FINAL YEAR

MBBS
RESOURCES:
Everything you need

By A. J. NAYAK

M.B.B.S. INTERN(casual batch)

[M.B.B.S. batch of 2015(AZTECS)]

Goa Medical College & Hospital, Bambolim - Goa

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 DISCLAIMER
1. NO class lecture presentations of any of the respected
faculty members of GOA MEDICAL COLLEGE,
BAMBOLIM have been used in the making of this PDF.

2. The presentations that do exist in this PDF were shared by

the respected doctor to the class CR for circulation on the
class’s WhatsApp group, purely for academic purposes.

3. NO VIDEOS, PHOTOS, AUDIO RECORDINGS of any

respected faculty member, classes, clinics or any area of
the campus of GOA MEDICAL COLLEGE exist on this
PDF or the links contained herein.

4. This PDF is NOT A SUBSTITUTE for the organised class

lectures and clinical postings. Moreover, the bunking of
class lectures and clinics is NOT ENCOURAGED.

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5. Regularly attending class lectures and clinics is
IMPORTANT to learn and more so to acquire the requisite
attendance for theory and practicals as per GOA
UNIVERSITY GUIDELINES.

6. The ACT OF CHEATING/COPYING during exams is

NEITHER ENCOURAGED NOR POSSIBLE through the
use of this PDF.

7. This PDF is merely an attempt to provide in one place, few

of the important study materials to students of MBBS 3RD
YEAR PART-II for their UNIVERSITY FINAL EXAMS(It
WON'T be useful for N.E.X.T. STAGE 1 & 2 EXAMS).

8. The information present here is meant only for the batches

of M.B.B.S. curriculum and MAY NOT be helpful to batches
following the new I.M.G. curriculum.

And so, I wish all of my colleagues in the coming batches,

All the very best!!!

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 INDEX

S.no Topic Page no.

I Important links 5

II Photos 5

III PDFs 5-6

IV Educational videos 6-7

V Tips for Final year 8 - 12

VI Things that need repetition(volatile topics) 12

VII Books 13 - 14

VIII Checklist for practical exam 15 - 19

IX Subject-wise marks distribution 20 - 23

X Online practical exam pattern (Final MBBS 24 - 27

supplementary exam 2020)

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 FINAL YEAR RESOURCES

I》IMPORTANT LINKS:

1.FINAL YEAR MASTER FOLDER[V.VIMP...it has MASTER LIST OF LONG/SHORT NOTES(which everyone
uses) & PHOTOS OF PRACTICAL TABLE VIVA ITEMS].....made by Dr.Santosh Parsekar(General Surgery).

2.PAST 5 YEARS QUESTION PAPERS(2015 TO 2020 - REGULAR AND SUPPLEMENTARY)

3.SUBJECT-WISE LONG NOTE LISTS(UPTO 2019)

4.Dr.Namesh sir's medicine youtube videos

5.Handwritten Tutorials[NOT MANDATORY, just to clear concepts (esp. Neuroanatomy)]

6.MADicine YouTube Channel(OBG table viva: Fetal Skull & Maternal Pelvis)

II》PHOTOS:

(Everything except no.3 & 4 there in Final year master folder):

1.Obg Drugs & contraceptives

2.Paeds instruments

3.Surgical pathology pictures

4.PAEDIATRICS X RAYS

III》PDFS:

ADDITIONAL RESOURCES contains the following:

1.Chest x ray Surgery

2.Surgery practical notes

3.ABCs of ECG

4.GMC UG paediatrics manual 2019

5.Neonatal resuscitation

6.Rabies PEP LATEST(for use in paediatrics , Medicine, Surgery)

7.Spinal Cord for UGs

8.Drugs ppt obg

9.Dr.GPP sir OBG qtn bank(made by seniors)

10.New TB Rx guidelines

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11.Paediatrics Vaccines presentation 1&2

12.Downs syndrome presentation

13.PROFORMAS....OBG, MEDICINE, MEDICINE CNS, ORTHO,PAEDS

IV》EDUCATIONAL VIDEOS:

(USEFUL, though NOT MANDATORY to watch):

1.SURGERY EXAMINATION VIDEOS...... CASSETTE CLINICS(according To DAS clinical manual)

INGUINOSCROTAL SWELLING

PERIPHERAL VASCULAR DISEASE

ULCER

VARICOSE VEINS

SWELLING

BREAST LUMP

SCROTAL SWELLING

THYROID

INTRA-ABDOMINAL LUMP

2.BLOOD SUPPLY OF BRAIN AND SPINAL CORD BY DR.NAJEEB

(See the original video on his website/app)

3.For understanding ECGs:

I.ECG videos by Dr.Namesh sir

A)ECG reading simplified method

B)11 steps to Read ECGs

II.ECG made simple by Shubh Vatsya

4.MEDICINE EXAMINATION METHODS

(For simple understanding of medicine examination methods according to physiology practicals)

5.Meningeal irritation signs

6.Physiological/pathological breath sounds

7.HEART SOUNDS, MURMURS WITH ANIMATION

8.CVS Murmurs by Dr.Deepak Marwah

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9.Mitral Stenosis by Dr.Deepak Marwah

10.Aortic Regurgitation by Dr.Deepak Marwah

11. Other Neuroanatomy videos:

I.Facial Nerve Anatomy by Hinglish

II.Cerebrum by Hinglish

III.Brainstem Stroke syndromes by Dr.Namesh sir

IV.Neuroanatomy dissection(For understanding CNS cases)

V.topper session neuroanatomy(For understanding CNS cases)

ONLY IF TIME PERMITS WATCH NOS.17 & 18:

17.Congenital Heart Diseases by Dr.Najeeb(for Congenital heart disease case in paediatrics)

18.ECG/EKG series by Dr.Najeeb(For an in depth ECG understanding)

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V》TIPS FOR FINAL YEAR:

(PLEASE BE FLEXIBLE with these, the following tips are IDEAL,

PLEASE DON’T STRICTLY FOLLOW THEM,

It’s not like you’ll perform poorly if you don’t follow them, there’s no hard and fast rule like that,
everybody is different

take from them whatever you can,

in the end whether you choose to follow them or not, the TRUTH is,

it’s up to YOU to figure out a way to manage YOUR Final year).

Yes, Final year is tough, due to vast portion, less time and unsure outcomes of practical exams.

It is, however, manageable.

Here are a few tips in that regard:

1.Final year is simply hyped up by SOME seniors, just picture it as 5th sem of MBBS with slightly more
portion than 2nd year and its practicals being similar to wardleavings plus some viva tables(Instruments
etc.).

2.NO ONE finishes the entire portion, even if 8 full months are available.

(Before finals,

in 1st year.....maybe some portion here and there might've been left untouched

In 2nd year slightly more portion would've been left untouched

In 3rd year part 1....it IS possible to finish studying the full portion once...impossible to remember each
and everything though(esp. PSM)

In 3rd year part 2.... more portion than 2nd year would be left untouched.)

3.DON’T go to finish full portion, Cover the long notes esp. The repeated ones and the ones which are
clinical cases for practicals (50% of practicals will be done that way)

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4.USE Long/short note list(which have questions till 2013) + Past 5 years question papers both regular
and supple batch(to update the list)

5.DON'T WASTE TIME GATHERING unnecessary notes from seniors....

In the end, in a short span of time, you'll have to revise all the long notes before papers....so u have to
make sure that you have all the information in 1 place and not scattered everywhere(1 exception is
Paediatrics where questions may be scattered between DK notes, Handwritten Lucky Xerox notes, the
class notes and textbook).

To that end, for some subjects such as OBG(where the textbooks are NOT USER FRIENDLY and you’ve
got no choice) and PAEDIATRICS(where information is scattered in many places and in some instances
may be too detailed...you’ll know what I mean), it’ll help you lot if you MAKE YOUR OWN NOTES for
QUICK REVISION(you could add some stuff from class lectures too)

MEDICINE and SURGERY are VAST subjects, please DON’T waste time making notes for them....(textbook
learning required.

Again, the above info is IDEAL, if you don’t want to make your own notes for OBG and Paediatrics, then
don't. Do whatever that works for you. Be open minded and flexible.

6.DURING THEORY PAPERS not only what you've studied during Final MBBS, but your past 3.5 years'
knowledge(pharmacology, pathology, anatomy, physiology, microbiology, even forensics and PSM) will
help you frame answers on the spot.

(Exceptions are OBG and Surgery to some extent).

So don’t worry about finishing the entire portion, you can rely on your previous knowledge.

7.BEFORE YOU START PREPARING for Final year studies...

Decide on a designated study place....if you're comfortable in the library then study there, if so at home
then study at home....

Choose a place with pleasant memories...

Don’t choose a place with memories of trauma/bad experiences..

Don't keep changing your study area....in MBBS final year......it may disrupt rhythm.

Designate one place for dedicated study

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Please take some time to gather your bearings i.e. orient yourself with the material and PLAN.

Keep ready the textbooks & notes you want to use,

the long/short note list,

write down the chapters to be covered in theory and the practical topics(CASES and TABLE topics)

IN EACH SUBJECT.

8.In Final year, one has to study posting- wise, There’s NO CHOICE.

(It isn’t fair....in the sense, those who have a particular posting(eg. medicine) last tend to remember it
better for prelims and finals while those who have it first know less at the time of exams)

MAIN GOAL: Try to cover most of the long notes, exam cases and try taking the exam cases in each
subject during the postings.

During short postings and whenever time permits, try revising your weak subjects.

It is difficult....I know...but just keep going

9.CONTRARY to what SOME seniors keep telling us to do, IT IS NEAR IMPOSSIBLE to study everyday right
from the start of the year, that too with the same efficiency.....although, there are some talented people
who can pull it off..

For most, however, it leads to burnout and frustration.

IDEALLY,

8th SEM....study during weekdays, except maybe few hours on days that you feel exhausted, take break
on Sundays

9th SEM.....try your best to make good use of weekdays and whatever holidays you get during the week,

Apart for relaxing , put some portion for studying on Sundays(practical table viva topics)

(As prelims and finals draw near one may have to study almost everyday, or at least try their best to do
so.

REMEMBER, the plan given above is IDEAL, it can’t be followed to the point).

10.OTHER THAN IMPORTANT information /Case discussion/useful advise/healthy criticism(about

improving your case presentation, examination methods etc.),

DO NOT TAKE WHATEVER THE SENIOR DOCTORS AND RESIDENTS SAY TO YOU TO HEART, DO NOT LET IT
HURT YOU.(that is one mistake that I made, I let a mishap during one wardleaving which was close to

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prelims break me, and it spoilt all my efforts, cost me 8 months....worst of all, that doctor didn’t even
remember the event).

Most of them understand the stress and strains of this year and are sympathetic. However, there are
SOME of them who take pride in making students miserable either because they went through the same
during their time or they want you to somehow be better than them by enduring pain(UTTER
NONSENSE).

That being said, ALWAYS SHOW RESPECT and DO NOT BACKANSWER TO/INSULT any doctor, even the
MOST NICE one, ELSE your whole batch may suffer for exams.

11.Easier said than done, but please DON’T PANIC, don’t overthink, don’t give up.

Your mental health is important

You'll realise this when exams approach.

You just need to be calm during practicals.

When you’re calm, you can think, and you’ll be able to pull yourself out of any mess.

It’s not an easy feat, but it IS possible.

12.REMEMBER....After final MBBS, one doesn’t become a full fledged doctor capable of diagnosing and
treating all illnesses.

You can't even call yourself a doctor unless you go through and complete the internship training.

This is especially for those feeling low during final year, just because you may be weak in a subject or in
practicals or have lots of portion remaining or get shouted at by a teacher, doesn’t mean that you're not
going to become a doctor, just focus on Improving yourself day by day.....

13.If, however, you feel that you're taking too much STRESS and it INCAPACITATES you from functioning
normally, PLEASE seek out timely help from a therapist.

Realise this........Everyone gets scared this year even the toppers, some people more than others, some
may cope better than others.....ultimately taking so much stress isn’t worth it.

14.Your friends may change this year, circumstances may change, your standing/rank/status in your
batch may change, but you must adapt slowly, step by step, be patient and keep going.

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The one constant is YOUR FAMILY......try spending more time with them.

Be with few of your CLOSE/BEST friends rather than going on to make new ones/wasting time with mere
acquaintances.

15.Dont worry too much about failure or what happens after one fails final mbbs,

Life goes on and you'll grow stronger ,

But try your best NOT TO think about that......do your BEST and CLEAR in first attempt.

16. PLEASE TAKE CARE OF YOURSELF,

EAT well , HYDRATE often, get ADEQUATE SLEEP[Again this varies from person to person, no hard and
fast rule just don’t deprive yourself/don't sleep too much either]. The IDEA is to build a good reserve
that’ll help you ENDURE the exam months.

VI》THINGS THAT NEED REGULAR REPETITION(VOLATILE TOPICS) :

I. Dietary values(for calculation of calorie and protein intake in dietary history)

II. Nutritional requirements

III. Food item values/100g for nutritional table in paediatrics(From KE Elizabeth)

IV. Immunization schedules (NIS and IAP)and vaccines(NIS is more important)

V. Developmental milestones

VI. Proformas in each subject

VII. FIGO staging of Ca cervix(New), Ca ovary, Ca uterus

VIII. Glasgow coma scale[both adults and paediatric GCS]

IX. APGAR scoring

X. Bishop's scoring

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VII》BOOKS(the following were used by seniors for University final exams, they MAY NOT be of help in
N.E.X.T. EXAM preparation):

1. MEDICINE-

●Theory

George Matthew or Archit Baloor whichever you prefer

●Practicals

1. Your Clinics notes

2. Symptomatology, General Examination, Examination methods

[Keep 1 book only for reading examination methods and related stuff in each system(PJM or
Allagappan)]

Kundu vol 1...for questions on long cases

Kundu vol 2 for table viva(INSTRUMENTS, XRAYS,DRUGS,ECGS)

3Medicine proformas .........some are provided in ADDITIONAL RESOURCES PDF ON 1ST PAGE OF PDF.

2. SURGERY-

●Theory

Manipal manual of Surgery OR SRB whichever you prefer

PDF of Latest Bailey&Love textbook for anything that's not there in the above

●Practicals

1.Surgery case proformas (History, Examination,Diagnosis,Management)...

they’re based on DAS clinical manual

2.Cassette clinics videos(mentioned in EDUCATIONAL VIDEOS )

3.Surgery Table Viva notes (INSTRUMENTS, XRAYS, OPERATIVE SURGERY, SURGICAL PATHOLOGY)

Also, A book called Bedside Clinics in Surgery by Dr.Makhanlal Saha could be used for table viva topics
and Orthopaedics instruments notes.

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3. OBSTETRICS AND GYNAECOLOGY-

●Theory

OBS.....D.C.Dutta

GYN.....D.C.Dutta or Shaw's whichever you prefer

●Practicals

D.C.Dutta for both OBS and GYN cases

Proformas for Obs and Gyn[PROVIDED IN ADDITIONAL RESOURCES LINK ON 1ST PAGE OF PDF]

Companion for OBG practical examination by HARESH U. DOSHI for viva tables(Brown book).

(INSTRUMENTS, XRAYS, DRUGS/CONTRACEPTIVES+FAMILY PLANNING, FETAL SKULL AND MATERNAL

PELVIS)

4. PAEDIATRICS AND NEONATOLOGY-

●Theory

1. Class notes imp WRITE DOWN DURING LECTURES (esp. For PEM, NEONATOLOGY, CVS, RENAL, RS, GIT,
CNS, HAEMATOLOGY, ACID-BASE/WATER-ELECTROLYTE BALANCE).

2. For some things, Xeroxed DK notes and handwritten notes from Lucky Xerox(both available at Lucky
xerox, near Kamakshi restaurant, Bambolim).

3. Keep 1 textbook for reference(O.P..Ghai or IAP whichever you prefer)

●Practicals

---- Neonatology case proformas

----Paediatrics case proformas (SOME ARE PROVIDED IN ADDITIONAL RESOURCES ON 1ST PAGE OF
PDF)[cases missing between case 3 and case 7 of paediatrics case proformas....this anomaly is common
to most copies of those notes]

----Table vivas(INSTRUMENTS, DRUGS, XRAYS, NUTRITION)

---Important to study for paediatrics cases: (Milestones/Nutritional values for diet

calculation/immunization schedule/anthropometry)

MAIN BOOKS...Mayur Chedda and K.E.Elizabeth

OTHERS BOOKS (NOT REALLY NECESSARY):

Meherban Singh (neonatology),

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Aruchamy L.(history taking and examination methods),

Piyush Gupta clinical methods.

VIII》CHECKLIST FOR PRACTICALS:

1.MEDICINE: 1 long case, 2 short cases

A)CASES-

LONG CASES

i) CVS**: RHD/MS, MR, MS+MR, AS, AR, AS+AR

ii) PA**: ALD, Hepatosplenomegaly(due to any cause)
iii) RS: Pleural effusion, COPD
iv) CNS***: CVA(Hemiplegia), rarely- peripheral neuropathy, GB syndrome, paraplegia

SHORT CASES

i) CVS**: MS, MR, AS, AR, ANY COMBINATION OF THE PREVIOUS.

ii) CNS***: Peripheral neuropathy, Paraplegia
iii) PA: Splenomegaly, Hepatomegaly, Hepatosplenomegaly
iv) RS***: Pulmonary fibrosis, pleural effusion, COPD, pneumonia(consolidation), Lung
collapse, Fibrocavitatory TB, Bronchiectasis, Lung mass, ILD(Interstitial Lung disease).

B)TABLE VIVAS-

i)DRUGS- (ANY DRUG CAN BE GIVEN, MEDICINE DRUG TRAY HAS EVERYTHING)

Commonly asked: amiodarone, corticosteroids, thrombolytic drugs, antiplatelet drugs, spironolactone,

INSULIN(V.IMP), Furosemide, Montelukast, Primaquine, Acarbose, Levitiracetam, ANTI SNAKE VENOM,
LMW HEPARIN, Rituximab, Imatinib mesylate, DMARDS, ANY antibiotic, antifungal, antihelminthic, anti
amoebic drugs, ANTI TB DAILY DOTS FDC TABLETS, ANTI LEPROSY DRUGS.

ii)INSTRUMENTS- Endotracheal tube, laryngoscope, AMBU BAG, oropharyngeal airway, Tracheostomy

tube, Foleys catheter, Nasogastric tube, Plain Syringe, Tuberculin syringe, BULBS(plain, EDTA), L.P.
needle, BM biopsy needle, Scalp vein needle, I.v. canula, 3 way connector, I.v.set(2 types), MDI,
Rotahaler, Stethoscope, Tongue depressor, Pin, mercury thermometer.

iii)ECGs- Hyperkalemia, Hypokalemia, LVH, RVH, Atrial fibrillation, Atrial flutter, Ventricular fibrillation,
STEMI, RBBB, LBBB, Left Atrial Enlargement, sinus bradycardia, sinus tachycardia, ventricular
ectopics/nodal ectopics/atrial ectopics, Normal ecg(to confuse you).

iv)X RAYS – CHEST X RAY(ANY PATHOLOGY).

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2.SURGERY: 1 long case, 3 short cases(2 general surgery + 1 orthopaedics)

A)CASES-

LONG CASES

i) Abdominal lump
ii) Thyroid swelling(Multinodular goitre common)
iii) Breast
iv) Peripheral vascular disease
v) Varicose veins
vi) Hepatomegaly
vii) Splenomegaly
viii) Parotid swelling
ix) Ca oral cavity

SHORT CASES

I)GENERAL SURGERY

i) Hernias(Inguinal mostly- direct, indirect or both)

ii) Hydrocele
iii) Varicocoele
iv) ANY swelling
v) Varicose veins
vi) Ulcer
vii) Ca oral cavity
viii) Parotid swelling

II)ORTHOPAEDICS

i) Malunion
ii) Non union
iii) Delayed union
iv) Osteomyelitis
v) Any fracture case(esp. Fracture with eponym I.e. Named fracture)
vi) Deformities
vii) Perthes disease
viii) ANY available case can be kept

B)TABLE VIVAS- (ALL AS PER WHATS TAUGHT/ GIVEN IN SENIORS NOTES PDF)

i) SURGICAL PATHOLOGY

ii) OPERATIVE SURGERY

iii)GENERAL SURGERY INSTRUMENTS

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iv)ORTHOPAEDICS INSTRUMENTS

v)X RAYS

3.PAEDIATRICS & NEONATOLOGY: 1 paediatrics case, 1 neonatology case

FOLLOW EVERYTHING EXACTLY AS GIVEN IN THE U.G. MANUAL BY PAEDIATRICS DEPT. (provided in
ADDITIONAL RESOURCES link) FOR BOTH CASES AS WELL AS TABLE VIVA TOPICS

4.OBG: 1 Obstetrics case, 1 gynaecology case

A)CASES-

OBSTETRICS

i) Gestational DM
ii) HTN/Pre eclampsia
iii) Placenta praevia
iv) Anaemia
v) Heart disease(RHD/MS most common)
vi) Multiple pregnancy
vii) Previous LSCS
viii) Breech
ix) IUGR
x) Rh incompatibility
xi) Cephalopelvic disproportion

GYNAECOLOGY

i) Abnormal Uterine Bleeding

ii) Fibroid
iii) Ca cervix
iv) Ca ovary
v) Ca Endometrium
vi) Benign ovarian mass (cyst common)
vii) Prolapse
viii) Infertility...Rare

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B) TABLE VIVAS-

SPECIMENS

i) Anencephaly
ii) Craniopagus/pyopagus twins
iii) C/S of uterus showing mass in wall
iv) Ovarian cystadenofibroma
v) Teratoma ovary(mature cystic)
vi) Wertheims hysterectomy
vii) Ovary dysgerminoma
viii) Ovary fibroma with partial torsion
ix) Bicornuate uterus with lippe’s loop
x) Ca Endometrium......2 specimens are there
xi) Fetus papyraceus
xii) Fibroid
xiii) Placenta( with missing cotyledon)
xiv) Rupture uterus
xv) Vesicular mole

FETAL SKULL & MATERNAL PELVIS

i) Definitions....from fetus in utero chapter, fetal skull maternal pelvis chapter

ii) Anatomy and diameters of pelvis
iii) Clinical pelvimetry
iv) Mechanism of labour in vertex postion
v) Mechanism of labour in occipitoposterior postion
vi) Mechanism of labour in breech presentation
vii) Questions on labour in general

FAMILY PLANNING / CONTRACEPTION

Study the full chapter on CONTRACEPTIVES , EVERYTHING from that chapter is there in the tray and can
be asked.

INSTRUMENTS

i)Allis forceps ii) Spencer wells haemostat iii)Babcocks forceps iv)Bard parker scalpel blade holder

V)Ayres spatula vi)Bonneys myomectomy clamp vii)Myoma screw viii)C shaped detractors

iix)Cusco speculum x)Doyens retractor xi)Right Led retractor xii)Anterior vaginal wall retractor

Xiii)Sims speculum xiv)Uterine currette xv)towel clip xvi)Obstetric forceps(probably wrigleys)

Xvii)Teals vulsellum xviii)Straight artery forceps xix)Ovum forceps xx)sponge holding forceps

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Xxi)Foleys catheter xxii)Green Armitage haemostatic forceps xxiii)Hears dilator

Xxiv)Karmans suction canula xxv)Vacuum suction cup for Ventouse xxvi)Episiotomy scissors

Xxvii)Kochers forceps xxviii)Metallic Bladder Catheter xxix)Mosquito artery forceps

xxx)needle holding forceps xxxi)Uterine sound xxxii)Cord clamp xxxiii)Cord scissors

Xxxiv)Jarchos Tinaculum

DRUGS

i)Oral iron preparations ii)Parenteral iron preparations(iron sucrose) iii) calcium

Iv) TT injection v)Urine pregnancy test kit vi)Folate/folinic acid vii)Doxylamine

Viii)Mifepristone ix)misoprostol x)methyl ergometrine xi)Oxytocin xii)furosemide

xiii)Insulin xiv)vit k xv)Heparin xvi)Anti D xvii)Tramadol xviii)Diclofenac

xix)Dexamethasone

Xx)Hydralazine xxi)Betamethasone xxii)Ritodrine xxiii)Isoxsuprine xxiv)Terbutaline

xxv)progesterone

Xxvi)Leuprolide Xxvii)Vit D xxviii)Estriol xxix)Ormeloxifen xxx)Ethacrylate

xxxi)carboprost

Xxxii)Dinoprostone xxxiii)Drotaverine xxxiv)Valethemate xxxv)MgSO4

xxxvi)Carboplatin

Xxxvii)paclitaxel xxxviii)Cyclophosphamide xxxix)aspirin xxxx)Ca gluconate

xxxxi)Phenytoin Xxxxiv)Diazepam xxxxv)Na valproate xxxxvi)Labetalol

xxxxvii)Aldomet(methyl dopa) xxxxviii)Nifedipine xxxxix)Nitroglycerin

xxxxx)Na nitroprusside

xxxxxi)Tranexamic acid

xxxxxii)Mefenamic acid xxxxxiii)Clomiphene citrate xxxxxiv)metformin

xxxxxv)AF kit(Fluconazole, secnidazole, Azithromycin) xxxxxvi)ofloxacin,levofloxacin

xxxxxvii)metrnidazole

Xxxxxviii)amoxicillin xxxxxix)Ceftriaxone xxxxxx)amoxicillin, gentamicin xxxxxxi)Methotrexate

Xxxxxxii)Filgrastim

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IX》SUBJECT-WISE MARKS DISTRIBUTION:

GRAND TOTAL MARKS : 900

1.MEDICINE: Theory(170mks) + Practicals(130mks) = 300mks

A)Theory(170 mks)

2 papers (60 +60) = 120mks

Internal assessment = 30mks

Oral/viva = 20mks

PAPER PATTERN

Section 1 – 30mks

1 long note(choice between 2) - 10mks

8 short notes(no choice) - 20mks

Section 2 - 30mks

1 long note(choice between 2) - 10mks

8 short notes(no choice) - 20mks

PAPER DISTRIBUTION

Paper 1 : General topics(symptomatology, general examination, applied pathology), Blood, CNS, CVS,
GIT + Hepatobiliary, Connective tissue disorders, Accidents and poisoning.

Paper 2 : Infections, nutrition, Endocrine, Nephrology, RS, Psychiatry, Skin&VD.

ORAL VIVA(during practical exam) – 20mks

X-Rays - 5mks

Ecgs - 5mks

Instruments - 5mks

Drugs - 5mks

B)Practicals(130 mks)

Cases - 100mks

1 long case - 30mks

2 short cases – 20 + 20= 40mks

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Internal assessment - 30mks

2.SURGERY: Theory(170mks) + Practicals(130mks) = 300mks

A)Theory(170 mks)

2 papers (60 +60) = 120mks

Internal assessment = 30mks

Oral/viva = 20mks

PAPER PATTERN

Section 1 – 30mks

1 long note(choice between 2) - 10mks

8 short notes(no choice) - 20mks

Section 2 - 30mks

1 long note(choice between 2) - 10mks

8 short notes(no choice) - 20mks

PAPER DISTRIBUTION(CAUTION: SURGERY DOESNT STRICTLY FOLLOW THIS)

PAPER 1-

Section 1 - General Surgery + EXTRAS(Breast + thorax + thyroid parathyroid + neck)

Section 2 – Orthopaedics

PAPER 2-

Section 1 – Gastrointestinal surgery + Surgical specialities(DOMFS,NEURO, CARDIOTHORACIC) +

Anaesthesia + Radiology + EXTRAS(Breast + thorax + thyroid parathyroid + neck)[yes again!!]

Section 2 - Urology

ORAL VIVA(during practical exam) – 20mks

X-Rays - 5mks

Surgical pathology specimens - 5mks

Instruments(ortho + surgery) - 5mks

Operative surgery procedures - 5mks

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B)Practicals(130 mks)

Cases - 100mks

1 long case - 40mks

2 surgery short cases – 20 + 20= 40mks

1 Ortho short case -20mks

Internal assessment - 30mks

General Surgery – 15mks

Ortho – 5mks

Radiology – 5mks

Anaesthesia - 5mks

3.OBSTETRICS AND GYNAECOLOGY- Theory(130mks) + practicals (70mks)

A)Theory - 130mks

2 papers – 40 + 40 = 80mks

Internal assessment = 20mks

Oral viva = 20mks

2 journals = 110mks

PAPER PATTERN

Section 1 - 20mks

1 Long note(no choice) - 6mks

1 long note(Choice between 2) - 6mks

4 short notes(no choice) - 8mks

Section 2 - 20mks

1 Long note(no choice) - 6mks

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1 long note(Choice between 2) - 6mks

4 short notes(no choice) - 8mks

PAPER DISTRIBUTION

Paper 1 – Obstetrics

Paper 2 – Gynaecology

ORAL VIVA – 20mks

Contraceptives – 5mks

Instruments – 5mks

Specimens – 5mks

Fetal skull & maternal pelvis - 5mks

VIVA PATTERN

OBS TABLE – Obs instruments, Fetal skull & maternal pelvis, Obs specimens

GYN TABLE – Gyn instruments, Contraceptives, Gyn specimens

B)Practicals –

2 cases – Obs(25mks) + Gyn (25mks) = 50mks

Internal assessment = 20mks

4.PAEDIATRICS - 100mks

PLEASE FOLLOW PATTERN GIVEN IN GMC PAEDIATRICS U.G. MANUAL

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X》PATTERN OF ONLINE FINAL MBBS PRACTICAL EXAM 2020 (Supplementary batch)-

1.MEDICINE: (ONLINE MODE)

Cases

Reported to ward 139 demo room 6am

Divided into 2 halves

Attendance signed and Long case given in wards(chit based allocation) 7am

1St half took cases till 9 am, 2nd half stayed put.

At 9am 2nd half given cases, 1st half proceeded to Lecture Hall 4

Case presentation in front of video camera to internal examiner(Dr.Nicassia ma'am) and 3 externals on
screen.

2nd half finished cases and came to wait outside LH4

Thereafter were free to read outside LH4 till everyone finished long cases

2 short case scenarios written on MS word on the screen, to be read as if presenting a case to all 4
examiners, few questions written at the end of each short case were answered and further questions
were then asked thereupon.

Tables

1 Instrument , 1 drug , 1 xray(on screen) ,1 ecg(on screen) answered to all 4 examiners.

1st roll no. Finished by 3pm.

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2.SURGERY:(USUAL PHYSICAL EXAM)

Cases

Reported outside ward 109 7.30am

Attendance signed and then 1st roll no. Onwards Long case given in wards teaching room(chit based
allocation) 8am

Went to take and write case, given 40 mins for long case.

Last roll no. Onwards 3 short cases given to each person at same time.

15 mins to take and write all 3 cases.

Once done with either short or long case, the people had to go to teaching room to pick up either long
or short case chats depending on what they took before.

Process continues from both ends of the batch.

At 9am , 1st roll no. Went to present long case to 1 internal(Dr.Jude sir)+1 external examiner,

Simultaneously last 2 roll nos. Went to present ortho case to 1 internal(Dean sir) and 2 surgery short
cases to 1 external examiner.

Total 2 internal and 2 external examiners

All cases finished by 11.30am

Tables

After 1st roll no. Finished both short and long case

1st roll no. Onwards went for 4 table vivas separately.

Instruments....dean sir

Specimens.....external

Operative surgery.....external

X Rays................Dr.Jude sir

1st roll no. Finished 12pm, made to wait till 1.30 for roll no wise checking of attendance and if all cases
and tables answered.

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3.PAEDIATRICS AND NEONATOLOGY:(ONLINE MODE)

Cases

Reported directly outside LH 4 at 7.30am

Attendance signed

Instructions explained

Paediatrics case by internal examiners(Dr.Jagdish sir, Dr.Vaishali maam) in lh5, asked to elicit a specific
history like symptoms, immunization, nutrition, developmental milestones, asked to demonstrate one
thing from anthropometrics, 1 general examination point, 1 systemic examination point, asked few
questions by both internals, then told to ait for 10 mins and write a summary of what was done.

Neonatology case in lh4, mannequin of baby kept on podium, slip of paper with short history on it to be
read in front of video camera to the 2 online external examiners on scscreen. Questions on the same
paper were to be read out loud and answered.

Further questions asked by externals to be answered.

This continues till everyone finishes both cases

Lunch break 1.30pm to 2.30pm

Tables

2.30pm onwards

We had to proceed roll no .wise to the lh4 and lh5

Lh 5: Dr.Vaishali maam – instruments

Dr.Jagdish sir – X Rays

Lh4: 1 external – Nutrition

2nd external - Drugs

1st Nutrition for everyone at 2.30pm finished by 3pm

Then 3pm onwards Drugs followed by instruments and then xrays.

1st rollno. Finished by 4pm

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4.OBSTETRICS AND GYNAECOLOGY:(ONLINE MODE)

Cases

Reported to ward 126 7a.m.

Attendance signed 7.45am

8am 1 obs case and 1 gyn case scenario(history and examination findings on paper along with questions
to be answered) assigned by senior resident(chit based allotment) following which 1 hour was given to
take and write obs cases after which 30mins were given to read and write down gyn cases.

9am everyone proceeded to the lh4

Obs case presentation rollno. wise on podium in front of videocamera to Dr.Muriel maam, Dr.Manjusha
maam and 2 online external examiners on screen, questions asked by all 4 examiners.

Followed by Gyn case presentation in similar manner.

Tables

5 mins after everyone finished both case presentations,

All table topics were taken one after another by all 4 examiners on the podium.

I.e. 1 instrument, 1 drug,1 specimen, 1 contraceptive,1 question on fetal skull & maternal pelvis one
after another in 1 session.

After the session, the student was made to go out and bring the Obg journals and were instructed to
show the 2 signatures( SR & consultant) and dept. Stamp on the front page of each journal.

1st rollno. Finished by 3.30pm, made to wait till everyone was done in order to cross check if every
aspect of the exam was answered.

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