DNB Questions Year Wise

DNB QUESTIONS YEAR WISE
JUNE 1994
1].A 60 year old woman with rheumatoid arthritis is for
THR.Discuss the anaesthetic problems and management.
2].Discuss the various regimes for painless labour.
3].Briefly describe the following:-
A}.Myocardial preservation.
B}.Preoperative management of DKA.
C}.Caudal epidural anaesthesia in paediatric patients.
D}.Myasthenia gravis Vs Myasthenia syndrome.
E}.CVS effects of newer anaesthetic ethers.
F}.Pulmonary complication of anaesthesia.
G}.Difficult intubation.
H}.Problems and anaesthetic management in burn patients.
I}.Advances in CPR.
J}.Regurgitation: causes and problems
4].How would you investigate causes of increased bleeding during
surgery? Give a brief account of various techniques employed to
reduce bleeding.
5].A 70 year old man with chronic emphysema on
antihypertensive therapy has to undergo retro pubic
prostatectomy. What are the possible complications and how will
you manage the procedure?
A}.Various methods of prolonging the effect of local anaesthetic
drugs.
B}.Hazards of smoking relevant to anaesthesia.
C}.Merits and demerits of use of LMA.
D}.Etiology and treatment of hypertension during surgery.
E}.Neonatal resuscitation in labour room.
F}.Merits and demerits of crystalloids and colloids.
G}.Continuous infusion of drugs in anaesthesia.
I}.CCB’s in surgical patients.
J}.PAC clinic.
K}.Vicarious liability for negligence.
DECEMBER 1994
1].Discuss regulation of ICT and methods available for reducing
it under anaesthesia.
2].Discuss pre and post anaesthetic management of acute
abdomen in a patient with uncontrolled diabetes.
A}.Nephrotoxicity of halogenated anaesthesia.
B}.Amniotic fluid embolism.
C}.Operating room pollution.
D}.Regional anaesthesia technique for upper extremity surgery.
E}.Awareness and wakefulness under anaesthesia.
F}.Modes of ventilation during bronchoscopy
G}.Nosocomial infections in the ICU.
H}.Impact of cancer therapy on anaesthetic management.
I}.Morbid obesity-its anaesthetic implication.
4].What are the various types of trachea-esophageal fistula?
Discuss the anaesthetic management and postoperative care of
neonate posted for TOF repair.
5].A 14 year old girl with thoracolumbar scoliosis is posted for
posterior spinal fusion of 10 vertebral segments. Discuss your
evaluation, anaesthetic technique and postoperative care.
A}.Blood substitute.
B}.Non invasive cardiovascular monitoring.
C}.Utility of anaesthetic records.
D}.Treatment of acute pulmonary edema.
E}.Commonly used techniques and drugs for postoperative pain
relief.
F}.Day care surgery clinics in India.
G}.Causes of perioperative seizures.
H}.Adrenergic receptor antagonist and their uses.
I}.Capnography.
J}.Role of anesthesiologist in managing shoulder dystrophy
syndrome.
JUNE 1995
1].Discuss the anaesthetic management of a 60 year old for
resection of carcinoma sigmoid colon with history of MI
sustained 10 weeks ago.
2].Discuss the pathophysiology and diagnosis of a case of
pheochromocytoma.Give an account of preparation, monitoring
and anaesthetic management of a 25 years old patient suffering
from pheochromocytoma.
A}.Cardiac output management with thermo dilution technique.
B}.Complications of epidural anaesthesia.
C}.Pipecuronium.
D}.Pain relief for fracture ribs.
E}.OLV.
F}.Clinical manifestations and management of anaphylactic
reaction in anaesthesia practice.
G}.IVRA.
H}.Preop evaluation and preparation and anaesthesia
management of a known case of BA posted for radical
mastectomy.
I}.Anaesthetic management of a child with retropharyngeal
abscess presenting for surgical drainage.
J}.Transmission and precaution against HIV in hospital setting.
4].Discuss cardio-pulmonary brain resuscitation. What are the
diagnostic criteria for brain death?
5].Discuss the anaesthetic problems, preoperative preparation
and anaesthetic management of a case posted for correction of
kyphoscoliosis.
A}.Hypoxic pulmonary vasoconstriction.
B}.Minimum monitoring standards in anaesthesia.
C}.Weaning from prolonged ventilation.
D}.DIC.
E}.Occulocardiac reflex.
F}.Postoperative hypothermia-its causes, prophylaxis and
management.
G}.Co2 carriage in blood and effects of hypercapnia.
H}.Venturi principle and its clinical implication.
I}.Assessment, management of difficult intubation.
J}.Effect of anaesthesia and surgery on immunological
mechanism.
DEC 1995
1].Define pre-eclampsia and eclampsia.Discuss the
pathophysiology.Formulate with reasons the anaesthetic
technique for such a patient posted for CS.
2].Write short note on:-
A}.Limitations of pulse oximeter.
B}.Blood transfusion and related disease transmission.
C}.Resuscitation of a head injury patient.
D}.Nitric oxide.
E}. Problems of micro laryngeal surgery.
3].Describe the anaesthetic assessment and management of a 70
year old patient posted for TURP.What are the possible
complications and how will you treat them?
A}.Innervation of foot and technique of performing ankle block.
B}.Perioperative fluid requirement for a paediatric patient
undergoing elective surgery.
C}.Protocol for weaning a patient from prolonged ventilator
support in an ICU.
D}.Modified bipolar standard limb lead system and its usefulness
for intraoperative monitoring.
E}.clinical manifestations and management of acute OP
poisoning.
5].Discuss the various methods of providing postoperative pain
relief. What do you understand from the term pre-emptive
analgesia?
A}.Intraoperative bronchospasm.
B}.Pressure support ventilation.
C}.Methods of monitoring NMJ function.
D}.Storage lesions in blood.
E}.Causes and prevention of awareness under anaesthesia.
F}.Hypersensitivity reaction in anaesthesia practice.
G}.Mandatory minute ventilation.
H}.Blood loss monitors.
I}.Prevention and treatment of ventricular arrhythmias during
GA.
J}.Regulation of kidney in acid base balance.
K}.Interaction of depolarizing with NDMR’s.
L}.Types of plenum vaporizers.
M}.Stellate ganglion block-indication and complication.
N}.Merits and demerits of halothane and isouflurane.
JUNE 1996
1].Describe the anaesthetic management and postoperative care
in a patient with uncontrolled hypertension (BP-180/120) for
emergency laparotomy for perforated duodenal ulcer.
2].Write short notes on:-
A}.Double lumen endotracheal tubes
B}.Anaesthetic management of a 2 days old neonate for primary
repair of tracheoesophageal fistula.
C}.Air embolism during anaesthesia.
D}.Complications and sequelae of blood transfusion.
E}.Problems during anaesthesia for laser surgery.
3].Describe preoperative evaluation and preparation of a patient
with thyrotoxicosis.Describe the anaesthetic care and
postoperative management of this patient.
A}.GCS.
B}.Newer modes of ventilation.
C}.Diagnosis and management of HELLP syndrome.
D}.Role of capnography during anaesthesia.
E}.Preoperative preparation and evaluation of a patient with
history of exertional angina for surgery under general anaesthesia.
5].Discuss the pathogenesis, clinical features and management of
Mendelson’s syndrome.
A}.Autologous blood transfusion
B}.Etiology and management of hypotension during anaesthesia.
C}.Beta receptor blockade-its relation in anaesthesia.
D}.Draw a neat labeled diagram of fetal circulation and delineate
the difference from adult.
E}.Occupational hazards for anesthesiologist.
7].What are the various routes of administration of morphine?
Discuss the pharmacokinetics and pharmacodynamics of epidural
morphine.
A}.Nephrotoxicity of halogenated anaesthetics.
B}.Coronary circulation.
C}.Propofol
D} Merits and demerits of laryngeal mask.
E}.Interactions of pre-existing drug therapy with anaesthetic
agents and techniques.
DECEMBER 1996
1].Discuss the anaesthetic techniques and postoperative problems
in an obese patients for repair of large hernia in anterior
abdominal wall.
A} Complications of cannulation on internal jugular vein.
B} Cardiac arrhythmias during anaesthesia.
C} TIVA
D} Minimum Alveolar Concentration.
E} Hoffman degradation.
3].Describe anaesthetic and postoperative management of a
patient undergoing intra-cranial aneurysm surgery.
A} Continuous Subarachnoid block
B} PCA
C} Anaesthesia for perforating injury of eye in a 3 year old child.
D} Describe airway management of a patient of ankylosing
spondylitis with severe restriction of neck movement posted for
THR.
E} Anaesthesia for multiple dental extractions in a child with
TOF.
5]. Enumerate various positions in relation to anaesthesia and
discuss in detail the problems associated with them.
A} TPN
B} Pipecuronium
C} CVP:-its application in anaesthesia
D} Post anaestehsia vomiting
E} Inverse ratio ventilation
7].Describe the problems, complications and anaesthetic
management of CS in a patient with Pre Eclampsic Toxemia.
A} Trigeminal neuralgia:-clinical features and management.
B} Heat loss during abdominal surgery in a newborn child.
C} Epidural analgesia for postoperative pain relief.
D} Water and electrolyte disturbances and their pre-anaesthetic
correction in small gut obstruction.
E} Enzyme induction:-describe the mechanism with routine
anaesthesia examples.
JUNE 1997
1] A young man is suffering from pheochromocytoma.Discuss
the preoperative preparation, and anaesthetic management for
the removal of tumor.
2]. Write short notes on:-
A} Hazards of smoking relevant to the anesthetists.
B} Weaning modes of ventilation.
C} Management of reflex sympathetic dystrophy.
D} Complications of blood transfusion.
E} Hepato renal syndrome in anaesthetic practice: - etiology and
management.
3].A female patient aged 34 years with 5 months amenorrhea
suffered from Koch’s mid dorsal spine developed paraplegia.
Discuss the pre-operative preparation and anaesthetic
management and postoperative care.
A} Discuss the management of a case of 40% burns.
B} Anaesthesia for laser surgery of the larynx.
C} IVRA.
D} Problems and management of One Lung Anaesthesia.
E} Management of intra operative bronchospasm.
5].Describe the pathogenesis and management of ARDS.
A} Monitored anaesthesia care.
B} Simulator in anaesthesia education.
C} Monitoring and control of raised ICP in head injury.
D} WHO regimen for chronic pain management.
E} Pre-operative management of a neonate for
meningomyelocoele surgery.
7].Describe the BLS measures in an adult who has been brought
into emergency room of the hospital in a state of cardiac arrest.
A} Closing volume of the lungs and its measurements.
B} Mechanism of action of LA agents.
C} Manifestations and treatment of beta adrenergic agonist
toxicity.
D} Post-operative analgesia in an infant for circumcision.
E} Sevoflurane.
DECEMBER 1997
1].Discuss the pre-operative investigations and anaesthetic
management of an emergency operation in a 60 year old who had
MI 6 weeks back.
A} Problems of laparoscopic surgery and monitoring techniques
used during the procedure.
B} SSEP.
C} Anaesthesia for squint surgery.
D} Midazolam.
E} Positional hazards during anaesthesia.
3].Discuss the pathophysiological changes in pre-eclampsia and
eclampsia.Discuss your choice of anaesthetic technique for such a
patient posted for CS.
4] .Write short notes on:-
A} Pathophysiology of VAE; mention the methods of detection,
prevention and treatment.
B} Obesity: anaesthetic problems
C} Iatrogenic complication is anaesthesia.
D} Anaesthesia for radiotherapy.
E} Recent trends in blood transfusion and blood products.
5].Discuss the current concepts in the management of COPAD in
respiratory failure.
A} Regional analgesia in children.
B} Computer based patient record for anaesthesia.
C} APACHE score
D} Discharge criteria in outpatient anaesthesia.
E} Advance life support.
7].Describe the pathophysiology of ARDS.What are the
diagnostic criteria?
A} Myocardial protection during CPB.
B} Oxygen therapy.
C} Untoward effects of IV sodium bicarbonate.
D} Hepatotoxicity of halothane.
E} The WHO three step ladder pattern for pain relief in
advanced cancer.
JUNE 1998
1].What is myasthenia gravis? What are its clinical features?
Discuss the preoperative investigations, preparation and
anaesthetic management of such a case presenting for an interval
appendicectomy and management of likely complications.
A} multifocal ventricular ectopics during anaesthesia.
B} Criteria for recovery from anaesthesia in DCS.
C} Minimum patient monitoring during anaesthesia.
D} Long term ventilation and its complications.
E} IV alimentation in ICU.
3].Discuss the pathophysiology, prevention and corrective
measures of irreversible shock.
A} Volutrauma.
B} DIC.
C} Pulmonary artery catheter.
D} Monitored care.
E} Remifentanyl.
5].A 45 year old man suffering from DM and mild hypertension
is admitted with upper intestinal obstruction for emergency
laparotomy.Discuss the pre-operative investigations, preparation
and anaesthetic management of such a case.
A} SSEP.
B} Autologous Blood transfusion.
C} Narcotic antagonists.
D} Sterilization of anaesthesia equipment.
E} Patient controlled anaesthesia.
December 1998
1].A 10 year old child suffering from TOF is diagnosed to have
brain abscess. Outline the perioperative management.
A} Pressure controlled ventilation.
B} Anaesthetic problems in an anemic patient.
C} Functional residual capacity.
D} PCA.
E} Rocuronium.
3].Discuss the various methods of postoperative pain relief in
pediatric surgery.
A] Coaxial circuits.
B} Awareness during anaesthesia.
C} Hypokalemia.
D} Anaesthesia for total laryngectomy.
E} Blood component therapy.
5].What is pheochromocytoma? What are its clinical features?
Discuss its preoperative investigations, preparation and
anaesthetic management of such a case for surgical removal.
A} Malignant hyperthermia.
B} Management of DKA.
C} IVRA.
D} Care of OP poisoning in ICU.
E} Embolisms during anaesthesia.
7].Discuss the pathophysiology and management of inhalation
injury.
A} Calcium channel blockers and anaesthesia.
B} Nitric oxide for management of pulmonary hypertension.
C} Peribulbar block.
D} Epidural pressure and the various factors affecting the same.
E} Hypotension during anaesthesia.
JUNE 1999
1].Describe the nerve innervations of the foot with diagram and
discuss the local anaesthetic block at the ankle for the amputation
of gangrenous toe in a patient.
1} Pulmonary function changes following central neuraxial
blockade.
2} Hepatorenal shut down-etiology and prevention.
3} Use of muscle relaxants in ICU.
4} The factors influencing tissue oxygenation.
5} Plasma volume expansion.
3].Discuss your anaesthetic management of strangulated inguinal
hernia in a patient with recent myocardial infarction.
Anaesthesia for day care surgery.
B} Venturi principle and its use in anaesthesia.
C} CVP.
D} Water intoxication.
E} PDPH.
5].Discuss the current concepts and modifies guidelines of
cardiopulmonary brain resuscitation.
A} TPN.
B} Current concepts in the diagnosis and treatment of malignant
hyperthermia.
C} Awareness and wakefulness under anaesthesia.
D} OR pollution.
E} Autologous blood transfusion.
7].Write down the physiology of sleep. How does it differ from
anaesthesia? What changes occur in the various stages of
anaesthesia?
A} Compare propofol with midazolam.
B} Tracheo bronchial tree with diagram.
C} Evolution of rotameter.
D} Complications of local anesthetics.
E} PEEP and its application in modern ventilators.
DECEMBER 1999
1].Describe the preoperative investigations, preparation and
anaesthetic management of a 50 year old diabetic patient
presenting for an exploratory laparotomy for a lump in abdomen.
A} Preanalytical consideration of ABG measurement.
B} Factors influencing tissue oxygenation.
C} Plasma volume expansion.
D} Role of nitric oxide in ICU.
E} Postoperative analgesia in paediatric patients.
3].A patient of Coarctation of aorta is scheduled for caesarean
section. Discuss the preoperative preparation, anaesthetic
management and postoperative care of the patient.
A} Crystalloid and colloid.
B} Safe anaesthetic procedure.
C} Pre-operative visits.
D} Oxygen therapy.
E} Bronchospasm during anaesthesia and immediate post-
operative period and its management.
5].Discuss anatomy of the diaphragm with a diagram. How does it
behave under different stages of anaesthesia?
A} Spinal opiate receptors.
B} Neuro- muscular transmission.
C} Propofol as compared to thiopentone.
D} Physiological changes associated with IPPV.
E} Elimination of atracurium from the body.
7].Discuss the assessment, preparation and problems of
anaesthesia in a chronic smoker for cholecystectomy.
8].Write briefly on:-
A} Aspiration prophylaxis in obstetric.
B} Problems and role of anesthetist in dental anaesthesia.
C} Plasma proteins and anaesthesia.
D} Etiopathology and management of thyroid crisis.
E} Anaesthetic management of laser surgery on tracheobronchial
tract.
JUNE 2000
1].Write briefly on newer modes of ventilation. Discuss each of
these ventilator modality with reference to an established case of
ARDS.
A} Role of magnesium in anaesthesia practice.
B} Present trend of blood component therapy.
C} Prevention and treatment of intraoperative MI.
D} TIVA.
E} Nitric oxide in clinical practice.
3].A 25 year old primigravida in 34 weeks of pregnancy with PIH
presented with a BP of 200/110 mm Hg for an elective
LSCS.Discuss the problems involved and the anaesthetic
management.
A} Autologous blood transfusion.
B} Anaesthesia for drainage of empyema thoracis.
C} Day care anaesthesia.
D} Management of LA toxicity.
E} Hypokalemia.
5].Define morbid obesity. Enumerate the changes that occur in
the respiratory, cardiovascular and metabolic systems in obesity.
A 40 year old patient with height 158cms and weighing 150 kgs is
scheduled for pyelolithotomy.How will you evaluate this patient
preoperatively? Discuss the problems involved and the
anaesthetic management.
A} Monitored anaesthesia care in a 75 year old man with IHD for
cataract surgery.
B} Preoperative preparation and surgical risk assessment in a
patient with cirrhosis of liver.
C} Weaning criteria in a patient of COPD on ventilator.
D} Methods of decreasing increased increased ICP.
7].Describe the arterial circulation of the heart with the aid of a
diagram mentioning the unique features of coronary blood flow.
Explain the Goldman’s Cardiac risk index and its importance to
the anesthetist.
A} Brain death.
B} Capnography.
C} Checkout procedure to be followed routinely before using
anaesthesia and other monitoring equipment.
D} Role of corticosteroids in the practice of anesthesiology.
E} Sevoflurane Vs Desflurane.
DECEMBER 2000
1].How do you plan for anaesthesia in renal transplant surgery?
Draw plan for an OT exclusively for renal transplant surgery.
A} Peripheral nerve injury under anaesthesia is a preventable
complication.
B} Pharmacology of fentanyl congenial.
C} Application of venture principle in anaesthesia practice.
D} Present day concept of IV alimentation.
3].A 35 year old lady with huge thyroid presenting with
thyrotoxicosis is posted for subtotal thyroidectomy.Discuss the
preoperative evaluation, preparation and anaesthetic
management.
A} TURP syndrome.
B} Attenuation of laryngoscopic reaction to intubation.
C} Magnesium sulphate therapy.
D} Paediatric circuit.
E} Relevance of PFT’s.
5]. Define hypertension. How will you evaluate and prepare a 40
year old female patient scheduled for abdominal hysterectomy.
Discuss the anaesthetic and postoperative management of such a
case.
A} Hepatitis-B and the anesthesiologist.
B} Management of Mendelson’s syndrome.
C} Perioperative blood conservation.
D} Resuscitation of a patient with 60% deep burn injury.
E} Management of a 4 year old child scheduled for CT scanning
brain using an iodine containing solution.
7].Discuss the pathophysiology of ARDS.Describe the clinical
trends in the management of ARDS.
A} Specific problems and their prevention during anaesthesia in a
patient with artificial pacemaker.
B} Informed consent.
C} Vocal cord palsies with the aid diagrams of direct
laryngoscopic view.
D} Pulse oximetry.
E} Awareness during anaesthesia.
JUNE 2001
1].Define multiple organ dysfunction syndromes. How do you
plan to manage such a case?
Anaesthesia for day stays surgery.
B} Mapleson’s breathing systems.
C} Remifentanyl in clinical practice.
D} Management of one day old neonate posted for correction of
gastrochisis.
E} Control of nosocomial infections in postoperative and ICU.
3].Discuss in detail the anaesthetic management of patients with
reactive airway disease.
A} TIVA.
B} Occupational hazards to the anesthetist.
C} Occulocardiac failure.
D} Anaesthetic problems in dental chair.
E} Rocuronium.
5].Discuss the preoperative evaluation, preparation and
anaesthetic management and postoperative complications in a 20
year old female with myasthenia gravis posted for thymectomy.
A} Modern trends in obstetrical analgesia.
B} Invasive intra-op monitoring.
C} Management of spinal injury.
D} Post-traumatic fat embolism.
E} Anesthesia for intraocular surgery.
7].Discuss the pathophysiology and management of anaphylactoid
reactions in anaesthesia.
A} Postoperative jaundice.
B} Weaning modes of ventilation.
C} Regulation of ICP.
D} TEE.
E} Ageing and organ function.
DECEMBER 2001
1].Discuss the problems, preoperative evaluation, preparation
and anaesthetic management of a neonate posted for repair of
anaesthesia.
A} Acute lung injury.
B} Recent advances in intra-operative pediatric fluid management.
C} Infections related to anaesthesia practice.
D} Assessment of risk factors for patient with moderate to severe
liver disease.
E} PONV for ophthalmology.
3].Describe the physiologic changes occurring during pregnancy
and clinical implications to the anesthetist.
A} Role of anesthetist in multiple traumas.
B} WHO three step ladder pattern for pain relief in advanced
cancer.
C} Venturi principle and its application.
D} Plasma expanders.
E} Indications and contraindications of regional anaesthesia.
5]. Discuss the preoperative evaluation, preparation and
anaesthetic management of a 16 year old male kept for
pheochromocytoma excision. How will you manage post
anaesthetic complications?
A} Anaesthetic management of a case with COAD.
B} Principles of TPN.
C} Anaesthesia for burn patients.
D} Anaesthetic management of an 80 year old male kept for
TURP.
E} Neonatal resuscitation.
7].What is the various routes of administration of opoids?
Discuss the merits and demerits of each.
A} Regulation of cerebral blood flow.
B} Pre-hospital trauma care.
C} Assessment of pain in children.
D} Capnography.
E} Three in one block.
JUNE 2002
1].An 80 year old man is posted for THR.Discuss the
preoperative evaluation, preparation and anaesthetic management
of this case.
2].Writes short notes on:-
A} Preoperative evaluation of a case chronic renal failure posted
for renal transplant.
B} Evaluation of difficult airway.
C} Role of anesthetist in management of a case with Thrombo
Angitis Obliterans.
D} merits and demerits of retro bulbar versus peribulbar block.
E} Air embolism under anaesthesia.
3].Discuss the regulation of body temperature .How will you
prevent hypothermia in a neonate posted for major abdominal
surgery.
A} Factors affecting coronary circulation.
B} Aetiopathology of ARDS.
C} Blood component therapy.
D} Role of regional analgesia in pediatric surgery.
E} Preoperative evaluation of autonomic function.
5].A child with TOF is posted for corrective surgery. Discuss the
preoperative evaluation and anaesthetic management of this case.
A} Anaesthetic management of a case with post tonsillectomy
bleeding.
B} GCS.
C} Prevention of fire and explosion hazards in operation theatres.
D} Anaesthetic problems in laser surgery.
E} Myxoedematous coma.
7].Discuss in detail the etiology, pathophysiology, diagnosis and
treatment of fat embolism syndrome.
A} Pre-emptive analgesia.
B} Co axial circuits.
C} the Golden hour.
D} Jugular venous oximetry.
E} Ropivacaine.
9] An 80 years old male is posted for THR.Discuss the pre-
operative evaluation, preparation and anaesthetic management of
this case.
10] Write short notes on:-
A} Pre-operative evaluation of a case with chronic renal failure
posted for renal transplant.
B} Evaluation of difficult airway.
C} Role of anesthetist in the management of a case with
thromboangitis obliterans.
D} Merits and demerits of retro bulbar versus peribulbar block.
E} Air embolism under anaesthesia.
11]. Discuss the regulation of body temperature. How will you
prevent hypothermia in a neonate posted for major abdominal
surgery?
A} Factors affecting coronary circulation.
B} Aetiopathology of acute respiratory distress syndrome.
C} Blood component therapy.
D} Role of regional analgesia in pediatric surgery.
E} Pre-operative evaluation of autonomic function.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
DECEMBER 2002
1].Describe the anatomy of larynx with difference in adult and
children. What is importance of recurrent laryngeal nerve in
anaesthesia practice?
A} Hydrocephalus and its various methods of management.
B} Pulmonary edema in intra0operative and immediate post-
operative period.
C} Anatomy of brachial plexus and its importance to the
anesthetists.
D} Thyroid crisis.
E} Broncho-pleural fistula.
3].How is the diagnosis of dilutional hyponatremia made? What
is its significance in anaesthesia?
A} Clinical use of blood.
B} MRI and anaesthesia.
C} Post-tonsillectomy bleeding.
D} Pacemakers.
E} Disinfection.
5].Discuss the pharmacological principles of measuring the depth
of anaesthesia and techniques for monitoring the depth of
anaesthesia.
A} Comparative evaluation of Ringer lactate, low molecular
dextran and 3-5% polygelatine as spinal preloading.
B} Anaesthesia for day stay surgery.
C} Effect of intrathecal neostigmine on spinal anaesthesia.
D} Indications and methods of stellate ganglion block.
E} Adenosine and its clinical uses.
7].What is malignant hyperthermia? Discuss its clinical features
and laboratory finding. Why it is important for the anesthetist to
know about this syndrome?
A} CPR in pregnant women.
B} what is meant by end tidal co2 concentration?
C} Treatment of hyperkalemia.
D} Combined spinal epidural block.
E} Principles of management of DKA.
JUNE 2003
1].Anatomy and physiology of trachea-esophageal fistula.
Anaesthetic management of the disease.
A} Hydropneumothorax.
B} Caudal block.
C} Venturi principle and its application in anaesthesia.
D} Anaesthetic management of myasthenia gravis.
E}Horner’s syndrome.
3].Anaesthetic management of a 10 year old child with multiple
injuries.
A} Predictive assessment of difficult airway.
B} Medical diseases in obstetrics.
C} Central anticholinergic syndrome in postoperative patient.
D} Transdermal opoids.
E} HIV and anaesthesia.
5]. Describe principles, assessment and treatment for pain in a
burn patient.
A} Patient controlled analgesia.
B} Stress and the anesthesiologists.
C} Effects of atenolol pretreatment in CVS, NMJ and IOP.
D} Identification of anaphylaxis under GA and its management.
E} Modified continued spinal epidural analgesia.
7].Obesity-problems in such a patient, anaesthetic management
and anaesthetic drugs of choice.
A} Post thyroidectomy respiratory obstruction, causes and
management.
B} Systemic toxicity of LA and management.
C} Massive blood transfusion.
D} Minimal monitoring in post spinal fusion for scoliosis.
E} Criteria of selection for ambulatory surgery.
DECEMBER 2003
1] Discuss the etiology and management of various cardiac
arrhythmias occurring during anaesthesia.
A} Respiratory monitoring in anaesthesia.
B} Pollution in anaesthesia.
C} Venous air embolism.
D} IVRA.
E} Difficult intubation.
3] A 35 weeks pregnant patient with BP 200/100 mm Hg, edema,
and albuminuria is to be prepared for elective caesarean section.
Discuss preparation and preferred anaesthesia technique
(regional or general)
A} Tracheostomy techniques and complications.
B} High frequency ventilation.
C} Isoflurane versus Sevoflurane.
D} Crystalloids versus colloids.
E} Central venous cannulation.
5] Discuss the preoperative assessment and the method of
anaesthesia in patient with TM Ankylosis for the release of
ankylosis.
A} Weaning modes of ventilation.
B} Anaphylactoid reaction during anaesthesia.
C} Management of mismatched blood transfusion.
D} Discharge criteria for day care surgery.
E} Occupational hazards to anesthetist.
7] Describe the countercurrent mechanism in the kidney. Discuss
the renal protection strategies during preoperative period.
A} Human albumin.
B} Intracranial pressure.
C} TIVA.
D} Defibrillation.
E} Malignant hyperthermia.
JUNE 2004
1] A 40 year old male has pulse 45/min and BP of 190/110
mmHg diagnosed cases of tumor mass in the posterior fossa.How
will you prepare and manage the case for removal of tumor?
A} Myocardial preservation.
B} Thyroid storm
C} Brain death
D} Septic shock
E} GBS
3] A 4 year old has come in emergency with foreign body in right
bronchus. How will you manage for broncshoscopy for such a
patient?
A} Post op shivering
B} Surgical uses of mannitol
C} Auto transfusion
D} Characteristics of ideal vaporizer
E} Anaesthetic problems in MRI suite.
4] What is pathophysiology of CAD? How will you manage a 30
year old with history of angina?
A} Carcinoid tumor
B} malignant hyperthermia
C} DKA
D} Acute pain management in opoid tolerant patient
E} AIDS
6] A 40 year old male patient with diagnosed case of carcinoma
lung right bronchi has come for pneumonectomy? How will you
prepare and manage the case?
7] write short notes on:-
A} PSV
B} Ethics and anaesthesia
C} Evaluation of cardiac patient for non cardiac surgery
D} Oxygen toxicity
E} Pharmacokinetics of thiopentone sodium
DECEMBER 2004
1. Preoperative assessment of autonomic functions.
2. Venturi principle and its application.
3. Role of kidney in acid base balance.
4. Complications of cannulation of IJV.
5. Autologous blood transfusion.
6. Temperature regulation in neonate and prevention of
hypothermia in neonate during perioperative period.
7. Oxygen toxicity.
8. Illustrate with diagram fetal circulation and delineate the
differences from adult circulation.
9. Methods of monitoring neuromuscular transmission during
anaesthesia.
10. Role of magnesium in anaesthesia and ICU.
11. Discuss briefly:-
A} Pre anaesthetic evaluation and preparation of patient for
pheochromocytoma.
B} Anaesthetic management of an adult patient with permanent
pacemaker posted for TURP.
12. Discuss briefly:-
A} Anaesthetic problems in laser surgery.
B} Indications and hazards of parenteral nutrition.
C} One lung anaesthesia-problems and management.
D} Pre-emptive analgesia.
13. Write short notes on:-
A} Hepatitis B and anesthesiologist.
B} Discharge criteria for Day care surgery.
C} Management of an adult with smoke inhalational injury.
D} Pre-operative management of DKA.
14. Monitored anaesthesia care in 80 year old man with IHD for
cataract surgery.
15. Myxedmatous coma.
16. Supine hypotension syndrome.
17. Intra operative bronchospasm.
18. Discuss the anaesthetic problems in patients undergoing lieno
renal shunt,
19. Morbid obesity-anaesthetic problems.
20. PCA.
21. Anaesthetic problems of repair of CDH in a neonate.
22. Clinical use of alpha 2 agonists in anaesthesia.
23. Enzyme induction –its role in anaesthesia with examples.
24. Recent advances in the management of ALI.
25. Newer odes of ventilation.
26. Possible causes of delayed recovery from GA.
27. Current concepts in CPR.
28. Assessment of an adult patient who sustained multiple trauma
of few hours duration.
29. Caudal epidural analgesia in anaesthesi practice.
30. Etiology and management of cardiac arrhythmias during
Anaesthesia.
31. VAP-causes and prevention.
32. Role of vasopressors in septic shock.
33. HELLP syndrome.
JUNE 2005
1. Oxygen cascade, oxygen transport and oxygen dissociation
curve.
2. Methods of central venous cannulation; uses, limitations and
complications of CVP monitoring.
3. Anatomy of larynx. Enumerate with diagrams the types of vocal
cord palsies.
4. Blood component therapy.
5. Temperature regulation in adults. Predisposing factors,
diagnosis and management of malignant hyperpyrexia.
6. Methods of ICP monitoring. Uses and complications of ICP
monitoring.
7. Plasma volume expanders.
8. Classify CHD; explain with diagram the blood flow before and
after delivery in PDA.
9. Causes, diagnosis and management of hypo and hyperkalemia.
10. Describe PEEP, its mechanism of action, uses and
complications.
11. Preoperative considerations in pediatric patients.
12. Preoperative preparations of case of myasthenia gravis
scheduled for thymectomy.
13. Anesthetic management of emergency appendicectomy in a
16 weeks pregnanant patient.
14. Anaesthetic management of a case of essential hypertension
for upper abdominal surgery.
15. Anaesthetic problems of liver transplantation surgery.
16. Anaesthetic considerations in obesity.
17. Medical management of head injury patient.
18. AIDS and the anesthetist.
19. Airway assessment.
20. Problems of anaesthesia in dental chair.
21. What are the potential causes of delayed resumption of
spontaneous ventilation after abdominal surgery with general
anaesthesia? Discuss the problems, its diagnosis and
management.
22. List and brief statement and effectiveness of each of the
means available for detecting awareness under anaesthesia.
23. Describe the criteria and neurological test for brainstem and
preparing the patient for organ donation.
24. Clinical features of infective endocarditis, principle guidelines
to use antibiotics as prophylaxis agent during surgery.
25. What are the indications and contraindications for use of
arterial tourniquet? What complications may arise from the use
of such tourniquet?
26. Preoperative assessment, preparation specific to Thoraco
Abdominal Aortic esophagectomy.Describe the anaesthetic
problem during operation.
27. List the bedside tests available to predict the difficult
intubations. Comment on their uses.
28.10 months old baby for hernia repair. Discuss the anaesthetic
and postoperative pain management.
29. Problems and management of pregnant patient with DCM on
treatment for emergency LSCS.
30. Discuss in brief the problems of adult patient with Down’s
syndrome for multiple teeth extraction.
31. Name the adrenergic agonists and antagonists. Describe in
detail their uses in anaesthesia practice.
32. What is cerebral protection? Explain the methods adopted in
clinical practice for cerebral protection.
33. The role of sedation in ICU patients.
34. Problems encountered by anesthetists during the orthopedic
operative procedures.
35. What are the ways by which you can measure the depth of
anaesthesia during the intraoperative period?
36. Discuss the physiology of hemostasis and its significance.
37. Anaesthetic implications in neonatal anaesthesia.
38. Physical principles of pulse oximetry.
39. Stress and anesthesiologists.
40. What are the methods adopted by the anesthetists to reduce
the need for allogenic blood transfusions.
DECEMBER 2005
1. Pre-anaesthetic evaluation of a patient of Mitral Stenosis for
MTP and sterilization.
2. Preoperative preparation of a diabetic patient with history of
bleeding varices, lino renal shunt operation.
3. Management of a patient who is not maintaining 02 saturation
after an elective abdominal surgery.
4. Role of anesthetist in obstetric unit.
5. Third space loss-its importance to anesthetist.
6. Anaphylactic reaction on the operation table.
7. Anaesthetic consideration of a neonate for repair of cervical
meningo-myelocoele.
8. Anaesthetic consideration of a patient on pacemaker for
TURP.
9. Anaesthetic consideration of a patient for surgery for fracture
neck of femur, one year after CABG.
10. Anaesthetic consideration of a patient with BPF for repair.
11. Pre-anaesthetic evaluation of a thyrotoxic patient for
thyroidectomy.
12. Pre-anaesthetic evaluation of a patient with valvular heart
disease.
13. Anaesthetic management of a case of DM scheduled for open
cholecystectomy.
14. Intraoperative anaesthetic consideration in COPD patient fro
upper abdominal surgery.
15. Anesthetic consideration in chronic liver failure.
16. Recent advances in CPR.
17. Postoperataive elective ventilation.
18. RA vs. GA in obstetric surgery.
19. Perioperative fluid requirements in small pediatric patients.
20. How USG useful in anesthesiology and intensive care
medicine and explain usefulness of TEE during surgery.
21. Discuss the ventilator management of ARDS.
22. Discuss the peri-operative management of cerebral AVM.
23. Risk factors for VTE and classify current methods of
prevention with examples.
24. Anaesthetic management of 2 year old child for therapeutic
bronchoscopy following inhalation of foreign body 2 days ago,
child could not exhibit any sign of airway obstruction.
25. A patient who has undergone Heart transplant requires non-
cardiac surgery. What precautions must be undertaken by an
anaesthetic for surgery?
26. What are the therapeutic doses of Magnesium? How does it
work?
27. What are the problems in monitoring an anaesthetized
patient in MRI?
28. What are the diagnostic features that would lead to identify
Malignant Hyperthermia during or immediately after anaesthesia
and the state the guidelines of management?
29. What are the problems associated with anaesthesia for
elective surgery in a patient of chronic renal failure?
30. Applied physiology of IPPV.
31. Pre-emptive analgesia.
32. Anaesthesia for pregnant woman for non-obstetric surgery.
33. Assessment of intraoperative awareness.
34. Anaesthetic role in pain and palliative care.
35. Enumerate the problems with muscle relaxants.
36. Operation theatre safety.
37. Define perioperative hypertension. Describe the causes and
management.
38. Describe in detail the occupational hazards to
anesthesiologist.
39. What is minimum monitoring standard? Describe the
objectives and methods.
JUNE 2006
1. Acute pain management service.
2. Anaesthesia for Electro Convulsive Therapy.
3. Anaesthetic management of Post Tonsillectomy Bleed.
4. Resuscitation of 60% burns in an adult patient.
5. Anaesthetic considerations for MRI.
6. Post operative Pulmonary Complications.
7. Modified guidelines of CPR-2005.
8. Thyrotoxic patient for subtotal thyroidectomy.
9. Diabetic patient with Autonomic Neuropathy for Abdominal
Hysterectomy.
10. Laparsocopy surgery in a pregnant patient.
11. Myaesthenic syndrome.
12. Anti-thrombotic Prophylaxis and Neuraxial Anaesthesia.
13. Diagnosis and management of an acute attack of Malignant
Hyperthermia.
14. Artificial Blood (Synthetic Oxygen Carrying Substances).
15. Pulmonary Artery Pressure Monitoring.
16. Spinal Anaesthesia in children.
17. Pre-operative evaluation and preparation of a patient with
Fallot’s Tetrology.
18. TIVA.
19. Anaesthetic management of a case of Pituitary Adenoma who
is planned for excision of adenoma (transsphenoidal
hypophysectomy).
20. Anaesthetic problems in scoliosis surgery.
21. Discuss the causes of delayed recovery from anaesthesia and
the management.
22. Complications of Extramural Anaesthesia.
23. Regional Anaesthesia in Day Care Surgery.
24.What do you mean by Golden Hour in Trauma? Discuss the
role of anesthetist in resuscitation of a trauma patient.
25.Discuss the management of an uncosnscious patient with
history of drowning.
26.What do you mean by awareness durinh anaesthesia?Mention
the monitors in use to measure the depth of anaesthesia.
27.Describe the intrathecal and epidural opoids in clinical
practice and their complications.
28.What are the causes of hypercarbia during the intraoperative
period.Discuss the effects and management.
29.Anaesthetic problems in a patient with extreme obesity.
30.Describe the different anaesthesia techniques practiced for
cataract surgery and their complications.
31.Stress response to trauma and surgery.
32.Describe the innervation of Female Genital Tract with a
diagram and discuss methods of producing painless labour.
33.Lung Compliance.
34.Role of Kidney in Acid-Base Regulation.
35.HELLP syndrome.
36.Adrenergic agonists.
37.Drug Interactions.
38.Phantom Limb Pain.
39.Hyperkalemia.
40.Role of Magnesium in anaesthesia nd ICU.
DECEMBER 2006
PAPER 1
1.A 35 years old patient with chronic renal failure is scheduled for
Renal transplant.Discuss the anaesthetic management.
2.Discuss the anaesthetic management in a patient of
Myaesthenia Gravis scheduled for thymectomy.
3.How will you anaesthetize airway of a 40 year old man for
awake intubation?
4.Causes and management of Post anaesthesia shivering.
5.Parenteral nutrition in critically ill patient.
6.Enumerate risk factors for PONV and discuss its management.
7.A four year old child is scheduled for emergency repair of
penetrating injury of the eye .Discuss the anaesthetic
management.
8.Discuss the preoperative evaluation and anaesthetic
management of a 30 year old female patient who underwent
mitral valve replacement 6 months ago and is now scheduled for
MTP with laparoscopic sterilization.
9.An 86 year old patient is scheduled for ORIF of
subtroachanteric fracture of femur.Discuss the preoperative and
anaesthetic management of this patient.
10.Discuss advantages and disadvantages of OPCAB.
PAPER 2
1.Discuss the anaesthetic management of a 35 year old patient
with Pheochromocytoma scheduled for bilateral adrenalectomy.
2.What are the indications of elective cardioversion?How do y
Ou prepare and perform this procedure?
3.Discuss the management of CICV in OT.
4.Discuss the management of a patient with snake bite.
5.Various clinical and confirmatory tests for brain death.
6.Discharge criteria in a patient undergoing surgery in the OPD.
7.A patient with obstructive jaundice(serum bilirubin 20mg%) is
posted for Whipple’s procedure.Discuss the preoperative
evaluation and anaesthetic management of this case.
8.Discuss briefly the preoperative evaluation and anaesthetic
management of a 50 years old patient who had acute MI three
months ago,and is scheduled for inguinal hernia repair.
9.What are the indications of OLV?Discuss the ventilator
management during one lung anaesthesia.
10.Causes and management of Postoperative hypoxemia.
PAPER 3
1.Discuss different modes of weaning from ventilator.
2.Air embolism;methods of detection and management.
3.Merits and demerits of various synthetic opoids.
4.Occulocardiac Reflex.
5.Compare and contrast dopamine and dobutamine as an
inotropic agent.
6.What are the manifestations of hyponatremia and how will you
treat it?
7.What are the criteria for diagnosis of SIRS?Discuss the
principles of management of septic shock admitted in an ICU.
8.Outline the principles of peri-operative fluid therapy in a 10
days old child scheduled for elective surgery.
9.GCS.
10.Causes of intra-operative hypertension and discuss its
management.
PAPER 4
1.What is autologous blood transfusion?Describe the various
techniques of autologous blood transfusion.
2.Anion gap.
3.Recombinant Fcator VIIa.
4.Describe the nerve supply of the foot and the technique of
Ankle block for amputation of great toe.
5.Various epidural narcotics for management of postoperative
pain.
6.What is low flow anaesthesia?Discuss its advantages and
disadvantages.
7.What is Venturi principle?Discuss its applications in
anaesthesia practice.
8.Discuss different methods of humidification.
9.What are the determinants of cardiac output and discuss
various non-invasive methods of measurement of cardiac output.
10.Oxygen-Dissociation curve.
JUNE 2007
PAPER 1
1.Anaesthetic management of radio-diagnostic procedures.
2.Pre-anaesthetic assessment and preparation of one day old
neonate for TEF repair.
3.Discuss ‘Resuscitation of Near Drowning Patient ’as per
modified CPR guidelines 2005.
4.PIH –Role of anaesthesiologists.
5.Intraoperative management of a 40 year old male with HTN
and IHD for right pyelolithotomy.
6.Intraoperative problems of Neurosurgical procedures under
anaesthesia in sitting position.
7.Discuss the anaesthetic management of a 25 years old female
with Cushing’s syndrome for Bilateral Adrenalectomy.
8.Discuss the anaesthetic management of a 70 year old man with
Carcinoam Larynx for Total Laryngectomy.
9.Discuss the anaesthetic management of a 20 year old male with
Achalasia Cardia and Bronchial Asthma for Laparoscopic
Cardiomyotomy.
10.Discuss the anaesthetic problems in Robotic Surgery.
PAPER 2
1.Pre-anaesthetic evaluation and preparation of a patient with
Portal Hypertension for Lieno-Renal Shunt.
2.Discuss one method of Brachial Plexus block through
Supraclavicular approach and enumerate the complications
associated with it.
3.Discuss anaesthetic management of 20 years old male with
Rheumatic Heart Disease with Mitral Stenosis for closed Mitral
Valvotomy.
4.Anaesthetic management of CDH.
5.Discuss different types of pacemakers and briefly enumerate
precautions to be taken during surgery in a patient with
pacemaker.
6.Airway devices recommended and used for CPR.
7.Intraoperative Neuromuscular monitoring.
8.Anaesthetic problems in a patient with extreme obesity.
9.Non invasive ventilation:advantages,disadvantages and methods
of administration.
10.Regional Anaesthesia in Day Care surgery.
PAPER III
1.Complications of extra-dural anaesthesia.
2.Management of HELLP syndrome.
3.What do you mean by the term GOLDEN HOUR in
trauma?Explain the role of the anaesthetist in trauma
management.
4.Role of Magnesium in anaesthesia and ICU.
5.Mention the commonly used immunosuppressive drugs and
their interaction with anaesthetic agents.
6.Describe the regulation of intra cranial pressure and methods
available for reducing the pressure under anaesthesia.
7.Discuss the management of massive blood loss.
8.Recent advances in the management of ALI/ARDS.
9.Discuss the anaesthetic management of an inadequately
managed DM patient with DKA posted for below knee
amputation.
10.Management of intraoperative bronchospasm.
PAPER IV
1.Discuss various methods of oxygen monitoring in anaesthesia
practice.
2.Discuss role of plasma proteins in anaesthesia.
3.LMA:Various modifications.
4.Functional Analysis of Pressure Reducing Valve.
5.Describe anatomy of paravertebral space and describe one
method of establishing Paravertebral Block.
6.Discuss briefly different modes used for neonatal ventilation.
7.Clonidine in anaesthesia practice.
8.Discuss various methods used to obtund intubation response to
laryngoscopy and intubation.
9.Recent views on pre-emptive analgesia.
10.Discuss principles of monitoring end tidal carbon-dioxide.
DECEMBER 2009
PAPER 1
1.Anaesthetic implications of Fetal surgery.
2.Indications,Technique and Complications of Spinal
Anaesthesia in paediatric patients undergoing surgery.
3.A 2 year old child weighing 10Kg is scheduled for removal of
organic foreign body in Right Bronchus.Discuss the anaesthetic
management.
4.Preoperative evaluation and anaesthetic management of a 30
year old patient with MS and AF scheduled for Balloon
angioplasty & Valvotomy.
5.A 4 year old child weighing 15Kg undergoing Strabismus
surgery suddenly develops Tachycardia,rigidity od extremities and
rise in temperature during anaesthesia.Discuss the management.
6.Preoperative anaesthetic implications in a patient with a
transplanted heart posted for incidental surgery.
7.A 25 year old man presents with marked features of
Acromegaly and is posted for Trans-sphenoidal
Hypophysectomy.Discuss the anaesthetic management.
8.A 60 year old man presents for elective
Parathyroidectomy.Discuss the anaesthetic management.
9.A 70 year old Hypertensive man with CAD is scheduled for
TURP.Discuss the anaesthetic management.
10.GBS-discuss briefly etiology.pathogenesis,symptomatology and
management including anaesthetic management.
PAPER II
1.A 40 years old man weighing 140Kg has DM and HTN and is
scheduled for Gastric Banding.Dsicuss the anaesthetic
management.
2.Anaesthetic considerations and management of a child with
Post-Tonsillectomy bleeding.
3.Fasting guidelines for children.How does premedication in
adults differ from that in children.
4.Pain management options in a patient with intractable pain due
to Carcinoma of Pancreas.
5.Draw a labeled diagram of a flexible FOB and describe
methods for its sterilization or high level disinfection.
6.ASA physical status classification.
7.Techniques and approaches to IJV cannulation.
8.Anaesthetic considerations for modified ECT.
9.Anticoagulation and CPB.
10.Techniques to prevent hypotension after spinal anaesthesia in
caesarean section.
PAPER III
1.New guidelines for neonatal resuscitation.
2.Preoperative assessment and anaesthetic management of a 2
year old of Hydrocephalus posted for shunt procedure.
3.Autologous Blood Transfusion.
4.Perioperatibe beta blocker therapy.
5.Monitored anaesthesia care.
6.CVP and its application.
7.Concentration Effect and Second Gas Effect produced during
uptake of inhalational agent.
8.Brain Death.
9.Elective Cardioversion.
10.Laryngospasm during anaesthesia.
PAPER IV
1.SGA devices.
2.Epidural Opiates in anaesthesia practice.
3.Pulse Oximetry-principles and applications.
4.Cardioplegia and its role in cardiac anaesthesia practice.
5.Anatomy of epidural space and methods of identification.
6.Link 25 Proportioning system in anaesthesia machine.
7.Nephrotoxicity of Fluorinated anaesthetic agents.
8.PCA in anaesthesia practice.
9.ICP monitoring and its application.
10.Role of Blood Components in Perioperative period
JUNE 2008
PAPER I
1.Write the blood conservation strategies in a 20 year old female
scheduled for excision of Angiofibroma of Nose.
2.Write clinical features,diagnosis and management of a case of
Paracetamol poisoning.
3.A 30 years old woman is scheduled for removal of Carcinoid
Tumor.Write the anaesthetic management.
4.TEE in anaesthesia practice.
5.Discuss pathipyhsiology and management of shivering in
PACU.
6.What principle is used in USG?How is USG useful in
anaesthesia?
7.Write anaestehtic management of a 3 years old child scheduled
for PDA ligation.
8.What are the indications of Caudal Epidural in paediatrics
undergoing surgery?Describe the techniques and write its
complications.
9.Write preoperative evaluation and preparation of a patient with
Portal Hypertension scheduled for L-R shunt.
10.What are the indications of Mediastinoscopy?Write
anaesthetic implications of Mediastiniscopy.
PAPER II
1.A 60 years old man with COPD is on ventilator in ICU.Plan his
enteral feeding and discuss its advantages and disadvantages.
2.Pre-Emptive Analgesia: Current Status.
3.Manifestations and management of Thyroid storm.
4.Criteria for Weaning from Prolonged Ventilation.
5.Pre-operative evaluation and anaesthetic management of one
day child with CDH.
6.Anaesthetic management of patient with severe pre-eclapmsia
for caesarean section.
7.Lipid Emulsion for the treatment of Local Anaesthetic toxicity-
mechanism and dosage.
8.Clonidine in anaesthesia and ICU.
9.Pre operative evaluation and anaesthetic considerations of a
patient with Parkinson’s disease.
10.Guidelines for management of anaesthesia in a patient with
Coronary Stent.
PAPER III
1.Enumerate the symptoms of Shock and discuss the methods
used for assessment of systemic perfusion.
2.How will you diagnose DVT?Write the methods of Prophylaxis
and management.
3.Management of acute anaphylaxis.
4.Transdermal administration of drugs.
5.Permissive Hypercapnia.
6.Pre-operative evaluation and preparation of 35 years old
asthmatic female scheduled for laparoscopic Cholecystectomy.
7.Dexmedetomidine-Clinical applications and complications.
8.Discuss the regulation of Cerebral Blood Flow.
9.Meth-hemoglobinemia and the anaesthetist.
10.I-Gel airway.
PAPER IV
1.Resuscitation of Term Pregnant patient.
2.Classify Vaporizers.Briefly mention the effects of altered
barometric pressure on the performance of the vaporizers.
3.Describe with the help of a labeled diagram,the anatomy of
Lumbar Plexus and describe the techniques of Limbar Plexus
Block.
4.Evidenced Based Medical Education.
5.Nitrous Oxide: Current status.
6.Adverse effects of Neuromuscular Blocking agents.
7.Percutaneous Dilatational Trachesotomy.
8.Clinical Tests for evaluation of ANS.
9.Planning of PACU.
10.What are the problems related to Chronic Hemodialysis.
DECEMBER 2008
PAPER I
1.A 2 year old child is scheduled forremoval of Foreign Body in
the Right Bronchus.What is the anaesthetic management?
2.Enumerate the guidelines for Regional anaesthesia in a patient
on Anticoagulant Therapy.
3.A 20 year old is scheduled for release of TMJ
Ankylosis.Discuss the various methods to secure the airway.
4.Discuss the causes of delayed recovery following General
Anaesthesia.
5.What are the anaesthetic implications in a patient with a
Transplanted Kidney posted for incidental elective surgery?
6.Define Monitored Anaesthesia Care.Discuss its goals and tech
nique.
7.Discuss the pathophysiology and management of a case of
Carbon Monoxide poisoning.
8.A 50 year old woman with Hypothyrodism is scheduled for
Abdominal Hysterectomy.Dsicuss the anaesthetic management.
9.Enumerate the perioperative problems and anaesthetic
management of a 28 year old patient with MS for elective CS.
10.Dsicuss the preoperative evaluation and anaesthetic
considerations in a patient with Parkinson’s disease.
PAPER II
1.Enumerate the environmental hazards in the Operation
Theatre and discuss the measures for its preservation.
2.What is TEG?Draw a labeled diagram to show a normal
tracing.What are its implications?
3.Perioperative problems and the anaesthetic management of a
one day old child with CDH.
4.Discuss the diagnosis and management of PMI in a patient
undergoing non-cardiac surgery.
5.Enumerate the perioperative problems and anaestehtic
management in a 80 year old patient scheduled for THR.
6.CVP monitoring and its implications.
7.Enumerate the risk factors for PONV.Discuss its management.
8.What is ARDS?Discuss the ventilator strategies in a patient with
ARDS.
9.What are the perioperative problems in a patient with morbid
obesity?
10.Write in brief the criteria for determination of brain death and
clinical tests for confirmation.
PAPER III
1.Enumerate the effects of chronic smoking and the anaesthetic
implications.
2.What are the recent guidelines for neonatal resuscitation?
3.Discuss the complications and sequelae of blood transfusions.
4.Enteral feeding in the critically ill patients.
5.Enumerate the physiological changes during pregnancy and
their clinical implications.
6.Anaesthetic concerns for MRI.
7.Compare and Contrast:
a.PEEP & CPAP.
b.TOF &Double Burst.
8.Compare & Contrast:
a.Starch and Gealtin as IV fluid
b.Sevoflurane and Isoflurane.
9.Enumerate the Five H’s and Five T’s as possible causes of
Cardiac arrest.What is the management of pulseless electrical
activity in an unconscious patient?
10.Discuss the ECG abnormalities due to various electrolyte
imbalances.
PAPER IV
1.Draw a labeled diagram to illustrate the Fetal Circulation.What
are the circulatory changes that occur at birth?
2.Enumerate the indications,contraindications,complications and
method of establishing Stellate Ganglion Block.
3.Nitric Oxide-Current status.
4.Define FRC.What is significance in anaesthesia?
5.What is Triage?What are Triage criteria in relation to trauma?
6.Discuss in brief the sites and devices for temperature
monitoring.
7.What is BIS?What are its clinical applications in anaesthesia
practice?
8.Role of Humidification in anaesthesia practice.
9.Write briefly on Research Ethics.
10.Non- Invasive Ventilation.
JUNE 2009
PAPER I
1.Discuss the pathopyhsiology and management of shivering
following anaesthesia.
2.Enumerate the guidelines for regional anaesthesia in a patient
on antiplatelet therapy.
3.Discuss the distribution of ventilation and perfusion in a normal
lung with the help of a labeled diagram.What are the factors
affecting Ventilation Perfusion ratio?
4.Describe the pre-operative evaluation and preparation of a 30
year old patient with portal hypertension scheduled for L-R
shunt.
5.How is Cerebral Blood Flow regulated?What is the effect of
various anaesthetic drugs in cerebral blood flow?
6.Discuss the role of EBM in anaesthesia practice.Quote few
examples.
7.Enumerate the predictors of weaning from Mechanical
Ventilation.
8.Describe pre-operative evaluation and anaesthetic management
of one day old child scheduled for repair of CDH.
9.What are the indications of Caudal Epidural anaesthesia in
paediatric patients undergoing surgery?Describe the technique
and enumerate its complications.
10.Percutaneous Dilatational
Trachesotomy:Indications,Techniques and complications.
PAPER II
1.Discuss the management of Intra Cranial Hypertension..
2.What are the common Nosocomial Infections in ICU?Discuss
the measures for prevention of Ventilatory Associated
Pneumonias.
3.Describe the in-hospital management of OP Poisoning.
4.A 65 year old patient,chronic cigarette smoker is admitted to
Emergency department with acute respiratory distress and alteres
sensorium.His ABG reveals PaO2- 50 mmHg,PaCo2-85 mm
Hg,pH-7.10.Discuss your plan of management.
5.Discuss the manifestations and management of Thyroid Storm.
6.Enumerate the role of analgesics and sedation in patients on
ventilator therapy in the ICU.
7.HPV.
8.What is DIC?Enumerate its causes and management.
9.Discuss the pathophysiology of Hepato Renal Syndrome.What
are the measures to prevent it?
10.Describe the techniques of Chest Physiotherapy?What is its
role in in the post surgical period?
PAPER III
1.Discuss the pathophysiology,signs and symptoms and
management of VAE.
2.What are the indications of OLV?What are the methods of
Lung Separation?Discuss the problems involved?
3.Chronic Smoking and the Anaesthesiologist.
4.Define Hyperkalemia.Discuss signs and symtoms and
anaestehtic consideration.
5.Discuss the perioperative evaluation and management of a 30
year old primi admitted at 36 weeks of preganacy with Eclampsia
presenting for emergency LSCS.
6.Enumerate the Risk factors for PONV.Discuss measures to
prevent and its management.
7.What is Massive Blood Transfusion?What are the
complications of massive blood transfusion?
8.Assessment and Resuscitation of a patient with severe burns.
9.Discuss the problems and their anaesthetic implications of a 40
year old Morbidly Obese patients scheduled for Gastric Banding.
10.Discuss anaesthetic management of 70 years old Hypertensive
with CAD scheduled for TURP.
PAPER IV
1.Describe the anatomy of Celiac Plexus.Discuss the Indications
and methods to block Celaic Plexus.
2.Safety Features in a Modern Day Anaesthesia Machine.
3.Classify Inotropes on the basis of their Mechanism of
actions.Compare Dopamine and Dobutamine.
4.Describe the anatomy of Larynx.How would you anaesthetize
the airway for awake intubation.
5.Define Minimum Alvelolar Concentration.What are the factors
affecting MAC?What is its significance in anaesthesia?
6.What is Venturi principle?What are its applications in
anaesthesia?
7.Describe Physiological Changes associated with
Pneumoperitoneum for Laparoscopic Cholecystectomy.
8.Describe with diagram the Flow Volume Loops in :-
(a)Healthy Adult.
(b)Patient with Restrictive Lung Disease.
©Patient with Obstructive Lung Disease.
9.What are the factors affecting Neuromuscular
Blockage?Discuss various methods to monitor Neurpmuscular
Blockage.
10.What is Monitored Anaesthesia Care?Discuss the Discharge
criteria for a patient after Day Care Surgery.
DECEMBER 2009
PAPER I
1.A 50 year old male and known diabetic is scheduled for Upper
Abdominal Surgery.How will you evaluate the ANS?
2.A 40 year old male with Emphysematous Bulla in right lung is
scheduled for thoracoscopic(VATS) excision of bulla.Describe
the anaestehtic management.
3.Enumerate the Indications of OPCAB.Describe the
technique,advantages and disadvantages.
4.A 20 year old female with mass in posterior cranial fossa is
scheduled for craniotomy.describe the anaesthetic management.
5.Describe the risk stratification of a patient with deranged liver
functions scheduled for partial liver resection.
6.Draw the algorithm for preoperative management of a patient
receiving antiplatelet therapy as recommended by ACC/AHA
guidelines in perioperative cardiovascular evaluation and
care.Describe preoperative management of a patient with
Coronary Stent.
7.Describe the different methods used for perioperative control
of blood sugar in diabetic patient’s undergoing major abdominal
surgery with their advantages and disadvantages.
8.Define and Classify Chronic Pain.Describe the methods of
treatment of CRPS in left upper limb in a 20 year old male
patient.
9.Desribe the anaesthetic management of a patient with PIH
scheduled for CS.
10.Describe the anaesthetic management of an 80 year old male
scheduled for THR.Mention the methods of postoperative pain
relief.
PAPER II
1.A 30 year old female with Cushing’s syndrome is scheduled for
Bilateral Adrenalectomy.Describe the anaesthetic management.
2.How does the paediatric airway differ from that of an
adult?What are the implications for an anaesthesiologist.
3.Describe the criteria for selection of anaesthetic agents for use
in Day Care Surgery.Enumerate the agents of your choice.
4.A 22 year old male patient with Multiple Papilloma of Larynx is
scheduled for Laser Excision.Describe the anaesthetic
management.
5.Enumerate the signs and symptoms of Hyponatremia.Describe
the management in a patient with serum Sodium 115 mEq/L
scheduled for Knee Replacement under Regional Anaesthesia.
6.How will you diagnose mismatched Blood Transfusion
intraoperatively?Describe its management.
7.Describe the anaesthetic management in a patient with
Abdominal Aortic Dissection scheduled for Aortic Bypass Graft.
8.A HIV positive patient is scheduled for elective caesarean
section.Describe the precautions for the management of this
patient.
9.Enumerate the evidence based indications for a Pacemaker
insertion.Mention the general principles of anaesthetic
management of a patient with pacemaker scheduled for surgery.
10.Describe the anaesthetic management in a 10 year old child
scheduled for Perforating Eye Injury repair.
PAPER III
1.Describe the initial assessment and resuscitation in a 25 year old
female with massive burns evacuated from the site of fire.
2.How will you diagnose VAE?Describe its pathophysiology and
management.
3.Describe the anaesthetic management of a neonate scheduled
for repair of TEF.
4.A 60 year old male with refractory depression is scheduled for
ECT.Describe the anaesthetic management.
5.Enumerate the indications,contraindications and complications
od invasive arterial blood pressure monitoring.Describe the
technique.
6.Describe the manifestations and management of thyroid storm
intraoperatively.
7.What is PDPH?What are the factors affecting it?Describe the
management of such a case.
8.Describe the role of intraoperative Echocardiography in clinical
anaesthesia.
9.What is Monitored Anaesthesia Care?Describe the technique
in an 80 year old patient with IHD scheduled for Cataract
surgery.
10.What are the limitations and hazards of providing anaesthesia
in the MRI suite?Describe anaesthetic management of a 6
months old child with Hydrocephalus scheduled for MRI.
PAPER IV
1.What are the Major Buffer systems in the body?Enumerate the
causes,effects and management of Metabolic Acidosis.
2.Describe the nerve supply of Larynx.Enumerate the signs and
symptoms of Bilateral Recurrent Laryngeal Nerve Palsy following
Total Thyroidectomy.
3.Describe the Metabolic Functions of the Lung.
4.Describe the Cardiac Conductions system.How do you manage
a patient with PSVT?
5.How do you diagnose DVT?Describe the predisposing factors
and its management.
6.Illustrate the Anatomy of Celiac Plexus with the help of a
diagram.Descirbe the technique of Celiac Plexus Block and its
complications.
7.Describe the pre-anaesthesia checklist for anaesthesia machine
and equipment.
8.Enumerate the various approaches for CVP
monitoring.Describe the technique and complications of IJV
cannulation.
9.Classify antihypertensive drugs.Describe the management of
hypertensive emergency.
10.What is Venturi Effect? Describe its clinical application in
anaesthesia.
JUNE 2010
PAPER I
1.Describe the anaesthetic management of a 70 year old patient
with permanent pacemaker scheduled for TURP.
2.Outline the anaesthetic management of a female with26 weeks
pregnancy scheduled for emergency appendicectomy.
3.Enteral feeding in the critically ill patients-indications,techniques
and complications.
4.USG-principles and its uses in day to day practice of
anaesthesia.
5.Role of Lipid Emulsions in Local Anaesthetic Toxicity.
6.A 35 year old hypertensive patient with chronic cholecystitis is
scheduled for Laparoscopic Cholecystectomy.Outline the pre-
operative evaluation,preparation and anaesthetic management of
this patient.
7.a.Nitric Oxide
b.Dexmedetomidine
8.Different techniques of reducing the need for allogenic blood
transfusion.
9.Simulators in anaesthesia training.
10.Importance of Triage in mass casualty incident.
PAPER II
1.A 68 year old patient with Carcinoma Esophagus is scheduled
for Transthoracic Esophagectomy.Outline the preoperative
evaluation,preparation and anaesthetic management.
2.Define Morbid Obesity.Outline the intra-operative anaesthetic
considerations in this patient scheduled for Bariartric surgery.
3.A 2 day old child with CDH is scheduled for primary
repair.Outline the pre-operative evaluation,preparation and
anaesthetic considerations of this case.
4.Write the algorithm for management of patient with PEA as per
AHA guidelines.
5.Criteria for Brain Death and the role of anaesthetist in Organ
Harvesting.
6.Current concepts in pre-emptive analgesia.
7.HELLP syndrome:Role of anaesthesiologist.
8.Outline the various modalities for management of postoperative
pain following major abdominal surgery.Enumerate the
differences between acute and chronic pain.
9.Peribulbar block-indications,techniques and complications.
10.a.I-gel.
b.BIS
PAPER III
1.A 40 year old patient with Portal Hypertension is scheduled for
Lieno-Renal shunt.Outline the pre-operative
evaluation,preparation and anaesthetic management of this
patient.
2.What is Mendelson’s Syndrome?Enumerate Acid Aspiration
prophylaxis in a patient scheduled for emergency Caeserean
Section.
3.Enumerate the components of RCRI.Draw the algorithm of
cardiac evaluation for non-cardiac surgery as recommended by
ACC/AHA 2007 guidelines on perioperative CVS evaluation and
care.
4.Enumerate the predictors of Weaning a patient on prolonged
Mechanical Ventilatory support in the ICU.
5.A 6 year old boy underwent Adenoidectomy under GA as Day
Care Surgery.Enumerate the discharge criteria of this patient.
6.Hpokalemia-definition,clinical manifestation and management
7.Clinical Manifestations and management of a patient with Acute
Anaphylaxis.
8.Enumerate the changes in the ACC/AHA guidelines on
resuscitation(BLS and ACLS) for management of cardiac arrest
in an adult.
9.a.Informed Consent.
b.Communication skill and anaesthesiologist.
10.Percutaneous Dilatational Tracheostomy-various techniques
and their advantages over conventional Tracheostomy.
PAPER IV
1.Anatomy of Brachial plexus with the help of
diagram.Enumerate the various techniques of Brachial Plexus
Block.
2.Enumerate various techniques of monitoring neuromuscular
blockade during anaesthesia.List the advantages and limitations of
each of these techniques.
3.List the various causes of reduced arterial oxygen tension in the
intra-operative period,and outline their management.
4.Draw schematic diagrams of various types of Mapleson’s
Breathing Circuits.Give the Functional Analysis,advantages and
disadvantages of Bain circuit.
5.Enumerate the Safety Features in Modern Day Anaesthesia
Machine.
6.Enumerate the factors regulating normal Cerebral Blood Flow
and the effect of various anaesthetic drugs on Cerebral Blood
Flow.
7.Enumerate the indications for transfusion of packed red
cells,FFP,platelets and cryoprecipitates.
8.ASA physical status classification for pre-operative anaesthetic
risk assessment.
9.Post Anaesthesia shivering-implications and management.
10.a}Permissive Hypercapnia.
b.Bedside PFT.
DECEMBER 2010
PAPER I
1.Describe clinical presentation,pathophysiology and
management of Malignant Hyperthermia.
2.Describe the pharmacokinetics and pharmacodynamics of
Etomidate.Desribe its brief role in clinical practice.
3.Describe Ventilatory Strategy in management of ARDS.
4.Describe the causes and management of VAE.
5.What is Recombinanat Factor VIIa? Describe the clinical usage
of it.
6.Describe regional block for removal of infected corn foot.
7.What are the criteria for discharge from PACU?
8.Enumerate the Circulatory Assist Devices.What are the
indications,contraindications and complications of IABP?
9.Enumerate Classical Biological Warfare Agents.Describe
physical findings,pathogenesis and treatment of Anthrax.
10.What is Post-operative Jaundice?Describe its causes.
PAPER II
1.Enumerate the Indications of Trachesotomy.Describe different
techniques of performing Percutaneous Dilatational
Tracheostomy.
2.What are the causes of Obstetric Haemorrhage?Describe its
management including anaesthetic.
3.Describe consent in anaesthesia practice including ethical and
legal aspects.
4.Enumerate causes of Post-operative Visual loss.Describe the
pathophysiology and its management.
5.Describe various componenets of Surviving Sepsis guidelines.
6.Describe the complications associated with sitting position
during Posterior Cranial Fossa surgery and their management.
7.Describe the anaesthetic management in a patient scheduled for
MRI.
8.Describe the risk factors and predictors of PONV.Describe its
management in the pre-operative period.
9.Describe the pathophysiology,clinical features,diagnosis and
management of Fat Embolism.
10.What are the pre-operative considerations in THR?What are
the goals of it intra-operative management?
PAPER III
1.Describe clinical manifestation of Diabetic Autonomic
Neuropathy.What are its clinical implications?
2.What are the pathophysiological insults which exacerbate the
Primary Brain Injury following Head Trauma? How can these
effects be reduced?
3.What are the Indications of RRT? List different modes of
RRT.Discuss thr role of CRRT in septic shock.
4.Discuss the pre-operative evaluation and preparation of a 55
year old male with Bronchiectasis scheduled for right lower lobe
excision.
5.Describe the techniques for anaesthetizing airway for awake
Fibreoptic Laryngoscopy and Intubation through Nasal route in
an adult with restricted mouth opening.
6.Desribe the anaesthetic considerations in patients having
Coronary Artery Stents.
7.Classify Cardiomyopathies.Describe management of a 60 year
old male with Dilated Cardiomyopathy scheduled for
Laparotomy.
8.Describe anaesthetic concerns for Regional Anaesthesia in a
patient on Anticoagulants.
9.Describe the principles of Weaning from Mechanical
Ventilation.
10.Describe the effects of smoking and its anaesthetic
implications.
PAPER IV
1.Draw a diagram to show various Lung Volumes and
capacities.Describe the spirometry features of patients with
Obstructive and Restirctive Pulmonary disorder.
2.Describe the anatomy of Stellate Ganglion.Discuss
indications,techniques and implications of Stellate Ganglion
Block.
3.Describe the Coronary Circulation.Discuss factors affecting
Oxygen Demand and Supply to the Myocardium.
4.What are the major causes of Hypoxemia?What is HPV?How
can GA worsen V/Q mismatch?
5.Classify Vaporizers.Discuss the effect of Altered Barometric
Pressure on the performance of Vaporizers?
6.What do you understand by Randomization and Blinding in a
clinical study?What is the importance of p-value and Power os
Study?
7.What is Minimum Alveolar Concentration(MAC)? Discuss the
factors which affect the alveolar concentration of an inhalational
agent.
8.Classify Anithypertensive drugs.Describe the management of a
hypertensive episode during anaesthesia?
9.Describe the Cardiac Conduction System.How do you manage
a patient with PSVT?
10.Describe the Anaesthesia Machine Check Protocol prior to
induction of anaesthesia.
JUNE 2011
PAPER I
1.Define FRC and Closing Volume.Describe their clinical
significance.
2.Define Massive Blood Transfusion.Discuss the complications
associated with Massive Blood Trasfusion.
3.Discuss the causes and management of Postoperative Shivering.
4.Discuss the peri-operative problems and anaesthetic
management of a two day old child scheduled to undergo TEF
repair.
5.Describe clinical presentation,pathophysiology and
management of TURP syndrome.
6.Discuss the anaesthetic problems of surgery in prone position.
7.Discuss pharmacokinetics and pharmacodynmics of Clonidine
and its role in clinical practice.
8.Describe the course of Sciatic Nerve and any one approach to
block the nerve.
9.What is Low Flow Anaesthesia?Discuss its advantages and
disadvantages.
10.Discuss the use of TEE in anaesthesia practice.
PAPER II
1.Nitrous Oxide-Curent Status in anaesthesia practice.
2.What are the new guidelines for Ventialtion and External
Cardiac compression for Neonatal Resuscitation? What are the
drugs (with doses) used for Neonatal Resuscitation?
3.What are the problems with acute exposure to high
altitude?Discuss briefly the anaesthetic considerations at high
altitude.
4.Discuss the Hemodynamic and Metabolic changes during
Aortic Clamping and Unclamping.Describe the Renal protective
measures during Aortic Clamping.
5.Discuss the physiological changes due to peumoperitoneum in
laparoscopic Abdominal surgery.List the intra-operative
complications.
6.Discuss Various Patterns of Nerve Stimulation in
Neuromuscular Monitoring and their interpretation with the help
of diagrams.
management of a 45 year old male with history of MI 3 months
back and is scheduled to undergo Exploratory Laparotomy.
8.Define Hypokalemia.What are the clinical manifestations of
hypokalemia?How will you treat hypokalemia intraoperatively?
9.Discuss the anaesthetic management of a full term primigravida
with severe pre-eclampsia,scheduled for emergency CS.
10.Discuss the various criteria required before weaning a patient
from CPB.
PAPER III
1.Enumerate different SGA’s.Tabulate the differences between
Proseal LMA and I-gel Airway device.
2.Discuss the pre-anaesthetic preparation,anaesthetic goals and
intraoperative management of a 30 year old female patient with
diagnosis of Pheochromocytoma scheduled for excision of
Adrenal Tumor.
3.What are the goals of Nutritional Support in Critically ill
patients?Describe the daily requirements for proteins,lipids and
carbohydrates for a patient with advanced sepsis admitted in ICU.
4.A 68 year old male with Carcinoma Esophagis is posted for
Total Esophagectomy and Gastric pull up.describe the
preoperative preparation,evaluation and anaesthetic management.
5.Describe the Functional Analysis of the Bain’s circuit.How will
you check the functional integrity of Bain’s circuit?
6.What is Cerebral Autoregulation?Discuss the implications of
various inhalational anaestehtic agents on Cerebral
Autoregulation.
7.A 30 year olf female ASA grade I,following Exploratory
Laparotomy ,is not maintaining Oxygen saturation in the post
operative period.Discuss its causes and management.
8.What are the symptoms and signs of OP poisoning?Discuss its
management.
9.Discuss the preoperative evaluation,preparation and anesthetic
management of a patient with Transplanted Kidney presenting for
Incidental elective surgery.
10.Discuss the clinical manifestations of Local Anaesthetic
Tocxicity and its management.
PAPER IV
1.Describe two major effects of Pressure Fluctuation in the
anaesthesia machine on vaporizer output.Describe the
improvisation in designing to overcome this problem.
2.Define Base Excess.How do Kidneys compensate for acid base
imbalance?
3.Describe various tests for used for monitoring peri-operative
coagulation.
4.Describe the innervations of Larynx.Briefly discuss various
palsies following nerve injury.
5.Discuss the pain management options in a patient with
intractable pain due to Carcinoma head of Pancreas.
6.Enumerate the environmental hazards in the operating theatre
and discuss the measures for its prevention.
7.What do you mean by Multi-Casualty Triaging?Why is it
important?How do you triage victims in the casualty following a
mass disaster?
8.Dsicuss the synthetic functions of Liver.What is the role of
Albumin in pharmacokinetics?
9.Describe common Arrythmias encountered during pre-
operative period.Dsicuss the therapeutic uses of Amiodarone.
10.What is Occulo-Cardiac Reflex?Discuss measures to attenuate
pressor response to laryngoscopy/intubation.
DECEMBER 2011
PAPER I
1.Discuss the physiologic changes of cardiovascular and
respiratory systems in pregnancy.Discuss the anaesthetic
considerations and management of pregnant patient undergoing
non-obstetric surgery during first trimester.
2.Discuss the anaesthetic implications and peri-operative
management of a six month old child scheduled for excision of
Cystic Hygroma.
3.What are the methods of pain assessment Infants and children?
Discuss the pharmacological management of acute pain in
paediatric patients.
4.Define BMI.Classify obesity and discuss the anaesthetic
considerations in a morbidly obese patient.
5.Define Fink effect,Diffusion Hypoxia, and Second gas
effect.How are they of importance to the anaesthetist?
6.Write the goals of Pre-Anaesthetic Check up,ASA risks grading
and Fasting guidelines.
7.What are the differences between a Subdural and
Subarachnoid block? Write clinical features and management of
PDPH.
8.What is Diastolic Dysfunction? Discuss its evaluation and
Implications to the anaesthetist.
9.Enumerate the causes of air embolism in clinical
practice.Discuss the clinical features and its management.
10.Classify Opoids.Discuss the merits and demerits of Epidural
Fentanyl and Morphine.
PAPER II
1.What are the causes of Intra-operative hypertension in a
previously normotensive patient?Discuss various modalities to
manage it.
2.Dsicuss the differential diagnosis of Intra-operative
Bronchospasm.How will you manage it?
3.Discuss the physiological changes secondary to pain in
labour.Describe the role of Para-Cervical and Pudendal nerve
blocks in Obstetric Analgesia.
4.What is Oxygen delivery?Classify Oxygen delivery
systems.Discuss the role of Ventimask in Oxygen therapy.
5.What are the recommendations for Neuraxial Anaesthesia in a
patient on Anticoagulant therapy?
6.Describe the Boundaries of Epidural space.Discuss five
common complications of Epidural Block.
7.Why is it important to measure the Depth of Anaesthesia?
Briefly describe the methods used.
8.What is Monitored Anaesthesia Care?Describe Minimum
Monitoring Standards for a patient undergoing Monitored
Anaesthesia Care.
9.Describe briefly the Difficult Airway Algorithm.How will you
perform awake intubation in an adult with restricted mouth
opening?
10.How will you evaluate a 50 years old male patient with history
of IHD presenting for Major Abdominal Surgery?
PAPER III
1.Discuss the anaesthetic considerations for excision of a mass in
the Posterior Cranial Fossa in a 20 year old patient.
2.Describe the clinical features of Hypothyroidism.Discuss the
anaesthetic considerations in a hypothyroid patient scheduled for
Upper Abdominal Surgery.
3.Discuss clinical manifestations and management of Acute
Anaphylaxis.
4.Discuss the pre-operative evaluation and anaesthetic
management of a 2 year old child scheduled for removal of
Foreign Body in Bronchus.
5.Describe pathophysiology,clinical manifestations and
anaesthetic management of CDH in a neonate.
6.Dsicuss the pre-operative evaluation and anaesthetic
management of an 80 year old patient with Cardiac Pacemaker
for TURP.
7.Enumerate the causes,clinical manifestations and management
of Hyperkalemia.
8.Describe briefly pathophysiology,signs and symptoms,diagnosis
and treatment of Carbon Monoxide poisoning.
9.Enumerate the causes and DD of post extubation
Laryngospasm.How will you manage it?
10.What is Mixed Venous Oxygen Saturation and its importance
in Critical Care setup?How is it measured?
PAPER IV
1.Describe the anatomy of Celiac Plexus.Dsicuss the Indications
and methods of Celiac Plexus Block.
2.Discuss the mechanism of action.Pharmacodynamics and
Pharmacokinetics of Proppfol.
3.Describe briefly the Safety features in Modern Day Anaesthesia
machines.Discuss various features that prevent the delivery of
Hypoxic gas mixtures.
4.Describe the anatomy of IJV with the help of a diagram.Discuss
any one approach for IJV cannulation and its complications.
5.What is SIADH?Describe the clinical features and
management of SIADH.
6.Enumerate the synthetic functions of the liver.Discuss the
anaesthetic implications in a patient with Cirrhosis and Ascites.
7.What is PEEP?How does it improve arterial po2?What are its
disadvantages?
8.Describe the OHDC.How does it differ from the
carbondioxide dissociation curve?
9.Describe the physiology of circulation during closed chest
compressions.Discuss the Algorithm for BLC.
10.Define and Classify Septic Shock.Discuss the guidelines for
the management od Septic shock.
JUNE 2012
PAPER I
1.What is the DD of intra operative bronchospasm?how will you
manage it?
2.Discuss indications and techniques of RRT.Discuss the role of
CRRT in septic shock.
3.Enumerate various approaches for central venous
cannulation.Describe the technique and complications of IJV
cannulation.
4.Discuss the regulation of ICP.Describe the methods available
for reducing it under anaesthesia.
5.Discuss indications,techniques and complications of caudal
epidural block in children.
6.Define monitored anaesthesia care.Discuss its goals and
techniques.
7.Discuss the perioperative problems and anaesthetic
management of a one year old child with hydrocephalus
scheduled for shunt procedure.
8.Discuss pharmacokinetics and pharmacodynamics of
dexmedetomidine.What is its role in clinical practice?
9.Define and classify dead space ventilation.Define minute
ventilation.Under what conditions is minute ventilation
increased?
10.Discuss the preoperative evaluation of a patient with
IHD.Discuss the perioperative monitoring for MI and its
management.
PAPER II
1.How would you assess a case of septic shock due to
pancreatitis?Briefly discuss its management.
2.Discuss the various criteria for weaning a patient from
prolonged mechanical ventilation.
3.What are the physiological functions of magnesium?Describe
its therapeutic uses in anaesthesia/
4.Describe the anatomy of larynx and its innervations.What are
the differences between neonatal and adult larynx?
5.What are the different types of carbon dioxide
absorbents?Describe their composition.Discus the advantages
and disadvantages of each.
6.What are the objectives of premedication in a patient scheduled
for elective CS?describe the drugs used with their doses and
rationale.
7.Briefly outline the evaluation and management of a patient wiyh
suspected perioperative coagulopathy.
8.Discuss the preoperative evaluation of a 25 year old man with
OSA scheduled for laparotomy.How would you prepare him for
surgery?
9.Describe the toxicity of commonly used LA agents and its
management.
10.Discuss the anaesthetic problems in robotic surgery.
PAPER III
management of a 70 year old hypertensive patient for total
laryngectomy.
2.Discuss the etiology and management of Supra Ventricular
arrhythmias during surgery under GA.
3.What are the clinical features of myasethenia gravis?discuss
preoperative evaluation and anaesthetic management of a case
presenting for interval appendicectomy.
4.What are the various routes of administration of
morphine?Discuss the pharmacokinetics and pharmacodynamics
of epidural morphine.
management of a 40 year old hyperthyroid patient posted for total
thyroidectomy.Enumerate postoperative complications.
6.What is capnography?Draw a labeled diagram of normal
capnograph and discuss clinical considerations of capnography.
7.Discuss the causes,clinical manifestations and treatment of
hypercalcemia.What are their anaesthetic considerations?
8.Discuss the criteria for patient
selection,contraindications,advantages and disadvantages of
autologous blood transfusion.
9.How would you evaluate and prepare a patient with chronic
bronchiectasis scheduled for pneumonectomy?Briefly enumerate
the postoperative complications.
10.Describe the countercurrent mechanism in the kidney.Discuss
the renal protection strategies during perioperative period.
PAPER IV
1.Enumerate the safety features in a modern day anaesthesia
machine.Describe the hypoxia prevention safety devices.
2.How is autonomic neuropathy evaluated preoperatively?What
is its significance In anaesthesia?
3.Discuss the different types of colloid solutions.describe their
advantages and disadvantages.
4.Discuss the signs and symptoms,pathophysiology and
management of cyanide toxicity.
5.Describe the anatomy of paravertebral space with
diagram.describe one method of establishing the paravertebral
block.
6.What are the anaesthetic considerations for day care
surgey?Discuss the clinical criteria for recovery and discharge
after DCS.
7.Classify hypothermia.Describe the pathophysiological effects of
hypothermia.
8.Describe Bernoulli’s principle and its various applications in
anaesthesia.
9.Explain CRPS.What are the types of CRPS?Describe the
clinical features and options for treatment.
10.Enumerate the environmental hazards in the OT and discuss
the methods of prevention.
DECEMBER 2012
PAPER I
1.How will you evaluate a three year old child with Systolic
Murmur scheduled for surgery?Briefly discuss the anaesthetic
implications.
2.Describe briefly the intra-operative considerations for Bariartric
surgery.
3.Describe the DD of Intraoperative Bronchospasm.Write down
its management.
4.Draw a labeled diagram of Labor Pain Pathway.Describe the
method,advantages and disadvantages of preferred technique of
Labor analgesia.
5.What are the factors that predispose trauma patients to
increased anaesthetic risks?Briefly mention their management.
6.How will you calculate the energy requirements in an ICU
patient?What are advantages and disadvantages of Parenteral Vs
Enteral nutrition?
7.What are the predictors of Cardiac Risk in cardiac patients
undergoing non-cardiac surgery? Describe briefly the anaesthetic
consideration in a patient with CAD with EF of 40% for
Laparoscopic Cholecystectomy.
8.Describe the preoperative evaluation,anaesthetic management
and intra-operative monitoring of a patient scheduled for Carotid
Endarterectomy.
9.Describe briefly the Diagnosis,Pathophysiology and treatment
of Hepato-Renal Syndrome in a case of advanced Liver Cirrhosis.
10.Discuss the role of anaesthesiologist in Organ Donation.
PAPER II
1.What are the indications of RRT?Describe its role in MODS.
2.Describe the etiology,clinical features and treatment of
Malignant Hyperthermia.
3.What are the anaesthetic concerns in the management of a
patient with Myaesthenia Gravis scheduled for Thoracoscopic
Thymectomy?
4.What are the indications for ICP monitoring in patients with
Head Injury? Describe the ICU management strategies of a
patient with sever head injury.
5.How will you diagnose and manage a case of VAE during Spine
Surgery?
6.Enumerate the agents implicated in allergic reactions during
anaesthesia.How would you manage a patient with Anaphylaxis
during anaesthesia?
7.Write down the Algorithm for Resuscitation of a Newborn.
8.What is Anion Gap?Describe the causes and management of
Metabolic Acidosis from Low Cardiac Output.
9.Write an Algorithm for the management of Early
Haemorrhagic Shock.What are the goals in early resuscitation
during active bleeding?
10.Describe the commonly encountered problems following CPB
in the post bypass period.
PAPER III
1.What are the clinical fetures of OP Poisoning? How will you
manage a patient of OP Poisoning in an ICU?
2.What are the ingredients of Professional Negligence? Write a
note on Informed Consent.
3.What is IASP definition of Pain?How do you classify
pain?Briefly describe the Interdisciplinary management of
Chronic Pain.
4.An 8 years old child who underwent Tonsillectomy 4 hours ago
returns to the Operating Table with Bleeding from Tonsillar
site.Describe preparation,preoperative assessment and anaesthetic
management of this case.
5.What are the hazards and Limitations of providing anaesthesia
in an MRI suite? Describe the anaesthetic management of a 6
months old child with Hydrocephalus scheduled for MRI.
6.What are the causes of Intra-operative Hypotension during
THR? Outline the treatment strategies.
7.Enumerate the major concerns for anaesthesiologist in
Hypertrophic Pyloric Stenosis in a newborn.Write down the
anaesthetic management of such a case.
8.Enumerate age-related changes in
Cardiovascular,Pulmonary,Nervous and Renal systems in
Geriartric patient which can affect anaesthetic management.How
do the changes in Renal functions affect anaesthetic
management?
9. Describe the preoperative evaluation and anaesthetic
management of a $ year old child with Perforating eye Injury
scheduled for repair under GA.
10.What is COPD? How will you manage oxygenation and pain
in post-operative period of a case of COPD undergoing upper
abdominal surgery?
PAPER IV
1.Briefly discuss the management of a patient with severe sepsis
as per Surviving Sepsis Guidelines.
2.What is the significance of Autonomic Neuropathy in DM?
How can it be assessed?
3.Describe the innervations of Larynx and the palsies following
nerve injury with the help of diagram(s).
4.What are the factors leading to arterial hypoxemia in the
PACU? Discuss the DD.
5.Describe the causes and management of Acute Dilutional
Hyponatremia in the immediate postoperative period.
6.Describe the algorithm of the evaluation and initial therapy of a
patient with suspected Peri-operative coagulopathy.
7.What is Relative and Absolute Humidity? What are active and
passive Humidifiers? What are their advantages and
disadvantages?
8.What is scavenging in OT? What are five basic parts of a
scavenging system? What are the hazards of a scavenging system?
9.Describe the mechanism by which IABP augments coronary
perfusion.What are the indications and contra indications for the
use of IABP?
10.What is Hospice? When should you begin hospice care?How
does hospice serve patients and families?

DNB Questions Year Wise

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