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Postgraduate Manual of Pathology, 9th Edition (2025)
  • Author: Dr. Shiva M.D. (Pathology), Professor
  • Designed for: Postgraduate students from Andhra Pradesh and Telangana (India)
  • Total pages: 109
  • Note: "NOT for sale" - this appears to be an academic resource
Contents overview:
SectionTopics
Paper IGeneral Pathology (p. 5)
Paper IISpecial Pathology (p. 23)
Paper IIIHematology, Clinical Pathology, Cytology, Chemical Pathology, Blood Banking (p. 43-78)
Paper IVRecent Advances in Pathology related to Clinical Medicine (p. 63-78)
KNRUHS TelanganaPast papers 2018-2025 (p. 82)
Recent AdvancesHistopathology & Hematology topics (p. 101-108)

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  • Ask questions about specific pathology topics covered in it
  • Search for a particular disease, condition, or exam question
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  • Summarize a chapter or topic area

What are the main topics in Paper I (General Pathology)?

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Here is a full breakdown of Paper I (General Pathology):

Paper I - General Pathology: Main Topics

Paper I spans pages 5-22 and is organized into 10 chapters plus a miscellaneous section:

1. The Cell as a Unit of Health and Disease

Key recurring exam topics:
  • Cell cycle regulation & cyclins / cyclin-dependent kinases
  • Signal transduction pathways
  • Stem cells (properties, regenerative medicine, transplantation)
  • Lysosomes in health and disease
  • Cytoskeletal abnormalities (tonofilaments, fibronectins)
  • Growth factors and cell adhesion molecules
  • Extracellular matrix (ECM) and collagen disorders
  • Cell proliferation markers
  • microRNA (miRNA) types and functions

2. Cellular Responses to Stress, Adaptation, Injury & Death

Key recurring exam topics:
  • Apoptosis (pathways - mitochondrial, extrinsic; vs. necrosis; dysregulated apoptosis)
  • Necroptosis and regulated necrosis
  • Free radicals / reactive oxygen species (ROS) and antioxidants
  • Oxidative stress and ischemic/hypoxic cell injury
  • Cellular aging (telomeres, telomerase, Werner syndrome mechanisms)
  • Pathologic calcification (types, morphology)
  • Cellular adaptations (hypertrophy, atrophy, metaplasia)
  • Endogenous pigments (melanin, hemosiderin, lipofuscin, etc.)
  • Protein folding defects
  • Intracellular accumulations

3. Inflammation and Repair

Inflammation topics:
  • Granulomatous inflammation (classification, pathogenesis, examples)
  • Leukocyte reactions: chemotaxis, phagocytosis, adhesion molecules (integrins, selectins)
  • Chemical mediators: arachidonic acid metabolites (prostaglandins, leukotrienes), cytokines, chemokines, interleukins (IL-1)
  • Complement system
  • Mononuclear phagocytic system; macrophages; eosinophils; neutrophils
  • Chronic granulomatous disease
  • Acute phase reactants
  • Defects in leukocyte function
Repair topics:
  • Wound healing (primary vs. secondary intention; phases; factors affecting; complications)
  • Angiogenesis in healing and disease
  • ECM components and wound healing
  • Matrix metalloproteinases (MMPs)
  • Myofibroblasts in health and disease
  • Types of collagen and their significance
  • Fracture healing (stages and complications)
  • Stem cells in tissue regeneration
  • Chronic wounds - molecular pathogenesis

4. Hemodynamic Disorders, Thromboembolic Disease & Shock

Key recurring exam topics:
  • Septic shock / endotoxic shock (most frequently asked topic)
  • Virchow's triad and thrombogenesis
  • Endothelial cell functions (antithrombotic vs. prothrombotic properties)
  • Embolism (pulmonary, air, fat)
  • Infarction (red and white infarcts)
  • Edema (cardiac, pulmonary, pathophysiology)
  • DIC (disseminated intravascular coagulation)
  • Multiple organ failure syndrome (MOFS)
  • Hypercoagulable states / thrombophilia
  • Platelets in hemostasis

5. Genetic Disorders

Key recurring exam topics:
  • Lysosomal storage diseases: Gaucher disease, Niemann-Pick disease, Tay-Sachs, mucopolysaccharidoses
  • Genomic imprinting (very frequently asked)
  • Chromosomal abnormalities and karyotyping techniques
  • FISH (Fluorescent in-situ hybridization) - principles and applications
  • Next-generation sequencing (NGS) - principles, diagnostic utility
  • PCR and its modifications
  • Mendelian inheritance patterns (AD, AR, X-linked)
  • Fragile X syndrome
  • Familial hypercholesterolemia
  • Triplet repeat mutations
  • Inborn errors of metabolism (urea cycle, amino acid disorders)

6. Diseases of the Immune System

Key recurring exam topics:
  • SLE (etiopathogenesis, pathology, lab diagnosis) - most frequently asked
  • HIV/AIDS immunopathogenesis + opportunistic infections + associated neoplasms
  • Transplant rejection (acute, chronic, antibody-mediated; graft survival; GVHD)
  • Amyloidosis (classification, amyloidogenesis, lab diagnosis - Congo red staining)
  • Hypersensitivity reactions (Types I, II, III, IV)
  • Autoimmune disease mechanisms and tolerance
  • Major histocompatibility complex (MHC class I & II)
  • Immunodeficiency disorders (primary & SCID)
  • Toll-like receptors
  • Antigen presenting cells; NK cells
  • Systemic sclerosis

7. Neoplasia

Key recurring exam topics:
  • Mechanisms of metastasis (invasion-metastasis cascade, metastatic signature, EMT)
  • Tumor suppressor genes (Rb gene, Knudson two-hit hypothesis)
  • Oncogenes and proto-oncogenes
  • Viral carcinogenesis (HPV, EBV in particular)
  • Chemical carcinogenesis (steps, agents)
  • Microbial carcinogenesis
  • miRNA in carcinogenesis
  • Microsatellite instability (MSI) in colon cancer
  • BRAF mutations in neoplasia
  • Paraneoplastic syndromes
  • Precancerous lesions
  • Radiation oncogenesis
  • Tumor immunity
  • IHC in undifferentiated malignant tumors
  • Warburg effect
  • Genomic instability
  • WNT signaling pathway in carcinogenesis

8. Infectious Diseases

Key recurring exam topics:
  • Leprosy (classification, immunopathology, reactions - type 1 & 2)
  • Tuberculosis (natural history, spectrum, lab diagnosis, staining of mycobacteria)
  • EBV-associated diseases
  • Prion diseases (types, pathology)
  • Opportunistic fungi (microscopy, special stains - GMS, PAS)
  • Mucormycosis
  • Pneumocystis carinii infection
  • Non-tuberculous mycobacterial infections
  • Bioterrorism and emerging infectious diseases
  • Neurosyphilis

9. Environmental and Nutritional Diseases

Environmental:
  • Ionizing radiation injury (acute and delayed)
  • Effects of tobacco/smoking on health and neoplasia
  • Alcohol abuse - pathogenesis and organ effects
  • Effects of oral contraceptives/estrogens
Nutritional:
  • Obesity (etiopathogenesis, complications) - most frequently asked
  • Vitamin D deficiency (role in calcium/phosphorus metabolism; rickets)
  • Vitamin C deficiency
  • Thiamine deficiency
  • Diet and cancer

10. Diseases of Infancy and Childhood

Key topics:
  • Embryonal tumors (neuroblastoma, Wilms tumor, etc.)
  • Fetal hydrops (immune and non-immune)
  • Teratogenic agents
  • Childhood bone tumors
  • Pediatric renal tumors
  • Infectious causes of fetal malformations

Miscellaneous

  • Immunohistochemistry (IHC) in diagnostic pathology and undifferentiated malignant tumors
  • Tissue microarray
  • Microsatellite instability in colorectal cancer
  • Flow cytometry; nephelometry; image analysis
  • Autopsy - utility and role
  • ARDS (acute respiratory distress syndrome)
  • Laboratory information systems; telepathology
  • HbA1c diagnostic significance
  • Somatic mutations in colorectal cancer

Most frequently examined topics overall: Apoptosis, Septic shock, SLE, HIV immunopathogenesis, Amyloidosis, Transplant rejection, Mechanisms of metastasis, Granulomatous inflammation, Wound healing, and Genomic imprinting.

Create a study guide summarizing the top 20 most frequently asked Paper I topics

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PaperI GeneralPathology Top20 StudyGuide

Word Document · DOCX


Here's what the guide contains:

What's Inside (30 KB, professionally formatted)

Cover page with title, edition, and university details.
Frequency ranking table — all 20 topics ranked with approximate ask count and chapter reference.
20 fully detailed topic summaries, each including:
#TopicKey Content Covered
1ApoptosisIntrinsic + extrinsic pathways, Bcl-2 family, necrosis vs apoptosis table, dysregulation in disease
2Septic ShockPathogenesis steps, key mediators (TNF-α, IL-1, NO), stages, organ pathology
3Mechanisms of MetastasisInvasion-metastasis cascade, EMT, MMPs, seed & soil theory
4SLEAuto-antibodies, pathogenesis, organ morphology (wire-loop, Libman-Sacks, onion skin)
5AmyloidosisClassification table (AL/AA/ATTR), amyloidogenesis, Congo red staining
6Transplant RejectionHyperacute/acute/chronic, AMR (C4d), GvHD
7HIV/AIDSViral entry, CD4 depletion mechanisms, OIs & neoplasms table
8Free RadicalsROS types, Fenton reaction, cellular targets, antioxidant defenses
9Granulomatous InflammationCaseating vs non-caseating table, prerequisites, fate
10Wound Healing4 phases, growth factors, complications (keloid vs hypertrophic)
11Virchow's TriadTriad details, thrombophilias, fate of thrombus
12Viral CarcinogenesisHPV E6/E7 mechanisms, EBV tumor table, HBV/HCV/HTLV-1/HHV-8
13Genomic ImprintingMechanism (methylation, ICRs), Prader-Willi vs Angelman table, cancer role
14Pathologic CalcificationDystrophic vs metastatic table, psammoma bodies (MOPS mnemonic)
15Chemokines & Mediators4 families (CXC/CC/C/CX3C), key mediator summary
16Signal Transduction & Cell CycleRTK pathways, cyclins/CDKs table, pRb checkpoint, CKIs
17Cellular AgingTelomere shortening, oxidative stress, proteostasis, progeroid syndromes
18ObesityLeptin/ghrelin axis, FTO/MC4R genetics, complications by organ
19Lysosomal Storage DiseasesLSD table, Gaucher cell morphology, Erlenmeyer flask deformity
20Tumor Suppressor GenesKnudson two-hit, 8-gene table (RB1, p53, APC, BRCA, VHL…), p53 detail
Quick Revision section at the end with 4 mnemonics (Apoptosis, Psammoma bodies, SLE antibodies, HPV mechanism).
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