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Final Year MBBS


Syllabus Guide
By:

Dr. Muhammad Umar Farooq

Dr. Syed Arsalan Jibbran

Dr. Muhammad Asad Parvez


Batch 2021 FMU
INTRODUCTION
1. The guidelines in this document have been made according to the following book
editions:

Davidson 23rd Edition


Kaplan MTB 6th edition
Step up to medicine 5th edition
Kaplan Lecture Notes internal medicine 2020-21
Bedside Techniques 5th edition
Irfan Masood medicine 3rd edition
Dale Dubin ECG 7th edition

General Surgery Dogar 4th edition


Systemic Surgery Dogar 2nd edition
Ospe dogar 2nd edition

Parvez Akbar Pediatrics 10th edition

Ten Teachers Gynecology 20th edition


Ten Teachers Obstetrics 20th edition
Fundamentals of Obstetrics Arshad Chohan
2. Recommended books have been given at end of this document.
3. This is NOT a last minute solution.

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Table of Contents
MEDICINE:..................................................................................................................................................... 6
CVS: ........................................................................................................................................................... 6
Respiratory System: ................................................................................................................................. 7
Gastrointestinal System: .......................................................................................................................... 8
Hepatology: .............................................................................................................................................. 9
Haematology: ......................................................................................................................................... 10
CNS: ......................................................................................................................................................... 10
Rheumatology: ....................................................................................................................................... 11
Endocrinology: ........................................................................................................................................ 12
Diabetes Mellitus: .................................................................................................................................. 12
Nephrology: ............................................................................................................................................ 12
Acid base balance & Electrolytes: .......................................................................................................... 13
Psychiatry: .............................................................................................................................................. 13
Dermatology:.......................................................................................................................................... 13
Infectious Diseases: ................................................................................................................................ 14
Paediatrics: ................................................................................................................................................. 15
History taking and physical examination, Growth and development:................................................. 15
Immunization: ........................................................................................................................................ 15
Social and preventive pediatrics: ........................................................................................................... 15
Behavioral And Psychiatric Disorders: ................................................................................................... 15
Pediatric Nutrition and Nutritional disorders: ...................................................................................... 15
Acutely Ill Child: ...................................................................................................................................... 16
Neonatology: (low yield topic)............................................................................................................... 16
Infectious diseases: ................................................................................................................................ 16
Respiratory system: ................................................................................................................................ 17
GIT and Liver: .......................................................................................................................................... 17
CVS: ......................................................................................................................................................... 17
Neurology: .............................................................................................................................................. 18
Neuromuscular disorders: ...................................................................................................................... 18
Hematology: ........................................................................................................................................... 18
Neoplastic Disease: ................................................................................................................................ 19

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Endocrine disorders: ............................................................................................................................... 19
Human genetics: ..................................................................................................................................... 19
Nephrology: ............................................................................................................................................ 20
Dermatology:.......................................................................................................................................... 20
Pediatric Surgery: ................................................................................................................................... 20
Poisoning and Toxicology: ..................................................................................................................... 20
Surgery:....................................................................................................................................................... 21
General Surgery: ..................................................................................................................................... 21
Radiology: ........................................................................................................................................... 21
Preop Evaluation and Management:................................................................................................. 21
Anesthesia & Anelgsia: ...................................................................................................................... 21
Postop Complications: ........................................................................................................................ 21
ATLS: ................................................................................................................................................... 21
Thoracic Trauma:................................................................................................................................ 21
Neurosurgical trauma: ....................................................................................................................... 21
Burn injuries:....................................................................................................................................... 22
Plastic Surgery: ................................................................................................................................... 22
Acid Base disorders: ........................................................................................................................... 22
Fluids therapy: (low yield) .................................................................................................................. 22
Hemorrhage and shock: ..................................................................................................................... 22
Blood tranfusion: (low yield).............................................................................................................. 22
Surgical Nutrition: .............................................................................................................................. 22
Principles of oncology: ....................................................................................................................... 22
Skin lesions: (low yield) ...................................................................................................................... 22
Cysts, Sinus, Fistula, Wounds: ............................................................................................................ 23
Surgical Infections: ............................................................................................................................. 23
Arterial Disorders: .............................................................................................................................. 23
Venous disorders: Full from dogar ..................................................................................................... 23
Lymphatic Disorders: .......................................................................................................................... 23
Surgical Anatomy: .............................................................................................................................. 23
Additional read:.................................................................................................................................. 23
Systemic Surgery: ................................................................................................................................... 24

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Orthopedics: ....................................................................................................................................... 24
Upper GIT: ........................................................................................................................................... 24
Lower GIT: ........................................................................................................................................... 25
Urology: .............................................................................................................................................. 26
Endocrine Surgery: ............................................................................................................................. 27
Thorax and Cardiac Surgery: .............................................................................................................. 27
Breast: ................................................................................................................................................. 27
Neurosurgery: ..................................................................................................................................... 27
Head and Neck: .................................................................................................................................. 28
Gynaecology and Obstetrics: ..................................................................................................................... 29
Gynaecology: .......................................................................................................................................... 29
Chapter 1 (selective according to past papers) ................................................................................. 29
Chapter 2 ............................................................................................................................................ 29
Chapter 3 ............................................................................................................................................ 29
Chapter 4 ............................................................................................................................................ 29
Chapter 5 ............................................................................................................................................ 30
Chapter 6 ............................................................................................................................................ 30
Chapter 7 ............................................................................................................................................ 30
Chapter 8 ............................................................................................................................................ 30
Chapter 9 ............................................................................................................................................ 30
Chapter 10 .......................................................................................................................................... 30
Chapter 11 .......................................................................................................................................... 30
Chapter 12 .......................................................................................................................................... 30
Chapter 13 .......................................................................................................................................... 30
Chapter 14 .......................................................................................................................................... 31
Chapter 15 .......................................................................................................................................... 31
Chapter 16 .......................................................................................................................................... 31
Chapter 17 .......................................................................................................................................... 31
Obstetrics:............................................................................................................................................... 31
Chapter 1 ............................................................................................................................................ 31
Chapter 2 ............................................................................................................................................ 32
Chapter 3 ............................................................................................................................................ 32

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Chapter 4 ............................................................................................................................................ 32
Chapter 5 ............................................................................................................................................ 32
Chapter 6 ............................................................................................................................................ 32
Chapter 7 ............................................................................................................................................ 32
Chapter 8 ............................................................................................................................................ 32
Chapter 9 ............................................................................................................................................ 33
Chapter 10 .......................................................................................................................................... 33
Chapter 11 .......................................................................................................................................... 33
Chapter 12 .......................................................................................................................................... 33
Chapter 13 .......................................................................................................................................... 33
Chapter 14 .......................................................................................................................................... 33
Chapter 15 .......................................................................................................................................... 34
RECOMMENDED BOOKS............................................................................................................................. 34

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MEDICINE:
We recommend using Kaplan MTB and Kaplan Lecture (Conrad Fischer) videos
(https://drive.google.com/folderview?id=0BwPtKpVe05lWN3FVbkVwZkRlUzg ,
open on laptop/pc, may not open properly on mobile devices) before studying
Davidson for all topics. This guide has been made by combining 2 books (MTB
and Davidson), if you opt to choose one book alone while following this guide
you might miss a few topics. For that scenario (and in the case you opt for
some other book like Irfan Masood), we recommend using KOD’s topic
reference guide.
Read bedside for physical findings and short case preparation.

CVS:
Full unit from MTB and Bedside (The chapter on CVS in bedside is important
for theory too)
12 lead ecg page 448 davidson full incl table 16.2, Dale dubins method of
reading ECG page 38-43, 312-316, 334-346 (summary of Dale Dubin book)
(Knowing how to read an ECG is more important for OSPE as compared to
theory examination)
Table 16.5 page 454 Davidson
Table 16.9 Davidson
Heart failure (complete) Davidson
Atrial Fibrillation (Complete) Davidson
ACS (complete) Davidson
HTN (complete) Davidson (written in MTB at end of nephrology chapter)
Table 16.73
RHD Complete Davidson
For Valvular disorders, MTB and its lectures will cover theory and physical
findings will be covered by bedside
Infective endocarditis (complete) Davidson (+ from MTB infectious diseases
chapter)

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Diseases of the pericardium (complete) Davidson

Respiratory System:
Full unit from MTB book and lectures
Page 547 For physical findings of various respiratory diseases (these are also
covered in bedside)
Chest x-ray page 551 Davidson incl table 17.2 & 17.3
Table 17.5 Davidson
Breathlessness page 557 Davidson
Finer clubbing incl table 17.8 page 559 Davidson
Hemoptysis table 17.9 Davidson
Pleural Effusion Davidson
Table 17.16 Davidson
Asthma whole (Asthma classification from Kaplan Internal Medicine page 337)
Davidson
COPD whole Davidson
Bronchiectasis complete Davidson
Pneumonia complete Davidson
T.B complete Davidson
Sarcoidosis complete Davidson
Table 17.80 Davidson
Asbestosis Davidson
Pulmonary embolism Davidson
Lung cancer page 77 Step up Davidson
Pneumothorax page 83 step up Davidson

Additional read:
Control of breathing and Ventilation Perfusion matching page 549 davidson
ABG’s and oximetry page 555 Davidson
Respiratory failure page 565 Davidson
ABPA page 596 Davidson
IPF page 605 Davidson

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CWP, Silicosis, Hypersensitivity pneumonitis Davidson
Cor pulmonale page 103 step up
Table 17.85 Davidson

Gastrointestinal System:
Full from MTB and videos
Table 21.3 Davidson
Dysphagia page 778 and 779 Davidson
Acute upper G.I bleed Davidson
Table 21.17 Davidson
Malabsoprtion Davidson
GERD Davidson
Achalasia Davidson
Benign oesophageal stricture Davidson
Acute gastritis Davidson
Peptic Ulcer Disease Davidson
Celiac Disease Davidson
Whipple disease Davidson
Lactose Intolerance Davidson
IBD Davidson
IBS Davidson
Colon CA from step up page 113
Acute Pancreatitis Davidson
Chronic Pancreatitis Davidson

Additional Read:
CA Esophagus Davidson
Colon CA Davidson
Gastric CA page 158 step up
Infectious diarrhea from Infectious disease chapter MTB

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Hepatology:
Full from MTB and lectures
Table 22.2, 22.4, 22.14 Davidson
Acute liver failure Davidson
Jaundice Davidson
Hepatomegaly Davidson
Ascites Davidson
Hepatic encephalopathy Davidson
Variceal Bleed Davidson
Cirrhosis Davidson
Portal Hypertension Davidson
Viral hepatitis intro only (main from MTB, its written both in hepatology
section and infectious diseases section in MTB, do both)
Liver abscess (+ Amoebiasis from page 286 davi)
Alocoholic liver disease treatment Davidson
NAFLD treatment Davidson
Autoimmune hepatitis clinical features and treatment Davidson
PBC and PSC Davidson
HCC from step-up page 126
Hemochromatosis from step-up page 125 & table 22.56 from davidson
Wilsons disease Davidson
Gilbert syndrome page 130 step up
Hepatopulmonary syndrome page 898 davidson
Budd Chiari syndrome from stepup
Acute cholecystitis, cholangitis, choledocholithiasis etc will be covered from
surgery
Table 22.58 davidson

Additional Read:
Obstetric liver disease page 1283 Davidson

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Haematology:
Full from MTB and lectures
Table 23.2, 23.3, 23.4, 23.7, 23.11, 23.12, 23.16, 23.33
Monitoring anticoagulant therapy page 922 Davidson
Splenomegaly Davidson
Pernicious anemia page 944 Davidson
Management of megaloblastic anemia page 945 Davidson
Multiple myeloma Dx criteria page 957 Davidson
Aplastic anemia page 968 Davidson

Additional Read:
Table 23.8 davidson

CNS:
Full from MTB and lectures
How to localize a neurological lesion step up 239
Cerebrovascular disease (page 207- 214 step up)
Figure 26.1, Table 26.1 Davidson
Table 25.6 Davidson
Status epilepticus and its management (Table 25.12) Davidson
Table 25.13 Davidson
Definitions of Tremor, Chorea, Athetosis, Myoclonus, Ballism, Dystonia, Tics
Davidson
Headaches uptill and including Trigeminal neuralgia Davidson
Epilepsy Davidson
Multiple sclerosis Davidson
Transverse myelitis Davidson
Parkinsons Davidson
Wilsons Disease Davidson
Huntingtons Disease Davidson
Motor neuron disease Davidson
Meningitis whole and from MTB infectious disease chapter

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Viral encephalitis Davidson
Cerebral abscess Davidson
Table 25.75 Davidson
Hydrocephalus Davidson
GBS Davidson
Myasthenia Gravis Davidson

Additional Read:
Nystagmus page 1090 davidson
Bulbar and Pseudobulbar syndromes page 1093 davidson
Raised Intracranial pressure Davidson
Idiopathic intracranial hypertension Davidson
Table 25.80, 81, 82

Rheumatology:
Full from MTB and lectures except Low back pain, Lumbar spinal stenosis &
sports medicine
Table 24.3, 24.8, 24.9 Davidson
Figure 24.10 Davidson
Principles of Management headings only Davidson
Osteoarthritis Davidson
Gout Davidson
Table 24.50 Davidson
Rheumatoid Arthritis Davidson
SLE Davidson
Osteomalacia and rickets page 1051

Additional read:
Spondyloarthropathies Davidson
Systemic Sclerosis Davidson
Paget’s Disease Davidson

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Endocrinology:
Full from MTB
Diseases of thyroid gland full from step up
Table 18.7 from Davidson
PCOS from gynae ten teachers
Diseases of parathyroid gland full from step up
Table 18.34, 33.13 from Davidson
Diseases of adrenal glands from step-up
MEN syndromes from step up
Fig 18.20 from Davidson
Table 18.44 from Davidson
Diseases of pituitary gland from step-up

Diabetes Mellitus:
Step up and MTB full
Table 20.9, 20.11, 20.20, 20.35, 20.40 from Davidson
DKA & HHS full from davidson
Metabolic syndrome definition criteria from net

Nephrology:
MTB full
Cockroft Gault formula for GFR from net
Table 15.3, 15.11, 15.35 from Davidson
Oliguria Anuria definition page 391 davidson
Fig 15.9 davidson
Polyuria definition page 396 davidson
Diseases typically presenting as nephritic syndrome whole except table 15.15
Adult polycystic kidney disease page 405 davidson
Renal artery stenosis page 292 step-up
AKI and CKD full from davidson
RIFLE criteria of AKI from step up 269
CKD clinical features from step up

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Renal Replacement therapy headings only
UTI from MTB page 97
RCC from step up

Acid base balance & Electrolytes:


Full from MTB
Table 14.9, 14.17, 14.18 from Davidson
Fig 14.7 from Davidson
Fig 14.8 from Davidson

Psychiatry:
Start reading from page 1180 clinical examination and highlighting important
points. Learn headings of MMSE. Continue this way till heading of Principles of
management of psychiatric disorders on page 1189. NO need to do the 2
flowcharts on page 1188 and 1189.
Do full remaining chapter and use net as needed for concept.
Delirium page 183 davidson
The topics you should do, in addition, from MTB are (on the basis of
importance):
Mood disorders full
Psychotic disorders full
Anxiety, OCD, PTSD, GAD full
Factitious and Malingering disorder full

Dermatology:
MTB full except Cutaneous malignancies
Page 1211 Skin lesions photos and definitions Davidson
Scabies Davidson
Acne Vulgaris read whole and highlight important points Davidson
Eczemas read whole and highlight important points Davidson
Same for Psoriasis Davidson
Toxic epidermal necrolysis Davidson
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Immunobullous disease except last 3 from davidson
Pyoderma gangrenosum davidson
Erythema multiforme, Nodosum, Acanthosis nigricans davidson

Infectious Diseases:
From MTB: (Infectious diseases chapter)(Many topics of infectious diseases are
repeated from M1 topics)
CNS infections
Head and neck infections
Infectious diarrhea
Hepatitis
STDs (especially syphilis)
UTI
Endocarditis

HIV from MTB and Stepup page 386


PUO definition from davidson
Measles from davidson
Chickenpox and Shingles from Davidson
Mumps from davidson
Infectious mononucleosis from davidson
Dengue from Parvez Akbar with treatment from net
Herpes Simplex from davidson
Leptospirosis from davidson
Typhoid from Parvez Akbar
Cholera from Parvez Akbar
Shigellosis from davidson
Diphtheria from davidson
Malaria from davidson
Giardiasis from davidson
Tetanus from neurology section davidson
T.B from davidson

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Covid 19 from govt guidelines pdf issued by NIH.

Paediatrics:
Parvez Akbar for peads is very poorly written and contains a lot of unnecessary
details especially drug doses. So read and learn it to the point.

History taking and physical examination, Growth and


development:
Do neonatal reflexes, and first 2 pages of growth and development chapter.
Developmental milestones from internet. Rest of first chapter and second
chapter is not that important except history taking headings etc for ward.

Immunization:
Latest EPI schedule from EPI Pakistan website
Full chapter except Meningococcal vaccine, Pneumococcal vaccine, Typhoid
vaccine, Cholera vaccine, Rotavirus vaccine, Infleunza vaccine, Varicella
vaccine, Rabies vaccine

Social and preventive pediatrics:


Full page of pneumonia and very severe disease IMNCI
Diarrhea IMNCI full page
Sore throat IMNCI
Measles IMNCI

Behavioral And Psychiatric Disorders:


Read chapter for MCQS only focusing on definitions and treatment

Pediatric Nutrition and Nutritional disorders:


Vitamin A
Vitamin D
Malnutrition full (don’t go into excessive detail of treatment)

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Additional read:
Breastfeeding
Vitamin C
Zinc

Acutely Ill Child:


Foreign body inhalation

Neonatology: (low yield topic)


Extract main points from all these topics to conserve time
Definitions on first page
Neonatal resuscitation (do a simplified form of it from net or slides)
APGAR score from page 129
Prematurity
Respiratory distress syndrome
Necrotizing enterocolitis
Neonatal sepsis
Jaundice neonatorum
SGA infant
Infant of Diabetic mom
Neonatal seizures

Infectious diseases:
Acute diarrhea with IMNCI management
Cholera
Shigellosis from davidson
Typhoid
Polio
Diphtheria from davidson
Pertussis
Tetanus from davidson
Measles from davidson
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Mumps from davidson
Chickenpox davidson
I.M davidson
Malaria davidson
Dengue
Additional read:
T.B from davi
Rheumatic fever (also covered in CVS section)

Respiratory system:
You can also use davidson for repeat topics
Acute respiratory infections
Acute epiglottitis
Croup
Bronchiolitis
Pneumonia
Pneumothorax
Asthma
Cystic Fibrosis from MTB Respo section

GIT and Liver:


Chronic diarrhea
Lactose intolerance
Cow milk protein allergy
Celiac disease
Wilsons disease

CVS:
Fetal and Neonatal circulation
TOF
VSD
PDA

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ASD
Infective endocarditis from medicine
Myocarditis
Rheumatic fever from infectious disease section medicine

Additional read
TGA
Ebstein Anomaly
TAPVC

Neurology:
Meningitis from medicine
Cerebral malaria
Febrile convulsions
Epilepsy from medicine
Hydrocephalus
Cerebral palsy

Neuromuscular disorders:
DMD
GBS from medicine
Transverse myelitis
Additional read
Floppy infant

Hematology:
Anemia from medicine
Thalassemia
Acquired aplastic anemia
Hereditary Spherocytosis and Sickle cell from medicine
Fanconi anemia
Hemophilia from medicine

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vWD from medicine
ITP from medicine

Neoplastic Disease:
Leukemia except tumor lysis syndrome
Lymphoma

Additional read:
Wilms tumor

Endocrine disorders:
Growth hormone deficiency
Short stature
Hypothyroidism
DKA
Rickets (from Davidson too)

Additional read:
Congenital Adrenal Hyperplasia
Galactosemia from chap 20

Rheumatology
Kawasaki disease criteria only

Human genetics:
Down syndrome
Turner syndrome
Basic concept of single gene inheritance

19
Nephrology:
Acute PSGN
Nephrotic syndrome (classification according to steroid response, according to
age, according to etiology only, rest of topic from medicine)

Dermatology:
Diaper Dermatitis

Pediatric Surgery:
Cleft lip/palate
Intussusception

Poisoning and Toxicology:


First 2 pages of chapter

20
Surgery:
General Surgery:
Consult TOS for marks distribution as some chapters have more weightage
than other chapters, do more important ones on priority basis (you can refer
to Afaq Naeem’s final year guide for a priority list).

Radiology:
Full from dogar

Preop Evaluation and Management:


Full from dogar

Anesthesia & Anelgsia:


Full from dogar

Postop Complications:
Full from dogar

ATLS:
Full from dogar

Thoracic Trauma:
Full from dogar

Neurosurgical trauma:
Full from dogar
Additional Read:
Chap 24 Bailey and love

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Burn injuries:
Full from dogar
Plastic Surgery:
Full from dogar

Acid Base disorders:


Full from dogar

Fluids therapy: (low yield)


Whole except electrolytes

Hemorrhage and shock:


Full from dogar

Blood tranfusion: (low yield)


Full from dogar

Surgical Nutrition:
Full from dogar

Principles of oncology:
Full from dogar
Principles of radiotherapy from summary box 10.5 bailey page 154

Skin lesions: (low yield)


BCC
SCC
Lipoma
Melanoma
Additional read:
Neurofibroma

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Ganglion

Cysts, Sinus, Fistula, Wounds:


Full from dogar

Surgical Infections:
Full from dogar except heading of “Specific infections”

Arterial Disorders:
Full from dogar
Additional Read:
Davidson chap 16 Peripheral Arterial disease

Venous disorders:
Full from dogar

Lymphatic Disorders:
Lymphoedema
Filariasis
Cervical lymphadenopathy

Surgical Anatomy:
There is a section on anatomy in the beginning of every chapter in systemic
dogar, that is enough for this section in addition to past papers.

Additional read:
Suture needles
Aseptic techniques and sterilization

23
Systemic Surgery:
Consult TOS for marks distribution as some chapters have more weightage
than other chapters, do more important ones on priority basis.
Consult Bailey and love if you have difficulty in comprehending any topic from
dogar.
Compiled treatment of tumors according to staging compiled by Arsalan
Jibbran is available as separate file.
Do staging of tumors from Bailey and Love.

Orthopedics:
Selective according to past papers

Upper GIT:
GERD from medicine (do indications of anti-reflux surgery and surgeries from
dogar)
Achalasia
Esophageal Perforation
Mallory Weiss and Boerhaav Syndrome
Corrosive injury of Oesophagus
CA oesophagus
PUD mainly from medicine and surgery from dogar
Treatment of PUD complications from dogar
Liver tumors full
Pyogenic and Amoebic liver abscess
Hydatid Disease
Liver trauma full
Splenectomy full
Biliary tract full except Iatrogenic injuries
Acute pancreatitis
Pseudopancreatic cyst
Neoplasms of exocrine pancreas
Acute abdomen definition
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Investigations of acute abdomen
Primary secondary tertiary peritonitis definitions from net
Biliary peritonitis

Additional read:
Hiatal hernia
Gastric Cancer
Chronic pancreatitis
Mesenteric adenitis

Lower GIT:
Small bowel perforation
Typhoid perforation
Intestinal TB
IBD mainly from medicine and surgical procedures from dogar
Enterocutaneous Fistula
Meckels Diverticulum
Colonic Diverticulum
Rectal prolapse
Colorectal CA
Carcinoid tumor
Ileostomy Colostomy (also do these from bailey page 1277 and 1254)
Causes of rectal bleeding
Intestinal obstruction full chapter
Appendix full (don’t do details of DD’s)
Anal Canal full chapter except Anal incontinence, non malignant strictures of
anal canal, anal warts & neoplasms
Hernias, Umbilicus, Abdominal wall chapter full uptill and including sliding
inguinal hernia
Femoral canal surgical anatomy, headings of dds femoral hernia, its treatment
headings only
Ventral hernias full

25
Heading “Some special forms of Hernias” full
Burst Abdomen

Additional read:
Short bowel syndrome
Proctitis
Colonic polyps, Adenoma, FAP, HNPCC

Urology:
Renal Trauma
Ureteric Injuries
Hydronephrosis
PUJ obstruction
Renal stones
Ureteric stone
Pyonephrosis
Perinephric abscess
Renal Tumors
Urinary retention
Bladder injuries
Bladder stones
Neuropathic bladder
BPH
Prostatic Adenocarcinoma
Injuries to male urethra
Posterior urethral valve
Hypospadias
Urethral stricture
Circumcision
Cryptorchidism
Torsion of testes
Varicocele

26
Hydrocele
Epididymoorchitis
Testicular tumors (selective according to past papers)

Additional read:
PCKD
Vesicoureteric Reflux
Bladder cancer
Phimosis Paraphimosis

Endocrine Surgery:
Thyroid full
Only surgeries in parathyroid

Thorax and Cardiac Surgery:


Thoracic trauma from general surgery
Bronchogenic CA
Thoracic aortic aneurysm
Aortic Dissection
Tube thoracostomy
Cervical Rib
SVC syndrome
Coronary Artery disease and its surgery full

Breast:
Full from dogar and staging of CA from net
Additional read:
Page 866 Bacterial mastitis from Bailey and love

Neurosurgery:
Neurosurgical trauma from general surgery
Nursing care of unconscious patient
27
Brain death
Sciatic pain
Disc prolapse
Additional Read:
Lumbar disc herniation chap 33, page 476 Bailey and Love

Head and Neck:


Salivary glands full
Tumors of oral cavity full
Neck swelling (according to past papers)
Cleft lip and palate

28
Gynaecology and Obstetrics:
Gynae and Obs lecture slides of FMU are available on this link:
https://drive.google.com/drive/u/0/folders/1FWUmqlxtzto2RPIj4eDU4Ms4_P
WSE5Zs
Do mcqs written at the end of chapters and do read their explanations (they
are important).

Gynaecology:
Chapter 1 (selective according to past papers)
Sexual differentiation of fetus and development of sexual organs
Ureteric Anatomy
Pelvic muscles, ligaments, fascia
Arteries supplying pelvic organs
Lymphatics
Structural problems of pelvic organs

Chapter 2
For ward

Chapter 3
Normal Puberty
Precocious Puberty
DSD’s
Amenorrhea Oligomenorrhea
PCOS
PMS

Chapter 4
Full

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Chapter 5
Full (Do Gestational trophoblastic diseases from slides or Arshad Chauhan)
Chapter 6
Full and Abortion selective including Methods of abortion

Chapter 7
Full

Chapter 8
Unimportant chapter, can skip

Chapter 9
Infective causes of vaginal discharge
Cervicitis & PID
Genital herpes
Genital warts

Chapter 10
Full

Chapter 11
Full
Additional Read:
CPP

Chapter 12
Full

Chapter 13 (additional read)


Dyspareunia
Lichen Sclerosus

30
Lichen Planus
Vulval Cyst

Chapter 14
Full
Chapter 15
Full except sarcomas of uterus

Chapter 16
Full except Malignant disease of vagina

Chapter 17
Use additional sources for this chapter (net, other books, past papers) along
with ten teachers as answers of some past papers questions are not written in
it.
Hysterectomy
Common incisions read
Hysteroscopy
Laparoscopy
D&C

Obstetrics:
One chapter titled “Physiological Changes Of Pregnancy” present in older editions
of ten teacher is missing in the latest edition. You have to do it from pdf on net,
selective according to past papers.

Chapter 1
Dating the pregnancy
GPA system in heading of previous obstetric history
Rest of the chapter is important for ward
Table 3.1 and 3.2 from Arshad Chauhan

31
Chapter 2
Overview of antenatal care
Identification of high risk women

Chapter 3
Amniotic Fluid

Chapter 4
Full chapter and headings of doppler investigation

Chapter 5
Full chapter except new developments

Chapter 6
Hyperemesis Gravidarum
Obstetric Cholestasis
Fibroids
UTI
VTE
Oligo and Polyhydramnios
Fetal malpresentation at term
Post term pregnancy
Rh Isoimmunization

Chapter 7
Selective according to past papers

Chapter 8
Full except epidemiology, endocrinology and biochemistry of labour

32
Chapter 9
Full & Table 30.6 from Davidson for definitions
Additional read:
Management from Chapter 5 Arshad Chohan (page 64 till end of chapter)

Chapter 10
Counselling of Renal disease
Diabetes (Also do from slides/Arshad Chauhan)
Thyroid disease
Heart disease
Epilepsy
Anemia in Pregnancy from Arshad Chohan/Slides

Chapter 11
Skip this chapter as it accounts for only a single mcq

Chapter 12
Full chapter

Chapter 13
Perineal Repair
Episiotomy
OVD
C section

Chapter 14
Obstetric Hemorrhage full
Eclampsia
Shoulder dystocia
Uterine inversion

33
Uterine rupture

Additional read:
Chap 12 Arshad Chohan Antepartum Hemorrhage
Chapter 15
Figure 15.1 and types of lochia from page 274
Hypertension
Secondary PPH
Pyrexia
Genital Tract Infection/Puerperal Sepsis
Postpartum depressive illness and Puerperal Psychosis
Breastfeeding
Breast disorders full

RECOMMENDED BOOKS
Medicine

1. Davidsons Principle and Practice of medicine


2. Kaplan MTB
3. Kaplan Lecture notes
4. Step up
5. Bedside Techniques
6. ECG by Dale Dubin

Surgery:

1. Dogar General Surgery


2. Dogar Systemic Surgery
3. Dogar OSPE
4. Bailey and Love

Gynae and Obs:

1. Ten Teachers Gynae


2. Ten Teachers Obstetrics
3. Arshad Chohan

34
Paeds

1. Parvez Akbar

35

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