Download DNB 2017 Dec CTS CTS PAPER I Question Paper

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CARDIO THORACIC SURGERY
PAPER - 1

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Time : 3 hours CTH/D/17/D/04/1
Max. Marks :100

Important instructions:

• Attempt all questions in order.
• Each question carries 10 marks.

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• 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.

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• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. a) Embryology of vascular (aortic) arches. 4+(3+3)
   b) Anomalies in development of double arch and patent ductus arteriosus
2. a) Anatomical boundaries of the mediastinum 4+3+3
   

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   b) Various structures present in posterior mediastinum.
   c) Enumerate various lesions of posterior mediastinum
3. a) Deleterious effect of cardio-pulmonary bypass 4+3+3
   b) Prevention of complement activation
   c) Prevention of systemic inflammatory response.

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4. Discuss anti-arrythmic drugs under the following headings: 4+3+3
   a) Classification
   b) Digoxin
   c) Amiodarone
5. Describe native valve endocarditis: 3+3+4
   

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   a) Organisms
   b) Presentation (signs & symptoms)
   c) Management.
6. a) Enumerate coagulation factors. 3+4+3
   b) Briefly describe the coagulation pathways.
   

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   c) Point out the exact step of action of heparin, warfarin & apixaban
7. Retrograde aortic perfusion via femoral artery: Indications, advantages and disadvantages. 4+3+3
8. a) What is Virchow’s triad? 4+6
   b) Management of acute & chronic complications of deep vein thrombosis.
9. a) Enumerate various bronchopulmonary segments. 4+6
   

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   b) Lymphatic drainage of lungs
10. Swan Ganz catheter: its uses and complications. 5+5
    Method of cardiac output calculations.

POSSESSION/USE OF CELL PHONES OR ANY ELECTRONIC GADGET IS PROHIBITED INSIDE THE EXAMINATION HALL.

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