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

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
Time 3 hours PVS
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. Etiopathology, investigations and clinical signs and symptoms of
central venous stenosis.
b. Treatment of central venous stenosis.
6+4
2. a. Formulate an algorithm for end stage renal disease patient awaiting
access for hemodialysis.
b. Factors which affect the outcome of arteriovenous fistula for
hemodialysis access.
5+5
3. a. How would you organize a diabetic foot clinic in your department?
b. What are American Diabetology Association's recommendations
regarding Antiplatelets and statins in diabetic patients?
7+3
4. a. Formulate DVT Prophylaxis for the orthopedics, surgical oncology
and medical oncology departments in your institution.
b. Elaborate as the indications for dual antiplatelet/ oral anticoagulation
therapy following Femorodistal bypass.
6+4
5. a. Indications and usage of fibrinolytics in arterial thrombosis
b. Indications and usage of Prostaglandins in vascular diseases.
5+5
6. a. Principles of endovascular treatment of occlusive venous diseases.
b. Nut cracker syndrome: its diagnosis treatment
5+5
7. a. Classify aorto-iliac occlusive disease.
b. Discuss the options in their management.
3+7
8. a. Discuss the Endovascular options in the management of
Femoropopliteal disease including complete total occlusion.
b. What is your surveillance protocol for the post-procedure patients?
7+3
9. Discuss your planning for endovascular management of Juxta Renal
Abdominal Aortic aneurysm with left common and internal Iliac Aneurysm
in detail.
10
10. Discuss diagnosis and management of painful non healing ulcers in
lower limb probably due to small vessel vasculitis.
10