MUSCULOSKELETAL MODULE TIME TABLE
WEEK-I THEME: STRUCTURE AND FUNCTION OF BONES AND CARTILAGES
28-07-2025 to 02-08-2025
Time Monday Tuesday Wednesday Thursday Friday Saturday
8:00 to Anatomy: A+B Anatomy: C+D Anatomy: E+F Anatomy: A+B Anatomy: C+D Anatomy: E+F
10:00AM Osteology of Osteology of Osteology of clavicle, Muscles of pectoral Muscles of Muscles of
clavicle, scapula, clavicle, scapula, scapula, humerus girdle pectoralgirdle pectoralgirdle
humerus humerus Physiology: A+B Physiology: C+D Physiology: E+F Physiology: A+B
Physiology: C+D Physiology: E+F Histology: C Histology: F Histology: B Histology: D
Histology: E Histology: A Histology of Histology of Histology of Histology of
Histology of Histology of cartilages cartilages cartilages cartilages
cartilages cartilages Biochemistry: D Biochemistry: E Biochemistry: A Biochemistry: C
Biochemistry: F Biochemistry: B
10:00 to CBL CBL CBL CBL CBL CBL
11:00AM A+B C+D E+F A+B C+D E+F
Others: SDL Others: SDL Others: SDL Others: SDL Others: SDL Others: SDL
11:00 to Pharmacology Biochemistry Anatomy SDL SDL Anatomy
12:00 Vit. D and mineral Extra cellular Introduction to Brachial Plexus &
preparation matrix locomotor and upper vessels
Prof. Dr. Barkat Ali Dr. Abdul limb Dr. Sana Kashif
Shaikh Hameed Prof. M.Saleem Shaikh
Lanjwani Shaikh
12:00 to SDL SDL Biochemistry SDL
01:00 Vit: D & Bone Embryology
PM mineralization Development of Jumma Prayer
Prof. Ghulam Mesoderm
Sarwer Shaikh Prof. Shahid Hussain Off
Soomro
01:00 to
2:00PM
SDL
SDL
WEEK-II (04-08-2025 to 09-08-2025)
Theme: Diseases of Bones & Nerves
Time Monday Tuesday Wednesday Thursday Friday Saturday
8:00 to Anatomy: A+B Anatomy:C+D Anatomy: E+F Anatomy: A+B Anatomy:C+D Anatomy: E+F
10:00AM Brachial plexus Brachial plexus Brachial plexus Axilla Boundaries and Axilla Axilla
Physiology: Physiology: E+F Physiology: A+B contents Boundaries and Boundaries and
C+D Introduction to Introduction to Power Physiology: C+D contents contents
Introduction to Power lab lab Histology: F Physiology: E+F Physiology: A+B
Power lab Histology: A Histology: C Biochemistry: E Histology: B Histology: D
Histology: E Biochemistry: B Biochemistry: D Biochemistry: A Biochemistry:C
Biochemistry: F
10:00 to CBL CBL CBL CBL CBL CBL
11:00AM A+B C+D E+F A+B C+D E+F
Others: SDL Others: SDL Others: SDL Others: SDL Others: SDL Others: SDL
12:00 to Anatomy Pharmacology Anatomy Embryology Anatomy Anatomy
01:00 Brachial Plexus Drug used for Shoulder joint & its Development of Limbs Compartments of Compartments of
PM & vessels arthritis movements Congenital Anomalies arm-I arm-II
Prof. M.Saleem Dr. Masood Unar Prof. Shahid of limbs Dr. Sana Kashif Dr. Sana Kashif
Shaikh Hussain Soomro Prof. Shahid
Hussain Soomro
01:00 to Pharmacology SDL Physiology Pathology Behavioural
2:00PM Drugs used in Generation and Arthritis-II Science
osteoporosis propagation of action Dr. Sarfraz Tunio Stress & its
Prof. Diayal potential effect on human
Das Dr. Babar Siddiqui Jumma Prayer body
Dr. Rahmat
Off Wagan
8:00 to Pathology Physiology Pathology Physiology Pathology
10:00AM Bone Infection Functional Arthritis –I Electrical Properties Bone tumor
classification of Dr. Sarfraz Tunio of neurons (RMP) Dr. Sarfraz Tunio
Dr . Sarfraz nerve fibers Prof. Amar Lal
Prof. Amar Lal
Tunio
WEEK-III (11-08-2025 to 16-08-2025)
THEME MAMMARY GLAND + INTRODUCTION OF UPPER LIMB
Time Monday Tuesday Wednesday Thursday Friday Saturday
8:00 to Anatomy: A+B Anatomy:C+D Anatomy: E+F Anatomy:C+D Anatomy: E+F
10:00A Muscles and nerves Muscles and Muscles and nerves Osteology of Osteology of
M of arm nerves of arm of arm R a d i u s & Ulna R a d i u s & Ulna
Physiology: C+D Physiology: E+F Physiology: A+B Physiology: E+F Physiology: A+B
NCV Power lab NCV Power lab NCV Power lab Histology: B Histology: D
Histology: E Histology: A Histology: C Skeletal Muscles Skeletal Muscles
Skeletal Muscles Skeletal Muscles Skeletal Muscles Biochemistry: A Biochemistry:C
Biochemistry: F Biochemistry: B Biochemistry: D
10:00 to CBL CBL CBL CBL CBL
11:00A A+B C+D E+F C+D E+F
M Others: SDL Others: SDL Others: SDL Others: SDL Others: SDL
11:00 to Anatomy Pharmacology Anatomy Histology Physiology
12:00 Gross anatomy OPIOID th Histology and Properties of muscle
14 August
of Breast Analgesic Cubital Fossa + Development of fiber-II
Holiday
Prof. Diayal Das Mammary gland Prof. Amar Lal Dodani
Prof. M.Saleem Elbow joint and
Shaikh anastomosis around it Dr. Sana Kashif
Prof. Shahid Hussain
Soomro
12:00 to Pharmacology Physiology Pharmacology
01:00 Non narcotic and SDL Properties of muscle Jumma Prayer Off DMARDs,
PM analgesic fiber-I immunosuppressants,
And ANSAID Dr. Babar Siddiqui Prof. Masood Unar
Prof. Riaz Ahmed
Shaikh
01:00 to Orthopaedics Physiology Pathology Orthopaedics
2:00PM Fracture and Excitation Non neoplastic & new Soft tissue disorder of
dislocation of upper contraction plastic lesions of upper limb
limb cuppling Breast Dr. Muhammad Shoaib
Dr. Shahjahan Siyal Prof. Amar Lal Dr. Sarfraz Tunio Chandio
WEEK-IV (18-08-2025 to 23-08-2025)
THEME: Forearm and Hand
Time Monday Tuesday Wednesday Thursday Thursday
Friday Saturday
8:00 to Anatomy: A+B Anatomy:C+D Anatomy: E+F Anatomy: A+B Anatomy:C+D Anatomy: E+F
10:00AM Wrist joint & Wrist joint & Hand Wrist joint & Hand anatomical snuff box anatomical snuff anatomical snuff
Hand Physiology: E+F Physiology: A+B , Surface anatomy of box , Surface box , Surface
Physiology: C+D EMG EMG upper limb anatomy of upper anatomy of upper
EMG Histology: A Histology: C Physiology: C+D limb limb
Histology: E Biochemistry: B Biochemistry: D Histology: F Physiology: E+F Physiology: A+B
Biochemistry: F Biochemistry: E Histology: B Histology: D
Biochemistry: A Biochemistry:C
10:00 to CBL CBL CBL CBL CBL CBL
11:00AM A+B C+D E+F A+B C+D E+F
Others: SDL Others: SDL Others: SDL Others: SDL Others: SDL Others: SDL
11:00 to Anatomy Physiology Anatomy Anatomy Anatomy Neurology
12:00 Anterior Synaptic Posterior Superficial Veins, Blood Vessels Disorders of
compartment of transmission compartment of Lymphatics of Upper and Nerves of neuromuscular
forearm aspectsof forearm, Palmar Limb upper limb and transmission
Prof. M.Saleem neuromuscular aponeurosis, Prof. Shahid applied Dr. Abdul
Shaikh transmission Prof. M.Saleem Hussain Soomro Dr. Sana Kashif Ghaffoor Magsi
Prof Amar Lal Shaikh
12:00 to Pharmacology Biochemistry Neurology Physiology
01:00 Neuromuscular Neurotransmitter Pain pathways Muscular adaptation Jumma Prayer
PM blocker and their Dr. Abdul Ghaffor to exercise 4 Muscle Off
Prof. Riaz biochemical role Magsi Metabolism
Ahmed Shaikh Dr. Mir Hassan Prof. Amar Lal SDL
Khoso
01:00 to Pathology Physiology
2:00PM Soft Tissue Surgery Mechanism of SDL
disorder Breast Cancer & skeletal muscle
Dr. Sarfraz its management contraction
Tunio Dr. Ehsanullah Differentiate basis of
Malik smooth muscle
contraction
Dr. Babar Siddiqui
WEEK-V (25-08-2005 to 30-08-2005)
THEME: INTRODUCTION OF LOWER LIMB
Time Monday Tuesday Wednesday Thursday Friday Saturday
8:00 to Anatomy: A+B Anatomy:C+D Anatomy: E+F Anatomy: Anatomy:C+D Anatomy: E+F
10:00AM Hip bone -I Hip bone -I Hip bone -I A+B Hip bone -II Hip bone -II
Physiology: Physiology: E+F Physiology: A+B Hip bone -II Physiology: E+F Physiology: A+B
C+D Histology: A Histology: C Physiology: Histology: B Histology: D
Histology: E Biochemistry: B Biochemistry: D C+D Biochemistry: A Biochemistry:C
Biochemistry: F Histology: F
Biochemistry:
E
10:00 to CBL CBL CBL CBL CBL CBL
11:00AM A+B C+D E+F A+B C+D E+F
Others: SDL Others: SDL Others: SDL Others: SDL Others: SDL Others: SDL
11:00 to Anatomy Pathology Anatomy Anatomy Anatomy SDL
12:00 Introduction of Congenital Gluteal region Deep fascia Hip joint
lower limb malforamation of Prof. Shahid of thigh, Dr. Sana Kashif
Prof. M.Saleem bones Hussain Soomro iliotibial tract,
Shaikh dr. Sarfraz tunio saphenous
opening
Dr. Sajjad
Channa
12:00 to Neurology Community Radiology Radiology Neurology
01:00 PM Examination of Medicine Normal radiological Cross Jumma prayer Off Examination of
muscles and Introduction of anatomy of upper sections of muscles and
nerves of upper magnitude & limb upper limb nerves of lower
limb measurement of Dr. Bhagwan Das Dr. Bhagwan limb
dr. Sajjad accident and injures Das Dr. Abdul Ghaffor
Ahmed Jalbani Dr.Kaleemullah Magsi
Abro
01:00 to Orthopaedic
2:00PM Trauma to SDL SDL SDL SDL
upper limb
(Fractures of
dislocation)
Dr. Mushtaque
Ahmed Shaikh
WEEK-VI (01-09-2025 to 06-09-2025)
THEME: THIGH
Time Monday Tuesday Wednesday Thursday Friday Saturday
8:00 to Anatomy: A+B Anatomy:C+D Anatomy: E+F Anatomy: A+B Anatomy:C+D Anatomy: E+F
10:00AM Femur-I Femur-I Femur-I Femur-II Femur-II Femur-II
Physiology: C+D Physiology: E+F Physiology: A+B Physiology: C+D Physiology: E+F Physiology: A+B
Histology: E Histology: A Histology: C Histology: F Histology: B Histology: D
Biochemistry: F Biochemistry: B Biochemistry: D Biochemistry: E Biochemistry: A Biochemistry:C
10:00 to CBL CBL CBL CBL CBL CBL
11:00AM A+B C+D E+F A+B C+D E+F
Others: SDL Others: SDL Others: SDL Others: SDL Others: SDL Others: SDL
11:00 to Anatomy Community Anatomy Anatomy Anatomy SDL
12:00 Muscles of Medicine Medial & Posterior lumbosacral Femoral Triangle,
anterior Types of compartment of plexus Sheath & Adductor
compartment of accidents and thigh Dr. Sajjad canal
thigh injures Prof. Shahid Channa Dr. Sana Kashif
Prof. M.Saleem Prof. Vijia Kumar Hussain Soomro
Shaikh
12:00 to SDL SDL Behavioural SDL SDL
01:00 Science
PM Intelligence Jumma Prayer Off
Dr. Anoop Kumar
01:00 to SDL SDL SDL SDL SDL
2:00PM
WEEK-VII (08-09-2005 to 13-09-2025)
THEME : LEG AND FOOT
Time Monday Tuesday Wednesday Thursday Friday Saturday
8:00 to Anatomy: A+B Anatomy:C+D Anatomy: E+F Anatomy: A+B Anatomy:C+D Anatomy: E+F
10:00AM Tibia Tibia Tibia Fibula & Foot bones Fibula & Foot Fibula & Foot
Physiology: C+D Physiology: E+F Physiology: A+B Physiology: C+D bones bones
Tetanization & Tetanization Tetanization Histology: F Physiology: E+F Physiology: A+B
Summation &Summation &Summation Biochemistry: E Histology: B Histology: D
Histology: E Histology: A Histology: C Biochemistry: A Biochemistry:C
Biochemistry: F Biochemistry: B Biochemistry: D
10:00 to CBL CBL CBL CBL CBL CBL
11:00AM A+B C+D E+F A+B C+D E+F
Others: SDL Others: SDL Others: SDL Others: SDL Others: SDL Others: SDL
11:00 to Anatomy Community Anatomy Anatomy Anatomy
12:00 Popliteal fossa Medicine Knee joint Superficial Veins of Compartments of SDL
Prof. M.Saleem Levels of Prof. Shahid Lower limb Leg
Shaikh Prevention Hussain Dr. Sajjad Ahmed Dr. Sana Kashif
Dr. Sarmad Jamal Soomro Channa
Siddiqui
12:00 to Orthopaedics SDL
01:00 PM Joint disorder & SDL SDL SDL
arthritis
Dr. Saifullah Jumma Prayer Off
Soomro
01:00 to SDL
2:00PM SDL SDL SDL SDL
Week VIII (15-09-2025 to 20-09-2025)
Theme: NEUROPATHY
Time Monday Tuesday Wednesday Thursday Friday Saturday
8:00 to Anatomy: A+B Anatomy:C+D Anatomy: E+F Anatomy: A+B Anatomy:C+D Anatomy: E+F
10:00AM Neurovascular Supply Neurovascular Neurovascular Superior and Superior and Superior and Inferior
of foot Supply of foot Supply of foot Inferior Tibiofibular Inferior Tibiofibular Joints
Physiology: C+D Physiology: E+F Physiology: A+B Joints Tibiofibular Physiology: A+B
Fatigue Fatigue Fatigue Physiology: C+D Joints Histology: D
Histology: E Histology: F Physiology: E+F Biochemistry:C
Biochemistry: F Histology: A Histology: C Biochemistry: E Histology: B
Biochemistry: B Biochemistry: D Biochemistry: A
10:00 to CBL CBL CBL CBL CBL CBL
11:00AM A+B C+D E+F A+B C+D E+F
Others: SDL Others: SDL Others: SDL Others: SDL Others: SDL Others: SDL
11:00 to Anatomy Community Anatomy Anatomy Anatomy Musculoskeletal
12:00 Nerve injuries of Medicine Arches of Foot Ankle joint Sole Modular Test
Lower Limb Rehabilitations Prof. Shahid Dr. Sajjad Channa Dr. Sana
Prof. M.Saleem and its types Hussain Soomro Kashif
Shaikh Dr. Masood Ali
Qureshi
12:00 to Surgery Neurology Radiology
01:00 Orthopaedics Applied vascular (Neuropathy Cross Sections of
PM Trauma to lower Limb anatomy of Lower disorder Lower Limb Jumma Prayer
(Fractures & Limb-I Dr. Abdul Ghaffor Dr. Bhagwan Dass Off
dislocations Prof. Dr. Yasmeen Magsi
Dr. Shaoib Chandio Bhatti
01:00 to Radiology Orthopaedics SDL
2:00PM Normal X-Rays of Deformities of
Lower Limb Skeleton of lower
Dr. Bhagwan Limb
Dass Dr. Shahjahan
Siyal
Table of Specification Musculoskeletal Module
S.NO Subject BCQ OSPE
1. Anatomy 15 07
2. Biochemistry 03 01
3. Physiology 08 03
4. Pathology 05 02
5. Pharmacology 05 01
6. Community Medicine 02 -
7. Radiology 03 -
8. Neurology 04 01
9. Behavior Science 01 -
10. Surgery 02 -
11. Orthopedic 02 -
Total Question 50 15
Discussion / CBL # 01
TOPIC: AXILLA AND BRACHIAL PLEXUS
LEARNING OBJECTIVES: Students should be able to:
Describe the shape, location and boundaries of axilla and its anatomical significance.
Identify the contents of axilla and their important relations.
Outline the extension and division of axillary artery
Enumerate different branches of axillary artery and its important relations
Define axillary vein and its tributaries.
Describe the various groups of axillary lymph nodes and their drainage.
Describe the formation, parts and location of brachial plexus
Discuss the course, distribution and injuries of some major branches of brachial plexus (i-e Long
thoracic, Ulnar, Median, Radial and Axillary nerves).
Explain various mechanisms of injuries to the upper and lower roots/trunks of brachial plexus and the
resulting deformities in upper limb.
Define Terms
Axillary Sheath
Suspensory ligament of axilla
Examination of axillary lymph nodes
Prefixed and post fixed brachial plexus
Erb’s palsy
Klumpke’s palsy
Ape Hand
Claw hand
Waiter’s tip deformity
Wrist drop
Problem # 1
A 32 year old man purchased a house that was badly in need of renovations and painting. As he was
painting the ceiling in a room, he felt pain and tingling in his right shoulder and in the proximal part of
his right arm.
On Examination: Radial pulse at his right wrist was decreased when physician raised the patient’s
limb above the shoulder.
Patient felt tingling and pain around his shoulder after the limb had been elevated for several
minutes.
The physician also noted cyanosis, edema and distention of superficial limb veins.
Task:
Compression of what structures in the axilla could produce the sign and symptoms described
above?
What bony structures do you think could compress these axillary structures?
What is the clinical designation for this type of compression syndrome?
To be conducted by: To be supervised by:
Dr. Khalid Hussain Shaikh
Dr. Moazam Safiullah Channa
Department of Anatomy Prof. Dr. Shahid Hussain Soomro
To be discussed on according to weekly schedule
Discussion / CBL # 02
TOPIC: Joints of the upper limb
LEARNING OBJECTIVES: Students should be able to:
Enumerate joints of the upper limb.
Describe the shoulder joint. Also highlight the movements possible and muscles causing those
movements.
Explain why upper limb is freely mobile and less stable while lower limb movement is restricted and
limb is more stable.
Define scapula humeral mechanism.
Describe the elbow joint. Mention its type, variety, articular surfaces, ligaments and movements
possible with special reference of the nerves related with the joint.
Outline the features of superior and inferior radio ulnar joints.
Describe the wrist joint. Mention its type, variety, articular surfaces, ligaments and movements
possible.
Describe the flexor and extensor retinacula and structures passing underneath them.
Mention the facial spaces of palm.
Define Terms
Carpal tunnel syndrome
Dupuytren’s Contracture
Palmar aponeurosis
Carrying angle
Bursitis of elbow
Fibrous digital sheaths
Problem 01
A 52 year old carpenter visited his physician concerning severe “pins and needles”
sensations in his right hand, which also involved the palmar surface of his thumb and
lateral two and a half fingers. He told the physician that the pain was becoming
progressively worse. He said that he has been experiencing difficulty using his hand
tools and buttoning his shirt. During physical examination, the physician did not detect
objective impairment of sensation in the hand, but she noted slight weakness of the
thenar muscles. She told the carpenter that he has a nerve entrapment syndrome.
Task:
Using your anatomical knowledge of the wrist, what nerve was compressed?
What is the name of the entrapment syndrome described by the patient?
What conditions can cause this type of nerve entrapment?
What movements would aggravate the symptoms?
If this condition was not treated, what further signs would you expect to develop in a few
months?
To be conducted by: Dr. Moazam Saifullah Channa Dr. Uzma Lakho
To be supervised by:
Department of Anatomy Prof. Dr.Shahid Hussain Soomro
To be discussed on according to weekly schedule
