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Rajiv Gandhi University of Health Sciences, Karnataka
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Fellowship Examination - 16-Feb-2023
[Time: 3 Hours] [Max. Marks: 100]
PAEDIATRIC CARDIAC SURGERY - PAPER -1
QP Code: 4203
Your answers should be specific to the questions asked.
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Draw neat labeled diagrams wherever necessary.
Answer All The Questions 10 X 10 = 100 Marks
- Highlight the differences between hemofiltration and hemodialysis. Discuss the role of hemofilter during CPB and various types of ultrafiltration. What are the techniques and advantages of performing modified ultrafiltration?
- Discuss in detail the various biomaterials used in cardiac surgery. What are the novel tissue engineered materials developed for use?
- What are the methods of blood conservation during cardiac surgery? What are the complication of massive blood transfusion? Discuss the management of post-operative bleeding in children.
- What is cell based therapy to treat congenital cardiac disease. Discuss the findings of the PERSEUS study. What are novel bioengineered patches used in cardiac surgery.
- Classification pulmonary hypertension — Types and Severity. What are the Health Edwards stages of PAH and what is its significance? What is the criteria for operability after acute vasoreactive testing for PAH?
- Classify ventricular septal defects. Describe the anatomy of the conduction system with respect to each type of VSD. Discuss the strategies to avoid heart block during VSD closure.
- Define cyanosis. Describe the pathophysiology, clinical features and complications of longstanding untreated cyanotic congenital heart disease.
- Classify congenital coronary anomalies. Explain the pathophysiology, natural history and surgical techniques to manage ALCAPA.
- Classify aorta-pulmonary window with illustrations. Discuss the clinical presentation, timing of intervention, surgical strategies and complications.
- What are the types of congenital aortic stenosis? Discuss the clinical features, evaluation, surgical strategies and complications in the management of subvalvar aortic stenosis.
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