Download DNB 2016 Dec CARDIOTHORACIC SURGERY PAPER 1 Question Paper

Download Diplomate of National Board (DNB) 2016 Dec CARDIOTHORACIC SURGERY PAPER 1 Previous Question Paper

FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016

-1-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
CARDIOTHORACIC SURGERY

PAPER ? I
CTH/D/16/04/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. Anatomy of the mitral valve under the following headings:
a) Structure.
b) Importance of subvalvular apparatus.
c) Carpenter?s classification of mitral regurgitation.
d) Structural changes in ischemic MR.

3+3+2+2
2. Estimation of ejection fraction under the following headings:
a) By echocardiography.
b) By imaging techniques.
c) Limitations.
d) Clinical significance of the assessment.

3+3+2+2
3. Cardiomyopathy under the following headings:
a) Aetiopathogenesis.
b) Dilated cardiomyopathy.
c) Restrictive cardiomyopathy.

4+3+3
4. Thrombolysis in acute myocardial infarction:
a) Drugs used.
b) Importance of the window period.
c) Contraindications.
d) Results.
e) Complications.

2+2+2+2+2
5. Total Circulatory Arrest under the following headings:
a) Indications.
b) Conduct.
c) Strategies to reduce risk to the CNS.
d) Long term sequelae.

2+3+3+2
6. Interventricular Septum:
a) Embryology.
b) Pathological classification of VSDs.


5+5



P.T.O.
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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016

-1-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
CARDIOTHORACIC SURGERY

PAPER ? I
CTH/D/16/04/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. Anatomy of the mitral valve under the following headings:
a) Structure.
b) Importance of subvalvular apparatus.
c) Carpenter?s classification of mitral regurgitation.
d) Structural changes in ischemic MR.

3+3+2+2
2. Estimation of ejection fraction under the following headings:
a) By echocardiography.
b) By imaging techniques.
c) Limitations.
d) Clinical significance of the assessment.

3+3+2+2
3. Cardiomyopathy under the following headings:
a) Aetiopathogenesis.
b) Dilated cardiomyopathy.
c) Restrictive cardiomyopathy.

4+3+3
4. Thrombolysis in acute myocardial infarction:
a) Drugs used.
b) Importance of the window period.
c) Contraindications.
d) Results.
e) Complications.

2+2+2+2+2
5. Total Circulatory Arrest under the following headings:
a) Indications.
b) Conduct.
c) Strategies to reduce risk to the CNS.
d) Long term sequelae.

2+3+3+2
6. Interventricular Septum:
a) Embryology.
b) Pathological classification of VSDs.


5+5



P.T.O.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016

-2-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.

CARDIOTHORACIC SURGERY

PAPER ? I

7. Ventricular afterload:
a) Definition.
b) Vasopressor agents.
c) Methods of reduction of ventricular afterload.

2+4+4
8. Effect of diabetes on the CVS:
a) Pathology.
b) Assessment of target organ damage.
c) Relationship between atherosclerosis and diabetes.
d) Effect on wound healing.

3+3+2+2
9. Use of heparin in cardiopulmonary bypass:
a) Dose and mechanism of actions.
b) Heparin resistance.
c) Heparin substitutes.
d) Monitoring of level of anticoagulations.
e) Heparin reversal.

2+2+2+2+2
10. Effects of cardiopulmonary bypass on the lung under the following
headings:
a) Pathological changes.
b) Role of WBC.
c) Pump lung.
d) Strategies to reduce the deleterious effects on the lung.

3+2+3+2
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