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SYLLABUS MBBS 1ST PROFESSIONAL GENERAL ANATOMY Muscles, Bones, Joints, Nervous system, Cardiovascular system, Skin and Fascia, Cartilage, Lymphatic system, Structure met during dissection. EMBRYOLOGY Introduction, Spermatogenesis, Oogenesis, Menstrual cycle, Fertilization, Formation of germ layers, Fate of germ layers, Notochord, Neural tube, Neural crest, Intraembryonic mesoderm, Coelom, Yolk sac, Folding of embryo, Foetal membranes, Placenta, Formation of tissues of the body, Skin & its appendages, Pharyngeal arches, Pharyngeal cleft, Pharyngeal pouches, Development of face, Development of nose & palate, Development of teeth, Development of tongue & tonsils, Development of alimentary system, Development of associated glands of the alimentary system, Development of respiratory system, Development of body cavities, Development of heart, Pharyngeal arch arteries & their fate, Development of somatic veins, Development of urinary system, Development of male reproductive system, Development of female reproductive system, Development of brain, Development of spinal cord, Development of eye & ear, Elementary genetics HISTOLOGY Introduction to Histology and Histological techniques, Primary tissues of the body: Epithelial tissue, Connective tissue, Muscular tissue, Nervous tissue, Integumentary system, Cardiovascular system – Myocardium & blood vessels, Lymphatic system, Respiratory system, Digestive system, Liver, Gall bladder, Pancreas, Urinary system, Male reproductive system, Female reproductive system, Endocrine system, Nervous system, Special sense organs OSTEOLOGY The clavicle, The scapula, The humerus, The radius, The ulna, The carpal bones, The metacarpal bones, The phalanges of the hand, The hip bone, The bony pelvis, The femur, The patella, The tibia, The fibula, The tarsal bones, The metatarsal bones, The phalanges of the foot, The vertebrae, The sternum, The ribs, The hyoid, The mandible, The teeth, The maxillae, The parietal bone, The frontal bone, The temporal bone, The occipital bone, The zygomatic bones, The nasal bones, The ethmoid bone, The inferior nasal conchae, The vomer, The sphenoid bone, The palatine bones, The skull (general features), The exterior of the skull, The orbital cavity, The nasal cavity, interior of the cranial vault, Interior of the base of the skull. GROSS AND APPLIED ANATOMY (REGIONWISE) UPPER LIMB Introduction, Mammary gland, Pectoral muscles, Clavipectoral fascia, Boundaries and contents of axilla, Axillary artery, Brachial plexus, Scapular muscles, Quadrangular and triangular spaces, Shoulder joint, Back of arm (Radial nerve and muscles), Cubital fossa, Front of forearm (Muscles and nerves), Back of forearm (Muscles and nerves) Muscles and nerves of hand, Palmar spaces of Hand, Elbow joint, Wrist joint, Dermatomes, Sternoclavicular and acromioclavicular joints, Venous drainage of upper limb, Cutaneous nerves, Anastomoses around scapula, Dorsal scapular nerve, Suprascapular nerve and vessels, Compartments of arm, Intermuscular septa-attachments and relations, Profunda brachii artery, Anastomoses around elbow, Arteries of forearm, Radioulnar joints, Flexor Revised and Approved by the BOS at its special meeting held on 18.03.2014 1 retinaculum, Carpal tunnel, Extensor retinaculum, Deep facia of hand, Superficial and deep palmar arches, Synovial sheaths Formation of extensor digital expansion, Small joints of hand LOWER LIMB Venous drainage & lymphatic drainage, Femoral triangle, Quadriceps, Obturator nerve, Profunda femoris artery, Structures under cover of gluteus maximus, Popliteal fossa, Muscles of extensor compartment of leg, Superficial muscles of back of leg, Muscles of sole of foot, Knee joint, Arches of foot, Cutaneous nerves & dermatomes, Deep fascia, Adductor canal, Saphenous opening, Femoral nerve, Adductor compartment muscles, Gluteal region, Gluteus maximus, Hip joint, Back of thigh, Vessels and nerves of extensor compartment of leg and dorsum of foot, Peroneal compartment, Retinaculae, Vessels & nerves of back of leg, Vessels & nerves of sole of foot, Ankle joint, Smaller joints of foot. THORAX Intercostal vessels and nerves, Cavity of thorax & inlet (upper opening), Lungs (External features), Trachea, bronchial tree and bronchopulmonary segments, Superior mediastinum, Pericardial sinuses, Surface features and surface Anatomy of Heart, Vessels of heart, Ventricular chambers, Posterior mediastinum,Vena azygous, (lower opening) Oesophagus, Thoracic duct, Intercostal muscles, Respiraton, Outlet of thorax and diaphragm, Pleurae, Mediastinal structures seen from right and left side, Anterior mediastinum,Thymus, Pericardium, Phrenic nerve, Innervation of heart, Conduction system of heart, AortaAscending Aorta & Arch of Aorta, Brachiocephalic vein and Superior vena cava, Subclavian artery and Vagi, Sympathetic trunk, Decending thoracic aorta. ABDOMEN & PELVIS Introduction of abdomen, Rectus sheath, Spermatic cord, Scrotum, Stomach, Small intestine, Large intestine, Extrahepatic biliary Apparatus, Posterior wall of abdomen, Kidney, Introduction to pelvis, Pelvic diaphragm, Pelvic peritoneum, Nerves of pelvis, Urinary Bladder, Rectum and anal canal, Uterus, Ovary, Urogenital triangle, Superficial structures of anterior abdominal wall, Anterolateral abdominal muscles, Inguinal canal, Peritoneum, Spleen, Pancreas, Portal vein, Liver, The diaphragm, Suprarenal gland, Ureter, Pelvic wall, Pelvic fascia, Pelvic vessels, Prostate gland, Pelvic part of ureter, Seminal vesicle and vas deferens, Fallopian tube, Vagina, subdivisions of perineum and ischiorectal fossa. HEAD & NECK Scalp, Facial muscles, Innervation of face, Muscles of back, Sternomastoid muscles, Posterior triangle of neck, Thyroid gland, Preauricular region, Masseter and parotid gland, Infra temporal fossa, Maxillary artery, Pterygoid muscles, Pterygoid venous plexus, Mandibular nerve, Otic ganglion, Carotid arteries & Internal jugular vein, Ansa cervicalis, Orbit and extraocular muscles, Nerves and vessels of orbit, Larynx, IX and XII Cranial nerves, Ear and Facial nerve, Prevertebral region, Temporal fossa, Vessels of face, Suboccipital triangle, Deep cervical fascia, Duramater- folds, vessels and nerves, Dural venous sinuses, Cavernous sinus, Subdivisions of anterior triangle of neck, Anterior midline structures of neck, Temporomandibular joint sublingual gland, Root of neck, Scalene muscles, Lymphatic drainage of head and neck, Eyelid, Lacrimal apparatus, Tongue, Hyoglossus, Pterygopalatine fossa, Styloid apparatus, Soft palate, Pharynx, Vertebral canal, Joints of neck. BRAIN Introduction, Parts and lobes of cerebrum, Sulci and gyri of cerebrum, Functional areas, Revised and Approved by the BOS at its special meeting held on 18.03.2014 2 Arterial supply of brain, Lateral ventricles, White matter- commissural and association fibres, Cerebellum, Ascending tracts, Descending tracts, Cranial nerve nuclei, Internal structure of midbrain and pons, CSF and blood brain barrier, Venous drainage of cerebrum, Third ventricle, Pineal body, Fourth venrticle, White matter- internal capsule, Thalamus, hypothalamus, Basal nuclei of cerebrum, Surface feature of brainstem, Internal structures of medulla oblongata. RADIOLOGY AND IMAGING Radiograph of upper limb, Plane and contrast radiographs and CT Scan of Head and Neck. Plane radiographs of lower limb, Plane contrast radiographs MRI, CT scan and ultrasonography of trunk ENDOSCOPIC ANATOMY Oral cavity, external ear, nasal cavity, larynx, tracheobronchial tree, urinary bladder, stomach, fundus of eye, anal canal, rectum, vagina ANATOMY OF CLINICAL PROCEDURES Pleural aspiration, percutaneous needle bronchoscopy, vasectomy, tubectomy, intravenous injections, lumbar puncture biopsy of liver, maxillary antrum puncture, abdominal paracentesis, intramuscular and SURFACE ANATOMY Bony landmarks of upper limb, head & neck, trunk and lower limb. Surface marking: Region wise UPPER LIMB Anterior and posterior axillary folds, armpit, anatomical snuff box, breast, tendon of biceps, triceps, flexor carpi ulnaris, palmaris longus, flexon carpi radialis, extensor pollicis longus, extensor pollicis brevis and abductor pollicis longus, joints- shoulder, elbow and wrist, flexor and extensor retinaculum, arteries- axillary, brachial, radial, ulnar, superficial and deep palmar arches, nerves- median, radial, ulnar. LOWER LIMB Inguinal ligaments, ligamentum patellae, deltoid ligament, tendocalcaneus, joints- hip & knee, flexor and extensor retinaculae at ankle, Arteries- femoral, popliteal, posterior and anterior tibial, medial and lateral plantar, dorsalis pedis, Nerves- femoral, sciatic, peroneal, tibial, medial and lateral plantar. THORAX Sternal angle and xiphisternal joint, costal cartilages, costal margin, infrasternal angle, nipple, areola, heart, margins of lungs, pleural reflections, fissures of lung, oesophagus, trachea, Arteries- ascending aorta, arch of aorta, descending thoracic aorta, brachiocephalic artery, veins- superior vena cava, brachiocephalic veins, ABDOMEN Pubic symphysis, anterior abdominal wall, planes of abdomen, arteries- abdominal aorta, common and external iliac arteries, renal arteries, veins- inferior vena cava, portal veins, Revised and Approved by the BOS at its special meeting held on 18.03.2014 3 viscera- spleen, stomach, duodenum, ileocaecal orifice, opening of appendix, caecum, hepatic flexure, left colic flexure, ascending colon, transverse colon, descending colon, fundus of gall bladder, liver, pancreas, kidney, ureter HEAD & NECK Laryngeal prominence, cricoid cartilage, tracheal rings, muscles- sternomastoid, trapezius, masseter, glands- tonsil, thyroid gland, arteries- facial artery in face, middle meningeal artery, carotid arteries, subclavian artery, veins- internal jugular vein, nerves- cervical part of brachial plexus, lower four (IX,X,XI,XII) cranial nerves, BRAIN Reid’s base line, Cerebrum, Cerebellum. Revised and Approved by the BOS at its special meeting held on 18.03.2014 4 SYLLABUS MBBS 1ST PROFESSIONAL Paper I GENERAL ANATOMY Muscles, Bones, Joints, Nervous system, Cardiovascular system, Skin and Fascia, Cartilage, Lymphatic system, Structures met during dissection. EMBRYOLOGY Introduction, Spermatogenesis, Oogenesis, Menstrual cycle, Fertilization, Formation of germ layers, Fate of germ layers, Notochord, Neural tube, Neural crest, Intraembryonic mesoderm, Coelom, Yolk sac & Folding of embryo, Foetal membranes, Placenta, Formation of tissues of the body, skin & its appendages, Pharyngeal arches, Pharyngeal cleft, Pharyngeal pouches, Development of face, Development of nose & palate, Development of teeth, Development of tongue & tonsils, Development of brain, Development of spinal cord, Development of eye & ear, Elementary genetics HISTOLOGY Introduction to Histology and Histological techniques, Primary tissues of the body: Epithelial tissue, Connective tissue, Muscular tissue, Nervous tissue, Integumentary system, Nervous system, Special sense organs OSTEOLOGY The clavicle, The scapula, The humerus, The radius, The ulna, The carpal bones, The metacarpal bones, The phalanges of the hand, The hip bone, The vertebrae, The ribs, The hyoid, The mandible, The teeth, The maxillae, The parietal bone, The frontal bone, The temporal bone, The occipital bone, The zygomatic bones, The nasal bones, The ethmoid bone, The inferior nasal conchae, The vomer, The sphenoid bone, The palatine bones, The skull (general features), The exterior of the skull, The orbital cavity, The nasal cavity, interior of the cranial vault, Interior of the base of the skull. GROSS AND APPLIED ANATOMY (REGIONWISE) UPPER LIMB Introduction, Mammary gland, Pectoral muscles, Clavipectoral fascia, Boundaries and contents of axilla, Axillary artery, Brachial plexus, Scapular muscles, Quadrangular and triangular spaces, Shoulder joint, Back of arm (Radial nerve and muscles), Cubital fossa, Front of forearm (Muscles and nerves), Back of forearm (Muscles and nerves) Muscles and nerves of hand, Palmar spaces of Hand, Elbow joint, Wrist joint, Dermatomes, Sternoclavicular and acromioclavicular joints, Venous drainage of upper limb, Cutaneous nerves, Anastomoses around scapula, Dorsal scapular nerve, Suprascapular nerve and vessels, Compartments of arm, Intermuscular septa-attachments and relations, Profunda brachii artery, Anastomoses around elbow, Arteries of forearm, Radioulnar joints, Flexor retinaculum, Carpal tunnel, Extensor retinaculum, Deep fascia of hand, Superficial and deep palmar arches, Synovial sheaths Formation of extensor digital expansion, Small joints of hand HEAD & NECK Scalp, Facial muscles, Innervation of face, Muscles of back, Sternomastoid muscles, Posterior triangle of neck, Thyroid gland, Preauricular region, Masseter and parotid gland, Infra-temporal fossa, Maxillary artery, Pterygoid muscles, Pterygoid venous plexus, Mandibular nerve, Otic ganglion, Carotid arteries & Internal jugular vein, Ansa cervicalis, Revised and Approved by the BOS at its special meeting held on 18.03.2014 5 Orbit and extraocular muscles, Nerves and vessels of orbit, Larynx, IX and XII Cranial nerves, Ear and facial nerves, Prevertebral region, Temporal fossa, Vessels of face, Suboccipital triangle, Deep cervical fascia, Dura mater- folds vessels and nerves, Dural venous sinuses, Cavernous sinus, Subdivisions of anterior triangle of neck, Anterior midline structures of neck, Temporomandibular joint, Sublingual gland, Root of neck, Scalene muscles, Lymphatic drainage of head and neck, Eyelid, Lacrimal apparatus, Tongue, Hyoglossus, Pterygopalatine fossa, Styloid apparatus, Soft palate, Pharynx, Vertebral canal, Joints of neck. BRAIN Introduction, Parts and lobes of cerebrum, Sulci and gyri of cerebrum, Functional areas, Arterial supply of brain, Lateral ventricles, White matter- commissural and association fibres, Cerebellum, Ascending tarcts, Descending tracts, Cranial nerve nuclei, Internal structure of midbrain and pons, CSF and blood brain barrier, Venous drainage of cerebrum, Third ventricle, Pineal body, Fourth venrticle, White matter- internal capsule, Thalamus, hypothalamus, Basal nuclei of cerebrum, Surface feature of brainstem, Internal structures of medulla oblongata. RADIOLOGY Radiograph of upper limb, Plane and contrast radiographs and CT Scan of Head and Neck, maxillary antrum puncture, intramuscular and intravenous injections. Surface anatomy Bony landmarks of upper limb and head and neck. Surface marking: Regionwise UPPER LIMB Anterior and posterior axillary folds, armpit, anatomical snuff box, breast, tendon of biceps, triceps, flexor carpi ulnaris, palmaris longus, flexon carpi radialis, extensor pollicis longus, extensor pollicis brevis and abductor pollicis longus, joints- shoulder, elbow and wrist, flexor and extensor retinaculam, arteries- axillary, brachial, radial, ulnar, superficial and deep palmar arches, nerves- median, radial, ulnar. HEAD & NECK Laryngeal prominence, cricoid cartilage, tracheal rings, muscles- sternomastoid, trapezius, masseter, glands- tonsil, thyroid gland, arteries- facial atery in face, middle meningeal artery, carotid arteries, subclavian artery, veins- internal jugular vein, nerves- cervical part of brachial plexus, lower four (IX, X, XI, XII) cranial nerves Brain Reid’s base line, Cerebrum, Cerebellum. Endoscopic anatomy of external ear, nasal cavity, oval cavity, larynx, fundus of eye Revised and Approved by the BOS at its special meeting held on 18.03.2014 6 SYLLABUS MBBS 1ST PROFESSIONAL Paper II EMBRYOLOGY Development of alimentary system, Development of associated glands of the alimentary system, Development of respiratory system, Development of body cavities, Development of heart, Pharyngeal arch arteries & their fate, Development of somatic veins, Development of urinary system, Development of male reproductive system, Development of female reproductive system. HISTOLOGY Cardiovascular system – Myocardium, blood vessels, Lymphatic system, Respiratory system, Digestive system, Liver, Gall bladder, Pancreas, Urinary system, Male reproductive system, Female reproductive system, Endocrine system. OSTEOLOGY The bony pelvis, The femur, The patella, The fibula, The tarsal bones, The metatarsal bones, The phalanges of the foot, The sternum, GROSS AND APPLIED ANATOMY (REGIONWISE) LOWER LIMB Venous drainage & lymphatic drainage, Femoral triangle, Quadriceps, Obturator nerve, Profunda femoris artery, Structures under cover of gluteus maximus, Popliteal fossa, Muscles of extensor compartment of leg, Superficial muscles of back of leg, Muscles of sole of foot, Knee joint, Arches of foot, Cutaneous nerves & dermatomes, Deep fascia, Adductor canal, Saphenous opening, Femoral nerve, Adductor compartment muscles, Gluteal region, Gluteus maximus, Hip joint, Back of thigh, Vessels and nerves of extensor compartment of leg and dorsum of foot, Peroneal compartment, Retinaculae, Vessels & nerves of back of leg, Vessels & nerves of sole of foot, Ankle joint, Smaller joints of foot. THORAX Intercostal vessels and nerves, Cavity of thorax & inlet (upper opening), Lungs External features, Trachea, Bronchial tree and bronchopulmonary segments, Superior mediastinum, Pericardial sinuses, Surface features and surface Anatomy of Heart, Vessels of heart, Ventricular chambers, Posterior mediastinum,Vena azygous, Oesophagus, Thoracic duct, Intercostal muscles, Respiraton, Outlet of thorax (lower opening) and diaphragm, Pleurae, Mediastinal structures seen from right and left side, Anterior mediastinum,Thymus, Pericadium, Phrenic nerve, Innervation of heart, Conduction system of heart, AortaAscending & Arch, Brachiocephalic vein and Superior vena cava, Subclavian artery and vagi, Sympathetic trunk, Decending thoracic aorta. ABDOMEN & PELVIS Introduction to abdomen, Rectus sheath, Spermatic cord, Scrotum, Stomach, Small intestine, Large intestine, Extrahepatic biliary Appratus, Posterior wall of abdomen, Kidney, Introduction to pelvis, Pelvic diaphragm, Pelvic peritoneum, Nerves of pelvis, Urinary Bladder, Rectum and anal canal, Uterus, Ovary, Urogenital triangle, Superficial structures of anterior abdominal wall, Anterolateral abdominal muscles, Inguinal canal, Peritoneum, Spleen, Pancreas, Portal vein, Liver, The diaphragm, Suprarenal gland, Ureter, Pelvic wall, Pelvic fascia, Pelvic vessels, Prostate gland, Pelvic part of ureter, Seminal vesicle and vas Revised and Approved by the BOS at its special meeting held on 18.03.2014 7 deferens, Fallopian tube, Vagina, subdivisions of perineum and ischiorectal fossa. RADIOLOGY Plane radiographs of lower limb, Plane contrast radiographs, MRI, CT scan and ultrasonography of trunk ANATOMY OF CLINICAL PROCEDURES Pleural aspiration, percutaneous needle biopsy of liver, bronchoscopy, vasectomy, tubectomy, abdominal paracentesis, lumbar puncture SURFACE ANATOMY Bony landmarks different region of soft tissues Surface marking: REGIONWISE LOWER LIMB Inguinal ligaments, ligamentum patellae, deltoid ligament, tendocalcaneus, joints- hip & knee, flexor and extensor retinacula at ankle, arteries- femoral, popliteal, posterior and anterior tibial, medial and lateral plantar, dorsalis pedis, nerves- femoral, sciatic, peroneal, tibial, medial and lateral plantar. THORAX Sternal angle and xiphisternal joint, costal cartilages, costal margin, infrasternal angle, nipple, areola, heart, margins of lungs, pleural reflections, fissures of lung, oesophagus, trachea, arteries- ascending aorta, arch of aorta, descending thoracic aorta, brachiocephalic artery, veins- superior vena cava, brachiocephalic veins. ABDOMEN Pubic symphysis, anterior abdominal wall, planes of abdomen, arteries- abdominal aorta, common and external iliac arteries, renal arteries, veins- inferior vena cava, portal veins, viscera- spleen, stomach, duodenum, ileocaecal orifice, opening of appendix, caecum, hepatic flexure, left colic flexure, ascending colon, transverse colon, descending colon, fundus of gall bladder, liver, pancreas, kidney, ureter. Endoscopic anatomy of tracheo-bronchial tree, stomach, anal canal and rectum, vagina, urinary bladder Revised and Approved by the BOS at its special meeting held on 18.03.2014 8