MBBS Regulations

Addendum

ADDENDUM

1.                                          To be added to page  No22

Modification of pattern of question papers in Community medicine, Medicine, Surgery and Gynecology & obstetrics

No change in ENT, Ophthalmology & Pediatrics.

Change in Community medicine, medicine & surgery

            2 papers of 60 marks each

                        Each paper has 2 sections, each section consists of

                        1. One structural question                                                          10marks

                        2. Three short answer questions                         3x4=12 marks

                        3. Four brief answer questions                                 4x2=8marks

                                                                                                                        Total                                                               30 marks

                        Changes in Gynecology & Obstetrics

                        Two papers of 40 marks each.

                        Each paper has 2 sections, each section consists of

                        1. There short answer questions                                 3x4-12 marks

                        2. Four brief answer questions                                 4x2=8marks

                                                                                                                        Total                                                               20 marks

                        The pattern of question papers given in this book will apply to students under 1997 Mci new regulations only.

2.                                          To be added to page No 46

Divisionn of Physiology syllabus for University exam Paperwise division of physiology Syllabus

Paper I : Cell, Blood, Biophysics, CVS, Respiration. Digestion, Excretion, Body temparature, Regulation, Body fluids and RES

Paper II : Endocrines, Reproduction, Muscle Nerve, CNS, ANS and special senses.

3.                     Division of syllabus paper wise of Microbiology, Pathology & Pharmacology printed in Page No7 should come to Page No. 67

BASIC GUDELINES FOR PATHOLOGY PRACTICALS,

GROUP DISCUSSIONS

INTEGRATED TEACHING, INTERNAL ASSESSMENT Etc.,

Total Marks : 200 Hours

HAEMOTOLOGY

Topics                                                                                                 No.of Hours

1. Estimation of HB  :             a) Demonstration                                              1

                                                            b) Conduction of Practicals                    1

                                                                 with Basic standard Questlonnaire

                                                                  & model disease charts for

                                                                  interpretation

2. RBC & WBC counts               a) Demonstration                                              1

                                                            b) Conduction of Practicals                    1

                                                                 with Basic standard Questlonnaire

                                                                  & model disease charts for

                                                                  interpretation

3. Hematocrit & ESR             a) Demonstration                                              1

                                                            b) Basic standard Questionaire               1

                                                                 & model disease chart for

                                                                  Interpretation

4. Peripheral Blood             a) Techniques of smear making &         1

smear :                                                staining with demonstration

                                                            b) Identification of cells-                                   1

                                                                 demonstration

                                                            c) Model disease charts for                    1

                                                                interpretation.

a)      Practicals :

1) Smears of Microcytic             1

 Hypochromic & Macrocytic

Anaemias and Haemolytic

Anaemias                        1

                                                                  2) Smears of CLL                            1

                                                                                           CML                           1

                                                                        Acute lcukemia: AML or                      1

                                                                                                       ALL                1

                                                                   3) Ecosinophilia                          1

                                    All the above with basic standared Questionaire

5.         BT, CT & Platelet Demonstration                                                          1

6.             Reticulocyte count Demonstration with basic standard                      1

                                                                        Questionsire

1.      Bone marrow Examiation (a) Methode of collection and

                                                                        Demonsstration                                1

                                                (b) Studay of normal marrow                                   1

                                                (c) Studay of 2 abnormal bone                            1

                                                            marrows

8.         Blood  group & related things                                                              1

II EXAMINATION OF URINE

1.                  Physical characters & different samples with pH &

            Specific gravity Demonstration                                                                      1

2.                  Chemistry of Urine with Albumin, Blood, Sugar,

Ketone bodies, Bilesalts & Bilepigments                                      1

Demonstration with discussion about erros in  interpretation

3.            Practical Tests for students                       (a)             Albumin+ Blood-

                                                                                                Physical properties &

                                                                                                Clinical correlation                1

                                                A&b with case charts for interpretation

4.            Microscopy                                        (a)            Casts, crystsls, RBC,

                                                                                    Puscells Demonstration                      1

5.            Pregnancy Test : Demonstration, discussion of normal &

            molar pregnancies & Choriocarcinoma                                                                   1

                                                            III BODY FLUIDS

1.                  Demonstration of CSF, Pleural filuid, Ascitic fluid & Sputum –

            Normal Inflammation and malignancy                                                                  1

2.            Exfoliative Cytology             a)            Techniques                                                     1

                                                            b)            Demonstration of PAP,

                                                                        H&E of Cervical smears

                                                                        And Bronchial Wash                           1

                                                            c)            3 disease samples with

                                                                        discussion & Clinical

                                                                        correlation                                                      1

3.         FNAC                         a)            Techniques

                                                                        Demonstration                                              1

                                                            b)            Inflammatory &

                                                                        Neoplastic casses for

                                                                        Discussion &

                                                            Interpretaion                                      1

4.         Sex Chromation demonstration – Buccal smwar interpretation              1

IV HISTOPATHOLOGY

1.            Histopathology Lab- Practical demonstration of steps                       1

                                                                                    involved

2.            Staining Techniques, H&e & Special stains :                                     2

                                                                                    PAS

                                                                                    Vangieson

                                                                                    Sudan (Fat)

                                                                                    Lron

3.            Preparation of Requisition for Pathology Lab

            points to remember – fixatives                                                                   1

                                                                        Clinical details

                                                                        Specific points regarding

                                                                        The lesion

4.         Slides :            Any 44 of the following with atleast 16 from general Pathology

                                    1. Cloudy swelling                                               1

                                    2.Fatty change                                     1

                                    3.Hyaline change                                            1

                                    4.Caagulation and caseous necrosis            1

                                    5.Cells of acute & chronic inflammation1

                                    6.Granulation tissue                           1

                                    7.CVC laung & Liver                          1

                                    8.Thrombus                                                   1

                                    9.Amyloidosis(Spleen)                                   1

                                    10.Rhinosporidiosis                          1

                                    11.Actinomycosis                                           1

                                    12. Mycetom                                                         1

                                    13.Filarial lymph node                            1

                                    14.Leprosy                                                     1

                                    15.Squamous papilloma, adenoma            1

                                    16.Lipoma, fibroma                                      1

                                    17.Capillary & Cavernous angioma            1

                                    18.Cellular features of malignancy            1

                                    19. Squamous cell Ca & adeno Ca.       1

                                    20.Fibrosarcoma                                           1

                                                            Systemic Pathology slides

1. Blood Vessels & Heart   :            1. Atherosclerosis                                   1

                                                            2.Monckeberg’s arteriosclerosis           1

                                                            3.Hyaline arteriolosclerosis        1

                                                            4.TAO                                                1

                                                            5.Aschoff’s body                               1

                                                            6. Myocardial infarction                    1

2.Lymphonodes                     :            1.Hodgkin’s lymphoma                   1

                                                            2.Non-Hondgkin’s Lymphoma            1

                                                            3.TB Lymph node                           1

3.Respiratory system :            1.Emphysema                                    1

                                                            2.Bronchiectasis                                 1

                                                            3.Lobar & Bronchopneumonias            1

                                                            4.Pulmonary Lung                             1

                                                            5.Carcinoma Lung                             1

4.Salivary glands                          1.Plemorphic adenoma                     1

5. GIT                                     1.chronic Gastric ulcer                1

                                                            2.Carcinoma stomach & colon            1

                                                            3.Carcinoid appendix                        1

6.Liver                                                1. Cirrhosis                                             1

                                                            2. Hepatoma                                           1

7. Kidney                                            1.chronic Glomerulonephritis  1

                                                            2.Chronic Pyelonephritis             1

                                                            3.Benign Nephrosclerosis                    1

                                                            4.Wilm’s Turnor                                 1

                                                            5.Renal Cell carcinoma                   1

8.Testis & FGT                            1.Semonoma                                     1

                                                            2.Endometrium Proliferative

                                                                                    Secretory                   1

                                                            3. Leiomyoma                            1

                                                            4. Dermoid cyst                          1

                                                            5.Vesicular mole                                 1

9.Breast                                               1.Fibroadenoma                               1

                                                            2.Duct cell carcinoma             1

10.Thyroid                                          1.Hashimoto’s Thyroiditis                  1

                                                            2.Grave’s disease                               1

                                                            3.Flollicular adenoma                        1

                                                            4.Papillary Carcinoma                  1

11. Skin                                               1.Basal cell carcinoma             1

                                                            2.Melanoma                                       1

12Musculo Skeletal                                    1. Osteomyelitis                          1

                                                            2.Osteo sarcoma                               1

                                                            3.Chondro sarcoma                           1

                                                            4.Giant cell turnor                             1

                                                            5.Ewing’s sarcoma                             1

                                                            V  AUTOPSY

1.Techniques of Autosy                                                        1

2.Autopsy demonstration & recording of 4 diseases            4

                                    VI INSTRUMENTS

1.RBC 7 WBC pipettes & diluting fluids

2.Neubauer chamber & others

3.PCV Tube

4.ESR Tube

5.Hb Meter

6.Urino meter

7.Esbach’s albumino meter

8.L.P.Needle

9.Bone marrow aspiration needles (Salah and Klima)

10 Cuvette of an autoanalyser

                                                            VII GLOSSING OF SPECIMENS

5.Practical demonstration classes for 5 groups             5 Hours

                                                (30 Specimens)

                                                VIII INTEGRATED TEACHING

Topics as given by the university in the regulations of MBBS

degree course            20 Hours

IX PRACTICAL ORIENTED & THEORY ORIENTED GROUP DISCUSSIONS

                                                                                                            78 Hours

                                                (With standard basic questionnaire)            (14+64)

Topics :                                                                                                                       7X2:14

a.       Collection of blood, methods & anticoagulants

b.      B.Anaemias                      

c.       Haemorrhagic disorders

d.      Leukemias & Lymphomas

e.       Blood groups & transfusion reactions

f.        Urine changes physical & chemical characters with clinical correlation Discussion of Jaundice

g.      Body fluids sampling (collection) preservation Techniques, variability in disease

h.      Topics of certain common disorders in general – 64 and systemic pathology in the form of Questionnaire and Group discussion- 32 topics excluding topics covered in integrated teaching.

i.        Each topic not more than 2 hours.

                                                X INTERNAL ASSESSMENT                                  12 Hours

3          Theory examinations of 2 hours each

1                    Practical examination in divided batches together 6 Hours.

                                                            ANNEXURE – III

III. SCHEME OF PRATCALS OF ANATOMY WITHIN THE FRAME WORK OF MEDICAL COUNCIL OF INDIA REGULATIONS ON GRADUATE MEDICAL EDUCATION , 1997.

                                    PRACTICAL –1 GROSS ANATOMY

SL.NO            TOPIC                                                                     MAX.MARK

1.                  Major Exercise Dissected parts from head and

Neck, Abdomen, Pelvis and Thorax                                                10

            2.            Minor Exercises – Dissected parts from Extremities                 5

            3.            Surface Marking.Clinically Oriented Problem or Question            5

                                                PRACTICAL – II – HISTOLOGY

            1.            Spotters                                                                                             5

            2.            Stained Slide for Discussion(2 Slides)                                     10

            3.            Genetic Exercise                                                                               5

                                                            ORALS

            1.            Soft parts                                                                                        5

            2.            Osteology                                                                                          5

            3.            Radiology                                                                                          5

            4.            Embryology                                                                                       5

                                                NUMBER OF CLASSES (HOURS)

1. Theory                    :            100

2.Practicals                

            Haematology  :            22

            Urine                           :            6

            Fluids                          :            6

            Histopathology            :            44

3.Instruments              :            3

4.Glsossing of specimens            :            5

5.Practical & Theory oriented topics

for group discussion            :            78

6.Autopsy                               :            4

7.Integrated Teaching            :            20

8.Internal Assessment            :            12

ADDITIONAL ADDENDUM CORRECTIONS TO MBBS COURSE REGULATIONS (YEAR 2000) NTR UHS :

 THE REGULATIONS ARE IN ACCORDANCE WITH MCI REGULATIONS OF 1997 AND ARE SUBJECTED TO AMENDMENT FROM TIME TO TIME

SL.NO            PAGE.NO            ITEM.NO                              Addition / Correction

1                      7                      B            2^nd line            Clinical and Praclinical (instead of

                                                                                    clinical / para clinical)

2                      8                      IX            A                     General (Instead of 1^st MBBS)

3.                     9                      at the end of              Add the above internal assessment

                                                the “A”                 criteria is applicable to all phases of

                                                                                    MBBS. However in II and III

                                                                                    phases following additional criterai

                                                                                    shall apply

4.                     9                      C            2 nd line      One clinical three internal

                                                                                    assesssment exams (instead of 4)

5.                     9                      C            4^th Line     All these three internal assessment

                                                                                    exam (instead of 4)

6.                     13                    XV                              Should be deleted.

7.                     13                    XVI-1                          Should be substituted by A

                                                                        candidate is declared as passed in

                                                                        second class if he/she obtain 50%

                                                                        marks in aggregate in all subjects of

                                                                        the phase with a mnumum of 50% 

                                                                        in theory including orals and 50 %

                                                                        in Practicals.

8.                     14                    XVI 2^nd line                        To be deleted.

9.                     14                    XVI-3 2^nd line            Who secures 65% or more (instead

                                                                                    of 60% to 74%)

10.                   14                    XVI-4                          To be deleted

11.                   18                    C            6&7Lines       Oral 10 marks and practical 30

                                                                                    marks (instead of Orals 30 and

                                                                                    practicals 10)

12.                   18                    follo            Pass                 Para to be deleted.

                                                Wing

                                                 ‘C’

13.                   19                    Follo            “Pass”            Para to be deleted

                                                wing “d”

14.                   21                    XXV            a2                    One applied question also

                                                                                    structured (instead of one applied

                                                                                    question)

15.                   110                                                      Addendum to standing orders on

                                                                                    unfair means.

1.      One invigilator for every 20 candidates shall be appointed. However, there will be at least two invigilators in a room irrespective of number of candidates. Care should be taken not to keep the same invigilator in the same room and for same numbers everyday. The  invigilators should report to the chief superintendent atleast 20 minutes befor the commencement ox examination. They are under the control of Chief Superintendents during the period they are on such duty. They should not leave the examination hall without the permission of the chief sueprintendent.

2.      Examination shall start exactly at 9 am . Candidates should be in their seats 15 minutes before the schedule commencement of the examinations i.e., 8.45am. The answer books should be distributed ten minutes prior to the commencement of the examination i.e., 8.50am and all entries should be made and checked by 9.0am.

3.      No candidate should be permitted to enter the examination hall after the commencement of examination i.e., 9.00AM. No candidate shall be permitted to leave the exam hall earlier than half an hour befor the completion of time of the exam.

4.      Pagers, cellular Phones or any other gadgets are strictly phohibited  in the college premises during the examination days expecially in examination hours by the students. House surgeions and staff. The principal should circulate this information widely. Further, the principal, Chief superintendents and observers are to be empowered to seize such articles and shall initiate disciplinary action under intended malpractice.

5.      There shall not be any overwriting in the registered number and if  there is any correction. It should be attested by the Chief superintendent.

6.      To affix cellophane tape on the Regd.No after it is entered in the column provided on the answer script (as is done ofr bank drafts etc) by the concerned invigilator before the papers are collected.

7.      To fix individual independent accountabillity on the invigilator the attendance sheet system should be introduce. The attendance sheet contains the name of the invigilator with his her signature and the list of the Regd.No.s allotted to the invigilator for supervision. Against the Regd.no the serial no.of the booklet no. and No. of additional sheets taken should be noted. They should be signed by the candidates. The invigilator slso must sign in the last column as acknowledgement of having received the answer script from the candidate. The format of the attendance sheet is enclosed.

8.      Whe the time is over, all answer books must be collected immediately and the candidates should nto be allowed to leave the room without handling over the answerbooks. The invigilators are responsible for the safe delivery of the answer books fo the candidates under their charge to the chief superintedent after the examination is over and as such they should take proper precautions for the same.

9.      No staff member except Head of the Department of the concerned subject or officially authorised person in place of HOD should be permitted to the examination hall to verify the question paper.

                                                            ATTENDANCE SHEET

                        March- April / september – October – 2001 Examinations

Centre :……………………………………………………….date…………………….

Name of the Examination……………………………………………………………..

Subject ………………………………………………………………………………….

Name of the Invigilator :………………………………………………………………

(Asst.Superintendent).

                                                                                              Signature of the Chief Superintendent

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ANTI RAGGING ACT

STANDING ORDERS ON PUNISHMENT FOR USE OF UNFAIR MEANS  

ADDENDUM