Strategy to Crack May AIIMS 2016



Guest article by Dr. Devesh Mishra

( NOTE:- May -AIIMS will be expected to have more image based MCQs ,so keep your focus on “Image Based MCQs” and related concepts. )
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● First of all try to observe latest 5 years MCQs of AIIMS.
(Just for observation and planning before you start, so that you can understand their pattern and while studying you can focus on those TOPICS/concepts.)
■ Try to focus on ALL INDIA/AIIMS/PGI EXAM 10 yrs. MCQ with explanation and revise it regularly for 3 to 5 times (best method of preparation).
■ More detail study of recent 5 years MCQ will be better approach.
(CAUTION:- It is preferable to prepare like this and read MCQ references from your text books also ( NOTE--- read only that particular topic and heading not entire chapter)
■ Read/ search controversial points from standard text books only.
■ This method will keep your focus on important topics and you will not be distracted ).
■ Don’t get panic about AIIMS- exam pattern. You need to follow important concepts and high yield facts.
■ Don’t plan your strategy based on rare and irregular questions amounting to be approx. 5-10 %.New type of MCQ will be new to everyone so need not to worry too much for such type of question.
■ CAUTION:- don’t jump from journals to journals for few controversial MCQ; it will waste your time.
■ Your focus must be on simple concepts and repeats and You should not allow a single mistake in these areas. (This will create great difference in exam too !!!!!)
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● Don’t ignore short subjects like --
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■ Ophthalmology and PSM (special attention must be given to them as they ask crucial and tough MCQ from these two subjects.)/Skin/Anaesthesia /Radiodiagnosis/ Psychiatry/ Anatomy/ Biochemistry/ Physiology/Orthopedics
(Note--- Its MUST FOR ACHIEVING “TOP- RANK”)
■ Just go through “Harrison -19/e /Robbins 9th/e etc . –tables (AIIMS they definitely ask question from these tables)
■ Compile all " high - yield facts"of standard text book into your own notes for last moment revision
■ While studying any MCQ/TOPIC just try to imagine all possible "FUTURE MCQ" and surely you will find some brand new appearing question in your exam (which is actually a repeat concept from previously asked topic/mcq.).
■ Use individual subject guides judicially ( use it only for important subjects like PSM;PATHO ;PHARMA; MEDICINE (read CNS/endocrinology/KIDNEY/CVS/ RS etc.)/ SURGERY ; use them only for important chapters and topics and make short note of that for quick last moment revision )
■ In between keep referring your standard text books for doubt/controversies clearance (add extra info in your guide if you get any)
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■ GROUP- DISCUSSION IS VERY IMPORTANT :-
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a) Make a small group of (3-5 max.) sincere friends for GROUP-DISCUSSION of MCQ
b) Argue for every option (why? What? ….Factor will sharpen your approach).
c) Spend at least 2-3 hrs. For such discussion.
d) Keep asking question to each other during tea/ breakfast /lunch /dinner time ( this intelligent discussion will enhance your memory and rank both. !!!!!)
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■ REVISION IS KEY TO SUCCESS:
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1) Mark tough topic in your book/notes and Revise them regularly (specially 2 hours every morning before starting your routine schedule)
2) Plan for smaller goals of revision everyday i.e. i ll revise genetics today instead of whole pathology
3) if you are in coaching classes, best method will be to solve MCQ based on lecture of that particular day.
4) After class try to solve maximum MCQ based on that topic and add up extra facts/concepts into your note, if you get any newer one.( it will be helpful for last moment revision).
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■ APPROACH FOR DIAGRAM BASED QUESTION :-
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a) Focus on diagrams related to recently asked MCQs in recent papers. .
b) Try to read comments written below the diagram since many MCQs are often framed from these comments only .!!!
(It will be better idea if you discuss it with your study partner on regular basis)
■ Make separate small note book for writing DATA-BASED information while studying ( revise and discuss them at regular interval; they will be of great help in last moment revision )
■ Try to finish your syllabus upto
september so that you can have 1 month time for revision.
■ Write Grand tests / mock tests for practices; analyze your weaker areas and improve on them from time to time.
■ Always have faith in your hard work and stay positive.
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‪‎High‬ yield "Topics" from PATHOLOGY‬ for PGMEE:-
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GENERAL‬ PATHOLOGY:-
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●Necrosis
● Apoptosis
Genes‬ (apoptotic and anti-apoptotic)
Mechanism‬ (Intrinsic pathway/Extrinsic Pathway)
● Pyroptosis and necrptosis* (9/e robbins)
●Sirtuin and ageing*
●cellular and vascular events of inflammation ( more emphasis on mechanism of vascular permeability)
●Inflammatory mediators (Arachidonic acid metabolite)
●Granulomatous inflammation
●Phagocytosis
●wound healing with day wise changes in healing process.
●stem cells.
● Genes:-
‪#‎transposons‬
‪#‎MicroRNA‬
‪#‎LINC‬ RNA
‪#‎Polymorphic‬ genes (SNP; Microsattelite;minisatellite)
● Uniparental disomy
● Dominant negative effect
● Unclassic inheritance (special emphasis on Genomic Imprinting; Mitochondrial inheritance)
●Microarray based CGH (comparative Genomic hybridisation)
● MLPA (multiplex ligation associated probe amplification)
●PCR and FISH and their variants for diagnosis.
●Karyotyping and trisomies like Down /turner /klinefelters syndrome....
●Pattern recognition receptors (from‬ 9/e robbins)
●T Cells and their role in Antibody production.
●APC
●MHC
●Mechanism of Autoimmunity
●SLE/Sjogren synd/scleroderma/inflammatory myopathy/ MCTD
●Graft rejections/GVHD
●Amyloidosis
●HIV
●Tumor suppressor gene like P53 /retinoblastoma etc..
●Protoncogene and their mutation associated cancers.
●tumor markers
●Cancer diagnostic methods like FNAC/Flow cytometry/ immunohistochemistry...
●infarction and embolism.
●Fixatives of choices for histopath/EM/karyotyping etc.
●Special stains.
HEMATOLOGY‬:
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● Hemophilia
●Protocols for coagulation test/anticoagulants of choices.
●APLA (antiphospholipid antibody syndrome)
●Acquired factor inhibitors
●platelet functional defect disorders.
●HUS/TTP/ITP
●Anemia
‪#‎hereditary‬ spherocytosis
‪#‎AIHA‬
‪#‎PNH‬
‪#‎Sickle‬ cell anemia
‪#‎Thalassemia‬
‪#‎sideroblastic‬ anemia
‪#‎IDA‬
‪#‎Megaloblastic‬ anemia
‪#‎anemia‬ of Chronic disease
●Reticulocytes /count and uses
●Bone marrow biopsy sites
●Leukemia/lymphoma:
‪#‎ALL‬ (Prognosis)
‪#‎AML‬ ( latest classification )
‪#‎CML‬
‪#‎CLL‬
‪#‎BURKITTS‬ Lymphoma
‪#‎Multiple‬ Myeloma and plasma cell disorders
‪#‎Hairy‬ cell leukemia (specially immunophenotyping)
‪#‎Langerhans‬ cell histiocytosis
●Flow cytometry and its uses.
‪#‎SYSTEMIC‬ PATHOLOGY:-
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●Nephrotic syndrome genes and disorders.
●Renal disorders:
‪#‎PSGN‬ vs IgA
#RPGN
#Alport synd
#MGN vs MPGN
#FSGS
#Fibronectin nephropathy
#Diabetic nephropathy
#cystic disorders ( ADPKD/Medullary spong vs medullary cystic disease)
#Renal cell cancers
#wilms tumor n Neuroblastoma
●ARDS
●Asthma
●COPD (emphysema and chronic bronchitis)
●Asbestosis ( and related cancers)
●TB vs Sarcoidosis
●Lung cancers and their histology
●Atherosclerosis vs Aneurysm
●MI changes and biochemical markers
●IE and endocarditis (DUKES criteria)
●RHD
●Kaposi sarcoma
●Cardiac tumors
●Mallory weiss vs boerhaav rupture
●Hirschprung disease
●Baretts esophagus microscopy
●Esophageal cancer and risk factors
●GIST/Lymphoma and gastric cancers
●Menetriers disease
●Celiac /whipple/ and other malabsorption synd
●Ulcerative colitis vs Crohns disease
●Neronal response to injury
#rosenthal fibres
#Red neurons
#alzheimer type 2 astrocytes
● Chiari malformation vs Dandy walker
●Neuronal heterotopias
●CSF analysis in various meningitis
●Prions disease
●Multipls sclerosis
●Alzheimers /Parkinsons /Huntington disorders
●Brain tumors
#JPA
#glioblastoma
#Meningioma
#medulloblastoma
#Schwannoma
#primary CNS Lymphoma
●phakomatosis (neurocutaneous synd)
●Carcinoids
●Sarcomas and Rhabdomyosarcoma.
■Reference book for Pathology:-
#Robbins 9/e ( for standard reference)
■ Guidebook for Pathology:-
#Concepts in Pathology book by Dr. DeveshMishra
●For more queries and Image based info join :
#DEVESH'S PATHOLOGY DISCUSSION FORUM".
Remember;
"All sweat and sacrifice lost during gloomy days of struggle will add up more flavour of "Glory in your "Victory".

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