Republic of the Philippines © R Professional Regulation Commission — | caregox sz #lanila PROFESSIONAL REGULATORY BOARD OF MEDICINE RESOLUTION NO. 22 Series of 2019 PROMULGATION OF THE TABLE OF SPECIFICATIONS FOR THE SUBJECTS IN THE QUALIFYING ASSESSMENT OF FOREIGN MEDICAL PROFESSIONALS (FMPs) WHEREAS, Republic Act (R.A.) No. 2382 or “The Medical Act of 1959" provides for and shall govern the standardization and regulation of medical education; examination for registration of physicians; and the supervision, control and regulation of the practice of medicine in the Philippines; WHEREAS, Section 17 of R.A. No. 2382 provides that the Board of Medical Examiners, with the approval of the Professional Regulation Commission (Commission), shall promulgate rules and regulations necessary for the registration of physicians; WHEREAS, Section 9 (h) of R.A. No. 8981, known as the “PRC Modernization Act of 2000", empowers the Professional Regulatory Boards to prepare, adopt and issue the syllabi or table of specifications of the subjects for examinations in consultation with the academe; determine and prepare the questions for the licensure examinations which shall be strictly within the scope of the syllabus or table of specifications of the subject for the examination”; WHEREAS, the Commission and the Department of Health (DOH) issued Joint Administrative Order No. 2015-01, entitled “Policies and Guidelines on the Conduct of Medical Residency and Fellowship Training Program for Foreign Medical Professionals in the Philippines”; WHEREAS, Section 1, Rule 4 of the Implementing Guidelines of Joint Administrative Order No. 2015-01 provides for the role of the Professional Regulatory Board of Medicine (Board), as the Qualifying Assessor, to (A) prepare and administer the Qualifying Assessment Tool to determine the entry level qualifications of FMPs for medical residency or fellowship training, (B) issue Certificate of Passing the Qualifying Assessment to qualified FMP which shall thereafter be submitted to the training institution/hospital where the FMP has chosen to apply, and (C) recommend, subject to the approval of the Commission, the issuance of the ‘Temporary Training Permit (TTP) to the FMP after the latter has been officially admitted to the training program of choice; WHEREAS, Section 3, Rule 4 of the Implementing Guidelines of Joint Administrative Order No. 2015-01 provides for the coverage of the Qualifying Assessment which shalll include the Clinical Practice of Medicine in various fields of discipline; WHEREAS, the adoption of the TOS will appropriately incorporate the competencies covering the topics and sub-topics, or areas and sub-areas, or concepts and sub-concepts under the licensure examinations subjects. The TOS shall provide not only the percentage weights and number of items but also the levels of difficulty classified into and respectively described as Easy: K (Knowledge), Moderate: U (Understanding), C (Comprehension). Difficult: A (Analysis), B (Synthesis), and E (Evaluation); Reg Mpgesnytion prngag, OM je p+ PRC Building Paredes St., Sampaloc www pre.gonph Philippine International Convention Center Manila, 1008 Philippines Sotto St, Pasay City, 1307 PhilippinesPage 20t4 PROMULGATION OF TABLE OF SPECIFICATION WITH RELATIVE WEIGHTS FOR THE SUBJECTS INTHE QUALIFYING ASSESSMENT FOR FOREIGN MEDICAL PROFESSIONALS (FPS) WHEREAS, the TOS were refined by the Board with the assistance of the PRC Consultant for Test Construction and Development; WHEREFORE, THE Board RESOLVES, as it is hereby RESOLVED, to adopt and promulgate the Tables of Specification for the subjects in the Qualifying Assessment of FMPs (Annex A) FURTHER RESOLVED, that this Resolution with the attached TOS (Annex A) shall be applied starting the September 2019 Qualifying Assessment of FMPs. This Resolution and its Annex shall take effect after fifteen (15) days following its publication in the Official Gazette or in any newspaper of general circulation. Let a copy hereof be deposited in the U.P. Law Center — Office of the National Administrative Register. Done in the City of Manila this 31st day of July _ 2019, C2 ELEANOR B. ALMORO i Chairperson Rete LON EDGARI ‘T. FERNANDO CLARITA C. MAANO ‘Member Member Wi A GI fies repay, ELEANOR J. GALVEZ Member Member VACANT Member ATTESTED BY: Ral Vo Mi LOVELIKA T. BAUTISTA Chief, PRB Secretariat Division APPROVED: nw A TEOFILO S. PILANDO, JR. Chairman YOLANDA D.[REYES JOSE k, BuEto, JR. CommissionerPane Sot PROMULGATION OF TABLE OF SPECIFICATIONS WITH RELATIVE WEIGHTS FOR THE SUBJECTS IN THE QUALIFYING ASSESSMENT FOR FOREIGN MEDICAL PROFESSIONALS (FMP) [ SUBJECT Tee Os | PERCENTAGE ‘A MEDICINE - 16.67% 1 Cardiovascular Diseases 12 12 2 Respiratory Diseases 10 10 3 Digestive Diseases 10 10 4 Endocrine Diseases 10 10 5 Hematologic/immunologic/Oncologic Diseases 10 10 6 Neurologic Diseases _ 10 10 7Renal Diseases - 10 10 8 Rheumatology and Musculoskeletal Diseases 7 7 9 Infectious Diseases 8 8 10 Dermatologic Conditions 5 5 11 Psychiatric Disorders 5 5 12 Legal Medicine and Bioethics 3 om Total) 100 100% B PEDIATRICS - 16.67% 1 Newborn, nutrition, growth and development 10 10 2 Infectious Diseases 10 10 3 Respiratory Diseases 10 10 4 Cardiovascular/Collagen Diseases 10 10 5 Central Nervous System Diseases 10 10 6 Gastrointestinal Disease 10 10 7 Genito-urinary Disorders 10 10 8 Endocrine and metabolic Diseases 10 10 9 Hematologic and immunologic Diseases 10 10 10 Neoplastic/Oncologic/Genetic Disorder 10 10 Total | 100 100% C OBSTETRICS AND GYNECOLOGY — 16.67% 1 Care of the pregnant woman 5 5 2 Obstetrical bleeding disorders 5 5 3 Labor, delivery and abnormal labor 10 10 4 Complications of pregnancy I: Preterm labor, Intrauterine Growth Restriction (IUGR), Malpresentation, Watery vaginal discharge, 10 10 Young primigravida, Elderly primigravida, Multiple pregnancy 5 Complications of pregnancy Il: Hypertension, Pre-eclampsia, Eclampsia, Gestational DM, 10 10 Fetal distress 6 Complications of pregnancy lil: Common 5 5 Medical, Surgical and Gynecologic conditions 7 Complications of pueperium: Postpartum 5 5 Hemorrhage and puerperal sepsis 8 OB-GYN: Infectious Diseases 10 10 9 OB-GYN: Neoplastic disease of vulva, vagina, 10 10 cervix, uterus, tubes and ovaries 10 Gynecology: pediatric patient and congenital a 5 disorders of reproductive tract ay eo ™Page dot 4 PROMULGATION OF TABLE OF SPECIFICATIONS WITH RELATIVE WEIGHTS FOR THE SUBJECTS IN THE QUALIFYING ASSESSMENT FOR FOREIGN MEDICAL PROFESSIONALS (FMP) 11 Gynecology: Amenorrhea & endocrine disorders 5 5 12 Gynecology: Infertility 5 5 13 Gynecology: Family planning 5 5 14 Gynecology: Menopause 5 5 15 Gynecology: Abnormal uterine bleeding 5 5 Total, 100 100% D SURGERY - 16.67% 1 Surgical Basic Principles 10 10 2 Head and Neck Surgery, Ophthalmology, 10 10 Otorhinolaryngology 3 Thoracic and cardiovascular diseases 10 10 4 Abdomen I: esophagus, stomach, small aa a intestines 5 Abdomen II: Biliary tract, liver, pancreas 10 10 6 Abdomen Ill: Colon, rectum, appendix, small ral Fa bowel 7 Skin, soft tissue, breast, abdominal wall 10 10 8 Specialties: neurosurgery, plastic, anesthesia 10 40 9 Specialties: endocrine, genito-urinary 10 10 10 Specialties: Orthopedics, Pediatric surgery 10 10 : Total | 100 100% E PHARMACOLOGY AND THERAPEUTICS - 16.67% 1 Cardiovascular system diseases 12 12 2 Nervous system diseases 10 10 3 Psychiatric diseases 10 10 4 Respiratory diseases 12 12 5 Genito-urinary disorders 12 12 6 Digestive disorders 12 12 7 Endocrine diseases 12 12 8 Musculoskeletal diseases 12 12 9 Drugs for infectious diseases 8 8 Total| 100 100% F PATHOLOGY — 16.67% “1 Basic Pathology 10 10 2 Developmental disorders 7 a 3 Neoplastic disorders 10 10 4 Immunopathologic disorders 7 7 5 Environmental and Nutritional disorders 7 a 6 Infectious diseases 8 8 7 Gastrointestinal disorders 10 10 8 Cardiovascular and collagen disorders 10 10 9 Respiratory diseases 10 10 10 Hematopoietic disorders 7 7 11 Endocrine disorders 7 iG 12 Nervous disorders 7 7 Total| 100 100% came silTABLE OF SPECIFICATIONS SUBJECT: OBSTETRICS AND GYNECOLOGY WEIGHT | NO. CLASSIFICATION OF QUESTION LEARNING OUTCOMES CONTENT OF EASY (30%) MODERATE DIFFICULT (20%) | TEST (50%) rrems | ® t {APRLICATION | ANALYSIS | EVAUIATION | CRERTION 1. Given a clinical situation, |CARE OF THE PREGNANT § Zz where a pregnant patient | WOMAN | consults a physician. The © Antenatal care physician should analyze the | 0 PRENATAL CARE anatomic, physiologic, © Post-natal care biochemical, and # Diagnosis of high risk endocrinologic basis of the pregnancy pregnancy. * Antenatal surveillance Immunizations in 2. Given a clinical situation, | pregnancy using complete history and |» Nutrition and | | physical examination, supplementation in formulate a diagnosi pregnancy * Contraindicated drugs in 3. Identify laboratory and pregnancy and lactation. ancillary diagnostic tools you can use in the diagnosis of the diseases 4. Identify the appropriate | | definitive and supportive | management of pregnancy. | | Page 1 of 185. Identify high risk conditions that will require management or referral to specialists. 6. Predict and manage the complications of the pregnancy at the different stages of the pregnancy. 7. Analyze prognosis of the pregnancy. 8. Plan for prevention of the diseases associated with pregnancy. 1. Given a clinical situation, VAGINAL BLEEDING, first 5 5 | analyze the anatomic, trimester physiologic, biochemical, and |« Implantation, Growth and pathophysiologic basis of the Development | following diseases. Abortion Ectopic pregnancy 2. Given a clinical situation, H. mole formulate a diagnosis. VAGINAL BLEEDING, 3° 3. Identify laboratory and trimester ancillary diagnostic tools you |. Abruptio Placenta can use in the diagnosis of the |, placenta Previa diseases Vasa Previa ae a Ayr Pe Page 2 of 174. Identify the appropriate definitive and supportive management of the following diseases. 5, Predict and manage the complications of the following diseases. 6. Analyze prognosis of the disease. 7. Plan for prevention of the disease. 1. Given a clinical situation of a patient in labor, analyze the anatomic, physiologic, biochemical, and pathophysiologic basis of the following: 2. Given a clinical situation, formulate a diagno: 3. Identify laboratory and ancillary diagnostic tools you ‘can use in the diagnosis of the diseases LABOR and DELIVERY, | ABNORMAL LABOR Parturition Diagnosis of Labor Mechanism of labor Intrapartum Assessment Graphic Analysis of Labor Dysfunctional Labor Estimation of Pelvic Capacity Conduct of labor and delivery Home delivery Vaginal delivery Assisted vaginal delivery 10 10 ay Ca ORR4, Identify the appropriate definitive and supportive management of the following diseases. 5, Predict and manage the complications of the following diseases. 6. Analyze prognosis of the disease. 7. Identify causes and risk factors and create a plan for prevention and screening of the disease © Operative abdominal delivery and indications Page 4 of 17 al 1. Given a clinical situation, COMPLICATIONS OF 10 10 analyze the anatomic, PREGNANCY physiologic, biochemical, and }o Preterm labor and delivery pathophysiologic basis ofthe |o IUGR following diseases. © Malpresentation o Breech 2. Given a clinical situation, o Face after history and physical o Shoulder examination, formulate a © Watery vaginal discharge diagnosis. ‘© Premature Rupture of membrane (PROM) - Wy orn Pa3. Identify laboratory and © Preterm Premature ancillary diagnostic tools you Rupture of Membrane can use in the diagnosis of the (PPROM) diseases o Young primigavida 4. Identify the appropriate o Elderly primigravida | definitive and supportive o Multiple pregnancy | management of the following diseases. 5. Predict and manage the complications of the following | conditions. 6. Analyze prognosis of the isease. 7. Identify causes and risk factors and create a plan for prevention and screening of the disease 1. Given a clinical situat COMPLICATIONS OF 10 10 patient with the following PREGNANCY. complications of pregnancy, |o Hypertension & pre- analyze the anato’ eclampsia, eclampsia physiologic, biochemical, and |o Gestational Diabetes pathophysiologic basis of the Mellitus following: co. Fetal distress aN ed = rere Page 5 of 172. Given a clinical situation, after history and physical examination, formulate a diagnosis. 3. Identify laboratory and ancillary diagnostic tools you can use in the diagnosis of the diseases 4, Identify the appropriate definitive and supportive management of the following | diseases. 5. Predict and manage the complications of the following diseases. 6. Analyze prognosis of the disease. 7. Identify causes and risk factors and create a plan for prevention and screening of the disease 1. fen a clinical situation of a | PREGNANCY WITH COMMON 5 5 pregnant patient with the MEDICAL PROBLEMS _ aN aN a} Page 6 of 17following complications of pregnancy, analyze the anatomic, physiologic, biochemical, and pathophysiologic basis of the following: 2. Given a clinical situation, after history and physical examination, formulate a diagnosis by identifying the high-risk condition. laboratory and ancillary diagnostic tools you can use in the diagnosis of the diseases 4, Identify the appropriate definitive and supportive management of the following diseases. 5, Predict and manage the complications of the following diseases. 6, Analyze prognosis of the disease. Diabetes mellitus Thyroid disorders Heart Disease Urinary Tract disorders Gastrointestinal disorders Sexually transmitted diseases Dermatoses PREGNANCY WITH COMMON SURGICAL CONDITIONS «Appendicitis © Cholelithiasis and cholecystitis Urolithiasis, Trauma Gynecologic conditions in pregnancy Ovarian New Growth Myoma Uteri oy Page 7 of 177. Identify causes and risk factors and create a plan for prevention, screening and early identification of the disease 1. Given a clinical situation of a pregnant patient with the following complications of pregnancy, analyze the anatomic, physiologic, biochemical, and pathophysiologic basis of the following: 2. Given a clinical situation, after history and physical examination, formulate a diagnosis. 3. Identify the causes of these complications 4, Identify laboratory and ancillary diagnostic tools you ‘can use in the diagnosis of the diseases 5. Identify the appropriate definitive and supportive COMPLICATIONS OF PUERPERIUM © Postpartum hemorrhage «Puerperal infection and sepsis Related conditions © Shock and DIC * Blood replacement art Page 8 of 17 ac OFA =management of the following diseases. 5, Predict and manage the complications of the following diseases. 6. Analyze prognosis of the disease. 7. Identify causes and risk factors and create a plan for prevention, screening and early identification of the disease | Given a clinical situation, INFECTIONS OF THE 10 10 i analyze the anatomic, REPRODUCTIVE TRACT physiologic, microbiological |* OB INFECTIONS, basis of the following diseases. Antepartum infections > Intrapartum infections 1. Given a clinical situation, © Puerperal sepsis. formulate a diagnosis. ©. Septic Abortion ° ‘© GYNECOLOGIC INFECTIONS 2. Identify the common © Bartholin’s abscess | causative agents for the © Genital Ulcers following infections ©. Vaginitis o Cervicitis Page 9 of 173, Select the most appropriate diagnostic test | 4. Know the management options 5. Predict and manage the complications of the following diseases, 6. Analyze prognosis of the disease. 7. Identify causes and risk factors and create a plan for prevention, screening and early identification of the disease © Pelvic inflammatory disease (PID) © Sexually Transmitted diseases (STD) 1. Given a patient presenting with a gynecologic mass, analyze the anatomic, physiologic, and pathophysiologic basis of the following diseases. 2. Given a clinical situation, formulate a diagnosis, NEOPLASTIC TUMOR of vulva, vagina, cervix, uterus, tubes and ovaries. * Benign conditions + Pre-malignant conditions © Malignant conditions ‘© Gestational Trophoblastic Tumor 10 10 Page 10 of 17 aN we ¥ Pytrggnd b—3. Identify laboratory and ancillary diagnostic tools you can use in the diagnosis of the diseases 4. Identify pathologic characteristics of masses (gross and histopathologic) 5. Identify the appropriate definitive and supportive management of the following diseases. 6. Predict and manage the complications of the following diseases, 7. Analyze prognosis of the disease. 8. Plan for prevention of the disease, screening 9, Plan for counseling services, 1. Given a patient presenting | PATIENT WITH 5 5 with amenorrhea AMENORRHEA analyze the anatomic, © Primary amenorrhea ‘menstrual physiologic, ‘+ Secondary amenorrhea endocrinology, and — | Ws Page 11 of 17pathophysiologic basis of the _ [Endocrine disorders following diseases. «© Hyperandrogenism * PCOS 2. Given a clinical situation, formulate a diagnosis. 3. Identify laboratory and ancillary diagnostic tools you can use in the diagnosis of the diseases 4, Identify the appropriate definitive (medical / surgical) and supportive management of the following diseases. 5, Plan for counseling services 1. Given a pediatric female PEDIATRIC PATIENT 5 seal patient in a gynecologic © Vaginal discharge situation, analyze the © Vaginal Bleeding | anatomic, physiologic, © Pelvic mass | microbiological and © Congenital Abnormality of pathophysiologic basis of the the Reproductive tract | following diseases. © Imperforate hymen | © Vaginal septum 2. Given a clinical situation, (Transverse /Horizontal) formulate a diagnosis. © Bicornuate Uterus ©. Uterine didelphys 3. Identify laboratory and Precocious puberty ancillary diagnostic tools you WS =a Page 12 of 17can use in the diagnosis of the diseases 4, Identify the appropriate definitive and supportive management of the following diseases. 5. Plan for counseling services 1. Given a female patient with fertility, analyze the anatomic, physiologic, endocrinologic and pathophysiologic basis of the following conditions. 2. Given a clinical situation, formulate a diagnosis. 3. Identify laboratory and ancillary diagnostic tools you can use in the diagnosis of the diseases 4, Identify the appropriate definitive and supportive management of the following diseases, 5, Plan for counseling services INFERTILE PATIENT Primary infertility Secondary infertility We Page 13 of 17Given a clinical situation _ | NON-PREGNANT, DESIROUS 5 | 5 where a female non- OF FAMILY PLANNING | pregnant patient is Temporary contraception desirous of family ©. Barrier method planning. The physician | o Contraceptive drugs should be able to = Oral Pills 1. explain the different + Injectables types of family planning | * Implants method using the + Permanent contraception anatomical, © Tubal ligation physiological and o Vasectomy endocrinologic basis. 2. explain advantages and disadvantages of each method : - Given a clinical situation MENOPAUSAL PATIENT 5 5 where a female non-pregnant |* Natural menopause | patient presents with possible | Surgical menopause menopause, the physician can: |e Premature ovarian failure 1. arrive ata diagnosis and to explain the Related conditions condition to the patient | Sheehan's syndrome using the anatomical, . syndrome physiological and endocrinologic basis for the condition. 2. explain the symptoms experienced and complained by the patients. ae & Pare Page 14 of 173. identify laboratory and ancillary diagnostic tools you can use in the diagnosis of the diseases 4, identify the appropriate definitive and supportive management. 5. explain to the patient the current status of management options 6. predict and manage the complications of menopause. 7. plan for prevention of the diseases associated with menopause. 1. Given a patient presenting with abnormal vaginal bleeding; analyze the anatomic, physiologic, biochemical and pathophysiologic basis of the following diseases. 2. Given a clinical situation, after history and physical examination, formulate a diagnosis. NON-PREGNANT WOMAN, WITH ABNORMAL BLEEDING ‘* Dysfunctional Uterine Bleeding ‘+ Abnormal uterine bleeding © Hematologic causes © Uterine causes © Endometrial causes a8 Page 15 of 173. Identify laboratory and ancillary diagnostic tools you can use in the diagnosis of the diseases 4, Identify the appropriate definitive (medical / surgical) and supportive management of the following diseases. 5. Plan for long-term management of the condition. SUMMARY OF AREAS/ TOPIC LISTING FOR OBSTETRICS AND GYNECOLOGY WEIGHT o 65 02 5 03°10 04 10 0s 10 06 5 07 5 08 10 (= 30) 10) es 6S ize) 13S. 4S 1 5 CARE OF PREGNANT WOMAN: antenatal, prenatal, postnatal OBSTRETICAL BLEEDING: first and third trimester bleeding LABOR AND DELIVERY, ABNORMAL LABOR COMPLICATIONS OF PREGNANCY: preterm labor, IUGR, malpresentation, watery vaginal Discharge, young primigavida, elderly primigravida, multiple pregnancy COMPLICATIONS OF PREGNANCY: hypertension, pre-eclampsia, gestational DM, fetal distress COMPLICATIONS OF PREGNANCY: Common medical and surgical conditions COMPLICATION OF PUEPERIUM: hemorrhage and fever OB-GYN: infections of the reproductive tract OB-GYN: neoplastic tumor of the reproductive tract GYNECOLOGY: Pediatric patient and congenital disorders of the reproductive tract GYNECOLOGY: Amenorrhea and endocrine disorders (PCOS, hyperandrogenism) GYNECOLOGY: INFERTILITY GYNECOLOGY: FAMILY PLANNING GYNECOLOGY: Menopause GYNECOLOGY: Abnoymal Tyre poe Page 16 of 17PREPARED BY: Ces Cy. CLARITA C, MAANO, MD Member SiR Gah eben Member Noted by: beetex C4 rae PRC Test Consultant . ALMORO, MD Chdirperson oe ELEANOR J. GALVEZ, MD M y/ EDGARDO\P/FERNANDO, MD felnber Page 17 of 17TABLE OF SPECIFICATIONS SUBJECT: PEDIATRICS AND NUTRITION NO. OF CLASSIFICATION OF QUESTION | COMPETENCY TOPIC OUTLINE WEIGHT | ITEMS EASY (30%) MODERATE DIFFICULT (20%) 5 ‘A. NEWBORN, NUTRITION, 1. Normal nutrition including io | 10 GROWTH DEVELOPMENT breastfeeding 2. Maternal and Child care 1. Assess a normal newborn, its 3. Communicable disease physiologic and anatomical prevention variants 4, Recommended immunization at different 2. Given a clinical scenario in the | _ age group | newborn, arrive at a logical 5. Recommendation for diagnosis and interpret given preventive health care diagnostic examination findings |6. Growth and development 7. Speech delay, autism and 3. Calculate the minimum daily hyperactivity/ attention requirements of the different deficit nutrients in infancy and 8 Mental retardation/ global | childhood; define its function; developmental delay | | appraise the presence of 9, Common newborn | | deficiency. disorders: sepsis, RDS, | | metabolic problems 4. Distinguish a child with 10. Nutritional deficiencies: | | normal growth and kwashiorkor, marasmus, | development pattern; identify obesity, specific vitamin | the red flag signs of physical and | deficiencies | mental retardation. Ws Page 1 of 135. Prescribe the vaccine indicated at the different age group 6. Apply the basic principles of a well child and preventive health care and justify the rationale. 7. Plan for prevention of the disease, B. INFECTIOUS DISEASES. Given a clinical scenario of the common infectious diseases based from the latest data of the Department of Health 1. Identify the causative organism and describe the pathogenesis 2. Arrive ata logical diagnosis 3. Propose, prioritize and justify the diagnostic procedure/s, and interpret the findings 4, Point out and discuss the differential diagnosis 1. BACTERIAL ° ° 200 0000000000 Diphtheria Cholera E.coli Gonorrhea H. Influenzae B Leprosy Leptospirosis Meningococcemia Pertussis Pneumococci Salmonella Shigellosis Streptococcal Tetanus Tuberculosis Syphilis 2. VIRAL. ° HIV-AIDS 10 70 Page 2 of 13 po5, Infer the clinical course and presence of complications 6, Plan and justify appropriate health promotion, prevention and indication for referral to specialist. 000000000000 Dengue fever Enterovirus Coxsackie virus Epstein Barr virus Herpes Simplex Influenza Mumps Roseola Rubeola Rubella Varicella Zoster . FUNGAL ° ° ooo 000 Candida Cryptococcus PROTOZOAL Amebiasis Enterobius Giardiasis Enterobiasis Malaria Hookworm Schistosomiasis Filariasis C.REPIRATORY DISORDERS. Given a clinical scenario of a common respiratory disorder, based from the latest data of the Department of Health: ooo ° Upper respiratory conditions Viral vs Bacterial Tonsillitis Peritonsilar abscess Croup syndrome 10 7 BR tr Pm Page 3 of 13,1. Arrive at the most logical diagnosis 2. Discuss the etiopathogenesis of the following diseases. 3. Prioritize the diagnostic test/s and interpret the findings 4. Correlate the diagnostic findings with the physical examination 5. Plan and discuss the preventive/ public health measures 6, Appraise the development of complications and emergency situation 7. Select and justify the most appropriate management 8. Apply appropriate health promotion, prevention and indication for referral to specialist. 3 oo000 Lower respiratory conditions Bronchitis Bronchiolitis Pneumonia Pleural effusion Complications: Acute respiratory failure Acidosis / alkalosis, Pneumothorax Pyothorax Pheumomediastinum Page 4 of 13 wtCARDIOVASCULAR / COLLAGEN DISORDERS Given a clinical scenario of a common cardiovascular and collagen disorders 1. Describe normal heart sounds, point out the source of the different heart sounds 2. Recognize the presence of a heart problem: a. congenital / acquired b. cyanotic / acyanotic c. eisenmengerization 3. Explain the hemodynamics of a cardiac disorder 4. Discuss how to arrive at a logical diagnosis 5. Prioritize the diagnostic test/s 6, Recognize the presence of an emergency condition and other complications 1. Congenital Heart Disease 10 © Transposition of great vessels © Ventricular septal defect © Atrial septal defect o PDA o. Tetralogy of Fallot 2. Acquired heart disease 3. Hypertension 4. Cardiac complications o CHF © Cyanotic spells © Bacterial endocarditis 5. Collagen disorder o SLE o JRA © Kawasaki disease Dermatomyositis 6. ABC's of resusci 10 an Page 5 of 13 ae open7. Apply appropriate health promotion, disease prevention and indication for referral to specialist. CENTRAL NERVOUS SYSTEM —[1. Seizure disorder 10 7 - 2. Benign febrile seizure Given aclinical scenario ofa__|3. Status epilepticus common central nervous and | 4. Meningitis /encephalitis, spinal disorders 5. Cerebral palsy 6. Hydrocephalus 1. Discuss how to arrive at a 7. Migraine logical diagnosis, point out other |8. Tumors conditions with similar 9. Neural tube defect manifestations. 2. Prioritize the diagnostic test/s and interpret the findings 3. Recognize the presence of emergency /complications. 4. Select the most appropriate management 5. Apply appropriate health promotion, disease prevention and indication for referral to | specialist. GASTROINTESTINAL 1. Vomiting to | DISORDERS Congenital aN Page 6 of 13, Ae RFGiven a clinical scenario of a common gastrointestinal disorders 1. Discuss how to arrive at a logical diagnosis, point out other conditions, discuss the etiopathogenesis 2. Point out other diseases presenting with similar manifestations 3. Prioritize the diagnostic test/s and interpret the findings 4, Recognize the presence of emergency /complications. 5, Select the most appropriate management 7. Apply appropriate health promotion, disease prevention and indication for referral to specialist. 8. Apply appropriate health promotion, disease prevention © Acquired GERD Diarrheal disorder and dehydration Abdominal pain / distention Contipation, functional Hirschprung’s disease Omphalocoele/Gastroschisis Hepatitis, hepatomegaly, cirrhosis 9. Ascitis 10. Gastrointestinal food allergy 11. Oral Poisoning: kerosene, INH, aspirin esas 7 Page 7 of 13and indication for referral to specialist. GENITO-URINARY DISORDERS Given a clinical scenario of a common genitourinary disorders seen in clinical practice 1. Discuss how to arrive ata logical diagnosis, point out other conditions, discuss the etiopathogenesis 2. Point out other diseases presenting with similar manifestations 3. Prioritize the diagnostic test/s and interpret the findings 4, Recognize the presence of emergency /complications. 5, Select the most appropriate management, justify its indication 7. Apply appropriate health promotion, disease prevention 1. Urinary Tract Infection o Urethritis o. Cystitis © Pyelonephritis Nephrotic syndrome Nephritic syndrome Urolithiasis Acute Renal Failure Acute urinary retention Pelvic inflammatory disease Child abuse/ sex abuse SNARE EN 10 o 7 et apa Page 8 of 13andindicationforreferralto. | +‘. | | | 7 ~ - specialist. 8. Apply appropriate health promotion, disease prevention and indication for referral to specialist. : ENDOCRINE AND METABOLIC 1. Pituitary disorder 10 mee | DISORDERS © Dwarfism/gigantism ©. Diabetes insipidus Given a clinical scenario ofa |2. Thyroid gland ‘common endocrine and © Hypothyroidism metabolic disorders seen in © Hyperthyroidism clinical practice ©. Grave's disease 3. Adrenal | 1. Discuss how to arrive at a o CAH logical diagnosis, point out other | © Cushing syndrome conditions, discuss the © Pheochromocytoma etiopathogenesis, o Neuroblastoma © Adrenal 2. Point out other diseases crisis/insufficiency presenting with similar 4, Pancreatic | manifestations o Type1DM | 5. Precocious puberty 3. Prioritize the diagnostic test/s | and interpret the findings | 4. Recognize the presence of emergency /complications. oa ee el Page 9 of 13[ 5. Select the most appropriate management 6. Predict the clinical course 7. Apply appropriate health promotion, disease prevention and indication for referral to 1. Identify the normal values of hemogram and distinguish it from an abnormal one 2. Point out the different morphologic types of anemias and infer its clinical significance 3. Identify the normal values of the different immunoglobulins, and point out the clinical significance of these values 4, Given a clinical scenario of a ‘common endocrine and metabolic disorders seen in clinical practice © Iron-deficiency © Secondary © Congenital 2. Hemorrhagic disorders © Thrombocytopenia o ITP/TTP © Clotting factor abnormalities o DIC 3. Vascular defects 4. Rashes o Urticarial © Atophic dermatitis co Angioedema © Steven johnson’s syndrome 5. Asthma/allergy / rhinitis 6. Immunodeficiencies / recurrent infections specialist. - HEMATOLOGIC / 1. Anemia 10 10 IMMUNOLOGIC DISORDERS © Nutritional | Page 10 of 13 w eee Pennia. Discuss how to arrive ata logical diagnosis, point out other conditions, discuss the etiopathogenesis b. Prioritize the diagnostic test/s and interpret the findings c. Recognize the presence of emergency /complications. d. Select the most appropriate management e. Apply appropriate health promotion, disease prevention and indication for referral to specialist. o. Transient form of hypogammaglobulinemia © B/T cell deficiency © Immunodeficiency syndrome 7. Hypersensitivity Reaction NEOPLASTIC / ONCOLOGIC / GENETIC DISORDERS Givena clinical scenario of a common neoplastic disorders seen in clinical practice 1. Identify the presence of neoplastic conditions Leukemia and lymphoma Retinoblastoma Wilm’s tumor Neuroblastoma Genetic disorders o Sex chromosomes © Inborn error of metabolism © Odd looking child FRONE 10 7 Page 11 of 13, IM2. Discuss how to arrive at a logical diagnosis 3, Prioritize the diagnostic test/s and interpret the findings 4, Point out other conditions with similar clinical presentations 5, Outline and justify the most appropriate management, justify its indication 6, Justify referral to specialist. 8. Apply appropriate health promotion, early detection of | neoplastic diseases Page 12 of 13,Summary of Areas/Topic lists for pediatrics ~ Weight | Topic 1 10 Newborn, feeding and nutrition growth and development 2 10 Infectious diseases 3 10 Respiratory system 4 10 Cardiovascular system: : [s 10 CNS - [6 10 Digestive system 7 10 Genitourinary 8 10 Endocrine system 9 10 Hematology and immunology 10 10 Neoplastic and Oncologic disease PREPARED BY: i> — ELEANOR|B. ALMORO, MD Chairperson Pare SUN, D6 CLARITA C. MAANO, MD ELEANOR J. GALVEZ, MD Member mber hienpnetes Rea, MD EDGARI :RNANDO, MD Member Member Noted by: eis hee PRC Test Consultant Page 13 of 13TABLE OF SPECIFICATIONS SUBJECT: SURGERY CONTENT WEIGHT | No. - CLASSIFICATION OF QUESTION COMPETENCY of EASY (30%) MODERATE DIFFICULT (20%) Test (50%) Items t ‘APPUICKTION | ANALYSIS | EVALUATION | CREATION 1. The physician can SURGICAL BASIC PRINCIPLES 10 10 apply the principles of | Fluid and electrolyte balance | diagnosis and o Endocrine and metabolic management in the response followin; o Trauma © Shock © Critical care © Wound healing o Type of Suture © Surgical stitches | ©. Asepsis/antisepsis o Burns o Nutrition © Blood transfusion principles © Bacteriology } o. Infections | © Anti-microbial o Immunology © Transplantation - Given the clinical HEAD AND NECK SURGERY: 10 10 presentation of a patient, the physician can: Otorhinolaryngology © Mastoiditis 1. arrive at a logical © Sialolith Salivary gland tumor diagnosis after history |o Sinusitis Page 1 of 7 74 ar ataking and physical examination . use anatomy, physiology to explain the clinical manifestation of the condition. . select appropriate diagnostic tests and interpret findings determine extent or severity of illness select the most appropriate treatment option correlate and explain histopathological findings with management and clinical course of patient Detect and manage complications © Thyroid mass (benign/malignant) Ophthalmology Conjunctivitis Scleritis Retinal detachment Glaucoma Cataract Retinoblastoma oa0000 Page 2 of 7 a7 se mm faIdentify indication for referral to specialist for surgical intervention ). Prepare and instruct follow-up care for the patient THORACOCARDIOVASCULAR DISEASE ‘© Congenital cardiac diseases ‘0 Acquired cardiac disease ‘0 Coronary artery disease © Pleural effusion/ hemothorax/pneumothorax © Aortic Aneurysm Malignancy _ 10 10 ‘ABDOMEN I: Diseases of the following. © Esophagus Barrett's esophagus GERD Mallory Weiss Esophageal rupture Esophageal atresia = Esophageal varices © Stomach / intestines + Peptic ulcer disease complications + Gastric tumors + Bariatric procedures 10 10 Page 3 of 7 ORE RM+ Gastrointestinal stromal tumor © Abdominal aortic aneurysm © Spleen surgeries ©_ Retroperitoneal mass /pathology ABDOMEN II: Diseases of the following ©. Biliary tract Cholelithiasis and complications Gallbladder polyp Hydrops gallbladder Cholangiocarcinoma o Liver * Hepatic mass (infectious/neoplastic) * Cirrhosis and portal hypertension © Pancreas + Neoplastic diseases # Acute Hemorrhagic Pancreatitis 10 10 ABDOMEN III: Diseases of the following © Colon/ Rectum Benign and malignant Tumors TB Crohn's disease Ulcerative colitis © Anorectum = Fistula-in-ano * Hemorrhoids co Appendix 10 10 oe OH yng fe Page 4 of 7‘© Small bowel * Diverticulitis + Angiodysplasia + Mesenteric diseases SKIN and SOFT TISSUE diseases ° "= Malignant tumors o BREAST "Benign tumors = Premalignant tumors ‘= Malignant tumors "= Mastitis, © HERNIA and ABDOMINAL WALL 10 10 NEUROSURGERY Hydrocephalus Neural Tube defect CNS Tumors CNS Abscess Pott’s disease Cerebral aneurysm / AV malformation ° 10 10 © PLASTIC SURGERY + Cleft lip/patate * Burn injuries © ANESTHESIA = Local + Regional Page 5 of 7 ae ae* General © ENDOCRINE SURGERY Pituitary Pancreas Adrenals Thyroid Carcinoid 10 10 © GENITO-UROLOGY ‘Testicular tumors Prostatic tumors Genitourinary Tumors *_ Renal cell carcinoma © ORTHOPEDICS «Fractures /Sprain + Arthritides * Spinal problems Herniated disc Pott’s disease Benign and malignant tumors © PEDIATRIC SURGERY Hirschprung's disease Omphalocoele Gastroschisis Intussusception Diaphragmatic hernia Hernia /varicocoele Phimosis Wilm’s tumor 10 10 Page 6 of 7SUMMARY OF AREAS/ TOPIC LISTING FOR SURGERY WEIGHT 01 10 SURGICAL BASIC PRINCIPLES 02 10 HEAD AND NECK, OTORHINOLARYNGOLOGY, OPHTHALMOLOGY 03 10 ‘THORACOCARDIOVASCULAR 04 10 ABDOMEN! 0S 10 ABDOMEN II 06 10 ABDOMEN III 07 10 SKIN, SOFT TISSUE, BREAST, ABDOMINAL WALL 08 10 SURGICAL SPECIALTIES: neurosurgery, plastic surgery, anesthesia 09 10 SURGICAL SPECIALTIES: endocrine, genito-urinary 10 10 SURGICAL SPECIALTIES: orthopedics, pediatric surgery PREPARED BY: (—.— ELEANO! B. ALMORO, MD hare Cote, | Gov CLARITA C. MAANO, MD ELEANOR J. GALVEZ, MD Member le Ree See Bk MD EDGAI . FERNANDO, MD Member Member Noted by: tect Hoa PRC Test Consultant Page 7 of 7TABLE OF SPECIFICATIONS SUBJECT: PHARMACOLOGY Page 1 of 6 NO. OF CLASSIFICATION OF QUESTION Learning objectives CONTENT WEIGHT | TEST EASY (30%) MODERATE DIFFICULT (20%) ITEMS (50%) a c ‘APPLICATION | ANALYSIS | EVALUATION | CREATION Given a clinical situation, the | CARDIOVASCULAR 12 12 - physician can: © Cardiacarrest © Complete heart block 1, formulate a sound therapeutic |o Coronary artery disease plan using physiological, © Acute myocardial infarction biochemical and pathological |o Hypertension basis of the disease. © Hypertensive emergencies © Shock 2. writea correct prescription. | Congestive heart failure © Valvular heart disease 13. formulate an effective follow- Jo Acute pericarditis up scheme. © Dyslipidemia 4, identify and communicate the | common adverse reaction or | side effects of the drugs. NERVOUS SYSTEM 10 10 © Cerebrovascular disease © Seizure © Dementia - Headache and migraine eyVertigo and dizziness Parkinson and movement disorder Infections of the CNS Encepalopathy secondary to poisoning e000 PSYCHIATRY 10 10 © Psychosis Depression Anxiety disorder Bipolar disorder | Acute psychiatric emergency medications ° ° ° ° RESPIRATORY SYSTEM 12 12 Asthma Acute respiratory failure coPpD Pneumonia Pulmonary tuberculosis Lung cancer ;ENITOURINARY SYSTEM 12 12 Electrolyte acid/base balance Nephrolithiasis, Glomerular disease Renal failure Diuresis Infection © Urinary tract infection + Genital ulcers @o00000g)000000 Page 2 of 6Vaginitis Cervicitis PID sTD © Syphilis | Chlamydia Gonorrhea Herpes simplex HIV DIGESTIVE SYSTEM. 12 12 ©. Gastrointestinal bleeding © Diarrhea /Constipation / Irritable bowel syndrome ©. Peptic ulcer disease o GERD © Infection Bacterial Typhoid fever Shigellosis Helminthic disease | o Hemorrhoids ENDOCRINE SYSTEM. 12 12 o. Pituitary + Pituitary dwarfism = Acromegaly + Prolactinoma ow Opgm ae 2 Page 3 of 6o Thyroid Hyperthyroidism Hypothyroidism Grave's disease Thyroid storm Disorders of calcium metabolism © Parathyroid gland + PTH Deficiency © Adrenals = Cushing's disease = Addison's disease = Pheochromocytoma © Ovarian / Testis = Precocious puberty Menopause/andropause Endometriosis Amenorrhea Infertility Family planning Dysfunctional uterine bleeding © Pancreatic = Diabetes mellitus = Acute diabetic complications MUSCULOSKELETAL SYSTEM 12 12 © Osteoarthritis © Osteoporosis aye gn yy Page 4 of 6Jo Rheumatoid arthritis © Gouty arthritis ©. Septic arthritis ‘Treatment of infectious diseases _ | Principles of antibiotic use 8 8 ‘© Antibacterial ©. Antiviral © Anti-fungals | © Autacoids | Antibiotic Microbial Stewardship _| program of DOH SUMMARY OF AREAS/ TOPIC LISTING FOR PHARMACOLOGY WEIGHT. o1 12 CARDIOVASCULAR SYSTEM 02 10 NERVOUS SYSTEM 03 10 PSYCHIATRY 0412 RESPIRATORY 0s 12 GENITOURINARY. 06 12 DIGESTIVE 07 12 ENDOCRINE og 12 MUSCULOSKELETAL 0 «68 INFECTI Cgggnds po cone SY Page 5 of 6PREPARED BY: so ELEANOR &. ALMORO, MD Chaitperson pt Clery: as CLARITA C. MAANO, MD LVEZ, MD Member b r/ Rylepreeapites: Ger gecti ck MD (FERNANDO, MD Member Noted by: hale diem PRC Test Consultant Page 6 of 6CANO NG Late via TABLE OF SPECIFICATIONS SUBJECT: PATHOLOGY T Page 1 of 15 NO. CLASSIFICATION OF QUESTION COMPETENCY CONTENT WEIGHT | OF EASY (30%) MODERATE DIFFICULT (20%) TEST (50%) irems [® t APPLICATION | ANALISIS | EVALUATION | CREATION BASIC PATHOLOGY co Reversible and irreversible cell 10 10 injuries Given a clinical situation, utilizing |o Apoptosis, cell adaptation, holistic approach and critical intracellular storage thinking, the physician shall be able to: 1. Point out and interpret the morphologic structure related to the following cellular adaptation 2, Arrive at a logical pathological diagnosis Givena patient withacommon —_|1._ Chemical mediators of inflammation: —_ ‘complaint, point out and discuss | a. acute and chronic inflammation, the appropriate pathophysiologic |b. cell/tissues of the immune system process involved related t 2. Human MHC, 3. hypersensitivity reaction, ‘4. transplant rejection, 5. cell and tissue regeneration L - = nes = Of pe —(ONAL REGULATORY BOARD OF MEDICINE TABLE OF SPECIFICATION FOR THE QUALIFYING A‘ Siemon 4 AV MMO AOU (eN MULL eae Oa (Og Page 2 of 15 Given a laboratory finding, 1. Edema, hemorrhage, hyperemia, interpret, justify and apply the congestion appropriate pathophysiologic 2. Embolism, infarction, shock process involved in any of the following: SYSTEMIC PATHOLOGY: Mendelian disorder 7 7 DEVELOPMENTAL DISORDERS © Autosomal dominant diseases © Autosomal recessive diseases Given a clinical situation, utilizing |o X-linked recessive disorder holistic approach and critical ©. Defect in structural protein thinking, the physician shall be « Marfan’s syndrome able to: * Ebler Danlos Defect in receptor protein 1. Point out and describe the = Familial hypercholesteodomias pathologic structure involved 0 Glycogen storage disease 2. Predict and recognize the ‘© Disorders in proteins that regulates clinical course and cell growth complications of the following | * Neurofibromatosis diseases. o Tumor = Wilm’s tumor = Retinoblastoma © Genetic and cytogenetic disorders * Trisomy 21 = Kleinfelter's Hermaphroditisom SYSTEMIC PATHOLOGY: o Head and neck tumors 10 10 NEOPLASIA * Retinoblastoma «Salivary gland tumors * Thyroid malignancy Wes nefSTO ANCHUM Meo g OURO De MUN IBS} FICATION FOR THE QUALIFYING A Seinen y nnn VM Meme aeRO. a Og OU { Given a clinical situation, justify and interpret the diagnostic findings of the following diseases ‘© Benign vs malignant tumors vs infective process Premalignant tumors If malignant: distinguish primary tumor from metastatic Clinical features of tumors Staging of malignancies Gross and histopathologic features of tumors = Tumor markers ‘CNS Tumors (Neuroglial) * astrocytoma, © ependymoma, * glioblastoma, * oligodendroglioma ° © Endocrine Pituitary = Thyroid Adrenals © Ovarian/testicular © Breast tumors © Hepatic tumors © Gastrointestinal tumors + Esophageal = Gastric * Intestines = Pancreatic Renal tumors Reproductive tract tumors Bone and cartilage tumor Skin tumors Hematopoietic malignancy o000 SYSTEMIC PATHOLOGY: IMMUNOPATHOLOGY 1. Given a clinical situation, utilizing holistic approach and ‘© Connective tissue disease SLE Rheumatoid arthritis Scleroderma Dermatomyositis wr ea fp MS Page 3 of 15PROFESSIONAL REGULATORY BOARD OF MEDICINE TABLE OF SPECIFICATION FOR THE QUALIFYING AS: NT OF FOREIGN MEDICAL PROFESSIONAL Suu inom or yee Critical thinking, the physician [0 Congenital immunodeficiency shall be able to: disorder + IgA | a. Identify the pathological | * X-linked hypogammaglobulinemia structure involved. Transient form of b. Point out the appropriate hypogammaglobulinemia pathophysiological Common variable immunodeficiency process/es involved DiGeorge Chronic monocutaneous candidiasis Wiskott-Aldrich c. Recognize the clinical course d. Correlate the pathophysiologic process |o Acquired immunodeficiency disorder and laboratory / + HIV-AIDs histopathologic findings of | © Malnutrition the following diseases. + Aging e. Predict and recognize the complications of the following connective tissue diseases. 2 Point out the subpopulation of |o Acquired immunodeficiency disorder B-cells and T-cell lymphocytes + HIV-AIDs involved SYSTEMIC PATHOLOGY: 7 7 = ENVIRONMENTAL AND ‘© Nutriceutical abuse NUTRITIONAL, + Vitamin abuse = Amino acid abuse Given a clinical situation, w holistic approach and critical o Nutritional deficiencies We Page 4 of 15thinking, the physician shall be able to: ‘a. Recognize the pathologic effects of nutritional problems b. Point out the appropriate pathophysiological process/es involved ¢. Recognize the clinical course and complications of the following nutritional deficiencies. + Protein/calorie malnutrition * Vitamin deficiency + Mineral deficiency Micronutrient deficiency Given a clinical situation, utilizing holistic approach and critical thinking, the physician shall be able to: ‘a, Recognize the pathologic effects of the environmental toxicant. b. Point out the appropriate pathophysiological process/es involved Recognize the clinical course and complications of the following nutritional deficiencies, drug reactions ‘© Environmental Toxicants Tobacco smoke Environmental poisons Drugs (pharmacoecology) Pollution Occupational hazards Radiation Thermal injuries ‘SYSTEMIC PATHOLOGY: INFECTIOUS DISEASE © Bacterial + Gram positive 8 8 oe Page 5 of 15 lies yoPROFESSIONAL REGULATORY BOARD OF MEDICINE TABLE OF SPECIFICA ON FOR THE QUALIFYING ASSESSMENT OF FOREIGN MEDICAL PROFESSIONAL. AULT sere osvneRereng thinking, the physician shall be able to accomplish the following 1, Point out and justify the pathologic structures involved, ° = Gram negative Given a clinical situation, utilizing | * Leptospirosis holistic approach and critical + Atypical organisms thinking, the physician shall be | Acid-fast organisms able to: o Viral 1, Point out and apply the + Measles | basic principles of = Mumps | microbiological + Poliomyelitis i pathogenesis. = Roseola Infantum | Point out and justify the = Herpes pathologic structures involved, | * Varicella/zoster identify the etiologic agents, + Hepat discuss the pathogenesis involved | * Rubella in the following infectious + Epstein Barr virus diseases + HIV | o Fungal Parasitic SYSTEMIC PATHOLOGY: © Esophageal 10 10 GASTROINTESTINAL DISEASE | * Stenosis + Achalasia Given a clinical situation, utilizing | * Mallory Weiss reflux esophagitis holistic approach and critical + Barrett's esophagus Esophageal varices Gastric / Pylorus Stenosis Gastritis Page 6 of 15 a a PTR pePP ee Once vane nui ian en myn a rely WMO Aue ela LU. n hie ES Mea TOs ae Vso a Ce) cis CONV Riis iserena ern cn (2. Arrive ata logical pathological | = Peptic ulcer disease diagnosis + GERD 3. Point out the etiologic agents, 4, Appraise and discuss the © Small and Large intestines presence of complications + Meckel’s diverticulum Correlate the pathophysiologic | * Necrotizing enterocolitis process with the laboratory tests | * GITTB and suggests other confirmatory | * Amoebiasis tests. = Lactose intolerance = Intussusception + Volvulus = Acute appendicitis = Polyposis + Diverticulosis © GIT bleeding (upper and lower) o Peritoneum Peritonitis Mesenteric lymphadenitis, Mesenteric cyst ©. Liver Viral hepatitis Neonatal cholestasis Cirrhosis Hepatic failure Alcoholic liver disease Wilson's disease Alpha-1-antitrypsin deficiency Page 7 of 15Pras Ome ured aase), ike ca TOO NIA Oe area UMM DO Wea LULA CEs i F NOLS Cor UPR a Ney usiss (0). Ryne owETO Ree) © Biliary Tract + Biliary atresia * Choledochal cyst + Cholelithiasis + Gallbladder hydrops ©. Pancreas + Pancreatitis = Cyst SYSTEMIC PATHOLOGY: © Congenital CARDIOVASCULAR AND = Cyanotic heart disease COLLAGEN DISEASES ‘Tetralogy of Fallot | ‘Transposition of great vessels Given a clinical situation, utilizing | Eisenmenger’s syndrome holistic approach and critical thinking, the physician shall be | * Acyanoticheart disease able to accomplish the following | VSD /ASD PDA 1. Point out and justify the pathologic structures involved, |o Hypertensive vascular / heart disease 2. Arrive at a logical pathological | * CARDIOMYOPATHY diagnosis Congestive heart failure 3. Correlate the applicable a. High-output HF | pathophysiologic process with b. Low out-put HF | the laboratory tests * Cor pulmonale * ACQUIRED HEART DISEASES a. RHD b._Myocardial infarction Z ven £ me pe Page 8 of 15,Paola ONC Um UL es asi) ikea aM (OI SMy.NAok ys ae Lg MUON A RU ca UA OLUAU LIN Cr NS CIVIC ARONA BLL SUBJECT: PATHOLOGY axe geSy (OV ° ° © Angina Pericardial Pericarditis Pericardial effusion Vascular Diseases Atherosclerosis Takayasu's disease Periarteritis Nodosa Kawasaki disease Burger's disease ‘Wegener granulomatosis Venous thrombosis SVC disease IVC disease ‘Aortic aneurysm COLLAGEN DISEASES Given a clinical situation, utilizing holistic approach and critical thinking, the physician shall be able to accomplish the following 4. Point out and justify the pathologic structures involved, 5, Arrive ata logical pathological diagnosis ° Connective tissue disease SLE RA Dermatomyositis, Arthritis 10 10 an Page 9 of 15 concepBeige MUON SU era JALIFYING A‘ nia) (. Correlate the applicable ] pathophysiologic process with | the laboratory tests SYSTEMIC PATHOLOGY: © Acute lung injury 10 | 10 RESPIRATORY DISEASE © Pulmonary edema © Acute Respiratory distress Syndrome Given a clinical situation, utilizing | (adult/pedia/prematurity) holistic approach and critical | Severe Acute respiratory syndrome thinking, the physician shall be (SARS) able to: © Obstructive pulmonary disorder + Asthma 1. Point out and justify the + Bronchiolitis pathologic structures involved, | * Bronchiectasis, 2. Arrive at a logical pathological | * Chronic bronchitis diagnosis + copD 3. Discuss the clinical course / complication © Infiltrative/ restrictive lung disease ‘4. Correlate the applicable + Pneumonia pathophysiologic process with | © Bacterial the laboratory testfindings of | © Viral the following diseases. © Fungal * Atypical pneumonia = Aspiration pneumonia = Lung abscess * Pneumonia in a-compromised patient © Pleural disease »_Effusion | ta a Ing i Page 10 of 15FICATION FOR = Pneumothorax * Hemothorax Pyothorax SYSTEMIC PATHOLOGY: o Acute lung injury 10 10 RESPIRATORY DISEASE o Pulmonary edema © Acute Respiratory distress Syndrome Given a clinical situation, utilizing (adult/pedia/prematurity) holistic approach and critical © Severe Acute respiratory syndrome thinking, the physician shall be (SARS) able to: © Obstructive pulmonary disorder = Asthma ‘5. Point out and justify the = Bronchioliti pathologic structures involved, | * Bronchiectasis 6. Arrive at a logical pathological * Chronic bronchitis diagnosis * copD 7. Discuss the clinical course / complication ©. Infiltrative/ restrictive lung disease \8. Correlate the applicable * Pneumonia pathophysiologic process with «Bacterial the laboratory test findings of © Viral the following diseases. © Fungal = Atypical pneumonia * Aspiration pneumonia = Lung abscess = Pneumonia in acompromised patient co Pleural disease = Effusion *_Pheumothorax We Page 11 of 15 mw FPROFESSIONAL REGULATORY BOARD OF MEDICINE TABLE OF SPECIFICATION FOR THE QUALIFYING ASSE: SUBJECT: PATHOLOGY SMENT OF FOREIGN MEDICAL PROFESSIONAL = Hemothorax Pyothorax SYSTEMIC PATHOLOGY: © Anemia 7 HEMATOPOETIC AND + Iron deficiency ONCOLOGIC DISEASE + Hemolytic « =G6PD Given a clinical situation, utilizing | ABO incompatibility holistic approach and critical RH incompatibility thinking, the physician shall be © Sickle cell disease able to: * Thalassemias * Aplastic anemia 1. Point out and justify the © Megaloblastic anemia pathologic structures involved, | » Autoimmune hemolytic 2. Arrive at a logical pathological | = Paroxysmal nocturnal diagnosis hemoglobinuria 3. Discuss the pathogenesis and | « Polycythemia clinical course / complication ‘4. Correlate the applicable © Hemorrhagic disorders pathophysiologic process with | = Thrombocytopenia the laboratory test findings of | = Clotting factor abnormality the following diseases. pic SYSTEMIC PATHOLOGY: © Pituitary z 7 ENDOCRINE DISORDERS + Hypersecretion = Hyposecretion Given a clinical situation, utilizing | * Adenoma holistic approach and critical + Prolactinoma thinking, the physician shall be able to: o Pancreas + DM : ay Page 12 of 15SUT) Wane etch a TORO Te: CNMI Aa Odes CONT 1. Point out the pathologic . structures involved, 2. Discuss pathogenesis 3. Arrive at a logical pathological | * diagnosis . 14. Discuss the pathogenesis and | * clinical course / complication | * 5. Correlate the applicable pathophysiologic process with the laboratory test findings of, the following diseases. © Adrenals © Thyroid © Parathyroid Islet cell tumors Insufficiency / Addison's disease Hyperplasia /Cushing syndrome Pheochromocytoma Neuroblastoma Grave's disease Plummer's disease Quevarin Thyroiditis Diffuse toxic goiter ‘Adenomas Hypoparathyroidism Hyperparathyroidism SYSTEMIC PATHOLOGY: NERVOUS SYSTEM DISORDERS . Given a clinical situation, utilizing | * holistic approach and critical ° king, the physician shall be | * able to: 1. Point out the pathologic structures involved, © Common Cranial disorders Infection © Vascular disorders Cerebral edema Herniation Hydrocephalus Meningitis (viral, bacterial, fungal, TB) Viral encephalitides (rabies, SPPE) «Cerebral Aneurysm Page 13 of 15 a0 ot meON FOR THE QUALIFYI PMY) OGY 2. Discuss pathogenesis © Hemorrhage ] 3. Arrive ata logical pathological * Infarction / ischemic diagnosis Encephalopathy 14. Discuss the pathogenesis and |o Degenerative clinical course / complication | * Dementia 5. Correlate the applicable Alzheimer’s disease pathophysiologic process with | * Parkinson's disease the laboratory test findings of |© Demyelinating disease the following diseases. = CNS ‘© Multiple sclerosis, = PNS + Guillain Barre syndrome © Autoimmune CNS disease «Myasthenia Gravis SUMMARY OF AREAS/ TOPIC LISTING FOR PATHOLOGY WEIGHT. 01 10 BASIC PATHOLOGY 0202=«7 SYSTEMIC PATHOLOGY: DEVELOPMENTAL DISORDERS 0310 SYSTEMIC PATHOLOGY: NEOPLASIA ae Page 14 of 15,feet 05 7 06 8 0710 08 10 09 10 10 es 1. 7 12 7 PREPARED BY: Noted by: etl eee PRC Test Consultant SYSTEMIC PATHOLOGY: SYSTEMIC PATHOLOGY: SYSTEMIC PATHOLOGY: SYSTEMIC PATHOLOGY: SYSTEMIC PATHOLOGY: SYSTEMIC PATHOLOGY: SYSTEMIC OATHOLOGY: SYSTEMIC PATHOLOGY: SYSTEMIC PATHOLOGY: Cee ST, CLARITA C. MAANO, MD Member Member IMMUNOPATHOLOGY ENVIRONMENTAL AND NUTRITIONAL, INFECTIOUS DISEASES GASTROINTESTINAL DISEASES CARDIOVASCULAR AND COLLAGEN DISEASES RESPIRATORY DISEASES. HEMATOPOETIC ENDOCRINE DISORDERS NERVOUS DISORDERS 2 — ELEANOR B. ALMORO, MD Chabrperson ee Pi GRACIELA fetta BY Page 15 of 15 WV ELEANOR J. GALVEZ, MD EDGAI M wv “FERNANDO, MD berProfessional Regulatory Board of Medicine Table of Specification for the Qualifying Assessment of Foreign Medical Professional Subject: Medicine TABLE OF SPECIFICATIONS SUBJECT: MEDICINE NO. OF CLASSIFICATION OF QUESTION LEARNING OUTCOMES CONTENT WEIGHT | TEST | EASY (34%) MODERATE (56%) DIFFICULT (20%) ITEMS | _& ¢ “APPLICATION. “ANALYSIS | EVALUATION | CREATION 1. Given a clinical situation, the | CARDIOVASCULAR 12 12 physician can analyze the anatomic, physiologic, biochemical, microbiological and pathophysiologic basis of the following diseases. Hypertension Angina Pectoris Sudden Cardiac Death | Shock | Coronary Artery Disease Congestive Heart Failure Common Arrhythmias | Valvular Heart Disease Infective Endocarditis / Pericarditis Rheumatic Heart Disease | 2. Given a clinical situation, the | physician can: a. formulate a diagnosis, after taking history and physical examination, b. identify laboratory and ancillary diagnostic tools you can use in the diagnosis of the diseases and interpret the results. cc. identify the appropriate definitive and supportive management of the following diseases. RY peer A Prange PeProfessional Regulatory Board of Medicine Table of Specification for the Qualifying Assessment of Foreign Medical Professional Subject: Medicine ‘d._ predict and manage the complications of the following diseases. e. analyze prognosis of the disease. f. plan for prevention of the disease. | g. identify indications for referral to qualified specialists. 1. Given a clinical situation, the physician can analyze the anatomic, physiologic, biochemical, microbiological and pathophysiologic basis of the following diseases. 2. Given a clinical situation, the physician car a. formulate a diagnosis, after taking history and physical examination, b. identify laboratory and ancillary diagnostic tools you can use in the diagnosis of the diseases and interpret the results. ¢. identify the appropriate definitive and supportive DERMATOLOGY Common Skin Lesions ‘* Dermatitis Exogenous Endogenous Exanthems Urticaria Drug reactions Fixed drug eruption Steven Johnson's, syndrome ‘Toxic epidermal necrolysis © Dermatological tumors Premalignant lesions Malignant tumors ‘+ Dermatological manifestation of systemic diseasesProfessional Regulatory Board of Medicine Table of Specification for the Qualifying Assessment of Foreign Medical Professional Subject: Medicine | 3 management of the following diseases. d._ predict and manage the complications of the following diseases. e. analyze prognosis of the disease. f. plan for prevention of the disease. g. identify indications for referral to qualified specialists. T. Given a clinical situation, the | DIGESTIVE SYSTEM 10 10 physician can analyze the + Gastrointestinal Bleeding anatomic, physiologic, * Acute Abdomen biochemical, microbiological |e Amebic dysentery and pathophysiologic basis of |e Gastroenteritis the following diseases. aie 1. Infectious 2.Givena clinical situation, the | (Bacterial, viral, fungal) physician can: a. Typhoid Fever b. Cholera a. formulatea diagnosis, after |. Enterotoxigenic E. coli taking history and physical examination, 2. Non-infectious b. identify laboratory and milk /food allergy ancillary diagnostic tools you can use in the diagnosis |, gnterocolitis of the diseases and Pancreatitis interpret the results. o Hepa ane p—— Page 3 of 14 ~ +professional Regulatory Board of Medicine Table of Specification for the Qualifying Assessment of Foreign Medical Professional Subject: Medicine ©. identify the appropriate definitive and supportive management of the Hepatic Abscess Peptic Ulcer Disease Gastroesophageal Reflux following diseases. + Gallbladder diseases . predict and manage the Abdominal Cancer complications of the + Diverticulitis following diseases. © Colonic Polyp e. analyze prognosis ofthe |, jfemorrhoi disease. f. plan for prevention of the disease. g. identify indications for referral to qualified specialists. 1. Given a clinical situation, the | ENDOCRINE SYSTEM 10 10 physician can analyze the «Acute Diabetic anatomic, physiologic, complications biochemical, microbiological |» Diabetes Mellitus and pathophysiologic basis of |« Thyroid diseases the following diseases. © Thyroid storm + Thyroid neoplasm 2. Given a clinical situation, the |. Obesity physician can: © Cushing’s syndrome - * Addison's disease a. formulate a diagnosis, after |? Diabetes insipidus taking history and physical |) acromegaly examination, b. identify laboratory and ancillary diagnostic tools you can use in the diagnosis Prolactinemia ——Professional Regulatory Board of Medicine Table of Specifica stion for the Qualifying Assessment of Foreign Medical Professional Subject: Medicine 5 of the diseases and interpret the results. ¢. identify the appropriate definitive and supportive management of the following diseases. d._ predict and manage the complications of the following diseases. e. analyze prognosis of the disease. f, plan for prevention of the disease identify indications for referral to qualified specialists. 1. Given a clinical situation, the physician can analyze the anatomic, physiologic, biochemical, microbiological and pathophysiologic basis of the following diseases. 2. Given a clinical situation, the physician can: a. formulate a diagnosis, after taking history and physical examination, HEMATOLOGY / IMMUNOLOGY / ONCOLOGY © Anemia «Allergy (type I-IV) © Hypersensitivity Reaction © Blood dyscrasia Myeloproliferative diseae Leukemia /Lymphoma Hypoprothrombinemia Lymphangitis © Vasculitis 10 10 Page 5 of 14Professional Regulatory Board of Medicine Table of Specification for the Qualifying Assessment of Foreign Medical Professional Subject: Medicine b. identify laboratory and ancillary diagnostic tools you can use in the diagnosis, of the diseases and interpret the results. c. identify the appropriate definitive and supportive management of the following diseases. d. predict and manage the complications of the following diseases. e. analyze prognosis of the disease. f. plan for prevention of the disease. g. identify indications for referral to qualified specialists. 1. Given a clinical situation, analyze the anatomi physiologic, biochemical, microbiological and pathophysiologic basis of the following diseases. 2. Given a clinical situation, the physician can a. formulate a diagnosis. NEUROLOGY CNS infection Encephalitis Meningitis PSP Red Tide (Saxitoxin) CNS Tumors Degenerative diseases Seizure disorders Stroke (CVD) Spinal Cord conditions Tetanus and Rabies 10 10Professional Regulatory Board of Medicine Table of Specification for the Qualifying Assessment of Foreign Medical Professional Subject: Medicine | 7 . identify laboratory and ancillary diagnostic tools you can use in the diagnosis of the diseases. Interpret the results. ¢. identify the appropriate definitive and supportive management of the following diseases. 4. predict and manage the complications of the following diseases. e. analyze prognosis of the disease. {plan for prevention of the disease. g. identify indications for referral to qualified specialists. 1. Given a clinical situation, the physician can analyze the pathophysiologic basis of the following diseases. 2. Given a clinical situation, the physician can: a. formulate a diagnosis, after taking history and physical examination, Mental Health and Wellness (PSYCHIATRY) ‘© Acute Psychiatric Emergency Anxiety disorder Depression Bipolar Disorder Trauma Related Disorders PTSD, Acute Stress Disorder Victims of sexual abuse Page 7 of 14 _—=| Professional Regulatory Board of Medicine Table of Specification for the Qualifying Assessment of Foreign Medical Professional Subject: Medicine | b. identify laboratory and Domestic violence ancillary diagnostic tools |* Postpartum depression you can use in the diagnosis | Psychosis of the diseases and © Substance Abuse interpret the results. «Non suicidal self injury c. identify the appropriate © Suicidal self injury definitive and supportive management of the following diseases. d._ predict and manage the complications of the following diseases. e. analyze prognosis of the disease. f. plan for prevention of the disease. g, identify indications for referral to qualified specialists. 1. Given a clinical situation, the | RENAL SYSTEM 10 10 | physician can analyze the © Electrolyte /Acid-base | anatomic, physiologic, balance biochemical, microbiological |* Kidney stones and pathophysiologic basis of |* Urinary Tract Infection the following diseases. © Glomerular diseases Renal Cancers 2. Given a clinical situation, the |. Renal Failure physician can:Professional Regulatory Board of Medicine Table of Specification for the Qualifying Assessment of Foreign Medical Professional Subject: Medicine | 9 a, formulate a diagnosis, after taking history and physical examination, b. identify laboratory and ancillary diagnostic tools you can use in the diagnosis of the diseases and interpret the results. cc. identify the appropriate definitive and supportive management of the following diseases. 4. predict and manage the complications of the following diseases. e. analyze prognosis of the disease. f. plan for prevention of the disease. identify indications for referral to qualified specialists. 1. Given a clinical situation, the physician can analyze the anatomic, physiologic, biochemical, microbiological and pathophysiologic basis of the following diseases. 2. Given a clinical situation, the physician can: RESPIRATORY SYSTEM © Acute respiratory failure © Pulmonary Infections Bronchitis Pneumonia Viral respiratory Infections SARS ‘* Pulmonary Tuberculosis Bronchial Asthma 10 10 Page 9 of 14 —-Professional Regulatory Board of Medicine Table of Specification for the Qualifying Assessment of Foreign Medical Professional Subject: Medicine a. formulate a diagnosis, after taking history and physical examination, b. identify laboratory and ancillary diagnostic tools you can use in the diagnosis of the diseases and interpret the results. c. identify the appropriate definitive and supportive management of the following diseases. d. predict and manage the complications of the following diseases. e. analyze prognosis of the disease. f. plan for prevention of the disease. g. identify indications for referral to qualified specialists. Chronic Obstructive Pulmonary Disease (COPD) Lung Cancer Adult Respiratory Distress Syndrome (ARDS) 1. Given a clinical situation, the physician can analyze the anatomic, physiologic, biochemical, microbiological and pathophysiologic basis of the following diseases. RHEUMATOLOGY and MUSCULOSKELETAL SYSTEM The Arthritides Connective Tissue Diseases Osteitis, Osteoporosis, Osteomyelitis yyProfessional Regulatory Board of Medicine Table of Specification for the Qualifying Assessment of Foreign Medical Professional Subject: Medicine | 11 2. Given a clinical situation, the physician car a. formulate a diagnosis, after taking history and physical examination, b. identify laboratory and ancillary diagnostic tools you can use in the diagnosis of the diseases and interpret the results. ¢. identify the appropriate definitive and supportive management of the following diseases. d. predict and manage the complications of the following diseases. e. analyze prognosis of the disease. f. plan for prevention of the disease. g. identify indications for referral to qualified specialists. © Arthritis © Tenosynovitis 1. Given a clinical situation, _| INFECTIOUS DISEASES 8 8 analyze the microbiological and |e BACTERIAL pathophysiologic basis of the 1. Tuberculosis following diseases. 2. Sepsis | __3._Staph infection Page 11 of 14 D VI (>12 Professional Regulatory Board of Medicine Table of Specification for the Qualifying Assessment of Foreign Medical Professional Subject: Medicine Given a clinical situation, the physician can: formulate a diagnosis, after taking history and physical examination, b. identify laboratory and ancillary diagnostic tools you can use in the diagnosis of the diseases and interpret the results. ¢. identify the appropriate definitive and supportive management of the following diseases d._predict and manage the complications of the following diseases. e. analyze prognosis of the disease. f. plan for prevention of the disease. g identify indications for referral to qualified specialists. 4. Strep infection 5. Ecoli 6. Leprosy 7. Leptospirosis =VIRAL HIV-AIDS Dengue fever Influenza Chikungunya Viral exanthems Varicella ovens © PROTOZOAL/HELMINTHS a. Malaria b. Amoeba * FUNGAL INFECTIONS © Candidosis ‘© Sexually transmitted diseases (STD) + Fever of unknown origin + Animal bites Legal Medicine and Bioethics ‘The physician can explain the basic extant laws of the Extant laws © Medical Act of 1959 as amended. © Generics Act ay ec p ™m iProfessional Regulatory Board of Medicine Table of Specification for the Qualifying Assessment of Foreign Medical Professional Subject: Medicine | 13, Philippines and principles of [o Universal health care bill 7 bioethics. Principles of Bioethics © Beneficence © Non-Maleficence © Justice © Informed consent © Conflict of interest UTOTAL 100 L SUMMARY OF AREAS/ TOPIC LISTING FOR MEDICINE WEIGHT o1 12 CARDIOVASCULAR oz 10 DIGESTIVE 0310 ENDOCRINE 04 10 HEMATOLOGY / IMMUNOLOGY / ONCOLOGY 05 (10 NEUROLOGY 06 10 RENAL DISEASES: 08 10 RESPIRATORY DISEASES 2 RHEUMATOLOGY 10 8 INFECTIOUS DISEASES ns DERMATOLOGY 12 § PSYCHIATRY 13003 LEGAL MEDICINE AND BIOETHICS Gomme Por Page 13 of 144 Professional Regulatory Board of Medicine T PREPARED BY: pt ELEANOR B. ALMORO, MD Chairperson phe ero CLARITA C, MAANO, MD Member figingrngtlas , Mody Miele Gehcreu kc CONZAGA, MD Member Noted by: tithe é fi BIGAR PRC Test Consultant ‘able of Specification for the Qualifying Assessment of Foreign Medical Professional Subject: Medicine BY ELEANOR J. GALVEZ, MD a EDG: . FERNANDO, MD lember