Medical Science: PPSC Exam Syllabus

Updated on: Mar 5, 2013
Maxium Marks : 100

Time : 3 Hrs.

Attempt 5 Questions in all, at least one question from each section.All questions carry equal marks.

Section A

1. Human Anatomy : Gross and microscopic anatomy and movement 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 & natomy and blood suypply 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.
Embryology : Major steps in the development of lung, heart, kidney, urinary bladder, uterus, ovary, testis and their common congenital abnoirmalities; Placenta and placental barrier.
Anatomy of central and peripheral autonomic nervous system : Neural pathways for cutaneous sensations and vision; Cranial nerves, distribution and clinical significance; Anatomy of autonomic control of gastronintestinal, respiratory and reproductive systems.
2. 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 descending pathways, functions of cerebellum, basal ganglia,reticular formation, hypothalamus limbic system and Cerebral cortesx; Physiology of sleep and consciousness, EEG; Higher functions of the brain; Vision and hearing.
Endocrine system : Mechanism of action of hormones, formation, secretion,transport, metabolism, functions and regulations of secretion of pancreas and pituitary glands.
Physiology of reproductive system : menstrual cycle, lactation, pregnancy.
Blood : Development, regulations and fate of blood cells.
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 gastrointestinal tract; Glomerular and tubular functions of kidney.
3. Biochemistry : pH and pK Hendroson-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 metabolism; Chemical nature, structure, synthesis and functions 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.

Section B

1. Pathology : Resection 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,pathogenesis and histopathology of Peptic ulcer, cirrhosis liver, glomerulonephritis, lobar pneumonia, acute ostemoyelities, hepatitis, acute pancreatities.
2. Microbiology : Growrth of micro-organisms, sterilization and disinfection, bacterial genetics, virus-cell interactions; Immunological principles, acquired immunity, immunity in infections caused by viruses; Diseases caused by and laboratory diagnosis of Staphylococcus, enterococcus, salmonella, shigella, pseudomonas, vibrio,adenoviruses, herpes viruses (including rubella, fungi, protozoa, helminths, leptospiral infection.
3. 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.
4. 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, drowining, burns, snake envenomation and sexual offences.

Section C

1. General Medicine : Etiology, clinical features, diagnosis and principles of management (including prevention) of - Malaria, Typhoid, Cholera, Tetanus, Rabies, Exanthematous Fevers, Tuberculosis, AIDS.
Etiology, clinical features, diagnosis and principles of management of - Rheumatic, ischaemic and congenital heart disease, hypertension. Cardiomyopathy, pulmonary embolism.
Acute and chronic respiratory infections, bronchial asthma.
Occupational lung disease, pleural effusion, disseminated tuberculosis Malabsorption syndromes, acid peptic diseases, haemetemesis. Viral hepatitis, cirrhosis of liver, alcoholic liver disease.
Acute glomerulonerphritis, chronic pyelonephritis, renal failure, nephrotic syndrome, renovascular hypertension, diabeties mellitus, anaemias, coagulation disorders leukaemia, polycythemia and hyperviscosity syndrome, meningitis encephalitis, carebrovascular diseases.
Role of Immageology in the work-up of medical problems, ultrasound, echo cardiogram, CT scan MRI.
Psychiatry : Common psychiatric disorders, schizophrenia, ECT, lithium.
2. Paediatrics : Common paediatrics problems, congenertal cyanotic heart disease, respiratory distress syndrone, broncho pneumonias, kernicterus. Aids-prevention of vertical transmission.
3. Dermatology : Common skin diseases, psoariasis, Hansen's disease, fungal dermatitis, scabies eczema, vitiligo, Stevan Johnsons' syndrome.
4. Preventive and Social Medicine : Concept of causation and control of disease in the community, principles and methods of epidemiology.
- Health hazards due to environmental pollution and industrialisation.
- Normal nutrition and nutritional deficiency diseases in India.
- Population trends (World and India), Growth of population and its effect on health and development.
- Objectives, components and critical analysis of each of the following National programmes for the control/ eradication of - Malaria, filaria, kala-azar, leprosy, tuberculosis, cancer, blindness, iodine deficiency disease, AIDS & STD and guinea worm.
- Objectives, components critical analysis of each of the following national Health and Family Welfare Programmes - Maternal and child health, Family welfare, Nutrition, Immunization
Section D

1. General Surgery : Clinical features, causes diagnosis and principles of management of - Cervical lymph node enlargement, parotid tumour, oral cancer, cleft palate, hare lip. Laryngeal tumour, esophageal tumours. Peripheral arterial diseases, varicose veins, coarctation of arota Dysfunctions of thyroid parathyroids and adrenals. Tumuors of Thyroid, Parathyroid, Adrenal, Pituitary Glands. Abscess of breast, cancer breast, fibroadenoma and adenosis. Acute and chronic appendicitis, bleedings peptic ulcer, tuberculosis of bowel, intestinal obstruction, ulcerative colitis. Renal mass, acute retention of urine, benign prostatic hypertrophy. Haemonthorax, constrictive pericarditis. Splenomegaly, chronic choleystitis, portal hypertension, liver abscess, peritonitis, carcinoma head of pancreas. Direct and indirect inguinal hernias and their compliations. Fractures of femur and spine, Collces' fracture and bone tumours. Organ transplantation, kidney, liver, heart, bone-marrow. Laprascopic Surgery.
2. Obstetrics and gynaecology including Family Planning : Diagnosis of pregnancy, screening of high-risk pregnancy, foetoplacental development. Labour management, complications of 3rd stage, postpartum haemorrhage, resuscitation of the newborn. Diagnosis and management of anaemia and pregnancy induced hypertension. Principles of the following contraceptive methods. Intra-uterine devices, pills, tubectomy and vasectomy. Medical termination of pregnancy including legal aspects. Etiology, clinical features, diagnosis and principles of management of : Cancer cervic. Leucorrhoea, pelvic pain, infertility, abnormal uterine bleeding, amenorrhoea.
3. ENT
1. Nose And Para-Nasal Sinus : Anatomy and Physiology, Investigations of nose and PNS. Diseases of external nose and nasal vestibule, foreign body nose and PNS. DNS, Epistaxis, Acute/Chronic Rhinosinusitis. Atrophic Rhinitis, Allergic Rhinities and Vasomotor instability, Nasal Polyps, Benign and malignant tumours of the nose and PNS. Granuloma of nose and PNS,Nasofacial trauma, facial pain, cosmetic facial surgery, transseptal sphenoidal hypophysecmy, Differential diagnosis of unilateral rhinorhoea.
2. Ear : Anatomy and Physiology, Investigations of ear diseases, Audiology and Vestibular function test, diseases of external ear foreign body ear, diseases of middle ear, infection, non-infection and tumours including complications and sequelae of ear disease. Otosclerosis, Meniere’s disease, differential diagnosis of conductive and sensory-neural deafness,differential diagnosis of Tinnitus and vertigo, Facial Nerve Palsy, C.P. Angle tumours. Otological Traumas, rehabilitation of deaf patients, differential diagnosis of Otalgia.
3. Throat
  • Oral Cavity - Trauma, Tumours and Infections/ Non- infective disorders.
  • Pharynx - Anatomy and Physiology of Pharynx. Infective conditions of the Pharynx, Neck-space infections, Tumours of Pharynx (Naso-oro-Pharynx and Hypopharynx),Foreign body Pharynx.
  • Larynx - Anatomy and Physiology of the Larynx. Investigations in Laryngeal disease, Layngeal infections, Foreign Bodies respiratory passage, Laryngeal tumour, Benign and Malignant, Vocal Nodule, Vocal Polyp and Papillomas. Vocal cord palsy, differential diagnosis of hoarseness of voice,Tracheostomy and other procedures for air way obstruction, Laryngotracheal traumas, Congenital disorders of Larynx, Malignant tumours of Larynx, Laryngocoele.
  • Paediatric Otorhinolaryngology - Tonsils and Adenoids, Laryngeal stridor, differential diagnosis of ulceromembranous conditions of the Pharynx, deafness in children, subglottic stenosis, intubation V/S Tracheostomy.
  • Head and Neck Region - Oesophagus, anatomy and Physiology of oesophagus, Benign and malignant stricture of oesophagus, Corrosive burns of oesophagus, P/V syndrome, Neoplasm of the Oesophagus.
  • Differential diagnosis of dysphagia, Foreign Body oesophagus, cardiac achlasia, Pharyngeal diverticula, Thyroid gland and Salivary Glands Swellings, differential diagnosis of Neck masses and management anatomy of the Orbit and differential diagnosis of proptosis.
  • Recent Advances - Cryosurgery, Laser Surgery, HIV Infections in ENT, Radiotheraphy, chemotherapy.
  • Operative surgery - Operation of the ear, Nose, Throat and Head and neck.
4. Opthalmology : Anatomy, Physiology and detailed study of the Diseases of -

Anterior seqment
  • Lids
  • Orbit
  • Lacrimal Apparatus
  • Conjuctiva
  • Cornea
  • Sclera
  • Anterior Chamber
  • Iris, Cillary body and Vitreous
  • Lens
  • Glaucoma
  • Errors of Refraction
  • Muscular anomalies
Posterior Seqment : Anatomy, Physiology and detailed study of the diseases of
  • Choroid
  • Retina
  • Optic Nerve
  • Medical Ophthalmology
  • Injuries of the Eye and Orbit
  •  Causes of Blindness and its preventions.
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