Course Content
Endocrine & Reproductive System Module — 4th Year MBBS

📘 Step 1. Curriculum Coverage

🔬 Pathology

 

  • Classify diabetes mellitus.
  • Explain its diagnostic criteria.
  • Explain mechanisms of insulin resistance.
  • Explain mechanisms of β-cell dysfunction.
  • Discuss the pathological basis and clinical significance of acute and chronic diabetic complications.

💊 Pharmacology

 

  • Classify oral hypoglycemic drugs.
  • Enlist euglycaemic drugs.
  • Explain the mechanism of action and adverse effects of sulfonylureas.
  • Explain the mechanism and clinical use of meglitinides.
  • Explain the mechanism, uses and adverse effects of biguanides.
  • Explain the mechanism, uses and adverse effects of thiazolidinediones.
  • Explain the mechanism, uses and adverse effects of α-glucosidase inhibitors.
  • Explain the mechanism and clinical uses of pramlintide, exenatide and sitagliptin.
  • Apply relevant pharmacokinetic and pharmacodynamic principles of pancreatic hormones and their analogues.

🌍 Community Medicine

 

  • Discuss the prevalence of diabetes globally and in Pakistan.
  • Discuss modifiable and non-modifiable risk factors.
  • Explain epidemiological determinants.
  • Discuss screening methods.
  • Discuss primary, secondary and tertiary prevention and care of diabetes

🩺 Medicine

 

  • Explain the different types of diabetes mellitus.
  • Discuss insulin-resistance syndromes, including mechanism, presentation and management.
  • Describe the clinical features of diabetes mellitus.
  • Explain the diagnostic work-up of a patient with diabetes.
  • Classify pharmacological approaches to diabetes treatment.
  • Explain lifestyle modification in diabetes management.
  • Discuss acute and chronic complications of diabetes mellitus without repeating the pathology framework.

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