Download DNB 2020 December Vascular Surgery Paper I Question Paper

Time: 3 hours

Max. Marks: 100

Important Instructions:

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• 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.

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• 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.

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• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. a) Extrinsic pathway of coagulation. 3+3+4
   b) Intrinsic pathway of coagulation.
   c) Mechanism of action of heparin.

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2. a) Compare histology of small size artery and vein in tabular form. 4+3+3
   b) Blood supply of abdominal aorta.
   c) Intimal hyperplasia.
3. a) Briefly discuss about ischaemia systemic effects associated with ischemia. 3+4+3
   b) Pathogenesis of anastomotic aneurysm.
   

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   c) Free oxygen radicle scavengers.
4. a) Pathophysiology of atherosclerosis. 5+5
   b) Pharmacotherapy of dyslipidemia.
5. a) Pre-operative cardiac evaluation of a peripheral Vascular disease patient. 5+5
   b) Stress echocardiogram.

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6. a) Indications of coil embolization in vascular surgery. 3+3+4
   b) Embolic agents.
   c) Stent-assisted coil embolization.
7. a) IVC anomalies. 3+4+3
   b) Vascular wall and its hemodynamics.
   

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   c) Aberrant Subclavian Artery.
8. a) Lymphatic drainage of lower limb. 4+3+3
   b) Lymphedema precox.
   c) Lymphedema following radical mastectomy.
9. a) Raynaud's phenomenon. 5+5
   

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   b) Horner's syndrome.
10. a) Virchow's triad. 4+6
    b) Cervical sympathectomy, indication and complications.

P.T.O.

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