Ospe updates

1. MBBS Final Professional
Examination
General Medicine
Department of Medicine
Faisalabad Medical University

2. Format And Marks Distribution
(Written + Clinical Assessment)

3. Format And Marks Distribution
WRITTEN ASSESSMENT
Theory Paper A Total Marks =90
• MCQ = 45(1 × 45)
• SEQ = 35(5×7)
• LEQ = 10(1×10)

4. Format And Marks Distribution
WRITTEN ASSESSMENT
Theory Paper B Total Marks =80
• MCQ = 40(1 × 40)
• SEQ = 30(5×6)
• LEQ = 10(1×10)

5. Format And Marks Distribution
Clinical Assessment-I
OSCE Total marks = 80
• Non-observed Stations = 40(4x10)
(2 substations)
• Time for Non-observed station = 10 Mins each
• Observed Stations = 40(4X10)
• Time for observed station = 10 Mins each

6. Format And Marks Distribution
Clinical Assessment-II
SHORT CASES Total marks = 120
Short Cases = 60(2x30)
Time for each short case = 15 Mins
5 minuts for performance and 10 minute for viva
LONG CASES Total marks = 80
Long Case = 80(1x80)
Time for each short case = 60 Mins
40 minutes for performance and 20 minutes for viva

7. Format And Marks Distribution
Written Assessment (Paper A+ Paper B) =170
Clinical Assessment-I (OSCE) =80
Clinical Assessment-II =200
Internal Assessment Marks =50
– Half marks will be added in written
– Half marks will be added in OSCE.
Total Surgery Exam Marks = 170+280+50 =500

8. “Candidate must pass the
theory exam, short/long cases
and OSCE individually to be
successful.
Failure in either component
will result in overall failure”

9. Table of Specification (TOS)
Written Assessment

10. Table of Specification (TOS)
Sr. No Topic No. of Questions
1. Cardiology 8
2. Pulmonology 8
3. Neurology 8
4. Gastroenterology 8
5. Hepatology 7
6. Hematology 6
Total 45
MCQs(Paper- A) = 45 (1x45) Time: 1Hr

11. Table of Specification (TOS)
SEQs + LEQ (Paper- A) = 35 (5x7) + 10(1X10) Time: 2Hr
Sr. No. Topic No. of Questions
1. Cardiology 2
2. Pulmonology 1
3. Neurology 1
4. Gastroenterology 1
5. Hepatology 1
6. Hematology 1
Total 7

12. Table of Specification (TOS)
LEQ(Paper- A) One out of the following topics
Sr. No Topics
1. Cardiology
2. Pulmonology
3. Neurology
4. Gastroenterology
5. Hepatology
6. Hematology

13. Table of Specification (TOS)
Sr. No Topic No. of Questions
1. Nephrology 8
2. Endocrinology and Diabetes 12
4. Dermatology 4
5. Infectious Diseases 8
6. Rheumatology 8
Total 40
MCQs(Paper- B) = 40 (1x40) Time: 1Hr

14. Table of Specification (TOS)
SEQs + LEQ (Paper- B) = 30 (5x6) + 10(1X10) Time: 2Hr
Sr. No. Topic No. of Questions
1. Nephrology 1
2. Endocrinology and Diabetes 2
3. Dermatology 1
4. Infectious Diseases 1
5. Rheumatology 1
Total 6

15. Table of Specification (TOS)
LEQ(Paper- A) One out of the following topics
Sr. No Topics
1. Nephrology
2. Endocrinology and Diabetes
3. Infectious Diseases
4. Rheumatology

16. CLINICAL ASSESSMENT-I
(OSCE)

17. CLINICAL ASSESSMENT-I
OSCE
UNOBSERVED STATIONS = 4 (2 substations) (10 Min each)
Table of Content
ECG Clinical data interpretation
CXR Instruments from a specified list
CT Scans Spot Diagnosis (Pictures)

18. CLINICAL ASSESSMENT-I
OSCE
OBSERVED STATIONS = 4 (10 Mins each)
Table of Content
Communication skills Mandatory
Ward cards Mandatory
Clinical Skills/short clinical methods. Mandatory
ILS or bed side procedure. One of these two will be present

19. CLINICAL ASSESSMENT-I
OSCE
OBSERVED STATIONS
Candidates’ evaluation will be amongst any 4 of the following
• CPR (ILS-Immediate Life support)
• Clinical skills:
Securing IV-line, Lumber Puncture, Nasogastric tube placement, Ascitic
or Pleural Fluid tap, endotracheal intubation etc
• Communication skills:
Breaking bad news, or disease-related counseling
• Ward card evaluation:
Question will be asked as per cases and their performance mentioned
in ward cards.
• Performing task oriented clinical methods:
e.g., examination of the cerebellum, cranial nerves, etc., and related
questions will be asked.

20. CVS GIT CNS Respiratory
General Physical
examination
relevant to CVS
Pulse examination
JVP examination
Precordial
examination
BP examination
General Physical
Examination relevant to GIT
Abdominal Examination
Hernial orifices examination
General physical
examination relevant to
CNS.
Cranial Nerves
Motor System
Examination
Sensory system
examination
Cerebellar examination
Signs of meningeal
irritation
Speech examination
Higher mental functions
General physical
examination relevant
to the respiratory
system
Examination of the
front of the chest.
Examination of the
back of the chest.
Task oriented Clinical Methods
CLINICAL ASSESSMENT-I
OSCE
OBSERVED STATIONS

21. Sample OSCE
examination.

22. 22
Station 1A:
• A 45 years old gentleman on maintenance haemodialysis presented to emergency with history of
generalized body weakness and palpitations, ECG was done which is given below.
• Q. 1 What are the ECG findings? 2
• Q. 2 What is your diagnosis? 1
• Q. 3 Enlist the emergency management. 2

23. 23
Station 1B
• 65 years old male presented with severe chest discomfort. On examination of this
patient was profusely sweating and BP was 90/60?
• Q.1 Write down important findings in this ECG? 2
• Q.2 What is your diagnosis? 1
• Q.3 Write down two definitive management options for this patient? 2

24. 24
Station 2 a
• A 32 year old male admitted with low grade fever and weight loss. CXR was done
as an investigation for the workup of fever, which is given below.
• Q. 1 What are important abnormal findings? 1
• Q. 2 What is your diagnosis? 1
• Q. 3 What should be the next best step to investigate the cause of
• this finding? 1
• Q .4 Give four important causes of this condition. 2

25. 25
Station 2b
• Examine the given picture and answer the following questions:
• Q1 Give your findings. (1)
• Q2 What is the diagnosis? (1)
• Q3 What is the definitive treatment? (1)
• Q4 What is the classical sequential presentation of this disease? (2)

26. 26
Station 3A
• A 45 years old female admitted to medical emergency with history of sudden onset of
severe epigastric pain which radiates to back. On examination, the patient has the
following signs.
• Q.1 Name the sign. 1
• Q.2 What is your diagnosis? 1
• Q.3 How will you investigate to confirm your diagnosis? 1
• Q.4 Give 4 causes of this disease. 2

27. 27
Station 3B
• Examine the given picture showing a rash in the chest area and answer the following
questions:
• Q.1 Give your findings. 1
• Q. 2 Give your diagnosis. 1
• Q. 3 What is the causative organism? 2
• Q. 4 What is the primary disease caused by this organism in childhood?
• 1

28. 28
Station 4a
• Identify the given equipment and answer the questions.
1. Identify the equipment. 1
2. Name two drugs administered by this equipment. 2
3. Describe the technique of its use. 2

29. 29
Station 4b
• 40-year-old female, Known diabetic patient presented in emergency ward with
unconsciousness. She was on oral anti-diabetic drugs.
• Q. Identify the drug and tell us about its usage in this patient. [5]

30. 30
Station 5
• INTERACTIVE
•
• A 50-year-old lady is diagnosed as having Heart failure. Educate the patient
regarding lifestyle modification and vaccination (10)

31. 31
Station 6
• INTERACTIVE
• Describe/perform the procedure of abdominal paracentesis. [10]

32. 32
Station 7
• INTERACTIVE
• Examine the JVP [10]

33. 33
Station 8
• INTERACTIVE
• Ward Cards
[10]

34. CLINICAL ASSESSMENT-II
(Short Case + Long Case )

35. CLINICAL ASSESSMENT-II
Short Cases
CVS
Short cases
Mitral stenosis
Mitral regurgitation
Mixed mitral valve disease
Aortic regurgitation
Aortic stenosis
Mixed aortic valve disease
Jugular venous pulse
Ventricular septal defect
Tricuspid regurgitation
Atrial Fibrillation
Cyanotic heart disease. (TOF)
Pulmonic hypertension.

36. CLINICAL ASSESSMENT-II
Long Cases
CVS
Long cases
Heart Failure
Rheumatic Fever
Infective endocarditis
ACS
MI & Complications
Hypertension
Pericardial diseases
Cardiomyopathy

37. CLINICAL ASSESSMENT-II
Short Cases
GIT
Short cases
Hepatomegaly
Splenomegaly
Jaundice
Ascites
Abdominal mass

38. CLINICAL ASSESSMENT-II
Long Cases
GIT
Long cases
Decompensated (child’s A, B, C)
Auto immune Hepatitis
Obstructive Jaundice
Acute Hepatitis
Primary Biliary cirrhosis
Wilsons disease
Inflammatory bowel disease
Coeliac disease
Acute pancreatitis
HCC
Other malignancies
Abdominal tuberculosis
Upper/lower GI bleed
IBD (Crohn’s, ulcerative colitis)
Liver abscess

39. CLINICAL ASSESSMENT-II
Short Cases
CNS
Short cases
Stroke
Paraplegia/quadriplegia
Cerebellar syndrome
Parkinson disease
Cranial nerve palsies.
Myasthenia gravis
Motor neuron disease
Multiple sclerosis.
GBS

40. CLINICAL ASSESSMENT-II
Long Cases
CNS
Long cases
Stroke
Subarachnoid hemorrhage
GBS
Myasthenia gravis
Pyogenic Meningitis
Tuberculous meningitis
Viral encephalitis
Multiple sclerosis.
Motor neuron disease
Movement disorders.
Caries spine
GBS
SOLs

41. CLINICAL ASSESSMENT-II
Short Cases
Respiratory
Short cases
COPD
Bronchial Asthma
Bronchiectasis
ILD
Pleural effusion
Pneumonia
Pneumothorax.
Pulmonary malignancies.
Pulmonary fibrosis/consolidation/collapse.

42. CLINICAL ASSESSMENT-II
Long Cases
Respiratory
Long cases
Pulmonary malignancies
COPD
Bronchial Asthma
Bronchiectasis
ILD
Pulmonary tuberculosis
CAP
Pulmonary embolism

43. CLINICAL ASSESSMENT-II
Long Cases
Miscellaneous
Long cases
Diabetes Mellitus
Rheumatoid arthritis
Seronegative arthritis
Vasculitides.
Gout
Osteoarthritis
SLE
Dermatomyositis
Scleroderma
Hypothyroidism
Hyperthyroidism
Cushing syndrome
Long cases
Leukemia/lymphoma
ITP/TTP/HUS
Anemias
Para neoplastic syndrome.
Sexual transmitted disease/HIV
infections
Peripheral arterial disease.
DVT/cellulitis
Multiple myeloma
Addison’s/DI/SIADH.
Nephrotic/Nephritic syndrome.