Bachelor Of Physiotherapy (BPT) 3rd Year

SUBJECT: SURGERY & CLINICAL ORTHOPAEDICS (Total Hours- 130)

(Subject Code: BPT- 301)

A. Surgery
Subject Title & Code SURGERY(BPT- 301)
Duration 50
Total Hours
Theory
Total Hrs/week 2 hrs/ Week
Method of Assessment Theory

A) GENERAL SURGERY
[50 hrs Didactic – 40 hrs + Clinical 10 hrs]

Syllabus

General Surgery (11hrs)

1] Effect of Anesthesia & surgical trauma………… (1 hr)
2] Fluid, Electrolyte and Acid-Base disturbances – diagnosis and management ; Nutrition in the
surgical patient ; Wound healing – basic process involved in wound repair, basic phases in the
healing process, clinical management of wounds, factors affecting wound healing, Hemostasis –
components, hemostatic disorders, factors affecting bleeding during surgery. Transfusion therapy
in surgery – blood components, complications of transfusion ; Surgical Infections ; General Post
– Operative Complications and its management ……….[6 Hours]
2] Inflammation – acute & chronic-signs, symptoms, complications & management (1hr)
3] Wounds / ulcers – classification, healing process, management (2hrs)
4] Common abdominal surgeries for G.I. tract, Genito-urinary system Scar during surgical
approach through abdominal wall. Cholecystectomy, Colostomy, Ileostomy, Gastrectomy,
Hernias, Appendicectomy Neprectomy, ProstectomyScar management in brief…………… (3
hrs)
5] Radical mastectomy – complications & management ……….(1 hrs)
6] Amputation – types, sites, complications & management………. (1hr)
7] Burn: Definition, Classification, Causes, Prevention, Pathological changes, Complications,
Clinical Features and Management. Skin Grafts – Types, Grafting Procedures, Survival of Skin
Graft ; Flaps – Types and uses of Flaps……….. [4 Hours]
8] Diseases of the Arteries and Veins : Definition, Etiology, Clinical features, signs and
symptoms, complications, management and treatment of following diseases : Arteriosclerosis,
Atherosclerosis, Aneurysm, Buerger’s disease, Raynaud’s Disease, Thrombophlebitis, Deep
Vein Thrombosis, Pulmonary Embolism, Varicose Veins………….. [3Hours]

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Neuro Surgery ……… (6 hrs)
1. Head Injury – management (1hr)
2. Intra cranial & Spinal tumors (1hr)
3. Surgeries of Head & neck in neurosurgical conditions & post operative care (2hrs)

Cardio vascular – thoracic surgery ……………. (7 hrs)

1] Surgical approach
2]Post operative complications & management in Thoractomy, Thoracoplasty, Lobecotomy,
pneumonectomy, Decortication, CABG, Valvular Surgery, Congenital Heart Disease
Surgeries, Surgery for Peripheral Vascular Disease.

E.N.T. Surgery …………………….(5 hrs)

1. Upper respiratory track surgery & post operative care
2. Tracheostomy – indications, surgical approach & management
3. Surgery for cancer – indications & post operative care
4. Surgical procedures in VII nerve palsy
5. Vertigo

Ophthalmic Surgery ……………..(1hr)

Surgeries for III, IV & VI cranial nerve palsy

Plastic Surgery ……………..(10 hrs)

1. Skin grafts & flaps – Types, indications with special emphasis to burns, wounds, ulcers
2. Tendon transfers, with special emphasis to hand, foot & facial paralysis,
3. Keloid & Hypertrophied scar management
4. Reconstructive surgery of peripheral nerves
5. Micro vascular surgery

Clinical (10 hrs)

A] Evaluation / presentation and recording of one case each in burns, wound & ulcer, Head
Injury case, peripheral vascular condition, post Radical mastectomy, post thoracic
surgery, post abdominal surgery
B] Auscultation & its interpretation with special emphasis to Reading & interpretation of the X-
ray chest.

OBSERVATION – one abdominal & one thoracic surgery & one surgery of skin graft / flap.

TEXT BOOKS
1] Under graduate Surgery by Nan
2] Bailey & Love’s short practice of Surgery – 21 st edn
3] Textbook of surgery by S. Das
4] Manipal manual of surgery.

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 B) ORTHOPAEDICS

Subject Title & Code ORTHOPAEDICS

Duration New:80 hrs
Total Hours
Theory
Total Hrs/week 3 hrs
Method of Assessment Theory

[80 hrs] – Didactic -55 hrs + Clinical – 25 hrs

Syllabus

1. Traumatology……………… [3 Hours]
Fracture: definition, types, signs and symptoms.Fracture healing.Complications of
fractures.Conservative and surgical approaches.Principles of management – reduction
(open/closed, immobilization etc). Subluxation/ dislocations – definition, signs and
symptoms,management (conservative and operative).

2. Fractures and Dislocations of Upper Limb ………..[6 Hours]

Fractures of Upper Limb - causes, clinical features, mechanism of injury, complications,
conservative and surgical management of the following fractures: Fractures of clavicle and
scapula. Fractures of greater tuberosity and neck of humerus. Fracture
shaft of humerus. Supracondylar fracture of humerus. Fractures of capitulum, radial head,
olecranon, coronoid, and epicondyles. Side swipe injury of elbow. Both bone fractures of ulna
and radius. Fracture of forearm – monteggia, galaezzi fracture –dislocation. Chauffer’s
fracture.Colle’s fracture. Smith’s fracture. Scaphoid fracture. Fracture of the metacarpals.
Bennett’s fracture. Fracture of the phalanges. (Proximal and middle.) Dislocations of Upper
Limb - Anterior dislocation of shoulder – mechanism of injury, clinical feature, complications,
conservative management (Kocher’s and Hippocrates maneuver), surgical management (putti
plat, bankart’s) etc. Recurrent dislocation of shoulder. Posterior dislocation of shoulder –
mechanism of injury, clinical features and management. Posterior dislocation of elbow -
mechanism of injury, clinical feature, complications & management.

3. Fracture of Spine [4 Hours]

Fracture of Cervical Spine - Mechanism of injury, clinical feature, complications (quadriplegia);
Management- immobilization (collar, cast, brace, traction); Management for stabilization,
management of complication (bladder and bowel, quadriplegia). Clay shoveller’s fracture.
Hangman’s fracture. Fracture odontoid. Fracture of atlas.
Fracture of Thoracic and Lumbar Regions - Mechanism of injury, clinical features, management
—conservative and surgical of common fractures around thoracic and lumbar regions.Fracture of
coccyx. Fracture of Rib Cage - Mechanism of injury, clinical features, management for Fracture
Ribs, Fracture of sternum.

4. Fractures and Dislocations of Lower Limb ………… [5 Hours]

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Fracture of Pelvis and Lower Limb - causes, clinical features, mechanism of injury,
complications, conservative and surgical management of the following fractures:
Fracture of pelvis. Fracture neck of femur – classification, clinical features, complications,
management - conservative and surgical. Fractures of trochanters. Fracture shaft femur—clinical
features, mechanism of injury, complications, management-conservative and surgical.
Supracondylar fracture of femur. Fractures of the condyles of femur. Fracture patella. Fractures
of tibial condyles. Both bones fracture of tibia and fibula. Dupuytren’s fracture Maisonneuve’s
fracture. Pott’s fracture – mechanism of injury, management. Bimalleolar fracture Trimalleolar
fracture Fracture calcaneum – mechanism of injury, complications and management. Fracture of
talus. Fracture of metatarsals—stress fractures jone’s fracture. Fracture of phalanges.
Dislocations of Lower Limb - mechanism of injury, clinical features, complications,
management of the following dislocations of lower limb. Anterior dislocation of hip. Posterior
dislocation of hip. Central dislocation of hip. Dislocation of patella. Recurrent dislocation of
patella.
4] Management of Metabolic disorders…………. ( 2hr)
Osteoporosis, Osteomalacia, Rickets, Perthes disease, Slipped Capital Femoral, Epiphysis and
Avascular Necrosis.

5] Brachial Plexus / Lumbo Sacral Plexus & Peripheral nerve injuries – sites, management
………………………….(3hrs)

6] Congenital And Acquired Deformities

a. Deformities of the spine – Scoliosis / Kyphosis ) b.Congenital Deformities - CTEV. CDH.
Torticollis, Genu varum.Genu valgum. Genu recurvatum Coxa vara. Pes cavus. Hallux rigidus.
Hallux valgus. Hammertoe. Metatarsalgia. c. Congenital Malformation Spina Bifia,
Meningocoele meningomyocele ………….(4hrs)

10] Reconstructive surgery for bone lengthening………… (1hrs)

11] Reconstructive surgery in Polio & Cerebral Palsy ……… (2hrs)
12] Inflammatory/Infectious diseases of the bone & joints e.g. T.B, Osteomyelitis.. (2hrs)

13] Bone Tumors: classification, clinical features, management - medical and surgical of
thefollowing tumors : Osteoma. Osteosarcoma, Osteochondroma. Enchondroma. Ewing’s
sarcoma. Gaint cell tumor. Multiple myeloma. Metastatic tumors. ……(1hrs)

14] Surgical intervention for Arthritis like O.A., RA, Ankylosing Spondylitis… (2hrs)
15] Reconstructive surgery in soft tissue lesions of Shoulder, Knee & Ankle… (3 hrs)
16] Aetiology of Back Pain & surgical management ………….(3 hrs)
17] Common Sports injuries / overuse injuries & management ……..(2 hrs)
18] Joint Replacement surgeries……….. (2 hrs)
19] Hand injury & management …………… (1hrs)
20] X-rays of extremities & spine …………. (1hrs)

CLINICAL (25 HRS)

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1] Independent clinical orthopedic evaluation presentation & recording of
a] one acute soft tissue lesion [including nerve injury]
b] 2 cases of degenerative arthritis of extremity joint
c] 2 degenerative arthritis of spine
d] one case of acute P.I.D.
e] 2 chronic backaches
f] 1 post operative case of fractures of extremities
g] one traumatic paraplegia / quadriplegia

OBSERVATION –
At least 2 surgeries of # internal fixation, one knee/hip replacement & Reconstructive
surgery of the tendons.

TEXT BOOKS
1) Adam’s outline of fractures – 8th edn
2) Adams outline of Orthopaedics – 8th edn
3) Apley’s textbook of Orthopaedics

SCHEME OF EXAMINATION IN THE SUBJECT – “SURGERY& ORTHOPAEDICS”

THEORY – 80 MARKS + I.A. 20 MARKS TOTAL – 100 MARKS

Theory Exam

Section A: Surgery
Q1. MCQ’s ……………………………………….…… 10 Marks
Q2. Short Answer Questions (Any 3 out of 5)… 5 marks each…………. 15 Marks
Q3. Short Notes (Any 5 out of 6) ………… 5 marks each……………. 15 Marks

Section B: Orthopaedics
Q1. MCQ’s ……………………………………….…… 10 Marks
Q2. Short Answer Questions (Any 3 out of 5)… 5 marks each…………. 15 Marks
Q3. Short Notes (Any 5 out of 6) ………… 5 marks each……………. 15 Marks

Practical Viva – 80 MARKS + I.A. 20 MARKS TOTAL – 100 MARKS

Practical Exam -
1] Gen. Surgery – Theory – 50 marks +Viva based on Clinical – 25 marks 75 marks
2] Plastic surgery – Theory -------------------------------------------------- 25 marks
3] Theory-in Orthopedics ----------------------------------------------------- 50 marks
4] Ward exam in Clinical Orthopedics ------------------------------------ 50 marks
Total ------- 200 marks
10% of the average of the total marks to be considered as Internal assessment.

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 SUBJECT: GENRAL MEDICINE (Subject Code: BPT- 302)

Subject Title & Code MEDICINE (BPT- 302)

Duration New: 120 hrs
Total Hours
Theory
Total Hrs/week 3 hrs
Method of Assessment Theory

Syllabus

A- CARDIO-VASULAR & RESPIRATORY MEDICINE (29 hrs)

B-
1] Cardio-vascular diseases – (12 hrs)
a) Hypertension – systemic, I.H.D. –Myocardial infarction, Arrhythmia – classification Valvular
Heart Disease – i) Congenital ii) Acquired, Rheumatic Fever, Congenital Heart Disease,
Infective Endo Carditis, Geriatric Cardio Vascular Problems & management, ECG – Normal &
Variations due to ischemia & infarction

2] Diseases of the respiratory system (17 hrs)

a) Common Infectious diseases like Tuberculosis Pneumonia, Lung Abscess, Bronchiectasis,
Diseases of Pleura like Pleural Effusion, Pneumothorax,
Hydropneumothorax, Empyema, Occupational lung diseases like Silicosis Asbestosis,
Pneumoconiosis, Brucellosis, Farmer’s Lung , Obstructive Lung Diseases like Bronchitis,
Emphysema, Bronchial Asthma, Cystic Fibrosis,Interstitial Lung Diseases, Geriatric respiratory
problems & management, Intensive Medical Unit – Infrastructure & Treatment, Introduction of
clinical examination – Breath sounds / X ray chest /Blood gas analysis / P.F.T.

B - NEUROLOGY (31 hrs)

1] Circulation of the brain & spinal cord ,Cerebro – vascular accidents – Thrombosis, Embolism,
Haemorrhage, Stroke – Level of Lesion & Management, Extra Pyramidal lesions – Basal
Ganglia, Parkinsonism, Athetosis, Chorea, Dystonia & Spasmodic Torticollis, Polyneuropathy,
G B Syndrome, Diabetic, Alcoholic & SACD, Disorders & Diseases of muscle, Myopathy –
Types Muscular Dystrophy – Types Inflammatory Disorders – Polymyositis & Dermatomyositis,
Myotonia, Disorders of Anterior Horn Cell, Motor Neurone Disease, SMA, Syringomyelia,
Peroneal Muscular Atrophy, Polio, Multiple Sclerosis, Infections of the nervous system like
Encephalitis, Neurosyphilis, H I V infection, Herpes, Meningitis, Transverse Myelitis, Tabes
Dorsalis & T.B. Spine, Epilepsy, Tetanus, Alzheimer’s Disease, Disorders of cerebellar function,
Disorders of cranial nerves & Special Senses, Disorders of Myoneural Junction – Myasthenia
Gravis & Myasthenic Syndrome, Dysfunction of Autonomouns Nervous System is Spinal Cord
Lesions, Neurogenic Bladder, Cerebro Spinal Fluid (1hr)
I) Formation & Absorption
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II) Status in Various Disorders
19] Sexually transmitted diseases (1hr)

C - General Medicine (30 hrs)

1] Disorders of Endocrine system (4hrs)

i) Diabetes (1hr)
ii) Thyroid, Pituitory & Adrenal conditions (2hrs)
iii) Calcium Metabolism (1hr)
2] Rhumatological Conditions (5 hrs)
i) Rheumatoid Arthritis (2hrs)
ii) S L E
iii) S S A (3hrs)
iv) Gout
v) Polymyositis
3] Geriatric Conditions (5 hrs)
i) Aging Process (1hr)
ii) Osteoporosis (1hr)
iii) General Health Care, Wellness Clinic (1hr)
iv) Hypertension (1hr)
4] Nutrition Deficiency Disease ( 5hr)
5] Drug Abuse / Intoxication (1hr)
6]-Common conditions of the G.I. Tract --------------------(5 hrs)
7] Diseases of the blood : Examinations of blood disorders – Clinical manifestations of
blood disease; Anemia – signs and symptoms – types and management ; Hemophilia -
Cause – clinical features severity of disease – management – complications due to repeated
haemorrhages – complications due to therapy……………………………………… [2 Hours]

D- DERMATOLOGY [20 HRS]

Syllabus
1] Types of skin irruption- classification-weeping & Dry skin lesions
2] Leprosy-Types- Identification-management of neuropathic Hand & foot
3]-Disorders of skin pigmentation-causes-Types[special emphasis to vitiligo]-
Management
4) In brief bacterial scabies, fungal infection
5] H.I.V. & Sexually transmitted skin lesions
6] Auto-immune disorders-Psoriasis, Dermatitis, Dermatomyositis, S.L.E.
7] Diseases of the scalp-Dandruff, Hair loss, Alopacia, -mnagement
8]-Acne-types-management

SCHEME OF EXAMINATION IN “ MEDICINE ’’

THEORY – 80 MARKS + INTERNAL ASSESSMENT – 20 MARKS TOTAL – 100
MARKS

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Section A-MCQ-Q-1] [20x1] single best answer
[Based on all the topics included in Medicine syllabus] ----------------- 20 marks
Section B-SAQ – Q2] to attempt any FIVE out of Six answers – [ 5 x 3]
[based on Cardiovascular or Respiratory conditions] ------ 15 marks
Q3] to attempt any THREE out of Four answers [ 5 x 3]
[based on Neurology] ------------------------------------------ 15 marks
# Section C-LAQ, Q4][ compulsory] based on Neurology ---------------------- 15 marks
Q5] [based on Cardio-vascular conditions] ------------- 15 marks
OR
Q6] [based on Respiratory conditions] ------------------- 15 marks
#L.A.Q. should specify the break up of marks e.g. [3+5+7]

INTERNAL ASSESSMENT – One test each in

1] Theory – General Medicine, Rheumatology & Gerentology 25 marks
2] Theory – Cardio-vascular & Respiratory Medicine 50 marks
3] Theory – Neurology 50 marks
4] Clinical – General Medicine, Rheumatology & Gerentology 25 marks
5] Clinical – Cardio-vascular & Respiratory Medicine 25 marks
6] Clinical – Neurology 25 marks
*7] Pediatrics 50 marks
*8] Dermatology 50 marks
TOTAL -------- 300 marks
Internal Assessment marks to be calculated out of 20
Recommended books:
1. Davidson’s Principles and Practice of Medicine
2. Harrison’s Internal Medicine
3. API- Text book of Medicine – 5th edn
4. Golwalla – Medicine for students

SUBJECT: OBSTETRICS/GYNAECOLOGY & PAEDIATRICS

(TOTAL- 70 HOURS) (Subject Code: BPT- 303)

A.OBSTETRICS/GYNAECOLOGY
Subject Title & Code OBSTETRICS &
GYNAECOLOGY(BPT- 303)
Duration 40 hrs
Total Hours
Theory
Total Hrs/week 2 hrs
Method of Assessment Theory

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 Syllabus

1. Anatomy and physiology of female reproductive system. ….. (2hrs)

2. Physiology of Puberty & Menstruation, Abnormalities & common problems of
Menstruation e.g. Amenorrhoea, Abnormal uterine bleeding, dysmenorrhoea,
endometriosis…. … (3 hrs).
3. Uro-genital dysfunction (3hr)
i) Uterine prolapse – classification & management (Conservative / Surgical)
ii) Cystocoele, Rectocoele, Enterocoele
iii) Urinary Incontinence
4. Sterility – management ………(1hr)
5. Neoplasm of Female reproductive organs – surgical management …….(1hr)
6. Methods of family planning …………(1hr)
7. Pre, Peri & Post Menopause – Physiology, Complications & management ..(2hrs)
8. Labour ……………………………(4hrs)
Normal – Events of Ist IInd & III rd Stages of labour, ii) Complications during labour &
management, iii) Caesarian section iv) Physiotherapy related to labour
9. Post Natal – Puerperium, lactation, Methods of Contraception, complications of
repeated child bearing with small gaps ………..(2hrs).
10. Pelvic Inflammatory Diseases with special emphasis to backache due to Gynaec /
Obsterics conditions ………………(2hr)
11. Surgical procedures like D&C, Hysterectomy etc…………… (1 hr)
12. Neoplasm of Female reproductive organs – surgical management ..(1hr)
13. Methods of family planning…………… (1hr)
14. Pregnancy – Fertilization, Development of the foetus, Normal gestations, Abnormal /
Multiple gestations, Common Complications during pregnancy like P I H, Eclampsia,
Diabetes, Hepatitis, German Measels, TORCH infection. …(3 hrs)
15. Diagnosis of pregnancy, physiological changes, Antenatal and Postnatal care……. (1 hr)
16. Importance of physiotherapy in gyneacological disorders.

CLINICAL/ Practical
Evaluation & presentation of Two cases Each in
a) Uro-genital dysfunction, b) Antenatal care, c) Postnatal care
i) Following normal labour
ii) Following Caeserean section
d) Pelvic Inflammatory Diseases
OBSERVATION – One Normal & One Caesarian delivery, One case of Tubectomy & One
Hysterectomy / Repair of the Uro-genital Prolapse.
Emphasis to be given to the Urogenital dysfunction / Obstetrical conditions / age related
Gynecological problem

Text Book:
1) Text book of Gynecology – by Dutta – New Central Book Agency
2) Text book of Obstetrics by Dutta – New Central Book Agency

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 B. Pediatrics
Subject Title & Code Pediatrics
Duration 30 hrs
Total Hours
Theory
Total Hrs/week 1 hrs
Method of Assessment Theory

Syllabus
1] Normal intra-uterine development of foetus (1hr)
2] Normal development & growth (2hrs)
3] Immunization, Handling of the child, Significance of breast-feeding (1hr)
4] Common causes for Developmental disorders like Sepsis, Prematurity, Asphyxia &
Hyperbilirubinemia (1hr)
5] Brain damage-Cerebral Palsy-types & Medical Management (2hrs)
6] Spinal Cord Disorders like Poliomyelities, Spinal Dysraphism, Spina Bifida,
Meningocele, Myelomeningocele (2hrs)
7] Common infections
a) C.N.S. & peripheral nervous system (1hrs)
b) Typhoid, rubella, mumps, measles, tetanus, diphtheria, chicken pox, hepatitis(1hr)
8] Epilepsy (1hr)
9] Mental Retardation (1hr)
10] Genetically transmitted neuro-muscular conditions (1hr)
11] Malnutrition related condition (1hr)
12] Juvenile R A & other immunological conditions of Musculoskeletal system (1hr)
13] Common diseases of the respiratory system like Asthma, Bronchitis, T.B. &
Pneumonia & bronchiectasis (2hrs)
14] Rheumatic & Congenital heart disease (2hrs)
15] Evaluation of baby , Immunization program, Problems and management of low birth weight
infants, Paediatric basic and advance life support(BLS), Paediatric Intensive care unit, Learning
disability, Autistic spectrum disorder, Attention deficit hyperactivity disorder, Down’s syndrome

CLINICAL (10 HRS)

1] Normal & abnormal reflexes in neonate & child
2] Examination of the nervous system
Text Book:
1) Essentials of Paediatrics – by O.P. Ghai-Inter Print publications
2) D.K. series in Paediatrics

SCHEME OF EXAMINATION
THEORY – 80 MARKS + I.A. 20 MARKS TOTAL – 100 MARKS
Section A: OBSTETRICS & GYNAECOLOGY (40 Marks)
Q1. MCQ’s ……………………………………….…… 10 Marks
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Q2. Short Answer Questions (Any 3 out of 5)… 5 marks each…………. 15 Marks
Q3. Short Notes (Any 5 out of 6) ………… 5 marks each……………. 15 Marks
Section B: Paediatrics (40 Marks)
Q1. MCQ’s ……………………………………….…… 10 Marks
Q2. Short Answer Questions (Any 3 out of 5)… 5 marks each…………. 15 Marks
Q3. Short Notes (Any 5 out of 6) ………… 5 marks each……………. 15 Marks

Practical Viva – 80 MARKS + I.A. 20 MARKS TOTAL – 100 MARKS

Practical Exam -
1] Obstetrics –
2] Gynecology
3] Paediatrics

10% of the average of the total marks to be considered as Internal assessment.

SUBJECT: PHYSICAL DIAGNOSIS & MANIPULATIVE SKILLS

(Subject Code: BPT- 304)

Subject Title & Code PHYSICAL DIAGNOSIS &

MANIPULATIVE SKILLS(BPT- 304)
Duration New: 360 Hours
Total Hours
Theory 90
Practical 270
Total Hrs/week 8
Lectures 3hrs/week
Practicals/ Clinicals 5hrs/week
Method of Assessment Theory and Practical

Syllabus

1] General principles of Human development & maturation…………. [5 Hours]

a]-aspects-physical, motor, sensory, cognitive, emotional,cultural, & social; b]-Factors
influencing human development & growth- Biological ,environmental inherited; c]-Principles
of maturation –i]-in general, ii]- in anatomical directional pattern-Cephelo-caudal –proximo-
distal ,centero-lateral, Mass to specific pattern, gross to fine Motor Development of nervous
system-development ;iii]- nuerodevelopement of Hand function

2] Electrodiagnosis ……………………………….. [12 Hours]

Bioelectricity-Physiology Of generation & propagation of action potential,–Volume conduction -
a]-Therapeutic current-as a tool for electrodiagnosis-physiological principles -use of alternating
& direct currents in electro-diagnosis such as sensory & Pain threshold, Pain tolerance,-Short &
long pulse test, S.D. curves ,Integrated EMG, use of Biofeedback unit for assessment of muscle
function b]- Principles of Electro-myography- Motor unit –Normal Characteristics- activity at
rest, recruitment/frequency pattern at minimal activity, Interference pattern-abnormal E.M.G.

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pattern c]-Principles of nerve conduction- d]-Late responses-F-wave, H reflex, Blink reflex, e]-
electro- physiological principles of assessment of Myoneural junction- f]-E.M.G.
instrumentation, basic components, panel diagram, types of electrodes

3] Basics in Manual Therapy, & application in Clinical reasoning………[12 Hours]

a]-examination of joint- stability- normal/abnormal, b]-Mobility-assessment of accessory
movement, & End feel c]-assessment of articular & extra-articular soft tissue status-
differentiation of spasm, acute & chronic muscle hold, tightness /pain--original & Referred
;d]-Basic principles of mobilization skills for joints & soft tissues-( Mainland, Kaltenborn,
Mulligan Mec`kenzie Muscle energy technique, myofascial stretching, Cyriax, trigger points ,
Neural Tissue mobilisation i.e.-slump, butler, &ULTT )- Indications, -contra-indications,
Practise of Manipulative therapy basic skills of mobilization [Kaltenborn, Mulligan,
Maitland, & Cyriax friction massage only] of extremities on Models.

4]-Assessment of movement dysfunction …………. [18 Hours]

Higher functions/cranial nerves/altered muscle strength,/power /balance /endurance/ tone,
spasticity, incoordination, abnormal deep & superficial reflexes ,/limb-length discrepancy
/Goniometry/Trick movements/Special Tests /Assesment Scales /altered Posture & Gait—
Functional analysis as per I.C.I.D.H-II norms-Functional diagnosis-

5]-Interpretation of various investigations like - Radiological[X-rays] , routine Biochemical

investigations , Electrodiagnostic findings ……… [5 Hours]

6] Assessment of cardio -pulmonary dysfunction-Chest expansion, Abnormal breath sounds,

Quality of life questionnaires /Borg scale /Principles of exercise tolerance test-assessment
of vital parameters in simple functional test.-6 minutes walk test /symptom limited
test/Breath holding test/ Spirometry / Peak-flowmetry -Theorotical bases of Bruce’s
protocol, Astrand Protocol, & step test ………….. [10 Hours]

7) Assessment of Musculoskeletal Dysfunction …………. [20 Hours]

i) Tightness ii) Joint Mobility iii) Muscle strength iv) Limb Length v) Trick Movement
vi) Posture vii) Gait viii) Special Test ix) Functional Diagnosis using ICF
x) Interpretation of X-ray of extremities & spine, routine, bio-chemical investigations

8] Assessment of Hand ……………… [2 Hours]

i) Sensations ii) Mobility of joints
iii) Strength iv) Special Tests like Froment’s Sign, Bunnel – Litter’s Test, Phalen’s Test, Tinel’s
Sign, Wartenberg’s Sign. v) Hand Function – Precision & Power Grips

9] Assessment of pain……………….. [3 Hours]

i) Intensity & quality ii) Objective assessment & documentation – VAS, Mc Gill’s modified
questionnaire, Numerical Rating Scale.

10] Assessment of Obesity …………………. [3 Hours]

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i) Pathophysiology
ii) Assessment – BMI, Waist – Hip Ratio

Practical/ CLINICALS (270 hrs)

1] Practice of Manual Therapy in Kaltenborn, Maitland, Mulligan & Cyriax on extremities
only & only on models
2] Electro-diagnostic assessment – S D Curve, Faradic Galvanic Test, Test for Sensory
& Pain Threshold, Test for Pain Tolerance.
3] Identification of abnormal breath sounds, measurement of chest expansion, pattern
of breathing, Vital parameters, Grades of Dyspnoea, Rate of Perceived exertion,
Ankle Brachial Index.
4] Exercise tolerance testing – 6 minutes walk test & Bruce’s protocol on models only
5] Practice to Neuro Therapeutic Skills of NDT, PNF, Rood’s Technique & Brunnstrom
on models only.
6] Interpretation of reports – EMG, NC Studies, ABG, PFT, X-ray of Chest, Extremities
& Spine & ECG.

Term work in Clinical

A] Documentation & Interpretation of following investigations
i] Electro diagnosis –
a) SDC
b) Faradic Galvanic Test
c) Test for Sensory / pain Threshold
d) Test for Pain tolerance – Any 3
ii] Cardio Vascular & Pulmonary – ABG, PFT, ECG, X-ray Chest, Exercise Tolerance
Test-1 each.
Iii] Neurological – Scales like Modified Ashworth, Berg’s Balance, DGI, Glasgow
Coma, Barthel Index, STREAM Format – Any 3 & EMG & NC Studies – 2 each.
B] Case presentation with Functional diagnosis – Three cases Each in –
i] Musculoskeletal
ii] Neurological
iii] Cardiovascular & Pulmonary
To maintain the Record/Journal of the term work & to get each assignment duly singed by Head.

SCHEME OF EXAMINATION
THEORY -80 MARKS ;IA-20 MARKS TOTAL 100 MARKS
CLINICAL – 80 MARKS I.A. 20 MARKS TOTAL 100 MARKS
THEORY – Pattern of paper setting
Section A- M.C.Q. Q-1 [20 x 1] based on MUST KNOW area of entire syllabus – 20 marks
Section B-S.A.Q. Q-2] To answer any Five out of Six [5 x 3] -------------------------- 15 marks
Q3] to answer any Three out of Four [ 3 x 5] ----------------- 15 marks
#Section C-L-A QQ-4] -------------------------------------------------------------------------- 15 marks
Q-5] -------------------------------------------------------------------------- 15 marks
OR

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Q6] based on ------------------------------------------------------------------ 15 marks
# Each LAQ should give break up of 15 marks e.g. [3+5+7] etc

CLINICAL Pattern of Examination

A] Long Case – any medical or surgical condition 35 marks
[Time maximum 30 minutes for students for evaluation]
i] Psychomotor & affective – skill of History taking [5marks]
ii] Skill of clinical examination [10 marks]
iii] Skill of objective Diagnostic procedure [10 marks]
iv] Cognitive – Ability to justify bases for functional diagnosis [10 marks]
B] Short Case I] Mobilisation Technique (On Models) [10marks]
II] Neuro Therapeutic Skills – NDT / PNF / Rood’s / Brunnstrom (On Models)
OR
II] Electro Diagnosis – SD Curve / Faradic Galvanic Test / Test for Sensory &
Pain Threshold & Test for pain Tolerance (On Patient) [10 marks]
OR
II] Exercise Tolerance Test (On Model) [10 marks]
C] Spots – (Five) a] X ray
b] Pulmonary Function Test
c] Blood gas analysis [4 x 5 = 20 marks]
d] E.C.G.
e] E.M.G. / N.C. studies
4] Journal ----------------------------------------------------------------------------------- 5 marks

INTERNAL ASSESSMENT
THEORY 1 Terminal & 1 Preliminary Examination of 100 marks each as per University
pattern.

CLINICAL / PRACTICAL
1 Terminal & 1 Preliminary Examination of 100 marks each as pernUniversity pattern.
Internal Assessments marks should be calculated out of 20 marks in Theory & 20 marks in
Clinical / Practical

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 SUBJCT: PHARMACOLOGY (Subject Code: BPT- 305)

Subject Title & Code Pharmacology (BPT- 305)

Duration New: 70 hrs
Total Hours
Theory
Total Hrs/week 3 hrs
Method of Assessment Theory

Syllabus:
A] MUST KNOW –

i] Drugs described in topics 2 to 9;

ii] Pharmacological effects & mechanism, Formulation, Route of
administration, salient Pharma-kinetic feature,
iii] adverse Reactions;
iv] Precautions & contra-indications.

B] DESIRABLE
I] Major group of drugs described in topics 10 to 14
II] bases of use in indicated conditions;
III] Common & serious Adverse Reactions

1. General Pharmacology [5 Hours]

Introduction, Definitions, Classification of drugs, Sources of drugs, Routes of drug
administration, Distribution of drugs, Metabolism and Excretion of drugs Pharmacokinetics,
Pharmacodynamics, Factors modifying drug response, Adverse effects.

2] Drug activity of CNS -------------------------------------------------------------------- 9 hrs

-Introduction [1hr] alcohols + Sedatives & hyphotics [2hrs], Anti-convulsionts [ 1hrs]
Analgesics & antipyretics – specially Gout & R.A. [3 hrs] Psycho Therapeutics
[1] ;General anaesthetic + local anaesthetic …………… [1hr]

2. Autonomic Nervous system………………………… [5 hours]

General considerations – The Sympathetic and Parasympathetic Systems, Receptors, Somatic
Nervous System, Cholinergic and Anti-Cholinergic drugs, Adrenergic and Adrenergic blocking
drugs, Peripheral muscle relaxants.

3. Cardiovascular Pharmacology ………………………..[10 Hours]

Drugs Used in the Treatment of Heart Failure: Digitalis, Diuretics, Vasodilators, ACE inhibitors
Antihypertensive Drugs: Diuretics, Beta Blockers, Calcium Channel Blockers, ACE Inhibitors,
Central Acting Alpha Agonists, Peripheral Alpha Antagonists, Direct acting Vasodilators,
Antiarrhythmic Drugs, Drugs Used in the Tratment of Vascular Disease and Tissue Ischemia :
Vascular Disease, Hemostasis Lipid-Lowering agents, Antithrombotics, Anticoagulants and

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Thrombolytics Ischemic Heart Disease – Nitrates, Beta-Blockers, Calcium Channel Blockers
Cerebral Ischemia, Peripheral Vscular Disease.

4] Drugs acting on Respiratory system ------------------------------------------------ 4 hrs

for upper respiratory tract infections – sinusitis- cough, laryngitis, pharyngitis
[ 2 hr], For Bronchial asthma – [1hr] for COPD – effects of prolonged drug administration [1hr]

5. Inflammatory/Immune Diseases ……………………………….. [14 Hours]

Non-narcotic Analgesics and Nonsteroidal Anti-Inflammatory Drugs: Acetaminophen, NSAIDs,
Aspirin, Nonaspirin NSAIDs, drug Interactins with NSAIDs
Glucocorticoids: Pharmacological Uses of Glucocorticoids, adverse effects, Physiologic Use of
Glucocorticoids Drugs Used in Treatment of Arthritic Diseases: Rheumatoid Arthritis,
Osteoarthritis, Gout Drugs Used in the Treatment of Neuromuscular Immune/Inflmmatory
Diseases: Myasthena ,gravis, Idiopathic Inflammatory Myopathies, systemic lupus
Erythmatosus, Scleroderma, Demyelinating Disease

6] Insulin [1hr] & oral anti-diabetic drugs [1hr] ---------------------------------------- 2 hrs

7] Chemo – therapy ------------------------------------------------------------------------- 3 hrs

i) general principles [1hr], ii] anti Tuberculosis [ 1hr] , & iii] anti –leprosy [1hr]

8] Other Chemo Therapeutic drugs ---------------------------------------------------- 2 hrs

i] Sulfa drugs in urinary tract infection, ii] tetra / chlora, iii] penicillin
iv] cephalosporin, v] aminoglycides, vi] Microlytic

9] Endocrine --------------------------------------------------------------------------------- 4 hrs

i] introduction, Thyroid & Antithyroid [1hr]; ii] Estrogen + Progesterone [1] iii] steroidsanabolic
steroids [2hrs]

10] Drugs in G.I. tract ---------------------------------------------------------------------- 4 hrs

I] Peptic ulcer + antiemetic [3hrs], ii] Diarrhoea & constipation [1hr]

11] Heamatinics, Vitamin B; Iron ------------------------------------------------------- 1hrs

12] Dermatological --- Scabies – Psoriasis – Local antifungal ----------------- 1 hrs

13] Vaccines & Sera ---------------------------------------------------------------------- 1 hrs

14] Vitamin – D, Calcium, Phosphorus, Magnesium ----------------------------- 1 hrs.

SCHEME OF EXAMINATION –
[Theory – 40 marks + Internal assessment – 10 marks ]
[There shall be No L. A. Qs in this paper]
Section A Q-1, M.C.Q.- based on single best answer in MUST KNOW area -- 10 marks
* Section – B-Q-2-S.A. Q – To answer any FIVE out of six [ 5 X 3] ----------- 15 marks

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* Section –C-Q-3-S.A.Q. – To answer any THREE out of four [ 3 x 5] ------- 15 marks
* Emphasis should be given to the drugs related to Musculo-skeletal/Psycho-
Neurological / Cardio-Vascular / Respiratory conditions / analgesics & antiinflammatory
conditions

INTERNAL ASSESSMENT –
Two papers – terminal and prelim examination of 40 marks each. TOTAL 80 Marks

Recommended Textbooks
1. Lippicott’s Pharmacology.
2. Essential of Medical Phramacology by Tripathi
3. Text book of Medical Pharmacology by Padmaja udaykumar
4. Pharmacology by N.Murugesh
5. Pharmacolgy & Pharmacotherapeutics by Satoskar.

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