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TNPSC Oct 2003

Author: Bruno, Posted on Tuesday, July 15 @ 12:45:12 IST by RxPG  

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TNPSC

TAMIL NADU PUBLIC SERVICE COMMISSION

NOTIFICATION

POST: Assistant Surgeon (General / Specialities) in the Tamil Nadu Medical Service.

Pay: Rs. 8000 – 275 – 13,500/- per mensem.

Applications are invited against 504 (including 3 S.T. and 1 MBC/DC carried forward vacancies) vacancies for direct recruitment to the post of Assistant Surgeon (General -305/ Specialities-199) in the Tamil Nadu Medical Service.

VACANCY POSITION:-

Assistant Surgeon (General) - 305 Vacancies (including 3 S.T. and 1 MBC/DC Carried forward vacancies)

Assistant Surgeon (Specialities) - 199 Vacancies



TAMIL NADU PUBLIC SERVICE COMMISSION

NOTIFICATION

POST: Assistant Surgeon (General / Specialities) in the Tamil Nadu Medical Service.

Pay: Rs. 8000 – 275 – 13,500/- per mensem.

Applications are invited against 504 (including 3 S.T. and 1 MBC/DC carried forward vacancies) vacancies for direct recruitment to the post of Assistant Surgeon (General -305/ Specialities-199) in the Tamil Nadu Medical Service.

Note:

(i) The number of vacancies advertised is only approximate and is liable to modification with reference to vacancy position at any time before or at the time of actual recruitment.

(ii) The selection will be made following the rule of reservation of appointments for Scheduled Castes, Scheduled Tribes, Most Backward Classes/Denotified Communities, Backward Classes and General Turn and 30% reservation of vacancies for women. If no qualified and suitable women candidates are available for selection, those vacancies will be filled in by male candidates belonging to the respective communal categories.

(iii) The 3% reservation for Physically Handicapped persons will not apply to this recruitment.

(iv) Preference given to "Destitute Widows" announced in paragraph 6(A) of the Commission’s "Instructions etc. to the Candidates" will not apply for this recruitment.

(v) One Hundred and Ninety nine(199) vacancies in the Speciality categories will be filled in only by candidates who possess Post Graduate Degree / Post Graduate Diploma in the speciality as indicated in the table under para 2 (A) and who are willing to serve in the Special Department of any of the Hospitals in the District i.e. in the District Headquarters Hospitals, Taluk Headquarters Hospitals, T.B.Sanatorium etc. atleast for a period of five years after which they will be considered for transfer to General line, i.e. other than the speciality or to teaching posts, if they so desire.

(vi) The candidate possessing Post Graduate Degree/Post Graduate Diploma in a Speciality subject for which vacancies have been notified can apply for both the posts of Assistant Surgeon (Speciality) in the respective subject and Assistant Surgeon (General).

(vii) Candidates who wish to be considered for both the posts should specifically mention in their application the PostGraduate Degree/Post Graduate Diploma possessed by them in the respective specialities.

(viii) Defence personnel released or likely to be released from the Armed Forces due to disability incurred in forward areas while on duty will also be selected if they are found to be otherwise qualified and if the Medical Authorities are satisfied that the physical handicap is not such as would render them incapable of efficiently discharging the duties of an Assistant Surgeon.

2. (A) VACANCY POSITION:-

Assistant Surgeon (General) - 305 Vacancies (including 3 S.T. and 1 MBC/DC Carried forward vacancies)

Assistant Surgeon (Specialities) - 199 Vacancies

The Speciality wise vacancies are as follows:-

Sl.No.
Name of the Subjects
Number of Vacancies

1.
Anaesthesiology
20

2.
Anatomy
20

3.
Bio-Chemistry
15

4.
Community Medicine
14

5.
Forensic Medicine
20

6.
Micro-Biology
20

7.
Pathology
20

8.
Pharmacology
20

9.
Physiology
20

10.
Psychiatry
10

11.
Radiology
20


Total



Note: The selection for appointment to the post of Assistant Surgeon (General and Specialities) in the Tamil Nadu Medical Service will be made by the Commission on the basis of merit and by following the rule of reservation of appointments and the list of selected candidates will be sent to Head of Department/Government. Appointments to the post of Assistant Surgeon General/ Specialities will be made, by the Head of Department after counselling. The vacancies for the post of Assistant Surgeon (General line) as well as vacancies for the speciality side shall be displayed and informed to the candidates attending counselling by the HOD so that they can make their choice.

(B). Conditions :

(i) In the event of selection they should compulsorily serve for a period of not less than three years in Government Primary Health Centres excluding any period spent on training, leave or higher education.

(ii) The candidates selected for appointment should join duty within 30 days. No extension of joining time will be granted under any circumstances, even if they are undergoing higher studies/Post Graduate Course. The name of the candidates who do not join duty within the stipulated time would be removed from the approved list without assigning any reason therefor.

(iii) Those who are undergoing Post-Graduate Course and applying for the post of Assistant Surgeon, have to submit a declaration to the effect that they will join duty within the time-limit of 30 days in the event of their appointment to the post of Assistant Surgeon.

(iv) The candidates selected for the post of Assistant Surgeon (Specialities) in the Non-Clinical side will be given postings in the Hospitals/Institutions in which the particular subject is attached.

(v) The candidates applying against the Speciality vacancies should give a declaration to the effect that they are willing to serve in the Speciality Department of any of the Hospitals in the District atleast for a period of 5 years.

3. DATE OF NOTIFICATION: 11 . 06 .2003.

4. AGE : Below 35 years as on 01-07-2003.

Note:-

i) No age-limit for Scheduled Castes, Scheduled Tribes, Most Backward Classes/Denotified Communities, Backward Classes and Destitute Widows of all castes. (The term ‘Destitute widow’ has been defined in the note under para 4 (A) of the Commission’s Instructions etc., to candidates).

ii) In the case of vacancies in Specialities, candidates who have exceeded the age limit may also apply. The relevant rule will be relaxed in their favour in the event of their selection.

5. QUALIFICATION: As on 11.06. 2003.

Candidates should possess the following or its equivalent:

Assistant Surgeon (General)

(a) Must be a Registered Medical Practitioner within the meaning of the Madras Medical Registration Act, 1914. (Evidence in this regard should be sent with the application).

And

(b) Must possess the degree of M.B.B.S. of any University or Institution recognised by the University Grants Commission for the purpose of its grant or the D.M. & S of the Government of Tamil Nadu.

Assistant Surgeon (Speciality)

Must possess the PostGraduate Degree/Post Graduate Diploma in the concerned specialities, in addition to the qualifications referred to against (a) & (b) above.

Provided that in the case of appointment in the Radiological Department of Government Medical Institutions in the State, the degree of M.B.B.S. of any University or Institution recognised by the University Grants Commission for the purpose of its grant shall be the primary qualification and other things being equal, preference shall be given to candidates who hold in addition to the degree, the diploma of D.M.R. (Madras); and (Some more details are given in para 5 of the Commission’s "Instructions, etc. to candidates").

Provided that other things being equal.,

(i) Preference will also be given to those who have put in a minimum service of one year as Medical Officer in a Primary Health Centre in this state.

(ii) Preference will also be given to those who have put in a minimum service of three years as Medical Officer in Government Leprosy Centres and Leprosy Departments in Government Medical Institutions in this State.

(iii) Preference will also be given to those who have served as Medical Officer in the grade of Emergency Commissioned Officers, Short Service Commissioned Officers, etc. in the Armed Forces.

6. FEE: Rs.125/- (Rupees One hundred and twenty five only)

The fee should be paid only through Crossed Account Payee Demand Draft obtained from any Bank payable at Chennai in favour of the Secretary, Tamil Nadu Public Service Commission, Chennai - 600 002. If the Demand Draft is obtained in a Branch of State Bank of India, it should be payable at the State Bank of India Service Branch code (8443) Chennai 600 006. The candidates should check up the correctness of the particulars in the demand drafts enclosed with their applications and if the demand drafts sent by them are found defective or invalid, their applicaiton will run the risk of being rejected. The Demand Drafts should have been obtained on or after 01.06.2003. The fee once paid by the candidates will not be refunded under any circumstances.

7. CLOSING DATE: 5.45 p.m. on 22 .07. 2003.

Note : The applications addressed to the Controller of Examinations, Tamil Nadu Public Service Commission, Omanthoorar Government Estate, Chennai - 600 002, should be sent only by 'Registered post with acknowledgement due' well in advance so as to reach the Commission's office on or before the above said closing date. In case, the application is handed over in the Commission's Office in person, a proper acknowledgement in the prescribed format should be obtained from the staff receiving the applications, failing which the Commission will not consider any representation at a later date in that regard.

8. CERTIFICATE OF PHYSICAL FITNESS:

A candidate selected for appointment to the post will be required to produce a certificate of physical fitness in the form prescribed for "Executive Posts". The standard of vision required is "Standard III".

9. In addition to the documents referred to in Paragraph 11 of the Commission's "Instructions, etc. to Candidates", A Medical Graduate, who has passed out from a Medical College in Madhya Pradesh should also produce a certificate from a competent authority in the Government of Madhya Pradesh to the effect that he/she is under no contractual obligation to serve the Government of Madhya Pradesh.

10. PROCEDURE OF SELECTION:

(i) The selection will be made in two successive stages i.e., (i) Written Examination and (ii) Oral Test in the shape of an interview. The final selection will be made on the basis of the total marks obtained by the candidates at the Written Examination and Oral Test taken together subject to rule of reservation of appointments. The appearance at the written Examination and Oral Test is compulsory. The candidates who have not appeared for any of the papers in the Written Examination or Oral Test will not be considered for selection even if they secure the minimum qualifying marks for selection.

(ii) Against the vacancies in the specialities, candidates possessing P.G. Degree or P.G. Diploma in the concerned Speciality above will be selected on the basis of their total marks in the examination and Oral Test taken together.

(iii) Written Examination and Oral Test:

The Scheme for the Written examination will be as shown in the Annexure. The Written Examination will precede the Oral Test. If the number of vacancies notified / reserved to be filled up from any one or more of the reservation group(s) (viz., Scheduled Castes, Scheduled Tribes, Most Backward Classes/Denotified communities, Backward Classes or General Turn) is five and above, the number of candidates to be admitted to the Oral Test shall be two times the number of vacancies to be recruited against those reservation groups based on the marks obtained by the candidates at the written examination, and if the number of vacancies in any one or more of the reservation groups of the same recruitment is four and below, the number of candidates to be admitted to the Oral Test of those particular reservation group(s) shall be three times the number of vacancies to be recruited against those reservation group(s).

(iv) The marks obtained by the candidates both in the Written Examination as well as in the Oral Test will be displayed in the Notice Board in the Office of the Tamil Nadu Public Service Commission in the evening either on the last date fixed for Oral Test or on the succeeding working day. The same will also be made available in the Commission’s Web site www.tnpsc.org.

11. Centre(s) and Date of Written Examination:

The Written Examination will be held at Chennai, Coimbatore, Madurai, Salem, Tiruchirappalli, Tirunelveli, Thanjavur and Chidambaram Centres. The Written Examination will be held on 11.10.2003 F.N. and A.N. (General - FN) (Specialities - A.N.). For the candidates who apply for General and Speciality vacancies; 11.10.2003 F.N. and A.N

Note:-

(i) Candidates should choose and write the examination at any one of the above centres

(ii) Candidates will be required to appear for the Written Examination at the centre chosen in their applications at their own expenses.

(iii) Request for change of centre will not be complied with.

12. LIST OF ENCLOSURES:

The following attested copies of documents should be enclosed along with the filled in application:-

i) Evidence of Date of Birth (S.S.L.C/HSC/TC).

ii) Evidence of qualification. (M.B.B.S. Degree / Provisional Certificate / D.M.&S. Diploma Certificate, P.G. Degree/P.G. Diploma in the Speciality subjects in respect of candidates applying for Specialities) (Mark sheet/or some other certificates will not be accepted). In the case of qualification other than the one specified above, equivalence of qualification should be sent.

iii) Medical Registration Certificate in the State of Tamil Nadu.

iv) Community Certificate from competent authority.

v) "No Objection Certificate" from the employer. (if employed)

vi) A certificate from the Medical Officer to the effect that he/she is a fit person if he/she is a physically handicapped and his/her percentage of physical handicap to be entered therein (if applicable).

vii) A Certificate of Destitute Widow from the Revenue Divisional Officer / Assistant Collector / Sub-Collector (if applicable).

viii) Two identical copies of recent passport size photographs in addition to the one pasted on the application form and another copy on the Identification certificate.

ix) Demand Draft for Rs.125/- towards fees (if applicable).

x) A certificate of Character and Conduct obtained from a responsible person on or after 01.06.2003.

xi) A certificate of Character and Conduct obtained from the Head of the Institution in which the candidate last studied/studying.

xii) Income certificate in respect of Physically handicapped persons who claim fee exemption (if applicable).

xiii) Evidence of Tamil Qualification (Mark sheet showing evidence of having passed in Tamil (i.e. SSLC/HSC).

xiv) Evidence regarding preferential qualification.

xv) Identification certificate and code sheet.

xvi) Declarations with reference to condition numbers (i), (ii), (iii) and (v) under para 2(B) of this Notification should be given in the format attached to the application form along with other particulars duly signed.

Note: Original documents need not be sent. Typed or xerox copies of documents duly attested even by the candidates themselves should be sent along with the application. Failure to send the above documents will entail summary rejection of the application.

CONCESSIONS:

Concessions in the matter of age, qualification and/or fees allowed to Scheduled Castes, Scheduled Tribes, Most Backward Classes/Denotified Communities, Backward Classes, Destitute Widows, Ex-Servicemen, Physically handicapped persons, discharged and serving temporary State Government employees below 40 years of age, etc., are given in the Commission's "Instructions, etc. to candidates".



Note: The Physically Handicapped Candidates should mention at the top of the application that "This application relates to a Physically Handicapped Candidate".



ANNEXURE

SCHEME OF WRITTEN EXAMINATION (OBJECTIVE TYPE) AND ORAL TEST



Subject
Duration
Maximum Marks
Minimum Qualifying

Marks for selection

(1)
(2)
(3)
(4)




Scheduled Castes, Scheduled Tribes,

Most Backward Classes/Denotified Communities,

Backward Classes




Others

For Assistant Surgeon (General)





i) Written Examination

Single paper in the Subject "Medical Science" (Professional Degree Standard) (Objective Type)

(200 Questions)
3 Hours


300



ii) Oral Test
--
40



Total

340
102
136

For Assistant Surgeon (Specialities)





i) Written Examination

Single paper in the Concerned Speciality subject mentioned in the Notification. (Post Graduate Degree Standard)

(Objective Type) (200 Questions )
3 Hours


300



ii) Oral Test
--
40



Total

340
102
136



Note:

(i) The Question paper in the subject ‘Medical Science’ and ‘Speciality subjects’ will be set in English only.

(ii) The existing syllabi for Medical Science paper -I and Medical Science Paper-II and Speciality Subjects Paper-I and Paper-II have been clubbed together and constituted as a single syllabus. A single Question Paper in Medical Science is to be answered by the candidates who have applied for the post of Assistant Surgeon (General). A single Question Paper in Medical Science and single question paper in the concerned Speciality subject have to be answered by the candidates who have applied for both the posts of Assistant Surgeon (General) and Assistant Surgeon (Speciality). A single question paper in the concerned speciality subject is to be answered by the candidates who have applied only for the post of Assistant surgeon (Speciality).

iii) Copies of syllabi for the Written Examination are enclosed. The syllabi are also made available in the Commission’s web site viz. www.tnpsc.org and Tamil Nadu Public Service Commission Bulletin dated 16.05.2001.



SYLLABUS



Code: 078



MEDICAL SCIENCES - ALLOPATHY



DEGREE STANDARD


PAPER -I



BASIC MEDICAL SCIENCES ANATOMY



1. GENETICS:- Structure and function of gene and anatomy of geneme, Classification of genetic disorders, Chromosomal disorders/Cancer genetics, Genetic counselling, Prenatal diagnosis, Cone theraphy.

2.GENERAL ANATOMY:- General Embryology, Embryology relating to Cardiovascular, respiratory, Urogenital, alimentary and Nervous system, Osteology.

3.APPLIED ANATOMY:- Cardiovascular System:- Orientation of the heart, Coronary circulation, Nerve supply of the heart, Electrical conduction system.

4.RESPIRATORY SYSTEM:- Surface anatomy, Gross anatomy, Lobes, Segments, C Pleura Mediastinum & Thoracic Cage-Histology. Lung Defences.

5.ALIMENTARY TRACT AND PANCREAS:- Teeth/Oral cavity, Oro-Pharynx - Oesophagus - Alimentary Tract & Pancreas - blood supply, nervous supply, Lymphatic draniage, Congenital and genitic abnormalities of Alimentary tract and Pancreas.

6.LIVER AND BILIARY SYSTEM

7.CONNECTIVE TISSUES, JOINTS & BONES.

8.NERVOUS SYSTEM:- 1. Motor System:- Pyramidal/Extra pyramidal system/Cerebellum, 2. Sensory system 3.Reflex activity, 4. Control of bladder & Sphincters 5. Cranial Nerves.

9. LYMPHOID ORGANS:- Applied Microbiology, Sterilisation, disinfection, Bacterias, Mycobacterum, Fungus, Viral Chlamydial, rickettsial. Streptococcus, Staphyloccus, Cornybacteria, bacillus, Bordetella, Salmonella, Mycobacteria - TB, Leprae, atynical Mycobacteria, Viruses - RNA - Arena viruses, Bunya viruses. Filoviruses, Paramy-Xoviruses, Picorna viruses. (HIV) - Retroviruses, Rhabdoviruses, arboviruses, Tegaviruses, DNA - Herpesviruses, Rapoviruses, Pexviruses. Mycoses - Cutaneous - Subcutaneous fungal infection systemic fungal infection.



SPIROCHECOTES:- Leptospira, Borrelia, Treponema, Immune responses & inflammation, Allergy,Hyper sensitity, Transplantation & graft rejection automminuty and protozoa, Helminthes, Arthropods.

APPLIED PATHOLOGY:- Injuries

GENERAL PATHOLOGY:- Inflammation, Wound healing, Infections, neoplasia, Immuno responses & inflammation.

I. CARDIO VASCULAR SYSTEM:- Cardiomyopathy, Pericardial diseases, Valvular diseases, Endocarditis, Aneurysms.

II. RESPIRATORY SYSTEM:- Tuberculosis, Chronic Bronchitis & Emphysama, Asthma, Pnumonia, Branchogenic Carrinomia, Suppurative diseases of the lung, adult respiratory Distress Syndrome; Respiratory involvement in connective tissue disorder, Trachietis, Laryngitis, Pleural diseases.

III. ALIMENTARY TRACT & PANCREAS

IV. R.LIVER AND BILIARY SYSTEM

V. MUSCULASKELETAL SYSTEM

VI. SKIN

VII. RENAL SYSTEM:- Glomerular Nephritis, Nephrotic Syndrome, Renal failure, Congenital Abnormalities of the kidneys, Tumours of the kidney & Genito urinary tract, Calculi in Renal system.

VIII. BLOOD:- Disorders of erythrocytes, Disorders of white cells, Blood transfusion, Haemostasis, Thrombosis, Urogenital system.

IX. ONCOLOGY

X. PATHOTOGY

XI. NERVOUS SYSTEM:- Coma, brain death, cerebral tumours, cerebro vascular, disorders, Parkinsonium, diseases of muscles, Peripheral nerves, spinal cord.

APPLIED BIO-CHEMISTRY
Liver Function Tests, Renal Function Tests, Major Electrolyte disorders - Calcium, Phosphate, Magnesium, disorders (Same as in Bio-chemistry), Acid Base disorders, Calcium metabolism, Lipid metabolism, Porphyra.

ENDOCRINE SYSTEM:- Hormones Estimation, (Hypothalamus/Pituitary gland), Thyroid Hormones, Parathormone, Corticosteroids, Catecholamines, Hyperglycaemia/Hypoglycania.

APPLIED PHYSIOLOGY
CARDIO VASCULAR SYSTEM:-
Myocardial contraction, factors influencing cardiac output, factors influencing resistance to coronary blood flow/systemic blood flow, physiological basis of physical signs.

RESPIRATORY SYSTEM:- Ventilation, blood flow and diffusion, lung function tests as applied to obstructive airways/restrictive airways disease.

ALIMENTARY TRACT AND PANCREAS:- Controlling/Co-ordinating mechanism/Secretions, absorption, Defence mechanism.

PHYSIOLOGY OF WATER AND ELECTROLYTES:- Major electrolyte disorders, Hypernatraemia, Hyponatraemia, Hypo and Hyperkalaemia, Sodium and water excess.

LIVER AND BILIARY SYSTEM:- Temperature Regulation, renal function tests, Physiology of skeletal muscle.

ENDOCRINOLOGY:- Adrenal Corticosteroids, Antagonist, Corticotrophin, Thyroid hormones, Hypothalami, Pituitary hormones, sex hormones, contraception.

BLOOD:- Blood cell formation, stem and progenitel cells, Assessment of haematological parameters.

NERVOUS SYSTEM:- Sensory and Motor - Functions, Speech, vision, control of bladder and sphineters, sleep, pain.

APPLIED PHARMACOLOGY
CARDIO VASCULAR SYSTEM:- Anti ischaemic drugs (Anti anginal drugs), anti hypertensives, antifailure drugs, drugs used in cardiac dysrhythmia, drugs used in shock, hypotension, sympathomimetics, hyperlipidaemis, antiarrythesic drugs.

RESPIRATORY SYSTEM:- Antituberculous drugs, antiasthmatic drugs, antibiotics, antifungal, anticancer drugs, cough suppressants, mycolytics, expectorants, antihistamics. Alimentary tract - pancreas, liver biliary tract, drugs for peptic ulcer, drugs for vomiting, antiemetics and prokinetic drugs, drugs for constipation, misuse of laxatives, drugs for diarrhoea, drugs for abnormal gut motility, drugs for inflammatory bowel disease, drug induced liver injury, drugs used to dissolve gall stones, digestive enzymes.

KIDNEY AND URINARY TRACT:- Diuretic drugs, carbonic anhydrase, inhibitors.

ONCOLOGY:- Principles of Management, Principles of Chemotherapy, Principles of Endocrine therapy.

NERVOUS SYSTEM:- Analegesics - Narcotics/OPO',D, Hypnotics/Anxiolytic agents, Classification and dosage of psychotropic drugs, Neuroleptics, Antidepressants, MAOls, Lithium, Psychostimulants, Appetite Control, Amphetamines, Xanthines, Antiepileptics, Antiparkinsonian Drugs, Psychodysleptics (or) hallucinogens, Drug dependance.

ENDOCRINOLOGY:- Adrenal Steroids & their synthetic analogues, Antidiabetic agents - insulin, Oral Hypoglycaemic agents, Thyroid Hormones, Antithyroid drugs.

BLOOD:- DRUGS ACTING;- Coagulation System, Fibronolytic System, Plaletes, Iron Therapy, Vitamins - B12 /Folic Acid, Haemopoictic growth factor.

ANAESTHESIA AND NEUROMUSCULAR BLOCK:- General Anaesthesia, Pharmacology of Anaesthetic, Inhalation agents, Intravenous anaesthetics, Muscle relaxants, Neuro Muscular Blocking Drug Local anaesthetics, Obstetric analgesia/anaesthesia, anaesthesia in diseased, old age, Childhood, Sedation in intensive therapy units.

ARTHRITIS & ANTIINFLOAMMATORY DRUGS.
INFECTION:- Chemotherapy, anti-bacterial drugs, chemrotherapy of bacterial infections, Chemotherapy of viral, fungal, protozoal and helinthic infection.

DRUGS & SKIN:- Vehicles for delivering drugs to skin, topical analgesia, antipruritis, adrenocortical steroids, Sun screens, Sun burn and Photosensktris.

POISONING/DRUG OVERDOSE/ANTIDOTES Indiscriminate use of drugs/Antimicrobials in Foetus, Newborn, Infants, adults and in special situations like Hepatitis, Renal problems, Diabetes, etc.



PAPER -II

(INCLUDES General Medicine, Psychiatry, Geriatrics,Paediatrics, Surgery, Gynaecology, Obstetrics and Community Medicine)



1. GENETICS:
1. Single Gene disorders
2. Chromosomal disorders
3. Multifactorial disorders
4. Management, treatment and prevention of genetic disease.

2. IMMUNOLOGICAL DISEASES.

3. Climatic and environmental factors producing diseases. a) disorders of heat/cold/altitude/barametric pressure/pollution both indoor and outdoor. b) Diseases due to infections (Bacterial, Viruses, Spinochaetes, fungi, protozoa, helminths, arthropods)

4. DISEASES OF THE CARDIO VASCULAR SYSTEM:-
Symptoms and signs in a CVS, ECG, exercise-stress, ECG Holter, monitory, radiology, ECHO, cardiac catheterisation and angiography, radio nucleotide scanning (PET) disorders of heart rate, rhythm and conduction, ischaenie, heart disease, vascular disease, diseases of the heart valves, congenital heart, diseases, diseases of the mynocardium endocardium, and pericardium.

5. DISEASES OF THE RESPIRATORY SYSTEM:-
Symptoms and signs in respiratory system. Lung function test, spirometry, body box, diffusion studies imaging sciences chest, x-ray, computed tomography, MRI, Ventilation perfusion imaging, pulmonary angiography, endoscopy-laryngoscopy, bronchoscopy both rigid and flexible, mediastroscopy, Pleural aspiration & thoracoscopy skin tests. Immunological & Serological, tests, Microbiological, Histopathological and Cytological examinations. Chronic obstructive pulmonary diseases Bronchail Asthma, upper respiratory tract infections, pneumonia tuberculosis. respiratory diseases caused by fungi, tumours of the bronchus and lung, interstitial and infiltrative pulmonary diseases. Diseases of nasopharynx, larynx, trachea, dieseases of pleura, diaphragm and cheat wall.

6. Alimentrary tract and pancreas, Hepato biliary system, symptoms and signs of the alimentray tract, pancreas, hepato biliary system. Investigations:- Plain radiographs, barium studies, CT, MRI, Artenography, Interventional radiology, ultrasonography, radionucleitide imaging, endoscopy - (rigid and flexible), sigmoidoscopy, oesophagoscope ERCP, Proctoscopy, Biopsies, secretary studies, motility studies, stool examination, liver function tests, diseases of the mouth, oesophagus. stomach and duodenum, gastro intestinal haemoorhage, acute abdomen, disease of small intestine, irritable bowel disease, diseases of the large intestine, diseases of the pancreas, acute and chronic parenchymal liver disease, tumours of the liver, liver transplantation, liver abscess gall bladder and other biliary diseases.

7. WATER - ELECTROLYTE - ACID BASE BALANCE DISTURBANCES:-
Serum electrolyte estimation.ABG, Major electrolyte disorders, acid base disorders, calcium, phosphate and Magnesium disorders.

8. NUTRITIONAL FACTORS IN DISEASE Classification of Nutritional disorders. Energy yielding Nutrients, Protein Energy Mal-nutrition in -adults -children vitamins, Minerals, Nutrition support in hospital.

9. RENAL AND GENITOURINARY SYSTEM Symptoms and signs of renal involvement, Renal function tests. Glomerular diseases, infections of the kidney of urinary tract, obstruction of the urinary tract, urinary tract calculi and nephrocalcimosis, congenital abnormalities of the kidneys, Drugs and kidney, tumours of the kidney and genitouinary tract.

10. ENDOCRINE AND METABOLIC DISEASES INCLUDING DIABETES MELLITIES Symptoms and signs pertaining to various endocrine organs, disorders of Hyopothalamus, pituitary gland, thyroid gland, parathyroid gland, adrenal gland, Reproductive organs. Diabetis Mellities and other metabolic disorders - like lipid, porphynia, etc.

11. DISEASES OF THE BLOOD:
Disorders of the erythrocytes, white cells, blood transfusion, haemostasis, venous thrombosis.

12. DISEASES OF THE CONNECTIVE TISSUES JOINTS AND BONES Back disorders, Regional periarticular or "soft tissue " disorders, crystal deposition diseases, Inflammatory Joint disease, connective tissue disease, diseases of bone disorders of collagen and proteoglycan and neoplastic disease of bone, Osteoarthritis and related disorders.

13. DISEASES OF THE SKIN:
Eczemas, Erythematous scaly eruptions, disorders of the pilosebaceous unit, skin ulceration due to vascular disease, Dullous diseases, skin reactions to light, disorders of pigmentation, hair and nails and skin tumours.

14. PSYCHIATRY:-
Clalssification of Psychiatric disorders, altiological factors. Causes of acute confusional state, features of alcohol abuse and dependence, Physical sequele of alchohol abuse, factors associated with increased suicidal risk after deliberate self harm.

TREATMENTS USED IN PSYCHIATRY:-
Clinical Syndromes - Organic Psychiatric disorders, substance misuse, Schizophrenia, affective disorders, Neurotic, Stress - related and somatoform disorders, eating disorders, sleep disorders, Sexual dysfunctions, puerperial mental disorders, personality disorders, factitious disorders. Special aspects of psychiatry like, Psychiatric problems in Hospital and community. Legal aspects of psychiatry.

15. DISEASES OF THE NERVOUS SYSTEM:-
Disorders affecting cranial Nerves.(I to XII) cerebral tumours, headache, facial pain, epilepsy, cerebrovascular disorders, movement disorders, demyelinating diseases, Infections of the nervous system. Diseases of the spinal cord, peripheral nerves, muscles, disorders of sleep, degenerative disorders. Nutritional neurological diseases, paraneoplastic neurological syndromes. Investigations of the Nervous system.

CLINICAL EXAMINATION:-
Imaging - Planning radiology, contrast radiology(angiography - DSA-Digital sub-traction angiography) Myelography & radiculography pneumoencephalography, computed tomography, Magnetie Resonance Imaging - MRI - Radionucleotide cerebral scanning, Emission computed tomography.

CLINICAL NEUROPHYSIOLOGY:-
Electroencephalography(EEG) Evoked Poteritial Recording Biochemical Tests:- Tests of Muscle breakdown and tests for specific disorders, Tests of autonomie, Nemous systems. CSF Examination.

16. GERIATRIC MEDICINE:-
Normal old age, Effects of ageing on the pharmocokinectis and pharmacodynamics of drugs. Stroke Rehabilitation, Nonspecific presentation of disease in the elderly, common causes of falls, faceal and urinary mcontenence in elderly.

17. ACUTE POISONING:-
Clinical Features and management of Common acute poisonings. Prevention of acute poisoning.

18. EMERGENCY MEDICINE:-
Cardiopulmonary Resuscatation (CPR), Advanced Cardiac life support(ALLS)

19. HIV infection and AIDS.

20. The eye as a diagnostic indicator of systemic disease.

21. Otorhino laryngology for non-specialist Ear/Pharyngeal & laryngeal diseases.

22. Labyrinth/Nasal Obstructum. Neck Swellings, Cysts - Salivary

23. Paediatrics:
Growth & development, Nutritional Status, antenatal paediatrics, care of New born & premature babies. Immunisation programme - WHO - National, Infant feeding, common birth injuries, diarhoerial disorders, Acute respiratory infections, Phoumenias - parasitic infections, Neurological disorders, Congenital & acquired cardiovascualr, renal & Metabolic disorders, Hepatie & blood disorders, Childhood Malignaucies, chromosomal & genetic disorders, Child survival & Development, Revolution - antenatal care, growth monitoring, oral Rehydration, breast feedings, immunisation etc. Child abuse.

24. SURGERY:-
Infection, wound healing, water/electrolytes/,. Nutrition in surgical patients, shock, Hypothermia, Preoperative and post operative care, Oxygen theraphy, Management of emergencies, Surgical/Orthopaedics, Multiple system injuries, Fractures & dislocation, What first and measures to be adopted? Burns/Organ transplantation, Varicose veins, vonous thrombosis, peripheral arterial disease, paranychia, Tenosynovilies, Infection of palmar spaces. Bursitis, amputation, artificial limbs, Breast examination, oral cavity - carcinoma, Head injuries & management at the PHC/district hospital level. Actue abdomen, Pneumothora, Haemothro, Radio diagnosis of the emergency conditions - like Du Perforations, fractures etc. Thorasic, abdominal & Pelvic injuries to be recognised, Hernias and Hydrocele. Examination of the patient. Anaesthesa in surgery.

25. GYNAECOLOGY/OBSTETRICS:-
Infection of the genital tract, Tumours of the genital tract, investigations - Pap smear, colposcopy, Colpomicrosopy, fractunal curettage, ultrasono graphs, Laparoscopy, Hysteroscophy, family welfare programme, Breast examination:- Antenatal check up, high Risk Pregnancy, Prevention of low birth weight, babies, Maternal changes during pregnancy in CVS, respiratory system and renal fucntion. PREGNANCY:- Special circumstances - protein Energy Malnutrition, Diabetes, Anaemia, Heart diseases, Malaria, TB, HIV, STD, Infective Hepatitis, Pregnancy and Blood loss, Pregnancy and infection, Pregnancy and Blood transfusion, Anaesthesia.



26. COMMUNITY MEDICINE:-

1.Health statistics
2.Epidemiology
3.Communicable Diseases - Small pox - influenza - Measles - Typhoid fever - Cholera - Malaria - Rabies anthrax-Nosocomial infections - Food poisioning - Sexually Transmitted Diseases
4.Environmental Health and Exposure to chemical
5.Hygiene and Sanitation (including rural sanitation)
6.Public Health Services.
7.Preventive priorities: Hypertension - Family planning - maternal and Child health - Genetic Screening - Surveillance and control of infections diseases - immunization - sexually transmitted diseases - Occupational safety and health Surveillance and control of toxic agents in the Environment - Accident prevention and injury control - Smoking - Alcohol and Drug Abuse - Nutrition.
8.Principles of health Education.
9.Regional and National health Programmes including social, maternity and Child Health, more emphasis on population/HIV/Leptospiorios, trophical diseases, mother and child health care programme WHO PROGRAMME.


MANAGEMENT OF EMERGENCIES:-

1. To manage acute anaphylactic shock

2. To manage perivascular failure and shock

3. to manage Acute Pulmonary Oedema and LVF.

4. Emergency management of Drowning, Poisoning and Seizures

5. emergency Management of Bronchial Asthma & status Asthmaticus .

6. Emergency Management of Hyperpyrexia

7. Emergency management of Comatose Patients Regarding Airways, Positioning, Prevention of Aspiration and injuries

8. Management of Burns

9. Management of various trauma, Victims

10. Medico legal cases:- Formalities in cases of Injury poisoning, Sexual offenses, Intoxication and other unnatural conditions.



From www.tnpsc.org

By BRUNO







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