BASIC MEDICAL SCIENCES ANATOMY
1. GENETICS:- Structure and function of gene and anatomy
of geneme, Classification of genetic disorders, Chromosomal
disorders/Cancer genetics, Genetic counselling, Prenatal
diagnosis, Cone theraphy.
2. GENERAL ANATOMY:- General Embryology, Embryology
relating to Cardiovascular, respiratory, Urogenital,
alimentary and Nervous system, Osteology.
3. APPLIED ANATOMY:- Cardiovascular System:- Orientation
of the heart, Coronary circulation, Nerve supply of
the heart, Electrical conduction system.
4. RESPIRATORY SYSTEM:- Surface anatomy, Gross anatomy,
Lobes, Segments, C Pleura Mediastinum & Thoracic
Cage-Histology. Lung Defences.
5. ALIMENTARY TRACT AND PANCREAS:- Teeth/Oral cavity,
Oro-Pharynx - Oesophagus - Alimentary Tract & Pancreas
- blood supply, nervous supply, Lymphatic draniage,
Congenital and genitic abnormalities of Alimentary tract
and Pancreas.
6. LIVER AND BILIARY SYSTEM
7. CONNECTIVE TISSUES, JOINTS & BONES.
8. ERVOUS SYSTEM:- 1. Motor System:- Pyramidal/Extra
pyramidal system/Cerebellum, 2. Sensory system 3.Reflex
activity, 4. Control of bladder & Sphincters 5.
Cranial Nerves.
9. LYMPHOID ORGANS:- Applied Microbiology, Sterilisation,
disinfection, Bacterias, Mycobacterum, Fungus, Viral
Chlamydial, rickettsial. Streptococcus, Staphyloccus,
Cornybacteria, bacillus, Bordetella, Salmonella, Mycobacteria
- TB, Leprae, atynical Mycobacteria, Viruses - RNA -
Arena viruses, Bunya viruses. Filoviruses, Paramy-Xoviruses,
Picorna viruses. (HIV) - Retroviruses, Rhabdoviruses,
arboviruses, Tegaviruses, DNA - Herpesviruses, Rapoviruses,
Pexviruses. Mycoses - Cutaneous - Subcutaneous fungal
infection systemic fungal infection.
SPIROCHECOTES:- Leptospira,
Borrelia, Treponema, Immune responses & inflammation,
Allergy,Hyper sensitity, Transplantation & graft
rejection automminuty and protozoa, Helminthes, Arthropods.
APPLIED PATHOLOGY:-
Injuries
GENERAL PATHOLOGY:- Inflammation, Wound healing, Infections,
neoplasia, Immuno responses & inflammation.
I. CARDIO VASCULAR SYSTEM:- Cardiomyopathy, Pericardial
diseases, Valvular diseases, Endocarditis, Aneurysms.
II. RESPIRATORY SYSTEM:- Tuberculosis, Chronic Bronchitis
& Emphysama, Asthma, Pnumonia, Branchogenic Carrinomia,
Suppurative diseases of the lung, adult respiratory
Distress Syndrome; Respiratory involvement in connective
tissue disorder, Trachietis, Laryngitis, Pleural diseases.
III. ALIMENTARY TRACT & PANCREAS
IV. R.LIVER AND BILIARY SYSTEM
V. MUSCULASKELETAL SYSTEM
VI. SKIN
VII. RENAL SYSTEM:- Glomerular Nephritis, Nephrotic
Syndrome, Renal failure, Congenital Abnormalities of
the kidneys, Tumours of the kidney & Genito urinary
tract, Calculi in Renal system.
VIII. BLOOD:- Disorders of erythrocytes, Disorders of
white cells, Blood transfusion, Haemostasis, Thrombosis,
Urogenital system.
IX. ONCOLOGY
X. PATHOTOGY
XI. NERVOUS SYSTEM:- Coma, brain death, cerebral tumours,
cerebro vascular, disorders, Parkinsonium, diseases
of muscles, Peripheral nerves, spinal cord.
APPLIED BIO-CHEMISTRY
Liver Function Tests, Renal Function Tests, Major Electrolyte
disorders - Calcium, Phosphate, Magnesium, disorders
(Same as in Bio-chemistry), Acid Base disorders, Calcium
metabolism, Lipid metabolism, Porphyra.
ENDOCRINE SYSTEM:- Hormones Estimation, (Hypothalamus/Pituitary
gland), Thyroid Hormones, Parathormone, Corticosteroids,
Catecholamines, Hyperglycaemia/Hypoglycania.
APPLIED PHYSIOLOGY
CARDIO VASCULAR SYSTEM:-
Myocardial contraction, factors influencing cardiac
output, factors influencing resistance to coronary blood
flow/systemic blood flow, physiological basis of physical
signs.
RESPIRATORY SYSTEM:- Ventilation, blood flow and diffusion,
lung function tests as applied to obstructive airways/restrictive
airways disease.
ALIMENTARY TRACT AND PANCREAS:- Controlling/Co-ordinating
mechanism/Secretions, absorption, Defence mechanism.
PHYSIOLOGY OF WATER AND ELECTROLYTES:- Major electrolyte
disorders, Hypernatraemia, Hyponatraemia, Hypo and Hyperkalaemia,
Sodium and water excess.
LIVER AND BILIARY SYSTEM:- Temperature Regulation, renal
function tests, Physiology of skeletal muscle.
ENDOCRINOLOGY:- Adrenal Corticosteroids, Antagonist,
Corticotrophin, Thyroid hormones, Hypothalami, Pituitary
hormones, sex hormones, contraception.
BLOOD:- Blood cell
formation, stem and progenitel cells, Assessment of
haematological parameters.
NERVOUS SYSTEM:- Sensory and Motor - Functions, Speech,
vision, control of bladder and sphineters, sleep, pain.
APPLIED PHARMACOLOGY
CARDIO VASCULAR SYSTEM:- Anti ischaemic drugs (Anti
anginal drugs), anti hypertensives, antifailure drugs,
drugs used in cardiac dysrhythmia, drugs used in shock,
hypotension, sympathomimetics, hyperlipidaemis, antiarrythesic
drugs.
RESPIRATORY SYSTEM:- Antituberculous drugs, antiasthmatic
drugs, antibiotics, antifungal, anticancer drugs, cough
suppressants, mycolytics, expectorants, antihistamics.
Alimentary tract - pancreas, liver biliary tract, drugs
for peptic ulcer, drugs for vomiting, antiemetics and
prokinetic drugs, drugs for constipation, misuse of
laxatives, drugs for diarrhoea, drugs for abnormal gut
motility, drugs for inflammatory bowel disease, drug
induced liver injury, drugs used to dissolve gall stones,
digestive enzymes.
KIDNEY AND URINARY TRACT:- Diuretic drugs, carbonic
anhydrase, inhibitors.
ONCOLOGY:- Principles of Management, Principles of Chemotherapy,
Principles of Endocrine therapy.
NERVOUS SYSTEM:- Analegesics - Narcotics/OPO',D, Hypnotics/Anxiolytic
agents, Classification and dosage of psychotropic drugs,
Neuroleptics, Antidepressants, MAOls, Lithium, Psychostimulants,
Appetite Control, Amphetamines, Xanthines, Antiepileptics,
Antiparkinsonian Drugs, Psychodysleptics (or) hallucinogens,
Drug dependance.
ENDOCRINOLOGY:- Adrenal Steroids & their synthetic
analogues, Antidiabetic agents - insulin, Oral Hypoglycaemic
agents, Thyroid Hormones, Antithyroid drugs.
BLOOD:- DRUGS ACTING;- Coagulation System, Fibronolytic
System, Plaletes, Iron Therapy, Vitamins - B12 /Folic
Acid, Haemopoictic growth factor.
ANAESTHESIA AND NEUROMUSCULAR BLOCK:- General Anaesthesia,
Pharmacology of Anaesthetic, Inhalation agents, Intravenous
anaesthetics, Muscle relaxants, Neuro Muscular Blocking
Drug Local anaesthetics, Obstetric analgesia/anaesthesia,
anaesthesia in diseased, old age, Childhood, Sedation
in intensive therapy units.
ARTHRITIS & ANTIINFLOAMMATORY DRUGS.
INFECTION:- Chemotherapy, anti-bacterial drugs, chemrotherapy
of bacterial infections, Chemotherapy of viral, fungal,
protozoal and helinthic infection.
DRUGS & SKIN:- Vehicles for delivering drugs to
skin, topical analgesia, antipruritis, adrenocortical
steroids, Sun screens, Sun burn and Photosensktris.
POISONING/DRUG OVERDOSE/ANTIDOTES Indiscriminate use
of drugs/Antimicrobials in Foetus, Newborn, Infants,
adults and in special situations like Hepatitis, Renal
problems, Diabetes, etc.
PAPER -II
(INCLUDES General Medicine, Psychiatry, Geriatrics,Paediatrics,
Surgery, Gynaecology, Obstetrics and Community Medicine)
1. GENETICS:
1. Single Gene disorders
2. Chromosomal disorders
3. Multifactorial disorders
4. Management, treatment and prevention of genetic disease.
2. IMMUNOLOGICAL DISEASES.
3. Climatic and environmental
factors producing diseases. a) disorders of heat/cold/altitude/barametric
pressure/pollution both indoor and outdoor. b) Diseases
due to infections (Bacterial, Viruses, Spinochaetes,
fungi, protozoa, helminths, arthropods)
4. DISEASES OF THE CARDIO VASCULAR SYSTEM:-
Symptoms and signs in a CVS, ECG, exercise-stress, ECG
Holter, monitory, radiology, ECHO, cardiac catheterisation
and angiography, radio nucleotide scanning (PET) disorders
of heart rate, rhythm and conduction, ischaenie, heart
disease, vascular disease, diseases of the heart valves,
congenital heart, diseases, diseases of the mynocardium
endocardium, and pericardium.
5. DISEASES OF THE RESPIRATORY SYSTEM:-
Symptoms and signs in respiratory system. Lung function
test, spirometry, body box, diffusion studies imaging
sciences chest, x-ray, computed tomography, MRI, Ventilation
perfusion imaging, pulmonary angiography, endoscopy-laryngoscopy,
bronchoscopy both rigid and flexible, mediastroscopy,
Pleural aspiration & thoracoscopy skin tests. Immunological
& Serological, tests, Microbiological, Histopathological
and Cytological examinations. Chronic obstructive pulmonary
diseases Bronchail Asthma, upper respiratory tract infections,
pneumonia tuberculosis. respiratory diseases caused
by fungi, tumours of the bronchus and lung, interstitial
and infiltrative pulmonary diseases. Diseases of nasopharynx,
larynx, trachea, dieseases of pleura, diaphragm and
cheat wall.
6. Alimentrary tract and pancreas, Hepato biliary system,
symptoms and signs of the alimentray tract, pancreas,
hepato biliary system. Investigations:- Plain radiographs,
barium studies, CT, MRI, Artenography, Interventional
radiology, ultrasonography, radionucleitide imaging,
endoscopy - (rigid and flexible), sigmoidoscopy, oesophagoscope
ERCP, Proctoscopy, Biopsies, secretary studies, motility
studies, stool examination, liver function tests, diseases
of the mouth, oesophagus. stomach and duodenum, gastro
intestinal haemoorhage, acute abdomen, disease of small
intestine, irritable bowel disease, diseases of the
large intestine, diseases of the pancreas, acute and
chronic parenchymal liver disease, tumours of the liver,
liver transplantation, liver abscess gall bladder and
other biliary diseases.
7. WATER - ELECTROLYTE - ACID BASE BALANCE DISTURBANCES:-
Serum electrolyte estimation.ABG, Major electrolyte
disorders, acid base disorders, calcium, phosphate and
Magnesium disorders.
8. NUTRITIONAL FACTORS IN DISEASE Classification of
Nutritional disorders. Energy yielding Nutrients, Protein
Energy Mal-nutrition in -adults -children vitamins,
Minerals, Nutrition support in hospital.
9. RENAL AND GENITOURINARY SYSTEM Symptoms and signs
of renal involvement, Renal function tests. Glomerular
diseases, infections of the kidney of urinary tract,
obstruction of the urinary tract, urinary tract calculi
and nephrocalcimosis, congenital abnormalities of the
kidneys, Drugs and kidney, tumours of the kidney and
genitouinary tract.
10. ENDOCRINE AND METABOLIC DISEASES INCLUDING DIABETES
MELLITIES Symptoms and signs pertaining to various endocrine
organs, disorders of Hyopothalamus, pituitary gland,
thyroid gland, parathyroid gland, adrenal gland, Reproductive
organs. Diabetis Mellities and other metabolic disorders
- like lipid, porphynia, etc.
11. DISEASES OF THE BLOOD:
Disorders of the erythrocytes, white cells, blood transfusion,
haemostasis, venous thrombosis.
12. DISEASES OF THE CONNECTIVE TISSUES JOINTS AND BONES
Back disorders, Regional periarticular or "soft
tissue " disorders, crystal deposition diseases,
Inflammatory Joint disease, connective tissue disease,
diseases of bone disorders of collagen and proteoglycan
and neoplastic disease of bone, Osteoarthritis and related
disorders.
13. DISEASES OF THE SKIN:
Eczemas, Erythematous scaly eruptions, disorders of
the pilosebaceous unit, skin ulceration due to vascular
disease, Dullous diseases, skin reactions to light,
disorders of pigmentation, hair and nails and skin tumours.
14. PSYCHIATRY:-
Clalssification of Psychiatric disorders, altiological
factors. Causes of acute confusional state, features
of alcohol abuse and dependence, Physical sequele of
alchohol abuse, factors associated with increased suicidal
risk after deliberate self harm.
TREATMENTS USED IN PSYCHIATRY:-
Clinical Syndromes - Organic Psychiatric disorders,
substance misuse, Schizophrenia, affective disorders,
Neurotic, Stress - related and somatoform disorders,
eating disorders, sleep disorders, Sexual dysfunctions,
puerperial mental disorders, personality disorders,
factitious disorders. Special aspects of psychiatry
like, Psychiatric problems in Hospital and community.
Legal aspects of psychiatry.
15. DISEASES OF THE NERVOUS SYSTEM:-
Disorders affecting cranial Nerves.(I to XII) cerebral
tumours, headache, facial pain, epilepsy, cerebrovascular
disorders, movement disorders, demyelinating diseases,
Infections of the nervous system. Diseases of the spinal
cord, peripheral nerves, muscles, disorders of sleep,
degenerative disorders. Nutritional neurological diseases,
paraneoplastic neurological syndromes. Investigations
of the Nervous system.
CLINICAL EXAMINATION:-
Imaging - Planning radiology, contrast radiology(angiography
- DSA-Digital sub-traction angiography) Myelography
& radiculography pneumoencephalography, computed
tomography, Magnetie Resonance Imaging - MRI - Radionucleotide
cerebral scanning, Emission computed tomography.
CLINICAL NEUROPHYSIOLOGY:-
Electroencephalography(EEG) Evoked Poteritial Recording
Biochemical Tests:- Tests of Muscle breakdown and tests
for specific disorders, Tests of autonomie, Nemous systems.
CSF Examination.
16. GERIATRIC MEDICINE:-
Normal old age, Effects of ageing on the pharmocokinectis
and pharmacodynamics of drugs. Stroke Rehabilitation,
Nonspecific presentation of disease in the elderly,
common causes of falls, faceal and urinary mcontenence
in elderly.
17. ACUTE POISONING:-
Clinical Features and management of Common acute poisonings.
Prevention of acute poisoning.
18. EMERGENCY MEDICINE:-
Cardiopulmonary Resuscatation (CPR), Advanced Cardiac
life support(ALLS)
19. HIV infection and AIDS.
20. The eye as a diagnostic indicator of systemic disease.
21. Otorhino laryngology for non-specialist Ear/Pharyngeal
& laryngeal diseases.
22. Labyrinth/Nasal Obstructum. Neck Swellings, Cysts
- Salivary
23. Paediatrics:
Growth & development, Nutritional Status, antenatal
paediatrics, care of New born & premature babies.
Immunisation programme - WHO - National, Infant feeding,
common birth injuries, diarhoerial disorders, Acute
respiratory infections, Phoumenias - parasitic infections,
Neurological disorders, Congenital & acquired cardiovascualr,
renal & Metabolic disorders, Hepatie & blood
disorders, Childhood Malignaucies, chromosomal &
genetic disorders, Child survival & Development,
Revolution - antenatal care, growth monitoring, oral
Rehydration, breast feedings, immunisation etc. Child
abuse.
24. SURGERY:-
Infection, wound healing, water/electrolytes/,. Nutrition
in surgical patients, shock, Hypothermia, Preoperative
and post operative care, Oxygen theraphy, Management
of emergencies, Surgical/Orthopaedics, Multiple system
injuries, Fractures & dislocation, What first and
measures to be adopted? Burns/Organ transplantation,
Varicose veins, vonous thrombosis, peripheral arterial
disease, paranychia, Tenosynovilies, Infection of palmar
spaces. Bursitis, amputation, artificial limbs, Breast
examination, oral cavity - carcinoma, Head injuries
& management at the PHC/district hospital level.
Actue abdomen, Pneumothora, Haemothro, Radio diagnosis
of the emergency conditions - like Du Perforations,
fractures etc. Thorasic, abdominal & Pelvic injuries
to be recognised, Hernias and Hydrocele. Examination
of the patient. Anaesthesa in surgery.
25. GYNAECOLOGY/OBSTETRICS:-
Infection of the genital tract, Tumours of the genital
tract, investigations - Pap smear, colposcopy, Colpomicrosopy,
fractunal curettage, ultrasono graphs, Laparoscopy,
Hysteroscophy, family welfare programme, Breast examination:-
Antenatal check up, high Risk Pregnancy, Prevention
of low birth weight, babies, Maternal changes during
pregnancy in CVS, respiratory system and renal fucntion.
PREGNANCY:- Special circumstances - protein Energy Malnutrition,
Diabetes, Anaemia, Heart diseases, Malaria, TB, HIV,
STD, Infective Hepatitis, Pregnancy and Blood loss,
Pregnancy and infection, Pregnancy and Blood transfusion,
Anaesthesia.
26. COMMUNITY MEDICINE:-
1. Health statistics
2. Epidemiology
3. Communicable Diseases - Small pox - influenza - Measles
- Typhoid fever - Cholera - Malaria - Rabies anthrax-Nosocomial
infections - Food poisioning - Sexually Transmitted
Diseases
4. Environmental Health and Exposure to chemical
5. Hygiene and Sanitation (including rural sanitation)
6. Public Health Services.
7. Preventive priorities: Hypertension - Family planning
- maternal and Child health - Genetic Screening - Surveillance
and control of infections diseases - immunization -
sexually transmitted diseases - Occupational safety
and health Surveillance and control of toxic agents
in the Environment - Accident prevention and injury
control - Smoking - Alcohol and Drug Abuse - Nutrition.
8. Principles of health Education.
9. Regional and National health Programmes including
social, maternity and Child Health, more emphasis on
population/HIV/Leptospiorios, trophical diseases, mother
and child health care programme WHO PROGRAMME.
MANAGEMENT OF EMERGENCIES:-
a) To manage acute anaphylactic shock
b) To manage perivascular failure and shock
c) to manage Acute Pulmonary Oedema and LVF.
d) Emergency management of Drowning, Poisoning and Seizures
e) emergency Management of Bronchial Asthma & status
Asthmaticus .
f) Emergency Management of Hyperpyrexia
g) Emergency management of Comatose Patients Regarding
Airways, Positioning, Prevention of Aspiration and injuries
h) Management of Burns
i) Management of various trauma, Victims
j) Medico legal cases:- Formalities in cases of Injury
poisoning, Sexual offenses, Intoxication and other unnatural
conditions.
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