Download DNB 2019 Dec 2019 Dec Cardio Thoracic Surgery PAPER I Question Paper

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DECEMBER 2019

Time: 3 hours

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CARDIO THORACIC SURGERY

PAPER-I

Max. Marks: 100

Important Instructions:

1. Attempt all questions in order.

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2. Each question carries 10 marks.
3. Read the question carefully and answer to the point neatly and legibly.
4. Do not leave any blank pages between two answers.
5. Indicate the question number correctly for the answer in the margin space.
6. Answer all the parts of a single question together.

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7. Start the answer to a question on a fresh page or leave adequate space between two answers.
8. Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. a) Embryology of ventricular septum. (4)
   b) Classifications of VSD. (3)
   

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   c) Describe VSD in TOF. (3)
2. a) Draw arterial waveform and discuss its importance in cardiac surgery. (5)
   b) Discuss pulsus alternans. (5)
3. a) Discuss inotropes in cardiac surgery. (5)
   b) Discuss management of septic shock. (5)

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4. Describe various types of filters used in cardiopulmonary bypass and their merits and demerits. (5+5)
5. Discuss modified ultra-filtration. (5+5)
6. a) Embryology of the esophagus. (2)
   b) Discuss about types, diagnosis and management of tracheo-esophageal fistula. (2+6)
7. a) Anatomy of Tricuspid Valve Repair. (5)
   

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   b) Describe types of Tricuspid Valve Repair. (5)
8. a) Development of PDA. (5)
   b) Management of Hypertensive Ductus. (5)
9. a) Define Pulmonary Artery Hypertension (PAH). (2)
   b) Etiopathology of PAH. (2)
   

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   c) Management of Pulmonary Hypertensive crisis. (6)
10. a) Protamine - origin, mechanism of action & doses for CPB. (5)
    b) Discuss protamine reactions and management. (5)
11. Etio-pathogenesis of infective endocarditis. (5)
    Classification and management of infective endocarditis. (5)

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