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The sound of Silence

A short story by Hamdan Ali Khan, 1st Year MBBS

The old man sat on the beach, barefooted and alone. Silence reigned everywhere except the occasional thrashing of waves which disturbed the acoustic equilibrium. Night it was, the sky filled with a million lanterns, the birds dozing off quietly and the sea like an old pirate sang a silent shanty. Oh! He missed his youth, when he could swim to the Black Rock without drowning, when he could shout at the vast ocean, his resonant voice fading upon the edges of horizon. But all good things come to an end, the voice that once resonated; now a husky whisper. The man who was the fastest swimmer; now an ancient remainder of time and its echoes. The doctors said he had terminal cancer that he would die in a week. He didn’t fear death, he had no family, nothing to lose except maybe the sight when someone would break his 50 years old record. The silence of the calm sea nurtured in him a desire to swim to the Black Rock once again, one last time. He …

F.C.P.S Part-I in Pathology - The Preparation Guide

F.C.P.S Part-I in Pathology - The Preparation Guide

Dr Remisha Zahid
KEMU Class of 2006-11

F.C.P.S Resident

Dept. Of Pathology ,

“Visual memory is very important in this field... There is no question that some people have a better ‘eye’ than others”. - Juan Rosai

I intend to give you a flavor of what pathology is about, before we reflect on the books that need to b crammed n jammed. Pathologists are medical scientists, and we do all the lab testing for doctors in the field. I am sure we all know the “importance” of urgent CBCs, RFTs, n LFTSs needed before the Professor’s morning round and the “Tissue Diagnosis” reports before “Adjuvant Therapies”. Well yes, a pathologist is not always the stool-urine guy, you can be the bacteria doc, the biochemical doc, the tissue diagnosis doc, or the blood n beyond doc, ie, a microbiologist, a chemical pathologist, a histopathologist or a haematologist respectively. N if you think you ve a better eye than others, and are ready to break the stereotypes, pathology is certainly for you.

 Course Booklet:
The first thing you need to get is the “course booklet for pathology” provided by CPSP from their regional centre. My 1st advice is… stick to the course.

The Books:
The list is very same, as for all other specialties. You just need to focus more on a few little things.

Snells review ( limbs are not included in our course, thankfully…. But better check it from the updated course booklet. If its not there, I assure you, it wont be in the paper.)
High Yield embryology. A tiny booklet of 50 pages I think.
Aamir for Histology. Again a tiny kaida of histology. Laiq hussain is another excellent option.
Kaplan for Neuroanatomy.
GA for General Anatomy
Focus more on basics, n try to make your concepts clear.  These books cover paper 1 well, few general things are asked in paper 1, 5-6 mcqs from gross,general n neuroanatomy,  2 3 mcqs from embryology 2 from histology . For paper 2, focus more on histology. 5 6 questions are related to general and organ  histology, in paper 2.

BRS physiology. A very explicit book… cover it all for paper 1.
Paper 2 has no questions from physiology.

BRS pathology/ Golgan Review. The choice is yours. But better stick to the course. (You are not supposed to do special / organ pathology from these books, 1st aid covers special pathology well)
Tally from the course and mark chapters on your book. General pathology, nutrition,immunology,genetics, endocrinology,acid base fluids( kidney) n last but certainly not the least, haemtology. Anemia n lymphoid series disorders are very very important.
For microbiology, first aid is enough. For some basic microbes(staph stepts, n few important gram negatives), do consult Levinson for microbiology.

Remember, you are taking your part one in pathology, so pathology is the subject you need to know thoroughly. Paper 2 is all pathology, theres no physio, no biochem, no gross anatomy, no embryology, no neuroanatomy in paper 2. Your paper 2 savior is pathology, n just pathology.

Biochem, Biostats, pharmacology, give em a good read from 1st aid.

My one favorite book for fcps, first aid… first aid … first aid… do it at the end, but make sure you save enough time to relish it. When you are done with the basics of anatomy ,physio n patho once, switch to first aid. For the first read, give it ample time, like…a month. The successive reads take lesser time.make sure you ve done it thrice, “atleast” before you go for your paper.
It not jus covers the minor subjects well, but is an excellent review of physiology, pathology, n anatomy.
Focus on special pathology well.

The mcq books…. My mcq book was murad. No special preference, frankly, I dint have time for others. If your basics are strong, n you ve grasped the course well, you jus need to review em once. They are just to boost your confidence ( or shatter it :D ). But deal em with caution, they certainly have mistakes, incomplete question threads, irrelevant options, printing typing errors etc.  Your exam MCQ thread is simple and explicit.

·         Stick to the course booklet.
·         Plan n divide your course according to your time limits
·         Set reachable goals for every single day.
·         Slow n steady wins the race. The rabbit is time, n this rabbit doesn’t sleep! You need to b steady.
·         Make sure you have atleast two weeks before the BIG DAY, for revising the stuff u think u keep  forgetting.
·         For the last three days… well… u cannot cram all these books, no one can. In fact, no one should. Its an MCQ exam, the answer is right there, in front of you. You’ve to pick that one word. Its not the LEQ SEQ exam. So while studying, make sure your concepts are clear.  It’s a game of nerves, and a test of your core knowledge. Don’t panic. Relax more, eat well, sleep well, n shift to a proper routine of early to bed and early to rise.

·         Sleep Well before the exam day. It’s a tiring 5 hours torment, divided in 2hourly segments, by a one hour interval in the middle. N you need fresh active neurons for paper 2, don’t you?

·         Do take your roll number card, n a handful of chocolates with you.

Pray a lot, stay confident, n remember
“Who could intercede in His presence without His permission?
He knows what appears in front of and behind His creatures.
Nor can they encompass any knowledge of Him except what he wills” --- ayat al Kursi.

Dear Juniors, Still got a question  ? You may contact me on facebook.

                                                                      Best of luck!

Dr Remisha Zahid

KEMU Class of 2006-11
F.C.P.S Resident
Dept. Of Pathology ,


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