September 2008 [KT 1524]

Sub. Code: 3032

DIPLOMA IN ANAESTHESIOLOGY EXAMINATION. Paper III – ANAESTHESIOLOGY INCLUDING CRITICAL CARE AND RECENT ADVANCES IN ANAESTHESIA (Common to all candidates) Q.P. Code : 343032 Time : Three hours Maximum : 100 marks Draw suitable diagram wherever necessary. Answer ALL questions. I. Essay questions :

(2 X 20 = 40)

1. Discuss in detail the ICU management of a patient on long term mechanical ventilation. 2. Discuss in detail the pre-operative preparation. anaesthetic management and problems encountered during phaeochromocytoma surgery.

II. Write short notes on :

(10 X 6 = 60)

1. Disseminated intravascular coagulation. 2. Coeliac plexus block. 3. Deliberate hypotension. 4. Low flow anaesthesia. 5. Calcium channel blockers. 6. BIS monitoring. 7. Nitric oxide. 8. Epidural blood patch 9. Deep vein thrombosis. 10. Fluid Resuscitation in burns injury. _______________

MARCH -2009

[KU 1524] Sub. Code: 3032 DIPLOMA IN ANAESTHESIOLOGY EXAMINATION. Paper III – ANAESTHESIOLOGY INCLUDING CRITICAL CARE AND RECENT ADVANCES IN ANAESTHESIA (Common to all candidates) Q.P. Code : 343032 Time : Three hours Maximum : 100 marks Draw suitable diagram wherever necessary. Answer ALL questions. I. Essay questions : (2 X 20 = 40) 1. Discuss the anaesthetic management in off pump coronary artery by pass surgery. 2. Describe preparation and management of anaesthesia for kidney recipient. II. Write short notes on : (10 X 6 = 60) 1. Total Parenteral Nutrition. 2. Intra osseous fluid therapy. 3. Airway assessment methods. 4. Problems of obesity. 5. Anaesthesia for paediatric MRI. 6. Airway pressure release ventilation. 7. Beta adrenergic blockers in anaesthesia. 8. Treatment of hypovolemic shock. 9. Pulmonary embolism 10. Re-breathing bag. *****

September - 2009 [KV 1524]

Sub. Code: 3032

DIPLOMA IN ANAESTHESIOLOGY EXAMINATION. Paper III – ANAESTHESIOLOGY INCLUDING CRITICAL CARE AND RECENT ADVANCES IN ANAESTHESIA (Common to all candidates) Q.P. Code : 343032 Time : Three hours

Maximum : 100 marks

Draw suitable diagram wherever necessary. Answer ALL questions. I. Essay questions :

(2 X 20 = 40)

1. Acute lung injury – Pathophysiology, diagnosis and management in ICU. 2. Hazards of massive blood transfusion.

II. Write short notes on :

(10 X 6 = 60)

1. Controlled oxygen therapy. 2. Role of vasopressin in ACLS. 3. Permissive hypercapnia. 4. Non invasive ventilation. 5. Respiratory alkalosis. 6. Plasma volume expanders. 7. HELLP syndrome. 8. Nitric oxide. 9. Intra pleural blockade. 10. Heat and moisture exchanger.

*****

[KX 1524]

Sub. Code: 3032

DIPLOMA IN ANAESTHESIOLOGY (D.A.) EXAMINATION. Part II-Paper II for Candidates admitted from 2008-09 onwards And Paper III for Candidates admitted from 2004-05 to 2007-08 ANAESTHESIOLOGY INCLUDING CRITICAL CARE AND RECENT ADVANCES IN ANAESTHESIA Q.P. Code : 343032 Time : Three hours Maximum : 100 marks Draw suitable diagram wherever necessary. Answer ALL questions. I. Essay questions :

(2 X 20 = 40)

1. What are the various methods of Labor analgesia? Discuss in detail continuous epidural analgesia technique and also anticipated complications. 2. Discuss the anesthetic management of a 7 year old boy posted for tonsillectomy. II. Write short notes on :

(10 X 6 = 60)

1. Ceoliac plexus block. 2. Management of brain dead organ donor. 3. TIVA. 4. Pressure support ventilation. 5. Controlled oxygen therapy in COPD. 6. Obstructive sleep apnoea. 7. Regional block for inguinal hernia. 8. Low flow anesthesia. 9. Ventilator associated pneumonia. 10. Anesthesia for foreign body in the bronchus. *****

APRIL 2011 [KY 1524]

Sub. Code: 3032

DIPLOMA IN ANAESTHESIOLOGY (DA) EXAMINATION ANAESTHESIOLOGY INCLUDING CRITICAL CARE AND RECENT ADVANCES IN ANAESTHESIA Q.P. Code : 343032 Time : 3 hours Maximum : 100 marks (180 Min) Answer ALL questions in the same order. I. Elaborate on :

Pages Time (Max.) (Max.)

1. Describe the causes, signs, symptoms, diagnosis and management of patients having “Metabolic acidosis”. 2. A 10 year old child is admitted to the hospital with a H/o Cobra bite over his face, an hour ago. Discuss the assessment of this patient for the potential complications and plan for the intensive care management of this patient. II. Write notes on : 1. APACHE Scoring systems. 2. Complications of parenteral nutrition. 3. Swan-Ganz Catheter. 4. Physiological changes in the aged. 5. Apnoeic mass movement oxygenation. 6. Types of high frequency ventilation and its uses. 7. General principles in providing anaesthesia at high altitude. 8. Organ protection during repair of Thorocoabdominal aortic aneurysm. 9. Detection and management of major blood transfusion reaction. 10. Prone ventilation. *******

Marks (Max.)

11

35

15

11

35

15

4 4 4 4 4 4

10 10 10 10 10 10

7 7 7 7 7 7

4

10

7

4

10

7

4 4

10 10

7 7

October 2011 [KZ 1524]

Sub. Code: 3032 DIPLOMA IN ANAESTHESIOLOGY (DA) EXAMINATION ANAESTHESIOLOGY INCLUDING CRITICAL CARE AND RECENT ADVANCES IN ANAESTHESIA Q.P. Code : 343032

Time : 3 hours (180 Min)

Maximum : 100 marks Answer ALL questions in the same order.

I. Elaborate on :

Pages

Time Marks

(Max.) (Max.) (Max.)

1. A case of avascular necrosis left femoral head posted for THR patient suffers from rheumatoid arthritis and diabetes 11 mellitus. Discuss anaesthetic management and post operative pain relief. 2. Six year old child with TOF posted for total correction. Discuss anaesthetic management in detail.

35 min. 15

11

35 min. 15

1. ARDS.

4

10 min.

7

2. SUGAMMADEX.

4

10 min.

7

3. Oxygen therapy.

4

10 min.

7

4. Implantable cardiovertor defibrillator.

4

10 min.

7

5. Pneumo peritoneum.

4

10 min.

7

6. Brain protection.

4

10 min.

7

7. ICU protocol for comatose patients.

4

10 min.

7

8. High frequency ventilation.

4

10 min.

7

9. Total spinal.

4

10 min.

7

4

10 min.

7

II. Write notes on :

10. Ankylosing spondylitis. *******

April 2012

[LA 1524]

Sub. Code: 3032

DIPLOMA IN ANAESTHESIOLOGY (DA) EXAMINATION ANAESTHESIOLOGY INCLUDING CRITICAL CARE AND RECENT ADVANCES IN ANAESTHESIA Q.P. Code : 343032 Time : 3 hours (180 Min)

Maximum : 100 marks Answer ALL questions in the same order.

I. Elaborate on :

Pages Time Marks (Max.) (Max.) (Max.)

1. Discuss the pathophysiology of adult respiratory

16

35

15

distress syndrome and its management. 2. Discuss the anaesthetic management of a primi para

16

35

15

1. Alcuronium.

4

10

7

2. Anaesthesia in high altitude.

4

10

7

3. Apnea test in brain death.

4

10

7

4. Down’s syndrome.

4

10

7

5. Intra pleural analgesia.

4

10

7

6. Positive end expiratory pressure.

4

10

7

7. Pathophysiology of renal failure.

4

10

7

8. Post-operative shivering.

4

10

7

9. Valsalva maneuver.

4

10

7

10. HELLP syndrome.

4

with rupture of uterus. II. Write notes on :

*******

10

7

[LB 1524]

OCTOBER 2012 Sub. Code: 3032 DIPLOMA IN ANAESTHESIOLOGY (DA) EXAMINATION ANAESTHESIOLOGY INCLUDING CRITICAL CARE AND RECENT ADVANCES IN ANAESTHESIA Q.P. Code : 343032

Time : 3 hours (180 Min)

Maximum : 100 marks Answer ALL questions in the same order.

I. Elaborate on :

Pages Time Marks (Max.) (Max.) (Max.)

1. Describe the signs, symptoms and management of

16

35

15

16

35

15

Organophosphorus compound poisoning. 2. Current concepts in the management of poly trauma Patients. II. Write notes on : 1. Dantrolene sodium.

4

10

7

2. FASTHUG protocol.

4

10

7

3. Inflammatory response to Cardio-Pulmonary bypass.

4

10

7

4. Oxygen Cascade.

4

10

7

5. Total parenteral Nutrition.

4

10

7

6. Capnography in mechanical ventilation.

4

10

7

7. HIV and anaesthesia.

4

10

7

8. Management of Anaphylaxis.

4

10

7

9. Causes, diagnosis and management of Air embolism.

4

10

7

10. Post-operative pain relief.

4

10

7

*******

(LC 1524)

APRIL 2013

Sub. Code: 3032

DIPLOMA IN ANAESTHESIOLOGY (DA) EXAMINATION ANAESTHESIOLOGY INCLUDING CRITICAL CARE AND RECENT ADVANCES IN ANAESTHESIA Q.P. Code : 343032 Time: Three Hours Maximum: 100 marks I. Elaborate on:

(2X15=30)

1. Current management of COPD patient with respiratory failure 2. Anesthetic challenges for bariatric surgery. II. Write notes on:

(10X7=70)

1. 2. 3. 4. 5. 6. 7. 8.

Types and functioning of Oxygen analysers Assessment of shock and management in pregnant trauma victim Techniques of weaning from mechanical ventilation Gabapentin – uses and mechanism of action Techniques of axillary block Post operative delirium Methods of Oxygen therapy Hypertension during anaesthesia and immediate post-operative period and its management 9. High anion gap acidosis-causes and management 10. Criteria for discharge of pediatric day care procedures *******

(LD 1524)

OCTOBER 2013

Sub. Code: 3032

DIPLOMA IN ANAESTHESIOLOGY (DA) EXAMINATION ANAESTHESIOLOGY INCLUDING CRITICAL CARE AND RECENT ADVANCES IN ANAESTHESIA Q.P. Code : 343032 Time: Three Hours Maximum: 100 marks I. Elaborate on:

(2X15=30)

1. Classify shock and discuss the management of anaphylactic shock in ICU. 2. Discuss the causes of delayed recovery from anaesthesia and the discharge criteria in an out-patient anaesthesia set-up. II. Write notes on:

(10X7=70)

1. Jet ventilation. 2. HELLP syndrome. 3. Humidification. 4. Deep vein thrombosis. 5. Cardiac index. 6. APACHE scoring. 7. I-Gel. 8. Physiology of one lung ventilation. 9. Brain death. 10. Management of a burns victim.   *******

(LE 1524)

APRIL 2014

Sub. Code:3032

DIPLOMA IN ANAESTHESIOLOGY (DA) EXAMINATION ANAESTHESIOLOGY INCLUDING CRITICAL CARE AND RECENT ADVANCES IN ANAESTHESIA Q.P.Code: 343032 Time: Three Hours

Maximum: 100 marks

I. Elaborate on:

(2X15=30)

1. What are the causes of Adult Respiratory Distress Syndrome. Discuss the ventilatory strategies in the management of ARDS. 2. Enumerate the indications of Tracheostomy. Describe the different techniques of performing percutaneous dilatational tracheostomy. II. Write notes on: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

(10X7=70)

Causes of Hypoxemia. Weaning from mechanical ventilation. Diabetic Autonomic Neuropathy. Causes of delayed recovery from anaesthesia. Post operative pulmonary complications. BLS Algorithm (BASIC LIFE SUPPORT). GOLDEN HOUR in Trauma. Internal Jugular Vein Cannulation. Role of Vasopressors in Sepsis. Cardio version.

*******

(LF 1524)

OCTOBER 2014

Sub. Code: 3032

DIPLOMA IN ANAESTHESIOLOGY (DA) EXAMINATION ANAESTHESIOLOGY INCLUDING CRITICAL CARE AND RECENT ADVANCES IN ANAESTHESIA Q.P.Code: 343032 Time: Three Hours

Maximum: 100 marks

I. Elaborate on:

(2 x 15 = 30)

1. Discuss the perioperative management of dialysis patients posted for incidental surgery. 2. Discuss the initial assessment and management of a Polytrauma patient.

II. Write notes on:

(10 x 7 = 70)

1. Diastolic dysfunction. 2. Transdermal Opioids. 3. CPAP. 4. Cyclo-oxygenase -2 inhibitors. 5. Jehovah’s witness. 6. Disseminated Intravascular coagulation. 7. Sedation Scale. 8. Arterial Pulse Power analysis. 9. Intubating Laryngeal Mask Airway (LMA). 10. Thyroid Storm.

*******