Tuesday, April 13, 2021

Medicine paper for April 2021 bimonthly blended assessment

 13/04/2021 11:00 AM 


Answer all questions:                                                      

Max Marks: 100 (5 questions in total and 20 marks for each  answer) 

Submit by:   25/4/2021               


Below is an online formal question paper to be answered online using all available resources at your online disposal over a period of days and E logged in a manner demonstrated by past examinees in the link here https://medicinedepartment.blogspot.com/2021/02/blended-bimonthly-assessment-dec-2020.html?m=1

And here is a sample answer paper from the last exam here: https://ashiness3.blogspot.com/2020/11/bimonthly-assessment-for-month-of.html?m=1 please note that every logged answer paper should contain the link to this current "assignment/question paper" page and the patient context for each answer as well as avoid plagiarism as illustrated in the sample answer paper. 

A sample answer to the last question around sharing your experiences can be seen here: https://onedrive.live.com/view.aspx?resid=4EF578BAE67BA469!4180&ithint=file%2cdocx&authkey=!AOy7BpRTn42DBMo


Questions plan and context:

We are also utilizing this online assessment platform for a participatory action research strategy in "Scholarship of integration in Medical education research" as part of a commissioned book project and your online answers will also be analyzed and interpreted with that intent. 

A brief word about the book project outline before we move into the stem of the question paper: Scholarship of integration in medical education and research aims to disseminate back to society the fruits of academic discovery and translates medical education theory that developed from discoveries made by individual academics in countless individual members of society into a practice that again benefits the same or different individual members of society. For more click on: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1891293/

The questions below cover the entire spectrum from medical humanities, anatomy, physiology to diagnostic, therapeutic uncertainty and computational tools popularly known as ML AI to resolve one disease theme and predictably move from symptoms to diagnosis and treatment challenges. 

Most questions test the reading comprehension skills of the examinee and some prior familiarity with medical terms and strategies and also more importantly assesses their ability to use online search tools toward better expression of their learning points in the form of answers that are again made available open access for post publication peer review.

In summary the answers to the following questions in this online question paper will assess the examinee's competencies in dealing with:

Clinical problem solving 

Medical terminologies familiarity including areas of anatomy, physiology, pathology, ML, AI 

Empathy and medical humanities 

Current EBM strategies for managing diagnostic and therapeutic uncertainty 

Section 1) Please go through the patient data in the links below and answer the following questions:


Anatomic and physiologic localization of symptomatology 

In patient's own voice:

Patient 1

"I suffered from bad cramps and loose stool movements – and not the usual stomach cramps, it felt like someone was trying to tear out my insides.

On top of that, I was constantly bloated, suffered from bad mouth ulcers, mood swings, hot and cold chills, weight loss, and the dreaded haemorrhoids. It was only in the last year that I started noticing a lot of blood in my stools (lovely I know). My whole body was in pain, from my joints to my muscles, and to my mental state. This led to me becoming quite depressed and anxious, making matters a whole lot worse."

Patient 2:

"I had just gotten back from a holiday with a group of my friends when I had to leave work. I was experiencing constant fever symptoms, I fainted a few times and I was going to the toilet about 15-20 times a day. Not only this but every time I had to use the toilet I was losing blood"

Quoted above from: www.irishtimes.com/life-and-style/health-family/my-daily-routine-living-with-inflammatory-bowel-disease-1.3368509?mode=amp

Patient 3

"2004 and early 2005 were the the darkest days of my life. With no proper diagnosis and treatment, I was going nowhere. Every day was a challenge. I cloud barely drink a glass of fruit juice. No question of taking solid food. Just a bit of solid food in my mouth, it used to cause intense burning. If I managed to forcefully swallow some food, I used to vomit immediately. I was weighing 30kg, just skin and bones. Everyone lost hope, I was not knowing what went wrong and on top of that, everyone who came to see me used to say " your parents and doctors are putting all the efforts to make you healthy, but you don't seem to put any kind of effort or show any intension to get better. Looks like you are enjoying being sick and you want to remain sick.

They were giving me all kinds of suggestions ' why don't you eat, why don't you get up from the bed etc etc. I felt inside ' if these people, even for a minute, go through, the kind of pain I'm bearing for years and, manage to live for a couple of days, I would listen to their suggestion.

Suicidal thoughts were coming, I decided to end my life, luckily my mother came to my rescue and told me ' if you want to die, you should not die alone, I will also end my life along with you ' she said live and fight. That day I promised her, come what way, I'm not going to give up."

Above quoted from: https://medicinedepartment.blogspot.com/2021/04/empathic-narrative-in-inflammatory.html?m=1

In health professional's notes:

Patient 4:

"35/ M who works as a  mason presented to us with history of 

1) bleeding per rectum -3-4 episodes / day for 2-3 days , associated with hard stools +
Intermittently - for 5-6 months and he Was said to have anal fissure ,used sitz bath and ointment .
No altered bowel habits at that time .

Since December 2020- Patient complaining of - altered bowel habits ,for 10 days he passes  stools with normal  consistency and frequency then followed by hard stools for 2 days then followed by loose stools -small quantity ,associted with mucus + and blood , foul smelling stools ,2-3 episodes per day ,tenesmus + .no difficulty in flushing stools ,Relieves with fasting .These last  for one week , subsides with sitz bath and lignocaine topical application .
Then recurrs again after 10-15 days .

February 2021 - patient had 3 eipsodes of loose stools with severe pain abdomen-left iliac region ,non radiating , he was taken to local hospital ,
Usg - pancreatitis ,Gastritis .
Patient lost 5kgs   in 6 months .
No fever ,no joint pains ,no vomitings ,no fresh bleed .
Since 5 days before presenting in April 2021, Patient complaints of loose stools -small quantity , tenesmus + ,with mucus and blood .no pain abdomen"


Question 1) What are the common themes emerging from these symptom narratives? Does the symptomatology related by the patient's own voice evoke more empathy than the one in the health professional notes? Are there studies correlating patient empathy generated in health professionals to disease outcomes or even the doctor patient relationship? 

Question 2) One easily appreciable theme in all these narratives is the impact of the colonic pathology on the patient's psyche with severe symtomatologies precipitating suicidal depression. While the influence of somatic pathology on psyche is easy to appreciate are their studies demonstrating the influence of psyche and life events (that are often part of symptomatology narratives) on disease pathology manifesting in the soma? Please go through the article linked here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1774724/ and list the evidence for the fact that both chronic stress, in the form of adverse life events, and acute experimental stress can affect systemic immune and inflammatory function, and increase disease activity in humans with IBD.

Diagnostic and therapeutic uncertainties 

Diagnostic uncertainty:

Patient 3:

"I spent first 10 years of my life absolutely healthy. Started becoming sick after that. Saw few local doctors both allopathy/homeopathy, they said everything was fine, but I wasn't improving. Later met one of the leading gastroenterologist at ABCD Institute of Gastroenterology who diagnosed me as having TB in March 2001 and put on Anti Tuberculosis Treatment for 3 years that ended in march 2004.

After 3 years of pain and suffering, I went from bad to worse. The doctor said ' why did you come again, your treatment is over'.  I asked doctor the reason for not recovering he said ' it might not be TB, it might be some other disease, get admitted we will evaluate again'.

I could not digest those words, I was seeing him every fifteen days for 3 years with all the tests and reports.

2004 and early 2005 were the the darkest days of my life. With no proper diagnosis and treatment, I was going nowhere. Every day was a challenge."

Above quoted from:

https://medicinedepartment.blogspot.com/2021/04/empathic-narrative-in-inflammatory.html?m=1

Patient 4:

In this patient logged by our Intern here  http://sruthi995.blogspot.com/2021/04/is-online-e-log-book-to-discuss-our.html there was a debate among the health professional team managing him around what if they were missing a tuberculosis of the colon? What if the previous colonoscopy and biopsy had missed the diagnosis of tuberculosis especially as it hadn't been done by a Gastroenterologist but by a general surgeon? While a repeat colonoscopy and biopsy was planned again the expenses were too much to bear for the family members who left after promising to try getting the colonoscopy at a cheaper price from elsewhere and return to us for follow up. 

Therapeutic uncertainty:

Patient 1:

"I was taking several different medications at a time for over four months, but the worst of them all was the steroid called prednisone (anyone who has been on these can sympathise with me). These are truly the worst steroids in the world, I gained so much weight, I suffered from moon face, which made me look like a chipmunk (and not a cute one). I started receiving Infliximab (Remicade) infusions every two months, which is an auto-immune suppressant drug used to treat IBD."

Patient 2:

"I thought I could get it under control quickly and everything would go back to the way it was. I was wrong. The first six months after diagnosis were hell on earth. I developed severe anxiety about leaving the house as a result of my illness and symptoms. I tried to return to work and then became depressed when I failed miserably. My relationship ended. I had no appetite and couldn’t put back on the weight which resulted in me feeling really badly about my body and appearance.

I was taking steroids called Prednisone for the first three months and they made my face swell up, my hair fall out and also added massively to the anxiety and depression I was already dealing with. I began getting Infliximab (Remicade) infusions to suppress my immune system every eight weeks. That eventually had to be changed to every six weeks because my symptoms were still quite severe and the medication wasn’t lasting long enough.

Fourteen months down the line after diagnosis I am still struggling. "


Question 3) What are the current computational advances to resolve diagnostic uncertainty for health professionals such as the one described in patient 4? Go through this article: https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/s12911-020-01277-w and list the differences in the endoscopy findings between ulcerative colitis and intestinal tuberculosis identified by the Random forest and CNN model. Go through the colonoscopic descriptions captured in the patient 4 online EMR linked above and share your insights on what could be the probable diagnosis. Please share your current general knowledge thoughts or similar past experiences in diagnostic uncertainty while dealing with patients with potential inflammatory bowel disease and how you resolved them. 

Question 4)

List the current therapeutic strategies for IBD and share your critical appraisal of a few RCTs around each option, not only those mentioned in the patient narratives above such as SAIDs like prednisolone and biologicals like infliximab but also NSAIDs such as meselamine and immunomodulators such as azathioprine. 

Advocacy and pluralistic integration of available solutions as a therapeutic tool.

Patient 3:

 "I tried Allopathy, Ayurveda, Naturopathy, etc. They helped me to some extent, they helped to be alive, but not helped me to the extent I wanted. Then I thought let me try YOGA."

Quoted from here:

 
Patient 5:

"You see, it’s really difficult to live with Crohn’s or ulcerative colitis as it is but in many cultures around the world, there is little to no acceptance of young people who have chronic illnesses. And even though I live in cosmopolitan New York City, I have had one foot in two cultures: the country of my origin, India, and the country of my birth, the United States. According to South Asian culture, I was supposed to be taking care of my widowed mother, not being a burden on her. I was supposed to be out working my Wall Street job and supporting my family, not being a frequent flyer on the IBD floor of my hospital. As the oldest child of the family with no father and no brothers, my role was to take care of my family, not be the person being constantly taken care of."

Quoted from here :


Question 5) What is the role of the internet and it's patient users toward driving their own healthcare outcomes through timely sharing of their problems and pluralistic solution inputs from patient advocates and health professionals? What is the role of a doctor patient relationship in healing outcomes as demonstrated in some of the narratives? Please share your own experiences where you were part of one such relationship that worked positively or negatively for your patient. What is the role of computational ML AI in considerably expanding this "user driven healthcare" space? Please search for clinical decision support projects that begin with "applications that assign SNOMED CT codes to entered patient data which in turn trigger decision support information." 

Check out how these can be further expanded using ML AI techniques to create knowledge graphs toward 

"1) Named-Entity Recognition — given a patient’s initial complaint, the NER should tag medical and clinical entities.
2) Classification — e.g. classify an initial patient chat as an informational session or requires a visit to a hospital.
3) Diagnosis — ability to provide a diagnosis (with certain probability) given a chat session


Finally to sign out on a note around the disease theme in this question paper, from your own user perspective, please critically appraise this paper that develops an "ontology encapsulating IBD physicians knowledge
and describes different characteristics such as classification, medi-
cation, the activity of the disease, diagnosis techniques and various
other IBD attributes along with generating a knowledge graph by
importing 560 patient records collected in their University Hospital ontology." 


Further reading:

Book chapter:


Book:



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Monday, April 12, 2021

Empathic narrative in inflammatory bowel disease

In our bid toward scholarly integration of Medical education and research we thought the best approach would be to put the patient at the center of Medical education and research considering that the patient is the primary beneficiary of Medical education. 


Below is a narrative from an Indian patient of inflammatory bowel disease who has shared his trials and tribulations with the Indian healthcare system along with how he managed to overcome it by working closely with his healthcare professionals as well as integrating it with other alternative strategies. 


"I spent first 10 years of my life absolutely healthy. Started becoming sick after that. Saw few local doctors both allopathy/homeopathy, they said everything was fine, but I wasn't improving. Later met one of the leading gastroenterologist at ABCD Institute of Gastroenterology who diagnosed me as having TB in March 2001 and put on Anti Tuberculosis Treatment for 3 years that ended in march 2004.


After 3 years of pain and suffering, I went from bad to worse. The doctor said ' why did you come again, your treatment is over'.  I asked doctor the reason for not recovering he said ' it might not be TB, it might be some other disease, get admitted we will evaluate again'.


I could not digest those words, I was seeing him every fifteen days for 3 years with all the tests and reports.


2004 and early 2005 were the the darkest days of my life. With no proper diagnosis and treatment, I was going nowhere. Every day was a challenge. I cloud barely drink a glass of fruit juice. No question of taking solid food. Just a bit of solid food in my mouth, it used to cause intense burning. If I managed to forcefully swallow some food, I used to vomit immediately. I was weighing 30kg, just skin and bones. Everyone lost hope, I was not knowing what went wrong and on top of that, everyone who came to see me used to say " your parents and doctors are putting all the efforts to make you healthy, but you don't seem to put any kind of effort or show any intension to get better. Looks like you are enjoying being sick and you want to remain sick".


They were giving me all kinds of suggestions ' why don't you eat, why don't you get up from the bed etc etc. I felt inside ' if these people, even for a minute, go through, the kind of pain I'm bearing for years and, manage to live for a couple of days, I would listen to their suggestion.


Suicidal thoughts were coming, I decided to end my life, luckily my mother came to my rescue and told me ' if you want to die, you should not die alone, I will also end my life along with you ' she said live and fight. That day I promised her, come what way, I'm not going to give up.


I saw few more Gastroenterologists, Surgeons etc, nothing worked. I knew my parents were crying everyday. Pouring lakhs and lakhs of rupees. Meeting doctors, hoping to find a solution. I wanted to get well, become healthy and show the world that I'm not enjoying my ill health. But i was helpless, With no hope in sight, I thought ending my life would put an end to all my problems and the problems my family is going through because of me. Deep inside me I felt my family would have lived happily and luxuriously if I wasn't born. 


Even with all things happening in the background I passed my CBSE 10th exams. 


Later I met *Dr. S at EFGH hospitals Hyderabad. 


He gave me rebirth I should say*. He asked my parents to stay outside his consultation room and asked me to speak my heart out. He listened to me patiently for an hour. He looked into all of my reports which ran over few hundreds of pages. Not ignoring a single report. He made a diagnosis of Crohns, told me it does not have cure and I have to learn living with it for the rest of my life. 


I cried for years together, not  even a single night passed, without seeing my tears. Somehow i accepted the fact that I have to start living with an incurable disease. I started responding to treatment. I never imaged I would join college for intermediate. I wanted to study at home and take Inter exams. But gathered courage and took admission at an intermediate college in Hyderabad. Got state 8th in my inter. 


I did well for 2 years under treatment of Dr. S. I finished my Inter in 2007. I decided to join Pharm.D as I was determined to work in health care and not fit enough to do MBBS. 


Dr. S got an opportunity to work in USA, he left, referred me to his colleague. Initially I did well under his colleague, later my condition got worse. He advised me to undergo an surgery, I agreed to get it done, I gave my EAMCET exam and immediately got admitted the next day. As they were doing pre surgery examination, few tests etc, one person told me that Dr. S was back in Hyderabad. I cancelled my surgery and met him at IJKL Hospitals, Jubilee Hills. He evaluated me, said he will try to manage with medication and if that does not work, he told I have no other option but undergo surgery. He put me on inj. Infliximab, each dose of it costed 80,000rs. It has to be administered in ICU under supervision. 


At that time, Dr. R sir was the ICU head. (Later i went on to do Pharm D at Sri Venkateshwara College of Pharmacy which had an MOU with IJKL Hospitals, Jubilee Hills, where I was undergoing treatment, I did my 6 months Internal Medicine under Dr. R sir in 2014)*. I used infliximab for 5 doses, my immunity went down, chicken pox virus, which remains dormant within us, became active again and I developed varicella zoster infection, one of the most painful infection to deal with.


Later Dr. S moved to Orissa. I was continuing to take meds on my own. As the time passed (2013, i was doing clerkship), disease progressed, earlier it was just Crohns, now it is Crohns plus its complications. I developed a similar complication a decade back (2003) for which i used Ayurveda and it worked. I went back to same Ayurveda doctor, he started me on a very strict Regimen with lot of diet restrictions. All I eat was rice cooked with dal without oil, salt With this Regimen, I developed Hemolytic Jaundice, Hb deceased, serum bilirubun and liver enzymes increased.


As S sir was not at Hyderabad and moved to Orissa, I met few more gastroenterologists in Hyderabad, nothing worked. I tracked Dr. S, went to Orissa, met him, his magic touch made me recover. This all happened during my 5th year Pharm. D. I was really excited to start my internship, but with all these things happening I was not sure if I would start internship. Luckily after meeting Dr. S at orissa, I recovered and started my internship. In 6 years of Pharm D I got almost 3 to 4 relapses every year. 2nd year was the only time I took Pharm D in healthy condition. Other 5 years I took exams when I had a relapse.


I Started my internship in 2013, did first 6 months well, again got a relapse. All my hopes of doing Internal Medicine Internship under Dr. R sir crashed. I Got admitted under Dr. R recovered, finished internship under him. 


With all the health issues bothering me, my only objective was to finish Pharm D on time (which I did), get a job, make some money, take care of my own expenses and not depend on parents. As I enjoyed teaching ( Even when I was a student, I was teaching my juniors right from 1st year to 5th year, almost all the subjects of Pharm D and specifically *Organic Chemistry*, some times I skipped writing my internals to train students preparing for supplementary exams), I joined as faculty of Pharm D, two months after I joined I got one more relapse, had to undergo couple of surgeries.


I wrote a mail to Dr. S, he referred me to his HOD, Dr. , working at MNOP Hospital, Chennai. I'm currently undergoing treatment under him.


I had the fortune of working with few of the best doctors as a part of my clerkship and internship. They had a huge amount of influence on me, standing next to them felt great, I used to get goose bumps when patients used to keep Namaskaram to them with gratitude after their loved ones recovered from serious conditions.


Even after I joined as faculty, I used to meet them frequently and spend some time with them. Every time I met, they used to say 'You are capable of doing so many things, why to do limit yourself'. I used to respond 'I'm happy doing whatever I am doing, why should I do more and even if I want to do more, my health will not support me.'


Slowly I felt, how long will I cite my disease as an excuse and stop doing things that I'm capable of doing, which has potential to inspire and guide many students who were looking for guidance.


I thought what's the point of having capability, without it being useful. I identified my health as my biggest limitation and decided to break that limitation. I felt without becoming healthy, there is no point sittings at home and dreaming about things which I was capable of doing. I tried Allopathy, Ayurveda, Naturopathy, etc. They helped me to some extent, they helped to be alive, but not helped me to the extent I wanted. Then I thought let me try YOGA. On the suggestion of my aunt who is fighting Ulcerative Colitis, I enrolled for a yoga program, Inner Engineering, in 2016, offered by (...). Right from day 1, it had a profound impact on me. I came across many dimensions of life, which I was unaware of or ignored. I realized how foolish I was as I denied my aunts request to do Inner Engineering in 2012.


Prior to 2016 I was experiencing a minimum of 3 to 4 relapses every year, but after doing Inner Engineering, from 2016 to till date, I have got only one relapse. My colonoscopy looks lot better, Infact it's the best in all the colonoscopies done over last 20 years.


Earlier I used to say Crohns is my best friend and it has no intention to leave me as long as I am alive, but now I feel, there is a solution, I can get rid of Crohns if I'm really committed. My Health improved, I started doing workshops at my home every Sunday with 8 students, I did those workshops at my home for 2 years, attended by over 1500 students. I realized the Inspiration after listening to workshops lasts for only few days (our half life is too short), so I started doing 2 month modules with classes every Sunday. 


Earlier I never moved out of Hyderabad, even if I moved out of my home, I used to carry water bottle and lunch to avoid outside food and water. As my health started improving and the feedbacks I got from students showing the impact my workshops are making, I thought of taking them to more students. I decided to go to colleges and do workshops. I did workshops in around 75 college so far. *My target is to do workshops in every college that offers Pharm D program in India*.


I was facing resistance from my college in doing the workshops and modules. I left my job and decided to start working independently. I thought of reaching students of those college too and giving them a glimpse of what I have to offer, I felt organizing conferences will be the best way, stared organizing conferences. So far i organized 5 international, 13 are national conferences. Most recent conference was at JNTU kukatpally Hyderabad attended by over 1000 delegates from over 100 colleges, ie close to 40% of all Pharm D college across India.


I did not wanted to leave those who could not attend my workshops or modules or conferences, I wanted to reach them too, so I started whatsapp groups in 2014. That group has now become one of the biggest group with over *6000 students and professionals of Pharm D from over 230 colleges of Pharm D, 100 hospitals and close to 100 organizations where Pharm D graduates are working*. We have 16 groups for girls and 7 for boys."

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Tuesday, March 23, 2021

Learning competencies of Intern 2015 MBBS batch in the department of Medicine.

DEPARTMENT OF GENERAL MEDICINE

BIMONTHLY FORMATIVE AND SUMMATIVE ASSESSMENT OF INTERN 2015 MBBS BATCH

This is a blended, bimonthly formative and summative assessment of the learning competencies of Intern 2015 MBBS batch posted in the department of Medicine from 23.09.2020 to 22.11.2020. The formative assessment is from each PG's logged competency around patients evaluated regularly from date of joining (left column) till date of current bimonthly summative assessment (right column), which is from the assignment posted for 7/10/2020 here: https://medicinedepartment.blogspot.com/2020/09/medicine-paper-for-october-2020-first.html?m=1  and the assignment posted for 16/11/2020 here:https://medicinedepartment.blogspot.com/2020/11/blended-learning-bimonthly-assignment.html?m=1

The formative assessment has been divided into non-verbal which assesses their competency in procedural domains including empathic communication and body language and verbal which assesses their ability to communicate their work through their day to day E logs.




S. No.

Name

Formative Assessment

Marks

`Summative Assessment

Marks

1

Chintha  Sruthi

Formative Assessment from 23.09.2020 to 22.11.2020

Subjective Non Verbal offline presentation:https://youtu.be/AUh8GAe0oM8 

Objective Verbal online portfolio (7 posts) :  https://sruthichintha.blogspot.com/                               

58

Summative Assessment on 07.10.2020 and 17.11.2020

October: NA

November:https://sruthichintha.blogspot.com/2020/11/chronic-ge-2-to-retroviral-disease-with.html 

58

2

Boppanapelly Arun

Formative Assessment from 23.09.2020 to 22.11.2020

Subjective Non Verbal offline presentation:https://www.youtube.com/playlist?list=PLvYjjuT_hEEQDtlHSAvFdRpCb5EBszwgR 

Objective Verbal online portfolio (1 post): https://boppanapellyarun.blogspot.com/                   

50

Summative Assessment on  07.10.2020 and 17.11.2020

October: NA

November: NA

0

S. No.

Name

Formative Assessment

Marks

`Summative Assessment

Marks

3

Aakansha Raj

Formative Assessment from 23.09.2020 to 22.11.2020

Subjective Non Verbal offline presentation:https://youtu.be/4WqrsnVj92w 

Objective Verbal online portfolio (6 posts): https://aakansharaj.blogspot.com/                     

58

Summative Assessment on  07.10.2020 and 17.11.2020

 October:https://aakansharaj.blogspot.com/2020/10/medicine-bimonthy-internal-assessment.html 

November:https://aakansharaj.blogspot.com/2020/11/blended-learning-bimonthly-assignment.html 

52

4

Aarti Sahu

Formative Assessment from 23.09.2020 to 22.11.2020

Subjective Non Verbal offline presentation:https://www.youtube.com/playlist?list=PLvYjjuT_hEEQDtlHSAvFdRpCb5EBszwgR 

Objective Verbal online portfolio (8 posts): https://aartisahu.blogspot.com/                         

60

Summative Assessment on  07.10.2020 and 17.11.2020

October:  https://aartisahu.blogspot.com/2020/10/october-bimonthly-assessment.html 

November: http://aartisahu.blogspot.com/2020/11/november-bimonthly-assessment-exam.html  

60

5

Aditya Nair

Formative Assessment from

Subjective Non Verbal offline presentation: https://www.youtube.com/playlist?list=PLvYjjuT_hEEQDtlHSAvFdRpCb5EBszwgR   

Objective Verbal online portfolio (6 posts): https://nairaditya97.blogspot.com/                   

55

Summative Assessment on 07.10.2020 and 17.11.2020

October:  https://nairaditya97.blogspot.com/2020/10/october-bimonthly-assessment-exam.html 

November: https://nairaditya97.blogspot.com/2020/11/bimonthly-internal-assessment-november.html           

55

6

Akila Sri Yashashwini K

Formative Assessment from 23.09.2020 to 22.11.2020

Subjective Non Verbal offline presentation:https://www.youtube.com/playlist?list=PLvYjjuT_hEEQDtlHSAvFdRpCb5EBszwgR 

Objective Verbal online portfolio (6 posts): https://akilasri.blogspot.com/   

58

Summative Assessment on  07.10.2020 and 17.11.2020

 October: http://akilasri.blogspot.com/2020/10/bimonthly-exam.html

November : https://akilasri.blogspot.com/2020/11/bimonthly-assessment-nov-2020.html     

58

7

A Venkata Sai Raghuveer

Formative Assessment from 23.09.2020 to 22.11.2020

Subjective Non Verbal offline presentation:https://youtu.be/F_QAJr53oKI 

Objective Verbal online portfolio (7 posts): https://sairaghuver.blogspot.com/       

60

Summative Assessment on 07.10.2020 and 17.11.2020

 October: https://sairaghuver.blogspot.com/2020/10/bimonthly-internal-assessment.html 

November: https://sairaghuver.blogspot.com/2020/11/november-assessment.html   

60

8

Kshithi Poorna Mahitha A

Formative Assessment from 23.09.2020 to 22.11.2020

Subjective Non Verbal offline presentation:https://www.youtube.com/playlist?list=PLvYjjuT_hEEQDtlHSAvFdRpCb5EBszwgR 

Objective Verbal online portfolio (6 posts): https://kshithiambati27.blogspot.com/     

60

Summative Assessment on  07.10.2020 and 17.11.2020

 October:https://kshithiambati27.blogspot.com/2020/10/bimonthly-internal-assessment-october-7.html 

November: https://kshithiambati27.blogspot.com/2020/11/bimonthly-internal-assessment.html 

60

9

Andru Nikitha

Formative Assessment from 23.09.2020 to 22.11.2020

Subjective Non Verbal offline presentation:https://www.youtube.com/playlist?list=PLvYjjuT_hEEQDtlHSAvFdRpCb5EBszwgR 

Objective Verbal online portfolio (4 posts): https://nikithareddy59.blogspot.com/   

60

Summative Assessment on  07.10.2020 and 17.11.2020

 October:https://nikithareddy59.blogspot.com/2020/10/bimonthly-internal-assessment.html

November:https://nikithareddy59.blogspot.com/2020/11/bimonthly-internal-assessment.html 

55

10

Avula  Nithisha

Formative Assessment from 23.09.2020 to 22.11.2020

Subjective Non Verbal offline presentation:

https://youtu.be/c-6HWzXyzy8 

Objective Verbal online portfolio (7 posts): http://nithishaavula.blogspot.com/2020/11/ 

58

Summative Assessment on  07.10.2020 and 17.11.2020

October: http://nithishaavula.blogspot.com/2020/10/bimonthly-exam.html 

November: http://nithishaavula.blogspot.com/2020/11/bimonthly-assignment-for-november.html 

55


Name

Formative Assessment

Marks

`Summative Assessment

Marks

11

B. Mahathi Reddy

Formative Assessment from 23.09.2020 to 22.11.2020

Subjective Non Verbal offline presentation: https://www.youtube.com/playlist?list=PLvYjjuT_hEEQDtlHSAvFdRpCb5EBszwgR 

Objective Verbal online portfolio (7 posts): https://mahathireddybandari.blogspot.com/   

60

Summative Assessment on  07.10.2020 and 17.11.2020

October:https://mahathireddybandari.blogspot.com/2020/10/bimonthly-assessment.html 

November: https://mahathireddybandari.blogspot.com/2020/11/bimonthly-assessment-2.html 

60

12

B. Meghana

Formative Assessment from 23.09.2020 to 22.11.2020

Subjective Non Verbal offline presentation:https://www.youtube.com/playlist?list=PLvYjjuT_hEEQDtlHSAvFdRpCb5EBszwgR 

Objective Verbal online portfolio (7 posts): https://meghanabonaboina.blogspot.com/   

57

Summative Assessment on  07.10.2020 and 17.11.2020

 October:https://meghanabonaboina.blogspot.com/2020/10/october-2020-bimonthly-assessment.html 

November:http://meghanabonaboina.blogspot.com/2020/11/bimonthly-assessment-for-november-2020.html 

58

14

B. Swathi

Formative Assessment from23.09.2020 to 22.11.2020

Subjective Non Verbal offline presentation: https://www.youtube.com/playlist?list=PLvYjjuT_hEEQDtlHSAvFdRpCb5EBszwgR 

Objective Verbal online portfolio (7 posts): 

 https://swathibogari158.blogspot.com/     

58

Summative Assessment on  07.10.2020 and 17.11.2020

 October:https://swathibogari158.blogspot.com/2020/10/biweekly-internal-assesment-assessment.html 

November: NA

55

15

Bala Roshini

Formative Assessment from 23.09.2020 to 22.11.2020

Subjective Non Verbal offline presentation:https://www.youtube.com/playlist?list=PLvYjjuT_hEEQDtlHSAvFdRpCb5EBszwgR 

Objective Verbal online portfolio (7 posts): 

https://roshinibala.blogspot.com/   

58

Summative Assessment on  07.10.2020 and 17.11.2020

October: https://roshinibala.blogspot.com/2020/10/bimonthly-internal-assessment.html 

November:https://roshinibala.blogspot.com/2020/11/bimonthly-internal-assessment.html 

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