Download DNB 2015 Dec PVS PERIPHERAL VASCULAR SURGERY P I Question Paper

Download DNB (Diplomate of National Board) Under NBE 2015 Dec PVS PERIPHERAL VASCULAR SURGERY P I Previous Question Paper

FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2015
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
PERIPHERAL VASCULAR SURGERY

PAPER ? I
PVS/D/15/33/I
Time : 3 hours
Max. Marks : 100

Important instructions:

? Attempt all questions in order.
? Each question carries 10 marks.
? Read the question carefully and answer to the point neatly and legibly.
? Do not leave any blank pages between two answers.
? Indicate the question number correctly for the answer in the margin space.
? Answer all the parts of a single question together.
? Start the answer to a question on a fresh page or leave adequate space between two answers.
? Draw table/diagrams/flowcharts wherever appropriate.
Write short notes on:
1. a) Draw a labeled diagram of the surgical anatomy of the thoracic outlet.
b) Mention two unique features of the anatomy of the above region.

8
2
2. a) Collateral circulation around the elbow with labeled diagram(s).
b) Mention two anomalies related to brachial artery anatomy in the above
region.

8
2
3. Mechanism of formation of neointimal hyperplasia and how the same can
be prevented/delayed by surgical and medical means.

6+4
4. Mechanism of action of prostaglandins in peripheral arterial ischaemia.
Mention indications of its use and precautions when used.

5+(2+3)
5. (a) Smoking and its association with peripheral arterial disease.
(b) What are the advantages of smoking cessation and when do the
benefits start?

6+(3+1)
6. Mention test(s) you would do to assess the action (therapeutic) for ?
Warfarin, Enoxaparine, Fondaparinux, Rivaroxaban and unfractionated
heparin. Mention the timing of collection of the blood sample in relation to
the dosing cycle of each of the drugs.

2x5
7. What investigations would you perform in a critically ischaemic diabetic
foot in a vascular lab to assess adequacy of foot perfusion? Discuss
advantages of the pressure measurement in such a case and why.

7+3
8. Advantages and disadvantages of conducting a:
a) Randomised control trial.
b) Case control study.


5
5
9. a) Draw a diagram to depict sites of non-thrombotic iliac vein lesion(s)
(NIVL).
b) Discuss the advantages and disadvantages of intravenous ultrasound
(IVUS).

5

5
10. a) Mention the ideal properties of a vascular graft.
b) What are the qualities of an ideal vein graft and its advantages over a
synthetic graft?
4
6
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