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RPSC Assistant Professor- General Surgery Syllabus & Exam Pattern

RPSC Assistant Professor (General Surgery) Recruitment exam is conducted so as to select various candidates who are best suited for the post. For the better preparations of the exams, the applicants have to study the full course of syllabus. RPSC Assistant professor General Surgery exam syllabus and pattern has to be followed so to make a proper plan for exam and get the valid score for the selection.

Exam Pattern: The exam paper will of objective type which will constitute of 100 questions each of 1 mark each. There will be total of 2 hours allotted in the exam paper.

NOTE: There will be negative marking in the exam paper.

Exam Syllabus: RPSC General Surgery written exam syllabus topics will include-

Surgical Anatomy

  • Head & Neck- Parts of Brain including ventricles & intracranial vascular arrangement, Spinothalamic tracts, Anatomy of great vessels of neck, Neck triangles, Anatomy of Trachea, Parotid gland, Anatomy and relations and facial nerve, Anatomical distribution of cervical lymph nodes
  • Small Intestine-Malrotation, vitellointestinal duct, urachus and Meckle’s diverticulum
  • Large Intestine-Appendix -Various positions and its clinical relevance, peritoneal reflections, vascular supply and lymphatic drainage of large intestine
  • Rectum and anus-Peritoneal reflections, Vascular & Lymphatic arrangement, anal membrane, Hilton’s lines and relationships with perineal muscles and developmental anomalies
  • Liver-Anatomical and surgical lobes of liver, vascular supply and intrahepatic ductal arrangement
  • Gall Bladder-Anatomical variations of the cystic duct and cystic artery (In relation to hepatic artery), anatomy of extra hepatic billiary system
  • Thyroid gland-Anatomy of Thyroid gland & parathyroid gland and Course of recurrent Laryngeal Nerve
  • Breast-Anatomy of breast, Lymphatic drainage of breast and arrangement of axillary lymph nodes
  • Chest -Anatomy of Chest wall, lungs, pleura, Heart & great vessels, Course of oesophagus and its relations with aorta and azygus vein and Thoracic duct
  • Stomach -Blood supply & lymphatic drainage, course of vagus nerve
  • Testis-Development anomalies like UDT, MDT, etc.
  • Extremities- Upper limb -Various muscular compartments of hand, forearm & arm, Course of various vessels & nerves, e.g. radial, median & ulnar
  • Lower limb- Arterial supply & venous drainage of lower limb, muscular compartment of foot, leg & thigh
  • Surgical Anatomy of inguinal Canal, Femoral canal, umbilicus & abdominal wall & its anatomy, various abdominal surgical incisions
  • Duodenum-Peritoneal reflections & relationship with head of Pancreas
  • Pancreas-Relation with portal vein, inferior mesenteric vein and IVC, Boundaries of lesser sac
  • Spleen-Vascular supply and its relation with tail of pancreas, Colon, Kidney, Diaphragm, stomach
  • Diaphragm-Development, various haitus & relationship with structures passing through them
  • Urinary Bladder & Prostate-Anatomy & relations with rectum and Ureter
  • Urethra -Length, Various parts and development anomalies
  • Penis-Lymphatic drainage -Attachment of crura
  • Retroperitoneal Area-Lymphatic, Thoracic duct, lymphnodes, sympathetics chain and anatomy of great vessels
  • Kidney and Ureters-Developmental anomalies, Blood supply, Course of Ureter
  • Suprarenal-Blood supply, venous drainage and relations with kidney

Surgical Physiology

  • Thyroid- Iodine Metabolism, Pituitary -Thyroid Hormone axis
  • Effects of various hormones on breast
  • Mechanism of respiration, effect on Hemodynamics, Cardiac circulation, surgical causes of hypertension and things related to chest
  • Mechanism of acid production in stomach
  • Spleen-Functions of spleen
  • Diaphragm-Gastro-esophageal reflux
  • Critical Care-Physiological response to trauma.-Nutrition in surgical critically ill patients.-Enteral and Parenteral nutrition, Hemorrhagic and burn shock.-Blood transfusion.-Fluid and Electrolyte Balance, Acid -Base Balance, ARDS, SIRS, multiple organ failure, Physiology of wound healing
  • Mechanism of clotting
  • Intestine with Secretory and absorptive mechanism of small and large intestine
  • Rectum and Anus-Mechanism of defecation
  • Kidney-Mechanism of formation of urine in relation to acute and chronic renal failure
  • Suprarenal-Physiology of various hormone production
  • Urinary Bladder-Mechanism of micturition and vesico-uretric reflux
  • Testis-Germinal and endocrinal functions of testis
  • Liver-Mechanism of Bile secretion, Entero-hepatic circulation and various metabolic functions of liver
  • Gall Bladder-Mechanism of gall stone formation
  • Pancreas-Exocrine and Endocrine pancreatic secretion, Patho-physiology of pancreatitis

Surgical Pathology

  • Various types of biopsies, preservation of specimens
  • Formation of Tumors, Well differentiated cells, Totipotent cells, Histopathological features of Neoplasm. Stem cell therapy
  • Disturbed wound healing, Necrotising-fascitis, Gangrene and sequestrum
  • Pathology of Benign Tumor like Lipoma, Fibroma, Osteoma, Adenoma, Papilloma, etc
  • Benign and malignant tumors, Gene therapy and Tumor Markers
  • Grading & Staging of tumors
  • Various primary malignant tumor and secondary tumors

Clinical Surgical Problems (Various clinical presentations, Diagnosis, complications & Treatment)

Thyroid-Various types of thyroditis, thyrotoxicosis, myxoedema, cretinism, solitary thyroid nodule, goiters-simple and multi nodular goiter, thyroid malignancycontroversies in management of carcinoma of thyroid

Parathyroid-Adenoma, hyper parathyrodisim and malignancy

Oesophgus –Corrosive strictures, malignancy oesophgus, Boerhaave’s syndrome. Variceal Bleeding.

Head & Neck-Hydrocephalus, Meningocele, Encephalocle, intracranial injury (contusion, concussion, laceration, extradural and subdural hemorrhage, Middle meningeal hemorrhage, Lucid interval), cervical spine fracture, Brain tumors in general. Cleft Lip, Cleft palate, thyroglossal Cyst, Branchial Cyst, Branchial fistula and Pharyngeal pouch, Lymphnode enlargement -Inflammatory, Tubercular and malignant. Indications/contraindications of lymph node biopsy in neck

Breast-Mastitis, tuberculosis of breast, fibroadenosis, fibroadenoma ANDI, fibro cystic diseases of breast. Lipoma, hydatid cyst and lymphatic cyst. Malignant tumors of Breast (Pathological) Recent trends (surgical radiological, medical oncology)role of BCT, Role of esterogen/Progesterogn receptors in management

Chest-Fracture ribs, Flail chest, Haemo-pneumothorax, Lungs injuries, Injures to great vessels, Surgical emphysema, Cardiac tamponade, Tension pneumothorax, pleural effusion, Empyema, Apical shadow in lungs, Bronchogenic carcinoma and secondaries of the lungs.

Stomach-Hypertrophic pyloric stenosis, peptic ulcer & perforation, Gastric outlet obstruction, Benign & malignant tumor of stomach, Zollinger -Ellison syndrome Type I & II,H-Pylori-role in APD & Carcinoma stomach. Upper GI Bleeding

Intestine-Intestinal atresia, exomphalous major, patent vitello -intestinal duct & various clinical manifestations, Meckle’s diverticulum, Intestinal obstruction, small gut tumors, Tuberculosis of intestine, caecum and large intestine, malignancy of Caecum and Large intestine, Ulcerative colitis & Crohn’s disease, surgical management, Short gut syndrome, intussception, Gastrojejunal bypass, Bariatric surgery & metabolic surgery, familial adenomatous polyposis. Lower GI Bleeding.

Rectum & Anus-Imperforated Anus, Hirschsprung’s diseases, Piles, fistula in ano, fissure in ano, polyp and adenomas, Ano rectal carcinoma with Special reference to modern management, Low anterior resection, value of circular staplers

Liver-Liver injuries, Liver abscess, Hydatid disease, Hepatic Tumors-Benign and malignant, secondaries, Portal Hypertension, liver resection and Hepatic transplantation

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Gall Bladder-Gall stones, acute and chronic cholecystitis, Complications of Gall Stones, malignancy of gall bladder, Post- operative bile leaks

Common bile duct–Bilioma, Haemobilia, Biliary structures, cholangitis, cholangio-carcinoma, obstructive jaundice and peri ampulary carcinoma

Kidney–Congental anomalies, renal trauma, renal stone, hydronephrosis, pyonephrosis, perinephric abscess, tuberculosis of the kidney, renal tumors and para-malignant ApudomasRenal transplantation& Donor Nephrectomy

Diaphragm-Diaphragmatic hernia, Eventration, diaphragmatic injuries, Penetrating thoraco abdominal injuries

Pancreas -Pancreatic injury, acute and chronic pancreatitis (Recent Management), insulinoma, Gastrinoma, Recent Pathogenesis of acute pancreatitis, cysts of pancreas, malignancy of pancreas and pancreatic transplantation

Spleen–Splenic abscess, Hyper splenism, splenic injury, splenomegaly, tumors of spleen, portal hypertension and splenic auto transplantation, Splenorrhaphy.Opportunistics post-splenectomyinfections (OPSI)

Retroperitoneal tumors

Ureter-Ureteric stones & ureteric transplantation, PUJ obstructions Ureteric injury, URS (Uretoro-Reno-Scopy)

Suprarenal -Phaeochromocytoma and its surgical management

Urinary bladder & Prostate-Exostrophy bladder, posterior uretheral valves, Bladder injury, stones, hematuria, cystitis, Tuberculosis, diverticulum, Benign & malignant tumors, acute & chronic prostatitis, BHP, malignancy of prostate, retention of urine, incontinence and urgency

Urethra-Urethral injuries, stricture, stone and hypospadisis, epispadisis

Penis-Phimosis, meatal stenosis, paraphimosis, balanitis, ulcers and malignancy, Priaprism, Erectile dysfunctions

Testis-Undescended testis, Ectopic testis, Acute Orchitis, Chronic epididymo-orchitis, Torsion testis, Hydrocele, Varicocele, Hematocele and Tumors of the testis, Recent trends in management of testicular tumors

Upper Extemities-Soft tissue injuries including nerve, muscles, vessels, cervical rib and Raynaud’s disease

Kidney–Congental anomalies, renal trauma, renal stone, hydronephrosis, pyonephrosis, perinephric abscess, tuberculosis of the kidney, renal tumors and para-malignant ApudomasRenal transplantation& Donor Nephrectomy

Skin-Ulcers, Tumors, S.C.C., B.C.C., Sarcoma & Melenoma, kaposi’s sarcoma. Wound management.

Hernia-Definition, classification, Internal hernia (diaphragmatic, paraduodenal, transmesenteric, External hernia (inguinal, femoral epigastic, umbilical, paraumbilical and incisional), Laparoscopic anatomy of inguinal region

Lower Limb-Varicose veins, DVT, Soft tissue injury, muscles, vessels, nerves & Peripheral vascular disease, compartment syndrome, Endoscopic ligation of subfacial perforators.

General-

  • Trauma –poly trauma, resuscitation, Triage.
  • Radiotherapy & Chemotherapy & immunotherapy and Tumor Markers for various malignancies.
  • Laparoscopic surgery -Basic & advanced.
  • (d)Robotic surgery & Tele-surgery.
  • Anaesthesia -Endotracheal intubation, Tracheostomy, Cardic arrest, Resuscitation & Death on table, Epidural, Spinal anesthesia.
  • Operation Theatre -Theatre safety, design and layout. Techniques including autoclave & sterilization, Plasma sterilization.
  • Infective surgical diseases -Gangrene, Tetanus, Necrotising fascitis, Diabetic foot, Carbuncle etc., surgical site infection –types, preventions & use of antibiotics.
  • AIDS, universal precautions.
  • Diagnostic procedures -IVP, Barium studies, MRI, CT-Scan, PET Scan, Virtual endoscopy,
  • Endoscopic procedures -like Gastroscopy, ERCP, Oesophagoscopy, Colonoscopy & capsule endoscopy, cystoscopy & uretric catheterization.
  • NOTES –(natural orifice trans abdominal endo surgery)
  • Recent advances in surgery latest at the time of examination & interview.
  • Fundamentals of plastic surgery, neuro surgery, urology, pediatric surgery, gastro-intestinal surgery, etc.
  • Various operative procedures.
  • Biomedical waste management.
  • Lasers in surgery.
  • Surgical Audit.
  • Evidence based surgery.
  • Day care surgery

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