Download Maharashtra University of Health Sciences (MUHS) MBBS (Bachelor of Medicine, Bachelor of Surgery) 2nd Year Pathology Syllabus
Second MBBS (from October 2020)
Subject: Pathology (Theory and Practical)
(Based on Medical Council of India, Competency based Undergraduate curriculum for the Indian Medical
Graduate, 2018. Vol. 1; page nos.160-203)
1. Total Teaching hours : 230 hours
2. A. Lectures (hours): 80
B. Self-directed learning (hours): 12
C. Clinical postings (hours): NIL
D. Small group teachings/tutorials/Integrated teaching/Practicals (hours): 138
Lectures
Small
SDL
Competency
Topics & Subtopics
group
Nos.
teaching
80
138
12
hours
hours
hours
PA1.1 ? 1.3 Introduction to Pathology
1
2
Core: common definitions and terms, role of pathologist,
branches of pathology
Practicals: histological techniques, working of a microscope
Non-core: history and evolution of pathology
PA2.1 ? 2.8
Cell injury and adaptations
6
6
Core: Cell injury, necrosis, apoptosis, intracellular
accumulations, cell death, cellular adaptations, calcification,
disorders of pigment metabolism, Non-core: cellular aging
PA3.1-3.2
Amyloidosis- Core: Pathogenesis and pathology of amyloidosis
1
2
PA4.1 ? 4.4
Inflammation
4
4
Core: Acute and chronic inflammation, mediators of
inflammation, granulomatous inflammation, including TB
PA5.1
Healing and repair- Core: Repair and wound healing
1
-
PA6.1- 6.7
Hemodynamic disorders
4
6
Core: Edema, hyperemia, congestion, hemorrhage, shock,
thrombosis, embolism, ischemia, infarction
PA7.1-7.5
Neoplasia
5
6
Core: Definition and classification of neoplasia, molecular
basis of cancer, carcinogenesis, effects of tumour on host,
paraneoplastic syndrome, laboratory diagnosis of cancer
Non-core: Immunology and immune response to cancer
PA8.1-8.3
Basic diagnostic cytology
-
2
Core: Diagnostic role of cytology, exfoliative cytology
PA9.1-9.37
Immunopathology
5
2
Core: Principles of immunity, hypersensitivity reactions, HLA
system, transplant rejection, autoimmunity, systemic lupus
erythematosus, pathology of HIV/AIDS
PA10.1-10.4 Infections and infestations- Core: Malaria, cysticercus, leprosy,
-
2
1
Non-core: Common bacterial, viral, protozoal, and helminthic
diseases
1
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
Lectures
Small
SDL
Competency
Topics & Subtopics
group
Nos.
teaching
80
138
12
hours
hours
hours
PA11.1-11.3 Genetic and pediatric diseases-
1
-
1
Non-core: Mutations, Tumors and tumour-like conditions of
infancy and childhood, common storage disorders
PA12.1-12.3 Environmental and nutritional disease
-
2
Core: Air pollution, tobacco, alcohol, protein calorie
malnutrition, starvation, obesity
PA13.1-13.5 Introduction to hematology
2
8
Core: Hematopoiesis and extramedullary hematopoiesis,
definition and classification of anemia, anticoagulants,
investigations in anemia, peripheral smear examination
PA14.1-14.3 Microcytic anemia- Core: Iron metabolism, microcytic
1
4
hypochromic anemia, peripheral smear in microcytic anemia
PA15.1-15.4 Macrocytic anemia
1
4
Core: Vitamin B12 metabolism. Etiology and pathogenesis of
B12 deficiency, laboratory investigations in macrocytic
anemia, megaloblastic anemia
Non-core: differences between megaloblastic and non-
megaloblastic anemia
PA16.1-16.7 Hemolytic anemia
2
6
Core: Definition and classification of hemolytic anemia,
pathogenesis, features, hematological indices, sickle cell
anemia, thalassemia, peripheral smear picture in hemolytic
anemia, classification, clinical features of hemolytic anemia
PA17.1-17.2 Aplastic anemia- Non-core: Etiology, pathogenesis, findings,
1
2
bone marrow aspiration and biopsy
PA18.1-18.2 Leukocyte disorders
2
2
Core: Leukocytosis, leukopenia, acute and chronic leukemia
PA19.1-19.7 Lymph node and spleen
2
2
Core: Lymphadenopathy, TB lymphadenitis, Hodgkin's
disease, non-Hodgkin's lymphoma, splenomegaly
PA20.1
Plasma cell disorders- Core: Multiple myeloma
-
2
PA21.1-21.5 Hemorrhagic disorders
3
4
Core: Normal hemostasis, vascular and platelet disorders, ITP,
hemophilia, clotting disorders, DIC, Vitamin K deficiency
PA22.1-
Blood banking and transfusion
2
4
1
22.7
Core: Blood group systems, compatibility testing, blood
components, transfusion transmitted infections, transfusion
reactions, autologous transfusion
PA23.1-23.3 Clinical Pathology
12
Core: Urine analysis, Body fluids, semen analysis, thyroid
function tests, renal function tests, liver function tests
PA24.1-24.7 Gastrointestinal tract:- Core: Etiology, pathogenesis,
5
4
pathology, morphology and clinical features of: oral cancer,
2
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
Lectures
Small
SDL
Competency
Topics & Subtopics
group
Nos.
teaching
80
138
12
hours
hours
hours
peptic ulcer disease, polyp, carcinoma stomach, tubercular
intestine, inflammatory bowel disease, carcinoma colon
PA25.1-25.6 Hepatobiliary system:
5
6
Core: Bilirubin metabolism, etiopathogenesis and
classification of jaundice, hepatic failure, pathology,
complications, consequences and laboratory diagnosis of viral
hepatitis; pathophysiology of alcoholic liver disease and
cirrhosis; portal hypertension; hepatocellular carcinoma
Interpretation of liver function tests; Serology panel in viral
hepatitis (small group)
PA26.1-26.7 Respiratory system:
4
4
Core: Etiopathogenesis, morphology, and complications of:
pneumonia, lung abscess, chronic obstructive airway disease,
bronchiectasis, tuberculosis, occupational lung disease, lung
tumours, Non-core: pleural tumours, mesothelioma
PA27.1-
Cardiovascular system:
5
6
1
27.10
Core: Arteriosclerosis, aneurysm, heart failure, ischemic heart
disease, laboratory diagnosis of acute coronary syndrome,
rheumatic fever and heart disease, infective endocarditis,
pericarditis, pericardial effusion, Non-core: cardiomyopathies,
PA28.1-
Urinary tract
6
4
2
28.16
Core: Histology of kidney, clinical syndromes, acute renal
failure, chronic renal failure, acute glomerulonephritis,
glomerular manifestations in systemic disease, diseases of
tubular interstitium, acute tubular necrosis, acute and chronic
pyelonephritis, reflux nephropathy, vascular diseases of
kidney, cystic diseases of kidney, urinary calculi and
obstructive uropathy, renal tumours
Non-core: thrombotic angiopathies, urothelial tumours
PA29.1-29.5 Male genital tract:
1
2
Core: Testicular tumours, carcinoma penis, benign prostatic
hyperplasia, carcinoma prostate, Non-core: prostatitis
PA30.1-30.9 Female genital tract:
1
6
2
Core: Pathogenesis, etiology, pathology, diagnosis, and
progression of: carcinoma cervix, carcinoma endometrium,
leiomyoma, leiomyosarcoma, ovarian tumours, gestational
trophoblastic neoplasms, Non-core: cervicitis, endometriosis,
adenomyosis, endometrial hyperplasia
PA31.1-31.4 Breast-
1
2
Core: Benign breast disease, carcinoma breast,
Non-core: gynecomastia
PA32.1-32.9 Endocrine system
4
4
2
Core: etiology, pathogenesis, pathology and iodine
dependency of: goiters, thyrotoxicosis, hyperthyroidism,
3
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
Lectures
Small
SDL
Competency
Topics & Subtopics
group
Nos.
teaching
80
138
12
hours
hours
hours
hypothyroidism; epidemiology, etiopathogenesis, pathology,
laboratory diagnosis, complications of diabetes mellitus
Non-core: hyperparathyroidism, pancreatic cancer, adrenal
insufficiency, Cushing syndrome, adrenal neoplasms
PA33.1-33.5 Bone and soft tissue
1
4
1
Core: Osteomyelitis, bone tumours, soft tissue tumors
Non-core: Rheumatoid arthritis, Paget's disease of bone
PA34.1-34.4 Skin
1
4
Core: Squamous cell carcinoma, basal cell carcinoma
Non-core: Nevus, melanoma,
PA35.1-35.3 Central nervous system
2
4
Core: CSF findings in meningitis, CNS tumours
PA36.1
Eye- Non-core: Retinoblastoma
1
AETCOM 2.4 Working in a health care team
2
AETCOM 2.8 What does it mean to be family member of a sick patient?
2
4
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
Subject: Pathology
LIST OF PRACTICALS
GENERAL PATHOLOGY
1. Histological techniques, tissue processing, microscopy
2. Intracellular accumulations, calcification
3. Cellular adaptations
4. Disorders of pigment metabolism
5. Amyloidosis
6. Acute inflammation
7. Chronic inflammation and repair
8. Tuberculosis and leprosy
9. Hemodynamic disturbances
10. Neoplasia
11. Infections and infestations
HEMATOLOGY
1. Collection of specimens, anticoagulants, normal hematopoiesis
2. Hemoglobin estimation: Interpretation of report
3. Hematocrit and Erythrocyte sedimentation rate: Interpretation of report
4. Complete blood count: Interpretation of report (without flags) from automated cell counter
5. Preparation of peripheral smear and performing differential leukocyte count, interpretation of peripheral
smear
6. Investigations of anemia
7. Investigations of leukemia
8. Plasma cell dyscrasias
9. Investigation of bleeding and clotting disorders
10. Blood banking: Performing blood grouping and interpretation of results
SYSTEMIC PATHOLOGY
1. Lymphoma
2. Splenomegaly
3. Gastrointestinal tract: Ulcers
4. Intestinal polyp and carcinoma intestine
5. Cirrhosis and hepatocellular carcinoma
6. Pneumonia, bronchiectasis
7. Pulmonary tuberculosis and bronchogenic carcinoma
8. Atherosclerosis
9. Left ventricular hypertrophy, myocardial infarction, lab diagnosis of MI
10. Rheumatic heart disease and infective endocarditis
11. Chronic contracted kidney, glomerulonephritis, pyelonephritis
12. Urinary calculi, Renal cell carcinoma,
13. Male genital tract
14. Female genital tract: Carcinoma cervix, Carcinoma endometrium
15. Leiomyoma, Ovarian tumours
16. Gestational trophoblastic disease
17. Breast
18. Thyroid
19. Bone and soft tissue tumours
20. Skin
21. CNS tumours
5
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
CLINICAL PATHOLOGY
1. Urine analysis: Interpretation of physical, chemical and microscopic examination results
2. Semen analysis: Lecture demonstration, interpretation of report
3. Basic cytological techniques: FNAC and exfoliative cytology (Lecture demonstration)
4. CSF examination: Lecture demonstration and interpretation of reports
5. Body fluids: Interpretation of serous effusion reports
6. Interpretation of kidney function tests
7. Investigations in jaundice
8. Investigations in diabetes mellitus
AUTOPSY
Indications and technique, autopsy findings in common conditions like myocardial infarction, cirrhosis, portal
hypertension, bronchogenic carcinoma, miliary tuberculosis, renal cell carcinoma etc.
Suggested LIST OF SPECIMENS
1. Fatty liver
2. Vesicular mole (hydropic change)
3. Cardiac hypertrophy
4. Kidney- atrophy
5. Large white kidney-amyloidosis
6. Anthracosis
7. Hemochromatosis- Prussian blue reaction
8. Acute appendicitis
9. Serofibrinous pericarditis
10. Abscess- lung/ liver
11. Tubercular lymph node- caseation, matted lymph nodes
12. CVC Liver
13. Splenic infarct
14. Renal infarct
15. Myocardial infarction
16. Leiomyoma
17. Squamous papilloma
18. Hemangioma- Liver
19. Intestinal polyp
20. Squamous cell carcinoma-skin/cervix/penis
21. Adenocarcinoma- intestine
22. Melanoma
23. Enlarged lymph node: Hodgkin's disease
24. Benign ulcer-Peptic ulcer
25. Tubercular intestine
26. Amebic ulcer
27. Malignant ulcer- Carcinoma stomach
28. Cirrhosis
29. Hepatocellular carcinoma
30. Pulmonary tuberculosis
31. Miliary tuberculosis
32. Rheumatic heart disease mitral stenosis
33. Small contracted kidney
34. Renal cell carcinoma
35. Hydronephrosis
36. Urinary calculi
37. Wilm's tumour
6
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
38. Carcinoma penis
39. Seminoma
40. Carcinoma cervix
41. Carcinoma endometrium
42. Dermoid cyst
43. Ovarian cystadenoma
44. Leiomyoma
45. Carcinoma breast
46. Goitre
47. Solitary thyroid nodule
48. Giant cell tumour
49. Fibroadenoma of breast
50. Lipoma
51. Metastatic (Liver/Lung)
52. Fat necrosis
53. Meningioma
LIST OF SLIDES
1. Cloudy swelling-kidney
2. Fatty liver
3. Hyaline change in leiomyoma
4. Benign prostatic hyperplasia
5. Squamous metaplasia
6. Calcification
7. Amyloidosis- kidney
8. Nevus
9. Anthracosis
10. Acute appendicitis
11. Acute pyogenic meningitis
12. Tubercular lymphadenitis (Caseous necrosis, granuloma)
13. Tuberculoid leprosy
14. Lepromatous leprosy
15. Pulmonary edema
16. CVC lung
17. CVC liver
18. Thrombus
19. Renal infarct
20. Myocardial infarction
21. Capillary hemangioma
22. Squamous papilloma
23. Squamous cell carcinoma
24. Adenocarcinoma
25. Actinomycosis
26. Rhinosporidiosis
27. Cysticercosis
28. PS-Malaria
29. Eosinophilia
30. Neutrophilia
31. Microcytic anemia
32. Macrocytic anemia
33. Sickle cell anemia
34. Acute leukemia
7
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
35. Chronic myeloid leukemia
36. Hodgkin's disease
37. Peptic ulcer
38. Tubercular intestine
39. Adenocarcinoma intestine
40. Cirrhosis
41. Lobar pneumonia
42. Bronchopneumonia
43. Pulmonary tuberculosis
44. Atherosclerosis
45. Myocardial infarction
46. Crescentic glomerulonephritis
47. Chronic pyelonephritis
48. Renal cell carcinoma
49. Benign prostatic hyperplasia
50. Seminoma
51. Fibroadenoma
52. Carcinoma breast
53. Colloid goiter
54. Papillary carcinoma thyroid
55. Basal cell carcinoma
56. Melanoma
57. Lipoma
58. Osteogenic sarcoma
59. Giant cell tumour
CASE-BASED LEARNING
1. Microcytic anemia
2. Macrocytic anemia
3. Hemolytic anemia
4. Multiple myeloma
5. Hepatitis
6. Obstructive jaundice
7. Hemolytic jaundice
8. Nephrotic syndrome
9. Meningitis
CHARTS
1. Interpretation of microcytic anemia
2. Interpretation of macrocytic anemia
3. Interpretation of hemolytic anemia
4. Interpretation of acute leukemia
5. Interpretation of chronic leukemia
6. Interpretation of multiple myeloma
7. Interpretation of bleeding disorder
8. Interpretation of clotting disorder
9. Interpretation of Liver disorders
10. Interpretation of Renal disorders
11. Interpretation of Thyroid disorders
12. Interpretation of acute myocardial infarction
13. Pyogenic meningitis
14. Tubercular meningitis
15. Viral meningitis
16. Diabetes mellitus
8
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
Paper wise distribution of topics for Prelim & MUHS Annual Examination
Year: Second MBBS
Subject: Pathology
Paper
Section
Topics
I
A
Topics of the paper I
General Pathology:
1. Cell injury and adaptation
2. Amyloidosis
3. Inflammation and repair
4. Tuberculosis and leprosy
5. Hemodynamic disturbances
6. Immunopathology
7. Neoplasia
8. Infections and infestations
9. Basic diagnostic cytology
10. Histological techniques, tissue processing
11. Genetic and pediatric diseases
12. Environmental and nutritional diseases
Hematology
1. Introduction to hematology
2. Microcytic anemia
3. Macrocytic anemia
4. Hemolytic anemia
5. Aplastic anemia
6. Leukocyte disorder
7. Lymph node and spleen
8. Plasma cell disorders
9. Hemorrhagic disorders
10. Blood banking and transfusion medicine
AETCOM 2.4 and 2.8
II
A
Topics of the paper II
Systemic Pathology
1. Gastrointestinal tract
2. Hepatobiliary system
3. Respiratory system
4. Cardiovascular system
5. Urinary tract
6. Male genital tract
7. Female genital tract
8. Breast
9. Endocrine system
10. Bone and soft tissue
11. Skin
12. Central nervous system
Clinical Pathology
1. Urine analysis
2. Body fluid analysis
3. CSF analysis
4. Liver function test
5. Renal function test
6. Diabetes mellitus
7. Thyroid function test
9
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
Second MBBS
Internal Assessment
Subject: Pathology
Applicable w.e.f October 2020 onwards examination for batches admitted from June 2019 onwards
I-Exam (After 3 months , Jan)
II-Exam (After 7 months, May )
Prelims (July)
p
Phase
Practical (Including
Practical Including
Total
Total
Theory
Total
Theory 10 Marks for Journal
Theory
10 Marks for
Practical
Marks
Marks
Marks
& Log Book )
Journal & Log Book
Second
Paper 1 -100
100
100
200
100
100
200
100
300
MBBS
Paper 2 -100
1. There will be 3 internal assessment examinations in Pathology. The structure of the internal assessment theory examinations should
be similar to the structure of University examinations.
2. It is mandatory for the students to appear for all the internal assessment examinations.
3. First internal assessment examination will be held in January, second internal assessment examination will be held in May and third
internal assessment examination will be held in July.
4. A student who has not taken minimum required number of tests for Internal Assessment each in theory and practical will not be
eligible for University examinations.
5. There will be only one additional examination for absent students (due to genuine reason) after approval by the Institutional
Grievances Committee. It should be taken after preliminary examination and before submission of internal assessment marks to the
University.
6. Internal assessment marks for theory will be out of 400 and practical will be out of 200.
10
Acad 25 G:\MBBS Second Year Syllabus 27-7-2020\2.Pathology\Pathology.docx
7. Reduce total theory internal assessment to 40 marks and total practical internal assessment to 40 marks. Students must secure at
least 50% marks of the total marks (combined in theory and practical; not less than 40 % marks in theory and practical separately) to
be eligible for appearing University examination
8. Conversion Formula for calculation of marks in internal assessment examinations
First IA
Second IA Third IA
Total Internal assessment
Eligibility to appear for final
(Prelim)
marks: Conversion
University examination
formula
(after conversion out of 40)
(out of 40)
(40% separately in Theory &
Practical, 50% Combined)
Theory
100
100
200
400
Total marks obtained
16
10
(Minimum) Total of Theory +
Practical 50
50
100
200
Total marks obtained
16
Practical Must be 40.
05
(Minimum)
While preparing Final Marks of Internal Assessment, the rounding-off marks shall done as illustrated in following table
Internal Assessment Marks
Final rounded marks
15.01 to 15.49
15
15.50 to 15.99
16
9. Internal assessment marks will reflect as separate head of passing at the summative examination.
10. Internal assessment marks will not to be added to marks of the University examinations and will be shown separately in mark list.
11
Acad 25 G:\MBBS Second Year Syllabus 27-7-2020\2.Pathology\Pathology.docx
Second MBBS Practical Mark's Structure
Applicable w.e.f October 2020 onwards examination for batches admitted from June 2019 onwards
Subject: Pathology (I term)
Practical
Oral/Viva
Total
Seat
No.
CBC report
Blood
Histopathology
Total
Gross specimen
Practical
OSPE
PS/DLC
Hematology
interpretation
group
slide
General Pathology
Log book
& Oral
Max.
10
5
5
5
5
30
7
8
15
5
50
Marks
Subject: Pathology (II term)
Practical
Oral/Viva
Total
Seat
Practical & Oral
No.
Urine report
Gross specimen
OSPE
Histopathology slide
Total
Clinical pathology
interpretation
Systemic Pathology
Total
Log book
Total
Max.
20
5
5
30
7
8
15
5
50
Marks
12
Acad 25 G:\MBBS Second Year Syllabus 27-7-2020\2.Pathology\Pathology.docx
Subject: Pathology Prelim Examination
Practical
Oral/Viva
Seat
Practical
No.
Total
& Oral
CBC report
Blood
Histopathology
Total
Gross
Urine
Clinical and
Total
OSPE
PS/DLC
interpretation
group
slide
Logbook
specimens
Total
interpretation
hematology
(G + )
Max.
32
10
10
5
5
8
10
80
10
10
20
100
Marks
Subject: Pathology M.U.H.S. Final Exam.
Practical
Oral/Viva
Seat No.
Total
Practical &
Total
Oral
CBC report
Blood
Urine
Histopathology slide
Clinical and
Total
OSPE
PS/DLC
interpretation
group
Gross specimens
Total
interpretation
hematology
(G + J)
A
B
C
D
E
F
G
H
I
J
K
Max.
32
10
10
5
5
8
70
15
15
30
100
Marks
13
Acad 25 G:\MBBS Second Year Syllabus 27-7-2020\2.Pathology\Pathology.docx
For Urine examination
Students are not expected to perform urine examination, but to interpret results. Clinical cases with urinary findings may be given to them for interpretation.
Suggested OSPE stations
1. Clinical chart interpretation (Clinical Pathology) - 5 marks
2. Clinical chart interpretation (Clinical Pathology) - 5 marks
3. Clinical chart interpretation (CSF) - 5 marks
4. Clinical chart interpretation (Hematology)- 5 marks
5. Slides (3)- Hematology, benign, inflammatory- 6 marks
6. Specimens (3)- 6 marks
14
Acad 25 G:\MBBS Second Year Syllabus 27-7-2020\2.Pathology\Pathology.docx
Subject: Pathology
LIST OF PRACTICALS
GENERAL PATHOLOGY
1. Histological techniques, tissue processing, microscopy
2. Intracellular accumulations, calcification
3. Cellular adaptations
4. Disorders of pigment metabolism
5. Amyloidosis
6. Acute inflammation
7. Chronic inflammation and repair
8. Tuberculosis and leprosy
9. Hemodynamic disturbances
10. Neoplasia
11. Infections and infestations
HEMATOLOGY
1. Collection of specimens, anticoagulants, normal hematopoiesis
2. Hemoglobin estimation: Interpretation of report
3. Hematocrit and Erythrocyte sedimentation rate: Interpretation of report
4. Complete blood count: Interpretation of report (without flags) from automated cell counter
5. Preparation of peripheral smear and performing differential leukocyte count, interpretation of peripheral
smear
6. Investigations of anemia
7. Investigations of leukemia
8. Plasma cell dyscrasia
9. Investigation of bleeding and clotting disorders
10. Blood banking: Performing blood grouping and interpretation of results
SYSTEMIC PATHOLOGY
1. Lymphoma
2. Splenomegaly
3. Gastrointestinal tract: Ulcers
4. Intestinal polyp and carcinoma intestine
5. Cirrhosis and hepatocellular carcinoma
6. Pneumonia, bronchiectasis
7. Pulmonary tuberculosis and bronchogenic carcinoma
8. Atherosclerosis
9. Left ventricular hypertrophy, myocardial infarction, lab diagnosis of MI
10. Rheumatic heart disease and infective endocarditis
11. Chronic contracted kidney, glomerulonephritis, pyelonephritis
12. Urinary calculi, Renal cell carcinoma,
13. Male genital tract
14. Female genital tract: Carcinoma cervix, Carcinoma endometrium
15. Leiomyoma, Ovarian tumours
16. Gestational trophoblastic disease
17. Breast
18. Thyroid
19. Bone and soft tissue tumours
20. Skin
21. CNS tumours
15
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
CLINICAL PATHOLOGY
1. Urine analysis: Interpretation of physical, chemical and microscopic examination results
2. Semen analysis: Lecture demonstration, interpretation of report
3. Basic cytological techniques: FNAC and exfoliative cytology (Lecture demonstration)
4. CSF examination: Lecture demonstration and interpretation of reports
5. Body fluids: Interpretation of serous effusion reports
6. Interpretation of kidney function tests
7. Investigations in jaundice
8. Investigations in diabetes mellitus
AUTOPSY
Indications and techniques, autopsy findings in common conditions like myocardial infarction, cirrhosis, portal
hypertension, bronchogenic carcinoma, miliary tuberculosis, renal cell carcinoma etc.
LIST OF SPECIMENS
1. Fatty liver
2. Vesicular mole (hydropic change)
3. Cardiac hypertrophy
4. Kidney- atrophy
5. Large white kidney-amyloidosis
6. Anthracosis
7. Hemochromatosis- Prussian blue reaction
8. Acute appendicitis
9. Serofibrinous pericarditis
10. Abscess- lung/ liver
11. Tubercular lymph node- caseation, matted lymph nodes
12. CVC Liver
13. Splenic infarct
14. Renal infarct
15. Myocardial infarction
16. Leiomyoma
17. Squamous papilloma
18. Hemangioma- Liver
19. Intestinal polyp
20. Squamous cell carcinoma-skin/cervix/penis
21. Adenocarcinoma- intestine
22. Melanoma
23. Enlarged lymph node: Hodgkin's disease
24. Benign ulcer-Peptic ulcer
25. Tubercular intestine
26. Amebic ulcer
27. Malignant ulcer- Carcinoma stomach
28. Cirrhosis
29. Hepatocellular carcinoma
30. Pulmonary tuberculosis
31. Miliary tuberculosis
32. Bronchectasis
33. Bronchogenic carcinoma
34. Atherosclerosis
35. Myocardial infarction
16
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
36. Small contracted kidney
37. Renal cell carcinoma
38. Hydronephrosis
39. Urinary calculi
40. Wilm's tumour
41. Carcinoma penis
42. Seminoma
43. Carcinoma cervix
44. Carcinoma endometrium
45. Dermoid cyst
46. Ovarian cystadenoma
47. Leiomyoma
48. Carcinoma breast
49. Goitre
50. Solitary thyroid nodule
51. Giant cell tumour
52. Fibroadenoma of breast
53. Lipoma
54. Metastasis of Liver/Lung
55. Fat necrosis
56. Meningioma
LIST OF SLIDES
1. Cloudy swelling-kidney
2. Fatty liver
3. Hyaline change in leiomyoma
4. Benign prostatic hyperplasia
5. Squamous metaplasia
6. Calcification
7. Amyloidosis- kidney
8. Nevus
9. Anthracosis
10. Acute appendicitis
11. Acute pyogenic meningitis
12. Tubercular lymphadenitis (Caseous necrosis, granuloma)
13. Tuberculoid leprosy
14. Lepromatous leprosy
15. Pulmonary edema
16. CVC lung /Liver
17. Thrombus
18. Renal infarct
19. Myocardial infarction
20. Capillary hemangioma
21. Squamous papilloma
22. Squamous cell carcinoma
23. Adenocarcinoma
24. Actinomycosis
25. Rhinosporidiosis
26. Cysticercosis
27. PS-Malaria
17
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
28. Eosinophilia
29. Neutrophilia
30. Microcytic anemia
31. Macrocytic anemia
32. Sickle cell anemia
33. Acute leukemia
34. Chronic myeloid leukemia
35. Hodgkin's disease
36. Peptic ulcer
37. Tubercular intestine
38. Adenocarcinoma intestine
39. Cirrhosis
40. Lobar pneumonia
41. Bronchopneumonia
42. Pulmonary tuberculosis
43. Atherosclerosis
44. Myocardial infarction
45. Crescentic glomerulonephritis
46. Chronic pyelonephritis
47. Renal cell carcinoma
48. Benign prostatic hyperplasia
49. Seminoma
50. Fibroadenoma
51. Carcinoma breast
52. Colloid goiter
53. Papillary carcinoma thyroid
54. Basal cell carcinoma
55. Melanoma
56. Lipoma
57. Osteogenic sarcoma
58. Giant cell tumour
CASE-BASED LEARNING
1. Microcytic anemia
2. Macrocytic anemia
3. Hemolytic anemia
4. Multiple myeloma
5. Hepatitis
6. Obstructive jaundice
7. Hemolytic jaundice
8. Nephrotic syndrome
9. Meningitis
CHARTS
1. Interpretation of microcytic anemia
2. Interpretation of macrocytic anemia
3. Interpretation of hemolytic anemia
4. Interpretation of acute leukemia
5. Interpretation of chronic leukemia
18
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
6. Interpretation of multiple myeloma
7. Interpretation of bleeding disorder
8. Interpretation of clotting disorder
9. Interpretation of Liver disorders
10. Interpretation of Renal disorders
11. Interpretation of Thyroid disorders
12. Interpretation of acute myocardial infarction
13. Pyogenic meningitis
14. Tubercular meningitis
15. Viral meningitis
16. Diabetes mellitus
f. Books recommended:
a) Text book of Pathology by Robbins
b) Text book of General Pathology Part I & II by Bhende and Deodhare c) Clinical Pathology by Talib
d) Text book of Pathology by Harsh Mohan e) Text book of Pathology by Muir
f) Haematology De Gruchi
g) IAPM text book of Pathology
Reference books:
a) Anderson's text book of Pathology Vol I & II
b) Oxford text book of Pathology Vol. I, II & III
c) Pathology by Rubin and Farber
d) Pathologic basis of Disease Robbins
19
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES, NASHIK
FORMAT / SKELETON OF QUESTION PAPER
1. Course and Year
: Second MBBS
2. Subject Code
:
(applicable w.e.f. September 2021 & onwards examinations)
3. Subject
(PSP)
: PATHOLOGY
(TT)
:
4. Paper :
:
I
5. Total Marks
: 100
6. Total Time
: 3 Hrs.
7. Remu. (Rs)
: Rs. 300/-
8. Remu. (Rs)
: Rs. 350/-
9.
Web Pattern
: [ ]
10. Web Skeleton : [ ]
11. Web Syllabus : [ ]
12. Web Old QP
: [ ]
SECTION "A" MCQ
Instructions:
1)
Put in the appropriate box below the question number once only.
2)
Use blue ball point pen only.
3)
Each question carries One mark.
4)
Students will not be allotted mark if he/she overwrites strikes or put white ink on the cross once marked.
SECTION "A" MCQ (20 Marks)
1.
Multiple Choice Questions (Total 20 MCQ of One mark each. At least 5 should be scenario-based MCQ)
(20 x1=20)
a) b) c) d) e) f) g) h) i) j)
k) l) m) n) o) p) q) r) s) t)
1) Use blue/black ball point pen only.
Instructions: 2) Do not write anything on the blank portion of the question paper. If written anything, such type of act will be
considered as an attempt to resort to unfair means.
3) All questions are compulsory.
4) The number to the right indicates full marks.
5) Draw diagrams wherever necessary.
6) Distribution of syllabus in Question Paper is only meant to cover entire syllabus within the stipulated frame. The
Question paper pattern is a mere guideline. Questions can be asked from any paper's syllabus into any question
paper. Students cannot claim that the Question is out of syllabus. As It is only for the placement sake, the
distribution has been done.
7) Use a common answerbook for all sections.
2.
SAQ - AETCOM Module (2.4 and 2.8)
(7x1=7)
a)
3.
Short Answer Questions (Any 3 out of 4)
(7x3=21)
a) b) c) d)
4.
Long Answer Questions (Structured)
(12x1=12)
a)
(7x4=28)
5
Short answer questions (Any 4 out of 5)
a)
b) c) d) e)
(12x1=12)
6
Long Answer Questions (Structured)
a)
20
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES, NASHIK
FORMAT / SKELETON OF QUESTION PAPER
1.
Course and Year : Second MBBS
2. Subject Code
:
(applicable w.e.f. September 2021 & onwards examinations)
3. Subject
(PSP)
: PATHOLOGY
(TT)
:
4. Paper :
:
II
5. Total Marks
: 100
6. Total Time
: 3 Hrs.
7. Remu. (Rs)
: Rs. 300/-
8. Remu. (Rs)
: Rs. 350/-
9.
Web Pattern
: [ ]
10. Web Skeleton
: [ ]
11. Web Syllabus
: [ ]
12. Web Old QP
: [ ]
SECTION "A" MCQ
Instructions:
1)
Put in the appropriate box below the question number once only.
2)
Use blue ball point pen only.
3)
Each question carries One mark.
4)
Students will not be allotted mark if he/she overwrites strikes or put white ink on the cross once marked.
SECTION "A" MCQ (20 Marks)
1.
Multiple Choice Questions (Total 20 MCQ of One mark each. At least 5 should be scenario-based MCQ)
(20 x1=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 ball point pen only.
2) Do not write anything on the blank portion of the question paper. If written anything, such type of act will be
considered as an attempt to resort to unfair means.
3) All questions are compulsory.
4) The number to the right indicates full marks.
5) Draw diagrams wherever necessary.
6) Distribution of syllabus in Question Paper is only meant to cover entire syllabus within the stipulated frame. The
Question paper pattern is a mere guideline. Questions can be asked from any paper's syllabus into any question paper.
Students cannot claim that the Question is out of syllabus. As It is only for the placement sake, the distribution has
been done.
7) Use a common answerbook for all sections.
2. Short Answer Questions (Any 4 out of 5)
(7x4=28)
a) b) c) d) e)
3.
Long Answer Question Structured
(12x1=12)
a)
4 Short answer question (Any 4out of 5)
(8x3=24)
b)
b) c) d) e)
<<<< <
(12x1=12)
5 Long Answer Questions (Scenario Based )
a)
21
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
Competency Based Medical Education
Year: Second MBBS
Subject: Pathology Learning Resource Material
Books recommended:
a) Text book of Pathology by Robbins
b)Text book of General Pathology Part I & II by Bhende and Deodhare
c) Clinical Pathology by Talib
d)Text book of Pathology by Harsh Mohan
e) Text book of Pathology by Muir
f) Haematology De Gruchi
g)IAPM text book of Pathology
Reference books:
a) Anderson's text book of Pathology Vol I & II
b)Oxford text book of Pathology Vol. I, II & III
c) Pathology by Rubin and Farber
d)Pathologic basis of Disease Robbins
22
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
Maharashtra University of Health Sciences Nashik
PATHOLOGY LOGBOOK FOR PHASE
SECOND MBBS STUDENTS AS PER COMPETENCY
BASED CURRICULUM
23
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
Preface
The Medical Council of India has revised the undergraduate medical education curriculum so
that the Indian Medical Graduate (IMG) is able to recognize "Health for all" as a national
goal. He/she should also be able to fulfil his/her societal obligations. The revised curriculum
has specified the competencies that a student must attain and clearly defined teaching-
learning strategies for the same. With this goal in mind, integrated teaching, skill
development, AETCOM and self-directed learning have been introduced. There would be
emphasis on communication skills, basic clinical skills and professionalism. There is a
paradigm shift from the traditional didactic classroom-based teaching to learning
environments where there is emphasis on learning by exploring, questioning, applying,
discussing, analysing, reflecting, collaborating and doing. The recognition of this need is
enshrined by a greatly enhanced allocation of time to these methods and also the assessment
techniques. With this view in mind the log book has been designed as per the guidelines of
competency based curriculum.
24
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
Name of the College
___________________________________________________________________________
__________________________
Admission Year: ____________
CERTIFICATE
This is to certify that,
Mr/Ms.______________________________________________________
Roll No. ________ has satisfactorily attended/completed all assignments mentioned in this
logbook as per the guidelines prescribed by Medical Council of India, for Phase II MBBS
Competency Based Curriculum in the subject of Pathology.
Date: ___/___/______
Place: _____________
Teacher Incharge
Professor and Head
Department of Pathology
25
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
Instructions
1. This logbook is prepared as per the guidelines of MCI for implementation of Competency based
curriculum for Phase II MBBS students in the subject of Pathology.
2. Students are instructed to keep their logbook entries up to date.
3. Students also have to write reflections on AETCOM Module 2.4 and 2.8)
Reflections should be structured using the following guiding questions:
What happened? (What did you learn from this experience)
So what? (What are the applications of this learning)
What next? (What knowledge or skills do you need to develop so that you can handle this type of
situation?)
4. The logbook assessment will be based on multiple factors like
Attendance
Active participation in the sessions
Timely completions
Quality of write up of reflections
Overall presentation
26
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
CONTENTS
S.No
Topic
Signature of the
Remarks
teacher
27
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
S.No
Topic
Signature of the
Remarks
teacher
28
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
S.No
Topic
Signature of the
Remarks
teacher
29
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
ASSESSMENT OF LOG BOOK
Sr.No Description
Maximum Marks
Marks
Signature
obtained
of Teacher
1
Completion of
5
Journal- I term
2
Completion of
5
Journal- II term
3
Performance in
3
case based
learning
4
Participation in
3
seminars,
research projects,
quiz etc
5
Reflections on
2
AETCOM Module
* 2.4 , 2.8
6
Attendance
2
Records
7
Total marks
20
obtained for log
book
* AETCOM ? Competencies for IMG, 2018, Medical Council of India.
30
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
The following skills have been performed by the student and are certified by the teacher
as follows:
Date
Teacher's signature
1. Preparation of peripheral
smear
2.
Interpretation of liver
function tests and viral
serology panel
3
Interpretation of CSF in
meningitis
31
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
PRACTICAL TOPICS IN PATHOLOGY
Students are expected to write briefly about the topics and draw labelled diagrams of relevant slides in
their journal, and get it assessed from their teacher.
GENERAL PATHOLOGY
1. Histological techniques, tissue processing, microscopy
2. Intracellular accumulations, calcification
3. Cellular adaptations
4. Disorders of pigment metabolism
5. Amyloidosis
6. Acute inflammation
7. Chronic inflammation and repair
8. Tuberculosis and leprosy
9. Hemodynamic disturbances
10. Neoplasia
11. Infections and infestations
HEMATOLOGY
1. Collection of specimens, anticoagulants, normal hematopoiesis
2. Hemoglobin estimation: Interpretation of report
3. Hematocrit and Erythrocyte sedimentation rate: Interpretation of report
4. Complete blood count: Interpretation of report (without flags) from automated cell counter
5. Preparation of peripheral smear and performing differential leukocyte count, interpretation of peripheral
smear
6. Investigation of anemia
7. Investigation of leukemia
8. Plasma cell dyscrasia
9. Investigation of bleeding and clotting disorders
10. Blood banking: Performing blood grouping and interpretation of results
SYSTEMIC PATHOLOGY
1. Lymphoma
2. Splenomegaly
3. Gastrointestinal tract: Ulcers
4. Intestinal polyp and carcinoma intestine
5. Cirrhosis and hepatocellular carcinoma
6. Pneumonia, bronchiectasis
7. Pulmonary tuberculosis and bronchogenic carcinoma
8. Atherosclerosis
9. Left ventricular hypertrophy, myocardial infarction, lab diagnosis of MI
10. Rheumatic heart disease and infective endocarditis
11. Chronic contracted kidney, glomerulonephritis, pyelonephritis
12. Urinary calculi, Renal cell carcinoma,
13. Male genital tract
14. Female genital tract: Carcinoma cervix, Carcinoma endometrium
15. Leiomyoma, Ovarian tumours
16. Gestational trophoblastic disease
17. Breast
18. Thyroid
32
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
19. Bone and soft tissue tumours
20. Skin
21. CNS tumours
CLINICAL PATHOLOGY
1. Urine analysis: Interpretation of physical, chemical and microscopic examination results
2. Semen analysis: Lecture demonstration, interpretation of report
3. Basic cytological techniques: FNAC and exfoliative cytology (Lecture demonstration)
4. CSF examination: Lecture demonstration and interpretation of reports
5. Body fluids: Interpretation of serous effusion reports
6. Interpretation of kidney function tests
7. Investigations in jaundice
8. Investigations in diabetes mellitus
AUTOPSY
Indications and techniques, autopsy findings in common conditions like myocardial infarction, cirrhosis, portal
hypertension, bronchogenic carcinoma, miliary tuberculosis, renal cell carcinoma etc.
33
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
Reflection on AETCOM 2.4
Topic: Working in a health care team Date:
Signature of Teacher-in- charge
34
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
Reflection on AETCOM 2.8
Topic: What does it mean to be a family member of a sick patient? Date:
Signature of Teacher-in- charge
35
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
Participation in Seminars, Research Projects, Quiz
S.No
Activity
Date
Signature of
Teacher
Signature of Teacher-in- charge
36
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
Attendance Record of the Student
S. No Term
Theory Practical Signature Signature
(%)
(%)
of the
of the
Student Teacher
A
I Term
B
II Term
C
Overall
attendance
Note: Above information is for the benefit of students and parents. In case of any discrepancy
departmental record will be treated as final.
37
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
Details of attending extra classes [For poor attendance (if any)]
S.No
Date
Period
Total
Signature
Signature
hrs
of student of Teacher
Total hours
Note: Above information is for the benefit of students and parents. In case of any discrepancy
departmental record will be treated as final.
38
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
Section 5. Records of Internal Assessment Examinations
Records of Internal Assessment examinations
S.No Exam
Theory
Practical
Signature
Signature
including
of student of Teacher
viva and
log book
1
I Internal
/ 100 / 50
Assessment
2
II Internal
/ 100
/ 50
Assessment
3
III Internal
/ 200
/ 100
Assessment
(Prelim)
4
Internal
/ 400 / 200
Assessment
marks
5
Remedial exam
/ 200 / 100
(if any)
6
Internal
/ 100 / 100
Assessment
marks after
conversion
Note: Above information is for the benefit of students and parents. In case of any discrepancy
departmental record will be treated as final.
39
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
This post was last modified on 29 June 2021