SYLLABUS - FAMILY MEDICINE

MCPS & MRCGP (INT)

MRCGP (INT) MCPS
Neurological problems:
 Headaches including tension, vascular such as  Headache
migraine and raised intracranial  Stroke
 pressure, space occupying lesions and red  Post stroke rehabilitation
flags of headache  Seizures
 Vertigo including vertebra-basilar,  Meningitis
labyrinthine or cerebellar problems  Dementia
 Seizures
 Strokes and transient ischemic attacks
 Speech disorders
 Degenerative disorders including multiple
sclerosis, Parkinson’s disease, motor neuron
disease and encephalopathies
 Sensory and/or motor disturbances including
neuropathies and neuralgias such as
 face pain
 Infections such as meningitis or encephalitis
 Conditions causing acute and chronic
cognitive deficits.
 Common principles of rehabilitation for
neurological disease
Psychiatric disorders:
 Mood disorders  Anxiety disorders
 Anxiety disorders  Depression
 Somatization disorder  Somatoform disorders
 Substance abuse
 Sleep disorders
 Common psychotic disorders
 Communication problems including autistic
spectrum disorder
 Behavior problems such as attention deficit
hyperactivity disorder, enuresis, encopresis,
school problems
 Family, social and cultural context of
psychiatric illness
 Learning difficulties and mental disability
 Association of psychiatric disorders with other
medical conditions
Men’s health:
 Urinary problems
 Testicular problems
 Sexual dysfunction
Eye problems:
 Causes of red eye  Blepharitis
 Visual Loss  Conjunctivitis
 Painful eye  Corneal abrasion
 Common eyelid problems  Hordeolum (styes)
 Acute visual loss / Acute eye pain
 Cataract
 Strabismus

Ear, nose and throat problems:

 Common nasal conditions  Allergic, acute, atrophic rhinitis
 Otalgia and Otorrhea  Epistaxis
 Hearing disorders  Otitis media and externa
 Common oral conditions  Pharyngitis, Laryngitis
 Sinus problems  Sinusitis
 Hoarseness and stridor  Thrush
 Vertigo and balance disorders  Tonsillitis
 Viral respiratory tract infections
 Appropriate ear, nose and throat examination
 Use of otoscope

Endocrine
 Diabetes type I and II  Diabetes Mellitus
 Thyroid and parathyroid disorders  Thyroid
 Reproductive Endocrinology - Hypothyroidism
 Lipid disorders - Hyperthyroidism
 Weight disorders diabetes Insipidus - Thyroid nodule
 Common pituitary conditions  Osteoporosis
 Adrenal disorders  Vitamin D and B12 deficiency
 Obesity
 Interpretation of reports
- Blood sugar tests
- Thyroid Function test
- Bone mineral density scan

Cardiovascular problems:
 Risk factors assessment for cardiovascular  Hypertension
disease  Coronary artery disease
 Hypertension primary, secondary and  Dyslipidemia
hypertensive crisis  Heart Failure
 Ischemic heart disease  Arrhythmias
 Cardiac failure  Rheumatic fever
 Arrhythmias  Syncope
 Valvar heart disease  ECG - Interpretation of common findings
 Peripheral vascular disease  Cardiovascular risk assessment
 Common pericardial disorders
 Common cardiac investigations including ECG
Respiratory problems:
 Obstructive and restrictive lung disease  Tuberculosis
 Causes of cough and hemoptysis  Community acquired Pneumonia
 Common chest infections including  COPD
pneumonia  Asthma
 Tuberculosis  Chest X Ray - Interpretation of common clinical
 Occupational lung disease findings and refer when indicated
 Acute and chronic respiratory failure  Peak flow meter
 Causes of acute respiratory distress  Inhaler and spacer
 Common pulmonary investigations  Nebulizer
 Screening of Family Members for Tuberculosis

Gastrointestinal problems
 Acute gastroenteritis  Diarrhea
 Causes of dyspepsia  Gastritis and Gastro esophageal reflux disease
 Upper and Lower GI bleed  Constipation
 Upper and lower GI motility disorders  Hepatitis A & E
 Acute and chronic abdominal pain due to  Hepatitis B & C
medical and surgical causes  Irritable bowel disease
 Hepato biliary tract disorders  Dehydration
 Common ano-rectal conditions  Liver Function Test Hepatitis Serology
 Malabsorption  Abdominal ultrasound - Interpret
 Common GI investigations  Upper and Lower GI endoscopy - Appropriately
select

Musculo-skeletal problems:  Osteoarthritis

 Common joint disorders
 Common muscular disorders
 Acute and chronic musculoskeletal injuries
seen in primary care
 Common musculo-skeletal investigations
 Septic arthritis and osteomyelitis
 Gout
 Rheumatoid arthritis
 SLE and seronegative arthritis
 Back pain
 Tenosynovitis
 Carpel tunnel syndrome
 Shoulder pain
 Joint and Musculoskeletal examination
 Joint X-Rays, RA factor, ASOT, SR/CRP

Dermatological problems:  Acne

 Allergic dermatosis
 Common skin infections including viral,  Impetigo, furuncles
bacterial and fungal.  Cellulitis
 Causes of generalized or localized pruritus.  Diaper dermatitis
 Rashes including dermatoses, eczema, acne  Drug rashes including mild Steven-Johnson
 Common skin tumors Syndrome
 Nail and/or hair disorders including alopecia  Eczema
 Dermatological manifestation of systemic  Fungal skin infections
illness  Herpes simplex and zoster
 Pediculosis
 Molluscum contagiosum
  Paronychia
 Psoriasis
 Scabies
 Seborrheic dermatitis
 Urticaria
 Verrucae

Women’s health:
 Breast problems  Menstrual disorders
 Vaginal discharge  Common causes of vaginal discharge and Pelvic
 Common menstrual disorders inflammatory disease
 Common causes of pelvic pain  Antenatal care
 Abnormal vaginal bleeding  Urinary tract infections in pregnancy
 Menopause  Puerperal sepsis
 Urinary problems including stress and/or  Infertility
urge incontinence  Urinary incontinence
 Common female malignancies  Ovarian cysts and tumors
 Ante natal, natal and post-natal care and  Cancers of genital tract
disorders  Nutritional guidance for mothers
 Breast feeding issues  Family Planning and Counseling
 Domestic violence  Pap smear
 Menopause
 Infertility - test Interpretation
 Pelvic Ultrasound - Appropriate selection

Pediatrics:
 Common gastro intestinal and respiratory  Low Birth Weight
disorders  Malnutrition
 Normal and abnormal growth and  Acute Upper & Lower Resp Tract Infections
development  Diarrhea
 Common neonatal problems  Anemia
 Pediatric nutrition  Infectious diseases
 Malnutrition and failure to thrive  Bronchial asthma, bronchiolitis
 Seizure disorders  Otitis media
 Common infectious diseases of childhood  Intestinal parasitic infections
including exanthemas  Febrile seizures
 Common hematologic disorders  Common injuries, minor burns, nappy rash
 Recognition and basic management of  Feeding disorders
childhood physical and mental disability  Failure to thrive
 Child immunization  A good pediatric history and do a good physical
 Child abuse examination
 Recognition and basic management of  Neonatal examination and assessment
common inherited and congenital  Well child care
 abnormalities of various organ systems  Normal nutrition and feeding advice
 UTI and nephrotic syndrome  Growth monitoring
 Congenital heart diseases  Rehydration
 Developmental assessment and monitoring
 Immunizations
Common Infectious diseases
 Acute febrile illness  Enteric fever
 Enteric fever  Malaria
 Malaria  Viral fever (Dengue)
 Dengue fever  Fever due to immunizable disease
 Hepatitis  Amoebiasis, Giardiasis
 Tuberculosis  Helminth infections
 Sexually transmitted infections  Viral Varicella and Herpes zoster
 Other common regional endemic infections  Sexually transmitted diseases (STD)
affecting children and adults.  Tuberculosis (Extra pulmonary)
 Pyrexia of unknown origin.  Tests for Appropriate selection and
interpretation
- Malaria
- Typhoid
- Tuberculosis
- Dengue IgM
- STD

Hematology & Oncology:

 Common anemias  Anemia
 Platelet disorders  Thrombocytopenia, Neutropenia & Pancytopenia
 Bleeding disorders  Cancers, hemoglobinopathies and Bleeding
 Hematologic malignancies disorders
 Common hematological investigations  Cancer prevention
 Complete Blood count & peripheral blood picture

Renal problems:  Urinary tract infection

 Calculi of urinary tract
 Urinary tract infections  Chronic renal failure
 Renal calculi  Urinary retention
 Causes of hematuria  Benign Prostatic enlargement
 Incontinence  Urinalysis Interpretation
 Renal failure  Test - Appropriate selection
 Common renal investigations - Renal ultrasound
- X-Ray KUB

Common emergencies in family practice: Surgery

 Basic stabilization and management of the
 Animal Bites (Dog, cat, rat)
following:
 Minor burns and injuries
 Common cardiac and respiratory problems
 Acute Abdomen
(Acute chest pain, Acute asthma etc)
 Bed sores
 Acute allergic reaction
 Breast disorders
 Basic wound management
 Arterial and Venous problems
 Common musculoskeletal problems
 Inguinoscrotal swellings
(fractures, sprains, strains etc)
 Gall Bladder Disease
 Common GI conditions including acute
abdomen
 Skills (-able to perform the following skills)
 Head injuries
-Dressings and bandaging
 Poisoning by common drugs and toxins
-Digital rectal examination
 Burns, bites and stings -Enema administration
-Removal of fecal impaction
-Urinary Catheterization
 Abdominal X-ray – Interpretation
 Abdominal Ultrasound - Appropriate selection

Elderly health:
 Common neurological problem (eg: delirium
dementia etc)
 Falls
 Common musculoskeletal problems (eg:
Osteoporosis)
 Common urinary problems
 Drugs and ageing
Pharmaco-therapeutics:
 Principles of cost effective and rational
prescribing,
 Patient safety in prescribing
 Drug indication and contraindications,
 Iatrogenic drug effects
Practical skills:
Proficient use of the following:
 Autoscore
 Ophthalmoscope
 Sphygmomanometer
 Stethoscope
 Foetal stethoscope and/or ‘Sonicaid’
 Reflex hammer
 Thermometer
 Tuning fork.
 Visual acuity and colour tests
 Proctoscope
 Vaginal speculum
 Peak flow meter

Wish you best of luck,

Dr. Zaheer Ali