BCPS No.

776/2023/ 21348 Date: 21 August, 2023

NOTICE
This is information for all concerned that as per the decision of the College Council, the format of the FCPS Part-I
examination of the college will be as follows from January 2024 session in accordance with the changed rules and
schedule:
 FCPS Part-I examination will be held in 1 (One) day instead of 3 (Three) days
 3 (three) papers will be converted into 1 (one) paper
 The duration of the examination: 4 hours
 Total number of questions: 150 (Multiple True False-75 & Single Best Answer-75)
 Marks for each question: 2 i.e. total marks for 150 questions: 150 × 2 = 300
 Pass marks for the following subjects will be 210 out of 300 (70%):
Subjects Examinations
1) Medicine, 2) Gastroenterology, 3) Neurology, 4) Nephrology, 5) Cardiology, FCPS Part-I in Medicine (Common
6) Endocrinology & Metabolism, 7) Pulmonology, 8) Hepatology, 9) Rheumatology, questions)
10) Infectious Disease & Tropical Medicine, 11) Medical Oncology and 12) Palliative Medicine
1) Surgery, 2) Urology, 3) Neuro-surgery, 4) Cardiovascular Surgery, FCPS Part-I in Surgery (Common
5) Thoracic Surgery, 6) Plastic and Reconstructive Surgery, 7) Orthopaedic Surgery, questions)
8) Paediatric Surgery, 9) Hepatobiliary Surgery, 10) Colorectal Surgery,
11) Surgical Oncology and 12) Casualty and Emergency Surgery
1) Paediatrics, 2) Neonatology, 3) Paediatric Haematology & Oncology, 4) Paediatric FCPS Part-I in Paediatrics (Common
Nephrology, 5) Paediatric Gastroenterology & Nutrition, 6) Paediatric Pulmonology, questions)
7) Paediatric Neurology & Development, 8) Paediatric Cardiology, 9) Paediatric
Endocrinology and 10) Paediatric Critical Care Medicine
1) Obstetrics & Gynaecology, 2) Feto-Maternal Medicine, 3) Gynaecological FCPS Part-I in Obstetrics &
Oncology, 4) Reproductive Endocrinology & Infertility and 5) Female Pelvic Gynaecology (Common questions)
Medicine and Reconstructive Surgery
1) Ophthalmology, 2) Paediatric Ophthalmology and 3) Vitreo-Retina FCPS Part-I in Ophthalmology
1) Conservative Dentistry & Endodontics, 2) Oral and Maxillofacial Surgery, FCPS Part-I in Dental Surgery
3) Prosthodontics and 4) Orthodontics & Dentofacial Orthopaedics
1) Psychiatry and 2) Child and Adolescent Psychiatry FCPS Part-I in Psychiatry
Otolaryngology Head and Neck Surgery FCPS Part-I in Otolaryngology Head &
Neck Surgery
Anaesthesiology FCPS Part-I in Anaesthesiology
Radiology & Imaging FCPS Part-I in Radiology & Imaging
Radiotherapy FCPS Part-I in Radiotherapy
Dermatology & Venereology FCPS Part-I in Dermatology & Venereology
Physical Medicine & Rehabilitation FCPS Part-I in Physical Medicine &
Rehabilitation
Haematology FCPS Part-I in Haematology
Family Medicine FCPS Part-I in Family Medicine
 Pass marks for the following subjects will be 180 out of 300 (60%):
Subjects Examinations
Biochemistry FCPS Part-I in Biochemistry
Histopathology FCPS Part-I in Histopathology
Microbiology FCPS Part-I in Microbiology
Anatomy FCPS Part-I in Anatomy
Physiology FCPS Part-I in Physiology
Pharmacology FCPS Part-I in Pharmacology
Forensic Medicine FCPS Part-I in Forensic Medicine
Community Medicine FCPS Part-I in Community Medicine
Transfusion Medicine FCPS Part-I in Transfusion Medicine
Other rules in this regard shall remain unchanged.

(Professor Abul Bashar Md. Jamal)

Secretary
Bangladesh College of Physicians and Surgeons (BCPS)

FCPS (PART-1)-PAEDIATRICS
SYLLABUS
PAPER -- 1
 Cell biology:
∞ structural details of a cell with
functional implications
∞ cell cycle
∞ Cell division and its anomalies.
 Developmental anatomy
(general):
∞ Anatomical relevance of the
following physiological aspects-
period of life
∞ Teratogenesis
∞ sensitive period of life
∞ fetal circulation and changes at
birth
∞ placental function
∞ multiple pregnancy
∞ General and proportional growth
and development of body features
from birth (as differentiated from
adulthood) with emphasis on
sexual maturity.
 Developmental anatomy
(Special):
∞ Development of different parts
and organs, especially the gonads,
vital organs and bones.
∞ Mechanism of developmental
anomalies of different organs.
 General anatomy (systemic
approach to the body structures)
Basic ideas on tissues
Osteology-
∞ Histology
∞ development and its anomalies
∞ important ossification centers with
age of appearance.
Angiology including lymphoid system-
∞ circulation through special organs
like brain, heart, lungs, kidneys,
liver, spleen, gut and gonads.
∞ General plan of the lymphatic
drainage, and important groups of
clinically important lymph nodes
and their drainage region.
Topographic anatomy (including surface
anatomy):
∞ General body features including
secondary sex characteristics
∞ Topographic anatomy of different
parts and organs of a child
including the variation in a
newborn.
 Histology:
Light, dissecting and electron microscopic
features and their functional implications of
following structures –
∞ liver, kidney, GI tract, pancreas,
respiratory passages and alveoli,
endocrine glands, heart, blood
vessel, muscles, lymphoid organs
(the learning objective of this
chapter will be to learn the
general histology covering the
functional principle of the 4 basic
tissue)
  Anatomy relevant to clinical
 Applied anatomy procedures and related problems:
Applied anatomy of important systems • lumbar puncture
with special importance on the • tracheostomy
development and related anomalies: e.g. • laryngoscopy
• otoscopy
• respiratory system
• venipuncture
• gastrointestinal system
• liver biopsy
• cardiovascular
• renal biopsy
• hemopoietic
• peritoniocentesis
• renal System
• thoracocentesis.
• musculoskeletal
• Endocrinology
• nervous system
 BEHAVIOR SCIENCE, MEDICAL
ETHICS.
 Basic anatomy of relevant
 COMMUNICATION SKILL
physiological processes and
There has to be some brief introduction of the
related disorders: topic initially and elaborated in the second part.
• respiration Later on, most of it shall be covered in first part.
• sucking
• swallowing • Communication skill to cover both
• vomiting patient-doctor, doctor-attendant,
• nasal regurgitation doctor-doctor and doctor to other
• peristalsis professionals in the field.
• defecation  MEDICAL STATISTICS:
• micturition • Definition of different terms commonly
• walking used in the practice
• vision • basic concepts
• hearing • fundamentals of biostatistics and
• Equilibration epidemiology
• Olfaction • sampling
• Taste • data
• Reflexes. • analysis
• frequency tables
 Sectional anatomy and anatomy
• central tendency and measure of
of imaging: dispersion
basic of sectional anatomy of different • distribution probability
parts/organs relevant to pediatrics helping to • test of probability
identify the normal appearance leading to • significance
identification of organ or its parts and the • confidence interval
abnormal situations (Radiograph, USG, CT and • Data presentation, etc.
MRI materials are to be used for relevant
Anatomy of imaging).
Marks Distribution:
Number of Questions-

• Cell biology 3-4

• Developmental (general and special)
anatomy 6-8
• General anatomy and Topographic
anatomy 6-8
• Histology 3-5
• Applied anatomy 7-9
• Anatomy of physiologic processes and
disorders 4-6
• Anatomical basis of procedure and
related problems 2-4
• Sectional anatomy and anatomy of
imaging 4-6
• Behavioral science, medical ethics, code
of conduct
• communication skill 2-3
• Medical Statistics 2-3
Paper-II: Physiology, Clinical Biochemistry and Clinical Pharmacology
 Points to remember:
Following are the course contents for FCPS
part(I). The contents should be approached
which is relevant to Pediatrics discipline and not
for true basic science discipline. The study
should be directed in understanding of the basic
physiological processes in relation to specific
clinical entity so that one understands the
pathophysiology of the disease process clearly
in later part.
A. PHYSIOLOGY
 Cell/membrane Physiology
including molecular biology
∞ Functions of each organelle
including their relationship
∞ Intercellular communication and
receptor diseases
Recommended reading: Ganong/Guyton
 Physiology of body fluid,
electrolytes and their
derangement
∞ Body fluid compartments and its
relevance in clinical practice.
∞ Physiology of important solutes
(sodium, potassium, chloride,
phosphate, calcium) and impact of
their derangement.
∞ Buffering system including acidosis
and alkalosis and their
consequences.
∞ Consequences of fluid, electrolytes
and acid/base disturbances on
different system.
 Physiology of Growth and
Development
∞ Period of life including puberty
∞ Teratogenesis
∞ sensitive period of fetal life
∞ theory of growth and development
∞ factors influencing
growth/development
∞ concept of growth curve
∞ measuring growth
∞ fetal circulation and changes at birth
∞ placental function
∞ Physiological derangements in
specific growth and developmental
– disorder
∞ Multiple pregnancy and
development of general body
features and its proportion.
 Applied Physiology
 Physiological processes and their
clinical application
1. Respiratory system-
∞ respiration including its regulation
∞ surfactant
∞ respiratory membrane
∞ types of respiration
∞ production of breath sound and their
variants
∞ lung function test and its interpretation
in different situation
∞ cough, acid base balance and
respiratory system
∞ Principles of oxygen therapy
∞ Pathophysiology of hypoxia and
respiratory failure.
2. Gastrointestinal system –
∞ physiology and disorder of gut motility
∞ mucosal protection of stomach
∞ digestion and absorption of different
food components
∞ liver function
∞ bile production and metabolism
∞ jaundice
∞ Liver function test and their
interpretation in different situation
∞ pancreatic function
∞ gut hormones
∞ Mechanism of abdominal pain.
3. Nutrition
6. Renal System
∞ micro and macronutrients-definition,
function, deficiency
∞ physiological derangement in
malnutrition of different nutrient
∞ measuring nutrition
∞ Dietetics
5. Hemopoietic system
∞ Constituents of blood and their
importance
∞ hemoglobin formation and metabolism
∞ hemopoiesis
∞ factors controlling hemopoiesis
∞ iron kinetics
∞ pathophysiology of anemia
∞ Hemolytic disorder
∞ bleeding disorder and coagulation
disorders
∞ Blood grouping
∞ blood group incompatibility
∞ Glomerular and tubular functions
∞ water-electrolyte balance
∞ formation of urine, micturition and its
control mechanism
∞ Mechanism of acid base balance

4. Cardiovascular system 7. Musculoskeletal system

∞ properties of cardiac muscle ∞ Muscle contraction
∞ cardiac cycle ∞ physiology of bone formation & factor
∞ conduction pathways influencing it and its disorder
∞ ECG ∞ Common musculoskeletal disorders.
∞ blood pressure 8. Endocrinology
∞ pulse
∞ physiological role
∞ cardiac arrhythmia
∞ control of secretion, metabolism
∞ hemodynamics and correlation with
∞ feature of hypo and hyper function
Doppler/ECHO
∞ Test for functioning status of - thyroid
∞ peripheral circulation
gland, pituitary gland, adrenal gland,
∞ circulation of brain, kidney, liver, lungs
parathyroid gland, pancreas and gonads.
and GI tract,
∞ Also includes physiology of pregnancy,
∞ Pathophysiology of heart failure, edema,
parturition, breast milk and breast
shock and dyspnea.
feeding, diabetes mellitus and puberty
∞ Common congenital heart diseases and
∞ Hormonal influence on growth and
their hemodynamics.
development
9. Neurophysiology
∞ Physiology of speech & Disorders of
speech - mechanism, tests.
∞ Physiology of smell and tests of smell
function.
∞ Physiology of vision-visual pathway
∞ light and accommodation reflex & visual
field
∞ Color vision, and tests for above
functions and their interpretation.
∞ Hearing and equilibrium-tests and
interpretation of their functions.
∞ Physiology of taste and the tests for
taste.
∞ Motor neuron-upper and lower
∞ physiology of deep tendon reflexes,
superficial reflexes, primitive reflexes
and withdrawal reflexes
∞ Features of Upper and lower motor
neuron lesion.
∞ Superficial and deep pain
∞ visceral sensations & referred pain
∞ tactile localization & two-point
discrimination
∞ stereognosis
∞ Pathway of different sensation.
∞ Functions of basal ganglia and
cerebellum - posture, balance and
muscle tone
∞ physiologic principle of coordination &
Ataxia.
∞ Hypothalamus - secretion, functions
and their control, Physiology of hunger,
thirst, body temperature.
∞ Physiologic basis of tests to measure the
different functions.
∞ CSF - production, control, function,
circulation and physiological
consequences of abnormality
∞ Physiological basis of EEG.
 Physiology of imaging
Principles of X-ray, CT, MRI, PET, USG, ECHO,
Doppler, Isotope and other scanning of thyroid,
kidney, liver, brain, bone, etc.
Recommended reading: Relevant section in the
introductory chapters in different systems in
Nelson/Forfar & Ganong/Guyton.
B. CLINICAL BIOCHEMISTRY
Physiologic and clinical significance of important
steps and regulation of -
∞ Glycolysis
∞ citric acid cycle
∞ gluconeogenesis
∞ glycogenesis
∞ glycogenolysis and HMP shunt.
∞ Lipogenesis
∞ Lipolysis
∞ Ketogenesis
∞ cholesterol biosynthesis.
Physiologic and clinical significance of important
steps and metabolism of-
∞ Phenylalanine, Tyrosine,
Methionine, Tryptophan.
∞ Folic acid and vit B 12
∞ Purine metabolism
∞ formation of uric acid
∞ Glycoproteins proteoglycan and
mucopolysaccharide Metabolism
∞ Basal metabolic rate and factor
influencing it
∞ Collagen - types and principles of
synthesis
∞ Principles of commonly used
biochemical tests and factors (both
physiological and procedural) that
may affect the test.
 C. CLINICAL PHARMACOLOGY
 Basic pharmacology:
∞ Drug absorption
∞ Distribution
∞ Elimination
∞ mechanism of drug action
∞ half life
∞ peak and trough level
∞ dose response relation
Principle of therapeutics.
Format of examination
Number of Questions-
1. Cell physiology and molecular biology 4-5
2. Pathophysiology of body fluid, electrolytes
and their derangement 3-5
3. Physiology of growth & development 4-5
5. Physiological processes & its clinical
application/(Applied physiology) 10-15

 Pharmacology of some 6. Physiology of imaging 2-3

commonly used drugs: 7. Clinical biochemistry 5-6
Pharmacological effects, classifications,
8. Clinical pharmacology 6-8
mechanism of actions, side effects and drug
interaction of the following drugs-

∞ analgesics/antipyretic
∞ antimicrobials
∞ antitubercular
∞ antihelminthic
∞ anti-cholinergic
∞ sympathomimetics
∞ drugs used in peptic ulcer
∞ diuretics
∞ antihistamines
∞ bronchodilators
∞ laxatives
∞ vitamins and minerals
∞ hormones
∞ hypoglycemic agents
∞ anticonvulsant

Recommended reading: Basic and Clinical

Pharmacology by BG Katzung
 ∞ General pathological description of the type of lesion

Paper-III: ∞ Functional derangement following the lesion

A. Pathology ∞ Micro-structural and chemical changes of the lesion

General pathology: The following conception

are to be correlated with different clinical entity- Systemic pathology: A student will be expected
to know the following of the individual pathological
∞ cellular injury and death situations in different diseases
∞ inflammation and repair
Respiratory system:
∞ granulomatous disorder
∞ neoplasm ∞ Pneumonia
∞ thrombosis ∞ Bronchiolitis
∞ Tonsillitis
∞ embolism
∞ bronchial asthma
∞ oedema. ∞ lung abscess
∞ bronchiectasis
Principles of commonly used cytological and ∞ pleural effusion
histopathological investigations:
∞ atelectasis.
∞ factors affecting the quality of specimen and
reporting scope and limitations of such Hematology and Oncology:
investigations.
∞ Anemia (nutritional, hemolytic, hemorrhagic and
Immunology: others)
∞ bleeding disorder (ITP, hemophilia,
∞ basic principles
VonWillebrands disease)
∞ concept of host-agent-environment,
∞ Hodgkins and non-Hodgkins Lymphoma
∞ mechanisms of immunity and auto-immunity
∞ Leukaemia
∞ immune mediated diseases including graft versus
∞ Wilms tumor
host and tumor immunity,
∞ Retinoblastoma
∞ Pathological basis of different investigative tools
∞ neuroblastoma and other childhood malignancy.
available based on immunological principles.

Genetics and molecular biology: Cardiovascular system:

∞ Rheumatic heart diseases
∞ Basic concept, molecular basis of diseases
∞ genetical basis of diseases ∞ congenital heart diseases
∞ investigative tools available for these
∞ Infective endocarditis.
∞ their uses and limitations

∞ pedigree analysis
Central nervous system:
∞ Meningitis
∞ Genetic counseling principles.
∞ Encephalitis
Histopathology ∞ GB syndrome

∞ Site of lesion including the microstructure ∞ Hydrocephalous.

Gastrointestinal system: ∞ Pituitary-anterior and posterior - hypo and hyper
function
∞ Hirschsprung diseases ∞ Pancreas – diabetes
∞ congenital hypertrophic pyloric stenosis, ∞ adrenal gland - adrenal hyperplasia,
pheochromocytoma.
∞ appendicitis
∞ hepatitis - acute & chronic Recommended books: Relevant section in Robbin’s
Pathologic Basis of Diseases, Jawetz, Melnick and Adelberg’s
∞ cirrhosis of liver
Medical Microbiology and Nelsons/Forfar Textbook of
∞ portal hypertension. Paediatrics.

Nutritional disorder: B. MICROBIOLOGY

∞ PEM
Bacteriology
∞ macro and micro nutrient deficiency syndromes
∞ iodine deficiency disorder
Basic bacteriology:
∞ rickets ∞ Classification of microbial agents
∞ scurvy ∞ normal microbial flora in human body
∞ xerophthalmia. ∞ infection
∞ sepsis
Genito-urinary system: ∞ septicemia
∞ bacteraemia
∞ Urinary tract infection ∞ spread of infection
∞ acute glomerulonephritis ∞ control of infection
∞ nephrotic syndrome ∞ Bacterial culture
∞ acute renal failure & Chronic renal failure. ∞ principles of bacterial growth
Collagen disorder: ∞ culture media
∞ principles of serological techniques used in bacteriology
∞ Acute rheumatic fever ∞ scope and limitation of bacteriological studies
∞ JIA ∞ Collection and preservation of samples.
∞ SLE Pathogenesis and laboratory diagnosis of-
∞ Typical/atypical mycobacteria
Neonatology: ∞ Diphtheria, Pertussis
∞ Low birth weight ∞ Tetanus
∞ respiratory distress syndrome ∞ Pneumonia
∞ TORCH infection ∞ enteric fever

∞ neonatal jaundice ∞ meningitis

∞ gangrene
∞ birth asphyxia & Hemorrhagic disease of newborn.
∞ gonorrhea
Inborn error of metabolism: ∞ dengue
∞ syphilis including TORCH infection
∞ Phenylketonuria ∞ staphylococcal and streptococcal infection
∞ Galactosaemia ∞ secretary and invasive enterocolitis
Genetic and chromosomal disorders ∞ Infection and immunosuppression
Recommended books: Relevant section in Nelsons/Forfar
Endocrinology: Textbook of Paediatrics and Jawetz, Melnick and Adelberg’s
Medical Microbiology
∞ Thyroid - hypo and hyper function
 Virology Mycology
∞ viral structure & classification ∞ properties of fungus
∞ replication ∞ classification of fungi
∞ mode of transmission ∞ laboratory diagnosis of fungal diseases
∞ pathogenesis and diagnosis of viral infection
∞ Pathogenesis
∞ Pathogenesis and diagnosis of diseases caused by
∞ clinical consequences and laboratory diagnosis of
o Herpesvirus
superficial and cutaneous mycosis, deep mycosis
o Adenoviruses
o Hepatitis virus Recommended books: Relevant section in Nelsons/Forfar
o Rotavirus Textbook of Pediatrics
o Rabies virus
o Slow virus Pathological procedures,
o Reovirus
o Arbovirus
sterilization/disinfection.
o HIV
o Measles and rubella, mumps
o poliomyelitis Viral infection in congenital or
acquired immuno-compromised child

Recommended books: Relevant section in Nelsons/Forfar

Textbook of Paediatrics, Medical Microbiology.
Marks Distribution:
Number of Questions-
Parasitology
1. General pathology 8-10
∞ classification of parasites
∞ transmission, infestation, body response to infestation 2. Immunology 4-6
∞ pathological basis of different laboratory diagnosis.
3. Genetics and molecular biology 3-5
∞ General features of –
1. Rhizopodes 4. Histopathology 2-3
2. Flagellates
3. Nematodes 4. Systemic pathology 12-15
4. cestodes and trematodes 5. Bacteriology 4-6
∞ Life cycle of parasites, pathogenesis and diagnosis of
diseases caused by- 6. Virology 3-5
1. Malaria
7. Parasitology 2-3
2. Leishmaniasis
3. Toxoplasmosis 8. Mycology 2-3
4. Pneumocystosis 5. Ascariasis
6. Ankylostomiasis 9. Pathological procedures, sterilization/disinfection 1-
7. Strongyloidiasis 2
8. Enterobiasis
9. Filariasis
10. Taeniasis
11. Echinococcosis, sarcoptesscabii.

Recommended books: Relevant section in Parasitology by

Chatterjee and Nelsons/Forfar Textbook of Paediatrics.