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)
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1. Total Teaching hours : 230 hours2. 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
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Lectures
Small
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SDLCompetency
Topics & Subtopics
group
Nos.
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teaching80
138
12
hours
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hourshours
PA1.1 ? 1.3 Introduction to Pathology
1
2
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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
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PA2.1 ? 2.8Cell injury and adaptations
6
6
Core: Cell injury, necrosis, apoptosis, intracellular
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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
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2PA4.1 ? 4.4
Inflammation
4
4
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Core: Acute and chronic inflammation, mediators ofinflammation, granulomatous inflammation, including TB
PA5.1
Healing and repair- Core: Repair and wound healing
1
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-PA6.1- 6.7
Hemodynamic disorders
4
6
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Core: Edema, hyperemia, congestion, hemorrhage, shock,thrombosis, embolism, ischemia, infarction
PA7.1-7.5
Neoplasia
5
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6Core: 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
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PA8.1-8.3Basic diagnostic cytology
-
2
Core: Diagnostic role of cytology, exfoliative cytology
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PA9.1-9.37Immunopathology
5
2
Core: Principles of immunity, hypersensitivity reactions, HLA
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system, transplant rejection, autoimmunity, systemic lupuserythematosus, pathology of HIV/AIDS
PA10.1-10.4 Infections and infestations- Core: Malaria, cysticercus, leprosy,
-
2
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1Non-core: Common bacterial, viral, protozoal, and helminthic
diseases
1
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
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Lectures
Small
SDL
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CompetencyTopics & Subtopics
group
Nos.
teaching
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80138
12
hours
hours
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hoursPA11.1-11.3 Genetic and pediatric diseases-
1
-
1
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Non-core: Mutations, Tumors and tumour-like conditions ofinfancy and childhood, common storage disorders
PA12.1-12.3 Environmental and nutritional disease
-
2
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Core: Air pollution, tobacco, alcohol, protein caloriemalnutrition, starvation, obesity
PA13.1-13.5 Introduction to hematology
2
8
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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
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4hypochromic anemia, peripheral smear in microcytic anemia
PA15.1-15.4 Macrocytic anemia
1
4
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Core: Vitamin B12 metabolism. Etiology and pathogenesis ofB12 deficiency, laboratory investigations in macrocytic
anemia, megaloblastic anemia
Non-core: differences between megaloblastic and non-
megaloblastic anemia
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PA16.1-16.7 Hemolytic anemia2
6
Core: Definition and classification of hemolytic anemia,
pathogenesis, features, hematological indices, sickle cell
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anemia, thalassemia, peripheral smear picture in hemolyticanemia, classification, clinical features of hemolytic anemia
PA17.1-17.2 Aplastic anemia- Non-core: Etiology, pathogenesis, findings,
1
2
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bone marrow aspiration and biopsyPA18.1-18.2 Leukocyte disorders
2
2
Core: Leukocytosis, leukopenia, acute and chronic leukemia
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PA19.1-19.7 Lymph node and spleen2
2
Core: Lymphadenopathy, TB lymphadenitis, Hodgkin's
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disease, non-Hodgkin's lymphoma, splenomegalyPA20.1
Plasma cell disorders- Core: Multiple myeloma
-
2
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PA21.1-21.5 Hemorrhagic disorders3
4
Core: Normal hemostasis, vascular and platelet disorders, ITP,
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hemophilia, clotting disorders, DIC, Vitamin K deficiencyPA22.1-
Blood banking and transfusion
2
4
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122.7
Core: Blood group systems, compatibility testing, blood
components, transfusion transmitted infections, transfusion
reactions, autologous transfusion
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PA23.1-23.3 Clinical Pathology12
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,
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54
pathology, morphology and clinical features of: oral cancer,
2
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Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docxLectures
Small
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SDLCompetency
Topics & Subtopics
group
Nos.
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teaching80
138
12
hours
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hourshours
peptic ulcer disease, polyp, carcinoma stomach, tubercular
intestine, inflammatory bowel disease, carcinoma colon
PA25.1-25.6 Hepatobiliary system:
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56
Core: Bilirubin metabolism, etiopathogenesis and
classification of jaundice, hepatic failure, pathology,
complications, consequences and laboratory diagnosis of viral
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hepatitis; pathophysiology of alcoholic liver disease andcirrhosis; portal hypertension; hepatocellular carcinoma
Interpretation of liver function tests; Serology panel in viral
hepatitis (small group)
PA26.1-26.7 Respiratory system:
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44
Core: Etiopathogenesis, morphology, and complications of:
pneumonia, lung abscess, chronic obstructive airway disease,
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bronchiectasis, tuberculosis, occupational lung disease, lungtumours, Non-core: pleural tumours, mesothelioma
PA27.1-
Cardiovascular system:
5
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61
27.10
Core: Arteriosclerosis, aneurysm, heart failure, ischemic heart
disease, laboratory diagnosis of acute coronary syndrome,
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rheumatic fever and heart disease, infective endocarditis,pericarditis, pericardial effusion, Non-core: cardiomyopathies,
PA28.1-
Urinary tract
6
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42
28.16
Core: Histology of kidney, clinical syndromes, acute renal
failure, chronic renal failure, acute glomerulonephritis,
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glomerular manifestations in systemic disease, diseases oftubular 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
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Non-core: thrombotic angiopathies, urothelial tumoursPA29.1-29.5 Male genital tract:
1
2
Core: Testicular tumours, carcinoma penis, benign prostatic
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hyperplasia, carcinoma prostate, Non-core: prostatitisPA30.1-30.9 Female genital tract:
1
6
2
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Core: Pathogenesis, etiology, pathology, diagnosis, andprogression of: carcinoma cervix, carcinoma endometrium,
leiomyoma, leiomyosarcoma, ovarian tumours, gestational
trophoblastic neoplasms, Non-core: cervicitis, endometriosis,
adenomyosis, endometrial hyperplasia
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PA31.1-31.4 Breast-1
2
Core: Benign breast disease, carcinoma breast,
Non-core: gynecomastia
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PA32.1-32.9 Endocrine system4
4
2
Core: etiology, pathogenesis, pathology and iodine
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dependency of: goiters, thyrotoxicosis, hyperthyroidism,3
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
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LecturesSmall
SDL
Competency
Topics & Subtopics
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groupNos.
teaching
80
138
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12hours
hours
hours
hypothyroidism; epidemiology, etiopathogenesis, pathology,
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laboratory diagnosis, complications of diabetes mellitusNon-core: hyperparathyroidism, pancreatic cancer, adrenal
insufficiency, Cushing syndrome, adrenal neoplasms
PA33.1-33.5 Bone and soft tissue
1
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41
Core: Osteomyelitis, bone tumours, soft tissue tumors
Non-core: Rheumatoid arthritis, Paget's disease of bone
PA34.1-34.4 Skin
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14
Core: Squamous cell carcinoma, basal cell carcinoma
Non-core: Nevus, melanoma,
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PA35.1-35.3 Central nervous system2
4
Core: CSF findings in meningitis, CNS tumours
PA36.1
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Eye- Non-core: Retinoblastoma1
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?
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24
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
Subject: Pathology
LIST OF PRACTICALS
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GENERAL PATHOLOGY1. Histological techniques, tissue processing, microscopy
2. Intracellular accumulations, calcification
3. Cellular adaptations
4. Disorders of pigment metabolism
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5. Amyloidosis6. Acute inflammation
7. Chronic inflammation and repair
8. Tuberculosis and leprosy
9. Hemodynamic disturbances
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10. Neoplasia11. Infections and infestations
HEMATOLOGY
1. Collection of specimens, anticoagulants, normal hematopoiesis
2. Hemoglobin estimation: Interpretation of report
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3. Hematocrit and Erythrocyte sedimentation rate: Interpretation of report4. 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
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7. Investigations of leukemia8. Plasma cell dyscrasias
9. Investigation of bleeding and clotting disorders
10. Blood banking: Performing blood grouping and interpretation of results
SYSTEMIC PATHOLOGY
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1. Lymphoma2. Splenomegaly
3. Gastrointestinal tract: Ulcers
4. Intestinal polyp and carcinoma intestine
5. Cirrhosis and hepatocellular carcinoma
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6. Pneumonia, bronchiectasis7. Pulmonary tuberculosis and bronchogenic carcinoma
8. Atherosclerosis
9. Left ventricular hypertrophy, myocardial infarction, lab diagnosis of MI
10. Rheumatic heart disease and infective endocarditis
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11. Chronic contracted kidney, glomerulonephritis, pyelonephritis12. Urinary calculi, Renal cell carcinoma,
13. Male genital tract
14. Female genital tract: Carcinoma cervix, Carcinoma endometrium
15. Leiomyoma, Ovarian tumours
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16. Gestational trophoblastic disease17. Breast
18. Thyroid
19. Bone and soft tissue tumours
20. Skin
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21. CNS tumours5
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
CLINICAL PATHOLOGY
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1. Urine analysis: Interpretation of physical, chemical and microscopic examination results2. 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
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6. Interpretation of kidney function tests7. Investigations in jaundice
8. Investigations in diabetes mellitus
AUTOPSY
Indications and technique, autopsy findings in common conditions like myocardial infarction, cirrhosis, portal
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hypertension, bronchogenic carcinoma, miliary tuberculosis, renal cell carcinoma etc.Suggested LIST OF SPECIMENS
1. Fatty liver
2. Vesicular mole (hydropic change)
3. Cardiac hypertrophy
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4. Kidney- atrophy5. Large white kidney-amyloidosis
6. Anthracosis
7. Hemochromatosis- Prussian blue reaction
8. Acute appendicitis
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9. Serofibrinous pericarditis10. Abscess- lung/ liver
11. Tubercular lymph node- caseation, matted lymph nodes
12. CVC Liver
13. Splenic infarct
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14. Renal infarct15. Myocardial infarction
16. Leiomyoma
17. Squamous papilloma
18. Hemangioma- Liver
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19. Intestinal polyp20. Squamous cell carcinoma-skin/cervix/penis
21. Adenocarcinoma- intestine
22. Melanoma
23. Enlarged lymph node: Hodgkin's disease
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24. Benign ulcer-Peptic ulcer25. Tubercular intestine
26. Amebic ulcer
27. Malignant ulcer- Carcinoma stomach
28. Cirrhosis
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29. Hepatocellular carcinoma30. Pulmonary tuberculosis
31. Miliary tuberculosis
32. Rheumatic heart disease mitral stenosis
33. Small contracted kidney
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34. Renal cell carcinoma35. Hydronephrosis
36. Urinary calculi
37. Wilm's tumour
6
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Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx38. Carcinoma penis
39. Seminoma
40. Carcinoma cervix
41. Carcinoma endometrium
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42. Dermoid cyst43. Ovarian cystadenoma
44. Leiomyoma
45. Carcinoma breast
46. Goitre
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47. Solitary thyroid nodule48. Giant cell tumour
49. Fibroadenoma of breast
50. Lipoma
51. Metastatic (Liver/Lung)
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52. Fat necrosis53. Meningioma
LIST OF SLIDES
1. Cloudy swelling-kidney
2. Fatty liver
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3. Hyaline change in leiomyoma4. Benign prostatic hyperplasia
5. Squamous metaplasia
6. Calcification
7. Amyloidosis- kidney
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8. Nevus9. Anthracosis
10. Acute appendicitis
11. Acute pyogenic meningitis
12. Tubercular lymphadenitis (Caseous necrosis, granuloma)
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13. Tuberculoid leprosy14. Lepromatous leprosy
15. Pulmonary edema
16. CVC lung
17. CVC liver
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18. Thrombus19. Renal infarct
20. Myocardial infarction
21. Capillary hemangioma
22. Squamous papilloma
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23. Squamous cell carcinoma24. Adenocarcinoma
25. Actinomycosis
26. Rhinosporidiosis
27. Cysticercosis
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28. PS-Malaria29. Eosinophilia
30. Neutrophilia
31. Microcytic anemia
32. Macrocytic anemia
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33. Sickle cell anemia34. Acute leukemia
7
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
35. Chronic myeloid leukemia
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36. Hodgkin's disease37. Peptic ulcer
38. Tubercular intestine
39. Adenocarcinoma intestine
40. Cirrhosis
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41. Lobar pneumonia42. Bronchopneumonia
43. Pulmonary tuberculosis
44. Atherosclerosis
45. Myocardial infarction
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46. Crescentic glomerulonephritis47. Chronic pyelonephritis
48. Renal cell carcinoma
49. Benign prostatic hyperplasia
50. Seminoma
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51. Fibroadenoma52. Carcinoma breast
53. Colloid goiter
54. Papillary carcinoma thyroid
55. Basal cell carcinoma
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56. Melanoma57. Lipoma
58. Osteogenic sarcoma
59. Giant cell tumour
CASE-BASED LEARNING
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1. Microcytic anemia2. Macrocytic anemia
3. Hemolytic anemia
4. Multiple myeloma
5. Hepatitis
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6. Obstructive jaundice7. Hemolytic jaundice
8. Nephrotic syndrome
9. Meningitis
CHARTS
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1. Interpretation of microcytic anemia2. Interpretation of macrocytic anemia
3. Interpretation of hemolytic anemia
4. Interpretation of acute leukemia
5. Interpretation of chronic leukemia
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6. Interpretation of multiple myeloma7. Interpretation of bleeding disorder
8. Interpretation of clotting disorder
9. Interpretation of Liver disorders
10. Interpretation of Renal disorders
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11. Interpretation of Thyroid disorders12. Interpretation of acute myocardial infarction
13. Pyogenic meningitis
14. Tubercular meningitis
15. Viral meningitis
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16. Diabetes mellitus8
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
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Subject: PathologyPaper
Section
Topics
I
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ATopics of the paper I
General Pathology:
1. Cell injury and adaptation
2. Amyloidosis
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3. Inflammation and repair4. Tuberculosis and leprosy
5. Hemodynamic disturbances
6. Immunopathology
7. Neoplasia
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8. Infections and infestations9. Basic diagnostic cytology
10. Histological techniques, tissue processing
11. Genetic and pediatric diseases
12. Environmental and nutritional diseases
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Hematology1. Introduction to hematology
2. Microcytic anemia
3. Macrocytic anemia
4. Hemolytic anemia
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5. Aplastic anemia6. Leukocyte disorder
7. Lymph node and spleen
8. Plasma cell disorders
9. Hemorrhagic disorders
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10. Blood banking and transfusion medicineAETCOM 2.4 and 2.8
II
A
Topics of the paper II
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Systemic Pathology1. Gastrointestinal tract
2. Hepatobiliary system
3. Respiratory system
4. Cardiovascular system
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5. Urinary tract6. Male genital tract
7. Female genital tract
8. Breast
9. Endocrine system
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10. Bone and soft tissue11. Skin
12. Central nervous system
Clinical Pathology
1. Urine analysis
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2. Body fluid analysis3. CSF analysis
4. Liver function test
5. Renal function test
6. Diabetes mellitus
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7. Thyroid function test9
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
Second MBBS
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Internal AssessmentSubject: Pathology
Applicable w.e.f October 2020 onwards examination for batches admitted from June 2019 onwards
I-Exam (After 3 months , Jan)
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II-Exam (After 7 months, May )Prelims (July)
p
Phase
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Practical (IncludingPractical Including
Total
Total
Theory
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TotalTheory 10 Marks for Journal
Theory
10 Marks for
Practical
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MarksMarks
Marks
& Log Book )
Journal & Log Book
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SecondPaper 1 -100
100
100
200
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100100
200
100
300
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MBBSPaper 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.
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3. First internal assessment examination will be held in January, second internal assessment examination will be held in May and thirdinternal 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
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Grievances Committee. It should be taken after preliminary examination and before submission of internal assessment marks to theUniversity.
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
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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
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First IASecond IA Third IA
Total Internal assessment
Eligibility to appear for final
(Prelim)
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marks: ConversionUniversity examination
formula
(after conversion out of 40)
(out of 40)
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(40% separately in Theory &Practical, 50% Combined)
Theory
100
100
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200400
Total marks obtained
16
10
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(Minimum) Total of Theory +Practical 50
50
100
200
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Total marks obtained16
Practical Must be 40.
05
(Minimum)
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While preparing Final Marks of Internal Assessment, the rounding-off marks shall done as illustrated in following tableInternal Assessment Marks
Final rounded marks
15.01 to 15.49
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1515.50 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.
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11Acad 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)
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PracticalOral/Viva
Total
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Seat
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No.
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CBC reportBlood
Histopathology
Total
Gross specimen
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PracticalOSPE
PS/DLC
Hematology
interpretation
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groupslide
General Pathology
Log book
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& Oral--- Content provided by FirstRanker.com ---
Max.
10
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55
5
5
30
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78
15
5
50
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Marks--- Content provided by FirstRanker.com ---
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Subject: Pathology (II term)
Practical
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Oral/VivaTotal
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Seat--- Content provided by FirstRanker.com ---
Practical & Oral
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No.Urine report
Gross specimen
OSPE
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Histopathology slideTotal
Clinical pathology
interpretation
Systemic Pathology
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TotalLog book
Total
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Max.
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205
5
30
7
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815
5
50
Marks
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12Acad 25 G:\MBBS Second Year Syllabus 27-7-2020\2.Pathology\Pathology.docx
Subject: Pathology Prelim Examination
Practical
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Oral/VivaSeat
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Practical
No.
Total
& Oral
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CBC reportBlood
Histopathology
Total
Gross
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UrineClinical and
Total
OSPE
PS/DLC
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interpretationgroup
slide
Logbook
specimens
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Totalinterpretation
hematology
(G + )
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Max.
32
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1010
5
5
8
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1080
10
10
20
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100Marks
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Subject: Pathology M.U.H.S. Final Exam.
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PracticalOral/Viva
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Seat No.--- Content provided by FirstRanker.com ---
Total
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Practical &Total
Oral
CBC report
Blood
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UrineHistopathology slide
Clinical and
Total
OSPE
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PS/DLCinterpretation
group
Gross specimens
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Totalinterpretation
hematology
(G + J)
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A
B
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CD
E
F
G
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HI
J
K
Max.
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3210
10
5
5
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870
15
15
30
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100Marks
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13
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Acad 25 G:\MBBS Second Year Syllabus 27-7-2020\2.Pathology\Pathology.docxFor 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.
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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
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4. Clinical chart interpretation (Hematology)- 5 marks5. 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
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Subject: Pathology
LIST OF PRACTICALS
GENERAL PATHOLOGY
1. Histological techniques, tissue processing, microscopy
2. Intracellular accumulations, calcification
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3. Cellular adaptations4. Disorders of pigment metabolism
5. Amyloidosis
6. Acute inflammation
7. Chronic inflammation and repair
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8. Tuberculosis and leprosy9. Hemodynamic disturbances
10. Neoplasia
11. Infections and infestations
HEMATOLOGY
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1. Collection of specimens, anticoagulants, normal hematopoiesis2. 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
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smear6. Investigations of anemia
7. Investigations of leukemia
8. Plasma cell dyscrasia
9. Investigation of bleeding and clotting disorders
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10. Blood banking: Performing blood grouping and interpretation of resultsSYSTEMIC PATHOLOGY
1. Lymphoma
2. Splenomegaly
3. Gastrointestinal tract: Ulcers
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4. Intestinal polyp and carcinoma intestine5. Cirrhosis and hepatocellular carcinoma
6. Pneumonia, bronchiectasis
7. Pulmonary tuberculosis and bronchogenic carcinoma
8. Atherosclerosis
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9. Left ventricular hypertrophy, myocardial infarction, lab diagnosis of MI10. Rheumatic heart disease and infective endocarditis
11. Chronic contracted kidney, glomerulonephritis, pyelonephritis
12. Urinary calculi, Renal cell carcinoma,
13. Male genital tract
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14. Female genital tract: Carcinoma cervix, Carcinoma endometrium15. Leiomyoma, Ovarian tumours
16. Gestational trophoblastic disease
17. Breast
18. Thyroid
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19. Bone and soft tissue tumours20. Skin
21. CNS tumours
15
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
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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
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5. Body fluids: Interpretation of serous effusion reports6. Interpretation of kidney function tests
7. Investigations in jaundice
8. Investigations in diabetes mellitus
AUTOPSY
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Indications and techniques, autopsy findings in common conditions like myocardial infarction, cirrhosis, portalhypertension, bronchogenic carcinoma, miliary tuberculosis, renal cell carcinoma etc.
LIST OF SPECIMENS
1. Fatty liver
2. Vesicular mole (hydropic change)
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3. Cardiac hypertrophy4. Kidney- atrophy
5. Large white kidney-amyloidosis
6. Anthracosis
7. Hemochromatosis- Prussian blue reaction
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8. Acute appendicitis9. Serofibrinous pericarditis
10. Abscess- lung/ liver
11. Tubercular lymph node- caseation, matted lymph nodes
12. CVC Liver
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13. Splenic infarct14. Renal infarct
15. Myocardial infarction
16. Leiomyoma
17. Squamous papilloma
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18. Hemangioma- Liver19. Intestinal polyp
20. Squamous cell carcinoma-skin/cervix/penis
21. Adenocarcinoma- intestine
22. Melanoma
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23. Enlarged lymph node: Hodgkin's disease24. Benign ulcer-Peptic ulcer
25. Tubercular intestine
26. Amebic ulcer
27. Malignant ulcer- Carcinoma stomach
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28. Cirrhosis29. Hepatocellular carcinoma
30. Pulmonary tuberculosis
31. Miliary tuberculosis
32. Bronchectasis
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33. Bronchogenic carcinoma34. Atherosclerosis
35. Myocardial infarction
16
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
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36. Small contracted kidney
37. Renal cell carcinoma
38. Hydronephrosis
39. Urinary calculi
40. Wilm's tumour
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41. Carcinoma penis42. Seminoma
43. Carcinoma cervix
44. Carcinoma endometrium
45. Dermoid cyst
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46. Ovarian cystadenoma47. Leiomyoma
48. Carcinoma breast
49. Goitre
50. Solitary thyroid nodule
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51. Giant cell tumour52. Fibroadenoma of breast
53. Lipoma
54. Metastasis of Liver/Lung
55. Fat necrosis
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56. MeningiomaLIST OF SLIDES
1. Cloudy swelling-kidney
2. Fatty liver
3. Hyaline change in leiomyoma
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4. Benign prostatic hyperplasia5. Squamous metaplasia
6. Calcification
7. Amyloidosis- kidney
8. Nevus
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9. Anthracosis10. Acute appendicitis
11. Acute pyogenic meningitis
12. Tubercular lymphadenitis (Caseous necrosis, granuloma)
13. Tuberculoid leprosy
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14. Lepromatous leprosy15. Pulmonary edema
16. CVC lung /Liver
17. Thrombus
18. Renal infarct
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19. Myocardial infarction20. Capillary hemangioma
21. Squamous papilloma
22. Squamous cell carcinoma
23. Adenocarcinoma
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24. Actinomycosis25. Rhinosporidiosis
26. Cysticercosis
27. PS-Malaria
17
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Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx28. Eosinophilia
29. Neutrophilia
30. Microcytic anemia
31. Macrocytic anemia
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32. Sickle cell anemia33. Acute leukemia
34. Chronic myeloid leukemia
35. Hodgkin's disease
36. Peptic ulcer
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37. Tubercular intestine38. Adenocarcinoma intestine
39. Cirrhosis
40. Lobar pneumonia
41. Bronchopneumonia
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42. Pulmonary tuberculosis43. Atherosclerosis
44. Myocardial infarction
45. Crescentic glomerulonephritis
46. Chronic pyelonephritis
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47. Renal cell carcinoma48. Benign prostatic hyperplasia
49. Seminoma
50. Fibroadenoma
51. Carcinoma breast
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52. Colloid goiter53. Papillary carcinoma thyroid
54. Basal cell carcinoma
55. Melanoma
56. Lipoma
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57. Osteogenic sarcoma58. Giant cell tumour
CASE-BASED LEARNING
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1. Microcytic anemia2. Macrocytic anemia
3. Hemolytic anemia
4. Multiple myeloma
5. Hepatitis
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6. Obstructive jaundice7. Hemolytic jaundice
8. Nephrotic syndrome
9. Meningitis
CHARTS
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1. Interpretation of microcytic anemia2. Interpretation of macrocytic anemia
3. Interpretation of hemolytic anemia
4. Interpretation of acute leukemia
5. Interpretation of chronic leukemia
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18Acad 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
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9. Interpretation of Liver disorders10. Interpretation of Renal disorders
11. Interpretation of Thyroid disorders
12. Interpretation of acute myocardial infarction
13. Pyogenic meningitis
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14. Tubercular meningitis15. Viral meningitis
16. Diabetes mellitus
f. Books recommended:
a) Text book of Pathology by Robbins
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b) Text book of General Pathology Part I & II by Bhende and Deodhare c) Clinical Pathology by Talibd) 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:
--- Content provided by FirstRanker.com ---
a) Anderson's text book of Pathology Vol I & IIb) Oxford text book of Pathology Vol. I, II & III
c) Pathology by Rubin and Farber
d) Pathologic basis of Disease Robbins
19
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Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docxMAHARASHTRA UNIVERSITY OF HEALTH SCIENCES, NASHIK
FORMAT / SKELETON OF QUESTION PAPER
1. Course and Year
: Second MBBS
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2. Subject Code:
(applicable w.e.f. September 2021 & onwards examinations)
3. Subject
(PSP)
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: PATHOLOGY(TT)
:
4. Paper :
:
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I5. Total Marks
: 100
6. Total Time
: 3 Hrs.
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7. Remu. (Rs): Rs. 300/-
8. Remu. (Rs)
: Rs. 350/-
9.
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Web Pattern: [ ]
10. Web Skeleton : [ ]
11. Web Syllabus : [ ]
12. Web Old QP
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: [ ]SECTION "A" MCQ
Instructions:
1)
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Put in the appropriate box below the question number once only.2)
Use blue ball point pen only.
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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.
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SECTION "A" MCQ (20 Marks)
1.
Multiple Choice Questions (Total 20 MCQ of One mark each. At least 5 should be scenario-based MCQ)
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(20 x1=20)a) b) c) d) e) f) g) h) i) j)
k) l) m) n) o) p) q) r) s) t)
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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
--- Content provided by FirstRanker.com ---
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
--- Content provided by FirstRanker.com ---
Question paper pattern is a mere guideline. Questions can be asked from any paper's syllabus into any questionpaper. 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.
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2.
SAQ - AETCOM Module (2.4 and 2.8)
(7x1=7)
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a)3.
Short Answer Questions (Any 3 out of 4)
(7x3=21)
a) b) c) d)
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4.Long Answer Questions (Structured)
(12x1=12)
a)
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(7x4=28)5
Short answer questions (Any 4 out of 5)
a)
b) c) d) e)
--- Content provided by FirstRanker.com ---
(12x1=12)6
Long Answer Questions (Structured)
a)
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20
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES, NASHIK
--- Content provided by FirstRanker.com ---
FORMAT / SKELETON OF QUESTION PAPER1.
Course and Year : Second MBBS
2. Subject Code
:
--- Content provided by FirstRanker.com ---
(applicable w.e.f. September 2021 & onwards examinations)3. Subject
(PSP)
: PATHOLOGY
(TT)
--- Content provided by FirstRanker.com ---
:4. Paper :
:
II
5. Total Marks
--- Content provided by FirstRanker.com ---
: 1006. Total Time
: 3 Hrs.
7. Remu. (Rs)
: Rs. 300/-
--- Content provided by FirstRanker.com ---
8. Remu. (Rs): Rs. 350/-
9.
Web Pattern
: [ ]
--- Content provided by FirstRanker.com ---
10. Web Skeleton: [ ]
11. Web Syllabus
: [ ]
12. Web Old QP
--- Content provided by FirstRanker.com ---
: [ ]SECTION "A" MCQ
Instructions:
1)
--- Content provided by FirstRanker.com ---
Put in the appropriate box below the question number once only.2)
Use blue ball point pen only.
--- Content provided by FirstRanker.com ---
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.
--- Content provided by FirstRanker.com ---
SECTION "A" MCQ (20 Marks)
1.
Multiple Choice Questions (Total 20 MCQ of One mark each. At least 5 should be scenario-based MCQ)
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(20 x1=20)a) b) c) d) e) f) g) h) i) j)
k) l) m) n) o) p) q) r) s) t)
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SECTION "B" & "C"
Instructions:
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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.
--- Content provided by FirstRanker.com ---
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.
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7) Use a common answerbook for all sections.2. Short Answer Questions (Any 4 out of 5)
(7x4=28)
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a) b) c) d) e)3.
Long Answer Question Structured
(12x1=12)
a)
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4 Short answer question (Any 4out of 5)
(8x3=24)
b)
b) c) d) e)
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<<<< <(12x1=12)
5 Long Answer Questions (Scenario Based )
a)
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21
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
Competency Based Medical Education
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Year: Second MBBSSubject: Pathology Learning Resource Material
Books recommended:
a) Text book of Pathology by Robbins
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b)Text book of General Pathology Part I & II by Bhende and Deodharec) Clinical Pathology by Talib
d)Text book of Pathology by Harsh Mohan
e) Text book of Pathology by Muir
f) Haematology De Gruchi
--- Content provided by FirstRanker.com ---
g)IAPM text book of PathologyReference 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
--- Content provided by FirstRanker.com ---
d)Pathologic basis of Disease Robbins22
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
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Maharashtra University of Health Sciences Nashik--- Content provided by FirstRanker.com ---
PATHOLOGY LOGBOOK FOR PHASE
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SECOND MBBS STUDENTS AS PER COMPETENCYBASED CURRICULUM
23
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
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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
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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
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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.
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24Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
Name of the College
___________________________________________________________________________
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__________________________Admission Year: ____________
CERTIFICATE
This is to certify that,
Mr/Ms.______________________________________________________
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Roll No. ________ has satisfactorily attended/completed all assignments mentioned in thislogbook as per the guidelines prescribed by Medical Council of India, for Phase II MBBS
Competency Based Curriculum in the subject of Pathology.
Date: ___/___/______
Place: _____________
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Teacher Incharge--- Content provided by FirstRanker.com ---
Professor and Head
Department of Pathology
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25
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
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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)
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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?)
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4. The logbook assessment will be based on multiple factors likeAttendance
Active participation in the sessions
Timely completions
Quality of write up of reflections
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Overall presentation26
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
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CONTENTS
S.No
Topic
Signature of the
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Remarksteacher
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27
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
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S.No
Topic
Signature of the
Remarks
teacher
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28
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Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docxS.No
Topic
Signature of the
Remarks
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teacher--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
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29
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
ASSESSMENT OF LOG BOOK
--- Content provided by FirstRanker.com ---
Sr.No DescriptionMaximum Marks
Marks
Signature
obtained
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of Teacher1
Completion of
--- Content provided by FirstRanker.com ---
5Journal- I term
2
Completion of
5
--- Content provided by FirstRanker.com ---
Journal- II term3
Performance in
3
case based
--- Content provided by FirstRanker.com ---
learning4
Participation in
3
seminars,
--- Content provided by FirstRanker.com ---
research projects,quiz etc
5
Reflections on
--- Content provided by FirstRanker.com ---
2AETCOM Module
* 2.4 , 2.8
6
--- Content provided by FirstRanker.com ---
Attendance2
Records
7
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Total marks20
obtained for log
book
* AETCOM ? Competencies for IMG, 2018, Medical Council of India.
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30Acad 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:
--- Content provided by FirstRanker.com ---
DateTeacher's signature
1. Preparation of peripheral
smear
2.
--- Content provided by FirstRanker.com ---
Interpretation of liverfunction tests and viral
serology panel
3
Interpretation of CSF in
--- Content provided by FirstRanker.com ---
meningitis31
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
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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
--- Content provided by FirstRanker.com ---
2. Intracellular accumulations, calcification3. Cellular adaptations
4. Disorders of pigment metabolism
5. Amyloidosis
6. Acute inflammation
--- Content provided by FirstRanker.com ---
7. Chronic inflammation and repair8. Tuberculosis and leprosy
9. Hemodynamic disturbances
10. Neoplasia
11. Infections and infestations
--- Content provided by FirstRanker.com ---
HEMATOLOGY1. 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
--- Content provided by FirstRanker.com ---
5. Preparation of peripheral smear and performing differential leukocyte count, interpretation of peripheralsmear
6. Investigation of anemia
7. Investigation of leukemia
8. Plasma cell dyscrasia
--- Content provided by FirstRanker.com ---
9. Investigation of bleeding and clotting disorders10. Blood banking: Performing blood grouping and interpretation of results
SYSTEMIC PATHOLOGY
1. Lymphoma
2. Splenomegaly
--- Content provided by FirstRanker.com ---
3. Gastrointestinal tract: Ulcers4. Intestinal polyp and carcinoma intestine
5. Cirrhosis and hepatocellular carcinoma
6. Pneumonia, bronchiectasis
7. Pulmonary tuberculosis and bronchogenic carcinoma
--- Content provided by FirstRanker.com ---
8. Atherosclerosis9. 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,
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13. Male genital tract14. Female genital tract: Carcinoma cervix, Carcinoma endometrium
15. Leiomyoma, Ovarian tumours
16. Gestational trophoblastic disease
17. Breast
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18. Thyroid32
Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx
19. Bone and soft tissue tumours
20. Skin
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21. CNS tumoursCLINICAL 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)
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4. CSF examination: Lecture demonstration and interpretation of reports5. Body fluids: Interpretation of serous effusion reports
6. Interpretation of kidney function tests
7. Investigations in jaundice
8. Investigations in diabetes mellitus
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AUTOPSYIndications and techniques, autopsy findings in common conditions like myocardial infarction, cirrhosis, portal
hypertension, bronchogenic carcinoma, miliary tuberculosis, renal cell carcinoma etc.
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33Acad 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:
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Signature of Teacher-in- charge34
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:
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Signature of Teacher-in- charge
35
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Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docxParticipation in Seminars, Research Projects, Quiz
S.No
Activity
Date
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Signature ofTeacher
Signature of Teacher-in- charge
36
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Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docxAttendance Record of the Student
S. No Term
Theory Practical Signature Signature
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(%)(%)
of the
of the
Student Teacher
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AI Term
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B
II Term
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C
Overall
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attendance
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Note: Above information is for the benefit of students and parents. In case of any discrepancydepartmental record will be treated as final.
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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)]
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S.NoDate
Period
Total
Signature
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Signaturehrs
of student of Teacher
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Total hoursNote: Above information is for the benefit of students and parents. In case of any discrepancy
departmental record will be treated as final.
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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
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S.No Exam
Theory
Practical
Signature
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Signatureincluding
of student of Teacher
viva and
log book
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1I Internal
/ 100 / 50
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Assessment2
II Internal
/ 100
/ 50
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Assessment
3
III Internal
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/ 200/ 100
Assessment
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(Prelim)4
Internal
/ 400 / 200
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Assessment
marks
5
Remedial exam
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/ 200 / 100(if any)
6
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Internal/ 100 / 100
Assessment
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marks afterconversion
Note: Above information is for the benefit of students and parents. In case of any discrepancy
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departmental record will be treated as final.--- Content provided by FirstRanker.com ---
39Acad 25 G:\MBBS Second Year Syl abus 27-7-2020\2.Pathology\Pathology.docx