Download MUHS MBBS 3rd year General Medicine Syllabus

Maharashtra University of Health Sciences
General Medicine
Second MBBS (Clinical posting)
(Based on Medical Council of India, Competency based Undergraduate curriculum
for the Indian Medical Graduate, 2018. Vol. 2)

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1.Total Teaching hours : 25+ 60
2. A. Lectures(hours):
25
B. Self-directed learning ( hours ) : NIL
C. Clinical Postings (hours): 60

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D. Small group teachings/tutorials/Integrated teaching/Practicals (hours): NIL
Week Day of the Competency Topics & Subtopics
Duration TL Method
/ Day Week *
Nos.

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(Suggested)
1/ 1
Monday
1.10
Orientation to History Taking

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3 hours
Bed side
clinic
1/2
Tuesday

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9.3
History taking and causes of anemia
1 hour
Bed side
clinic

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8.9
Evaluation of all risk factors and co- 1 hour
Bed side
morbidities
for

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patient
with
clinic
hypertension
11.7

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Elicit document and present a medical
history that will differentiate the 1 hour
Bed side
etiologies of diabetes including risk
clinic

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factors, precipitating factors, lifestyle,
nutritional history, family history,
medication history, co-morbidities and
target organ disease
1/3

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Wednesday 16.4
Elicit and document and present an
appropriate history that includes the 1 hour
Bed side
natural history, dietary history, travel ,

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clinic
sexual history and other concomitant
illnesses
25.4
Elicit document and present a medical

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history that helps delineate the 2 hours
Bed side
aetiology of zoonotic
diseases that
clinic

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includes the evolution and pattern of
symptoms, risk factors, exposure
through occupation and travel
1/4
Thursday

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26.20
Demonstrate ability to communicate to
patients in a patient, respectful, non-
threatening,
non-judgmental

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and 2 hours
Bed side
empathetic manner
clinic
26.21 &

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- Demonstrate respect to patient
26.22
privacy
Bed side
Page 1 of 43

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Week Day of the Competency Topics & Subtopics
Duration TL Method
/ Day week
Nos.
-Demonstrate ability to maintain 1 hour

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clinic
confidentiality in patient care
1/5
Friday
26.35

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Demonstrate empathy in patient 1 hour
Bed side
encounters
clinic
6.7

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Elicit document and present a medical
history that helps delineate the 1 hour
Bed side
aetiology of the current presentation
clinic

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and includes risk factors for HIV, mode
of infection, other sexually transmitted
diseases,
risks
for

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opportunistic
infections and nutritional status
26.19 ,
- Demonstrate ability to work in a team
26.24 &

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of peers and superiors
1 hour
Bed side
26.25
- Demonstrate respect in relationship

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clinic
with patients, fellow team members,
superiors and other health care workers
- Demonstrate responsibility and work
ethics while working in the health care

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team
2/1
Monday
1.11, part
Orientation to General Exam

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3 hours
Bed side
1.29
clinic
2/2

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Tuesday
1.12
Pulse examination with demonstration
3 hours
Bed side

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clinic
/DOAP
2/3
Wednesday 1.13
Measure BP accurately

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2 hours
Bed side
clinic
/DOAP
1.14

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JVP
1 Hour
Bed side
clinic
/DOAP

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2/4
Thursday
4.9
Evaluation of fever
Bed side

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1.5 hours clinic/DOAP
4.10
Examination of skin ,lymph node, chest
Bed side
and abdominal examination

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1.5 hours clinic/DOAP
2/5
Friday
9.4
Perform a systematic examination that 1 hour

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Bed side
includes : general examination for
clinic
pallor, oral examination
4.21

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Orientation to Clinical decision making
2 hours
Bed side
clinic
3/1

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Monday
7.11 and
Orientation to
medical history and 1hour
Bed side

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7.12
examination of joints ,muscle and skin
clinic
rheumatological diseases
11.8

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Perform a systematic examination that
establishes the diagnosis and severity 1 hour
Bed side
that includes skin, peripheral pulses,
clinic

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blood pressure measurement, fundus
examination, detailed examination of
the foot (pulses,
nervous and
deformities and injuries) in a patient

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Week Day of the Competency Topics & Subtopics
Duration TL Method
/ Day week
Nos.

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with diabetes
Practice session for clinical skills including BP 1 hour
Bed side
Measurement/ ward rounds
clinic

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3/2
Tuesday
1.30
Skil Acquisition -
3 hour

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Skills lab
IM injection
3/3
Wednesday 5.9
Elicit document and present a medical 1 hour

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Bed side
history that helps delineate the
clinic
aetiology of the current presentation
and includes clinical presentation, risk

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factors, drug use, sexual history,
vaccination and family history in patient
with liver disease.
16.5
Perform, document and demonstrate a 1 hour

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Bed side
physical examination based on the
clinic
history
that

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includes
general
examination, including an appropriate
abdominal examination
5.14

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Outline a diagnostic approach to liver 1 hours
Bed side
disease based on hyperbilirubinemia,
clinic
liver function changes and hepatitis

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serology
3/4
Thursday
2.7
CVS Examination with demonstration

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3 hour
Bed side
clinic/DOAP
3/5
Friday

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3.4 & 3.5
Orientation to history taking, general 3 hours
Bed side
examination & systemic examination of
clinic/DOAP

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Respiratory system
4/1
Monday
18.3
Elicit and document and present an 2 hours

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Bed side
appropriate history including onset,
clinic
progression,
precipitating

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and
aggravating relieving factors, associated
symptoms that help identify the cause
of the cerebrovascular accident
Practice session for clinical and other skills/ ward 1 hour

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Bed side
rounds
clinic / skills
lab
Perform, demonstrate & document 2 hours

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Bed Side
4/2
Tuesday
18.5
physical examination

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that includes
clinic
general and a detailed neurologic
examination as appropriate based on
the history

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Practice session for clinical and other skills/ ward 1 hour
Bed side
rounds
clinic / skills
lab

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4/3
Wednesday 20.4 & 20.5
Medical
emergency
- - Elicit and document and present an 2 hours

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Bed side
appropriate history, the circumstance,
clinic
time, kind of snake, evolution of
symptoms in a patient with snake bite

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Week Day of the Competency Topics & Subtopics
Duration TL Method
/ Day week
Nos.

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- Perform a systematic examination,
document and
present a physical
examination that includes general
examination,

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local examination,
appropriate cardiac and neurologic
examination in a case of snake bite
Practice session for clinical and other skills/ward 1 hour
Bed side

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rounds
clinic / skills
lab
4/4
Thursday

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Practical Assessment + Theory Assessment
3 hours
Case
presentatio
n

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4/5
Friday
Skil s Assessment ? Certifiable skills and soft skills
3 hours
OSCE

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Logbook Certification
stations/
skills
stations
Student Doctor method of clinical teaching ? on the emergency day/ admission day of the clinical unit,

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students will be posted in admission area (Casualty / EMS) and allotted a case/ cases, which they will be
following over the period of indoor stay and the same will be entered in the Logbook.
Focus of Learner-Doctor programme - History taking, physical examination, assessment of change in
clinical status, communication and patient education
* Day of week is only suggestive, considering the posting is started on Monday. If posting is

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commenced on any other day, day of week can be modified accordingly.
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Maharashtra University of Health Sciences
General Medicine
Second MBBS (from Feb/March 2021)

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Subject: GENERAL MEDICINE Theory
(Based on Medical Council of India, Competency based Undergraduate curriculum for
the Indian Medical Graduate, 2018. Vol. 2; page nos. 60-142)
1. Total Teaching hours : 25h + 60h
2. A. Lectures(hours): 25h

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B. Self directed learning ( hours ) :NIL
C. Clinical Postings (hours): 4 Wks (60h)
D. Small group teachings/tutorials/Integrated teaching/Practicals(hours): NIL
Lecture
Competency

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Topic
Subtopics
Nos.
1
IM 4.1 to 4.5

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Fever & Febrile Introduction to Fever, Pathophysiology, Causes-
Syndromes
Describe and discuss the febrile response and the influence
of host immune status, risk factors and comorbidities on the
febrile Response, Describe and discuss the influence of

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special populations on the febrile response including: the
elderly, immune suppression, malignancy and neutropenia,
HIV and travel, Discuss and describe the common causes,
pathophysiology and manifestations of fever in various
regions in India including bacterial, parasitic and viral causes

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(e.g.Dengue, Chikungunya, Typhus), inflammatory causes of
fever, malignant causes of fever including hematologic and
lymph node malignancies
2
IM 4.6; 4.15;

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Fever & Febrile Malaria - Discuss and describe the pathophysiology and
4.22 to 4.26
Syndromes
manifestations of malaria, interpret a malarial smear,
Describe and discuss the pharmacology, indications, adverse

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reactions, interactions of antimalarial drugs and basis of
resistance, malarial prevention
3
IM 4.7
Fever & Febrile Sepsis Syndrome - Discuss and describe the pathophysiology

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Syndromes
and manifestations of the sepsis syndrome
4
IM 4.8; 4.16;
Fever & Febrile FUO- Discuss and describe the pathophysiology, aetiology

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4.18
Syndromes
and clinical manifestations of fever of unknown origin (FUO)
including in a normal host, neutropenic host, nosocomial
host

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and a host with HIV disease , Enumerate the
indications and describe the findings in tests of inflammation
and specific rheumatologic tests, serologic testing for
pathogens including HIV, bone marrow aspiration and
biopsy, Enumerate the indications for use of imaging in the

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diagnosis of febrile syndromes.
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5
Infections
Describe and discuss the response and the influence of host

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immune status, risk factors and comorbidities on zoonotic
diseases, pathophysiology and manifestations, appropriate
IM
diagnostic plan, newer techniques in the diagnosis, empiric
25.1; 25.2;

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treatment plan OF -
25.3,
Leptospirosis & Dengue
25.7,25.8,
6

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Infections
Rabies & Tetanus
25.10,25.11
7
Infections

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Scrub Typhus, Typhoid
8
Infections
Acute encephalitis syndromes including JE
9

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IM 6.1 to 6.3
HIV
Describe and discuss the symptoms and signs of acute HIV
Seroconversion, Define and classify HIV AIDS based on the
CDC criteria, Describe and discuss the relationship between

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CDC count and the risk of opportunistic infections
10
IM 6.4 to 6.6;
HIV
Describe and discuss the pathogenesis, evolution and clinical

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6.9
features of common HIV related opportunistic infections,
malignancies, skin and oral lesions, Choose and interpret
appropriate diagnostic tests to diagnose and classify the
severity of HIV-AIDS including specific tests of HIV, CDC

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11
IM 6.16 to
HIV
Discuss and describe the principles of HAART, the classes of
6.18

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antiretrovirals used, adverse reactions and interactions,
Discuss and describe the principles and regimens used in
post exposure prophylaxis, Enumerate the indications and
discuss prophylactic drugs used to prevent HIV related
opportunistic infections

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12
IM 16.1;
Diarrheal
Describe and discuss the aetiology of acute and chronic
16.13; 16.14;

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Diseases
diarrhea including infectious and noninfectious causes,
16.6
Distinguish between diarrhea and dysentery based on
clinical features, Describe and enumerate the indications,

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pharmacology and side effects of pharmacotherapy for
parasitic, bacterial and viral causes of diarrhea
13
IM 16.11;
Diarrheal

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Diagnosis of acute diarrhea (Stool culture & Blood culture);
16.12
Diseases
Diagnosis of chronic diarrhea (Antibodies, colonoscopy,
imaging & biopsy)

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14
IM 16.2; 16.3
Diarrheal
Describe and discuss the acute systemic consequences of
Diseases

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diarrhea including its impact on fluid balance, Describe and
discuss the chronic effects of diarrhea including
malabsorption
15
IM 16.15-

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Diarrheal
Distinguish based on the clinical presentation Crohn's
16.17
Diseases
disease from Ulcerative Colitis, Describe and enumerate the

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indications,
pharmacology
and
side
effects

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of
pharmacotherapy including immunotherapy, the indications
for surgery in inflammatory bowel disease
16
IM 3.2,3.3

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Pneumonia
Discuss and describe the etiologies of various kinds of
pneumonia and their microbiology depending on the setting
and immune status of the host, Discuss and describe the
pathogenesis,

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presentation,
natural
history and
complications of pneumonia
17

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IM 3.1
Pneumonia
Define, discuss, describe and distinguish community
acquired pneumonia, nosocomial pneumonia and
aspiration pneumonia

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18
IM 3.15; 3.16
Pneumonia
Describe and enumerate the indications for hospitalization

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in patients with pneumonia, Describe and enumerate the
indications for isolation and barrier nursing in patients with
pneumonia
19
IM 3.17; 3.19

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Pneumonia
Describe and discuss the supportive therapy in patients with
pneumonia including oxygen use and indications for
ventilation, Discuss, describe, enumerate the indications and
communicate to patients on pneumococcal and influenza

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vaccines
20
IM 20.1; 20.3;
Envenomation Enumerate the local poisonous snakes and describe the
20.7

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distinguishing marks of each, Describe the initial approach to
the stabilization of the patient who presents with snake
bite, Enumerate the indications and describe the
pharmacology, dose, adverse reactions, hypersensitivity
reactions of anti snake venom.

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21
IM 20.8; 20.9
Envenomation Describe the diagnosis, initial approach stabilization and
therapy of scorpion envenomation and bee sting al ergy
22

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IM 21.1 to
Poisoning
Describe the initial approach to the stabilization of the
21.3
patient who presents with poisoning, Enumerate the

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common plant poisons seen in your area and describe their
toxicology, clinical features, prognosis and specific approach
to detoxification, common corrosives poisoning.
23
IM 21.4

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Poisoning
Enumerate the commonly observed drug overdose in your
area and describe their toxicology, clinical features,
prognosis and approach to therapy
24

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IM 23.1, 23.4
Nutrition &
Discuss and describe the methods of nutritional assessment
Vitamin
in an adult and calculation of caloric requirements during

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Deficiencies
illnesses, Enumerate the indications for enteral and
parenteral nutrition in critically ill patients
25
IM 23.2; 23.3

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Nutrition &
Discuss and describe the causes and consequences of
Vitamin
protein caloric malnutrition in the hospital, Discuss and
Deficiencies

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describe the aetiology, causes, clinical manifestations,
complications, diagnosis and management of common
vitamin deficiencies
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Maharashtra University of Health Sciences

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General Medicine
Third professional Part I MBBS
Subject: General Medicine
Theory - Lectures + SDL + Tutorials, Seminars, Integrated
(Based on Medical Council of India, Competency based Undergraduate curriculum

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for the Indian Medical Graduate, 2018. Vol. 2)
1. Total Teaching hours : 25+ 35+ 5+72
2. A. Lectures(hours):
25
B. Self-directed learning ( hours ) : 05

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C. Clinical Postings (hours): 72
D. Small group teachings/tutorials/Integrated teaching/Practicals (hours): 35
Lecture
Competency
Topic

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Subtopics
/ SDL
Nos.
1
IM 9.1; 9.2

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Anaemia
Classification of anemia; Etiology & Prevalence
2
IM 9.7;
Anaemia

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Components of hemogram; Tests for Iron deficiency &
9.8,9.21
Vit. B12 Deficiency. Determine the need for specialist
consultation.
3

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IM 9.11; 9.12
Anaemia
Diagnostic plan for evaluation of anemia including BMA
& Biopsy
4

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IM 9.17;
Anaemia
Indication for Blood transfusion & components;
15.12,9.18,
Precautions during transfusion including mismatch

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transfusion.
SDL-1
IM 9.14
Anaemia
National programs for prevention of anemia

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5
IM 14.1 to
Obesity
Definition, prevalence, etiology, risk factors including
14.4

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monogenic forms, environmental factors of obesity
6
IM 14.5; 14.9,
Obesity
Natural history, complications, laboratory tests ,

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14.10,14.13;
pharmacotherapy and bariatric surgery of obesity and
14.14;14.15
prevention of obesity
7

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IM 15.1; 15.6
GI Bleed
Etiology and distinguishing features of UGI and LGI Bleed
8
IM 15.2 ; 15.3;

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GI Bleed
Physiological effects, Evaluation and steps in stabilizing a
15.11
patient with acute volume loss due to GI bleed; including
blood and component transfusion

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9
15.14; 15.10;
GI Bleed
Investigation (endoscopy, colonoscopy, imaging) and

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15.15,15.16,
treatment of GI bleed including pharmacotherapy of acid
15.17
peptic disease (including H.pylori), pressors, endoscopic
interventions and surgery

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and appropriate level of
specialist consultation
10
IM 5.1; 5.2;
Liver Diseases

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Etiology, Pathophysiology of hyperbilirubinemia and
5.3, 5.5; 5.7
various forms of liver disease including alcoholic liver
disease and drug induced liver injury
11

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IM 5.4,5.16,
Liver Diseases
Epidemiology, microbiology,
immunology, clinical
5.17

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evolution of infective (viral) hepatitis and it'
management including vaccination.
12
IM 5.12, 13,
Liver Diseases

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Outline a diagnostic approach to liver disease based on
14
CBS, hyperbilirubinemia, Ascitic fluid examination, liver
function changes and hepatitis serology. Enumerate the
indications for ultrasound and other imaging studies

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including MRCP and ERCP and describe the findings in
liver disease.
13
IM 5.6,5.18
Liver Diseases

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Pathophysiology,
evolution,
management
and
Complication of cirrhosis and portal hypertension,

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indications for hepatic transplantation.
SDL-2
IM 5.8
Liver Diseases
Cholelithiasis and cholecystitis

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14
IM 11.1 to
Diabetes
Definition, classification of Diabetes; Epidemiology,
11.4

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Pathogenesis, Genetics, Risk factors and Clinical
evolution of Type-1 & -2 DM
15
IM 11.6; 11.9;
Diabetes

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Pathogenesis, C/F, Precipitating factors, Stabilization,
11.11, 11.14;
Principle of therapy & Management (Investigations &
11.15; 11.22
treatment) of diabetic emergencies (Hypoglycemia, DKA,

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to 11.24
HONKS).
16
IM 11.16;
Diabetes

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Pharmacological therapies for DM, indications, CI, ADR
11.17
and Interaction- Based on presentation, severity,
complication in a cost effective therapy
17

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IM 11.5
Diabetes
Pathogenesis, temporal evolution of microvascular and
macrovascular complications of diabetes (Neuropathy,
Nephropathy, Retinopathy, HTN,

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SDL 3
IM 11.18
Diabetes
Pharmacology, indications, ADR and interactions of
drugs used in treatment and prevention of target organ

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damage and chronic complications of diabetes
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18
IM 7.1; 7.2,
Rheumatologic Pathophysiology and genetic basis of autoimmune

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7.27
Problems
disease and determine the need for specialist
consultaion
19

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IM 7.3 to 7.6;
Rheumatologic Pathophysiology, classification, presenting features,
7.8
Problems
approach, and etiology of joint pain; differentiate

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arthritis from arthralgia
20
IM 7.10,
Rheumatologic Describe appropriate diagnostic workup and treatment
7.14,7.15,7,17

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Problems
plan for rheumatological diseases. Enumerate Systemic
,7,19
manifestations of rheumatological diseases,
SDL 4

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IM 7.7; 7.9;
Rheumatologic Articular from periarticular symptoms; Signs and
7.16
Problems
symptoms of articular and periarticular diseases,

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Indications for Arthocentesis.
21
IM 12.3; 12.4
Thyroid
Principles of Thyroid function tests, Principles of RAI

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Dysfunction
uptake, alteration of physiological function along with
physiology of HPT axis
22
IM 12.1; 12.2;

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Thyroid
Epidemiology,
pathogenesis,
genetic
basis

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of
12.11,12.12;
Dysfunction
Hypothyroidism,
interpretation

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of
TFT,
12.13, 12.14
Pharmacotherapy, indication, ADR of Thyroxine.
Iodization programmes of Govt of India

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23
IM 12.1; 12.2;
Thyroid
Epidemiology,
pathogenesis,

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genetic
basis
of
12.11,12.13,
Dysfunction

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Hyperthyroidism;
interpretation
of
TFT,
12.4; 12.14

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Pharmacotherapy, indication, ADR of Anti-thyroid drugs
24
IM 13.1 to
Common
Epidemiology, Genetic Basis, Risk factors for common

--- Content provided by​ FirstRanker.com ---

13.3
Malignancies
malignancies in India; Infections causing cancer
25
IM 13.4

--- Content provided by​ FirstRanker.com ---

Common
Natural history, presentation, course, complication and
Malignancies
cause of death for common cancers
SDL 5

--- Content provided by​ FirstRanker.com ---

IM 13.5,13.6,
Common
Describe the common issues encountered in patients at
13.18, 13.19
Malignancies

--- Content provided by​ FirstRanker.com ---

the end of life and principles of management, Describe
and distinguish the difference between curative and
pal iative care in patients with cancer, Describe and
discuss the ethical and the medico legal issues involved
in end of life care, Describe the therapies used in

--- Content provided by FirstRanker.com ---

alleviating suffering in patients at the end of life
Page 10 of 43

---

Tutorials/Seminars/Integrated teachings- 35 hours
Tutorials- Total 10 hours
S. No.

--- Content provided by‌ FirstRanker.com ---

Topics
Hours
1.
Medical emergencies ? Common poisonings
1 hr

--- Content provided by FirstRanker.com ---

2.
Medical emergencies - related to Pharmacological agents
1 hr
3.
Drugs ? IV fluids and pain killers including Narcotics

--- Content provided by FirstRanker.com ---

1 hr
4.
Drugs ? used in CPR
1 hr
5.

--- Content provided by​ FirstRanker.com ---

Instruments ? for various injections and IV access
1 hr
6.
Instruments - for routine invasive procedures
1 hr

--- Content provided by FirstRanker.com ---

7.
X rays ? Format of reading X-ray chest, skeletal and pleural involvement in X-
1 hr
ray Chest
8.

--- Content provided by‌ FirstRanker.com ---

X rays ? Parenchymal involvement in X-ray chest
1 hr
9.
ECG ? Basics of reporting ECG ,with abnormal rate
1 hr

--- Content provided by‍ FirstRanker.com ---

10
ECG ? Rhythm disturbances
1 hr
Seminars- Total 16 hours
S. No.

--- Content provided by⁠ FirstRanker.com ---

Topics
Hours
1.
Clinical approach to Ascites
1 hr

--- Content provided by FirstRanker.com ---

2.
Clinical approach to Anaemia
1 hr
3.
Clinical approach to lymphadenopathy

--- Content provided by⁠ FirstRanker.com ---

1 hr
4.
Clinical approach to Jaundice
1 hr
5.

--- Content provided by​ FirstRanker.com ---

Clinical approach to chest pain
1 hr
6.
Clinical approach to headache
1 hr

--- Content provided by​ FirstRanker.com ---

7.
Clinical approach to bleeding diathesis
1 hr
8.
Clinical approach to Comatose patient

--- Content provided by⁠ FirstRanker.com ---

1 hr
9.
Portal hypertension and its complications
1 hr
10

--- Content provided by⁠ FirstRanker.com ---

Pulmonary arterial hypertension
1 hr
11
Pulmonary function tests
1 hr

--- Content provided by⁠ FirstRanker.com ---

12
Thyroid function tests
1 hr
13
Grave's disease

--- Content provided by​ FirstRanker.com ---

1 hr
14
Micro-vascular complications of DM
1 hr
15

--- Content provided by‍ FirstRanker.com ---

Macro-vascular complications of DM
1 hr
16
Insulin and analogues
1 hr

--- Content provided by‍ FirstRanker.com ---

Integration ? Total 9 hours
S.No.
Subject
Topics for integration
Hours

--- Content provided by​ FirstRanker.com ---

1.
Clinical
Clinical pharmacokinetics
01
Pharmacology

--- Content provided by FirstRanker.com ---

Drug-Drug interaction
01
Adverse drug reaction
01
2.

--- Content provided by​ FirstRanker.com ---

Clinical Pathology
Anaemia and haemoglobinopathies
01
Platelet disorder
01

--- Content provided by​ FirstRanker.com ---

Hematological malignancies
01
3.
Clinical Microbiology Biologicals and disease modifying agents
01

--- Content provided by FirstRanker.com ---

Antimicrobial resistance
01
Viral haemorrhagic fever
01
Page 11 of 43

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---

Maharashtra University of Health Sciences
General Medicine
Third professional Part I MBBS
Subject: General Medicine
Clinical Posting (4 weeks, 6 days a week, 3 hours per day)

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(Based on Medical Council of India, Competency based Undergraduate curriculum
for the Indian Medical Graduate, 2018. Vol. 2)
1. Total Teaching hours : 25+ 35+ 5= 65
2. A. Lectures(hours):
25

--- Content provided by FirstRanker.com ---

B. Self-directed learning ( hours ) : 05
C. Clinical Postings (hours): 72
D. Small group teachings/tutorials/Integrated teaching/Practicals (hours): 35
Clinical skil s
Procedural Skil s

--- Content provided by‌ FirstRanker.com ---

Assessment hours
Total
hours
hours
54

--- Content provided by​ FirstRanker.com ---

12
06
72
Page 12 of 43

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Maharashtra University of Health Sciences

--- Content provided by‌ FirstRanker.com ---

General Medicine
Fourth professional Year III/II MBBS
Subject: General Medicine
Theory - Lectures + SDL + Tutorials, Seminars, Integrated
(Based on Medical Council of India, Competency based Undergraduate curriculum

--- Content provided by‍ FirstRanker.com ---

for the Indian Medical Graduate, 2018. Vol. 2)
1. Total Teaching hours :70+ 125+15 + 144+ 72 = 426
2. A. Lectures(hours):
70
B. Self-directed learning ( hours ) :15

--- Content provided by​ FirstRanker.com ---

C. Clinical Postings (hours): 144 + 72= 216
D. Small group teachings/tutorials/Integrated teaching/Practicals (hours): 125
Lecture
Competenc
Topic

--- Content provided by​ FirstRanker.com ---

Subtopics
/ SDL
y Nos.
1
IM 8.1 to 8.5

--- Content provided by‌ FirstRanker.com ---

Hypertension
Define and classify hypertension, Describe and discuss
the epidemiology, etiology, prevalence, pathophysiology
and genetic basis of essential hypertension, Describe and
discuss the differences between primary and secondary

--- Content provided by⁠ FirstRanker.com ---

hypertension
2
IM8.7,8.1
Hypertension
Describe and discuss epidemiology, aetiology and the

--- Content provided by​ FirstRanker.com ---

prevalence of secondary HT and the clinical
manifestations of the various aetiologies of secondary
causes of hypertension
3
IM8.6

--- Content provided by⁠ FirstRanker.com ---

Hypertension
Define, describe and discuss and recognize hypertensive
urgency and emergency
4
IM 8.8, 8.20

--- Content provided by⁠ FirstRanker.com ---

Hypertension
Describe, discuss and identify target organ damage due
to hypertension, Determine the need for specialist
consultation
SDL 1

--- Content provided by⁠ FirstRanker.com ---

IM 8.12,8.13
Hypertension
Describe the appropriate diagnostic work up based on
the presumed aetiology, Enumerate the indications for
and interpret the results of : CBC, Urine routine, BUN, Cr,

--- Content provided by​ FirstRanker.com ---

Electrolytes, Uric acid, ECG
SDL 2
IM 8.14
Hypertension
Develop an appropriate treatment plan for patient with

--- Content provided by‍ FirstRanker.com ---

hypertension
5
IM 1.1, 1.2
Heart Failure
Describe and discuss the epidemiology, pathogenesis

--- Content provided by⁠ FirstRanker.com ---

clinical evolution and course of common causes of heart
Page 13 of 43

---

disease
including:
rheumatic/valvular,

--- Content provided by‌ FirstRanker.com ---

ischemic,
hypertrophic, inflammatory. Describe and discuss the
genetic basis of some forms of heart failure.
6
IM 1.3 (part)

--- Content provided by‍ FirstRanker.com ---

Heart Failure
Describe and discuss the aetiology, microbiology
pathogenesis and clinical evolution of rheumatic fever,
criteria, degree of rheumatic activity and Rheumatic
valvular heart disease.

--- Content provided by‍ FirstRanker.com ---

7
IM1.9
Heart Failure
Describe and discuss the clinical presentation and
features, diagnosis, recognition and management of

--- Content provided by‍ FirstRanker.com ---

acute rheumatic fever
8
IM 1.3 (part) Heart Failure
Describe Complications of Rheumatic valvular heart
IM 1.27

--- Content provided by FirstRanker.com ---

disease. (Other than Infective Endocarditis), Describe
and discuss the role of penicillin prophylaxis in the
prevention of rheumatic heart disease
SDL 3
IM 1.25

--- Content provided by‌ FirstRanker.com ---

Heart Failure
Enumerate the indications for valvuloplasty, valvotomy,
coronary revascularization and cardiac transplantation
9
IM1.3 (part), Heart Failure

--- Content provided by​ FirstRanker.com ---

Describe and discuss and identify the clinical features of
1.21
acute and sub-acute endocarditis, echocardiographic
findings, blood culture and sensitivity and therapy
10

--- Content provided by‍ FirstRanker.com ---

IM1.4,1.5,1.6 Heart Failure
Staging of heart failure, Describe, discuss and
differentiate the processes involved in R Vs L heart
failure, systolic vs diastolic failure, Describe and discuss
the compensatory mechanisms involved in heart failure

--- Content provided by‌ FirstRanker.com ---

including cardiac remodeling and neuro-hormonal
adaptations
11
IM1.7
Heart Failure

--- Content provided by‌ FirstRanker.com ---

Enumerate, describe and discuss the factors that
exacerbate heart failure including ischemia, arrhythmias,
anemia, thyrotoxicosis, dietary factors drugs etc.
12
IM 1.8

--- Content provided by‍ FirstRanker.com ---

Heart Failure
Describe and discuss the pathogenesis and development
of common arrhythmias involved in failure particularly
atrial fibrillation
13

--- Content provided by FirstRanker.com ---

IM 1.19
Heart Failure
Enumerate the indications for and describe the findings
of
heart

--- Content provided by⁠ FirstRanker.com ---

failure
with
the
following :
2D

--- Content provided by​ FirstRanker.com ---

echocardiography, brain natriuretic peptide, exercise
testing, nuclear medicine testing and coronary
angiogram
14
IM 1.24

--- Content provided by‌ FirstRanker.com ---

Heart Failure
Describe and discuss the pharmacology of drugs
including
indications,
contraindications

--- Content provided by​ FirstRanker.com ---

in
the
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---

management of heart failure including diuretics, ACE
inhibitors, Beta blockers, aldosterone antagonists and

--- Content provided by FirstRanker.com ---

cardiac glycosides
15
IM 1.28
Heart Failure
Enumerate the causes of adult presentations of

--- Content provided by FirstRanker.com ---

congenital heart disease and describe the distinguishing
features between cyanotic and acyanotic heart disease
16
IM 2.1 ,2.2,
AMI/IHD

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Discuss and describe the epidemiology, antecedents and
2.4
risk factors both modifiable and non-modifiable, the
pathogenesis,
natural

--- Content provided by‍ FirstRanker.com ---

history,
evolution
and
complications of atherosclerosis and IHD.
SDL 4

--- Content provided by​ FirstRanker.com ---

IM 2.3
AMI/IHD
Discuss and describe the lipid cycle and the role of
dyslipidemia in the pathogenesis of atherosclerosis
17

--- Content provided by‍ FirstRanker.com ---

IM 2.5
AMI/IHD
Define the various acute coronary syndromes and
describe their evolution, natural history and outcomes
18

--- Content provided by‍ FirstRanker.com ---

IM 2.13
AMI/IHD
Discuss and enumerate the indications for and findings
on echocardiogram, stress testing and coronary
angiogram

--- Content provided by​ FirstRanker.com ---

19
IM 2.14,2.15,
AMI/IHD
Discuss and describe the indications for admission to a
2.16

--- Content provided by⁠ FirstRanker.com ---

coronary care unit and supportive therapy for a patient
with acute coronary syndrome. Discuss and describe the
medications used in patients with an acute coronary
syndrome based on the clinical presentation. Discuss and
describe the indications for acute thrombolysis, PTCA

--- Content provided by‍ FirstRanker.com ---

and CABG.
SDL 5
IM 2.17
AMI/IHD
Discuss and describe the indications and methods of

--- Content provided by⁠ FirstRanker.com ---

cardiac rehabilitation.
20
IM 2.18
AMI/IHD
Discuss and describe the indications, formulations,

--- Content provided by⁠ FirstRanker.com ---

doses, side effects and monitoring for drugs used in the
management of dyslipidemia
21
IM 2.19
AMI/IHD

--- Content provided by​ FirstRanker.com ---

Discuss and describe the pathogenesis, recognition and
management of complications of acute coronary
syndromes including arrhythmias, shock, LV dysfunction,
papillary muscle and pericarditis
22

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IM ,2.20
AMI/IHD
Discuss and describe the assessment and relief of pain in
acute coronary syndromes
23

--- Content provided by‍ FirstRanker.com ---

IM 2.23
AMI/IHD
Describe and discuss the indications for nitrates, anti
platelet agents, gpI b I Ia inhibitors, beta blockers, ACE
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inhibitors etc in the management of coronary syndromes
24
IM 17.1,17.6,
Headache
Define and classify headache and describe the

--- Content provided by​ FirstRanker.com ---

17.10
presenting features, precipitating factors, aggravating
and relieving factors of various kinds of headache.
Choose and interpret diagnostic testing based on the
clinical diagnosis including imaging. Enumerate the

--- Content provided by‌ FirstRanker.com ---

indications for emergency care admission and immediate
supportive care in patients with headache.
25
IM
Headache

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Classify migraine and describe the distinguishing
17.3,17.11,
features between classical and non-classical forms of
17.12
migraine. Describe the indications, pharmacology, dose,

--- Content provided by FirstRanker.com ---

side effects of abortive therapy
and prophylactic
therapy in migraine.
26
IM 17.13

--- Content provided by‌ FirstRanker.com ---

Headache
Describe the pharmacology, dose, adverse reactions and
regimens of drugs used in the treatment of bacterial,
tubercular and viral meningitis.
SDL 6

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IM 18.1
Cerebrovascular Describe the functional and the vascular anatomy of the
accident
brain
27

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IM 18.2
Cerebrovascular
Classify cerebrovascular accidents and describe the aetiology,
accident
predisposing genetic and risk factors pathogenesis of

--- Content provided by‍ FirstRanker.com ---

hemorrhagic and non-hemorrhagic stroke
28
IM 18.10
Cerebrovascular Choose and interpret the appropriate diagnostic testing
accident

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in young patients with a cerebrovascular accident (CVA)
29
IM 18.11
Cerebrovascular Describe the initial supportive management of a patient
accident

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presenting with a cerebrovascular accident (CVA)
30
IM
Cerebrovascular Enumerate the indications for and describe acute therapy of
18.12,18.13

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accident
non-hemorrhagic stroke including the use of thrombolytic
agents and anti-platelet agents
31
IM18.14,

--- Content provided by‌ FirstRanker.com ---

Cerebrovascular Describe the initial management of a hemorrhagic
18.15
accident
stroke. Enumerate the indications for surgery in a
hemorrhagic stroke.

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SDL 7
IM 18.16
Cerebrovascular Enumerate the indications describe and observe the
accident
multidisciplinary rehabilitation of patients with a CVA

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SDL 8
IM 19.1
Movement
Describe the functional anatomy of the locomotor
disorders

--- Content provided by⁠ FirstRanker.com ---

system of the brain
32
IM
Movement
Classify movement disorders of the brain based on

--- Content provided by‍ FirstRanker.com ---

19.2,19.3,IM
disorders
distribution, rhythm, repetition, exacerbating and
relieving factors, clinical approach to movement
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19.7
disorders.
33
IM 19.8
Movement

--- Content provided by‌ FirstRanker.com ---

Discuss and describe the pharmacology, dose, side
disorders
effects and interactions used in the drug therapy of
Parkinson's syndrome
34

--- Content provided by​ FirstRanker.com ---

IM19.7,19.9
Movement
Choose and interpret diagnostic and imaging tests in the
disorders
diagnosis of movement disorders, Enumerate the

--- Content provided by‍ FirstRanker.com ---

indications for use of surgery and botulinum toxin in the
treatment of movement disorders
35
IM 10.1,10.2
AKI and CRF

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Define, describe and differentiate between acute and
chronic renal failure, Classify, describe and differentiate
the pathophysiologic causes of acute renal failure
36
IM 10.3, 10.4

--- Content provided by⁠ FirstRanker.com ---

AKI and CRF
Describe the pathophysiology and causes of pre renal
ARF, renal and post renal ARF, Describe the evolution,
natural history and treatment of ARF
37

--- Content provided by‌ FirstRanker.com ---

IM 10.5,10.6,
AKI and CRF
Describe and discuss the aetiology of CRF, Stage Chronic
10.7
Kidney

--- Content provided by FirstRanker.com ---

Disease,
Describe
and
discuss
the

--- Content provided by​ FirstRanker.com ---

pathophysiology and clinical findings of uremia
38
IM
AKI and CRF
Describe the appropriate diagnostic work up based on

--- Content provided by FirstRanker.com ---

10.15,10.16,
the presumed aetiology, Enumerate the indications for
10.17,10.19
and interpret the results of : renal function tests,
calcium, phosphorus, PTH, urine electrolytes, osmolality,

--- Content provided by FirstRanker.com ---

Anion gap, Describe and calculate indices of renal
function based on available laboratories including FENa
(Fractional Excretion of Sodium) and CrCl (Creatinine
Clearance), Enumerate the indications and describe the
findings in renal ultrasound

--- Content provided by‍ FirstRanker.com ---

39
IM10.8 , 10.9
AKI and CRF
Classify, describe and discuss the significance of
10.10 ,10.11

--- Content provided by FirstRanker.com ---

proteinuria in CKD, Describe and discuss the
pathophysiology of anemia and hyperparathyroidism,
Describe and discuss the association between CKD
glycaemia and hypertension, Describe and discuss the
relationship between CAD risk factors and CKD.

--- Content provided by‌ FirstRanker.com ---

40
IM 10.25
AKI and CRF
Identify and describe the priorities in the management
of ARF including diet, volume management, alteration in

--- Content provided by‍ FirstRanker.com ---

doses of drugs, monitoring and indications for dialysis
41
IM 10.26
AKI and CRF
Describe and discuss supportive therapy in CKD including

--- Content provided by FirstRanker.com ---

diet, anti hypertensives, glycemic therapy, dyslipidemia,
anemia,
hyperkalemia,
hypophosphatemia
and

--- Content provided by‌ FirstRanker.com ---

Page 17 of 43

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secondary hyperparathyroidism
42
IM
AKI and CRF

--- Content provided by​ FirstRanker.com ---

Describe and discuss the indications for renal dialysis,
10.27,10.28
Describe and discuss the indications for renal
replacement therapy
SDL 9

--- Content provided by FirstRanker.com ---

IM 10.29,
AKI and CRF
Describe discuss and communicate the ethical and legal
10.30,10.31
issues involved in renal replacement therapy, Recognize

--- Content provided by‍ FirstRanker.com ---

the impact of CKD on patient's quality of life, wellbeing ,
work and family, Incorporate patient preferences in to
the care of CKD
43
IM 22.1,22.2,

--- Content provided by FirstRanker.com ---

Fluid Electrolyte Enumerate the causes of hypercalcemia and distinguish
22.3
& Acid base
the features of PTH vs non PTH mediated hypercalcemia,
Disorder

--- Content provided by‍ FirstRanker.com ---

Describe the aetiology, clinical manifestations, diagnosis
and clinical approach to primary hyperparathyroidism,
Describe the approach to the management of
hypercalcemia
44

--- Content provided by​ FirstRanker.com ---

IM 22.4
Fluid Electrolyte Enumerate the components and describe the genetic
& Acid base
basis of the multiple endocrine neoplasia syndrome
Disorder

--- Content provided by‌ FirstRanker.com ---

45
IM 22.5,22.6
Fluid Electrolyte Enumerate the causes and describe the clinical features
& Acid base
and the correct approach to the diagnosis and

--- Content provided by FirstRanker.com ---

Disorder
management of the patient with Hyponatremia and
hypernatremia
46
IM 22.7,22.8

--- Content provided by FirstRanker.com ---

Fluid Electrolyte Enumerate the causes and describe the clinical and
& Acid base
laboratory features and the correct approach to the
Disorder
diagnosis and management of the patient with

--- Content provided by⁠ FirstRanker.com ---

hypokalemia and hyperkalemia
47
IM
Fluid Electrolyte Enumerate the causes and describe the clinical and
22.9,22.10,

--- Content provided by‌ FirstRanker.com ---

& Acid base
laboratory features of metabolic acidosis, metabolic
22.11, 22.12
Disorder
alkalosis, respiratory acidosis, respiratory alkalosis

--- Content provided by‍ FirstRanker.com ---

SDL 10
IM
Geriatrics
Describe the impact of the demographic changes in ageing on
24.18,24.19,

--- Content provided by​ FirstRanker.com ---

the population, Enumerate and describe the social problems
24.21
in the elderly including isolation, abuse, change in family
structure and their impact on health and discuss ethical issues
in care of elderly.

--- Content provided by FirstRanker.com ---

48
IM 24.1,
Geriatrics
Describe and discuss the epidemiology, pathogenesis,
24.3, 24.5 to

--- Content provided by​ FirstRanker.com ---

clinical evolution, presentation and course of common
25.7
diseases in the elderly, Describe and discuss the
etiopathogenesis, clinical presentation, identification,
functional

--- Content provided by⁠ FirstRanker.com ---

changes,
acute
care,
stabilization,
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--- Content provided by‍ FirstRanker.com ---

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management and rehabilitation of acute confusional
states, depression, dementia and personality changes
in elderly.
49
IM 24.10

--- Content provided by FirstRanker.com ---

Geriatrics
Describe and discuss the etiopathogenesis causes,
clinical presentation, difference in clinical presentation
identification, functional
changes,

--- Content provided by‍ FirstRanker.com ---

acute
care,
stabilization, management and rehabilitation of COPD in
the elderly.
50

--- Content provided by‍ FirstRanker.com ---

IM 24.4,24.9
Geriatrics
Describe and discuss the etiopathogenesis, clinical
presentation, identification, functional changes, acute
care, stabilization, management and rehabilitation of,

--- Content provided by‌ FirstRanker.com ---

vascular events and CVA in the elderly
51
IM 24.11
Geriatrics
Describe and discuss the aetiopathogenesis, clinical

--- Content provided by FirstRanker.com ---

presentation, identification, functional changes, acute
care, stabilization, management and rehabilitation of the
elderly undergoing surgery
52
IM

--- Content provided by FirstRanker.com ---

Geriatrics
Describe and discuss the aetiopathogenesis, clinical
24.8,24.12,
presentation, identification, functional changes, acute
24.13,24.14

--- Content provided by FirstRanker.com ---

care, stabilization, management and rehabilitation of
osteoporosis, degenerative joint disease, fal s, and
common fractures in elderly
53
IM 24.15 to

--- Content provided by FirstRanker.com ---

Geriatrics
Describe and discuss the aetiopathogenesis, clinical
25.17
presentation, identification, functional changes, acute
care, stabilization, management and rehabilitation of

--- Content provided by‌ FirstRanker.com ---

vision and visual loss, hearing loss and disabilities in
the elderly
54
IM 24.22
Geriatrics

--- Content provided by⁠ FirstRanker.com ---

Describe and discuss the aetiopathogenesis, clinical
presentation,
complications,
assessment
and

--- Content provided by‌ FirstRanker.com ---

management of nutritional disorders in the elderly
SDL 11
IM 24.20
Geriatrics
Enumerate and describe social interventions in the care

--- Content provided by‌ FirstRanker.com ---

of elderly including domiciliary discussion services,
rehabilitation facilities, old age homes and state
interventions
55
IM 26.2,

--- Content provided by‍ FirstRanker.com ---

The role of the
Professional Development ? Describe and discuss the
26.23,26.27,
physician in the commitment to lifelong learning as an important part of
26.38,

--- Content provided by⁠ FirstRanker.com ---

community
physician growth, Demonstrate a commitment to
26.39,26.42
continued learning, Demonstrate personal grooming
that is adequate and appropriate for health care

--- Content provided by‌ FirstRanker.com ---

responsibilities, Demonstrate ability to form and
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---

function
in
appropriate

--- Content provided by‌ FirstRanker.com ---

professional
networks,
Demonstrate ability to pursue and seek career
advancement, Demonstrate commitment to learning and
scholarship.

--- Content provided by‍ FirstRanker.com ---

56
IM 26.3,26.4,
The role of the
Bioethics in Clinical Practice - Describe and discuss the
26.5,26.11

--- Content provided by‍ FirstRanker.com ---

physician in the role of beneficence, non-maleficence, autonomy and
community
shared responsibility as guiding principles in patient care
57
IM

--- Content provided by‍ FirstRanker.com ---

The role of the
Time management - Demonstrate ability to manage
26.37,26.36
physician in the time appropriately, Demonstrate ability to balance
community

--- Content provided by‌ FirstRanker.com ---

personal and professional priorities
58
IM 26.12,
The role of the
Decision making in health care - Identify, discuss and

--- Content provided by‍ FirstRanker.com ---

26.13, 26.25
physician in the defend medico legal, socio-cultural and ethical issues as
community
it pertains to decision making in health care including
advanced directives and surrogate decision making,

--- Content provided by⁠ FirstRanker.com ---

decision making in emergency care including situations
where patients do not have the capability or capacity to
give consent, Identify, discuss and defend, medico legal,
socio-cultural and ethical issues as they pertain to
consent for surgical procedures

--- Content provided by​ FirstRanker.com ---

59
Module 4.1
Pandemic
Lessons learnt from Covid 19 pandemic ? a Narrative.
module

--- Content provided by​ FirstRanker.com ---

60
Module 4.1
Pandemic
Individual responsibilities in Pandemic Situation.
module

--- Content provided by⁠ FirstRanker.com ---

SDL 12
26.47
The role of the
Euthanasia, current position in India - Identify, discuss
physician in the and defend medico legal, socio-cultural and ethical

--- Content provided by‌ FirstRanker.com ---

community
issues as they pertain to refusal of care including do not
resuscitate and withdrawal of life support
SDL 13
26.8

--- Content provided by FirstRanker.com ---

The role of the
Organ Donation in India - Identify discuss medico legal,
physician in the socioeconomic and ethical issues as it pertains to organ
community
donation

--- Content provided by⁠ FirstRanker.com ---

SDL 14
Integrated
Community
National programs relevant to physicians
SDL

--- Content provided by⁠ FirstRanker.com ---

Medicine
SDL 15
Integrated
Community
Adult Immunization and newer vaccines

--- Content provided by​ FirstRanker.com ---

SDL
Medicine
61
1
Revision Lecture Febrile illness

--- Content provided by FirstRanker.com ---

62
2
Revision Lecture Infections
63
3

--- Content provided by​ FirstRanker.com ---

Revision Lecture HIV
Page 20 of 43

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64
4
Revision Lecture Diarrheal Diseases

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65
5
Revision Lecture Pneumonia
66
6

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Revision Lecture Anemia
67
7
Revision Lecture GI Bleed
68

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8
Revision Lecture Liver Diseases
69
9
Revision Lecture Diabetes

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70
10
Revision Lecture Thyroid disorders
Page 21 of 43

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MBBS Third part - 2

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Tutorials/Seminars/Integrated teachings- 125 hours
Tutorials- ECG- Total 10 hours
S. No.
Topics
Hours

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1.
Approach to basics of ECG
1 hr
2.
Reading Normal ECG

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1 hr
3.
ECG: Chamber enlargement
1 hr
4.

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Myocardial Infarction
1 hr
5.
Electrolyte abnormalities on ECG
1 hr

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6.
Narrow Complex tacchyarrythmias
1 hr
7.
Bradyarrthmias

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1 hr
8.
Valvular Heart diseases
1 hr
9.

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Bundle branch blocks
1 hr
10
Miscellaneous
1 hr

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X Rays- Total 11 hours
S. No.
Topics
Hours
1.

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Basics of Chest X Ray
1 hr
2.
Reading Normal X Ray Chest
1 hr

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3.
Abnormalities on Chest X Ray ? Cardiovascular system
1 hr
4.
Pulmonary venous hypertension vs pulmonary arterial hypertension

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1 hr
5.
Chest X ray ? Respiratory system
1 hr
6.

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Abdominal system( Chest & Abdomen X Ray)
1 hr
7.
Miscel eneous X ray
1 hr

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8.
Basics of CT Scan
1 hr
9.
Basics of MRI

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2 hr
10.
Basics of PET scan
1 hr
Drugs- Total 21 hours

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S. No.
Topics
Hours
1.
Anti epileptics

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1 hr
2.
Cardiovascular Drugs
1 hr
3.

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Anti Tubercular Therapy
1 hr
4.
Anti Retroviral Therapy
1 hr

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5.
Emergency Drugs
2 hr
6.
Antiviral Drugs

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1 hr
7.
Drugs in respiratory system
1 hr
8.

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Glucocorticoids
1 hr
9.
Drugs in Rheumatology
1 hr

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10.
Anticoagulants
1 hr
11.
Inotropes and inodilators

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2 hr
12.
Anti hypertensives
2 hr
13.

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Antidiabetic drugs
2 hr
Page 22 of 43

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Interpretation of Lab Charts- Total 14 hours
S. No.

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Topics
Hours
1.
Interpretation of Ascitic fluid analysis
1 hr

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2.
Interpretation of Pleural fluid analysis
1 hr
3.
Interpretation of Cerebrospinal fluid analysis

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1 hr
4.
Interpretation of Abnormal LFT
1 hr
5.

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Interpretation of Hb, CBC, RBCindices
1 hr
6.
Interpretation of thyroid function test
1 hr

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7.
Interpretation of Peripheral blood smear
1 hr
8.
Interpretation of urine analysis

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1 hr
9.
Interpretation of Fundus examination
1 hr
10.

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Interpretation of renal function tests
1 hr
11.
Interpretation of Bone marrow studies
1 hr

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12.
Interpretation of ABG
2 hr
Seminars- Total 50 hours
S. No.

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Topics
Hours
1.
Clinical approach to Hypertensive emergencies
1 hr

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2.
Clinical approach to Acute myocardial infarction
1 hr
3.
Clinical approach to solitary Seizure

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1 hr
4.
Clinical approach to ischemic stroke
1 hr
5.

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Clinical approach to intracranial bleed
1 hr
6.
Clinical approach to Heart Failure
1 hr

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7.
Clinical approach to Acute renal failure
1 hr
8.
Clinical approach to Chronic kidney disease

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1 hr
9.
Clinical approach to hyponatremia
1 hr
10

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Clinical approach to potassium imbalance disorders
1 hr
11
Clinical approach to disorders of calcium metabolism
1 hr

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12
Interpretation of ABG
1 hr
13
Mixed Acid Base disorders

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1 hr
14
Emerging Viral Infections
1 hr
15

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Clinical approach to Geriatric Syndromes
1 hr
16
Clinical approach to a case of Pulmonary Tuberculosis
1 hr

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17
Clinical approach to a case of Extra Pulmonary Tuberculosis
1 hr
18
Clinical Approach to a case of PLHIV

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1 hr
19
Clinical approach to opportunistic infections in a case of PLHIV
1 hr
20

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Clinical approach to prescription of ART
1 hr
21
Clinical approach to a case of Dengue
1 hr

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22
Clinical approach to a case of Complicated malaria
1 hr
23
Recent advances in the diagnosis of tuberculosis

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1 hr
24
Vaccines for tuberculosis
1 hr
25

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Recent advances in anti retroviral drugs
1 hr
26
Clinical approach to a case of Interstitial lung disease
1 hr

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27
Clinical approach to a case of snake bite
1 hr
28
Clinical approach to a case of electric injury

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1 hr
29
Clinical approach to a case of acute meningitis
1 hr
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30
Clinical approach to a case of Chronic meningitis
1 hr
31
Ageing

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1 hr
32
Human Microbiome
1 hr
33

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Clinical approach to oncological emergencies
1 hr
34
Clinical approach to a case of Acute Leukemia
1 hr

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35
Clinical approach to a case of Chronic leukemia
1 hr
36
Medicolegal, socioeconomic and ethical issues as it pertains to organ donation

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1 hr
37
Role of physician in community
1 hr
38

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Medicolegal, sociocultural, economic and ethical issues as it pertains to rights,
1 hr
equity and justice in access to health care
39
Medicolegal, socio-cultural and ethical issues as it pertains to confidentiality in

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1 hr
patient care
40
Medicolegal, socio-cultural and ethical issues as it pertains to research in
1 hr

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human subjects
41
Medicolegal, socio-cultural, professional and ethical issues as it pertains to the
1 hr
physician patient relationship (including fiduciary duty)

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42
Documentation in health care (including correct use of medical records)
1 hr
43
Use of information technology that permits appropriate patient care and

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1 hr
continued learning
44
Understanding of the implications and the appropriate procedures and
1 hr

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response to be fol owed in the event of medical errors
45
Conflicts of interest in patient care and professional relationships and describe
1 hr
the correct response to these conflicts

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46
Clinical approach to a case of DIC
1 hr
47
Clinical approach to a case of arthritis

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1 hr
48
Clinical approach to a case of multisystem involvement
1 hr
49

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Clinical approach to a case of peripheral neuropathy
1 hr
50
Clinical approach to a case of flaccid quadriparesis
1 hr

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Integrated teachings -MBBS Third part 2 (Total 19 hours)
S.No. Subject
Hours
Topics for integration
1.

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Care of patients during
6 hours
Interactive Discussion- 2 hours
Pandemics
Triage practices to be fol owed

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Primary care to be given to a patient on reaching hospital
Steps t be taken to reduce transmission of infections in
emergency area
Role Play- 1 hour
Visit to hospital with discussion with staff- 2 hour

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Debriefing and feedback- 1 hour
2.
Emergency Procedures
8 hours
Interactive Discussion ? 2 hours

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during Pandemics
1. Indications for invasive procedures in Pandemics
2. Points to be verified before emergency procedures 3.
Steps to be taken to reduce transmission of infections
4. Attitude and Communication Issues related to complicated

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procedures I .
Skill development program ? with mannequins e.g.
intubation, CPR, ALS, PALS etc - 4 hours (This may be linked
with the routine Skil training component as well)
Page 24 of 43

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I I. Role Plays for communication skills and documentation -
1 hour
IV. Debriefing and Feedback -1hour
3.
Managing Death during 2 hours

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Interactive discussion ? 1 hour
Pandemics
a. Confirmation and documentation of death
b. Steps to be taken to reduce transmission of infections
c. Attitude and Communication Issues related to handling of

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dead bodies
d. Responding to media
ii. Role Play for communication skills and documentation with
debriefing and feedback - 1 hour
4.

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Geriatrics
3 hr
Polypharmacy
Falls
Incontinence

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Page 25 of 43

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Maharashtra University of Health Sciences
General Medicine
Fourth professional Part II MBBS
Subject: General Medicine

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Clinical Posting (8+4 weeks, 6 days a week, 3 hours per day)
(Based on Medical Council of India, Competency based Undergraduate curriculum
for the Indian Medical Graduate, 2018. Vol. 2)
1. Total Teaching hours : 70+ 125+15 + 144+ 72 = 426
2. A. Lectures(hours):

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70
B. Self-directed learning ( hours ) : 15
C. Clinical Postings (hours): 144+72 = 216
D. Small group teachings/tutorials/Integrated teaching/Practicals (hours): 125
Term I/II

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Posting
Clinical skil s
Procedural
Assessment
Total

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hours
Skil s hours
hours
hours
Third

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clinical
118
20
06
144

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posting of 8
weeks
Revision
posting of 4
72

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weeks
Note - The details of day to day schedule of 144+ 72 hours as per clinical,
procedural and attitudinal internal medicine competencies to be taught wil be
submitted later (please see second professional year clinical posting)
Page 26 of 43

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Maharashtra University of Health Sciences
Internal Assessment
General Medicine
Phase
IA ? 1 -Exam

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IA ? 2 -Exam
Theory
Practical
Total
Theory

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Practical
Total
(Gen Med
EOP
Marks

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(Gen Med
of Al ied
Marks
only)
only)

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(January)
(May)
Second
50
50

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100
50
50
100
MBBS

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(divided into
three al ied
subjects as
fol ows)
DVL = 15

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marks
Psychiatry =
15 marks
Respiratory
Medicine = 20

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marks
* The marks for internal assessment ? 2 shall be communicated by DVL, Psychiatry and Respiratory Medicine
departments to General Medicine department immediately after completion of examination and assessment.
Page 27 of 43

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Phase

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IA ? 3 -Exam
IA ? 4 -Exam
Theory
Practical
Total

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Theory
Practical
Total
(Gen
EOP

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Marks
(Gen
of Al ied
Marks
Med

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(Including
Med and
and
10 marks for
Al ied)

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Al ied)
Journal / Log
(April)
(January) Book )
Third

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50
40+10=50
100
50
50

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100
MBBS
(divided into
Part I
two al ied

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subjects as
fol ows)
DVL = 25
marks
Psychiatry =

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25 marks
* The marks for internal assessment ? 4 shall be communicated by DVL and Psychiatry departments to General
Medicine department immediately after completion of examination and assessment.
Page 28 of 43

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Phase

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IA ? 5 -Exam
Prelim Exam
Theory
Practical EOP
Total Theory General Practical Total

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(General (Including 10
Marks
Medicine
Marks
Medicine marks for Journal

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and Al ied)
and
/ Log Book )
(November)
Al ied)

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(May)
Third
100
90+10=100
200

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100 x 2
200
400
MBBS
papers = 200

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Part II
There wil be End of Postings Exam at each end of posting. (There wil be FORMATIVE
ASSESSMENT at the End of four weeks Clinical Posting of General Medicine NOT to
be added to INTERNAL ASSESSMENT).
Page 29 of 43

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Assessment in CBME is ONGOING PRCESS,
No Preparatory leave is permitted.
1.
There shal be 6 internal assessment examinations in General Medicine
including al ied.

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2.
The suggested pattern of question paper for internal assessment, except
prelim examination is attached at the end. Pattern of the prelims examinations
should be similar to the University examinations.
3. Internal assessment marks for theory and practical wil be converted to out of

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50 (theory) +50 (practical). Internal assessment marks, after conversion, should
be submitted to university within the stipulated time as per directives from the
University. Conversion Formula for calculation of marks in internal assessment
examinations.
Theory

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Practical
Phase II
100
100
Phase III/I

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100
100
Phase III/II
300
300

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Total
500
500
Conversion out of
50

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50
Conversion
Total marks in 6 Total marks in 6
formula
IA

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theory IA
Practical
examinations /10 examinations /10
Eligibility criteria
20

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20
after conversion
Combined theory + Practical = 50
Page 30 of 43

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4. While preparing Final Marks of Internal Assessment, the rounding-off marks

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shall done as il ustrated in fol owing table.
Total Internal Assessment Marks
Final rounded
marks
33.01 to 33.49

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33
33.50 to 33.99
34
5. Students must secure at least 50% marks of the total marks (combined in theory
and practical / clinical; not less than 40 % marks in theory and practical

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separately) assigned for internal assessment in order to be eligible for appearing
at the final University examination of that subject.
6. Internal assessment marks wil not to be added to marks of the University
examinations and wil be shown separately in mark list.
7. Remedial measures

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A. Remedial measures for non-eligible students
i) At the end of each internal assessment examination, students securing
less than 50% marks shall be identified. Such students should be
counseled at the earliest and periodically.
i ) Extra classes for such students may be arranged. If majority of the

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students found to be weak in a particular area then extra classes must
be scheduled for all such students. Even after these measures, if a
student is failed to secure 50% marks combined in theory and practical
(40% separately in theory and practical) after prelim examination, the
student shall not be eligible for final examination.

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i i) Non eligible candidates are offered to reappear for repeat internal
assessment examination/s, which must be conducted 2 months before
next University examination. The pattern for this repeat internal
assessment examination shall be similar to the final University
examination. Only the marks in this examination shall be considered for

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deciding the eligibility criteria. Fol owing conversion formula shall be
used for converting the marks.
Page 31 of 43

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Theory
Practical

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Remedial
200
200
examination (as
per

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final
examination
pattern)
Conversion out of
50

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50
Conversion
Marks in remedial Marks in remedial
formula
theory

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Practical
examinations /4
examinations /4
Eligibility criteria
20

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20
after conversion
Combined theory + Practical = 50
B. Remedial measures for absent students:
i.

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If any of the students is absent for any of the 6 IA examinations due to
any reasons, fol owing measures shall be taken.
ii.
The student is asked to apply to the academic committee of the col ege
for reexamination, through HOD, to ascertain the genuineness of the

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reason for absentee.
iii.
If permitted by academic committee, an additional examination for such
students is to be conducted after prelims examination. Marks for such
additional examination shall be equal to the missed examination.

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iv.
Even if a student has missed more than one IA examination, he/she can
appear for only one additional IA examination. In such scenario,
eligibility should be determined by marks obtained in internal
assessment examinations for which the candidate has appeared,

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without changing the denominator.
Page 32 of 43

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Internal Assessment Practical Examinations
II MBBS
Internal Assessment - 1

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General Medicine
Subject: General Medicine Practical (IA ? 1)
Viva
Journal
Practical

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Case
OSCE 1
OSCE 2
& log
book

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Total
10
10
10
10

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10
50
# OSCE Stations to include Signs of General examinations, Local examinations, Psychomotor skil s and
Communication skil s.
OSCE DETAILS: 1. History taking of a particular symptom;

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2. Demonstration of signs- Pulse/BP/JVP;
3. Identification of General examination findings etc.
4. Communication Skil s with patient or relative etc.
Viva on Drugs: Drugs Indication/Contraindication/ Adverse Effects etc.
Viva on emergency : eg. Snake bite, OP poisoning, Status asthmatics etc.

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Page 33 of 43

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Internal Assessment - 2
DVL, Psychiatry and Respiratory Medicine (to be conducted at the end of
respective clinical postings)
Subject: General Medicine Al ied Practical (IA ? 2)

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Examination in DVL
Case
Viva
Practical
Total

--- Content provided by‍ FirstRanker.com ---

10
5
15
Subject: General Medicine Allied Practical (IA ? 2)
Examination in Psychiatry

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Case
Viva
Practical
Total
10

--- Content provided by‍ FirstRanker.com ---

5
15
Subject: General Medicine Allied Practical (IA ? 2)
Examination in Respiratory Medicine
Case

--- Content provided by‍ FirstRanker.com ---

Viva
Practical
Total
15
5

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20
* The marks for internal assessment ? 2 shal be communicated by DVL, Psychiatry and Respiratory Medicine
department to General Medicine department immediately after completion of examination and assessment.
Page 34 of 43

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I I MBBS Part I

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Internal Assessment - 3
General Medicine
Subject: General Medicine Practical (IA ? 3)
Journal Practical
Case OSCE 1

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OSCE 2
Viva
& log
book
Total

--- Content provided by FirstRanker.com ---

20
5
5
10
10

--- Content provided by​ FirstRanker.com ---

50
# OSCE Stations to include Signs of General examinations, Local examinations, Psychomotor skil s and
Communication skil s.
OSCE DETAILS: 1. History taking of a particular symptom;
2. Demonstration of General examination findings;

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3. Demonstration of systemic findings
4. AETCOM or Communication Skil s with patient or relative.
Page 35 of 43

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Internal Assessment - 4
DVL and Psychiatry

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Subject: General Medicine Al ied Practical (IA ? 4)
Examination in DVL
Case
OSCE 1
Viva

--- Content provided by FirstRanker.com ---

Practical Total
10
5
10
25

--- Content provided by FirstRanker.com ---

Subject: General Medicine Al ied Practical (IA ? 4)
Examination in Psychiatry
Practical
Case
OSCE 1

--- Content provided by FirstRanker.com ---

Viva
Total
10
5
10

--- Content provided by‌ FirstRanker.com ---

25
* The marks for internal assessment ? 4 shal be communicated by DVL / Psychiatry department to General
Medicine department immediately after completion of examination and assessment.
Page 36 of 43

---

I I MBBS Part I

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Internal Assessment - 5
General Medicine
Subject: General Medicine Practical (IA ? 5)
Journal
Long

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OSCE
Practical
OSCE1
OSCE2
OSCE 4

--- Content provided by​ FirstRanker.com ---

Viva
& log
Case
3
book

--- Content provided by​ FirstRanker.com ---

Total
50
5
5
5

--- Content provided by​ FirstRanker.com ---

5
20
10
100
# OSCE Stations to include Signs of General examinations, Local examinations, Psychomotor skil s and

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Communication skil s.
OSCE DETAILS-
1. Demonstration of signs ? (Deep Tendon Reflex, Tone, Power of Muscle,
Palpation of spleen and liver);
2. Demonstration of systemic findings

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3. Certifiable procedural skil s
4. AETCOM or Communication Skil s with patient or relative etc.
Viva ? X-ray, ECG, Instruments, Drugs
Page 37 of 43

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MUHS final practical examination

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General Medicine
Subject: General Medicine Practical
Viva
Short
Long

--- Content provided by​ FirstRanker.com ---

Short
OSCE *
(Table 1 ? Instruments, Drugs,
Case ?
Practical

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Case
Case -2
Emergencies
1
4 Stations

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Table 2- X-rays, ECGs, Laboratory reports
Total
(15 x 4)
)
(2 tables of 20 marks each)

--- Content provided by⁠ FirstRanker.com ---

50
25
25
60
40

--- Content provided by‍ FirstRanker.com ---

200
# OSCE Stations may include General examinations, Local examinations, psychomotor skil s,
Communication skil s, AETCOM etc.
OSCE 1 ? Clinical Skil s
OSCE 2 ? Certifiable procedural skil s

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OSCE 3 ? Certifiable procedural skil s
OSCE 4 ? AETCOM related skil s
Page 38 of 43

---

MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES, NASHIK
Format / Skeleton of question paper for 1st & 2nd internal

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Assessment Theory Examinations.
Instructions:
SECTION "A" MCQ
1)
Put in the appropriate box below the question number once only.

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2)
Use blue bal point pen only.
3)
Each question carries One mark.
4)

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Students wil not be al otted mark if he/she overwrites strikes or put white ink on the cross once
marked.
SECTION "A" MCQ (10Marks)
1.
Multiple Choice Questions (Total -10 MCQ of One mark each from General Medicine)

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(1x1=10 )
a) b) c) d) e) f) g) h) i) j)
1) Use blue/black bal point pen only.
2) Do not write anything on the blank portion of the question paper. If written anything, such type of act wil be considered as an
attempt to resort to unfair means.

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Instructions:
3) Al questions are compulsory.
4) The number to the right indicates ful marks.
5) Draw diagrams wherever necessary.
.

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( 2 x 10 = 20 )
2. Long Answer Question (Any 2 out of 3) (General Medicine)
a)
b) c)
3. Short answer questions (Any 4 out of 5) (At least2 Clinical reasoning question ) (General Medicine)

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( 4 x 5 = 20 )
a) b) c) d) e)
Topics for 1st & 2nd internal assessment are according to the syllabus covered till date of respective Internal
Assessment examination.
Page 39 of 43

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Format / Skeleton of question paper for 3rd and 4th internal
Assessment Theory Examinations (III MBBS Part I)
Instructions:
SECTION "A" MCQ
5)

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Put in the appropriate box below the question number once only.
6)
Use blue bal point pen only.
7)
Each question carries One mark.

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8)
Students wil not be al otted mark if he/she overwrites strikes or put white ink on the cross once
marked.
SECTION "A" MCQ (10Marks)
1.

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Multiple Choice Questions (Total -10 MCQ of One mark each from General Medicine)
(1x10=10 )
a) b) c) d) e) f) g) h) i) j)
1) Use blue/black bal point pen only.
2) Do not write anything on the blank portion of the question paper. If written

--- Content provided by​ FirstRanker.com ---

anything, such type of act wil be considered as an attempt to resort to unfair
Instructions:
means.
3) Al questions are compulsory.
4) The number to the right indicates ful marks.

--- Content provided by FirstRanker.com ---

5) Draw diagrams wherever necessary.
. 2. Long Answer Question (Any 2 out of 3) (General Medicine )
( 2 x 10 = 20 )
a)
b) c)

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3. Short answer questions (1 from AETCOM ) (General Medicine )
( 2 x 5 = 10 )
a) b)
4. Short answer questions (Any 2 out of 3) (At least 2 Clinical reasoning question ) (DVL,
Psychiatry & Respiratory Medicine)

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( 2 x 5 = 10 )
a) b) c)
Separate answer sheets for question 4 (SAQ from DVL, Psychiatry & Respiratory Medicine) may be
used for the ease of evaluation.
Page 40 of 43

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Format / Skeleton of question paper 5th internal assessment
Theory Examinations (III MBBS Part II)
Instructions:
SECTION "A" MCQ
9)

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Put in the appropriate box below the question number once only.
10) Use blue bal point pen only.
11) Each question carries one mark.
12) Students wil not be al otted mark if he/she overwrites strikes or put white ink on the cross once
marked.

--- Content provided by​ FirstRanker.com ---

SECTION "A" MCQ (20Marks)
1.
Multiple Choice Questions (Total-20 MCQ)
(1 x20=20 )
a) b) c) d) e) f) g) h) i) j)

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k) l) m) n) o) p) q) r) s) t)
SECTION "B" & "C"
Instructions:
1) Use blue/black bal point pen only.
2) Do not write anything on the blank portion of the question paper. If written anything, such type of act wil be considered as an

--- Content provided by FirstRanker.com ---

attempt to resort to unfair means.
3) Al questions are compulsory.
4) The number to the right indicates ful marks.
5) Draw diagrams wherever necessary.
SECTION "B" (60Marks)

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2 . Long Answer Questions (Any 2 out of 3 ) (Structured Case Based ) (General Medicine)
(2x15=30)
. a) b) c)
3.Short Answer Questions (Any 2 out of 3) (Any one should be Clinical reasoning), 1 from AETCOM (General Medicine)
(2x5=10)

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a) b) c)
4.Short Answer Questions (Any 4 out of 5) (General Medicine)
(4 x 5 =20 )
a) b) c) d) e)
SECTION "C" ?Al ied (20Marks)

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5. Short Answer Questions (al ied DVL, Psychiatry & Respiratory Medicine)
(4 x 5=20)
a) b) c) d)
Separate answer sheets for question 4 (SAQ from DVL, Psychiatry & Respiratory Medicine) may be
used for the ease of evaluation.

--- Content provided by​ FirstRanker.com ---

Page 41 of 43

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Format / Skeleton of question paper for University
Theory Examinations (III MBBS Part II) Paper ? I
(Subject names to be removed)
Instructions:

--- Content provided by‌ FirstRanker.com ---

SECTION "A" MCQ
13) Put
in the appropriate box below the question number once only.
14) Use blue bal point pen only.
15) Each question carries One mark.

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16) Students wil not be al otted mark if he/she overwrites strikes or put white ink on the cross once
marked.
SECTION "A" MCQ (20Marks)
1.
Multiple Choice Questions (Total-20MCQ of One mark each) ? (General Medicine)

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(1 x20=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:
1) Use blue/black bal point pen only.
2) Do not write anything on the blank portion of the question paper. If written anything, such type of act wil be considered as an
attempt to resort to unfair means.

--- Content provided by⁠ FirstRanker.com ---

3) Al questions are compulsory.
4) The number to the right indicates ful marks.
5) Draw diagrams wherever necessary.
SECTION "B"
2 . Long Answer Questions (Structured Case Based ) (General Medicine)

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(2x15=30)
. a)
b)
3.Short Answer Questions (Any one should be Clinical reasoning, 1 from AETCOM) (General Medicine)
(3x5=15)

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a)
b) c)
SECTION "C"
4. Long Answer Question (Structured Case Based ) (General Medicine)
(1 x15=15)

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a)
3.Short Answer Questions (General Medicine) (Any 4 out of 5)
(4 x5=20)
a)
b) c)

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d) e)
Page 42 of 43

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Format / Skeleton of question paper for University
Theory Examinations (III MBBS Part II) Paper II
(Subject names to be removed)

--- Content provided by‌ FirstRanker.com ---

Instructions:
SECTION "A" MCQ
17) Put
in the appropriate box below the question number once only.
18) Use blue bal point pen only.

--- Content provided by FirstRanker.com ---

19) Each question carries One mark.
20) Students wil not be al otted mark if he/she overwrites strikes or put white ink on the cross once
marked.
SECTION "A" MCQ (20Marks)
Multiple Choice Questions (Total-20MCQ of One mark each - 15 General Medicine , 2 DVL,

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1.
2 Respiratory Medicine, 1 Psychiatry)
(1 x20=20 )
a)
b) c) d) e) f) g) h) i) j)

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k) l) m) n) o) p)
q) r) s) t)
SECTION "B" & "C"
Instructions:
1) Use blue/black bal point pen only.

--- Content provided by‍ FirstRanker.com ---

2) Do not write anything on the blank portion of the question paper. If written anything, such type of act wil be considered as an
attempt to resort to unfair means.
3) Al questions are compulsory.
4) The number to the right indicates ful marks.
5) Draw diagrams wherever necessary.

--- Content provided by‌ FirstRanker.com ---

SECTION "B"
2 . Long Answer Questions (Structured Case Based ) (General Medicine)
(2x15=30)
. a)
b)

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SECTION "C"
3.Short Answer Questions (any 4 out of 5) (DVL )
(4x5=20)
a)
b) c)

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d) e)
4.Short Answer Questions (Any 3 out of 4) (Psychiatry)
(3 x5=15)
a)
b) c)

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d)
5.Short Answer Questions (Any 3 out of 4) (Respiratory Medicine)
(3 x5=15)
a)
b) c)

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d)
Page 43 of 43

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