IMF as a lender can establish only the broad guidelines that are well-known, for example to reduce deficit, and balance of payments. The government taking the loan comes up with the plan to achieve the targets, not the IMF. For example, in Pakistan's case, it has decided in the past to cut development spending while maintaining defense expenses due to its security situation. What it has decided this time around is not fully known yet in this aspect.
The hypocritical part is when the government places the blame for any hardship endured by the people on IMF, which is just plain wrong, and done only for political reasons. Always remember that going to the IMF is a choice up to the government to decide, not anyone else. It is the government that puts forward the plan to meet the structural reforms that are necessary, not the IMF.