World Colleges Information

Preliminary Examination Syllabus

Human Anatomy

General principles and basic structural concept of gross anatomy of hipjoint, heart, stomach, lungs, spleen, kidneys, uterus, ovary and adrenal glands. Histological features of parotid gland, bronchi, testis, skin, bone and thyroid gland. Gross anatomy of thalamus, internal capsule, cerebrum, including their blood supply; functional localisation in cerebral cortex, cerebellum, spinal cord, eye, ear, throat, cranial nerves. Embryology of vertebral column, respiratory system and their congenital anomalies.

Human physiology and biochemistry :

Neurophysiology: Sensory receptors, reticular formation, cerebellum and basal ganglia.
Reproduction: Regulation of functions of male and female gonads.
Cardiovascular system: Mechanical and electrical properties of heart including ECG : regulation of cardio-vascular functions.
GI System: bilirubin metabolism, liver function tests,
Haematology: haemogolobin synthesis, abnormal hemoglobins.
Respiration: regulation of respiration, digestion and absorption of fats, metabolism of carbohydrates.
Renal Physiology: tubular function, regulation of pH.
Nucleic acids: RNA, DNA, genetic code and protein synthesis.

Pathology and Microbiology :

Principles of inflammation, principles of carcinogenesis and tumour spread, coronary heart disease, infective diseases of liver and gall bladder, pathogenesis of tuberculosis. Immune system, immunological and serological tests for collagen vascular disease. Histological diagnosis by fluroscent microscopy. Etiology and laboratory diagnosis of diseases caused by Salmonella. Vibrio. Meningococcus and hepatitis virus. Life cycle and laboratory diagnosis of Entamoeba histolytica, malarial parasite, ascaros.

Medicine :

Protein energy malnutrition.
Medical management of : Coma, cerebro-vascular accidents, status asthamaticus, cardio pulmonary arrest, status epilepticus, acute renal failure.
Clinical featues, etiology and treatment of : Coronary heart disease, rheumatic heart disease, pneumonia, cirrhosis of liver, amoebic liver absess, peptic ulcer, pycolone-phiritis, leprosy, rheumatoid arthritis, diabetes mellitus, poliomyelitis, meningitis, schizophrenia.

Surgery :

Principles of surgical management of severely injured and process of fracture healing. Malignant tumours of stomach and their surgical management. Signs, symptoms, investigation and management of fractures of femur, principles of pre-operative and post-operative care. Clinical manifestations, investigations and management of : Hydrocephalus, Buerger's disease, appendicitis, benign prostatic hypertrophy, spinabifida, brochogenic carcinoma, carcinoma breast, carcinoma colon. Clinical manifestations, investigations and surgical management of : Intestinal obstruction, acute urinary retention, spinal injury, haemorrhagic shock, pneumothorax, pericardial tamponade, haemetemesis.

Preventive and Social Medicine

Principles of epidemiology, health care delivery. Concept and general principles of prevention of disease and promotion of health. National health programmes, effects of environmental pollution on health, concept of balanced diet, family planning methods.

Main Examination Syllabus

Paper-I

1. Human Anatomy:

Applied anatomy including blood and nerve supply of upper and lower limbs and joints of shoulder, hip and knee. Gross anatomy, blood supply and lymphatic drainage of tongue, thyroid, mammary gland, stomach, liver, prostate, gonads and uterus. Applied anatomy of diaphragm, perineum and inguinal region. Clinical anatomy of kidney, urinary bladder, uterine tubes, vas deferens. Embryology: Placenta and placental barrier. Development of heart, gut, kidney, uterus, ovary, testis and their common congenital abnormalities. Central and peripheral autonomic nervous system: Gross and clinical anatomy of ventricles of brain, circulation of cerebrospinal fluid; Neural pathways and lesions of cutaneous sensations, hearing and vision; Cranial nerves, distribution and clinical significance; Components of autonomic nervous system.

2. Human Physiology:

Conduction and transmission of impulse, mechanism of contraction, neuromuscular transmission, reflexes, control of equilibrium, posture and muscle tone, descending pathways, functions of cerebellum, basal ganglia, Physiology of sleep and consciousness. Endocrine system: Mechanism of action of hormones, formation, secretion, transport, metabolism, function and regulation of secretion of pancreas and pituitary gland. Physiology of reproductive system: menstrual cycle, lactation, pregnancy. Blood: Development, regulation and fate of blood cells. Cardio-vascular, cardiac output, blood pressure, regulation of cardiovascular functions;

3. Biochemistry:

Organ function tests-liver, kidney, thyroid. Protein synthesis. Vitamins and minerals. Restriction fragment length polymorphism (RFLP). Polymerase chain reaction (PCR). Radio - immunoassays (RIA).

4. Pathology:

Inflammation and repair, disturbances of growth and cancer, Pathogenesis and histopathology of rheumatic and ischemic heart disease and diabetes mellitus. Differentiation between benign, malignant, primary and metastatic malignancies, Pathogenesis and histopathology of bronchogenic carcinoma, carcinoma breast, oral cancer, cancer cervix, leukemia, Etiology, pathogenesis and histopathology of - cirrhosis liver, glomerulonephritis, tuberculosis, acute osteomyelitis.

5. Microbiology:

Humoral and cell mediated immunity

Diseases caused by and laboratory diagnosis of-
· Meningococcus, Salmonella
· Shigella, Herpes, Dengue, Polio
· HIV/AIDS, Malaria, E. Histolytica, Giardia
· Candida, Cryptococcus, Aspergillus

6. Pharmacology:

Mechanism of action and side effects of the following drugs

· Antipyretics and analgesics, Antibiotics, Antimalaria; Antikala-azar,Antidiabetics
· Antihypertensive, Antidiuretics, General and cardiac vasodilators, Antiviral, Antiparasitic, Antifungal, Immunosuppressants
· Anticancer

7. Forensic Medicine and Toxicology: Forensic examination of injuries and wounds; Examination of blood and seminal stains; poisoning, sedative overdose, hanging, drowning, burns, DNA and finger print study

Paper-II

1. General Medicine:

Etiology, clinical features, diagnosis and principles of management (including prevention) of: - Tetanus, Rabies, AIDS, Dengue, Kala-azar, Japanese Encephalitis. Etiology, clinical features, diagnosis and principles of management of: Ischaemic heart disease, pulmonary embolism. Bronchial asthma. Pleural effusion, tuberculosis, Malabsorption syndromes, acid peptic diseases, Viral hepatitis and cirrhosis of liver. Glomerulonerphritis and pyelonephritis, renal failure, nephrotic syndrome, renovascular hypertension, complications of diabetes mellitus, coagulation disorders, leukemia, Hypo and hyper thyrodism, meningitis and encephalitis. Imaging in medical problems, ultrasound, echocardiogram, CT scan, MRI. Anxiety and Depressive Psychosis and schizophrenia and ECT.

2. Pediatrics:

Immunization, Baby friendly hospital, congenital cyanotic heart disease, respiratory distress syndrome, broncho - pneumonias, kernicterus. IMNCI classification and management, PEM grading and management. ARI and Diarrhea of under five and their management.

3. Dermatology:

Psoriasis, Allergic dermatitis, scabies, eczema, vitiligo, Stevan Johnson's syndrome, Lichen Planus.

4. General Surgery:

Clinical features, causes, diagnosis and principles of management of cleft palate, harelip. Laryngeal tumor, oral and esophageal tumors. Peripheral arterial diseases, varicose veins, coarctation of aorta. Tumors of Thyroid, Adrenal Glands. Abscess, cancer, fibroadenoma and adenosis of breast. Bleeding peptic ulcer, tuberculosis of bowel, ulcerative colitis, cancer stomach. Renal mass,cancer Prostate.. Haemothorax, stones of Gall bladder, Kidney, Ureter and Urinary Bladder. Management of surgical conditions of Rectum, Anus and Anal canal, Gall bladder and Bile ducts. Splenomegaly, cholecystitis, portal hypertension, liver abscess, peritonitis, carcinoma head of pancreas. Fractures of spine, Colles' fracture and bone tumors. Endoscopy. Laprascopic Surgery.

5. Obstetrics and Gynaecology including Family Planning:

Diagnosis of pregnancy. Labour management, complications of 3rd stage, Antepartum and postpartum hemorrhage, resuscitation of the newborn, Management of abnormal lie and difficult labour, Management of small for date or premature newborn. Diagnosis and management of anemia. Preeclampsia and Toxaemias of pregnancy, Management of Post menopausal Syndrome. Intra-uterine devices, pills, tubectomy and vasectomy. Medical termination of pregnancy including legal aspects. Cancer cervix. Leucorrhoea, pelvic pain, infertility, dysfunctional uterine bleeding (DUB), amenorrhoea, Fibroid and prolapse of uterus.

6. Community Medicine (Preventive and Social Medicine):

Principles, methods, approach and measurements of Epidemiology. Nutrition, nutritional diseases / disorders & Nutrition Programmes. Health information Collection, Analysis and Presentation. Objectives, components and critical analysis of National programmes for control/eradication of: Malaria, Kala-azar, Filaria and Tuberculosis, HIV/AIDS, STDs and Dengue Critical appraisal of Health care delivery system. Health management and administration: Techniques, Tools, Programme Implementation and Evaluation. Objective, Component, Goals and Status of Reproductive and Child Health, National Rural Health Mission and Millennium Development Goals. Management of hospital and industrial waste.