DEPARTMENT OF MEDICINE

BLUEPRINT – LONG EXAMINATION 2018

Category of Questions: Relevance: Level of Difficulty:

 50%: Problem Solving / Application  MK 75%: Must Know 1. Easy
 30%: Recall  GK 15%: Good to know 2. Moderately difficult
 20%: Comprehension  NK 10%: Nice to know 3. Difficult

I. CARDIOVASCULAR/ CIRCULATORY SYSTEM: 40 Items

Weight
Objective / Content
# of items %
1. Assess and manage common problems
1.1. Chest pain 1
1.2. Palpitations 1

2. Diagnose and manage common medical conditions / diseases both in the out-patient and inpatient
settings
2.1. Essential/Primary Hypertension 5
2.2. Coronary Artery disease (Unstable Angina/ Ischemic heart disease) 5
2.3. Acute Heart Failure 2
2.4. Chronic Decompensated Heart Failure 2
2.5. Infective Endocarditis 2

3. Diagnose and initiate management common but complicated medical conditions / diseases and refer
to appropriate subspecialists
3.1. Bradyarrhythmias (Sinus and AV nodal disease) 1
3.2. Supraventricular Tachyarrhythmias uncontrolled (Atrial fibrillation/atrial flutter/SVT) 3
3.3. Ventricular tachyarrhythmias (ventricular tachycardia/ventricular fibrillation) 2
3.4. Cardiomyopathies 1
3.5. Secondary Hypertension 2
3.6. Valvular heart disease 1
3.7. Peripheral Arterial Disease 1

4. Diagnose and manage common emergency conditions

4.1. Pulmonary Embolism 1
4.2. Hypertensive crises 2
4.3. Acute Coronary Syndrome (STEMI Killip I-II) 2
4.4. Decompensated heart failure 2

5. Diagnose and initiate management of common but complicated emergency conditions and refer to
appropriate subspecialists
5.1. Acute Coronary Syndrome (NSTEMI Killip III-IV) 2
5.2. Sudden Cardiac death 2

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 DEPARTMENT OF MEDICINE
BLUEPRINT – LONG EXAMINATION 2018

Category of Questions: Relevance: Level of Difficulty:

 50%: Problem Solving / Application  MK 75%: Must Know 4. Easy
 30%: Recall  GK 15%: Good to know 5. Moderately difficult
 20%: Comprehension  NK 10%: Nice to know 6. Difficult

II. URINARY SYSTEM : 30 Items

Weight
Objective / Content
# of items %
1. Assess and manage common problems
1.1. Dysuria 1
1.2. Abnormal urinalysis 2
1.3 Bubbly urine 1

2. Diagnose and manage common medical conditions / diseases both in the out-patient and inpatient
settings
2.1. Electrolyte disorders 3
2.2. Metabolic acidosis 1
2.3. Metabolic alkalosis 1
2.4. Acute Kidney injury – Pre renal AKI 1
2.5. CKD Stage 4 1
2.6. UTI ( Complicated – Nephrolithiasis or Bacterial Prostatitis) Include CPG 2

3. Diagnose and initiate management common but complicated medical conditions / diseases and refer
to appropriate subspecialists
3.1. Acute Kidney injury (Cardio-renal syndrome) 1
3.2. Acute kidney injury (Hepato-renal syndrome) 1
3.3. Glomerular Syndrome (Primary/Secondary) 4
3.4. Renal ( Intrinsic ) AKI 1
3.5 Post-renal AKI 1
3.6 Metabolic/Congenital Conditions (Polycystic Kidney disease) 1
3.7 UTI in Special Patients (Struvite stones) 1
3.8 Pregnancy – related Renal disorders 1

4. Diagnose and manage common emergency conditions

4.1. Hyperkalemia 1
4.2 Symptomatic Hyponatremia 1
4.3 Hypokalemia with cardiac symptoms 1
4.4 Metabolic Acidosis 1

5. Diagnose and initiate management of common but complicated emergency conditions and refer to
appropriate subspecialists
5.1. Uremia 1
5.2. Dialysis –related complications 1

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 DEPARTMENT OF MEDICINE
BLUEPRINT – LONG EXAMINATION 2018

Category of Questions: Relevance: Level of Difficulty:

 50%: Problem Solving / Application  MK 75%: Must Know 7. Easy
 30%: Recall  GK 15%: Good to know 8. Moderately difficult
 20%: Comprehension  NK 10%: Nice to know 9. Difficult

III. RESPIRATORY SYSTEM : 30 Items

Weight
Objective / Content
# of items %
1. Assess and manage common problems
1.1. Dyspnea 1
1.2. Cough/Sputum Production 1
1.3 Hemoptysis 1

2. Diagnose and manage common medical conditions / diseases both in the out-patient and inpatient
settings
2.1. Asthma ( Fairly controlled ) 2
2.2. COPD ( Quadrant A/B) 2
2.3. Pneumonia (Community-acquired, health-care associated, hospital acquired) 3
2.4. PTB ( Category 1-2 ) 3

3. Diagnose and initiate management common but complicated medical conditions / diseases and refer
to appropriate subspecialists
3.1. Asthma ( Complicated ) 2
3.2. COPD ( Quadrant C/D, with respiratory failure ) 2
3.3. Pneumonia ( Non-resolving, Multidrug resistant ) ) 2
3.4. Effusion ( Massive/ Recurrent ) 1
3.5. Respiratory Failure ( ARDS ) 2
3.6. Pneumothorax 1
3.7. Invasive mechanical ventilation and monitoring 1

4. Diagnose and manage common emergency conditions

4.1. Asthma and COPD exacerbations 2
4.2. Pulmonary edema 2

5. Diagnose and initiate management of common but complicated emergency conditions and refer to
appropriate subspecialists
5.1. Severe Pneumonia 1
5.2. Pulmonary Embolism 1