Official CPSP Coverage

JCAT Syllabus 2026

Complete breakdown of JCAT subjects, topics, and high-yield areas as tested in the CPSP Junior Clinical Attachment Test. Use this as your checklist for exam preparation.

JCAT Exam Structure and Format

JCAT is conducted in CBT format at CPSP examination centers. The exam consists of 200 single best answer (SBA) MCQs to be completed in 3 hours. DIF scoring applies: questions outside acceptable difficulty range are excluded and marks redistributed. Pass mark is 75% after DIF adjustment.

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Total Questions

200 MCQs per paper. All questions are single-best-answer (SBA) format. No negative marking. DIF adjustment after exam completion.

Duration

3 hours (180 minutes) for 200 MCQs. Approximately 54 seconds per question. Time management is critical.

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Pass Mark

75% after DIF scoring. Questions with DIF above 85% or below 15% are excluded. Marks are redistributed proportionally to remaining questions.

JCAT Subject-by-Subject Syllabus

Internal Medicine (Approx. 25-30%)
Cardiology: Hypertension, IHD, heart failure, arrhythmias, valvular disease
Respiratory: Asthma, COPD, pneumonia, TB, pleural effusion, pulmonary embolism
Gastroenterology: Peptic ulcer, GERD, hepatitis, cirrhosis, IBD, pancreatitis
Endocrinology: Diabetes mellitus, thyroid disorders, adrenal disorders
Nephrology: CKD, AKI, nephrotic syndrome, UTI, renal stones
Neurology: Stroke, epilepsy, meningitis, Parkinson, peripheral neuropathy
Haematology: Anaemias, leukaemia basics, lymphoma, coagulopathies
Infectious Diseases: Typhoid, malaria, dengue, HIV, TB management
General Surgery (Approx. 20-25%)
Upper GI Surgery: Peptic ulcer complications, oesophageal cancer, hernia
Lower GI Surgery: Appendicitis, colorectal cancer, IBD surgical aspects, bowel obstruction
Hepatobiliary Surgery: Cholecystitis, cholelithiasis, liver tumours, jaundice workup
Urology: Renal stones, BPH, urological cancers, UTI complications
Breast Surgery: Breast cancer staging, fibrocystic disease, abscess management
Trauma: ATLS principles, abdominal trauma, head injury assessment
Orthopaedics: Fracture basics, joint infections, bone tumours, common dislocations
Obstetrics and Gynaecology (Approx. 15-18%)
Obstetrics: Normal labour, partograph, obstetric emergencies (PPH, eclampsia, APH, shoulder dystocia), antenatal care, foetal monitoring
Gynaecology: Menstrual disorders, PCOS, uterine fibroids, endometriosis, cervical cancer screening, ovarian cysts
Contraception: Combined pill, progesterone-only, IUD, emergency contraception
Gynaecological Oncology: Cervical, endometrial, and ovarian cancer basics
Paediatrics (Approx. 12-15%)
Neonatology: Birth asphyxia, neonatal jaundice, sepsis, RDS
Infectious Diseases: Measles, chickenpox, typhoid, meningitis in children
Nutrition: PEM, kwashiorkor, marasmus, rickets, micronutrient deficiencies
Vaccines: EPI schedule, cold chain, VPD management
Development: Developmental milestones, autism spectrum, cerebral palsy
Respiratory: Pneumonia, asthma, croup, bronchiolitis in children
ENT (Approx. 5-8%)
Otitis media, tonsillitis, adenoids, epistaxis, nasal polyps, sinusitis, foreign bodies in ear/nose/throat, hoarseness of voice, hearing loss types, vertigo causes
Ophthalmology (Approx. 5-8%)
Red eye differential (conjunctivitis, iritis, acute glaucoma, corneal ulcer), cataract, glaucoma types, diabetic retinopathy, hypertensive retinopathy, retinal detachment, strabismus basics
Community and Forensic Medicine (Approx. 5-8%)
Epidemiology (incidence, prevalence, study designs), biostatistics (sensitivity, specificity, NNT), Pakistan health statistics, health administration, causes of death certification, time of death estimation

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