FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2017
PERIPHERAL VASCULAR SURGERY
PAPER I

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
Time 3 hours PVS/D/17/33/I
Max. Marks 100
Important instructions:
• 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:
1. a. Anatomy of collaterals around the shoulder joint
b. Anatomical variations of cervical rib
5+5
2. a. Classify dyslipidemia
b. Classify lipid lowering agents
c. Outline the mechanisms of action of lipid lowering agents.

3. a. Cardiovascular haemodynamic changes following supra
coeliac aortic clamping.
b. Preservation methods for cadaver harvested organs- liver
and kidney prior to transplant
5+5
4. a. Pathophysiology of aneurysms in Marfan's syndrome
b. Matrix Metallo Proteinases in formation of Aneurysms
c. Bacteriology of mycotic aneurysms.

5. Noninvasive investigations in chronic venous hypertension. 10
6. Outline a plan for internal audit for your department of vascular
surgery.
10
7. a. Investigations for hypercoagulopathy.
b. Elaborate on Immune Mediated Thrombosis.
5+5
8. a. Anatomy of circle of Willis.
b. Anatomy of intra cranial- extra cranial anastomoses
5+5
9. a. Intra vascular ultrasound
b. Pan Angiogram
c. Radiological findings in different stages of acute mesenteric
ischaemia.

10. Investigations and their interpretations in renovascular
hypertension.
10