KERALA PSC ASSISTANT INSURANCE MEDICAL OFFICER/SENIOR LECTURER/LECTURER IN PSYCHIATRY/COMMUNITY MEDICINE/PHARMACOLOGY/ RADIODIAGNOSIS/TRANSFUSION MEDICINE/GENERAL SURGERY/NEUROLOGY/ASSISTANT PROFESSOR IN ENDOCRINOLOGY - FULL SYLLABUS

KERALA PSC ASSISTANT INSURANCE MEDICAL OFFICER/SENIOR LECTURER/LECTURER IN PSYCHIATRY/COMMUNITY MEDICINE/PHARMACOLOGY/ RADIODIAGNOSIS/TRANSFUSION MEDICINE/GENERAL SURGERY/NEUROLOGY/ASSISTANT PROFESSOR IN ENDOCRINOLOGY - FULL SYLLABUS
PART I
1. HUMAN ANATOMY
General Anatomy
General Embryology
Upper Limb
Lower Limb
Thorax
Head and Neck
Brain and Spinal Cord
Abdomen, Pelvis and Perineum
Genetics
2. BIOCHEMISTRY
Proteins
Carbohydrates
Lipids
Metabolism of Lipids
Metabolism of Amino acids
Haemoglobin
Vitamins
Mineral Metabolism
Maintenance of Homeostasis
Nucleic Acids and Molecular Biology
Plasma Proteins and Immunoglobulins
Biochemistry of Cancer
Clinical Chemistry
3. HUMAN PHYSIOLOGY INCLUDING BIO-PHYSICS
Hematology
Cardiovascular System
Respiratory System
Gastrointestinal System
Renal System
Skin and Temperature regulation
Nerve - muscle physiology
Nervous System
Special Senses
Audition
Endocrinology
Physiology of Reproduction
4. FORENSIC MEDICINE AND TOXICOLOGY
Forensic Medicine
I. Definition of forensic medicine, forensic pathology and medical jurisprudence
II. Introduction to the subject, historical aspects of forensic medicine
III. Inquest procedures
IV. Courts in India and their powers. Supreme Court, High Court, Sessions Court,
Assistant Sessions Court and Magistrate Courts.
V. Court procedures. Summons, warrant, Conduct money, Oath / affirmation, types of
witnesses, recording of evidence, conduct of doctor in witness box, perjury, hostile
witness.
VI. Medical certificates and medico legal reports. Birth, death, wound, drunkenness,
potency, offence cases, intimation, notification.
VII. Death sex
VIII. Definition, diagnosis and certification (as per MCCD rules), somatic,
molecular and brain death. Sudden natural deaths, suspended animation. Changes
after death.
a. Algor mortis, Livor mortis, Rigor mortis, cadaveric spasm, cold stiffening,
heat stiffening
b. Decomposition, modified forms of decomposition, estimation of time since
death.
c. Common post mortem artifacts.
IX. Identification
a. Definition.
b. Identification of persons, dead bodies and remains of a person by sex, age,
biometry, dental features, scars, moles, tattoos, dactylography, personal
belongings, photography, superimposition, DNA.
X. Medico legal autopsy and exhumation
a. Definition of medico legal and clinical / pathological autopsy.
b. Objectives, procedures and formalities of medico legal autopsy.
c. Preservation of articles and tissues of importance during autopsy.
XI. Mechanical injuries or wounds
a. Definition of wound, injury, hurt, assault, battery.
b. Classification of injuries, description of blunt force and sharp force
injuries.
c. Fire arms – principles, types, examination and interpretation of fire arm
wounds. Comparison microscopy.
d. Medico legal aspects of injuries: Difference between ante mortem and
post-mortem injuries, determination of different types of injuries, defense
wounds, hesitation cuts, fabricated injuries, simple and grievous hurt,
suicidal, accidental and homicidal injuries, causes of death by mechanical
injuries, legal classification of fatal injuries.
e. Regional injuries: Injuries to head, neck, thorax, abdomen, pelvis,
genitalia, vertebral column and bones.
f. Injuries due to traffic occurrences.
g. Injuries due to physical agents and their medico legal importance: Heat,
cold, electricity and lightning. Explosion injuries.
XII. Asphyxial deaths: Definition, causes, types, post-mortem appearances and
medico legal significance of violent asphyxia deaths like hanging, strangulation,
suffocation, smothering, choking, drowning, traumatic asphyxia.
XIII. Medico legal aspects of deaths due to starvation-forced feeding.
XIV. Human sexual functions:
a. Potency, sterility, virginity, pregnancy, delivery.
b. Abortion, MTP, sexual sterilization, artificial insemination and their legal
aspects.
c. Sexual offences and abnormal sexual practices.
d. Legal aspects of the above.
XV.Infant and childhood deaths: Viability and determination of intrauterine age of the
foetus, live birth, still birth, dead born. Sudden infant death syndrome, child abuse.
XVI. Biological fluids:
a. Blood – preservation and dispatch of samples, importance of blood groups
in disputed paternity, hazards of blood transfusion.
b. Seminal and salivary stains preservation, dispatch and importance of
grouping.
c. Principles of laboratory tests for identification of the above and
interpretation of the results.
XVII. Forensic psychiatry:
a. Definition and brief overview of common mental illnesses.
b. True and feigned mental illnesses.
c. Civil and criminal responsibilities of mentally ill persons.
d. Indian mental health act with special reference to admission, care and
discharge of mentally ill persons.
XVIII. Medical jurisprudence:
a. Indian medical council and state medical councils, their functions and
disciplinary control.
b. Duties and rights and privileges of a registered medical practitioner.
c. Professional conduct, etiquette and ethics in medical practice.
d. Professional secrecy and privileged communication.
e. Medical negligence: Civil, criminal, contributory negligence, vicarious
responsibility, res ipsa loquitur, prevention of medical negligence and
defence in medical negligence suits.
f. Consent: Types, age in relation to consent, consent in relation to mental illness and alcohol intoxication, consent in emergency situations.

g. Consumer protection act.
h. Certification of births, deaths, illness, fitness, disability.
XIX. Forensic toxicology:
a. Definition and general principles of management of a case of poisoning.
b. Medico legal duties of a doctor in a case of poisoning, preservation
dispatch of viscera for chemical analysis. Role of chemical examiner’s
laboratory and forensic science laboratory in brief.
c. Diagnosis and principles of therapy and medico legal aspects of the
following poisons, giving special emphasis to those of regional
importance.
i. Corrosive poisons: strong mineral acids, alkalies and organic acids
– (carbolic, formic and oxalic acid).
ii. Metallic poisons: Lead, Arsenic and Iron.
iii. Animal poisons: snake and scorpion bites.
iv. Deliriants: Dhatura, Cannabis and Cocaine.
v. Inebriants: Methyl and Ethyl alcohol.
vi. Asphyxiants: Carbon monoxide, carbon dioxide, Hydrogen
sulphide and Cyanides.
vii. Cardiac Poisons: Cerbera Odollam, Cerbera thevitia, Nerium
odorum.
viii. Insecticides: Organophosphorous compounds, carbamates and
Organocholoro compounds, Aluminium phosphide and Zinc
phosphide.
d. Drug abuse and dependence.
e. Inorganic non metallic poisons: Phosphorous.
f. Organic vegetable irritants: Abrus precatorius, capsicum, calotropis,
Semicarpus anacardium, Croton.
g. Convulsants: Strychnine.
h. Paralytic agents: Curare.
i. War gases and industrial gases.
j. Chloral hydrate
k. Mechanical poisons.
5. MICROBIOLOGY
I. General microbiology
a. Introduction to microbiology
b. Morphology of bacteria comparison with other microbial forms
c. Growth, nutrition culture media
d. Identification of bacteria
e. Bacterial genetics
f. Antibacterial agents and antibiotic sensitivity test
g. Infection – Source and spread of infection
h. Sterilisation and disinfection
i. Response to microbial infections
II. Systematic bacteriology
Gram positive Cocci-Stapohylococci, Streptococci, Pneumococci
Gram negative Cocci- Neisseria
Gram positive Bacilli-Corynebacterium, Listeria, Bacillus
Mycobacteria, Nocardia, Actinomyces
Clostridia, Nonsporing anaerobes
Gram negative Bacillus-Haemophilus, Bordetella, Brucella, Enterobacteria /
Yersinia
Pseudomonas, Pasteurella, Acinetobacter
Vibrio / Campylobacter
Mycoplasma, Legionella, Rickettsia, Chlamydia
Spirochetes
III. Virology
a. General characteristics of viruses
b. Virus host interaction
c. Replication of virus
d. Pox virus, Herpes, Adenovirus
e. Papova, Retrovirus
f. Myxoviruses
g. Picorna virus
h. Hepatitis, Miscellaneous
i. Rhabdo virus
j. Arboviruses
k. Oncogenic viruses
l. Bacteriophages
IV. Immunology
a. Introduction, classification, type and cells involved in immunity
b. Antigen, antibodies
c. Complement in health and diseases
d. Hypersensitivity
e. HLA antigens in health and diseases
f. Immunodeficiency diseases
g. Serological test in medical practices
h. Autoimmunity
i. Tumour and transplantation
j. Immunoprophylaxis and immunotherapy
V. Parasitology
a. Introduction of parasitic disease
b. Protozoal infections – Amoebiasis, Plasmodium, Leishmaniasis,
Trypanosoma, Giardia, Balantidium, Cryptosporidium, Trichomonas,
Toxoplasma, Pneumocystis – laboratory diagnosis of protozoal infection
c. Helminthus – intestinal nematodes, tissue nematodes, cestodes, trematodes
– laboratory diagnosis of helminthic infections
VI. Mycology
a. Introduction – classification of fungi and general principles of lab diagnosis
b. Superficial infections
c. Subcutaneous infections – Mycetoma, Rhinosporidiosis
d. Systematic mycosis
e. Oppurtunistic fungi
6. PATHOLOGY
Cell injury
Infectious diseases
Circulatory disturbances
Growth disturbances
Miscellaneous disorders
Haematopathology
Cardiovascular pathology
Respiratory pathology
Renal and urinary tract pathology
Pathology of gastrointestinal tract
Liver and Biliary tract pathology
Lymphoreticular system.
Reproductive system.
Osteopathology
Endocrine Pathology
Neuropathology
Dermato-pathology
7. PHARMACOLOGY
General pharmacology and basic concepts of clinical pharmacology
Autonomic nervous system
Autacoids and related drugs
Central nervous system
Cardiovascular system
Drugs affecting blood and blood formation
Respiratory system
GIT
Drugs acting on Endocrine system
Chemotherapy
Toxicology
Miscellaneous
National health programmes
Infective/Parasitic conditions
Medical emergencies
8. COMMUNITY MEDICINE
I. Concept of health and disease
1. Definition, concepts and evolution (history) of public health
2. Definition of health, holistic concepts of health including the concept of spiritual
health, appreciation of health as a relative concept, dimensions and determinants
of health
3. Characteristics of agent, host and environmental factors in health and disease and
the multifactorial etiology of disease.
4. Understanding the concept of prevention and control of disease
5. Understanding the natural history of disease and application of interventions at
various levels of preventions
6. Introduction to various health indicators
7. Health profile of India
II. Social and behavioural sciences
I. Concept of sociology and behavioural science, Clinico-socio-cultural and
demographic evaluation of the individual, family and community
II. Assessment of barriers to good health and health seeking behaviour
III. Role of family in health and disease
IV. Socio-cultural factors related to health and disease in the context of urban
and rural societies
V. Assessment of socio-economic status, effect of health and illness on socio-
economic status
VI. Doctor-patient relationship
VII. Social psychology, community behaviour and community
relationship, hospital sociology and psychology
VIII. Social security – health insurance: Organized sector, unorganized
sector, special groups (Eg: elderly)
IX. Impact of urbanization on health and disease
X. Poverty link to health and disease and poverty alleviation programmes
XI. Intelligence – IQ and EQ
XII. Personality – Types, Interpersonal relationships
XIII. Attitude, Behaviour, habits
XIV. Emotions, frustrations, role of emotions in health and coping with
emotions
XV.Conflicts – internal, interpersonal and conflict resolutions, defense
mechanisms
XVI. Stress and coping skills – integrated (Psychiatry)
XVII. Ethics
XVIII. Learning – Types and skills
XIX. Development and health interface – poverty and health, poverty
alleviation programme, health of the marginalized, sustainable and inclusive
development
XX.Gender and health including gender based violence, epidemiology of
violence and its prevention and control life skill education
III. Environment and Health
1. Water: concepts of safe and wholesome water, sanitary sources of
waterborne diseases, water purification process, water quality standards.
2. Physical, Chemical and bacteriological standards of drinking water quality
and tests of assessing bacteriological quality of water
3. Health hazards of air, water, noise, radiation pollution.
4. Concepts of water conservation, rainwater harvesting and global warming.
5. Concepts of solid waste, human excreta and sewage disposal.
6. Awareness of standards of housing and its effect of housing on health.
7. Role of vectors in the causation of diseases.
8. Identifying the features of vectors and their control measures.
9. Life cycles of vectors and advantages and limitations of various vector
control measures.
10. Mode of action, application cycle of commonly used insecticides and
rodenticides.
11. Urban waste management.
12. Recent issue in environmental health.
a. Stockholm convention
b. Basel convention
c. Kyoto Protocol
13. Radiation prevention and control
Health promotion and education / communication for behavioural change (Information,
education, communication)
Nutrition
Occupational health
Bio-statistics
Basic epidemiology
Epidemiology of specific diseases: Communicable and noncommunicable
Demography and vital statistics
Reproductive and child health
School health
Urban health
Health care system in India
Health planning, management and administration
Disaster management
Legislation and public health
International health
Health care waste management
Health care of elderly
Mental health and behavioural problems
Development and health interface
Genetics
Disability

9. OPHTHALMOLOGY
Acute conjunctivitis, Trachoma, Allergic conjunctivitis, Pingencula, pterygium, Xerosis/
bitot spots, Dry eye, Angular conjunctivitis, neonatal conjunctivitis, subconj hemorrhager,
D/D of conjunctival and limbal nodule
Chronic conjunctivitis, Dry eye, membraneous conjunctivitis, Inclusion conjunctivitis
Corneal Inflammations: Corneal ulcers-bacterial, fungal, viral, Mooren’s ulcer, Vitamin
A deficiency and keratomalacia, exposure keratitis, neuroparlytic keratitis, corneal
blindness, eye banking, eye donation, keratoplasty, arcus senilis, corneal oedema, deep /
interstitial keratitis, degenerations and dystrophies, overview of keratorefractive surgery.
Scleritis, episcleritis
Iridocylitis, Panophthalmitis, Endophthalmitis
Systemic associations of uveitis, Choroiditis, Coloboma iris, ocular albinism, vitreous
hemorrhage – causes
Synchisis syntillans, Asteroid hyalosis.
Angle closure glaucoma, open angle glaucoma, steroid induced glaucoma, lens induced
glaucoma including surgery and management
Cataract and management, cong. Conditions, surgery and complications, lens
abnormality, secondary glaucomas, congenital glaucoma
Fundus changes in diabetes, hypertension, anaemias, pregnancy induced hypertension,
haematological disorders, myopia
Photocoagulation
Retinal vascular diseases
Central retinal artery occlusion, central retinal vein occlusion, retinal detachment,
retinopathy of prematurity, retinitis pigmentosa, retinoblastoma, Pappilledema, optic
neuritis, optic atrophy
Awareness of amblyopia, types of squint, paralytic, non-paralytic
Common causes of proptosis, orbital cellulites, cavernous sinus thrombosis
Dacryocystitis – congenital, acute, chronic, epiphora
Ectropion entropion, trichiasis, ptosis, Iagophthalmos, symblepharon, blepharitis,
Chalazion, refractive error, myopia, hypermetropia, Astigmatism, presbyopia, aphakia /
pseduophakia, Anisometropia, overview of keratorefractive surgery.
Chemical injuries, open globe injuries, closed globe injuries and first aid treatment
including sympathetic injuries.
Siderosis bulbi, Chalcosis, medico legal aspects.
Definition and types of blindness.
Causes of blindness
Promotion of eye donation
NPCB, Vision 2020
Eye camps
Symptomatic disturbances of vision, overview of recent advances in ophthalmology
Lasers in Ophthalmology
Enucleation – Indication, technique
Eye and systemic diseases including AIDS
Causes of sudden / partial / painless dimension of vision
Ocular malignancy – retinoblastoma and malignant melanoma of choroid
Pharmacology
Chronic side effects of systemic medication, local anaesthetics, viscoelastics, steroid and
NSAIDS
10. OTORHINOLARYNGOLOGY
Ear
Introduction to diseases of ear Topics: Diseases of external ear (with special mention on
wax, otomycosis, foreign body, keratosis and malignant otitis externa. Diseases of middle
ear: Acute otitis media, otitis media with effusion, chronic suppurative otitis media –
TTD, AAD, complications of middle ear infections. Deafness – classification, causes,
investigations, early detection of deafness in children and rehabilitation (special mention
to audiometry, otosclerosis, learning and speech rehabilitation.
Disease of inner ear: Vertigo – classification, causes, investigations and management
(special mention of Meniere’s disease, positional vertigo and acoustic neuroma)
Nose and paranasal sinuses
Rhinitis – etiology, classification and management (special mention of allergic rhinitis,
atrophic rhinitis and allergic fungal rhino-sinusitis.)
Acute sinusitis (in detail), chronic sinusitis (in detail)
Complications of infections of nose and paranasal sinuses
Facio-maxillary injuries (in detail), epistaxis, DNS and nasal polyp (special emphasis on
FESS)
Tumours of nose and PNS (special mention of inverted papilloma, naso-pharyngeal
angiofibroma and malignancy)
Throat
Tonsils and adenoids (special mention of Qunisy, patches in oral cavity and pharynx)
Neck space infections – Ludwig’s angina, retropharyngeal and parapharyngeal abscess
Hoarseness – diagnosis and management
Stridor – diagnosis and management
Malignant lesions of larynx and laryngo-pharynx
Dysphagia – causes, investigations and management (special mention of malignancy)
Foreign bodies of aero-digestive tract – diagnosis, management and complications,
endoscopies in ENT
11. MEDICINE AND ITS ALLIED SPECIALITIES
(a) Nutrition and nutritional disorders
I. Nutrition requirements
II. Protein calorie malnutrition in adults
III. Obesity
IV. Vitamin deficiencies
V. Vitamin excess
VI. Hypo and Hypervitaminosis A & D
(b) Fluid and electrolyte balance
1. Hypovolemia and dehydration
2. Acidosis
3. Alkalosis
4. Hyponatremia + Hypernatremia
5. Hypokalemia + Hyperkalemia
(c) Disturbance of body temperature
Infections
Approach to fever and PUO
URI including sinusitis
LRTI – Bronchitis and community acquired pneumonia
Tuberculosis
Gastroenteritis, Cholera, food poisoning
Amoebiasis
Helminthic infections, Bacillary dysentery
Acute viral hepatitis chronic
Viral hepatitis malaria
Filariasis
Chickenpox,
Herpes zoster
Dengue fever,
Chickungunya
Typhoid,
Leptospirosis
Common exanthematous fevers
Skin and soft tissue infections including cellulitis
UTI
HIV AIDS
Sepsis
Rabies
Tetanus
Common fungal infections
Influenza and other respiratory viral infections
Brucellosis
Ricketsia
Meningitis
Common gram negative infections
Common gram positive infections
(d) Immunology
Role of B and T Lymphocytes
Immunoglobulin
Immune reaction
Anaphylaxis, Urticaria, Angioedemas
(e) Primary Immune deficiency disorders
(f) Genetics
Clinical Genetics
(g) Environmental and occupational problems
I. Common poisonings organophosphate and carbamate sedatives, hypnotics,
antipsychotics, TCA, Rat poison + paracetamol, formic acid, methyl alcohol,
Odollum
II. Bites and stings, snake bite, scorpion sting + others
III. Alcohol abuse
IV. Radiation hazards
V. Hanging, drowning, electrical injuries
(h) Medical disorders in pregnancy
(i) CVS
Coronary circulation
Coronary artery diseases
ECG and X-ray interpretation
Rheumatic fever and RHD
Congenital heart disorders
Corpulomonale
Hypertension and hypertensive heart disease
Cardiac failure
Peripheral vascular diseases
Infective endocarditis
Cardiomyopathies
Pericardial disease
Rhythm disturbances
DVT + pulmonary embolism
(j) GI system
Approach to patient with Jaundice
Approach to patient with Ascites
Physiology of absorption and investigation procedures
Acid peptic diseases
Malabsorption syndrome and tropical sprue
Drug / toxin induced hepatitis and NASH
IBS
Inflammatory bowel disease
Disease of colon and rectum
Abdominal tuberculosis
Chronic liver disease
Upper GI bleed
Haemochromatosis and Wilson’s disease
(k) Respiratory system
Bronchial asthma
COPD
Suppurative lung disease
Pleural diseases
Bronchogenic carcinoma
Respiratory failure
ILD

(l) Haematology

Bleeding disorders

Coagulation disorders

Acute Leukemias

Chronic Leukemias

Haemolytic anaemias Fe

Deficiency anaemia

Macrocyte and Megaloblastic anaemia

Plasma cell disorders

Polycythemia

Lymphoma

Aplastic anaemia + Agranulocytosis

HUS and TTP

(m) Renal medicine

Acute renal failure

Chronic renal failure

Glomerular disease

Nephrotic syndrome RFT

(n) Central nervous system

Functional

Anatomy

Physiology and Investigation

Migraine and cluster headache

Seizures and epilepsy Ischemic

Stroke

Hemorrhagic stroke

Approach to a case of vertigo

Extrapyramidal disorders

Peripheral Neuropathy

Spinal cord disorders

Motor neuron disease and myasthenia

CNS tuberculosis

Demyelination

Cerebellar disorders

Dementias, Delirium

Pituitary dysfunction and tumour

Endocrine disease related to gonads

(o) Geriatrics

Normal ageing and age-related common problems

Drug therapy in elderly

(p) Critical care

Severe sepsis and shock

Acute LVF + Acute severe asthma

Cardiopulmonary resuscitation status

Epileptics

Approach to coma

Management of hepatic encephalopathy

DIC

Emergency management of acute coronary syndrome

Bioterrorism and disaster management

(q) Rheumatology

Rheumatoid arthritis

SLE

Spondyloarthopathies

Degenerative joint disorders

Approach to chronic backache

Inflammatory muscle disease

(r) Endocrine disease

Diabetes Mellitus

Hypothyroidism

Hyperthyroidism

Thyroiditis and other thyroid disorders

Parathyroid disorders + Tetany

Metabolic bone disease + Osteoporosis + Vitamin deficiency

Cushings disease + syndrome

Addison’s disease

(s) Pain and principles of palliative care

Assessment and treatment of chronic pain

(t) Clinical pharmacy and therapeutics

General principles of drug therapy

Common drug interactions

Common adverse reactions

Monitoring drug therapy

Rational prescription writing

12. PSYCHIATRY

Classification of psychiatric disorders

Aetiological factors in psychiatric disorders

Clinical interview and mental state examination

Organic brain syndrome

Substance abuse

Bipolar disorders

Depressive disorders

Schizophrenia

Major manifestation of psychiatric illness

Treatments used in psychiatric illness

Neurotic, stress related and somatoform disorders

Sleep disorders

Legal aspects of psychiatry

13. RADIOLOGY

Production of X-rays

Biological changes

Skeletal radiology chest and Mediastinum

Gastrointestinal system

Hepatobiliary system

Genitourinary system

Neuroimaging modalities

Emergency radiology

14. DERMATOLOGY

Infections of skin

Eczematous dermatitis

Bullous skin lesion collagen disorder

Pigmentary disturbances

Maculopapular,

Squamous lesion

Neoplastic lesions

Lesions of skin appendages

Gastrogenic disorders

Leprosy and national leprosy control programmes

15. SURGERY AND ITS ALLIED SPECIALITIES

Principles of Surgery, genetics, history of surgery, surgical ethics

Trauma

Metabolic response to trauma

Wound healing and complications

Critically injured patient including Triage

ATLS, poly trauma, disaster management

Different types of wounds and their management

Shock: Types, pathogenesis and management, Haemorrhage, Haemostasis, Blood

transfusion, Burns

Fluid and electrolyte balance, nutritional support

Pre-operative and post-operative care – emphasis on intensive care and high dependency

sterilization

Surgical sepsis – specific infection, Nosocomial infection, antibiotic policy

Immunology and organ transplantation, HIV and surgeon, Hepatitis B

Principles of imaging techniques

Suture materials and anastomosis

Skin and soft tissues

Normal structure – Ulcers, sinus and fistula, cysts and benign tumours

Pre-malignant conditions, malignant tumours, skin cover

Arteries - Applied anatomy and physiology, investigation, trauma, acute ischaemia,

chronic ischaemia, Arterial aneurysms and A. V. fistula, amputations

Veins - Applied anatomy and physiology, varicose veins and venous ulcers, DVT and

superficial thrombophlebitis

Lymphatics and lymph nodes - Applied Anatomy and physiology, lymph oedema –

primary, secondary, lymph cyst – cystic hygroma

Inflammations – Lymphangitis, lymphadentis, malignant neoplasms – lymphomas

Head and neck - Head injuries, facio maxillary injuries, salivary glands, mouth and face,

cleft lip, cleft palate, oral cancers and premalignant conditions, jaw tumours, ranula,

misc-Branchial cysts, arid fistula, carotid body tumours.

Thyroid and parathyroid thyroglossal cyst and fistula Breast - Applied anatomy and

physiology, investigation, fibrocystic diseases, inflammation, tumours

Chest – diaphragm, mediastinum, chest injuries: Thoracic outlet compression syndrome,

heart and pericardium, pleura and lungs.

Gastrointestinal tract – oesophagus, anatomy and physiology, congential anomalies,

dysphagia, achalasia and other motility disorders, oesophageal perforation,

gastrooesophageal reflux diseases, tumours.

Stomach and Duodenum – Anatomy, physiology, embryology, congenital, peptic ulcer

disease (APD), Upper GI haemorrhage, tumours, pyloric stenosis

Liver – Applied anatomy and physiology, trauma, liver abscess, cysts of the liver, portal

hypertension, tumours, principles and management of obstructive jaundice.

Biliary system – congential disorders, gall stone, cholecystitis, Cholangocarcinoma

Spleen – Anatomy and physiology, trauma – splenic conservation, indication for

splenectomy

Pancreas – Anatomy, development and physiology, congenital anomalies, acute

pancreatitis, chronic pancreatitis including calcific pancreatitis, tumours, surgical

jaundice

Vermiform appendix – Anatomy, appendicitis, neoplasm

Small and large intestine – Anatomy, physiology, embryology, congenital disorders,

inflammatory bowel disease including typhoid, tuberculosis, tumours, intestinal

obstruction.

Rectum and anal canal – ano-rectal anomalies, prolapse, haemorrhoids, ano-rectal sepsis,

fissure, fistula, tumour

Miscellaneous – Abdominal trauma, minimally invasive surgery, peritoneum and

retroperitoneum, hernia and abdominal wall, mesentery, surgical audit and day care

surgery

Genitourinary system – congenital conditions, trauma, infections, stones, hydronephrosis,

tumours of kidney, tumours of bladder, retention of urinary bladder, haematuria, torsion,

undescended testis, epididymo-orchitis, carcinoma penis, phimosis, prostate testicular

tumours, benign prostatic hypertrophy, carcinoma prostate, adrenal gland surgery

pheochromacytoma and conn syndrome.

16. ORTHOPAEDICS

Traumatology

Definition of a fracture and types of fracture and general principles of management of

fracture

Complications of fracture – open fractures and pathological fracture

Fracture clavicle, fracture neck of humerus and shoulder dislocation

Fracture humems (Shaft) and supracondylar fracture

Intercondylar fracture and Olecranon fracture

Elbow dislocation and forearm fracture

Monteggia fracture and Galeazzi’s fracture

Colle’s fracture and fracture scaphoid

Fracture spine and traumatic paraplegia

Fracture pelvis and hip fracture – fracture of femur

Hip dislocation and fracture shaft of femur

Meniscus tear and fracture patella

Leg fracture

Ankle injuries – Pott’s fracture

Hand injuries

Extensor mechanism injuries of knee

Fracture of tarsal bones

Cold orthopaedics

CTEV and flat foot

CDH

Torticollis, congential pseudoarthrosis of tibia and arthrgryphosis multiplex congenita

ostemyelitis septic arthritis tuberculosis – spine, hip, knee, elbow, wrist and other sites

Perthe’s disease and slipped upper femoral epiphysis

Rickets and osteomalacia

Rheumatoid arthritis and ankylosing spondylitis

Intervertebral disc prolapse

Scoliosis and spondylothesis

Bone, tumour, osteochondroma, simple bone cyst, aneurysmal bone cyst and

endochondroma, giant cell tumour, osteosarcoma and Ewing’s sarcoma,

Chondrosarcoma, multiple myeloma, metastatic bone diseases and osteogenesis

imperfecta

Nerve injuries – Radial nerve, ulnar nerve, sciatic nerve, amputations and osteoarthrosis

hip, knee, cerebral palsy

17. PHYSICAL MEDICINE AND REHABILITATION

Introduction to physical medicine and rehabilitation disability process and progression of

disabilities concept of Impairment / disability and hard cap

Principles of physical therapy – various modalities and therapeutic exercises

Principles of occupational therapy its application in the rehabilitation of various

disabilities

Principles of prosthetics and rehabilitation aids their application in the rehabilitation of

disabilities

Disability evaluation – principles people with disabilities Act – 1995

Pain management principles

Principles of rehabilitation of people with disabilities

To understand the basic principles of disability conclusion and for certification purposes

To get exposed to the potentials of socia-vocation rehabilitation of the various describing

conditions in the light of the 1995 Act people with disabilities (equal opportunities etc)

Act 1995

To get oriented to basic principles of community based rehabilitation of people with

disabilities

18. RADIOTHERAPY

Cancer epidemiology and possible etiological factors, screening for cancer

Principles of cancer chemotherapy and chemotherapeutic agents used in the management

of cancer

Hormone treatment in cancer

Principles of radiation oncology, radioactive sources – Teletherapy, Brachial therapy and

nuclear medicine

Methods of radiotherapy and recent advances

Common malignancies, diagnosis and treatment

19. ANAESTHESIOLOGY

Introduction – scope of Anaesthesiology

Pre-anaesthetic check-up premedication

General anaesthesia – Basal anaesthesia triads of anaesthesia Inhalational agents

Intravenous anaesthetic agents

Regional analgesia – subarachnoid and epidural analgesia, other techniques of regional

analgesia and agents used.

Equipments in anaesthesia and methods of oxygen therapy

Intravenous fluid therapy, intraoperative monitoring

Complication in anaesthesia and post-operative period

Cardio-pulmonary and cerebral resuscitation, basic cardiac life support (BCLS), advanced

cardiac life support (ACLS)

Methods of pain relief

20. PAEDIATRIC

Infectious diseases

Poliomyelitis, measles, diphtheria, tetanus, childhood tuberculosis, typhoid fever, HIV

infection, dengue and chikungunya, viral haemorrhagic fevers and malaria. Pertussis,

mumps, rubella, influenza, H1N1, seasonal epidemics

Gastrointestinal tract and liver disorder

Diarrhoeal diseases, hepatitis and hepatic failure, cirrhosis liver and portal hypertension.

Helminthic infestations.

CVS - Congenital heart disease, rheumatic fever and RHD, CCF, hypertension, infective

endocarditis.

Respiratory system - Childhood asthma, acute bronchiolitis, pneumonias in children

suppurative lung disease, smoking and environmental pollution, Croup syndromes

CNS - Cerebral palsy, mental retardation, meningitis and encephalitis, seizure disorders

and febrile seizures, microcephaly and hydrocephalus, floppy infant, therapeutics

Treatment of epilepsy, GBS, ADEM

Haemopoietic system - anaemia in children, bleeding disorders

Disorders of kidney - acute nephritis, nephrotic syndrome, renal failure, urinary tract

infection

Endocrine disorder - diabetes mellitus, thyroid disorders, short stature and intersex,

ambigous genitalia, precocious puberty

Connective tissue disorders - JRA, other vasculitis syndromes including SLE and HSP,

Kawasaki disease

Malignancies in children - leukemia, lymphomas, neuroblastoma, solid tumours, CNS

tumours, new born respiratory distress in newborn, perinatal diagnosis and treatment,

sepsis in newborn, assessment and management of asphyxia, thermoregulation in

newborn congenital malformations, disorders of gestation and low birth weight, neonatal

resuscitation, neonatal jaundice, sepsis, BFHI and feeding, normal variations intrauterine

infections, neonatal seizures

Behavioural problems in children - Enuresis, thumb sucking, breath holding, dyslexia,

specific learning disorders, child rearing problems like infantile colic, growing pain etc

Common poisoning and accidents in children - Kerosene, Dhatura, paracetamol and iron,

snake bite, burns etc.

Nutrition - BFHI, IYCF Nutritional assessment, SAM, specific vitamin deficiency

disorders

National programmes - IMNCI, RCH3, NRHM, Vitamin A, Iodine deficiency, IDSP,

ARI, ADD, AFP & PPI

Common chromosomal disorders and genetic counselling - Down’s syndrome, Turner

syndrome.

Fragile X and Genetic counselling,

Innocent problems causing undue parental anxiety breath holding spell, evening colic,

growing pain etc.

21. OBSTETRICS AND GYNAECOLOGY

Pregnancy - Diagnosis, Clinical features, differential diagnosis, relevant tests and the

principles underlying the tests

Antenatal care: objectives of antenatal care routine antenatal check up, Assessment of

period of gestation, obstetric examination, general examination, other system examination

Clinical monitoring of maternal and fetal well being, detect abnormality

Common problems in Pregnancy - Oedema, Pruritis, heart burn, piles, varicose veins,

clothing and foot ware, exercise, sex, hygiene, nutrition, rest, drug in pregnancy

Drugs: Immunisation, drug prescription relevant blood examination, urine examination

and interpretation of the results and physiological changes in pregnancy

Ultrasound examination

Fetal surveillance

Normal Labour

Physiology of onset of labor, fetal skull and pelvis

Mechanism of labour

Labour monitoring partogram, Labour analgesia

Induction of labor (various methods of induction – merits and demerits)

Acceleration of labor and drugs used in labor

Delivery: stages of labour, management of first of labour

Management of second stage of labour (vaginal delivery with episiotomy)

Management of third stage of labor:

Active management of third stage of labor

Prevention of PPH, Management of PPH

Other complications of third stage of labor and management

Abnormal labor:

Hypertonic contractions, hypotonic contractions and incoordinate uterine action

CPD, obstructed labour

Caesarean section (indications, complications)

Vaginal delivery after caesarean

Abnormal presentations and management: Occipito posterior position, Breech

presentation, transverse lie, brow/face presentation

Abortions: Types, aetiopathology, investigations and management

Recurrent pregnancy loss: causes, investigations and management

Ectopic pregnancy: aetiopatholgy, early diagnosis, late diagnosis, clinical features,

differential diagnosis and principles of management (conservative, medical and surgical)

Trophoblastic diseases: aetiopathology, classification, clinical features, diagnosis,

management, long term follow up and complications

Hyperemesis gravidarum: definition, aetiopathology, clinical features advice and drug

therapy

Abnormal puerperium: cause clinical presentation investigations and management

Abnormal pregnancy:

Multiple pregnancies

Intrauterine death

PROM (Premature rupture of membranes)

Preterm labor

Post datism

IUGR

Elderly primi, grand multipara, Rh negative, Gynaecological disorders complicating

pregnancy

Fetus and newborn:

Fetal distress: definition, diagnosis and management neonatal resuscitation, care of

newborn, examination of newborn and identifying congenital abnormalities, jaundice in

newborn

Breast feeding

Contraception: various methods and devices, selection of patients, counselling of the

Couples, follow up, side effects, complications, and failure rates

Medical termination of pregnancy:

MTP Act, Legal and ethical aspects, methods, complications and management

Operative obstetrics

Indication and steps of the procedure of episiotomy

Vacuum extraction, forceps delivery

Instrumental evacuation

Caesarean section

Assisted breech delivery, breech extraction

External cephalic version, internal podalic version

Cervical encirclage extra amniotic instillation and manual removal of placenta

Ultrasound MRI in obstetrics: diagnostic and interventional

Fetomaternal medicine: Screening for congenital abnormalities, blood tests (maternal and

fetal) Amniotic fluid analysis, fetal tissue biopsy

Medical disorders in pregnancy:

Hypertensive disorders of pregnancy

Heart disease complicating pregnancy

Anaemia in pregnancy

Diabetes in pregnancy

UTI, hepatitis, TB, chest disease complicating pregnancy

Veneral disease, infections, HIV complicating pregnancy

Thyroid disorders, immunological disorders like SLE, ACLA, and thrombophilia

complicating pregnancy

Jaundice in pregnancy Haemorrhage and coagulation disorders in obstetrics and

immunology in pregnancy

Dummy pelvis, Mannequins resuscitation of newborn

Gynaecology

Abnormal menstruation:

Normal menstrual cycle – physiology of menstruation

Abnormal menstruation – definition, classification, clinical features and principles of

investigations, diagnosis and management

Amenorrhoea: Definition, classification, causes, investigations and management

Dysfunctional uterine bleeding and postmenopausal bleeding: Definition, causes,

investigations and management

Hormonal therapy: when to give, when not to give, type of hormones with dosage,

duration of hormonal therapy, complications and contraindications for hormonal therapy

Infertility: Types, definition, causes, counselling, examination of couple and essential

investigations, ART: various methods of assisted reproductive techniques, setting up of

ART lab

Genital injuries including fistulae: Causes, diagnosis, clinical features, and principles of

management and prevention

Genital infections: STDs, PID, HIV infection and AIDS, genital TB – aetiopathology,

diagnosis and principles of management

Neoplasms of genital tract – Benign and malignant, aetiopathology, clinical feature,

diagnosis, principles of management and cancer screening and preventive aspects

Abnormal vaginal discharge: causes, clinical examination, diagnosis, investigation and

management. Counselling regarding prevention of STD’s

Endometriosis: aetiopathology, classification, clinical features, diagnosis and

management, contraception

Operative gynaecology: Indications, complications of D&C, cervical biopsy

Medical termination of pregnancy, evacuation of incomplete Abortion tubal ligation,

IUCD insertion

Abnormal hysterectomy

Vaginal hysterectomy, sling procedures

Ovarian tumours

Radical procedure for malignancy

Correction of enterocele, diagnosis and operation for vault prolapse

Endoscopy in gynaecological practice

Laproscopy: Principles, indications, instrumentation, procedure, complication, scope of

laproscopy in gynaecological practices

Hysteroscopy: Principles, indications, instrumentation, procedure, steps in present

gynaecological practices and complications.

Colposcopy: Principles instrument, procedure

Endocrinology

Post operative management:

Routine management of postoperative patient like IV fluids, drugs, antibiotics,

ambulation, nutrition

Management of fever, skin wound complications, complications like burst abdomen,

intraperitoneal bleeding and intra peritoneal collections, instruments, specimens etc.

Acute abdomen

Adolescent medicine (Gynaecology)

Analgesia

Urological problems

22. FAMILY WELFARE

Applied anatomy of mechanical methods for prevention of conception

In female – Barrier contraception, female condom, IUCD, tubectomy etc.

In male – Condom, vasectomy (NSV) etc

Physiology, endocrine and regulation of reproduction in the female. The safe periodrhythm

method of contraception, principle of use of oral contraceptives.

Pharmacology: Mode of action and administration of chemical contraceptives and oral

contraceptive Contraindications for administration of contraceptives. Side effects of contraceptives

Community Medicine: The need for Family Welfare Planning, organization of Family Planning service, Health Education in relating to Family Planning, Nutrition, Physiological

need of the mother, the child and the family Demography and the vital statistics

Pediatrics: Problems of child health in relation to large family: organization of pediatric

services, nutritional problems of mother and child, childhood diseases due to over

crowding.

Part II - General Knowledge and Current Affairs
Salient Features of Indian Constitution
Salient features of the Constitution - Preamble- Its significance and its place in the
interpretation of the Constitution.
Fundamental Rights - Directive Principles of State Policy - Relation between Fundamental Rights
and Directive Principles - Fundamental Duties.
Executive - Legislature - Judiciary - Both at Union and State Level. - Other Constitutional Authorities.
Centre-State Relations - Legislative - Administrative and Financial.
Services under the Union and the States.
Emergency Provisions.
Amendment Provisions of the Constitution.
Social Welfare Legislations and Programmes
Social Service Legislations like Right to Information Act, Prevention of atrocities against
Women & Children, Food Security Act, Environmental Acts etc. and Social Welfare
Programmes like Employment Guarantee Programme, Organ and Blood Donation etc.
RENAISSANCE IN KERALA
Towards A New Society
Introduction to English education - various missionary organisations and their functioning founding of educational institutions, factories.printing press etc.
Efforts To Reform The Society
(A) Socio-Religious reform Movements
SNDP Yogam, Nair Service Society, Yogakshema Sabha, Sadhu Jana Paripalana Sangham, Vaala Samudaya Parishkarani Sabha, Samathwa Samajam, Islam Dharma Paripalana Sangham, Prathyaksha Raksha Daiva Sabha, Sahodara Prasthanam etc.
(B) Struggles and Social Revolts
Upper cloth revolts.Channar agitation, Vaikom Sathyagraha, Guruvayoor Sathyagraha, Paliyam Sathyagraha. Kuttamkulam Sathyagraha, Temple Entry Proclamation, Temple Entry Act. Malyalee Memorial, Ezhava Memorial etc. Malabar riots, Civil Disobedience Movement, Abstention movement etc.
Role Of Press In Renaissance
Malayalee, Swadeshabhimani, Vivekodayam, Mithavadi, Swaraj, Malayala Manorama, Bhashaposhini, Mathnubhoomi, Kerala Kaumudi, Samadarsi, Kesari, AI-Ameen, Prabhatham, Yukthivadi, etc.
Awakening Through Literature
Novel, Drama, Poetry, Purogamana Sahithya Prasthanam, Nataka Prashtanam, Library movement etc
Women And Social Change
Parvathi Nenmenimangalam, Arya Pallam, A V Kuttimalu Amma, Lalitha Prabhu.Akkamma
Cheriyan, Anna Chandi, Lalithambika Antharjanam and others Leaders Of Renaissance
Thycaud Ayya Vaikundar, Sree Narayana Guru, Ayyan Kali.Chattampi Swamikal, Brahmananda Sivayogi, Vagbhadananda, Poikayil Yohannan(Kumara Guru) Dr Palpu, Palakkunnath Abraham Malpan, Mampuram Thangal, Sahodaran Ayyappan, Pandit K P Karuppan, Pampadi John Joseph, Mannathu Padmanabhan, V T Bhattathirippad, Vakkom Abdul Khadar Maulavi, Makthi Thangal, Blessed Elias Kuriakose Chaavra, Barrister G P Pillai,TK Madhavan, Moorkoth Kumaran, C. Krishnan, K P Kesava Menon, Dr.Ayyathan Gopalan, C V Kunjuraman, Kuroor Neelakantan Namboothiripad, Velukkutty Arayan, K P Vellon, P K Chathan Master, K Kelappan, P. Krishna Pillai, A K Gopalan, T R Krishnaswami Iyer, C Kesavan. Swami Ananda Theerthan, M C Joseph, Kuttippuzha Krishnapillai and others
Literary Figures
Kodungallur Kunhikkuttan Thampuran, KeralaVarma Valiyakoyi Thampuran, Kandathil Varghese Mappila. Kumaran Asan, Vallathol Narayana Menon, Ulloor S Parameswara Iyer, G Sankara Kurup, Changampuzha Krishna Pillai, Chandu Menon, Vaikom Muhammad Basheer. Kesav Dev, Thakazhi Sivasankara Pillai, Ponkunnam Varky, S K Pottakkad and others
GENERAL KNOWLEDGE AND CURRENT AFFAIRS
General Knowledge and Current Affairs

NOTE: - It may be noted that apart from the topics detailed above, questions from other topics prescribed for the educational qualification of the post may also appear in the question paper. There is no undertaking that all the topics above may be covered in the question paper.

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