Medicine and Allied Subjects

Marks distribution:
Total marks – 500 (Summative)
• Written = 200
o MCQ: MTF-20+SBA-20,
o SAQ -105+SEQ-35(SAQ-75%, SEQ-25%)
o Formative assessment -20
• Oral and Clinical= 250
o Oral -150
o Clinical=100
• OSPE = 50

 

Learning Objectives and Course Contents in Medicine
Introduction to Medicine (to be covered in 3rd-year classes)

Overview of Medicine as a discipline and subject
Learning Clinical Approach
1. Doctor-Patient Relationship, Medical Ethics, Patient safety.
2. Communication Skills
3. Behavioural Science

 

Approach to common symptoms of the disease:
• General concept of Pain, chest pain, and abdominal pain
• Fever
• Dyspnoea
• Cough, expectoration, and Haemoptysis
• Anorexia, Nausea, Vomiting, Weight loss, and Weight gain
• Haematemesis, Melaena, Haematochezia
• Diarrhea, Dysentery, and Constipation
• Edema and Ascites
• Jaundice
• Syncope and Seizures
• Fainting and Palpitations
• Headache and Vertigo
• Paralysis, movement disorders & disorders of gait
• Coma and other disturbances of consciousness
• Common urinary symptoms including anuria, oliguria, nocturia, polyuria, incontinence, and enuresis
• Anaemia and Bleeding
• Enlargement of Lymph nodes, Liver, and Spleen
• Joint pain, neck pain, and backache

 

3rd phase (4th year) –Lecture-25 hrs
Clinical Medicine: Nutritional Factors in diseases

CORE:
• Energy-yielding nutrients
• Protein-energy malnutrition in adult
• The vitamins- deficiency

Additional
• Nutrition of patients in the hospital
• Obesity

 

Lectures to be covered on
1. Nutrients and vitamin deficiency
2. Obesity

 

Climatic and environmental factors in disease

CORE:
• Disorders related to temperature
• Disorders related to pollution
• Drowning, electrocution, and radiation hazards
• Health hazards due to climate change

 

Diseases due to infections

CORE:
• Approach to infectious diseases-diagnostic and therapeutic principles
• General principles and rational use of antibiotics
• Enteric fever
• Acute Diarrhoeal Disorders
• Cholera & food poisoning
• Amoebiasis, Giardiasis
• Tetanus
• Influenza and infectious mononucleosis
• Malaria
• Kala-azar
• Filariasis
• Helminthic diseases
– Nematodes
– Cestodes
– Trematodes
• HIV and infections in the immunocompromised conditions
• Rabies
• Herpes simplex & herpes zoster
• Chickenpox
• Viral haemorrhagic fever: dengue
• Anthrax
• Brucellosis
• Covid -19,Influenza,MARS,SARS

 

Diseases of the blood

CORE:
• Anemia
• Leukaemia
• Lymphoma
• Multiple myeloma
• Bleeding disorders
• Coagulation disorders
• Transfusion medicine

Additional:
• Bone marrow transplantation

 

4 th phase (5 th year)- Lecture 90 hrs
Diseases of the respiratory system

CORE:
• Applied anatomy and physiology
• Investigations for respiratory diseases
• Upper respiratory tract infections
• Pneumonias
• Tuberculosis: 1(Pulmonary)
• Tuberculosis:2 (Extra-pulmonary)
• Lung abscess and bronchiectasis
• Diseases of the pleura: Pleurisy, Pleural effusion & empyema, Pneumothorax
• Chronic Obstructive lung diseases and corpulmonale
• Bronchial asthma & pulmonary eosinophilia
• Acute and chronic respiratory failure
• Neoplasm of the lung

Additional:
• Common occupational lung disease with DPLD

 

Diseases of the cardiovascular system

CORE:
• Applied anatomy and physiology and investigations
• Ischemic heart disease
– Angina pectoris
– Myocardial infarction
– Sudden (cardiac) death
• Rheumatic fever
• Valvular diseases of the heart
– Mitral stenosis & regurgitation
– Aortic stenosis & regurgitation
– Tricuspid & pulmonary valve diseases
• Infective endocarditis
• Hypertension
• Cardiac arrhythmias (common)
– Sinus rhythms
– Atrial tachyarrhythmias
– Ventricular tachyarrhythymias
– Cardiac arrest
– Anti-arrhythmic drugs
• Heart block and pacemakers.
• Heart failure – acute and chronic
• Acute and chronic pericarditis, pericardial effusion, & cardiac tamponade

Additional:
• Peripheral arterial diseases
• Common congenital heart diseases in children and adult
• Venous Thrombosis and Pulmonary Thromboembolism

 

Congenital heart diseases

– ASD
– VSD
– PDA
– TOF
– Coarctation of the Aorta

Acute circulatory failure

Diseases of pericardium
– Acute pericarditis
– Pericardial effusion

Cardiac tamponade
Cardiomyopathies

 

Diseases of the Gastro-intestinal and Hepatobiliary systems

CORE:
• Applied physiology and investigation of the alimentary tract.
• Stomatitis and Mouth Ulcers
• Peptic Ulcer disease and non-ulcer dyspepsia
• Malabsorbption syndrome
• Irritable bowel syndrome
• Inflammatory bowel disease
• Acute viral hepatitis
• Chronic Liver Diseases and their complications
• Acute and Chronic Pancreatitis

Additional:
• Dysphagia
• Hepatotoxicity of drugs
• Carcinoma of stomach/colon, Hepatocellular carcinoma

 

Nephrology & Urinary System

CORE:
• Nephritic & Nephrotic Illness
• UTI/ Pyelonephritis
• ARF/Acute Kidney Injury
• Chronic Kidney Disease
• Renal manifestations of systemic diseases

Additional:
• Adult polycystic kidney disease

 

Neurology
• Concept of neurological diagnosis including investigations
• Cerebrovascular diseases (I & II)
• Headache
• Meningitis: viral, bacterial, and tuberculous
• Encephalitis
• Peripheral neuropathy
• Disorder of cranial nerves
• Epilepsy
• Extrapyramidal diseases
• Common compressive and non-compressive spinal cord syndromes
• Myasthenia gravis
• Myopathies and skeletal muscle disease

 

Water and electrolytes and acid-base homeostasis

CORE:
• Disorders due to Sodium and Potassium imbalance
• Disorders of acid-base balance

 

Endocrine and Metabolic diseases

CORE:
• Diabetes mellitus (I & II)
• Thyrotoxicosis
• Hypothyroidism.
• Cushing’s syndrome and Addison’s disease.
• Hypo- and Hyperparathyroidism
• Calcium and Vitamin –D related disorders

Additional
• Acromegaly and Sheehan’s syndrome

 

Connective tissue Disorder

CORE:
• Rheumatoid arthritis
• Degenerative joint diseases
• Gout
• Ankylosing spondylitis and other spondyloarthropathies.
• The collagen vascular diseases including systemic lupus erythematosus, systemic sclerosis
• Osteoporosis

 

Geriatric medicine

CORE:
• General Principles of treating the elderly/senior citizen
• Health problems of the elderly/ senior citizen
• Four Geriatric Giants – Acute confusional State, Falls, Incontinence, and Frailty
• Healthy aging
• Rehabilitation and Physical medicine

 

Genetic Disorders

CORE:
• General concept of genetic diseases and management of the genetic disorder
• Single gene disorder
• Clinical aspects of medical biotechnology
• Chromosal disorder (Down, Turner, Klinefelter’s)

 

Immunologic disorders

CORE:
• Immunologic deficiency diseases
• Autoimmunity, Allergy & hypersensitivity and immunogenetics & transplantation
• Immunosuppressive drugs

 

Oncology, Principles

CORE:
• General principles of diagnosis and management of neoplastic diseases
• Palliative care

 

Poisoning and drug overdose

CORE:
• Initial evaluation of the patient with poisoning or drug overdose and general principles of management
• Treatment of common specific poisonings
a) Organophosphorous compounds
b) Sedatives and Hypnotics
c) Household Poisons
• Venomous stings, insect bites, poisonous snakes, and insects

Additional:
• Acute and chronic effects of alcohol and Methanol and their management
• Copper sulphate, Paracetamol, Kerosene, etc

 

Emergency medicine

CORE:
• Cardiac Arrest – ALS, BLS
• Acute pulmonary oedema and severe acute asthma
• Hypertensive emergencies
• Diabetic ketoacidosis and hypoglycaemia
• Status epileptics
• Acute myocardial infarction, shock, and anaphylaxis
• Upper G.I bleeding and hepatic coma
• Diagnosis and management of comatose patient

 

Environmental disease & heat illness Global warming & Health hazards
Clinical Methods in the Practice of Medicine

CORE:
• History Taking
• Physical Examination
• Investigations
• Diagnosis
• Principles of treatment
• Interpersonal skills
• Communication skills
• Doctor-Patient relationship
• Ethical Behaviour
• Patient Safety
• Referral services
• Medical Certificate
• Common Clinical Procedures
– Injections

– IV infusion and transfusion
– FIRST AID
– Intubation
– CPR
– Hyperpyrexia
– ECG
– Skin Sensitivity Test

 

Procedural skill

CORE:
• Lumbar puncture
• Bone marrow aspiration
• Thoracocentesis / paracentesis
• Oxygen Therapy
• Oropharyngeal suction
• Shock management
• Brochodilator inhalation technique, nebulization
• Urethral Catheterisation

Additional
• Administration of Enema
• Postural drainage
• Dialysis
• Electro convulsive therapy

 

Clinical Teaching (1st round)

Introduction to clinical ward duties and approach to a patient
– Art of Medicine
– Doctor-patient relationship
– The different components of history
– Symptom analysis in relation to diseases of different systems:
• Respiratory System
– Shortness of breath
– Haemoptysis
– Cough
– Sputum
– Chest pain
– Fever

 

CVS
• Palpitation
• Chest pain
• Leg oedema
• Shortness of breath

 

GIT
• Abdominal pain
• Haematemesis and Melaena
• Loss of appetite
• Diarrhoea & Constipation
• Haematochezia
• Nausea, Vomiting
• Weight loss
• Difficulty in swallowing

 

Hepatobiliary
• Jaundice
• Abdominal swelling
• Impaired consciousness

 

Rheumatology
• Multiple joint pain
• Monoarticular joint pain

 

Nervous System
• Loss of consciousness
• Fit or convulsion
• Syncope
• Paralysis
• Headache
• Vertigo

 

Urinary System
• Puffiness of face
• Oliguria & anuria, Polyuria
• Dysuria
• Incontinence
• Nocturnal enuresis
• Loin pain
• Pus per urethra

 

Endocrine System
• Swelling of the neck
• Weight gain
• Weight loss

 

Hemopoietic system
• Pallor
• Bleeding

 

Other
• Tropical and infectious diseases

 

General examination
• Appearance <= Facies
• Built
• Nutrition
• Hydration status
• Decubitus
• Anthropometric measurement
• Anaemia, Jaundice, Cyanosis
• Clubbing, Koilonychia, leukonychia
• Oedema, Dehydration, Pulse, BP, Temperature, Respiration
• JVP
• Lymph node
• Thyroid, salivary gland
• Skin, Hair, and Nail
• Skin (Petichae, purpura, ecchymosis, bruise, hematoma, rashes), pigmentation, etc
• Hair distribution
• Nail
• Breast
• Eye – Proptosis

 

Systemic examination
CVS
• Pulse, BP, JVP
• Pericardium
– Inspection
– Palpation
– Percussion
– Auscultation of heart
– Auscultation of lung base
• Related G/E of CVS e.g. clubbing, cyanosis, edema.

 

Respiratory System
• Respiration rate /Type
• Inspection
• Palpation
• Percussion, Auscultation
• Examination of sputum
• Lung function test
• Pleural fluid aspiration

 

Nervous System
• Higher mental function
– Co-operation
– Appearance
– Level of consciousness
– GCS
– Memory
– Speech
– Orientation of time, space, person
– Hallucination, Delusion, Illusion
• Cranial nerves. (1st -12th)
• Motor function
• Sensory function
• Gait
• Signs of meningeal irritation
• Examination of peripheral nerves
• Involuntary movement

 

CSF Study
Ophthalmoscopy
• Ophthalmoscope

 

Rheumatology
• Joints <= (Look & feel)
• Inspection
• Palpation
• Movement

 

Muscle
• Wasting
• Swelling

 

Skeleton
• Survey

 

GIT
• Inspection of oral cavity & oropharynx
• Abdomen Inspection / Palpation
• Test for ascites
• Percussion/ auscultation
– Per-rectal examination
– Examination of stool, vomitus, groin, genitalia, perianal region
– Aspiration of peritoneal fluid

 

Urinary system
• Kidneys
• Bladder
• Uretheral orifice
• Urine analysis

Haemopoetic system
Tropical and infectious illness
Animal bite – snakebite, dog bite

 

Clinical Teaching (2nd round)

Approach to Sign & Symptom
GIT & HBS
• Ascites
• Hepatosplenomegaly
• Oral ulcer
• Abdominal swelling
• Abdominal pain
• Vomiting &diarroehea
• Haematemesis, melaena
• Jaundice

 

CVS
• Respiratory distress
• Chest pain
• Jugular Venous Pulse (JVP)
• Hypertension
• Abnormal heart sound & murmur
• Pulse

 

Respiratory System
• Haemoptysis
• Cough
• Pleural effusion
• Pneumothorax
• Collapse, Consolidation, Fibrosis
• Breath sound
• Sputum analysis

 

Urinary System
Approach the patient with:
• Oliguria, polyuria, anuria
• Anasarca
• Urine analysis

 

Nervous System
• Unconscious patient
• Hemiplegia, monoplegia, paraplegia
• Upper Motor Neuron Lesion (UML)
• Lower Motor Neuron Lesion (LML)
• Cerebellar sign
• Extrapyramidal sign
• Involuntary movement
• Vertigo & Headache

 

Hematology
Approach the patient with:
• Bleeding disorder
• Anaemia
• Lymphadenopathy

 

Rheumatology
Approach to patients with:
• polyarthritis
• oligoarthritis

 

Clinical skills
• Lumbar puncture
• Bone marrow aspiration
• Aspiration of serous fluid/ synovial fluid
• Ryles tube
• Catheterization
• I/V fluid, IV Canula
• Stomach wash

 

Clinical Teaching (3rd round)

Review of history taking & clinical examinations (3rd year, 4th year)
Case discussion
– Long cases

 

Respiratory System
– COPD
– Bronchogenic carcinoma
– Pneumonia

 

CVS
– CCF
– CHD
– IHD
– VHD
– Rheumatic heart disease
– Hypertension
– Pericardial diseases

 

GIT
• Haematemesis&mealena
• PUD
• V. Hepatitis
• CLD
• Carcinoma of the Liver
• Pancreatitis
• Heapatic failure

 

Endocrine
• Hyperthyroidism
• Hypothyroidism
• DM

 

Rheumatology
• Rheumatoid arthritis
• Seronegative arthritis
• Osteoarthritis
• Gout

 

Urinary
• Glomerulonephritis
• Nephrotic Syndrome
• Acute Kidney Injury
• Chronic Kidney Disease
• Urinary Tract Infection

 

Hematology
• Anaemia
• Leukaemia
• Bleeding diathesis

 

Nervous System
• CVD
• Multiple Sclerosis
• Myasthenia Gravis
• Parkinsonism
• Peripheral neuropathy
• GBS
• Cranial neuropathy

 

Infection
• Enteric fever
• Malaria
• Kala Azar
• Filarisis
• Amoeabiasis
• Tetanus
• Rabies
• Poisoning
• Snakebite
• Tuberculosis
• Diarroehea & Dysentery
• Shock
• Dengue

 

Short Cases
– Hepato or Splenomegaly or both
– Pleural effusion
– Pneumothorax
– Consolidation
– Collapse
– Fibrosis
– Hemiplegia
– Paraplegia
– Facial nerve palsy (UMN + LMN)
– Ascites
– Lymphadenopathy
– Thyroid
– Examination of the knee
– Examination of the precordium
– Auscultation of lung

 

Clinical skills
• Bone Marrow aspiration
• Aspiration of serous fluid
– Pleural
– Peritoneal
– Pericardial
• Foley’s catheterization
• Intercostal tube
• I/V canula
• Lumbar puncture
• Venesection
• CPR

 

Interpretation of Laboratory Data
• General:
– Blood for R/E
– Urine for R/E
– Stool for R/E
– FBS / GTT

 

• Specific:
– Liver function test (LFT)
– Thyroid function test (TFT)
– Kidney function test
– Pulmonary function tests (PFT)
– Test for malabsorption
– Test for rheumatology
– Test for neurology
– Cardiac function test
– Hematological test
– Test for certain infectious diseases, e.g. Widal test.

 

• Radiology:
– X-ray chest
– X-ray
• Bones
• Skull

 

• Joints
– X-ray abdomen

 

• Contrast X-rays:
– Barium Meal
– Barium Follow through
– Barium Enema
– ERCP
– Myelogram)
– IVU.
• USG
• CT & MRI
• Communication Skills
• Terminal Care
• Care of death and dying

 

Physical Medicine & Rehabilitation

CORE:
• Principles of management and rehabilitation of musculoskeletal and neurological disorders

 

Physical Medicine and Rehabilitation
Clinical Attachment (WARD DUTY)
4th Year- 2 weeks

• Introduction to Physical Medicine & Rehabilitation
– History
– Background
– Spectrum
– Visit to Physical Medicine & Rehabilitation Ward
• Modalities of Physical Therapy
• Management and Rehabilitation of
– Neck pain & Back pain
– Soft tissue Rheumatism
– Painful Conditions of upper & lower extremities
– Neurological conditions including Stroke
– Spinal cord injuries
– Arthritis & allied conditions
– Orthopedic conditions
– Cerebral Palsy
– Non-surgical & post-operative complications
– Cardiopulmonary rehabilitation

 

SKIN & VD
Learning Objectives and Course Contents in SKIN & VD (lectures)

CORE:
• Structure and functions of the skin
• Cutaneous Signs/ Symptoms
• Scabies and Pediculosis
• Atopic Dermatitis & Contact and Seborrhoeic dermatitis
• Superficial fungal infections
• Pyoderma
• Bullous diseases (Pemphigus)
• Cutaneous manifestations of systemic diseases
• Viral disease (Herpes)
• Syphilis & Genital ulcers
• AIDS
• Gonorrhoea, Non-Gonococcal Urethritis
• Psoriasis
• Acne
• Skin Tuberculosis
• Urticaria
• Pigmentary diseases (Vitiligo), Alopecia

 

Skin & Venereal Diseases
Clinical Attachment (WARD DUTY)
Total 96 hours (24 Days) in 3rd Phase (2 wks) & 4th Phase (2wks)

 

Dermatology
CORE:
• Structure and function of the skin
• Cutaneous symptom- generalized pruritus
• Cutaneous symptom- G. hyperpigmentation
• Cutaneous symptom- hypopigmentation
• Types & causes of cutaneous lesions
• Scabies and Pediculosis
• Atopic Dermatitis
• Seborrhoeic Dermatitis & other Dermatitis
• Contact Dermatitis
• Fungal infections-Dermatophytosis & Candidiasis
• Acne
• Psoriasis
• Parapsoriasis & Pityriasis Rosea
• Erythroderma
• Viral Diseases (Herpes simplex, Herpes zoster, wart, molluscumcontagiosum)
• Leprosy
• Bacterial infections of the skin(impetigo contagiosa, B impetigo, SSSS)
• Filariasis

Additional:
• Drug Reactions
• Urticaria & angioedema
• Skin tuberculosis
• Genodermatoses (Ichthyosis, Neurofibromatosis, etc.)
• Melanocytic & non-melanocytic nevi
• Skin tumors
• Bullous diseases (Pemphigus, Dermatitis herpetiformis)
• Systemic diseases and the skin
• Chronic arsenicosis
• Hair (AA, Telogen effluvium, Anagen effluvium, Androgenetic alopecia)
• Hypertrichosis & Hirsutism
• Nail diseases-(fungal infection, LP, Psoriasis)
• Mucous membrane diseases (Aphthous ulcer, stomatitis/glossitis)

 

Venereology

CORE:
• Basics of STI (definition & classification)
• Syphilis
• Chancroid & other genital ulcers
• Gonorrhoea & Nonspecific Urethritis
• AIDS
• Syndromic management of STI

 

Psychiatry
Learning Objectives and Course Contents in Psychiatry

CORE:
• Historical concepts & classification
• communication skills and the doctor-patient relationship
• Behavioural Science
• Learning, memory, personality, intelligence
• Symptomatology
• Organic psychiatry: Dementia & Delirium
• Substance Abuse & Alcoholism
• Child psychiatry including Autism
• Psychosexual Disorders
• Psychopharmacology
• Behavioral addiction (internet, social media, gaming, pornography, etc)

 

Clinical Placement:
• Mental state exam
• Schizophrenia
• Mood Disorders: Depression & Bipolar Mood Disorder (BMD)
• Anxiety Disorders: GAD, phobia, obsession, panic dis.
• Psychiatric emergencies
• Psychotherapy

 

Learning Objectives and Course Contents in Psychiatry
Psychiatric Diseases
Clinical Attachment (WARD DUTY)
Total 96 hours (12 days in 3rd phase + 12 days in 4th phase) = 24 Days in 3rd & 4th phase

 

1. Symptomatology in Psychiatry
• Mood- anxiety, depression, elation, irritability, anger.
• Perceptual symptoms- Hallucination, imagery, illusion.
• Thought symptoms- delusion, different types of delusion, obsession, compulsion
• Disturbance of thinking process-speech abnormality.
• Motor symptoms and signs.
• Disturbance of body image self, memory, and consciousness.
• Attention, concentration
• Insight
• Different between psychosis and neurosis.

 

2. History taking & Mental status examination (MSE)
• History taking
• Personality analysis
• Mental status examination-appearance and behavior
Rapport establishment
Speech- rate, rhythm, content, flow mood
Suicidal ideation
Thoughts
Perception
Cognitive function- orientation, attention, concentration, memory
• Language abilities, contraction, abilities

 

3. Personality & Personality disorder
• Origin of Personality
• Classification of abnormal personality
• Different personality disorder
• Diagnosis and management of personality disorder

 

4. Reaction to the stressful experience
• Response to the stressful event
• Defense mechanism
• ASD- sign symptom, etiology, diagnosis, and management
• PTSD- sign symptoms, etiology, diagnosis, and management
• Adjustment disorder- sign symptom, etiology, diagnosis, and management
• Adjustment to physical illness and handicap
• Grief
• Bereavement
• Adjustment to sexual abuse

 

5. Generalized anxiety disorder (GAD)
• GAD- sign symptom, etiology, diagnosis, and management

 

6. Phobic anxiety disorder
• Specific phobia
• Social phobia
• Agoraphobia

 

7. Panic disorder
• Panic disorder – sign symptoms, etiology, diagnosis, and management

 

8. Obsessive-compulsive disorder (OCD)
• OCD – sign symptom, etiology, diagnosis, and management

 

9. Major depressive disorder (MDD)
• MDD – sign symptoms, etiology, types of diagnosis, and management

 

10. Bipolar disorder
• Bipolar disorder – sign symptoms, etiology, types, diagnosis, and management

 

11. Schizophrenia
• Schizophrenia – sign symptoms, etiology, types
• Diagnosis and management

 

12. Dementia
• Dementia – sign symptom, MMSE, etiology, types, diagnosis, and management

 

13. Movement disorder
• EPSE
• Parkinson’s disease
• Tics

 

14. Seizure disorder
• Seizure disorder- sign symptoms, etiology, types, diagnosis, and management
• Pseudo seizure
• Different types of seizure
• Preictal, ictal, postictal, interictal disturbance and social aspect of epilepsy

 

15. Eating disorder
Sign symptom, etiology, types, diagnosis, and management of –
• Anorexia
• Bulimia nervosa
• Eating disorder (NOS)

 

16. Sleep disorder
Sign symptom, etiology, types, diagnosis, and management of –
• Insomnia
• Narcolepsy
• Breathing-related sleep disorder
• Parasomnias

 

17. Sexual disorder
Sign symptom, etiology, types, diagnosis, and management of –
• Sexual dysfunction- in the case of male and female
• Paraphilia
• Gender dysphoria

 

18. Somatoform disorder
• Somatoform disorder- sign symptoms, etiology, types, diagnosis, and management

 

19. Conversion disorder
• Conversion disorder- sign symptom, etiology, types, diagnosis, and management

 

20. Psychiatric aspect of obstetrics and gynecology
Sign symptom, etiology, types, diagnosis, and management of –
• Pseudocyesis
• Postpartum mental disorders-maternity blue, Postpartum psychosis
• Premenstrual syndrome

 

21. Suicide and deliberate self-harm
• Suicide /deliberate self-harm – sign symptom, etiology, types, diagnosis, and management
• Assessment of suicidal risk
• Care of the suicidal patient
• Motive for deliberate self-harm
• Suicide prevention

 

22. Substance-related disorder
• Terminology- intoxication, Abuse, Dependence, Tolerance, Withdrawal state
• Sign symptom, etiology, types, diagnosis, and management of-
– Alcohol-related disorder
– Opioid-related disorder
– Benzodiazepine related disorder
– Cannabis-related disorder
– Amphetamine-related disorder
– Social media-related disorder

 

23. Psychopharmacology
• Class of drugs-
-Antipsychotic
-Antidepressant
-Mood Stabilizer
-Anxiolytic
-Hypnotic
-Psychostimulant

 

24. Psychological treatment
• Types of psychological treatment
Counseling
Cognitive behavior therapy
Supportive psycho therapy
Insight oriented psycho therapy
Dialectic behavior therapy
Family therapy
Couple therapy

 

25. Child psychiatric disorder
• Sign symptom, etiology, types, diagnosis, and management of –
ASD
ADHD
Conduct disorder
Intellectual disability disorder

 

Paediatrics

 

Marks distribution:
Total marks – 500 (Summative)
Pediatrics -130
Written = 50
o MCQ-MTF (05) + SBA( 05)=10
o 2SEQ 20-+ 6SAQ 15 = 35
o Formative assessment = 05
Oral, Practical, and Clinical = 80
o Oral, Practical =30 +10 = 40
o Clinical-1 long case – 20
o -1 Short case – 10
o OSPE = 10

 

Paediatrics
Preventive Paediatrics

CORE:
• An introduction to Paediatrics & MDG ***
• IMCI ***
• EPI ***
• IYCF ***
• IDD **
• ENC **
• NNS ***
• ETAT **
• ECD **
• Vitamin-A supplementation

 

Neonatology

CORE:
• Care of a normal newborn ***
• Perinatal asphyxia ***
• Neonatal resuscitation*** Neonatal seizure **
• Birth injuries *
• Pre-term/ Low birth weight/ SGA ***
• Neonatal infection ***
• Respiratory distress in newborn*
• Neonatal jaundice ***

 

Infant and young child feeding (IYCF)

CORE:
• Breastfeeding ***
• Complementary feeding***

 

Growth and Development, ECD

CORE:
• Growth & Development ***
Failure to thrive **
• Early childhood development *

 

Nutritional Disorders

CORE:
• PEM, SAM & CMAM ***
• Vitamin deficiencies (Xerophthalmia, Rickets, Scurvy) ***
• Micronutrient deficiencies (Iron, Zinc, Calcium) **
• Obesity *

 

Infectious Diseases

CORE:
• Tetanus **
• Diphtheria **
• Pertussis ***
• Tuberculosis ***
• Measles **
• Mumps **
• Poliomyelitis ***
• Enteric fever ***
• Dengue ***
• Malaria ***
• Kala-azar ***

 

Gastrointestinal disorders

CORE:
• Diarrhoeal disorders & management ***
– Acute watery diarrhoea ***
– Dysentery ***
– Persistent diarrhoea ***
• Abdominal Pain &Helminthiasis **

 

Respiratory Disorders

CORE:
• ARI***
• Pneumonia***
• Bronchiolitis***
• Childhood Asthma***
• Croup and other causes of stridor And their management**

 

Haematological Disorders

CORE:
• Iron deficiency anaemia ***
• ITP ***
• Haemophilia***
• Congenital haemolyticanaemia ***
• Hypoplasticanaemia/ aplastic anaemia **

 

Renal disorder

CORE:
• Nephrotic syndrome ***
• Acute glomerulonephritis ***
Acute Renal Failure **
Fluid & Electrolytes & acid-base balance***
• Urinary Tract Infection ***

 

Diseases of Liver

CORE:
• Viral hepatitis ***
• Fulminant hepatic failure ***
• Hepatic coma/ hepatic encephalopathy ***
• Portal hypertension **
• Chronic liver disease eg. cirrhosis **

 

The disease of the Cardio-vascular system
CORE:
• Congenital heart disease (ASD, VSD, TOF & PDA)***
• Rheumatic fever & Rheumatic heart disease***
• Heart failure in infancy & childhood***

 

The disease of the Nervous system

CORE:
• Febrile convulsion ***
• Epilepsy **
• Meningitis & Encephalitis
• Mental retardation **
• Cerebral palsy **
• Acute Flaccid Paralysis (AFP) ***
• GuillainBarre syndrome
• Transverse myelitis
• Poliomyelitis

 

Malignant diseases

CORE:
• Leukaemia ***
• Lymphoma & other tumours *

 

Endocrine and Chromosomal Disorders

CORE:
• Short stature ***
• Hypothyroidism***
• Diabetes Mellitus *
• Down syndrome***

 

Connective Tissue & Musculoskeletal Disorders

CORE:
• Juvenile idiopathic arthritis (JIA) ***
• Myopathy
• Pseudohypertrophic muscular dystrophy **

 

Accidental poisoning & Drowning

CORE:
• Kerosene***
• Organophosphorus compound***
• Snake bite**
• Drowning**

 

Pediatric Psychological and Psychiatric disorder

CORE:
• Childhood behavioral disorders **
• Autism spectrum disorder (ASD) ***
• Somatoform disorder **
• Enuresis *

 

Communication & Counseling

CORE:
• Counseling