orris logo New Chat Recent FMGE Big 4 Study Strategy Guide FMGE Prep: 19 Subjects in 30 Days FMGE Surgery: High-Yield Topics Guide Brachial Plexus & Nerve Injury Patterns SNEHA SUTHISH To master the FMGE, you need to balance the "Big 4" (Medicine, Surgery, OBGYN, PSM) with the scoring potential of short subjects. Below is a comprehensive, subject-wise breakdown of the **Previous Year Topics (PYTs)** from the last 10 years, including the essential **Image-Based Questions (IBQs)**. ## **I. Pre-Clinical Subjects (40-50 Marks)** ### **1. Anatomy** * **PYTs:** Brachial Plexus (Erb’s/Klumpke’s), Cranial Nerves (III, IV, VI, VII, X, XII), Foramina of Skull, Circle of Willis, Diaphragm Openings, Axillary Nerve, Sciatic Nerve. * **IBQs:** Histology (Epithelium types, Liver/Kidney slides), Embryology (Pharyngeal arches, Heart development), Cross-sections of Midbrain/Pons/Medulla. ### **2. Physiology** * **PYTs:** Cardiac Cycle, ECG (Lead positions, Waves), Renal Clearance (GFR), Acid-Base Balance (Compensatory mechanisms), Respiratory Volumes (Spirometry), Action Potential. * **IBQs:** Nerve-muscle physiology graphs, Spirometry charts, Pressure-volume loops of the heart. ### **3. Biochemistry** * **PYTs:** Vitamins (A, B1, B3, B12, C, D - focus on deficiency), Enzymes (Km & Vmax), Glycolysis, TCA Cycle, DNA Replication/Translation, Inborn Errors (Phenylketonuria, G6PD). * **IBQs:** Molecular structures of DNA/RNA, Clinical photos of Vitamin deficiencies (Rickets, Scurvy), Pedigree analysis charts. ## **II. Para-Clinical Subjects (60-70 Marks)** ### **4. Pathology** * **PYTs:** Cell Injury (Necrosis vs. Apoptosis), Neoplasia (Tumor markers, Hallmarks), Hematology (Leukemias, Anemias), Glomerulonephritis, Inflammation (Mediators). * **IBQs:** Peripheral Smears (Reed-Sternberg cells, Auer rods, Target cells), PSaMMoma bodies, Gross specimens of tumors. ### **5. Microbiology** * **PYTs:** Sterilization (Autoclave settings), Immunology (Hypersensitivity), TB (Diagnosis), HIV, Hepatitis (Markers), Malaria, Candidiasis. * **IBQs:** Gram Stain/ZN Stain images, Culture media (L-J medium, Blood Agar), Parasite eggs in stool, Virus structure. ### **6. Pharmacology** * **PYTs:** ANS (Atropine, Adrenaline), Antibiotics (MOA & Side effects), Antiepileptics, Antihypertensives, Anti-TB drugs, Antidotes. * **IBQs:** Adverse effects photos (Gingival hyperplasia, Red Man Syndrome), Inhaler devices, Drug classification flowcharts. ### **7. Forensic Medicine (FMT)** * **PYTs:** Thanatology (Rigor/Livor Mortis), Injuries (Mechanical, Firearm, Burns), Asphyxia (Hanging vs. Strangulation), Toxicology (OP Poisoning, Dhatura, Snakebite), IPC Sections (302, 304, 320). * **IBQs:** Weapon types, Poisonous plants (Seeds of Dhatura/Ricinus), Injury patterns (Abrasion, Laceration). ## **III. Clinical Subjects (170-190 Marks)** ### **8. General Medicine** * **PYTs:** Diabetes (Management), Hypertension (JNC-8), Myocardial Infarction (ECG changes), TB (RNTCP), Stroke (Management), COPD/Asthma. * **IBQs:** Chest X-rays, ECG strips (Atrial Fibrillation, MI), Skin rashes in systemic disease. ### **9. General Surgery** * **PYTs:** Trauma (ATLS), Burns (Rule of 9s, Parkland Formula), Hernia (Types/Anatomy), Thyroid Swellings, Breast Cancer (Staging), Urolithiasis. * **IBQs:** Surgical instruments, Suture materials, Drain types, X-ray of Intestinal Obstruction. ### **10. OBGYN** * **PYTs:** Antenatal Care, Eclampsia/Preeclampsia, Stages of Labor, Contraception (IUCDs), Ectopic Pregnancy, Cervical Cancer (Screening/Pap smear). * **IBQs:** USG (Snowstorm in Molar pregnancy), Hysterosalpingography (HSG), Obstetric maneuvers (McRoberts, Leopold). ### **11. Pediatrics** * **PYTs:** Growth Milestones, Vaccination Schedule (National), Neonatal Jaundice, SAM/MAM, Down Syndrome, Respiratory Distress Syndrome. * **IBQs:** Milestones in progress, Deficiency photos (Kwashiorkor, Marasmus). ### **12. PSM (Community Medicine)** * **PYTs:** Epidemiology Study Designs (Case-control, Cohort), Biostatistics (Mean, Median, Mode, p-value), Vaccines (Cold chain), Health Indicators, Contraception. * **IBQs:** Contraceptive devices, Mosquito vectors, Graphs (Histograms, Bar charts). ## **IV. Short Subjects (Highly Scoring)** | Subject | Top 10-Year PYTs | Key IBQs | |---|---|---| | **Orthopedics** | Fractures (Colles, Smith, Scaphoid), Bone Tumors (Osteosarcoma, Ewing’s), Osteomyelitis. | X-rays of Fractures & Tumors (Sunburst, Onion skin). | | **Ophthalmology** | Cataract, Glaucoma (Acute vs. Chronic), Trachoma, Diabetic Retinopathy. | Fundus findings, Slit-lamp images. | | **ENT** | Otitis Media (CSOM/ASOM), Hearing Tests (Rinne/Weber), Epistaxis, Nasal Polyps. | Otoscopy (Perforated TM), Tuning fork tests. | | **Dermatology** | Leprosy, Syphilis, Psoriasis, Pemphigus, SJS/TEN. | Auspitz sign, Target lesions, Nikolsky sign. | | **Psychology** | Schizophrenia, Mood Disorders, Defense Mechanisms, Substance Abuse. | EEG patterns, Child psych models. | | **Radiology** | Imaging Basics, Radiation Protection, Contrast agents. | CT/MRI signs (Ground glass, Batwing). | | **Anaesthesia** | Local vs General, Spinal/Epidural, Airway Management (Intubation), CPR. | Laryngoscope types, Endotracheal tubes. | ### **Execution Strategy** * **Image Bank:** Spend the last hour of every study day reviewing only IBQs. They account for nearly **30-40 questions** in the exam. * **High Yield Mix:** Always pair a "Major" subject (e.g., Surgery) with a "Short" subject (e.g., Anaesthesia) to avoid burnout. If there is any high yield topics very important for fmge exam add it dont miss out anything required for fmge from any subject and create a pdf for me

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