BANGLADESH COLLEGE

OF
PHYSICIANS & SURGEONS
67, SHAHEED TAJUDDIN AHMED SARANI
MOHAKHALI, DHAKA-1212, BANGLADESH

SYLLABUS
FCPS SURGERY PART - I
BANGLADESH COLLEGE
OF
PHYSICIANS & SURGEONS
67, SHAHEED TAJUDDIN AHMED SARANI
MOHAKHALI, DHAKA-1212, BANGLADESH

SYLLABUS
FCPS SURGERY PART - I
 Published by :

Bangladesh College of Physicians and Surgeons

Mohakhali, Dhaka-1212.

Edition : January, 2002

Reprint, July 2005

Printed by :

Asian Colour Printing

130 DIT Extension Road Fakirerpool, Dhaka-1000

Phone : 9357726, 8362258

 PAPER -I
ANATOMY, EMBRYOLOGY, HISTOLOGY

Candidates will be required to have knowledge of the structure

and function of all systems of the body where applicable to the
common clinical conditions. They should have a sound knowledge
of those aspects of regional anatomy that are relevant to the
clinical and operative surgery.

They should have the basic understanding of imaging methods

e.g., radiology and ultrasound, CT, MRI with the basic knowledge
of interpretation.

The basic medicine is also to be designed so that it helps

interpretation of various imaging in medicine.

I. Gastrointestinal System :

Anatomy relevant to the function , pathology and surgery of

the GIT and relevant structures (salivary glands, liver,
biliary tree and pancreas).
Ge ne r al c on fi gu ra t i on o f t h e p er i t on ea l c av i t y a nd
peritoneal reflections.

Anterior and posterior abdominal walls and relationships of

viscera.

Anatomy relevant to the common problems of the pelvic floor,

anal canal, sphincters and ischiorectal fossa.

Intra-abdominal spaces, organs and relations, peritoneum and

external genitalia.

II. Cardiovascular System :

The anatomy of heart, major arteries, veins and lymphatics with

particular reference to the circulatory implications of the common
surgical procedures.
III Respiratory System :
.

General consideration of lungs, trachea and the bronchial tree.

Thoracic walls, intercostal spaces, diaphragm and
surgical approaches to thoracic visera.
Anatomy of the thoracic viscera.
Anatomical aspects of paracentesis, thoracic and chest
drainage, tracheostomy, laryngotomy etc.
Surface marking of pleura , lungs, heart & trachea.
IV. Genitourinary system :
Anatomy relevant to the function, pathology and surgery
of the urinary tract, male and female genital organs.
V. Endocrine System and Breast :
Anatomy relevant to the function, pathology and surgery of
endocrine glands and the breast.
VI. Nervous system :
The macro-anatomy of the brain, spinal cord voluntary and
autonomic nerves as they relate to the surgical
disorders and trauma.
C S F .
Origin, course, distribution of the cranial and peripheral nerves.
General knowledge of the tracts.
Anatomy relevant to the common operations of the neck.
The anatomy of the scalp and cranial cavity.
VII. Myology :
The function, movement and the surgically relevant
relations of muscles, with the emphasis on muscle groups
and their nerve supply.
VIII. Osteology and Arthrology :
The anatomy and relations of bones and joints, especially in
relationship to the common fractures and dislocations.
Candidates should known the main features attachments
and relations of surgical interest.

2
 The principles of bone development.
IX. Histology :

Slides of organs of common surgical interest e.g., tongue,

oesophagus, stomach, intestines, appendix, thyroid,
lymph node, liver, testis, lung, heart, bones, cartilage,
blood vessels etc. are needed. A basic knowledge of
histology will be required to understand the functions of
tissue or organ without details of cytology and electron
microscopy.

X. Cadaver :

Parts of functional and practical interest.

Organs, sections of parts, muscles, vessels etc. of
(common) surgical importance.
XI. Skin and subcutaneous tissue.
XII. Embryology
The essentials of embryology necessary to understand the
common developmental abnormalities.

XIII. Surface Anatomy :

C om m on o rg an s , ve s se l s , ne rv e s e tc . of c l i n i ca l
importance.
XIV. X-rays :

Common features which would be relevant in to training in a

surgical / orthopedic unit e.g., identifying parts of bones,
important joints and its constituent bones, lungs, heart,
diaphragm etc.

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 PAPER-II
PHYSIOLOGY, BIOCHEMISTRY, PHARMACOLOGY
BIOSTATISTICS

A. Physiology and Biochemistry :

Candidates should have a basic knowledge of the Physiology and
Biochemistry of all the body's systems. Particular attention
should be given to the followings :

I. Metabolism :
The physiological responses to the surgical operations and trauma.
The body control mechanisms and how they are altered in the
injury and diseases.
N u t r i t i o n ( n o r m a l , e n t e r a l a n d p a r e n t e r a l ) .
Fl ui d el ect rol yt e bal ance and thei r di st urbances.
 A ci d - ba se ba l a nc e a nd i t s di st u rb an c es .
C e l l f u n c t i o n s .
P a t h o p h ys i o l o g y a n d m a n a g e m e n t o f b u r n .

II. Cardiovascular system :

 N o r m a l c a r d i o v a s c u l a r p h y s i ol o g y
 The mechanism of shock blood loss and their correction.
 C ont rol of body fl ui d com part m ent s.
Edema and lymphatic functions.

III. Respiratory system :

 Normal respiratory physiology particularly in the context
of G.A, lung function, gas transfer, oxygen carriage.
Pulmonary functions.
Oxygen therapy and ventilatory support.

IV. Nervous System :

 The principles of central and peripheral nervous control.
 The mechanism and route of transmission of nerve
impulses and how diseases and trauma alter those.
 F unct i ons of di fferent part s of brai n and t ract s.
Pain and its control

4
V. Gastrointestinal system :
 Physiology and assessment of abnormalities of secretion ,
absorption and motility.
 Endocri ne funct i ons of t he gast roi nt est i nal t ract .
 Functions of the hepatobiliary system and pancreas and their
assessment.
Jaundice and hepatic failure.

VI. Blood and Reticuloendothelial System :

 Functions of the hemopoietic and reticuloendothelial
system.
 Blood groups and the transfusion of blood and blood
products.
Haza rds of transfusion.
Hemostasis and fibrinolysis.
Hemorrhage and its control.
Bleeding disorders.
Functions of plasma proteins.

VII. Renal System :

Functions of the urinary tract and its assessment.
 C ont rol of wat er bal ance and osm oregul at i on.
Anuria, oliguria and renal failure.

VIII. Endocrine System

 Secretion, functions and control of hormones and their
assessment.
Functions of the endocrine organs.

IX. Musculoskeletal System :

Physiology of muscles.
Calcium metabolism.

B. Pharmacology :
Actions, interactions, complications, indications and
contraindications of the drugs commonly used in the treatment of
surgical disorders, trauma and the common medical diseases which
may co-exist with surgical diseases and drugs used for anesthesia
and analgesia.

5
 C. Biostatistics:

Basic concepts of biostatistics, definitions, importance, use and

limitations
Definitions and concepts, important terms and rates used in
medical statistics (standard death ratio and concise life
tables).
M e t h o d s o f d a t a c o l l e c t i o n .
C o n c e p t s o f s a m p l i n g .
B a s i c c o n c e p t s o f p r o b a b i l i t y .
F requency and probabil it y distributi on concept and
application in medicine.
Met hods of di spl ayi ng and proj ect i ng dat a.
Correlation and regression.
M e a s u r e s o f v a r i a b i l i t y .
 Basi c concepts of experim ental desi gns relevant t o
medical science, clinical trial.
Test of significance.

Methods and principles of recording and maintenance of information

(Requirements of health information system).
6
 PAPER -III
PATHOLOGY / MICROBIOLOGY

The candidate will be expected to have a sound knowledge of the

principles of pathology and microbiology (including virology) in
surgical context, including inflammation, infection, neoplasm,
atrophy, hypertrophy, hyperplasia, degenerative processes and
repair and regeneration. With regard to the common and
important conditions encountered in the major surgical
speci al ti es, the candi date will be expected t o have a broad
knowledge of pathology and the principles of management.

A. General Pathology
qImmunology; Immune response (humoral and cellular),
immunodeficiency, immunosuppression, organ trans -
plantation and pathophysiology of rejection.
q G e n e t i c s : g e n e t i c s a s a p p l i e d t o su r g i c a l p r a c t i c e
(Cytogenetic disorders, Mendalian disorders, Multifactorial
inheritance etc.).
q Inflammation, Repair, Neoplasia, Thrombosis, Embolism,
Necrosis, Gangrene, Hyperplasia, Metaplasia.
q Hematological disorders treated by surgery or likely to be
encountered in surgical practice.
q Taking of laboratory specimens and interpretation of
laboratory reports.

B. Systemic pathology
qThose related to the common surgical conditions.

C. Bacteriology :
qKnowledge of bacteria, Virus and Fungus - in relation to the
common surgical practice.
qHospital infections.
qSterilization.

D. Parasitology :
Parasites causing surgical conditions e.g., Hydatid disease, Amebiasis,
Bilhargiasis, Filariasis, Ascariasis etc.
 7

CHAPTER WISE DISTRIBUTION OF QUESTIONS IN FCPS PART-I SURGERY

Paper-I

Anatomy, Embryology, Histology

Chapter No. of Questions

1.Embryology & development of Surgical interest 4

2.Histology in relation to surgical pathology 3
(like neoplasms, tuberculosis, interesting
surgical conditions)

3. Osteology & Arthrology 6

4.Myology, Neuro-anatomy & Angiology 6
5. G a s t r o i n t e s t i n a l s y s t e m 12
6. Genitourinary system 4
7. Respiratory & Cardiovascular system 8
8. Endocri ne syst em & B reast 7

Paper-II

Physiology, Biochemistry, Pharmacology, Biostatistics

Chapter No. of Question

1.Metabolism including nutrition & fluid

balance (Biochemistry) 10

2.CVS & Respiratory system including pulmonary

function and ventilation 8
3.Nervous control of different organs and pain
pathways and mechanism 2
4.GIT including control of secretion & function of
different organs 8
5.Blood & Reticuloendrothelial system 6
6.Renal function tests including water & osmoregulation 4
7.Endocrine system and breast 5
8.Musculo-skeletal system (calcium metabolism) 2
 Pathology & Microbiology

Chapter No. of Question

1. Im m unol ogy & Genet i cs 5

2.General Pathology 12
3. H a e m a t o l o g i c a l & r e t i c u l o e n d r o t h e l i a l disorders
in surgical practice 4

4.Specimen & sampling 3

5.Systemic pathology 12

6.Microbiology 5
7.Hospital infection 2
8. S t e r i l i z a t i o n 3
9.Parasites of surgical importance 4