MBBS FINAL PROFESSIONAL EXAMINATION 2007 MEDICINE I Table of Specifications SEQs Maximum Marks: 45, Time: 2 Hours All questions carry equal marks Attempt all questions Sr No: Topic 1: Cardiovascular System 2. : Pulmonary Medicine 3 : Central Nervous System 4 : Gastroitestinal System 5: Liver, Pancrease, Gallbladder 6 : Blood 7: Rheumatology McOs Total Mark 45 Time: 1 hour Mark for each MCQ: 01, Type of MCQ: One best of five Sr No: Topic : Cardiovascular System : Pulmonary Medicine : Central Nervous System Gastroitestinal System : Liver, Pancrease, Gallbladder Blood : Rheumatology Nousune 2No of SEQs 202 201 201 102 201 201 201 :No of MCQs 107 207 :07 207 106 105 :06MBBS FINAL PROFESSIONL EXAMINATION 2007 MEDICINE-II Table of Specifications SEQs Maximum marks: 45 Time: 2 hours All questions carry equal marks, Attempt all questions. a ‘Topic Specification SEQs T_[ Endocrines 2 2. Renal / Kidneys, Water, Acid Base / Electrolyte; oy Metabolism 3__[nfection / Tropical Diseases 2 4._| Neuro-Psyehiatry 2 S._| Dermatology or Total Oo McQs Total MCQs 40 Time: 60 minutes Time for each MCQ: 1% minutes Marks for each MCQ: one ‘Type of MCQ: One Best of Five x ‘Topic Specification McQs T.__| Endocrines: 05 (Breakup of -MCQs a8 follows) ) Diabetes Mellitus. ) Thyroid. ©) Adrenals. Misc. others, 2_| Renal ’ Kidneys; Water, Acid Base / Electrolyte, 10 Metabolism: 3___[nfection 7 Tropical Diseases 7 4 _ | Neuro-Psychiatry = 10 4) Signs and Symptoms in Psychiatric patents (Breakup of 10 +b) Patients presenting with fear and panic. MCQs) «) Persistent complainer and somatization. One MCQ 4) The depressed patient. from each «€) Patients brought with features of psychosis (odd, Topic. excited, agaressive): ) Conversion States, ‘g) Mental Handicap, hh) Confused and disoriented patients ') Substance abuse disorder, j) Obsessional states. 3,_| Dermatology: 06 a). Eczema, (06 MCQs. ). Papulosquamous Dermatoses. from the topics ©) Drug Eruptions. siven) 4) Bullous Dermatoses ©) Bacterial Infections of Skin, 1), Cuta-neows Infestations ‘g) Sexually Transmitted Infections. hy Skin Manifestations of Systemic Disorder. | Nutrition: Data / Photo. ZOSPE » Static Stations » Interactive / Observed Stations Short Cases Long Case Grand Total Format of OSPE MBBS Final Professional MEDICINE Total Marks 65 Total Stations 15 (02 Rest Stations) 05 Marks at Each Station 04 Minutes at Each Station 11 09 Internal Medicine according to the Curriculum 01 each for the two sub-specialties (Dermatology, Psychiatry) 02 Internal Medicine and Trauma Only Total Marks 120 At least 04 Total Marks 90 27550 MCQs of one mark each MBBS FINAL PROFESSIONAL Surgery Paper-I (Multiple Choice Questions) Table of Specifications Time Allowed 01 hour ai Topic No.of Questions 1. Surgical Anatomy 3 2. | Wounds, Tissue Repair and Sears 3 3 | Accident and Emergency Surgery, Warfare Injuries 3 4. | Fluid, Electrolyte and Acid-Base Balance 3 5. | Blood Transfusion and Shock 3 | Nutrition 3 7 | wWound Infection 3 8. | Special Infection; AIDS; Sterile Precautions 3 9 | rumours, Cysts, Uleers and Sinuses 3 10. Bums 3 TL 1 skin lesions: Skin Grafts and Flaps 3 12" | Arterial Disorders 3 15” ] Venous Disorders 3 14. | Lymphatic Disorders 3 15. | Principles of Anaesthesia and Pain Management 3 16. | principles of Radiology 3 17. | Principles of Radiotherapy and Chemotherapy 2MBBS FINAL PROFESSIONAL Surgery Paper-I (Short Essay Questions) Table of Specifications 10 SEQs of five marks each Time Allowed 02 hours Questing Content No. Surgical Anatomy Wounds, Tissue Repair and Scars; Accident and Emergency Surgery, 2 | warfare Injuries 3 Fluid, Electrolyte and Acid-Base Balance; Blood Transfusion and Shock | Nation | __) Wound Tnfection; Special Infections; AIDS: Stele Precautions “Tumours, Cysts, Uleers and Smuses; Bums, Skin Lesions, Skin Gras © | and Flaps [| Aririal; Venous and Lymphatt Disorders @ | Principles of Anacsthosia tad Pain Management 9 | Principles OF Radiology, 10 Principles OF Radiotherapy and ChemotherapyMBBS FINAL PROFESSIONAL Surgery Paper-II (Multiple Choice Questions) Table of Specifications 60 MCQs of one mark each Time Allowed 01 hour and 5 minutes T Musculoskeletal System (6) S No. of S.No. Contents Questions L Fractures and Dislocations ~ General Principles 1 2. Fractures and Dislocations — Upper Limb T 3. Fractures and Dislocations — Lower Limb_ 1 4__| Other Diseases of Bones, Joints and related tissues 2 5. ‘Hand and Foot 1 TI. Upper GIT (4) Rudin No. of S.No. Contents Questions 6 _| Oesophagus 2 7. Stomach and Duodenum 2 38. 2 9: 2 10. 2 11, | Pancreas 2 12.__| Peritoneum, Omentum, Mesentery and Retroperitoneal Space 2 III. Lower GIT (12) S No, of S.No. Contents Questions 13._ | Small and Large Intestine 2 14. Intestinal Obstruction 2 15._ | Vermiform Appendix 2 16. [Rectum 2 17. [Anus and Anal Canal 2 18,__| Hernia, Umbilicus and Abdominal Wall 2 TV. Urogenital System (10) No. of S.No. Contents Questions 19. Kidney and Ureter 2 20. Urinary Bladder 2 21._| Prostate and Seminal Vesicks 2 22._|Urethera and Penis 2 Testes and ScrotumV. Head and Neck @) No. of S.No. Contents (Sons 24, Thyroid Gland and Thyroglossal Tract T 25._| Parathyroid and Adrenal Glands T 26._| Salivary Glands, T 27._| Others T Vi. Thorax 4) No. of S.No. Contents Questions 28._| Chest Trauma 2 29. | Others 2 Vil. Breast @) No. of S.No. Contents Questions 30._| Malignant Diseases 2 31._| Benign Diseases 2 VIII. Nervous System @) No. of S.No. Contents oven) 32,_| Head, Spine and Nerve Injuries T 33._| Others 1 TX: Heart and Great Vessels @) No. of S.No. Contents Questions 34 T 3 T X. Orodontal_@) No. of S.No. Questions 36._| Maxillofacial Injuries T 37._| Others T Note: At least Five Questions from $.No.II to VI will be of Operative Surgery.MBBS FINAL PROFESSIONAL, Surgery Paper-II (Short Essay Questions) Table of Specifications 13 SEQs of five marks each Time Allowed 02 hours No. of S.No. Contents , 1 Musculoskeletal System 1 2 Upper GIT z 3 Lower GIT 2 a Urogenital System 2 5 Head and Neck T 6 Thorax T 7. Breast 7 3 Nervous System T 5 Heart and Great Vessels T To, | Orodental T At least One Question from $.No.2 to 7 will be of Operative Surgery.Format of OSPE MBBS Final Professional SURGERY OSPE Total Marks 55 Total Stations 13 (02 Rest Stations) 05 Marks at Each Station 05 Minutes at Each Station >» Static Stations o9 05 General Surgery 01 each of the four sub-specialties (Anaesthesia, Urology, Neurosurgery, Orthopaedics) > Interactive / 02 Observed Stations General Surgery and Trauma Only Short Cases Total Marks 100 At least 03 Long Case Total Marks 70MBBS FINAL PROFESSIONAL Gynaecology (Multiple Choice Questions) Table of Specifications 35 MCQs of one mark each e Allowed 45 minutes & Contents Rae 1. | anatomy and embryology of genital tract 2 2 Disorders of puberty and ovulation. 2 3. | Disorders of menstruation. 4 4. | abortions. 2 5- | Ectopic gestation. 1 ©. | Infertility. 2 7 Endometriosis and adenomyosis. 1 8. | Infections of the genital tract. 3 9- | Uterovaginal prolapse. 1 10. | Urogynecology and fistulae. 1 11. | Benign diseases of genital tract. 4 12. | malignant diseases of genital tract. 4 13." | contraception. 2 14. | Menopause and HRT. 2 15. | common gynecological procedures. 2 16. | pre-intra and post-operative care. 1 Total MCQs 35MBBS FINAL PROFESSIONAL Gynaecology (Short Essay Questions) Table of Specifications 10 SEQs of 03 marks each _Time Allowed 2 hours and 15 minutes SI. No. of Aa Contents wes 1. | anatomy and development of the genital tract 1 2. | Disorders of menstruation. 1 3. | abortions including ectopic gestation. 1 4. | infertility and Endometriosis. 1 5. | Infections of genital tract. 1 ®- | Benign tumours of genital tract. 1 7. | malignancies of the genital tract. 1 @._| Displacements of the uterus and urinary 1 problems. 9. | contraception. 1 Common gynecological procedures. Total SEQsObstetrics (Multiple Choice Questions) Table of Specifications 35 MCQs of one mark each Time Allowed 45 minutes = cane a 1. | Physiological changes in Pregnancy. 2 2. | Normal Fetal Development. 2 3. | Abnormal Fetal Development. 2 4. | assessment of Fetal Well Being. 3 >. | Role of Investigations. 1 © | antenatal Care. 4 7 | pain relief in Labour. 1 8. | Normal Labour. 4 9. | Abnormal Labour. 4 10. | puerperal Disorders. 3 11. _| Medical Disorders in Pregnancy. 4 12.” | Role of Imaging and Radiology. 2 13.” | statistics. 2 14. | Neonatology. 1 Total MCQs 35MBBS FINAL PROFESSIONAL Obstetrics (Short Essay Questions) Table of Specifications 07 SEQs of 05 marks each Time Allowed 2:hours ‘Sk No. of No. Contents Questions 1. | physiology of Pregnancy. 1 2. | antenatal care including investigations. 1 3. | Assessment of Fetal Well Being. 1 4] intrapartum Care - Normal Labour. 1 5 | Abnormal Labour. 1 © | Post ~ Partum Disorders. 1 7. | Medical Disorders in Pregnancy. 1 Total SEQs 07Format of OSPE MBBS Final Professional OBSTETRICS AND GYNAECOLOGY OSPE Long Case x 2 Internal Assessment Total Marks Total Marks 75 Total Stations 20 (05 Rest Stations) 05 Minutes at Each Station 05 Marks at Each Station Out of 15, 08 stations will be of Obstetrics and 07 stations will be of Gynaecology. In these 15 stations, 05 stations will have to be interactive stations. 60 (30 Internal + 30 External) One Long case of Obstetrics and One of Gynaecology (Compulsory Requirement) 15 150 16 Stations (05 marks for each station) 08 Stations 07 Stations (Obstetrics) (Gynaecology) 5 3 5 2 (Non-Interactive) (Interactive) (Non-Interactive) (Interactive)Instructions to Examiners for OSPE Introduction to O! Objective structured practical examination will replace table viva. OSPE will consist of twelve stations, six of Obstetrics and six of Gynecology. There will be ten static non observed stations and two observed stations. Each subject, Obstetrics and Gynaecology, has been divided into sections, as shown in the table. The objective is to cover the entire subject matter. The examiner preparing the OSPE will prepare, one OSPE from each section. The time allocated to each station will be 5 minutes. Out of the 5 Interactive Stations at least 1 station should be structured on “Counseling”. no. | Obstetrics Stations 06 | Gynecology Stations 06 T | Anatomy of pelvis & fetal skull and | 1 | Anatomy &Physiology of female [7 physiological changes in pregnancy genital tract 2 ‘Antenatal care, malpresentation and|1 | Benign tumours of the genital | 1 malposition and demographic tract indicators of Pakistan 3 [Labour (mechanism, management, [1 | Reproductive endocrinology | 2 stages, normal, abnormal) (infertility, endometriosis, PCOS) & other Gynecological conditions such as_——-_Urognecology, Uterovaginal prolapsed, Fistulas. 4 [Medical disorders in pregnancy and {2 | Malignant tumours of the genital [7 tests for fetal wellbeing and newborn tract care 3 |Matemal mortality and its causes -|2 _ | Contraception i Obstetrical hemorthage (APH, PPH), Eclampsia, obstructed labour, abortion, puerperal sepsis) © [Operative obstetrics 1 [Operative Gynecology i Resources used in each station can be selected from the resource list. It can also be increased according to the availability of further resources. Resource list, Counseling Scenario Lab report Instrument ‘Specimen Picture Traces CTG Partogram Contraceptives Graphs USG pictures X-rays Dummies Operation Movie clip Endoscopic findings Antenatal card Operative notesPage 1 of 2 MBBS FINAL PROFESSIONAL EXAMINATION 2007 Total Marks: 40 No. of MCQs: 40 Note: One best answer to be chosen from 5 options PAEDIATRIC MEDICINE Table of Specifications MULTIPLE CHOICE QUESTIONS Time Allowed: 45 Minutes si. Contents No. of No. Mcgs 1. | Disorders of Blood 4 2. | Heart Diseases 4 3. | Infectious Diseases 5 4, | Neurological Diseases 4 5, | Diseases of Gastrointestinal Tract 5 and Liver 6. | Respiratory Tract Diseases 1 7. | Oncological Diseases in Children 1 8. | Renal Disorders 1 9, | Rheumatic Diseases 1 10.| Endocrine Problems 2 11, Neonatology 5 12. Immune Diseases 2 13.| Genetics i 14,| Miscellaneous Diseases 4 Total MCQs 40Page 2 of 2 MBBS FINAL PROFESSIONAL EXAMINATION 2007 PAEDIATRIC MEDICINE Table of Specifications SHORT ESSAY QUESTIONS Total Marks : 30 Time Allowed: 2 hours and 15 min. No. of SEQs: 10 03 marks for each question. si. content No. of No. SEQs 1. | Endocrinology i 2. | Cardiology 2 3. | Respiratory Diseases (ARI) 1 4, | Gastrointestinal Tract Diseases (AWD) 1 5. | Meningitis 1 6. | Vaccinology - EPI Schedule 1 7. | Oncology 1 8. | Neurology T 9. | Nephrology 1 Total SEQs 10OSPE » Static Stations Format of OSPE MBBS Final Professional PAEDIATRICS Total Marks 70 Total Stations 15 (03 Rest Stations) 05 Minutes at Each Station 08 (5 Marks at Each Stations) 08 Paediatrics according to the Breakup Provided Below . Neonatology (compulsory) . Respiratory (compulsory) . GIT (compulsory) . Nutrition (compulsory) CVS / Hematology (either one or both in combination) . Nephrology / Endocrinology (either one or both in combination) 7. CNS / Musculoskeletal / Genetics (either one or both / all three in combination) . Preventive / Infectious Diseases (either one or both in combination) oupUNe 2 The 08 Static Stations will further be divided as: > Interactive / Observed Stations Long Case Grand Total 1. Lab data x 2 2. Radiographs x 2 3. Pictures x 2 4, Instruments / Procedures x 2 04 (Short Cases; at least TWO) 02 stations on Clinical Skills (08 Marks at each Station) 02 stations on Viva Voce based on Clinical Cases (07 Marks at each Station) Total Marks 20 10 Internal 10 External 90