Fmge(mci) 2007

1.

Introduction ................................................................................................... 2

2.

Instructions for applicants ............................................................................ 2

3.

Eligibility Criteria ........................................................................................... 4

4.

Fee Structure ................................................................................................ 4

5.

Examination Centre ...................................................................................... 5

6.

Verification of Documents/ Credentials ........................................................ 5

7.

Instructions for filling the Application Form .................................................. 6

8.

Admit Cards .................................................................................................. 6

9.

Submission of Application form & Checklist ................................................ 7

10. Declaration of Result .................................................................................... 8 11. Declaration by Applicant .............................................................................. 8 12. Syllabus ........................................................................................................ 9 ANNEXURES : 1. Annexure – I Declaration Form .................................................................... 14

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NATIONAL BOARD OF EXAMINATION

INDEX

INTRODUCTION

NATIONAL BOARD OF EXAMINATION

i)

The FMGE-Screening Test has been introduced by the Screening Test Regulations 2002. As per the regulations, “An Indian citizen possessing a primary medical qualification awarded by any medical institution outside India who is desirous of getting provisional or permanent registration with the Medical Council of India or any State Medical Council on or after 15.03.2002 shall have to qualify a screening test conducted by the prescribed authority for that purpose as per the provisions of section 13 of the Act.” ii) The Examination is held twice a year at New Delhi. iii) The test is conducted in English language. iv) The exam consists of one paper. v) There will be 300 multiple-choice questions (MCQ) of single response type in the paper (Divided in two sittings of 150 questions each). vi) There is NO negative marking. vii) A applicant shall be declared as having passed only if he/she obtains a minimum of 50% of marks in the examination. viii) List of applicants successful in the Screening Test will be displayed on the website and office of NBE. There is no provision for declaration of marks obtained or reevaluation/retotalling. ix) The applicants who qualify the Screening Test may apply to the Medical Council of India, New Delhi or to any State Medical Council for provisional registration / permanent registration. x) There are no restrictions on number of attempts that can be availed by an applicant.

Important dates to Remember 1. 2. 3. 4.

Sale of Prospectus : Last date for receiving of Application Forms : Dispatch of Admit Cards shall begin : Date of Exam :

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14 May 2007 th 29 June 2007 First week of Sept. 2007 th 30 September 2007

INSTRUCTIONS FOR APPLICANTS 1.

2. 3. 4.

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Instructions in the booklet are liable to changes based on decisions taken by the Government / Medical Council / Competent Authority / Court decisions from time to time. Applicants are required to refer to the latest bulletin or corrigendum that may be issued to incorporate these changes. Application forms can be downloaded from website www.natboard.edu.in downloaded forms have to be submitted alongwith form fee of Rs.500.00 No Queries of the Applicant/Guardians/Parents will be entertained on telephone with regard to the eligibility and disclosures of their results. Applicants, for eligibility criteria, should go through the bulletin carefully before writing to the Board’s office.

Incomplete applications or applications not in accordance with instructions will not be considered and declared ineligible. In such cases, the entire fees will be forfeited.

6.

Applicants are required to submit all the requisite annexures with the application form; lack of relevant annexure may lead to cancellation of application form and fees forfeited.

7.

Applicants should have passed the Primary Medical Qualification i.e. MBBS or Equivalent degree and must submit proof of passing the same with the application form. In absence of Proof of Passing certificate before the last date of application submission, the application shall be treated as incomplete and fees forfeited.

8.

Applicants are advised to fill their postal address correctly as this address shall be used for sending the Roll Numbers and Results.

9.

Fees once paid will neither be carried forward to a future date nor be refunded under any circumstances.

10. Applications of applicants producing false or fabricated records will not be considered and such applicants will be further debarred from appearing in the future examinations of the board. Action as deemed appropriate by the Board will be taken if false or fabricated records/ information are submitted or any unfair means are used. 11. Roll numbers / results can be seen at the website www.natboard.edu.in 12. Roll number can be downloaded from the website and quoted when not received by post in time. ALL CANDIDATES ISSUED ROLL NUMBER HAVE TO MANDATORILY BRING ALONG THEIR PASSPORT FOR ENTRY TO THE EXAMINATION CENTER. 13. Appearance or success in the screening test does not confer any right whatsoever on a applicant. 14. Registration of FMG by the MCI /state medical council is subject to fulfillment of MCI /State Medical Council criteria/rules/regulations framed for this purpose. 15. Undertaking by applicant as per Annexure ‘A’ has to be submitted with application form. 16. Notifications, regulations etc. issued by Government of India, Medical Council of India may be referred for eligibility criteria, pattern, schedule of exam. There is no provision for retotalling/re-evaluation/declaration of marks. 17. The Admit Card is not transferable to any other person. Impersonation is punishable offence under law. CANDIDATES ARE REQUIRED TO BRING THEIR PASSPORT ALONGWITH THE ADMIT CARD FOR ENTRY TO THE EXAMINATION CENTRE. National Board of Examinations reserves its absolute right to verify the identity of the applicant/examinees/candidates. 18. Jurisdiction for all disputes shall be at Delhi/New Delhi in the Delhi High Court. 3

NATIONAL BOARD OF EXAMINATION

5.

ELIGIBILITY CRITERIA

NATIONAL BOARD OF EXAMINATION

The Applicant must meet/fulfill the following criteria : i)

He / She is a citizen of India.

ii)

Possesses primary medical qualifications that are recognized by the Government of the country issuing that qualification and the holder of that qualification is entitled for practice in that country. The said medical school must be listed in WHO directory of medical schools.

iii)

He / She had obtained “Eligibility Certificate’ from the Medical Council of India (applicable only in respect to students who took admission abroad on or after 15.03.2002). This requirement shall not be necessary in respect of Indian citizens who have obtained admission in foreign medical institute before 15th March 2002.

iv)

All students who have taken admission abroad prior to 15.03.2002 and are required to qualify the Screening Test for their registration, shall be allowed to appear in the Screening Test even if they do not meet the minimum admission norms of MCI for joining undergraduate medical course, subjected to the compliance of the Judgment(s) of the Hon’ble Supreme Court/Competent Courts in this regard including the orders dated 8th March 2002 in Civil Appeal no. 2779 of 2000 & other orders as well/ instructions issued by MCI from time to time.

v)

From 15.03.2002 and onwards all students are required to obtain an Eligibility Certificate from MCI before proceeding abroad for studies in Medicine.

vi)

Applicants/Candidates may also refer to Screening Test Regulations and Regulations on Graduate Medical Education, Eligibility Certificate Regulations issued by Medical Council of India. The same may be referred to at www.mciindia.org or obtained from Secretary, Medical Council of India, Sector 8 Pocket 14, Dwarka, New Delhi. Telephone: 25367033, 25367035 Fax: 25367024.

FEE STRUCTURE a) b)

Examination fee Form fee

Rs. 3000/- (Rupees Three Thousand) Rs. 500/- (Rupees Five Hundred)

c)

Fees has to be paid by a single demand draft and the Bank Draft should be in favor of “National Board of Examinations” payable at New Delhi.

Note : Candidates downloading the form from Internet are required to pay the form fees. 4

EXAMINATION CENTRE

c) d) e) f)

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The exam shall be held on 30 September 2007 at New Delhi Timing of the exam are: i) Paper I – Forenoon/ Ist Session 10:00 AM to 12:30 PM ii) Paper I – Afternoon/ IInd Session 2:00 PM to 04:30 PM Reporting Time for candidates for the first and second sitting is 09:15 AM and 01:15PM respectively. The Exact venue at New Delhi Shall be notified in the Admit Card. Applicants are to make own arrangements for Travel /lodging etc. All candidates are required to bring their Passport as proof of Identity at the exam center.

VERIFICATION OF DOCUMENTS / CREDENTIALS Applicants are required to submit attested (self attested and by Gazetted Officer) copies of th

i)

Date of Birth (Class X certificate)

ii)

Copy of Passport of the applicant

iii)

10+2 passing certificate

iv)

10+2 mark sheet

v)

Certificate of Passing Primary Medical Qualification i.e. MBBS or equivalent or equivalent degree certificate with mark sheet.

vi)

Internship Certificate (if done abroad)

vii) Eligibility Certificate issued by MCI (if available) viii) Translated copies (in English / Hindi) to be furnished if the certificates are in language other than English / Hindi.


APPLICANTS TO ENSURE THAT ATTESTED COPIES OF ALL THE CERTIFICATES MENTIONED ABOVE ARE SUBMITTED ALING WITH THE APPLICATION FORM;




FAILURE TO SUBMIT THE SAME WITH APPLICATION FORM SHALL LEAD TO THE APPLICATION FORM BEING TREATED AS INCOMPLETE & FEES FORFEITED.




NO CORRESPONDENCE IN THIS REGARD SHALL BE ENTERTAINED

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NATIONAL BOARD OF EXAMINATION

a) b)

NATIONAL BOARD OF EXAMINATION

INSTRUCTIONS FOR FILLING THE APPLICATION FORM i)

Write in capital letters only and tick the required information in the boxes wherever provided.

ii)

Please note that your name your father’s name, and your date of birth should be exactly the same as in your High School or your first Board/University examination Certificate.

iii)

A total of 3 copies of recent passport size colour photograph of the applicant are required (One Pasted on application form and two photographs without any attestation pasted on a sheet of paper). The photographs must bear nameplate of the applicant.

iv)

Application form must be signed by the applicant. Application form without signature will not be considered & rejected.

v)

The applicant is required to give the postal address in capital letters with pin code number.

ADMIT CARDS i)

Admit Card will be issued to all eligible applicants whose complete Application Forms have been received by NBE on or before the last date of receiving the application form.

ii)

The Applicant should carefully examine the Admit Card and ensure that all the entries therein are correct. In case of any discrepancy, the same shall be brought to notice of the National Board of Examinations.

iii)

The Admit Card is not transferable to any other person. Impersonation is punishable offence under law. CANDIDATES ARE REQUIRED TO BRING THEIR PASSPORT ALONGWITH THE ADMIT CARD FOR ENTRY TO THE EXAMINATION CENTRE. National Board of Examinations reserves its absolute right to verify the identity of the applicant/examinees/candidates.

iv)

Therefore, all applicants shall carefully preserve the Admit Card till the registration process is complete.

v)

Non-receipt of Admit Card: Applicants are advised to take a print out of their Roll nos. from website and paste one photo (self attested) on the same. Applicants are advised to bring his/ her passport as a proof of identification.

vi)

National Board of Examinations will not be responsible for any postal delay or unforeseen reasons resulting in non/late receipt of the Admit Card.

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vii) A plea that the applicant failed to receive the information for appearing in the Screening Test will not be accepted as a ground for the refund of fee or any other redress.

ix)

Issuance of Admit Card or display of the applicants name on the website of the Board does not confer any right whatsoever by the applicant for his / her eligibility for the purpose of registration by MCI.

SUBMISSION OF APPLICATION FORM Application forms must be submitted within the stipulated time given in the advertisement & on website. Applicants are requested to ensure that they submit the complete application form, in the envelope provided to reach NBE on or before the last date. Applications received after the last date will not be accepted. The completed Application form shall be sent to the following address: APPLICATION FOR FMGE- 09/2007 National Board of Examinations (Ministry of Health & Family Welfare, Govt. of India) Post Box – 4931, Ansari Nagar, Mahatma Gandhi Marg (Ring Road) New Delhi – 110029 Check List : Documents required to be attached: (Please arrange in following order) 1.

Bank Draft

2.

Application Form

3.

Annexure ‘A’ duly signed by the applicant

4.

Copy of 10 passing certificate (for date of birth)

5.

Copy of Passport of the applicant

6.

Copy of 10+2 passing certificate

7.

Copy of 10+2 mark sheet

8.

Copy of primary medical qualification

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NATIONAL BOARD OF EXAMINATION

viii) National Board of Examinations reserves the right to withdraw the permission, if any, granted inadvertently to any applicant who is not eligible to appear in the Screening Test even though an Admit Card has been issued or name displayed on the website of the Board.

9.

Copy of internship certificate (if done abroad)

NATIONAL BOARD OF EXAMINATION

10. Copy of eligibility certificate issued by MCI (if applicable) 11. Total Three copies of recent passport sized photographs of applicant (1 on the Application Form, Two Photos pasted on a sheet of paper) Note : Translated copies (in English / Hindi) of primary medical qualification and other certificates if the above are in language other than English/ Hindi
APPLICANTS TO ENSURE THAT ATTESTED COPIES OF ALL THE CERTIFICATES MENTIONED ABOVE ARE SUBMITTED ALING WITHTHE APPLICATION FORM;
FAILURE TO SUBMIT THE SAME WITH APPLICATION FORM SHALL LEAD TO THE APPLICATION FORM BEING TREATED AS INCOMPLETE & FEES FORFEITED.
NO CORRESPONDENCE IN THIS REGARD SHALL BE ENTERTAINED.

DECLARATION OF RESULT OF SCREENING TEST


The Result of the Screening Test will be declared on the website of the Board (www.natboard.edu.in) and Notice Board at Ansari Nagar office




Certificate of passing shall be sent to the eligible applicants by Speed Post Only within four weeks from the date of declaration of results. Candidates are advised not to approach the Boards office for the same.




Result letters shall be sent to unsuccessful candidates by post/speed post.




Applicants are advised to enter the postal address correctly, the certificate shall be sent at the postal address mentioned in application form.




There is no provision for reevaluation/ retotaling /declaration of marks.

DECLARATION BY THE APPLICANT The applicant MUST sign the declaration (column 19 of the application form). The place and date should also be mentioned. Application Form without signature or with different signature at two places will be treated as incomplete and will be rejected. 8

SYLLABUS PRE AND PARA CLINICAL SUBJECTS

Marks 100

1. 2.

General Anatomy Elements of Anatomy

:

3.

Regional Anatomy

:

4.

Embryology

:

5

Histology

:

6

Human Genetics

:

7.

Radiological Anatomy

:

8. 9. 10.

Surface Anatomy Sectional Anatomy Applied Anatomy

: :

NATIONAL BOARD OF EXAMINATION

ANATOMY Basic tissues to body, Terminology & Nomenclature Osteology, Arthrology, Myology, Angiology, Neurology Upper limb, Lower limb Thorax-including diaphragm Abdomen and Pelvis, Head, Neck Brain and Spinal cord. Development of individual organs and systems Postnatal growth & development General Histology Microanatomy of individual organs & systems Principles of Human genetics and Molecular biology Skiagrams, Special X-rays, Principles of imaging techniques. In cadavers, in the living Thorax, Abdomen, Head, Neck and Brain

PHYSIOLOGY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

General Physiology Body fluids - Blood Nerve and Muscle Gastrointestinal Tract Kidney Skin and Body temperature Endocrine Glands Reproduction Cardiovascular System Respiratory System Central Nervous Systems Special Senses

BIOCHEMISTRY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21.

Cell and Sub-cellular structures Hydrogen Ion concentration Acid, Bases, Buffers, Handerson-Haselbach equation Isotopes and their Application Carbohydrates Amino Acids, Peptides and Proteins Lipids Nuclear Acids Enzymes Vitamins Biological Oxidation Digestion and Absorption from GI Tract Intermediary Metabolism Carbohydrate Metabolism Lipid Metabolism Protein and Amino Acid Metabolism Purine and Primidine Metabolism Minerals Biochemical Genetics and Protein Biosynthesis Tissue Biochemistry Liver Functions Nutrition and Energy Metabolism

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NATIONAL BOARD OF EXAMINATION

PATHOLOGY 1. Cell injury 2. Inflammation and Repair 3. Immunopathology 4. Infectious diseases 5. Circulatory disturbances 6. Growth disturbances and Neoplasia 7. Nutritional and other disorders 8. Genetic disorder 9. Haematology 10. Cardiovascular Pathology 11. Respiratory Pathology 12. Pathology of Kidney and urinary Tract 13. Hepato-Biliary Pathology 14. Lymphoreticular System / Spleen 15. Reproductive System (male & female) 16. Diseases of the Breast 17. Musculoskelital System 18. Endocrine pathology 19. Neuropathology 20. Dermato-Pathology 21. Ocular Pathology MICROBIOLOGY 1. General Microbiology 2. Immunology 3. Bacteriology 4. General Virology 5. Systemic Virology 6. Mycology 7. Parasitology 8. Clinical / Applied Microbiology PHARMACOLOGY 1. General Pharmacology 2. Autonomic Nervous System 3. Cardio-vascular System 4. Diuretics 5. Drugs affecting blood and blood formation 6. Autocoids and related drugs 7. Respiratory System 8. Gastro-intestinal System 9. Endocrine pharmacology 10. Central Nervous System 11. Psychopharmacology 12. Drugs in Anaesthetic practice 13. Chemotherapy 14. Toxicology 15. Clinical Pharmacology and Rational drug use FORENSIC MEDICINE 1. Definitions 2. Courts of India 3. Court procedures 4. Medical Certifications & medico-legal reports including dying declaration 5. Death 6. Changes after death 7. Inquest by police, magistrate and coroner 8. Identification 9. Examination of mutilated human remains 10. Medico-legal autopsies 11. Mechanical injuries and wounds 12. Examination of an injury case 13. Injuries due to physical agents & their medico legal importance 14. Asphyxial death 15. Death due to malnutrition, neglect battered babies

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Dowry death Virginity, sexual offences, sexual perversions Legitimacy Pregnancy and delivery Infanticide Biological fluids Seminal stains Forensic Psychiatry Medical Jurisprudence Toxicology

CLINICAL SUBJECTS

Marks 200

GENERAL SURGERY 1. Hemorrhage and shock 2. Fluid, electrolyte and Acid balance, nutrition 3. Skin tumours, burns, skin grafting 4. Arterial diseases 5. Venous diseases 6. Lymphatic and Lymph nodes 7. Wounds 8. Specific and non-specific injections 9. Tumors, Cysts, Ulcers and Sinuses and Fistulae 10. Infections of Hand and Foot 11. Diseases of muscle, tendons, bursae and fascia 12. Hernia 13. Umbilical granuloma, fistula, adenoma 14. Abdominal Wall 15. Face, Teeth, Gums, Mouth, Tongue, Salivary glands, Neck 16. Thyroid Glands, Thyroglossal Tract and Endocrines 17. Breast 18. Sympathetic System 19. Cranio-Cerebral injuries 20. Brain, Nerves 21. Genito-Urinary System 22. Kidneys and Ureters 23. Urinary Bladder 24. Prostrate 25. Urethra 26. Penis, Testis and Scrotum 27. Vasectomy and Recanalisation 28. Cardiothoracis System 29. Oesophagus, Stomach and Duodenum 30. Spleen, Liver, Gall Bladder and bile ducts 31. Pancreas 32. Peritoneum 33. Intestines, intestinal obstruction 34. Appendix 35. Rectum and Anal Canal ANESTHESIA 1. Anatomy of upper airway 2. Physiology of Respiration O2/CO2 transport. Methods of oxygen therapy. 3. Pre-operative evaluation/pre-medication 4. Anaesthesic agents, stages of Anaesthesia 5. Principles and mechanism of administration of general anaesthetics, balanced Anaesthesia 6. IPPV, Endotracheal Intubations 7. Muscle Relaxants 8. Spinal/Epidural Anesthesia 9. Local Anesthesia 10. Cardiopulmonary resuscitation basic, use of simple ventilators 11. Monitoring 12. ICU, role of anaesthesiologist in ICU 13. Shock

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NATIONAL BOARD OF EXAMINATION

16. 17. 18. 19. 20. 21. 22. 23. 24. 25.

14. 15. 16. 17.

Blood Transfusion and Fluid Electoral Balance Sites of respiratory obstruction and management of airway in an unconscious patient Poisoning Role of anaesthesiologist in acute and chronic relief.

NATIONAL BOARD OF EXAMINATION

ORTHOPEDICS 1.

2. 3. 4. 5. 6.

Traumatology
Injuries of bones and joints
Injuries of Lower Extremity
Injuries of the Spine
Vascular Injuries Cold Orthopedics Regional Conditions Neuro-Muscular Disorder Bone and Joint Tuberculosis Physical Medicine and Rehabilitation

RADIO- DIAGNOSIS 1. 2. 3. 4. 5. 6. 7.

Respiratory System Cardiovascular System Gastrointestinal System Obstetrics & Gynaecology Skeletal System Central Nervous System Excretory System

RADIOTHERAPY 1. Principals of Radiotherapy 2. Principals of Chemotherapy 3. Prevention and Early diagnosis of Cancer 4. Principals of Nuclear medicine 5. Common radiation reactions and management 6. Radiotherapy and chemotherapy in commonly seen cancers 7. Radio-isotopes in diagnosis and therapy

PAEDIATRICS 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

Vital statistics Neonatology Growth & Development Nutrition Infections Genetics Pediatric Emergencies Central Nervous System Gastrenterology Nephrology Endocrinology Respiratory System

MEDICINE 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13.

Clinical Methods in the practice of Medicine Common symptoms of disease Nutrition/Exposure to Physical & Chemical Agents Infections Haematology Respiratory System Cardio-Vascular System Gartro-Intestinal Tract Emergency Medicine Neurological System Nephrology & Urinary system connected to Tissue Disorders Endocrine System Geriateries

TUBERCULOSIS AND RESPIRATORY DISEASES Diagnosis and management of common ailments affecting the chest with special emphasis on management and prevention of Tuberculosis and National Tuberculosis Control Programme.

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PSYCHIATRY History aspects and diagnosis & treatment of mental illness Conduction of Mental Status Examination Behavioral Sciences Different psychoses Clinical features, diagnosis and management of : Schizophrenia Mania and depression Anxiety disorders and hysteria Dementia Alcoholism Drug Abuse Psychiatric emergencies Clinical features, diagnosis and management of psychiatric disorders of childhood and adolescence Personality disorder

DERMATOLOGY AND SEXUALLY TRANSMITTED DISEASES 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13.

Dermatological therapy Lichen Planus Diseases caused by Nutritional and Environmental Factors Infective Disorders Melancyte, pigment metabolism and other disorders of Pigmentation Allergic Disorders Dermatitis and Eczema Vesiculobullous Diseases Alopecia and Hirsutism Structure and functions of Sebaceous and Disease Leprosy Psorasis STD

OPHTHALMOLOGY Basic sciences – Anatomy, Physiology, Pharmacology, Pathology, Elementary Optics, Diseases of the Eye 1. Conjunctiva 2. Cornea 3. Sclera 4. Uveal Tract 5. Lens 6. Vitreous 7. Glaucoma 8. Retina 9. Optic Nerve 10. Intra-Occular Tumors 11. Squint 12. Orbit 13. Lacrimal System 14. Lids 15. Refractive Errors 16. Injuries 17. Ophthalmic Surgery 18. Community Ophthalmology 19. Miscellaneous

OTORHINOLARYNGOLOGY 1. 2. 3. 4. 5.

Diseases of the Ear Diseases of Nose and Para Nasal sinuses Diseases of Nasopharynx Diseases of Trachea Oesophagus

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NATIONAL BOARD OF EXAMINATION

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13.

NATIONAL BOARD OF EXAMINATION

OBSTETRICS AND GYNECOLOGY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35.

Anatomy of the Female reproductive Tract Physiology of conception Development of foetus and placenta Diagnosis of pregnancy Maternal changes in pregnancy Antenatal care Abnormal obstetrics Normal labour Normal puerparium Breast Feeding Care of new born Medical termination of pregnancy Family planning Operative obstetrics Post caesarian pregnancy Pharmaco therapeutics in obstetrics Safe motherhood Maternal morbidity, and morality Medico legal aspects RCH Current topics Vaginal discharge Menstrual disorder Fertility, infertility Endometriosis and allied states Genital injuries and fistulae Genital infections Genital prolapse Tumours Carcinomia Radiotherapy in gynecology Chaemotherapy in gynecology Endoscopy Diseases of breast Operative gynecology

COMMUNITY MEDICINE 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17.

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Evaluation of Public Health and Concepts of Health Environment and Health Health Education Nutrition and Dietetics Occupational Health Medical Sociology and Community Mental Health Fundamentals of Biostatics Basic Epidemiology Epidemiology of Specific Diseases Communicable and Non-Communicable Diseases Demography Reproductive and Child Health School Health Urban Health Health System in India Health Planning and Management including Disaster Management International Health

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I

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R/o ________________________________________________________ having obtained my Primary Medical Qualification (MBBS or equivalent degree)

from_____________________________________________________________ do declare and certify as under : 1. I am a citizen of India

2. That I am aware that my appearance / success in Screening Test does not confer any right whatsoever for registration with MCI / any other State Medical Council.

3. I understand that my registration with MCI / State Medical Council is subject to fulfillment

of the eligibility criteria laid by them and in accordance with judgments of Honorable Supreme Court of India/Any other Competent Court in this regard.

4. I have read the information bulletin for FMGE September 2007 and hereby certify that I am eligible to appear in the said exam, I have not submitted any incorrect or false

information to the National Board of Examinations for this purpose and I am aware that I shall be liable for action in the event of submission of any incorrect or false information.

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S/o or D/o ____________________________________ aged around _________ years

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(Signature of Applicant)

Date :

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Name ..........................................................................

Place :

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ANNEXURE ‘A’

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