Download MGR MBBS Final Year General Medicine Syllabus

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MBBS SYLLABUS FORMAT- GENERAL MEDICINE
1. GOAL
The goal of the undergraduate medical education program is to create an "Indian
Medical Graduate" who has the necessary competencies (knowledge, skills,

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attitudes, values and responsiveness) to assume his or her role as a health care
provider to the people of India and the world.
2. SPECIFIC LEARNING OBJECTIVES
A. KNOWLEDGE
At the end of the clinical postings in General Medicine, the medical student should:

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Be able to evaluate each patient as a person in society and not merely as a
collection of organ systems.
Have developed an interest in and care for all types of patients.
Recognize differences between normal and abnormal behaviour.
Be able to discern the hopes and fears of patients which inevitably underlie the

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symptom complexes and know how to handle these emotions, both in the
patient and in others.
Possess sound knowledge of common diseases, their clinical manifestations
and natural history.
Elicit a good clinical history and physical findings, elucidate the clinical

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problems based on these and discuss the differential diagnosis.
Requisition relevant laboratory tests and perform common side lab procedures.
Be familiar with common imaging techniques, their advantages, disadvantages
and indications; be aware of radiation hazards and measures to protect there
from.

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Outline the principles of management of various diseases, including the medical
and surgical procedures available.
Describe the mode of action of commonly used drugs, their doses, side effects,
toxicity, indications, contraindications and drug interactions.
Have an open attitude to the newer developments in medicine to keep abreast

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of new knowledge.
Diagnose and provide competent initial care for medical emergencies.
Refer medical problems to secondary and tertiary care at appropriate times.

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Recognize the problems arising in patients with AIDS.

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Have an understanding of the art of medicine involving communication with
patients, demonstration of empathy, reassurance, patient education and an
understanding of the patient's socio-economic circumstances in relation to
management.
Learn to be adaptable to new ideas and new situations where resources may

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be limited.
Possess knowledge to perform certain procedures.
Understand the ethical and legal implications of one's medical decisions.
B. SKILLS
At the end of the course, the student should be able to:

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Develop clinical skills (history taking, clinical examination and other instruments
of examination) to diagnose various common medical disorders and
emergencies.
Refer a patient to secondary and/or tertiary level of health care after having
instituted primary care.

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Perform simple routine investigations like haemogram, stool, urine, sputum and
biological fluid examinations.
Assist the common bedside investigative procedures like pleural tap, lumbar
puncture, bone marrow aspiration/biopsy and liver biopsy.
C. INTEGRATION

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With community medicine and physical medicine and rehabilitation to have the
knowledge and be able to manage important current national health programs,
also to be able to view the patient in his/her total physical, social and economic
milieu.
With other relevant academic inputs which provide scientific basis of clinical

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medicine e.g. anatomy, physiology, biochemistry, microbiology, pathology,
pharmacology and medico legal orientation.
Orientation to National Health Programs and Emerging Diseases of
International Relevance ( International Health Regulations)

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3. TEACHING HOURS
CLINICAL POSTINGS- TEACHING HOURS (3 hrs /day Forenoon)
S.No
Semester
No of weeks

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1
3rd Semester
6 (3h x 6 d x 6w= 108 H)
2
5th Semester

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4(3h x 6 d x 4w= 76 H)
3
7th Semester
4(3h x 6 d x 4w= 76 H)
4

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8th Semester
6(3h x 6 d x 6w= 108 H)
5
9th Semester
6(3h x 6 d x 6w= 108 H)

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Total
26 weeks= 475 hours
THEORY- TEACHING HOURS
S.No
Semester

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No of hours
1
4th& 5thSemesters
2 hrs/wk x 42= 84 hrs
2

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6th& 7thSemesters
2 hrs/wk x 42= 84 hrs
3
8th& 9thSemesters
3 hrs/wk x 44= 132 hrs

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Total
300 hours
THEORY TEACHING BREAK UP (Including all semesters)
Didactic Lecture (1/3 of the schedule as per MCI )
100 hours

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Lecture Demonstration / case scenarios
100 hours
Seminars/ Symposium with pre and post test
50 hours
questionnaires

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Group Discussion with Faculty as moderators
15 hours
Role play ( Communication Skills)
15 hours
Integrated Teaching Classes

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20 hours
Total
Hours

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4. TEACHING METHODOLOGY

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1.
Didactic lectures
2.
Clinical Demonstrations,
3.

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Video demonstrations
4.
Seminars
5.
Case presentations

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6.
General Clinics
7.
Group discussions
8.

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Ward rounds
9.
Communicative Skill assessment ?VIVA
10.
OSCE

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11.
Self-Directed Learning
12.
Assignments
13.Observation of the management of critically ill in Emergency

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department
14.
Integrated Teaching
15.
Skills lab practice

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5. THEORY SYLLABUS
MENINGITIS
Must know
Desirable to know
Nice to know

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Definition
CSF abnormalities
Management of
complications
Meningism

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Antimicrobial therapy of CNS
infection based on pathogenesis
Causes
Clinical features
Investigations

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Management
Complications

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ENCEPHALITIS:
Must know

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Desirable to know
Nice to know
Definition
CSF findings
IMAGE findings

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Etiopathogenesis
Differential diagnosis
EEG
Clinical features
SSPE

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PMLE
Investigations
Management including
preventive measures

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BRAIN TUMOURS
Must know
Desirable to know
Nice to know
Classification

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Differential diagnosis
Associated genetic
syndromes
Clinical features
Investigation

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Management
INCREASED ICT
Must know
Desirable to know
Nice to know

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Causes
Management
Clinical Features
Intracranial mass lesions

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HYDROCEPHALUS
Must know
Desirable to know
Nice to know
Definition

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Idiopathic intracranial
DANDY criteria
hypertension
Causes
Investigation

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Management
PERIPHERAL NEUROPATHY
Must know
Desirable to know
Nice to know

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Definition
Neurocutaneous
Associated syndromes
syndromes
Etiopathogenesis

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Types of peripheral
Genetic syndromes
neuropathy
associated
Types including GB

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syndrome
Clinical features
Electrophysiological
Charcot marie tooth
features

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syndrome
Investigations
Newer modalities of
treatment
Management

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MYASTHENIA GRAVIS
Must know
Desirable to know
Nice to know
Definition

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Pathophysiology
Differential diagnosis
Drug interactions
Clinical features
Myasthenic crisis

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Investigations
Management

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SPINAL CORD COMPRESSION
Must to know

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Desirable to know
Nice to know
Causes
Difference between
Spinal cord syndromes

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intramedullary and
extramedullary lesions
Clinical features
1.SIGNS
2.SYMPTOMS

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Investigations
Management
PARKINSONISM
Must know
Desirable to know

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Nice to know
Definition
Parkinsonism plus
Surgical treatment options
syndromes

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Pathophysiology
Differential diagnosis
Causes
Clinical features
Investigations

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Management
MUSCLE DISORDER
Must know
Desirable to know
Nice to know

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Types of muscular
Clinical features &
Genetic predisposition
dystrophy
management

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Causes of acquired
Channel myopathies
proximal and distal
myopathies

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SEIZURES
Must know
Desirable to know
Nice to know
Definition

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EEG
PET scan and other
imaging studies
Types
Etiology

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Clinical manifestations
Investigations
Management
Status epilepticus
STATUS EPILEPTICUS

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Must know
Desirable to know
Nice to know
Definition
Coma scale

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EEG
Diagnosis
Complications
Precipitatory factors
Investigations

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Treatment
HEADACHE SYNDROMES
Must know
Desirable to know
Nice to know

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Definition
MIDAS questionnaire
'Red flag' symptoms
Migraine
Pathogenesis

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Investigations
Treatment

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MULTIPLE SCLEROSIS
Must know

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Desirable to know
Nice to know
Definition
Clinical types
Disorders that mimic MS

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Pathophysiology
Diagnostic criteria
Clinical features
Investigations
Management

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MOVEMENT DISORDER
Must know
Desirable to know
Nice to know
Types

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Other hypokinetic disorders Imaging
except chorea
Tremors-Definition
&causes
Chorea-Definition &

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causes
LOSS OF CONSCIOUSNESS (COMA)

Must know
Desirable to know

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Nice to know
Definition
Brain death ? diagnosis
Glasgow coma scale
Indian Criteria for certifying

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Brain Death
Etiology
Investigations
Management

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BELL'S PALSY
Must to know
Desirable to know
Nice to know
Definition

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Differential diagnosis
Other motor disorders of
face
Clinical features
Investigations

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Treatment

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Approach to a case of cerebrovascular accident
Must Know
Desirable To Know

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Nice To Know
Higher mental functions
Speech and language-
Neuro anatomical areas
Etiology

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various types of Aphasia
involved
mini mental scoring
and dysarthria
Attention and neglect

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Cranial nerves
Testing of olfactory nerve
Smell / Taste / Flavour
Olfactory pathway and its
causes of defective smell

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kallman syndrome
peculiarity
Testing of optic nerves and Causes of filed effects
Neuro anatomy of visual
its pathway (Diagram)

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Explain A R pupils
cortex
Testing of 3,4,6 nerves
Pathway for Horner's
Anatomical Peculiarity of

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Explain science and
syndrome
4th nerve
symptoms of nerve palsy
Horner's syndrome

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Trigeminal neurologia
Onion peal appearance
various nuclei of 5th nerve
describe?
in the brain stem(Diagram)

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Testing for motor and
Ramsay Hunt syndrome
Anatomical peculiarity
sensory divisions of
Difference between

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Taste buds and their
trigeminal nerve
bilateral LMN and UMN
locations
muscles supplied by this

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palsy
nerve
Testing for facial nerve
Glossopharyngeal
causes of unilateral and

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neuralgia
bilateral palsy
afferent and efferent for
LMN facial palsy and
gag reflex and their

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BELL'S phenomena
interpretation
Explain its common
Anatomical peculiarities of
association with

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this nerve
hemiplegia
Rinne's test / Weber's test
Monosynaptic reflex
/ absolute bone conduction

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test / calorie test
testing for 9th nerve
Poly synaptic reflexes-why
volitional reflex / gag reflex
are there abolished in

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nasal twang of voice
UMN lesion
Testing for 12th nerve, both Plantar equivalents
extrinsic and intrinsic
muscles of the tough

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Motor system

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Upper limb: bulk / tone /
power / reflex testing
Is there hypertonia

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if so is it spasticity / rigidity
Reading of power of all
muscles
DTR reflexes: normal /
sluggish / brisk /

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exaggerated
Demonstration of biceps /
supinator / triceps reflexes
Lower limbs: - do-
Demonstration of knee and

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ankle reflexes
Clonus- significance
Demonstrate all superficial
reflexes
Explain other methods of

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testing of plantar reflex
pyramidal tract pathway
Sensory system
Examination of touch / pain
/ temp./vib/ joint position /

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joint movement
Romberg's sign
Autonomic nervous system
Bladder and bowel
involvement

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Skin changes
Cerebellar signs
Spine and cranium
Involuntary movements
Extra pyramidal symptoms

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Fixed risk factors for stroke Various dermatomal
Draw and explain
patterns
Pronator drift?
Modifiable factors for

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sympathetic and
Homunculus
stroke
parasympathetic systems
representation in motor

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cortex - diagram
Factors for young stroke
Neuro Anatomy of
cerebellum

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Anatomy of internal
Cranio vertebral anamoly
Posterior column and
capsule
spinothalamic tract

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pathway (diagram)
Types of stroke
Pathophysiology of
cytotoxic edema
signs of ICA / MCA / ACA / Anatomy of Brain stem

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Functional imaging studies
PCA occlusions
Blood supply of internal
capsule
Investigations ? CT & MRI

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Contrast imaging studies
Imaging
Treatment options
CRITICAL CARE MEDICINE
Topics

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Must Know
Desirable To Know
Nice To Know
Critical
Oxygen Delivery

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Care
Oxygen Therapy
Devices
Causes of MODS
Causes, recognition

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and Treatment of
Hyperbarric Oxygen
Fluid Management
ARDS
Therapy

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Interpretation of
Type I & II Respiratory
mixed Acid Base
Failure
Acid Base Imbalance

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Imbalance
Nutrition Therapy -
Basic Management of
Enteral & Total
Acute Asthma

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Interpretation of ABG
Parentral
Acute Pulmonary
Causes and
Edema

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Setting of Ventilation
Management of DIC
Sedation and
Analgesia in ICU
Anaphylaxis

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Modes of Ventilation
setup
Complications of
Seizures
Ventilation

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Brain Death
Status Epilepticus
Certification
Scoring system in
Intensive Care

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Hepatic
(APACHE - II) & SAPS
Encephalopathy
- 2
Management of

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Disaster Preparedness
Electrolyte Imbalances & Management
Basics of Ventilation
Steps of ACLS

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Indications for
Mechanical Ventilation Steps of Defibrillation
Renal replacement
therapy - Peritoneal
Dialysis &Hemo

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Ambu Bag Ventilation
Dialysis
Non Invassive
Ventilation
Steps of BLS

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Management of GI
Bleed
CVS
Must Know
Desirable To Know

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Nice To Know
Clinical examination of cvs
Disease of pericardium
Echocardiography
Electrocardiogram

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Cardiac biomarkers
Anti ?arrythmic drugs
Rheumatic heart disease
Sinoatrial node rhythms
Myocarditis

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Mitral valve disease
Atrial tachy arrhythmia
Cardiomyopathy
Aortic valve disease
Supra ventricular tachy

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Cardiac tumours
Infective endocarditis
Arrhythmia
Cardiac risk of non
?cardiac surgery

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Pulmonary valve disease
Ventricular tachy
arrhythmia
Heart failure
Etiology of Complete AV

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Block
Abnormal heart sounds
Bundle Branch Block
and murmurs
Atherosclerosis

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Myocarditis
Hypertension
Cardiomyopathy
Rheumatic fever
Dilated

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Tricuspid valve disease
Hypertropic
Coronary heart disease
Restrictive
Angina

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Specific diseases of Heart
muscle
Acute coronary syndrome
Infections
Endocrine

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Metabolic
Connective tissue
Infiltration
Toxins

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CARDIOVASCULAR SYSTEM
CLINICAL EXAMINATION OF CVS
Must Know
Desirable To Know
Nice To Know

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Inspection
Percussion
Palpation
JVP
Pulse

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Wave form
Arterial pulse
Auscultation
ECG
Must Know

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Desirable To Know
Nice To Know
Rhythm strip
Sinoatrial node rhythms
P wave

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Atrial tachy arrhythmia
PR interval
Supra ventricular tachy
arrhythmia
QRS

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Ventricular tachy arrhythmia
Q waves
ST segment
QT interval
ECG converters

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RHEUMATIC HEART DISEASE
Must Know
Desirable To Know
Nice To Know
Rheumatic fever

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Modified jones criteria
Clinical features
Diagnosis
Management
Prophylaxis

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ECHO
Must Know
Desirable To Know
Nice To Know

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Indications
Basics of ECHO
Doppler Echo
TEE
Stress Echocardiography

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MRI
CT Scan
IMAGING
Must Know
Desirable To Know

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Nice To Know
CAG
Cardiac catheterization
Radionucleotide Imaging
CHEST PAIN

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Must Know
Desirable To Know
Nice To Know
NYHA Classification of
Angina equivalent

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chest pain
Ischaemic cardiac chest
pain
Non cardiac chest pain
DD of Chest pain

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Causes for Chest pain
Stable Angina
ACS
DYSPNOEA
Must Know

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Desirable To Know
Nice To Know
Causes of Dysponea
Trepopnea
Grading of Dyspnoea

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Platypnea
PND
Orthopnea
DD of Dyspnoea
Causes of Dyspnoea

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Investigations
Management

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CARDIAC FAILURE
Must Know

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Desirable To Know
Nice To Know
Acute Cardiac Failure
Framingham's criteria
Treatment

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Signs&Symptoms
Diagnosis
Etiology
Chronic Cardiac Failure
Heart transplantation

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Etiology
Signs& Symptoms
Diagnosis
Treatment
Mechanism of HF

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Implantable Cardiac
Defibrillation
Pathophysiology
Resynchronisation
Therapy

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Types of Heart Failure
Ventricular Assist Devices
ACE Inhibitors in HF
Coronary
Revascularisation

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ARB and HF
Beta blockers in HF
SYNCOPE
Must Know
Desirable To Know

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Nice To Know
DD
Cardiac syncope
Neurocardiogenic
Postural hypotension

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Investigations and
Diagnosis of syncope
PALPITATION
Must Know
Desirable To Know

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Nice To Know
Definition
Causes
How to evaluate
Palpitation

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Simple approach to
Diagnosis of Palpitation

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ANTI ARRHYTHMIC DRUGS
Must Know

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Desirable To Know
Nice To Know
Classification of Anti
Arrhythmic Drugs
Uses

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Dosage
Side effects
CARDIAC ARREST
Must Know
Desirable To Know

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Nice To Know
Causes of Sudden
Cardiac Death
Etiology of Cardiac arrest
Algorithm to Adult Basic

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Life Support
Management of Cardiac
arrest
Algorithm for Advanced
Life Support

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CARDIAC RISK OF NON CARDIAC SURGERIES
Must Know
Desirable To Know
Nice To Know
Cardiac risk of non cardiac

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surgeries
HEART SOUNDS AND MURMUR
Must Know
Desirable To Know
Nice To Know

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1st Heart Sound
2nd Heart Sound
3rd Heart Sound
4th Heart Sound
Systolic Clicks

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OS
Features of innocent
murmur
How to assess a murmur
Features of common

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Systolic murmur

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RAYNAUD'S PHENOMENON
Must Know
Desirable To Know

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Nice To Know
Primary Raynaud's
Secondary Raynaud's
DISORDERS OF HEART RATE AND RHYTHM
Must Know

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Desirable To Know
Nice To Know
Pathological causes of
Etiology of AV Block
Sino Atrial Rhythm

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Bradycardia&
Tachyarrhythmia
Atrial Fibrillation
Bundle Branch Block
Sick Sinus Syndrome

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Etiology
Signs & Symptoms
Investigations
Treatment
Anti coagulation in AF

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Supraventricular arrhythmia
Hemiblock
Ventricular arrhythmia
WPW Syndrome
AV reentrant Tachycardia

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Causes of long QT
Torsades de Pointes
THERAPAEUTIC PROCEDURES
Must Know
Desirable To Know

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Nice To Know
External Defibrillation
Cardiac Version
Catheter ablation
Temporary pacemakers

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Permanent pacemakers
International generic
pacemaker code
Implantable Cardiac
Defibrillator

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Cardiac resynchronization
therapy
Ventricular Assist Devices
Indications of ICD

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ATHEROSCLEROSIS
Must Know
Desirable To Know
Nice To Know
Pathophysiology

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Stages of atherosclerosis
Risk factors
Primary prevention
Secondary prevention
Uses of Statins

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ACE Inhibitors
DISEASES OF AORTA
Must Know
Desirable To Know
Nice To Know

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Aortic aneurysm
Types of Aortic dissection
Types
Debakey's classification
Etiology

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Stanford's classification
CORONARY ARTERY DISEASE
Must Know
Desirable To Know
Nice To Know

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Stable Angina
Angioplasty and intra
coronary stents
Unstable Angina
CABG

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Prinzmetal Angina
ACS
MI
Factors precipitating
Angina

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Risks of Stable Angina
Investigations
Management
Definition of MI
Criteria for MI

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Clinical features
Investigations
Management
Complication of ACS
Arrhythmias in ACS

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Indications of
Thrombolytic therapy

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PERIPHERAL ARTERIAL DISEASE
Must Know

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Desirable To Know
Nice To Know
Symptoms of Limb
Percutaneous Intervention
ischemia

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Critical limb ischemia
Surgical procedure
Clinical features
Buerger's disease
Medical management

--- Content provided by⁠ FirstRanker.com ---

Diabetic vascular disease
MYOCARDIUM
Must Know
Desirable To Know
Nice To Know

--- Content provided by‍ FirstRanker.com ---

Acute Myocarditis
Cardiomyopathy
Arrhythmogenic RV
muscle
cardiomyopathy

--- Content provided by‍ FirstRanker.com ---

Common causes
Dilated
Peripartum
cardiomyopathy
Clinical recognition &

--- Content provided by‍ FirstRanker.com ---

Hypertrophic
management
Restrictive
Specific diseases of Heart
Infections

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Endocrine
Metabolic
Connective tissue
Infiltration
Toxins

--- Content provided by FirstRanker.com ---

CARDIAC TUMORS
Must Know
Desirable To Know
Nice To Know
Cardiac tumors

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PERICARDIUM
Must Know
Desirable To Know
Nice To Know
Acute pericarditis

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Etiology
Clinical features
Investigations
Management
Pericardial effusion

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---

22
T.B.Pericarditis
Chronic Constrictive
Pericarditis
Clinical features &

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Management of
Constrictive Pericarditis
CONGENITAL HEART DISEASE
Must Know
Desirable To Know

--- Content provided by FirstRanker.com ---

Nice To Know
Cyanotic heart disease
Pregnancy and CHD
Acyanotic CHD
INFECTIVE ENDOCARDITIS

--- Content provided by‌ FirstRanker.com ---

Must Know
Desirable To Know
Nice To Know
Pathophysiology
Indications for surgery

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IE in old age
Culture negative
Endocarditis
Microbiology
Incidence

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Clinical features
Modified Duke's criteria
Management
Prevention
Antimicrobial treatment

--- Content provided by⁠ FirstRanker.com ---

HYPERTENSION
Must Know
Desirable To Know
Nice To Know
Definition

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AMBP
Secondary HTN
Approach to New HTN
History
Examination

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How to measure BP
Fundal changes
Assessing end organ
damage
Malignant HTN

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Investigations
HTN in old age

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23
Stepwise approach
Antihypertensives

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Drugs
Indications
Dose
Side effects
Hypertensive Urgencies &

--- Content provided by‌ FirstRanker.com ---

Emergencies
DISEASES OF HEART VALVES
Must Know
Desirable To Know
Nice To Know

--- Content provided by‌ FirstRanker.com ---

Mitral stenosis
MVPS
MR
Aortic stenosis
AS in old age

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AR
Peripheral signs
Tricuspid stenosis
TR
PS

--- Content provided by‍ FirstRanker.com ---

PR
MEDICAL DISORDERS IN PREGNANCY
Must Know
Desirable To Know
Nice To Know

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Anaemia
HELLP Syndrome
ValvularHeart disease
Acute Fatty Liver of
pregnancy

--- Content provided by FirstRanker.com ---

Hypertension
CVT
Diabetes
DIC
Thyroid disorders

--- Content provided by‍ FirstRanker.com ---

AKI
Urinary Infection
Postpartum psychosis
Drugs in pregnancy
Acute febrile illness

--- Content provided by​ FirstRanker.com ---

Seizures

---

24
ENDOCRINOLOGY AND METABOLISM
Must Know
Desirable To Know

--- Content provided by‌ FirstRanker.com ---

Nice To Know
HYPOTHALAMUS &
PITUITARY GLAND
Hyoipituitarism
Hyperprolactinemia

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Adult GH deficiency
Acromegaly
Disorders of AVP secretion
non functioning &
TSH secreting adenoma

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Gonadotropin producing
pituitary adenoma
Hypo / hypernatremia
Sellar masses
Somatostatin Analogues

--- Content provided by‍ FirstRanker.com ---

THYROID GLAND
Thyrotoxicosis Etiology
Clinical assessment
Investigation
Management

--- Content provided by​ FirstRanker.com ---

Thyroid disorders and
Congenital thyroid
pregnancy
diseases
Thyrotoxic crisis (thyroid

--- Content provided by​ FirstRanker.com ---

Asymptomatic abnormal
Thyroid disorders in old
storm)
TFT- sub clinical
age

--- Content provided by​ FirstRanker.com ---

hypothyroidism /
thyrotoxicosis. Sick
euthyroidism
Hypothyroidism
Factitious thyrotoxicosis

--- Content provided by FirstRanker.com ---

Effects of amiodarone on
Thyroid
Myxoedema coma
Silent thyroiditis
Thyroid enlargement ?

--- Content provided by‍ FirstRanker.com ---

Diffuse goitre, Multinodular
goitre, Solitary nodule & its
management
Autoimmune thyroid
diseases

--- Content provided by​ FirstRanker.com ---

Transient Thyroiditis ?
Subacute (De Quervains)
thyroiditis
Post partum thyroiditis
Iodine associated thyroid

--- Content provided by⁠ FirstRanker.com ---

diseases
Thyroid Neoplasia
REPRODUCTIVE
SYSTEM

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25

--- Content provided by‍ FirstRanker.com ---

Disorders of Puberty
Disorders of reproductive
axis during childhood
Polycystic ovarian
Hormone replacement

--- Content provided by⁠ FirstRanker.com ---

Tanners staging
syndrome
therapy
Turner's syndrome
Testosterone formulations

--- Content provided by‌ FirstRanker.com ---

Klinefelter's syndrome
Testicular tumours
Infertility & contraception
Gynaecomastia
Hirsuitism

--- Content provided by⁠ FirstRanker.com ---

Menopause
PARATHYROID GLANDS
Primary / secondary
Magnesium in PTH
Genetic disorders causing

--- Content provided by FirstRanker.com ---

hyperparathyroidism
disorders
hyperparathyroid like
syndromes
Hypoparathyroidism /

--- Content provided by‍ FirstRanker.com ---

Pseudopseudohypopara
Idiopathic Hypercalcemia
Pseudohypoparathyroidism thyroidism
of infancy
Hypercalcemia

--- Content provided by​ FirstRanker.com ---

Malignancy related
hypercalcemia
Hypocalcemia
Vitamin D related calcium
disorders

--- Content provided by⁠ FirstRanker.com ---

Bisphosphonates
Phosphate metabolism
Calcitonin
ADRENAL GLANDS
Adrenal adenoma (Conn's)

--- Content provided by‌ FirstRanker.com ---

Adrenal carcinoma
Same
Cushings syndrome
Incidentaloma
Liddle's syndrome

--- Content provided by⁠ FirstRanker.com ---

Congenital adrenal
hyperplasia
Adrenal insufficiency
Phenochromocytoma
ENDOCINE PANCREAS

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AND GIT
Diabetes Mellitus ?
Hyperglycemia in ICU
TPN in diabetes
Diagnosis, classification,

--- Content provided by‌ FirstRanker.com ---

pathophysiology,
management,
complications
Diabetes and pregnancy
Surgery and Diabetes

--- Content provided by FirstRanker.com ---

Lipodystrophy
DKA & HHS
Hypoglycaemic conditions
Hypoglycaemia in diabetes
Insulin preparations

--- Content provided by‍ FirstRanker.com ---

OHAs

---

26
DISORDERS AFFECTING
MULTIPLE ENDOCRINE
GLANDS

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Multiple endocrine
Late effects of childhood
neoplasia
cancer therapy
Autoimmune polyendocrine

--- Content provided by​ FirstRanker.com ---

syndromes
OTHER METABOLIC
DISORDERS
Obesity
Metabolic syndrome

--- Content provided by​ FirstRanker.com ---

Hyperlipoproteinemias
Osteoporosis
Porphyrias
ENVIRONMENTAL AND NUTRITIONAL DISORDERS
Desirable To

--- Content provided by‌ FirstRanker.com ---

Topics
Must Know
Know
Nice To Know
Environmental and

--- Content provided by‌ FirstRanker.com ---

Nutritional Factors
High altitude
in Disease
Heat Disorders
problems

--- Content provided by‍ FirstRanker.com ---

Aviation Medicine
Hyperpyrexia
Mountain sickness
Air travel advice
High altitude

--- Content provided by⁠ FirstRanker.com ---

Decompression
Heat Stroke
cerebral edema
illness
Causes and its

--- Content provided by​ FirstRanker.com ---

impact on health
High altitude
due to global
Heat Exhaustion
Pulmonary edema

--- Content provided by FirstRanker.com ---

warming
Hypothermia
Frost Bite
Effects of Radiation
Exposure

--- Content provided by‌ FirstRanker.com ---

Uncommon
Common pollutants
pollutants in
in atmospheric air
atmospheric air and

--- Content provided by​ FirstRanker.com ---

and its importance
its importance on
on health
health
Causes of Obesity

--- Content provided by​ FirstRanker.com ---

and its impact on
Smoking cessation
health
- methods

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27

--- Content provided by‌ FirstRanker.com ---

Lifestyle
Modifications on
health - Role of
Exercise, Diet,
Yoga, Meditation,

--- Content provided by‌ FirstRanker.com ---

etc.,
Prescribing diet in
various clinical
situations
Anaemia

--- Content provided by⁠ FirstRanker.com ---

Liver cell failure
CKD
Total Parentral
Cardiac failure
Nutrition and its

--- Content provided by‍ FirstRanker.com ---

Geriatric Patients Diet in ICU patients complications
Deficiencies of
Vitamins A, D, E, K,
B1, B2, B3, B6,
B12, and C, its

--- Content provided by⁠ FirstRanker.com ---

Pesticides and
clinical and
Heavy Metals in
laboratory
food substances -

--- Content provided by‌ FirstRanker.com ---

recognition,
its importance and
treatment including Enteral tube
creating public
prevention

--- Content provided by​ FirstRanker.com ---

feeding
awareness
Deficiency
disorders of Micro
Nutrients like Zinc,

--- Content provided by‌ FirstRanker.com ---

selenium, Fluride,
Deficiency
Sodium,
disorders of Micro
Potassium,

--- Content provided by​ FirstRanker.com ---

Nutrients - Iron,
Magnesium,
Iodine, Calcium and Copper,
Phosphorus its
Manganese, etc.,

--- Content provided by​ FirstRanker.com ---

clinical and
its clinical and
laboratory
laboratory
recognition,

--- Content provided by⁠ FirstRanker.com ---

recognition,
treatment including treatment including
prevention
prevention

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--- Content provided by​ FirstRanker.com ---

GASTRO INTESTINAL SYSTEM
ACHALASIA CARDIA
Must Know
Desirable To Know
Nice To Know

--- Content provided by‍ FirstRanker.com ---

Etiology
Imaging findings
Complications
Clinical features
Surgical treatment

--- Content provided by‌ FirstRanker.com ---

Investigations
Treatment
GERD
Must Know
Desirable To Know

--- Content provided by FirstRanker.com ---

Nice To Know
Pathophysiology
Complications
Clinical features
Differential diagnosis

--- Content provided by FirstRanker.com ---

Investigations
Treatment
PEPTIC ULCER DISEASE
Must Know
Desirable To Know

--- Content provided by FirstRanker.com ---

Nice To Know
Pathophysiology
Differential diagnosis
Role of H.Pylori
Tests to detect H.Pylori

--- Content provided by​ FirstRanker.com ---

Clinical features &
Surgical treatment
Complications
Treatment
ZOLLINGER ELLISON SYNDROME

--- Content provided by‌ FirstRanker.com ---

Must Know
Desirable To Know
Nice To Know
Pathophysiology
Complications

--- Content provided by FirstRanker.com ---

Distribution of the tumor
Clinical features
Treatment
GASTRITIS
Must Know

--- Content provided by​ FirstRanker.com ---

Desirable To Know
Nice To Know
Types / Classification
Etiology
Treatment

--- Content provided by FirstRanker.com ---

Histopathology

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29
CELIAC DISEASE
Must Know
Desirable To Know

--- Content provided by⁠ FirstRanker.com ---

Nice To Know
Etiology
Histopathology
Diagnosis
Treatment

--- Content provided by‌ FirstRanker.com ---

TROPICAL SPRUE
Must Know
Desirable To Know
Nice To Know
Etiology

--- Content provided by FirstRanker.com ---

Histopathology
Diagnosis
Treatment
WHIPPLE'S DISEASE
Must Know

--- Content provided by​ FirstRanker.com ---

Desirable To Know
Nice To Know
Etiology
Histopathology
Clinical features

--- Content provided by‍ FirstRanker.com ---

Diagnosis
Treatment
INFLAMMATORY BOWEL DISEASE
Must Know
Desirable To Know

--- Content provided by‍ FirstRanker.com ---

Nice To Know
Etiology
Risk factors
Differential diagnosis
Pathogenesis

--- Content provided by‌ FirstRanker.com ---

Pathology
Extra intestinal
Clinical features
Complications
Manifestation

--- Content provided by‌ FirstRanker.com ---

Diagnosis
Surgical interventions
Treatment
IRRITABLE BOWEL SYNDROME
Must Know

--- Content provided by⁠ FirstRanker.com ---

Desirable To Know
Nice To Know
Diagnostic criteria
Pathophysiology
Types

--- Content provided by⁠ FirstRanker.com ---

Approach
Treatment
Newer drugs

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30
APPROACH TO A PATIENT WITH LIVER DISEASE

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Must Know
Desirable To Know
Nice To Know
Evaluation of abnormal
Hyperbilirubinemias

--- Content provided by⁠ FirstRanker.com ---

Liver Function Test
Child Pugh Classification
MELD
PELD
VIRAL HEPATITIS

--- Content provided by‌ FirstRanker.com ---

Must Know
Desirable To Know
Nice To Know
Hepatitis A,B,C,D,E
Genetics and

--- Content provided by‍ FirstRanker.com ---

pathophysiology
Pathophysiology
Natural course
Acute hepatitis
Serology

--- Content provided by‌ FirstRanker.com ---

Chronic hepatitis
Complications
Treatment
Newer drug
TOXIC / DRUG INDUCED HEPATITIS :

--- Content provided by‍ FirstRanker.com ---

Must Know
Desirable To Know
Nice To Know
Paracetamol toxicity
Evaluation of the pattern

--- Content provided by‌ FirstRanker.com ---

of liver injury
Drug induced liver injury
AUTOIMMUNE HEPATITIS :
Must Know
Desirable To Know

--- Content provided by​ FirstRanker.com ---

Nice To Know
Pathogenesis
Differential diagnosis
Diagnostic criteria
Treatment

--- Content provided by FirstRanker.com ---

ALCOHOLIC LIVER DISEASE
Must Know
Desirable To Know
Nice To Know
Alcoholic hepatitis

--- Content provided by FirstRanker.com ---

Prognostication
Diagnosis
Treatment

---

31
NON-ALCOHOLIC FATTY LIVER DISEASE / NON-ALCOHOLIC

--- Content provided by‌ FirstRanker.com ---

STEATOHEPATITIS
Must Know
Desirable To Know
Nice To Know
Etiopathogenesis

--- Content provided by⁠ FirstRanker.com ---

Etiological factors
Diagnosis
Fibrosis assessment
Treatment
CIRRHOSIS AND ITS COMPLICATIONS

--- Content provided by⁠ FirstRanker.com ---

Must Know
Desirable To Know
Nice To Know
Alcoholic cirrhosis
Grading of fibrosis

--- Content provided by⁠ FirstRanker.com ---

Cirrhosis due to viral
Cardiac cirrhosis
hepatitis
Cirrhosis due to Auto
Wilson's disease

--- Content provided by​ FirstRanker.com ---

Immune Hepatitis and
NAFLD
Biliary Cirrhosis
Hemochromatosis
Primary Biliary Cirrhosis

--- Content provided by‍ FirstRanker.com ---

Cystic Fibrosis
Primary Sclerosing
Cholangitis
Other types of Cirrhosis
COMPLICATIONS OF CIRRHOSIS

--- Content provided by FirstRanker.com ---

Must Know
Desirable To Know
Nice To Know
Portal hypertension
Portal hepatic wedge

--- Content provided by FirstRanker.com ---

pressure
Varicealhemorrhage
Endoscopic grading of
varices
Splenomegaly

--- Content provided by​ FirstRanker.com ---

Hypersplenism
Ascites
Spontaneous Bacterial
Peritonitis
Hepatic encephalopathy

--- Content provided by​ FirstRanker.com ---

LIVER TRANSPLANTATION
Must Know
Desirable To Know
Nice To Know
Indications

--- Content provided by FirstRanker.com ---

Techniques Immuno-
Contra indications
suppressive therapy

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32
DISEASES OF GALL BLADDER AND BILE DUCT

--- Content provided by‌ FirstRanker.com ---

Must Know
Desirable To Know
Nice To Know
Gall stones
Complications

--- Content provided by FirstRanker.com ---

Types
Medical and surgical
management
Treatment
Cholecystitis

--- Content provided by⁠ FirstRanker.com ---

Acute
Chronic
PANCREAS:
Must Know
Desirable To Know

--- Content provided by⁠ FirstRanker.com ---

Nice To Know
Acute Pancreatitis
ERCP
Causes
Nutritional Support

--- Content provided by‍ FirstRanker.com ---

Clinical Features
Complications
Investigations
Management
Chronic Pancreatitis

--- Content provided by FirstRanker.com ---

Causes
Clinical Features
Investigations
Management
HEMATOLOGY

--- Content provided by⁠ FirstRanker.com ---

IRON DEFICIENCY ANEMIA
Must Know
Desirable To Know
Nice To Know
WHO Criteria

--- Content provided by⁠ FirstRanker.com ---

Parenteral iron therapy
Nutritional support
Etiology
Erythropoietin
Clinical features

--- Content provided by​ FirstRanker.com ---

Anaemia in old age
Peripheral Smear &
Anaemia of chronic
investigations including
disease

--- Content provided by‌ FirstRanker.com ---

iron studies
Treatment

---

33
MEGALOBLASTIC ANEMIA
Must Know

--- Content provided by‌ FirstRanker.com ---

Desirable To Know
Nice To Know
Etiology
Peripheral smear
Perinicious anemia

--- Content provided by‍ FirstRanker.com ---

Clinical features
Investigations
Treatment
SICKLE CELL ANEMIA
Must Know

--- Content provided by⁠ FirstRanker.com ---

Desirable To Know
Nice To Know
Etiology
Sickle cell crisis
Treatment

--- Content provided by‍ FirstRanker.com ---

Clinical features
Diagnosis
Screening
HAEMOGLOPINOPATHIES
Must Know

--- Content provided by​ FirstRanker.com ---

Desirable To Know
Nice To Know
THALASSEMIA ?TYPES
Diagnosis
Treatment

--- Content provided by⁠ FirstRanker.com ---

Etiology
Thalassemia syndromes
Bone marrow transplant
Clinical features
HEMOLYTICANEMIA

--- Content provided by‌ FirstRanker.com ---

Must Know
Desirable To Know
Nice To Know
Causes / Classification
Inherited

--- Content provided by FirstRanker.com ---

G6PD Deficiency
Clinical features
Acquired
Paroxysmal nocturnal
Hemoglobinuria

--- Content provided by FirstRanker.com ---

Treatment
APLASTIC ANEMIA
Must Know
Desirable To Know
Nice To Know

--- Content provided by‍ FirstRanker.com ---

Etiology
Peripheral smear
Treatment
Clinical features
Bone marrow picture

--- Content provided by‌ FirstRanker.com ---

---

34
LEUKEMIA
Must Know
Desirable To Know
Nice To Know

--- Content provided by⁠ FirstRanker.com ---

Etiology
Treatment
MDS
Clinical features
IMATINIB

--- Content provided by‌ FirstRanker.com ---

Polycythemiarubravera
Acute and chronic
Newer protein kinase
Myelofibrosis
leukemias

--- Content provided by‌ FirstRanker.com ---

inhibitors
Philadelphia chromosome
Leukemoid reactions
Peripheral smear
Bone marrow picture

--- Content provided by‌ FirstRanker.com ---

Classification
Blast crisis
LYMPHOMAS
Must Know
Desirable To Know

--- Content provided by​ FirstRanker.com ---

Nice To Know
Etiology
Peripheral smear
Treatment
Classification & Clinical

--- Content provided by FirstRanker.com ---

Bone marrow picture
CHOP REGIMEN
features
Hodgkins lymphoma
ABVD REGIMEN

--- Content provided by FirstRanker.com ---

Non hodgkins lymphoma
Prognostic features
BLEEDING DISORDERS:
Must Know
Desirable To Know

--- Content provided by‌ FirstRanker.com ---

Nice To Know
Thrombocytopenia causes
Platelet functional disorder
COAGULATION DISORDERS:
Must Know

--- Content provided by‍ FirstRanker.com ---

Desirable To Know
Nice To Know
Causes of coagulopathy
Genetics
Severity of hemophilia and

--- Content provided by FirstRanker.com ---

ISTH criteria
Hemophilia A&B
Antithrombin deficiency
TTP
Clinical Features &

--- Content provided by​ FirstRanker.com ---

Protein C & S deficiency
Management
Thrombotic Disorders
APLS
Types

--- Content provided by‌ FirstRanker.com ---

DIC

---

35
TRANSFUSION MEDICINE:
Must Know
Desirable To Know

--- Content provided by⁠ FirstRanker.com ---

Nice To Know
Indications &
Cell separators
Bone marrow transplant
contraindications of

--- Content provided by FirstRanker.com ---

transfusion of whole blood,
packed cells, platelets,
FFP, cryoprecipitate
Screening test for blood
Storage of blood

--- Content provided by⁠ FirstRanker.com ---

HLA typing
transfusion
Early recognition &
Single donor platelet
management of transfusion transfusion

--- Content provided by‌ FirstRanker.com ---

reactions
Stem cell therapy
CKD
Must Know
Desirable To Know

--- Content provided by‍ FirstRanker.com ---

Nice To Know
Definition & Causes
Stages of CKD
Investigations In CKD
Systemic Manifestations of

--- Content provided by‌ FirstRanker.com ---

CKD
Fluid & Electrolyte
Disturbance
Endocrine Disturbance
Neuromuscular

--- Content provided by‍ FirstRanker.com ---

Disturbance
CVS & Pulmonary
Disturbance
Hematological, GI,
Dermatological

--- Content provided by FirstRanker.com ---

Disturbance
Treatment

---

36
NEPHRITIS
Must Know

--- Content provided by‌ FirstRanker.com ---

Desirable To Know
Nice To Know
I.Lupus Nephritis
1. Clinical Manifestation
Alports Syndrome

--- Content provided by FirstRanker.com ---

Anca Small Vessel
Vasculitis
2.Classification
Anti-Gbm- Goodpasteurs
Glomerular Deposition

--- Content provided by‌ FirstRanker.com ---

Syndrome
Diseases
-Light Chain
-Renal Amyloidosis
3.Treatment

--- Content provided by​ FirstRanker.com ---

Fabrys
II.IgA NEPHROPATHY
Microscopic Polyangitis
III.Membranoproliferative
Chrug Strauss Syndrome

--- Content provided by‍ FirstRanker.com ---

Glomerulonephritis
IV.Mesangioproliferative
Glomerulonephritis
V.Nephrotic Syndrome
-Minimal Change

--- Content provided by FirstRanker.com ---

Disease
-FSGS
VI.Membraneous
Glomerulonephritis
VII.Diabetic Nephropathy

--- Content provided by⁠ FirstRanker.com ---

RENAL TRANSPLANTATION
Must Know
Desirable To Know
Nice To Know
Benefits & Outcomes

--- Content provided by⁠ FirstRanker.com ---

Perioperative Problems of Basic Transplant
Renal Transplantation
Immunology
Indications &
Complications Of

--- Content provided by‌ FirstRanker.com ---

Preoperative Workup
Contraindications
Immunosupressive
Therapy
Immunosupresive Therapy

--- Content provided by⁠ FirstRanker.com ---

Treatment of Acute
Rejection
RENAL REPLACEMENT THERAPY
Must Know
Desirable To Know

--- Content provided by FirstRanker.com ---

Nice To Know
Indications
Preparing For RRT

---

37
Hemodialysis

--- Content provided by‍ FirstRanker.com ---

Complications &Problems
Peritoneal Dialysis
CAPD
Hemofiltration
GLOMERULAR DISEASES

--- Content provided by​ FirstRanker.com ---

Must Know
Desirable To Know
Nice To Know
Causes & Types of AGN
Histopathology & Causes of FSGS

--- Content provided by⁠ FirstRanker.com ---

Membraneous Nephropathy
Urine Examination In
Goodpasture Syndrome
RPGN
Glomerulonephritis

--- Content provided by⁠ FirstRanker.com ---

Clinical Features,
Alports Syndrome
Anca Small Vessel
Investigations & Management
Vasculitis

--- Content provided by​ FirstRanker.com ---

of Minimal Change
Nephropathies
Lupus Nephritis-Stages,
Clinical Features,
Pathology, Serological

--- Content provided by​ FirstRanker.com ---

Investigation & Management
Markers
of HSP
IgA Nephropathy ? Clinical
Features

--- Content provided by⁠ FirstRanker.com ---

Causes And Types of
Crescentic
Glomerulonephritis / RPGN
PSGN-Clinical Features &
Investigations

--- Content provided by​ FirstRanker.com ---

INFECTIONS OF THE URINARY TRACT
Must Know
Desirable To Know
Nice To Know
Pathophysiology

--- Content provided by​ FirstRanker.com ---

Antibotic Regimen
Catheter Related
Bacteruria
Spectrum of Presentation
Prophyllactic Measures in

--- Content provided by​ FirstRanker.com ---

Recurrent UTI
Risk Factors
Persistent or Recurrent UTI
Clinical Features
Asymptomatic Bacteruria

--- Content provided by FirstRanker.com ---

DD
Investigations
Management

---

38
ACUTE PYELONEPHRITIS

--- Content provided by⁠ FirstRanker.com ---

Must Know
Desirable To Know
Nice To Know
Triad
Tuberculosis of Kidney

--- Content provided by⁠ FirstRanker.com ---

Sterile Pyuria
Bacterial Profile
Investigations
Role of Surgery
Predisposing Factors

--- Content provided by⁠ FirstRanker.com ---

Complications
Xanthogranulomatous
Pyelonephritis
Investigation
Management

--- Content provided by FirstRanker.com ---

HEMATURIA
Must Know
Desirable To Know
Nice To Know
Causes

--- Content provided by FirstRanker.com ---

Interpretation of Dipstick
Dipstick Negative Dark
Positive Hematuria
Urine Causes
Investigations of Hematuria

--- Content provided by‌ FirstRanker.com ---

Nephritic Syndrome
RENAL STONE DISEASE
Must Know
Desirable To Know
Nice To Know

--- Content provided by FirstRanker.com ---

Composition
Investigation For Recurrent ESWL
Stone
Predisposing Factors
Measures To Prevent

--- Content provided by​ FirstRanker.com ---

Calcium Stone Formation
Clinical Features
Indications For Intervention
To Remove Stones
Investigations

--- Content provided by‍ FirstRanker.com ---

Management
ACUTE KIDNEY INJURY
Must Know
Desirable To Know
Nice To Know

--- Content provided by⁠ FirstRanker.com ---

Classification
Criteria For AKI-KDIGO,
AKI on Old Age
Rifle

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Causes of Each
Clinical Features &
Biochemical markers in
Investigations of Specific
AKI

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Cases of AKI
Clinical Features of Each
Vascular Occlusion
Complications of RRT
Form

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Investigation of Patients With Malignent HTN
Established AKI
Management Options To All
Scleroderma
Forms of AKI

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Hemodynamic Status
Systemic Inflammatory
Disease
Cardiopulmonary
Glomerular Disease

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Complications
Electrolyte Disturbance
Interstitial Nephritis
Diet
Myeloma

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Drug
Infections
Infections
Renal Replacement
Therapy

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Recovery From AKI
AKI in Hemodynamically
Stable Non Septic Pts
UTI
Drugs &Toxins

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Autoimmune DIS
Acute Interstitial Nephritis
RENOVASCULAR & MISCELLEANEOUS DISEASES:
Must Know
Desirable To Know

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Nice To Know
Renal Artery Stenosis
HUS
ADPKD
Drug Induced Renal Disease

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POISONING
Must Know
Desirable To
Nice To Know
TOPICS

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Know
General Approach
to Poisoning
Toxicology
History Taking

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Clinical
Examination -
Syndromic
Approach

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Decontamination
Investigation
Management
Complications
Pesticides - OPC

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Crane killer
Substance Abuse
Carbamate
Organochlorine
Pyrethroid

--- Content provided by FirstRanker.com ---

Rat Killer
Paraquat
Coccaine
Oleander
Oduvanthalai

--- Content provided by​ FirstRanker.com ---

Ganja
Paracetamol
KodaliKizhangu
Hans
Phenytoin

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Cow Dung Powder
Cyanide
Phenobarbitone
TCA drugs
Lead

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Diazepam
SSRI Drugs
Mercury
Common Poisons Acids & Corrosives
Betablocker

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Cartrap
Camphor
Iron Tablets
Abruesprecataries
Calcium Channel

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Kerosene
blocker
Datura
Aluminium
Food Poisoning

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phosphide
Zincphosphide
CO poison
Cuso4
Hair Dye

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Opioids
Coma
Methonal poison
Seizures
Altered sensorium

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Alcohol
GI Bleed
Intoxication
Abdominal Pain
Withdrawal state

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Bites & Stings
Recognition of
various poisonous
Snake Bite
snakes

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History taking
Clinical Features
WBCT
Monitoring
Symptoms & Signs

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Treatment

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Complications
Preventive Aspects
Do's & Don'ts

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Scorpion Sting
Other Bites
History taking
Clinical Features
Monitoring

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Symptoms & Signs
Treatment
Complications
Preventive Aspects
Do's & Don'ts

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Bees & Wasp
Sting
History taking
Clinical Features
Monitoring

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Symptoms & Signs
Treatment
Complications
Preventive Aspects
Do's & Don'ts

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Animal Bite
Management
First Aid
ARV &
Immunoglobulin

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Indications,
Schedule and
advising patients on
the importance of
immunization

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Pre exposure
prophylaxis
History taking
Clinical Features
Monitoring

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Hanging,
Symptoms & Signs
Drowning,
Treatment
Electrocution

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Complications
Preventive Aspects
Do's & Don'ts

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PSYCHIATRY

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Must Know
Desirable To Know
Nice To Know
Schizophrenia- distorted
Types of schizophrenia

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Repetitive magnetic
thinking and perception,
transcranial stimulations
thought echo, thought
? new treatment for

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insertion, thought
depression.
broadcasting.
ICD 10 classification of
Types of personality

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Identification and
psychiatric illness.
disorders
characterization of
enzymes responsible

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for clearing beta
amyloid from amyloid
precursor protein ?
rational treatments for
alzhemier's disease

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Classification of
Sexual perversions
Landau kleffner
psychotrophic drugs
syndrome, syndromes

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associated with
psychiatric illness
Bipolar disorders
Post traumatic stress
disorder

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Anxiety
Dissociations ? dissociative
fugue, dissociative stupor
Somatoform disorders ?
somatization,

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hypochondriasis
Personality disorders
Eating disorders ? anorexia
nervosa, bulimia nervosa
RESPIRATORY SYSTEM

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OBSTRUCTIVE PULMONARY DISEASES
BRONCHIAL ASTHMA
Must know
Desirable to know
Nice to know

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---

43
Definition
Stepwise approach
Asthma in pregnancy
Pathophysiology

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Metered dose inhaler-use
Assisted ventilation -
indications
Clinical features
Diagnosis

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Management
Acute Severe Asthma
CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Must know
Desirable to know

--- Content provided by‍ FirstRanker.com ---

Nice to know
Definition
Modified MRC dyspnoea
Long term O2 therapy
scale

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Aetiology
Classification of COPD
BODE index
based on spirometry
Risk Factors &

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Smoking cessation and
Pathophysiology
COPD
Clinical features
Non invasive ventilation in

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Surgical interventions
COPD exacerbations
Investigations
Management
Acute exacerbations

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Complications
BRONCHIECTASIS
Must know
Desirable to know
Nice to know

--- Content provided by‌ FirstRanker.com ---

Definition
Types of bronchiectasis
Causes
Pathology
Symptoms

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Investigations
Management
Complications

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CYSTIC FIBROSIS (CF)

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Must know
Desirable to know
Nice to know
Genetics
Treatments that reduce

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CF in adolescence
exacerbations
Pathogenesis
Investigations
Clinical features

--- Content provided by‌ FirstRanker.com ---

Management
Complications
PNEUMONIA
Must know
Desirable to know

--- Content provided by FirstRanker.com ---

Nice to know
TYPES- Community
Antibiotic treatment for
Differential diagnosis
acquired & Hospital

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Community acquired
acquired
pneumonia
Definition
CURB 65

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Ventilator associated
pneumonia (VAP)
Pathology
Predisposing factors for
Indications for referral

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Hospital acquired
pneumonia
Clinical features
Aspiration pneumonia
Pneumonia in immune-

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compromised patient
Investigations
Vaccines and Pneumonia
Management
Complications

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TUBERCULOSIS
Must know
Desirable to know
Nice to know
Definition

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Multi drug resistant TB
Organism
XDR TB

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Pathophysiology

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Cryptic TB
Clinical features
Opportunistic mycobacterial
infections
Extra pulmonary disease

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HIV with TB
Diagnosis of TB
Non DOTS regimen
Management- Drugs
Cause of drug resistance

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Complications
External markers of TB
Risk factors
Associated diseases
Natural History of TB

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RNTCP
Skin testing in TB
Dosage &Side effects of
drugs
ASPERGILLOSIS

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Must know
Desirable to know
Nice to know
About organism
Criteria for diagnosis of

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Risk factors for invasive
invasive aspergillosis
aspergillosis
Classification
Aspergilloma

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Chronic and subacute
pulmonary aspergillosis
Symptoms
X ray findings
Investigations

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Management
Complications
BRONCHIAL CARCINOMA
Must know
Desirable to know

--- Content provided by⁠ FirstRanker.com ---

Nice to know
Definition
Non metastatic extra
Radiological presentations
pulmonary manifestations

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Aetiology
Tumour staging
Types
Chemotherapeutic drugs

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Clinical features
Secondary lung tumours
Investigations
Solitary pulmonary nodule
Management

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DIFFUSE PARENCHYMAL LUNG DISEASE
Must know
Desirable to know
Nice to know
Definition

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Differential diagnosis
Common features
Each type in detail
Classification & types
Sarcoidosis

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Symptoms
Investigations
Management
PNEUMOCONIOSIS
Must know

--- Content provided by‍ FirstRanker.com ---

Desirable to know
Nice to know
Definition
Other Lung diseases
caused by Inorganic dust

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Types
Prevention
Symptoms
Investigations
Management

--- Content provided by⁠ FirstRanker.com ---

---

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ASBESTOS RELATED LUNG DISEASES
Must know
Desirable to know
Nice to know

--- Content provided by⁠ FirstRanker.com ---

Types of asbestos
Asbestosis
Mesothelioma
Disease types
Investigations of each

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Management
HYPERSENSITIVITY PNEUMONITIS (HP)
Must know
Desirable to know
Nice to know

--- Content provided by⁠ FirstRanker.com ---

Definition
Agents causing HP
Humidifier fever
TYPES
Clinical features

--- Content provided by FirstRanker.com ---

Diagnosis
Management
PULMONARY HYPERTENSION
Must know
Desirable to know

--- Content provided by‌ FirstRanker.com ---

Nice to know
Definition
Radiological findings
Sildenafil
Classification

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Newer drugs -Bosentan
Clinical features
Investigations
Management

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SYSTEMIC LUPUS ERYTHEMATOSIS (SLE)
Must Know
Desirable to Know
Nice to Know
Aetiology

--- Content provided by‍ FirstRanker.com ---

Differential Diagnosis
Pathogenesis
ACR Criteria
Experimental Therapies
Clinical Features

--- Content provided by FirstRanker.com ---

Auto Antibodies in SLE
Preventive Therapies
Investigation
Drug induced lupus
Complications

--- Content provided by‌ FirstRanker.com ---

Lupus Nephritis
Treatment
SYSTEMIC SCLEROSIS
Must Know
Desirable to Know

--- Content provided by FirstRanker.com ---

Nice to Know
Aetiology
Differential Diagnosis
Scleroderma Renal Crisis
Pathogenesis

--- Content provided by FirstRanker.com ---

Auto Antibodies in Systemic Localized Scleroderma
Sclerosis
Clinical Features
Difference between limited
versus diffuse types

--- Content provided by FirstRanker.com ---

Investigation
Complications
Treatment
MIXED CONNECTIVE TISSUE DISEASE (MCTD)
Must Know

--- Content provided by FirstRanker.com ---

Desirable to Know
Nice to Know
Aetiology
Differential Diagnosis
Experimental Therapies

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Pathogenesis
Auto Antibodies in (MCTD)
Clinical Features
Investigation
Complications

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Treatment

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IDIOPATHIC INFLAMMATORY MYOPATHIES
POLYMYOSITIS
Must Know

--- Content provided by‍ FirstRanker.com ---

Desirable to Know
Nice to Know
Aetiology
Differential Diagnosis
Overlap syndromes

--- Content provided by‌ FirstRanker.com ---

Pathogenesis
Auto Antibodies in
Polymyositis
Clinical Features
Investigation

--- Content provided by⁠ FirstRanker.com ---

Complications
Treatment
DERMATOMYOSITIS
Must Know
Desirable to Know

--- Content provided by⁠ FirstRanker.com ---

Nice to Know
Aetiology
Differential Diagnosis
Overlap syndromes
Pathogenesis

--- Content provided by⁠ FirstRanker.com ---

Auto Antibodies in
Dermatomyositis
Clinical Features
Associated Malignancy
Investigation

--- Content provided by⁠ FirstRanker.com ---

Treatment
INCLUSION BODY MYOSITIS
Must Know
Desirable to Know
Nice to Know

--- Content provided by​ FirstRanker.com ---

Aetiology
Differential Diagnosis
Overlap syndromes
Pathogenesis
Auto Antibodies in Inclusion

--- Content provided by‌ FirstRanker.com ---

Body Myositis
Clinical Features
Investigation
Treatment

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--- Content provided by​ FirstRanker.com ---

SJOGREN'S SYNDROME
Must Know
Desirable to Know
Nice to Know
Aetiology

--- Content provided by FirstRanker.com ---

Differential Diagnosis
Differential Diagnosis for
SICCA Symptoms
Pathogenesis
Auto Antibodies in

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Sjogren'sSyndrome
Clinical Features
Secondary
Sjogren'sSyndrome
Investigation

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Treatment
RHEUMATIOD ARTHRITIS
Must Know
Desirable to Know
Nice to Know

--- Content provided by​ FirstRanker.com ---

Aetiology
Differential Diagnosis
Definition of Remission in
RA
Pathogenesis

--- Content provided by‍ FirstRanker.com ---

Criteria for RA&Clinical
Biological DMARDS
Features
Investigation
Felty's Syndrome

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Treatment
ANTIPHOSPHOLIPID SYNDROME (APLA)
Must Know
Desirable to Know
Nice to Know

--- Content provided by​ FirstRanker.com ---

Aetiology
Differential Diagnosis
Pathogenesis
Classification of
Antiphospholipid Antibodies

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Clinical Features
Investigation
Treatment

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ANKYLOSING SPONDYLITIS

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Must Know
Desirable to Know
Nice to Know
Aetiology
Differential Diagnosis

--- Content provided by‍ FirstRanker.com ---

Seronegative
spondarthitides
Pathogenesis
ASAS Criteria for
Ankylosing Spondylitis

--- Content provided by‌ FirstRanker.com ---

Clinical Features
Investigation
Treatment
REACTIVE ARTHRITIS
Must Know

--- Content provided by‍ FirstRanker.com ---

Desirable to Know
Nice to Know
Aetiology
Differential Diagnosis
Reiter's Disease

--- Content provided by‌ FirstRanker.com ---

Pathogenesis
Triggering Infection of
Reactive Arthritis
Clinical Features
Investigation

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Treatment
PSORIATIC ARTHRITIS
Must Know
Desirable to Know
Nice to Know

--- Content provided by⁠ FirstRanker.com ---

Aetiology
Differential Diagnosis
Pathogenesis
CASPAR criteria
Clinical Features

--- Content provided by FirstRanker.com ---

Investigation
Treatment

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SYSTEMIC VASCULITIS
Must Know

--- Content provided by‌ FirstRanker.com ---

Desirable to Know
Nice to Know
Types of Vasculitis
Differential Diagnosis
Secondary Vasculitis

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Pathogenesis
Autoantibodies in Vasculitis
Clinical Features
Investigation
Treatment

--- Content provided by FirstRanker.com ---

BEHCET'S SYNDROME
Must Know
Desirable to Know
Nice to Know
Aetiology

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Differential Diagnosis
Pathogenesis
Criteria of Behcet's
Syndrome
Clinical Features

--- Content provided by‌ FirstRanker.com ---

Investigation
Treatment
RELAPSING POLYCHONDRITIS
Must Know
Desirable to Know

--- Content provided by‍ FirstRanker.com ---

Nice to Know
Aetiology
Differential Diagnosis
Pathogenesis
Disorders Associated with

--- Content provided by⁠ FirstRanker.com ---

Relapsing Polychondritis
Clinical Features
Investigation
Treatment

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--- Content provided by⁠ FirstRanker.com ---

SARCOIDOSIS
Must Know
Desirable to Know
Nice to Know
Aetiology

--- Content provided by⁠ FirstRanker.com ---

Differential Diagnosis
Pathogenesis
Gallium 67 Scan
Clinical Features
Investigation

--- Content provided by‍ FirstRanker.com ---

Treatment
FIBROMYALGIA
Must Know
Desirable to Know
Nice to Know

--- Content provided by‍ FirstRanker.com ---

Aetiology
Differential Diagnosis
Pathogenesis
Major tender sites in
Fibromyalgia

--- Content provided by‍ FirstRanker.com ---

Clinical Features
Investigation
Treatment
TROPICAL MEDICINE
DESIRABLE TO

--- Content provided by‌ FirstRanker.com ---

TOPICS
MUST KNOW
KNOW
NICE TO KNOW
Infectious Disease Bacterial

--- Content provided by⁠ FirstRanker.com ---

Viral
Viral
Clinical Features,
Lab Diagnosis,
Treatment,

--- Content provided by‌ FirstRanker.com ---

Complications
and Preventive
Aspects
Typhoid
PARO virus

--- Content provided by​ FirstRanker.com ---

Ebola
Infectious
Cholera
Mononucleosis
Hanta

--- Content provided by‌ FirstRanker.com ---

Congo
Leptospirosis
EBV
Haemorrhagic
Diptheria

--- Content provided by FirstRanker.com ---

CMV
Yellow Fever
Hand, foot and
Streptococcal
mouth disease

--- Content provided by⁠ FirstRanker.com ---

Zika

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Staphylococcal
Bacterial
Bacterial

--- Content provided by⁠ FirstRanker.com ---

Gonococcal
Plague
Brucellosis
Tuberculosis
Lyme Disease

--- Content provided by‌ FirstRanker.com ---

Meliodosis
Leprosy
Parasite
Syphilis
Tetanus

--- Content provided by FirstRanker.com ---

Kalaazar
Anthrax
Viral
Toxoplasmosis
Fungal

--- Content provided by‌ FirstRanker.com ---

Dengue
Fungal
Histoplasmosis
Chickengunia
Aspergillus

--- Content provided by‌ FirstRanker.com ---

Parasite
Measles
Actiomyces
Sleeping sickness
Mumps

--- Content provided by⁠ FirstRanker.com ---

Rickettsial
Liver Fluke
Louse borne R.
Rubella
Fever

--- Content provided by​ FirstRanker.com ---

Chickenpox
Tick borne R. Fever
H1N1
Rabies
J.E.

--- Content provided by​ FirstRanker.com ---

H.S.V.
Hepatitis A
Hepatitis B
Hepatitis C
Rota virus

--- Content provided by​ FirstRanker.com ---

HIV
Fungal
Candiadiasis
Parasites
Malaria

--- Content provided by‌ FirstRanker.com ---

Pinworm
Roundworm
Tapeworm
Hookworm
Filariasis

--- Content provided by⁠ FirstRanker.com ---

Rickettsial
Scrubtyphus
Hospital Acquired
Infections
Definition

--- Content provided by‍ FirstRanker.com ---

Causes
Clinical Features
Complications
Prevention
Sepsis

--- Content provided by⁠ FirstRanker.com ---

SIRS
Definition
MODS
Causes

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--- Content provided by‌ FirstRanker.com ---

Diagnostic Criteria
Clinical Features
Complications
Prevention
Dose, frequency,

--- Content provided by​ FirstRanker.com ---

important side
Drug interaction,
Rational use of
effects of common
adjusting dosage in

--- Content provided by‍ FirstRanker.com ---

Antibiotics
antibiotics
renal & Liver failure
6. PRACTICAL SYLLABUS
INTRODUCTORY BATCH

--- Content provided by⁠ FirstRanker.com ---

1. History of Medicine
2. Introduction and History Taking
3. Symptomatology- Chest pain
4. Breathlessness
5. Palpitation &Syncope

--- Content provided by‍ FirstRanker.com ---

6. Edema
7. Cough
8. Haemoptysis
9. Alteration in the level of consciousness
10.Dizziness and vertigo

--- Content provided by​ FirstRanker.com ---

11.Headache
12.Seizures
13.Visual Disturbances
14.Weakness and Paralysis
15.Unsteady Gait

--- Content provided by FirstRanker.com ---

16.Speech Disturbances
17.Sensory Disturbances
18.Memory loss
19.Abdominal pain
20.Vomiting

--- Content provided by⁠ FirstRanker.com ---

21.GI Bleed
22.Diarrhoea & Constipation

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23.Abdominal distension
24.Jaundice

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PREFINAL BATCH
1. General Examination
2. Examination of all systems with focus on elicitation of signs and correlation with
basic sciences
3. Examination of CVS- Valvular Heart Disease, Hypertensive Heart Disease,

--- Content provided by‌ FirstRanker.com ---

Congenital Heart Disease
4. Examination of RS- COPD, Pleural disorders, Parenchymal disorders
5. Examination of Abdomen- DCLD, Hepatosplenomegaly, Ascites
6. Examination of CNS- CVA, Parkinsonism, Movement disorders, Neuropathies,
Seizure disorders

--- Content provided by‌ FirstRanker.com ---

FINAL YEAR BATCH
Examination of all cases with focus on Diagnosis including Differential
Diagnosis, Investigations and Management
Thyroid disorders, Complications of Diabetes, Acute Febrile Illness, COPD,
Seizures, Hypertension, Coronary Artery Disease, Obesity, Alcohol related

--- Content provided by FirstRanker.com ---

disorders
7.
REFERENCE LEARNING (BOOKS)
CLINICAL BOOKS
1. Hutchison's Clinical Methods

--- Content provided by‌ FirstRanker.com ---

2. Macleod's Clinical Examination
TEXTBOOKS OF MEDICINE
1. Davidson's Principles and Practice of Medicine
2. Kumar & Clark's Clinical Medicine
3. Harrisons Principles of Internal Medicine

--- Content provided by⁠ FirstRanker.com ---

4. API Textbook of Medicine
5. Washington's Manual of Medical Therapeutics
6. The Oxford Textbook of Medicine

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8.

--- Content provided by​ FirstRanker.com ---

THEORY EXAMINATION
S.No
Question Type
Marks
Total

--- Content provided by⁠ FirstRanker.com ---

General Medicine Paper I
1
Essay
2 x 10 marks
20

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2
Brief Answers
6 X 5 marks
30
3

--- Content provided by​ FirstRanker.com ---

Short Notes
5 x 2 marks
10
Total
60

--- Content provided by‌ FirstRanker.com ---

General Medicine Paper II
(including Psychiatry, Dermatology and S.T.D.)
(Shall contain one question on basic sciences and allied subjects)
1
Essay

--- Content provided by⁠ FirstRanker.com ---

2 x 10 marks
20
2
Brief Answers
6 X 5 marks

--- Content provided by FirstRanker.com ---

30
3
Short Notes
5 x 2 marks
10

--- Content provided by​ FirstRanker.com ---

Total
60
MEDICINE: PRACTICAL EXAMINATION
Exam. Category
No. of Cases

--- Content provided by FirstRanker.com ---

Time allotted
Marks
1. Long Case
1 x 40 marks
45 min

--- Content provided by⁠ FirstRanker.com ---

40
2. Short Cases
2 x 15 marks
30 min
30

--- Content provided by⁠ FirstRanker.com ---

3. Spotters
2 x 5 marks
10 min
10
4. OSCE

--- Content provided by‍ FirstRanker.com ---

5 x 4 marks
20 min
20
----
Total 100

--- Content provided by​ FirstRanker.com ---

----
5. Viva ( (Orals) Interpretation of X ray, ECG etc.
20
6. Internal Assessment
:

--- Content provided by​ FirstRanker.com ---

Theory
30
Practical
20
Record / Log Book 10

--- Content provided by‌ FirstRanker.com ---

----
Total 60
----

---

58
PRACTICAL EXAMINATION- SUGGESTED SCHEME INCLUDING MARK

--- Content provided by‌ FirstRanker.com ---

ALLOTMENT
LONG CASE- 40 MARKS
Case writing
- 5 marks
History taking

--- Content provided by FirstRanker.com ---

- 5 marks
Clinical signs demo - 10 marks
Diagnosis
- 5 marks
Discussion

--- Content provided by⁠ FirstRanker.com ---

- 5 marks
Management
- 5 marks
Recent Advances - 5 marks
OBJECTIVE CASES- TESTING OF CLINICAL SKILLS -1

--- Content provided by⁠ FirstRanker.com ---

RHD
Pleural Effusion
DCLD
Hepatosplenomegaly
Bronchiectasis

--- Content provided by FirstRanker.com ---

TB Cavity
Pneumonia, Bronchial Asthma, COPD
Bells palsy
OBJECTIVE CASES- HISTORY TAKING-2
Hypertension

--- Content provided by‍ FirstRanker.com ---

Diabetes
CAD
Obesity
Fever
Nutritional disorders

--- Content provided by‌ FirstRanker.com ---

Jaundice
Clubbing
Cyanosis
CKD
Anemia

--- Content provided by FirstRanker.com ---

Seizures

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OBJECTIVE CASE- DECISION MAKING- 3
Students shall examine the case and later there shall be a discussion based on
the available lab/X-ray/ ECG etc data

--- Content provided by FirstRanker.com ---

Blood smear- Malaria, Anemia, Leukaemia
Chest X ray- TB, Cardiomegaly, Pneumonia, Pleural Effusion, Fibrosis
Hypo / Hyperthyroidism
CSF Studies
Liver Function Tests

--- Content provided by⁠ FirstRanker.com ---

Tinea/Dermatitis/ Scabies/ Herpes/ Lepsrosy/ Filariasis
ECG- CAD
OBJECTIVE CASE- COMMUNICATION SKILL- 4
Breaking Bad news
Discharge advice

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Poisoning Counselling
Adverse drug reactions
HIV counselling
DIL patient counselling
Cancer

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GENERAL MEDICINE- FULL EXAMINATION MARKING
Theory------------------------------120
Practical----------------------------100
Viva--------------------------------- 20
Internal Assessment------------- 60

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Total---------------------------------300

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60
10.VIVA
Viva/oral includes evaluation of management approach and handling of emergencies.
Candidate's skill in interpretation of common investigative data, x-rays, identification

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of specimens, ECG, Instruments, etc. also is to be evaluated.
11. FORMATIVE ASSESSMENT- See Internal Assessment Below
12. INTERNAL ASSESSMENT:
To be submitted online at the end of Second MBBS, Third MBBS- Part I and Third
MBBS- Part II. The average of these three marks shall be computed and shall be the

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Final Internal Assessment mark for the Final MBBS part II University Examination
(i) It shall be based on day to day assessment (see note), evaluation of student
assignment, preparation for seminar, clinical case presentation etc.
(ii) Regular periodical examinations shall be conducted throughout the course. The
questions of number of examinations is left to the institution.

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(iii) Day to day records should be given importance during internal assessment.
(iv) Weightage for the internal assessment shall be 20% of the total marks in each
subject.
Note
Internal assessment shall relate to different ways in which students participation in

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learning process during semesters is evaluated.
Some examples are as follows:
(i) Preparation of subject for students seminar.
(ii) Preparation of a clinical case for discussion.
(iii) Clinical case study/problem solving exercise.

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(iv) Participation in Project for health care in the community ( planning stage to
evaluation).
(v) Proficiency in carrying out a practical or a skill in small research project.
(vi) Multiple choice questions (MCQ) test after completion of a system/teaching.
Each item tested shall be objectively assessed and recorded. Some of the items

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