Many students prefer super specialization in gastroenterology. DM Gastro is an exciting branch. The Dm and Mch exams ie the NEET SS Exams are now conducted by a committee run by NBE. In every branch there is lot of competition as all colleges do not offer NEET SS seats in all disciplines.But still There is growing competition in all branches of DM nowadays with every aspirant wanting to have super specialization .Dm gastro tops the list as most candidates are interested in this field. After doing MD one is eligible for most Dm branches.
The interesting question arises how to study as it is very extensive to study for super specialization branches and preparing Gastro is not that simple. Most students want to know what is asked in the Superspeciality DM examinations and what to study.
The pattern of Examinations has also gone a change and now the exams are more conceptual, clinical oriented and testing the students’ knowledge in real sense.
Most of the Dm Students usually start preparing for DM examinations in Post Pg Period and that is a good time to start with. Few of the students don’t get enough time. But ideally one should start in advance.
Details of Dm Gastro Examination
Examination Centres at:
What should a student prepare for Gastroenterology in particular?
Physiology should not be underestimated. Many questions are asked on GIT Physiology .A NEET Dm Gastroenterology Aspirant should have full knowledge of values like below and what changes they undergo in different disease conditions. They form the Fundamentals of GIT Physiology and may questions are asked on these basis.
- Salivary secretions
- Pancreatic Secretions
- Gall bladder Function
- GI Physiology
- Enzymes and their Regulation
- Enzyme inhibitors
- Receptors (H1, H2, Motilin)
- About GIT Hormones
Dm aspirants need to have in-depth subject knowledge of Diseases. A student has to have a proper Grasp of disease conditions. DM Aspirants should be specific about diseases and their etiology, presentation, differences in disease subsets at higher than post graduate level. One should also know about Differences in Disease Conditions like:
- Ulcerative colitis
- Crohns disease
- Malrotation syndromes
- Malabsorption syndromes
- Normal physiological changes in pregnancy.
- Intrahepatic cholestasis of pregnancy.
- Acute fatty liver of pregnancy.
- Primary sclerosis cholangitis.
- Primary biliary cirrhosis.
- Acute Cholecystitis
- Acute Nephritis
- Acute Pyelonephritis
- Acute Hepatitis
Questions have been asked on Topics like, Values, Indices, Eponyms and terms like below. It is essential for Dm Aspirants to have knowledge of full spectrum of diseases effecting GIT System in addition to common and rare diseases, important details of Conditions like given below are examiners favorite for DM examinations especially from pediatric gastroenterology which are sometimes asked.
- Carolis syndrome.
- Choledochal cyst.
- Biliary abscess.
- Biliary atresia.
- Pseudo pancreatic cyst.
The use of lab values in arriving at a diagnosis. The significance of certain parameters especially those given below and their alteration with different conditions. Large numbers of questions are asked on these points.
- Gamma glutaryl transferase
- Alkaline phosphatase
From A diagnostic and clinical cases view point, students are given clinical questions based on different symptoms, lab vales, and one has to know the Importance of Different Presentations like given below:
- Caput medusae.
- Spider angiomata.
- Pedal edema.
Recently large number of Questions were asked what procedure to adopt and when .
- Indications to do a CT scan of the abdomen.
- Indications to do Endoscopic retrograde cholangiopancreatography.
- Indications to do Do a HIDA scan.
- Indications to do endoscopic ultrasonography.
- Other Interventional Procedures .
We get lot of questions on Use of Drugs, indications, side effects; Dosage Common Use of Drugs in GIT Medicine like below should be a priority for students. DM aspirants should have full knowledge of drugs like
- Carbon tetrachloride
- Anabolic steroids
- H2 Blockers
- Liver transplantation.
- Ursodeoxycholic acid.
GIT oncology is an important consideration and questions on various tumours related to GIT are all high on Examiners mind. This needs to be given a special importance. Like for topics below
- Cholangiocarcinoma, primary
- Hepatocellular carcinoma, primary
- Mucinous adenocarcinoma of the colon, metastatic
Topics of Recent Relevance and all updates about the newer topics. Many questions were ased about disease entities listed below and they were examiners favourites.
- Gardeners Syndrome
- Muire Torr Syndrome
- Ogilives syndrome
- Ormonds Disease
- Turcots Syndrome
Radiography is an important element of GIT Disease Diagnosis. A recent trend is increase in number of image based questions. Features are an important Consideration especially for Image Based Questions .One should be able to Identify. The Students ability to distinguish different presentations based on microbiology, clinical features, lab values, severity, Radiography is very essential. All students should possess the ability to arrive specifically at an answer.
- CXR/ CT Images of Intestinal obstruction
- CXR/ CT Images of Pancreatic cancers
- CXR/ CT Images of Bowel cancers
- CXR/ CT Images of Stomach Cancer
- CXR/ CT Images of Gall bladder cancers
From a Preventive medicine view point students should have compact knowledge of screening and preventive aspects of GIT diseases as to when to screen ike examples below which are asked
- Screening for HIV infection.
- Screening for hepatitis B and C.
- Screening for hepatitis C.
- Screening for hepatitis B.
- Screening for hepatitis A.
- Screening for FAP
- Screening for Lower GI Malignancies
In Gastro we expect questions from Hepatology also. So one should have an idea from Hepatology as well. It forms an important component of studying for NEET SS Gastroenterology and particularly focus on topics like :
- Acute alcoholic hepatitis.
- Autoimmune hepatitis.
- Focal nodular hyperplasia
- Hepatic adenoma
- Hepatitis due to oral contraceptive pills.
- Hydatid cyst
- Isoniazid hepatitis.
- Metastatic liver carcinoma
- Primary hepatocellular carcinoma
- Tuberculous hepatitis.
The information summed up is for DM gastroenterology and it is essential for NEET SS and particularly DM aspirants to understand that a dedicated effort is needed to pursue and qualify examinations. Online tests like that of ours in addition to standard text reading wherever possible are recommended. We hope that you find this information useful for preparing best for NEET DM Exams.