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DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.

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CLINICAL SPOT NO:- S-01
Q.1.Carry out clinical examination of the RESPIRATORY-SYSTEM of given subject
.Inspect the Type of breathing & auscultate for the VOCAL-RESONANCE.
Q.2. Write in brief about the VOCAL-FREMITUS & ADVENTITIOUS SOUNDS.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-02
Q.1. Carry out a systematic clinical examination of the CARDIO-VASCULAR
SYSTEM of the given subject . Palpate for APEX-BEAT & auscultate heart sounds.
Q.2. Write in brief about the (a) THRILLS, (b) JVP (Jugular venous pressure),
(c) SPLIT-SOUNDS, (d ) TRIPPLE-RHYTHM & (e) MURMURS.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-03
Q.1. Define & measure (record) the various components of Systemic arterial
BLOOD-PRESSURE by PALPATORY, OSCILLOMETRIC & AUSCULTATORY Methods.
Also give the merits & demerits of each method and the effect of POSTURE on it.
Q.2. Explain the KOROTKOFFS -sounds & AUSCULTATORY-gap with their
clinical significance.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-04
Q.1. Using SPHYGMOMANOMETER, record the various components of the
Systemic arterial blood pressure & Heart-rate in sitting posture ,before and
after the PHYSICAL-EXERCISE of mild, moderate ,severe & very severe grades.
Express your observations in the tabulated-form and interpret your result
properly.
Q.2. Explain the long-term effects of physical exercise (training) on the cardiovascular physiology.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-05
Q. 1. With suitable clinical methods, measure the effect of GRAVITY on the
various components of Systemic arterial blood pressure & Heart-rate. Express
your observations in the tabulated-form and interpret your result properly.

Q. 2. What is POSTURAL-HYPOTENSION? Explain its patho-physiology.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-06
Q.1. With suitable clinical methods, measure the effect of ISOTONIC &
ISOMETRIC physical-exercises on the various components of Systemic arterial
blood pressure & Heart-rate. Express your observations in the tabulated-form
and interpret your result properly.
Q.2. What is the WHO-Criteria for defining the HYPERTENSION ? Also tell about
the WHITE-COAT Hypertension & NEUROGENIC Hypertension?

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-07
Q.1. Using the ECG-lead LL-RA (LL+ve) in the given ECG-strip calculate the
followings:- (a) Heart-rate , (b) PR-interval, (c) Duration & its amplitude of QRScomplex, (d) Duration of the cardiac cycle, (e) Anatomical position (in degrees) of
the heart in chest cavity.
Q.2. Name out the various changes in corresponding ECG-leads in the patient
with MI (myocardial-infarction) in the ventro-anterior wall of the left ventricle.

DEPARTMENT OF PHYSIOLOGY,DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-08
Q.1. In the standard limb-lead (which records the potential difference between
the left leg & left arm ) of the given ECG-strip ; calculate the duration of Pwave, S-wave, T-wave & QT-interval and also give their physio-clinical
significance.
Q.2. Name out various ECG-leads . Also write about the clinical significance of
ECG-recording?

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-09
Q.1.Using suitable PERIMETER , determine the FIELD OF VISION in the subject
provided and describe its extent in the various meridians. Express in degrees the
position of physiological & pathological (if any ) , SCOTOMAS (Blind-spots).
Q.2. Plotting the VISUAL-PATHWAY of a patient , locate the positions of various
lesions in it ,resulting into followings types of BLINDNESS:- (a) Binasalhemianopia, (b)Heteronymous-hemianopia,(c) Superior-homonymousquadrantnopia.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-10
Q.1. Using suitable charts, determine the DISTANT & NEAR VISUAL- ACUITY of
the subject provided.
Q.2. Write in brief about various ERRORS OF REFRACTION and also suggest a
suitable correction for them.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-11
Q.1. Perform the ISHIHARA test for color vision. Name out any 3 more methods
for testing color vision. Also tell the significance of color-vision testing.
Q.2. Write in brief about COLOR-BLINDNESS & its various types.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-12
Q.1.Perform the RINNES test & WEBERS test for hearing. Report the type of
sound-conduction (i.e. Air conduction or Bone conduction) , better perceived by
each ear.
Q.2. Write in brief about the AUDIOMETRY , COCHLEAR-IMPLANTS and various
types of DEAFNESS .

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-13
Q.1.Perform the tests for the GUSTATION & OLFACTION. Record the results and
grade the intensity of sensation as:- intense (++++), moderate (+++), mild (++),
slight (+) or absent (0).
Q.2. Plot the TASTE-pathway. Also write about the OLFACTORY-ADAPTATION.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-14
Q.1. Perform the test for sensation of TOUCH, TWO-POINT DISCRIMINATION ,
SENSE OF POSITION , VIBRATION , STEREOGNOSIS, PROPRIOCEPTION & PAIN .
Name out the sensory tracts (pathway) for them.
Q.2. What is the LABELED LINE PRINCIPLE? Also write in brief about the TYPES
OF PAIN & GATE CONTROL THEORY OF ANALGESIA.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-15
Q.1. Perform the RETINOSCOPY & OPHTHALMOSCOPY of the given subjects.
Q.2. Derive the refractive state of the eye if the lens required to reverse the
original movement of images are:- (a) -2.5D, (b) + 3.0D; if the correction factor is
1.0D. Also give significance of OPHTHALMOSCOPY in clinical physiology.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-16
Q.1. Carry out a systematic clinical examination of RADIAL-PULSE of the given
subject. Report the rate, amplitude, regularity (rhythm) & character of pulse.
Q.2. Plot well labeled diagrams of normal & abnormal PULSE WAVE-FORMS.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-17
Q.1. Demonstrate the LIGHT-REFLEX & the reaction of the pupil to the
ACCOMODATION FOR THE NEAR -VISION in the given subject.
Q.2. Plot the ACCOMODATION-PATHWAY. Also write in brief about the
ARGYLL-ROBERTSON PUPIL .

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-18
Q.1. Perform suitably the clinical examination to assess the health of the 5th
cranial nerve.
Q.2. Plot the neural pathway for CORNEAL-REFLEX. Also write in brief about
MAXILLARY-REFLEX.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-19
Q.1.Carry out clinical tests to assess the motor functions of the FACIAL NERVE.
Q.2. List out various abnormalities in case of lesions in the FACIAL NERVE.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-20
Q.1. Carry out clinical tests to assess the functions of the GLOSSOPHARYNGEAL
& VAGUS NERVES.
Q.2. Write in brief about the VERNETS RIDEAU PHENOMENON &
LARINGOSCOPY.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-21
Q.1. Carry out clinical tests to assess the motor functions of the 11th & 12th
cranial nerves.
Q.2. Give the features of case when the the 11th & 12th cranial nerves are
damaged.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-22
Q.1. Perform the clinical test for assessing the STATE OF NUTRITION (BULK) OF
MUSCLE & MUSCLE TONE .
Q.2. Write in brief about various type of abnormalities of MUSCLE TONE .

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-23
Q.1. Perform the clinical test for assessing the MUSCLE-STRENGTH in upper &
lower limbs. Report your results in the form of GRADE of muscle strength.
Q.2. Write in brief about the GRADING OF MUSCLE-STRENGTH

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-24
Q.1. Perform the clinical test for assessing the COORDINATION OF MOVEMENTS
of upper-limbs & lower limbs.
Q.2. Write in brief about ATAXIA & ROMBERGS SIGN.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-25
Q.1. Elicit the FLEXOR PLANTAR REFLEX in given subject. Also give its reflex path.
Q.2. Write in brief about the BABINSKIS SIGN & HOFFMANNS SIGN.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-26
Q.1. Elicit the ABDOMINAL REFLEX & give its reflex path also.
Q.2. Write in brief about CREMASTERIC REFLEX & CILIOSPINAL REFLEX .

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-27
Q.1. Demonstrate the KNEE-JERK & ACHILLES-JERK in the subject provided.
Also give their reflex-arcs.
Q.2. Write in brief about the JENDRASSIKS- MANOEUVRE & its significance.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-28
Q.1. Demonstrate the BICEPS-JERK & TRICEPS-JERK in given subject. Also
write about their reflex arcs.
Q.2. Write in brief about SUPINATOR- JERK & JAW-JERK. Also list out the
conditions when the deep reflexes get DIMINISHED & EXAGGERATED respectively.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-29
Q.1. Demonstrate the CLONUS in the subject provided. Give the definition, &
write about the clinical types of CLONUS.
Q.2. Write in brief about the GRADING OF THE TENDON-REFLEXES.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-30
Q.1. Demonstrate the OCCULO-CARDIAC REFLEX & CAROTID-SINUS REFLEX in
the subject provided. Also write about their reflex path.
Q.2. Write in brief about CAROTID-SINUS SYNCOPE. Also name out any 10
other physiologically significant VISCERAL REFLEXES.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CINICAL SPOT NO:- S-31
Q.1. Performing the VITALOGRAPHY (Vitalometry), record the VITAL CAPACITY of
the subject provided. Also explain the effect of the POSTURE on it.
Q.2. What is TIMED- VITAL CAPACITY ? Explain with suitable diagrams the
clinical significance of its various components in respiratory physiology.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-32
Q.1. Performing the SPIROMETRY, calculate the following parameters :- (a) TV ,
(b) IRV, (c) ERV, (d) IC, (e) EC & (f) VC.
Q.2. What is RESIDUAL VOLUME & BREATHING RESERVE ? Also give their
clinical significance.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-33
Q.1. Perform a suitable examination of the GAIT of the subject provided. Name
out various types of ABNORMAL GAITS.
Q.2. Write in brief about the UPPER & LOWER MOTOR LESIONS.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)


CLINICAL SPOT NO:- S-34
Q.1. Using a suitable apparatus, perform the study of the RESPIRATORY MOVEMENTS in the given subjects. Mark & label the recordings properly.
Q.2. Write in brief about APNOEA, HYPERVENTILATION & BREAKING-POINT.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C., JODHPUR (RAJ.)


-: SPOT-CARDS ( EXERCISE-KEY) IN CLINICAL LAB FOR PRACTICALEXAM :MBBS-1ST YEAR (BATCH-56)

(Session:- 2014-15)

Dated:- .

SEAT
NO.

EXERCISE
(1)

EXERCISE
(2)

S-01
S-02
S-03
S-04
S-05
S-06
S-07

Respiratory system exam. & vocal resonance


CVS-Examination &Apex beat
Effect of posture on BP
Effect of Physical exercise on BP
Effect of GRAVITY on BP
Effect of Isotonic & isometric exercise on BP
In lead-2,duration of PR-interval, QRS-Complex,
cardiac cycle &position of heart in chest cavity
In lead-3, duration S,T waves &QT-interval in
ECG
Field of vision
Distant &near visual acuity
Ishihara test & other methods
Hearing tests& type of sound conduction
Tests for Gustation &Olfaction
Tests of various Sensations
Retinoscopy & Ophthalmoscopy
Radial pulse
Light reflex, Accomodation for near vision
Tests of 5th Cranial nerves
Tests of 7th Cranial nerves
Tests of 9th &10th Cranial nerves
Tests of 11th &12th Cranial nerves
Tests for muscle-bulk & Muscle tone
Tests for muscle strength
Tests for coordination of movements
Flexar plantar reflex
Abdominal reflex
Knee jerk &Achilles- jerk
Biceps jerk & triceps jerk

Vocal fremitus &Adventitious sounds


Thrills, JVP, Split sound, Tripple sound& Murmurs
Korotkoff sounds & Auscultatory gap
Effect of training on CVS
Postural hypotension
Hypertension
Changes in the ECG-leads in MI of ventro-anterior
wall of left ventricle
Various leads & use of ECG

S-08
S-09
S-10
S-11
S-12
S-13
S-14
S-15
S-16
S-17
S-18
S-19
S-20
S-21
S-22
S-23
S-24
S-25
S-26
S-27
S-28
S-29
S-30
S-31
S-32
S-33
S-34

Visual path& lesions


Error of refraction & their correction
Color blindness
Audiometry, cochlear implants, Deafness
Taste-pathway & olfactory adaptation
Mullers law; Pain & Analgesia
Calculation of Refractive state of eye
Normal &Abnormal pulse wave-forms
Accommodation pathway & Argyl Robertson pupil
Cornial reflex &maxillary reflex
Features of lesions of 7th cranial nerve
Verneit Rideaus phenomenon &Laringoscopy
Features of lesions of 11th &12th cranial nerves
Abnormal muscle-tone
GRADING of muscle strength
Ataxia& Rombergs sign
Babinski sign
Cremasteric & ciliospinal reflex
JENDRASIKKS MANOUVRE
Supination jerk& Jaw-jerk;Diminished &
exaggerated reflexes
Grading of tendon reflexes
Carotid Sinus Syncope
Timed Vital Cap. & use in respiratory physiology
Residual volume& Breathing reserve
Short-note on Upper & lower motor tract lesions
Apnoea, Hyperventilation, Breaking point

Clonus
Occulo-cardiac &Carotid sinus reflux
Vitalography& Vital capacity
Spirometry:-TV, IRV,ERV,IC,EC,VC
Examination of GAIT
Recording of Respiratory movements by
Stethography
Laboratory In-charge:- Dr. , Sign=. HOD:- Dr. ND Soni ,

Sign =.

CHITS FOR SITTING ARRANGEMENT IN LAB.

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S-42

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