Module 1
Growth and Development Mark (10)
Normal growth: Foetal growth Factors affecting growth Laws of growth
Physical growth assessment: Weight, height, head circumference, mid upper arm circumference (MUAC), body proportion, bone growth, dental growth, sinus growth
Adolescent growth: Physical, Sexual growth, Sexual maturity rate (SMR)
Abnormal growth: Short stature, tall stature, microcephaly, macrocephaly, failure to thrive, obesity
Growth charts
Bone age assessment
Adolescent health problems: violence, bullying, suicidal attempt, Psychological problems, sleep problems, eating disorders
Development:
Normal development: Gross motor, fine motor, language social development
Developmental assessment: Trivandrum development screening chart (TDSC), Denver development screening test, (DDST) Bayley scale of infant development (BSID)
Abnormal development: types – global delay, selective delay Intellectual delay, specific learning disorders, Autism spectrum disorders, attention deficit hyperactivity disorders. Language delay: Dyslexia, dyscalculia
Conduct disorders; Temper tantrum, pica, breath holding spell, thumb sucking, lying, enuresis
Social issues : Adoption, Foster care, injury control
Adolescent programmes: Kishori Shakthi Yojana, SABALA, National Youth Policy
Module 2
Nutrition, Fluid Electrolytes & Gastrointestinal disorders (15marks)
Applied Nutrition: proximate principles- Carbohydrate, Proteins, Fats Nutritional requirement and balanced diet My plate concept, nutrition pyramid
Total body fluid and fluid compartments: maintenance therapy
Electrolyte Homeostasis: Sodium- Maintenance, Hypo & hypernatremia Potassium maintenance, Hypokalemia, hyperkalaemia Calcium maintenance, hypo & hyper calcaemia Magnesium, Chloride, Phosphate maintenance Micronutrients: Physiology and deficiency of Fe, Cu, Zn Fat soluble Vitamins A D E K Water soluble vitamins
Protein Energy Malnutrition: Severe Acute malnutrition, Kwashiorkor, Marasmus BFHI , IYCN, National nutrition programmes GIT Development of GIT, Congenital anomalies: cleft lip, palate, Tracheoesophageal fistula, congenital diaphragmatic hernia, congenital mega colon Intestinal disorders
Inflammatory bowel disease: Ulcerative colitis, Crohns disease Malabsorption syndrome, Cystic fibrosis Acute diarrhoea, chronic diarrhoea LFT, Neonatal cholestasis, Portal hypertension, GI bleeding Acute hepatitis, Fulminant hepatic failur Chronic hepatitis, cirrhosis, portal hypertension, hepatic encephalopathy Auto immune hepatitis, Metabolic liver disease, Wilson’s disease
Module 3
New born, Genetics, Inborn error of Metabolism (15)
Foetal medicine: Foetal growth, wellbeing, assessment, therapy Maternal influences in foetus Transition from foetus to new born Organization of new born care- primary, secondary, tertiary Resuscitation of NB & NB Transport Normal NB care Pre Term – Gestational Age Assessment, Feeding Preterm problems: HMD, NEC, ROP,PDA, IUGR and Problems Birth injuries Neonatal jaundice Infant of diabetic mother, hypoglycaemia Haematological problems of NB Central nervous system problems of NB; HIE, Seizure, Respiratory Problems in NB & ventilation
Genetics : Patterns of inheritance KaryotypingNewer genetic investigations, FISH, Microarray Clinical exome, Whole genome sequencing, whole exome sequencing Chromosomal disorders Single gene disorders Gene therapy Inborn error of metabolism: clinical approach Amino acid metabolism abnormalities, urea cycle disorders Fatty acid oxidation defects Glycogen storage disorders, Muco-polysaccharadosis Lipid storage disease Enzyme replacement therapy
Module 4
Cardio vascular disorders (8marks)
Development of heart
Foetal circulation, Persistent foetal circulation
Cardiac investigations: X-ray chest, ECG, Echocardiography, cardiac catheterisation Cardiac malposition
Acyansotic heart disease: shunt lesion- ASD,VSD,PDA Valvular heart disease- AS, PS, Coarctation of aorta
Cyanotic heart disease: Decreased pulmonary flow condition- Tetrology of Fallot and Fallot like condition Increase pulmonary flow condition: Tricuspid atresia, TGA Congestive heart disease Infective endocarditis Cardiomyopathy Anomalous origin of left coronary artery from pulmonary artery Hypertension Rheumatic fever &RHD Cardiac arrhythmia Kawasaki disease Haematological malignancies: Leukemias: ALL,AML,CML
Lymphoma: Hodgkins lymphoma, non Hodgkin lymphoma
Solid tumours: Wilms tumour, Neuroblastoma, soft tissue sarcoma, Hepatic tumour, HLH,
Module 5
Respiratory system & Endocrine system(10 marks)
Development of lungs, congenital laryngeal stridor, cystic pulmonary malformation Upper airway obstruction Pulmonary function tests, impedance oscillometry, Arterial blood gas analysis Investigations in respiratory system, Ultrasound in lung conditions Community acquired pneumonia in children, IMNCI Suppurative lung disease- bronchiectasis, lung abscess Pleural disease Ciliary dyskinesia, cystic fibrosis, alpha -1 anti trypsin deficiency Bronchial asthma Acute severe asthma Air leak syndromes Oxygen therapy Non invasive ventilation ECMO Environmental tobacco exposure Sudden infant death syndrome Interstitial lung disease Endocrine system: Hypo and hyper pituitarism
Adrenal disorders: CAH, hypo and hyperadrenalism Thyroid disorders
Sexual disorders: Precocious puberty, Delayed puberty Diabetes mellitus,
Module 6
Central nervous system (10 marks)
Brain development Congenital anomalies of brain & spinal cordMicrocephaly, hydrocephalus, neural tube defects Investigations in CNS: Lumbar puncture, MRI,CT, Neuro-sonogram, EEG,NCV, EMG, VEP,BERA Headache in children; migraine, ICSOL CNS infections: meningitis, encephalitis, TBM Coma, ICP monitoring Seizures in children, status epilepticus Antiepileptic medications Stroke in children Cerebral palsy Movement disorders in children Demyelinating disorders in children Acute flaccid paralysis, Guillen Barre Syndrome, transverse myelitis Floppy child, SMA, Myopathy, muscular dystrophy Motor neuropathy Degenerative disease in children
Module 7
Renal disease (6 marks)
Development of kidney Congenital anomalies of kidney and urinary tracts
Haematuria : causes, approach Nephritis ,post infectious, IgA nephropathy, Alports syndrome HUS, SLE
Proteinuria: Minimal change, secondary nephrotic syndrome, congenital, resistant nephrotic syndrome Acute Kidney injury Chronic kidney disease Renal replacement therapy Tubular disease Renal calculi Refractory rickets Urinary tract infections Voiding disorders
Module 8
Haematology, immunology & vaccinology -Marks (8)
Development of hematopoietic cells, erythropoietin
Anaemias: deficiency anaemia
Haemolytic anaemias: Membrane defect, Haemoglobin defect: Thalassemia, Sickle cell anaemia Enzyme defects Auto immune haemolytic anaemia DIC Aplastic anaemia Blood component therapy Stem cell transplant coagulation disorders Thrombocytopenia and bleeding disorders Thrombotic disorders
Immunology: basic immunology- T-cell defects, B cell defect, NK cell defects, Complement defects
Primary immune deficiency Investigations in immune deficiency Secondary immune deficiency
Immunization: Basic vaccinology- active immunity, passive immunity Cold chain Vaccination schedules
Individual vaccines: BCG, OPV, IPV, Pentavalent vaccine, rotavirus vaccine, Pneumococcal vaccine, Rabies vaccine, Meningococcal vaccine, human papilloma vaccine, Dengue vaccine, Influenza vaccine
Module 9
ENT/Ophthalmology/Dermatology/Orthopaedics/Rheumatology (marks 8)
Clinical and lab investigations in Rheumatology, Anti-rheumatologic agents JIA, SLS, Juvenile Dermatomyositis, systemic sclerosis, Takayasu arteritis APLA syndrome
EYE: congenital anomalies of eye, Refractive errors, Squint, Congenital cataract, Congenital glaucoma, uveitis, retinoblastoma
Dermatology: Atopic dermatitis, infections, nutritional disease affecting skin, dermatological manifestation of systemic disease Hair diseases
Paediatric orthopaedics: Osteomyelitis, Septic arthritis DDH, CTEV Idiopathic scoliosis
ENT disorders: Acute / Chronic tonsillitis, Adenoid hypertrophy Acute & chronic otitis media Deafness
Module 10
Infections in children (marks10)
Lab diagnosis in infections
Infection therapeutics: Antibiotics, Antiviral, Antifungal, Anti parasitic agents Antibiotic stewardship, and Antibiotic resistance Infection control measures Infection in immunocompromised host Bacterial infections Tuberculosis in children-RNTC, NTEP, Latent TB,TBM Atypical mycobacteria Leprosy Viral infections HIV , ART
Fungal infections, Parasitic infections, Protozoal infection, Spirochete infection, Rickettsial infection, Chlamydial infection, Mycoplasma infections, Haemorrhagic fever, Exanthematous fever and fever, rash surveillance programme, Filarial infection Amoebiasis ADD and ADD control programme, Cholera.
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.
