FIRST YEAR MBBS|block – II

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First Year MBBS

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Guidelines

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Block – II
 FIRST YEAR MBBS
GUIDELINES | BLOCK-II 

Table of Specifications
5
Recommended Books
5
Module 3: Musculoskeletal & Locomotion-I
6
Contents

DR. ANAS FAROOQ, DR. MUHAMMAD SEERAT ALI & DR. ALI RAZA CHAUDARY
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FIRST YEAR MBBS
 GUIDELINES | BLOCK-II

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 FIRST YEAR MBBS
GUIDELINES | BLOCK-II 

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FIRST YEAR MBBS
 GUIDELINES | BLOCK-II

Table of Specifications
MBBS Block-II
Written Exam Oral/Practical/Clinical Exam
Theme Subject MCQS SEQ OSPE OSCE OSVE
(1 mark (5 mark Marks (8 marks (8 marks (16 marks Marks
EACH) EACH) EACH) EACH) EACH)
Normal Anatomy
35 04 55 05 - 01 56
Structure Applied/Clinical
Physiology
17 02 27 01 - 01 24
Normal Applied/Clinical
Function Biochemistry
11 01 16 01 - 01 24
Applied/Clinical
Community
Medicine & 06 - 06 - - - -
Disease Burden Public Health
& Prevention
Behavioral
04 - 04 - - - -
Sciences
Pathophysiology Pathology 07 - 07 - - - -
&
Pharmaco-
therapeutics Pharmacology 05 - 05 - - - -

CFRC CF-1-2 - - - - 01 - 08

PERLs PERLs-1-2 - - - - 01 - 08

7 stations x 2 stations 3 stations

Total 85 7 x 5 = 35 120
8 = 56 x 8 = 16 x 16 = 48
120

Recommended Books
ANATOMY
• Langman’s Medical Embryology by T.W. Sadler (LANGMAN) – 14th Ed.
• The Developing Human, Clinically Oriented Embryology by Keith L. Moore (KLM) – 10th Ed.
• Medical Histology by Laiq Hussain (LAIQ) – 6th Ed.
• Moore Clinically Oriented Anatomy (KLM) by Keith L. Moore – 8th Ed.
PHYSIOLOGY
• Guyton and Hall Textbook of Medical Physiology by John E. Hall (G&H) – 13th Ed.
• Essentials of Medical Physiology by K Sembulingam (JAYPEE) – 6th Ed.
BIOCHEMISTRY
• Lippincott’s Illustrated Reviews: Biochemistry by Richard A. Harvey (LIPPIN) – 8th Ed.
• Harper’s Illustrated Biochemistry by Robert M. (HARPER) – 30th Ed.
• Biochemistry by Dr. U. Satyanarayana (SATYA) – 5th Ed.
• Textbook of Medical Biochemistry by Dr (Brig) MN Chatterjea (CJ) – 11th Ed.
PATHOLOGY
• Robbins Basic Pathology Vinay Kumar, Abul K. Abbas, Jon C. Aster (MEDIUM ROBBINS) – 10th Ed.
• Review of Medical Microbiology and Immunology by Warren Levinson (LEVINSON) – 16th Ed.
PHARMACOLOGY
• Katzung & Trevor's Pharmacology: Examination & Board Review by Bertram G. Katzung (MINI KATZUNG) – 13th Ed.
COMMUNITY MEDICINE
• Excel Community Medicine and Public Health by Dr. Muhammad Naveed Alam (EXCEL) – 13th Ed.
• Park's Textbook of Preventive and Social Medicine by K. Park (PARK) – 23rd Ed.
BEHAVIORAL SCIENCES
• Handbook of Behavioral Sciences by Mowadat H Rana (MR) – 3rd Ed.

DR. ANAS FAROOQ, DR. MUHAMMAD SEERAT ALI & DR. ALI RAZA CHAUDARY
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 FIRST YEAR MBBS
GUIDELINES | BLOCK-II 

Module 3: Musculoskeletal &

Locomotion-I
ANATOMY
GROSS ANATOMY
• Here comes the main bulk of Block-II
• Keep the notion clear that most students find it very overwhelming but it is primarily because they try to cram it all as text
which given its length is a laborious task
• It is best to stick your preparations to following books
- Clinical Anatomy By Regions (SNELL) by Richard S Snell (the main book)
- Moore Clinically Oriented Anatomy (KLM) by Keith L. Moore (for clinical part)
• The approach should be through VISUAL LEARNING, just describe the diagram or specimen in the way you find easy
• Focus primarily on CLINICALS and CLINICAL CORRELATES
• Most of the OSPE images will be from SNELL so go through it properly
• Use ATLAS (NETTER’S ATLAS/ THIEME ATLAS) or Anatomy Phone Application + Also refer only images of Gray's
Anatomy For Students by Richard & Wayne
• You may utilize following books for diagrams and relations
- BD Chaurasia’s Human Anatomy (BD) by CBS Publishers & Distributers (It is relatively written in a simple language
with reproducible diagrams but it lacks concept and has excessive information that is irrelevant)
- Textbook of Anatomy by Vishram Singh
• Must prepare Past UHS SEQS & MCQS from Past Paper Book "EPISODE FIRST YEAR"!

UPPER LIMB
MS-A-001 to MS-A-005
MS-A-001 PECTORAL REGION
MS-A-002 DERMATOMES AND CUTANEOUS INNERVATION OF UPPER LIMB
MS-A-003 PECTORAL REGION & BACK + MAMMARY GLANDS
MS-A-004 BONES OF UPPER LIMB: CLAVICLE & SCAPULA
MS-A-005 BONES OF THORAX, JOINTS OF UPPER LIMB: STERNOCLAVICULAR JOINT
• Definition of Dermatomes + Dermatomes diagram
• Superficial Veins + Lymph Nodes Along with their Drainage
• Medial cubital vein significance
• Platysma – Nerve supply + Action
• Breast (especially CA breast and Lymphatic drainage)
• Origin, Insertion, Innervation & Actions of Appendicular Muscles
• Clavipectoral Fascia
• Superficial, Intermediate & Deep Layers of Intrinsic Back Muscles
• Triangle of Auscultation and Lumbar Triangle of Petit
• Shrugging Muscle with Nerve Supply [TRAPEZIUS]
• Latissimus Dorsi
• Muscle Involved in Overhead Abduction
• Muscle forming Posterior Axillary Fold
• Scapulohumeral (Intrinsic Shoulder) Muscles
• Rotator cuff / Musculotendinous Cuff of Shoulder (SITS)
• Subacromial Bursa
• Quadrangular space with Contents
• Axillary Nerve
• Anastomoses Around Scapula Diagram
• Movements of Scapula
• Clinicals
- Clinical testing of Pectoralis Major
- Poland Syndrome
- Witch’s Milk
- Peu de orange appearance

DR. ANAS FAROOQ, DR. MUHAMMAD SEERAT ALI & DR. ALI RAZA CHAUDARY
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 GUIDELINES | BLOCK-II

- Winging of Scapula (Nerve injury & muscle paralyzed)

- Rotator Cuff Injuries
- Dislocation of the Sternoclavicular + Acromioclavicular Joints
MS-A-001 Describe the topographical anatomy of Pectoral Region SNELL Ch 3 Pg 98
MS-A-001 Perform dissection of the Pectoral Region or use models to identify the key structures SNELL Ch 3 Pg 98
MS-A-001 Describe muscles of the Pectoral Region with their origin, insertion, nerve supply and SNELL Ch 3 Pg 124
actions
MS-A-002 Describe the cutaneous nerves. and Superficial veins of the Upper Limb SNELL Ch 3 Pg 142, 159
MS-A-002 Describe the extent, attachments, and structures passing through Clavipectoral Fascia SNELL Ch 3 Pg 107
MS-A-003 Describe the extent, structure, vascular supply, lymphatic drainage of Breast (Mammary SNELL Ch 3 Pg 100-104
Glands)
MS-A-003 Define the boundaries of auscultation and state its clinical significance SNELL Ch 3 Pg 100-104
MS-A-003 Demonstrate palpation of breast and define its relation to the Fibrous septa in SNELL Ch 3 Pg 100-104
Carcinoma of breast
MS-A-003 Explain the anatomical basis of position adopted for breast examination and SNELL Ch 3 Pg 100-104
mammography
MS-A-003 Describe the osteology of the bones in pectoral region. SNELL Ch 3 Pg 88-90
MS-A-003 Enumerate the superficial muscles of back, connecting shoulder girdle with vertebral SNELL Ch 3 Pg 125
column.
Describe the 1. Attachments 2. Nerve supply Actions of Trapezius, Latissimus Dorsi,
Rhomboid major and minor.
Mention the neurovascular supply of pectoral region and correlate with important
clinical conditions.
Describe superficial muscles of the back with their origin, insertion, nerve supply and
actions.
MS-A-004 Describe the Osteology of Clavicle (Morphological features, side determination, SNELL Ch 3 Pg 88-89
attachments, ossification)
MS-A-004 Describe the correlates functions of Clavicle (clavicle fracture, its role in terms of weight SNELL Ch 3 Pg 88-89
transmission of upper limb, compression of neurovascular structures)
MS-A-004 Describe the Osteology of Scapula (morphological features, attachments, ossification) SNELL Ch 3 Pg 89-91
MS-A-004 Determine the side and identify the landmarks of scapula SNELL Ch 3 Pg 89-91
MS-A-004 Describe the movements of Scapula associated with movements of Shoulder Girdle SNELL Ch 3 Pg 89-91
MS-A-004 Tabulate the muscles of scapular region and give their attachments, nerve supply and SNELL Ch 3 Pg 125
action
MS-A-004 Tabulate the attachments, origin, insertion, innervation, and actions of Anterior Axio- SNELL Ch 3 Pg 124
appendicular Muscles
MS-A-005 Describe the Sternoclavicular Joint in terms of articulating surfaces, ligaments, articular SNELL Ch 3 Pg 162
disc, nerve supply

MS-A-006 AXILLA
• Boundaries & Contents
• Axillary Artery
• Axillary Lymph Nodes
• Brachial Plexus + Brachial plexus diagram
• Clinicals
- Brachial Plexus Injuries
- Erb's Paralysis
- Waiter's Tip Position
- Backpackers palsy
- Klumpke’s Paralysis
- Regimental badge area
MS-A-006 Develop clear concepts of the topographical anatomy of Axilla and its contents SNELL Ch 3 Pg 106-107
MS-A-006 Describe the boundaries of Axilla. (Identification of muscles forming the boundaries of SNELL Ch 3 Pg 106-107
axilla)
MS-A-006 List the contents of Axilla SNELL Ch 3 Pg 106-107
MS-A-006 Perform dissection/ Identify the Axilla and its contents SNELL Ch 3 Pg 106-107
MS-A-006 Describe Axillary Artery with reference to its 3 parts their relations, branches, and SNELL Ch 3 Pg 153-155
anastomoses
MS-A-006 Describe the formation, tributaries, and drainage of Axillary Vein SNELL Ch 3 Pg 159
MS-A-006 Identify and demonstrate the course/ relation and branches/tributaries of axillary SNELL Ch 3 Pg 153,159
vessels
MS-A-006 Describe the Axillary Lymph Nodes in terms of location, grouping, areas of drainage and SNELL Ch 3 Pg 159-162
clinical significance
MS-A-006 Describe the course, relations, root value and distribution of Axillary nerve. SNELL Ch 3 Pg 147
MS-A-006 Describe the boundaries and contents of quadrangular space. SNELL Ch 3 Pg 106

MS-A-007 to MS-A-011 ARM

MS-A-007 BONES OF UPPER LIMB: HUMERUS

DR. ANAS FAROOQ, DR. MUHAMMAD SEERAT ALI & DR. ALI RAZA CHAUDARY
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 FIRST YEAR MBBS
GUIDELINES | BLOCK-II 

MS-A-008 JOINTS OF UPPER LIMB: SHOULDER JOINT

MS-A-009 ROTATOR CUFF
MS-A-010 NERVES OF UPPER LIMB
MS-A-011 BLOOD SUPPLY OF ARM
• Compartments of Arm
• Musculocutaneous Nerve
• Brachial Artery
• Arterial Anastomoses of Elbow joint along with diagram
• Muscles of ARM
• Radial Nerve
• Profunda Brachii (Branches)
• Clinicals
- Volkmann Ischemic Contracture
- Wrist Drop
- Saturday Night palsy
- Crutch paralysis
- Injury to Musculocutaneous Nerve and Consequences
- Bicipital Myotatic Reflex Along with Root Value
- Dislocation of Glenohumeral Joint
- Frozen shoulder
MS-A-007 Describe the Osteology of Humerus (Side Determination, morphological features, SNELL Ch 3 Pg 90-92
attachments, ossification)
MS-A-008 Describe the Shoulder Joint under the following headings: Articulation, Type/ Variety, SNELL Ch 3 Pg 164-166
Capsule, Ligaments, Innervation, Blood supply, Movements.
MS-A-008 Describe the 3 parts of Deltoid Muscle and correlate them with its unique functions. SNELL Ch 3 Pg 125
Explain its role in abduction of shoulder joint. Explain mechanism of Abduction of arm
MS-A-008 Identify and demonstrate the movements of scapula and shoulder joint SNELL Ch 3 Pg 164
MS-A-008 Draw and label the arterial anastomosis around shoulder joint SNELL Ch 3 Pg 155
MS-A-008 Describe, in detail, the Scapula-Humeral Mechanism in relation to movement of SNELL Ch 3 Pg 167
abduction. Discuss important clinical conditions
MS-A-009 Describe Rotator Cuff Muscles, state their Anatomical significance and explain Rotator SNELL Ch 3 Pg 125-126
Cuff Tendinitis
MS-A-009 Clinical correlates of shoulder joint. (shoulder joint stability, dislocation and shoulder SNELL Ch 3 Pg 167
pain)
MS-A-010 Describe the formation of Brachial Plexus; Infra and Supraclavicular parts. Discuss SNELL Ch 3 Pg 137-145,
Brachial plexus injuries 148
MS-A-010 Demonstrate and identify the formation of brachial plexus and its branches SNELL Ch 3 Pg 148
MS-A-010 List the branches of brachial plexus and give their areas of distribution and muscles SNELL Ch 3 Pg 148
they innervate
MS-A-010 Enlist and tabulate the muscles of anterior compartment of arm with their attachments, SNELL Ch 3 Pg 127, 145,
nerve supply and action. 144
Identify & Describe Musculocutaneous Nerve in terms of its Origin, Course, Termination,
Relations, Branches, and distribution.
Describe and illustrate the cutaneous innervation of the arm.
MS-A-011 Describe the Brachial Artery in terms of its course, relations, branches, and distribution SNELL Ch 3 Pg 156-157
MS-A-011 Tabulate the attachments, innervation, and actions of Triceps brachii as a muscle of SNELL Ch 3 Pg 127
Posterior Fascial Compartment of Arm
MS-A-011 Identify & Describe the Profunda Brachii Artery giving its course, relations, branches, SNELL Ch 3 Pg 157
and distribution

MS-A-012 CUBITAL FOSSA/MUSCLES OF ARM

• Cubital fossa (Boundaries + Contents)
• IV injection + Superficial veins
• Musculoskeletal reflexes
MS-A-012 Describe Cubital Fossa with emphasis on its boundaries, contents, and clinical SNELL Ch 3 Pg 111
significance
MS-A-012 Demonstrate surface marking of superficial veins of Muscles of Arm arm and forearm for SNELL Ch 3 Pg 160
IV (Intra venous) injections
MS-A-012 Demonstrate biceps brachi reflex, triceps reflex and brachioradialis reflex SNELL Ch 3

MS-A-013 to MS-A-024
MS-A-013 BONES OF FOREARM
MS-A-014 MUSCLE OF ANTERIOR/FLEXOR COMPARTMENT OF FOREARM
MS-A-015 MUSCLE OF LATERAL AND POSTERIOR/EXTENSOR COMPARTMENT OF FOREARM
MS-A-016 NERVES OF FOREARM
MS-A-017 BLOOD SUPLY OF FOREARM

DR. ANAS FAROOQ, DR. MUHAMMAD SEERAT ALI & DR. ALI RAZA CHAUDARY
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FIRST YEAR MBBS
 GUIDELINES | BLOCK-II

MS-A-018 RETINACULA OF FOREARM

MS-A-019 CARPAL TUNNEL SYNDROME
MS-A-020 FOREARM: BLOOD SUPPLY AND VENOUS DRAINAGE
MS-A-021 JOINTS OF UPPER LIMBS: ELBOW JOINT
MS-A-022 JOINTS OF UPPER LIMBS: RADIOULNAR JOINT
MS-A-023 INTEROSSEOUS MEMBRANE
MS-A-024 FASCIA & MUSCLES OF HAND
• Synovial Flexor Sheaths
• Radial and Ulnar Arteries
• Radial, Median & Ulnar Nerves
• Flexor Retinaculum (Attachments + Relations)
• Muscles of Anterior & Posterior Compartments of FOREARM
• Anatomical Snuffbox
• Extensor Retinaculum
• Flexor Retinaculum
• Posterior Interosseous Nerve and Artery
• Clinicals
- Tennis elbow & Golfer's Elbow
- Student's elbow & Nursemaid's elbow
- Dislocation of elbow joint
- Mallet / Baseball Finger
- Median nerve injury (Carpal Tunnel Syndrome & Pronator syndrome)
- Ulnar nerve injury (Cubital tunnel syndrome & Claw Hand)
- Radial nerve injury (Wrist Drop)
- Anterior Interosseous Nerve Injury (Anterior Interosseous Syndrome)
MS-A-013 Determine the side and identify the landmarks of radius and ulna. Describe the SNELL Ch 3 Pg 92-96
Osteology of Radius (Side Determination, morphological features, attachments).
MS-A-013 Describe the Osteology of Ulna (Side Determination, morphological features, SNELL Ch 3 Pg 92-96
attachments).
MS-A-014 Describe osseofascial compartment of forearm. SNELL Ch 3 Pg 118, 128
Tabulate flexor and pronators muscles of forearm, their attachments, actions and nerve
supply.
Describe the action of paradox with examples
MS-A-015 Tabulate the attachments, innervation, and actions of Extensor Muscles of the Forearm SNELL Ch 3 Pg 129
MS-A-015 Tabulate the attachments, innervation, and actions of Lateral Muscles of the Forearm SNELL Ch 3 Pg 129
MS-A-016 Identify the muscles and nerves of flexor and extensor compartments of forearm SNELL Ch 3 Pg 118
MS-A-016 Describe and illustrate the cutaneous innervation of the Forearm SNELL Ch 3 Pg 144
MS-A-016 Describe ulnar, median and radial nerves in fore arm. SNELL Ch 3 Pg 146-147
MS-A-017 Describe the Origin, Course, Relations, and branches of Ulnar and Radial Artery in SNELL Ch 3 Pg 157-159
Forearm
Describe the Origin, Course, Relations and list the tributaries of veins of Forearm.
Surface marking of Brachial artery, Cephalic, Median cubital, Basilic Vein, Radial & Ulnar
arteries, anterior &posterior interosseous artery
MS-A-018 Identify the Extensor & Flexor Retinacula and describe their attachments and relations SNELL Ch 3
MS-A-019 Demonstrate the formation of carpal tunnel and identify the contents SNELL Ch 3 Pg 150
Describe Carpel Tunnel Syndrome
MS-A-019 Describe the features, attachments, relations and structures passing under Flexor SNELL Ch 3 Pg 150
Retinaculum
MS-A-020 Describe the Origin, Course, Relations, and branches of Ulnar Artery in Forearm SNELL Ch 3 Pg 157
MS-A-020 Describe the Origin, Course, Relations and list the tributaries of veins of Forearm SNELL Ch 3 Pg 159
MS-A-020 Surface marking of Brachial artery, Cephalic, Median cubital, Basilic Vein, Radial & Ulnar SNELL Ch 3 Pg 159
arteries, anterior &posterior interosseous artery
MS-A-020 Describe the Elbow Joint in terms of articular surfaces, type, variety, ligaments, muscles SNELL Ch 3 Pg 167-168
producing movements, blood supply {Anastomosis around elbow joint}, nerve supply
and radiological imaging.
MS-A-021 Describe Carrying Angle and justify its importance in limb movement SNELL Ch 3 Pg 168
MS-A-022 Describe the Radioulnar Joints in terms of articular surfaces, type, variety, ligaments, SNELL Ch 3 Pg 168-172
muscles producing movements, nerve supply and radiological imaging.
Describe the wrist joint in terms of articular surfaces, type, variety, ligaments, muscles
producing movements, nerve supply and radiological imaging.
MS-A-022 Demonstrate mechanisms of movements of Pronation & Supination SNELL Ch 3 Pg 171
MS-A-023 Describe the features of Interosseous Membrane with structures that pierce through it SNELL Ch 3 Pg 170
MS-A-024 Describe the features and explain the importance of Fibrous Flexor Sheaths, synovial SNELL Ch 3 Pg 133, 134,
flexor sheaths and extensor expansion 136

MS-A-025 to MS-A-028
MS-A-025 HAND & ACTIONS OF MUSCLES OF UPPER LIMB AS A FUNCTIONAL UNIT

DR. ANAS FAROOQ, DR. MUHAMMAD SEERAT ALI & DR. ALI RAZA CHAUDARY
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 FIRST YEAR MBBS
GUIDELINES | BLOCK-II 

MS-A-026 BLOOD VESSELS OF FOREARM AND HAND

MS-A-027 NERVES OF FOREARM AND HAND
MS-A-028 JOINTS OF HANDS
• Palmar Aponeurosis & its Functions
• Dorsal Digital Expansions
• Intrinsic muscles of hand
• Arteries of Hand
• Superficial Palmar Arch
• Deep Palmar Arch
• Nerves of Hand
• Spaces of Hand
• Clinicals
- Dupuytren's Contracture
- Tenosynovitis
- Quervain Tenovaginitis Stenosans
- Trigger finger / Snapping finger
- SIMIAN HAND
- Ape Thumb Deformity
- Ulnar canal syndrome / Guyon Tunnel Syndrome
- Handlebar Neuropathy
- Skier's Thumb
MS-A-025 Demonstrate the attachments and actions of the muscles of hand Identify the muscles SNELL Ch 3 Pg 132-133
and neurovasculature of palm.
Explain the morphology and tabulate the attachments, innervation and actions of SNELL Ch 3 Pg 132-133
intrinsic muscles of hand.
Explain the fascial spaces of palm and pulp space of fingers. SNELL Ch 3 Pg 123
Describe Dupuytren contracture, mallet finger and buttonaire deformity. SNELL Ch 3 Pg 122,137
MS-A-025 Describe hand as a functional unit. (position of hand, movement of thumb and fingers SNELL Ch 3 Pg 174-176
while performing different functions)
Discuss cupping of hand and fist formation
MS-A-026 Draw the Radial Artery course, relation and termination in hand with its clinical SNELL Ch 3 Pg 157
significance in the region
MS-A-026 Describe the Ulnar Artery’s Course, relation and termination in hand with its clinical SNELL Ch 3 Pg 157
significance in the region
MS-A-026 Describe the formation, branches, and areas of distribution of Superficial and Deep SNELL Ch 3 Pg 158
Palmar Arch
MS-A-027 Describe the course, relations and branches of Ulnar, Median and Radial Nerves in the SNELL Ch 3 Pg 145-148
Hand
MS-A-028 Describe the First Carpometacarpal Joint in terms of; Type, Variety, Articular Surfaces, SNELL Ch 3 Pg 173-174
Ligaments, Relations, Blood Supply, Innervation, movements.
MS-A-028 Demonstrate the movements of the 1st carpometacarpal joint SNELL Ch 3 Pg 173-174
MS-A-028 Describe the Metacarpophalangeal & interpharyngeal Joints in terms of; Type, Variety, SNELL Ch 3 Pg 173-174
Articular Surfaces, Ligaments, Relations, Blood Supply, Innervation & Movements

LOWER LIMB
MS-A-030 to MS-A-037
MS-A-030 HIP BONE
MS-A-031 FEMUR
MS-A-032 FASCIA LATA
MS-A-033 NEUROVASCULAR SUPPLY OF THIGH
MS-A-034 FEMORAL TRIANGLE & CANAL
MS-A-035 MUSCLES OF ANTERIOR COMPARTMENT OF THIGH
MS-A-036 NEUROVASCULAR SUPPLY OF ANTERIOR COMPARTMENT OF THIGH
MS-A-037 ADDUCTOR CANAL
• Hip bone
• Femur
• Cutaneous Nerves
• Lumbosacral Plexus
• Superficial Inguinal Lymph Nodes & its Groups Along with Drainage
• Subcutaneous Bursae
• Deep Fascia & its Modifications
• Iliotibial Tract
• Saphenous Opening
• Femoral Triangle
• Femoral Sheath

DR. ANAS FAROOQ, DR. MUHAMMAD SEERAT ALI & DR. ALI RAZA CHAUDARY
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FIRST YEAR MBBS
 GUIDELINES | BLOCK-II

• Anatomical Location of Femoral Canal, Femoral Ring, its Boundaries & Contents
• Femoral Artery
• Profunda Femoris Artery
• Femoral Vein & its Tributaries
• Femoral Nerve
• Muscles of Anterior Thigh → Flexors of Hip Joint
• Muscles of Anterior Thigh → Extensors of Knee Joint
• Adductor / Hunter’s / Subsartorial Canal
• Clinicals
- Bone marrow biopsy in Hip bone
- Weaver’s Bottom
- Coxa Vara & Coxa Valga
- Femoral Fractures
- avascular necrosis of the femoral head
- Psoas Abscess
- Meralgia Paresthetica & Injury to Femoral Nerve + Consequences
- Housemaid’s / Miner’s Knee
- Runner’s Knee (Chondromalacia Patellae)
- Patellar Tendon Reflex / Knee Jerk (& its Root Value)
- Riders’ Bones
- Femoral Artery Pulse & its Abnormalities + Cannulation
- Saphenous Varix
- Femoral Hernias
- Abnormal Obturator Artery and its Surgical Significance
- Site of Intramuscular Injection in Thigh
MS-A-030 Draw and label the Parts of the hip bone, with its attachments. SNELL Ch 11 Pg 514-516
MS-A-030 Describe the parts, attachments of hip bone SNELL Ch 11 Pg 514-516
MS-A-030 Identify the parts and bony features of the hip bone, with its attachments, important SNELL Ch 11 Pg 514-516
relations
MS-A-030 Demonstrate the side determination of hip bone, its bony features, attachments SNELL Ch 11 Pg 514-516
MS-A-031 Describe the parts, attachments, side determination of femur SNELL Ch 11 Pg 516-518
MS-A-031 Identify the parts and bony features of the femur, with its attachments. SNELL Ch 11 Pg 516-518
MS-A-031 Demonstrate the side determination of femur, its bony features, attachments, and SNELL Ch 11 Pg 516-518
important relations (correlate these with fractures)
MS-A-031 Describe coxa Vara and coxa valga and their clinical significance SNELL Ch 11 Pg 516-518
MS-A-032 Describe the extent, attachments, and modifications of Fascia Lata SNELL Ch 11 Pg 525, 532
MS-A-032 Demonstrate the attachment of fascia Lata, iliotibial tract SNELL Ch 11 Pg 525, 532
MS-A-033 Describe the cutaneous nerves and vessels of thigh SNELL Ch 11 Pg 525
MS-A-033 Draw and label the cutaneous nerve supply of thigh SNELL Ch 11 Pg 525
MS-A-033 Describe the formation, course, relations, tributaries, and termination of the SNELL Ch 11 Pg 533-536
superficial veins
MS-A-033 Explain the anatomical justification of venesection, varicose veins, and saphenous SNELL Ch 11 Pg 533-536
venous grafts
MS-A-033 Describe the lymphatic drainage of the region with special emphasis on afferent and SNELL Ch 11 Pg 537
efferent of inguinal lymph nodes
MS-A-033 Identify the superficial and deep lymph nodes SNELL Ch 11 Pg 537
MS-A-033 Explain the anatomical justification for enlargement of inguinal lymph nodes SNELL Ch 11 Pg 537
MS-A-034 Describe and identify the Boundaries and contents of femoral triangle SNELL Ch 11 Pg 541
MS-A-034 Draw and label the Boundaries and contents of femoral triangle SNELL Ch 11 Pg 541
MS-A-034 Identify the femoral sheath with its compartments SNELL Ch 11 Pg 542
MS-A-034 Describe the formation of femoral sheath and its significanc SNELL Ch 11 Pg 542
MS-A-034 Describe the formation of femoral canal and its contents and significance SNELL Ch 11 Pg 542
MS-A-034 Describe the formation and significance of femoral ring SNELL Ch 11 Pg 542
MS-A-034 Compare and contrast the anatomical features of femoral and inguinal hernias SNELL Ch 11 Pg 543
MS-A-035 Tabulate the muscles of anterior compartment of thigh with their attachments, nerve SNELL Ch 11 Pg 540
supply and actions
MS-A-035 Demonstrate and identify the muscles of anterior compartment of thigh with their SNELL Ch 11 Pg 540
proximal and distal attachments
MS-A-035 Demonstrate the actions of muscles of anterior compartment of thigh SNELL Ch 11 Pg 540
MS-A-035 Explain the anatomical basis of psoas abscess SNELL Ch 11 Pg 540
MS-A-036 Identify and demonstrate the nerves and vessels of anterior compartment of thigh SNELL Ch 11 Pg 543-545
along with their branches
MS-A-036 Describe the origin, course, relations, branches, distribution, and termination of SNELL Ch 11 Pg 543-545
femoral artery
MS-A-036 Describe the origin, course, relations, tributaries, area of drainage and termination of SNELL Ch 11 Pg 543-545
femoral vein
MS-A-036 Describe the origin, course, relations, branches, distribution, and termination of SNELL Ch 11 Pg 543-545
femoral nerve

DR. ANAS FAROOQ, DR. MUHAMMAD SEERAT ALI & DR. ALI RAZA CHAUDARY
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GUIDELINES | BLOCK-II 

MS-A-036 Tabulate the muscles of anterior compartment of thigh with their attachments, nerve SNELL Ch 11 Pg 543-545
supply and actions.
MS-A-037 Describe the formation, boundaries, contents of adductor canal SNELL Ch 11 Pg 541
MS-A-037 Identify and demonstrate the boundaries and contents of adductor canal SNELL Ch 11 Pg 541

MS-A-038 to MS-A-039
MS-A-038 MUSCLES OF MEDIAL COMPARTMENT OF THIGH
MS-A-039 NEUROVASCULAR SUPPLY OF MEDIAL COMPARTMENT OF THIGH
• Boundaries & Contents of Medial Thigh Region
• Actions of Muscles of Medial Thigh → Adductors of Hip Joint
• Obturator Nerve
• Comparison of Femoral & Obturator nerves
• Accessory Obturator Nerve → Pectineus
• Obturator Artery & Medial Circumflex Femoral Artery
• Clinicals
- Surgical Division of Obturator Nerve
- Nerve Entrapment Syndrome [Caused by Retroperitoneal Tumors]
- Transplantation of Gracilis
- Referred pain in joints
MS-A-038 Describe Muscles of medial compartment of thigh with their proximal and distal SNELL Ch 11 Pg 546
attachments, innervation and actions
MS-A-038 Identify the muscles of medial compartment of thigh with their proximal and distal SNELL Ch 11 Pg 546
attachments
MS-A-038 Demonstrate the actions of the muscles of the compartment on self/ subject SNELL Ch 11 Pg 546
MS-A-039 Describe the origin, course, relations, branches/ tributaries, distribution, and SNELL Ch 11 Pg 546-547
termination of neurovascular structures of medial compartment of thigh
MS-A-039 Identify the nerves and vessels of medial compartment of thigh along with their SNELL Ch 11 Pg 546-547
branches
MS-A-039 Describe and identify the lumbar and sacral plexus and its branches supplying the SNELL Ch 7,8 Pg 395,
lower limb 396, 397, 430-432
MS-A-039 Describe the cutaneous nerve supply and lymphatics of the region SNELL Ch 11 Pg -

MS-A-040 GLUTEAL REGION

• Superficial Fascia + Deep Fascia & Cutaneous Innervation of Gluteal Region
• Structures Deep to Gluteus Maximus , Gluteus Medius & Gluteus Minimus
• Muscles of Gluteal Region
• Attachments of Sacrotuberous & Sacrospinous Ligaments
• Nerves of Gluteal Region
• Superior & Inferior Gluteal Arteries
• Formation of Trochanteric & Cruciate Anastomosis
• Greater & Lesser Sciatic Foramina
• Clinicals
- Trochanteric & Ischial Bursitis
- Injury to Superior Gluteal Nerve
- Waddling / Gluteal Gait
- Trendelenburg Sign VS Test
- Injury to Inferior Gluteal Nerve
- Piriformis Syndrome
- Intramuscular Injections
- Sciatic Nerve Block
- Sleeping Foot
- Key Muscle → PIRIFORMIS
MS-A-040 List the structures passing through the greater and lesser sciatic foramen SNELL Ch 11 Pg 527
MS-A-040 Describe the muscles of gluteal region with their proximal and distal attachments, SNELL Ch 11 Pg 529
innervation, and actions
MS-A-040 Identify the muscles of gluteal region with their proximal and distal attachments SNELL Ch 7,8 Pg 529
MS-A-040 Describe the origin, course, relations, branches/ tributaries, distribution, and SNELL Ch 11 Pg 529-532
termination of neurovascular structures of gluteal region

MS-A-041 to MS-A-044
MS-A-041 MUSCLES OF POSTERIOR COMPARTMENT OF THIGH
MS-A-042 BLOOD SUPPLY OF POSTERIOR COMPARTMENT THIGH
MS-A-043 SCIATIC NERVE
MS-A-044 HIP JOINT
• Cutaneous Innervation
• Muscles of Posterior Thigh Region (Hamstrings)

DR. ANAS FAROOQ, DR. MUHAMMAD SEERAT ALI & DR. ALI RAZA CHAUDARY
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 GUIDELINES | BLOCK-II

• Sciatic Nerve
• Arterial Supply of Posterior Thigh Region
• Anastomosis on Back of Thigh
• Clinicals
- Sciatica
- Semimembranosus Bursitis / Baker’s Cyst
- Hamstring Injuries
MS-A-041 Describe the Attachments of muscles of posterior compartment of thigh with the SNELL Ch 11 Pg 549
innervation and action
MS-A-041 Identify the muscles of posterior compartment of thigh with their proximal and distal SNELL Ch 11 Pg 549
attachments
MS-A-041 Demonstrate the actions of muscles of posterior compartment of thigh SNELL Ch 11 Pg 549
MS-A-041 Describe the anatomical basis of signs and symptoms of sciatica. SNELL Ch 11 Pg 549
MS-A-042 Describe the origin, course, relations, branches, distribution, and termination of SNELL Ch 11 Pg 549
Profunda femoris artery
MS-A-042 Describe blood supply on back of thigh SNELL Ch 11 Pg 549
MS-A-042 Describe the origin, course, relations, branches, distribution, and termination of sciatic SNELL Ch 11 Pg 549
nerve
MS-A-043 Describe the origin, course, relations, branches, distribution, and termination of sciatic SNELL Ch 11 Pg 529
nerve
MS-A-043 Describe the anatomical basis, signs and symptoms of compression of or injury to SNELL Ch 11 Pg 529
sciatic nerve
MS-A-044 Describe the hip joint with its type, articulations, ligaments, stabilizing factors SNELL Ch 11 Pg 574-577
MS-A-044 Movements, and neuro-vascular supply with clinical significance. SNELL Ch 11 Pg 574-577
MS-A-044 Perform the movements of hip joint at various angles and be able to describe the SNELL Ch 11 Pg 574-577
muscles producing the movement. Discuss important associated clinical conditions
(Hip dislocation, Arthritis, Hip joint stability and Trendelenburg sign) movements, and
neurovascular supply with clinical significance.

MS-A-045 POPLITEAL FOSSA

• Boundaries of Popliteal Fossa
• Content of Popliteal Fossa
• Relations of neurovasculature in Popliteal Fossa
• Popliteal Artery
• Popliteal Vein & its Tributaries
• Tibial & Common Peroneal (Fibular) Nerve
• Popliteal Lymph nodes & Their Draining Areas
• Genicular Anastomosis
• Clinicals
- Popliteal Abscess, Tumor and Cysts
- Popliteal Pulse
- Collateral Circulation
- Popliteal Aneurysm & Hemorrhage
- Popliteal Lymphadenopathy
MS-A-045 Describe the Boundaries and contents of popliteal fossa. SNELL Ch 11 Pg 549
Discuss clinical correlates (Popliteal aneurysm, Palpation of Popliteal artery, semi
membranous bursa swelling and Baker’s cyst)
MS-A-045 Draw and label boundaries and contents of popliteal fossa SNELL Ch 11 Pg 549
MS-A-045 Identify the boundaries and contents of popliteal fossa SNELL Ch 11 Pg 549
MS-A-045 Describe the origin, course, relations, branches/tributaries, distribution and SNELL Ch 11 Pg 549-552
termination of popliteal artery and vein

MS-A-046 KNEE JOINT

MS-A-046 Describe parts of tibia and fibula, with their attachments, important relations and side SNELL Ch 11 Pg 519-521
determination
MS-A-046 Identify the parts and bony features of the tibia & fibula, their bony features, SNELL Ch 11 Pg 519-521
attachments, important relations.
MS-A-046 Draw and label Parts of patella with its attachments SNELL Ch 11 Pg 519-521
MS-A-046 Describe features of patella, and name the factor responsible for stabilizing Patella SNELL Ch 11 Pg 519-521
MS-A-046 Describe the knee joint with its type, articulations, ligaments, movements, and neuro- SNELL Ch 11 Pg 578-582
vascular supply
MS-A-046 Explain the mechanism of locking and unlocking of knee joint with the foot on ground SNELL Ch 11 Pg 578-582
and off the ground
Describe the attachments and role of popliteus in locking and unlocking of the knee
joint
MS-A-046 Describe the factors responsible for stability of knee joint. Discuss important SNELL Ch 11 Pg 578-582
associated clinical conditions

DR. ANAS FAROOQ, DR. MUHAMMAD SEERAT ALI & DR. ALI RAZA CHAUDARY
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GUIDELINES | BLOCK-II 

MS-A-047 to MS-A-051
MS-A-047 MUSCLES OF LEG
MS-A-048 NEUROVASCULAR SUPPLY OF LEG
MS-A-049 FLEXOR, EXTENSOR, AND PERONEAL RETICULA
MS-A-050 TIBIO-FIBULAR JOINT
MS-A-051 ANKLE JOINT
• Features & Contents of Superficial Fascia
• Deep Fascia of Leg( Intermuscular septa + Superior & Inferior Extensor Retinaculum)
• Muscles of Anterior Compartment of Leg
• Anterior Tibial Artery
• Deep Peroneal (Fibular) Nerve
• Dorsalis Pedis Artery
• Lateral / Peroneal Compartment of Leg
• Attachments of Peroneal Retinacula
• Muscles of Lateral Compartment of Leg
• Superficial Peroneal (Fibular) Nerve
• Tendons on Medial Side of the leg → Guy Ropes
• Superficial Fascia & Its Contents
• Short & Long / Great Saphenous Veins
• Deep Fascia
• Superficial Muscles of Posterior Compartment of Leg
• Deep Muscles of Posterior Compartment of Leg
• Posterior Tibial Artery
• Distribution of Peroneal (Fibular) Artery
• Tibial Nerve
• Clinicals
- Anterior Tibial Compartment Syndrome / Fresher’s Syndrome
- Compartmental Infections in leg & Fasciotomy
- Shin Splints / Tibialis Anterior Strain
- Injury to Common Fibular Nerve
- Superficial & Deep Fibular Nerve Entrapment / Injury & Consequences
- Location and Importance of Dorsalis Pedis Artery Pulse
- Anserine Bursitis
- Tarsal Tunnel Syndrome
- Injury to Tibial Nerve & Consequences
- Name of Sesamoid Bone in Gastrocnemius → Fabella
- Gastrocnemius Strain [Tennis Leg]
- Calcaneal Tendonitis, Bursitis & Calcaneal Tendon Reflex / Ankle Jerk [Root value]
- Location and Importance of Posterior Tibial Artery Pulse
MS-A-047 Describe the Muscles of anterior, lateral, and posterior compartments of leg with their SNELL Ch 11 Pg 557-562
proximal & distal attachments, innervation, and actions
MS-A-047 Identify the muscles of anterior, lateral, and posterior compartments of leg with their SNELL Ch 11 Pg 557-562
proximal and distal attachments
MS-A-048 Describe the origin, course, relations, branches/tributaries and termination of nerves SNELL Ch 11 Pg 557-562
and vessels of anterior, lateral, and posterior compartments of leg
Compartment Syndrome, Foot Drop
MS-A-048 Describe the cutaneous nerves and veins of leg SNELL Ch 11 Pg 554-556
MS-A-048 Draw and label the cutaneous nerve supply and dermatomes of leg SNELL Ch 11 Pg 554-556
MS-A-049 Identify the extensor, flexor, and peroneal retinacula and demonstrate the structures SNELL Ch 11 Pg 562-563
related to them
MS-A-049 Describe the attachments, relations, and structures passing under cover of, extensor, SNELL Ch 11 Pg 562-563
peroneal, and flexor retinacula
MS-A-049 Identify and demonstrate the nerves and vessels of anterior, lateral, and posterior SNELL Ch 11 Pg 562-563
compartments of leg along with their branches
MS-A-049 Describe the formation of noncalcareous (Achilles tendon) SNELL Ch 11 Pg 560
MS-A-050 Describe the articulations, muscles and nerve supply and movements at Tibiofibular SNELL Ch 11 Pg 583
joints
MS-A-051 Describe the ankle joint with its type, articulations, ligaments, movements, and nerve SNELL Ch 11 Pg 584-585
supply
MS-A-051 Describe the factors stabilizing the ankle joint. SNELL Ch 11 Pg 584-585
Discuss important associated clinical conditions.
MS-A-051 Identify and demonstrate the articulating surfaces and ligaments of ankle joint SNELL Ch 11 Pg 584-585

MS-A-052 to MS-A-057
MS-A-052 PLANTAR FASCIA
MS-A-053 MUSCLES OF FOOT

DR. ANAS FAROOQ, DR. MUHAMMAD SEERAT ALI & DR. ALI RAZA CHAUDARY
PAGE 14 OF 25
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 GUIDELINES | BLOCK-II

MS-A-054 SMALL JOINTS OF FOOT

MS-A-055 ARCHES OF FOOT
MS-A-056 RETINACULA OF FOOT
MS-A-057 NEUROVASCULAR SUPPLY OF FOOT
• Skin and its Functions
• Superficial & Deep Fascia and its Modifications
• Muscles of 1st & 2nd Layers of Sole of Foot
• Muscles of 3rd & 4th Layers of Sole
• Medial Plantar Nerve
• Lateral plantar Nerve
• Medial Plantar Artery
• Lateral Plantar Artery
• Lateral Plantar Arch
• Comparison of Arches
• Clinicals
- Plantar fasciitis
- Babinski Sign [Plantar Reflex]
- Medial Plantar Nerve Entrapment
- Morton’s Neuroma
- Sural Nerve Grafts
- Pes Cavus
- Pes Planus & Claw Foot along with their causes
- Club Foot & its Types → Talipes Equinovarus & Talipes Calcaneovalgus
MS-A-052 Describe the formation, attachments, and clinical significance of plantar aponeurosis SNELL Ch 11 Pg 564
MS-A-052 Explain the anatomical basis of the signs and symptoms of plantar fasciitis. SNELL Ch 11 Pg 564
MS-A-053 Identify the parts and bony features, attachments, and important relations of the SNELL Ch 11 Pg 570-571
articulated foot
MS-A-053 Describe the muscles of the dorsum and sole of foot with their proximal & distal SNELL Ch 11 Pg 570-571
attachments, innervation and actions emphasizing the role of interossei and
lumbricals.
MS-A-053 Draw and label the muscles of the layers of sole of foot SNELL Ch 11 Pg 570-571
MS-A-053 Demonstrate and identify the muscles and tendons with their proximal and distal SNELL Ch 11 Pg 570-571
attachments in the sole of foot
MS-A-054 Describe the interphalangeal, subtalar and midtarsal joints with their types, SNELL Ch 11 Pg 585-587
articulation, movements, ligaments.
MS-A-055 Describe the formation, components, stabilizing and maintaining factors of the arches SNELL Ch 11 Pg 587-590
of foot
MS-A-055 Describe the clinical significance of arches of foot with respect to flat foot, claw foot SNELL Ch 11 Pg 587-590
MS-A-056 Describe the fibrous flexor sheaths, extensor expansions and synovial flexor sheaths SNELL Ch 11 Pg -
MS-A-057 Describe the origin, course, relations, branches/tributaries, distribution, and SNELL Ch 11 Pg 568-573
termination of plantar vessels
MS-A-057 Identify the nerves and vessels on the foot along with their branches SNELL Ch 11 Pg 568-573
MS-A-057 Describe the cutaneous nerves of foot SNELL Ch 11 Pg 568-573
MS-A-057 Draw and label the cutaneous nerve supply and dermatomes of foot SNELL Ch 11 Pg 568-573
MS-A-057 Identify the nerves and vessels in the sole of foot along with their branches SNELL Ch 11 Pg 568-573
MS-A-057 Describe the palpation of dorsalis pedis artery & explain the clinical significance of SNELL Ch 11 Pg 568-573
dorsalis pedis artery

MS-A-058 to MS-A-064
MS-A-058 ARTERIAL AND VENOUS DRAINAGE OF LOWER LIMB
MS-A-059 HUMAN GAIT
MS-A-060 LYMPHATIC DRAINAGE OF LOWER LIMB
MS-A-061 CUTANEOUS DERMATOMES & NERVE SUPPLY OF LOWER LIMB
MS-A-062 TOPOGRAPHICAL AND RADIOLOGICAL ANATOMY OF LOWER LIMB
MS-A-063 BONE FRACTURE
MS-A-064 JOINT DISLOCATION
• Venous Drainage of Lower Limbs
• Classification of the Veins in Lower Limbs
• Great & Short Saphenous Veins
• Perforating Veins and Their Classification
• Lymphatic Drainage of lower Limbs
• Classification of Lymph Nodes in Lower Limbs Along with Their Drainage
• Dermatomes & Myotomes in Lower limbs
• Clinicals
- Soleus as a Peripheral Heart
- Venesection / Cut-Open Procedure / Saphenous Cut-Down

DR. ANAS FAROOQ, DR. MUHAMMAD SEERAT ALI & DR. ALI RAZA CHAUDARY
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GUIDELINES | BLOCK-II 

- Saphenous Vein Grafts

- Varicose Veins & Ulcers
- Trendelenburg’s Test
- Elephantiasis
MS-A-058 Describe the surface anatomy, course, relations, tributaries, and communications of SNELL Ch 11 Pg 533
the superficial veins of the lower limb
MS-A-058 Draw a concept map of the superficial veins of lower limb SNELL Ch 11 Pg 533
MS-A-058 List the factors favoring venous return of the lower limb SNELL Ch 11 Pg 533
MS-A-059 Explain the anatomical basis of the formation, and signs and symptoms of deep SNELL Ch 11 Pg 535-536
venous thrombosis
MS-A-059 Discuss clinical correlations of Lower Limb Arteries (palpation of femoral, popliteal, SNELL Ch 11 Pg 535-536
posterior tibial & dorsalis pedis arteries, collateral circulation, intermittent
claudication, occlusive arterial disease)
MS-A-060 Draw a concept map of the lymphatic drainage of lower limb SNELL Ch 11 Pg 526
MS-A-061 Draw and label the cutaneous nerves & dermatomes of the lower limb Discuss clinical SNELL Ch 11 Pg 525
correlates of Lower limb nerves (Femoral nerve injury, Sciatic Nerve injury, Common
fibular, tibial & obturator nerve injury)
Describe the anatomical basis of knee jerk, ankle jerk, and plantar reflex SNELL Ch 11 Pg Pg 604
MS-A-062 Demonstrate the surface marking of nerves and vessels of lower limb SNELL Ch 11 Pg 529-603
MS-A-062 Demonstrate the surface marking of bony landmarks of lower limb SNELL Ch 11 Pg 529-603
MS-A-062 Identify the topographical features of lower limb in a cross-sectional model SNELL Ch 11 Pg 529-603
MS-A-062 Demonstrate and identify the features of bones and joints of lower limb on SNELL Ch 11 Pg 529-603
radiograph/ CT scan/ MRI
MS-A-063 Describe the common fractures of the following bone with the risk factors, clinical SNELL Ch 11 Pg 517,
presentations, and management: 1. Clavicle 2. Humerus 3. Radius 4. Ulna 5. Small 518, 521, 524
bones of hand 6. Hip bone 7. Femur 8. Tibia 9. Fibula 10. Small bones of foot
MS-A-064 Describe the dislocations of the following joints with the risk factors and clinical SNELL Ch 11 Pg 577,
presentations, and brief management: Shoulder joint 1. Elbow joint 581, 585, 590
2. Interphalangeal joint of hand 3. Hip joint 4. Knee joint 5. Ankle joint

EMBRYOLOGY
• Only use LANGMAN’s Medical Embryology by T.W. Sadler (LM).
• Additionally, prepare all Clinical from The Developing Human, Clinically Oriented Embryology by Keith L. Moore (KLM).
• Molecular genetics is part of syllabus but is LEAST IMPORTANT
• Must prepare Past UHS SEQS & MCQS from Past Paper Book "EPISODE FIRST YEAR"!

MS-A-065 DEVELOPMENT OF MUSCLES LANGMAN’s Medical Embryology by T.W. Sadler Chapter 11

• Organization of myoblast into myotome
• Hypaxial & Epaxial myoblast derivatives
• Clinicals
- Poland syndrome
- Prune Belly syndrome
- Duchenne's Muscular Dystrophy
- Torticollis
MS-A-065 Name the molecular and genetic factors involved in the development of LM Ch 11 Pg 163
musculoskeletal system
MS-A-065 Describe the development of skeletal muscle and innervation of axial skeletal Muscles- LM Ch 11 Pg 160-162
developmental basis of myotome
MS-A-065 Briefly discuss the development of cardiac and smooth muscle (Detail to be covered in LM Ch 11 Pg 164
respective modules later).

MS-A-066 to MS-A-068 LANGMAN’s Medical Embryology by T.W. Sadler Chapter 12

MS-A-066 DEVELOPMENT OF LIMB
MS-A-067 DEVELOPMENT OF NERVE SUPPLY OF LIMBS
MS-A-068 CONGENITAL ANOMALIES OF LIMBS
• Normal development of limbs
• Time of Appearance of Limb Bud & Process of limb Rotation
• Compare and contrast the development of Upper Limb with that of Lower Limb
• Embryological Basis of Cutaneous innervation & Blood Supply of limb
• Concept of Axial Artery
• Clinicals
- Amelia
- Meromelia
- Phocomelia
- Split-Hand (Lobster claw)

DR. ANAS FAROOQ, DR. MUHAMMAD SEERAT ALI & DR. ALI RAZA CHAUDARY
PAGE 16 OF 25
FIRST YEAR MBBS
 GUIDELINES | BLOCK-II

- Polydactyly
- Brachydactyly
- Syndactyly
- Congenital Club Foot
- Drug causing Amelia? [Answer → Thalidomide]
- Osteogenesis imperfecta
- Marfan syndrome
MS-A-066 Describe the process of limb development and limb growth LM Ch 12 Pg 168-170
MS-A-067 Name the molecular and genetic factors involved in the development of LM Ch 12 Pg 171
musculoskeletal system
MS-A-067 Describe the development of skeletal muscle and innervation of axial skeletal Muscles- LM Ch 12 Pg 171
developmental basis of myotome
MS-A-068 Describe the embryological basis of congenital anomalies related to muscular system. LM Ch 12 Pg 174-178
MS-A-068 Describe the clinical presentations and embryological basis of; i. Amelia ii. Meromelia LM Ch 12 Pg 174-178
iii. Phocomelia iv. Cleft Hand and Foot v. Polydactyly, Brachydactyly, Syndactyly
vi. Congenital club foot

MS-A-069 to MS-A-070 LANGMAN’s Medical Embryology by T.W. Sadler Chapter 10

MS-A-069 DEVELOPMENT OF CARTILAGE
MS-A-070 DEVELOPMENT OF AXIAL SKELETON
• Process of Histogenesis of Cartilage and Bone
• Developmental Process of Intramembranous and Endochondral Ossification
• Pre-Cartilaginous Development of Vertebral Column
• Diagram of Developing Vertebrae
• Development of Ribs & Sternum
• Clinicals
- Scoliosis (Hemivertebrae)
- Klippel-Feil sequence
- Spina bifida & its Types
- Rachischisis
- Cervical Rib
MS-A-069 Describe the developmental process of cartilage and bone EPISODE FIRST YEAR
MS-A-069 Describe the process of histogenesis of cartilage and bone EPISODE FIRST YEAR
MS-A-070 List the factors contributing to the development of Axial skeletal system LM Ch 10 Pg 151-158
MS-A-070 Describe the clinical picture and explain the embryological basis of Axial skeletal LM Ch 10 Pg 151-158
anomalies
MS-A-070 Describe the developmental process of Vertebral Column LM Ch 10 Pg 151-158

HISTOLOGY
• Only use Medical Histology by Laiq Hussain (LAIQ).
• Most low yield portion
• Must prepare Past UHS SEQS & MCQS from Past Paper Book "EPISODE FIRST YEAR"!

MS-A-071 to MS-A-072 Medical Histology by LAIQ HUSSAIN Chapter 10

MS-A-071 HISTOLOGY OF MUSCLES
MS-A-072 FUNCTIONAL HISTOLOGY
• Types of Muscle Tissue
• Diagrams of Smooth, Skeletal & Cardiac muscle
MS-A-071 Describe the microscopic structure and ultramicroscopic structure of skeletal muscle LAIQ Ch 10 Pg 85-94
MS-A-071 Explain the basis of myasthenia gravis. LAIQ Ch 10 Pg 85-94
MS-A-071 Describe the microscopic and ultramicroscopic structure of cardiac muscle LAIQ Ch 10 Pg 85-94
MS-A-071 Describe the microscopic and ultramicroscopic structure of smooth muscle LAIQ Ch 10 Pg 85-94
MS-A-071 Compare and contrast the histological features of three types of muscle tissue LAIQ Ch 10 Pg 85-94
MS-A-072 Describe Myosatellite Cells & their role in regeneration of muscle, hyperplasia, and EPISODE FIRST YEAR
hypertrophy of muscle fiber
MS-A-072 Explain the histopathological basis of leiomyoma EPISODE FIRST YEAR

MS-A-073 to MS-A-075 Medical Histology by LAIQ HUSSAIN Chapter 8

MS-A-073 HISTOLOGY OF OSSEOUS TISSUE
MS-A-074 HISTOLOGY OF BONE
MS-A-075 FUNCTIONAL HISTOLOGY OF BONE
• Cells of Bone along with their Functions
• Compact bone vs Spongy bone
• Osteon Diagram

DR. ANAS FAROOQ, DR. MUHAMMAD SEERAT ALI & DR. ALI RAZA CHAUDARY
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GUIDELINES | BLOCK-II 

• Characteristic features of Ossification

• Zones seen in an epiphyseal growth plate
MS-A-073 Describe the light and electron microscopic structure of bone cells Describe the light LAIQ Ch 08 Pg 65-72
and electron microscopic structure of compact and spongy bone
MS-A-073 Describe the histological justification for osteoporosis, Osteopetrosis LAIQ Ch 08 Pg 65-72
MS-A-073 Describe the histological basis for bone repair after fractures. LAIQ Ch 08 Pg 65-72
MS-A-074 Compare and contrast the microscopic features of compact and spongy bone LAIQ Ch 08 Pg 65-72
MS-A-074 Explain the characteristic features of ossification (Intramembranous & Endochondral LAIQ Ch 08 Pg 65-72
ossification)
MS-A-074 Describe the zones seen in an epiphyseal growth plate LAIQ Ch 08 Pg 65-72
MS-A-075 Describe the metabolic role of bone - EPISODE FIRST YEAR
MS-A-075 Describe the clinical presentation of osteoporosis, osteopenia EPISODE FIRST YEAR

MS-A-076 to MS-A-077 Medical Histology by LAIQ HUSSAIN Chapter 7

MS-A-076 HISTOLOGY OF CARTILAGE
MS-A-077 MECHANISM OF BONE GROWTH
• Classification of Cartilage
• Location of different Types of Cartilages
• Why can't articular cartilage regenerate?
• Microscopic Features and Functions of Perichondrium
MS-A-076 Describe the microscopic and ultramicroscopic structure of all types of cartilage LAIQ Ch 07 Pg 59-63
MS-A-076 Compare and contrast the structure of cartilage and bone matrix LAIQ Ch 07 Pg 59-63
MS-A-076 Tabulate the differences between three types of cartilage LAIQ Ch 07 Pg 59-63
MS-A-077 Describe the histological basis for bone & Cartilage growth and repair EPISODE FIRST YEAR

PHYSIOLOGY
• Guyton and Hall Textbook of Medical Physiology by John E. Hall (G&H) is the Golden standard
• Prepare topics according to their importance as mentioned below.
• Must prepare Past UHS SEQS & MCQs from Past Paper Book "EPISODE FIRST YEAR"!

MS-P-001 to MS-P-009 Guyton and Hall Textbook of Medical Physiology by John E. Hall Chapter 5
MS-P-001 DIFFUSION / EQUILIBRIUM POTENTIALS
MS-P-002 NERNST POTENTIAL
MS-P-003 GOLDMAN EQUATION
MS-P-004 RESTING MEMBRANE POTENTIAL IN NEURONS
MS-P-005 NEURONS
MS-P-006 CLASSIFICATION OF NEURONS & FIBERS
MS-P-007 ACTION POTENTIAL OF NEURONS
MS-P-008 ROLE OF OTHER IONS IN ACTION POTENTIAL
MS-P-009 LOCAL / GRADED POTENTIALS
• Nernst Potential
• Goldmann Equation & Diffusion Potential
• Resting Membrane Potential of Neurons
• Effect of Hypokalemia & Hyperkalemia on RMP
• Stages of Action potential with Diagram
• Activation and Inactivation of Sodium and Potassium channels
• Role of Ca2+ in Action potential and TETANY
• Saltatory conduction
• Refractory Period & its Types
• Membrane Stabilizers
• Local Anesthetics
• “All or None” Principle
MS-P-001 Explain the Physiological basis of membrane potential GUYTON Ch 05 Pg 63
MS-P-001 Explain diffusion potentials of Na & K GUYTON Ch 05 Pg 63
MS-P-002 Define Nernst potential GUYTON Ch 05 Pg 63
MS-P-002 Explain Physiological Basis of Nernst potential GUYTON Ch 05 Pg 63
MS-P-002 Write the Nernst equation GUYTON Ch 05 Pg 63
MS-P-002 Calculate Nernst potential for Na & K GUYTON Ch 05 Pg 63
MS-P-002 Explain the effects of altering the concentration of Na+, K+, Ca on the equilibrium GUYTON Ch 05 Pg 63
potential for that ion
MS-P-003 Describe the normal distribution of Na+, K+, Ca and Cl- across the cell membrane GUYTON Ch 05 Pg 64
MS-P-003 Explain physiological basis of Goldman equation GUYTON Ch 05 Pg 64
MS-P-003 Clarify the role of Goldman equation in generation of Resting Membrane Potential GUYTON Ch 05 Pg 64
(RMP).

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MS-P-004 Describe the Physiological basis of generation of RMP. GUYTON Ch 05 Pg 65-67

MS-P-004 Explain the effects of hyperkalemia and Hypokalemia on the Resting Membrane GUYTON Ch 05 Pg 65-67
Potential (RMP)
MS-P-004 Name the membrane stabilizers GUYTON Ch 05 Pg 65-67
MS-P-004 Explain the physiological basis of action of Local Anesthetics. GUYTON Ch 05 Pg 65-67
MS-P-005 Describe the Physiological anatomy of Neurons EPISODE FIRST YEAR
MS-P-005 Discuss the axonal transport EPISODE FIRST YEAR
MS-P-005 Enlist & give functions of Neuroglial cells EPISODE FIRST YEAR
MS-P-005 Explain process of myelination in Central Nervous System (CNS) & Peripheral Nervous EPISODE FIRST YEAR
System (PNS)
MS-P-006 Classify neurons functionally. EPISODE FIRST YEAR
MS-P-006 Classify nerve fibers according to Erlanger & Gasser Classification EPISODE FIRST YEAR
MS-P-007 Define Action Potential GUYTON Ch 05 Pg 67-70
MS-P-007 Enlist the Properties of action potential GUYTON Ch 05 Pg 67-70
MS-P-007 Describe the ionic basis of an action potentia GUYTON Ch 05 Pg 67-70
MS-P-007 Explain the phases of action potential. GUYTON Ch 05 Pg 67-70
MS-P-007 Explain the effects of hyperkalemia and Hypokalemia on the action potential. GUYTON Ch 05 Pg 67-70
MS-P-007 Draw monophasic action potential. GUYTON Ch 05 Pg 67-70
MS-P-007 Explain absolute and relative refractory period GUYTON Ch 05 Pg 67-70
MS-P-008 Explain the role of other ions in action potential. GUYTON Ch 05 Pg 70-71
MS-P-008 Elaborate the effect of hypocalcemia on neuron excitability. GUYTON Ch 05 Pg 70-71
MS-P-009 Explain Physiological basis& properties of Graded potential EPISODE FIRST YEAR
MS-P-009 Draw & explain Physiological basis & properties of compound action potential. EPISODE FIRST YEAR
MS-P-009 Contrast between action potential and graded potential EPISODE FIRST YEAR
MS-P-009 Describe the ionic basis of excitatory Post Synaptic Potential (EPSP), Inhibitory Post EPISODE FIRST YEAR
Synaptic Potential (IPSP), End Plate Potential (EPP).

MS-P-010 SYNAPSE Guyton and Hall Textbook of Medical Physiology by John E. Hall Chapter 45
• Classification of Synapse
• Signal Transmission across Chemical Synapse
MS-P-010 Classify and explain Physiological basis of different types of synapses EPISODE FIRST YEAR
MS-P-010 Elaborate how signal transmission takes place across chemical synapse EPISODE FIRST YEAR

MS-P-011 to MS-P-012 Guyton and Hall Textbook of Medical Physiology by John E. Hall Chapter 46
MS-P-011 CONDUCTION OF NERVE IMPULSE
MS-P-012 NERVE DEGENERATION
• Classification of Nerve Fibers on basis of Diameter & Conduction of Impulse
• Neuronal Circuit with both Excitatory and Inhibitory Output Signals
MS-P-011 Explain the mechanism of conduction of Nerve impulse in myelinated and unmyelinated GUYTON Ch 05 Pg 74
nerve fibers.
MS-P-011 Elaborate significance of saltatory conduction GUYTON Ch 05 Pg 74
MS-P-012 Explain Physiological basis& properties of Graded potential EPISODE FIRST YEAR
MS-P-012 Draw & explain Physiological basis & properties of compound action potential. EPISODE FIRST YEAR
MS-P-012 Contrast between action potential and graded potential EPISODE FIRST YEAR
MS-P-012 Describe the ionic basis of excitatory Post Synaptic Potential (EPSP), Inhibitory Post EPISODE FIRST YEAR
Synaptic Potential (IPSP), End Plate Potential (EPP).

MS-P-013 to MS-P-015 Guyton and Hall Textbook of Medical Physiology by John E. Hall Chapter 6
MS-P-013 SKELETAL MUSCLE
MS-P-014 CHARACTERISTICS OF WHOLE MUSCLE CONTRACTION
MS-P-015 MECHANICS OF MUSCLE CONTRACTION
• General Anatomy of skeletal muscles
• Define Sarcomere & Changes in Sarcomere during Muscle Contraction
• General Mechanism of Contraction
• Molecular Mechanism [Sliding Filament Model, Walk Along Theory]
• Actin and Myosin
• Tension developed by Muscle
• Effect of muscle Length and Velocity on Force of Contraction
• Energetics of Muscle Contraction
• Isometric VS Isotonic contraction
• Fast VS Slow Muscle Fibers
• Mechanism of Skeletal Muscle Contraction
• Multiple Fiber Summation
• Frequency Summation
• Tetanization
• StairCase Effect / Treppe
• Remodeling of muscle
• Atrophy

DR. ANAS FAROOQ, DR. MUHAMMAD SEERAT ALI & DR. ALI RAZA CHAUDARY
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• Hypertrophy
• Hyperplasia
• Muscle Denervation
• Rigor Mortis & Muscle Dystrophy
MS-P-013 Discuss the physiological anatomy of skeletal muscles. GUYTON Ch 06 Pg 79-81
MS-P-013 Differentiate b/w skeletal, smooth, and cardiac muscle GUYTON Ch 06 Pg 79-81
MS-P-013 Describe the structure of Sarcomere GUYTON Ch 06 Pg 79-81
MS-P-014 Differentiate between isometric and isotonic contraction by giving examples. GUYTON Ch 06 Pg 87-88
MS-P-014 Compare the fast and slow muscle fibers. GUYTON Ch 06 Pg 87-88
MS-P-015 Explain the mechanism of summation and Tetanization GUYTON Ch 06 Pg 88-91
MS-P-015 Describe staircase effect/Treppe phenomena GUYTON Ch 06 Pg 88-91
MS-P-015 Discuss the mechanism of skeletal muscle fatigue GUYTON Ch 06 Pg 88-91
MS-P-015 Explain the remodeling of skeletal muscle to match the function. GUYTON Ch 06 Pg 88-91
Describe the development of macro motor units in poliomyelitis.
MS-P-015 Explain the physiological basis of rigor mortis GUYTON Ch 06 Pg 88-91

MS-P-016 NEUROMUSCULAR JUNCTION Guyton and Hall Textbook of Medical Physiology by John E.
Hall Chapter 7
• Physiologic Anatomy of Neuromuscular Junction [NMJ]
• End-Plate potential [EPP]
• Formation and Destruction of Acetylcholine [Ach]
• Drugs that enhance or block neuromuscular junction
• Myasthenia Gravis
• Excitation-Contraction Coupling Mechanism
• Release of calcium from Sarcoplasmic Reticulum
• Draw & Label Neuromuscular Junction
MS-P-016 Describe the physiological anatomy of Neuro Muscular Junction (NMJ) GUYTON Ch 07 Pg 93-99
MS-P-016 Mechanism of Neuromuscular transmission & generation of End Plate Potential GUYTON Ch 07 Pg 93-99
MS-P-016 Explain features, pathophysiology & treatment of Myasthenia Gravis GUYTON Ch 07 Pg 93-99
MS-P-016 Describe the enhancers or blockers of neuromuscular transmission at the GUYTON Ch 07 Pg 93-99
neuromuscular junction.
MS-P-016 Discuss the steps/ events of excitation contraction coupling in skeletal muscle. GUYTON Ch 07 Pg 93-99

MS-P-017 SMOOTH MUSCLE Guyton and Hall Textbook of Medical Physiology by John E. Hall Chapter 8
• Types of Smooth Muscles
• Difference between Skeletal and Smooth muscles
• Latch Mechanism
• Contraction and Relaxation of Smooth Muscle
• Sources of Calcium in Skeletal and Smooth muscles
• Nervous and Hormonal control
• Types of Action Potential in Smooth Muscle Fiber
MS-P-017 Differentiate between types of smooth muscles GUYTON Ch 08 Pg 101-108
MS-P-017 Describe mechanism of smooth muscle contraction in comparison to skeletal muscle. GUYTON Ch 08 Pg 101-108
MS-P-017 Explain the physiological anatomy of neuromuscular junction of smooth muscle GUYTON Ch 08 Pg 101-108
MS-P-017 Explain the excitatory and inhibitory transmitters secreted at Neuro Muscular Junction GUYTON Ch 08 Pg 101-108
(NMJ) of smooth muscles.
MS-P-017 Explain the depolarization of multiunit smooth muscles without action potentials. GUYTON Ch 08 Pg 101-108
Explain the local tissue factors and hormones that can cause smooth muscle
contraction without action potential.
MS-P-017 Explain the regulation of smooth muscle contraction by calcium ions GUYTON Ch 08 Pg 101-108
MS-P-017 Explain membrane potential and action potentials in smooth muscles. GUYTON Ch 08 Pg 101-108
MS-P-017 Explain the phenomena of stress relaxation and reverse stress relaxation in smooth GUYTON Ch 08 Pg 101-108
muscles.
MS-P-017 Explain the LATCH mechanism GUYTON Ch 08 Pg 101-108
MS-P-017 Describe the significance of LATCH mechanism. GUYTON Ch 08 Pg 101-108
MS-P-017 Explain the nervous and hormonal control of Smooth Muscle Contraction. GUYTON Ch 08 Pg 101-108

BIOCHEMISTRY
• The syllabus of the Biochemistry portion for 1st year is very scattered.
• You have to prepare it primarily from these two books;
- Lippincott’s Illustrated Reviews: Biochemistry by Richard A. Harvey (LIPPIN)
- Harper’s Illustrated Biochemistry by Robert M. (HARPER)
• You may need to refer following books for certain topics;
- Biochemistry by Dr. U. Satyanarayana (SATYA)
- Textbook of Medical Biochemistry by Dr (Brig) MN Chatterjea (CJ)

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• Topics along with the reference book are mentioned below.

• Prepare topics according to their importance as mentioned below.
• Must prepare Past UHS SEQS & MCQs from Past Paper Book "EPISODE FIRST YEAR"!

MS-B-001 to MS-B-003
MS-B-001 CLASSIFICATION CARBOHYDRATES
MS-B-002 CARBOHYDRATES
MS-B-003 EXTRACELLULAR MATRIX
• Introduction (Glycobiology, Glycome & Glycomics)
• Hemiacetal
• Aldoses & Ketoses Sugars
• Pentoses of Physiological Importance
• Hexoses of Physiological Importance
• Lactose vs Lactulose
• Disaccharides of Physiological Importance
• Hydrolysis Products & Structures of Physiologically Important Disaccharides
• Glycemic Index
• Structure, Source & Biomedical Importance of Cellulose & Glycogen
• Proteoglycan vs Glycoprotein
• Which GAG used as Anticoagulant & What is its Structure
• Which GAG used in Treatment of Osteoarthritis & its structural properties
• Glycosaminoglycans & their Structures
• Relationship between glycosaminoglycan Structure and Function
• Lactose Intolerance Scenario
• Collagen synthesis and metabolism
• Vitamin C (Complete)
• Osteogenesis Imperfecta
MS-B-001 Classify carbohydrates along with structure and biomedical importance of each class EPISODE FIRST YEAR
MS-B-002 Explain the isomerization of carbohydrates LIPPIN Ch 07 Pg 83-84
MS-B-003 Describe the physical and chemical properties of carbohydrates EPISODE FIRST YEAR
MS-B-003 Differentiate between proteoglycan and glycoproteins EPISODE FIRST YEAR
MS-B-003 Describe the components of the extracellular matrix: EPISODE FIRST YEAR
1. Describe structure, functions and clinical significance of glycosaminoglycans LIPPIN Ch 04 Pg 44-50
2. Discuss structure and functions of Fibrous proteins (collagen and Elastin)
3. Interpret diseases associated with them on basis of sign/symptoms and data LIPPIN Ch 28 Pg 381
4. Interpret the importance of vitamin C in collagen synthesis
5. Describe sources, active form, functions and deficiency diseases of vitamin C
6. Identify defects in collagen synthesis based on given data (Ostegenesis Imperfecta) LIPPIN Ch 04 Pg 49
MS-B-003 Interpret genetic basis of Duchene muscular dystrophy -
MS-B-003 Explain the transport and uptake of glucose in cells, steps of glycolysis and citric acid LIPPIN Ch 08, 09 Pg 97-114
cycle along with enzymes, co enzymes and cofactors involved

MS-B-004 GLYCOLYSIS AND TRICARBOXYLIC ACID CYCLE (TCA)

MS-B-004 Discuss the provision of energy to the muscles and cells through glycolytic pathway LIPPIN Ch 08, 09 Pg 97-114
and TCA cycle
MS-B-004 Explain the hormonal and allosteric regulation of glycolysis and TCA LIPPIN Ch 08, 09 Pg 97-114

MS-B-005 to MS-B-011
MS-B-005 PROTEIN DIGESTION & TRANSPORT ACROSS CELL
MS-B-006 REACTIONS INVOLVE IN CATABOLISM
MS-B-007 TRANSPORTATION OF AMMONIA TO THE LIVER
MS-B-008 & MS-B-009 UREA CYCLE
MS-B-010 PROTEIN METABOLISM
MS-B-011 INBORN ERRORS OF AMINO ACID METABOLISM
• Classification of Amino Acids
• Standard amino acids & Non-standard (non-protein L-α-amino acids )
• Sulphur containing Amino acids & Aromatic Amino acids
• Selenocysteine & its significance
• Properties of Amino Acids and their Biomedical Importance
• Classification of Proteins based on Functions
• Urea Cycle
• Effect of Ammonia and Urea
• Catabolic pathways of Amino Acids
• All Clinical correlates of Amino Acid Metabolism
MS-B-005 Describe the digestion and absorption of proteins in mouth, stomach and small LIPPIN Ch 19 Pg 147-150
intestine. Discuss the uptake of amino acids by cells
MS-B-006 Explain following reactions with enzymes involved in it: 1. Transamination LIPPIN Ch 19, 21 Pg 250-

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2. Deamination decarboxylation 3. Deamidation 4. Trans deamination. 5. Oxidative 252, 285-288

deamination.
MS-B-007 Role of pyridoxal phosphate, glutamate, glutamine, alanine LIPPIN Ch 19 Pg 253
MS-B-008 Illustrate steps of urea cycle with enzymes and its importance Discuss ammonia LIPPIN Ch 19 Pg 253-258
intoxication
MS-B-009 Interpret different types of hyperammonemia on basis of sign symptoms and data LIPPIN Ch 19 Pg 253-258
MS-B-010 Discuss the catabolic pathways of aliphatic, aromatic, branched chain, sulfur LIPPIN Ch 20 Pg 262-268
containing, hydroxyl group containing amino acids with the products formed and
enzymes and vitamins involved in them
MS-B-011 Interpret the following on basis of given data: 1. Phenylketonuria 2. Tyrosinemia LIPPIN Ch 20 Pg 269-274
3. Albinism 4. Homocystinuria 5. Maple syrup urine disease 6. Alkaptonuria

AGING
MS-Ag-001 BONE
MS-Ag-002 CARTILAGE
MS-Ag-003 MUSCLE
MS-Ag-004 EFFECT OF ESTROGEN ON BMD
MS-Ag-01 Discuss the effect of age on bone fragility and its implications with management EPISODE FIRST YEAR
MS-Ag-02 Discuss the effect of age on loss of cartilage resilience and its implications and EPISODE FIRST YEAR
management
MS-Ag-03 Discuss the effect of age on Muscular strength and its implications and EPISODE FIRST YEAR
management
MS-Ag-04 Explain the protective effect of estrogen (female sex hormone) on bone mineral EPISODE FIRST YEAR
density and relate it to increased prevalence of postmenopausal fractures in
women.

PHARMACOLOGY
MS-Ph-001 DRUGS ACTING ON NEUROMUSCULAR JUNCTION (NMJ)
MS-Ph-002 DRUGS IN MYASTHENIA GRAVIS
MS-Ph-003 LOCAL ANESTHETICS
MS-Ph-01 Explain the mechanism by which drugs can stimulate NMJ. EPISODE FIRST YEAR
MS-Ph-01 Explain the mechanism by which drugs can block NMJ. EPISODE FIRST YEAR
MS-Ph-02 Discuss briefly the therapeutic effect of drugs used in myasthenia gravis EPISODE FIRST YEAR
MS-Ph-03 Discuss briefly the therapeutic effect of drugs used as local anesthetics. EPISODE FIRST YEAR

PATHOLOGY
MS-Pa-001 MUSCLE REMODELING
MS-Pa-002 DISEASES OF MUSCLE
MS-Pa-003 DISEASES OF BONE
MS-Pa-004 DISEASE OF CARTILAGE
MS-Pa-01 Describe the hyperplasia, hypertrophy, and atrophy of muscle fiber EPISODE FIRST YEAR
MS-Pa-01 Explain the histopathological basis of leiomyoma EPISODE FIRST YEAR
MS-Pa-02 Describe the histological basis of Duchenne Muscular Dystrophy and myopathy EPISODE FIRST YEAR
MS-Pa-03 Describe the clinical presentation and histological justification for osteoporosis, EPISODE FIRST YEAR
osteopetrosis
MS-Pa-03 Describe the histological basis for bone repair after Bone fractures EPISODE FIRST YEAR
MS-Pa-04 Describe the histological basis for cartilage growth and repair EPISODE FIRST YEAR

BEHAVIORAL SCIENCES
MS-BhS-001 PSYCHOSOCIAL FACTORS INFLUENCING CHRONIC ILLNESSES
MS-BhS-002 PSYCHOSOCIAL IMPACT OF DISEASE AND ITS MANAGEMENT
MS-BhS-001 Identify and deal with the various psychosocial aspects of Musculoskeletal EPISODE FIRST YEAR
conditions (such as Osteoarthritis, Osteomyelitis, Rheumatoid arthritis, Gout,
chronic back pain, psychosomatic complaints) and Neuromuscular conditions
(Muscular dystrophy, Myasthenia Gravis, Sclerosis) on Individual, Family and
Society
MS-BhS-002 Identify the psychosocial risk factors as mediating factors between illness and EPISODE FIRST YEAR
its effect.
MS-BhS-002 Discuss the role of psychological variables like coping, social support, and other EPISODE FIRST YEAR
health cognitions in mediating between illness and its effect.

DR. ANAS FAROOQ, DR. MUHAMMAD SEERAT ALI & DR. ALI RAZA CHAUDARY
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 GUIDELINES | BLOCK-II

COMMUNITY MEDICINE
MS-CM-001 BACK PAIN
MS-CM-002 WORK RELATED MUSCULOSKELETAL DISORDERS
MS-CM-003 MSD RELATED TO MOBILE USAGE
MS-CM-004 ERGONOMICS
MS-CM-005 NONCOMMUNICABLE DISEASE
MS-CM-006 RISK FACTOR ASSESSMENT OF MUSCULOSKELETAL DISEASES
MS-CM-001 Explain causes of low back pain EPISODE FIRST YEAR
MS-CM-001 Describe prevention of low back pain EPISODE FIRST YEAR
MS-CM-002 Describe work related musculoskeletal disorders addition with its EPISODE FIRST YEAR
burden/epidemiology
MS-CM-002 Identify risk factors of Musculoskeletal disorders MSD at workplace EPISODE FIRST YEAR
MS-CM-002 Describe prevention of exposure to risk factors related to workplace EPISODE FIRST YEAR
MS-CM-003 Describe MSD related to mobile addition with its burden/epidemiology EPISODE FIRST YEAR
MS-CM-003 Describe MSD related to mobile usage (Text neck, Trigger thumb, DeQuervain EPISODE FIRST YEAR
Syndrome, Carpel Tunnel Syndrome) Identify risk factors related to MSD due to
excessive mobile usage
MS-CM-003 Describe the preventive strategies for mobile addiction-related MSD. EPISODE FIRST YEAR
MS-CM-004 Describe the application of ergonomics in MSD related to the above disorders. EPISODE FIRST YEAR
MS-CM-005 Describe the concept of non-communicable Musculoskeletal diseases EPISODE FIRST YEAR
MS-CM-006 Identify the risk factors in the community for Osteoporosis EPISODE FIRST YEAR
MS-CM-006 Learn and apply interventions to prevent the risk factors for various EPISODE FIRST YEAR
musculoskeletal diseases in the community.

DR. ANAS FAROOQ, DR. MUHAMMAD SEERAT ALI & DR. ALI RAZA CHAUDARY
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GUIDELINES | BLOCK-II 

EPISODESERIES

RECAPSERIES

DR. ANAS FAROOQ, DR. MUHAMMAD SEERAT ALI & DR. ALI RAZA CHAUDARY
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 GUIDELINES | BLOCK-II

DR. ANAS FAROOQ, DR. MUHAMMAD SEERAT ALI & DR. ALI RAZA CHAUDARY
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