synthesis, 1
regulation and * - *
functions of
Progesterone
428
BIOCHEMISTRY Rep 1 Bio 4
Synthesis,
Describe the mechanism of regulation and
action, clinical uses, functions of
1 * - *
adverse effects and Prolactin
contraindications of PHARMACOLO Rep 1 Pha 1
androgens and their GY Androgens & Anti-
antagonists Androgerns 1 * - *
429
GYNAE & OBS Rep 1 Obg
1Common
Developmental 1
Anomalies of * - *
female
reproductive
system
Discuss pathology of PATHOLOGY Rep 1 Pth 5
dysfunctional uterine Dysfunctional
bleeding and discuss uterine bleeding,
Endometrial 1 * - *
endometrial hyperplasia in
Hyperplasia
relation to hormonal
imbalances
Describe the biochemical BIOCHEMISTRY Rep 1 Bio 5
changes during menarche Describe the 1.5
biochemical
* - *
GYNAE & OBS changes
Rep 1 during
menarche
Obg2Menstrual
Disorders
1 * - *
Describe Non-neoplastic & PATHOLOGY Rep 1 Pth 7
functional cysts of ovary Non-neoplastic & 1
functional cysts of * - *
Describe normal sexual BEHAVIORAL ovary
Rep 1 Beh 5 normal
response cycle in male & SCIENCES sexual response
female cycle in male & 1 * - *
female
Rep 1 Ang 17
Describe structure ANATOMY Structure of 1 * * *
&function of placenta placenta
PHYSIOLOGY Rep 1 Phy 4
Function of
1 * - *
Discuss Culture Bound BEHAVIORAL placenta
Rep 1 Beh 6 Culture
Syndromes (Dhat SCIENCES Bound Syndromes 1 * - *
Syndrome) (Dhat Syndrome)
Rep 1 Phy 5
Discuss pregnancy and PHYSIOLOGY Physiological
parturition. changes during
1 * - *
pregnancy
Rep 1 Bio 6
BIOCHEMISTRY Pregnancy Test
(measurement of
beta HCG levels by
different methods) 1.5 * * *
Practical: Urine
Pregnancy Test for
confirmation of
pregnancy
Rep 1 Obg 3
GYNAE & OBS Normal labour , * - *
430
Parturition (stages ,
mechanism , role of
hormones)
Rep 1 Bio 6 Identify
Identify the metabolic BIOCHEMISTRY the metabolic
needs of women during needs of women 1 * - *
pregnancy &lactation during pregnancy
&lactation
Recognize Behavioral Rep 1 Obg 4
aspects of change in GYNAECOLOGY HRT
reproductive life & OBSTETRICS
(physiological changes at 1 * - *
puberty in both male and
female(secondary Sex
Characteristics)
Relate role of hormones for Rep 1 Phy 6
mammary glands PHYSIOLOGY Composition of
development and milk breast milk &
1.5 * - *
secretion. lactation
COMMUNITY Rep 1 Com1
MEDICINE Breast milk benefits 1 * - *
Identify and discuss the Rep 1 Pth 9
disorders of early Disorders of early
pregnancy (abortion, PATHOLOGY pregnancy
ectopic pregnancy and
1 * - *
gestational trophoblastic
diseases.
Identify and discuss the Rep 1 Pth 10
disorders of late pregnancy. PATHOLOGY Disorders of late 1
Discuss contraception & its pregnancy * - *
application & compare diff.
contraceptives
PHARMACOLO Rep 1 Pha 3 1 * - *
GY Compare diff.
contraceptives
Evaluate Myths & BEHAVIORAL Rep 1 Beh 7 1 * - *
misconception about SCIENCES Evaluate Myths &
reproductive problems in misconception
local socio-cultural set up about reproductive
problems in local
socio-cultural set
up
431
REPRODUCTION MODULE
TIME TABLE
(This time table was for year 2015. Holidays represent actual holidays in that year)
FIRST WEEK
3 INDEPENDENCE DAY
Physiology
Functions of
1. D testosterone, Anatomy
6 2. E= Applied physiology Ischiorectal Fosse
3. A (hyper and hypo- Name of Faculty SELF - STUDY
4. B gonadism Venue
5. C
Name of Faculty
Venue
432
Reproduction Module 1, Semester IV
Time Table - Week 2
A=CBL
B=Biochemistry Tutorial:
Describe the biochemical changes
during menarcheName of
Faculty Venue
BEHAVIOUR Anatomy Demo:
SCIENCES Male external genital organs
C2=Examination of rectum and Evaluate the local Pharmacology Male urethra+ Development
prostate SKILL LAB Scenario of Androgens and Anti Androgens external genitalia
2 C1=SELF-STUDY Reproductive Health A+B= Name of Faculty Venue
Name of Faculty Venue
D=Histology Practical: Name of Faculty C+D= Name of Faculty Venue
Prostate, Seminal Vesicle Venue E= Name of Faculty Venue
Bulbourethral glands
Name of Faculty Venue
E=SELF-STUDY
Anatomy Gross:Demo:
1. B Female genital tract: ovary, fallopian
2. C tube
Pathology
3 3. D A+E= Name of Faculty Venue
SELF STUDY Prostatitis & BPH
4. E= B+C+D= Name of Faculty Venue
5. A
Name of Faculty Venue
Anatomy Demo:
1. C Histology: Uterus, cervix, Vagina
2. D= Ovary, fallopian tube A+E= DR SABAHAT NLH=2 Physiology
3. E Name of Faculty Function of ovary: Ovulation
4 Name of Faculty Venue
4. A= Venue Name of Faculty Venue
5. B
B+C+D= Name of Faculty Venue
Biochemistry
1. D Histology: Synthesis, regulation and functions of
2. E= Uterus, cervix, Vagina hormones of female
5 3. A Name of Faculty reproductivesystemEstrogen
4. B = Venue Name of Faculty Venue
5. C
Biochemistry
1. E Pharmacology
Synthesis, regulation and functions of
2. A= Estrogens and Anti
hormones of female reproductive
6 3. B estrogens
system Progesterone
4. C= Name of Faculty SELF STUDY
5. D
Name of Faculty Venue
Venue
433
REPRODUCTION MODULE 1, SEMESTER IV
TIME TABLE - WEEK 3
Embryology Pathology
1 B=Histology practical: ovary, Development of parts of Describe Non neoplastic and
SELF-
fallopian Name of Faculty Venue female reproductive system STUDY
functional cysts of Ovary&
Name of Faculty Venue PCOS
Name of Faculty Venue
C=CBL
BEHAVIORAL
Anatomy SCIENCES
Nerves of pelvis and perineum Describe normal Pharmacology
Anatomy
Contraceptives Internal iliac artery and its branches
2 +sacral plexus sexual response
Name of Faculty Venue A+B+C= Name of Faculty Venue
Name of Faculty Venue cycle in male and
female
Name of Faculty D+E= Name of Faculty Venue
Venue
434
`TIME TABLE FOR REPRODUCTION MODULE 1
SEMESTER IV WEEK 4
Anatomy
Physiology Venous and lymphatic drainage
Clinical Faculty Anatomy of Pelvic cavity
Function of placenta
Menstrual Disorders Structure of Placenta A+B= Name of Faculty Venue
Name of Faculty
1 Name of Faculty Venue Name of Faculty Venue C+D= Name of Faculty Venue
Venue
E=Name of Faculty Venue
B=CBL Physiology
C=Histology practical: Physiological changes Pathology
2 Uterus, cervix, Vagina during pregnancy Disorders of early pregnancy
SELF STUDY Name of Faculty Name of Faculty Venue
Name of Faculty Venue
Venue
D=Biochemistry Practical: Pregnancy Test
(measurement of beta HCG levels by different
methods) Urine Pregnancy Test for confirmation of
pregnancy Name of Faculty Venue
E=Self-study
Biochemistry
Synthesis, regulation
B= Physiology and functions of
Pathology
C Mammary gland and hormones of female
Disorders of late pregnancy
3 D lactation reproductivesystempr
Name of Faculty Venue
E Name of Faculty Venue olactin
A Name of Faculty
Venue
Anatomy-REVISIT
Perineum: Anatomy-REVISIT
D=
Peritoneum with
E divisions (Urogenital
relation to pelvis
5 A Diaphragm)of perineum
andPerineal body Name of Faculty
B
Venue
C Name of Faculty Venue
E Embryology-revisit
Community medicine
A Development of male and femalereproductive
6 Breast milk: Benefits
B system +congenital anomalies
Name of Faculty Venue
C Name of Faculty Venue
D
435
LEARNING OBJECTIVES
AT THE END OF THE LECTURE THE STUDENT SHOULD BE ABLE TO
GROSS ANATOMY
REP 1 Ang 2 THE BONY PELVIS (INLET & OUTLET DIFFERENCE BETWEEN MALE & FEMALE PELVIS
436
Explain cutaneous nerves of the perineum.
Define perineal body.
437
Explain their arterial, venous drainage & nerve supply.
Explain anatomy of male urethra, its arterial, venous drainage & nerve supply.
Discuss the normal human embryology of human genital tract.
Differentiate between male & female sex organs.
Discuss the mal development of external genitalia.
REP 1 Ang10 MALE INTERNAL GENITAL ORGAN - DUCTUS DEFERENS, SEMINAL VESICLES &
PROSTATE
Describe the gross features of male internal organs: Epididymis, Ductus Deferens,
Seminal Vesicles & Prostate
Explain their blood supply , nerve supply & lymphatic drainage.
Discuss clinical correlation: Benign Prostatic Hyperplasia and clinical significance of High
PSA levels.
REP1 Ang 11 INTERNAL ILIAC ARTERY
Describe the course of the common iliac artery.
Identify divisions of internal iliac by their relationships to pelvic organs or wall
structures.
438
REP 1 Ang 15 UTERUS, CERVIX AND VAGINA
Describe placental hormone production and identify the cellular components of the
placenta that produce the hormones.
Explain the placental barrier.
Describe a chorionic villus.
Explain the formation and structure of the mature placenta.
Discuss the placental barrier and maternal and fetal blood flow in the placenta.
HISTOLOGY
439
Enlist the male reproductive organs.
Describe the histological anatomy of testis and duct system.
Differentiate these two structure under microscope.
EMBRYOLOGY
REP 1 Ane 1 DEVELOPMENT OF MALE REPRODUCTIVE SYSTEM
440
Define the location and division genital ridge .
Differentiate development of male and female genital tract.
Describe the development of female genital ducts.
Discuss the development and differentiation of Paramesonephric ducts and
development uterus and vagina.
PHYSIOLOGY
441
REP 1 Phy 4 FUNCTIONS OF PLACENTA.
BIOCHEMISTRY
REP 1 Bio 1 STEROID HORMONE SYNTHESIS
ESTROGEN
442
REP 1 Bio 3 SYNTHESIS, REGULATION& FUNCTION OF HORMONES OF FEMALE REPRODUCTIVE
SYSTEM
PROGESTERONE
Define menarche.
List the changes associated with menarche.
Describe effects of hormones.
REP 1 Bio 6 IDENTIFY THE METABOLIC NEEDS OF WOMEN DURING PREGNANCY & LACTATION
PATHOLOGY
443
Explain mechanism of normal sexual determination and differentiation.
Discuss development of testes.
Differentiate male phenotype.
Describe congenital anomalies of descent of testis.
Describe hydrocele.
Explain dongenital inguinal hernia.
Enlist congenital anomalies of penis.
Discuss atrophy of testis.
Define epididymo-orchitis.
444
5- REP 1 Pth 5 NON-NEOPLASTIC & FUNCTIONAL CYSTS OF OVARY
Define abortion.
Define molar pregnancy.
Enlist types of moles.
Define ectopic pregnancy.
Pharmacology
1- REP 1 Pha 1 Androgens and Anti Androgens
Explain the mode of action and side-effects of androgenhormones and anti- androgen
drugs.
Describe pharmacological actionof androgenhormones and anti- androgen drugs.
Enlist indications of androgenhormones and anti- androgen drugs.
Enlist contraindications of androgenhormones and anti- androgen drugs..
Explain drug Interactions of androgenhormones and anti- androgen drugs..
Enlist adverse effects.
Discuss management of anabolic steroids and androgen inhibitors.
445
Enlist contraindicationsof Estrogens and Anti estrogens.
Explain drug Interactionsof Estrogens and Anti estrogens.
Enlist adverse effectsof Estrogens and Anti estrogens.
Discuss management of estrogens.
Describe The Pharmacology Of Oral Contraceptive Drugs And Their Adverse Effects.
Enlist contraindicationsOf Oral Contraceptive Drugs.
Explain drug InteractionsOf Oral Contraceptive Drugs.
Enlist adverse effectsOf Oral Contraceptive Drugs.
Management Of Oral Contraceptives
BEHAVIOURAL SCIENCES
446
COMMUNITY MEDICINE
GYNAECOLOGY& OBSTETRICS
1- REP 1 Obg1 COMMON DEVELOPMENTAL ANOMALIES OF FEMALE
REPRODUCTIVE SYSTEM
447
REP 1 Obg3 NORMAL LABOR, PARTURITION (STAGES, MECHANISM AND ROLE
OF HORMONES)
Reproductive Module:
I. EXAMINATION OF BREAST
INTRODUCTION / RATIONALE:
The clinical breast examination (CBE) can be used either for screening (to detect breast cancer in
asymptomatic women) or for diagnosis (to evaluate women who present with breast complaints).
Students often avoid examination of the breasts during routine physical exam because of
shyness. It should be an essential part of routine physical examination for early detection of
breast disease.
LEARNING OBJECTIVES:
a. Fibro adenoma
b. Carcinoma
448
CASE BASED LEARNING
REP 1 CBL
449
TABLE OF SPECIFICATIONS
TOTAL
WEEKS/HOURS 1st 2nd 3rd 4th Including (pract)
*** ROUND OFF
PHARMA - 2 1 - 3 3.48 3
BEHAVIORAL
2 2 2 - 6 6.98 7
SCIENCES
COMMUNITY
- - 1.5 1.5 3 3.48 3
MEDICINE
450
CREDIT HOURS
SEMESTER IV
REPRODUCTION-1 MODULE
Paper-III 3
REPRODUCTION 1
Paper-IV-C 1.5
451
BLUEPRINT OF ASSESMENT
REPRODUCTION-1 MODULE
(SEMESTER-IV)
SUMMATIVE ASSESMENT
THEORY
ATP 25
EXAM
EMQs 10
ATP 20 20%
MODULE PAPER
One best Questions
20
based on CBL
Total 100
STRUCTURED VIVA
ASSESME
SEMESTE
R EXAM
See Semester
NT
Assessment Plan
FORMATIVE ASSESSMENT
ASSESMENT TOOLS
Structured Feedback
ASSESMENT DURING CBL SESSION Given to the Student by
Facilitator
NOTE: Paper I & IV-A of Semester 4 Examination are Based on GIT & Liver Module.
Paper III & IV-C of Semester 4 Examination are Based on Reproduction Module.
452
ASSESMENT PLAN, SEMESTER-3
CREDIT
PAPER CONTENT WEIGHTAGE
HOURS
453
454
SPIRAL -2
Clinical Sciences
455
SEMESTER -5
Infectious Diseases Module 4 Weeks 4.5 Credit Hours
456
INFECTIOUS DISEASES MODULE
IDD 1
SEMESTER:-V
THIRDYEAR M.B.,B.S
457
FIVE YEAR CURRICULAR ORGANIZATION
458
MODULE COMMITTEE
Dr. Abu Talib, Professor of Medicine, (Focal Person) DUHS
Dr. Siraj-us Salekeen, Assistant Professor of Medicine, DUHS
Dr. Piyar Ali, Assistant Professor of Medicine, DUHS
Dr. TanveerAlam, Assistant Professor of Medicine, DUHS
Dr. Ayesha Mehnaz, Professor of Pediatrics, DUHS
Dr. Yasmeen Taj, Associate Professor of Pathology, DUHS
Dr. Aijaz Qureshi, Associate Professor of Physiology, DUHS
Dr. Khalida Perveen, Professor of Anatomy, DUHS
Documented by:
Dr.Tanzeela Khan, Department of Anatomy, Dow Medical College, DUHS
Coordinated by:
Dr.Tanzeela Khan, Department of Anatomy, Dow Medical College, DUHS
Reviewed by:
Module Committee
Curriculum Committee
459
RATIONALE
Infectious diseases are the most common problems of our community. In the under developed
countries, like Pakistan, infectious diseases along with malnutrition are the commonest causes
of mortality. Most of the diseases are identifiable and curable if recognized early. It is
important for medical graduates to have sound understanding of microbiology of the
organisms and the diseases that they cause. Students should also understand the rationale of
the investigations to diagnose these diseases. They should also know the pharmacology of the
various drugs used to treat infectious disease and the rationale to treat the common diseases.
TERMINAL OBJECTIVES
Describe pathogenesis & clinical presentations of common bacterial, viral, fungal & microbial
infections.
Recognize the clinical presentation of common infectious diseases in community.
Take history & formulate appropriate plan of investigations for attaining differential diagnosis
Analyze findings of history, examinations & investigations for diagnosis.
Practice basic principles of management of infectious diseases.
Recognize preventive measures & prognosis for counseling the patients.
Be Aware of the prognosis and be able to counsel their patients accordingly.
460
LEARNING OBJECTIVES OF MODULE
Objectives of module are listed in following grid along with contents, modes of information
transfer, duration of teaching of each content and the mode of assessment.
Practical / spotting
DIGITAL LIBRARY
PRACTICAL
LECTURES
SKILL LAB
LIBRARY
SBL
viva
TOPIC/CONTENT
FACULTY
OBJECTIVES
Modes of information Transfer Assessment
Revisit pathophysiology
and pharmacology of
PHARMACOLOGY Idd 1Pha 1 1
common infectious
disorder. Drug Used for relevant
* - *
infection disease and
relevant microbiology
(Antimicrobials)
Idd 1 Com 1 1
COMMUNITY Introduction of module
* * -
MEDICINE Epidemiology related to
infectious diseases
461
Idd 1Mic 1 1
Know the basic Common microorganisms
* *
pathophysiology of in relation to fever:
fever, microbiology and MICROBIOLOGY Typhoid ,T. B
pharmacology of Malaria
common infectious leishmaniasis with fever
diseases. Meningitis, Pneumonia
Staphylococci &
streptococci:- Pyogenic
Bactria
Infectious Mononucleosis
Influenza
Idd1 Pth 2 1
PATHOLOGY Epidemiology and
* * *
pathology of malaria
Idd 1Pha 3 1
PHARMACOLOGY Drug used for Typhoid
* * *
Fever
Idd 1Pha 4 1
PHARMACOLOGY Antipyretics &
* * *
Anti-inflammatory drugs
462
PATHOLOGY Idd 1Pth3 1.5
Enlist relevant Pathology lab:
* * *
investigation their Bacteriology culture
interpretation of data techniques PCR, Serology
to reach the diagnosis. (L-1 P-1)
should be able to
counsel and treat the
patient and devise a
protocol of follow up
and explain the
outcome to the patient.
(Approach to the
patient with fever - MEDICINE Idd 1 Med 4 1.5
Demonstration) Approach to patient with
* * *
fever, types of fever
detailed history &
relevant clinical
examination.
463
MICROBIOLOGY Idd 1Mic3 1 1.5
Define diarrhea, types Diarrhea and dysentery:
* * *
of diarrhea (acute and Agents causing diarrhea
chronic). Bacterial, Parasitic and
Enumerate various viruses (1 AND 2)
causes of both. Able to
understand the basic
Idd 1 Med 7 1
pathophysiology MEDICINE Approach to patient with
* * *
causing diarrhea.
Infectious diarrhea and
(pathology)
dysentery.
Take history and
Diarrhea, Dysentery in
relevant examination in
Adults
patients with diarrhea,
utilize labs and its
PHARMACOLOGY Idd1Pha 5 1 1.5
interpretation and able
Anti-diarrheal and anti-
* * *
to use the drugs used in
diarrhea. microbial drugs
Define Dysentery,
various organisms Idd 1 Med 8 1 1.5
causing it and able to MEDICINE Approach to patient with
* * *
identify each on clinical acute & chronic
grounds, and can diarrhea.(1 Lec, CBL)
manage by appropriate
Idd 1Ped2 1
PEDIATRICS IMNCI: Assess and
* * *
Classification of the sick
child and management
with Diarrhea, dysentery
and worm infestation
Idd 1Mic 4 1
Understand the life MICROBIOLOGY Worm infestation
* * *
cycle of
Echinococcusgranulosu
s causing Hydatid cyst
disease, its clinical PHARMACOLOGY Idd1Pha 6 1 1.5
features and Anti-Helminthic drugs
* * *
complications and
various drugs used to
treat this.
Idd 1 Med 9 1
MEDICINE Hydatid Disease
* * *
464
Idd1 Med 10 1
MEDICINE Leishmaniasis,
* * *
Cystisercosis
Idd1 Med 11 1
Define and describe MEDICINE Clinical features,
* * *
STDs (Sexually diagnosis, management
transmitted disease) and complications of
and to know about STDs
different STDs.
They should be able to PHARMACOLOGY Idd 1Pha 7 1 1.5
take relevant history Drug management of
* * *
and perform physical STDs
examination, enlist lab
investigation, to reach
the diagnosis they
should be able to
counsel and arrange
the follow up if MICROBIOLOGY 1
Idd 1Mic 5
necessary.
Micro-organisms causing
* * *
STDs
1
Define and describe MEDICINE Idd 1 Med 12
* * *
Rabies and its clinical Clinical/therapeutic
types. They should be approach to the patient
able to take relevant with Rabies.
history and perform
physical examination.
Enlist investigation and
interpret the data for
treatment and
diagnosis. He should be
able to counsel the
attendants and explain
the grave prognosis.
Idd 1Pha 8 1
Define and describe PHARMACOLOGY Drugs used for
* * *
leprosy and its types, management of Leprosy
should be able to take
relevant history and 1
perform physical MEDICINE Idd1 Med 13
* * *
examination.
Leprosy
They should be able to
plan treatment and
subsequent follow up.
They should be able to
counsel the patient and
attendant because of
prolonged course.
465
and understand the diagnoses and treatment
severity of disease, its
clinical examination. 1
Suggest appropriate MICROBIOLOGY Idd 1Mic 6
* * *
Also counsel the VHF & Dengue
patient and their
relatives about the
course & prognosis of
diseases.
1
Take the history of PATHOLOGY Idd 1Pth 7
* * *
patients which are HIV structure and
suspected cases of HIV pathogenesis
(Inquire about sexual
&travel history etc.) 1 1.5
understand the various PATHOLOGY Idd 1Pth 8
* * *
types & stages of HIV.
List the specific lab tests
List the specific lab
of HIV to make proper
tests of HIV and make
diagnosis
466
INFECTIOUS DISEASES MODULE
TIME TABLE
(This time table was for year 2015. Holidays represent actual holidays in that year)
FIRST WEEK
467
INFECTIOUS DISEASE MODULE
1.D
Microbiology Pharmacology
2.E
Worm infestation Anti Helmintic drugs
4 Ward posting 3.A
Name of Faculty Name of Faculty
4.B
Venue Venue
5.C
Clinical Faculty
Clinical Faculty Leishmaniasis, Cystisercosis
Hydatid Disease DR.PIYAR ALI
5 Ward posting
Name of Faculty Name of Faculty
Venue Venue
468
INFECTIOUS DISEASE MODULE Week 3
Community Medicine:
1.E
Prevention of Pathology 2.A
infectious Diarrhea and Pathophysiology of Sepsis/ SIRS Ward
1 3.B
worm infestations Name of Faculty posting 4.C
Name of Faculty Venue
5.D
Venue
Microbiology
Clinical Faculty Micro Organism for Fever with 1.B
VHF & Dengue rash:Varicellazoster,Measles, Ward 2.C
3
Name of Faculty Rubella posting 3.D
Venue Name of Faculty 4.A
Venue
Pediatrics
Clinical Faculty 1.C
Fever with rash and IMNCI Ward 2.D
4 Mumps
: EPI, MMR, posting 3.A
Name of Faculty
Venue Name of Faculty 4.B
Venue
Pharmacology
Clinical Faculty
Drug used for Ward
5 Leprosy,
Leprosy posting
Name of Faculty
Name of Faculty Venue
Venue
1.D
Community Medicine: 2.A
Forensic Medicine
Prevention and control of VHF, Ward 3.B
Thanotology
6 dengue, and fever with rash 4.C
Name of Faculty posting
Venue Name of Faculty
Venue
469
INFECTIOUS DISEASES MODULE SEMESTER V
TIME TABLE FOURTH WEEK (IV)
Theme: HIV- STD
10:30 to
Days 8:30 to 9:30 9:30 to 10:30 01:30 to 3:00
1:00
1.B
Pathology
Pharmacology 2.C
List the specific lab tests of HIV to
Drug management of HIV Ward 3.D
2 make proper diagnosis.
Name of Faculty posting 4.E
Name of Faculty Venue 5.A
Venue
1.C
Clinical Faculty 2.D
Clinical features, diagnosis, management and complications of HIV Ward 3.E
3
Name of Faculty posting 4.A
Venue 5.B
1.D
Microbiology micro-organisms Pharmacology 2.E
causing STDs Drug management of STDs Ward 3.A
4
Name of Faculty Name of Faculty posting 4.B
Venue Venue 5.C
Clinical Faculty
Clinical features, diagnosis, management and complications of STDs Ward
5
Name of Faculty posting
Venue
1.E
Community Medicine: 2.A
Forensic Medicine
Prevention and control of HIV 3.B
Death certification / sudden death Ward
6 and STDs
Name of Faculty posting 4.C
Venue
Name of Faculty
Venue 5.D
470
LEARNING OBJECTIVES
PHARMACOLOGY
471
Idd1 Pha 5 ANTIDIARRHEAL AND ANTIMICROBIAL DRUGS
PATHOLOGY
472
Idd1 Pth 2 PATHOLOGY OF MALARIA
Define Malaria
Enlist the types of plasmodium species causing malaria
Describe the pathogenesis with relevant lab tests
MEDICINE
473
Idd 1 Med 4 APPROACH TO PATIENT WITH INFECTIOUS DIARRHEA AND DYSENTRY IN
ADULTS
Describe the
Causative organism of leprosy
Types of leprosy
Clinical presentation of leprosy
Diagnosis of leprosy
Treatment strategy of leprosy
474
MICROBIOLOGY
475
Idd 1Mic 7 HUMAN IMMUNODEFICIENCY VIRUS STRUCTURE AND PATHOGENESIS
Definition of AIDS
Its structure and replication
Its Epidemiology and transmission
Pathogenesis and immunity of AIDS
INTRODUCTION/RATIONALE:
This is an interview with the patient / attendant with the aim of obtaining information useful in
formulating a diagnosis and providing appropriate medical care to the patient.
LEARNING OBJECTIVES:
Demonstrate correct method of history taking of three specific symptoms fever, diarrhea
and cough.
476
CASE BASED LEARNING
Idd 1 Cbl 1
Assess the degree of dehydration.
Decide which plan to follow to treat.
Enlist the relevant investigations.
Interpret the investigations.
Enumerate the common etiological agents causing diarrhea
Make a fluid plan of the patient
Idd 1 Cbl 2
Lectures for semester V (4 WEEKS OF INFECTIOUS Diseases Module will have INITIAL
LECTURES of given list for 16 weeks)
Introductory class:
Forensic Medicine & Sciences, Various Branches & their importance and utility in civilized
society
Legal Procedures:
a) Pakistans Legal System, Courts, their power & jurisdiction.
b) Forensic Sciences
c) Medical ethics
d) Laws in Relation to Medical Men
Toxicology:
a. General principles of toxicology
b. Diagnosis and principles of treatment of toxicological cases
c. Physio-chemical techniques
d. Drug dependence
e. Autopsy techniques in toxicological cases
477
Practicals of Forensic Medicine:
478
TABLE OF SPECIFICATIONS
TOTAL
WEEKS/HOURS 1st 2nd 3rd 4th T1x100/T2 ROUND OFF
(T1)
PAEDS. - 1 1 - 2 2.82 3
MEDICINE 6 3 4 4 17 24.02 24
479
BLUEPRINT OF ASSESSMENT
INFECTIOUS DISEASES MODULE
(SEMESTER-II)
SUMMATIVE ASSESSMENT
THEORY
ATP 25
EXAM
PAPER-I 80%
One best Questions
20
based on CBL
Total 100
One best Questions 50
MODULE EXAM
EMQs 10
ATP 20
MODULE PAPER 20%
One best Questions
20
based on CBL
Total 100
STRUCTURED VIVA
SEMESTER
EXAM
See Semester
PAPER-V-A Structured viva
T
Assessment Plan
FORMATIVE ASSESSMENT
ASSESSMENT TOOLS
Structured Feedback
ASSESSMENT DURING CBL SESSION Given to the Student by
Facilitator
NOTE: Paper II & V-B of Semester-5 Examination are Based on Hematology-2 Module.
Paper III & V-C of Semester-5 Examination are Based on Respiratory Sys -2 Module.
Paper IV & V-D of Semester-5 Examination are Based on CVS-2 Module.
480
CREDIT HOURS
SEMESTER-V
INFECTIOUS DISEASES-1 MODULE
Paper-I 3
IDD-1
Paper-IV-A 1.5
481
HEMATOLOGY MODULE
CODE: HEM 2
SEMESTER V
THIRD (3RD) YEAR M.B.B.S
482
FIVE YEAR CURRICULAR ORGANIZATION
483
MODULE COMMITTEE
Documented by:
Dr.Tanzeela Khan(Department of Anatomy, Dow Medical College, DUHS)
Coordinated by:
Dr.Tanzeela Khan(Department of Anatomy, Dow Medical College, DUHS)
Reviewed by:
MODULE COMMITTEE
CURRICULUM COMMITTEE
484
RATIONALE
Knowledge of blood, immunity and inflammation is essential, as blood is responsible for the
supply of micronutrients, O2 delivery to the tissues and maintenance of homeostasis and body
responses and defense mechanisms against injurious agents and various diseases and their
diagnosis encountered in daily life.
To provide the basic knowledge of subject to the students to deal with patients suffering from
Hematological disorders, to take history, to examine patients, to know about sampling
techniques, relevant Laboratory tests, their interpretations, treatment regimens and prognostic
values of courses of variousHematologicalb & Immunological&Immuno-Haematological
disorders of adults and children, the students are always required to revisit the previous
leanings of Physiology, Histology and Biochemistry.
TERMINAL OBJECTIVE
Medical graduate after completion of 5 years training program should be able to:.
485
LEARNING OBJECTIVES OF THE MODULE
Objectives of module are listed in following grid along with contents, modes of information
transfer, duration of teaching of each content and the mode of assessment.
Lectures
Demo
Tutorials
Practical
CBL / SBL
Self Study
Library
Digital
spotting
Practical /
Skills Lab
One Best,
EMQS
viva
LEARNING FACULTY TOPIC/CONTENT
OBJECTIVES Assessment
Modes of information Transfer
HEM 2 Pth 2 1
Autoimmune, *
hemolytic anemia
486
Interpret the PATHOLOGY HEM 2 Pth 3 1
importance of Hemolyticanemia(HS, *
inherent G6PD, SCD)
hematological and
immunological
HEM 2 Pth 4 1
disorders (Hemo-
Thalassemia syndromes * *
globinopathies,
membrane defect in
HEM 2 Pth 5 1.5
RBCs, Enzyme
defects) Interpretation of CP *
report
normal/abnormal
487
take history, PATHOLOGY HEM 2 Pth 10 1
examination, Blood transfusion,rh * * *
interpret basic lab incompatibility
data to diagnose
HEM 2 Pth 11 1
hemolytic disease of
new born ( RH, ABO , Bone marrow *
Minor group transplantation
incompatibility) HEM 2 Pth 12 1 *
Transplantation
rejection
HEM 2 Ped 4 1
Coagulation disorders * * *
MEDICINE HEM 2 Med 4 1
Management of * * *
transfusion reaction
and
erythroblastosisfetalis
488
with fever , MEDICINE HEM 2 Med 5 1
lymphadenopathy Approach to patient * * *
and with lymphadenopathy
hepatospleenomegaly with or without
and interpret basic splenomegaly
lab data to diagnose
Leukemia and
lymphomas
HEM 2 Pth 20 1
Myelodysplastic *
syndrome
489
Recognize the COMMUNITY HEM 2 CM 1 1
common causes of MEDICINE common causes of *
anaemias prevalent anaemias prevalent in
in our community our community
490
HEMATOLOGY MODULE
TIME TABLE
(This time table was for year 2015. Holidays represent actual holidays in that year)
FIRST WEEK
Days 8:30 to 9:30 9:30 to 10:30 10:30 to 1:00 01:30 to 3.00
Gp A:VENUE
interpret of CP report: Normal, Microcytic,
Macrocytic
Gp B: Forensic Med:
Pathology Osteometric Indices Of Bones In Determining
Physiology Sex And Race
Physiological review of Classification of Anaemia NAME OF FACULTY VENUE
anaemia(nutritonal)/importanc Anemia of diminished Gp C: Clinical Chemistry: Instruments and
Clinical
DAY 1 e of red cell indices and its erythropoeisis (Iron def techniques used for Blood Indices; VENUE
correlation anemia, megaloblastic, aplastic Posting
Gp D: Physiology tutorial:
NAME OF FACULTY anemia) PolycythemiaVENUE
VENUE NAME OF FACULTY NAME OF FACULTY
VENUE
Gp E:Pediatrics : Anemia of inadequate
production: Congenital hypo-plastic anemia,
Acquired aplastic anemia VENUE(FACULTY
FROM PAEDS 1,2,3,)
Pharmacology
Pathology 1.B
iron ,B12 treatment
Hemolytic anemia 2.C
(hematinics, erthropoeitin, Clinical
DAY 2 (HS, G6PD, SCD) 3.D
Colony stimulating factors) Posting
NAME OF FACULTY 4.E
NAME OF FACULTY
VENUE 5.A
VENUE
Pediatrics
Cong hemolytic anemia (+
Sickle cell anemia) & IMNCI
(Assess, Classify and manage 1.C
Pathology child with anemia) 2.D
Thalassemia syndromes Hereditary spherocytosis, G6PD Clinical
DAY 3 3.E
NAME OF FACULTY deficiency, Posting 4.A
VENUE Pyruvate kinase Deficiency,
Acquired hemolytic anemia, 5.B
Autoimmune hemolytic anemia
NAME OF FACULTY
VENUE
1.D
Pathology COMMUNITY MEDICINE
2.E
Autoimmune hemolytic anemia
DAY 4 NAME OF FACULTY 3.A
NAME OF FACULTY
VENUE 4.B
VENUE
5.C
1.E
ClinicalFaculty: Medicine 2.A
BEHAVIORAL SCIENCES
approach to a pt with anemia Clinical
DAY 5 NAME OF FACULTY 3.B
NAME OF FACULTY Posting
VENUE 4.C
VENUE
5.D
491
TIME TABLE SECOND WEEK (2)
Theme: Hemostatic abnormalities and blood transfusion
Days 8:30 to 9:30 9:30 to 10:30 10:30 to 1:00 01:30 to 3.00
Physiology Pathology
-Revision of Extrinsic and Bleeding diatheses Clinical
DAY 1
intrinsic pathways review Platelet disorders Posting
NAME OF FACULTYVENUE NAME OF FACULTYVENUE
Student week
Pathology
FORINSIC MEDICINE Coagulation Clinical Activities (Classes
DAY 2
disorders(hemophilia, vwd) Posting
NAME OF FACULTY VENUE
NAME OF FACULTYVENUE
Suspended)
Pharmacology Clinical Faculty: Medicine
DAY 3 -Coagulants, anticoagulants, Approach To A Pt With Clinical
thrombolytics Thrombotic Disorders Posting
NAME OF FACULTYVENUE NAME OF FACULTYVENUE
Gp B: F.M VENUE
492
TIME TABLE Third WEEK (3)
Hematology MODULE
Pathology 1.E
Overview and classification of 2.A
PEADIATRICS Clinical
DAY 2 neoplastic proliferation of 3.B
VENUE Posting
white blood cells 4.C (PAEDS.II) VENUE
NAME OF FACULTYVENUE 5.D
Gp A:Pathology Lab:
Histological Difference b/w normal white
cell, leukaemoid reaction &Malignant cell
ClinicalFaculty:Medicine
Approach to pt with Pathology Gp B: F.M VENUE
Clinical
DAY 3 lymphadenopathy with or Hodgkins lymphoma
without splenomegaly NAME OF FACULTYVENUE Posting Gp C: Self study
NAME OF FACULTYVENUE
Gp D: Self study
Pediatrics 1.B
Lymphoma and leukemia in Pathology
2.C
Non Hodgkin Clinical
DAY 4 children 3.D
Lymphoma (NHL) Posting
NAME OF FACULTYVENUE 4.E
NAME OF FACULTYVENUE
5.A
1.C
Pharmacology Clinical Faculty: Medicine 2.D
DAY 5 Chemotherapeutics Agents Paraproteinemia 3.E
NAME OF FACULTYVENUE NAME OF FACULTYVENUE 4.A
5.B
1.D
2.E
Forensic Medicine Pathology
Clinical 3.A
DAY 6 NAME OF FACULTY Myeloproliferative Disorders
VENUE NAME OF FACULTYVENUE Posting 4.B
5.C
493
TIME TABLE WEEK (4)
Hematology MODULE
1-E
PATHOLOGY
2-A
COMMUNITY MEDICINE Bone Marrow Transplantation CLINICAL
DAY 2 3-B
NAME OF FACULTY NAME OF FACULTY POSTING 4-C
VENUE VENUE
5-D
PATHOLOGY LAB: BONE MARROW
EXAMINATIONS NORMAL AND
ABNORMAL
PSYCHIATRY
Follow the basic principal of PATHOLOGY GP B: : CLINICAL CHEMISTRY: PROTEIN
counseling and assessing the Transplantation rejection ELECTROPHORESIS PATHO LAB
DAY 3 CLINICAL
prognosis of various diseases NAME OF FACULTY
in children VENUE POSTING GP C: PEDIATRIC: ANEMIA IN CHILDREN
VENUE ALH
PHARMACOLOGY
CLINICAL
Immuno suppressant, F.M POSTING 1.B
Immune Modulators, related NAME OF FACULTY 2.C
DAY 4
to transplantation 3.D
NAME OF FACULTY VENUE 4.A
VENUE
DAY 5
1.D
1.C 2.A
2.D Clinical
DAY 6 SELF STUDY 3.B
3.A Posting
4.B 4.C
494
LEARNING OBJECTIVES:
At the end of the teaching session the student should be able to achieve the following
objectives:
PHYSIOLOGY
Hem 2 Phy 1Physiological review ofanaemia
What is anemia?
Classification of anemias
Morphological classification
Pathophysiological classification
Functional classification
How do you diagnose anemia?
Define polycythemia
Describe the pathophysiology of polycythemia
Explain the causes of polycythemia
Elaborate the management plan for the given pathology
495
PATHOLOGY
HEM 2 Pth 1 Classification of
anemia/anemia of diminishederythropoiesis(iron deficiency
anemia, megaloblastic, aplastic)
Hemopoiesis
Anemias of diminished erythropoesis
What is Megaloblasticanemia,itsetiology and pathogenesis
What is iron deficencyanemiaetiology and pathogenesis
What is Aplastic anemia,etiology and pathogenesis.
496
Identify different sites of bleeding
Elaborate different types of bleeding
Describe types of bleeding disorders
Identify investigation techniques to identify the given pathology
Describe the management plan
497
Describe lymphoma and its pathogenesis
Elaborate its clinical features
Evaluate the hematological and biochemical findings
Explain its management and treatment
498
PHARMACOLOGY
HEM 2 Pha 1 Iron, B12 treatment(hematinic, erythropoietin, CSF)
PEDIATICRICS
HEM 2Ped 1 Assess, classify and manage child with anemia
499
Cold autoimmune hemolytic anemia
Drug induced hemolytic anemia
MEDICINE
HEM 2 Med 1 Approach to a patient with anemia
Describe hemostasis
Elaborate the clinical aspects of bleeding disorders
Explain its history and physical examination
Differentiate between platelet defect and coagulation defect
Evaluate its laboratory findings on the basis of the defect
500
HEM 2 Med 5 Approach to patient with lymphadenopathy with or without splenomegaly
FORENSIC MEDICINE
HEM 2 For 1 Personal identity 1
Express :
o Identification of the living
o Identification of the dead
o Decomposed
o Anthropometry
o Stature from bones
501
List and describe methods to avoid it.
List and describe defenses against negligence.
HEM 2 For 9 Laws related to medical man 3
Hematology Module:
II. Introduction toACLS
Introduction / Rationale:
ACLS provider course is designed for health care providers, who either direct or participate in the
resuscitation of a patient in or out hospital.
The goal of the ACLS provider course is to improve the quality of care provided to the adult
victim of cardiac arrest or other cardiopulmonary emergencies.
Learning objectives:
At the end of this session students should able to
1. Describe the clinical situation in which the following airway adjuncts may be used for airway
management.
2. Demonstrate the correct method of insertion of following
a. Oropharyngeal airway (OPA).
b. Nasopharyngeal Airway (NPA).
c. Bag and mask ventilation.
d. Advanced airway (laryngeal mask Airway LMA)
Introduction / Rationale:
ACLS provider course is designed for health care providers, who either direct or participate in the
resuscitation of a patient in or out hospital. The goal of the ACLS provider course is to improve the
quality of care provided to the adult victim of cardiac arrest or other cardiopulmonary emergencies.
Learning objectives:
502
At the end of this session students should be
1. Proficient in providing BLS care.
2. Identify different parts and functioning of manual defibrillator.
3. Demonstrate how to manage a patient of cardiac arrest.
503
TABLE OF SPECIFICATIONS
SUBJECT/TOTAL X
WEEKS/HOURS 1st 2nd 3rd 4th TOTAL ROUND OFF
100
PHYSIO. 1 1 1 1 4 8.60 9
PATHO. 4 4 5 3 16 34.41 34
PHARMA. 1 1 1 1 4 8.60 9
C.M. 1 - - 1 2 4.30 4
F.M. - 1 1 1 3 6.45 6
PAEDS. 1 2 2 - 5 10.75 11
CLINICAL 1 3 2 - 6 12.90 13
B.S. 1 - - 1 2 4.30 4
504
BLUEPRINT OF ASSESSMENT
HEMATOLOGY-2 MODULE
(SEMESTER-V)
SUMMATIVE ASSESSMENT
THEORY
ATP 25
EXAM
EMQs 10
ATP 20
MODULE PAPER
One best Questions
20 20%
based on CBL
Total 100
STRUCTURED VIVA
ASSESME
SEMESTE
R EXAM
See Semester
NT
Assessment Plan
FORMATIVE ASSESSMENT
ASSESSMENT TOOLS
Structured Feedback
ASSESSMENT DURING CBL SESSION Given to the Student by
Facilitator
NOTE: Paper I & V-A of Semester-5 Examination are Based on Infectious Diseases Module.
Paper III & V-C of Semester-5 Examination are Based on Respiratory Sys -2 Module.
Paper IV & V-D of Semester-5 Examination are Based on CVS-2 Module.
505
CREDIT HOURS
SEMESTER V
HEMATOLOGY-2 MODULE
II 3
Hematology-2
VB 1.5
506
RESPIRTORY MODULE
CODE: RSP 2
SEMESTER V
507
FIVE YEAR CURRICULAR ORGANIZATION
508
MODULE COMMITTEE:
Documented by:
Dr.Tanzeela Khan(Department of Anatomy, Dow Medical College, DUHS)
Coordinated by:
MODULE COMMITTEE
CURRICULUM COMMITTEE
509
RATIONALE
Pakistan is a country with high prevalence of respiratory diseases particularly in children where
the leading cause of morbidity and mortality in children is Acute Respiratory Infection and
pneumonia.
During clinical practice a graduate will come across different types of respiratory failures. To be
able to manage these, the basis of oxygen administration and artificial ventilation has to be
understood. The understanding of air flow dynamics will enable the student to comprehend the
management of diseases like asthma, chronic bronchitis and their remedies. Asthma and
allergic respiratory diseases are on the rise in Pakistan due to increasing pollution. At the same
time the diseases related to smoking like lung cancer and chronic bronchitis are also on the rise
and a firm understanding of the respiratory system will enable the student to prevent such life-
style diseases through spreading relevant health education messages.
TERMINAL OBJECTIVES:
By the end of the respiratory module in MBBS course the students shall be able to:
1) Understand the normal and abnormal structures and functions of respiratory system.
2) Interpret the biochemical changes in the body related to the respiratory system with
reference of some common respiratory disorders.
3) Take history and perform a satisfactory physical examination of the respiratory system.
4) Describe normal changes that occur in respiratory system functioning from infancy to
old age.
5) Formulate an appropriate plan for evaluating patients with respiratory signs and
symptoms to achieve a reasonable differential diagnosis and to develop an investigative
and management plan.
6) Diagnose, manage and prevent common respiratory diseases.
510
LEARNING OBJECTIVES OF THE MODULE
Objectives of module are listed in following grid along with contents, modes of information
transfer, duration of teaching of each content and the mode of assessment.
PRACTICAL
LECTURES
SKILL LAB
LIBRARY
VIVA
SBL
LEARNING FACULTY TOPIC/CONTENT
OBJECTIVES Assessment
Modes of information Transfer
511
adults and children.
RSP 2 Pha 2
Drugs used in
* *
ASTHMA 2
512
PEDIATRICS RSP 2 Ped 1 1.5
Childhood Asthma:
*
Classification and
management
RSP 2 Ped 3 1
* *
Lower respiratory
infections:
Pneumonia
513
MEDICINE RSP 2 Med 4 1
* *
CAP: Community
Acquired pneumonia
clinical diagnosis,
severity assessment
and management
SBL 1.5
RSP 2 Sbl 2 * *
514
Tuberculosis in Anti tuberculous
different clinical drugs 1
scenario.
RSP 2 Pha 7 1
* *
Anti tuberculous
drugs 2
RSP 2 Pth 11 1
Pleural infection
* *
&Tumors
515
Carcinoma
516
TOPICS OF FORENSIC MEDICINE:
Personal identity
Professional misconduct
Professional negligence
517
RESPIRATORY MODULE
TIME TABLE
(This time table was for year 2015. Holidays represent actual holidays in that year)
FIRST WEEK
CLINICAL ANATOMY
PRACTICALS
Overview of 1 Group-A: Pharmacology Practical :Activity
Antomy of Throrax CLINICAL of Histamine and antihistamine on Bronchial
(Wall Lungs and PHYSIOLOGY smooth muscles POWER LAB
DAY 1 Tracheobronchial Lung volume and 2. Group-B:Pathology : HISTOPATHOLOGY OF
capacities+ABGs Clinical Posting
tree) Common COPD
Congenital DR. SHEHLA
3. Group-C: F.M(General Toxicology)DR.
anomalies ALH
PARTAB HALL 101
DR. FARRUKH
ALH 4. SBL= D: Related To Hematology Module
Last week
PATHOLOGY
COPD 1 Pharmacology 1. B
Obstructive diseases Drugs used in
DAY 2 2. C
emphysema, ASTHMA 1 Clinical Posting
chronic bronchitis DR. SAUD 3. D
DR. IZHAR FATIMA ALH 4. A
ALH
PATHOLOGY
COPD 2 PHARMACOLOGYDr 1. C
Asthma, ugs used in 2. D
DAY 3
bronchiectasis ASTHMA 2 Clinical Posting 3. A
+ Atelectasis DR. SAUD
4. B
DR. IZHAR FATIMA ALH
ALH
Forensic Medicine
PULMONOLOGY
DAY 4 Personal Identity
Asthma Clinical Posting COLLEGE CLOSED
DR. MUSARRAT
ALH
ALH
Community PULMONOLOGY 1. D
Sciences COPD/Resp Failure 2. A
DAY 5 Air pollution clinical approach, Clinical Posting 3. B
DR. LUBNA investigations &
diagnosis 4. C
ALH
ALH
518
RESPIRATORY MODULE WEEK 2 (UPDATED)
Time Table Semester 5 (Session 2012)
DowUniversity of Health Sciences-
Theme; Restrictive Airway diseases + infections
PRACTICALS
1 Group-C: Pharmacology Practical :Activity of
Pathology
Histamine and antihistamine on Bronchial smooth
Paediatrics
Childhood Asthma: muscles POWER LAB
Chronic interstitial
DAY 1 Classification and restrictive diseases 2. Group-D:Pathology : HISTOPATHOLOGY OF
Clinical Posting
management COPD
DR.IZHAR FATIMA
DR.GHULAM MURTAZA.
ALH ALH 3. Group-A: F.M(General Toxicology)DR. PARTAB
HALL 101
4. SBL= B: Related To Hematology Module Last
week MEDICAL WARDS
PATHOLOGY
Granulomatous diseases
Pulmonology 1. A
sarcoidosis,
DAY 2 Clinical investigations & Clinical Posting 2. B
hypersensitivity related
diseases. management of ILD 3. C
DR.IZHAR FATIMA ALH 4. D
ALH
DAY 3
PATHOLOGY
Paediatrics
Pulmonary infections- 1. D
Upper Respiratory tract
DAY 4 pneumonia, its types, Clinical Posting 2. A
infections &management
pathogenesis 3. B
DR.MUZAMMIL
DR.IZHAR FATIMA 4. C
ALH
ALH
PEDIATRICS Community medicine
DAY 5 Lower respiratory Nuclear Medicine
infections: Pneumonia DR.LUBNA RAZA Clinical Posting
DR.SAMINA TARIQALH ALH
Pulmonology
Forensic Medicine CAP: Community
Laws Relating to Medical Acquired pneumonia
DAY 6
Man clinical diagnosis, severity Clinical Posting SELF STUDY
CAPT. DR. FARHAT MIRZA assessment and
ALH management
ALH
519
RESPIRATORY MODULE WEEK III
TIME TABLE SEMESTER 5 (SESSION 2012) - Theme; Respiratory Infections
Pharmacology 1. B
Pathology 2. C
Anti tuberculous
DAY 2 Pulmonary drugs 1
Clinical Posting
3. D
Tuberculosis
ALH DR. SAUD 4. E
ALH 5. A (Peads, II Faculty)
Pharmacology 1. C
Anti tuberculous 2. D
DAY 3 B.S drugs 2
Clinical Posting
ALH 3. E
DR. SAUD 4. A
ALH
5. B (Peads, III Faculty)
Pulmonology
Adult Tuberculosis; COMMUNITY 1. D
clinical diagnosis, MEDICINE
DAY 4 Clinical Posting 2. E
assessment and Air pollution
3. A
management. (along DR. LUBNA RAZA
with MDR: Definition) 4. B
ALH
ALH 5. C (Peads, I Faculty)
Forensic medicine
Pediatrics: Clinical
Professional
presentation
DAY 5 misconduct
Management of TB DR. CAPT. FARHAT Clinical Posting
in children MIRZA
ALH ALH
FORENSIC
Clinical Faculty 1. E
MEDICINE
/Pulmonology 2. A
DAY 6 Professional
Negligence PFT Clinical Posting 3. B
DR. CAPT. FARHAT Interpretations 4. C
MIRZA
ALH 5. D (Peads, II Faculty)
ALH
520
RESPIRATORY MODULEWEEK IV
TIME TABLE SEMESTER 5 (Session 2012)
TUMORS OF RESPIRATORY SYSTEM
PRACTICALS:
1.Pharmacology Group-A Tutorial
CLINICAL FACULTY tuberculosis
PATHOLOGY
DAY 1 Arterial Blood Gases 2.Pathology Group-B Pneumonia
Pulmonary tumours Clinical Posting 3..GP=C1: Self Study
(ABGs)
ALH
ALH
GP=C2. Examination of Respiratory SystemSkill
Lab
4. GP=D SBL, Medical Wards.
PULMONOLOGY/ 1. B
PATHOLOGY
Clinical Faculty/
DAY 2 Pleural infection 2. C
Bronchogenic &Tumors Clinical Posting
Carcinoma 3. D
ALH
ALH 4. A
PULMONOLOGY
Classification & 1. C
PHARMACOLOGY
DAY 3 Approach in pleural 2. D
Antitussive Drugs Clinical Posting
effusion & 3. A
ALH
Pneumothorax
ALH 4. B
DAY 1
MODULE TEST
521
LEARNING OBJECTIVES
At the end of the lecture, students should be able to:
ANATOMY
1) RSP 2 Ana 1OVERVIEW OF RESPIRATORY SYSTEM:
PHYSIOLOGY
1) RSP 2 Phy 1 LUNG VOLUMES AND LUNG CAPACITIES:
522
PATHOLOGY
1. RSP 2 Pth 1 COPD Chronic Obstructive Lung Disease 01:
Discuss the immunological mechanisms of bronchial asthma and its triggering factors
Define bronchiectasis
Explain the pathogenesis, morphology and clinical course of its important types
Hypersensitivity Pneumonitis
Pulmonary Eosinophilia
523
5. RSP 2 Pth 6 PNEUMONIA:
Explain the following types of pneumonias with especial emphasis on their general
features and their causative agents:
c. Suppurative pneumonia
d. Aspirational pneumonia
PHARMACOLOGY
524
COMMUNITY MEDICINE
1) RSP 2 Com 1 AIR POLLUTION:
PAEDIATRICS
MEDICINE
Definition of COPD
525
Explain the risk factors, clinical features, investigations, management of COPD
INTRODUCTION/RATIONALE:
Auscultation of lungs is one of the most important examination technique for assessing airflow
through the tracheao-bronchial tree. Together with percussion, it also helps the clinician assess
the condition of surrounding lungs & pleural space.
LEARNING OBJECTIVES:
526
SCENARIO BASED LEARNING (SBL)
RSP 2 Cbl 1
RSP 2 Cbl 2
RSP 2 Cbl 3
527
TABLE OF SPECIFICATION
PHYSIOLOGY 1 - - - 1 1.47 1
ANATOMY 1 - - - 1 1.47 1
C.M. 1 1 1 1 4 5.88 6
PAEDS. - 3 1 - 4 7.88 8
MEDICINE 2 3 3 3 11 15.88 16
TOTAL
16 18 18 16 69 100 100
(WITHOUT SBL)
528
BLUEPRINT OF ASSESSMENT
RESPIRATORY-2 MODULE
(SEMESTER-V)
SUMMATIVE ASSESSMENT
THEORY
ATP 25
EXAM
80%
PAPER-III One best Questions
20
based on CBL
Total 100
One best Questions 50
MODULE EXAM
EMQs 10
20%
ATP 20
MODULE PAPER
One best Questions
20
based on CBL
Total 100
STRUCTURED VIVA
ASSESME
SEMESTE
R EXAM
See Semester
NT
Assessment Plan
FORMATIVE ASSESSMENT
ASSESSMENT TOOLS
Structured Feedback
ASSESSMENT DURING CBL SESSION Given to the Student by
Facilitator
NOTE: Paper I & V-A of Semester-5 Examination are Based on Infectious Diseases Module.
Paper II & V-B of Semester-5 Examination are Based on Hematology -2 Module.
Paper IV & V-D of Semester-5 Examination are Based on CVS-2 Module.
529
CREDIT HOURS
SEMESTER-V
RESPIRATORY-2 MODULE
PAPER-III 3
Respiratory-2
PAPER-V-C 1.5
530
CARDIOVASCULAR 02 MODULE
CODE: CVS 2
SEMESTER 5
531
FIVE YEAR CURRICULAR ORGANIZATION
532
Document prepared by:
DR.TANZEELA KHAN.
(Department of Anatomy, Dow Medical College, DUHS)
MODULE COMMITTEE
Documented by:
Dr.Tanzeela Khan (Department of Anatomy, Dow Medical College & Principal
Office, DMC,DUHS)
Coordinated by:
Dr.Tanzeela Khan (Department of Anatomy, Dow Medical College & Principal
Office, DMC,DUHS)
Reviewed by:
MODULE COMMITTEE
CURRICULUM
533
RATIONALE
Diseases of the cardiovascular system are amongst the commonest causes of morbidity and
mortality all over the world. With increasing urbanization, their incidence is increasing in
Pakistan as well. Hypertension, ischemic heart disease, atherosclerosis and congenital and
rheumatic valvular disorders are he diseases which a medical graduate shall be expected to
manage after qualification. With the background of knowledge of anatomy, physiology,
pharmacology and the basics of cardiovascular diseases attained in the cardiovascular module of
the first cycle the student shall be able to build on the knowledge of clinical presentation,
diagnostic investigations and management of cardiovascular disorders.
TERMINAL OBJECTIVES
Medical graduate after completion of 5 years training program should be able to:
Describe pathogenesis & clinical presentations of common cardiovascular disorders
Take history, perform physical examinations of cardiovascular system and formulate
appropriate plan of investigations for making a diagnosis.
Interpret the investigations for diagnosis.
Describe the pharmacology of drugs used in the management of cardiovascular disorders.
Practice basic principles of management of cardiovascular disorders.
Recognize preventive measures & prognosis for counseling the patients.
534
LEARNING OBJECTIVES OF THE MODULE
Objectives of module are listed in following grid along with contents, modes of information
transfer, duration of teaching of content and the mode of assessment.
PRACTICAL
LECTURES
SKILL LAB
LIBRARY
VIVA
SBL
LEARNING
FACULTY
OBJECTIVES TOPIC/CONTENT
535
Identify imaging CARDIOLOGY CVS 2 Car 3 1
techniques used in
* *
the evaluation and its Cardiac imaging
interpretation. techniques and ETT
Interpret normal and
abnormal ECG and
can diagnose
common Cardiac
Arrhythmias / Blocks
and their
management.
CVS 2 Car 4 1 * *
Normal and non-
arrhythmias ECG
interpretation
536
Identify causes & risk PATHOLOGY CVS 2 Pth 2 1
factors of IHD,
* *
pathogenesis, clinical Angina pectoris, MI and
presentation as infarct modification by
angina, AMI. perfusion and chronic
ischemic heart disease.
Enlist and classify Angina pectoris,
drugs used for Myocardial Infarction
angina.
CARDIOLOGY CVS 2 Car 6 1 * *
Clinical evaluation of
IHD and its
complications with
management (Stable
Angina).
CVS 2 Pha 3 1
* *
Anti platelets drugs,
anticoagulants,
thrombolytics,
CVS 2 Car 8 1
* *
PCI, CABG
537
Define pathogenesis PATHOLOGY CVS 2 Pth 4 1
of Rheumatic fever,
* *
clinical and lab Rheumatic fever and
criteria for diagnosis Rheumatic heart
and complications. disease.
CVS 2 Car 12 1 * *
Infective endocarditis
538
CARDIAC CVS 2 Car Sur 1 1
SURGERY * *
Role of Cardiac Surgery
in congenital and
acquired heart diseases
CVS 2 Pha 8 1 * *
Anti-hypertensive
drugs-II
539
Pathogenesis
CVS 2 Pha 10 1 * *
Anti-arrhythmic
Drugs-2
540
lesions of vascular
disorders
541
CARDIOVASCULAR 02 MODULE
TIME TABLE
(This time table was for year 2015. Holidays represent actual holidays in that year)
FIRST WEEK
PRACTICALS
Clinical Faculty
Anatomy Cardiology 1) GP=A Forensic Medicine General
Topographical anatomy of the Approach to patient with chest toxicology HALL 101
Day3 heart, blood supply of the pain dyspnoea, Palpitation and its Clinical Posting 2) GP=B1 U/G skill lab : Clinical
heart clinical evaluation with Examination of CVS
Name of Faculty differentials GP=B2: Self Study
VENUE 3) GP: C Self Study
Name of Faculty VENUE
4) GP: D= PATHOLOGY: PATHO LAB
Clinical Faculty
1. B
Cardiology
Forensic Medicine 2. C
Clinical examination of precordium
Day4 Autopsy- I Clinical Posting 3. D
along with relevant general
Name of Faculty VENUE physical examination. 4. A
Name of Faculty VENUE
Clinical Faculty
Pediatrics
6. C
Clinical examination of
7. D
Day5 precordium along with Clinical Posting
relevant general physical 8. A
examination in children. 9. B
Name of Faculty VENUE
542
CARDIOVASCULAR MODULE
Third Year SEMESTER 5 TIME TABLE WEEK II
THEME; ATHEROSCLEROSIS
Days 8:30 to 9:30 9:30 to 10:30 10:30 1:00 1:30-3:00
Day2
PUBLIC HOLIDAY
BASIC FACULTY
PATHOLOGY BASIC FACULTY 1. B
Angina pectoris, MI and infarct PHARMACOLOGY 2. C
Day3 modification by perfusion and
Drugs used in treatment of CLINICAL POSTING 3. D
chronic ischemic heart disease.
dyslipidemias.
Angina pectoris, Myocardial 4. E
Infarction Name of Faculty VENUE 5. A
Name of Faculty VENUE
CLINICAL FACULTY
CARDIOLOGY 1. C
BASIC FACULTY
Clinical evaluation of IHD and its PHARMACOLOGY 2. D
Day4 complications with management Drugs used in the treatment CLINICAL POSTING 3. E
(Stable Angina). of angina.
4. A
Name of Faculty Name of Faculty VENUE
5. B
VENUE
BASIC FACULTY 1. D
CLINICAL FACULTY
PHARMACOLOGY
CARDIOLOGY 2. E
Day5 Anti platelets drugs,
Clinical evaluation of ACS and its 3. A
anticoagulants,
complications with management.
thrombolytics, 4. B
Name of Faculty VENUE VENUE 5. C
1. E
CLINICAL FACULTY
Day6 CARDIAC SURGERY Forensic Medicine 2. A
Autopsy- II CLINICAL POSTING
PCI, CABG 3. B
Name of Faculty VENUE Name of Faculty VENUE 4. C
5. D
543
CARDIOVASCULAR 02 MODULE
SEMESTER 5 (SESSION 2012) TIME TABLE WEEK III
-THEME; RHEUMATIC FEVER AND OTHER CONGENITAL AND ACQUIRED CARDIAC DISEASES
10. D
CLINICAL FACULTY 11. E
Day4 PEDIATRICS
Clinical Posting 12. A
Approach to patient with congenital heart diseases
Name of Faculty VENUE 13. B
14. C
CARDIAC SURGERY
FORENSIC MEDICINE
Role of Cardiac Surgery in
Day5 Autopsy III
congenital and acquired Clinical Posting
Name of Faculty
heart diseases
VENUE
Name of Faculty VENUE
CLINICAL FACULTY 6. E
CLINICAL FACULTY
CARDIOLOGY CARDIOLOGY
Day6 7. A+B
Infective endocarditis Clinical Posting
Name of Faculty Aortic valve diseases 8. C
VENUE Name of Faculty VENUE
9. D
544
CARDIOVASCULAR 02 MODULE
SEMESTER 5, 3rd Year (SESSION 2012) TIME TABLE WEEK IV
-Theme; Hypertension
DAYS 8:30 to 9:30 9:30 to 10:30 10:30 1:00 1:30-3:00
PRACTICALS
PATHOLOGY 1) GP=A Pharmacology Tutorial:
Hypertensive vascular disease: Treatment of HTN
pathogenesis, and mechanism of 2) GP=B Histopathology
PHARMACOLOGY Practical: Differentiate various
essential hypertension. Types
Day1 Anti-hypertensive drugs- I CLINICAL lesions of vascular disorders
and causes of hypertension.
Name of Faculty POSTING
Primary & Secondary 3) GP=C2 U/G skill lab
VENUE
Hypertension GP=C1 Self Study
Name of Faculty
4) GP: D= Forensic Medicine
VENUE
General toxicology HALL 101
5) GP: E = SBL
1. B
PATHOLOGY
PHARMACOLOGY 2. C
Day2 Cardiomyopathy: Types, Causes CLINICAL
Anti-hypertensive drugs-II 3. D
and Pathogenesis POSTING
Name of Faculty VENUE
Name of Faculty VENUE 4. E
5. A
1. C
COMMUNITY MEDICINE
FORENSIC MEDICINE Role of diet and nutrition 2. D
Day3 CLINICAL
Autopsy- IV / lifestyle modification 3. E
POSTING
Name of Faculty VENUE Name of Faculty 4. A
VENUE
5. B
PATHOLOGY 1. D
CLINICAL FACULTY
Aneurysm and Vasculitis
Day4 Surgery CLINICAL 2. E
pathogenesis, types and clinical
Varicose veins and DVTs POSTING 3. A
course.
Name of Faculty VENUE
Name of Faculty VENUE 4. B
5. C
CLINICAL FACULTY
PATHOLOGY Surgery
Day5 Pericardial Diseases & tumors of Peripheral vascular CLINICAL
CVS diseases POSTING
Name of Faculty VENUE Name of Faculty VENUE
1. E
CLINICAL FACULTY
PHARMACOLOGY CLINICAL 2. A
Day6 Cardiology
Anti Arrhythmic drugs I POSTING
Interpretation of Arrhythmias 3. B
Name of Faculty VENUE
Name of Faculty VENUE 4. C
5. D
545
CARDIOVASCULAR 02 MODULE
SEMESTER-V, 3rd Year (SESSION 2012)
TIME TABLE WEEK V
DAYS 8:30 to 9:30 9:30 to 10:30 10:30 1:00 1:30-3:00
Day3
Self Study CLINICAL Self Study
POSTING
CLINICAL
Day4 Self Study POSTING
Day5
Module Exam COLLEGE CLOSED
CLINICAL
Day6
Self Study WARD TEST
Self Study
546
LEARNING OBJECTIVES
At the end of the lecture, students should be able to:
ANATOMY
CVS 2 Ana 1 TOPOGRAPHIC ANATOMY AND BLOOD SUPPLY OF THE HEART
CARDIOLOGY
CVS 2 Car 1 CLINICAL EXAMINATION OF PRECORDIUM ALONG WITH RELEVANT GENERAL
PHYSICAL EXAMINATION
Inspect the patient
Feel the pulses, rate and rhythm
Inspect the neck veins
Palpate the precordium
Auscultate the precordium
Palpate the peripheral pulses
547
CVS 2 Car 5 DYSLIPIDEMIA & ITS CLINICAL VALUE
Define and describe arrthymias, normal sinus rhythm, bradyarrythmias, sinus bradycardia,
sinoatrial exit block, junctional rhythm, idioventricular ryhthm, paroxysmal tachycardia,
atrioventricular blocks, atrial and ventricular Flutter, atrial and ventricular fibrillation.
548
PATHOLOGY
CVS 2 Pth 1 ARTERIOSCLEROSIS & ATHEROSCLEROSIS (EPIDIMIOLOGY AND RISK FACTORS
Angina pectoris
Acute coronary syndrome
Myocardial infarction
Sudden cardiac death
Chronic Ischaemic Heart Disease
549
HYPERTENSIVE VASCULAR DISEASE: TYPES OF HYPERTENSION, PATHOGENESIS,
CVS 2 Pth 7
CAUSES AND MECHANISM OF ESSENTIAL AND SECONDARY HYPERTENSION:
Describe the:
Types of cardiomyopathies
Causes of cardiomyopathies
Morphology of cardiomyopathies
Pathogenesis of cardiomyopathies
Clinical manifestations
CVS 2 Pth 9 ANEURYSM AND VASCULITIS PATHOGENESIS, TYPES AND CLINICAL COURSE.
Define aneurysm and types of aneurysm alongwith pathogenesis and clinical course
Describe pathogenesis , clinical course and classification of vasculitis
PHARMACOLOGY
550
CVS 2 Pha 2 ANTIANGINAL DRUGS:
COMMUNITY MEDICINE
CVS 2 Com 1 ROLE OF NUTRITION AND LIFE STYLE MODIFICATION IN CVD
SURGERY
CVS 2 Sur 1 VARICOSE VEINS
551
PAEDIATRICS
CVS 2 Ped 1 INFECTIVE ENDOCARDITIS
Recognize risk factors, signs & symptoms of infective endocarditis (IE).
Discuss approaches to diagnose IE.
Appreciate importance of rapid treatment.
Anticipate possible complications.
I. Auscultation of Heart
Introduction / Rationale
Auscultation of heart often presents with difficulty and requires great deal of practice for the
beginner. The skilled examiner listens for specific findings, focusing particularly on cardiac
cycle. It is important to identify systole and diastole and added sounds if present e.g. murmurs
Learning objectives
552
SCENARIO BASED LEARNING
CVS 2 Cbl 1
Describe the pathogenesis of coronary artery disease and associated risk factors
Diagnose ischemic heart disease on the basis of history, clinical examination and lab evaluation
along with interpretation of ECG
Differentiate angina, unstable angina and acute myocardial infarctio
CVS 2 Cbl 2
Understand the pathogenesis of coronary artery disease and associated risk factors
Can diagnose ischemic heart disease on the basis of history, clinical examination and lab
evaluation along with interpretation of ECG
Can differentiate angina, unstable angina and acute myocardial infarction
Can manage angina, acute MI and acute pulmonary edema
CVS 2 Cbl 3
CVS 2 Cbl 4
553
TABLE OF SPECIFICATIONS
4th & SUBJECT/TOTAL X
WEEKS/HOURS 1st 2nd 3rd TOTAL
5th 100
CARDIOLOGY 4 4 2 2 12 24
PATHO. - 2 3 5 10 24
PHARMA. 1 3 1 5 9 18
C.M. - - - 1 1 2
F.M. 1 1 1 1 4 8
Cardiac surgery - - 1 2 3 6
Paeds Cardiology 1 - 4 - 5 10
554
BLUEPRINT OF ASSESSMENT
CARDIOVASCULAR-02 MODULE
(SEMESTER V)
SUMMATIVE ASSESSMENT
THEORY
ATP 25
PAPER-IV
One best Questions 80%
20
based on CBL
Total 100
One best Questions 50
MODULE EXAM
EMQs 10
ATP 20
MODULE PAPER
One best Questions
20 20%
based on CBL
Total 100
STRUCTURED VIVA
ER EXAM
ASSESM
SEMEST
See Semester
ENT
VE
FORMATIVE ASSESSMENT
ASSESSMENT TOOLS
Structured Feedback
ASSESSMENT DURING CBL SESSION Given to the Student by
Facilitator
NOTE: Paper I & V-A of Semester 5 Examination are Based on Infectious Diseases Module.
Paper II & V-B of Semester 5 Examination are Based on Hematology-2 Module
Paper III & V-C of Semester 5 Examination are Based on Respiratory-2 Module.
555
CREDIT HOURS
CARDIOVASCULAR 02 MODULE
SEMESTER-V
PAPER-IV 3
CVS-02
PAPER- V-D 1.5
556
ASSESSMENT PLAN, SEMESTER-5
CREDIT
PAPER CONTENT WEIGHTAGE
HOURS
Infectious Diseases- 1
Module 40 Marks
50
I (Semester Theory)
Infectious Diseases- 1
Marks 3
10 Marks
(Module Exam)
Hematology Module
40 Marks
(Semester Theory) 50
II Hematology Module
10 Marks
Marks 3
(Module Exam)
Respiratory Module
40 Marks
(Semester Theory) 50
III Respiratory Module
10 Marks
Marks 3
(Module Exam)
Cardiovascular Module
40 Marks
(Semester Theory) 50
IV Cardiovascular Module
10 Marks
Marks 3
(Module Exam)
Infectious Diseases
a Module 50 Marks 1.5
(Viva)
Hematology Module
b 100 1.5
V (Viva)
Respiration Module
Marks
c
(Viva)
25 Marks 1.5
Cardiovascular Module
d
(Viva)
25 Marks 1.5
559
GIT & LIVER & NUTRITIONAL DISORDERS
MODULE
CODE: GIL 2
SEMESTER 6
THIRD (3RD) YEAR M.B;B.S
560
FIVE YEAR CURRICULAR ORGANIZATION
561
GASTRO INTESTINAL TRACT AND LIVER-2
MODULE COMMITTEE
Prof. Aisha Mehnaz, Professor of Paediatrics, DUHS
Dr. BadarFaiyazZuberi, Associate Professor of Medicine, DUHS
Dr. Sajida Qureshi, Assistant Professor of Surgery, DUHS
Dr. Sheeraz Shakoor Siddiqui, Assistant Professor of Surgery, DUHS
Dr. Talat Yasmeen, Professor of Anatomy, DUHS
Dr. Sarwar Qureshi, Assistant Professor of Anatomy, DUHS
Dr. Samina Rizvi, Associate Professor of Pathology, DUHS
Dr. Nadeem A. Sheikh, Assistant Professor of Pharmacology, DUHS
Dr. Nadeem, Assistant Professor of Pathology, DUHS
Dr. Rukhsana Rubeen, Associate Professor, DUHS
562
RATIONALE
Gastrointestinal tract and liver are essential for digestion absorption and assimilation of food
and production of energy generating metabolites. Liver is central to all metabolic activities of
human body. A large number of disorders afflict both GIT and liver which affect their function.
Understanding the pathogenesis, recognizing their presentation, ordering and interpreting
investigations and management requires a sound understanding of these systems.
With the base formed in the GIT module in the first, basic sciences spiral, the student in the
current module shall be able acquire the understanding of diseases of GIT and liver and their
management.
TERMINAL OBJECTIVE
Medical graduate after completion of 5 years training program should be able to:
563
LEARNING OBJECTIVES OF THE MODULE
Objectives of module are listed in following grid along with contents, modes of information
transfer, duration of teaching of each content and the mode of assessment
PRACTICAL
PRACTICAL
LECTURES
SKILL LAB
LIBRARY
OBJECTIVES Subject TOPIC/CONTENT
VIVA
SBL
Modes of information Transfer Assessme
nt
564
SKILL LAB GIL2 Skl2: NG intubation 1.5
**
565
MEDICINE GIL2 Med3: Dyspepsia, 1
Diagnosis and
* *
management of gastritis/
peptic ulcer disease
566
MEDICINE GIL2 Med6: Inflammatory 1 *
bowel diseases *
GIL2 Med7: Irritable 1
bowel syndrome * *
PEDIATRICS GIL2 Ped3: Causes and 1
clinical presentation and * *
management of chronic
diarrheas, mal-
absorptions, IBD and
lower GI motility
disorders
PATHOLOGY GIL2 Pth7: Stool D/R & 1.5
PRACTICAL culture *
SURGERY GIL2 Sur5: Clinical 1
presentation and Surgical * *
management of IBD
PHARMACOLOGY GIL2 Pha9: Effect of given 1.5
PRACTICAL drug on the intestine *
PEDIATRICS GIL2 Ped4: Malabsorption 1.5
PRACTICAL **
GIL2 SBL3: Intestinal 1.5
SBL disorder *
GIL2 SBL4: Diarrhea 1.5
*
Identify the causes & PATHOLOGY GIL2 Pth8: Acute 1
describe the underlying appendicitis & diseases of * *
patho-physiology, peritoneal cavity
histopathology, clinical SURGERY GIL2 Sur6: Acute 1
presentation and abdomen & peritonitis * *
management of Acute
and chronic abdomen
GIL2 Sur7: Acute 1 *
pain
Appendicitis *
GIL2 Sur8: Intestinal 1
Obstruction * *
GIL2 Sur9: Management 1
Of Acute & Chronic * *
Pancreatitis
567
GIL2 Sur11: Colostomy & 1 *
ileostomy *
GIL2 Sur12: Hernias 1 * *
568
and endoscopic
management
PATHOLOGY GIL2 Pth17: 1.5
PRACTICAL histopathology of liver * *
diseases
569
PAEDRIATICS GIL2 Ped7: Management 1.5 *
PRACTICAL Of Neonatal Jaundice *
570
clinical presentation PHARMACOLOGY GIL2 Pha13: Emetics and 1
and management of Anti-emetics * *
vomiting.
571
/ GIL2 Fmm 11: 1 *
Environmental Trauma *
Trauma due to Burns,
Heat , cold Electrocution
GIL2 Fmm18:Medicolegal 1 *
Aspects of Pregnancy , *
Delivery, Abortion
GIL2 Fmm19: Spinal 1.5 *
Poisons Strychnine *
GIL2 Fmm20: Animal 1 *
Poisons: *
Snake Poisoning
GIL2 Fmm21: Cardiac 1.5
Poisons Digitalis, Aconite *
Community medicine COMMUNITY GIL2 Com1: Introduction 1 *
to demography *
GIL2 Com2: Parasitic 1 *
diseases of public health
*
importance
572
Behavioral sciences BEHAVIORAL GIL2 Beh1: Reactions to 1 *
SCIENCES illness
*
GIL2 Beh2:Understanding 1 *
medically unexplained
*
symptoms
573
GASTRO INTESTINAL TRACT AND LIVER-2
TIME TABLE
(This time table was for year 2015. Holidays represent actual holidays in that year)
FIRST WEEK
BIOCHEMISTRYOverview FORENSICMEDICINE
1. C
of Firearm injuries 1 CLINICAL 2. D
3 Dietary carbohydrates & POSTING 3. E
Glycemic index
Name of faculty
Venue 4. A
Name of faculty Venue 5. B
BIOCHEMISTRYOverview 1. D
of BEHAVIORAL
SCIENCES CLINICAL 2. E
Dietary Fats & lipids, in
4 relation to rancidity & per Name of faculty POSTING 3. A
oxidation Venue 4. B
Name of faculty Venue 5. C
574
GIL 02 MODULE
TIME TABLE WEEK 02 SEMESTER 6
THEME: ESOPHAGEAL DISORDERS
MEDICINE 1. B
PATHOLOGY GERD, esophagitis, 2. C+E
motor disorders, varices, barretts, hiatus hernia
2 esophagitis &Baretts Clinical Posting 3. D
Name of faculty
Name of faculty Venue 4. -
Venue
5. A
Forensic Medicine 1. C
Pathology
Regional injuries: Tumors of Esophagus 2. D+A
3 Injuries to Head & Skull Clinical Posting 3. E
Fractures Name of faculty
Venue 4. -
Name of faculty Venue
5. B
SURGERY 1. D
BEHAVIORAL
Surgical Causes, presentation SCIENCES 2. -
4 and management of dysphagia Clinical Posting 3. A
& Ca esophagus Name of faculty
Venue 4. B+E
Name of faculty Venue
5. C
COMMUNITY
PATHOLOGY MEDICINE
Diseases of salivary gland Parasitic diseases of
5 (non-tumors & tumors) public health importance Clinical Posting
Name of faculty Venue Name of faculty
Venue
COMMUNITY 1. E
PHARMACOLOGY MEDICINE
Drugs used for dyspepsia Introduction to 2. -
6 (Antacids) & pro-kinetic demography Clinical Posting 3. B
drugs
Name of faculty 4. C+A
Name of faculty Venue
Venue 5. D
575
SEMESTER 6 GIL 02 MODULE
TIME TABLE WEEK 03
THEME: STOMACH DISORDERS
PATHOLOGY: 6. B
Pathogenesis of gastritis & PHARMACOLOGY 7. C
2 peptic ulcer( H. Pylori Introduction to Clinical Posting 8. D
infection) neurotransmitters- II
Name of faculty Venue 9. E
Name of faculty Venue
10. A
PHARMACOLOGY
Drugs used for acid peptic 6. C
COMMUNITY
disorder including H pylori
MEDICINE 7. D
Infection
3 Demography: Population Clinical Posting 8. E
Antacids & mucosal Pyramid
Protectives 9. A
Name of faculty Venue
H2-recptror antagonists 10. B
Name of faculty Venue
PHARMACOLOGY 6. D
FORENSIC MEDICINE Drugs usedfor acid peptic 7. E
Injuries of Neck, Chest, disorder including H
4 Clinical Posting 8. A
Abdomen, Spine and Pelvis pylori Infection Proton
Name of faculty Venue Pump Inhibitors 9. B
Name of faculty Venue 10. C
MEDICINE
Diagnosis and management
of gastritis/ acid peptic PATHOLOGY
5 disease & endoscopic Tumors of stomach Clinical Posting
management of bleeding Name of faculty Venue
peptic ulcer &H.Pylori
Name of faculty Venue
PEDIATRICS 6. E
SURGERY 7. A
Causes of vomiting,
Role of Surgery in Acid
6 regurgitation / dysphagia/ Clinical Posting 8. B
Peptic Disorder
in children GERD
Name of faculty Venue 9. C
Name of faculty Venue
10. D
576
SEMESTER 6 GIL 02 MODULE
TIME TABLE WEEK 04
THEME: Diarrheas & Mal-absorptions
MICROBIOLOGY 1. B
PATHOLOGY Infective agents of dysentery & 2. C
2 enterocolitis& ischemic colitis diarrhea Clinical Posting 3. D
Name of faculty Venue Name of faculty Venue 4. E
5. A
1. C
PHARMACOLOGY 2. D
MEDICINE
3 Emetics and Anti-emetics Acute gastroenteritis Clinical Posting 3. E
Name of faculty Venue Name of faculty Venue 4. A
5. B
1. D
PEDIATRICS 2. E
Causes and clinical presentation
and management of acute 3. A
4 PATHOLOGY Clinical Posting
diarrheas Inflammatory bowel diseases 4. B
Name of faculty Venue Name of faculty Venue 5. C
FORENSIC MEDICINE
MEDICINE Environmental Trauma
5 Inflammatory bowel diseases Trauma due to Burns, Heat , cold Clinical Posting
Name of faculty Venue Electrocution
Name of faculty Venue
PEDIATRICS 1. E
Causes and clinical presentation
MEDICINE 2. A
and management of chronic
6 Irritable bowel syndrome Clinical Posting 3. B
diarrheas, mal-absorptions, IBD
and lower GI motility disorders Name of faculty Venue 4. C
Name of faculty Venue 5. D
577
SEMESTER 6 GIL02 MODULE
TIME TABLE WEEK 05
THEME: INTESTINAL DISORDERS
PATHOLOGY SURGERY 1. B
Tumors of small & large Acute abdomen & 2. C
2 intestine lecture-I peritonitis Clinical Posting 3. D
Name of faculty Name of faculty Venue 4. E
Venue
5. A
PATHOLOGY SURGERY 1. C
Tumors of small & large Clinical presentation 2. D
3 intestine lecture II and Surgical Clinical Posting 3. E
Name of faculty management of IBD 4. A
Venue Name of faculty Venue 5. B
1. D
SURGERY 2. E
Intestinal Obstruction FORENSICMEDICINE
4 Trauma due to burns Clinical Posting 3. A
Name of faculty
Name of faculty Venue
Venue 4. B
5. C
PHARMACOLOGY
Drugs used in B.S
5 constipation Functional bowel disorders Clinical Posting
Name of faculty Name of faculty Venue
Venue
PEDIATRICS
SURGERY 1. E
PHARMACOLOGY
Congenital and acquired 2. A
6 causes & management of
General management of Clinical Posting 3. B
constipation diarrhea & IBS
Name of faculty Venue 4. C
Name of faculty
Venue 5. D
578
GIL 02 MODULE
TIME TABLE WEEK 06 SEMESTER-VI
THEME: LIVER DISORDERS
PATHOLOGY:
General Features Of Hepatic FORENSIC
1. B
Disease ( Patterns Of Hepatic Pediatric Forensic Medicine
2. C
2 Injury, Hepatic Failure, Infanticide, Battered Baby Clinical Posting
3. D
Jaundice &Cholesteasis ) Syndrome, Sids
4. A
Name of faculty Venue Name of faculty Venue
1. C
PATHOLOGY: PHARMACOLOGY
Infectious Disorders Of Liver Management Of Hepatitis 2. D
3 Clinical Posting
Name of faculty Venue Name of faculty Venue 3. A
4. B
PATHOLOGY
MEDICINE
Autoimmune Hepatitis, Drug
Management Of Acute
4 & Toxins Induced Hepatitis & Clinical Posting
Hepatitis & Fulminant
Metabolic Disorders
Hepatic Failure
Name of faculty Venue Name of faculty Venue
1. D
MEDICINE 2. A
PATHOLOGY:
Clinical Presentation And 3. B
Alcholic& Non-Alcholic
5 Outline The Management Of Clinical Posting
(Nash) 4. C
Hepatitis B & C
Name of faculty Venue
Name of faculty Venue
579
SEMESTER 6GIL 02 MODULE
TIME TABLEWEEK 07
FORENSIC MEDICINE
1 Sexual Connections SELF STUDY Clinical Posting SELF STUDY
Medicolegal Aspects
FORENSIC MEDICINE
2 Forensic Examination of SELF STUDY Clinical Posting
Victim of Sexual Assault
Name of faculty Venue
RADIOLOGY
3 SELF STUDY Recognition of normal & Clinical Posting SELF STUDY
abnormal GIT Structure
Name of faculty Venue
580
SEMESTER 6 GIL 02 MODULE
TIME TABLEWEEK 08
Theme: LIVER-CIRRHOSIS
NOTE: The practical groups for Pediatrics class are divided into three sub groups. The details of each group are
available on the DUHS website.
581
SEMESTER 6 GIL 02 MODULE
TIME TABLEWEEK 09
THEME: PANCREAS & GALLBLADDER DISORDERS
582
LEARNING OBJECTIVES
By the end of the lecture, the student should be able to:
ANATOMY
GIL2 Ang1: Overview structure and function of GIT
PHYSIOLOGY
GIL2 Phy1: Overview secretary, digestive and absorptive function of GIT
Recall Mechanism of digestion of macro & micro nutrients
Recall Mechanism of absorption of nutrients and water
GIL2 Phy2: Overview of motility & nervous control & circulation of GIT
583
BEHAVIORAL SCIENCES
GIL2 Beh1: Reactions to illness
PEDRIATICS SURGERY
GIL2 Pds1: Congenital and acquired causes & management of constipation
584
MEDICINE
GIL2 Med1: GERD, achalasia
585
GIL2 Med6:inflammatory bowel disease
Explain clinical presentation, microscopic & macroscopic features
Describe investigation & management of Ulcerative colitis &Crohns disease
586
GIL2 Med12:Clinical presentation and outline the management of hepatitis B & C
GIL2 Ped2: Causes and clinical presentation and management of acute diarrheas
587
GIL2 Ped5: Storage & metabolic disorders
COMMUNITY MEDICINE
GIL2 Com1: Introduction to demography-I
Define demography
Describe features & uses of population pyramid
Describe profiles of Population Pyramid namely Rapid growth, Slow
Growth, Zero Growth
588
GIL2 Com3: Demography: Population Pyramid
FORENSIC MEDICINE
GIL2 Fmm1: Firearm injuries
589
GIL2 Fmm4: road traffic accidents & bomb blast injuries
Explain the mechanism of brain injuries, types of brain injuries with special
reference to terms such as:
Accelerating injury
Decelerating injury
Shear strain/ rotational injury
Coup&contre coup injury along with various theories about these injuries
590
Evaluate characteristic features of suicidal and homicidal cut throat, injuries
to neck structures of medicolegal significance.
Describe chest injuries such as fractures of ribs, pneumothorax,
haemothorax, traumatic asphyxia, cardiac tamponade, stab wounds of
heart.
Explain abdominal injuries such as rupture of internal organs in medicolegal
cases.
Explain injuries to pelvis with stress on pelvic fractures
Define burns
Classify types of burns
Explain complications of burns
Define infanticide, feticide, still born baby, dead born body, maceration
describe fetal age estimation
explain signs of live birth, precipitate labor/ unconscious delivery
evaluate criminal causes of death of new born babies
Explain autopsy on bodies of new born dead bodies
discuss child abuse i.e. Battered baby syndrome, sudden infant death
syndrome and its medicolegal aspects.
591
GIL2 Fmm16: Sexual connections medicolegal aspects
Explain the fetal growth period during pregnancy and its medicolegal
aspect regarding pregnancy, delivery & abortion
RADIOLOGY
GIL2 Rad1: Recognition of normal & abnormal GIT Structure
592
GIL2 Rad2: Recognition of normal & abnormal hepato-biliary structure
Explain the diagnostic tests for hepato-biliary evaluation
Identify the normal hepato-biliary diagnostic tests
Interpret abnormal results ofhepato-biliary diagnostic tests
PATHOLOGY
593
GIL2 Pth8: Acute appendicitis & diseases of peritoneal cavity
594
GIL2 Pth15: neoplastic disorders of exocrine function of pancreas
595
GIL2 Pth20: Autoimmune hepatitis, drug & toxins induced hepatitis & metabolic
disorders
Explain etiology, morphology & pathogenesis & causative agents ofdrug &
toxins induced hepatitis
596
SURGERY
597
GIL2 Sur6: Acute abdomen & peritonitis
598
GIL2 Sur12: Hernias
599
GIL2 Sur18: Cholelithiasis&tumors of gallbladder
PHARMACOLOGY
GIL2 Pha1: Drugs used for dyspepsia & pro-kinetic drugs
GIL2 Pha4: drugs used for peptic disorder including H. Pylori infection
(proton pump inhibitors)
600
GIL2 Pha8: General Management of diarrhea & IBS
Describe mechanism of action, side effects, adverse effects of pharmacological
management of diarrheas, Ulcerative colitis, Crohns disease ,
Diverticulitis&Irritable bowel syndrome
601
LEARNING OBJECTIVE OF SKILL LAB CURRICULUM
GIT & Liver Module:
GIL2 Sbl 2
Define of diarrhea
Enlists causes of diarrhea
Describe relevant investigations of diarrhea
Discuss management of diarrhea
GIL2 Sbl 3
Recognize a patient of Hepatitis B positive
Discuss its complications
Discuss the relevant investigations and its management
GIL2 Sbl 4
Define of dysphagia
Enlist the causes of dysphagia
Enumerate differential diagnosis of dysphagia
Discuss relevant diagnostic workup and management of dysphagia
602
TABLE OF SPECIFICATION
ROUND
WEEKS/HOURS 1 2 3 4 5 6 7 8 T1 T1x100/T2
OFF
ANATOMY 1 - - - - 1 - - 2 1.33 1
PHYSIOLOGY 2 - - - - - - - 2 1.33 1
PATHOLOGY 3.5 3.5 3.5 4.5 1.5 5.5 3.5 4.5 30 20.06 20
PHARMA 2.5 3.5 2.5 2.5 1.5 2.5 1.5 1.5 18 12.04 12
FORENSIC MED. 2.5 2.5 3.5 2.5 5.5 4.5 3.5 1.5 26 17.39 17
BEHAVIORAL
1 1 - 1 - - 1 - 4 2.67 3
SCIENCES
COMMUNITY
- 1 - - 1 - 1 1 4 2.67 3
MEDICINE
SURGERY 2 2 2 5 5 - 1 3 20 13.37 13
MEDICINE 2 2 2 1 1 3 3 - 14 9.36 10
PAEDS.
- - - - 1 - - - 1 0.66 1
SURGERY
1
RADIOLOGY - - 1 - - - - 1 2 1.33
TOTAL 18 19.5 19.5 19.5 19.5 18.5 19.5 15.5 149.5 100 100
603
BLUEPRINT OF ASSESSMENT
GI AND LIVER-2 MODULE
(SEMESTER-VI)
SUMMATIVE ASSESSMENT
THEORY
ATP 25
EXAM
PAPER-I 80%
One best Questions
20
based on CBL
Total 100
One best Questions 50
MODULE EXAM
EMQs 10
ATP 20
MODULE PAPER 20%
One best Questions
20
based on CBL
Total 100
STRUCTURED VIVA
SEMESTER
EXAM
See Semester
PAPER- I - A Structured viva
T
Assessment Plan
FORMATIVE ASSESSMENT
ASSESSMENT TOOLS
Structured Feedback
ASSESSMENT DURING CBL SESSION Given to the Student by
Facilitator
NOTE: Paper II & IV- B of Semester-6 Examination are Based on Renal -2 Module.
Paper III & IV-C of Semester-6 Examination are Based on Endocrinology-2 Module.
604
CREDIT HOURS
SEMESTER VI
GIT & LIVER & NUTRITIONAL DISORDERS MODULE
Paper- I 6
GASTRO INTESTINAL
TRACT AND LIVER-2
Paper- IV-A 3
605
RENAL & EXCRETORY 02 MODULE
CODE: EXC 2
SEMESTER VI
THIRD YEAR M.B; B.S
606
FIVE YEAR CURRICULAR ORGANIZATION
607
MODULE COMMITTEE
SPIRAL 02:
Documented by:
Dr.Tanzeela Khan (Department of Anatomy, Dow Medical College, DUHS &
Principal Office, DMC, DUHS)
Coordinated by:
Dr. Tanzeela khan (Department of Anatomy, Dow Medical College, DUHS &
Principal Office, DMC, DUHS)
Reviewed by:
MODULE COMMITTEE
CURRICULUM COMMITTEE
608
RATIONALE
Renal disorders are commonly encountered in both adult and pediatric clinical practice. Acute
and chronic glomerulonephtritis, nephrotic and nephritic syndromes, acute and cronic renal
failure, urinary tract infections, renal tumours, diseases related to lower urinary tract and
prostate are some of the disorders a doctor will come across in clinical practice.
In this second, clinical spiral module of renal diseases the student shall dwell on the basic
understanding of the anatomy, physiology and biochemical processes attained in the first spiral
and develop the understanding of common renal diseasaes and renal failure and its
management,.
TERMINAL OBJECTIVES
By the end of the renal module, a medical student shall be able to:
609
LEARNING OBJECTIVES OF THE MODULE
Objectives of module are listed in following grid along with contents, modes of information
transfer, duration of teaching of each content and the mode of assessment.
PRACTICAL
LECTURES
SKILL LAB
LIBRARY
VIVA
SBL
LEARNING FACULTY TOPIC/CONTENT
OBJECTIVES Assess
Modes of information Transfer
ment
610
SURGERY EXC 2 Sur 2 1 * *
Congenital anomalies
EXC 2 Rad 1 1
RADIOLOGY * *
Read and Interpret (IVP/ US/ Renal
lab investigations CT Pyelography,
and imaging Radio nuclear scan
techniques to
/renal arteriography,
reveal the
diagnosis
611
Urolithiasis and PATHOLOGY EXC 2 Pth 4 * *
obstructive Obstructive Uropathy
uropathies/ Renal 2
colic Urinary out flow
Obstruction
(Prostate)
612
PEDIATRICS EXC 2 Ped 2 * *
Clinical presentation
and management of
Glomerular
conditions: nephritic
and nephrotic
syndrome
613
Describe the PATHOLOGY EXC 2 Pth 12 1 * *
causes, underlying Pyelonephritis
patho-physiology,
histopathology,
clinical PATHOLOGY EXC 2 Pth 13 1
presentation and
* *
Urinary Tract
management of Infections
Infectious EXC 2 Ped 1
disorders
PEDIATRICS * *
Clinical presentation
and management of
Infectious disorders
MEDICINE EXC 2 Med 5 1 * *
Clinical presentation
and management of
Infectious disorders
614
MEDICINE EXC 2 Med 6 1 * *
Revisit fluid, K (Potassium)
electrolyte and Disorders
acid base balance
Hospital Administration
615
RENAL AND EXCRETORY 02 MODULE
TIME TABLE
(This time table was for year 2015. Holidays represent actual holidays in that year)
FIRST WEEK
Anatomy Physiology
Functional Anatomy GFR and its
(Development, regulation and its CLINICAL
DAY 5 histology, Variations, applied POSTING
Gross ) physiology
Faculty Name Faculty Name
Venue Venue
Clinical Faculty
Pathology
Surgery
Cysts : Congenital and acquired
Physiology Clinical CLINICAL
Tubular re-absorption presentation of cystic conditions of kidney
DAY 6 POSTING
Faculty Name Kidney and
Venue Faculty Name
Urinary tract Venue
Faculty Name
Venue
616
RENAL AND EXCRETORY 02 MODULE
TIME TABLE WEEK 02 SEMESTER 6
E: SELF STUDY
Radiology
Forensic 1. B
(IVP/ US/ Renal Medicine: CLINICAL 2. C
DAY CT Pyelography, Radio Classification of
nuclear scan /renal POSTING 3. D
2 wounds
arteriography, Faculty Name 4. E
Faculty Name Venue LH 5. A
Venue
Pathology
Obstructive Uropathy Community 1. C
1Urinary out flow Medicine CLINICAL 2. D
DAY Obstruction Hospital waste POSTING 3. E
3 (Urolithiasis, management
Hydronephrosis) Faculty Name 4. A
Faculty Name Venue 5. B
Venue
Pathology FORENSIC 1. D
Obstructive Uropathy 2 MEDICINE: CLINICAL 2. E
DAY Urinary out flow Blunt and sharp
POSTING 3. A
4 Obstruction (Prostate) weapons
Faculty Name Faculty Name 4. B
Venue
Venue 5. C
PATHOLOGY 1. E
Surgery
Pathogenesis of 2. A
DAY Management of Diseases CLINICAL
Glomerular 3. B
6 of Prostate POSTING
Faculty Name
Disease
Faculty Name 4. C
Venue
Venue 5. D
617
RENAL AND EXCRETORY 02 MODULE
TIME TABLE WEEK 03 SEMESTER 6
618
DOW UNIVERSITY OF HEALTH SCIENCES
RENAL AND EXCRETORY 02 MODULE
TIME TABLE WEEK 04 SEMESTER 6
COMMUNITY 11. B
PHARMACOLOGY MEDICINE 12. C
DAY Diuretics 2 Hospital Waste Clinical
13. D
2 Faculty Name Management Posting
Venue Faculty Name 14. E
Venue 15. A
FORENSIC 6. C
PATHOLOGY MEDICINE 7. D
DAY Urinary Tract Infections Clinical
Irrespirable gases 8. E
3 Faculty Name
Faculty Name
Posting
Venue 9. A
Venue 10. B
11. D
PATHOLOGY PEDIATRICS 12. E
Tumors of renal Clinical presentation and
DAY management of Clinical 13. A
system Posting
4 Infectious disorders 14. B
Faculty Name
Venue
Faculty Name
Venue 15. C
MEDICINE
BEHAVIORAL
DAY Clinical presentation
SCIENCES Clinical Posting
and management of
5 Infectious disorders
Faculty Name
Venue
Faculty Name
Venue
11. E
MEDICINE 12. A
DAY FORENSIC Clinical
K (Potassium) Disorders
MEDICINE Posting 13. B
6 Faculty Name
Faculty Name Venue 14. C
Venue
15. D
619
DOW UNIVERSITY OF HEALTH SCIENCES
RENAL AND EXCRETORY 02 MODULE
TIME TABLE WEEK 05 SEMESTER 6
COMMUNITY
SURGERY
DAY MEDICINE Clinical
Tumors of renal system
1 Faculty Name
End stage renal disease Posting SELF STUDY
Venue Faculty Name
Venue
MEDICINE MEDICINE
DAY Na (SODIUM) Management of acid base Clinical
2 Disorders balance disorders Posting SELF STUDY
Faculty Name Faculty Name
Venue Venue
DAY Clinical
5 SELF STUDY Posting
DAY
6 MODULE EXAM
620
LEARNING OBJECTIVES
At the end of the lecture, students should be able to:
ANATOMY
EXC 2 Ana 1 DEVELOPMENT , HISTOLOGY, GROSS, VARIATIONS OF RENAL SYSTEM:
Discuss the blood supply venous drainage and nerve supply of kidney
PHYSIOLOGY
1) EXC 2 Phy 1 GFR ,FACTORS AFFECTING IT & ITS REGULATION:
Describe glomerular filtration membrane and how it EXCludes blood cells and proteins
from the filtrate
Discuss how will you calculate net filtration pressure if given the magnitude of these
forces
Define glomerular filtration rate (GFR) and discuss Factors affecting GFR
Explain the regulation of GFR (describe how the nervous system, hormones, kidney itself
regulate glomerular filtration).
621
Describe the tubular reabsorption at different renal segments
MEDICINE
1. EXC 2 Med 1 INVESTIGATIONS IN RENAL MEDICINE:
622
EXC 2 Med 6 POTASSIUM DISORDERS:
Describe what is the distribution of K in the body .
Enlist the causes of hypokalemia and hyperkalemia.
Discuss the diagnosis and management of these disorders
EXC 2 Med 7 SODIUM DISORDERS:
Describe the distribution of Na in the body .
Enlist the causes of hyponatremia and hypernatremia.
Discuss the diagnosis and management of these disorders.
EXC 2 Med 8 MANAGEMENT OF ACID BASE DISORDERS & ARTERIAL BLOOD GAS
INTERPRETATION:
Describe the distribution of Na in the body .
Enlist the causes of hyponatremia and hypernatremia
Discuss the diagnosis and management of these disorders
PATHOLOGY
EXC 2 Pth 1 CONGENITAL AND ACQUIRED CYSTIC DISEASES OF THE KIDNEY
Classify congenital Anomalies and Cystic Diseases of the Kidney
Briefly discuss each type with reference to clinical features
Enumerate clinical Manifestations of Renal Diseases
623
EXC 2 Pth 5 GLOMERULAR DISEASE
Describe principal systemic manifestations of chronic kidney disease and uremia
Define the glomerular syndromes
Discuss clinical manifestations of glomerular disease
Enumerate immune mechanisms of glomerular injury
624
EXC 2 Pth 14 TUMORS OF RENAL SYSTEM:
Describe the pathogenesis of renal tumors.
PHARMACOLOGY
SURGERY
EXC 2 Sur 1 INTRODUCTION AND CLINICAL MANIFESTATIONS OF RENAL DISEASES:
Describe basic structure and functions of the kidney
Illustrate main symptoms of renal disease
Assess kidney functions
EXC 2 Sur 2 CONGENITAL UROLOGICAL CONDITIONS:
Renal Aplasia
Solitary kidney
Renal Ectopia
Pelvis kidney
Crossed Dystopia - Unilateral fusion
Horseshoe Kidney
Cystic disease
Solitary Renal Cyst
Polycystic Kidneys
Duplex system
625
Duplex Renal Pelvis
Duplex Ureter
EXC 2 Med 3 SURGICAL PRESENTATION AND MANAGEMENT OF UROLITHIASIS:
Types of stones
Etiology, presentation
Surgical treatment
PAEDIATRICS
EXC 2 Ped 2 CLINICLE PRESENTATION AND MANAGEMENT OF GLOMERULAR CONDITIONS
Definitions and pathophysiology Nephrotic syndrome
Analyze efficacy of different treatment protocols in the treatment of Steroid Sensitive
Nephrotic Syndrome (SSNS)
Come up with an evidence based algorithmic approach to SSNS
626
TABLE OF SPECIFICATIONS
ROUND
WEEKS 1 2 3 TOTAL (TI) T1x100/T2
OFF
ANATOMY 3 7 - 10 17.09 18
PATHOLOGY 1 1 5 7 11.96 12
MICRO - - 1 1 1.70 2
PHARMA - 1 - 1 1.70 2
BEHAVIORAL - 2 - 2 3.41 4
SCIENCES
RADIOLOGY - - 1 1 1.70 2
627
BLUEPRINT OF ASSESSMENT
RENAL & EXCRETORY-2 MODULE
(SEMESTER-VI)
SUMMATIVE ASSESSMENT
THEORY
ATP 25
EXAM
PAPER-II 80%
One best Questions
20
based on CBL
Total 100
One best Questions 50
MODULE EXAM
EMQs 10
ATP 20
MODULE PAPER 20%
One best Questions
20
based on CBL
Total 100
STRUCTURED VIVA
SEMESTER
EXAM
See Semester
PAPER-IV-B Structured viva
T
Assessment Plan
FORMATIVE ASSESSMENT
ASSESSMENT TOOLS
Structured Feedback
ASSESSMENT DURING CBL SESSION Given to the Student by
Facilitator
NOTE: Paper I & IV-A of Semester-6 Examination are Based on GI & Liver-2 Module.
Paper III & IV-C of Semester-6 Examination are Based on Endocrinology-2 Module.
628
CREDIT HOURS
PAPER-II 3
RENAL-2
PAPER-IV B 1.5
629
ENDOCRINOLOGY Module II
Code: END 2
Semester VI
THIRD Year MBBS
630
FIVE YEAR CURRICULAR ORGANIZATION
631
END-2 MODULE COMMITTEE
Prepared By:
Coordinated by:
Reviewed by:
Module Committee
Curriculum Committee
632
RATIONALE
The function of the endocrine system is to coordinate and integrate cellular activity within the
whole body by regulating cellular and organ function throughout life and maintaining
homeostasis. Homeostasis, or the maintenance of a constant internal environment, is critical to
ensuring appropriate cellular function.
Common endocrinological disorders like diabetes mellitus, thyrotoxicosis, hypothyroidism,
Cushing syndrome, pituitary disorders, beside the hormonal changes associated with
reproductive organ diseases are necessary to be understood for comprehensive management.
These diseases are commonly encountered in medical practice. In this module with the
integration of the basic knowledge obtained in the first spiral, a sound clinical base is developed.
TERMINAL OBJECTIVE
633
LEARNING OBJECTIVES OF THE MODULE
Objectives of module are listed in following grid along with contents,
modes of information transfer, duration of teaching of each content and the
mode of assessment:
Lectures
Demo
Tutorials
Practical
SBL
Self Study
EMQS
One Best,
spotting
Practical /
viva
Skills Lab
Objectives faculty Content / Topic
REVISIT anatomy,
secretion and Anatomy END2 Ang1 REVISIT anatomy, secretion
regulation, and mechanism of action and function
mechanism of of hormone
action and
function of
hormones of
hypothalamus 1 *
pituitary thyroid
parathyroid,
pancreas and
adrenal gland
Physiology END2 Phy1 Classification and regulation 1 *
of hormones
634
Pediatrics END2 Ped1 Outline of Adenomas of 1 *
pituitary gland/ growth hormone
deficiency
635
pancreas of pancreas
Management of diabetes mellitus,
acute and chronic complications and
prognosis and counseling
Pharmacology END2 Pha4 Oral hypo glycemic drugs / 1 * *
Anti Diabetic Drugs and insulin therapy
Surgery END2 Sur3 Indications of surgical 1 * *
intervention of Hyper secretions of
pancreas
Pediatrics END2 Ped 3 Outline the diagnosis and 1 * *
management of juvenile diabetes
mellitus acute and chronic
complications, prognosis and
counseling
SBL END2 Sbl 3 Diabetes 1.
5
Identify the END2 Pth8 causes, underlying patho- 1 1. * *
causes, underlying physiology, histopathology and Hypo/ 5
patho-physiology, Pathology Hyper secretions of adrenal gland
histopathology,
END2 Pth8 Clinical features and 1 * *
clinical
diagnosis of Hypo/ Hyper secretions of
presentation and adrenal gland
outline the END2 Med6 Diagnosis, acute 1 *
management of emergencies and outline the
hypo and hyper Medicine management of Hypo/ Hyper secretions
secretion of of adrenal gland
adrenal gland END2 Med6 Addison disease, Cushing 1 *
syndrome, Pheochromocytomas,
Conns syndrome
Pharmacology END2 Pha5 Drugs used for replacement 1 1. * *
therapy for hypo secretion and to 5
inhibit Hyper secretions of adrenal
gland
Surgery END2 Sur4 Indications of surgical *
intervention of Hypo/ Hyper
secretions of adrenal gland
Community Community END2 Com1 School Health services 1 *
Medicine Medicine
636
ENDOCRINOLOGY 02 MODULE
TIME TABLE
(This time table was for year 2015. Holidays represent actual holidays in that year)
FIRST WEEK
Days 8:30 to 9:30 9:30 to 10:30 10:30 1:30 1:30-3:00
Gp A Self Study
Gp B : (Pharma tutorial)
Growth Hormone and
Functional anatomy pharmacological applications
REVISIT anatomy,
Pathology Gp C Forensic Medicine
secretion and
Overview of pituitary tutorial (Poisonous Plants:-
mechanism of action
pathologies Castor, Croton Abrus,
1 and function of Clinical Posting
hormones Semicarpus )
Name of faculty
Venue
Name of faculty Gp D: Self Study
Venue
Gp E: (Pathology
tutorial)pituitary function
tests Name of faculty
Venue
Anatomy Physiology 16. B
Pituitary anatomy and Classification and 17. C
2 functions regulation of hormones Clinical Posting 18. D
Name of faculty 19. E
Name of faculty
Venue 20. A
Venue
16. C
MEDICINE
Overview of pituitary PHARMACOLOGY 17. D
syndromes Pituitary hormone in 18. E
3 Clinical Posting
clinical practice 19. A
Name of faculty Name of faculty
20. B
Venue Venue
Medicine
FORENSIC MEDICINE clinical presentation of
INSECTICIDE POISONING pituitary tumors and
4 Clinical Posting
Name of faculty diagnosis
Venue Name of faculty
Venue
NEUROSURGERY
BEHAVIORAL SCIENCES Clinical presentation of
16. D
Pituitary tumors,
Professionalism 17. E
diagnosis &
5 In health care Clinical Posting 18. A
management
19. B
Name of faculty
Name of faculty 20. C
Venue
Venue
637
DOW UNIVERSITY OF HEALTH SCIENCES
Endocrinology MODULE 2
TIME TABLE WEEK 02 SEMESTER 6
10:30
Days 8:30 to 9:30 9:30 to 10:30 1:30-3:00
1:30
1.E
PEDIATRICS 2.A
Clinical presentation, 3.B
diagnosis & management of Clinical 4.C
1
Hypo-pituitary (Short Self Study Posting 5.D
stature)
Name of faculty Venue
1.Gp A Self Study
MEDICINE 1.C
PATHOLOGY 2.D
Clinical feature, Diagnosis
Tumors of thyroid tumors; 3.E
4 and Management of Clinical Posting
Primary , secondary 4.A
Hypo-thyroidism
Name of faculty Venue
Name of faculty Venue 5.B
SURGERY MEDICINE
Approach to a patient with Clinical feature, Diagnosis
10:30-12:00
5 thyroid nodule & Role of & Management of Hyper-
Clinical Posting
surgery in thyroid disorders thyroidism
Name of faculty Venue Name of faculty Venue
PEDIATRICS 1.D
Clinical feature, Diagnosis, COMMUNITY MEDICINE
2.E
school health services
6 Management of congenital Clinical Posting 3.A
Name of faculty
& acquired hypothyroidism 4.B
Venue 5.C
Name of faculty Venue
638
DOW UNIVERSITY OF HEALTH SCIENCES
Endocrinology MODULE 2
TIME TABLE WEEK 03 SEMESTER 6
PATHOLOGY 1.E
causes, underlying patho- ANTI THYROID
2.A
physiology, histopathology MEDICATIONS
1 Clinical Posting 3.B
and Hypo/ Hyper secretions Name of faculty
of parathyroid gland Venue 4.C
Name of faculty Venue 5.D
SURGERY
MEDICINE
Indications of surgical 11. B
Clinical feature, Diagnosis
intervention of Hyper 12. C
and
3 secretions of Clinical Posting 13. D
Management of hypo &
parathyroid gland 14. E
hyper parathyroid gland
Name of faculty 15. A
Name of faculty Venue
Venue
MEDICINE 21. C
Causes, Clinical features, 22. D
COMMUNITY MEDICINE
4 diagnosis & management of Clinical Posting 23. E
Addisons Disease medical bioethics
24. A
Name of faculty Venue
25. B
MEDICINE
Causes, Clinical features,
PHARMACOLOGY diagnosis &
5 Glucocorticoids management of Cushing Clinical Posting
Name of faculty Venue Syndrome
Name of faculty
Venue
21. D
22. E
BEHAVIORAL SCIENCES
6 SELF STUDY Clinical Posting 23. A
Breaking bad news
24. B
Name of faculty Venue
25. C
639
DOW UNIVERSITY OF HEALTH SCIENCES
Endocrinology MODULE 2
TIME TABLE WEEK 04 SEMESTER 6
Days 8:30 to 9:30 9:30 to 10:30 10:30 1:30 1:30-3:00
PATHOLOGY Clinical Posting 1. E
Pathogenesis of type 1 & II PHARMACOLOGY 2. A
diabetes mellitus Oral hypoglycemic 3.B
1 4.C
Name of faculty Venue Name of faculty
5.D
Venue
5 STUDY LEAVE
MODULE TEST
6
640
LEARNING OBJECTIVES
At the end of the teaching session the student should be able to achieve the following
objectives:
ANATOMY
PHYSIOLOGY
PATHOLOGY
641
END2Pth4 Causes, underlying patho-physiology, histopathology and Hypo/ Hyper secretions
of parathyroid gland
MEDICINE
END2Med2 Diagnosis and outline the management of posterior pituitary gland: Diabetes
insipidus
642
END2Med3 Diagnosis and outline the management of Hypo/ Hyper secretions of thyroid
gland
END2Med4 Diagnosis and outline the management of Hypo/ Hyper secretions of adrenal
gland
Identify the causes, underlying patho-physiology of adrenal gland hypo & hyper
secretions
Describe clinical presentation and outline the management of adrenal gland hypo &
hyper secretions
END2Med5 Diagnosis and outline the management of Diabetes Mellitus and its
complications:
SURGERY
END2Sur1 Indication of surgical intervention of Adenomas of pituitary gland
643
END2Sur4 Indications of surgical intervention of Hypo/ Hyper secretions of adrenal gland
PHARMACOLOGY
END2Pha1 Drugs used for replacement therapy and to inhibit the hyper secretion of
Adenomas of pituitary gland
END2Pha2 Drugs used for replacement therapy for hypo secretion and to inhibit Hyper
secretions of thyroid gland
END2Pha3 Drugs used for replacement therapy for hypo secretion and to inhibit Hyper
secretions of adrenal gland
644
PEDIATRICS
END2Ped1 Outline of Adenomas of pituitary gland/ growth hormone deficiency
END2Ped2 Outline the diagnosis and management of cretinism and Graves disease
FORENSIC MEDICINE
END2Fmm1 Torture
Define torture
Discuss various techniques of torture
Describe sequel of torture
Describe the duties of medical doctor for managing patient of torture
Discuss ethical issues in relation to various types of torture
645
END2Fmm3 Snake Poison
END2Fmm4 Insecticides
COMMUNITY MEDICINE
BEHAVIORAL SCIENCES
646
LEARNING OBJECTIVE OF SKILL LAB CURRICULUM
Endocrinology Module:
I. Arterial Puncture
INTRODUCTION (RATIONALE)
Since an arterial blood sample is necessary for the blood gas analysis, the procedure of arterial
puncture is one of the most important skills that health professionals should possess.
LEARNING OBJECTIVES
After the sessions the students should be able to:
647
SCANERIO BASED LEARNING
END2 Sbl1
END2 Sbl2
END2 Sbl3
END2 Sbl4
648
TABLE OF SPECIFICATIONS
WEEKS/HOURS 1st 2nd 3rd 4th TOTAL *** ROUND OFF
ANATOMY 2 - - - 2 3.63 4
PHYSIOLOGY - - - 1 1.8 2
1
MEDICINE 2 2 3 1 8 14.5 15
PAEDS - 2 - 1 3 5.25 5
COMMUNITY - 1 1 - 2 3.63 4
MEDICINE
FORENSIC
2.5 2.5 - - 5 9.09 9
MEDICINE
SURGERY 1 1 1 - 3 5.25 5
BEHAVIORAL 1 - 1 - 2 3.63 4
SCIENCES
Total 2 SBL - - 1.5 1.5 3 5.25 10
649
BLUEPRINT OF ASSESSMENT
ENDOCRINOLOGY-02 MODULE
(SEMESTER-VI)
SUMMATIVE ASSESSMENT
THEORY
ATP 25 80%
PAPER-III
One best Questions
20
based on CBL
Total 100
One best Questions 50
MODULE EXAM
EMQs 10
ATP 20
MODULE PAPER 20%
One best Questions
20
based on CBL
Total 100
STRUCTURED VIVA
ER EXAM
ASSESM
SEMEST
See Semester
ENT
VE
FORMATIVE ASSESSMENT
ASSESSMENT TOOLS
Structured Feedback
ASSESSMENT DURING CBL SESSION Given to the Student by
Facilitator
NOTE:
Paper I & IV-A of Semester-6 Examination are Based on GIT &Liver-02 Module.
Paper II & IV-B of Semester-6 Examination are Based on Renal & Excretory Sys -02 Module.
650
CREDIT HOURS
ENDOCRINOLOGY-02 MODULE
SEMESTER-VI
PAPER-III 3
END-2
PAPER- IV-C 1.5
651
ASSESSMENT PLAN, SEMESTER-6
CREDIT
PAPER CONTENT WEIGHTAGE
HOURS
Endocrinology-2 Module
40 Marks
(Semester Theory) 50
III Endocrinology-2 Module
10 Marks
Marks 3
(Module Exam)
652
653
SEMESTER -7
ENT-II Module 3 Weeks 4.5 Credit Hours
654
Ear, Nose & Throat (ENT) MODULE
Code: (ENT 02)
Semester:VII/VIII
Fourth Year MBBS
655
FIVE YEAR CURRICULAR ORGANIZATION
656
MODULE COMMITTEE
MODULE COORDINATOR:
Documented by:
DR SAIMA RASHID
Reviewed by:
Modular committee
Curriculum committee
657
RATIONALE:
Some of the commonest diseases encountered by a general practitioner belong to the ear, nose,
throat and head and neck region. A medical graduate should have sound knowledge of
symptomatology of ENT diseases, their diagnosis and principles of management. They should
be able to order and interpret pertinent investigations and treat some of the common problems
along with adequate referral where appropriate.
In the Head and Neck mmodule in the basic sciences spiral has prepared the student with the
background of anatomy , physiology and basic pathology of this region. Based on this
foundation the student shall acquire the clinical knowledge required for diagnosis and
management of diseases related to ear, nose and throat.
TERMINAL OBJECTIVE:
658
LEARNING OBJECTIVES OF THE MODULE
Objectives of module are listed in following grid along with contents and
teaching methodology
Lectures
Demo:
Tutorials
Practical
CBL
Self Study
spottin
Digital library
BCQs, EMQs
ATP
Viva
Skills Lab
Objectives
Teaching
Content / Topic
Faculty
659
Common ENT- ENT 2 Ent 5 Diseases Of
Head & Neck Inner Ear 1 * *
Diseases
ENT 2 Ent 6
Allergic, Inflammatory,
Neoplastic Diseases Of 1 * *
The Nose And PNS-1
ENT 2 Ent 9
`1 * *
Nasopharynx
ENT 2 Ent 10 1 *
*
Nasal bone fracture
Discuss the Ent 2 Ent 11 Oral
Indication, Dosage Cavity 1 * *
& Side Effects Of
Common Drugs ENT 2 Ent12 Neoplastic
Used In ENT conditions of oral
1 * *
cavity
ENT 2 Ent 14
Oropharynx 1 * *
660
ENT 2 Ent 15
Hypopharynx 1 * *
ENT 2 Ent 17
Laryngeal Paralysis and 1 * *
Carcinoma of Larynx
ENT 2 Ent18 Stridor,
Foreign bodies in 1 * *
Airway, Tracheostomy
ENT 2 Ent 19
1 * *
Oesophageal Disorders
ENT 2 Ent 20 Head and 1
Neck * *
Describe the
Pharmacol
Indication, Dosage ENT 2 Pha 2 Use of
& Side Effects Of ogy
antiallergies 1 * *
Common Drugs
Used In ENT
SBL
* *
3
Describe
bioethics,medical ENT 2 Eth 1 Types of
1 * *
ethics,practical Ethics
ethics.
Describe some
principles of
ENT 2 Ethics3 1 * *
Research Ethics
RESEARCH ETHICS
661
Describe respect
for
autonomy,Privacy
ENT 2 Eth 4 PRIVACY 1 * *
,and its types
define
Confidentiality
Describe Human
rights ,the rights
of the patient , its
ENT 2 Eth 5
importance and 1 * *
THE RIGHTS OF PATIENT
describe the
duties of
physicians
662
ENT-2 MODULE
TIME TABLE
(This time table was for year 2015. Holidays represent actual holidays in that year)
FIRST WEEK
2 PUBLIC HOLIDAY
PHYSIOLOGY 1. A2
Physiology Of Hearing ENT 2. B1
3 Hearing Impairment CLINICAL 3. B2
(Revisit)
NAME OF FACULTY POSTING 4. C1
NAME OF FACULTY VENUE 5. A1
VENUE
ENT ENT
Diseases of Middle Ear- 1. B1
Diseases of Middle Ear- CSOM CLINICAL 2. B2
4 ASOM NAME OF FACULTY POSTING 3. C1
4. A1
NAME OF FACULTY
VENUE 5. A2
VENUE
ENT
1. B2 Diseases of Middle Ear-
2. C1 CSOM CLINICAL
5 3. A1 NAME OF FACULTY POSTING
4. A2
5. B1 VENUE
ENT
ENT NOSE- Allergic, 1. C1
Inflammatory, Neoplastic 2. A1
6 Diseases of Inner Ear CLINICAL
Diseases Of The Nose And 3. A2
NAME OF FACULTY POSTING
PNS-I 4. B1
VENUE 5. B2
NAME OF FACULTY
VENUE
663
SEMESTER VII
ENT MODULE
Time Table Week-2
10:30 to 1:30 to 03:00
Days 08:30 to 09:30 09:30 to 10:30
1:00
GP=A1=SBL-3 VENUE NAME OF
PATHOLOGY FACULTY
ENT
Review Of Pathology Of NOSE- Allergic, Inflammatory, GP=A2, SBL-4 VENUE NAME OF
1 The ENT Neoplastic Diseases Of The CLINICAL FACULTY
Nose And PNS-II POSTING GP= A3 VENUE Otoscopy
NAME OF FACULTY NAME OF FACULTY GP=A4, History & Examination of
VENUE Oral ,Nasal Cavity VENUE
VENUE GP=A5, SELF STUDY
ENT ENT 1. A2
NOSE
2 NOSE CLINICAL 2. A3
(Epistaxis and Malignancies of
(Trauma, DNS) the Nose and PNS)
3. A4
POSTING
NAME OF FACULTY NAME OF FACULTY 4. A5
VENUE VENUE 5. A1
PHARMACOLOGY 1. A3
ENT Review of Drugs used in ENT
CLINICAL 2. A4
3 Nasopharynx NAME OF FACULTY
POSTING 3. A5
NAME OF FACULTY
VENUE
4. A1
VENUE
5. A2
PATHOLOGY
ENT 1. A4
Review of Pathology of the
Oral Cavity CLINICAL 2. A5
Oral Cavity and Salivary
4 NAME OF FACULTY POSTING 3. A1
Glands
NAME OF FACULTY VENUE 4. A2
VENUE 5. A3
ENT
Neoplastic Conditions Of 9:30 12:00
5 Oral Cavity CLINICAL POSTING
NAME OF FACULTY
VENUE
ENT ENT 1. A5
Oropharynx SALIVARY GLANDS 2. A1
CLINICAL
6 NAME OF FACULTY NAME OF FACULTY 3. A2
POSTING
VENUE VENUE 4. A3
5. A4
664
SEMESTER VII
ENT MODULE
Time Table Week-3
ENT
ENT Pharmacology CLINICAL ETHICS
4 Head And Neck Use Of Anti Allergies
POSTING NAME OF FACULTY
NAME OF FACULTY NAME OF FACULTY
VENUE VENUE
VENUE
6 SELF-STUDY
665
LEARNING OBJECTIVES
AT THE END OF THE LECTURE THE STUDENT SHOULD BE ABLE TO
ANATOMY
PHYSIOLOGY
666
PATHOLOGY
PHARMACOLOGY
667
2. Ent 2 Pha 2 SIDE EFFECTS OF ENT DRUGS
Review the drugs and antibiotics used in ENT uses and side effects .
Discuss the significance of steroids , anti allergies, nasal decongestants and
topical sprays.
Discuss the toxicity of local and topical anesthetics used in ENT
(XYLOCAINE )
Explain drug interactions with systemic disease.
ENT
1. Ent 2 Ent 1 DISEASES OF EXTERNAL EAR
Diagnose the clinical manifestation of diseases of external ear and their basic
management.
Discuss of methods of removal of wax ,fungus and foreign body from Ear.
Identify when to refer the patient to the concerned speciality.
Diagnose the clinical manifestations of diseases of middle ear and their basic
management.
Recognize when to refer the patient to the concerned speciality.
Follow guidelines for treatment of discharging ear.
Describe the management of OTITIS MEDIA (ASOM).
Recognize the need of surgery and when to refer patient to the relevant specialty.
Diagnose the clinical manifestations of diseases of middle ear(CSOM) and their basic
management.
Recognize when to refer the patient to the concerned speciality.
Discuss the management of OTITIS MEDIA (CSOM).
Describe the need of surgery and when to refer patient to the relevant specialty
668
5. Ent 2 Ent 5 DISEASES OF INNER EAR
Recognize the clinical manifestation of Acute and chronic sinusitis and Fungal
infections and to be able to request appropriate investigations
Interpret lab investigation for basic management.
Enlist the indications of surgery and when to refer.
Enlist the common causes of epistaxis ,its first Aid management and steps in cases of
uncontrolled epistaxis.
Recognize the clinical manifestations Malignancies of Nose and PNS with basic
principles of management
Interpret relevant investigations, understand indications of specialist referral.
Describe the basic principles of management.
Diagnose
o Adenoids
o Juvenile Nasopharyngeal Angiofibroma
o Nasopharyngeal Carcinoma
669
Distinguish nasopharyngeal diseases.
Interpret investigations.
Recognize the need of surgery and when to refer
670
14) Ent2: Ent : 14 OROPHARYNX
671
18) Ent2: Ent : 18 STRIDOR, FOREIGN BODIES IN AIRWAY ,TRACHEOSTOMY:
ETHICS
4) Ent2: Eth4 PRIVACY: Describe respect for Autonomy,Privacy,and its types define
Confidentiality.
5) Ent2: Ent 5 THE RIGHTS OF PATIENT: Describe Human rights ,the rights of the patient
, its importance and describe the duties of physicians.
672
SCANERIO BASE LEANING
SBL 1:
Discuss CSOM with cholesteatoma.
Enumerate the factors led you to the diagnosis.
Describe Cholesteatoma.
SBL 2
Discuss the peritonsillar abcess.
Explain the etiological factors.
Enlist the optimum treatment options which can be offered.
OTOSCOPY (AUROSCOPY)
Introduction/Rationale
Otoscopy is a skill which is commonly required in the evaluation of
ear problems. An Otoscope is used to visualize the ear canal and
tympanic membrane to rule out any abnormal conditions that might
require further evaluation or treatment.
Learning objectives:
AT the end of a session students should be able to:-
1. Identify different parts of an Otoscope.
2. Demonstrate correct technique of otoscopy
3. Recognize normal External auditory canal (EAC) and tympanic
membrane(TM).
4. Identify at least 5 different abnormalities of EAC & TM.
Cerumen in auditory canal
Serous otitis media
Chronic otitis media with large perforation.
Cholesteatoma
Tympano- sc lerosis
673
TABLE OF SPECIFICATION
ENT 6
1.5 1.5 3 5.6
EXAMINATION
ETHICS - - 7 7 8.7 9
SBL 3 3 6 7.5 7
TOTAL 15 17 16 48 79.6 80
674
BLUEPRINT OF ASSESSMENT
ENT-2 MODULE
(SEMESTER-VII / VIII)
SUMMATIVE ASSESSMENT
THEORY
ATP 25
EXAM
PAPER-I 80%
One best Questions
20
based on CBL
Total 100
One best Questions 50
MODULE EXAM
EMQs 10
ATP 20
MODULE PAPER 20%
One best Questions
20
based on SBL
Total 100
STRUCTURED VIVA
SEMESTER
EXAM
See Semester
PAPER-IV-A Structured viva
T
Assessment Plan
FORMATIVE ASSESSMENT
ASSESSMENT TOOLS
Structured Feedback
ASSESSMENT DURING SBL SESSION Given to the Student by
Facilitator
NOTE: Paper II & IV-B of Semester-7 Examination are Based on Orthopadics-2 Module.
Paper III & IV-C of Semester-7 Examination are Based on Redroductive Syst.-2 Module.
675
CREDIT HOURS
SEMESTER VII/VIII
ENT-2 MODULE
Paper-I 3
ENT-2
Paper- IV-A 1.5
676
ORTHOPAEDICS AND TRAUMAMODULE
Semester:VII
677
FIVE YEAR CURRICULAR ORGANIZATION
678
Module Committee for Spiral 02:
Prof. DrSalahuddinAfsar, Professor of Medicine, DUHS.
Prof. Dr. NaheedKhan ,Professor of Ophthalmology, DUHS.
Dr. Maratib ,Professor of Orthopedic, DUHS.
Dr. YousufYahya,Assistant Professor of Pediatrics, DUHS.
Dr. Fawad Sheikh,Lecturer Pharmacology department DUHS.
Dr. Naseem Ahmed Sheikh,Assistant Professor of Pathology, DUHS
Dr RukhsanaRubeen, Associate Professor of Biochemistry, DUHS
Module Coordinator:
Documented by:
DR SAIMA RASHID
Reviewed by:
Modular committee
Curriculum committee
679
RATIONALE:
The Orthopedics module provides the student with the knowledge regarding common bone
and joint problems. The diseases involving this system include congenital disorders,
infections, acute and chronic osteomyelitis, bone tumours, metabolic diseases of bone and
degenerative disorders. A major component of this module as trauma related disorders. A
medical graduate after qualification, will be expected to manage orthopedics related trauma
and skill required for management of the injuries in the acute phase are essential for a
doctor.
The Locomotor module in the basic sciences cycle prepares the student by providing the
necessary knowledge of anatomy and physiology of the structures of the limb. This clinical
cycle module dwells on this knowledge and prepares the student by providing the principles
of radiological diagnosis and management of orthopedic diseases and trauma.
TERMINAL OBJECTIVES:
Medical graduate after completion of 5 years training program should be able to:
1. Understand the normal and abnormal structures and functions of skeletal
system and joints.
2. Interpret the biochemical changes in the body related to the bones with
reference of some common mineral metabolic disorders.
3. Take history and perform a satisfactory physical examination of the
musculoskeletal system.
4. Describe normal changes that occur in skeletal system functioning from
infancy to old age.
5. Formulate an appropriate plan for evaluating patients with bone related
conditions, signs and symptoms to achieve a reasonable differential
diagnosis and to develop an investigative and management plan.
6. Select the imaging techniques involved n the diagnosis of bone related disorders
and tumors
680
LEARNING OBJECTIVES OF THE MODULE
Objectives of module are listed in following grid along with contents and
teaching methodology
ATP
BCQS, SEQS EMQS
WRITTEN ASSESS
DIGITAL LIBRARY
SELF STUDY
TUTORIALS
PRACTICAL
LECTURES
SKILL LAB
LIBRARY
VIVA
SBL
OBJECTIVES FACULTY TOPIC/CONTENT
ORT2 Ane1 1
Development of skeletal *
Review normal
EMBRYOLOGY system Three germ layers
spine +hip joint ,concept
*
anatomy and of ossification
physiology of bones
and joints.
681
and joints 1.5
RADIOLOGY
ORT 2
Rad1RADIOLOGY/ORTHO
* * *
Congenital abnormalities
of bone & skeletal System
Diagnosis &its
management.
ORT 2 Ped 1 Checklist at
Birth ,Congenital
1.5 * *
dislocation of hip
PEADS
`
Describe the RADIOLOGY
ORT2 Rad2
2 * * *
Osteoporosis,Rickets
pathogenesis of (Practical)
OSTEOPOROSIS
PATHOLOGY
ORT 2Pth3 * *
Lab inv of
(TUTORIAL) 2
Osteoporosis,Rickets and
Osteomalacia
2
SBL
ORT2Sbl 2 Osteoporosis * * *
Differentiate the BIOCHEMISTRYY
ORT2bio3 Modeling &
remodeling 1 * *
different diseases
associated with
MEDICINE
abnormal mineral ORT 2 Med2Clinical
features, Diagnosis and 1 * *
hemostasis including
Management of
clinical features,
Hyperparathyroidism&Hy
differential diagnosis poparathyroidism
and management of
Rickets ORT2Med3
&Osteomalacia MEDICINE Diagnosis and 1.5 * *
Management of
a. Rickets &Osteomalacia Osteoporosis and
b. Hyperparathyroidism Osteomalacia
682
c.Renalosteodystrophy ORT 2 Ped3Clinical
features, differential 1.5 * * *
PEADS
diagnosis and
management of Rickets
PHARMACOLOGY
ORT 2 Pha2Drug
Management of 1.5 * *
Osteoporosis
&osteomalacia
2LEC
PHARMACOLOGY ORT 2 Pha3 2
TUTORIAL * *
Osteoporosis
ORT2Sbl 3 2
SBL Osteomalacia * * *
ORT 2 Ort 1 1.5
Types ,classification and * * *
Classify different
Fractures Types, management of fractures
Classifications&
Managements of
ORT 2 Ort 2 1.5
fractures and know the
Management of Fractures * *
healing process
of Upper limb
ORT 2 Ort 3 1.5
Management of Fractures * *
of Lower limb
ORT 2 Ort 6 1
Management of fractures, * *
different techniques
PATHOLOGICAL ORT 2 Pth4
TUTORIAL Pathological Fractures 2 * *
ORT2Sbl 4
SBL 2 * * *
Fractures
ORT 2 Pth 5
PATHOLOGY Type, classification, 1 * *
Pathogenesis of
osteomyelitis
ORT 2 Ort 7
Classify ORTHOPEDICS Management of acute 1.5 * *
Osteomyelitis osteomyelitis
ORT 2 Ort 8 1.5
Management of chronic * *
osteomyelitis
683
ORT 2 Pha 4 1.5
PHARMACOLOGY Drug management of * *
osteomyelitis
ORT 2 Rad 3 1
RADIOLOGY Metabolic skeletal lesions *
ORT 2 Pth 6 2
PATHOLOGY Lab Inv of Osteomyelitis * *
TUTORIAL
ORT 2 Pha 5 2
PHARMACOLOGY Tutorial of Osteomyelitis * *
TUTORIAL
ORT 2 Rad 4
RADIOLOGY Imaging techniques * * *
1.5
involved in diagnosis of
bone tumors (X -RAY )
ORT2Pth8
PATHOLOGY Histopathology of Bone 2 * * *
PRACTICAL Tumors
Pathology ORT2Pth9
Tutorial tumor markers 2 * *
SBL ORT2Sbl 6
Bone Tumors 2 * * *
ANATOMY ORT2Ang3 1
Classify types of Revisit of Anatomy * *
arthritis regarding joints (synovial
membrane ,fluid )
emphasis on cartilage,
synovial lining, capsule
ligaments
684
ORT 2 Ort 11
ORTHOPAEDIC Back pain * *
ORT 2 Ort 12
Diagnosis and * *
1.5
management of
OSTEOARTHRITIS
Discuss the ORT2Pha6
pharmacokinetics, PHARMACOLOGY NSAIDS * *
drug interactions,
contraindications
ORT 2Ped4
PEADS An approach to child with 1
* *
arthritis
ORT2Med5 1
MEDICINE Diagnosis and * *
Approach to a management of
patient with Rehumatoid Arthritis
arthritis
ORT2Pha7
PHARMACOLOGY DMARDS 1 and * *
DMARDS 2
ORT 2 Pth11 1
Pathology Clinical implication of *
Tutorial synovial fluid in various
forms of arthritis *
Pharma ORT2Pha8 1
Practical Tutorial Rx of OA * *
ORT2Bio4 1.5
Biochemistry Synovial Fluid * *
Practical Composition
ORT 2 Ort 18 1
SBL ARTHRITIS * * *
ORT2Bio5 1.5
BIOCHEMISTRY Revisit uric acid and * *
pyrophosphate
metabolism and
relationship to kidney
function
ORT2Med6
MEDICINE Diagnose and manage 1.5
* *
patient with GOUT
ORT2Pha9 1
PHARMACOLOGY Drugs used in Gout * *
PHARMACOLOGY ORT2Pha10 2
TUTORIAL TUTORIAL RX OF RA * *
ORT 2 Pth12 2
PATHOLOGY Crystals in Synovial fluid/ * *
TUTORIAL Joints
ORT 2 Pth13 2
PATHOLOGY Histo-pathological Slides * * *
PRACTICAL of joint disorders
685
SBL
ORT2Sbl 7
Gout
2
* * *
ORT 2 Med7
MEDICINE Clinical features, diagnosis *
and management of 1
patient with sero-
Discuss autoimmune negative
*
disorders spondyloarthropathies
ORT 2 Med 8
MEDICINE Clinical features and * *
diagnosis and 1.5
management of SLE
ORT 2 Med9
Clinical features and * *
diagnosis and
MEDICINE management of systemic
sclerosis and polymyositis
1.5
and dermatomyositis
ORT2Pth14 1.5
PATHOLOGY Histopathology Organ * *
TUTORIAL system changes in SLE
ORT 2 Pth 16 1
PATHOLOGY Soft tissue tumors & * *
Describe different tumor like conditions
types of soft tissue
disorders involving
the limbs and
ORT 2 Pth 17 1.5
Avascular Necrosis
PATHOLOGY Skeletal muscles disorders * *
ORT 2 Ped 5 1.5
PEADS Short stature; endocrine, * *
metabolic and other
related disorders
ORT2Ped6 1
PEADS Muscular Atrophies and * *
Dystrophies
ORT2Ort13 1.5
Discuss soft tissue ORTHOPAEDICS Soft tissue disorders of * *
limbs
tumors
ORT2Pth18 1.5
PATHOLOGY Histopathology of soft * *
PRACTICAL tissue tumors
686
ORT2Pth1 9 1
PATHOLOGY Overview of blood /lab * *
TUTORIAL findings in bone and joint
disorders
SBL ORT2Sbl 9 1
Soft Tissue Tumors * * *
ORT 2 Com 1 1
Introduction to * *
Occupational health
Aims, Objectives,
Functions.
ORT 2 Com 2 1
Air Pollution * *
ORT 2 Com 3 1
Water Sources, Pollution * *
ORT 2 Com 4 1
Water Quality Indicators * *
and purification
ORT 2 Com 5 1
Housing and Radiation * *
Community ORT 2 Com 6 1
Medicine Nuclear Medicine * *
ORT 2 Com 7 1
Sports Medicine * *
ORT 2 Com 8 1
(tutorial) * *
Control and prevention of
occupational diseases .
ORT 2 Com 9
(tutorial) 1 * *
Control of occupational
hazards
ORT 2 Com 10
(tutorial) * *
Disposal of water
687
ORTHOPAEDIC MODULE
TIME TABLE
(This time table was for year 2015. Holidays represent actual holidays in that year)
FIRST WEEK
Days 8:30 to 9:30 9:30 to 10:30 10:45 to 1:00 1:30 to 3:00
ANATOMY EMBRYOLOGY
Development of skeletal Biochemistry
Revisit: Morphology of bones Revisit of Ca,
system Three germ layers
types of cartilage epiphysis + Phosphate Vit D
1 spine +hip joint ,concept of Clinical Posting
blood supply applied NAME OF
ossification
NAME OF FACULTY FACULTY
NAME OF FACULTY
VENUE VENUE
VENUE
EMBRYOLOGY COMMUNITY
RADIOLOGY/ORTHO
Congenital anomalies MEDICINE
Congenital abnormalities of
related to skeletal system
bone & skeletal System Air Pollution
2 (Absence of bone,
supernumerary, syndactyly, Diagnosis & management Clinical Posting NAME OF
NAME OF FACULTY FACULTY
Dwarfism)
NAME OF FACULTY
VENUE VENUE VENUE
PATHOLOGY
PEADS
Developmental
Checklist at Birth ,Congenital
Abnormalities in bone cells,
dislocation of hip
3 bone matrix and structures Clinical Posting
NAME OF FACULTY NAME OF FACULTY
VENUE
VENUE
688
ORTHOPAEDIC MODULE
SEMESTER-VII:
THEME OF THE WEEK: BONE METABOLISM/BONE REPAIR
WEEK: 2
8:30-10:00
BIOCHEMISTRY: Affect Of Parathyroid Hormone On CM
Bone Mineral Metabolism=A1 +A5 VENUE Introduction To Occupational Health
3 Clinical Posting
PATHO: Classification of Bone Disorders=A2 VENUE NAME OF FACULTY
VENUE
C/M=A3 VENUE
SBL: A4 VENUE
BIOCHEMISTRY: Affect Of Parathyroid Hormone
PEDIATRICS
On Bone Mineral Metabolism =A2 VENUE
Clinical features, differential diagnosis and
PATHO: Classification of Bone management of Rickets
4 Disorders=A3+A1VENUE. Clinical Posting
NAME OF FACULTY
C/M=A4 VENUE
VENUE
SBL: A5 VENUE
BIOCHEMISTRY Affect Of Parathyroid Hormone On
Bone Mineral Metabolism =A3 VENUE
689
ORTHOPAEDIC MODULE
SEMESTER-VII:
THEME OF THE WEEK:OSTEOMYELITIS
WEEK: 3
PATHOLOGY
PEDIATRICS ORTHOPEDICS Type, classification,
Deformities, leg calf perthes
Pathogenesis of osteomyelitis
1 disease, scoliosis, club foot, Healing problems
CLINICAL POSTING NAME OF FACULTY
slipped capital femoral delayed union and non
epiphysis. Achondroplasia union
NAME OF FACULTY NAME OF FACULTY VENUE
VENUE VENUE
RADIOLOGY ORTHO ORTHO
Metabolic Skeletal Lesions Acute osteomyelitis Chronic Osteomyelitis
2 NAME OF FACULTY CLINICAL POSTING
NAME OF FACULTY NAME OF FACULTY VENUE
VENUE VENUE VENUE
8:30 AM - 10.00 AM
PHARM:
ROLE OF RADIOLOGY: Osteoporosis,
Drug management of
Rickets A1+ A4 NAME OF FACULTYVENUE
osteomyelitis
PATHOLOGY TUTORIAL NAME OF FACULTY
3 CLINICAL POSTING
Lab investigations of Osteoporosis, Rickets
&OsteomalaciaA2 + A5, NAME OF FACULTYVENUE
VENUE
SBL, A3 NAME OF FACULTY
, ATA HALL
ROLE OF RADIOLOGY:Osteoporosis, Rickets A2 + A5,
VENUENAME OF FACULTY C/M
PATHOLOGY TUTORIAL Water sources and pollution
Lab investigations of Osteoporosis, Rickets NAME OF FACULTY
4 &Osteomalacia A3 VENUE NAME OF FACULTY CLINICAL POSTING
VENUE
SBL A4 + A1, VENUE NAME OF FACULTY
ROLE OF RADIOLOGY:
Osteoporosis, Rickets A3 VENUE
NAME OF FACULTY
PATHOLOGY TUTORIAL
Lab investigations of Osteoporosis, Rickets
5 CLINICAL POSTING
&Osteomalacia A4+A1, VENUE
NAME OF FACULTY
6
PUBLIC HOLIDAY
690
ORTHOPAEDIC MODULE
SEMESTER-VII:
THEME OF THE WEEK:GOUT
WEEK: 4
10:30
Days 8:30 to 9:30 9:30 to 10:30 1:30-3:00
1:30
BIO
C/M
Revisit uric acid and DMARDS2 Clinical
Water sources and Purification
2 Pyrophosphate metabolism and NAME OF FACULTY Posting
NAME OF FACULTY
relationship to kidney function VENUE
VENUE
NAME OF FACULTY VENUE
4
PUBLIC HOLIDAY
CM: Control and Prevention of occupational DiseasesGp= A3
NAME OF FACULTY VENUE
NAME OF FACULTY VENUE
5 Clinical
FM:Spinal Injuries Gp= A5+A2 NAME OF FACULTY VENUE Posting
SBL Gp=A1 NAME OF FACULTY VENUE
CM: Control and Prevention of occupational Diseases
Gp= A4 NAME OF FACULTY VENUE
PATHOLOGY TUTORIAL: Lab investigation of Osteomyelitis Gp= A5 MED:
NAME OF FACULTY VENUE Clinical Diagnose and manage patient with
6
Posting GOUT
FM: Spinal Injuries Gp= A1, NAME OF FACULTY VENUE NAME OF FACULTY VENUE
SBL Gp= A2+A3 NAME OF FACULTY VENUE
691
ORTHOPAEDIC MODULE
SEMESTER-VII:
THEME OF THE WEEK:ARTHRITIS
WEEK: 5
10:00-12:30 PM
CM: Disposal of Waste A3 NAME OF FACULTYL VENUEVENUE
692
ORTHOPAEDIC MODULE
SEMESTER-VII:
THEME OF THE WEEK: Soft Tissue Disorders
WEEK: 6
Days 8:30 to 9:30 9:30 to 10:30 11:00 12:45 1:30-3:00
CM: Control and Prevention of occupational DiseasesGp= A2
NAME OF FACULTYVENUE
Med:
PATHOLOGY TUTORIAL: Lab investigation of Osteomyelitis Gp= A3
1 + A1 NAME OF FACULTYVENUE CLINICAL Clinical features and diagnosis and
POSTING management of SLE
FM:Spinal Injuries Gp= A4 NAME OF FACULTYVENUE
NAME OF FACULTYVENUE
SBL Gp=A5 NAME OF FACULTYVENUE
CLINICAL
POSTING Med
Ortho Clinical features and diagnosis and
Patho:
Soft tissue disorders management of systemic sclerosis
2 Skeletal muscles disorders
NAME OF FACULTY and polymyositis and
NAME OF FACULTYVENUE
VENUE dermatomyositis
NAME OF FACULTYVENUE
693
ORTHOPAEDIC MODULE
SEMESTER-VII:
THEME OF THE WEEK:BONE TUMORS
WEEK: 7
PATHOLOGY:
PEADS: COMMUNITY MEDICINE
Muscular Atrophies and WHO classification of Sports Medicine
1 bone tumors
Dystrophies Clinical Posting NAME OF FACULTY
NAME OF NAME OF FACULTY VENUE
FACULTYVENUE
VENUE
PATHOLOGY: ORTHOPEDICS
RADIOLOGY
WHO classification of Management of
Imaging techniques involved in diagnosis
2 bone tumors Benign bone tumors Clinical Posting
of bone tumors
NAME OF FACULTY NAME OF FACULTY
NAME OF FACULTY
VENUE
VENUE
VENUE
ORTHOPEDICS
ORTHOPEDICS
Management of
SPINAL INJURIES
3 malignant bone tumors Clinical Posting
NAME OF FACULTY
NAME OF FACULTY
VENUE
VENUE
Clinical Posting
4
Clinical Posting
5
6 MODULE TEST
694
LEARNING OBJECTIVES
At the end of the lecture the student should be able to:
ANATOMY
1. ORT 2 Ang1REVISIT: MORPHOLOGY OF BONES TYPES OF CARTILAGE
EPIPHYSIS + BLOOD SUPPLY APPLIED
Define bones, and its functions.
Classify the bones.
Describe the endochondral and intramembranous ossification.
Differentiate between different types of cartilage and know their locations.
EMBRYOLOGY
1. ORT 2 Ane1Development of skeletal system , explain the three germ
layers of spine + hip joint and concept of ossification .
695
RADIOLOGY
1. ORT 2 Rad1CONGENITAL ABNORMALITIES OF BONE &SKELETAL
SYSTEM DIAGNOSIS & MANAGEMENT
IdentifyOsteoporosis on X-RAY.
Explain the diagnostic factors of osteoporosis.
Describe its differential diagnostic and identification points .
BIOCHEMISTRY
1. ORT 2 Bio1 REVISIT OF CA, PHOSPHATE VIT D.
696
2. ORT 2 Bio 2PARATHYROID GLANDS
PATHOLOGY
697
3. ORT 2 Pth3DEVELOPMENTAL ABNORMALITIES IN BONE CELLS AND
BONE MATRIX.LECTURE (2)
698
9. ORT 2 Pth9HISTOPATHOLOGY OF BONE TUMORS
699
PEDIATRICS
1. ORT 2 Ped 1CHECKLIST AT BIRTH ,CONGENITAL DISLOCATION OF HIP.
Explain Anthropometrics.
Examine ,skin ,skull ,dimorphic features of eyes, ears, neck , chest , genitals
and foot .
Discuss the developmental dysplasia of hip and its complications.
Explain Rickets.
Discuss its Clinical features, differential diagnosis and management of
Rickets.
Explain the causes of short stature, endocrine, metabolic and other related
disorders.
Describe Osteogenesisimperfecta,ProgressiveDiaphysi,sDysplasia,Marfans
Syndrome ,Achondroplasia and Refractory Rickets.
700
Discuss Emery Dreifuss Dystrophy,
FacioscapulohumeralDystrophy,ScapuloperonealSyndrome,Oculopharyngeal
Dystrophy.
How to evaluate Congenital Muscular Dystrophies,Myotonic Dystrophy,
Limb-Girdle Muscular Dystrophies ,Spinal muscular atrophy (SMA).
PHARMACOLOGY
1. ORT 2 Pha1DRUG MANAGEMENT OF OSTEOPOROSIS & OSTEOMALACIA
701
6. ORT 2 Pha 6NSAIDS ( I and II)
702
ORTHOPAEDICS
1. ORT2 Ort 1TYPES ,CLASSIFICATION AND MANAGEMENT OF FRACTURES.
703
7. ORT2 Ort 7MANAGEMENT OF ACUTE OSTEOMYELITIS
704
13. ORT2 Ort 13SOFT TISSUE DISORDERS
MEDICINE
1. ORT 2 Med 1DIAGNOSIS ANDMANAGEMENT OF OSTEOPOROSIS AND
OSTEOMALACIA.
705
Discuss the differential diagnosis
Explain Juvenile idiopathic arthritis, Reiters Syndrome, Psoriatic arthritis
Define Epidemiology
Describe its pathophysiology
Diagnose the criteria for SLE
Enumerate its clinical features
Discuss its treatment and prognosis .
706
COMMUNITY MEDICINE
1. ORT 2 Com1INTRODUCTION TO OCCUPATIONAL HEALTH
707
7. ORT 2 Com7SPORTS MEDICINE
708
SCANERIO BASE LEARNING
709
LEARNING OBJECTIVE OF SKILL LAB CURRICULUM
INTRODUCTION/RATIONALE:
This is one of the essential skills required to handle an injured victim or patient with acute
medical emergency before reaching the hospital in order to prevent disability and death.
LEARNING OBJECTIVES
After this session the student should be able to:
1. Assemble a First Aid Kit with at least twelve essential contents.
2. Demonstrate appropriate communication skills while handling a patient requiring first
aid.(especially reassurance to patient)
I- Bleeding
3- Demonstrate the appropriate methods of managing external bleeding. (Direct pressure,
compressing pressure points, elevation).
V. Burns
7- Demonstrate the correct method of first aid management of burns.
710
TABLE OF SPECIFICATIONS
ROUND
WEEKS/HOURS 1st 2nd 3rd 4 5 6 7 Total
OFF
ANATOMY 1 1 2 1.53
3
EMBRYOLOGY 2 2 1.53
BIOCHEMISTRY 1.5 1.5 1.5 1 5.5 4.23 4
PHYSIO 1 1 0.76 1
12
PHARMA. 1.5 1 1.5 4 2.5 1.5 9.22 9
78.01 59.95 60
SBL 3 3 3 3 3
20
COMM 1.5
1.5 3 2.5 3 3 1.5 16 15
.MEDICINE
ETHICS 5
711
BLUEPRINT OF ASSESSMENT
ORTHOPAEDICS AND TRAUMA-2MODULE
(SEMESTER-VII)
SUMMATIVE ASSESSMENT
THEORY
ATP 25
EXAM
PAPER-II 80%
One best Questions
20
based on CBL
Total 100
One best Questions 50
MODULE EXAM
EMQs 10
ATP 20
MODULE PAPER 20%
One best Questions
20
based on SBL
Total 100
STRUCTURED VIVA
ASSESME
SEMESTE
R EXAM
See Semester
NT
Assessment Plan
FORMATIVE ASSESSMENT
ASSESSMENT TOOLS
Structured Feedback
ASSESSMENT DURING SBL SESSION Given to the Student by
Facilitator
NOTE: Paper I & IV-A of Semester-7 Examination are Based on EYE / ENT Module.
Paper III & IV-C of Semester-7 Examination are Based on Reproductive Syst.-2 Module.
712
CREDIT HOURS
SEMESTER-VII
ORTHOPAEDICS AND TRAUMA MODULE
Paper-II 4
ORTHOPAEDICS
AND TRAUMA
Paper-IV-B 2
713
Reproduction Module 2
Code: REP 2
Semester VII
Fourth Year MBBS
714
FIVE YEAR CURRICULAR ORGANIZATION
715
Module Committee
Dr. Talat Mirza Professor of Pathology, DUHS
Dr. Rukhsana Rubeen Associate Professor of BiochemistryDUHS
Dr. Shamaila Khalid Assistant Professor of Pharmacology, DUHS
Dr. Jahan Ara Associate Professor of Gynae,& Obs. DUHS
Dr. Riffat Jaleel Associate Professor of Gynae&Obs.DUHS
Dr. Shaheen Bhatti Associate Professor of Medicine, DUHS
Dr. Fehmina Arif Professor of Pediatrics DUHS
Coordinated by:
Reviewed by:
Modular committee
Curriculum committee
716
RATIONALE:
A Student stepping into a medical school requires orientation, introduction to medical sciences
with respect to health & disease. A student also needs certain guidelines to achieve goals to
become a successful but ethical doctor in future.
More than half of the population of Pakistan are females. Diseases related to female and male
reproductive systems constitute a large segment of medical practice in all countries. These
diseases together with pregnancy and its related disorders are the core teaching in this module.
The importance of gynecology and obstetrics is well reflected in the curriculum as it will be
revisited as a subject in the third spiral.
The basic knowledge of anatomy, physiology, biochemistry, pharmacology and pathology has
already been imparted in the first Reproduction module. Inthis second, clinical, spiral the
student will develop further understanding of the pathology, clinical presentation, diagnosis
and management of reproductive disorders, normal pregnancy and its disorders.
TERMINAL OBJECTIVE:
At the end of this module students should be able to:
Recall the anatomy & physiology of male and female reproductive system.
Discuss the etiology of early pregnancy disorders.
Differentiate the non-neoplastic lesions of male and female genital tract.
Differentiate between primary and secondary amenorrhea and discuss the
management of infertility.
Interpret the semen analysis report.
Explain the clinical features diagnosis and management testicular tumors.
Define safe motherhood and its components.
Differentiate between the urinary and fecal incontinence its clinical presentation and
discuss the management plan.
Recognize the gestational diabetes mellitus and pregnancy induced hypertension and
their management.
Compare between antepartum and postpartum hemorrhage.
Enlist the principles of vaccinations and describe the E.P.I
Recognize the malposition and malpresentation of human fetuses and their
management
Illustrate the minor and major surgical gynecological and obstetrics procedures
Assess the respiratory distress n newborn and steps of neonatal resuscitation
Compare between normal and abnormal labor
717
LEARNING OBJECTIVES OF MODULE
Lectures
Demo:
Tutorials
Practical
Skills Lab
CBL 6
teaching
Bed side
Study
Self
EMQS
One Best,
ATP
viva
Learning
Faculty Topic/ Content
Objectives
Modes of information Transfer Assessment
718
Describe causes of MICROBOILOG Rep 2 Mic1Infectioninflammations
vaginal discharge
Y stis: lower gt vaginal discharge,
and genital ulcers
bartholinscyst/disease, genital
Describe STI of ulcers,HPV,HSV, HIV, other
female genital tract viruses.
with pertinent lab
investigations 1 * - *
Identify and discuss
causes clinical
presentation,
diagnosis and
management of
infections of vulva,
vagina
Discuss the GYNECOLOGY Rep 2 Obg 4Upper GTPID acute
causes & OBSTETRICS & chronic (cervicitis, endometritis,
1
pathogenesis, salpingitis, pelvic p)pelvic * - *
diagnosis tuberculosis
,complications
and management
Describe STI of GENERAL Rep 2 Sur 1 Infections of MGT
of PIDgenital
male SURGERY including epididimytis, orchitis,
tract with prostatitis. 1 * - *
pertinent lab
investigations
Discuss PATHOLOGY Rep 2 Pth 3
reproductive Endometerial Hyperplasia 1 1 * - *
hormones and
PHARMACOLO Rep 2 Pha1Synthetic male and female
pathophysiology,
diagnosis and GY sex hormones
management of
endometrial
1 * - *
hyperplasia
Identify
contraceptive Rep 2 Pha2Contraceptive
agents Preparations
1 * - *
including Rep 2 Obg 5Contraception (Fertility
various GYNECOLOGY Control)
methods their & OBSTETRICS
advantages and
disadvantages
1 * * *
contraindicatio
ns and failure
rate
Describe normal Rep 2 Peds 1Puberty &Disorders Of
puberty etiology PAEDIATRICS Puberty Precocious,
DelayedProblemsOfAdolescence And
management of
Pediatrics
1 * - *
precocious and
delayed puberty
Discuss, GYNECOLOGY& Rep 2 Obg6Pcos
diagnosis OBSTETRICS
1 * * *
consequences
INTEGRATED Rep 2 Gynae SBL 3
and management
of PCOS LEARNING 1 * - *
719
Describe etiology GYNECOLOGY& Rep 2 Obg 7Hirsutism/Virilisation
pathophysiology OBSTETRICS
diagnosis and
management of
1 * * *
hirstuism and
virulisation
Discuss etiology GYNECOLOGY& Rep 2 Obg
pathophysiology OBSTETRICS 8PathophysiologyMenstrualCycleAUB, 1 * - *
diagnosis and DUB
management of INTEGRATED Rep 2 ObgSBL 4
menstrual LEARNING
1 * - *
disorders
GYNECOLOGY& Rep 2 Obg 9Dysmenorrhea, PMS
OBSTETRICS
1 * * *
Rep 2 Obg 10Amenorrhoea, Primary
1 * * *
Rep 2 Obg 11SecondaryAmenorrhoea, 1 * * *
Describe GYNECOLOGY& Rep 2 Obg 12Menopause & HRT
mechanism OBSTETRICS
pathophysiology,
Diagnosisand
1 * * *
management of
menopause
Relate male GYNECOLOGY Rep 2 Obg 13Male And Female
and female & OBSTETRICS Infertility (Medical And Surgical 1 * - *
infertility with Causes)
pathological INTEGRATED
causes and LEARNING Rep 2 Obg SBL 5 1 * - *
mechanism GYNECOLOGY Rep 2 Obg 14AssistedReproductive
along with & OBSTETRICS Techniques
labortaryinvesti
gationsdiagnosi
s medical * - *
treatment and
surgical
procedures
Discuss PATHOLOGY Rep 2 Pth 4 Pre-InvasiveLesion Of
etiopathogenes FGT:VIN, VAIN,CIN, 1 1 * * *
is, diagnosis SKILL LAB Rep 2UGLSKILL:CATHETERIZATION
and
1 * * *
management GYNECOLOGY& Rep 2 Obg 15Diagnosis And
of preneoplasia OBSTETRICS Management Of Pre-Invasive Lesions 1 * - *
and neolplastic Of Vagina & Cervix
lesion of lower PATHOLOGY Rep 2 Pth5Non Neoplasic& Neoplastic
genital tract in Lesions Of Lower FGT 1
females and
* * *
males
Discuss the GYNECOLOGY& Rep 2 Obg 16Management Of Ca
benign and OBSTETRICS Cervix: 1 * - *
malignant Rep 2 Obg 17Benign And Malignant
tumors of Tumors Of Vulva
vulva, vagina
1 * - *
and cervices
720
Discuss GYNECOLOGY& Rep 2 Obg 18ClinicalDiagnosis
etiopathogenes OBSTETRICS &Management.Fibroids,EndometrialP
is, diagnosis olyps,EndometrialH/P: Pathology
1 * * *
&ClinicalAdenomyosis&Endometriosis
and
management, INTEGRATED Rep 2 ObgSbl 6
spread LEARNING
1 * - *
complications, PATHOLOGY Rep 2 Pth6Benign & Malignant 1
staging and Endometrial Tumors
1 * * *
prognosis of Rep 2 Obg 19Benign Tumors of Body 1
malignant GYNECOLOGY& Of Uterus * - *
tumors of OBSTETRICS Rep 2 Gynae
upper female 1
20MalignantTumoursofBody Of * - *
and male Uterus
genital tract PATHOLOGY Rep 2 Pth7Ovary:
NonNeoplasticLesions:Follicular,Corpu
sLuteumCysts,
ThecaLutealCysts,SurfaceEpithelialIncl
1 * * *
usion Cysts(Functional
Cysts)
Rep 2 Pth8Tumours
ofOvaryAndFallopian Tube
1 * * *
Rep 2 Pth 9Tumours Of
Ovary 1 1 * * *
GYNECOLOGY& Rep 2 Obg 21Clinical
1
OBSTETRICS MalignantTumoursOfOvaryAndFallopi * - *
an Tube
WHO strategies COMMUNITY Rep 2 Comm1Maternal Care
for safe MEDICINE
motherhood
initiative
1
-briefly describe * - *
the strategies
and discuss
their
importance of
reducing Rep 2 Pth10Neoplastic Leisions Of
Discuss PATHOLOGY
maternal
etiopathogenes Male Genital Tract (Testicular Tumors)
1 1 * * *
mortality in Rep 2 Sur2 Tumours Of Testis:
is, diagnosis GENERAL
Pakistan
and SURGERY (Management)
management,
spread
complications, 1
staging and * - *
prognosis of
malignant
tumors of male
genital tract
Describe GYNECOLOGY& Rep 2 Obg 22UrogynacologyUrinary
etiopathology OBSTETRICS AndFaecalIncontinence
1 * - *
diagnosis Rep 2 Obg 23Pelvic OrganProlapse
management
and
complications 1 * - *
of
urogynaecologi
calconditions
721
Discuss and PATHOLOGY rep 2 Pth11Mastitis, DuctEctasia,
analyze mass in FatNecrosis,
the breast in NonProliferativeAndProliferative
1 * * *
Breast Diseases
relation to
inflammatory, Rep 2 Pth12Risk Factors And
Classification Of Breast Tumors With 1
hyperplastic
Grading,Staging,Prognosis Lymphatic
1 * * *
and neoplastic
Drainage
disorders of
GENERAL Rep 2 Sur3 Diseases Of Breast 1
male and
female breast SURGERY Diagnosis And Management * - *
INTEGRATED Rep 2 Sur Sbl 6
LEARNING
1 * - *
Obstetrics Faculty Topic / Content
Tutorials
Practical
Lectures
Demo:
Study
Skills
CBL /
(REGULAR)
One
viva
Self
ATP
Best,
EMQ
SBL
Lab
S
Enlist PEDIATRIC Rep 2 Peds Sur 1Congenital
congenital SURGERY Anomalies ofFetus AndNewborn
abnormalities Structural /Chromosomal
Cryptorchism,Epispadias,Hypospadia
and their
s,Hydrocoele,UndescendedTestisHyd
*
causes with 1
-
rocephalusCleft Lip AndPalate,
relevant history CysticHygroma,HerniasCdh,Tev,Hem
taking and angioma,
methods of Goiter,Ambiguous
examination Genitalia
with diagnoses GYNAECOLOGY Rep 2 Obg 24 Prenatal 1
*
-
and & OBSTETRICS diagnoses:Noninvasiveand Invasive
management
Social obstetric COMMUNITY Rep 2 Comm 2Infant Care
options
care MEDICINE 1
-definition
*
-
-concept and
practice Rep 2 Obg25High risk pregnancy
Identify GYNAECOLOGY
pregnancies at & PlanManagementof high
risk OBSTETRICS riskpregnancyDiscuss
Plan clinicalRiskmanagement
management
*
*
-
of high risk 1
pregnancy
Discuss clinical
risk
management
Describe GYNAECOLOGY Rep 2 Obg26Normal fetalgrowth
normal and & anddevelopmentAbnormalitiesof
*
1
-
*
-
uses 1
-
interpretation
722
Discuss clinical PEDIATRICS Rep 2 Peds 2 Clinical Presentation
presentation, Complication and out line of
causes, Management of IUGR baby
*
diagnosis and
-
1
management
of abnormal
fetal growth
Describe GYNAECOLOGY Rep 2 Obg27Amniotic fluid and
physiology of & abnormalities (poly hydramnios,
amniotic fluid OBSTETRICS oligohydramnios)
Discuss causes,
pathogenesis,
*
1
-
diagnosis and
management
of amniotic
fluid
abnormalities
Describe the GYNAECOLOGY Rep 2 Obg28Pretermlabour and
clinical & PPROM
presentation , OBSTETRICS
assessment,
1
*
*
*
complications
and
management
of preterm
birth
Discuss the effect PEDIATRICS Rep 2 Peds 3Causes of
of prematurity prematurity, PhysicalExamination
and PROM on
of a preterm,common problems
the Neonate
like Respiratory distress
hypothermia,Hypoglycemiahypoc 1
*
-
alcemia Infection
andFeedingproblems
Prevention of complications
Outline of management
INTEGRATED Rep 2 PedsSBL 6
1
*
*
-
LEARNING
Describe patho- PATHOLOGY Rep 2 Pth13Disorders of
physiology and placentation
*
*
*
disorders of
placentation
723
Describe patho- PATHOLOGY Rep 2 Pth14Describe the effect of
physiology of blood group Incompatibilities on
Rh the neonate
isoimmunizatio
n
Discuss
prevention and
management 1
*
*
*
1
of Rhesus
disease
Describe the
effect of blood
group
Incompatibilitie
s on the
neonate
Discuss causes PEDIATRICS Rep 2 Peds 4Antenatal screening,
,presentation screening inlabor room, Clinical
and presentation Investigations,
*
1
-
management complication management
of neonatal
jaundice
Identify clinical CLINICAL Rep 2 Med1 Medical disorders
presentation, MEDICINE ofpregnancy:Cardiac Diseases
*
1
-
patho- hemodynamic changes
physiology, GYNAECOLOGY Rep 2 Obg29Medicaldisorders of
diagnosis,
*
& pregnancy:Hypertensive Disorder 1
-
complications OBSTETRICS
and
GYNAECOLOGY Rep 2 Obg30Medicaldisorders
management
*
& ofpregnancy:Diabetes in 1
-
of medical
OBSTETRICS Pregnancy
disorders in
GYNAECOLOGY Rep 2 Obg31Medicaldisorders
pregnancy
& ofpregnancy:Hemotological
*
1
-
OBSTETRICS disorders in pregnancy
*
medical Diabetic mother -
disorders on
the neonates
Discuss clinical GYNAECOLOGY Rep 2 Obg32Ante partum
presentation, & Haemorrhage:Placenta
pathophysiolog OBSTETRICS Praevia , Abruptioplacentae
y, diagnosis, Vasa praeviaand localcauses
*
1
-
complications
and
management
of APH
Discuss clinical GYNAECOLOGY Rep 2 Obg33Post partum
presentation, & Haemorrhage: Uterine
pathophysiolog OBSTETRICS AtonyRetainedplacenta
y, diagnosis, Trauma Coagulationdisorders
*
1
-
complications andenlist
and surgicalInterventionsFormanagem
management ent
of PPH
724
Discuss clinical GYNAECOLOGY Rep 2 Obg34 Multiple pregnancy
presentation, &
patho OBSTETRICS
physiology,
diagnosis,
*
complications 1
-
and
management
of multiple
pregnancy and
labor
Discuss GYNAECOLOGY Rep 2 Obg 35Abnormal labor:
etiology, & Abnormalities of pelvis,
clinical OBSTETRICS Contracted pelvis Poor progress in
features,
labour
*
*
*
complications 1
and Prolonged /Obstructed
management Labour Augmentation of labour
of abnormal
labour
Immunization COMMUNITY Rep 2 Comm 4 Principles of
-Immunity, MEDICINE vaccination
*
types of 1
-
immunity, EPI
schedule
IMNCI COMMUNITY Rep 2 Comm Med 5Introduction
- introduction MEDICINE to IMNCI
-enlist
1
components-
*
-
strategies and
importance of
IMNCI
IMNCI COMMUNITY Rep 2 Comm Med 6 1
*
*
-
MEDICINE CoughDiarrhea
Fever
Discuss causes, PEDIATRICS Rep 2 Peds 6Neonatal sepsis
clinical Clinical presentation,
presentations, septic screening of the neonate
complications 1
and outline of management
*
*
-
and
management
of neonatal
sepsis
Describe GYNAECOLOGY Rep 2 Obg 36Malpresentations
indications and & andmalpositionsExternal 1
*
*
*
1
complications OBSTETRICS Cephalicversion
of operative
delivery Rep 2 Obg 37breech vaginal
*
*
*
delivery 1
Surgical Procedures 1
Rep 2 Obg39Instrumental
*
*
*
VaginaldeliveryOperative 1
Interventionsincluding LSCS
725
Discuss the PEDIATRICS Rep 2 Peds 7Causes of birth
causes, asphyxia, clinical presentation,
presentation and evaluation and outline of
management of
*
*
*
management 1
birth asphyxia
Identify common birth injuries in
and birth injuries
the neonates, their complications
and outline the management.
To enlist and PEDIATRICS Rep 2 Peds 8Indications of
perform the Resuscitation Prerequisites
steps of Steps of resuscitation
*
*
*
1
neonatal Routine care,PositivePressure
Resuscitation ventilation Chest compression,
Use of drugs
Describe the PEDIATRICS Rep 2 Peds 9Congenital and
causes clinical acquiredpneumonia, Hyaline
presentation membrane disease, Meconium
and outline of aspiration, Transienttachypnoea,
*
1
-
management Pneumothorax
of respiratory Congenitalheartdiseases
distress in
newborn
Discuss causes, GYNAECOLOGY Rep 2 Obg40Obstetric
clinical & emergencies:Severe PE /
presentation, OBSTETRICS EclampsiaHaemorrhage
diagnosis and VenousThromboembism
management Amniotic fluidembolism
*
1
-
of obstetric Post-partumcollapse
emergencies Inversion
ofuterusUterineRuptureUmbilicalc
ordprolapseShoulderdystocia
Manage normal GYNAECOLOGY Rep 2 Obg 41Puerperium:
puerperium & NormalAbnormal:SecPPHHaemato
Diagnose and OBSTETRICS maObstetricpalsySymphysispubisd
*
1
-
manage iastasisPuerperialpyrexia and
problems of sepsis
puerperium
Describe the PEDIATRICS Rep 2 Peds 10Breast feeding in
steps of babies with special problems
*
*
*
1
positioning and (Preterm, cleft lip)
attachment of COMMUNITY Rep2 Comm 7 Breast feeding
Breast feeding MEDICINE
Discuss the
common and
*
1
-
special
problems of
breast feeding
Describe GYNAECOLOGY Rep 2 Obg 42Safemotherhood
concept and &
*
motherhood,
MDGs
726
Describe GYNAECOLOGY Rep 2 Obg 43 Obstetric Statistics:
terminologies & MMR, PNMR causes of maternal
in relation to OBSTETRICS andperi-natalmortality and
obstetric Neonatalmortality rate
statistics
*
Describe causes 1
-
of maternal,
perinatal
mortality and
neonatal
mortality rate
727
REPRODUCTION MODULE II
TIME TABLE
(This time table was for year 2015. Holidays represent actual holidays in that year)
FIRST WEEK
E= Physiology: Physiology of
male & female hormonesName of
Faculty Venue
2 PUBLIC HOLIDAY
Pathology Clinical
Anatomy 1. C
Developmental Posting
Revisit of Male 2. D
disorders of MGT
3 Genital tract
and FGT Name of Faculty 3. E1,(E2= Self Study)
Name of Faculty
Venue
Name of Faculty Venue 4. A
Venue 5. B
Pathology 1.B
Etiology of early 2.C 10:30-12:00
Pregnancy 3.D1,
4 Disorders
(D2= Self Study) Clinical Posting
Name of Faculty
Venue 4.E
5.A
5
MODULE TEST THEORY AT OJHA CAMPUS
(02:00pm till 04:30pm) ( Orthopedic)
728
SEMESTER 7
REPRODUCTION MODULE II
TIME TABLE WEEK 02,
Pathology Gynecology
Gestational 1.D
Etiology of early 2.E
Pregnancy trophoblastic
diseases 3.A1
1 Disorders Clinical
Name of Faculty (A2=Self Study)
Name of Faculty Posting
Venue Venue 4.B
5.C
Gynecology
Diagnosis & management 1.B 1.E
of early pregnancy 2.C
Clinical 2.A
disorders 3.D1,
2 Posting 3.B (B2=Self study)
(Abortions/Miscarriage) (D2=Self Study)
Name of Faculty 4.E 4.C
Venue 5.A 5.D
3 PUBLIC HOLIDAY
A= Case Preparation
B=Pathology Practical
Endometrial
Gynecology Pathology HyperplasiaName of Faculty
Pathophysiology of Venue
4 Ectopic pregnancy
Name of Faculty Endometrial Clinical C2= Skill lab: Breast
Venue Hyperplasia Posting Examination
Name of Faculty C1==Self Study
Venue D=Pharmacology
tutorial=Synthetic male &
female HormonesName of
Faculty Venue
E= CBL
MICROBIOLOGY GYNECOLOGY
STIs & PID in
STIs in females 10:30-12:00
5 female
Name of Faculty Clinical Posting
Venue
Name of Faculty
Venue
GENERAL
SURGERY 1. B
STIs in males: MGT RESEARCH 2. C
including METHODOLOGY Clinical
6 3. D2= SKILL LAB
Name of Faculty
Epididimytisorchitis, Posting D1= SELF STUDY
Venue
prostatitis 4. E
Name of Faculty
Venue 5. A
729
REPRODUCTIVE MODULE 2
TIME TABLE WEEK 03SEMESTER - 7
Days 8:30 to 9:30 9:30 to 10:30 11:00-12:30 1:30-3:00
Pharmacology 1. C
Contraceptive
Gynecology 2. D
Contraception Clinical 3. E2=Skill Lab
1 Preparations Posting (E1= Self Study)
Name of Faculty Venue
Name of Faculty Venue
4. A
5. B
1. D
Pediatrics 2. E
Gynecology
Puberty & disorders 3. A2= Skill Lab
PCOS Clinical
2 of puberty ( A1= Self Study)
Name of Faculty Venue Posting
Name of Faculty Venue 4. B
5. C
Pathology Gynecology 1. E
Infections and Pre- Pathophysiology of 2. A
invasive lesion of FGT: menstrual cycle Clinical 3. B2= Skill Lab
3
VIN, VAIN, CIN AUB, DUB Posting (B1= Self Study)
Name of Faculty Venue Name of Faculty Venue 4. C
5. D
Pathology
Non-neoplastic and Gynecology Gynecology
neoplastic lesions of Clinical Primary Amenorrhoea
4 Hirsutism
Lower Female genital Posting Name of Faculty Venue
tract FGT
/Virilisation
Name of Faculty Venue
Name of Faculty Venue
Gynecology
Gynecology SecondaryAmenorrh
5 Dysmenorrhea, PMS oea Clinical Posting
Name of Faculty Venue Name of Faculty Venue
6 PUBLIC HOLIDAY
730
REPRODUCTIVE MODULE II
TIME TABLE WEEK 04 SEMESTER 7
A=SBL
Pathology G surgery
Neoplastic disorders Testicular tumors
5 male genital tract management Clinical Posting
(Testicular Tumors) Name of Faculty Venue
Name of Faculty Venue
Pathology Gynecology
1.E
Tumors of Uterine Benign & Malignant
2.A
corpus tumors of Vulva 3.B
6
(Benign and Malignant Clinical Posting 4.C
endometrial Tumors) Name of Faculty Venue 5.D1= Skill Lab D2= Self Study
Name of Faculty Venue
731
REPRODUCTIVE MODULE II
TIME TABLE WEEK 05 SEMESTER 7
Days 8:30 to 9:30 9:30 to 10:30 11:00 -12:30 1:30-3:00
A= Case Presentation: WARDS
B= Pathology Practical:
:Testicular Tumors
Gynecology & Gynecology &
Name of Faculty Venue
Obstetrics Obstetrics
Benign Tumors of Malignant Tumors of Clinical
1 C= Pathology Tutorial: Tumors
Uterine corpus Uterine corpus Posting
of uterine Corpu Name of Faculty
Name of Faculty Venue Name of Faculty Venue Venue
Research 1. B
CM Methodology 2. C
Maternal Care Research Proposal & Clinical 3. D
2 Name of Faculty Venue Literature Review Posting 4. E1=SELF STUDY
Name of Faculty Venue
E2= SKILL LAB
5. A
Gynecology 1. C
Clinical diagnosis & Pathology
2. D
Management of Ovary Non-neoplastic
lesions (Functional Clinical 3. E
3 FibroidsAdenomyosis
Posting
& endometriosis Cysts) 4. A1=SELF STUDY
Name of Faculty Venue Name of Faculty Venue A2= SKILL LAB
5. B
1. D
Pathology Gynecology &
Tumors of fallopian 2. E
Obstetrics
tube and Ovary Clinical 3. A
4 Ovarian tumors
Posting
Name of Faculty Venue Name of Faculty Venue 4. B1=SELF STUDY
B2= SKILL LAB
5. C
Pathology CM
Tumors of Ovary Infant Care Clinical
5 Name of Faculty Venue Name of Faculty Venue Posting
1. E
Gynecology Research
2. A
Urinary and Fecal Methodology
Clinical 3. B
6 incontinence Name of Faculty Venue
Posting 4. C1=SELF STUDY
Name of Faculty Venue
C2= SKILL LAB
5. D
732
REPRODUCTION MODULE 2
TIME TABLE WEEK (06) SEMESTER 7
Day
8:30 to 9:30 9:30 to 10:30 11:00 -12:30 1:30-3:00
s
1. A=Case Preparation (Obstetrics)
Pathology WARDS
Mastitis, duct ectasia, 2.B=Pathology Practical: Tumors of
fat necrosis, non Gynecology the ovary Name of Faculty Venue
1 proliferative and Pelvic organ prolapse Clinical Posting
proliferative breast Name of Faculty Venue 3.C=Pathology Tutorial: Breast tumors
diseases
Name of Faculty Venue 4.D=SELF STUDY
5.E=SBL WARDS
Pathology
1. B
Risk factors ,
G. Surgery 2. C
classification of breast
Diseases of Breast
tumors with grading, 3. D
2 Diagnosis and Clinical Posting
staging, prognosis 4. E
management
with lymphatic
Name of Faculty Venue 5. A
drainage
Name of Faculty Venue
Pediatrics Surgery 1. C
Obstetrics
Congenital 2. D
Prenatal diagnosis:
abnormalities with
3 non invasive and Clinical Posting 3. E
diagnoses and
Invasive 4. A
management options
Name of Faculty Venue
Name of Faculty Venue 5. B
1. D
Obstetrics Obstetrics 2. E
4 High risk pregnancy IUGR, IUD Clinical Posting 3. A
Name of Faculty Venue Name of Faculty Venue
4. B
5. C
Pediatrics
Clinical presentation , Community
complications and out Medicine
5 Clinical Posting
line of management of MCH indicators
IUGR baby Name of Faculty Venue
Name of Faculty Venue
Research 1. E
Obstetrics methodology 2. D
Amniotic fluid Study Design & Clinical
6 3. A
abnormalities Research Ethics Posting
Name of Faculty Venue Name of Faculty Venue 4. B
5. C
733
REPRODUCTION MODULE 2
TIME TABLE WEEK 07SEMESTER 7
Obstetrics Pathology
Pediatrics Pathophysiology of Rh
Preterm labour and Clinical Posting
1 Prematurity incompatibility
PPROM Name of Faculty Venue
Name of Faculty Venue Name of Faculty Venue
Pathology
Disorders of Obstetrics
Pediatrics
placentation, Clinical Posting Hypertension in
2 Neonatal Jaundice
Name of Faculty Venue preeclampsia pregnancy
&eclampsia Name of Faculty Venue
Name of Faculty Venue
Obstetrics
Obstetrics
Haematological CM
Diabetes in Clinical Posting
3 disorders in Principles of vaccination
pregnancy Name of Faculty Venue
Name of Faculty Venue
pregnancy
Name of Faculty Venue
Obstetrics
Pediatrics Ante partum
5 Infant of Diabetic mother Clinical Posting
Name of Faculty Venue Haemorrhage
Name of Faculty Venue
Medicine
Obstetrics
Hemodynamic CM
Post partum Clinical Posting
6 changes and Immunization
Haemorrhage Name of Faculty Venue
Name of Faculty Venue
cardiac disease in
pregnancy
Name of Faculty Venue
734
REPRODUCTION Module 2
TIME TABLE WEEK 08 SEMESTER 7
5.E=Self study
Peadiatrics Research 1. B
Infant of diabetic Methodology 2. C
2 mother Name of Faculty Clinical Posting 3. D= CBL SURGERY
Name of Faculty Venue Venue 4. E
5. A
1. C
Obstetrics 11:00 TO 12:00 12:00 TO 01:00
Peadiatrics Breech vaginal CM 2. D
3
Pediatrics IMNCI
Neonatal Sepsis delivery 3. E= CBL SURGERY
Birth asphyxia Name of
Name of Faculty Venue Name of Faculty 4. A
Name of Faculty Venue Faculty Venue
Venue
5. B
1. D
Obstetrics Obstetrics Research
Pediatrics Malpresentations 2. E
Minor and major methodology
4 Neonatal Resuscitation and malpositions 3. A= CBL SURGERY
surgical procedures Name of
Name of Faculty Venue Name of Faculty 4. B
Name of Faculty Venue Faculty Venue
Venue
5. C
Obstetrics
11:00 TO 12:00
Pediatrics Instrumental
Obstetrics
respiratory distress in vaginal Delivery
5 including LSCS Perpeurium
newborn
Name of Faculty Normal &Abnormal
Name of Faculty Venue
Venue Name of Faculty Venue
Pediatrics Obstetrics
Problems Obstetrics Safe 1. E
Pediatrics associated with Obstetrical Motherhood,MDG 2. A
Breast feeding lactation in emergency s
6 3. B =CBL SURGERY
and lactation mothers Name of Faculty Name of Faculty
Name of Faculty Venue Name of Faculty Venue 4. C
Venue
Venue 5. D
735
Reproduction Module 2
TIME TABLE WEEK 09 SEMESTER 7
Days 8:30 to 9:30 9:30 to 10:30 11:00 12:00 12:00 ---- 01:00 1:30-3:00
Obstetrics
Obstetrics Obstetrics CM
Obstetric
Peurperium Normal Safe Breast
&abnormal Statistics:
1 Motherhood, Feeding
MMR,PNMR
Name of Faculty
MDGs Name of Faculty Name of
Venue Name of Faculty Venue Faculty Venue
Venue
2 SELF STUDY
3 MODULE TEST
736
LEARNING OBJECTIVES
AT THE END OF THE LECTURE THE STUDENT SHOULD BE ABLE TO
GROSS ANATOMY
1-REP 2 Ang1 Revisit of Female genital system
PHYSIOLOGY
Pharmacology
1-REP 2 Pha1Contraceptive Preparations
737
PATHOLOGY
Define abortion.
Define molar pregnancy.
Describetypes of moles.
Defineectopic pregnancy.
5-REP 2 Pth5Non-neoplastic and neoplastic lesions of Lower Female genital tract FGT
Describe the non neoplastic conditions of the Endometrium, including acute &
chronic endometritis.
Define Adenomyosis and endometriosis.
Enlistthe microscopic features of adenomyosis and endometriosis.
Describe the salient features of endometrial polyps.
738
6-REP 2 Pth6Tumors of Uterine corpus (Benign and Malignant endometrial Tumors)
11-REP 2 Pth11Mastitis, duct ectasia, fat necrosis, non proliferative and proliferative
breast diseases
Defineacute mastitis.
Defineperiductal mastitis.
Definemammary duct ectasia.
739
Definefat necrosis.
Enlistnon proliferative breast diseases.
Enlistproliferative breast diseases without atypia.
MICROBIOLOGY
1- REP 2 Mic 1STIs in females
COMMUNITY MEDICINE
1- REP 2 Comm1Maternal Care
Define Reproductive health
Identify the components of Reproductive health
Enlist the aims and objectives of Reproductive health
Define and discuss the maternal Health
Discuss the importance of antenatal visits
740
2- REP 2 Comm 2Infant Care
Define IMNCI.
Enlist components of IMNCI.
Discuss strategies and importance of IMNCI.
741
Discuss strategy of WHO breast feeding
742
6-REP 2 Obg6PCOS
Define Hirsuitism
Enumerate the causes of hirsuitism
Enlist the investigations for hirsuitism
Discuss the management and treatment of hirsuitism.
743
11-REP 2 Obg 11Secondary Amenorrhoea
Define Menopause
List causes of menopause
Explain Pathophysiology of menopause
Discuss Mechanism of menopause
Discuss Diagnosis ,management and tretment of menopause
15-REP2 Obg 15Diagnosis and management of pre- invasive lesions of vagina & cervix
744
17-REP 2 Obg 17Benign & Malignant tumors of Vulva
Define Ovariantumours.
List symtomps of ovarian tumours.
Describe different types of ovarian tumours
Discuss diagnosis , management and treatment of ovarian tumours.
745
23REP2 Obg 23Pelvic organ prolapse
Define UVP
Describe prevalence, classsification, grading of UVP
Describe aetiopathogenesis in relation to pelvic floor supports.
Describe symptoms associated with uvp, diagnosis & differential diagnosis.
Enumerate complications of prolapse,
Discuss relevant investigations.
Describe preventive measures.
Describe conservative management.
Enlistsurgical procedures.
Define IUGR.
Describe risk factors for IUGR.
Discuss classification of IUGR.
Explain etiology of IUGR.
Explain the causes of IUGR.
Discuss diagnosis and management of IUGR baby.
746
28- REP 2 Obg28Preterm labour and PPROM
Define PPH.
Enlist major causes of PPH.
Discuss factors leading to PPH.
Interpret the lab investigations.
Discuss diagnosis, management and treatment of PPH.
747
34-REP 2 Obg34 Multiple Pregnancy
748
39- REP 2 Obg 39Instrumental vaginal Delivery
Define Puerperium.
Explain Physiology of the puerperium
Describe Clinical manifestaion of puerperium
Discuss Diseases of puerperium
Discuss management & treatment of diseases of puerperium.
749
GENERAL SURGERY
1- REP 2 Sur 1STIs in males: MGT including Epididimytisorchitis, prostatitis
PEDRIATRIC SURGERY
1- REP 2 Peds Sur 1Congenital abnormalities with diagnoses and management options
750
PEDRIATRICS
1- REP 2 Ped 1Puberty & disorders of puberty
Define prematurity.
List the causes of prematurity.
Assess gestational age at birth.
Explain problems related to prematurity.
Discuss the prevention , management and prognosis of prematurity.
751
7-REP 2 Ped7Birth asphyxia
10-Rep 2 Ped 10Breast feeding and lactation Problems associated with lactation in mothers
MEDICINE
1- REP 2 MED1Cardiac Diseases In Pregnancy
752
SCENARIO BASED LEARNING
Sbl 1
Define polycystic ovarian disease
Discuss pathophysiology of PCOS
Discuss the long term consequences of PCOS
Explain management poly cystic ovarian disease
Sbl 2
Perform clinical assessment of female factors in infertility, by history and
examination of female.
Perform clinical assessment of male factors in infertility, by history and
examination of husband
Describe relevant investigations for female.
Describe relevant investigations for male.
Describe causes of infertility
Sbl 3
Recognize the causes of collapse in obstetric patient
Discuss the prevalence and types of post-partum haemorrhage
Recognize risk factors related to PPH
Analyze the clinical findings to find the cause of PPH
Interprete lab reports in a patient with hemorrhage
Discuss the complications in a patient with neglected PPH
Discuss the emergency management of obstetric patient with collapse
Outline the measures required to control PPH & management following that
Discuss means to prevent PPH
753
LEARNING OBJECTIVE OF SKILL LAB CURRICULUM
EXAMINATION OF BREAST
INTRODUCTION / RATIONALE:
The clinical breast examination (CBE) can be used either for screening (to detect breast cancer
in asymptomatic women) or for diagnosis (to evaluate women who present with breast
complaints).
Students often avoid examination of the breasts during routine physical exam because of
shyness. It should be an essential part of routine physical examination for early detection of
breast disease.
LEARNING OBJECTIVES:
c. Fibro adenoma
d. Carcinoma
754
TABLE OF SPECIFICATION
Total ROUND
WEEKS/HOURS 1st 2nd 3rd 4th 5th 6th 7th 8th including OFF For
practical *** Paper 3
MICROBIOLOGY - 1 - - - - - - 1 0.84 1
GYNAECOLOGY\
- 4 7 9 5 5 8 9 47 39.49 39+4
OBSTETRICS
PHARMA. - 1.5 1 - - - - - 2.11 2
2.5
GEN. SURGERY - 1 - 1 - 2 - - 4 3.38 3+3
Total 2 for - 3
- 1.5 - 1.5 1.5 1.5 9 7.62 8
SBL
755
BLUEPRINT OF ASSESSMENT
REPRODUCTIVE 2 MODULE -2 MODULE
(SEMESTER-VII)
SUMMATIVE ASSESSMENT
THEORY
ATP 25
EXAM
PAPER-III 80%
One best Questions
20
based on CBL
Total 100
One best Questions 50
MODULE EXAM
EMQs 10
ATP 20
MODULE PAPER 20%
One best Questions
20
based on SBL
Total 100
STRUCTURED VIVA
ASSESME
SEMESTE
R EXAM
See Semester
NT
Assessment Plan
FORMATIVE ASSESSMENT
ASSESSMENT TOOLS
Structured Feedback
ASSESSMENT DURING SBL SESSION Given to the Student by
Facilitator
NOTE: Paper I & IV-A of Semester-7 Examination are Based on EYE / ENT Module.
Paper II & IV-B of Semester-7 Examination are Based on Reproductive Syst.-2 Module.
756
CREDIT HOURS
SEMESTER VII
REPRODUCTIVE 2 MODULE
Paper-III 5
REPRODUCTIVE
Paper-IV C 2.5
757
ASSESSMENT PLAN, SEMESTER-7
CREDIT
PAPER CONTENT WEIGHTAGE
HOURS
Orthopedics-2 Module
60 Marks
(Semester Theory) 75
II Orthopedics-2 Module
15 Marks
Marks 4
(Module Exam)
Reproductive-2 Module
72 Marks
(Semester Theory) 90
III Reproductive-2 Module
18 Marks
Marks 5
(Module Exam)
758
759
SEMESTER -8
EYE-II Module 3 Weeks 4.5 Credit Hours
Rehamatology &
Rehabilitation Module 2 Weeks 1.5 Credit Hours
760
OPHTHALMOLOGY (EYE) MODULE
Code: (EYE-2)
Semester:VII/VIII
Fourth Year MBBS
761
FIVE YEAR CURRICULAR ORGANIZATION
762
MODULE COMMITTEE
Prof. Dr Salahuddin Afsar, Professor of Medicine, DUHS.
Prof.Dr.Shahid Wahab, Professor of Ophthalmolgy, DUHS.
Prof. Dr.Muneer Quraishi, Professor of OphthalmolgyDUHS.
Dr. Abdul Rasheed , Associate Professor of OphthalmolgyDUHS.
Prof.Dr. Shafiq Ali Baig, Professor of Ophthalmolgy, DUHS.
Dr. Shehla Dareshani, Assistant Professor of Ophthalmolgy, DUHS.
Dr. Rukhsana Rubeen, Associate Professor of Biochemistry, DUHS.
Module Coordinator:
DR. SAIMA RASHID
Documented by:
DR SAIMA RASHID
763
RATIONALE:
Disorders of Eye are commonly encountered in medical practice. A medical graduate must
be able to understand common diseases affecting the eye and related structures including
ocular trauma as well as have a sound knowledge of systemic diseases affecting the eye.
Common diseases which affect eye include infections such as conjunctivitis, cataract,
glaucoma, retinal diseases, errors of refraction and involvement of eyes in systemic
disorders. Understanding the principles of fundoscopy is also essential for a doctor. In this
module these diseases are discussed and the student shall be able to dwell on the basic
knowledge acquired in the Head and Neck module.
TERMINAL OBJECTIVES:
After completion of MBBS course the student should be able to:
764
LEARNING OBJECTIVES OF THE MODULE
Objectives of module are listed in following grid along with contents and
teaching methodology
Lectures
Demo:
Tutorials
Practical
CBL
spottin
Self Study
Digital library
BCQs, EMQs
ATP
Viva
Skills Lab
Objectives
Teaching
Content / Topic
Faculty
EYE 2 Oph 3 1 * *
Evaluation of
epiphora, congenital
NLDB.
765
EYE 2 Oph 4 1 * *
Treatment of
lacrimal obstruction
Recognize lid Eye EYE 2 Eye 5 LID 1 *
abnormalities ABNORMALITIES: *
and their Benign Eyelid Lesions;
management Stye
Chalazion
Molluscum
Contagiosum
Blepharitis
EYE 2 Eye 6 1 * *
DISORDERS OF
EYELASHES;
Trichiasis
Entropion
Ectropion
Ptosis
EYE 2 Eye 7 1 * *
MALIGNANT EYELID TUMOR;
Basal cell carcinoma
Squamous cell
carcinoma
Kaposi sarcoma
Diagnose and Eye 2 Eye 8 1 * *
manage Eye CONJUNCTIVA
conjunctival Viral Conjunctivits
eye problems Bacterial Conjunctivitis
Ophthalmia
Neonatorum
Pterygium-Pingecula
Trachoma
Vernal Catarrh
Keratoconjunctivitis
Sicca
EYE 2 Eye 9 1 * *
Diagnose and Eye CORNEA
manage Corneal ulcer
common (viral/bacterial/fungal)
corneal Keratomalacia
diseases Contact lens related
problems
Corneal degeneration
Corneal dystrophies
Keratoplasty
766
Diagnose and EYE 2 Eye 10 2 * *
Manage Eye CATARACT:
Cataract
problems. Definition
Classification
Causes
When to Operate
Management of age
related cataract and
different Options
IOL Options
EYE 2 Eye 11 2 * *
Diagnose Eye GLAUCOMA:
Manage Classification of
Glaucoma Glaucoma:
Primary/Secondary
Acute Angle Closure
Glaucoma and its
management
Chronic Open And
Chronic Closed Angle
Concept of IOP, Optic
Nerve Perfusion and
Disc Cupping
Diagnosis of Glaucoma * *
Glaucomatous Field
Changes, OCT, HRT
Broad Principles Of
Management
EYE 2 Eye 12 1 * *
Diagnose and Eye ORBIT
Manage Clinical Evaluation Of
different of Orbital Diseases
Diseases of Thyroid Eye Disease
the Orbit Orbital Infection And
Inflammation
Preseptal Cellulitis
Orbital Cellulitis
EYE 2 Eye 13 1 * *
Diagnose and Eye UVEITIS/IRITIS
Manage of Broad classification of
Uveitis and uveitis
Iritis Clinical features of
uveitis
Acute and chronic
uveitis
Management of uveitis
767
EYE 2 Eye 14 1 * *
Diagnose and Eye EPISCLERITIS AND
Manage of SCLERITIS
Episcleritis Definition
and Scleritis Classification
Clinical feature
Treatment
EYE 2 Eye 15 2 * *
Discuss Eye REFRACTIVE ERRORS
refractive AND TREATMENT
errors by Myopia
applying the Hypermetropia
principles of Presbyopia/
optics Pseudophakic
presbyopic lens
* *
Astigmatism/
pseudophakic toric
Contact lens
Different types of
spectacle lens/ bifocal/
progressive glasses
PRK, LASIK.
EYE 2 Eye 16 1 * *
Diagnose Eye
visual field NEUROOPHTHALMOLOGY
defects and Pupillary, Visual field
explain visual pathway and
pathology
pathway
RAPD
cranial nerves Cranial nerve palsies:
and CN III, IV, VI
extraocular Extra ocular
movements movements
EYE 2 Eye 17 1 * *
Describe the Eye OPTIC DISC:
optic disc Optic neuritis
disorders Papilloedema
Optic atrophy
EYE 2 Eye 18 1 * *
Enlist the Eye
complications DIABETES AND THE EYE
in the Diabetic
Eye and
discuss
management
EYE 2 Eye 19 2 * *
Diagnose the Eye MEDICAL RETINA
retinal Hypertension
pathologies Central retinal artery
occlusion (including
giant cell arteritis)
Central/ branch vein
occlusion
ARMD
768
Peripheral retinal
degeneration
EYE 2 Eye 20 1 * *
Describe the Eye SURGICAL VITREO-
vitreo-retinal RETINA
procedures Basic concept of vitreo-
retinal surgery
Explain the Basic pathophysiology
basic concept of and clinical concept,
retinal presentation and
detachment broad principles of
management of retinal
Discuss the detachment
management of Vitreous hemorrhage
vitreous Management of
hemorrhage Diabetic Retinal
and diabetic Complications
retinal
problems
EYE 2 Eye 21 2 *
Explain the Eye DIFFERENTIAL *
concept of early DIAGNOSIS OF
childhood LEUCOCORIA IN A
ocular diseases CHILD
CONGENITAL
CATARACT AND ITS
* *
MANAGEMENT
* *
RETINOBLASTOMA
ROP * *
CONGENITAL * *
GLAUCOMA AND ITS
MANAGEMENT
STRABISMUS
* *
EYE 2 Eye 22 1 * *
Recognize the Eye
indication and PHARMACOLOGY OF
systemic and OCULAR DRUGS WITH
local side SIDE EFFECTS
effects of ocular Local anesthetic drugs
drugs Antibiotics
Antiviral
Steroids
Antiglaucoma
Mydriatics
Lubricants
Steven Johnsons
Syndrome
769
EYE 2 Eye 23 2 * *
Recognize of Eye
eye problems Connective Tissue
associated with Disorders
systemic Dry Eye And Its
diseases Management
Systemic Diseases
Affecting The Eye
Acquired Immune
Deficiency Syndrome
(AIDS)
T.B/Sarcoidosis
EYE 2 Eye 24 1 * *
Define the Eye Definition of Blindness
Epidemiology (WHO)
of blindness
and awareness Epidemiology Of
of low visual Blindness
aids
Blindness And Low
Visual Aids
EYE 2 Eth 1
ETHICS Describe
a) MEDICAL
bioethics,medical 1.5 * *
ETHICS
ethicsand practical
ethics.
770
b) DECISION EYE 2 Eth 2
ETHICS Describe types of
MAKING 1.5 * *
CAPACITY informed consent
EYE 2 Eth 3
Describe rules of
c) DESCRIBE Ethics regarding 1.5 * *
RESEARCH ETHICS ETHICS research
EYE 2 Eth 4
Describe respect for
d) PRIVACY Autonomy,Privacy
ETHICS 1.5
and its types
,define
Confidentiality.
EYE 2 Eth 5
ETHICS
Describe Human
rights ,the rights of
e) THE RIGHTS
the patient , its 1.5 * *
OF PATIENT
importance and
describe the duties
of physicians.
771
EYE 02 MODULE
TIME TABLE
(This time table was for year 2015. Holidays represent actual holidays in that year)
FIRST WEEK
ANATOMY EYE
1 Review of Anatomy of Lid CLINICAL MEDICAL ETHICS
the Eye and Orbit NAME OF FACULTY
Abnormalities POSTING VENUE
NAME OF FACULTY
NAME OF FACULTY VENUE
VENUE
2 Public Holiday
EYE
Acute/Chronic
Dacrocystitis/ NLDB In EYE CLINICAL ETHICS
3 Conjunctiva Decision making capacity
Infants POSTING
NAME OF FACULTY VENUE NAME OF FACULTY VENUE
NAME OF FACULTY
VENUE
EYE
5 Cataract-II CLINICAL POSTING
NAME OF FACULTY
VENUE
EYE
EYE
Glaucoma CLINICAL ETHICS
6 Glaucoma
NAME OF FACULTY POSTING NAME OF FACULTY VENUE
NAME OF FACULTY VENUE
VENUE
772
EYE 02 MODULE SEMESTER VII
Time Table Week-2
Days 08:30 to 09:30 09:30 to 10:30 10:30 to 1:00 1:30 to 03:00
GP=A1, SBL-1 (Ward EYE-I)
NAME OF FACULTY VENUE
GP= A2, SBL-2 (Ward EYE-
EYE II) NAME OF FACULTY VENUE
EYE
1 CLINICAL GP=A3, Digital Library
Uveitis/ Iritis
Episcleritis and Scleritis POSTING
NAME OF FACULTY GP=A4, Physiology Practical
NAME OF FACULTY VENUE
VENUE revist Error of Refraction and
Visual acquity VENUE
GP=A5, SELF STUDY
PHYSIOLOGY 6. A2
EYE CLINICAL 7. A3
Physiology of Vision
2 Refractive Errors 8. A4
and Optics POSTING
NAME OF FACULTY VENUE 9. A5
NAME OF FACULTY VENUE
10. A1
EYE 6. A3
EYE 7. A4
CLINICAL
3 Neuroophthalmology POSTING 8. A5
Optic Disc
9. A1
NAME OF FACULTY VENUE
NAME OF FACULTY VENUE 10. A2
6. A4
EYE EYE CLINICAL 7. A5
Medical Retina Medical Retina POSTING 8. A1
4
NAME OF FACULTY VENUE NAME OF FACULTY VENUE 9. A2
10. A3
EYE
CATARACT-II
5 NAME OF FACULTY CLINICAL POSTING
VENUE
6. A5
EYE EYE 7. A1
6 CLINICAL
Lasers And The Eye Diabetes And The Eye 8. A2
NAME OF FACULTY VENUE
POSTING
NAME OF FACULTY VENUE 9. A3
10. A4
773
SEMESTER VII
EYE 02 MODULE
Time Table Week-3
Days 08:30 to 09:30 09:30 to 10:30 11:00 to 1:00 1:30 to 03:00
GP=A1, SBL-1 VENUE NAME OF
FACULTY
EYE EYE GP= A2, SBL-( VENUE NAME OF
Childhood Ocular Childhood Ocular FACULTY
1 CLINICAL
Diseases Diseases POSTING GP=A3, Skill Lab Opthalmoscopy
NAME OF FACULTY NAME OF FACULTY
GP=A4, Examination of EYE
VENUE VENUE
VENUE
GP=A5, SELF STUDY
EYE EYE 1. A2
Systemic Diseases And Systemic Diseases CLINICAL 2. A3
2 And The Eye 3. A4
The Eye POSTING
NAME OF FACULTY 4. A5
NAME OF FACULTY VENUE VENUE 5. A1
EYE 1. A3
EYE CLINICAL 2. A4
3 Trauma And The Eye Trauma And The Eye POSTING 3. A5
NAME OF FACULTY VENUE NAME OF FACULTY
VENUE
4. A1
5. A2
1. A4
EYE EYE
Surgical Vitreo-Retina CLINICAL 2. A5
4 Pharmacology Of Ocular 3. A1
Drugs NAME OF FACULTY POSTING
VENUE 4. A2
NAME OF FACULTY VENUE
5. A3
EYE
Extra Ocular Movements 9:30 12:00
5 Strabismus CLINICAL POSTING
NAME OF FACULTY
VENUE
EYE 1. A5
EYE
Blindness And Low Visual 2. A1
6 Orbit CLINICAL
3. A2
Aids NAME OF FACULTY POSTING
4. A3
NAME OF FACULTY VENUE VENUE
5. A4
774
LEARNING OBJECTIVES
THE END OF THE LECTURE THE STUDENT SHOULD BE ABLE TO
ANATOMY
1) EYE 2 Ang 1 REVIEW THE ANATOMY OF THE EYE BALL AND ORBIT
Discuss the bony orbit and its boundaries
Enumerate the extraocular muscles and their nerve supply
Explain the actions of extraocular muscles
Describe the eye ball and its coats.
PHYSIOLOGY
OPHTHALMOLOGY
775
2) EYE 2 Eye2 ACUTE/CHRONIC DACROCYSTITIS LACRIMAL DRAINAGE
SYSTEM / WATERY EYES
Approach to the patient with watery eyes
Enlist the different causes of watery eyes, acquired/congenital.
Discuss the clinical examination with investigation of watery eyes (acute and
chronic Dacryocystitis.
Desribe the management of watery eyes.
o Explain Epiphora.
Diagnose Congenital NLDB.
Describe its clinical features and management.
776
9) EYE 2 Eye 9 CORNEA/KERATITIS
Approach patient with keratitis
Enlist the causes,its classification and sign and symptoms .
Discuss the clinical examination including the different stains used for staining
the corneal ulcers
Describe the treatment of corneal ulcers
Explain the contact lens related keratitis with its management
777
14) EYE 2 Eye 14 EPISCLERITIS AND SCLERITIS
778
Describe the related macular degeneration, their classification and
management according to the classification.
Enlist the causes of gradual and sudden loss of vision.
779
24) EYE 2 Eye 24 BLINDNESS AND LOW VISION AIDS
ETHICS
780
SCANERIO BASE LEARNING
EYE 2 Sbl 1
Describe the differential diagnoses of PAPILLOEDEMA
Enumerate the ophthamlic investigation.
Discuss complications if the condition is not treated
Outline the immediate medical treatment and OPD treatment
EYE 2 Sbl 2
Discuss the causes of a painful red eye
Discuss the causes of a painless red eye
Enumerate the differentiating clinical features of various causes of
conjunctivitis
Elaborate the treatment of various causes of conjunctivitis
III. FUNDOSCOPY
INTRODUCTION / RATIONALE:
LEARNING OBJECTIVES:
1. Papilloedema
2. Optic disc Atrophy
3. Macular degeneration
4. Diabetic retinopathy
5. Hypertensive retinopathy
6. Optic disc Cupping
781
TABLE OF SPECIFICATION
SUBJECT/TOTAL X
WEEKS/HOURS 1st 2nd 3rd TOTAL ROUND OFF
60
ANATOMY 1 - - 1 1.8 2
CLINICAL 8 9 11 28 50.9 50
Eye
- - 1.50 1.50 2.7
EXAMINATION 3
ETHICS 6 - 6 7.7 8
-
SBL - 3 3 6 7.7 8
SKILL LAB - - 1.50 1.50 1.9 2
782
BLUEPRINT OF ASSESSMENT
EYE-2 MODULE
(SEMESTER-VIII)
SUMMATIVE ASSESSMENT
THEORY
ATP 25
EXAM
PAPER-I 80%
One best Questions
20
based on CBL
Total 100
One best Questions 50
MODULE EXAM
EMQs 10
ATP 20
MODULE PAPER 20%
One best Questions
20
based on SBL
Total 100
STRUCTURED VIVA
ASSESME
SEMESTE
R EXAM
See Semester
NT
Assessment Plan
FORMATIVE ASSESSMENT
ASSESSMENT TOOLS
Structured Feedback
ASSESSMENT DURING SBL SESSION Given to the Student by
Facilitator
NOTE: Paper II & IV-B of Semester-8 Examination are Based on Phy Med /Gen / Derma Module.
Paper III & IV-C of Semester-8 Examination are Based on Neurosciences-2 Module.
783
CREDIT HOURS
SEMESTER III
EYE-2 MODULE
Paper-I 3
EYE-2
Paper-VI-A 1.5
784
.
785
FIVE YEAR CURRICULAR ORGANIZATION
786
MODULE COMMITTEE:
Module Coordinator:
Documented by:
DR SAIMA RASHID
Reviewed by
Modular Committee
Curriculum committee
787
RATIONALE:
TERMINAL OBJECTIVES:
Medical graduate after completion of 5 years training program should be able to:
788
LEARNING OBJECTIVES OF THE MODULE
Objectives of module are listed in following grid along with contents and
teaching methodology
PRACTICAL
LECTURES
SKILL LAB
LIBRARY
VIVA
ATP
SBL
OBJECTIVES FACULTY TOPIC/CONTENT
789
Enlist active range of REHABILITATION PMR Pmr 6
motion exercises . DEPTT Rehabilitation of
Conditioning exercises of Amputee * *
non amputee extremities.
Muscle strengthening of 1.5
bilateral upper & lower
limbs
790
PATHOLOGY PMR Pth 1
Identify different types Pathological Fractures
of pathological fractures (PRACTICAL) 1.5 *
*
PMR Com 3
Clinical based
*
Rehabilitation 1.5
791
RHEUMATOLOGY & REHABILITATION MODULE
TIME TABLE
(This time table was for year 2015. Holidays represent actual holidays in that year)
FIRST WEEK, SEMESTER-VIII
8:30 am to 10:00 am
1 A1= SBL Name of Faculty venue Clinical REHABILITATIO
A2= Visit to (IMP&R) P& O Department Posting N EVALUATION
Dr Madiha Zia
A3= Community Medicine (tutorial) Name of Faculty venue
venue
A4= PATHOLOGICAL FRACTURES Name of Faculty venue
A5= SELF STUDY
A5= SBL Name of Faculty venue ASSESSMENT OF
A1= Visit to (IMP&R) P& O Department DISABILITIES
28 DR SYED IMRAN
A2= Community Medicine (tutorial) Name of Faculty venue
AHMED
A3= PATHOLOGICAL FRACTURES Name of Faculty venue
A4= SELF STUDY venue
A4= SBL Name of Faculty venue Clinical REHABILITATIVE
3 Posting
A5= Visit to (IMP&R) P& O Department MANAGEMENT
A1= Community Medicine (tutorial) Name of Faculty venue OF STROKE
DR SYED IMRAN
A2= PATHOLOGICAL FRACTURES Name of Faculty venue AHMED
A3= SELF STUDY venue
A3= SBL Name of Faculty venue Clinical REHABILITATIO
4 Posting
A4= Visit to (IMP&R) P& O Department N OF
A5= Community Medicine(tutorial) Name of Faculty venue AMPUTEE
Name of Faculty
A1= PATHOLOGICAL FRACTURES Name of Faculty venue
venue
A2= SELF STUDY
A2= SBL Name of Faculty venue Clinical
5 Posting
A3= Visit to (IMP&R) P& O Department
A4= Community Medicine(tutorial) Name of Faculty venue
A5= PATHOLOGICAL FRACTURES Name of Faculty venue
A1= SELF STUDY
ASSISTIVE TECHNOLOGY Clinical SELF STUDY
6
Name of Faculty venue Posting
792
SEMESTER VIII: REHABILITATION MODULE
TIME TABLE WEEK: 2
Rehabilitation
counseling UPPER LIMB PROSTHESIS Management of
1 Clinical
Name of Faculty Name of Faculty fractures-1
Posting
venue venue Name of Faculty
venue
08:30AM TO 10:00AM
A1+A5= SBL Name of Faculty venue
A2= Visit to (IMP&R) P& O Department Clinical LOWER LIMB PROSTHESIS
2
Posting Name of Faculty
A3= CM Name of Faculty venue
A4= SELF STUDY venue
6
MODULE TEST
793
LEARNING OBJECTIVES
AT THE END OF THE LECTURE THE STUDENT SHOULD BE ABLE TO :
REHABILITATION
Exercise physiology.
Discuss the psychology of disability.
794
Discuss the management of a board array of medical and surgical problems
the functional effects of these problems and associated physical impairements
.
Discuss the knowledge and skills of the various members of the rehabilitation
team .
Discuss the managerial skills necessary to direct teams and lead team
meetings.
795
9. PMR 2 Pmr 9 UPPER AND LOWER LIMB PROSTHESIS :
COMMUNITY MEDICINE
1. PMR 2 Com 1 COMMUNITY RELATED REHABILITATION
796
SCANERIO BASE LEARNIG
PMR Sbl 1 TALIPES EQUINOVERES
Define the condition
Enumerate the causes
Discuss the associated conditions
Describe the presentation of the condition
Enlist the management options
Explain the complications of the condition
797
TABLE OF SPECIFICATIONS
SUBJECT/ ROUND
WEEKS/HOURS 1st 2nd Total
Total X 40 OFF
REHABILITATION
1.5 1.5 3 4 4
PRACTICAL VISIT
798
BLUEPRINT OF ASSESSMENT
PHYSICAL MEDICINE REHABLITAION-2 MODULE
GENETICS-2 MODULE
DERMATOLOGY AND PLASTIC SURGERY -2 MODULE
(SEMESTER-VIII)
SUMMATIVE ASSESSMENT
THEORY
STRUCTURED VIVA
ASSESME
SEMESTE
R EXAM
See Semester
NT
Assessment Plan
FORMATIVE ASSESSMENT
ASSESSMENT TOOLS
Structured Feedback
ASSESSMENT DURING SBL SESSION Given to the Student by
Facilitator
NOTE: Paper I & IV-A of Semester-8 Examination are Based on EYE / ENT Module.
Paper III & IV-C of Semester-8 Examination are Based on Neurosciences-2 Module.
799
CREDIT HOURS
SEMESTER VIII
RHEUMATOLOGY & REHABILITATION MODULE
Paper-II-(i) 1
RHEUMATOLOGY &
REHABILITATION
Paper-IV-C - (i) 0.5
800
.
801
FIVE YEAR CURRICULAR ORGANIZATION
802
MODULE COMMITTEE:
Module Coordinator:
DR. SAIMA RASHID
Documented by:
DR SAIMA RASHID
Reviewed by
Modular Committee
Curriculum committee
803
RATIONALE:
Skin is the largest organ of the body. Its exposed position makes it susceptible to a
large number of disorders which include allergic conditions, infections, tumours and
involvement in metabolic disorders. Some of these require surgical management.
In this dermatology and Plastic surgery module the student shall gain the
understanding of skin diseases, their clinical presentation, diagnosis and their
management. The student shall also learn about the surgical aspects in the Plastic
surgery component.
TERMINAL OBJECTIVES:
SKIN
PLASTIC SURGERY/BURNS
Medical graduates after completion of five years training program should be able to:
1. Enlist the type of skin and its behavior after injuries like pigmentation, hypertrophic
scar and Keloid.
2. Enumerate the relevant investigation in a given scenario including blood
investigations, relevant X-ray, Echo, CT and MRI scan.
3. Diagnose the type of wound and its management.
4. Enlist the different skin lesion and tumor and its management on the basis of local
and regional flaps.
5. Discuss the axial pattern flap for distant area coverage.
6. Explain the biological and artificial skin for coverage.
7. Describe the acute burn care.
8. Discuss how the graft applied
804
LEARNING OBJECTIVES OF THE MODULE:
PRACTICAL
LECTURES
SKILL LAB
LIBRARY
VIVA
ATP
SBL
TOPIC/CONTENT
OBJECTIVES FACULTY
DPS Ang 1
General anatomy of
DPS Anh 1
Identify the histology of HISTOLOGY OF SKIN * * *
epidermis, basement ANATOMY 1
membrane and dermis.
Describe the histological
terms and variant of skin
DPS Bio 1
Describe the role of
* * *
Biochemistry Elastin , collagen and 1
elastin collagen and
ground substance
ground substance
Describe the
temperature regulation
and mechanical function
805
DPS Pth 1
Acute and chronic
inflammatory
Discribe the Acute and PATHOLOGY dermatoses 1
Chronic inflammatory * * *
Describe the Basic DPS Drm 1
Terminologies Of Skin
Identify the causes, DERMATOLOGY
Basic Terminologies 1 * * *
Of Skin
underlying pathology,
Scabies/Pediculosis
clinical presentation and
outline the management
of SCABIES
DPS Drm 2
Discuss different types of
BACTERIAL INFECTIONS DERMATOLOGY
Bacterial infections
And acne 1 * * *
Enlist the causes,
underlying pathology, Senerio base DPS Sbl 1
clinical presentation and learning Staphylococcal
outline the management scalded skin
syndrome 1.5
* * *
of ACNE
DPS Drm 3
ECZEMA 1
Describe the causes,
underlying pathology, DERMATOLOGY * * *
clinical presentation and
outline the management
of ECZEMA
DPS Pha 1
Antifungal Treatment
Describe the
pharmacological PHARMACOLOGY 1 * * *
treatment of fungal
infection and discuss
806
Enlist the causes,
underlying pathology, DERMATOLOGY
DPS Drm 5
Viral Infection
* * *
1
clinical presentation
and describe the
management of Viral
Infections
DPS Pth 2
Describe the Bullous disorders * * *
PATHOLOGY ( blistering disorders)
pathogenesis and 1
management of bullous
disorders
( Blistering Disorders)
DPS Drm 7
Bullous disorders
DERMATOLOGY
(blistering
disorders)
* * *
1
807
DPS Drm 8
Cutaneous Drug * * *
Discuss the causes,
DERMATOLOGY Reactions/
underlying pathology, 1
Urticaria and
clinical presentation and Pruritis
dignose the
management of Urticaria
And Pruritis
Identify the causes, DPS Drm 9
Cutaneous * * *
underlying pathology,
Manifestations Of
clinical presentation and `1
Systemic
discuss the management DERMATOLOGY Disorders
Cutaneous
Manifestations Of
Systemic Disorders
DPS Pth 4
Tumors of dermis * * *
Describe the
PATHOLOGY and epidermis
pathogenesis 1
of Tumors of dermis and
epidermis
DPS Pls 10
Discuss the management Management Of * * *
Plastic surgery Skin Tumors
of cutaneous malignancy
example BCC, SCC AND 1
Melanoma.
reconstruction after
tumor excision
DPS Pls 11
Burns
* * *
Plastic
Enlist different types, surgery/bruns.
1
Etiology, Pathophysiology
SENERIO BASE DPS Sbl 3
and its degree of Burns Burns
LEARNING
Chemical burns 1.5
DPS Pls 12
Management Of
* * *
Describe the Plastic surgery
Burns, Shock And
consequences of Burn 1
Burn Wounds
wound formation of scar
and contracture
808
DPS Pls 13
Special types of Burns
Discuss type of wounds
which require coverage
Plastic surgery * * *
1
DPS Pls 14
Skin Grafting And Skin * * *
Discuss how the scar and
Substitute
contracture formation is 1
Plastic surgery
reduced by physiology,
split, and graft.
DPS Pls 15
Enlist the type of flaps Flaps And Tissue * * *
Expander
graft SSG, FTG. 1
Plastic surgery
Describe where and
when it is applied.
SENERIO BASE DPS Sbl 4
LEARNING Flaps and tissue * * *
expanders
1.5
809
DERMATOLOGY-PLASTICS- MODULE
TIME TABLE
(This time table was for year 2015. Holidays represent actual holidays in that year)
FIRST WEEK
A5=SBL-1: Burns
DERMATOLOGY NAME OF FACULTY VENUE
DERMATOLOGY Fungal
Eczema Infections CLINICAL
4 NAME OF FACULTY NAME OF FACULTY POSTING A1= SBL-2, Derma Dr. Madiha VENUE
VENUE VENUE
A2= Histology of Skin: VENUE NAME OF FACULTY
DERMATOLOGY CLINICAL
PHARMACOLOGY
Antifungal Treatment VIRAL INFECTION
5 NAME OF FACULTY
NAME OF FACULTY POSTING
VENUE VENUE
810
DERMATOLOGY-PLASTICS MODULE
SEMESTER- 8, (4TH YEAR) TIMETABLE WEEK-2
10:30 to
Days 08:30 to 09:30 09:30 to 10:30 1:30 to 03:00
1:00
A1-B, SKILL LAB A1-A SELF STUDY
A2 SBL Burns, NAME OF FACULTY VENUE
PHARMACOLOGY PATHOLOGY
Mon Treatment Of Psoriasis
Bullous disorders CLINICAL A3 SBL DERMA NAME OF FACULTY VENUE
( blistering disorders) POSTING
16/9 NAME OF FACULTY A4- COLLAGEN & ELASTIN
NAME OF FACULTY
VENUE BIOCHEMISTRY VENUE
VENUE
A5=SKIN TUMORS: PATHO
NAME OF FACULTY VENUE
BURNS BURNS
Etiology, Management Of Burns,
CLINICAL
FRI Pathophysiology Of Shock And Burn POSTING
20/9 Burns Wounds
NAME OF FACULTY NAME OF FACULTY
VENUE VENUE
PLASTIC SURGERY A5-B, SKILL LAB A5-A SELF STUDY
PLASTIC SURGERY Skin Grafting And Skin A1 SBL Burns, VENUE
CLINICAL
SAT Special types of Burns Substitutes POSTING A2 SBL DERMA NAME OF FACULTY VENUE
21/9 NAME OF FACULTY
NAME OF FACULTY
VENUE
VENUE
A3-- COLLAGEN & ELASTIN
BIOCHEMISTRY VENUE
811
DERMATOLOGY- PLASTICS BURNS MODULE
SEMESTER- 8, (4TH YEAR)TIMETABLE WEEK-3
10:30 to
Days 08:30 to 09:30 09:30 to 10:30 1:30 to 03:00
1:00
A5-B, SKILL LAB A5-A SELF STUDY
PLASTIC SURGERY
A1 SBL Burns, NAME OF FACULTY VENUE
MON Flaps And Tissue BURNS (CM) CLINICAL
23/9 Expander NAME OF FACULTY
POSTING A2 SBL DERMA NAME OF FACULTY VENUE
NAME OF FACULTY VENUE
VENUE A3- VENUE
A4=SKIN TUMORS: PATHO NAME OF
FACULTY VENUE
WED CLINICAL
25/9 POSTING
THUR
CLINICAL
POSTING
26/9
CLINICAL
FRI
POSTING
27/9
SAT
28/9 MODULE TEST
812
LEARNING OBJECTIVES
AT THE END OF THE LECTURE THE STUDENT SHOULD BE ABLE TO :
GROSS ANATOMY
HISTOLOGY
3) DPS Anh 1HISTOLOGY OF SKIN
Describe basic histology of skin.
Know the layers of Epidermis and Dermis.
Identify the different types of cell which are present in epidermis and
dermis.
PHYSIOLOGY
1) DPS Phy 1 PHYSIOLOGICAL FUNCTIONS OF SKIN
Discuss the nervous and hormonal control of skin.
Describe the temperature regulation and mechanical function
Explain the synthesis of vitamin D
813
PATHOLOGY
1. DPS Pth 1 ACUTE AND CHRONIC INFLAMMATORY DERMATOSIS
Enlist different types of acute and chronic dermatosis lesions
Explain urticaria
Discuss its morphology
Describe its pathogenesis
PHARMACOLOGY
1. DPS Pha 1 ANTIFUNGAL TREATMENT
- Describe how they work
814
2. DPS Pha 2 TREATMENT OF PSORIASIS
DERMATOLOGY
1) DPS Drm 1 BASIC TERMINOLOGIES OF SKIN -SCABIES/PEDICULOSIS
- Enlist its classification
- Describe Hyper keratosis ,erosions ulcers, scar, fissures, erythema and petechiae
- Describe scabies
Pediculosis
- Define pediculosis
Bacterial infections
Enlist different types of bacterial infections
Acne
Describe Acne
815
Explain its treatment
Discuss Tinea capitis, Tinea faciei, Tinea barbae, Tinea Corporis, Tinea Crusis, Tinea
Manum, Tinea Ungum, Tinea Pedis.
816
Enumerate the investigations
- Define urticaria
BURNS
817
Explain different types of pre malignant and malignant epidermal tumors
Enlist different types of disorders of pigmentation and melanocytes
PLASTIC SURGERY
Define flap.
Differentiate between flap & graft.
Classify flaps according to blood supply, site , type of tissue and geometry.
Identify the Indications of flaps.
Explain the Care of the flap.
Define free flap?
Describe the tissue expander, principle on which it works and indications.
EnumerateZ plasty, its principle, uses and advantages.
818
Know about history of Plastic surgery and cosmetic surgery, and the different non
invasive cosmetic procedures.
Explain the indications, complications, contraindications and method of application of
Botox, lasers, Fillers, micro -dermabrassion, Chemo- peels and Lasers.
Descibe the surgical cosmetic procedures of liposuction, face lift, Blepharoplasty, fat
grafting,abdomenoplasty.
COMMUNITY MEDICINE
1) DPS Com 1 SCABIES
Define SCABIES
Explain its etiologic agent
Describe the epidemiology, control, and prevention of common skin diseases
819
LEARNING OBJECTIVE OF SKILLS LAB CURRICULUM
Dermatology/plastic surgery/burns Module:
ntroduction/Rationale
: Suturing is the most common method of wound closure, closing dead space, supporting and
strengthening wounds until healing increases their tensils strength, approximating skin edges
for an aesthetically pleasing and functional result, and minimizing the risks of bleeding and
infection.
Learning objectives
820
TABLE OF SPECIFICATIONS
Total SUBJECT / ROUND
WEEKS/HOURS 1st 2nd
TOTAL X 40 OFF
2.5
ANATOMY 1 1.5 2.4 2
HISTOLOGY 1 - 1 0.9 1
HISTOLOGY 1.5
1.5 - 1.4 1
(Practical)
2
PHARMACOLOGY 2 - 1.9 2
PHYSIOLOGY 1 - 1 0.9
1
PATHOLOGY 2 2 4 3.9 4
PATHOLOGY 1.5
- 1.5 1.4 1
(Practical)
DERMATOLOGY 6 3 9 8.7 9
2
BURNS 2 - 1.9 2
821
BLUEPRINT OF ASSESSMENT
PHYSICAL MEDICINE REHABLITAION-2 MODULE
GENETICS-2 MODULE
DERMATOLOGY AND PLASTIC SURGERY -2 MODULE
(SEMESTER-VIII)
SUMMATIVE ASSESSMENT
THEORY
STRUCTURED VIVA
ASSESME
SEMESTE
R EXAM
See Semester
NT
Assessment Plan
FORMATIVE ASSESSMENT
ASSESSMENT TOOLS
Structured Feedback
ASSESSMENT DURING SBL SESSION Given to the Student by
Facilitator
NOTE: Paper I & IV-A of Semester-8 Examination are Based on EYE / ENT Module.
Paper III & IV-C of Semester-8 Examination are Based on Neurosciences-2 Module.
822
CREDIT HOURS
SEMESTER VIII
DERMATOLOGY and PLASTIC SURGERY-2 MODULE
Paper-II(iii) 1
DERMATOLOGY
and
PLASTIC SURGERY Paper IV B(iii) 0.5
823
GENETICS MODULE
Code: (GEN-2)
Semester: VIII
Fourth Year MBBS
824
FIVE YEAR CURRICULAR ORGANIZATION
825
MODULE COMMITTEE
Module Coordinator:
DR. SAIMA RASHID
Documented by:
DR SAIMA RASHID
Reviewed by:
Modular committee
Curriculum committee
826
RATIONALE:
Many of the diseases afflicting human beings have a genetic basis. The
molecular origin of these diseases is in the DNA of the patients and these are
often inherited from the parents and transmitted to the off springs. Many of
these diseases like hypertension and diabetes are multifactorial and are
discussed in other sections. In this module those disorders which have purely a
genetic basis and are frequently seen, have been discussed. This module also
revisits the molecular basis of genetics which has already been discussed in
detail in the previous modules.
TERMINAL OBJECTIVES
GENETICS
827
LEARNING OBJECTIVES OF THE MODULE
Objectives of module are listed in following grid along with contents and
teaching methodology
ATP
BCQS, SEQS EMQS
WRITTEN ASSESS
DIGITAL LIBRARY
SELF STUDY
TUTORIALS
PRACTICAL
LECTURES
SKILL LAB
LIBRARY
VIVA
SBL
OBJECTIVES FACULTY TOPIC/CONTENT
synthesis.
828
* * *
1
Enlist different GEN 2 Pth 2
inborn errors of Inborn errors of
PATHOLOGY metabolism
metabolism
GEN 2 Sbl 2
Familial
Hypercholesterolemia
Define
*
multifactorial
GEN 2 Bio 4 1
inheritance BIOCHEMISTRY Multifactorial disorders
Define polygenic
inheritance
Enlist common
diseases with
multifactorial
causes
Define * * *
GEN 2 Pth 3
Biotechnology 1
Genetic techniques
PATHOLOGY
Enlist its types
Discuss its
importance .
829
Enlist the types of * * *
genetic testing GEN 2 Pth 4
PATHOLOGY Prenatal diagnosis
Identify genetic 1
disorders
830
GENETICS MODULE
TIME TABLE
(This time table was for year 2015. Holidays represent actual holidays in that year)
FIRST WEEK
BIOCHEMISTRY PATHOLOGY
Cytogenetic Prenatal Diagnosis CLINICAL
5 Numerical and structural NAME OF FACULTY POSTING
abnormalities . NLH-1
NAME OF FACULTYNLH-
831
LEARNING OBJECTIVES
AT THE END OF THE LECTURE THE STUDENT SHOULD BE ABLE TO :
BIOCHEMISTRY
1) GEN 2 Bio 1 DNA, RNA, TRANSCRIPTION, TRANSLATION & PROTEIN
SYNTHESIS
Define pedigree
Identify symbols required to make pedigree
Define single gene disorders
Enlist different types of single gene disorders
Describe genetic changes which occur in these disorders
Enlist characteristics of single gene which gives variation in expression of
diseases
832
6) GEN 2 Bio 6 POPULATION GENETICS
Define Population genetics
Define genotype and allele frequency
Define Hardy- Weinberg equilibrium
Enlist the factors responsible for genetic variation in / among the population
Define genetic drift, genetic flow
PATHOLOGY
1) GEN 2 Pth 1 PATHOPHYSIOLOGY OF INHERITANCE
Define Biotechnology
Discuss the importance of biotechnology in medical sciences
Define restriction endonucleases, sticky and blunt sites, vectors, plasmids,
probes, antibodies.
Describe restriction fragment length polymorphism and its significance.
Describe Polymerase chain reaction and its uses.
Describe recombinant DNA technology and its uses
833
MEDICINE
834
TABLE OF SPECIFICATIONS
SUBJECT/15
WEEKS/HOURS 1st ROUND OFF
X 25
BIOCHEMISTRY 7
8.9 9
BIOCHEMISTRY
1.5 1.9 2
(tutorial)
5.1
PATHOLOGY 4 5
835
BLUEPRINT OF ASSESSMENT
PHYSICAL MEDICINE REHABLITAION-2 MODULE
GENETICS-2 MODULE
DERMATOLOGY AND PLASTIC SURGERY -2 MODULE
(SEMESTER-VIII)
SUMMATIVE ASSESSMENT
THEORY
STRUCTURED VIVA
ASSESME
SEMESTE
R EXAM
See Semester
NT
Assessment Plan
FORMATIVE ASSESSMENT
ASSESSMENT TOOLS
Structured Feedback
ASSESSMENT DURING SBL SESSION Given to the Student by
Facilitator
NOTE: Paper I & IV-A of Semester-8 Examination are Based on EYE / ENT Module.
Paper III & IV-C of Semester-8 Examination are Based on Neurosciences-2 Module.
836
CREDIT HOURS
SEMESTER VIII
GENETICS -2 MODULE
Paper-II-(ii) 1
GENETICS-2
Paper-IV-B-(ii) 0.5
837
NEUROSCIENCES & PSYCHIATRY MODULE 02
CODE: NEU 2
SEMESTER-VIII
838
FIVE YEAR CURRICULAR ORGANIZATION
839
MODULE COMMITTEE
Reviewed by:
MODULE COMMITTEE
CURRICULUM COMMITTEE
840
RATIONALE
Nervous system is the most complex system of the body. Alarge number of diseases involve
the nervous system in their primary pathology or the nervous system may de secondarily
involved in systemic illnesses. Infections like meningitis and encephalitis, movement
disorders, demyelinating diseases, epilepsy and cerebrovascular accidents along with
congenital and traumatic disorders are some of the commoner diseases of the nervous system.
Timely diagnosis and management prevents high morbidity and mortality.
The Neurosciences 1 module in the basic cycle has already provided a sound basis of the
anatomy, physiology, neuropharmacology and pathologic basis of CNS diseases. In this
second, clinical spiral, the student will learn the clinical presentation, diagnosis and
management of these diseases.
TERMINAL OBJECTIVES
By the end of the 5 year curriculum the student shall be able to:
Discuss the assessment and management of raised ICP, cerebral edema and brain herniation
Differentiate between anxiety and depression, manic disorders and discuss their
management
Formulate a table to identify /classify drugs used for general ,regional and local anesthesia
Know the approach for assessment and management of adult as well as paeds
stroke,dementia and Parkinson disease
841
LEARNING OBJECTIVES OF THE MODULE
Objectives of module are listed in following grid along with contents, modes of information
transfer, duration of teaching of content and the mode of assessment.
PRACTICAL
LECTURES
SKILL LAB
LIBRARY
VIVA
SBL
OBJECTIVES FACULTY TOPIC/CONTENT
842
Predict the PATHOLOGY NEU 2 Pth 1 1 * *
reaction of Reaction of neurons
neurons and glial and glial cells to
cells to injury by injury , cerebral
knowing the hypoxia & cerebral
pathological edema
processes
affecting these
basic units of CNS.
NEUROLOGY NEU 2 Neu 1 1 * *
Investigations for
Neurological
Disorders
Investigations for
Neurological
RADIOLOGY NEU2 Rad1 CT Scan 1 * *
Disorders
brain
843
NEUROSURGERY NEU 2 Neu Sur 3 1 * *
1. Skull fractures
2. Parenchymal
Injuries
Concussion
Direct
parenchyma
l injuries
Diffuse
axonal
injuries
3. Traumatic
vascular injuries
Epidural/su
dural
hematoma
4. Sequelae of
brain trauma
NEUROLOGY NEU 2 Neu 2 1 * *
Changes in level of
consciousness and
approach to coma
NEUROSURGERY NEU 2 Neu Sur 4 1 * *
Spinal cord trauma
844
stroke in children
NEU 2 PMR 2 1 * *
Rehablitation of
stroke patient
845
NEU 2 Neu 6 1 * *
Complications of
meningitis/
encephalitis in
adults and children
patients.CNS
Infections: Acute
and Chronic 2
NEU 2 Pth 3 1 * *
Degenerative
diseases of basal
ganglia
(Parkinsonism) &
brainstem
846
metabolic PAEDS NEU 2 Ped 5 1 * *
disorders affecting Approach To
brain. Metabolic & Toxic
Disorders Affecting
Nervous System In
Children
NEU 2 Neu 10 1 * *
Localize the lesion Usual features of
to spinal cord and NEUROLOGY intrinsic and
differentiate extrinsic spinal cord
between lesions
pathogenic
mechanisms NEU 2 Neu 11 1 * *
involved. Compressive & non
compressive
myelopathies
NEU 2 Neu 12 1 * *
Differentiate b/w
rigidity and
spasticity.
847
NEU 2 Neu 13 1 * *
Approach towards
paraparesis
Diseases of the
Describe peripheral nerves
pathology of
different types of NEUROLOGY NEU 2 Neu 14 1 * *
neuropathies and Clinical approach to
their etiologies neuropathy
like metabolic,
inflammatory, etc. NEU 2 Neu 15 1 * *
D/d of neuropathies
Clinical types of
neuropathies GBS
Diseases of skeletal
muscles
NEUROSURGERY NEU 2 Neu Sur 7 1 * *
Traumatic
myelopathies
NEU 2 Neu 18 1 * *
Clinical features, d/d
and investigations
of myasthenia
848
gravis.
NEU 2 Neu 23 1 * *
Taking history in
patients with
Manage different
epilepsy, ordering
types of seizure
investigations and
disorders by
plan management
knowing their
pathophysiologic PHARMACOLOGY NEU 2 Pha 3 1 * *
basis and clinical Anti epileptic drugs
types including
management of
PEDIATRICS NEU 2 Ped 6 1 * *
status epilepticus
Approach to seizure
disorders in
children(epilepsy)
849
lesions and their (revisit)
radiological
appearance NEUROLOGY NEU 2 Neu 25 1 * *
Lesions of cranial
nerves
RADIOLOGY NEU2 Rad 6 1 * *
Radiological
features of normal
and diseased spine
and vertebral
column
ANESTHESIA NEU 2 1 * *
Pre operative
assessment of
patient for GA
General anesthesia 1 * *
Application of
anesthesia in case Regional anesthesia 1 * *
of neurological
disorders
PHARMACOLOGY NEU 2 Pha 4 1 * *
Drugs of general
anesthesia
NEU 2 Pha 5 1 * *
Drugs of local
anesthesia
NEU 2 Beh 2 1 * *
Manage anxiety Depressive
and depression disorders
when it begins to
interfere with PHARMACOLOGY NEU 2 Pha 6 1 * *
social or Drugs for migraine
occupational
functioning. NEU 2 Pha 7 1 * *
Anti psychotic drugs
NEU 2 Pha 8 1 * *
Anti depressents
850
PHARMACOLOGY NEU 2 Pha 9 1 * *
CNS stimulants and
hallucinogens
NEU 2 Beh 5 1 * *
Suicide and self
harm
851
NEUROSCIENCES-2 MODULE
TIME TABLE
(This time table was for year 2015. Holidays represent actual holidays in that year)
FIRST WEEK
Pathology
Anatomy Reaction of neurons and 1=B1,B2
Histology revisit Neurons and glial cells to injury , 2=C
2 Neuroglia cerebral hypoxia & CLINICAL POSTING 3=D
NAME OF FACULTY cerebral edema 4=E
VENUE NAME OF FACULTY 5=A
VENUE
Neurosurgery
1=C1, C2
Anatomy Congenital disorders of
2=D
3 Embryology revisit CNS: Neural tube
CLINICAL POSTING 3=E
Development of brain defects
4=A
NAME OF FACULTY NAME OF FACULTY
VENUE VENUE 5=B
Neurosurgery Neurology
Synthesis and flow of CSF 1=D1, D2
4 along with its composition. Investigations for 2=E
Hydrocephalus & its Neurological Disorders CLINICAL POSTING 3=A
Management NAME OF FACULTY 4=B
NAME OF FACULTY VENUE 5=C
VENUE
Neurosurgery Radiology
Raised intracranial and its
5 effects: management of cerebral CT Scan Brain
edema, raised ICP, and brain CLINICAL POSTING
herniations NAME OF FACULTY
NAME OF FACULTY VENUE
VENUE
Pharmacology 1=E1, E2
Psychiatry
Sedatives & hypnotics: 2=A
6 Anxiety disorders
Benzodiazepines CLINICAL POSTING 3=B
NAME OF FACULTY
VENUE
NAME OF FACULTY 4=C
VENUE 5=D
852
DOW UNIVERSITY OF HEALTH SCIENCES
NEUROSCIENCES-2 MODULE
Semester VIII, Week-2
2
EID HOLIDAY
3
EID HOLIDAY
4 EID HOLIDAY
5 EID HOLIDAY
Clinical Neurology
Pharmacology Secondary headache
Sedatives & syndromes& Psychiatry
6 hypnotics: Trigeminal CLINICAL NAME OF
Barbiturates associated Cranial POSTING FACULTY
and facial neuralgias VENUE
NAME OF FACULTY
VENUE
NAME OF FACULTY
VENUE
853
DOW UNIVERSITY OF HEALTH SCIENCES
NEUROSCIENCES-2 MODULE
Semester VIII, Week- 3
D=Digital library
854
DOW UNIVERSITY OF HEALTH SCIENCES
NEUROSCIENCES-2 MODULE
Semester VIII, Week-4
Psychiatry Pharmacology
Anatomy
Neurology
Anatomy of
circulation of brain: Clinical Feature and
Anterior and posterior Diagnosis of CLINICAL POSTING
4 cerebral circulation cerebrovascular
accidents
NAME OF FACULTY
NAME OF FACULTY
VENUE VENUE
Radiology Neurology
855
NEUROSCIENCES-2, SEMESTER-8
WEEK-5 TIME TABLE
Neurology PSYCHIATRY 1. A2
Approach to and Medically Unexplained CLINICAL 2. A3
2 Management of Dementia symptoms Radiology POSTING 3. A4
NAME OF FACULTY NAME OF FACULTY
VENUE VENUE 4. A5+A1
Community Medicine
Public awareness 1. A3
regarding neurological CLINICAL 2. A4
3 SELF STUDY disorders POSTING
NAME OF FACULTY
3. A5+A1
VENUE
4. A2
Neurology
Approach to movement RESEARCH
PSYCHIATRY CLINICAL
4 disorders Analysis of variants
Somatoform disorders POSTING NAME OF FACULTY
NAME OF FACULTY
Parkinsons disease
NAME OF FACULTY VENUE
VENUE
VENUE
Pharmacology CLINICAL
5 SELF STUDY Drugs for Parkinsonism POSTING
NAME OF FACULTY
VENUE
Pediatrics
Cerebral Palsy 1. A4
Mental retardation CLINICAL 2. A5+A1
6 SELF STUDY POSTING
NAME OF FACULTY 3. A2
VENUE 4. A43
856
NEUROSCIENCES 2, SEMESTER 8
TIME TABLE WEEK-6
10:45 to
Days 08:30 to 09:30 09:30 to 10:30 1:30 to 03:00
12:45
1.A1= CBL :Neurosurgery
NAME OF FACULTY
VENUE
ANATOMY HISTO
PATHOLOGY 2.A2= CBL: Neurology
Revisit CLINICAL
1 Brain tumors I NAME OF FACULTY
NAME OF FACULTY Cerebellar cortex POSTING VENUE
VENUE NAME OF FACULTY
VENUE 3.A3= DIGITAL LIBRARY
4.A4=SELF STUDY
5.A5= SELF STUDY
PATHOLOGY PSYCHIATRY 1. A2
Brain tumors II Suicide and Self harm CLINICAL 2. A3
2
NAME OF FACULTY NAME OF FACULTY POSTING 3. A4
VENUE VENUE 4. A1+A5
NEUROLOGY
Demyelinating disorders 1. A3
CLINICAL 2. A4
3 of CNS SELF STUDY POSTING
NAME OF FACULTY 3. A1+A5
VENUE 4. A2
COMMUNITY
NEUROSURGERY RESEARCH
MEDICINE
Approach & CLINICAL
4 Neurological disorders: A PRESENTATION
Management of CNS POSTING
public health approach NAME OF FACULTY
NAME OF FACULTY
tumors VENUE
VENUE NAME OF FACULTY
VENUE
NEUROLOGY
PSYCHIATRY
Clinical approach to CLINICAL
5 Behavioral disorders
Ataxias NAME OF FACULTY POSTING
NAME OF FACULTY VENUE
VENUE
PEDIATRICS
Neuropsychotic 1. A4
Behavior disorders in CLINICAL 2. A1+A5
6 SELF STUDY
Children POSTING 3. A2
NAME OF FACULTY 4. A3
VENUE
857
NEUROSCIENCES 2, SEMESTER 8
TIME TABLE WEEK-7th
10:45 to
Days 08:30 to 09:30 09:30 to 10:30 1:30 to 03:00
12:45
2 PUBLIC HOLIDAY
ANATOMY REVISIT
Functional Neuroanatomy of Spinal Cord CLINICAL
5
NAME OF FACULTY POSTING
VENUE
CLINICAL
NEUROLOGY
NEUROSURGERY
RADIOLOGY
Non compressive Radiological features of Normal
Compressive CLINICAL
6 myelopathies and Diseased Spine & Vertebral
Myelopathies POSTING
clinical features and NAME OF FACULTY Column
management VENUE NAME OF FACULTY
NAME OF FACULTY VENUE
VENUE
858
NEUROSCIENCES-2 SEM-8,
TIME TABLE WEEK-8
Neurology Neurology
Psychiatry
Classification & Clinical Clinical approach to
Schizophrenic CLINICAL
2 approach to myopathies:
Disorders POSTING neuropathy & GBS
Ducchenne muscular NAME OF FACULTY NAME OF FACULTY
NAME OF FACULTY VENUE VENUE
VENUE
CLINICAL
3
SELF STUDY POSTING SELF STUDY
CLINICAL
4 SELF STUDY POSTING
5 MODULE TEST
859
LEARNING OBJECTIVES
At the end of the lecture, students should be able to:
ANATOMY
1. NEU 2 Ana 1 (REVISIT) Functional Neuro anatomy of Brain
3. NEU 2 Ana 3 (REVISIT) Circulation of brain: anterior and posterior cerebral circulation
860
5. NEU 2 Ana 5 (REVISIT) Cranial nerves
EMBRYOLOGY
1. NEU 2 Ane 1 (REVISIT) Development of brain
HISTOLOGY
NEUROSURGERY
1. NEU 2 Neu Sur 1 Congenital Anomalies of CNS:
861
2. NEU 2 Neu Sur 2 Synthesis And Flow Of Csf Along With Its Composition.
Hydrocephalus & Its Management
6. NEU 2 Neu Sur 6 Approach & Management Of CNS Tumors At Different Ages
862
PATHOLOGY
1. NEU 2 Pth 1 Reaction Of Neurons And Glial Cells To Injury , Cerebral Hypoxia &
Cerebral Edema
Discuss the pathological changes seen in neurons and glial cells due to different
pathological stress
Classify neuronal injuries ,causes and pathophysiology
Describe cerebral hypoxia, causes and pathogenesis
Elaborate cerebral edema and its pathogenesis
Define and classify degenerative diseases of basal ganglia and brain stems
Describe pathophysiology of different degenerative disorders.
Identify signs of symptoms of the given pathologies.
Elaborate management plan for the given pathologies.
863
PHARMACOLOGY
1. NEU 2 Pha 1 Sedative And Hypnotics
Define migraine
Classify Migraine
Identify different treatment options for the given pathology
Pharmacokinetics and dynamics
Side effects of given therapeutics
864
List three different classes of antipsychotic drugs and describe the main
pharmacological effects they produce
Describe the common adverse effects and specific neurological conditions caused by
antipsychotic drugs
Explain the mechanism of action and uses of antipsychotic drugs
List the adverse effects associated with antipsychotic drugs.
Describe the pharmacology of drugs used to treat some forms of mental illness.
Explains how antipsychotic drugs suppress the symptoms of schizophrenic and other
psychotic conditions, and explains the numerous adverse effects that these drugs
produce.
PSYCHIATRY
1. NEU 2 Beh 1 Anxiety Disorders
865
Describe categories of psychoactive drugs
Elaborate the effects of alcohol on body
Identify different types of dependences
COMMUNITY MEDICINE
1. NEU 2 Com 1 Risk Factors Causing Stroke & Their Prevalence In Community
866
2. Neu 2 Com 2 Public Health Principles And Neurological Disorders
REHABILITATION
1. NEU 2 PMR 1 Introduction To Neuro Rehabilitation
Classify stroke
Describe pathophysiology of stroke
Identify therapeutic and surgical interventions of stroke
Elaborate investigation criteria for stroke
Classify SCI
Describe Asia impairment scale
Therapeutic interventions
Surgical interventions
NEUROLOGY
1. NEU 2 Neu 1 Investigations for Neurological Disorders
867
2. NEU 2 Neu 2 Changes In Level Of Consciousness And Approach To Coma
5. NEU 2 Neu 5 Clinical Features Of Meningitis, Encephalitis And Brain Abscess In Adults
And Children. CNS Infections: Acute And Chronic 1
868
7. NEU 2 Neu 7 Approach To Movement Disorders D/D Of Involuntary Movements.
Explain dementia
Approach a patient with dementia
Evaluate its laboratory findings
Understand its prevention and management
9. NEU 2 Neu 9 Difference Between Upper & Lower Motor Neuron Lesions
10. NEU 2 Neu 10 Usual Features Of Intrinsic And Extrinsic Spinal Cord Lesions
869
13. NEU 2 Neu 13 Approach Towards Paraparesis
Classification of Myopathies
Identify different types of myopathies on the bases of history and examination
Describe the pathophysiology of common myopathies
Elaborate treatment plan for the given pathologies
18. NEU 2 Neu 18 Clinical Features, D/D And Investigations Of Myasthenia Gravis.
870
19. NEU 2 Neu 19 Motor Neuron Disease
Describe SMA
Classify SMA
Describe pathophysiology related to SMA
Identify SMA on the bases of clinical features and investigations
Set a treatment plan for the given pathologies
Describe Poliomyelitis
Elaborate etiology of poliomyelitis
Describe pathophysiology related to Poliomyelitis
Identify poliomyelitis on the bases of clinical features and investigations
Set a treatment plan for the given pathologies
Define seizures
Classify seizures
Clinical features of seizures
Identify Causes and risk factors
Describe Pathophysiology and clinical classification
Elaborate Management plans
23. NEU 2 Neu 23 Taking History In Patients With Epilepsy, Ordering Investigations And
Plan Management
871
25. NEU 2 Neu 25 Lesions Of Cranial Nerves
PAEDIATRICS
1. NEU 2 Ped 1 Causes Of Perinatal Brain Injury
5. NEU 2 Ped 5 Approach To Metabolic & Toxic Disorders Affecting Nervous System In
Children
872
Recognize management plans
ANAESTHESIA
General Anesthesia
Define anesthesia
Describe types of anesthesia
Classify general anesthesia
Roll and uses of general anesthesia
Side effects and complications related to general anesthesia
Regional Anesthesia
Describe anesthesia
Types of Anesthesia
Define regional anesthesia
Types of regional anesthesia
Method of regional anesthesia
Side effects of anesthesia
873
LEARNING OBJECTIVE OF SKILLS LAB CURRICULUM
V. Lumbar Puncture
INTRODUCTION/RATIONALE:
A procedure in which a hollow needle and stylet are introduced into the subarachnoid space of
the lumbar part of the spinal canal to obtain cerebrospinal fluid (CSF) for therapeutic and
diagnostic purposes. Strict aseptic technique is used.
LEARNING OBJECTIVES:
874
4. NEU 2 Cbl 4 MENINGITIS
875
TABLE OF SPECIFICATIONS
Total Subject/ ROUND
WEEKS/HOURS 1st 2nd 3rd 4 5 6 7 8 9 total*100 OFF
10 9.42 9
4 - - 1 - - 2 3 -
Anatomy
6 5.71 6
1 - - 2 - 2 1 -
Pathology
Microbiology 1 0.95 1
- - - - 1 - - - -
11 10.47 10
Pharmacology 1 1 4 3 1 1 - - -
3 2.25 2
Comm.medicie - - - - 1 1 1 -
-
22 20.9 21
Neurology 1 2 2 4 2 3 3 3 2
Peadiatrics - - 1 1 - 1 1 - - 4 3.80 4
Psychiatry 1 1 - 1 1 - 2 1 1 8 7.61 8
Neurosurgery 3 - 1 1 - - 1 2 - 8 7.61 8
Rehabilitation - - 1 - 1 - - 1 - 3 2.85 3
Radiology 1 - - 1 1 1 - 1 - 5 4.76 5
Anesthesia 1 - 2 - - - - - 3 2.85 3
SBL 3 - 3 3 3 3 3 3 21 20 20
-
3 105 99.88 100
TOTAL 16 4 14 15 13 10 15 15
876
BLUEPRINT OF ASSESSMENT
NEUROSCIENCES-2 MODULE
(SEMESTER-VIII)
SUMMATIVE ASSESSMENT
THEORY
ATP 25
EXAM
PAPER-III 80%
One best Questions
20
based on CBL
Total 100
One best Questions 50
MODULE EXAM
EMQs 10
ATP 20
MODULE PAPER 20%
One best Questions
20
based on SBL
Total 100
STRUCTURED VIVA
ASSESME
SEMESTE
R EXAM
See Semester
NT
Assessment Plan
FORMATIVE ASSESSMENT
ASSESSMENT TOOLS
Structured Feedback
ASSESSMENT DURING SBL SESSION Given to the Student by
Facilitator
NOTE: Paper I & IV-A of Semester-8 Examination are Based on EYE / ENT Module.
Paper II & IV-B of Semester-8 Examination are Based on Phy Med/ GEN/ DERMA -2 Module.
877
CREDIT HOURS
SEMESTER VIII
NEUROSCIENCES-2MODULE
PAPER III 6
NEUROSCIENCES-2
PAPER IV C 3
878
ASSESSMENT PLAN, SEMESTER-8
CREDIT
PAPER CONTENT WEIGHTAGE
HOURS
Section - 1
Physical Med Rehab 17 Marks
1-Credit hour
Section 2
Genetics 16 Marks 50
II 1-Credit hour Marks 3
Section 3
Dermatology & Plastic
17Marks
Surgery
1-Credit hour
Neurosciences-2 Module
80 Marks
(Semester Theory) 100
III Neurosciences-2 Module
20 Marks
Marks 6
(Module Exam)
879
880
SPIRAL -3
Integrated Supervised
Practical Training
881
FINAL YEAR M.B; B.S
Semester IX & X
882
FIVE YEAR CURRICULAR ORGANIZATION
883
SEMESTER COMMITTEE
Prof. SalahuddinAfsar, Dean of Medicine, DUHS
Prof Naheed Sultan, Dean of Surgery, DUHS
Prof. Khalid Mahmood, Chairperson of Medicine, DUHS
Prof. SaeedQuraishy, Chairperson of Surgery, DUHS
Prof. Junaid Ashraf, Chairperson of Neurosurgery, DUHS
Prof. Ayesha Khan, Chairperson of Gynecology & Obstetrics, DUHS
Prof. Aisha Mehnaz, Chairperson of Paediatrics, DUHS
Prof. KhalidaSomroo, Professor of Cardiology, DUHS
Prof. Maratib Ali, Professor of Orthopedics, DUHS
Dr. Yasmin Hasan, Head of Department of Neurology, DUHS
MODULE COORDINATOR:
Module committee
Curriculum committee
884
RATIONALE
After having completed eight semesters of learning in integrated modular
fashion the student has attained the baseline theoretical knowledge that is
required to practice medicine. The final year is designed to integrate this
knowledge with first hand practical experience to be gained by assigning to the
students a role similar to that of a shadow house officer. The students shall be
posted to clinical teaching units throughout the days teaching time where they
will have practical exposure of management of patients under supervision of
the faculty. The main emphasis of this practical teaching will be on the common
problems of our society that a doctor is most likely to face and be expected to
manage as medical practitioner.
TERMINALOBJECTIVE
By the end of final year the student will have acquired all the competencies that
are required as a doctor in accordance with the guidelines of Pakistan Medical
& Dental Council i.e. being a lifelong self-directed learner, altruistic &
empathetic, having core knowledge of ethics, demonstrate skills of teamwork
as a collaborator, having good communication skills, have developed the spirit
of inquiry, creativity, research oriented attitude and demonstrate leadership
qualities.
885
TEACHING PLAN
Semester Format
SEMESTER ROTATION
For clinical teaching in the final year (IX-X Semesters) the class will be
divided in two groups, one of which will be posted to Medical & Allied
section and the other will be posted to Surgery & Allied section in the IX
semester. In the X semester these groups will exchange and will be
posted to the alternative module.
886
SEMESTER PLAN
SEMESTER IX SEMESTER X
IN MONTHS
Preparation / Preparation /
Semester Semester
Clinical Posting Elective Clinical Posting Elective
Exam Exam
compensation compensation
1 2 3 4 5 6 7 8 9 10 11 12
887
PLAN OF ROTATIONS
Dow University of Health Sciences
CLINICAL Posting Schedule for Semester IX, FINALYEAR MBBS
Posting 1 2 3 4
01-01-15 29-01-15 26-02-15 26-03-15
Units to to to to
28-01-15 25-02-15 25-03-15 22-04-15
Surgery 2 A1 B1 C1 D1
Surgery 1 A2 B2 C2 D2
Surgery 4 A3 B3 C3 D3
Surgery 3 B1 A1 D1 C1
Surgery 6 B2 A2 D2 C2
Surgery 5 B3 A3 D3 C3
Orthopedics C1+1st half of D1+1st half of A1+1st half of B1+1st half of
( 15 days ) * C2 D2 A2 B3
Neuro Surgery C3+2nd half of D3+2nd half of A3+2nd half of B3+2nd half of
( 15 days ) * C2 D2 A2 B3
Gyn/Obs 3 D1 C1 B1 A1
Gyn/Obs 1 D2 C2 B2 A2
Gyn/Obs 2 D3 C3 B3 A3
Medical 2 E1 F1 G1 H1
Medical 5 E2 F2 G2 H2
Medical 4 E3 F3 G3 H3
Medical 3 st
F1+1 half of st
E1+1 half of H1+1st half of G1+1st half of
F2 E2 H2 G2
Medical 1 nd
F3+2 half of nd
E3+2 half of nd
H3+2 half of nd
G3+2 half of
F2 E2 H2 G2
Neurology G2+1st half of H2+1st half of E2+1st half of F2+1st half of
(15 days ) * G1 H1 E1 F1
nd nd nd nd
Cardiology G3+2 half of H3+2 half of E3+2 half of F3+2 half of
( 15 days ) * G1 H1 E1 F1
Paeds 3 H1 G1 F1 E1
Paeds 1 H2 G2 F2 E2
Paeds 2 H3 G3 F3 E3
(1) Where Batches are to divide, they will divide into two equal halves (1 st half & 2nd half) and
will attend ward as indicated.
(2) Students posted in Neurology / Cardiology/ will interchange after 15 days.
(3) Students posted in Neuro Surgery and Orthopedics will also interchange after 15 days.
(4) Students posted in Orthopedics will report to HOD Ortho I for further posting
888
TEACHING DURING WARD POSTINGS
Students of Final Year MBBS, are posted to allotted wards where they are to perform the following
Patient allocation:
1. Students will be allocated beds in the ward. Equal numbers of male and female beds to
be allocated if possible.
2. Teams of PG- HO- Student will be formed according to beds
3. Students shall take history of their patients.
4. Follow the patients up on daily basis on SOAP format.
5. Students will be encouraged to assist in surgery/procedures of their respective patients.
Ward Work:
1. The student will shadow the house officer and the PG.
2. Will assist in procedures performed by them and will be supervised in minor procedures
to be performed by the students.
3. Will do the ward work along with the house officer.
Topic Discussion
Tutorial:
889
WEEKLY SCHEDULE
890
MEDICINE
891
MEDICINE
Approach to
1ST Approach to
Approach to Anaemia Lymphadenopathy and
WEEK Bleeding Disorders
Hepatosplenomegaly
Approach to Acute
Approach to Chronic Approach to Jaundice and Chronic Liver
3RD
Diarrhea(Malabsorption)/IBD Including Viral Hepatitis Disease with
WEEK
and Celiac Disease and Its management Complications and
HCC
Approach to
Approach to Renal
patients with
Failure and
Approach to Proteinuria and Electrolyte
4TH Differentiation between
Hematuria (Nephritic and Imbalance (Hypo
WEEK ARF and CRF and
Nephrotic Syndrome) and Hypernatremia
Clinical Management and
and Hypo and
Complications
Hyperkalemia
892
TOPICS FOR INTERACTIVE & TUTORIAL SESSIONS IN
MEDICINE
POSTING 2 (2nd Month)
Approach to pneumonia
Approach to Acute (CAP\HAP) its
Approach to chronic
Dyspnea (Bronchial complications including
dyspnea and chronic
1ST Asthma, Pulmonary lung abscess and
chough ( COPD with
WEEK Edema and Pulmonary uncomplicated and
complications, ILD) and
embolism) and its complicated
its management
Management pleuraleffusionand its
management
Approach to
pathophysiology , history
and clinical examination
Diabetes mellitus its Diabetes mellitus and diagnosis and management
diagnosis,investigations its complications ( acute of hypo and hyper
2ND
and its management DKA/ HONK/ thyroidism/ Approach to
WEEK
(including oral and hypoglycemia) and pathophysiology ,history
insulin) chronic) and clinical examination
diagnosis and management
of hypo and hyper
cortisolism
893
CARDIOLOGY
Patients with
Patients with
hypertension
adult Patients with WARD TEST
2ND and
congenital pericardial
WEEK hypertensive
heart diseases diseases.
crisis
Discussion on
routine cases e.g.
ECGinterpretation of Bed side CAD, pericardial
1ST
normal ECG and X-ray -reading. examination effusion, CMP,
WEEK
arrhythmias. skills. rheumatic fever
and infective
endocarditis.
Discussion for
Indication of management
diagnostics evaluation protocol and life
with stress test with style modification,
Counseling of the
2ND thallium spect, interventional
patients and
WEEK echocardiography, procedures and
rehabilitation.
Doppler stress, & TEE surgical
and coronary intervention, WARD TEST
angiography (evidence based
on the site).
894
NEUROLOGY
895
MAIN LECTURES
List of important topics to be revisited in full class format
MEDICINE
No. Topics
2 Interpretation of ABG's
6 Osteoporosis/Osteomalacia
10 Coagulopathy/DVT/Embolism
13 Overview of Arthritis
14 Overview of HIV
15 Overview of Poisoning
896
CARDIOLOGY
No. Topic
NEUROLOGY
No. Topic
1 Overview of headache
2 Overview of epilepsy
3 Overview of stroke
897
LEARNING OBJECTIVES: MEDICINE
By the end of the session the student should be able to:
Ward Topics
Define anemia and its various types (nutritional, anemia of chronic illness, hemolytic
and aplastic)
Explain pathophysiology of different types of anemia including hemolytic anemia
(intravascular v/s extravascular, congenital v/s acquired)
Recognize various clinical features of anemia including hemolytic anemia (congenital,
acquired, autoimmune v/s non immune)
Differentiate between various types of anemia on the basis of history and clinical
examination
Enlist and interpret various hematological investigations in evaluating a case of
anemia including various red cell indices and specialized tests
Formulate differential diagnosis on the basis of available investigations
Outline principles of management of various types of anemia
Counsel regarding different types of anemia especially hemolytic anemia
898
Define and differentiate between various types of acute leukemias
Explainpathogenesis of myeloproliferative disorders
Outline and interpret investigations myeloproliferative disorders
Define importance of cytogenetic / molecular aspects of CML
Outline principles of management of various phases of CML
Enlist indications and complications of Bone marrow transplantation
Counsel the patients regarding prognosis in myeloproliferative disorders
899
Define acute diarrhea and distinguish it from chronic diarrhea
Define pathophysiology of absorption of different nutrients and concepts of osmotic,
secretory, inflammatory, infective, factitious
Differentiate between small bowel and large bowel diarrhea including dysentry
Enumerate the causes of acute diarrhea
Explain pathogenesis of different acute diarrhea
Enlist clinical features of dehydration including red flag signs
Outline steps of management
Enumerate complications of acute diarrhea
Define chronic liver disease and differentiate it from acute liver injury
Enlist signs and symptoms of chronic liver disease
Enlist various causes of chronic liver disease including viral and non viral causes
Enumerate and diagnose different complications of chronic liver disease including portal
hypertension, ascites and SBP, upper GI bleed, hepatic encephalopathy, hepato-renal
syndrome, hepatocellular carcinoma
Outline general and specific management of chronic liver disease and its complications
Counsel patient regarding prognosis of chronic liver disease
900
Approach to a patient with Protienuria (Glomerulonephritis / Nephrotic Syndrome)
901
Electrolyte Imbalance
Define normal ranges of serum osmolarity and serum levels of common electrolytes
(Na, K, Cl, HCO3, Ca, Mg,PO4)
Define the calculation of serum osmolarity, total body water, free water deficit,
Sodium deficit, corrected calcium level
Explain compositions of commonly used IV fluids
Enlist causes of Hypo & Hypernatremia, Hypo & hyperkalemia, Hypo &hypercalcemia
Enumerate the clinical features of Hypo & Hypernatremia, Hypo & hyperkalemia,
Hypo &hypercalcemia
Outline other relevant investigations to reach the cause
Outline management Hypo & Hypernatremia, Hypo & hyperkalemia, Hypo
&hypercalcemia
Enlist complications of drugs/fluids used for the treatment of electrolyte imbalance
Enlist and differentiate between different causes of chronic dyspnea including chronic
asthma, COPD, interstitial lung disease, occupational lung diseases
Explain pathophysiology of COPD
Enlist risk factors associated with COPD
Outline investigations to confirm the diagnosis of chronic dyspnea according to the
cause
Differentiate between restrictive and obstructive patterns of PFTs
Outline management of chronic dyspnea
Enlist indications for long term O2 therapy
Counsel the patients regarding smoking cessation
902
Approach to a patient with Pneumonia / Pleural Effusion
Diabetes Mellitus
Enlist important acute metabolic complications in type 1 & 2 diabetes mellitus ( DKA,
HHS, Hypoglycemia)
Differentiate various diabetic metabolic emergency on the basis of clinical signs and
symptoms
Explain pathogenesis of DKA, HHS
Understand all possible precipitants of acute metabolic complications
Outline and interpret the investigations for diagnosis of DKA, HHS, hypoglycemia
Outline management plan in a patient with DKA, HHS, hypoglycemia
Enlist complications of the illness
Educate the patient to prevent these complications
903
Chronic Complications of Diabetes Mellitus&Diabetic Nephropathy
Suspect neuropathy in a diabetic patient on the basis of negative and positive sensory
symptoms
Classify various types of diabetic neuropathy
Enlist clinical features of diabetic neuropathy (clinical presentations)
Outline investigations to confirm neuropathy
Outline management of diabetic neuropathy
Enlist complications of diabetic neuropathy
Enlist all ocular complications of DM (cataract, retinopathy and glaucoma)
Classify various stages of diabetic retinopathy (background versus proliferative)
Diabetic Foot
904
Cushings Syndrome
Adrenal Insufficiency
905
Approach to patients with Fever and altered level of Consciousness
906
Infective Endocarditis
LECTURE TOPICS
Overview of Dyslipidemia / Metabolic syndrome/ Obesity
907
Overview of HIV
Osteoporosis / Osteomalacia
908
Approach to renal failure
Define acute and chronic renal failure.
Enumerate the causes of acute and chronic renal failure.
Discuss the pathophysiology of renal failure.
Enlist the signs and symptoms of renal failure.
Enlist and interpret the investigations for renal failure.
Outline the management plan.
Discuss the complications of renal failure.
Enumerate the indications for dialysis.
Discuss briefly the concept of hemodialysis and peritoneal dialysis.
Overview of arthritis
Classify arthritis according to the onset and number of joint involvement.
Classify arthritis according to the etiology.
Discuss the pathophysiology of rheumatoid, osteoarthritis, gout and seronegative
arthritis.
Enlist the investigations needed for different arthritis.
Discuss the radiological findings in different arthritis.
Interpret the synovial fluid analysis.
Outline the management plan.
909
Overview of diabetes mellitus
Describe the pathophysiology of diabetes mellitus
Enlist the different types of DM
Enumerate the clinical features of DM
Outline the basics of management of DM
Enlist the microvascular and macrovascular complications of DM
Interpretation of ABGs
910
Overview of poisoning
Introduction:
Defibrillation by Automated External Defibrillators or Manual Defibrillators is a life-saving
skill during cardiac arrest. Learning proper technique of defibrillation is essential for every
healthcare professional working in emergency and intensive care settings.
Learning objectives:
After this session students should be able to:
List the equipment required for this procedure.
Demonstrate correct technique of defibrillation by a manual defibrillator.
Introduction:
Airway management is an essential part of any emergency medical intervention in cases of
cardiac or respiratory arrest. Proper use of basic and advanced airway adjuncts is a
fundamental skill for all tiers of health care professionals.
Learning objectives:
After this session students should be able to:
911
List the equipment required for this procedure.
Demonstrate correct technique of insertion of basic and advanced airways with
precautions.
CARDIOLOGY
Patient with chest pain
Analyze history and examination of the patient with ischemic heart diseases.
Able to differentiate the clinical presentation of various ischemic presentations.
Able to predict risk score for management plane.
Read ECG and laboratory test investigation Troponin and CK-MB.
Correlate the clinical presentation with reports of the advanced investigation like
ECHO and Coronary Angio and Thallium Spect.
Describe the management plane of specific ischemic disorders.
Patient with cardiac failure
Analyze and the history and examination specially BP taking procedure in a patient
with hypertension.
Able to Grade the level of blood pressure.
On the clinical presentation try to identify the secondary cause end-organ damage.
Assess cardiovascular risk factors.
Analyze the appropriate test for secondary cause e.g. ultrasound abdomen KUB
thyroid profile etc.
Analyze the appropriate test for end-organ damage documented on clinical
presentation. (U &Es, urinalysis, creatnine, ECG, Fundascopy, ECHO).
Describe the management.
912
Patients with arrhythmias
NEUROLOGY
Approach To Patient with Headache:
913
Approach To Patient with stroke/Motor weakness:
914
Approach To Patient with ataxia:
915
CREDIT HOURS OF MEDICINE
13.5
Marks distribution of each paper is given below
916
BLUEPRINT OF ASSESSMENT
CONTINUOUS ASSESSMENT:
Continuous clinical assessment is done at the end of the clinical posting. The students are
provided feedback which is one of their formative assessments
SEMESTER ASSESMENT:
a) Written examination.
b) Clinical examination including viva.
917
WRITTEN EXAMINATION
Medicine will have two theory papers. the distribution of topics for Medicine Paper-I &
Medicine Paper-II is given below.
Each written paper shall be of 200 marks with the following distribution.
150MARKS
50 MARKS
918
CLINICAL EXAMINATION
1. Cardiology
2. Cardiology
3. Neurology
TOTAL= 60 MARKS
919
MEDICINE PAPER 1 DIVISION
S. No Topic
1 Respiratory System
2 Cardiovascular System
4 Musculoskeletal Disorders
5 Hepatobiliary System
7 Dermatology
8 Clinical Genetics
9 Oncology
10 Immunological Disorders
3 Infectious Diseases
4 Haematology
7 Clinical Pharmacology
8 Psychiatry
10 Metabolic Disorders
920
ASSESSMENT PLAN (MARKING GRID)
SCENARIO BASED 50
QUESTIONS (ATP)
921
MARKS ALLOCATION
Theory:
Paper 1: 150 marks to be assessed in written paper BCQ component
Paper 2: 150 marks to be assessed in written paper BCQ component
Clinical assessment:
1) Alternative to Practical: 100 marks to be assessed in written paper ATP
component
2) Clinical Examination: 200 marks
922
PAEDIATRICS
923
PAEDIATRICS
924
MAIN LECTURES
List of important topics to be revisited in full class format
PAEDIATRICS
No. Topics
3 Overview of IMNCI
925
LEARNING OBJECTIVES
By the end of the session the student should be able to:
PAEDIATRICS
Nutrition
IMNCI
926
Presentation of these problems
Risk factors and etiology of UTI.
How to investigate these problems.
How to manage these problems.
Relapse, frequent relapses, steroid dependent, steroid sensitive and steroid resistant
nephritic syndrome.
Indications of renal biopsy.
Follow up these patients.
Define anemia
Different types of hemolytic anemia
Presentation of hemolytic and Nutritional anemia
Investigate hemolytic and nutritional anemia
Manage hemolytic and nutritional anemia
Counsel parents for hemolytic anemia.
927
CVS
List common cyanotic and acyanotic heart disease
Presentation of congenital heart disease.
VSD, TOF in detail
Define Rheumatic fever and its presentation.
Criteria for diagnosis rheumatic fever.
Mange rheumatic fever
Complications of rheumatic fever.
Neonatology (preterm, low birth weight, birth asphyxia, neonatal jaundice and sepsis)
928
Examination of Newborn
How to do neonatal examination
Neonatal reflexes
Assessment of gestational age
Introduction:
In this course; there is a systemic approach for seriously ill or injured child. If not adequately
treated, child can quickly progress to cardiopulmonary failure leading to cardiac arrest.
The aim of this course is to enable students to recognize respiratory distress and failure,
cardiac arrest & shock, so that they can provide lifesaving interventions.
Learning Objectives:
929
CREDIT HOURS OF PEADIATRICS
4.5
Marks distribution of each paper is given below
930
BLUEPRINT OF ASSESSMENT
EXAMINATION PATTERN FOR MBBS FINAL YEAR
SEMESTER IX- X
PAEDIATRICS
Continuous clinical assessment is done on monthly basis as marks obtained in the final year
clinical postings of the related subjects
TERMINAL ASSESMENT
Exam to be conducted at the end of the semester (semester system) or at the end of the year
(annual system).
WRITTEN PAPER
75 questions of BCQ format. All questions will be preferably short scenario based.
150 marks
931
BLUEPRINT OF ASSESSMENT
CONTINUOUS ASSESSMENT:
Continuous clinical assessment is done at the end of the clinical posting. The students are
provided feedback which is one of their formative assessments
SEMESTER ASSESMENT:
a) Written examination.
b) Clinical examination including viva.
932
WRITTEN EXAMINATION
The written paper shall be of 200 marks with the following distribution.
150 MARKS
50 MARKS
933
CLINICAL EXAMINATION
TOTAL= 30 MARKS
934
PAEDIATRICS
Nutrition
Diarrhea
Neonatology
Blood
Nephrology
Respiratory System
Cardiovascular System
CNS
Endocrine
Infectious Diseases
Immunization
Musculoskeletal
Genetics Metabolic
Skin
Accidental Poisoning
Rheumatic Disease
Neonatal Resuscitation
935
ASSESSMENT PLAN (MARKING GRID)
ASSESMENT PLAN OF SEMESTER IX- X (MEDICINE MODULE)
ASSESMENT TOOLS MARKS
WRITTEN PAPER One best Questions 150
SEMESTER/ ANNUAL
SCENARIO BASED 50
QUESTIONS (ATP)
EXAM
INTERACTIVE 70
CLINICAL STATIONS(TOTAL =7)
ASSESSMENT
NON-INTERACTIVE 30
STATIONS( TOTAL=3 )
936
MARKS ALLOCATION
Theory:
Paper 1: 150 marks to be assessed in written paper BCQ component
Clinical assessment:
Alternative to Practical: 50 marks to be assessed in written paper ATP
component
Clinical Examination: 100 marks
937
SURGERY
938
SURGERY
939
TOPICS FOR INTERACTIVE SESSIONS IN SURGERY
POSTING 2 (2nd Month)
4TH
WARD TEST
WEEK
940
NEUROSURGERY
Cerebro-
Head Injury and Spinal Injury & Vascular
1ST Brain Tumors Degenerative
Management Management Accidents
WEEK Spinal Diseases
Approach to
Neurological Reading Reading MRI Approach to
2ND Patient with
Assessment Head CT Scan Head and Spine Patient with
WEEK Head Injury
Spinal Injury
941
LEARNING OBJECTIVES
ORTHOPEDICS
Acquired/ Arthritis
Radiological Orthopedic
2ND metabolic
Bone tumor interpretation techniques
WEEK disorders
942
SURGERY
By the end of the session the student should be able to:
NO. TOPIC
5. Urinary stones
6. Breast tumors
9. Prostate
15. Gall bladder and biliary tract disease including complication of gall stones
943
NEUROSURGERY
No. Topic
3 Cerebrovascular Accidents
ORTHOPEDICS
No. Topic
1 Fracture Management
2 Osteoarthritis
944
WARD TOPICS: LEARNING OBJECTIVES
SURGERY
Objectives:
At the end of the posting in surgery ward the final year medical student will be able to:
1. Take a detailed history from a surgical patient, relatives and others.
2. Perform a complete physical examination of a surgical patient.
3. Present a summary of at least one assigned case to a faculty member during a ward
round.
Acute Abdomen
Diagnose a patient suffering from gall bladder diseases on the basis of a focused
history and examination.
Plan and justify required investigations in gall bladder diseases.
Outline a management plan for a patient most likely suffering from gall bladder
diseases presenting to the emergency ward / OPD of the hospital.
Obtain an informed consent from a patient or his/her family member for
laparoscopic cholecystectomy and possible conversion to an open procedure with
reasoning.
Acute Appendicitis
945
Describe a management plan including surgical options for a patient suffering
from acute appendicitis and its complications.
Counsel a patient with acute appendicitis and its complication for any required
intervention.
Acute Pancreatitis
Obstructive Jaundice
Enlist the common causes of right lower abdominal masses in order of frequency.
Justify the most likely cause of the right lower abdominal mass on the basis of history
and physical examination in a given patient.
Enlist the most likely causes for a space occupying lesion of the liver.
Justify a working diagnosis for an abscess of the liver on the basis of history and
physical examination.
946
Describe a management strategy for a patient suffering from a malignant space
occupying lesion of the liver.
Outline a management plan for a patient suffering from a complicated hydatid
cyst of any part of the body.
Obtain an informed consent from a patient who is to undergo Percutaneous
drainage of echinococcal cysts (PAIRPuncture, Aspiration, Injection, Re-
aspiration) with possible complications and options for emergency surgery.
Hernias
Testicle
Justify the diagnosis on the basis of history and physical examination of a patient
presenting with a breast lump.
Propose a management plan for a patient who has been diagnosed as a benign
breast disease.
947
Devise a management strategy on the basis of current scientific evidence for a
patient diagnosed as having a malignant breast disease.
Obtain an informed consent from a patient who is to undergo a modified radical
mastectomy with axillary sampling, explaining all common possible outcomes.
Counsel a patient diagnosed as having malignant breast disease about the future
management with the possible options of chemotherapy and radiotherapy.
Vascular Diseases
Pre-operative Workup
Select and interpret the correct baseline investigations for the pre-operative
workup of a patient with co-morbidities undergoing elective or emergency
surgery.
Order and interpret the findings of plain radiograph, C.T. Scan and M.R.I. in
relations to the disease.
Evaluate the laboratory investigation ordered for pre-operative workup in a
surgical patient.
Prescribe Deep Venous Thrombosis prophylaxis to a high risk patient about to
undergo major abdominal surgery.
Discuss with a patient as how to maintain adequate warfarinization, who might
suffer Pulmonary Embolization secondary to past deep venous thrombosis.
Design a complete nutrition plan including pre-operative support and post-
operative therapy for a patient who is to undergo major abdominal surgery and
will have an ICU stay of 3 days.
948
Should be able to perform the following procedures:
Interpret the findings on the taken history to diagnose the patient presenting with
dysphagia.
Devise a plan to manage a patient with Carcinoma Oesophagus.
Formulate a management strategy, based on surgical principles, for the management
of a patient presenting with dysphagia most likely due to a non-malignant cause.
Formulate a nutrition support plan for a patient undergoing an Oesophagectomy with
emphasis on both pre and post-operative stages.
Counsel a patient of Carcinoma Oesophagus about the future management and
possible outcome of the disease.
Intestinal obstruction
Analyze the history from a patient presenting with possible intestinal obstruction
and pinpoint the most likely pathology.
Justify a fluid and electrolyte correction regimen for a patient in intestinal
obstruction.
Outline a strategy to manage a patient with intestinal obstruction.
Propose a nutrition plan which includes both enteral and parental components for
a patient who has undergone small bowel resection.
Colorectal diseases
949
basis of given surgical principles.
Identify the complications of stoma on a patient.
Counsel a given patient regarding stoma formation following abdominal-perianal
resection for carcinoma rectum.
Enumerate the types and classification of intestinal fistulas and transcribe
management options for intestinal fistulas on a given patient.
Swellings of the neck
Stomach
Genitourinary diseases
Diagnose a patient suffering from renal calculi on the basis of history and physical
examination.
Propose a management plan based on surgical principles for management of a
patient with renal calculi.
Enumerate the causes of haematuria.
Devise a working plan to accurately identify specific cause of haematuria in given
patient.
Formulate a working plan for management of a patient with renal tumour.
Interpret the findings on the basis of history and examination in a patient suffering
from renal tumour.
Elicit a pertinent history so as to be able to reach a diagnosis from a patient
suffering from benign prostatic hypertrophy.
Outline a management plan for a patient suffering from urinary bladder outlet
obstruction.
Postoperative Care
Rationalize the use of various intravenous fluids available for utilization in a given
situation.
Select the appropriate routes and lines for providing nutrition to a patient in the
ward following admission for poly-trauma.
Justify the correct pain therapy for a given patient as W.H.O guidelines.
Prescribe adequate pain management, including epidural and patient controlled
950
analgesia to a patient who has undergone a Thoracotomy
Plan analgesia therapy for a poly-trauma patient who has multiple rib fractures
and lung contusion.
Select the suitable blood products available for transfusion in a given patient as
per transfusion indexing protocol.
Manage the possible complications arising from blood transfusions.
Complete a confirmation of death protocol certificate as per given hospital
guidelines.
Take follow-up of a postoperative patient in SOAP format.
Perianal Diseases
Introduction:
Trauma is the leading cause of death in ages 1-44 yrs. The aim of this module is to to provide
basic knowledge and skills necessary to identify and treat those traumatized patients who
require rapid assessment, resuscitation and stabilization of their injuries, as provision of
efficient trauma care both in hospital and pre hospital settings improves the chances of
survival and decreases permanent disability in trauma patients.
Objectives:
At the end of the session the student should be able to:
1. Rapidly and accurately assess trauma patient
2. Perform lifesaving measures
3. Prepare patient for transport within golden hour (hour after injury).
NEUROSURGERY
951
Read x-rays of skull, cervical spine and CT scan of the head of trauma patients.
Manage the patients with head injury emergency.
Describe the long term management of head injury patients.
Decide which patients need investigation and observation.
Brain Tumors
Understand the basic classification of brain tumors, benign vs malignant, primary
vs secondary and on the basis of cells of origin.
Recognize the general clinical presentation of brain tumors.
Plan investigation of patients with brain tumor.
Read CT Scan and MRI of important brain tumors (Gliomas, meningiomas, acustic
neuromas, pituitary tumors and medastatis).
Recognize patients with raise intracranial pressure and Institute emergency
management.
Outline the principles of management of brain tumors.
Describe the principles of craniotomy.
Recognized the postoperative complications following craniotomy and decide
which patients need investigation and observation.
Cerebro Vascular Accidents
Recognize the different types of brain haemorrhages
Differentiate between subarachnoid and intracerebral hemorrhage
Understand the presentation of Subarachnoid Haemorrhage.
Enlist different causes of SAH
Diagnose SAH on the basis of presentation and order relevant investigations.
Manage patient medically.
Describe the surgical management of different causes of SAH.
Read the CT scan of SAH and intracerebral hemorrhage.
Describe the presentation of Hypertensive intracerebral hemorrhage
Describe the management of intracerebral hemorrhage.
Spinal Injury & Management
952
Describe the principles of physical rehabilitation.
Decide which patients need investigation and observation.
Neurological Assessment
Record comprehensive history of patients with neurological symptoms.
Do a complete neurological examination in correct way.
Tailor neurological examination according to the history.
Localize the lesion and suggest the differential diagnosis.
Order relevant investigations.
Approach to Patient with Head Injury
953
Reading MRI Head and Spine
ORTHOPEDICS
Basic Orthopedic Terminologies & Fracture Classification:
Student should be able to describe basic terminology used to define open and
closed fractures, dislocations and subluxations.
Discuss common fracture and joint injuries; identify specific problems with
their diagnosis.
954
Radiological Interpretation:
Should be able to know how to read orthopaedic X-Rays and identify injury.
Should know role for ordering appropriate orthopaedic X-Ray (2 views, 2 Joint
etc).
Should know role of MRI, CT scan and Ultra Sound in Orthopaedic Practice.
Bone Tumor:
955
Metabolic bone disease
Enable to take history and categorically justify the different metabolic bone
disease
Enumerate the metabolic bone disease
Enable to perform clinical examination and identify the deformities
associated with the metabolic bone diseases
Advise basic investigations in relation to metabolic bone disease and able to
differetiate different metabolic problems from haematological and radiological
investigations
Describe the treatment of important metabolic bone problems
956
CREDIT HOURS OF SURGERY
13.5
Marks distribution of each paper is given below
957
BLUEPRINT OF ASSESSMENT
EXAMINATION PATTERN FOR MBBS FINAL YEAR SEMESTER IX- X
Surgery & Allied
The assessment shall be:
a) Continuous assessment
b) Terminal assessment
CONTINUOUS ASSESSMENT:
Continuous clinical assessment is done at the end of the clinical posting. The students are
provided feedback which is one of their formative assessments
SEMESTER ASSESMENT:
a) Written examination.
b) Clinical examination including viva.
958
WRITTEN EXAMINATION
Surgery will have two theory papers. the distribution of topics for Surgery Paper-I & Surgery
Paper-II is given below.
Each written paper shall be of 200 marks with the following distribution.
150MARKS
50 MARKS
959
CLINICAL EXAMINATION
960
DISTRIBUTION OF TOPICS
SURGERY PAPER 1 DIVISION
S.No Topics
2. Preoperative Preparations
3. Post-Operative Management
9. Thyroid / Parathyroid
11. Nutrition
15. Orthopedics
16. Neurosurgery
18. Plastic Surgery & Burns, Reconstruction of cleft lip & palate
19. Breast
961
SURGERY PAPER 2 DIVISION
S.No Topics
1. Thorax
2. Esophagus
4. Liver
6. Spleen
7. Pancreas
11. Appendix
12. Rectum
962
ASSESSMENT PLAN (MARKING GRID)
ASSESMENT PLAN OF SEMESTER IX- X
ASSESMENT TOOLS MARKS
PAPER 1 One best Questions 150
SEMESTER/ ANNUAL EXAM
SCENARIO BASED 50
QUESTIONS (ATP)
One best Questions 150
PAPER 2
SCENARIO BASED 50
QUESTIONS (ATP)
INTERACTIVE 140
CLINICAL STATIONS(TOTAL =7)
ASSESSMENT
NON-INTERACTIVE 60
STATIONS( TOTAL=3 )
963
MARKS ALLOCATION
Theory:
Paper 1: 150 marks to be assessed in written paper BCQ component
Paper 2: 150 marks to be assessed in written paper BCQ component
Clinical assessment:
Alternative to Practical: 100 marks to be assessed in written paper ATP
component
Clinical Examination: 200 marks
Total: 300 marks
964
GYNECOLOGY
&
OBSTETRICS
965
GYNECOLOGY & OBSTETRICS
Anemia in Multiple
4TH Post Term Labor
Pregnancy Pregnancy
WEEK
966
TOPICS FOR TUTORIAL SESSIONS
967
MAIN LECTURES
List of important topics to be revisited in full class format
NO. TOPIC
1. Ovarian Tumor
2. Subfertility/ ART
3. Prenatal diagnosis
4. Diabetes in pregnancy
9. Cervical tumors
Amenorrhea
Define and classify amenorrhoea
Discuss common causes of primary and secondary amenorrhoea
Discuss pathogenesis of common causes of primary and secondary amenorrhoea
(including PCOS)
Discuss various clinical features relevant to diagnosis
Enumerate relevant important investigation for diagnosis
Discuss related health problems esp. with PCOS
Discuss management options including hormonal therapy.
968
Abnormal Uterine Bleeding
Gynecological Malignancies
Definitions.
Screening for gynae malignancies
Staging and grading
History, examination, investigation and management options for each
Complications and follow up.
Palliative care.
Postpartum Hemorrhage
Antepartum Hemorrhage
969
Emergency resuscitative measure in patients bleeding heavily
Use diagnostic tools to confirm cause
Diagnosis, management and complications
Utero-Vaginal Prolapse(UVD)
Define UVP
Describe classification and types.
Discuss pathogenesis and risk factors
Discuss clinical features, along with complication
Enumerate and justify various relative investigation
Discuss various modes of management
Discuss post-operative care in patients with prolapse surgery and prognosis
Fetal Surveillance
970
Early Pregnancy Disorders
Miscarriage
Ectopic Pregnancy
Gestational trophoblastic Disease
To diagnose intrauterine pregnancy, pregnancy of unknown location (PUL) & ectopic
pregnancy
To diagnose threatened , inevitable, incomplete & missed miscarriage
Resuscitation and ER management of inevitable and incomplete miscarriage preparation
for ERPC.
To diagnose acute and sub-acute pregnancy : History, Examination, investigation
To diagnose molar pregnancy from history, examination and investigations.
Counseling of patient with molar pregnancy
Multiple Pregnancies
To identify risk factors for multiple pregnancy form patients history and examination.
To diagnose multiple pregnancy.
To identify maternal and fetal complication of multiple pregnancy esp. anemia
hypertensive disorders antepartum,
To identify complications of monochromic pregnancy i.e. fetal growth restriction,
Twin to Twin transfusion syndrome.
To determine fetal presentation of leading twin.
To monitor Twin pregnancy (uncomplicated) in labour.
To be able to assist vaginal delivery of leading cephalic twin pregnancy.
To prevent postpartum hemorrhage in twin delivery.
Contraception
971
To define and classify hypertensive disorders of pregnancy
Risk factors for developing pre-eclampsia and eclampsia
Feto-maternal complication of hypertensive disorders
Evaluation and management of PIH, Pre-Eclampsia and eclampsia
Different anti-hypertensive agents their doses side-effects.
Magnesium sulphate protocol and monitoring of patients on Magnesium sulphate
therapy.
Definition of diabetes in pregnancy.
Maternal and fetal complication of diabetes
Factors associated with poor fetal outcome in diabetes.
Management of diabetes in pregnancy i.e. antenatal and post-partum.
Definition of anemia in pregnancy
To describe classification of anemia in pregnancy
Feto-maternal complication of iron deficiency anemia
Management of anemia in pregnancy i.e. oral and parenteral therapy and indications
of blood transfusions.
972
Complications of post term pregnancy
To understand the various methods of induction of labour i.e. prostaglandins and
amniotomy.
Introduction:
Management of newborn immediately after birth is an essential skill as 10% of all babies
require some resuscitation and 1% requires extensive resuscitation.
Learning objectives:
After this session students should be able to:
Describe protocol for neonatal resuscitation
Demonstrate correct technique of technique of bag and mask ventilation and chest
compressions in neonate.
List drugs used in neonatal resuscitation
Introduction:Active management of the third stage of labor significantly decreases the risk of
postpartum hemorrhage. It involves the use of oxytocic medication, immediate cord
clamping and delivery of the placenta by controlled cord traction. Practitioners need to be
aware of the risk factors for postpartum hemorrhage. Women at risk should deliver in units
where specialist assistance, operating facilities, and blood and blood products are available.
Learning objectives:
After this session students should be able to:
Describe risk factors associated with postpartum hemorrhage
Describe protocol for managing postpartum hemorrhage
973
CREDIT HOURS OF
GYNECOLOGY & OBSTETRICS
4.5
Marks distribution of each paper is given below
974
BLUEPRINT OF ASSESSMENT
EXAMINATION PATTERN FOR MBBS FINAL YEAR
SEMESTER IX- X
GYNECOLOGY & OBSTETRICS
CONTINUOUS ASSESSMENT:
Continuous clinical assessment is done at the end of the clinical posting. The students are
provided feedback which is one of their formative assessments
SEMESTER ASSESMENT:
a) Written examination.
b) Clinical examination including viva.
975
WRITTEN EXAMINATION
There shall be two theory papers, one each for Gynecology and Obstetrics.
Each written paper shall be of 200 marks with the following distribution.
150MARKS
50 MARKS
976
CLINICAL EXAMINATION
The practical examinations in Gynecology & Obstetrics shall consist of total 10 stations.
The following 07 stations of 20 marks each are interactive and based on:
Obstetrics History
Gynae History
Obstetrics Examination
Obstetrics Procedure
Gynae Procedure
Counseling
Interpretation of reports/ graphs
TOTAL= 140 MARKS
In addition, 03 non-interactive stations of 20 marks each shall be included. These stations
should consist of clinical scenarios along with X-rays/ECGs/photographs/Instruments
TOTAL= 60 MARKS
Paper 1 GYNECOLOGY
Paper 2 OBSTETRICS
977
ASSESSMENT PLAN (MARKING GRID)
ASSESMENT PLAN OF SEMESTER IX- X
ASSESSMENT TOOLS MARKS
One best Questions 150
SEMESTER/ ANNUAL EXAM
PAPER 1
SCENARIO BASED
50
QUESTIONS (ATP)
One best Questions 150
PAPER 2
SCENARIO BASED
50
QUESTIONS (ATP)
INTERACTIVE
140
STATIONS(TOTAL =7)
CLINICAL
ASSESSMENT NON-INTERACTIVE
60
STATIONS( TOTAL=3 )
978
MARKS ALLOCATION
Theory:
Gynecology: 150 marks to be assessed in written paper BCQ component
Obstetrics: 150 marks to be assessed in written paper BCQ component
Clinical assessment:
Alternative to Practical: 100 marks to be assessed in written paper ATP
component
Clinical Examination: 200 marks
979
Dow University of Health Sciences
Section 3
980
CONSOLIDATE
D TRANSCRIPTS
981
Marks obtained in
GPA Grade
Percentage Range
80-100 4.0 A+
75-79
70-74
4.0
3.7
A
A-
Dow University of Health Sciences
67-69 3.3 B+
63-66 3.0 B
60-62 2.7 B-
56-59 2.3 C+
50-55 2.0 C
0-49 0.0 F
Credit
Foundation Spiral Description Grade Grades Points
Hours
Module I Foundation Module Theory 6.00
I Foundation Module Viva 3.00
Cardiovascular I Module
Cardiovascular I Theory 3.00
Module I Cardiovascular I Module Viva 1.50
Cardiovascular II Module
II Theory 3.00
II Cardiovascular II Module Viva 1.50
982
Module Viva
Head & Neck and
Special Senses Module
Infectious II
II Reproduction
Infectious Module
Diseases II Viva
Module Theory 2.50
3.00
Diseases Module
II Infectious Diseases Module Viva 1.50
Total Credit
Hours 180
983
KEY:
1. Spiral I consists of Basic Sciences Component
2. Spiral II consists of Clinical Sciences Component
3. Spiral III consists of Supervised Practical Training
Credit Hours of each paper is the total amount of teaching of that module that this paper
assesses. A credit hour means teaching a theory course for 50 minutes each week throughout
the semester. One credit hour in laboratory or practical work / project would require lab
contact of two hours per week throughout the semester.
Grade Points Average (GPA) of each paper correspond to the marks obtained in percentage
range in each paper as given in the table at the upper left hand corner of page one of the
transcript.
Grades correspond to the GPA as given in the table at the upper left hand corner of page one
of the transcript.
Grade Points are calculated by multiplying the Grade Point Average (GPA) with credit hours.
Term GPA (Term Grade Points Average) calculated by dividing the total grade points of the
term or semester by the total credit hours of the term or semester.
cGPA (Cumulative Grade Points Average) calculated by dividing the total grade points of all
courses of the program with the total credit hours of the program.
Dated:
Note: Should any error in transcript be made inadvertently, the university reserves the right to correct the
same.
984
Marks obtained in
GPA Grade
Percentage Range
80-100 4.0 A+
75-79
70-74
4.0
3.7
A
A-
Dow University of Health Sciences
67-69 3.3 B+
63-66 3.0 B
60-62 2.7 B-
56-59 2.3 C+
50-55 2.0 C
0-49 0.0 F
Semester-I
Course Code Description Credit Grade Grades Points
Hours
101 Foundation Module Theory 6.00
101 Foundation Module Viva 3.00
101 Hematology I Module Theory 6.00
101 Hematology I Module Viva 3.00
SEMESTER- II
102 Locomotor Module Theory 6.00
102 Locomotor Module Viva 3.00
102 Respiratory I Module Theory 3.00
102 Respiratory I Module Viva 1.50
102 Cardiovascular I Module Theory 3.00
102 Cardiovascular I Module Viva 1.50
SEMESTER- III
201 Neurosciences I Module Theory 6.00
201 Neurosciences I Module Viva 3.00
201 Head & Neck and Special Senses Module 3.00
Theory
201 Head & Neck and Special Senses Module Viva 1.50
201 Endocrinology I Module Theory 3.00
201 Endocrinology I Module Viva 1.50
SEMESTER- IV
202 GIT & Liver I Module Theory 6.00
202 GIT & Liver I Module Viva 3.00
202 Renal I Module Theory 3.00
202 Renal I Module Viva 1.50
202 Reproductive Module-I Theory 3.00
202 Reproductive Module-I Viva 1.50
985
SEMESTER- V
301 Infectious Diseases Module Theory 3.00
301 Infectious Diseases Module Viva 1.50
301 Respiratory II Module Theory 3.00
301 Respiratory II Module Viva 1.50
301 Hematology II Module Theory 3.00
301 Hematology II Module Viva 1.50
301 Cardiovascular II Module Theory 3.00
301 Cardiovascular II Module Viva 1.50
SEMESTER- VI
302 GIT & Liver II Module Theory 6.00
302 GIT & Liver II Module Viva 3.00
302 Endocrinology II Module Theory 3.00
302 Endocrinology II Module Viva 1.50
302 Renal II Module Theory 3.00
302 Renal II Module Viva 1.50
SEMESTER- VII
401 Eye / ENT Module Theory 3.00
401 Eye / ENT Module Viva 1.50
401 Musculoskeletal Module Theory 4.00
401 Musculoskeletal Module Viva 2.00
401 Reproduction II Module Theory 5.00
401 Reproduction II Module Viva 2.50
SEMESTER- VIII
402 Eye / ENT Module Theory 3.00
402 Eye / ENT Module Viva 1.50
402 Neurosciences II Module Theory 6.00
402 Neurosciences II Module Viva 3.00
402 Dermatology, Rehabilitation & Genetics 3.00
Modules theory
402 Dermatology, Rehabilitation & Genetics 1.50
Modules theory
SEMESTER- IX -X
500 MEDICINE 13.5
500 PEADS 4.5
SEMESTER- IX -X
500 SURGERY 13.5
500 GYNAE & OBS 4.5
986
Undergraduate Career Total:
Term CGPA:
Credit Hours of each paper is the total amount of teaching of that module that this paper
assesses. A credit hour means teaching a theory course for 50 minutes each week throughout
the semester. One credit hour in laboratory or practical work / project would require lab
contact of two hours per week throughout the semester.
Grade Points Average (GPA) of each paper correspond to the marks obtained in percentage
range in each paper as given in the table at the upper left hand corner of page one of the
transcript.
Grades correspond to the GPA as given in the table at the upper left hand corner of page one
of the transcript.
Grade Points are calculated by multiplying the Grade Point Average (GPA) with credit hours.
Term GPA (Term Grade Points Average) calculated by dividing the total grade points of the
term or semester by the total credit hours of the term or semester.
cGPA (Cumulative Grade Points Average) calculated by dividing the total grade points of all
courses of the program with the total credit hours of the program.
Dated:
Note: Should any error in transcript be made inadvertently, the university reserves the right to correct the
same.
987
RECOMMENDE
D BOOKS
988
RECOMMENDED BOOKS
Following is the list of books recommended by the faculty of the respective subject.
Students are encouraged to access additional sources of information to enhance their
knowledge of the subjects.
ANATOMY
CLINICALLY ORIENTED ANATOMY
KEITH.L.MOORE, Arthur F. Dalley, Anne M.R. Agur
7th or Latest EDITION
EMBRYOLOGY
THE DEVELOPING HUMAN CLINICALLY ORIENTED EMBRYOLOGY
MOORE & PERSAUD & TORCHIA
10th EDITION
HISTOLOGY
MEDICAL HISTOLOGY
LAIQ HUSSAIN SIDDIQUI
5TH or Latest EDITION
989
BASIC HISTOLOGY( TEXT AND ATLAS)
LUIZ JUNQUEIRA, JOSE CARNEIRO
11th or Latest EDITION
PHYSIOLOGY
BIOCHEMISTRY
LIPPINCOTTS ILLUSTRATED REVIEWS SERIES
DENISE R. FERRIER
6th EDITION
BASIC PATHOLOGY
PATHOLOGY
ROBBINS BASIC PATHOLOGY
KUMAR & ABBAS
9TH EDITION
COMMUNITY MEDICINE
PHARMACOLOGY
990
LIPPINCOTTS ILLUSTRATED REVIEW PHARMACOLOGY
Karen Whalen
th
6 or Latest Edition
FORENSIC MEDICINE
991
PEDIATRICS
PRINCIPLES OF GYNECOLOGY
JEFFCOATES
TH
7 or Latest Edition
OBSTETRICS BY TEN TEACHERS
TEN TEACHERS
th
19 or latest Edition
992
REVIEW
STRATEGIES
993
STRATEGIES FOR MONITORING AND IMPROVEMENT
994
FORM-1
Lecture Feedback.
Lecture Title : _________________________________Presenter: _______________________
1 2 3 4 5
Strongly Disagree Disagree Neutral Agree Strongly Agree
Variable
Lecture contents are according to learning objectives 1 2 3 4 5
Delivery of lecture by the presenter was clearly 1 2 3 4 5
understandable
Quality of slides were good 1 2 3 4 5
Comments / Remarks (optional)
995
FORM-2
Module Feedback.
MODULE
Date of implementation
Date of submission: ___________________
Name: ________________________________
Roll no. ___________________________
The Curriculum Committee of DUHS requests your feedback regarding the recently
implemented above mentioned module in order to assist it to improve the quality of teaching.
A B C D E
1. Module Objectives were clearly defined:
2. Learning Objectives aligned with contents:
3. Course Contents adequately represented:
4. Time Allocated to Each Topic satisfactory:
5. Quality of Teaching Material was good:
6. Terminal objectives achieved :
7. Overall impression of students interest
was good:
996
FORM-3
Date of implementation
Name: ________________________________
Designation: ___________________________
Department: ___________________________
The Curriculum Committee of DUHS requests your feedback regarding the recently implemented
above mentioned module in order to assist it to improve the quality of teaching.
A B C D E
997
FORM-4
Teacher Evaluation Form
(To be filled by the student)
Department: _________________________________________________________
Use the scale to answer the following questions below and make comments
S.No. Instructor:
Comments:
Instructor:___________________________________________________________________________
___________________________________________________________________________________
__________________________________________________________________________
Course:_____________________________________________________________________________
___________________________________________________________________________________
____________________________________________________________________________
998
Dow University of Health Sciences
welcomes feedback and suggestions for
improvement of the Curriculum.
Email: curriculum@duhs.edu.pk
999