Syllabus for Licensing Examination of Certificate Level in General Medicine (HA) 2021

Nepal Health Professional Council, Bansbari, Kathmandu Published Syllabus for Licensing Examination of Certificate Level in General Medicine (HA) 2021.

Table of Content:

1. Anatomy and Physiology

Introduction of Anatomy & physiology, structure, and function of the skin and integumentary system. Skeletal system, Muscular system. The nervous system, Somatic and special senses. The endocrine system, Blood. Cardiovascular system. Lymphatic system and immunity, Digestive system, Respiratory system. Urinary system, Male reproductive system, Female reproductive system, and Human Growth & Development.

2. Community Health

2.1. Health education and health promotion Overview of health education. Fundamental Factors of Health Education, Methods of Health Education, Media of Health Education, Planning of Health Education Programmes, Implementation of Health Education Programmes, Evaluation of Health Education Programmes. Health Promotion, Applied Health Education.

2.2. Environmental Health Water Purification. Waste Management. Food Hygiene. Sanitation of public places. Health Hazards, Sanitary Latrines, Basic Measures in Controlling Rodents, Medical Importance and Measures of Controlling Common Vectors and Insects.

2.3. Primary health care and family Health Health care of people: Concept of health. determinants of health, indicators of health, Primary Health Care and Health for All, Community participation in PHC. Challenges of PHC in Nepal. Role of Health Post Incharge in PHC, Introduction of family planning. Adolescent Health, Demography, Common Neo-natal Problems, Common Child Health Problems like CDD, ARt, Malaria, and Malnutrition.Nutritional Interventions, Immunizations Services. Safe Motherhood. Community Mobilization & Local Governance( Female Community Health Volunteers (FCHV) and Mother's Groups, Primary Health Care Outreach Clinic, Free Drug Programme (FDP), Mobilization of Local Health Leaders and Committees. Decentralized Management of Health Services.

2.4. Epidemiology and Disease control Definition, Scope, Causes of Disease and Infection, Management of Disasters, Management of Epidemics, Causes, Signs, Symptoms. Management. Prevention and Control of Gastroenteritis. Dysentery, Cholera, Typhoid Fever, Giardiasis, Malaria, Filariasis, Encephalitis, Kala-azar, Dengue, Fever, Parasitic Infestation, Scabies, Chicken Pox, Influenza, Mumps, Rabies, Hepatitis, Ring Worm, Leprosy. Tuberculosis, Helminthiasis, Pertussis, Measles, Diphtheria, I-11V and AIDS, sexually transmitted infection(STI) and COVID.

2.5. Nutrition

Introduction. Proteins, Fats & Carbohydrate, Vitamins, Minerals, Balanced diet, Assessment of nutritional status, Undernutrition, Nutritional problems of public health, Nutrition Factors in Selected Diseases, Nutrition education and food taboos and myths.

2.6. Community diagnosis Concept of Culture and Health. Introduction to Community Diagnosis. Data collection. Data processing, Community presentation. Micro Health Project.

2.7. Health Management Community Health Diagnosis & Health Profile. Micro Planning of Health Programme,Supervision. Monitoring and Evaluation of Health Programmes. Health Management Information System (HMIS).Planning and Management of Camps. Cold Chain Management. Health Training Management in different settings, Logistic Management. Organizational Structure and Functions of Ministry of Health and Population (MOHP). Department of Health Service (DoHS), Provincial Health Directorate (PHD).Heallh Office (HO),Municipatity Health section, Primary Health Care Center (PHCC), Health Post (HP) and Basic Health service Centre (BHSC),Nepal Health Professional Council Act, 2053 and Regulation, 2056.

3. General Medicine

3.1. Clinical methods History taking & Physical Examination, Principles and procedures for collecting and Interpreting clinical data. Procedure of general physical examination and systemic examinations in regard to all systems. Bedside history and clinical examination practice.

3.2. Systemic diseases Hematological & Cardiovascular Conditions. Respiratory Disorders. Gastrointestinal Disorders. Endocrine System Disorders, Hepatic Disorders, Central Nervous System Disorders,

3.3. Pediatric and Neonatology Pediatric examination. Neonatal conditions, Neonatal disorders. systemic disorders of children. Infectious diseases-Mumps, diphtheria, whooping cough, rheumatic fever, poliomyelitis, Skin disorders. Heiminthes infestations. Nutritional disorders. Integrated Management of Childhood Illness (IMCI), Infection Prevention, Neonatology,

3.4. Skin Diseases

Introduction to Dermatology, Bacterial Infections of the skin. Fungal infection of the skin, Viral infection of the skin, Parasitic infections of the skin, Allergic conditions of the skin, Acne vulgaris, Psoriasis. Vitiligo, Miliaria,

3.5. Voneral diseases Gonorrhoea, Chlamydia, Syphilis, chancroid. Venereal warts, genital herpes, Syndromic case management of STI

3.6. Psychiatry Mental Health Services in Nepal, Psychiatric assessment, Causes of Mental Illness, Psychosis, Neurosis — anxiety disorders, Neurosis — depressive disorders. Bipolar disorder, Alcohol, and drug

abuse, Childhood Mental disorders, Psychosexual Disorders, Psychological trauma, Epilepsy, Mental Retardation.

4. Pharmacology and pharmacy

4.1. Clinical Pharmacology Introduction to pharmacology. Locally acting drugs. Anti-cancer and Antimicrobial agents, Drugs used in Common GI problems, Drugs used In common respiratory problems, Rehydration therapy. Vaccines, antisera and immunoglobulins, Vitamins and minerals, NSAIDS, Hormones, and related drugs. CNS acting drugs. Drugs used in cardiovascular problems, Diuretics.

4.2. Pharmacy Pharmacodynamic and pharmacokinetic, Rational drug therapy. Inventory management, packing, labeling, dispensing. Preparation of solution, lotion, ointment, and suspension (Gentian violet, Mercurochrome. acrillavin• potassium permanganate. Whitfield and sulfur ointment, Lugol's solution, and tincture of iodine and antacid according to the accepted formula.

5. General Surgery

5.1. Basic surgery Haemorrhage, Management of inflammation, Septicemia, Toxemia, Sinus, fistula, Gangrene, Wound, Tetanus Acute Pain Abdomen, Hernia, Anal Fissure, Piles, Acute Retention of Urine, Causes of Frequent Urination and Nocturia. Management of Rupture of Urethra, Haematuria, Phimosis. Paraphimosis, Hydrocele, Head Injury, Clinical features and management of Osteomyelitis, Local Anesthesia, Sterilization of Surgical Instruments.

5.2. First aid and emergency care Shock, Poisoning. Injuries, Haemorrhage, External bleeding, Thermal, and Chemical Bums, Fracture and Dislocation, Frost Bite, Insect bite. Animal bite, Snakebite, and Drowning, Abscess, and Cellulitis.

5.3, Obstetrics and Gynecology Male and Female Reproductive System. mechanism of Menstruation. Conception. Evolution. Vaginal Discharge, Management of Per Vaginal Bleeding, Post-Menopausal Bleeding, Uterine Prolapsed, Pelvic Inflammatory Diseases: causes. Sign, Symptoms, and Complication of Ectopic pregnancy, Management of Mastitis. and Breast Abscess, Management of Normal Labor, and Early Diagnosis and referral of Complicated Pregnancy. Labor, Puerperium. Safe Abortions, Permanent and Temporary Contraceptives.

5.4. Eye. ENT and Oral Health General Examination procedures of Eye. Ear. Nose and Throat. Sign and Symptoms and General

Managements of Eye Lid complications, Red Eyes, Trachoma, Corneal ulcer, Night Blindness, Cataract, Pterygium, Indocyclitis.Xeropthalmia.Glaucoma and foreign body in the eyes. Removal of Wax and Foreign Bodies, Sign and Symptoms and Management of Otitis Media. Otitis Externa and referral conditions of hearing problems, Deviated nasal Septum. Nasal polyps, Epistaxis and Sinusitis, Clinical Features, Complications and management of Acute Tonsillitis, Pharyngitis and Laryngitis, Dental plaques and calculus, Dental Carries, Periodontitis. Periodontal pockets and Abscess, Importance, and Maintenance of Oral Hygiene.

6. Clinical Pathology

6.1. Biochemistry Carbohydrates. Proteins, Lipids. Enzymes, Vitamins.

6.2. Microbiology Introduction to Microbiology. Basic bacteriological investigations, Bacterial growth, and sterilization,

6.3. Parasitology Intestinal Parasites- Ascaris. Hookworm. Tnchuris, Enterobius, Taenia, Echinococcus, Hymenolepls Entamoeba, Giardia.Trichomonas. Mode of infection. pathogenicity, laboratory diagnosis, and prevention of intestinal parasites. Blood and tissue parasites, Defense mechanisms of the body.

6.4. Hematology Blood and anticoagulants. Blood characteristics. hematological tests, and blood collection techniques. Hormones.