Download DNB 2016 Dec CARDIOTHORACIC SURGERY PAPER 3 Question Paper

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FINAL EXAM

DECEMBER 2016

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CARDIOTHORACIC SURGERY

PAPER - III

Time : 3 hours

Max. Marks : 100

Important instructions:

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

NATIONAL BOARD OF EXAMINATIONS

CTH/D/16/04/111

Read the question carefully and answer to the point neatly and legibly.

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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.

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Write short notes on:

1. Right upper lobectomy with regards to:
   1. Surgical anatomy.
   2. Technique.
   3. Complications
   3+4+3

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2. Tracheal repair:
   1. Technique.
   2. Management of airway.
   3. Complications.
   4. Late sequelae.
   3+2+3+2

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3. Management of Flail chest 2.5x4
4. Mediastinitis following sternotomy.
5. Aortic arch replacement:
   1. Techniques.
   2. Prevention of air embolism.
   3. Spinal cord protection.

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   4. Endovascular-options.
   3+2+3+2
6. Aortic dissection:
   1. Presentation.
   2. Assessment.
   3. Surgical techniques for type A dissection.

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   4. Complications of surgery.
   5. Results.
   2+2+2+2+2
7. Ventricular assist devices:
   1. Total artificial heart.
   2. HeartMate II

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   3. Destination therapy.
   4. Complications of LVADs.
   2+3+2+3
8. Use of pectoralis major flap in chest wall reconstruction.
9. Use of prosthetic mesh for chest wall reconstructions.

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10. Meta-analysis: 2+4+4
    1. Definition.
    2. Conduct.
    3. Limitations.
11. Human errors in cardiac surgery: 3+3+4
    1. Categories.

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    2. Causes.
    3. Methods of reduction.
12. 1. Active Vs passive follow up 3+4+3
    2. Cross sectional analysis.

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    3. Bias.
13. 1. Percutaneous aortic valve replacement (TAVI): Indications and techniques. 5+5
    2. Lung transplantation:
       1. Requirements for potential donors and recipients;
       2. Prognosis

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