MD DNB ANAESTHESIA ANAESTHESIOLOGY TOPIC WISE QUESTION BANK RGUHS NTRUHS MGUHS
1. What are the ingredients of professional negligence? Write a note on informed consent
2. Describe consent in anaesthesia practice including ethical and legal aspects
3. Informed consent
4. Vicarious liability for negligence
5. Utility of anaesthetic records
6. Effect of anaesthesia and surgery on immunological mechanism
7. o Safe anaesthetic procedure
8. o Simulators in anaesthesia training
9. o Computer based patient record for anaesthesia
10. o Stress management in anaesthesia practice
11. o Ethics in anaesthesia
12. o Write briefly on research ethics
13. o Stress response to trauma and surgery
14. o Evidence Based Medical education
15. o Discuss the role of EBM in anaesthesiapractice. Quote few examples(June
16. o Communication skill and anaesthesiologist
17. o Describe role of patient simulator in anesthesia and critical care traninig, mentioning few clinical scenarios where it can be useful.
18. o Sleep,Memory and Consciousness
19. o Write down the physiology of sleep. How does it differ from anaesthesia? What phases occur during various stages of anaesthesia
20. o PHYSIOLOGY
21. o Clinical tests for evaluation of autonomic nervous system
22. o A 50 year old male and known diabetic is scheduled for upper abdominal surgery. How will you evaluate the ANS?
23. o How is autonomic neuropathy evaluated preoperatively? What is its significance in anaesthesia?
24. o What are the signs and symptoms of autonomic neuropathy? What is its significance and how is it evaluated preoperatively
25. o CNS Physiology
26. o Regulation of CBF
27. o Regulation of
28. o How is CBF regulated? What is the effect of various anaesthetic drugs on CBF?
29. o What is cerebral autoregulation? Discuss the implications of various inhalational anaesthetic agents on cerebral auroregulation
30. o Write and illustrate blood supply of brain. What is cerebral perfusion pressure(CPP)? What factors can affect CPP?
31. o Neuromuscular Physiology and Pharmacology
32. o Neuromuscular transmission
33. o Briefly describe the physiology of NMJ. Name the commonly used cholinesterrase inhibitors and any one in detail with its relevance in anesthesia
34. o Respiratory Physiology
35. oDC
36. oxygen cascade,oxygen transport and Oxygen Dissociation Curve
37. o Describe the oxygen hemoglobin dissociation curve. How does it differ from the carbon dioxide dissociation curve? What is Haldane effect?
38. o What is oxygen flux? Draw oxygen hemoglobin dissociation curve and enumerate the factors producing leftward and rightward shift of the curve
39. o FRC
40. o Define FRC. What is its significance in anaesthesia?
41. o Define FRC and closing volume. Describe their clinical significance
42. o Eneumerate the causes of impairement of respiratory function during anesthesia. Which intervention can prevent atelectesis during anesthesia
43. o Draw a labeled diagram showing various lung volume and capacities. Discuss the importance of FRC in anesthetic practice
44. o Closing volume of the lung and its measurement
45. o Lung compliance
46. o Discuss the distribution of ventilation and perfusion in a normal lung with the help of a labeled diagram. What are the factors affecting ventilation perfusion ratio?
47. o Describe the metabolic functions of the lung
48. o What are the major causes of hypoxemia? What is HPV? How can GA worsen v/q mismatch
49. o Define Fink effect,Diffusion hypoxia and second gas effect. How are they of importance to the anaesthetist?
50. o Define and classify dead space ventilation. Define minute ventilation. Under what conditions is minute ventilation increased?
51. o 16)Cardiac Physiology
52. o Describe the arterial circulation of the heart with the aid of a diagram mentioning the unique features of coronary blood flow. Explain the Goldman’s cardiac risk index and its importance to the anaesthetist
53. o Factors affecting coronary circulation
54. o Describe coronary circulation. Discuss factors affecting oxygen demand and supply to the myocardium
55. o Hepatic Physiology-Pathology
56. o Plasma proteins and anaesthesia
57. o Discuss synthetic functions of the liver. What is the role of albumin in pharmacokinetics?
58. o Renal Physiology
59. o Role of kidney in acid base balance
60. o Define base excess. How do kidneys compensate for acid base balance?
61. o Describe the countercurrent mechanism in the kidney. Discuss the renal protection strategies during perioperative period
62. o Basic Principles of Pharmacology.
63. o infusion of drugs in anaesthesia
64. o Interactions of pre-existing drug therapy with anaesthetic agents and techniques
65. o Drug interactions(June 2006)
66. o Enzyme induction-describe the mechanism with routine anaesthesia examples
67. o Enzyme induction-its role in anaesthesia with examples
68. o Transdermal administration of drugs
69. o Draw the structure of acetylcholine receptor(ach). Describe the changes that occurs in acetylcholine receptors when Ach binds at the receptor site
70. o Inhaled Anaesthetics , delivery and IV drugs
71. o Minimum alveolar concentration
72. o Sevoflurane
73. o SevofluraneVsDesflurane
74. o Nitrousoxide:current status
75. o Compare and contrast Sevoflurane and isoflurane
76. o Define minimum alveolar concentration. What are the factors affecting MAC? What is its significance in anaesthesia?
77. o Define minimum alveolar concentration. Describe briefly the methods used to measure the depth of anesthesia
78. o Inhaled Anaesthetics-Uptake and Distribution
79. o Concentration effect and second gas effect produced during uptake of inhalational agent
80. o Nitrous oxide-current status in anaesthesia practice
81. o Define MAC. What are the types of MAC? Describe the role of blood gas and oil gas solubility of volatile anesthetics
82. o CVS Pharmacology
83. o CCB’s in surgical patients
84. o Compare and contrast dopamine and dobutamine as an inotropic agent
85. o Classify inotropes on the basis of their mechanism of actions. Compare dopamine and dobutamine
86. o Classify antihypertensive drugs. Describe the management of hypertensive emergency
87. o Classify antihypertensive drugs. Describe the management of a hypertensive episode during anaesthesia
88. o Inhaled Anaesthetics-Metabolism and Distribution
89. o Nephrotoxicity of halogenated anaesthetics
90. o Merits and demerits of halothane and isoflurane
91. o Hepatotoxicity of halothane
92. o Nephrotoxicity of fluorinated anaesthetics
93. o Inhaled Anaesthetics-Delivery systems
94. o CIRCUITS
95. o Coaxial circuits
96. o Paediatric circuits
97. o Mapleson’s breathing system
98. o Draw schematic diagrams of various types of Mapleson’sbreathing circuits. Give the functionalanalysis,advantages and disadvantages of Bain circuit
99. o Describe the functional analysis of Bain’s circuit. How will you check the functional integrity of Bain’s circuit
100. o Classify anaesthesia circuits. Describe the test used for checking the integrity of bain. s circuit.
101. o VAPORIZERS
102. o Types of plenum vaporizers
103. o Charecteristics of ideal vaporizer
104. o Classify vaporizers. Briefly mention the effects of altered barometric pressure on the performance of the vaporizers
105. o What are the two major effects of pressure fluctuation in theanaesthesia machine on vaporizer output? Describe the improvisations in designing to overcome this problem
106. o What is the difference between pumping and pressurizing effect in a vapourisor? What modifications are done to prevent these effects?
107. o SAFETY FEATURES IN MODERN DAY ANAESTHESIA MACHINE
108. o Safety features in a modern day anaesthesia machine
109. o Describe briefly the safety features in modern anaesthesia machines. Discuss various features that prevent the delivery of hypoxic gas mixtures
110. o PRE-ANAESTHETIC MACHINE CHECK
111. o Describe the pre anaesthetic check list for anaesthesia machine and equipment
112. o Describe the anaesthesia machine check protocol prior to induction of anaesthesia
113. o Evolution of rotameter
114. o What is low flow anaesthesia? Discuss its advantages and disadvantages.
115. o Functional analysis of pressure reducing valve
116. o Link 25 proportioning system
117. o Role of humidification in anaesthesia practice
118. o What are the different types of carbondioxide absorbents? Describe their composition. Discuss the advantages and disadvantages of each
119. o What is relative and absolute humidity? What are active and passive humidifiers? What are their advantages and disadvantages?
120. o IV Anaesthetics drugs.
121. o ADRENERGIC DRUGS
122. o GENERAL
123. o Adrenergic receptor antagonist and their uses
124. o Name the adrenergic agonists and antagonists. Describe in detail their uses in anaesthesia practice
125. o Adrenergic agonists
126. o Discuss the current role of norepinephrine and vasopressin in ICU
127. o BETA BLOCKERS
128. o Beta receptor blockade:-its relation in anaesthesia
129. o Perioperative beta blocker therapy
130. o Manifestation and treatment of beta adrenergic toxicity
131. o Effect of atenolol pretreatment on CVS,NMJ and IOP
132. o ALPHA-2 AGONISTS
133. o Clinical use of alpha 2 agonists in anaesthesia
134. o What are alpha 2 agonists? Discuss the pharmacodynamics and anesthetic uses of alpha 2 agonists.
135. o CLONIDINE
136. o Clonidine in anaesthesia and ICU
137. o Discuss PK and PD of clonidine and its role in clinical practice
138. o DEXMEDETOMIDINE
139. o Dexmedetomidine:Clinical applications and complications
140. o Dexmedetomidine
141. o Discuss pharmacokinetics and pharmacodynamics of dexmedetomidine. What is its role in clinical practice
142. o CALCIUM CHANNEL BLOCKERS
143. o Calcium channel blockers drugs and anaesthesia
144. o Calcium channel blockers and anaesthesia
145. o PROPOFOL
146. o Compare Propofol with Midazolam
147. o Propofol as compared to Thiopentone
148. o Disscuss the MOA,PD and PK of propofol
149. o Impact of cancer therapy on anaesthetic management
150. o Midazolam
151. o Untoward effects of intravenous sodium bicarbonate
152. o Role of corticosteroids in the practice of anaesthesiology
153. o Adenosine and its clinical uses
154. o Mannitol in surgery/surgical uses of mannitol
155. o PK of IV Thiopentone
156. o Mention the commonly used immunosuppressive drugs and their interaction with anaesthetic agents
157. o Describe the pharmacokinetics and pharmacodynamics of etomidate. Describe briefly its role in clinical practice
158. o )Opoids.
159. o What are the various routes of administration of morphine? Discuss the pharmacokinetics and pharmacodynamics of epidural morphine
160. o Remifentanyl in clinical practice
161. o Narcotic antagonists
162. o Spinal opiate receptors
163. o Pharmacology of fentanyl congener
164. o What are the various routes of administration of opoids? Discuss the merits and demerits of each
165. o Transdermal opoids
166. o Acute pain relief in opoiddependant pain
167. o Mention the intrathecal and epidural opoids in clinical practice and their complications
168. o Various epidural narcotics for management of postoperative pain
169. o Epidural opiates in anaesthesia practice
170. o Classify opoids. Discuss the merits and demerits of epidural fentanyl and morphine
171. o What are the various routes of administration of morphine? Discuss the pharmacokinetics and pharmacodynamics of epidural morphine
172. o Classify opioid drugs. Briefly mention the mechanism of action and pharmacology of remifentanilalongwith its indication and limitations
173. o Classify opioids according to their action on opioid receptors. Compare and contrast fentanyl and remifentanyl.
174. o What is eutectic mixture? Describe the principle of transdermal drug delivery. Describe the advantages and disadvantages of transdermal fentanyl patch28)IV Drug Delivery Sytems.
175. o TIVA
176. o Describe the three compartment model of distribution of intravenous drugs. What is zero order kinetics?
177. o What is total intravenous anesthesia? What mathematical models are commonly used with target controlled infusion(TCI)? Describe the best indication for use of TCI
178. o What are the benefits of patient controlled analgesia (PCA)? Write a prescription and setting of PCA pump to deliver morphine for post operative pain relief.
179. o Pharmacology of Muscle Relaxants and Antagonism.
180. o Interaction of depolarizing with NDMR’s
181. o Hauffman’s degradation
182. o Rocuronium
183. o Pipecuronium
184. o Elimination of Atracurium from the body
185. o Enumerate the problems with muscle relaxants
186. o Adverse effects of NMBA
187. o Local Anaesthetics LAST
188. o Management of local anaesthetic toxicity
189. o Treatment of systemic toxicity of LA drugs
190. o Lipid emulsion for the treatment of local anaesthetic toxicity-mechanism and dosage
191. o Role of lipid emulsions in local anaesthetic toxicity
192. o Discuss the clinical manifestations of local anaesthetic toxicity and its management
193. o Classify local anesthetic. Discuss their mode of action. how will you treat lidocaine toxicity?
194. o Mechanism of action of local anaesthetic agents
195. o Complication of local anaesthetics
196. o Ropivacaine
197. o 31)Nitric Oxide and Inhaled Pulmonary Vasodilators
198. o Role of nitric oxide in ICU
199. o Nitric oxide in clinical practice
200. o Nitric oxide for management of pulmonary hypertension
201. o Nitric oxide-current status
202. o 33)Risk of Anaesthesia(Anesthetic complications)
203. o INTRAOP COMPLICATIONS
204. o Pathophysiology of VAE. Mention the methods of detection,prevention and treatment
205. o Embolisms during anaesthesia
206. o Discuss the pathophysiology. signs and symptoms and management of VAE
207. o How will you diagnose VAE? Describe its pathophysiology and management
208. o Enumerate the causes of air embolism in clinical practice. Discuss the clinical features and its management
209. o How do you diagnose and manage a case of VAE during spine surgery? DVT
210. o What are the clinical features of DVT. Describe the prophylactic and management strategies.
211. o ARRYTHMIAS
212. o Prevention and treatment of ventricular arrhythmias during GA
213. o Cardiac arryhthmias during anaesthesia
214. o Discuss the etiology and management of SVT’s during surgical proceduresManagement of multifocal ventricular ectopics during anaesthesia
215. o Discuss the etiology and management of various cardiac arrhythmias occurring during anaesthesia
216. o Desribe the cardiac conduction system. How do you manage a patient with PSVT?
217. o Describe the common arrhythmias encountered during pre-operative period. Discuss the therapeutic uses of Amiodarone
218. o Discuss the etiology and management of Supra Ventricular arrhythmias during surgery under GA
219. o Discuss the different types of arrhythmias encountered in the intraoperative period. Discuss its causes and management.
220. o BRONCHOSPASM
221. o Intraoperative bronchospasm
222. o Management of intraoperative bronchospasm
223. o Bronchospasm during anaesthesia and immediate postop period and its management
224. o Discuss the differential diagnosis of introperativebronchospasm. How will you manage it?
225. o LARYNGOSPASM
226. o Laryngospasm during anaesthesia
227. o Enumerate the causes and differential diagnosis of post extubation laryngospasm. How will you manage it
228. o ANAPHYLAXIS(ANAPHYLACTOID) REACTIONS
229. o Clinical manifestations and management of anaphylactic reactions in anaesthesia practice
230. o Hypersensitivity reaction in anaesthesia practice
231. o Discuss the pathophysiology and management of anaphylactoid reactions in anaesthesia
232. o Identification of anaphylaxis under GA and its management/Anaphylactoid reaction during anaesthesia
233. o Anaphylactic reaction on the operation table and management
234. o Clinical manifestations and management of a patient with acute anaphylaxis
235. o Enumerate the agents implicated in allergic reactions during anaesthesia. How would you manage a patient with anaphylaxis during anaesthesia?
236. o INFECTIONS
237. o Infections related to anaesthesia practice
238. o Transmission and precaution against HIV in hospital setting. HIV and anaesthesia
239. o Hepatitis B and anaesthesiologist
240. o DELAYED RECOVERY
241. o Possible causes of delayed recovery from GA
242. o What are the potential causes of delayed resumption of spontaneous recovery after abdominal surgery with general anaesthesia. Discuss the problem,its diagnosis and management
243. o Discuss the causes of delayed recovery from anaesthesia and the management
244. o What are the indications for postoperative ventilation? Describe the various causes of delayed postoperative recovery in an elderly patient.
245. o DESATURATION
246. o Management of a patient who is not maintaining oxygen saturation after an elective abdominal surgery
247. o List the various causes of reduced arterial oxygen tension in the intraoperative period and outline their management
248. o A 30 year old female ASA Grade 1 following exploratory laparotomy,is not maintaining oxygen saturation in the postop period. Discuss its causes and management
249. o What are the various causes of intraoperative desaturation? Write troubleshooting plan in a patient who has developed desaturation intraoperatively
250. o PMI
251. o Prevention and treatment of intra-operative MI
252. o Discuss the diagnosis and management of MI in a patient undergoing non-cardiac surgery
253. o HTN
254. o Etiology and treatment of hypertension during surgery
255. o Define perioperative hypertension. Describe the causes and management
256. o What are the causes of intra-operative hypertension in a previously normotensive patient? Discus various modalities to manage it
257. o Anaesthetic management of a case of essential hypertension scheduled for upper abdominal surgery
258. o Describe the anaesthetic management and postoperative care in a patient with uncontrolled hypertension(BP-180/120 mmHg) for emergency laparotomy for perforated duodenal ulcer
259. o A 45 years old man with uncontrolled DM and HTN is admitted with upper intestinal obstruction for emergency laparotomy. Discuss the preoperative evaluation,preparation and anaesthetic management of the case
260. o Discuss the preoperative evaluation and anaesthetic management of 70 year old hypertensive patient for total laryngectomy
261. o A 35 year old hypertensive patient with chronic cholecystitis is scheduled for laparoscopic Outline the pre-operative evaluation,preparation and anaesthetic management of this patient
262. o Classify acute hypertensive episodes. Discuss the principles of management and the drugs used in the management of hypertensives emergencies.
263. o HYPERCAPNIA
264. o CO2 carriage in blood and effects of hypercapnia
265. o What are the causes of hypercarbia during the intraoperative period. Discuss the effects and management
266. o PULMONARY EDEMA
267. o Treatment of acute pulmonary edema
268. o Pulmonary edema in intraoperative and immediate postoperative period
269. o BLOOD LOSS
270. o Blood loss monitors
271. o Discuss the management of massive blood loss
272. o HYPOTENSION
273. o Aetiology and management of hypotension during anaesthesia
274. oCCUPATIONAL HAZARDS
275. occupational hazards for/to the
276. o MIX QUESTIONS
277. o Causes of perioperative seizures
278. o Peripheral nerve injury under anaesthesia is preventable complication
279. o Risk and management of pulmonary aspiration
280. o Iatrogenic complications in anaesthesia
281. o PreoperativeEvaluation and coexisting diseases
282. o PAC
283. o PAC clinic
284. o Preoperative visits
285. o ASA physical status classification for preoperative anaesthetic risk assessment
286. o What are the goals of pre-anaestheticcheck up? ASA risks grading and fasting guidelines
287. o What is the ASA physical status classification? Briefly describe other factors that may alter risk associated with anesthesia?
288. o What are the objectives of preoperative anesthesia check up in a patient scheduled for elective surgery? What is ASA physical status classification?
289. o SMOKING
290. o Hazards of smoking relevant to anaesthetist
291. o Discuss the assessment,preparation and problems of anaesthesia in a chronic smoker for cholecystectomy
292. o Enumerate the effects of chronic smoking and the anaesthetic implications
293. o LIVER DISEASE
294. o Assessment of risk factors for patient with moderate to severe liver disease
295. o Preoperative preparation and surgical risk assessment in a patient with cirrhosis of liver
296. o Pre-anaesthetic evaluation and preparation of a patient with portal hypertension for lieno renal shunt
297. o What are the functions of liver? Describe the anesthetic implications of ascitis and its management
298. o IHD
299. o Evaluation of cardiac patient for non –cardiac surgery
300. o Enumerate the RCRI. Draw the algorithm of cardiac evaluation for non-cardiac surgery as recommended in ACC/AHA 2007 guidelines on peri-operative CVS evaluation and care
301. o How will you evaluate a 50 year old male patient with history of IHD presenting for major abdominal surgery?
302. o VHD
303. o Preoperative evaluation of a patient with VHD
304. o Pre-operative evaluation and preparation of a apatient with TOF
305. o Discuss the pathophysiology and its impact on perioperative management of left to right and right to left shunts. Give examples of each.
306. o Pre anaesthetic evaluation of a patient of MS for MTP and sterilization
307. o Preoperative preparation of a diabetic patient with history of bleeding variceslino renal shunt operation
308. o anaesthetic evaluation of a thyrotoxic patient scheduled for thyroidectomy
309. o 35)AnaestheticComplications of Concurrent Disease
310. o PHEOCHROMOCYTOMA:-
311. o Discuss the pathophysiology and diagnosis of a case of pheochromocytoma. Give an account of preparation,monitoring and anaesthetic management of a 25 year old patient suffering from pheochromocytoma
312. o Discuss the anaesthetic management of a 35 year old patient with pheochromocytoma scheduled for bilateral adrenalectomy
313. o What is pheochromocytoma? What are its clinical features? Discuss preoperativeinvestigations, preparation and anaesthetic management of such a case for surgical removal
314. o Discuss pre anaestheticassessment,preparation and management of a 16 year male kept for How will you manage post anaesthetic complications?
315. o IHD
316. o CORONARY STENT
317. o Guidelines for management of anaesthesia in a patient with coronary stent
318. o Draw the algorithm for preoperative management of a patient receiving antiplaelet therapy as recommended by ACC/AHA guidelines in perioperative cardiovascular evaluation and care. Describe thepreoperative management of a patient with coronary stent
319. o CARDIAC PATIENT FOR NON CARDIAC SURGERY
320. o Discuss the preoperative evaluation and anaesthetic management of an emergency abdominal operation in a 60 year old man who had MI 6 weeks back
321. o Preoperative preparation and evaluation of a patient with history of exertional angina for surgery under general anaesthesia. (June 1996)
322. o Discuss briefly the preoperative evaluation and anaesthetic management of a 50 year old patient who had acute MI three months ago, and is scheduled for inguinal hernia repair
323. o Describe the arterial circulation of the heart with the aid of a diagram mentioning the unique features of coronary blood flow. Explain the Goldman’s Cardiac risk Index and its importance to the anaesthetist
324. o Pathophysiology of CAD. Discuss the anaesthetic management of a patient with angina
325. o Cardiac evaluation for non-cardiac surgery
326. o Classify cardiomyopathies. Describe management of a 60 year old male with dilated cardiomyopathy scheduled for laparotomy
327. o Classify CMPs. Briefly describe the anesthetic management of a patient with HOCM scheduled for TAH
328. o What is diastolic dysfunction? Discuss the evaluation and implications to the anaesthetists
329. o Discuss the pre-operative evaluation of a patient with IHD. Discuss the perioperative monitoring for MI and its management
330. o What are the predictors of cardiac risk in cardiac patients undergoing non cardiac surgery? Describe briefly the anaesthetic consideration in a patient with coronary artery disease with ejection fraction of 40% for laparoscopic cholecystectomy
331. o VHD
332. o Clinical features of infective endocarditis,principle guidelines to use antibiotics as prophylaxis against,during surgery
333. o Discuss the anaesthetic management of 20 year old male with RHD with MS for closed mitral valvotomy
334. o Preop evaluation and anaesthetic management of a 30 year old patient with MS and AF scheduled for balloon angioplasty and valvoplasty
335. o HTN
336. o Define HTN. How will you evaluate and prepare preoperatively a 40 year old female patient scheduled for abdominal hysterectomy. Discuss the anaesthetic and postoperative management of such a case?
337. o What are the anesthetic concerns in a patient with uncontrolled hypertension posted for elective surgery? Discuss the complications and drug interactions of antihypertensive drugs during perioperative period
338. o DM
339. o Discuss pre and post anaesthetic management of acute abdomen in a patient with uncontrolled diabetes
340. o Discuss the preoperative investigations,preparation and anaesthetic management of a 50 year old diabetic patient presenting for an exploratory laparotomy for a lump in the abdomen
341. o Principles of management of DKA
342. o Preoperative patient of a diabetic patient with history of bleeding variceslinorenal shunt
343. o Anaesthetic management of a case of DM scheduled for open cholecystectomy
344. o Diabetic patient with autonomic neuropathy for TAH
345. o Discuss the anaesthetic management of an inadequately managed diabetes mellitus patient with ketoacidosis posted for BKA
346. o Describe the PREOPERATIVE EVALUATION and different methods used for perioperative control of blood sugar in diabetic patients undergoing major abdominal surgery with their advantages and disadvantages
347. o Discuss how glycemic control affects the outcome in critically ill patients. Describe the advantages and disadvantages of tight and non tight glycemic control in ICU.
348. o Discuss complications of diabetes mellitus of interest to Discribe anaesthetic management of emergency laparotomy in a diabetic
349. o THYROID
350. o HYPOTHYROIDISM
351. o Describe the clinical features of hypothyroidism. Discuss the anaesthetic consideration in a hypothyroid patient scheduled for upper abdominal surgery
352. o THYROID STORM
353. o Etiopathology and management of thyroid crisis
354. o Manifestations and management of thyroid storm
355. o Describe preop evaluation and preparation of a patient of thyrotoxicosis. Describe anaesthetic and postoperative management of such a case.
356. o A 35 year old lady with huge thyroid mass presenting with thyrotoxicosis is posted for subtotal Discuss the preoperative preparation and anaesthetic management
357. o Myxoedema coma
358. o Causes of airway obstruction following thyroid surgery and its management
359. o Thyrotoxic patient for subtotal thyroidectomy
360. o Enumerate the NS of larynx. Enumerate the signs and symptoms of bilateral recurrent laryngeal nerve palsy following total thyroidectomy
361. o Discuss preoperative evaluation and anaesthetic management of a 40 year old hyperthyroid patient posted for total thyroidectomy. Enumerate postoperative complications
362. o What are the perioperative risks in patients with uncontrolled hyperthyroidism? How will you manage such a patient posted for emergency surgery? RETROSTERNAL GOITER:
363. o Describe in brief symptoms and signs, diagnosis and anesthetic management of retrosternal goiter
364. o COPD
365. o Discuss the current concepts in the management of a case of chronic obstructive airway disease in respiratory failure
366. o Describe in detail the anaesthetic management of patients with reactive airway disease
367. o Intraoperative anaesthetic considerations in COPD patient scheduled for upper abdominal surgery
368. o What is chronic obstructive pulmonary disease? How will you manage oxygenation and pain in post operative period of a case of COPD undergoing upper abdominal surgery
369. o ASTHAMA
370. o A40 yrs old female with history of bronchial asthama is scheduled for laparoscopic Describe pre op preparation and anesthetic management
371. o CARCINOID TUMOR
372. o A 30 year old woman is scheduled for removal of carcinoid tumor. Write the anaesthetic management
373. o CUSHING’s SYNDROME
374. o Discuss the anaesthetic management of a 25 years old female with cushing’s syndrome for bilateral adrenalectomy
375. o Anaesthetic problems in an amemic patient(Dec 1998).
376. o A 60 years old man presents for elective parathyroidectomy. Discuss the anaesthetic management
377. o 36)PatientPositioning.
378. o Positional hazards under anaesthesia
379. o Enumerate various positions in relation to anaesthesia and discuss in detail the problems associated with them
380. o Describe the complications associated with sitting position during posterior fossa surgery and their management
381. o Discuss the anaesthetic problems of surgery in prone position
382. o Describe the perioperative anesthetic management of a patient for post cranial fossa surgery in a sitting position
383. o Describe the precautions that need to be taken when positioning anaesthetised patient in prone Give an account oof positive pressure ventilation in prone position
384. o 37)Neuromuscular Disorders and Malignant Hyperthermia
385. o MG
386. o MG versus Myaesthenic syndrome
387. o What is myasthenia gravis? What are its clinical features? Discuss the preoperative investigations,preparation,anaesthetic management of such a case presenting for interval appendicectomy and management of the likely complications
388. o Discuss pre-anaestheticassessment,preparation,anaesthetic management and post operative complication in 20 year old female with myaesthenis gravis posted for thymectomy
389. o Preoperative preparation of a case of MG scheduled for thymectomy 5. Myaesthenic syndrome
390. o What are the clinical features of MG? Discuss perioperative evaluation and anaesthetic management of a case presenting for interval appendicectomy
391. o MH
392. o MH
393. o Current concepts in the diagnosis and treatment of MH
394. o What is malignant hyperthermia? Discuss its clinical features and laboratory finding. Why is it important for the anaesthetist to know about this syndrome
395. o Temperature regulation in adults,predisposingfactors,diagnosis and management of MH
396. o What are the diagnostic features that would lead to identify malignant hyperthermia during immediately after anaesthesia and state the guidelines of management?
397. o Diagnosis and management of an acute attack of malignant hyperthermia
398. o A 4 years old child weighing 15 kg undergoing strabismus surgery suddenly develops tachycardia,rigidity of extremeities and rise in temperature during anaesthesia. Discuss the anaesthetic management
399. o Describe clinical presentation,pathophysiology and managemet of malignant hyperthermia
400. o GBS
401. o GBS-discuss briefly etiology,pathogenesis,symptomatology and management including anaesthesia
402. o PARKINSON’s DISEASE
403. o Pre-op evaluation and anaesthetic considerations of a patient with Parkinson’ disease
404. o 38)Fundamental Principles of Monitoring and Instrumentation(PHYSICS related to anaesthesia)
405. o VENTURI
406. o Venturi principle and its clinical implication
407. o Desribe Bernoulli’s principle and its various applications in anaesthesia
408. o MONITORING STANDARD
409. o Minimum patient monitoring during anaesthesia
410. o What is minimum monitoring standard? Describe the objectives and methods
411. o Invasive intraop monitoring
412. o 39)MonitoringDepth of Anaesthesia.
413. o BIS
414. o What is BIS monitoring? What are its clinical applications in anaesthesia practice?
415. o Causes and prevention of awareness under anaesthesia
416. o what do you mean by awareness during anaesthesia? Mention the monitors in use to measure the depth of anaesthesia
417. o Discuss the pharmacological principles of measuring the depth of anaesthesia and techniques for monitoring the depth of anaesthesia
418. o List and brief statement and effectiveness of each of the means available for detecting awareness during anaesthesia
419. o What are the measures by which you can measure the depth of anaesthesia during the intra operative period
420. o Why is it important to measure the depth of anaesthesia? Briefly describe the methods used
421. o Describe awareness under anesthesia. What are the risk factors for awareness/ how can depth of anesthesia be monitored?
422. o 40)Cardiovascular Monitoring
423. o IJV
424. o Complications of cannulation of IJV
425. o Describe the anatomy of IJV with the help of a diagram. Discuss any one approach for IJV cannulation
426. o Enumerate various approaches for central venous cannulation. Describe the technique and complications of IJV cannulation
427. o Describe the anatomy of IJV with a diagram. Discuss any one approach to IJV cannulation and its complication
428. o Discribe the anatomy of carotid triangle with the help of diagram(s). Describe the technique of rt IJV cannulation and its uses in anesthesia
429. o CARDIAC OUTPUT MONITORING
430. o Non invasive cardiovascular monitoring
431. o Cardiac output management with thermodilution technique
432. o What are the determinants of cardiac output and discuss various non-invasive methods of measurement of cardiac output
433. o Pulmonary artery pressure monitoring
434. o CVP,its application in anaesthesia
435. o Jugular venous oximetry
436. o Methods of central venous cannulation,uses,limitations and complications of CVP monitoring
437. o Describe the indications,contraindications and complications of invasive arterial blood pressure monitoring. Describe the technique
438. o 41)TEE
439. o How is USG useful in anaesthesia and intensive care medicine and explain the usefulness of TEE during cardiac surgery
440. o TEE in anaesthesia practice.
441. o Describe the role of intraoperative echocardiography in clinical anaesthesia
442. o USG->principles and its uses in day to day practice of anaesthesia
443. o Describe the role of TEE IN hemodynamic monitoring of a pt with CAD scheduled for sx under GA.
444. o 42)ECG & CARDIAC CYCLE:
445. o Modified bipolar standard limb lead systems and its usefulness for intraoperative monitoring
446. o Describe the pressure and volume changes during different phases of cardiac cycle.
447. o 43)ICD and Pacemakers
448. o Discuss different types of pacemakers and briefly enumerate precautions to be taken during surgery with pacemaker
449. o Enumerate the evidenced based indications for pacemaker insertion. Mention the general principles of anaesthetic management of a patient with pacemaker scheduled for surgery
450. o 44)Respiratory Monitoring.
451. o PULSE OXIMETER
452. o Limitations of pulse oximeter
453. o Pulse oximetry
454. o Pulse oximetry-principles and applications
455. o What are the recent advances in pulse oximetry? briefly describe the multiwave length and reflectance pulse oximetry)
456. o CAPNOGRAPHY
457. o Role of capnography during anaesthesia
458. o capnography
459. o Discuss principles of monitoring end tidal CO2
460. o -What is capnography? Draw a neat labeled diagram of a normal capnograph and discuss clinical considerations of capnography(Etco2 monitoring
461. o Factors influencing tissue oxygenation
462. o Respiratory monitoring in anaesthesia
463. o Discuss various methods of oxygen monitoring in anaesthesia practice
464. o What are the measures of tissue oxygenation? Describe briefly oxygen delivery, oxygen consumption and oxygen extraction
465. o 46)Neurologic Monitoring.
466. o SSEP
467. o Minimum monitoring for post spinal fusion in scoliosis
468. o Methods of intracranial pressure monitoring,uses and complication of ICP monitoring
469. o ICP monitoring and its applications
470. o 47)Neuromuscular Monitoring
471. o Methods of monitoring neuromuscular junction function
472. o Methods of monitoring of neuromuscular transmission during anaesthesia
473. o Intraoperative neuromuscular monitoring
474. o Compare and contrast TOF and Double burst
475. o What are the factors affecting neuro-muscular blockage? Discuss various methods to monitor neuromuscular blockage
476. o Enumerate various techniques of monitoring neuromuscular blockade during anaesthesia. List the advantages and limitations of each of these techniques
477. o Discuss various patterns of nerve stimulation in neuromuscular monitoring and their interpretation with the help of diagrams
478. o What is neuroplasticity? Describe drugd and techniques that can prevent and treat neuroplasticity
479. o 48)Temperature Regulation & Monitoring
480. o Discuss the regulation of body temperature. How will you prevent hypothermia in a neonate posted for major abdominal surgery
481. o Describe in brief the sites and devices for temperature monitoring
482. o Classify hypothermia. Describe the pathophysiological effects of hypothermia
483. o 49)Perioperative Acid-Base Balance .
484. o Preanalytical consideration of ABG measurement
485. o What are the major buffer systems in the body? Enumerate the causes,effects and management of metabolic acidosis
486. o What is anion gap? Desribe the causes and management of metabolic acidosis from low cardiac output
487. o 50)Airway Management in the Adult
488. o AIRWAY ASSESSMENT
489. o Airway assessment
490. o List the bedside test available to predict the difficult intubations. Comment on their use
491. o SGA
492. o Supra Glottic Airway devices
493. o I-gel Airway
494. o Enumerate the different SGA’s. Tabulate the differences between Proseal LMA and I-gel airway
495. o Classify supraglottic airway devices(SADs)? ? What are the modifications done in third generation SADs. Discuss the complications associated with the use of SADs
496. o LMA
497. o Merits and demerits of LMA
498. o LMA:various modifications
499. o ROLE OF LMA in ASA difficult airway algorithm.
500. o DIFFICULT AIRWAY
501. o TM ANKYLOSIS
502. o Describe airway management of a patient of ankylosing spondylitis with severe restriction of neck movement posted for total hip replacement
503. o Discuss the preoperative assessment and the method of anaesthesia in patient with TM ankylosis for the release of ankylosis
504. o Describe briefly the difficult airway algorithm. How will you perform awake intubation in an adult with restricted mouth opening?
505. o Describe the airway management of a patient of TM joint ankylosis with restricted mouth opening posted for upper abdominal surgery
506. o Evaluation of difficult airway
507. o Difficult intubation/Predictive factors and intubation difficulty
508. o Describe briefly the difficult airway algorithm. How will you perform awake intubation in an adult with restricted mouth opening?
509. o How will you evaluate a 55 year old chronic smoker with CA LARYNX scheduled for Discuss the anesthetic management.
510. o Describe the management of unanticipated difficult airway in a stepwise manner.
511. o What are the predictors of difficult mask ventilation? Write an algorithm to manage/plan to manage a patient with predicted difficult mask ventilation.
512. o Describe various local anesthetic techniques used to provide anesthesia of airway. What are the complications associated with airway blocks
513. o Describe in a step wise manner rapid sequence intubation(RSI). What are the different modifications suggested with RSI
514. o ATTENTUATION OF LARYNGOSCOPIC RESPONSE
515. o Attentuation of laryngoscopic reaction to intubation.
516. o Discuss various methods to obtund intubation response to laryngoscopy and intubation
517. o Describe the occulocardiac reflex? Discuss measures to attenuate pressor response to laryngoscopy/intubation
518. o FOB
519. o Modes of ventilation during bronchoscopy
520. o Draw a labeled diagram of a flexible FOB and describe methods for its sterilization or high level disinfection
521. o Describe the techniques for anaesthetizing the airway for awake fibreoptic laryngoscopy and intubation through nasal route in an adult with restricted mouth opening
522. o Double Lumen ETT
523. o Airway management in an unconscious patient
524. o How will you anaesthetize the airway of a 40 year old man for awake intubation?
525. o Discuss the management of CICV situation in the OT
526. o What is the role of airway exchange catheter in modern anesthesia practice? Describe in short the management of post extubation stridor.
527. o 51)Spinal,Epidural and Caudal Anaesthesia.
528. o ANTICOAGULANTS AND RA
529. o Antothrombotic prophylaxis and neuraxialanaesthesia
530. o Enumerate the guidelines for RA in a patient on anticoagulant therapy
531. o Describe anaesthetic concerns for regional anaesthesia in a patient on anticoagulants.
532. o PDPH
533. o What is PDPH? What are the factors affecting it? Describe the management of such a case
534. o What are the differences between a subdural and subarachnoid block? Write the clinical features and management of PDPH
535. o Complications of epidural anaesthesia
536. o Pulmonary function changes following central neuraxial blockade
537. o Continous subarachnoid block
538. o IVRA
539. o Epidural analgesia for postop pain relief
540. o Epidural pressure and various factors affecting the same
541. o Indications and contraindications of regional anaesthesia
542. o Effect of intrathecal neostigmine on spinal anaesthesia
543. o CSE
544. o Caudal block
545. o Describe the boundaries of epidural space. Discuss five common complications of epidural block
546. o What is baricity? Describe the relevance of baricity in spinal anesthesia. Describe the adjuvant used with intrathecal block
547. o 52)Nerve Blocks.
548. o STELLATE GANGLION BLOCK
549. o 1Enumerate the indications,contraindications,complications and method of establishing stellate ganglion block
550. o Describe the anatomy of stellate ganglion. Discuss indications,techniques and implications of stellate ganglion block
551. o BRACHIAL PLEXUS BLOCK
552. o Anatomy of brachial plexus and its importance to the anaesthetists
553. o Discuss one method of brachial plexus block through supraclavicular approach and enumerate the complications associated with
554. o Anatomy of brachial plexus with the help of a diagram. Enumerate the various techniques of brachial plexus block
555. o SCIATIC NERVE BLOCK:
556. o Describe sciatic nerve with regards to its root value, branches and write the labet,s approach of sciatic nerve block
557. oPTHALMIC BLOCKS
558. o Peribulbar block-indications,techniques and complications
559. o Merits and demerits of retrobulbarvsperibulbar block
560. o Describe various lacal anesthetic techniques used for providing ophthalmic anaesthesia. Discuss their merits and demerits
561. o Describe various local anesthetic techniques used for producing ocular anesthesia. What are the complications of retrobulbar block?
562. o COELIAC PLEXUS BLOCK
563. o Describe the anatomy of celiac plexus. Discuss the indications and methods to block celiac plexus
564. o Illustrate the anatomy of celiac plexus with the help of a diagram. Describe the technique of celiac plexus block and its complications
565. o Eneumerate the methods available for pain relief in patient with ca pancreas. Describe celioc plexus block with the help of diagram
566. o ANKLE BLOCK
567. o Innervation of foot and technique of performing ankle block2. Describe the nerve supply of foot and the technique of ankle block for amputation of great toe
568. o Describe the nerve innervationsof the foot with diagram and dsicuss the local anaesthetic block at the ankle for the amputation of gangrenous toes in a patient
569. o Describe the regional block for removal of infected corn foot
570. o PARAVERTEBRAL BLOCK
571. o Describe the anatomy of paravertebral space with diagram. Describe one method of establishing paravertebral block
572. o Compare the advantages and disadvantages of inter pleural and paravertebral block.
573. oTHER BLOCKS:
574. o Three-in-one’ block
575. o Horner’s syndrome
576. o Describe with the help of a labeled diagram,the anatomy of lumbar plexus and describe the techniques of lumbar plexus block
577. o Describe the course of sciatic nerve and any one approach to block the nerve
578. o 53)USG guidelines for RA
579. o What principle is used in USG? How is USG useful in anaesthesia
580. o Describe the principles of ultrasound. Discuss the use of ultrasound in evaluating a patient in emergency department.
581. o What is the principle used in ultrasound scanning? Describe the applications of ultrasound in anesthesia and intensive care
582. o IV Fluid and BLOOD
583. o CRYSTALLOID/COLLOID
584. o Merits and demerits of crystalloids and colloids
585. o Discuss the different types of colloid solutions. Describe their advantages and disadvantages
586. o Plasma volume expansion
587. o Uses, advantages and disadvantages of plasma expanders
588. o Water and electrolyte disturbances and their pre anaesthetic correction in small gut obstruction
589. o Gelatin as spinal preloading
590. o Comparitive evaluation of RL,Low molecular weight Dextran and 3. 5%poly
591. o Human Albumin
592. o Third space loss-its importance to anaesthesiologist
593. o Discuss the role of plasma proteins in anaesthesia
594. o Describe different fluid compartment in the body. Describe how edema develops?
595. o Describe the role of albumin in ICU and current concepts of intravenous fluids in ICU.
596. o Mg2+
597. o Role of Magnesium in anaesthesia and ICU
598. o What are the physiological functions of magnesium? Describe its therapeutic uses in anaesthesia
599. o K+
600. o Define hypokalemia. What are the clinical manifestations of hypokalemia? How will you treat hypokalemiaintraoperatively?
601. o Causes,diagnosis and treatment of hypo and hyperkalemia
602. o Define hyperkalemia. Discuss signs and symptoms and anaesthetic consideration
603. o Enumerate the causes,clinical manifestations and management of hyperkalemia
604. o Causes,diagnosis and treatment of hypo and hyperkalemia
605. o Discuss the ECG abnormalities due to various electrolyte imbalances
606. o SIADH
607. o Water intoxication
608. o How is the diagnosis of dilutionalhyponatremiamade? What is its significance in anaesthesia
609. o What is SIADH? Describe the clinical features and management of SIADH
610. o Describe the causes and management of acute dilutionalhyponatremia in the immediate postoperative period
611. o Na+
612. o What are the manifestations of hyponatremia and how will you treat it
613. o Enumerate the signs and symptoms of hyponatremia. Describe the management in a patient with serum sodium level of 115 meq/L scheduled for knee replacement under RA
614. o What are the causes and clinical features of hyponatremia in the post operativeperiod. Describe its management.
615. o Ca2+
616. o Discuss causes,clinical manifestations and treatment of hypercalcemia. What are the anaesthetic considerations?
617. o 55)Transfusion Therapy
618. o BLOOD COMPONENT THERAPY
619. o Present trend of blood component therapy
620. o Blood component therapy
621. o Role of blood components in perioperative period
622. o Enumerate the indications for transfusion of packed red cells,FFP,platelets and cryoprecipitates
623. o COMPLICATIONS
624. o Blood transfusion and related disease transmission
625. o Complications and Sequelae of BT
626. o What are the complication of massive blood transfusion? Describe the tests used to monitor blood coagulation
627. o Management of mismatched BT
628. o How will you diagnose mismatched BT intraoperatively? Describe its management
629. o MASSIVE BLOOD TRANSFUSION
630. o Define massive BT. Discuss the complications associated with massive blood transfusionand their management.
631. o Storage lesions in blood
632. o Recent trends of BT and blood products
633. o Clinical uses of blood
634. o 56)Coagulation.
635. o What is DIC? Enumerate its causes and management
636. o Discuss the physiology of Hemostasis and its significance
637. o What is TEG? Draw a labeled diagram to show a normal tracing. What are its implications
638. o Describe various tests for monitoring peri-operative coagulation
639. o Briefly outline the evaluation and management of a patient with suspected perioperative coagulopathy
640. o 57)AutologousTransfusion, rVIIa and Bloodless Medicine.
641. o AUTOLOGOUS BLOOD TRANSFUSION
642. o Autologous BT
643. o What is autologous BT? Describe the various techniques of autologous BT
644. o Discuss criteria for patient selection,contraindications,advantages and disadvantages of autologous BT
645. o BLOODLESS MEDICINE/BLOOD CONSERVATION STRATEGY
646. o Perioperative blood conservation
647. o What are the methods adopted by the anaesthetist to reduce the need for allogenic blood transfusions
648. o Artificial blood/synthetic oxygen carrying substances
649. o Write the blood conservation strategies in a 20 year old female scheduled for excision of angiofibroma of nose
650. o Different techniques of reducing the need of allogenic blood transfusion
651. o RECOMBINANT FACTOR VIIa
652. o What is recombinant Factor VIIa? Describe the clinical usage of it
653. o Pain.
654. o WHO STEP LADDER PATTERN FOR PAIN RELIEF
655. o WHO regimen of chronic pain management
656. o The WHO three step ladder pattern for pain relief in advanced cancer
657. o Role of anaesthesiologist in managing shoulder dystrophy syndrome
658. o Trigeminal neuralgia,clinical features and management
659. o Management of reflex sympathetic dystrophy
660. o Anaesthetists role in pain and palliative care
661. o Phantom limb pain
662. o Pain management options in a patient with intractable pain due to carcinoma of head of pancreas
663. o Define and classify chronic pain. Describe the methods of treatment of CRPS in left upper limb in a 20 year old male patient
664. o Explain the term CRPS? What are the types of CRPS? Describe its clinical features and options for treatment
665. o What is IASP(international association for study of pain) definition of pain? How do you classify pain? Briefly describe the interdisciplinary management of chronic pain.
666. o What are the acute and long term effects of post operative pain? Describe chronic post surgical pain (CPSP) and various methods to prevent it.
667. o Define CRPS. Describe the techniques and complications of stelleteganglione block.
668. o What is hospice? When should you beging hospice care? how does hospice serve patients and families
669. o SUPERSPECIALITY ANESTHESIA
670. o Anaesthesia for Thoracic Surgery
671. oLV
672. o What are the indications for OLV? Discuss the ventilatory management during one lung anaesthesia
673. o What are the indications of OLV? What are the methods of lung separation? Discuss the problems involved
674. o What are the indications of one lung ventilation. Describe the management of hypoxemia during one lung ventilation
675. o Describe in brief the principles of one lung anesthesia. Justify the need and indications of postoperative ventilator support
676. o PNEUMONECTOMY
677. o Discuss the anaesthetic management of a patient posted for pneumonectomyCa Right Bronchus-preparation and management
678. o Discuss the pre-operative evaluation and preparation of a 55 year old male with bronchiectasis scheduled for right lower lobe excision
679. o How would you evaluate and prepare a patient with chronic bronchiectasis scheduled for pneumonectomy? Briefly enumerate the postoperative complications
680. o ESOPHAGECTOMY
681. o Preoperative assessment,preparation specific to thoraco abdominal esophagectomy. Describe your anaesthetic problem during operation
682. o A 68 year old patient with carcinoma esophagus is scheduled for transthoracic esophagectomy. Outline the preoperative evaluation,preparation and anaesthetic management
683. o A 68 year old male with carcinoma esophagus is posted for total esophagectomy and gastric pull up. Describe the preoperative preparation,evaluation and anaesthetic management
684. o PFT’s
685. o Relevance of PFT’s
686. o Describe with diagram the flow volume loops in:
687. o (a)Healthy adult
688. o (b)Patient with restrictive lung disease
689. o (c)Patient with obstructive lung disease
690. o Draw a diagram to show various lung volumes and capacities. Describe the spirometry features of patients with obstructive and restrictive pulmonary disorder(
691. o Bedside PFT’s
692. o Discribe various pulmonary function tests and there relevance in clinical practice.
693. o MIXED THORACIC
694. o Anaesthesia for drainage of empyema thoracis
695. o Anaesthetic consideration for patient with BPF for repair.
696. o Hydropneumothorax
697. o Write the indications of mediastinoscopy? Write the anaesthetic implications of mediastinoscopy
698. o A 40 year old male with emphysematous bullae in right lung is scheduled for thoracoscopic excision of bulla(VATS). Describe the anaesthetic management
699. o Anaesthesia for cardiac surgery
700. o CPB
701. o Myocardial preservation
702. o Myocardial protection during CPB
703. o Anticoagulation and CPB
704. o Cardioplegia and its role in cardiac anaesthesia practice
705. o Discuss the various criteria required before weaning a patient from CPB
706. o Describe the commonly encountered problems following CPB in the post-bypass period
707. o What is the difference between partial and total cardiopulmonary bypassduring open heart surgery? Describe the complications associated with cardiopulmonary bypass
708. o Describe the role of cardioplegia in myocardial preservation. What are the other techniques employed for myocardial preservation during cardiopulmonary bypass?
709. oPCAB
710. o Discuss advantages and disadvantages of OPCAB(Dec 2006)
711. o Enumerate the indications of OPCAB. Describe the technique,advantages and disadvantages
712. o Discuss anaesthetic management of 20 years old male with RHD with MS for closed mitral valvotomy
713. o Preop evaluation and anaesthetic management of a 30 year old patient with MS and AF scheduled for balloon angioplasty and valvoplasty
714. o Enumerate the circulatory assist device. What are the mechanism, indications,contraindications and complications of IABP?
715. o CARDIAC TRANSPLANT
716. o Preopanaesthetic implications in a patient with transplanted heart posted for incidental surgery
717. o Anaesthesia for Correction of Cardiac Arrythmias(pacemakers)
718. o Specific problems and their prevention during anaesthesia in a patient with artificial pacemaker
719. o What are the indications for elective cardioversion? How do you prepare and perform this procedure
720. o Discuss different types of pacemakers and briefly enumerate precautions to be taken during surgery in a patient with pacemaker
721. o Describe the cardiac conduction system. How do you manage a patient with PSVT
722. o Anaesthesia for Vascular Surgery.
723. o Role of anaesthetist in a case of TAO
724. o Describe the anaesthetic management in a patient with Abdominal Aortic dissection scheduled for aortic bypass graft
725. o Discuss hemodynamic and metabolic changes during aortic clamping and cross clamping. Describe the renal protective measures during aortic clampingpathophysiology of acc. Also.
726. o Describe the preoperative evaluation,anaesthetic management and intra operative monitoring of a patient scheduled for carotid endarterectomy
727. o Anesthesia for Neurosurgery.
728. o POSTERIOR CRANIAL FOSSA SURGERY
729. o A 40 year old male had pulse 45/min and BP 190/110 mmHg,diagnosed case of tumor mass in the posterior fossa. How will you prepare and manage the case for removal of tumor
730. o A 20 year old female with mass in posterior cranial fossa is scheduled for craniotomy. Describe the anaesthetic management
731. o Describe the anaesthetic considerations for excision of a mass in the posterior cranial fossa in a 20 year old patient
732. o Describe anaesthetic and postoperative management of a patient undergoing intra-cranial aneurysm surgery
733. o Hydrocephalus and its various methods of management
734. o what is cerebral protection? Explain the methods adopted in clinical practice for cerebral protection 4. Discuss the perioperative management of cerebral AVM
735. o Anaesthetic management of a case of pituatory adenoma for transphenoidalhypophysectomy
736. o Intraoperative problems of neurosurgical procedures under anaesthesia in sitting position
737. o A 25 years old man presents with marked features of acromegaly and is posted for Discuss the anaesthetic management
738. o Discuss the regulation of ICP. Describe the methods available for reducing it under anaesthesia
739. o Describe the preop evaluation and anesthetic management of a 20 years old male scheduled for cerebral AV MALFORMATION surgery.
740. o Anaesthesia for Bariartric Surgery.
741. o Morbid obesity-its anaesthetic implication
742. o Discuss the anaesthetic techniques and postoperative problems in an obese patient for large hernia of interior abdominal wall
743. o Define morbid obesity. Enumerate the changes that occur in the respiratory,cardiovascular and metabolic systems in obesity. A 40 year old patient with height 158 cms and weighing 150 ks is scheduled for pyelolithotomy. How will you evaluate this patient preoperatively? Discuss the problems involved and the anaesthetic management
744. o Describe obesity and problems related to this. How would you manage the anaesthesia and choice of anaesthetic agent
745. o Discuss the perioperative problems in a patient with morbid obesity(Dec 2008).
746. o Discuss the problems and their anaesthetic implications of a 40 year old morbidly obese patient scheduled for gastric banding
747. o Define BMI. Classify obesity and discuss the anaesthetic considerations in a morbidly obese patients
748. o Discuss the preoperative evaluation of a 25 year old man with OSA scheduled for laparotomy. How would you prepare him for surgery
749. o Classify obesity. Describe preoperative evaluation, preparation and anesthetic goals in a 30 year old female scheduled for bariatric surgery
750. o How will you evaluate a patient of obstructive sleep apnoea scheduled for an elective laparotomy. Briefly describe the preop prep of such patient.
751. o Describe the tumescent technique for local anesthesia in a patient undergoing liposuction and abdominoplasty
752. o 65)Anaesthesia for Renal and GUT
753. o Describe the anaestheticassessment and management of a 70 year old patient posted for What are the possible complications and how will you treat them?
754. o Anaesthetic management of 80 years old male kept for TURP
755. o Anaesthetic considerations of a patient on pacemaker for TURP
756. o What are the problems associated with anaesthesia for an elective surgery in a patient of chronic renal failure
757. o Discuss the anaesthetic concerns in a patient with end stage renal disease. Differentiate between peritoneal dialysis and haemodialysis.
758. o Describe clinical presentation,pathophysiology and management of TURP syndrome
759. o A 70 year old male with a drug eluting stent placed two years ago following myocardial infarction is scheduled for TURP. Describe the anesthetic management
760. o Anaesthesia and Hepatobiliary System .
761. o HEPATO RENAL SYNDROME
762. o Discuss the patho-physiology of hepatorenal syndrome. What are the measures to prevent it?
763. o Describe briefly the diagnosis,patholophysiology and treatment of heaptorenal syndrome in a case of advanced liver cirrhosis
764. o LIENO -RENAL SHUNT
765. o Pre anaesthetic evaluation and preparation of a patient with portal hypertension for leno renal shunt
766. o Write preoperative evaluation and preparation of a patient with portal HTN scheduled for L-R shunt
767. o A 40 year old patient with portal hypertension is scheduled for lieno renal shunt. Outline the pre-operative evaluation,preparation and anaesthetic management of this patient
768. o Anaesthetic considerations in Chronic liver Failure
769. o A patient with obstructive jaundice(Serum bilirubin 20 mg%) is posted for Whipple’s Discuss preoperative evaluation and anaesthetic management of this case
770. o Describe the risk stratification of a patient with deranged liver functions scheduled for partial liver resection
771. o Enumerate the functions of liver. Discuss the anaesthetic implications in a patient with cirrhosis and ascites
772. o 67)Anaesthesia for Organ Transplantation.
773. o RENAL TRANSPLANT
774. o How do you plan for renal transplant surgery? Draw plan for an operation theatre exclusively for renal transplant surgery
775. o Pre-operative evaluation of a case with CRF posted for renal transplant
776. o Discuss the preoperative evaluation,preparation and anaesthetic management of a patient with transplanted kidney presenting for incidental elective surgery
777. o LIVER TRANSPLANT
778. o Anaesthetic problems of liver transplantation surgery
779. o HEART TRANSPLANT
780. o A patient who has undergone heart transplant requires non cardiac surgery. What precautions must be undertaken by an anaesthetic for surgery
781. o 68)Anaesthesia for Laparoscopic Surgery.
782. o Problems of laparoscopic surgery and monitoring techniques used during the procedure
783. o Discuss the physiological changes due to pneumoperitoneum in laparoscopic abdominal List the intra-operative complications
784. o Describe the preanesthetic preparation of a patient with prosthetic heart valves on warferin posted for laproscopic cholecystectomy
785. obstretic anaesthesia
786. o PIH
787. o HELLP SYNDROME
788. o Diagnosis and management of HELLP syndrome
789. o HELLP syndrome:role of anaesthesiologist
790. o Define pre-eclampsia and eclampsia. discuss the pathophysiology. Formulate,with reasons the anaesthetic technique for such a patient posted for
791. o Describe the problems,complications and anesthetic management of CS in a patient with pre-eclamptic toxemia
792. o Discuss the pathophysiological changes in pre-eclampsia and eclampsia. Discuss your choice of anaesthetic technique for such a patient for emergency CS.
793. o A 25 years primi gravid in 34 weeks of pregnancy with PIH presented with a BP of 200/110 mmHg for an elective LSCS. Discuss the problems involved and the anaesthetic management
794. o Mg SO4 therapy
795. o A 35 weeks pregnant pt with BP of 200/100 mmHg,edema and albuminuria is to be prepared for elective CS. Discuss preparation and preferred anaesthesia technique(regional or general)
796. o Anaesthetic management of patient with severe pre eclampsia for CS
797. o Discuss the perioperative evaluation and management of a 30 year old primi admitted at 36 weeks of pregnancy with eclampsia presenting for emergency LSCS
798. o Define PIH. How it is different from essential hypertention. Describe the anesthetic management of a 25 year old patient with 38 wks of pregnancy scheduled for emergency LSCS AND elective LSCS.
799. o NON OBSTETRIC SURGERY DURING PREGNANCY
800. o A female patient aged 32 with 5 months amenorrhoea suffered from Koch’s mid dorsal spine developed paraplegia. She is scheduled for anterolateral decompression surgery. Discuss pre-operative preparation,anaesthetic management and postoperative care
801. o Anaesthetic management of emergency appendicectomy in a 16 weeks pregnant patient
802. o Anaesthesia for a pregnant woman for non-obstetric surgery
803. o Laparoscopic surgery in a pregnant patient
804. outline the anaesthetic management of a female with 28 weeks pregnancy scheduled for emergency appendicectomy
805. o Describe the physiological changes of cardiovascular and respiratory systems in pregnancy. Discuss the anaesthetic considerations and management of pregnant patient undergoing non-obstetric surgery during first trimester
806. outline the perioperative considerations in an obstretic patient for non obstretic surgical intervention
807. o ANAESTHESIA FOR CS
808. o Mendelson’s syndrome
809. o Discuss the pathogenesis,clinical features and management of mendelson’s syndrome
810. o Aspiration prophylaxis in obstetrics
811. o What is Mendelson’s syndrome? Enumerate acid aspiration prophylaxis in a patient scheduled for emergency CS
812. o PHYSIOLOGICAL CHANGESDUE TO PREGNANCY
813. o Describe physiological changes occurring during pregnancy and clinical implications to the anaesthesiologist
814. o Supine hypotension syndrome
815. o Techniques to prevent hypotension after SA in CS
816. o What are the objectives of premedication in a patient scheduled for elective CS? Describe the drugs used with their doses and rationale
817. o PREGNANCY AND CO-EXISTING DISEASE
818. o A patient of COA is scheduled for CS. Discuss the preoperative preparation,anaesthetic management and postoperative care of the patient
819. o Medical diseases and obstetrics
820. o Problems and management of pregnant patient with dilated cardiomyopathy on treatment for emergency LSCS
821. o Pre-anaesthetic evaluation of a patient of MS for MTP and sterilization
822. o Discuss the pre operative evaluation and management of a 30 year old female patient who underwent mitral valve replacement 6 months ago and is now scheduled for MTP with laparoscopic sterilization
823. o Enumerate the perioperative problems and anaesthetic management of a 28 year old patient with MS for elective CS
824. o A HIV positive patient is scheduled for elective CS. Describe the precautions for the management of this patient
825. o LABOUR ANALGESIA
826. o Describe the various regimens for painless labour
827. o Modern trends in obstetric analgesia.
828. o Describe innervations of female genital tract with a diagram and discuss methods of producing painless labour
829. o Discuss the physiological changes secondary to pain in labour. Describe the role of para-cervical and pudendal nerve blocks in obstetric analgesia
830. o Draw a labeled diagram of labor pain pathway. Describe method,advantages and disadvantages of preferred technique of labor analgesia
831. oRTHO/ENT/OPTHALM/PAED/MISC.
832. o Amniotic fluid embolism
833. o Role of anaesthesiologist in an obstetric unit
834. o Regional Vs GA in obstetric surgery
835. o Medical aspect and obstetrics
836. o What are the causes of obstetric haemorrhage? Describe its management including anaesthesia
837. o Describe in a step wise manner management of uterine atony during caesarean section.
838. o Describe the use of tranaxemic acid and activated factor VII in management of obstretic haemorrhage
839. o Anaesthesia for Orthopaedics.
840. o TOTAL HIP REPLACEMENT
841. o A 60 year old women with RA is for THR. Discuss the anaestheticproblems and management
842. o An 80 year old male is posted for total hip replacement. Discuss the pre-operative evaluation, preparation and anaesthetic management of this case
843. o Anaesthetic consideration of a patient for surgery for fracture neck of femur,one year after CABG
844. o An 86 year old patient is scheduled for open reduction and internal fixation of subtronchanteric fracture of femur. Discuss the preoperative evaluation and anaesthetic management of this patient
845. o Describe the anaesthetic management of an 80 year old male scheduled for THR. Mention the methods of postop pain relief
846. o What are the pre-operative considerations in total hip arthroplasty? What are the goals of its intra-operative management?
847. o What are the causes of intra operative hypotension during total hip replacement? Outline the treatment strategies
848. o TOTAL KNEE REPLACEMENT
849. o Discuss the preanesthetic evaluation, anesthetic management and postop pain management in a 75 years old female scheduled for B/L knee replacement
850. o SCOLIOSIS
851. o Discuss the anaesthetic problems,preoperative preparation and anaesthetic management of a case posted for correction of kyphoscoliosis
852. o Anaesthetic problems in scoliosis surgery
853. o FAT EMBOLISM
854. o Discuss in detail the etiology,pathophysiology,diagnosis and treatment of fat embolism syndrome(June 2002)
855. o RA technique for upper extremity surgery
856. o What are the indications and contraindications for use of arterial tourniquet. What complication may arise from the use of such tourniquet
857. o Problems encountered by anaesthetists during the orthopaedic operative procedures
858. o Risk factors for venous thromboembolism and classify the current methods of prevention with examples
859. o How will you diagnose DVT? Write the methods of prophylaxis and management
860. o How do you diagnose DVT? Describe the predisposing factors and its management
861. o 71)Anaesthesia for Geriartrics.
862. o Enumerate age related changes in CVS,RS,NS and renal systems in geriartric patient which can affect anaestheticmanagement. How do the changes in renal functions affect anaesthetic management?
863. o Describe the process of aging with regard to organ functions and its anesthetic relevance
864. o 72)Anaesthesia for Trauma.
865. o Role of anaesthetist in multiple trauma
866. o Post traumatic fat embolism
867. o How will you do anaesthetic management in 10 years old child with multiple injuries?
868. o Assessment of an adult who sustained multiple trauma of few hours duration
869. o What are the factors that predispose trauma patients to increased anaesthetic risks? Briefly mention their management
870. o Describe the objectives and initial assessment of an adult roadside trauma victim presenting to the emergency department.
871. o 73)Anesthesia for Prehospital Emergency and Trauma Care.
872. o GOLDEN HOUR
873. o What do you mean by the golden hour in trauma? Discuss the role of anaesthetist in resuscitation of trauma patient
874. o what do you mean by golden hour in trauma? Explain the role of anaesthetist in trauma management
875. o TRIAGE
876. o What is Triage? What are triage criteria in relation to trauma?
877. o What do you mean by multi-casulaty triaging? Why is it important? How do you triage victims in the casualty following a mass disaster?
878. o Mention briefly the organization of anesthesia and resuscitative services for disaster management.
879. o Pre-hospital trauma care
880. o 74)Chemical and Biological Warfare Agents:The Role of the Anaesthesiologist.
881. o Enumerate the classical biological warfare agents. Describe physical findings,pathogenesis and treatment of anthrax
882. o 75)Anaesthesia for Eye.
883. o PERFORATING EYE INJURY IN A CHILD
884. o Anaesthesia for perforating injury of the eye in a 3 year old child
885. o A 4 year old child is scheduled for emergency repair of penetrating eye injury of the eye. Discuss the anaesthetic management
886. o Describe the anaesthetic management in a 10 year old child scheduled for perforating eye injury repair
887. o Describe the preoperative evaluation and anaesthetic management of a four year old child with perforating eye injury scheduled for repair under GA
888. o Anaesthesia for squint surgery
889. occulocardiac reflex
890. o Anaesthesia for intraocular surgery
891. o Describe the different anaesthesia techniques practiced for cataract surgery and their complications
892. o Anesthesia for ENT<br />
893. o 1 year old child is scheduled for adenotonsillectomy. Describe the preopassesment and anesthetic management including management of pain.
894. o Describe the options available for maintaining airway during microlaryngeal surgery. What are the anesthetic concerns in a patient undergoing microlaryngeal surgery?
895. o POST- TONSILLECTOMY BLEEDING
896. o Post tonsillectomy bleeding
897. o Anaesthetic management of a case for post-tonsillectomy bleeding
898. o Anaesthetic considerations and management of a child with post-tonsillectomy bleeding
899. o An 8 years old child who underwent tonsillectomy 4 hours ago retuns to the operating table with bleeding from tonsillar site. Describe preparation,preoperative assessment and anaesthetic management of this case
900. o Anaesthetic management of a child with retropharyngeal abscess presenting for surgical drainage
901. o Problems of microlaryngeal surgery
902. o Discuss the anaesthetic management of a 70 year man with carcinoma larynx for total laryngectomy
903. o Describe in detail the anaesthetic management of a patient with coronary artery disease, posted for microlaryngeal surgery. What are the main postoperative problems, their prevention and management
904. o Anaesthesia for Robotic Surgery.
905. o Anaesthetic problems in robotic surgery
906. o What are the anesthetic implications in robotic surgery? Discuss the common postoperative complications after laparoscopic procedures
907. o 78)Anaesthesia for Laser Surgery.
908. o Problems during anaesthesia for laser surgery
909. o Anaesthesia for laser surgery of larynx
910. o Anaesthetic management of laser surgery on tracheobronchisl tract
911. o A 22 year old male patient with multiple papilloma of larynx is scheduled for laser excision. Describe the anaesthetic management
912. o What are the anesthetic implications for laser surgery of the airway? Briefly describe the preventive measures.
913. o 79)Anaesthesia for DCS(AA).
914. o MONITORED ANAESTHESIACARE
915. o Monitored AnaesthesiaCare
916. o Monitored anaesthesia care in a 75 year old man with IHD for cataract surgery
917. o Define monitored anaesthesia care. Discuss its goals and techniques
918. o What is monitored anaesthesia care? Discuss the discharge criteria for a patient after day care surgery.
919. o What is monitored anaesthesia care? Describe minimum monitoring standards for a patient undergoing monitored anaesthesia care
920. o Define monitored anaesthesia care. Eneumerate its goals and indications. Discuss its advantages and disadvantages.
921. o DCS
922. o Anaesthesia for DCS
923. o Discharge criteria in outpatient anaesthesia
924. o Criteria for selection of patients for ambulatory surgery
925. o RA in day care surgery
926. o Describe the criteria for selection of anaesthetic agents for use in DCS. Enumerate the agents of your choice with reasons
927. o A 6 years old boy underwent adenoidectomy under GA as DCS. Enumerate the discharge criteria of this patient
928. o What are the anaesthetic considerations for DCS? Discuss the clinical criteria for recovery a nd discharge after day care surgery
929. o Describe the various drugs used for premedication in patients undergoing ambulatory (outpatient) anesthesia/surgery along with there specific roles80)Anaesthesia at Remote / OUTSIDE OR
930. o Enumerate the general principles of anesthesia outside the OR. Briefly outline the anesthetic plan for 23 year old patient scheduled for oocyte retrival in IVF suite
931. o MRI
932. o MRI and anaesthesia
933. o What are the problems in monitoring an anaesthetized patient in MRI
934. o What are the limitations and hazards of providing anaesthesia in the MRI suite? Describe the anaesthetic management of a 6 months old child with hydrocephalus scheduled for
935. o Describe the anaesthetic management in a patient scheduled for MRI
936. o RD AND RT
937. o Anaesthesia for RT
938. o Anaesthetic management of radio diagnostic procedures
939. o ECT
940. o Anaesthetic considerations for modified ECT
941. o A 60 year old male with refractory depression is scheduled for ECT. Describe the anaesthetic management
942. o Elective cardioversion
943. o CT
944. o Management of a 4 year old child scheduled foe CT brain using an iodine solution(Dec 2000).
945. o 81)Clinical Care in Extreme Environments at High and Low pressure in Space.
946. o What are the problems with acute exposure to high altitude? Discuss briefly the anaesthetic considerations at high altitude
947. o 82)Dental Anesthesia
948. o Anaesthesia for multiple dental extractions in a child with TOF
949. o Problems and role of anaesthetist in dental chair
950. o Discuss in brief the problems of adult patients with Down’s syndrome for multiple teeth extraction
951. o SECTION VI-PAEDIATRIC ANAESTHESIA
952. o ANATOMY OF LARYNX
953. o Tracheo-bronchial tree with diagram
954. o Discuss the anatomy of diaphragm with a diagram. How does it behave under different stages of anaesthesia
955. o Describe the anatomy of larynx and its innervations. What are the differences between neonatal and adult larynx
956. o Describe the innervations of larynx and the palsises following nerve in jury with the help of diagram(s)
957. o Describe the anatomy of larynx with difference in adult and children. What is importance of recurrent laryngeal nerve in anaesthesia practice
958. o How does the paediatric airway differ from that of an adult? What are the implications for an anaesthesiologist
959. o Describe the nerve supply of nasal cavity and larynx. How would you block these nerves for awake nasal intubation?
960. o Describe the anatomy of larynx. How would you anaesthetize the airway for awake intubation
961. o VOCAL CORD PALSIES
962. o Vocal cord palsies with the aid of diagrams of direct laryngoscopic view(Dec 2000).
963. o Anatomy of larynx. Enumerate with diagrams the types of vocal cord palsies
964. o 83)RA in Children.
965. o CAUDAL EPIDURAL IN PAEDIATRICS
966. o Caudal epidural analgesia in anaesthesia practice
967. o What are the indications of caudal epidural in paediatric patient undergoing surgery? Describe the techniques and write its complications
968. o What are the indications of caudal epidural anaesthesia in paediatric patients undergoing surgery? Describe the technique and enumerate its complications
969. o Discuss indications,techniques and complications of caudal epidural block in children
970. o What are the options for providing postoperative pain relief in children? Describe the complications of caudal block and measures to prevent them
971. o Postoperative analgesia in children
972. o Discuss the various methods of postop pain relief in paediatrics
973. o Regional analgesia in children
974. o Postop analgesia in infant for circumscision
975. o Postop analgesia in children for inguinal hernia
976. o Assessment of pain in children
977. o Role of regional anaesthesia in paediatric surgery
978. o Spinal anaesthesia in children
979. o Indications,techniques and complications of spinal anaesthesia in paediatric patients undergoing surgery
980. o What are the methods of pain assessment in infants and children? Discuss the pharmacological management of acute pain in paediatric patients
981. o Paediatric Anesthesia.
982. o TEF
983. o Describe the anatomy and physiology of various types of TEF. Discuss the anaesthetic management
984. o Describe the anaesthetic management of a neonate scheduled for repair of TEF
985. o Discuss the perioperative problems and anaesthetic management of a two days old child scheduled to undergo TEF repair
986. o MENINGO-MYELOCOELE
987. o Preoperative management of a neonate for meningomyelocoele surgery
988. o A neonate for repair of cervical meningo-myelocoele
989. o HYDROCEPHALUS
990. o Preoperative assessment and anaesthetic management of a 2 year old child of hydrocephalus posted for shunt procedure
991. o Discuss the perioperative problems and anaesthetic management of a one year old child with hydrocephalus scheduled for shunt procedure
992. o What are the types of hydrocephalous? What are the anesthetic concerns in a baby with hydrocephalous posted for V-P shunt procedure?
993. o GASTROCHISIS
994. o Discuss the problems,preoperative preparation and anaesthetic management of a neonate posted for repair of gastrochisis
995. o FOREIGN BODY
996. o A 4 year old boy has come in emergency with foreign body in right bronchus. How will u manage for bronchoscopy for such a patient
997. o Anaesthetic management of a 2 year old child for therapeutic bronchoscopy following inhalation of foreign body 2 days ago child could not exhibit any sign of airway obstruction
998. o A 2 year old child weighing 10kg is scheduled for removal of organic foreign body in right Discuss the anaesthetic management
999. o Discuss the pre-operative evaluation and anaesthetic management of a 2 year old child scheduled for removal of foreign body in bronchus
1000. o CDH
1001. o Anaesthetic problems of repair of CDH in a neonate
1002. o Pre-operative evaluation and anaesthetic management of one day old child with CDH
1003. o Describe the pathophysiology,clinical manifestations and anaesthetic management of CDH in a neonate
1004. o What are the anesthetic risks in a premature neonate? Describe the prognostic indicators in a neonate scheduled for repair of congenital diaphragmatic hernia.
1005. o TEMPERATURE REGULATION
1006. o Discuss the regulation of body temperature. How will you prevent hypothermia in a neonate posted for major abdominal surgery
1007. o Temperature regulation in neonate and prevention of hypothermia in neonate during perioperative period
1008. o Heat loss during abdominal surgery in a newborn child
1009. o INGUINAL HERNIA
1010. o <ol>
1011. o months old baby for hernia repair-anaestehtic and postoperative pain management discuss
1012. o </ol>
1013.
1014. o FLUID MANAGEMENT
1015. o Perioperative fluid requirement for a paediatric patient undergoing elective surgery
1016. o Recent advances in intra-operative paediatric fluid management
1017. o Perioperative fluid requirement in small paediatric patients
1018. outline the principles of perioperative fluid therapy in a 10 days old child scheduled for elective surgery
1019. o GENERAL
1020. o Anaesthetic implications of neonatal anaesthesia
1021. o Preoperative considerations in paediatric patients
1022. o Fasting guidelines for children. How does premedication inadults differ from that in
1023. o Discuss the anaesthetic implications and perioperative management of a six month old child scheduled for excision of cystic hygroma
1024. o Enumerate the major concerns for anaesthesiologist in hypertrophic pyloric stenosis in a Write down the anaesthetic management of such a case
1025. o Describe the preop evaluation and anesthetic management of a one month old child with biliary atresia scheduled for laparotomy and repair
1026. o Anesthesia for Paediatric Cardiac Surgery.
1027. o TOF
1028. o A ten year old child suffering from TOF is diagnosed to have brain abscess. outline the perioperative management
1029. o A child with TOF is posted for corrective surgery. Discuss the preoperative evaluation and anaesthetic management of this case
1030. o How will you evaluate a three year old child with systolic murmur scheduled for surgery? Briefly discuss the anaesthetic implications?
1031. o What are the causes and manifestations of congenital cyanotic heart disease. Briefly discuss the principles of anesthetic management in a case of TOF.
1032. o PDA
1033. o Classify CHD. Explain with diagrams the blood flow before and after delivery in PDA
1034. o Write anaesthetic management of a 3 year old child scheduled for PDA ligtion
1035. o Discuss the pathophysiology and clinical presentation of a patient with PDA? Describe the perioperative anesthetic management of an infant posted for surgical closure of PDA.
1036. o 86)Paediatric and Neonatal Intensive Care.
1037. o Assessment of pain in children
1038. o Discuss briefly different modes used for neonatal ventilation
1039. o 87)Fetal Anaesthesia.
1040. o Draw a neat labeled diagram of fetal circulation and delineate the difference from adult
1041. o Anaesthetic implications of fetal surgery
1042. o Draw a labeled diagram to illustrate the fetal circulation. What are the circulatory changes that occur at birth?
1043. o Describe fetal circulation. Describe the process of conversion of fetal into adult circulation.
1044. o POSTOPERATIVE AND CRITICAL CARE
1045. o POSTOP SHIVERINGPERIOPERATIVE HYPO THERMIA
1046. o Post-op shivering
1047. o Postoperative hypothermia its causes,prophylaxis and management
1048. o Discuss pathophysiology and management of shivering in PACU
1049. o Post anaesthesia shivering-implications and management
1050. o Breifly describe thermoregulation in human body. Discuss the impact of perioperative hypothermia.
1051. o APACHE score
1052. oxygen therapy in the postoperative period
1053. o Postoperative jaundice
1054. o Post-operative elective ventilation
1055. o Postoperative pulmonary complications
1056. o Causes and management of postoperative hypoxemia
1057. o -what are the factors leading to arterial hypoxemia in the PACU? Discuss the differential diagnosis
1058. o Planning of PACU
1059. o Describe the techniques of chest physiotherapy? What is its role in the post surgical period
1060. o What are the criteria for discharge from PACU?
1061. o What is postoperative jaundice? Describe its cause
1062. o 89)PONV.
1063. o Post anaesthetic vomiting
1064. o PONV for ophthalmology
1065. o Enumerate the risk factors for PONV. Discuss its management
1066. o Enumerate the risk factors for PONV. Discuss measures to prevent and its management
1067. o Describe the risk factors and predictors of PONV. Describe its management in the pre-operative period
1068. o 90)Acute Postoperative Pain.
1069. o PRE EMPTIVE ANALGESIA
1070. o Discuss the various methods of providing postoperative pain relief. What do you understand from the term pre-emptive analgesia
1071. o Pre-emptive analgesia
1072. o Current concepts in pre-emptive analgesia
1073. o Commonly used techniques and drugs for postoperative pain relief
1074. o Pain relief for fracture ribs
1075. o Acute pain management service
1076. outline the various modalities for management of postoperative pain following major abdominal surgery. Enumerate the differences between acute and chronic pain
1077. o 92)Cognitive Dysfunction and Other Longterm Complications of Surgery
1078. o Central anticholinergic syndrome in postoperative period
1079. o Types of post operative cognitive dysfunction(POCD). Enumerate the method to detect POCD in clinical practice
1080. o 93)Postoperative Visual Loss.
1081. o Enumerate causes of postoperative visual loss. Describe the pathophysiology and its management
1082. o -CRITICAL CARE MEDICINE
1083. o POISONING
1084. oP POISONING
1085. o Clinical manifestations and management of acute OP poisoning
1086. o What are the clinical features of organophosphorous poisoning? How will you manage a patient of oragnophosphorous poisoning in ICU?
1087. o What are the signs and symptoms of organophosphorous poisoning? Describe its treatment and late complications.
1088. o CO POISONING/ PARACETAMOL/CYANIDE
1089. o Discuss the pathophysiology and management of a case of carbon monoxide poisoning
1090. o Describe briefly pathophysiology,signs,symptoms,diagnosis and treatment of carbon dioxide poisoning
1091. o Write clinical features,diagnosis and management of a case of paracetamol poisoning
1092. o Methhemoglobinemia and anaesthetist
1093. o Discuss the signs and symptoms,pathophysiology and management of cyanide toxicity
1094. o NOSOCOMIAL INFECTIONS
1095. o What are the common nosocomial infections in the ICU? Discuss the measures for prevention of VAP
1096. o The factors influencing tissue oxygenation
1097. o Discuss the management of a patient with snake bite
1098. o What are the determinants of cardiac output and discuss various non-invasive methods of measurement of cardiac output
1099. o A 65 year old patient,chronic cigarette smoker is admitted to emergency department with acute respiratory distress and altered sensorium. His ABG reveals Pao2 50 mmHg,Paco2 85 mmHg, pH-7. 10. Discuss your plan of management
1100. o What is mixed venous oxygen saturation and its importance in critical care setup? How is it measured
1101. o Critical Care Protocol.
1102. o MECHANICAL VENTILATION:-
1103. o ]WEANING
1104. o Weaning from prolonged ventilation
1105. o Weaning modes of ventilation
1106. o Weaning criteria in a patient of COPD on ventilator
1107. o Enumerate the predictors of weaning from mechanical ventilation(June 2009).
1108. o Enumerate the predictors of weaning a patient on prolonged ventilatory support in the ICU
1109. o ]MODES
1110. o Pressure support ventilation
1111. o Mandatory minute ventilation
1112. o Inverse ratio ventilation
1113. o Pressure Controlled Ventilation
1114. o Write briefly on newer modes of ventilation. Discuss each of theseventilatory modality with reference to an established case of ARDS.
1115. o Newer modes of ventilation
1116. o Non invasive ventilation
1117. o Permissive hypercapnia
1118. o ]COMPLICATION
1119. o Volutrauma
1120. o Long term ventilation and its complication
1121. oxygen toxicity
1122. o Ventilator associated pneumonia-what are the causes and preventive measures possible?
1123. o ]PEEP
1124. o PEEP and its application in anaesthesia
1125. o Describe PEEP,its mechanism of action,uses and complications
1126. o Compare and contrast PEEP and CPAP
1127. o What is PEEP? How does it improve arterial pO2? What are its disadvantages?
1128. o ]IPPV
1129. o Physiological changes associated with
1130. o Applied physiology of IPPV
1131. o ]ANALGESIA /SEDATION/PARALYSIS
1132. o Use of muscle relaxants in ICU
1133. o Enumerate the role of sedation in ICU patients
1134. o The role of sedation in ICU patients
1135. o Enumerate the role of analgesics and sedation in patients on ventilator therapy in ICU
1136. o Describe about current openion on managing pain in ICU. What is the role of sedation in ICU patients
1137. o }BURNS
1138. o Discuss the management of a case of 40% burns
1139. o Discuss the pathophysiology and management of inhalational injury
1140. o Management of an adult with smoke inhalational injury
1141. o Resuscitation of a patient with 60% deep burn injury
1142. o Anaesthesia for burnt patient
1143. o Discuss the principles,assessment and methods of analgesia for pain relief in burns
1144. o Assessment and resuscitation of patient with severe burns
1145. o Describe the initial assessment and resuscitation in a 25 year old female with massive burns evacuated from the site of fire
1146. o ARDS
1147. o Describe the pathogenesis and management of adult respiratory distress syndrome
1148. o Describe the ventilatory management of ARDS
1149. o Recent advances in the management of ALI and ARDS
1150. o Permissive hypercapnia
1151. o What is ARDS? Discuss the ventilator strategies in a patient of ARDS
1152. o What are the diagnostic criteria for ARDS. DESCRIBE THE VENTILATOR strategies for management of ARDS
1153. o Discuss in brief causes, management and outcome of ARDS. What is the end point of r esuscitation in sepsis?
1154. o SHOCK/SEPSIS
1155. o Discuss the pathophysiology,preventive and corrective measures of irreversible shock
1156. o Define MODS. How do you plan to manage such a case?
1157. o Septic shock
1158. o Role of vasopressors in septic shock
1159. o Enumerate the symptoms of shock and discuss the methods used for assessment of systemic perfusion
1160. o Describe various components of surviving sepsis guidelines
1161. o Define and classify shock. Discuss the recent guidelines for the management of septic shock
1162. o How would you assess a case of septic shock due to pancreatitis? Briefly discuss its management
1163. o Describe the criteria for diagnosis of SIRS. Briefly discuss its management.
1164. o Write an algorithm for the management of early haemorrhagic shock. What are the goals in early resuscitation during active bleeding?
1165. o Describe the pathophysiology of traumatic hemorrhagic shock. Eneumerate the goals, advantages and disadvantages of earLy and late resuscitation practice
1166. o Define and classify shock. Discuss the recent guidelines for the management of CARDIOGENIC shock
1167. o Classify haemorrhagic shock. What are the indications for permissive hypotension? Describe fluid management in a patient with haemorrhagic
1168. o What is anaphylaxis? Describe in a stepwise manner management of hypersensitivity reaction in an anesthetized patient.
1169. o }TRACHEOSTOMY
1170. o Tracheostomy -techniques and complications
1171. o Percutaneous dilational tracheostomy-various techniques and their advantages over conventional tracheostomy
1172. o Enumerate the indications of tracheostomy. Describe different techniques of performing percutaneous dilatational trachesotomy
1173. o 96)Respiratory Care.
1174. oxygen therapy
1175. o -Oxygen therapy in postop period
1176. o High Frequency ventilation
1177. o Discuss methods of humidification
1178. o NIV:advantages,disadvantages and methods of administration
1179. o What is oxygen delivery? Classify oxygen delivery systems. Discuss the role of ventimask in oxygen therapy
1180. o Describe the interfaces used with non invasiveventilation(NIV). What is NIV protocol? Describe the current definitive indication of NIV
1181. o Neurocritical Care.
1182. o Resuscitation of head injury patient
1183. o GCS
1184. o Monitoring and control of raised ICP in head injury
1185. o Methods of decreasing increased ICP
1186. o Management of spinal injury
1187. o Regulation of intracranial tension
1188. o -Discuss the management of intracranial hypertension
1189. o Medical management of head injured patient
1190. o What is cerebral protection? Explain the methods adopted in clinical practice for cerebral protection
1191. o Describe the regulation of ICP and methods available for reducing the pressure under anaesthesia
1192. o What are the pathophysiological insults which exacerbate the primary brain injury following head trauma? How can these effects be reduced?
1193. o What are the indications for ICP monitoring in patients with head injury? describe the ICU management strategies of a patient with severe head injury?
1194. o What is awareness during surgery? Describe methods of monitoring awareness. What are the complications associated with awareness during surgery?
1195. o Describe Glasgow coma score. Describe preoperative management of traumatic brain injury.
1196. o 98)Nutrition and Metabolic Control.
1197. o Present day concept of IV alimentation
1198. o Indications and hazards of parenteral nutrition
1199. o Parenteral nutrition in critically ill patient
1200. o A 50 year old man with COPD is on ventilator in ICU. Plan his enteral feeding and discuss its advantages and disadvantages
1201. o Enteric feeding in the critically ill patient
1202. o -Enteral feeding in the critically ill patients-indications,techniques and complications
1203. o What are the goals of nutritional support in critically ill patients? Describe the daily requirements for proteins,lipids,carbohydrates for a patient with advanced sepsis admitted in the ICU
1204. o How will you calculate the energy requirements in an ICU patient? What are the advantages and disadvantages of parenteral versus enteral nutrition?
1205. o How would u prescribe TPN to a 50 kg patient in ICU? Briefly mention the monitoring of this
1206. o What are the complications of nutritional support in ICU. What are the special consideration in a patient with renal dysfunction.
1207. o 99)RRT.
1208. o What are the problems related to chronic hemodialysis
1209. o What are the indications for RRT? List different modes of RRT. Discuss the role of CRRT in septic shock
1210. o Discuss indications and techniques of RRT. Discuss role of CRRT in septic shock
1211. o What are the indications for renal replacement therapy? Describe its role in MODS
1212. o 100)CPR-BLS and ALS.
1213. o NEONATAL RESUSCITATION
1214. o Neonatal resuscitation in the labour room
1215. o What are the recent guidelines for neonatal resuscitation
1216. o What are the new guidelines for ventilation and external cardiac compression for neonatal resuscitation? What are the drugs (with doses) used for neonatal resuscitation?
1217. o Write down the algorithm for resuscitation of a newborn
1218. o Describe the BLS measure in an adult, who has been brought into the emergency room of the hospital; in a state of cardiac arrest
1219. o Resuscitation of term pregnant patient
1220. o Defibrillation
1221. o Recent advances in CPR).
1222. o Discuss the management of an unconscious young patient with history of drowning
1223. o -Discuss resuscitation of near drowning patient as per modified CPR guidelines
1224. o Airway devices recommended and used for CPR
1225. o Enumerate 5 H’s and 5 T’s as possible causes of cardiac arrest. What it the management of PEA in an unconscious patient?
1226. o Write the PEA algorithm as per the AHA guidelines
1227. o Enumerate the changes in the ACC/AHA guidelines on resuscitation (BLS & ACLS) for management of cardiac arrest in adult
1228. o Describe the physiology of circulation during closed chest compressions. Discuss the algorithm for BLS
1229. o Describe the salient fetures of the CPR as per AHA 2010 guidelines.
1230. o Describe the current role of induced hypothermia after cardiac arrest? What are the complications of hypothermia in a patient of polytrauma?
1231. o 101)Brain Death.
1232. o Describe the criteria and neurological test for brainstem death and preparing the patient for organ donation
1233. o Write in brief the criteria for determination of brain death and clinical tests for confirmation
1234. o Criteria for brain death and the role of anaesthetist (anesthetic management) in organ harvesting
1235. o Describe the criteria for brain death. and its clinical significance.
1236. o Describe the management of a deceased donoe in intensive care
1237. o -ANCILLARY RESPONSIBILITIES AND PROBLEMS
1238. oR Management.
1239. oR pollution
1240. o Sterilization of anaesthesia equipment
1241. o Disinfection
1242. o Pollution in anaesthesia
1243. oT safety
1244. o What is scavenging in OT? What are the five basic parts of a scavenging system? What are the hazards of a scavenging system?
1245. o What are the types of scavenging systems used in OTs. Describe the role of volatile anesthetics in environmental pollution.
1246. o 103)Electrical Safetyin the OR
1247. o Prevention of fire and explosion hazards in OT
1248. o 104)Environmental Safety including Chemical Dependancy.
1249. o Discuss the environmental hazards in the OT and discuss the measures for its prevention
1250. o 105)Statistical Methods & LAWS in Anaesthesia.
1251. o What do you understand by randomization and blinding in a clinical study? What is importance of p-value and power of study?
1252. o What is normal distribution? What is the difference between paired and unpaired student, s t-test? How are two proportions compared between independent samples?
1253. o Describe sensitivity and specificity as diagnostic statistical test
1254. o Describe boyle,s law and its application to anesthesia
1255. o BIOMEDICAL WASTE
1256. o Define biomedical waste. Briefly describe the guidelines for the management of biomedical waste.
1257. o SENARIO BASED
1258. o TURP+PACEMAKER
1259. o Discuss the pre-operative evaluation and anaesthetic management of an 80 year old patient with cardiac pacemaker for TURP
1260. outline the anaesthetic management of a 70 year old patient with permanent pacemaker scheduled for TURP
1261. o Discuss the anaesthetic management of a 60 year old patient for resection of carcinoma sigmoid colon with history of MI sustained 10 weeks ago
1262. o Preoperative evaluation and preparation and anaesthesia management of a known case of bronchial asthma posted for radical mastectomy
1263. o A patient of coarctation of aorta is scheduled for CS. Discuss the preoperative preparation, anaesthetic management and post-operative care of the patient
1264. o Anaesthetic management of a patient with suspected posterior fossa tumor with BP 180/90 mmHg, HR-45/min and signs of raised ICT
1265. o A patient for surgery for fracture neck of femur, one year after CABG
1266. o Diabetic patient with autonomic neuropathy for abdominal hysterectomy
1267. o Intraoperative management of 40 years old male with hypertension and IHD for right pyelolithotomy
1268. o Discuss the anaesthetic management of a 20 year old male with achalasia cardia and bronchial asthma for laparoscopic cardiomyotomy
1269. o A 70 year old hypertensive man with CAD is scheduled for TURP. Discuss the anaesthetic management
1270. o Preop evaluation and preparation of 36 years old asthmatic female scheduled for laparoscopic cholecystectomy
1271. o Discuss anaesthetic management of 70 years old hypertensive with CAD scheduled for TURP
1272. o Discuss the preoperative evaluation and anaesthetic management of a 45 year old male with history of MI 3 months back and is scheduled to undergo exploratory laparotomy
1273. o RECENT ADVANCES.
1274. o ANTS (anesthesia non technical skills).
1275. o Levosimendon
1276. o Remifentanyl
1277. o Suggamadex
1278. o Dexmedetomedine
1279. o Desflurane
1280. o Alladincassett vaporizer
1281. o Sepsis guidelines recent (2017).
1282. o Airway guidelines (2015)
1283. o Videolaryngoscopes
1284. o Supraglottic airway devices.
1285. o Newer drug delivery systems (opioids)
1286. o Lung ultrasound (blue protocol0
1287. o Recent advances in post-op pain management (pediatric & adult).
1288. obstructive sleep apnoea (stop bang criteria)
1289. o Blood substitutes
1290. o Recent advances in perioperative fluid management (3rd space concept)
1291. o Newer modes of ventilation (NAVA/HFV/LIQUID/HELIOX).
1292. o PARAVERTEBRAL BLOCK ANATOMY
1293. o Anesthesia for fetal surgeries.
1294. o Recent guidelines for neonatal resuscitation. (2014)
1295. o Recent advances in neuromuscular monitoring.
1296. o Recent advances in labour analgesia.
1297. oocyte retrival in IVF suites.
1298. o Measures of tissue oxygenation.
SOLVED QUESTION BANK ANAESTHESIA DNB MD ANAESTHESIOLOGY www.docguidance.com/anaesthesia
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