FCPS-1 GUIDELINE

BY MEDICAL
GLOBE
FOR MEDICINE & ALLIED,
SURGERY & ALLIED AND
GYNECOLOGY & OBSTETRICS
 FCPS-1 GUIDELINES
FCPS Part 1 Examinations
The College of Physicians & Surgeons of Pakistan (CPSP) conducts FCPS Part I examinations in the below-
mentioned disciplines:
1. Medicine & Allied
2. Surgery & Allied
3. Dentistry
4. Anaesthesia
5. Obstetrics & Gynecology
6. Ophthalmology
7. Otorhinolaryngology
8. Pathology
9. Psychiatry
10. Community Medicine
11. Diagnostic Radiology

FCPS Exam Schedule

 CPSP releases a notification at the start of each year concerning exam schedule of FCPS Part 1, FCPS
Part 2, IMM and MCPS. The FCPS Part 1 exams are held three times a year.
 Schedule of each attempt is notified separately.
 These are four attempts throughout a year usually February-March, April, September-October, and
November.
 You can appear maximum in three attempts.

FCPS Exam Centers

The FCPS Part 1 & Part 2 exams are held in different cities in CPSP authorized exam centers across the country.
Currently, the theory exams are conducted in the following exam centers:
1. Karachi
2. Quetta
3. Hyderabad
4. Larkana
5. Multan
6. Faisalabad
7. Bahawalpur
8. Islamabad
9. Peshawar
10. Abbotabad
11. Muzaffarabad (Azad Jammu & Kashmir)
Format of Examination
 The FCPS Part 1 exam consists of two theory papers, namely PAPER I and PAPER II.
 Each one of them consists of 100 MCQs of “one best type”.
 Paper – I is the same for all specialties and paper – II is specialty specific.
 Books for preparation of paper – I should be selected according to the paper – II.
 You have to pass both Paper I and Paper II collectively.
 Three hours are allocated for each paper.
 You have to pass both papers individually i.e. 75% in each paper.
 There is no negative marking at any stage. There is a myth that for repeaters there is negative
marking, it is not true.
 There are no specific marks for each question. It depends on the difficulty level. Some questions
might be of 0.5 marks and some might be of 2 marks etc.
 CIP INDUCTION CRITERIA
MBBS/BDS For Pakistani Graduates, Sum of marks achieved in all professionals 20 Points
Aggregate of divided by sum of total marks in all professionals, multiplied by 20.
Marks
Attempts For Pakistani Graduates One Point will be given for passing each Up to 05
professional examination in the first attempt Points
PART- • Part*l marks obtained divided by total marks multiplied by 40 40 Points
I(FCPS/MD/ for University Post-Graduates MD/MS/MDS.
MS/MDS) • Part-1 marks obtained as communicated by College of
Physician & Surgeon Pakistan (CP&SP).
NEB Exam/NLE Those who fail to qualify NEB / NLE exam in a single attempt will
not be awarded any score
House Job House Job in Hospitals in Punjab attached with Medical 05 Points
Institutions in Punjab from where the candidate has graduated
‘This would be applicable from January 2022 Induction
Induction in parent Application in the same Teaching / Graduating Institution 05 Points
institution Candidates, who apply in the institutions from where they graduated,
will be given these marks
Experience & Experience at Primary, Secondary & Tertiary Healthcare level / 20 Points
Distinctions Distinctions In University Examinations:

i. Experience at Primary Health Care level: (BHUs & RHCs)

2.5 points for each Three (03) months (without any gap / interruption
in same institute). Up to two (02) years accepted

ii. Experience at Secondary Health Care level (THQ Hospitals

and
DHQ non- Teaching Hospitals).
1 5 Points for each Three (03) months (without any gap / interruption
in same institute) Up to three (03) years and four (04) months
accepted
iii Experience at Tertiary Healthcare Level
01 point for each three months (without any gap / interruption in
same institute) Up to Five (05) years accepted

IMPORTANT
(a) In case of “Adhoc" appointment, a maximum gap of 07 days
between two consecutive adhoc appointments in the same institute
will be considered to count for the experience marks.
(b) Please download the "Experience Certificate', complete the
form and get certified and submit it as the PDF / Image
Distinctions in University Examinations
• Marks will be awarded for a maximum or two distinctions.
Two (02) points for each distinction
• Please provide scan/image of certificate/result of distinction i
from the university.
Twenty (20) marks will be calculated jointly by giving credit for job
in Primary & Secondary or Tertiary Healthcare sites and distinctions
The period spent at any hospital while undergoing a Post-Graduate
training shall not be counted as experience.
Research Papers i. Papers published in National and international Impact factor Upto 5
Journals shall be accepted The Journals will be evaluated in points
pursuance of HEC Journals Recognition System (HJRS) and
latest list of JCR impact factor journals (Web of Sciences)
Links are as follows:
HJRS
[Link]

JCR 2019 (Web of Sciences)

[Link]
[Link])

• 2.5 marks for only 1, 2 and 3 author for each paper (up to two
papers allowed)
• The candidate will be responsible to give reference DOI link of TOTAL
the journals. No credit will be given if DOI link fails to open 100
up.
• Letter of approval provided by the Journal with not be
entertained for the Award of Marks.

According to January 2022 Induction notification

Sr# Marks Criteria Marks
1. Graduates from public sector / private sector institutions in Punjab, who complete House Job in 05
recognized Teaching Hospitals that are attached with Medical College / Dental College /
University in Punjab from where the candidates had graduated
2. Graduates from public sector/ private sector institutions in Punjab, who complete House Job in 2.5
such public sector/ private sector recognized Teaching Hospitals in Pakistan that are not
attached with Medical College/ Dental College/ University from where the candidates had
graduated
3. Graduates from public sector/ private sector institutions in Pakistan but outside Punjab, who 2.5
complete House Job in such public sector/ private sector Hospitals in Pakistan that are attached
or not attached with Medical College/ Dental College/ University from where the candidates
had graduated
4. Foreign Graduates who complete House Job in any public or private sector recognized 2.5
Teaching Hospital in Punjab
 CIP AGGREGATE CALUCULATION
Total obtained marks in 5 years( 1st yr+2nd yr+3rdyr+4th yr+final yr)
MBBS points = x 20
Total Marks( in case of UHS its 4800)

FCPS-1 Points= if you are pass you will get 30 out of 40 marks

Obtained Marks
MD/MS /JCAT points = Total Marks
x 40

CIP aggregate = MBBS points + FCPS-1/JCAT points + Attempts points (minus one for each supple) +
House job points + Experience points + Research points + induction in parent institute points
 FCPS PART-1 (PAPER I) SYLLABUS
ANATOMY
1. General Gross Anatomy (General Outline)
– Muscles
– Joints
-Major Blood Vessels
2. Embryology (General aspects)
– Histology (General)
– Types of tissues
– Epithelia
– Muscles
– Nerve
– Blood Vessels
– Fibro fatty tissue
– Lymph Nodes
3. Brain and Spinal Cord
– Gross Structure
– Spinal Nerves (Origin and distribution)
– Cranial Nerves
4. Head and Neck – General Aspects
5. Viscera: Gross Structure
– Heart
– Lung
– Kidney
6. Anatomical Outline
– Bronchial Tree
7. Endocrine Glands – Anatomical Structure
– Pituitary, Thyroid, Parathyroid and Adrenal Glands

2. PHYSIOLOGY, PHARMACOLOGY & BIOCHEMISTRY

1. General Physiology
 Components of cell and cytoplasm with their functions (in general) & transport across cell membranes.
 Nerves and Muscle Contraction
 Classification and properties of nerve fibers
 Receptors (types, properties & functions)
 Function of motor and sensory areas of Brain.
 Cerebrospinal Fluid (CSF), it’s formation, functions, drainage, lumbar puncture
 Autonomic nervous system (outflow and responses of affected organs)
 General properties and composition of blood
 Normal counts and functions of RBCs, WBCs, Platelets
 Mechanism of homeostatic coagulation factors and their actions
 Blood groups (types, antigens, antibodies, phenotypes, genotypes and significance)
 Conducting tissues of heart (generation and propagation of cardiac impulse).
 Cardiac cycle (pressure, volumes, valvular changes)
 Blood pressure and its regulation (general)
 Respiratory and non-respiratory functions of respiratory tract
 Body fluids, compartments and regulations of Osmotic equilibrium and acid base balance.
 Regulation of ECF and blood volume
 General functions of kidney
 Regulations of body temperature
2. Pharmacology
 General principles of rational drug therapy
 Clinical pharmacokinetics
 Adverse reactions of common drugs
3. Biochemistry
 Requisites of a balanced diet
 General principles of electrolyte balance
 Role and function of endocrine hormones
 Metabolism of carbohydrates, protein, fats and vitamins

3. PATHOLOGY INCLUDING MICROBIOLOGY

 Effects of injury on cell by physical, chemical and biological agents
 Inflammation (Acute & Chronic Including granulomatous)
 Regeneration and repair
 Metabolic response to trauma
 Disturbance of homeostatic mechanism (hemorrhage and shock and Oedema)
 Thrombosis and embolism, infarction and gangrene
 Disorders of growth (adaptation, atrophy, hypertrophy, hyperplasia)
 Carcinogens and pre-malignant lesions
 Neoplasia: General classification and its spread
 General aspects of tumor markers
 General characteristics of bacteria, viruses, chlamydia, recketsia, parasites and fungi
 Immunology and Immune system: General principles
 Medical genetics – basic concepts
 Interpretation of routine biochemical tests e.g liver function test, glucose, urea and creatinine.
 Nutritional diseases: deficiency of vitamins and minerals

4. RESEARCH AND BIOSTATISTICS – BASIC CONCEPTS

EPIDEMIOLOGY
 An introduction to epidemiology and its role in understanding distribution and determinants of disease.
 Measure of disease occurrence
 Screening

Biostatistics:
 Introduction to biostatistics
 Data and its kinds
 Summarization of data
 Normal distribution
 Point and interval estimation and probability
 Hypothesis testing, significance level and power
5. BEHAVIORAL SCIENCE AND MEDICAL ETHICS – GENERAL
PRINCIPLES
 Medical Ethics
 Communication skills including doctor patient relationship and counseling
 Psycho social aspects of general healthcare
 FCPS PART-1 (PAPER II) SYLLABUS
Medicine & Allied (FCPS PART 1)
ANATOMY/HISTOLOGY / EMBRYOLOGY
Embryology
 Development ol C.V.S.. Brain. Kidney
 Common doveopmontal dolocts
Histology
 Liver Pancreas Spleen
 Kidney
 Brain
 G.l.T

Regional Anatomy
Structure and General disposition
Upper Limb:
 Pectoral girdle and axilla
 Breast
 Arm
 Forearm
 Wrist
 Hand
 Innervation of muscles
 Osteology
Lower Limb:
 Gluteal region and hip joint
 Thigh
 Popliteal (ossa and knee joint, log
 Ankle and Fool
 Innervation ol muscles
 Osteology
Thorax:
 Thoracic wall and diaphragm
 Heart
 Mediastinum
 Pleura
 Lungs
Abdomen:
 Anterior abdominal wall
 Peritoneum
 Gastro Intestinal tract
 Liver and biliary tract
 Poncroos
 Sploen
 Kidney
 Ureters
 Suprarenal gland
Pelvis:
 Pelvic cavity
 Urinary bladder
 Male genital organs and urethra
 Female genital organs
 Pelvic vessels
 Nerves
 Pelvic joint and ligaments
 Lumber and sacral plexuses
Head. Neck, Spine:
 Cranial cavity and meninges
 Vertebral column and vertebral canal
 Scalp
 Face Parotid glands
 Nose and sinuses
 Oral cavity
 Pharynx
Central Nervous System:
 Cerebrum - Internal structure
 Cortical areas
 Cerebellum
 Brain stem
 Descending and Ascending tracts
 Special senses - Anatomical pathway, Visual, Taste, Olfactory
 Autonomic Nervous System

PHYSIOLOGY & BIOCHEMISTRY

Kidney:
 Functions of kidney
 Glomerular filtration - determinants
 Tubular reabsorption and secretion
 Regulation of Sodium. Potassium,
 Calcium. Phosphate and Magnesium concentration
 Micturition
The Heart:
 Physiology of cardiac muscle
 Cardiac cycle
 Relationship of tho hoart sound to heart pumping, cardiac output
 Electrical Activity of the Heart
 Electro cardiogram - characterislics
 Vectorial analysis of E.C.G.- Abnormalities
 Cardiac Arrhythmias
The Circulation:
 Capillary fluid exchange
 interstitial fluid and lymph flow
 Nervous Regulation of the circulation
 Control of blood pressure
 Humoral control of circulation
 Circulation through special regions - Cerebral. Coronary, Pulmonary & splanchnic
 Cardiovascular changes in exercise
Gastro Intestinal System:
 Motility and propulsion - Nervous Contracions
 Secretory function
 Digestion and absorption • Malabsorption syndrome
 Functions of liver - Metabolic functions
 Bilirubin formation and excretion - types of Jaundice
 Energy Metabolism • Energy requirement
 Defecation
 Vomiting
Respiratory System:
 Pulmonary Ventilation: Ventilation - Perfuse ratio
 Principles of gas exchange diffusion of gases
 Pulmonary Capillary dynamics
 Regulation of respiration. Lung function tests
 Respiratory insufficiency
 Hypoxia
 Cyanosis
 Oxygen therapy
 Hypercapnia. Hypercapnia
 Respiratory changes in exercise
Central Nervous System:
 Cortical and brain stem control of motor functions.
 Cerebellum - Functions in overall motor control
 Basal ganglia • Functions in executing pattern of motor activity
 Role in cognitive control of sequence ot motor control:
o Integration of total motor control systems
o Control of posture and movement
o Cerebral cortex - higher functions of the Nervous system:
 Conditioned reflexes
 Learning and Memory
 Function of Neocortex
 The limbic system and the hypothalamus:
Behavioural and Motivational Mechanism
 Physiology of sleep and electric activity of the brain • E.E.G.
 Somatic sensations • pain, headache, thermal sensation.
 Speech mechanism.
Physiology of special senses:
 Smell
 Taste
 Hearing Vision
Physiology of Endocrine:
 Mechanism of action of Hormones
 Pituitary Hormones • Hypothalamic control, growth hormone. ADH. oxytocin
 Adrenal glands - Adrenocortical hormones- functions and control of secretion
 Adrenal Medullary Hormones
 Thyroid Metabolic Hormones - Functions and control of secretion
 Parathyroid Hormone - Calcium and Phosphate Regulation
 Vit. D for development of bone and teeth.
 Insulin, glucagon.
 Reproductive System.
 Male reproduction.
 Fomalo Hormones, Hypothalamic-pituitary and ovarian control of reproduction.
 Pregnancy and lactation.
 Neonatal physiology

PATHOLOGY/MICROBIOLOGY / IMMUNOLOGY
Mechanism of immune mediated injury:
 Types of hyper-sensitivity reactions
Mechanism of auto-immune diseases:
 Immunologic tolerance
 Genetic factors in auto immunity
 Major abnormalities of immune function m AIDS
Immuno-deficiency Diseases:
 Primary immuno-deficiencies
 Severe combined immunodeficiency
 Genetic deficiencies of complement components
 Secondary immuno- deficiencies
Neoplasia:
 Epidemiology
 Etiological factors
 Tumor Immunity-Host defense against tumour
 Effects of tumor on Host
 Para neoplastic syndrome
 Grading and staging of malignancy
 Laboratory diagnosis of cancer
Genetic Diseases:
 Transmission Pattern of single gene disorders
 Disorders of mufti-factorial inheritance
 Cytogenetic disorders involving autosome and sex chromosome
 Single gene disorders with atypical pattern of inheritance
 Diagnosis of genetic disease
 Factors responsible for common environmental diseases
 Pathogenesis of Atherosclerosis and Ischaemic Heart Disease - Risk factors
Disorders of Haemopoietic and lymphoid systems:
 Non-neoplastic disorders of W B C
 Bleeding disorders • causes.
Pathophysiology of Jaundice
Myco-bacteria
 Tuberculosis
 Leprosy
Viruses
 Pathogenesis and diagnosis of viral diseases
 Hepatitis • A.B.C.D.E
 HIV /AIDS
 Rabies
 Herpes
 Influenza
Parasitology:
 Haemo-parasites • Malaria. Leishmania, filariasis
 Intestinal - Giardia. entamoeba, nematodes, cestodes
 . Hydatid disease
 PHARMACOLOGY
Antibiotics. Antifungal and Anti-Viral Drugs:
 Anti-tubercular drugs
 Anti-Malarial
 Anti-Amebic
 Anti-helmintic
Drugs used in peptic ulcer:
 Anti-emetics
 Purgatives
 Gastric anti-acid
 Drugs used in diarrhea
Analgesics - NSAIDs:
 Anti-rheumatic and anti-gout drugs
 Opioid analgesics
Drugs used in Parkinsonism
Drugs used in epilepsy
Anxiolytics and hypnotics
Anti-depressants
Anti-histamines (Hi Blockers)
Anti-hypertensive drugs Anti-anginal drugs
Drugs used in congestive heart failure and arrhythmias
Drugs used in hyper-lipidemia
Drugs used in anemias
Drugs used in coagulation disorders
Insulins and oral anti-diabetics
Thyroid and anti-thyroid drugs
Autonomic drugs
Vaccine and immuno-globullns

Subject Preferred Book

Anatomy Snell Review Anatomy
Physiology First Aid Step 1 & BRS Physiology (without Neurology)
Biochemistry First Aid Step 1 + Past MCQs
General Pathology First Aid Step 1 (Tables) + Pathoma/BRS Pathology
Special Pathology First Aid Step 1 Special Pathology (complete) + Pathoma (optional)
Microbiology First Aid Step 1
Immunology First Aid Step 1 + BRS Pathology
Neurology Snell Neuroanatomy/Kaplan Neuroanatomy
Embryology High yield Embryology + First Aid Tables + Theory in Tanveer notes
Histology First Aid + Tanveer Notes
Community Medicine First Aid + Tanveer Notes
Pearl Point Book SK Notes or Rafiullah Notes or Double A Notes
Select only one MCQ Book Medicall or Salahudin Kamal or Rafiullah or Rabia Ali
 SURGERY & ALLIED (FCPS PART 1)
ANATOMY
Embryology:
 Development of musculoskeletal system.
 Liver.
 Bilary tract.
 Pancreas.
 Spleen
 Urinary System.
 Rotation of Gut.
 Heart and Vessels.
 Respiratory passage
 Diaphragm
 Various congenital hernias and anomalies in the development of organs.
Histology.
Microscopic structure the following organs:
 Liver
 Gall bladder
 Pancreas
 Spleen
 Bronchial tree
 Lung
 Heart
 Arteries
 Kidney
 Uterus
 Urinary Bladder

Gross Anatomy:
Features of the following structures / organs with special emphasis on applied aspects:
Skull and mandible:
 General description, age and sex differences, component bones, location of important foramina
and entry/exit of structures through these foramina
 Nasal and orbital cavities Paranasal sinuses
 Movements of temporomandibular joint
Brain:
 Important cortical areas.
 Ventricular system.
Vertebral Column:
 Morphology
 Features of Vertebrae and movements at various levels
Breast:
 Structure, blood supt !y ar.d lymph?tic drainage. Diaphragm:
 Structure and attachments.
 Nerve and blood supply.
 Function and structures transmitted at various levels.
Extremities:
 Neurovascular arrangements
 Formation and distribution of branchial plexus
  Lumbar and sacral plexus
 Course and distribution of important nerves and vessels of the extremities
 Anastomosis of arteries at various points and their importance
 Pattern of venous drainage in upper and lower limbs
 Arrangements of lymph vessels and lymph nodes and their area of drainage
Upper limb:
 Shoulder girdle - muscles, nerve supply and action
 Nerve supply and group action, muscles of the flexor an. tensor compartments of arm and
forearm
 Mechanism of pronation and supination
 Brachial plexus
Axilla:
 Walls and contents
Cubital fossa:
 Boundaries and contents
Hand - Functional Anatomy:
 Nerve supply & group action of muscles of Hand
 Palmar spaces
Osteology:
 Scapula, Clavicle, Humerus, radius and ulna - Salient Features
Lower limb:
 Muscles of rotators of hip - Nerve supply and group actions
 Femoral triangle, boundaries and contents
 Sub-sartorial canal
 Quadriceps, adductors of the thigh and hamstrings - nerve supply, action in walking.
 Popliteal fossa - boundaries and contents.
 Intermuscular septa and formation of compartments in the thigh and leg and their significance
 General disposition of leg muscles, anterior, posterior and lateral group of muscles • Nerve
supply and action. Muscles of the foot • nerve supply and (functions, maintenance of the
arches of foot
 Posture of the body and anatomical factors for its maintenance
Thoracic cage and Intercostal muscles
Thoracic Inlet and outlet:
 Boundaries and structures passing through it
Thoracic Cavity:
Mediastinum:
 Boundaries and divisions
 Disposition of the contents
Major blood vessels:
 Formation, course and relations
Lungs and pleura:
 Surface marking of pleura and lungs including fissures
 Blood supply, nerve supply and lymphatic drainage of lungs and pleura
 Bronchopulmonary segments
 Arrangements of vessels at hilum
Heart and Pericardium:
 Parts and chambers
 Positions and surface projections
 Coronary arteries and ti °ir bran lies
 Vagus nerve, cours 1 and distribution
 Lymphatic drainage of the thorax * Course of thoracic duct
  Sympathetic trunk
Abdomen:
Anterior abdominal wall
 Dermatomes
Muscles of 'he abdominal wall
 Attachments, nerve supply and actions
 Formation and contents ol the rectus sheath
Anatomy of Inguinal and femoral canals:
 Hernias
Surface Anatomy of the internal organs
Abdominal Cavity:
General disposition morphology and blood supply of the abdominal viscera.
Peritoneum:
 Vertical and horizontal disposition, formation of omenta, mesenteries and main ligament
 Division of the peritoneal cavity along with their extern boundaries
 Formation of portal vein and sites of portosystemic anastomosis
Posterior abdominal:
 Muscles of the posterior abdominal 'wall-actions and nerve supply
 Morphology of the retroperitoneal structures
 Thoracolumbar fascia
Abdominal aorta, course, relations and branches
Inferior Vena Cava
 Course relations and tributaries
Vagus Nerve-
 course & Distribution
Lymphatic drainage & main group of Lymph nodes
Kidney and Ureter:
 Structure
 Blood and nerve supply
Lumbosacral plexus

Pelvis and Perineum:

Structures in the pelvis:
 Male genital organs - Relations and Blood Supply
 Female genital organs - Relations and blood supply
 Urinary bladder - Structure, blood supply and sphincter control
Prostate:
 Lobes
 Blood supply
 Lymphatic drainage
Pelvic diaphragm:
 Structure
 Opening
 Functions and Nerve supply
Perineal region:
 Male and Female external genitalia
 Anal sphincter
Head and Neck:
Fascia of Neck:
 Arrangement
Triangles of Neck:
 Boundaries and contents
 Muscles of the face:
 Nerve supply and effects if paralyzed
Muscles of mastication:
 Nerve supply and actions
Larynx - Muscles and Nerve Supply
Muscles of the tongue and pharynx:
 Actions, nerve supply and lymphatic drainage
 Mechanism of deglutition
Salivary glands:
 Structure and Nerve supply
Thyroid and parathyroid glands:
 Location, relation and blood supply.
Vessels in the neck and their supply
 Carotid vessels, course and branches
 Jugular vein
Cranial Nerves and sympathetic trunk
Cervical lymph drainage:
 Nodes and area of drainage
Scalp layers
 Blood supply and nerve supply

PHYSIOLOGY
Respiration:
Pulmonary volume and capacities:
 Pulmonary Function Tests
 Mechanics of Respiration
 Transport of gases between the lungs & the tissues
 Diffusion of oxygen and carbon dioxide through the respiratory membrane
Regulation of Respiration
 Neural Control of breathing
 Chemical Control of breathing peripheral chemoreceptors
Respiratory adjustments
 Hypoxia
 Hypercapnia and hypocapnia
 Oxygen treatment
 Artificial ventilation
Pulmonary circulation

Cardiovascular System:
Heart:
 Physiology of cardiac muscle.
 Regulation of heart pumping cardiac output and Venous return
 Electrical activity of the electrocardiogram
 Control of Rhythmicity, Cardiac arrhythmias.
Circulation:
 Capillary fluid exchange
 Exchange of water, nutrients between the blood and interstitial fluid; lymph flow
 Nervous regulation of circulation and control of arterial pressure
 Role of kidneys in long term regulation of arterial pressure
 Renin-Angiotensin system
Gastro Intestinal:
 Neural control of G I T. functions
 Hormonal control of motility
 Mastication and Swallowing - Mechanism
 Regulator of movements of stomach and intestines
 Secretary function of the alimentary tract
 Principles of Gastro intestinal absorption
 Metabolic functions of the liver
 Secretion of bile from the liver
Renal:
 Functions of kidneys in homeostasis
 Glomerular filtration and regulation of tubular reabsorption
 Filling of bladder and bladder wall tone - cystometry
 Micturition reflex
Endocrinology:
 Pituitary gland and its relation to hypothalamus growth hormone
 Formation and secretion of thyroid hormones
 Regulation of secretion of thyroid hormones
 Function of the Pancreas and Regulation of carbohydrate metabolism
 Synthesis and Function of Adrenocortical Hormones
 Regulation of Adrenal Medullary secretion
 Role of Parathyroid Hormone in control of calcium metabolism Physiology of bone and teeth
Reproductive System:
 Control of testicular function – Sex hormones - spermatogenesis
 Control of ovarian function
 Physiological change during Pregnancy
 Lactation - Functions of prolactin
Nervous system.
 Sensory and Motor Nervous System.
 Central regulation of Visceral function
 Mechanism of Visceral Pain
 Autonomic Nervous system - Autonomic reflexes
 Control of Posture and movement.
 Somatic sensations - pain, headache and thermal sensations
 Functions of the thalamus
 Referred Pain
 Major levels of C.N.S Function
 Motor cortex and corticospinal tract
 Role of brain stem in controlling motor function
 Extrapyramidal system
 Contribution of cerebellum and basal ganglia to overall motor control
 The limbic system and the hypothalamus
 Spinal cord, functions and Reflexes
Special Senses:
 Neurophysiology of Vision
 Sense of hearing, smell and taste
 Control of testicular function - 8 x hormones spermatogenesis
 PHARMACOLOGY
 Antibiotics
 Analgesics
 local and general anaesthetics
 Diuretics
 Anti-thyroid drugs
 Antiseptics and disinfectants

PATHOLOGY
 Disorders of R.B.C - Causes 2 Diminished erythropoiesis
 Disorders of white cells - Non-neoplastic and Neoplastic
 Bleeding disorders - thrombocytopenia, thrombocytosis, platelet function defects, Disseminated
intravascular Coagulation
 Coagulation disorders
 Pathology of lymphoid tissue
 Immuno-deficiency and Autoimmune diseases
 Hypersensitivity reactions
 Transmission pattern of genetic disorders
 Neoplasia Epidemiology
 Host defense against tumors
 Characteristics of benign and malignant neoplasms
 Effects of tumor, paraneoplastic syndromes
 Grading and staging of cancer
 Laboratory diagnosis of cancer
 Causes of Sepsis • Sterilization
 Microorganisms responsible for surgical infection
 Hepatitis B and C infections • Transmission and Precautions
 Common Viral, Chlamydial and fungal diseases and their mode of transmission
 Modes of transmission and pathogenesis of common parasitic diseases in Pakistan including amaebiosis,
malaria, hydatid diseases and worm infestations
 Pathology of arterial and venous diseases Secondary hypertension due to renal pathology
Subject Preferred Book
Anatomy Snell Review Anatomy / Big Snell (if multiple attempts)
Physiology First Aid Step 1 & BRS Physiology (without Neurology)
Biochemistry First Aid Step 1 + Past MCQs
General Pathology First Aid Step 1 (Tables) + Pathoma/BRS Pathology
Special Pathology First Aid Step 1 Special Pathology (complete) + Pathoma (optional)
Microbiology First Aid Step 1
Immunology First Aid Step 1 + BRS Pathology
Neurology Snell Neuroanatomy/Kaplan Neuroanatomy
Embryology High yield Embryology + First Aid Tables + Theory in Tanveer notes
Histology High yield histology + Tanveer Notes
Community Medicine First Aid + Tanveer Notes
Pearl Point Book SK Surgery or Rafiullah Notes or Double A Notes
Select only one MCQ Book Medicall or Salahudin Kamal or Rafiullah or Rabia Ali
 GYNECOLOGY & OBSTETRICS (FCPS PART 1)
ANATOMY
Embryology:
Development of female genital organs
 Ovaries
 Ulerus & Cervix
 Fallopian tubas
 Vagina
 Urinary tract
 Rectum
 Developmental dolocts
Endocrines:
 Pituitary
 Adrenal
Histology:
 Ovary
 Uterus & Cervix
 Fallopian tube
 Vagina
 Urinary bladder
 Ureter
 Kidney
 Breast

GROSS ANATOMY
 Female genital organs
 Bony pelvis and its various types
 Pelvic diameter and its significance
 Pelvic walls:
o Muscles. Joints and ligaments
 Pelvic floor
o Muscles - actions anti innervation
o Pelvic fascia and nerve supply
 Pelvic organs - vessels and nerves
 Retro uterine and Retro vesical pouches
 Blood Vessels and lymphatic drainage of pelvic organs
 Urinary Bladder:
o Structure
o Nerve supply and function
 Ureter - its relation to various organs and vessels
 Lumbar and sacral plexus:
o Pelvic Nerves
 Sacral sympathetic trunk
 Inferior hypogastric plexuses
 Peritoneal reflection in pelvis
 Female perineum:
o Cutaneous Nerves
 Anal canal arid sphincter
 Breast:
 o Development
o Morphology
o Blood supply and lymphatic drainage
 Abdominal Wall:
o Arrangement of muscles
o Blood vessels and nerve supply
o Peritoneum
o Inguinal region

PHYSIOLOGY
Endocrinology and Reproduction:
 Pituitary hormones
 Thyroid Metabolic hormone
 Parathyroid hormones:
o Regulation of calcium and phosphate
o Role of Vit. D for bone
 Function of the Gonadotropic Hormone
 Mechanism and action of Hormones
 Monthly ovarian cycle
 Regulation by ovarian and hypothalamic
 Pituitary Hormones
 Function of the ovarian Hormones:
o Puberty and Monarche
o Precocious and Delayed puberty
o Female fertility * Menopause
 Male hormones and reproduction.
 Pregnancy and Lactation
 Hormonal factors in pregnancy
 Maternal adaptation to pregnancy
 Mechanics of parturition:
o Onset of Labor
 Lactation:
o Function of Prolactin
 Placenta:
o Hormones

CVS
 Reflex Mechanisms for maintaining normal arterial pressure.
 Control of cardiac output

Respiratory System:
 Pulmonary ventilation.
 Transport and diffusion of oxygen and carbon dioxide.
 Regulation of respiration.
 Respiratory Insufficiency:
o Hypoxia.

Nervous System:
Cortical and brain slern control of motor function.
 Somatic sensations:
o Pain
 o Headache and thermal sensation
 Micturation reflex

BIOCHEMISTRY
 Energy metabolism:
o Glycolysis
o Citric acid cycle
 Regulation of metabolic pathways
 Enzyme kinetics - Role of enzyme in digestion
 Role of insulin and glucagon

PHARMACOLOGY
 Analgesic Drugs:
o Local and General Anesthetics
o Epidural analgesia
 Drugs used during pregnancy and their effect on breast feeding - Teratogenesis:
o Oxytocin
o Prostaglandins
o Calcium Antagonists
o Beta 2 receptor agonist
o Hormones
o Anti hypertensive drugs
o Oral hypoglycemic
o Chemotherapeutic agents

PATHOLOGY
 Pathogenesis of septic shock:
o D.I.C
 Adult Respiratory distress syndrome
 Amniotic fluid embolism
 Hypersensitivity Reactions:
o Types
 Common Immuno-deficiency diseases and Autoimmune disorders
 Carcinogenic Agents and risk factors of cancers of Female genital organs
 Grading anti Staging of Cancer
 Genetic diseases:
o Mutation nod Transmission pattern
 Role of Amniocentesis
 Common Congenital anomalies
 Disorders of hematopoietic and lymphoid system.
o Anemias (deficiency of folic acid, B12) and while cell disorders during perinatal period and
its effects
o Pathophysiology of Jaundice during pregnancy
 Common organisms responsible for perinatal and post operative infection
 Tuberculosis of Pelvic organs
 Hepatitis B and C, H.I.V./AIDS
 Common Parasitic infestations:
o Malaria
o Giardiasis
o Entamoeba
o Echinococus
 STATISTICS, EPIDEMIOLOGY, BIOPHYSICS

 Study design, measures of validity in screening qualification of risk and chance.

 Essential epidemiological data in obstetrics and gynecology specially for Pakistan.
 Understanding the principles of ultrasound imaging, X-rays - CT Scan, M.R.I., Radioisotope and
lasers.
 Physical principles and biological effects of heat, cold sound and electromagnetic radiation.

Subject Preferred Book

Anatomy Snell Review Anatomy + Pelvis & perineum topics from Big Snell
Physiology First Aid Step 1 & BRS Physiology (without Neurology)
Biochemistry First Aid Step 1 + Past MCQs
General Pathology First Aid Step 1 (Tables) + Pathoma/BRS Pathology
Special Pathology First Aid Step 1 Special Pathology (complete) + Pathoma (optional)
Microbiology First Aid Step 1
Immunology First Aid Step 1 + BRS Pathology
Neurology Snell Neuroanatomy/Kaplan Neuroanatomy
Embryology High yield Embryology + First Aid Tables + Theory in Tanveer notes
Histology High yield histology + Tanveer Notes
Community Medicine First Aid + Tanveer Notes
Additional Books Ten Teachers & SK Pink
Select only one MCQ Book Medicall or Salahudin Kamal or Rafiullah or Rabia Ali