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FCPS Part 1 (Medicine and Allied) Syllabus by CPSP - (Paper I & Paper II)

FCPS Part 1 Medicine and Allied Syllabus in Pakistan

FCPS part 1 Medicine Syllabus by CPSP
Photo: College of Physician and Surgeon Pakistan (CPSP)

FCPS in Pakistan Provided by CPSP(College of Physician and Surgeon Pakistan). FCPS Part 1 has two Papers. Paper I  & Paper II.

FCPS Part Both Paper (I & II) Syllabus

PAPER II have following Subject :

  1. Anatomy 
  2. Physiology, pharmacology,and Biochemistry 
  3. Pathology & Microbiology
  4. Research and Biostatistics, Epidemiology 
  5. Behavioural Science, Medical Ethics 

PAPER II have following subject :

  1. Anatomy, Histology, and Embryology
  2. Physiology, and Biochemistry 
  3. Pathology, Microbiology & Immunology 
  4. Pharmacology 

Paper I

FCPS part 1 : PAPER I 

1. ANATOMY

1. Gross Anatomy
  1. Muscles
  2. Joints
  3. Major Blood Vessels
2. Embryology (General aspects)
3. Histology (General)
  1. Types of tissues
  2. Epithelia
  3. Muscles
  4. Nerve
  5. Blood Vessels
  6. Fibro fatty tissue
  7. Lymph Nodes
4. Brain and Spinal Cord (Central Nervous System) Gross Structure,Spinal Nerves (Origin and distribution, Action, and Function), Cranial Nerves, Peripheral Nerves.
5. Head and Neck (General Aspects)
6. Viscera(Soft ogan): Gross Structure
  1. Heart
  2. Lung
  3. Kidney
7. Anatomical Outline-Bronchial Tree
8. Endocrine Glands – Anatomical Structure of-
  1. Pituitary, 
  2. Thyroid, 
  3. Parathyroid and 
  4. Adrenal Glands etc

2. PHYSIOLOGY, PHARMACOLOGY & BIOCHEMISTRY

2.1. General Physiology
  1. Components of cell & cytoplasm with their functions (in general) & transport across the cell membranes.
  2. Nerves & Muscle Contraction
  3. Classification & properties of nerve fibers,
  4. Receptors (types, properties & functions)
  5. Function of motor & sensory areas of Brain.
  6. CSF/Cerebrospinal Fluid, it’s formation, functions, drainage, lumbar puncture.
  7. Autonomic nervous system(Sympathetic & parasympathetic) - (outflow and responses of affected organs)
  8. General properties and composition of blood. 
  9. Normal counts and functions of Erythrocyte/RBCs, Leucocyte/WBCs, Platelets
  10. Mechanism of homeostatic coagulation factors and their actions.
  11. Blood groups (types, antigens, antibodies, phenotypes, genotypes and significance)
  12. Conducting tissues of heart (generation and propagation of cardiac impulse).
  13. Cardiac cycle (pressure, volumes, valvular changes),
  14. Blood pressure and its regulation (general)
  15. Respiratory and non-respiratory functions of respiratory tract
  16. Body fluids, compartments and regulations of Osmotic equilibrium & acid base balance.
  17. Regulation of extra cellular fluid(ECF) and blood volume
  18. General functions of kidney
  19. Regulations of body temperature
2.2. Pharmacology

  1. General principles of rational drug therapy
  2. Clinical pharmacokinetics
  3. Adverse reactions of common drugs
2.3. Biochemistry
  1. Requisites of a balanced diet
  2. General principles of electrolyte balance
  3. Role and function of endocrine hormones
  4. Metabolism of carbohydrates, protein, fats and vitamins

3. PATHOLOGY INCLUDING MICROBIOLOGY


  1. Effects of injury on cell by physical, chemical and biological agents
  2. Inflammation (Acute & Chronic Including granulomatous)
  3. Regeneration and repair
  4. Metabolic response to trauma
  5. Disturbance of homeostatic mechanism (hemorrhage and shock and Oedema)
  6. Thrombosis and embolism, infarction and gangrene
  7. Disorders of growth (adaptation, atrophy, hypertrophy, hyperplasia)
  8. Carcinogens and pre-malignant lesions
  9. Neoplasia: General classification and its spread
  10. General aspects of tumor markers
  11. General characteristics of bacteria, viruses, chlamydia, recketsia, parasites and fungi
  12. Immunology and Immune system: General principles
  13. Medical genetics – basic concepts
  14. Interpretation of routine biochemical tests e.g liver function test, glucose, urea and creatinine.
  15. Nutritional diseases: deficiency of vitamins and minerals,PEM.

4. RESEARCH AND BIOSTATISTICS – BASIC CONCEPTS EPIDEMIOLOGY


An introduction to epidemiology and its role in understanding distribution and determinants of disease.
Measure of disease occurrence
Screening
Biostatistics:
  1. Introduction to biostatistics
  2. Data and its kinds
  3. Summarization of data
  4. Normal distribution
  5. Point and interval estimation and probability
  6. Hypothesis testing, significance level and power

5. BEHAVIORAL SCIENCE AND MEDICAL ETHICS – GENERAL PRINCIPLES


  1. Medical Ethics
  2. Communication skills including doctor patient relationship and counseling
  3. Psycho social aspects of general healthcare

Read more:
 Paper II

FCPS part 1 (PAPER II) : Medicine & Allied

1. ANATOMY, HISTOLOGY, and EMBRYOLOGY

1. Embryology: Development of heart, Brain, Kidney Common developmental defects.
2. Histology
Liver
Pancreas
Spleen
Kidney
Brain
GIT

3. Regional Anatomy:
Structure and General disposition
4. Upper Limb:
Pectoral girdle and axilla
Breast
Arm
Forearm
Wrist
Hand
Innervation of muscles
Osteology
5. Lower Limb:
Gluteal region and hip joint
Thigh
Popliteal fossa and knee joint, leg
Ankle and Foot
Innervation of muscles
Osteology

6.Thorax:
Thoracic wall and diaphragm
Heart
Mediastinum
Pleura
Lungs
7. Abdomen:
Anterior abdominal wall
Peritoneum
Gastro Intestinal tract
Liver and biliary tract
Pancreas
Spleen
Kidney
Ureters
Suprarenal gland
8. Pelvis:
Pelvic cavity
Urinary bladder
Male genital organs and urethra
Female genital organs
Pelvic vessels
Nerves
Pelvic joint and ligaments
Lumber and sacral plexuses
9. Head, Neck, Spine:
Cranial cavity and meninges
Vertebral column and vertebral canal
Scalp
Face
Parotid glands
Nose and sinuses
Oral cavity
Pharynx


10. Central Nervous System:
Cereberum - Internal structure
Cortical areas
Cerebellum
Brain stem
Descending and Ascending tracts
Special senses - Anatomical pathway
O Visual
O Tastes
o Olfactory
Autonomic Nervous System


2. PHYSIOLOGY & BIOCHEMISTRY

1. Kidney:
Functions of kidney
Glomerular filtration - determinants
Tubular reabsorption and secretion
Regulation of Sodium. Potassium,
Calcium, Phosphate and Magnesium
concentration
Micturition

2. The Heart:
Physiology of cardiac muscle
Cardiac cycle
Relationship of the heart sound to heart
pumping, cardiac output
Electrical Activity of the Heart
Electro cardiogram - characteristics
Vectorial analysis of E.C.G.- Abnormalities
Cardiac Arrhythmias
3. The Circulation:
Capillary fluid exchange
Interstitial fluid and lymph flow
Nervous Regulation of the circulation
Control of blood pressure
Humoral control of circulation
Circulation through special regions -
Cerebral, Coronary, Pulmonary & splanchnic
Cardiovascular changes in exercise


4. Gastro Intestinal System:
Motility and propulsion. Nervous Control
Secretory function
Digestion and absorption - Malabsroption
syndrome
Functions of liver - Metabolic functions
Bilirullin formation and excretion - types
of jaundice
Energy Metabolism - Energy requirement
Defecation
Vomiting
5. Respiratory System:
Pulmonary Ventilation: Ventilation - Perfusion ratio
Principles of gas cxchango - diffusion of gases
Pulmonary Capillary dynamics
Regulation of respiration, Lung function tests
Respiratory insufficiency - Hypoxia
Cyanosis
Oxygen therapy
Hypocopnia, Hypercapnia
Respiratory changes in exercise
6. Central Nervous System:
Cortical and brain stem control of motor
functions.
Cerebellum - Functions in overall motor
control
Basal ganglia - Functions in executing pattern
of motor activity
Role in cognitive control of sequence of
motor control:
Integration of total motor control systems
o Control of posture and movement
7. Cerebral cortex - higher functions of the Nervous system:
+ Conditioned reflexes
Learning and Memory
+ Function of Neocortex
The limbic system and the hypothalamus:
Behavioural and Motivational Mechanism
Physiology of sleep and electric activity of
the brain - E.E.G.
Somatic sensations - pain, headache,
thermal sensation.
Speech mechanism.
8. Physiology of special senses:
Smell
Taste
Hearing
Vision
9. Physiology of Endocrine:
Mechanism of action of Hormones
Pituitary Hormones - Hypothalamic
control growth hormone, ADH, oxytocin
Adrenal glands - Adrenocortical
hormones-functions and control of
secretion
Adrenal Medullary Hormones
Thyroid Metabolic Hormones - Functions
and control of secretion
Parathyroid Hormone - Calcium and
Phosphate Regulation
Vit. D for development of bone and teeth.
Insulin, glucagon.
Reproductive System.
Male reproduction.
Fomalo Hormones, Hypothalamic-pituitary
and ovarian control of reproduction.
Pregnancy and lactation.
Neonatal physiology.



III. PATHOLOGY, MICROBIOLOGY and IMMUNOLOGY

1. Mechanism of immune mediated injury:
Types of hyper-sensitivity reactions
2.Mechanism of auto-immune diseases:
Immunologic tolerance
Genetic factors in auto-immunity
Major abnormalities of immune function in AIDS
3.Immuno-deficiency Diseases:
Primary immuno-deficiencies
Suvere combined immuno-deficiency
Genetic deficiencies of complement components
Secondary immune-deficiencies
4. Neoplasia:
Epidemiology
Etiological factors
Tumor Immunity Host defense against tumour
Effects of tumour on Host
Para neoplastic syndrome
Grading and staging of malignancy
Laboratory diagnosis of cancer
5. Genetic Diseases:
Transmission Pattem of single gene disorders
Disorders of multi-factorial inheritance
Cytogenetic disorders involving autosome and sex chromosome
Single gene disorders with atypical pattern
of inheritance Diagnosis of genetic disease
Factors responsible for common
environmental diseases
Pathogenesis of Atherosclerosis and
Ischaemic Heart Disease - Risk factors

6. Disorders of Haemopoietic and lymphoid
systems:
Non-neoplastic disorders of W.B.C.
Bleeding disorders. causes.
7. Pathophysiology of Jaundice
8. Myco-bacteria:
Tuberculosis
Leprosy
9. Viruses:
Pathogenesis and diagnosis of viral diseases
Hepatitis A,B,C,D,E
HIV / AIDS
Rabies
Herpes
Influenza
10 Parasitology:
Haemo-parasites - Malaria, Leishmania, filariasis Intestinal - Giardia, entamoeba, nematodes, cestodes Hydatid disease


IV. PHARMACOLOGY

1. Antibiotics, Antifungal and Anti-Viral Drugs: Anti-tubercular drugs
Anti-Malarial
Anti-Amebic
Anti-helmintic
2. Drugs used in peptic ulcer:
Anti-emetics
Purgatives
Gastric anti-acid
Drugs used in diarrhea

3. Analgesics - NSAIDs:
Anti-rheumatic and anti-gout drugs
Opioid analgesics
Drugs used in Parkinsonism
Drugs used in epilepsy
Anxiolytics and hypnotics
Anti-depressants
Anti-histamines (H. Blockers)
Anti-hypertensive drugs
Anti-anginal drugs
Drugs used in congestive heart failure and
arrhythmias
Drugs used in hyper-lipidemia
Drugs used in anemias
Drugs used in coagulation disorders
4. Insulins and oral anti-diabetics
5. Thyroid and anti-thyroid drugs
6. Autonomic drugs
7. Vaccine and immuno-globulins

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