MBBS-IV

HIGHLIGHTS
  • Review subject matter thoroughly via 3 Classes/Week.
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  • Oriented as per MBBS Syllabus probably NEXT.
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MEDICINE

General
The ‘art’ and ‘science’ of Medicine
Principles of medical ethics
Clinical diagnostic reasoning
Principles of prevention of disease
Clinical genetics - common types, clinical presentation, investigation and prevention of genetic
diseases and genetic counseling
Medical disorders during pregnancy
Principles of Geriatric Medicine
Normal ageing
Clinical assessment of frail elderly,
Decisions about investigations and rehabilitation
Major manifestations of disease in elderly
Care of terminally ill/dying patient
Clinical Pharmacology
Principles of drug therapy
Adverse drug reactions
Drug interactions
Monitoring drug therapy
Writing a drug prescription
Nutritional and metabolic disorders
Nutritional assessment & needs
Nutritional & metabolic disorders
Protein energy malnutrition
Obesity
Vitamin and mineral deficiency & excess
Diet therapy including parenteral nutrition therapy
Water, electrolyte and acid-base imbalance
Water and electrolyte physiology
Acid-base disorders
Fluid and electrolyte disturbances
Critical care Medicine
Physiology of the critically ill patient
Major manifestations of critical illness
Circulatory failure: shock
Respiratory failure
Renal failure
Coma
Sepsis
Disseminated intravascular coagulation
General principles of critical care management
Scoring systems in critical care
Outcome and costs of intensive care

Pain management and palliative care
General principles of pain
Assessment and treatment of pain
Palliative care

Medical Psychiatry
Classification of psychiatric disorders
Aetiological factors in psychiatric disorders
The clinical interview and mental state examination
Major manifestations of psychiatric illness
Disturbed and aggressive behavior
Delusions and hallucinations
Depressive Symptoms
Anxiety symptoms
Deliberate self-harm and suicidal ideation
Alcohol misuse and withdrawal
Misuse of drugs other than alcohol
Medically unexplained physical symptoms and functional somatic syndromes
Psychiatric and psychological aspects of chronic and progressive disease
Clinical syndromes
Organic brain syndromes
Substance abuse
- Alcohol
- Drugs
Bipolar disorders
Depressive disorders
Schizophrenia
Treatments used in psychiatry
Psychological treatments
Physical treatments

Neurotic, stress-related and somatoform disorders
Anxiety
Obsessive compulsive disorders
Dissociative disorders
Sleep disorders
Legal aspects of psychiatry
Poisonings
General approach to the poisoned patient
Poisoning by specific pharmaceutical agents
Drugs of misuse
Chemicals and pesticides
Snake bite and Envenomation
Other bites and stings - scorpion, spider
Specific environmental and occupational hazards
Heatstroke and hypothermia
Drowning and near drowning
Electrical injuries
Radiation injury
Heavy metal poisoning
Immune response and Infections
Basic considerations
Patterns of infection
Laboratory diagnosis of infections
Principles of immunization and vaccine use
Clinical syndromes
The febrile patient
Fever and rash
Fever of unknown origin
Infective endocarditis
Intra-abdominal infections and abscesses
Acute infectious diarrhoeal diseases and food poisoning
Sexually transmitted diseases - overview & clinical approach
Infections of skin, muscle & soft tissues
Osteomyelitis

Hospital acquired infections
Infections in immuno-compromised hosts
Specific Infections - Epidemiology, clinical features, laboratory diagnosis, treatment
and prevention of :
Protozoal infections
Amobiasis
Malaria
Leishmaniasis
Toxoplasmosis
Giardiasis
Trichomoniasis
Trypanosomiasis
Bacterial infections
Streptococcal infections
Pneumococcal infections
Staphylococcal infections
Meningococcal infections
Gonococcal infections
Legionella infections
Pertussis and Diphtheria
Tetanus
Botulism
Gas gangrene, other clostridial infections
Cholera
Salmonellosis - Typhoid and paratyphoid fevers
Shigellosis and bacillary dysentery
Brucellosis
Plague
Donovanosis (Granuloma inguinale)
Helicobacter Pylori
Infections due to pseudomonas & other gram - negative bacteria
Anaerobic infections
Mycobacterial diseases
Tuberculosis
Leprosy
Viral infections
Common exanthemata
- Measles
- Mumps
- Rubella
- Varicella
Common viral respiratory infections
Human immunodeficiency virus (HIV)
Viral gastroenteritis
Dengue fever
Rabies
Rickettsia, Mycoplasma & Chlamydial diseases
Fungal infections
Candidiasis
Aspergillosis
Histoplasmosis
Cryptococcosis
Mucormycosis
Pneumocystis carinii
Helminthic infections
Nematodes
- Tissue
- Intestinal
Cestodes
- Tissue
- Intestinal
System-Based diseases
Cardiovascular system
Clinical examination of the cardiovascular system
Functional anatomy, physiology and investigations
Major manifestations of cardiovascular disease
Chest pain
Breathlessness
Palpitation
Acute circulatory failure (cardiogenic shock)

Heart failure
Hypertension
Presyncope and syncope
Cardiac arrest and sudden cardiac death
Abnormal heart sounds and murmurs
Atrial fibrillation
Disorders of heart rate, rhythm and conduction
Congestive cardiac failure
Rheumatic fever
Valvular heart disease
Ischaemic heart disease
Congenital heart disease in the adult
Cor pulmonale
Hypertension
Peripheral vascular disease
Atherosclerosis
Pericardial disease
Myocarditis and cardiomyopathy
Respiratory system
Clinical examination of the respiratory system
Functional anatomy, physiology and investigations
Major manifestations of lung disease
Cough
Dyspnoea
Chest pain
Haemoptysis
The solitary radiographic pulmonary lesion
Respiratory failure
Upper and lower respiratory infections
Bronchial asthma
Chronic obstructive pulmonary disease
Pulmonary tuberculosis
Suppurative lung diseases
Bronchiectasis
Lung abscess
Plural effusion and empyema

Interstitial and infiltrative lung diseases
Occupational lung diseases
Tumors of the bronchus and lung
Pulmonary vascular diseases
- Pulmonary hypertension
- Pulmonary thromboembolism
Acute respiratory distress syndrome
Obstructive sleep apnoea
Diseases of the nasopharynx, larynx and trachea
Diseases of the mediastinum, diaphragm and chest wall
Kidney and genitourinary system
Clinical examination of the kidney and genitourinary system
Functional anatomy, physiology and investigations
Major manifestations of renal and urinary tract disease
Dysuria, pyuria, urethral symptoms
Disorders of urine volume
Hamaturia
Proteinuria
Oedema
Obstruction of the urinary tract
Incontinence
Acute and chronic renal failure
Infections of the kidney and urinary tract
Congenital abnormalities of the kidneys and urinary system
Glomerulonephritides
Tubulo-interstitial diseases
Renal involvement in systemic disorders
Drugs and the kidney
Renal vascular diseases
Urinary tract calculi and nephrocalcinosis
Tumors of the kidney and genitourinary tract
Renal replacement therapy
Gastrointestinal tract
Clinical examination of the abdomen
Functional anatomy, physiology and investigations particularly role of imaging, endoscopy
and tests of function
Major manifestations of gastrointestinal disease
Abdominal pain (acute and chronic)
Dysphagia
Dyspepsia
Vomiting
Constipation
Diarrhoea
Abdominal lump
Weight loss
Gastrointestinal bleeding - upper and lower
Approach to the patient with gastrointestinal disease
Diseases of the mouth and salivary glands - oral ulcers, candidiasis, parotitis
Diseases of the oesophagus - GERD, other motility disorders, oesophagitis, carcinoma oesophagus
Diseases of the stomach and duodenum - gastritis, peptic ulcer disease, tumors of stomach
Diseases of the small intestine
Acute gastroenteritis & food poisoning
Intestinal tuberculosis
Inflammatory bowel disease
Malabsorption syndrome
Tumors of small intestine
Acute, sub-acute and chronic intestinal obstruction
Disorders of the colon and rectum
Bacillary dysentery
Amoebic colitis
Ulcerative colitis
Tumors of the colon & rectum
Irritable bowel disease
Abdominal tuberculosis
- Peritoneal
- Nodal
- Gastrointestinal
Ischaemic gut injury
Anorectal disorders
Diseases of the peritoneal cavity
Acute and chronic peritonitis
Ascites
Peritoneal carcinomatotis
Diseases of the pancreas
Acute and chronic pancreatitis
Tumors of pancreas
Liver and Biliary tract disease
Clinical examination of the abdomen for liver and biliary disease
Functional anatomy, physiology and investigations of hepatobiliary disease
Major manifestations of liver disease
‘Asymptomatic’ abnormal liver function tests
Jaundice
Acute (fulminant) hepatic failure
Portal hypertension and ascites
Hepatic (portosystemic) encephalopathy
Hepatorenal failure
Liver abscess - amoebic & pyogenic
Viral hepatitis - acute and chronic
Alcoholic liver disease
Cirrhosis of liver and chronic liver disease
Drugs, toxins and liver
Fatty liver and non alcoholic steatohepatitis
Infiltrative diseases of liver
Wilson’s disease
Hemachromatosis
Tumors of the liver
Gallbladder and biliary tract diseases
Functional anatomy
Acute and chronic ‘cholecystitis’
Cholelithiasis
Tumors of gall bladder and bile ducts
Endocrinology and Metabolism
Diabetes mellitus
Clinical examination of the patient with diabetes
Epidemiology
Physiology, pathophysiology and investigations
Aetiology and pathogenesis
Major manifestations of disease
Hyperglycaemia
Acute metabolic complications
- Diabetic ketoacidosis
- Hyperglycemic non-ketotic coma
- Hypoglycemia
End organ damage
Management of diabetes
Long-term complications (micro and macrovascular)
Long-term supervision
Special problems in management
Prospects in diabetes mellitus
Thyroid gland
Clinical examination of thyroid disease
Functional anatomy, physiology and investigations
Major manifestations of thyroid disease
Hyperthyroidism
Hypothyroidism
Thyroid enlargement
Abnormal thyroid function test results
The reproductive system
Major manifestations of reproductive disease
Male hypogonadism
Gynaecomastia
Impotence
Short stature and delayed puberty
Cryptorchidsm
Hirsutism
Secondary amenorrhoea
Infertility
The parathyroid glands
Major manifestations of diseases of the parathyroid glands
Hypercalcemia
Hypocalcemia
The adrenal glands
Major manifestations of adrenal disease
The ‘Cushingoid’ patient
Adrenal insufficiency
Pheochromocytoma
The endocrine pancreas and gastrointestinal tract
Major manifestations of disease of the endocrine pancreas
Spontaneous hypoglycemia
Disorders affecting multiple endocrine system
The hypothalamus and the pituitary gland
Major manifestations of hypothalamic and pituitary disease
Hypopituitarism
Visual field defects
Galactorrhea
Hematological disorders
Clinical examination in blood disorders
Functional anatomy, physiology and investigations
Major manifestations of hematological diseases
Anaemia
Polycythemia
Leucopenia
Leucocytosis
Thrombocytopenia
Thrombocytosis
Pancytopenia
Lymphadenopathy
Splenomegaly
Bleeding
Venous thrombosis
Abnormal coagulation screen
Infections
Anemias
Myeloproliferative disorders
Haematological malignancies
Bleeding disorders
Disorders of coagulation and venous thrombosis
Blood products and transfusion
Bone marrow transplantation
Disorders of the immune system, connective tissue and joints
Introduction to the immune system and autoimmunity
Primary immune deficiency diseases
HIV, AIDS and related disorders
Major manifestations of musculoskeletal disease
Joint pains
Bone pain
Muscle pain and weakness
Regional periarticular pain
Back and neck pain
Approach to articular and musculoskeletal disorders
Inflammatory joint disease
Infectious arthritis
Inflammatory muscle disease
Osteoarthritis
Systemic connective tissue diseases - SLE, RA, PSS
Vasculitides
Ankylosing spondylitis, reactive arthritis and undifferentiated spondyloarthropathy
Sarcoidosis
Amyloidosis
Musculoskeletal manifestations of disease in other systems
Fibromyalgia
Diseases of bone
Skin diseases
Clinical examination of skin diseases
Major manifestations of skin disease
Various types of rash
Pruritis
Erythroderma
Urticaria
Photosensitivity
Blisters
Leg ulcers
Alopecia
Acne
Approach to patient with skin disease
Some common skin infections and infestations - scabies, fungal infections, pyoderma
Eczema, psoriasis and other erythematous scaly eruptions
Cutaneous drug reactions
Disorders of pigmentation
Disorders of the nails
Skin manifestations of systemic diseases
Neurological diseases
Clinical examination of nervous system
Functional anatomy, physiology and investigations
Major manifestations of nervous system disease
Headache and facial pain
Raised intracranial tension
Faintness, dizziness, syncope & vertigo
Sleep disorders
Disorders of movement
Ataxia
Sensory disturbances (numbness, tingling and sensory loss)
Acute confusional states
Coma and brain death
Aphasias and other focal cerebral disorders
Speech, swallowing and brain-stem disturbance
Visual disturbances
Sphincter disturbances
Migraine and cluster headaches
Seizures and epilepsy
Cerebrovascular disease
Dementias
Acute and chronic meningitis
Viral encephalitis
Diseases of cranial nerves
Intracranial tumours
Diseases of spinal cord
Multiple sclerosis and other demyelinating diseases
Parkinson’s disease and other extrapyramidal disorders
Cerebellar disorders
Motor neuron disease
Peripheral neuropathy
Neurological manifestations of system diseases
Nutritional and metabolic diseases of the nervous system
Myasthenia gravis and other diseases of neuromuscular junction
Diseases of muscle


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OBSTETRICS & GYNAECOLOGY

I Basic Sciences
1. Normal & abnormal development, structure and function of female & male urogenital systems and the female breast.
2. Applied anatomy of the genito-urinary system, abdomen, pelvis, pelvic floor, anterior abdominal
wall, upper thigh (inguinal ligament, inguinal canal, vulva, rectum and anal canal).
3. Physiology of permatogenesis.
4. Endocrinology related to male and female reproduction.
5. Anatomy & Physiology of urinary & lower GI (Rectum / anal canal), tract.
6. Development, structure & function of placenta, umbilical cord & amniotic fluid.
7. Anatomical & physiological changes in female genital tract during pregnancy fistulae.
8. Anatomy of fetus, fetal growth & development, fetal physiology & fetal circulation.
9. Physiological & neuro-endocrinal changes during puberty disorders, adolescence, menstruation,
ovulation, fertilization, climacteric & menopause.
10. Gametogenesis, fertilization, implantation & early development of embryo.
11. Normal pregnancy, physiological changes during pregnancy, labour & puerperium.
12. Immunology of pregnancy
13. Lactation
14. Biochemical and endocrine changes during pregnancy, including systemic changes in
cardiovascular, hematological, renal, hepatic and other systems. (Anaemia)
15. Biophysical and biochemical changes in uterus and cervix during pregnancy & labour.
16. Pharmacology of identified drugs used during pregnancy, labour, post partum period with
reference to their mechanism of action, absorption, distribution, excretion, metabolism, transfer of the drugs across the placenta, effect of the drugs on the fetus, their excretion through breast milk.
17. Mechanism of action, excretion, metabolism of identified drugs used in Gynaecology, including
chemotherapeutic drugs.
18. Role of hormones in Obstetrics & Gynaecology.
19. Markers in Obstetric & Gynaecology – Non neoplastic and Neoplastic Diseases.
20. Pathophysiology of ovaries, fallopian tubes, uterus, cervix, vagina and external genitalia in
healthy and diseased conditions.
21. Normal and abnormal pathology of placenta, umbilical cord, amniotic fluid and fetus.
22. Normal and abnormal microbiology of the genital tract – bacterial, viral & parasitic infections
responsible for maternal, fetal and gynaecological disorders.
23. Humoral and cellular immunology in Obstetrics & Gynaecology.
II Obstetrics
1. Physiology of normal pregnancy, diagnosis of pregnancy, routine antenatal care, management
of common symptoms in pregnancy, investigations to be carried out in pregnancy;
2. Drugs prescription during pregnancy and lactation
3. Hypertensive disorders in pregnancy
4. Anaemia in Pregnancy : Heart disease in pregnancy
5. Antepartum haemorrhage
6. Intrauterine Growth Restriction (IUGR)
7. Antenatal Fetal Surveillance
8. Rhesus Negative Pregnancy
9. Disorders of liver, kidneys in pregnancy
10. Multiple pregnancy
11. Puerperium, and its complications
12. Perinatal and maternal mortality in India
III Gynaecology
1. Anatomy of fetal genital tract, and its variations, supports of uterus, developmental anomalies
of uterus.
2. Ectopic pregnancy; epidemiology, early diagnosis and management.
3. Physiology of menstruation, common menstrual problem.
4. Disorders of growth, amenorrhoeas
5. Fibroid uterus
6. Prolapse uterus
7. Vaginal discharge, sexually transmitted diseases
8. Precancerous lesions of female genital tract (cervix, vagina, vulva)
9. Carcinoma Cervix, epidemiology, staging diagnostic procedure, treatment.
10. Carcinoma Endometrium
11. Carcinoma ovary
12. Carcinoma vulva
13. Gestational Trophoblastic disease
14. Temporary and permanent methods of contraception
15. Menopause and related problems
16. Endometriosis
17. Genital Tract Fistulae
18. Adolescence, Pubertal changes, disorders of puberty
IV Contraception, Neonatology and Recent Advances
(a) Contraception (Male & Female)
(b) Medical terminal of pregnancy – safe abortion – selection of cases, technique & management
of complication of medical and surgical procedures, MTP law Medical abortion & Emergency
Contraception.
(c) National health programmes.
(d) Social obstetrics and vital statistics
(e) Care of new born, neonatal resuscitation, detection of neonatal malformation.
(f) Neonatal sepsis – prevention, detection & management.
(g) Neonatal hyper-bilirubinemia – investigation & management including NICU care.
(h) Managemenr of common neonatal problems
(i) Ethics and medical jurisprudence

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PEDIATRICS

Vital statistics
· Definition and overview of Pediatrics with special reference to age-related disorders. Population
structure, pattern of morbidity and mortality in children.
· Maternal, perinatal, neonatal, infant and preschool mortality rates. Definition, causes, present status
and measures for attainment of goals.
· Current National programmes such as ICDS, RCH, Vitamin A prophylaxis, UIP, Pulse polio, AFP,
ARI, Diarrhea control programme etc., IMCI
· Other National Programmes
Growth and development
· Normal growth from conception to maturity.
· Anthropometry – measurement and interpretation of weight, length/height, head circumference,
mid-arm circumference. Use of weighing machines, infantometer
· Interpretation of Growth Charts: Road to Health card and percentile growth curves.
· Abnormal growth patterns – failure to thrive, short stature.
· Growth pattern of different organ systems such as lymphoid, brain and sex organs.
· Normal pattern of teeth eruption.
· Principles of normal development
· Important milestones in infancy and early childhood in the areas of Gross Motor, Fine Motor,
Language and Personal–Social development. 3-4 milestones in each of the developmental fields, age
of normal appearance and the upper age of normal psychological and behavioral problems.
· Measurement and interpretation of sitting height, US: LS ratio and arm span.
· Age-independent anthropometric measurement-principles and application.
Nutrition
· Normal requirements of protein, carbohydrates, fats, minerals and vitamins for newborn, children and pregnant and lactating mother. Common food sources.
· Breast feeding, physiology and lactation, composition of breast milk, Colostrum, Initiation and
technique of feeding. Exclusive breast milk. Hazards and demerits of prelacteal feed, top milk and
bottle-feeding. Feeding of LBW babies.
· Infant feeding/weaning foods, method of weaning.
· Assessment of nutritional status of a child based on history and physical examination.
· Protein energy malnutrition-Definition, classification according to IAP/Wellcome Trust, acute versus
chronic malnutrition. Clinical features of Marasmus & kwashiorkar. Causes and management of
PEM including that of complications planning a diet for PEM.
· Vitamins-Recognition of vitamin deficiencies (A, D, K, C, B Complex). Etiopathogenesis, clinical
feature, biochemical and radiological findings, differential diagnosis an management of nutritional
rickets & scurvy. Hypervitaminosis A and D.
· Characteristics of transitional and mature milk (foremilk & hind milk). Prevention and management
of lactation failure and feeding problems.
· Definition, causes and management of obesity.
Immunization
· National Immunization Programme.
· Principles of Immunization. Vaccine preservation and cold-chain.
· Types, contents, efficacy storage, dose, site, route, contra-indications and adverse reactions of
vaccines – BCG, DPT, OPV, Measles, MMR and Typhoid: Rationale and methodology of Pulse
Polio Immunization.
· Investigation and reporting of vaccine preventable diseases. AFP (Acute Flaccid Paralysis) surveillance
· Special vaccines like Hepatitis B, H influenza B, Pneumococcal, Hepatitis A, Chicken pox,
Meningococcal, and Rabies.
Infectious diseases
· Epidemiology, basic pathology, natural history, symptoms, signs, complications, investigations,
differential diagnosis, management and prevention of common bacterial, viral and parasitic infections
in the region, with special reference to vaccine-preventable disease: Diarrhea, LRTI, Tuberculosis,
Poliomyelitis, Meningitis, Diphtheria, Whooping cough, Tetanus including neonatal tetanus, Measles,
Mumps, Rubella, Typhoid, Viral Hepatitis, Cholera, Chickenpox, Giardiasis, Amoebiasis, Intestinal
helminthiasis, Malaria, Dengue fever, AIDS.
· Kala-Azar, Leprosy, Chlamydia infection
Hematology
· Causes of anemia in childhood. Classification based on etiology and morphology.
· Epidemiology, recognition, diagnosis, management and prevention of nutritional anemia-iron deficiency,
megaloblastic.
· Clinical approach to a child with anemia with lymphadenopathy and/or hepato-splenomegaly.
· Epidemiology, clinical features, investigations and management of Thalassemia.
· Approach to a bleeding child.
· Diagnosis of acute lymphoblastic leukemia and principles of treatment.
· Clinical features and management of hemophilia, ITP.
· Diagnosis and principles of management of lymphomas.
· Types, clinical features and management of acute hemolytic anemia.
· Non-thrombocytopenic purpura (Henoch-Schonlein purpura)
Respiratory system
· Clinical approach to a child with cyanosis, respiratory distress, wheezing. Significance of recession,
retraction.
· Etiopathogenesis, clinical features, complications, investigations, differential diagnosis and
management of acute upper respiratory infections, pneumonia with emphasis on bronchopneumonia,
bronchiolitis, bronchitis. Acute and chronic otitis media.
· Etiopathogenesis, clinical features, diagnosis, classification and management of bronchial asthma.
Treatment of acute severe asthma.
· Pulmonary tuberculosis-tuberculous infection versus tuberculous disease, difference between primary
and post-primary tuberculosis. Etiopathogenesis, diagnostic criteria in children versus adults.
Diagnostic aids-technique and interpretation of Mantoux test and BCG test. Radiological patterns,
Chemoprophylaxis and treatment.
· Diagnosis and management of foreign body aspiration. Differential diagnosis of stridor.
· Pathogenesis, clinical features and management of pneumothorax, pleural effusion and empyema.
· Multidrug resistant tuberculosis, Bronchiectasis, pulmonary cysts
Gastro Intestinal Tract
· Clinical approach to a child with jaundice, vomiting, abdominal pain, upper and lower GI bleeding,
hepato-splenomegaly.
· Acute diarrheal disease-Etiopathogenesis, Clinical differentiation of watery and invasive diarrhea,
complications of diarrheal illness. Assessment f dehydration, treatment at home and in hospital.
Fluid and electrolyte management. Oral rehydration, composition of ORS.
· Persistent and chronic diarrhea
· Clinical features and management of acute viral hepatitis and acute liver failure, causes & diagnosis
of Chronic Liver Disease.
· Neonatal cholestasis, portal hypertension
· Common causes of constipation.
· Abdominal tuberculosis.
· Causes, clinical features and management of Portal hypertension, Reye’s syndrome, Celiac disease.
· Drug induced hepatitis
Central Nervous System
· Evaluation of milestones and developmental age
· Localization of neurological deficit
· Clinical approach to a child with coma, mental retardation
· Common causes and approach to convulsion
· Clinical diagnosis, investigations and treatment of acute pyogenic meningitis, encephalitis & Tubercular
Meningitis, Cerebral Malaria
· Seizure Disorder-Causes and types of convulsions at different ages. Diagnosis categorization &
management of Epilepsy (Broad outline). Febrile convulsions-definition, types Management of seizures
and status epilepticus.
· Causes, diagnosis and management of cerebral palsy.
· Acute flaccid paralysis – Differentiation between Polio and Guillain – Barre syndrome.
· Microcephaly, Hydrocephalus, chorea
· Counseling parents for inherited neurological diseases
· Infantile tremor syndrome, infantile hemiplegia
Cardiovascular system
· Clinical features, diagnosis, investigation, treatment and prevention of acute rheumatic fever. Common
forms of rheumatic heart disease in childhood. Differentiation between rheumatic and rheumatoid
arthritis.
· Recognition of congenital acyanotic and cyanotic heart disease. Hemodynamics, clinical features
and management of VSD, PDA, ASD and Fallot’s tetralogy (Cyanotic spells).
· Recognition of congestive cardiac failure in children.
· Hypertension in children-recognition and referral.
· Diagnosis and management of bacterial endocarditis, pericardial effusion, myocarditis.
Genito-Urinary system
· Basic etiopathogenesis, clinical features, diagnosis, complications and management of acute poststreptococcal
glomerulo-nephritis and nephrotic syndrome.
· Etiology, clinical feature, diagnosis and management of urinary tract infection – acute and recurrent.
· Etiology, diagnosis and principles of management of acute failure.
· Causes and diagnosis of obstructive uropathy in children.
· Diagnosis and principles of management of chronic renal failure.
· Causes and diagnosis of hematuria.
· Renal and bladder stones
· Hemolytic-uremic syndrome
Endocrinology
· Etiology clinical features & diagnosis of diabetes and hypothyroidism, hyperthyroidism and goiter in
children.
· Delayed and precocious puberty
Neonatology
· Definition – live birth, neonatal period, classification according to weight and gestation, mortality rates.
· Delivery room management including neonatal resuscitation and temperature control
· Etiology, clinical features, principles of management and prevention of birth asphyxia.
· Birth injuries – causes and their recognition.
· Care of the normal newborn in the first week of life. Normal variations and clinical signs in the
neonate.
· Breast feeding-physiology and its clinical management
· Identification of congenital anomalies at birth with special reference to anorectal anomalies, tracheoesophageal
fistula, diaphragmatic hernias, neural tube defects.
· Neonatal Jaundice: causes, diagnosis and principles of management.
· Neonatal infection– etiology, diagnosis, principles of management. Superficial infections, sepsis.
· Low birth weight babies-causes of prematurity and small-for-date baby, clinical features and
differentiation. Principles of feeding and temperature regulation. Problems of low birth weight
babies.
· Identification of sick newborn (i.e. detection of abnormal signs – cyanosis, jaundice, respiratory
distress, bleeding, seizures, refusal to feed, abdominal distension, failure to pass meconium and
urine)
· Recognition and management of specific neonatal problems-hypoglycemia, hypocalcemia, anemia,
seizures, necrotizing enterocolitis, hemorrhage
· Common intra-uterine infections
· Transportation of a sick neonate.
Pediatrics Emergencies
· Status epilepticus
· Status asthmaticus/Acute Severe Asthma
· Shock and anaphylaxis.
· Burns
· Hypertensive emergencies.
· Gastrointestinal bleed.
· Comatose child
· Congestive cardiac failure
· Acute renal failure
Fluid-Electrolyte
· Principles of fluid and electrolyte therapy in children
· Pathophysiology of acid-base imbalance and principle of management
Genetics
· Principles of inheritance and diagnosis of genetic disorders
· Down’s syndrome
Behavioral Problems
· Breath holding spells, nocturnal enuresis, temper tantrums, pica
Pediatrics Surgical Problems
· Diagnosis and timing of surgery of Cleft lip/palate, hypospadias, undescended testis, tracheoesophageal
fistula, hydrocephalus, CTEV, Umbilical and inguinal hernia, malformations, hypertrophic
pyloric stenosis.
Therapeutics
· Pediatric doses, drug combinations, drug interactions, age specific choice of antibiotics.

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SURGERY

Pathogenesis, causes, epidemiology, Clinical Presentation, Investigations, and management of the diseases in the following systems:
1. Skin: ulcers and wounds, wound infections, burns, skin infections (boils, carbuncle, abcess),
cysts (epidermoid cyst, dermoid),skin tumors(basal cell carcinoma, squamous cell carcinoma,
melanoma).
2. Head and Neck region: congenital anomalies (cleft lip, cleft palate, branchial cyst and fistula,
thyroglossal cyst) swellings of parotid and submandibular glands, oral ulcers, leukoplakia, submucous
fibrosis, lichen planus, common jaw tumors, squamous carcinoma of oral cavity, pharynx & larynx.
Thyroid swellings (adenomatous goitre, Graves’ Disease, papillary and follicular thyroid
cancer).Swellings of lymph nodes (tuberculosis, lymphoma, metastatic carcinoma)
3. Arteries: Features of limb Ischaemia, noninvasive vascular diagnostic tests, obliterative atheromatous
disease, aneurysms, Raynaud’s syndrome, arterial emboli.
4. Veins: varicose veins, deep vein thrombosis , pulmonary embolism.
5. Breast: mastalgia, ANDI, fibroadenoma, cyst, breast abscess, cancer of the breast.
6. Oesophagus: dysphagia, reflux, hiatus hernia, benign and malignant tumours.
7. Stomach and duodenum: Peptic ulcer- stomach and duodenum, carcinoma of the stomach, gastritis.
8. Small intestine: Small bowel obstruction, intestinal tuberculosis.
9. Colon and rectum: Amoebic colitis, Ulcerative colitis, colorectal cancer.
10. Appendix: Acute appendicitis.
11. Anus: Haemorrhoids, Pruritus ani, Fissure-in-ano, Anorectal abscesses, Fistula-in-ano, cancer of
the anus.
12. Peritoneum and intraperitoneal abscesses: peritonitis.
13. Liver: Hepatic trauma, abscesses, cancer.
14. Biliary tract: gall stone disease, carcinoma of the gallbladder.
15. Pancreas: Acute panacreatitis, pancreatic cancer.
16. Acute abdomen
17. Hernias of the abdominal wall: Inguinal hernias, femoral hernia, umbilical and epigastric hernia.
18. Urology: Diagnostic studies and techniques in the urinary tract, trauma to the urinary tract, urinary calculi, urinary tract infection, prostatic hyperplasia, tumours of the kidney, epididymo-orchitis, hydrocele, tumours of the testicle, carcinoma of the penis.

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ANAESTHESIOLOGY

1. Introduce principles of acute medicine as it is practiced in managing the anesthetized patient in the
operating room and in managing the patient in the recovery unit.
2. Discuss and demonstrate principles of applied physiology and applied pharmacology. Simulation on
Human patient Simulator (HPS) Is ideal to teach many aspects of applied physiology and
pharmacology.
3. Review principles of and teach skills in resuscitation (cardiopulmonary, cerebral, fluid and others).
4. Teach care of the unconscious patient, including airway and ventilation management.
5. Teach management of blood ,fluid, electrolyte balance , and metabolic disturbances in the surgical patient, with specific emphasis on those derangements which are encountered in the anesthetized
patient.
6. Review management of acute and chronic pain problems.
7. Introduce concepts of drug interactions, especially as they apply to patients receiving anesthesia.
8. Demonstrate the evaluation of patients relative to surgical and anesthetic risk. Teach appropriate
preoperative preparation of patients subjected to surgery and anesthesia.
9. Introduce the various techniques of anesthesiology.
10. Pharmacology of muscle relaxant, application and monitoring
11. Pharmacology : Basic / Applied of local anaesthetics : Various types of blocks advantages / Problems
with each. Descriptive for same main blocks. Local inflitration , Brachial Plexus, Caudal etc.


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ORTHOPAEDICS

· Fracture:Definition, Classification, Principles of Management
· Fracture healing, delayed union
· Classification & Management of open fractures
· Management of fracture calvicle, dislocation shoulder &
· fracture shaft humerus
· Classificaton of injuries around elbow & management of
· supracondylar fracture & dislocation of elbow
· Monteggia fracture dislocation & fracture both bones of forearm
· Volkamann’s Ischaemic Contracture
· Fracture of lower end of radius fracture scaphoid and metacarpals
· Fracture pelvis & dislocation of hip
· Fracture neck of femur
· Fracture shaft of femur & tibia
· Internal Derangements of Knee, Injuries of ankle & foot
· Amputations
· Congenital malformations: CTEV Torticollis
· Congenital Malformation : CDH, Pseudoarthrosis tibia etc.
· Disorders of the hip : coxa vara, perthes diseases
· Deformities of the spine
· Acute Pyogenic Ostyeomyelitis
· Chronic Pyogenic Osteomyelities
· Septic Arthritis
· Other Arthritides (Rheumatoid/Ank.Spond.)
· Osteo-articular tuberculosis:
· General consideration & principles of management
· Tuberculosis: Spine
· Poliomyelitis
· Bone Tumours: Benign tumors
· Bone Tumours: Malignant tumors

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DERMATOLOGY AND VENEREOLOGY

1. Ineffective dermatoses: Pyoderma, tuberculosis and leishmaniasis- Etiology, Clinical features, Diagnosis and Treatment.
2. Infective dermatoses: Viral and fungal infections- Etiology, Clinical features, Diagnosis and Treatment.
3. Infestations: Scabies and pediculosis – Etiology, Clinical features, Diagnosis and Treatment.
4. Melanin synthesis: Disorders of pigmentation (Vitiligo, Chloasma / Melasma)- Etiology, Clinical features, Diagnosis and Treatment.
5. Allergic disorders: Atopic dermatitis and contact dermatitis – Etiology, Clinical features, Diagnosis and Treatment.
6. Drug eruptions, urticaria, erythema multiforme, Steven’s johnson syndrome and toxic epidermal necrolysis – Etiology, Clinical features, Diagnosis and Treatment.
7. Vesiculo-bullous diseases: Pemphigus, Pemphigoid, Dermatitis herpetiformis – Etiology, Clinical features, Diagnosis and Treatment.
8. Epidermopoisis, Psoriasis, Lichen planus and Pityriasis rosea – Etiology, Clinical features, Diagnosis and Treatment.
9. Pathogenesis, Classification and clinical features of leprosy, Reactions in leprosy.
10. Diagnosis, treatment and control of leprosy.
11. Syphilis – Etiology, Clinical features, Diagnosis and Treatment.
12. Gonococcal and Non-gonococcal infections – Etiology, Clinical features, Diagnosis and Treatment.
13. Chancroid, LGV, Donovanosis, Herpes progenitalis – Etiology, Clinical features, Diagnosis and treatment.
14. Syndromic approach to the diagnosis and management of sexually transmitted diseases.
15. HIV infection, Cutaneous manifestations of HIV infection and their management.
16. Hereditary disorders: Ichthyosis, Albimism, Epidermolysis bullosa, Melanocytic naevi, Freckles and other naevi – Etiology, Clinical features, Diagnosis and Treatment.
17. Dermatological Emergencies.

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PSYCHIATRY

Behavioural Sciences
1. Introduction: General introduction to Behavioural Psychology
What is behavioural psychology, components, individual differences and applications of behavioural
sciences in patient care and medical education.
2. Motivation
Definition of motivation, theories, types –physiological and social motives, Maslow‘s hierarchy of motives, clinical application
3. Emotion and its application to health
Theories of emotions, type and impact on health.
4. Learning and conditioning.
Components of learning, classical conditioning, operant conditioning, cognitive, social, biological
and observational learning. Methods of effective learning, behaviour and cognitive therapy.
5. Cognitive process and memory
Sensation, perception, illusion, memory process, short term and long term memory, causes of
forgetting and methods to improve memory.
6. Thinking and problem solving
Definition of thinking, components of thinking-imagery recollection, language, steps in problem
solving, abnormalities in thinking, decision making.
7. Intelligence: General concepts and techniques for assessment.
Theory of intelligence, growth of intelligence, stability of intelligence, determinants of intelligence,
assessment of intelligence, extremes of intelligence.
8 Personality (Principles of Personality development) and objective testing of Personality
Definition of personality, trait, factors influencing personality development, theories of personality and personality assessment.

1. Introduction and classification of Psychiatric disorders
Concept of psychiatric disorders; need for classification; types of classification e.g. atheoretical,symptom – based; introducing the Inter national Classification of Diseases ((ICD) and the Diagnostic
and Statistical Manual (DSM); major categories of psychiatric disorders; diagnosis of organic
disorders.
2. Aetiology of Psychiatric disorders
Overview of contribution of different scientific disciplines to psychiatric aetiology – clinical descriptive
studies, epidemiology, social sciences e.g. role of life events, stress; genetics; biochemical studies;
pharmacology; endocrinology; physiology; neuropathology; psychology.
3. Schizophrenia
Epidemiology, clinical features, subtypes, diagnosis, overview of aetiology, course, treatment –
pharmacological, role of ECT.
4. Bipolar disorders
Epidemiology, clinical features, diagnosis, overview of aetiology, course, treatment – pharmacological.
5. Depression
Epidemiology, clinical features, diagnosis, overview of aetiology, co-morbidity with organic disorders,
course, treatment – pharmacological.
6. Anxiety neurosis, phobia and OCD
Types of anxiety disorders; phobia, OCD, clinical features and epidemiology; diagnosis, differential
diagnosis; overview of aetiology; course; treatment – pharmacological and non-pharmacological.
7. Hysterical neurosis (Conversion and Dissociative disorders)
Epidemiology, clinical picture, diagnosis, differential diagnosis, aetiology, prognosis, treatment.
8. Personality disorders
Concept of personality disorders, epidemiology, classification, assessment, overview of clinical
features, aetiology, prognosis.
9. Drug and Alcohol dependence
Concept of abuse and dependence, epidemiology of alcohol and opiate dependence; clinical features,
withdrawal symptoms including complicated withdrawal, psychosocial complications, aetiology,
outcome, treatment.
10. Psychiatric disorders of childhood and adolescence,
Classification of childhood psychiatric disorders, epidemiology, clinical features, aetiology, assessment.
11. Counselling and psychological therapies
Counselling process, skills, different counseling approaches, behaviour therapy, cognitive therapy and its applications.
12. Psychological testing
What are psychological tests, standardization, reliability, validity, intelligence test, personality test, application.