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FCPS-I Surgery & Allied PDF
FCPS-I Surgery & Allied PDF
P PROSPECTUS
CO
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FI FCPS PART I
F
O SURGERY & ALLIED
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TABLE OF
CONTENTS
FCPS I EXAMINATION 4
GENERAL REGULATIONS 5
SYLLABUS 9
3
PROSPECTUS- FCPS PART I
S
U
FCPS I EXAMINATIONS
R The College conducts FCPS I examinations in the following
G disciplines:
E
R
Y
A 2. Dentistry
L 8. Pathology
L 3. Diagnostic Radiology
I 9. Psychiatry
E
4. Medicine & Allied
D
10. Surgery and Allied
5. Obstetrics & Gynaecology
4
PROSPECTUS- FCPS PART I
GENERAL REGULATIONS S
U
Following regulations apply to all candidates taking R
G
FCPS Part-I examinations.
E
R
Candidate will be admitted to the examination in the
Y
name (surname and other names) as given in the MBBS
degree. CPSP will not entertain any application for &
change of name on the basis of marriage / divorce /
deed. A
L
L
ELIGIBILITY I
E
● MBBS or equivalent qualifications registered with the
D
PMDC.
● One year house job in an institution recognized by
the CPSP / PMDC, which should have been
completed at least two months before the date of
examination.
● Deficiency of house job could be compensated by an
equal period of residency in an institution recognized
by the CPSP.
EXEMPTION
An application for exemption from FCPS Part-I must be
submitted to the College with all the relevant documents
and a bank draft of prescribed fee (non refundable
processing fee).
Refund of fees
On a written request for not appearing in the
examination, submitted up to the last date of withdrawal
of application, the refund is admissible to the extent of
75% of fees only. No request for refund will be accepted
after the last date of withdrawal of the application.
VALIDITY OF FCPS-I
The validity of a pass in FCPS-I examination will be for a
period of three years plus the period of training in the
concerned discipline.
8
PROSPECTUS- FCPS PART I
SYLLABUS S
U
R
Candidates for the Fellowship of the College are
G
expected to have a sound working knowledge of the E
structure and functions of the human body and the R
various mechanisms whereby these structures and Y
functions are altered leading to diseased states. The
emphasis in the FCPS Part-I examinations is on &
comprehension of the various mechanisms by which the
A
body works and adjusts to external and internal changes.
L
Concepts of the integration and interrelationship of
L
various parts of the body are to be given more I
importance than finer details of structure and function. E
D
The outline of various topics given in this syllabus is a
guide to what at the moment are considered to be
important topics which the candidate is expected to know.
This is to help both the candidate and the examiner in
defining the minimum boundaries of FCPS Part-I
examination.
PAPER I
I. ANATOMY
1. General Features:
- Muscles
- Joints
- Blood vessels
II. PHYSIOLOGY,BIOCHEMISTRY
AND PHARMACOLOGY
1. General Physiology:
- Components of cell with their major functions.
Transport across cell membrane
- Action Potential, Muscle contraction
- Classification and properties of nerve fibres
- Receptors: types and functions
- Somatic sensations, transmission of pain
- Function of motor and sensory areas
- Cerebrospinal fluid (CSF) - formation, functions,
drainage
- Autonomic nervous system: parts and their
functions
- General properties and composition of blood
including Normal Cell counts and functions of
10 RBCs, WBCs and platelets
PROSPECTUS- FCPS PART I
- Mechanism of homeostatic coagulation factors S
U
and their actions
R
- Blood groups G
- Conducting tissues of heart: generation and E
propagation of cardiac impulse R
- Cardiac cycle (pressure, volumes, valvular Y
changes). &
- Blood pressure and its regulations
- Respiration: Ventilation, transport of gases and A
regulation of respiration L
L
- Body fluids: compartments and regulation of
I
osmotic equilibrium E
- Regulation of E.C.F, blood volume and flow D
- Peripheral circulation.
- General functions of kidney.
- Regulation of body temperature.
2. Biochemistry:
- Requisites of a balanced diet
- General principles of electrolyte balance
- Role and function of endocrine hormones - feed
back mechanism.
- Metabolism of carbohydrates, proteins,
fats and vitamins
3. Pharmacology:
- Clinical Pharmacokinetics
- Adverse reactions of common drugs
- General principles of rational drug therapy
11
PROSPECTUS- FCPS PART I
S
U III. PATHOLOGY INCLUDING
R MICROBIOLOGY
G
1. Effects of injury on cell by physical, chemical and
E
R
biological agents
Y
2. Inflammation
& - Acute
- Chronic including granulamatous
A
L
L
3. Regeneration and Repair
I
E 4. Metabolic Response to Trauma
D
5. Disturbance of homeostatic mechanism
- Haemorrhage and Shock - mechanism and types
- Oedema
- Disturbance of fluids and electrolytes
Biostatistics:
- Introduction to Biostatistics
- Data and its kinds
- Summarization of data
- Measures of Central Tendency and Dispersion
- Normal Distribution
- Point and Interval estimation and Probability
- Hypothesis testing, significance level and power
- Sampling and its Techniques
Histology:
Microscopic structure of the following organs:
- Liver
- Gall bladder
- Pancreas
- Spleen
- Bronchial tree
- Lung
- Heart
- Arteries
- Kidney
- Uterus
- Urinary Bladder
Gross Anatomy:
Features of the following structures / organs with special
14 emphasis on applied aspects:
Brain:
A
- Important cortical areas. L
- Ventricular system. L
I
Vertebral Column: E
D
- Morphology
- Features of Vertebrae and movements at
various levels
Breast:
- Structure, blood supply and lymphatic drainage.
Diaphragm:
- Structure and attachments.
- Nerve and blood supply.
- Function and structures transmitted at various levels.
Extremities:
- Neurovascular arrangements
- Formation and distribution of branchial plexus
- Lumbar and sacral plexus
- Course and distribution of important nerves and
vessels of the extremities
- Anastomosis of arteries at various points and
their importance
- Pattern of venous drainage in upper and lower
limbs
- Arrangements of lymph vessels and lymph
nodes and their area of drainage 15
PROSPECTUS- FCPS PART I
S Upper limb:
U
- Shoulder girdle - muscles, nerve supply and action
R
G - Nerve supply and group action, muscles of the
E flexor and extensor compartments of arm and
R
forearm
Y
- Mechanism of pronation and supination
& - Brachial plexus
A
L Axilla:
L - Walls and contents
I
E
D Cubital fossa:
- Boundaries and contents
Osteology:
- Scapula, Clavicle, Humerus, radius and
ulna - Salient Features
Lower limb:
- Muscles of rotators of hip - Nerve supply and
group actions
- Femoral triangle, boundaries and contents
- Sub-sartorial canal
- Quadriceps, adductors of the thigh and
hamstrings - nerve supply, action in walking.
- Popliteal fossa - boundaries and contents.
- Intermuscular septa and formation of
compartments in the thigh and leg and their
16 significance
PROSPECTUS- FCPS PART I
- General disposition of leg muscles, anterior, S
posterior and lateral group of muscles - Nerve U
R
supply and action. Muscles of the foot - nerve
G
supply and functions, maintenance of the E
arches of foot R
- Posture of the body and anatomical factors for Y
its maintenance
&
1. Peritonium:
- Vertical and horizontal disposition, formation of
omenta, mesentries and main ligament
- Division of the peritoneal cavity along with their
extent and boundaries
- Formation of portal vein and sites of
porto-systemic anastomosis
2 Posterior abdominal:
- Muscles of the posterior abdominal wall-actions
and nerve supply
- Morphology of the retroperitoneal structures
- Thoracolumbar fascia
5. Vagus Nerve:
18 - Course and Distribution
PROSPECTUS- FCPS PART I
6. Lymphatic drainage & main group of lymph nodes S
U
7. Kidney and Ureter: R
G
- Structure
E
- Blood and nerve supply R
Y
8. Lumbosacral plexus
&
Pelvis and Perineum:
1. Structures in the pelvis: A
L
- Male genital organs - Relations and Blood Supply
L
- Female genital organs - Relations and blood supply I
- Urinary bladder - Structure, blood supply and E
sphincter control D
2. Prostate:
- Lobes
- Blood supply
- Lymphatic drainage
3. Pelvic diaphragm:
- Structure
- Opening
- Functions and Nerve supply
4. Perineal region:
- Male and Female external genitalia
- Anal sphincter
2. Triangles of Neck:
- Boundaries and contents
II. PHYSIOLOGY
Respiration:
1. Pulmonary volume and capacities:
- Pulmonary Function Tests
- Mechanics of Respiration
- Transport of gases between the lungs & the tissues
- Diffusion of oxygen and carbon dioxide through
20 the respiratory membrane
PROSPECTUS- FCPS PART I
2. Regulation of Respiration: S
U
- Neural Control of Breathing
R
- Chemical Control of Breathing, Peripheral G
E
chemoreceptors
R
Y
3. Respiratory adjustments:
&
- Hypoxia
- Hypercapina and Hypocapnia A
L
- Oxygen treatment L
- Artificial ventilation I
E
D
4. Pulmonary circulation
Cardiovascular System:
1. Heart:
- Physiology of cardiac muscle.
- Regulation of heart pumping, cardiac output and
Venous return
- Electrical activity of the heart-electrocardiogram
- Control of Rhythmicity, Cardiac arrhythmias.
2. Circulation:
- Capillary fluid exchange
- Exchange of water, nutrients between the blood
and interstitial fluid; lymph flow
- Nervous regulation of circulation and control of
arterial pressure
- Role of kidneys in long term regulation of arterial
pressure
- Renin-Angiotensin system 21
PROSPECTUS- FCPS PART I
S 3. Gastro Intestinal:
U
R - Neural control of G.I.T. functions
G - Hormonal control of motility
E
R - Mastication and Swallowing - Mechanism
Y
- Regulation of movements of stomach and intestine
& - Secretary function of the alimentary tract
5. Endocrinology:
- Pituitary gland and its relation to hypothalamus -
growth hormone
- Formation and secretion of thyroid hormones
- Regulation of secretion of thyroid hormones
- Function of the Pancreas and Regulation of
carbohydrate metabolism
- Synthesis and Function of Adrenocortical
Hormones
- Regulation of Adrenal Medullary secretion
- Role of Parathyroid Hormone in control of calcium
22 metabolism. Physiology of bone and teeth
PROSPECTUS- FCPS PART I
6. Reproductive System: S
- Control of testicular Function - Sex hormones, U
R
spermatogenesis
G
- Control of ovarian function E
- Physiological changes during pregnancy R
- Lactation - Functions of prolactin Y
&
7. Nervous system:
A
- Sensory and Motor Nervous System.
L
- Central regulation of Visceral function L
Mechanism of Visceral Pain I
E
- Autonomic Nervous system - Autonomic reflexes D
- Control of Posture and movement.
- Somatic sensations - pain, headache and
thermal sensations
- Functions of the thalamus
- Referred Pain
- Major levels of C.N.S Function
- Motor cortex and corticospinal tract
- Role of brain stem in controlling motor function
- Extrapyramidal system
- Contribution of cerebellum and basal ganglia to
overall motor control
- The limbic system and the hypothalamus
- Spinal cord, functions and Reflexes
8. Special Senses:
- Neurophysiology of Vision
- Sense of hearing, smell and taste
- Control of testicular function - Sex hormones
spermatogenesis 23
PROSPECTUS- FCPS PART I
S
U
III. PHARMACOLOGY
R
G
1. Antibiotics
E 2. Analgesics
R
Y 3. Local and general anaesthetics
& 4. Diuretics
A
5. Anti thyroid drugs
L 6. Antiseptics and disinfectants
L
I
E
IV. PATHOLOGY
D
1. Disorders of R.B.C - Causes
2. Diminished erythropoiesis
3. Disorders of white cells - Non-neoplastic and
Neoplastic
4. Bleeding disorders - thrombocytopenia,
thrombocytosis, platelet function defects,
Disseminated Intravascular Coagulation
5. Coagulation disorders
6. Pathology of lymphoid tissue
7. Immuno-deficiency and Autoimmune diseases
8. Hypersensitivity reactions
9. Transmission pattern of genetic disorders
10. Neoplasia - Epidemiology
11. Host defense against tumors
12. Characteristics of benign and malignant neoplasms
24
PROSPECTUS- FCPS PART I
13. Effects of tumor, paraneoplastic syndromes S
U
14. Grading and staging of cancer R
G
15. Laboratory diagnosis of cancer
E
16. Causes of Sepsis - Sterilization R
Y
17. Microorganisms responsible for surgical infections
&
18. Hepatitis B and C infections - Transmission and
A
Precautions
L
19. Common Viral, Chlamydial and fungal diseases L
I
and their mode of transmission E
D
20. Modes of transmission and pathogenesis of
common parasitic diseases in Pakistan including
amaebiosis, malaria, hydatid diseases and worm
infestations
21. Pathology of arterial and venous diseases
Secondary hypertension due to renal pathology
25
PROSPECTUS- FCPS PART I
USEFUL ADDRESSES
AND TELEPHONE NUMBERS
S
U 1. Regional Offices of the CPSP
R
MUZAFFARABAD LAHORE
G
CMH Muzaffarabad Next to INMOL, Hospital
E
Azad Kashmir New Muslim Town, Block-D
R
Y
TEL: 058810 - 43307 Lahore.
FAX: 058810 - 43902 UAN: 042-111-666-666
& Email: ssgr-brehman@cpsp.edu.pk TEL: 042- 9231320-8
FAX: 042- 9231327
A ABBOTTABAD Email: rc_lahore@cpsp.edu.pk
L Ayub Hospital Complex
L Abbottabad
MULTAN
I TEL: 0992-383330
Nishtar Medical College,
E Email: rc_abbottabad@cpsp.edu.pk
Distt. Jail Road, Opp Circuit House,
D
Multan.
PESHAWAR
Hayatabad Medical Complex UAN: 061-111-666-666
Phase IV, Hayatabad, TEL: 061-9200946, 9200952
Peshawar Email: rc_multan@cpsp.edu.pk
UAN: 091-111-666-666
TEL: 091-9217011, 091-9217320-1 BAHAWALPUR
FAX: 091-9217062 Quaid-e-Azam Medical College
Email: rc_peshawar@cpsp.edu.pk Bahawalpur
TEL: 062- 9250461
ISLAMABAD Email: rc_bahawalpur@cpsp.edu.pk
P.I.M.S, Ravi Road, Sector G- 8/ 3
Islamabad. NAWABSHAH
UAN: 051-111-666-666
Peoples Medical College for Girls
TEL: 051-9262590-1,
Nawabshah
FAX: 051-9262592
TEL: 0244-9370271, 9370479
Email: rc_islamabad@cpsp.edu.pk
FAX: 0244-9370478
FAISALABAD Email: rc_nawabshah@cpsp.edu.pk
Punjab Medical College
Faisalabad LARKANA
UAN: 041-111-666-666 Chandka Medical College
TEL: 041-9210131, 9210366-8 Larkana
FAX: 041-9210224 TEL: 074 – 9410726
il:rc_faisalabad@cpsp.edu.pk Email: rc_larkana@cpsp.edu.pk
26
PROSPECTUS- FCPS PART I
HYDERABAD QUETTA S
Adjacent to Sir Cowasji Jehangir College of Physicians & Surgeons U
Institute of Psychiatry, Pakistan, Near Cenar Hospital,
R
Hyderabad, Sindh. G
off Brewery Road, Quetta E
TEL: 022-3860056
FAX: 022-3860057 TEL: 081-9213434 & 081-2913435 R
Email: rc_hyderabad@cpsp.edu.pk Email: rc_quetta@cpsp.edu.pk Y
KARACHI &
27
PROSPECTUS- FCPS PART I