Orthopedics

TBLs Topics Pages

Fractures General principles of fractures
and - Open vs closed 325 – 326
Dislocations - Simple vs comminuted 325 – 326
1A + 1B - Extra vs intra- articular Search online
- Child fracture 331 – 334
Types of fractures 325 – 326
Fractures displacement 326
Diagnosis of fractures 329- 331
Healing of fractures 327 – 329
Principle of management (open vs close fractures) 340 – 351
Common fractures
- Boxer’s fracture (fracture of neck of 5th metacarpal) 398 – 400
- Scaphoid fracture (important) 393 – 394
- Colles fracture 386 – 388
- Radius and ulna fracture 383 – 385
- Monteggia fracture - dislocation 385 – 386
- Olecranon fracture 381 – 382
- Supracondylar humerus fracture in children 372 – 374
(important)
- Humerus shaft fracture 370 – 372
- Proximal humerus fracture 369 – 370
- Clavicle fracture 363
- Pelvic fracture (important) 422 – 430
- Neck of femur fracture (important) 432 – 435
- Intertrochanteric femur fracture 435 – 436
- Hip fracture in children 437 – 438
- Femoral shaft fracture 438 – 440
- Distal femur fracture (supracondylar vs condylar) 440 – 442
- Patella fracture 445 - 446
- Tibial plateau fracture 443 – 445
- Tibial and fibular fracture 449 – 452
- Ankle fracture in adult 454 – 457
- Ankle fracture in children 458 – 459
- Talus fracture (important) 459 – 460
- Calcaneal fracture 460 – 461
- Lisfranc fracture (important) 462
- Principle diagnosis and management of spine 409 - 411
- Spine injuries (cervical, thoracic, thoracolumbar) 411 – 418 ,
421
Common dislocations
- Elbow dislocation 378 – 379
- Shoulder dislocation (important) 366 – 368
- Acromioclavicular joint dislocation 364 – 366
- Hip dislocation (important) 431 – 432
 - Patellar dislocation 446
- Knee dislocation (important) 448 – 449
Important complication of trauma 352 – 362
- Systemic inflammatory response syndrome (SIRS)
- Compartment syndrome
- Spinal cord injury
- Vascular injury
- Post traumatic osteomyelitis
Oncology Diagnosis and principle of treatment 101 – 105
and Infection Tumors (malignant) – Important
- Clinical indicators (red flags) of malignancies Online
- Metastases 114 – 115
- Multiple myeloma 113 – 114
- Osteosarcoma 110 – 111
- Ewing’s sarcoma 112 – 113
- Liposarcoma Online
- Chondrosarcoma 111 – 112
- Paget’s sarcoma 111
Tumors (benign)
- Chondroblastoma 108
- Simple bone cyst / aneurysmal bone cyst 108 – 109
- Ganglion Online
- Lipoma Online
- Osteochondroma / exostosis 106 – 108
- Osteoid osteoma 106
- Non- ossifying fibroma 105
- Fibrous dysplasia 105 – 106
- Giant cell tumor 109 – 110
Infection
- Infection of bone 17 – 18
- Septic arthritis 24 – 26
- Osteomyelitis 22 – 24
- Soft tissue (cellulitis, necrotizing fasciitis) Online / A1
- Extra- pulmonary TB 26 – 28
- Implant- related Online / A1
Paediatrics Scoliosis 224 – 230
Haematogenous osteomyelitis 18 – 21
Septic arthritis 24 – 26
Developmental dysplasia of the hip (DDH) 246 – 250
Slipped upper femoral epiphysis (SUFE) 256 – 258
Perthes disease 254 – 256
Physiological bowing of the legs 274 – 275
Knock knees 274 – 275
Blount’s disease 274 – 275
Rickets 71 – 74
Congenital talipes equinovarus (CTEV) 290 – 291
Transient synovitis (irritable hip) 260 – 261
 Intoe gait 254
Cerebral palsy 123 – 125
Management of non- accidental injury (child abuse) Online / A4
Shoulder, Shoulder
elbow, wrist, - Osteoarthritis of acromioclavicular joint 183
hand - Adhesive capsulitis (frozen shoulder) 176 – 177
- Shoulder impingement syndrome & rotator cuff 170 – 176
athropathy
- Bicep tendinitis 177
Elbow
- Tennis elbow 189
- Olecranon bursitis 188 – 189
- Golfer elbow 189
- Ulnar entrapment syndrome 148
Hand and wrist
- Carpal tunnel syndrome 197 – 198
- De Quervain tenosynovitis 196 – 197
- Dupuytren contracture 202 – 203
- Nerve injuries of the upper limb 144 – 146
- Ganglion wrist 197
- Brachial plexus injuries 141 – 143
- Claw hand 203
- Wrist drop
- Trigger finger 204 – 205
- Flexor/extensor tendon injuries 204

Spine Lumbar herniated nucleous pulposus 236 – 238

Cauda equine syndrome (important) 125 – 127
Degenerative disc disease 235 – 236
Spondylolisthesis 239
Pyogenic infection of the spine 232 – 233
TB spine 233 – 235
Metastases to the spine (important) Search online
Lumbar strain Search online
Lumbar canal stenosis 239 – 240
Spinal shock / traumatic paraplegia 419 – 420
Decubitus ulcer Search online
Cervical herniated disc 213 – 214
Whip lash injury 415 – 416
Torticollis 212
Knee and Hip Knee
- Swelling in the knee 271 – 274
- Osteoarthritis 281 – 282
- Ligament injury 446 – 448
- Meniscus injury 275 – 277
- Osteochondritis dissecans 277 – 278
 - Chondromalacia patella 283 – 284
- Recurrent patellar dislocate 282 – 283
Hip
- Osteoathritis 261 – 263
- Avascular necrosis 52 – 55
- Trochanteric bursitis Online
- Pyriformis syndrome Online
Foot and Foot
Ankle - Plantar fasciitis 303 – 304
- Morton neuroma 305
- Pes planus 292 – 294
- Pes cavus 294 – 295
- Hallux valgus 295 – 297
- Hallux rigidus 297 – 298
- Diabetic foot ulcer (important) 301 – 302
- Charcot foot (important) 301 – 302
- Ingrown toenail 305
Ankle
- Sprains 453 – 454
- Archilles tendon rupture 302
- Archilles tenditis 302
Degenerative Degenerative bone diseases
& Metabolic - General osteoarthritis 46 – 50
bone - Rheumatoid arthritis 29 – 33
diseases - Cervical spondylosis 214 – 216
- Lumbar spondylosis / osteoarthritis 238
Metabolic bone diseases
- Osteoporosis 68 – 71
- Osteomalacia 72
- Rickets 71 – 72
- Paget’s disease 77 – 78
- Hyperparathyroidism 74 – 75
ENT

TBLs Topics Pages

Sore throat Anatomy of pharynx 269 – 273
Acute and chronic pharyngitis 287 – 289
Acute and chronic tonsillitis 291 – 295
Peritonsillar abscess (Quinsy) 298 – 299
Parapharyngeal abscess 301 – 303
Retropharyngral abscess 299 – 301

Foreign body Ear

Nose
Air passage 365 – 367
Food passage 395 – 398
Hoarseness and stridor Anatomy and physiology of larynx 319 – 323
Acute laryngitis 327 – 329
Chronic laryngitis 329 – 330
Stridor 333 – 335
Benign non- neoplastic: Vocal cord nodules, 343 – 345
polyps, cysts
Benign neoplastic: Laryngeal papillomatosis, 345 – 346
haemangioma
Malignant vocal cord lesion 347 – 352
Hoarseness and related diseases 355 – 357
Neck mass and abscess Brachial cyst 446 – 447
Thyroglossal cyst 445
Cystic hygroma 447 – 448
Deep neck abscess Sorethroat
Malignant cervical lymphadenopathy 449 – 450
Ear discharge Otitis externa 54 – 55
Acute otitis media 67 – 69
Otitis media with effusion + recurrent acute 69 – 72
OM
Chronic suppurative otitis media 74 – 81
Complication of suppurative otitis media 83 – 84
Cholesteatoma 55, 73 – 74
Nasal discharge and Allergic rhinitis 187 – 190
obstruction Acute and chronic rhinitis 171 – 174
Acute and chronic rhinosinusitis 213 – 221
Nasal polyposis 193 – 196
Deviated nasal septum 165 – 168
Nasopharyngeal carcinoma 283 – 286
Nasopharyngeal angiofibroma 279 – 283
Multiple papilloma 227 – 229

Hearing loss Cerumen 56

Otosclerosis 95 – 98
 Presbycusis 39
Noise- induce traumatic loss 36 – 37
Meniere’s disease 111 – 116
Acoustic neuroma 125 – 127
Ototoxicity

Ophthalmology

TBLs Topics Pages

Gradual loss of vision Age related cataract 46 – 51
Diabetic retinopathy 69 – 71
Acute macular degeneration 60 – 63
Chronic primary open angle glaucoma 52 – 54 ; 56 – 59
Other types of glaucoma 56
Sudden loss of vision Acute closed angle glaucoma (pain) 12
Giant cell arteritis (painless prolong) 37
Optic neuritis (pain) 38 – 39
Central retinal artery occlusion 36 – 37
(painless prolong / transient) 37 – 38
Central retinal vein occlusion 34 – 35
(painless prolong) 34
Retinal detachment (painless prolong)
Vitreous haemorrhage (painless
prolong)
Macular degeneration
Child with eye symptom Refractive error 15 – 20
Retinoblastoma 68
Epiphora 26 – 27
Strabismus ; Squint 64 – 68
Retinopathy of prematurity 75
IU infection 75
Eye trauma Blunt 31
Penetrating / sharp 32
Chemical 30 – 31
Foreign body 30
Optic nerve disease Optic neuritis 38 – 39
Anterior ischemic optic neuropathy 0
Papilloedema 78 – 80
Optic atrophy 0
Eyelid swelling and watery Chalazion 21
eye Hordeolum/stye 21
Blepharitis 22 – 23
Watering eyes 26 – 27
Papilloma 21
Sebaceous cell carcinoma (marginal 21
 cyst)
Basal cell carcinoma 22
Moluseum contagiosum 28
Acute darcryocystitis 28
Nevus 28
Squamous cell carcinoma 28
Eye and systemic disease Thyroid orbitopathy 72 – 73
Diabetic opthalmopathy 69 – 71
Hypertensive retinopathy 71
HIV associated eye disease 74 – 75
Dry eyes 27 – 28
Red eyes General 7
Corneal ulcers 10 – 11
Uveitis 11 – 12
Conjunctivitis 8–9
Episcleritis 10
Scleritis 10
Acute angle closure glaucoma 12
Double vision (diplopia) CN 3 palsy 76
CN 4 palsy 76
CN 6 palsy 77
Myasthenia gravis
Thyroid eye disease 72 – 73

Psychiatry

TBLs Topics Pages

Depression Oxford 121 – 138
DSM V 93 – 114
S/S of mental illnesses
Delusional disorder Oxford 261 – 262
DSM V 45 – 47
Brief psychotic disorder DSM V 47 – 48
Alcohol- related disorder Oxford 380 – 393
DSM V 233 – 236
Bipolar affective disorder Oxford 238 – 244
DSM V 65 – 75
Drug abuse and Oxford 376 – 380, 393 – 407
dependence DSM V 233 – 272
First AID 80 – 81, 87 – 93
Aetiology and classification
of psychiatry
Schizophrenia Oxford 246 – 261
DSM- V 49 – 53
Stress- related disorder PTSD 269 – 274 ; 143 – 146
Acute stress disorder 266 – 268 ; 149 – 151
Adjustment disorder 277 – 281 ; 151 – 152
 Anticipatory grief disorder
Child and adolescent Mental retardation
psychological disorder Learning disorder
Autism spectrum disorder
Attention deficit hyperactivity
disorder
Oppositional and conduct
disorder
Functional enuresis
Selective mutism
Gender dysphoria
Anoxia nervosa
Bulimia nervosa
Binge- eating disorder
PICA
Tics
Tourette $
281 – 283
189 – 206
189 – 206 ; 17 -23
430 – 434 ; 27 – 29
446 – 450 ; 31 – 35
450 – 453 ; 219 – 224
443 – 444 ; 177
437 – 438 ; 116
416 ; 215 – 217
333 – 345 ; 171 – 172
345 – 351 ; 172 – 173
352 ; 174
169
453 – 456 ; 41 – 42
453 – 456 ; 41 – 42

Organic brain disorder Oxford 314 – 327

(dementia and delirium) DSM- V 292 – 293
Personality disorder Oxford 421 – 427
DSM- V 322 – 330
Suicide / parasuicide
Somatoform disorders Oxford 305 – 313
Dissociative disorders DSM- V 161 – 165
Factitious disorders
Psychosexual disorder Oxford 408 – 416

Organic therapies
Psychotherapy behavioral
and occupational
treatments
Generalized anxiety Oxford ; DSM- V 286 – 291 ; 122 – 123
disorder
Panic disorder Oxford ; DSM- V 296 – 299 ; 119 – 120
OCD Oxford ; DSM- V 299 – 303 ; 129 – 130

TBLS Subtopics
Anaemia and easy bruising Classification of anemia
Iron deficiency anemia
Macrocytic anemia
Haemolytic anemia (inherited/Acquired)
Principles of haemostasis
Platelet disorders
Acquired coagulation disorders
- Vit K deficiency, liver disease, DIC
Hereditary coagulation disorders
- Haemophilias, VWD
Immune thrombocytopenia
Thrombosis (arterial vs venous)
Blood transfusion
Breathlessness Abnormal breath sounds
Acute bronchitis
COPD
Bronchial Asthma
- CPG Management of Asthma
Pneumonia & Lung abscess
Interstitial Lung diseases
Pulmonary TB
Lung cancer
Changes in urine volume, Diabetes Mellitus
polyuria & polydipsia - CPG Management T2DM
Diabetes insipidus
Chest pain Acute coronary syndrome
- CPG Management UA/NSTEMI/STEMI
Pulmonary Embolism
- Flowchart of ix
Aortic dissection
Pericarditis
Pneumothorax
Myocarditis
Infective endocarditis
Valvular heart disease
Fever Table of fever summary (prof James)
Dengue fever
- CPG Dengue
Chikugunya fever
Malaria
- make summary table
Typhus: epidemic, endemic, scrub
Leptospirosis
Enteric fever (typhoid/paratyphoid)
HIV
Headache
Introduction and
interpretation of ECG
Jaundice
Joint pain
Leg swelling
Limb weakness
Weight disorders
Ethics and professionalism
topics: bioethics, non-
maleficence, beneficence,
truth telling, and autonomy
SEM 9
Arterial blood gas and
metabolic imbalance
Geriatric medicine – age
related changes in elderly;
dementia & delirium
Guide to Good Prescribing
Management of cardiac cases,
including cardiac arrhythmias
and acute coronary syndrome
Management of common
respiratory disorders
Management of
dermatological disorders
Management of diabetes &
other endocrine disorders
Management of
gastrohepatology disorders
Management of haemato-
oncological disorders
Management of joint pain &
rheumatological disorders
Management of renal
disorders
Management of seizure
disorders
Poisoning – paracetamol,
paraquat, organophosphate,
aspirin
Ethics & professionalism
topics: capacity to consent,
duties of doctor in emergency,
current practice and accepted
practices, end-of-life care,
oncology/palliative care
principles
Online/Must see cases
Hypertension Hypertensive urgency/emergency
CPG
Diabetes mellitus
Coronary artery disease
Cerebrovascular accident
Chronic liver disease
Arthritis – rheumatoid, gout
Anaemia
Acute & chronic kidney
disease
Acute respiratory infections
(e.g. community acquired
pneumonia)
COPD & Bronchial asthma
Chronic infectious diseases
(e.g. tuberculosis)
Endocrine and metabolic
disorders)
Malignancies with emphasis
on haematological
malignancies
Chronic respiratory diseases
Chronic neurological disease
(e.g. Parkinson’s disease)
Chronic skin diseases (e.g.
psoriasis)
Autoimmune disorders (e.g.
SLE)
Hypercalcemia &
hyperkalemia
Epilepsy

Osce stations to cover