DNB CTVS Question December 2016

DECEMBER 2016

PAPER I: To be collected.
PAPER II
1. PAPVC
i. Strategies for management (4)
ii. Warden procedure (3)
iii.  Scimitar syndrome (3)
2. Pulmonary arterial hypertension
i. Methods of measurement (2)
II. Assessment of operability (3)
III. Post operative management strategies (2)
IV. Eisenmenger syndrome (3)
3. Single ventricle repair
I. Indication (3)
II. Assessment of suitability for BDG (3)
III. Late sequel of fontal procedure (4)
4. High risk CABG
I. High risk subsets and risk stratification (5)
II. Perioperative management of patient with pre existing renal dysfunction undergoing CABG (5)
5. Cardiac transplantation
I. Indications (2)
II. Management of immune pupression (4)
III. Diagnosis and management of acute rejection (4)
6. Aortic root
I. Surgical anatomy and relation ( 3)
II. Bentall operation (4)
III. Valve sparing option in root replacement (3)
7. HOCM
I. Pathology (3)
II.  Management option (4)
III. Result of surgical resection ( 3)
8. Pericardial effusion
I. Etiopathogenesis (2)
II. Clinical presentation and diagnosis (4)
III. Management of cardiac tamponade (4)
9. Mitral valve repair
I. Assessment by TEE (3)
II. Technique (4)
III. Results (3)
10. Primary cardiac tumor
I. Classification (2)
II. Left atrial myxoma (2)
III. Management (4)
IV. Prognosis (2)

PART III

1. Right upper lobectomy with regard to
I. Surgical anatomy ( 3)
II. Technique (4)
III. Complications (3)
2. Tracheal repair
I. Technique (3)
II. Management of airway (2)
III. Complication (3)
IV. Late sequel (2)
3.
I. Management of flail chest (2.5)
II. Use of pectorals major flap in chest wall reconstruction (2.5)
III. Mediastinitis following steronotomy (2.55)
IV. Use of prosthetic mesh for chest wall reconstruction. (2.5)
4. Aortic Arch replacement
I. Techniques (3)
II. Prevention of air embolism (2)
III. Spinal cord protection (3)
IV. Endovascular options (2)
5. Aortic dissection
I. Presentation (2)
II. Assessment (2)
III. Surgical techniques for type A dissection
IV Complications of surgery (2)
6. Ventricular Assist Devices 2+3+2+3
A) Total artificial heart
B) Heart Mate II
C) Destination therapy
D) Complications of LVADs
7. Meta-analysis. 2+4+4
A) Definition
B) Conduct
C) Limitations

8. Human errors in cardiac surgery. 3+3+4
A) Categories
B) Causes
C) Methods of reduction
9. 3+4+3
A) Active vs Passive follow up
B) Cross sectional analysis
C) Biases
10. 5+5
A) Percutaneous aortic valve replacement (TAVI). Indications and techniques.
B) Lung transplantation
I. Requirements for potential donors and recipients
II. Prognosis

DNB CTVS Final June 2017

 JUNE 2017

PAPER I:
1. Hypothermic circulatory arrest following headings. 2+4+4
A) Indications
B) pH and alpha stat strategies for blood gas management
C) Retrograde cerebral perfusion
2. Use of MRI in cardiac surgery under following headings. 3+3+4
A) Role in anatomic diagnosis
B) Role in physiological diagnosis
C) Compare MRI with CT scan in cardiac surgery
3. Acute coronary syndrome under following headings. 2+3+3+2
A) Definition
B) Role of biomarkers in management
C) Role of various revascularization strategies.
4. Intra aortic balloon pump under following headings. 2+3+3+2
A) Define counter pulsation
B) Physiological effect of IABP
C) Indications of IABP
D) Contraindications of IABP
5. Myocardial protection under following headings. Physiological basis and advantages. 3+4+3
A. Antegrade warm blood cardioplegia
B. Retrograde cardioplegia
C. Hot shot
6. Heparin induced thrombocytopenia under following headings. 2+4+4
A) Definition
B) Diagnosis
C) Management
7. Atrial fibrillation under following headings:
A) Definition and diagnosis
B) Pharmacological treatment.
C) role of surgical maze procedure in atrial fibrillation associated with mitral valve disease
D) Current alternative to surgical Maze procedure
8. Chylothorax under following headings.
A) Anatomy of thoracic duct
B) Causes of Chylothorax
C) Diagnosis
D) Management outline.
9. Anatomy of tricuspid valve under following heading:
A) Leaflet and subvalvular apparatus
B) Relationship with conduction tissue (AV node and bundle of His)
C) DeVaga’s annuloplasty procedure and outcome
10. Left superior vena cava under following heading:
A) Embryology
B) Implications during cardiopulmonary bypass
C) Draw an adult circuit of venous line with size of tubes and connectors.

PAPER II
1.Total anomalous pulmonary venous connection (TAPVC) under following heading: 2+4+4
A) Classification
B) Clinical presentation.
C) Technique of repair of supra cardiac TAPVC
2. Pulmonary artery banding. 3+1+3+3
A) Indications
B) Trusler’s formula
C) Adjustable pulmonary artery band
D) Complications
3. Conduits used in cardiac artery surgery under following headings. 4+4+2
A) Compare various conduits (Histology and outcome)
B) Advantages and disadvantages of total arterial revascularization
C) Attrition rates of venous grafts
4. Mitral valve replacement under following headings. 3+4+3
A) Vital structures around mitral valve annulus
B) Chordal preservative techniques
C) Approach to small left atrium
5. Double outlet Right ventricle. 2+2+6
A. Classification
B. Clinical presentation
C. Surgical management of various types.
6. Role of TEE ( Transesophageal echocardiography) in the following cardiac procedure. 2+4+2+2
7. Constrictive pericarditis. 2+2+3+3
A. Etiology
B. Clinical picture
C. Differential diagnosis
D. Treatment outline
8. Ruptures sinus of Valsalva aneurysm under following headings. 2+2+3+3
A. Morphology
B. Classification
C. Clinical picture and diagnosis
D. Treatment outline
9.  4+6
A) Enumerate various cardiac operative risk evaluation scoring systems
B) Current status of Euro Score
10. Lung transplantation under following heading 2+2+3+3
A) Indication
B) Complications
C) Immunesuprssion
D) Outcome and result

PAPER III:
1. Pulmonary sequestration under following headings 2+4+2+2
A) Definition and types
B) Clinical features.
C)Treatment plan
D) Pitfalls in surgery
2. Aneurysm of ascending aorta under following heading. 1+3+2+4
A) Etiology
B) Classification
C) Role of surgery – indication
D) Role of endovascular procedure.
3. Pectus excavated under following heading. 1+3+2+4
A) Definition
B) Clinical presentation.
C) Indications for surgery
D) Methods of surgical treatment.
4. Massive hemptysis.2+2+6
A) Causes
B) Investigations
C) Treatment modalities and their results
5. Robotic Cardiac surgery.  2+3+2+3
A) Advantages
B) Types of cardiac surgical procedures being performed
C) Disadvantages
D) Role in mitral valve surgery.
6. Gene therapy in cardiovascular disease. 2+3+2+3
A) Concept
B) Types of genes used
C) Methods of gene transfer.
D) Results
7. Extracorporeal membrane oxygenation under following headings. 2 +2+2+2+2.
A) Indications
B) Types
C) Complications
D) Results
E) Types of oxygenator used.
8. Thoracic outlet syndrome under following headings. 2+2+4+2
A) Definition and clinical presentation
B) Diagnosis
C) Treatment and indications of surgery
D) Results
9. Results and implications in management of coronary artery disease in the following trials.
A) Coronary trial
B) ART trial
C) SYNTAX trial
10.  5+5
A) Confidence interval
B) Odds ratio