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MEDICAL SCIENCE – Optional (Main Examination)
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Paper-I
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Section-A
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I.
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Human
Anatomy : Gross and microscopic anatomy and movements of shoulder, hip
and knee joints; Blood supply, nerve innervation of hand, Lymphatic
system; Karyotyping, medical genetics; Electron microscopic structure of
glomerulous and muscle; Gross and microscopic anatomy and blood supply of
lungs, heart, kidneys, liver, testis and uterus; Gross anatomy of pelvis,
perineum and inguinal region. Cross-sectional anatomy of the body and
mid-thoracic, upper abdominal, mid-abdominal and pelvic regions.
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Embryology
: Major steps in the
development of lung, heart, kidney, urinary bladder, uterus, ovary, testis
and their common congenital abnoirmalities; Placenta and placental
barrier.
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Anatomy
of central and peripheral autonomic nervous system :
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Neural
pathways for cutaneous sensations and vision; Cranial nerves, distribution
and clinical significance; Anatomy of autonomic control of
gastronintestinal, respiratory and reproductive systems.
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II.
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Human
Physiology : Central, peripheral and autonomic nervous. system; Nerve
and muscle excitation, conduction and transmission of impulse, mechanism
of contraction, neurovascular transmission, EMG; Synaptic transmission,
reflexes, control of equilibrium, posture and muscle tone descendig
pathways, functions of creebellum, basal ganglia, reticular formation,
hypothalamus limbic system and cerebral cortex; Physiology of sleep and
consciousness, EEG.; Higher functions of the brain; Vision and hearing.
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Endocrine
system : Mechanism of action of
hormones, formation, secretion, transport, metabolism, functions and
regulations of secretion of pancreas and pituitary glands.
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Physiology
of reproductive system : menstrual
cycle, lactation, pregnancy.
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Blood :
Development, regulations and fate of blood cells.
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Cardio-vascular,
respiratory gastro-intestinal and renal physiology : Cardiac
excitation, spread of cardiac impulse, ECG., cardiac output, blood
pressure, regulation of cardiovascular functions; Mechanics of respiration
and regulation of respiration; Digestion and absorption of food,
regulation of secretion and motility of gastrointesinal tract; Glomerular
and tubular fucntions of kidney.
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III.
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Biochemistry
: pH and pK Hendrson-Hassebalch Equation; Properties and regulation of
enzyme activity, role of high energy phosphates in bioenergetics; Sources,
daily requirements, action and toxicity of vitamins; Metabolism of lipids,
carbohydrates, proteins, disorders of their metaboilism; Chemical nature,
structure, synthesis and fucntions of nucleic acids and proteins;
Distribution and regulation of body water and minerals including trace
elements; Blood Gas Analysis, GTT, Immuno electrophorises, molecular
structure of muscle contractile protein, oestrogen receptors.
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Section-B
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I.
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Pathology
: Rection of cell and tissue of injury, inflammation and repair ,
disturbances of growth and cancer. genetic diseases; Pathogenesis and
histopathology of Rheumatic and ischaemic heart disease; Bronchogenic
carcinoma, carcinoma breast, oral cancer, cancer colon. Lymphoma,
leukaemia, liver cancer, meningioma and meningitis; Etiology, pathognesis
and histopathology of - Peptic ulcer, cirrhosis liver glomerulonephritis,
lobar pneumonia, acute osteomyelitis, hepatitis, acute pancreatitis.
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II.
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Microbiology
: Growrth of micro-organisms, sterilization and disinfection,
bacterial genetics, virus-cell interactions; Immunological principles,
acquired immunity, immunity in infections cause by viruses; Diseases
caused by and laboratory diagnosis of Staphylococcus, enterococcus,
salmonella, shigella, secheichiza, pseudomonos, vibrio, adenoviruses,
herpes viruses (including rubella_, fungi, protozoa, helminths,
leptospiral infection.
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III.
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Pharmacology
: Drug receptor instruction, mechanism of drug action; Mechanism of
action, dosage, metabolism and side effects of - Pilocarpine, terbutaline,
metoprolol diazepam, acetylsalicylic acid, ibuprofen, furosemide,
metronidazole. Chloroquin. Mechanism of action, dosage and toxicity of-
Ampicillin, Cephalosporins, 1,2,3,4,th generations, Aminoglycoside,
Doxycycline, chloramphenicol, rifampin, Calcium channel blocker, beta
blocker, ace inhibitors, immunosuppressive therapy. Indications, dosage,
side-effects and contraindictions of- Methortrexate, vincristin, tamoxifen.
Classification, route of administration, mechanism of action and side
effects of - General anaesthetics, hypnotics, analgesics, Anti-viral,
anti-fungal drugs.
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IV.
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Forensic
Medicine and Toxicology : Forensic examination of injuris and wounds;
Physical and chemical examination of blood and seminal stains; Organo
phosphorous poisoning, sedative overdose, hanging, drowning, burns, snake
envenomation.
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Paper-II
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Section-A
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General Medicine :
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Etiology,
clinical features, diagnosis and principles of management (including
prevention) of:-
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Malaria,
Typhoid, Cholera, Tetanus, Rabies, Exanthematous Fevers, Tuberculosis,
AIDS.
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Etiology,
clinical features, diagnosis and principles of management of:
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Rheumatic,
ischaemic and congenital heart disease, hypertension. Cardiomyopathy,
pulmonary embolism.
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Acute and
chronic respiratory infections, bronchial asthma.
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Occupational
lung disease, pleural effusion, disseminated tuberculosis Malabsorption
syndromes, acid peptic diseases, haemetemesis. Viral hepatitis, cirrhosis
of liver, alcoholic liver disease.
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Actue
glomerulonerphritis, chronic pyelonephritis, renal failure, nephrotic
syndrome, renovascular hypertension, diabeties mellitus, anaemias,
coagulation disorders, leukaemia, polycythemia and hyperviscosity
syndrome, meningitis encephalitis, carebrovascular diseases.
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Role
of Immageology in the work-up of medical problems, ultrasound, echo
cardiogram, CT scan MRI.
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Psychiatry
: Common psychiatric disorders, schizophrenia. ECT, lithium
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II.
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Paediatrics
: Common paediatric problems, congenertal cyanotic heart disease,
respiratory distress syndrome, broncho pneumonias, kernicterus. Aids-
prevention of vertical transmission.
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III.
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Dermatology
: Common skin diseases, psoariasis, Hansen's disease, fungal
dermatitis, scabies, eczema, vitiligo, Stevan Johnsons's syndrome.
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Section-B
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I.
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General Surgery :
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Clinical
features, causes diagnosis and principles of management of:
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Cervical
lymph node enlargement, parotid tumour, oral cancer, cleft palate, hare
lip.
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Laryngeal
tumour, esophageal tumours.
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Peripheral
arterial diseases, varicose veins, coarctation of arota
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Dysfunctions
of thyroid parathyroids and adrenals.
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Tumours of
Thyroid, Parathyroid, Adrenal, Pituitary Glands.
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Abscess of
breast, cancer breast, fibroadenoma and adenosis
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Acute and
chronic appendicitis, bleeding peptic ulcer, tuberculosis of bowel,
intestinal obstruction, ulcerative colitis.
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Renal mass,
acute retention of urine, benign prostatic hypertrophy.
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Haemonthorax,
constrictive pericarditis
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Splenomegaly,
chronic cholexystitis, portal hypertension, liver abscess, peritonitis,
carcinoma head of pancreas.
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Direct and
indirect inguinal hernias and their compliations.
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Freactures
of femur and spine, Colles' fracture and bone tumours.
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Organis
transplantation, kidney, liver, heart, bone-marrow.
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Laprascopic
Surgery.
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II.
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Obstetrics and gynaecology
including Family Planning.
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Diagnosis of
pregnancy, screening of high risk pregnancy, foetoplacental development.
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Labour
management, complications of 3rd stage, postpartum haemorrhage,
resuscitation of the newborn.
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Diagnosis
and management of anaemia and pregnancy induced hypertension.
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Principles
of the following contraceptive methods.
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Intra-uterine
devices, pills, tubectomy and vasectomy. Medical termination of pregnancy
including legal aspects.
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Etiology,
clinical features, diagnosis and principles of management of: Cancer
cervic.
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Leucorrhoea,
pelvic pain, infertility, abnormal uterine bleeding, amenorrhoea.
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III.
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Preventive and Social medicine.
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Concept of
causation and control of disease in the community, principles and methods
of epidemiology.
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Health
hazards due to environmental pollution and industrialisation.
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Normal
nutrition and nutritional deficiency diseases in
India
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Population
trends (World and
India
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Growth of
population and its effect on health and development.
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Objectives,
components and critical analysis of each of the following National
programmes for the control/eradication of:
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Malaria,
filaria, kala-azar, leprosy, tuberculosis, cancer, blindness, iodine
deficiency disease, AIDS & std and guinea worm.
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Objectives,
components critical analysis of each of the following national Health and
Family Welfare Programmes:
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Maternal and
child health
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Family
welfare
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Nutrition
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Immunization.
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