Kerala PSC ASSISTANT INSURANCE MEDICAL OFFICER Examination Syllabus

Kerala Public Service Commission Published the examination date of the titled Post. Here is the full syllabus of the same post is as follows. Prepare for the examination with this syllabus and study well. Best of Luck.

HUMAN ANATOMY 

General Anatomy General Embryology Upper Limb Lower Limb Thorax Head and Neck Brain and Spinal Cord Abdomen, Pelvis and Perineum Genetics 

BIOCHEMISTRY 

Proteins Carbohydrates Lipids Metabolism of Lipids Metabolism of Amino acids Haemoglobin Vitamins Mineral Metabolism Maintenance of Homeostasis Nucleic Acids and Molecular Biology Plasma Proteins and Immunoglobulins Biochemistry of Cancer Clinical Chemistry 

HUMAN PHYSIOLOGY INCLUDING BIO-PHYSICS

 Hematology Cardiovascular System Respiratory System Gastrointestinal System Renal System Skin and Temperature regulation Nerve - muscle physiology Nervous System Special Senses Audition Endocrinology Physiology of Reproduction 

 FORENSIC MEDICINE AND TOXICOLOGY

 Forensic Medicine 

1. Definition of forensic medicine, forensic pathology and medical jurisprudence 

2. Introduction to the subject, historical aspects of forensic medicine 

3. Inquest procedures 

4. Courts in India and their powers. Supreme Court, High Court, Sessions Court, Assistant Sessions Court and Magistrate Courts. 

5. Court procedures. Summons, warrant, Conduct money, Oath / affirmation, types of witnesses, recording of evidence, conduct of doctor in witness box, perjury, hostile witness. 

6. Medical certificates and medico legal reports. Birth, death, wound, drunkenness, potency, offence cases, intimation, notification. 

7. Death sex 

8. Definition, diagnosis and certification (as per MCCD rules), somatic, molecular and brain death. Sudden natural deaths, suspended animation. Changes after death. 

(a) Algor mortis, Livor mortis, Rigor mortis, cadaveric spasm, cold stiffening, heat stiffening (b) Decomposition, modified forms of decomposition, estimation of time since death. (c) Common post mortem artifacts. 

9. Identification

 (a) Definition. (b) Identification of persons, dead bodies and remains of a person by sex, age, biometry, dental features, scars, moles, tattoos, dactylography, personal belongings, photography, superimposition, DNA. 

10. Medico legal autopsy and exhumation 

(a) Definition of medico legal and clinical / pathological autopsy. (b) Objectives, procedures and formalities of medico legal autopsy. (c) Preservation of articles and tissues of importance during autopsy. 

11. Mechanical injuries or wounds 

(a) Definition of wound, injury, hurt, assault, battery. (b) Classification of injuries, description of blunt force and sharp force injuries. (c) Fire arms – principles, types, examination and interpretation of fire arm wounds. Comparison microscopy. (d) Medico legal aspects of injuries: Difference between ante mortem and post-mortem injuries, determination of different types of injuries, defense wounds, hesitation cuts, fabricated injuries, simple and grievous hurt, suicidal, accidental and homicidal injuries, causes of death by mechanical injuries, legal classification of fatal injuries. (e) Regional injuries: Injuries to head, neck, thorax, abdomen, pelvis, genitalia, vertebral column and bones. (f) Injuries due to traffic occurrences. (g) Injuries due to physical agents and their medico legal importance: Heat, cold, electricity and lightning. Explosion injuries. 

12. Asphyxial deaths: 

Definition, causes, types, post-mortem appearances and medico legal significance of violent asphyxia deaths like hanging, strangulation, suffocation, smothering, choking, drowning, traumatic asphyxia. 

13. Medico legal aspects of deaths due to starvation-forced feeding. 

14. Human sexual functions: 

(a) Potency, sterility, virginity, pregnancy, delivery. (b) Abortion, MTP, sexual sterilization, artificial insemination and their legal aspects. (c) Sexual offences and abnormal sexual practices. (d) Legal aspects of the above. 

15. Infant and childhood deaths: 

Viability and determination of intrauterine age of the foetus, live birth, still birth, dead born. Sudden infant death syndrome, child abuse. 

16. Biological fluids: 

(a) Blood – preservation and dispatch of samples, importance of blood groups in disputed paternity, hazards of blood transfusion. (b) Seminal and salivary stains preservation, dispatch and importance of grouping. (c) Principles of laboratory tests for identification of the above and interpretation of the results. 

17. Forensic psychiatry: 

(a) Definition and brief overview of common mental illnesses. (b) True and feigned mental illnesses. (c) Civil and criminal responsibilities of mentally ill persons. (d) Indian mental health act with special reference to admission, care and discharge of mentally ill persons. 

18. Medical jurisprudence:

(a) Indian medical council and state medical councils, their functions and disciplinary control. (b) Duties and rights and privileges of a registered medical practitioner. (c) Professional conduct, etiquette and ethics in medical practice. (d) Professional secrecy and privileged communication. (e) Medical negligence: Civil, criminal, contributory negligence, vicarious responsibility, res ipsa loquitur, prevention of medical negligence and defence in medical negligence suits. (f) Consent: Types, age in relation to consent, consent in relation to mental illness and alcohol intoxication, consent in emergency situations. (g) Consumer protection act. (h) Certification of births, deaths, illness, fitness, disability. 

19. Forensic toxicology: 

(a) Definition and general principles of management of a case of poisoning. (b) Medico legal duties of a doctor in a case of poisoning, preservation dispatch of viscera for chemical analysis. Role of chemical examiner’s laboratory and forensic science laboratory in brief. (c) Diagnosis and principles of therapy and medico legal aspects of the following poisons, giving special emphasis to those of regional importance. i) Corrosive poisons: strong mineral acids, alkalies and organic acids – (carbolic, formic and oxalic acid). ii) Metallic poisons: Lead, Arsenic and Iron. iii) Animal poisons: snake and scorpion bites. iv) Deliriants: Dhatura, Cannabis and Cocaine. v) Inebriants: Methyl and Ethyl alcohol. vi) Asphyxiants: Carbon monoxide, carbon dioxide, Hydrogen sulphide and Cyanides. vii) Cardiac Poisons: Cerbera Odollam, Cerbera thevitia, Nerium odorum. viii) Insecticides: Organophosphorous compounds, carbamates and Organocholoro compounds, Aluminium phosphide and Zinc phosphide. (d) Drug abuse and dependence. (e) Inorganic non metallic poisons: Phosphorous. (f) Organic vegetable irritants: Abrus precatorius, capsicum, calotropis, Semicarpus anacardium, Croton. (g) Convulsants: Strychnine. (h) Paralytic agents: Curare. (i) War gases and industrial gases. (j) Chloral hydrate (k) Mechanical poisons. MICROBIOLOGY 

I. General microbiology 

1. Introduction to microbiology 2. Morphology of bacteria comparison with other microbial forms 3. Growth, nutrition culture media 4. Identification of bacteria 5. Bacterial genetics 6. Antibacterial agents and antibiotic sensitivity test 7. Infection – Source and spread of infection 8. Sterilisation and disinfection 9. Response to microbial infections 

II. Systematic bacteriology 

Gram positive Cocci-Stapohylococci, Streptococci, Pneumococci Gram negative Cocci- Neisseria Gram positive Bacilli-Corynebacterium, Listeria, Bacillus Mycobacteria, Nocardia, Actinomyces Clostridia, Nonsporing anaerobes Gram negative Bacillus-Haemophilus, Bordetella, Brucella, Enterobacteria / Yersinia Pseudomonas, Pasteurella, Acinetobacter Vibrio / Campylobacter Mycoplasma, Legionella, Rickettsia, Chlamydia Spirochetes 

III. Virology 

1. General characteristics of viruses 2. Virus host interaction 3. Replication of virus 4. Pox virus, Herpes, Adenovirus 5. Papova, Retrovirus 6. Myxoviruses 7. Picorna virus 8. Hepatitis, Miscellaneous 9. Rhabdo virus 10. Arboviruses 11. Oncogenic viruses 12. Bacteriophages 

IV. Immunology 

1. Introduction, classification, type and cells involved in immunity 2. Antigen, antibodies 3. Complement in health and diseases 4. Hypersensitivity 5. HLA antigens in health and diseases 6. Immunodeficiency diseases 7. Serological test in medical practices 8. Autoimmunity 9. Tumour and transplantation 10. Immunoprophylaxis and immunotherapy 

V. Parasitology 

1. Introduction of parasitic disease 2. Protozoal infections – Amoebiasis, Plasmodium, Leishmaniasis, Trypanosoma, Giardia, Balantidium, Cryptosporidium, Trichomonas, Toxoplasma, Pneumocystis – laboratory diagnosis of protozoal infection 3. Helminthus – intestinal nematodes, tissue nematodes, cestodes, trematodes – laboratory diagnosis of helminthic infections 

VI. Mycology 

1. Introduction – classification of fungi and general principles of lab diagnosis 2. Superficial infections 3. Subcutaneous infections – Mycetoma, Rhinosporidiosis 4. Systematic mycosis 5. Oppurtunistic fungi 

PATHOLOGY 

Cell injury Infectious diseases Circulatory disturbances Growth disturbances Miscellaneous disorders Haematopathology Cardiovascular pathology Respiratory pathology Renal and urinary tract pathology Pathology of gastrointestinal tract Liver and Biliary tract pathology Lymphoreticular system. Reproductive system. Osteopathology Endocrine Pathology Neuropathology Dermato-pathology 

PHARMACOLOGY 

General pharmacology and basic concepts of clinical pharmacology Autonomic nervous system Autacoids and related drugs Central nervous system Cardiovascular system Drugs affecting blood and blood formation Respiratory system GIT Drugs acting on Endocrine system Chemotherapy Toxicology Miscellaneous National health programmes Infective/Parasitic conditions Medical emergencies 

COMMUNITY MEDICINE 

I. Concept of health and disease 

1. Definition, concepts and evolution (history) of public health 

2. Definition of health, holistic concepts of health including the concept of spiritual health, appreciation of health as a relative concept, dimensions and determinants of health 

3. Characteristics of agent, host and environmental factors in health and disease and the multifactorial etiology of disease. 

4. Understanding the concept of prevention and control of disease 

5. Understanding the natural history of disease and application of interventions at various levels of preventions 

6. Introduction to various health indicators 

7. Health profile of India 

II. Social and behavioural sciences 

1. Concept of sociology and behavioural science, Clinico-socio-cultural and demographic evaluation of the individual, family and community 

2. Assessment of barriers to good health and health seeking behaviour 

3. Role of family in health and disease 

4. Socio-cultural factors related to health and disease in the context of urban and rural societies 

5. Assessment of socio-economic status, effect of health and illness on socioeconomic status 

6. Doctor-patient relationship 

7. Social psychology, community behaviour and community relationship, hospital sociology and psychology 

8. Social security – health insurance: Organized sector, unorganized sector, special groups (Eg: elderly) 

9. Impact of urbanization on health and disease 

10. Poverty link to health and disease and poverty alleviation programmes 

11. Intelligence – IQ and EQ 

12. Personality – Types, Interpersonal relationships 

13. Attitude, Behaviour, habits 

14. Emotions, frustrations, role of emotions in health and coping with emotions 

15. Conflicts – internal, interpersonal and conflict resolutions, defense mechanisms 

16. Stress and coping skills – integrated (Psychiatry) 

17. Ethics 

 18. Learning – Types and skills 

19. Development and health interface – poverty and health, poverty alleviation programme, health of the marginalized, sustainable and inclusive development 

20. Gender and health including gender based violence, epidemiology of violence and its prevention and control life skill education 

III. Environment and Health 

1. Water: concepts of safe and wholesome water, sanitary sources of waterborne diseases, water purification process, water quality standards. 

2. Physical, Chemical and bacteriological standards of drinking water quality and tests of assessing bacteriological quality of water 

3. Health hazards of air, water, noise, radiation pollution. 

4. Concepts of water conservation, rainwater harvesting and global warming. 

5. Concepts of solid waste, human excreta and sewage disposal. 

6. Awareness of standards of housing and its effect of housing on health. 

7. Role of vectors in the causation of diseases. 

8. Identifying the features of vectors and their control measures. 

9. Life cycles of vectors and advantages and limitations of various vector control measures. 

10. Mode of action, application cycle of commonly used insecticides and rodenticides. 

11. Urban waste management. 

12. Recent issue in environmental health. (a) Stockholm convention (b) Basel convention (c) Kyoto Protocol 

13. Radiation prevention and control 

Health promotion and education / communication for behavioural change (Information, education, communication) Nutrition Occupational health Bio-statistics Basic epidemiology Epidemiology of specific diseases: Communicable and noncommunicable Demography and vital statistics Reproductive and child health School health Urban health Health care system in India Health planning, management and administration Disaster management Legislation and public health International health Health care waste management Health care of elderly Mental health and behavioural problems Development and health interface Genetics Disability 

OPHTHALMOLOGY 

Acute conjunctivitis, Trachoma, Allergic conjunctivitis, Pingencula, pterygium, Xerosis/ bitot spots, Dry eye, Angular conjunctivitis, neonatal conjunctivitis, subconj hemorrhager, D/D of conjunctival and limbal nodule Chronic conjunctivitis, Dry eye, membraneous conjunctivitis, Inclusion conjunctivitis Corneal Inflammations: Corneal ulcers-bacterial, fungal, viral, Mooren’s ulcer, Vitamin A deficiency and keratomalacia, exposure keratitis, neuroparlytic keratitis, corneal blindness, eye banking, eye donation, keratoplasty, arcus senilis, corneal oedema, deep / interstitial keratitis, degenerations and dystrophies, overview of keratorefractive surgery. Scleritis, episcleritis Iridocylitis, Panophthalmitis, Endophthalmitis Systemic associations of uveitis, Choroiditis, Coloboma iris, ocular albinism, vitreous hemorrhage – causes Synchisis syntillans, Asteroid hyalosis. Angle closure glaucoma, open angle glaucoma, steroid induced glaucoma, lens induced glaucoma including surgery and management Cataract and management, cong. Conditions, surgery and complications, lens abnormality, secondary glaucomas, congenital glaucoma Fundus changes in diabetes, hypertension, anaemias, pregnancy induced hypertension, haematological disorders, myopia Photocoagulation Retinal vascular diseases Central retinal artery occlusion, central retinal vein occlusion, retinal detachment, retinopathy of prematurity, retinitis pigmentosa, retinoblastoma, Pappilledema, optic neuritis, optic atrophy Awareness of amblyopia, types of squint, paralytic, non-paralytic Common causes of proptosis, orbital cellulites, cavernous sinus thrombosis Dacryocystitis – congenital, acute, chronic, epiphora Ectropion entropion, trichiasis, ptosis, Iagophthalmos, symblepharon, blepharitis, Chalazion, refractive error, myopia, hypermetropia, Astigmatism, presbyopia, aphakia / pseduophakia, Anisometropia, overview of keratorefractive surgery. Chemical injuries, open globe injuries, closed globe injuries and first aid treatment including sympathetic injuries. Siderosis bulbi, Chalcosis, medico legal aspects. Definition and types of blindness. Causes of blindness Promotion of eye donation NPCB, Vision 2020 Eye camps Symptomatic disturbances of vision, overview of recent advances in ophthalmology Lasers in Ophthalmology Enucleation – Indication, technique Eye and systemic diseases including AIDS Causes of sudden / partial / painless dimension of vision Ocular malignancy – retinoblastoma and malignant melanoma of choroid Pharmacology Chronic side effects of systemic medication, local anaesthetics, viscoelastics, steroid and NSAIDS 

OTORHINOLARYNGOLOGY 

Ear

 Introduction to diseases of ear Topics: Diseases of external ear (with special mention on wax, otomycosis, foreign body, keratosis and malignant otitis externa. Diseases of middle ear: Acute otitis media, otitis media with effusion, chronic suppurative otitis media – TTD, AAD, complications of middle ear infections. Deafness – classification, causes, investigations, early detection of deafness in children and rehabilitation (special mention to audiometry, otosclerosis, learning and speech rehabilitation. Disease of inner ear: Vertigo – classification, causes, investigations and management (special mention of Meniere’s disease, positional vertigo and acoustic neuroma) 

Nose and paranasal sinuses 

Rhinitis – etiology, classification and management (special mention of allergic rhinitis, atrophic rhinitis and allergic fungal rhino-sinusitis.) Acute sinusitis (in detail), chronic sinusitis (in detail) Complications of infections of nose and paranasal sinuses Facio-maxillary injuries (in detail), epistaxis, DNS and nasal polyp (special emphasis on FESS) Tumours of nose and PNS (special mention of inverted papilloma, naso-pharyngeal angiofibroma and malignancy) 

Throat 

Tonsils and adenoids (special mention of Qunisy, patches in oral cavity and pharynx) Neck space infections – Ludwig’s angina, retropharyngeal and parapharyngeal abscess Hoarseness – diagnosis and management Stridor – diagnosis and management Malignant lesions of larynx and laryngo-pharynx Dysphagia – causes, investigations and management (special mention of malignancy) Foreign bodies of aero-digestive tract – diagnosis, management and complications, endoscopies in ENT 

MEDICINE AND ITS ALLIED SPECIALITIES 

I. Nutrition and nutritional disorders 

(a) Nutrition requirements (b) Protein calorie malnutrition in adults (c) Obesity (d) Vitamin deficiencies (e) Vitamin excess (f) Hypo and Hypervitaminosis A & D 

II. Fluid and electrolyte balance

(a) Hypovolemia and dehydration (b) Acidosis (c) Alkalosis (d) Hyponatremia + Hypernatremia (e) Hypokalemia + Hyperkalemia 

III. Disturbance of body temperature 

 Infections Approach to fever and PUO URI including sinusitis LRTI – Bronchitis and community acquired pneumonia Tuberculosis Gastroenteritis, Cholera, food poisoning Amoebiasis Helminthic infections, Bacillary dysentery Acute viral hepatitis chronic Viral hepatitis malaria Filariasis Chickenpox, Herpes zoster Dengue fever, Chickungunya Typhoid, Leptospirosis Common exanthematous fevers Skin and soft tissue infections including cellulitis UTI HIV AIDS Sepsis Rabies Tetanus Common fungal infections Influenza and other respiratory viral infections Brucellosis Ricketsia Meningitis Common gram negative infections Common gram positive infections 

IV. Immunology 

Role of B and T Lymphocytes Immunoglobulin Immune reaction Anaphylaxis, Urticaria, Angioedemas V. Primary Immune deficiency disorders 

VI. Genetics Clinical 

Genetics 

VII. Environmental and occupational problems 

(a) Common poisonings organophosphate and carbamate sedatives, hypnotics, antipsychotics, TCA, Rat poison + paracetamol, formic acid, methyl alcohol, Odollum (b) Bites and stings, snake bite, scorpion sting + others (c) Alcohol abuse (d) Radiation hazards (e) Hanging, drowning, electrical injuries 

VIII. Medical disorders in pregnancy

IX. CVS 

Coronary circulation Coronary artery diseases ECG and X-ray interpretation Rheumatic fever and RHD Congenital heart disorders Corpulomonale Hypertension and hypertensive heart disease Cardiac failure Peripheral vascular diseases Infective endocarditis Cardiomyopathies Pericardial disease Rhythm disturbances DVT + pulmonary embolism 

X. GI system 

Approach to patient with Jaundice Approach to patient with Ascites Physiology of absorption and investigation procedures Acid peptic diseases Malabsorption syndrome and tropical sprue Drug / toxin induced hepatitis and NASH IBS Inflammatory bowel disease Disease of colon and rectum Abdominal tuberculosis Chronic liver disease Upper GI bleed Haemochromatosis and Wilson’s disease 

XI. Respiratory system 

Bronchial asthma COPD Suppurative lung disease Pleural diseases Bronchogenic carcinoma Respiratory failure ILD 

XII. Haematology 

Bleeding disorders Coagulation disorders Acute Leukemias Chronic Leukemias Haemolytic anaemias Fe Deficiency anaemia Macrocyte and Megaloblastic anaemia Plasma cell disorders Polycythemia Lymphoma Aplastic anaemia + Agranulocytosis HUS and TTP 

XIII. Renal medicine 

Acute renal failure Chronic renal failure Glomerular disease Nephrotic syndrome RFT 

XIV. Central nervous system 

Functional Anatomy Physiology and Investigation Migraine and cluster headache Seizures and epilepsy Ischemic Stroke Hemorrhagic stroke Approach to a case of vertigo Extrapyramidal disorders Peripheral Neuropathy Spinal cord disorders Motor neuron disease and myasthenia CNS tuberculosis Demyelination Cerebellar disorders Dementias, Delirium Pituitary dysfunction and tumour Endocrine disease related to gonads 

XV. Geriatrics 

Normal ageing and age-related common problems Drug therapy in elderly 

XVI. Critical care 

Severe sepsis and shock Acute LVF + Acute severe asthma Cardiopulmonary resuscitation status Epileptics Approach to coma Management of hepatic encephalopathy DIC Emergency management of acute coronary syndrome Bioterrorism and disaster management 

XVII. Rheumatology 

Rheumatoid arthritis SLE Spondyloarthopathies Degenerative joint disorders Approach to chronic backache Inflammatory muscle disease 

XVIII. Endocrine disease 

Diabetes Mellitus Hypothyroidism Hyperthyroidism Thyroiditis and other thyroid disorders Parathyroid disorders + Tetany Metabolic bone disease + Osteoporosis + Vitamin deficiency Cushings disease + syndrome Addison’s disease 

XIX. Pain and principles of palliative care 

Assessment and treatment of chronic pain 

XX. Clinical pharmacy and therapeutics

General principles of drug therapy Common drug interactions Common adverse reactions Monitoring drug therapy Rational prescription writing 

PSYCHIATRY 

Classification of psychiatric disorders Aetiological factors in psychiatric disorders Clinical interview and mental state examination Organic brain syndrome Substance abuse Bipolar disorders Depressive disorders Schizophrenia Major manifestation of psychiatric illness Treatments used in psychiatric illness Neurotic, stress related and somatoform disorders Sleep disorders Legal aspects of psychiatry 

RADIOLOGY 

Production of X-rays Biological changes Skeletal radiology chest and Mediastinum Gastrointestinal system Hepatobiliary system Genitourinary system Neuroimaging modalities Emergency radiology 

DERMATOLOGY 

Infections of skin Eczematous dermatitis Bullous skin lesion collagen disorder Pigmentary disturbances Maculopapular, Squamous lesion Neoplastic lesions Lesions of skin appendages Gastrogenic disorders Leprosy and national leprosy control programmes 

SURGERY AND ITS ALLIED SPECIALITIES

 Principles of Surgery, genetics, history of surgery, surgical ethics Trauma Metabolic response to trauma Wound healing and complications Critically injured patient including Triage ATLS, poly trauma, disaster management Different types of wounds and their management Shock: Types, pathogenesis and management, Haemorrhage, Haemostasis, Blood transfusion, Burns Fluid and electrolyte balance, nutritional support Pre-operative and post-operative care – emphasis on intensive care and high dependency sterilization Surgical sepsis – specific infection, Nosocomial infection, antibiotic policy Immunology and organ transplantation, HIV and surgeon, Hepatitis B Principles of imaging techniques Suture materials and anastomosis Skin and soft tissues Normal structure – Ulcers, sinus and fistula, cysts and benign tumours Pre-malignant conditions, malignant tumours, skin cover Arteries - Applied anatomy and physiology, investigation, trauma, acute ischaemia, chronic ischaemia, Arterial aneurysms and A. V. fistula, amputations Veins - Applied anatomy and physiology, varicose veins and venous ulcers, DVT and superficial thrombophlebitis Lymphatics and lymph nodes - Applied Anatomy and physiology, lymph oedema – primary, secondary, lymph cyst – cystic hygroma Inflammations – Lymphangitis, lymphadentis, malignant neoplasms – lymphomas Head and neck - Head injuries, facio maxillary injuries, salivary glands, mouth and face, cleft lip, cleft palate, oral cancers and premalignant conditions, jaw tumours, ranula, misc-Branchial cysts, arid fistula, carotid body tumours. Thyroid and parathyroid thyroglossal cyst and fistula Breast - Applied anatomy and physiology, investigation, fibrocystic diseases, inflammation, tumours Chest – diaphragm, mediastinum, chest injuries: Thoracic outlet compression syndrome, heart and pericardium, pleura and lungs. Gastrointestinal tract – oesophagus, anatomy and physiology, congential anomalies, dysphagia, achalasia and other motility disorders, oesophageal perforation, gastrooesophageal reflux diseases, tumours. Stomach and Duodenum – Anatomy, physiology, embryology, congenital, peptic ulcer disease (APD), Upper GI haemorrhage, tumours, pyloric stenosis Liver – Applied anatomy and physiology, trauma, liver abscess, cysts of the liver, portal hypertension, tumours, principles and management of obstructive jaundice. Biliary system – congential disorders, gall stone, cholecystitis, Cholangocarcinoma Spleen – Anatomy and physiology, trauma – splenic conservation, indication for splenectomy Pancreas – Anatomy, development and physiology, congenital anomalies, acute pancreatitis, chronic pancreatitis including calcific pancreatitis, tumours, surgical jaundice Vermiform appendix – Anatomy, appendicitis, neoplasm Small and large intestine – Anatomy, physiology, embryology, congenital disorders, inflammatory bowel disease including typhoid, tuberculosis, tumours, intestinal obstruction. Rectum and anal canal – ano-rectal anomalies, prolapse, haemorrhoids, ano-rectal sepsis, fissure, fistula, tumour Miscellaneous – Abdominal trauma, minimally invasive surgery, peritoneum and retroperitoneum, hernia and abdominal wall, mesentery, surgical audit and day care surgery Genitourinary system – congenital conditions, trauma, infections, stones, hydronephrosis, tumours of kidney, tumours of bladder, retention of urinary bladder, haematuria, torsion, undescended testis, epididymo-orchitis, carcinoma penis, phimosis, prostate testicular tumours, benign prostatic hypertrophy, carcinoma prostate, adrenal gland surgery pheochromacytoma and conn syndrome. 

ORTHOPAEDICS 

Traumatology Definition of a fracture and types of fracture and general principles of management of fracture Complications of fracture – open fractures and pathological fracture Fracture clavicle, fracture neck of humerus and shoulder dislocation Fracture humems (Shaft) and supracondylar fracture Intercondylar fracture and Olecranon fracture Elbow dislocation and forearm fracture Monteggia fracture and Galeazzi’s fracture Colle’s fracture and fracture scaphoid Fracture spine and traumatic paraplegia Fracture pelvis and hip fracture – fracture of femur Hip dislocation and fracture shaft of femur Meniscus tear and fracture patella Leg fracture Ankle injuries – Pott’s fracture Hand injuries Extensor mechanism injuries of knee Fracture of tarsal bones Cold orthopaedics CTEV and flat foot CDH Torticollis, congential pseudoarthrosis of tibia and arthrgryphosis multiplex congenita ostemyelitis septic arthritis tuberculosis – spine, hip, knee, elbow, wrist and other sites Perthe’s disease and slipped upper femoral epiphysis Rickets and osteomalacia Rheumatoid arthritis and ankylosing spondylitis Intervertebral disc prolapse Scoliosis and spondylothesis Bone, tumour, osteochondroma, simple bone cyst, aneurysmal bone cyst and endochondroma, giant cell tumour, osteosarcoma and Ewing’s sarcoma, Chondrosarcoma, multiple myeloma, metastatic bone diseases and osteogenesis imperfecta Nerve injuries – Radial nerve, ulnar nerve, sciatic nerve, amputations and osteoarthrosis hip, knee, cerebral palsy 

PHYSICAL MEDICINE AND REHABILITATION 

Introduction to physical medicine and rehabilitation disability process and progression of disabilities concept of Impairment / disability and hard cap Principles of physical therapy – various modalities and therapeutic exercises Principles of occupational therapy its application in the rehabilitation of various disabilities Principles of prosthetics and rehabilitation aids their application in the rehabilitation of disabilities Disability evaluation – principles people with disabilities Act – 1995 Pain management principles Principles of rehabilitation of people with disabilities To understand the basic principles of disability conclusion and for certification purposes To get exposed to the potentials of socia-vocation rehabilitation of the various describing conditions in the light of the 1995 Act people with disabilities (equal opportunities etc) Act 1995 To get oriented to basic principles of community based rehabilitation of people with disabilities 

RADIOTHERAPY

 Cancer epidemiology and possible etiological factors, screening for cancer Principles of cancer chemotherapy and chemotherapeutic agents used in the management of cancer Hormone treatment in cancer Principles of radiation oncology, radioactive sources – Teletherapy, Brachial therapy and nuclear medicine Methods of radiotherapy and recent advances Common malignancies, diagnosis and treatment 

ANAESTHESIOLOGY

 Introduction – scope of Anaesthesiology Pre-anaesthetic check-up premedication General anaesthesia – Basal anaesthesia triads of anaesthesia Inhalational agents Intravenous anaesthetic agents Regional analgesia – subarachnoid and epidural analgesia, other techniques of regional analgesia and agents used. Equipments in anaesthesia and methods of oxygen therapy Intravenous fluid therapy, intraoperative monitoring Complication in anaesthesia and post-operative period Cardio-pulmonary and cerebral resuscitation, basic cardiac life support (BCLS), advanced cardiac life support (ACLS) Methods of pain relief 

PAEDIATRIC

Infectious diseases Poliomyelitis, measles, diphtheria, tetanus, childhood tuberculosis, typhoid fever, HIV infection, dengue and chikungunya, viral haemorrhagic fevers and malaria. Pertussis, mumps, rubella, influenza, H1N1, seasonal epidemics Gastrointestinal tract and liver disorder Diarrhoeal diseases, hepatitis and hepatic failure, cirrhosis liver and portal hypertension. Helminthic infestations. CVS - Congenital heart disease, rheumatic fever and RHD, CCF, hypertension, infective endocarditis. Respiratory system - Childhood asthma, acute bronchiolitis, pneumonias in children suppurative lung disease, smoking and environmental pollution, Croup syndromes CNS - Cerebral palsy, mental retardation, meningitis and encephalitis, seizure disorders and febrile seizures, microcephaly and hydrocephalus, floppy infant, therapeutics Treatment of epilepsy, GBS, ADEM Haemopoietic system - anaemia in children, bleeding disorders Disorders of kidney - acute nephritis, nephrotic syndrome, renal failure, urinary tract infection Endocrine disorder - diabetes mellitus, thyroid disorders, short stature and intersex, ambigous genitalia, precocious puberty Connective tissue disorders - JRA, other vasculitis syndromes including SLE and HSP, Kawasaki disease Malignancies in children - leukemia, lymphomas, neuroblastoma, solid tumours, CNS tumours, new born respiratory distress in newborn, perinatal diagnosis and treatment, sepsis in newborn, assessment and management of asphyxia, thermoregulation in newborn congenital malformations, disorders of gestation and low birth weight, neonatal resuscitation, neonatal jaundice, sepsis, BFHI and feeding, normal variations intrauterine infections, neonatal seizures Behavioural problems in children - Enuresis, thumb sucking, breath holding, dyslexia, specific learning disorders, child rearing problems like infantile colic, growing pain etc Common poisoning and accidents in children - Kerosene, Dhatura, paracetamol and iron, snake bite, burns etc. Nutrition - BFHI, IYCF Nutritional assessment, SAM, specific vitamin deficiency disorders National programmes - IMNCI, RCH3, NRHM, Vitamin A, Iodine deficiency, IDSP, ARI, ADD, AFP & PPI Common chromosomal disorders and genetic counselling - Down’s syndrome, Turner syndrome. Fragile X and Genetic counselling, Innocent problems causing undue parental anxiety breath holding spell, evening colic, growing pain etc. 

OBSTETRICS AND GYNAECOLOGY 

Pregnancy - Diagnosis, Clinical features, differential diagnosis, relevant tests and the principles underlying the tests Antenatal care: objectives of antenatal care routine antenatal check up, Assessment of period of gestation, obstetric examination, general examination, other system examination Clinical monitoring of maternal and fetal well being, detect abnormality Common problems in Pregnancy - Oedema, Pruritis, heart burn, piles, varicose veins, clothing and foot ware, exercise, sex, hygiene, nutrition, rest, drug in pregnancy Drugs: Immunisation, drug prescription relevant blood examination, urine examination and interpretation of the results and physiological changes in pregnancy Ultrasound examination Fetal surveillance Normal Labour Physiology of onset of labor, fetal skull and pelvis Mechanism of labour Labour monitoring partogram, Labour analgesia Induction of labor (various methods of induction – merits and demerits) Acceleration of labor and drugs used in labor Delivery: stages of labour, management of first of labour Management of second stage of labour (vaginal delivery with episiotomy) Management of third stage of labor: Active management of third stage of labor Prevention of PPH, Management of PPH Other complications of third stage of labor and management Abnormal labor: Hypertonic contractions, hypotonic contractions and incoordinate uterine action CPD, obstructed labour Caesarean section (indications, complications) Vaginal delivery after caesarean Abnormal presentations and management: Occipito posterior position, Breech presentation, transverse lie, brow/face presentation Abortions: Types, aetiopathology, investigations and management Recurrent pregnancy loss: causes, investigations and management Ectopic pregnancy: aetiopatholgy, early diagnosis, late diagnosis, clinical features, differential diagnosis and principles of management (conservative, medical and surgical) Trophoblastic diseases: aetiopathology, classification, clinical features, diagnosis, management, long term follow up and complications Hyperemesis gravidarum: definition, aetiopathology, clinical features advice and drug therapy Abnormal puerperium: cause clinical presentation investigations and management Abnormal pregnancy: Multiple pregnancies Intrauterine death PROM (Premature rupture of membranes) Preterm labor Post datism IUGR Elderly primi, grand multipara, Rh negative, Gynaecological disorders complicating pregnancy Fetus and newborn: Fetal distress: definition, diagnosis and management neonatal resuscitation, care of newborn, examination of newborn and identifying congenital abnormalities, jaundice in newborn Breast feeding Contraception: various methods and devices, selection of patients, counselling of the Couples, follow up, side effects, complications, and failure rates Medical termination of pregnancy: MTP Act, Legal and ethical aspects, methods, complications and management Operative obstetrics Indication and steps of the procedure of episiotomy Vacuum extraction, forceps delivery Instrumental evacuation Caesarean section Assisted breech delivery, breech extraction External cephalic version, internal podalic version Cervical encirclage extra amniotic instillation and manual removal of placenta Ultrasound MRI in obstetrics: diagnostic and interventional Fetomaternal medicine: Screening for congenital abnormalities, blood tests (maternal and fetal) Amniotic fluid analysis, fetal tissue biopsy Medical disorders in pregnancy: Hypertensive disorders of pregnancy Heart disease complicating pregnancy Anaemia in pregnancy Diabetes in pregnancy UTI, hepatitis, TB, chest disease complicating pregnancy Veneral disease, infections, HIV complicating pregnancy Thyroid disorders, immunological disorders like SLE, ACLA, and thrombophilia complicating pregnancy Jaundice in pregnancy Haemorrhage and coagulation disorders in obstetrics and immunology in pregnancy Dummy pelvis, Mannequins resuscitation of newborn 

Gynaecology

Abnormal menstruation: Normal menstrual cycle – physiology of menstruation Abnormal menstruation – definition, classification, clinical features and principles of investigations, diagnosis and management Amenorrhoea: Definition, classification, causes, investigations and management Dysfunctional uterine bleeding and postmenopausal bleeding: Definition, causes, investigations and management Hormonal therapy: when to give, when not to give, type of hormones with dosage, duration of hormonal therapy, complications and contraindications for hormonal therapy Infertility: Types, definition, causes, counselling, examination of couple and essential investigations, ART: various methods of assisted reproductive techniques, setting up of ART lab Genital injuries including fistulae: Causes, diagnosis, clinical features, and principles of management and prevention Genital infections: STDs, PID, HIV infection and AIDS, genital TB – aetiopathology, diagnosis and principles of management Neoplasms of genital tract – Benign and malignant, aetiopathology, clinical feature, diagnosis, principles of management and cancer screening and preventive aspects Abnormal vaginal discharge: causes, clinical examination, diagnosis, investigation and management. Counselling regarding prevention of STD’s Endometriosis: aetiopathology, classification, clinical features, diagnosis and management, contraception Operative gynaecology: Indications, complications of D&C, cervical biopsy Medical termination of pregnancy, evacuation of incomplete Abortion tubal ligation, IUCD insertion Abnormal hysterectomy Vaginal hysterectomy, sling procedures Ovarian tumours Radical procedure for malignancy Correction of enterocele, diagnosis and operation for vault prolapse Endoscopy in gynaecological practice Laproscopy: Principles, indications, instrumentation, procedure, complication, scope of laproscopy in gynaecological practices Hysteroscopy: Principles, indications, instrumentation, procedure, steps in present gynaecological practices and complications. Colposcopy: Principles instrument, procedure Endocrinology Post operative management: Routine management of postoperative patient like IV fluids, drugs, antibiotics, ambulation, nutrition Management of fever, skin wound complications, complications like burst abdomen, intraperitoneal bleeding and intra peritoneal collections, instruments, specimens etc. Acute abdomen Adolescent medicine (Gynaecology) Analgesia Urological problems 

FAMILY WELFARE

Applied anatomy of mechanical methods for prevention of conception In female – Barrier contraception, female condom, IUCD, tubectomy etc. In male – Condom, vasectomy (NSV) etc Physiology, endocrine and regulation of reproduction in the female. The safe periodrhythm method of contraception, principle of use of oral contraceptives. Pharmacology: Mode of action and administration of chemical contraceptives and oral contraceptive Contraindications for administration of contraceptives. Side effects of contraceptives Community Medicine: The need for Family Welfare Planning, organization of Family Planning service, Health Education in relating to Family Planning, Nutrition, Physiological need of the mother, the child and the family Demography and the vital statistics Pediatrics: Problems of child health in relation to large family: organization of pediatric services, nutritional problems of mother and child, childhood diseases due to over crowding. 

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

Kerala PSC ASSISTANT INSURANCE MEDICAL OFFICER Examination Syllabus, Kerala PSC ASSISTANT INSURANCE MEDICAL OFFICER Examination Full Syllabus, ASSISTANT INSURANCE MEDICAL OFFICER Examination Syllabus, ASSISTANT INSURANCE MEDICAL OFFICER Examination Full Syllabus, ASSISTANT INSURANCE MEDICAL OFFICER Examination Detailed Syllabus, PSC ASSISTANT INSURANCE MEDICAL OFFICER Syllabus, KPSC ASSISTANT INSURANCE MEDICAL OFFICER Syllabus, Kerala PSC ASSISTANT INSURANCE MEDICAL OFFICER Syllabus