Neet pg syllabus topic wise
NEET PG 2026 syllabus topic wise complete subject list NBE
NEET PG syllabus topic wise all subjects
Exam Date: August 30, 2026 | Total Questions: 200 MCQs | Duration: 3.5 hours | Conducted by: NBE
| Section | Subject | Questions (Approx.) |
|---|---|---|
| Part A - Pre-clinical | Anatomy | 17 |
| Physiology | 17 | |
| Biochemistry | 16 | |
| Part B - Para-clinical | Pathology | 25 |
| Pharmacology | 20 | |
| Microbiology | 20 | |
| Forensic Medicine | 10 | |
| Social & Preventive Medicine | 25 | |
| Part C - Clinical | General Medicine (incl. Dermatology, Venereology, Psychiatry) | 45 |
| General Surgery (incl. Orthopaedics, Anaesthesia, Radiodiagnosis) | 45 | |
| Obstetrics & Gynaecology | 30 | |
| Paediatrics | 10 | |
| ENT | 10 | |
| Ophthalmology | 10 | |
| Total | ~300 marks |
| Priority | Subjects | Reason |
|---|---|---|
| High | Pathology, Medicine, Surgery, OBG | Highest question weightage |
| High | Pharmacology, Microbiology | Conceptual + scoring |
| Medium | Anatomy, Physiology, Biochemistry | Foundational, moderate weightage |
| Medium | Community Medicine, Forensic | Factual and memory-based |
| Focus | ENT, Ophthalmology, Paediatrics, Orthopaedics | High-yield short topics |
Note: NBE does not release a strict chapter-wise syllabus. The above is based on the MCI/NMC MBBS curriculum and analysis of previous year NEET PG papers. The official syllabus can be verified at natboard.edu.in. The exam covers the entire MBBS curriculum, so depth matters as much as breadth.
General anatomy notes full with diagrams, notes ,exam oriented notes neet pg
Make notes on hard words and medical terms explanation Notes on this topic
| Prefix | Meaning | Example |
|---|---|---|
| a- / an- | without, absent | avascular = without blood vessels |
| ante- | before | anterograde = moving forward |
| bi- | two | bilateral = both sides |
| brady- | slow | bradycardia = slow heart rate |
| circum- | around | circumduction = circular movement |
| contra- | against, opposite | contralateral = opposite side |
| dia- | through, across | diaphysis = through the shaft |
| ecto- | outside | ectoderm = outer layer |
| endo- | inside | endosteum = inside bone lining |
| epi- | upon, over | epimysium = over the muscle |
| extra- | outside of | extracapsular = outside the capsule |
| hemi- | half | hemiplegia = paralysis of one side |
| hyper- | above normal, excess | hypertrophy = excessive growth |
| hypo- | below normal, deficient | hypotonia = reduced muscle tone |
| infra- | below | infraspinatus = below the spine of scapula |
| inter- | between | interosseous = between bones |
| intra- | within | intracapsular = within the capsule |
| ipsi- | same | ipsilateral = same side |
| iso- | equal, same | isometric = same length |
| macro- | large | macroscopic = visible to naked eye |
| mega- / megalo- | very large | megakaryocyte = very large cell |
| micro- | small | microscopic = needs microscope to see |
| mid- | middle | midsagittal = through the middle |
| multi- | many | multinucleated = many nuclei |
| neo- | new | neonatal = newborn |
| para- | beside, near, abnormal | parasagittal = beside the sagittal plane |
| peri- | around | perichondrium = around the cartilage |
| poly- | many | polyneuropathy = many nerves affected |
| post- | after, behind | posterior = behind |
| pre- / pro- | before, in front | proximal = closer to origin |
| retro- | behind, backward | retroperitoneal = behind the peritoneum |
| sub- | below, under | subcutaneous = under the skin |
| supra- | above | supraspinatus = above the spine of scapula |
| sym- / syn- | together, with | synapse = join together |
| tach- | fast | tachycardia = fast heart rate |
| trans- | across, through | transpyloric = across/through the pylorus |
| tri- | three | triceps = three heads |
| uni- | one | unipennate = one side feather arrangement |
| Suffix | Meaning | Example |
|---|---|---|
| -algia | pain | neuralgia = nerve pain |
| -ary / -al / -ic | pertaining to | muscular = pertaining to muscle |
| -ase | enzyme | lipase = fat-digesting enzyme |
| -cyte | cell | osteocyte = bone cell |
| -desis | binding, fusion | arthrodesis = joint fusion |
| -ectomy | surgical removal | appendectomy = remove appendix |
| -genesis | origin, production | osteogenesis = bone formation |
| -gram | record, image | electrocardiogram = heart recording |
| -graphy | process of recording | angiography = imaging blood vessels |
| -itis | inflammation | arthritis = joint inflammation |
| -logy | study of | osteology = study of bones |
| -lysis | breakdown, destruction | osteolysis = bone destruction |
| -malacia | softening | osteomalacia = bone softening |
| -oma | tumor | osteoma = bone tumor |
| -osis | abnormal condition | fibrosis = excess fibrous tissue |
| -ostomy | surgical opening | tracheostomy = surgical opening in trachea |
| -otomy | incision/cut | osteotomy = cutting bone |
| -pathy | disease | neuropathy = nerve disease |
| -plasty | surgical repair/reshape | arthroplasty = joint repair/replacement |
| -plegia | paralysis | hemiplegia = paralysis of half the body |
| -sclerosis | hardening | atherosclerosis = hardening of arteries |
| -trophy | nourishment, growth | hypertrophy = overgrowth |
| Root | Meaning | Example |
|---|---|---|
| arthr- | joint | arthritis, arthroscopy |
| brachi- | arm | brachial artery, brachioradialis |
| card / cardi- | heart | pericardium, cardiac |
| chondr- | cartilage | chondrocyte, perichondrium |
| cost- | rib | costal, intercostal |
| cutane- | skin | subcutaneous |
| derm / dermato- | skin | dermis, dermatology |
| enter- | intestine | enteric nervous system |
| fasci- | fascia/band | fascia, fasciitis |
| gangli- | knot, ganglion | ganglion, basal ganglia |
| gleno- | socket | glenoid cavity |
| hem / hemo- | blood | hematoma, hemostasis |
| hepat- | liver | hepatic, hepatitis |
| kerat- | horn, cornea | keratin, keratoconus |
| labi- | lip | labrum (lip-like structure) |
| lymph- | lymph | lymphatic, lymphadenopathy |
| mening- | membrane | meninges, meningitis |
| my / myo- | muscle | myocyte, myopathy |
| myelin- | myelin sheath | myelinated, demyelination |
| neuro- | nerve | neuroanatomy, neuron |
| osteo- | bone | osteoblast, osteoporosis |
| peri- | around | periosteum, pericardium |
| pleur- | rib, side, pleura | pleural cavity, pleuritis |
| pneumo- | air, lung | pneumothorax, pneumonia |
| sarco- | flesh, muscle | sarcomere, sarcoplasm |
| stern- | sternum | sternoclavicular, xiphisternum |
| synovi- | synovial fluid | synovial joint, synovitis |
| tendo / ten- | tendon | tendon, tendinitis |
| vasc- | vessel | vascular, avascular |
| ven- | vein | venous, venule |
| Topic | Mnemonic / Memory Aid |
|---|---|
| Layers of epidermis (deep to superficial) | "Come, Let's Get Sun Burned" = Basale, Spinosum, Granulosum, Lucidum, Corneum |
| Bone cells in order | "Pro-Blast-Cyte-Clast" = Progenitor → Osteoblast → Osteocyte → Osteoclast |
| Elbow ossification (CRITOE) | Capitulum(1), Radial head(3), Internal epicondyle(5), Trochlea(9), Olecranon(9), External epicondyle(11) |
| Aortic arch 3rd | 3rd → 3 letters in "CAR" → Common carotid + proximal internal carotid |
| Afferent vs Efferent | Afferent = Approaching; Efferent = Exiting |
| Sympathetic vs Parasympathetic origin | Sympathetic = Spine (thoracolumbar T1-L2); Parasympathetic = Peduncles/Craniosacral |
| Nerve fiber diameter order | "All Bad Doctors Can Bleed" = Aα, Aβ, Aδ, C, B (largest to smallest - approximate) |
| Joint types | "Fibrous, Cartilaginous, Synovial" = First Can't Swim freely (fibrous = immovable, cartilaginous = slightly, synovial = freely) |
| Pair | Difference |
|---|---|
| Osteon vs Osteone | Same thing - the Haversian system (unit of compact bone) |
| Osteoblast vs Osteoclast | Blast = BUILD bone; Clast = CRUSH/destroy bone (like "iconoclast" = image destroyer) |
| Periosteum vs Perichondrium | Periosteum = covers bone; Perichondrium = covers cartilage |
| Epimysium vs Perimysium vs Endomysium | Epi = whole muscle; Peri = fascicle; Endo = single fiber |
| Epineurium vs Perineurium vs Endoneurium | Epi = whole nerve; Peri = fascicle; Endo = single axon |
| Synchondrosis vs Symphysis | Synchondrosis = hyaline cartilage (temporary, may ossify); Symphysis = fibrocartilage (permanent) |
| Proximal vs Distal | Proximal = closer to trunk/origin; Distal = farther from trunk |
| Afferent vs Efferent | Afferent = toward (sensory, approaching); Efferent = away (motor, exiting) |
| Dorsal vs Ventral (trunk vs limb) | Trunk: Dorsal = posterior, Ventral = anterior; Hand: Dorsal = back of hand; Foot: Dorsal = top of foot |
| Coronal vs Sagittal | Coronal = front/back division (like the coronal suture); Sagittal = left/right division (like an arrow/sagitta) |
| Inversion vs Eversion | Inversion = sole inward (INward); Eversion = sole outward (EVer outward) |
| Visceral vs Parietal | Visceral = touches the organ; Parietal = touches the wall (paries = wall) |
| Ontogeny vs Phylogeny | Ontogeny = one individual's development; Phylogeny = whole species' evolution |
| Primary vs Secondary ossification centers | Primary = fetal life, in diaphysis; Secondary = after birth, in epiphysis (except distal femur/proximal tibia) |
| Nucleus vs Ganglion | Nucleus = cluster of neuron cell bodies INSIDE CNS; Ganglion = cluster OUTSIDE CNS |
These notes cover every major hard word and medical term in the General Anatomy NEET PG syllabus. Understanding word roots lets you figure out unfamiliar terms in the exam without having memorized them - a powerful strategy for MCQs.
Make simple diagram notes to understand each topic clearly of the upper main notes
SUPERIOR (Head)
▲
│
┌───────────────┼───────────────┐
│ │ │
│ SAGITTAL │ CORONAL │
│ PLANE │ PLANE │
│ (Left/Right) │ (Front/Back) │
│ │ │
◄────┼───────────────┼───────────────┼────►
POST │ │ │ ANT
ERIOR │ TRANSVERSE PLANE │ ERIOR
│ (Superior/Inferior) │
│ │ │
└───────────────┼───────────────┘
│
▼
INFERIOR (Feet)
┌─────────────────────────────────────────────┐
│ PLANE DIVIDES INTO DIRECTION │
│ ───────────────────────────────────────── │
│ Sagittal L & R halves ↕ Vertical │
│ Coronal Front & Back ↕ Vertical │
│ Transverse Top & Bottom ↔ Horizontal │
└─────────────────────────────────────────────┘
SUPERIOR
▲
│
HEAD
┌────┴────┐
│ MEDIAL │◄──── toward midline
LATERAL │ ←──→ │ away from midline ────► LATERAL
│ │
│ TRUNK │
│ │
ANTERIOR ──► ◄── POSTERIOR
(Front) │ │ (Back)
│ │
└────┬────┘
│
LIMBS
PROXIMAL (near trunk)
┌───┐
│ │
│ │ ← Thigh / Upper arm
│ │
├───┤
│ │ ← Leg / Forearm
│ │
└───┘
DISTAL (far from trunk)
│
▼
INFERIOR
ANTERIOR VIEW OF ABDOMEN
Xiphisternum (T9) ─────────────────
┌─────────────┐
Transpyloric ──────┤ L1 ├──── Pylorus, GB fundus,
Plane └─────────────┘ Neck of pancreas,
Hilum of kidney
┌─────────────┐
Subcostal ─────────┤ L3 ├──── 10th costal cartilage
Plane └─────────────┘
┌─────────────┐
Supracrestal ──────┤ L4 ├──── ILIAC CRESTS ← LP here!
Plane └─────────────┘
┌─────────────┐
Intertubercular ───┤ L5 ├──── Iliac tubercles
Plane └─────────────┘
Pubic symphysis ─────────────────
⭐ KEY: L1 = Transpyloric | L4 = Supracrestal (LP)
BODY CAVITIES
│
┌─────────┴──────────┐
│ │
DORSAL VENTRAL
CAVITY CAVITY
│ │
┌──┴──┐ ┌───────┴────────┐
│ │ │ │
CRANIAL SPINAL THORACIC ABDOMINOPELVIC
(Brain)(Cord) CAVITY CAVITY
│ │
┌───┴───┐ ┌───┴───┐
PLEURAL PERI- ABDOMINAL PELVIC
(×2) CARDIAL
┌──────────────┬──────────────┬──────────────┐
│ R.HYPO- │ EPIGASTRIC │ L.HYPO- │
│ CHONDRIAC │ │ CHONDRIAC │
│ Liver(R) │ Stomach,Liver│ Spleen │
│ Gallbladder │ Duodenum, │ Stomach(F) │
│ Hep.flexure │ Pancreas(H) │ Spl.flexure │
├──────────────┼──────────────┼──────────────┤
│ R.LUMBAR │ UMBILICAL │ L.LUMBAR │
│ (Lateral) │ │ (Lateral) │
│ Ascending │ Trans.colon │ Descending │
│ colon │ Jejunum/Ileum│ colon │
│ R.Kidney(L) │ Aorta bifurc.│ L.Kidney(L) │
├──────────────┼──────────────┼──────────────┤
│ R.ILIAC │ HYPOGASTRIC │ L.ILIAC │
│ (Inguinal) │ (Pubic) │ (Inguinal) │
│ Caecum │ Bladder │ Sigmoid │
│ Appendix │ Uterus │ colon │
│ R.Ureter │ Sigmoid(L) │ L.Ureter │
└──────────────┴──────────────┴──────────────┘
(F) = fundus (H) = head (L) = lower pole
┌─────────────────┐
│ EPIPHYSIS (End)│ ← Secondary ossification centre
│ Articular │ ← Hyaline cartilage (no BV/nerve)
│ Cartilage │
├─────────────────┤
│ EPIPHYSEAL │ ← Growth plate (hyaline cartilage)
│ PLATE │ ← Closes at puberty → synostosis
├─────────────────┤
│ │
│ METAPHYSIS │ ← Most vascular region
│ (flared zone) │ ← Osteosarcoma commonest here
│ │
├─────────────────┤
│ │
│ │ ← Compact (cortical) bone
│ DIAPHYSIS │ outside
│ (Shaft) │
│ ┌───────────┐ │ ← Medullary cavity (bone marrow)
│ │ MEDULLARY│ │ inside
│ │ CAVITY │ │
│ └───────────┘ │
│ │
├─────────────────┤
│ METAPHYSIS │
├─────────────────┤
│ EPIPHYSEAL │
│ PLATE │
├─────────────────┤
│ EPIPHYSIS │
└─────────────────┘
OUTER COVERINGS:
Periosteum ──► covers outside of diaphysis
Endosteum ──► lines inside of medullary cavity
MESENCHYMAL STEM CELL
│
▼
OSTEOPROGENITOR CELL ──► (in periosteum & endosteum)
│
▼
OSTEOBLAST ──► BUILDS bone (secretes osteoid)
│
│ (gets surrounded by matrix)
▼
OSTEOCYTE ──► MAINTAINS bone (in lacunae)
communicates via canaliculi
MONOCYTE/MACROPHAGE
│
▼
OSTEOCLAST ──► DESTROYS bone (in Howship's lacuna)
multinucleated, uses HCl + cathepsin K
┌────────────────────────────────────────────┐
│ MEMORY: OsteoBlast = Build | osteoCLAST │
│ = Crush (like iconoclast = image crusher) │
└────────────────────────────────────────────┘
COMPACT BONE CROSS-SECTION
┌──────────────────────────────────────┐
│ │
│ Concentric lamellae │
│ ○ ← Osteocyte in lacuna │
│ ╔═══╗ │
│ ╔═╣ ● ╠═╗ ● = Haversian canal │
│ ╔╣ ╚═══╝ ╠╗ (blood vessel) │
│ ╔╣ ╔═════╗ ╠╗ │
│ ╚══╝ ║ ║ ╚══╝ │
│ ║ ║ ← Volkmann's canal │
│ ║ ║ (transverse, connects │
│ ║ ║ Haversian canals) │
│ │
│ Periosteum │
│ ───────── outer fibrous layer │
│ ───────── inner osteogenic layer │
└──────────────────────────────────────┘
HAVERSIAN CANAL = longitudinal (along bone axis)
VOLKMANN'S CANAL = transverse (across bone axis)
INTRAMEMBRANOUS ENDOCHONDRAL
(Direct) (Indirect)
───────────── ─────────────
Mesenchyme Mesenchyme
│ │
│ NO cartilage │ forms
│ intermediate ▼
▼ Hyaline cartilage
BONE model (template)
│
│ replaced by
▼
BONE
Examples: Examples:
• Flat bones of SKULL • Long bones
• Mandible • Vertebrae, Ribs
• CLAVICLE (also partly) • Base of skull
• Maxilla • Most bones
⭐ CLAVICLE = BOTH types (unique long bone!)
ELBOW OSSIFICATION CENTERS (in order of appearance)
C ──► Capitulum 1 year
R ──► Radial head 3 years
I ──► Internal (medial) 5 years
epicondyle
T ──► Trochlea 9 years
O ──► Olecranon 9 years
E ──► External (lateral) 11 years
epicondyle
Lateral epicondyle
│
┌─────────┴─────────┐
│ HUMERUS │
│ T C │ ← Trochlea(T) medial
│ \/ │ Capitulum(C) lateral
│ O ──┤├── R │ ← Olecranon(O) posterior
│ (ulna)│ (radius)│ Radial head(R) lateral
│ │ │
│ I (medial epi.) │
└───────────────────┘
JOINTS
│
┌───────────────┼────────────────┐
│ │ │
FIBROUS CARTILAGINOUS SYNOVIAL
(Synarthrosis) (Amphiarthrosis) (Diarthrosis)
IMMOVABLE SLIGHTLY MOVABLE FREELY MOVABLE
│ │ │
┌──┼──┐ ┌───┴───┐ 6 types (below)
│ │ │ │ │
Suture Synd- Gom- Primary Secondary
esmosis phosis (Synchon- (Symphysis)
drosis)
HYALINE FIBRO-
CARTILAGE CARTILAGE
Examples: Examples: Examples:
Skull sutures Epiphyseal Hip, Knee,
Interosseous plates, Shoulder,
membrane Pub.symphysis Wrist...
Teeth in sockets Intervert.disc
BONE
│
Periosteum ────┘
┌──────────────────┐
│ Fibrous │◄── Joint capsule
│ capsule │ (outer layer)
│ ┌────────────┐ │
│ │ Synovial │ │◄── Synovial membrane
│ │ membrane │ │ (inner layer, produces fluid)
Articular ──► │ │ │
cartilage │ │ JOINT │ │
(hyaline) │ │ CAVITY │ │◄── Contains synovial fluid
│ │ ════════ │ │
│ │ Synovial │ │◄── Lubricates + nourishes
│ │ fluid │ │ cartilage
│ └────────────┘ │
│ │
└──────────────────┘
│
BONE
⭐ Articular cartilage = HYALINE (except TMJ & sternoclavicular
= FIBROCARTILAGE)
⭐ NO blood vessels, nerves, lymphatics in articular cartilage
┌────────────┬────────────┬──────────────┬──────────────┐
│ TYPE │ SHAPE │ MOVEMENT │ EXAMPLE │
├────────────┼────────────┼──────────────┼──────────────┤
│ HINGE │ ═══╗ │ F/E only │ Elbow, IP │
│ │ ═══╝ │ 1 axis │ joints │
├────────────┼────────────┼──────────────┼──────────────┤
│ PIVOT │ ─○─ │ Rotation │ Atlas-axis │
│ │ ─│─ │ only 1 axis │ Radio-ulnar │
├────────────┼────────────┼──────────────┼──────────────┤
│ CONDYLOID │ ┌─┐ │ F/E+Ab/Ad │ Wrist │
│ (Ellipsoid)│ (oval) │ 2 axes │ MCP joints │
├────────────┼────────────┼──────────────┼──────────────┤
│ SADDLE │ ╔═╗╔═╗ │ F/E+Ab/Ad │ 1st CMC │
│ │ ╚═╝╚═╝ │ 2 axes │ (thumb) │
├────────────┼────────────┼──────────────┼──────────────┤
│ BALL & │ (●) │ All │ Hip, │
│ SOCKET │ ╰─╯ │ 3 axes │ Shoulder │
├────────────┼────────────┼──────────────┼──────────────┤
│ PLANE │ ▬▬▬ │ Gliding │ Intercarpal │
│ (Gliding) │ ▬▬▬ │ multi-dir. │ Facet jts │
└────────────┴────────────┴──────────────┴──────────────┘
MOST MOBILE = Shoulder (Ball & socket)
MOST STABLE = Hip (Ball & socket, deep socket)
MOST COMPLEX = Knee (Modified hinge + rotation)
FLEXION EXTENSION
(angle ↓) (angle ↑)
──────── ─────────
bend straighten
ABDUCTION ADDUCTION
(away from midline) (toward midline)
─────────────────── ─────────────────
arm out arm in
MEDIAL ROTATION LATERAL ROTATION
(inward spin) (outward spin)
PRONATION SUPINATION
(palm back/down) (palm front/up)
──────────────── ───────────────
Mnemonic: SUPination = hold a SOUP bowl
INVERSION EVERSION
(sole IN/medial) (sole OUT/lateral)
──────────────── ──────────────────
Mnemonic: INversion = sole INward
CIRCUMDUCTION = circular movement
(F + E + Ab + Ad combined = cone shape)
WHOLE MUSCLE
┌─────────────────────────────┐
│ EPIMYSIUM │◄── covers ENTIRE muscle
│ ┌───────────────────────┐ │
│ │ PERIMYSIUM │ │◄── covers FASCICLE
│ │ ┌─────────────────┐ │ │ (bundle)
│ │ │ ENDOMYSIUM │ │ │◄── covers SINGLE
│ │ │ ┌───────────┐ │ │ │ muscle FIBER
│ │ │ │ MUSCLE │ │ │ │
│ │ │ │ FIBER │ │ │ │
│ │ │ │ (cell) │ │ │ │
│ │ │ └───────────┘ │ │ │
│ │ └─────────────────┘ │ │
│ └───────────────────────┘ │
└─────────────────────────────┘
SAME PATTERN for NERVE:
Epineurium → whole nerve
Perineurium → fascicle (nerve fiber bundle)
Endoneurium → single axon
MEMORY: Epi=Entire, Peri=Part(fascicle), Endo=Each fiber
┌──────────────────────────────────────────────────────┐
│ TYPE I │ TYPE II │
│ (SLOW, RED, Postural) │ (FAST, WHITE, Phasic) │
├──────────────────────────────┼────────────────────────┤
│ Speed: SLOW │ Speed: FAST │
│ Metabolism: OXIDATIVE ○₂ │ Metabolism: GLYCOLYTIC│
│ Fatigue: RESISTANT │ Fatigue: EASILY │
│ Myoglobin: HIGH (red) │ Myoglobin: LOW (pale) │
│ Mitochondria: MANY │ Mitochondria: FEW │
│ Function: Endurance/posture │ Function: Power/speed │
│ Athletes: Marathon runners │ Athletes: Sprinters │
│ Example: Soleus, erector │ Example: Extraocular │
│ spinae │ muscles │
└──────────────────────────────┴────────────────────────┘
PARALLEL/STRAP FUSIFORM UNIPENNATE
(Sartorius) (Biceps) (FPL)
│││││││ │ │ ///│
│││││││ /│ │\ /// │
│││││││ / │ │ \ /// │
│││││││ \│ │/ /// │
│││││││ │ │ /// │
TENDON TENDON TENDON
Fibers parallel Tapered Fibers one side
BIPENNATE MULTIPENNATE
(Rectus femoris) (Deltoid)
\\│// \\/│/\\
\│/ \/│\/
/│\ /\│/\
//│\\ //\│/\\
TENDON TENDON
Fibers both sides Multiple angles
MORE PENNATION = MORE FORCE, LESS RANGE
MOVEMENT: Flexing the elbow (example)
┌─────────────────────────────────────────┐
│ AGONIST (Prime Mover) │
│ Biceps brachii ──► performs flexion │
│ │
│ ANTAGONIST │
│ Triceps brachii ──► opposes flexion │
│ (relaxes during movement) │
│ │
│ SYNERGIST │
│ Brachialis ──► assists biceps │
│ Brachioradialis ──► assists + stabilizes│
│ │
│ FIXATOR (Stabilizer) │
│ Rotator cuff muscles ──► fix shoulder │
│ so biceps can pull on radius │
└─────────────────────────────────────────┘
┌───────────────────┐
│ LUNGS │ (oxygenation)
│ O₂ in, CO₂ out │
└────────┬──────────┘
↑ │
Pulmonary │ Pulmonary
artery │ veins
(deoxygenated) │ (oxygenated)
│ ▼
┌────────────────────────────┐
│ RIGHT │ LEFT │
│ HEART │ HEART │
│ RA → RV │ LA → LV │
└────────┬───────────────┬──┘
│ │
Systemic Aorta
veins │
↑ ▼
└───────────────┘
BODY
(O₂ delivery, CO₂ pickup)
PORTAL CIRCULATION:
Gut capillaries → Portal vein → Liver sinusoids
→ Hepatic veins → IVC → Heart
(Two capillary beds in series)
ARTERY VEIN
┌──────────────┐ ┌──────────────┐
Tunica │ Adventitia │ │ Adventitia │← THICK in veins
───────┤──────────────┤ ├──────────────┤
Tunica │ MEDIA │ │ media │← thin in veins
───────┤ (thick SM │ ├──────────────┤
│ + elastic) │ │ intima │◄── VALVES here
Tunica ├──────────────┤ ├──────────────┤ (veins only)
───────│ Intima │ │ intima │
│ (endothelium│ │ (endothelium│
│ + IEL) │ │ + thin) │
└──────────────┘ └──────────────┘
Small lumen Large lumen
Thick wall Thin wall
IEL = Internal elastic lamina (between intima & media)
EEL = External elastic lamina (between media & adventitia)
AORTA ARTERIOLES CAPILLARIES
(Elastic) (Resistance) (Exchange)
│ │ │
Absorbs Controls O₂, CO₂,
systolic BP & nutrients,
pressure blood flow waste
(Windkessel distribution exchange
effect)
│ │ │
────────────────────────────────────────────►
HEART → Elastic → Muscular → Arterioles → Capillaries
arteries arteries │
Venules
│
Veins (Capacitance)
store 60-80% blood
│
HEART
AFFERENT VESSELS (many)
↓ ↓ ↓ ↓ ↓
┌──────────────────────────┐
│ CAPSULE │
│ ┌──────────────────┐ │
│ │ CORTEX │ │
│ │ ┌────────────┐ │ │← B-cell zone
│ │ │ Secondary │ │ │ (germinal
│ │ │ follicle │ │ │ centres)
│ │ │(germinal │ │ │
│ │ │ centre) │ │ │
│ │ └────────────┘ │ │
│ ├──────────────────┤ │
│ │ PARACORTEX │ │← T-cell zone
│ │ (HEV here) │ │ Lymphocytes
│ │ ←lymphocytes │ │ enter via HEV
│ │ enter blood │ │
│ ├──────────────────┤ │
│ │ MEDULLA │ │
│ │ Medullary cords │ │← Plasma cells
│ │ Medullary │ │ Macrophages
│ │ sinuses │ │
│ └──────────────────┘ │
│ HILUM │
└──────────────────────────┘
↓
EFFERENT VESSEL (ONE only)
REMEMBER: Many afferent IN, ONE efferent OUT at hilum
HEAD & NECK BODY
│ │
┌─────────┴─────────┐ │
│ │ │
RIGHT SIDE LEFT SIDE │
│ │ │
▼ ▼ ▼
RIGHT THORACIC THORACIC
LYMPHATIC DUCT DUCT
DUCT (left) drains ALL
of these too:
▼ │ • Left side H&N
Right drains • Left upper limb
subclavian ~75% of • Both lower limbs
+ R.int.jugular body • Abdomen/Pelvis
junction • Right lower body
RIGHT LYMPHATIC DUCT = Right upper quadrant ONLY
┌──────────────────────────────────────────────────┐
│ ORGAN DRAINS TO │
│ Testes ──► Para-aortic (lumbar) nodes │
│ Scrotum ──► Superficial inguinal nodes │
│ Fundus ──► Para-aortic nodes │
│ Uterus ──► Iliac nodes │
└──────────────────────────────────────────────────┘
NERVOUS SYSTEM
│
┌───────────┴───────────┐
│ │
CNS PNS
Brain + Spinal cord All other nerves
│ │
┌────┴────┐ ┌──────┴──────┐
│ │ │ │
BRAIN SPINAL SOMATIC AUTONOMIC
CORD │ │
┌────┴────┐ ┌─────┴─────┐
│ │ │ │ │
SENSORY MOTOR SYMPA- PARA- ENTERIC
(afferent) (efferent) THETIC SYMPA- (gut)
toward away │ THETIC
CNS CNS fight/ rest/
flight digest
LARGEST → FASTEST SMALLEST → SLOWEST
Aα ────────────────────── Diameter: 12-20 μm
(Somatic motor + propriocep.) Speed: 70-120 m/s
Aβ ──────────────────── Diameter: 6-12 μm
(Touch, pressure) Speed: 30-70 m/s
Aγ ────────────────── Diameter: 3-6 μm
(Muscle spindle motor) Speed: 15-30 m/s
Aδ ──────────────── Diameter: 1-5 μm
(Sharp pain, cold temp) Speed: 5-30 m/s
B ─────────── Diameter: <3 μm
(Preganglionic autonomic) Speed: 3-15 m/s
C ───── Diameter: 0.2-1.5 μm
(Slow pain, warm, postganglio) Speed: 0.5-2 m/s
UNMYELINATED
LOCAL ANAESTHETIC BLOCK ORDER:
C blocked first (pain relief) → ... → Aα blocked last
"Pain goes before power"
┌──────────────────────────────────────────────────────┐
│ SYMPATHETIC │ PARASYMPATHETIC │
├──────────────────────────────┼───────────────────────┤
│ Origin: Thoracolumbar │ Craniosacral │
│ T1-L2 │ CN3,7,9,10 + S2-S4 │
├──────────────────────────────┼───────────────────────┤
│ Preganglionic: SHORT │ LONG │
│ Postganglionic: LONG │ SHORT │
├──────────────────────────────┼───────────────────────┤
│ Ganglion: PARAVERTEBRAL │ Near/IN target organ│
│ chain/prevertebral│ │
├──────────────────────────────┼───────────────────────┤
│ Pre-NT: ACh (nicotinic) │ ACh (nicotinic) │
│ Post-NT: NORADRENALINE │ ACh (MUSCARINIC) │
│ (adrenergic) │ │
├──────────────────────────────┼───────────────────────┤
│ EFFECTS: FIGHT/FLIGHT │ REST/DIGEST │
│ Heart: ↑HR, ↑contractile │ ↓HR │
│ Pupil: MYDRIASIS (dilate)│ MIOSIS (constrict) │
│ Bronchi: DILATE │ CONSTRICT │
│ Gut: ↓ motility │ ↑ motility │
│ Bladder: RELAX (fill) │ CONTRACT (empty) │
└──────────────────────────────┴───────────────────────┘
⭐ EXCEPTION: Sweat glands = SYMPATHETIC but uses ACh!
NERVE TRUNK MUSCLE
┌─────────────────────┐ ┌──────────────────────┐
│ EPINEURIUM │ │ EPIMYSIUM │
│ ┌───────────────┐ │ │ ┌────────────────┐ │
│ │ PERINEURIUM │ │ │ │ PERIMYSIUM │ │
│ │ ┌─────────┐ │ │ │ │ ┌──────────┐ │ │
│ │ │ENDONEU- │ │ │ │ │ │ENDOMYSIUM│ │ │
│ │ │RIUM │ │ │ │ │ │ ┌──────┐ │ │ │
│ │ │ ┌─────┐ │ │ │ │ │ │ │FIBER │ │ │ │
│ │ │ │AXON │ │ │ │ │ │ │ │(cell)│ │ │ │
│ │ │ └─────┘ │ │ │ │ │ │ └──────┘ │ │ │
│ │ └─────────┘ │ │ │ │ └──────────┘ │ │
│ └───────────────┘ │ │ └────────────────┘ │
└─────────────────────┘ └──────────────────────┘
Fascicle = nerve fiber bundle Fascicle = muscle fiber bundle
FERTILIZATION
│ Day 0
▼
ZYGOTE (1 cell)
│ Day 1-3
▼
MORULA (mulberry, ~16 cells)
│ Day 4
▼
BLASTOCYST (hollow ball)
│ Day 6-7
▼
IMPLANTATION (endometrium)
│ Week 2
▼
BILAMINAR DISC (Epiblast + Hypoblast)
│ Week 3
▼
TRILAMINAR DISC (Gastrulation)
┌──────┬──────┬───────┐
ECTODERM MESODERM ENDODERM
│ Week 3-4
▼
NEURULATION (neural tube forms)
│ Week 4 onward
▼
ORGANOGENESIS (all major organs begin)
│ Week 8
▼
END OF EMBRYONIC PERIOD → FETAL PERIOD
TRILAMINAR DISC
┌────────────┬────────────┬────────────┐
│ │ │ │
ECTODERM MESODERM ENDODERM NEURAL CREST
(Outer) (Middle) (Inner) (Special)
│ │ │ │
• Skin • Muscle • GI lining • Periph.
• CNS • Bone • Resp. epith ganglia
• Sense • Connective • Liver • Schwann
organs tissue • Pancreas cells
• Ant. • Heart • Thyroid • Adrenal
pituitary • Kidney (follicles) medulla
• Lens • Gonads • Parathyroid• Melanocytes
• Enamel • Adrenal • Bladder • Face
of teeth CORTEX • Thymus cartilage/
• Hair, nails • Dermis • Eustachian bone
• Sweat (trunk) tube • C-cells of
glands • Spleen • Tympanic thyroid
cavity
KEY POINT:
Adrenal CORTEX = MESODERM
Adrenal MEDULLA = NEURAL CREST (ectoderm)
EMBRYO has 6 paired aortic arches (not all at once)
Arch 1 ──► REGRESSES (small part → maxillary a.)
Arch 2 ──► REGRESSES (small part → stapedial a.)
Arch 3 ──► COMMON CAROTID + proximal INTERNAL CAROTID
┌───── Arch 4 LEFT ──────► AORTIC ARCH
Arch 4 ──────── │
└───── Arch 4 RIGHT ─────► Proximal R.SUBCLAVIAN
Arch 5 ──► COMPLETELY REGRESSES (no derivatives)
┌───── Arch 6 LEFT ──────► L.PULMONARY A.
Arch 6 ──────── │ + DUCTUS ARTERIOSUS
└───── Arch 6 RIGHT ─────► R.PULMONARY A.
⭐ DUCTUS ARTERIOSUS = 6th LEFT arch
⭐ LIGAMENTUM ARTERIOSUM = adult remnant of ductus arteriosus
⭐ AORTIC ARCH = 4th LEFT arch
MNEMONIC: "3 carotid, 4 aortic, 6 pulmonary"
WEEK 3-4: NEURULATION
NEURAL PLATE forms
↓
Neural folds rise up
/──────\
/ Neural \
│ groove │
\ /
\───────/
↓
Folds fuse at MIDLINE (zipper closing)
Rostral (head) end closes → Day 25
Caudal (tail) end closes → Day 27
┌─────────────────────────────────────────┐
│ FAILURE of closure: │
│ Rostral neuropore fails → ANENCEPHALY │
│ Caudal neuropore fails → SPINA BIFIDA │
└─────────────────────────────────────────┘
NEURAL CREST cells migrate away from dorsal
neural tube edges as it closes:
→ Peripheral ganglia, melanocytes, adrenal
medulla, face cartilage, Schwann cells...
SURFACE (outside)
│
───────────────────────────── Stratum CORNEUM
░░░░░░░░░░░░░░░░░░░░░░░░░░░ (Dead, flat, keratin)
───────────────────────────── Stratum LUCIDUM
▓▓▓▓▓▓▓▓▓▓▓▓▓▓▓▓▓▓▓▓▓▓▓▓▓▓ (Only in thick skin:
───────────────────────────── palms & soles)
◆◆◆◆◆◆◆◆◆◆◆◆◆◆◆◆◆◆◆◆◆◆◆◆◆◆ Stratum GRANULOSUM
───────────────────────────── (Keratohyalin granules)
●─●─●─●─●─●─●─●─●─●─●─●─●─ Stratum SPINOSUM
───────────────────────────── (Prickle cells,
(Langerhans cells here) Langerhans cells)
│ │ │ │ │ │ │ │ │ │ │ │ │ │ Stratum BASALE
───────────────────────────── (Stem cells, mitosis,
M = Melanocyte K = Merkel Melanocytes, Merkel)
═════════════════════════════ BASEMENT MEMBRANE
│ ─────────────────
DERMIS (papillary) Meissner's corpuscles
│ (light touch - rapid)
─────────────────────────────
DERMIS (reticular) Pacinian corpuscles
│ (vibration - rapid)
─────────────────────────────
HYPODERMIS (subcutaneous fat)
MNEMONIC (deep to surface): Come Let's Get Sun Burned
= Basale, Spinosum, Granulosum, Lucidum, Corneum
KERATINOCYTES (90%) MELANOCYTES LANGERHANS MERKEL
Main cell of skin in Stratum BASALE in Stratum in Stratum
SPINOSUM BASALE
┌────────────┐ ┌──────────────┐ ┌──────────┐ ┌───────┐
│ produces │ │ produces │ │ Antigen │ │Slow │
│ KERATIN │ │ MELANIN │ │presenting│ │adapt. │
│ (protection│ │ ↓ │ │cell │ │light │
│ barrier) │ │ MELANOSOMES │ │(like │ │touch │
│ │ │ transferred │ │ macro- │ │sensor │
│ │ │ to kertino- │ │ phage) │ │ │
│ │ │ cytes │ │ │ │ │
└────────────┘ └──────────────┘ └──────────┘ └───────┘
Skin color = amount of melanin (all races have same
number of melanocytes, different activity)
EPIDERMIS DERMIS (superficial)
───────── ────────────────────
Free nerve endings MEISSNER's corpuscles
• Pain (sharp) • Light touch
• Temp (hot/cold) • 2-point discrimination
• Itch • RAPID adapting
• ANY modality
DERMIS (deep) SUBCUTANEOUS
───────────── ────────────────
MERKEL's discs PACINIAN corpuscles
• Fine touch • Vibration
• Texture/shape • Deep pressure
• SLOW adapting • RAPID adapting
JOINT CAPSULES / DEEP DERMIS
─────────────────────────────
RUFFINI corpuscles
• Skin stretch
• Joint position (proprioception)
• SLOW adapting
┌─────────────────────────────────────┐
│ RAPID ADAPTING = Meissner, Pacinian│
│ (respond to CHANGE in stimulus) │
│ SLOW ADAPTING = Merkel, Ruffini │
│ (respond to SUSTAINED stimulus) │
│ Mnemonic: "MP" = rapid, "MR" = slow│
└─────────────────────────────────────┘
╔══════════════════════════════════════════════════════════╗
║ GENERAL ANATOMY - NEET PG MASTER MAP ║
╠══════════════════╦═══════════════════════════════════════╣
║ PLANES ║ Sagittal(L/R), Coronal(F/B), ║
║ ║ Transverse(Up/Down) ║
╠══════════════════╬═══════════════════════════════════════╣
║ KEY LEVELS ║ L1=Transpyloric, L4=Supracrestal(LP) ║
╠══════════════════╬═══════════════════════════════════════╣
║ BONE CELLS ║ Progenitor→Blast(build)→cyte(maintain║
║ ║ →clast(destroy, in Howship's lacuna) ║
╠══════════════════╬═══════════════════════════════════════╣
║ OSSIFICATION ║ Intramembranous=skull,clavicle ║
║ ║ Endochondral=most bones ║
╠══════════════════╬═══════════════════════════════════════╣
║ JOINTS ║ Fibrous(immov), Cartilage(slight), ║
║ ║ Synovial(free) - 6 types ║
╠══════════════════╬═══════════════════════════════════════╣
║ MUSCLE FIBERS ║ Type I=slow/oxidative/red/endurance ║
║ ║ Type II=fast/glycolytic/white/power ║
╠══════════════════╬═══════════════════════════════════════╣
║ VESSELS ║ Elastic(windkessel)→Muscular→Arteriole║
║ ║ (resistance)→Cap(exchange)→Vein(capacit)║
╠══════════════════╬═══════════════════════════════════════╣
║ LYMPH NODE ║ Cortex=B cells, Paracortex=T+HEV, ║
║ ║ Many afferent IN, ONE efferent OUT ║
╠══════════════════╬═══════════════════════════════════════╣
║ ANS ║ Symp=TL(T1-L2), NorAdr, fight/flight ║
║ ║ Para=CS(CN+S2-4), ACh, rest/digest ║
║ ║ EXCEPTION: Sweat glands=Symp+ACh! ║
╠══════════════════╬═══════════════════════════════════════╣
║ GERM LAYERS ║ Ecto=skin/CNS, Meso=muscle/bone, ║
║ ║ Endo=gut/resp, Neural crest=ganglia/ ║
║ ║ adrenal medulla/melanocytes ║
╠══════════════════╬═══════════════════════════════════════╣
║ AORTIC ARCHES ║ 3=carotid, 4L=aorta, 6L=ductus art. ║
╠══════════════════╬═══════════════════════════════════════╣
║ SKIN LAYERS ║ CLGSB (deep to surface reversed) ║
║ (deep→surface) ║ Basale-Spinosum-Granulosum-Lucidum ║
║ ║ -Corneum ║
╚══════════════════╩═══════════════════════════════════════╝
Study Tip: Print these diagram notes alongside the main notes. Cover the right column and test yourself. These visual layouts are specifically designed so that each diagram answers a likely NEET PG MCQ scenario.
Draw all real diagrams for these notes with labelling colorful