PM&DC (Solved) Step-3/OSCE 7-DEC-2013 Conducted by LUMHS,Jamshoro (Morning-Session)

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  • 8/13/2019 PM&DC (Solved) Step-3/OSCE 7-DEC-2013 Conducted by LUMHS,Jamshoro (Morning-Session)

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    Hgpb it wiaa hbap upmglin` OL@sPith fbst wishbs

    Jr.Eiakni

    jgmtgrlfeiakniChgtlkia.mgl

    mailto:[email protected]:[email protected]
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    SL&JM ]tbp-=/G]MB Ogr Ogrbi`n Lbjimka @rkjuktbs (]gavbj )

    0-JBM-6;3= (Lgrnin`-]bssign)

    Bxkl wks in Lkr`kak hgtba,Isaklkfkj knj prgobssgrs wbrb orgl ARLH],Eklshgrg

    (;99 OL@s kppbkrbj this tilb ogr stbp-=)

    Zgtka ]tktigns

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    Lbjiminb (intbrkmtivb stktign)

    K pktibnt (ygun` lkab) wks akyin` gn fbj , prgobssgr skhif `ivb

    mgllknj tg bxkl thb fkmd go pktibnts mhbst.

    Kpprgkmh tgwkrjs ri`ht sijb go fbj

    Kawkys intrgjumb ygursbao oirst

    Zkdb pktibnt intrgjumtign

    Sbrogrl kn bxkl gn fkmd go pktibnt mhbst thkt invgavbs ogaagwin` stbps4

    (Inspbmtign,Skapktign,Sbrmussign,Kussmuatktign)

    Zhbn Srgobssgr ]khif ksdbj lb kfgut ly oinjin`s

    Inspbmtign5ngrlka shkpb,ng visifab smkrs,jbogrlity, rbjumbj mhbst lgvblbnts

    Skapktign5jbmrbksbj mhbst bxpbnsign, jbmrbksbj vgmka orblitus

    Sbrmussign5juaa pbrmussign ngtb

    Kusmuatktign5jbmrbksbj frbkth sgunjs, jbmrbksbj vgmka rbsgnknmb, frgnmhika

    frbkth sgunjs (bquka inspirktign knj bxpirktign with kn kir `kp in fbtwbbn)

    Jik`ngsis5 Saburka boousign

    Mkusbs5

    Bxujktivb5 (lkai`nknmy,tf)

    Zrknsjktivb5 (MMO,nbphrgtim synjrglb,aivbr mirrhgsis,lyxgjblk)

    Invbsti`ktigns tg mgnogrl5 (Akt/jbmufitus X-rky, R]@, Kspirktign go oauij)

    Zrbktlbnt5 (Mkusbs spbmioim, mhbst tufb jrkink`b, kntifigts)

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    ]ur`bry (Intbrkmtivb stktign)

    ]bb thb pimturb pkstb gn tkfab knj ksd ogaagwin` qubstign ksdbj fy prgobssgr

    skhif4

    Phkt is this5(@ynbmglkstik)

    Mkusbs5

    Bnjgmrinb kfngrlkaitibs5hypg`gnkjisl,hypbrthyrgijisl,hypbrprgakmtinblik

    ]ystblim jisgrjbrs5mhrgnim dijnby jisbksb,mhrgnim aivbr jisbksb, gfbsity

    Nbgpaksls5kjrbnka,frbst,aivbr,aun`,tbstimuakr

    Jru` sijb boobmts5grka kntioun`kas,H6 rbmbptgr fagmdbrs,kntiknjrg`bns,kntimknmbr jru`s btm

    Zrbktlbnt gptigns5

    Mkusb spbmioim

    sufmutknbgus lkstbmtgly

    aipgsumtign-kssistbj lkstbmtgly

    aksbr-kssistbj aipgsumtign knj aksbr-aipgaysis withgut aipgsumtign

    Vkjigthbrkpy

  • 8/13/2019 PM&DC (Solved) Step-3/OSCE 7-DEC-2013 Conducted by LUMHS,Jamshoro (Morning-Session)

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    @ynbmgag`y/Gfstbtrims (Intbrkmtivb stktign)

    Zhbrb wks k jully gn tkfab, prgobssgr skhifk mgllknj pbrogrl thbjbaivbry go fkfy gn it with kaa mkrjinka lgvblbnt go akfgr.

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    Skbjiktrims (Intbrkmtivb stktign)

    Zhbrb wbrb 2 vikas in orgnt go k prgobssgr skhifk, mgllknj wks

    pimd k vika whimh is usbj ogr thb trbktlbnt go tufbrmuagsis.

    (FM@ vika)

    Phbn this vkmminktign smhbjuabj in mhiajrbn5

    (kt firth)

    Jgsb this prbvbnt tufbrmuagsis in kjuathggj5

    (Its is gnay usbj ogr prilkry prbvbntign ngt ogr sbmgnjkry prbvbntign)

    Mgrrbmt pakmb go its intrgjumtign knj rgutb go kjlinistrktign5

    (I/L ri`ht jbatgij)

    Hgw ygu mgnogrl this vkmminktign is jgnb5

    (whbba shkpb spgt gn ri`ht jbatgij whbn this vkmminktign is jgnb kt firth

    knj abot k aiob agn` ]MKV thbrb)

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    B.N.Z (]tktim stktign)5

    Jik`ngsis5

    Jkviktbj nkska sbptul (JN])

    Mkusbs5

    Zrkulk ngsb

    Jbvbagplbnt brrgrs

    Mainimka Obkturbs5

    (Nkska gfstrumtign,hbkjkmhb,sinusitis,bpistkxis,knsglnik,bxtrnka nkska jbogrlity)

    Zrbktlbnt go nkska fabbj 5

    Knt. & pgst. nkska pkmdin`, mkutbrizktign, ]LV, Ai`ktign go vbssbas,

    `bnbrka lbksurbs kotbr fabbjin` mgntrga (sittin` pgsitign,liaj sbjktigns,puasb,fp

    & rbspirktign lgnitgrbj, faggj trknsousign>>>io rbquirbj)

    Mglpimktigns go JN] sur`bry5

    Nkska sbptul pbrogrktign,]bptka hkblktglk & sbptka kfsmbss, ]kjjab ngsb,

    Kjhbsigns, Jrgppbj nkska tip

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    Jbrlktgag`y (stktim stktign)5

    Simturb go oggt go k akjy whg jbvbagpbj rksh knj intbnsb itmhin` kt ni`ht knj kotbr hgt shgwbrs5

    Jik`ngsis5

    ]mkfibs (]krmgptbs smkfibi)

    Phkt kjvisb Ygu wiaa `ivb hbr 5

    Ilprgvb hy`bi`im mgnjitigns

    Kjgij magsb mgntmt with gthbrs fbmkusb risd go trknslissign go inobmtign

    Zrbktlbnt gptigns5

    Zgpimka Sbrlbthrin, Zgpimka fbnzya kamghga, Zgpimka mkaklinb agtign

    Grka kntihistklinbs (agrktkjinb) >>> ogr itmhin`

    Jioobrbntika Jik`ngsis5

    Ktgpim jbrlktitis

    Mgntkmt jbrlktitis

    Fbjfu` fitbs

    Mhimdbn pgx

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    Skbjiktrims (]tktim ]tktign)

    Simturb go k mhiaj with lkmuagpkpuakr rksh4

    Jik`ngsis5

    Lbksabs

    Mgllgn mglpaimktigns5

    Snbulgnik

    Bnmbphkaitis

    Hblgrrhk`im lbksabs

    @kstrgbntiritis

    Lygmkrjitis

    Illungsupprbssign

    BSI strktb`ibs tg mgpb with this jisbksb5

    Lbksabs vkmminktign kt 9 lgnths go k`b knj fggstbr kt ;2 lgnths go k`b

    Agn` tbrl mglpaimktign go this jisbksb5

    rbspirktgry iaanbss, jikrrhgbk, mgneunmtivka jrynbss

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    Instrulbnt / BM@ / X-rky stktign5

    Nklb thb instrulbnt5

    Fkfmgmds ogrmbps

    Rsbs5

    It is usbj tg hgaj thb jbaimktb strumturbs sumh ks4

    Intbstinb,

    Kppbnjix,

    Lbsbntbry

    Hgw tg stbriaizb this instrulbnt5

    Kutgmakvb

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    ]ur`bry (]tktim stktign)5

    Oinjin`s5

    Vkjig-gpkqub rgunjbj gpkmitibs in abot dijnby

    Invbsti`ktigns ogr this mgnjitign5

    Sakin kfjglinka DRF X-rky, hbaimka MZ-smkn, Intrkvbngus pybag`rkl, Kfjglinka Ratrksgunj

    Mainimka obkturbs kssgmiktbj with this mgnjitign5

    ]bvbr pkin rkjiktin` orgl oaknd tg thb `rgin knj `bnitka krbk gr innbr thi`h

    Rrinkry ur`bnmy,rbstabssnbss,hkblkturik,swbktin`,nkusbk & vglittin`

    Jik`ngsis5

    Vbnka stgnbs abkjin` tg hyjrgnbphrgsis

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    ]ur`bry (]tktim ]tktign)5

    K mksb smbnkrig go k :3 ybkrs gaj lkab mglpakinin` go orbsh fabbjin` pbr rbmtul

    kotbr fgwba lgvblbnts whimh is fri`ht rbj in mgagur sinmb akst 6 ybkrs,kasg thbrb

    is k histgry go lkss prgtrujin` gut orgl knus knj ng pkin kssgmiktbj with it.

    Jik`ngsis5

    Hkblgrrhgijs

    Zrbktlbnt gptigns5

    Vbst

    Oifbr jibt

    Grka oauijs tg lkintkin hyjrktign

    ]itz fkths

    Akxktivbs (akmtuagsb, fkskmgjya)

    Vuffbr fknj ai`ktign

    ]mabrgthbrkpy

    Babmtrgmkutbry/inorkrkj rkjiktign/aksbr sur`bry/mrygsur`bry

    Hblgrrhgijbmtgly (sbvbr mksbs)

    Mglpaimktigns kssgmiktbj with this5

    Knblik

    ]trkn`uaktbj hkblgrrhgijs

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    @ynbmgag`y/gfstbtrims (stktim stktign)

    K mksb smbnkrig go k =2 ybrs gaj nuaaipkrgus oblkab mglpakints go

    jistbnjbj kfjglbn with lbngrrhk`ik5

    Jik`ngsis5

    Rtbrinb oifrgijs

    Invbsti`ktign5Filknnuka bxklinktign

    Ratrksgng`rkphy

    Hystbrgskapin`g`rkphy

    Zrbktlbnt gptigns5

    Lbjimka

    N]KIJs

    GMSs

    Jknkzga

    @nVH knkag`ubs

    ]ur`imka

    Lyglbmtgly

    Hystrbmtgly

    Rtbrinb krtbry blfgaizktign

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    Sysmhiktry (]tktim ]tktign)

    K mksb smbnkrig go =3 ybkrs gaj oblkabs mglpakints go rbmurrbnt kttkmds go

    mhgmdin` , mhbst pkin, Skapitktigns knj jizzinbss .Hbr akf rbpgrts knj BM@ is

    ngrlka.

    Jik`ngsis5

    Sknim Kttkmd/Jisgrjbr

    Phkt krb gthbr obkturbs go this jisgrjbr5

    Sbrigjs go intbnsb obkr gr jismglogrt ,Zkmhypnbk, Jikphgrbsis

    Hgt oaushbs,Zrblfain`,Obkr go jyin`

    Zrbktlbnt gptigns5

    ]hgrt tbrl thbrkpy5 (Fbnzgjikzbpinbs)

    Agn` tbrl thbpkpy5 ]]VIs (Oaugxbtinb) ,ZMKs

    (Klitriptyainb >>> with strgn` sbjktivb prgpbrtibs)

    (Iliprklinb >>> with wbkd sbjktivb prgpbrtibs)

    Ssymhgthbrkpy (Mg`nitivb fbhkvigrka thbrkpy,Intbrpbrsgnka thbrkpy)

    Sktibnt Bjumktign

    Jioobrbntika Jik`ngsis5

    Lbjimka mgnjitigns5

    (Kn`ink,LI,krryhythliks,Hypbrthyrgjisl)

    Ssymhiktrim Mgnjitigns5

    (]ufstknmbj Injumbj knxibty, `bnbrkaizbj knxibty jisgrjbrs, SZ]J)

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    Lbjiminb (]tktim ]tktign)

    K mksb smbnkrig go ;9 ybkrs gaj fgy mglbs tg ygu with obvbr,hbkjkmhb,nkusbk knj vglittin` with pgsitivb nbmd rb`ijity gn mainimka bxkl. Zhbrb

    is k histgry go jrgwsinbss.

    Jik`ngsis5

    Lbnin`itis

    Invbsti`ktigns5

    AS

    _irka SMVs

    MZ/LVI frkin (tg ruab gut gthbr jik`ngsbs)

    MFM with B]V

    Zrbktlbnt Gptigns5

    ]uppgrtivb mkrb knj magsb ogaagw up (in mksb go virka lbnin`itis)

    Kntifigtims (in mksb go fkmtbrika lbnin`itis)

    (I/_) _knmglymin + Mbotrikxgnb / Mbogtkxilb (Blpirim trbktlbnt)

    Zg jbmrbksb mbrbfrka prbssurb >>> Jbxklbthksgnb/Lknnitga (I/v)

    >>> lgrb fbnboimika io `ivbn ;2-63 linutbs fbogrb kntifigtims

    Zrbkt magsb mgntbmts go pktibnt with Vioklpin

    ]bmgnj ainb prgphyakmtim rb`ilbns inmaujb

    Miprgoagxkmin/Mbotrikxgnb/Kzithrglymin

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