FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2018

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
CARDIO THORACIC SURGERY
PAPER-III
CTS/J/18/04/III
Time: 3 hours
Max. Marks:100
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 question to a question on a fresh page or leave adequate space between two answers.
Draw table/diagrams/flowcharts wherever appropriate.
Write short notes on:
1. Chronic Pulmonary Thromboembolism:
Diagnosis and management
Results and late sequelae
5+5
2. Extracorporeal membrane oxygenation:
Different modalities
Indications and contraindications
Current concept of use of ECMO in an adult

3. Basis of Gene therapy for coronary artery disease
Future prospects of Gene therapy in coronary artery disease
5+5
4. Minimally access coronary artery bypass surgery:
Various approaches
Port access
Advantages and disadvantages compared to conventional
coronary artery bypass grafting.

5. Various adjuncts used in off pump coronary artery bypass
surgery.
10
6. In relation of heart transplantation:
Myocardial rejection
Endomyocardial biopsy
Treatment Regimen to prevent graft rejection.

7. Aortic aneurysm:
Definition and Classification
Debranching
Hybrid procedures

8. Various blood conservation methods during cardiac surgery.
New generation topical hemostatic agents used in cardiac
surgery.
5+5
P.T.O.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2018

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.

9. What is Trans esophageal echocardiography?
Its intra-operative advantages.
Complications of trans esophageal echocardiography.

10. What is lung volume reduction surgery?
Its inclusion and exclusion criteria.
Its surgical techniques.