Download Maharashtra University of Health Sciences (MUHS) MBBS (Bachelor of Medicine, Bachelor of Surgery) 3rd year General Surgery Syllabus
Subject: General Surgery
Clinical Postings
Learner -Doctor Programme (clinical clerkship)
Phase II
? History taking
? General Examination
? Local Examination with demonstration of signs.
? Psychomotor Skills
? AETCOM of Phase II
Phase III/ I
? All of Phase II plus
? Psychomotor Skills
? Differential diagnosis
? Investigations
? AETCOM of Phase III Part I
Phase III/ II
? All of Phase III Part I plus
? Psychomotor Skills
? Management
? Counselling
? AETCOM Phase III/ Part II
-There shall be end post exam at the end of 1st, 2nd and 3rd clinical posting which will be added to internal assessment for practicals.
-At the end of 4th clinical posting of 4 weeks there will be only formative assessment.
Page 1 of 72
Subject: General Surgery
Lectures
MBBS Phase II-
Total Teaching hours: 25 hours
S. NO
TOPICS
COMPETENCIES
SUBTOPICS
AIT
HOURS
Lecture: 1
1.
Introductory Lecture
Welcome
1
History of surgery
Introduction to surgery and allied subjects
Teaching, Learning & Assessment -CBME
2.
Metabolic Response
to Injury
Lecture: 2
SU 1.1
1
Describe basic concepts of homeostasis, enumerate the metabolic
Physiology and
changes in injury and their mediators.
Biochemistry
SU 1.2
Lecture: 3
1
Describe the factors that affect the metabolic responses to injury.
Biochemistry
3.
Shock
SU 2.1
Lecture: 4
1
Describe Pathophysiology of shock, types of shock and principles of
Pathology and
resuscitation including fluid replacement and monitoring.
Physiology
PA6.3
Define and describe shock, its pathogenesis and its stages
SU 2.2
Lecture: 5
1
Describe the clinical features of shock and its appropriate treatment
Page 2 of 72
4.
Blood and blood
components
SU 3.1
Lecture: 6
1
Describe the indications and appropriate use of blood and blood products
Pathology
and complications of blood transfusion.
PA22.4
Enumerate blood components and describe their clinical uses
5.
Burns
SU 4.1
Lecture: 7
1
Describe pathophysiology of burns. Describe clinical features, diagnose
Physiology
type and extent of burns.
SU 4.2, 4.3
Lecture: 8
1
Plan appropriate treatment of burns. Discuss medicolegal aspect in burns
injuries.
6.
Wound healing and
wound care
SU 5.1
Lecture: 9
1
PA5.1
Describe normal wound healing and factors affecting healing.
Pathology
Define and describe the process of repair and regeneration
including wound healing and its types
PA4.1
Define and describe the general features of acute and chronic
inflammation including stimuli, vascular and cellular events
PA4.2
Enumerate and describe the mediators of acute inflammation
SU 5.3
Lecture: 10
1
Differentiate the various types of wounds, plan and observe management
of wounds.
7.
Surgical Infections
SU 6.1
Lecture: 11
1
Define and describe the etiology and pathogenesis of surgical infections
Microbiology
Page 3 of 72
SU 6.1
Lecture: 12
1
Define and describe the etiology and pathogenesis of surgical infections-
Microbiology
HIV-AIDS, Hepatitis, Gas Gangrene etc.
SU 6.2
Lecture: 13
1
Enumerate prophylactic and therapeutic antibiotics. Plan appropriate
management.
8.
Investigations of a
surgical patient
SU 9.1
Lecture: 14
1
Choose appropriate biochemical, microbiological, pathological, imaging
Biochemistry,
investigations and interpret the investigative data in a surgical patient.
Microbiology
Describe the diagnostic role of cytology and its application in clinical and Pathology
care.
Describe the basis of exfoliative cytology including the technique,
PA8.1
stains used
Describe the etio-pathogenesis and discuss the laboratory diagnosis
PA8.2
of infections of genitourinary system
MI7.1
9.
Nutrition and fluid
therapy
SU 12.1
Lecture:15
1
Enumerate the causes and consequences of malnutrition in the surgical
Physiology
patient.
SU 12.2
Lecture:16
1
Describe and discuss the methods of estimation and replacement of the
Physiology
fluid and electrolyte requirements in the surgical patients.
SU 12.3
Lecture:17
1
Page 4 of 72
Discuss the nutritional requirements of surgical patients, the methods of
Biochemistry
providing nutritional support and their complications.
10.
Transplantation
SU 13.1
Lecture: 18
1
Describe the immunological basis of organ transplantation.
Microbiology
SU 13.2
Lecture: 19
1
Discuss the principles of immunosuppressive therapy. Enumerate
Microbiology,
Indications, describe surgical principles, management of organ
Pharmacology
transplantation
11.
Basic surgical skills
SU 14.1
Lecture: 20
1
Describe Aseptic techniques, sterilisation and disinfection.
Microbiology
Classify and describe the different methods of sterilization and
disinfection. Discuss the application of the different methods in the
MI1.4
laboratory, in clinical and surgical practice
Choose the most appropriate method of sterilization and
disinfection to be used in specific situations in the laboratory, in
MI1.5
clinical and surgical practice
12.
Biohazard disposal
SU 15.1
Lecture: 21
1
Describe classification of hospital waste and appropriate methods of
Microbiology
disposal.
Demonstrate Infection control practices and use of Personal
MI8.7
Protective Equipment (PPE)
13.
Trauma
SU 17.1
Lecture: 22
1
Describe the principles of first aid.
SU 17.2
Lecture: 23
1
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Basic Life Support
Anaesthesiology
14.
Skin and
Subcutaneous tissue
SU 18.1, SU
1
18.2, 18.3
Lecture: 24
Describe the pathogenesis, clinical features and management of various
cutaneous and subcutaneous infections. Describe clinical examination of
surgical patient including swelling and discuss investigations for diagnosis
and treatment plan.
Classify skin tumours. Differentiate different skin tumours and discuss
their management.
15.
Vascular diseases
SU27.1
Lecture: 25
1
Describe the etiopathogenesis, clinical features, investigations and
principles of treatment of occlusive arterial disease.
Page 6 of 72
MBBS Phase III- Part I
Total Teaching hours: 25 hours
S. NO
TOPICS
COMPETENCIES
SUBTOPICS
AIT
HOURS
1.
Metabolic response
to injury
SU1.3
Lecture: 1
1
Describe basic concepts of postoperative care.
2.
Surgical Audit and
Research
SU7.1.7.2
Lecture: 2
1
Describe the planning and conduct of surgical audit Describe the
Community
principles and steps of clinical research in General Surgery
Medicine
3.
Ethics
SU8.1, 8.2
Lecture: 3
1
Describe the principles of Ethics as it pertains to General Surgery and
Forensic Medicine,
demonstrate professionalism and empathy to the patient undergoing
AETCOM
general surgery
AS10.3
Describe the role of communication in patient safety
SU9.2
Lecture: 4
1
Biological basis for early detection of cancer and multidisciplinary
approach in management of cancer
4.
Pre, intra and post-
operative
management.
SU10.1
Lecture: 5
1
Describe the principles of perioperative management of common
AETCOM
surgical procedures and Describe the steps and obtain informed
consent in a simulated environment
Page 7 of 72
IM5.13, IM15.9
Enumerate the indications for ultrasound and other imaging studies
including MRCP and ERCP and describe the findings in liver
disease. Choose and interpret diagnostic tests based on the clinical
diagnosis including complete blood count, PT and PTT, stool
examination, occult blood, liver function tests, H.pylori test.
5.
Anaesthesia and
pain management
SU11.1, 11.5
Lecture: 6
1
Describe principles of Preoperative assessment. Describe principles of
Anaesthesiology
providing post-operative pain relief and management of chronic pain.
Describe the principles of preoperative evaluation. Observe and
describe the principles and steps/ techniques involved S in common
AS3.1, AS5.6
blocks used in Surgery(including brachial plexus blocks)
SU11.6
Lecture: 7
1
Describe Principles of safe General Surgery
Anaesthesiology
Elicit, present and document an appropriate history including
medication history in a patient undergoing Surgery as it pertains to a
AS3.2
preoperative anaesthetic evaluation
6.
Transplantation
SU13.4
Lecture: 9
1
Counsel patients and relatives on organ donation in a simulated
AETCOM
Environment
Enumerate the indications for hepatic transplantation
7.
Basic Surgical Skills
SU14.2
Lecture: 10
1
Describe Surgical approaches, incisions and the use of appropriate
instruments in Surgery in general.
SU14.3
Lecture: 11
1
Describe the materials and methods used for surgical wound closure
and anastomosis (sutures, knots and needles)
Page 8 of 72
8.
Trauma
SU17.2
Lecture: 12
1
Demonstrate the steps in Basic Life Support. Transport of injured
Anaesthesiology
patient in a simulated environment
9.
Developmental
anomalies of face,
mouth and jaws
SU19.1, 19.2
Lecture: 13
1
Describe the etiology and classification of cleft lip and palate. Describe Human Anatomy
the Principles of reconstruction of cleft lip and palate.
10.
Oropharyngeal
cancer
SU20.1, SU20.2
Lecture: 14
1
Describe etiopathogenesis of oral cancer symptoms and signs of
ENT
oropharyngeal cancer.
Enumerate the appropriate investigations and discuss the Principles of
treatment and reconstructive flap
DE 4.1, DE 4.2,
1
DE 4.3, DE 4.4
Lecture: 15
Discuss the prevalence of oral cancer and enumerate the common
types of cancer that can affect tissues of the oral cavity. Discuss the
role of etiological factors in the formation of precancerous /cancerous
lesions. Identify potential pre-cancerous /cancerous lesions. Counsel
patients to risks of oral cancer with respect to tobacco, smoking,
alcohol and other causative factors.
11.
Disorders of salivary
glands
SU21.1
Lecture: 16
1
Describe surgical anatomy of the salivary glands, pathology clinical
presentation of disorders of salivary glands
AN28.9 ,
Describe & demonstrate the parts, borders, surfaces, contents,
AN34.1 ,
relations and nerve supply of parotid gland with course of its duct
Page 9 of 72
and surgical importance. Describe & demonstrate the morphology,
relations and nerve supply
SU21.2
Lecture: 17
1
Enumerate the appropriate investigations and describe the Principles
of treatment of disorders of salivary glands
12.
Thyroid and
Parathyroid Glands
SU22.1, 22.2
Lecture: 18
1
Describe the applied anatomy and physiology of thyroid. Describe the
Human Anatomy,
etiopathogenesis of thyroidal swellings.
Pathology
Describe the etiopathogenesis of thyroidal swellings. Describe &
demonstrate location, parts, borders, surfaces, relations
AN35.2
& blood supply of thyroid gland
PA32.1,
Enumerate, classify and describe the etiology, pathogenesis,
pathology and iodine dependency of thyroid swellings,
Describe the pharmacology, indications, adverse reaction,
interactions of thyroxine and antithyroid drugs. Describe and discuss
IM12.13,
the indications of thionamide therapy, radio
IM12.15
iodine therapy and Surgery in the management of thyrotoxicosis
SU22.4
Lecture: 19
1
Describe the clinical features, classification and principles of
management of thyroid cancer
SU22.5
Lecture: 20
1
Describe the applied anatomy of parathyroid.
Human Anatomy
Describe and discuss the clinical features of hypo - and
hyperparathyroidism and the principles of their management
Describe the aetiology, clinical manifestations, diagnosis and clinical
IM22.2
approach to primary hyperparathyroidism
13.
Adrenal Glands
SU23.1, 23.2,
1
23.3
Lecture: 21
Page 10 of 72
Describe the applied anatomy of adrenal glands. Describe the
Human Anatomy
etiology, clinical features and principles of management of disorders
of adrenal gland. Describe the clinical features, principles of
investigation and management of Adrenal tumours
14.
Breast
SU25.1
Lecture: 22
1
Describe applied anatomy and appropriate investigations for breast
Human Anatomy
disease
Classify and describe the types, etiology, pathogenesis, pathology
PA31.1
and hormonal dependency of benign breast disease
SU25.2
Lecture: 23
1
Describe the etiopathogenesis, clinical features and principles of
management of benign breast disease including infections of the
breast.
Classify and describe the epidemiology, pathogenesis,
classification, morphology, prognostic factors, hormonal
PA31.2
dependency, staging and spread of carcinoma of the breast
SU 25.3
Lecture: 24
1
Describe the etiopathogenesis, clinical features, Investigations and
Radiodiagnosis
principles of treatment of benign and malignant tumours of breast.
15.
Vascular diseases
SU 27.1
Lecture: 25
Describe the etiopathogenesis, clinical features, investigations and
principles of treatment of occlusive arterial disease.
Explain the concept of "Peripheral heart. Explain anatomical basis of
varicose veins and deep vein thrombosis.
Identify & demonstrate palpation of vessels (femoral, popliteal,
AN19.3,
dorsalis pedis, post tibial), Mid inguinal point, Surface projection of:
AN20.5
femoral nerve, Saphenous opening, Sciatic, tibial, common peroneal
AN20.9
& deep peroneal nerve, great and small saphenous veins
Page 11 of 72
MBBS Phase III- Part II
Total Teaching hours: 70 hours
S. NO
TOPICS
COMPETENCIES
SUBTOPICS
AIT
HOURS
1.
Anaesthesia and
Pain Management
SU 11.2
Lecture: 1
1
Enumerate the principles of general, regional and local
Anaesthesiology
anaesthesia.
AS5.6
Observe and describe the principles and steps/ techniques
involved
in common blocks used in Surgery (including brachial plexus
blocks)
SU 11.4
Lecture: 2
1
Enumerate the indications and principles of day care General
Anaesthesiology
Surgery.
SU 16.1
Lecture: 3
1
Minimal Invasive General Surgery: Describe indications,
advantages and disadvantages of Minimally Invasive General
Surgery.
2.
Trauma
SU 17.4, 17.5,
1
17.6
Lecture: 4
Describe pathophysiology, mechanism of head injuries.
Describe clinical features for neurological assessment and
GCS in head injuries. Choose appropriate investigations and
discuss the principles of management of head injuries.
Page 12 of 72
SU 17.7
Lecture: 5
1
Describe the clinical features of soft tissue injuries. Choose
appropriate investigations and discuss the principles of
management.
SU 17.8, 17.9
Lecture: 6
1
Describe pathophysiology of chest injuries. Describe the
clinical features and principles of management of chest
injuries.
SU17.3
Lecture: 7
1
Describe pathophysiology of Abdominal injuries. Describe the
clinical features and principles of management of Abdominal
injuries.
3.
Pancreas
SU 24.1
Lecture: 8
1
Describe the clinical features, principles of investigation,
Human
AN55.2
prognosis and management of pancreatitis.
Anatomy
Demonstrate the surface projections of: stomach, liver, fundus
of gal bladder, spleen, duodenum, pancreas, ileocecal
junction, kidneys & root of mesentery
SU 24.2
Lecture: 9
1
Describe the clinical features, principles of investigation,
prognosis and management of pancreatic endocrine tumours.
SU 24.3
Lecture: 10
1
Describe the principles of investigation and management of
pancreatic disorders including pancreatitis and endocrine
tumours.
4.
Cardio-thoracic
General Surgery-
Chest- Heart and
Lungs
SU 26.1, 26.2
Lecture: 11
1
Page 13 of 72
Outline the role of surgery in the management of coronary
heart disease, valvular heart diseases and congenital heart
diseases, diseases of Thorax and Diaphragm
SU 26.3
Lecture: 12
1
Describe the clinical features of mediastinal diseases and the
principles of management.
SU 26.4
Lecture: 13
1
Describe the etiology, pathogenesis, clinical features of tumors
of the lung and the principles of management.
5.
Vascular Diseases
SU 27.1
Lecture: 14
1
Describe the etiopathogenesis, clinical features, investigations
and principles of treatment of occlusive arterial disease.
SU 27.2, 27.3,
1
27.4
Lecture: 15
Demonstrate the correct examination of the vascular system
and enumerate and describe the investigation of vascular
disease. Describe clinical features, investigations and
principles of management of vasospastic disorders. Describe
the types of gangrene and principles of amputation.
SU 27.5, 27.6
Lecture: 16
1
Describe the applied anatomy of the venous system of lower
Human
limb.
Anatomy
Explain anatomical basis of varicose veins and deep vein
AN20.5
thrombosis
SU 27.7
Lecture: 17
1
Describe pathophysiology, clinical features, Investigations and
principles of management of lymph edema, lymphangitis and
lymphomas. Explain the concept of lymphoedema and spread
of tumors via lymphatics and venous system
6.
Abdomen
Page 14 of 72
SU 28.1
Lecture: 18
1
Describe pathophysiology, clinical features, Investigations and
Human
principles of management of Hernias
Anatomy
AN44.4
Describe & demonstrate extent, boundaries, contents of Inguinal
canal including Hesselbach's triangle.
AN44.5
Explain the anatomical basis of inguinal hernia.
SU 28.1
Lecture: 19
1
Describe pathophysiology, clinical features, Investigations and
Human
principles of management of Hernias
Anatomy
SU 28.1
Lecture: 20
1
Describe pathophysiology, clinical features, Investigations and
Human
principles of management of Hernias
Anatomy
AN44.6
Describe & demonstrate attachments of muscles of anterior
abdominal wall
SU 28.1
Lecture:21
1
Describe pathophysiology, clinical features, Investigations and
Human
principles of management of Hernias
Anatomy
AN44.7
Enumerate common Abdominal incisions
SU 28.3
Lecture: 22
1
Describe causes, clinical features, complications and principles
Human
of management of peritonitis and omental pathologies
Anatomy
AN47.2
Name & identify various peritoneal folds & pouches with its
explanation.
AN47.3
Explain anatomical basis of Ascites & Peritonitis
AN47.4
Explain anatomical basis of Subphrenic abscess
SU 28.4
Lecture: 23
1
Describe pathophysiology, clinical features, investigations and
K principles of management of Intra-abdominal abscess,
mesenteric cyst, and retroperitoneal tumors
AN47.4
Explain anatomical basis of Subphrenic abscess
SU 28.5
Lecture: 24
1
Describe the applied Anatomy and physiology of esophagus
Human
Anatomy,
AN23.1
Describe & demonstrate the external appearance, relations, blood
supply, nerve supply, lymphatic drainage and applied anatomy of
Physiology
Page 15 of 72
oesophagus
SU 28.6
Lecture: 25
1
Describe the clinical features, investigations and principles of
management of benign and malignant disorders of esophagus
SU 28.7
Lecture: 26
1
AN47.6
Human
Anatomy
Describe the applied anatomy and physiology of stomach
Explain the anatomical basis of Splenic notch, accessory
spleens, Kehr's sign, different types of vagotomy, liver biopsy
(site of needle puncture), referred pain in cholecystitis,
Obstructive jaundice, referred pain around umbilicus, radiating
pain of kidney to groin &Lymphatic spread in carcinoma
stomach
AN47.1
Describe & identify boundaries and recesses of Lesser & Greater
sac
SU 28.8
Lecture: 27
1
Describe and discuss the aetiology, the clinical features,
investigations and principles of management of congenital
hypertrophic pyloric stenosis, Peptic ulcer disease, Carcinoma
stomach
SU 28.10
Lecture: 28
1
Describe the applied anatomy of liver. Describe the clinical
Human
features, Investigations and principles of management of liver
Anatomy
abscess,
AN47.4
hydatid disease, injuries and tumors of the liver
AN47.6
Explain anatomical basis of Subphrenic abscess
Liver biopsy (site of needle puncture), referred pain in
cholecystitis, Obstructive jaundice
SU 28.10
Lecture: 29
1
Describe the applied anatomy of liver. Describe the clinical
Human
features, Investigations and principles of management of liver
Anatomy
abscess,
hydatid disease, injuries and tumours of the liver
Page 16 of 72
SU 28.10
Lecture: 30
1
Describe the applied anatomy of liver. Describe the clinical
Human
features, Investigations and principles of management of liver
Anatomy
abscess,
hydatid disease, injuries and tumors of the liver
AN47.3
Explain anatomical basis of Ascites & Peritonitis
SU 28.11
Lecture: 31
1
Describe the applied anatomy of spleen. Describe the clinical
Human
features, investigations and principles of management of
Anatomy
splenic
injuries. Describe the post-splenectomy sepsis ? prophylaxis
Explain the anatomical basis of Splenic notch, accessory
spleens, Kehr's sign
AN47.6
SU 28.12
Lecture: 32
1
Human
Describe the applied anatomy of biliary system. Describe the
Anatomy
clinical features, investigations and principles of management
AN47.7
of diseases of biliary system
Mention the clinical importance of Calot's triangle
SU 28.12
Lecture: 33
1
Describe the applied anatomy of biliary system. Describe the
Human
clinical features, investigations and principles of management
Anatomy
of diseases of biliary system
SU 28.12
Lecture: 34
1
Describe the applied anatomy of biliary system. Describe the
Human
clinical features, investigations and principles of management
Anatomy
of diseases of biliary system
AN47.10
Enumerate the sites of portosystemic anastomosis
AN47.11
Explain the anatomic basis of hematemesis & caput medusae
in portal hypertension
Page 17 of 72
SU 28.13, 28.14
Lecture: 35
1
Describe the applied anatomy of small and large intestine
Human
AN52.6
Describe the development and congenital anomalies of
Anatomy
foregut, midgut & hindgut
SU 28.13, 28.14
Lecture: 36
1
Human
Describe the clinical features, investigations and principles of
Anatomy
management of disorders of small and large intestine including
neonatal obstruction and Short gut syndrome
SU 28.13, 28.14
Lecture: 37
1
Describe the clinical features, investigations and principles of
Human
management of disorders of small and large intestine including
Anatomy
neonatal obstruction and Short gut syndrome
SU 28.13, 28.14
Lecture: 38
1
Describe the clinical features, investigations and principles of
Human
management of disorders of small and large intestine including
Anatomy
neonatal obstruction and Short gut syndrome
SU 28.13, 28.14
Lecture: 39
1
Describe the clinical features, investigations and principles of
Human
management of disorders of small and large intestine including
Anatomy
neonatal obstruction and Short gut syndrome
SU 28.13, 28.14
Lecture: 40
1
Describe the clinical features, investigations and principles of
Human
management of disorders of small and large intestine including
Anatomy
neonatal obstruction and Short gut syndrome
SU 28.13, 28.14
Lecture: 41
1
Describe the clinical features, investigations and principles of
Human
management of disorders of small and large intestine including
Anatomy
neonatal obstruction and Short gut syndrome
SU 28.15
Lecture: 42
1
Page 18 of 72
Describe the clinical features, investigations and principles of
management of diseases of Appendix including appendicitis
and its complications.
SU 28.16
Lecture: 43
1
Describe applied anatomy including congenital anomalies of
Human
the rectum and anal canal
Anatomy
Describe & demonstrate boundaries, content & applied anatomy of
AN49.4
Ischiorectal fossa
SU 28.16
Lecture: 44
1
Describe applied anatomy including congenital anomalies of
Human
the rectum and anal canal
Anatomy
AN48.8
Mention the structures palpable during vaginal & rectal examination
SU 28.17
Lecture: 45
1
Describe the clinical features, investigations and principles of
management of common anorectal diseases
SU 28.17
Lecture: 46
1
Describe the clinical features, investigations and principles of
management of common anorectal diseases
7.
Urinary System
SU 29.1
Lecture: 47
1
Describe the causes, investigations and principles of
management of Hematuria
SU 29.2
Lecture: 48
1
Describe the clinical features, investigations and principles of
Human
management of congenital anomalies of genitourinary system
Anatomy
AN52.7
Describe the development of urinary system
SU 29.3
Lecture: 49
1
Describe the Clinical features, Investigations and principles of
Microbiology
MI7.1
management of urinary tract infections
Describe the etio-pathogenesis and discuss the laboratory
diagnosis of infections of genitourinary system
SU 29.4
Lecture: 50
1
Page 19 of 72
Describe the clinical features, investigations and principles of
management of hydronephrosis
SU 29.5
Lecture: 51
1
Describe the clinical features, investigations and principles of
management of renal calculi
SU 29.5
Lecture: 52
1
Describe the clinical features, investigations and principles of
management of renal calculi
SU 29.6
Lecture: 53
1
Describe the clinical features, investigations and principles of
management of renal tumours
SU 29.7
Lecture: 54
1
Describe the principles of management of acute and chronic
retention of urine
SU 29.8
Lecture: 55
1
Describe the clinical features, investigations and principles of
management of bladder cancer
SU 29.9
Lecture: 56
1
Describe the clinical features, investigations and principles of
Human
management of disorders of prostate
Anatomy
Mention the lobes involved in benign prostatic hypertrophy &
AN48.7
prostatic cancer
SU 29.10
Lecture: 57
1
Describe clinical features, investigations and management of
urethral strictures and urethral injuries
8.
Penis, Testis and
scrotum
SU 30.1
Lecture: 58
1
Describe the clinical features, investigations and principles of
Human
management of phimosis, paraphimosis.
Anatomy
AN46.5
Explain the anatomical basis of Phimosis & Circumcision
SU 30.1
Lecture: 59
1
Page 20 of 72
Describe the clinical features, investigations and principles of
management of carcinoma penis.
SU 30.2, 30.3
Lecture: 60
1
Describe the applied anatomy clinical features, investigations
Human
and principles of management of undescended testis. Describe
Anatomy
the applied anatomy clinical features, investigations and
AN46.1
principles of management of epidydimo-orchitis
Describe & demonstrate coverings, internal structure, side
determination, blood supply, nerve supply, lymphatic drainage
& descent of testis with its applied anatomy
SU 30.4, 30.5
Lecture: 61
1
Describe the applied anatomy clinical features, investigations
Human
and principles of management of varicocele and hydrocoele
Anatomy
AN46.4
Explain the anatomical basis of varicocele
SU 30.6
Lecture: 62
1
Describe classification, clinical features, investigations and
principles of management of benign tumours of testis.
SU 30.6
Lecture: 63
1
Describe classification, clinical features, investigations and
principles of management of malignant tumours of testis.
9.
Lecture: 64
1
Revision Lecture 1
10.
Lecture: 65
1
Revision Lecture 2
11.
Lecture: 66
1
Revision Lecture 3
12.
Lecture: 67
1
Revision Lecture 4
13.
Lecture: 68
1
Revision Lecture5
Page 21 of 72
14.
Lecture: 69
1
Revision Lecture 6
15.
Lecture: 70
1
Revision Lecture 7
Page 22 of 72
Subject: General Surgery
Self-Directed Learning
MBBS phase III/I
Total Teaching hours : 5 hours
*These are suggested topics which can be modified at institutional level
Sr.
AIT
HOURS
No.
TOPICS
COMPETENCIES
SUBTOPICS
1.
Ethics
3
SU8.1
SDL:1
Describe the principles of Ethics as it pertains to General Surgery.
Demonstrate Professionalism and empathy to the patient.
2.
Transplantation
SDL:2
2
SU13.3
Discuss the legal and ethical issues concerning organ donation.
Counsel patients and relatives on organ donation in a simulated.
Page 23 of 72
MBBS phase III/II
Total Teaching hours : 15 hours
*These are suggested topics which can be modified at institutional level
Sr. No
TOPICS
COMPETENCIES
SUBTOPICS
HOURS
1.
Thyroid
SU 22.2,
4
SU 22.3, SU22.4
SDL:1
Describe the etiopathogenesis of thyroidal swellings.
Demonstrate and document the correct clinical examination of thyroid swellings
and discus the differential diagnosis and their management.
Describe the clinical features, classification and principles of management of
thyroid cancer
2.
Breast
SU 25.2,
SDL:2
4
SU 25.3
Describe the etiopathogenesis, clinical features and principles of management of
benign breast disease including infections of the breast.
Describe the etiopathogenesis, clinical features, Investigations and principles of
treatment of benign and malignant tumours of breast.
3.
Oral malignancy
SU 20.1,
SDL:3
3
SU 20.2
Describe etiopathogenesis of oral cancer symptoms and signs of oropharyngeal
cancer.
Enumerate the appropriate investigations and discuss the Principles of treatment.
4.
Communication skills ?
Role play
AETCOM
SDL:4
4
Page 24 of 72
Subject: General Surgery
Small Group Discussion
MBBS phase III/I -
Small group teachings/ Tutorials/ Integrated teaching/ Practical's: 35 hours
? Competencies written in red (horizontal) and green (vertical) are of alignment and integration.
? 25 % of allotted time of the third professional shall be utilised for integrated learning with pre- and para-
clinical subjects and shall be assessed during the clinical subject's examination.
? This allotted time will be utilised as integrated teaching by para- clinical subjects with clinical subjects (as
Applied Anatomy, Clinical Pathology, Clinical Pharmacology, Clinical Microbiology, Radio diagnosis,
Instruments, Operative Surgery, Communication skills etc.).
S.
AIT
HOURS
NO
TOPICS
COMPETENCIES
SUBTOPICS
1.
Metabolic response
to injury
SU1.3
SGD: 1
1
Describe basic concepts of perioperative care-
Anaesthesiology
preoperative
Describe the principles of preoperative evaluation
AS3.1, AS9.3,
Describe the principles of fluid therapy in the
AS9.4
preoperative period
Page 25 of 72
Enumerate blood products and describe the use of blood
products
in the preoperative period
SU1.3
SGD: 2
1
Describe basic concepts of perioperative care.-
Anaesthesiology
intraoperative
SU1.3,
SGD: 3
1
Describe basic concepts of perioperative care-
Anaesthesiology
postoperative
Describe the common complications encountered by
patients in the
recovery room, their recognition and principles of
AS6.3
management
2.
Shock
SU2.1,
SGD: 4
1
Describe Pathophysiology of shock, types of shock &
Pathology, Physiology
principles of resuscitation including fluid replacement
and monitoring.
Define and describe shock, its pathogenesis and its
PA6.3
stages
SU2.2,
SGD: 5
1
Describe the clinical features of shock and its
General Medicine
appropriate treatment
Describe and discuss the physiologic effects of acute
blood and
IM15.3
volume loss
3.
Blood and blood
components
SU3.2
SGD: 6
1
Observe blood transfusions
Pathology
Enumerate blood components and describe their clinical
PA22.4
uses
4.
Burns
Page 26 of 72
SU4.1, SU4.2
SGD: 7
1
Elicit document and present history in a case of Burns
Physiology
and perform physical examination. Describe
Pathophysiology of Burns.
Describe Clinical features, Diagnose type and extent
of burns and plan appropriate treatment.
SU4.3
SGD: 8
1
Discuss the Medicolegal aspects in burn injuries.
Describe types of injuries, clinical features, patho-
physiology, postmortem
findings and medico-legal aspects in cases of burns,
FM2.25
scalds, lightening, electrocution and radiations
1
Forensic Medicine
5.
Wound healing and
wound care
SU5.2, SU5.3
SGD: 9
1
Elicit, document and present a history in a patient
presenting with wounds.
Differentiate the various types of wounds, plan and
observe management of wounds.
SU5.4
SGD:10
1
Discuss medico legal aspects of wounds
1
Mechanical injuries and wounds:
Forensic Medicine
FM3.3
Define, describe and classify different types of
, FM3.4
mechanical injuries,
abrasion, bruise, laceration, stab wound, incised wound,
chop
wound, defense wound, self-inflicted/fabricated wounds
and their
Page 27 of 72
medico-legal aspects.
, FM3.6
Mechanical injuries and wounds: define injury, assault &
hurt.
Describe IPC pertaining to injuries
Mechanical injuries and wounds:Describe healing of
injury and
fracture of bones with its medico-legal importance
6.
Surgical infections
SU6.1
SGD:11
1
Define and describe the aetiology and pathogenesis
Microbiology
of surgical
Infections
MI7.1
Describe the etio-pathogenesis and discuss the
laboratory diagnosis
of infections of genitourinary system
SU6.2
SGD:12
1
Enumerate Prophylactic and therapeutic antibiotics
Plan appropriate management
7.
Surgical Audit and
Research
SU7.1, SU7.2
SGD:13
1
Describe the Planning and conduct of Surgical audit
Community Medicine
Describe the principles and steps of clinical research
in General Surgery
8.
Ethics
SU8.1 ,SU8.2
SGD:14
1
Describe the principles of Ethics as it pertains to
Forensic Medicine, AETCOM
General Surgery
Demonstrate Professionalism and empathy to the
patient undergoing general surgery
Page 28 of 72
9.
Investigation of
surgical patient
SU9.1
SGD:15
1
Choose appropriate biochemical, microbiological,
Biochemistry,microbiology,pathology
pathological,
imaging investigations and interpret the investigative
data in a
surgical patient
SU9.2
SGD 16
Biological basis for early detection of cancer and
multidisciplinary
approach in management of cancer
10.
Pre, intra and post-
operative
management.
SU10.1
SGD:17
1
Describe the principles of perioperative management
of common
surgical procedures
11.
Nutrition and fluid
therapy
SU12.1
SGD:18
Physiology,Biochemistry
1
Enumerate the causes and consequences of
malnutrition in the surgical patient
Describe and discuss the methods of estimation and
SU12.2
replacement Of the fluid and electrolyte
requirements in the surgical patient
Page 29 of 72
Discuss the nutritional requirements of surgical
patients, the methods of providing nutritional
SU12.3
support and their complications
12.
Transplantation
SU13.3
SGD: 19
AETCOM
1
Discuss the legal and ethical issues concerning organ
donation
13.
Basic Surgical Skills
SU14.2
SGD: 20
1
Describe Surgical approaches, incisions and the use
of appropriate
instruments in Surgery in general.
SU14.3
SGD: 21
1
Describe the materials and methods used for surgical
wound
closure and anastomosis (sutures, knots and needles)
14
Biohazard Disposal
SU15.1
SGD 22
Microbiology, Community medicine
1
Describe classification of hospital waste and appropriate
methods of disposal
MI8.7
Demonstrate Infection control practices and use of
Personal
Protective Equipments (PPE)
15.
Trauma
SU17.3
SGD:23
1
Describe the Principles in management of mass
casualties
16.
Skin and
SGD 24
1
Subcutaneous
Tissue
SU18.1
Describe the pathogenesis, clinical features and
management of
SU18.2
various cutaneous and subcutaneous infections.
Classify skin tumors
Page 30 of 72
Differentiate different skin tumors and discuss their
SU18.3
management.
Describe and demonstrate the clinical examination of
surgical
patient including swelling and order relevant
investigation for
diagnosis. Describe and discuss appropriate treatment
plan.
17.
Developmental
anomalies of face,
mouth and jaws
SU19.1, 19.2
SGD:25
Human Anatomy
1
Describe the etiology and classification of cleft lip and
palate.
Describe the Principles of reconstruction of cleft lip
and palate
18
Oropharyngeal
SGD 26
ENT
1
carcinoma
Describe etiopathogenesis of oral cancer symptoms and
SU20.1
signs of
oropharyngeal cancer
Enumerate the appropriate investigations and discuss
SU20.2
the Principles
of treatment
19.
Disorders of salivary
glands
SU21.1
SGD:27
Human Anatomy
1
AN34.1
Describe surgical anatomy of the salivary glands,
pathology, and clinical presentation of disorders of
AN28.9
salivary glands
Describe & demonstrate the morphology, relations and
nerve supply
of submandibular salivary gland & submandibular
ganglion
Page 31 of 72
Describe & demonstrate the parts, borders, surfaces,
contents,
relations and nerve supply of parotid gland with course
of its duct
and surgical importance
SU21.2
SGD:28
1
Enumerate the appropriate investigations and
describe the Principles of treatment of disorders of
salivary glands
20.
Thyroid and
Parathyroid Glands
SU22.1, 22.2
SGD:29
Human anatomy, Pathology
1
Describe the applied anatomy and physiology of
thyroid. Describe the etiopathogenesis of thyroidal
swellings.
AN35.2
Describe & demonstrate location, parts, borders,
surfaces, relations
& blood supply of thyroid gland
SU22.3
SGD:30
1
Demonstrate and document the correct clinical
examination of thyroid swellings and discus the
differential diagnosis and their management
PA32.1
Enumerate, classify and describe the etiology,
pathogenesis,
pathology and iodine dependency of thyroid swellings
SU22.4, SU22.5
SGD:31
1
AN35.8
Describe the clinical features, classification and
principles of management of thyroid cancer
Page 32 of 72
Describe the applied anatomy of parathyroid
Describe and discuss the clinical features of hypo -
and hyperparathyroidism and the principles of their
management
Describe the anatomically relevant clinical features of
Thyroid
swellings
21.
Breast
SU 25.1
SGD:32
Human anatomy, Radiodiagnosis
1
Describe applied anatomy and appropriate
investigations for breast disease
AN9.2
Breast-Describe the location, extent, deep relations,
structure, age
changes, blood supply, lymphatic drainage,
microanatomy and
applied anatomy of breast
SU 25.2
SGD:33
1
Describe the etiopathogenesis, clinical features and
principles of management of benign breast disease
including infections of the breast.
22.
Vascular diseases
SU 27.1, 27.2,
Human Anatomy
1
27.3, 27.4
SGD:34
Describe the etiopathogenesis, clinical features,
investigations and principles of treatment of
AN20.9
occlusive arterial disease. Demonstrate the correct
examination of the vascular system and enumerate
and describe the investigation of vascular disease.
Describe clinical features, investigations and
principles of management of vasospastic disorders.
Describe the types of gangrene and principles of
amputation.
Page 33 of 72
Identify & demonstrate palpation of vessels (femoral,
popliteal,
dorsalis pedis, post tibial), Mid inguinal point, Surface
projection of:
femoral nerve, Saphenous opening, Sciatic, tibial,
common peroneal
& deep peroneal nerve, great and small saphenous
veins
SU 27.5, 27.6,
1
27.7
SGD:35
Describe the applied anatomy of venous system of
lower limb. Describe pathophysiology, clinical
features, Investigations and principles of
management of DVT and Varicose veins. Describe
pathophysiology, clinical features, investigations and
principles of management of Lymph edema,
lymphangitis and Lymphomas.
Explain the concept of lymphoedema and spread of
AN6.3
tumors via lymphatics and venous system
AN23.7
Mention the extent, relations and applied anatomy of
lymphatic duct
Page 34 of 72
MBBS Phase III/II-
Small group teachings/ Tutorials/ Integrated teaching/ Practical's: 125 hours
? Competencies written in red (horizontal) and green (vertical) are of alignment and integration.
? 25 % of allotted time of the third professional shall be utilised for integrated learning with pre- and para-
clinical subjects and shall be assessed during the clinical subject's examination.
? This allotted time will be utilised as integrated teaching by para- clinical subjects with clinical subjects (as
Applied Anatomy, Clinical Pathology, Clinical Pharmacology, Clinical Microbiology, Radio diagnosis,
Instruments, Operative Surgery, Communication skills etc.).
SR. NO.
TOPICS
COMPETENCIES
SUBTOPICS
AIT
HOURS
1.
Shock
SU 2.3
SGD: 1
1
Communicate and counsel patients and
AETCOM
families about the treatment and prognosis
of shock demonstrating empathy and care.
Define and describe shock, its pathogenesis
PA6.3
and its stages
2
Blood and blood components
SU 3.3
SGD: 2
1
Councell patients and family/friend for
Pathology
blood transfusion and blood donation.
PA22.4
Enumerate blood components and
describe their clinical uses
3.
Burns
SU 4.4
SGD: 3
1
Communicate and counsel patients and
families on the outcome and rehabilitating
demonstrating empathy and care.
Page 35 of 72
4.
Surgical infections
SU 6.1, 6.2,
SGD: 4
1
Communicate and counsel patients and
Orthopaedics
families on the outcome and rehabilitating
demonstrating empathy and care.
Describe and discuss the aetiopathogenesis,
clinical features, Investigations and
principles of management of Bone and Joint
infections. Describe and discuss the clinical
features, Investigation and principles of
management of Tuberculosis affecting
major joints (Hip, Knee) including cold
abcess and caries spine
a) Acute Osteomyelitis
b) Subacute osteomyelitis
c) Acute Suppurative arthritis
d) Septic arthritis & HIV infection
e) Spirochaetal infection
f) Skeletal Tuberculosis. Participate as a
member in team for procedures like
drainage of abscess, sequestrectomy/
OR3.1,OR3.3,OR4.1
saucerisation and arthrotomy
5.
Ethics
SU 8.3
SGD: 5
1
Forensic
Medicine,
AETCOM
Discuss Medico-legal issues in surgical
practice
6.
Investigation of surgical patient
SU 9.2
SGD: 6
1
Page 36 of 72
Biological basis for early detection of cancer
and multidisciplinary approach in
management of cancer
SU 9.3
SGD: 7
1
Communicate the results of surgical
investigations and counsel the patient
appropriately.
7.
Pre, intra and post operative
management.
SU 10.2
SGD: 8
1
Describe the steps and obtain informed
AETCOM
consent in a simulated environment.
Describe and discuss the
aetiopathogenesis,clinical presentation,
identification, functional changes, acute
care, stabilization, management and
rehabilitation of the elderly undergoing
IM24.11
surgery
SU 10.3
SGD: 9
1
Observe common surgical procedures and
assist in minor surgical procedures; observe
emergency life saving surgical procedures.
SU 10.4
SGD: 10
1
Perform basic surgical skills such as first aid
including suturing and minor surgical
procedures in simulated environment.
8.
Anaesthesia and Pain Management
SU 11.3
SGD: 11
1
Anaesthesiology
Demonstrate maintenance of an airway in a
mannequin or equivalent.
SU 11.1, 11.2
SGD: 12
1
Page 37 of 72
Describe principles of preoperative
Anaesthesiology
assessment. Enumerate the principles of
general, regional and local anaesthesia.
SU 11.3, 11.4, 11.5
SGD: 13
1
Enumerate the indications and principles of
Anaesthesiology
day care general surgery. Describe
principles of providing post-operative pain
relief and management of chronic pain.
Describe principles of safe General surgery.
9.
Nutrition and fluid therapy
SU 12.1, 12.2
SGD: 14
1
Enumerate the causes and consequnces of
Physiology
malnutrition in the surgical patient.
Describe and discuss the methods of
estimation and replacement of the fluid and
electrolyte requirements in the surgical
patient.
SU 12.3
SGD: 15
1
Discuss the nutritional requirements of
Biochemistry
surgical patients, the methods of providing
nutritional support and their complications.
10.
Transplantation
SU 13.3
SGD: 16
1
AETCOM
Discuss the legal and ethical issues
concerning organ donation.
11.
Biohazard disposal
SU 15.1
SGD: 17
1
Microbiology
Describe classification of hospital waste and
appropriate methods of disposal.
12.
Minimally invasive General surgery
Page 38 of 72
SU 16.1
SGD: 18
1
Minimally invasive General surgery:
Describe indications advantages and
disadvantages of minimally invasive
General surgery.
13.
Trauma
SU 17.4
SGD: 19
1
Describe pathophysiology, mechanism of
head injuries.
SU 17.5
SGD: 20
1
Describe clinical features for neurological
assessment and GCS in head injuries.
SU 17.6,
SGD: 21
1
Choose appropriate investigations and
Physical
discuss the principles of management of
Medicine &
head injuries.
Rehabilitation
Describe the clinical features, evaluation,
diagnosis and management of disability
PM8.1
following traumatic brain injury
SU 17.7
SGD: 22
1
Describe the clinical features of soft tissue
Orthopaedics
injuries. Choose appropriate investigations
and discuss the principles of management.
Describe and discuss the aetiopathogenesis,
clinical features, Investigations and
principles of management of benign and
malignant bone tumours and pathological
OR11.1
fractures
SU 17.8
SGD: 23
1
Describe pathophysiology of chest injuries.
SU 17.9
SGD: 24
1
Page 39 of 72
Describe the clinical features and principles
of management of chest injuries.
SU 17.10
SGD: 25
1
Demonstrate Airway maintenance.
Anaesthesiology
Recognise and manage tension
pneumothorax, hemothorax and flail chest
in simulated environment.
14.
Skin and subcutaneous tissue
SU 18.3.
SGD: 26
1
Describe and demonstrate the clinical
Physical
examination of surgical patient including
Medicine &
swelling and order relevant investigation
Rehabilitation
for diagnosis. Describe and discuss
appropriate treatment plan.
Enumerate the indications of debridement,
PM7.9
and Split thickness skin grafting.
15.
Oropharyngeal cancer
SU 20.1
SGD: 27
1
Describe etiopathogenesis of oral cancer.
ENT
Symptoms and signs of oropharyngeal
cancer.
SU 20.2
SGD: 28
1
Enumerate the appropriate investigations
for oropharyngeal cancer.
SU 20.2
SGD: 29
1
Enumerate the appropriate investigations
for oropharyngeal cancer.
SU 20.3
SGD: 30
1
Enumerate the principles of treatment for
oropharyngeal cancer.
SU 20.3
SGD: 31
1
Page 40 of 72
Enumerate the principles of treatment for
oropharyngeal cancer.
16.
Adrenal Glands
SU 23.1, 23.2
SGD: 32
1
Human
Anatomy,General
Describe the applied anatomy of adrenal
Medicine
glands. Describe the etiology, clinical
features and principles of management of
disorders of adrenal glands.
SU 23.3
SGD: 33
1
Describe the clinical features, principles of
investigation and management of adrenal
tumors.
17.
Pancreas
SU 24.1,
SGD: 34
1
Describe the clinical features, principles of
Human Anatomy
investigation, prognosis and management
of pancreatitis.
Describe the etiology, pathogenesis,
manifestations, laboratory, morphologic
features, complications and metastases of
PA32.6
pancreatic cancer
SU 24.2
SGD: 35
1
Describe the clinical features, principles of
investigation, prognosis and management
of pancreatic endocrine tumors.
SU 24.3
SGD: 36
1
Describe the principles of investigation and
management of pancreatic disorders
including pancreatitis and endocrine
tumors.
Page 41 of 72
18.
Breast
SU 25.3
SGD: 37
1
Describe the etiopathogenesis, clinical
Radiodiagnosis
features, investigations and principles of
treatment of benign and malignant tumors
of breast.
SU 25.3
SGD: 38
1
Describe the etiopathogenesis, clinical
Radiodiagnosis
features, investigations and principles of
treatment of benign and malignant tumors
of breast.
SU 25.4
SGD: 39
1
Counsel the patient and obtain informed
consent for treatment of malignant
conditions of the breast.
SU 25.5
SGD: 40
1
Demonstrate the correct technique to
palpate the breast for breast swelling in a
mannequin or equivalent.
19.
Cardio-thoracic General Surgery-
Chest- Heart and Lungs
SU 26.1
SGD: 41
1
Outline the role of surgery in the
management of coronary heart disease,
valvular heart diseases and congenital heart
diseases.
SU 26.2
SGD: 42
1
Outline the role of surgery in the
management of diseases of Thorax and
Diaphragm
SU 26.3
SGD: 43
1
Page 42 of 72
Describe the clinical features of mediasitnal
diseases and the principles of management.
SU 26.4
SGD: 44
1
Describe the etiology, pathogenesis, clinical
features of tumors of the lung and the
principles of management.
20.
Vascular Diseases
SU 27.1
SGD: 45
1
Describe the etiopathogenesis, clinical
features, investigations and principles of
treatment of occlusive arterial disease.
SU 27.2
SGD: 46
1
Demonstrate the correct examination of
the vascular system and enumerate and
describe the investigation of vascular
disease.
SU 27.3
SGD: 47
1
Describe clinical features, investigations
and principles of management of
vasospastic disorders.
SU 27.4
SGD: 48
1
Describe the types of gangrene and
principles of amputation.
SU 27.5
SGD: 49
1
Describe the applied anatomy of the
venous system of lower limb.
SU 27.6
SGD: 50
1
Describe pathophysiology , clinical features,
investigations and principles of
management of DVT and varicose veins.
SU 27.7
SGD: 51
1
Page 43 of 72
Describe pathophysiology, clinical features,
Investigations and principles of
management of lymph edema, lymphangitis
and lymphomas.
SU 27.8
SGD: 52
1
Demonstrate the correct examination of
the lymphatic system.
21.
Abdomen
SU 28.1 .
SGD: 53 .
1
Describe pathophysiology, clinical features,
Human Anatomy
Investigations and principles of
management of Hernias .
Describe & demonstrate the Planes
(transpyloric, transtubercular, subcostal,
lateral vertical, linea alba, linea
semilunaris), regions & Quadrants of
AN44.1.
abdomen .
SU 28.1 .
SGD: 54
1
Describe pathophysiology, clinical features,
Human Anatomy
Investigations and principles of
management of Hernias .
Describe & demonstrate extent,
boundaries, contents of Inguinal canal
AN44.4 . AN44.5
including Hesselbach's triangle.
SU 28.1
SGD: 55
1
Describe pathophysiology, clinical features,
Investigations and principles of
management of Hernias
SU 28.1
SGD: 56
1
Describe pathophysiology, clinical features,
Human Anatomy
Investigations and principles of
AN44.4 . AN44.5
management of Hernias .
Page 44 of 72
Explain the anatomical basis of inguinal
hernia.
SU 28.1
SGD: 57
1
Describe pathophysiology, clinical features,
Human Anatomy
Investigations and principles of
management of Hernias .
Describe and demonstrate boundaries,
AN15.3
floor, roof and contents of femoral triangle
SU 28.1,AN44.6,
SGD: 58
1
Describe pathophysiology, clinical features,
Human Anatomy
Investigations and principles of
management of Hernias.
Describe & demonstrate attachments of
muscles of anterior abdominal wall
SU 28.3
SGD: 59
1
Describe causes, clinical features,
complications and principles of mangament
of peritonitis
SU 28.3
SGD: 60
1
Describe causes, clinical features,
complications and principles of
managament of peritonitis
SU 28.3
SGD: 61
1
Describe causes, clinical features,
Human Anatomy
complications and principles of mangament
of omental pathologies. Describe &
demonstrate major viscera of abdomen
under following headings (anatomical
position, external and internal features,
important peritoneal and other relations,
blood supply, nerve supply, lymphatic
AN47.5
drainage and applied aspects)
Page 45 of 72
SU 28.4
SGD: 62
1
Describe pathophysiology, clinical features,
investigations and K principles of
management of Intra-abdominal abscess,
mesenteric
cyst, and retroperitoneal tumors
SU 28.5
SGD: 63
1
Describe the applied Anatomy and
Human Anatomy,
physiology of esophagus.
Physiology
Enumerate the indications for use of
Surgery and botulinum toxin in the
IM19.9
treatment of movement disorders
SU 28.5,
SGD: 64
1
Describe the applied Anatomy and
Human Anatomy,
physiology of esophagus.
Physiology
Elicit document and present an appropriate
history that identifies the route of bleeding,
quantity, grade, volume loss, duration,
etiology, comorbid illnesses and risk
factors. Distinguish between upper and
lower gastrointestinal bleeding based on
IM15.4, IM15.6
the clinical features
SU 28.6,
SGD: 65
1
Describe the clinical features, investigations
and principles of management of benign
and malignant disorders of esophagus.
SU 28.6
SGD: 66
1
Describe the clinical features, investigations
and principles of management of benign
and malignant disorders of esophagus
SU 28.7
SGD: 67
1
Page 46 of 72
Human Anatomy
Describe the applied anatomy and
physiology of stomach
SU 28.8,
SGD: 68
1
Describe and discuss the aetiology, the
clinical features, investigations and
principles of management of congenital
hypertrophic pyloric stenosis, Peptic ulcer
disease, Carcinoma stomach.
Describe and enumerate the indications,
pharmacology and side effects of
pharmacotherapy of acid peptic disease
IM15.15
including Helicobacter pylori
SU 28.9
SGD: 69
1
Demonstrate the correct technique of
examination of a patient with disorders of
the stomach.
Enumerate describe and discuss the
evaluation and steps involved in stabilizing
a patient who presents with acute volume
IM15.2
loss and GI bleed
SU 28.10
SGD: 70
1
Describe the applied anatomy of liver.
Human Anatomy
Describe the clinical features, Investigations
and principles of management of liver
abscess, hydatid disease, injuries and
tumors of the liver.
Describe and discuss the management of
hepatitis, cirrhosis, portal hypertension,
ascites, spontaneous, bacterial peritonitis
IM5.16
and hepatic encephalopathy
SU 28.10
SGD: 71
1
Page 47 of 72
Describe the applied anatomy of liver.
Human Anatomy
Describe the clinical features, Investigations
and principles of management of liver
abscess,
hydatid disease, injuries and tumors of the
liver
SU 28.10
SGD: 72
1
Describe the applied anatomy of liver.
Human Anatomy
Describe the clinical features, Investigations
and principles of management of liver
abscess,
hydatid disease, injuries and tumors of the
liver
SU 28.11
SGD: 73
1
Describe the applied anatomy of spleen.
Human Anatomy
Describe the clinical features, investigations
and principles of management of splenic
injuries. Describe the post-splenectomy
sepsis - prophylaxis
SU 28.11
SGD: 74
1
Describe the applied anatomy of spleen.
Describe the clinical features, investigations
and principles of management of splenic
injuries. Describe the post-splenectomy
sepsis ? prophylaxis
Describe and etiology and pathogenesis and
pathologic features of Tuberculosis of the
PA24.5
intestine
SU 28.12
SGD: 75
1
Describe the applied anatomy of biliary
system. Describe the clinical features,
Page 48 of 72
investigations and principles of
management of diseases of biliary system
SU 28.12
SGD: 76
1
Describe the applied anatomy of biliary
system. Describe the clinical features,
investigations and principles of
management of diseases of biliary system
SU 28.12
SGD: 77
1
Describe the applied anatomy of biliary
system. Describe the clinical features,
investigations and principles of
management of diseases of biliary system
SU 28.12
SGD: 78
1
Describe the applied anatomy of biliary
Human Anatomy
system. Describe the clinical features,
investigations and principles of
management of diseases of biliary system.
Discuss Paediatric surgery biliary disorders.
Name & identify various peritoneal folds &
pouches with its explanation. Describe and
etiology and pathogenesis and pathologic
and
distinguishing features of inflammatory
AN47.2,PA24.6
bowel disease
SU 28.12
SGD: 79
1
Describe the applied anatomy of biliary
Human Anatomy
system. Describe the clinical features,
investigations and principles of
management of diseases of biliary system.
Discuss Choledochal cyst.
Describe & identify boundaries and
AN47.1
recesses of Lesser & Greater sac
Page 49 of 72
SU 28.13, 28.14
SGD: 80
1
Describe the applied anatomy of small and
Human Anatomy,
large intestine
Physiology
Describe the etiology and pathogenesis and
pathologic and distinguishing features of
PA24.7
carcinoma of the colon
SU 28.13, 28.14
SGD: 81
1
Describe the clinical features, investigations
and principles of management of disorders
of small and large intestine including
neonatal obstruction and Short gut
syndrome
SU 28.13, 28.14
SGD: 82
1
Describe the clinical features, investigations
and principles of management of disorders
of small and large intestine including
neonatal obstruction and Short gut
syndrome
SU 28.13, 28.14
SGD: 83
1
Describe the clinical features, investigations
and principles of management of disorders
of small and large intestine including
neonatal obstruction and Short gut
syndrome
SU 28.13, 28.14
SGD: 84
1
Describe the clinical features, investigations
and principles of management of disorders
of small and large intestine including
neonatal obstruction and Short gut
syndrome
SU 28.13, 28.14
SGD: 85
1
Page 50 of 72
Describe the clinical features, investigations
and principles of management of disorders
of small and large intestine including
neonatal obstruction and Short gut
syndrome
SU 28.13, 28.14
SGD: 86
1
Describe the clinical features, investigations
and principles of management of disorders
of small and large intestine including
neonatal obstruction and Short gut
syndrome
SU 28.13, 28.14
SGD: 87
1
Describe the clinical features, investigations Human Anatomy
and principles of management of disorders
of small and large intestine including
neonatal obstruction and Short gut
syndrome
Demonstrate the surface projections of:
stomach, liver, fundus of gall bladder,
spleen, duodenum, pancreas, ileocaecal
AN55.2
junction, kidneys & root of mesentery
SU 28.13, 28.14
SGD: 88
1
Describe the clinical features, investigations
and principles of management of disorders
of small and large intestine including
neonatal obstruction and Short gut
syndrome
SU 28.13, 28.14
SGD: 89
1
Describe the clinical features, investigations
and principles of management of disorders
of small and large intestine including
Page 51 of 72
neonatal obstruction and Short gut
syndrome
SU 28.15
SGD: 90
1
Describe the clinical features, investigations
of diseases of Appendix including
appendicitis and its complications.
SU 28.15
SGD: 91
1
Describe the principles of management
Human Anatomy
diseases of Appendix including appendicitis
and its complications.
Demonstrate the surface marking of regions
and planes of abdomen, superficial inguinal
ring, deep inguinal ring , McBurney's point,
AN55.1
Renal Angle & Murphy's point
SU 28.16
SGD: 92
1
Describe applied anatomy including
Human Anatomy
congenital anomalies of the rectum and
anal canal
SU 28.16
SGD: 93
1
Describe applied anatomy including
Human Anatomy
congenital anomalies of the rectum and
anal canal
SU 28.16
SGD: 94
1
Describe applied anatomy including
congenital anomalies of the rectum and
anal canal
SU 28.17
SGD: 95
1
Describe the clinical features, investigations
and principles of management of common
anorectal diseases
SU 28.17
SGD: 96
1
Page 52 of 72
Describe the clinical features, investigations
and principles of management of common
anorectal diseases
SU 28.17
SGD: 97
1
Describe the clinical features, investigations
and principles of management of common
anorectal diseases
22.
Urinary System
SU 29.1
SGD: 98
1
Describe the causes, investigations and
principles of management of Hematuria
SU 29.2
SGD: 99
1
Describe the clinical features, investigations Human Anatomy
and principles of management of congenital
anomalies of genitourinary system
SU 29.2
SGD: 100
1
Describe the clinical features, investigations Human Anatomy
and principles of management of congenital
anomalies of genitourinary system
SU 29.3
SGD: 101
1
Describe the Clinical features, Investigations Microbiology
and principles of management of urinary
tract infections
SU 29.3
SGD: 102
1
Describe the Clinical features, Investigations Microbiology,
and principles of management of urinary
tract infections including renal TB and
Pathology
abscess. Describe the etiology,
pathogenesis, pathology, laboratory
findings, distinguishing features progression
and complications of acute and chronic
PA28.10
pyelonephritis and reflux nephropathy
Page 53 of 72
SU 29.4
SGD: 103
1
Describe the clinical features, investigations
and principles of management of
hydronephrosis
SU 29.4
SGD: 104
1
Describe the clinical features, investigations
and principles of management of
hydronephrosis
SU 29.5
SGD: 105
1
Describe the clinical features,investigations
Pathology
and principles of management of renal
calculi.
Define, classify and describe the etiology,
pathogenesis, pathology, laboratory urinary
findings, distinguishing features,
progression and complications of renal
PA28.13
stone disease and obstructive uropathy
SU 29.5
SGD: 106
1
Describe the clinical features,investigations
and principles of management of renal
calculi
SU 29.6
SGD: 107
1
Describe the clinical features, investigations
and principles of management of renal
tumours
SU 29.7
SGD: 108
1
Describe the principles of management of
acute and chronic retention of urine
SU 29.7
SGD: 109
1
Describe the principles of management of
Pathology
PA28.16
acute and chronic retention of urine.
Page 54 of 72
Describe the etiology, genetics,
pathogenesis, pathology, presenting
features and progression of urothelial
tumors
SU 29.8
SGD: 110
1
Describe the clinical features, investigations
and principles of management of bladder
cancer
SU 29.8
SGD: 111
1
Describe the clinical features, investigations
and principles of management of bladder
cancer
SU 29.9
SGD: 112
1
Describe the clinical features, investigations
and principles of management of disorders
of prostate
SU 29.9
SGD: 113
1
Describe the clinical features, investigations
and principles of management of disorders
of prostate
SU 29.10
SGD: 114
1
Demonstrate a digital rectal examination of
the prostate in a mannequin or equivalent
SU 29.10
SGD: 115
1
Describe clinical features, investigations
and management of urethral strictures
SU 29.10
SGD: 116
1
Describe clinical features, investigations
Obstetrics and
and management of urethral strictures and
gynaecology
OG26.2
urethral injuries.
Page 55 of 72
Describe the causes, prevention, clinical
features, principles of management of
genital injuries and fistulae
23.
Penis, Testis and scrotum
SU 30.1
SGD: 117
1
Describe the clinical features, investigations Human Anatomy
and principles of management of phimosis,
paraphimosis.
Describe & demonstrate coverings, internal
structure, side determination, blood supply,
nerve supply, lymphatic drainage &
AN46.1
descent of testis with its applied anatomy
SU 30.1
SGD: 118
1
Describe the clinical features, investigations
Pathology
and principles of management of phimosis,
paraphimosis.
Classify testicular tumors and describe the
pathogenesis, pathology, presenting and
PA29.1
distinguishing features, diagnostic tests,
progression and spread of testicular
tumors.
Recognize common surgical conditions of
the abdomen and genitourinary system and
enumerate the indications for referral
including acute and subacute intestinal
obstruction, appendicitis, pancreatitis,
perforation, intussusception, Phimosis,
undescended testis, Chordee,
hypospadiasis,Torsion testis, hernia
PE21.14
Hydrocele, Vulval Synechiae
SU 30.1,
SGD: 119
1
Page 56 of 72
Describe the clinical features, investigations
Pathology
and principles of management of phimosis,
paraphimosis.
Describe the pathogenesis, pathology,
presenting and distinguishing features,
diagnostic tests, progression and spread of
PA29.2
carcinoma of the penis
SU 30.1
SGD: 120
1
Describe the clinical features, investigations
Pathology
and principles of management of carcinoma
penis.
Describe the pathogenesis, pathology,
hormonal dependency, presenting and
distinguishing features, diagnostic tests,
progression and spread of carcinoma of the
PA29.4
prostate
SU 30.2
SGD: 121
1
Describe the applied anatomy clinical
Human Anatomy
features, investigations and principles of
management of undescended testis.
SU 30.3
SGD: 122
1
Describe the applied anatomy clinical
Human Anatomy
features, investigations and principles of
management of epidydimo-orchitis
SU 30.4
SGD: 123
1
Describe the applied anatomy clinical
Human Anatomy
features, investigations and principles of
management of varicocele
SU 30.5
SGD: 124
1
Describe the applied anatomy clinical
Human Anatomy
features, investigations and principles of
management of hydrocoele
Page 57 of 72
SU 30.4
SGD: 125
1
Describe classification, clinical features,
investigations and principles of
management of tumours of testis
Page 58 of 72
Internal Assessment
Subject: General surgery and al ied including Orthopedics
Applicable for batches admitted from 2019 and onwards
Phase
IA ? 1 -Exam
IA ? 2 -Exam
Theory
Theory
General
Practical
General
Practical of Al ied EOP
Total
Surgery Only
EOP
Total
Surgery
Marks
(January)
Marks
Only
(May)
Second
50
50
100
50
Orthopedics = 25
100
MBBS
Radiodiagnosis = 25
Phase
IA ? 3 -Exam
IA ? 4 -Exam
Theory
Theory
Practical of Al ied EOP
General
Practical
General
Surgery +
EOP
Surgery +
Total
al ied)
al ied)
Marks
(January)
Total
Marks
(April)
I I
50
50
100
50
Orthopaedics =25
100
MBBS
Anaesthesia =25
Part I
Phase
IA ? 5 - Exam
Prelim Exam (As per university pattern)
Theory
Practical
Practical
Gen
End of 8
Total
Theory
(November)
Total
Surgery
Weeks
Marks
(November)
Marks
+ Al ied
posting
(May)
I I
100
100
200
100 x 2
200
400
MBBS
papers =
Part I
200
(There wil be FORMATIVE ASSESSMENT at the End of four weeks Clinical Posting of
General Surgery NOT to be added to INTERNAL ASSESSMENT).
Page 59 of 72
Assessment in CBME is ONGOING PRCESS,
No Preparatory leave is permitted.
1.
There shall be 6 internal assessment examinations in General Surgery
including allied.
2.
The suggested pattern of question paper for internal assessment internal
examinations, except prelim examination is attached at the end. Pattern of the
prelims examinations should be similar to the University examinations.
3. Internal assessment marks for theory and practical wil be converted to out of
50 (theory) +50 (practical). Internal assessment marks, after conversion, should
be submitted to university within the stipulated time as per directives from the
University.
4. Conversion Formula for calculation of marks in internal assessment
examinations
Theory
Practical
Phase I
100
100
Phase I I/I
100
100
Phase I I/II
300
300
Total
500
500
Conversion out of
50
50
Conversion
Total marks in 6 Total marks in 6
formula
IA
theory IA
Practical
examinations /10 examinations /10
Eligibility criteria
20
20
after conversion
Combined theory + Practical = 50
Page 60 of 72
5. While preparing Final Marks of Internal Assessment, the rounding-off marks
shall done as il ustrated in fol owing table.
Total Internal Assessment Marks
Final rounded
marks
33.01 to 33.49
33
33.50 to 33.99
34
6. Students must secure at least 50% marks of the total marks (combined in theory
and practical / clinical; not less than 40 % marks in theory and practical
separately) assigned for internal assessment in order to be eligible for appearing
at the final University examination of that subject.
7. Internal assessment marks wil not to be added to marks of the University
examinations and wil be shown separately in mark list.
8. Remedial measures
A. Remedial measures for non-eligible students
i) At the end of each internal assessment examination, students securing
less than 50% marks shall be identified. Such students should be
counseled at the earliest and periodically. Extra classes for such students
may be conducted, if needed.
i ) If majority of the students found to be weak in a particular area then
extra classes must be scheduled for all such students.
i i) Even after these measures, if a student is failed to secure 50% marks
combined in theory and practical (40% separately in theory and
practical) after prelim examination, the student shall not be eligible for
final examination.
iv) Non eligible candidates are offered to reappear for repeat internal
assessment examination/s, which must be conducted 2 months before
next University examination. Extra classes for such students may be
conducted for such students. The pattern for this repeat internal
assessment examination shall be similar to the final University
examination. Only the marks in this examination shall be considered for
deciding the eligibility criteria. Fol owing conversion formula shall be
used for converting the marks.
Page 61 of 72
Theory
Practical
Remedial
200
200
examination (as
per
final
examination)
Conversion out of
50
50
Conversion
Marks in remedial Marks in remedial
formula
theory
Practical
examinations /4
examinations /4
Eligibility criteria
20
20
after conversion
Combined theory + Practical = 50
B. Remedial measures for absent students:
i.
If any of the students is absent for any of the 6 IA examinations due to
any reasons, fol owing measures shall be taken.
ii.
The student is asked to apply to the academic committee of the col ege
for reexamination, through HOD, to ascertain the genuineness of the
reason for absentee.
iii.
If permitted by academic committee, an additional examination for such
students is to be conducted after prelims examination. Marks for such
additional examination shall be equal to the missed examination.
iv.
Even if a student has missed more than one IA examination, he/she can
appear for only one additional IA examination. In such scenario,
eligibility should be determined by marks obtained in internal
assessment examinations for which the candidate has appeared,
without changing the denominator of 500.
Page 62 of 72
Internal Assessment Practical Examinations
II MBBS
Internal Assessment - 1
General Surgery
Clinical A (30)
OSCE & Viva B (20)
Grand
Total
Long
Demonstration
Communicatio
OSCE & Table viva (20)
Case
of clinical signs
n skills
A +B=
50
OSCE of
Table viva
Psychomotor
[Surgical
Skills
pathology, X rays,
Instruments,
Logbook, Journal]
20
5
5
10
10
50
Internal Assessment - 2
Orthopaedics and Radiodiagnosis (to be conducted at the end of respective
clinical postings)
Subject: General Surgery Al ied Practical (IA ? 2)
Examination in Orthopaedics
Viva
Case
OSCE 1
(Surgical Pathology, Radiology, Instruments and Surgical
Practical Total
Procedure, Journal / log book)
10
5
10
25
Subject: General Surgery Al ied Practical (IA ? 2)
Examination in Radiodiagnosis
X-Ray and other
Viva
Journal /
diagnostic modalities -
(Knowledge of legal aspects, radiation
Practical Total
Basics
protection etc)
log book
15
5
5
25
Page 63 of 72
* The marks for internal assessment ? 2 shall be communicated by orthopedics / Radiology department to General
Surgery department immediately after completion of examination and assessment.
III MBBS Part I
Internal Assessment - 3
General Surgery
Clinical A (30)
OSCE & Viva B (20)
Grand
Total
Long
Demonstration
Communicatio
OSCE & Table viva
Case
of clinical signs
n skills
A +B=
OSCE of
Table viva
50
Psychomotor
[Surgical
Skills
pathology, X rays,
Instruments,
Logbook, Journal]
20
5
5
10
10
50
Internal Assessment - 4
Orthopaedics and Anaesthesia
Subject: General Surgery Al ied Practical (IA ? 2)
Examination in Orthopaedics
Viva
Case
OSCE 1
(Surgical Pathology, Radiology, Instruments and Surgical
Practical Total
Procedure, Journal / log book)
10
5
10
25
Subject: General Surgery Al ied Practical (IA ? 2)
Examination in Anesthesia
OSCE
Drugs, Instruments
Viva
Practical Total
10
8
7
25
Page 64 of 72
* The marks for internal assessment ? 4 shall be communicated by orthopedics / Anaesthesia department to
General Surgery department immediately after completion of examination and assessment.
III MBBS Part II
Internal Assessment - 5
General Surgery
Clinical A (60)
OSCE & Viva B (40)
Grand
Total
Long
Demonstration
Communicatio
OSCE & Table viva (40)
Case
of clinical signs
n skills
A +B=
100
OSCE of
Table viva
Psychomotor
[Surgical
Skills
pathology, X rays,
Instruments,
Logbook, Journal]
40
10
10
20
20
100
Page 65 of 72
MUHS final practical examination
General Surgery
Seat
Long Case
Short Case 1
Short Case
General Surgery (60)
Ort
Grand
No.
General
General
2 Ortho
OSCE # & Table viva
ho
Total
Surgery
Surgery (30)
(30)
(20)
including
communicatio
n skill (60)
Long Communic Short Clinical Short Clinical Instruments
X rays +
OSCE OSCE
case ation skills case
signs
case
signs +Procedure+ Surgical
(10) +
*
demo
demo
Log book
Pathology
Table
+Journal
(10)
50
10
20
10
20
10
20
20
20
20
200
# OSCE Stations may include General examinations, Local examinations, psychomotor skills,
Communication skills, AETCOM etc.
*Communication skills to be assessed by Kalamazoo Consensus, clinical signs to be assessed by either
GLOBAL Rating Scale or OSCE, Psychomotor Skills to be assessed by OSCE with checklist. If the skills are
small, 2 or 3 skills may be combined.
Page 66 of 72
MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES, NASHIK
Format / Skeleton of question paper for 1st & 2nd internal
Assessment Theory Examinations.
Instructions:
SECTION "A" MCQ
1)
Put
in the appropriate box below the question number once only.
2)
Use blue bal point pen only.
3)
Each question carries one mark.
4)
Students wil not be al otted mark if he/she overwrites strikes or put white ink on the cross once
marked.
SECTION "A" MCQ (10Marks)
1.
Multiple Choice Questions (Total -10 MCQ of One mark each from General surgery)
(1x10=10 )
a) b) c) d) e) f) g) h) i) j)
1) Use blue/black bal point pen only.
2) Do not write anything on the blank portion of the question paper. If written anything, such type of act wil be considered as an
attempt to resort to unfair means.
Instructions:
3) Al questions are compulsory.
4) The number to the right indicates ful marks.
5) Draw diagrams wherever necessary.
.
( 2 x 10 = 20 )
2. Long Answer Question (Any 2 out of 3) (General surgery)
a)
b)
c)
3. Short answer questions (Any 4 out of 5) (At least2 Clinical reasoning question ) (General surgery)
( 4 x 5 = 20 )
a) b) c)
d)
e)
Page 67 of 72
Format / Skeleton of question paper for 3rd and 4th internal
Assessment Theory Examinations (III MBBS Part I)
Instructions:
SECTION "A" MCQ
5)
Put
in the appropriate box below the question number once only.
6)
Use blue bal point pen only.
7)
Each question carries One mark.
8)
Students wil not be al otted mark if he/she overwrites strikes or put white ink on the cross once
marked.
SECTION "A" MCQ (10Marks)
1.
Multiple Choice Questions (Total -10 MCQ of One mark each from General surgery)
(1x10=10 )
a) b) c) d) e) f) g) h) i) j)
1) Use blue/black bal point pen only.
2) Do not write anything on the blank portion of the question paper. If written anything, such type of act wil be considered as an
attempt to resort to unfair means.
Instructions:
3) Al questions are compulsory.
4) The number to the right indicates ful marks.
5) Draw diagrams wherever necessary.
. 2. Long Answer Question (Any 2 out of 3) (General surgery )
b)
b) c)
( 2 x 10 = 20 )
3. Short answer questions (1 from AETCOM ) (General surgery )
( 2 x 5 = 10 )
a) b)
4. Short answer questions (Any 2 out of 3) (At least 2 Clinical reasoning question ) (Orthopaedics)
( 2 x 5 = 10 )
a) b) c)
Separate answer sheet for question 4 (SAQ from orthopaedics) may be used for the ease of evaluation.
Page 68 of 72
Format / Skeleton of question paper 5th internal assessment
Theory Examinations (III MBBS Part II)
Instructions:
SECTION "A" MCQ
9)
Put
in the appropriate box below the question number once only.
10) Use blue bal point pen only.
11) Each question carries One mark.
12) Students wil not be al otted mark if he/she overwrites strikes or put white ink on the cross once
marked.
SECTION "A" MCQ (20Marks)
1.
Multiple Choice Questions (Total-20MCQ of One mark each - 15 General surgery , 2 orthopaedics,
(1 x20=20 )
1 anesthesia, 1 dentistry and 1 radiology)
a)
b) c) d) e) f) g) h) i) j)
k) l) m) n) o) p)
q) r) s) t)
SECTION "B" & "C"
Instructions:
1) Use blue/black bal point pen only.
2) Do not write anything on the blank portion of the question paper. If written anything, such type of act wil be considered as an
attempt to resort to unfair means.
3) Al questions are compulsory.
4) The number to the right indicates ful marks.
5) Draw diagrams wherever necessary.
SECTION "B"
2 . Long Answer Questions (Structured Case Based ) (General Surgery)
(2x15=30)
a)
b)
3.Short Answer Questions (Any 3 out of 4) (Any one should be Clinical reasoning), 1 from AETCOM (General Surgery)
(3x5=15)
a)
b) c)
d)
SECTION "C"
4. Short Answer Questions (1 Orthopedics, 1 Anesthesia, 1 Dentistry or Radiodiagnosis)
(4 x5=20)
a)
b) c)
d)
5. Long Answer Question (Structured Case Based ) (Orthopedics)
(1 x15=15)
a)
Separate answer sheet for question 5 (LAQ from orthopaedics) may be used for the ease of evaluation.
Page 69 of 72
Format / Skeleton of question paper for University
Theory Examinations (III MBBS Part II) Paper ? I
(Subject names to be removed)
Instructions:
SECTION "A" MCQ
13) Put
in the appropriate box below the question number once only.
14) Use blue bal point pen only.
15) Each question carries One mark.
16) Students wil not be al otted mark if he/she overwrites strikes or put white ink on the cross once
marked.
SECTION "A" MCQ (20Marks)
1.
Multiple Choice Questions (Total-20MCQ of One mark each) ? (General surgery)
(1 x20=20 )
a)
b) c) d) e) f) g) h) i) j)
k) l) m) n) o) p)
q) r) s) t)
SECTION "B" & "C"
Instructions:
1) Use blue/black bal point pen only.
2) Do not write anything on the blank portion of the question paper. If written anything, such type of act wil be considered as an
attempt to resort to unfair means.
3) Al questions are compulsory.
4) The number to the right indicates ful marks.
5) Draw diagrams wherever necessary.
SECTION "B"
2 . Long Answer Questions (Structured Case Based ) (General Surgery)
(2x15=30)
. a)
b)
3.Short Answer Questions (Any one should be Clinical reasoning, 1 from AETCOM) (General Surgery)
(3x5=15)
a)
b) c)
SECTION "C"
4. Long Answer Question (Structured Case Based ) (General Surgery)
(1 x15=15)
a)
3.Short Answer Questions (General Surgery) (Any 4 out of 5)
(4 x5=20)
a)
b) c)
d)
e)
Page 70 of 72
Format / Skeleton of question paper for University
Theory Examinations (III MBBS Part II) Paper II
(Subject names to be removed)
Instructions:
SECTION "A" MCQ
17) Put
in the appropriate box below the question number once only.
18) Use blue bal point pen only.
19) Each question carries One mark.
20) Students wil not be al otted mark if he/she overwrites strikes or put white ink on the cross once
marked.
SECTION "A" MCQ (20Marks)
1.
Multiple Choice Questions (Total-20MCQ of One mark each - 15 General surgery , 2 orthopedics,
(1 x20=20 )
1 anesthesia, 1 dentistry and 1 radiology)
a)
b) c) d) e) f) g) h) i) j)
k) l) m) n) o) p)
q) r) s) t)
SECTION "B" & "C"
Instructions:
1) Use blue/black bal point pen only.
2) Do not write anything on the blank portion of the question paper. If written anything, such type of act wil be considered as an
attempt to resort to unfair means.
3) Al questions are compulsory.
4) The number to the right indicates ful marks.
5) Draw diagrams wherever necessary.
SECTION "B"
2 . Long Answer Questions (Structured Case Based ) (General Surgery)
(2x15=30)
. a)
b)
3.Short Answer Questions (any 5 out of 6) (1 Gen. Surgery, 2 Radiodiagnosis, 2 Anesthesia, 1 Dentistry)
(5x5=25)
a)
b) c)
d)
e)
f)
SECTION "C"
4. Long Answer Question (Structured Case Based ) (Orthopedics)
(1 x15=15)
a)
3.Short Answer Questions (Any 2 out of 3) (Orthopedics)
(2 x5=10)
a)
b) c)
Page 71 of 72
Paper wise distribution of topics for Prelim & MUHS Annual Examination
Year: III-II MBBS Subject: _General Surgery and allied
Paper
Section
Topics
I
A
MCQs on all topics of paper I of Surgery
B
Metabolic response to injury, Shock, Blood and blood components,
Burns, Wound healing and wound care, Surgical infections,
Surgical Audit and Research, Nutrition and fluid therapy,
Transplantation, Biohazard disposal, Trauma, Skin and
subcutaneous tissue, Developmental anomalies of face, mouth
and jaws, Oropharyngeal cancer, Disorders of salivary glands,
Endocrine General Surgery: Thyroid and parathyroid, Adrenal
glands, Breast, Vascular diseases, Ethics & AETCOM ( module
4.3,4.5,4.6)
Abdomen- including Hernia, Peritoneum, GIT tract including
C
esophagus, stomach, smal intestine, colon rectum and anal canal,
Liver , Spleen, Pancreas, Biliary tract , Minimally invasive
Surgery, Pediatric surgery
II
A
MCQs on all topics of the paper II including orthopaedics,
anaesthesia, radiology , radiotherapy and dentistry .
B
Cardio-thoracic - Chest - Heart and Lungs ,Urinary System- Kidney
ureter and urinary bladder , Penis, Testis and scrotum, Plastic
surgery, Oncology, Investigation of surgical patient, Pre, intra and
post- operative management Radiology, Radiotherapy,
Anesthesia and pain management , Dentistry
C
Orthopedics ,
Page 72 of 72
This post was last modified on 29 June 2021