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DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-01

Q.1.Carry out clinical examination of the RESPIRATORY-SYSTEM of given subject .Inspect the “Type of breathing” & auscultate for the “VOCAL-RESONANCE”.

Q.2. Write in brief about the “VOCAL-FREMITUS” & “ADVENTITIOUS SOUNDS”.

the “VOCAL-FREMITUS” & “ADVENTITIOUS SOUNDS”. DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-02

Q.1. Carry out a systematic clinical examination of the CARDIO-VASCULAR SYSTEM of the given subject . Palpate for “APEX-BEAT” & auscultate heart sounds.

Q.2. Write in brief about the (a) ‘THRILLS’, (b) JVP (Jugular venous pressure), (c) “SPLIT-SOUNDS”, (d ) “TRIPPLE-RHYTHM” & (e) ‘MURMURS’.

(d ) “TRIPPLE-RHYTHM” & (e) ‘MURMURS’. DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-03

Q.1. Define & measure (record) the various components of “Systemic arterial BLOOD-PRESSURE” by PALPATORY, OSCILLOMETRIC & AUSCULTATORY Methods. Also give the merits & demerits of each method and the effect of POSTURE on it.

Q.2. Explain the “KOROTKOFF’S -sounds “ & “AUSCULTATORY-gap” with their clinical significance.

on it. Q.2. Explain the “KOROTKOFF’S -sounds “ & “AUSCULTATORY-gap” with their clinical significance.
 

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-04

Q.1. Using SPHYGMOMANOMETER, record the various components of the

“Systemic arterial blood pressure & Heart-rate” in sitting posture ,before and after the PHYSICAL-EXERCISE of mild, moderate ,severe & very severe grades. Express your observations in the tabulated-form and interpret your result

 

properly.

Q.2. Explain the long-term effects of physical exercise (training) on the cardio- vascular physiology.

 

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-05

Q.

1. With suitable clinical methods, measure the effect of GRAVITY on the

various components of “Systemic arterial blood pressure & Heart-rate”. Express

your observations in the tabulated-form and interpret your result properly.

Q.

2. What is POSTURAL-HYPOTENSION? Explain its patho-physiology.

 

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-06

Q.1. With suitable clinical methods, measure the effect of “ISOTONIC & ISOMETRIC physical-exercises” on the various components of “Systemic arterial blood pressure & Heart-rate”. Express your observations in the tabulated-form and interpret your result properly.

Q.2. What is the WHO-Criteria for defining the HYPERTENSION ? Also tell about the “WHITE-COAT Hypertension” & “NEUROGENIC Hypertension”?

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-07

Q.1. Using the ECG-lead “LL-RA” (LL+ve) in the given ECG-strip calculate the followings:- (a) Heart-rate , (b) PR-interval, (c) Duration & its amplitude of QRS- complex, (d) Duration of the cardiac cycle, (e) Anatomical position (in degrees) of the heart in chest cavity.

Q.2. Name out the various changes in corresponding ECG-leads in the patient with MI (myocardial-infarction) in the ventro-anterior wall of the left ventricle.

in the ventro-anterior wall of the left ventricle. DEPARTMENT OF PHYSIOLOGY,DR. S.N.M.C, JODHPUR (RAJ.)

DEPARTMENT OF PHYSIOLOGY,DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-08

Q.1. In the standard limb-lead (which records the potential difference between the left leg & left arm ) of the given ECG-strip ; calculate the duration of ‘P’- wave, ‘S’-wave, ‘T’-wave & “QT-interval” and also give their physio-clinical significance.

Q.2. Name out various ECG-leads . Also write about the clinical significance of ECG-recording?

Also write about the clinical significance of ECG-recording? DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-09

Q.1.Using suitable PERIMETER , determine the “FIELD OF VISION” in the subject provided and describe its extent in the various meridians. Express in degrees the position of physiological & pathological (if any ) , SCOTOMAS (Blind-spots).

Q.2. Plotting the VISUAL-PATHWAY of a patient , locate the positions of various lesions in it ,resulting into followings types of BLINDNESS:- (a) Binasal- hemianopia, (b)Heteronymous-hemianopia,(c) Superior-homonymous- quadrantnopia.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-10

Q.1. Using suitable charts, determine the “DISTANT & NEAR VISUAL- ACUITY” of the subject provided.

Q.2. Write in brief about various “ERRORS OF REFRACTION” and also suggest a suitable correction for them.

and also suggest a suitable correction for them. DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-11

Q.1. Perform the “ISHIHARA” test for color vision. Name out any 3 more methods for testing color vision. Also tell the significance of color-vision testing.

Q.2. Write in brief about “COLOR-BLINDNESS” & its various types.

brief about “COLOR-BLINDNESS” & its various types. DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-12

Q.1.Perform the “RINNE’S test & WEBER’S test” for hearing. Report the type of sound-conduction (i.e. Air conduction or Bone conduction) , better perceived by each ear.

Q.2. Write in brief about the AUDIOMETRY , “COCHLEAR-IMPLANTS” and various types of ‘DEAFNESS’ .

and various types of ‘DEAFNESS’ . DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-13

Q.1.Perform the tests for the “GUSTATION & OLFACTION”. Record the results and grade the intensity of sensation as:- intense (++++), moderate (+++), mild (++), slight (+) or absent (0).

Q.2. Plot the TASTE-pathway. Also write about the “OLFACTORY-ADAPTATION”.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-14

Q.1. Perform the test for “sensation of TOUCH, TWO-POINT DISCRIMINATION , SENSE OF POSITION , VIBRATION , STEREOGNOSIS, PROPRIOCEPTION & PAIN” . Name out the sensory tracts (pathway) for them.

Q.2. What is the “LABELED LINE PRINCIPLE”? Also write in brief about the “TYPES OF PAIN” & “GATE –CONTROL THEORY OF ANALGESIA”.

OF PAIN” & “GATE –CONTROL THEORY OF ANALGESIA”. DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-15

Q.1. Perform the “RETINOSCOPY & OPHTHALMOSCOPY” of the given subjects.

Q.2. Derive the refractive state of the eye if the lens required to reverse the original movement of images are:- (a) -2.5D, (b) + 3.0D; if the correction factor is 1.0D. Also give significance of ‘OPHTHALMOSCOPY’ in clinical physiology.

significance of ‘OPHTHALMOSCOPY’ in clinical physiology. DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-16

Q.1. Carry out a systematic clinical examination of “RADIAL-PULSE” of the given subject. Report the rate, amplitude, regularity (rhythm) & character of pulse.

Q.2. Plot well labeled diagrams of “normal & abnormal PULSE WAVE-FORMS”.

diagrams of “normal & abnormal PULSE WAVE-FORMS”. DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-17

Q.1. Demonstrate the “LIGHT-REFLEX” & the reaction of the pupil to the “ACCOMODATION FOR THE NEAR -VISION” in the given subject. Q.2. Plot the “ACCOMODATION-PATHWAY”. Also write in brief about the “ARGYLL-ROBERTSON PUPIL” .

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-18

Q.1. Perform suitably the clinical examination to assess the health of the “5 th cranial nerve”.

Q.2. Plot the neural pathway for “CORNEAL-REFLEX”. Also write in brief about “MAXILLARY-REFLEX.”

Also write in brief about “MAXILLARY-REFLEX.” DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-19

Q.1.Carry out clinical tests to assess the motor functions of the “FACIAL NERVE”.

Q.2. List out various abnormalities in case of lesions in the “FACIAL NERVE”.

abnormalities in case of lesions in the “FACIAL NERVE”. DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-20

Q.1. Carry out clinical tests to assess the functions of the “GLOSSOPHARYNGEAL & VAGUS NERVES”.

Q.2. Write in brief about the “VERNET’S RIDEAU PHENOMENON” & “LARINGOSCOPY”.

“VERNET’S RIDEAU PHENOMENON” & “LARINGOSCOPY”. DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-21

Q.1. Carry out clinical tests to assess the motor functions of “the 11 th & 12 th cranial nerves”.

Q.2. Give the features of case when the “the 11 th & 12 th cranial nerves” are damaged.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-22

Q.1. Perform the clinical test for assessing the “STATE OF NUTRITION (BULK) OF MUSCLE” & “MUSCLE TONE” .

Q.2. Write in brief about various type of abnormalities of “MUSCLE TONE” .

about various type of abnormalities of “MUSCLE TONE” . DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-23

Q.1. Perform the clinical test for assessing the “MUSCLE-STRENGTH” in upper & lower limbs. Report your results in the form of ‘GRADE’ of muscle strength.

Q.2. Write in brief about the “GRADING OF MUSCLE-STRENGTH”

Write in brief about the “GRADING OF MUSCLE-STRENGTH” DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-24

Q.1. Perform the clinical test for assessing the “COORDINATION OF MOVEMENTS” of upper-limbs & lower limbs.

Q.2. Write in brief about ‘ATAXIA’ & “ROMBERG’S SIGN”.

in brief about ‘ATAXIA’ & “ROMBERG’S SIGN”. DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-25

Q.1. Elicit the “FLEXOR PLANTAR REFLEX” in given subject. Also give its reflex path.

Q.2. Write in brief about the “BABINSKI’S SIGN” & “HOFFMANN’S SIGN”.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-26

Q.1. Elicit the “ABDOMINAL REFLEX” & give its reflex path also.

Q.2. Write in brief about “CREMASTERIC REFLEX” & “CILIOSPINAL REFLEX” .

“CREMASTERIC REFLEX” & “CILIOSPINAL REFLEX” . DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-27

Q.1. Demonstrate the “KNEE-JERK” & “ACHILLES-JERK” in the subject provided. Also give their reflex-arcs.

Q.2. Write in brief about the “JENDRASSIK’S- MANOEUVRE ” & its significance.

the “JENDRASSIK’S- MANOEUVRE ” & its significance. DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-28

Q.1. Demonstrate the “BICEPS-JERK” & “TRICEPS-JERK” in given subject. Also write about their reflex arcs.

Q.2. Write in brief about “SUPINATOR- JERK” & “ JAW-JERK”. Also list out the conditions when the deep reflexes get DIMINISHED & EXAGGERATED respectively.

deep reflexes get DIMINISHED & EXAGGERATED respectively. DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-29

Q.1. Demonstrate the ‘CLONUS’ in the subject provided. Give the definition, & write about the clinical types of ‘CLONUS’.

Q.2. Write in brief about the “GRADING OF THE TENDON-REFLEXES”.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

 

CLINICAL SPOT NO:- S-30

Q.1. Demonstrate the “OCCULO-CARDIAC REFLEX” & “CAROTID-SINUS REFLEX” in the subject provided. Also write about their reflex path.

Q.2. Write in brief about “CAROTID-SINUS SYNCOPE”. Also name out any 10 other physiologically significant “VISCERAL REFLEXES”.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.) CINICAL SPOT NO:- S-31

Q.1. Performing the VITALOGRAPHY (Vitalometry), record the VITAL CAPACITY of the subject provided. Also explain the effect of the POSTURE on it.

Q.2. What is “TIMED- VITAL CAPACITY’ ? Explain with suitable diagrams the clinical significance of its various components in respiratory physiology.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

 

CLINICAL SPOT NO:- S-32

Q.1. Performing the SPIROMETRY, calculate the following parameters :- (a) TV ,

(b) IRV,

(c) ERV, (d) IC, (e) EC & (f) VC.

Q.2. What is “RESIDUAL VOLUME” & “BREATHING –RESERVE” ? Also give their clinical significance.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

 

CLINICAL SPOT NO:- S-33

Q.1. Perform a suitable examination of the ‘GAIT’ of the subject provided. Name out various types of “ABNORMAL GAITS”.

Q.2. Write in brief about the “UPPER & LOWER MOTOR LESIONS”.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C, JODHPUR (RAJ.)

CLINICAL SPOT NO:- S-34

Q.1. Using a suitable apparatus, perform the study of the “RESPIRATORY - MOVEMENTS” in the given subjects. Mark & label the recordings properly.

Q.2. Write in brief about APNOEA, HYPERVENTILATION & “BREAKING-POINT”.

DEPARTMENT OF PHYSIOLOGY, DR. S.N.M.C., JODHPUR (RAJ.)

-: SPOT-CARDS ( EXERCISE-KEY) IN CLINICAL LAB FOR PRACTICAL–EXAM :-

MBBS-1 ST YEAR (BATCH-56)

(Session:- 2014-15)

Dated:-

.

.

SEAT

EXERCISE

EXERCISE

NO.

(1)

(2)

S-01

Respiratory system exam. & vocal resonance

Vocal fremitus &Adventitious sounds

S-02

CVS-Examination &Apex beat

Thrills, JVP, Split sound, Tripple sound& Murmurs

S-03

Effect of posture on BP

Korotkoff sounds & Auscultatory gap

S-04

Effect of Physical exercise on BP

Effect of training on CVS

S-05

Effect of GRAVITY on BP

Postural hypotension

S-06

Effect of Isotonic & isometric exercise on BP

Hypertension

S-07

In lead-2,duration of PR-interval, QRS-Complex, cardiac cycle &position of heart in chest cavity

Changes in the ECG-leads in MI of ventro-anterior wall of left ventricle

S-08

In lead-3, duration ‘S’,‘T’ waves &QT-interval in ECG

Various leads & use of ECG

S-09

Field of vision

Visual path& lesions

S-10

Distant &near visual acuity

Error of refraction & their correction

S-11

Ishihara test & other methods

Color blindness

S-12

Hearing tests& type of sound conduction

Audiometry, cochlear implants, Deafness

S-13

Tests for Gustation &Olfaction

Taste-pathway & olfactory adaptation

S-14

Tests of various Sensations

Muller’s law; Pain & Analgesia

S-15

Retinoscopy & Ophthalmoscopy

Calculation of Refractive state of eye

S-16

Radial pulse

Normal &Abnormal pulse wave-forms

S-17

Light reflex, Accomodation for near vision

Accommodation pathway & Argyl Robertson pupil

S-18

Tests of 5 th Cranial nerves

Cornial reflex &maxillary reflex

S-19

Tests of 7 th Cranial nerves

Features of lesions of 7 th cranial nerve

S-20

Tests of 9 th &10 th Cranial nerves

Verneit Rideau’s phenomenon &Laringoscopy

S-21

Tests of 11 th &12 th Cranial nerves

Features of lesions of 11 th &12th cranial nerves

S-22

Tests for muscle-bulk & Muscle tone

Abnormal muscle-tone

S-23

Tests for muscle strength

GRADING of muscle strength

S-24

Tests for coordination of movements

Ataxia& Romberg’s sign

S-25

Flexar plantar reflex

Babinski sign

S-26

Abdominal reflex

Cremasteric & ciliospinal reflex

S-27

Knee jerk &Achilles- jerk

JENDRASIKK’S MANOUVRE

S-28

Biceps jerk & triceps jerk

Supination jerk& Jaw-jerk;Diminished & exaggerated reflexes

S-29

Clonus

Grading of tendon reflexes

S-30

Occulo-cardiac &Carotid sinus reflux

Carotid Sinus Syncope

S-31

Vitalography& Vital capacity

Timed Vital Cap. & use in respiratory physiology

S-32

Spirometry:-TV, IRV,ERV,IC,EC,VC

Residual volume& Breathing reserve

S-33

Examination of GAIT

Short-note on “Upper & lower motor tract lesions”

S-34

Recording of Respiratory movements by Stethography

Apnoea, Hyperventilation, Breaking point

Laboratory In-charge:- Dr. ………………………………, Sign=………………. HOD:-

Dr. ND Soni ,

Sign =………….

CHITS FOR SITTING ARRANGEMENT IN LAB.

S-01

S-22

S-01

S-22

S-02

S-23

S-02

S-23

S-03

S-24

S-03

S-24

S-04

S-25

S-04

S-25

S-05

S-26

S-05

S-26

S-06

S-27

S-06

S-27

S-07

S-28

S-07

S-28

S-08

S-29

S-08

S-29

S-09

S-30

S-09

S-30

S-10

S-31

S-10

S-31

S-11

S-32

S-11

S-32

S-12

S-33

S-12

S-33

S-13

S-34

S-13

S-34

S-14

S-35

S-14

S-35

S-15

S-36

S-15

S-36

S-16

S-37

S-16

S-37

S-17

S-38

S-17

S-38

S-18

S-39

S-18

S-39

S-19

S-40

S-19

S-40

S-20

S-41

S-20

S-41

S-21

S-42

S-21

S-42