FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
CARDIO THORACIC SURGERY (DIRECT 6 YEARS COURSE) PART - I
PAPER-II
CTS1/J/20/49/II
Max. Marks:100
Important Instructions:
Attempt al questions in order.
Read the question careful y 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.
Draw table/diagrams/flowcharts wherever appropriate.
Write short notes on:
1. a) Anatomy of coronary venous system.
4+3+3
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.
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.
b) Briefly discuss treatment modalities in such a case.
c) Discuss choice of valve in such a case.
5. a) Mode of action of heparin.
3+3+4
c) Side effect of heparin.
6. Discuss cardiac Tamponade under following headings:
3+4+3
a) Definition and common causes.
c) Management.
7. Discuss total circulatory arrest under following headings:
2+3+2+3
a) Historical background.
c) Technical precautions during circulatory arrest.
d) Short term and long term complications.
P.T.O
-1-
EXAMINATION HALL.
FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
PAPER-II
8. Discuss ruptured sinus of Valsalva under fol owing headings:
2+4+4
a) Etiopathogenesis.
c) Management.
9. a) Draw a wel labelled schematic diagram of Cardiopulmonary Bypass
5+5
circuit using membrane oxygenator for secundum atrial septal defect
50 kg. (mention cannula and connection size).
b) Discuss blood cardioplegia.
10. a) Discuss role of IVUS in coronary angiography in diagnosis of coronary
5+5
b) Briefly discuss FAME trial.
************
-2-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
CARDIO THORACIC SURGERY (DIRECT 6 YEARS COURSE) PART - I
PAPER-II
--- Content provided by FirstRanker.com ---
Time: 3 hoursCTS1/J/20/49/II
Max. Marks:100
Important Instructions:
Attempt al questions in order.
--- Content provided by FirstRanker.com ---
Each question carries 10 marks.Read the question careful y 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.
--- Content provided by FirstRanker.com ---
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
--- Content provided by FirstRanker.com ---
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.
--- Content provided by FirstRanker.com ---
c) Describe canon wave.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.
--- Content provided by FirstRanker.com ---
3+4+3b) Briefly discuss treatment modalities in such a case.
c) Discuss choice of valve in such a case.
5. a) Mode of action of heparin.
3+3+4
--- Content provided by FirstRanker.com ---
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.
--- Content provided by FirstRanker.com ---
b) Clinical diagnosis.c) Management.
7. Discuss total circulatory arrest under following headings:
2+3+2+3
a) Historical background.
--- Content provided by FirstRanker.com ---
b) Indications and contraindications.c) Technical precautions during circulatory arrest.
d) Short term and long term complications.
P.T.O
-1-
--- Content provided by FirstRanker.com ---
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THEEXAMINATION HALL.
FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
--- Content provided by FirstRanker.com ---
CARDIO THORACIC SURGERY (DIRECT 6 YEARS COURSE) PART - IPAPER-II
8. Discuss ruptured sinus of Valsalva under fol owing headings:
2+4+4
a) Etiopathogenesis.
--- Content provided by FirstRanker.com ---
b) Classification.c) Management.
9. a) Draw a wel labelled schematic diagram of Cardiopulmonary Bypass
5+5
circuit using membrane oxygenator for secundum atrial septal defect
--- Content provided by FirstRanker.com ---
with left superior vena cava opening in right atrium in a patient weighing50 kg. (mention cannula and connection size).
b) Discuss blood cardioplegia.
10. a) Discuss role of IVUS in coronary angiography in diagnosis of coronary
5+5
--- Content provided by FirstRanker.com ---
artery diseases.b) Briefly discuss FAME trial.
************
-2-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
--- Content provided by FirstRanker.com ---
EXAMINATION HALL.