Surgery and Allied Subjects

Final professional Examinations:
Marks distribution for assessment of surgery
Total marks Surgery and allied Subjects – 500
• Written = 200 (Formative Assessment-20 +(MCQ- SBA & MTF) 40+ (SAQ +SEQ) 140 =200)
• Structured Oral = 100 (60+20+20)
• Clinical = 100 (60+20+20) • Practical (OSPE/OSCE) = 100 (60+20+20) Total in Surgery and allied—500.

 

Course Contents in Surgery
Contents
CORE
Phase II
1. History, evolution, and scope of surgery
2. Approach to a surgical patient
3. Surgical diagnostic process and techniques
4. Surgical Infection (Boil, Furuncle, Abscess, Carbuncle, cellulites)
5. Septicemia (causes, complications, and treatment)
6. Sinus, Fistula, and cysts
7. Wounds (classification and management)
8. Ulcers, pressure sores
9. Groin hernias
10. Hemorrhage
11. Shock Phase III Metabolic response to injury
12. Principles of Management of Trauma
13. Management of a severely injured patient
14. Fluid and electrolytes balance
15. Enteral and Parenteral nutrition Phase IV
16. Pre-operative assessment and preparation
17. Tumors of the skin
18. Lymphadenopathy (causes, investigations, diagnosis, biopsy)
19. Surgical ethics

 

ADDITIONAL
Organ transplantation, Robotics in surgery

 

Contents
CORE
Phase II
Complications of Peptic ulcer (Perforation, Pyloric stenosis)
Upper G.I. Tract bleeding
Appendicitis
Intestinal obstruction;

 

Phase III
Abdominal trauma (Diagnostic and Management principles)
Ruptured Spleen
Ruptured liver
Ruptured intestine

 

Phase IV
Tongue, Lip & other oral lesions (ulcer, cancer)
Oesophagus
Carcinoma oesophagus and stricture
Carcinoma stomach Neoplasm of colon and rectum
Intestinal tuberculosis
Anal canal Hemorrhoids, Fistula, Sinus & Fissure, Carcinoma anus
Colostomy & ileostomy (indications and management)

Abdominal incisions (Tutorial)

 

ADDITIONAL
Intra-abdominal abscess
Diseases of salivary glands
Hiatus hernia.

 

Contents
CORE
Phase III
1. Urinary symptoms & definitions
2. Urological investigations and their interpretations,
3. Developmental Genito-urinary anomalies
4. Scrotal swelling
• Hydrocele
• Scrotal cellulitis
5. Acute scrotal conditions
• Epididymis- orchitis
• Torsion testis

 

Phase IV
6. Urolithiasis (Causes, Diagnosis, Principles and modalities of treatment)
7. Retention of urine (acute and chronic
8. Hydronephrosis
9. UTI
10. Urinary tract injury.
• Renal injury
• Urethral injury
11. Renal Neoplasm
• RCC
• Wilm’s Tumor
12. Testicular Tumour
13. BPH
14. Stricture urethra

 

ADDITIONAL
• Male infertility
• Minimal Invasive Surgery in Urology

 

CORE
Phase II
Cholelithiasis (causes and complications)
Cholecystitis (acute & chronic)
Pancreatitis (acute pancreatitis)

 

Phase IV
Obstructive jaundice
Pancreatic tumors
Liver abscess

 

ADDITIONAL
Hepatic neoplasm
Cysts of liver
Neoplasm of Gall Bladder

 

CORE
Phase IV
Thyroid
Goiter and Neoplasms of thyroid

 

Breast
Breast pain, Mastitis and Breast Abscess Fibro-adenosis and Fibroadenoma Carcinoma of breast

 

ADDITIONAL
Diseases of adrenal gland
Diseases of Parathyroid gland

 

CORE

Phase IV
Chest injury (Hemothorax, Pneumothorax)
Chest tumors, Chest drain,

 

ADDITIONAL
Dysphagia
Empyema thoracis

 

CORE

Phase III
Vaso occlusive disorders Atherosclerosis, Buerger’s disease Varicose vein Thrombophlebitis Deep vein thrombosis

 

ADDITIONAL
Pulmonary embolism
Angioplasty, CABG and cardiac surgery

 

Core
Phase IV
Burn (Causes, complications and management) Skin grafting Skin tumors, Special area burn , Inhalation and electric burn.

 

Contents
CORE
Phase IV
Head injury
ICSOL
PLID Paraplegia/hemiplegia

 

ADDITIONAL
Hydro Cephalus
Tumors of brain
Tumors of spinal cord

 

CORE
Phase III
Principles of Asepsis & Antisepsis
Pre-operative assessment & preparation
Venus’s access
Circumcision
Operation for hydrocele Repair of D.U perforation
Wound care

 

Tutorials
Universal precautions (Scrubbing, gloving & gowning) O.T. environment & behavior Preoperative skin preparation and draping Suturing materials, Stitches

 

Phase IV
Common Abdominal incision
Operation for inguinal hernia
Drainage of abscesses
Catheterization, Supra-pubic cystostomy
Anastomosis
Appendicectomy
Cholecystectomy
Gastrojejunostomy
Basic principles of Laparoscopy.

 

Additional
Thyroidectomy, Nephrectomy, Mastectomy / Prostatectomy

 

CORE
Phase III
a) General Orthopedics
• Introduction to orthopedics
• Hard tissue trauma: –
-Fracture classification
-Principal of management of open and closed facture
-Fracture healing –nonunion, malunion, delayed union.
• Infection of bone (Acute and chronic osteomyelitis)

 

Phase III
b) Regional orthopedics
Upper limb
Colles’ fracture Supracondylar fracture
Clavicle fracture
Radius Ulna fracture (Shaft)
Homarus fracture (Shaft)
Lower limb
Fracture of Shaft of femur
Fracture of Tibia fibula

 

Phase IV
Regional Orthopedics
• Upper Limb Hand injuries and Hand Infection
• Lower Limb Fracture of Neck of femur Fracture of Pelvis Ankle and foot injuries Amputations

 

Additional
Dislocation – Hip, Hemarthrosis
• Soft tissue trauma (muscle and tendon injuries, compartmental syndrome)
• Infection of joint including osteoarticular tuberculosis
• Mass Casualty- ATLS, Disaster management.
• Bone tuberculosis

 

Additional
a) Dislocation of shoulder and elbow
b) Pediatric orthopedics: Congenital anomalies-talipes, DDH, Bow legs, Polydactyly, Claw
c) Bone tumors: Classification of bone tumor Common benign and malignant bone tumor – osteochondroma, Giant cell tumor, Osteosarcoma, Metastatic bone tumor.
Vertebral fracture – (primary management, transportation. Principles of definitive management)

 

Additional
d) Tendinitis, Tenosynovitis, and bursitis.

 

Phase III
CORE
a) Anesthesia as a subject: its scope, outline- present & future
b) Anesthesia Pharmacology: Drugs: induction, maintenance, muscle relaxants
c) Intra-operative management
d) Post-operative management and complication
e) General GAnes (G.A)
f) Local/Regional anesthesia
g) Management of Pain (chronic)
h) Intensive Care Unit (ICU)
i) Basic life support.
j) Cardio-Pulmonary Resuscitation (CPR)

 

Exposure to practical procedures (Tutorial) :
• Pre-operative assessment
• Induction
• Endotracheal Intubation
• CV line
• Artificial ventilation
• Face mask ventilation.
• Recovery room experience

 

CORE
Phase IV
• Introduction of radiology & imaging including CT & MRI
• Hazards of radiation and protection for personals, and patients.
• Principles of ultra-sonography & its clinical application
• Plain & contrast X-Rays
• Interventional imaging
• USG

 

CORE:
• Normal and pathological image
• Pneumonic and Tuberculous consolidation
• Pleural effusion
• Pneumo Thorax

 

Additional
• Lung abscess
• Mediastinal mass

 

Contents
Core:
• Plain X-ray findings of Acute abdomen.
• Indications & contraindications for barium studies. Hepatobiliary system Cholangiogram & ERCP
• USG of HBS and Pancreas

 

Additional:
MRCP
CORE
• Diagnosis of common fractures of upper and lower limb
• skull fractures
• Spinal fractures and caries spine
• Acute osteomyelitis
• common bone tumors
• diseases of joints
• dislocations

 

CORE
• X-ray KUB & IVU
• USG of Kidney, Ureter, Bladder, and prostate

 

Phase IV
CORE
Introduction to Radiotherapy
Radiation oncology, basic principles, and practices:
• Aims of radiation oncology
• Sources of radiation, Isotopes, and their mechanism of action
• Curative/Palliative radiotherapy
• Radiosensitivity, radio resistance, radio curability and normal tissue tolerance.
• Common radiation reactions and management.

 

Medical oncology, basic principles and practice:
• Cell cycle and Mechanism of action of cytotoxic drugs
• Clinical aspect of cancer chemotherapy
• Complications of chemotherapy (Infection and bleeding tendency)
• Chemotherapy of common cancers,
• Common Chemotherapeutic regimes

 

Prevention of common cancer:
• Primary prevention, Secondary prevention
• Early diagnosis
• Referral to appropriate center

 

Palliative support and terminal care:
• Follow-up of cancer patients and terminal care

 

Nuclear Medicine, basic Principles and practice:
• Radio-isotope in diagnosis
• Radio-isotope in therapy

 

CORE
Phase III
• Examination of a child and neonate (Special considerations)
• Infantile Inguino scrotal swellings
• Acute abdomen in infants & children
• Congenital hypertrophic pyloric stenosis

 

Phase IV
• Neonatal/Infantile intestinal obstruction
• Intussusception
• Anorectal malformations.
• Maldescended Testis
• Torsion Testis
• Haemangioma and other Cutaneous lesions
• Child-hood tumours.
• Rectal bleeding and prolapsed rectum

 

Tutorials
• Cystic hygroma, Branchial fistula
• Phimosis/balanitis
• Paraphimosis
• Phimosis/balanitis
• Paraphimosis