DNB Anaesthesiology 1994-December 2019 PDF

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2018
ANAESTHESIOLOGY
PAPER-I
TIME: 3 HOURS ANS/J/18/01/I

MAX. MARKS: 100
IMPORTANT INSTRUCTIONS
 This question paper consists of 10 questions divided into Part “A” and part “B”, each part
containing 5 questions.
 Answers to questions of part A and part B are to be strictly attempted in separate answer sheet(s)
and the main + supplementary answer sheet(s) used for each part must be tagged separately.
 Answers to question(s) of Part A attempted in answer sheet(s) of part B or Vice versa shall not be
evaluated.
 Answer sheets of Part A and Part B are not to be tagged together.
 Part A and Part B should be mentioned only on the covering page of the respective answer sheets.
 Attempt all questions in order.
 Each question carries 10 marks.
 Read the question carefully and answer to the point neatly and legibly.
 Do not leave any blank pages between two answers.
 Indicate the question number correctly for the answer in the margin space.
 Answer all the parts of a single question together.
 Start the answer to a question on a fresh page or leave adequate space between two answers.
 Draw table/diagrams/flowcharts wherever appropriate.
Write short notes on:
PART A
1. a) Anatomy of larynx with a well labelled diagram. 6+4

b) The modified Cormack and Lehane grading for the direct
laryngoscopic view.
2. a) Predictors of Difficult Mask Ventilation in adult patients. 5+5

b) Various modalities to overcome difficult mask ventilation.
3. a) p-value and Null hypothesis- importance and interpretation 5+5

b) Randomization and blinding in a clinical trial.
4. a) Draw a well labelled diagram of a normal Thromboelastograph 4+6

(TEG).
b) Clinical applications of different forms of TEGs in
anaesthesiology practice.
5. Preoperative evaluation for Diabetic Autonomic Neuropathy and 6+4

its anaesthetic implications.
-1-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
JUNE 2018
ANAESTHESIOLOGY
PAPER-I
Please read carefully the important instructions mentioned on Page ‘1’
 Answers to questions of Part A and part B are to be strictly attempted in separate answer sheets and the
main + supplementary answer sheets used for each part must be tagged separately.
 Answers to question(s) of Part A attempted in answer sheets of Part B or vice versa shall not be evaluated.
PART B
6. a) OSA (Obstructive sleep apnoea) risk scoring system. 5+5

b) Complications related to prone position under general
anaesthesia
7. The prevention and management of: 5+5

a) Hypothermia in an adult patient under general anaesthesia
b) Hypoxaemia during One lung ventilation.
8. a) Effects of Smoking and anaesthesia concerns. 5+5

b) Bernoulli’s principle and its applications in Anaesthesiology.
9. The signs, symptoms and management of local anaesthesia 3+3+4

toxicity.
10. a) The advantages and disadvantages of closed circuit 5+5

breathing system.
b) Low flow anaesthesia.
************
-2-
JUNE 2018
ANAESTHESIOLOGY
PAPER-II
TIME: 3 HOURS ANS/J/18/01/II

MAX. MARKS: 100
evaluated.
PART A
1. Indications, technique and complications of TAP (Tranversus 3+5+2

abdominus plane) block.
2. Preventive measures and management of Post Dural Puncture 5+5

Headache (PDPH) in an adult patient.
3. Compare and contrast:

a) Inhalational and intravenous induction technique in paediatric 5+5
patient.
b) Macintosh laryngoscope and Videolaryngoscope in difficult
airway management
4. Prevention and management of intraoperative air embolism in an 5+5

adult patient undergoing posterior fossa tumour surgery.
5. Management strategies of extubation in a patient with difficult 10

airway.
-1-
JUNE 2018
ANAESTHESIOLOGY
PAPER-II
PART B
6. a) MAC (Monitored anaesthesia care) 5+5

b) Effects of hypothermia in cardiac arrest victim
7. Preoperative evaluation and anaesthetic management of a 35- 4+6

year-old female patient with a prosthetic mitral valve scheduled
for MTP with laparoscopic tubal ligation.
8. A middle aged male was lying unconscious on the road side. 4+6
Draw a flow chart for the management of this victim. Write chain
of survival for adult and paediatric patients for ‘in hospital’ and
‘outside hospital’ cardiac arrest.
9. a) Post-operative analgesia modalities used for a patient 5+5

operated for total knee replacement (TKR).
b) Methods for identification of epidural space.
10. a) TIVA: describe the technique and drugs used. 5+5

b) Jet ventilation: technique and complications
************
-2-
JUNE 2018
ANAESTHESIOLOGY
PAPER-III
TIME: 3 HOURS ANS/J/18/01/III

MAX. MARKS: 100
evaluated.
PART A
1. A 35-year-old female, diagnosed case of primary infertility, is 5+5

scheduled for ovum retrieval under general anaesthesia.
Describe the pre-operative preparation and anaesthetic
management for this patient.
2. Pre-operative evaluation and anaesthetic management of a 60- 4+6

year-old patient with diabetic ketoacidosis scheduled for
emergency below knee amputation of left leg.
3. A 5-year-old child (weight 20kg) who underwent tonsillectomy 2 3+3+4

hours earlier is scheduled for re-exploration for bleeding from oral
cavity. Describe the pre-operative evaluation, preparation and
anaesthetic management.
4. a) Peribulbar block - technique and complications 5+5

b) Fresh frozen plasma - Indications and advantages
5. What are the anaesthetic concerns for a 45-year-old patient 6+4

posted for laser microlaryngeal surgery? Enumerate the steps for
management in case of airway fire.
-1-
JUNE 2018
ANAESTHESIOLOGY
PAPER-III
PART B
6. a) Prevention and management of hepatorenal syndrome in a 5+5

patient with obstructive jaundice.
b) Cuffed versus Un-cuffed endotracheal tubes use in paediatric
patients.
7. What is brain death? Describe briefly the steps for diagnosis of 3+7
brain death.
8. a) Airway management in a patient for ambulatory surgery. 5+5

b) Discharge criteria for a patient who has undergone day care
surgery under general anaesthesia.
9. Diagnosis and management of intraoperative pulmonary edema. 3+7
10. a) Clinical importance of anatomical and physiological dead 5+5

space.
b) Carbonic acid-bicarbonate buffering system – its application
in the management of a patient in ICU.
************
-2-
JUNE 2018
ANAESTHESIOLOGY
PAPER-IV
TIME: 3 HOURS ANS/J/18/01/IV

MAX. MARKS: 100
evaluated.
PART A
1. What are simulators? Describe different types of simulators and 2+8

their role for medical education, training and research.
2. a) Visual Analogue Scale (VAS) and its interpretation. 5+5

b) Adjuvants in regional anaesthesia for paediatric patient.
3. Concerns and anaesthetic management for robotic surgery. 4+6
4. a) Stroke volume variations and its anaesthetic implications. 5+5

b) Enumerate complications of Central Venous Cannulation.
5. Define asystole. Describe the “algorithm” with the help of a 2+8

flowchart for a patient who develops ‘asystole’ during laparotomy
under general anaesthesia.
-1-
JUNE 2018
ANAESTHESIOLOGY
PAPER-IV
PART B
6. a) Liposomal bupivacaine. 5+5

b) Inhaled nitric oxide.
7. Guidelines for assessment and management of nutrition support 4+6

in a critically ill adult patient with cerebrovascular stroke on RT
feeding.
8. a) Hypo-proteinaemia and anaesthetic agents. 5+5
b) Techniques of induced hypotension
9. a) Role of anaesthesiologists in palliative care medicine. 5+5

b) Pressure support ventilation
10. a) Regional anaesthesia and low molecular weight heparins. 5+5

b) Sniffing v/s Ramped positions for intubation.
************
-2-
DECEMBER 2017
ANAESTHESIOLOGY
PAPER-I
Time : 3 Hours ANS/D/17/01/I

Max. Marks : 100
• This question paper consists of 10 questions divided into Part “A” and part ‘B”, each part
• Answers to question of part A and part B are to be strictly attempted in separate answer sheet(s)
• Answers to questions of Part A attempted in answer sheet(s) of part B or Vice versa shall not be
evaluated.
• Answer sheet(s) of Part A and Part B are not to be tagged together.
• Part A and Part B should be mentioned only on the covering page of the respective answer sheets.
• Attempt all questions in order
• Each question carries 10 marks
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.

PART A
1. Enumerate the physiological changes in pregnancy with 5+5

regards to the cardiovascular and respiratory system
2. a) Draw a neatly labeled diagram to show the distribution 4+6

of ventilation and perfusion in a normal lung.
b) Enumerate the various factors affecting ventilation &
perfusion of the lung.
3. a) Enumerate the causes of hyperkalemia. 3+4+3

b) Signs & symptoms of hyperkalemia
c) Management of hyperkalemia
4. a) Meta-analysis 5+5
b) ANOVA
5. a) Enumerate the neuroendocrine response to surgery. 5+5

b) Informed consent
P.T.O
- 1-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL.
DECEMBER 2017
ANAESTHESIOLOGY
PAPER-I
• Answers to questions of Part A and Part B are to be strictly attempted in separate answer
sheet(s) and the main+ supplementary answer sheets used for each part must be tagged
separately.
• Answers to questions of Part A attempted in answer sheet(s) of Part B or vice versa shall not be
evaluated.
PART B
6. a) What is mixed venous oxygen saturation (SvO2)? 3+4+3

b) Enumerate the conditions in which the SvO2 is
decreased.
c) What are the limitations of SvO2 value interpretation?
7. a) What are the stages of anaesthesia? 3+4+3

b) Enumerate the various EEG based index systems to
assess the depth of anaesthesia.
c) What is entropy?
8. a) Enumerate the various bedside airway assessment 5+5

tests.
b) What is the role of ultrasonography in airway
assessment?
9. A 50 year old female is posted for laparoscopic 4+6

cholecystectomy
a) What are the changes in the cardio-respiratory
system due to pneumoperitoneum?
b) What is the ventilatory strategy to optimize
oxygenation & maintain normocapnia?
10. a) Nerve supply of larynx. 5+5

b) A 10 yr. old female develops laryngospasm after
extubation: Causes and management.
************
- 2-
HALL.
DECEMBER 2017
ANAESTHESIOLOGY
PAPER – II
Time : 3 hours ANS/D/17/01/II
Max. Marks : 100
• This question paper consists of 10 questions divided into Part ’A” and part ‘B”, each part
evaluated.
• Answer sheets of Part A and Part B are not to be tagged together.
• Part and Part B should be mentioned only on the covering page of the respective answer sheets.
• Draw table/diagrams/flowcharts wherever appropriate
Write Short notes on:

PART A
1. a) Draw a neatly labeled diagram of the neuromuscular 3+4+3

junction.
b) What are the types of neuromuscular blocking agents?
c) What is Phase II block?
2. a) Define intracranial pressure (ICP). 2+4+4

b) Enumerate factors causing increase in ICP.
c) Pharmacological measures to reduce ICP intraoperatively in
a patient undergoing craniotomy.
3. a) Placental transfer of anaesthetic drugs and its implications. 5+5

b) Variations in MAC in different age groups.
4. a) What is permissive hypercapnia? 5+5

b) Enumerate the strategies to be adopted to decrease
operation theatre pollution.
5. a) Draw a neatly labeled diagram of the brachial plexus. 3+2+5

b) Enumerate the various approaches for brachial plexus block.
c) What are the complications of supraclavicular approach and
its management?
P.T.O
- 1-
HALL.
DECEMBER 2017
ANAESTHESIOLOGY
PAPER – II
• Answers to questions of Part A and part B are to be strictly attempted in separate answer
separately.
• Answer s to questions of Part A attempted in answer sheets(s) of Part B or vice versa shall not
be evaluated.
PART B
6. a) What is point-of-care coagulation testing (POCCT) and 5+5

its importance in the perioperative period?
b) What are the changes in stored blood at 28 days and
its implications when transferred to a patient
7. a) Classify anti-arrhythmic drugs. 4+6

b) What is the management of intra operative ventricular
dysrhythmias?
8. A 20 year old male with TM joint ankylosis with inter incisor 5+5
gap of 5 mm and retrognathia is posted for condylectomy.
a) How will you prepare the airway for awake fiberoptic
intubation?
b) At the end of the procedure, mouth opening
increased to 1.5 cm, how will you plan extubation in
this patient?
9. a) What is Bier’s block 2+4+4

b) What is the volume and concentration of lignocaine
used for IVRA for upper and lower limb procedures?
c) What are the concerns to the anaesthesiologists when
deflating the tourniquet?
10. a) Postoperative analgesia in a boy with hypospadias 5+5

posted for urethroplasty.
b) Role of magnesium sulfate in the obstetric patient and
its anaesthetic implications.
************
- 2-
HALL.
DECEMBER 2017
ANAESTHESIOLOGY
PAPER – III
Time : 3 hours ANS/D/17/01/III

Max. Marks : 100
• This question paper consists of 10 questions divided into Part ’A” and Part ‘B”, each part
evaluated.
• Answer sheets of Part A and Part B are not to be tagged together.
PART A
1. a) Enumerate the causes of anaemia in pregnancy. 4+6

b) Anaesthetic management of a 28 year old multipara
with 37 weeks gestation Hb-7 gm%, posted for
emergency LSCS for fetal distress.
2. Pre-operative evaluation, preparation and management of 3+3+4

a 60 year old female with coronary artery disease with
drug eluting stent placed 14 months back now posted for
right total hip replacement
3. Preoperative evaluation, preparation and postoperative 3+3+4

management of a 40 year old female with BMI of 45
posted for laparoscopic sleeve gastrectomy.
4. a) TURP syndrome and its management. 5+5

b) Causes of intraoperative hypercarbia and its
management.
5. a) Preoperative evaluation & preparation of a 30 year old (3+3)+4

female with hyperthyroidism for subtotal thyroidectomy.
b) Enumerate the causes of respiratory distress post
thyroidectomy & its management
P.T.O
- 1-
HALL.
DECEMBER 2017
ANAESTHESIOLOGY
PAPER – IV
Time : 3 Hours ANS/D/17/01/IV
Max. Marks : 100
• This question paper consists of 10 questions divided into Part “A” and part ‘B”, each part
evaluated.
• Answer sheet(s) of Part A and Part B are not to be tagged together.

PART A
1. a) What are the indications of percutaneous dilatational (4+2)+4

tracheostomy and what are its advantages over
surgical tracheostomy?
b) What is Trans-nasal Humidified Rapid Insufflation
Ventilator Exchange(THRIVE)?
2. a) Enumerate the methods of labour analgesia. 4+3+(2+1)

b) What is the monitoring required during epidural labor
analgesia?
c) Advantages & disadvantages of fentanyl in central
neuraxial block for labour analgesia.
3. a) What is Beer-Lambert law? 2+4+4

b) Enumerate the limitations of pulse oxymetry.
c) What is arterial oxygen content (CaO2)?
4. a) Pharmacodynamics of dexmedetomidine. 4+3+3

b) Role of dexmedetomidine in critically ill patients.
c) Compare dexmedetomidine with clonidine.
5. a) Define anion gap and enumerate the factors which (2+3)+5

increase the anion gap.
b) Enumerate the 5 H’s & 5 T’s for differential diagnosis
during resuscitation.
P.T.O
- 1-
HALL.
DECEMBER 2017
ANAESTHESIOLOGY
PAPER – IV
• Answers to questions of Part A and Part B are to be strictly attempted in separate answer
separately.
• Answers to questions of Part A attempted in answer sheet(s) of Part B or vice versa shall not be
evaluated.
PART B
6. a) WHO step-ladder pattern for pain relief in advanced 5+5

cancer.
b) Pre-emptive analgesic.
7. a) Intra-operative monitoring for cardiac ischemia. 5+5

b) Postoperative cognitive dysfunction in the elderly.
8. a) What is non invasive ventilation? 3+3+4

b) What are the pre-requisites before initiating it?
c) What are the complications associated with it?
9. a) Role of Dynamic Indices in Surviving Sepsis Guidelines 5+(2+3)

2017.
b) Define VAP(Ventilator Acquired Pneumonia) and
enumerate factors predisposing to VAP.
10. a) Postoperative pain management in a child with cleft lip 5+5

repair.
b) Buska mask
************
- 2-
HALL.
JUNE 2017
ANAESTHESIOLOGY
PAPER – I
ANS/J/17/01/I
Time : 3 hours
Max. Marks : 100
• This question paper consists of 10 questions divided into Part ‘A’ and Part ‘B’, each part
• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall
not be evaluated.
• Answer sheet(s) of Part ‘A’ and Part ‘B’ are not to be tagged together.
• Part ‘A’ and Part ‘B’ should be mentioned only on the covering page of the respective answer
sheet(s).
• Attempt all questions in order.
• Each question carries 10 marks.
• Do not leave any blank pages between two answers.
PART A
1. a) What is minimum alveolar concentration (MAC)? 1+2+3+4
b) What is the MAC of desflurane in O2 and N2O?
c) What are the unique properties of desflurane?
d) Functioning of a desflurane vaporizer.
2. a) What is oxygen flux? 2+3+4+1

b) Draw a labeled diagram of the oxygen dissociation curve (ODC).
c) What are the factors that cause a shift of the ODC?
d) What is the partial pressure of oxygen at the level of the
mitochondria?
3. a) What is the principle of a jet ventilator? 3+(3+2+2)

b) Clinical indications, advantages and precautions to be followed
during jet ventilation.
4. a) What is Glasgow Coma Scale? 3+7

b) Various methods of reducing intracranial pressure in the peri-
operative period.
5. A 26 year old, ASA grade I male weighing 75 kg was posted for 2+2+6
surgery for fracture shaft of femur. His pre-operative Hb was 13
gm% and he bled 850 ml during the surgery:
a) What should be the transfusion trigger hematocrit for blood
transfusion in this patient?
b) How would you calculate allowable blood loss in this patient?
c) What are the methods of reducing intra-operative blood loss?
P.T.O.
-1-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
JUNE 2017
ANAESTHESIOLOGY
PAPER – I
separately.
not be evaluated.
PART B
6. a) Why is an infant more prone to hypothermia than an adult? 4+3+3

b) What are the consequences of inadvertent intra-operative
hypothermia in an infant?
c) Various methods of prevention of intra-operative hypothermia.
7. a) Enumerate the causes of hyponatremia. 3+3+4

b) Signs and symptoms of hyponatremia with respect to serum
sodium levels.
c) Management of hyponatremia.
8. A patient develops gangrene of the fingers after right radial artery 2+4+4
cannulation.
a) What can be the possible explanation for this?
b) Modified Allen’s test and its interpretation.
c) What are the other complications/ side effects of radial artery
cannulations?
9. A 55 year old smoker is posted for oesophagectomy requiring one 4+3+3

lung ventilation.
a) Outline the changes in respiratory mechanics during one lung
ventilation and pre-operative evaluation of this patient.
b) Various methods used to optimize oxygenation during one
lung ventilation.
10. a) Minimum monitoring standards in Anesthesia. 5+5

b) Standard deviation and standard error in case of
quantitative data.
**********************
-2-
EXAMINATION HALL.
JUNE 2017
ANAESTHESIOLOGY
PAPER – II
ANS/J/17/01/II
Time : 3 hours
Max. Marks : 100
separately.
not be evaluated.
sheet(s).

PART A
1. A 36 year old diabetic with poorly controlled blood sugar and (2+2)+(4+2)
Hb A1C of 7.2 is posted for removal of an infected toe nail.
a) Which type of regional anesthesia technique would be
ideal for this patient and why?
b) Technique of regional anesthesia and enumerate the
nerves involved.
2. a) What are the pain assessment tools available for 4+(3+3)

assessment of post operative pain?
b) Special methods for assessment of pain in children and
the non-communicating adult.
3. a) What is the mechanism of action of neuraxial opioids? 4+2+4

b) Which is the ideal opioid for epidural use and why?
c) What are the advantages and side effects of use of
neuraxial opioids?
4. a) What is the principle used in ultrasonography? 4+6

b) What are the clinical uses of ultrasonography in
anaesthesia practice?
5. What are the anaesthetic considerations in a 26 year old 10

lady with 28 weeks pregnancy posted for laparoscopic
appendicectomy?
P.T.O.
-1-
EXAMINATION HALL.
JUNE 2017
ANAESTHESIOLOGY
PAPER – II
separately.
not be evaluated.
PART B
6. While performing an epidural block, there was an accidental 3+3+4

dural puncture:
a) What are the various options available to the
anesthesiologist in this situation?
b) List the various methods for prevention of post dural
puncture headache.
c) Management of post dural puncture headache.
7. a) What is rapid sequence induction (RSI)? 3+3+4

b) What are the indications of RSI?
c) What are the possible pitfalls and precautions to be taken
while planning for RSI?
8. a) Myocardial protection during Cardio-pulmonary bypass. 4+6

b) Ovarian hyperstimulation syndrome: Enumerate clinical
features & give treatment outline.
9. a) What is diastolic dysfunction? 2+4+4

b) How should we evaluate for diastolic dysfunction in the
pre-operative period?
c) What are its implications to the anaesthesiologist?
10. a) Management of post tonsillectomy bleed. 5+5

b) Transversus abdominis plane block: Technique and
indications
**********************
-2-
EXAMINATION HALL.
JUNE 2017
ANAESTHESIOLOGY
PAPER – III
ANS/J/17/ 01/III
Time : 3 hours
Max. Marks : 100
separately.
not be evaluated.
sheet(s).

PART A
1. Pre-operative evaluation, preparation and management of a 14 2+3+5

year old boy having a nasal angiofibroma.
2. Pre-operative evaluation and anaesthetic management of a 13 4+6

year old girl with kyphoscoliosis of the thoracic spine posted
for corrective surgery.
3. Pre-operative assessment, preparation and anaesthetic 3+3+4

management of a 16 year old girl posted for laparoscopic
resection of left sided adrenal mass (phaeochromocytoma).
4. a) Pathophysiology of pre-eclampsia and eclampsia. 5+5

b) Steps of anaesthetic management of an eclamptic patient
for LSCS.
5. Steps of anaesthetic management of: 5+5
a) A 4 year old boy with retropharyngeal abscess.
b) A 10 year old boy with Tetralogy of Fallot presenting with
cerebellar abscess.
P.T.O.
-1-
EXAMINATION HALL.
JUNE 2017
ANAESTHESIOLOGY
PAPER – III
separately.
not be evaluated.
PART B
6. a) Pathophysiology of disseminated intravascular 5+5

coagulation.
b) Myasthenia gravis Vs Myasthenic Syndrome in tabular
form.
7. a) Enhanced recovery after surgery. 5+5

b) Effect of anesthetic agents on developing brain.
8. a) Recruitment maneuvers. 5+5

b) Etiology of hepato-renal shutdown and its management
(peri-operative).
9. a) Blocks in ophthalmic anesthesia. 5+5

b) Anesthetic concerns in perforating eye injury.
10. a) Enumerate the post-thoracotomy complications. 5+5

b) Mention the nerve blocked in awake craniotomy and what
all parameters are monitored during surgery?
**********************
-2-
EXAMINATION HALL.
JUNE 2017
ANAESTHESIOLOGY
PAPER – IV
ANA/J/17/01/IV
Time : 3 hours
Max. Marks : 100
separately.
not be evaluated.
sheet(s).

PART A
1. Principles involved in weaning a patient from ventilatory 10

support in an ICU.
2. a) Simulators in anesthesia. 5+5

b) Safety features in an anesthesia workstation.
3. a) What is the International Association for Study of Pain 2+2+6

(IASP) definition of pain?
b) Classify pain.
c) Interdisciplinary management of pain.
4. What are the problems with acute exposure to high altitude? 5+5
Outline the anesthetic concerns.
5. Role of the following in a patient of Swine Flu: 5+5

a) Extra-Corporeal Membrane Oxygenator (ECMO).
b) High Frequency Oscillatory Ventilation
P.T.O.
-1-
EXAMINATION HALL.
JUNE 2017
ANAESTHESIOLOGY
PAPER – IV
separately.
not be evaluated.
PART B
6. Pathophysiology, signs & symptoms, and management of 3+3+4

cyanide poisoning.
7. Anesthetic concerns for organ transplanted patient. 10
8. Pathophysiology and management of drowning patient. 10
9. a) Deep vein thrombosis and preventive strategies. 5+5

b) Classify β-blockers and mention their benefits in subjects
of Ischemic Heart Disease (IHD) scheduled for surgery.
10. a) Various techniques adopted for neuro-muscular monitoring 7+3

during anesthesia.
b) Enumerate the advantages and limitations of these
techniques.
**********************
-2-
EXAMINATION HALL.
DECEMBER 2016
ANAESTHESIOLOGY
PAPER – I
ANS/D/16/01/I
Time : 3 hours
Max. Marks : 100
separately.
not be evaluated.
sheet(s).

PART A
1. What is Valsalva maneuver? With the help of a diagram, write 2+4+4

its effect on the blood pressure of a:
a) Normotensive patient
b) Patient with autonomic neuropathy
2. a) Define functional residual capacity (FRC). 2+(3+3)+2

b) Enumerate the effects of age and Trendelenberg position
on FRC.
c) Anaesthetic implications of the changes in FRC.
3. Predisposing factors, diagnosis and management for venous 3+3+4

air embolism.
4. a) Sensory and motor nerve supply of larynx. (3+3)+2+2

b) Give diagrammatic representation of recurrent laryngeal
nerve palsy for:
i) Bilateral complete
ii) Bilateral incomplete
5. What do you mean by ‘power’ of a study? How is the sample 4+6

size in a study calculated?
P.T.O
-1-
EXAMINATION HALL.
DECEMBER 2016
ANAESTHESIOLOGY
PAPER – I
separately.
not be evaluated.
PART B
6. Anatomical differences in the airway and the differences in 5+5

respiratory physiology between a neonate and an adult.
7. a) Enumerate the buffer systems in the body. 3+7

b) Renal compensation for metabolic acidosis.
8. Pharmacodynamic effects of etomidate on cardiovascular, 2+2+2+2+2

respiratory, endocrine, central nervous and hepato-renal
systems in the body.
9. a) Define obstructive sleep apnoea. 2+(2+2+4)

b) Pathogenesis, diagnosis and anaesthetic implications of
obstructive sleep apnoea.
10. a) What are the ECG changes caused by hyperkalaemia? 4+6

b) How is intra-operative hyperkalaemia treated?
**********************
-2-
EXAMINATION HALL.
DECEMBER 2016
ANAESTHESIOLOGY
PAPER – II
ANS/D/16/01/II
Time : 3 hours
Max. Marks : 100
separately.
not be evaluated.
sheet(s).

PART A
1. a) Current status of Nitrous Oxide in clinical practice. 5+5

b) Effects of chronic exposure to Nitrous Oxide.
2. Clinical features and management of local anaesthetic toxicity. 5+5
3. a) Recent guidelines of Difficult Airway Society (DAS) for 7+3

unanticipated difficult airways.
b) Ambu AuraGain Laryngeal Mask.
4. Hazards of using lasers during anaesthesia and its preventive 6+4

measures.
5. A neonate is scheduled for video assisted repair of congenital 6+4

diaphragmatic hernia.
a) What are the anaesthetic considerations?
b) Post-operative management.
P.T.O.
-1-
EXAMINATION HALL.
DECEMBER 2016
ANAESTHESIOLOGY
PAPER – II
separately.
not be evaluated.
PART B
6. a) Enumerate safety features in modern anesthetic 6+4

machines to prevent delivery of hypoxic gas mixture.
b) How will you check the functional integrity of Bain’s
Circuit?
7. A patient with history of ischaemic heart disease on medical 4+(3+3)

management is scheduled for upper abdominal surgery.
a) Give an outline of the risk stratification.
b) Enumerate the steps in preoperative preparation and
anaesthesia management.
8. a) How will you evaluate the airway in a patient with 4+6

Temporo-mandibular joint (TMJ) ankylosis?
b) Technique of awake flexible fiberoptic guided intubation
in such a patient.
9. a) Classify oxygen delivery devices giving appropriate 6+4

examples.
b) What is the importance of central venous oxygen
saturation (ScVO2) in clinical practice?
10. a) Define Monitored Anaesthesia Care. 2+(2+2+2+2)

b) Enumerate its goals, indications, advantages and
disadvantages.
**********************
-2-
EXAMINATION HALL.
DECEMBER 2016
ANAESTHESIOLOGY
PAPER – III
ANS/D/16/01/III
Time : 3 hours
Max. Marks : 100
separately.
not be evaluated.
sheet(s).

PART A
1. a) Classify obesity. 2+5+3

b) Anaesthetic considerations of a patient weighing 120 Kg
scheduled for bariatric surgery.
c) Outline postoperative management.
2. Preoperative preparation and anaesthetic management of a 4+6

patient with prosthetic mitral valve on warfarin scheduled for
elective laparotomy.
3. a) Anesthetic management of a sixty year old patient 6+4

scheduled for robotic surgery for a urological procedure.
b) What are the complications of steep Trendelenberg
position?
4. a) Enumerate the circulatory assist devices. 2+(2+2+4)

b) Indications, contraindication and complications of Intra
Aortic Balloon Pump (IABP)?
5. Anesthetic considerations and anesthetic management of a 4+6

25 year old female scheduled for oocyte retrieval in an IVF
suite.
P.T.O.
-1-
EXAMINATION HALL.
DECEMBER 2016
ANAESTHESIOLOGY
PAPER – III
separately.
not be evaluated.
PART B
6. Advantages and disadvantages of: 5+5

a) Synchronized Intermittent Mandatory Ventilation (SIMV).
b) Assist control ventilation(ACV)
7. a) What are the criteria for brain death? 3+7

b) Management of brain dead patient scheduled for organ
harvesting.
8. Preoperative evaluation and anaesthetic management in a one 3+7

day old neonate, scheduled for repair of tracheo-esophageal
fistula.
9. a) What are the implications of pneumo-peritoneum? 4+6

b) Role of anaesthesiologist during pneumo-peritoneum.
10. a) What are the causes of oxygen desaturation in an ASA-I 5+5

patient in the immediate postoperative period following
upper abdominal surgery?
b) Step wise management of this patient.
**********************
-2-
EXAMINATION HALL.
DECEMBER 2016
ANAESTHESIOLOGY
PAPER – IV
ANS/D/16/01/IV
Time : 3 hours
Max. Marks : 100
separately.
not be evaluated.
sheet(s).

PART A
1. a) Why is humidification of inhaled gases important? 2+(4+4)

b) What are the various techniques of humidifying inhaled air
in a patient breathing spontaneously, and a patient on
controlled ventilation in ICU?
2. a) What is opioid induced hyperalgesia? 2+2+6

b) What is the difference between opioid induced
hyperalgesia and opioid tolerance?
c) Measures taken to overcome opioid induced hyperalgesia.
3. Symptoms and signs, and management of organophosphorus 5+5

poisoning.
4. Role of PT, APTT and thromboelastography in clinical practice. 3+3+4
5. Pharmacological and non-pharmacological means of reducing 5+5

intracranial tension in a patient with head injury being
ventilated in ICU.
P.T.O.
-1-
EXAMINATION HALL.
DECEMBER 2016
ANAESTHESIOLOGY
PAPER – IV
separately.
not be evaluated.
PART B
6. What are the symptoms and signs of hyponatraemia? 4+3+3

Calculate the sodium deficit in a 70 Kg adult male with serum
sodium of 122mmol/L. How will you replace the deficit?
7. a) Define: (1+1)
i) Systemic Inflammatory Response Syndrome.
ii) Septic shock
b) Role of the following drugs in the management of septic (3+3+2)
shock:
i) Noradrenaline
ii) Dopamine
iii) Dobutamine
8. Define bronchospasm. How does it affect the pressure volume 2+2+3+3

flow loop? What are the intra-operative causes of
bronchospasm? How is it managed?
9. Define VAP (Ventilator Acquired Pneumonia). What are the 2+3+2+3

guidelines for antimicrobial treatment of VAP? What are the
common microbes responsible for VAP? How can it be
prevented?
10. a) Define ARDS. 2+3+5

b) Pathophysiology of ARDS.
c) Principles of ventilatory management in a patient with
ARDS.
**********************
-2-
EXAMINATION HALL.
JUNE 2016
ANAESTHESIOLOGY
PAPER – I
ANAES/J/16/01/I
Time : 3 hours
Max. Marks : 100
separately.
not be evaluated.
sheet(s).

PART A
1. a) Pharmacokinetics and pharmacodynamics of ropivacaine. (3+3)+4

b) Compare ropivacaine with bupivacaine and
levobupivacaine.
2. Clinical features, diagnostic criteria and management of snake 3+3+4

bite poisoning.
3. a) What are the indications of caudal epidural in pediatric 2+(4+4)

patients undergoing surgery?
b) Its technique and complications.
4. a) What are anaesthesia vaporizers? 2+4+4

b) How are these classified?
c) Physical principles in their functioning.
5. Differentiate between parametric and non-parametric tests for 10

statistical significance.
P.T.O.
-1-
EXAMINATION HALL.
JUNE 2016
ANAESTHESIOLOGY
PAPER – I
separately.
not be evaluated.
PART B
6. a) How would you evaluate a patient with autonomic 6+4

neuropathy preoperatively?
b) What are its anaesthetic implications?
7. a) What are the different types of crystalloids used in shock in 2+(3+3+2)

an adult patient?
b) Mention their composition, advantages & disadvantages.
8. a) Enumerate various approaches to central venous 2+(2+2+2+2)

cannulation.
b) Anatomical landmarks, technique, advantages and
disadvantages of any one of the approaches central to
venous cannulation.
9. a) Indications of one lung ventilation. 5+5

b) Management of severe hypoxaemia during one lung
ventilation.
10. Applications of the following in anaesthesia: 3+3+4

a) Boyle’s law
b) Charle’s law
c) Bernoulli’s principle
**********************
-2-
EXAMINATION HALL.
JUNE 2016
ANAESTHESIOLOGY
PAPER – II
ANAES/J/16/01/II
Time : 3 hours
Max. Marks : 100
separately.
not be evaluated.
sheet(s).

PART A
1. a) Define massive blood transfusion. 2+8

b) What are the risks of transfusion of blood and blood
products?
2. Guidelines for management of biomedical waste. 10
3. a) Neuromuscular transmission with the help of a diagram. 7+3

b) Factors that influence neuromuscular transmission.
4. Indications, contraindications and complications of regional 3+4+3

anaesthesia in pediatric age group.
5. Principles and advantages of different types of jet ventilation. 3+7
P.T.O.
-1-
EXAMINATION HALL.
JUNE 2016
ANAESTHESIOLOGY
PAPER – II
separately.
not be evaluated.
PART B
6. a) Etiology and clinical manifestations of acute Guillain Barré (2+3)+5

Syndrome.
b) Important considerations while intubating a patient with
acute Guillain Barré Syndrome in the ward.
7. Anaesthetic concerns for posterior cranial fossa surgery. 10
8. Anaesthetic management of an uncontrolled diabetic patient 10

for emergency amputation of diabetic foot.
9. Pathophysiology and management of post dural puncture 5+5

headache.
10. a) Anatomy of brachial plexus with the help of diagram(s). 5+(2+3)

b) Name the various approaches to brachial plexus block.
Describe any one of them.
**********************
-2-
EXAMINATION HALL.
JUNE 2016
ANAESTHESIOLOGY
PAPER – III
ANAES/J/16/01/III
Time : 3 hours
Max. Marks : 100
separately.
not be evaluated.
sheet(s).

PART A
1. a) Enumerate the indications of Off-Pump coronary artery 2+(4+2+2)

bypass surgery.
b) Technique, advantages & disadvantages of Off-Pump
coronary artery bypass surgery.
2. Pre-requisites, criteria and tests to determine brain death. 10
3. a) Oculocardiac reflex. 5+5

b) Post-tonsillectomy bleed.
4. a) Problems of acute exposure to high altitude. 4+6

b) Anaesthetic considerations at high altitude.
5. a) Awareness under anaesthesia. 3+3+4

b) Risk factors for awareness under anaesthsia.
c) How can the depth of anaesthesia be monitored?
P.T.O.
-1-
EXAMINATION HALL.
JUNE 2016
ANAESTHESIOLOGY
PAPER – III
separately.
not be evaluated.
PART B
6. Anaesthetic management of a 3-year-old child scheduled for 10

Patent Ductus Arteriosus (PDA) ligation.
7. Principles of management of a patient with Traumatic Brain 10

Injury (TBI).
8. Manifestations of thyroid storm and its management. 3+7
9. Pre-anaesthetic evaluation and preparation of a patient with 5+5

left lower lobe bronchiectasis scheduled for left lower
lobectomy.
10. a) Hypoxic pulmonary vasoconstriction. 5+5

b) Post extubation laryngospasm.
**********************
-2-
EXAMINATION HALL.
JUNE 2016
ANAESTHESIOLOGY
PAPER – IV
ANAES/J/16/01/IV
Time : 3 hours
Max. Marks : 100
separately.
not be evaluated.
sheet(s).

PART A
1. a) Classify various pharmacological agents for pain relief. 4+6

b) Enumerate the major side effects of each.
2. a) What is oxygen flux? 2+(4+2+2)

b) Draw oxygen haemoglobin dissociation curve and
enumerate the factors producing leftward and rightward
shift of the curve.
3. Management of a patient with pulseless ventricular 10

tachycardia/ventricular fibrillation in the hospital.
4. a) Management of hyponatreima (serum sodium level of 109 5+5

mEq/L in a patient).
b) Closed suction catheter system for tracheal suctioning.
5. Management of a patient with electric shock. 10
P.T.O.
-1-
EXAMINATION HALL.
JUNE 2016
ANAESTHESIOLOGY
PAPER – IV
separately.
not be evaluated.
PART B
6. Criteria for discharge after day care/ambulatory surgery. 10
7. a) What is chemical disinfection and sterilization? 2+3+5

b) Which are the agents used?
c) Factors influencing chemical disinfection.
8. a) Enumerate various methods for pain relief in labour. 2+(4+2+2)

b) Technique, advantages and disadvantages of any one of
them.
9. Indications, management and side effects of induced 3+5+2

hypothermia.
10. Indications, technique and complications of percutaneous 3+4+3

dilatational tracheostomy.
**********************
-2-
EXAMINATION HALL.
APRIL 2016
ANAESTHESIOLOGY
PAPER – I
ANAES/APRIL/16/01/I
Time : 3 hours
Max. Marks : 100
Important instructions:
1. a) Define ‘Crush syndrome’. 2+4+4

b) Pathogenesis of shock and acute renal failure in Crush
syndrome.
c) How will you manage such a case?
2. Methods for cleaning and sterilization of Supraglottic Airway 5+5

Devices (SAD).
3. a) Various indications and disadvantages of Trendelenberg’s (2+5)+3

position during anaesthesia and surgery.
b) How can these be prevented?
4. Differentiate between standard deviation and standard error in 10

case of quantitive data.
5. a) What are universal precautions for HIV, HBV & HCV? 5+5
b) Transmission based precautions.
6. Various safety features incorporated in modern anaesthesia 10

machines.
7. a) What is the mechanism of action of neuraxial opioids? 3+2+5

b) Enumerate commonly used drugs for neuraxial block with
their doses.
c) What are their advantages and adverse effects?
8. Eumerate the changes in cardiovascular and respiratory 10

systems in a full term pregnant patient.
9. Anaesthesia & Neurotoxicity. 10
10. a) Permissive hypercapnia. 5+5

b) Dynamic hyperinflation and internal (occult) PEEP.
*********************
EXAMINATION HALL.
APRIL 2016
ANAESTHESIOLOGY
PAPER – II
ANAES/APRIL/16/01/II
Time : 3 hours
Max. Marks : 100

1. Describe briefly physiologic changes during aortic cross 5+5
clamping and unclamping during vascular surgery. Which
therapeutic interventions can minimize these effects?
2. Enumerate the anticipated problems in an adult patient with: 5+5
a) Scoliosis at thoracic level.
b) 2 days old smoke inhalational injury.
3. Post resuscitation care in a patient revived after cardio- 10

respiratory care.
4. a) Oxygen cascade (with diagram) & its implications. 5+5

b) Anaesthetic management of Post-partum Hemorrhage
(PPH).
5. a) Define and classify respiratory failure. (2+3)+5

b) Berlin definition of Acute Respiratory Distress Syndrome
(ARDS).
6. Various patterns of nerve stimulation in neuromuscular 10

monitoring and their interpretation with the help of diagram(s).
7. a) Remifentanil. 5+5
b) Sevoflurane versus halothane.
8. a) Context-sensitive half life (or half time). 5+5

b) Compare sodium nitroprusside and nitroglycerine.
9. a) Role of mixed (and/or) central venous oxygen saturation 5+5
measurement in ICU (Intensive Care Unit).
b) Indications & contraindications of parenteral nutrition in
ICU.
10. Indications, contraindications, advantages, complications and 2+2+2+2+2
various techniques of performing percutaneous tracheostomy.
*********************
EXAMINATION HALL.
APRIL 2016
ANAESTHESIOLOGY
PAPER – III
ANAES/APRIL/16/01/III
Time : 3 hours
Max. Marks : 100
1. Assessment and management of pain in a terminally ill patient. 3+7
2. Pre-operative preparation and anesthetic management of a 10

patient with myasthenia gravis posted for thymectomy.
3. Classify cardiomyopathies. Describe briefly the anaesthetic 3+7

management of a 48 year old female patient with dilated
cardiomyopathy scheduled for total abdominal hysterectomy.
4. How will you evaluate a 65 year old male patient with 5+5
carcinoma larynx posted for laryngectomy? Outline the
anaesthetic management of this patient.
5. Perioperative management in a case of liver resection. 10
6. Anaesthetic implications in a patient with sickle cell disease, 10

coming for surgery.
7. Problems and anaesthetic management of a one day old 3+7

neonate for congenital diaphragmatic hernia repair.
8. Post-thoracotomy complications following pneumonectomy. 10
9. a) Apgar score and its importance. 3+3+4

b) Balanced salt solutions.
c) Local anesthesia techniques in glaucoma surgery.
10. Anaesthetic management of a 30 year old patient posted for 10

clipping of intracranial aneurysm.
*********************
EXAMINATION HALL.
APRIL 2016
ANAESTHESIOLOGY
PAPER – IV
ANAES/APRIL/16/01/IV
Time : 3 hours
Max. Marks : 100
1. a) What is “Fluid Responsiveness”? 3+7

b) Various static and dynamic indices of fluid responsiveness.
2. a) What are the indicators of organ perfusion? 2+8

b) ICU management of a patient, operated for perforation
peritonitis with septic shock.
3. Rationale of various initial ventilatory settings in patients with 5+5

severe obstructive and restrictive disease.
4. a) Propofol infusion syndrome. 5

b) Refeeding syndrome. 5
5. What is base excess/deficit? How do the kidneys compensate 10

for acid-base imbalance?
6. What are the indications and approaches of sciatic nerve (2+2)+6

block? Explain any one technique.
7. Draw a diagram to show various lung volumes & capacities. 6+4

How does a spirometry permit classification of pulmonary
dysfunction as an obstructive defect or restrictive defect?
8. Diagnosis, management and prophylaxis of deep vein 3+4+3

thrombosis.
9. What are the priorities in trauma care? How would you 4+6
evaluate the patient by Glasgow Coma Scale?
10. Define hyperkalemia and enumerate its causes. Describe the (1+2)+7
signs & symtoms, ECG diagnosis and management of a
patient with serum potassium levels of 6.5 mEq/L.
*********************
EXAMINATION HALL.
DECEMBER 2015
ANAESTHESIOLOGY
PAPER – I
ANS/D/15/01/I
Time : 3 hours
Max. Marks : 100
 This question paper consists of 10 questions divided into Part ‘A’ and Part ‘B’, each part
 Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
separately.
 Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall
not be evaluated.
 Answer sheet(s) of Part ‘A’ and Part ‘B’ are not to be tagged together.
 Part ‘A’ and Part ‘B’ should be mentioned only on the covering page of the respective answer
sheet(s).
PART A
1. What is preemptive analgesia? What are the drugs used? 2+3+(3+2)

What are their advantages and side effects?
2. a) Guidelines for biomedical waste management. 4+3+3

b) Global warming and ozone depletion effect by inhalational
anaesthetic agents.
c) Pre-conditioning by volatile anaesthetic agents.
3. Factors that determine the anaesthetic uptake of volatile 10

anaesthetic agent.
4. What are the indications of caudal epidural anesthesia in 3+(4+3)

paediatric patients undergoing surgery? Describe the
technique and write its complications.
5. Role of Dexmedetomidine in anaesthetic practice. 10
P.T.O.
-1-
EXAMINATION HALL.
DECEMBER 2015
ANAESTHESIOLOGY
PAPER – I
separately.
not be evaluated.
PART B
1. Preoperative evaluation of cardiac patient scheduled for non 10

cardiac surgery.
2. What is “Venturi Principle”? Describe its application in 2+8

Anaesthesia Practice.
3. Innervation of larynx and palsies following nerve injury. 5+5
4. What is “Fast Tracking concept” after Ambulatory 3+7

anaesthesia? Enumerate the criteria used to determine fast
track eligibility after ambulatory anaesthesia.
5. Compare and contrast Sodium Nitroprusside and 5+5

Nitroglycerine and its clinical implications.
**********************
-1-
EXAMINATION HALL.
DECEMBER 2015
ANAESTHESIOLOGY
PAPER – II
ANS/D/15/01/II
Time : 3 hours
Max. Marks : 100
separately.
not be evaluated.
sheet(s).
PART A
1. With the help of diagrams, explain the various patterns of 10

nerve stimulation used for neuro-muscular (N-M) monitoring
during anaesthesia practice.
2. a) What is minimum alveolar concentration (MAC)? 2

b) Factors which affect the alveolar concentration of an 8
inhalational agent.
3. a) Mechanism of action and pharmaco-kinetics of propofol. (2+3)+(3+2)

b) Its effect on various organ system and its clinical use.
4. a) Pathway of oculo-cardiac reflux during ophthalmic (3+2)+(3+2)

surgery, and its intraoperative management.
b) Enumerate the various component of Glasgow Coma
Scale and its role in classifying severity of traumatic
brain injury.
5. A 20 years old male is scheduled for amputation of traumatic 10

toes. Describe the various nerve blocks at the ankle.
P.T.O.
-1-
EXAMINATION HALL.
DECEMBER 2015
ANAESTHESIOLOGY
PAPER – II
separately.
not be evaluated.
PART B
1. Management of neuraxial blockade (Central, Regional, 10

Peripheral) in a patient on anticoagulation therapy.
2. a) Factors which govern uptake of inhalation anaesthetic 5+5

agents.
b) Enumerate the effects of sevoflurane on various organ
systems.
3. a) Functional analysis of “Bain circuit”. 5+5

b) How will you check the functional integrity of Bain’s circuit?
4. Toxicity of currently used Local Anaesthetics and their 5+5

management.
5. a) Informed consent 5+5

b) Record keeping – Documentation in Anaesthesia
**********************
-1-
EXAMINATION HALL.
DECEMBER 2015
ANAESTHESIOLOGY
PAPER – III
ANS/D/15/01/III
Time : 3 hours
Max. Marks : 100
separately.
not be evaluated.
sheet(s).
PART A
1. a) Enumerate various positions used for surgical approach to 2+3+(2+3)

infratentorial intracranial tumors.
b) Complications associated with sitting position.
c) Diagnosis and management of venous air embolism.
2. Preoperative evaluation and anaesthetic management of a 10

patient with chronic obstructive pulmonary disease scheduled
for right lower lobe pneumonectomy.
3. a) Anaesthetic technique for trans-urethral resection of 6+4

prostate (TURP).
b) Enumerate the complications that can occur following
TURP.
4. a) What are the limitation and hazards of providing 6+4

anaesthesia in MRI suite?
b) Anaesthetic management of a 6 month old child with
hydrocephalus scheduled for MRI.
5. Preanaesthetic evaluation and anaesthetic management of a 10

75 year old lady scheduled for bilateral knee replacement
(TKR).
P.T.O.
-1-
EXAMINATION HALL.
DECEMBER 2015
ANAESTHESIOLOGY
PAPER – III
separately.
not be evaluated.
PART B
1. Preoperative evaluation, preparation and anaesthetic 2+3+5

management of a patient with multinodular goitre with
retrosternal extension.
2. Anaesthetic management of a full term primigravida with 10

severe pre eclampsia scheduled for emergency caesarean
section.
3. Pre-operative evaluation, anaesthetic preparation, and 3+3+4

anaesthetic management of an adult patient of portal
hypertension scheduled for emergency Lieno-Renal (L-R)
shunt.
4. a) Indications for pacemaker insertion. 2+8

b) General principles of anaesthetic management of a patient
with pace maker scheduled for laparoscopic
cholecystectomy.
5. Preoperative evaluation and anaesthetic management of a 4 10

year old child scheduled for removal of foreign body from the
bronchus.
**********************
-1-
EXAMINATION HALL.
DECEMBER 2015
ANAESTHESIOLOGY
PAPER – IV
ANS/D/15/01/IV
Time : 3 hours
Max. Marks : 100
separately.
not be evaluated.
sheet(s).
PART A
1. a) What is Berlin’s definition of Acute Respiratory Distress 2+(2+2+4)

Syndrome (ARDS)?
b) Etiopathogenesis, severity classification and ICU
management of a case of ARDS.
2. What are the drugs used for chronic pain management? 2+(2+3+3)
Mention their site of action, mechanism of action and
complication of each drug.
3. a) What is the principle of physics on the use of ultrasound in 5+5

medical practice?
b) Role of ultrasound in practice of anaesthesia and I C U.
4. a) Steps for separation of whole blood for component 6+(2+2)

therapy.
b) Indications and contraindications for fresh frozen plasma.
5. a) Cardiac conduction system. 5+5

b) How will you manage a patient with “Paroxysmal
Supraventricular Tachycardia”?
P.T.O.
-1-
EXAMINATION HALL.
DECEMBER 2015
ANAESTHESIOLOGY
PAPER – IV
separately.
not be evaluated.
PART B
1. Approach for management of a patient with metabolic acidosis 10

on Arterial Blood Gas Analysis admitted in I C U.
2. How would you prescribe total parenteral nutrition (TPN) to a 6+4

50 kg patient in the ICU? How would you monitor the patient
on TPN?
3. Various approaches for central venous pressure (CVP) 6+4

monitoring and fluid challenge test using CVP monitoring.
4. What is the role of “simulation” for training and evaluation of 5+5

Anaesthesia residents? What are its major advantages and
disadvantages?
5. What are the agents used for chemical disinfection and 3+3+(2+2)
sterilization? What are the factors influencing it? Mention the
advantages and disadvantages of these methods.
**********************
-1-
EXAMINATION HALL.

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TIME: 3 HOURS ANS/J/18/01/I

1. a) Anatomy of larynx with a well labelled diagram. 6+4

2. a) Predictors of Difficult Mask Ventilation in adult patients. 5+5

3. a) p-value and Null hypothesis- importance and interpretation 5+5

4. a) Draw a well labelled diagram of a normal Thromboelastograph 4+6

5. Preoperative evaluation for Diabetic Autonomic Neuropathy and 6+4

Please read carefully the important instructions mentioned on Page ‘1’

6. a) OSA (Obstructive sleep apnoea) risk scoring system. 5+5

7. The prevention and management of: 5+5

8. a) Effects of Smoking and anaesthesia concerns. 5+5

9. The signs, symptoms and management of local anaesthesia 3+3+4

10. a) The advantages and disadvantages of closed circuit 5+5

TIME: 3 HOURS ANS/J/18/01/II

1. Indications, technique and complications of TAP (Tranversus 3+5+2

2. Preventive measures and management of Post Dural Puncture 5+5

3. Compare and contrast:

4. Prevention and management of intraoperative air embolism in an 5+5

5. Management strategies of extubation in a patient with difficult 10

Please read carefully the important instructions mentioned on Page ‘1’

6. a) MAC (Monitored anaesthesia care) 5+5

7. Preoperative evaluation and anaesthetic management of a 35- 4+6

9. a) Post-operative analgesia modalities used for a patient 5+5

10. a) TIVA: describe the technique and drugs used. 5+5

TIME: 3 HOURS ANS/J/18/01/III

1. A 35-year-old female, diagnosed case of primary infertility, is 5+5

2. Pre-operative evaluation and anaesthetic management of a 60- 4+6

3. A 5-year-old child (weight 20kg) who underwent tonsillectomy 2 3+3+4

4. a) Peribulbar block - technique and complications 5+5

5. What are the anaesthetic concerns for a 45-year-old patient 6+4

Please read carefully the important instructions mentioned on Page ‘1’

6. a) Prevention and management of hepatorenal syndrome in a 5+5

8. a) Airway management in a patient for ambulatory surgery. 5+5

9. Diagnosis and management of intraoperative pulmonary edema. 3+7

10. a) Clinical importance of anatomical and physiological dead 5+5

TIME: 3 HOURS ANS/J/18/01/IV

1. What are simulators? Describe different types of simulators and 2+8

2. a) Visual Analogue Scale (VAS) and its interpretation. 5+5

3. Concerns and anaesthetic management for robotic surgery. 4+6

4. a) Stroke volume variations and its anaesthetic implications. 5+5

5. Define asystole. Describe the “algorithm” with the help of a 2+8

Please read carefully the important instructions mentioned on Page ‘1’

6. a) Liposomal bupivacaine. 5+5

7. Guidelines for assessment and management of nutrition support 4+6

9. a) Role of anaesthesiologists in palliative care medicine. 5+5

10. a) Regional anaesthesia and low molecular weight heparins. 5+5

Time : 3 Hours ANS/D/17/01/I

Write short notes on:

1. Enumerate the physiological changes in pregnancy with 5+5

2. a) Draw a neatly labeled diagram to show the distribution 4+6

3. a) Enumerate the causes of hyperkalemia. 3+4+3

5. a) Enumerate the neuroendocrine response to surgery. 5+5

Please read carefully the important instructions mentioned on Page ‘1’

6. a) What is mixed venous oxygen saturation (SvO2)? 3+4+3

7. a) What are the stages of anaesthesia? 3+4+3

8. a) Enumerate the various bedside airway assessment 5+5

9. A 50 year old female is posted for laparoscopic 4+6

10. a) Nerve supply of larynx. 5+5

Write Short notes on:

1. a) Draw a neatly labeled diagram of the neuromuscular 3+4+3

2. a) Define intracranial pressure (ICP). 2+4+4

3. a) Placental transfer of anaesthetic drugs and its implications. 5+5

4. a) What is permissive hypercapnia? 5+5