Upload
muntaha-javed
View
217
Download
0
Embed Size (px)
Citation preview
7/29/2019 Important Topics (Final Year)
1/19
RANK ORDER OF TOPICS IN ORDER OF IMPORTANCEFOR SEND UP AND ANNUAL EXAMINATION OF FINALYEAR MBBS
This rank order list has been prepared for effective time management. 1st order topics of all units must be learnt first.
2nd order topics must be given due importance.
In case of shortage of time, make sure you are done with 1st order questions of all units.
(Especially dealing with the 1st order topics of units you havent touched yet.)
List will be under continuous revision by the author/SEEK.
AND REMEMBER
Much of the subject of medicine still lies beyond the borders set by this small list of topics.
MEDICINE :-NAME OF UNIT - NUMBER OF QUESTIONS
1. GIT 2
2. LIVER 1
3. CVS 2
4. INFECTIOUS DISEASES 2
5. ENDOCRINOLOGY AND DIABETES 2
6. RENAL AND ACID BASE BALANCE 2
7. PSYCHIATRY 2
8. HEMATOLOGY 1
9. CNS 1
10. RESPIRATION 1
11. RHEUMATOLOGY 1
12. DERMATOLOGY 1
PREFACE
RECOMMENDED BOOKS: DAVIDSONS PRINCIPLES AND PRACTICE OF MEDICINE CMDT HIGH YIELD PSYCHIATRY
1. GIT
1ST ORDER:1. Upper GIT bleed2. H. pylori & associated peptic ulcer disease
3. inflammatory bowel disease esp. ulcerative colitis
4. GERD5. CELIAC DISEASE
6. Irritable bowel syndrome
2nd ORDER:
7/29/2019 Important Topics (Final Year)
2/19
1. Malabsorption syndromes. ( all)
3rd ORDER:
1. Acute pancreatitis
2. LIVER
1ST ORDER:1. Hepatic encephalopathy
2. Fulminant hepatic failure3. Ascites
4. Portal hypertension
5. HBV & HCVDiagnosis and management
6. Chronic liver disease2nd ORDER:
1. Investigating a jaundiced patient
2. Hepato renal syndrome
3. Wilsons disease
3rd ORDER:1. Sclerosing cholangitis
2. Primary billiary cirrhosis3. Autoimmune hepatitis
4. Bud Chiarri syndrome
4th ORDER:1.Liver abscess
3. CVS1st ORDER:
1.Acute MI
2.Chest pain3.Acute dyspnoea
4.Acute pulmonary edema
5.CCF6.Atrial fibrillation
7.Mitral regurgitation
8.Hypertrophic cardiomyopathy9.Mitral stenosis
10.Acute rheumatic fever
11.Infective endocarditis
12.Pericarditis & cardiac tamponade13.Pulmonary thromboembolism
2nd ORDER:
1.Hypertension
2.Sudden cardiac arrest3.Aortic dissection
3rd ORDER:
1. Aortic regurgitation2. Aortic myxoma
7/29/2019 Important Topics (Final Year)
3/19
4. INFECTIONS1st ORDER:
1. Pyrexia of unknown origin2. Enteric fever
3. Malaria
4. Tuberculosis5. Tetanus
6. Meningitis
7. Streptococcal infection8. Clostridial infections
9. Acute diarrhea
10.General aspects of HIV/AIDS
2nd ORDER:1. Chicken pox
2. Infectious mononucleosis
3. Dengue fever
4. Diphtheria5. Hookworm infection
6. Measles
7. STDs3rd ORDER:
1. Pneumocystis carnii
5. ENDOCRINOLOGY AND METABOLISM1st ORDER:1. Addisons disease
2. Myxedema ( especially myxedema coma)
3. Hyperthyroidism4. Acromegaly5. Cushing Syndrome
6. Pheochromocytoma
7. Sheehans syndrome / Panhypoparathyroidism8. Metabolic syndrome X
9. Hyperlipidemias
2nd ORDER:1. Thyroiditis
2. Diabetes Insipidus
3. Thyrotoxicosis & Pregnancy
4. Hypoglycemia3rd ORDER:
1. MEN syndrome
2. Hyperparathyroidism
3. Porphyrias
6.DIABETES1st ORDER:
7/29/2019 Important Topics (Final Year)
4/19
1. Definition
2. Diabetic ketoacidosis
3. Complications of diabetes4. Diabetic neuropathy (especially autonomic neuropathy)
2nd ORDER:
1. Non-ketotic hyperosmolar coma
7.RENAL1st ORDER:
1. Chronic renal failure
2. Acute renal failure
3. Renal replacement therapy4. Tubulo-interstitial nephritis
2nd ORDER:
1. Nephrotic syndrome (genral)
2. Nephrotic syndrome
3. Proteinuria4. Renal artery stenosis
5. Post streptococcal glomerulonephritis6. IgA nephropathy & Henoch-Shonlein purpura
7. Membranous glomerulonephritis
8. ACID BASE & ELECTROLYTES1st ORDER:1. Hyponatremia
2. Hypokalemia & hyperkalemia
3. Hypeprcalcemia
4. Interpretation of acid-base balance2nd ORDER:
1. Metabolic acidosis & alkalosis
9. PSYCHIATRY1st ORDER:1. Schizophrenia
2. Bipolar disorder
3. Anxiety disorder (panic attacks)4. Conversion disorders
5. Dementia
2nd ORDER:1. Somatization disorder2. Delirium
3rd ORDER:
1. Personality disorders
10. HEMATOLOGY1st ORDER:
7/29/2019 Important Topics (Final Year)
5/19
1. Investigating anemic patients
2. Iron deficiency anemia
3. Megaloblastic anemia4. Acute myeloblastic leukemia
5. ITP
6. Multiple myloma7. Aplastic anemia2nd ORDER:
1. Lymphoma
2. Splenomegaly3. TTP
4. Paroxysmal nocturnal hemoglobinuria
5. Hereditary spherocytosis
6. Thalassemia7. Hemophilia
8. Von Willibrand disease
9. DVT
11CNS1st ORDER:
1. Meningitis
2. Stroke3. Epilepsy (especially status epilepticus)
4. Guillian-Barre syndrome
5. Myasthenia gravis
6. Parkinsons disease
2nd ORDER:1. Multiple sclerosis2. Headache (especially migraine)
3. Transverse myelitis
4. Encephalitis3rd ORDER:
1. Space occupying lesion
2. Cerebral venous thrombosis
3. Motor neuron disease4. Trigeminal neuralgia
12. RESPIRATION
1st ORDER: 1. COPD
2. Acute asthma3. Community acquired pneumonia
4. Bronchiactasis
5. Pleural effusion
6. Acute dyspnOea & hemoptysis7. Pulmonary thromboembolism
7/29/2019 Important Topics (Final Year)
6/19
8. Artificial respiration & assisted ventilation
2nd ORDER:
1. Sarcoidosis2. Fibrosing alveolitis
3rd ORDER:
Bronchogenic carcinoma
13. RHEUMATOLOGY1st ORDER:
1. Rheumatoid arthritis
2. Osteoarthritis
3. SLE4. Ankylosing spondylitis
5. Gout
6. Giant cell arthritis
7. Reactive arthritis
2nd ORDER:1. Septic arthritis
2. Other seronegative spondyloarthropathies3. Wegners & polyartritis nodosa
4. Other vasculitis
3rd ORDER:1. Systemic sclerosis
2. Polymyositis
3. Polymyalgia Rheumatica
14. DERMATOLOGY
1st ORDER:1. Scabies
2. Eczema
3. Psoriasis4. Acne vulgaris
2nd ORDER:
1. Skin bacterial infections2. Fungal infection
3. Erythema nodosum
4. Pyoderma gangreonosum
5. Blistering diseases3rd ORDER:
1. Bullous pemphigoid
2. Pemphigus vulgaris
PEDIATRICS :-
1. IMMUNIZATION1ST ORDER:
7/29/2019 Important Topics (Final Year)
7/19
1. EPI Schedule
2. Details of all vaccines in EPI schedule
2ND ORDER:1. Meningococcal vaccine
2. H.Influenza vaccine
3. Pneumococcal vaccine3RD ORDER:1. Typhoid vaccine
2. Passive immunization
2. CNS1ST ORDER:
1. Meningitis
2. Epilepsy
3. Febrile fits4. Cerebral palsy
5. Cerebral malaria2nd ORDER:
1. Encephalitis2. G.B syndrome
3rd ORDER:
1. Hydrocephalus2. SOL esp. intracranial tumours and brain abscess
3. Acute stroke
4. Floppy infant
3.CVS
1ST ORDER:1. Tetrology of fallot
2. Ventricular septal defect
3. Patent ductus arteriosus4. Atrial septal defect
5. CCF
6. Infective endocarditis2nd ORDER:
1. Transposition of great vessels
3rd ORDER:Cardiomyopathy
4.RESPIRATORY SYSTEM1ST ORDER:
1. Acute respiratory infection severity classification
2. Pneumonia3. Bronchial asthma
4. Bronchiolitis
2ND ORDER
7/29/2019 Important Topics (Final Year)
8/19
1. Bronchiectasis
2. Croup & Acute epiglottitis
3RD ORDER1. Pneumothorax
2. Pleural effusion
5. GIT & LIVER1ST ORDER:1. Acute diarrhea
2. Celiac disease
2ND ORDER
1. Hepatomegaly2. Acute and chronic hepatitis
3. IBD
6. HEMATOLOGY AND ONCOLOGY1ST ORDER:
1. Thalassemia2. Aplastic anemia3. Hemophilia
4. ALL and Hodgkins lymphoma
5. Von Willibrands disease
6. ITP2ND ORDER:
1. AML
2. Non Hodgkins lymphoma3. Causes of Hepatomegaly and Splenomegaly
4. Iron deffecieny anemia
5. Megaloblastic anemia3RD ORDER1. DIC
7.ENDOCRINE AND GENETICS1ST ORDER:
1. Cretinism2. Downs syndrome
3. Diabetic ketoacidosis
4. Rickets
2ND ORDER:1. Wilsons disease
3RD ORDER
1. Glycogen storage diseases2. Mucopolysaccharidosis ( esp. Hurler syndrome)
3. Congenital adrenal hyperplasia
8.NEPHROLOGY1ST ORDER:
7/29/2019 Important Topics (Final Year)
9/19
1. Post streptococcul glomerulonephritis
2. Nephritic syndrome and proteinuria
2ND ORDER:1. ARF
2. CRF
3rd ORDER1. Electrolyte and acid base balance2. Hematuria
9.INFECTIOUS DISEASES1ST ORDER:
7. Rheumatic fever8. Acute diarrhea
9. Enteric fever
10. Measles
11. Tuberculosis
12. Diphtheria13. Tetanus
14. Malaria2ND ORDER:
1. Poliomyelitis
2. Chicken pox3. Pyrexia of Unknown Origin
3RD ORDER
1. Worm infestation
2. Mumps
10.NEONATOLOGY1ST ORDER:15. Jaundice neonatorum
16. Prematurity17. Neonatal sepsis
18. Perinatal asphyxia
19. Neonatal seizures2ND ORDER:
1. RDS
2. Necrotizing enterocollitis
3. Intra ventricular hemorrhage4. Hemorrhagic disease of newborn
3RD ORDER:
1. Small
for gestational age2. Hypocalcaemia
11.NUTRITION.1ST ORDER:
7/29/2019 Important Topics (Final Year)
10/19
20. Malnutrition ( kwashiorkor and marasmus)
21. Breast feeding
12.MISCELLANEOUSIMCI (Integrated management of childhood illness
SURGERY :-NAME OF UNIT NUMBER OF QUESTIONS
1. GIT & ABDOMEN 4
2. UROLOGY 2
3. BREAST 1
4. THYROID & OTHER ENDOCRINE 1
5. THORACIC 16. CARDIAC 1
7. HEAD & NECK & OROPHARYNGEAL 1
8. NEUROSURGERY 1
9. ORTHOPEDICS 1
10. VASCULAR SURGERY 1
11. TRAUMATOLOGY 1
1.GIT & ABDOMEN
A. OESOPHAGUS1ST ORDER:
1. Esophageal carcinoma
2. Corrosive injury3. Esophageal perforation
4. Achalasia cardia
2nd ORDER:1. GERD (complication & treatment)
2. Hiatus hernia
B. STOMACH & DUODENUM1ST ORDER:
1. Peptic ulcer & its complications especially perforation2. Gastric outlet obstruction & Hypertrophic pyloric stenosis
3. Gastric carcinoma
C. LIVER1st ORDER:1. Liver abcess (Pyogenic & Amaebic)
7/29/2019 Important Topics (Final Year)
11/19
2. Hydatid cyst
2nd ORDER:
1. Hepatic trauma
3rd ORDER:
1. Surgical treatment of portal hypertension
D.SPLEEN1st ORDER:
1. Splenic trauma
2. Spleenectomy (Indications,Procedure,Prophylaxis & Complications)
2nd ORDER:
1. Spleenomegaly
E.GALLBLADDER AND BILE DUCT*
1st ORDER:1.Acute cholecystitis
2. Gallstones & its complications
3. Ascending cholangitis4. Choledocholithiasis
2nd ORDER:
1. Causes of obstructive jaundice2. Bile duct injury
F.PANCREAS1st ORDER:
1. Acute pancreatitis2. Pseudopancreatic cyst2nd ORDER:
1. Carcinoma of head of pancreas
2. Chronic pancreatitis3. Zollinger-ellison syndrome & Gastrinoma
G.SMALL AND LARGE INTESTINES1st ORDER:
1. Colorectal carcinoma
2. Ulcerative colitis
3 .Intestinal tuberculosis4. Typhoid perforation
2nd ORDER:1.Meckels diverticulum
2.Stomas
H. INTESTINAL OBSTRUCTION1st ORDER:
7/29/2019 Important Topics (Final Year)
12/19
1. General complications and management
2. Acute intussusception
3. Volvulus4. Paralytic ileus
5. Acute abdomen and its causes
I. VERMIFORM APPENDIX1st ORDER:1.Acute appendicitis
2.Appendicectomy
2nd ORDER:1. Carcinoid tumour
J. RECTUM1st ORDER:
1. Rectum carcinoma
2. Rectal prolapsed
K. ANAL CANAL1st ORDER:
1. Hemorrhoides
2. Anal fissures3. Pilonidal sinus
4. Fistula in ano
5. Anorectal abscess
2nd ORDER:1. Imperforate anus
L. HERNIA AND ABDOMINAL WALL1st ORDER:
1. Burst abdomen and incisional hernia2. Progressive post operative bacterial synergistic gangrene
3. Strangulated hernia
4. Surgical anatomy of inguinal canal2nd ORDER:
1. Inguinal hernia
3rd ORDER:
1. Epigastric hernia
2. Umblical and paraumblical hernia3. Femoral hernia (rare)
M. PERITONEUM1st ORDER:1. Acute peritonitis
2nd ORDER:
1. Tuberculosis peritonitis
7/29/2019 Important Topics (Final Year)
13/19
2. Mesenteric cysts
3. Tuberculosis of mesenteric lymph nodes
3rd ORDER:Pseudomyxoma peritonei
2.UROLOGY1st ORDER:1. Hematuria
2. Renal cell carcinoma3. Benign prostatic hyperplasia
4. Urethral injuries
5. Renal, ureteric and vesical stones
6. Testicular tumors7. Acute urinary retention
8. Renal trauma
9. Hydronephrosis
10. Testicular tortion11. Surgical anatomy of prostate
2nd ORDER:1. Wilms tumor
2. Carcinoma of bladder
3. Varicocele4. Hydrocele
5. Fourniers gangrene (scrotum
3rd ORDER:1. Renal tubercuslosis
2. Ureteric injuries
3. Diverticulae of bladder4. Prostatic carcinoma
5. Circumcision
3.THORAX1st ORDER:
1. Tension pneumothorax2. Chest trauma and chest intubation
3. Thoracotomy
4. Flail Chest
2nd ORDER:
1. Empyema
2. Hemothorax
4.CARDIAC SURGERY
7/29/2019 Important Topics (Final Year)
14/19
1st ORDER:
1. Cardiopulmonary bypass
2. Cardiac temponade3. Aortic dissection
2nd ORDER:1. Valvular disease (From Ellis)
5.BREAST1st ORDER:
1. Breast carcinoma
(Staging, Management according to age & stage)
2nd ORDER:
1. Fibroadenoma
3rd ORDER:1. Gynaecomastia
6.ENDOCRINE1st ORDER:
1. Multinodular goiter2. Carcinoma thyroid
3. Solitary thyroid nodule
4. Thyroidectomy (Indications,procedure,complications)
5. Pheochromocytoma
2nd ORDER:1. Hyperparathyroidism
7.OROPHARYNGEAL1st ORDER:
1. Carcinoma tongue
2. Pleomorphic adenoma3. Submandibular gland carcinoma
4. Complication of salivary gland surgery
5. Cleft lip & cleft palate6. Tuberculous lymphadenitis7. Mandibular trauma
2nd ORDER:1. Plunging ranula
2. Sialadenitis
7/29/2019 Important Topics (Final Year)
15/19
3rd ORDER:
1. Types of neck dissection (from CSDT)
2. Maxillary fractures
8.ORTHOPEDICS
1st ORDER:1. General orthopedics (complete)
2. Fracture of- Lower end of humerus
- Lower end of radius
- Neck of femur
- combined fracture of tibia & fibula3. Dislocation of hip joint 9
2nd ORDER:1. Osteosarcoma & briefly other tumours
2. Chronic osteomyelitis
9.NEUROSURGERY1st ORDER:1. Head injury
2. Extradural hematoma
3. Subdural hematoma4. Cervical spine injury
5. Types of nerve injury
6. Radial & ulnar nerve palsy
2nd ORDER:1. Subarachnoid haemorrhage
2. Spine injuries3. Median nerve palsy
10.VASCULAR SURGERY1st ORDER:
1. Acute limb ischemia2. Gangrene
3. Buergers disease
4.Deep vein thrombosis
2nd ORDER:
1. Varicose veins
2. Lymphoedema3rd ORDER: Amputation
11.TRAUMATOLOGY1st ORDER:
7/29/2019 Important Topics (Final Year)
16/19
1. ATLS
2. Blunt abdominal trauma
3. Exploratory laprotomy4. Diagnostic peritoneal lavage
GYNAECOLOGY & OBSTETRICSOBSTETRICS
1) PHYSIOLOGICAL CHANGES IN PREGNANCYa. 1ST ORDER
i. Systemic changes (volume homeostasis, blood, cvs)ii. Endocrinological changesb. 2ND ORDERi. Remaining whole chapter (important)2) ANTENATAL CAREa. 1ST ORDER
i. Antenatal visitsii. Antenatal history and examination
3) ANTENATAL IMAGING AND ASSESSMENT OF FETAL WELL BEINGa. 1ST ORDERi. Diagnostic ultrasound (esp. features during 3rd trimester)
ii. CTGiii. Biophysical profile scoring
4) PRENATAL DIAGNOSISa. 1ST ORDER
i. Diagnosis of downs syndrome
ii. Comparison of various pre-natal diagnostic proceduresb. 2ND ORDER
i. Neural tube defectsii. Congenital heart defects
c. 3RD ORDER
i. Remaining chapter
5) ANTENATAL OBSTETRIC COMPLICATIONSa. 1ST ORDER
i. Hyperemesis gravidarumii. APH (placenta previa, abruption placentae)iii. ECVb. 2ND ORDER
7/29/2019 Important Topics (Final Year)
17/19
i. Minor disorders of pregnancy
ii. UTI
iii. Venous thromboembolismiv. Oligo and Polyhydroamnios
v. Rh iso-immunization
c. 3RD ORDERi. Abdominal pain in pregnancy
6) TWIN AND MULTIPLE GESTATIONSa. 1ST ORDER
i. Definition
ii. Classificationiii. Complication
7) DISORDERS OF PLACENTATIONa. 1ST ORDER
i. Placenta previaii. Placental apruptioniii. PIH and Eclampsia
iv. IUGR
8) PRETERM LABOURa. 1ST ORDERi. Causes and Management
9) MEDICAL DISORDERSa. 1ST ORDER
i. Anemiaii. Thyroid dysfunctioniii. HTN
iv. DM
b. 2ND ORDERi. Heart disease
c. 3RD ORDER
i. Epilepsy
ii. Perinatal infections (infection screening during pregnancy)
10) NORMAL LABOURa. 1ST ORDER
i. Physiology of labour (dimensions)ii. Definition of 3 stages of labouriii. Management of all 3 stages of labour (esp. active management)
iv. Partogramb. 2ND ORDER
i. Mechanism of labour
7/29/2019 Important Topics (Final Year)
18/19
11) ABNORMAL LABOURa. 1ST ORDER
i. Breech presentationii. Obstructed labour and fetal distress
iii. The Bishop scoring
iv. Induction of labourv. Assisted delivery (forceps, ventouse)b. 2ND ORDER
i. Pain relief in labour and different types of anaesthesiaii. Episiotomy and C-Section
iii. Deep transverse arrest and transverse lie
c. 3RD ORDER
i. Perineal tearsii. Shoulder dystocia
12) PUERPERIUM
a. 1ST ORDERi. PPH
ii. Puerperial pyrexia
b. 2ND ORDERi. Breast disorders
ii. Post partum psychosis
iii. APGAR score
OBSTETRICS MOST WANTED
1) APH
2) PPH3) Management of 3rd stage of labour
4) Breech presentation
5) Obstructed labour
6) Pre-eclampsia
7) Anemia and DM in pregnancy
Puerperial pyrexia
9) IUGR
10) Systemic changes during pregnancy
11) Obstetric ultrasound
12) Antenatal visits and prenatal diagnosis of downs syndrome
13) Biophysical profile scoring
GYNAECOLOGY :-a. 1ST ORDERi. Amenorrhoea
ii. Menorrhagia (esp. fibroid uterus)
7/29/2019 Important Topics (Final Year)
19/19
iii. Infertility
iv. Contraception
v. Abortion (esp. septic abortion)vi. Endometeriosis and adenomyosis
vii. CA cervix
viii. Ovarial CAix. Endometrial CAx. UV prolapse
xi. Abnormal vaginal discharge
1. Vaginal candidiasis2. Bacterial vaginosis
3. Trichomoniasis
xii. Post menopausal syndrome and HRT
xiii. Hysterectomyxiv. D&C
xv. Laproscopic surgery
b. 2ND ORDERi. Urodynamic stress incontinenceii. Detrouser over activity
iii. Normal menstrual cycle
iv. Benign tumors of ovaryv. Bartholin cyst and other vaginal cysts
vi. Manchester repair
c. 3RD ORDERi. Vulval CA
Edited by. KHIZZER KHANNMC-MTN