Download DNB 2020 December CardIothoracIc Surgery Part IIfInal Paper III Question Paper

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FINAL EXAM

JUNE 2020

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CARDIOTHORACIC SURGERY (PART-II/FINAL)

PAPER-III

CTS/J/20/04/III

Time: 3 hours

Max. Marks:100

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Important Instructions:

• 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.

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• 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:

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1. a) What are the overall blood conservation strategies in cardiac surgery? 5+5
   b) Mention the various parenteral and topical agents used for hemostasis describing their properties.
2. a) What is frozen elephant trunk technique? 3+3+4
   b) Describe its method.
   c) What is 'Chimney graft'? Where is it used?

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3. a) What is high frequency oscillatory ventilation(HFOV)? 2+4+4
   b) What are its indications and contraindications?
   c) What are the treatment modalities used for congenital diaphragmatic hernia?
4. a) What are the indications for lung transplant? 4+3+3
   b) Compare single lung transplant with bilateral lung transplant.
   

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   c) What are the indications and outcome of living donor lobar lung transplantation (LDLLT)?
5. a) Extracorporeal membrane oxygenation. 6+4
   b) Intra-aortic balloon pump.
6. a) Stem cells and its therapeutic uses in cardiovascular disease. 5+5
   b) Cardiac resynchronization therapy.

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7. a) Discuss CTEPH (Chronic Thromboembolic Pulmonary Arterial Hypertension). 3+4+3
   b) Clinical features and diagnostic criteria.
   c) Surgical technique.
8. a) Management of cyanotic spell. 5+5
   b) Major aortopulmonary collateral arteries.

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P.T.O.

9. a) Mitral valve repair in rheumatic mitral valve disease. 5+5
   b) Compare different kinds of annuloplasty rings available for mitral valve.
10. Total Anomalous Pulmonary Venous Connection(TAPVC): 3+3+4
    a) Morphology.
    

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    b) Clinical features and diagnostic criteria.
    c) Surgical management.

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