Important Topics (Final Year)

7/29/2019 Important Topics (Final Year)

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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:


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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


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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:


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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:


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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


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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:


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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


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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:


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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:


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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)


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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:


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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


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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


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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


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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:


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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


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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


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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)


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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

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Important Topics (Final Year)