DNB Previous Questions

DNB JUNE 2008PAPER I 1. 20 year female with Angiofibroma nose coming for surgery. what are the blood conservation strategies used? 2. Clinical features,and management of paracetamol poisoning 3. 30 yr female coming for carcinoid tumour - anaesthetic Mx. 4. Management & Pathophysiology of post anaesthetic shivering 5. 3 year old coming for caudal epidural block.-Technique & Complications 6.Portal hypertension coming for L-R shunt. Preop evaluation & preparation. 7.Mediastinoscopy –Anaesthetic Mx.3 year old for PDA correction. 8. TEE 9. ULTRASOUND (PRINCIPLE & USES) PAPER II 1.50-year-old COPD patient on Ventilator-ENTERAL NUTRITIONAL PLAN. Advantage& Disadvantage. 2.PRE EMPTIVE ANALGESIA –current status. 3.WEANING CRITERIA from prolonged ventilation. 4.1 day old child with CDH – Anaesthetic preparation & Mx. 5.SEVERE ECLAMPSIA – Caesarean – Anaesthetic Mx. 6.LIPID EMULSION – mechanism & dosage in LA Toxicity. 7.CLONIDINE in anaesthesia & ICU. 8.PARKINSON’S Disease-Anaesthetic Mx. 9.Anaesthesia guidelines for Mx of patient with CORONARY STENT. 10.THYROID STORM-MANIFESTATION & MX. PAPER III 1.Enumerate the symptoms of SHOCK & discuss the methods to assess the systemic perfusion. 2.Mx of ANAPHYLAXIS. 3.PERMISSIVE HYPERCAPNIA. 4.TRANSDERMAL DELIVERY of drugs 5.30-year-old Asthamatic for LAP CHOLECYSTECTOMY- Preop evaluation & preparation. 6.METHEMOGLOBINEMIA & anaesthesiologist. 7.Discuss the Regulaion of CERBRAL BLOOD FLOW. 8.DEXMEDETOMIDINE –clinical applications & complications 9.I- GEL AIRWAY. 10.DVT –DIAGNOSIS , PREVENTION & MX. PAPER IV 1.Resuscitation of TERM PREGNANT PATIENT 2.Classify VAPORIZERS. Briefly describe the change with the ALTITUDE. 3.Describe LUMBAR PLEXUS with the help of a diagram. Techniquesfor LUMBAR PLEXUS BLOCK. 4.EVIDENCE BASED MEDICAL EDUCATION 5.N2O: Current Status 6.Adverse effects of NEUROMUSCULAR BLOCKING DRUGS. 7.Planning of PACU. 8.Problems of CHRONIC HEMODIALYSIS 9.PERCUTANEOUS DIALATATIONAL TRACHEOSTOMY 10.Clinical tests for AUTONOMIC FUNCTION TOPIC WISE ANAESTHESIA PREVIOUS QUESTION PAPAERS 1. CONSENT 1).Vicarious liability for negligence(June 1994). 2).Utility of anaesthetic records(Dec 1994). 3).Computer based patient record for anaesthesia(Dec 1997). 4).Informed consent(Dec 2000)(June 2010). 5.Describe consent in anaesthesia practice including ethical and legal aspects(Dec 2010) 2. GENERAL TOPICS 1)Effect of anaesthesia and surgery on immunological mechanism(June 1995). 13.IVRA(June 1995)(June 1997).(Dec 1998)(Dec 2003)[Pg 981-Barasch,Pg 311-SAARC 9th ] 14.What principle is used in USG? How is USG useful in anaesthesia? (June 2008). 3.SLEEP, MEMORY AND CONSCIOUSNESS. 1)Write down the physiology of sleep.How does it differ from anaesthesia?What phases occur during various stages of anaesthesia?(June 1999). 2)Simulator in anaesthesia education(June 2010). 4. AUTONOMIC NERVOUS SYSTEM 3)Stress response to trauma and surgery(June 2006). 1) Clinical tests for evaluation of autonomic nervous system(June 2008).[Pg 295-Miller 7th ed] 4)Safe anaesthetic procedure(Dec 1999). 5)Stress management in anaesthesia practice(Dec 2003). 6)Stress and anaesthesiologists(June 2003)(June 2005). 7)Ethics in anaesthesia(June 2004). 8)Write briefly on research ethics(Dec 2008). 9)Evidence Based Medical education(June 2008). 10) Discuss the role of EBM (evidence based management ) in anaesthesia practice.Quote few examples(June 2009). 11) Communication skill and anaesthesiologist(June 2010). 12.ASA physical status classification(Dec 2007). 2) A 50 year old male and known diabetic is scheduled for upper abdominal surgery.How will you evaluate the ANS?(Dec 2009). 3)How is autonomic neuropathy evaluated preoperatively?What is its significance in anaesthesia?(June 2012). 4)What is significance of autonomic neuropathy in diabetes mellitus?How can it be assessed?(Dec 2012) 5.CNS PHYSIOLOGY 1)Regulation of cerebral blood flow. draw circle of willis (Dec 2001). 2)Discuss the regulation of CBF(June 2008). 3)Regulation of ICP(June 2001), devices to measure 4)ICP(Dec 2003). 5)How is CBF regulated?What is the effect of various anaesthetic drugs on CBF?(June 2009). 10)HPV(June 2005)(June 2009). [Pg 1054-Barasch 6th ed,Pg 29-RACE 2009] 6)Enumerate the factors regulating CBF and the effect of various anaesthetic drugs on CBF(June 2010) [Pg25-RACE 2008] 11)Describe the metabolic functions of the lung(Dec 2009). 7)What is cerebral autoregulation? Discuss the implications of various inhalational anaesthetic agents on cerebral auroregulation(June 2011) 6.NEUROMUSCULAR PHYSIOLOGY AND PHARMACOLOGY 1.Neuromuscular transmission(Dec 1999). 7.RESPIRATORY PHYSIOLOGY 1)Oxygen dissociation curve(Dec 1996). 2)Oxygen cascade,oxygen transport and Oxygen Dissociation Curve(June 2005). 3)Compare ODC and CDC dec 2001 4)FRC(Dec 1998). 5)Define FRC what is the significance ? dec 2008 6)Define FRC and closing volume.Describe their clinical significance(Jun 2011). 7)Closing volume of the lung and its measurement(June 1997). 8)Lung compliance(June 2006). 9)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? (June 2009). 12)What are the major causes of hypoxemia?What is HPV?How can GA worsen v/q mismatch(Dec 2010). 13)Define Fink effect,Diffusion hypoxia and second gas effect.How are they of importance to the anaesthetist?(Dec 2011). 14)Define and classify dead space ventilation.Define minute ventilation.Under what conditions is minute ventilation increased?(June 2012). 8.ANATOMY OF LARYNX 1)Tracheo-bronchial tree with diagram(June 1999).[Pg 2 –Ajay yadav] 2)Discuss the anatomy of diaphragm with a diagram.How does it behave under different stages of anaesthesia(June 1999).[Pg 49-RACE 2003,Pg 553-Morgan] 3)Anatomy of larynx.Enumerate with diagrams the types of vocal cord palsies(June 2005). 4)Describe the anatomy of larynx and its innervations.What are the differences between neonatal and adult larynx?(June 2012). 5)Describe the innervations of larynx and the palsises following nerve in jury with the help of diagram(s)(Dec 2012) 9.CARDIAC PHYSIOLOGY Interactions of pre-existing drug therapy with anaesthetic agents and techniques(June 1996).Concentration effect and second gas effect produced during uptake of inhalational agent(Dec 2007).[CEACCP 2005 vol 5 no.Pg 137RACE 2003] 3.1)Coronary circulation(June 1996)[Pg 752-Stoelting physio pharma] -Drug interactions(June 2006).Define minimum alveolar concentration.Discuss the renal protection strategies during perioperative period(June 2012).What is minimum alveolar concentration?Discuss the factors which effect the alveolar concentration of an inhalational agent(Dec 2010).Sevoflurane(June 1997).Continous infusion of drugs in anaesthesia(June 1994) 2.Transdermal administration of drugs(June 2008).5.Sevoflurane(Dec 2003). 12. Compare and contrast Sevoflurane and isoflurane(Dec 2008) 7.BASIC PHARMACOLOGY.RENAL PHYSIOLOGY 1)Regulation of kidney in acid base balance(Dec 1995).Isoflurane Vs. 3)Role of kidney in acid base balance(Dec 2004)(June 2006).Enzyme induction-describe the mechanism with routine anaesthesia examples(Dec 1996). 1.[Pg 543-Miller] . 5.Discuss the renal protection strategies during preoperative period(Dec 2003). 4)Define base excess. 4. -Enzyme induction-its role in anaesthesia with examples(Dec 2004).INHALED ANAESTHETICS 1.Pg 601-ISACON 2009] 2)Describe the arterial circulation of the heart with the aid of a diagram mentioning the unique features of coronary blood flow.Sevoflurane Vs Desflurane(June 2000). 3)Factors affecting coronary circulation(June 2002). 10.Describe the countercurrent mechanism in the kidney.[Pg 163-Morgan] 8.[Pg 7RACE 2002. 2)Discuss the countercurrent mechanism in the kidney.IJA 2007.[Pg 172-173-Morgan] 4.How do kidneys compensate for acid base balance?(June 2011). 9. 11.Explain the Goldman’s cardiac risk index and its importance to the anaesthetist(June 2000).[Pg 173Morgan] 3. 4)Describe coronary circulation.[Pg 21-RACE 2001.Nitrous oxide:current status(June 2008).Minimum alveolar concentration(Dec 1996) 2.Pg 433-ISACON 2009] 6.[Pg 712 – Morgan 4th ed] 5).Discuss factors affecting oxygen demand and supply to the myocardium(Dec 2010).What are the factors affecting MAC?What is its significance in anaesthesia?(June 2009). Nephrotoxicity of halogenated anaesthetics(Dec1994)(June 1996). VAPORIZERS 1.Nitrous oxide-current status in anaesthesia practice(June 2011) 1.Types of plenum vaporizers(Dec 1995).Discuss the effect of altered barometric pressure on the performance of vaporizers? (Dec 2010).Pg 301-ISACON 2009] 5. DELIVERY OF INHALATIONAL ANAESTHETICS CIRCUITS 3.Hepatotoxicity of halothane(Dec 1997).Draw schematic diagrams of various types of Mapleson’sbreathing circuits. 4. 2.Classify vaporizers.Describe the functional analysis of Bain’s circuit.Paediatric circuits(Dec 2000).Charecteristics of ideal vaporizer(June 2004).How will you check the functional integrity of Bain’s circuit(June 2011). 3. 3.[Pg 179-ISACON 2009] 5.[Pg 66-Stoelting] 4.Give the functional analysis.[Pg 543-OAR] 1.Calcium channel blockers in surgical patients(June 1994).[Pg 650Miller] 15.Compare dopamine and dobutamine(June 2009).Briefly mention the effects of altered barometric pressure on the performance of the vaporizers(June 2008).Coaxial circuits(Dec 1998)(June 2002)[Pg 27 -RACE 2010] 13.Describe the management of a hypertensive episode during anaesthesia(Dec 2010).Classify inotropes on the basis of their mechanism of actions.[Pg 15-RACE 2006] 4.Describe the management of hypertensive emergency(Dec 2009).Nephrotoxicity of fluorinated anaesthetics(Dec 2007).Compare and contrast dopamine and dobutamine as an inotropic agent(Dec 2006).10.CVS PHARMACOLOGY 2. 3.Mapleson’s breathing system(June 2001 4. 14. [Pg 69-Stoelting physio-pharma] 2. [Pg 448-451-Morgan.Classify antihypertensive drugs.METABOLISM OF INHALATIONAL ANAESTHETICS 1.Classify antihypertensive drugs.What are the two major effects of pressure fluctuation in tha anaesthesia machine on vaporizer output?Describe the improvisations in designing to overcome this problem(June 2011)[Pg 128-Dorsch & Dorsch] .Merits and demerits of halothane and isoflurane(Dec 1995).Classify vaporizers.advantages and disadvantages of Bain circuit(June 2010) 5. 2. SAFETY FEATURES IN MODERN DAY ANAESTHESIA MACHINE 5.What is low flow anaesthesia? Discuss its advantages and disadvantages(Dec 2006)(June 2011).Describe the pre anaesthetic check list for anaesthesia machine and equipment(Dec 2009).[Pg no 47-Morgan 4th ed] 6. 4. [Pg 88-Morgan] 2. 1.Safety features in a modern day anaesthesia machine(June 2009) (June 2010). CLONIDINE .Beta receptor blockade :-its relation in anaesthesia(June 1996).Check out procedure to be followed routinely before using an anaesthesia machine and other monitoring equipment(June 2000).Effect of atenolol pretreatment on CVS.Clinical use of alpha 2 agonists in anaesthesia(Dec 2004). DRUGS ADRENERGIC DRUGS 1.Evolution of rotameter(June 1999). BETA BLOCKERS 3. 6. [Pg 32-OAR] 2.NMJ and IOP(June 2003).Name the adrenergic agonists and antagonists.Functional analysis of pressure reducing valve(June2007)[Pg 95Wards] 7.Discuss the advantages and disadvantages of each(June 2012). ALPHA-2 AGONISTS 1.Enumerate the safety features in a modern anaesthesia machine.Role of humidification in anaesthesia practice(Dec 2008) 1.Adrenergic agonists(June 2006).Describe the anaesthesia machine check protocol prior to induction of anaesthesia(Dec 2010).What is relative and absolute humidity?What are active and passive humidifiers?What are their advantages and disadvantages?(Dec 2012) 16.Describe in detail their uses in anaesthesia practice(June 2005). 2.Describe briefly the safety features in modern anaesthesia machines.Perioperative beta blocker therapy(Dec 2007). 2.Discuss various features that prevent the delivery of hypoxic gas mixtures(Dec 2011) 3.Link 25 proportioning system(Dec 2007). 5.[Pg 597-ISACON 2009] 3.Adrenergic receptor antagonist and their uses(Dec 1994) 1.Manifestation and treatment of beta adrenergic toxicity(June 1997).[Pg 109-110-D &D] 3.What are the different types of carbondioxide absorbents?Describe their composition. [Pg 330-SPP] 4. PRE-ANAESTHETIC MACHINE CHECK 7.Describe the hypoxia prevention safety devices(June 2012). Describe the pharmacokinetics and pharmacodynamics of etomidate.{CJA] PROPOFOL 1.Midazolam(1996-2000). GENERAL 1.Narcotic antagonists(June 1998).Calcium channel blockers and anaesthesia(Dec 1998).Dexmedetomidine:Clinical applications and complications(June 2008). 2.Propofol as compared to Thiopentone(Dec 1999).Mannitol in surgery/surgical uses of mannitol(June 2004).Discuss pharmacokinetics and pharmacodynamics of dexmedetomidine. 4.Clonidine in anaesthesia practice(June2007).Clonidine in anaesthesia and ICU(June 2008). 2. 3. -Remifentanyl in clinical practice(June 2001) 3.Calcium channel blockers drugs and anaesthesia(Dec 1995) 2. 3.(Dec 2001). DEXMEDETOMIDINE 1.1. 8. .Role of corticosteroids in the practice of anaesthesiology(June 2000). 3.What is its role in clinical practice(June 2012). 3.Untoward effects of intravenous sodium bicarbonate(Dec 1997).Propofol(June 1996)[Pg 154Stoelting PP] 2. 7.Spinal opiate receptors(Dec 1999). [Pg 1257-Satish deshpande] 9.[Pg 90Stoelting physio-pharma] 2.Pharmacology of fentanyl congenial(Dec 2000) 6.Impact of cancer therapy on anaesthetic management(Dec 1994) 2.Describe briefly its role in clinical practice(Dec 2010).What are the various routes of administration of morphine?Discuss the pharmacokinetics and pharmacodynamics of epidural morphine(June 1996).OPIOIDS 1. 6.Disscuss the MOA.Discuss PK and PD of clonidine and its role in clinical practice(June 2011). 4. 18.IJA 2011] CALCIUM CHANNEL BLOCKERS 1. 5.PD and PK of propofol(Dec 2011) 17.Mention the commonly used immunosuppressive drugs and their interaction with anaesthetic agents(June 2007).Remifentanyl(June 1998).PK of IV Thiopentone(June 2004).Dexmedetomidine(June 2010).What are the various routes of administration of opoids?Discuss the merits and demerits of each.Compare Propofol with Midazolam(June 1999). 5. [Pg 120-Stoelting physio-pharma] 4.Adenosine and its clinical uses(June 2002).[Pg 96RACE 2011. Nitric oxide(Dec 1995)(June 2010).Hauffman’s degradation(Dec 1996).Mechanism of action of local anaesthetic agents(June 1997). 3.Classify opoids. 14.Treatment of systemic toxicity of LA drugs(June 2003). 2.[Pg 181-Stoelting pp.8. 10.[Pg 12-RACE 2006] 22.[Pg 59 –ISACON 2008] 2.PCA(Dec 1996)(June 1998)(Dec 1998)(June 2003)(Dec 2004)(Dec 2007). 9.Management of local anaesthetic toxicity(June 2000).Role of nitric oxide in ICU(Dec 1999). 19. 3.Transdermal opoids(June 2003).Pipecuronium(June 1995)(Dec 1996).Adverse effects of NMBA(June 2008).Aitkenhead][Pg 1487Barasch] 6.Mention the intrathecal and epidural opoids in clinical practice and their complications(June 2006).Pg 265-Morgan] 1.Rocuronium(Dec 1998)(June 2001) (Dec 2001) 4.Discuss the clinical manifestations of local anaesthetic toxicity and its management(June 2011).PHARMACOLOGY OF MUSCLE RELAXANTS 7.[Pg 213-Morgan 4th ed] 21. . NITRIC OXIDE AND PULMONARY VASODILATORS 1.[Pg 397-Morgan] 13.Complication of local anaesthetics(June 1999).Enumerate the problems with muscle relaxants(Dec 2005).[Pg 518.Lipid emulsion for the treatment of local anaesthetic toxicity-mechanism and dosage(June 2008). 1.[Pg 41-RACE 2009] 5. 11. 2.Role of lipid emulsions in local anaesthetic toxicity(June 2010).DRUG DELIVERY SYSTEM 4. 9. LOCAL ANAESTHETICS LAST 1.What are the various routes of administration of morphine?Discuss the pharmacokinetics and pharmacodynamics of epidural morphine(June 2012).Discuss the merits and demerits of epidural fentanyl and morphine(Dec 2011). 7.Various epidural narcotics for management of postoperative pain(Dec 2006) 12. 5.Elimination of Atracurium from the body(Dec 1999).TIVA(Dec 1996)(June 2000)(June 2001)(Dec 2001)(Dec 2003)(June 2006).Ropivacaine(June 2002).Describe the toxicity of commonly used local anaesthetic agents and its management(June 2012) 20.{pg 231-Stoleting PP] 6. 2.Acute pain relief in opoid dependant pain(June 2004).Interaction of depolarizing with NDMR’s(Dec 1995) 8.Epidural opiates in anaesthesia practice(Dec 2007). ARRHYTHMIAS 4. 2. .Discuss the clinical features and its management(Dec 2011).Discuss the etiology and management of Supra Ventricular arrhythmias during surgery under GA(June 2012) 25. BRONCHOSPASM 1.Bronchospasm during anaesthesia and immediate postop period and its management(Dec 1999)[Pg 53ISACON 2009] 4.How will you diagnose VAE? Describe its pathophysiology and management(Dec 2009).Air Embolism during anaesthesia.[Pg 388-Aitkenhead] 4.Enumerate the causes of air embolism in clinical practice. ANAESTHESIA MANAGEMENT 3.signs and symptoms and management of VAE(June 2009) .Nitric oxide in clinical practice(June 2000).Management of intraoperative bronchospasm(June 2007)[update in anaesthesia] 3.How do you diagnose and manage a case of VAE during spine surgery?(Dec 2012) 4. 11. 10.3.Desribe the cardiac conduction system. 8. 5.Embolisms during anaesthesia(Dec 1998). 5.Nitric oxide for management of pulmonary hypertension(Dec 1998).Pathophysiology of VAE.Mention the methods of detection. 1.Describe the causes and management of VAE(Dec 2010).Discuss the etiology and management of various cardiac arrhythmias occurring during anaesthesia(Dec 2003)(Dec 2004).[Pg 638 Morgan 4thed].Describe the common arrhythmias encountered during pre-operative period.air embolism under anaesthesia(June 2002). 6.Discuss the therapeutic uses of Amiodarone(June 2011).Intraoperative bronchospasm(Dec 2004).prevention and treatment(1996-2000).Discuss the pathophysiology. 2.How do you manage a patient with PSVT?(Dec 2010).Discuss the etiology and management of SVT’s during surgical procedures(June 1998)/Management of multifocal ventricular ectopics during anaesthesia(June 1998). 6. 24. 7. (June 1996).Cardiac arryhthmias during anaesthesia(Dec1996) 23. 7. 9. 3. 5. VAE 1.Intraoperative bronchospasm(Dec 1995)[Pg 111-RACE 2008] 2.Nitric oxide-current status(Dec 2008).VAE(Dec 2003).Prevention and treatment of ventricular arrhythmias during GA(Dec 1995).Air embolism:methods of detection and management(Dec 2006). DELAYED RECOVERY 1. 7. INFECTIONS 1. 8.Enumerate the causes and differential diagnosis of post extubation laryngospasm.Write down its management(Dec 2012).Clinical manifestations and management of a patient with acute anaphylaxis(June 2010). 2.AIDS(June 2004). .[IJA 2004] 4.Describe the differential diagnosis of intra-operative bronchospasm.Recognition and management of anaphylaxis during general anaesthesia(Dec 2003).Discuss clinical manifestations and management of acute anaphylaxis(Dec 2011).5. 10.[Yao. 28. 29. ANAPHYLAXIS(ANAPHYLACTOID) REACTIONS 1.Anaphylactic reaction on the operation table(Dec 2005).Hypersensitivity reaction in anaesthesia practice(Dec 1995).Laryngospasm during anaesthesia(Dec 2007).Ph 441ISACON 2009] 2.Discuss the pathophysiology and management of anaphylactoid reactions in anaesthesia(June 2001) (Dec 2001).Discuss the problem.HIV and anaesthesia(June 2003).Enumerate the agents implicated in allergic reactions during anaesthesia.Identification of anaphylaxis under GA and its management/Anaphylactoid reaction during anaesthesia(June 2003)(Dec 2003).What are the potential causes of delayed resumption of spontaneous recovery after abdominal surgery with general anaesthesia.[Pg 974-Morgan] 2. LARYNGOSPASM 1.AIDS and the anaesthesiologist(June 2005).What is the differential diagnosis of intraoperative bronchospasm?How will you manage it?(June 2012).Transmission and precaution against HIV in hospital setting(June 1995). .How will you manage it(Dec 2011) 27. . [Pg 269-ISACON 2009] 2.its diagnosis and .Infections related to anaesthesia practice(Dec 2001). 26. 6.How would you manage a patient with anaphylaxis during anaesthesia?(Dec 2012).How will you manage it?(Dec 2011). 6. 7.Management of acute anaphylaxis(June 2008). 3. 3.Possible causes of delayed recovery from GA(Dec 2004). 9.Hepatitis B and anaesthesiologist(Dec 2000)(Dec 2004).Clinical manifestations and management of anaphylactic reactions in anaesthesia practice(June 1995).Discuss the differential diagnosis of introperative bronchospasm. 5. 31. [ATOTW 136] 3. 34. HYPOTENSION . 3.What are the goals in early resuscitation during active bleeding? (Dec 2012) 36.How will you evaluate and prepare preoperatively a 40 year old female patient scheduled for abdominal hysterectomy. 5.management(June 2005).Define HTN. 3.List the various causes of reduced arterial oxygen tension in the intraoperative period and outline their management(June 2010).Pulmonary edema in intraoperative and immediate postoperative period(June 2002).is not maintaining oxygen saturation in the postop period.Discuss its causes and management(June 2011). 2.Prevention and treatment of intraoperative MI(June 2000).Blood loss monitors(Dec 1995) 2. PULMONARY EDEMA 1.Etiology and treatment of hypertension during surgery(June 1994). 35.Discuss the management of massive blood loss(June 2007).[pg 298-IJA 2007] 2.A 30 year old female ASA Grade 1 following exploratory laparotomy. PERI OPERATIVE MI 1. HYPERCAPNIA 1.Discuss the effects and management(June 2006). DESATURATION 1. HTN 1. 2.What are the causes of hypercarbia during the intraoperative period.CO2 carriage in blood and effects of hypercapnia(June 1995) 2.Causes of intraoperative hypertension and discuss its management(Dec 2006). BLOOD LOSS 1.[Pg 112RACE 2002] 3.Discuss the causes of delayed recovery from anaesthesia and the management(June 2006).Describe the causes and management(Dec 2005).Discuss the causes of delayed recovery following GA(Dec 2008).Define perioperative hypertension.Write an algorithm for the management of early haemorrhagic shock. 4.Discuss the diagnosis and management of MI in a patient undergoing non-cardiac surgery(Dec 2008)[Pg 287-302-IJA 2007] 32. 2.Treatment of acute pulmonary edema(Dec 1994).Discuss the anaesthetic and postoperative management of such a case?(Dec 2000 33.What are the causes of intraoperative hypertension in a previously normotensive patient? Discus various modalities to manage it 4.Management of a patient who is not maintaining oxygen saturation after an elective abdominal surgery(Dec 2005). 30. [Pg 1002 Miller 7th ed] SMOKING 1.How will you evaluate a 50 year old male patient with history of IHD presenting for major abdominal surgery?(Dec 2011).Assessment of risk factors for patient with moderate to severe liver disease(Dec 2001). 3.Enumerate the effects of chronic smoking and the anaesthetic implications(Dec 2008).OCCUPATIONAL HAZARDS 1. LIVER DISEASE 1. 2.Causes of perioperative seizures(Dec 1994) 2. 1.Pre-anaesthetic evaluation and preparation of a patient with portal hypertension for lieno renal shunt(June 2007) 40.Peripheral nerve injury under anaesthesia is preventable complication(Dec 2000).Risk and management of pulmonary aspiration(Dec 2000) 4.Describe in detail the occupational hazards to anaesthetists(Dec 2005). 38.Hypotension during anaesthesia(Dec 1998).Evaluation of cardiac patient for non –cardiac surgery(June 2004).Occupational hazards for/to the anaesthetist(June 1996)(June 2001) (Dec 2001)(Dec 2003)[CEACCP] 2. 3.[RACE 2011] 2.What are the goals of preanaesthetic check up?ASA risks grading and fasting guidelines(Dec 2011).[ATOTW 148] 37. 2.Hazards of smoking relevant to anaesthetist(June 1997).Iatrogenic complications in anaesthesia(1996-2000) 5.preparation and problems of anaesthesia in a chronic smoker for cholecystectomy(Dec 1999).[IJA 2009] 5.1. 2. 3. 39. 3.ASA physical status classification for preoperative anaesthetic risk assessment(June 2010). .[Pg 1269-1271-Barasch] 3.Enumerate the RCRI.Describe the effects of smoking and its anaesthetic implications(Dec 2010).PAC clinic(June 1994).Discuss the assessment. 4.Preoperative visits(Dec 1999).Chronic smoking and the anaesthesiologist(June 2009).Discuss the management of massive blood loss(June 2007).Draw the algorithm of cardiac evaluation for non-cardiac surgery as recommended in ACC/AHA 2007 guidelines on peri-operative CVS evaluation and care(June 2010). IHD 1.Preoperative preparation and surgical risk assessment in a patient with cirrhosis of liver(June 2000). PRE OPERATIVE EVALUATION PAC 1.Aetiology and management of hypotension during anaesthesia(June 1996). 2. 4. Discuss the anaesthetic management of 20 year old male with RHD with MS for closed mitral valvotomy(June 2007).Preop evaluation and anaesthetic management of a 30 year old patient with MS and AF scheduled for balloon angioplasty and valvoplasty(Dec 2007)[CEACCP vol 5 no.Pg 1300-Barasch] .monitoring and anaesthetic management of a 25 year old patient suffering from pheochromocytoma(June 1995) 2. 6.Pre anaesthetic evaluation of a patient of MS for MTP and sterilization(Dec 2005).ISACON 2011] 5.(Dec 1999) 11. 6.Discuss the pathophysiology and diagnosis of a case of pheochromocytoma. 3.preparation and anaesthetic management of a 50 year old diabetic patient presenting for an exploratory laparotomy for a lump in the abdomen.during surgery(June 2005). 4.Pg 31-Stoelting] 3. 9. 5.Discuss pre and post anaesthetic management of acute abdomen in a patient with uncontrolled diabetes(Dec 1994) 10.Management of DKA(Dec 1998). 2.Discuss the preoperative investigations.6 2005] 4. ENDOCRINOLOGY PHEOCHROMOCYTOMA.preparation and management of a 16 year male kept for pheochromocytoma excision.Discuss pre anaesthetic assessment.A young man is suffering from pheochromocytoma.principle guidelines to use antibiotics as prophylaxis against.Discuss the preoperative preparation and anesthetic management for removal of the tumor(June 1997).Discuss the pre anaesthetic preparation.VALVULAR HEART DISEASES 1.anaesthetic golas and intraoperative management of a 30 year old female patient with diagnosis of pheochromocytoma scheduled for excision of adrenal tumor(June 2011). [Pg 803-Morgan.Give an account of preparation.Pre-anaesthetic evaluation and preparation of patient for pheochromocytoma(Dec 2004).[Pg 3 –OAR.What is pheochromocytoma?what are its clinical features?Discuss preoperative investigations. 8.Pre-operative evaluation and preparation of a apatient with TOF(June 2006).How will you manage post anaesthetic complications?(Dec 2000).41.Discuss the anaesthetic management of a 35 year old patient with pheochromocytoma scheduled for bilateral adrenalectomy(Dec 2006).preparation and anaesthetic management of such a case for surgical removal(Dec 1998). THYROID AND DIABETES 1. [Pg 501. 7. 42.Pre-operative evaluation of autonomic function(June 2002)(Dec 2004).Preoperative evaluation of a patient with VHD(Dec 2005).Clinical features of infective endocarditis. Etiopathology and management of thyroid crisis(Dec 1999) 23. 16.Anaesthetic management of a case of DM scheduled for open cholecystectomy(Dec 2005).[Pg 1016-Morgan 4th ed] 26.Principles of management of DKA(June 2002).Thyroid storm(June 2004). -Preoperative management of DKA(June 1994)(Dec 2004).Pg 64-ARC-06] 28.[Pg 782Yao] 19. 14.DKA(June 2004).12.Discuss the anaesthetic consideration in a hypothyroid patient scheduled for upper abdominal surgery(Dec 2011) 22. 25. 27.Myxoedema coma(June 2002) (Dec 2004).Describe preop evaluation and preparation of a patient of thyrotoxicosis. 13.Describe the clinical features of hypothyroidism.Discuss the preoperative preparation and anaesthetic management(Dec 2000).. 30.Diabetic patient with autonomic neuropathy for TAH(June 2006).What are its implications?(Dec 2010).Causes of airway obstruction following thyroid surgery and its management(June 2003).A 50 year old woman with hypothyroidism is scheduled for abdominal hysterectomy. 20.A 35 year old lady with huge thyroid mass presenting with thyrotoxicosis is posted for subtotal thyroidectomy.Discuss the anaesthetic management(Dec 2008).Preoperative patient of a diabetic patient with history of bleeding varices linorenal shunt(Dec 2005).Discuss the anaesthetic management of an inadequately managed diabetes mellitus patient with ketoacidosis posted for BKA(June 2007).Describe anaesthetic and postoperative management of such a case.Describe the manifestations and management of thyroid storm intraoperatively.Thyroid crisis(June 2002) 24..Enumerate . [Pg 1282-Barasch.Describe the different methods used for perioperative control of blood sugar in diabetic patients undergoing major abdominal surgery with their advantages and disadvantages(Dec 2009).Enumerate the NS of larynx. 15. 31. 21. 17.Describe the clinical manifestations of diabetic autonomic neuropathy.Describe the management of such a case(Dec 2009).Pg 807-Morgan] 29.Thyrotoxic patient for subtotal thyroidectomy(June 2006)..[Pg 1300 Barasch] 18.Manifestations and management of thyroid storm(June 2008)(June 2009).Enumerate the signs and symptoms of bilateral recurrent laryngeal nerve palsy following total thyroidectomy(Dec 2009).(June 1996).Discuss preoperative evaluation and anaesthetic management of a 40 year old hyperthyroid patient posted for total thyroidectomy.[Pg 73-RACE 2004. 33. 32.. 4. 2.A 30 year old female with Cushing’s syndrome is scheduled for bilateral adrenalectomy.(June 1996) 6.Preoperative preparation and evaluation of a patient with history of exertional angina for surgery under general anaesthesia. 3. ISCHEMIC HEART DISEASE CORONARY STENT 1. 6.Describe the anaesthetic considerations in patients having coronary artery stent(Dec 2010).A 60 years old man presents for elective parathyroidectomy.Write the anaesthetic management(June 2008). [Pg 395-Stoelting] 2. [Stoelting ] 2. 34.postoperative complications(June 2012).Draw the algorithm for preoperative management of a patient receiving antiplaelet therapy as recommended by ACC/AHA guidelines in perioperative cardiovascular evaluation and care.Discuss the anaesthetic management(Dec 2007)[Pg 398-Stoelting] CARCINOID TUMOR 1.Discuss the anaesthetic management of a 25 years old female with cushing’s syndrome for bilateral adrenalectomy(June 2007). 2. COPD 1.Intraoperative anaesthetic considerations in COPD patient scheduled for upper abdominal surgery(Dec 2005).Describe the anaesthetic management(Dec 2009).[Pg 172-Oxford handbook of anaesthesia] CUSHING’s SYNDROME 1.Discuss the anaesthetic management of patients with reactive airway disease(Dec 2001). 43.Guidelines for management of anaesthesia in a patient with coronary stent(June 2008).Describe the preoperative management of a patient with coronary stent(Dec 2009)[Pg 235ISACON 2009] 3.Describe in detail the anaesthetic management of patients with reactive airway disease(June 2001).Discuss the current concepts in the management of a case of chronic obstructive airway disease in respiratory failure(1996-2000).A 30 year old woman is scheduled for removal of carcinoid tumor.Discuss the preoperative evaluation and anaesthetic management of an emergency abdominal operation in a 60 year old man who had MI 6 weeks back(19962000).Anaesthetic management of a case of COAD(Dec 2001).What is chronic obstructive pulmonary disease?How will you manage oxygenation and pain in post operative period of a case of COPD undergoing upper abdominal surgery?(Dec 2012) 44.Carcinoid tumor(June 2004). 5.Discuss briefly the preoperative evaluation and anaesthetic management of a 50 year old patient . 4. 5. Anaesthetic consideration for patient with BPF for repair(Dec 2005).Discuss your anaesthetic management of strangulated inguinal hernia in a patient with a recent MI(June 1999).Anaesthetic management of a case of essential hypertension scheduled for upper abdominal surgery(June 2005). 4.Positional hazards under anaesthesia(1996-2000)[Pg 965Morgan] 2. 5.What are the predictors of cardiac risk in cardiac patients undergoing non cardiac surgery?Describe briefly the anaesthetic consideration in a patient with coronary artery disease with ejection fraction of 40% for laparoscopic cholecystectomy(Dec 2012).[Chapter 6-Stoelting coexisting] 14.Describe the anaesthetic management(Dec 2009).Pathophysiology of CAD.Describe management of a 60 year old male with dilated cardiomyopathy scheduled for laparotomy(Dec 2010) 13.Hydropneumothorax(June 2003).Classify cardiomyopathies. 9. [CEACCP 2007][Morgan 607] 6.[Pg 372-OHA] 2.[Pg 170-RACE 2003] 3.Discuss the pre-operative evaluation of a patient with IHD.Discuss the perioperative monitoring for MI and its management(June2012). 7.A 40 year old male with emphysematous bullae in right lung is scheduled for thoracoscopic excision of bulla(VATS).Bedside PFT’s(June 2010). 10. 8.Describe the complications associated with sitting position during posterior fossa surgery and their management(Dec 2010).What is diastolic dysfunction? Discuss the evaluation and implications to the anaesthetists(Dec 2011).Describe the arterial circulation of the heart with the aid of a diagram mentioning the unique features of coronary blood flow. PULMONARY SYSTEM 1. 12.Cardiac evaluation for non-cardiac surgery(June 2004). and is scheduled for inguinal hernia repair(Dec 2006). .Explain the Goldman’s Cardiac risk Index and its importance to the anaesthetist(19962000).Discuss the anaesthetic management of a patient with angina(June 2004). 15.Enumerate various positions in relation to anaesthesia and discuss in detail the problems associated with them(Dec 1996). 45. 3.Anaesthesia for drainage of empyema thoracis(June 2000). PATIENT POSITIONING 1.Write the indications of mediastinoscopy?Write the anaesthetic implications of mediastinoscopy(June 2008).Broncho-pleural fistula(June 2002).who had acute MI three months ago. 7. 11. anaestheti c management of such a case presenting for interval appendicectomy and management of the likely complications. MYASTHENIA GRAVIS 1. 6.Discuss the anaesthetic management(Dec 2007).What are the clinical features of MG?Discuss perioperative evaluation and anaesthetic management of a case presenting for interval appendicectomy(June 2012). 6.Describe clinical presentation.MG versus Myaesthenic syndrome(June 1994) 2. NEUROMUSCULAR DISORDERS.P 69-RACE 2001. . 7. 8.What are the anaesthetic concerns in the management of a patient with myasthenia gravis scheduled for thoracoscopic thymectomy(Dec 2012). 10.Discuss the anaesthetic management in a patient of MG scheduled for thymectomy(Dec 2006) 9.RACE 2011] 3.Current concepts in the diagnosis and treatment of MH(June 1999).4.What is myasthenia gravis?What are its clinical features?Discuss the preoperative investigations.preparation.Preoperative preparation of a case of MG scheduled for thymectomy(June 2005).Pg 109-RACE 2005.What is malignant hyperthermia? Discuss its clinical features and laboratory finding.pathophysiology and managemet of malignant hyperthermia(Dec 2010). 4. 5.[Pg 945Morgan] 8.MH(Dec 1998)(Dec 2003)(June 2004).Discuss the anaesthetic problems of surgery in prone position(June 2011).Diagnosis and management of an acute attack of malignant hyperthermia(June 2006).(June 1998) [Pg 818-Morgan.[Pg 945-Morgan] 2.Temperature regulation in adults.Anaesthetic management of MG(June 2003) 5.MG and its anaesthetic management(Dec 2003).anaesthetic management and post operative complication in 20 year old female with myaesthenis gravis posted for thymectomy(June 2001)(Dec 2001).Myaesthenic syndrome(June 2006).A 4 years old child weighing 15 kg undergoing strabismus surgery suddenly develops tachycardia.diagnosis and management of MH(June 2005).Why is it important for the anaesthetist to know about this syndrome?(June 2002). MH 1.Discuss pre-anaesthetic assessment.predisposing factors. 3.rigidity of extremeities and rise in temperature during anaesthesia. 4. 46.What are the diagnostic features that would lead to identify malignant hyperthermia during immediately after anaesthesia and state the guidelines of management?(Dec 2005).preparation. 7. IJA 2007.Causes and prevention of awareness under anaesthesia(Dec 1995).symptomatolo gy and management including anaesthesia(Dec 2007)[Stoelting 254}.Pg 630-Barasch] 1.Venturi principle and its use in anaesthesia(June 1999).What is venturi principle?What are its applications in anaesthesia?(June 2009).venturi principle and its application in anaesthesia(June 2003) 2.What is venturi principle?Discuss its applications in anaesthesia practice(Dec 2006) 4. 8. MONITORING DEPTH OF ANAESTHESIA VENTURI BIS 1.pathogenesis. 1.GBS(June 2004).9.APPLIED PHYSICS 50.Venturi principle and its importance to anaesthetist(Dec 2003).Desribe Bernoulli’s principle and its various applications in anaesthesia(June 2012).What is BIS monitoring?What are its clinical applications in anaesthesia practice?(Dec 2008). 6.Minimum patient monitoring during anaesthesia(June 1995)(June 1998). 1. PARKINSON’s DISEASE 2.Minimum Alveolar Concentration(1996-2000).Awareness during anaesthesia(Dec 1998)(Dec 2000) . MAC AND AWARENESS 4.Application of venturi principle in anaesthesia practice(Dec 2000) 2.IJA 2009] 7.[Pg 99-ISACON 2009] 3. GBS 9.clinical features and treatment of malignanat hyperthermia(Dec 2012). 49.Pg 650 Morgan.BIS(June 2010). 1.Awareness and wakefulness under anaesthesia(June 1999)(Dec 1994) [Pg 148-157-IJA 2009] 5.Invasive intraop monitoring(June 2001)(Dec 2001) 48. 3.Venturi principle and its application(Dec 2001)(Dec 2004).GBS-discuss briefly etiology.Describe the etiology. . 5.What is minimum monitoring standard?Describe the objectives and methods(Dec 2005).Pre-op evaluation and anaesthetic considerations of a patient with Parkinson’ disease(June 2008)(Dec 2008). MONITORING 47. 2. 2. [Pg 118-Morgan] 3.[Pg 227-Stoelting.Awareness under anaesthesia(1996-2000)[Pg 66-RACE 2006.Venturi principle and its clinical implication(June 1995) [Pg 181Aitkenhead] 1. Jugular venous oximetry(June 2002). CARDIAC OUTPUT MONITORING 3.Non invasive cardiovascular monitoring(Dec 1994) 7.Describe the indications. 1. 10.[Pg 123Morgan] TEE 1. [Pg 1285-Miller] -CVP monitoring and its implications(Dec 2008). 5. CARDIOVASCULAR MONITORING IJV 1.Describe the technique(Dec 2009). 3. (Dec 1996)(Dec 2004).what are the determinants of cardiac output and discuss various non-invasive methods of measurement of cardiac output(Dec 2006) 1.Complications of cannulation of IJV.Methods of central venous cannulation.[yao] .contraindications and complications of invasive arterial blood pressure monitoring.CVP(June 1999)[Pg 131-Morgan 4th ed] -CVP.Enumerate various approaches for central venous cannulation.what do you mean by awareness during anaesthesia?Mention the monitors in use to measure the depth of anaesthesia(June 2006).Describe the technique and complications of IJV cannulation(June 2012).List and brief statement and effectiveness of each of the means available for detecting awareness during anaesthesia(June 2005). -Pulmonary artery pressure monitoring(June 2006). 2. 4.6.TEE(June 2001)(Dec 2001). 51.Pulmonary artery catheter(June 1998).Central venous cannulation(Dec 2003).uses.What are the measures by which you can measure the depth of anaesthesia during the intra operative period?(June 2005).Techniques and approaches to IJV cannulation(Dec 2007). 9.[Pg 238-RACE 2007] 3. 8.assessment of intraop awareness(Dec 2005).its application in anaesthesia(Dec 1996)(Dec 2007). 11.limitations and complications of CVP monitoring(June 2005). 6.cardiac output management with thermodilution technique(June 1995).Discuss the pharmacological principles of measuring the depth of anaesthesia and techniques for monitoring the depth of anaesthesia(June 2002).Why is it important to measure the depth of anaesthesia?Briefly describe the methods used(Dec 2011).Discuss any one approach for IJV cannulation(Dec 2011) 4. 2.Describe the anatomy of IJV with the help of a diagram. 2. Mention the general principles of anaesthetic management of a patient with pacemaker scheduled for surgery(Dec 2009). PULSE OXIMETER 1.[Pg 140Morgan] 3.USG->principles and its uses in day to day practice of anaesthesia(June 2010).Pulse oximetry(Dec 2000).Pulse oximetry-principles and applications(Dec 2007).uses and complication of ICP monitoring(June 2005).Factors influencing tissue oxygenation(1996-2000)**.Pg 395-ISACON 2009] .Enumerate the evidenced based indications for pacemaker insertion.Modified bipolar standard limb lead systems and its usefulness for intraoperative monitoring(Dec 1995).Discuss various methods of oxygen monitoring in anaesthesia practice(June 2007).RESPIRATORY MONITORING.[RACE 2011] 4. 3.[IJA 2007] 3. 5. 53.capnography(Dec 1994)(June 2000)(Dec 2001) 1.Minimum monitoring for post spinal fusion in scoliosis(June 2003).2.-What is capnography?Draw a neat labeled diagram of a normal capnograph and discuss clinical considerations of capnography(Etco2 monitoring)(June2012)..[Pg 1-ISACON 2009] 4.Methods of intracranial pressure monitoring. 52. 3.Limitations of pulse oximeter(Dec 1995). 2. 6.Describe the role of intraoperative echocardiography in clinical anaesthesia(Dec 2009).[Pg 65RACE 2010] 6.TEE in anaesthesia practice(June 2008).ICP monitoring and its applications(Dec 2007)[Pg 55ISACON 2007. NEUROLOGIC MONITORING 1. 5.Physical principles of pulse oximetry(June 2005).SSEP(June 1998) 2.Discuss principles of monitoring end tidal CO2(June 2007).Respiratory monitoring in anaesthesia(Dec 2003). 4.How is USG useful in anaesthesia and intensive care medicine and explain the usefulness of TEE during cardiac surgery(Dec 2005).Discuss the use of TEE in anaesthesia practice(June 2011) 7. 2.[Pg 45-RACE 2004] ICD and Pacemakers 2.Role of capnography during anaesthesia(June 1996). 1. 4.Discuss different types of pacemakers and briefly enumerate precautions to be taken during surgery with pacemaker(June 2007).[Pg 65-RACE 2010] ECG CAPNOGRAPHY 1. 57.What are the major buffer systems in the body?Enumerate the causes. 3.[Pg 716-Morgan] 4.[IJA 2005] DIFFICULT AIRWAY .TEMPERATURE REGULATION AND MONITORING 1. 4.Compare and contrast TOF and Double burst(Dec 2008).List the bedside test available to predict the difficult intubations.Enumerate various techniques of monitoring neuromuscular blockade during anaesthesia.Comment on their use(June 2005). [IJA 2009] 3. [Pg 85-RACE 2009.Intraoperative neuromuscular monitoring(June 2007).How will you prevent hypothermia in a neonate posted for major abdominal surgery(Dec 2002). NEUROMUSCULAR MONITORING 56.tabulate the differences between Proseal LMA and I-gel airway(June 2011). SGA 1.Methods of monitoring neuromuscular junction function(Dec 1995). ACID BASE BALANCE 1. 55.Discuss the regulation of body temperature.List the advantages and limitations of each of these techniques(June 2010). 3. 2.54.Discuss various patterns of nerve stimulation in neuromuscular monitoring and their interpretation with the help of diagrams(June 2011).Merits and demerits of LMA(June 1996).Airway assessment(June 2005). AIRWAY MANAGEMENT 1. 3. LMA 1. 5.What are the factors affecting neuro-muscular blockage?Discuss various methods to monitor neuromuscular blockage(June 2009). 1.What is anion gap?Desribe the causes and management of metabolic acidosis from low cardiac output(Dec 2012).[Pg 127-RACE 2010] 7.Describe in brief the sites and devices for temperature monitoring(Dec 2008).Preanalytical consideration of ABG measurement(Dec 1999).LMA:various modifications(June2007). 2.Describe the pathophysiological effects of hypothermia(June 2012) 2.Pg 633OAR] 2.Enumerate the different SGA’s. [Pg 37-ISACON 2009] 6.Anion gap(Dec 2006). 2.effects and management of metabolic acidosis(Dec 2009).I-gel Airway(June 2008)(June 2010).Supra Glottic Airway devices(Dec 2007).Classify hypothermia. 2.Methods of monitoring of neuromuscular transmission during anaesthesia(Dec 2004). Discuss the management of CICV situation in the OT(Dec 2006). -Describe briefly the difficult airway algorithm.[IJA 2011] FOB 1.How would you anaesthetize the airway for awake intubation(June 2009).What is importance of recurrent laryngeal nerve in anaesthesia practice(June 2002).Describe the occulocardiac reflex? Discuss measures to attenuate pressor response to laryngoscopy/intubation(June 2011). 2. 3.Describe the anatomy of larynx.Describe the techniques for anaesthetizing the airway for awake fibreoptic laryngoscopy and intubation through nasal route in an adult with restricted mouth opening(Dec 2002) 8.Describe airway management of a patient of ankylosing spondylitis with severe restriction of neck movement posted for total hip replacement(Dec 1996) . 3.How will you perform awake intubation in an adult with restricted mouth opening?(Dec 2011) 5. 2. DIFFERENCES BETWEEN ADULT AND PAEDIATRIC LARYNX 1. 4. ATTENTUATION OF LARYNGOSCOPIC RESPONSE 9.1Assessment and management of difficult intubation(June 1995).How does the paediatric airway differ from that of an adult?What are the implications for an .How will you perform awake intubation in an adult with restricted mouth opening?(Dec 2011). TM ANKYLOSIS 1.Discuss the various methods to secure the 2.How will you anaesthetize the airway of a 40 year old man for awake intubation?(Dec 2006). 2. airway(Dec 2008).[Pg 145OAR] 3.Double Lumen ETT(June 1996).Draw a labeled diagram of a flexible FOB and describe methods for its sterilization or high level disinfection(Dec 2007).Difficult intubation/Predictive factors and intubation difficulty(Dec 2003). 1.Attentuation of laryngoscopic reaction to intubation(Dec 2000) .Discuss various methods to obtund intubation response to laryngoscopy and intubation(June 2007).Modes of ventilation during bronchoscopy(Dec 1994).Describe briefly the difficult airway algorithm.Discuss the preoperative assessment and the method of anaesthesia in patient with TM ankylosis for the release of ankylosis(Dec 2003).Describe the anatomy of larynx with difference in adult and children.Airway management in an unconscious patient(June1998). 7. 2. 3.A 20 year old is scheduled for release of TMJ ankylosis.Evaluation of difficult airway(June 2002). 6. anaesthesiologist(Dec 2009).[Pg 36IJA 2004,Pg923-Morgan] 58. VOCAL CORD PALSIES 1.Vocal cord palsies with the aid of diagrams of direct laryngoscopic view(Dec 2000). 2.Anatomy of larynx.Enumerate with diagrams the types of vocal cord palsies(June 2005). 3.Describe innervations of larynx.Brieflydiscuss various palsies following nerve injury(June 2011).[Pg 13 –Wylie 5th ed] 59. SPINAL EPIDURAL AND CAUDAL ANAESTHESIA 1.What are the differences between a subdural and subarachnoid block? Write the clinical features and management of PDPH(Dec 2011) 10.Caudal block(June 2003). 11.Modified CSE(June 2003). 12.Caudal epidural analgesia in anaesthesia practice(Dec 2004). 13.Complications of extradural anaesthesia(June 2006)(June 2007). [Pg 153-RACE 2007] 14.Anatomy of epidural space and methods of identification(Dec 2007) [Pg 24 and 33-Pramila bajaj] 15.Describe the boundaries of epidural space.Discuss five common complications of epidural block(Dec 2011) ANTICOAGULANTS AND RA 1.Antothrombotic prophylaxis and neuraxial anaesthesia(June 2006). 2.Complications of epidural anaesthesia(June 1995). 2.Enumerate the guidelines for RA in a patient on anticoagulant therapy(Dec 2008).[Pg 299-Morgan 4th ed,Pg 106-RACE 2006] 3.Pulmonary function changes following central neuraxial blockade(June 1999).[Pg 297Morgan] 3.Enumerate the guidelines for RA in a patient on antiplatelet therapy(June 2009). 4.Continous subarachnoid block(Dec 1996). 4.Describe anaesthetic concerns for regional anaesthesia in a patient on anticoagulants(Dec 2010). 5.Epidural analgesia for postop pain relief(Dec 1996). 6.Epidural pressure and various factors affecting the same(Dec 1998). 5.What are the recommendations for neuraxial anaesthesia in a patient on anticoagulant therapy?(Dec 2011) PDPH 7.Indications and contraindications of regional anaesthesia(Dec 2001). 1.PDPH(June 1999).[IJA 2006,ATOTW181,Pg 125 –RACE 2012} 8.Effect of intrathecal neostigmine on spinal anaesthesia(June 2002). 2.What is PDPH?What are the factors affecting it?Describe the management of such a case(Dec 2009). 9.CSE(June 2002). 60. NERVE BLOCKS STELLATE GANGLION BLOCK 1.Indications and methods of stellate ganglion block(June 2002). 2.Stellate ganglion block-indications and complications(Dec 1995). 3.Enumerate the indications,contraindications,complic ations and method of establishing stellate ganglion block(Dec 2008). 4.Describe the anatomy of stellate ganglion.Discuss indications,techn iques and implications of stellate ganglion block(Dec 2010). BRACHIAL PLEXUS BLOCK 1.Anatomy of brachial plexus and its importance to the anaesthetists(June 2002). methods to block celiac plexus(June 2009(Dec 2011).[Pg 385-Morgan 4th ed] 2.Illustrate the anatomy of celiac plexus with the help of a diagram.Describe the technique of celiac plexus block and its complications(Dec 2009). ANKLE BLOCK 1.Innervation of foot and technique of performing ankle block(Dec 1995) 2.Describe the nerve supply of foot and the technique of ankle block for amputation of great toe(Dec 2006). 3.Describe the nerve innervations of the foot with diagram and dsicuss the local anaesthetic block at the ankle for the amputation of gangrenous toes in a patient(June 1999).[Pg 352-Morgan] 2.Discuss one method of brachial plexus block through supraclavicular approach and enumerate the complications associated with it(June 2007).[Pg 333-Morgan] 4.Describe the regional block for removal of infected corn foot(Dec 2010) 3.Anatomy of brachial plexus with the help of a diagram.Enumerate the various techniques of brachial plexus block(June 2010) 1.Describe anatomy of paravertebral space and describe one method of establishing paravertebral block(June 2007).[Pg 354-Morgan] OPTHALMIC BLOCKS 2.Describe the anatomy of paravertebral space with diagram.Describe one method of establishing paravertebral block(June 2012) 1.Peribulbar block(Dec 1998). 2.Peribulbar blockindications,techniques and complications(June 2010). 3.Merits and demerits of retrobulbar vs peribulbar block(June 2002). COELIAC PLEXUS BLOCK 1.Describe the anatomy of celiac plexus.Discuss the indications and PARAVERTEBRAL BLOCK 1.Three-in-one block(Dec 2001). 2. Horner’s syndrome(June 2003). 3.Describe with the help of a labeled diagram,the anatomy of lumbar plexus and describe the techniques of lumbar plexus block(June 2008). [Pg 343-Morgan 4th ed] 9.Third space loss-its importance to anaesthesiologist(Dec 2005). 4.Describe the course of sciatic nerve and any one approach to block the nerve(June 2011). 10.Merits and demerits of various synthetic colloids(Dec 2006). 61. FLUID MANAGEMENT AND ELECTROLYTES CRYSTALLOIDS 1.Merits and demerits of crystalloids and colloids(June 1994) 2.Crystalloid and colloid(Dec 1999). [Pg 1705-Miller] 3.Crystalloid Vs Colloid(Dec 2003). 4.Discuss the different types of colloid solutions.Describe their advantages and disadvantages (June2012) COLLOIDS 1. Plasma volume expansion(June 1999)(Dec 1999). 2.uses ,advantages and disadvantages of plasma expanders(June 1998). 3.Plasma expanders(Dec 2001). 4.Plasma volume expanders(June 2005). 5.Water and electrolyte disturbances and their pre anaesthetic correction in small gut obstruction(Dec 1996). 6.gelatin as spinal preloading(june 2002). 7.Comparitive evaluation of RL,Low molecular weight Dextran and 3.5%poly 8.Human Albumin(Dec 2003). 11.Discuss the role of plasma proteins in anaesthesia(June 2007). 12.Compare and contrast colloids and IV fluid(Dec 2008). MAGNESIUM 1.Role of Magnesium in anaesthesia practice(June 2000).[FRCA/BJA] 2.What are the therapeutic uses of magnesium?How does it work?(Dec 2005) 3.Role of Magnesium in anaesthesia and ICU(Dec 2004)(June 2006)(June 2007).[ATOTW 90] 4.What are the physiological functions of magnesium?describe its therapeutic uses in anaesthesia(June 2012) K+ 1.Hypokalemia(Dec 1998)(June 2000).[Pg 677-Morgan] 2.Hypokalemia-definition,clinical manifestation and management(June 2010). 3.Define hypokalemia.What are the clinical manifestations of hypokalemia?How will you treat hypokalemia intraoperatively?(June 2011) 4.Treatment of hyperkalemia(June 2002). 5.Causes ,diagnosis and treatment of hypo and hyperkalemia(June 2005) 6.Hyperkalemia(June 2006). How will you diagnose mismatched BT intraoperatively?Describe its management(Dec 2009)..Present trend of blood component therapy(June 2000) 10. 1.What is massive blood transfusion? What are the complications of massive blood transfusion?(June 2009). 3.[Pg 702-Morgan 4th ed] .Enumerate the indications for transfusion of packed red cells.Discuss signs and symptoms and anaesthetic consideration(June 2009). 2.What are the manifestations of hyponatremia and how will you treat it?(Dec 2006). 1.Complications of BT(June 1997).clinical manifestations and treatment of hypercalcemia.Role of blood components in perioperative period (Dec 2007). 2.Discuss the ECG abnormalities due to various electrolyte imbalances(Dec 2008). 9.Management of mismatched BT(Dec 2003).What are the anaesthetic considerations?(June 2012) 62.Water intoxication(June 1999).clinical manifestations and management of hyperkalemia(Dec 2011).Discuss causes.Pg 1758-Miller] SIADH 3.How is the diagnosis of dilutional hyponatremia made?what is its significance in anaesthesia? (June2002).platelets and cryoprecipitates(June 2010) COMPLICATIONS 1. [Pg 671Morgan] Ca2+ 3 . TRANSFUSION THERAPY BLOOD COMPONENT THERAPY 1.[Pg 679Morgan 4th ed] 2. 5. MASSIVE BLOOD TRANSFUSION 1.Blood component therapy(Dec 1998)(June 2002)(June 2005)[Pg 161 ISACON 2008.Describe the causes and management of acute dilutional hyponatremia in the immediate postoperative period(Dec 2012) 2.7.What is SIADH?Describe the clinical features and management of SIADH(Dec 2011) 4.FFP.Massive blood transfusion(June 2003).diagnosis and treatment of hypo and hyperkalemia(June 2005).Define hyperkalemia.Complications and Sequelae of BT(June 1996)(Dec 2008)[Pg 700Morgan 4th ed] Na+ 4.Describe the management in a patient with serum sodium level of 115 meq/L scheduled for knee replacement under RA(Dec 2009).Blood transfusion and related disease transmission(Dec 1995).Enumerate the signs and symptoms of hyponatremia.[Pg 680Morgan] 8. 4.Causes. 2.Enumerate the causes. 1. Pg 338-Yao] 5.[ACNA-2005] 1.Artificial blood/synthetic oxygen carrying substances(June 2006). AUTOLOGOUS BLOOD TRANSFUSION 1.What are the methods adopted by the anaesthetist to reduce the need for allogenic blood transfusions(June 2005). 2.[Pg 151-RACE 2011] [Pg 1781-Miller] 4.Clinical uses of blood(June 2002). 2. 64. 2. 63.Write the blood conservation strategies in a 20 year old female scheduled for excision of angiofibroma of nose(June 2008).Describe various tests for monitoring peri-operative coagulation(June 2011).[Pg 392Barasch 6th ed] 2. PAIN MANAGEMENT 1.Discuss the complications associated with massive blood transfusion(June 2011).contraindications.Auto transfusion(June 2004). 1.Discuss criteria for patient selection.Describe the algorithm of the evaluation and initial therapy of a patient with suspected perioperative coagulopathy(Dec 2012).advantag es and disadvantages of autologous BT(June 2012).What is recombinant Factor VIIa? Describe the clinical usage of it(Dec 2010). .DIC(June 1995)(June 1998). HEMOSTASIS AND COAGULATION 1.Recent trends of BT and blood products(1996-2000).What is DIC?Enumerate its causes and management(June 2009)[Pg 403-barasch 6th ed] 3. 4.What are its implications? (Dec 2008).Recombinant factor VIIa(Dec 2006). 3.Storage lesions in blood(Dec 1995).[Pg 65-RACE 2009] 5.What is autologous BT?Describe the various techniques of autologous BT(Dec 2006) .What is TEG?Draw a labeled diagram to show a normal tracing.Different techniques of reducing the need of allogenic blood transfusion(June 2010) 6.Define massive BT. BLOODLESS MEDICINE/BLOOD CONSERVATION STRATEGY 1.Perioperative blood conservation(Dec 2000) 2.3.Discuss the physiology of Hemostasis and its significance(June 2005).[Pg 394-Barasch 6th ed. 4.Autologous BT(June 1996)(June 1998)(June 1999)(June 2000)(Dec 2004)(Dec 2007).Briefly outline the evaluation and management of a patient with suspected perioperative coagulopathy(June 2012) RECOMBINANT FACTOR VIIa 7.Role of anaesthesiologist in managing shoulder dystrophy syndrome(Dec 1994).[Pg 147-RACE 2011] 3. 3. [Pg 379-OHA].[Pg 375 and 408-Morgan] 3.WHO regimen of chronic pain management(June 1997). 2. [Pg 589-Morgan 4th ed] 5.Describe your anaesthetic problem during operation(June 2005).[Pg 406Morgan] 4.Management of reflex sympathetic dystrophy(June 1997). 8.Define and classify chronic pain.How would you evaluate and prepare a patient with chronic bronchiectasis scheduled for pneumonectomy?Briefly enumerate the postoperative complications(June 2012). 8.What are the indications for OLV? Discuss the ventilatory management during one lung anaesthesia(Dec 2006). ESOPHAGECTOMY 1.Pain management options in a patient with intractable pain due to carcinoma of head of pancreas(Dec 2007)(June 2011).What is hospice?When should you beging hospice care?how does hospice serve patients and families? (Dec 2012) 11. 7.2.preparation specific to thoraco abdominal esophagectomy. 6.Discuss the pre-operative evaluation and preparation of a 55 year old male with bronchiectasis scheduled for right lower lobe excision(Dec 2010). ANAESTHESIA FOR THORACIC SURGERY OLV 1.[Pg 297-RACE 2010] 7.Trigeminal neuralgia.[Pg 26RACE 2005] 12.Explain the term CRPS?What are the types of CRPS?Describe its clinical features and options for treatment(June 2012). 9. 10.(Dec 2012). 3. 65.Describe the methods of treatment of CRPS in left upper limb in a 20 year old male patient(Dec 2009).Anaesthetists role in pain and palliative care(Dec 2005). 6.Preoperative assessment.clinical features and management(Dec 1996).Problems and management of one lung anaesthesia(June 1997).What are the indications of OLV? What are the methods of lung separation?Discuss the problems involved(June 2009). 5.What is IASP(international association for study of pain) definition of pain?How do you classify pain?Briefly describe the interdisciplinary management of chronic pain. [Pg 609-Morgan] . 4.One lung anaesthesia(June 1995).Phantom limb pain(June 2006).One lung anaesthesia-problems and management(Dec 2004).Discuss the anaesthetic management of a patient posted for pneumonectomy Ca Right Bronchuspreparation and management(June 2004).The WHO three step ladder pattern for pain relief in advanced cancer(Dec 1997)(Dec 2001). Discuss the various criteria required before weaning a patient from CPB(June 2011).contraindications and complications of IABP?(Dec 2010).A 68 year old patient with carcinoma esophagus is scheduled for transthoracic esophagectomy.Describe the spirometry features of patients with obstructive and restrictive pulmonary disorder(Dec 2010) CPB 1.Describe the commonly encountered problems following CPB in the post-bypass period(Dec 2012). OFF PUMP CAB 1.[Pg 1088-Barasch] 5.advantages and disadvantages(Dec 2009).[Pg 439-Satish deshpande] 3.Anticoagulation and CPB(Dec 2007).Discuss anaesthetic management of 20 years old male with RHD with MS for closed mitral valvotomy(June 2007).Enumerate the circulatory assist device.[Pg 8-Yao] 3. 2.Cardioplegia and its role in cardiac anaesthesia practice(Dec 2007).Discuss advantages and disadvantages of OPCAB(Dec 2006) 2. -Describe the mechanism by which IABP augments coronary perfusion.Preop anaesthetic implications in a patient with transplanted heart posted for incidental surgery(Dec 2007).What are the indications.[Pg 153-RACE 2009] 2.Describe the preoperative preparation.Relevance of PFT’s(Dec 2000). 3.Myocardial preservation(June 1994) (June 2004) 2.2.[Pg 177RACE 2009] 1.preparation and anaesthetic management(June 2010) 4.A 68 year old male with carcinoma esophagus is posted for total esophagectomy and gastric pull up.Describe the technique.Preop evaluation and anaestheitc management of a 30 year old patient with MS and AF scheduled for balloon angioplasty and valvoplasty(Dec 2007). PFT’s 1.[Pg 1089-Barasch] 3.Myocardial protection during CPB(Dec 1997).evaluation and anaesthetic management(June 2011) 6.[Pg 22-Stoelting] .Draw a diagram to show various lung volumes and capacities.Enumerate the indications of OPCAB.Describe with diagram the flow volume loops in: (a)Healthy adult (b)Patient with restrictive lung disease (c)Patient with obstructive lung disease(June 2009).What are the indications and contraindications for the use of IABP?(Dec 2012) CARDIAC TRANSPLANT 1.Outline the preoperative evaluation. 3.. . 2. 1. [Pg 205-RACE 2011] 3. ANAESTHESIA FOR VASCULAR SURGERY 1.what is cerebral protection?explain the methods adopted in clinical practice for cerebral protection(June 2005) 5.Discuss the perioperative management of cerebral AVM(Dec 2005) 6.[RACE 2008.Discuss different types of pacemakers and briefly enumerate precautions to be taken durin surgery in a patient with pacemaker(June 2007)[Pg 74-OAR] 5.Describe the cardiac conduction system.Pg 437-RACE 2009] POSTERIOR CRANIAL FOSSA SURGERY 2. CARDIAC ARRHYTHMIAS AND PACE MAKERS 68.[Pg 385-ISACON 2009] 3.Describe the anaesthetic management in a patient with Abdominal Aortic dissection scheduled for aortic bypass graft(Dec 2009).Specific problems and their prevention during anaesthesia in a patient with artificial pacemaker(Dec 2000).Describe the preoperative evaluation.Describe the renal protective measures during aortic clamping(June 2011).diagnosed case of tumor mass in the posterior fossa.How do you manage a patient with PSVT?(Dec 2009).How will you prepare and manage the case for removal of tumor(June 2004) 2.Describe the anaesthetic considerations for excision of a mass in the posterior cranial fossa in a 20 year old patient(Dec 2011) 1.Describe the anaesthetic management(Dec 2009).66. 67.Anaesthetic management of a case of pituatory adenoma for transphenoidal hypophysectomy.What are the indications for elective cardioversion?How do you prepare and perform this procedure? (Dec 2006). 2.A 20 year old female with mass in posterior cranial fossa is scheduled for craniotomy.Role of anaesthetist in a case of TAO(June 2002).[Pg 226-RACE 2010] 3.Discuss the regulation of ICT and methods available for reducing it under anaesthesia(Dec 1994).Pacemakers(June 2002). 4.. 4.Hydrocephalus and its various methods of management(June 2002).Discuss hemodynamic and metabolic changes during aortic clamping and cross clamping. ANAESTHESIA FOR NEUROSURGERY 1.anaesthetic management and intra operative monitoring of a patient scheduled for carotid endarterectomy(Dec 2012). 4.A 40 year old male had pulse 45/min amd BP 190/110 mmHg.Describe anaesthetic and postoperative management of a patient undergoing intra-cranial aneurysm surgery(Dec 1996). (June 2006). Anaesthetic management of 80 years old male kept for TURP(Dec 2001). 5.Discuss the regulation of ICP.7. 6. 69.What are the possible complications and how will you treat them?(Dec 1995).Anaesthetic considerations in obesity(June 2005).Define morbid obesity.Obesity:anaesthetic problems(1996-2000). 9. 7. 6. 9. 2.Anaesthetic considerations of a patient on pacemaker for TURP(Dec 2005) 5. ANAESTHESIA FOR BARIATRIC SURGERY 2.Describe clinical presentation.How would you manage the anaesthesia and choice of anaesthetic agent(June 2003).cardiovascular and metabolic systems in obesity.Describe obesity and problems related to this. ANAESTHESIA FOR RENAL AND GENITOURINARY SYSTEM SURGERIES 1.How will you evaluate this patient preoperatively?Discuss the problems involved and the anaesthetic management(June 2000).Enumerate the changes that occur in the respiratory.Discuss the problems and their anaesthetic implications of a 40 year old morbidly obese patient . 10. 4.Discuss the anaesthetic techniques and postoperative problems in ana obese patient for large hernia of interior abdominal wall(Dec 1996). Renal replacement therapy 8.[Pg 359-RACE 2012] 3.Discuss the perioperative problems in a patient with morbid obesity(Dec 2008).TURP syndrome(Dec 2000).pathophysiology and management of TURP syndrome(June 2011) 7.. 4. 8.Morbid obesity-its anaesthetic implication(Dec 1994).Intraoperative problems of neurosurgical procedures under anaesthesia in sitting position(June2007).preop evaluation and anesthetic management CRF 70.Discuss the anaesthetic management(Dec 2007).Describe the anaesthetic assessment and management of a 70 year old patient posted for TURP.Anaesthetic problems in a patient with extreme obesity(June 2006) (June 2007).A 25 years old man presents with marked features of acromegaly and is posted for transphenoidal hypophysectomy. [EORCAPS-2011] 1.A 40 year old patient with height 158 cms and weighing 150 ks is scheduled for pyelolithotomy.What are the problems associated with anaesthesia for an elective surgery in a patient of chronic renal failure(Dec 2005).Morbid obesity-anaesthetic problems(Dec 2004). 8.Describe the methods available for reducing it under anaesthesia(June 2012) 3. Describe briefly the intra operative considerations for bariartric surgery.Describe the risk stratification of a patient with deranged liver functions scheduled for partial liver resection(Dec 2009).Hepatorenal shutdown-etiology and prevention(June 1999). 2.Describe the preoperative evaluation and preparation of a 30 year old patient with portal hypertension scheduled for LR shunt(June 2009).Classify obesity and discuss the anaesthetic considerations in a morbidly obese patients(Dec 2011).[Pg 144OHA] 2. 3.Outline the pre-operative evaluation.Describe briefly the diagnosis.{Pg 265-270Stoelting] 1.How would you prepare him for surgery(June 2012)[Pg 79-RACE 2012]. HEPATOBILIARY SYSTEM 1.Discuss the patho-physiology of hepatorenal syndrome. 4.(Dec 2012) 71.Anaesthetic considerations in Chronic liver Failure(Dec 2005) .[Pg 42-RACE 2010.Define morbid obesity.Outline the intraoperative anaesthetic considerations in this patient scheduled for bariartric surgery(June 2010).OAR-Pg 307] 4. 11.Discuss the anaesthetic implications in a patient with cirrhosis and ascites(Dec 2011) 5.preparation and anaesthetic management of this patient(June 2010).Plasma proteins and anaesthesia(Dec 1999).Define BMI. 12.Discuss the preoperative evaluation of a 25 year old man with OSA acheduled for laparotomy.Hepatorenal syndrome in anaesthesia practice-etiology and management(June 1997).Discuss preoperative evaluation and anaesthetic management of this case(Dec 2006). 4.[Pg 363-RACE 2011] 2. . 3.Discuss the anaesthetic problems in a patient undergoing lieno renal shunt(Dec 2004).patholophysiology and treatment of heaptorenal syndrome in a case of advanced liver cirrhosis(Dec 2012) LIENO -RENAL SHUNT 1.A 40 year old patient with portal hypertension is scheduled for lieno renal shunt.scheduled for gastric banding(June 2009).A patient with obstructive jaundice(Serum bilirubin 20 mg%) is posted for Whipple’s procedure. 5.Pre anaesthetic evaluation and preparation of a patient with portal hypertension for leno renal shunt(June 2007)[IJA 2007] 3.What are the measures to prevent it?(June 2009).Enumerate the functions of liver.Write preoperative evaluation and preparation of a patient with portal HTN scheduled for L-R shunt(June 2008).[Pg 289-OAR] 13. 14. Discuss the anaesthetic management(Dec 2006). 73.preparation and anaesthetic management of a patient with transplanted kidney presenting for incidental elective surgery(June 2011).List the intra-operative complications(June 2011).What precautions must be undertaken by an anaesthetic for surgery(Dec 2005).Formulate.Problems of laparoscopic surgery and monitoring techniques used during the procedure(1996-2000).Discuss the preoperative evaluation.What is the role of albumin in pharmacokinetics?(June 2011). ANAESTHESIA FOR OBSTETRICS PIH AND HELLP SYNDROME 1.discuss the pathophysiology.HELLP syndrome:role of anaesthesiologist(June 2010) ECLAMPSIA 1.Describe the problems. 72.Anaesthetic problems of liver transplantation surgery(June 2005).A 35 year old patient of chronic renal failure is scheduled for renal transplant. 4.What are the anaesthetic implications in a patient with a transplanted kidney posted for incidental elective surgery(Dec 2008).Define pre-eclampsia and eclampsia. 2.Discuss the pathophysiological changes in pre-eclampsia and eclampsia. LIVER TRANSPLANT 1.[Pg 69ISACON 2008] RENAL TRANSPLANT 1.[Pg 2166-Miller] 5. 1.How do you plan for renal transplant surgery?Draw plan for an operation theatre exclusively for renal transplant surgery(1996-2000).A patient who has undergone heart transplant requires non cardiac surgery.Discuss the physiological changes due to pneumoperitoneum in laparoscopic abdominal surgery.Diagnosis and management of HELLP syndrome(June 1996).with reasons the anaesthetic technique for such a patient posted for CS(Dec 1995).complications and anesthetic management of CS in a patient with pre-eclamptic toxemia(Dec 1996).Describe physiological changes associated with pneumoperitoneum for laparoscopic cholecystectomy(June 2009).[Pg 273-ISACON 2008] 3. 3. 74.Discuss your choice of .6. ORGAN TRANSPLANTATION 2.HELLP syndrome(Dec 2004)(June 2006). ANAESTHASIA FOR LAPAROSCOPIC SURGERY 3.[Pg 375-RACE 2011] 2.management of HELLP syndrome(June 2007).Discuss synthetic functions of the liver. HEART TRANSPLANT 1.Pre-operative evaluation of a case with CRF posted for renal transplant(Dec2002). 2. 4. 3. Describe the physiological changes of cardiovascular and respiratory systems in pregnancy.ISACON 2007] 6.[Pg 387-RACE 2011.Describe the anaesthetic management of a patient with PIH scheduled for CS(Dec 2009).Pg 142-OAR] 6.clinical features and management of mendelson’s syndrome(June 1996).What is Mendelson’s syndrome? Enumerate acid aspiration .Discuss preparation and preferred anaesthesia technique(regional or general)(Dec 2003) 7.(19962000)[Pg 175-ISACON 2010] 4.anaesthetic management and postoperative care(Dec 1996). 4.A 35 weeks pregnant pt with BP of 200/100 mmHg. 3.Pg 1223-Barasch] 2.Laparoscopic surgery in a pregnant patient(June 2006).[Pg 128OAR] 11.Management of Mendelson’s syndrome(Dec 2000).Discuss the anaesthetic considerations and management of pregnant patient undergoing non-obstetric surgery during first trimester(Dec 2011) ANAESTHESIA FOR CS Mendelson’s syndrome 1.with 5 months amenorrhoea suffered from Koch’s mid dorsal spine developed paraplegia.Discuss the problems involved and the anaesthetic management(June 2000) 5.scheduled for emergency CS(June 2011).A 25 years primi gravid in 34 weeks of pregnancy with PIH presented with a BP of 200/110 mmHg for an elective LSCS.PIH-role of anaesthesiologist(June 2007).Discuss the perioperative evaluation and management of a 30 year old primi admitted at 36 weeks of pregnancy with eclampsia presenting for emergency LSCS(June 2009). 5.Discuss the anaesthetic management of a full term prinigravida with severe pre eclampsia. 8.[Pg 375-RACE 2011] NON OBSTETRIC SURGERY DURING PREGNANCY 1.She is scheduled for anterolateral decompression surgery. 9.Anaesthesia for a pregnant woman for non-obstetric surgery(Dec 2005).anaesthetic technique for such a patient for emergency CS.Anaesthetic management of patient with severe pre eclampsia for CS(June 2008).Outline the anaesthetic management of a female with 28 weeks pregnancy scheduled for emergency appendicectomy(June 2010)[RACE 2003.Mg SO4 therapy(Dec 2000).Anaesthetic management of emergency appendicectomy in a 16 weeks pregnant patient(June 2005).Discuss the pathogenesis. 4.edema and albuminuria is to be prepared for elective CS.Aspiration prophylaxis in obstetrics(Dec 1999). 2.Discuss pre-operative preparation. 3. [Pg 286-Morgan. 10.A female patient aged 32. Problems and management of pregnant patient with dilated cardiomyopathy on treatment for emergency LSCS(June 2005). 4. [IJA 2010-issue 5 –review article] 1. 4.Role of anaesthesiologist in an obstetric unit(Dec 2005).Techniques to prevent hypotension after SA in CS(Dec 2007).A HIV positive patient is scheduled for elective CS. 2.Describe the various regimens for painless labour(June 1994) 2. 5.Modern trends in obstetric analgesia(June 2001)(Dec 2001).Describe method. 3. for MTP with laparoscopic sterilisation(Dec 2006).Discuss the preoperative preparation.Amniotic fluid embolism(Dec 1994).Describe the precautions for the management of this patient(Dec 2009). PHYSIOLOGICAL CHANGE SDUE TO PREGNANCY 6.Describe physiological changes occurring during pregnancy and clinical implications to the anaesthesiologist(Dec 2001).Enumerate the perioperative problems and anaesthetic management of a 28 year old patient with MS for elective CS(Dec 2008). LABOUR ANALGESIA 1.prophylaxis in a patient scheduled for emergency CS(June 2010).Discuss the physiological changes secondary to pain in labour.Medical diseases and obstetrics(June 2003) 3. .Discuss the pre operative evaluation and management of a 30 year old female patient who underwent mitral valve replacement 6 months ago and is now scheduled 7. 5.Supine hypotension syndrome (June 2000)(Dec 2004). 3.A patient of COA is scheduled for CS.Draw a labeled diagram of labor pain pathway. 2.anaesthetic management and postoperative care of the patient(Dec 1999).Regional Vs GA in obstetric surgery(Dec 2005). 4.Describe innervations of female genital tract with a diagram and discuss methods of producing painless labour(June 2006).[Pg 63ARC-05] 2.advantages and disadvantages of preferred technique of labor analgesia(Dec 2012) MISCELLANEOUS 1. 3.What are the objectives of premedication in a patient scheduled for elective CS?Describe the drugs used with their doses and rationale(June 2012) PREGNANCY AND CO-EXISTING DISEASE 1.Describe the role of para-cervical and pudendal nerve blocks in obstetric analgesia(Dec 2011).Pre-anaesthetic evaluation of a patient of MS for MTP and sterilization(Dec 2005). [Pg 205-ISACON 2009] 3. 6. 3.Medical aspect and obstetrics(Dec 2003).Anaesthetic problems of total hip replacement in elderly patients(Dec 2005).diagnosis and management of fat embolism(Dec 2010). 5.An 86 year old patient is scheduled for open reduction and internal fixation of subtronchanteric fracture of femur. 1.pathophysiology.preoperative preparation and anaesthetic management of a case posted for correction of kyphoscoliosis(June 1995). 75.preparation and anaesthetic management of this case(June 2002).RA technique for upper extremity surgery(Dec 1994) 2.An 80 year old male is posted for total hip replacement.4. FAT EMBOLISM 1. 4.one year after CABG(Dec 2005).Discuss the anaesthetic problems and management(June 1994) 2. 8.A 60 year old women with RA is for THR. ANAESTHESIA FOR ORTHOPEDICS TOTAL HIP REPLACEMENT 1.Describe pathophysiology.Discuss the anaesthetic problems.diagnosis and treatment of fat embolism syndrome(June 2002).What are the causes of intra operative hypotension during total hip replacement?Outline the treatment strategies(Dec 2012) SCOLIOSIS 1.clinical features.Problems encountered by anaesthetists during the orthopaedic operative procedures(June 2005).Discuss the preoperative evaluation and anaesthetic management of this patient(Dec 2006). 5.Pg 875-Morgan 4th ed] 6.What are the indications and contraindications for use of arterial tourniquet.What complication may arise from the use of such tourniquet(June 2005). 2.Enumerate the physiological changes during pregnancy and their clinical implications(Dec 2008).Enumerate the perioperative problems and anaesthetic management in a 80 year old patient scheduled for THR(Dec 2008).Describe the anaesthetic management of an 80 year old male scheduled for THR.What are the pre-operative considerations in total hip arthroplasty?What are the goals of its intra-operative management?(Dec 2010) 9. 2.What are the causes of obstetric haemorrhage?Describe its management including anaesthesia(Dec 2010). 7.Discuss in detail the etiology.Anaesthetic problems in scoliosis surgery(June 2006).[Pg 63-ARC 5.Discuss the pre-operative evaluation. .Mention the methods of postop pain relief(Dec 2009).Anaesthetic consideration of a patient for surgery for fracture neck of femur. 2.NS and renal systems in geriartric patient which can affect anaesthetic management.What are the factors that predispose trauma patients to increased anaesthetic risks?Briefly mention their management(Dec 2012).[Pg 850Morgan] 1.Ageing and organ function(June 2001)(Dec 2001).pathogenesis and treatment of anthrax(Dec 2010).[Pg 113-ISACON 2007] 2. 3. 2. ANAESTHESIA FOR GERIATRICS 1.Importance of triage in mass casualty incident(June 2010). 79.What do you mean by multicasulaty triaging?Why is it important?How do you triage victims in the casualty following a mass disaster?(June 2011).[Pg 538ISACON 2011. 4.What is Triage?What are triage criteria in relation to trauma?(Dec 2008).Anaesthesia for perforating injury of the eye in a 3 year old child(Dec 1996).How do the changes in renal functions affect anaesthetic management?(Dec 2012) 77) ANAESTHESIA FOR TRAUMA 1. 6.A 4 year old child is scheduled for emergency repair of penetrating eye .How do you diagnose DVT? Describe the predisposing factors and its management(Dec 2009). 4. 5.Assessment of an adult who sustained multiple trauma of few hours duration(Dec 2004).RS.How will you do anaesthetic management in 10 years old child with multiple injuries?(June 2003).Pg 287-RACE 2012] 3.What do you mean by the golden hour in trauma?Discuss the role of anaesthetist in resuscitation of trauma patient(June 2006).Post traumatic fat embolism(June 2001)(Dec 2001).Describe physical findings. ANAESTHESIA FOR EYE PERFORATING EYE INJURY IN A CHILD 1.Enumerate age related changes in CVS. 5. 76.Pre-hospital trauma care(Dec 2001).Role of anaesthetist in multiple trauma(Dec 2001).Risk factors for venous thromboembolism and classify the current methods of prevention with examples(Dec 2005) 78. GOLDEN HOUR 2.Golden hour(June 2002).[Pg 2327-2328-Miller] 3.{Pg 833-Morgan] 2. TRIAGE 1.what do you mean by golden hour in trauma?Explain the role of anaesthetist in trauma management(June 2007)..How will you diagnose DVT?Write the methods of prophylaxis and management(June 2008).Enumerate the classical biological warfare agents. ANAESTHESIA FOR TRAUMA AND PREHOSPITAL EMERGENCY 5.4. injury of the eye. 5.Describe preparation.[Pg 2389-Miller] 5.Discuss the anaesthetic problems in robotic surgery(June 2012) 80.Discuss the anaesthetic management of a 70 year man with carcinoma larynx for total laryngectomy(June 2007) 3. 4. MONITORED ANAESTHESIA CARE .Anaesthesia for squint surgery(1996-2000). [Pg 174-RACE 2011] 4. 4.Anaesthesia for laser surgery of larynx(June 1997).Discuss the anaesthetic management(Dec 2006).ANAESTHESIA FOR ENT POST.A 22 year old male patient with multiple papilloma of larynx is scheduled for laser excision.TONSILLECTOMY BLEEDING 1.Describe the anaesthetic management in a 10 year old child scheduled for perforating eye injury repair(Dec 2009).Anaesthesia for total laryngectomy(June 1998).Describe the anaesthetic management(Dec 2009). 2.An 8 years old child who underwent tonsillectomy 4 hours ago retuns to the operating table with bleeding from tonsillar site. ANAESTHESIA FOR ROBOTIC SURGERY 4.Describe the preoperative evaluation and anaesthetic management of a four year old child with perforating eye injury scheduled for repair under GA(Dec 2012) 1.Anaesthetic management of a case for post-tonsillectomy bleeding(June 2002)(June 2005)(June 2006). 81. 1. 2. 3.preoperative assessment and anaesthetic management of this case(Dec 2012) 82. 2.Anaesthetic management of laser surgery on tracheobronchisl tract(Dec 1999). 3.Problems during anaesthesia for laser surgery(June1996)[Pg 846Morgan] 2.Anaesthetic problems in laser surgery(June 2002)(Dec 2004).Problems of microlaryngeal surgery(Dec 1995).Anaesthesia for intraocular surgery(June 2001)(Dec 2001). 83.Anaesthetic management of a child with retropharyngeal abscess presenting for surgical drainage(June 1995).Occulocardiac reflex(June 1995) (June 2001)(Dec 2001)(Dec 2006).Anaesthetic considerations and management of a child with posttonsillectomy bleeding(Dec 2007).ANAESTHESIA FOR LASER SURGERY 1.Post tonsillectomy bleeding(June 2002) .[Pg 23756-MILLER] 1. 3.Describe the different anaesthesia techniques practiced for cataract surgery and their complications(June 2006).Anaesthetic problems in robotic surgery(June 2007). 4.[Pg 168-RACE 2011] 3. Anaesthesia for DCS(June 1999) (June 2001)(Dec 2001)(June 2002)[IJA 2005] 3.MRI(June 2004).A 6 years old boy underwent adenoidectomy under GA as DCS.What is monitored anaesthesia care?Discuss the discharge criteria for a patient after day care surgery.Day care surgery clinics in India(Dec 1994).Discharge criteria for day care surgery(Dec 2003)(Dec 2004)(Dec 2006). 10.Anaesthetic considerations for MRI(June 2006).Monitored anaesthesia care in a 75 year old man with IHD for cataract surgery(June 2000).[Pg 2435-Miller] 9. 3.Anesthetic concerns for MRI(Dec 2008).Monitored anaesthesia care in 80 years old man with IHD for cataract surgery(Dec 2004). Day care surgery 2. 6.MRI and anaesthesia(June 2002). 11.RA in day care surgery(June 2006) (June 2007).Criteria for recovery from anaesthesia in day care surgery(June 1998). 8.(June 2003) 5.**(Dec 2007).Describe the criteria for selection of anaesthetic agents for use in DCS. 2.What are the anaesthetic considerations for DCS?Discuss the clinical criteria for recovery and discharge after day care surgery(June 2012) 84 .Discuss its goals and techniques(June 2012)[EORCAPS 2012] 4.Criteria for selection of patients for ambulatory surgery(June 2003).[Pg 65-RACE 2008] 4.Discuss its goals and techniques(Dec 2008). 1.1. (June 2009).Define monitored anaesthesia care. . 4.Enumerate the agents of your choice with reasons(Dec 2009). 8. 3.(June 1998). [Pg65-RACE 2008] 2. 5.Discharge criteria in outpatient anaesthesia(Dec 1997).[Pg 1427-Barasch] 7.What are the problems in monitoring an anaesthetized patient in MRI(Dec 2005).Monitored Anaesthesia Care(June 1997). 7.What is monitored anaesthesia care?Describe minimum monitoring standards for a patient undergoing monitored anaesthesia care(Dec 2011). 6.[Pg 814Barasch 6th ed] 5.Define monitored anaesthesia care.Day Care anaesthesia(June 2000).What is monitored anaesthesia care?Describe the technique in a 80 year old patient with IHD scheduled for cataract surgery(Dec 2009).ANAESTHESIA FOR REMOTE LOCATIONS MRI 1.Enumerate the discharge criteria of this patient(June 2010). Anaesthetic management of radio diagnostic procedures(June 2007). 1. 1.Anaesthesia for ECT(June 2006).IJA 2004] .Problems and role of anaesthetist in dental chair(Dec 1999). [Pg 1232-Satish deshpande] CT 1. 3. 85) DENTAL ANAESTHESIA 1. 4. 4.6. 7.A 60 year old male with refractory depression is scheduled for ECT. [Update in anaesthesia] 4.[Pg 203-RACE 2012.What are the indications of caudal epidural anaesthesia in paediatric patients undergoing surgery? Describe the technique and enumerate its complications(June 2009).What are the indications of caudal epidural in paediatric patient undergoing surgery?Describe the techniques and write its complications(June 2008).Describe the anaesthetic management in a patient scheduled for MRI(Dec 2010).What are the problems with acute exposure to high altitude?Discuss briefly the anaesthetic considerations at high altitude(June 2011).Anaesthetic problems in dental chair(June 2001)(Dec 2001).techniques and complications of caudal epidural block in children(June 2012). 5.Postoperative analgesia in children(Dec 1999).Anaesthesia for multiple dental extractions in a child with TOF(Dec 1996).Elective cardioversion(Dec 2007).Pg 21-ISACON 2008] 2.Caudal epidural in paediatric patients(June 1994) 2.Discuss indications.Discuss in brief the problems of adult patients with Down’s syndrome for multiple teeth extraction(June 2005). 5.Problems of anaesthesia in dental chair(June 2005). 2.[Pg 2463-Miller.Describe the anaesthetic management(Dec 2009). 8.Management of a 4 year old child scheduled foe CT barin using an iodine solution(Dec 2000). 86) PAEDIATRIC ANAESTHESIA ECT CAUDAL EPIDURAL IN PAEDIATRICS 1. 2.What are the limitations and hazards of providing anaesthesia in the MRI suite?Describe the anaesthetic management of a 6 months old child with hydrocephalus scheduled for MRI(Dec 2009)(Dec 2012).Discuss the various methods of postop pain relief in paediatrics(Dec 1998).[Pg 872Morgan] 3.Anaesthetic considerations for modified ECT(Dec 2007). High altitude 1.Caudal epidural analgesia in anaesthesia practice(Dec 2004) 3. Role of regional anaesthesia in paediatric surgery(June 2002).Pre-anaesthetic assessment and preparation of one day old neonate for TEF repair(June 2007). 6. MENINGO-MYELOCOELE 7.Discuss the perioperative problems and anaesthetic management of a two days old child scheduled to undergo TEF repair(June 2011).Postop analgesia in infant for circumscision(June 1997).Indications.Describe the anatomy and physiology of various types of TEF.3.Discuss the anaesthetic management(June 2003). 5.[Pg 2590-Miller] 2.[Pg 941Morgan] 1.Preoperative management of a neonate for meningomyelocoele surgery(June 1997).Management of a one day old neonate posted for correction of gastrochisis(June 2001).Discuss the problems.Describe the anaesthetic management of a neonate scheduled for repair of TEF(Dec 2009).[Update in anaesthesia] HYDROCEPHALUS 10.techniques and complications of spinal anaesthesia in paediatric patients undergoing surgery(June 2007).Discuss the perioperative problems and anaesthetic management of a one year old child with hydrocephalus scheduled for shunt procedure(June 2012).preoperative preparation and anaesthetic management of a neonate posted for repair of gastrochisis(Dec 2001).[Pg356Morgan] 5.How will u manage for .Regional analgesia in children(1996-2000) .A neonate for repair of cervical meningo-myelocoele(Dec 2005) 9.[Pg 1267 Wiley 7th ed.What are the methods of pain assessment in infants and children? Discuss the pharmacological management of acute pain in paediatric patients(Dec 2011). 4.A 4 year old boy has come im emergency with foreign body in right bronchus. 1.[Pg 603Stoelting] 2.Ija 2004 TEF 1.Pg 203-RACE 2012].[EORCAPS 2011] GASTROCHISIS 1.Preoperative assessment and anaesthetic management of a 2 year old child of hydrocephalus posted for shunt procedure(Dec 2007).[Pg 71RACE 2005] 3.[Pg 206-Rebecca Jacob] 8.Assessment of pain in children(Dec 2001) 4.Postop analgesia in children for inguinal hernia(June 1998).Spinal anaesthesia in children(June 2006). FOREIGN BODY 1.[Pg 26-ISACON 2008] 2.Anaesthetic management of a 2 day old neonate for primary repair of TEF(June 1996). 2. 10 months old baby for hernia repair-anaestehtic and postoperative pain management discuss(June 2005).Anaesthetic problems of repair of CDH in a neonate(Dec 2004)[Pg 111 RACE 2006.Discuss the regulation of body temperature.Pg 941 –Morgan 4th ed] 2.Discuss the pre-operative evaluation and anaesthetic management of a 2 year old child scheduled for removal of foreign body in bronchus(Dec 2011).Temperature regulation in neonate and prevention of hypothermia in neonate during perioperative period(Dec 2004).A 2year old child is scheduled for removal of organic body in the right bronchus.Anaesthetic management of CDH(June 2007).A 2 day old child with CDH is scheduled for primary repair.Pre-operative evaluation and anaesthetic management of one day old child with CDH(June 2008)[Pg 111-RACE 2006] 4.clinical manifestations and anaesthetic management of CDH in a neonate(Dec 2011)[Pg 111-RACE 2012] 4.What is the anaesthetic management?(Dec 2008). FLUID MANAGEMENT 1.Perioperative problems and anaesthetic management of a one day old child with diaphragmatic hernia(Dec 2008).preparation and anaesthetic considerations of this case(June 2010) 3.[Pg 186Rebecca Jacob] 7. [IJA 2007] TEMPERATURE REGULATION 5. 5.Heat loss during abdominal surgery in a newborn child(Dec 1996) INGUINAL HERNIA 1. 2.Perioperative fluid requirement for a paediatric patient undergoing elective surgery(Dec 1995).A 2 year old child weighing 10kg is scheduled for removal of organic foreign body in right bronchus.[Pg 593-Stoelting] 3.Outline the pre-operative evaluation.Recent advances in intra-operative paediatric fluid management(Dec 2001)[Pg 11-RACE 2011] 3.Discuss the anaesthetic management(Dec 2007).Perioperative fluid requirement in small paediatric patients(Dec 2005).bronchoscopy for such a patient(June 2004). CDH 1. . 3.How will you prevent hypothermia in a neonate posted for major abdominal surgery(June 2002) 2.Describe the pathophysiology.Anaesthetic management of a 2 year old child for therapeutic bronchoscopy following inhalation of foreign body 2 days ago child could not exhibit any sign of airway obstruction(Dec 2005) 6.Describe pre-operative evaluation and anaesthetic management of one 1. 2. day old child scheduled for repair of CDH(June 2009). A child with TOF is posted for corrective surgery.Discuss the preoperative evaluation and anaesthetic management of this case(June 2002).Draw a neat labeled diagram of fetal circulation and delineate the difference from adult(June 1996)(Dec 2004). 3. GENERAL 1. 1.Post-op shivering(June 2004). PDA 2.[IJA 2009.[Pg 733-Stoelting physio/pharma] 2. 1.PEDIATRIC CARDIAC SURGERY TOF 1.Assessment of pain in children(June 2001).s briefly 2.[IJA VOL 55.Preoperative considerations in paediatric patients(June 2005). POSTOP SHIVERING 1.Anaesthetic implications of neonatal anaesthesia(June 2005).Fasting guidelines for children.Pg 432ISACON 2011. 2.Outline the principles of perioperative fluid therapy in a 10 days old child scheduled for elective surgery(Dec 2006). PACU.Write down the anaesthetic management of such a case(Dec 2012).What are the circulatory changes that occur at birth?(Dec 2008).[Pg 884Morgan] 89.Preopertaive evaluation and preparation of a patient of a patient with TOF(June 2006).Anaesthetic implications of fetal surgery(Dec 2007).Discuss briefly different modes used for neonatal ventilation(June 2007).Issue 6.How will you evaluate a three year old child with systolic murmur scheduled for surgery?Briefly discuss the anaesthetic implications?(Dec 2012).[Pg 795-OHA][Pg 47-Stoelting] 4.Enumerate the major concerns for anaesthesiologist in hypertrophic pyloric stenosis in a newborn.How does premedication inadults differ from that in children(Dec 2007)[Pg 400-401-RACE 2010] 2.CEACCP 2008] 3. 4.Explain with diagrams the blood flow before and after delivery in PDA(June 2005)[Pg 44Stoelting] 3.Nov-Dec 2011] PEDIATRIC INTENSIVE CARE 5.Discuss the anaesthetic implications and perioperative management of a six month old child scheduled for excision of cystic hygroma(Dec 2011).[Pg 78-ISA APCON 2006] 88.Draw a labeled diagram to illustrate the fetal circulation. FETAL ANAESTHESIA 1. 87.4.outline the perioperative management(Dec 1998).Classify CHD. .A ten year old child suffering from TOF is diagnosed to have brain abscess.Write anaesthetic management of a 3 year old child scheduled for PDA ligation(June 2008). Oxygen therapy in the postoperative period(1996-2000).APACHE score(1996-2000). 90.Enumerate the risk factors for PONV.PONV for ophthalmology(Dec 2001).Discuss the various methods of providing postoperative pain relief.Commonly used techniques and drugs for postoperative pain relief(Dec 1994) .Central anticholinergic syndrome in the postoperative period(Dec 2003). 4.Post anaesthesia shiveringimplications and management(June 2010) 1.Postoperative pulmonary complications(June 2006).Planning of PACU(June 2008).recent views on pre-emptive analgesia(June 2007). 5.Discuss its management(Dec 2006)(Dec 2008).Pre-emptive analgesia:current status(June 2008).What do you understand from the term pre-emptive analgesia(Dec 1995).[Pg 1005-Morgan 4th ed] 5.Causes and management of postoperative hypoxemia(Dec 2006).Post-operative elective ventilation(Dec 2005).Describe the techniques of chest physiotherapy?What is its role in the post surgical period(June 2009).Describe the risk factors and predictors of PONV. 3. 2. POST OPERATIVE PAIN PRE EMPTIVE ANALGESIA 1. 2. 8. 4.What are the criteria for discharge from PACU?(Dec 2010).Describe its management in the pre-operative period(Dec 2010).2.Post anaesthetic vomiting(Dec 1996). 1.Discuss pathophysiology and management of shivering in PACU(June 2008)(June 2009).Discuss measures to prevent and its management(June 2009). 5.prophylaxis and management(June 1995).Current concepts in pre-emptive analgesia(June 2010) 10.Postoperative jaundice(June 2001) (Dec 2001). 9. 3. 3. 6. 5.What is postoperative jaundice? Describe its cause(Dec 2010) PONV.[Pg 1002-Morgan 4th ed] 4.Causes and management of post anaesthetic shivering(Dec 2006) (June 2011). -what are the factors leading to arterial hypoxemia in the PACU? Discuss the differential diagnosis(Dec 2012) 11. 4. 7. 1.Postoperative hypothermia its causes. 2. 3.Enumerate the risk factors for PONV.Pre-emptive analgesia(June 2002) (Dec 2004)(Dec 2005). 92.Weaning criteria in a patient of COPD on ventilator(June 2000) 5.signs. CRITICAL CARE MEDICINE OP POISONING OTHERS 1. 7. 2.[Pg 121RACE 2011] 3.What are the signs and symptoms of OP poisoning?Discuss it’s management(June 2011).Criteria for weaning from prolonged ventilation(June 2008). [Paul marino] 2.Pain relief for fracture ribs(June 1995) monoxide poisoning(Dec 2008).Enumerate the differences between acute and chronic pain(June 2010).Clinical manifestations and management of acute OP poisoning(Dec 1995) MECHANICAL VENTILATION 2.Acute pain management service(June 2006).Discuss different modes of weaning from ventilator(Dec 2006).symptoms.Describe the in-hospital management of OP poisoning(June 2009).Describe briefly pathophysiology.Discuss the pathophysiology and management of a case of carbon WEANING 4. 3.[Pg 1044 –Morgan 4th ed] 3. 3. 91.dia gnosis and treatment of carbon dioxide poisoning(Dec 2011)[Pg 552Stoelting] 4. 2. 4.Enumerate causes of postoperative visual loss. CO POISONING 1.Weaning from prolonged ventilation(June 1995).Describe the pathophysiology and its management(Dec 2010).Protocol for weaning a patient from prolonged ventilator support(Dec 1995).Methhemoglobinemia and anaesthetist(June 2008). 1. POST OP VISUAL LOSS 1.Discuss the signs and symptoms.Enumerate the predictors of weaning from mechanical ventilation(June 2009).[IJA 2006] .pathophysiology and management of cyanide toxicity(June 2012) 1.Outline the various modalities for management of postoperative pain following major abdominal surgery.Care of OP poisoning in ICU(Dec 1998).2. 6.diagnosis and management of a case of paracetamol poisoning(June 2008).Write clinical features.Weaning modes of ventilation(June 1997)(June 2001)(Dec 2001)(Dec 2003)[Pg 1036-Morgan] 5.What are the clinical features of organophosphorous poisoning?How will you manage a patient of oragnophosphorous poisoning in ICU?(Dec 2012). 2.Mandatory minute ventilation(Dec 1995).uses and complications(June 2005). 5. 10.Ventilator associated pneumoniawhat are the causes and preventive measures possible?(Dec 2004).Use of muscle relaxants in ICU(June 1998)(June 1999).PEEP and its application in anaesthesia(June 1999).Permissive hypercapnia(June 2010).The role of sedation in ICU patients(June 2005). ANALGESIA /SEDATION/PARALYSIS 1.What is PEEP?How does it improve arterial pO2?What are its disadvantages?(Dec 2011) IPPV 1.Long term ventilation and its complication(June 1998).Enumerate the predictors of weaning a patient on prolonged ventilatory support in the ICU(June 2010). 3. 8.Enumerate the role of analgesics and sedation in patients on ventilator .Compare and contrast PEEP and CPAP(Dec 2008).Pressure Support Ventilation(June 2004).Applied physiology of IPPV(Dec 2005).Enumerate the role of sedation in ICU patients(June 2005) 1. 9. 7.its mechanism of action. 9.8.Describe the principles of weaning from mechanical ventilation(Dec 2010).Pressure support ventilation(June 2004)(Dec 1995).(June 2000) 6.Write briefly on newer modes of ventilation. 4. 4.Volutrauma(June 1998) 3.[Pg 85Chang} 2.[Pg 1037-Morgan] 3.What are the common nosocomial infections in ICU?Discuss the measures for prevention of VAP(June 2009).Discuss the various criteria for weaning a patient from prolonged mechanical ventilation(June 2012 MODES 1. 2.[CJA] 2.Newer modes of ventilation(June 1996)(Dec 2004).Pressure Controlled Ventilation(Dec 1998)[Pg 1033-Morgan] 5.Discuss each of these ventilatory modality with reference to an established case of ARDS.Physiological changes associated with IPPV(Dec 1999). COMPLICATION 3. [Pg 112-Chang] 4. 2.Oxygen toxicity(June 2004)(Dec 2004).Describe PEEP.[Pg 1038-Morgan 4th ed] 4.Inverse ratio ventilation(Dec 1996).Non invasive ventilation(Dec 2008). PEEP 1. Discuss the pathophysiology.[Pg 669-Satish Deshpande][Pg 1042-Morgan 4th ed] 7.Resuscitation of a patient with 60% deep burn injury(Dec 2000)[Pg 59RACE 2007] 5.[Ph 143-RACE 2012] 3.Discuss the pathophysiology of ARDS.RACE 2011] 2.Describe the current trends in the management of ARDS(Dec 2000). 9. 6.Resuscitation of 60% burns in an adult patient(June 2006)[Pg 213.Permissive hypercapnia(June 2008).Recent advances in the management of ALI and ARDS(June 2007).[Pg 1051-Morgan] 2.Describe the ventilatory management of ARDS(Dec 2005) (Dec 2010).Management of an adult with smoke inhalational injury(Dec 2004) 4.[Pg 49. 6.[OAR-Pg 213] 6.[Pg 477-anaesthesia and intensive care] 2.Discuss the principles.Define MODS. 8.Describe the initial assessment and resuscitation in a 25 year old female with massive burns evacuated from the site of fire(Dec 2009).Discuss the pathophysiology and management of inhalational injury(Dec 1998). 4. 8.Describe the pathogenesis and management of adult respiratory distress syndrome(June 1997).Anaesthesia for burnt patient(Dec 2001). 5.Discuss the management of a case of 40% burns(June 1997).[Pg 1042-Morgan] -Recent advances in the management of ALI(Dec 2004).Role of vasopressors in septic shock(Dec 2004).What is ARDS?Discuss the ventilator strategies in a patient of ARDS(Dec 2008) SHOCK/SEPSIS 1.OAR] 7. 4.What are the criteria for diagnosis of SIRS?Discuss the principles of management in a patient of septic shock admitted in an ICU(Dec 2006).preventive and corrective measures of irreversible shock(June 1998). ARDS 1.Describe the pathophysiology of ARDS.Septic shock(June 2004). 3.Etiopathology of ARDS(June 2002).assessment and methods of analgesia for pain relief in burns(June 2003).therapy in ICU(June 2009)[Pg 536Rashmi dutta] BURNS 1.What are the diagnostic criteria(Dec 1997).Assessment and resuscitation of patient with severe burns(June 2009) [Pg 870-Morgan 4th ed] 9. 5.Enumerate the symptoms of shock and discuss the methods used for .ALI(Dec 2001). 3.How do you plan to manage such a case?(June 2001) (Dec 2001). [Pg 73-RACE 2009.assessment of systemic perfusion(June 2008). 2.Discuss the recent guidelines for the management of septic shock(Dec 2011). 6.Pg 315ISACON 2009] 9.[Pg 632-Morgan 4th ed][Pg 1024-Barasch 6th ed] -Discuss the management of intracranial hypertension(June 2009) 7. 5.Enumerate the indications of tracheostomy. 1.Tracheostomy -techniques and complications(Dec 2003).What is cerebral protection?Explain the methods adopted in clinical .Resuscitation of head injury patient(Dec 1995). 8.[Pg 50ISACON 2007] 4.Monitoring and control of raised ICP in head injury(June 1997) .Oxygen therapy(Dec 1997)(Dec 1999).Percutaneous dilatational tracheostomy(June 2008).High Frequency ventilation(Dec 2003).Describe different techniques of performing percutaneous dilatational trachesotomy(Dec 2010). 1.Regulation of intracranial tension(Dec 2001).disadvantages and methods of administration(June 2007).GCS(June 1996)(June 2002)(Dec 2002)(Dec 2006). 8.How would you assess a case of septic shock due to pancreatitis? Briefly discuss its management(June 2012) 5.NIV:advantages.Discuss methods of humidification(Dec 2006).Discuss the role of ventimask in oxygen therapy(Dec 2011). TRACHEOSTOMY NEURO CRITICAL CARE 1.[Pg 111-RACE 2009] 7.Percutaneous dilatational tracheostomy:indications.[IJA 2008-52(1)] 4.Medical management of head injured patient(June 2005).Describe various components of surviving sepsis guidelines(Dec 2010).Management of spinal injury(June 2001)(Dec 2001).techniques and complications(June 2009).[Pg 237RACE 2009] 2.What is oxygen delivery?Classify oxygen delivery systems.Define and classify shock. RESPIRATORY CARE 3. 3. 4. 3.Percutaneous dilational tracheostomy-various techniques and their advantages over conventional tracheostomy(June 2010). -Oxygen therapy in postop period(June 1998)[Pg 1-RACE 2002] -Briefly discuss the management of a patient with severe sepsis as per “surviving sepsis guidelines”(Dec 2012) 2. 5.Methods of decreasing increased ICP(June 2000). Principles of TPN(Dec 2001).Brain death(June 2000)(June 2004) (Dec 2007).IV alimentation in ICU(June 1998).lipids.Discuss the role of CRRT in septic shock(Dec 2010). 7.techniques and complications(June 2010) 9. 4. -Enteral feeding in the critically ill patients-indications. 3.What are the pathophysiological insults which exacerbate the primary brain injury following head trauma? How can these effects be reduced? (Dec 2010).Present day concept of IV alimentation(Dec 2000).Criteria for brain death and the role of anaesthetist in organ harvesting(June 2010).What are the goals of nutritional support in critically ill patients? 4. 11. 4. 3.How will you calculate the energy requirements in an ICU patient?What are the advantages and disadvantages of parenteral versus enteral nutrition?(Dec 2012).What are the indications for renal replacement therapy ?Describe its role in MODS(Dec 2012).Describe the regulation of ICP and methods available for reducing the pressure under anaesthesia(June 2007).A 50 year old man with COPD is on ventilator in ICU.[Pg 567-ISACON 2009] 5.practice for cerebral protection(June 2005). Describe the daily requirements for proteins.Discuss indications and techniques of RRT.Discuss role of CRRT in septic shock(June 2012). 3.Plan his enteral feeding and discuss its advantages and disadvantages(June 2008). 6.Describe the criteria and neurological test for brainstem death and preparing the patient for organ donation(June 2005). 8.carbohydrates for a patient with advanced sepsis admitted in the ICU(June 2011).What are the problems related to chronic hemodialysis(June 2008).Various clinical and confirmatory tests for brain death(Dec 2006). 5.Enteric feeding in the critically ill patient(Dec 2008). 2. 10.Pg 1058-Morgan 4thed] 2.What are the indications for RRT? List different modes of RRT.TPN(Dec 1996)(June 1999)[Pg 244RACE 2002.Parenteral nutrition in critically ill patient(Dec 2006) 1. 2. 10. BRAIN DEATH 1. 9. RRT.Write in brief the criteria for determination of brain death and clinical tests for confirmation(Dec 2008).What are the indications for ICP monitoring in patients with head injury?describe the ICU management strategies of a patient with severe head injury?(Dec 2012). . NUTRITION AND METABOLISM 1.Indications and hazards of parenteral nutrition(Dec 2004). ALS(Dec 1997).Current concepts in CPR(Dec 2004).[Part 12.What are the common nosocomial infections in the ICU?Discuss the measures for prevention of VAP(June 2009) 1.CPR in pregnant women(June 2002).Write down the algorithm for resuscitation of a newborn(Dec 2012) 1.Paco2 85 mmHg.What is mixed venous oxygen saturation? And its importance in critical care setup?How is it measured(Dec 2011). 94.3-cardiac arrest in special situations-CPR 2010] 6. 3.Neonatal resuscitation(Dec 2001). NEONATAL RESUSCITATION 1.What are the determinants of cardiac output and discuss various non-invasive methods of measurement of cardiac output(Dec 2006) 4. 6.What are the recent guidelines for neonatal resuscitation(Dec 2008) 5.Discuss your plan of management(June 2009).What are the new guidelines for ventilation and external cardiac compression for neonatal resuscitation?What are the drugs(with doses) used for neonatal resuscitation?(June 2011). 2. [IJA 2010].Control of nosocomial infections in postop and ICU(June 2001)(Dec 2001).Defibrillation(Dec 2003)[Part 6electrical therapies-CPR 2010].pH7.93.10.Discuss the management of a patient with snake bite(Dec 2006).Discuss cardiopulmonary and brain resuscitation. who has been brought into the emergency room of the hospital.New guidelines for neonatal resuscitation(Dec 2007). INFECTIONS 1. 2.Pg 2697-Miller] 4. -Resuscitation of term pregnant patient(June 2008). 2.His ABG reveals Pao2 50 mmHg.chronic cigarette smoker is admitted to emergency department with acute respiratory distress and altered sensorium.A 65 year old patient. 3. .Neonatal resuscitation in the labour room(June 1994).Describe the BLS measure in an adult. 8.[Pg 1164Barasch. CPR-BLS and ALS.[Pg 73-RACE 2011] 4.What are the diagnostic criteria for brain death?(June 1995).Discuss the current concepts and modified guidelines of Cardio Pulmonary brain Resuscitation(June 1999). 7.The factors influencing tissue oxygenation(June 1999)(Dec 1999). [Part 5-Adult BLS-CPR 2010] 5. in a state of cardiac arrest(June 1997).Recent advances in CPR(Dec 2005) (June 2006).Nosocomial infections in the ICU(Dec 1994) 2.APACHE score(Dec 1997) 5. 6. 3. 3. 12. 3.(Part 12.htm] 96. -Discuss resuscitation of near drowning patient as per modified CPR guidelines(June 2007).Write the PEA algorithm as per the AHA guidelines(June 2010).Discuss the anaesthetic management of a 60 year old patient for resection of carcinoma sigmoid colon with history of MI sustained 10 weeks ago(June 1995).[Part 7.[Pg 304ISACON 2007] 3.Prevention of fire and explosion hazards in OT(June 2002). 5.Discuss the environmental hazards in the OT and discuss the measures for its prevention(Dec 2008)(June 2011)(June 2012). 4.a patient on pacemaker for TURP(Dec 2005). CASE HISTORIES 1.What is scavenging in OT?What are the five basic parts of a scavenging system?What are the hazards of a scavenging system?(Dec 2012) 7.OR pollution(Dec 1994)(June 1999).Describe the physiology of circulation during closed chest compressions.OT safety(Dec 2005). 13.Anaesthetic management of an adult patient with permanent pacemaker posted for TURP(Dec 2004).Sterilization of anaesthesia equipment(June 1998). OT MANAGEMENT AND SAFETY 1.Discuss the pre-operative evaluation and anaestehtic management of an 80 year old patient with cardiac pacemaker for TURP(Dec 2011).9.Disinfection(June 2002).What it the management of PEA in an unconscious patient?(Dec 2008).Enumerate the changes in the ACC/AHA guidelines on resuscitation(BLS &ACLS) for management of cardiac arrest in adult(June 2010) 14.Pollution in anaesthesia(Dec 2003). [www.Airway devices recommended and used for CPR(June 2007) .acssurgery.Discuss the algorithm for BLS(Dec 2011) 95.Discuss the management of an unconscious young patient with history of drowning(June 2006).Outline the anaesthetic management of a 70 year old patient with permanent pacemaker scheduled for TURP(June 2010) 3.Describe the anaesthetic management and postoperative care .Enumerate 5 H’s and 5 T’s as possible causes of cardiac arrest. 2. 4. 2.com/acs/chapters/c h08.1-CPR 2010] 11.anaesthetic management of a case of essential hypertension scheduled for upper abdominal surgery(June 2005) 2.9CPR 2010) 10.Preoperative evaluation and preparation and anaesthesia management of a known case of bronchial asthma posted for radical mastectomy(June 1995). 8. 1. 4. 6. preparation and anaesthetic management of this patient(June 2010). Evaluation of difficult airway 3.one year after CABG(Dec 2005).HR-45/mt and signs of raised ICT(June 2004). 16.preparation and anaesthetic management of the case(June 1998).Preop evaluation and preparation of 36 years old asthmatic female scheduled for laparoscopic cholecystectomy(June 2008).A patient of coarctation of aorta is scheduled for CS.Discuss the anaesthetic management(Dec 2007).Intraoperative management of 40 years old male with hypertension and IHD for right pyelolithotomy(June 2007).[Pg 69-RACE 2008] 6.Diabetic patient with autonomic neuropathy for abdominal hysterectomy(June 2006) 10.Discuss the preoperative evaluation and anaesthetic management of a 45 year old male with history of MI 3 months back and is scheduled to undergo exploratory laparotomy(June 2011).Anaesthetic management of a patient with suspected posterior fossa tumor with BP 180/90 mmHg.A 70 year old hypertensive man with CAD is scheduled for TURP.Discuss the preoperative preparation.Discuss the preoperative evaluation and anaesthetic management of 70 year old hypertensive patient for total laryngectomy(June 20 CHAPTER WISE QUESTIONS FOR DNB EXAMINATION IN ANAESTHESIOLOGY Airway management 1. 9.A 45 years old man with uncontrolled DM and HTN is admitted with upper intestinal obstruction for emergency laparotomy. 5.Outline the preoperative evaluation. 15. Describe the anatomy of larynx with difference in adult and children. (June1996). 18.Discuss the anaesthetic management(Dec 2007). 11. 13. 14.in a patient with uncontrolled hypertension(BP-180/120 mmHg) for emergency laparotomy for perforated duodenal ulcer.A 35 year old hypertensive patient with chronic cholecystitis is scheduled for laparoscopic cholecystectomy. 8.Discuss the preoperative evaluation. Difficult intubation .A patient for surgery for fracture neck of femur.anaesthetic management and post-operative care of the patient(1996-2000). 7. What is importance of recurrent laryngeal nerve in anaesthesia Practice 2. 12. 17.A 40 year old man weighing 140 Kg has DM and HTN and is scheduled for gastric banding.Discuss the anaesthetic management of a 20 year old male with achalasia cardia and bronchial asthma for laparoscopic cardiomyotomy(June 2007).Discuss anaesthetic management of 70 years old hypertensive with CAD scheduled for TURP(June 2009). Discuss the pathophysiology and management of anaphylactoid reactions in anaesthesia 4.4. Risk and management of pulmonary aspiration 16. 14. Application of venturi principle in anaesthetic practice 17. Plasma expanders 3. Pre-operative visits 18. Pulmonary edema in intra operative and immediate post operative period 27. 8. Total intravenous anaesthesia 24. (25 marks) 15. Management of an adult with smoke inhalational injury 10. Discuss the preoperative assessment and the method of anaesthesia in Patient with T M Ankylosis for the Release of Ankylosis 6. What is minimum monitoring standard? Describe the objectives and methods. Discuss the patho-physiology and management of inhalational injury. Trachesotomy techniques and complications 5. Enumerate with diagrams the types of vocal cord palsies 9. Comment on their use 12. diagnosis and management of malignant hyperpyrexia 12. Vocal cord palsies with the aid of diagrams of direct laryngoscopic view. Pre-operative evaluation of Autonomic function 7. What phases occur in various stages of anaesthesia 23. Possible causes of delayed recovery from general anaesthesia 11. Anaesthetic Management of two years old child who is scheduled for Therapeutic Bronchoscopy following inhalation of foreign body 2 days ago child could not exhibit any sign of airway obstruction 13. What is malignant hyperthermia? Discuss its clinical features and laboratory finding. Anatomy of larynx. Disinfection 5. Basics and general aspects 1. Post operative jaundice 26. Oxygen transport and Oxygen dissociation curve 13. Predisposing factors. Problems of anaesthesia in dental chair 11. Pollution in Anaesthesia 8. The factors influencing tissue oxygenation 15. Occupational hazards to anaesthetist 25. Air Embolism under anesthesia 29. Write down the physiology of sleep. Prevention of fire and explosion hazards in operation theaters 6. Oxygen cascade. Infections related to anaesthetic practice 2. Airway management in an unconscious patient 14. Plasma proteins and anaesthesia 20. Role of kidney in acid base balance 10. Why it is important for the anesthetist to know about this syndrome? 28. Oxygen therapy 19. Causes of airway obstruction following thyroid surgery and its managementc. O2 toxicity 9. Post anaesthetic vomiting 21. How does it differ from anaesthesia? 22. List the bed side test available to predict the difficult intubations. Temperature regulation in adults. Discuss the Aetiology and . Predictive factors & intubation difficulty 7. Diagnosis and management of an acute attack of Malignant Hyperthermia 54. Intra operative bronchospasm 40. 48. 31. Anaphylactic reaction on the operation table. What are the potential causes of delayed resumption of spontaneous ventilation after abdominal surgery with general anaesthesia. diagnosis and management of malignant hyperpyrexia 42. Discuss in brief the problems of adult patient with Downs syndrome for multiple teeth extraction 45. Assessment of intra operative awareness 50. Air embolism during anaesthesia 58. 47. Discuss the problem. Preoperative preparation of a diabetic patient with history of bleeding varices lino-renal shunt operation. Discuss the aetiology and management of supra ventricular arrythmia's during surgical procedures 63.2005 53. Anaesthetic considerations in obesity 43. Defibrillation 33. Recognition and management of anaphylaxis during general anaesthesia 37. Discuss the effects and management 56. Occupational Hazards to Anesthetist 32. Discuss the causes of delayed recovery from anaesthesia and the management 55. Modified guidelines of Cardiopulmonary Brain Resuscitation. Predisposing factors. Risk factors for Venous Thrombo Emolism and classify the current method of prevention with examples. Post-OP shivering 38. Disseminated intra-vascular coagulation 64. Discuss the anaesthetic techniques and postoperative problems in an obese patient for large hernia of interior abdominal wall.Management of various Cardiac Arrhythmias occurring during anaesthesia 30. Management of Mismatched Blood Transfusione. Complication of blood transfusion. Describe the causes and management 51. 46. Current concepts in cardiopulmonary resuscitation 41. 61. its diagnosis and management 44. Prevention and treatment of . Central anticholinergic syndrome in the post operative period 34. Stress response to trauma and surgery 57. Complications and sequalae of blood transfusion 59. Define perioperative hypertension. naesthetic problems in an anemic patient 65. Temperature regulation in adults. What are the causes of hypercarbia during the intraoperative period. 60. Problems of laparoscopic surgery and monitoring techniques used during the procedure 62. What are the diagnostic features that would lead to identify Malignant Hyperthermia during (or) immediately after Anaesthesia and state the guidelines of Management? 49. Hepatitis B and anaesthesiologist 39. HIV and anaesthesia 35. Describe in detail the occupational hazards to Anaesthesiologists 52. Stress management in anaesthesia practice 36. Describe airway management of a patient of Anyklosing spondylitis with severe restriction of neck movement posted for total hip replacement 68. Recent trends in blood transfusion and blood products 72. Current concepts in the diagnosis and treatment of malignant hyperthermia 101. Awareness during anaesthesia 75. Awareness and wakefullneSS under anaesthesia 94. 92. Embolisms during anaesthesia 100. . Autologous blood transfusion 74. Somatosensory evoked potential 73. APACHE score (acute Physiology and chronic health evaluation) 95. clinical features and management of Mendelson's syndrome. Plasma proteins and anaesthesia 103. Safe anaesthetic procedure 78. Autologous blood transfusion 83. Attenuation of Laryngoscopic reaction to intubation 81. Crystalloid and colloid 77. Current concepts in the diagnosis and treatment of malignant hyperthermia 93. Post anaesthetic vomiting 86. Embolisms during anaesthesia 91. Preoperative preparation and evaluation of a patient with history of exertional angina for surgery under general anesthesia 67. Mention the methods of detection. Discuss the anaesthetic management and the expected problems in such a case 104. Blood component therapy 76. Minimum patient monitoring during anaesthesia 89. prevention and treatment. A 40 years old patient with a height of 158 cms. Beta receptor blockade its relationship in anaesthesia 85. Supine Hypotension Syndrome 105. Bronchospasm during anaesthesia and immediate postoperative period and its management 79. Is scheduled for pyelothotomy. Management of intra-operative bronchospasm 69. Advanced life support 87.intra-operative myocardial infarction 66.Define hypertension. 82. Discuss the pathogenesis. Iatrogenic complications in anaesthesia 71. cardiovascular and metabolic systems in obesity. How will you evaluate this patient preoperatively. And weighing 150 kgs. What is myesthenia gravis? What are its clinical features? Discuss the preoperative investigations. Management of multi focal ventricular ectopics during anaesthesia 98. . Enumerate the changes that occur in the respiratory. Advanced life support 96.Discuss the current concepts and modified guidelines of cardiopulmonary brain resuscitation. Malignant hyperthermia 90. preparation and anaesthetic management of such a case presenting for an interval appendisectomy and management of the likely complications 97. Management of multi focal ventricular ectopics during anaesthesia 88. Autologus blood transfusion 102. Autologus blood transfusion 80. Define morbid obesity. Pathophysiology of venous air embolism. Malignant hyperthermia 99. 70. Aetiology and management of hypotension during anaesthesia 84. How will you evaluate and prepare preoperatively a 40 year old female . advantages and disadvantages of plasma expanders 113. Indications and hazards of parentral nutrition 12.Discuss anatomy of the diaphragm with a diagram. Water and electrolyte disturbances and their preanaesthestic correction in small gut obstruction. Management of Mendelson's syndrome 107. preventive and corrective measures of irreversible shock. Newer modes of ventilation 13. Discuss the anaesthetic and post-operative management of such a case. Role of magnesium in anesthesia and ICU 11. Oxygen therapy 111. 25. Perioperative blood conservation 108. Define multiple organ dysfunction syndrome. Discuss the current concepts in the management of a case of chronic obstructive airway disease in respiratory failure. Role of anesthetist in the . Present day concept of intravenous alimentation 21. Principles of total parentral nutrition 3. Intravenous alimentation in intensive care unit 29. Use of muscle relaxants in Intensive Care Unit CVS 1. Discuss the pathophysiology. Total parenteral nutrition 23. The role of sedation in intensive care unit patients 16. A Child with tetralogy of fallot is posted for corrective surgery. How does it behave under different stages of anaesthesia? 115.Coma Scale 6. Septic shock 9. Advanced life support 26. Use of muscle relaxants in intensive care unit 19. Acute lung injury 2. ( 106. Care of organophosphorous poisioning in intensive care unit 27. Brain death criteria and tests 10. Interactions of pre-existing drug therapy with the anaesthetic agents and techniques 109. Oxygen therapy in post operative period 112. . Hypokalemiaa. 110. Pacemakers 2. Care of organophosphorous poisioning in intensive care unit 30. Control of nosocomial infections in post-operative and intensive care unit 5. Hyperkalemia 18. Discuss the pre-operative evaluation and anesthetic management of this case 4. Total Parenteral nutrition 31. Adenosine and its clinical uses 3. Inverse ratio ventilation 28. Role of vasopressors in septic shock 14. Glasgow . Gullian Barre Syndrome 8. 22. How do you plan to manage such a case 4. Uses. Neuro-muscular transmission Critical Care 1. Spinal opiate receptors 116. 32. Hypotension during anaesthesia 114.. What are the Therapeutic uses of Magnesium? How does it work? 17.patient scheduled for abdominal hysterectomy. Role of Nitric Oxide in ICU 20. Describe the pathogenesis and management of adult respiratory distress syndrome (ARDS 24. Myxoedematous Coma 7. Causes. diagnosis and treatment of hypo and hyperkalemia 15. Discuss the Aetiology and Management of various Cardiac Arrhythmias occurring during anaesthesia 7. (25 marks 29. Draw a neat labeled diagram of foetal circulation and delineate the difference from adult.P. Anaesthetic management of an adult patient with permanent pacemaker posted for TURP 11. Pathophysiology of C. Specific problems and their prevention during anaesthesia in a patient with artificial pacemaker. Pre-anaesthetic evaluation of a patient of Mitral Stenosis for medical Termination of pregnancy (MTP) and sterilization. Explain with diagrams the blood flow before and after delivery in Patient Ductus Arteriosus 15. Myocardial preservation 8. Pre-operative evaluation and preparation of a patient with Fallot's Tetrology 20. A ten year old child suffering from tetrology for fallot is diagnosed to have brain abscess. Outline the per-operative management. 17. Factors affecting coronary circulation 6. Mapelson's breathing system . .management of a case with thromboangitis obliterans 5. Anaesthesia for multiple dental extractions in a child with tetrology of fallots 24. A patient who has undergone Heart Transplant requires noncardiac surgery. principle guidelines to use antibiotics as prophylaxis against. during surgery 14. 25. Myocardial protection during cardiopulmonary bypas 28. Problems and management of pregnant patient with dilated cardio myopathy on treatment for emergency LSCS 16. 23. Monitored anaesthetic care in 80 years old man with ischaemic heart disease for cataract surgery 12. Discuss the preoperative evaluation and anaesthetic management of an emergency abdominal operation in a 60 year old man who had myocardial infarction six weeks back.D. Clinical features of Infective Endocarditis. Machine and instruments 1. What precautions must be undertaken by an anaesthesiologist for this surgery? 19. Venturi principle and its application 2. Discuss anaesthetic management of a patient with Angina 9. Preoperative evaluation of a patient with valvular heart disease 18.A. Describe the anaesthetic management and postoperative care in a patient with uncontrolled hypertension (B. Explain the Goldman’s cardiac risk index and its importance to the anaesthesiologist. 21. 26. Discuss your anaesthetic management of strangulated inguinal hernia in a patient with a recent myocardial infarction. Anaesthetic management of a case of essential hypertension scheduled for upper abdominal surgery 13. Coronary circulation 27.Describe the arterial circulation of the heart with the aid of a diagram mentioning the unique features of coronary blood flow. 180/120 mmHg) for emergency Laparotomy for perforated duodenal ulcer. Cardiac evaluation for non-cardiac surgery 10. Classify Congenital Heart Diseases. 22. 33. 42. Sevoflurane Vs. Transdermal opioids 7.its role in anaesthesia with examples 14. 19. Isoflurane Vs. 31. Nephrotoxicity of halogenated anaesthetics 29. Pulmonary artery catheter 8. Ethics in anaesthesia 12. neuromuscular junction and intraocular pressure 8. What are the various routes of administration of opioids? Discuss the merits and demerits of each 2. 'Enzyme induction' . Double lumen endotracheal tubes 7. Propofol as compared to thiopentone 41. Minimum Alveolar Concentration (MAC). 28. Paediatric circuit 9. Pipecuronium 27. Treatment of systemic toxicity of local anaesthetic drugs 9. Limitations and Complications of CVP monitoring 6. Uses. Pharmacology of Fentanyl congenial 24. Narcotic antagonists 25. Propofol 30. Enumerate the problems with the muscle relaxants 16. Nitric Oxide for management of pulmonary hypertension 38. Management of local anaesthetic toxicity 26. Effect of esmolol pretreatment on cardiovascular system. Elimination of atracurium from the body. Remifentanyl in clinical practice 3. 32. Rocuronium 4. Complications of local anaesthetics 40. Methods of Central Venous Cannulation. Drug Interactions 18. Manifestations and treatment of beta adrenergic against toxicity. Sevuflurane 6. d. Mannitol in surgeryd. Name the adrenergic agonists and antagonists. Desflurane Respiratory 1. Pipecuronium 10.3. Remifentanyl 22. Characteristics of ideal vaporize 5. Describe in detail their uses in anaesthesia practice 15. Merits and demerits of laryngeal mask Pharmacology 1. Ropivacaine 5. Hepatotoxicity of halothane 35. Calcium channel blockers and anaesthesia 37. Coaxial Circuits 4. 34. 20. Discuss the pharmacokinetics and pharmacodynamic of epidural morphine. advantages and disadvantages of plasma expanders 36. 10. Pharmacokinetics of I. What are the various routes of admninistration of morphine. Hauffman degradation. Sevoflurane. Role of corticosteroids in the practice of anaesthesiology 43. Anaesthetic management of a case with COAD . Clinical use of alpha 2 agonists in anaesthesia 13.V Thiopentone 11. Compare propofol with Midazolam 39. Mechanism of action of local anaesthetic agents. Uses. Midazolam 21. Nitric Oxide in clinical practice 23. Enzyme induction: Describe the mechanism with routine anaesthesia examples. Adrenergic Agonists 17. Functional residual capacity 18. Discuss the current concepts in the management of a case of chronic obstructive airway disease in respiratory failure 26. Problems and management in one lung anaesthesia 20. 34. Discuss the anaesthetic management of a patient posted for pneumonectomy Ca. Discuss the assessment. Hazards of smoking relevant to Anaesthetists 17. 27. Anaesthesia for laser surgery for larynx 19. Modern trends in obstetrical analgesia 3. 28. Oedema And . Recent advances in the management of acute lung injury 10. Discuss in detail the anaesthetic management of patients with reactive airway disease 3. Post-operative Pulmonary Complications 15. A 35 weeks pregnant patient with BP:200/100 mm Hg. preparation and problems of anesthesia in a chronic smoker for cholecystectomy. Anaesthesia for total Laryngectomy 21.Discuss anatomy of the diaphragm with a diagram. . Describe your anaesthetic problem during operation 12. Oxygen transport and Oxygen dissociation curve 11. Discuss the assessment.2. Broncho-pleural fistula 4.problems and management 9. 13. Anaesthetic management of a 4 year old with foreign body in right main bronchus. Anaethesia for drainage of empyema thoracis 22. Describe the current trends in the management of A. Closing volume of the lungs and its measurement. preparation and problems of anesthesia in a chronic smoker for cholecystectomy. What are the diagnostic criteria. Describe the pathophysiology of adult Respiratory Distress Syndrome (ARDS). Relevance of pulmonary function tests 23.R. Lung Compliance 16. Hydro-Pneumothora 6. Cardiopulmonary resuscitation in pregnant women 1. Preoperative assessment preparation specific to thoraco abdominal. 24. Discuss the problems.S. A patient with bronchopleural fistula for repair. Describe the pathogenesis and management of adult respiratory distresssyndrome 25. Discuss the pathophysiology of adult respiratory distress syndrome. How does it behave 32. Describe physiologic changes occuring during pregnancy and clinical implications to the anaesthesiologist 2. oesophagectomy. Obstetrics 1. 7. (25 marks) 29. One lung anaesthesia. Evolution of rotameter 31. Oxygen cascade. under different stages of anaesthesia? 33. Tracheo-bronchial tree with diagram 30. Right bronchus 8. Aetiopathology of Acute respiratory distress syndrome 5. Intra operative anaesthetic considerations in COPD patient scheduled for upper abdominal surgery 14.D. 12. Discharge criteria for day care . Describe the problems. complications and the anaesthetic management of caesarean section in a patient with pre-eclamptic toxaemia. Pre . A patient of coarctation of aorta is scheduled for caesarean section. Diagnosis and management of "HELLP" syndrome 15. Discuss preparation and preferred anaesthesia technique (regional or general) 4. Describe innervation of Female Genital Tract with a diagram and discuss methods of producing painless labour 14. Discharge criteria for Day Care surgery 15. 16. An 80 Years old male is posted for total hip replacement. 10. Discuss your choice of anaesthetic technique for such a patient for emergency caesarian section. Discuss the Pre-operative evaluation. Criteria for selection of patients for ambulatory surgery 18. Discuss the pathophysiological changes in pre-eclampsia and eclampsia. Anaesthesia for day stay surgery 10. Discuss the problems involved and the anaesthetic management 19. Aspiration prophylaxis in obstetric 21. Aspiration prophylaxis in obstetric 23. M. Pathophysiology. HELLP syndrome 7. Post traumatic fat embolism 7. Anaesthesia for burnt patient 3. Anesthetic problems in laser surgery 11. Describe obesity and problems related to this. A 25 years old primigravida in 34. Diagnosis and treatment of Fat Embolism Syndrome. Pre-anaesthetic evaluation of a patient of Mitral Stenosis for medical Termination of pregnancy (MTP) and sterilization. How will you do anaesthetic management in 10 years old child with multiple injuries 16. How would you manage the anaesthesia and choice of anaesthetic agent 17. Magnesium sulphate therapy 20. preparation and anesthetic management of this case 14. Obesity: Anaesthetic problems 17. Regional versus GA in obstetric surgery. 11. Supine Hypotension Syndrome 22. Anaesthesia for day stay surgery 5.albuminuria is to be prepared for elective caesarean section. The Golden Hour 13.I 19. Ageing and organ function 8. Medical aspects & obstetrics 5.R. Anaesthetic management of emergency appendicectomy ina 16 weeks pregnant patient 8. Anaesthetic problems in dental chair 6.weeks of pregnency with PIH presented with a BP of 200/100 mmHg for an elective LSCS. Anaesthesia for a pregnant woman for non-obstetric surgery 12.hospital trauma care 4. MRI and anaesthesia 9. Role of anaesthesiologist in an obstetric unit. 9. Discuss in Detail the Etiology. 18. Supine hypotensive syndrome 6. Miscellaneous 1. Laparoscopy surgery in a pregnant patient 13. Role of anaesthetist in multiple trauma 2. Discuss the management of an unconscious young patient with history of drowning 31. Anaesthetic management of laser surgery on tracheobronchial tract. Monitored anaesthesia case in a 75 years old man with ischaemic heart disease for Cataract surgery. Morbid obesity. Discuss the pre-operative investigations. Anaesthetic problems in a patient with extreme obesity 32. Artificial Blood (Synthetic oxygen carrying substances) 29. cardiovascular and metabolic systems in obesity. Anaesthesia for radiotherapy 38. Computer . And weighing 150 kgs.based patient record . Simulator in anaesthesia education 56. A 40 years old patient with a height of 158 cms. Enumerate the changes that occur in the respiratory.based patient record for anaesthesia 45. preparation and anaesthetic management of a 50 years old diabetic patient presenting for an exploratory laparotomy for a lump in the abdomen. Sterlization of anaesthesia equipments 39. Occupational hazards for Anaesthesiologist 41. Positional hazards under anesthesia 34.anaesthetic problems 21. Postoperative elective ventilation. 24. Problems during anaesthesia for laser surgery 33. Discuss the management of a case of 40% bums 37. Discharge criteria in out patient anaesthesia (day-stay surgery 47. Operation theatre safety 26. Monitored care 35. 52. Is scheduled for pyelothotomy. How will you evaluate this patient preoperatively. Regional anaesthesia in day care surgery 30. 43. Myasthenic Syndrome 28. What are the problems in monitoring an anaesthetized patient in Magnetic Resonance Imaging? 25. 42. Enumerate various positions in relation to anaesthesia and discuss in detail the problems associated with them. Monitored anaesthesia care 55. Criteria for recovery from anaesthesia in day care surgery 49. preparation and anaesthetic management of such a case presenting for an interval appendisectomy and management of the likely complications. Operating room pollution 50. What is myesthenia gravis? What are its clinical features? Discuss the preoperative investigations. APACHE score (acute Physiology and chronic health evaluation) 46. Resuscitation of 60% burns in an adult patient 27. 36. Describe the criteria and neurological test for brainstem death and preparing the patient for organ donation 23. Computer . 48. Anaesthesia for day care surgery 40. Discuss the anaesthetic management and the expected problems in such a case.surgery 20. 53. Problems and role of anaesthetists in a dental anaesthesia 51. Monitored anaesthesia care. Assessment of an adult who sustained multiple trauma of few hours duration 22. Simulator in anaesthesia education 44. Define morbid obesity. 54. three step ladder pattern for pain relief in advanced cancer 2. Management of a 4 years old child scheduled for computerised tomographic scanning a brain using an iodine containing solution. Discuss the problems. Problems and role of anaesthetists in a dental anaesthesia 64. Paediatrics 1. Describe the basic life support (BLS) measures in an adult. Discuss the current concepts and modified guidelines of cardiopulmonary brain resuscitat 61. 69. Discuss the anaesthetic management 7. Illustrate with diagram fetal circulation. How will you prevent hypothermic in a neonate posted for major abdominal surgery 6. Discuss the regulation of body temperature. Resuscitation of a patient with 60% deep burns injury. Hepatitis "B" and the anaesthesiologist 66. Anaesthetic management of laser surgery on tracheobronchial tract. and delineate the differences from adult circulation 9. Anaesthetic problems of repair of congenital diaphragmatic hernia in a neonate 10. Discuss the principles. Assessment of pain in children 3. Phantom Limb Pain 10. WHO . Describe the anatomy and physiology of various types of Tracheo. Preoperative considerations in . 65. Operating room pollution 63. Minimum patient monitoring during anaesthesia 60. Recent advances in intra-operative paediatric fluid management 3. World Health Organization regimen of chronic pain management 13. Brain death 70. Anaesthetists role in pain and palliative care 8.for anaesthesia 57. preoperative preparation and anaesthetic management of a neonate posted for repair of gastrochiasis 2. Anaesthetic management of a 4 year old with foreign body in right main bronchus. 67. Neonatal resuscitation 4. Acute pain relief in opioid dependent pain 7. 8. assessment and methods of analgesia for pain relief in Burns 5. Pain 1. Acute Pain Management Service 9.step ladder pattern for pain relief in advanced cancer. Post Operative analgesia in paediatric patients 11. Discharge criteria in out patient anaesthesia (day-stay surgery) 58. 68. World Health Organization regimen of chronic pain management 12. Criteria for recovery from anaesthesia in day care surgery 59.Oesphageal fistula. PCA (Patient controlled analgesia) 6. The World Health Organisation three . Informed consent. Discuss the problems. Awareness and wakefullneSS under anaesthesia 62. Management of one day old neonate posted for correction of gastrochiasis 5. who has been brought into the emergency room of the hospital in a state of cardiacarrest. Preemptive Analgesia 4. Anaesthesia for squint surgery. Anaesthesia for intraocular surgery 4. What are the indication and contra-indication for use of arterial tourniquet.paediatric patients 11. Clinical use of blood 3. Discuss the various methods of post op pain relief in paediatric surgery. Peri-operative fluid requirements in small paediatric patients. Pre-operative management of a neonate for meningomyelocoele surgery 21. low molecular Dextran and 3. 24. Autologous blood transfusion 3. Minimum monitoring for post spinal fusion in scoliosis 2. Anaesthetic problems in scoliosis. Heat loss during abdominal surgery in a new born child. 20. Occulocardiac reflex 3. Spinal Anaesthesia in children 16. Post Operative analgesia in paediatric patients 18. What complication may arise from the use of such tourniquet 4. one year after CABG (Coronary Artery Bypass Graft). Describe the different anaesthesia techniques practiced for cataract surgery and their complications 6. with 5 months amenorrhea suffered from Koch's mid dorsal spine developed paraplegia. Anaesthesia for perforating injury of the eye in a 3 year old child 19. Anaesthetic management of a 2 days Neonate for primary repair of tracheo-oesophageal fistula 17. Post operative analgesia in children for Inguinal hernia Ophtalmology 1. Peri-bulbar block 5.5% Polygeatine as spinal preloading . anaesthetic management and post operative care. Anaesthetic implications in neonatal anaesthesia 13. Merits and demerits of Retro bulbar vs. Post-operative nausea and vomiting for Ophthalmology 2. Fluid Management 1. 7. surgery 7. ENT Post tonsillectomy bleed Haemostasis in maxillary surgeries Orthopedics 1. Comparative evaluation of Ringer lactate. Pre-operative management of a neonate for meningomyelocoele surgery 23. Monitored anaesthesia case in a 75 years old man with ischaemic heart disease for Cataract surgery. How is the diagnosis of dilutional hyponatraemia made? What is its significance in anaesthesia? 2. Regional analgesia in children 22. 6. lO months old baby for hernia repair anaesthetic and postoperative pain management discuss 12. A patient for surgery for fracture neck of femur. A female patient aged 32. Problems encountered by anaesthetists during th orthopaedic operative procedures 5. 14. Anaesthetic Management of two years old child who is scheduled for Therapeutic Bronchoscopy following inhalation of foreign body 2 days ago child could not exhibit any sign of airway obstruction 15. Anaesthesia for perforating injury of the eye in a 3 year old child 8. She is scheduled for aneterolateral decompression surgery. Discuss pre-operative preparation. A young man is suffering from pheochromocytoma. 8. How will you manage post anaesthetic complications? 2. preparation and anesthetic management of such a case for surgical removal. What are the methods adopted by the anaesthetist to reduce the need for allogenic blood transfusions 14. A 35 years old lady with huge thyroid presenting with thyrotoxicosis is posted for subtotal thyroidectomy. What is phaeochromocytoma? What are its clinical features? Discuss preoperative investigations. Management of diabetic . 12. preparation and management of a 16 years male. Describe anaesthetic and postoperative management of such a case. anaesthetic management and post operative complications in a 20 year old female with myasthenia gravis posted for thymemectomy 3. Discuss the pre-operative evaluation. 16. Pre anaesthetic evaluation of thyrotoxic patient scheduled for thyroidectomy 11. Plasma volume expanders 12. 15. Thyrotoxic patient for subtotal thyroidectomy 13. Treatment of hyperkalaemia 8. preparation and anesthetic management of such a case for surgical remova 20. Carcinoid tumour. Discuss the preoperative preparation and anaesthetic management. 18. Pre operative management of diabetic ketoacidosis 9. Anaesthetic management of a case of diabetes scheduled for open cholecystectomy. The factors influencing tissue oxygenation 17. Discuss preanaesthetic assessment. Crystalloids Vs Colloids 5. Auto transfusion 10.its importance to Anaesthesiologist 15. Discuss the Physiology of Hemostasis and its significance 13. (25 marks) 14. Describe preop evaluation and preparation of a patient of thyrotoxicosis. Plasma proteins and anaesthesia 19. Blood component therapy 9. preparation and anaesthetic management of the case. Massive blood transfusion 7. Pre anaesthetic evaluation and preparation of patient for pheochromocytoma 10. kept for pheochromocytoma excision. Untoward effects of intravenous sodium bicarbonate Metabloism 1. Role of Kidney in Acid-base Regulation 16. Blood component therapy 11.4. What is phaeochromocytoma? What are its clinical features? Discuss preoperative investigations. Principles of management of diabetic ketoacidosis 5. 17. Human Albumin 6. Third space loss . Discuss the preoperative preparation and anaesthetic management for removal of the tumor. Thyroid storm 7. A 45 years old man with uncontrolled diabetes mellitus and mild hypertension is admitted with upper intestinal obstruction for emergency laparotomy. Causes of airway obstruction following thyroid surgery and its management 6. Discuss pre-anaesthetic assessment. Thyroid crisis 4. preparation. Preanalytical consideration of arterial blood gas measurement 19. What is meant by end tidal C02 concentration 6. Methods of monitoring of neuromuscular transmission during anaesthesia 11. Discuss the anaesthetic problems in a patient undergoing lieno-renal shunt 3. Assessment of risk factor for patient with moderate to severe liver disease 2. Anaesthetic management of 80 years old male. Problems of laparoscopic surgery and monitoring techniques used during the procedure 17. Awareness during anaesthesia. Check out procedure to be followed routinely before using an anaesthesia machine and other monitoring equipment. Anaesthetic problems of liver transplantation surgery . Discuss the renal protection strategies during preoperative period 4. Role of Kidney in Acid-base Regulation 6. Transoesophageal echocardiography 4. Invasive intra-operative monitoring 3. Water intoxication 8. Methods of Intracranial Pressure (ICP) monitoring. Central venous pressure. its application in anaesthesia 22. How is ultrasound useful in Anaesthesia and Intensive care medicine and explain the usefulness of Transoesophageal Echo Cardiograph (TEE) during Cardiac surgery. List and brief statement and effectiveness of each ofthe means available for detecting awareness during anaesthesia 13. Role of capnography during anaesthesia 20. TURP Syndrome Hepatic 1. Central Venous cannulation 9. Pulse oxyimetry Renal System 1. Capnography 2. Describe the countercurrent mechanism in the kidney.ketoacidosis 21. Somatosensory evoked potential 18. Etiopathology and management of thyroid crisis 22. Physical principles of Pulse Oximetry 14. Pre-Operative Evaluation of a case with Chronic renal failure posted for renal transplant 3. 15. its application in anaesthesia 21. Monitoring and standards 1. kept for TURP 2. Pulmonary Artery Pressure Monitoring 16. Complication of canulation of internal jugular vein 10. How do you plan for renal transplant surgery draw plan for an operation theatre exclusively for renal transplant surgery. Central venous pressure. Jugular Venous Oximetry 7. uses and complication of ICP monitoring 12. Discuss the pharmacological principles of measuring the depth of anaesthesia and techniques for monitoring the depth of anaesthesia 5. Capnography 23. 7. 24. Respiratory Monitoring in Anaesthesia 8. What are the problems associated with Anaesthesia for an Elective Surgery in a patient of chronic renal failure 5. D. Pressure controlled ventilation 12. Describe PEEP (Positive End Expiratory Pressure) its mechanism of action. Newer modes of ventilation 5. Intra cranial Pressure 6. Anaesthetic considerations in chronic liver failure. Anaesthetic management of a case of Pituitary Adenoma who is planned for excision of adenoma (transsphenoidal hypophysectomy) 15. Management of spinal injury 7. Inverse ratio ventilation 17. 6. Pre-operative preparation and surgical risk assessment in a patient with cirrhosis of liver. 12. Weaning criteria in a patient of COPD on ventilator. Pressure support ventilation 4. Postoperative elective ventilation. High frequency ventilation 3. Pre-operative management of a neonate for meningomyelocoele surgery 19. Long term ventilation and its . 'Ventilator associated pneumonia' what are the causes and preventive measures possible? 6. Gullian Barre Syndrome 8.R.S. 18. Weaning modes of ventilation 2. What is cerebral protection. Monitoring and control of raised intra-cranial pressure in head injury 20. HR -45/mt and signs of raised intracranial tension 5. 13. Discuss each of these ventilatory modality with reference to an established case of A. 16. Describe anaesthetic and postoperative management of a patient Undergoing intra-cranial aneurysm surgery 17. 5. Applied physiology of intermittent positive pressure ventilation 10. Ventilation 1. Preoperative preparation of a diabetic patient with history of bleeding varices lino-renal shunt operation. Long term ventilation and its complications 15. Regulation of cerebral blood flow 2. Hepato-renal syndrome in anaesthesia practice aetiology and management. 8. 7. Write briefly on Newer modes of ventilation. CNS 1. 9. Discuss the Peri-operative Management of Cerebral AVM (ArterioVenous Malformation). Discuss the Ventilatory Management of ARDS (Adult Respiratory) Distress Syndrome). 16. Anaesthesia for Electro Convulsive Therapy 13. Discuss the anaesthetic considerations in A neonate for repair of cervical meningomyelocoele 11.4. Regulation of Intracranial tension 3. uses and complications 7. Inverse ratio ventilation 14. Anaesthetic management of a patient with suspected posterior fossa tumour with BP l80/90mmHg. Hydrocephalus and its various methods of management 4. Medical management of head injured patient 9. Diabetic patient with Autonomic Neuropathy for Abdominal Hysterectomy 14. Volutrauma 11. Monitoring and control of raised intra-cranial pressure in head injury. Methods of decreasing increased intracranial pressure. Mechanism of reflex sympathetic dystrophy. Explain the methods adopted in clinical practice for the cerebral protection 10. and complications.Anaesthetic management of a case of esophagogastrectomy 3.Anaesthetic management of a pregnant patient for appendicectomy. Combined spinal epidural block 7. Trigeminal Neuralgia. Regional Anaesthesia 1. Describe the nerve innervation of the foot with diagram and discuss the local anaesthetic block at the ankle for the amputation of gangrenous toes in a patient 18. Post operative analgesia in children for Inguinal hernia 30.Describe the PEA algorithm. Epidural pressure and the various factors affecting the same. Intravenous regional anaesthesia 25. Weaning criteria in a patient of COPD on ventilator.Nitric oxide 12.Simulators in anaesthesia 7. Anti-thrombotic Prophylaxis and Neuraxial Anaesthesia 14. Postdural puncture headache 22. Anatomy of brachial plexus and its importance to the Anesthetists 4.Methods to prevent allogenic transfusion 10. Role of Regional analgesia in Pediatric Surgery 8. 21. ‘Three in one’ Block 3. Caudal epidural analgesia in anaesthetic practice 13.E. Regional analgesia in children 23. Regional analgesia in children 24. Peribulbar block 31. 6. Peripheral nerve injury under anesthesia is a preventable complication 20. Caudal block 10. Complications of Extradural Anaesthesia 16. What are the various routes of admninistration of morphine. Intravenous regional anaesthesia 9.P. Epidural analgesia for postoperative pain relief. Discuss the pharmacokinetics and pharmacodynamic of epidural morphine. Indications and methods of stellate ganglion block 6. 12.E. 17. and its application in modern ventilators 20. Spinal opiate receptors DNB ANAESTHESIOLOGY PREVIOUS QUESTIONS JUNE 2010 1. Pulmonary function changes following central neuroaxis blockade 19. Physiological changes associated with I. 4. 2. clinical features and management 27.Anaesthetic management of congenital diaphragmatic hernia in a newborn. 19. P.complications 18.Enteral nutrition advantages over parenteral nutrition. 32. Describe the intrathecal and epidural opioids in clinical practice and their complications. 8. 28. Post-operative analgesia in an infant for circumcision.P. Horner's syndrome 11. 11. 5.Enumerate the differences .Intra operative considerations in an obese patient posted for bariatric surgery. Modified combined spinal and epidural analgesia.P. 29. Indications and contraindications for regional anaesthesia 2.The role of anaesthesiologist in HELLP syndrome. Continuous subarachnoid block. 26.V.Newer trends and concepts in preemptive analgesia 9. Spinal Anaesthesia in children 15. Effect of intrathecal neostigmine on spinal anaesthesia 5. Describe the criteris used for weaning from ventilator.Describe the anatomy of brachial plexus with the help of diagram. 16.Management of a case acute anaphylaxis 34. 31.Enumerate the complications.Describe Bain's circuit.Define MAC (Minimum Alveolar Concentration) and its different levels. 29.With the help of diagram classify the breathing circuits.CPCR 2005 changes. Bed side pulmonary function evaluation 33.Uses of ultrasound in anaesthesia 17. 18. 20.Draw Oxygen dissociation curve and enumerate factors affecting it. Describe RSBI.Describe any one technique for block. 26.Draw a labeled diagram of anatomy of brachial plexus. 19. 22. 3. Describe Venturi principle diagrammatically.How you give post operative analgesia for abdominal surgery. Role of intra lipids.Describe the technique of peribulbar block. 21.Define volume of distribution? What is its clinical significance? Give one example? 8.Informed consent 32.Dexmeditomedine 14. Enumerate various factors affecting MAC value.What are the criteria for brain death.Enumerate oxygen delivery devices. 2.What is the nerve supply of to the cricothyroid muscle? Enumerate the sensory innervation of larynx? Draw labeled outline diagram of vocal cord position in unilateral and bilateral recurrent laryngeal nerve palsy 9.What are the safety features on modern anaesthesia machines? 27.Local anaesthesia toxicity management. 5. What is triage? what are the different methods employed? discuss..Mendelsons aspiration syndrome.Short notes on the following drugs a) Propofol b) Ropivacaine 7.Causes and management of hypokalemia 30. MD/DNB ANAESTHESIOLOGY PREVIOUS QUESTIONS THEORY PAPER 1 1. 4. 35. Discuss role of anaesthetist in multiple organ harvesting.. 23. 25. enumerate its pitfalls and solutions with brief note on Masimo’s technology 6.Describe the technique and advantages of percutaneous tracheostomy.Describe the cerebral circulation and factors affecting it? 28.between acute and chronic pain. AHA guidelines for non cardiac surgery.With the help of diagrams describe the patterns of neuromuscular blockade.Give classification of Mapleson’s breathing circuits. 24. Describe Bain’s .short notes on a) I-GEL b) BIS 15. 13. Blood products. What is the technique of supraclavicular approach of brachial plexus block. Describe the causes and management of intraop desaturation. uses. Outline the principles of Pulse Oximetry. 5. 6. Curriculum MD (Anaesthesia) PAPER 3 1.Outline anaesthetic goals with respect to heart rate. position of patient.A 50yr old male patient with history of well controlled hypertension with breathlessness on moderate exertion and inferior wall infarction 4 months back is posted for emergency Laparotomy. Write note on managementof thyroid storm.Anaesthetic considerations in MRI 4.Discuss causes.equipment needed.Discuss pre-anaesthetic assessment and preparation of patient scheduled for laparoscopic adrenalectomy 7Discuss the differentials and management of postoperative oxygen desaturation in postanaesthesia care unit 8. rhythm. 10. 1. 10. after load for a patient with severe mitral stenosis posted for open cholecystectomy and describe achievement of these goals during induction. 3.Enumerate the methods to relieve post operative pain in an adult patient who has undergone right upper lobe lobectomy. preload. 2. problems & limitations.Describe Continuous Spinal Epidural Analgesia (CSEA) under the following headings:.Define autologous blood transfusion.Write short note on “World Anaesthesia Day” 9. Outline pre-anaesthetic evaluation. volume and doses of local anaesthetic agents . 5.Describe outline of – Difficult Airway Algorithm. Enumerate various methods. Write brief on Upper Lip bite test and its relevance to Airway assessment? PAPER 2. 2. Describe intra-operative blood conservation. technique.What is renal replacement therapy? What are the techniques used? 3.Coxial system in detail including its functional analysis. preparation and anaesthetic management. EKG changes and management of hyperkalemia.Write short note on Anaesthetic considerations for globe (Eye) perforation.Enumerate post operative complication of thyroid surgery.Describe the anatomical differences between adult and infant airway. risk stratification. 4. clinical features. Give details of thoracic epidural analgesia.Describe Low flow anaesthesia – advantages. anaesthetic management of a middle aged male scheduled for lobectomy following carcinoma lung. Enumerate factors causing an increase in ICP and Enumerate ICP lowering drugs and non pharmacological measures to reduce ICP in post traumatic head injury. Enumerate indications for both.Enumerate newer modes of mechanical ventilation. preparation.Tabulate the beneficial effects of cessation of smoking preoperatively with their time course. upper limbs and upper airway after suicidal attempt.Describe briefly preanaesthetic evaluation. Define Cardioversion and Defibrillation.Define Intra. Enumerate postoperative complications.Describe early resuscitation of 25 years female.Enumerate perioperative complications of one lung anaesthesia. Tabulate advantages and disadvantages as compared to traditional Tracheotomy. 7.Describe briefly early goal directed therapy of sepsis. Describe complications of malplaced ETT.Define & outline technique of Percutaneous dilatational tracheotomy. 3. 9. Describe role and current status of corticosteroids in sepsis management.Enumerate methods of confirming correct posturing of Endotracheal Tube. 5.Describe pre operative evaluation and preparation of an adult patient with burn neck contracture. additives and complications. Curriculum MD (Anaesthesia) PAPER 4 1.Describe resuscitation and anaesthetic management of patient who developed inversion of uterus after delivery and brought to emergency room in gasping state. 9.Define cerebral perfusion pressure.used. 6. 8. 6. front upper trunk.Cranial Pressure (ICP). who developed second degree burns on face. 10. Describe briefly perioperative management of cerebral vasospasm following aneurismal leak. 4. Tabulate differences between Volume preset and Pressure preset modes. 7. Enumerate pulmonary function tests in patient scheduled for pneumonectomy 8. 2. Tabulate differences between Biphasic and Monophasic defibrillation. Enumerate different methods of blood conservation in patient under . Outline the management intraoperative desaturation in a patient undergoing lobectomy. Percutaneous dialatational tracheostomy 10.classify inotrops according to their mechanism of action. compare dopamine and dobutamine 7. Permissive hypercapnia and permissible hypoxemia in ARDS 10. .Outline the management of a case of severe organophosphorus poisoning.describe the process of weaning.Describe in brief the preop preparation and anaesthetic management of leinorenal shunt 9. Enumerate antifibrinolytic drugs and describe dosage schedule of one drug. Inverse Ratio Ventilation. 8.With the help of diagram describe physiology of cerebral circulation and factors affecting 2.Describe the pathophysiology of shivering.Describe the pathophysiology of hepatorenal syndrome 15.explain the role of physiotherapy in post surgical patients. 20.Technique of caudal epidural anaesthesia in children 17.Explain venturi principle.Hypoxic pulmonary vasoconstriction 12.What are the nosocomial infections in ICU? write in brief about ventilator associated pneumonia. Prone ventilation.Agents used. ANAESTHESIA PREVIOUS DNB THEORY QUESTIONS 2009 THESE QUESTIONS WERE RECOLLECTED FROM MEMORY BY PREVIOUS CANDIDATES 1.role of sedation and analgesia in ICU.Desribe the management of a case of respiratory failure following COPD 4.Explain the physiological changes associated with laparoscopic cholecystectomy 6.Enumerate the weaning modes of ventilator..what are the applications in anaesthesia? 5.Management of intracranial hypertension 3. enumerate the methods used for chest physiotherapy.going bilateral total knee replacement surgery. 13. outline the management of post op shivering.Guidelines for regional anaesthesia in patients on anticoagulants 16.With the help of diagram explain the ventilation perfusion ratio in normal lung. 14.Anaesthetic management of congenital diaphragmatic hernia in a 1 year old baby 18.Discuss briefly role of PEEP with low tidal volume. 21. 11. Acute Pain Management Service 23.Describe train of four pattern of blockade.22.Describe the techniques of chest physiotherapy. 10.What are the factors affecting neuro muscular block. Myasthenic Syndrome 31.Describe in brief about the management of TURP syndrome. Resuscitation of 60% burns in an adult patient 5.40 year old morbidly obese patient is posted for gastric banding.Anaesthetic implications for Laparoscopy surgery in a pregnant patient 30. Artificial Blood (Synthetic oxygen carrying substances) 5. Pulmonary Artery Pressure Monitoring . 3.What is minimum alveolar concentration? what are the factors affecting MAC? 27. Diagnosis and management of an acute attack of Malignant Hyperthermia THESE QUESTIONS WERE RECOLLECTED FROM MEMORY BY PREVIOUS CANDIDATES 2.30 year old 36 weeks primi with eclampsia for emergency LSCS. 26.Pathophysiology of hepatorenal syndrome.Define massive blood transfusion. Post-operative Pulmonary Complications 7. Anaesthetic consideration for Magnetic Resonance Imaging (MRI) 6. describe the anaesthetic management. PAPER 2 1. 4.Modified guidelines of Cardiopulmonary Brain Resuscitation. Anti-thrombotic Prophylaxis and Neuraxial Anaesthesia 4. Anaesthetic management of Post Tonsillectomy Bleed.Describe the management and manifestations of thyroid storm. 25.2005 24.Describe the preoperative evaluation. Describe the preop evaluation and anaesthetic management. PAPER 1 1. describe incentive spirometry.Describe the resuscitative measures for a case of acute severe burns.70 year old patient with CAHD is posted for TURP. 3.Anaesthesia for Electro Convulsive Therapy 8.What are the complications of massive blood transfusion? 9. Thyrotoxic patient for subtotal thyroidectomy 28. Diabetic patient with Autonomic Neuropathy for Abdominal Hysterectomy 29. 2. Anaesthetic management of a case of Pituitary Adenoma who is planned for excision of adenoma (transsphenoidal hypophysectomy) 10. Spinal Anaesthesia in children 7.Stress response to trauma and surgery 3. Describe the intrathecal and epidural opioids 8. Discuss the physiological effects and management 9.What do you mean by the term Golden Hour in Trauma? Discuss the role of anaesthetist in resuscitation of a trauma patient 2. Hyperkalemia 10. DESCRIBE THE MANAGEMENT OF NEAR DROWNING ANAESTHESIA FOR ECT ORGANOPHOSPHOROUS POISONING MX . Pre-operative evaluation and preparation of a patient with Fallot's Tetrology 8. Anaesthetic problems in a patient 7. Describe the different anaesthetic management of cataract surgery PAPER 4 1. Discuss the causes and management of delayed recovery from anaesthesia 2. Total Intravenous Anaesthesia 9. Role of Kidney in Acid-base Regulation 3. Describe innervation of Female Genital Tract with a diagram and discuss methods of producing painless labour 4. Discuss the Anaesthetic problems in scoliosis. HELLP Syndrome 5. Regional anaesthesia in pediatrics 5. Lung Compliance 4. What are the causes of hypercarbia during the intraoperative period. Discuss the management of an unconscious young patient with history of drowning 6. What do you mean by awareness during anaesthesia? describe the measurement of the depth of anesthesia 8. Drug Interactions 9.with extreme obesity 6.Role of magnesium in anaesthesia and Intensive Care Unit. Complications of Extradural Anaesthesia 10. Phantom Limb Pain 7. Adrenergic Agonists 6. surgery PAPER 3 1. WITH THE HELP OF DIAGRAMS DESCRIBE CELIAC GANGLION BLOCK INTRA AORTIC BALLOON COUNTER PULSATION LEVOBUPIVACAINE COMPARE ISOFLURANE AND SEVOFLURANE CAUSES FOR DELAYED RECOVERY.MX LAPAROSCOPY ANAESTHETIC CONSIDERATION NOSOCOMIAL INFECTIONS IN ICU . INVESTIGATIONS MX MAJOR SURGERY IN POST CABG PATIENT. PREOP ASSESSMENT AND INTRAOP MANAGEMENT CONTRIBUTION BY JOHN SNOW ANESTHETIC CONSIDERATION IN PACEMAKER INTRA OP BRONCHOSPASM POST OP PULM COMPLICATIONS MYASTHENIC SYNDROME MALIGNANT HYPERTHERMIA CAUSES DIAGNOSIS AND MANAGEMENT ANAESTHESIA FOR LASER SURGERY PHEOCHROMOCYTOMA PULSE OXIMETRY PRINCIPLES AND USES BRONCHOPLEURAL FISTULA ANAESTHETIC MX SAFETY FEATURES IN ANAESTHESIA MACHINE. ASSESSMENT. COMPARE DOPAMINE AND DOBUTAMINE LABOUR ANALGESIA METHODS BRACHIAL PLEXUS BLOCK AXILLARY APPROACH AIRWAY PRESSURE RELEASE VENTILATION OXYGEN DISS CURVE EXPLAIN TRANSPORT OF CARBON DIOXIDE IN BLOOD BAIN CIRCUIT WITH THE HELP OF DIAGRAM ASSESSMENT OF DIFFICULT AIRWAY TETRALOGY OF FALLO ANAESTHESIA MANAGEMENT VOCAL CORD PALSIES WITH THE HELP OF DIAGRAM MORBID OBESITY BRAIN DEAD DONOR FOR TRANSPLANTATION. DESCRIBE ORMC PAIN MANAGEMENT IN SICKLE CELL DISEASE PHANTOM LIMB PAIN RECENT RESUSCITATION GUIDELINES RENAL REGULATION OF ACID BASE HOW TO SET UP ACUTE PAIN SERVICE CLINIC PERCUTANEOUS TRACHEOSTOMY CRITERIA FOR WEANING FROM VENTILATOR TURP SYNDROME DIAGNOSIS AND MANAGEMENT ANAESTHETIC CONSIDERATION IN SCOLIOSIS SURGERY INTRATHECAL OPIOIDS MEDICAL MANAGEMENTOF HEAD INJURY CLASSIFY INOTROPS. PATHOPHYSIOLOGY OF PREECLAMPSIA. DESCRIBE FASTRACH PATHOPHYSIOLOGY OF SEPTIC SHOCK MX HYPOXIC PULM VASOCONSTRICTION MASSIVE BLOOD TRANSFUSION ONELUNG VENTILATION MANAGEMENT ANAESTHESIA FOR CATARACT SURGERY WHAT IS MAC? MANAGEMENT OF ACUTE BURNS. MX . FLUID MANAGEMENT PONV HYPERKALEMIA. MX OF A PRIMI GRAVIDA WITH ECLAMPSIA FOR CAESAREAN APPENDICECTOMY FOR A PREG PATIENT AWARENESS METHODS TO DETECT PREVENTION REMIFENTANYL POST OP NAUSEA AND VOMITING CAPNOGRAM PRINCIPLE DRAW DIAGRAM IN COPD PROBLEMS IN DENTAL CHAIR DRUG INTERACTIONS ASSESSMENT OF DIFFICULT AIRWAY MITRAL STENOSIS PATIENT FOR CAESAREAN METABOLIC ACIDOSIS CAUSES MX ICP MONITORING BIPAP MODE MINIMUM ALVEOLAR CONCENTRATION WEANING MODES DESCRIBE SIMV POST ANAESTHESIA CARE UNIT 2 YR CHILD WITH FOREIGN BODY AIRWAY 70 YR OLD PATIENT FOR TOTAL HIP REPLACEMENT SUPRAGLOTTIC AIRWAY DEVICES.ECG CHANGES.