Download DNB 2020 December CardIo ThoracIc Surgery Paper II Question Paper

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FINAL EXAM

JUNE 2020

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CARDIO THORACIC SURGERY (DIRECT 6 YEARS COURSE) PART - I

PAPER-II

Time: 3 hours CTS1/J/20/49/II

Max. Marks: 100

Important Instructions:

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• 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.

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• 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.

Write short notes on:

1. a) Anatomy of coronary venous system. 4+3+3
   

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   b) Surgical importance of coronary sinus.
   c) Retrograde cardioplegia - technique, advantages and disadvantages.
2. a) Draw normal tracing of central venous pressure. 3+4+3
   b) Describe jugular venous pressure in chronic constrictive pericarditis.
   c) Describe canon wave.

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3. a) Enumerate causes of cyanosis at birth 5+5
   b) Enumerate causes of cyanosis after 6 weeks of birth.
4. a) Enumerate causes of left atrial clot in mitral stenosis. 3+4+3
   b) Briefly discuss treatment modalities in such a case.
   c) Discuss choice of valve in such a case.

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5. a) Mode of action of heparin. 3+3+4
   b) Monitoring of heparin during CPB & off pump CABG.
   c) Side effect of heparin.
6. Discuss cardiac Tamponade under following headings: 3+4+3
   a) Definition and common causes.
   

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   b) Clinical diagnosis.
   c) Management.
7. Discuss total circulatory arrest under following headings: 2+3+2+3
   a) Historical background.
   b) Indications and contraindications.
   

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   c) Technical precautions during circulatory arrest.
   d) Short term and long term complications.

P.T.O

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8. Discuss ruptured sinus of Valsalva under following headings: 2+4+4
   

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   a) Etiopathogenesis.
   b) Classification.
   c) Management.
9. a) Draw a well labelled schematic diagram of Cardiopulmonary Bypass circuit using membrane oxygenator for secundum atrial septal defect with left superior vena cava opening in right atrium in a patient weighing 50 kg. (mention cannula and connection size). 5+5
   b) Discuss blood cardioplegia.

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10. a) Discuss role of IVUS in coronary angiography in diagnosis of coronary artery diseases. 5+5
    b) Briefly discuss FAME trial.

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