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Final Exam National Board of Examinations JUNE 2019 Anaesthesiology Paper-Ii

This document contains instructions and questions for the Final Exam in Anaesthesiology for the National Board of Examinations in June 2019. It is divided into two parts, with Part A and Part B containing 5 questions each. The instructions emphasize that answers for Part A and B must be written in separate answer sheets and properly labeled. The questions cover topics in chronic kidney disease, oculocardiac reflex, HELLP syndrome, vaporizers, pulmonary function tests in COPD patients, diabetic patient preparation for surgery, haemodynamic changes in laparoscopic surgery, thermoregulation differences in adults and pediatrics, liver function tests, and preoperative optimization in a patient with a pacemaker.

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100% found this document useful (1 vote)
129 views2 pages

Final Exam National Board of Examinations JUNE 2019 Anaesthesiology Paper-Ii

This document contains instructions and questions for the Final Exam in Anaesthesiology for the National Board of Examinations in June 2019. It is divided into two parts, with Part A and Part B containing 5 questions each. The instructions emphasize that answers for Part A and B must be written in separate answer sheets and properly labeled. The questions cover topics in chronic kidney disease, oculocardiac reflex, HELLP syndrome, vaporizers, pulmonary function tests in COPD patients, diabetic patient preparation for surgery, haemodynamic changes in laparoscopic surgery, thermoregulation differences in adults and pediatrics, liver function tests, and preoperative optimization in a patient with a pacemaker.

Uploaded by

Prem Koti
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS

JUNE 2019
ANAESTHESIOLOGY
PAPER-II
ANS/J/19/01/II
Time: 3 hours
Max. Marks:100

IMPORTANT INSTRUCTIONS
 This question paper consists of 10 questions divided into Part “A” and part “B”, each part containing 5
questions.
 Answers to questions of part A and part B are to be strictly attempted in separate answer sheet(s) and
the main + supplementary answer sheet(s) used for each part must be tagged separately.
 Answers to question(s) of Part A attempted in answer sheet(s) of part B or Vice versa shall not be
evaluated.
 Answer sheets of Part A and Part B are not to be tagged together.
 Part A and Part B should be mentioned only on the covering page of the respective answer sheets.
 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:

PART A

1. a) Define and classify chronic kidney disease (CKD). 4+6


b) Anaesthetic management of a 30-year-old male CKD
patient for intertrochanteric fracture femur.

2. a) What is oculocardiac reflex? 3+7


b) Pre-operative preparation and management of a 6-year-
old female patient for strabismus surgery.

3. What is HELLP (Hemolysis Elevated Liver Enzymes Low 5+5


Platelets) syndrome? How will you manage a 36 weeks
parturient with HELLP syndrome for emergency caesarean
section?

4. a) Various classification of anaesthetic vaporizers. 5+5


b) Functioning of Desflurane vaporizer.

5. Describe pulmonary function tests in a patient of Chronic 5+5


Obstructive Pulmonary Disease (COPD). How will you
manage postoperative pain in a 65-year-old male patient of
COPD operated for right inguinal hernia repair?

P.T.O

1
- -
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2019

ANAESTHESIOLOGY
PAPER-II

Please read carefully the important instructions mentioned on Page ‘1’

 Answers to questions of Part A and part B are to be strictly attempted in separate answer sheets and the main +
supplementary answer sheets used for each part must be tagged separately.
 Answers to question(s) of Part A attempted in answer sheets of Part B or vice versa shall not be evaluated.

PART B

6. A 50-year-old diabetic female patient is posted for nail bed 2+2+6


abscess drainage on day care basis.
a) How will you investigate and prepare her
preoperatively?
b) What is your plan of anaesthesia?
c) What are the discharge criteria for day care patients?

7. Discuss haemodynamic changes occurring during 4+6


laparoscopic surgery. How will you plan and manage
anaesthesia for a 53-year-old female patient posted for
total laparoscopic hysterectomy?

8. a) Write differences between thermoregulation in adult 5+5


and pediatric patient.
b) Describe different methods for maintenance of body
temperature during anaesthesia.

9. Discuss preoperative optimization and anaesthesia 10


management in a 70-year-old male patient with permanent
pacemaker posted for total knee replacement surgery.

10. Describe liver function tests with interpretation for 5+5


diagnosis of hepatobiliary disorders. Discuss anaesthetic
goals in a patient with obstructive jaundice.

************

- - 2
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.

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