DNB anaesthesia previous exam papers question bank
DNB QUESTIONS YEAR WISE
JUNE 1994
1].A 60 year old woman with rheumatoid arthritis is for
THR.Discuss the anaesthetic problems and management.
2].Discuss the various regimes for painless labour.
3].Briefly describe the following:-
.Myocardial
preservation.
B}.Preoperative
management of DKA.
C}.Caudal
epidural anaesthesia in paediatric patients.
D}.Myasthenia
gravis Vs Myasthenia syndrome.
E}.CVS
effects of newer anaesthetic ethers.
F}.Pulmonary
complication of anaesthesia.
G}.Difficult
intubation.
H}.Problems
and anaesthetic management in burn patients.
I}.Advances
in CPR.
J}.Regurgitation:
causes and problems
4].How would you investigate causes of increased bleeding
during surgery? Give a brief account of various techniques employed to reduce
bleeding.
5].A 70 year old man with chronic emphysema on
antihypertensive therapy has to undergo retro pubic prostatectomy. What are the
possible complications and how will you manage the procedure?
6].Briefly describe the following:-
A}.Various
methods of prolonging the effect of local anaesthetic drugs.
B}.Hazards
of smoking relevant to anaesthesia.
C}.Merits
and demerits of use of LMA.
D}.Etiology
and treatment of hypertension during surgery.
E}.Neonatal
resuscitation in labour room.
F}.Merits
and demerits of crystalloids and colloids.
G}.Continuous
infusion of drugs in anaesthesia.
I}.CCB’s
in surgical patients.
J}.PAC
clinic.
K}.Vicarious liability for negligence.
DECEMBER 1994
1].Discuss regulation of ICT and methods available for
reducing it under anaesthesia.
2].Discuss pre and post anaesthetic management of acute
abdomen in a patient with uncontrolled diabetes.
3].Briefly describe the following:-
A}.Nephrotoxicity
of halogenated anaesthesia.
B}.Amniotic
fluid embolism.
C}.Operating
room pollution.
D}.Regional
anaesthesia technique for upper extremity surgery.
E}.Awareness
and wakefulness under anaesthesia.
F}.Modes
of ventilation during bronchoscopy
G}.Nosocomial
infections in the ICU.
H}.Impact
of cancer therapy on anaesthetic management.
I}.Morbid
obesity-its anaesthetic implication.
4].What are the various types of trachea-esophageal fistula?
Discuss the anaesthetic management and postoperative care of neonate posted for
TOF repair.
5].A 14 year old girl with thoracolumbar scoliosis is posted
for posterior spinal fusion of 10 vertebral segments. Discuss your evaluation,
anaesthetic technique and postoperative care.
6].Briefly describe the following:-
A}.Blood
substitute.
B}.Non
invasive cardiovascular monitoring.
C}.Utility
of anaesthetic records.
D}.Treatment
of acute pulmonary edema.
E}.Commonly
used techniques and drugs for postoperative pain relief.
F}.Day
care surgery clinics in India.
G}.Causes
of perioperative seizures.
H}.Adrenergic
receptor antagonist and their uses.
I}.Capnography.
J}.Role of anesthesiologist in managing shoulder dystrophy
syndrome.
JUNE 1995
1].Discuss the anaesthetic management of a 60 year old for
resection of carcinoma sigmoid colon with history of MI sustained 10 weeks ago.
2].Discuss the pathophysiology and diagnosis of a case of
pheochromocytoma.Give an account of preparation, monitoring and anaesthetic
management of a 25 years old patient suffering from pheochromocytoma.
3].Briefly describe the following:-
A}.Cardiac
output management with thermo dilution technique.
B}.Complications
of epidural anaesthesia.
C}.Pipecuronium.
D}.Pain
relief for fracture ribs.
E}.OLV.
F}.Clinical
manifestations and management of anaphylactic reaction in anaesthesia practice.
G}.IVRA.
H}.Preop
evaluation and preparation and anaesthesia management of a known case of BA
posted for radical mastectomy.
I}.Anaesthetic
management of a child with retropharyngeal abscess presenting for surgical
drainage.
J}.Transmission
and precaution against HIV in hospital setting.
4].Discuss cardio-pulmonary brain resuscitation. What are the
diagnostic criteria for brain death?
5].Discuss the anaesthetic problems, preoperative preparation
and anaesthetic management of a case posted for correction of kyphoscoliosis.
6].Briefly describe the following:-
A}.Hypoxic
pulmonary vasoconstriction.
B}.Minimum
monitoring standards in anaesthesia.
C}.Weaning
from prolonged ventilation.
D}.DIC.
E}.Occulocardiac
reflex.
F}.Postoperative
hypothermia-its causes, prophylaxis and management.
G}.Co2
carriage in blood and effects of hypercapnia.
H}.Venturi
principle and its clinical implication.
I}.Assessment,
management of difficult intubation.
J}.Effect of anaesthesia and surgery on immunological
mechanism.
DEC 1995
1].Define pre-eclampsia and eclampsia.Discuss the
pathophysiology.Formulate with reasons the anaesthetic technique for such a
patient posted for CS.
2].Write short note on:-
A}.Limitations
of pulse oximeter.
B}.Blood
transfusion and related disease transmission.
C}.Resuscitation
of a head injury patient.
D}.Nitric oxide.
D}.Nitric oxide.
E}.
Problems of micro laryngeal surgery.
3].Describe the anaesthetic assessment and management of a 70
year old patient posted for TURP.What are the possible complications and how
will you treat them?
4].Briefly describe the following:-
A}.Innervation
of foot and technique of performing ankle block.
B}.Perioperative
fluid requirement for a paediatric patient undergoing elective surgery.
C}.Protocol
for weaning a patient from prolonged ventilator support in an ICU.
D}.Modified
bipolar standard limb lead system and its usefulness for intraoperative
monitoring.
E}.clinical
manifestations and management of acute OP poisoning.
5].Discuss the various methods of providing postoperative pain
relief. What do you understand from the term pre-emptive analgesia?
6].Briefly describe the following:-
A}.Intraoperative
bronchospasm.
B}.Pressure
support ventilation.
C}.Methods
of monitoring NMJ function.
D}.Storage
lesions in blood.
E}.Causes
and prevention of awareness under anaesthesia.
F}.Hypersensitivity
reaction in anaesthesia practice.
G}.Mandatory
minute ventilation.
H}.Blood
loss monitors.
I}.Prevention
and treatment of ventricular arrhythmias during GA.
J}.Regulation
of kidney in acid base balance.
K}.Interaction
of depolarizing with NDMR’s.
L}.Types
of plenum vaporizers.
M}.Stellate
ganglion block-indication and complication.
N}.Merits and demerits of halothane and isouflurane.
JUNE 1996
1].Describe the anaesthetic management and postoperative care
in a patient with uncontrolled hypertension (BP-180/120) for emergency
laparotomy for perforated duodenal ulcer.
2].Write short notes on:-
A}.Double
lumen endotracheal tubes
B}.Anaesthetic
management of a 2 days old neonate for primary repair of tracheoesophageal
fistula.
C}.Air
embolism during anaesthesia.
D}.Complications
and sequelae of blood transfusion.
E}.Problems
during anaesthesia for laser surgery.
3].Describe preoperative evaluation and preparation of a
patient with thyrotoxicosis.Describe the anaesthetic care and postoperative
management of this patient.
4].Write short notes on:-
A}.GCS.
B}.Newer
modes of ventilation.
C}.Diagnosis
and management of HELLP syndrome.
D}.Role of
capnography during anaesthesia.
E}.Preoperative
preparation and evaluation of a patient with history of exertional angina for
surgery under general anaesthesia.
5].Discuss the pathogenesis, clinical features and management
of Mendelson’s syndrome.
6].Write short notes on:-
A}.Autologous
blood transfusion
B}.Etiology
and management of hypotension during anaesthesia.
C}.Beta
receptor blockade-its relation in anaesthesia.
D}.Draw a
neat labeled diagram of fetal circulation and delineate the difference from
adult.
E}.Occupational
hazards for anesthesiologist.
7].What are the various routes of administration of morphine?
Discuss the pharmacokinetics and pharmacodynamics of epidural morphine.
8].Write short notes on:-
A}.Nephrotoxicity
of halogenated anaesthetics.
B}.Coronary
circulation.
C}.Propofol
D} Merits
and demerits of laryngeal mask.
E}.Interactions of pre-existing drug therapy with
anaesthetic agents and techniques.
DECEMBER 1996
1].Discuss the anaesthetic techniques and postoperative
problems in an obese patients for repair of large hernia in anterior abdominal
wall.
2].Write short notes on:-
A}
Complications of cannulation on internal jugular vein.
B} Cardiac
arrhythmias during anaesthesia.
C} TIVA
D} Minimum
Alveolar Concentration.
E} Hoffman
degradation.
3].Describe anaesthetic and postoperative management of a
patient undergoing intra-cranial aneurysm surgery.
4].Write short notes on:-
A}
Continuous Subarachnoid block
B} PCA
C}
Anaesthesia for perforating injury of eye in a 3 year old child.
D}
Describe airway management of a patient of ankylosing spondylitis with severe
restriction of neck movement posted for THR.
E}
Anaesthesia for multiple dental extractions in a child with TOF.
5]. Enumerate various positions in relation to anaesthesia and
discuss in detail the problems associated with them.
6].Write short notes on:-
A} TPN
B}
Pipecuronium
C} CVP:-its
application in anaesthesia
D} Post
anaestehsia vomiting
E} Inverse
ratio ventilation
7].Describe the problems, complications and anaesthetic
management of CS in a patient with Pre Eclampsic Toxemia.
8].Write short notes on:-
A}
Trigeminal neuralgia:-clinical features and management.
B} Heat
loss during abdominal surgery in a newborn child.
C}
Epidural analgesia for postoperative pain relief.
D} Water
and electrolyte disturbances and their pre-anaesthetic correction in small gut
obstruction.
E} Enzyme induction:-describe the mechanism with routine
anaesthesia examples.
JUNE 1997
1] A young man is suffering from pheochromocytoma.Discuss the
preoperative preparation, and anaesthetic management for the removal of tumor.
2]. Write short notes on:-
A} Hazards
of smoking relevant to the anesthetists.
B} Weaning
modes of ventilation.
C} Management
of reflex sympathetic dystrophy.
D}
Complications of blood transfusion.
E} Hepato
renal syndrome in anaesthetic practice: - etiology and management.
3].A female patient aged 34 years with 5 months amenorrhea
suffered from Koch’s mid dorsal spine developed paraplegia. Discuss the
pre-operative preparation and anaesthetic management and postoperative care.
4].Write short notes on:-
A} Discuss
the management of a case of 40% burns.
B}
Anaesthesia for laser surgery of the larynx.
C} IVRA.
D}
Problems and management of One Lung Anaesthesia.
E}
Management of intra operative bronchospasm.
5].Describe the pathogenesis and management of ARDS.
6].Write short notes on:-
A}
Monitored anaesthesia care.
B}
Simulator in anaesthesia education.
C}
Monitoring and control of raised ICP in head injury.
D} WHO
regimen for chronic pain management.
E} Pre-operative
management of a neonate for meningomyelocoele surgery.
7].Describe the BLS measures in an adult who has been brought into
emergency room of the hospital in a state of cardiac arrest.
8].Write short notes on:-
A} Closing
volume of the lungs and its measurements.
B}
Mechanism of action of LA agents.
C}
Manifestations and treatment of beta adrenergic agonist toxicity.
D} Post-operative
analgesia in an infant for circumcision.
E} Sevoflurane.
DECEMBER 1997
1].Discuss the pre-operative investigations and anaesthetic
management of an emergency operation in a 60 year old who had MI 6 weeks back.
2].Write short notes on:-
A} Problems
of laparoscopic surgery and monitoring techniques used during the procedure.
B} SSEP.
C}
Anaesthesia for squint surgery.
D}
Midazolam.
E}
Positional hazards during anaesthesia.
3].Discuss the pathophysiological changes in pre-eclampsia and
eclampsia.Discuss your choice of anaesthetic technique for such a patient
posted for CS.
4] .Write short notes on:-
A}
Pathophysiology of VAE; mention the methods of detection, prevention and treatment.
B}
Obesity: anaesthetic problems
C}
Iatrogenic complication is anaesthesia.
D}
Anaesthesia for radiotherapy.
E} Recent
trends in blood transfusion and blood products.
5].Discuss the current concepts in the management of COPAD in
respiratory failure.
6].Write short notes on:-
A}
Regional analgesia in children.
B}
Computer based patient record for anaesthesia.
C} APACHE
score
D}
Discharge criteria in outpatient anaesthesia.
E} Advance
life support.
7].Describe the pathophysiology of ARDS.What are the diagnostic
criteria?
8].Write short notes on:-
A}
Myocardial protection during CPB.
B} Oxygen
therapy.
C}
Untoward effects of IV sodium bicarbonate.
D}
Hepatotoxicity of halothane.
E} The WHO three step ladder pattern for pain relief in
advanced cancer.
JUNE 1998
1].What is myasthenia gravis? What are its clinical features?
Discuss the preoperative investigations, preparation and anaesthetic management
of such a case presenting for an interval appendicectomy and management of
likely complications.
2].Write short notes on:-
A}
multifocal ventricular ectopics during anaesthesia.
B}
Criteria for recovery from anaesthesia in DCS.
C} Minimum
patient monitoring during anaesthesia.
D} Long
term ventilation and its complications.
E} IV
alimentation in ICU.
3].Discuss the pathophysiology, prevention and corrective
measures of irreversible shock.
4]. Write short notes on:-
A}
Volutrauma.
B} DIC.
C}
Pulmonary artery catheter.
D}
Monitored care.
E}
Remifentanyl.
5].A 45 year old man suffering from DM and mild hypertension
is admitted with upper intestinal obstruction for emergency laparotomy.Discuss
the pre-operative investigations, preparation and anaesthetic management of
such a case.
6].Write short notes on:-
A} SSEP.
B}
Autologous Blood transfusion.
C}
Narcotic antagonists.
D}
Sterilization of anaesthesia equipment.
E} Patient controlled anaesthesia.
December 1998
1].A 10 year old child suffering from TOF is diagnosed to have
brain abscess. Outline the perioperative management.
2].Write short notes on:-
A} Pressure
controlled ventilation.
B}
Anaesthetic problems in an anemic patient.
C}
Functional residual capacity.
D} PCA.
E}
Rocuronium.
3].Discuss the various methods of postoperative pain relief in
pediatric surgery.
4].Write short notes on:-
A] Coaxial
circuits.
B}
Awareness during anaesthesia.
C}
Hypokalemia.
D}
Anaesthesia for total laryngectomy.
E} Blood
component therapy.
5].What is pheochromocytoma? What are its clinical features?
Discuss its preoperative investigations, preparation and anaesthetic management
of such a case for surgical removal.
6].Write short notes on:-
A}
Malignant hyperthermia.
B}
Management of DKA.
C} IVRA.
D} Care of
OP poisoning in ICU.
E}
Embolisms during anaesthesia.
7].Discuss the pathophysiology and management of inhalation injury.
8].Write short notes on:-
A} Calcium
channel blockers and anaesthesia.
B} Nitric
oxide for management of pulmonary hypertension.
C}
Peribulbar block.
D}
Epidural pressure and the various factors affecting the same.
E} Hypotension during anaesthesia.
JUNE 1999
1].Describe the nerve innervations of the foot with diagram
and discuss the local anaesthetic block at the ankle for the amputation of
gangrenous toe in a patient.
2].Write short notes on:-
1}
Pulmonary function changes following central neuraxial blockade.
2}
Hepatorenal shut down-etiology and prevention.
3} Use of
muscle relaxants in ICU.
4} The
factors influencing tissue oxygenation.
5} Plasma
volume expansion.
3].Discuss your anaesthetic management of strangulated inguinal
hernia in a patient with recent myocardial infarction.
4].Write short notes on:-
Anaesthesia
for day care surgery.
B} Venturi
principle and its use in anaesthesia.
C} CVP.
D} Water
intoxication.
E} PDPH.
5].Discuss the current concepts and modifies guidelines of
cardiopulmonary brain resuscitation.
6].Write short notes on:-
A} TPN.
B} Current
concepts in the diagnosis and treatment of malignant hyperthermia.
C}
Awareness and wakefulness under anaesthesia.
D} OR
pollution.
E} Autologous
blood transfusion.
7].Write down the physiology of sleep. How does it differ from
anaesthesia? What changes occur in the various stages of anaesthesia?
8].Write short notes on:-
A} Compare
propofol with midazolam.
B} Tracheo
bronchial tree with diagram.
C}
Evolution of rotameter.
D}
Complications of local anesthetics.
E} PEEP and its application in modern ventilators.
DECEMBER 1999
1].Describe the preoperative investigations, preparation and
anaesthetic management of a 50 year old diabetic patient presenting for an
exploratory laparotomy for a lump in abdomen.
2].Write short notes on:-
A}
Preanalytical consideration of ABG measurement.
B} Factors
influencing tissue oxygenation.
C} Plasma volume
expansion.
D} Role of
nitric oxide in ICU.
E}
Postoperative analgesia in paediatric patients.
3].A patient of Coarctation of aorta is scheduled for caesarean
section. Discuss the preoperative preparation, anaesthetic management and
postoperative care of the patient.
4]. Write short
notes on:-
A}
Crystalloid and colloid.
B} Safe
anaesthetic procedure.
C} Pre-operative
visits.
D} Oxygen
therapy.
E}
Bronchospasm during anaesthesia and immediate post-operative period and its
management.
5].Discuss anatomy of the diaphragm with a diagram. How does
it behave under different stages of anaesthesia?
6].Write short notes on:-
A} Spinal
opiate receptors.
B} Neuro-
muscular transmission.
C}
Propofol as compared to thiopentone.
D}
Physiological changes associated with IPPV.
E}
Elimination of atracurium from the body.
7].Discuss the assessment, preparation and problems of
anaesthesia in a chronic smoker for cholecystectomy.
8].Write briefly on:-
A}
Aspiration prophylaxis in obstetric.
B}
Problems and role of anesthetist in dental anaesthesia.
C} Plasma
proteins and anaesthesia.
D}
Etiopathology and management of thyroid crisis.
E} Anaesthetic management of laser surgery on
tracheobronchial tract.
JUNE 2000
1].Write briefly on newer modes of ventilation. Discuss each
of these ventilator modality with reference to an established case of ARDS.
2].Write short notes on:-
A} Role of
magnesium in anaesthesia practice.
B} Present
trend of blood component therapy.
C}
Prevention and treatment of intraoperative MI.
D} TIVA.
E} Nitric
oxide in clinical practice.
3].A 25 year old primigravida in 34 weeks of pregnancy with
PIH presented with a BP of 200/110 mm Hg for an elective LSCS.Discuss the
problems involved and the anaesthetic management.
4].Write short notes on:-
A}
Autologous blood transfusion.
B}
Anaesthesia for drainage of empyema thoracis.
C} Day
care anaesthesia.
D}
Management of LA toxicity.
E}
Hypokalemia.
5].Define morbid obesity. Enumerate the changes that occur in
the respiratory, cardiovascular and metabolic systems in obesity. A 40 year old
patient with height 158cms and weighing 150 kgs is scheduled for
pyelolithotomy.How will you evaluate this patient preoperatively? Discuss the
problems involved and the anaesthetic management.
6].Write short notes on:-
A}
Monitored anaesthesia care in a 75 year old man with IHD for cataract surgery.
B}
Preoperative preparation and surgical risk assessment in a patient with
cirrhosis of liver.
C} Weaning
criteria in a patient of COPD on ventilator.
D} Methods
of decreasing increased increased ICP.
7].Describe the arterial circulation of the heart with the aid
of a diagram mentioning the unique features of coronary blood flow. Explain the
Goldman’s Cardiac risk index and its importance to the anesthetist.
8].Write short notes on:-
A} Brain
death.
B}
Capnography.
C}
Checkout procedure to be followed routinely before using anaesthesia and other
monitoring equipment.
D} Role of
corticosteroids in the practice of anesthesiology.
E} Sevoflurane Vs Desflurane.
DECEMBER 2000
1].How do you plan for anaesthesia in renal transplant surgery?
Draw plan for an OT exclusively for renal transplant surgery.
2].Write short notes on:-
A}
Peripheral nerve injury under anaesthesia is a preventable complication.
B}
Pharmacology of fentanyl congenial.
C}
Application of venture principle in anaesthesia practice.
D} Present
day concept of IV alimentation.
3].A 35 year old lady with huge thyroid presenting with
thyrotoxicosis is posted for subtotal thyroidectomy.Discuss the preoperative evaluation,
preparation and anaesthetic management.
4]. Write short notes on:-
A} TURP
syndrome.
B}
Attenuation of laryngoscopic reaction to intubation.
C}
Magnesium sulphate therapy.
D}
Paediatric circuit.
E}
Relevance of PFT’s.
5]. Define hypertension.
How will you evaluate and prepare a 40 year old female patient scheduled for
abdominal hysterectomy. Discuss the anaesthetic and postoperative management of
such a case.
6].Write short notes on:-
A}
Hepatitis-B and the anesthesiologist.
B}
Management of Mendelson’s syndrome.
C}
Perioperative blood conservation.
D}
Resuscitation of a patient with 60% deep burn injury.
E}
Management of a 4 year old child scheduled for CT scanning brain using an
iodine containing solution.
7].Discuss the pathophysiology of ARDS.Describe the clinical
trends in the management of ARDS.
8].Write short notes on:-
A}
Specific problems and their prevention during anaesthesia in a patient with
artificial pacemaker.
B}
Informed consent.
C} Vocal
cord palsies with the aid diagrams of direct laryngoscopic view.
D} Pulse
oximetry.
E} Awareness during anaesthesia.
JUNE 2001
1].Define multiple organ dysfunction syndromes. How do you
plan to manage such a case?
2].Write short notes on:-
Anaesthesia
for day stays surgery.
B}
Mapleson’s breathing systems.
C}
Remifentanyl in clinical practice.
D}
Management of one day old neonate posted for correction of gastrochisis.
E} Control
of nosocomial infections in postoperative and ICU.
3].Discuss in detail the anaesthetic management of patients
with reactive airway disease.
4].Write short notes on:-
A} TIVA.
B}
Occupational hazards to the anesthetist.
C}
Occulocardiac failure.
D}
Anaesthetic problems in dental chair.
E}
Rocuronium.
5].Discuss the preoperative evaluation, preparation and
anaesthetic management and postoperative complications in a 20 year old female
with myasthenia gravis posted for thymectomy.
6].Write short notes on:-
A} Modern
trends in obstetrical analgesia.
B}
Invasive intra-op monitoring.
C}
Management of spinal injury.
D} Post-traumatic
fat embolism.
E}
Anesthesia for intraocular surgery.
7].Discuss the pathophysiology and management of anaphylactoid
reactions in anaesthesia.
8].Write short notes on:-
A}
Postoperative jaundice.
B} Weaning
modes of ventilation.
C}
Regulation of ICP.
D} TEE.
E} Ageing and organ function.
DECEMBER 2001
1].Discuss the problems, preoperative evaluation, preparation
and anaesthetic management of a neonate posted for repair of anaesthesia.
2].Write short notes on:-
A} Acute
lung injury.
B} Recent
advances in intra-operative pediatric fluid management.
C}
Infections related to anaesthesia practice.
D}
Assessment of risk factors for patient with moderate to severe liver disease.
E} PONV
for ophthalmology.
3].Describe the physiologic changes occurring during pregnancy
and clinical implications to the anesthetist.
4].Write short notes on:-
A} Role of
anesthetist in multiple traumas.
B} WHO
three step ladder pattern for pain relief in advanced cancer.
C} Venturi
principle and its application.
D} Plasma
expanders.
E}
Indications and contraindications of regional anaesthesia.
5]. Discuss the preoperative evaluation, preparation and
anaesthetic management of a 16 year old male kept for pheochromocytoma excision.
How will you manage post anaesthetic complications?
6].Write short notes on:-
A}
Anaesthetic management of a case with COAD.
B}
Principles of TPN.
C}
Anaesthesia for burn patients.
D}
Anaesthetic management of an 80 year old male kept for TURP.
E}
Neonatal resuscitation.
7].What is the various routes of administration of opoids?
Discuss the merits and demerits of each.
8]. Write short notes on:-
A}
Regulation of cerebral blood flow.
B} Pre-hospital
trauma care.
C}
Assessment of pain in children.
D}
Capnography.
E} Three in one block.
JUNE 2002
1].An 80 year old man is posted for THR.Discuss the
preoperative evaluation, preparation and anaesthetic management of this case.
2].Writes short notes on:-
A}
Preoperative evaluation of a case chronic renal failure posted for renal
transplant.
B}
Evaluation of difficult airway.
C} Role of
anesthetist in management of a case with Thrombo Angitis Obliterans.
D} merits
and demerits of retro bulbar versus peribulbar block.
E} Air
embolism under anaesthesia.
3].Discuss the regulation of body temperature .How will you
prevent hypothermia in a neonate posted for major abdominal surgery.
4].Write short notes on:-
A} Factors
affecting coronary circulation.
B}
Aetiopathology of ARDS.
C} Blood
component therapy.
D} Role of
regional analgesia in pediatric surgery.
E}
Preoperative evaluation of autonomic function.
5].A child with TOF is posted for corrective surgery. Discuss
the preoperative evaluation and anaesthetic management of this case.
6].Write short notes on:-
A}
Anaesthetic management of a case with post tonsillectomy bleeding.
B} GCS.
C}
Prevention of fire and explosion hazards in operation theatres.
D}
Anaesthetic problems in laser surgery.
E}
Myxoedematous coma.
7].Discuss in detail the etiology, pathophysiology, diagnosis
and treatment of fat embolism syndrome.
8].Write short notes on:-
A} Pre-emptive
analgesia.
B} Co
axial circuits.
C} the
Golden hour.
D} Jugular
venous oximetry.
E} Ropivacaine.
9] An 80 years old male is posted for THR.Discuss the
pre-operative evaluation, preparation and anaesthetic management of this case.
10] Write short notes on:-
A} Pre-operative evaluation of a case with chronic renal
failure posted for renal transplant.
B} Evaluation of difficult airway.
C} Role of anesthetist in the management of a case with
thromboangitis obliterans.
D} Merits and demerits of retro bulbar versus peribulbar
block.
E} Air embolism under anaesthesia.
11]. Discuss the regulation of body temperature. How will you
prevent hypothermia in a neonate posted for major abdominal surgery?
12]. Write short notes on:-
A} Factors affecting coronary circulation.
B} Aetiopathology of acute respiratory distress syndrome.
C} Blood component therapy.
D} Role of regional analgesia in pediatric surgery.
E} Pre-operative evaluation of autonomic function.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
DECEMBER 2002
1].Describe the anatomy of larynx with difference in adult and
children. What is importance of recurrent laryngeal nerve in anaesthesia
practice?
2].Write short notes on:-
A}
Hydrocephalus and its various methods of management.
B}
Pulmonary edema in intra0operative and immediate post-operative period.
C} Anatomy
of brachial plexus and its importance to the anesthetists.
D} Thyroid
crisis.
E} Broncho-pleural
fistula.
3].How is the diagnosis of dilutional hyponatremia made? What
is its significance in anaesthesia?
4].Write short notes on:-
A}
Clinical use of blood.
B} MRI and
anaesthesia.
C} Post-tonsillectomy
bleeding.
D}
Pacemakers.
E}
Disinfection.
5].Discuss the pharmacological principles of measuring the
depth of anaesthesia and techniques for monitoring the depth of anaesthesia.
6].Write short notes on:-
A}
Comparative evaluation of Ringer lactate, low molecular dextran and 3-5%
polygelatine as spinal preloading.
B}
Anaesthesia for day stay surgery.
C} Effect
of intrathecal neostigmine on spinal anaesthesia.
D}
Indications and methods of stellate ganglion block.
E} Adenosine
and its clinical uses.
7].What is malignant hyperthermia? Discuss its clinical
features and laboratory finding. Why it is important for the anesthetist to
know about this syndrome?
8]. Write short
notes on:-
A} CPR in
pregnant women.
B} what is
meant by end tidal co2 concentration?
C}
Treatment of hyperkalemia.
D}
Combined spinal epidural block.
E} Principles of management of DKA.
JUNE 2003
1].Anatomy and physiology of trachea-esophageal fistula.
Anaesthetic management of the disease.
2].Write short notes on:-
A}
Hydropneumothorax.
B} Caudal
block.
C} Venturi
principle and its application in anaesthesia.
D}
Anaesthetic management of myasthenia gravis.
E}Horner’s
syndrome.
3].Anaesthetic management of a 10 year old child with multiple
injuries.
4].Write short notes on:-
A}
Predictive assessment of difficult airway.
B} Medical
diseases in obstetrics.
C} Central
anticholinergic syndrome in postoperative patient.
D}
Transdermal opoids.
E} HIV and
anaesthesia.
5]. Describe principles, assessment and treatment for pain in a
burn patient.
6].Write short notes on:-
A} Patient
controlled analgesia.
B} Stress
and the anesthesiologists.
C} Effects
of atenolol pretreatment in CVS, NMJ and IOP.
D}
Identification of anaphylaxis under GA and its management.
E} Modified
continued spinal epidural analgesia.
7].Obesity-problems in such a patient, anaesthetic management
and anaesthetic drugs of choice.
8].Write short notes on:-
A} Post
thyroidectomy respiratory obstruction, causes and management.
B}
Systemic toxicity of LA and management.
C} Massive
blood transfusion.
D} Minimal
monitoring in post spinal fusion for scoliosis.
E} Criteria of selection for ambulatory surgery.
DECEMBER 2003
1] Discuss
the etiology and management of various cardiac arrhythmias occurring during
anaesthesia.
2] Write
short notes on:-
A}
Respiratory monitoring in anaesthesia.
B}
Pollution in anaesthesia.
C} Venous
air embolism.
D} IVRA.
E}
Difficult intubation.
3] A 35
weeks pregnant patient with BP 200/100 mm Hg, edema, and albuminuria is to be
prepared for elective caesarean section. Discuss preparation and preferred
anaesthesia technique (regional or general)
4] Write
short notes on:-
A}
Tracheostomy techniques and complications.
B} High
frequency ventilation.
C}
Isoflurane versus Sevoflurane.
D}
Crystalloids versus colloids.
E} Central
venous cannulation.
5] Discuss
the preoperative assessment and the method of anaesthesia in patient with TM
Ankylosis for the release of ankylosis.
6] Write
short notes on:-
A} Weaning
modes of ventilation.
B}
Anaphylactoid reaction during anaesthesia.
C}
Management of mismatched blood transfusion.
D}
Discharge criteria for day care surgery.
E}
Occupational hazards to anesthetist.
7]
Describe the countercurrent mechanism in the kidney. Discuss the renal
protection strategies during preoperative period.
8] Write
short notes on:-
A} Human
albumin.
B}
Intracranial pressure.
C} TIVA.
D}
Defibrillation.
E} Malignant hyperthermia.
JUNE 2004
1] A 40
year old male has pulse 45/min and BP of 190/110 mmHg diagnosed cases of tumor
mass in the posterior fossa.How will you prepare and manage the case for
removal of tumor?
2] Write
short notes on:-
A}
Myocardial preservation.
B} Thyroid
storm
C} Brain
death
D} Septic
shock
E} GBS
3] A 4
year old has come in emergency with foreign body in right bronchus. How will
you manage for broncshoscopy for such a patient?
4] Write
short notes on:-
A} Post op
shivering
B}
Surgical uses of mannitol
C} Auto
transfusion
D}
Characteristics of ideal vaporizer
E}
Anaesthetic problems in MRI suite.
4] What is
pathophysiology of CAD? How will you manage a 30 year old with history of
angina?
5] Write
short notes on:-
A}
Carcinoid tumor
B}
malignant hyperthermia
C} DKA
D} Acute
pain management in opoid tolerant patient
E} AIDS
6] A 40
year old male patient with diagnosed case of carcinoma lung right bronchi has
come for pneumonectomy? How will you prepare and manage the case?
7] write
short notes on:-
A} PSV
B} Ethics
and anaesthesia
C}
Evaluation of cardiac patient for non cardiac surgery
D} Oxygen
toxicity
E} Pharmacokinetics of thiopentone sodium
DECEMBER 2004
1.
Preoperative assessment of autonomic functions.
2. Venturi
principle and its application.
3. Role of
kidney in acid base balance.
4.
Complications of cannulation of IJV.
5.
Autologous blood transfusion.
6.
Temperature regulation in neonate and prevention of hypothermia in neonate
during perioperative period.
7. Oxygen
toxicity.
8.
Illustrate with diagram fetal circulation and delineate the differences from
adult circulation.
9. Methods
of monitoring neuromuscular transmission during anaesthesia.
10. Role
of magnesium in anaesthesia and ICU.
11.
Discuss briefly:-
A} Pre
anaesthetic evaluation and preparation of patient for pheochromocytoma.
B}
Anaesthetic management of an adult patient with permanent pacemaker posted for
TURP.
12.
Discuss briefly:-
A}
Anaesthetic problems in laser surgery.
B}
Indications and hazards of parenteral nutrition.
C} One
lung anaesthesia-problems and management.
D} Pre-emptive
analgesia.
13. Write short
notes on:-
A}
Hepatitis B and anesthesiologist.
B}
Discharge criteria for Day care surgery.
C}
Management of an adult with smoke inhalational injury.
D} Pre-operative
management of DKA.
14.
Monitored anaesthesia care in 80 year old man with IHD for cataract surgery.
15.
Myxedmatous coma.
16. Supine
hypotension syndrome.
17. Intra
operative bronchospasm.
18.
Discuss the anaesthetic problems in patients undergoing lieno renal shunt,
19. Morbid
obesity-anaesthetic problems.
20. PCA.
21.
Anaesthetic problems of repair of CDH in a neonate.
22.
Clinical use of alpha 2 agonists in anaesthesia.
23. Enzyme
induction –its role in anaesthesia with examples.
24. Recent
advances in the management of ALI.
25. Newer
odes of ventilation.
26.
Possible causes of delayed recovery from GA.
27.
Current concepts in CPR.
28.
Assessment of an adult patient who sustained multiple trauma of few hours
duration.
29. Caudal
epidural analgesia in anaesthesi practice.
30.
Etiology and management of cardiac arrhythmias during Anaesthesia.
31. VAP-causes
and prevention.
32. Role
of vasopressors in septic shock.
33. HELLP syndrome.
JUNE 2005
1. Oxygen cascade,
oxygen transport and oxygen dissociation curve.
2. Methods
of central venous cannulation; uses, limitations and complications of CVP
monitoring.
3. Anatomy
of larynx. Enumerate with diagrams the types of vocal cord palsies.
4. Blood
component therapy.
5. Temperature regulation in adults.
Predisposing factors, diagnosis and management of malignant hyperpyrexia.
6. Methods
of ICP monitoring. Uses and complications of ICP monitoring.
7. Plasma volume expanders.
8.
Classify CHD; explain with diagram the blood flow before and after delivery in
PDA.
9. Causes,
diagnosis and management of hypo and hyperkalemia.
10.
Describe PEEP, its mechanism of action, uses and complications.
11.
Preoperative considerations in pediatric patients.
12.
Preoperative preparations of case of myasthenia gravis scheduled for
thymectomy.
13.
Anesthetic management of emergency appendicectomy in a 16 weeks pregnanant
patient.
14.
Anaesthetic management of a case of essential hypertension for upper abdominal
surgery.
15. Anaesthetic
problems of liver transplantation surgery.
16.
Anaesthetic considerations in obesity.
17.
Medical management of head injury patient.
18. AIDS
and the anesthetist.
19. Airway
assessment.
20.
Problems of anaesthesia in dental chair.
21. What
are the potential causes of delayed resumption of spontaneous ventilation after
abdominal surgery with general anaesthesia? Discuss the problems, its diagnosis
and management.
22. List
and brief statement and effectiveness of each of the means available for
detecting awareness under anaesthesia.
23.
Describe the criteria and neurological test for brainstem and preparing the
patient for organ donation.
24.
Clinical features of infective endocarditis, principle guidelines to use
antibiotics as prophylaxis agent during surgery.
25. What
are the indications and contraindications for use of arterial tourniquet? What
complications may arise from the use of such tourniquet?
26.
Preoperative assessment, preparation specific to Thoraco Abdominal Aortic
esophagectomy.Describe the anaesthetic problem during operation.
27. List
the bedside tests available to predict the difficult intubations. Comment on
their uses.
28.10
months old baby for hernia repair. Discuss the anaesthetic and postoperative
pain management.
29. Problems
and management of pregnant patient with DCM on treatment for emergency LSCS.
30.
Discuss in brief the problems of adult patient with Down’s syndrome for
multiple teeth extraction.
31. Name
the adrenergic agonists and antagonists. Describe in detail their uses in
anaesthesia practice.
32. What
is cerebral protection? Explain the methods adopted in clinical practice for
cerebral protection.
33. The
role of sedation in ICU patients.
34.
Problems encountered by anesthetists during the orthopedic operative
procedures.
35. What
are the ways by which you can measure the depth of anaesthesia during the
intraoperative period?
36.
Discuss the physiology of hemostasis and its significance.
37.
Anaesthetic implications in neonatal anaesthesia.
38.
Physical principles of pulse oximetry.
39. Stress
and anesthesiologists.
40. What are the methods adopted by the anesthetists to
reduce the need for allogenic blood transfusions.
DECEMBER 2005
1. Pre-anaesthetic
evaluation of a patient of Mitral Stenosis for MTP and sterilization.
2.
Preoperative preparation of a diabetic patient with history of bleeding varices,
lino renal shunt operation.
3.
Management of a patient who is not maintaining 02 saturation after an elective
abdominal surgery.
4. Role of
anesthetist in obstetric unit.
5. Third
space loss-its importance to anesthetist.
6.
Anaphylactic reaction on the operation table.
7.
Anaesthetic consideration of a neonate for repair of cervical
meningo-myelocoele.
8.
Anaesthetic consideration of a patient on pacemaker for TURP.
9.
Anaesthetic consideration of a patient for surgery for fracture neck of femur,
one year after CABG.
10.
Anaesthetic consideration of a patient with BPF for repair.
11. Pre-anaesthetic
evaluation of a thyrotoxic patient for thyroidectomy.
12.
Pre-anaesthetic evaluation of a patient with valvular heart disease.
13.
Anaesthetic management of a case of DM scheduled for open cholecystectomy.
14.
Intraoperative anaesthetic consideration in COPD patient fro upper abdominal
surgery.
15.
Anesthetic consideration in chronic liver failure.
16. Recent
advances in CPR.
17.
Postoperataive elective ventilation.
18. RA vs.
GA in obstetric surgery.
19.
Perioperative fluid requirements in small pediatric patients.
20. How
USG useful in anesthesiology and intensive care medicine and explain usefulness
of TEE during surgery.
21.
Discuss the ventilator management of ARDS.
22.
Discuss the peri-operative management of cerebral AVM.
23. Risk
factors for VTE and classify current methods of prevention with examples.
24.
Anaesthetic management of 2 year old child for therapeutic bronchoscopy
following inhalation of foreign body 2 days ago, child could not exhibit any
sign of airway obstruction.
25. A
patient who has undergone Heart transplant requires non-cardiac surgery. What
precautions must be undertaken by an anaesthetic for surgery?
26. What
are the therapeutic doses of Magnesium? How does it work?
27. What
are the problems in monitoring an anaesthetized patient in MRI?
28. What
are the diagnostic features that would lead to identify Malignant Hyperthermia
during or immediately after anaesthesia and the state the guidelines of
management?
29. What
are the problems associated with anaesthesia for elective surgery in a patient
of chronic renal failure?
30.
Applied physiology of IPPV.
31. Pre-emptive
analgesia.
32.
Anaesthesia for pregnant woman for non-obstetric surgery.
33.
Assessment of intraoperative awareness.
34.
Anaesthetic role in pain and palliative care.
35.
Enumerate the problems with muscle relaxants.
36. Operation
theatre safety.
37. Define
perioperative hypertension. Describe the causes and management.
38.
Describe in detail the occupational hazards to anesthesiologist.
39. What is minimum monitoring standard? Describe the
objectives and methods.
JUNE 2006
1. Acute
pain management service.
2.
Anaesthesia for Electro Convulsive Therapy.
3.
Anaesthetic management of Post Tonsillectomy Bleed.
4.
Resuscitation of 60% burns in an adult patient.
5.
Anaesthetic considerations for MRI.
6. Post
operative Pulmonary Complications.
7.
Modified guidelines of CPR-2005.
8.
Thyrotoxic patient for subtotal thyroidectomy.
9.
Diabetic patient with Autonomic Neuropathy for Abdominal Hysterectomy.
10.
Laparsocopy surgery in a pregnant patient.
11.
Myaesthenic syndrome.
12. Anti-thrombotic
Prophylaxis and Neuraxial Anaesthesia.
13.
Diagnosis and management of an acute attack of Malignant Hyperthermia.
14.
Artificial Blood (Synthetic Oxygen Carrying Substances).
15.
Pulmonary Artery Pressure Monitoring.
16. Spinal
Anaesthesia in children.
17. Pre-operative
evaluation and preparation of a patient with Fallot’s Tetrology.
18. TIVA.
19.
Anaesthetic management of a case of Pituitary Adenoma who is planned for
excision of adenoma (transsphenoidal hypophysectomy).
20.
Anaesthetic problems in scoliosis surgery.
21.
Discuss the causes of delayed recovery from anaesthesia and the management.
22.
Complications of Extramural Anaesthesia.
23.
Regional Anaesthesia in Day Care Surgery.
24. What
do you mean by Golden Hour in Trauma? Discuss the role of anesthetist in
resuscitation of a trauma patient.
25.
Discuss the management of an unconscious patient with history of drowning.
26. What
do you mean by awareness during anaesthesia? Mention the monitors in use to
measure the depth of anaesthesia.
27.
Describe the intrathecal and epidural opoids in clinical practice and their
complications.
28. What
are the causes of hypercarbia during the intraoperative period? Discuss the
effects and management.
29.
Anaesthetic problems in a patient with extreme obesity.
30.
Describe the different anaesthesia techniques practiced for cataract surgery
and their complications.
31. Stress
response to trauma and surgery.
32.
Describe the innervation of Female Genital Tract with a diagram and discuss
methods of producing painless labour.
33. Lung
Compliance.
34. Role
of Kidney in Acid-Base Regulation.
35. HELLP
syndrome.
36.
Adrenergic agonists.
37. Drug
Interactions.
38.
Phantom Limb Pain.
39.
Hyperkalemia.
40. Role of Magnesium in anaesthesia and ICU.
DECEMBER 2006
PAPER 1
1. A 35
years old patient with chronic renal failure is scheduled for
Renal transplant.
Discuss the anaesthetic management.
2. Discuss
the anaesthetic management in a patient of Myasthenia Gravis scheduled for
thymectomy.
3. How
will you anaesthetize airway of a 40 year old man for awake intubation?
4. Causes
and management of Post anaesthesia shivering.
5.
Parenteral nutrition in critically ill patient.
6.
Enumerate risk factors for PONV and discuss its management.
7. A four
year old child is scheduled for emergency repair of penetrating injury of the
eye .Discuss the anaesthetic management.
8. Discuss
the preoperative evaluation and anaesthetic management of a 30 year old female
patient who underwent mitral valve replacement 6 months ago and is now
scheduled for MTP with laparoscopic sterilization.
9. An 86
year old patient is scheduled for ORIF of subtroachanteric fracture of femur. Discuss
the preoperative and anaesthetic management of this patient.
10.
Discuss advantages and disadvantages of OPCAB.
PAPER
2
1. Discuss
the anaesthetic management of a 35 year old patient with Pheochromocytoma
scheduled for bilateral adrenalectomy.
2. What
are the indications of elective cardioversion? How does y
You
prepare and perform this procedure?
3. Discuss
the management of CICV in OT.
4. Discuss
the management of a patient with snake bite.
5. Various
clinical and confirmatory tests for brain death.
6.
Discharge criteria in a patient undergoing surgery in the OPD.
7. A
patient with obstructive jaundice (serum bilirubin 20mg %) is posted for
Whipple’s procedure. Discuss the preoperative evaluation and anaesthetic
management of this case.
8. Discuss
briefly the preoperative evaluation and anaesthetic management of a 50 years
old patient who had acute MI three months ago, and is scheduled for inguinal
hernia repair.
9. What
are the indications of OLV? Discuss the ventilator management during one lung
anaesthesia.
10. Causes
and management of Postoperative hypoxemia.
PAPER
3
1. Discuss
different modes of weaning from ventilator.
2. Air embolism;
methods of detection and management.
3. Merits
and demerits of various synthetic opoids.
4.
Occulocardiac Reflex.
5. Compare
and contrast dopamine and dobutamine as an inotropic agent.
6. What are
the manifestations of hyponatremia and how will you treat it?
7. What
are the criteria for diagnosis of SIRS? Discuss the principles of management of
septic shock admitted in an ICU.
8. Outline
the principles of peri-operative fluid therapy in a 10 days old child scheduled
for elective surgery.
9. GCS.
10. Causes
of intra-operative hypertension and discuss its management.
PAPER
4
1. What is
autologous blood transfusion? Describe the various techniques of autologous
blood transfusion.
2. Anion
gap.
3. Recombinant
Factor VIIa.
4.
Describe the nerve supply of the foot and the technique of Ankle block for
amputation of great toe.
5. Various
epidural narcotics for management of postoperative pain.
6. What is
low flow anaesthesia? Discuss its advantages and disadvantages.
7. What is
Venturi principle? Discuss its applications in anaesthesia practice.
8. Discuss
different methods of humidification.
9. What
are the determinants of cardiac output and discuss various non-invasive methods
of measurement of cardiac output.
10. Oxygen-Dissociation curve.
JUNE 2007
PAPER
1
1.
Anaesthetic management of radio-diagnostic procedures.
2. Pre-anaesthetic
assessment and preparation of one day old neonate for TEF repair.
3. Discuss
‘Resuscitation of near Drowning Patient ’as per modified CPR guidelines 2005.
4. PIH
–Role of anesthesiologists.
5.
Intraoperative management of a 40 year old male with HTN and IHD for right
pyelolithotomy.
6.
Intraoperative problems of Neurosurgical procedures under anaesthesia in
sitting position.
7. Discuss
the anaesthetic management of a 25 years old female with Cushing’s syndrome for
Bilateral Adrenalectomy.
8. Discuss
the anaesthetic management of a 70 year old man with Carcinoma Larynx for Total
Laryngectomy.
9. Discuss
the anaesthetic management of a 20 year old male with Achalasia Cardia and
Bronchial Asthma for Laparoscopic Cardiomyotomy.
10.
Discuss the anaesthetic problems in Robotic Surgery.
PAPER
2
1. Pre-anaesthetic
evaluation and preparation of a patient with Portal Hypertension for
Lieno-Renal Shunt.
2. Discuss
one method of Brachial Plexus block through Supraclavicular approach and
enumerate the complications associated with it.
3. Discuss
anaesthetic management of 20 years old male with Rheumatic Heart Disease with
Mitral Stenosis for closed Mitral Valvotomy.
4.
Anaesthetic management of CDH.
5. Discuss
different types of pacemakers and briefly enumerate precautions to be taken
during surgery in a patient with pacemaker.
6. Airway
devices recommended and used for CPR.
7.
Intraoperative neuromuscular monitoring.
8.
Anaesthetic problems in a patient with extreme obesity.
9. Non
invasive ventilation: advantages, disadvantages and methods of administration.
10.
Regional Anaesthesia in Day Care surgery.
PAPER
III
1.
Complications of extra-dural anaesthesia.
2.
Management of HELLP syndrome.
3. What do
you mean by the term GOLDEN HOUR in trauma? Explain the role of the anesthetist
in trauma management.
4. Role of
Magnesium in anaesthesia and ICU.
5. Mention
the commonly used immunosuppressive drugs and their interaction with
anaesthetic agents.
6.
Describe the regulation of intra cranial pressure and methods available for
reducing the pressure under anaesthesia.
7. Discuss
the management of massive blood loss.
8. Recent
advances in the management of ALI/ARDS.
9. Discuss
the anaesthetic management of an inadequately managed DM patient with DKA
posted for below knee amputation.
10.
Management of intraoperative bronchospasm.
PAPER
IV
1. Discuss
various methods of oxygen monitoring in anaesthesia practice.
2. Discuss
role of plasma proteins in anaesthesia.
3. LMA:
Various modifications.
4.
Functional Analysis of Pressure Reducing Valve.
5.
Describe anatomy of paravertebral space and describe one method of establishing
Para vertebral Block.
6. Discuss
briefly different modes used for neonatal ventilation.
7.
Clonidine in anaesthesia practice.
8. Discuss
various methods used to obtund intubation response to laryngoscopy and
intubation.
9. Recent
views on pre-emptive analgesia.
10. Discuss principles of monitoring end tidal
carbon-dioxide.
DECEMBER 2009
PAPER
1
1.
Anaesthetic implications of fetal surgery.
2.
Indications, Technique and Complications of Spinal Anaesthesia in pediatric
patients undergoing surgery.
3. A 2
year old child weighing 10Kg is scheduled for removal of organic foreign body
in Right Bronchus. Discuss the anaesthetic management.
4.
Preoperative evaluation and anaesthetic management of a 30 year old patient
with MS and AF scheduled for Balloon angioplasty & Valvotomy.
5. A 4
year old child weighing 15Kg undergoing Strabismus surgery suddenly develops Tachycardia,
rigidity of extremities and rise in temperature during anaesthesia. Discuss the
management.
6. Preoperative
anaesthetic implications in a patient with a transplanted heart posted for
incidental surgery.
7. A 25
year old man presents with marked features of Acromegaly and is posted for
Trans-sphenoidal Hypophysectomy.Discuss the anaesthetic management.
8. A 60
year old man presents for elective Parathyroidectomy.Discuss the anaesthetic
management.
9. A 70
year old Hypertensive man with CAD is scheduled for TURP.Discuss the
anaesthetic management.
10. GBS-discuss
briefly etiology.pathogenesis, symptomatology and management including
anaesthetic management.
PAPER
II
1. A 40
years old man weighing 140Kg has DM and HTN and is scheduled for Gastric
Banding.Dsicuss the anaesthetic management.
2.
Anaesthetic considerations and management of a child with Post-Tonsillectomy
bleeding.
3. Fasting
guidelines for children. How does premedication in adults differ from that in children?
4. Pain
management options in a patient with intractable pain due to Carcinoma of
Pancreas.
5. Draw a
labeled diagram of a flexible FOB and describe methods for its sterilization or
high level disinfection.
6. ASA
physical status classification.
7.
Techniques and approaches to IJV cannulation.
8.
Anaesthetic considerations for modified ECT.
9.
Anticoagulation and CPB.
10.
Techniques to prevent hypotension after spinal anaesthesia in caesarean
section.
PAPER
III
1. New
guidelines for neonatal resuscitation.
2.
Preoperative assessment and anaesthetic management of a 2 year old of
Hydrocephalus posted for shunt procedure.
3.
Autologous Blood Transfusion.
4.
Perioperatibe beta blocker therapy.
5.
Monitored anaesthesia care.
6. CVP and
its application.
7.
Concentration Effect and Second Gas Effect produced during uptake of inhalational
agent.
8. Brain
Death.
9.
Elective Cardio version.
10. Laryngospasm
during anaesthesia.
PAPER
IV
1. SGA
devices.
2.
Epidural Opiates in anaesthesia practice.
3. Pulse
Oximetry-principles and applications.
4.
Cardioplegia and its role in cardiac anaesthesia practice.
5. Anatomy
of epidural space and methods of identification.
6. Link 25
Proportioning system in anaesthesia machine.
7.
Nephrotoxicity of Fluorinated anaesthetic agents.
8. PCA in
anaesthesia practice.
9. ICP
monitoring and its application.
10. Role of Blood Components in Perioperative period
JUNE 2008
PAPER I
1. Write
the blood conservation strategies in a 20 year old female scheduled for
excision of Angiofibroma of Nose.
2. Write
clinical features, diagnosis and management of a case of Paracetamol poisoning.
3. A 30
years old woman is scheduled for removal of Carcinoid Tumor. Write the
anaesthetic management.
4. TEE in
anaesthesia practice.
5. Discuss
pathophysiology and management of shivering in PACU.
6. What
principle is used in USG? How is USG useful in anaesthesia?
7. Write
anaestehtic management of a 3 years old child scheduled for PDA ligation.
8. What
are the indications of Caudal Epidural in paediatrics undergoing surgery?
Describe the techniques and write its complications.
9. Write
preoperative evaluation and preparation of a patient with Portal Hypertension
scheduled for L-R shunt.
10. What
are the indications of Mediastinoscopy? Write anaesthetic implications of
Mediastiniscopy.
PAPER
II
1. A 60
years old man with COPD is on ventilator in ICU.Plan his enteral feeding and
discuss its advantages and disadvantages.
2. Pre-Emptive
Analgesia: Current Status.
3.
Manifestations and management of Thyroid storm.
4.
Criteria for Weaning from Prolonged Ventilation.
5. Pre-operative
evaluation and anaesthetic management of one day child with CDH.
6.
Anaesthetic management of patient with severe pre-eclapmsia for caesarean
section.
7. Lipid
Emulsion for the treatment of Local Anaesthetic toxicity-mechanism and dosage.
8.
Clonidine in anaesthesia and ICU.
9. Pre
operative evaluation and anaesthetic considerations of a patient with
Parkinson’s disease.
10.
Guidelines for management of anaesthesia in a patient with Coronary Stent.
PAPER
III
1.
Enumerate the symptoms of Shock and discuss the methods used for assessment of
systemic perfusion.
2. How
will you diagnose DVT? Write the methods of Prophylaxis and management.
3.
Management of acute anaphylaxis.
4.
Transdermal administration of drugs.
5.
Permissive Hypercapnia.
6. Pre-operative
evaluation and preparation of 35 years old asthmatic female scheduled for
laparoscopic Cholecystectomy.
7.
Dexmedetomidine-Clinical applications and complications.
8. Discuss
the regulation of Cerebral Blood Flow.
9. Meth-hemoglobinemia
and the anesthetist.
10. I-Gel
airway.
PAPER
IV
1.Resuscitation of Term Pregnant patient.
1.Resuscitation of Term Pregnant patient.
2.
Classify Vaporizers. Briefly mention the effects of altered barometric pressure
on the performance of the vaporizers.
3.
Describe with the help of a labeled diagram, the anatomy of Lumbar Plexus and
describe the techniques of Lumbar Plexus Block.
4.
Evidenced Based Medical Education.
5. Nitrous
Oxide: Current status.
6. Adverse
effects of Neuromuscular Blocking agents.
7.
Percutaneous Dilatational Tracheostomy.
8.
Clinical Tests for evaluation of ANS.
9.
Planning of PACU.
10.What are the problems related to Chronic Hemodialysis.
DECEMBER 2008
PAPER I
1. A 2
year old child is scheduled for removal of Foreign Body in the Right Bronchus.
What is the anaesthetic management?
2.
Enumerate the guidelines for Regional anaesthesia in a patient on Anticoagulant
Therapy.
3. A 20
year old is scheduled for release of TMJ Ankylosis.Discuss the various methods
to secure the airway.
4. Discuss
the causes of delayed recovery following General Anaesthesia.
5. What
are the anaesthetic implications in a patient with a Transplanted Kidney posted
for incidental elective surgery?
6. Define
Monitored Anaesthesia Care. Discuss its goals and technique.
7. Discuss
the pathophysiology and management of a case of Carbon Monoxide poisoning.
8. A 50
year old woman with Hypothyroidism is scheduled for Abdominal
Hysterectomy.Dsicuss the anaesthetic management.
9.
Enumerate the perioperative problems and anaesthetic management of a 28 year
old patient with MS for elective CS.
10.
Discuss the preoperative evaluation and anaesthetic considerations in a patient
with Parkinson’s disease.
PAPER
II
1.
Enumerate the environmental hazards in the Operation Theatre and discuss the measures for its preservation.
2. What is
TEG? Draw a labeled diagram to show a normal tracing. What are its
implications?
3.
Perioperative problems and the anaesthetic management of a one day old child
with CDH.
4. Discuss
the diagnosis and management of PMI in a patient undergoing non-cardiac
surgery.
5.
Enumerate the perioperative problems and anaestehtic management in an 80 year
old patient scheduled for THR.
6. CVP
monitoring and its implications.
7. Enumerate
the risk factors for PONV.Discuss its management.
8. What is
ARDS? Discuss the ventilator strategies in a patient with ARDS.
9. What
are the perioperative problems in a patient with morbid obesity?
10. Write
in brief the criteria for determination of brain death and clinical tests for
confirmation.
PAPER
III
1.
Enumerate the effects of chronic smoking and the anaesthetic implications.
2. What
are the recent guidelines for neonatal resuscitation?
3. Discuss
the complications and sequelae of blood transfusions.
4. Enteral
feeding in the critically ill patients.
5.
Enumerate the physiological changes during pregnancy and their clinical
implications.
6.
Anaesthetic concerns for MRI.
7. Compare
and Contrast:
a. PEEP
& CPAP.
b.TOF
&Double Burst.
8. Compare
& Contrast:
a. Starch
and Gelatin as IV fluid
B.Sevoflurane
and Isoflurane.
9.
Enumerate the Five H’s and Five T’s as possible causes of Cardiac arrest. What
is the management of pulse less electrical activity in an unconscious patient?
10.
Discuss the ECG abnormalities due to various electrolyte imbalances.
PAPER
IV
1. Draw a
labeled diagram to illustrate the Fetal Circulation. What are the circulatory
changes that occur at birth?
2.
Enumerate the indications, contraindications, complications and method of
establishing Stellate Ganglion Block.
3. Nitric
Oxide-Current status.
4. Define
FRC.What is significance in anaesthesia?
5. What is
Triage? What are Triage criteria in relation to trauma?
6. Discuss
in brief the sites and devices for temperature monitoring.
7. What is
BIS? What are its clinical applications in anaesthesia practice?
8. Role of
Humidification in anaesthesia practice.
9. Write
briefly on Research Ethics.
10. Non- Invasive Ventilation.
JUNE 2009
PAPER I
1. Discuss
the pathopyhsiology and management of shivering following anaesthesia.
2.
Enumerate the guidelines for regional anaesthesia in a patient on antiplatelet
therapy.
3. Discuss
the distribution of ventilation and perfusion in a normal lung with the help of
a labeled diagram. What are the factors affecting Ventilation Perfusion ratio?
4.
Describe the pre-operative evaluation and preparation of a 30 year old patient
with portal hypertension scheduled for L-R shunt.
5. How is
Cerebral Blood Flow regulated? What is the effect of various anaesthetic drugs
in cerebral blood flow?
6. Discuss
the role of EBM in anaesthesia practice. Quote few examples.
7.
Enumerate the predictors of weaning from Mechanical Ventilation.
8.
Describe pre-operative evaluation and anaesthetic management of one day old
child scheduled for repair of CDH.
9. What
are the indications of Caudal Epidural anaesthesia in pediatric patients
undergoing surgery? Describe the technique and enumerate its complications.
10.
Percutaneous Dilatational Tracheostomy: Indications, Techniques and
complications.
PAPER
II
1. Discuss
the management of Intra Cranial Hypertension...
2. What
are the common Nosocomial Infections in ICU? Discuss the measures for
prevention of Ventilator Associated Pneumonias.
3.
Describe the in-hospital management of OP Poisoning.
4.A 65
year old patient, chronic cigarette smoker is admitted to Emergency department
with acute respiratory distress and altered sensorium.His ABG reveals PaO2- 50
mmHg,PaCo2-85 mm Hg,pH-7.10.Discuss your plan of management.
5. Discuss
the manifestations and management of Thyroid Storm.
6.
Enumerate the role of analgesics and sedation in patients on ventilator therapy
in the ICU.
7. HPV.
8. What is
DIC? Enumerate its causes and management.
9. Discuss
the pathophysiology of Hepato Renal Syndrome. What are the measures to prevent
it?
10.
Describe the techniques of Chest Physiotherapy? What is its role in the post
surgical period?
PAPER
III
1. Discuss
the pathophysiology, signs and symptoms and management of VAE.
2. What
are the indications of OLV? What are the methods of Lung Separation? Discuss
the problems involved?
3. Chronic
Smoking and the Anesthesiologist.
4. Define
Hyperkalemia.Discuss signs and symptoms and anaesthetic consideration.
5. Discuss
the perioperative evaluation and management of 30 year old primi admitted at 36
weeks of pregnancy with Eclampsia presenting for emergency LSCS.
6.
Enumerate the Risk factors for PONV.Discuss measures to prevent and its
management.
7. What is
Massive Blood Transfusion? What are the complications of massive blood
transfusion?
8.
Assessment and Resuscitation of a patient with severe burns.
9. Discuss
the problems and their anaesthetic implications of a 40 year old Morbidly Obese
patients scheduled for Gastric Banding.
10.
Discuss anaesthetic management of 70 years old Hypertensive with CAD scheduled
for TURP.
PAPER
IV
1.
Describe the anatomy of Celiac Plexus. Discuss the Indications and methods to
block Celiac Plexus.
2. Safety
Features in a Modern Day Anaesthesia Machine.
3.
Classify Inotropes on the basis of their Mechanism of actions. Compare Dopamine
and Dobutamine.
4.
Describe the anatomy of Larynx. How would you anaesthetize the airway for awake
intubation?
5. Define
Minimum Alveolar Concentration. What are the factors affecting MAC? What is its
significance in anaesthesia?
6. What is
Venturi principle? What are its applications in anaesthesia?
7.
Describe Physiological Changes associated with Pneumoperitoneum for
Laparoscopic Cholecystectomy.
8.
Describe with diagram the Flow Volume Loops in:-
(a)Healthy
Adult.
(b)Patient
with Restrictive Lung Disease.
©Patient
with Obstructive Lung Disease.
9. What
are the factors affecting Neuromuscular Blockage? Discuss various methods to
monitor Neuromuscular Blockage.
10. What is Monitored Anaesthesia Care? Discuss the
Discharge criteria for a patient after Day Care Surgery.
DECEMBER 2009
PAPER I
1. A 50
year old male and known diabetic is scheduled for Upper Abdominal Surgery. How
will you evaluate the ANS?
2. A 40
year old male with Emphysematous Bulla in right lung is scheduled for thoracoscopic
(VATS) excision of bulla. Describe the anaesthetic management.
3.
Enumerate the Indications of OPCAB.Describe the technique, advantages and
disadvantages.
4. A 20
year old female with mass in posterior cranial fossa is scheduled for craniotomy.
Describe the anaesthetic management.
5.
Describe the risk stratification of a patient with deranged liver functions
scheduled for partial liver resection.
6. Draw
the algorithm for preoperative management of a patient receiving antiplatelet
therapy as recommended by ACC/AHA guidelines in perioperative cardiovascular
evaluation and care. Describe preoperative management of a patient with
Coronary Stent.
7.
Describe the different methods used for perioperative control of blood sugar in
diabetic patients undergoing major abdominal surgery with their advantages and
disadvantages.
8. Define
and Classify Chronic Pain. Describe the methods of treatment of CRPS in left
upper limb in a 20 year old male patient.
9. Desribe
the anaesthetic management of a patient with PIH scheduled for CS.
10.
Describe the anaesthetic management of an 80 year old male scheduled for
THR.Mention the methods of postoperative pain relief.
PAPER
II
1. A 30
year old female with Cushing’s syndrome is scheduled for Bilateral
Adrenalectomy.Describe the anaesthetic management.
2. How
does the pediatric airway differ from that of an adult? What are the
implications for an anesthesiologist?
3.
Describe the criteria for selection of anaesthetic agents for use in Day Care Surgery.
Enumerate the agents of your choice.
4. A 22
year old male patient with Multiple Papilloma of Larynx is scheduled for Laser Excision.
Describe the anaesthetic management.
5.
Enumerate the signs and symptoms of Hyponatremia.Describe the management in a
patient with serum Sodium 115 mEq/L scheduled for Knee Replacement under
Regional Anaesthesia.
6. How
will you diagnose mismatched Blood Transfusion intraoperatively? Describe its
management.
7.
Describe the anaesthetic management in a patient with Abdominal Aortic
Dissection scheduled for Aortic Bypass Graft.
8. A HIV
positive patient is scheduled for elective caesarean section. Describe the
precautions for the management of this patient.
9.
Enumerate the evidence based indications for a Pacemaker insertion. Mention the
general principles of anaesthetic management of a patient with pacemaker
scheduled for surgery.
10.
Describe the anaesthetic management in a 10 year old child scheduled for Perforating
Eye Injury repair.
PAPER
III
1.
Describe the initial assessment and resuscitation in a 25 year old female with
massive burns evacuated from the site of fire.
2. How
will you diagnose VAE? Describe its pathophysiology and management.
3.
Describe the anaesthetic management of a neonate scheduled for repair of TEF.
4. A 60
year old male with refractory depression is scheduled for ECT.Describe the
anaesthetic management.
5.
Enumerate the indications, contraindications and complications of invasive arterial
blood pressure monitoring. Describe the technique.
6.
Describe the manifestations and management of thyroid storm intraoperatively.
7. What is
PDPH? What are the factors affecting it? Describe the management of such a
case.
8.
Describe the role of intraoperative Echocardiography in clinical anaesthesia.
9. What is
Monitored Anaesthesia Care? Describe the technique in an 80 year old patient
with IHD scheduled for Cataract surgery.
10. What
are the limitations and hazards of providing anaesthesia in the MRI suite?
Describe anaesthetic management of a 6 months old child with Hydrocephalus
scheduled for MRI.
PAPER
IV
1. What
are the Major Buffer systems in the body? Enumerate the causes, effects and
management of Metabolic Acidosis.
2.
Describe the nerve supply of Larynx. Enumerate the signs and symptoms of
Bilateral Recurrent Laryngeal Nerve Palsy following Total Thyroidectomy.
3.
Describe the Metabolic Functions of the Lung.
4.
Describe the Cardiac Conductions system. How do you manage a patient with PSVT?
5. How do
you diagnose DVT? Describe the predisposing factors and its management.
6.
Illustrate the Anatomy of Celiac Plexus with the help of a diagram.Descirbe the
technique of Celiac Plexus Block and its complications.
7.
Describe the pre-anaesthesia checklist for anaesthesia machine and equipment.
8.
Enumerate the various approaches for CVP monitoring. Describe the technique and
complications of IJV cannulation.
9.
Classify antihypertensive drugs. Describe the management of hypertensive
emergency.
10. What is Venturi Effect? Describe its clinical
application in anaesthesia.
JUNE 2010
PAPER I
1.
Describe the anaesthetic management of a 70 year old patient with permanent
pacemaker scheduled for TURP.
2. Outline
the anaesthetic management of a female with26 week’s pregnancy scheduled for
emergency appendicectomy.
3. Enteral
feeding in the critically ill patients-indications, techniques and
complications.
4. USG-principles
and its uses in day to day practice of anaesthesia.
5. Role of
Lipid Emulsions in Local Anaesthetic Toxicity.
6. A 35
year old hypertensive patient with chronic cholecystitis is scheduled for
Laparoscopic Cholecystectomy.Outline the pre-operative evaluation, preparation
and anaesthetic management of this patient.
7.
A.Nitric Oxide
b.Dexmedetomidine
8.
Different techniques of reducing the need for allogenic blood transfusion.
9.
Simulators in anaesthesia training.
10.
Importance of Triage in mass casualty incident.
PAPER
II
1. A 68
year old patient with Carcinoma Esophagus is scheduled for Transthoracic
Esophagectomy.Outline the preoperative evaluation, preparation and anaesthetic
management.
2. Define
Morbid Obesity. Outline the intra-operative anaesthetic considerations in this
patient scheduled for Bariatric surgery.
3. A 2 day
old child with CDH is scheduled for primary repair. Outline the pre-operative evaluation,
preparation and anaesthetic considerations of this case.
4. Write
the algorithm for management of patient with PEA as per AHA guidelines.
5.
Criteria for Brain Death and the role of anesthetist in Organ Harvesting.
6. Current
concepts in pre-emptive analgesia.
7. HELLP syndrome:
Role of anesthesiologist.
8. Outline
the various modalities for management of postoperative pain following major
abdominal surgery. Enumerate the differences between acute and chronic pain.
9.
Peribulbar block-indications, techniques and complications.
10. a.I-gel.
b.BIS
PAPER
III
1. A 40
year old patient with Portal Hypertension is scheduled for Lieno-Renal shunt.
Outline the pre-operative evaluation, preparation and anaesthetic management of
this patient.
2. What is
Mendelson’s Syndrome? Enumerate Acid Aspiration prophylaxis in a patient
scheduled for emergency Caesarean Section.
3.
Enumerate the components of RCRI.Draw the algorithm of cardiac evaluation for
non-cardiac surgery as recommended by ACC/AHA 2007 guidelines on perioperative
CVS evaluation and care.
4.
Enumerate the predictors of weaning a patient on prolonged Mechanical
Ventilatory support in the ICU.
5. A 6
year old boy underwent Adenoidectomy under GA as Day Care Surgery. Enumerate
the discharge criteria of this patient.
6.
Hypokalemia-definition, clinical manifestation and management 7.Clinical
Manifestations and management of a patient with Acute Anaphylaxis.
8.
Enumerate the changes in the ACC/AHA guidelines on resuscitation (BLS and ACLS)
for management of cardiac arrest in an adult.
9.
A.Informed Consent.
B.Communication skill and anesthesiologist.
10.
Percutaneous Dilatational Tracheostomy-various techniques and their advantages
over conventional Tracheostomy.
PAPER
IV
1. Anatomy
of Brachial plexus with the help of diagram. Enumerate the various techniques
of Brachial Plexus Block.
2.
Enumerate various techniques of monitoring neuromuscular blockade during anaesthesia.
List the advantages and limitations of each of these techniques.
3. List
the various causes of reduced arterial oxygen tension in the intra-operative period,
and outline their management.
4. Draw
schematic diagrams of various types of Mapleson’s Breathing Circuits. Give the
Functional Analysis, advantages and disadvantages of Bain circuit.
5.
Enumerate the Safety Features in Modern Day Anaesthesia Machine.
6.
Enumerate the factors regulating normal Cerebral Blood Flow and the effect of
various anaesthetic drugs on Cerebral Blood Flow.
7.
Enumerate the indications for transfusion of packed red cells, FFP, platelets
and cryoprecipitates.
8. ASA physical
status classification for pre-operative anaesthetic risk assessment.
9. Post
Anaesthesia shivering-implications and management.
10. a}
Permissive Hypercapnia.
B.Bedside PFT.
DECEMBER 2010
PAPER I
1.
Describe clinical presentation, pathophysiology and management of Malignant
Hyperthermia.
2.
Describe the pharmacokinetics and pharmacodynamics of Etomidate.Desribe its
brief role in clinical practice.
3.
Describe Ventilatory Strategy in management of ARDS.
4.
Describe the causes and management of VAE.
5. What is
Recombinant Factor VIIa? Describe the clinical usage of it.
6.
Describe regional block for removal of infected corn foot.
7. What
are the criteria for discharge from PACU?
8.
Enumerate the Circulatory Assist Devices. What are the indications,
contraindications and complications of IABP?
9.
Enumerate Classical Biological Warfare Agents. Describe physical findings,
pathogenesis and treatment of Anthrax.
10. What
is Post-operative Jaundice? Describe its causes.
PAPER
II
1.
Enumerate the Indications of Trachesotomy.Describe different techniques of
performing Percutaneous Dilatational Tracheostomy.
2. What
are the causes of Obstetric Haemorrhage? Describe its management including
anaesthetic.
3.
Describe consent in anaesthesia practice including ethical and legal aspects.
4.
Enumerate causes of Post-operative Visual loss. Describe the pathophysiology
and its management.
5.
Describe various components of Surviving Sepsis guidelines.
6.
Describe the complications associated with sitting position during Posterior
Cranial Fossa surgery and their management.
7.
Describe the anaesthetic management in a patient scheduled for MRI.
8.
Describe the risk factors and predictors of PONV.Describe its management in the
pre-operative period.
9.
Describe the path physiology, clinical features, diagnosis and management of
Fat Embolism.
10. What
are the pre-operative considerations in THR? What are the goals of it intra-operative
management?
PAPER
III
1.
Describe clinical manifestation of Diabetic Autonomic Neuropathy. What are its
clinical implications?
2. What
are the pathophysiological insults which exacerbate the Primary Brain Injury
following Head Trauma? How can these effects be reduced?
3. What
are the Indications of RRT? List different modes of RRT.Discuss the role of
CRRT in septic shock.
4. Discuss
the pre-operative evaluation and preparation of a 55 year old male with
Bronchiectasis scheduled for right lower lobe excision.
5.
Describe the techniques for anaesthetizing airway for awake Fibreoptic
Laryngoscopy and Intubation through Nasal route in an adult with restricted
mouth opening.
6. Desribe
the anaesthetic considerations in patients having Coronary Artery Stents.
7.
Classify Cardiomyopathies.Describe management of a 60 year old male with Dilated
Cardiomyopathy scheduled for Laparotomy.
8.
Describe anaesthetic concerns for Regional Anaesthesia in a patient on
Anticoagulants.
9.
Describe the principles of Weaning from Mechanical Ventilation.
10.
Describe the effects of smoking and its anaesthetic implications.
PAPER
IV
1. Draw a
diagram to show various Lung Volumes and capacities. Describe the spirometry
features of patients with Obstructive and Restrictive Pulmonary disorder.
2.
Describe the anatomy of Stellate Ganglion. Discuss indications, techniques and
implications of Stellate Ganglion Block.
3.
Describe the Coronary Circulation. Discuss factors affecting Oxygen Demand and
Supply to the Myocardium.
4. What
are the major causes of Hypoxemia? What is HPV? How can GA worsen V/Q mismatch?
5. Classify Vaporizers. Discuss the effect of Altered Barometric Pressure on the performance of Vaporizers?
5. Classify Vaporizers. Discuss the effect of Altered Barometric Pressure on the performance of Vaporizers?
6. What do
you understand by Randomization and Blinding in a clinical study? What is the
importance of p-value and Power of Study?
7. What is
Minimum Alveolar Concentration (MAC)? Discuss the factors which affect the
alveolar concentration of an inhalational agent.
8.
Classify Antihypertensive drugs. Describe the management of a hypertensive
episode during anaesthesia?
9.
Describe the Cardiac Conduction System. How do you manage a patient with PSVT?
10. Describe the Anaesthesia Machine Check Protocol prior to
induction of anaesthesia.
JUNE 2011
PAPER I
1. Define
FRC and Closing Volume. Describe their clinical significance.
2. Define
Massive Blood Transfusion. Discuss the complications associated with Massive
Blood Transfusion.
3. Discuss
the causes and management of Postoperative Shivering.
4. Discuss
the peri-operative problems and anaesthetic management of a two day old
child scheduled to undergo TEF repair.
5.
Describe clinical presentation, pathophysiology and management of TURP
syndrome.
6. Discuss
the anaesthetic problems of surgery in prone position.
7. Discuss
pharmacokinetics and pharmacodynmics of Clonidine and its role in clinical
practice.
8.
Describe the course of Sciatic Nerve and any one approach to block the nerve.
9. What is
Low Flow Anaesthesia? Discuss its advantages and disadvantages.
10.
Discuss the use of TEE in anaesthesia practice.
PAPER
II
1. Nitrous
Oxide-Current Status in anaesthesia practice.
2. What
are the new guidelines for Ventilation and External Cardiac compression for
Neonatal Resuscitation? What are the drugs (with doses) used for Neonatal
Resuscitation?
3. What
are the problems with acute exposure to high altitude? Discuss briefly the
anaesthetic considerations at high altitude.
4. Discuss
the Hemodynamic and Metabolic changes during Aortic Clamping and Unclamping.
Describe the Renal protective measures during Aortic Clamping.
5. Discuss
the physiological changes due to peumoperitoneum in laparoscopic abdominal surgery.
List the intra-operative complications.
6. Discuss
Various Patterns of Nerve Stimulation in Neuromuscular Monitoring and their
interpretation with the help of diagrams.
7. Discuss
the preoperative evaluation and anaesthetic management of a 45 year old male
with history of MI 3 months back and is scheduled to undergo Exploratory
Laparotomy.
8. Define
Hypokalemia.What are the clinical manifestations of hypokalemia? How will you
treat hypokalemia intraoperatively?
9. Discuss
the anaesthetic management of a full term primigravida with severe
pre-eclampsia, scheduled for emergency CS.
10.
Discuss the various criteria required before weaning a patient from CPB.
PAPER
III
1.
Enumerate different SGA’s.Tabulate the differences between Proseal LMA and
I-gel Airway device.
2. Discuss
the pre-anaesthetic preparation, anaesthetic goals and intraoperative
management of a 30 year old female patient with diagnosis of Pheochromocytoma
scheduled for excision of Adrenal Tumor.
3. What
are the goals of Nutritional Support in Critically ill patients? Describe the
daily requirements for proteins, lipids and carbohydrates for a patient with
advanced sepsis admitted in ICU.
4. A 68
year old male with Carcinoma Esophagus is posted for Total Esophagectomy and
Gastric pull up. Describe the preoperative preparation, evaluation and
anaesthetic management.
5.
Describe the Functional Analysis of the Bain’s circuit. How will you check the
functional integrity of Bain’s circuit?
6. What is
Cerebral Autoregulation? Discuss the implications of various inhalational anaesthetic
agents on Cerebral Auto regulation.
7. A 30
year old female ASA grade I, following Exploratory Laparotomy, is not
maintaining Oxygen saturation in the post operative period. Discuss its causes
and management.
8. What
are the symptoms and signs of OP poisoning? Discuss its management.
9. Discuss
the preoperative evaluation, preparation and anesthetic management of a patient
with Transplanted Kidney presenting for Incidental elective surgery.
10.
Discuss the clinical manifestations of Local Anaesthetic Toxicity and its
management.
PAPER
IV
1.
Describe two major effects of Pressure Fluctuation in the anaesthesia machine
on vaporizer output. Describe the improvisation in designing to overcome this
problem.
2. Define
Base Excess. How do Kidneys compensate for acid base imbalance?
3.
Describe various tests for used for monitoring peri-operative coagulation.
4.
Describe the innervations of Larynx. Briefly discuss various palsies following
nerve injury.
5. Discuss
the pain management options in a patient with intractable pain due to Carcinoma
head of Pancreas.
6.
Enumerate the environmental hazards in the operating theatre and discuss the
measures for its prevention.
7. What do
you mean by Multi-Casualty Triaging? Why is it important? How do you triage
victims in the casualty following a mass disaster?
8. Discuss
the synthetic functions of Liver. What is the role of Albumin in
pharmacokinetics?
9.
Describe common Arrhythmias encountered during pre-operative period.Dsicuss the
therapeutic uses of Amiodarone.
10. What is Occulo-Cardiac Reflex? Discuss measures to
attenuate pressor response to laryngoscopy/intubation.
DECEMBER 2011
PAPER
I
1. Discuss
the physiologic changes of cardiovascular and respiratory systems in pregnancy.
Discuss the anaesthetic considerations and management of pregnant patient
undergoing non-obstetric surgery during first trimester.
2. Discuss
the anaesthetic implications and peri-operative management of a six month old
child scheduled for excision of Cystic Hygroma.
3. What
are the methods of pain assessment Infants and children? Discuss the
pharmacological management of acute pain in pediatric patients.
4. Define
BMI.Classify obesity and discuss the anaesthetic considerations in a morbidly
obese patient.
5. Define
Fink effect, Diffusion Hypoxia, and Second gas effect. How are they of
importance to the anesthetist?
6. Write
the goals of Pre-Anaesthetic Check up, ASA risks grading and fasting
guidelines.
7. What
are the differences between a Subdural and Subarachnoid block? Write clinical
features and management of PDPH.
8. What is
Diastolic Dysfunction? Discuss its evaluation and Implications to the anesthetist.
9.
Enumerate the causes of air embolism in clinical practice. Discuss the clinical
features and its management.
10.
Classify Opoids.Discuss the merits and demerits of Epidural Fentanyl and
Morphine.
PAPER
II
1. What
are the causes of Intra-operative hypertension in a previously normotensive patient?
Discuss various modalities to manage it.
2. Discuss
the differential diagnosis of Intra-operative Bronchospasm.How will you manage
it?
3. Discuss
the physiological changes secondary to pain in labour.Describe the role of
Para-Cervical and Pudendal nerve blocks in Obstetric Analgesia.
4. What is
Oxygen delivery? Classify Oxygen delivery systems. Discuss the role of Ventimask
in Oxygen therapy.
5. What
are the recommendations for Neuraxial Anaesthesia in a patient on Anticoagulant
therapy?
6.
Describe the Boundaries of Epidural space. Discuss five common complications of
Epidural Block.
7. Why is
it important to measure the Depth of Anaesthesia? Briefly describe the methods
used.
8. What is
Monitored Anaesthesia Care? Describe Minimum Monitoring Standards for a patient
undergoing Monitored Anaesthesia Care.
9. Describe
briefly the Difficult Airway Algorithm. How will you perform awake intubation
in an adult with restricted mouth opening?
10. How
will you evaluate a 50 years old male patient with history of IHD presenting
for Major Abdominal Surgery?
PAPER
III
1. Discuss
the anaesthetic considerations for excision of a mass in the Posterior Cranial
Fossa in a 20 year old patient.
2.
Describe the clinical features of Hypothyroidism. Discuss the anaesthetic
considerations in a hypothyroid patient scheduled for Upper Abdominal Surgery.
3. Discuss
clinical manifestations and management of Acute Anaphylaxis.
4. Discuss
the pre-operative evaluation and anaesthetic management of a 2 year old child
scheduled for removal of Foreign Body in Bronchus.
5.
Describe pathophysiology, clinical manifestations and anaesthetic management of
CDH in a neonate.
6. Discuss
the pre-operative evaluation and anaesthetic management of an 80 year old
patient with Cardiac Pacemaker for TURP.
7.
Enumerate the causes, clinical manifestations and management of Hyperkalemia.
8.
Describe briefly pathophysiology, signs and symptoms, diagnosis and treatment
of Carbon Monoxide poisoning.
9.
Enumerate the causes and DD of post extubation Laryngospasm.How will you manage
it?
10. What are
Mixed Venous Oxygen Saturation and its importance in Critical Care setup? How
is it measured?
PAPER
IV
1.
Describe the anatomy of Celiac Plexus.Dsicuss the Indications and methods of
Celiac Plexus Block.
2. Discuss
the mechanism of action.Pharmacodynamics and Pharmacokinetics of Proppfol.
3.
Describe briefly the Safety features in Modern Day Anaesthesia machines.
Discuss various features that prevent the delivery of Hypoxic gas mixtures.
4.
Describe the anatomy of IJV with the help of a diagram. Discuss any one approach
for IJV cannulation and its complications.
5. What is
SIADH? Describe the clinical features and management of SIADH.
6.
Enumerate the synthetic functions of the liver. Discuss the anaesthetic
implications in a patient with Cirrhosis and Ascites.
7. What is
PEEP? How does it improve arterial po2? What are its disadvantages?
8.
Describe the OHDC.How does it differ from the carbon dioxide dissociation
curve?
9.
Describe the physiology of circulation during closed chest compressions.
Discuss the Algorithm for BLC.
10. Define and Classify Septic Shock. Discuss the guidelines
for the management of Septic shock.
JUNE 2012
PAPER I
1. What is
the DD of intra operative bronchospasm? How will you manage it?
2. Discuss
indications and techniques of RRT.Discuss the role of CRRT in septic shock.
3.
Enumerate various approaches for central venous cannulation.Describe the
technique and complications of IJV cannulation.
4. Discuss
the regulation of ICP.Describe the methods available for reducing it under
anaesthesia.
5. Discuss
indications, techniques and complications of caudal epidural block in children.
6. Define
monitored anaesthesia care. Discuss its goals and techniques.
7. Discuss
the perioperative problems and anaesthetic management of a one year old child
with hydrocephalus scheduled for shunt procedure.
8. Discuss
pharmacokinetics and pharmacodynamics of dexmedetomidine.What is its role in
clinical practice?
9. Define
and classify dead space ventilation. Define minute ventilation. Under what
conditions is minute ventilation increased?
10.
Discuss the preoperative evaluation of a patient with IHD.Discuss the
perioperative monitoring for MI and its management.
PAPER II
1. How would you assess a case of septic
shock due to pancreatitis? Briefly discuss its management.
2. Discuss
the various criteria for weaning a patient from prolonged mechanical
ventilation.
3. What
are the physiological functions of magnesium? Describe its therapeutic uses in
anaesthesia/
4.
Describe the anatomy of larynx and its innervations. What are the differences
between neonatal and adult larynx?
5. What
are the different types of carbon dioxide absorbents? Describe their composition.
Discus the advantages and disadvantages of each.
6. What
are the objectives of premedication in a patient scheduled for elective CS?
Describe the drugs used with their doses and rationale.
7. Briefly
outline the evaluation and management of a patient with suspected perioperative
coagulopathy.
8. Discuss
the preoperative evaluation of a 25 year old man with OSA scheduled for
laparotomy.How would you prepare him for surgery?
9.
Describe the toxicity of commonly used LA agents and its management.
10.
Discuss the anaesthetic problems in robotic surgery.
PAPER III
1. Discuss
the preoperative evaluation and anaesthetic management of a 70 year old
hypertensive patient for total laryngectomy.
2. Discuss
the etiology and management of Supra Ventricular arrhythmias during surgery under GA.
3. What
are the clinical features of myasthenia gravis? Discuss preoperative evaluation
and anaesthetic management of a case presenting for interval appendicectomy.
4. What
are the various routes of administration of morphine? Discuss the pharmacokinetics
and pharmacodynamics of epidural morphine.
5. Discuss
the preoperative evaluation and anaesthetic management of a 40 year old
hyperthyroid patient posted for total thyroidectomy.Enumerate postoperative
complications.
6. What is
capnography? Draw a labeled diagram of normal capnograph and discuss clinical
considerations of capnography.
7. Discuss
the causes, clinical manifestations and treatment of hypercalcemia.What is
their anaesthetic considerations?
8. Discuss
the criteria for patient selection, contraindications, advantages and
disadvantages of autologous blood transfusion.
9. How
would you evaluate and prepare a patient with chronic bronchiectasis scheduled
for pneumonectomy? Briefly enumerate the postoperative complications.
10.
Describe the countercurrent mechanism in the kidney. Discuss the renal protection
strategies during perioperative period.
PAPER IV
1.
Enumerate the safety features in a modern day anaesthesia machine. Describe the
hypoxia prevention safety devices.
2. How is
autonomic neuropathy evaluated preoperatively? What is its significance in
anaesthesia?
3. Discuss
the different types of colloid solutions. Describe their advantages and
disadvantages.
4. Discuss
the signs and symptoms, pathophysiology and management of cyanide toxicity.
5.
Describe the anatomy of paravertebral space with diagram. Describe one method
of establishing the paravertebral block.
6. What
are the anaesthetic considerations for day care surgey? Discuss the clinical
criteria for recovery and discharge after DCS.
7.
Classify hypothermia. Describe the pathophysiological effects of hypothermia.
8.
Describe Bernoulli’s principle and its various applications in anaesthesia.
9. Explain
CRPS.What is the types of CRPS? Describe the clinical features and options for
treatment.
10. Enumerate the environmental hazards in the OT and
discuss the methods of prevention.
DECEMBER 2012
PAPER
I
1. How
will you evaluate a three year old child with Systolic Murmur scheduled for surgery?
Briefly discuss the anaesthetic implications.
2.
Describe briefly the intra-operative considerations for Bariatric surgery.
3.
Describe the DD of Intraoperative Bronchospasm.Write down its management.
4. Draw a
labeled diagram of Labor Pain Pathway. Describe the method, advantages and
disadvantages of preferred technique of Labor analgesia.
5. What
are the factors that predispose trauma patients to increased anaesthetic risks?
Briefly mention their management.
6. How
will you calculate the energy requirements in an ICU patient? What are
advantages and disadvantages of Parenteral Vs Enteral nutrition?
7. What
are the predictors of Cardiac Risk in cardiac patients undergoing non-cardiac
surgery? Describe briefly the anaesthetic consideration in a patient with CAD
with EF of 40% for Laparoscopic Cholecystectomy.
8.
Describe the preoperative evaluation, anaesthetic management and
intra-operative monitoring of a patient scheduled for Carotid Endarterectomy.
9.
Describe briefly the Diagnosis, Pathophysiology and treatment of Hepato-Renal
Syndrome in a case of advanced Liver Cirrhosis.
10.
Discuss the role of anesthesiologist in Organ Donation.
PAPER
II
1. What
are the indications of RRT? Describe its role in MODS.
2.
Describe the etiology, clinical features and treatment of Malignant
Hyperthermia.
3. What
are the anaesthetic concerns in the management of a patient with Myasthenia
Gravis scheduled for Thoracoscopic Thymectomy?
4. What
are the indications for ICP monitoring in patients with Head Injury? Describe
the ICU management strategies of a patient with severe head injury.
5. How
will you diagnose and manage a case of VAE during Spine Surgery?
6.
Enumerate the agents implicated in allergic reactions during anaesthesia. How
would you manage a patient with Anaphylaxis during anaesthesia?
7. Write
down the Algorithm for Resuscitation of a Newborn.
8. What is
Anion Gap? Describe the causes and management of Metabolic Acidosis from Low Cardiac
Output.
9. Write
an Algorithm for the management of Early Hemorrhagic Shock. What are the goals
in early resuscitation during active bleeding?
10.
Describe the commonly encountered problems following CPB in the post bypass
period.
PAPER
III
1. What
are the clinical features of OP Poisoning? How will you manage a patient of OP
Poisoning in an ICU?
2. What
are the ingredients of Professional Negligence? Write a note on Informed
Consent.
3. What is
IASP definition of Pain? How do you classify pain? Briefly describe the
Interdisciplinary management of Chronic Pain.
4. An 8
years old child who underwent Tonsillectomy 4 hours ago returns to the
Operating Table with Bleeding from Tonsillar site. Describe preparation,
preoperative assessment and anaesthetic management of this case.
5. What
are the hazards and Limitations of providing anaesthesia in an MRI suite?
Describe the anaesthetic management of a 6 months old child with Hydrocephalus
scheduled for MRI.
6. What
are the causes of Intra-operative Hypotension during THR? Outline the treatment
strategies.
7.
Enumerate the major concerns for anesthesiologist in Hypertrophic Pyloric
Stenosis in a newborn. Write down the anaesthetic management of such a case.
8.
Enumerate age-related changes in Cardiovascular, Pulmonary, Nervous and Renal
systems in Geriatric patient which can affect anaesthetic management. How do
the changes in renal functions affect anaesthetic management?
9. Describe
the preoperative evaluation and anaesthetic management of a $ year old child with
Perforating eye Injury scheduled for repair under GA.
10. What
is COPD? How will you manage oxygenation and pain in post-operative period of a
case of COPD undergoing upper abdominal surgery?
PAPER
IV
1. Briefly
discuss the management of a patient with severe sepsis as per Surviving Sepsis
Guidelines.
2. What is
the significance of Autonomic Neuropathy in DM? How can it be assessed?
3.
Describe the innervations of Larynx and the palsies following nerve injury with
the help of diagram(s).
4. What
are the factors leading to arterial hypoxemia in the PACU? Discuss the DD.
5.
Describe the causes and management of Acute Dilutional Hyponatremia in the
immediate postoperative period.
6.
Describe the algorithm of the evaluation and initial therapy of a patient with
suspected Peri-operative coagulopathy.
7. What are
Relative and Absolute Humidity? What are active and passive Humidifiers? What
are their advantages and disadvantages?
8. What is
scavenging in OT? What are five basic parts of a scavenging system? What are
the hazards of a scavenging system?
9.
Describe the mechanism by which IABP augments coronary perfusion. What are the
indications and contra indications for the use of IABP?
10. What is Hospice? When should you begin hospice care? How
does hospice serve patients and families?
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