Download DNB 2017 Dec CTS CTS PAPER II Question Paper

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DECEMBER 2017

CARDIO THORACIC SURGERY

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PAPER - II

Time : 3 hours CTH/D/17/D/04/11 Max. Marks :100

Important instructions:

1. Attempt all questions in order.
2. Each question carries 10 marks.

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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.
7. Start the answer to a question on a fresh page or leave adequate space between two answers.

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8. Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. Assessment of severity of aortic regurgitation: 5+5
   1. Echocardiography
   2. Angiographic

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2. In relation to univentricular heart: 4+3+3
   1. Classify tricuspid atresia.
   2. Basic principle of Fontan operation.
   3. Enumerate Ten Commandments for this surgery.
3. 1. Enumerate various mechanical complications of myocardial infarction. 4

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   2. Management of VSD. 6
4. Heart failure: Classification, etiology, diagnosis and medical management 3+3+2+2
5. Ruptured sinus of Valsalva: Classification, etiology, symptoms & signs, and management. 2+3+2+3
6. Conduits for CABG: 3+7
   1. Enumerate various available conduits

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   2. Advantages & disadvantages of radial artery pedicle & skeletonized internal mammary artery.
7. Pacing following open heart surgery: 3+7
   1. Various modes
   2. Threshold, sensitivity, output and synchronization in pacing.

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8. What is endoleak? 4+3+3
   Enumerate its causes
   Management of endoleak
9. Draw a diagram of cardiac veins. 6+4
   Applied anatomy of venous drainage of heart.

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10. Cardiac tumours: 2+3+5
    1. Types
    2. Presentation (signs, symptoms)
    3. Diagnosis and management

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.

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