FINAL YEAR MEDICINE 1

Guideline 2024
BY DR AHMAD SYAN

MEDICINE 1 | GUIDELINE | 2024

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 MEDICAL GLOBE UPDATED GUIDELINE 2024

NOTE: REF BOOK USED DEVIDSON & STEP-UP MEDICINE

❖ Detailed guideline according to MCQs, SEQs and clinical
examination.
➢ In Final year for medicine, you need to focus on following topics;
• imagine in your mind that a patient comes to you and you are going to treat him, how
will you proceed
• Firstly, how to diagnose a disease, so your prior focus is on sign and symptoms of
patient (clinical features) that are much important to diagnose and to differentiate
from other diseases in 90% of scenarios.
• After diagnosing by sign and symptoms, you are still confused how to confirm this
disease; so now you need to have some investigations that will solve queries of your
mind and confirm your diagnosis. Some investigations are basic, and some are specific.
• Basic investigations are for maximum of diseases and are not specific for many.
Specific Investigations are in some sense Investigation of choice as they confirm the
diagnosis.
• After confirming the diagnosis, you need to manage your patient’s disease, and that
can be done by; Lifestyle changes, medications, radiology interventions and surgery.
• Some diseases need only medications to be treated and some need further treatment
as well.
• An important thing, when you are asked about Management of disease or patient, you
will start from history (sign and symptoms), investigations and then treatment. Don’t
think its only treatment.

Key:

➢ *** Means most important topics which you can’t skip at any cost.
➢ ** Means you should read this topic but if u have less time, u can skip at that time then.
➢ * Means you only need to read this topic for MCQs and if there is SEQ, u can solve then.

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Rheumatology
This unit contains 1 seqs of 5 marks and 6 MCQs according to UHS
proff.
• Rheumatoid arthritis >***
• Osteoarthritis >**
• Ankylosing spondylitis >*
• Reactive arthritis >*
• Systemic sclerosis >***
• Osteoporosis, osteomalacia, rickets >*
• Septic arthritis, viral arthritis >*
• Raynaud syndrome >**
• SLE >***
• Gout >*

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Gastrointestinal Tract
➢ GIT is important as it contains 2 SEQS and almost 7 MCQS.
• Investigation of GIT > read for concepts; focus on table
21.3,21,4,21.5
• GIT bleeding***
• Diarrhea, constipation and malabsorption*
• Gastro-esophageal reflux disease complete***
• Achalasia***
• Table 21.31, Tumors of esophagus**
• Gastritis **
• Peptic ulcer disease complete ***
• Gastric carcinoma**
• Coeliac disease***
Blind loop syndrome, Whipple’s disease, short bowel
syndrome, radiation enteritis **
• Abdominal T.B, malignant tumors of small intestine*
• Acute and chronic pancreatitis***
• Inflammatory bowel disease(complete)***
• Irritable bowel syndrome ***
• Colo-rectal cancer***
• Diverticulosis, Hirschsprung’s disease*

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Blood
➢ This unit contains 1 seq of 5 marks and 5 MCQs.
• Presenting problems in Blood disease >* (tables must)
• Splenomegaly with table >*
• Venous thrombosis >*
• Stem cell transplantation >*
• Megaloblastic Anemia >***
• Iron deficiency anemia >**
• Hereditary spherocytosis >*
• Aplastic anemia >***
• Thalassemia >** (you can do this from Pervez Akbar)
• Autoimmune hemolytic anemia **
• Pancytopenia, Polycythemia *
• Chronic myeloid Leukemia *** (you can do this from Pervez Akbar)
• Acute leukemias >** (you can do this from Pervez Akbar)
• Lymphomas; Hodgkin >**
• Multiple myeloma ***
• Hemophilia *
• Idiopathic thrombocytopenic Purpura ***
• Von willebrand disease **
• Disseminated intravascular disease *

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Respiratory System Medicine

➢ This unit contains 1 seqs and 7 mcqs according to proff.
• Table 17.8,17.9,17.10 >*
• Pleural effusion >***
• Respiratory failure >*
• Asthma >***
• COPD >***
• Bronchiectasis >***
• Pneumonia; community acquired >***
• Tuberculosis >***
• Bronchial carcinoma >***
• Sarcoidosis >**
• Hypersensitivity syndrome >**
• Venous thromboembolism >**
• Pneumothorax >***
• Atelectasis and pulmonary hypertension > *

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Cardiovascular Medicine
➢ This unit is much important as it contains 2 seqs of 5 marks and 7
mcqs.
➢ This unit is quite extensive but not so difficult to do, so do it smartly.
➢ Clinical examination > for clinical work of wards and for some
scenarios.
• Cardiac arrest> complete including table and flow chart >***
• Table 16.10, 16.11> **
• Heart failure> complete including tables and diagrams***
(Management should be to the point)
• Atrial fibrillation***
• Definitions of cardiac arrhythmias (read for MCQs) >*
• Coronary artery disease***
• Angina pectoris***
• Acute coronary syndrome***
• Aortic dissection***
• Hypertension**
• Diseases of heart valves***(whole topic for seqs and MCQs,
especially mitral and aortic diseases)
• Infective endocarditis***
• Cardiomyopathy**
• Diseases of Pericardium***

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Central Nervous System

➢ This unit contains 7 mcqs and 1 seqs according to proff.
• Facial weakness >*
• Trigeminal neuralgia >**
• Status epilepticus >**
• Coma >*
• Headache syndromes >***
• Epilepsy including tables >***
• Multiple sclerosis >**
• Transverse myelitis >*
• Parkinson’s disease >***
• Motor neuron disease >**
• Meningitis complete>***
• Encephalitis, poliomyelitis and cerebral abscess >*
• Tetanus, botulism >*
• Guillain barre syndrome >***
• Myasthenia gravis >**
• Stroke complete >***

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Liver
➢ This unit contains 6 MCQs and 1 SEQ according to proff.
• Acute liver failure>**
• Jaundice>*
• Ascites>***
• Hepatic encephalopathy>***
• Cirrhosis**
• Portal hypertension, variceal bleeding>***
• Hepatitis complete>***
• Liver abscess>*
• Nonalcoholic fatty liver disease>**
• Autoimmune hepatitis>*
• Primary biliary cholangitis>***
• Primary sclerosing cholangitis>*
• Hepatocellular carcinoma>***
• Hemochromatosis>**
• Wilsons disease>**
• Pregnancy associated liver disease>**
• Gall stones and acute cholecystitis>*
• Budd Chiari syndrome, gilberts syndrome>*

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