FC Cardio(SA) Final

THE COLLEGES OF MEDICINE OF SOUTH AFRICA

Incorporated Association not for gain Reg No 1955/000003/08

Final Examination for the Fellowship of the College of Cardiothoracic Surgeons of South Africa 22 August 2013 Paper 1 (3 hours)
All questions are to be answered. Each question to be answered in a separate book (or books if more than one is required for the one answer) Al die vrae moet beantwoord word. Elke vraag moet in n aparte boek (of boeke indien meer as een nodig is vir n vraag) geskryf word

a) b) c)

Discuss the surgical options for aortic valve replacement in the presence of a small aortic root. (30) Discuss various strategies to help prevent the neurological complications of cardiopulmonary bypass. (40) Critically evaluate the role of arterial conduits in coronary artery bypass grafting. (30) [100] Bespreek die chirurgiese opsies van aorta klep vervanging in die teenwoordigheid van n klein aorta wortel. (30) Bespreek die verskillende strategie om neurologiese komplikasies van kardiopulmonale omleiding te hulp voorkom. (40) Doen n kritiese evaluasie van die rol van arterile omleidings in koronre vat omleiding chirurgie. (30) [100] Provide definitions for Tetralogy of Fallot and Double outlet right ventricle. Write detailed notes on the surgically relevant anatomy of each condition. (35) Describe the technical aspects relevant to the complete surgical correction of Tetralogy of Fallot. (35) Describe the important aspects that should be noted in the immediate echo evaluation following the repair of Tetrology of Fallot. (30) [100] Verskaf die definisies van Tetralogie van Fallot en Dubbel Uitlaat Regter Ventrikel. Skryf ook gedetaileerde notas oor die chirurgies relevante anatomie van elk. (35) Beskryf die tegnies aspekte wat relevant is in die volledige chirurgiese herstel van Tetralogy van Fallot. (35) Bekryf die belangrike aspekte wat bepaal moet word in die onmiddelike eggo kardiografiese ondersoek na die herstel van Tetralogie van Fallot. (30) [100] PTO/ Page 2 Question 3...

a) b) c)

a) b) c)

a) b) c)

-23 a) b) c) List the Carpentier classification for mitral regurgitation and the common aetiologies of the various categories. (25) Describe briefly the various strategies used to repair regurgitant mitral valves. (40) Discuss briefly the various indications and contraindications to Transcatheter Aortic Valve Implantation (TAVI) according to the current guidelines. Describe the current guidelines regarding the conditions for the implementation of a TAVI program. (35) [100] Lys die Carpentier klassifikasie vir mitralklep regurgitasie en die algemene etiologie van die verskillende kategorie. (25) Beskryf kortliks die verskillende strategie om mitraalklep regurgitasie te herstel. (40) Bekryf kortliks die verskillende indikasies en kontra-indikasies vir Transskateter Aorta Klep Implantasie (TAVI) volgens die huidige riglyne. Beskryf die huidige riglyne ten opsigte van die voorwaardes vir die toepassing van n TAVI program. (35) [100]

a) b) c)

FC Cardio(SA) Final

THE COLLEGES OF MEDICINE OF SOUTH AFRICA

Incorporated Association not for gain Reg No 1955/000003/08

Final Examination for the Fellowship of the College of Cardiothoracic Surgeons of South Africa 23 August 2013 Paper 2 (3 hours)
All questions are to be answered. Each question to be answered in a separate book (or books if more than one is required for the one answer) Al die vrae moet beantwoord word. Elke vraag moet in n aparte boek (of boeke indien meer as een nodig is vir n vraag) geskryf word

a) b) c)

Discuss the evaluation and management of a solitary pulmonary nodule. (30) Discuss the technical aspects of lung resection for drug-resistant tuberculosis. (30) Discuss the surgical considerations for definitive management of corrosive injuries of the oesophagus. (40) [100] Bespreek die evaluasie en hantering van n solitre pulmonale nodule. (30) Bespreek die tegniese aspekte van long reseksie vir middel-weerstandige tuberkulose. (30) Bespreek the chirurgiese oorwegings vir die spesifieke hantering van oesophageale brandwonde. (40) [100]

a) b) c)

a) b) c)

Discuss briefly the role of the cardiothoracic surgeon in the management of lung metastases caused by Breast Carcinoma and Colo-Rectal Cancer. (30) Discuss the surgical management of chest wall tumours. (30) List tracheal tumours and briefly discuss the management thereof. (40) [100] Bespreek kortliks die rol van die kardiotorakale chirurg in die hantering van long metastases as gevolg van Bors kanker en Kolo-Rektale kanker. (30) Bespreek die chirurgiese hantering van borskas wand tumour. (30) Lys tragea tumore en bespreek kortliks die hantering daarvan. (40) [100]

a) b) c)

PTO/ Page 2 Question 3...

-23 a) b) c) Discuss your approach in obtaining a diagnosis in a patient referred to you for a left pleural collection that could be fluid. (40) Briefly describe the surgical options in the management of this patient. (50) Briefly describe various pleurodesis techniques. (10) [100] Bespreek u benadering om n diagnose te kry in n pasint wat na u verwys is vir n linker pleurale versameling wat moontlik vog kan wees. (40) Beskryf kortliks die chirurgiese opsies in die hantering van hierdie pasint. (50) Beskryf kortliks verskillende pleurodese tegnieke. (10) [100]

a) b) c)