Download Diplomate of National Board (DNB) 2020 December CardIo Vascular And ThoracIc Surgery Part IIfInal Paper III Question Paper
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
CARDIO VASCULAR & THORACIC SURGERY (PART-II/FINAL)
PAPER-III
Time: 3 hours
CVTS/D/20/04/III
Max. Marks:100
Important Instructions:
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.
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.
Draw table/diagrams/flowcharts wherever appropriate.
Write short notes on:
1. Describe elephant trunk technique. What is frozen Elephant trunk 3+3+2+2
technique? Where is a chimney graft used? How do you surgically
proceed in a post-subclavian thoracic aneurysm?
2. What are the indications of implanting a bioprosthetic valve and what are 4+2+2+2
the advantages? What are the present guidelines for implanting a
bioprosthetic valve? In what re-operative situations do a bioprosthetic
valve has to be replaced? What is the usual anticoagulation regime in
post-operative period?
3. Injuries with sharp objects have become very common. What are the
4+3+3
principles of managing a sharp cut brachial artery injury? How do you
manage a patient with no peripheral pulses after external fixation of
fracture(s) of the right lower limb?
4. How would you investigate a case of carotid body tumor? Describe the
3+3+4
operative approach. How is carotid endarterectomy investigated and
done?
5. Define solitary pulmonary nodule and enumerate the causes. How would
4+2+4
you proceed to tackle them surgically? What is a superior sulcus tumor
and what are the methods of managing a patient with superior sulcus
tumor?
6. What are the different types of TAPVC? How are they managed and
3+5+2
when? What do you mean by hemodynamic vice?
7. There are 2 structures in the body that are notorious for strictures ? one 2+3+2+3
is the urethra, which one is the other? What are the usual investigations
needed pre-operatively to investigate and locate the region of stricture?
What is the pathophysiology of injury after prolonged intubation and what
are the principles of surgery?
P.T.O
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
CARDIO VASCULAR & THORACIC SURGERY (PART-II/FINAL)
PAPER-III
8. What are the approaches for an aortic valve disease in MICS? How
4+4+2
cannulation strategies differ from usual surgeries? How is venting of LV
done in such a case?
9. "Developmentally truncus is a single vessel." Describe the embryological
5+(3+2)
partitioning into the aorta and pulmonary artery. What is the
pathophysiology in Truncus Arteriosus and how would you operate a
baby with Truncus Arteriosus?
10. What are the indications of PA banding in congenital heart surgery? What
3+3+4
are Trussler's principles? How would you manage a case of simple TGA
with a delayed presentation?
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
This post was last modified on 31 July 2021