FCPS Medicine part 1 Paper I preparation and Syllabus in Bangladesh

FCPS Part 1 medicine exam has Three paper:

Paper 1

Paper 2

Paper 3

FCPS Medicine part 1 Paper I marks distribution:

• Each question have 2 marks.
• No of total question =50
• No of total marks = 100.
• Marks distribution according to chapter wise following the box:

FCPS Medicine part 1 Paper I syllabus & preparation

The first day of FCPS part-1 exam is paper-1 exam. Since the paper-1 test is done on the first day, so the preparation can be done very tightly for paper-1, with concentration and seriousness. All in all, the preparation of Paper-1 is more or less good for everyone. So you have to try to get good marks in Paper-1.

The syllabus of FCPS Medicine part 1 Paper I has seven topics e.g. below following :

1. Neurology,
2. Gastroenterology,
3. Hepatology,
4. Haematology,
5. Genetics,
6. General aspects of medical practice,
7. Climatic & Environmental factors in diseases and Principles of oncology.

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Question format of FCPS Medicine part 1 Paper I

No of Question Medicine Paper 1:

• Neurology- 15

• Gastroenetrology- 10
• Hepatology- 5
• Hematology- 8
• Genetics- 5
• General aspects of medical practice-5
• Climate & environmental factor in diseases- (1-2)
• Principles of oncology- (1-2)

These are all according to the syllabus of BCPS. However, it is common to see that a few questions may come up more or less. For example, 15 questions are supposed to come from neurology, but 16-18 questions are often seen to comeowk from neurology. Again, 3-4 questions may come from Principles of oncology.

You have to give the most importance while preparing for Paper-1

Firstly read

• Neurology,
• Gastroenterology,
• Hematology
• Hepatology

Next read

• Genetics

General aspects of medical practice

Next read

• oncology environment

1. Neurology preparation for Medicine Part 1 paper I

★★★Most important topics from Neurology

Most of the questions in Paper-1 come from this topic. However, FCPS means clinical, it can not be forgotten, so the question also comes from clinically important  Such as –

• Multiple sclerosis,
• Parkinson’s disease,
• Motor neuron disease,
• stroke and stroke feature with region,
• GBS,
• Medullary syndromes,
• meningitis,
• myasthenia gravis etc.

In neurology, clinical as well as neuroanatomy and neurophysiology are very important. Of the 15 questions in neurology, 4-5 are come from neuroanatomy and neurophysiology. So when you read from the clinical, you must read by co-relation.

Read: FCPS Question Bank

Materials for preparation of Medicine Part 1 neurology 

1. Davidson’s principle & practice of medicine 23rd edition (must read, important boxes, important topics with figures read in full)
2. Snell’s clinical neuroanatomy-Important parts of neuroanatomy such as cerebral hemisphere and area, CSF, spinal cord, basal ganglia, artery supply, venous supply etc. can be seen from Snell’s clinical neuroanatomy.
3. Ganong/gyton or BRS-Important parts of neurophysiology such as receptor, synaptic transmission, neurotransmitter, special sensory pathways etc. can be seen from Ganong/gyton or BRS. You must see the important boxes of Ganong. If you find Ganong’s topic more difficult to read, you can get an idea about that topic from Guyton.

2. Gastroenterology preparation for Medicine Paper 1 After neurology

The most important segment is gastroenterology. While reading Neurology may seem a little difficult,Gastroenterology is a little easier than neurology.

★★★Important topics must be read in co-relation. 

• Dismotility disorder of oesophagus,
• H. pylori,
• PUD, IBD,
• Malabsorption syndromes,
• pancreatitis etc. are hot topics.
• 1st line investigation & treatment,
• gold standard investigation & treatment,
• most common age & symptom.
• GI physiology is very important in gastroenterology.
• Know the various reflexes,
• GI enzymes & hormones with their actions,
• summary of digestion & absorption of carbohydrate, protein & fat etc.

Scenario based questions come more so you have to have an idea about the whole issue of a disease.very well.

Gastroenterology Syllabus 

Clinical conditions :

• Structure and function of the gastrointestinal and hepatobiliary tract
• Neurohormonal control of gut motility
• Secretory and absorptive functions of the gastro-intestinal tract and liver
• Symptoms and signs of gastrointestinal, hepatobiliary and pancreatic diseases
• Genetics of the more common gastrointestinal and liver disorders

Gastrointestinal pharmacology:

• Clinical pharmacology of drugs used in gastrointestinal disorders including their actions, interactions and adverse effects
• Drugs for  Control of gastric acid secretion
• Autonomic control of gut function
• Effects of cholinergic, adrenergic and serotonergic agents on gut function

Disorders of the mouth, tongue and salivary glands :

• Mouth ulcers, periodontal and salivary disorders
• Oral manifestations of systemic and dermatological disorders
• Causes of mouth ulcers and their management
• Skin disorders commonly involving the buccal mucosa

Disorders of the esophagus and stomach:

• Achalasia
• Carcinomas
• Dyspepsia
• Peptic ulceration
• Gastrointestinal hemorrhage
• Control of HCL secretion by the parietal cells
• Role of Helicobacter-associated gastritis in peptic ulcer disease
• Management of acute upper gastrointestinal bleeding

Functional disorders:

• Functional chest pain and functional dyspepsia
• Irritable bowel syndrome and functional abdominal pain
• Functional constipation and diarrhoea
• Neural control of viseral nociception and gut motility
• Role of emotional and psychosocial factors in illness
• Management of chronic pain and the use of pain-modifying drug therapy

Disorders of the small intestine:

• Malabsorption syndromes
• Investigations commonly used in the assessment of suspected malabsorption

Disorders of the liver, biliary tree and pancreas

• Bilirubin metabolism and the enterohepatic circulation of bile acids
• Causes of jaundice and cholestasis
• Common pancreatic disorders including carcinoma
• Fulminant liver failure
• Acute and chronic hepatitis
• Drugs, toxins, alcohol and the liver
• Aetiology, clinical and histopathological features of acute and chronic parenchymal disorders of the liver
• Aetiology, presentation and management of acute and chronic pancreatitis

Inflammatory bowel diseases and gut infections

• Infective gastroenteritis
• Parasitic and protozoal gut infections
• Ulcerative colitis
• Causes, investigation and management of acute and chronic enteric disorders

Colorectal disorders

• Polyps
• Carcinomas
• Anorectal disorders

Meterials for Gastroenterology preparation (Medicine Part 1)

1. Davidson’s principle & practice of medicine 23rd edition (must read, summary box, figure, presenting problems, details of important diseases)
2. GI for physiology Guyton / Ganong / BRS you can see any, which you like to read. –

3. Haematology preparation for Medicine Part 1

Hematology is a very important chapter in this book. But it is a very difficult chapter after Neurology.

Anatomy, physiology

• Physiology, control and function of formed blood elements
• Bone marrow structure and function
• Applications of biochemistry, genetics, immunology, and virology to blood disorders
• Effects of age and pregnancy on blood disease
• Splenomegaly, lymphadenopathy, and their causes
• Principles and hazards of blood and blood product replacement therapy
• Principles of marrow transplantation

Iron metabolism :

• Physiology of iron, including its absorption
• Iron overload
• Iron deficiency states including diagnosis, causes and treatment
• Iron metabolism, including anaemias of chronic disorders and sideroblastic anaemias

Megaloblastic anaemias

• B12 deficiency
• Folate deficiency

Haemolytic anaemias:

• Mechanisms of shortened red cell survival
• Features and management of congenital and acquired haemolytic states
• Molecular pathology of thalassaemia and common haemoglobinopathies
• Causes of haemolysis
• Diagnosis of haemolytic anaemia

Other anaemias

• Anaemias complicating systemic disease
• Aplastic anaemia
• Myelodysplastic syndromes
• Polycythaemia and myeloproliferative disorders You should know the causes, investigation and management of polycythaemia ‘and myeloproliferative disorders.

White cell disorders

• Physiology of leucocytes
• Leucocytosis and leucopenia
• Acute and chronic leukaemias, including diagnosis, management and prognosis
• Lymphoproliferative diseases including Hodgkins disease, non-Hodgkin’s lymphomas, and plasma cell dyscrasias

Disorders of haemostasis

• Platelet function and coagulation
• Thrombocytopenia and impaired platelet function
• Thrombocytosis
• Common congenital and acquired disorders of coagulation (especially anticoagulant therapy and disseminated intravascular coagulation
• Clotting disorder disorder, Myeloproliferative disorder are hot topics. These topics are one but very big, important and there are several issues under them.

Materials for Hematology preparation for fcps part 1

1. Davidson’s principles & practice of medicine 23rd edition (must read, summary box, figure, presenting problems, details of important diseases).
2. Understand the pathophysiology of the disease from Hoffbrand.
3. Rodde physiology (hematology)
4. Haematology MCQ Doctors Gang FCPS Question Bank.

4. Hepatology preparation for Medicine Part 1

• Cirrhosis with its complication,
• Autoimmune hepatitis,
• PBC,
• PSC,
• Jaundice
• Hepatitis,
• details of Hepatitis B virus,
• HCC,
• Hepatic encephalopathy,
• ascites,
• Hemochromatosis,
• Wilson’s disease,
• Cholangitis etc. are hot topics of hepatology. Also need to look at the physiology of the heptobilliary system.

Materials for Haematology preparation for Medicine Part 1

1. Davidson’s principle & practice of medicine 23rd edition (must read, summary box, figure, presenting problems, details of important diseases).
2. Guyton to give physiology reading of hepatobiliary system Details of Hepatitis B and Hepatitis C from Lange microbiology have a concrete idea about pathophysiology, window period, serology. These topics cannot be confused.

5. Genetics preparation for FCPS part I Paper I

• AD with feature.
• AR with feature.
• XLR with feature.
• XLD with feature.
• DNA / RNA detection techniques such as southern or western blot, NGS etc.
• Features of mitochondrial inheritance,
• coding / non-coding repeated expansion,
• Down syndrome,
• klinefelter’s syndrome,
• turner’s syndrome,
• duchenne muscular dystrophy should also be considered.
• Chromosomal basis of inheritance
• Chemical basis of inheritance
• Manipulating and tracking genes
• Single gene disorders
• Chromosomal disorders
• Multifactorial disorders
• Genetic counseling
• Perinatal diagnosis
• Gene therapy 

Materials for genetics FCPS part 1 preparation

1. Davidson’s principle & practice of medicine 23rd edition (must read, summary box, figure, presenting problems, details of important diseases)
2. Robbin’s, Khaleque pathology, 
3. ABC of biochemistry, various types of genetic disorders, examples together in davidson note together.

7. CLIMATIC AND ENVIRONMENTAL FACTORS IN DISEASE