Download DNB 2016 Dec CARDIOTHORACIC SURGERY PAPER 2 Question Paper

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FINAL EXAM

DECEMBER 2016

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CARDIOTHORACIC SURGERY

PAPER - II

Time : 3 hours Max. Marks :100

Important instructions:

• Attempt all questions in order.

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• 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.

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• 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. PAPVC: 4+3+3

   1. Strategies for management.

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   2. Warden procedure.
   3. Scimitar syndrome

2. Pulmonary arterial hypertension: 2+3+2+3

   1. Methods of measurement.

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   2. Assessment of operability.
   3. Post-operative management strategies.
   4. Eisenmenger’s syndrome.

3. Single Ventricle Repair: 3+3+4

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   1. Indications.
   2. Assessment of suitability for BDG:
   3. Late sequelae of Fontan procedure.

4. High risk CABG: 5+5

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   1. High risk subsets and risk stratification.
   2. Peri-operative management of a patient with pre existing renal dysfunction undergoing CABG.

5. Cardiac transplantation: 2+4+4

   1. Indications.

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   2. Management of immunosuppression.
   3. Diagnosis and management of acute rejection.

6. Aortic root: 3+4+3

   1. Surgical anatomy and relations.

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   2. Bentall operation.
   3. Valve sparing options in root replacement.

7. HOCM: 3+4+3

   1. Pathology.

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   2. Management options.
   3. Results of surgical resection.

8. Pericardial effusion: 2+4+4

   1. Etiopathogenesis.

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   2. Clinical presentation and diagnosis.
   3. Management of cardiac tamponade.

9. Mitral valve repair: 3+4+3

   1. Assessment by TEE.

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   2. Techniques.
   3. Results.

10. Primary cardiac tumors: 2+2+4+2

    1. Classification.

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    2. Clinical picture of left atrial myxoma.
    3. Management.
    4. Prognosis.

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