Tamil Nadu Public Service Commission (TNPSC)
Syllabus
Medical Speciality Subjects
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Physical Medicine- Applied Anatomy, Physiology and Pathology in Physical Medicine and Rehabilitation
Skeletal System : Vertebral column, Skeleton of upper and lower limbs, Biomechanics, Pathological changes
Arthrology : Joints and their movements, Clinical conditions, Pathology
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Muscular system : Structure of muscle, Physiology of muscle contraction, Types of muscle fibres, Pathology of muscle weakness
Neurology : Anatomy of Brain and Meninges, Blood supply of Spinal cord, Plexuses Peripheral nervous system, Anatomy, Physiology and Pathology of Bowel and Bladder
Cardio-pulmonary system : Basic Anatomy and Physiology Cardiac dysfunction, Pulmonary dysfunction
Immuno-deficiency syndromes : AIDS, HIV - pathology
Cancer : Structure of Cell, and pathological modifications in Cancer. - Rehabilitation team / Disability evaluation\PWD ACT 1995\ National trust ACT 1999 : Definition of Rehabilitation, Rehabilitation team members, Methods of team approach, Concepts of Impairment, Disability and Handicap, Disability evaluation, ADL – methods of evaluation, Architectural barriers, Benefits to the disabled by G.O. and N.G.O., Types of disability, Visual, Speech and Hearing, Locomotor, Mental retardation, and Multiple disabilities Evaluation and certification of disabilities.
THE PERSONS WITH DISABILITES ACT 1995(Equal Oppurtunities,Protection Of Rights and Full Participation) ( 1 Of 1996)
Objectives - Central Co-ordination Committee, Central Executive Committee, State Co-ordination committee, State Executive Committee, Prevention and Early Detection Of Disability, Education, Employment, Non-Discrimination, Research And Manpower Development
National trust for welfare of persons with autism, cerebral palsy, mental retardation and multiple disabilities act 1997
Objectives - Constitution Of The Trust, Local level Committees, Finance Accounts and Auditing
- Electro diagnosis
- Nerve Conduction Studies - Electro diagnostic evaluation of peripheral nervous system, Sensory Nerve Conduction Studies Motor Nerve Conduction Studies, Evaluation of Neuro-muscular junction
- Electro-myography - Insertional activity, Abnormal potentials, Motor Unit Action Potentials, Compound Motor Action Potentials C-MAP, Single Fibre EMG
- Interpretation of electro-diagnostic studies in CNS conditions - Peripheral nervous system, Myoneural junction diseases, Muscular diseases
- Diagnostic Electrical Stimulation - Chronaxie, Rheobase, FG Test and SD curve – clinical applications
- Physical Therapeutic Modalities
- Electrotherapy - Electrical stimulation, Effects of Heat, Effects of Cold, Superficial Heat Therapy Deep Heat Therapy, TENS / IFT, UV irradiation, LASER therapy, Cryotherapy
- Therapeutic Exercises - Balance and Co-ordination exercises, Strengthening exercises, Mobilisation exercises, Stretching exercises
- Traction - Methods of Traction, Traction at different levels, Indications and Contra-indications
- Massage and Manipulation - Methods and techniques in different clinical conditions
- Clinical applications - Therapeutic modalities in different clinical conditions, Indications Complications Contra-indications
- Prosthetics & Orthotics
- Prosthetics - Incidence and epidemiology and Rehabilitation of amputees Congenital Limb Deficiencies IPOP Prosthesis for Foot, ankle and Trans-tibial amputations Prosthesis for Knee disarticulation, Trans-femoral amputation and Hip disarticulation Prosthesis for Hand, Wrist disarticulations and Trans-radial amputation Prosthesis for Trans-humeral amputation, Elbow and Shoulder disarticulations Recent advances in Prosthetics.
- Orthotics - Principle and prescription of orthosis, Cervical and Thoraco-lumbar orthoses, Orthoses for Spinal deformities, Upper limb orthoses, Lower limb weight bearing orthoses, Orthosis for weakness and deformities, Foot wear modifications, Orthosis in Polio, Spinal cord injury, Stroke, Nerve injury, Cerebral Palsy, Rheumatology & Sports Ambulatory aids, Wheel chairs and Tricycles, Assistive devices
- Community Based Rehabilitation & Psycho, Socio, Vocational Rehabilitation
- CBR – Community Based Rehabilitation - Principles
Team members Methods of reaching community Implementation of CBR
- Psychological Rehabilitation - Psychological assessment- projective and objective Mental Retardation assessment, grading, planning for special education Acquired disabilities – assessment, Depression, suicidal tendency, Psychological counselling and motivation, Acceptance of disability
- Social Rehabilitation - Family status Role of the patient in the family Income and Finance support Facilities by the Government and Non-Government Organizations
- Vocational Rehabilitation - Assessment of educational qualification and nature of work done Modifications Vocational evaluation and counselling Job placement Re-integration into the community
- Rehabilitation of Neuromuscular conditions - Neuro-muscular Conditions
- CNS- Stroke - Traumatic Brain Injury Multiple sclerosis Parkinsonism Spinal cord injury and diseases
- Anterior horn cell diseases
- Plexopathies
- Nerve injuries and diseases
- Muscular diseases – myopathies and dystrophies
- Cancer , Geriatrics and Sports Rehabilitation - Cancer
- Management of cancer pain
- Rehabilitation
Geriatrics- Physiology and pathology of ageing
- Senior citizens
- Clinical applications Immunodeficiency Syndromes
SPORTS REHABILITATION-
Scope of sports medicine
- Athlete and normal person
- Type of muscle fibers in different sports activities
- Methods of improving performance
- Sports injuries
- First-aid and rehabilitation management
- -term disability in sports injuries
- Stress fractures
- Cardio - pulmonary rehabilitation
Cardiac rehabilitation- Congenital heat diseases,
- Acquired heart diseases,
- Myocardial infarction,
- Surgical interventions in cardiac conditions
- management in post-surgical conditions
VASCULAR DISEASES REHABILITATION- Arterial diseases
TAO
- Diabetes Mellitus
- Vasculitis
- disorders
- management
- Venous diseases
DVT- Varicose veins
- Venous ulcers
- Lymphatic diseases
- Lymphoedema
- Rehabilitation management
PULMONARY REHABILITATION- Pulmonary Function Test – method and clinical interpretation
- Obstructive lung diseases
- Restrictive lung diseases
- Post-surgical rehabilitation
- Breathing exercises
- Rehabilitation of Orthopaedic and Rheumatologic conditions - Orthopaedics Structure and development of bone Osteoporosis, Scurvy, Rickets Genu valgum and varum
Chondro-dystrophies Gigantism, dwarfism Osteomyelitis Cervical rib, Congenital Dislocation of Hip,
Arthrogryphosis, Congenital limb defiencies, Spinal dysraphism, Osteogenesis imperfecta Trauma- Fractures and complications, Volkman’s ischemic contracture, Delayed union, mal-union, non-union,
Post-operative management, Post-traumatic management, Post-burns management Soft tissue conditions – Ganglion, Bursitis, Dupytren’s contracture, Muscle and tendon injuries, Trigger finger, Dequervain’s disease, Plantar Fascitis,Tennis elbow.
RHEUMATOLOGY - Study of Rheumatic diseases Rheumatoid Arthritis & Juvenile Rheumatoid Arthritis Ankylosing spondylitis Psoriatic Arthritis Rheumatic fever and others Collagen diseases – SLE, Polyarteritis Nodosa, Scleroderma, Dermatomyositis Degenerative diseases - Osteo arthritis Metabolic bone & joint disorders – Gout, Pseudo gout, Alkaptonuria Infections – Septic, Syphilitic, T.B., Gonorrhoeal, HIV Affections of different joints
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