Download MGR (The Tamil Nadu Dr. M.G.R. Medical University) MBBS (Bachelor of Medicine and Bachelor of Surgery) Final Year General Medicine Syllabus
1
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,
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:
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
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
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.
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
of new knowledge.
Diagnose and provide competent initial care for medical emergencies.
Refer medical problems to secondary and tertiary care at appropriate times.
2
Recognize the problems arising in patients with AIDS.
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
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:
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.
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
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
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
1
3rd Semester
6 (3h x 6 d x 6w= 108 H)
2
5th Semester
4(3h x 6 d x 4w= 76 H)
3
7th Semester
4(3h x 6 d x 4w= 76 H)
4
8th Semester
6(3h x 6 d x 6w= 108 H)
5
9th Semester
6(3h x 6 d x 6w= 108 H)
Total
26 weeks= 475 hours
THEORY- TEACHING HOURS
S.No
Semester
No of hours
1
4th& 5thSemesters
2 hrs/wk x 42= 84 hrs
2
6th& 7thSemesters
2 hrs/wk x 42= 84 hrs
3
8th& 9thSemesters
3 hrs/wk x 44= 132 hrs
Total
300 hours
THEORY TEACHING BREAK UP (Including all semesters)
Didactic Lecture (1/3 of the schedule as per MCI )
100 hours
Lecture Demonstration / case scenarios
100 hours
Seminars/ Symposium with pre and post test
50 hours
questionnaires
Group Discussion with Faculty as moderators
15 hours
Role play ( Communication Skills)
15 hours
Integrated Teaching Classes
20 hours
Total
Hours
4
4. TEACHING METHODOLOGY
1.
Didactic lectures
2.
Clinical Demonstrations,
3.
Video demonstrations
4.
Seminars
5.
Case presentations
6.
General Clinics
7.
Group discussions
8.
Ward rounds
9.
Communicative Skill assessment ?VIVA
10.
OSCE
11.
Self-Directed Learning
12.
Assignments
13.Observation of the management of critically ill in Emergency
department
14.
Integrated Teaching
15.
Skills lab practice
5. THEORY SYLLABUS
MENINGITIS
Must know
Desirable to know
Nice to know
Definition
CSF abnormalities
Management of
complications
Meningism
Antimicrobial therapy of CNS
infection based on pathogenesis
Causes
Clinical features
Investigations
Management
Complications
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ENCEPHALITIS:
Must know
Desirable to know
Nice to know
Definition
CSF findings
IMAGE findings
Etiopathogenesis
Differential diagnosis
EEG
Clinical features
SSPE
PMLE
Investigations
Management including
preventive measures
BRAIN TUMOURS
Must know
Desirable to know
Nice to know
Classification
Differential diagnosis
Associated genetic
syndromes
Clinical features
Investigation
Management
INCREASED ICT
Must know
Desirable to know
Nice to know
Causes
Management
Clinical Features
Intracranial mass lesions
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HYDROCEPHALUS
Must know
Desirable to know
Nice to know
Definition
Idiopathic intracranial
DANDY criteria
hypertension
Causes
Investigation
Management
PERIPHERAL NEUROPATHY
Must know
Desirable to know
Nice to know
Definition
Neurocutaneous
Associated syndromes
syndromes
Etiopathogenesis
Types of peripheral
Genetic syndromes
neuropathy
associated
Types including GB
syndrome
Clinical features
Electrophysiological
Charcot marie tooth
features
syndrome
Investigations
Newer modalities of
treatment
Management
MYASTHENIA GRAVIS
Must know
Desirable to know
Nice to know
Definition
Pathophysiology
Differential diagnosis
Drug interactions
Clinical features
Myasthenic crisis
Investigations
Management
7
SPINAL CORD COMPRESSION
Must to know
Desirable to know
Nice to know
Causes
Difference between
Spinal cord syndromes
intramedullary and
extramedullary lesions
Clinical features
1.SIGNS
2.SYMPTOMS
Investigations
Management
PARKINSONISM
Must know
Desirable to know
Nice to know
Definition
Parkinsonism plus
Surgical treatment options
syndromes
Pathophysiology
Differential diagnosis
Causes
Clinical features
Investigations
Management
MUSCLE DISORDER
Must know
Desirable to know
Nice to know
Types of muscular
Clinical features &
Genetic predisposition
dystrophy
management
Causes of acquired
Channel myopathies
proximal and distal
myopathies
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SEIZURES
Must know
Desirable to know
Nice to know
Definition
EEG
PET scan and other
imaging studies
Types
Etiology
Clinical manifestations
Investigations
Management
Status epilepticus
STATUS EPILEPTICUS
Must know
Desirable to know
Nice to know
Definition
Coma scale
EEG
Diagnosis
Complications
Precipitatory factors
Investigations
Treatment
HEADACHE SYNDROMES
Must know
Desirable to know
Nice to know
Definition
MIDAS questionnaire
'Red flag' symptoms
Migraine
Pathogenesis
Investigations
Treatment
9
MULTIPLE SCLEROSIS
Must know
Desirable to know
Nice to know
Definition
Clinical types
Disorders that mimic MS
Pathophysiology
Diagnostic criteria
Clinical features
Investigations
Management
MOVEMENT DISORDER
Must know
Desirable to know
Nice to know
Types
Other hypokinetic disorders Imaging
except chorea
Tremors-Definition
&causes
Chorea-Definition &
causes
LOSS OF CONSCIOUSNESS (COMA)
Must know
Desirable to know
Nice to know
Definition
Brain death ? diagnosis
Glasgow coma scale
Indian Criteria for certifying
Brain Death
Etiology
Investigations
Management
10
BELL'S PALSY
Must to know
Desirable to know
Nice to know
Definition
Differential diagnosis
Other motor disorders of
face
Clinical features
Investigations
Treatment
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Approach to a case of cerebrovascular accident
Must Know
Desirable To Know
Nice To Know
Higher mental functions
Speech and language-
Neuro anatomical areas
Etiology
various types of Aphasia
involved
mini mental scoring
and dysarthria
Attention and neglect
Cranial nerves
Testing of olfactory nerve
Smell / Taste / Flavour
Olfactory pathway and its
causes of defective smell
kallman syndrome
peculiarity
Testing of optic nerves and Causes of filed effects
Neuro anatomy of visual
its pathway (Diagram)
Explain A R pupils
cortex
Testing of 3,4,6 nerves
Pathway for Horner's
Anatomical Peculiarity of
Explain science and
syndrome
4th nerve
symptoms of nerve palsy
Horner's syndrome
Trigeminal neurologia
Onion peal appearance
various nuclei of 5th nerve
describe?
in the brain stem(Diagram)
Testing for motor and
Ramsay Hunt syndrome
Anatomical peculiarity
sensory divisions of
Difference between
Taste buds and their
trigeminal nerve
bilateral LMN and UMN
locations
muscles supplied by this
palsy
nerve
Testing for facial nerve
Glossopharyngeal
causes of unilateral and
neuralgia
bilateral palsy
afferent and efferent for
LMN facial palsy and
gag reflex and their
BELL'S phenomena
interpretation
Explain its common
Anatomical peculiarities of
association with
this nerve
hemiplegia
Rinne's test / Weber's test
Monosynaptic reflex
/ absolute bone conduction
test / calorie test
testing for 9th nerve
Poly synaptic reflexes-why
volitional reflex / gag reflex
are there abolished in
nasal twang of voice
UMN lesion
Testing for 12th nerve, both Plantar equivalents
extrinsic and intrinsic
muscles of the tough
Motor system
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Upper limb: bulk / tone /
power / reflex testing
Is there hypertonia
if so is it spasticity / rigidity
Reading of power of all
muscles
DTR reflexes: normal /
sluggish / brisk /
exaggerated
Demonstration of biceps /
supinator / triceps reflexes
Lower limbs: - do-
Demonstration of knee and
ankle reflexes
Clonus- significance
Demonstrate all superficial
reflexes
Explain other methods of
testing of plantar reflex
pyramidal tract pathway
Sensory system
Examination of touch / pain
/ temp./vib/ joint position /
joint movement
Romberg's sign
Autonomic nervous system
Bladder and bowel
involvement
Skin changes
Cerebellar signs
Spine and cranium
Involuntary movements
Extra pyramidal symptoms
Fixed risk factors for stroke Various dermatomal
Draw and explain
patterns
Pronator drift?
Modifiable factors for
sympathetic and
Homunculus
stroke
parasympathetic systems
representation in motor
cortex - diagram
Factors for young stroke
Neuro Anatomy of
cerebellum
13
Anatomy of internal
Cranio vertebral anamoly
Posterior column and
capsule
spinothalamic tract
pathway (diagram)
Types of stroke
Pathophysiology of
cytotoxic edema
signs of ICA / MCA / ACA / Anatomy of Brain stem
Functional imaging studies
PCA occlusions
Blood supply of internal
capsule
Investigations ? CT & MRI
Contrast imaging studies
Imaging
Treatment options
CRITICAL CARE MEDICINE
Topics
Must Know
Desirable To Know
Nice To Know
Critical
Oxygen Delivery
Care
Oxygen Therapy
Devices
Causes of MODS
Causes, recognition
and Treatment of
Hyperbarric Oxygen
Fluid Management
ARDS
Therapy
Interpretation of
Type I & II Respiratory
mixed Acid Base
Failure
Acid Base Imbalance
Imbalance
Nutrition Therapy -
Basic Management of
Enteral & Total
Acute Asthma
Interpretation of ABG
Parentral
Acute Pulmonary
Causes and
Edema
Setting of Ventilation
Management of DIC
Sedation and
Analgesia in ICU
Anaphylaxis
Modes of Ventilation
setup
Complications of
Seizures
Ventilation
Brain Death
Status Epilepticus
Certification
Scoring system in
Intensive Care
Hepatic
(APACHE - II) & SAPS
Encephalopathy
- 2
Management of
Disaster Preparedness
Electrolyte Imbalances & Management
Basics of Ventilation
Steps of ACLS
14
Indications for
Mechanical Ventilation Steps of Defibrillation
Renal replacement
therapy - Peritoneal
Dialysis &Hemo
Ambu Bag Ventilation
Dialysis
Non Invassive
Ventilation
Steps of BLS
Management of GI
Bleed
CVS
Must Know
Desirable To Know
Nice To Know
Clinical examination of cvs
Disease of pericardium
Echocardiography
Electrocardiogram
Cardiac biomarkers
Anti ?arrythmic drugs
Rheumatic heart disease
Sinoatrial node rhythms
Myocarditis
Mitral valve disease
Atrial tachy arrhythmia
Cardiomyopathy
Aortic valve disease
Supra ventricular tachy
Cardiac tumours
Infective endocarditis
Arrhythmia
Cardiac risk of non
?cardiac surgery
Pulmonary valve disease
Ventricular tachy
arrhythmia
Heart failure
Etiology of Complete AV
Block
Abnormal heart sounds
Bundle Branch Block
and murmurs
Atherosclerosis
Myocarditis
Hypertension
Cardiomyopathy
Rheumatic fever
Dilated
Tricuspid valve disease
Hypertropic
Coronary heart disease
Restrictive
Angina
Specific diseases of Heart
muscle
Acute coronary syndrome
Infections
Endocrine
Metabolic
Connective tissue
Infiltration
Toxins
15
CARDIOVASCULAR SYSTEM
CLINICAL EXAMINATION OF CVS
Must Know
Desirable To Know
Nice To Know
Inspection
Percussion
Palpation
JVP
Pulse
Wave form
Arterial pulse
Auscultation
ECG
Must Know
Desirable To Know
Nice To Know
Rhythm strip
Sinoatrial node rhythms
P wave
Atrial tachy arrhythmia
PR interval
Supra ventricular tachy
arrhythmia
QRS
Ventricular tachy arrhythmia
Q waves
ST segment
QT interval
ECG converters
RHEUMATIC HEART DISEASE
Must Know
Desirable To Know
Nice To Know
Rheumatic fever
Modified jones criteria
Clinical features
Diagnosis
Management
Prophylaxis
16
ECHO
Must Know
Desirable To Know
Nice To Know
Indications
Basics of ECHO
Doppler Echo
TEE
Stress Echocardiography
MRI
CT Scan
IMAGING
Must Know
Desirable To Know
Nice To Know
CAG
Cardiac catheterization
Radionucleotide Imaging
CHEST PAIN
Must Know
Desirable To Know
Nice To Know
NYHA Classification of
Angina equivalent
chest pain
Ischaemic cardiac chest
pain
Non cardiac chest pain
DD of Chest pain
Causes for Chest pain
Stable Angina
ACS
DYSPNOEA
Must Know
Desirable To Know
Nice To Know
Causes of Dysponea
Trepopnea
Grading of Dyspnoea
Platypnea
PND
Orthopnea
DD of Dyspnoea
Causes of Dyspnoea
Investigations
Management
17
CARDIAC FAILURE
Must Know
Desirable To Know
Nice To Know
Acute Cardiac Failure
Framingham's criteria
Treatment
Signs&Symptoms
Diagnosis
Etiology
Chronic Cardiac Failure
Heart transplantation
Etiology
Signs& Symptoms
Diagnosis
Treatment
Mechanism of HF
Implantable Cardiac
Defibrillation
Pathophysiology
Resynchronisation
Therapy
Types of Heart Failure
Ventricular Assist Devices
ACE Inhibitors in HF
Coronary
Revascularisation
ARB and HF
Beta blockers in HF
SYNCOPE
Must Know
Desirable To Know
Nice To Know
DD
Cardiac syncope
Neurocardiogenic
Postural hypotension
Investigations and
Diagnosis of syncope
PALPITATION
Must Know
Desirable To Know
Nice To Know
Definition
Causes
How to evaluate
Palpitation
Simple approach to
Diagnosis of Palpitation
18
ANTI ARRHYTHMIC DRUGS
Must Know
Desirable To Know
Nice To Know
Classification of Anti
Arrhythmic Drugs
Uses
Dosage
Side effects
CARDIAC ARREST
Must Know
Desirable To Know
Nice To Know
Causes of Sudden
Cardiac Death
Etiology of Cardiac arrest
Algorithm to Adult Basic
Life Support
Management of Cardiac
arrest
Algorithm for Advanced
Life Support
CARDIAC RISK OF NON CARDIAC SURGERIES
Must Know
Desirable To Know
Nice To Know
Cardiac risk of non cardiac
surgeries
HEART SOUNDS AND MURMUR
Must Know
Desirable To Know
Nice To Know
1st Heart Sound
2nd Heart Sound
3rd Heart Sound
4th Heart Sound
Systolic Clicks
OS
Features of innocent
murmur
How to assess a murmur
Features of common
Systolic murmur
19
RAYNAUD'S PHENOMENON
Must Know
Desirable To Know
Nice To Know
Primary Raynaud's
Secondary Raynaud's
DISORDERS OF HEART RATE AND RHYTHM
Must Know
Desirable To Know
Nice To Know
Pathological causes of
Etiology of AV Block
Sino Atrial Rhythm
Bradycardia&
Tachyarrhythmia
Atrial Fibrillation
Bundle Branch Block
Sick Sinus Syndrome
Etiology
Signs & Symptoms
Investigations
Treatment
Anti coagulation in AF
Supraventricular arrhythmia
Hemiblock
Ventricular arrhythmia
WPW Syndrome
AV reentrant Tachycardia
Causes of long QT
Torsades de Pointes
THERAPAEUTIC PROCEDURES
Must Know
Desirable To Know
Nice To Know
External Defibrillation
Cardiac Version
Catheter ablation
Temporary pacemakers
Permanent pacemakers
International generic
pacemaker code
Implantable Cardiac
Defibrillator
Cardiac resynchronization
therapy
Ventricular Assist Devices
Indications of ICD
20
ATHEROSCLEROSIS
Must Know
Desirable To Know
Nice To Know
Pathophysiology
Stages of atherosclerosis
Risk factors
Primary prevention
Secondary prevention
Uses of Statins
ACE Inhibitors
DISEASES OF AORTA
Must Know
Desirable To Know
Nice To Know
Aortic aneurysm
Types of Aortic dissection
Types
Debakey's classification
Etiology
Stanford's classification
CORONARY ARTERY DISEASE
Must Know
Desirable To Know
Nice To Know
Stable Angina
Angioplasty and intra
coronary stents
Unstable Angina
CABG
Prinzmetal Angina
ACS
MI
Factors precipitating
Angina
Risks of Stable Angina
Investigations
Management
Definition of MI
Criteria for MI
Clinical features
Investigations
Management
Complication of ACS
Arrhythmias in ACS
Indications of
Thrombolytic therapy
21
PERIPHERAL ARTERIAL DISEASE
Must Know
Desirable To Know
Nice To Know
Symptoms of Limb
Percutaneous Intervention
ischemia
Critical limb ischemia
Surgical procedure
Clinical features
Buerger's disease
Medical management
Diabetic vascular disease
MYOCARDIUM
Must Know
Desirable To Know
Nice To Know
Acute Myocarditis
Cardiomyopathy
Arrhythmogenic RV
muscle
cardiomyopathy
Common causes
Dilated
Peripartum
cardiomyopathy
Clinical recognition &
Hypertrophic
management
Restrictive
Specific diseases of Heart
Infections
Endocrine
Metabolic
Connective tissue
Infiltration
Toxins
CARDIAC TUMORS
Must Know
Desirable To Know
Nice To Know
Cardiac tumors
PERICARDIUM
Must Know
Desirable To Know
Nice To Know
Acute pericarditis
Etiology
Clinical features
Investigations
Management
Pericardial effusion
22
T.B.Pericarditis
Chronic Constrictive
Pericarditis
Clinical features &
Management of
Constrictive Pericarditis
CONGENITAL HEART DISEASE
Must Know
Desirable To Know
Nice To Know
Cyanotic heart disease
Pregnancy and CHD
Acyanotic CHD
INFECTIVE ENDOCARDITIS
Must Know
Desirable To Know
Nice To Know
Pathophysiology
Indications for surgery
IE in old age
Culture negative
Endocarditis
Microbiology
Incidence
Clinical features
Modified Duke's criteria
Management
Prevention
Antimicrobial treatment
HYPERTENSION
Must Know
Desirable To Know
Nice To Know
Definition
AMBP
Secondary HTN
Approach to New HTN
History
Examination
How to measure BP
Fundal changes
Assessing end organ
damage
Malignant HTN
Investigations
HTN in old age
23
Stepwise approach
Antihypertensives
Drugs
Indications
Dose
Side effects
Hypertensive Urgencies &
Emergencies
DISEASES OF HEART VALVES
Must Know
Desirable To Know
Nice To Know
Mitral stenosis
MVPS
MR
Aortic stenosis
AS in old age
AR
Peripheral signs
Tricuspid stenosis
TR
PS
PR
MEDICAL DISORDERS IN PREGNANCY
Must Know
Desirable To Know
Nice To Know
Anaemia
HELLP Syndrome
ValvularHeart disease
Acute Fatty Liver of
pregnancy
Hypertension
CVT
Diabetes
DIC
Thyroid disorders
AKI
Urinary Infection
Postpartum psychosis
Drugs in pregnancy
Acute febrile illness
Seizures
24
ENDOCRINOLOGY AND METABOLISM
Must Know
Desirable To Know
Nice To Know
HYPOTHALAMUS &
PITUITARY GLAND
Hyoipituitarism
Hyperprolactinemia
Adult GH deficiency
Acromegaly
Disorders of AVP secretion
non functioning &
TSH secreting adenoma
Gonadotropin producing
pituitary adenoma
Hypo / hypernatremia
Sellar masses
Somatostatin Analogues
THYROID GLAND
Thyrotoxicosis Etiology
Clinical assessment
Investigation
Management
Thyroid disorders and
Congenital thyroid
pregnancy
diseases
Thyrotoxic crisis (thyroid
Asymptomatic abnormal
Thyroid disorders in old
storm)
TFT- sub clinical
age
hypothyroidism /
thyrotoxicosis. Sick
euthyroidism
Hypothyroidism
Factitious thyrotoxicosis
Effects of amiodarone on
Thyroid
Myxoedema coma
Silent thyroiditis
Thyroid enlargement ?
Diffuse goitre, Multinodular
goitre, Solitary nodule & its
management
Autoimmune thyroid
diseases
Transient Thyroiditis ?
Subacute (De Quervains)
thyroiditis
Post partum thyroiditis
Iodine associated thyroid
diseases
Thyroid Neoplasia
REPRODUCTIVE
SYSTEM
25
Disorders of Puberty
Disorders of reproductive
axis during childhood
Polycystic ovarian
Hormone replacement
Tanners staging
syndrome
therapy
Turner's syndrome
Testosterone formulations
Klinefelter's syndrome
Testicular tumours
Infertility & contraception
Gynaecomastia
Hirsuitism
Menopause
PARATHYROID GLANDS
Primary / secondary
Magnesium in PTH
Genetic disorders causing
hyperparathyroidism
disorders
hyperparathyroid like
syndromes
Hypoparathyroidism /
Pseudopseudohypopara
Idiopathic Hypercalcemia
Pseudohypoparathyroidism thyroidism
of infancy
Hypercalcemia
Malignancy related
hypercalcemia
Hypocalcemia
Vitamin D related calcium
disorders
Bisphosphonates
Phosphate metabolism
Calcitonin
ADRENAL GLANDS
Adrenal adenoma (Conn's)
Adrenal carcinoma
Same
Cushings syndrome
Incidentaloma
Liddle's syndrome
Congenital adrenal
hyperplasia
Adrenal insufficiency
Phenochromocytoma
ENDOCINE PANCREAS
AND GIT
Diabetes Mellitus ?
Hyperglycemia in ICU
TPN in diabetes
Diagnosis, classification,
pathophysiology,
management,
complications
Diabetes and pregnancy
Surgery and Diabetes
Lipodystrophy
DKA & HHS
Hypoglycaemic conditions
Hypoglycaemia in diabetes
Insulin preparations
OHAs
26
DISORDERS AFFECTING
MULTIPLE ENDOCRINE
GLANDS
Multiple endocrine
Late effects of childhood
neoplasia
cancer therapy
Autoimmune polyendocrine
syndromes
OTHER METABOLIC
DISORDERS
Obesity
Metabolic syndrome
Hyperlipoproteinemias
Osteoporosis
Porphyrias
ENVIRONMENTAL AND NUTRITIONAL DISORDERS
Desirable To
Topics
Must Know
Know
Nice To Know
Environmental and
Nutritional Factors
High altitude
in Disease
Heat Disorders
problems
Aviation Medicine
Hyperpyrexia
Mountain sickness
Air travel advice
High altitude
Decompression
Heat Stroke
cerebral edema
illness
Causes and its
impact on health
High altitude
due to global
Heat Exhaustion
Pulmonary edema
warming
Hypothermia
Frost Bite
Effects of Radiation
Exposure
Uncommon
Common pollutants
pollutants in
in atmospheric air
atmospheric air and
and its importance
its importance on
on health
health
Causes of Obesity
and its impact on
Smoking cessation
health
- methods
27
Lifestyle
Modifications on
health - Role of
Exercise, Diet,
Yoga, Meditation,
etc.,
Prescribing diet in
various clinical
situations
Anaemia
Liver cell failure
CKD
Total Parentral
Cardiac failure
Nutrition and its
Geriatric Patients Diet in ICU patients complications
Deficiencies of
Vitamins A, D, E, K,
B1, B2, B3, B6,
B12, and C, its
Pesticides and
clinical and
Heavy Metals in
laboratory
food substances -
recognition,
its importance and
treatment including Enteral tube
creating public
prevention
feeding
awareness
Deficiency
disorders of Micro
Nutrients like Zinc,
selenium, Fluride,
Deficiency
Sodium,
disorders of Micro
Potassium,
Nutrients - Iron,
Magnesium,
Iodine, Calcium and Copper,
Phosphorus its
Manganese, etc.,
clinical and
its clinical and
laboratory
laboratory
recognition,
recognition,
treatment including treatment including
prevention
prevention
28
GASTRO INTESTINAL SYSTEM
ACHALASIA CARDIA
Must Know
Desirable To Know
Nice To Know
Etiology
Imaging findings
Complications
Clinical features
Surgical treatment
Investigations
Treatment
GERD
Must Know
Desirable To Know
Nice To Know
Pathophysiology
Complications
Clinical features
Differential diagnosis
Investigations
Treatment
PEPTIC ULCER DISEASE
Must Know
Desirable To Know
Nice To Know
Pathophysiology
Differential diagnosis
Role of H.Pylori
Tests to detect H.Pylori
Clinical features &
Surgical treatment
Complications
Treatment
ZOLLINGER ELLISON SYNDROME
Must Know
Desirable To Know
Nice To Know
Pathophysiology
Complications
Distribution of the tumor
Clinical features
Treatment
GASTRITIS
Must Know
Desirable To Know
Nice To Know
Types / Classification
Etiology
Treatment
Histopathology
29
CELIAC DISEASE
Must Know
Desirable To Know
Nice To Know
Etiology
Histopathology
Diagnosis
Treatment
TROPICAL SPRUE
Must Know
Desirable To Know
Nice To Know
Etiology
Histopathology
Diagnosis
Treatment
WHIPPLE'S DISEASE
Must Know
Desirable To Know
Nice To Know
Etiology
Histopathology
Clinical features
Diagnosis
Treatment
INFLAMMATORY BOWEL DISEASE
Must Know
Desirable To Know
Nice To Know
Etiology
Risk factors
Differential diagnosis
Pathogenesis
Pathology
Extra intestinal
Clinical features
Complications
Manifestation
Diagnosis
Surgical interventions
Treatment
IRRITABLE BOWEL SYNDROME
Must Know
Desirable To Know
Nice To Know
Diagnostic criteria
Pathophysiology
Types
Approach
Treatment
Newer drugs
30
APPROACH TO A PATIENT WITH LIVER DISEASE
Must Know
Desirable To Know
Nice To Know
Evaluation of abnormal
Hyperbilirubinemias
Liver Function Test
Child Pugh Classification
MELD
PELD
VIRAL HEPATITIS
Must Know
Desirable To Know
Nice To Know
Hepatitis A,B,C,D,E
Genetics and
pathophysiology
Pathophysiology
Natural course
Acute hepatitis
Serology
Chronic hepatitis
Complications
Treatment
Newer drug
TOXIC / DRUG INDUCED HEPATITIS :
Must Know
Desirable To Know
Nice To Know
Paracetamol toxicity
Evaluation of the pattern
of liver injury
Drug induced liver injury
AUTOIMMUNE HEPATITIS :
Must Know
Desirable To Know
Nice To Know
Pathogenesis
Differential diagnosis
Diagnostic criteria
Treatment
ALCOHOLIC LIVER DISEASE
Must Know
Desirable To Know
Nice To Know
Alcoholic hepatitis
Prognostication
Diagnosis
Treatment
31
NON-ALCOHOLIC FATTY LIVER DISEASE / NON-ALCOHOLIC
STEATOHEPATITIS
Must Know
Desirable To Know
Nice To Know
Etiopathogenesis
Etiological factors
Diagnosis
Fibrosis assessment
Treatment
CIRRHOSIS AND ITS COMPLICATIONS
Must Know
Desirable To Know
Nice To Know
Alcoholic cirrhosis
Grading of fibrosis
Cirrhosis due to viral
Cardiac cirrhosis
hepatitis
Cirrhosis due to Auto
Wilson's disease
Immune Hepatitis and
NAFLD
Biliary Cirrhosis
Hemochromatosis
Primary Biliary Cirrhosis
Cystic Fibrosis
Primary Sclerosing
Cholangitis
Other types of Cirrhosis
COMPLICATIONS OF CIRRHOSIS
Must Know
Desirable To Know
Nice To Know
Portal hypertension
Portal hepatic wedge
pressure
Varicealhemorrhage
Endoscopic grading of
varices
Splenomegaly
Hypersplenism
Ascites
Spontaneous Bacterial
Peritonitis
Hepatic encephalopathy
LIVER TRANSPLANTATION
Must Know
Desirable To Know
Nice To Know
Indications
Techniques Immuno-
Contra indications
suppressive therapy
32
DISEASES OF GALL BLADDER AND BILE DUCT
Must Know
Desirable To Know
Nice To Know
Gall stones
Complications
Types
Medical and surgical
management
Treatment
Cholecystitis
Acute
Chronic
PANCREAS:
Must Know
Desirable To Know
Nice To Know
Acute Pancreatitis
ERCP
Causes
Nutritional Support
Clinical Features
Complications
Investigations
Management
Chronic Pancreatitis
Causes
Clinical Features
Investigations
Management
HEMATOLOGY
IRON DEFICIENCY ANEMIA
Must Know
Desirable To Know
Nice To Know
WHO Criteria
Parenteral iron therapy
Nutritional support
Etiology
Erythropoietin
Clinical features
Anaemia in old age
Peripheral Smear &
Anaemia of chronic
investigations including
disease
iron studies
Treatment
33
MEGALOBLASTIC ANEMIA
Must Know
Desirable To Know
Nice To Know
Etiology
Peripheral smear
Perinicious anemia
Clinical features
Investigations
Treatment
SICKLE CELL ANEMIA
Must Know
Desirable To Know
Nice To Know
Etiology
Sickle cell crisis
Treatment
Clinical features
Diagnosis
Screening
HAEMOGLOPINOPATHIES
Must Know
Desirable To Know
Nice To Know
THALASSEMIA ?TYPES
Diagnosis
Treatment
Etiology
Thalassemia syndromes
Bone marrow transplant
Clinical features
HEMOLYTICANEMIA
Must Know
Desirable To Know
Nice To Know
Causes / Classification
Inherited
G6PD Deficiency
Clinical features
Acquired
Paroxysmal nocturnal
Hemoglobinuria
Treatment
APLASTIC ANEMIA
Must Know
Desirable To Know
Nice To Know
Etiology
Peripheral smear
Treatment
Clinical features
Bone marrow picture
34
LEUKEMIA
Must Know
Desirable To Know
Nice To Know
Etiology
Treatment
MDS
Clinical features
IMATINIB
Polycythemiarubravera
Acute and chronic
Newer protein kinase
Myelofibrosis
leukemias
inhibitors
Philadelphia chromosome
Leukemoid reactions
Peripheral smear
Bone marrow picture
Classification
Blast crisis
LYMPHOMAS
Must Know
Desirable To Know
Nice To Know
Etiology
Peripheral smear
Treatment
Classification & Clinical
Bone marrow picture
CHOP REGIMEN
features
Hodgkins lymphoma
ABVD REGIMEN
Non hodgkins lymphoma
Prognostic features
BLEEDING DISORDERS:
Must Know
Desirable To Know
Nice To Know
Thrombocytopenia causes
Platelet functional disorder
COAGULATION DISORDERS:
Must Know
Desirable To Know
Nice To Know
Causes of coagulopathy
Genetics
Severity of hemophilia and
ISTH criteria
Hemophilia A&B
Antithrombin deficiency
TTP
Clinical Features &
Protein C & S deficiency
Management
Thrombotic Disorders
APLS
Types
DIC
35
TRANSFUSION MEDICINE:
Must Know
Desirable To Know
Nice To Know
Indications &
Cell separators
Bone marrow transplant
contraindications of
transfusion of whole blood,
packed cells, platelets,
FFP, cryoprecipitate
Screening test for blood
Storage of blood
HLA typing
transfusion
Early recognition &
Single donor platelet
management of transfusion transfusion
reactions
Stem cell therapy
CKD
Must Know
Desirable To Know
Nice To Know
Definition & Causes
Stages of CKD
Investigations In CKD
Systemic Manifestations of
CKD
Fluid & Electrolyte
Disturbance
Endocrine Disturbance
Neuromuscular
Disturbance
CVS & Pulmonary
Disturbance
Hematological, GI,
Dermatological
Disturbance
Treatment
36
NEPHRITIS
Must Know
Desirable To Know
Nice To Know
I.Lupus Nephritis
1. Clinical Manifestation
Alports Syndrome
Anca Small Vessel
Vasculitis
2.Classification
Anti-Gbm- Goodpasteurs
Glomerular Deposition
Syndrome
Diseases
-Light Chain
-Renal Amyloidosis
3.Treatment
Fabrys
II.IgA NEPHROPATHY
Microscopic Polyangitis
III.Membranoproliferative
Chrug Strauss Syndrome
Glomerulonephritis
IV.Mesangioproliferative
Glomerulonephritis
V.Nephrotic Syndrome
-Minimal Change
Disease
-FSGS
VI.Membraneous
Glomerulonephritis
VII.Diabetic Nephropathy
RENAL TRANSPLANTATION
Must Know
Desirable To Know
Nice To Know
Benefits & Outcomes
Perioperative Problems of Basic Transplant
Renal Transplantation
Immunology
Indications &
Complications Of
Preoperative Workup
Contraindications
Immunosupressive
Therapy
Immunosupresive Therapy
Treatment of Acute
Rejection
RENAL REPLACEMENT THERAPY
Must Know
Desirable To Know
Nice To Know
Indications
Preparing For RRT
37
Hemodialysis
Complications &Problems
Peritoneal Dialysis
CAPD
Hemofiltration
GLOMERULAR DISEASES
Must Know
Desirable To Know
Nice To Know
Causes & Types of AGN
Histopathology & Causes of FSGS
Membraneous Nephropathy
Urine Examination In
Goodpasture Syndrome
RPGN
Glomerulonephritis
Clinical Features,
Alports Syndrome
Anca Small Vessel
Investigations & Management
Vasculitis
of Minimal Change
Nephropathies
Lupus Nephritis-Stages,
Clinical Features,
Pathology, Serological
Investigation & Management
Markers
of HSP
IgA Nephropathy ? Clinical
Features
Causes And Types of
Crescentic
Glomerulonephritis / RPGN
PSGN-Clinical Features &
Investigations
INFECTIONS OF THE URINARY TRACT
Must Know
Desirable To Know
Nice To Know
Pathophysiology
Antibotic Regimen
Catheter Related
Bacteruria
Spectrum of Presentation
Prophyllactic Measures in
Recurrent UTI
Risk Factors
Persistent or Recurrent UTI
Clinical Features
Asymptomatic Bacteruria
DD
Investigations
Management
38
ACUTE PYELONEPHRITIS
Must Know
Desirable To Know
Nice To Know
Triad
Tuberculosis of Kidney
Sterile Pyuria
Bacterial Profile
Investigations
Role of Surgery
Predisposing Factors
Complications
Xanthogranulomatous
Pyelonephritis
Investigation
Management
HEMATURIA
Must Know
Desirable To Know
Nice To Know
Causes
Interpretation of Dipstick
Dipstick Negative Dark
Positive Hematuria
Urine Causes
Investigations of Hematuria
Nephritic Syndrome
RENAL STONE DISEASE
Must Know
Desirable To Know
Nice To Know
Composition
Investigation For Recurrent ESWL
Stone
Predisposing Factors
Measures To Prevent
Calcium Stone Formation
Clinical Features
Indications For Intervention
To Remove Stones
Investigations
Management
ACUTE KIDNEY INJURY
Must Know
Desirable To Know
Nice To Know
Classification
Criteria For AKI-KDIGO,
AKI on Old Age
Rifle
39
Causes of Each
Clinical Features &
Biochemical markers in
Investigations of Specific
AKI
Cases of AKI
Clinical Features of Each
Vascular Occlusion
Complications of RRT
Form
Investigation of Patients With Malignent HTN
Established AKI
Management Options To All
Scleroderma
Forms of AKI
Hemodynamic Status
Systemic Inflammatory
Disease
Cardiopulmonary
Glomerular Disease
Complications
Electrolyte Disturbance
Interstitial Nephritis
Diet
Myeloma
Drug
Infections
Infections
Renal Replacement
Therapy
Recovery From AKI
AKI in Hemodynamically
Stable Non Septic Pts
UTI
Drugs &Toxins
Autoimmune DIS
Acute Interstitial Nephritis
RENOVASCULAR & MISCELLEANEOUS DISEASES:
Must Know
Desirable To Know
Nice To Know
Renal Artery Stenosis
HUS
ADPKD
Drug Induced Renal Disease
POISONING
Must Know
Desirable To
Nice To Know
TOPICS
Know
General Approach
to Poisoning
Toxicology
History Taking
Clinical
Examination -
Syndromic
Approach
40
Decontamination
Investigation
Management
Complications
Pesticides - OPC
Crane killer
Substance Abuse
Carbamate
Organochlorine
Pyrethroid
Rat Killer
Paraquat
Coccaine
Oleander
Oduvanthalai
Ganja
Paracetamol
KodaliKizhangu
Hans
Phenytoin
Cow Dung Powder
Cyanide
Phenobarbitone
TCA drugs
Lead
Diazepam
SSRI Drugs
Mercury
Common Poisons Acids & Corrosives
Betablocker
Cartrap
Camphor
Iron Tablets
Abruesprecataries
Calcium Channel
Kerosene
blocker
Datura
Aluminium
Food Poisoning
phosphide
Zincphosphide
CO poison
Cuso4
Hair Dye
Opioids
Coma
Methonal poison
Seizures
Altered sensorium
Alcohol
GI Bleed
Intoxication
Abdominal Pain
Withdrawal state
Bites & Stings
Recognition of
various poisonous
Snake Bite
snakes
History taking
Clinical Features
WBCT
Monitoring
Symptoms & Signs
Treatment
41
Complications
Preventive Aspects
Do's & Don'ts
Scorpion Sting
Other Bites
History taking
Clinical Features
Monitoring
Symptoms & Signs
Treatment
Complications
Preventive Aspects
Do's & Don'ts
Bees & Wasp
Sting
History taking
Clinical Features
Monitoring
Symptoms & Signs
Treatment
Complications
Preventive Aspects
Do's & Don'ts
Animal Bite
Management
First Aid
ARV &
Immunoglobulin
Indications,
Schedule and
advising patients on
the importance of
immunization
Pre exposure
prophylaxis
History taking
Clinical Features
Monitoring
Hanging,
Symptoms & Signs
Drowning,
Treatment
Electrocution
Complications
Preventive Aspects
Do's & Don'ts
42
PSYCHIATRY
Must Know
Desirable To Know
Nice To Know
Schizophrenia- distorted
Types of schizophrenia
Repetitive magnetic
thinking and perception,
transcranial stimulations
thought echo, thought
? new treatment for
insertion, thought
depression.
broadcasting.
ICD 10 classification of
Types of personality
Identification and
psychiatric illness.
disorders
characterization of
enzymes responsible
for clearing beta
amyloid from amyloid
precursor protein ?
rational treatments for
alzhemier's disease
Classification of
Sexual perversions
Landau kleffner
psychotrophic drugs
syndrome, syndromes
associated with
psychiatric illness
Bipolar disorders
Post traumatic stress
disorder
Anxiety
Dissociations ? dissociative
fugue, dissociative stupor
Somatoform disorders ?
somatization,
hypochondriasis
Personality disorders
Eating disorders ? anorexia
nervosa, bulimia nervosa
RESPIRATORY SYSTEM
OBSTRUCTIVE PULMONARY DISEASES
BRONCHIAL ASTHMA
Must know
Desirable to know
Nice to know
43
Definition
Stepwise approach
Asthma in pregnancy
Pathophysiology
Metered dose inhaler-use
Assisted ventilation -
indications
Clinical features
Diagnosis
Management
Acute Severe Asthma
CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Must know
Desirable to know
Nice to know
Definition
Modified MRC dyspnoea
Long term O2 therapy
scale
Aetiology
Classification of COPD
BODE index
based on spirometry
Risk Factors &
Smoking cessation and
Pathophysiology
COPD
Clinical features
Non invasive ventilation in
Surgical interventions
COPD exacerbations
Investigations
Management
Acute exacerbations
Complications
BRONCHIECTASIS
Must know
Desirable to know
Nice to know
Definition
Types of bronchiectasis
Causes
Pathology
Symptoms
Investigations
Management
Complications
44
CYSTIC FIBROSIS (CF)
Must know
Desirable to know
Nice to know
Genetics
Treatments that reduce
CF in adolescence
exacerbations
Pathogenesis
Investigations
Clinical features
Management
Complications
PNEUMONIA
Must know
Desirable to know
Nice to know
TYPES- Community
Antibiotic treatment for
Differential diagnosis
acquired & Hospital
Community acquired
acquired
pneumonia
Definition
CURB 65
Ventilator associated
pneumonia (VAP)
Pathology
Predisposing factors for
Indications for referral
Hospital acquired
pneumonia
Clinical features
Aspiration pneumonia
Pneumonia in immune-
compromised patient
Investigations
Vaccines and Pneumonia
Management
Complications
TUBERCULOSIS
Must know
Desirable to know
Nice to know
Definition
Multi drug resistant TB
Organism
XDR TB
45
Pathophysiology
Cryptic TB
Clinical features
Opportunistic mycobacterial
infections
Extra pulmonary disease
HIV with TB
Diagnosis of TB
Non DOTS regimen
Management- Drugs
Cause of drug resistance
Complications
External markers of TB
Risk factors
Associated diseases
Natural History of TB
RNTCP
Skin testing in TB
Dosage &Side effects of
drugs
ASPERGILLOSIS
Must know
Desirable to know
Nice to know
About organism
Criteria for diagnosis of
Risk factors for invasive
invasive aspergillosis
aspergillosis
Classification
Aspergilloma
Chronic and subacute
pulmonary aspergillosis
Symptoms
X ray findings
Investigations
Management
Complications
BRONCHIAL CARCINOMA
Must know
Desirable to know
Nice to know
Definition
Non metastatic extra
Radiological presentations
pulmonary manifestations
46
Aetiology
Tumour staging
Types
Chemotherapeutic drugs
Clinical features
Secondary lung tumours
Investigations
Solitary pulmonary nodule
Management
DIFFUSE PARENCHYMAL LUNG DISEASE
Must know
Desirable to know
Nice to know
Definition
Differential diagnosis
Common features
Each type in detail
Classification & types
Sarcoidosis
Symptoms
Investigations
Management
PNEUMOCONIOSIS
Must know
Desirable to know
Nice to know
Definition
Other Lung diseases
caused by Inorganic dust
Types
Prevention
Symptoms
Investigations
Management
47
ASBESTOS RELATED LUNG DISEASES
Must know
Desirable to know
Nice to know
Types of asbestos
Asbestosis
Mesothelioma
Disease types
Investigations of each
Management
HYPERSENSITIVITY PNEUMONITIS (HP)
Must know
Desirable to know
Nice to know
Definition
Agents causing HP
Humidifier fever
TYPES
Clinical features
Diagnosis
Management
PULMONARY HYPERTENSION
Must know
Desirable to know
Nice to know
Definition
Radiological findings
Sildenafil
Classification
Newer drugs -Bosentan
Clinical features
Investigations
Management
48
SYSTEMIC LUPUS ERYTHEMATOSIS (SLE)
Must Know
Desirable to Know
Nice to Know
Aetiology
Differential Diagnosis
Pathogenesis
ACR Criteria
Experimental Therapies
Clinical Features
Auto Antibodies in SLE
Preventive Therapies
Investigation
Drug induced lupus
Complications
Lupus Nephritis
Treatment
SYSTEMIC SCLEROSIS
Must Know
Desirable to Know
Nice to Know
Aetiology
Differential Diagnosis
Scleroderma Renal Crisis
Pathogenesis
Auto Antibodies in Systemic Localized Scleroderma
Sclerosis
Clinical Features
Difference between limited
versus diffuse types
Investigation
Complications
Treatment
MIXED CONNECTIVE TISSUE DISEASE (MCTD)
Must Know
Desirable to Know
Nice to Know
Aetiology
Differential Diagnosis
Experimental Therapies
Pathogenesis
Auto Antibodies in (MCTD)
Clinical Features
Investigation
Complications
Treatment
49
IDIOPATHIC INFLAMMATORY MYOPATHIES
POLYMYOSITIS
Must Know
Desirable to Know
Nice to Know
Aetiology
Differential Diagnosis
Overlap syndromes
Pathogenesis
Auto Antibodies in
Polymyositis
Clinical Features
Investigation
Complications
Treatment
DERMATOMYOSITIS
Must Know
Desirable to Know
Nice to Know
Aetiology
Differential Diagnosis
Overlap syndromes
Pathogenesis
Auto Antibodies in
Dermatomyositis
Clinical Features
Associated Malignancy
Investigation
Treatment
INCLUSION BODY MYOSITIS
Must Know
Desirable to Know
Nice to Know
Aetiology
Differential Diagnosis
Overlap syndromes
Pathogenesis
Auto Antibodies in Inclusion
Body Myositis
Clinical Features
Investigation
Treatment
50
SJOGREN'S SYNDROME
Must Know
Desirable to Know
Nice to Know
Aetiology
Differential Diagnosis
Differential Diagnosis for
SICCA Symptoms
Pathogenesis
Auto Antibodies in
Sjogren'sSyndrome
Clinical Features
Secondary
Sjogren'sSyndrome
Investigation
Treatment
RHEUMATIOD ARTHRITIS
Must Know
Desirable to Know
Nice to Know
Aetiology
Differential Diagnosis
Definition of Remission in
RA
Pathogenesis
Criteria for RA&Clinical
Biological DMARDS
Features
Investigation
Felty's Syndrome
Treatment
ANTIPHOSPHOLIPID SYNDROME (APLA)
Must Know
Desirable to Know
Nice to Know
Aetiology
Differential Diagnosis
Pathogenesis
Classification of
Antiphospholipid Antibodies
Clinical Features
Investigation
Treatment
51
ANKYLOSING SPONDYLITIS
Must Know
Desirable to Know
Nice to Know
Aetiology
Differential Diagnosis
Seronegative
spondarthitides
Pathogenesis
ASAS Criteria for
Ankylosing Spondylitis
Clinical Features
Investigation
Treatment
REACTIVE ARTHRITIS
Must Know
Desirable to Know
Nice to Know
Aetiology
Differential Diagnosis
Reiter's Disease
Pathogenesis
Triggering Infection of
Reactive Arthritis
Clinical Features
Investigation
Treatment
PSORIATIC ARTHRITIS
Must Know
Desirable to Know
Nice to Know
Aetiology
Differential Diagnosis
Pathogenesis
CASPAR criteria
Clinical Features
Investigation
Treatment
52
SYSTEMIC VASCULITIS
Must Know
Desirable to Know
Nice to Know
Types of Vasculitis
Differential Diagnosis
Secondary Vasculitis
Pathogenesis
Autoantibodies in Vasculitis
Clinical Features
Investigation
Treatment
BEHCET'S SYNDROME
Must Know
Desirable to Know
Nice to Know
Aetiology
Differential Diagnosis
Pathogenesis
Criteria of Behcet's
Syndrome
Clinical Features
Investigation
Treatment
RELAPSING POLYCHONDRITIS
Must Know
Desirable to Know
Nice to Know
Aetiology
Differential Diagnosis
Pathogenesis
Disorders Associated with
Relapsing Polychondritis
Clinical Features
Investigation
Treatment
53
SARCOIDOSIS
Must Know
Desirable to Know
Nice to Know
Aetiology
Differential Diagnosis
Pathogenesis
Gallium 67 Scan
Clinical Features
Investigation
Treatment
FIBROMYALGIA
Must Know
Desirable to Know
Nice to Know
Aetiology
Differential Diagnosis
Pathogenesis
Major tender sites in
Fibromyalgia
Clinical Features
Investigation
Treatment
TROPICAL MEDICINE
DESIRABLE TO
TOPICS
MUST KNOW
KNOW
NICE TO KNOW
Infectious Disease Bacterial
Viral
Viral
Clinical Features,
Lab Diagnosis,
Treatment,
Complications
and Preventive
Aspects
Typhoid
PARO virus
Ebola
Infectious
Cholera
Mononucleosis
Hanta
Congo
Leptospirosis
EBV
Haemorrhagic
Diptheria
CMV
Yellow Fever
Hand, foot and
Streptococcal
mouth disease
Zika
54
Staphylococcal
Bacterial
Bacterial
Gonococcal
Plague
Brucellosis
Tuberculosis
Lyme Disease
Meliodosis
Leprosy
Parasite
Syphilis
Tetanus
Kalaazar
Anthrax
Viral
Toxoplasmosis
Fungal
Dengue
Fungal
Histoplasmosis
Chickengunia
Aspergillus
Parasite
Measles
Actiomyces
Sleeping sickness
Mumps
Rickettsial
Liver Fluke
Louse borne R.
Rubella
Fever
Chickenpox
Tick borne R. Fever
H1N1
Rabies
J.E.
H.S.V.
Hepatitis A
Hepatitis B
Hepatitis C
Rota virus
HIV
Fungal
Candiadiasis
Parasites
Malaria
Pinworm
Roundworm
Tapeworm
Hookworm
Filariasis
Rickettsial
Scrubtyphus
Hospital Acquired
Infections
Definition
Causes
Clinical Features
Complications
Prevention
Sepsis
SIRS
Definition
MODS
Causes
55
Diagnostic Criteria
Clinical Features
Complications
Prevention
Dose, frequency,
important side
Drug interaction,
Rational use of
effects of common
adjusting dosage in
Antibiotics
antibiotics
renal & Liver failure
6. PRACTICAL SYLLABUS
INTRODUCTORY BATCH
1. History of Medicine
2. Introduction and History Taking
3. Symptomatology- Chest pain
4. Breathlessness
5. Palpitation &Syncope
6. Edema
7. Cough
8. Haemoptysis
9. Alteration in the level of consciousness
10.Dizziness and vertigo
11.Headache
12.Seizures
13.Visual Disturbances
14.Weakness and Paralysis
15.Unsteady Gait
16.Speech Disturbances
17.Sensory Disturbances
18.Memory loss
19.Abdominal pain
20.Vomiting
21.GI Bleed
22.Diarrhoea & Constipation
56
23.Abdominal distension
24.Jaundice
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,
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
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
disorders
7.
REFERENCE LEARNING (BOOKS)
CLINICAL BOOKS
1. Hutchison's Clinical Methods
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
4. API Textbook of Medicine
5. Washington's Manual of Medical Therapeutics
6. The Oxford Textbook of Medicine
57
8.
THEORY EXAMINATION
S.No
Question Type
Marks
Total
General Medicine Paper I
1
Essay
2 x 10 marks
20
2
Brief Answers
6 X 5 marks
30
3
Short Notes
5 x 2 marks
10
Total
60
General Medicine Paper II
(including Psychiatry, Dermatology and S.T.D.)
(Shall contain one question on basic sciences and allied subjects)
1
Essay
2 x 10 marks
20
2
Brief Answers
6 X 5 marks
30
3
Short Notes
5 x 2 marks
10
Total
60
MEDICINE: PRACTICAL EXAMINATION
Exam. Category
No. of Cases
Time allotted
Marks
1. Long Case
1 x 40 marks
45 min
40
2. Short Cases
2 x 15 marks
30 min
30
3. Spotters
2 x 5 marks
10 min
10
4. OSCE
5 x 4 marks
20 min
20
----
Total 100
----
5. Viva ( (Orals) Interpretation of X ray, ECG etc.
20
6. Internal Assessment
:
Theory
30
Practical
20
Record / Log Book 10
----
Total 60
----
58
PRACTICAL EXAMINATION- SUGGESTED SCHEME INCLUDING MARK
ALLOTMENT
LONG CASE- 40 MARKS
Case writing
- 5 marks
History taking
- 5 marks
Clinical signs demo - 10 marks
Diagnosis
- 5 marks
Discussion
- 5 marks
Management
- 5 marks
Recent Advances - 5 marks
OBJECTIVE CASES- TESTING OF CLINICAL SKILLS -1
RHD
Pleural Effusion
DCLD
Hepatosplenomegaly
Bronchiectasis
TB Cavity
Pneumonia, Bronchial Asthma, COPD
Bells palsy
OBJECTIVE CASES- HISTORY TAKING-2
Hypertension
Diabetes
CAD
Obesity
Fever
Nutritional disorders
Jaundice
Clubbing
Cyanosis
CKD
Anemia
Seizures
59
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
Blood smear- Malaria, Anemia, Leukaemia
Chest X ray- TB, Cardiomegaly, Pneumonia, Pleural Effusion, Fibrosis
Hypo / Hyperthyroidism
CSF Studies
Liver Function Tests
Tinea/Dermatitis/ Scabies/ Herpes/ Lepsrosy/ Filariasis
ECG- CAD
OBJECTIVE CASE- COMMUNICATION SKILL- 4
Breaking Bad news
Discharge advice
Poisoning Counselling
Adverse drug reactions
HIV counselling
DIL patient counselling
Cancer
GENERAL MEDICINE- FULL EXAMINATION MARKING
Theory------------------------------120
Practical----------------------------100
Viva--------------------------------- 20
Internal Assessment------------- 60
Total---------------------------------300
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
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
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.
(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
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.
(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
This post was last modified on 02 July 2021