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Madhya Pradesh Medical Science University, Jabalpur

Curricula for M.B.B.S. Final (Part-II)

Professional Examination
MEDICINE
(i) GOAL:
The broad goal of the teaching of undergraduate students in Medicine is to have the knowledge,
skills and behavioral attributes to function effectively as the first contact physician.

(ii) OBJECTIVES:

(a) KNOWLEDGE:
At the end of the course, the student shall be able to :
(1) Diagnose common clinical disorders with special reference to infectious diseases, nutritional
disorders, tropical and environmental diseases;
(2) Outline various modes of management including drug therapeutics especially dosage, side
effects, toxicity, interactions, indications and contra-indications;
(3) Propose diagnostic and investigative procedures and ability to interpret them;
(4) Provide first level management of acute emergencies promptly and efficiently and decide the
timing and level of referral, if required;
(5) Recognize geriatric disorders and their management.

(iii) SKILLS :
At the end of the course, the student shall be able to :
(1) develop clinical skills (history taking, clinical examination and other instruments of
examination to diagnose various common medical disorders and emergencies;
(2) refer a patient to secondary and/or tertiary level of health care after having instituted primary
care;
(3) perform simple routine investigations like hemogram, stool, urine, sputum and biological
fluid examinations;
(4) assist the common bedside investigative procedures like pleural tap, lumber puncture, bone
marrow aspiration/ biopsy and liver biopsy.
A course of systematic instruction in the principles and practice of medicine, including medical
disease of infancy;
a. Lecture - demonstrations, seminars and conferences in clinical medicine during the 3 years
shall run concurrently with other clinical subjects.;
b. Instructions in comprehensive medical care;
c. Instructions in applied anatomy and physiology and pathology throughout the period of
clinical studies;
d. Instructions in dietetics, nutrition and principles of nursing Medical and in simple ward
procedure e.g. should be imparted during clinical concurrently.

iv) Attitude :
a. The teaching and training in clinical medicine must aim at developing the attitude in students
to apply the knowledge & skills he/she acquires for benefit and welfare of the patients.
b. It is necessary to develop in students a sense of responsibility towards holistic patient care &
prognostic outcomes.
c. Students should develop behavioural skills and humanitarian approach while communicating
with patients, as individuals, relatives, society at large & the co- professionals.

Curriculum for Theory Lecture series & Tutorials and LCD for General Medicine
including Psychiatry, Tb. & Dermatology

TERM DAY TIME LECTURES TOPIC

4th MON 8-9 20 Introduction to Medicine
5th MON 8-9 15 Infectious Diseases/Tropical
FRI 8-9 15 diseases
Cardiovascular System
6th TUE 12-1 20 GIT, Liver, Pan.
THU 8-9 20 Chest + Miscellaneous
MON 8-9 20 TB Psychiatry Skin
TUE 8-9 20
SAT 8-9 15
7th FRI 8-9 15 Neurology
THU 12-1 15 Haematology/Haemato-
FRI 2-4 30 oncology
MON 2-3 20 Tutorials
Skin / STD
8th TUE 8-9 20 Endo + Misc + Genetics ( 3
THU 8-9 20 Lectures.) Nephro. +Clinical
TUE 2-4 40 Nutrition
Tutorial Medicine, Skin, Tb,
Psychiatry,

WED 2-4 Tutori 40 Tutorial

al
9th TUE MON 12-1 15 LCD Medicine (10 ) Skin 1
2-4 30 Psychiatry (1) Tb(1)
LCD Medicine (7)

The above timetable is general outline to guide the planning of curriculum at college level.
However, flexibility may be exercised to the extend that there may be minor re-scheduling of
course contents day-wise or term-wise. It must be ascertained that the course contents are
covered fully and total hours allotted for the subjects are effectively implemented.
Note :- These are suggested time tables. Adjustments where required, depending upon the
availability of time and facility, be made.

SYLLABUS
(General Instruction: 1) The Lectures Stated below shall cover knowledge about applied aspects
of basic & allied sciences, practical approaches in the management of patients in the outdoor &
indoor settings as well as their management in the community. Special emphasis shall be placed
on preventive aspects, National Health Programs & dietetics & nutrition.)
2) During practical teaching & training in wards, OPD & field works proper emphasis should
be given to common health problems in addition to other diseases. Emphasis should be given to
learning of tacit knowledge & skills in diagnosis & interpretation of finding & Lab. data.

INTRODUCTION TO MEDICINE : 4 TH SEMESER

Lect.01. : History of Medicine.
Lect.2/3. : Concept & objectives of history taking. Diagnosis, Provisional Diagnosis, Differential
diagnosis.
Lect.04. : Symptomatology of Cardiovascular Diseases.
Lect.05. : Symptomatology of Respiratory diseases.
Lect.06. : Symptomatology in Nervous system.
Lect.07. : Symptomatology in Gastrointestinal and Hepatobiliary diseases.
Lect.08. : Approach towards a patient with Fever / Oedema.
Lect.09. : Approach towards a patient with anaemia / jaundice.
Lect.10. : Approach towards a patient with Lymphadenopathy.
Lect.11. : Investigations ( Non- Invasive ) X-rays, USG ,C.T. / M.R.I. Scan, Secretions
examinations, Peripheral smear
Lect.12.: Investigations ( Invasive ) Bone marrow, F.N.A.C. Liver biopsy, Lymph node biopsy
Endoscopies Lumber puncture.
Lect.13/14.: Review of common diseases in India.
Lect.15/16,: Revision.
Lect.17.: Examination.
Lect.18/20: Buffer.
INFECTIOUS DISEASES : 5 TH SEMESTER
Lect.01:Introduction.
Infections – types, Modes of Infection transmission, Incubation period Host defenses, Immunity
& Immunization & Management including Prevention
Lect.02 : Viral hepatitis.
Lect.3/4/5: Tetanus/ Diphtheria
Lect.6/7: Malaria
Lect.08: Rabies
Lect.09: Typhoid fever
Lect.10/11: Gastroenteritis
Lect.12: Plague / Dengue
Lect.13/14: ( HIV ) Infection & AIDs.
Lect.15.: Examination.
Note :- The course contents in above topics should also cover applied aspects in basic sciences
like Anatomy, Physiology, Bio-Chemistry, Micro- Biology, Pharmacology, Pathology, FMT
while giving training on Clinical features, investigations, Diagnosis, D/D treatment &
prevention.

CARDIOVASCULAR SYSTEM : 5 TH SEMESTER

Lect.01 : Introduction
Functions / anatomy / physiology and its applications
Various terminologies used
Lect.2/3: Methods of evaluation Non - invasive Invasive
Lect.04 : Arrhythmias Concept & Classification ,Presentation Diagnosis Pharmacotherapy in
short
Lect.05: Cardiac arrest.
Lect.06: C.C.F. Types Presentations Pathophysiology Management
Lect.07: C.H.D. Aetiology and classification CHD in adults & its importance
Lect.08: Rheumatic fever
Lect.09: Presentation and haemodynamics of various Valvular lesions including investigations,
Diagnosis, D/D treatment & Prevention.
Lect.10: Infective endocarditis
Lect.11/12: C.A.D, (Coronary artery disease)
Lect.13: Pericardial diseases and cardiomyopathy
Lect.14: Hypertension
Lect.15: Examination.

GASTROENTEROLOGY, HEPATOBILIARY SYSTEM & PANCREAS : 6 TH

SEMESTER
Lect.01: Introduction to GIT Oral Cavity Ulcers Bleeding Pigmentation, Oral manifestation of
systemic diseases
Lect.2/3: Oesophagus
Inflammation, Dysphagia
Lect.4/5: Stomach Peptic ulcers Aetiopathogenesis Clinical features Investigations
D/D and management
Acute and Chronic gastritis
Lect.6/7. Small and large intestine diseases
Secretions & functions
MAS Mal –absorption-syndrome
Tuberculosis of Abdomen
Lect.08: Ulcerative colitis & Crohn‟s disease
Lect.09: Liver.
Introduction
LFT & their interpretation
Lect.10/11: Hepatitis - Acute & Chronic
Lect.12/13: Cirrhosis of liver
Lect.14: Gall bladder diseases
Lect. 15/16: Pancreas Functions Investigations
Acute and Chronic pancreatitis
Manifestation and D/D & treatment.
Lect.17/18: Misc. & Revision.
Lect.19: Examination.

RESPIRATORY SYSTEM : 6 TH SEMESTER

Lect.01: Applied Anatomy and physiology of R.S.
Lect.02: P.F.T. ( Pulmonary Function Testing)
Lect.03: Resp. Infection- Pneumonias.
Lect.04: Chronic bronchitis and emphysema
Lect.5/6: Bronchiectasis and lung abscess.
Lect.07: Bronchial asthma
Lect.08: Malignancies
Lect.09: Mediastinum and its disorders.
Lect.10: Pleural disease - Emphasis on pneumothorax
Lect.11: Pleural effusion.
Lect.12: Occupational lung disease. Its concept and short review
Lect.13: Revision - Fungal & Parasitic diseases
Lect. 14:Respiratory emergencies & Introduction to mechanical ventilators
Collagen Vascular Disorders
Lect.1: Allergy - Concept & hypersensitity, Autoimmunity
Lect.2: Collagen disease.
Lect.3: Rheumatoid arthritis
Lect.4: Sero negative arthritis
Lect.5: Revision HIV , Alcohol related disease
Lect.6: Examination

TUBERCULOSIS : 6 TH SEMESTER
Lect.01: History and introduction
Lect.2/3: Pathogenesis and pathology
Lect.04: Role of host related factors
Lect.05: Microbiology of AFB
Lect.06: Clinical features of pulmonary tuberculosis and its investigations
Lect.07: Anti – Tubercular drugs
Pharmacology & Schedules of treatment.
Lect.8/9: Resistant tuberculosis
DOTS
Prophylaxis - Drugs /BCG/ Tuberculin test. HIV & TB.
Lect.10: Extra - pulmonary tuberculosis
Plural effusion Empyema Others
Lect.11/12: Revision
Lect.13: Examination

NEUROLOGY: 7 TH SEMESTERS
Lect.01: Introduction
Applied anatomy & physiology
History taking in neurology
Lect.02: Investigations
Lect.3/4: CVD ( Cerebro Vasular Disease) Types & its differential diagnosis Predisposing
factors
Diagnosis and management
Lect.05: S.O.L. (Space Occupying Lesions)
Lect.06: Encephalitis and meningitis
Lect.07: Epilepsy
Lect.08: Cerebellar syndrome
Lect.09: Parkinsonism
Lect.10: Paripheral neuropathy
Lect.11: Muscle disorders in brief
Lect.12/13: Spinal cord disorders
Lect.14: CSF Formation and absorption Status in various disorders
Lect.15: Examination.
HEMATOLOGY: 7 TH SEMESTER
Lect.01: Introduction
Cell line of hemopoisis
Stimulating factors
Physiology and Anatomy of RBCs.
Lect.02: Anemias Introduction Classification
Symptoms & signs in general
Basic investigations & its interpretation
Lect.03: Microcytic hypochromic anaemias
Fe Kinetics
C/F, investigations of Fe deficiency. Treatment of Fe deficiency.
D/D - Sideroblastic / thallasemic.
Lect. 04: Macrocytic anaemias
Kinetics of B-12 and Folic acid
C/F, investigations and management of B-12 / FA deficiency.
Lect.05: Anaemias (continued)
Brief of Chronic infections and inflammation
Hemolytic anaemias
Lect.06: Hemoglobinopathies
Lect.07: Hypoplastic / Aplastic anemia
Definition
Classification
Diagnosis and management
Lect.08: Introduction to WBCs.
Agranulocytosis - Aetiology & its significance
Leukemias ( AML, ALL, CML, CLL)
Lect.09: Management of leukemia
Lect.10: Lymphomas
Hodgkin‟s disease / NHL (Non-Hodgkin‟s lymphoma)
Lect.11: Approach to a patient with bleeding disorders
Recognition Investigations Physiology ofPlatelets Therapy
Lect.12: Blood groups & Blood Transfusion & Component Therapy
Lect.13-14: Revision
Lect. 15: Examination.
ENDOCRINOLOGY : 8 TH SEMESTER
Lect. 01: Introduction - Hormones
Concept Types Action
Endocrine system
General
Control
Lect.2/3: Pituitary Anatomy Regulation
Disorders of Ant. Pituitary
Acromegaly
A.G. Syndrome
Disorders of Post. Pituitary
Hypopituitarism
Lect.4/5: Thyroid Anatomy Regulation
Goiter
Hypothyroid state & hyperthyroid state
Classifications
Management
Lect.6/7: Adrenal gland Anatomy Regulation
Addison‟s & Cushing syndrome
Recognition Investigations Management Pheocromocytoma
Lect.08: Vit. D. Metabolism.
Ca. Metabolism and its relations to parathyroid
Diagnosis & management of related disorders.
Lect.9/10: Diabetes Mellitus
Lect.11: FSH < H. Oestrogens Progesterone‟s
Significance
Disorders
Its recognition and diagnosis
Management
Lect.12: Multiple endocrine-syndrome and paraneoplastic syndrome Overview.
Diabetes incipidus.
Miscellaneous
Lect.13/14 : Poisoning
Suicidal / Homicidal / Accidental
Chemical / Biological / Corrosives / Drugs
Concepts of management Optimum Barbiturate DDT
Organophosphorus
Lect.15: Hyperpyrexia and Heat exhaustion
Aetiology Pathophysiology C / F. Types Management
Preventive measures
Lect.16 : Electrical injury Types Manifestations Management Lightening
Lect.17: Shock
Types
Pathophysiology / Complications Management
Lect.18/19: Revision
Lect.20: Examination
NEPHROLOGY, NUITRITION : 8 TH SEMESTER
NEPHROLOGY :
Lect.01: Anatomy & Physiology of Urinary system
Lect.02: R.F.T. ( Renal Function Tests)
Lect.03: Acute Glomerulonephropathy
Lect.04: Chronic Glomerulonephropathy
Lect.05: Infections of urinary system.
Lect.06: Nephrotic syndrome
Lect.07: Approach towards common problem
i. Proteinuria ii. Hematuria
iii. Renal colics
Lect.08: Acute & Chronic renal failure
Lect.09: Dialysis - Diet - Drugs. In renal failure
Lect.10:Revision
Lect.11: Examination

Genetics (3 lectures )
Lect.1 : Introduction
Lect.2 : Common genetic disorders
Lect.3 : Application of Genetic Engineering in Medicine

NUTRITION :
Lect.11: Concepts of carbohydrate, proteins, fats, vitamins and minerals. Balanced diet.
Lect.12: Protein energy malnutrition.
Lect.13/14: Vitamin deficiency state
Scurvy / Beribery / Pellegra / Vit.A
Lect.15: Obesity / Asthenia
Diagnosis
“Complications and management
Lect.16: Revision
Lect.17: Examination.
Introduction of “ Brain Death and Organ Donation” topic in subjects of Physiology ,
Preventive & Social Medicine, Psychiatry, Medicine & Surgery

Recommended Books:
1. Hutchinson‟s Clinical Methods by Hunter and Bomford,
2. The Principles and practise of Medicine - Sir Stanley Davidson
3. Text book of Medical Treatment - Dunlop and Alstead.
4. Savill‟s system of Clinical Medicine - E. C. Warner.
5. Principles of internal Medicine - Harrison.
6. API Text Book of Medicine.
7. Reference Book (Clinical Medicine) : "Clinical Examination in Medicine": Author: Dr.
A. P. Jain
8. “Manual of Clinical Practical Medicine” : 1) Dr. G.S.Sainani
2) Dr. V.R. Joshi
3) Dr. Rajesh G. Sainani

SKIN
DERMATOLOGY / STD/ LEPROSY
Goals :
The aim of teaching the Under graduate students in Dermatology, S.T.D. and Leprosy is to
impart such knowledge and skills that may enable him to diagnose and treat common ailments
and to refer rare diseases or complications and unusual manifestations of common diseases to the
specialist.

OBJECTIVES : Knowledge :
At the end of the course of Dermatology, Sexually Transmitted Diseases & Leprosy the student
shall be able to :
1. Demonstrate sound knowledge of common diseases, their clinical manifestations including
emergent situations and of investigative procedures to confirm their diagnosis.
2. Demonstrate comparative knowledge of various modes of topical therapy.
3. Demonstrate the mode of action of commonly used drugs, their doses, side effects / toxicity,
indications and contraindication & interactions.
4. Describe commonly used modes of management including the medical & Surgical procedures
available for the treatment of various diseases and to offer a comparative plan of management for
a given disorder.
Skills :
The student shall be able to
1. Interview the patient, elicit relevant and correct information and describe the history in a
chronological order :
2. conduct clinical examination, elicit and interpret physical findings and diagnose common
disorders and emergencies :
3. perform simple, routine investigative and laboratory procedures required for making the bed-
side diagnosis, especially the examination of scrapings for fungus, preparation of slit smears and
staining for AFB for leprosy patients and for STD cases :
4. take a skin biopsy for diagnostic purposes ;
5. Manage common diseases recognizing the need for referral for specialized care, in case of
inappropriateness of therapeutic response.
Structures and functions of Skin and its appendages
Pruritus
Infections (Bacterial , Chlamidia, Mycoplasma, Fungal & Viral ) Infestations ( Ecto and
Endoparasites)
Nutritional disorders Allergic Disorders Leprosy
STD
HIV & Skin Papulesquamous disorders Collagen Vascular Disorders
Pigmentory disorder
Drug reactions.

CHEST
TUBERCULOSIS AND RESPIRATORY DISEASES:
(i) GOAL :
The aim of teaching the undergraduate student in Tuberculosis and Chest Diseases is to impart
such knowledge and skills that may enable him/her to diagnose and manage common ailments
affecting the chest with the special emphasis on management and prevention of Tuberculosis and
especially National Tuberculosis control programme.
(ii) OBJECTIVES :
(a) KNOWLEDGE :
At the end of the course of Tuberculosis and Chest diseases, the student shall be able to:
1) demonstrate sound knowledge of common chest diseases, their clinical manifestations,
including emergent situations and of investigative procedures to confirm their diagnosis‟
2) demonstrate comprehensive knowledge of various modes of therapy used in treatment of
respiratory diseases;
3) describe the mode of action of commonly used drugs, their doses, side- effects/toxicity,
indications and contra-indications and interactions.;
4) describe commonly used modes of management including medical and surgical procedures
available for treatment of various diseases and to offer a comprehensive plan of management
inclusive of National Tuberculosis Control Programme.
(b) SKILLS :
The student shall be able to :
1) interview the patient, elicit relevant and correct information and describe the history in
chronological order;
2) conduct clinical exami9nation, elicit and interpret clinical findings and diagnose common
respiratory disorders and emergencies;
3) perform simple, routine investigative and office procedures required for making the bed side
diagnosis, especially sputum collection and examination for etiologic organisms especially Acid
Fast Bacilli (AFB), interpretation of the chest x-rays and respiratory function tests;
4) interpret and manage various blood gase4s and PH abnormalities in various respiratory
diseases.
5) Manage common diseases recognizing need for referral for specialized care, in case of
inappropriateness of therapeutic response;
6) Assist in the performance of common procedures, like laryngoscopic examination, pleural
aspiration, respiratory physiotherapy, laryngeal intubation and pneumo-thoracic
drainage/aspiration
(c) INTEGRATION:
The broad goal of effective teaching can be obtained through integration with departments of
Medicine, Surgery, Microbiology, Pathology, Pharmacology and Preventive and Social Medicine
Lect. 01 : History and introduction.
Lect. 2/3: Pathogenesis and pathology
Lect. 04: Role of host related factors.
Lect. 05: Microbiology of AFB
Lect. 06: Clinical features of pulmonary tuberculosis
Lect. 07: Anti-tuberculous drugs
-Pharmacology & schedules of drug therapy
Lect. 8/9: Resistant tuberculosis
DOTS
Prophylaxis - Drugs / BCG / Tuberculin test. HIV & TB
Lect 10 Extra - Pulmonary tuberculosis
Pleural Effusion
Others.
Lect 11/ 12: Revision
Lect. 13: Examination.
Respiratory System :
1. Applied anatomy & Physiology of R.S.
2. Lung function tests
3. Respiratory infections, pneumonias, fungus,
4. Bronchiectasis & lung Abscess.
5. Bronchial Asthma.
6. Lung & Pleural Malignancies.
7. Mediastinum & its disorders.
8. Pleural Diseases
9. Occupational Lung Disease
10. Respiratory emergencies.
Lecture cum Demos ( Resp system)
1. Lung function test and blood gas Analysis and Resp. alkalosis & Acidosis.
2. Chest bronchios emphysema
3. Suppurative lung diseases
4. Bronchogenic carcinoma & other malignancies with Mediastinal obstruction
5. Pleural disease - pneumothorax, pyopneumothorax, Pleural
L.C.D. In T.B.
1. Haemoptysis
2. Drug resistance
3. TB & HIV

PSYCHIATRY
(i) GOAL :
The aim of teaching of the undergraduate student in Psychiatry is to impart such knowledge and
skills that may enable him to diagnose and treat common Psychiatric disorders, handle
Psychiatric emergencies and to refer complications/unusual manifestation of common disorders
and rare Psychiatric disorders to the specialist.

(ii) OBJECTIVES :
(a) KNOWLEDGE :
At the end of the course, the student shall be able to :
1. comprehensive nature and development of different aspects of normal human behaviour like
learning, memory, motivation, personality and intelligence;
2. recognize differences between normal and abnormal behaviour;
3. classify psychiatric disorders;
4. recognize clinical manifestations of the following common syndromes and plan their
appropriate management of organic psychosis, functional psychosis, schizophrenia, affective
disorders, neurotic disorders, personality disorders, psychophysiological disorders, drug and
alcohol dependence, psychiatric disorders of childhood and adolescence;
5. describe rational use of different modes of therapy in psychiatric disorders.
(b) SKILLS :
The Student shall be able to :
1) interview the patient and understand different methods of communications in patient-doctor
relationship;
2) Elicit detailed psychiatric case history and conduct clinical examination for assessment of
mental status;
3) Define, elicit and interpret psycho-pathological symptoms and signs;
4) Diagnose and manage common psychiatric disorders;
5) Identify and manage psychological reactions and psychiatric disorders in medical and surgical
patients in clinical practice and in community setting.
(c) INTEGRATION :
Training in Psychiatry shall prepare the students to deliver preventive, promotive, curative and
re-habilitative services for the care of patients both in the family and community and to refer
advanced cases for a specialized Psychiatry / Mental Hospital. Training should be integrated with
the departments of Medicine, Neuro-Anatomy, Behavioral and Forensic Medicine.
4th or 5th semester 5 lectures
2. Motivation (including) frustration, conflicts etc.) Emotion (including mind- body relationship)
3. Learning (different types) memory ( Types of memory, cause of forgetting etc.)
4. Intelligence, emotional Quotient including M.R. and sifted child.
5. Personality-Different types with mental mechanisms
6. Difference between normal and abnormal behaviour. Doctor-Patient relationship and
communication skills
In 8th & 9th Semester remaining 15 lectures.
1. Psychiatric classification. Difference between functional and organic psychosis. Difference
between psychosis and neurosis.
2. Schizophrenia including drugs and rehabilitation.
3. Affective disorders including pharmacotherapy
4. Affective disorders including non-pharmocotherapy treatment.
5. Anxiety disorders-Generalised anxiety, disorders, panic disorders.
6. O.K.D. and Phobias.
7. Somatoform disorders.
8. Alcohol dependence
9. Psycho-Physiological disorders.
10. Scholastic problems.
11. Behavioural disorders.
12. Sexual disorders.
13. Psychiatric emergencies including suicide and organic brain disorders.
14. Psychotherapies including behavior therapy.
 UNIVERSITY EXAMINATIONS SCHEME
MEDICINE:-
Theory 2 papers of 60 marks each = 120 marks
Paper I - General Medicine shall contain questions from: Cardiovascular System, Respiratory
System, Gastrointestinal System, Neurological Diseases, Poisons, Occupational Hazards,
Immune System, Connective Tissue & Joints, Oncology & Hematology
Paper II - General Medicine shall contain questions from: Genetics & Diseases, Nutrition &
Infectious Diseases, Endocrinology & Metabolism, Kidney & Urinary Tract, Psychiatry,
Dermatology, Sexually transmitted Diseases
Oral (viva) interpretation of X-Ray, ECG etc. = 20 marks
Clinical (Bedside) = 100 marks
Internal Assessment = 60 marks (Theory 30 Marks, Practical 30 Marks)
Grand Total = 300 marks

 These are the broad division of topics to cover the whole syllabus. There are chances of
overlapping of topics in both papers, students must be prepared accordingly. No claim of
overlapping questions shall be entertained by the university

Criteria of passing

SN Subject Theory Paper ./ Oral/ Maximum Minimum Minimum

Practical / Internal Marks in marks required to marks required
Assessment each of pass in to pass in each
the each part of any subject out of
subject subject
General a) Theory Paper I 60 150/300
Medicine Paper II 60 70
b ) Oral 20
c) Practical 100 50
d) Internal Theory 30 30
Assessment Practical 30

Passing: A candidate must obtain 50% in aggregate with a minimum of 50% in Theory including
oral and minimum of 50% in practical’s
 NATURE OF THEROY QUESTION PAPERS:
Pattern of Theory Examination including Distribution of Marks, Questions, Time.
Faculty with Year: MBBS Final Part-II
Subject: General Medicine
Paper: I
Total Marks: 60 Time: 3 Hours
Instructions:
1) All questions are compulsory
2) MCQ question paper should be conducted and completed in first 30 min. written question paper must be given
only after taking back the MCQ answer sheet
3) Fill (dark) the appropriate empty circle below the question number once only.
4) Use blue/black ball point pen only.
5) Each MCQ carries half mark.
6) Students will not be allotted mark if he/she overwrites strikes or put white ink on the cross once marked on MCQ.
7) For Question no. 2, 3 and 4 time duration is 2.30 hour
8) Draw diagrams wherever necessary for Question no. 2, 3 and 4.
9) Answers of Questions and Sub questions must be written strictly according to the serial order of question paper.
10) 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.

Question Question Description Division of Marks Total Marks

No.
1 Total MCQs : 20 20 X1/2 10
2 Long answer question four a) b) c) d) 4 X5 20
3 short answer questions four a) b) c) d) 4X3 12
4 very short answer questions nine a) b) 9X2 18
c) d) e) f) g) h)i)

Faculty with Year: MBBS Final Part-II

Subject: General Medicine
Paper: II
Total Marks: 60 Time: 3 Hours
Instructions:
1) All questions are compulsory
2) MCQ question paper should be conducted and completed in first 30 min. written question paper must be given
only after taking back the MCQ answer sheet
3) Fill (dark) the appropriate empty circle below the question number once only.
4) Use blue/black ball point pen only.
5) Each MCQ carries half mark.
6) Students will not be allotted mark if he/she overwrites strikes or put white ink on the cross once marked on MCQ.
7) For Question no. 2, 3 and 4 time duration is 2.30 hour
8) Draw diagrams wherever necessary for Question no. 2, 3 and 4.
9) Answers of Questions and Sub questions must be written strictly according to the serial order of question paper.
10) 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.

Question Question Description Division of Marks Total Marks

No.
1 Total MCQs : 20 20 X1/2 10
2 Long answer question four a) b) c) d) 4 X5 20
3 short answer questions four a) b) c) d) 4X3 12
4 very short answer questions nine a) b) 9X2 18
c) d) e) f) g) h)i)
Final University Exam : Practical Exam :

Shall comprise of total 120 marks with divisions as below :-

(A) Clinical Bed side:

One Long case - 50 Marks: The time for case taking for student is 45 min. & for examination is
10 min.

Two short cases - 25 Marks each: The time for case taking for student is 10 min. & for
examination is 5 min.

Total - 100 Marks

(B) Oral Viva Voce and interpretation of investigation materials (like X-Rays, ECGs, etc. – 20
marks
Viva at Two Tables Each for 10 marks.
There should be even & balanced distribution of the course contents on these tables, between
Internal & External examiners. This should include, specimens, instruments, microscopy &
drugs on table no 1 & emergencies, radio-diagnostics, electrodiagnostic & Biochemical Lab.
investigations on table no 2 as applicable to the course contents of final M.B.B.S. Exam.
 PAEDIATRICS
Paediatric including Neonatology
The course includes systematic instructions in growth and development, nutritional needs of a
child, immunization schedules and management of common diseases of infancy and childhood
including scope for Social Paediatrics and counseling.
(i) GOAL :
The broad goal of the teaching of undergraduate students in Paediatrics is to acquire adequate
knowledge and appropriate skills for optimally dealing with major health problems of children to
ensure their optimal growth and development.

(ii) OBJECTIVES :
(a) KNOWLEDGE :
At the end of the course, the student shall be able to:
(1) Describe the normal growth and development during foetal life, neonatal period, childhood
and adolescence and outline deviations thereof;
(2) Describe the common paediatric disorders and emergencies in terms of Epidemiology,
aetiopathogenesis, clinical manifestations, diagnosis, rational therapy and rehabilitation;
(3) Age related requirements of calories, nutrients, fluids, drugs etc, in health and disease;
(4) Describe preventive strategies for common infectious disorders, malnutrition, genetic and
metabolic disorders, poisonings, accidents and child abuse;
(5) Outline national Programmes relating to child health including immunization Programmes.

(b) SKILLS :
At the end of the course, the student shall be able to :
(2) take a detailed paediatric history, conduct an appropriate physical examination of children
including neonates, make clinical diagnosis, conduct common bedside investigative procedures,
interpret common laboratory investigation results and plan and institute therapy.
(3) Take anthropometric measurements, resuscitate newborn infants at birth, prepare oral
rehydration solution, perform tuberculin test, administer vaccines available under current
national programmes, perform venesection, start an intravenous saline and provide nasogastric
feeding :
(4) Conduct diagnostic procedures such as a lumbar puncture, liver and kidney biopsy, bone
marrow aspiration, pleural tap and ascitic tap;
(5) Distinguish between normal newborn babies and those requiring special care and institute
early care o all new born babies including care of preterm and low birth weight babies, provide
correct guidance and counseling in breast feeding ;
(6) Provide ambulatory care to all sick children, identify indications for specialized / inpatient
care and ensure timely referral of those who require hospitalization :
(C) INTEGRATION :
The training in paediatrics should prepare the student to deliver preventive, promotive, curative
and rehabilitative services for care of children both in the community and at hospital as part of
team in an integrated form with other disciplines, e.g. Anatomy, Physiology, Forensic
Medici9ne, Community Medicine and Physical Medicine and Rehabilitation.
LIST OF LECTURE/ SEMINARS Lectures : 3rd / 4th Semester :
1. Introduction of Paediatrics.
2. History taking in children.
3. Examination of Children.
4. Normal Growth
5. Normal Development.
6. Introduction to newborn and normal newborn baby.
7. Temperature regulation in newborn.
8. Breast feeding and lactation management.
9. Infant and child feeding ( include complimentary feeding)
10. Normal fluid and electrolyte balance in children.
11. Immunization.

Lecturers : 7th / 8th / 9th Semester :

1. Birth Asphyxia
2. Low Birth Weight Babies.
3. Neonatal Respiratory Distress.
4. Jaundice in newborn.
5. Neonatal Infections.
6. Neonatal convulsions.
7. PEM and its management.
8. Vitamin and micronutrient deficiencies.
9. Nutritional anaemia in infancy and childhood.
10. Acute diarrhoea.
11. Hypothyroidism in children.
12. Congestive heart failure - diagnosis and management.
13. Congenital heart disease.
14. Rheumatic heart disease.
15. Hypertension in children.
16. Acute respiratory infections.
17. Bronchial asthma.
18. Nephrotic syndrome
19. Acute glomerulonephritis and hematuria
20. Abdominal pain in children.
21. Chronic liver disease including ICC.
22. Haemolytic anaemia including thalassemia.
23. Leukaemias.
24. Bleeding and coagulation disorders.
25. Seizure disorders.
26. Cerebral Palsy.
27. Common exanthematous illness.
28. Childhood tuberculosis
Other Lectures to be covered :
1. Fluid and electrolyte balance -pathophysiology and principles of Management.
2. Acid-base disturbances - pathophysiology and principles of management.
3. Adolescent growth and disorders of puberty.
4. Congenital heart disease.
5. Acute respiratory infections, Measles, Mumps, Chicken pox
6. Other childhood malignancies.
7. Coagulation disorders - Haemophilia
8. Mental retardation.
9. Approach to a handicapped child.
10. Acute flaccid paralysis.
11. Behaviour disorders.
12. Meningitis.
13. Diphtheria, Pertussis and Tetanus.
14. Childhood tuberculosis.
15. HIV infection.
16. Malaria.
17. Neurocysticercosis.
18. Enteric fever.
19. Immunization.
20. Pediatric prescribing.
21. Common childhood poisonings.

Integrated Seminar Topics: Convulsions

Coma PUO Jaundice
Portal hypertension Respiratory failure Shock
Rheumatic Heart Disease
Hypertension Diabetes mellitus Hypothyroidism Anemia
Bleeding Renal failure Tuberculosis Malaria
HIV infection
Neurocysticercosis
Perinatal asphyxia (with obstetrics)
Intrauterine growth retardation (with obstetrics)
 UNIVERSITY EXAMINATIONS SCHEME
PAEDIATRICS :- (Including Neonatology)
Theory – One paper = 40 marks
Oral (Viva) = 10 marks
Clinical = 30 marks
Internal Assessment = 20 marks (Theory 10 Marks, Practical 10 Marks)
Grand Total = 100 marks

Criteria of passing in various subjects at III MBBS Examination

SN Subject Theory Paper ./ Oral/ Maximum Minimum Minimum

Practical / Internal Marks in marks required to marks required
Assessment each of the pass in to pass in each
subject each part of any subject out of
subject
Paediatrics a) Theory Paper 40 50/100
b ) Oral 10 25
c) Practical 30 15
d) Internal Theory 10 10
Assessment Practical 10

Passing: A candidate must obtain 50% in aggregate with a minimum of 50% in Theory including
oral and minimum of 50% in practicals

NATURE OF THEROY QUESTION PAPERS:

Pattern of Theory Examination including Distribution of Marks, Questions, Time.
Nature of Question Paper
Faculty with Year: MBBS Final Part-II
Subject: Paediatrics
Total Marks: 40 Time: 2.30 Hours
Instructions:
1) All questions are compulsory
2) MCQ question paper should be conducted and completed in first 30 min. written question
paper must be given only after taking back the MCQ answer sheet
3) Fill (dark) the appropriate empty circle below the question number once only.
4) Use blue/black ball point pen only.
5) Each MCQ carries half mark.
6) Students will not be allotted mark if he/she overwrites strikes or put white ink on the cross
once marked on MCQ.
7) For Question no. 2, 3 and 4 time duration is 2 hour
8) Draw diagrams wherever necessary for Question no. 2, 3 and 4.
9) Answers of Questions and Sub questions must be written strictly according to the serial order
of question paper.
10) 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.

Question No. Question Description Division of Marks Total Marks

1 Total MCQs : 08 8 X1/2 4
2 Long answer question three 3 X5 15
a) b) c)
3 short answer questions three 3X3 9
a) b) c)
4 very short answer questions 6X2 12
six a) b) c) d) e) f)

Internal assessment in Theory -

1 . Examinations during semesters : This will be carried out by conducting
two theory examinations at the end of 6th and 8th semesters ( 50 marks each). Total of 100
marks to be converted into 5 marks.( A/5)
2 . Prelim examination : This shall be carried out during 9th semester.
One theory papers of 40 marks as per university examination. Total of 40 marks to be converted
into 5 marks. ( B/5)
Total marks of Internal assessment of Theory will be addition of A and B.

Internal assessment in Practical

Examinations at end of Clinical postings:
1 There will be practical examination at the end of each clinical posting of Paediatrics.: 6th and
8th semester. Each examination will be of 50 marks.
Total of 2 examinations – 100 marks , will be converted to 5 marks.( C/5)
2. Prelim examination:
This will be conducted for 40 marks as per university examination pattern and marks will be
converted to 5 (D/5).
Total marks of Internal assessment of Practical will be addition of C and D.

PRACTICAL (FINAL EXAMINATION) : 30 Marks

One Long Case 20 Marks
One Short Case 10 Marks

ORAL (VIVA VOCE) 10 Marks

 SURGERY AND ALLIED SPECIALTIES
(i)GOAL:
The broad goal of the teaching of undergraduate students in Surgery is to produce graduates
capable of delivering efficient first contact surgical care.
(ii) OBJECTIVES:
The departmental objectives, syllabus and skills to be developed in the department of surgery
during undergraduate medical education are presented herewith. These are prepared taking into
consideration of various aspects and institutional goals given below:
1. A medical student after graduation may have different avenues of his/her professional career
and may work either as a first contact physician in a private, semi-private or public sector or may
take up further specialization in surgery or other specialties.
2. He may have to work in different settings such as rural, semi-urban or urban which may have
deficient or compromised facilities.
3. These are based on the various health services research data in our community.
4. These are also based on following institutional goals in general;
At the end of the teaching/ training the undergraduate will be able to:

appropriate to his/her position as a member of the health team at primary, secondary and tertiary
levels.

understand the concepts of primary health care.

Programmes in the context of national priorities.

-psychological, cultural, economic and environmental factors affecting
health and develop humane attitude required for professional responsibilities.
d self-learning with a scientific attitude of mind and acquire
further expertise in any chosen area of medicine.

A. KNOWLEDGE
At the end of the course, the student shall be able to:
1. Describe aetiology, pathophysiology, principles of diagnosis and management of common
surgical problems including emergencies, in adults and children;
2. Define indications and methods for fluid and electrolyte replacement therapy including blood
transfusion.
3. Define asepsis, disinfection and sterilization and recommend judicious use of antibiotics.
4. Describe common malignancies in the country and their management including prevention.
5. Enumerate different types of anaesthetic agents, their indications, mode of administration,
contraindications and side effects
B. SKILLS
At the end of the course, the student should be able to
1. Diagnose common surgical conditions both acute and chronic, in adult and children.
2. Plan various laboratory tests for surgical conditions and interpret the results;
3. Identify and manage patients of haemorrhagic; septicaemic and other types of shock.
4. Be able to maintain patent air-way and resuscitate: A A critically injured patient.
B Patient with cardio-respiratory failure; C A drowning case.
5. Monitor patients of head, chest, spinal and abdominal injuries, both in adults and children
6. Provide primary care for a patient of burns;
7. Acquire principles of operative surgery, including pre-operative, operative and post operative
care and monitoring;
8. Treat open wounds including preventive measures against tetanus and gas gangrene.
9. Diagnose neonatal and paediatric surgical emergencies and provide sound primary care before
referring the patient to secondary/territory centers;
10. Identify congenital anomalies and refer them for appropriate management.

In addition to the skills referred above in items (1) to (10), he shall have
observed/assisted/performed the following:
i. Incision and drainage of abscess;
ii. Debridement and suturing open wound;
iii. Venesection;
iv. Excision of simple cyst and tumours.
v. Biopsy and surface malignancy
vi. Catheterisation and nasogastric intubation;
vii. Circumcision
viii. Meatotomy;
ix. Vasectomy;
x. Peritoneal and pleural aspirations;
xi. Diagnostic proctoscopy;
xii. Hydrocoele operation;
xiii. Endotracheal intubation
xiv. Tracheostomy and cricothyroidetomy;
xv. Chest tube insertion.
Human values,and Ethical practice
rofessional honesty and
integrity are to be fostered. Surgical care is to be delivered irrespective of the social status, caste,
creed or religion of the patient.
e in
management

colleagues and specialist in the field when needed.

seek a second opinion

INTEGRATION
The undergraduate teaching in surgery shall be integrated at various stages with different pre and
para and other clinical departments.
LEARNING METHODS
Lectures, Tutorials bedside clinics and lecture cum demonstrations
Distribution of Teaching hours -
Lectures - 160 hours
Tutorials and revision - 140 hours
Bedside clinics - 468 hours five clinical postings totalling 26 weeks including
Anaesthesiology
Clinical postings in General Surgery -
3rd Semester - 6 weeks
5th Semester - 4 weeks
7th Semester - 4 weeks
8th Semester - 6 weeks
9th Semester - 6 weeks

GENERAL SURGERY LECTURES

4TH Term
General Surgery : Part I 16 Lectures
6th Term 3 modules
Module l 16 Lectures
Vascular Surgery :
Tropical Surgery :
Gen. Surgery Remaining

Module 2 16 Lectures
Head and Neck surgery
Endocrine surgery 16 Lectures

Module (3) 16 Lectures

Breast surgery
Plastic & Reconstructive Surgery
Neurosurgery 6

7th Term: 3 modules

Module (1) 16 Lectures
Cardio Thoracic surgery
Paediatric surgery

Module (2) 16 Lectures

Liver )
Spleen )
Pancreas )
Biliary Tract )
Portal Hypertension)

Module (3)
Upper Gastro intestinal Tract + Peritoneum 16 Lectures

8th Term

Lower G.I. tract

Abdominal wall,
Incisional Hernia

Upper GUT
Organ transplantation

Lower GUT
Hernia, Hydrocoele

9th Term
Revision Lectures/ tutorials/ lecture cum demonstrations 48 Lectures

TUTORIALS
6TH Term Surgical pathology 32
8th Term Operative Surgery + Instruments 32
9th Term Imaging sciences- 28
Interpretation of Investigations

Total 300
Course contents- General Surgery - including paediatric surgery
COURSE CONTENTS
I. A. GENERAL PRINCIPLES
1. Wound healing and management, scars: Hypertrophic scar and keloid; First aid management
of severely injured.
2. Asepsis, antisepsis, sterilisation.
3. Surgical sutures, knots, drains, bandages and splints.
4. Surgical infections and rational use of antibiotics: Causes of infection, prevention of infection,
common organisms causing infection.
5. Boils, cellulitis, abscess, necrotising fascitis.
6. Tetanus and Gas gangrene: Prevention of Tetanus and Gas Gangrene.
7. Chronic specific infections: Tuberculosis, Filariasis, and Leprosy.
8. Antibiotic therapy.
9. Hospital infection.
10. AIDS and Hepatitis B; Occupational hazards and prevention.

I . B . 1. Mechanism and management of missile, blast and gunshot injuries.

2. Surgical aspects of diabetes mellitus.
3. Bites and stings.
4. Organ transplantation - Basic principles.
5. Nutritional support to surgical patients.

II. RESUSCITATION.
1. Fluid electrolyte balance.
2. Shock: Aetiology, pathophysiology and management.
3. Blood transfusion : Indication and hazards.
4. Common postoperative complications.

COMMON SKIN AND SUBCUTANEOUS CONDITIONS.

1. Sebaceous cyst, dermoid cyst, lipoma, haemangioma, neurofibroma, premalignant conditions
of the skin, basal cell carcinoma, naevi and malignant melanoma.
2. Sinus and fistulae. Pressure sores; prevention and management.

IV. ARTERIAL DISORDERS.

1. Acute arterial obstruction : diagnosis and initial management; types of gangrene ;
diagnosis of chronic arterial insufficiency with emphasis on Burger‟s disease,
athreosclerosis and crush injuries.
2. Investigations in cases of arterial obstruction. Amputations;
3. Vascular injuries : basic principles of management.

V. VENOUS DISORDERS.
1. Varicose veins: diagnosis and management; deep venous thrombosis: diagnosis, prevention,
principles of therapy; thrombophlebitis.

VI. LYMPHATICS AND LYMPH NODES.

1. Diagnosis and principles of management of lymphangitis, lymphedema, acute and chronic
lymphadenitis; cold abscess, lymphomas, surgical manifestations of filariasis.

VII. BURNS.
1. Causes, prevention and first aid management; pathophysiology; assessment of depth
and surface area, fluid resuscitation; skin cover; prevention of contractures.

VIII. SCALP, SKULL AND BRAIN.

1. Wounds of scalp and its management: recognition, diagnosis and monitoring of patients with
head injury including unconsciousness; Glasgow coma scale recognition of acute / chronic
cerebral compression.

IX.A. ORAL CAVITY, JAWS, SALIVARY GLANDS.

1. Oral cavity: I) Cleft lip and palate; Leukoplakia; retention cyst; ulcers of the tongue.
II) Features, diagnosis and basic principles of management of carcinoma lip,
buccal mucosa and tongue, prevention and staging of oral carcinomas.
2. Salivary glands: I) Acute sialoadenitis, neoplasm: diagnosis and principles of treatment.
IX. B. Epulis, cysts and tumours of jaw: Maxillofacial injuries; salivary fistulae

X. NECK.
1. Branchial cyst; cystic hygroma.
2. Cervical lymphadenitis: Non-specific and specific, tuberculosis of lymphnodes, secondaries of
neck.
X. B. Thoracic outlet syndrome: diagnosis.

XI. THYROID GLAND

1. Thyroid: Surgical anatomy, physiology, investigations of thyroid disorders; types,
clinical features, diagnosis and principles of management of goitre, thyrotoxicosis and
malignancy, thyroglossal cyst and fistula.

XI. B. Thyroiditis, Hypothyroidism.

XII. PARATHYROID AND ADRENAL GLANDS.

Clinical features and diagnosis of hyperparathyroidism, adrenal hyperfunction/ hypofunction.
XIII. BREAST.
1. Surgical anatomy; nipple discharge; acute mastitis, breast abscess; mammary
dysplasia; gynaecomastia; fibroadenomas.
2. Assessment and investigations of a breast lump.
3. Cancer breast : diagnosis, staging, principles of management.

XIV. THORAX.
1. Recognition and treatment of pneumothorax, haemothorax, pulmonary embolism:
Prevention/ recognition and treatment, flail chest; Stove in chest ; Postoperative pulmonary
complications.

XIV. B. Principles of management of pyothorax; cancer lung.

XV. HEART AND PERICARDIUM.
1. Cardiac tamponade
2. Scope of cardiac surgery.

XVI. OESOPHAGUS.
1. Dysphagia: Causes, investigations and principles of management.
2. Cancer oesophagus : Principles of management.

XVII. STOMACH AND DUODENUM.

1. Anatomy; Physiology, Congenital hypertrophic pyloric stenosis; aetiopathogenesis, diagnosis
and management of peptic ulcer, cancer stomach; upper gastrointestinal haemorrhage with
special reference to bleeding varices and duodenal ulcer.

XVIII. LIVER
1. Clinical features , diagnosis and principles of management of : Amoebic liver abscess, hydatid
cyst and portal hypertension. Liver trauma.

XVIII. B. Surgical anatomy; primary and secondary neoplasms of liver.

XIX. SPLEEN
Splenomegaly: causes, investigations and indications for splenectomy: splenic injury.

XX. GALL BLADDER AND BILE DUCTS

1. Anatomy, physiology and investigations of biliary tree; clinical features, diagnosis,
complications and principles of management of cholelithiasis and cholecystitis;
obstructive jaundice.

XX. B. Carcinoma of gall bladder, choledochal cyst.

XXI. PANCREAS.
Acute pancreatitis : Clinical features, diagnosis, complications and management.
Chronic pancreatitis, pancreatic tumours.

XXII. PERITONEUM, OMENTUM, MESENTERY AND RETROPERITONEAL SPACE.

Peritonitis : Causes, recognition and principles of management; intraperitoneal abscess.

XXII B. Laparoscopy and laparoscopic surgery.

XXIII. SMALL AND LARGE INTESTINES

1. Diagnosis and principles of treatment of : Intestinal amoebiasis, tuberculosis of
intestine, carcinoma colon; lower gastrointestinal haemorrhage; Enteric fever, parasitic
infestations.

XXIII. B. Ulcerative colitis, premalignant conditions of large bowel.

XXIV. INTESTINAL OBSTRUCTION.

Types, aetiology, diagnosis and principles of management; paralytic ileus.

XXV. ACUTE ABDOMEN.

Causes, approach, diagnosis and principles of management.

XXVI. APPENDIX
1. Diagnosis and management of acute appendicitis, appendicular lump and abscess.

XXVII. RECTUM.
1. Carcinoma rectum: diagnosis, clinical features and principles of management;
indications and management of colostomy.

XXVII. B. Management of carcinoma rectum; prolapse of rectum.

XXVIII. ANAL CANAL .

1. Surgical anatomy. Clinical features and management of: fissure, fistula in ano, perianal and
ischiorectal abscess and haemorrhoids; Diagnosis and referral of anorectal anomalies.

XXVIII. B. Anal carcinoma.

XXIX. HERNIAS.
1. Clinical features, diagnosis, complications and principles of management of : Umbilical,
Inguinal, epigastric and femoral hernia.
2. Omphalitis.

XXIX . B. Umbilical fistulae, Burst abdomen, ventral hernia.

XXX. GENITO- URINARY SYSTEM.

Symptoms and investigations of the urinary tract.

XXXI. KIDNEY AND URETER

1. Investigations of renal mass; diagnosis and principles of management of urolithiasis,
hydronephrosis, pyonephrosis, and perinephric abscess, congenital anomalies of kidney & Ureter
and renal tumours.
2. Renal tuberculosis.

XXXII. URINARY BLADDER.

1. Causes, diagnosis and principles of management of haematuria, anuria and acute retention of
urine.

XXXIII. PROSTATE AND SEMINAL VESICLES.

Benign prostatic hyperplasia: diagnosis and management.

XXXIII. B. Carcinoma prostate.

XXXIV. URETHRA AND PENIS

1. Diagnosis and principles of management of Phimosis, paraphimosis and carcinoma penis.
2. Principles of management of urethral injuries.
3. Urethral strictures.

XXXV. TESTES AND SCROTUM

1. Diagnosis and principles of treatment of undescended testis; torsion testis; Hydrocoele,
hematocoele, pyocoele, varicocele, epididymo-orchitis and testicular tumours.

XXXVI PAEDIATRIC SURGERY

1. Oesophageal atresia and Intestinal atresia
2. Anorectal malformations
3. Constipation in children: Hirschsprung's disease, Acquired megacolon,
4. Congenital diaphragmatic hernia
5. Extrophy, Epispadias complex and hypospadias
6. Spinal diastrophism and Hydrocephalus
7. Urinary tract infections in children- Vesicoureteral reflux, posterior urethral Valves, Vesico
Ureteral Junction obstruction/Duplex ureter, Obstructive uropathy in Children : Hydronephrosis,
Hydroureteronephrosis
8. Testicular Maldescent
9. Umbilical Hernia, Exompholos: Major/minor
10. Wilm‟s Tumours:Neuroblastoma, Ganglionioneuloblestoma, Ganglioneuroma, Endo-dermal
Sinus Tumours.
11. Hamartomas in Children: Lymphangioma and Cystic hygroma, Haemangioma.
Biliary Atresia and Surgical jaundice

RECOMMENDED BOOKS FOR GENERAL SURGERY

TEXT BOOKS:
1 . Charles V. Mann, R.C.G. Russel, Norman S., Williams, Bailey and Love‟s Short Practice of
Surgery, 23rd Edition, 2000 Chapman and Hall.
2. K.Das: Clinical Methods in Surgery, 8th Edition, 1968, Suhas Kumar Dhar, Calcutta.
3. JSP Lumley : Hamilton Bailey‟s Physical Signs 18th Edn Butterworth/Heinemann. 1997,
4. Somen Das ; A Practical Guide to Operative Surgery, 4th Edition, 1999, s. Das, Calcutta
REFERENCE TEXT BOOKS
1. .James Kyle : Pye‟s Surgical handicraft, Indian edition, k.m. Varghese
Company David C.
2. Sabiston ; Text Book of surgery : The Biological basis of Modern Surgical
Practice, 15th Edition, 1971, W.B. Saunders.
3. Seymour I. Schwartz, G. Tom Shines, Frank C. Spencer, Wendy Cowles
Husser: Principles of Surgery, Vol. 1 & 2, 7th Edition, 1999, Mc Graw Hill
4. R.F. Rintoul : Farqharson‟s Text Book of Operative Surgery, 8th Edition,
1995, Churchill Livingstone.
5. Sir Charles Illingworth, Bruce m. Dick: A Text Book of Surgical
Pathology,12th Edition, 2979, Churchill Livingstone.
6. R.W.H. McMinn : Last‟s Anatomy: Regional and Applied; 10th Edition, 1999, Churchill
Livingstone

ORTHOPAEDICS
(A) KNOWLEDGE
The student shall be able to:
1. Explain the principles of recognition of bone injuries and dislocation.
2. Apply suitable methods to detect and manage common infections of bones and joints.
3. Identify congenital, skeletal anomalies and their referral for appropriate correction or
rehabilitation.
4. Recognize metabolic bone diseases as seen in this country:
5. Explain etiogenesis, manifestations, and diagnosis of neoplasm affecting bones.

(B) SKILLS:
At the end of the course, the student shall be able to:
1. Detect sprains and deliver first aid measures for common fractures and sprains and manage
uncomplicated fractures of clavicle, Colles‟s forearm, phalanges etc.
2. Use techniques of splinting, plaster, immobilization etc.
3. Manage common bone infections, learn indications for sequestration, amputations and
corrective measures for bone deformities;
4. Advise aspects of rehabilitation for Polio, Cerebral Palsy and Amputation.

(C) APPLICATION
Be able to perform certain orthopaedic skills, provide sound advice of skeletal and related
conditions at primary or secondary health care level.

(D) INTEGRATION
LEARNING METHODS
Lectures, Tutorials bedside clinics and lecture cum demonstrations
Distribution of Teaching hours -
- 50 hours
- 50

Clinical postings in Orthopaedics

Total clinical Posting of 10 weeks of 180 hours
5th Semester - 4 weeks
6th Semester - 4 weeks
9th Semester - 2 weeks

Course contents and suggested lecture program of Orthopaedics (Total 100 hours)
This is suggested programme and can vary at institute
Total 100 hours of teaching has to be done in Orthopaedics including Tutorials
Details of syllabus is given separately below after distribution as per semester
6th Semester Lectures 1 to 16
Topic : General Orthopaedics
Lectures
1. Introduction and scope of Orthopaedics Traumatology and Orthopaedic Diseases. Idea about
Scheme of Examination.
2. Definition and Classification of Fracture and Dislocation Signs, symptoms and diagnosis of
sprain, contusion fracture and dislocation.
3. First aid measures in Poly-trauma patient, spinal cord Injury patients and knowledge about
various splints.
4. & 5 Principles of Management of sprain, Fracture and Dislocation with emphasis on various
aspects of closed reduction, immobilization including internal fixation and rehabilitation.
6,7,8 Complications of fracture and its management with specific reference to malunion Delayed
union, Non union, Myositis Ossificans, Sudeck‟s dystrophy, Volkman‟s ischaemia, Avascular
Necrosis, Fat embolism, secondary Osteoarthrosis and injury to Muscles, Tendon, nerve and
Blood vessels.
9. Plaster technique, plaster complications and plaster disease.
10. Fracture Healing in cortical and cancellous bones and factors affecting fracture healing.

Topic : Orthopaedic Traumatology

11. Fracture clavicle, scapula, neck humerus and shaft humours.
12. Supracondylar fracture humerus with complications.
13. Fracture Forearm bones, Monteggia and Galeassi fracture dislocations, fracture olecranon
head and neck radius.
14. Fracture scaphoid, Metacarpals and phalanges.
15. Colles fracture and Complications.
16. Dislocation (Acute and Recurrent) of shoulder and elbow.
17. Fracture of Vertebrae with complications.
18. Fracture of Pelvis with complications.
19. Fracture Neck femur and trochanteric fracture.
20. Fracture shaft femur and fractures around knee.
21. Meniscus and ligaments injury at knee.
22. Fracture Tibia-fibula, fracture in tarsals, Metatarsals and phalanges.
23. Fracture dislocation around ankle,
24. Dislocation of Hip, knee, ankle, tarsals and small bones in foot.

Topic : Orthopaedic Diseases

25,26 Congenital skeletal anomalies with emphasis on congenital Talipes Equino varus (CTEV).
27. Congenital dislocation of hip (CDH), Osteogenesis Imperfecta, spina
28. Bifida and Torticollis.
29. Ostecochondritis – various types. Post Polio Residual Palsy with stress on preventive and
rehabilitation aspect.
30. Acute Osteomyelitis.
31. Chromic Osteomyelitis.
32. Pyogenic arthritis of Hip, knee.
33,& 34. Osteo-articular Tuberculosis with special reference to Tuberculous of Hip, knee and
elbow.:-
35. Tuberculosis spine and paraplegia.
36. Fungal Infections and leprosy in Orthopaedics.
37. Cerebral palsy, Diagnosis and rehabilitation.
38. Rheumatoid arthritis.
39. Degenerative arthritis.
40. Nerve injuries and principles of management.
41. Amputation and Disarticulation – Indications methods and complications.
42. Metabolic bone disease : Rickets, Osteomalacia and Osteoporosis.
43,& 44 Tumours of bones and its classification. Benign :- Osteochondroma, Giant cell tumour
Unicameral Bone cyst, Aneurysmal cyst.
45,46 Malignant- Osteogenic sarcoma, Ewing‟s tumour, Fibrosarcoma, Chondrosarcoma,
Multiple Myeloma, Secondaries from Primary Carcinoma (Metastatic tumours)
47. Back ache,
48. Frozen shoulder, Tennis Elbow, Dequervain‟s disease, Dupuytren‟s Contracture Osgood –
Schlatter;s disease, planter fascitis.
Practical and Lecture cum Demonstration Classes, in MBBS in Orthopaedics
Once a week class for two hours in 8th/9th semester.
Topics of Demonstrations :-
1. Plaster technique and splint applications.
2. Traction application, Orthopaedic appliances demonstration, Demonstration of Physiotherapy
equipments.
3. Specimens of sequestrum and Tumours, Madura foot etc.
4. Common instruments and Implants.
5 to 7. Common X-rays of traumatology, bony infection, joint infection and tuberculosis,
Malunited Colle‟s fracture, forearm or Supracondylar Humerus fracture.
8 to 10. Chronic osteomyelitis case, knee effusion case, Non union case, Bony tumour case.

Seminar Topics :-
1. Osteomyelitis.
2. Tuberculosis.
3. Bone tumours
4. First aid and Acute trauma Life saving (ATLS) measures. Tutorial Topics :-
5. Supracondylar fracture Humerus.
6. Colle‟s fracture.
7. Fracture neck femur.
8. Spine examination, Pott‟s spine and paraplegia
9. CTEV.
10. Shoulder, Elbow and wrist examination.
11. Hip examination.
12. Knee, ankle foot examination.
13. Nerve examination and nerve injuries.
Internal assessment:
rks each
Total 100 out of 450 marks under general surgery.
 ANAESTHESIOLOGY

DEPARTMENTAL OBJECTIVES:
At the end of the training, the students should be able to:
-pulmonary resuscitation with the available resources and transfer the
patients to a bigger hospital for advanced life support.

correctly.

SKILLS:
1. Start I V line and infusion in adults, children and neonates.
2. Do venous cutdown.
3. Insert, manage a CVP line.
4. Conduct CPR (Cardiopulmonary resuscitation) and first aid in newborns, children and adults
including endotracheal intubation.
5. Perform nerve blocks like infiltration, digital and field blocks.
6. Do lumbar puncture.
7. Administer O2 by mask, catheter, and O2 tent and be able to handle O2 cylinder.

LEARNING METHODS
Lectures, Tutorials bedside clinics and lecture cum demonstrations
Distribution of Teaching hours -
Lectures - 20 hours
Tutorials and revision -
Bedside clinics - 36 hours, one clinical postings
2 weeks in Anaesthesiology
COURSE CONTENTS:
1. Cardiopulmonary resuscitation (CPR) - basic and advanced, including use of simple
ventilators.
2. Anatomy of upper airway, sites of respiratory obstruction and management of airway in an
unconscious patient.
3. Various methods of oxygen therapy and its indications.
4. The pharmacology of local anaesthetics, their use and how to perform simple nerve blocks like
- Infiltration anaesthesia, digital block, ankle block, pudendal and paracervical blocks.
5. Management of complications of regional anaesthesia. The principles of administration of
general anaesthesia.

RADIOLOGY :DIAGNOSIS & IMAGING

Goals :
-diagnostic tools.
-diagnostic Techniques to be adopted indifferent clinical situations in diagnosis of
ailments.
Objectives :
Knowledge: -
The student shall be able to
1. Understand basics of X-ray / USG production, its utility and hazards
2. Appreciate and diagnose radiological changes in diseases of Chest, Abdomen, Skeletal system,
Gastro-intestinal system, Genito-urinary System & CNS
3. Learn about various Imaging techniques like nuclear medicine, computerised tomography
(CT), Ultrasound, magnetic resonance imaging (MRI), conventional & Digital subtraction
Angiography (DSA).

Skills: -
At the end of the course the student shall be able to
1. Interpret various radiological findings and their consequences
2. Use basic protective techniques during various Imaging procedures
3. Advice appropriate Diagnostic procedures to arrive at an appropriate diagnosis.
LEARNING METHODS
Lectures, Tutorials bedside clinics and lecture cum demonstrations
Distribution of Teaching hours -
- 20 hours
and revision -
- 36 hours, one clinical postings
2 weeks in Radiology
I : BONES & JOINTS :
Congenital dislocation of hip, congenital syphilis, Achonodroplasis, Osteogenesis Imperfecta.
Infection : Osteomyelitis, Tuberculosis of Bone & Spine.
Lesions of Joints : Septic / Tuberculous Arthritis, Rheumatoid, Arthritis, Ankylosing
Spondylitis, Osteo-Arthritis, Gout.
Bone Tumours: Ewing‟s, Osteogenic Sarcoma, Giant Cell Tumour Neurofibroma.
Lymphoreticular system & Haemopoietic Disorders : Thalassaemia, Sickle Cell disease,
Lymphomas, Multiple myeloma, plasmacytoma, Haemophilia.
Metabolic & Endocrine Disorders of Bone: Rickets & Osteomalacia, Scurvy, Osteoporosis,
Acromegaly, and Hyperparathyroidism.
Skeletal trauma: General Principles.
II: Chest:
Methods of examination, Normal X-ray Chest, Bronchopulmonary Segments. Interpretation of
Abnormal Chest X-ray : Silhouette sign, Air Bronchogram,
Interstitial Shadows, Alveolar Shadows, Honeycomb Lung, Cavitations, Calcification, Hilar
Shadow, Mediastinum, Pleura.
Bronchography. Bronchogenic Carcinoma.
Miliary Shadows, Pulmonary Tuberculosis, Solitary Pulmonary Nodule, Bronchiectasis, Primary
complex.
III : CARDIO-VASCULAR SYSTEM
Normal Heart : Methods of examination. Cardiomegaly, Pericardial Effusion.
Acquired Heart Diseases: Valvular Heart Disease, Ischaemic Heart Disease. Congenital Heart
Disease.
Aortic Aneurysms, Co-arctation of Aorta.
IV : GASTRO-INTESTINAL TRACT & ABDOMEN :
Barium Examination of GI Tract. Acute Abdomen.
Oesophagus: Carcinoma, Strictures, Varices, Achalasia, and Hiatus Hernia. Stomach &
Duodenum : Ulcer disease, Malignancy.
Intestine: Intestinal Obstruction, Volvulus, Ulcerative Colitis,
Intussusceptions, Malignancy, Hirschsprung‟s Disease, Koch‟s Abdomen Diverticular
Disease, Polyp‟s.
V : HEPATO-BILARY SYSTEM, PANCREAS :
Liver : Abscess, Hepatoma, Cirrhosis, Portal Hypertension, and Spenoportography. Gall-Bladder
: Calculus Disease, Malignancy, PTC, ERCP.
Pancreas : Pancreatitis, Malignancy.
VI : URORADIOLOGY:
Method of Examination : Intravenous Urography (IVP)
Calculus Disease, PUJ Obstruction, PU Valves, Renal Artery Stenosis,
Wilm‟s Tumour, Renal Cell Carcinoma, GU Koch‟s.
VII : OBSTETRICS & GYNAECOLOGY :
Hysterosalpingography (HSG), Intra-Uterine Foetal Death, Fibroid, Ovarian
Tumours, Ultrasongraphy & Transvaginal US.
VIII: CENTRAL NERVOUS SYSTEM : Raised Intracranial Tension, Intracranial
Calcification, Head Injury, Cerebrovascular
Accident, Rind Enhancing Lesions in Brain, Spinal Neoplasms, Myelograpy.
IX: MISCELLANEOUS:
Radiation Hazards, Radiation Protection. Imaging Modalities :
USG, CT, MRI : Principles, Applications, Advantages, Limitations, Developments.
Angiography : Seldinger Technique, Conventional Angiogram, DSA, Carotid, Coronary, Renal
Angiograms, Aortogram.
Contrast Media : Barium Sulphate, Water Soluble & Oily Contrast. Interventional Radiology :
Developments, Angioplasty, Embolisation. Mammography: Principles & Applications.
Internal assessment:

Total 450 marks under general surgery.

 DENTISTRY FOR MBBS STUDENTS UNDER SURGERY
GOALS
es, the Dentition, Maxillary and
Mandibular jaws and the Diagnosis, Treatment, Prevention, Restoration and Rehabilitation of the
common dental problems
OBJECTIVES
A. KNOWLEDGE
he Oral cavity,
the Jaws and the TM joint.

B. SKILLS

Emergency management of Maxillofacial Trauma.

Learning methods
Total teaching hours: 10
Theory lectures: 10 in 7th Semester
Clinical Postings; 2weeks each in 7th semester
Internal assessment:
ing examination at the end of Posting of 50 marks out of
Total 450 marks under general surgery.
COURSE
III MBBS, 7Th SEMESTER LECTURES: 10 Hours.
1. Scope of Dentistry -Introduction of various branches of Dentistry. Basic Understanding of
Dental Epidemiology Effects of deleterious Habits on Dentition and Orofacial structures.
2. Development and Growth of Jaws & Orofacial structures. Development & Eruption of teeth,
Deciduous & Permanent. Occlusion. Preventive Care in Paediatric patients.
3. Dental Caries -Gingival & Periodontal Diseases. Developmental Anomalies. Cysts & Tumours
of Oral cavity. Neoplasms of Oral cavity. Oral Microbiology.
4. Orofacial Pain & its Management
5. Maxillofacial Trauma and Management of patient.
6. Oral Medicine Systemic diseases, the relevance of medications prescribed & their Oral
Manifestations. Infections of Orofacial structures esp. periodontal diseases & their
Manifestations in Systemic conditions. Relationship between Oral and systemic health.
Women‟s Oral health care in Reproductive phase.
7. Interdisciplinary team approach in the management of a patient in Dentistry involving
Paediatrics, Plastic surgery, ENT Surgery, Neurosurgery, Opthalmic surgery, Gen. Surgery,
Medicine, Orthopaedics, Dermatology, Endocrinology and OB-GYN.
8. Rehabilitation of lost Oral structures.
Implantology.
9. Dentofacial Deformities and Surgical corrections.
10. Biomaterials used in Dentistry.
Emerging technologies in Contemporary Dentistry. Molecular Dentistry.
Integration with anatomy, surgery,
pathology radiology and Forensic Medicine be done.
CLINICAL POSTING in DENTISTRY - 2 WEEKS
1. L.A. Administration, Techniques for different Blocks.
2. Exodontia
3. Preliminary Management of Maxillofacial Trauma
4. Pathological conditions of Oral cavity.
5. Oral and Maxillofacial Radiography & Imaging
Demonstration of Clinical Procedures in Dental Clinics.
6. Maxillo Facial Prosthodontics
SCHEME FOR FINAL MBBS EXAMINATION IN OBSTETRICS AND GYNAECOLOGY

University Examinations Scheme

Theory 2 papers of 60 marks each = 120 marks

Paper I – section A- General principles of Surgery, Oncology, head, face, neck, Breast,
Endocrine Surgery,
Section B- Trauma and Orthopedic surgery.

Paper II - Gastrointestinal Tract including colon rectum and anal canal, Liver, pancreas and
biliary tract, Spleen. Paediatric Surgery, Urology, Cardio thoracic surgery and Plastic surgery,
Dental surgery, Radiology and Radiotherapy, Anaesthesiology.

Oral (viva) = 20 marks

Clinical (Bedside) = 100 marks
Internal Assessment = 60 marks (Theory 30 Marks, Practical 30 Marks)
Grand Total = 300 marks

 These are the broad division of topics to cover the whole syllabus. There are chances of
overlapping of topics in both papers, students must be prepared accordingly. No claim of
overlapping questions shall be entertained by the university

Criteria of passing

SN Subject Theory Paper ./ Oral/ Maximum Minimum Minimum

Practical / Internal Marks in marks required to marks required
Assessment each of pass in to pass in each
the each part of any subject out of
subject subject
General a) Theory Paper I 60 150/300
Surgery Paper II 60 70
b ) Oral 20
c) Practical 100 50
d) Internal Theory 30 30
Assessment Practical 30

Passing: A candidate must obtain a minimum of 50% in Theory including oral and minimum of
50% in practical’s
 NATURE OF THEROY QUESTION PAPERS:
Pattern of Theory Examination including Distribution of Marks, Questions, Time.
Faculty with Year: MBBS Final Part-II
Subject: General Surgery
Paper: I
Total Marks: 60 Time: 3 Hours
Instructions:
1) All questions are compulsory
2) MCQ question paper should be conducted and completed in first 30 min. written question paper must
be given only after taking back the MCQ answer sheet
3) Fill (dark) the appropriate empty circle below the question number once only.
4) Use blue/black ball point pen only.
5) Each MCQ carries half mark.
6) Students will not be allotted mark if he/she overwrites strikes or put white ink on the cross once
marked on MCQ.
7) For Question no. 2, 3,4,5,6,7 time duration is 2.30 hour
8) Draw diagrams wherever necessary for Question no. 2, 3,4,5,6,7.
9) Answers of Questions and Sub questions must be written strictly according to the serial order of
question paper.
10) 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.

Question Question Description Division of Marks Total Marks

No.
1 Total MCQs : 20 20 X1/2 10
Section A
2 Long answer question three a) b) c) 3 X5 15
3 short answer questions three a) b) c) 3X3 9
4 very short answer questions six a) 6X1 6
b) c) d) e) f)
Section B
5 Long answer question two a) b) 2 X5 10
6 short answer questions two a) b) 2X3 6
7 very short answer questions four a) 4 X 1 4
b) c) d)

Faculty with Year: MBBS Final Part-II

Subject: General Surgery
Paper: II
Total Marks: 60 Time: 3 Hours
Instructions:
1) All questions are compulsory
2) MCQ question paper should be conducted and completed in first 30 min. written question paper must
be given only after taking back the MCQ answer sheet
3) Fill (dark) the appropriate empty circle below the question number once only.
4) Use blue/black ball point pen only.
5) Each MCQ carries half mark.
6) Students will not be allotted mark if he/she overwrites strikes or put white ink on the cross once
marked on MCQ.
7) For Question no. 2, 3 and 4 time duration is 2.30 hour
8) Draw diagrams wherever necessary for Question no. 2, 3 and 4.
9) Answers of Questions and Sub questions must be written strictly according to the serial order of
question paper.
10) 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.

Question No. Question Description Division of Marks Total Marks

1 Total MCQs : 20 20 X1/2 10
2 Long answer question four a) 4 X5 20
b) c) d)
3 short answer questions four a) 4X3 12
b) c) d)
4 very short answer questions 9X2 18
nine a) b) c) d) e) f) g) h)i)

PRACTICAL EXAMINATION - 100 marks

Clinical examination

o Long case I – Gen, Surgery. – 50 marks

o Short case I - Orthopaedics – 25 marks
o Short case II – Gen. Surgery -- 25 marks

Viva examination - Duration and topic distribution (Total 20 marks)

– Viva will be directed towards interpretation of investigation
At two tables, each for ten marks. Time- 10 minutes at each table
o Instruments + Operations, – 10 marks
o Surgical Pathology, Imaging sciences and Orthopaedics – 10 marks

Internal Assessment ( Formative Assessment)

Theory – 30 Practical - 30 Total 60

Internal assessment in Theory -

Examinations during semesters:
This will be carried out by conducting two theory examinations during 6th and 8rth semesters
(100 marks each).
Total of 200 marks to be converted into 15 marks.( A/15)
Prelim examination :
This shall be carried out during 9th semester. Two theory papers of 60 marks each as per
university examination Pattern
Total of 120 marks to be converted into 15 marks. ( B/15)
Total marks of Internal assessmentfor Theory will be addition of A and B.

Internal assessment in Practical

Examinations at end of Clinical postings:
There will be practical examination at the end of each clinical posting of General
Surgery. (3rd, 5th, 7th and 8th semester) Each examination will be of 50 marks. Total of 4
examinations - 200 marks.
These marks and marks from Orthopaedics 100, Radiology 50, Dentistry 50 and
Casualty 50 will be added. - Total 450 marks will be converted to 15 marks.( C/15)
Prelim examination:
This will be conducted for 120 marks as per university pattern and marks will be converted to 15
(D/15).
Total marks of Internal assessment for Practical will be addition of C and D.
Record BOOK
Case record will have to be entered in a record book.
A combined record book of General surgery, Orthopaedics, Causality, Anaesthesiology,
Dentistry and radiology will have to be maintained Minimum of five histories have to be
recorded in each posting
The certificate of satisfactory completion of all clinical posting will be required from Head Of
the department of Surgery. This will be base on multiple similar certificates from all postings in
all subjects
In addition it will have details of all marks in posting ending exam on second page and
calculation of internal assessment
Record book will not carry any marks but it will be prerequisite for Appearing for examination.
 OBSTETRICS & GYNAECOLOGY
These guidelines are based on MCI recommendations Teaching has to be done keeping in mind
the goals and objectives to be achieved by medical student
(i) GOAL
The broad goal of the teaching of undergraduate students in Obstetrics and
Gynaecology is that he/she shall acquire understanding of anatomy, physiology and
pathophysiology of the reproductive system & gain the ability to optimally manage common
conditions affecting it.
(II) OBJECTIVES;
(A) KNOWLEDGE:
At the end of the course, the student shall be able to:

common conditions affecting it.

s likely to
encounter therein,

medical termination of pregnancy, sterilization and their complications.

-menopausal and post-
menopausal periods;

implementation at various levels.

ntify common gynaecological diseases and describe principles of their management.

Section, laparotomy, abdominal and vaginal hysterectomy, Fathergill‟s operation and vacuum
aspiration for Medical Termination of Pregnancy
(MTP)
(B) SKILLS
At the end of the course, the student shall be able to :
1.Examine a pregnant woman; recognize high-risk pregnancies AND make appropriate referrals
2.conduct a normal delivery, recognize complications and provide postnatal care;
3. Resuscitate the newborn and recognize the congenital anomalies
4.advise a couple on the use of various available contraceptive devices and assist in insertion and
removal of intra-uterine contraceptive devices.
5.Perform pelvic examination, diagnose and manage common gynaecological problems
including early detection of genital malignancies;
6. Make a vaginal cytological smear, perform a post coital test and wet vaginal smear
examination for Trichomonas vaginalis, Moniliasis and gram stain for gonorrhoea;
7.interpretation of data of investigations like biochemical, histopathological, radiological
ultrasound etc.
(C) INTEGRATION
The student shall be able to integrate clinical skills with other disciplines and bring about
coordination of family welfare programme for the national goal of population control.
(D) GENERAL GUIDELINES FOR TRAINING:
1. attendance of a maternity hospital or the maternity wards of a general hospital including
(i) antenatal care the management of the puerperium and
a minimum period of 5 months in-patient and out-patient training including family welfare
planning
2. of this period of clinical instruction, not less than one month shall be spent as a resident pupil
in a maternity ward of a general hospital.
3. during this period, the student shall conduct at least 10 cases of labour under adequate
supervision and assist 10 other cases.
4. a certificate showing the number of cases of labour attended by the student in the maternity
hospital and/or patient homes respectively, shall be signed by a responsible medical officer on
the staff of the hospital and shall state:
(a) that the student has been present during the course of labour and personally conducted each
case, making the necessary abdominal and other examinations under the supervision of the
certifying officer who shall describe his official position.
(b) That satisfactory written histories of the cases conducted including wherever possible
antenatal and postnatal observations, were presented by the student and initialed by the
supervising officer
LEARNING METHODS
Lectures, Tutorials bedside clinics and lecture cum demonstrations
Distribution of Teaching hours -
- 130 hours
- 170 hours
- 468 hours

(A) DIDACTIC LECTURES

SEMESTER HOURS/WEEK TOTAL

4 1 / WEEK 17
6 3 / WEEK 48
7 3 / WEEK 48
8 1 / WEEK 17
TOTAL 130

B) CLINICAL DEMONSTRATIONS, PRACTICAL DEMONSTRATIONS, SEMINARS ETC.

SEMESTER HOURS/WEEK TOTAL
8 4 / WEEK 68
9 6 / WEEK 102
TOTAL 170

Suggested lecture program

Distribution of syllabus in respective semesters
This is suggested programme and can vary at institute
Total 300 hours of teaching has to be done in OB GY including Tutorials
Details of syllabus is given separately below after distribution as per semester

4th Semester :OBSTETRICS :

1. Applied anatomy of female genital tract.
2. Development of genital tract
3. Physiology of menstruation
4. Puberty and menopause
5. Physiology of ovulation / conception / implantation.
6. Early development of human embryo.
7. Structure, function and anomalies of placenta.
8. Physiological changes during pregnancy / diagnosis of pregnancy.
9. Antenatal care, nutrition in pregnancy, detection of high-risk pregnancy.
10. Normal labour - Physiology, mechanism, clinical course and management, pain relief in
labour.
11. Normal puerperium and breast-feeding.
12. Examination and care of newborn.
13. Contraception - Introduction and basic principles
14. Maternal mortality and morbidity, perinatal mortality and morbidity.
National health Programme - safe-motherhood, reproductive and child health, social obstetrics.

6TH Semester: GYNAECOLOGY & FAMILY PLANNING

GYNAECOLOGY
1. Development of genital tract, congenital anomalies and clinical significance,
Chromosomal abnormalities and intersex.
2. Physiology of Menstruation, Menstrual abnormalities - Amenorrhoea,Dysmenorrhea,
Abnormal Uterine Bleeding, DUB.
3. Puberty and its disorders, Adolescent Gynaecological problems.
4. Menopause & H R T.
5. Infections of genital tract, Leucorrhoea, Pruritus vulvae, Vaginitis, Cervicitis, PID, Genital
TB, Sexually transmitted infections including HIV infection.
6. Benign & Malignant tumours of the genital tract.
Leiomyoma, carcinoma cervix, carcinoma endometrium,chorio carcinoma, ovarian
tumors.Benign & Malignant Lesions of Vulva
7. Radiotherapy & Chemotherapy in Gynaecology.
8. Other gynaecological disorders - Adenomyosis, Endometriosis
9. Genital Prolapse, Genital Tract displacement,
10. Urinary disorders in Gynaecology, Perineal tears, Genital Fistulae, RVF & VVF.

FAMILY PLANNING :
-------------------------------
1. Demography and population Dynamics.
2. Contraception - Temporary methods, Permanent methods.
1. MTP Act and procedures of MTP in first & second trimester.
2. Emergency contraception. :

7TH Semester : OBSTETRICS & NEWBORN

1. Complications in early pregnancy.
Hyperemesis gravidarum / abortion / ectopic pregnancy / gestational trophoblastic
disease.
2. Obstetrical complications during pregnancy.
APH - Accidental hemorrhage. Placenta praevia.
3. Poly hydramnios / oligohydramnios, multifetal pregnancy.
4. Medical disorders in pregnancy.
Anemia, Heart disease. Hypertensive disorder, PIH and Eclampsia, Diabetes, jaundice,
pulmonary disease in pregnancy.
5. Infections in pregnancy
Urinary tract diseases, sexually transmitted infections including HIV, malaria, TORCH etc.
6. Gynaecological and surgical conditions in pregnancy.
Fibroid with pregnancy, ovarian tumours, acute abdomen, genital prolapse.
7. High risk pregnancy, pre-term labour, post term pregnancy, IUGR, IUFD, pregnancy
wastages, Rh incompatibility, post caesarean pregnancy.
8. Induction of labour.
9. Abnormal position & presentation : Occipito posterior, Breech, Transverse, Face & Brow,
Compound, Cord Presentation and prolapse.
10. Abnormal labour - abnormal uterine action, CPD.
Obstructed labour, uterine rupture.
11. Third stage complications - Retained placenta, PPH, Shock, Uterine inversion, Fluid
Embolism.
12. Puerperial Sepsis and Other Complications in puerperium.
13. Evaluation of Foetal Health during pregnancy and labour.
14. Drugs used in obstetric practice.
15. Operative procedures in Obstetrics : Caesarean Section, Instrumental
Vaginal Delivery. Forceps, Vacuum,
16. Maternal Mortality and morbidity, Perinatal mortality and morbidity. National program - safe
motherhood, reproductive and child health , Social Obstetrics.

NEW BORN :
------------------
1. Examination and care of new born & low birth weight babies.
2. Asphyxia and neonatal resuscitation.
3. Diagnosis of early neonatal problems.
4. Birth injuries, jaundice, infection.
5. Anencephaly & Hydrocephalus and other Congenital Anomalies of fetus.

8TH Semester : PREVENTIVE ONCOLOGY

1. Preventive Oncology
2. Principles of gynaecological surgical procedures
3. Pre and post operative care in Gynaecology
4. Ultrasongraphy and Radiology, in Gynaecology
5. Endoscopy in in Gynaecology
6. Drugs and hormones in Gynaecology
7. Surgical procedures in obstetrics
8. Maternal mortality
9. Perinatal mortality
10. Recurrent pregnancy wastages
11. High risk pregnancy
12. Rural obstetrics
13. Drugs in Pregnancy
14. Drugs in obstetric practice
In addition, integrated teaching with other departments like anatomy, physiology, biochemistry,
pathology, microbiology, Forensic Medicine and Preventive and Social medicine to be organized
for selected topics.

LIST OF TOPICS INTEGRATED TEACHING: 8TH TERM

1. Development of genital tract - any malformations
of genital tract and their clinical significance - Anatomy
2. Fetal physiology - fetal circulation Physiology
3. fetal malformations - genesis- Embryology
4. CIN Pathology
5. ARF Physiology Medicine
6. Coagulation failure Pathology Medicine
7. Diabetes, heart disease Medicine
8. USG Radiology
9. Infections in pregnancy Microbiology
10. Medico-legal aspects Forensic Medicine
11. Nutrition in pregnancy and lactation PSM
12. Evidence based obstetrics PSM
13. Drugs in pregnancy Pharmacology
SCHEME FOR FINAL MBBS EXAMINATION IN OBSTETRICS AND GYNAECOLOGY

University Examinations Scheme

Theory 2 papers of 40 marks each = 80 marks
Paper I - Obstetrics including social obstetrics and newborn care
Paper II - Gynaecology, Family Welfare and Demography
Oral (viva) = 20 marks
Clinical (Bedside) = 60 marks
Internal Assessment = 40 marks (Theory 20 Marks, Practical 20 Marks)
Grand Total = 200 marks

 These are the broad division of topics to cover the whole syllabus. There are chances of
overlapping of topics in both papers, students must be prepared accordingly. No claim of
overlapping questions shall be entertained by the university

Criteria of passing

SN Subject Theory Paper ./ Oral/ Maximum Minimum Minimum

Practical / Internal Marks in marks required to marks required
Assessment each of pass in to pass in each
the each part of any subject out of
subject subject
Obstetrics and a) Theory Paper I 40 50 100/200
Gynaecology Paper II 40
b ) Oral 20
c) Practical 60 30
d) Internal Theory 20 20
Assessment Practical 20

Passing: A candidate must obtain 50% in aggregate with a minimum of 50% in Theory including
oral and minimum of 50% in practical’s
 NATURE OF THEROY QUESTION PAPERS:
Pattern of Theory Examination including Distribution of Marks, Questions, Time.

Faculty with Year: MBBS Final Part-II

Subject: Obstetrics and Gynaecology
Paper: I
Total Marks: 40 Time: 2.30 Hours
Instructions:
1) All questions are compulsory
2) MCQ question paper should be conducted and completed in first 30 min. written question paper must
be given only after taking back the MCQ answer sheet
3) Fill (dark) the appropriate empty circle below the question number once only.
4) Use blue/black ball point pen only.
5) Each MCQ carries half mark.
6) Students will not be allotted mark if he/she overwrites strikes or put white ink on the cross once
marked on MCQ.
7) For Question no. 2, 3 and 4 time duration is 2 hour
8) Draw diagrams wherever necessary for Question no. 2, 3 and 4.
9) Answers of Questions and Sub questions must be written strictly according to the serial order of
question paper.
10) 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.

Question No. Question Description Division of Marks Total Marks

1 Total MCQs : 08 8 X1/2 4
2 Long answer question three a) b) c) 3 X5 15
3 short answer questions three a) b) c) 3X3 9
4 very short answer questions six a) b) c) d) e) f) 6X2 12

Faculty with Year: MBBS Final Part-II

Subject: Obstetrics and Gynaecology
Paper: II
Total Marks: 40 Time: 2.30 Hours
Instructions:
1) All questions are compulsory
2) MCQ question paper should be conducted and completed in first 30 min. written question paper must
be given only after taking back the MCQ answer sheet
3) Fill (dark) the appropriate empty circle below the question number once only.
4) Use blue/black ball point pen only.
5) Each MCQ carries half mark.
6) Students will not be allotted mark if he/she overwrites strikes or put white ink on the cross once
marked on MCQ.
7) For Question no. 2, 3 and 4 time duration is 2 hour
8) Draw diagrams wherever necessary for Question no. 2, 3 and 4.
9) Answers of Questions and Sub questions must be written strictly according to the serial order of
question paper.
10) 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.
Question No. Question Description Division of Marks Total Marks
1 Total MCQs : 08 8 X1/2 4
2 Long answer question three a) b) c) 3 X5 15
3 short answer questions three a) b) c) 3X3 9
4 very short answer questions six a) b) c) d) e) f) 6X2 12

Internal assessment: 40 ( Theory 20 +Practical 20)

Internal assessment in Theory -
Examinations during semesters: This will be carried out by conducting two theory
examinations during 6th and 8rth semesters ( 100 marks each). Total of 200 marks to be
converted into 10 marks.( A/10)
Prelim examination : This shall be carried out during 9th semester. Two theory papers of 40
marks each as per university examination. Total of 80 marks to be converted into 10 marks. (
B/10)
Total marks of internal assessment- Theory will be addition of A and B.
Internal assessment in Practical Examinations at end of Clinical postings:
There will be practical examination at the end of each clinical posting of OBGY. Each
examination will be of 50 marks. Total of all exams marks will be converted to
10 marks.( C/10)
Prelim examination:
This will be conducted for 60 marks as per university pattern and marks will be converted to 10
(D/10). Total marks of internal assessment- Practical will be addition of C and D.

Scheme Of Practical & Oral Examination For Obstetrics & Gynaecology

PRACTICAL : Total – 60 Marks
1) LONG CASE : 40 Marks
2) SHORT CASE : 10 Marks
3) FAMILY PLANNING 10 Marks
Total : 60 Marks

4) ORAL / VIVA 20 Marks

A) Obstetric Viva 10 Marks
B) Gynaecology Viva 10 Marks

Marks of VIVA will be added to Theory marks

It is mandatory to obtain 50% marks in theory+viva/oral.

INTERNSHIP PROGRAMME
Internship discipline related and curriculum in family welfare shall be according to norms laid
down by Medical Council of India