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(Syllabus) Maharashtra PSC: Medical Science : Revised Syllabus for State Services (Main) Examination (Optional)
Maharashtra PSC: Medical Science : Revised Syllabus for State Services (Main) Examination (Optional)
Medical Sciences (Code No : 701)
Paper - I
Standard : MBBS Degree
Total Marks : 200
Nature of Paper : Conventional Type
Duration : 3 Hours
Note:
1) Answers to this paper must be written in English only.
2) This paper will test the candidate’s ability to comprehend, to analyse, to
interpret, to criticise and to appraise the subject matter related to the
topics/sub topics mentioned below.
3) It is expected from candidates to study the latest and recent developments
and happenings pertaining to the topics/sub topics mentioned below.
Section - A ( Marks : 50 )
1) HUMAN ANATOMY :
1) General Anatomy - Bone, Joints, Muscles, Cartilage,
integument & Skin, Appendages, fascia, Blood Vessels, lymphatics, Neurology.
2) Regional Anatomy -
a) Upper limb : Joints, arteries,
veins, lymphatics, bones, muscles and nerves of Upper limb with applied anatomy.
Mammary gland, axilla, cubital fossa brachial plexus.
b) Lower limb : Joints, arteries,
veins, lymphatics, bones, muscles and nerves of Lower limb with applied, anatomy
femoral triangle; adductor canal, popliteal fossa, sole, arches of foot, gluteal
region.
c) Abdomen and thorax : Joints,
arteries, veins, lymphatics, bones, muscles and nerves , Anterior abdominal
wall, quadrants, peritoneum, Anatomy of thoracic and pelvic diaphragm with its
applied, anatomy Thoracic wall, thoracic inlet, outlet, intercostal space,
mediastinum, pleura. pericardium and heart.
d) Head - face and neck : triangles
of neck, oral and Nasal Cavity, Salivary glands, face, scalp, larynx, pharynx,
orbit, eyeball, ear, spinal cord, CSF, meninges and Brain.
2) Histology :
1) General Histology - cell, cell organelles-nucleus
chromatin. Epithelial- Cilia; Microvilli; Stereocilia; Glands, Connective
tissue. Bone - Cartilage. Neurons and Neuroglia, Blood vessels, Lymphoid tissue.
2) Systemic histology - skin and its appendages, lip, tongue;
tooth, salivary glands; G.I. Tract with glands, Respiratory system, Urinary
system, Male and Female reproductive system, Endocrine glands, nerves system,
Cornea; Sclerocorneal junction; Lens; Retina; Optic nerve. Cochlea.
3) Embryology :
1) General embryology -
Gametogenesis: reproductive cycles, Fertilisation, Contraception, Sex
determination, “Sex-ratio”, Cleavages, Implantation and development of embryo,
Foetal membranes, Allantois, Derivatives of germ layers, Decidua; Umbilical
cord; Foetomaternal circulation.
2) Systemic Embryology - Development
of Cardio-vascular system, Respiratory system, Gastrointestinal system with
related glands, Unriary system, Male and Female reproductive system. Skin and
appendages. Pharyngeal arches, Development of face, palate, endocrine glands.
Spinal Cord and Brain, Forebrain, Midbrain and Hindbrain, Peripheral Nervous
System. - Eye and Ear.
4) GENETICS : Mendelism, Eugenics, Sex chromatin, Population genetics
Cytogenetics, Cell cycle, Molecular genetics Gene, Genetic code, DNA, RNA.
Inheritance : Pedigree charts. Mutation, Polymorphism, Lyon’s hypothesis;
teratogenesis. Chromosomal abnormalities, Prenatal diagnosis. Karyotype and
genetic counselling. Clinical genetics.
Section - B ( Marks : 50 )
5) HUMAN PHYSIOLOGY :
1) General physiology and hematology - Homeostasis,
Biofeedback mechanisms. Cell Physiology, Blood : Plasma proteins, anaemia,
polycythemia. Haemopoiesis, Immunity : Blood groups, Hemostasis and
Anticoagulants, Body fluid compartments, Blood volume. Bone marrow,
Haemoglobinopathies, haemorrhagic diseases.
2) Respiratory physiology and Cardiovascular physiology -
Physiology of respiratory system, Mechanics of respiration, dead space,
Diffusion of Gases, Transport of oxygen and carbondioxide, Control of Breathing,
Hypoxia, Artificial respiration, Pulmonary function tests. Properties of cardiac
muscle heart, pacemaker, ECG ,Cardiac cycle. Haemodynamics, cardiac output,
Blood pressure, Capillary circulation, tissue fluid, lymphatic system, Regional
circulation.
3) Renal physiology, Body temperature regulation - kidney,
Renal circulation, Concept of clearance, Formation of urine, acid-base balance.
Physiology of micturition, Artificial kidney, dialysis, Regulation of body
temperature.
4) Alimentary system and nutrition - Motility of GIT and GIT
hormones Digestion & absorption, concept of balanced diet, caloric requirements,
nutrients.
5) Reproductive physiology and endocrine system -
Hypothalamus, pituitary, Thyroid, Parathyroid, Adrenal and medullary hormones,
Male and Female reproductive system, Sex chromosomes, Barr bodies, sex
determination, sex differentiation, pregnancy, Lactation, Contraception.
6) Central nervous system and special senses - Action
potential, Muscle contraction, skeletal muscle, motor units, E.M.G. synapse,
neurotransmitters .receptors, tone posture, sensations. Reflexes, Tracts, UMN &
LMN, Spinal cord, Medulla oblongata, Pons, midbrain. Thalamic or Decorticate
animal, Posture & Equilibrium, vestibular apparatus, Thalamus, Hypothalamus,
Limbic system, Reticular formation, sleep wakeful cycle, E.E.G., Cerebellum,
Basal Ganglia, Cerebral Cortex, speech, Memory and Learning, reward and
punishment, Autonomic nervous system, CSF, blood brain barrier. Eye, optics,
Photochemistry of vision, Accommodation, Errors of refraction, Colour vision,
Visual pathway, Physics of sound, Audiometry, Auditory pathway, Sense of smell
and taste.
6) HUMAN BIOCHEMISTRY :
1) Chemistry of carbohydrates, lipids, proteins and
nucleic acids. enzymes, vitamins, nutrition, genetic code, protein biosynthesis.
2) Metabolism of carbohydrate, proteins, lipids, purines and
pyrimidines and related disorder.
3) Hormones, mineral and hemoglobin metabolism, porphyria,
jaunidce, liver function tests, kidney function tests and thyroid function
tests.
4) Detoxification mechanism, genetic engineering,
recombinanat technology and its application. Radioisotopes- uses and hazards.
Biochemistry of Cancer.
Section - C ( Marks : 50 )
7) PATHOLOGY :
1) General pathology : Causes of diseases. Cell injury.
Necrosis & gangrene. Inflammation. Regeneration and repair. Oedema. Shock.
Thrombosis. Embolism and Infarction. Haemorrhage. Mineral metabolism. Genetic
disorders. Hypersensitivity reactions. Autoimmune diseases. AIDS. Typhoid fever.
Syphilis, Tuberculosis. Leprosy. Fungal diseases. Malaria. Neoplasia.
2) Haematology - Hemopoiesis. anaemias. haemoglobinopathies.
haemorrhagic disorders. Leukaemias. Paraproteinemia. Blood groups. Blood
Transfusion.
3) Systemic pathology - Atherosclerosis. Ischaemic,
Congenital & Rheumatic heart diseases. Cardiomyopathies. Pneumonias. Lung
Abscess and Bronchiectasis. Emphysema. Occupational lung diseases. Tumours of
lung and pleura. Lesions of oral cavity and salivary glands. Gastritis and
Peptic Ulcer. Ulcers of Intestines. Idiopathic Inflammatory Bowel disease.
Tumours of upper GIT and lower GIT. Viral Hepatitis. Alcoholic liver disease.
Cirrhosis. Tumours of liver, Pancreas and gall bladder. Diabetes mellitus.
nephritis & GN. Nephrotic syndrome. Renal failure. Tumours of kidney, Pelvis,
testis, Prostate, Cervix, Uterus, Ovary, trophoblastic tissue, skin, soft
tissue, bone, cartilage and joints. Non-neoplastic and Neo-plastic lesions of
the breast, lymph nodes and Spleen. Lymphoma. lesions of bone and joints.
Inflammatory and neoplastic conditions of CNS. Lesions of Thyroid. Myopathies.
Clinical pathology: of jaundice. renal function tests. diabetes mellitus.
autopsy.
8) MICROBIOLOGY :
1) General Microbiology : Bacterial cell and its
organelles. Dark ground illumination, phase contrast and fluorescent microscopy,
electron microscopy. Physiology of bacteria. Culture media. Sterilization,
disinfection, asepsis, antiseptics. Ubiquity of bacteria. chemical agents,
Universal safety precautions. Bio medical Waste disposal. Bacterial genetics and
drug resistance R factor, action of antimicrobials, drug resistance and
antimicrobial susceptibility tests. Host parasite relationship. Commensal,
pathogenic and opportunistic organisms. Microbial factors : Types of infection,
Normal flora. Identification of bacteria. Diagnosis of infectious diseases.
Principles of laboratory diagnosis. Collection, transport, processing of
specimens.
2) Immunology : immunity, HLA, MHC, Antibodies, immuno-Globulins,
Serological reactions, antigen- antibody interaction. B & T lyphoaytes, cell
activation, antigen processing and presentation, immune response, monoclonal
antibodies, antibody production, CMI, immune tolerance. Complement.
Hypersensitivity. Autoimmunity. Transplantation & tumour immunology.
transplants, transplant rejection, IR to tumours, tumour antigens, Immuno-Deficiency
diseases.
3) Systemic bacteriology : infectious agents, clinical
features, complications, virulance factor, Immunological response, Specimen
selection, Collection, Transport, Selection of media, Pathogenicity testing,
Anti microbial drug susceptibility testing- Culture and isolation, Viability,
Virulence, Diseases, Antigens, - Pathogenesis, Immune response of-
Staphylococci, Streptococci, Pneumococci, Neisseria, C.diptheriae,
M.Tuberculosis, Atypical mycobacteria, M.leprae, Bacillus, Methods of
anaerobiosis. Non sporing anaerobes. Clostridium welchii, cltetani, Cl.botulinum,
Enterobacteriaceae, Salmonella typhi, Shigella, Vibrio & Campylobacter,
Pseudomonas, Other GNB, Newer bacteria, Spirochete, Actinomycosis & Nocardia,
Rickettsia, Chlamydia & Mycoplasma, Bacteriology of air, water, milk and food.
4) Mycology : fungi, sporulation and classification,
identification, Infections produced, Lab Diagnosis, Agents of Superficial
mycoses, Subcutaneous mycoses, Mycetoma, Rhinosporidiosis, Systemic mycoses,
Opportunistic fungal infections, Candida, Cryptococcus, Histoplasma, Mucor,
Aspergillus, Pneumocystis jiroceci.
5) Virology : General properties and classification of
viruses, pathogenesis, bacteriophages, Viral immunity, interferon, viral
vaccines, Pox viruses. DNA viruses, Papova, Adeno, Herpes viruses, Respiratory
viruses, Orthomyxo and Paramyxoviruses, Picornaviruses, Polio, Coxsackie,
Enteroviruses, Viruses causing diarrhoea – Rota viruses, Polioviruses (polio),
Hepatitis viruses, Arboviruses, Dengue, KFD, Japanese encephalitis,
Rhabdoviruses, Rabies, Slow and Oncogenic viruses. Retroviruses, HIV/AIDS,
Immunity, Universal Safety Precautions/ Standard Work Precautions .
6) Parasitology : geographical distribution, Habitat,
Morphology. Life cycle, Pathogenesis, Laboratory diagnosis, Treatment, Control,
Immunoprophylaxis. epidemiology of E. histolytica, Amoebic infections,
flagellates, Free living amoebae, PAME, Giardia & Trichomonas. Hemoflagellates,
L. donovani, Malaria, Malarial parasites, protozoa, Toxoplasma, Cestodes, Taenia
saginata & solium, Echinococcus granulosus, Trematodes, Schistosomiasis,
Intestinal Nematodes, A.duodenale, A. lumbricoides, E. vermicularis, T. tritura,
Tissue Nematodes, W. bancrofti, D. medinensis, in brief T. spiralis and emerging
parasitic infections.
Section - D ( Marks : 50 )
9) PHARMACOLOGY :
1) Introduction : General Pharmacology, nature and
sources of drugs; pharmacology, rational pharmacotherapy, Pharmacokinetics,
Pharmacodynamics, Adverse Drug Reactions.
2) Cardiovascular system haematinics and haematopoietic
factors : drugs affecting coagulation, antihypertensive therapy; Management of
hypertension, angina. Calcium channel blockers. Anticoagulants & Coagulants.
Thrombolytics & Antiplatelet Agents. Drugs for CCF. Antiarrhythmic Agents.
management of shock. Hypolipidaemic drugs. iron deficiency anaemia and
megaloblastic anaemia; Management of anaemia.
3) Autonomic pharmacology: Adrenergic agonists & antagonists,
Beta- blockers. Cholinergic agonists. Anticholinesterases. Antimuscarinic drugs.
neuropsychiatric pharmacology : inflammaton, pain & substance abuse.
sedative-hypnotics. psychopharmacology : Antianxiety; Antipsychotics;
Antidepressants. Antiepileptics. Neurodegenerative disorders : Anti -
Parkinsonian agents ; cerebral vasodilators / nootropics. Local anaesthetics.
Analgesics : Opioids; NSAIDs. Pharmacotherapy of pain of rheumatoid arthritis
and gout. Substance abuse : Management of opioid, alcohol and tobacco
addictions.
4) Chemotherapy : Antimicrobial agents : Sulphonamides &
Cotrimoxazole. Quinoline derivatives. Penicillins, Cephalosporins & Other b
Lactams. Aminoglycosides. Macrolides. Tetracyclines & Chloramphenicol.
Pharmacotherapy of UTI. Antimicrobial use. Antimycobacterial therapy : Anti-leprotic
agents. Antiprotozoal agents. Antiamoebic, Antimalarials and Anti Kala azar.
malaria. Antihelminthics. Antifungal agents. Antiviral agents. STD s. cancer
chemotherapy.
5) Endocrinology : Steroids. Progestins & antagonists. Oral
contraceptives & profertility agents. Testosterone & anabolic steroids.
Fertility control. Thyroxine and antithyroid agents. Diabetes Mellitus.
6) Miscellaneous : Agents used in gastro intestinal
disorders: Periopretive Management : Preanaesthetic medication, antiseptics,
Local Anaesthetics, Skeletal muscle relaxants. Drugs used in post-operative
period: analgesics, antiemetics. Autocoids, Antiallergics, Antihistaminics,
bronchial asthma, cough, Drugs acting on immune system: Immunostimulants,
immunosuppressants; vaccines & sera. Drugs acting on the uterus. Drug
Interactions. Drug use at extremes of age, in pregnancy & in organ dysfunction.
Use of chelating agents in heavy metal poisonings; Environmental & occupational
toxicants. Ocular pharmacology. Dermatopharmacology.
10) FORENSIC MEDICINE AND MEDICAL JURISPRUDENCE INCLUDING TOXICOLOGY :
1) Personal identity : Identification of Living and Dead.
Age estimation. Sex determination. establishing identity: Corpus Delicti,
Dactylography, Tattoo marks, Scars. DNA fingerprinting. blood and blood stains.
Collection, Preservation and Dispatch of Specimen for Blood and other ancillary
material.
2) Mechanical injuries and burns: classification of injuries:
Abrasions, Contusions, Lacerations, Incised and Stab injury, Firearm and
Explosion injury, Fabricated and Defence injury, hurt, simple and grievous
hurts, Ante-mortem, Postmortem Wounds, Age of the injury, Causative Weapon.
Suicidal, Accidental and Homicidal injuries. Head injury, cut throat injuries
and Road traffic accident injuries. Thermal injuries: Injuries due to heat and
cold, Injuries due to Electricity, Lightening.
3) Medico-legal aspects of sex, marriage, death and infant
death: sexual offences and perversions : Rape, Adultery, Incest, Sodomy,
Bestiality Buccal coitus, Lesbianism, perversions. Impotence, Sterility,
Virginity, Pregnancy, Delivery, Paternity, Legitimacy, Artificial Insemination,
Abortions, Medical Termination of pregnancy. foetal sex determination. Infant
death (Infanticide) Autopsy features. Determination of age of Foetus and Infant.
Signs of live-born, stillborn and dead born child. Signs of death. Changes after
death, Estimation of time since death. Death Certification, Presumption of death
and survivorship. The Human organ transplantation Act. Sudden unexpected death,
deaths from starvation, cold and heat. death from Asphyxia, Hanging,
Strangulation, Suffocation and Drowning.
4) Forensic psychiatry: Definition of common terms, Civil and
Criminal responsibility. Examination, Certification, restraint and admission to
Mental Hospital. Mental Health Act.
5) Poisons: General considerations and Laws in relation to
poisons viz. Narcotic drugs and psychotropic substances Act, Schedules H and L
drugs, Duties and responsibilities of attending physician. poisons and their
classification, Addiction and Habit forming drugs, drug dependence, postmortem
examination in poisonings. Corrosive: Non-metallic, Metallic Poisons, Plant
Poisons: Snakes bites, Food poisoning. Alcohol, Barbiturates. Carbon Monoxide,
Hydrocyanic acid, and Cyanides. Organo-Phosphorus Compounds, Organo-Chloro
Compounds, Carbamates (Carbaryl) and Rodenticides (Phosphides). Collection,
Preservation and forwarding of evidence, remains of poison, body discharges and
viscera etc. to Forensic Science Laboratory.
6) Miscellaneous: forensic science laboratory: The Indian
Medical Council Act. State Medical Council. Rights and obligations of Registered
Medical Practitioners and patient, Duties of physicians and patients,
Euthanasia. Infamous conduct, Professional secrecy and privileged
communications. Medical Negligence and contributory negligence. Consumer
Protection Act. Consent, Fitness certificate, maintenance of medical records and
problems in relation to AIDS. Inquest, type of offences. Types of Criminal
courts and their powers, punishments prescribed by law, kinds of witnesses and
Evidence, Dying declaration and Dying deposition. subpoena, conduct money.
Paper - II
Standard : MBBS Degree
Total Marks : 200
Nature of Paper : Conventional Type
Duration : 3 Hours
Note:
1) Answers to this paper must be written in English only.
2) This paper will test the candidate’s ability to comprehend, to analyse, to
interpret, to criticise and to appraise the subject matter related to the
topics/sub topics mentioned below.
3) It is expected from candidates to study the latest and recent developments
and happenings pertaining to the topics/sub topics mentioned below.
Section - A ( Marks : 50 )
1) Medicine :
1) Infectious Diseases: Types, Modes of Infection,
transmission, Incubation period, Host defenses, Immunization & Management
including Prevention. Viral hepatitis, Tetanus/ Diphtheria, Malaria, Rabies,
Typhoid fever, Gastroenteritis, Dengue, HIV Infection & AIDS.
2) Cardiology : Cardiac arrest. C.C.F.Rheumatic Fever,
Various Valvular lesions, Infective endocarditis, Coronary artery disease,
Pericardial diseases and cardiomyopathy, Hypertension.
3) Gastroenterology: Dysphagia, Peptic ulcers, gastritis,
Small and large intestine diseases, Ulcerative colitis , Hepatitis, Cirrhosis of
liver, Gall bladder diseases, Pancreatitis,
4) Respiratory system: Pulmonary Function Testing,
Pneumonias, bronchitis and emphysema, Bronchiectasis and lung abscess,Bronchial
asthma, pneumothorax, Pleural effusion, Occupational lung diseases,
Tuberculosis,
5) Neurology: Cerebro Vascular Disease, Space Occupying
Lesions, Encephalitis and meningitis, Epilepsy Cerebellar syndrome,
Parkinsonism,, Peripheral neuropathy, Spinal cord disorders, C.S.F.
6) Hematology: Hemopoiesis, Anemias, Hemoglobinopathies, Agranulocytosis,
Leukemias, LymphomasBleeding Disorders, Blood groups & Blood Transfusion &
Component Therapy.
7) Endocrinology: Thyriod, Adrenal, Para thyroid Hormones,
Diabetes Mellitus, metabolic syndrome.
8) Nephrology: Glomerulonephropathy, Infections of urinary
system, Nephrotic syndrome, Renal failure, Dialysis.
9) Nutrition: Balanced diet, Protein energy malnutrition,
Vitamin deficiency state, Obesity/Asthenia, Basics of genetics and Gene Therapy.
10) Immunology: ABC of immunology,T & B cell mediated
illnesses, Immuno deficiency, Auto-antibody. Collagen Vascular disease,
osteoporosis, Atherosclerosis.
2) Paediatrics : Normal Growth & Development. Breast feeding and
lactation management. Immunization, Mile Stones. Neonatal Respiratory Distress,
Jaundice in newborn, Protein Energy Malnutrition (PEM) and its management, Acute
diarrhea; Hypothyroidism in children, Congestive heart failure - Congenital
heart disease. Rheumatic heart disease, Hypertension in children, Acute
respiratory infections, Bronchial asthma, Nephrotic syndrome, Acute
glomerulonephritis and hematuria, Chronic liver disease, Haemolytic anaemia
including thalassemia, Leukaemias. Bleeding and coagulation disorders.
Seizuredisorders. Cerebral Palsy Common exanthematous illness. Childhood
tuberculosis, Behaviourdisorders, Meningitis, Diphtheria, Pertussis and Tetanus.
HIV infection, Malaria & Enteric fever.
3) Dermatology : Common skin diseases, psoriasis, Hansen's disease,
fungal dermatitis, scabies, eczema, vitiligo, Steven Johnsons's syndrome.
Allergic Disorders; Leprosy, STD, HIV & Skin, Drug reactions.
4) Tuberculosis and Respiratory Diseases : Clinical features of
pulmonary tuberculosis; Anti-tuberculous drugs, Multi Drug Resistant
tuberculosis, DOTS, Prophylaxis - Drugs / BCG / Tuberculin test. HIV & TB, Extra
- Pulmonary tuberculosis, Pleural Effusion, Respiratory infections, pneumonias,
Bronchiectasis & lung Abscess; Bronchial Asthma. Pleural Diseases, Occupational
Lung Disease.
5) Psychiatry : Common Psychiatric disorders, Schizophrenia, Alcohol and
substance abuse, Psychotherapies.ECT, Newer drugs.
Section - B ( Marks : 50 )
6) General Surgery :
1) General Principles : Wound healing and management,
scars : Hypertrophic scar and keloid; First aid management of severely injured.
Boils, cellulitis, abscess, necrotising fascitis. Tetanus and Gas gangrene,
Mechanism and management of missile, blast and gun shot injuries. Surgical
aspects of diabetes mellitus. Bites and stings Organ transplantation - Basic
principles.
2) Skin disorders : Common Cysts and Tumors, Sinus and
fistulae. Burns and its management.
3) Vascular disorders : Arterial obstruction, types of
gangrene; Burger’s disease, Vascular injuries. Varicose veins deep venous
thrombosis, thrombophlebitis. lymphangitis, lymphedema.
4) Head and Neck : Head injury, coma, cerebral compression.
Cleft lip and palate; carcinoma lip and tongue, Branchial cyst; cystic hygroma.
Cervical lymphadenitis. Thyroid goitre, thyrotoxicosis and malignancy,
Hyperparathyroidism. Adrenal hypo and Hyperfunctions.
5) Breast : Acute mastitis, breast abscess; gynaecomastia;
fibro-adenomas. Cancer breast.
6) Thorax and Abdomen : Recognition and treatment of
pneumothorax, haemothorax, pulmonary embolism, flail chest; Stove in chest;
pyothorax; cancer lung. Dysphagia, Cancer oesophagus; Congenital hypertrophic
pyloric stenosis. Etiopathogenesis, diagnosis and management of peptic ulcer,
cancer stomach; Amoebic liver abscess, hydatid cyst and portal hypertension.
Splenomegaly, splenic injury. cholelithiasis and cholecystitis; obstructive
jaundice; Carcinoma of gall bladder, choledochal cyst. Acute and Chronic
pancreatitis.
7) Small and Large intestine : Intestinal amoebiasis,
Ulcerative colitis, Intestinal obstruction Acute abdomen, Acute and chronic
appendicitis, Carcinoma rectum. Fissure haemorrhoids.
8) Hernias : Clinical features, diagnosis, complications and
principles of management of : Umbilical, Inguinal, epigastric and femoral
hernia.
9) Genito-urinary System : Renal mass, congenital anomalies
of kidney & Ureter, Haematuria, anuria and acute retention of urine. Benign
prostatic hyperplasia, Phimosis, paraphimosis, Urethral stricture, Hydrocoele,
hematocoele, pyocoele, varicocele.
7) Orthopedics :
1) Definition and Classification of Fracture and
Dislocation, Signs, symptoms and diagnosis of sprain, contusion, fracture and
dislocation. First aid measures in Poly-trauma patient.
2) Fracture neck & shaft humerus, Colles fracture,
Dislocation of shoulder and elbow, Fracture of Pelvis with complications.
Fracture Neck femur, Fracture shaft femur, Meniscus and ligaments injury at
knee. Fracture Tibia-fibula, Dislocation of Hip.
3) Congenital Talipes Equino virus (CTEV), Congenital
dislocation of hip (CDH), Osteogenesis Imperfecta, spina Bifida and Torticollis.
Rheumatoid arthritis. Amputation and Disarticulation – Indications methods and
complications. Back ache, Frozen shoulder, Tennis Elbow.
8) Anaesthesiology : Cardiopulmonary resuscitation (CPR) - basic and
advanced, including use of simple ventilators. Anatomy of upper airway, sites of
respiratory obstruction and management of airway in an unconscious patient.
Various methods of oxygen therapy and its indications. Infiltration anaesthesia,
digital block, ankle block, pudendal and para-cervical blocks. Management of
complications of regional anaesthesia. The principles of administration of
general anaesthesia.
9) Radiology : Basics of X-ray, Radiological changes in diseases of
Chest, Abdomen, Skeletal system, Gastro-intestinal system, Genito-urinary System
& CNS,, Imaging techniques like nuclear medicine, computerised tomography (CT),
Ultrasound, magnetic resonance imaging (MRI), conventional & Digital subtraction
Angiography (DSA). Intravenous Urography (IVP),Hysterosalpingography (HSG).
10) Ophthalmology : Conjunctivitis, Pterigium, Corneal Ulcers, Corneal
Opacities. Keratoplasty. Episcleritis. Scleritis Staphyloma, Uveitis,
endophthalmitis, Panophthalmitis. Cataract: Classification & surgical
management, Phacoemulsification, Small incision Cataract surgery, IOL Implants.
Glaucoma- types, diagnosis and treatment. Diabetic retinopathy, Retinal
Detachment. Retinitis Pigmentosa, Optic Atrophy. Refractive Errors. Refractive
surgery, LASIK. Contact lenses . Diseases of Lids & Lacrimal System, Colour
Blindness, Blindness : Definition Causes & Magnitude, N.P.C.B. Eye Banking. Vit.
A. Deficiency.
11) Ear, Nose and Throat (E.N.T.) :
1) Throat : Diseases of buccal cavity & pharynx, Tonsils
and adenoids, Stridor, tracheostomy, Laryngitis, Laryngeal paralysis.
2) Nose and para-nasal sinuses : Diseases of external nose,
Epistaxis, Diseases of nasal septum, Rhinitis, Nasal polyps, nasal allergy,
Sinusitis and its complications.
3) Ear : Congenital diseases of exterior ear & middle ear,
Acute/chronic supp. otitis media, Mastoid/middle ear surgery, Facial paralysis,
Tinnitus /ototoxicity Deafness/hearing aids/rehabilitation.
Section - C ( Marks : 50 ) OBSTETRICS & GYNAECOLOGY
12) OBSTETRICS :
1) Development of genital tract, Physiology of
menstruation, Puberty and menopause. Physiology of ovulation / conception /
implantation. Early development of human embryo. Structure, function and
anomalies of placenta. Antenatal care, nutrition in pregnancy, detection of
high-risk pregnancy. Normal labour. Breast-feeding. Examination and care of
newborn. Contraception - Introduction and basic principles, Maternal mortality
and morbidity, perinatal mortality and morbidity. National health programme -
safe-motherhood, reproductive and child health, social obstetrics.
2) Obstetric & Newborn : Complications in early pregnancy,
Obstetrical complications during pregnancy. APH - Accidental hemorrhage.
Placenta praevia. Poly hydramnios / oligohydramnios, multifetal pregnancy.
Common Medical disorders in pregnancy. PIH and Eclampsia, Diabetes, jaundice.
Infections in pregnancy, sexually transmitted, HIV and pregnancy. Fibroid with
pregnancy, ovarian tumours, acute abdomen, genital prolapse. High risk
pregnancy, pre-term labour, Induction of labour. Abnormal position &
presentation of labour, Obstructed labour, uterine rupture. Third stage
complications - Retained placenta, PPH, Shock. Drugs used in obstetric,
Operative procedures in Obstetrics : Caesarean Section, Instrumental Vaginal
Delivery.
13) GYNAECOLOGY :
1) Amenorrhoea, Dysmenorrhea, Abnormal Uterine Bleeding,
DUB.
2) Puberty and its disorders, Adolescent Gynaecological
problems. Menopause & HRT.
3) Infections of genital tract, Leucorrhoea, Pruritus vulvae,
Vaginitis, Cervicitis, Genital TB, Sexually transmitted infections including HIV
infection.
4) Benign & Malignant tumours of the genital tract. Leiomyoma,
carcinoma cervix, carcinoma endometrium, chorio carcinoma, ovarian tumors.
Benign & Malignant Lesions of Vulva, Radiotherapy & Chemotherapy in Gynaecology.
Genital Prolapse, Genital Tract displacement,
14) FAMILY PLANNING : Family Planning, Demography and population
Dynamics. Contraception - Temporary methods Permanent methods. MTP Act and
procedures of MTP in first & second trimester.
Section - D ( Marks : 50 ) Preventive and Social Medicine (PSM)
15) Community Medicine :
1) Evolution of Community Medicine. Definition, spectrum
of health and factors affecting, indicators of health. Health Problem of World,
Urban and Rural Indian Health. Demography, Demographic cycle, Population trends,
World and India. Family welfare and Population control. Medical ethics and
Doctor patient relationship Consumer Protection Act. Sociology and Social
factors affecting health, Economics and health, Health Education and
Communication. Nutrition and Health. Constituents of food, Diet planning and
allowancence Nutritional diseases. Toxins in the food., Assessment of
Nutritional status. Body Mass Index (B.M.I.).
2) Environmental Health : Water in relation to health and
disease. Air pollution and ecological balance. Housing and health. Effects of
radiation on human health. Effects of Noise on human health. Meteorological
environment. Solid & Liquid waste disposal. Disposal of hospital waste.
3) Community development programmes and multisectoral
development. Comprehensive medical care and Primary health care. National
Health Policy. Maternal and Child Health care. Epidemiology, Non communicable
diseases. Occupational health. Problems of adolescence including Drug
dependence. Geriatrics.
4) Vital statistics : sources and uses, Census, Fertility
statistics. Management information system. Mental health.
5) Genetics in public health. Health planning and management.
6) International health and Voluntary Health Agencies.
Setting of model for preventing habits like Smoking, Tobacco Chewing, Substance
abuse.
7)Disaster Planning and Management. Broad aspects of Famine
and its Hazards
16) Epidemiology:
1) The concepts of disease. Natural history of disease.
Epidemiological triad. Dynamics of diseases transmission .Concept of disease
control.
2) Air borne infections, exanthematous fevers, Diphtheria and
Pertussis, Tuberculosis. Osteoporosis Indian perspective, Poliomyelitis,
Hepatitis. Enteric Fever and Cholera, Bacillary and Amoebic dysentery, Soil
transmitted Helminths, Tetanus Rabies and other Viral Zoonotic disease,
Leprosy, Malaria Filariasis. Arthropod borne viral diseases.
3) Sexually transmitted diseases and their control. AIDS,
S.A.R.S .Cancer Prevention policies for men and women. Epidemiology of
Geiaratric Health Problems