NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
ANAESTHESIOLOGY
PAPER-IV
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TIME: 3 HOURSANS/J/20/01/IV
MAX. MARKS: 100
IMPORTANT INSTRUCTIONS
This question paper consists of 10 questions divided into Part "A" and part "B", each part
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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.
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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.
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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. Enumerate the causes, prevention and management of post
3+3+4
extubation respiratory distress in ICU.
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2. a) Trans-nasal Humidified Rapid-Insufflation Ventilatory5+5
Exchange [THRIVE].
b) Oral Factor Xa inhibitors.
3. a) Neuraxial ultrasound.
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5+5b) Opioid free anaesthesia.
4. a) Recruitment maneuvers.
5+5
b) Delirium in ICU.
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5. Discuss WHO ladder for chronic pain. What are its10
limitations?
P.T.O
-1-
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATIONHALL.
FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
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ANAESTHESIOLOGYPAPER-IV
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.
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Answers to question(s) of Part A attempted in answer sheets of Part B or vice versa shall not be evaluated.PART B
6. a) Role of video laryngoscope for intubation in Covid-19
5+5
patients.
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b) PPE for airway management during Covid-19 pandemic.7. a) Post-obstructive pulmonary oedema.
5+5
b) Transfusion related lung injury.
8. a) Temperature management following cardiac arrest from
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5+5non- shockable rhythm.
b) Xenon and its use in anesthesia.
9. a) Angiotensin II agonist.
5+5
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b) Dexmedetomidine.10. a) Hyperchloremic metabolic acidosis.
5+5
b) Heparin induced thrombocytopenia.
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-2-POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL.