FINAL EXAM
DECEMBER 2020
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CARDIAC ANAESTHESIA
PAPER-II
CARD.ANS/D/20/75/II
Time: 3 hours
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Max. Marks:100
Important Instructions:
- You are provided with 5 answer sheet booklets. Each individual answer sheet booklet consists of 10 pages excluding the covering jackets.
- Answers to all the questions must be attempted within these 5 answer sheet booklets which must be later tagged together at the end of the exam.
- No additional supplementary answer sheet booklet will be provided.
- 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.
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Write short notes on:
- Etiology, prevention and treatment strategies of atrial fibrillation in a patient undergoing coronary artery bypass graft surgery. 3+3+4
- Perioperative use of statins and ß blockers in heart failure. 10
- Discuss & differentiate the Alpha stat and pH stat strategies in the cardiac surgical patient. 10
- What are the physiological consequences of hemodilution when patient is placed on cardiopulmonary bypass? 10
- Define pulmonary hypertension. Discuss the anesthetic management of a patient with severe pulmonary hypertension undergoing mitral valve surgery. 10
- A 60-year-old male with acute anterior wall MI thrombolysed 6 hours ago, presented to the emergency room with congestive heart failure. Transthoracic echo revealed ventricular septal defect. Coronary angiography revealed triple vessel disease. He is posted for CABG+VSD closure. Outline the perioperative management of this patient. 10
- Perioperative management of a case of aortic aneurysm involving ascending aorta and arch vessels. 10
- Transesophageal echocardiographic (TEE) evaluation of ischemic MR. 10
- Ventilation strategies in ARDS. 10
- Anesthetic management for transposition of great arteries. 10
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
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