SRI VENKATESWARA INSTITUTE OF MEDICAL SCIENCES TIRUPATI – 517 507 (A University established by an act of Andhra Pradesh State Legislature) REGULATIONS & SYLLABUS 2016-17 B. Sc Allied Health Sciences (All Specialties) TIRUMALA TIRUPATI DEVASTHANAMS 1 INDEX S. No Particulars Page No. 1 General Regulations 3 2 Teaching hours & Examination pattern 6 3 Syllabus for 1st Year - Common for all specialties I Semester : 1. Anatomy 8 2. Physiology 13 3. Biochemistry 15 4. Principles of Nursing 17 5. Basics in Medical Physics & Electronics 18 II Semester : 6. Microbiology 20 7. Pathology 21 8. Pharmacology 22 9. Computers related to Medical care 24 10. Community Medicine 27 11. English 29 4 Specialty Syllabus for 2nd & 3rd Year (III – VI Semesters) : 1. Anesthesia Technology (AT) 31 2. Cardiac Pulmonary Perfusion Technology (CPPT) 44 3. Dialysis Technology (DT) 58 4. ECG & Cardiovascular Technology (ECG & CVT) 76 5. Emergency Medical Services Technology (EMST) 91 6. Medical Lab Technology (MLT) 102 7. Nuclear Medicine Technology (NMT) 115 8. Neurophysiology Technology (NPT) 135 9. Radiography & Imaging Technology (RIT) 144 5 Internship during 4th year 156 (VII & VIII Semesters) 6 Model Paper 160 2 1. GENERAL REGULATIONS These regulations may be called as, “The regulations for B.Sc. paramedical courses of Sri Venkateswara Institute of Medical Sciences, Tirupati”. Historical Background: The Paramedical courses were started in 1996-97 as PG Diploma with 2 year duration for Science Graduates. Subsequently, from 2009-10 onwards in place of PG Diploma, B.Sc Degree courses with 3 year duration were started in the all the specialities except Dialysis technology, Nuclear medicine technology and ECG & CVT technology with the course duration of 4 years (including 1 year internship). W.e.f 2015-16 academic year onwards the duration of all the courses were increased to 4 years including 1 year internship. The course structure is re-designed from annual to semester pattern with 4 year duration having 8 semesters as per the revised UGC regulations. All the Paramedical courses are recognized by the A.P. Paramedical Board, Govt. of A.P. 1) Notification: Notification shall be issued by the SVIMS University inviting applications from the eligible candidates who satisfy the Local or Non-local status in Andhra Pradesh / Telangana (Residence requirement) as laid down in Andhra Pradesh Education Institutions (Regulations of Admissions) Order, 1974 applicable to Non-statewide Universities and Educational Institutions. The admissions are subject to the procedure laid down in the G.O. Ms.No. 26, Dt: 22.03.2016 of HM & FW (E1), Dept. Govt. of A.P. 2) Programmes offered: Eligibility No. of S.No Name of the course Duration seats Inter Bi.PC or 1 B.Sc Anaesthesia Technology (AT) equivalent 12 -do- 2 B.Sc Medical Lab Technology (MLT) 20 B.Sc Neurophysiology T -do- 3 2 echnology (EEG & ENMG) -do- 4 B.Sc Radiography & Imaging Technology (RIT) 9 4 years 5 B.Sc Cardiac Pulmonary Perfusion Technology -do- 2 (CPPT) B.Sc ECG and Cardiovascular Technology (ECG -do- 6 6 & CVT) -do- 7 B.Sc Dialysis Technology (DT) 6 B.Sc Emergency Medical Services Technology -do- 8 4 (EMST) Inter MPC/ Bi.PC 9 B.Sc Nuclear Medicine Technology (NMT) 2 or equivalent 3)Eligibility for admission: i) The minimum age for admission shall be 17 years on 31st December of the year in which admission is sought. ii) Minimum education: 10+2 class passed with Science subjects (Physics, Chemistry, Biology) & English Core/English Elective with aggregate of 45% marks from recognized board under AISSCE/CBSE/ICSE/SSCE/HSCE/NIOS or other equivalent Board. In case of SC/ST & Backward classes candidates, it shall be, not less than 40% of marks. 3 iii) Inter with optional subjects of MPC are also eligible for B.Sc (NMT) & DRT courses. iv) The students who have passed intermediate vocational bridge course with Biology & Physical Sciences are also eligible for courses S.No. 1 to 8 subject to merit in the Bridge course in Physical & Biological sciences. v) The following qualifications are also considered equivalent to be eligible for admission to the courses as mentioned against them even without qualifying bridge course : a. Intermediate vocational (M.L.T.) - B.Sc (MLT) b. Intermediate Vocational (Radiography) - B.Sc (RIT) vi) Any other qualification awarded by the board of intermediate education equivalent to the specialization offered by the university at intermediate level are also eligible. 4) Method of Selection : Admissions are made based on the common merit list prepared basing on marks secured in the qualifying examination in the subjects of Physics, Chemistry, Biology & English with less No. of attempts. In case of a tie, the order of preference to be followed in deciding the merit of the candidate, shall be : i. Optional subjects (Group) marks secured in Physics, Chemistry & Biology ii. Elder person based on the date of birth Note: 1. The percentage of marks shall be calculated up to three decimal places 2. The marks secured in the bridge course shall be considered for deciding merit, in case the candidate is opting for the course other than the specialty studied. 5) Course structure: The duration of the course is 4 years, divided into 8 semesters. The I & II semesters shall be common for all the specializations. The III, IV, V & VI semesters involves theory, practice and handling of equipment in the respective speciality. During VII & VIII semesters, the candidate will undergo internship in the speciality along with teaching & practice of certain common subjects. 6) Syllabus: The syllabus is common during I and II semesters for all B.Sc. Paramedical Courses. The subjects include Anatomy, Physiology, Microbiology, Pathology, Biochemistry, Pharmacology, Community Medicine, English, Principles of Nursing, Basic in Medical Physics & Electronics, Computer related to medical care. The syllabus for the specialties during III to VIII semesters will be discussed and approved by the Board of Studies (specialty wise) meetings by the dept. concerned. 7) Commencement of the Programme: The course will ordinarily commence from 1st August of the each academic year. 8) Medium of Instruction: English. 9) Practical Book: Each candidate has to maintain a practical book of cases attended and clinical hours posted in various sub specialties. 10)Uniform : All the students have to wear the uniform prescribed by the University. They should also wear white shoes. 11) Attendance : A candidate must have minimum of 80% attendance (irrespective of the kind of absence) in theory and practical in each subject for appearing for examination. A candidate must have 100% attendance in each of the practical areas before award of degree. 4 Participation in NCC, NSS, Sports and Games, educational tours, professional meetings and conferences or other Co-curricular activities representing the institution / university will not count as absence, provided the student is permitted by the University through proper channel. The shortage of attendance, if any, upto 10% shall only be condoned. 12) Internship : For B.Sc AHS : After successful completion of three years of course, student have to undergo internship training for a period of one year. 13) Holidays & Vacation : During I - VI semesters, 01 week holidays each during Dasara and Sankranthi and 15 days summer vacation shall be granted in the month of May, apart from public holidays declared by the University. During internship (VII & VIII semesters), 15 days of leave, 15 days of summer vacation and institute declared holidays are permitted. 14) Ban on ragging in the campus: Ragging, use of drugs, drug trafficking, eve teasing etc. are strictly forbidden in the university campus and persons found indulging in such activities will be subjected to strict disciplinary action as per the law. Indulging in any criminal activity within or outside the university and any physical violence against fellow students and fellow residents will not be tolerated and will attract stern disciplinary action including rustication. As per the orders of the Hon’ble Supreme Court of India if any incident of ragging comes to the notice of the authority of the university, the student concerned will be given liberty to explain and if his/her explanation is not satisfactory, the authority would expel him/her from the university besides making entry in his/her certificates to that effect. Apart from the above, the students are liable for a fine up to Rs.50,000/-, rigorous imprisonment up to three years (by court of law), and other punishments as per the Act.No.26 of 1997, dated 21-08-1997 of State of Andhra Pradesh. 15) Examinations: The examinations will be conducted in English medium at the end of each semester. The semester examinations will be held during January / February and July/ August in each academic year.  These regulations and syllabus were come into force w.e.f. the admissions of 2015-16 batch onwards 5 2. Teaching Hours & Examination Pattern (Common for all Courses) I Semester: S. No Subject Hours of Teaching Examination Theory Practical Uni. Exam Theory Min. IA Min. Aggregate Practical * Min. for (UE) / Int. Max. Pass Pass (in pass Exam(IE) Marks Theory+IA) (Theory+Pr actical) 1 Anatomy 80 40 UE 80 40% 20 40% 50% 50 50% 2 Physiology 80 40 UE 80 40% 20 40% 50% 50 50% 3 Biochemistry 80 40 UE 80 40% 20 40% 50% 50 50% 4 Principles of Nursing 30 20 IE 80 40% 20 40% 50% - - 5 Basics in Medical Physics & 40 - IE 40 40% 00 40% 50% - - Electronics English 50 - - - - - - - - Total 360 140 Total hours : 500 II Semester: S. No Subject Hours of Teaching Examination Theory Practical Uni. Exam Theory Min. IA Min. Aggregate Practical * Min. for (UE) / Int. Max. Pass Pass (in pass Exam(IE) Marks Theory+IA) (Theory+Pr actical) 6 Microbiology 80 40 UE 80 40% 20 40% 50% 50 50% 7 Pathology 80 40 UE 80 40% 20 40% 50% 50 50% 8 Pharmacology 80 40 UE 80 40% 20 40% 50% 50 50% 9 Computers related to medical 30 40 IE 40 40% 10 40% 50% - - care 10 Community Medicine 80 40 IE 40 40% 10 40% 50% - - 11 English 50 - UE 80 40% 20 40% 50% - - Total 400 200 Total hours: 600 *Practical including Oral, Spotters & Record Note : 1. As per the Minutes of the meeting, held on 24/10/2016, it is agreed to transfer the Community Medicine subject from I to II semester and Principles of Nursing from II to I Semester w.e.f. 2017-18 admitted batch onwards. 2. The Teaching hours & Exam pattern from III –VI semesters (for paper no’s 13-24) are furnished separately under each speciality. 6 Internship VII Sem ester: There shall be internship during the VII & VIII semester including clinical & hospital work, maintenance of log book etc. Paper Paper Taught by the Hours of Teaching Examination No. Faculty of Hours of Hours of clinical / UE/ IE Theory Max. Mim. for Teaching Practicals Marks Pass 24 Basic Life support & Anesthesia & Emergency 20 10 IE 50 50% Trauma life support Medicine 25 Cardiac life support Cardiology 15 10 IE 50 50% 26 Medical Ethics Forensic Medicine 15 10 IE 50 50% 27 Internship In the Speciality Dept. - 820 - - - Total 50 850 Total Hours: 900 VIII Semester: Paper Paper Taught by the faculty Hours of Teaching Examination No. of Hours of Hours of clinical UE/ IE Theory Practical Mim. for Teaching / practicals Max. Max. Marks Pass Marks 28 Fundamentals in Research 100 - IE 50 - 50% In the Speciality 29 Internship & Project work Dept. - 800 - - 50 50% Total 100 800 Total hours : 900 Procedure of conduct of Internal Examination (IE) - The question paper will be set by the concerned internal HoD and will send the same to the Controller of Examinations one month before the declaration of preparation holidays. - The Controller of Examinations will conduct the examination and send the answer papers to the concerned HoD. - The HoD or any internal faculty as recommended by the HoD shall evaluate the answer paper and send the marks statement and answer papers to the Controller of Examinations. - The tabulation and declaration of results lies with the Controller of Examination. - All the IE marks shall also be included in the overall total marks for declaration of division in the exam. 7 SYLLABUS - I & II Semesters COMMON FOR ALL SPECIALITIES SEMESTER - I Subject 1 : Anatomy Unit I - Human Body as a whole Learning objectives : 10 hrs 1. Define anatomy. 2. List the sub-divisions of anatomy. 3. Describe the Anatomical terms of location and position of various parts and organs in the human body 4. Fundamental planes of the body. 5. Enumerate the levels of organization of human body. 6. Structure of cell 7. Basic Tissues of the body - classification and preparation of tissue for observation under microscope – describe properties of various basic tissues of the body with examples – Epithelial tissue, connective tissue, muscular tissue, nervous tissue. 8. Microscope- Parts of microscope and functions Practicals : Illustrations of histological slides of basic tissues 6 hrs Unit II - Locomotor System Learning objectives: Skeletal system: 12 hrs 1. Classify different types of bones. 2. Describe different parts of bone. 3. Understand blood supply of a long bone. 4. Identify major bones of the body and their parts 5. Classify different joints with examples. 6. Describe general features of a synovial joint. 7. Classification of different types of synovial joints with type of movements and examples. 8. Classify different types of muscles. Region-wise anatomy of muscles and joints 9. List the names of muscles as functional groups. 10. Describe important muscles in the body.- Trapezius, Deltoid, Pectoralis major, Gluteus maximus, Hamstring muscles, Soleus, sternocleidomastoid, oblique muscles of abdomen, muscles of tongue, scapular muscles Regional anatomy: 11. Describe the following : Axilla, cubital fossa, popliteal fossa, Triangles of neck, Flexor and Extensor Retinaculum, Palmar and Plantar Apo neurosis 8 Arthrology: 12. Describe Type, Sub type, Articular surface,Ligaments, Relations, Blood supply, Nerve supply, Movements and Clinical Anatomy of Shoulder joint, Elbow Joint, Wrist joint, 1stcarpo-metacarpal joint, Hip Joint, Knee Joint, Ankle Joint Practicals : Illustrations- major bones, important muscles, joints 8 hrs Unit III - Nervous System Learning objectives: 12 hrs Describe the 1. Parts of nervous system. 2. Structure of nervous tissue. 3. Spinal cord - coverings, extent, general features, sub-divisions, structural organization of grey matter and white matter. Blood supply. Formation of tracts –Posterior column pathway, pyramidal tract and their clinical importance. Injuries to spinal cord. 4. Brain stem – components, Blood supply, important functional components and effect of their injury 5. Cerebellum – location, parts, functional subdivisions, connexions, blood supply and functional importance 6. Cerebrum – surfaces, poles, lobes, blood supply, sulci, gyri and important functional areas and their clinical importance. Thalamus, hypothalamus, basal ganglia, corpus striatum, hippocampus and amygdala – their location and function. 7. Cranial nerves – names, location of nucleus and the functional components 8. Spinal nerves – Course of a typical spinal nerve. Formation of plexuses – brachial, lumbar – important nerves of upper limb, lower limb. Practicals : Illustrations– Brain, spinal cord and their sections 6 hrs Unit IV - Circulatory System Learning objectives: 10 hrs Describe the 1. General plan of circulatory system. 2. Pulmonary, portal and systemic circulations. 3. Structure of cardiac muscle, blood vessels. 4. Thoracic cavity – Bony cage, muscles – intercostal muscles, diaphragm 5. Mediastinum – sub-divisions, contents 6. Heart - coverings, external features, chambers, blood supply, nerve supply. 7. Major arteries of upper limb, lower limb, head and neck, abdomen and pelvis. 8. Important veins – superior and inferior vena cava, portal vein, veins of upper limb and lower limb - varicose veins and their importance 9. Lymphatic system – components, Describe in brief anatomy and microscopic structure of lymphoid organs – lymphnode, tonsil, thymus, spleen, thoracic duct. Practicals: Illustrations -thoracic cavity, mediastinum,heart, major vessels, lymphatoid organs 4 hrs 9 Unit V - Respiratory System Learning objectives: 10 hrs Describe the 1. Parts of respiratory system. 2. Nasal cavity, paranasal air sinuses, nasal septum, lateral wall of nose. 3. Pharynx – extent, sub-divisions, muscles 4. Larynx – cartilages, muscles, parts, nerve supply 5. Trachea and bronchial tree – extent, measurements, histological structure of trachea – subdivisions of bronchial tree – broncho-pulmonary segments and their clinical importance 6. Pleura – types, reflections, recesses 7. Lung – location, relations, lobes, fissures, surfaces. Practicals: Illustrations – Cut section of head & neck, trachea, lungs 4 hrs Unit VI - Digestive System Learning objectives: 16 hrs Describe the 1. Abdomen – quadrants, musculature of wall, Formation inguinal canal, rectus sheath and their importance 2. Components of digestive system. 3. Mouth - Tongue, palate – Structure of tongue 4. Salivary glands – parotid, sub-mandibular – Brief anatomy and structure 5. Stomach – position, parts, blood supply, nerve supply, lymphatic drainage, relations, structure 6. Small intestine – sub-divisions, microscopic structure 7. Large intestine in general - sub-divisions, microscopic structure. Specific -caecum and appendix 8. Accessory organs of digestive system –Liver, pancreas, extra hepatic biliary apparatus - Gross features, relations, blood supply, microscopic structure. Practicals: Illustrations – Demonstration of Rectus sheath, inguinal canal, various organs of digestive system 8 hrs Unit VII - Excretory and Reproductive Systems Learning objectives: 6 hrs Describe the 1. Excretory system – parts 2. Kidney – Gross anatomy and microscopic structure. 3. Ureter, urinary bladder and urethra – gross anatomy in brief. 4. Male reproductive system – parts – external genitalia – Testis and duct system in detail. Microscopic structure of testis. 5. Female reproductive system - parts – external genitalia – Ovaries and duct system in detail. Microscopic structure of Ovary and uterus. 6. Accessory organs of reproduction – prostate gland, mammary gland- gross anatomy and their structure Practicals : Illustrations – urinary system, reproductive system of male and female 2 hrs 10