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-I
CTS/J/18/04/I
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. The embryology of the left superior vena cava.
Implications of left superior vena cava on cardiopulmonary
bypass.
5+5
2. The neurological complications of Cardiopulmonary bypass.
Neuro protective strategies.
5+5
3. Aortic valve surgery:
Procedures for aortic root enlargement
Patient prosthetic mismatch
7+3
4. Intra-aortic Balloon pump:
Basic principles
Indications and contraindications
Advantages and complications

5. Tracheal anatomy
Surgical consideration for tracheal mobilization.
Sleeve resection

6. Presentation of a patient with sternal dehiscence following
open heart surgery
Mediastinitis: Causative organisms
Management strategies in mediastinitis.

7. Classify various pharmacological agents used in heart failure.
Milrinone
Adenosine

8. Heparin induced thrombocytopaenia and its management.
Physiology of ultra-filtration and indications in open heart
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. Lung carcinoma:
Presentation
Staging of Lung cancer
Management strategies

10. Cellular and molecular mechanism of cardiac arrhythmias:
Impulse initiation
Excitation
Repolarization
Cellular coupling