FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
ANAESTHESIOLOGY
PAPER-II
ANS/J/20/01/II
MAX. MARKS: 100
IMPORTANT INSTRUCTIONS
This question paper consists of 10 questions divided into Part "A" and part "B", each part
Answers to questions of part A and part B are to be strictly attempted in separate answer sheet(s)
and the main + supplementary answer sheet(s) used for each part must be tagged separately.
Answers to question(s) of Part A attempted in answer sheet(s) of part B or Vice versa shall not be
evaluated.
Part A and Part B should be mentioned only on the covering page of the respective answer sheets.
Attempt all questions in order.
Each question carries 10 marks.
Read the question carefully and answer to the point neatly and legibly.
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.
PART A
1. Discuss the recognition and management of intraoperative
4+6
anaphylaxis.
4+6
Discuss the preoperative optimization and postoperative care
in a patient with moderate chronic obstructive lung disease
posted for elective laparoscopic cholecystectomy.
2+(3+5)
management of extubation in a patient with difficult airway.
4. What is surgical stress response, methods to attenuate it and
2+3+5
5. Discuss ERAS protocol for ambulatory surgery.
10
P.T.O
-1-
HALL.
FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
PAPER-II
Please read carefully the important instructions mentioned on Page `1'
Answers to questions of Part A and part B are to be strictly attempted in separate answer sheets and the
main + supplementary answer sheets used for each part must be tagged separately.
PART B
6.
Enumerate the perioperative anesthetic concerns in a 50-year-
5+5
epigastric hernia repair. Discuss briefly preoperative
assessment and anesthetic induction issues.
7.
A 70-year-old frail female is posted for emergency neck femur.
She was diagnosed to be diabetic and hypertensive when she
had primary coronary stenting for anterior wal myocardial
infarction and is on NPH for last 2 years. Her recent transthoracic
echocardiography showed EF of 50% with diastolic dysfunction.
risk, and discuss perioperative cardiac and metabolic concerns
briefly including commonly used medications.
8.
a) Massive blood transfusion protocol.
b) Chronological changes in stored blood.
9.
A 20-year-old biker is brought to emergency after a head on
5+5
His GCS is 10 and he has mandible fracture on X ray. He is
posted for emergency laparotomy for air under diaphragm.
Discuss briefly airway concerns and induction of anesthesia.
10.
10
positioning in a 40-year male undergoing lumbar discectomy.
************
-2-
HALL.
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
ANAESTHESIOLOGY
PAPER-II
--- Content provided by FirstRanker.com ---
TIME: 3 HOURSANS/J/20/01/II
MAX. MARKS: 100
IMPORTANT INSTRUCTIONS
This question paper consists of 10 questions divided into Part "A" and part "B", each part
--- Content provided by FirstRanker.com ---
containing 5 questions.Answers to questions of part A and part B are to be strictly attempted in separate answer sheet(s)
and the main + supplementary answer sheet(s) used for each part must be tagged separately.
Answers to question(s) of Part A attempted in answer sheet(s) of part B or Vice versa shall not be
evaluated.
--- Content provided by FirstRanker.com ---
Answer sheets of Part A and Part B are not to be tagged together.Part A and Part B should be mentioned only on the covering page of the respective answer sheets.
Attempt all questions in order.
Each question carries 10 marks.
Read the question carefully and answer to the point neatly and legibly.
--- Content provided by FirstRanker.com ---
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.
--- Content provided by FirstRanker.com ---
Write short notes on:PART A
1. Discuss the recognition and management of intraoperative
4+6
anaphylaxis.
--- Content provided by FirstRanker.com ---
2. How do you predict postoperative pulmonary complications?4+6
Discuss the preoperative optimization and postoperative care
in a patient with moderate chronic obstructive lung disease
posted for elective laparoscopic cholecystectomy.
--- Content provided by FirstRanker.com ---
3. Define difficult airway. Discuss the risk stratification and2+(3+5)
management of extubation in a patient with difficult airway.
4. What is surgical stress response, methods to attenuate it and
2+3+5
--- Content provided by FirstRanker.com ---
its benefit when control ed?5. Discuss ERAS protocol for ambulatory surgery.
10
P.T.O
-1-
--- Content provided by FirstRanker.com ---
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATIONHALL.
FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
--- Content provided by FirstRanker.com ---
ANAESTHESIOLOGYPAPER-II
Please read carefully the important instructions mentioned on Page `1'
Answers to questions of Part A and part B are to be strictly attempted in separate answer sheets and the
main + supplementary answer sheets used for each part must be tagged separately.
--- Content provided by FirstRanker.com ---
Answers to question(s) of Part A attempted in answer sheets of Part B or vice versa shall not be evaluated.PART B
6.
Enumerate the perioperative anesthetic concerns in a 50-year-
5+5
--- Content provided by FirstRanker.com ---
old male with truncal obesity and BMI of 40, scheduled forepigastric hernia repair. Discuss briefly preoperative
assessment and anesthetic induction issues.
7.
A 70-year-old frail female is posted for emergency neck femur.
--- Content provided by FirstRanker.com ---
4+6She was diagnosed to be diabetic and hypertensive when she
had primary coronary stenting for anterior wal myocardial
infarction and is on NPH for last 2 years. Her recent transthoracic
echocardiography showed EF of 50% with diastolic dysfunction.
--- Content provided by FirstRanker.com ---
She does not have any other comorbidity. Stratify the cardiacrisk, and discuss perioperative cardiac and metabolic concerns
briefly including commonly used medications.
8.
a) Massive blood transfusion protocol.
--- Content provided by FirstRanker.com ---
5+5b) Chronological changes in stored blood.
9.
A 20-year-old biker is brought to emergency after a head on
5+5
--- Content provided by FirstRanker.com ---
collision with a car. Cervical col ar and venturi mask are in situ.His GCS is 10 and he has mandible fracture on X ray. He is
posted for emergency laparotomy for air under diaphragm.
Discuss briefly airway concerns and induction of anesthesia.
10.
--- Content provided by FirstRanker.com ---
Discuss the possible complications associated with prone10
positioning in a 40-year male undergoing lumbar discectomy.
************
-2-
--- Content provided by FirstRanker.com ---
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATIONHALL.