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The sixth edition of AIIMS ESSENCE is replete with new pattern of questions, image-based questions and recent advances. To provide an edge, image based questions are discussed thoroughly. Triads, signs, investigation of choices and topics based on “most common” types of questions are included to save precious time and to help students in revision at the most crucial hours. The explanations have been taken from the standard textbooks available for super specialty and recent journal review articles so that one can get the best preparation without wastage of precious time going through all those books.