D.N.B. Question Paper

Page 1 of 33 1. Drugs & Machine (Equipments), Airway, Monitoring 1. Enumerate the problems with muscle relaxants (Dec.‟05). 2. Neuromuscular Transmission (Dec.‟99). 3. Elimination of atracurium from the body (Dec.‟99). 4. Name the adrenergic agonist & antagonists. Describe in detail their uses in anaesthesia practice (June05). 5. Adrenergic agonists (June06). 6. β – blockers its relation in anaesthesia (Dec.‟96). 7. Ca ++ Channel blocker drugs & anaesthesia (June‟95;‟98). 8. Complications of Local anaesthetics (June‟99). 9. Role of α 2 agonist in present day anaesthesia. (Dec.04). 10. Pipecurium (June‟95;‟96) 11. Midazolam. (Dec.‟97) 12. Remifentanil. (Dec.‟98) 13. Rocuronium. (Dec.‟98) 14. Narcotic antagonists (June‟97;‟98). 15. Effect of intrathecal neostigmine. 16. Compare propofol with midazolam (Dec.‟99) 17. Merits & demerits of halothane & Isoflurane (Dec.‟95) 18. Sevoflurane vs. Desflurane (Dec.2000). 19. Various routes of administration of morphine. Discuss the pharmacokinetics & pharmacodynamics of epidural morphine (Dec.‟96).

Transcript of D.N.B. Question Paper

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1. Drugs & Machine (Equipments), Airway, Monitoring

1. Enumerate the problems with muscle relaxants (Dec.‟05).

2. Neuromuscular Transmission (Dec.‟99).

3. Elimination of atracurium from the body (Dec.‟99).

4. Name the adrenergic agonist & antagonists. Describe in detail their

uses in anaesthesia practice (June‟05).

5. Adrenergic agonists (June‟06).

6. β – blockers – its relation in anaesthesia (Dec.‟96).

7. Ca++ Channel blocker drugs & anaesthesia (June‟95;‟98).

8. Complications of Local anaesthetics (June‟99).

9. Role of α2 agonist in present day anaesthesia. (Dec.‟04).

10. Pipecurium (June‟95;‟96)

11. Midazolam. (Dec.‟97)

12. Remifentanil. (Dec.‟98)

13. Rocuronium. (Dec.‟98)

14. Narcotic antagonists (June‟97;‟98).

15. Effect of intrathecal neostigmine.

16. Compare propofol with midazolam (Dec.‟99)

17. Merits & demerits of halothane & Isoflurane (Dec.‟95)

18. Sevoflurane vs. Desflurane (Dec.2000).

19. Various routes of administration of morphine. Discuss the

pharmacokinetics & pharmacodynamics of epidural morphine


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20. Neurotoxicity of halogenated anaesthesia (Dec.‟96).

21. Propofol (June‟96), Propofol as compared to thiopentone (Dec.‟99).

22. Interactions of pre-existing drug therapy with anaesthetic agents &

techniques (June‟96).

23. Mechanism of action of local anaesthetic agents (Dec.‟97).

24. Manifestations & treatment of β- adrenergic agonist toxicity (June‟97).

25. Sevoflurane (June‟97). Desflurane (Dec.‟02).

26. Untoward effects of IV Sod-bicarbonate. (Dec.‟97).

27. Hepatotoxicity of halothane (Dec.‟97).

28. Drug Interactions (June 2006).

29. Interaction of depolarizing with nondepolarizing muscle relaxants


30. Minimum alveolar concentration. (Dec.‟96)

31. Hoffman degradation. (Dec.‟96)

32. Venturi principle & its applications. (Dec.‟95;‟99;‟04;‟06).

33. Co-axial Circuits (June‟98).

34. Type of plenum vaporizers (Dec.‟95).

35. Evaluation of rota meter (Dec.‟99).

36. Merits & demerits of LMA (Dec.‟96).

37. Sterilization of anaesthesia equipments (Dec.‟98).

38. Disinfection (Dec.‟01).

39. Assessment & management of difficult intubation (Dec.‟95).

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40. Describe airway management of a patient of ankylosing spondylitis

with severe restriction of neck movement posted for THR (Dec.‟96).

41. Airway management in an unconscious patient (Dec.‟98).

42. Cheek out produce to be followed routinely before using anaesthesia

machine & other monitor equipments (Dec.2000).

43. Safe anaesthetic procedure.

44. Preoperative visits.

45. Tracheostomy care.

46. Nephrotoxicity of halogenated inhalational anaesthetic agents


47. Transdermal opioid (Dec.‟03).

48. Central anticholinergic syndrome (Dec.‟05).

49. Adenosine & its use.

50. Pre-treatment of esmolol in NMJ, IOT & CVS.

51. Safety measures in modern anaesthesia machine (Dec.‟03).

52. Prevention of fire in OT.

53. How will you anaesthetize airway of a 40 yrs old man for awake

intubation (Dec.‟06).

54. Describe management of “Cannot intubate cannot ventilate” condition

in operation theatre (Dec.‟06).

55. Low flow anaesthesia, advantages & disadvantages (Dec.‟06)

56. Describe methods of humidification (Dec.‟06)

57. Assessment of airway (June‟05); Bed side test & its uses (June „05).

58. Operation theatre safety (Dec.‟05).

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59. Assessment & management of difficult intubation.

60. Evaluation of difficult airway.

61. Operation room pollution (Dec.‟99).

62. Describe the intrathecal & epidural opioid in clinical practice & their

complications (June‟06).

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1. Assessment of intraoperative awareness (Dec.‟05).

2. What are minimal monitoring standards? Describe objective &

methods. (Dec.‟95;‟98;‟05)

3. Methods of ICP monitoring. Uses & complications of ICP monitoring

device (June‟05).

4. Temperature regulation in adults. Predisposing factors, diagnosis &

management of malignant hyperpyrexia.

5. List & brief statement and effectiveness of each of the means

available for detecting awareness during anaesthesia. (Dec.‟05)

6. What do you mean by awareness during anaesthesia? Mention the

monitors in use to measure the depth of anaesthesia (June‟06; ‟95;


7. What are the ways by which you can measure the depth of

anaesthesia during intraoperative period (June‟05).

8. Physical principle of pulse oximetry (June‟05).

9. Pulmonary artery pressure monitoring (June‟06), Pulmonary artery

catheter (Dec.‟98).

10. Describe complications of cannulation of Internal Jugular Vein

(Dec.‟04). Methods of CVP cannulation, uses, limitations &

complications (Dec.‟96;‟99; June‟05).

11. Methods of monitoring of neuromuscular transmission during

anaesthesia (Dec.‟04). Neuromuscular junction function (June‟95)

12. Somato-sensory evoked potential (Dec.‟97;‟98).

13. Positional hazards under anaesthesia (Dec.‟97).

14. Role of capnography during anaesthesia (Dec.‟96).

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15. Simulators in anaesthesia education (Dec.‟97).

16. Computer based patient record in anaesthesia (Dec.‟97).

17. Write down the physiology of sleep. How does it differ from

anaesthesia? What changes occur in various stages of anaesthesia?


18. Respiratory monitoring.

19. Modified bipolar standard limb leads system & its usefulness for

intraoperative monitoring.

20. Jugular venous satuation monitoring.

21. Capnography. (Dec.2000)

22. Limitation of pulse oximetry. (Dec.‟01).

23. BIS.

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1. Pre emptive analgesia. Discuss various methods of post op pain

relief. What do you under stand with term pre emptive analgesia?

(Dec.‟95; Dec.‟04, Dec‟05, June.‟06)

2. Anaesthetist role in pain & palliative care (Dec.‟05).

3. Acute pain management services (June.‟06).

4. Antithrombotic prophylaxis & neuraxial anaesthesia (June.‟06).

5. Spinal Anaesthesia in children. (June.‟06).

6. Complications of extradural anaesthesia (Dec.‟95; June.‟06).

7. Phantom limb pain (June.‟06).

8. Patient controlled analgesia (Dec.‟96; ‟98; Dec.‟04).

9. Caudal epidural anaesthetic practice (Dec.‟04).

10. Pain relief in rib # . (Dec.‟95)

11. Mechanism of reflex sympathetic dystrophy (June.‟07).

12. Describe the nerve innervations of foot with diagram & discuss the

local anaesthetic block at the ankle for amputation of gangrenous

toes in a patient. (Dec.‟99; Dec.‟06).

13. Pulmonary function changes during neuraxial blockade (June.‟99).

14. Intravenous regional anaesthesia (June.‟95; Dec.‟97;‟98)

15. Continuous subarachnoid blockade (Dec.‟96)

16. Post dural puncture headache (June.‟99).

17. Management of local anaesthetic toxicity (Dec.2000).

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18. WHO regimen for chronic pain management (Dec.‟95; June.‟97).

19. Stellate ganglion block, indication & complication (June.‟95).

20. Trigeminal Neuralgia – clinical features & management (Dec.‟96).

21. Epidural anaesthesia for post operative pain relief (Dec.‟96). Epidural

use of opioid for post operative pain relief (Dec.‟06).

22. WHO three step ladder pattern for pain relief in advanced cancer


23. Epidural pressure & various factors affecting the same (Dec.‟98).

24. Spinal opioid receptors. (June‟99).

25. Complication, evaluation of RL, low molecular weight dextran, 3.5 %

polygel for spinal preloading.

26. CSEA / Modified CSEA (Dec.‟03).

27. Anatomy of brachial plexus & its importance to anaesthesiologist.

28. Caudal block (DEC.‟03).

29. Indications & methods of mandibular block.

30. Peripheral nerve injury under general anaesthesia (Dec.‟02)

31. Describe role of anaesthetist in preoperative pain management.

Discuss various methods of pain relief following upper abdominal


32. Management of pain in burn.

33. Three in one block.

34. Total Intravenous Anaesthesia. (TIVA) (‟96; 2000; ‟04; June.‟06)

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1. Pre anesthetic evaluation of a patient of mitral stenosis for MTP &

Sterilization (Dec.‟05).

2. Anesthestic consideration of a patient on pacemaker for TURP,

(Dec.‟05). Anaesthetic management of TURP with PPI (Dec.‟04)

3. Anaesthesia consideration in a patient for surgery for # NOF one year

after CABG.

4. Pre operative evaluation of a patient with valvular heart disease


5. Explain usefulness of TEE in Cardiac surgery (Dec.‟05).

6. Risk factors for venous thromboembolism & classify the current

methods of prevention with examples.

7. A patient who has heart transplant requires non cardiac surgery.

What precaution must be undertaken by any anaesthetist for this


8. Define preoperative hypertension. Describe the causes &

management (Dec.‟05).

9. Classify congenital heart disease. Explain with diagram the blood

flow before & after delivery in patent with patient ductus arteriosus

(PDA). (Dec.‟04; June‟05).

10. Management of a case of essential hypertension scheduled for upper

abdominal surgery (June‟05).

11. Clinical features of infective endocarditis. Principle, guidelines to use

antibiotics as prophylaxis against during surgery (June‟05).

12. Pre-operative assessment, preparation specific to thoraco-abdominal

esophagectomy. Describe your anaesthetic problem during operation


13. Preoperative evaluation & preparation of a patient with fallots‟ tetra

logy (June‟06).

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14. Monitored anaesthesia care is 80 yrs old man with Ischemic heart

disease for cataract surgery (Dec.‟04).

15. Etiology and management of cardiac arrhythmias during anaesthesia

under GA (June‟96; Dec‟04). Prevention & Treatment of ventricular

arrhythmias under GA (1995).

16. Anaesthetic considerations of bronchopleural / brochopulmonary

fistula repair. (Dec.‟05)

17. Discuss anaesthetic management of 60 years old patient for

resection carcinoma sigmoid colon with h/o MI sustained 10 weeks

ago (Dec.‟95). / 6 week back. (Dec.‟97)

Management of a patient with inguinal hernia repair having MI three

week back. (Dec.‟06).

18. Cardiac output measurement by thermo dilution technique.

19. Non invasive method of cardiac output monitoring.

20. One lung ventilation (1995) Problem & Management (1997,

Dec.‟04), Indication & ventilatory management (Dec.‟06).

21. Perioperative management (Including post operative patient care) in

a patient with an uncontrolled hypertension (B.P. 180/170 mm Hg) for

emergency laparotomy for perforated duodenal ulcer (June‟96)

22. Double lumen endotracheal tube. (1996)

23. Discuss etiology & management of supra ventricular arrhythmias

during anaesthesia / surgery. (June‟96)

24. Precaution & treatment of Intra operative myocardial Infarction


25. Preoperative preparation & evaluation of a patient with h/o exersional

angina for surgery under GA (1996).

26. Discuss anaesthetic management of strangulated inguinal hernia in a

patient with a recent myocardial infarction (Dec.‟99).

27. Anaesthesia for drainage of empyema thoracis (Dec.2000).

28. Hypoxic pulmonary vasoconstriction (Dec.‟95).

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29. Aetiology & management of hypotension during anaesthesia


30. Aetiology and management of hypertension during anaesthesia (Dec.


31. Management of multifocal ventricular ectopic during anaesthesia


32. Myocardial protection during cardiac bye pass (1997).

33. Nitric oxide for management of pulmonary hypertension (1998).

34. Coronary circulation with diagram (1996).Explain the Goldman risk

index & its importance to the anaesthesiologists. (Dec.2000).

35. High frequency jet ventilation (Dec‟03).

36. Thromboangitis obliterance, role of anaesthetic management.


37. A patient of coarctation of aorta is scheduled for LSCS. Discuss

preoperative preparation, anaesthesia management & postoperative


38. Prevention and treatment of intraoperative MI.

39. Pacemaker (2002).

40. 10 years old child of tetra logy of fallot suffering from brain abscess -

outline preoperative management.

41. Etiology & management of SVT during surgical procedure.

42. Defibrillation.

43. Discuss preoperative evaluation & anaesthetic management of a 30

yes old female patient underwent mitral valve replacement 6 month

ago & is now scheduled for MTP with laparoscopic sterilisation (Dec.


44. Discuss advantages & disadvantages of off-pump coronary bypass

grafting (Dec.‟06).

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45. Compare & contrast dopamine & dobutamine as an inotropic agent


46. What are the determinants of cardiac output? Discuss various

methods of non-invasive monitoring of cardiac output (Dec.‟06).

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1. Intra operative anaesthetic considerations in COPD patent

scheduled for upper abdominal surgery (Dec.‟05).

2. Post operative elective ventilation.

3. 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 air way obstruction (Dec.‟05).

4. Oxygen cascade, oxygen transport & oxygen dissociation curve

(June.‟05; Dec.‟06).

5. Anatomy of larynx. Enumerate with diagrams the types of vocal cord

palsies. (June.‟05).

6. Anaesthetic considerations in obesity.

7. Lung compliance (June.‟06).

8. Discusses briefly, one lung anaesthesia problem & management.


9. Intra operative bronchospasm & immediate post op period

management (Dec.‟95; Dec.‟97; Dec.‟04).

10. Hazards of smoking in patient to anaesthesia (1997).

11. Functional residual capacity (SN) (June.‟98).

12. The factors influencing tissue oxygenation (June.‟99).

13. Preoperative evaluation, preparation, & anaesthetic management of a

known case of bronchial asthma posted for radical mastectomy


14. Enumerate various positions in relation to anaesthesia and discuss in

detail the problem associated with them. (June.‟96)

15. Discuss the current concepts in the management of a case of chronic

obstructive airway disease with respiratory failure (June.‟97).

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16. Discuss the assessment, preparation & problem of anaesthesia in a

chronic smoker for cholecystectomy (June.‟99).

17. CO2 carriage in blood & effects of hypercapnia (Dec.‟95).

18. Closing volume of the lung & its measurement (June.‟97).

19. Oxygen therapy (June.‟97).

20. Tracheo bronchial tree with diagram (Dec.‟99).

21. Discuss anatomy of diaphragm with diagram. How does it behave

under different stages of anaesthesia? (Dec.‟99)

22. Pulmonary oedema in intra operative & immediate post operative

period – management.

23. Hydropneumothorax.

24. Air embolism during anaesthesia (June.‟96). Method of detection &

management (Dec.‟06). Pathophysiology of venous air embolism -

mention the methods of detection, prevention & treatment (Dec.‟97).

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6. Neuro Anaesthesia & psychiatric diseases

1. Anaesthetic consideration of cervical meningomyelocele.

2. Discuss preoperative management of cerebral AVM (Dec.‟05).

3. Medical management of head injured patient (June‟05).

4. What is cerebral protection? Explain the methods adopted in clinical

practice for the cerebral protection. (June‟05).

5. Anaesthetic problem for scoliosis surgery (June‟06).

6. Diabetic with autonomic dysfunction posted for abdominal

hysterectomy (June‟06).

7. Preoperative assessment of autonomic dysfunction (Dec.‟04)

8. Supine hypotension syndrome (Dec.‟04).

9. Glasgow coma scale (SN) (Dec.‟96; ‟06).

10. Describe anaesthesia & postoperative management of a patient

under going intra-cervical aneurysm surgery (Dec.‟96).

11. Diagnostic criteria for brain death (1995, 2000). Clinical &

confirmatory test (Dec.‟06).

12. Monitoring & control of raised ICP in head injury (Dec.‟97). Methods

of decreasing raised ICP (2000). Discuss criteria & neurological tests

for brainstem death & preparing the patient for organ donation (June


13. Hydrocephalus - Discuss its various methods of management


14. Resuscitation and medical management of head injury patient (1995,


15. Regulation of cerebral blood flow.

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1. Third space loss – its importance to Anaesthesiologist (Dec.‟05)

2. What are therapeutic used of magnesium? How does it work?


3. Blood Component therapy (Present trends). (‟97, ‟98, 2000, Jan‟05).

4. Plasma Expanders - advantages & Disadvantages (‟99, ‟98, June ‟05).

5. Treatment of hyper & hypokalemia, causes, diagnosis. (June ‟05).

6. Discuss the physiology of haemostasis & its significance (June. ‟05).

7. What are the methods adopted by the Anaesthesiologists to reduce the

need for allogenic blood transfusion (June.‟05).

8. Artificial blood (Synthetic oxygen carrying Substances) (June ‟06).

9. Role of kidney in Acid base regulation (‟95, Dec.‟04, June. ‟06)

10. Hyperkalemia (June.‟06).

11. Role of Magnesium in Anaesthesia & intensive care unit (2000,

Dec.‟04, Jan. ‟06).

12. Autologous blood transfusion (Dec.‟04). Definition & various methods.


13. Complications & sequel of blood transfusion (‟96, ‟97).

14. Disseminated intravascular coagulation (‟95, ‟98)

15. Anaesthetic problems in Anaemic patient (‟98).

16. Pre analytic consideration of ABG measurement (‟99).

17. Hypokalemia (‟98, 2000)

18. Water intoxication (‟99).

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19. Storage lesions in blood (‟95).

20. Plasma proteins & Anaesthesia (‟99).

21. Blood loss monitoring (‟95).

22. Anaesthetic consideration in dilutional hyponatremia (‟02). What are

manifestations of hyponatremia & how will you treat it? (Dec. ‟06).

23. Clinical use of blood (‟02).

24. Post transfusion bleeding patients.

25. Blood transfusion related diseases.

26. Blood transfusion mismatches management (‟03).

27. Massive blood transfusion (‟03).

28. Human Albumin.

29. Merits & demerits of various synthetic colloids (Dec.‟06).

30. Anion – Gap (Dec.‟06).

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8. Urosurgery & Anesthesia for renal disease

1. Anaesthetic consideration is a patient on pacemaker for TURP.

(Dec.‟05). Anaesthetic Management (Dec.‟04)

2. What are the problems associated with anaesthesia for an elective

surgery in a patient of chronic renal failure (Dec.‟05).

3. Pre-operative strategy for renal protection.

4. Counter-current mechanism.

5. A 35 yrs old patient of CRF is scheduled for renal transplantation.

Discuss the Anaesthetic Management (Dec.‟06).

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1. Pre-operative preparation of a diabetic patient with h/o bleeding

esophageal varices for lino-renal shunt operation (Dec.‟04,‟05).

2. Management of a patient who is not maintaining oxygen saturation

after an elective abdominal surgery.

3. Anaesthetic consideration for chronic liver disease (Dec.‟05).

4. Anaesthetic problems in liver transplantation surgery. (June.‟05).

5. Hepato-renal syndrome in anaesthesia practice. Aetiology &

management. (Dec.‟97)

6. Problems of laparoscopic surgery & monitoring technique used during

the procedure (1997).

7. Hepato-renal shut down - aetiology & prevention (SN-1999).

8. Preoperative preparation & risk assessment in patient with cirrhosis

of liver. (June2000).

9. Water & electrolyte disturbances & their pre-anaesthesia correction in

small gut obstruction (1996).

10. A patient of obstructive jaundice (s.bilirubin 20 mg/dl) is posted for

Whipple‟s procedure. Discuss pre-operative evaluation & anaesthetic

management of this case (Dec.‟06).

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1. Pre-anaesthetic evaluation of thyrotoxic patients scheduled for

thyroidectomy. (Dec.‟05).

2. Anaesthetic management of a case of diabetes scheduled for open

cholecystectomy. (Dec.‟05).

3. Thyrotoxic patient for subtotal thyroidectomy (June.‟06).

4. Diabetic patient with autonomic neuropathy for abdominal

hysterectomy (June.‟06).

5. Anaesthetic Management of a case of pituitary Adenoma who is

planned for excision of adenoma (Transphenoidal Hypophysectomy)


6. Discuss briefly the anaesthetic evaluation & preparation of patient for

pheochromocytoma (‟97, Dec.‟04). Pathophysiology and diagnosis,

monitoring (‟95) and clinical features (‟98) and management in a 35

years old patient for b/l adrenalectomy (Dec.‟06). Discuss anaesthetic

m/m of a 35 yrs old patient with pheochromocytoma scheduled for the

B/L adrenalectomy (Dec.‟06).

7. Preoperative management of diabetic ketoacidosis (‟98, Dec.‟04).

8. Myxoedema Coma (Dec.‟04).

9. Discuss preoperative investigations, preparation & anaesthetic

management of a 50 yrs old diabetic patient presenting for an

exploratory laparotomy for a lump in the abdomen (‟99).

10. Describe preoperative evaluation & preparations of a patient of

thyrotoxicosis. Describe anaesthetic & postoperative management of

such cases (‟96).

11. Obesity: Anaesthetic problems (‟97), Anaesthetic consideration

(Dec.‟04, Jan.‟05). Extreme obesity / morbid obesity. (Jan.‟06).

Define morbid obesity. Enumerate changes in respiratory,

cardiovascular, metabolic system in obesity. Discuss preoperative

evaluation, preparation & management of morbid obese pt. posted for

pyelolithotomy (2000, ‟04). Discuss anaesthetic technique & post

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operative problems in an obese patient for repair of large ant.

Abdominal wall (‟96).

12. A 45 yrs old man with uncontrolled DM and mild hypertension is

admitted with upper intestinal obstruction for emergency laparotomy.

Discuss preoperative preparation, evaluation & Anaesthetic

management of the case (‟98).

13. What are myasthenia gravis & its clinical features? Discuss

preoperative evaluation, preparations & anaesthetic management of

such case for interval appendisectomy & management of likely

complications (‟98) for thymomectomy (Jan.‟05).

14. Aetiology & management of thyroid crisis (‟99).

15. Effect of anaesthesia & surgery on immunological mechanism (‟95).

16. Role of corticosteroids in the practice of anaesthesia (2000).

17. Accidental injury to recurrent laryngeal nerve in thyroidectomy.

18. Discuss anaesthetic management of a case of myasthenia gravis

scheduled for thymomectomy (June.‟05, Dec.‟06).

19. Temperature regulation in adults, predisposing factors, diagnosis &

management of malignant hyperthermia (Jan.‟05, Dec.‟05). Guideline

for management of M/H during or immediately after anaesthesia.

(‟05). Malignant hyperthermia - Current concept & diagnosis &

management. (‟99)

20. Myasthenia syndrome (June.‟06).

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1. Describe in detail the occupational hazards to anaesthesiologists

(Dec.‟96; „05)

2. AIDS & anaesthesiologists (June „05).

3. Problems of anaesthesia in dental chair (June‟05).

4. Discuss in brief the problem of adult patient with Down syndrome for

multiple teeth extraction (June‟05).

5. Stress & the anaesthesiologists (June‟05).

6. Anaesthetic management of post tonsillectomy bleed (June‟06).

7. Describe the different anaesthesia techniques practiced for cataract

surgery & complications (June‟06).

8. Discuss briefly anaesthetic problem in laser surgery (Dec‟96;‟04).

9. Hepatitis B. & anaesthesiologist (Dec.‟04).

10. Management of an adult with smoke inhalational injury (Dec.‟04).

11. Anaesthesia for squint surgery (June‟97).

12. Anaesthesia for perforating eye injury of 3 yrs old child (Dec.‟96;‟06).

13. Anaesthesia for multiple dental extraction in a child with Tatralogy of

fallots (Dec.‟96).

14. Anaesthesia for laser surgery of larynx (Dec. „97).

15. Anaesthesia for total laryngectomy (Dec.‟98).

16. Occulocardiac reflex (June‟95; Dec.‟06).

17. Problems & role of anaesthetists in dental anaesthesia practice.


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18. Anaesthetic management of laser surgery in tracheo bronchial tract.

(Dec.‟99; ‟02).

19. Peribulbar block (Dec.‟98). Merits and demerits of retro &

peribulbar block.

20. Problems of micro laryngeal surgery.

21. Increased IOP in anaesthesia practice (June‟02).

22. Horner‟s syndrome (Dec.‟03).

23. Discuss the anatomy of larynx with difference between adult &

children. What is the importance nerve in anaesthesia & techniques

of monitoring?

24. Occupational hazards for anaesthesiology (Dec.‟96;‟05).

25. Anaphylactic reaction in operation theatre (Dec.‟05).

26. Hypersensitivity reaction in anaesthesia practice (June‟95).

27. Operation room safety.

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1. Anaesthetic consideration in a patient for surgery of # NOF.

2. Anaesthetic problems of total hip replacement in elderly patients


3. What are the indications & contraindications for use of arterial

tourniquet? What complications may arise from the use of such

tourniquet (June‟05).

4. Problem encountered by anaesthetist during orthopaedic procedures


5. A female patient of 32 yrs age, with 5 months amenorrhoea suffered

from Koch‟s mid dorsal spine developed paraplegia. She is

scheduled for anterolateral decompression surgery. Discuss

preoperative preparation, anaesthetic management & post-operative

care (Dec.‟96).

6. Embolism during Anaesthesia (June‟98).

7. Discuss anaesthetic problem, pre-operative preparation and

anaesthetic management of a case posted for correction of

kyphoscoliosis or scoliosis surgery (June‟95;‟06).

8. Golden hour, role of anaesthetist in resuscitation of trauma patient


9. Stress response in trauma & surgery patient (June‟06).

10. Assessment of an adult patient suffered multiple traumas for few

hours duration (Dec.‟04).

11. Fat embolism syndrome. Discuss aetiology, pathophysiology,

diagnosis & treatment (Dec.‟02).

12. Resuscitation of head injury patient (June‟95).

13. Anaesthetic management of a patient of head injury and

pneumocephalus posted for internal fixation of # femur. (Dec.‟02)

14. Minimal moulding in scoliosis.

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15. Pre-hospital trauma case. (Recent adv. 2000).

16. An 86 yrs old patient scheduled for ORIF of subtrochanteric # femur.

Discuss preoperative evaluation, anaesthetic management (Dec. „06).

17. Risk factor for venous thromboembolism & classify current method of

prevention with example (Dec.‟05).

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1. Role of anaesthesiologist in obstetric unit (Dec. 2005).

2. Regional Vs GA in obstetric surgery (Dec. 2005).

3. Anaesthesia for a pregnant women for non obstetric Surgery (Dec.


4. Anaesthetic management of emergency appendisectomy in a

16 weeks pregnant patient (June 2005).

5. Problem & management of pregnant patient with dilated

cardiomyopathy on treatment for emergency LSCS (June 2005).

6. Laparoscopic surgery in pregnant patient (June 2006).

7. Describe innervation of Female genital tract with diagram & discuss

methods of producing painless labour (June 2006).

8. HELLP syndrome (Dec.2004; June 2006). Diagnosis & Management


9. Discuss the pathophysiological changes in pre-eclampsia &

eclampsia. Discuss your choice of anaesthetic technique for such a

pt. for emergency caesarean section (1997).

10. A 25 yrs primigravida with severe PIH (BP 200/110) posted for

elective LSCS. Discuss problems involved & anaesthetic

management (2000). Discuss problems, complication & anaesthetic

management in pt. with eclampsia / pre-eclamptic toxaemia (1996).

11. Discuss pathogenesis, clinical features & management of

Mendelson‟s syndrome. (1996).

12. Aspiration Prophylaxis in obstetrics (1999).

13. CPR in pregnant patients (2002).

14. Difficult intubation in obese & pregnant (2003).


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1. A neonate for repair of cervical meningo-myelocele. Anaesthetic

consideration (‟06), meningomyelocele (Dec.‟97, Dec.‟05)

3. Pre-operative operation fluid requirement in small paediatric patients–

(10 days old child). (Dec.‟05, Dec.‟06)

4. Pre-operative consideration in paediatric patients (June.‟05).

5. 10 months old baby for hernia repair. Discuss anaesthetic & post-

operative pain management (June.‟05).

6. Anaesthetic implications in neo-natal anaesthesia (June‟05).

7. Spinal anaesthesia in children (June.‟06). Regional analgesia in

children (June.‟07).

8. Temperature regulation in neonate & prevention of hypothermia in

neonate during peri-operative period. (Dec.‟04).

9. Illustrate with diagram of foetal circulation & delineate the differences

from adult circulation (Dec.‟96, Dec‟04).

10. Anaesthetic problem of repair of congenital diaphragmatic hernia in

neonate (Dec.‟04).

11. Post operative analgesia in paediatric patients (1998, 1999).

12. Post-operative analgesia in children for inguinal hernia (1998).

15. Post-operative analgesia in an infant for circumcision (1997).

16. Heat loss during abdominal surgery in a new born child. Regulation of

body temperature (1996).

18. Anaesthetic management of a 2 days old neonate for primary repair

of Tracheo-esophageal fistula (2003).

19. Multiple injury of a 10 yrs old child (2003).

20. Pre-operative management of gastroschiasis.

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21. Foreign body removal of 2 yrs old child from left bronchus –

anaesthetic management (dec.‟02).

22. Paediatric cardiopulmonary resuscitation.

23. A 10 yrs old child suffering from TOF is diagnosed to have brain

abscess. Outline the peri-operative management (1998).

24. Anaesthetic management of a child with retropharyngeal abscess

presenting for surgical drainage (1995).

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1. What are the problems in monitoring an anaesthesia patient in

Magnetic Resonance Imaging (Dec.‟05); Anaesthesia consideration


2. Anaesthesia for electro convulsive therapy (June‟06).

4. Regional anaesthesia for day care surgery (June‟06).

5. Discharge criteria for day care surgery (June‟97, Dec.‟04;‟06).

6. Monitored care anaesthesia (June‟97;‟98).

7. Fast track technique.

8. Anaesthesia for cardio version (Dec.‟06); Indications, preparation &

performing the procedure.

9. Anaesthesia for radiotherapy (June‟97).

10. Anaesthesia for day case surgery (June‟99; 2000)

11. Criteria for recovery from anaesthesia in day care surgery (Dec.‟98).

12. Monitored Anaesthesia care in a 75 yrs old patients with IHD for

cataract surgery (Dec.‟02). 80 yrs old pt (Dec.‟04)

13. Patients selection in day care surgeries.

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1. Role of ultrasound in anaesthesia & intensive care medicine &

explain usefulness of TEE in cardiac surgery (Dec.‟05).

2. Discuss the ventilatory management of ARDS (Dec.‟05).

Pathogenesis, Diagnosis & management of ARDS (Dec.‟97)

3. Risk factors for venous thromboembolism & Classify the current

method of prevention with examples (Dec.‟05).

4. Applied physiology of IPPV (Dec.‟05).

5. Recent advances in CPR (Dec.‟05) Current Concept & modified

guidelines MCPR - 2005 (June‟95;‟99;‟06; Dec.‟04).

6. Anaphylactic reaction in OT. (Dec.‟05), Clinical manifestation &

management of anaphylactic reaction in anaesthesia practice

(June‟95; Dec.‟02;‟03).

7. Discuss PEEP its mechanism of action, uses & complications

(June‟05). PEEP & its application in modern ventilation (Dec.‟99)

8. The role of selection in intensive care unit patient (June‟05).

9. Resuscitation of 60% burn in an adult patients (June‟06). 40% burn


10. Role of Kidney in Acid-Base regulation (June‟06).

11. Oxygen toxicity (Dec.‟04).

12. Indications & hazards of parenteral nutrition (Dec.‟04;‟06)

13. Recent advances in the management of acute lung Injury (Dec.‟04).

14. Newer modes of ventilation (June‟96; Dec.‟04).

15. Ventilator associated pneumonia (VAP), what are the causes &

preventive measures (Dec.‟04).

16. Role of vasopressors in septic shock (Dec.‟04).

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17. Weaning modes of ventilation (Dec.‟95;‟97;‟06).

18. Volutrauma (June‟95).

19. Pressure controlled ventilation (Dec.‟95;‟98).

20. Muscle relaxation in ICU (Dec.‟98;‟99)

21. Factors inflecting tissue oxygenation (Dec.‟99)

22. Role of nitric oxide the ICU (June‟99); in clinical practice (Dec.2000),

Management of pulmonary hypertension (June‟98)

23. Write briefly on newer modes of ventilation. Discuss each of this

ventilatory modality with reference to established case of ARDS.

24. Transmission precaution against HIV in hospital setting (June‟95).

25. Iatrogenic complications of anaesthesia (June‟97).

26. Total parenteral nutrition (June‟96; Dec.‟06),

27. Postoperative nausea and vomiting (June‟96). risk factors &

management ( Dec.‟06)

28. Inverse ratio ventilation (Dec.‟96).

29. Apache score (Dec.‟97)

30. Advance life support (Dec.‟97)

31. Long term ventilation & its complication (Dec.‟98).

32. IV alimentation in ICU (Dec.‟98).

33. Care of organophosphorus poisoning in ICU (Dec.‟98).

34. Weaning criteria in a COPD patient on ventilator (Dec.2000).

35. Postoperative hypoxia, its causes, prophylaxis & management

(June‟95; Dec.‟06).

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36. Basic life support (BLS) in an adult in emergency department in a

state of cardiac arrest (Dec.‟97)

37. Oxygen therapy (June‟97). Oxygen therapy in postoperative period


38. Discuss the pathophysiology, preventive & corrective measures of

irreversible shock (Dec.‟98).

39. Discuss pathophysiology & management of inhalational injury

(June‟98; Dec.‟04)

40. Crystalloid & colloids (Dec.‟03)

41. Causes & management of post anaesthesia shivering (Dec.‟06).

42. Discuss management of a patient of “snake bite” (Dec.‟06).

43. What are the criteria for diagnosis of SIRS? Discuss principles of

management in a patients of septic shock admitted in ICU (Dec.‟06).

44. Recombinant factor-VII a (Dec.‟06)

45. Causes of delayed resumption of spontaneous ventilation after

abdominal surgery? Discuss problem and its diagnosis and

management (June‟05).

46. Management of a patient who is not maintaining O2 saturation after

an elective abdominal surgery (Dec.‟05).

47. Postoperative elective ventilation (Dec.‟05).

48. Possible causes of delayed recovery from anaesthesia (Dec.‟04)

49. Post-operative pulmonary complication (June‟06).

50. Discuss management of an unconscious patient (young) with history

of drowning (June‟06).

51. Mandatory minute ventilation (June‟95).