Kerala PSC Assistant Surgeon Syllabus and Exam Pattern 2023: Download PDF, Link

Are you aspiring to become an Assistant Surgeon in Kerala? If so, it’s time to gear up for the Kerala PSC Assistant Surgeon Exam. And what better way than to start with understanding the syllabus? The Kerala Public Service Commission (PSC) has released the exam pattern and updated syllabus for the post of Assistant Surgeon. In this blog post, we’ll take you through all the essential details about the revised syllabus, exam pattern, and tips on to prepare effectively for this prestigious job role. So let’s get started!

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Kerala PSC Assistant Surgeon 2023 – Overview 

Kerala PSC Assistant Surgeon Recruitment 2023: Apply Online

Kerala Public Service Commission announced various vacancies under health service departments across Kerala. The recruitment drive aims to fill Assistant Surgeon / Casualty Medical Officer posts. The application form for recruitment is available on PSC Thulasi Portal. If interested, visit the Kerala PSC Website or your PSC Thulasi profile on or before April 19, 2023.

Kerala PSC Assistant Surgeon Eligibility Criteria 2023

Educational Qualifications

1. Degree in Modern Medicine (MBBS) or equivalent qualification.
2. Must possess valid Registration with Travancore Cochin Medical Council

Age Limit

• The applicant must be above the age of 18 years.
• The applicant must be below the age of 41 years.
• Only candidates born between 02.01.1982 and 01.01.2005 (both dates included) are only eligible to apply for the post.

Kerala PSC Assistant Surgeon Vacancy 2023

Check below for Kerala PSC Assistant Surgeon Vacancy 2023. Click on the below link to download Assistant Surgeon Vacancy 2023 PDF

Kerala PSC Assistant Surgeon Selection Process 2023

Kerala PSC Assistant Surgeon Selection will finalize through the following stages. 

• Prelims
• Mains
• Interview
• Document Verification

Candidates who clear all the stages will select for the post.

Kerala PSC Assistant Surgeon Recruitment 2023: Important Dates

Kerala PSC Assistant Surgeon Exam Pattern 2023

Duration : 75 Minutes

Kerala PSC Assistant Surgeon Syllabus PDF

Click on the below link to download Kerala PSC Assistant Surgeon Syllabus 2023 PDF

How to Download Kerala PSC Assistant Surgeon Syllabus 2023

• Visit the official website of Kerala Public Service Commission at https://www.keralapsc.gov.in/.
• Select the Recruitment tab on the home page.
• Scroll down to the Download syllabus section.
• Go to the link and click it.
• Pdf of the Syllabus will appear.
• Then you can download the KPSC Assistant Surgeon Syllabus.
• Finally, view The Kerala PSC Junior Lab Assistant syllabus and verify the details.

Kerala PSC Assistant Surgeon Syllabus 2023

Ace your Kerala PSC Assistant Surgeon 2022 exam preparation with Entri.

Check the detailed Syllabus of Kerala PSC Assistant Surgeon 2023.

HUMAN ANATOMY

• General Anatomy
• General Embryology
• Upper Limb
• Lower Limb
• Thorax
• Head and Neck
• Brain and Spinal Cord
• Abdomen, Pelvis and Perineum
• Genetics

BIOCHEMISTRY

• Proteins
• Carbohydrates
• Lipids
• Metabolism of Lipids
• Metabolism of Amino acids
• Haemoglobin
• Vitamins
• Mineral Metabolism, etc.
• Maintenance of Homeostasis
• Nucleic Acids and Molecular Biology
• Plasma Proteins and Immunoglobulins
• Biochemistry of Cancer Clinical Chemistry

HUMAN PHYSIOLOGY INCLUDING BIO-PHYSICS

• Hematology
• Cardiovascular System
• Respiratory System
• Gastrointestinal System
• Renal System
• Skin and Temperature regulation, etc.
• Nerve – muscle physiology
• Nervous System
• Special Senses
• Audition
• Endocrinology
• Physiology of Reproduction

FORENSIC MEDICINE

• Definition of forensic medicine, forensic pathology and medical jurisprudence
• Introduction to the subject, historical aspects of forensic medicine
• Inquest procedures
• Courts in India and their powers
• Supreme Court, High Court, Sessions Court, Assistant Sessions Court and Magistrate Courts
• Court procedures, Summons, warrant, Conduct money, Oath / affirmation
• Types of witnesses, recording of evidence, conduct of doctor in witness box, perjury, hostile witness
• Medical certificates and medico legal reports
• Death sex
• Definition, diagnosis and certification (as per MCCD rules), somatic, molecular and brain death. Sudden natural deaths, suspended animation. Changes after death.
  (a) Algor mortis, Livor mortis, Rigor mortis, cadaveric spasm, cold stiffening, heat stiffening
  (b) Decomposition, modified forms of decomposition, estimation of time since death.
  (c) Common post mortem artifacts.
• Identification
  (a) Definition.
  (b) Identification of persons, dead bodies and remains of a person by sex, age, biometry, dental features, scars, moles, tattoos, dactylography, personal belongings, photography, superimposition, DNA.
• Medico legal autopsy and exhumation
  (a) Definition of medico legal and clinical / pathological autopsy.
  (b) Objectives, procedures and formalities of medico legal autopsy.
  (c) Preservation of articles and tissues of importance during autopsy.
• Mechanical injuries or wounds
  (a) Definition of wound, injury, hurt, assault, battery.
  (b) Classification of injuries, description of blunt force and sharp force injuries.
  (c) Fire arms – principles, types, examination and interpretation of fire arm wounds. Comparison microscopy.
  (d) Medico legal aspects of injuries: Difference between ante mortem and post-mortem injuries, determination of different types of injuries, defense wounds, hesitation cuts, fabricated injuries, simple and grievous hurt, suicidal, accidental and homicidal injuries, causes of death by mechanical injuries, legal classification of fatal injuries.
  (e) Regional injuries: Injuries to head, neck, thorax, abdomen, pelvis, genitalia, vertebral column and bones.
  (f) Injuries due to traffic occurrences.
  (g) Injuries due to physical agents and their medico legal importance: Heat, cold, electricity and lightning. Explosion injuries.
• Asphyxial deaths: Definition, causes, types, post-mortem appearances and medico legal significance of violent asphyxia deaths like hanging, strangulation, suffocation, smothering, choking, drowning, traumatic asphyxia.
• Medico legal aspects of deaths due to starvation-forced feeding.
• Human sexual functions:
  (a) Potency, sterility, virginity, pregnancy, delivery.
  (b) Abortion, MTP, sexual sterilization, artificial insemination and their legal aspects.
  (c) Sexual offences and abnormal sexual practices.
  (d) Legal aspects of the above. Infant and childhood deaths: Viability and determination of intrauterine age of the foetus, live birth, still birth, dead born. Sudden infant death syndrome, child abuse.
• Biological fluids:
  (a) Blood – preservation and dispatch of samples, importance of blood groups in disputed paternity, hazards of blood transfusion.
  (b) Seminal and salivary stains preservation, dispatch and importance of grouping.
  (c) Principles of laboratory tests for identification of the above and interpretation of the results.
• Forensic psychiatry:
  (a) Definition and brief overview of common mental illnesses.
  (b) True and feigned mental illnesses.
  (c) Civil and criminal responsibilities of mentally ill persons.
  (d) Indian mental health act with special reference to admission, care and discharge of mentally ill persons.
• Medical jurisprudence:
  (a) Indian medical council and state medical councils, their functions and disciplinary control.
  (b) Duties and rights and privileges of a registered medical practitioner.
  (c) Professional conduct, etiquette and ethics in medical practice.
  (d) Professional secrecy and privileged communication.
  (e) Medical negligence: Civil, criminal, contributory negligence, vicarious
  responsibility, res ipsa loquitur, prevention of medical negligence and defence in medical negligence suits.
  (f) Consent: Types, age in relation to consent, consent in relation to mental illness and alcohol intoxication, consent in emergency situations.
  (g) Consumer protection act.
  (h) Certification of births, deaths, illness, fitness, disability.
• Forensic toxicology:
  (a) Definition and general principles of management of a case of poisoning.
  (b) Medico legal duties of a doctor in a case of poisoning, preservation
  dispatch of viscera for chemical analysis. Role of chemical examiner’s laboratory and forensic science laboratory in brief.
  (c) Diagnosis and principles of therapy and medico legal aspects of the following poisons, giving special emphasis to those of regional importance.
  i) Corrosive poisons: strong mineral acids, alkalies and organic acids – (carbolic, formic and oxalic acid).
  ii) Metallic poisons: Lead, Arsenic and Iron.
  iii) Animal poisons: snake and scorpion bites.
  iv) Deliriants: Dhatura, Cannabis and Cocaine.
  v) Inebriants: Methyl and Ethyl alcohol.
  vi) Asphyxiants: Carbon monoxide, carbon dioxide, Hydrogen sulphide and Cyanides.
  vii) Cardiac Poisons: Cerbera Odollam, Cerbera thevitia, Nerium odorum.
  viii) Insecticides: Organophosphorous compounds, carbamates and Organocholoro compounds, Aluminium phosphide and Zinc phosphide.
  (d) Drug abuse and dependence.
  (e) Inorganic non metallic poisons: Phosphorous.
  f) Organic vegetable irritants: Abrus precatorius, capsicum, calotropis, Semicarpus anacardium, Croton.
  (g) Convulsants: Strychnine.
  (h) Paralytic agents: Curare.
  (i) War gases and industrial gases.
  (j) Chloral hydrate
  (k) Mechanical poisons
  

MICROBIOLOGY

General microbiology

• Introduction to microbiology
• Morphology of bacteria comparison with other microbial forms
• Growth, nutrition culture media
• Identification of bacteria
• Bacterial genetics
• Antibacterial agents and antibiotic sensitivity test
• Infection – Source and spread of infection
• Sterilisation and disinfection
• Response to microbial infections

II. Systematic bacteriology

• Gram positive Cocci-Stapohylococci, Streptococci, Pneumococci
• Gram negative Cocci- Neisseria
• Gram positive Bacilli-Corynebacterium, Listeria, Bacillus
• Mycobacteria, Nocardia, Actinomyces
• Clostridia, Nonsporing anaerobes
• Gram negative Bacillus-Haemophilus, Bordetella, Brucella, Enterobacteria / Yersinia
• Pseudomonas, Pasteurella, Acinetobacter
• Vibrio / Campylobacter
• Mycoplasma, Legionella, Rickettsia, Chlamydia
• Spirochetes

III. Virology

• General characteristics of viruses
• Virus host interaction
• Replication of virus
• Pox virus, Herpes, Adenovirus
• Papova, Retrovirus
• Myxoviruses\Picorna virus
• Hepatitis, Miscellaneous
• Rhabdo virus
• Arboviruses
• Oncogenic viruses
• Bacteriophages

IV. Immunology

• Introduction, classification, type and cells involved in immunity
• Antigen, antibodies
• Complement in health and diseases
• Hypersensitivity
• HLA antigens in health and diseases
• Immunodeficiency diseases
• Serological test in medical practices
• Autoimmunity
• Tumour and transplantation
• Immunoprophylaxis and immunotherapy

V. Parasitology

• Introduction of parasitic disease
• Protozoal infections – Amoebiasis, Plasmodium, Leishmaniasis, Trypanosoma, Giardia, Balantidium, Cryptosporidium, Trichomonas, Toxoplasma, Pneumocystis – laboratory diagnosis of protozoal infection
• Helminthus – intestinal nematodes, tissue nematodes, cestodes, trematodes – laboratory diagnosis of helminthic infections

VI. Mycology

• Introduction – classification of fungi and general principles of lab
  diagnosis
• Superficial infections
• Subcutaneous infections – Mycetoma, Rhinosporidiosis
• Systematic mycosis
• Oppurtunistic fungi

PATHOLOGY

• Cell injury
• Infectious diseases
• Circulatory disturbances
• Growth disturbances
• Miscellaneous disorders
• Haematopathology
• Cardiovascular pathology
• Respiratory pathology
• Renal and urinary tract pathology
• Pathology of gastrointestinal tract
• Liver and Biliary tract pathology
• Lymphoreticular system.
• Reproductive system.
• Osteopathology
• Endocrine Pathology
• Neuropathology
• Dermato-pathology

PHARMACOLOGY

• General pharmacology and basic concepts of clinical pharmacology
• Autonomic nervous system
• Autacoids and related drugs
• Central nervous system
• Cardiovascular system
• Drugs affecting blood and blood formation
• Respiratory system, etc.

COMMUNITY MEDICINE

I. Concept of health and disease

1. Definition, concepts and evolution (history) of public health
2. Definition of health, holistic concepts of health including the concept of spiritual
health, appreciation of health as a relative concept, dimensions and determinants
of health
3. Characteristics of agent, host and environmental factors in health and disease and
the multifactorial etiology of disease.
4. Understanding the concept of prevention and control of disease
5. Understanding the natural history of disease and application of interventions at various levels of preventions
6. Introduction to various health indicators
7. Health profile of India

II. Social and behavioural sciences

1. Concept of sociology and behavioural science, Clinico-socio-cultural and demographic evaluation of the individual, family and community
2. Assessment of barriers to good health and health seeking behaviour
3. Role of family in health and disease
4. Socio-cultural factors related to health and disease in the context of urban and rural societies
5. Assessment of socio-economic status, effect of health and illness on socio-economic status
6. Doctor-patient relationship
7. Social psychology, community behaviour and community relationship, hospital sociology and psychology
8. Social security – health insurance: Organized sector, unorganized sector, special groups (Eg: elderly)
9. Impact of urbanization on health and disease
10. Poverty link to health and disease and poverty alleviation programmes
11. Intelligence – IQ and EQ
12. Personality – Types, Interpersonal relationships
13. Attitude, Behaviour, habits
14. Emotions, frustrations, role of emotions in health and coping with emotions
15. Conflicts – internal, interpersonal and conflict resolutions, defense mechanisms
16. Stress and coping skills – integrated (Psychiatry)
17. Ethics
18. Learning – Types and skills
19. Development and health interface – poverty and health, poverty alleviation programme, health of the marginalized, sustainable and inclusive development
20. Gender and health including gender based violence, epidemiology of violence and its prevention and control life skill education

III. Environment and Health

1. Water: concepts of safe and wholesome water, sanitary sources of waterborne
diseases, water purification process, water quality standards.
2. Physical, Chemical and bacteriological standards of drinking water quality and
tests of assessing bacteriological quality of water
3. Health hazards of air, water, noise, radiation pollution.
4. Concepts of water conservation, rainwater harvesting and global warming.
5. Concepts of solid waste, human excreta and sewage disposal.
6. Awareness of standards of housing and its effect of housing on health.
7. Role of vectors in the causation of diseases.
8. Identifying the features of vectors and their control measures.
9. Life cycles of vectors and advantages and limitations of various vector control measures.
10. Mode of action, application cycle of commonly used insecticides and rodenticides.
11. Urban waste management.
12. Recent issue in environmental health.
(a) Stockholm convention
(b) Basel convention
(c) Kyoto Protocol
13. Radiation prevention and control Health promotion and education / communication for behavioural change (Information, education, communication)
Nutrition
Occupational health
Bio-statistics
Basic epidemiology
Epidemiology of specific diseases: Communicable and noncommunicable
Demography and vital statistics
Reproductive and child health
School health
Urban health
Health care system in India
Health planning, management and administration
Disaster management
Legislation and public health
International health
Health care waste management
Health care of elderly
Mental health and behavioural problems
Development and health interface
Genetics
Disability

OPHTHALMOLOGY

• Acute conjunctivitis, Trachoma, Allergic conjunctivitis, Pingencula, pterygium, Xerosis/bitot spots, Dry eye, Angular conjunctivitis, neonatal conjunctivitis, subconj hemorrhager, D/D of conjunctival and limbal nodule
• Chronic conjunctivitis, Dry eye, membraneous conjunctivitis, Inclusion conjunctivitis
• Corneal Inflammations: Corneal ulcers-bacterial, fungal, viral, Mooren’s ulcer, Vitamin
  A deficiency and keratomalacia, exposure keratitis, neuroparlytic keratitis, corneal
  blindness, eye banking, eye donation, keratoplasty, arcus senilis, corneal oedema, deep /
  interstitial keratitis, degenerations and dystrophies, overview of keratorefractive surgery.
  Scleritis, episcleritis
• Iridocylitis, Panophthalmitis, Endophthalmitis Systemic associations of uveitis, Choroiditis, Coloboma iris, ocular albinism, vitreous hemorrhage – causes
• Synchisis syntillans, Asteroid hyalosis.
• Angle closure glaucoma, open angle glaucoma, steroid induced glaucoma, lens induced
  glaucoma including surgery and management Cataract and management, cong.
• Conditions, surgery and complications, lens abnormality, secondary glaucomas, congenital glaucoma Fundus changes in diabetes, hypertension, anaemias, pregnancy induced hypertension, haematological disorders, myopia
• Photocoagulation Retinal vascular diseases
• Central retinal artery occlusion, central retinal vein occlusion, retinal detachment, retinopathy of prematurity, retinitis pigmentosa, retinoblastoma, Pappilledema, optic neuritis, optic atrophy
• Awareness of amblyopia, types of squint, paralytic, non-paralytic common causes of proptosis, orbital cellulites, cavernous sinus thrombosis Dacryocystitis – congenital, acute, chronic, epiphora
• Ectropion entropion, trichiasis, ptosis, Iagophthalmos, symblepharon, blepharitis, Chalazion, refractive error, myopia, hypermetropia, Astigmatism, presbyopia, aphakia /pseduophakia,
• Anisometropia, overview of keratorefractive surgery. Chemical injuries, open globe injuries, closed globe injuries and first aid treatment including sympathetic injuries.
• Siderosis bulbi, Chalcosis, medico legal aspects.
• Definition and types of blindness.
• Causes of blindness
• Promotion of eye donation
• NPCB, Vision 2020
• Eye camps
• Symptomatic disturbances of vision, overview of recent advances in ophthalmology
• Lasers in Ophthalmology
• Enucleation – Indication, technique
• Eye and systemic diseases including AIDS
• Causes of sudden / partial / painless dimension of vision
• Ocular malignancy – retinoblastoma and malignant melanoma of choroid
• Pharmacology
• Chronic side effects of systemic medication, local anaesthetics, viscoelastics, steroid and NSAIDS

OTORHINOLARYNGOLOGY

• Ear: Introduction to diseases of ear Topics: Diseases of external ear (with special mention on wax, otomycosis, foreign body, keratosis and malignant otitis externa. Diseases of middle ear: Acute otitis media, otitis media with effusion, chronic suppurative otitis media – TTD, AAD, complications of middle ear infections. Deafness – classification, causes, investigations, early detection of deafness in children and rehabilitation (special mention to audiometry, otosclerosis, learning and speech rehabilitation. Disease of inner ear: Vertigo – classification, causes, investigations and management (special mention of Meniere’s disease, positional vertigo and acoustic neuroma)
• Nose and paranasal sinuses: Rhinitis – etiology, classification and management (special mention of allergic rhinitis, atrophic rhinitis and allergic fungal rhino-sinusitis.) Acute sinusitis (in detail), chronic sinusitis (in detail) Complications of infections of nose and paranasal sinuses Facio-maxillary injuries (in detail), epistaxis, DNS and nasal polyp (special emphasis on FESS) Tumours of nose and PNS (special mention of inverted papilloma, naso-pharyngeal angiofibroma and malignancy)
• Throat: Tonsils and adenoids (special mention of Qunisy, patches in oral cavity and pharynx) Neck space infections – Ludwig’s angina, retropharyngeal and parapharyngeal abscess Hoarseness – diagnosis and management Stridor – diagnosis and management Malignant lesions of larynx and laryngo-pharynx Dysphagia – causes, investigations and management (special mention of malignancy) Foreign bodies of aero-digestive tract – diagnosis, management and complications, endoscopies in ENT

MEDICINE AND ITS ALLIED SPECIALITIES

I. Nutrition and nutritional disorders

(a) Nutrition requirements
(b) Protein calorie malnutrition in adults
(c) Obesity
(d) Vitamin deficiencies
(e) Vitamin excess
(f) Hypo and Hypervitaminosis A & D

II. Fluid and electrolyte balance

(a) Hypovolemia and dehydration
(b) Acidosis
(c) Alkalosis
(d) Hyponatremia + Hypernatremia
(e) Hypokalemia + Hyperkalemia

III. Disturbance of body temperature Infections Approach to fever and PUO

1. Nutrition and nutritional disorders
2. Fluid and electrolyte balance
3. Disturbance of body temperature
4. Immunology
5. Genetics
6. Environmental and occupational problems
7. Respiratory system
8. Haematology
9. Renal medicine
10. Central nervous system
11. Geriatrics
12. Critical care
13. Rheumatology
14. Endocrine disease
15. Pain and principles of palliative care
16. Clinical pharmacy and therapeutics
17. URI including sinusitis
18. LRTI – Bronchitis and community acquired pneumonia
19. Tuberculosis
20. Gastroenteritis, Cholera, food poisoning
21. Amoebiasis
22. Helminthic infections, Bacillary dysentery
23. Acute viral hepatitis chronic
24. Viral hepatitis malaria
25. Filariasis
26. Chickenpox,
27. Herpes zoster
28. Dengue fever,
29. Chickungunya
30. Typhoid,
31. Leptospirosis
32. Common exanthematous fevers
33. Skin and soft tissue infections including cellulitis
34. UTI
35. HIV AIDS
36. Sepsis
37. Rabies
38. Tetanus
39. Common fungal infections
40. Influenza and other respiratory viral infections
41. Brucellosis
42. Ricketsia
43. Meningitis
44. Common gram negative infections
45. Common gram positive infections

IV. Immunology

1. Role of B and T Lymphocytes
2. Immunoglobulin
3. Immune reaction
4. Anaphylaxis, Urticaria, Angioedemas

V. Primary Immune deficiency disorders

VI. Genetics

1. Clinical Genetics

VII. Environmental and occupational problems

(a) Common poisonings organophosphate and carbamate sedatives, hypnotics, antipsychotics, TCA, Rat poison + paracetamol, formic acid, methyl alcohol, Odollum
(b) Bites and stings, snake bite, scorpion sting + others
(c) Alcohol abuse
(d) Radiation hazards
(e) Hanging, drowning, electrical injuries

VIII. Medical disorders in pregnancy

IX. CVS

1. Coronary circulation
2. Coronary artery diseases
3. ECG and X-ray interpretation
4. Rheumatic fever and RHD
5. Congenital heart disorders
6. Corpulomonale
7. Hypertension and hypertensive heart disease
8. Cardiac failure
9. Peripheral vascular diseases
10. Infective endocarditis
11. Cardiomyopathies
12. Pericardial disease
14. Rhythm disturbances
15. DVT + pulmonary embolism

X. GI system

1. Approach to patient with Jaundice
2. Approach to patient with Ascites
3. Physiology of absorption and investigation procedures
4. Acid peptic diseases
5. Malabsorption syndrome and tropical sprue
6. Drug / toxin induced hepatitis and NASH
7. IBS
8. Inflammatory bowel disease
9. Disease of colon and rectum
10. Abdominal tuberculosis
11. Chronic liver disease
12. Upper GI bleed
13. Haemochromatosis and Wilson’s disease

XI. Respiratory system

1. Bronchial asthma
2. COPD
3. Suppurative lung disease
4. Pleural diseases
5. Bronchogenic carcinoma
6. Respiratory failure
7. ILD

XII. Haematology

1. Bleeding disorders
2. Coagulation disorders
3. Acute Leukemias
4. Chronic Leukemias
5. Haemolytic anaemias Fe
6. Deficiency anaemia
7. Macrocyte and Megaloblastic anaemia
8. Plasma cell disorders
9. Polycythemia
10. Lymphoma
11. Aplastic anaemia + Agranulocytosis
12. HUS and TTP

XIII. Renal medicine

1. Acute renal failure
2. Chronic renal failure
3. Glomerular disease
4. Nephrotic syndrome RFT

XIV. Central nervous system

1. Functional
2. Anatomy
3. Physiology and Investigation
4. Migraine and cluster headache
5. Seizures and epilepsy Ischemic
6. Stroke
7. Hemorrhagic stroke
8. Approach to a case of vertigo
9. Extrapyramidal disorders
10. Peripheral Neuropathy
11. Spinal cord disorders
12. Motor neuron disease and myasthenia
13. CNS tuberculosis
14. Demyelination
15. Cerebellar disorders
16. Dementias, Delirium
17. Pituitary dysfunction and tumour
18. Endocrine disease related to gonads

XV. Geriatrics

1. Normal ageing and age-related common problems
2. Drug therapy in elderly

XVI. Critical care

1. Severe sepsis and shock
3. Acute LVF + Acute severe asthma
3. Cardiopulmonary resuscitation status
4. Epileptics
5. Approach to coma
6. Management of hepatic encephalopathy
7. DIC
8. Emergency management of acute coronary syndrome
9. Bioterrorism and disaster management

XVII. Rheumatology

1. Rheumatoid arthritis
2. SLE
3. Spondyloarthopathies
4. Degenerative joint disorders
5. Approach to chronic backache
6. Inflammatory muscle disease

XVIII. Endocrine disease

1. Diabetes Mellitus
2. Hypothyroidism
3. Hyperthyroidism
4. Thyroiditis and other thyroid disorders
5. Parathyroid disorders + Tetany
6. Metabolic bone disease + Osteoporosis + Vitamin deficiency
7. Cushings disease + syndrome
8. Addison’s disease

XIX. Pain and principles of palliative care

1. Assessment and treatment of chronic pain

XX. Clinical pharmacy and therapeutics

1. General principles of drug therapy
2. Common drug interactions
3. Common adverse reactions
4. Monitoring drug therapy
5. Rational prescription writing

PSYCHIATRY

• Classification of psychiatric disorders
• Aetiological factors in psychiatric disorders
• Clinical interview and mental state examination
• Organic brain syndrome
• Substance abuse
• Bipolar disorders
• Depressive disorders
• Schizophrenia
• Major manifestation of psychiatric illness
• Treatments used in psychiatric illness
• Neurotic, stress related and somatoform disorders
• Sleep disorders
• Legal aspects of psychiatry

RADIOLOGY

• Production of X-rays
• Biological changes
• Skeletal radiology chest and Mediastinum
• Gastrointestinal system
• Hepatobiliary system
• Genitourinary system
• Neuroimaging modalities
• Emergency radiology

DERMATOLOGY

• Infections of skin
• Eczematous dermatitis
• Bullous skin lesion collagen disorder
• Pigmentary disturbances
• Maculopapular,
• Squamous lesion
• Neoplastic lesions
• Lesions of skin appendages
• Gastrogenic disorders
• Leprosy and national leprosy control programmes

SURGERY AND ITS ALLIED SPECIALITIES

• Principles of Surgery, genetics, history of surgery, surgical ethics
  Trauma
• Metabolic response to trauma
• Wound healing and complications
• Critically injured patient including Triage
• ATLS, poly trauma, disaster management
• Different types of wounds and their management
• Shock: Types, pathogenesis and management, Haemorrhage, Haemostasis, Blood transfusion, Burns
• Fluid and electrolyte balance, nutritional support
• Pre-operative and post-operative care – emphasis on intensive care and high dependency sterilization
• Surgical sepsis – specific infection, Nosocomial infection, antibiotic policy
• Immunology and organ transplantation, HIV and surgeon, Hepatitis B
• Principles of imaging techniques
• Suture materials and anastomosis
• Skin and soft tissues
• Normal structure – Ulcers, sinus and fistula, cysts and benign tumours
• Pre-malignant conditions, malignant tumours, skin cover
• Arteries – Applied anatomy and physiology, investigation, trauma, acute ischaemia,
• chronic ischaemia, Arterial aneurysms and A. V. fistula, amputations
• Veins – Applied anatomy and physiology, varicose veins and venous ulcers, DVT and superficial thrombophlebitis
• Lymphatics and lymph nodes – Applied Anatomy and physiology, lymph oedema – primary, secondary, lymph cyst – cystic hygroma
• Inflammations – Lymphangitis, lymphadentis, malignant neoplasms – lymphomas
• Head and neck – Head injuries, facio maxillary injuries, salivary glands, mouth and face, cleft lip, cleft palate, oral cancers and premalignant conditions, jaw tumours, ranula, misc-Branchial cysts, arid fistula, carotid body tumours.
• Thyroid and parathyroid thyroglossal cyst and fistula Breast – Applied anatomy and physiology, investigation, fibrocystic diseases, inflammation, tumours
• Chest – diaphragm, mediastinum, chest injuries: Thoracic outlet compression syndrome, heart and pericardium, pleura and lungs.
• Gastrointestinal tract – oesophagus, anatomy and physiology, congential anomalies, dysphagia, achalasia and other motility disorders, oesophageal perforation, gastrooesophageal reflux diseases, tumours.
• Stomach and Duodenum – Anatomy, physiology, embryology, congenital, peptic ulcer disease (APD), Upper GI haemorrhage, tumours, pyloric stenosis
• Liver – Applied anatomy and physiology, trauma, liver abscess, cysts of the liver, portal hypertension, tumours, principles and management of obstructive jaundice.
• Biliary system – congential disorders, gall stone, cholecystitis, Cholangocarcinoma
• Spleen – Anatomy and physiology, trauma – splenic conservation, indication for splenectomy
• Pancreas – Anatomy, development and physiology, congenital anomalies, acute pancreatitis, chronic pancreatitis including calcific pancreatitis, tumours, surgical jaundice
• Vermiform appendix – Anatomy, appendicitis, neoplasm Small and large intestine – Anatomy, physiology, embryology, congenital disorders, inflammatory bowel disease including typhoid, tuberculosis, tumours, intestinal obstruction.
• Rectum and anal canal – ano-rectal anomalies, prolapse, haemorrhoids, ano-rectal sepsis, fissure, fistula, tumour
• Miscellaneous – Abdominal trauma, minimally invasive surgery, peritoneum and retroperitoneum, hernia and abdominal wall, mesentery, surgical audit and day care surgery
• Genitourinary system – congenital conditions, trauma, infections, stones, hydronephrosis, tumours of kidney, tumours of bladder, retention of urinary bladder, haematuria, torsion, undescended testis, epididymo-orchitis, carcinoma penis, phimosis, prostate testicular tumours, benign prostatic hypertrophy, carcinoma prostate, adrenal gland surgery pheochromacytoma and conn syndrome.

ORTHOPAEDICS

• Traumatology
• Definition of a fracture and types of fracture and general principles of management of fracture
• Complications of fracture – open fractures and pathological fracture
• Fracture clavicle, fracture neck of humerus and shoulder dislocation
• Fracture humems (Shaft) and supracondylar fracture
• Intercondylar fracture and Olecranon fracture
• Elbow dislocation and forearm fracture
• Monteggia fracture and Galeazzi’s fracture
• Colle’s fracture and fracture scaphoid
• Fracture spine and traumatic paraplegia
• Fracture pelvis and hip fracture – fracture of femur
• Hip dislocation and fracture shaft of femur
• Meniscus tear and fracture patella
• Leg fractureAnkle injuries – Pott’s fracture
• Hand injuries
• Extensor mechanism injuries of knee
• Fracture of tarsal bones
• Cold orthopaedics
• CTEV and flat foot
• CDH
• Torticollis, congential pseudoarthrosis of tibia and arthrgryphosis multiplex congenita ostemyelitis septic arthritis tuberculosis – spine, hip, knee, elbow, wrist and other sites
• Perthe’s disease and slipped upper femoral epiphysis
• Rickets and osteomalacia
• Rheumatoid arthritis and ankylosing spondylitis
• Intervertebral disc prolapse
• Scoliosis and spondylothesis
• Bone, tumour, osteochondroma, simple bone cyst, aneurysmal bone cyst and endochondroma, giant cell tumour, osteosarcoma and Ewing’s sarcoma,
• Chondrosarcoma, multiple myeloma, metastatic bone diseases and osteogenesis imperfecta
• Nerve injuries – Radial nerve, ulnar nerve, sciatic nerve, amputations and osteoarthrosis hip, knee, cerebral palsy

PHYSICAL MEDICINE AND REHABILITATION

• Introduction to physical medicine and rehabilitation disability process and progression of disabilities concept of Impairment / disability and hard cap
• Principles of physical therapy – various modalities and therapeutic exercises
• Principles of occupational therapy its application in the rehabilitation of various disabilities
• Principles of prosthetics and rehabilitation aids their application in the rehabilitation of disabilities
• Disability evaluation – principles people with disabilities Act – 1995
• Pain management principles
• Principles of rehabilitation of people with disabilitiesTo understand the basic principles of disability conclusion and for certification purposes
• To get exposed to the potentials of socia-vocation rehabilitation of the various describing conditions in the light of the 1995 Act people with disabilities (equal opportunities etc) Act 1995
• To get oriented to basic principles of community based rehabilitation of people with disabilities

RADIOTHERAPY

• Cancer epidemiology and possible etiological factors, screening for cancer
• Principles of cancer chemotherapy and chemotherapeutic agents used in the management of cancer
• Hormone treatment in cancer
• Principles of radiation oncology, radioactive sources – Teletherapy, Brachial therapy and nuclear medicine
• Methods of radiotherapy and recent advances
• Common malignancies, diagnosis and treatment

ANAESTHESIOLOGY

• Introduction – scope of Anaesthesiology
• Pre-anaesthetic check-up premedication
• General anaesthesia – Basal anaesthesia triads of anaesthesia Inhalational agents
• Intravenous anaesthetic agents
• Regional analgesia – subarachnoid and epidural analgesia, other techniques of regional analgesia and agents used.
• Equipments in anaesthesia and methods of oxygen therapy
• Intravenous fluid therapy, intraoperative monitoring
• Complication in anaesthesia and post-operative period
• Cardio-pulmonary and cerebral resuscitation, basic cardiac life support (BCLS), advanced cardiac life support (ACLS)
• Methods of pain relief

PAEDIATRIC

• infection, dengue and chikungunya, viral haemorrhagic fevers and malaria. Pertussis, mumps, rubella, influenza, H1N1, seasonal epidemics
• Gastrointestinal tract and liver disorder
• Diarrhoeal diseases, hepatitis and hepatic failure, cirrhosis liver and portal hypertension.
• Helminthic infestations.
• CVS – Congenital heart disease, rheumatic fever and RHD, CCF, hypertension, infective endocarditis.
• Respiratory system – Childhood asthma, acute bronchiolitis, pneumonias in children suppurative lung disease, smoking and environmental pollution, Croup syndromes
• CNS – Cerebral palsy, mental retardation, meningitis and encephalitis, seizure disorders and febrile seizures, microcephaly and hydrocephalus, floppy infant, therapeutics
• Treatment of epilepsy, GBS, ADEM
• Haemopoietic system – anaemia in children, bleeding disorders
• Disorders of kidney – acute nephritis, nephrotic syndrome, renal failure, urinary tract infection
• Endocrine disorder – diabetes mellitus, thyroid disorders, short stature and intersex, ambigous genitalia, precocious puberty
• Connective tissue disorders – JRA, other vasculitis syndromes including SLE and HSP,
• Kawasaki disease
• Malignancies in children – leukemia, lymphomas, neuroblastoma, solid tumours, CNS tumours, new born respiratory distress in newborn, perinatal diagnosis and treatment, sepsis in newborn, assessment and management of asphyxia, thermoregulation in newborn congenital malformations, disorders of gestation and low birth weight, neonatal resuscitation, neonatal jaundice, sepsis, BFHI and feeding, normal variations intrauterine infections, neonatal seizures
• Behavioural problems in children – Enuresis, thumb sucking, breath holding, dyslexia, specific learning disorders, child rearing problems like infantile colic, growing pain etc
• Common poisoning and accidents in children – Kerosene, Dhatura, paracetamol and iron, snake bite, burns etc.
• Nutrition – BFHI, IYCF Nutritional assessment, SAM, specific vitamin deficiency disorders
• National programmes – IMNCI, RCH3, NRHM, Vitamin A, Iodine deficiency, IDSP,
• ARI, ADD, AFP & PPI
• Common chromosomal disorders and genetic counselling – Down’s syndrome, Turner syndrome.
• Fragile X and Genetic counselling, Innocent problems causing undue parental anxiety breath holding spell, evening colic, growing pain etc.

OBSTETRICS AND GYNAECOLOGY

• Pregnancy – Diagnosis, Clinical features, differential diagnosis, relevant tests and the principles underlying the tests
• Antenatal care: objectives of antenatal care routine antenatal check up, Assessment of period of gestation, obstetric examination, general examination, other system examination
• Clinical monitoring of maternal and fetal well being, detect abnormality
• Common problems in Pregnancy – Oedema, Pruritis, heart burn, piles, varicose veins, clothing and foot ware, exercise, sex, hygiene, nutrition, rest, drug in pregnancy
• Drugs: Immunisation, drug prescription relevant blood examination, urine examination and interpretation of the results and physiological changes in pregnancy
• Ultrasound examination
• Fetal surveillance
• Normal Labour
• Physiology of onset of labor, fetal skull and pelvis
• Mechanism of labour
• Labour monitoring partogram, Labour analgesia
• Induction of labor (various methods of induction – merits and demerits)
  Acceleration of labor and drugs used in labor
• Delivery: stages of labour, management of first of labour
• Management of second stage of labour (vaginal delivery with episiotomy)
• Management of third stage of labor:
• Active management of third stage of labor
• Prevention of PPH, Management of PPH
• Other complications of third stage of labor and management
• Abnormal labor:
• Hypertonic contractions, hypotonic contractions and incoordinate uterine action
• CPD, obstructed labour
• Caesarean section (indications, complications)
• Vaginal delivery after caesarean
• Abnormal presentations and management: Occipito posterior position, Breech presentation, transverse lie, brow/face presentation
• Abortions: Types, aetiopathology, investigations and management
• Recurrent pregnancy loss: causes, investigations and management
• Ectopic pregnancy: aetiopatholgy, early diagnosis, late diagnosis, clinical features, differential diagnosis and principles of management (conservative, medical and surgical)
• Trophoblastic diseases: aetiopathology, classification, clinical features, diagnosis, management, long term follow up and complications
• Hyperemesis gravidarum: definition, aetiopathology, clinical features advice and drug therapy
• Abnormal puerperium: cause clinical presentation investigations and management
• Abnormal pregnancy:
• Multiple pregnancies
• Intrauterine death
• PROM (Premature rupture of membranes)
• Preterm labor
• Post datism
• IUGR
• Elderly primi, grand multipara, Rh negative, Gynaecological disorders complicating pregnancy
• Fetus and newborn: Fetal distress: definition, diagnosis and management neonatal resuscitation, care of newborn, examination of newborn and identifying congenital abnormalities, jaundice in
  newborn
• Breast feeding
• Contraception: various methods and devices, selection of patients, counselling of the Couples, follow up, side effects, complications, and failure rates
• Medical termination of pregnancy:
• MTP Act, Legal and ethical aspects, methods, complications and management
• Operative obstetrics
• Indication and steps of the procedure of episiotomy
• Vacuum extraction, forceps delivery
• Instrumental evacuation
• Caesarean section
• Assisted breech delivery, breech extraction
• External cephalic version, internal podalic version
• Cervical encirclage extra amniotic instillation and manual removal of placenta
• Ultrasound MRI in obstetrics: diagnostic and interventional
• Fetomaternal medicine: Screening for congenital abnormalities, blood tests (maternal and fetal)
• Amniotic fluid analysis, fetal tissue biopsy
• Medical disorders in pregnancy:
• Hypertensive disorders of pregnancy
• Heart disease complicating pregnancy
• Anaemia in pregnancy
• Diabetes in pregnancy
• UTI, hepatitis, TB, chest disease complicating pregnancy
• Veneral disease, infections, HIV complicating pregnancy
• Thyroid disorders, immunological disorders like SLE, ACLA, and thrombophilia complicating pregnancy
• Jaundice in pregnancy Haemorrhage and coagulation disorders in obstetrics and immunology in pregnancy
• Dummy pelvis, Mannequins resuscitation of newborn
• Gynaecology
• Abnormal menstruation:
• Normal menstrual cycle – physiology of menstruation
• Abnormal menstruation – definition, classification, clinical features and principles of investigations, diagnosis and management
• Amenorrhoea: Definition, classification, causes, investigations and management
• Dysfunctional uterine bleeding and postmenopausal bleeding: Definition, causes, investigations and management
• Hormonal therapy: when to give, when not to give, type of hormones with dosage, duration of hormonal therapy, complications and contraindications for hormonal therapy
• Infertility: Types, definition, causes, counselling, examination of couple and essential investigations, ART: various methods of assisted reproductive techniques, setting up of
• ART lab
• Genital injuries including fistulae: Causes, diagnosis, clinical features, and principles of management and prevention
• Genital infections: STDs, PID, HIV infection and AIDS, genital TB – aetiopathology, diagnosis and principles of management
• Neoplasms of genital tract – Benign and malignant, aetiopathology, clinical feature, diagnosis, principles of management and cancer screening and preventive aspects
• Abnormal vaginal discharge: causes, clinical examination, diagnosis, investigation and management. Counselling regarding prevention of STD’s
• Endometriosis: aetiopathology, classification, clinical features, diagnosis and management, contraception
• Operative gynaecology: Indications, complications of D&C, cervical biopsy
• Medical termination of pregnancy, evacuation of incomplete Abortion tubal ligation,
• IUCD insertion
• Abnormal hysterectomy
• Vaginal hysterectomy, sling procedures
• Ovarian tumours
• Radical procedure for malignancy
• Correction of enterocele, diagnosis and operation for vault prolapse
• Endoscopy in gynaecological practice
• Laproscopy: Principles, indications, instrumentation, procedure, complication, scope of laproscopy in gynaecological practices
• Hysteroscopy: Principles, indications, instrumentation, procedure, steps in present gynaecological practices and complications.
• Colposcopy: Principles instrument, procedure
• Endocrinology
• Post operative management:
• Routine management of postoperative patient like IV fluids, drugs, antibiotics, ambulation, nutrition
• Management of fever, skin wound complications, complications like burst abdomen, intraperitoneal bleeding and intra peritoneal collections, instruments, specimens etc.
• Acute abdomen
• Adolescent medicine (Gynaecology)
• Analgesia
• Urological problems

FAMILY WELFARE

• Applied anatomy of mechanical methods for prevention of conception
• In female – Barrier contraception, female condom, IUCD, tubectomy etc.
• In male – Condom, vasectomy (NSV) etc
• Physiology, endocrine and regulation of reproduction in the female. The safe period- rhythm method of contraception, principle of use of oral contraceptives.
• Pharmacology: Mode of action and administration of chemical contraceptives and oral contraceptive
• Contraindications for administration of contraceptives. Side effects of contraceptives
• Community Medicine: The need for Family Welfare Planning, organization of Family
• Planning service, Health Education in relating to Family Planning, Nutrition,
• Physiological need of the mother, the child and the family Demography and the vital statistics
• Pediatrics: Problems of child health in relation to large family: organization of pediatric services, nutritional problems of mother and child, childhood diseases due to over crowding.

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