Download DNB 2020 December AnaesthesIology Paper I Question Paper

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FINAL EXAM

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DECEMBER 2020

ANAESTHESIOLOGY

PAPER-I

TIME: 3 HOURS ANS/D/20/01/1

MAX. MARKS: 100

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IMPORTANT INSTRUCTIONS

• You are provided with 5 answer sheet booklets. Each individual answer sheet booklet consists of 10 pages excluding the covering jackets.
• This question paper consists of 10 short note questions. Question paper is divided into 5 Parts - A, B, C, D and E, each part containing 2 questions.
• Answers to questions of part A, part B, part C, part D & part E are to be strictly attempted in a separate answer sheet booklet which must be later tagged together at the end of the exam.
• No additional supplementary answer sheet booklet will be provided.

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• Answers to question(s) attempted on an answer sheet booklet for a different part will not be evaluated.
• Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of the respective answer sheet booklet.
• Attempt all questions in order.
• Each question carries 10 marks.
• 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:

PART - A

1. a) Discuss the implications of autonomic neuropathy in a patient undergoing general anaesthesia. 5+5
   b) Describe the non-invasive tests for assessment of autonomic neuropathy in a diabetic patient.
2. a) Describe the anatomy of the paravertebral space with the help of a diagram. 5+5
   

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   b) Briefly enumerate the methods of providing post-operative analgesia in a patient of carcinoma breast.

Write short notes on:

PART - B

1. a) What is preload and after load? 5+5
   b) What are the determinants of left ventricular diastolic function?

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2. a) Pathophysiology of nausea and vomiting. 2+8
   b) Pharmacological strategies to prevent nausea and vomiting in perioperative period.

Write short notes on:

PART - C

1. What are the recommendations for the prevention and management of operating room fires? 10

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2. a) Null hypothesis and “p” value. 5+5
   b) Reynolds number and its clinical applications.

Write short notes on:

PART - D

1. Discuss the ethical issues: 5+5
   

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   a) In organ transplantation.
   b) In children as research subjects.
2. a) Enumerate the changes in the respiratory system in a 75-year-old patient. 5+5
   b) What are the anaesthetic implications if this patient will undergo an elective upper abdominal surgery under general anaesthesia?

Write short notes on:

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PART - E

1. a) Define pregnancy induced hypertension. 2+8
   b) Briefly discuss its effects on the circulatory system and the obstetric airway.
2. a) Enumerate the functions of the kidney. 5+5
   b) Discuss the counter current mechanism in the kidney with the help of diagram(s).

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