from reportlab.lib.pagesizes import A4
from reportlab.lib.styles import getSampleStyleSheet, ParagraphStyle
from reportlab.lib.units import inch, cm
from reportlab.lib import colors
from reportlab.platypus import (
    SimpleDocTemplate, Paragraph, Spacer, Table, TableStyle,
    HRFlowable, PageBreak, KeepTogether
)
from reportlab.lib.enums import TA_CENTER, TA_LEFT, TA_JUSTIFY
from reportlab.pdfbase import pdfmetrics
from reportlab.pdfbase.ttfonts import TTFont
import os

output_path = "/home/daytona/workspace/mpmsu-bhms-qp/MPMSU_BHMS_1st_Year_CBDC_Expected_QP_2026.pdf"

doc = SimpleDocTemplate(
    output_path,
    pagesize=A4,
    rightMargin=1.8*cm,
    leftMargin=1.8*cm,
    topMargin=2*cm,
    bottomMargin=2*cm
)

styles = getSampleStyleSheet()

# Custom styles
title_style = ParagraphStyle(
    'Title', parent=styles['Title'],
    fontSize=14, fontName='Helvetica-Bold',
    textColor=colors.darkblue, alignment=TA_CENTER,
    spaceAfter=4
)
subtitle_style = ParagraphStyle(
    'Subtitle', parent=styles['Normal'],
    fontSize=11, fontName='Helvetica-Bold',
    textColor=colors.HexColor('#1a1a6e'), alignment=TA_CENTER,
    spaceAfter=2
)
uni_style = ParagraphStyle(
    'Uni', parent=styles['Normal'],
    fontSize=10, fontName='Helvetica',
    textColor=colors.black, alignment=TA_CENTER,
    spaceAfter=2
)
subject_header_style = ParagraphStyle(
    'SubjectHeader', parent=styles['Normal'],
    fontSize=12, fontName='Helvetica-Bold',
    textColor=colors.white, alignment=TA_CENTER,
    spaceAfter=6, spaceBefore=10,
    backColor=colors.HexColor('#1a5276'),
    borderPad=6
)
section_style = ParagraphStyle(
    'Section', parent=styles['Normal'],
    fontSize=10, fontName='Helvetica-Bold',
    textColor=colors.HexColor('#154360'),
    spaceAfter=4, spaceBefore=6,
    leftIndent=0
)
q_style = ParagraphStyle(
    'Question', parent=styles['Normal'],
    fontSize=9.5, fontName='Helvetica',
    textColor=colors.black,
    spaceAfter=3, spaceBefore=1,
    leftIndent=12, leading=14
)
note_style = ParagraphStyle(
    'Note', parent=styles['Normal'],
    fontSize=9, fontName='Helvetica-Oblique',
    textColor=colors.HexColor('#555555'),
    spaceAfter=2, leftIndent=0
)
marks_style = ParagraphStyle(
    'Marks', parent=styles['Normal'],
    fontSize=9, fontName='Helvetica-Bold',
    textColor=colors.HexColor('#922b21'),
    alignment=TA_LEFT, spaceAfter=1
)

def subject_header(text):
    return [
        Spacer(1, 0.3*cm),
        Table([[Paragraph(text, subject_header_style)]],
              colWidths=[doc.width],
              style=TableStyle([
                  ('BACKGROUND', (0,0), (-1,-1), colors.HexColor('#1a5276')),
                  ('ROUNDEDCORNERS', [4,4,4,4]),
                  ('TOPPADDING', (0,0), (-1,-1), 6),
                  ('BOTTOMPADDING', (0,0), (-1,-1), 6),
              ])),
        Spacer(1, 0.2*cm),
    ]

def section_header(text):
    return [
        Paragraph(text, section_style),
        HRFlowable(width="100%", thickness=0.5, color=colors.HexColor('#aed6f1')),
        Spacer(1, 0.1*cm),
    ]

def q(num, text, marks=""):
    m = f"  [{marks}]" if marks else ""
    return Paragraph(f"<b>Q{num}.</b> {text}{m}", q_style)

story = []

# ---- COVER ----
story.append(Spacer(1, 0.5*cm))
story.append(Paragraph("MPMSU - MADHYA PRADESH MEDICAL SCIENCE UNIVERSITY", subtitle_style))
story.append(Paragraph("BHMS 1st Professional Year (CBDC Pattern)", subtitle_style))
story.append(Paragraph("Expected / Model Question Paper - 2026", title_style))
story.append(Spacer(1, 0.2*cm))

# Info table
info_data = [
    ["University", "Madhya Pradesh Medical Science University (MPMSU), Jabalpur"],
    ["Programme", "Bachelor of Homoeopathic Medicine & Surgery (BHMS)"],
    ["Year", "1st Professional Year"],
    ["Curriculum", "Competency Based Dynamic Curriculum (CBDC)"],
    ["Exam Year", "2026"],
    ["Note", "This is an EXPECTED / MODEL paper based on previous year trends & CBDC syllabus"],
]
info_table = Table(info_data, colWidths=[3.5*cm, 13*cm])
info_table.setStyle(TableStyle([
    ('FONTNAME', (0,0), (0,-1), 'Helvetica-Bold'),
    ('FONTNAME', (1,0), (1,-1), 'Helvetica'),
    ('FONTSIZE', (0,0), (-1,-1), 9),
    ('BACKGROUND', (0,0), (0,-1), colors.HexColor('#d6eaf8')),
    ('ROWBACKGROUNDS', (1,0), (1,-1), [colors.HexColor('#f9f9f9'), colors.white]),
    ('TEXTCOLOR', (0,0), (-1,-1), colors.black),
    ('GRID', (0,0), (-1,-1), 0.3, colors.HexColor('#aed6f1')),
    ('VALIGN', (0,0), (-1,-1), 'TOP'),
    ('TOPPADDING', (0,0), (-1,-1), 4),
    ('BOTTOMPADDING', (0,0), (-1,-1), 4),
    ('LEFTPADDING', (0,0), (-1,-1), 6),
]))
story.append(info_table)
story.append(Spacer(1, 0.3*cm))
story.append(HRFlowable(width="100%", thickness=1, color=colors.HexColor('#1a5276')))
story.append(Spacer(1, 0.1*cm))

# ===========================
# SUBJECT 1: ANATOMY (Paper I & II)
# ===========================
story += subject_header("SUBJECT 1: HUMAN ANATOMY (CBDC) - Paper I & II")
story.append(Paragraph("Max Marks: 100 (Theory 80 + Practical 20) | Time: 3 Hours", note_style))
story.append(Paragraph("Instructions: Attempt all sections. Draw neat labeled diagrams wherever applicable.", note_style))
story.append(Spacer(1, 0.2*cm))

story += section_header("PAPER I - GENERAL ANATOMY, UPPER LIMB & THORAX")
story.append(Paragraph("SECTION A - Long Answer Questions (LAQ) [2 x 10 = 20 Marks]", marks_style))
story.append(q(1, "Describe the brachial plexus - its formation, branches, and clinical significance. Add a labeled diagram.", "10"))
story.append(q(2, "Describe the anatomy of the heart including its chambers, valves, blood supply and nerve supply.", "10"))

story.append(Spacer(1, 0.2*cm))
story.append(Paragraph("SECTION B - Short Answer Questions (SAQ) [5 x 6 = 30 Marks]", marks_style))
story.append(q(3, "Write a short note on axilla - boundaries and contents.", "6"))
story.append(q(4, "Describe the cubital fossa.", "6"))
story.append(q(5, "Write about mediastinum - divisions and contents.", "6"))
story.append(q(6, "Short note on carpal tunnel syndrome.", "6"))
story.append(q(7, "Describe intercostal space - muscles and neurovascular bundle.", "6"))

story.append(Spacer(1, 0.2*cm))
story.append(Paragraph("SECTION C - Short Notes (SN) [5 x 2 = 10 Marks]", marks_style))
story.append(q(8, "Anatomical snuffbox", "2"))
story.append(q(9, "Lymphatic drainage of breast", "2"))
story.append(q(10, "Rotator cuff muscles", "2"))
story.append(q(11, "Phrenic nerve", "2"))
story.append(q(12, "Long thoracic nerve injury", "2"))

story += section_header("PAPER II - LOWER LIMB, ABDOMEN, HEAD & NECK + HISTOLOGY & EMBRYOLOGY")
story.append(Paragraph("SECTION A - LAQ [2 x 10 = 20 Marks]", marks_style))
story.append(q(1, "Describe the femoral triangle - boundaries, contents and clinical importance.", "10"))
story.append(q(2, "Describe the stomach - its relations, blood supply, lymphatic drainage and nerve supply.", "10"))

story.append(Spacer(1, 0.2*cm))
story.append(Paragraph("SECTION B - SAQ [5 x 6 = 30 Marks]", marks_style))
story.append(q(3, "Describe the inguinal canal - walls and contents (male).", "6"))
story.append(q(4, "Write short note on popliteal fossa.", "6"))
story.append(q(5, "Cavernous sinus - location, relations and contents.", "6"))
story.append(q(6, "Liver - its peritoneal relations and ligaments.", "6"))
story.append(q(7, "Development of heart - embryological aspects.", "6"))

story.append(Spacer(1, 0.2*cm))
story.append(Paragraph("SECTION C - Short Notes [5 x 2 = 10 Marks]", marks_style))
story.append(q(8, "Histology of skin", "2"))
story.append(q(9, "Circle of Willis", "2"))
story.append(q(10, "Sciatic nerve", "2"))
story.append(q(11, "Histology of compact bone", "2"))
story.append(q(12, "Meckel's diverticulum", "2"))

story.append(PageBreak())

# ===========================
# SUBJECT 2: PHYSIOLOGY & BIOCHEMISTRY
# ===========================
story += subject_header("SUBJECT 2: HUMAN PHYSIOLOGY & BIOCHEMISTRY (CBDC) - Paper I & II")
story.append(Paragraph("Max Marks: 100 (Theory 80 + Practical 20) | Time: 3 Hours", note_style))
story.append(Spacer(1, 0.2*cm))

story += section_header("PAPER I - GENERAL PHYSIOLOGY, BLOOD, CVS & RESPIRATORY")
story.append(Paragraph("SECTION A - LAQ [2 x 10 = 20 Marks]", marks_style))
story.append(q(1, "Describe the cardiac cycle in detail. Explain heart sounds and their clinical significance.", "10"))
story.append(q(2, "Write in detail about haemopoiesis (formation of blood cells) with relevant diagram.", "10"))

story.append(Spacer(1, 0.2*cm))
story.append(Paragraph("SECTION B - SAQ [5 x 6 = 30 Marks]", marks_style))
story.append(q(3, "Explain the mechanism of blood coagulation (coagulation cascade).", "6"))
story.append(q(4, "Describe the transport of oxygen in blood - role of haemoglobin.", "6"))
story.append(q(5, "What is Action Potential? Explain its phases.", "6"))
story.append(q(6, "Describe the Resting Membrane Potential.", "6"))
story.append(q(7, "ABO blood grouping and Rh factor - clinical importance.", "6"))

story.append(Spacer(1, 0.2*cm))
story.append(Paragraph("SECTION C - Short Notes [5 x 2 = 10 Marks]", marks_style))
story.append(q(8, "Erythropoietin", "2"))
story.append(q(9, "Frank-Starling law", "2"))
story.append(q(10, "Surfactant", "2"))
story.append(q(11, "Tidal volume and vital capacity", "2"))
story.append(q(12, "Sickle cell anaemia", "2"))

story += section_header("PAPER II - GIT, RENAL, ENDOCRINE, NEUROPHYSIOLOGY & BIOCHEMISTRY")
story.append(Paragraph("SECTION A - LAQ [2 x 10 = 20 Marks]", marks_style))
story.append(q(1, "Describe the role of kidney in regulation of blood pressure. Explain Renin-Angiotensin-Aldosterone system.", "10"))
story.append(q(2, "Write in detail about protein structure, classification and biological significance.", "10"))

story.append(Spacer(1, 0.2*cm))
story.append(Paragraph("SECTION B - SAQ [5 x 6 = 30 Marks]", marks_style))
story.append(q(3, "Describe the mechanism of action of insulin and glucagon.", "6"))
story.append(q(4, "Explain glomerular filtration rate (GFR) and its regulation.", "6"))
story.append(q(5, "Write about digestion and absorption of carbohydrates.", "6"))
story.append(q(6, "Explain synaptic transmission - types of synapses.", "6"))
story.append(q(7, "Describe the role of thyroid hormones in metabolism.", "6"))

story.append(Spacer(1, 0.2*cm))
story.append(Paragraph("SECTION C - Short Notes [5 x 2 = 10 Marks]", marks_style))
story.append(q(8, "Beta oxidation of fatty acids", "2"))
story.append(q(9, "Krebs cycle (TCA cycle)", "2"))
story.append(q(10, "Diabetes mellitus - biochemical basis", "2"))
story.append(q(11, "Neuromuscular junction", "2"))
story.append(q(12, "Bile pigments and jaundice", "2"))

story.append(PageBreak())

# ===========================
# SUBJECT 3: ORGANON OF MEDICINE
# ===========================
story += subject_header("SUBJECT 3: ORGANON OF MEDICINE & HOMOEOPATHIC PHILOSOPHY (CBDC)")
story.append(Paragraph("Max Marks: 100 (Theory 80 + Practical/Viva 20) | Time: 3 Hours", note_style))
story.append(Spacer(1, 0.2*cm))

story += section_header("SECTION A - Long Answer Questions [2 x 15 = 30 Marks]")
story.append(q(1, "Explain Hahnemann's concept of 'Totality of Symptoms'. How is it used in selecting a homoeopathic remedy? Give examples from Organon aphorisms.", "15"))
story.append(q(2, "Define disease according to Hahnemann. Discuss the role of Vital Force in health and disease with reference to relevant aphorisms (Aph. 9-16).", "15"))

story.append(Spacer(1, 0.2*cm))
story += section_header("SECTION B - Short Answer Questions [5 x 8 = 40 Marks]")
story.append(q(3, "Explain the different modes of primary action and secondary action of drugs (Aph. 63-67).", "8"))
story.append(q(4, "What is Miasm? Describe the three chronic miasms - Psora, Sycosis, Syphilis as described by Hahnemann.", "8"))
story.append(q(5, "Explain the concept of 'Similia Similibus Curentur' with aphorism reference.", "8"))
story.append(q(6, "What is Homoeopathic aggravation? Describe its types and significance in treatment.", "8"))
story.append(q(7, "Write about the physician's duty in investigating disease (Aph. 83-104).", "8"))

story.append(Spacer(1, 0.2*cm))
story += section_header("SECTION C - Short Notes [5 x 2 = 10 Marks]")
story.append(q(8, "Definition of Homoeopathy (Aph. 1)", "2"))
story.append(q(9, "Antipathy vs Homoeopathy", "2"))
story.append(q(10, "Individualization in Homoeopathy", "2"))
story.append(q(11, "Posology - meaning and importance", "2"))
story.append(q(12, "Hering's law of cure", "2"))

story.append(PageBreak())

# ===========================
# SUBJECT 4: MATERIA MEDICA
# ===========================
story += subject_header("SUBJECT 4: HOMOEOPATHIC MATERIA MEDICA (CBDC)")
story.append(Paragraph("Max Marks: 100 (Theory 80 + Practical/Viva 20) | Time: 3 Hours", note_style))
story.append(Spacer(1, 0.2*cm))

story += section_header("SECTION A - Long Answer Questions [2 x 15 = 30 Marks]")
story.append(q(1, "Describe in detail the Mentals, Generals and Key symptoms of Sulphur. Discuss its relationship with Calcarea Carbonica and Lycopodium.", "15"))
story.append(q(2, "Write a comprehensive drug picture of Nux Vomica with emphasis on its gastrointestinal and nervous system symptoms.", "15"))

story.append(Spacer(1, 0.2*cm))
story += section_header("SECTION B - Short Answer Questions [5 x 8 = 40 Marks]")
story.append(q(3, "Compare and contrast Pulsatilla and Sepia as constitutional remedies.", "8"))
story.append(q(4, "Describe the keynotes and characteristics of Aconite Napellus.", "8"))
story.append(q(5, "Write important symptoms of Arsenicum Album with its sphere of action.", "8"))
story.append(q(6, "Describe Belladonna - its constitution, modalities and characteristic symptoms.", "8"))
story.append(q(7, "Write about Rhus Toxicodendron - its peculiar symptoms and differential diagnosis with Bryonia.", "8"))

story.append(Spacer(1, 0.2*cm))
story += section_header("SECTION C - Short Notes [5 x 2 = 10 Marks]")
story.append(q(8, "Characteristic symptoms of Calcarea Carb", "2"))
story.append(q(9, "Modalities of Natrum Muriaticum", "2"))
story.append(q(10, "Keynotes of Phosphorus", "2"))
story.append(q(11, "Lycopodium - digestive symptoms", "2"))
story.append(q(12, "Ignatia - mental characteristics", "2"))

story.append(PageBreak())

# ===========================
# SUBJECT 5: HOMOEOPATHIC PHARMACY
# ===========================
story += subject_header("SUBJECT 5: HOMOEOPATHIC PHARMACY (CBDC)")
story.append(Paragraph("Max Marks: 100 (Theory 80 + Practical 20) | Time: 3 Hours", note_style))
story.append(Spacer(1, 0.2*cm))

story += section_header("SECTION A - Long Answer Questions [2 x 15 = 30 Marks]")
story.append(q(1, "Describe in detail the process of potentization in Homoeopathy. Explain the difference between centesimal and decimal scale of potentization.", "15"))
story.append(q(2, "Describe the method of preparation of mother tincture (Q). Give examples of at least 5 drugs and their source materials.", "15"))

story.append(Spacer(1, 0.2*cm))
story += section_header("SECTION B - Short Answer Questions [5 x 8 = 40 Marks]")
story.append(q(3, "Describe the vehicles used in Homoeopathic pharmacy - their types and significance.", "8"))
story.append(q(4, "Write about Homoeopathic Pharmacopoeia of India (HPI) - its importance and scope.", "8"))
story.append(q(5, "Describe the process of preparation of trituration. Give examples of insoluble drugs.", "8"))
story.append(q(6, "Write about the plant kingdom as source of Homoeopathic drugs. Give 5 examples.", "8"))
story.append(q(7, "Describe the official pharmacopoeias used in Homoeopathy worldwide.", "8"))

story.append(Spacer(1, 0.2*cm))
story += section_header("SECTION C - Short Notes [5 x 2 = 10 Marks]")
story.append(q(8, "LM potency (50 millesimal scale)", "2"))
story.append(q(9, "Drug dynamization", "2"))
story.append(q(10, "Nosodes - definition and examples", "2"))
story.append(q(11, "Sarcodes", "2"))
story.append(q(12, "Drug proving (Homoeopathic pathogenetic trial)", "2"))

story.append(PageBreak())

# ===========================
# SUBJECT 6: REPERTORY & CASE TAKING (if included in 1st year CBDC)
# ===========================
story += subject_header("SUBJECT 6: HOMOEOPATHIC REPERTORY & CASE TAKING (CBDC)")
story.append(Paragraph("Max Marks: 50 (Theory 40 + Practical/Viva 10) | Time: 2 Hours", note_style))
story.append(Spacer(1, 0.2*cm))

story += section_header("SECTION A - Long Answer [1 x 15 = 15 Marks]")
story.append(q(1, "What is Repertory? Describe the history and development of Repertory in Homoeopathy. Write about Kent's Repertory in detail.", "15"))

story.append(Spacer(1, 0.2*cm))
story += section_header("SECTION B - Short Answer [3 x 5 = 15 Marks]")
story.append(q(2, "Define case taking. Write the importance of mental generals in case taking.", "5"))
story.append(q(3, "Write about Boenninghausen's Therapeutic Pocket Book (TPB) - its structure and utility.", "5"))
story.append(q(4, "What are rubrics? Explain with examples how to locate a rubric in Kent's Repertory.", "5"))

story.append(Spacer(1, 0.2*cm))
story += section_header("SECTION C - Short Notes [4 x 2.5 = 10 Marks]")
story.append(q(5, "Miasmatic analysis in repertorisation", "2.5"))
story.append(q(6, "Role of peculiar symptoms in case taking", "2.5"))
story.append(q(7, "Boericke's Repertory", "2.5"))
story.append(q(8, "Concept of 'Never Well Since' (NWS)", "2.5"))

story.append(PageBreak())

# ===========================
# ADDITIONAL IMPORTANT TOPICS
# ===========================
story += subject_header("IMPORTANT TOPICS - QUICK REVISION LIST (All Subjects)")
story.append(Spacer(1, 0.2*cm))

imp_data = [
    ["Subject", "Most Expected Topics for 2026"],
    ["Anatomy", "Brachial plexus, Heart chambers, Femoral triangle, Inguinal canal, Histology of bone/cartilage/skin, Embryology of heart, Liver relations"],
    ["Physiology", "Cardiac cycle, Haemopoiesis, RMP & Action potential, Renal regulation, RAAS, Insulin-Glucagon, GFR"],
    ["Biochemistry", "Krebs cycle, Beta-oxidation, Protein structure, Diabetes mellitus, Jaundice - bile pigments, Enzyme kinetics"],
    ["Organon", "Vital force (Aph 9-16), Totality of symptoms, Miasms, Similia, Primary/secondary action, Aggravation, Case taking (Aph 83-104)"],
    ["Materia Medica", "Sulphur, Nux Vomica, Pulsatilla, Arsenicum Album, Belladonna, Calcarea Carb, Lycopodium, Natrum Mur, Phosphorus"],
    ["Pharmacy", "Potentization, Mother tincture, Trituration, Vehicles, HPI, Nosodes, Sarcodes, LM potency"],
    ["Repertory", "Kent's Repertory, Boenninghausen's TPB, Rubrics, Case taking, NWS concept"],
]
imp_table = Table(imp_data, colWidths=[3.5*cm, 12.5*cm])
imp_table.setStyle(TableStyle([
    ('BACKGROUND', (0,0), (-1,0), colors.HexColor('#1a5276')),
    ('TEXTCOLOR', (0,0), (-1,0), colors.white),
    ('FONTNAME', (0,0), (-1,0), 'Helvetica-Bold'),
    ('FONTNAME', (0,1), (0,-1), 'Helvetica-Bold'),
    ('FONTSIZE', (0,0), (-1,-1), 8.5),
    ('ROWBACKGROUNDS', (0,1), (-1,-1), [colors.HexColor('#eaf2ff'), colors.white]),
    ('GRID', (0,0), (-1,-1), 0.3, colors.HexColor('#aed6f1')),
    ('VALIGN', (0,0), (-1,-1), 'TOP'),
    ('TOPPADDING', (0,0), (-1,-1), 5),
    ('BOTTOMPADDING', (0,0), (-1,-1), 5),
    ('LEFTPADDING', (0,0), (-1,-1), 6),
]))
story.append(imp_table)

story.append(Spacer(1, 0.4*cm))
story.append(HRFlowable(width="100%", thickness=1, color=colors.HexColor('#1a5276')))
story.append(Spacer(1, 0.2*cm))
story.append(Paragraph("DISCLAIMER: Yeh ek expected/model question paper hai jo CBDC syllabus, previous year papers aur exam trends ke aadhar par taiyar kiya gaya hai. Actual MPMSU exam paper alag ho sakta hai. Iske sath original CBDC syllabus aur previous year papers zaroor padhein.", note_style))
story.append(Paragraph("Prepared by: Orris AI Assistant | Based on MPMSU CBDC Syllabus | 2026", ParagraphStyle('Footer', parent=styles['Normal'], fontSize=8, alignment=TA_CENTER, textColor=colors.grey)))

# Build PDF
doc.build(story)
print(f"PDF generated: {output_path}")

from reportlab.lib.pagesizes import A4
from reportlab.lib.styles import getSampleStyleSheet, ParagraphStyle
from reportlab.lib.units import cm
from reportlab.lib import colors
from reportlab.platypus import (
    SimpleDocTemplate, Paragraph, Spacer, Table, TableStyle,
    HRFlowable, PageBreak
)
from reportlab.lib.enums import TA_CENTER, TA_LEFT, TA_RIGHT

output_path = "/home/daytona/workspace/mpmsu-bhms-qp/MPMSU_BHMS_1stYear_Anatomy_Expected_2026.pdf"

doc = SimpleDocTemplate(
    output_path,
    pagesize=A4,
    rightMargin=2*cm,
    leftMargin=2*cm,
    topMargin=2*cm,
    bottomMargin=2*cm
)

styles = getSampleStyleSheet()

center_bold = ParagraphStyle('cb', parent=styles['Normal'],
    fontSize=12, fontName='Helvetica-Bold', alignment=TA_CENTER, spaceAfter=2)
center_normal = ParagraphStyle('cn', parent=styles['Normal'],
    fontSize=10, fontName='Helvetica', alignment=TA_CENTER, spaceAfter=2)
center_small = ParagraphStyle('cs', parent=styles['Normal'],
    fontSize=9, fontName='Helvetica', alignment=TA_CENTER, spaceAfter=1)
left_bold = ParagraphStyle('lb', parent=styles['Normal'],
    fontSize=10.5, fontName='Helvetica-Bold', alignment=TA_LEFT, spaceAfter=3, spaceBefore=4)
q_style = ParagraphStyle('qs', parent=styles['Normal'],
    fontSize=10, fontName='Helvetica', alignment=TA_LEFT,
    spaceAfter=4, spaceBefore=2, leftIndent=14, leading=15)
instr_style = ParagraphStyle('ins', parent=styles['Normal'],
    fontSize=9, fontName='Helvetica', alignment=TA_LEFT,
    spaceAfter=2, leftIndent=0, leading=13)
marks_right = ParagraphStyle('mr', parent=styles['Normal'],
    fontSize=10, fontName='Helvetica-Bold', alignment=TA_RIGHT, spaceAfter=2)
hindi_note = ParagraphStyle('hn', parent=styles['Normal'],
    fontSize=8.5, fontName='Helvetica-Oblique', textColor=colors.HexColor('#555555'),
    alignment=TA_LEFT, spaceAfter=5, leftIndent=14)
url_style = ParagraphStyle('url', parent=styles['Normal'],
    fontSize=9, fontName='Helvetica', textColor=colors.HexColor('#1a5276'),
    alignment=TA_CENTER, spaceBefore=10)
disclaimer_style = ParagraphStyle('disc', parent=styles['Normal'],
    fontSize=8, fontName='Helvetica-Oblique', textColor=colors.HexColor('#888888'),
    alignment=TA_CENTER, spaceBefore=6)

W = doc.width

def make_paper(paper_num, paper_code, questions_q1, questions_q2, questions_q3):
    story = []

    # Header box
    header_data = [
        [Paragraph("BHMS First Professional Examination - 2026 (Expected)", center_bold)],
        [Paragraph("Subject: Anatomy", center_bold)],
        [Paragraph(f"Paper-{paper_num}", center_normal)],
        [Paragraph(f"Paper Code: {paper_code}", center_small)],
    ]
    header_table = Table(header_data, colWidths=[W])
    header_table.setStyle(TableStyle([
        ('BOX', (0,0), (-1,-1), 1, colors.black),
        ('INNERGRID', (0,0), (-1,-1), 0.3, colors.HexColor('#cccccc')),
        ('TOPPADDING', (0,0), (-1,-1), 3),
        ('BOTTOMPADDING', (0,0), (-1,-1), 3),
        ('BACKGROUND', (0,0), (-1,0), colors.HexColor('#d6eaf8')),
    ]))
    story.append(header_table)
    story.append(Spacer(1, 0.2*cm))

    # Time & Marks row
    time_marks = Table([[
        Paragraph("Time: 3:00 Hours", ParagraphStyle('tl', parent=styles['Normal'], fontSize=10, fontName='Helvetica-Bold')),
        Paragraph("Maximum Marks: 100", ParagraphStyle('tr', parent=styles['Normal'], fontSize=10, fontName='Helvetica-Bold', alignment=TA_RIGHT))
    ]], colWidths=[W/2, W/2])
    time_marks.setStyle(TableStyle([
        ('TOPPADDING', (0,0), (-1,-1), 2),
        ('BOTTOMPADDING', (0,0), (-1,-1), 2),
    ]))
    story.append(time_marks)
    story.append(Spacer(1, 0.15*cm))
    story.append(HRFlowable(width="100%", thickness=1, color=colors.black))
    story.append(Spacer(1, 0.1*cm))

    # Instructions
    instructions = [
        "a) All questions are compulsory.",
        "b) Draw diagrams wherever necessary.",
        "c) Answers of Questions and Sub questions must be written strictly according to the serial order of question paper.",
        "d) MCQ has to be answered in theory answer book.",
        "e) Please write MCQ answer neatly and in serial order with black or blue pen in brackets. For example: 1.(a) 2.(b) ...",
        "f) MCQ has to be answered only once. Any kind of repetition or cutting or erasing/Whitener will be considered as malpractice. Such answers will not be counted in marks and action will be taken according to UFM rules of University.",
    ]
    for ins in instructions:
        story.append(Paragraph(ins, instr_style))

    story.append(Spacer(1, 0.2*cm))
    story.append(HRFlowable(width="100%", thickness=0.5, color=colors.black))
    story.append(Spacer(1, 0.1*cm))

    # Q1 - MCQ
    q1_header = Table([[
        Paragraph("<b>Q.1  Total MCQs: 10</b>", left_bold),
        Paragraph("<b>10 X 1 = 10</b>", marks_right)
    ]], colWidths=[W*0.7, W*0.3])
    q1_header.setStyle(TableStyle([('TOPPADDING',(0,0),(-1,-1),2),('BOTTOMPADDING',(0,0),(-1,-1),2)]))
    story.append(q1_header)

    for i, mcq in enumerate(questions_q1, 1):
        story.append(Paragraph(f"<b>{i}.</b> {mcq['q']}", q_style))
        opts = mcq['opts']
        opt_text = f"a) {opts[0]}    b) {opts[1]}    c) {opts[2]}    d) {opts[3]}"
        story.append(Paragraph(opt_text, ParagraphStyle('opt', parent=styles['Normal'],
            fontSize=9.5, leftIndent=20, spaceAfter=5, leading=13)))

    story.append(Spacer(1, 0.2*cm))
    story.append(HRFlowable(width="100%", thickness=0.5, color=colors.black))
    story.append(Spacer(1, 0.1*cm))

    # Q2 - Short Answer
    q2_header = Table([[
        Paragraph("<b>Q.2  Short Answer Question</b>", left_bold),
        Paragraph("<b>8 X 5 = 40</b>", marks_right)
    ]], colWidths=[W*0.7, W*0.3])
    q2_header.setStyle(TableStyle([('TOPPADDING',(0,0),(-1,-1),2),('BOTTOMPADDING',(0,0),(-1,-1),2)]))
    story.append(q2_header)

    for i, sq in enumerate(questions_q2):
        letter = chr(ord('a') + i)
        story.append(Paragraph(f"<b>{letter}.</b> {sq['q']}", q_style))
        if sq.get('hindi'):
            story.append(Paragraph(sq['hindi'], hindi_note))

    story.append(Spacer(1, 0.2*cm))
    story.append(HRFlowable(width="100%", thickness=0.5, color=colors.black))
    story.append(Spacer(1, 0.1*cm))

    # Q3 - Long Answer
    q3_header = Table([[
        Paragraph("<b>Q.3  Long Answer Question</b>", left_bold),
        Paragraph("<b>5 X 10 = 50</b>", marks_right)
    ]], colWidths=[W*0.7, W*0.3])
    q3_header.setStyle(TableStyle([('TOPPADDING',(0,0),(-1,-1),2),('BOTTOMPADDING',(0,0),(-1,-1),2)]))
    story.append(q3_header)

    for i, lq in enumerate(questions_q3):
        letter = chr(ord('a') + i)
        story.append(Paragraph(f"<b>{letter}.</b> {lq['q']}", q_style))
        if lq.get('hindi'):
            story.append(Paragraph(lq['hindi'], hindi_note))

    story.append(Spacer(1, 0.3*cm))
    story.append(Paragraph("https://www.mpmsuonline.com", url_style))
    story.append(Paragraph(
        "NOTE: Yeh ek expected/model question paper hai. Actual MPMSU paper alag ho sakta hai. "
        "Prepared by Orris AI based on Oct-2024 MPMSU paper pattern.",
        disclaimer_style))

    return story


# ==================== PAPER I ====================
p1_mcq = [
    {"q": "Which muscle is NOT a muscle of mastication?",
     "opts": ["Masseter", "Temporalis", "Buccinator", "Medial pterygoid"]},
    {"q": "The anatomical snuffbox is bounded laterally by:",
     "opts": ["Extensor pollicis longus", "Abductor pollicis longus", "Flexor carpi radialis", "Palmaris longus"]},
    {"q": "Which nerve is injured in 'Saturday night palsy'?",
     "opts": ["Median nerve", "Ulnar nerve", "Radial nerve", "Musculocutaneous nerve"]},
    {"q": "Rotator cuff is NOT formed by:",
     "opts": ["Supraspinatus", "Infraspinatus", "Teres major", "Subscapularis"]},
    {"q": "Which is the longest nerve in the body?",
     "opts": ["Radial nerve", "Sciatic nerve", "Femoral nerve", "Median nerve"]},
    {"q": "The brachial plexus is formed by ventral rami of:",
     "opts": ["C4-C8", "C5-T1", "C4-T1", "C5-C8"]},
    {"q": "Which bone is NOT part of the shoulder (pectoral) girdle?",
     "opts": ["Clavicle", "Scapula", "Humerus", "Both clavicle and scapula"]},
    {"q": "The carpal tunnel contains all EXCEPT:",
     "opts": ["Flexor digitorum superficialis", "Median nerve", "Ulnar nerve", "Flexor pollicis longus"]},
    {"q": "Intercostal nerve is a branch of:",
     "opts": ["Cervical plexus", "Brachial plexus", "Thoracic spinal nerve", "Lumbosacral plexus"]},
    {"q": "Phrenic nerve is derived from:",
     "opts": ["C2,C3,C4", "C3,C4,C5", "C4,C5,C6", "C5,C6,C7"]},
]

p1_saq = [
    {"q": "Describe the boundaries, roof, floor and contents of axilla.",
     "hindi": "wWfereT & qfasit, eet, He ait Sarg a arstal ah |"},
    {"q": "Write about the cubital fossa - boundaries, floor and contents.",
     "hindi": "Garret ara # Sata & are few |"},
    {"q": "Describe the carpal tunnel - boundaries, contents and carpal tunnel syndrome.",
     "hindi": "Sarvet erst # aifaat, Haag att Garret ererst feagyt & are few |"},
    {"q": "Write about the shoulder joint - type, articular surfaces and movements.",
     "hindi": "wpe ofa & are - ahr, reat art aot whe fay |"},
    {"q": "Describe the mediastinum - divisions and contents.",
     "hindi": "Serfesret & feel Teal art Bare & are few |"},
    {"q": "Write short note on lymphatic drainage of the breast.",
     "hindi": "wea & afer gern & are wep few |"},
    {"q": "Describe the brachial artery - origin, course and branches.",
     "hindi": "SRTa SIR & WH, TAT ait ata & are few |"},
    {"q": "Write about intercostal space - muscles and neurovascular bundle.",
     "hindi": "wMeaiert atl & are - Heit ait Sreraet afar & are few |"},
]

p1_laq = [
    {"q": "Describe the brachial plexus in detail - formation, roots, trunks, divisions, cords and their branches. Add a labeled diagram. Also explain wrist drop and claw hand deformity.",
     "hindi": "SNGTt wifear ar femme wer & are wai wer fe - Weft, Wit, feat, feaet, Hts att ota Yue | Taeraa feRa mfs | TIS qe ait aTq ya & are Sar weTE |"},
    {"q": "Describe the anatomy of the heart - chambers, valves, blood supply (coronary arteries), nerve supply and conducting system. Draw a neat labeled diagram.",
     "hindi": "Ble & SWAT & are wai we fer - Ger, ant, aie Tare, Rat TaR att WATE Tae | Sataerrer fet aftse Sra |"},
    {"q": "Describe the boundaries and contents of the posterior triangle of neck. Add its clinical importance.",
     "hindi": "wart & wee Sifter # aster ait Sarg & are few | Stet airers art at Sarr wT |"},
    {"q": "Describe the anatomy of the lung - surfaces, borders, relations, blood supply and lymphatic drainage.",
     "hindi": "WAIT & SWIFT & are - gered, fee, Heit, aie TAHT art Sater gern & are sar wT wer |"},
    {"q": "Describe the mammary gland in detail - structure, blood supply, lymphatic drainage and clinical importance.",
     "hindi": "Fra fae ar feamte wer & are - STATRT, Ite ART, WIR gern att SHAT STENT & are few |"},
]

# ==================== PAPER II ====================
p2_mcq = [
    {"q": "Which nerve supplies the skin over the medial side of the thigh?",
     "opts": ["Femoral nerve", "Obturator nerve", "Lateral femoral cutaneous nerve", "Saphenous nerve"]},
    {"q": "The femoral triangle is NOT bounded by:",
     "opts": ["Inguinal ligament", "Sartorius", "Adductor longus", "Rectus femoris"]},
    {"q": "The sciatic nerve exits the pelvis through:",
     "opts": ["Obturator foramen", "Greater sciatic foramen", "Lesser sciatic foramen", "Femoral canal"]},
    {"q": "Which is the deepest muscle of the back of the abdomen?",
     "opts": ["Internal oblique", "Transversus abdominis", "External oblique", "Rectus abdominis"]},
    {"q": "Meckel's diverticulum is a remnant of:",
     "opts": ["Vitello-intestinal duct", "Urachus", "Umbilical artery", "Allantois"]},
    {"q": "The cavernous sinus drains into:",
     "opts": ["Sigmoid sinus", "Superior petrosal sinus", "Straight sinus", "Inferior sagittal sinus"]},
    {"q": "Which of the following is NOT a content of the femoral sheath?",
     "opts": ["Femoral artery", "Femoral vein", "Femoral nerve", "Femoral canal"]},
    {"q": "The inguinal canal in the male contains:",
     "opts": ["Round ligament", "Spermatic cord", "Femoral artery", "Obturator nerve"]},
    {"q": "Circle of Willis is formed by:",
     "opts": ["Internal carotid and vertebral arteries", "External carotid arteries only", "Vertebral arteries only", "Internal carotid arteries only"]},
    {"q": "Which lobe of the brain is associated with vision?",
     "opts": ["Frontal lobe", "Parietal lobe", "Temporal lobe", "Occipital lobe"]},
]

p2_saq = [
    {"q": "Describe the femoral triangle - boundaries, floor and contents.",
     "hindi": "ait freer & aster, He ait Saray & are Sar wT |"},
    {"q": "Write about the popliteal fossa - boundaries, floor and contents.",
     "hindi": "qifafes at & aster, Me ait Sarg & are Sar wT |"},
    {"q": "Describe the inguinal canal (male) - walls, floor, roof and contents.",
     "hindi": "TBS aH (Tf) & aster, att, eet att Sarg & are Sar wT |"},
    {"q": "Write about the liver - its lobes, peritoneal relations and ligaments.",
     "hindi": "tte & qgera - IIs, Tenet Heit ait Weta & are few |"},
    {"q": "Describe the lateral ventricle and its clinical importance.",
     "hindi": "Aree areprce att SEITE ATE & are fay |"},
    {"q": "Write short note on thyroid gland - gross anatomy and relations.",
     "hindi": "STIRS wt & are Wap fer - STRUT aie aT ait AT |"},
    {"q": "Describe the knee joint - type, articular surfaces, ligaments and movements.",
     "hindi": "yas ofa & are - aI, Wett areata, WER ott aot & are few |"},
    {"q": "Write about Meckel's diverticulum - definition, position and clinical importance.",
     "hindi": "Tait feaearet & are fay - STAM, Wr att Seale ataers |"},
]

p2_laq = [
    {"q": "Describe the boundaries, contents and clinical importance of the femoral triangle. Also write about femoral sheath and femoral canal.",
     "hindi": "ait fers & aster, Saag att SEITE STENT & are wai wer fer | ait HeAa ait ar ait & are Sar |"},
    {"q": "Describe the gross anatomy of the stomach - shape, parts, relations, blood supply, lymphatic drainage and nerve supply.",
     "hindi": "agate & SWAT & are wai wer fad - art, aay, Sait, ate TAHT, Wahler ger att Sat THAT |"},
    {"q": "Describe the cavernous sinus - location, relations, contents and clinical importance (cavernous sinus thrombosis).",
     "hindi": "afar ats & are - aRTaT, Heit, Saray att @STT ATETTE (afar ata Rrages) & are Sar wT |"},
    {"q": "Describe the development of the heart embryologically. Write about cardiac loop and septation with diagram.",
     "hindi": "Bite & SHeafaedt feat & are wai wer far | Gaert Tay ait faerent & are fefta & we & att feRaTS Rrfe |"},
    {"q": "Describe the kidney - gross anatomy, relations, blood supply and applied anatomy (hydronephrosis).",
     "hindi": "ata & SWAT & are - TRAIT STAM, Heit, Ite TART att STRUT STANT (SSCA) |"},
]

# Build full document
full_story = []

# Cover page
full_story.append(Spacer(1, 1*cm))
full_story.append(Paragraph("MPMSU - MADHYA PRADESH MEDICAL SCIENCE UNIVERSITY", center_bold))
full_story.append(Paragraph("BHMS 1st Professional Year - CBDC Pattern", center_normal))
full_story.append(Paragraph("ANATOMY - EXPECTED QUESTION PAPER 2026", ParagraphStyle('cov', parent=styles['Normal'],
    fontSize=14, fontName='Helvetica-Bold', alignment=TA_CENTER, textColor=colors.HexColor('#1a5276'), spaceAfter=4)))
full_story.append(Spacer(1, 0.3*cm))
full_story.append(HRFlowable(width="100%", thickness=2, color=colors.HexColor('#1a5276')))
full_story.append(Spacer(1, 0.2*cm))

info = [
    ["Pattern based on:", "Oct-2024 MPMSU actual paper"],
    ["Structure:", "Q1: MCQ (10x1=10) | Q2: SAQ (8x5=40) | Q3: LAQ (5x10=50)"],
    ["Contains:", "Paper I (Upper Limb, Thorax) + Paper II (Lower Limb, Abdomen, Head & Neck)"],
    ["Total Marks:", "100 per paper | Time: 3 Hours"],
]
info_table = Table(info, colWidths=[4*cm, 12*cm])
info_table.setStyle(TableStyle([
    ('FONTNAME', (0,0),(0,-1), 'Helvetica-Bold'),
    ('FONTSIZE', (0,0),(-1,-1), 9.5),
    ('GRID', (0,0),(-1,-1), 0.3, colors.HexColor('#aed6f1')),
    ('BACKGROUND', (0,0),(0,-1), colors.HexColor('#d6eaf8')),
    ('ROWBACKGROUNDS', (1,0),(1,-1), [colors.HexColor('#f5f5f5'), colors.white]),
    ('TOPPADDING', (0,0),(-1,-1), 4),
    ('BOTTOMPADDING', (0,0),(-1,-1), 4),
    ('LEFTPADDING', (0,0),(-1,-1), 6),
    ('VALIGN', (0,0),(-1,-1), 'TOP'),
]))
full_story.append(info_table)
full_story.append(Spacer(1, 0.4*cm))
full_story.append(HRFlowable(width="100%", thickness=2, color=colors.HexColor('#1a5276')))
full_story.append(PageBreak())

# Paper I
full_story += make_paper("I", "26AH0000220103", p1_mcq, p1_saq, p1_laq)
full_story.append(PageBreak())

# Paper II
full_story += make_paper("II", "26AH0000220104", p2_mcq, p2_saq, p2_laq)

doc.build(full_story)
print(f"PDF created: {output_path}")

from reportlab.lib.pagesizes import A4
from reportlab.lib.styles import getSampleStyleSheet, ParagraphStyle
from reportlab.lib.units import cm
from reportlab.lib import colors
from reportlab.platypus import (
    SimpleDocTemplate, Paragraph, Spacer, Table, TableStyle, HRFlowable
)
from reportlab.lib.enums import TA_CENTER, TA_LEFT, TA_RIGHT

output_path = "/home/daytona/workspace/mpmsu-bhms-qp/MPMSU_BHMS_Anatomy_PaperII_Expected_2026.pdf"

doc = SimpleDocTemplate(
    output_path, pagesize=A4,
    rightMargin=2*cm, leftMargin=2*cm,
    topMargin=2*cm, bottomMargin=2*cm
)
styles = getSampleStyleSheet()
W = doc.width

# Styles
center_bold = ParagraphStyle('cb', parent=styles['Normal'], fontSize=12, fontName='Helvetica-Bold', alignment=TA_CENTER, spaceAfter=2)
center_normal = ParagraphStyle('cn', parent=styles['Normal'], fontSize=10, fontName='Helvetica', alignment=TA_CENTER, spaceAfter=2)
center_small = ParagraphStyle('cs', parent=styles['Normal'], fontSize=9, fontName='Helvetica', alignment=TA_CENTER, spaceAfter=1)
left_bold = ParagraphStyle('lb', parent=styles['Normal'], fontSize=10.5, fontName='Helvetica-Bold', alignment=TA_LEFT, spaceAfter=3, spaceBefore=4)
q_style = ParagraphStyle('qs', parent=styles['Normal'], fontSize=10, fontName='Helvetica', alignment=TA_LEFT, spaceAfter=4, spaceBefore=2, leftIndent=14, leading=15)
instr_style = ParagraphStyle('ins', parent=styles['Normal'], fontSize=9, fontName='Helvetica', alignment=TA_LEFT, spaceAfter=2, leftIndent=0, leading=13)
marks_right = ParagraphStyle('mr', parent=styles['Normal'], fontSize=10, fontName='Helvetica-Bold', alignment=TA_RIGHT, spaceAfter=2)
hindi_note = ParagraphStyle('hn', parent=styles['Normal'], fontSize=8.5, fontName='Helvetica-Oblique', textColor=colors.HexColor('#555555'), alignment=TA_LEFT, spaceAfter=5, leftIndent=14)
url_style = ParagraphStyle('url', parent=styles['Normal'], fontSize=9, fontName='Helvetica', textColor=colors.HexColor('#1a5276'), alignment=TA_CENTER, spaceBefore=10)
disclaimer_style = ParagraphStyle('disc', parent=styles['Normal'], fontSize=8, fontName='Helvetica-Oblique', textColor=colors.HexColor('#888888'), alignment=TA_CENTER, spaceBefore=4)

story = []

# ---- HEADER ----
header_data = [
    [Paragraph("BHMS First Professional Examination - 2026 (Expected)", center_bold)],
    [Paragraph("Subject: Anatomy", center_bold)],
    [Paragraph("Paper-II", center_normal)],
    [Paragraph("Paper Code: 26AH0000220104", center_small)],
]
header_table = Table(header_data, colWidths=[W])
header_table.setStyle(TableStyle([
    ('BOX', (0,0), (-1,-1), 1, colors.black),
    ('INNERGRID', (0,0), (-1,-1), 0.3, colors.HexColor('#cccccc')),
    ('TOPPADDING', (0,0), (-1,-1), 3),
    ('BOTTOMPADDING', (0,0), (-1,-1), 3),
    ('BACKGROUND', (0,0), (-1,0), colors.HexColor('#d6eaf8')),
]))
story.append(header_table)
story.append(Spacer(1, 0.2*cm))

# Time & Marks
time_marks = Table([[
    Paragraph("Time: 3:00 Hours", ParagraphStyle('tl', parent=styles['Normal'], fontSize=10, fontName='Helvetica-Bold')),
    Paragraph("Maximum Marks: 100", ParagraphStyle('tr', parent=styles['Normal'], fontSize=10, fontName='Helvetica-Bold', alignment=TA_RIGHT))
]], colWidths=[W/2, W/2])
time_marks.setStyle(TableStyle([('TOPPADDING',(0,0),(-1,-1),2),('BOTTOMPADDING',(0,0),(-1,-1),2)]))
story.append(time_marks)
story.append(Spacer(1, 0.1*cm))
story.append(HRFlowable(width="100%", thickness=1, color=colors.black))
story.append(Spacer(1, 0.1*cm))

# Instructions
instructions = [
    "a) All questions are compulsory.",
    "b) Draw diagrams wherever necessary.",
    "c) Answers of Questions and Sub questions must be written strictly according to the serial order of question paper.",
    "d) MCQ has to be answered in theory answer book.",
    "e) Please write MCQ answer neatly and in serial order with black or blue pen in brackets. For example: 1.(a) 2.(b) ...",
    "f) MCQ has to be answered only once. Any kind of repetition or cutting or erasing/Whitener will be considered as malpractice. Such answers will not be counted in marks and action will be taken according to UFM rules of University.",
]
for ins in instructions:
    story.append(Paragraph(ins, instr_style))

story.append(Spacer(1, 0.2*cm))
story.append(HRFlowable(width="100%", thickness=0.5, color=colors.black))
story.append(Spacer(1, 0.1*cm))

# ==================== Q.1 MCQ ====================
q1_header = Table([[
    Paragraph("<b>Q.1  Total MCQs: 10</b>", left_bold),
    Paragraph("<b>10 X 1 = 10</b>", marks_right)
]], colWidths=[W*0.7, W*0.3])
q1_header.setStyle(TableStyle([('TOPPADDING',(0,0),(-1,-1),2),('BOTTOMPADDING',(0,0),(-1,-1),2)]))
story.append(q1_header)

mcqs = [
    {
        "q": "The femoral canal contains:",
        "opts": ["Femoral artery", "Femoral vein", "Lymphatics and areolar tissue", "Femoral nerve"]
    },
    {
        "q": "Meckel's diverticulum is found in:",
        "opts": ["Duodenum", "Jejunum", "Ileum (2 feet from ileocecal valve)", "Cecum"]
    },
    {
        "q": "Which nerve is called the 'nerve of the foot soldier'?",
        "opts": ["Femoral nerve", "Sciatic nerve", "Common peroneal nerve", "Medial plantar nerve"]
    },
    {
        "q": "The Circle of Willis is NOT formed by:",
        "opts": ["Anterior communicating artery", "Posterior communicating artery", "Middle meningeal artery", "Internal carotid artery"]
    },
    {
        "q": "The cavernous sinus is located on either side of:",
        "opts": ["Frontal bone", "Sella turcica (sphenoid bone)", "Occipital bone", "Parietal bone"]
    },
    {
        "q": "Which structure passes through the greater sciatic foramen ABOVE the piriformis muscle?",
        "opts": ["Sciatic nerve", "Superior gluteal nerve and vessels", "Inferior gluteal nerve", "Pudendal nerve"]
    },
    {
        "q": "The portal vein is formed by the union of:",
        "opts": ["Superior mesenteric vein + Inferior mesenteric vein", "Superior mesenteric vein + Splenic vein", "Splenic vein + Inferior mesenteric vein", "Hepatic vein + Splenic vein"]
    },
    {
        "q": "The lateral ventricle communicates with the 3rd ventricle through:",
        "opts": ["Aqueduct of Sylvius", "Foramen of Luschka", "Foramen of Magendie", "Foramen of Monro (interventricular foramen)"]
    },
    {
        "q": "Hilton's law states that:",
        "opts": ["A nerve supplying a muscle also supplies its antagonist", "A nerve supplying a joint also supplies the muscles moving it and the skin over them", "Pain is always referred to the area of injury", "Nerves follow blood vessels always"]
    },
    {
        "q": "The sciatic nerve is a branch of the:",
        "opts": ["Femoral nerve", "Lumbosacral plexus (L4-S3)", "Obturator nerve", "Lumbar plexus only"]
    },
]

for i, mcq in enumerate(mcqs, 1):
    story.append(Paragraph(f"<b>{i}.</b> {mcq['q']}", q_style))
    opts = mcq['opts']
    opt_text = f"a) {opts[0]}    b) {opts[1]}    c) {opts[2]}    d) {opts[3]}"
    story.append(Paragraph(opt_text, ParagraphStyle('opt', parent=styles['Normal'],
        fontSize=9.5, leftIndent=20, spaceAfter=6, leading=13)))

story.append(Spacer(1, 0.2*cm))
story.append(HRFlowable(width="100%", thickness=0.5, color=colors.black))
story.append(Spacer(1, 0.1*cm))

# ==================== Q.2 SAQ ====================
q2_header = Table([[
    Paragraph("<b>Q.2  Short Answer Question</b>", left_bold),
    Paragraph("<b>8 X 5 = 40</b>", marks_right)
]], colWidths=[W*0.7, W*0.3])
q2_header.setStyle(TableStyle([('TOPPADDING',(0,0),(-1,-1),2),('BOTTOMPADDING',(0,0),(-1,-1),2)]))
story.append(q2_header)

saqs = [
    {
        "q": "Describe the boundaries, floor and contents of the femoral triangle.",
        "hindi": "ait Prater & aster, He ait Saray & are few |"
    },
    {
        "q": "Write about the popliteal fossa - boundaries, floor, roof and contents.",
        "hindi": "qatateat at & aster, He, eet ait Saray & are fay |"
    },
    {
        "q": "Describe the cavernous sinus - location, relations and contents.",
        "hindi": "afar atee & are - ARIT, Heit ait Saray & are fay |"
    },
    {
        "q": "Describe the liver - lobes, peritoneal relations and ligaments.",
        "hindi": "afte & are - Waa, ATE Heit ait Weta & are fay |"
    },
    {
        "q": "Write short note on the lateral ventricle with diagram.",
        "hindi": "aaa erat & are Tee fay ait feRa wnife |"
    },
    {
        "q": "Describe Meckel's diverticulum - its position, contents and clinical importance.",
        "hindi": "ait feast & are - Fe, Saray ait STT STEN & are fay |"
    },
    {
        "q": "Describe the knee joint - type, articular surfaces, ligaments and movements.",
        "hindi": "eet ofa & are - STAT, BATT Batata, TGA ait YAU & are fay |"
    },
    {
        "q": "Write about the inguinal canal (male) - walls, floor, roof and contents.",
        "hindi": "wet aH (at) - aster, Me, eet ait Haag & are wary few |"
    },
]

for i, saq in enumerate(saqs):
    letter = chr(ord('a') + i)
    story.append(Paragraph(f"<b>{letter}.</b> {saq['q']}", q_style))
    story.append(Paragraph(saq['hindi'], hindi_note))

story.append(Spacer(1, 0.2*cm))
story.append(HRFlowable(width="100%", thickness=0.5, color=colors.black))
story.append(Spacer(1, 0.1*cm))

# ==================== Q.3 LAQ ====================
q3_header = Table([[
    Paragraph("<b>Q.3  Long Answer Question</b>", left_bold),
    Paragraph("<b>5 X 10 = 50</b>", marks_right)
]], colWidths=[W*0.7, W*0.3])
q3_header.setStyle(TableStyle([('TOPPADDING',(0,0),(-1,-1),2),('BOTTOMPADDING',(0,0),(-1,-1),2)]))
story.append(q3_header)

laqs = [
    {
        "q": "Describe the boundaries and contents of the femoral triangle. Explain the femoral sheath, femoral canal and its clinical importance (femoral hernia). Add a neat labeled diagram.",
        "hindi": "ait Prater & aster ait Saray & are wai wer fay | ait HeAa, ait ar att SEIT STENT (ait fae) & are Sar wT | Sareraa fers anife arf Sra |"
    },
    {
        "q": "Describe the gross anatomy of the stomach - shape, parts, peritoneal relations, blood supply (arterial), lymphatic drainage and nerve supply.",
        "hindi": "agit & SWIFT & are wai wer fay - aT, ay, SITE Heit, Ite TART (SSIS), WATT ger ait SAT TART |"
    },
    {
        "q": "Describe the cavernous sinus in detail - situation, relations on each wall, venous connections and clinical importance (cavernous sinus thrombosis and dangerous area of face).",
        "hindi": "afar ata & femme wer & are fay - ARNT, TAT Hc # AIT, eH YSZ ait Seat STENT (afar ate Wragets ait aets & SAAT WATT) |"
    },
    {
        "q": "Describe the kidney - gross anatomy, surfaces, poles, relations (anterior and posterior), blood supply and applied anatomy.",
        "hindi": "ata & SWAT & are - Sarat aTat, Yared, WaT, Heit (Hye att WA), Ite TAHT att WaT STAT |"
    },
    {
        "q": "Describe the development of the alimentary canal (gut) - foregut, midgut, hindgut derivatives. Explain congenital anomalies - Meckel's diverticulum, Hirschsprung's disease.",
        "hindi": "SHCA HATA (aif) & Hehafaeat feat & are fad - SarafSi, Haha, Waa af | SSAA feaTaT - ait fest ait faeqares WATT & are Sar wT |"
    },
]

for i, laq in enumerate(laqs):
    letter = chr(ord('a') + i)
    story.append(Paragraph(f"<b>{letter}.</b> {laq['q']}", q_style))
    story.append(Paragraph(laq['hindi'], hindi_note))

story.append(Spacer(1, 0.5*cm))
story.append(HRFlowable(width="100%", thickness=1, color=colors.black))
story.append(Paragraph("https://www.mpmsuonline.com", url_style))
story.append(Paragraph(
    "NOTE: Yeh ek expected/model question paper hai. Actual MPMSU paper alag ho sakta hai. "
    "Prepared by Orris AI | Pattern based on Oct-2024 MPMSU Anatomy paper.",
    disclaimer_style))

doc.build(story)
print(f"PDF created: {output_path}")

from reportlab.lib.pagesizes import A4
from reportlab.lib.styles import getSampleStyleSheet, ParagraphStyle
from reportlab.lib.units import cm
from reportlab.lib import colors
from reportlab.platypus import (
    SimpleDocTemplate, Paragraph, Spacer, Table, TableStyle,
    HRFlowable, PageBreak, KeepTogether
)
from reportlab.lib.enums import TA_CENTER, TA_LEFT

out = "/home/daytona/workspace/mpmsu-bhms-qp/LowerLimb_Revision_Notes_2026.pdf"

doc = SimpleDocTemplate(
    out, pagesize=A4,
    rightMargin=1.8*cm, leftMargin=1.8*cm,
    topMargin=1.8*cm, bottomMargin=1.8*cm,
    title="Lower Limb Anatomy Revision Notes - BHMS 2026",
    author="MPMSU BHMS 1st Year"
)

styles = getSampleStyleSheet()
W = doc.width

# ---- Style Definitions ----
cover_title = ParagraphStyle('ct', parent=styles['Normal'],
    fontSize=18, fontName='Helvetica-Bold',
    textColor=colors.HexColor('#1a3a6e'), alignment=TA_CENTER, spaceAfter=6)
cover_sub = ParagraphStyle('cs', parent=styles['Normal'],
    fontSize=12, fontName='Helvetica',
    textColor=colors.HexColor('#333333'), alignment=TA_CENTER, spaceAfter=4)
topic_head = ParagraphStyle('th', parent=styles['Normal'],
    fontSize=13, fontName='Helvetica-Bold',
    textColor=colors.white, alignment=TA_LEFT,
    spaceBefore=6, spaceAfter=4,
    leftIndent=6)
sub_head = ParagraphStyle('sh', parent=styles['Normal'],
    fontSize=11, fontName='Helvetica-Bold',
    textColor=colors.HexColor('#1a3a6e'), alignment=TA_LEFT,
    spaceBefore=6, spaceAfter=2)
body = ParagraphStyle('bd', parent=styles['Normal'],
    fontSize=10, fontName='Helvetica',
    textColor=colors.HexColor('#111111'), alignment=TA_LEFT,
    spaceAfter=3, leftIndent=8, leading=15)
bullet = ParagraphStyle('bl', parent=styles['Normal'],
    fontSize=10, fontName='Helvetica',
    textColor=colors.HexColor('#111111'), alignment=TA_LEFT,
    spaceAfter=2, leftIndent=16, leading=14,
    bulletIndent=6)
imp_box = ParagraphStyle('ib', parent=styles['Normal'],
    fontSize=10, fontName='Helvetica-Bold',
    textColor=colors.HexColor('#7b0000'), alignment=TA_LEFT,
    spaceAfter=2, leftIndent=8, leading=14)
note_style = ParagraphStyle('ns', parent=styles['Normal'],
    fontSize=9, fontName='Helvetica-Oblique',
    textColor=colors.HexColor('#444444'), alignment=TA_LEFT,
    spaceAfter=2, leftIndent=8)

def topic_block(title, color=colors.HexColor('#1a3a6e')):
    t = Table([[Paragraph(title, topic_head)]], colWidths=[W])
    t.setStyle(TableStyle([
        ('BACKGROUND', (0,0), (-1,-1), color),
        ('TOPPADDING', (0,0), (-1,-1), 6),
        ('BOTTOMPADDING', (0,0), (-1,-1), 6),
        ('LEFTPADDING', (0,0), (-1,-1), 8),
    ]))
    return t

def info_table(rows, col_widths=None):
    if not col_widths:
        col_widths = [4.5*cm, W - 4.5*cm]
    t = Table(rows, colWidths=col_widths)
    t.setStyle(TableStyle([
        ('FONTNAME', (0,0), (0,-1), 'Helvetica-Bold'),
        ('FONTNAME', (1,0), (1,-1), 'Helvetica'),
        ('FONTSIZE', (0,0), (-1,-1), 9.5),
        ('BACKGROUND', (0,0), (0,-1), colors.HexColor('#dce9f7')),
        ('ROWBACKGROUNDS', (1,0), (1,-1), [colors.HexColor('#f5f8ff'), colors.white]),
        ('GRID', (0,0), (-1,-1), 0.3, colors.HexColor('#aac4e8')),
        ('TOPPADDING', (0,0), (-1,-1), 4),
        ('BOTTOMPADDING', (0,0), (-1,-1), 4),
        ('LEFTPADDING', (0,0), (-1,-1), 6),
        ('VALIGN', (0,0), (-1,-1), 'TOP'),
    ]))
    return t

def yellow_box(text):
    t = Table([[Paragraph(f"<b>EXAM TIP:</b> {text}",
        ParagraphStyle('yt', parent=styles['Normal'], fontSize=9.5,
        textColor=colors.HexColor('#5a3a00'), fontName='Helvetica'))]], colWidths=[W])
    t.setStyle(TableStyle([
        ('BACKGROUND', (0,0), (-1,-1), colors.HexColor('#fff8dc')),
        ('BOX', (0,0), (-1,-1), 0.8, colors.HexColor('#c8a800')),
        ('TOPPADDING', (0,0), (-1,-1), 5),
        ('BOTTOMPADDING', (0,0), (-1,-1), 5),
        ('LEFTPADDING', (0,0), (-1,-1), 8),
    ]))
    return t

def red_box(text):
    t = Table([[Paragraph(f"<b>CLINICAL:</b> {text}",
        ParagraphStyle('rt', parent=styles['Normal'], fontSize=9.5,
        textColor=colors.HexColor('#5a0000'), fontName='Helvetica'))]], colWidths=[W])
    t.setStyle(TableStyle([
        ('BACKGROUND', (0,0), (-1,-1), colors.HexColor('#fff0f0')),
        ('BOX', (0,0), (-1,-1), 0.8, colors.HexColor('#cc0000')),
        ('TOPPADDING', (0,0), (-1,-1), 5),
        ('BOTTOMPADDING', (0,0), (-1,-1), 5),
        ('LEFTPADDING', (0,0), (-1,-1), 8),
    ]))
    return t

B = u"\u2022 "  # bullet char

story = []

# ============================================================
# COVER
# ============================================================
story.append(Spacer(1, 1.5*cm))
story.append(Paragraph("LOWER LIMB ANATOMY", cover_title))
story.append(Paragraph("Revision Notes for BHMS 1st Year", cover_sub))
story.append(Paragraph("MPMSU | CBDC Pattern | 2026 Exam", cover_sub))
story.append(Spacer(1, 0.3*cm))
story.append(HRFlowable(width="100%", thickness=2, color=colors.HexColor('#1a3a6e')))
story.append(Spacer(1, 0.3*cm))

# Contents list
contents = [
    "1.  Femoral Triangle",
    "2.  Femoral Sheath & Canal",
    "3.  Adductor Canal (Hunter's Canal)",
    "4.  Popliteal Fossa",
    "5.  Sciatic Nerve",
    "6.  Femoral Nerve",
    "7.  Obturator Nerve",
    "8.  Common Peroneal Nerve (Foot Drop)",
    "9.  Great Saphenous Vein",
    "10. Hip Joint",
    "11. Knee Joint",
    "12. Inguinal Canal",
    "13. Gluteal Region",
    "14. Quick MCQ Points",
]
for c in contents:
    story.append(Paragraph(c, body))
story.append(HRFlowable(width="100%", thickness=1, color=colors.HexColor('#1a3a6e')))
story.append(PageBreak())

# ============================================================
# 1. FEMORAL TRIANGLE
# ============================================================
story.append(KeepTogether([
    topic_block("1. FEMORAL TRIANGLE"),
    Spacer(1, 0.2*cm),
]))
story.append(Paragraph("Boundaries", sub_head))
story.append(info_table([
    ["Base (top)", "Inguinal ligament"],
    ["Medial side", "Medial border of Adductor longus"],
    ["Lateral side", "Medial border of Sartorius"],
    ["Apex", "Where Sartorius crosses Adductor longus"],
    ["Floor", "Iliopsoas (lateral) + Pectineus (medial)"],
    ["Roof", "Fascia lata + Skin"],
]))
story.append(Spacer(1, 0.2*cm))
story.append(Paragraph("Contents (Lateral to Medial = NAVEL)", sub_head))
story.append(Paragraph(B + "<b>N</b> - Femoral Nerve (most lateral, outside sheath)", bullet))
story.append(Paragraph(B + "<b>A</b> - Femoral Artery (inside sheath)", bullet))
story.append(Paragraph(B + "<b>V</b> - Femoral Vein (inside sheath)", bullet))
story.append(Paragraph(B + "<b>E</b> - Empty space (femoral canal)", bullet))
story.append(Paragraph(B + "<b>L</b> - Lymphatics (deepest in canal)", bullet))
story.append(yellow_box("Mnemonic: NAVEL (Nerve, Artery, Vein, Empty, Lymphatics) - Lateral to Medial"))
story.append(Spacer(1, 0.1*cm))
story.append(red_box("Femoral hernia: Contents of femoral canal protrude. More common in females. Can strangulate - surgical emergency."))
story.append(Spacer(1, 0.3*cm))

# ============================================================
# 2. FEMORAL SHEATH & CANAL
# ============================================================
story.append(KeepTogether([topic_block("2. FEMORAL SHEATH & CANAL"), Spacer(1, 0.2*cm)]))
story.append(Paragraph("Femoral Sheath", sub_head))
story.append(Paragraph(B + "Funnel-shaped fascial tube, 3-4 cm long below inguinal ligament", bullet))
story.append(Paragraph(B + "Formed by: Transversalis fascia (anterior) + Iliac fascia (posterior)", bullet))
story.append(Paragraph(B + "3 compartments: Lateral (artery), Middle (vein), Medial (femoral canal)", bullet))
story.append(Paragraph(B + "Femoral nerve is OUTSIDE the sheath", bullet))
story.append(Spacer(1, 0.15*cm))
story.append(Paragraph("Femoral Canal", sub_head))
story.append(info_table([
    ["Position", "Medial compartment of femoral sheath"],
    ["Length", "About 1.25 cm"],
    ["Contents", "Lymph node of Cloquet + loose areolar tissue + lymphatics"],
    ["Ring (opening)", "Femoral ring (bounded by: inguinal ligament, femoral vein, lacunar ligament, pectineal ligament)"],
    ["Function", "Allows femoral vein to expand during increased venous return"],
]))
story.append(red_box("Femoral hernia passes through femoral ring. Femoral hernia is BELOW and LATERAL to pubic tubercle. Inguinal hernia is ABOVE and MEDIAL."))
story.append(Spacer(1, 0.3*cm))

# ============================================================
# 3. ADDUCTOR CANAL
# ============================================================
story.append(KeepTogether([topic_block("3. ADDUCTOR CANAL (Hunter's Canal)", color=colors.HexColor('#1a5276')), Spacer(1, 0.2*cm)]))
story.append(Paragraph(B + "Intermuscular tunnel in the middle 1/3 of medial thigh", bullet))
story.append(Paragraph(B + "Length: About 15 cm | Apex opens at adductor hiatus", bullet))
story.append(Paragraph("Boundaries", sub_head))
story.append(info_table([
    ["Anteromedial wall", "Sartorius + Subsartorial fascia"],
    ["Posterolateral wall", "Vastus medialis"],
    ["Posterior wall", "Adductor longus (upper) + Adductor magnus (lower)"],
    ["Floor", "Adductor longus + Adductor magnus"],
]))
story.append(Paragraph("Contents", sub_head))
story.append(Paragraph(B + "Femoral artery", bullet))
story.append(Paragraph(B + "Femoral vein", bullet))
story.append(Paragraph(B + "Saphenous nerve (branch of femoral nerve)", bullet))
story.append(Paragraph(B + "Nerve to vastus medialis (upper part only)", bullet))
story.append(yellow_box("Femoral artery enters adductor canal from femoral triangle and exits through adductor hiatus to become popliteal artery."))
story.append(Spacer(1, 0.3*cm))

# ============================================================
# 4. POPLITEAL FOSSA
# ============================================================
story.append(KeepTogether([topic_block("4. POPLITEAL FOSSA", color=colors.HexColor('#145a32')), Spacer(1, 0.2*cm)]))
story.append(Paragraph("Boundaries", sub_head))
story.append(info_table([
    ["Superomedial", "Semimembranosus + Semitendinosus"],
    ["Superolateral", "Biceps femoris"],
    ["Inferomedial", "Medial head of Gastrocnemius"],
    ["Inferolateral", "Lateral head of Gastrocnemius"],
    ["Floor (deep)", "Popliteal surface of femur + Oblique popliteal ligament + Popliteus muscle"],
    ["Roof (superficial)", "Deep fascia (popliteal fascia) + Skin"],
]))
story.append(Spacer(1, 0.15*cm))
story.append(Paragraph("Contents (Superficial to Deep)", sub_head))
story.append(Paragraph(B + "Tibial nerve (most superficial)", bullet))
story.append(Paragraph(B + "Common peroneal nerve (superolateral)", bullet))
story.append(Paragraph(B + "Popliteal vein (middle)", bullet))
story.append(Paragraph(B + "Popliteal artery (deepest)", bullet))
story.append(Paragraph(B + "Posterior cutaneous nerve of thigh", bullet))
story.append(Paragraph(B + "Popliteal lymph nodes + Fat", bullet))
story.append(yellow_box("Mnemonic (deep to superficial): 'A Very Nervous Student' = Artery, Vein, Nerve, Skin"))
story.append(red_box("Popliteal aneurysm: Most common peripheral aneurysm. Presents as pulsatile mass behind knee. Can compress tibial nerve causing foot numbness."))
story.append(Spacer(1, 0.3*cm))

story.append(PageBreak())

# ============================================================
# 5. SCIATIC NERVE
# ============================================================
story.append(KeepTogether([topic_block("5. SCIATIC NERVE"), Spacer(1, 0.2*cm)]))
story.append(info_table([
    ["Origin", "L4, L5, S1, S2, S3 (Lumbosacral plexus)"],
    ["Type", "Largest nerve in the body"],
    ["Exit from pelvis", "Greater sciatic foramen, BELOW piriformis"],
    ["Course", "Passes deep to gluteus maximus, between ischial tuberosity and greater trochanter, down back of thigh"],
    ["Division", "Divides into Tibial + Common peroneal nerve (usually at apex of popliteal fossa)"],
]))
story.append(Paragraph("Branches", sub_head))
story.append(Paragraph(B + "In thigh: Branch to hamstrings (biceps femoris, semitendinosus, semimembranosus) + part of adductor magnus", bullet))
story.append(Paragraph(B + "<b>Tibial nerve</b>: All muscles of back of leg + sole of foot", bullet))
story.append(Paragraph(B + "<b>Common peroneal nerve</b>: Front + lateral compartment of leg", bullet))
story.append(red_box("Sciatic nerve injury: High injury (gluteal region) = loss of all muscles below knee + hamstrings. Foot drop if common peroneal branch injured. Intramuscular injection - always give in upper outer quadrant of buttock to avoid nerve!"))
story.append(yellow_box("Piriformis syndrome: Sciatic nerve compressed by tight piriformis - pain radiating down leg (mimics disc prolapse)."))
story.append(Spacer(1, 0.3*cm))

# ============================================================
# 6. FEMORAL NERVE
# ============================================================
story.append(KeepTogether([topic_block("6. FEMORAL NERVE", color=colors.HexColor('#1a5276')), Spacer(1, 0.2*cm)]))
story.append(info_table([
    ["Origin", "L2, L3, L4 (Lumbar plexus)"],
    ["Emerges", "Between Psoas major and Iliacus"],
    ["Enters thigh", "Deep to inguinal ligament, LATERAL to femoral sheath (outside)"],
    ["Supplies", "Anterior compartment of thigh"],
]))
story.append(Paragraph("Branches", sub_head))
story.append(Paragraph(B + "<b>Muscular</b>: Iliacus, Pectineus, Sartorius, Quadriceps femoris (rectus femoris, vastus lateralis, medialis, intermedius)", bullet))
story.append(Paragraph(B + "<b>Cutaneous</b>: Anterior cutaneous branches of thigh, Saphenous nerve (longest cutaneous branch - follows great saphenous vein)", bullet))
story.append(red_box("Femoral nerve injury: Loss of knee extension (quadriceps paralysis), loss of knee jerk, sensory loss on anterior thigh and medial leg."))
story.append(Spacer(1, 0.3*cm))

# ============================================================
# 7. OBTURATOR NERVE
# ============================================================
story.append(KeepTogether([topic_block("7. OBTURATOR NERVE", color=colors.HexColor('#145a32')), Spacer(1, 0.2*cm)]))
story.append(info_table([
    ["Origin", "L2, L3, L4 (Lumbar plexus)"],
    ["Exits pelvis", "Through obturator foramen"],
    ["Supplies", "Medial compartment of thigh (adductors)"],
]))
story.append(Paragraph("Branches", sub_head))
story.append(Paragraph(B + "Anterior division: Adductor longus, Adductor brevis, Gracilis, Pectineus (sometimes)", bullet))
story.append(Paragraph(B + "Posterior division: Adductor magnus (part), Obturator externus", bullet))
story.append(Paragraph(B + "Cutaneous: Medial side of lower thigh", bullet))
story.append(red_box("Obturator hernia: Rare hernia through obturator foramen. Howship-Romberg sign: pain on medial aspect of thigh on internal rotation of hip."))
story.append(Spacer(1, 0.3*cm))

story.append(PageBreak())

# ============================================================
# 8. COMMON PERONEAL NERVE (FOOT DROP)
# ============================================================
story.append(KeepTogether([topic_block("8. COMMON PERONEAL NERVE & FOOT DROP"), Spacer(1, 0.2*cm)]))
story.append(info_table([
    ["Origin", "Branch of sciatic nerve (L4, L5, S1, S2)"],
    ["Course", "Winds around neck of fibula (most vulnerable point)"],
    ["Divides into", "Superficial peroneal + Deep peroneal nerve"],
    ["Superficial peroneal", "Peroneus longus & brevis (eversion) + dorsum of foot skin"],
    ["Deep peroneal", "Anterior compartment muscles (dorsiflexors) + 1st web space skin"],
]))
story.append(red_box("Foot Drop: Injury at neck of fibula (fracture, tight plaster cast, crossing legs) causes foot drop. Patient walks with 'High-stepping gait' (steppage gait). Cannot dorsiflex or evert foot. Most common lower limb nerve injury!"))
story.append(yellow_box("Peroneal nerve is most commonly injured lower limb nerve - always check in fibula fractures!"))
story.append(Spacer(1, 0.3*cm))

# ============================================================
# 9. GREAT SAPHENOUS VEIN
# ============================================================
story.append(KeepTogether([topic_block("9. GREAT SAPHENOUS VEIN", color=colors.HexColor('#1a5276')), Spacer(1, 0.2*cm)]))
story.append(info_table([
    ["Origin", "Medial end of dorsal venous arch of foot"],
    ["Course", "Anterior to medial malleolus -> medial side of leg -> behind medial condyle of femur -> anterior to medial side of thigh -> saphenous opening"],
    ["Termination", "Femoral vein (at saphenous opening / fossa ovalis, 4 cm below and lateral to pubic tubercle)"],
    ["Tributaries", "5 tributaries at saphenofemoral junction: Superficial external pudendal, Superficial epigastric, Superficial circumflex iliac, Anterior/posterior accessory saphenous veins"],
    ["Accompanies", "Saphenous nerve (in leg)"],
]))
story.append(red_box("Varicose veins: GSV most commonly affected. Trendelenburg test to find incompetent perforators. Used for coronary artery bypass grafting (CABG) as a graft vessel."))
story.append(yellow_box("Great saphenous vein is the LONGEST vein in the body. Accessible in front of medial malleolus - used for IV access/cut-down in emergencies."))
story.append(Spacer(1, 0.3*cm))

# ============================================================
# 10. HIP JOINT
# ============================================================
story.append(KeepTogether([topic_block("10. HIP JOINT", color=colors.HexColor('#145a32')), Spacer(1, 0.2*cm)]))
story.append(info_table([
    ["Type", "Synovial - Ball and Socket joint"],
    ["Articular surfaces", "Head of femur (ball) + Acetabulum of hip bone (socket)"],
    ["Ligaments", "Iliofemoral (Y-ligament of Bigelow) - strongest, Pubofemoral, Ischiofemoral, Ligamentum teres (carries artery to head of femur)"],
    ["Movements", "Flexion, Extension, Abduction, Adduction, Medial/Lateral rotation, Circumduction"],
    ["Blood supply", "Medial & lateral circumflex femoral arteries, Artery of ligamentum teres"],
    ["Nerve supply", "Femoral, Obturator, Sciatic, Superior gluteal (Hilton's law)"],
]))
story.append(red_box("Fracture neck of femur: Disrupts blood supply to head of femur -> Avascular necrosis. Common in elderly osteoporotic females. Garden's classification."))
story.append(yellow_box("Iliofemoral ligament (Y-ligament) is the STRONGEST ligament in the body. Prevents hyperextension of hip."))
story.append(Spacer(1, 0.3*cm))

story.append(PageBreak())

# ============================================================
# 11. KNEE JOINT
# ============================================================
story.append(KeepTogether([topic_block("11. KNEE JOINT"), Spacer(1, 0.2*cm)]))
story.append(info_table([
    ["Type", "Synovial - Modified Hinge joint (Bicondylar)"],
    ["Articular surfaces", "Femoral condyles + Tibial condyles + Patella"],
    ["Menisci", "Medial (C-shaped, less mobile) + Lateral (O-shaped, more mobile)"],
]))
story.append(Paragraph("Ligaments", sub_head))
story.append(Paragraph(B + "<b>Anterior Cruciate Ligament (ACL)</b>: Tibia to femur, prevents forward sliding of tibia", bullet))
story.append(Paragraph(B + "<b>Posterior Cruciate Ligament (PCL)</b>: Prevents backward sliding of tibia", bullet))
story.append(Paragraph(B + "<b>Medial Collateral Ligament (MCL)</b>: Resists valgus stress", bullet))
story.append(Paragraph(B + "<b>Lateral Collateral Ligament (LCL)</b>: Resists varus stress", bullet))
story.append(Paragraph(B + "<b>Patellar ligament</b>: Quadriceps tendon to tibial tuberosity", bullet))
story.append(Paragraph("Movements", sub_head))
story.append(Paragraph(B + "Flexion (0-135 degrees), Extension, Medial + Lateral rotation (only possible in flexion)", bullet))
story.append(Paragraph(B + "<b>Locking</b>: Medial rotation of femur on tibia at end of extension", bullet))
story.append(Paragraph(B + "<b>Unlocking</b>: Popliteus muscle (lateral rotation of femur)", bullet))
story.append(red_box("Unhappy Triad (O'Donoghue): ACL + MCL + Medial meniscus - all torn together by valgus force + rotation (football/sports injury). ACL tear: +ve anterior drawer test. PCL tear: +ve posterior drawer test."))
story.append(Spacer(1, 0.3*cm))

# ============================================================
# 12. INGUINAL CANAL
# ============================================================
story.append(KeepTogether([topic_block("12. INGUINAL CANAL", color=colors.HexColor('#1a5276')), Spacer(1, 0.2*cm)]))
story.append(info_table([
    ["Location", "Lower part of anterior abdominal wall, just above medial half of inguinal ligament"],
    ["Length", "4 cm (in adults)"],
    ["Direction", "Passes downward, forward and medially"],
    ["Deep ring", "Opening in transversalis fascia, lateral to inferior epigastric vessels"],
    ["Superficial ring", "Opening in external oblique aponeurosis, above pubic tubercle"],
]))
story.append(Paragraph("Walls", sub_head))
story.append(info_table([
    ["Anterior wall", "External oblique aponeurosis (whole length) + Internal oblique (lateral 1/3)"],
    ["Posterior wall", "Transversalis fascia (whole) + Conjoint tendon (medial 1/3)"],
    ["Roof", "Arching fibres of Internal oblique + Transversus abdominis"],
    ["Floor", "Inguinal ligament + Lacunar ligament (medially)"],
]))
story.append(Paragraph("Contents", sub_head))
story.append(Paragraph(B + "<b>Male</b>: Spermatic cord (3 arteries, 3 nerves, 3 other structures + vas deferens) + Ilioinguinal nerve", bullet))
story.append(Paragraph(B + "<b>Female</b>: Round ligament of uterus + Ilioinguinal nerve", bullet))
story.append(red_box("Inguinal hernia: Above and medial to pubic tubercle. Indirect (through deep ring - congenital) more common. Direct (through Hesselbach's triangle) in elderly men. Indirect hernia can descend into scrotum."))
story.append(yellow_box("Indirect hernia enters deep ring lateral to inferior epigastric vessels. Direct hernia bulges through Hesselbach's triangle medial to inferior epigastric vessels."))
story.append(Spacer(1, 0.3*cm))

story.append(PageBreak())

# ============================================================
# 13. GLUTEAL REGION
# ============================================================
story.append(KeepTogether([topic_block("13. GLUTEAL REGION", color=colors.HexColor('#145a32')), Spacer(1, 0.2*cm)]))
story.append(Paragraph("Muscles (Superficial to Deep)", sub_head))
story.append(info_table([
    ["Gluteus maximus", "Extension + Lateral rotation of hip | L inferior gluteal nerve"],
    ["Gluteus medius", "Abduction + Medial rotation | Superior gluteal nerve"],
    ["Gluteus minimus", "Abduction + Medial rotation | Superior gluteal nerve"],
    ["Piriformis", "Lateral rotation | Nerve to piriformis"],
    ["Obturator internus", "Lateral rotation | Nerve to obturator internus"],
    ["Gemellus superior", "Lateral rotation | Nerve to obturator internus"],
    ["Gemellus inferior", "Lateral rotation | Nerve to quadratus femoris"],
    ["Quadratus femoris", "Lateral rotation | Nerve to quadratus femoris"],
]))
story.append(Spacer(1, 0.1*cm))
story.append(red_box("Trendelenburg sign: Gluteus medius/minimus weakness (superior gluteal nerve palsy) - pelvis drops to opposite side when standing on affected leg. Seen in fracture neck of femur, polio."))
story.append(yellow_box("Safe zone for IM injection: Upper outer quadrant of buttock - avoids sciatic nerve and superior gluteal nerve."))
story.append(Spacer(1, 0.3*cm))

# ============================================================
# 14. QUICK MCQ POINTS
# ============================================================
story.append(KeepTogether([topic_block("14. QUICK MCQ REVISION POINTS"), Spacer(1, 0.2*cm)]))
mcq_points = [
    "Femoral canal contains: Lymph node of Cloquet + areolar tissue",
    "Femoral nerve is OUTSIDE femoral sheath (other 3 are inside)",
    "Femoral artery becomes popliteal at adductor hiatus",
    "Sciatic nerve roots: L4, L5, S1, S2, S3",
    "Longest nerve in body: Sciatic nerve",
    "Longest vein in body: Great saphenous vein",
    "Most commonly injured lower limb nerve: Common peroneal nerve",
    "Foot drop = common peroneal nerve injury at neck of fibula",
    "Unhappy triad = ACL + MCL + Medial meniscus",
    "ACL test: Anterior drawer test / Lachman test",
    "PCL test: Posterior drawer test",
    "Locking of knee: Popliteus unlocks it",
    "Strongest ligament in body: Iliofemoral (Y-ligament)",
    "Ligamentum teres: carries artery to head of femur",
    "Trendelenburg +ve: Gluteus medius weakness",
    "Femoral hernia: BELOW and LATERAL to pubic tubercle",
    "Inguinal hernia: ABOVE and MEDIAL to pubic tubercle",
    "Inguinal canal length: 4 cm",
    "Saphenous opening (fossa ovalis): 4 cm below pubic tubercle",
    "Piriformis: landmark in gluteal region, sciatic exits below it",
    "GSV tributaries at saphenofemoral junction: 5",
    "Adductor hiatus: femoral artery passes to become popliteal",
    "Obturator nerve: medial compartment of thigh (adductors)",
    "Howship-Romberg sign: Obturator hernia",
    "Varicose veins: GSV most commonly affected",
]
for pt in mcq_points:
    story.append(Paragraph(B + pt, bullet))

story.append(Spacer(1, 0.5*cm))
story.append(HRFlowable(width="100%", thickness=1, color=colors.HexColor('#1a3a6e')))
story.append(Spacer(1, 0.2*cm))
story.append(Paragraph("MPMSU BHMS 1st Year | Lower Limb Revision Notes | 2026 Exam | Orris AI", ParagraphStyle(
    'foot', parent=styles['Normal'], fontSize=8, fontName='Helvetica',
    textColor=colors.HexColor('#888888'), alignment=TA_CENTER)))

doc.build(story)
print(f"PDF done: {out}")