Block J [Modular Medical Circle]

Block J (Neurosciences-II Module)

Fourth Year Mbbs course content for Kmu
By Modular Medical Circle

Pharmacology (Mcqs=20)
S.no. Topics Lippincot Tara Mini Katzung
[10th Edition] [5th edition] [12th Edition]
1 Introduction to the P#103-105 P# 176 Ch#5 Ch# 21 pg#181
Pharmacology of CNS [Common [Ch#8] (Whole Chapter)
terminologies, BBB, [BBB: Missing]
Neurotransmitters, Ion channels
and its receptors]
2 Sedative-hypnotics (Minor Ch#9 p#116 P#177-185 Ch# 22 pg#188
tranquilizers): (whole chapter) Ch#5 (Whole Chapter)
Benzodiazepines, classification is
Barbiturates, Buspirone, missing Buspirone:
Ramelteon P#240
3 CNS stimulants Ch 15 p#194 [WC] P#234 [Ch#5]
4 Respiratory analeptics
(Doxapram, Nikethamide)
5 Methyl Ch 15 pg 194 Ch#20 pg#175
xanthine/Theophylline,
Caffeine, Theobromine)
6 Sibutramine
7 Depression [Monoamine Chp#10 pg#128 P#240-246 Ch#30 pg#249
hypothesis] [Whole chapter] [Ch#5] [Whole Chapter]
Antidepressants
[Classification]
SSRIs (Selective Serotonin
Reuptake Inhibitors)
TCAs (Tricyclic
Antidepressants)
MAOIs (Monoamine Oxidase
Inhibitors)
Serotonin syndrome,
Hypertensive Cheese
reaction, St John’s Wort,
11 procedure of switching-over
from one category of

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antidepressants to another
one
12 “Augmentation” of
antidepressant therapy
13 Electroconvulsive Therapy
(ECT) for depression
14 Psychoses (Schizophrenia, Chp 11 pg 139 P#235-240 Ch#29 P#241
Dopamine hypothesis), [Whole Chapter] [Ch#5] [Whole
Antipsychotics Chapter]
(Antischizophrenic)
Bipolar affective disorder
(Manic Depressive
illness+Mood stabilization)
Mood-stabilizing drugs
15 Lithium carbonate Ch 10 pg 136 P#246-248
Ch#5
16 Alcohols Ch#44 p:586 P#203-206 Ch#23 p:196[WC]
[deficient] [ch#5]
17 Opioids (Morphine, Ch 14 pg 180 P#217-228 Ch 31 pg 257
Diamorphine, Codeine, [Whole chapter] [ch#5] [whole chapter]
Pethidine, Methadone,
Pentazocine, Buprenorphine,
Dextromethorphane)
Tramadol
18 Drugs of abuse Ch:32 p:266 [WC]
19 Anti-seizure drugs (Anti- Ch 12 pg 148 P#206-216 Ch 24 pg 203
epileptics): [Whole Chapter] [Ch#5] [Whole Chapter]
Carbamazepine, Phenytoin,
Valproate, Ethosuximide,
Phenobarbitone,
Benzodiazepine,
Lamotrigine, Topiramate and
others [new antiepileptic
drugs]
management of status
epilepticus
20 General anaesthetics Page#161-173 P#185-194 Ch 25 pg 212
21 Inhaled anaesthetics (N2O, [Ch#13] Ch#5] [Whole Chapter]
Halothane, Isoflurane,
Sevoflurane, Desflurane)
22 IV anaesthetics
(Thiopentone, Propofol,

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Etomidate, Ketamine,
Midazolam, Fentanyl)
23 Pre-anaesthetic medications Ch 13 pg 176
24 Obstetric analgesia
25 Drugs for Parkinsonism: P#105-112 P#228-234 Ch 28 pg 233
Levodopa (with Carbidopa), [Ch#8] [Ch#5] [whole chapter]
Bromocriptine, Selegiline,
Apomorphine
26 Drug-induced Parkinsonism
27 Migraine and Cluster P#498 Ch#37 P#253-257 P#149 Ch#16
headaches: [Ch#5]
Triptans (Sumatriptan and
others), Ergot alkaloids,
Ergotamine
28 Local anaesthetics P#174-177 P#194-203 Ch#26 pg#220
(Lignocaine and others) [Ch#13] [Ch#5] [Whole Chapter]

Pathology/Microbiology (Mcqs=22)
Topics Robbins [10th Edition] Pathoma [2022 Ed] Goljan [5th Edition]
Hypoxia, Ischemia, and Ch#23 p#852-857 Chp # 17 page 184 Chp #2 page 14+39
infarction
Intracranial Hemorrhage Ch#23 p#852-857 Chp # 17 page186 Chp # 26 page 788
Strokes Syndromes Ch#23 p#852-857 Chp # 17 page 185 Chp # 26 page 789
Subarachnoid Hemorrhage Ch#23 p#852-857 Chp # 17 page186 Chp # 26 page 794
(SAH)
Neurodegenerative disorders: Ch#23 page#874-880 Ch#17 P#187
Alzheimer`s disease,
Parkinson`s disease,
Huntington’s Disease and
Spinocerebellar ataxias.
Motor Neuron disease
Meningitis Ch#23 P#862-870 Chp # 17 page 183 Chp # 26 page 796
Encephalitis Ch#23 P#862-870 Not present Chp # 26 page 798
Brain abscess Ch#23 P#862-870 Not present Chp # 26 page 798
Cerebral Toxoplasmosis Not present Chp # 26 page 801
Tumours of CNS: Chp#23 page#881-887 Chp # 17 page 191 Chp # 26 page 811
i. Gliomas
ii. Embryonal neoplasm
iii. Meningioma
iv. Other neoplasms

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Multiple Sclerosis and other Ch#23 page#870-873 Chp # 17 page 188 Chp # 26 page 798
demyelinating disorders of
CNS
Patterns and Types of Ch#22page#835-838 Not present
Peripheral Nerves Injury
Acute and Chronic Ch#22 page#835-838 Chp # 17 page 187 Chp # 26 page 798
Demyelinating Neuropathies
Myasthenia Gravis Chp#22 page#839 Chp # 18 page 202 Chp # 26 page 731
Tumors of Peripheral nerve Chp#22 page#846-847 Not present Chp # 26 page 816-17
(Neurofibromatosis)

Forensic Medicine (Mcqs=18)

Topics Parikh (9th edition) Jamiat
Classification of neurotoxins Not present pg 179 [Ch 15]
Cerebral Poisons- Somniferous Poisons: Ch#48 page#617-621 [WC] Ch#15 P#229 &
Morphine, Opium, Heroin Page: 248+249+245
Inebriant Poisons: Ch#50 page#629-642 [WC] Ch#15 P#229 &
Ethyl Alcohol , Methyl Alcohol Page:237+247
Sedative & Hypnotics: Ch#51 Page#643 646 [WC] Page: 241+239
Chloral hydrate, Barbiturates
Fuels, Stimulants: Ch#52 & 53 Page 647-659 Page 222-224 +246
Agrochemical poisons, Kerosene [WC]
Hallucinogens: LSD Ch#63 & 64 Page#695-700 P#244+237
Stimulants: Amphetamines [WC]
Drug Dependence Chp 49 page 622-628 [WC] Not present
Insanity and relationship to criminal page 478-480 (Chp 33) Ch#14
charges, also (McNaghten rule, Durhams [ignore the Indian law
Rule & Impulse etc) statements given in the text]
Forensic Psychiatry (definitions & page 459-469 [Chp 33] Ch#14
Terminologies)
Mental Health Act
Will (Testamentary Capacity & Valid Will) Page 475-477 [Chp 33] Ch#14
Civil and criminal responsibility of mentally Page 475-477 [Chp 33] Not present
ill patients
Deliriant Poisons: Chp 54 Chp 16 pg 219-220+228, &
Dhatura, Hyocyamus Nigra, Cannabis Indica Page 660-665 [WC] Page#243+245+240

Head Injury ( +Skull Fracture, hemorrhage, Page#299-313 [Chp 20] P#66-74 [ch#6]
Injuries)
vertebral and spinal injuries Page#314-316 [Chp 20] Not presnt
Neurotoxins: spinal poison CH#55 Page#666-668 Chp 16 P#220-222

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Snake bite Neurotoxins P#599 {Chp 45} Scattered in text

Botulism Toxins page#609-610 [Chp 47] Not present
Neurotoxins: Peripheral Poison CH#56 Page#669-670 Not present

Community Medicine (Mcqs=27)

Topics Excel 13th edition Hayat
Epidemiology Ch#3 page#23 & onwards Chp 2 pg 7 Do
Study design [whole chapter] Ch 2 Pg 26 Epidemiology
Measures of mortality and Chp 2 Pg 11 + 15 Whole
morbidity Chapter
Screening Chp 7 page 143 [whole chapter] Chp 2 Pg 20
Mental health Chp 23 page 339 Chp 27 pg 405
Biostatistics: Chp 8 page 151 [whole chapter] Chp 3 pg 41 + 63
 Introduction
 Data and Variable Types
 Sampling
 Biases in
epidemiological Studies

Measures of Central Tendency Pg 157 Ch 3 Pg 51

Measures of Dispersion Pg 158 Ch 3 Pg 54
Normal Distribution(Percentile& Pg 162 Ch 3 Pg 57-58 Do Whole
Interquartile Range) Chapter of
Confidence Interval, Confidence Ch 3Pg69 Biostatistics:
level, Standard error All these
P-Value, Critical Region, Pg 162 + 163 Ch 3 Pg 71-72 topics are in
Rejection Region, Alpha Beta this chapter of
Errors Z-Test & its Application, Page 154 + 161 Ch 3 Pg 76 the respective
Types / Shapes of Frequency books
Distribution
“t”-Test & its Application Pg 161 Ch 3 Pg 74
Chi Square Test & its Application Pg 160 Ch 3 Pg 72
Correlation, Regression
Practical Problems in
Biostatistics
Non-communicable diseases: Pg 127-128
Strokes
Rabies Pg 86 Pg 155

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Medicine [mcqs=11]
Topics Step up 6th Edition Irfan masood
Alzheimer`s disease and Chp 5 page 216-218 Ch 13 pg 618
Dementias
Stroke Chp 5 page 205
Seizures Chp 5 page 231 Ch 13 pg 587-598
Parkinson`s Disease Chp 5 page 212 Ch 13 pg 623
Meningitis Chp10 page 372 Ch 13 pg 631
Multiple Sclerosis Chp 5 page 222 Ch 13 pg 612
Transverse Myelitis Chp 5 page 227 Ch 13 pg 616
Caries Spine
Guillain Barre Syndrome(GBS) Chp 5 page 223 Ch 13 pg 647
Neuropathies
Myasthenia Gravis Chp 5 page 224 Ch 13 pg 650

Psychiatry [mcqs=09]
Topics Resource
Sleep Disorders
Non-Organic Insomnia
Sleep Wake Cycle Disorders
Depressive Disorders
Bipolar Affective Disorder
Suicide
Anxiety Disorders
Dissociative Disorders
Stress related Disorders
Somatoform Disorders
Atypical Depression and Seasonal Affective Disorder
Personality Disorders
Psychotic Disorders (Organic & Non-Organic
Psychosis )
Schizophrenias (Psychotherapy & Electroconvulsive
therapy and Rehabilitation)
Delusional Disorders
Substance Abuse Disorder
Chronic daily headache

Note: Use Kaplan or First Aid for Psychiatry. See Minor subjects notes by Asif Shah, SMC.

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Neurosurgery [Mcqs=02]
Topics Resources
Stroke & Sub-Arachnoid Hemorrhage Management
Neurodegenerative Disorders:
i. Alzheimer`s Disease
ii. Parkinson`s Disease
iii. Huntington’s Disease & Spin-
Cerebellar Ataxias
Motor Neuron disease
Traumatic Paraplegia Management
Spinal Tumors
Pediatrics [Mcqs=05]
Topics Resources
Cerebellar Ataxias (Friedreich,s Ataxia)
Meningitis(Pyogenic& TB MeningitisInChild &
Neonate)
Hereditary Neuropathies
Anesthesia [Mcqs=03]
Topics Resources
Introduction to the subject
General anaesthesia
Neuroaxis block ( Spinal, Epidural, Caudal Block)
Regional Anesthesia (Terminologies)
Preoperative Evaluation and Risk Assessment
Monitoring in Anesthesia ( Invasive & Non
Invasive)
Family Medicine [Mcqs=01]
Topics Resources
Rabies Prophylaxis(Immunization )
PRIME/MEDICAL EDUCATION/RESEARCH [Mcqs=02]
Conflict resolution
Data analysis
Orthopaedics []Mcqs=0
Management of traumatic paraplegia
Peripheral nerve injury

NOTE:
1. At the start of each column book edition is mentioned. Kindly tally your book
accordingly. If you have another edition and the page numbers here does not match
your book, kindly take help from chapter numbers.
2. For minor subjects see Asif Shah, SMC notes shared on our page.

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Fourth Year MBBS Subject Wise Recommended Books:

A) Pathology:
1. Pathoma + BnB ± First Aid (Recommended)
2. Robbins (unnecessarily lengthy)

B) Pharmacology:
1. Kaplan + First Aid ± Sketchy (recommended)
2. Lippincott/Tara (KMU exam focused)

C) Microbiology:
1. Sketchy ± First aid
2. Faiz/Levinson microbiology (only for the more studios peeps)

D) Forensic:
1. Parikh [Major portion is poisons which is not good in Jamiat]

E) Community medicine:
1. Excell ± 2. Hayat

F) Ent:
1. Dingra + Naseem Sherzad (recommended combination)
2. Iqbal Hussain Udaipurwala + Naseem Sherzad

G) Eye:
1. Jatoi + Naseem Sherzad

H) Psychiatry:
1. BnB + First Aid + Dirty Medicine [youtube]

I) Medicine:
1. Step-up
2. Kaplan

J) Surgery:
1. Abdul Wahab Dogger

K) Gynaecology:
1. Kaplan
2. Lecture slides

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Block J [Fourth Year MBBS] Recommended Lecture Resources

A) Pathology
 Neurology from:
1. Pathoma lectures + notes
2. First Aid
3. BnB
4. Dirty medicine YouTube channel
 Microbiology from:
1. Sketchy lectures
B) Pharmacology:
 CNS and Psychiatry drugs from
1. Kaplan
2. First Aid
3. Sketchy
4. Speedy Pharmacolgy YouTube channel
C) Psychiatry:
1. BnB lectures + notes
2. First Aid
3. Dirty Medicine YouTube channel
D) Forensic:
 CNS poisons from Parikh
E) Community medicine:
 Epidemiology from
1. BnB
2. First Aid
3. Excellent + Selfless medicose YouTube channel
 Biostatistics from
1. BnB
2. First Aid
3. Hayat book
4. Randy Neil YouTube channel

Written and Composed by:

1. Saqib Islam, BMC Batch 2k25
2. Farhad Khan, NMC Batch 2k25
3. Members Modular Medical Circle
4. Help was taken from Junaid Imran [KMC] 4th year mbbs guidlines

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