General Medicine
Theory Examination 2 Paper
1st Paper 60 Marks
2nd Paper 60 Marks
Total 120 Marks
1) Long Question (Basic & Allied) |
1 |
= 10 Marks |
2) Long Question- clinical problem |
1 out of 2 |
= 10 Marks |
3) Short Question |
5 out of 7 |
= 5 x 4 =20 Marks |
4) Short Notes |
5 out of 7 |
= 5 x 4 =20 Marks |
Total |
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= 60 Marks |
Medicine Paper I Medicine Paper II
1. Cardiology 1. Respiratory System
2. G I System 2. Endocrinology
3. Genitourinary 3. Haematology
4. Deficiency Disorder 4. Infections Including HIV
5. Tropical 5. Neurology
6. Rheumatology 6. Psychiatry
7. Genetics and Immunology 7. Dermatology and STD
Structure of Practical Examination
Total Practical Marks = 100 Marks
A. One long Case = 60 Marks B. One Short Case = 30 Marks C. 2 Spot Cases
History Taking = 15 Marks 2 Subjects to be
Demonstration = 30 Marks given
Discussion = 15 Marks 5+5 = 10 Marks
Total = 100 Marks
Structure of Oral Examination
Instrument, Flying Oral Emergency, Chest, X-ray, ECG, CT = 4 Marks x 5 = 20 Marks
General Medicine
Continuous Assessment Marks |
Final Assessment Marks |
Internal Assessment Marks |
Total (a+c) (b+d) |
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Theory/Oral (a) 15 |
Practical/Clinical (b) 15 |
Theory/Oral (c) 15 |
Practical/Clinical (d) 15 |
Theory/Oral (a+c) 15 |
Practical/Clinical (b+d) 15 |
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THE UNIVERSITY OF HEALTH SCIENCES
SUB: MEDICINE EXAMINATIONS
(SEMESTERWISE DISTRIBUTION)
THEORETICAL |
PRACTICAL |
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2nd PROFESSIONAL |
I. At the end of 5 th Semester classes |
Ward ending 3rd Semesters – 6 weeks |
II. At the end of 7th Semester classes |
Ward ending 5th Semester |
III. At the end of 9 th Semester classes |
Ward ending 6th Semester |
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3rd PROFESSIONAL |
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IV) Ward ending 7th Semester |
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V) Ward ending 8 th Semester |
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VI) Ward ending 9 th Semester |
THEORETICAL
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PRACTICAL |
DURING 9 SEMESTER |
DURING 9 SEMESTER |
FINAL UNIVERSITY EXAMINATION
3rd PROFESSIONAL PART II
THEORETICAL
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PRACTICAL |
DURING 9 SEMESTER |
DURING 9 SEMESTER |
Continuous Internal Assessment |
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Assessment Final Internal |
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Total Internal Assessment |
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Theory (a) |
Practical/Clinical (b) |
Theory (c) |
Practical/ Clinical (d) |
Theory (a)+ (c)=e |
Practical/Clinical (b)+(d) |
(e)+(f) |
15 |
15 |
15 |
15 |
30 |
30 |
60 |
Theory Paper I & II Oral Practical/Clinical
2.1/2 hr. each
60 marks Paper 20 100
CONTINUOUS INTERNAL ASSESSMENT
GENERAL MEDICINE
Name of the student___________________________________________________________
College Roll No._______ WBUHS Registration Number_________
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Attendance |
% Marks |
Lecture |
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Clinics |
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Tutorial |
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Emergency |
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Semester –4 Chest Med.-2 weeks
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Attendance |
% Marks |
Lecture |
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Clinics |
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Tutorial |
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Emergency |
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Semester -4 Skin & STD-2 weeks
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Attendance |
% Marks |
Lecture |
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Clinics |
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Tutorial |
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Emergency |
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Semester –5 General Medicine – 4 weeks
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Attendance |
% Marks |
Lecture |
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Clinics |
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Tutorial |
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Emergency |
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Semester –5 Psychitry –2 weeks
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Attendance |
% Marks |
Lecture |
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Clinics |
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Tutorial |
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Emergency |
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Semester –6 Skin & STD – 2 weeks
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Attendance |
% Marks |
Lecture |
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Clinics |
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Tutorial |
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Emergency |
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Semester- 7 General Medicine –4 weeks
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Attendance |
% Marks |
Lecture |
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Clinics |
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Tutorial |
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Emergency |
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Semester – 8 General Medicine – 6 weeks
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Attendance |
% Marks |
Lecture |
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Clinics |
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Tutorial |
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Emergency |
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Semester –8 Skin & STD –2 weeks
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Attendance |
% Marks |
Lecture |
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Clinics |
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Tutorial |
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Emergency |
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Semester –9 General Medicine –6 weeks
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Attendance |
% Marks |
Lecture |
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Clinics |
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Tutorial |
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Emergency |
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Average |
Total |
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% Attendance |
% Marks |
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Lecture |
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Theoretical= 15 |
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Non-Lecture |
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Practical=15 |
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______________________ _____________
Signature of the Principal Signature of the Head of the Dept.
THE LECTURE SCHEDULE OF M.B.B.S. STUDENTS
SUBJECT: MEDICINE
4TH & 5TH SEMESTER |
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SL.NO. |
T.B. AND RESPIRATORY DISEASES |
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1 |
Introduction: Applied Anatomy, Physiology, Pathology and Microbiology, Investigations |
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2 |
Pneumonias |
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3 |
Lung Abcess, Bronchiectasis, Empyema |
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4 |
Bronchitis, Emphysema |
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5 |
Bronchitis, Emphysema |
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6 |
Asthma, Tropical Eosinophilia, Interstitial Lung Diseases. |
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7 |
Neoplasm of Lungs And Pleura |
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8 |
Neoplasm of Lungs And Pleura |
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9 |
Diseases of Pleura, Pneumothorax, Collapse Of Lungs |
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10 |
Pulmonary TB and MDR Tuberculosis |
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11 |
Pulmonary TB and MDR Tuberculosis |
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12 |
Other Lung Diseases and ARDS |
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SKIN AND STD DISEASES |
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1 |
Introduction: Applied Anatomy, Physiology, Biochemistry, Embryology, Pathology and Microbiology. |
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2 |
Bacterial Diseases and Tropical Infections |
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3 |
Bacterial Diseases and Tropical Infections |
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4 |
T.B., Syphilis |
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5 |
Leprosy |
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6 |
Viral Skin Diseases: Herpis Simplex, Herpis Zoster, Warts, Molluscum Contagiosum, Condyloma Acuminatum, Exant Hemata |
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7 |
Parasitic Skin Diseases and Skin Diseases Due To Animal Organism: Scabies, Pediculosis, Insect Bite, Filariasis |
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8 |
Parasitic Skin Diseases and Skin Diseases Due To Animal Organism: Scabies, Pediculosis, Insect Bite, Filariasis |
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9 |
Fungal Skin Diseases: Tinea, Moniliasis, Actinomycosis, Rhinosporidosis |
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10 |
Dermatitis And Eczema, Skin Affection By Physical Agents (Heat, Light, Cold, Friction etc.) |
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11 |
Dermatitis And Eczema, Skin Affection By Physical Agents (Heat, Light, Cold, Friction etc.) |
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GENERAL MEDICINE (GASTRO-INTESTINAL SYSTEM) |
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1 |
Introduction: Applied Anatomy, Physiology, Pathology and Microbiology, Investigations |
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2 |
Diseases of mouth, oesophagus, dysphagia, hiatus hernia, pharyngeal pouch (GORD) |
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3 |
Peptic ulcer with special reference to H. pylori infection |
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4 |
Gastro-duodenal bleeding: hematemesis, malaena |
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5 |
Malabsorption syndrome |
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6 |
Inflammatory bowel disease and peritoneal disease |
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7 |
Diarrhoea, dysenteries, I.B.S. |
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8 |
Cirrhosis of liver, portal hypertension, ascites, jaundice, hepatic coma (porto-systemic encephalopathy) |
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9 |
Cirrhosis of liver, portal hypertension, ascites, jaundice, hepatic coma (porto-systemic encephalopathy) |
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10 |
Viral hepatitis, amoebic hepatitis & abscess, alcoholic liver disease |
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11 |
Viral hepatitis, amoebic hepatitis & abscess, alcoholic liver disease |
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12 |
Liver tumours, peritoneal diseases |
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13 |
Diseases of Gall Bladder and biliary tract |
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14 |
Diseases of Pancreas |
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15 |
Recent advances in Gastroenterology |
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ENDOCRINOLOGY |
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1 |
Introduction to endocrine diseases: Applied Anatomy, Physiology- hormone receptors, central control and feedback (positive and negative) |
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2 |
Hypothalamic and pituitary diseases |
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3 |
Diseases of thyroid and parathyroid including calcitonin secretion and disorder |
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4 |
Diseases of thyroid and parathyroid including calcitonin secretion and disorder |
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5 |
Disorders of sex and reproduction |
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6 |
Diseases of adrenals- cortex and medulla |
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7 |
Diseases of adrenals- cortex and medulla |
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8 |
Ectopic hormone secretion and endocrine treatment of malignancies, hormone replacement therapy. |
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9 |
Chromosomal disorders. |
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PSYCHIATRY |
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1 |
Introduction and general aspects: Epidemiology, community psychiatry, techniques of the psychiatric interview and psychiatric history taking |
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2 |
Symptomatology: Symptoms and signs of psychiatric disorders- concept of normality, identification and assessment of symptoms, subtle and gross signs of abnormal behaviour. Principles of treatment used in Psychiatry – Psychotherapy, Behaviour therapy, cognitive therapy, physical treatment including drugs, social treatment, E.C.T. psycho-surgery: “Psychiatric First Aid”. |
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3 |
-do- |
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4 |
Etiology of mental disorders- giving balanced presentation of its multifactorial causation (genetic endowment, somatic, psychological and social)- predisposing precipitating and perpetuating factors. Classification of psychiatric disorders and concept of psychosomatic diseases. |
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5 |
Organic psychiatric disorders- delirium, dementia, substance misuse (alcoholism and drug abuses). |
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6 |
Schizophrenia and delusional disorders |
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7 |
Affective disorders-depression, mania, suicide and attempted suicide (deliberate self harm) |
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8 |
Neuroses and personality disorders- anxiety and neurosis, obsessional neurosis, hysterical neurosis, hypochondriacal neurosis. |
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9 |
Reaction to severe stress- acute stress reaction and post traumatic stress disorders (PTSD), Eating disorders- anorexia nervosa, bulimia nervosa, obesity sleep disorders, insomnia, parasomnias. Sexual dysfunction and puerperal psychosis |
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10 |
Mental retardation and children’s behaviour problem |
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11 |
Community psychiatry ans psychiatric emergencies, legal aspect of psychiatry |
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12 |
Psychiatric prevention and mental health promotion and role of general practitioner. |
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6TH & 7TH SEMESTER |
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SKIN AND STD |
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1 |
Bullous dermatoses and tumours of skin |
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2 |
Diseases associated with sebaceous glands (seborrhoeic dermatitis, Acne vulgaris, Acne Rosacea, Pityriasis capititis), sweat glands, hairs and nails. |
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3 |
Cutaneous manifestations of systemic diseases and malignancy |
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4 |
Pigment disorders |
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5 |
Diseases of mucous membranes (mouth & genitalia) |
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6 |
Skin affections in Metabolic, Nutritional, Vascular and Endocrinal disorders |
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7 |
Erythamato-squamous and lichenoid eruptions- psoriasis, pityriasis rosea, exfoliating dermatitis, lichen planus and other lichenoid eruptions |
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8 |
Congenital disorders-Naevi, albinism, Ichthyosis, keratodermas, Epidermolysis bullosa |
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9 |
Pruritus |
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10 |
Principals of dermatological treatment including skin surgery and physical treatment |
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HAEMATOLOGY |
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1 |
Haemolytic Anaemia |
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2 |
Approach to a bleeding patient |
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3 |
Iron deficiency Anaemia, Macrocytic Anaemia |
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4 |
Leukaemias |
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5 |
Leukaemias |
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6 |
Lymphoma |
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7 |
Haematological manifestation of systemic disorders |
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8 |
Haematoproliferative disorder- Multiple Myeloma |
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9 |
Aplastic Anaemia |
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10 |
Transfusion Medicine |
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DISEASES OF KIDNEY, URETER AND BLADDER |
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1 |
Introduction- Pathophysiology and Investigations |
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2 |
Glomerulonephritis and acute nephritic syndrome |
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3 |
Urinary tract infection and tubulo-interstitial nephritis |
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4 |
Renal affection in systemic diseases- SLE, Vasculitis, Diabetes, systemic sclerosis, amyloidosis, multiple myeloma, haemolytic uraemic syndrome, gout, Hypertension, Renal artery stenosis, renal vein thrombosis |
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5 |
Renal affection in systemic diseases- SLE, Vasculitis, Diabetes, systemic sclerosis, amyloidosis, multiple myeloma, haemolytic uraemic syndrome, gout, Hypertension, Renal artery stenosis, renal vein thrombosis |
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6 |
Calculi and Nephrocalcinosis, Hydronephrosis, Obstructive uropathy |
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7 |
Acute renal failure |
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8 |
Dialysis |
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9 |
Nephritic syndrome |
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10 |
Chronic renal failure and fluid-electrolyte balance, Acidosis and alkalosis |
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11 |
Chronic renal failure and fluid-electrolyte balance, Acidosis and alkalosis |
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12 |
Cystic, congenital and familial diseases of kidneys |
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13 |
Drugs and kidneys |
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14 |
Tumours of the kidney and genitor-urinary tract, hypernephroma, Wilm’s tumour, renal adenoma, prostatic adenoma and Ca-prostate, testicular tumours |
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15 |
Recent advances in Nephrology |
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CARDIOVASCULAR SYSTEM |
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1 |
Introduction: Applied Anatomy, Physiology, Pathology and Microbiology, Investigations |
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2 |
Disorders of cardiac rhythm and conduction |
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3 |
Disorders of cardiac rhythm and conduction |
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4 |
Rheumatic Fever |
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5 |
Valvular heart diseases |
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6 |
Valvular heart diseases |
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7 |
Valvular heart diseases |
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8 |
Bacterial Endocarditis |
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9 |
Pericarditis and pericardial effusion |
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10 |
I.H.D. |
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11 |
I.H.D. |
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12 |
Cardimyopathy, Myocarditis |
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13 |
Hypertension |
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14 |
Heart failure |
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15 |
Cor-pulmonale |
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16 |
Congenital heart disease |
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17 |
Recent advances in Cardiology |
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METABOLIC DISEASES AND NUTRITIONAL DISEASES |
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1 |
Introduction and Nutritional Therapy |
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2 |
Diabetes Mellitus complications, C/F, etiology, management |
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3 |
Diabetes Mellitus complications, C/F, etiology, management |
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4 |
Diabetes Mellitus complications, C/F, etiology, management |
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5 |
Disorders of lipid metabolism |
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6 |
Inborn errors carbohydrate, amino acid metabolism, Lyscaemal storage disease |
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7 |
Amyloidosis and porphyria |
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8 |
Osteoporosis and osteomalacia |
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POISONING AND ADVERSE DRUG REACTIONS |
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1 |
Introduction and General Principles of management |
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2 |
corrosives- H2SO4, HCl, HNO3, Carbolic and Oxalic Acids, NaOH |
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3 |
Phosphorus, Organophosphorus & Chloride |
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4 |
Analgesics, salicylate, paracetamol, opium, inebrients, alcohol, chloroform, CH3OH |
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5 |
DHATURA, Cannabis, Vegetable irritants, aconite, Nux Vomica, Mushrooms, Argemone mexicanna poisoning |
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6 |
CO and Phosgene Gas Cyanide |
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7 |
Metallic: As, Hg, Pb, CuSO4, Al, Fe |
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8 |
Animals: Scorpion, Cantherides, Snake bites |
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9 |
Psychotropic drugs and Hypnotic |
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10 |
Adverse drug reactions- definition, classification, factors and diseases influencing drug reactions Monitoring and Reduction of adverse drug reactions |
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INTENSIVE CARE MEDICINE |
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1 |
General aspects of intensive care, O2 delivery and features of shock, C.V.P. |
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2 |
Renal, respiratory failure (ARDS), Brain death |
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8TH & 9TH SEMESTER |
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NEUROLOGY |
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1 |
Introduction: Applied Anatomy, Physiology, Pathology and Microbiology, Investigations |
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2 |
Disorders affecting cranial nerves |
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3 |
Coma and brain death |
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4 |
Epilepsy and brain tumours |
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5 |
Cerebro-vascular diseases |
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6 |
Movement disorders- Parkinsonism and other disorders affecting the extra-pyramidal system |
|
7 |
Demyelinating diseases and disorders to sleep |
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8 |
Infection of nervous system (Poliomyelitis, Pyogenic Meningitis, T.B. Meningitis, fungal and other viral affection including encephalitis), Syphilis of nervous system |
|
9 |
Paraplegia and other disorders of spinal cord |
|
10 |
Peripheral neuropathies |
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11 |
Degenerative disorders-M.N.D. hereditary ataxias |
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12 |
Myopathies, myasthenia, paramalignant neurological syndrome |
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13 |
Cervical spondilosis and disc. Syndrome |
|
14 |
Recent advances in Neurology |
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RHEUMATOLOGY, CONNECTIVE TISSUE AND COLLAGEN DISEASES. |
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1 |
Introduction-anatomy, physiology and pathology (typical synovial joint description) Investigation |
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2 |
Osteoarthrosis and spondylo-arthopathies - ankylosing spondylitis, Reiter’s syndrome, reactive arthritis, enteropathic synovitis, juvenile chronic arthritis (Still’s juvenile R.A. Juvenile ankylosing spondylitis). |
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3 |
Infective arthritis – pyogenic, T.B. ,VIRAL |
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4 |
Rheumatoid arthritis |
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5 |
Crystal deposition diseases - Gout, pyrophosphate arthropathy acute calcific periarthritis. |
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6 |
Connective tissue diseases - S.L.E., systematic sclerosis (morphea CREST syndrome polymyositis dermetomyositis, MCTD & vasculitis (PAN, polymyaligia imatica & Giant cell arteritis) |
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7 |
Back pain & disc diseases (acute & chronic) |
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8 |
Recent advances |
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INFECTIONS AND TROPICAL DISEASES |
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1 |
Measles, Mumps |
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2 |
Dengue, Diphtheria |
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3 |
Chicken Pox, Herpes |
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4 |
Small Pox, Plague, Anthrax |
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5 |
Whooping cough , Influenza |
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6 |
Tetanus, Rabies |
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7 |
Typhoid, Typhus |
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8 |
Cholera & Dysenteries and fluid and electrolyte balance |
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9 |
Malaria |
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10 |
Kala-azar |
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SKIN AND STD |
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1 |
Discoid lupus , PAN |
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2 |
Chancroid, Granuloma venereuma, lymphogranuloma venrereum |
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3 |
Gonorrhoea, Chlamydia and other causes of urethritis |
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4 |
Sexually transmitted viral disease. |
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5 |
STD control measures and aids prevention. |
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GENERAL MEDICINE |
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1 |
STD/HIV interface ; AIDS and related disorders-definition, etiology laboratory diagnosis, Immunology |
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2 |
Clinical features of HIV infections and complications, treatment of HIV |
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MEDICINE
Full Marks -60
The figures in the margin indicate full marks.
Candidates are required to give their answers in their own words as far as practicable.
1. Enumerate the causes of irregular pulse. Discuss the etiology & management of Atrial fibrillation. 2+2+6 = 10
Or
1. (a) Outline the etiology, clinical features & management of Infective endocarditis. 2+4+4 = 10
2. Enumerate four common causes of haematemesis and malaena. How would you manage a case of haematemesis and malaena ? 3+7= 10
Or
2. (a) Enumerate the different viruses causing hepatitis. What are the complication of vital hepatitis? How would you prevent Hepatitis 'BI infection? 3+3+4 = 10
3. How do you proceed to diagnose a case of Polyarthritis? 10
Or
3. (a) Describe the clinical features of a case of acute falciparum malaria 10
4. Answer any three (3 x 5) = 15
i. Thrombolytic therapy in AMI
ii. Diagnostic criteria of SLE.
iii. Bone changes in Chronic renal failure.
iv. Features of Vit B12 deficiency.
v. Laboratory Diagnosis of Chronic Kala-azar.
5. Answer any three (Short notes) (3 x 5) = 15
i. Cyanosis
ii. G6PDdeficiency.
iii. Granular Cast.
iv. Acute gastroenteritis-treatment.
v. Gene therapy.
Paper -II
Full Marks -60
The figures in the margin indicate full marks.
Candidates are required to give their answers in their own words as far as practicable.
1. What are the causes of unilateral dullnes of the chest? How will you proceed to investigate a case of left sided pleural effusion? 3+7 = 10
Or
1 (a) Discuss the causes of hyperresonant percussion note on chest?
Outline the management of acute exacerbation of COPD? 3+7 = 10
2. What are the causes of acute onset paraplegia? Discuss the clinical features of a case of Pott's disease of the spine producing paraplegia. 3+ 7 = 10
Or
2 (a) Outline the clinical features and management of Diabetic ketoacidosis. 4+6 = 10
3. Mention the causes of Haemolytic anaemia. Out line the management of Aplastic anaemia. 4+6 = 10
Or
3 (a) Discuss the clinical features and management of a case of Myxoedema. 6+4 = 10
4. Answer any three (3 x 5)=15.
i. Common AIDS defining conditions
ii. Complications of Fauceal diptheria.
iii. Depression management.
iv. Clinical features of Hypoglycemia.
v. Role of CSF examination in medical disorders.
5. Short notes (any three) (3 x 5) = 15
i. Psoriasis.
ii. Hyperkalaemia.
iii. Stevens Johnson Syndrome.
iv. Oedema of lower limbs.
v. Chorea.
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