MBBS

Curriculum
Year - I
(2019-2020)

National University of Medical Sciences

Pakistan
INTRODUCTION
a. Preamble
Integration has been accepted as an important educational strategy in medical education. The
recently revised standards by the Pakistan Medical and Dental Council (PM&DC) encourages
integration of major subjects both horizontally and longitudinally. This curriculum meets the
standards of Pakistan Medical and Dental Council and our students, on completion of
program will develop required competencies as defined worldwide in a graduate doctor.
MBBS Years I & II will deal with the normal structure, function and biochemical aspects of
human body which is delivered in an integrated manner in clinical context. Early Clinical
Exposure will be ensured by interspersed sessions throughout the curriculum, wherein the
students will learn via discussing real life scenarios which they will encounter in clinical
settings. This curriculum also aims to improve different skills of the future doctors including
communication, leadership & management and research skills and inculcate ethical values
and professionalism
This curriculum has been developed by the faculty of basic and clinical sciences from
constituent/affiliated colleges in collaboration with NUMS Academic Directorate

b. Curriculum perspective
NUMS curriculum is evolved taking into consideration Constructivist, Cognitivist, behaviorist
with some element of Constructivist approach. It allows students to construct their own
knowledge based on what they already know and to use that knowledge in purposeful
activities requiring decision making, problem solving, and judgments.
c. Level of integration: The `complementary' approach which is both subject-based and
integrated teaching will be used. The integrated sessions will represent a major feature of the
curriculum
d. Competencies The focus of this curriculum is on the roles of a general physician as identified
in the can MEDS. These are Medical Expert, Manager, Communicator, Health Advocate,
Collaborator, Professional and Scholar. Competencies focused in year I and II are: -
1) Medical Knowledge
2) Problem solving
3) Procedural skills
4) Communication skills
5) Empathy
6) Professionalism
7) Leadership and Management skills
8) Research skills
 e. Outcomes
By the end of first year, students should be able to:
1) Correlate the developmental and anatomical knowledge of cell, hematology, immunology,
nerve, muscle, bone, cardiovascular and respiratory systems to their physiological and
biochemical basis.
2) Perform basic examination skills related to basic concepts addressed
3) Critique the value of historical development of medicine.
4) Apply the fundamental concepts and methods of communication.
5) Develop concept of leadership, team work and collegiality.
6) Discuss multiple perspectives of ethics, Islamic and Pakistan studies
7) Discuss the basic principles of research

f. Academic calendar Year I

YEAR ONE
BLOCK I 2 BLOCK II 2 BLOCK III 2
12+2=14 weeks w 8+2=10 weeks w 8+2=10 weeks W
2 2 wks 4 wks 4 wks 8 weeks 8 weeks
weeks
Founda Cell Nerve Hemat Cardiovascular Resp and High Altitude
tion & ology
Module Muscle & E E E
Immu O O O
nology B B B
Protein Lipids

Locomotor I Thorax Locomotor II

Longitudinal Themes – Behavioral Sciences & Professionalism(Communication skills, Leadership &

Management, Ethics and Professionalism), Research Methodology & Evidence Based Medicine
g. Proposed Contact Hours Distribution Year-I

SUBJECTS FIRST
YEAR
Anatomy 250
 Embryology
 Histology
 Gross Anatomy
 General Anatomy
Physiology 225
Biochemistry 125
Medicine & Allied 25
Surgery & Allied 25
Behavioral Sciences &Professionalism 30
Research Methodology 10
Islamiyat 15
Pakistan Studies 15
Self-Directed Learning 100
Co-curricular activities 40
TOTAL HOURS 860

h. Educational Strategies
1) Lectures
2) Small group discussion
3) Lab practical
4) Skill lab
5) Problem based learning/ Case based learning
6) Tutorials

i. Resources. To be filled in by the institute

1) Faculty
2) Facilities
3) Administration for Course
4) Administrative structure
5) Communication with students

j. Internal Assessment
Students will be assessed at the end of each block. The weighting of internal assessment is 10
% in 1st professional MBBS Examination. There will be three end of blocks and one pre -
annual examination. The scores of tests of each end block assessment and pre-annual
examination will be used for calculation of the internal assessment.

k. Annual Professional Examination.

The University will take the first professional Examination as per PM&DC guidelines at the end
of the academic year. Annual Theory & Practical Examination will be of 200 marks for
Anatomy, Physiology, Biochemistry and 100 marks theory paper of Islamiat & Pakistan
Studies. The passing score is 50% in theory and practical separately.

l. Evaluation of the Course. To be filled in by the institute

 BLOCK-I
1. Foundation module
2. Cell
3. Nerve and muscle
4. Hematology and immunology
5. Locomotor I
6. Proteins
1. Introduction:
This block comprises of following modules:
a. Foundation module (2 weeks)
b. Cell (2 weeks)
c. Nerve and muscle (4 weeks)
d. Hematology & Immunology (4 weeks)
e. Locomotor I (Throughout the block)
f. Proteins (Throughout the block)

a. Foundation module (2 weeks)

This module focuses on orientation of students to disciplines to be taught in years I & II
along with their grooming through basic themes of Behavioral Sciences & Professionalism
b. Cell (2 weeks)
This module introduces the student to the basic structure and functioning of the cell and
molecules and how dysfunctions in these molecules can lead to disease. The research
methodology, Behavioral Sciences & Professionalism will be taught as a part of the
longitudinal theme.
Learning Outcomes
At the end of this module, student will be able to:
 Relate the embryological and histomorphological knowledge of cell with their function
 Apply principles of biochemical techniques to explore cell, its organelles and functions.
 Apply the general anatomical terms for describing the structure and function of
different regions of gross anatomy
 Evaluate the levels of human body organization along with the control systems
contributing to homeostasis.
c. Nerve and muscle (4 weeks)
This module includes basic structure and functioning of the nerve and muscles and how
their dysfunctions can lead to disease. Along with this, biochemical aspect of mineral and
trace elements and enzymology are also a part of this module. The research methodology,
Behavioral Sciences & Professionalism will be taught as a part of the longitudinal theme
Learning Outcomes:
At the end of this module, student will be able to:
 Relate the knowledge of the microstructure and function of various types of muscle
with their outcomes that result from altered structure
 Appraise the embryological basis of common congenital anomalies related with
ovulation, fertilization, cleavage, implantation, development of bilaminar germ disc.
 Correlate the knowledge of gross anatomy of axilla, arm and forearm with common
clinical presentations.
 Relate the biochemical importance of mineral & trace element and enzymes for
understanding their related disorders

d. Hematology & Immunology (4 weeks)

This module introduces the student to the connective tissue, cartilage and bones with
their function along with physiological imbalances occurring due to deficiencies in
contents, functions & features of blood. Biochemical importance of plasma proteins and
haemoglobin for understanding its related disorders is also taught in this module. The
 research methodology, Behavioral Sciences & Professionalism will be taught as a part of
the longitudinal theme.

Learning Outcomes:
At the end of this module, student will be able to:
 Correlate knowledge of the microstructure of various types of connective tissue,
cartilage and bones with their function and to comprehend the outcomes that result
from altered structure.
 Appraise the embryological basis of common congenital anomalies related with
trilaminar germ disc.
 Apply the general concept map of the topographic anatomy of joints with relevant
presentations encountered in clinical practice.
 Correlate the knowledge of gross anatomy of wrist and hand with common clinical
presentations.
 Appraise any physiological imbalances occurring due to deficiencies in contents,
functions & features of blood
 Apply the understanding of plasma proteins and haemoglobin to its related disorders

e. Locomotor I (Throughout the block)

The locomotor system is responsible for locomotion, support and protection to the
human body. This system consists of osteology (the study of bones), arthrology (the study
of joints), and myology (the study of muscles) of upper limb

f. Proteins (Throughout the block). Proteins chemistry and metabolism is very important for
understanding different metabolic disorders so this topic will be taught longitudinally
throughout the module wherever required. At the end of this module, student will be able
to apply the biochemical knowledge of proteins and amino acid for understanding their
related disorders

2. Duration:
Total duration of the block is 14 weeks. 12 weeks are for teaching and learning and 2 weeks
are for end block assessment
 FOUNDATION MODULE
ANATOMY
Assessment
Learning Instructional
S.No Topic/ Theme Learning outcomes tool
Objectives/Contents strategies
1 Introduction Comprehend the basic Learning Lecture
concepts of sub- Objectives/Contents
disciplines of Anatomy
PHYSIOLOGY

Learning Instructional Assessment

S.No Topic/ Theme Learning outcomes
Objectives/Contents strategies tool
1 Introduction Comprehend the basic Lecture
concepts of Physiology
BIOCHEMISTRY

Learning Instructional Assessment

S.No Topic/ Theme Learning outcomes
Objectives/Contents strategies tool
1 Introduction Comprehend the basic Lecture
concepts of biochemistry
 CELL
ANATOMY

Learning Instructional Assessment

S.No Topic/ Theme Learning outcomes
Objectives/Contents strategies tool
1 Cell Apply the information  Identify and LGIS/ SGD/ CBL/ MCQs/
obtained regarding illustrate parts of Practical SEQs/SAQs/
methods of tissue microscope OSPE/VIVA
preparation, staining  Explain the working
and various parts of of microscope with
the microscope to focusing of slides at
understand the different
microanatomy of magnifications
different types of  Enumerate various
cells, tissues and components of a
organs and correlate typical animal cell
their structure with  Explain the steps in
their function standard
hematoxylin and
eosin stain for
paraffin sections
 Define
cytoskeleton and
enlist its
components.
 Describe the
structure and
function of the
components of
cytoskeleton.
 Enlist local
specializations of
cell membrane at
various domains of
the cell.
 Explain the various
types of cell
junctions along
with locations of
these in various
tissues of the body.
2 Epithelium Correlate knowledge  Define epithelium LGIS/ SGD/ CBL/ MCQs/
of the microstructure and Classify Practical SEQs/SAQs/
of various types of surface epithelium OSPE/VIVA
epithelia with their on the basis of the
function and to cell shape, number
comprehend the of layers.
 outcomes that result  Classify Glandular
from altered epithelium with
structure. examples.
 Define simple and
stratified
epithelium and
enlist and explain
its various types
with examples of
each.
 Define polarity
and Enlist the
domains related to
different surfaces
of the epithelial
cell
 Summarize the
structural
modifications of
apical, lateral and
basal domains of
the cell.
 Explain metaplasia
and its clinical
importance.
 Identify the
histological
features of
different types of
epithelia on
microscope with
two identification
points of each.
 Compare the
histological
features of serous
and mucus acini
under the
microscope.
 Illustrate different
types of exocrine
glands.
3 Gametogenesis Apply the knowledge  Explain the LGIS/ SGD/ CBL/ MCQs/
of steps and phases of sequence of events Practical SEQs/SAQs/
gametogenesis to of mitosis and OSPE/VIVA
explain the numerical meiosis with the
and structural help of illustrations
chromosomal and models.
abnormalities that  Define the
 result from following terms:
aberrations in this  Haploid
process.  Diploid
 Mosaicism
 Describe the
numerical and
structural
abnormalities in
chromosomes like
 Euploid
 Aneuploid
 Trisomy
 Nondisjunction
 Translocation
 Describe the
morphological
changes during the
maturation of
gametes that occur
during:
 Oogenesis
 Spermatogene
sis
 Define terms like
azospermia,
oligospermia
4 Introduction of Apply the general  Define and LGIS/ SGD/ CBL/ MCQs/
General anatomical terms for demonstrate the Practical SEQs/SAQs/
Anatomy describing the anatomical OSPE/VIVA
structure and function position.
of different regions of  Describe the planes
gross anatomy of the body.
 Define the terms of
Apply the general position,
concept map of the movement and
topographic anatomy laterality.
of bone with relevant  Describe the types
of bones.
presentations
 Classify the bones
encountered in clinical
on the basis of:
practice.  Development
 Region
 Size and shape
 Markings on
the bone
 Describe the gross
features of an adult
typical long bone
 Define
 osteogenesis and
describe the steps
of
intramembranous
and intrachondral
ossification.
 Describe bone
growth and
remodeling.
 Describe the blood
supply of long
bones,
 Enumerate the
various types of
cartilage.
 Appraise the
general structure
and distribution of
each type.
5 Scapula  Correlate the Knowledge: SGD/CBL MCQs/
Shoulder Region knowledge of gross  Identify important SEQs/SAQs/
Breast Clavicle anatomy of scapular bony land marks of OSPE/VIVA
Scapula
region with common
 Describe the
clinical
attachment of
presentations. muscles&
 Correlate the ligaments of
knowledge of the Scapula
pectoral region  Identify important
bony land marks of
Clavicle
 Describe the
attachments of
muscles and
ligaments of
clavicle.
 Comprehend the
structure of breast
tissue
 Justify the
importance of
fibrous septa
 Describe its blood
supply and venous
drainage
 Explain lymphatic
drainage of four
quadrants of breast
 Justify the
 importance of
sentinel lymph
node
 Define
supernumerary
and retracted
nipples
 Enlist the muscles
connecting the
upper limb to
thoracic wall
 Enlist the muscles
connecting the
scapula to humerus
 Tabulate origin
insertion, nerve
and blood supply
of these muscles
 Identify the
boundaries and
contents of
quadrangular and
triangular spaces
 Comprehend the
arteries and nerves
present in this
region
 Describe
formation,
ligaments,
articulation, blood
supply and nerve
supply of shoulder
joint
 Discuss injury and
dislocation of these
joints
 Describe the
Dislocation of
shoulder joint
 Explain Rotator
Cuff & enumerate
the injuries to it.
 Discuss rotator cuff
tendinitis
 Describe rupture of
supraspinatus
tendon
 Discuss dislocation
 of shoulder joint
 Discuss shoulder
pain Frozen
shoulder
 Identify the
muscles of this
region on
prosected
specimen and
models.
 Identify the
ligaments and
rotator cuff
muscles on the
shoulder joint
model.
Skill:
 Demonstrate
movements of
shoulder joint
Dissection:
• Perform dissection
to identify main
muscles of scapular
region along with
their nerve supply
PHYSIOLOGY

Learning Instructional Assessment

S.No Topic/ Theme Learning outcomes
Objectives/Contents strategies tool
1. Homeostasis Appraise functional • Recognize the  Lectures  MCQ
Organization of the interplay of various  SGD  SAQ/SEQ
Human Body and organ systems in  CBL  Structured
Control of the maintaining viva
"Internal Environment" homeostasis.
• Identify the role of
feedback
mechanisms
(positive, negative,
feed forward) in
maintaining
'internal milieu'.
 Differentiate
between
composition of
intracellular and
extra cellular fluid
2. Cell Physiology Relate the structure of • Revisit the structure  Lectures  MCQ
cell and its various and function of the  SGD  SAQ/SEQ
components to cell and its  CBL  Structured
metabolic processes, organelles (cell viva
genetic control and Membrane,
locomotion cytoplasmic
organelles, nuclear
membrane, nuclear
organelles)
• Distinguish various
ways of food
processing within a
cell (ingestion,
digestion, synthesis,
extraction of energy
from nutrients)
• Recall movements
of cells (amoeboid,
ciliary, flagellated)
• Explain the process
of protein synthesis
(transcription and
translation)
• Classify various
 modes of transport
of substances
across the cell-
membrane
• Compare and
contrast modes of
transport of
substances across
the cell-membrane
with examples
(osmosis, diffusion,
facilitated diffusion,
primary active
transport,
secondary active
transport)
BIOCHEMISTRY

Learning Instructional Assessment

S.No Topic/ Theme Learning outcomes
Objectives/Contents strategies tool
1. Cell List various  Explain Cell  Lectures  MCQ
Biomolecules Biochemistry.  SGD  SAQ/SEQ
 Elaborate various  CBL  Structured
Biomolecules viva
Differentiate between  Enumerate and
Cell Organelles, their describe various
structure, biochemical Cell Organelles in
functions and detail (Nucleus,
associated disorders Mitochondria,
Ribosomes, Golgi
Apparatus,
Endoplasmic
Reticulum,
Lysosomes and
Peroxisomes)
 Elaborate genetic
control of cellular
functions with
help of a
diagram.
 Outline the role
of various cell
Organelles in
various cellular
metabolisms.
List various Cytology Comprehend various
techniques for study Cytology techniques
of a cell for study of a cell
Discuss the chemical Draw and explain the
composition of a cell chemical composition
membrane and its of a cell membrane
significance regarding and describe its
a particular cellular significance regarding
environment. a particular cellular
environment.
Relate the concept of  Describe the
chemistry and role of chemistry of cell
signal transduction in signaling
health and disease mechanism and
 enlist the various
receptors involved
in it accordingly
 Elaborate the role
of signal
transduction in
health and disease
 Describe various
membrane
transport
mechanisms
 Tabulate various
types of transports
across the cell
membrane i.e.
active transport,
passive transport,
simple diffusion
and facilitated
diffusion with one
example
MEDICINE
Learning Instructional Assessment
S.No Topic/ Theme Learning outcomes
Objectives/Contents strategies tool
1 Pathogenesis of Correlate the normal 1. Describe effects of LGIS MCQ
cancer and abnormal cell abnormal cell
growth growth
2. Enumerate various
predisposing
factors in
pathogenesis of
carcinoma

SURGERY
Learning Instructional Assessment
S.No Topic/ Theme Learning outcomes
Objectives/Contents strategies tool
1 Cell Recognize the effects Identify physical LGIS MCQ
of radiotherapy and effects of radiation
chemotherapy on and chemotherapy on
different components cell
of cell.
 NERVE AND MUSCLE
ANATOMY

Learning Instructional Assessment

S.No Topic/ Theme Learning outcomes
Objectives/Contents strategies tool
1 MUSCLE Correlate knowledge Knowledge: LGIS/ SGD/ MCQs/
of the microstructure • Classify the CBL/ Practical SEQs/SAQs/
of various types of muscular tissue OSPE/VIVA
based on light and
muscle with their
electron
function and to microscopic
comprehend the structure.
outcomes that result • Identify the
from altered structure histological
structure of
different types of
muscle under the
light microscope
with two
identification
points of each.
2 Fertilization, Appraise the Knowledge LGIS/ SGD/ CBL/ MCQs/
First & second embryological basis of • Describe the Practical SEQs/SAQs/
weeks of common congenital menstrual and OSPE/VIVA
Development ovarian cycles.
anomalies related
• Define
with ovulation, fertilization.
fertilization, cleavage, Describe and
implantation, Illustrate the
development of steps, and
bilaminar germ disc. outcomes of
fertilization
• Describe the
process of
implantation.
• Define the
following:
 Cleavage
 Morula
 Blastula
• Describe the
sequential phases
of human
development
during second
week
• Explain why the
 second week is
known as “week
of two’s”
• Enlist the sites of
abnormal
implantation and
describe their
clinical
significance.
• Identify the
various phases of
development on
the given model.
3 Muscle Apply the general Knowledge: LGIS/SGD/CBL/P MCQ/SAQ/S
concept map of the • Describe the ractical EQ/OSPE/VI
topographic anatomy various types of VA
muscles.
of muscle and
• Explain the salient
components of features of red,
nervous system with white and
relevant presentations intermediate
encountered in clinical muscles
practice. • Enumerate the
types of
connective tissue
associated with
muscles
• Classify skeletal
muscles on the
basis of:
 Shape and
fiber
architecture
 Group action
• Describe the
blood supply and
nerve supply of
skeletal muscle.
• Describe the
organization of
nervous system.
• Enumerate
components of
central and
peripheral
nervous system
& describe their
general features
• Define nerves
and illustrate the
 salient features
of spinal nerves.
• Define:
Dermatomes,
Receptors and
effectors
• Classify receptors
• Describe the
functional
classification of
peripheral nerve
fibers.
4 Axilla, Arm & Correlate the Knowledge: SGD/CBL MCQs/
Forearm knowledge of gross • Describe the SEQs/SAQs/
anatomy of axilla, arm boundaries & OSPE/VIVA
contents of Axilla
and forearm with
• • Appraise the
common clinical relations of cords
presentations. of brachial plexus
• Identify
important bony
land marks of
humerus, radius
&ulna.
• Describe the
attachments of
muscles &
ligaments of
humerus, radius
and Ulna
• Identify the
common sites of
fractures of
humerus, radius
& Ulna.
• Appraise the
structures
present in the
anterior and
posterior
compartments of
arm
• Tabulate origin &
insertion of
muscles of
anterior and
posterior
compartments of
arm
• Comprehend the
 neurovascular
structures of
these
compartments
• Describe the
type, capsule and
ligaments of
elbow, superior
and inferior
radio-ulnar joints
• Appraise the
movements of
these joints with
muscles
performing these
movements
• Describe the
blood supply and
nerve supply of
elbow joint
• Describe the
anatomical
significance of
carrying angle
• Discuss
dislocation and
clinical
correlation of
these joints
• Enlist the
boundaries and
contents of
cubital fossa
• Justify the clinical
importance 0f
veins present in
cubital fossa
• Enlist contents of
anterior lateral
and posterior
fascial
compartments of
forearm
• Trace the course
of nerves and
arteries present
in this region
• Enlist the
boundaries of
anatomical snuff
 box and bony
landmarks in its
floor
• Describe the
attachments and
relations of flexor
and extensor
retinacula
Skill:
• Demonstrate the
structures on the
prosected
specimen and
models of axilla
• Identify the
structures present
in the models and
prosected
specimen of arm
and forearm.
• Perform
movements at
elbow joint
• Identify the bones
and ligaments
forming the elbow
joint
• Mark the
boundaries and
contents of cubital
fossa on a model.
PHYSIOLOGY

Learning Instructional Assessment

S.No Topic/ Theme Learning outcomes
Objectives/Contents strategies tool
1. Membrane Differentiate various  Appraise basis of  Lectures  MCQ
Potentials and types and phases of development of  SGD  SAQ/SEQ
Action action potentials on membrane potential  CBL  Structured
Potentials
the basis of nerve across excitable viva
morphology, membrane.
concentration of ions  Recognize Nernst
in body fluid potential and its
compartments and importance in
clinical significance. generation of
membrane
potential.
 Identify various
factors/mechanisms
responsible for the
genesis of
membrane potential
(role of channels,
carrier proteins,
stimuli).
 Illustrate different
phases of action
potential
mentioning details
of ionic changes
occurring during
each phase of action
potential.
 Distinguish types
and importance of
refractory period.
 Differentiate
between myelinated
and non-myelinated
nerve fibers based
on their structure
and characteristics.
 Elucidate structural
and functional
changes taking place
in nerve fibers after
injury.
2. Excitation Correlate the  Tabulate  Lectures  MCQ
contraction physiological macroscopic,  SGD  SAQ/SEQ
coupling and NMJ mechanism of microscopic,  CBL  Structured
Neuromuscular, functional viva
Transmission and differences of
Excitation-Contraction various types of
Coupling with various muscles.
neuromuscular diseases.  Illustrate
neuromuscular
junction, sequence
of events taking
place during
neuromuscular
transmission and
factors affecting this
process.
 Explain the
physiological
importance of a
motor unit
 Describe the ionic
and chemical basis
of muscle
contraction.
 Explain the energy
expenditure during
muscle contraction.
 Distinguish between
phases of muscle
contraction in
detail.
 Relate the
pathophysiology of
neuromuscular
transmission/
muscle contraction
to various clinical
presentations
(tetanus, rigor
mortis, tetanization,
contracture
remainder,
myasthenia gravis,
drugs acting on
NMJ)
  Differentiate
between isometric
and isotonic
contraction.
3. Excitation and Appreciate Describe the role of  Lectures  MCQ
characteristics of SER in smooth muscle
Contraction  SGD  SAQ/SEQ
smooth muscle contraction.
of Smooth  CBL  Structured
contraction with their
Muscle
physiological viva
significance.
BIOCHEMISTRY

Learning Instructional Assessment

S.No Topic/ Theme Learning outcomes
Objectives/Contents strategies tool
1. Mineral & Trace Apply the basic  Classify minerals  Lectures MCQ/
Elements knowledge of  Write down the  SGD SAQ/SEQ
minerals for sources,  CBL/PBL
understanding their biochemical role
related disorders and related
diseases of Macro
minerals (Na, K,
Ca, Cl, PO4) in
human body
 Write down the
sources,
biochemical role
and related
diseases of Micro
minerals (Fe, Zn,
Mg, Se, I, Cu, Cr,
Cd, Mn)
2. Enzyme Elaborate the  Define Enzymes  Lectures  MCQ/
biochemical and classify them  SGD  SAQ/SEQ
importance of on basis of their  CBL/PBL
enzymes, coenzymes, mechanism of
co-factors, and actions.
isoenzymes as well as  Explain
their role in various coenzymes, co-
clinical conditions factors, and
isoenzymes with
their biochemical
importance.
 Write down the
mechanism of
catalysis of
enzymes.
 Describe the
Factors affecting
enzymes activity.
 Define Michaelis-
Menten equation
& Lineweaver-
Burk plot and its
 application in
enzyme kinetics
(no derivation of
equations).
 Compare &
contrast different
types of enzyme
inhibitions with
examples &
biomedical
importance.
 Explain regulatory
enzymes
3. Justify the use of  Introduction to use Practical OSPE
different glassware of Glassware
 Introduction to use
and instruments along
of Laboratory
with identification Equipment
 Spectronic 20
 Microlab
 Incubator
 Water Bath
 Hot Oven
 Centrifuge
Machine
 Electronic
Balance
 pH Meter
MEDICINE
Learning Instructional Assessment
S.No Topic/ Theme Learning outcomes
Objectives/Contents strategies tool
1. Myasthenia 1. Diagnose a case of 1. Describe effects of LGIS MCQ
gravis MG by its clinical abnormal cell
features growth
2. Discuss its 2. Enumerate various
pathophysiology predisposing
3. Plan treatment factors in
strategy pathogenesis of
carcinoma

2. Drugs acting on Enumerate various 1. List various drugs

Neuromuscular drugs (stimulants and (stimulants and
junctions blockers) acting on blockers)
NMJ and their clinical 2. Discuss their
importance action on NMJ and
their clinical
importance
SURGERY
Learning Instructional Assessment
S.No Topic/ Theme Learning outcomes
Objectives/Contents strategies tool
1. Nerve & Develop an  Identify peripheral LGIS MCQ
Muscle understanding of nerve injuries and
effects of different repair of upper
types of nerve injuries limb
and compressions at  Recognize injuries
different levels of to brachial plexus,
upper limb its effects,
 Explain nerve
compressions
syndrome
 Identify effects
and causes of
muscle injuries
sprains, wasting,
frozen shoulder
 HEMATOLOGY AND IMMUNOLOGY
ANATOMY

Learning Instructional Assessment

S.No Topic/ Theme Learning outcomes
Objectives/Contents strategies tool
1. Connective Correlate knowledge of Knowledge: LGIS/ SGD/ CBL/ MCQs/
tissue the microstructure of • Enlist the Practical SEQs/SAQs/
Cartilage& various types of components of OSPE/VIVA
bone connective tissue
connective tissue,
and describe its
cartilage and bones with cells & matrix.
their function and to • Classify
comprehend the connective tissue
outcomes that result • Describe the
from altered structure. characteristic
features of each
type
• Explain the role of
fibroblasts in
wound
contraction
• Describe the role
of collagen in
keloid and
hypertrophic scar
• Illustrate the
types of
connective tissue.
• Differentiate in
tabulated form
the types of
cartilage with
reference to
composition,
arrangement of
chondrocyte,
interstitial matrix,
calcification etc.
Skill:
• Identify different
types of cartilage
under the
microscope with
two identification
points of each.
Knowledge:
• Describe the
 origin, histological
structure and
functions of the
following:
 Osteoprogeni
tor cells
 Osteoblasts
 Osteocytes
 Osteoclasts
• Define
periosteum and
endosteum
• Explain the
macroscopic
structure of bone.
• Differentiate
between primary
and secondary
bone.
• Describe the
characteristic
histological
features of
osteon
• Define
ossification and
Differentiate
between
intramembranous
and
endochondral
ossification
• Describe the
course and events
of formation of
primary and
secondary
centers of
ossification in the
Endochondral
Ossification.
• Enumerate the
various zones
that can be
recognized in an
epiphyseal
cartilage during
growth of bones
in length and
write the salient
 features of each.
• Describe the
process of bone
growth,
remodeling and
repair.
• Apply knowledge
of histology to
explain clinical
conditions like
osteomalacia,
osteopetrosis and
osteitis
fibrosacystica.
Skill:
• Identify the
structure of
compact and
spongy bone
under the light
microscope with
two identification
points of each.
• Illustrate the
microscopic
structure of
compact and
spongy bone.
2. Third Week of Appraise the Knowledge: LGIS/ SGD/ CBL/ MCQs/
development embryological basis of • Describe the Practical SEQs/SAQs/
common congenital sequential phases OSPE/VIVA
of human
anomalies related with
development
trilaminar germ disc. during third week
• Define the
following:
 Gastrulation
 Neurulation
• Describe the
steps in
formation of
germ layers.
• Enlist the
derivatives of all
three germ
layers.
• Describe the
formation of
notochord.
• Describe the
 establishment of
body axes.
• Describe the
process of
neurulation with
reference to:
 Neural plate
and neural
tube
 Neural crest
formation.
• Differentiate the
features of
primary,
secondary and
tertiary villi in the
trophoblast.
• Apply your
knowledge of
embryology to
explain the
embryological
basis of:
 Sacrococcyge
alteratoma.
 Holoprosence
phaly
 Caudal
dysgenesis
 Situs inversus
Skill:
Identify the various
phases of
development on the
given model.
3. General Apply the general Knowledge: LGIS/ SGD/ CBL/ MCQs/
Anatomy of concept map of the • Classify joints on Practical SEQs/SAQs/
joints topographic anatomy of the basis of OSPE/VIVA
presence or
joints with relevant
absence of joint
presentations cavity.
encountered in clinical • Classify various
practice. types of
synarthroses i.e
fibrous and
cartilaginous
joints.
• Define and give
characteristic
features and
 examples of
sutures,
syndesmosis and
gomphosis.
• Define and give
examples and
salient features of
synchondrosis,
symphyses
• Define
diarthroses. Enlist
salient features,
and movements
of synovial joints.
• Classify synovial
joints on the basis
of:
• Complexity of
form
• Degree of
freedom of
movement
• Shape of
articulating
surface
• Enlist factors
responsible for
the stability of
synovial joints.
• Describe the
blood supply and
nerve supply of
synovial joints.
4. Hand & Wrist Correlate the Knowledge: SDG/CBL MCQ/SAQ/S
Joint knowledge of gross  Discuss bones of EQ/VIVA/OS
Hand PE
anatomy of wrist and
 Describe
hand with common functions of
clinical presentations. muscles in
Thenar,
Hypothenar &
Central
compartments
 Describe the
fibrous sheaths
of the digits of
the hand
 Discuss the
anatomical
structures
 involved in
Tenosynovitis
 Describe Palmar
aponeurosis
 Enumerate
fascial spaces of
Palm
 Describe
boundaries &
contents of
spaces of palm
 Discuss clinical
importance of
spaces of palm
 Discuss wrist
joint
 Explain the
movements at
wrist joint
 Discuss
ligaments of
wrist joint and
its relations
 Discuss the
anatomical
structures
involved in
Wrist fractures
 Explain the
formation of
Carpal tunnel
and its contents
 Explain the
Carpal tunnel
syndrome
 Describe the
course &
branches of
nerves in Hand
 Discuss
metacarpophal
angeal and
interphalangeal
joints of hand
 Describe
formation of
Brachial Plexus
with emphasis
on Cords, Roots
& trunk
 Discuss injuries
of the brachial
 plexus:
Klumpke
paralysis & Erb-
Duchenne palsy
 Describe
formation,
distribution &
important
relations of
following
nerves:
 Axillary
nerve
 Musculocut
aneous
nerve
 Median
nerve
 Radial
nerve
 Ulnar nerve
 Describe the
innervation of
each
compartment
and the specific
deficits that
occur with
lesions of
individual nerves
at different parts
along the course
of following
nerves:
 Musculocut
aneous
nerve
 Median
nerve
 Radial
nerve
 Ulnar nerve
 Discuss the
anatomical sites
of lesion of
nerve correlating
them to sensory
and motor loss
within area of
 distribution
 Describe the
cutaneous
innervation of
the arm, forearm
and hand.
 Compare and
contrast
dermatomes
with the
cutaneous
innervation of
specific nerves in
Arm & forearm
 Discuss the
course, extent &
branches of
Axillary, Brachial,
Ulnar and Radial
arteries
 Describe the
anatomical sites
of lesion of
artery
correlating them
to ischemia
within area of
distribution
 Describe the
formation of
Superficial and
Deep Palmar
Arches in hand
 Describe the
structures
involved in
Laceration of
Palmar Arches
 Describe the
formation &
drainage of
following Veins:
 Axillary vein
 Basilic vein
 Cephalic
vein
 Median
cubital vein
 Discuss the
 importance of
Median Cubital
Vein in
venipuncture
 Discuss the
lymphatic
drainage of
upper limb in
detail
Skill:
• Perform
movements of
wrist joint and
recognize the
muscles involved
in these
movements
• Study the model
of hand to
visualize muscles
of hand and
insertion of long
tendons
• Study prosected
specimen of
hand to identify
muscles and
blood vessels of
hand.
• Draw & label
cutaneous
innervation of
lower limb
• Draw & label the
dermatomes of
lower limb
• Identify the
common sites of
fracture on
radiographs
correlating its
predisposition to
fracture in the
following bones:
• Scapula Clavicle
Humerus Radius
Ulna
• Identify the
bones and bony
articulations of
 upper limb on
AP and Lateral
view of
Radiographs
Dissection:
Perform dissection
to identify main
muscles of hand
along with their
nerve supply
PHYSIOLOGY

Learning Instructional Assessment

S.No Topic/ Theme Learning outcomes
Objectives/Contents strategies tool
1. Hemopoiesis Describe the • Differentiate  Lectures  MCQ
Morphology and between various  SGD  SAQ/SEQ
types of blood
Genesis of blood cells  CBL  Structured
cells on the basis
of their viva
morphological
and physiological
characteristics.
• Overview sites of
hemopoiesis in
the body during
different stages
of life along with
composition and
• functions of bone
marrow.
• Identify the
factors
regulating
erythropoiesis
and maturation
of RBC.
• Appreciate the
composition of
blood and general
functions of blood.
2. Red Blood Cells Differentiate between  Relate the  Lectures  MCQ
Dyscrasias various types of RBCs morphology and  SGD  SAQ/SEQ
abnormalities on the physiology of  CBL  Structured
basis of their Etiology, different types of
viva
hemoglobin with
Pathophysiology and
hemoglobinopathi
Clinical presentations.
es.
 Compare and
contrast different
types of anemia on
the basis of
etiology,
pathophysiology,
clinical
presentations and
blood picture.
 Describe etiology,
pathophysiology
and clinical
 presentation of
polycythemia.
3. WBCs & Classify different types of  Relate the  Lectures  MCQ
Immunity immunity on the basis of morphology and  SGD  SAQ/SEQ
cell types and their role in physiology of  CBL  Structured
defense mechanism. different WBCs
viva
with clinical
presentations of
leucopenia,
leukocytosis and
leukemia.
• Appraise the
clinical significance
of RES reticulo-
endothelial
system.
 Describe
pathophysiology of
inflammation and
necrosis
 Describe the
physiological basis
of vaccination.
4. Hemostasis Compare and contrast  Identify role of  Lectures  MCQ
and Blood
Coagulation
various bleeding cells and proteins  SGD  SAQ/SEQ
disorders. involved in the  CBL  Structured
process of
viva
maintaining
hemostasis.
 Differentiate
between intrinsic
and extrinsic
regulations of
blood coagulation
 Discuss the
morphology,
etiology,
pathophysiology
and clinical
presentation of
thrombocytopenia
, thrombocytosis
and hemophilia
5. Blood Analyze transfusion  Explain the  Lectures  MCQ
grouping and
Transfusion
reactions principles of  SGD  SAQ/SEQ
blood grouping  CBL  Structured
reactions
 keeping in view viva
their physiological
significance.
 Identify the
various blood
groups and
hazards of
matched and
mismatched blood
transfusion with
especial reference
to Erythroblastosis
fetalis.
6. Practical Interpret the results of  Study Neubauer's Practical OSPE
given experiment chamber in detail
using Compound
Microscope
judiciously
 Determine RBC
count by using
Neubauer's
chamber.
 Count WBC-TLC
 Platelet count.
(Demonstration
only)
 Determination of
Haemoglobin in
the blood. (Sahili's
method)
 Determine Red cell
indices.
 Estimate
haematocrit (PCV).
 Estimate ESR.
 Determine ABO &
Rh blood groups.
 Estimate bleeding
& clotting time.
 DLC
 Osmotic fragility of
RBC
BIOCHEMISTRY

Learning Instructional Assessment

S.No Topic/ Theme Learning outcomes
Objectives/Contents strategies tool
1. Porphyrin and Correlate the  Enumerate  Lectures MCQ/
Hemoglobin biochemical basis of various types of  SGD SAQ/SEQ
Porphyrin and Hemoglobin and  PBL
Hemoglobin with explain its  CBL
clinical conditions functions in
detail.
 Discuss the
Oxygen binding
capacity of
hemoglobin with
reference to the
O2-Hb
dissociation
curve
 Enlist various
Factors affecting
and regulating
the oxygen
binding capacity
of haemoglobin
 Give a brief
account of
Chemistry and
biosynthesis of
Porphyrins and
its disorders
(Porphyrias)
 Explain
Degradation of
heme, formation
of bile pigments,
their types,
transport and
excretion
 Discuss various
types of
Hyperbilirubine
mia
 Discuss its
 various types of
Jaundice.
 Explain various
Hemoglobinopat
hies (Hb-S,Hb-C,
Hb-SC,
Methemoglobin
opathies and
thalassemia) and
elaborate their
biochemical
causes
2. Plasma Relate the basic  Define Plasma  Lectures  MCQ
proteins and knowledge of Plasma proteins & give  SGD  SAQ/SEQ
Immunoglobuli proteins to its clinical their clinical  PBL
ns
significance significance  CBL
 Draw and label
the Structure of
Immunoglobulins
 Enumerate Major
types, functions&
Properties of
Immunoglobulins
 Protein
Learning Instructional
Topic/ Theme Learning outcomes Assessment tool
Objectives/Contents strategies
Protein Relate the  Describe Proteins,  Lectures  MCQ
Chemistry& significance of Dipeptides, Tripeptide  SGD  SAQ/SEQ
different proteins in and polypeptides with  CBL
Metabolism  Structured viva
medicine
example
 Outline the
Biochemical
importance of
protein.
 Explain the structure
of proteins and give a
brief account of their
significance
 Classify proteins on
basis of their
physiochemical,
functional and
nutritional
properties.
 Define amino acids.
Draw their structure
and explain their
various properties &
functions.
 Classify amino acids
and give their
nutritional
significance
 Describe the
dissociation &
titration curve and
importance of amino
acids regarding pH
maintenance in
human body.
 Enlist various
mechanisms of
separation of
proteins e.g. salting
out, Electrophoresis,
 Chromatography and
Centrifugation.
Explain each in detail.
 Explain Folding &
Misfolding of proteins
along with associated
disease
Apply the  Metabolism of
knowledge of Proteins and amino
protein metabolism acids
for understanding  Explain the
relevant metabolic mechanism of Amino
disorder acid oxidation.
 Describe various
metabolic fates of an
amino acid.
 Define and exemplify
various mechanisms
of transamination,
deamination
decarboxylation,
deamidation.
 Describe the
transport of amino
group, role of
Pyridoxal phosphate,
Glutamate,
Glutamine, Alanine
 Outline the
mechanism of
Nitrogen excretion
from the human
body
 Explain in detail the
concept of Ammonia
intoxication.
 Draw Urea cycle and
discuss its regulation
in detail.
 Describe Genetic
defects of Urea cycle
 Comprehend Carbon
skeletal metabolism
 and its importance
 Describe Functions,
pathways of amino
acid degradation and
genetic disorders of
individual amino
acids.
 Fibrous protein
 Globular protein

Experiments Interpret the results Biuret Test Practical OSPE

on Proteins of given Millon’s Test Practical OSPE
Qualitative experiments Ninhydrin Test Practical OSPE
Analysis
Aldehyde Test Practical OSPE
Sulphur Test Practical OSPE
Xanthoproteic Test Practical OSPE
Chemical Salfosalicylic acid test Practical OSPE
examination of Heat coagulation test Practical OSPE
urine
Research Methodology
S.No Topic/ Learning Learning Instructional Assessment Tool
Theme Outcomes Objectives/Contents strategies
1. Introduction Discuss Meaning, historical LGIS/ SGD MCQ/ SEQ
to research historical background,
background introduction to
of research in medical research,
medicine important
terminologies
2. Importance Discuss Evidence based LGIS/ SGD MCQ/ SEQ
of research significance practice, application
of research in in health sciences
medicine
3. Introduction Explain the Overview of process LGIS/ SGD MCQ/ SEQ
to research process and of research,
process requirements characteristics of a
of a good good research,
research for a qualities of a good
doctor researcher
4. Types of Classify Basic and applied; LGIS/ SGD MCQ/ SEQ
research different quantitative and
types of qualitative,
research and observational and
its interventional
applications studies
MEDICINE
Learning Instructional Assessment
S.No Topic/ Theme Learning outcomes
Objectives/Contents strategies tool
1 Nutritional 1. Diagnose LGIS/ SGD MCQs
anemia nutritional anemias
by clinical features
and relevant
investigations
2. Plan strategy for
prevention and
treatment of
various types of
nutritional anemia
2. Hemolytic 1. Enumerate LGIS/ SGD MCQs
anemia hemolytic
anemias
2. Diagnose
hemolytic anemia
by its clinical
features and
relevant
investigations
3. Transfusion 1. Diagnosis of LGIS/ SGD MCQs
reactions various
transfusion
reactions of both
matched and
unmatched blood.
2. Plan strategy for
safe blood
transfusions
4. Bleeding Approach to a case of 1. Enlist bleeding LGIS/ SGD MCQs
disorders bleeding disorders disorders
2. Diagnose a case of
bleeding/clotting
disorders
3. Plan relevant
diagnostic
investigations
5. Jaundice Approach to a case 1. Enlist various LGIS/ SGD MCQs
of jaundice causes of
jaundice.
2. Diagnose clinical
features of
jaundice
3. Plan relevant
investigations for
various types of
jaundice
SURGERY
1. Locomotor I  Relate the effect of  Identify signs and LGIS MCQ
different of fractures symptoms, causes
and dislocation of of clavicle fracture
upper limb and dislocation
 Perform examination  Interpret
of joints in relation to radiological finds
different diseases of of upper limb
upper limb  Identify effects
 Identify and causes of
complications of CA fractures of
breast in relation to humerus, clavicle,
lymphatics radius, ulna and
scaphoid and
dislocation of
shoulder, elbow
and wrist joints
 Apply
embryological
knowledge to
understand
surgical aspects of
various anomalies
of upper limb
 Apply knowledge
of lymphatics in
relation to CA
Breast
 YEAR I
BLOCK-II
(08 Weeks)
1. Cardiovascular System
2. Lipids
3. Thorax
3. Introduction:
This block focuses on cardiovascular system with basic understanding of structure of thorax.
At the very outset medical student should understand that cardiovascular system has
fundamental importance in all the fields of Medicine. Coronary artery diseases alone are one
of the leading causes of morbidity and mortality worldwide. The course of this block is
designed for first year MBBS students in an integrated manner.
4. Duration:
Total duration of the block is 10 weeks. 8 weeks are for teaching and learning and 2 weeks are
for end block assessment
5. Learning Outcomes:
At the end of this module, student will be able to:
a. Correlate the gross anatomical, developmental & light microscopic features of
cardiovascular system with their functions to apply this knowledge in relevant clinical
scenarios encountered in subsequent years of training and practice.
b. Apply the knowledge of Gross Anatomy of thorax in appraising the anatomical basis of
relevant clinical scenarios.
c. Correlate the developmental events during the embryonic and fetal periods, placental
formation and multiple pregnancies with embryological basis of relevant clinical
conditions.
d. Analyze basic principles of cardiovascular physiology, interplay of various components of
the vascular system and experimental aspects of Cardiovascular Physiology
e. Relate the understanding of biochemical basis of lipids to its clinical significance.
 CARDIOVASCULAR SYSTEM
ANATOMY
Learning Instructional Assessment
S.No Topic/ Theme Learning outcomes
Objectives/Contents strategies tool
1 Histology of Appraise the light Define capillaries & LGIS MCQs/
Circulatory micro-structure of classify them on the SEQs/
System different components basis of their SAQs
morphology and VIVA VOCE
of cardiovascular
describe each class by
System and predict giving examples
functional outcomes of Classify arteries and
their altered structure. veins depending on
their size and describe
structure and relative
thickness of each
component by giving
examples.
Describe histological
changes in intima in
atherosclerosis or
arteriosclerosis.
Identify H&E stained Identify various vessels Practical OSPE/
slides of different under light microscope Viva voce
vessels and appreciate and enlist at least two
identification points for
their characteristic
each.
histological features to
Illustrate various Practical
distinguish them from vessels emphasizing
common pathological the differences
conditions in future. amongst them with the
help of eosin and
hematoxylin pencils.
2 Histology of Appraise the light Explain the light LGIS MCQs/
lymphoid micro-structure of microscopic features of SEQs/
organs different lymphoid the following: SAQs
organs  Lymph node VIVA VOCE
 Thymus
 Spleen
 Palatine tonsil
 Identify slides of Practical OSPE/
lymph node, Viva voce
thymus, spleen and
palatine tonsils
under light
microscope and
enlist at least two
 identification points
for each.
 Illustrate lymph
node, thymus,
spleen and palatine
tonsils with the help
of eosin and
hematoxylin pencils.
3 The Embryonic Correlate the Define neurulation and LGIS MCQs/
Period (Third to developmental events describe process of SEQs/
Eight Weeks) during the embryonic formation of neural SAQs/
plate, neural tube and OSPE/ VIVA
period with relevant
neural crest cells. VOCE
congenital anomalies
Enlist derivatives of:
 Surface ectoderm
 Neuroectoderm
 Neural crest
 Intraembryonic
mesoderm (paraxial,
intermediate, lateral
plate)
Explain the
development of
Intraembryonic
coelom.
Correlate the folding of
the embryo in the
horizontal and
longitudinal planes
with its consequences.
 Explain the
processes of
formation of blood
vessels
 Define hemangioma
and explain its
embryological basis.
4 Fetal Period Correlate the Define fetal period and LGIS MCQs/
(third month to developmental events enlist the external SEQs/
birth) during the fetal periods body landmarks from SAQs/
third month to birth. OSPE/
with relevant
Enumerate various VIVA VOCE
congenital anomalies
methods to estimate
fetal age
Enlist factors affecting
fetal growth.
Define intrauterine
growth retardation.
5 Placenta and Apply the basic Enlist types of chorion LGIS MCQs/
 fetal principles behind the and give fate of each. SEQs/
membranes formation of placenta Define decidua. Enlist SAQs/
and fetal membranes types of decidua and OSPE/
in appraising relevant give fate of each. VIVA VOCE
clinical conditions Enumerate the fetal
and maternal
components of
placenta.
Differentiate between
stem, anchoring and
terminal villi &
enumerate the layers
forming placental
barrier
Describe placental
circulation (maternal
and fetal)
Enlist the features of
maternal and fetal
surfaces of placenta.
Describe the structure
and enumerate the
functions of the
placenta
Enlist fetal membranes
& their fate
Describe development
of umbilical cord
Describe production,
circulation and
significance of amniotic
fluid
Define poly &
oligohydramnios.
Enumerate their causes
& adverse effects
Describe embryological
basis of amniotic bands
and umbilical cord
defects
6 Multiple Comprehend the  Appraise the LGIS MCQs/
pregnancies process of multiple mechanism behind SEQs/
pregnancies and their occurrence. SAQs/
related congenital  Explain the VIVA VOCE
anomalies embryological basis
of fetus papyraceus,
twin transfusion
syndrome and
conjoined twins.
7 Development Comprehend the Explain the formation LGIS MCQs/
of development of of heart tube with SEQs/
Cardiovascular cardiovascular system special reference to SAQs/
System primary & secondary OSPE/
to explain the relevant
heart fields VIVA VOCE
congenital anomalies
Enlist the subdivisions
of heart tube & their
fate
Appraise the
mechanism of cardiac
looping and enlist its
abnormalities.
Explain different
methods of septal
formation.
Describe division of
atrioventricular canal.
Explain the
embryological steps
involved in formation
of interatrial septum.
Describe the formation
of left atrium and
pulmonary veins
Enlist sources of
different parts of
interventricular
septum
Explain the division of
conotruncus
Appraise the
embryological basis of
the following heart
defects.
 Atrial septal defects
 Ventricular septal
defects
 Fallot’s tetralogy
 Transposition of
great vessels
 Persistent truncus
arteriosus
 Ectopia cordis
 Dextrocardia
Define aortic arches
Explain the
development and fate
of aortic arches
Enumerate the
 developmental sources
of aorta
Justify the relationship
of recurrent laryngeal
nerves on the
embryological basis
Explain the fate of
vitelline & umbilical
arteries
Explain the congenital
anomalies of arterial
system which include:
 Patent Ductus
Arteriosus
 Coarctation of aorta
 Double aortic arch
 Right aortic arch
 Abnormal origin of
the Right Subclavian
 Artery
 An interrupted
aortic arch
Explain the fate of
vitelline, umbilical and
cardinal veins.
Describe the
development of
superior & inferior
vena cava.
Apply the knowledge
of developmental
anatomy to explain
following anomalies:
 Double Inferior
Vena Cava
 Absence of Inferior
Vena Cava
 Left Superior Vena
Cava
 Double Superior
Vena Cava
Differentiate fetal from
adult circulation
Identify the structures SGD OSPE/VIVA
related to general
development and
development of
cardiovascular system
on given models and
 diagrams
GROSS ANATOMY
8 Gross Anatomy Appraise the structure Identify structures SGD MCQs/
of thoracic wall of chest wall & the forming thoracic wall, SEQs/
diaphragm to thoracic inlet, outlet SAQs/
Identify important OSPE/ VIVA
understand anatomical
bony landmarks of VOCE
basis of relevant
sternum with
clinical conditions reference to its parts,
sternal angle and its
importance in clinical
practice
Determine the
anatomical position of
different ribs,
Differentiate between
typical and atypical ribs
based on their parts
Identify the important
bony landmarks of
thoracic vertebrae
Enlist various joints
these vertebrae make
and identify their types
Enlist the muscles of
thoracic cage with
reference to their
attachments, nerve
supply and actions
Describe a typical
intercostal space
Discuss the blood
supply of the thoracic
wall.
Describe the course
and distribution of a
typical intercostal
nerve
Differentiate it from its
atypical counterpart
Enlist different
dimensions of thorax.
Explain the factors
(bony, articular and
muscular) responsible
for changes in these
dimensions during
respiration
 Appraise the following
clinical conditions on
the basis of anatomical
knowledge:
Rib fractures, flail
chest, supernumerary
ribs, thoracic outlet
syndrome and herpes
zoster infection of
spinal ganglia
Define thoracostomy,
enlist the anatomical
structures encountered
by needle on its way to
pleural cavity and
precautionary
measures to avoid
damage to important
structures.
Describe the parts,
attachments and nerve
supply of diaphragm
Enlist the major
apertures in diaphragm
with their levels and
structures passing
through each
Analyze the anatomical
basis of clinical
scenario related to
diaphragmatic hernia,
phrenic nerve lesions
and penetrating
injuries of diaphragm.
Define referred pain
and correlate the tip of
shoulder pain with
irritation of diaphragm.
9 Gross Anatomy Appraise the structure Define mediastinum. SGD MCQs/
of thoracic of thoracic viscerae, Enumerate the SEQs/
cavity and their relationship divisions of SAQs/
mediastinum OSPE
for understanding
Enlist the structures VIVA VOCE
relevant clinical forming different
problems. boundaries
Describe the structure
and topographic
relations of contents of
anterior mediastinum
Describe the structure
and topographic
relations of contents of
superior mediastinum
Describe the structure
and topographic
relations of contents of
posterior mediastinum
Enlist the structures
lying at the level of
transverse thoracic
plane
Appraise the
anatomical basis of
clinical conditions
related to mediastinum
Identify the contents of
anterior, posterior and
superior mediastinum
on given
model/specimen
Enumerate and
describe various parts
of pleura, its
reflections, recesses
and nerve supply
Explain anatomical
basis of pneumothorax,
pleural effusion,
pleuritis, pleurectomy
and pleurodesis
Determine the sides,
surfaces and borders of
both lungs
Discuss the relations of
various surfaces of
each lung
Describe gross features
of bronchi. Name the
bronchus which is the
more probable site of
impacted foreign body
and enlist its reasons.
Define Broncho
pulmonary segments.
Illustrate them in each
lung.
Discuss their
significance.
 Identify the side,
surfaces, borders and
structures in hilum of
each lung on given
model/specimen
Describe the gross
features of various
layers of pericardium
Summarize the blood
supply and innervation
of pericardium.
Describe anatomical
position, borders,
surfaces, external and
internal features of the
heart.
Describe the blood
supply and innervation
of heart
Explain the basis of
right or left dominance
of heart.
Analyze a case of
coronary artery disease
with anatomical
reasoning
Apply knowledge of
gross anatomy of heart
to explain following:
 Coronary
angiography
 Angina pectoris
 Myocardial
infarction
Cardiac referred pain
Identify border,
surfaces, chambers,
openings of atria and
ventricles, major
vessels and valves of
heart on
model/specimen.
Identify the
radiological landmarks
of bony and soft
components of
thoracic wall and the
viscera of thoracic
cavity on radiographs
 Demonstrate the
surface anatomy of
different components
of thoracic wall,
thoracic apertures and
thoracic viscerae on a
subject while following
standard procedures.
GENERAL ANATOMY
10 General Appraise the general Summarize the general LGIS MCQs/
anatomy of concept of anatomical structural plan of blood SEQs/
cardiovascular organization of vessels. SAQs/
including cardiovascular system Describe general plan
lymphatic in understanding the of systemic,
system basic concepts of gross pulmonary, portal and
anatomy and histology coronary circulatory
with relevant system.
presentations Classify blood vessels
encountered in clinical on anatomical and
practice functional basis with
the help of examples.
Differentiate between
anatomic end arteries
and functional end
arteries by giving
examples.
Explain the importance
of collateral circulation
Describe general plan
of the lymphatic
circulatory system of
the body.
 PHYSIOLOGY
S.NO Topic
Learning Outcomes Learning Instructiona Assessmen
Objectives/Contents l Strategies t tools
1. Physiological Appreciate the  Appreciate the  Lectures  MCQ
anatomy of functional physiological  SGD  SAQ/SEQ
heart and characteristics of arrangement of right
and left hearts along  CBL  Structured
cardiac action cardiac muscle and
with the parallel viva
potential action potential
arrangement of
systemic circulation.
 Recognize physiological
anatomy of cardiac
muscles, its functional
syncytium and
intercalated disc
 Differentiate between
cardiac, skeletal and
smooth muscles based
on macro-, microscopic
and functional
differences, action
potentials.
 Distinguish ionic
changes in different
phases of action
potential within cardiac
muscle
 Correlate the phases
with ionic changes
during pacemaker
action potential in
heart
2. Cardiac cycle Compare and contrast  Illustrate pressure and  Lectures  MCQ
the pressure and volume volume changes during  SGD  SAQ/SEQ
changes in different various phases of
cardiac cycle  CBL  Structured
components of
 Illustrate pressure- viva
circulatory system during
volume diagram of left
cardiac cycle heart
 Comprehend preload
and afterload, its
influence on stroke
volume (The Frank-
Starling's mechanism)
 Discuss the
autonomic regulation
of heart
3. ECG Interpret normal and  Comprehend basis of  Lectures  MCQ
abnormal ECG changes ECG, different ECG  SGD  SAQ/SEQ
in health and disease Leads and their
placements  CBL  Structured
 Draw and label normal viva
ECG showing various
 waves, segments and
intervals
 Understand
significance of waves,
segments and intervals
of ECG
 Calculation of heart
rate and various
intervals and segments
 Appreciate relationship
between vector and
lead, type and locations
of leads and principles
for vector analysis in a
normal heart
 Discuss current of
injury and differentiate
between systolic and
diastolic theories of
current of injury
 Appreciate the role of
re-entry phenomenon
in pathogenesis of
ventricular fibrillation
 Relate the ionic
changes in Cardiac
tissues to ECG changes
in sinus arrythmias,
pathological
arrythmias, Ischemia,
infarction and heart
blocks.
4. Hemodynamic Explain the  Categorize the  Lectures  MCQ
s of circulation hemodynamics of components of  SGD  SAQ/SEQ
systemic circulation circulatory systems
into. Greater  CBL  Structured
(Systemic), Lesser viva
(Pulmonary)
circulations and
accessory circulatory
system (Lymphatic).
 Analyze the
relationship between
flow, resistance and
conductance.
 Conceptualize the
phenomenon of
vascular compliance
and resistance
 Distinguish between
turbulent and laminar
flow based on
significance, pressure
gradient, resistance.
  Appreciate formation,
propagation, damping
and abnormalities of
arterial pressure pulse
 Discriminate jugular
venous pulse from
arterial pulse based on
location, appearance,
origin, waves and
significance
5. Control of Identify the dynamics  Distinguish between  Lectures  MCQ
Local Blood of local and peripheral acute and chronic  SGD  SAQ/SEQ
Blood flow control of local blood  CBL  Structured
flow.
viva
 Conceptualize active
and reactive hyperemia
 Relate the blood flow
control to total
peripheral resistance
6. Capillary Elucidate edema types,  Identify the principles
dynamics clinical significance and of capillary dynamics
factors responsible for and structure of
causing edema Interstitium.
 Analyze the role of
starling forces and
other safety factors
(lymphatics, negative
ISF pressure) in
prevention of edema.
 Appreciate Types of
edema, its
pathophysiology and
safety factors
preventing edema
formation.
 Differentiate between
pitting and nonpitting
edema based on its
etiology,
pathophysiology and
clinical significance.
7. Cardiac output Analyze the factors  Understand the  Lectures  MCQ
and venous regulating venous determinants of cardiac  SGD  SAQ/SEQ
return return and cardiac output and factors  CBL  Structured
output at rest and affecting cardiac
viva
during exercise. output.
 Appreciate the
mechanics of low and
 high cardiac outputs
along with their effects
on heart.
 Comprehend the
factors affecting stroke
volume, heart rate and
total peripheral
resistance.
 Explain Fick's principle
for the measurement of
cardiac output
 List the functions of
veins
 Identify factors
regulating venous
return and significance
of venous reservoirs.
 Appreciate the equality
of cardiac output and
venous return.
8. Arterial blood Summarize regulatory  Comprehend the  Lectures  MCQ
pressure mechanisms of blood determinants of arterial  SGD  SAQ/SEQ
pressure & cardiac pressure, factors  CBL  Structured
output control in affecting and
viva
health and disease mechanisms regulating
blood pressure on
short- and long-term
basis.
 Recognize mean arterial
pressure and its
significance.
 Comprehend the
individual and
integrative role of
baroreceptors,
chemoreceptor, volume
receptors, arterial
natriuretic factors and
Renin-angiotensin -
aldosterone system in
regulation of arterial
pressure.
 Understand the
characteristics of
regional circulations
(skeletal muscles,
pulmonary, coronary &
 cerebral) and factors
regulating thereof

9 Heart sounds Differentiate among Analyze heart sounds  Lectures  MCQ

normal and abnormal regarding their origin,
 SGD  SAQ/SEQ
heart sounds
abnormalities(murmurs)
 CBL  Structured
and their clinical
viva
importance

10 Cardiac failure Analyze cardiovascular  Identify types and  Lectures  MCQ

and pulmonary severity of exercise in
 SGD  SAQ/SEQ
changes (including
different sports.  CBL  Structured
oxygen consumption)
during different grades  Conceptualize general viva
of exercise. adaptive changes in
muscles in response to
increased and
decreased physical
activity.
 Appraise fuels available
in body during rest and
exercise.
 Analyze cardiovascular
and pulmonary changes
(including oxygen
consumption) during
different grades of
exercise.
11. Circulatory Compare various types  Discriminate various  Lectures  MCQ
shock of shock and their types of shock, its types  SGD  SAQ/SEQ
pathophysiology and stages of  CBL  Structured
development
viva
 Differentiate between
compensated and
uncompensated shock.
 Recognize the short
term and long-term
compensatory
mechanisms in
circulatory shock.
 Diagnose and treat
various types of shock
based on clinical
scenarios and lab
investigations
Practicals Record the Blood Blood Pressure Practical OSPE
relevant to Pressure of an SP
CVS using palpatory and
Auscultatory Method
Perform Cardiopulmonary Cardiopulmonary Practical OSPE
resuscitation on a dummy resuscitation
according to the American
Heart Association Guidelines
Demonstrate Triple Triple Response and Practical OSPE
Response and Blood Blood Grouping
Grouping
Record & Interpret normal ECG Practical OSPE
ECG by placing all the chest
and limb leads on an SP
Examine the Radial Pulse Radial Pulse Practical OSPE
and comment on rate,
rhythm and character
Examine the Heart Heart Sound Practical OSPE
Sound on Pulmonary,
Aortic, Mitral and
Tricuspid areas
Determine the JVP on JVP Practical OSPE
an SP
Record the effects of effects of posture and Practical OSPE
posture and Exercise Exercise on Blood
on Blood Pressure Pressure
 BIOCHEMISTRY
S.NO Topic/ Theme Learning Outcomes Learning Instruction Assessment
Objectives/Contents al tools
Strategies
1 Lipid Chemistry Relate the significance  Define lipids and Lecture/ MCQ/ SAQ/
of different lipids in enumerate their SGD/ CBL SEQ/
biomedical Structured
medicine
functions Viva
 Describe lipid
classification with
examples &
biochemical
significance
 Draw and label the
structure of a Fatty
acid. Also discuss
their chemistry,
classification and
biochemical
functions
 Define Essential
fatty acids. Give
examples with
deficiency disorder
 Give Nutritional
significance of
lipids.
 Describe
Eicosanoids, their
classification and
functions in health
and disease
 Describe Steroids,
Sterol e.g.
Cholesterol, their
chemistry,
functions and
clinical significance.
 Describe in detail
the biosynthesis of
fatty acids
Lipid Apply the knowledge of  Draw the Lecture/ MCQ/ SAQ/
Metabolism lipid metabolism for mechanism of SGD/ CBL SEQ/
understanding relevant Oxidation of fatty Structured
metabolic disorder acids along with Viva
Activation and
transport of fatty
acids in the
mitochondria
 Explain the B-
oxidation of fatty
acid and regulation
of this B-oxidation
 Explain alpha-
oxidation, w-
oxidation and
peroxisomal
oxidation
 Give oxidation of
fatty acids with odd
number of carbon
atoms
 Give a brief
account of
oxidation of
Unsaturated fatty
acids
 Explain Lipid
peroxidation and
its significance
 Elaborate the
phospholipids’
synthesis and
degradation.
Discuss related
metabolic disorders
 Discuss Synthesis
and degradation of
phospholipids and
their metabolic
Disorders
 Explain
Triacylglycerol
synthesis with its
regulation
 Describe the
mobilization and
transport of fatty
acids,
triacylglycerol and
sterols
 Explain Mechanism
of synthesis of
ketone bodies and
give their utilization
and significance in
body
 Define Ketosis and
 explain its
mechanism
 Explain the
mechanism of
Cholesterol
synthesis along
with its regulation
 Enumerate
functions and fate
of the
intermediates of
Cholesterol
degradation.
 Define and explain
Hypercholesterole
mia in relation with
the
pathophysiology of
atherosclerosis
 Define Plasma
Lipoproteins also
discuss VLDL, LDL,
HDL, and
Chylomicrons with
respect to their
transport, functions
and importance in
health and diseases
 Differentiate
between Bile Acids
and Bile Salts
 Describe the role of
Troponins in
diagnosis of MI
 Analyze the results Rancidity of Fats Practical OSPE
of given Microscopic Practical OSPE
experiment Examination of
 Differentiate Cholesterol Crystals
between types of Salkowski’s Test Practical OSPE
lipids Liebermann Burchard Practical OSPE
Test
Chemical Examination Practical OSPE
of Urine - Rothera’s
Nitropruside Test
Research Methodology
S.No Topic/ Theme Learning Learning Instructional Assessment
Outcomes Objectives/Contents strategies Tool
5. Research Able to Identification of LGIS/ SGD MCQ/ SEQ
problem and a identify research problem.
good research research Criteria of selection
question problem. of research topic
Formulate a
good
research
question
6. Title rationale Able to justify Characteristic of a LGIS/ Group MCQ/ SEQ
& objectives of the research good title & assignment
the study study title Justification of topic
with Formulation of
reference to SMART research
objectives objectives.

7. Introduction of Identify Data types LGIS/ Group MCQ/ SEQ

variable and different Define and identify assignment
data types of data different types of
and variables Qualitative and
Quantitative
variables.
Independent and
dependent variables
 Medicine
Learning Instructional Assessment
S.No Topic/ Theme Learning outcomes
Objectives/Contents strategies tool
1 Risk Factors for Relate clinical  Enumerate risk factors LGIS/SGD MCQ
IHD knowledge of  Describe clinical
significance of risk
prevention of IHD with
factors
the physiological and  Plan a strategy for
biochemical basis primary/secondary/pr
evention of IHD

2 Acute MI Relate clinical  Diagnose a case of MI LGIS/SGD MCQ

knowledge of MI with by its clinical features
 Suggest appropriate
the physiological and
lab test for diagnostic
biochemical basis confirmation

3 Heart Failure Relate clinical  Differentiate clinical LGIS/SGD MCQ

knowledge of heart features of right and
left heart failure
failure with the
 Describe
physiological and pathophysiology of
biochemical basis heart failure
 Suggest outline of
treatment based on
the pathophysiology

4 ECG-Heart Identify various types Types of heart blocks on LGIS/SGD MCQ

Blocks of heart blocks on ECG ECG

5 ECG- Identify various types Types of arrhythmias on LGIS/SGD MCQ

Arrythmias of arrhythmias on ECG ECG

6 Hypertension Relate clinical  Diagnose a case of LGIS/SGD MCQ

knowledge of hypertension
hypertension with the  Describe common
physiological and
causes of hypertension
biochemical basis
 Enumerate possible
target organ damage
by hypertension
7 Shock Relate clinical  Diagnose different LGIS/SGD MCQ
knowledge of shock cases of shocks
with the physiological  Describe
and biochemical basis
pathophysiology of
various organs in shock
 Outline the treatment
strategy in different
types of shock

8 Edema Correlate  Classify Edema LGIS/SGD MCQ

pathophysiology and  Describe
pathophysiology and
complications of shock
complications
with the physiological
and biochemical basis
 Surgery
ANATOMY

Learning Instructional Assessment

S.No Topic/ Theme Learning outcomes
Objectives/Contents strategies tool
1 CVS  Interpreted  Interpret findings on LGIS/ SGD MCQ
different contrast Arteriogram to
studies in relation understand various
to various diseases diseases of arteries
of cardiovascular  Interpret findings on
system venogram to
 Develop an understand various
understanding diseases of veins
regarding surgical  Interpret findings on
aspects of various lymphangiogram to
diseases CVS understand various
diseases of lymph
nodes and lymph
vessels
 Develop an
understanding of
surgical aspects of
various diseases of
heart and great vessels
2 Thorax Relate radiological and  Interpret findings on LGIS/SGD MCQ
clinical findings of Chest X-Rays in
thorax with various relation to various
traumatic and non- diseases of thorax-1
traumatic diseases  Interpret findings on
Chest X-Rays in
relation to various
diseases of thorax-2
 Apply knowledge of
anatomy to
understand the effects
of trauma to various
organs of thorax-1
 Apply knowledge of
anatomy to
understand the effects
of trauma to various
organs of thorax-2
 Appraise the
knowledge of anatomy
to understand signs
caused by various
mediastinum nesses
 Appraise the
knowledge of anatomy
to understand signs
and symptoms of
Thoracic Outlet
Syndrome
 YEAR I
BLOCK-III
(08 Weeks)
1. RESPIRATORY AND HIGH ALTITUDE
2. LOCOMOTOR II
1. Introduction:
Asthma and allergic respiratory diseases are on the rise in Pakistan due to increase in
pollution. At the same time diseases like lung cancer and chronic bronchitis are also
increasing because of cigarette/ shisha smoking. A firm understanding of the respiratory
system is therefore very important for undergraduate students so that they can manage
these diseases in clinical settings in future. This block focuses on respiratory system along
with gross anatomy of lower limb and biochemical knowledge of vitamin. The research
methodology, Behavioral Sciences & Professionalism will be taught as a part of the
longitudinal theme.

2. Duration:
Total duration of the block is 10 weeks. 8 weeks are for teaching and learning and 2 weeks are
for end block assessment
3. Learning Outcomes:
At the end of this module, student will be able to:
 Recognize the normal histomorphological features of different parts of tracheobronchial
tree so as to identify common histopathological conditions of respiratory system, in
clinical years.
 Appraise the concepts of gross anatomy of bones, muscles & joints of lower limb to deal
with the common musculoskeletal diseases (e.g. fractures, sprains, dislocations) and
performance of required surgical procedures in the clinical years.
 Analyze physiological mechanisms controlling the functions of respiratory system, its
regulation and adjustments in unique environments.
 Apply the biochemical knowledge of vitamin for understanding its associated disorders
 RESPIRATORY AND HIGH ALTITUDE
ANATOMY
Learning Instructional Assessment
S.No Topic/ Theme Learning outcomes
Objectives/Contents strategies tool
1. Respiratory Recognize the normal  Enumerate cells LGIS MCQ/SAQ/S
system histo-morphological comprising respiratory EQ
features of different tract.
parts of
 Describe their light
tracheobronchial tree.
microscopic structure with
the help of diagram.
 Explain the progressive
microstructural
modifications of
respiratory tract from
trachea down to alveoli,
correlating with their Practical OSPE/Viva
voice
functions.
Skill
Identify and draw the
different histological
components of
respiratory system.
2. Development of Appraise the  Describe the development LGIS MCQ/SAQ/S
Respiratory embryological basis of of trachea. EQ
System common congenital  Comprehend the
anomalies related embryological basis of
with respiratory various types of
system. tracheoesophageal fistulas
& justify its relation with
polyhydramnios.
 Explain different stages of
lung maturation.
 Enumerate congenital
anomalies of lungs &
comprehend the
embryological basis of
these anomalies.

82
 LOCOMOTOR-II
Learning Instructional Assessment
S.No. Topic/ Theme Learning outcomes
Objectives/Contents strategies tool
1. Lower limb Demonstrate the SGD Viva voce/OSPE
anatomical position of
hip bone femur,tibia and
fibula determine its side
2. Hip bone Identify important bony Viva voce/OSPE
land marks of hip bone
femur,tibia and fibula on SGD“
gross inspection as well
as on radiographs.
3. Tibia, fibula Identify the site of Viva voce/OSPE
attachments of muscles
& ligaments on the hip SGD“
bone femur,tibia and
fibula
4. Hip joint Demonstrate the
articulation of hip bone
“SGD VIVA/OSPE“
with other bones.
femur,tibia and fibula
5. femur Demonstrate the
anatomical position of
“SGD VIVA/OSPE“
femur and determine its
side.
6. femur Identify important bony
land marks of femur, on
“SGD VIVA/OSPE“
gross inspection as well
as on radiographs.
7. Femur Identify the site of
attachments of muscles “SGD VIVA/OSPE“
& ligaments on femur
8. Femur Demonstrate the
articulation of femur “SGD VIVA/OSPE“
with other bones.
9. Fascia Describe the
composition and
continuity of
subcutaneous tissue SGD Viva voce
(superficial fascia) of
lower limb with that of
abdomen and buttocks
10. Fascia Lata Trace the lining of fascia
lata on the skeleton.
Describe its SGD Viva voce
modifications & Justify
its importance.
11. Thigh Demonstrate the SGD Viva voce

83
 saphenous opening on
the cadaver.
12. Gluteal region Trace the origin and
insertion of muscles of
SGD Viva voce
gluteal region after
performing dissection
13. Gluteal region Demonstrate the major
functions of muscles of SGD Viva voce
gluteal region.
14. Gluteal region Enumerate the nerves
entering into gluteal
region and comprehend
SGD Viva voce
the origin, important
relations, & muscles
innervated by each
15. Gluteal region Demonstrate the effects
of injury to superior
SGD Viva voce
gluteal, inferior gluteal
and sciatic nerves
16. Gluteal region Enlist vessels of gluteal
region and trace origin,
relations & supply of
SGD Viva voce
each artery on the
model/ prosected
specimen.
17. Gluteal region Enumerate structures
deep to gluteus
maximus. Correlate this
knowledge with method MCQ/SEQ/SAQ/
“SGD
of giving intragluteal / viva voce
injections without
injuring neurovascular
structures
18. Gluteal region Define the term ‘positive
trendelenberg sign’.
Enlist its causes and SGD Viva voce
describe various gaits for
its compensation.
19. Thigh Enumerate the contents
MCQ/SEQ/SAQ/
of three fascial “SGD
viva voce “
compartments of thigh.
20. Thigh Describe the boundaries, SGD MCQ/SEQ/SAQ/
compartments, contents viva voce
and importance of
femoral sheath
21. Thigh Comprehend the SGD MCQ/SEQ/SAQ/
inguinal lymph nodes viva voce
regarding their location,
arrangement and area of

84
 drainage
22. Thigh Demonstrate the SGD MCQ/SEQ/SAQ/
femoral canal & mark viva voce
the boundaries of
femoral ring on the
prosected specimen.
Justify its clinical
importance.
23. Thigh Describe in tabulated
form the origin,
insertion, blood supply,
MCQ/SEQ/SAQ/
nerve supply and actions SGD“
/ viva voce
of muscles of anterior
facial compartments of
thigh.
24. Anterior Describe the functions of SGD“
compartment muscles of thigh to
of thigh understand the MCQ/SEQ/SAQ/
displacement of / viva voce “
fragments of a fractured
femur.
25. Femoral Identify the boundaries SGD“
triangle of femoral triangle and
interrelationship of its OSPE
contents in the given
prosected specimen.
26. Describe the extent, SGD“
boundaries, & contents
MCQ/SEQ/SAQ/
of adductor canal. Justify
/ viva voce
the importance of
Adductor hiatus.
27. Differentiate among SGD“
different swellings in “
front of thigh.
28. Medial Thigh Describe the origin, SGD“
insertion, nerve supply
and actions of muscles
“
of medial facial
compartments of thigh
in tabulated form.
29. Posterior thigh Describe the origin, SGD“
insertion, nerve supply
and actions of muscles
“
of posterior facial
compartments of thigh
in tabulated form.
30. Thigh Identify the muscles, and SGD“
neurovascular structures OSPE
(important from clinical

85
 standpoint) of thigh in
the prosected
specimens/ models.
31. Thigh Mark the femoral artery, SGD“ OSPE
femoral nerve, & sciatic
nerve on the given
subject/ mannequin
32. Clinical Mark the superficial & SGD“ OSPE
anatomy of deep inguinal rings on
thigh the surface of
mannequin.
Demonstrate the
boundaries of these
rings & Justify their
clinical importance.
33. Nerves Correlate the signs and SGD“ OSPE
symptoms of sensory
and motor loss with the
level of injury of femoral,
sciatic, and obturator
nerve.
34.
35. Hip joint Demonstrate the
articulation, line of
capsule attachment, SGD Viva voce
synovial membrane &
ligaments of hip joint.
36. Hip joint Describe the type, nerve SGD
supply, blood supply and
“
important relations of hip
joint.
37. Hip joint Demonstrate the SGD
movements of hip joint in
an articulated skeleton “
with special reference to
their axes.
38. Tibia, fibula Identify important bony SGD
land marks of tibia, fibula
and patella on gross OSPE
inspection as well as on
radiographs.
39. Tibia, fibula Identify the site of SGD
attachments of muscles
Viva voce
& ligaments on the Tibia
and Fibula
40. Tibia, fibula Demonstrate the SGD
articulation of bones of
“
leg with the help of
given bones.

86
41. Tibia, fibula Demonstrate the SGD
anatomical position of
“
tibia & fibula and
determine their side.
42. Patella Describe the bony SGD
features, attachments
“
and side determination
of patella.
43. Tibia Illustrate the tibial SGD
MCQ/SEQ/SAQ/
plateau.
44. Popliteal fossa Enlist the structures SGD
forming various
“
boundaries of popliteal
fossa
45. Popliteal fossa Identify the contents of SGD
popliteal fossa and inter-
relationships of its OSPE
contents in a prosected
specimen/model.
46. Leg Demonstrate division of SGD
leg into various
compartments on the
Viva voce
given model,
enumerating contents of
each compartment.
47. Leg Describe in tabulated SGD
form, the origin,
insertion, nerve supply
and actions of muscles
Theory
contained within
anterior, lateral and
posterior compartments
of leg.
48. Leg Mark the common SGD
peroneal & tibial nerve
OSPE
on the surface of given
subject.
49. Knee joint Describe the articulation, SGD
type, capsule, ligaments
(extra and intra articular),
synovial membrane,
nerve supply, blood VIVA“
supply, important
relations, and
movements related to
the knee joint.
50. Knee joint Enlist the structures
responsible for stability SGD“ “
of knee joint

87
51. Knee joint Demonstrate the Viva voce
mechanism of locking
SGD“
and unlocking of the
knee joint
52. Knee joint Describe the functions of
ligaments in various “SGD “
movements of knee joint.
53. Knee joint Illustrate genicular
anastomosis and justify SGD “
its clinical significance
54. Tibiofibular Demonstrate the
joint articulation, line of
capsular attachment &
synovial membrane of
“ “
proximal and distal
tibiofibular joints, with
the help of given bones
and model.
55. Tibiofibular Describe the
joint interosseous membrane
“ “
and the structures
passing through it
56. Foot Describe the foot as a
functional unit.
“ “
Demonstrate the
propulsive action of foot
57. Identify the three groups
of bones of foot (enlisting
bones in each group) in “ OSPE
the given skeleton as well
as on radiograph
58. Demonstrate the
articulation among
various bones of foot for “ Viva voce
the formation of Tarsal
joints of foot
59. Foot bones Demonstrate anatomical
position and determine
“ “
the side of calcaneus and
talus
60. Recognize important
bony landmarks,
muscular & ligamentous “ OSPE
attachments on
calcaneus & talus.
61. Foot bones Explain the arches of foot
regarding the bones
“ Viva voce
forming the arches, & the
mechanism of arch

88
 support
62. Arches of foot Explain the clinical
problems associated with
“ “
arches of foot (pes
planus and pes cavus).
63. Subtalar joint Describe the articulation,
type, and movements of
subtalar, “ “
talocalcaneonavicular, &
calcaneocuboid joints
64. Ankle joint Demonstrate the
articulation, line of
capsular attachment &
synovial membrane of “ “
ankle joint, with the help
of given bones and
model.
65. Ankle Perform the Planter
movements flexion, Dorsiflexion,
inversion & eversion of
foot mentioning the
“ “
Muscles producing these
movements and joints at
which these movements
occur.
66. Ankle joint Identify the arrangement
of tendons, arteries, and
nerves in the region of
ankle joint (in relation to “ OSPE
the retinaculae of ankle)
in the given model/
prosected specimen.
67. Dorsum of foot Describe arteries and
“ “
nerves of dorsum of foot
68. Sole of foot Identify the structures in
each layer of sole of foot
“ OSPE
in the prosected
specimen/ model.
69. Sole of foot Describe the attachments
and relations of plantar
“ Viva voce
aponeurosis and plantar
fasciitis.
70. Sole of foot Describe in tabulated
form the origin,
MCQ/SEQ/SAQ/
insertion, nerve supply “
/ Viva voce
and action of muscles of
sole of foot
71. Sole of foot Describe arteries and
“ “
nerves of sole of foot

89
72. Cutaneous Illustrate the cutaneous
“ MCQ/SEQ/SAQ/
innervations nerves of lower limb
73. Cutaneous Describe in tabulated
innervations form the origin
(including contributing
“ “
spinal nerves) and
distribution of cutaneous
nerves of lower limb.
74. Dermatomes Illustrate the
dermatomes of lower “ “
limb
75. Describe the origin,
relations and main
“ “
branches of arteries of
lower limb.
76. Anastomosis Enlist the vessels
participating in
“ “
trochanteric & cruciate
anastomosis.
77. Vessels of Enlist the superficial and
“ “
lower limb deep veins of lower limb.
78. Superficial Describe the formation,
veins course, & tributaries of
“ “
great and small
saphenous veins.
79. Venous Describe deep veins of
“ “
drainage lower limb.
80. Venous Mark the great and small
drainage saphenous vein on the “ OSPE
given subject.
81. Lymphatic Describe the lymphatic
drainage drainage of lower limb.
MCQ/SEQ/SAQ/
Correlate this knowledge “
/ Viva voce
to locate the site of
sepsis or malignancy.
82. Radiography Differentiate between
radiopaque and “ OSPE
radiolucent structures
83. Radiography Identify different bony
structures on
“ “
radiographs of different
regions of lower limb
84. Identify important bony
land marks and
articulating bones
“ “
forming each joint of
lower limb, in different
views of radiographs.

90
PHYSIOLOGY
S.NO Topic
Learning Outcomes Learning Instructiona Assessmen
Objectives/Contents l Strategies t tools
1
Introduction to  Correlate the anatomy of  Recognize the Lectures/SG MCQ/SAQ/
Respiratory D/ CBL structured
respiratory tract with its functional anatomy of
System viva
functions various parts of
 Appreciate the role of respiratory system
conductive and gas  Highlight the non-
exchange zones of lungs respiratory functions
of respiratory tract
2
Pulmonary  Analyze the mechanics of  Distinguish functions Lectures/SG MCQ/SAQ/
Mechanics D/ CBL structured
respiration of inspiratory and
 Analyze lung volume and expiratory muscles viva
pressure changes during during quiet and
quiet and forceful forceful respiration
breathing  Correlate normal lung
volumes/capacities to
various pressures and
volume changes
during forceful
respiration
3
Pulmonary Explain factors  Discern lung and chest Lectures/SG MCQ/SAQ/
Compliance determining pulmonary D/ CBL structured
wall compliance
compliance viva
 Identify composition &
role of surfactant in
alveolar surface
tension
 State concept of work
of breathing
4
Respiratory Compare the different  Appreciate the layers Lectures/SG MCQ/SAQ/
Membrane & modes of gas transport in D/ CBL structured
of respiratory
Diffusion of blood viva
Gases membrane in detail
 Appraise concept of
diffusing capacity
through respiratory
membrane
 Identify factors
affecting gas diffusion
through respiratory
membrane
5
Diffusion of  State the mechanics of Lectures/SG MCQ/SAQ/
gases & Oxygen D/ CBL structured
oxygen diffusion from
transport viva
alveoli to blood

91
  Distinguish
mechanism of oxygen
transport in the
arterial blood, tissue
fluid and cell
6
Oxygen  Identify the role of Hb Lectures/SG MCQ/SAQ/
transport & D/ CBL structured
in oxygen transport
Dissociative viva
curve  Analyze normal
oxygen-hemoglobin
dissociation curve by
explaining factors that
shift oxygen-
hemoglobin
dissociation curve to
right and left
7
Carbon dioxide  Identify various Lectures/SG MCQ/SAQ/
transport D/ CBL structured
chemical form in
which C02 is viva
transported in blood
 Discern normal C02
dissociation curve
explaining Bohr effect,
haldane effect and
chloride shift
8
Nervous  Compare the chemical and  State different group Lectures/SG MCQ/SAQ/
regulation of D/ CBL structured
neural regulation of of neurons composing
respiration viva
respiration during rest and respiratory center
exercise  Review nervous
 Correlate ventilation with control of inspiration
perfusion in different lung and respiratory
zones rhythm
 Recognize the
regulatory mechanism
of hering-breuer
inflation reflex
9
Chemical  Appraise location, Lectures/SG MCQ/SAQ/
regulation of D/ CBL structured
function and
respiration viva
stimulation (by C02
and H+) of central
chemosensitive area
 Identify the role of
peripheral
chemoreceptors for
control of respiration

92
  Determine the
composite effects of
PC02, pH, & P02 on
alveolar ventilation
10
Pulmonary  Appreciate pressure Lectures/SG MCQ/SAQ/
circulation differences b/w D/ CBL structured
Va/Q viva
pulmonary & systemic
circulation
 Analyze the
pulmonary blood flow
and effect of
hydrostatic pressure
on it and the concept
of ventilation
perfusion ratio
11
Hypoxia Distinguish between  Identify various causes Lectures/SG MCQ/SAQ/
various respiratory D/ CBL structured
of hypoxia
abnormalities viva
 Analyze effects of
hypoxia on the body
and role of oxygen
therapy in different
types of hypoxia
12
Cyanosis/Asphyxia  List causes of cyanosis
/
and asphyxia
Hypercapnia
• Enunciate hypercapnia
& its association with
various forms of
hypoxia
 Interpret effects of
very high blood C02
levels on respiratory
center
13
Obstructive lung Discuss the causes
Diseases and pathophysiology
of obstructive lung
diseases and evaluate
its effects on
respiration
14
Restrictive lung • Discuss the causes and
Diseases pathophysiology of
Restrictive lung
diseases and evaluate
its effects on
respiration
• Draw and explain the
spirogram of

93
 obstructive and
restrictive lung
diseases
• Differentiate between
Obstructive and
restrictive lung disease
based on spirometry
and FEV1 / FVC ratio
15
Acclimatization Discern the respiratory • Analyze the
at high altitude adjustment at high
mechanism of
altitude, in deep sea and
space and analyze acclimatization of the
various maladjustments in body to low O2
unusual environment • Identify and explain
the causes of natural
acclimatization in
natives of High
altitude
• Study the principles of
acclimatization
16
AMS/HAPE/HAC • Explain causes,
E
pathophysiology &
clinical features of
AMS/HAPE/HACE
• State prevention and
treatment of
AMS/HAPE/HACE
17
Deep sea • Analyze changes in
physiology
physiology under deep
sea
• Describe the
pathophysiology,
clinical features,
prevention and
treatment modalities
of Decompression
sickness, Nitrogen
Narcosis, Oxygen and
carbon dioxide toxicity
• Identify uses of
hyperbaric oxygen
therapy
18
Space Explain the effects of G
Physiology
forces and microgravity
on the body

94
19
Exercise Summarize the • Correlate the various
Physiology respiratory and
muscle metabolic
cardiovascular
adjustments in body systems used as
during exercise energy substrates with
the type of exercise
i.e. aerobic and
anaerobic.
• Relate the effects of
types of exercise,
muscle fatigue and
VO2max on exercise
performance
• Explain the
significance of oxygen
debt.
• Describe the effects of
training on the heart
and coronary
circulation and how
these changes
contribute to an
increase in VO2max.
Practicals Examine respiratory Steps for examination
related to system on an SP in a of chest
respiratory proper sequence of
system inspection, palpation,
percussion and
auscultation
Study the spirometer and What is Spirometer
operate the instrument and its uses
Record of Tidal Volume, Uses ofSpirometer
Inspiratory Reserve
volume, and Expiratory
reserve volume by using
Student’s spirometer and
Kymograph and label it.
Record the forced Recording the forced
expiratory Volume by expiratory Volume by
using Student’s Spirogram
Spirogram
Measure Peak Expiratory Measurement of Peak
Flow Rate (PEFR) and Expiratory Flow Rate
report the reading (PEFR)
Analyze with the help of ABG report to
Arterial Blood Gases diagnose respiratory
(ABG) report acidosis and
respiratory alkalosis

95
BIOCHEMISTRY
S.NO Topic/ Theme Learning Outcomes Learning Instructiona Assessmen
Objectives/Contents l Strategies t tools
 Classify vitamins.  Classify various
1
Vitamins Lecture/ MCQ/ SAQ/
SGD/ CBL SEQ
 Relate the knowledge of types of vitamins.
water soluble and fat  Discuss Chemistry,
soluble vitamins for sources Biochemical
understanding of its Functions,
deficiency and excess Deficiency
manifestations manifestations and
Daily allowance of
water soluble
vitamins (Vitamin C,
B1, B2, B3, B6,
pantothenic acid,
Folic acid, Biotin and
B12).
 Discuss daily
allowance, sources,
chemistry,
biochemical
functions, deficiency
manifestations, and
Hypervitaminosis of
fat soluble vitamins
(Vitamin A, D, E &
K).
Interpret the result of Vitamin D Practical OSPE
given examination
Vitamin C Practical OSPE
Vitamin A Practical OSPE

96
Research Methodology
S.No Topic/ Theme Learning Learning Instructional Assessment
Outcomes Objectives/Contents strategies Tool
8. Literature Able to search Purpose and types of LGIS/ Group MCQ/ SEQ
Review scientific literature medical assignment
literature related literature (original
to the chosen study. Case study
topic from systematic review,
medical data basis Meta-analysis);
and digital library/ Sources of information
from internet/ Libraries - provide
library access to many types
of resources

 Internet / Databases
 Books
 Journals
/Conference
proceedings

9. Literature Perform scientific Search techniques, use LGIS/ Group MCQ/ SEQ
search literature search of keywords, Boolean assignment
on selected topic searching
by using different
technique/  Understand the
methods. steps in conducting
a systematic review
 Develop an
answerable
question using the
“Participants
Interventions
Comparisons
Outcomes” (PICO)
framework
 Interpret the results
of meta-analyses

10. Operational Formulate Formulation of LGIS/ SGD MCQ/ SEQ

definition operational operational definition
Hypothesis definition and of impotent variables.
research Types of research
hypothesis hypothesis

97
 Medicine
Learning
Instructional Assessment
S.No Topic/ Theme Learning outcomes Objectives/Contents
strategies tool
1 Obstructive Diagnose various  Clinical features of Lectures/SGD MCQ
Lungs disease obstructive lung diseases obstructive lung
on the basis of clinical diseases
features and lung  lung function tests
function test  Describe effects on
lung physiology

2 Restrictive lungs Diagnose various  Clinical features of Lectures/SGD MCQ

disease restrictive lung diseases restrictive lung
on the basis of clinical diseases
features and lung  lung function tests
function tests  Describe effects on
lung physiology

3 Respiratory Recognize respiratory  Identify respiratory Lectures/SGD MCQ

distress distress syndrome distress syndrome
syndrome  Enumerate its
common causes

4 Acute and  Plan a strategy for  Diagnose acute and Lectures/SGD MCQ
chronic prevention and chronic mountain
mountain treatment of acute and sickness by its
sickness
chronic mountain clinical features
sickness  Describe HAPE and
 Describe HAPE and HACE
HACE  Plan a strategy for
its prevention and
treatment

5 Respiratory Plan a treatment strategy  Diagnose Lectures/SGD MCQ

Failure for respiratory failure respiratory failure
 Enumerate its
common causes
 Plan a treatment
strategy

6 Pulmonary Diagnose pulmonary  Enumerate risk Lectures/SGD MCQ

Embolism factors of DVT/
embolism by its clinical
Pulmonary

98
 features and appropriate embolism
investigations relating to  Diagnose
pulmonary
its physiology
embolism by its
clinical features
 Plan appropriate
investigations for
diagnosis

7 Pleural Effusion Diagnose pleural effusion  Diagnose pleural Lectures/SGD MCQ

by its clinical features and effusion by its
appropriate clinical features
investigations relating to
 Describe effects of
its physiology
pleural effusion on
lung physiology
 Plan appropriate
diagnostic
investigations

8 Pneumonia Diagnose pneumonia/  Diagnose clinical Lectures/SGD MCQ

/Bronchiectasis Bronchiectasis by its features of
clinical features and pneumonia/
appropriate
Bronchiectasis
investigations relating to
its physiology  Describe effects on
lung physiology
 Plan appropriate
diagnostic
investigations

99
 Surgery
ANATOMY
Learning
Instructional Assessment
S.No Topic/ Theme Learning outcomes Objectives/Contents
strategies tool
Respiratory and
1 High altitude

2 Locomotor II  Explain underlying  Appraise knowledge LGIS MCQ

causes leading to of anatomy to
sprain/ stiffness of understand
muscles conditions, causing
 Apply anatomical strain and stiffness
knowledge to of muscles
understand effects  Develop an
of knee swellings understanding of
and trauma to knee normal and
 Relate the effect of damaged ligaments
different of and meniscus
fractures and  Apply knowledge of
dislocation of lower anatomy to
limb understand different
 Perform Knee deformities
examination of  Apply knowledge of
joints in relation to anatomy to
different diseases of understand Valgus
lower limb /Varus /foot
 Develop an arches/fleet foot
understanding of  Identify effects and
various types of causes of fractures
lower limb of femur, tibia,
amputation and fibula and hip bone
rehabilitation and dislocation of
Appraise causes and hip, knee and ankle
effects of varicose joints
veins  Develop an
understanding of
different nerve
injuries/compression
lower limb
 Appraise the
knowledge of
anatomy to
understand the
causes of different

100
 Amputations of
lower limb
 Describe in detail
Orthosis/ prothesis
/rehabilitation
 Appraise the
anatomical
reasoning behind
development of
varicose veins and
its management.

101
 TABLE OF SPECIATION
1ST YEAR MBBS
 Anatomy
 Physiology
 Biochemistry

102
 First Professional MBBS Examination (2020)
ANATOMY
Table of Specifications for Annual First Professional Examination: Theory
Time Allowed = 03 hrs. (Including MCQs)
Marks of theory paper = 90
Internal assessment = 10
Total marks = 100
Pass Marks = 50
Paper-1
45 x MCQs (45 Marks) Time =50 min
Paper-2
Q. No. 1,2,3,4,5,6,7,8,9
5x SAQs/SEQs (Recall) = 05 marks each
4x SAQs/SEQs (Application) = 05 marks each
Total Marks = 45 Marks Time = 2 hours & 10 min

NUMBER OF MCQs NUMBER OF SAQs/SEQs (09)

(45) 05 marks each
S. No Topic Recall: 27
Application: 18
1 mark each Recall Application

1. General 05 01 (05 marks) 01 (05 marks)

Embryology
Special 03
Embryology
2 General 05 01 (05 marks) -
Histology
Special Histology 02
3 General Anatomy 05 - -
4 Upper limb 09 01 (05 marks) 01 (05 marks)
5 Lower limb 09 01 (05 marks) 01 (05 marks)
6. Thorax 07 01 (05 marks) 01 (05 marks)
7. Radiology
05 (25 Marks) 04 (20 Marks)
Total 45 (45 Marks)
09 (45 Marks)

Theory: Internal Assessment (IA) Calculation

A B C F
Roll No. Name All Modules/ Total Marks of internal
Pre annual assessment
Exams or any other exam Out 0f 10

Total Marks

103
 Table of Specifications for Annual Professional Exam: Practical

VIVA OSPE 45 Marks

45 Marks Gross, Embryo, Radiology 2 marks / Station Grand
Sr Topics Histology 1 mark /station
Histology Total/
# Station Observed
(unobserved) Stations Manual Component
20 Marks 15 Marks
1 General 15 02 (04 marks) - 37
Embryology
Special
embryology
2 General - 10(10 marks) 9 marks (long 3 marks 34
Histology slides)
Special histology
3 General Anatomy - 01(02marks) - 7
10 02 (04 marks) Surface Marking LL=34
4 Lower Limb

5 Upper 10 02 (04 marks) 1 mark UL=34

Limb
6 Thorax 10 02 (04 marks) 1 mark Th=32
7 Radiology - 01 (02 marks) 1 mark Rad=2
Total 45 Marks 20(30 Marks) 15 Marks 90 arks

PS SEQ of application level each year can be given from upper limb, lower limb or thorax
*Clinical application of anatomy(surgery)will be asked through application level Questions
Internal Assessment Calculation 20 Marks (10% of Exam)
Module I Module II Module III Sendup Total Written & VIVA
05 Marks 05 Marks 05 Marks 05 Marks 20 Marks 10+10 Marks

 CBL/Assignments /Gross Sketch copies are part of Formative Assessment.

Practical: Internal Assessment Calculation

A B C F
Roll No. Name OSPE /Practical Class tests Total Marks of internal
throughout the year assessment
/Pre annual Practical Out 0f 10
Exams or any other exam

Total Marks Sum of Marks obtained x10/

sum of total marks in all exams

104
 First Professional MBBS Examination (2020)
PHYSIOLOGY

Table of Specifications for Annual First Professional Examination: Theory

Time Allowed = 03 hrs (Including MCQs)
Marks of theory paper = 90
Internal assessment = 10
Total marks = 100
Pass Marks = 50
45 x MCQs (on separate sheet) (45 Marks) Time =50 min
Q. No. 1,2,3,4,5,6,7,8,9

05 x SAQs/SEQs (Recall) = 05 marks each

04 x SAQs/SEQs (Application) = 05 marks each)
Total Marks =45 Marks Time = 2 hours & min
S No Topic Number of MCQs (45) Number of SAQs/SEQs
Recall 30 (09)
Application 15 05 Marks each
01 mark each 5 recall, 4 Application

Applicatio
Total Recall total Recall Application
n
1 Cell + Nerve muscle 08 06 02 02 01 01
2 Blood 12 07 05 02 01 01
3 CVS 15 10 05 03 02 01
4 Respiration + 10 07 03 02 01 01
Environment + Sports
Total 45 (45 Marks) 09 (45 Marks)

*Clinical application of Physiology (Medicine) will be asked through application level Questions

105
 Theory: Internal Assessment (IA) Calculation

A B C D
Roll No. Name All Modules/ Total Marks of internal
Pre annual assessment
Exams or any other exam Out 0f 10
Total Marks Sum of Marks obtained x10/
sum of total marks in all exams

Table of Specifications for Annual Professional Exam: Practical

Viva (Theory)
50 marks

Internal External OSPE (35) Practical Journal

Examiner Examiner Observed Unobserved Total
(04 Stations) (10 Stations)
25 25 25 (6+6+6+7) 10 5 90

Practical: Internal Assessment Calculation

A B C D
Roll No. Name OSPE /PTT/ Class tests throughout the year Total Marks of internal
/Pre annual assessment
Exams or any other exam Out 0f 10

Total Marks Sum of Marks obtained x10/ sum of total

marks in all exams

106
 First Professional MBBS Examination (2020)
BIOCHEMISTRY
Time Allowed =03 hrs (Including MCQs)
Marks of theory paper =90
Internal assessment =10
Total marks =100
Pass Marks =50
45 x MCQs (on separate sheet) (45 Marks) Time =50 min
Q. No. 1,2,3,4,5,6,7,8,9
7x SAQs/SEQs (Recall) = 05 marks each

NUMBER OF MCQs (45) 2 x SAQs/

7 x SEQs SEQs
Topic 05 marks each (Application)
Recall Application
5 marks each
Chemistry of Protein & Amino Acids
+ Metabolism of Proteins and 08 03 01
Amino Acids
whole courses
Chemistry of Lipids + Metabolism of 08 03
01
Lipids
Porphyrins & Hemoglobin 02 02 01
Mineral and Trace Elements 02 01 01
Biochemistry of cell & Biological 04 01
membrane + Body Fluids + Water 01
& Electrolyte, Acid Base Balance
Enzymes + Immunogloblins 03 02 01
Vitamins 03 03 01
Total 45 (45 Marks) 09 (45 Marks)

107
Theory: Internal Assessment (IA) Calculation

A B C D
Roll No. Name All Modules/ Total Marks of internal
Pre annual assessment
Exams or any other exam Out 0f 10

Total Marks Sum of Marks obtained x10/

sum of total marks in all exams

Table of Specifications for Annual Professional Exam: Practical

Viva (Theory)
Practical
50 marks Total
40 marks

Internal External OSPE (20)

Examiner Examiner Observed Unobserved Viva + Performance Journal
(2 Station) (10 Station)
25 25 10 10 15 5 90

Practical: Internal Assessment Calculation

A B C D
Roll No. Name OSPE /PTT/ Class tests Total Marks of internal
throughout the year assessment
/Pre annual Out 0f 10
Exams or any other exam

Total Marks Sum of Marks obtained x10/

sum of total marks in all exams

108