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M.D. DEGREE EXAMINATION — APRIL, 2015
ANAESTHESIOLOGY
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Paper-I1II : Principles and Practice of Anaesthesiology
Time : 3 Hours Max. Marks:100
Note : Answer all questions
All questions carry equal marks
Draw neat diagrams wherever necessary
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WRITE SHORT ESSAYS ON THE FOLLOWING:
- Discuss the preoperative evaluation and management of a 72 year old patient with history of hypertension and ischaemic heart disease posted for gastrectomy.
- Causes of delayed recovery after anaesthesia and line of management
- Discuss pharmacokinetics and pharmacodynamics of clonidine and its role in clinical practice.
- Discuss hemodynamic and metabolic changes during aortic clamping and unclamping. Describe renal protective measures during aortic clamping.
- Define hypokaliemia. What are the clinical manifestations of hypokaliemia? How would you treat hypokaliemia intraoperatively?
- What is cerebral autoregulation? Discuss the implications of various inhalational anaesthetic agents on cerebral autoregulation.
- What are the signs and symptoms of organophosphorus poisoning? Discuss its management.
- Describe common intraoperative arrhythmias and their management.
- Detail the anaesthetic management, complications and post operative management in a child aged 5 years presenting for correction of Strabismus
- Define base excess. How do kidneys compensate for acid base imbalance?
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