DETAILED SYLLABUS FOR THE POST OF JUNIOR CONSULTANT (GENERAL MEDICINE) IN HEALTH SERVICES

DETAILED SYLLABUS FOR THE POST OF JUNIOR CONSULTANT (GENERAL MEDICINE) IN HEALTH SERVICES

(Category No.: 161/2020)

Part I (Total – 25 Marks)

i) Hematology:

I. Red cell disorders:

Approach to a patient with anemia, nutritional, iron deficiency,

aplastic,megaloblastic, haemolytic anemia, (special emphasis on thalassemia

&sickle cell anemia), hereditary spherocytosis, and anemia of chronicdisease,

autoimmune hemolytic anemia, paroxysmal nocturnal hemoglobinuina,

myelodysplastic syndromes, iron overload, and sideroblastic anaemias.

II. White cell disorders:

Eosinophilia, febrile neutropenia, approach to a patient with splenomegaly &

lymphadenopathy, lymphomas, multiple myeloma & related plasma cell disorders,

leukemias, hairy cell leukemia.

III. Bleeding & coagulation disorders:

Approach and investigations in patients with bleeding disorders,hemophilia, von

willebrand’s disease, immune thrombocytopenic purpura, vascular purpuras,

henochschonlein purpura, thrombotic thrombocytopenic purpura, disseminated

intravascular coagulation, anticoagulant and anti-platelet therapy.

IV. Miscellaneous:

Approach to a patient with thrombosis, blood groups, transfusion related diseases,

blood transfusion reactions, blood component therapy,hematological

manifestations of systemic diseases, drug induced hematological disorders,

hypersplenism, chemotherapy, bone narrow transplantation, thrombophilias,

platelet function disorders, estimation of hemoglobin/ total and differential white

cell count/ erythrocyte sedimentation rate, preparation and staining of blood

smears.

ii)Endocrine:

I. Disorders of glucose metabolism:

Glucose metabolism, physiology of insulin & glucagon secretion, glucose tolerance

test, diabetes mellitus, insulin preparations, hypoglycemia, glycosuria of causes

other than diabetes mellitus, glucagon secreting tumors.

II. Thyroid gland & its disorders:

Iodine metabolism, anatomy & physiology of thyroid gland, thyroid function tests,

goiter, hypothyroidism and hyperthyroidism, myxedema, cretinism, thyroid

carcinoma, other rare syndromes of thyroid dysfunction.

III. Disorders of anterior pituitary:

Anatomy & physiology of various hormones & their regulation, acromegaly,

gigantism, sheehan’s syndrome.

IV. Disorders of posterior pituitary:

Anatomy and physiology, diabetes insipidus, syndrome of inappropriate antidiuretic hormone (SIADH) secretion, obesity.

V. Disorders of adrenal cortex:

Regulation of secretion of glucocorticoids, mineralocorticoids & adrenal sex

hormones, adrenal insufficiency, Cushing’s syndrome, pheochromocytoma.

VI. Miscellaneous:

Dwarfism, Frohlich’s syndrome, Lawrence Moon Biedel syndrome, anorexia

nervosa & bulimia, hypothalmus in health & disease, Conn’s disease,

gynaecomastia, non-puerperal galactorrhoea, multiple endocrine neoplasia

syndromes, hirsutism, adreno-genital syndromes, disorders of sexual

differentiation.

iii) Cardio–Vascular System

ECG & it’s interpretation, diagnosis of arrhythmias & their management,ischaemic

heart disease, hypertension, rheumatic fever & rheumatic heart disease,

congenital heart diseases, heart failure, pericardial diseases, peripheral vascular

diseases, deep vein thrombosis, cardiomyopathies, principles of echocardiography

& abnormalities in common disorders, pacemakers, nuclear medicine in cardiovascular disorders, tumors of the heart, aneurysm & dissection of the aorta,

thoracic outlet syndrome, cardiac catheterisation, cardiac interventions.

iv) Respiratory System

Approach to a patient of respiratory system involvement, pulmonary function

tests, arterial blood gases, bronchoscopy, imaging studies, pulmonary

angiography, therapeutic interventions: pulmonary artery embolisation/ video

assisted thoracic surgery/ thoracotomy/ mediastinoscopy, diseases of the upper

airway including avian influenza, bronchial asthma, occupational lung diseases,

pneumoconioses, organic dusts & environmental carcinogens, pneumonia,

bronchiectasis, obstructive airways diseases, interstitial lung diseases, diseases of

the pleura: effusion/ pneumothorax/ empyema/ haemothorax, air pollution,

respiratory failure, adult respiratory distress syndrome, severe acute respiratory

syndrome (SARS), mechanical ventilation, mediastinal diseases, infections

including tuberculosis, tumors, primary and metastatic carcinomas,

hypersensitivity pneumonitis, eosinophilic pneumonias, pulmonary hypertension,

sleep apnea, pulmonary thromboembolism, lung transplant.

v) Nervous System

Investigations: lumbar puncture/ cerebrospinal fluid examination/

electroencephalography/evoked potentials/ nerve conduction studies/

electromyography/ imaging studies/angiography, migraine, seizures/ epilepsy,

cerebrovascular diseases, sub-arachnoid haemorrhage, dementia, extra pyramidal

disorders, Parkinson’s disease, motor neurone disease, disorders of cranial nerves,

meniers syndrome, benign positional vertigo, diseases of the spinal cord, craniovertebral anomalies, tumors of the nervous system, demyelinating diseases,

meningitis, infections of nervous system, nutritional and metabolic disorders,

central pontine myelinolysis, Wernicke’s encephalopathy, alcoholic cerebral

degeneration, pellagra, subacute combined degeneration, polyneuropathies,

acute and chronic inflammatory demyelinating polyneuropathies, diabetic

neuropathies, mononeuritis multiplex, mononeuropathy, leprosy, neuromuscular

junction disorders including myasthenia gravis, myopathies (hereditary/

endocrine/ metabolic/ thyroid diseases/ parathyroid diseases/ diabetes mellitis),

periodic paralysis, approach to a patient paralysis, dizziness & vertigo, diplopia,

syncope and transient loss of consciousness, involuntary movements, delerium,

ataxia, parasthesias & sensory loss, unconsciousness, bowel & bladder

abnormalities, progressive supranuclear palsy, dystonia, spinocerebeller ataxia,

drug induced movement disorders, inherited ataxia, traumatic injuries, subdural &

epidural hematoma, radiation & chemotherapy in treatment of nervous system

tumours, subdural empyema, progressive multifocal leucoencephalopathy,

subacute sclerosing pan encephalitis, progressive rubella, panencephalitis, kuru,

molecular treatment of neurological disorders, disorders of the autonomic nervous

system, details of traumatic injuries to skull & spine, hereditary & metabolic

disorders of late onset, mitochondrial myopathies, lipid storage disorders.

Part II (Total – 25 Marks)

i) Infectious Diseases

Sepsis syndromes, pyrexia of unknown origin, infective endocarditis, acute

infectious diarrhoeal diseases & food poisoning, infections of the urinary tract,

infections of skin/ muscle/ soft tissues, infections in intravenous drug abusers,

hospital acquired infections, infection control in hospital, bacterial infections,

specific infections: pneumococcal/ staphyloccal/ tetanus/ streptococcal/

diphtheria/ botulism/ gas gangrene/ meningococcal/ gonococcal/ salmonella/

shigella/ vibrio cholera/ brucella/ plague/ syphilis/ mycobacteria/ leptospira/

mycoplasma/ pseudomonas/ helicobacter pylori, viruses: herpes/ varicella/ ebstein

barr virus/ cytomegalo virus/ rabies/ respiratory viruses/ influenza/ measles/

mumps/ rubella/ arboviruses, fungal: candidiasis/ aspergillosis/ mucormycosis,

parasites: ameobiasis/ giardiasis/ pneumocystis carinii/ malaria/ leishnianiasis/

cryptosporidium/ microspondium/ isospora/ filariasis/ neurocysticerosis/ worm

infestations, tropical diseases, pancreatitis, osteomyelitis, infections due to bites/

scratches/ burns, tularemia, pertussis, bartonellosis, arenaviruses, moraxella,

legionella, nocardia, actinomycetes, borellia, chlamydiae, rickettsia, newer

emerging infections: avian influenza, chikungunya, others.HIV/AIDS: Aetiology &

pathogenesis, clinical presentations, modes of transmission, universal

precautions, opportunistic infections, management and treatment of the disease,

opportunistic infections, complications, antiretroviral therapy, prophylaxis: post

exposure and of opportunistic infections, recent advances, historical record.

ii) Hepato-Biliary System

Liver function tests, jaundice, hepatitis, cirrhosis of liver, portal hypertension,

hepatic encephalopathy, hematemesis, amoebic hepatitis, granulomatous

hepatitis, hydatid cyst, primary and metastic carcinomas, liver transplant, gall

bladder diseases: cholelithiasis/ cholecystitis/ diseases of bile-duct/

cholangiocarcinoma.

iii) Gastrointestenal Tract

Peptic ulcer disease, gastrointestinal bleeding, gastritis, endoscopy, radiological

procedures, infections, inflammatory bowel disease, functional gut disorders,

motility disorders, malabsorption syndromes, pancreatitis, cystic fibrosis,

malignancy. Kidney Renal failure, renal replacement therapies, hematuria,

proteinuria, polyuria, oliguria, anuria, contrast nephropathy, urinary tract

infections, glomerulonephritis, nephritic syndromes, tubulo-interstitial diseases,

kidney in systemic diseases, tumours of the urinary tract, renal calculous disease,

barter’s syndrome, fabry’s disease, malignancy.

iv) Geriatric Medicine

Theories of ageing, demographic patterns (world / Asia / India) and their

significance to health care system, physiological changes in the elderly, diseases

in elderly, pharmacotherapy in the elderly, rehabilitation, physiotherapy,

occupational therapy, psychotherapy, legal aspects (elderly abuse), psychiatric

illnesses in elderly population, geriatric assessment, geriatric emergencies.

v) Granulomatous Diseases

Tuberculosis, leprosy, syphilis, sarcoidosis, Wegener’s granulomatosis,

histoplasmosis, coccidoidomycosis, mucocutaneous leishmeniasis, midline

granuloma, lymphomatous granuloma, pseudotumor of the orbit.

Part III (Total – 25 Marks)

i) Ethical & Legal Issues in Medicine

Importance and procedures of informed consent, emergency & life saving

intervention & treatment, information to be given to patient & relatives, rights of

patients including confidentiality, withdrawing life support systems, organ

transplant from cadaver, euthanasia, consumers protection act, clinical decisions

for a patient who lacks decision of signing of will, ethics committee & its role in

medical research, procedures (medico legal) followed in cases of poisoning,

suspected rape, adverse reaction to drugs and interventions, absconded patients,

in-hospital injuries and suicide, treatment of pregnant patients with drug and

interventions likely to cause fetal harm, cloning, stem cells usage and

preservation, crimes performed by addicts. 

ii) Poisonings

Diagnosis and management of specific and unknown poisonings, universal &

specific antidotes, acids and alkalis, kerosene, petroleum products,

organophosphates and carbamates, household disinfectants, mosquito repellants,

aluminium phosphide, zinc phosphide, yellow phosphorus, heavy metals,

paracetamol, barbiturates, snake and scorpion bites, botulism, drug over-dosages,

international classification of poisonous chemicals, environmental hazards and

poisonings, industrial toxicology, toxidromes, nuclear, biological, chemical

warfare.

iii) Pregnancy Medicine

Maternal & foetal physiology, principles of maternal morbidity & fetal outcome,

medical disorders during pregnancy, infections in pregnancy, metabolic disorders,

hyponatremia, thyroid disorder, hypertension and eclampsia, renal failure,

disseminated intravascular coagulation, diabetes, valvular heart disease,

bronchial asthma, cardiomyopathies, jaundice, HIV/AIDS, hypercoagulable state

and its sequelae and complications, cortical venous sinus thrombosis in

pregnancy, post-partum sepsis, aminotic fluid embolisation, Epilepsy, drugs in

pregnancy, poisonings in pregnancy, smoking, alcoholism, surgery and

pregnancy, psychiatric diseases in pregnancy, medical disorders and infertility,

genetic disorders & genetic counseling, ethical issues in pregnancy (brain death).

iv)Radiology

Roengenograms of chest/ abdomen/ spine/ skull/ paranasal sinuses/ bones and

joints, computerized tomography (CT) and magnetic resonance (MR) imagings,

angiography, digital substraction angiography, imaging techniques for

hepatobiliary system, barium studies, intravenous urography, scintigraphy,

radionuclide imaging of kidney/ bone/ heart/ liver/ lung/ gall bladder/ thyroid/

parathyroid/ whole body, echocardiography, ventriculography, positron emission

tomography (PET) scan, lymphangiography, cardiac catheterization, ultrasound,

color doppler, developing and newer imaging techniques.

v) Disorders Bone & Mineral Metabolism

Calcium and phosphorous homeostasis, parathroid gland disorders, vitamin-D in

health & disease, metabolic bone disease, osteoprosis, osteomalacia, endocrine

hormonal influences on bone metabolism, phosphorus metabolism,

hypophosphatemia, hyperphosphatemia, disorders of magnesium metabolism,

Pãget’s disease of bone, osteomyelitis, bone dysplasias, osteoarthritis,

spondylosis, bone in systemic diseases.

Part IV (Total – 25 Marks)

i) Immunology

Normal immune system and its functions, hypersensitivity reactions, T-cell

mediated diseases, mechanism of tissue damage, cytokine mediated injury,

cytokine inhibitors, interaction of T and B cells, complement system, apoptosis,

immunotherapy, immunomodulators, immunosuppressive agents, monoclonal

antibodies, stem cell transplant in immune disorders, HLA system, primary

immune deficiency diseases, amyloidosis, disorders of immediate type

hypersensitivity, biological response modifiers, immunologically mediated skin

disorders.

ii) Rheumatology

Pathophysiology of inflammation, autoantibody revelance in disease processes,

rheumatoid arthritis including extra-articular manifestations, glucocorticoid

therapy in connective tissue diseases, systemic lupus erythematosis (SLE), organ

targeted therapy, vasculitides, ankylosing spondylitis, reactive arthritis,

undifferentiated spondyloarthropathy, polyarteritis nodosa, Wegener’s

granulomatosis, Churg Strauss disease, Takayasu’s arteritis, cutaneous vasculitis,

imaging techniques in systemic vasculitis, approach to acute and chronic

monoarthritis & polyarthritis, diagnostic imaging in joint disease, crystal

arthropathies, gout, infectious arthritis, infections in patients with connective

tissue diseases, anti-phospholipid antibody syndrome (APLA), drug induced

rheumatic diseases, scleroderma, sarcoidosis, fibromyalgias, haemophilic

arthropathy, dermatomyositis, polymyositis, overlap syndromes, sjogrens

syndrome, calcium oxalate deposition disease, psoriatic arthritis, neuropathic joint

disease, osteoarthritis.

iii) Fluid & Electrolyte

Choice of intravenous fluids, plasma expanders, potassium/ calcium/ sodium/

magnesium/ phosphate disorders, acid base balance and disorders.

iv) Critical Care

Cardio-pulmonary resuscitation, non-invasive and invasive cardiovascular

monitoring, circulatory failure, heart failure, acute myocardial infarction,

pulmonary embolism, respiratory failure, pulmonary aspiration, nosocomial

pneumonia, mechanical ventilation, toxicology, renal failure, status epilepticus,

Guillian Barre syndrome, myaesthenia, use of blood products, intravenous

immunoglobulins, plasmapheresis, hyperthermia, hypothermia, diabetic

ketoacidosis, addisonian crisis, myxedema coma, endotracheal intubation,

pacemakers, strokes, subarachnoid haemorrhage, near-drowning, circulatory and

ventilatory support in adult respiratory distress syndrome (ARDS), asthma,

obstructive airways disease, renal replacement therapy.

v) Emergency Medicine

Basic and advanced life support, disaster management, use and maintenance of

equipment used in life support, acute sever asthma, status epilepticus,

poisonings, heart failure, shock, acute myocardial infarction, angina, arrhythmias,

hypertensive emergencies, medical emergencies in pregnancy, gastro-intestinal

bleeding, hepatic encephalopathy, acute gastroenteritis, hemoptyses, obstructive

airways disease, tension pneumothorax, adult respiratory distress syndrome

(ARDS), respiratory failure, corpulmonale, stroke, subarachnoid haemorrhage,

oliguria/ anuria, coma, pneumonia, meningitis, infections, sepsis syndromes,

multi-organ failure, bleeding manifestations, endocrine emergencies, electric

shock, poisonings, snakebite, scorpion stings, anaphylaxis, nuclear/ biological/

chemical exposures, toxidromes, rabies, burns, strangulation, interventions and

procedures: mechanical ventilation/ temporary cardiac pacing/ invasive

monitoring/ needle and tube thoracostomy/ cricothyrotomy

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NOTE: - It may be noted that apart from the topics detailed above, questions from

other topics prescribed for the educational qualification of the post may also appear

in the question paper. There is no undertaking that all the topics above may be

covered in the question paper

DETAILED SYLLABUS FOR THE POST OFASSISTANT PROFESSOR IN KAUMARABHRITYA AYURVEDA MEDICAL EDUCATION (Cat. No. 112/2021) 1. Module I (8 Marks)  Development of Kaumarbhritya tantra including ancient and modern literature. Strength of Ayurveda specific to child health care: ancient and modern developments and knowledge of special contribution from Kerala in the field of Kaumarabhritya. Vayobheta (classification of age) according to different classics: modern and Ayurvedic classification of age; importance of classification and its application.  Anatomical and physiological differences in child compared to adult: characteristic differences with its reason both anatomical and physiological, specific characters of dosa, dhatu, mala and srotas in children, special consideration based on these differences in treatment.  Ayurvedic consideration of physiology and pathology of 

Dosha, Dhatu, Mala, Ojus, Agni, Prakriti (sharirika-manasika), Kaya and Dhatuposhana in children: o Basic concepts of fundamental concepts with special emphasis of children. o Characteristic differences in children. o Treatment principles with special consideration of specific differences in children  Basic concepts of growth and development, and its assessment o Modern and Ayurvedic concepts of growth and development. o Methods to assess o Factors which influence growth and development  Ayurvedic and modern clinical methods of examination of healthy and diseased newborn and children o Examination of healthy new born including gestational age assessment o Basics of examination based on Lakshanadhyaya, Caraka sareera o General examination of a child o Systemic examination in children  Knowledge of modern diagnostic tools like clinical and laboratory investigations, Xray, USG, MRI etc. o Laboratory investigation and its interpretation o Different diagnostic tools- advantages, disadvantages and interpretation 2. Module II (8 Marks)  Fundamentals of Ayurvedic treatment for childhood disorders o Treatment fundamentals in Kaumarabhritya and thrust areas of Ayurveda o Special considerations in treatment considering the immaturity in children  Applied pharmacological considerations: Ayurvedic and modern concepts of drug doses, administration, distribution, metabolism, excretion and other important factors of consideration o Drug dose in children– Ayurveda and modern o Methods of drug administration in children o Action of a drug in children 

 National programs related to pediatrics o Objectives, components, implementation, present status  Childhood Samskara o Time of each samskara o Procedure and things to be taken care of while performing o Relevance o Benefits and complications  Principles of Child Psychology (Ayurvedic & modern concepts) o Basic concepts in Ayurveda and Modern  Concept of Bala Rasayana and its application in physical and mental health of children: Definition, types and merits o Different examples and its merits o Method of administration and duration and probable action  Concept of Vyadhi-Kshamatva avam Vardhanopaya. o Concept of immunity and immune enhancing measures including immunization. o Concepts of vyadhikshamatva, factors influencing it o Different methods to improve vyadhikshamatwa o Immunity – definition, types, importance o Immunization – need, significance, methods o Immunization schedule- based on National immunization schedule and Indian Academy of pediatrics o Rationale, dosage and complication of each vaccine  Concept of Dhupana and Raksha karma and their clinical application in pediatric practice o Methods of dhoopana and raksha karma o Relevance o Merits 3. Module III (6 Marks)  Basics concepts of single drugs commonly used in pediatric practice with special reference to their karma like - Guduchi, Yastimadhu, Mandukaparni, Shankhapushpi, Ativisa, Pippali, Maricha, Shunti, Haritaki, Amalaki, Tulasi, Bhumyamalaki, Daruharidra, Haridra, Vidanga, Katuki, Dadima, Brahmi, Ashvagandha, Shatavari, Bala, Kampillaka, Trivrita, Jyotishmati, Vacha, Jeevanti, Rasna, Shatavari, Anantamula(Krishna Sariva), Druva, Khadir, Tankana, Tambula, Jatamansi, Sphatika.  Properties of single drugs with its therapeutic action  Application of these drugs in common pediatric ailments  Knowledge of their ingredients, indications, precautions, and specific considerations  Including adverse drug reactions (ADR) of commodity used Ayurvedic formulations in  Pediatric practice e.g. Aravindasava, Baalachaturbhadra Churna, Kumarakalyana Rasa,Saraswatarista, Swarnaprashna(Kashyapa Samhita), Kumaryasava, Kushmanda Rasayana (Sharangdhar), Ashvagandha Rasayana (Ashtanga Hridaya), Brahmi Ghrita, Kalyanaka Ghrita, Talishadi Churna, Sitopaladi Churna, Haridra Khanda, Krimikuthara Rasa, Mugdha Rasa, Dantodbheda-Gadantaka Rasa, Rajanyadi Churna (Ashtanga Hridaya), Samvardhana Ghrita, Ashta Mangala Ghrita.  Methods of preparation of various specific Kalpana (e.g. Lehya, Syrup, drops etc.) according to needs of children o Methods of preparation o Current importance o Future possibilities  Common instruments and their application in new born care and general pediatric practice. o Instruments used in neonates and children – parts, mode of use, indication and contraindication  Specific considerations in research methods related to Pediatrics o Specific aspects in pediatric research o Methods of consent / assent 

 Regulatory laws related to child health management o Knowledge about current laws related to child health 4. Module IV (12 Marks)  Prakrita Bija-Bijabhaga-Bijabhagavayava evam Tadjanya Vikriti (Genetics and related disorders) o Ayurvedic genetics with modern interpretations: Human Genetics and Embryology) o Shukra, Shonita, Shukra Shonita Doshas - Properties of sudha shukra and shonita, functions. o Ashta dosa of sukra and sonata, prognosis, its management  Bija-Bijabhaga-Bijabhagavayava Vikriti o Concept of beeja, beeja bhaga, beeja bhaga avayava, beeja bhaga avayava ekadesa o Disorders due to beeja dushti in female: vandhya, puti praja, varta o Disorders due to beeja dushti in male: vandhya, puti praja, trina putrika  Garbhaja Bhavas o Matrija and pirija bhava according to different Acharya o Modern interpretation - Yajjah Purushiya o First formed components according to different Acharya o Factors responsible for growth and disease – the role of hita and ahita ahara o Athulyagotriya o Importance of atuya gotra in preventing hereditary diseases o Factors responsible for formation of healthy fetus o Factors responsible for sex determination o Factors responsible for sex abnormality o Factors responsible for abnormality in fetus  Measures for obtaining good progeny.  Garbhadhana yogya and ayogya kala  Factors essential for conception: ritu, kshetra, ambu and beeja  Garbhadana poorva karma  Garbhini charya  Modern Genetics o Basic Concepts: o Cell: Structure of cell, organelles, functions o Cell division: cell cycle, different stages in mitosis and meiosis and its relevance o Nucleus: structure, functions, o DNA: basic structure, synthesis of proteins, duplication o Chromosomes: structure, significance, classification o Karyotype: chromosome preparation, peripheral blood culture, high resolution banding, applications of karyotyping o Molecular genetics: structure of nucleic acid- DNA, RNA, transcription and translation, gene, mutation o Cytogenetics o Structure of gene: structure of nucleic acid o Molecular screening. o Human Chromosomes-structure, number and classification, methods of chromosome preparation, banding patterns. o Single gene pattern inheritance: Autosomal & Sex chromosomal pattern of inheritance, Intermediate pattern and multiple alleles, Mutations, Non Mendelian inheritance, mitochondrial inheritance, Genomic imprinting, parental disomy- characteristics of each inheritance o Criteria for multi-factorial inheritance- characteristics, examples of common multifactorial diseases with a genetic contribution o Pathogenesis of chromosomal aberrations and their effects, recombinant DNA, genetic inheritance, inborn errors of metabolism: important examples. o Chromosomal abnormalities: Autosomal & Sex chromosomal abnormalities, syndromes. o Multifactorial pattern of inheritance: Teratology, Cancer GeneticsHaematological malignancies, Pharmaco-genetics. o

 Chromosomal disorders: numerical and structural abnormalities with examples o Chromosomal aberration (Klinefelter, Turner and Down’s syndrome): genetic basis, clinical features, associated problems, management. Genetic Counseling: family history risk assessment, common indications, Ethics and Genetics. 5. Module V (10 Marks)  Prakrita Bija-Bijabhaga-Bijabhagavayava evam Tadjanya Vikriti (Genetics and related disorders)  Garbha (embryo): paribhasa, Garbhawastha (gestation period), sperm, ovum; spermatogenesis; oogenesis; structure of ovum o Sperm in the male genital tract; sperm in the female genital tract, activation and capacitation of spem, Garbhadana vidhi o Garbha Masanumasika Vriddhi evam Vikasa (Ayurvedic and modern concepts of Embryo and Fetal development) o First week of development: fertilization, cleavage, blastocyst formation o Second week of development: changes in trophoblast, development of embryo o Third week of development: gastrulation, formation of notochord o Fourth to eighth week of development (Embryonic period): derevatives of germ layer, neurulation o Development from third month till birth (Fetal period) o Formation of Prakriti, their assessment in children viz. Bala, Kumara, Yauvana, Pathiya- Apathya according to Prakruti. o Formation of prakirti o Types o Factors influencing formation o Characters of each prakriti o Assessment of prakriti in children o Pathya apathy based on prakriti o Apara (Placenta) Apara Nirmana (Formation of placenta), Apara Karya (Functions of placenta); Apara Vikara (placaental abnormailities) o Formation o Placental circulation o Variations/ Anomalies o Functions o Nabhinadi (Umbilical Cord) o Formation and functions of Nabhinadi o Nabhi nadi vikara o Formation, features, contents and functions of umbilical cord o Garbha Poshana (Nutrition-from conception to birth) o Concepts of garbha poshana o Disorders due to improper poshana – Ayurveda and modern o Management Ayurveda and modern o Yamala Garbha (twins): 

o etiology, incidence, types of twins. o Cause of yamala garbha and its features o Garbha Vriddhikara Bahvas, Garbhopaghatkara Bhavas o Concepts of garbhavridhikara bhava o Concepts of garbha upaghatakara bhava o Effect of maternal medication, diet and illness over fetus o Ayurvedic and modern concepts o Teratology including effects of bija, atma karma, kal, ashaya etc. causative factors for teratogenecity, mode of actions of teratogenes, critical periods. o Perinatal Care and Perinatal complications o Ayurvedic and modern aspects of perinatal care o Scientific study of Jataharini specific to children: clinical features of each type  Prenatal diagnosis: indication and methods of prenatal diagnosis  Samanya Janmajata Vikara (Common congenital anomalies of different systems): Sahaja Hridaya Vikara (Congenital Cardiac Disorders: acyanotic and cyanotic CHD with special emphasis on VSD, ASD, PDA, pulmonary valve stenosis, aortic valve stenosis, coarctation of aorta, teratology of fallot, and transposition of great arteries) Jalashirshaka: nidana, samprapti, poorvarupa, rupa and chikitsa (Hydrocephalus: communicating and non communicating, clinical features, management, chiary and dandy walker malformation), Khandaoushtha (cleft lip), Khanda-Talu (cleft palate), Sanniruddha Guda (Anal Stricture/imperforated anus), Pada-Vikriti(Talipes equanovarus and valgus), Tracheoesophageal Fistula (TOF), Spina bifida, Meningomyelocele, Pyloric Stenosis. (Etiology, pathogenesis, types, clinical features, prevention and management). 6. Module VI (12 Marks)  Navajata Shishu Paribhasha, Vargikarana (Important definitions and classification related to neonates.)  Definitions related to neonatology  Modern and Ayurvedic classification of neonates.  Navajata Shishu Paricharya evam Prana-Pratyagamana (Care of the newborn including recent methodology for the resuscitation):  Basics of resuscitation – need, methods, indication and contraindication  Prana prathyagamana based on different classics 

 Samanya Navajata Shishu Paricharya (General Neonatal Care- Labour room onwards): - modern and ayurvedic concepts of new born care.  Samanya purva evam Samaya pashchat Jata Shishu Paricharya (Management of preterm, post term and IUGR newborn)  Preterm/ samaya poorvajatha- causes, clinical features, physiological handicaps, management and care of preterm babies – Ayurvedic and modern concepts  Post term – causes, clinical features and management  Small for date, IUGR and Large for date babies  Ayurvedic concepts of garbha sosa, upavishtaka, nagodara, leena garbha and management  Prasava Kalina Abhighataja Vyadhi (Birth injuries): Upashirshaka (Caput, cephalohematoma), Bhagna (Fractures), Mastishkantargata Raktasrava (ICH, IVH, Subdural hemorrhage) clinical features and management  Navajata Shishu Parikshana (Examination of new born): Ayu Parikshana (including Lakshanadhyaya) Modern approach of Neonatal Examination including gestational age assessment.  Examination of new born at birth – Ayurveda and modern  Assessment of gestational age  Kumaragara: Navajata Shishu Kaksha Prabandhana (Nursery management), NICU, Nursery plan, staff pattern, medical records, Visankramnikarana (sterilization), Knowledge of equipments used in nursery.  Concepts of Kumaragara and sutikagara  Organisation of special care neonatal unit  Navajata Shishu Vyadhi (Early neonatal disorders): Hypothermia, Shvasavarodha (Asphyxia Neonatorum / Respiratory distress), Ulvaka (Aspiration pneumonia), Rakta Vishamayata (Neonatal septicemia), Kamala (Neonatal Jaundice), Akshepaka (Neonatal convulsion), Pandu (Anemia), Atisara (Diarrhea), Asamyaka Nabhinal kartanjanya vyadhi. Etiology, classification, clinical features, complications, prevention and management.  Navjata Kshudra Vikara (Minor neonatal ailments): Chhardi (Vomiting), Vibandha (constipation), Udara shul (Infantile colic), Puya Sphota (Pyoderma), Shishu Netrabhishyanda (Ophthalmia neonatorum). Etiology, classification, clinical features, complications and management.  Sadyojatasya Atyayaylka Chikitsa (Management of neonatal emergencies): Shock, Fluid and electrolyte imbalance, Convulsion, Hemorrhagic diseases of Newborn etc, 7. Module VII (12 Marks)  Treatment Procedures: Shiro-Pichu, Abhyanga, Parisheka, Pralepa, Garbhodaka Vamana (Stomach wash), Ashchyotana Neonatal resuscitation techniques, Blood sampling, intravenous canulation, Umbilical vein catheterization, Bone marrow aspiration, Phototherapy, Naso-Gastric tube insertion, Urethral catheterization, Exchange blood transfusion, Tharacocentesis, Bone marrow infusion, Lumbar puncture. Basic knowledge of the procedure, different methods, indications and contraindications.  

Nutrition: Navjat Shishu Ahara (Neonatal feeding):  Specific Feeding methodology as per Ayurveda and recent advances; Day to day fluid, milk, caloric requirement for the newborn, feeding technique for the preterm baby.  Feeding methods as per Ayurveda and its relevance  Feeding techniques based on modern  Feeding of preterm based on gestational age  Stanyotpatti and Prasruti (Lactation physiology), Stanya Samghatana (Composition of breast milk), Stana Sampat (Characteristics of normal breast), Stanya Sampat evarn Mahatva (Properties & importance of pure milk), Stanya-Piyusha (Colostrum); Stanya-Pana-Vidhi (Method for breast milk feeding), Stanyakshaya Stanyanasha (inadequate production and absence of breast mtlik), Stanya parikshana (Examination of breast milk), Stanyabhave Pathya Vyavastha (Alternative feeding methods in absence of breast milk), Various feeding methods, TPN (Total Parenteral Nutrition) o Stanyadosha (Vitiation of Breast milk), Stanya Shodhana (Purification of breast), Stanya Janana and Vardhanopakrama (Methods to enhance breast milk formation) - knowledge of practices in modern and Ayurveda o Stanya dosa- methods to assess, types, diseases caused by stanya dushti o Stanya sodhana methods o Stanya vardhana- methods – Ayurveda and modern o Dhatri (Wet nurse): Dhatri Guna and Dosha (Characteristics of Wet nurse), of Breast Milk Banking. o Dhatri- characters, guna and dosa o Tretment of dhatri o Concept of breast milk banking- indication, steps  

Lehana (Elucturies) o Indications, contraindications, examples, relevance o Bala-Poshana (Child Nutrition): o Daily requirements of nutrients for infant and children o Common food sources – food sources, food based on rasa o Satmya and Asatmya Ahara (Compatible and incompatible diet) o Examples, benefits and hazards o Pathya evam Apathya Ahara (Congenial and non-congenial diet) o importance, management o Stanyapanayana (Weaning) o Time of weaning, procedure, diseases during weaning, relevance 8. Module VIII (12 Marks)  Modern and Ayurvedic aspects of etiology, types, clinical features, complications and management of following diseases:  Pranvaha Srotasjanya Vyadhi (Respiratory disorders)- Kasa (Cough), Shvasa (Respiratory distress Syndrome), Tamaka Shwasa (Childhood Asthma), Bronchiolitis, Shvasanaka Jwara (Pneumonia- bacterial, viral etc) Rajyakshma (tuberculosis), Vaksha-Puyata (Pyothorax),Vaksha Vata-Purnata (Pneumothorax)  Annavaha Srotasjanya Vyadhi (Gastrointestinal disorders): Jwar (Fever), Chardi (Vomiting) Ajirna (Indigestion), Kshiralasaka, Atisara (Diarrhea), 

Pravahika, Vibandha (Constipation, Udarshula (Pain in abdomen), Guda bhramsh (Rectal prolapse)  Rasa evam Raktavaha Srotasjanya Vyadhi (Hematological and circulatory disorders): Pandu (Anemia and its various types like Nutritional,haemolytic etc.) and , Raktapitta (Bleeding disorders), Vishishta Hridrog (Specific cardiac diseasesRHD etc), Hypertension, Leukemia.  Mamsavaha Srotasjanya Vyadhi: Myopathies  Mutravaha srotasjanya Vyadhi (Urinary System disorders): Vrikkashotha (Glomerulonephritis and nephrotic syndrome), Mutrakriccha (Dysuria), Mutraghata (Anuria),  Vatavaha Sansthanjanya Vyadhi (Nervous system disorders): Apasmara (Epilepsy), Mastulunga-Kshaya,Mastishka-Shotha(Encephalitis),Mastishkavrana-Shotha (Meningitis), 9. Module IX (10 Marks)  Pediatric disabilities and Rehabilitation: Cerebral palsy, Ardita (Facial paralysis), Pakshavadha (Hemiplegia), Ekangag vata (Monoplegia), Adharanga Vayu (diplegia),. Amavata (Juvenile Rheumatoid arthritis)  Manovaha Srotasa Vyadhi: Breath holding spell, Shayya mutra (Bed wetting), Autism, ADHD (Attention Deficit and hyperactive disorders), Learning Disability, Mental retardation, Temper tantrum, Pica.  Antahsravi evam Chayapachayajanya Rog (Endocrine and Metabolic disorders)  

Kuposhanjanya Vyadhi (Nutritional disorders): Karshya-Phakka-BalshoshaParigarbhika (PEM and allied disorders), Vitamin-mineral and trace elements deficiency disorders, Hypervitaminosis  Krimi evam Aupsargika Rog (infestations and Infections):Krimi (Giardiasis and intestinal helminthiasis, Amoebiasis) Common bacterial, viral infections with special reference to vaccine-preventable diseases: Rohini (Diphtheria), Whooping cough, Apatanaka (Tetanus including neonatal tetanus), Romantika (Measles), Karnamula Shotha (Mumps), Rubella and Masurika (Chickenpox), Antrika Jwar (Typhoid and Paratyphoid), Viral Hepatitis); Vishama Jwar (Malaria) and Kalaazar, Dengu fever, HIV (AIDS), Poliomyelitis, Mastishkavaran Shotha (Meningitis), Mastishka Shotha (Encephalits), Chickengunia 10. Module X (10 Marks)  Tvaka Vikara (Skin disorders): Ahiputana (Napkin Rashes), Shakuni (impetigo), Sidhma, Pama, Vicharchika, Charmadal (infantile atopic dermatitis), Gudakutta.  Anya Vyadhyi (Miscellaneous disorders): Jalodar (Ascites),Gandamala, Apachi (Cervical lymphadenitis), Kukunakadi Akshi Rog, Hodgkin & non-Hodgkin Lymphoma, Abnormal growth patterns, Short stature, Niruddha prakash (Phimosis), Paridagdha Chhavi, Utphullika  Samghata- Bata Pravrita Rog (damstra): Dog bite. Snake bite, Scorpion bite etc  

Atyayika Balarog Prabandhana (Pediatric emergency management): Shock and Anaphylaxis, Fluid and electrolyte management, Drowning, Foreign body aspiration, Status epilepticus, Acute hemorrhage, Acute renal failure, Febrile convulsion, Status asthmaticus, Burn, Acute Poisoning  Balagraha: Scientific study of Graha Rogs – definition, classification, types, clinical features and management  Life Style disorders: knowledge of common lifestyle disorders  Significant contributions of Kashyapa samhita, Arogya raksha Kalpadrum and other texts /treatises of Ayurveda such as Harita Samhita in the field of Kaumarbhritya including relevant parts from Brihatrayi  Relevant chapters from Ashtanga hridaya, Ashtanga Sangraha, Susrutra Samhita, Caraka Samhita, Kasyapa Samhita, Arogyaraksha kalpadruma, Harita Samhita, Bhaisajya ratnavali, Bhavaprakasa, Madhava Nidana, Sarangadhara Samhita, Yoga ratnakara, Bhela Samhita and Vaidya Taraka.  Panchakarma: Principles of Panchakarma [Swedan-Hasta-Pata sweda etc.] and their application in pediatric practice in detail  Update knowledge of clinical pediatrics including recent researches in Kaumarbhritya  Recent developments in Kaumarabhritya.  Fundamentals of Hospital management with special emphases on Pediatric Ward: knowledge about pediatric ward and incorporation of relevant aspects of Kumaragara. NOTE: - It may be noted that apart from the topics detailed above, questions from other topics prescribed for the educational qualification of the post may also appear in the question paper. There is no undertaking that all the topics above may be covered in the question paper