DNB QUESTIONS YEAR WISE JUNE 1994

1].A 60 year old woman with rheumatoid arthritis is for THR.Discuss the anaesthetic problems and management. 2].Discuss the various regimes for painless labour. 3].Briefly describe the following:.Myocardial preservation. B}.Preoperative management of DKA. C}.Caudal epidural anaesthesia in paediatric patients. D}.Myasthenia gravis Vs Myasthenia syndrome. E}.CVS effects of newer anaesthetic ethers. F}.Pulmonary complication of anaesthesia. G}.Difficult intubation. H}.Problems and anaesthetic management in burn patients. I}.Advances in CPR. J}.Regurgitation: causes and problems 4].How would you investigate causes of increased bleeding during surgery? Give a brief account of various techniques employed to reduce bleeding.

5].A 70 year old man with chronic emphysema on antihypertensive therapy has to undergo retro pubic prostatectomy. What are the possible complications and how will you manage the procedure? 6].Briefly describe the following:A}.Various methods of prolonging the effect of local anaesthetic drugs. B}.Hazards of smoking relevant to anaesthesia. C}.Merits and demerits of use of LMA. D}.Etiology and treatment of hypertension during surgery. E}.Neonatal resuscitation in labour room. F}.Merits and demerits of crystalloids and colloids. G}.Continuous infusion of drugs in anaesthesia. I}.CCBs in surgical patients. J}.PAC clinic. K}.Vicarious liability for negligence.

DECEMBER 1994
1].Discuss regulation of ICT and methods available for reducing it under anaesthesia. 2].Discuss pre and post anaesthetic management of acute abdomen in a patient with uncontrolled diabetes.

3].Briefly describe the following:A}.Nephrotoxicity of halogenated anaesthesia. B}.Amniotic fluid embolism. C}.Operating room pollution. D}.Regional anaesthesia technique for upper extremity surgery. E}.Awareness and wakefulness under anaesthesia. F}.Modes of ventilation during bronchoscopy G}.Nosocomial infections in the ICU. H}.Impact of cancer therapy on anaesthetic management. I}.Morbid obesity-its anaesthetic implication. 4].What are the various types of trachea-esophageal fistula? Discuss the anaesthetic management and postoperative care of neonate posted for TOF repair. 5].A 14 year old girl with thoracolumbar scoliosis is posted for posterior spinal fusion of 10 vertebral segments. Discuss your evaluation, anaesthetic technique and postoperative care. 6].Briefly describe the following:A}.Blood substitute. B}.Non invasive cardiovascular monitoring. C}.Utility of anaesthetic records.

D}.Treatment of acute pulmonary edema. E}.Commonly used techniques and drugs for postoperative pain relief. F}.Day care surgery clinics in India. G}.Causes of perioperative seizures. H}.Adrenergic receptor antagonist and their uses. I}.Capnography. J}.Role of anesthesiologist in managing shoulder dystrophy syndrome.

JUNE 1995
1].Discuss the anaesthetic management of a 60 year old for resection of carcinoma sigmoid colon with history of MI sustained 10 weeks ago. 2].Discuss the pathophysiology and diagnosis of a case of pheochromocytoma.Give an account of preparation, monitoring and anaesthetic management of a 25 years old patient suffering from pheochromocytoma. 3].Briefly describe the following:A}.Cardiac output management with thermo dilution technique. B}.Complications of epidural anaesthesia. C}.Pipecuronium.

D}.Pain relief for fracture ribs. E}.OLV. F}.Clinical manifestations and management of anaphylactic reaction in anaesthesia practice. G}.IVRA. H}.Preop evaluation and preparation and anaesthesia management of a known case of BA posted for radical mastectomy. I}.Anaesthetic management of a child with retropharyngeal abscess presenting for surgical drainage. J}.Transmission and precaution against HIV in hospital setting. 4].Discuss cardio-pulmonary brain resuscitation. What are the diagnostic criteria for brain death? 5].Discuss the anaesthetic problems, preoperative preparation and anaesthetic management of a case posted for correction of kyphoscoliosis. 6].Briefly describe the following:A}.Hypoxic pulmonary vasoconstriction. B}.Minimum monitoring standards in anaesthesia. C}.Weaning from prolonged ventilation. D}.DIC.

E}.Occulocardiac reflex. F}.Postoperative hypothermia-its causes, prophylaxis and management. G}.Co2 carriage in blood and effects of hypercapnia. H}.Venturi principle and its clinical implication. I}.Assessment, management of difficult intubation. J}.Effect of anaesthesia and surgery on immunological mechanism.

DEC 1995
1].Define pre-eclampsia and eclampsia.Discuss the pathophysiology.Formulate with reasons the anaesthetic technique for such a patient posted for CS. 2].Write short note on:A}.Limitations of pulse oximeter. B}.Blood transfusion and related disease transmission. C}.Resuscitation of a head injury patient. D}.Nitric oxide. E}. Problems of micro laryngeal surgery. 3].Describe the anaesthetic assessment and management of a 70 year old patient posted for TURP.What are the possible complications and how will you treat them?

4].Briefly describe the following:A}.Innervation of foot and technique of performing ankle block. B}.Perioperative fluid requirement for a paediatric patient undergoing elective surgery. C}.Protocol for weaning a patient from prolonged ventilator support in an ICU. D}.Modified bipolar standard limb lead system and its usefulness for intraoperative monitoring. E}.clinical manifestations and management of acute OP poisoning. 5].Discuss the various methods of providing postoperative pain relief. What do you understand from the term pre-emptive analgesia? 6].Briefly describe the following:A}.Intraoperative bronchospasm. B}.Pressure support ventilation. C}.Methods of monitoring NMJ function. D}.Storage lesions in blood. E}.Causes and prevention of awareness under anaesthesia. F}.Hypersensitivity reaction in anaesthesia practice. G}.Mandatory minute ventilation.

H}.Blood loss monitors. I}.Prevention and treatment of ventricular arrhythmias during GA. J}.Regulation of kidney in acid base balance. K}.Interaction of depolarizing with NDMRs. L}.Types of plenum vaporizers. M}.Stellate ganglion block-indication and complication. N}.Merits and demerits of halothane and isouflurane.

JUNE 1996
1].Describe the anaesthetic management and postoperative care in a patient with uncontrolled hypertension (BP-180/120) for emergency laparotomy for perforated duodenal ulcer. 2].Write short notes on:A}.Double lumen endotracheal tubes B}.Anaesthetic management of a 2 days old neonate for primary repair of tracheoesophageal fistula. C}.Air embolism during anaesthesia. D}.Complications and sequelae of blood transfusion. E}.Problems during anaesthesia for laser surgery.

3].Describe preoperative evaluation and preparation of a patient with thyrotoxicosis.Describe the anaesthetic care and postoperative management of this patient. 4].Write short notes on:A}.GCS. B}.Newer modes of ventilation. C}.Diagnosis and management of HELLP syndrome. D}.Role of capnography during anaesthesia. E}.Preoperative preparation and evaluation of a patient with history of exertional angina for surgery under general anaesthesia. 5].Discuss the pathogenesis, clinical features and management of Mendelsons syndrome. 6].Write short notes on:A}.Autologous blood transfusion B}.Etiology and management of hypotension during anaesthesia. C}.Beta receptor blockade-its relation in anaesthesia. D}.Draw a neat labeled diagram of fetal circulation and delineate the difference from adult. E}.Occupational hazards for anesthesiologist.

7].What are the various routes of administration of morphine? Discuss the pharmacokinetics and pharmacodynamics of epidural morphine. 8].Write short notes on:A}.Nephrotoxicity of halogenated anaesthetics. B}.Coronary circulation. C}.Propofol D} Merits and demerits of laryngeal mask. E}.Interactions of pre-existing drug therapy with anaesthetic agents and techniques.

DECEMBER 1996
1].Discuss the anaesthetic techniques and postoperative problems in an obese patients for repair of large hernia in anterior abdominal wall. 2].Write short notes on:A} Complications of cannulation on internal jugular vein. B} Cardiac arrhythmias during anaesthesia. C} TIVA D} Minimum Alveolar Concentration. E} Hoffman degradation.

3].Describe anaesthetic and postoperative management of a patient undergoing intra-cranial aneurysm surgery. 4].Write short notes on:A} Continuous Subarachnoid block B} PCA C} Anaesthesia for perforating injury of eye in a 3 year old child. D} Describe airway management of a patient of ankylosing spondylitis with severe restriction of neck movement posted for THR. E} Anaesthesia for multiple dental extractions in a child with TOF. 5]. Enumerate various positions in relation to anaesthesia and discuss in detail the problems associated with them. 6].Write short notes on:A} TPN B} Pipecuronium C} CVP:-its application in anaesthesia D} Post anaestehsia vomiting E} Inverse ratio ventilation 7].Describe the problems, complications and anaesthetic management of CS in a patient with Pre Eclampsic Toxemia.

8].Write short notes on:A} Trigeminal neuralgia:-clinical features and management. B} Heat loss during abdominal surgery in a newborn child. C} Epidural analgesia for postoperative pain relief. D} Water and electrolyte disturbances and their pre-anaesthetic correction in small gut obstruction. E} Enzyme induction:-describe the mechanism with routine anaesthesia examples.

JUNE 1997
1] A young man is suffering from pheochromocytoma.Discuss the preoperative preparation, and anaesthetic management for the removal of tumor. 2]. Write short notes on:A} Hazards of smoking relevant to the anesthetists. B} Weaning modes of ventilation. C} Management of reflex sympathetic dystrophy. D} Complications of blood transfusion. E} Hepato renal syndrome in anaesthetic practice: - etiology and management. 3].A female patient aged 34 years with 5 months amenorrhea suffered from Kochs mid dorsal spine developed paraplegia.

Discuss the pre-operative preparation and anaesthetic management and postoperative care. 4].Write short notes on:A} Discuss the management of a case of 40% burns. B} Anaesthesia for laser surgery of the larynx. C} IVRA. D} Problems and management of One Lung Anaesthesia. E} Management of intra operative bronchospasm. 5].Describe the pathogenesis and management of ARDS. 6].Write short notes on:A} Monitored anaesthesia care. B} Simulator in anaesthesia education. C} Monitoring and control of raised ICP in head injury. D} WHO regimen for chronic pain management. E} Pre-operative management of a neonate for meningomyelocoele surgery. 7].Describe the BLS measures in an adult who has been brought into emergency room of the hospital in a state of cardiac arrest. 8].Write short notes on:A} Closing volume of the lungs and its measurements.

B} Mechanism of action of LA agents. C} Manifestations and treatment of beta adrenergic agonist toxicity. D} Post-operative analgesia in an infant for circumcision. E} Sevoflurane.

DECEMBER 1997
1].Discuss the pre-operative investigations and anaesthetic management of an emergency operation in a 60 year old who had MI 6 weeks back. 2].Write short notes on:A} Problems of laparoscopic surgery and monitoring techniques used during the procedure. B} SSEP. C} Anaesthesia for squint surgery. D} Midazolam. E} Positional hazards during anaesthesia. 3].Discuss the pathophysiological changes in pre-eclampsia and eclampsia.Discuss your choice of anaesthetic technique for such a patient posted for CS. 4] .Write short notes on:-

A} Pathophysiology of VAE; mention the methods of detection, prevention and treatment. B} Obesity: anaesthetic problems C} Iatrogenic complication is anaesthesia. D} Anaesthesia for radiotherapy. E} Recent trends in blood transfusion and blood products. 5].Discuss the current concepts in the management of COPAD in respiratory failure. 6].Write short notes on:A} Regional analgesia in children. B} Computer based patient record for anaesthesia. C} APACHE score D} Discharge criteria in outpatient anaesthesia. E} Advance life support. 7].Describe the pathophysiology of ARDS.What are the diagnostic criteria? 8].Write short notes on:A} Myocardial protection during CPB. B} Oxygen therapy. C} Untoward effects of IV sodium bicarbonate.

D} Hepatotoxicity of halothane. E} The WHO three step ladder pattern for pain relief in advanced cancer.

JUNE 1998
1].What is myasthenia gravis? What are its clinical features? Discuss the preoperative investigations, preparation and anaesthetic management of such a case presenting for an interval appendicectomy and management of likely complications. 2].Write short notes on:A} multifocal ventricular ectopics during anaesthesia. B} Criteria for recovery from anaesthesia in DCS. C} Minimum patient monitoring during anaesthesia. D} Long term ventilation and its complications. E} IV alimentation in ICU. 3].Discuss the pathophysiology, prevention and corrective measures of irreversible shock. 4]. Write short notes on:A} Volutrauma. B} DIC. C} Pulmonary artery catheter. D} Monitored care.

E} Remifentanyl. 5].A 45 year old man suffering from DM and mild hypertension is admitted with upper intestinal obstruction for emergency laparotomy.Discuss the pre-operative investigations, preparation and anaesthetic management of such a case. 6].Write short notes on:A} SSEP. B} Autologous Blood transfusion. C} Narcotic antagonists. D} Sterilization of anaesthesia equipment. E} Patient controlled anaesthesia.

December 1998
1].A 10 year old child suffering from TOF is diagnosed to have brain abscess. Outline the perioperative management. 2].Write short notes on:A} Pressure controlled ventilation. B} Anaesthetic problems in an anemic patient. C} Functional residual capacity. D} PCA. E} Rocuronium.

3].Discuss the various methods of postoperative pain relief in pediatric surgery. 4].Write short notes on:A] Coaxial circuits. B} Awareness during anaesthesia. C} Hypokalemia. D} Anaesthesia for total laryngectomy. E} Blood component therapy. 5].What is pheochromocytoma? What are its clinical features? Discuss its preoperative investigations, preparation and anaesthetic management of such a case for surgical removal. 6].Write short notes on:A} Malignant hyperthermia. B} Management of DKA. C} IVRA. D} Care of OP poisoning in ICU. E} Embolisms during anaesthesia. 7].Discuss the pathophysiology and management of inhalation injury. 8].Write short notes on:-

A} Calcium channel blockers and anaesthesia. B} Nitric oxide for management of pulmonary hypertension. C} Peribulbar block. D} Epidural pressure and the various factors affecting the same. E} Hypotension during anaesthesia.

JUNE 1999
1].Describe the nerve innervations of the foot with diagram and discuss the local anaesthetic block at the ankle for the amputation of gangrenous toe in a patient. 2].Write short notes on:1} Pulmonary function changes following central neuraxial blockade. 2} Hepatorenal shut down-etiology and prevention. 3} Use of muscle relaxants in ICU. 4} The factors influencing tissue oxygenation. 5} Plasma volume expansion. 3].Discuss your anaesthetic management of strangulated inguinal hernia in a patient with recent myocardial infarction. 4].Write short notes on:Anaesthesia for day care surgery.

B} Venturi principle and its use in anaesthesia. C} CVP. D} Water intoxication. E} PDPH. 5].Discuss the current concepts and modifies guidelines of cardiopulmonary brain resuscitation. 6].Write short notes on:A} TPN. B} Current concepts in the diagnosis and treatment of malignant hyperthermia. C} Awareness and wakefulness under anaesthesia. D} OR pollution. E} Autologous blood transfusion. 7].Write down the physiology of sleep. How does it differ from anaesthesia? What changes occur in the various stages of anaesthesia? 8].Write short notes on:A} Compare propofol with midazolam. B} Tracheo bronchial tree with diagram. C} Evolution of rotameter.

D} Complications of local anesthetics. E} PEEP and its application in modern ventilators. DECEMBER 1999 1].Describe the preoperative investigations, preparation and anaesthetic management of a 50 year old diabetic patient presenting for an exploratory laparotomy for a lump in abdomen. 2].Write short notes on:A} Preanalytical consideration of ABG measurement. B} Factors influencing tissue oxygenation. C} Plasma volume expansion. D} Role of nitric oxide in ICU. E} Postoperative analgesia in paediatric patients. 3].A patient of Coarctation of aorta is scheduled for caesarean section. Discuss the preoperative preparation, anaesthetic management and postoperative care of the patient. 4]. Write short notes on:A} Crystalloid and colloid. B} Safe anaesthetic procedure. C} Pre-operative visits. D} Oxygen therapy.

E} Bronchospasm during anaesthesia and immediate postoperative period and its management. 5].Discuss anatomy of the diaphragm with a diagram. How does it behave under different stages of anaesthesia? 6].Write short notes on:A} Spinal opiate receptors. B} Neuro- muscular transmission. C} Propofol as compared to thiopentone. D} Physiological changes associated with IPPV. E} Elimination of atracurium from the body. 7].Discuss the assessment, preparation and problems of anaesthesia in a chronic smoker for cholecystectomy. 8].Write briefly on:A} Aspiration prophylaxis in obstetric. B} Problems and role of anesthetist in dental anaesthesia. C} Plasma proteins and anaesthesia. D} Etiopathology and management of thyroid crisis. E} Anaesthetic management of laser surgery on tracheobronchial tract.

JUNE 2000
1].Write briefly on newer modes of ventilation. Discuss each of these ventilator modality with reference to an established case of ARDS. 2].Write short notes on:A} Role of magnesium in anaesthesia practice. B} Present trend of blood component therapy. C} Prevention and treatment of intraoperative MI. D} TIVA. E} Nitric oxide in clinical practice. 3].A 25 year old primigravida in 34 weeks of pregnancy with PIH presented with a BP of 200/110 mm Hg for an elective LSCS.Discuss the problems involved and the anaesthetic management. 4].Write short notes on:A} Autologous blood transfusion. B} Anaesthesia for drainage of empyema thoracis. C} Day care anaesthesia. D} Management of LA toxicity. E} Hypokalemia.

5].Define morbid obesity. Enumerate the changes that occur in the respiratory, cardiovascular and metabolic systems in obesity. A 40 year old patient with height 158cms and weighing 150 kgs is scheduled for pyelolithotomy.How will you evaluate this patient preoperatively? Discuss the problems involved and the anaesthetic management. 6].Write short notes on:A} Monitored anaesthesia care in a 75 year old man with IHD for cataract surgery. B} Preoperative preparation and surgical risk assessment in a patient with cirrhosis of liver. C} Weaning criteria in a patient of COPD on ventilator. D} Methods of decreasing increased increased ICP. 7].Describe the arterial circulation of the heart with the aid of a diagram mentioning the unique features of coronary blood flow. Explain the Goldmans Cardiac risk index and its importance to the anesthetist. 8].Write short notes on:A} Brain death. B} Capnography. C} Checkout procedure to be followed routinely before using anaesthesia and other monitoring equipment.

D} Role of corticosteroids in the practice of anesthesiology. E} Sevoflurane Vs Desflurane.

DECEMBER 2000
1].How do you plan for anaesthesia in renal transplant surgery? Draw plan for an OT exclusively for renal transplant surgery. 2].Write short notes on:A} Peripheral nerve injury under anaesthesia is a preventable complication. B} Pharmacology of fentanyl congenial. C} Application of venture principle in anaesthesia practice. D} Present day concept of IV alimentation. 3].A 35 year old lady with huge thyroid presenting with thyrotoxicosis is posted for subtotal thyroidectomy.Discuss the preoperative evaluation, preparation and anaesthetic management. 4]. Write short notes on:A} TURP syndrome. B} Attenuation of laryngoscopic reaction to intubation. C} Magnesium sulphate therapy. D} Paediatric circuit. E} Relevance of PFTs.

5]. Define hypertension. How will you evaluate and prepare a 40 year old female patient scheduled for abdominal hysterectomy. Discuss the anaesthetic and postoperative management of such a case. 6].Write short notes on:A} Hepatitis-B and the anesthesiologist. B} Management of Mendelsons syndrome. C} Perioperative blood conservation. D} Resuscitation of a patient with 60% deep burn injury. E} Management of a 4 year old child scheduled for CT scanning brain using an iodine containing solution. 7].Discuss the pathophysiology of ARDS.Describe the clinical trends in the management of ARDS. 8].Write short notes on:A} Specific problems and their prevention during anaesthesia in a patient with artificial pacemaker. B} Informed consent. C} Vocal cord palsies with the aid diagrams of direct laryngoscopic view. D} Pulse oximetry. E} Awareness during anaesthesia.

JUNE 2001
1].Define multiple organ dysfunction syndromes. How do you plan to manage such a case? 2].Write short notes on:Anaesthesia for day stays surgery. B} Maplesons breathing systems. C} Remifentanyl in clinical practice. D} Management of one day old neonate posted for correction of gastrochisis. E} Control of nosocomial infections in postoperative and ICU. 3].Discuss in detail the anaesthetic management of patients with reactive airway disease. 4].Write short notes on:A} TIVA. B} Occupational hazards to the anesthetist. C} Occulocardiac failure. D} Anaesthetic problems in dental chair. E} Rocuronium. 5].Discuss the preoperative evaluation, preparation and anaesthetic management and postoperative complications in a 20 year old female with myasthenia gravis posted for thymectomy.

6].Write short notes on:A} Modern trends in obstetrical analgesia. B} Invasive intra-op monitoring. C} Management of spinal injury. D} Post-traumatic fat embolism. E} Anesthesia for intraocular surgery. 7].Discuss the pathophysiology and management of anaphylactoid reactions in anaesthesia. 8].Write short notes on:A} Postoperative jaundice. B} Weaning modes of ventilation. C} Regulation of ICP. D} TEE. E} Ageing and organ function.

DECEMBER 2001
1].Discuss the problems, preoperative evaluation, preparation and anaesthetic management of a neonate posted for repair of anaesthesia. 2].Write short notes on:A} Acute lung injury.

B} Recent advances in intra-operative pediatric fluid management. C} Infections related to anaesthesia practice. D} Assessment of risk factors for patient with moderate to severe liver disease. E} PONV for ophthalmology. 3].Describe the physiologic changes occurring during pregnancy and clinical implications to the anesthetist. 4].Write short notes on:A} Role of anesthetist in multiple traumas. B} WHO three step ladder pattern for pain relief in advanced cancer. C} Venturi principle and its application. D} Plasma expanders. E} Indications and contraindications of regional anaesthesia. 5]. Discuss the preoperative evaluation, preparation and anaesthetic management of a 16 year old male kept for pheochromocytoma excision. How will you manage post anaesthetic complications? 6].Write short notes on:A} Anaesthetic management of a case with COAD. B} Principles of TPN.

C} Anaesthesia for burn patients. D} Anaesthetic management of an 80 year old male kept for TURP. E} Neonatal resuscitation. 7].What is the various routes of administration of opoids? Discuss the merits and demerits of each. 8]. Write short notes on:A} Regulation of cerebral blood flow. B} Pre-hospital trauma care. C} Assessment of pain in children. D} Capnography. E} Three in one block.

JUNE 2002
1].An 80 year old man is posted for THR.Discuss the preoperative evaluation, preparation and anaesthetic management of this case. 2].Writes short notes on:A} Preoperative evaluation of a case chronic renal failure posted for renal transplant. B} Evaluation of difficult airway.

C} Role of anesthetist in management of a case with Thrombo Angitis Obliterans. D} merits and demerits of retro bulbar versus peribulbar block. E} Air embolism under anaesthesia. 3].Discuss the regulation of body temperature .How will you prevent hypothermia in a neonate posted for major abdominal surgery. 4].Write short notes on:A} Factors affecting coronary circulation. B} Aetiopathology of ARDS. C} Blood component therapy. D} Role of regional analgesia in pediatric surgery. E} Preoperative evaluation of autonomic function. 5].A child with TOF is posted for corrective surgery. Discuss the preoperative evaluation and anaesthetic management of this case. 6].Write short notes on:A} Anaesthetic management of a case with post tonsillectomy bleeding. B} GCS. C} Prevention of fire and explosion hazards in operation theatres. D} Anaesthetic problems in laser surgery.

E} Myxoedematous coma. 7].Discuss in detail the etiology, pathophysiology, diagnosis and treatment of fat embolism syndrome. 8].Write short notes on:A} Pre-emptive analgesia. B} Co axial circuits. C} the Golden hour. D} Jugular venous oximetry. E} Ropivacaine. 9] An 80 years old male is posted for THR.Discuss the preoperative evaluation, preparation and anaesthetic management of this case. 10] Write short notes on:A} Pre-operative evaluation of a case with chronic renal failure posted for renal transplant. B} Evaluation of difficult airway. C} Role of anesthetist in the management of a case with thromboangitis obliterans. D} Merits and demerits of retro bulbar versus peribulbar block. E} Air embolism under anaesthesia.

11]. Discuss the regulation of body temperature. How will you prevent hypothermia in a neonate posted for major abdominal surgery? 12]. Write short notes on:A} Factors affecting coronary circulation. B} Aetiopathology of acute respiratory distress syndrome. C} Blood component therapy. D} Role of regional analgesia in pediatric surgery. E} Pre-operative evaluation of autonomic function. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

DECEMBER 2002
1].Describe the anatomy of larynx with difference in adult and children. What is importance of recurrent laryngeal nerve in anaesthesia practice? 2].Write short notes on:A} Hydrocephalus and its various methods of management. B} Pulmonary edema in intra0operative and immediate postoperative period. C} Anatomy of brachial plexus and its importance to the anesthetists. D} Thyroid crisis.

E} Broncho-pleural fistula. 3].How is the diagnosis of dilutional hyponatremia made? What is its significance in anaesthesia? 4].Write short notes on:A} Clinical use of blood. B} MRI and anaesthesia. C} Post-tonsillectomy bleeding. D} Pacemakers. E} Disinfection. 5].Discuss the pharmacological principles of measuring the depth of anaesthesia and techniques for monitoring the depth of anaesthesia. 6].Write short notes on:A} Comparative evaluation of Ringer lactate, low molecular dextran and 3-5% polygelatine as spinal preloading. B} Anaesthesia for day stay surgery. C} Effect of intrathecal neostigmine on spinal anaesthesia. D} Indications and methods of stellate ganglion block. E} Adenosine and its clinical uses.

7].What is malignant hyperthermia? Discuss its clinical features and laboratory finding. Why it is important for the anesthetist to know about this syndrome? 8]. Write short notes on:A} CPR in pregnant women. B} what is meant by end tidal co2 concentration? C} Treatment of hyperkalemia. D} Combined spinal epidural block. E} Principles of management of DKA.

JUNE 2003
1].Anatomy and physiology of trachea-esophageal fistula. Anaesthetic management of the disease. 2].Write short notes on:A} Hydropneumothorax. B} Caudal block. C} Venturi principle and its application in anaesthesia. D} Anaesthetic management of myasthenia gravis. E}Horners syndrome. 3].Anaesthetic management of a 10 year old child with multiple injuries.

4].Write short notes on:A} Predictive assessment of difficult airway. B} Medical diseases in obstetrics. C} Central anticholinergic syndrome in postoperative patient. D} Transdermal opoids. E} HIV and anaesthesia. 5]. Describe principles, assessment and treatment for pain in a burn patient. 6].Write short notes on:A} Patient controlled analgesia. B} Stress and the anesthesiologists. C} Effects of atenolol pretreatment in CVS, NMJ and IOP. D} Identification of anaphylaxis under GA and its management. E} Modified continued spinal epidural analgesia. 7].Obesity-problems in such a patient, anaesthetic management and anaesthetic drugs of choice. 8].Write short notes on:A} Post thyroidectomy respiratory obstruction, causes and management. B} Systemic toxicity of LA and management.

C} Massive blood transfusion. D} Minimal monitoring in post spinal fusion for scoliosis. E} Criteria of selection for ambulatory surgery.

DECEMBER 2003
1] Discuss the etiology and management of various cardiac arrhythmias occurring during anaesthesia. 2] Write short notes on:A} Respiratory monitoring in anaesthesia. B} Pollution in anaesthesia. C} Venous air embolism. D} IVRA. E} Difficult intubation. 3] A 35 weeks pregnant patient with BP 200/100 mm Hg, edema, and albuminuria is to be prepared for elective caesarean section. Discuss preparation and preferred anaesthesia technique (regional or general) 4] Write short notes on:A} Tracheostomy techniques and complications. B} High frequency ventilation. C} Isoflurane versus Sevoflurane.

D} Crystalloids versus colloids. E} Central venous cannulation. 5] Discuss the preoperative assessment and the method of anaesthesia in patient with TM Ankylosis for the release of ankylosis. 6] Write short notes on:A} Weaning modes of ventilation. B} Anaphylactoid reaction during anaesthesia. C} Management of mismatched blood transfusion. D} Discharge criteria for day care surgery. E} Occupational hazards to anesthetist. 7] Describe the countercurrent mechanism in the kidney. Discuss the renal protection strategies during preoperative period. 8] Write short notes on:A} Human albumin. B} Intracranial pressure. C} TIVA. D} Defibrillation. E} Malignant hyperthermia.

JUNE 2004
1] A 40 year old male has pulse 45/min and BP of 190/110 mmHg diagnosed cases of tumor mass in the posterior fossa.How will you prepare and manage the case for removal of tumor? 2] Write short notes on:A} Myocardial preservation. B} Thyroid storm C} Brain death D} Septic shock E} GBS 3] A 4 year old has come in emergency with foreign body in right bronchus. How will you manage for broncshoscopy for such a patient? 4] Write short notes on:A} Post op shivering B} Surgical uses of mannitol C} Auto transfusion D} Characteristics of ideal vaporizer E} Anaesthetic problems in MRI suite. 4] What is pathophysiology of CAD? How will you manage a 30 year old with history of angina?

5] Write short notes on:A} Carcinoid tumor B} malignant hyperthermia C} DKA D} Acute pain management in opoid tolerant patient E} AIDS 6] A 40 year old male patient with diagnosed case of carcinoma lung right bronchi has come for pneumonectomy? How will you prepare and manage the case? 7] write short notes on:A} PSV B} Ethics and anaesthesia C} Evaluation of cardiac patient for non cardiac surgery D} Oxygen toxicity E} Pharmacokinetics of thiopentone sodium

DECEMBER 2004
1. Preoperative assessment of autonomic functions. 2. Venturi principle and its application. 3. Role of kidney in acid base balance. 4. Complications of cannulation of IJV.

5. Autologous blood transfusion. 6. Temperature regulation in neonate and prevention of hypothermia in neonate during perioperative period. 7. Oxygen toxicity. 8. Illustrate with diagram fetal circulation and delineate the differences from adult circulation. 9. Methods of monitoring neuromuscular transmission during anaesthesia. 10. Role of magnesium in anaesthesia and ICU. 11. Discuss briefly:A} Pre anaesthetic evaluation and preparation of patient for pheochromocytoma. B} Anaesthetic management of an adult patient with permanent pacemaker posted for TURP. 12. Discuss briefly:A} Anaesthetic problems in laser surgery. B} Indications and hazards of parenteral nutrition. C} One lung anaesthesia-problems and management. D} Pre-emptive analgesia. 13. Write short notes on:A} Hepatitis B and anesthesiologist.

B} Discharge criteria for Day care surgery. C} Management of an adult with smoke inhalational injury. D} Pre-operative management of DKA. 14. Monitored anaesthesia care in 80 year old man with IHD for cataract surgery. 15. Myxedmatous coma. 16. Supine hypotension syndrome. 17. Intra operative bronchospasm. 18. Discuss the anaesthetic problems in patients undergoing lieno renal shunt, 19. Morbid obesity-anaesthetic problems. 20. PCA. 21. Anaesthetic problems of repair of CDH in a neonate. 22. Clinical use of alpha 2 agonists in anaesthesia. 23. Enzyme induction its role in anaesthesia with examples. 24. Recent advances in the management of ALI. 25. Newer odes of ventilation. 26. Possible causes of delayed recovery from GA. 27. Current concepts in CPR.

28. Assessment of an adult patient who sustained multiple trauma of few hours duration. 29. Caudal epidural analgesia in anaesthesi practice. 30. Etiology and management of cardiac arrhythmias during Anaesthesia. 31. VAP-causes and prevention. 32. Role of vasopressors in septic shock. 33. HELLP syndrome.

JUNE 2005
1. Oxygen cascade, oxygen transport and oxygen dissociation curve. 2. Methods of central venous cannulation; uses, limitations and complications of CVP monitoring. 3. Anatomy of larynx. Enumerate with diagrams the types of vocal cord palsies. 4. Blood component therapy. 5. Temperature regulation in adults. Predisposing factors, diagnosis and management of malignant hyperpyrexia. 6. Methods of ICP monitoring. Uses and complications of ICP monitoring. 7. Plasma volume expanders.

8. Classify CHD; explain with diagram the blood flow before and after delivery in PDA. 9. Causes, diagnosis and management of hypo and hyperkalemia. 10. Describe PEEP, its mechanism of action, uses and complications. 11. Preoperative considerations in pediatric patients. 12. Preoperative preparations of case of myasthenia gravis scheduled for thymectomy. 13. Anesthetic management of emergency appendicectomy in a 16 weeks pregnanant patient. 14. Anaesthetic management of a case of essential hypertension for upper abdominal surgery. 15. Anaesthetic problems of liver transplantation surgery. 16. Anaesthetic considerations in obesity. 17. Medical management of head injury patient. 18. AIDS and the anesthetist. 19. Airway assessment. 20. Problems of anaesthesia in dental chair. 21. What are the potential causes of delayed resumption of spontaneous ventilation after abdominal surgery with general anaesthesia? Discuss the problems, its diagnosis and management.

22. List and brief statement and effectiveness of each of the means available for detecting awareness under anaesthesia. 23. Describe the criteria and neurological test for brainstem and preparing the patient for organ donation. 24. Clinical features of infective endocarditis, principle guidelines to use antibiotics as prophylaxis agent during surgery. 25. What are the indications and contraindications for use of arterial tourniquet? What complications may arise from the use of such tourniquet? 26. Preoperative assessment, preparation specific to Thoraco Abdominal Aortic esophagectomy.Describe the anaesthetic problem during operation. 27. List the bedside tests available to predict the difficult intubations. Comment on their uses. 28.10 months old baby for hernia repair. Discuss the anaesthetic and postoperative pain management. 29. Problems and management of pregnant patient with DCM on treatment for emergency LSCS. 30. Discuss in brief the problems of adult patient with Downs syndrome for multiple teeth extraction. 31. Name the adrenergic agonists and antagonists. Describe in detail their uses in anaesthesia practice.

32. What is cerebral protection? Explain the methods adopted in clinical practice for cerebral protection. 33. The role of sedation in ICU patients. 34. Problems encountered by anesthetists during the orthopedic operative procedures. 35. What are the ways by which you can measure the depth of anaesthesia during the intraoperative period? 36. Discuss the physiology of hemostasis and its significance. 37. Anaesthetic implications in neonatal anaesthesia. 38. Physical principles of pulse oximetry. 39. Stress and anesthesiologists. 40. What are the methods adopted by the anesthetists to reduce the need for allogenic blood transfusions.

DECEMBER 2005
1. Pre-anaesthetic evaluation of a patient of Mitral Stenosis for MTP and sterilization. 2. Preoperative preparation of a diabetic patient with history of bleeding varices, lino renal shunt operation. 3. Management of a patient who is not maintaining 02 saturation after an elective abdominal surgery. 4. Role of anesthetist in obstetric unit.

5. Third space loss-its importance to anesthetist. 6. Anaphylactic reaction on the operation table. 7. Anaesthetic consideration of a neonate for repair of cervical meningo-myelocoele. 8. Anaesthetic consideration of a patient on pacemaker for TURP. 9. Anaesthetic consideration of a patient for surgery for fracture neck of femur, one year after CABG. 10. Anaesthetic consideration of a patient with BPF for repair. 11. Pre-anaesthetic evaluation of a thyrotoxic patient for thyroidectomy. 12. Pre-anaesthetic evaluation of a patient with valvular heart disease. 13. Anaesthetic management of a case of DM scheduled for open cholecystectomy. 14. Intraoperative anaesthetic consideration in COPD patient fro upper abdominal surgery. 15. Anesthetic consideration in chronic liver failure. 16. Recent advances in CPR. 17. Postoperataive elective ventilation. 18. RA vs. GA in obstetric surgery.

19. Perioperative fluid requirements in small pediatric patients. 20. How USG useful in anesthesiology and intensive care medicine and explain usefulness of TEE during surgery. 21. Discuss the ventilator management of ARDS. 22. Discuss the peri-operative management of cerebral AVM. 23. Risk factors for VTE and classify current methods of prevention with examples. 24. Anaesthetic management of 2 year old child for therapeutic bronchoscopy following inhalation of foreign body 2 days ago, child could not exhibit any sign of airway obstruction. 25. A patient who has undergone Heart transplant requires noncardiac surgery. What precautions must be undertaken by an anaesthetic for surgery? 26. What are the therapeutic doses of Magnesium? How does it work? 27. What are the problems in monitoring an anaesthetized patient in MRI? 28. What are the diagnostic features that would lead to identify Malignant Hyperthermia during or immediately after anaesthesia and the state the guidelines of management? 29. What are the problems associated with anaesthesia for elective surgery in a patient of chronic renal failure?

30. Applied physiology of IPPV. 31. Pre-emptive analgesia. 32. Anaesthesia for pregnant woman for non-obstetric surgery. 33. Assessment of intraoperative awareness. 34. Anaesthetic role in pain and palliative care. 35. Enumerate the problems with muscle relaxants. 36. Operation theatre safety. 37. Define perioperative hypertension. Describe the causes and management. 38. Describe in detail the occupational hazards to anesthesiologist. 39. What is minimum monitoring standard? Describe the objectives and methods.

JUNE 2006
1. Acute pain management service. 2. Anaesthesia for Electro Convulsive Therapy. 3. Anaesthetic management of Post Tonsillectomy Bleed. 4. Resuscitation of 60% burns in an adult patient. 5. Anaesthetic considerations for MRI. 6. Post operative Pulmonary Complications.

7. Modified guidelines of CPR-2005. 8. Thyrotoxic patient for subtotal thyroidectomy. 9. Diabetic patient with Autonomic Neuropathy for Abdominal Hysterectomy. 10. Laparsocopy surgery in a pregnant patient. 11. Myaesthenic syndrome. 12. Anti-thrombotic Prophylaxis and Neuraxial Anaesthesia. 13. Diagnosis and management of an acute attack of Malignant Hyperthermia. 14. Artificial Blood (Synthetic Oxygen Carrying Substances). 15. Pulmonary Artery Pressure Monitoring. 16. Spinal Anaesthesia in children. 17. Pre-operative evaluation and preparation of a patient with Fallots Tetrology. 18. TIVA. 19. Anaesthetic management of a case of Pituitary Adenoma who is planned for excision of adenoma (transsphenoidal hypophysectomy). 20. Anaesthetic problems in scoliosis surgery. 21. Discuss the causes of delayed recovery from anaesthesia and the management.

22. Complications of Extramural Anaesthesia. 23. Regional Anaesthesia in Day Care Surgery. 24. What do you mean by Golden Hour in Trauma? Discuss the role of anesthetist in resuscitation of a trauma patient. 25. Discuss the management of an unconscious patient with history of drowning. 26. What do you mean by awareness during anaesthesia? Mention the monitors in use to measure the depth of anaesthesia. 27. Describe the intrathecal and epidural opoids in clinical practice and their complications. 28. What are the causes of hypercarbia during the intraoperative period? Discuss the effects and management. 29. Anaesthetic problems in a patient with extreme obesity. 30. Describe the different anaesthesia techniques practiced for cataract surgery and their complications. 31. Stress response to trauma and surgery. 32. Describe the innervation of Female Genital Tract with a diagram and discuss methods of producing painless labour. 33. Lung Compliance. 34. Role of Kidney in Acid-Base Regulation. 35. HELLP syndrome.

36. Adrenergic agonists. 37. Drug Interactions. 38. Phantom Limb Pain. 39. Hyperkalemia. 40. Role of Magnesium in anaesthesia and ICU.

DECEMBER 2006
PAPER 1 1. A 35 years old patient with chronic renal failure is scheduled for Renal transplant. Discuss the anaesthetic management. 2. Discuss the anaesthetic management in a patient of Myasthenia Gravis scheduled for thymectomy. 3. How will you anaesthetize airway of a 40 year old man for awake intubation? 4. Causes and management of Post anaesthesia shivering. 5. Parenteral nutrition in critically ill patient. 6. Enumerate risk factors for PONV and discuss its management. 7. A four year old child is scheduled for emergency repair of penetrating injury of the eye .Discuss the anaesthetic management.

8. Discuss the preoperative evaluation and anaesthetic management of a 30 year old female patient who underwent mitral valve replacement 6 months ago and is now scheduled for MTP with laparoscopic sterilization. 9. An 86 year old patient is scheduled for ORIF of subtroachanteric fracture of femur. Discuss the preoperative and anaesthetic management of this patient. 10. Discuss advantages and disadvantages of OPCAB. PAPER 2 1. Discuss the anaesthetic management of a 35 year old patient with Pheochromocytoma scheduled for bilateral adrenalectomy. 2. What are the indications of elective cardioversion? How does y You prepare and perform this procedure? 3. Discuss the management of CICV in OT. 4. Discuss the management of a patient with snake bite. 5. Various clinical and confirmatory tests for brain death. 6. Discharge criteria in a patient undergoing surgery in the OPD. 7. A patient with obstructive jaundice (serum bilirubin 20mg %) is posted for Whipples procedure. Discuss the preoperative evaluation and anaesthetic management of this case.

8. Discuss briefly the preoperative evaluation and anaesthetic management of a 50 years old patient who had acute MI three months ago, and is scheduled for inguinal hernia repair. 9. What are the indications of OLV? Discuss the ventilator management during one lung anaesthesia. 10. Causes and management of Postoperative hypoxemia. PAPER 3 1. Discuss different modes of weaning from ventilator. 2. Air embolism; methods of detection and management. 3. Merits and demerits of various synthetic opoids. 4. Occulocardiac Reflex. 5. Compare and contrast dopamine and dobutamine as an inotropic agent. 6. What are the manifestations of hyponatremia and how will you treat it? 7. What are the criteria for diagnosis of SIRS? Discuss the principles of management of septic shock admitted in an ICU. 8. Outline the principles of peri-operative fluid therapy in a 10 days old child scheduled for elective surgery. 9. GCS. 10. Causes of intra-operative hypertension and discuss its management.

PAPER 4 1. What is autologous blood transfusion? Describe the various techniques of autologous blood transfusion. 2. Anion gap. 3. Recombinant Factor VIIa. 4. Describe the nerve supply of the foot and the technique of Ankle block for amputation of great toe. 5. Various epidural narcotics for management of postoperative pain. 6. What is low flow anaesthesia? Discuss its advantages and disadvantages. 7. What is Venturi principle? Discuss its applications in anaesthesia practice. 8. Discuss different methods of humidification. 9. What are the determinants of cardiac output and discuss various non-invasive methods of measurement of cardiac output. 10. Oxygen-Dissociation curve.

JUNE 2007
PAPER 1

1. Anaesthetic management of radio-diagnostic procedures. 2. Pre-anaesthetic assessment and preparation of one day old neonate for TEF repair. 3. Discuss Resuscitation of near Drowning Patient as per modified CPR guidelines 2005. 4. PIH Role of anesthesiologists. 5. Intraoperative management of a 40 year old male with HTN and IHD for right pyelolithotomy. 6. Intraoperative problems of Neurosurgical procedures under anaesthesia in sitting position. 7. Discuss the anaesthetic management of a 25 years old female with Cushings syndrome for Bilateral Adrenalectomy. 8. Discuss the anaesthetic management of a 70 year old man with Carcinoma Larynx for Total Laryngectomy. 9. Discuss the anaesthetic management of a 20 year old male with Achalasia Cardia and Bronchial Asthma for Laparoscopic Cardiomyotomy. 10. Discuss the anaesthetic problems in Robotic Surgery. PAPER 2 1. Pre-anaesthetic evaluation and preparation of a patient with Portal Hypertension for Lieno-Renal Shunt.

2. Discuss one method of Brachial Plexus block through Supraclavicular approach and enumerate the complications associated with it. 3. Discuss anaesthetic management of 20 years old male with Rheumatic Heart Disease with Mitral Stenosis for closed Mitral Valvotomy. 4. Anaesthetic management of CDH. 5. Discuss different types of pacemakers and briefly enumerate precautions to be taken during surgery in a patient with pacemaker. 6. Airway devices recommended and used for CPR. 7. Intraoperative neuromuscular monitoring. 8. Anaesthetic problems in a patient with extreme obesity. 9. Non invasive ventilation: advantages, disadvantages and methods of administration. 10. Regional Anaesthesia in Day Care surgery. PAPER III 1. Complications of extra-dural anaesthesia. 2. Management of HELLP syndrome. 3. What do you mean by the term GOLDEN HOUR in trauma? Explain the role of the anesthetist in trauma management. 4. Role of Magnesium in anaesthesia and ICU.

5. Mention the commonly used immunosuppressive drugs and their interaction with anaesthetic agents. 6. Describe the regulation of intra cranial pressure and methods available for reducing the pressure under anaesthesia. 7. Discuss the management of massive blood loss. 8. Recent advances in the management of ALI/ARDS. 9. Discuss the anaesthetic management of an inadequately managed DM patient with DKA posted for below knee amputation. 10. Management of intraoperative bronchospasm. PAPER IV 1. Discuss various methods of oxygen monitoring in anaesthesia practice. 2. Discuss role of plasma proteins in anaesthesia. 3. LMA: Various modifications. 4. Functional Analysis of Pressure Reducing Valve. 5. Describe anatomy of paravertebral space and describe one method of establishing Para vertebral Block. 6. Discuss briefly different modes used for neonatal ventilation. 7. Clonidine in anaesthesia practice.

8. Discuss various methods used to obtund intubation response to laryngoscopy and intubation. 9. Recent views on pre-emptive analgesia. 10. Discuss principles of monitoring end tidal carbon-dioxide.

DECEMBER 2009
PAPER 1 1. Anaesthetic implications of fetal surgery. 2. Indications, Technique and Complications of Spinal Anaesthesia in pediatric patients undergoing surgery. 3. A 2 year old child weighing 10Kg is scheduled for removal of organic foreign body in Right Bronchus. Discuss the anaesthetic management. 4. Preoperative evaluation and anaesthetic management of a 30 year old patient with MS and AF scheduled for Balloon angioplasty & Valvotomy. 5. A 4 year old child weighing 15Kg undergoing Strabismus surgery suddenly develops Tachycardia, rigidity of extremities and rise in temperature during anaesthesia. Discuss the management. 6. Preoperative anaesthetic implications in a patient with a transplanted heart posted for incidental surgery.

7. A 25 year old man presents with marked features of Acromegaly and is posted for Trans-sphenoidal Hypophysectomy.Discuss the anaesthetic management. 8. A 60 year old man presents for elective Parathyroidectomy.Discuss the anaesthetic management. 9. A 70 year old Hypertensive man with CAD is scheduled for TURP.Discuss the anaesthetic management. 10. GBS-discuss briefly etiology.pathogenesis, symptomatology and management including anaesthetic management. PAPER II 1. A 40 years old man weighing 140Kg has DM and HTN and is scheduled for Gastric Banding.Dsicuss the anaesthetic management. 2. Anaesthetic considerations and management of a child with Post-Tonsillectomy bleeding. 3. Fasting guidelines for children. How does premedication in adults differ from that in children? 4. Pain management options in a patient with intractable pain due to Carcinoma of Pancreas. 5. Draw a labeled diagram of a flexible FOB and describe methods for its sterilization or high level disinfection. 6. ASA physical status classification.

7. Techniques and approaches to IJV cannulation. 8. Anaesthetic considerations for modified ECT. 9. Anticoagulation and CPB. 10. Techniques to prevent hypotension after spinal anaesthesia in caesarean section. PAPER III 1. New guidelines for neonatal resuscitation. 2. Preoperative assessment and anaesthetic management of a 2 year old of Hydrocephalus posted for shunt procedure. 3. Autologous Blood Transfusion. 4. Perioperatibe beta blocker therapy. 5. Monitored anaesthesia care. 6. CVP and its application. 7. Concentration Effect and Second Gas Effect produced during uptake of inhalational agent. 8. Brain Death. 9. Elective Cardio version. 10. Laryngospasm during anaesthesia. PAPER IV 1. SGA devices.

2. Epidural Opiates in anaesthesia practice. 3. Pulse Oximetry-principles and applications. 4. Cardioplegia and its role in cardiac anaesthesia practice. 5. Anatomy of epidural space and methods of identification. 6. Link 25 Proportioning system in anaesthesia machine. 7. Nephrotoxicity of Fluorinated anaesthetic agents. 8. PCA in anaesthesia practice. 9. ICP monitoring and its application. 10. Role of Blood Components in Perioperative period

JUNE 2008
PAPER I 1. Write the blood conservation strategies in a 20 year old female scheduled for excision of Angiofibroma of Nose. 2. Write clinical features, diagnosis and management of a case of Paracetamol poisoning. 3. A 30 years old woman is scheduled for removal of Carcinoid Tumor. Write the anaesthetic management. 4. TEE in anaesthesia practice. 5. Discuss pathophysiology and management of shivering in PACU.

6. What principle is used in USG? How is USG useful in anaesthesia? 7. Write anaestehtic management of a 3 years old child scheduled for PDA ligation. 8. What are the indications of Caudal Epidural in paediatrics undergoing surgery? Describe the techniques and write its complications. 9. Write preoperative evaluation and preparation of a patient with Portal Hypertension scheduled for L-R shunt. 10. What are the indications of Mediastinoscopy? Write anaesthetic implications of Mediastiniscopy. PAPER II 1. A 60 years old man with COPD is on ventilator in ICU.Plan his enteral feeding and discuss its advantages and disadvantages. 2. Pre-Emptive Analgesia: Current Status. 3. Manifestations and management of Thyroid storm. 4. Criteria for Weaning from Prolonged Ventilation. 5. Pre-operative evaluation and anaesthetic management of one day child with CDH. 6. Anaesthetic management of patient with severe pre-eclapmsia for caesarean section.

7. Lipid Emulsion for the treatment of Local Anaesthetic toxicitymechanism and dosage. 8. Clonidine in anaesthesia and ICU. 9. Pre operative evaluation and anaesthetic considerations of a patient with Parkinsons disease. 10. Guidelines for management of anaesthesia in a patient with Coronary Stent. PAPER III 1. Enumerate the symptoms of Shock and discuss the methods used for assessment of systemic perfusion. 2. How will you diagnose DVT? Write the methods of Prophylaxis and management. 3. Management of acute anaphylaxis. 4. Transdermal administration of drugs. 5. Permissive Hypercapnia. 6. Pre-operative evaluation and preparation of 35 years old asthmatic female scheduled for laparoscopic Cholecystectomy. 7. Dexmedetomidine-Clinical applications and complications. 8. Discuss the regulation of Cerebral Blood Flow. 9. Meth-hemoglobinemia and the anesthetist. 10. I-Gel airway.

PAPER IV 1.Resuscitation of Term Pregnant patient. 2. Classify Vaporizers. Briefly mention the effects of altered barometric pressure on the performance of the vaporizers. 3. Describe with the help of a labeled diagram, the anatomy of Lumbar Plexus and describe the techniques of Lumbar Plexus Block. 4. Evidenced Based Medical Education. 5. Nitrous Oxide: Current status. 6. Adverse effects of Neuromuscular Blocking agents. 7. Percutaneous Dilatational Tracheostomy. 8. Clinical Tests for evaluation of ANS. 9. Planning of PACU. 10.What are the problems related to Chronic Hemodialysis.

DECEMBER 2008
PAPER I 1. A 2 year old child is scheduled for removal of Foreign Body in the Right Bronchus. What is the anaesthetic management? 2. Enumerate the guidelines for Regional anaesthesia in a patient on Anticoagulant Therapy.

3. A 20 year old is scheduled for release of TMJ Ankylosis.Discuss the various methods to secure the airway. 4. Discuss the causes of delayed recovery following General Anaesthesia. 5. What are the anaesthetic implications in a patient with a Transplanted Kidney posted for incidental elective surgery? 6. Define Monitored Anaesthesia Care. Discuss its goals and technique. 7. Discuss the pathophysiology and management of a case of Carbon Monoxide poisoning. 8. A 50 year old woman with Hypothyroidism is scheduled for Abdominal Hysterectomy.Dsicuss the anaesthetic management. 9. Enumerate the perioperative problems and anaesthetic management of a 28 year old patient with MS for elective CS. 10. Discuss the preoperative evaluation and anaesthetic considerations in a patient with Parkinsons disease. PAPER II 1. Enumerate the environmental hazards in the Operation Theatre and discuss the measures for its preservation. 2. What is TEG? Draw a labeled diagram to show a normal tracing. What are its implications?

3. Perioperative problems and the anaesthetic management of a one day old child with CDH. 4. Discuss the diagnosis and management of PMI in a patient undergoing non-cardiac surgery. 5. Enumerate the perioperative problems and anaestehtic management in an 80 year old patient scheduled for THR. 6. CVP monitoring and its implications. 7. Enumerate the risk factors for PONV.Discuss its management. 8. What is ARDS? Discuss the ventilator strategies in a patient with ARDS. 9. What are the perioperative problems in a patient with morbid obesity? 10. Write in brief the criteria for determination of brain death and clinical tests for confirmation. PAPER III 1. Enumerate the effects of chronic smoking and the anaesthetic implications. 2. What are the recent guidelines for neonatal resuscitation? 3. Discuss the complications and sequelae of blood transfusions. 4. Enteral feeding in the critically ill patients. 5. Enumerate the physiological changes during pregnancy and their clinical implications.

6. Anaesthetic concerns for MRI. 7. Compare and Contrast: a. PEEP & CPAP. b.TOF &Double Burst. 8. Compare & Contrast: a. Starch and Gelatin as IV fluid B.Sevoflurane and Isoflurane. 9. Enumerate the Five Hs and Five Ts as possible causes of Cardiac arrest. What is the management of pulse less electrical activity in an unconscious patient? 10. Discuss the ECG abnormalities due to various electrolyte imbalances. PAPER IV 1. Draw a labeled diagram to illustrate the Fetal Circulation. What are the circulatory changes that occur at birth? 2. Enumerate the indications, contraindications, complications and method of establishing Stellate Ganglion Block. 3. Nitric Oxide-Current status. 4. Define FRC.What is significance in anaesthesia? 5. What is Triage? What are Triage criteria in relation to trauma?

6. Discuss in brief the sites and devices for temperature monitoring. 7. What is BIS? What are its clinical applications in anaesthesia practice? 8. Role of Humidification in anaesthesia practice. 9. Write briefly on Research Ethics. 10. Non- Invasive Ventilation.

JUNE 2009
PAPER I 1. Discuss the pathopyhsiology and management of shivering following anaesthesia. 2. Enumerate the guidelines for regional anaesthesia in a patient on antiplatelet therapy. 3. Discuss the distribution of ventilation and perfusion in a normal lung with the help of a labeled diagram. What are the factors affecting Ventilation Perfusion ratio? 4. Describe the pre-operative evaluation and preparation of a 30 year old patient with portal hypertension scheduled for L-R shunt. 5. How is Cerebral Blood Flow regulated? What is the effect of various anaesthetic drugs in cerebral blood flow?

6. Discuss the role of EBM in anaesthesia practice. Quote few examples. 7. Enumerate the predictors of weaning from Mechanical Ventilation. 8. Describe pre-operative evaluation and anaesthetic management of one day old child scheduled for repair of CDH. 9. What are the indications of Caudal Epidural anaesthesia in pediatric patients undergoing surgery? Describe the technique and enumerate its complications. 10. Percutaneous Dilatational Tracheostomy: Indications, Techniques and complications. PAPER II 1. Discuss the management of Intra Cranial Hypertension... 2. What are the common Nosocomial Infections in ICU? Discuss the measures for prevention of Ventilator Associated Pneumonias. 3. Describe the in-hospital management of OP Poisoning. 4.A 65 year old patient, chronic cigarette smoker is admitted to Emergency department with acute respiratory distress and altered sensorium.His ABG reveals PaO2- 50 mmHg,PaCo2-85 mm Hg,pH-7.10.Discuss your plan of management. 5. Discuss the manifestations and management of Thyroid Storm.

6. Enumerate the role of analgesics and sedation in patients on ventilator therapy in the ICU. 7. HPV. 8. What is DIC? Enumerate its causes and management. 9. Discuss the pathophysiology of Hepato Renal Syndrome. What are the measures to prevent it? 10. Describe the techniques of Chest Physiotherapy? What is its role in the post surgical period? PAPER III 1. Discuss the pathophysiology, signs and symptoms and management of VAE. 2. What are the indications of OLV? What are the methods of Lung Separation? Discuss the problems involved? 3. Chronic Smoking and the Anesthesiologist. 4. Define Hyperkalemia.Discuss signs and symptoms and anaesthetic consideration. 5. Discuss the perioperative evaluation and management of 30 year old primi admitted at 36 weeks of pregnancy with Eclampsia presenting for emergency LSCS. 6. Enumerate the Risk factors for PONV.Discuss measures to prevent and its management.

7. What is Massive Blood Transfusion? What are the complications of massive blood transfusion? 8. Assessment and Resuscitation of a patient with severe burns. 9. Discuss the problems and their anaesthetic implications of a 40 year old Morbidly Obese patients scheduled for Gastric Banding. 10. Discuss anaesthetic management of 70 years old Hypertensive with CAD scheduled for TURP. PAPER IV 1. Describe the anatomy of Celiac Plexus. Discuss the Indications and methods to block Celiac Plexus. 2. Safety Features in a Modern Day Anaesthesia Machine. 3. Classify Inotropes on the basis of their Mechanism of actions. Compare Dopamine and Dobutamine. 4. Describe the anatomy of Larynx. How would you anaesthetize the airway for awake intubation? 5. Define Minimum Alveolar Concentration. What are the factors affecting MAC? What is its significance in anaesthesia? 6. What is Venturi principle? What are its applications in anaesthesia? 7. Describe Physiological Changes associated with Pneumoperitoneum for Laparoscopic Cholecystectomy. 8. Describe with diagram the Flow Volume Loops in:-

(a)Healthy Adult. (b)Patient with Restrictive Lung Disease. Patient with Obstructive Lung Disease. 9. What are the factors affecting Neuromuscular Blockage? Discuss various methods to monitor Neuromuscular Blockage. 10. What is Monitored Anaesthesia Care? Discuss the Discharge criteria for a patient after Day Care Surgery.

DECEMBER 2009
PAPER I 1. A 50 year old male and known diabetic is scheduled for Upper Abdominal Surgery. How will you evaluate the ANS? 2. A 40 year old male with Emphysematous Bulla in right lung is scheduled for thoracoscopic (VATS) excision of bulla. Describe the anaesthetic management. 3. Enumerate the Indications of OPCAB.Describe the technique, advantages and disadvantages. 4. A 20 year old female with mass in posterior cranial fossa is scheduled for craniotomy. Describe the anaesthetic management. 5. Describe the risk stratification of a patient with deranged liver functions scheduled for partial liver resection. 6. Draw the algorithm for preoperative management of a patient receiving antiplatelet therapy as recommended by ACC/AHA

guidelines in perioperative cardiovascular evaluation and care. Describe preoperative management of a patient with Coronary Stent. 7. Describe the different methods used for perioperative control of blood sugar in diabetic patients undergoing major abdominal surgery with their advantages and disadvantages. 8. Define and Classify Chronic Pain. Describe the methods of treatment of CRPS in left upper limb in a 20 year old male patient. 9. Desribe the anaesthetic management of a patient with PIH scheduled for CS. 10. Describe the anaesthetic management of an 80 year old male scheduled for THR.Mention the methods of postoperative pain relief. PAPER II 1. A 30 year old female with Cushings syndrome is scheduled for Bilateral Adrenalectomy.Describe the anaesthetic management. 2. How does the pediatric airway differ from that of an adult? What are the implications for an anesthesiologist? 3. Describe the criteria for selection of anaesthetic agents for use in Day Care Surgery. Enumerate the agents of your choice.

4. A 22 year old male patient with Multiple Papilloma of Larynx is scheduled for Laser Excision. Describe the anaesthetic management. 5. Enumerate the signs and symptoms of Hyponatremia.Describe the management in a patient with serum Sodium 115 mEq/L scheduled for Knee Replacement under Regional Anaesthesia. 6. How will you diagnose mismatched Blood Transfusion intraoperatively? Describe its management. 7. Describe the anaesthetic management in a patient with Abdominal Aortic Dissection scheduled for Aortic Bypass Graft. 8. A HIV positive patient is scheduled for elective caesarean section. Describe the precautions for the management of this patient. 9. Enumerate the evidence based indications for a Pacemaker insertion. Mention the general principles of anaesthetic management of a patient with pacemaker scheduled for surgery. 10. Describe the anaesthetic management in a 10 year old child scheduled for Perforating Eye Injury repair. PAPER III 1. Describe the initial assessment and resuscitation in a 25 year old female with massive burns evacuated from the site of fire. 2. How will you diagnose VAE? Describe its pathophysiology and management.

3. Describe the anaesthetic management of a neonate scheduled for repair of TEF. 4. A 60 year old male with refractory depression is scheduled for ECT.Describe the anaesthetic management. 5. Enumerate the indications, contraindications and complications of invasive arterial blood pressure monitoring. Describe the technique. 6. Describe the manifestations and management of thyroid storm intraoperatively. 7. What is PDPH? What are the factors affecting it? Describe the management of such a case. 8. Describe the role of intraoperative Echocardiography in clinical anaesthesia. 9. What is Monitored Anaesthesia Care? Describe the technique in an 80 year old patient with IHD scheduled for Cataract surgery. 10. What are the limitations and hazards of providing anaesthesia in the MRI suite? Describe anaesthetic management of a 6 months old child with Hydrocephalus scheduled for MRI. PAPER IV 1. What are the Major Buffer systems in the body? Enumerate the causes, effects and management of Metabolic Acidosis.

2. Describe the nerve supply of Larynx. Enumerate the signs and symptoms of Bilateral Recurrent Laryngeal Nerve Palsy following Total Thyroidectomy. 3. Describe the Metabolic Functions of the Lung. 4. Describe the Cardiac Conductions system. How do you manage a patient with PSVT? 5. How do you diagnose DVT? Describe the predisposing factors and its management. 6. Illustrate the Anatomy of Celiac Plexus with the help of a diagram.Descirbe the technique of Celiac Plexus Block and its complications. 7. Describe the pre-anaesthesia checklist for anaesthesia machine and equipment. 8. Enumerate the various approaches for CVP monitoring. Describe the technique and complications of IJV cannulation. 9. Classify antihypertensive drugs. Describe the management of hypertensive emergency. 10. What is Venturi Effect? Describe its clinical application in anaesthesia.

JUNE 2010

PAPER I 1. Describe the anaesthetic management of a 70 year old patient with permanent pacemaker scheduled for TURP. 2. Outline the anaesthetic management of a female with26 weeks pregnancy scheduled for emergency appendicectomy. 3. Enteral feeding in the critically ill patients-indications, techniques and complications. 4. USG-principles and its uses in day to day practice of anaesthesia. 5. Role of Lipid Emulsions in Local Anaesthetic Toxicity. 6. A 35 year old hypertensive patient with chronic cholecystitis is scheduled for Laparoscopic Cholecystectomy.Outline the preoperative evaluation, preparation and anaesthetic management of this patient. 7. A.Nitric Oxide b.Dexmedetomidine 8. Different techniques of reducing the need for allogenic blood transfusion. 9. Simulators in anaesthesia training. 10. Importance of Triage in mass casualty incident.

PAPER II

1. A 68 year old patient with Carcinoma Esophagus is scheduled for Transthoracic Esophagectomy.Outline the preoperative evaluation, preparation and anaesthetic management. 2. Define Morbid Obesity. Outline the intra-operative anaesthetic considerations in this patient scheduled for Bariatric surgery. 3. A 2 day old child with CDH is scheduled for primary repair. Outline the pre-operative evaluation, preparation and anaesthetic considerations of this case. 4. Write the algorithm for management of patient with PEA as per AHA guidelines. 5. Criteria for Brain Death and the role of anesthetist in Organ Harvesting. 6. Current concepts in pre-emptive analgesia. 7. HELLP syndrome: Role of anesthesiologist. 8. Outline the various modalities for management of postoperative pain following major abdominal surgery. Enumerate the differences between acute and chronic pain. 9. Peribulbar block-indications, techniques and complications. 10. a.I-gel. b.BIS

PAPER III

1. A 40 year old patient with Portal Hypertension is scheduled for Lieno-Renal shunt. Outline the pre-operative evaluation, preparation and anaesthetic management of this patient. 2. What is Mendelsons Syndrome? Enumerate Acid Aspiration prophylaxis in a patient scheduled for emergency Caesarean Section. 3. Enumerate the components of RCRI.Draw the algorithm of cardiac evaluation for non-cardiac surgery as recommended by ACC/AHA 2007 guidelines on perioperative CVS evaluation and care. 4. Enumerate the predictors of weaning a patient on prolonged Mechanical Ventilatory support in the ICU. 5. A 6 year old boy underwent Adenoidectomy under GA as Day Care Surgery. Enumerate the discharge criteria of this patient. 6. Hypokalemia-definition, clinical manifestation and management 7.Clinical Manifestations and management of a patient with Acute Anaphylaxis. 8. Enumerate the changes in the ACC/AHA guidelines on resuscitation (BLS and ACLS) for management of cardiac arrest in an adult. 9. A.Informed Consent. B.Communication skill and anesthesiologist.

10. Percutaneous Dilatational Tracheostomy-various techniques and their advantages over conventional Tracheostomy. PAPER IV 1. Anatomy of Brachial plexus with the help of diagram. Enumerate the various techniques of Brachial Plexus Block. 2. Enumerate various techniques of monitoring neuromuscular blockade during anaesthesia. List the advantages and limitations of each of these techniques. 3. List the various causes of reduced arterial oxygen tension in the intra-operative period, and outline their management. 4. Draw schematic diagrams of various types of Maplesons Breathing Circuits. Give the Functional Analysis, advantages and disadvantages of Bain circuit. 5. Enumerate the Safety Features in Modern Day Anaesthesia Machine. 6. Enumerate the factors regulating normal Cerebral Blood Flow and the effect of various anaesthetic drugs on Cerebral Blood Flow. 7. Enumerate the indications for transfusion of packed red cells, FFP, platelets and cryoprecipitates. 8. ASA physical status classification for pre-operative anaesthetic risk assessment. 9. Post Anaesthesia shivering-implications and management.

10. a} Permissive Hypercapnia. B.Bedside PFT.

DECEMBER 2010
PAPER I 1. Describe clinical presentation, pathophysiology and management of Malignant Hyperthermia. 2. Describe the pharmacokinetics and pharmacodynamics of Etomidate.Desribe its brief role in clinical practice. 3. Describe Ventilatory Strategy in management of ARDS. 4. Describe the causes and management of VAE. 5. What is Recombinant Factor VIIa? Describe the clinical usage of it. 6. Describe regional block for removal of infected corn foot. 7. What are the criteria for discharge from PACU? 8. Enumerate the Circulatory Assist Devices. What are the indications, contraindications and complications of IABP? 9. Enumerate Classical Biological Warfare Agents. Describe physical findings, pathogenesis and treatment of Anthrax. 10. What is Post-operative Jaundice? Describe its causes. PAPER II

1. Enumerate the Indications of Trachesotomy.Describe different techniques of performing Percutaneous Dilatational Tracheostomy. 2. What are the causes of Obstetric Haemorrhage? Describe its management including anaesthetic. 3. Describe consent in anaesthesia practice including ethical and legal aspects. 4. Enumerate causes of Post-operative Visual loss. Describe the pathophysiology and its management. 5. Describe various components of Surviving Sepsis guidelines. 6. Describe the complications associated with sitting position during Posterior Cranial Fossa surgery and their management. 7. Describe the anaesthetic management in a patient scheduled for MRI. 8. Describe the risk factors and predictors of PONV.Describe its management in the pre-operative period. 9. Describe the path physiology, clinical features, diagnosis and management of Fat Embolism. 10. What are the pre-operative considerations in THR? What are the goals of it intra-operative management? PAPER III

1. Describe clinical manifestation of Diabetic Autonomic Neuropathy. What are its clinical implications? 2. What are the pathophysiological insults which exacerbate the Primary Brain Injury following Head Trauma? How can these effects be reduced? 3. What are the Indications of RRT? List different modes of RRT.Discuss the role of CRRT in septic shock. 4. Discuss the pre-operative evaluation and preparation of a 55 year old male with Bronchiectasis scheduled for right lower lobe excision. 5. Describe the techniques for anaesthetizing airway for awake Fibreoptic Laryngoscopy and Intubation through Nasal route in an adult with restricted mouth opening. 6. Desribe the anaesthetic considerations in patients having Coronary Artery Stents. 7. Classify Cardiomyopathies.Describe management of a 60 year old male with Dilated Cardiomyopathy scheduled for Laparotomy. 8. Describe anaesthetic concerns for Regional Anaesthesia in a patient on Anticoagulants. 9. Describe the principles of Weaning from Mechanical Ventilation.

10. Describe the effects of smoking and its anaesthetic implications. PAPER IV 1. Draw a diagram to show various Lung Volumes and capacities. Describe the spirometry features of patients with Obstructive and Restrictive Pulmonary disorder. 2. Describe the anatomy of Stellate Ganglion. Discuss indications, techniques and implications of Stellate Ganglion Block. 3. Describe the Coronary Circulation. Discuss factors affecting Oxygen Demand and Supply to the Myocardium. 4. What are the major causes of Hypoxemia? What is HPV? How can GA worsen V/Q mismatch? 5. Classify Vaporizers. Discuss the effect of Altered Barometric Pressure on the performance of Vaporizers? 6. What do you understand by Randomization and Blinding in a clinical study? What is the importance of p-value and Power of Study? 7. What is Minimum Alveolar Concentration (MAC)? Discuss the factors which affect the alveolar concentration of an inhalational agent. 8. Classify Antihypertensive drugs. Describe the management of a hypertensive episode during anaesthesia?

9. Describe the Cardiac Conduction System. How do you manage a patient with PSVT? 10. Describe the Anaesthesia Machine Check Protocol prior to induction of anaesthesia.

JUNE 2011
PAPER I 1. Define FRC and Closing Volume. Describe their clinical significance. 2. Define Massive Blood Transfusion. Discuss the complications associated with Massive Blood Transfusion. 3. Discuss the causes and management of Postoperative Shivering. 4. Discuss the peri-operative problems and anaesthetic management of a two day old child scheduled to undergo TEF repair. 5. Describe clinical presentation, pathophysiology and management of TURP syndrome. 6. Discuss the anaesthetic problems of surgery in prone position. 7. Discuss pharmacokinetics and pharmacodynmics of Clonidine and its role in clinical practice. 8. Describe the course of Sciatic Nerve and any one approach to block the nerve.

9. What is Low Flow Anaesthesia? Discuss its advantages and disadvantages. 10. Discuss the use of TEE in anaesthesia practice. PAPER II 1. Nitrous Oxide-Current Status in anaesthesia practice. 2. What are the new guidelines for Ventilation and External Cardiac compression for Neonatal Resuscitation? What are the drugs (with doses) used for Neonatal Resuscitation? 3. What are the problems with acute exposure to high altitude? Discuss briefly the anaesthetic considerations at high altitude. 4. Discuss the Hemodynamic and Metabolic changes during Aortic Clamping and Unclamping. Describe the Renal protective measures during Aortic Clamping. 5. Discuss the physiological changes due to peumoperitoneum in laparoscopic abdominal surgery. List the intra-operative complications. 6. Discuss Various Patterns of Nerve Stimulation in Neuromuscular Monitoring and their interpretation with the help of diagrams. 7. 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.

8. Define Hypokalemia.What are the clinical manifestations of hypokalemia? How will you treat hypokalemia intraoperatively? 9. Discuss the anaesthetic management of a full term primigravida with severe pre-eclampsia, scheduled for emergency CS. 10. Discuss the various criteria required before weaning a patient from CPB. PAPER III 1. Enumerate different SGAs.Tabulate the differences between Proseal LMA and I-gel Airway device. 2. Discuss the pre-anaesthetic preparation, anaesthetic goals and intraoperative management of a 30 year old female patient with diagnosis of Pheochromocytoma scheduled for excision of Adrenal Tumor. 3. What are the goals of Nutritional Support in Critically ill patients? Describe the daily requirements for proteins, lipids and carbohydrates for a patient with advanced sepsis admitted in ICU. 4. A 68 year old male with Carcinoma Esophagus is posted for Total Esophagectomy and Gastric pull up. Describe the preoperative preparation, evaluation and anaesthetic management. 5. Describe the Functional Analysis of the Bains circuit. How will you check the functional integrity of Bains circuit?

6. What is Cerebral Autoregulation? Discuss the implications of various inhalational anaesthetic agents on Cerebral Auto regulation. 7. A 30 year old female ASA grade I, following Exploratory Laparotomy, is not maintaining Oxygen saturation in the post operative period. Discuss its causes and management. 8. What are the symptoms and signs of OP poisoning? Discuss its management. 9. Discuss the preoperative evaluation, preparation and anesthetic management of a patient with Transplanted Kidney presenting for Incidental elective surgery. 10. Discuss the clinical manifestations of Local Anaesthetic Toxicity and its management. PAPER IV 1. Describe two major effects of Pressure Fluctuation in the anaesthesia machine on vaporizer output. Describe the improvisation in designing to overcome this problem. 2. Define Base Excess. How do Kidneys compensate for acid base imbalance? 3. Describe various tests for used for monitoring peri-operative coagulation. 4. Describe the innervations of Larynx. Briefly discuss various palsies following nerve injury.

5. Discuss the pain management options in a patient with intractable pain due to Carcinoma head of Pancreas. 6. Enumerate the environmental hazards in the operating theatre and discuss the measures for its prevention. 7. What do you mean by Multi-Casualty Triaging? Why is it important? How do you triage victims in the casualty following a mass disaster? 8. Discuss the synthetic functions of Liver. What is the role of Albumin in pharmacokinetics? 9. Describe common Arrhythmias encountered during preoperative period.Dsicuss the therapeutic uses of Amiodarone. 10. What is Occulo-Cardiac Reflex? Discuss measures to attenuate pressor response to laryngoscopy/intubation.

DECEMBER 2011
PAPER I 1. Discuss the physiologic changes of cardiovascular and respiratory systems in pregnancy. Discuss the anaesthetic considerations and management of pregnant patient undergoing non-obstetric surgery during first trimester. 2. Discuss the anaesthetic implications and peri-operative management of a six month old child scheduled for excision of Cystic Hygroma.

3. What are the methods of pain assessment Infants and children? Discuss the pharmacological management of acute pain in pediatric patients. 4. Define BMI.Classify obesity and discuss the anaesthetic considerations in a morbidly obese patient. 5. Define Fink effect, Diffusion Hypoxia, and Second gas effect. How are they of importance to the anesthetist? 6. Write the goals of Pre-Anaesthetic Check up, ASA risks grading and fasting guidelines. 7. What are the differences between a Subdural and Subarachnoid block? Write clinical features and management of PDPH. 8. What is Diastolic Dysfunction? Discuss its evaluation and Implications to the anesthetist. 9. Enumerate the causes of air embolism in clinical practice. Discuss the clinical features and its management. 10. Classify Opoids.Discuss the merits and demerits of Epidural Fentanyl and Morphine. PAPER II 1. What are the causes of Intra-operative hypertension in a previously normotensive patient? Discuss various modalities to manage it.

2. Discuss the differential diagnosis of Intra-operative Bronchospasm.How will you manage it? 3. Discuss the physiological changes secondary to pain in labour.Describe the role of Para-Cervical and Pudendal nerve blocks in Obstetric Analgesia. 4. What is Oxygen delivery? Classify Oxygen delivery systems. Discuss the role of Ventimask in Oxygen therapy. 5. What are the recommendations for Neuraxial Anaesthesia in a patient on Anticoagulant therapy? 6. Describe the Boundaries of Epidural space. Discuss five common complications of Epidural Block. 7. Why is it important to measure the Depth of Anaesthesia? Briefly describe the methods used. 8. What is Monitored Anaesthesia Care? Describe Minimum Monitoring Standards for a patient undergoing Monitored Anaesthesia Care. 9. Describe briefly the Difficult Airway Algorithm. How will you perform awake intubation in an adult with restricted mouth opening? 10. How will you evaluate a 50 years old male patient with history of IHD presenting for Major Abdominal Surgery?

PAPER III 1. Discuss the anaesthetic considerations for excision of a mass in the Posterior Cranial Fossa in a 20 year old patient. 2. Describe the clinical features of Hypothyroidism. Discuss the anaesthetic considerations in a hypothyroid patient scheduled for Upper Abdominal Surgery. 3. Discuss clinical manifestations and management of Acute Anaphylaxis. 4. Discuss the pre-operative evaluation and anaesthetic management of a 2 year old child scheduled for removal of Foreign Body in Bronchus. 5. Describe pathophysiology, clinical manifestations and anaesthetic management of CDH in a neonate. 6. Discuss the pre-operative evaluation and anaesthetic management of an 80 year old patient with Cardiac Pacemaker for TURP. 7. Enumerate the causes, clinical manifestations and management of Hyperkalemia. 8. Describe briefly pathophysiology, signs and symptoms, diagnosis and treatment of Carbon Monoxide poisoning. 9. Enumerate the causes and DD of post extubation Laryngospasm.How will you manage it?

10. What are Mixed Venous Oxygen Saturation and its importance in Critical Care setup? How is it measured? PAPER IV 1. Describe the anatomy of Celiac Plexus.Dsicuss the Indications and methods of Celiac Plexus Block. 2. Discuss the mechanism of action.Pharmacodynamics and Pharmacokinetics of Proppfol. 3. Describe briefly the Safety features in Modern Day Anaesthesia machines. Discuss various features that prevent the delivery of Hypoxic gas mixtures. 4. Describe the anatomy of IJV with the help of a diagram. Discuss any one approach for IJV cannulation and its complications. 5. What is SIADH? Describe the clinical features and management of SIADH. 6. Enumerate the synthetic functions of the liver. Discuss the anaesthetic implications in a patient with Cirrhosis and Ascites. 7. What is PEEP? How does it improve arterial po2? What are its disadvantages? 8. Describe the OHDC.How does it differ from the carbon dioxide dissociation curve? 9. Describe the physiology of circulation during closed chest compressions. Discuss the Algorithm for BLC.

10. Define and Classify Septic Shock. Discuss the guidelines for the management of Septic shock.

JUNE 2012
PAPER I 1. What is the DD of intra operative bronchospasm? How will you manage it? 2. Discuss indications and techniques of RRT.Discuss the role of CRRT in septic shock. 3. Enumerate various approaches for central venous cannulation.Describe the technique and complications of IJV cannulation. 4. Discuss the regulation of ICP.Describe the methods available for reducing it under anaesthesia. 5. Discuss indications, techniques and complications of caudal epidural block in children. 6. Define monitored anaesthesia care. Discuss its goals and techniques. 7. Discuss the perioperative problems and anaesthetic management of a one year old child with hydrocephalus scheduled for shunt procedure. 8. Discuss pharmacokinetics and pharmacodynamics of dexmedetomidine.What is its role in clinical practice?

9. Define and classify dead space ventilation. Define minute ventilation. Under what conditions is minute ventilation increased? 10. Discuss the preoperative evaluation of a patient with IHD.Discuss the perioperative monitoring for MI and its management. PAPER II

1. How would you assess a case of septic shock due to

pancreatitis? Briefly discuss its management. 2. Discuss the various criteria for weaning a patient from prolonged mechanical ventilation. 3. What are the physiological functions of magnesium? Describe its therapeutic uses in anaesthesia/ 4. Describe the anatomy of larynx and its innervations. What are the differences between neonatal and adult larynx? 5. What are the different types of carbon dioxide absorbents? Describe their composition. Discus the advantages and disadvantages of each. 6. What are the objectives of premedication in a patient scheduled for elective CS? Describe the drugs used with their doses and rationale. 7. Briefly outline the evaluation and management of a patient with suspected perioperative coagulopathy.

8. Discuss the preoperative evaluation of a 25 year old man with OSA scheduled for laparotomy.How would you prepare him for surgery? 9. Describe the toxicity of commonly used LA agents and its management. 10. Discuss the anaesthetic problems in robotic surgery. PAPER III 1. Discuss the preoperative evaluation and anaesthetic management of a 70 year old hypertensive patient for total laryngectomy. 2. Discuss the etiology and management of Supra Ventricular arrhythmias during surgery under GA. 3. What are the clinical features of myasthenia gravis? Discuss preoperative evaluation and anaesthetic management of a case presenting for interval appendicectomy. 4. What are the various routes of administration of morphine? Discuss the pharmacokinetics and pharmacodynamics of epidural morphine. 5. Discuss the preoperative evaluation and anaesthetic management of a 40 year old hyperthyroid patient posted for total thyroidectomy.Enumerate postoperative complications. 6. What is capnography? Draw a labeled diagram of normal capnograph and discuss clinical considerations of capnography.

7. Discuss the causes, clinical manifestations and treatment of hypercalcemia.What is their anaesthetic considerations? 8. Discuss the criteria for patient selection, contraindications, advantages and disadvantages of autologous blood transfusion. 9. How would you evaluate and prepare a patient with chronic bronchiectasis scheduled for pneumonectomy? Briefly enumerate the postoperative complications. 10. Describe the countercurrent mechanism in the kidney. Discuss the renal protection strategies during perioperative period. PAPER IV 1. Enumerate the safety features in a modern day anaesthesia machine. Describe the hypoxia prevention safety devices. 2. How is autonomic neuropathy evaluated preoperatively? What is its significance in anaesthesia? 3. Discuss the different types of colloid solutions. Describe their advantages and disadvantages. 4. Discuss the signs and symptoms, pathophysiology and management of cyanide toxicity. 5. Describe the anatomy of paravertebral space with diagram. Describe one method of establishing the paravertebral block. 6. What are the anaesthetic considerations for day care surgey? Discuss the clinical criteria for recovery and discharge after DCS.

7. Classify hypothermia. Describe the pathophysiological effects of hypothermia. 8. Describe Bernoullis principle and its various applications in anaesthesia. 9. Explain CRPS.What is the types of CRPS? Describe the clinical features and options for treatment. 10. Enumerate the environmental hazards in the OT and discuss the methods of prevention.

DECEMBER 2012
PAPER I 1. How will you evaluate a three year old child with Systolic Murmur scheduled for surgery? Briefly discuss the anaesthetic implications. 2. Describe briefly the intra-operative considerations for Bariatric surgery. 3. Describe the DD of Intraoperative Bronchospasm.Write down its management. 4. Draw a labeled diagram of Labor Pain Pathway. Describe the method, advantages and disadvantages of preferred technique of Labor analgesia. 5. What are the factors that predispose trauma patients to increased anaesthetic risks? Briefly mention their management.

6. How will you calculate the energy requirements in an ICU patient? What are advantages and disadvantages of Parenteral Vs Enteral nutrition? 7. What are the predictors of Cardiac Risk in cardiac patients undergoing non-cardiac surgery? Describe briefly the anaesthetic consideration in a patient with CAD with EF of 40% for Laparoscopic Cholecystectomy. 8. Describe the preoperative evaluation, anaesthetic management and intra-operative monitoring of a patient scheduled for Carotid Endarterectomy. 9. Describe briefly the Diagnosis, Pathophysiology and treatment of Hepato-Renal Syndrome in a case of advanced Liver Cirrhosis. 10. Discuss the role of anesthesiologist in Organ Donation. PAPER II 1. What are the indications of RRT? Describe its role in MODS. 2. Describe the etiology, clinical features and treatment of Malignant Hyperthermia. 3. What are the anaesthetic concerns in the management of a patient with Myasthenia Gravis scheduled for Thoracoscopic Thymectomy? 4. What are the indications for ICP monitoring in patients with Head Injury? Describe the ICU management strategies of a patient with severe head injury.

5. How will you diagnose and manage a case of VAE during Spine Surgery? 6. Enumerate the agents implicated in allergic reactions during anaesthesia. How would you manage a patient with Anaphylaxis during anaesthesia? 7. Write down the Algorithm for Resuscitation of a Newborn. 8. What is Anion Gap? Describe the causes and management of Metabolic Acidosis from Low Cardiac Output. 9. Write an Algorithm for the management of Early Hemorrhagic Shock. What are the goals in early resuscitation during active bleeding? 10. Describe the commonly encountered problems following CPB in the post bypass period. PAPER III 1. What are the clinical features of OP Poisoning? How will you manage a patient of OP Poisoning in an ICU? 2. What are the ingredients of Professional Negligence? Write a note on Informed Consent. 3. What is IASP definition of Pain? How do you classify pain? Briefly describe the Interdisciplinary management of Chronic Pain. 4. An 8 years old child who underwent Tonsillectomy 4 hours ago returns to the Operating Table with Bleeding from Tonsillar

site. Describe preparation, preoperative assessment and anaesthetic management of this case. 5. What are the hazards and Limitations of providing anaesthesia in an MRI suite? Describe the anaesthetic management of a 6 months old child with Hydrocephalus scheduled for MRI. 6. What are the causes of Intra-operative Hypotension during THR? Outline the treatment strategies. 7. Enumerate the major concerns for anesthesiologist in Hypertrophic Pyloric Stenosis in a newborn. Write down the anaesthetic management of such a case. 8. Enumerate age-related changes in Cardiovascular, Pulmonary, Nervous and Renal systems in Geriatric patient which can affect anaesthetic management. How do the changes in renal functions affect anaesthetic management? 9. Describe the preoperative evaluation and anaesthetic management of a $ year old child with Perforating eye Injury scheduled for repair under GA. 10. What is COPD? How will you manage oxygenation and pain in post-operative period of a case of COPD undergoing upper abdominal surgery? PAPER IV 1. Briefly discuss the management of a patient with severe sepsis as per Surviving Sepsis Guidelines.

2. What is the significance of Autonomic Neuropathy in DM? How can it be assessed? 3. Describe the innervations of Larynx and the palsies following nerve injury with the help of diagram(s). 4. What are the factors leading to arterial hypoxemia in the PACU? Discuss the DD. 5. Describe the causes and management of Acute Dilutional Hyponatremia in the immediate postoperative period. 6. Describe the algorithm of the evaluation and initial therapy of a patient with suspected Peri-operative coagulopathy. 7. What are Relative and Absolute Humidity? What are active and passive Humidifiers? What are their advantages and disadvantages? 8. What is scavenging in OT? What are five basic parts of a scavenging system? What are the hazards of a scavenging system? 9. Describe the mechanism by which IABP augments coronary perfusion. What are the indications and contra indications for the use of IABP? 10. What is Hospice? When should you begin hospice care? How does hospice serve patients and families?