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CMA Syllabus 2018 Downloaded PDF Files

Published on 13/10/2018
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Anatomy and physiology

1. Anatomical structure and function of the different organs of the body system,

A. Digestive system

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B. Respiratory system

C. Cardiovascular system

D. Reproductive system

E. Endocrine system

F. Nervous system

G. Skeletal system

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H. Sense organ system

 Downloaded PDF Files- PSC ANM Syallobus 2018

2. Health education and community Diagnosis 

(A) Health Education

– Health Education, importance and method

– Communication & barrier of communication

– Learning process

– Leadership.

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(B) School Health

– Purpose of School Health Program

– Activities of School Helath Program.

(C) Community Diagnosis

– Importance and methods of community diagnosis

(D) Community Development

– Objective

– Methods of community development

3. Community Health

(A) Epidemiology

i. Definition of Epidemiology

ii. Scope of Epidemiology

iii. Vitalstatistic

iv. Epidemiological investigation

v. Epidemiological trends

vi. Disease prevention

vii. Basic principle of disease transmission


(B) Environmental sanitation

i. Environmental sanitation

ii. Scope of environmental sanitation

iii. Water (Source, Water purification)

iv. Excreta disposal and faecal born disease

v. Solid waste method of termination

vi. Disposal of waste water

vii. Health & Disease spectrum

viii.Food sanitation

ix. Insects and rodents and their importance in public health

x. Milk hygiene & Milk born disease.

4. (A) Basic Medical Procedures and First Aid Treatment

– First aid:- Shock, Bleeding, burn/scalds fracture, Ear, Throat, Nose and

Eye injuries, Poisoning, Snake bite, Insect bite and Animal bite &

Frost bite

– First aid treatment of electrical injury

– Drawing, Choking, High fever fit and convulsion

(B) Basic Medical Procedures

– Vital signs

– Investigation process and Importance of urine, Stool, Blood, Sputum pus and throat swab collection

– Bandage (Importance, types & application)

– Technique of giving injection

– Sterilization process, importance, type and methods.

5. Vector Borne Disease (VBDs):

i. History and Epidemiology of VBDs- Mode of transmission, causative agent, host, vector and evironment, Life cycle of vectors and parasites/viruses.

ii. Rationale and Tools and techniques for the Prevention and control of VBDs.

iii. Clinical features, Diagnosis and Case Management of VBDs

iv. Nepal’s National Goal, objectives, prevention and control strategies, approaches, methods and activities, National Treatment Protocl of VBDs. rends of transmission, geograpical distribution, epidemiological situation.

v. Planning for VBDs Prevention and Control at the district and periphery level:

1. Analysis of the district VBDs situation.

2. Development of District VBDs Profile with the risk areas and population mapped.

3. Preparation of Annual Work Plan

4. Epidemic/Outbreak preparedness and Response

5. Surveillance

6. Behaviour Change Communication (IEC)

7. Recording and Reporting of VBDs

8. Referral and follow-up

9. Supervision, monitoring and evaluation of VBDs control programs.

10. Roles and responsibilities of different level health facilities.

11. Techniques of community mobilization for VBDs.

6. Maternal and Child Health, Family Planning and Nutriton

A. Maternal and Child Health

i. Antenatal care

ii. Physiological Change during pregnancy

iii. Danger signs

iv. High risk group (mother)

v. Delivery care

vi. Stages of labor

vii. Difference between false and true labour

viii. Postnatal care

ix. New born Care

x. Complication of pregnancy

xi. Abortion

xii. Ectopic pregnancy

xiii. Toxemia

xiv. Mal Presentations

xv. Ante Partum haemorrihage

xvi. Poat partum haemorrihage

xvii. Post partum haemorrihage, retained placenta

xviii. Definition, signs and symptoms; and management of pelvic infection

xix. Uterince prolapsed

xx. Leucorrhoea, Trichomonosis

xxi. Growth and development of baby

xxii. Milestone development

xxiii. Definition, causes, signs symptoms and management of Ante

Respiratory Infection (ARI), Diarrheal Diseases

xxiv. Six killer desease (Tuberculosis, Teatunus, Polio, Purtusis, Diphtherial Measles

(B) Family Planning

i. Population education

ii. Population pyramids

iii. Consequences of population growth

iv. Mea rures to slove population problem.

v. Family planning methods

vi. Temporary method

vii. Permanent method

(C) Nutrition

i. Source of nutrients

ii. Nutritional status measurements

iii. Breast feeding, Weaning and supplementary foods

iv. PEM (Protein Energy malnutrition) sign/symptoms, prevention and treatment

v. Vitamins, Minerals, sources, deficiency disease, sign/symptom of deficiency disease and management 

7. Communicable Disease and Microbiology

A. Microbiology

i. Micro-orgnisms (Bacteria, virus, parasities fungus, protozoa, helminthes)

B. Communicable Diseases

Communicable disease and non communicable disease, causes, clinical

features, treatment, compliation and prevention of:

i. Amoebic, bacillary, dysentery, giardiasis

ii. Cholera, Tuberculosis, Malaria

iii. Parasitic Siseases

iv. Viral Sisease (AIDS, Chicken pox, measles, influenza and

common cold, mumps, Rabies, infective, hepatitis, polomyelitis, trachoma)

v. Bacterial Disease

vii. Leprosy, pertusis, tetanus, gastro-enteritis

vii. Enteric fever, diphtheria, syphilis, gonorrhea.

8. Medicine & Surgery:

A. Medicine:

1. Hitory taking/physical examination

2. Causes, signs and symptoms, type, prevention, treatement, complication and investigation of

a. Deficiency disease

i. Anemia, Protein Energy Malnutrition (PEM), Vitamin deficiency disease.

b. Digestive System

i. Gastritis, peptic ulcer, cholecystitis

ii. Appendicitis

iii. Dysentery

iv. Gastroenteritis

v. Hepato-splenomegaly

c. Respiratory system

i. Common cold

ii. Tonsillitis

iii. Pharyngitis

iv. Rhinitis

v. Sinusitis

vi. Bronchitis

vii. Pheumothorax

d. Cardiovascular System

i. Hyper Tension

ii. Congestive Cardiac Failure (CCF)

iii. Rheumatic fever

e. Genito Urinary System

i. Nephritis

ii. Renal Colic

iii. Urinary Tract Infection (UTI)

f. Endocrine System

i. Diabetes

ii. Hypothyroidism

iii. Hyperthyroidism

g. Nervous System

i. CVA (Cerebro Vascular Accident

ii. Convulsion

iii. Meningitis

iv. Epilepsy

v. Unconsciousness

h. Skin Problem

i. Scabies

ii. Ringworm

iii. Impetigo

iv. Eczema

v. Allergies

B Surgery:

1. Definition Clinical Features and appropriate treatment of:

i. Boils

ii. Carbuncles

iii. Ulcer

iv. Piles

v. Wound

vi. Burn and scales

vii. Fracture

viii. Dislocation and sprain

ix. Head and spinal cord injuries

x. Bleeding

xi. Foreign body in eye, ear, nose and throat

xii. Conjunctivitis, iritis, trachoma, cataract, stye. Otitis externa

xiii. Common problem of teeth and mouth

xiv. Acute abdominal problem

xv. Acute appendicitis

xvi. Acute cholecystitis

xvii Instinal obstnection

xviii. Hydrocele

xix. Hernia

xx. Tumor

9. Pharmacy and Pharmacology

A. Pharmacy

i. Terminology used inn pharmacy

ii. Simple pharmaceutical calculation according to Indian

pharmacopoeia (IP) and British pharmacopoeia (BP) and formulatory

iii. Inventory management

iv. Dispensing

v. Narcotic drugs management

vi. Banded drugs

B. Pharmacology

i. Terms used in pharmacology

ii. Meaning and types of Antibiotic

iii. Action, use, dose, general side effects and contradiction of the drugs used in different systems:

1. Digestive systems

2. Respiratory system

iv. Condition

1. Pain

2. Fever

3. Inflammation

4. Locally used preparations

5. Antihypertensive drugs

6. Nutritional Supplementory Drugs

7. Vaccines

8. Hormones

9. Oral rehydration therapy

10. Parental solution

10. Health Culture and Communication:

i. Changes, process and barrier of changes in community

ii. Traditional belief and health related taboos

iii. Traditonal medicine practice in Nepal

iv. Concept of family health

v. Health and disease spectrum

vi. Health reporting and recording

Health Management:

i. Health care system in Nepal

ii. Job Description of Auxiliay health Worker (AHW) and Ausiliary

Nurse Midwife (ANM)

iii. Primary Health Care (PHC): definition and components

iv. Job description of malaria inspector/Vector control Assistent/Malaria  Assistant/Cold chain Assistant.

Management of:

i. Health posts

ii. Clinics

iii. Health Camps

iv. In service Training

v. Inventory

vi. Chart and Diagram

vii. Meeting

viii. Problem solving

ix. Leaves

x. Recording and reporting

xi. Supervision and monitoring

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