DNB CTVS Questions- December 2011

DECEMBER 2011    

PAPER 1
1. Describe surgical anatomy of tracheo-bronchial tree. 10
2. a. Enumerate constituents and various types of cardioplegic solutions.        b. Functions of those constituents  c. Advantages and disadvantages of blood Vs crystalloidcardioplegic solution 5+2+3
3. a. Embryology of transposition of great arteries. b. Coronary arterial anomalies 5+5
4. Briefly discuss diaphragmatic rupture under the following headings:            a. Clinical presentation and signs   b. Investigations    c. Treatment 3+4+3
5. Discuss in brief solitary pulmonary nodule under the following headings:    a. Differential diagnosis       b. lnvestigations      c. Management algorithms (flowchart)3+3+4
6. Hemolysis during cardiopulmonary bypass: Causes, Systemic effects, management and recent advances 3+3+2+2
7. Discuss in brief cardiac tissue engineering under the following headings:     a. Donor cell types        b. Delivery routes, advantages and disadvantages       c. Clinical applications 3+4+3
8. 64 slice MDCT angiography: a. Comparison with conventional angiography   b. Preoperative planning of primary and re-operative surgeries                      c. Role in congenital heart diseases           d. Role in coronary artery disease 2+2+3+3
9. Describe the causes, risk assessment and neuroprotective strategies of cerebral injury during CPB. 3+3+4
10. Briefly discuss the role of nitric oxide (NO) in cardiac surgery under the following headings:   a. Physiological basis of use of NO       b. Indications for its use      c. Modes of administration with dosing         d. Precautions, safety issues related to its use’in ICU 3+2+2+3

DECEMBER 2011 PAPER. II
1. Discuss briefly the spinal cord protection during thoracic aortic surgery under the following headings:  a. Blood supply and collateral circulation.     b. Methods of ischemia detection.      c. Preventive strategies for spinal cord protection.3+3+4
2. Benign thymic tumours: Classification, role of thymectomy in myasthenia gravis, and effects/complications after thymectomy. 3+4+3
3. a. Causes and types of post-operative cardiac dysarrhythmias.                       b. Univentricular Vs biventricular pading.          c. Post-operative heart blocks and roles of temporary atrialor A-V sequential pacing. 3+3+4
4. a. Treatment for pectus excavatum        b. Physiological effects of pectus excavatum           c. Treatment for pectus carinatum           d. Physiological effects of pectus carinatum. 3+2+3+2
5. a. Briefly discuss techniques of total chordal preservation;   and                     b. Advantages of chordal preservation and long term effects on reverse left ventricular remodeling. 6+4
6. Double outlet right ventricle: Anatomic definition, classification, investigations, management (surgical) and results. 1+3+2+3+1
7. Tricuspid valve anomalies: Types of congenital / acquired anomalies, indications of surgery and types of repair. 3+2+5
8. Discuss briefly your reasons for choice of valve prosthesis and /or procedure:      a. In a patient with end stage renal disease (ESRD)                   b. In a pediatric patient (less than or equal to 12 years)                                    c. In a lady in child bearing age .   d. Non rheumatic mitral valve disease in adult in 30’s.                                       e. Rheumatic mitral and aortic valve disease in an adult (less than or equal to 45years). 2+2+2+2+2
9. Enumerate types of congenital arch anomalies. Discuss in brief their presentation, investigations, management and results. 2+2+2+2+2
10. a. Hydatid cyst of lung: Diagnosis and management  2+3      b. Pericardial cysts: Diagnosis and management 2+3

DECEMBER 2011 PAPER III
1. Describe current status of extra-corporeal membrane oxygenation (ECMO) under the following headings:   a. Indications of use     b. Physiological basis    c. Equipment required for setting up                              d. Method of weaning                     e. Complications  2+2+2+2+2
2. Discuss TNM classification for lung carcinoma in relation to:     a. Recent recommendations in TNM criteria         b. Choice of treatment based on TNM staging            c. Results of treatments in various TNM stages. 3+3+4
3. a. CHOUSSATS’ criteria for single ventricle         b. Modified Fontan criteria  c. Physiological basis of Fontan’s circulation           d. Advantages of one and half ventricle repair 3+2+3+2
4. a. Design of SYNTAX trial                             b. Outcomes of SYNTAX trial                                c. lmpact of SYNTAX scoring system on current practice of coronary bypass surgery. 5+3+2
5. Discuss cardiopulmonary bypass strategies in a patient of  Heparin Induced Thrombocytopenia (HlT) in terms of:        a. Platelet pretreatment  b. Platelet inhibition              c. Alternate drugs for anticoagulation 3+3+4
6. Bosentan: Mechanism of action, pharmacokinetics, indications, side effects and current status of its use. 2+2+2+2+2
7. Percutaneous Left Ventricular Assist Devices (P-LVADs):  a. Types of             P-LVADs available,                      b. lt’s role in bridge to transplantations                        c. Systemic deleterious effects on various organ systems. 4+4+3
8. Discuss in brief methods to stop anastomotic leaks from a vascular anastomosis under the following headings:               a. Names of various devises/substances  b. Advantages and disadvantages of their uses              c. Use of Gel-plugs; mechanism of action and contraindication of its usage. 3+3+4
9. Modified Vs conventional ultrafiltration: Difference between them, indications and advantages/disadvantages 3+3+4
10. Discuss transannular patch in Tetralogy of Fallots under the following heads:       a. Indications and contraindications           b. Advantages and disadvantages       c. Surgical technique               d. Role of homografts Vs heterografts as replacement to   transannular patch  3+3+1+3

Author: what2talk

Myself, Dr. Sibashankar Kar, doing my Cardiothoracic Surgery in Sir Ganga Ram Hospital. The purpose I have made this website is to discuss on the topics of cardiology and cardiac surgery as a whole with their complexities.

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