FCPS Medicine Part 1 Paper II preparation and Syllabus in Bangladesh

Mental state
You should understand the conduct and scope of a mental state examination.
You are expected to be familiar with features of abnormal mental states and particularly those that present commonly to physicians and to Accident and Emergency Departments.

Etiological factors in psychiatric illness
You should understand the primary etiological factors in psychiatric areas including:

• Genetic factors
• Environmental factors
• Life events
• Investigations

You should be familiar with the potential value of,Symptoms,diseases and indications for common laboratory procedures used in psychiatric illness including:

• Psychometric testing
• EEG
• Brain imaging
• Syndromes of psychiatric disorders and their treatment You should have knowledge of Organic brain syndromes (delirium, dementia, focal brain syndromes, head injury)
• Schizophrenia and related syndromes
• Paranoid disorders and related syndromes
• Affective disorders (anxiety states, phobic disorders, bipolar affective disorders)
• Grief and bereavement
• Self-harm, attempted suicide, suicide
• Substance misuse (including alcohol dependence)
• Eating disorders
• Obsessive compulsive disorder
• Abnormal illness behavior
• Syndromes associated with medically explained physical symptoms (including somatization and somatoform disorders)

Psychiatric aspects of physical disease You should be aware of the psychiatric presentations of physical disease including:

• Endocrine and metabolic disorders
• Toxic states
• AIDS
• Neurological disease
• Epilepsy
• Pain
• Mental retardation

6. DERMATOLOGY 

• Anatomy and  structure and  of the epidermis and dermis.
• function of the epidermis and dermis.

Clinical Dermatology

Knowledge of the clinical features of the following skin diseases is required:

• Psoriasis
• Eczema
• Urticaria
• Superficial fungal infections (dermatophytosis, pityriasis versicolor)
• Common skin cancers such as melanoma
• Vitiligo and alopecia areata
• Pemphigus and pemphigold
• Cutaneous herpes virus infections (herpes simplex, varicella zoster)
• Cutaneous staphylococcal and streptococcal infections
• Leprosy

cutaneous signs or symptoms which may indicate internal disease:

• Itch
• Hyperpigmentation
• Generalized erythema
• Loss of hair
• Increased hair growth
• Common patterns of nail dystrophy such as clubbing
• Erythema nodusum
• Erythema multiforme
• Purpura
• Ulceration
• Vasculitis

cutaneous symptoms and signs of systemic diseases.

• Collagen vascular disease such as SLE, systemic sclerosis
• Metabolic and endocrine disorders
• Infectious diseases
• Cancers
• Leukaemias
• Respiratory and cardiovascular diseases
• Common inherited diseases such as neurofibromatosis
• Dermatological complications of the Practice in Therapeutic immunosuppression (for example, systemic corticosteroid therapy, cyclosporin etc).
• diseases such as HIV which cause immunosuppression.

Investigation

• Important investigation

 Drugs and therapy

• drugs for dermatological treatment,
• Side effect of Drugs which cause life-threatening skin conditions such as erythroderma or Stevens-Johnson syndrome, angio-oedema and toxic epidermal necrolysis.

 7. STATISTICS, EPIDEMIOLOGY AND EVIDENCE•BASED MEDICINE

You should have a basic understanding of the usage and limitations of the common statistical tests used in reporting the results of research in clinical journals. The following lists of terms should give some idea of the range of terms and techniques which you should understand, all of which can be found regularly in journals such as The Lancet, British Medical Journal and New England Journal of Medicine.

You are not expected to have any knowledge of computer packages for carrying out statistical calculations. You may be expected to carry out simple calculations that do not require the use of calculator. You are not expected to memorise formulae for statistical tests, but should understand their conceptual basis.The following lists are not intended to be inclusive but as illustrative of the type of knowledge that you need to inclusive but as illustrative of the type of knowledge that you need to possess.

Descriptive Statistics

Examples of topics that might be included:

• Mean, median, mode
• Standard deviation, standard error
• Confidence interval
• Variance
• Range, quartile, inter-quartile range
• Percentile
• Skewness
• Contingency table
• Population
• Missing values
• Outliers

Graphical techniques

Examples of topics that might be included :

• Histogram
• Box-plot
• Scattergram

Inferential techniques

Examples of topics that might be included :

• Null hypothesis
• Alternative hypothesis
• Parametric and non-parametric tests
• Normal distribution
• Type 1 and Type 2 errors
• False positive and false negative
• Statistical power
• One and two-tailed tests
• Statistical significance, P value
• T-test • Mann-Whitney and Wilcoxon test
• Chi-square test for 2 x 2 contingency table
• Correlation (Pearson’s and spearman’s)
• Linear regression
• Study design

Clinical trials

Examples of topics that might be included :

• Interpretation of simple clinical trial data
• Randomization
• Placebo-controlled trial
• Open trial 
• Single-blind trial
• Double-blind trial
• Intention-to-treat
• Bias
• Evidence-based Medicine
• You are expected to have an understanding of evidence-based Medicine and an ability to apply this understanding in the management of patients