DNB QUESTIONS YEAR WISE

JUNE 1994
1].A 60 year old woman with rheumatoid arthritis
is for THR.Discuss the anaesthetic problems and
management.
2].Discuss the various regimes for painless labour.
3].Briefly describe the following:A}.Myocardial preservation.
B}.Preoperative management of DKA.
C}.Caudal epidural anaesthesia in paediatric
patients.
D}.Myasthenia gravis Vs Myasthenia syndrome.
E}.CVS effects of newer anaesthetic ethers.
F}.Pulmonary complication of anaesthesia.
G}.Difficult intubation.
H}.Problems and anaesthetic management in burn
patients.
I}.Advances in CPR.
J}.Regurgitation: causes and problems

4].How would you investigate causes of increased

bleeding during surgery? Give a brief account of
various techniques employed to reduce bleeding.
5].A 70 year old man with chronic emphysema on
antihypertensive therapy has to undergo retro
pubic prostatectomy. What are the possible
complications and how will you manage the
procedure?
6].Briefly describe the following:A}.Various methods of prolonging the effect of
local anaesthetic drugs.
B}.Hazards of smoking relevant to anaesthesia.
C}.Merits and demerits of use of LMA.
D}.Etiology and treatment of hypertension during
surgery.
E}.Neonatal resuscitation in labour room.
F}.Merits and demerits of crystalloids and colloids.
G}.Continuous infusion of drugs in anaesthesia.
I}.CCBs in surgical patients.
J}.PAC clinic.
K}.Vicarious liability for negligence.

DECEMBER 1994
1].Discuss regulation of ICT and methods available
for reducing it under anaesthesia.
2].Discuss pre and post anaesthetic management
of acute abdomen in a patient with uncontrolled
diabetes.
3].Briefly describe the following:A}.Nephrotoxicity of halogenated anaesthesia.
B}.Amniotic fluid embolism.
C}.Operating room pollution.
D}.Regional anaesthesia technique for upper
extremity surgery.
E}.Awareness and wakefulness under anaesthesia.
F}.Modes of ventilation during bronchoscopy
G}.Nosocomial infections in the ICU.
H}.Impact of cancer therapy on anaesthetic
management.
I}.Morbid obesity-its anaesthetic implication.
4].What are the various types of tracheaesophageal fistula? Discuss the anaesthetic

management and postoperative care of neonate

posted for TOF repair.
5].A 14 year old girl with thoracolumbar scoliosis is
posted for posterior spinal fusion of 10 vertebral
segments. Discuss your evaluation, anaesthetic
technique and postoperative care.
6].Briefly describe the following:A}.Blood substitute.
B}.Non invasive cardiovascular monitoring.
C}.Utility of anaesthetic records.
D}.Treatment of acute pulmonary edema.
E}.Commonly used techniques and drugs for
postoperative pain relief.
F}.Day care surgery clinics in India.
G}.Causes of perioperative seizures.
H}.Adrenergic receptor antagonist and their uses.
I}.Capnography.
J}.Role of anesthesiologist in managing shoulder
dystrophy syndrome.
JUNE 1995

1].Discuss the anaesthetic management of a 60

year old for resection of carcinoma sigmoid colon
with history of MI sustained 10 weeks ago.
2].Discuss the pathophysiology and diagnosis of a
case of pheochromocytoma.Give an account of
preparation, monitoring and anaesthetic
management of a 25 years old patient suffering
from pheochromocytoma.
3].Briefly describe the following:A}.Cardiac output management with thermo
dilution technique.
B}.Complications of epidural anaesthesia.
C}.Pipecuronium.
D}.Pain relief for fracture ribs.
E}.OLV.
F}.Clinical manifestations and management of
anaphylactic reaction in anaesthesia practice.
G}.IVRA.
H}.Preop evaluation and preparation and
anaesthesia management of a known case of BA
posted for radical mastectomy.

I}.Anaesthetic management of a child with

retropharyngeal abscess presenting for surgical
drainage.
J}.Transmission and precaution against HIV in
hospital setting.
4].Discuss cardio-pulmonary brain resuscitation.
What are the diagnostic criteria for brain death?
5].Discuss the anaesthetic problems, preoperative
preparation and anaesthetic management of a
case posted for correction of kyphoscoliosis.
6].Briefly describe the following:A}.Hypoxic pulmonary vasoconstriction.
B}.Minimum monitoring standards in anaesthesia.
C}.Weaning from prolonged ventilation.
D}.DIC.
E}.Occulocardiac reflex.
F}.Postoperative hypothermia-its causes,
prophylaxis and management.
G}.Co2 carriage in blood and effects of
hypercapnia.
H}.Venturi principle and its clinical implication.

I}.Assessment, management of difficult intubation.

J}.Effect of anaesthesia and surgery on
immunological mechanism.
DEC 1995
1].Define pre-eclampsia and eclampsia.Discuss the
pathophysiology.Formulate with reasons the
anaesthetic technique for such a patient posted for
CS.
2].Write short note on:A}.Limitations of pulse oximeter.
B}.Blood transfusion and related disease
transmission.
C}.Resuscitation of a head injury patient.
D}.Nitric oxide.
E}. Problems of micro laryngeal surgery.
3].Describe the anaesthetic assessment and
management of a 70 year old patient posted for
TURP.What are the possible complications and how
will you treat them?
4].Briefly describe the following:A}.Innervation of foot and technique of performing
ankle block.

B}.Perioperative fluid requirement for a paediatric

patient undergoing elective surgery.
C}.Protocol for weaning a patient from prolonged
ventilator support in an ICU.
D}.Modified bipolar standard limb lead system and
its usefulness for intraoperative monitoring.
E}.clinical manifestations and management of
acute OP poisoning.
5].Discuss the various methods of providing
postoperative pain relief. What do you understand
from the term pre-emptive analgesia?
6].Briefly describe the following:A}.Intraoperative bronchospasm.
B}.Pressure support ventilation.
C}.Methods of monitoring NMJ function.
D}.Storage lesions in blood.
E}.Causes and prevention of awareness under
anaesthesia.
F}.Hypersensitivity reaction in anaesthesia
practice.
G}.Mandatory minute ventilation.

H}.Blood loss monitors.

I}.Prevention and treatment of ventricular
arrhythmias during GA.
J}.Regulation of kidney in acid base balance.
K}.Interaction of depolarizing with NDMRs.
L}.Types of plenum vaporizers.
M}.Stellate ganglion block-indication and
complication.
N}.Merits and demerits of halothane and
isouflurane.
JUNE 1996
1].Describe the anaesthetic management and
postoperative care in a patient with uncontrolled
hypertension (BP-180/120) for emergency
laparotomy for perforated duodenal ulcer.
2].Write short notes on:A}.Double lumen endotracheal tubes
B}.Anaesthetic management of a 2 days old
neonate for primary repair of tracheoesophageal
fistula.
C}.Air embolism during anaesthesia.

D}.Complications and sequelae of blood

transfusion.
E}.Problems during anaesthesia for laser surgery.
3].Describe preoperative evaluation and
preparation of a patient with
thyrotoxicosis.Describe the anaesthetic care and
postoperative management of this patient.
4].Write short notes on:A}.GCS.
B}.Newer modes of ventilation.
C}.Diagnosis and management of HELLP
syndrome.
D}.Role of capnography during anaesthesia.
E}.Preoperative preparation and evaluation of a
patient with history of exertional angina for surgery
under general anaesthesia.
5].Discuss the pathogenesis, clinical features and
management of Mendelsons syndrome.
6].Write short notes on:A}.Autologous blood transfusion
B}.Etiology and management of hypotension
during anaesthesia.

C}.Beta receptor blockade-its relation in

anaesthesia.
D}.Draw a neat labeled diagram of fetal circulation
and delineate the difference from adult.
E}.Occupational hazards for anesthesiologist.
7].What are the various routes of administration of
morphine? Discuss the pharmacokinetics and
pharmacodynamics of epidural morphine.
8].Write short notes on:A}.Nephrotoxicity of halogenated anaesthetics.
B}.Coronary circulation.
C}.Propofol
D} Merits and demerits of laryngeal mask.
E}.Interactions of pre-existing drug therapy with
anaesthetic agents and techniques.
DECEMBER 1996
1].Discuss the anaesthetic techniques and
postoperative problems in an obese patients for
repair of large hernia in anterior abdominal wall.
2].Write short notes on:-

A} Complications of cannulation on internal jugular

vein.
B} Cardiac arrhythmias during anaesthesia.
C} TIVA
D} Minimum Alveolar Concentration.
E} Hoffman degradation.
3].Describe anaesthetic and postoperative
management of a patient undergoing intra-cranial
aneurysm surgery.
4].Write short notes on:A} Continuous Subarachnoid block
B} PCA
C} Anaesthesia for perforating injury of eye in a 3
year old child.
D} Describe airway management of a patient of
ankylosing spondylitis with severe restriction of
neck movement posted for THR.
E} Anaesthesia for multiple dental extractions in a
child with TOF.
5]. Enumerate various positions in relation to
anaesthesia and discuss in detail the problems
associated with them.

6].Write short notes on:A} TPN

B} Pipecuronium
C} CVP:-its application in anaesthesia
D} Post anaestehsia vomiting
E} Inverse ratio ventilation
7].Describe the problems, complications and
anaesthetic management of CS in a patient with
Pre Eclampsic Toxemia.
8].Write short notes on:A} Trigeminal neuralgia:-clinical features and
management.
B} Heat loss during abdominal surgery in a
newborn child.
C} Epidural analgesia for postoperative pain relief.
D} Water and electrolyte disturbances and their
pre-anaesthetic correction in small gut obstruction.
E} Enzyme induction:-describe the mechanism with
routine anaesthesia examples.
JUNE 1997

1] A young man is suffering from

pheochromocytoma.Discuss the preoperative
preparation, and anaesthetic management for the
removal of tumor.
2]. Write short notes on:A} Hazards of smoking relevant to the
anesthetists.
B} Weaning modes of ventilation.
C} Management of reflex sympathetic dystrophy.
D} Complications of blood transfusion.
E} Hepato renal syndrome in anaesthetic practice:
- etiology and management.
3].A female patient aged 34 years with 5 months
amenorrhea suffered from Kochs mid dorsal spine
developed paraplegia. Discuss the pre-operative
preparation and anaesthetic management and
postoperative care.
4].Write short notes on:A} Discuss the management of a case of 40%
burns.
B} Anaesthesia for laser surgery of the larynx.
C} IVRA.

D} Problems and management of One Lung

Anaesthesia.
E} Management of intra operative bronchospasm.
5].Describe the pathogenesis and management of
ARDS.
6].Write short notes on:A} Monitored anaesthesia care.
B} Simulator in anaesthesia education.
C} Monitoring and control of raised ICP in head
injury.
D} WHO regimen for chronic pain management.
E} Pre-operative management of a neonate for
meningomyelocoele surgery.
7].Describe the BLS measures in an adult who has
been brought into emergency room of the hospital
in a state of cardiac arrest.
8].Write short notes on:A} Closing volume of the lungs and its
measurements.
B} Mechanism of action of LA agents.

C} Manifestations and treatment of beta

adrenergic agonist toxicity.
D} Post-operative analgesia in an infant for
circumcision.
E} Sevoflurane.
DECEMBER 1997
1].Discuss the pre-operative investigations and
anaesthetic management of an emergency
operation in a 60 year old who had MI 6 weeks
back.
2].Write short notes on:A} Problems of laparoscopic surgery and
monitoring techniques used during the procedure.
B} SSEP.
C} Anaesthesia for squint surgery.
D} Midazolam.
E} Positional hazards during anaesthesia.
3].Discuss the pathophysiological changes in preeclampsia and eclampsia.Discuss your choice of
anaesthetic technique for such a patient posted for
CS.
4] .Write short notes on:-

A} Pathophysiology of VAE; mention the methods

of detection, prevention and treatment.
B} Obesity: anaesthetic problems
C} Iatrogenic complication is anaesthesia.
D} Anaesthesia for radiotherapy.
E} Recent trends in blood transfusion and blood
products.
5].Discuss the current concepts in the
management of COPAD in respiratory failure.
6].Write short notes on:A} Regional analgesia in children.
B} Computer based patient record for anaesthesia.
C} APACHE score
D} Discharge criteria in outpatient anaesthesia.
E} Advance life support.
7].Describe the pathophysiology of ARDS.What are
the diagnostic criteria?
8].Write short notes on:A} Myocardial protection during CPB.
B} Oxygen therapy.

C} Untoward effects of IV sodium bicarbonate.

D} Hepatotoxicity of halothane.
E} The WHO three step ladder pattern for pain
relief in advanced cancer.
JUNE 1998
1].What is myasthenia gravis? What are its clinical
features? Discuss the preoperative investigations,
preparation and anaesthetic management of such
a case presenting for an interval appendicectomy
and management of likely complications.
2].Write short notes on:A} multifocal ventricular ectopics during
anaesthesia.
B} Criteria for recovery from anaesthesia in DCS.
C} Minimum patient monitoring during
anaesthesia.
D} Long term ventilation and its complications.
E} IV alimentation in ICU.
3].Discuss the pathophysiology, prevention and
corrective measures of irreversible shock.
4]. Write short notes on:-

A} Volutrauma.
B} DIC.
C} Pulmonary artery catheter.
D} Monitored care.
E} Remifentanyl.
5].A 45 year old man suffering from DM and mild
hypertension is admitted with upper intestinal
obstruction for emergency laparotomy.Discuss the
pre-operative investigations, preparation and
anaesthetic management of such a case.
6].Write short notes on:A} SSEP.
B} Autologous Blood transfusion.
C} Narcotic antagonists.
D} Sterilization of anaesthesia equipment.
E} Patient controlled anaesthesia.
December 1998
1].A 10 year old child suffering from TOF is
diagnosed to have brain abscess. Outline the
perioperative management.
2].Write short notes on:-

A} Pressure controlled ventilation.

B} Anaesthetic problems in an anemic patient.
C} Functional residual capacity.
D} PCA.
E} Rocuronium.
3].Discuss the various methods of postoperative
pain relief in pediatric surgery.
4].Write short notes on:A] Coaxial circuits.
B} Awareness during anaesthesia.
C} Hypokalemia.
D} Anaesthesia for total laryngectomy.
E} Blood component therapy.
5].What is pheochromocytoma? What are its
clinical features? Discuss its preoperative
investigations, preparation and anaesthetic
management of such a case for surgical removal.
6].Write short notes on:A} Malignant hyperthermia.
B} Management of DKA.

C} IVRA.
D} Care of OP poisoning in ICU.
E} Embolisms during anaesthesia.
7].Discuss the pathophysiology and management
of inhalation injury.
8].Write short notes on:A} Calcium channel blockers and anaesthesia.
B} Nitric oxide for management of pulmonary
hypertension.
C} Peribulbar block.
D} Epidural pressure and the various factors
affecting the same.
E} Hypotension during anaesthesia.
JUNE 1999
1].Describe the nerve innervations of the foot with
diagram and discuss the local anaesthetic block at
the ankle for the amputation of gangrenous toe in
a patient.
2].Write short notes on:1} Pulmonary function changes following central
neuraxial blockade.

2} Hepatorenal shut down-etiology and prevention.

3} Use of muscle relaxants in ICU.
4} The factors influencing tissue oxygenation.
5} Plasma volume expansion.
3].Discuss your anaesthetic management of
strangulated inguinal hernia in a patient with
recent myocardial infarction.
4].Write short notes on:Anaesthesia for day care surgery.
B} Venturi principle and its use in anaesthesia.
C} CVP.
D} Water intoxication.
E} PDPH.
5].Discuss the current concepts and modifies
guidelines of cardiopulmonary brain resuscitation.
6].Write short notes on:A} TPN.
B} Current concepts in the diagnosis and treatment
of malignant hyperthermia.
C} Awareness and wakefulness under anaesthesia.

D} OR pollution.
E} Autologous blood transfusion.
7].Write down the physiology of sleep. How does it
differ from anaesthesia? What changes occur in the
various stages of anaesthesia?
8].Write short notes on:A} Compare propofol with midazolam.
B} Tracheo bronchial tree with diagram.
C} Evolution of rotameter.
D} Complications of local anesthetics.
E} PEEP and its application in modern ventilators.
DECEMBER 1999
1].Describe the preoperative investigations,
preparation and anaesthetic management of a 50
year old diabetic patient presenting for an
exploratory laparotomy for a lump in abdomen.
2].Write short notes on:A} Preanalytical consideration of ABG
measurement.
B} Factors influencing tissue oxygenation.
C} Plasma volume expansion.

D} Role of nitric oxide in ICU.

E} Postoperative analgesia in paediatric patients.
3].A patient of Coarctation of aorta is scheduled for
caesarean section. Discuss the preoperative
preparation, anaesthetic management and
postoperative care of the patient.
4]. Write short notes on:A} Crystalloid and colloid.
B} Safe anaesthetic procedure.
C} Pre-operative visits.
D} Oxygen therapy.
E} Bronchospasm during anaesthesia and
immediate post-operative period and its
management.
5].Discuss anatomy of the diaphragm with a
diagram. How does it behave under different
stages of anaesthesia?
6].Write short notes on:A} Spinal opiate receptors.
B} Neuro- muscular transmission.
C} Propofol as compared to thiopentone.

D} Physiological changes associated with IPPV.

E} Elimination of atracurium from the body.
7].Discuss the assessment, preparation and
problems of anaesthesia in a chronic smoker for
cholecystectomy.
8].Write briefly on:A} Aspiration prophylaxis in obstetric.
B} Problems and role of anesthetist in dental
anaesthesia.
C} Plasma proteins and anaesthesia.
D} Etiopathology and management of thyroid
crisis.
E} Anaesthetic management of laser surgery on
tracheobronchial tract.

JUNE 2000
1].Write briefly on newer modes of ventilation.
Discuss each of these ventilator modality with
reference to an established case of ARDS.
2].Write short notes on:A} Role of magnesium in anaesthesia practice.

B} Present trend of blood component therapy.

C} Prevention and treatment of intraoperative MI.
D} TIVA.
E} Nitric oxide in clinical practice.
3].A 25 year old primigravida in 34 weeks of
pregnancy with PIH presented with a BP of 200/110
mm Hg for an elective LSCS.Discuss the problems
involved and the anaesthetic management.
4].Write short notes on:A} Autologous blood transfusion.
B} Anaesthesia for drainage of empyema thoracis.
C} Day care anaesthesia.
D} Management of LA toxicity.
E} Hypokalemia.
5].Define morbid obesity. Enumerate the changes
that occur in the respiratory, cardiovascular and
metabolic systems in obesity. A 40 year old patient
with height 158cms and weighing 150 kgs is
scheduled for pyelolithotomy.How will you evaluate
this patient preoperatively? Discuss the problems
involved and the anaesthetic management.
6].Write short notes on:-

A} Monitored anaesthesia care in a 75 year old

man with IHD for cataract surgery.
B} Preoperative preparation and surgical risk
assessment in a patient with cirrhosis of liver.
C} Weaning criteria in a patient of COPD on
ventilator.
D} Methods of decreasing increased increased ICP.
7].Describe the arterial circulation of the heart with
the aid of a diagram mentioning the unique
features of coronary blood flow. Explain the
Goldmans Cardiac risk index and its importance to
the anesthetist.
8].Write short notes on:A} Brain death.
B} Capnography.
C} Checkout procedure to be followed routinely
before using anaesthesia and other monitoring
equipment.
D} Role of corticosteroids in the practice of
anesthesiology.
E} Sevoflurane Vs Desflurane.
DECEMBER 2000

1].How do you plan for anaesthesia in renal

transplant surgery? Draw plan for an OT exclusively
for renal transplant surgery.
2].Write short notes on:A} Peripheral nerve injury under anaesthesia is a
preventable complication.
B} Pharmacology of fentanyl congenial.
C} Application of venture principle in anaesthesia
practice.
D} Present day concept of IV alimentation.
3].A 35 year old lady with huge thyroid presenting
with thyrotoxicosis is posted for subtotal
thyroidectomy.Discuss the preoperative evaluation,
preparation and anaesthetic management.
4]. Write short notes on:A} TURP syndrome.
B} Attenuation of laryngoscopic reaction to
intubation.
C} Magnesium sulphate therapy.
D} Paediatric circuit.
E} Relevance of PFTs.

5]. Define hypertension. How will you evaluate and

prepare a 40 year old female patient scheduled for
abdominal hysterectomy. Discuss the anaesthetic
and postoperative management of such a case.
6].Write short notes on:A} Hepatitis-B and the anesthesiologist.
B} Management of Mendelsons syndrome.
C} Perioperative blood conservation.
D} Resuscitation of a patient with 60% deep burn
injury.
E} Management of a 4 year old child scheduled for
CT scanning brain using an iodine containing
solution.
7].Discuss the pathophysiology of ARDS.Describe
the clinical trends in the management of ARDS.
8].Write short notes on:A} Specific problems and their prevention during
anaesthesia in a patient with artificial pacemaker.
B} Informed consent.
C} Vocal cord palsies with the aid diagrams of
direct laryngoscopic view.
D} Pulse oximetry.

E} Awareness during anaesthesia.

JUNE 2001
1].Define multiple organ dysfunction syndromes.
How do you plan to manage such a case?
2].Write short notes on:Anaesthesia for day stays surgery.
B} Maplesons breathing systems.
C} Remifentanyl in clinical practice.
D} Management of one day old neonate posted for
correction of gastrochisis.
E} Control of nosocomial infections in
postoperative and ICU.
3].Discuss in detail the anaesthetic management
of patients with reactive airway disease.
4].Write short notes on:A} TIVA.
B} Occupational hazards to the anesthetist.
C} Occulocardiac failure.
D} Anaesthetic problems in dental chair.
E} Rocuronium.

5].Discuss the preoperative evaluation,

preparation and anaesthetic management and
postoperative complications in a 20 year old
female with myasthenia gravis posted for
thymectomy.
6].Write short notes on:A} Modern trends in obstetrical analgesia.
B} Invasive intra-op monitoring.
C} Management of spinal injury.
D} Post-traumatic fat embolism.
E} Anesthesia for intraocular surgery.
7].Discuss the pathophysiology and management
of anaphylactoid reactions in anaesthesia.
8].Write short notes on:A} Postoperative jaundice.
B} Weaning modes of ventilation.
C} Regulation of ICP.
D} TEE.
E} Ageing and organ function.
DECEMBER 2001

1].Discuss the problems, preoperative evaluation,

preparation and anaesthetic management of a
neonate posted for repair of anaesthesia.
2].Write short notes on:A} Acute lung injury.
B} Recent advances in intra-operative pediatric
fluid management.
C} Infections related to anaesthesia practice.
D} Assessment of risk factors for patient with
moderate to severe liver disease.
E} PONV for ophthalmology.
3].Describe the physiologic changes occurring
during pregnancy and clinical implications to the
anesthetist.
4].Write short notes on:A} Role of anesthetist in multiple traumas.
B} WHO three step ladder pattern for pain relief in
advanced cancer.
C} Venturi principle and its application.
D} Plasma expanders.

E} Indications and contraindications of regional

anaesthesia.
5]. Discuss the preoperative evaluation,
preparation and anaesthetic management of a 16
year old male kept for pheochromocytoma
excision. How will you manage post anaesthetic
complications?
6].Write short notes on:A} Anaesthetic management of a case with COAD.
B} Principles of TPN.
C} Anaesthesia for burn patients.
D} Anaesthetic management of an 80 year old
male kept for TURP.
E} Neonatal resuscitation.
7].What is the various routes of administration of
opoids? Discuss the merits and demerits of each.
8]. Write short notes on:A} Regulation of cerebral blood flow.
B} Pre-hospital trauma care.
C} Assessment of pain in children.
D} Capnography.

E} Three in one block.

JUNE 2002
1].An 80 year old man is posted for THR.Discuss
the preoperative evaluation, preparation and
anaesthetic management of this case.
2].Writes short notes on:A} Preoperative evaluation of a case chronic renal
failure posted for renal transplant.
B} Evaluation of difficult airway.
C} Role of anesthetist in management of a case
with Thrombo Angitis Obliterans.
D} merits and demerits of retro bulbar versus
peribulbar block.
E} Air embolism under anaesthesia.
3].Discuss the regulation of body temperature
.How will you prevent hypothermia in a neonate
posted for major abdominal surgery.
4].Write short notes on:A} Factors affecting coronary circulation.
B} Aetiopathology of ARDS.
C} Blood component therapy.

D} Role of regional analgesia in pediatric surgery.

E} Preoperative evaluation of autonomic function.
5].A child with TOF is posted for corrective surgery.
Discuss the preoperative evaluation and
anaesthetic management of this case.
6].Write short notes on:A} Anaesthetic management of a case with post
tonsillectomy bleeding.
B} GCS.
C} Prevention of fire and explosion hazards in
operation theatres.
D} Anaesthetic problems in laser surgery.
E} Myxoedematous coma.
7].Discuss in detail the etiology, pathophysiology,
diagnosis and treatment of fat embolism
syndrome.
8].Write short notes on:A} Pre-emptive analgesia.
B} Co axial circuits.
C} the Golden hour.
D} Jugular venous oximetry.

E} Ropivacaine.
9] An 80 years old male is posted for THR.Discuss
the pre-operative evaluation, preparation and
anaesthetic management of this case.
10] Write short notes on:A} Pre-operative evaluation of a case with chronic
renal failure posted for renal transplant.
B} Evaluation of difficult airway.
C} Role of anesthetist in the management of a
case with thromboangitis obliterans.
D} Merits and demerits of retro bulbar versus
peribulbar block.
E} Air embolism under anaesthesia.
11]. Discuss the regulation of body temperature.
How will you prevent hypothermia in a neonate
posted for major abdominal surgery?
12]. Write short notes on:A} Factors affecting coronary circulation.
B} Aetiopathology of acute respiratory distress
syndrome.
C} Blood component therapy.

D} Role of regional analgesia in pediatric surgery.

E} Pre-operative evaluation of autonomic function.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~
DECEMBER 2002
1].Describe the anatomy of larynx with difference
in adult and children. What is importance of
recurrent laryngeal nerve in anaesthesia practice?
2].Write short notes on:A} Hydrocephalus and its various methods of
management.
B} Pulmonary edema in intra0operative and
immediate post-operative period.
C} Anatomy of brachial plexus and its importance
to the anesthetists.
D} Thyroid crisis.
E} Broncho-pleural fistula.
3].How is the diagnosis of dilutional hyponatremia
made? What is its significance in anaesthesia?
4].Write short notes on:A} Clinical use of blood.

B} MRI and anaesthesia.

C} Post-tonsillectomy bleeding.
D} Pacemakers.
E} Disinfection.
5].Discuss the pharmacological principles of
measuring the depth of anaesthesia and
techniques for monitoring the depth of
anaesthesia.
6].Write short notes on:A} Comparative evaluation of Ringer lactate, low
molecular dextran and 3-5% polygelatine as spinal
preloading.
B} Anaesthesia for day stay surgery.
C} Effect of intrathecal neostigmine on spinal
anaesthesia.
D} Indications and methods of stellate ganglion
block.
E} Adenosine and its clinical uses.
7].What is malignant hyperthermia? Discuss its
clinical features and laboratory finding. Why it is
important for the anesthetist to know about this
syndrome?

8]. Write short notes on:A} CPR in pregnant women.

B} what is meant by end tidal co2 concentration?
C} Treatment of hyperkalemia.
D} Combined spinal epidural block.
E} Principles of management of DKA.
JUNE 2003
1].Anatomy and physiology of trachea-esophageal
fistula. Anaesthetic management of the disease.
2].Write short notes on:A} Hydropneumothorax.
B} Caudal block.
C} Venturi principle and its application in
anaesthesia.
D} Anaesthetic management of myasthenia gravis.
E}Horners syndrome.
3].Anaesthetic management of a 10 year old child
with multiple injuries.
4].Write short notes on:A} Predictive assessment of difficult airway.

B} Medical diseases in obstetrics.

C} Central anticholinergic syndrome in
postoperative patient.
D} Transdermal opoids.
E} HIV and anaesthesia.
5]. Describe principles, assessment and treatment
for pain in a burn patient.
6].Write short notes on:A} Patient controlled analgesia.
B} Stress and the anesthesiologists.
C} Effects of atenolol pretreatment in CVS, NMJ and
IOP.
D} Identification of anaphylaxis under GA and its
management.
E} Modified continued spinal epidural analgesia.
7].Obesity-problems in such a patient, anaesthetic
management and anaesthetic drugs of choice.
8].Write short notes on:A} Post thyroidectomy respiratory obstruction,
causes and management.
B} Systemic toxicity of LA and management.

C} Massive blood transfusion.

D} Minimal monitoring in post spinal fusion for
scoliosis.
E} Criteria of selection for ambulatory surgery.
DECEMBER 2003
1] Discuss the etiology and management of various
cardiac arrhythmias occurring during anaesthesia.
2] Write short notes on:A} Respiratory monitoring in anaesthesia.
B} Pollution in anaesthesia.
C} Venous air embolism.
D} IVRA.
E} Difficult intubation.
3] A 35 weeks pregnant patient with BP 200/100
mm Hg, edema, and albuminuria is to be prepared
for elective caesarean section. Discuss preparation
and preferred anaesthesia technique (regional or
general)
4] Write short notes on:A} Tracheostomy techniques and complications.
B} High frequency ventilation.

C} Isoflurane versus Sevoflurane.

D} Crystalloids versus colloids.
E} Central venous cannulation.
5] Discuss the preoperative assessment and the
method of anaesthesia in patient with TM Ankylosis
for the release of ankylosis.
6] Write short notes on:A} Weaning modes of ventilation.
B} Anaphylactoid reaction during anaesthesia.
C} Management of mismatched blood transfusion.
D} Discharge criteria for day care surgery.
E} Occupational hazards to anesthetist.
7] Describe the countercurrent mechanism in the
kidney. Discuss the renal protection strategies
during preoperative period.
8] Write short notes on:A} Human albumin.
B} Intracranial pressure.
C} TIVA.
D} Defibrillation.

E} Malignant hyperthermia.

JUNE 2004
1] A 40 year old male has pulse 45/min and BP of
190/110 mmHg diagnosed cases of tumor mass in
the posterior fossa.How will you prepare and
manage the case for removal of tumor?
2] Write short notes on:A} Myocardial preservation.
B} Thyroid storm
C} Brain death
D} Septic shock
E} GBS
3] A 4 year old has come in emergency with foreign
body in right bronchus. How will you manage for
broncshoscopy for such a patient?
4] Write short notes on:A} Post op shivering
B} Surgical uses of mannitol
C} Auto transfusion

D} Characteristics of ideal vaporizer

E} Anaesthetic problems in MRI suite.
4] What is pathophysiology of CAD? How will you
manage a 30 year old with history of angina?
5] Write short notes on:A} Carcinoid tumor
B} malignant hyperthermia
C} DKA
D} Acute pain management in opoid tolerant
patient
E} AIDS
6] A 40 year old male patient with diagnosed case
of carcinoma lung right bronchi has come for
pneumonectomy? How will you prepare and
manage the case?
7] write short notes on:A} PSV
B} Ethics and anaesthesia
C} Evaluation of cardiac patient for non cardiac
surgery
D} Oxygen toxicity

E} Pharmacokinetics of thiopentone sodium

DECEMBER 2004
1. Preoperative assessment of autonomic
functions.
2. Venturi principle and its application.
3. Role of kidney in acid base balance.
4. Complications of cannulation of IJV.
5. Autologous blood transfusion.
6. Temperature regulation in neonate and
prevention of hypothermia in neonate during
perioperative period.
7. Oxygen toxicity.
8. Illustrate with diagram fetal circulation and
delineate the differences from adult circulation.
9. Methods of monitoring neuromuscular
transmission during anaesthesia.
10. Role of magnesium in anaesthesia and ICU.
11. Discuss briefly:A} Pre anaesthetic evaluation and preparation of
patient for pheochromocytoma.

B} Anaesthetic management of an adult patient

with permanent pacemaker posted for TURP.
12. Discuss briefly:A} Anaesthetic problems in laser surgery.
B} Indications and hazards of parenteral nutrition.
C} One lung anaesthesia-problems and
management.
D} Pre-emptive analgesia.
13. Write short notes on:A} Hepatitis B and anesthesiologist.
B} Discharge criteria for Day care surgery.
C} Management of an adult with smoke
inhalational injury.
D} Pre-operative management of DKA.
14. Monitored anaesthesia care in 80 year old man
with IHD for cataract surgery.
15. Myxedmatous coma.
16. Supine hypotension syndrome.
17. Intra operative bronchospasm.

18. Discuss the anaesthetic problems in patients

undergoing lieno renal shunt,
19. Morbid obesity-anaesthetic problems.
20. PCA.
21. Anaesthetic problems of repair of CDH in a
neonate.
22. Clinical use of alpha 2 agonists in anaesthesia.
23. Enzyme induction its role in anaesthesia with
examples.
24. Recent advances in the management of ALI.
25. Newer odes of ventilation.
26. Possible causes of delayed recovery from GA.
27. Current concepts in CPR.
28. Assessment of an adult patient who sustained
multiple trauma of few hours duration.
29. Caudal epidural analgesia in anaesthesi
practice.
30. Etiology and management of cardiac
arrhythmias during Anaesthesia.
31. VAP-causes and prevention.
32. Role of vasopressors in septic shock.

33. HELLP syndrome.

JUNE 2005
1. Oxygen cascade, oxygen transport and oxygen
dissociation curve.
2. Methods of central venous cannulation; uses,
limitations and complications of CVP monitoring.
3. Anatomy of larynx. Enumerate with diagrams
the types of vocal cord palsies.
4. Blood component therapy.
5. Temperature regulation in adults. Predisposing
factors, diagnosis and management of malignant
hyperpyrexia.
6. Methods of ICP monitoring. Uses and
complications of ICP monitoring.
7. Plasma volume expanders.
8. Classify CHD; explain with diagram the blood
flow before and after delivery in PDA.
9. Causes, diagnosis and management of hypo and
hyperkalemia.
10. Describe PEEP, its mechanism of action, uses
and complications.

11. Preoperative considerations in pediatric

patients.
12. Preoperative preparations of case of
myasthenia gravis scheduled for thymectomy.
13. Anesthetic management of emergency
appendicectomy in a 16 weeks pregnanant patient.
14. Anaesthetic management of a case of essential
hypertension for upper abdominal surgery.
15. Anaesthetic problems of liver transplantation
surgery.
16. Anaesthetic considerations in obesity.
17. Medical management of head injury patient.
18. AIDS and the anesthetist.
19. Airway assessment.
20. Problems of anaesthesia in dental chair.
21. What are the potential causes of delayed
resumption of spontaneous ventilation after
abdominal surgery with general anaesthesia?
Discuss the problems, its diagnosis and
management.

22. List and brief statement and effectiveness of

each of the means available for detecting
awareness under anaesthesia.
23. Describe the criteria and neurological test for
brainstem and preparing the patient for organ
donation.
24. Clinical features of infective endocarditis,
principle guidelines to use antibiotics as
prophylaxis agent during surgery.
25. What are the indications and contraindications
for use of arterial tourniquet? What complications
may arise from the use of such tourniquet?
26. Preoperative assessment, preparation specific
to Thoraco Abdominal Aortic
esophagectomy.Describe the anaesthetic problem
during operation.
27. List the bedside tests available to predict the
difficult intubations. Comment on their uses.
28.10 months old baby for hernia repair. Discuss
the anaesthetic and postoperative pain
management.
29. Problems and management of pregnant patient
with DCM on treatment for emergency LSCS.

30. Discuss in brief the problems of adult patient

with Downs syndrome for multiple teeth
extraction.
31. Name the adrenergic agonists and antagonists.
Describe in detail their uses in anaesthesia
practice.
32. What is cerebral protection? Explain the
methods adopted in clinical practice for cerebral
protection.
33. The role of sedation in ICU patients.
34. Problems encountered by anesthetists during
the orthopedic operative procedures.
35. What are the ways by which you can measure
the depth of anaesthesia during the intraoperative
period?
36. Discuss the physiology of hemostasis and its
significance.
37. Anaesthetic implications in neonatal
anaesthesia.
38. Physical principles of pulse oximetry.
39. Stress and anesthesiologists.

40. What are the methods adopted by the

anesthetists to reduce the need for allogenic blood
transfusions.
DECEMBER 2005
1. Pre-anaesthetic evaluation of a patient of Mitral
Stenosis for MTP and sterilization.
2. Preoperative preparation of a diabetic patient
with history of bleeding varices, lino renal shunt
operation.
3. Management of a patient who is not maintaining
02 saturation after an elective abdominal surgery.
4. Role of anesthetist in obstetric unit.
5. Third space loss-its importance to anesthetist.
6. Anaphylactic reaction on the operation table.
7. Anaesthetic consideration of a neonate for repair
of cervical meningo-myelocoele.
8. Anaesthetic consideration of a patient on
pacemaker for TURP.
9. Anaesthetic consideration of a patient for
surgery for fracture neck of femur, one year after
CABG.

10. Anaesthetic consideration of a patient with BPF

for repair.
11. Pre-anaesthetic evaluation of a thyrotoxic
patient for thyroidectomy.
12. Pre-anaesthetic evaluation of a patient with
valvular heart disease.
13. Anaesthetic management of a case of DM
scheduled for open cholecystectomy.
14. Intraoperative anaesthetic consideration in
COPD patient fro upper abdominal surgery.
15. Anesthetic consideration in chronic liver failure.
16. Recent advances in CPR.
17. Postoperataive elective ventilation.
18. RA vs. GA in obstetric surgery.
19. Perioperative fluid requirements in small
pediatric patients.
20. How USG useful in anesthesiology and
intensive care medicine and explain usefulness of
TEE during surgery.
21. Discuss the ventilator management of ARDS.
22. Discuss the peri-operative management of
cerebral AVM.

23. Risk factors for VTE and classify current

methods of prevention with examples.
24. Anaesthetic management of 2 year old child for
therapeutic bronchoscopy following inhalation of
foreign body 2 days ago, child could not exhibit any
sign of airway obstruction.
25. A patient who has undergone Heart transplant
requires non-cardiac surgery. What precautions
must be undertaken by an anaesthetic for surgery?
26. What are the therapeutic doses of Magnesium?
How does it work?
27. What are the problems in monitoring an
anaesthetized patient in MRI?
28. What are the diagnostic features that would
lead to identify Malignant Hyperthermia during or
immediately after anaesthesia and the state the
guidelines of management?
29. What are the problems associated with
anaesthesia for elective surgery in a patient of
chronic renal failure?
30. Applied physiology of IPPV.
31. Pre-emptive analgesia.

32. Anaesthesia for pregnant woman for nonobstetric surgery.

33. Assessment of intraoperative awareness.
34. Anaesthetic role in pain and palliative care.
35. Enumerate the problems with muscle relaxants.
36. Operation theatre safety.
37. Define perioperative hypertension. Describe
the causes and management.
38. Describe in detail the occupational hazards to
anesthesiologist.
39. What is minimum monitoring standard?
Describe the objectives and methods.
JUNE 2006
1. Acute pain management service.
2. Anaesthesia for Electro Convulsive Therapy.
3. Anaesthetic management of Post Tonsillectomy
Bleed.
4. Resuscitation of 60% burns in an adult patient.
5. Anaesthetic considerations for MRI.
6. Post operative Pulmonary Complications.

7. Modified guidelines of CPR-2005.

8. Thyrotoxic patient for subtotal thyroidectomy.
9. Diabetic patient with Autonomic Neuropathy for
Abdominal Hysterectomy.
10. Laparsocopy surgery in a pregnant patient.
11. Myaesthenic syndrome.
12. Anti-thrombotic Prophylaxis and Neuraxial
Anaesthesia.
13. Diagnosis and management of an acute attack
of Malignant Hyperthermia.
14. Artificial Blood (Synthetic Oxygen Carrying
Substances).
15. Pulmonary Artery Pressure Monitoring.
16. Spinal Anaesthesia in children.
17. Pre-operative evaluation and preparation of a
patient with Fallots Tetrology.
18. TIVA.
19. Anaesthetic management of a case of Pituitary
Adenoma who is planned for excision of adenoma
(transsphenoidal hypophysectomy).
20. Anaesthetic problems in scoliosis surgery.

21. Discuss the causes of delayed recovery from

anaesthesia and the management.
22. Complications of Extramural Anaesthesia.
23. Regional Anaesthesia in Day Care Surgery.
24.What do you mean by Golden Hour in Trauma?
Discuss the role of anesthetist in resuscitation of a
trauma patient.
25.Discuss the management of an uncosnscious
patient with history of drowning.
26.What do you mean by awareness durinh
anaesthesia?Mention the monitors in use to
measure the depth of anaesthesia.
27.Describe the intrathecal and epidural opoids in
clinical practice and their complications.
28.What are the causes of hypercarbia during the
intraoperative period.Discuss the effects and
management.
29.Anaesthetic problems in a patient with extreme
obesity.
30.Describe the different anaesthesia techniques
practiced for cataract surgery and their
complications.

31.Stress response to trauma and surgery.

32.Describe the innervation of Female Genital Tract
with a diagram and discuss methods of producing
painless labour.
33.Lung Compliance.
34.Role of Kidney in Acid-Base Regulation.
35.HELLP syndrome.
36.Adrenergic agonists.
37.Drug Interactions.
38.Phantom Limb Pain.
39.Hyperkalemia.
40.Role of Magnesium in anaesthesia nd ICU.
DECEMBER 2006
PAPER 1
1.A 35 years old patient with chronic renal failure is
scheduled for
Renal transplant.Discuss the anaesthetic
management.
2.Discuss the anaesthetic management in a patient
of Myaesthenia Gravis scheduled for thymectomy.

3.How will you anaesthetize airway of a 40 year

old man for awake intubation?
4.Causes and management of Post anaesthesia
shivering.
5.Parenteral nutrition in critically ill patient.
6.Enumerate risk factors for PONV and discuss its
management.
7.A four year old child is scheduled for emergency
repair of penetrating injury of the eye .Discuss the
anaesthetic management.
8.Discuss the preoperative evaluation and
anaesthetic 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.
9.An 86 year old patient is scheduled for ORIF of
subtroachanteric fracture of femur.Discuss the
preoperative and anaesthetic management of this
patient.
10.Discuss advantages and disadvantages of
OPCAB.
PAPER 2

1.Discuss the anaesthetic management of a 35

year old patient with Pheochromocytoma
scheduled for bilateral adrenalectomy.
2.What are the indications of elective
cardioversion?How do y
Ou prepare and perform this procedure?
3.Discuss the management of CICV in OT.
4.Discuss the management of a patient with snake
bite.
5.Various clinical and confirmatory tests for brain
death.
6.Discharge criteria in a patient undergoing
surgery in the OPD.
7.A patient with obstructive jaundice(serum
bilirubin 20mg%) is posted for Whipples
procedure.Discuss the preoperative evaluation and
anaesthetic management of this case.
8.Discuss briefly the preoperative evaluation and
anaesthetic management of a 50 years old patient
who had acute MI three months ago,and is
scheduled for inguinal hernia repair.

9.What are the indications of OLV?Discuss the

ventilator management during one lung
anaesthesia.
10.Causes and management of Postoperative
hypoxemia.
PAPER 3
1.Discuss different modes of weaning from
ventilator.
2.Air embolism;methods of detection and
management.
3.Merits and demerits of various synthetic opoids.
4.Occulocardiac Reflex.
5.Compare and contrast dopamine and dobutamine
as an inotropic agent.
6.What are the manifestations of hyponatremia
and how will you treat it?
7.What are the criteria for diagnosis of SIRS?
Discuss the principles of management of septic
shock admitted in an ICU.
8.Outline the principles of peri-operative fluid
therapy in a 10 days old child scheduled for
elective surgery.

9.GCS.
10.Causes of intra-operative hypertension and
discuss its management.

PAPER 4
1.What is autologous blood transfusion?Describe
the various techniques of autologous blood
transfusion.
2.Anion gap.
3.Recombinant Fcator VIIa.
4.Describe the nerve supply of the foot and the
technique of Ankle block for amputation of great
toe.
5.Various epidural narcotics for management of
postoperative pain.
6.What is low flow anaesthesia?Discuss its
advantages and disadvantages.
7.What is Venturi principle?Discuss its applications
in anaesthesia practice.
8.Discuss different methods of humidification.

9.What are the determinants of cardiac output and

discuss various non-invasive methods of
measurement of cardiac output.
10.Oxygen-Dissociation curve.
JUNE 2007
PAPER 1
1.Anaesthetic management of radio-diagnostic
procedures.
2.Pre-anaesthetic assessment and preparation of
one day old neonate for TEF repair.
3.Discuss Resuscitation of Near Drowning Patient
as per modified CPR guidelines 2005.
4.PIH Role of anaesthesiologists.
5.Intraoperative management of a 40 year old
male with HTN and IHD for right pyelolithotomy.
6.Intraoperative problems of Neurosurgical
procedures under anaesthesia in sitting position.
7.Discuss the anaesthetic management of a 25
years old female with Cushings syndrome for
Bilateral Adrenalectomy.

8.Discuss the anaesthetic management of a 70

year old man with Carcinoam Larynx for Total
Laryngectomy.
9.Discuss the anaesthetic management of a 20
year old male with Achalasia Cardia and Bronchial
Asthma for Laparoscopic Cardiomyotomy.
10.Discuss the anaesthetic problems in Robotic
Surgery.
PAPER 2
1.Pre-anaesthetic evaluation and preparation of a
patient with Portal Hypertension for Lieno-Renal
Shunt.
2.Discuss one method of Brachial Plexus block
through Supraclavicular approach and enumerate
the complications associated with it.
3.Discuss anaesthetic management of 20 years old
male with Rheumatic Heart Disease with Mitral
Stenosis for closed Mitral Valvotomy.
4.Anaesthetic management of CDH.
5.Discuss different types of pacemakers and briefly
enumerate precautions to be taken during surgery
in a patient with pacemaker.
6.Airway devices recommended and used for CPR.

7.Intraoperative Neuromuscular monitoring.

8.Anaesthetic problems in a patient with extreme
obesity.
9.Non invasive
ventilation:advantages,disadvantages and
methods of administration.
10.Regional Anaesthesia in Day Care surgery.
PAPER III
1.Complications of extra-dural anaesthesia.
2.Management of HELLP syndrome.
3.What do you mean by the term GOLDEN HOUR in
trauma?Explain the role of the anaesthetist in
trauma management.
4.Role of Magnesium in anaesthesia and ICU.
5.Mention the commonly used immunosuppressive
drugs and their interaction with anaesthetic
agents.
6.Describe the regulation of intra cranial pressure
and methods available for reducing the pressure
under anaesthesia.
7.Discuss the management of massive blood loss.

8.Recent advances in the management of

ALI/ARDS.
9.Discuss the anaesthetic management of an
inadequately managed DM patient with DKA posted
for below knee amputation.
10.Management of intraoperative bronchospasm.
PAPER IV
1.Discuss various methods of oxygen monitoring in
anaesthesia practice.
2.Discuss role of plasma proteins in anaesthesia.
3.LMA:Various modifications.
4.Functional Analysis of Pressure Reducing Valve.
5.Describe anatomy of paravertebral space and
describe one method of establishing Paravertebral
Block.
6.Discuss briefly different modes used for neonatal
ventilation.
7.Clonidine in anaesthesia practice.
8.Discuss various methods used to obtund
intubation response to laryngoscopy and
intubation.
9.Recent views on pre-emptive analgesia.

10.Discuss principles of monitoring end tidal

carbon-dioxide.
DECEMBER 2009
PAPER 1
1.Anaesthetic implications of Fetal surgery.
2.Indications,Technique and Complications of
Spinal Anaesthesia in paediatric patients
undergoing surgery.
3.A 2 year old child weighing 10Kg is scheduled for
removal of organic foreign body in Right
Bronchus.Discuss the anaesthetic management.
4.Preoperative evaluation and anaesthetic
management of a 30 year old patient with MS and
AF scheduled for Balloon angioplasty & Valvotomy.
5.A 4 year old child weighing 15Kg undergoing
Strabismus surgery suddenly develops
Tachycardia,rigidity od extremities and rise in
temperature during anaesthesia.Discuss the
management.
6.Preoperative anaesthetic implications in a patient
with a transplanted heart posted for incidental
surgery.

7.A 25 year old man presents with marked features

of Acromegaly and is posted for Trans-sphenoidal
Hypophysectomy.Discuss the anaesthetic
management.
8.A 60 year old man presents for elective
Parathyroidectomy.Discuss the anaesthetic
management.
9.A 70 year old Hypertensive man with CAD is
scheduled for TURP.Discuss the anaesthetic
management.
10.GBS-discuss briefly
etiology.pathogenesis,symptomatology and
management including anaesthetic management.
PAPER II
1.A 40 years old man weighing 140Kg has DM and
HTN and is scheduled for Gastric Banding.Dsicuss
the anaesthetic management.
2.Anaesthetic considerations and management of a
child with Post-Tonsillectomy bleeding.
3.Fasting guidelines for children.How does
premedication in adults differ from that in children.
4.Pain management options in a patient with
intractable pain due to Carcinoma of Pancreas.

5.Draw a labeled diagram of a flexible FOB and

describe methods for its sterilization or high level
disinfection.
6.ASA physical status classification.
7.Techniques and approaches to IJV cannulation.
8.Anaesthetic considerations for modified ECT.
9.Anticoagulation and CPB.
10.Techniques to prevent hypotension after spinal
anaesthesia in caesarean section.
PAPER III
1.New guidelines for neonatal resuscitation.
2.Preoperative assessment and anaesthetic
management of a 2 year old of Hydrocephalus
posted for shunt procedure.
3.Autologous Blood Transfusion.
4.Perioperatibe beta blocker therapy.
5.Monitored anaesthesia care.
6.CVP and its application.
7.Concentration Effect and Second Gas Effect
produced during uptake of inhalational agent.
8.Brain Death.

9.Elective Cardioversion.
10.Laryngospasm during anaesthesia.
PAPER IV
1.SGA devices.
2.Epidural Opiates in anaesthesia practice.
3.Pulse Oximetry-principles and applications.
4.Cardioplegia and its role in cardiac anaesthesia
practice.
5.Anatomy of epidural space and methods of
identification.
6.Link 25 Proportioning system in anaesthesia
machine.
7.Nephrotoxicity of Fluorinated anaesthetic agents.
8.PCA in anaesthesia practice.
9.ICP monitoring and its application.
10.Role of Blood Components in Perioperative
period
JUNE 2008
PAPER I

1.Write the blood conservation strategies in a 20

year old female scheduled for excision of
Angiofibroma of Nose.
2.Write clinical features,diagnosis and
management of a case of Paracetamol poisoning.
3.A 30 years old woman is scheduled for removal
of Carcinoid Tumor.Write the anaesthetic
management.
4.TEE in anaesthesia practice.
5.Discuss pathipyhsiology and management of
shivering in PACU.
6.What principle is used in USG?How is USG useful
in anaesthesia?
7.Write anaestehtic management of a 3 years old
child scheduled for PDA ligation.
8.What are the indications of Caudal Epidural in
paediatrics undergoing surgery?Describe the
techniques and write its complications.
9.Write preoperative evaluation and preparation of
a patient with Portal Hypertension scheduled for LR shunt.
10.What are the indications of Mediastinoscopy?
Write anaesthetic implications of Mediastiniscopy.

PAPER II
1.A 60 years old man with COPD is on ventilator in
ICU.Plan his enteral feeding and discuss its
advantages and disadvantages.
2.Pre-Emptive Analgesia: Current Status.
3.Manifestations and management of Thyroid
storm.
4.Criteria for Weaning from Prolonged Ventilation.
5.Pre-operative evaluation and anaesthetic
management of one day child with CDH.
6.Anaesthetic management of patient with severe
pre-eclapmsia for caesarean section.
7.Lipid Emulsion for the treatment of Local
Anaesthetic toxicity-mechanism and dosage.
8.Clonidine in anaesthesia and ICU.
9.Pre operative evaluation and anaesthetic
considerations of a patient with Parkinsons
disease.
10.Guidelines for management of anaesthesia in a
patient with Coronary Stent.
PAPER III

1.Enumerate the symptoms of Shock and discuss

the methods used for assessment of systemic
perfusion.
2.How will you diagnose DVT?Write the methods of
Prophylaxis and management.
3.Management of acute anaphylaxis.
4.Transdermal administration of drugs.
5.Permissive Hypercapnia.
6.Pre-operative evaluation and preparation of 35
years old asthmatic female scheduled for
laparoscopic Cholecystectomy.
7.Dexmedetomidine-Clinical applications and
complications.
8.Discuss the regulation of Cerebral Blood Flow.
9.Meth-hemoglobinemia and the anaesthetist.
10.I-Gel airway.
PAPER IV
1.Resuscitation of Term Pregnant patient.
2.Classify Vaporizers.Briefly mention the effects of
altered barometric pressure on the performance of
the vaporizers.

3.Describe with the help of a labeled diagram,the

anatomy of Lumbar Plexus and describe the
techniques of Limbar Plexus Block.
4.Evidenced Based Medical Education.
5.Nitrous Oxide: Current status.
6.Adverse effects of Neuromuscular Blocking
agents.
7.Percutaneous Dilatational Trachesotomy.
8.Clinical Tests for evaluation of ANS.
9.Planning of PACU.
10.What are the problems related to Chronic
Hemodialysis.
DECEMBER 2008
PAPER I
1.A 2 year old child is scheduled forremoval of
Foreign Body in the Right Bronchus.What is the
anaesthetic management?
2.Enumerate the guidelines for Regional
anaesthesia in a patient on Anticoagulant Therapy.
3.A 20 year old is scheduled for release of TMJ
Ankylosis.Discuss the various methods to secure
the airway.

4.Discuss the causes of delayed recovery following

General Anaesthesia.
5.What are the anaesthetic implications in a
patient with a Transplanted Kidney posted for
incidental elective surgery?
6.Define Monitored Anaesthesia Care.Discuss its
goals and tech nique.
7.Discuss the pathophysiology and management of
a case of Carbon Monoxide poisoning.
8.A 50 year old woman with Hypothyrodism is
scheduled for Abdominal Hysterectomy.Dsicuss the
anaesthetic management.
9.Enumerate the perioperative problems and
anaesthetic management of a 28 year old patient
with MS for elective CS.
10.Dsicuss the preoperative evaluation and
anaesthetic considerations in a patient with
Parkinsons disease.
PAPER II
1.Enumerate the environmental hazards in the
Operation Theatre and discuss the measures for
its preservation.

2.What is TEG?Draw a labeled diagram to show a

normal tracing.What are its implications?
3.Perioperative problems and the anaesthetic
management of a one day old child with CDH.
4.Discuss the diagnosis and management of PMI in
a patient undergoing non-cardiac surgery.
5.Enumerate the perioperative problems and
anaestehtic management in a 80 year old patient
scheduled for THR.
6.CVP monitoring and its implications.
7.Enumerate the risk factors for PONV.Discuss its
management.
8.What is ARDS?Discuss the ventilator strategies in
a patient with ARDS.
9.What are the perioperative problems in a patient
with morbid obesity?
10.Write in brief the criteria for determination of
brain death and clinical tests for confirmation.
PAPER III
1.Enumerate the effects of chronic smoking and
the anaesthetic implications.

2.What are the recent guidelines for neonatal

resuscitation?
3.Discuss the complications and sequelae of blood
transfusions.
4.Enteral feeding in the critically ill patients.
5.Enumerate the physiological changes during
pregnancy and their clinical implications.
6.Anaesthetic concerns for MRI.
7.Compare and Contrast:
a.PEEP & CPAP.
b.TOF &Double Burst.
8.Compare & Contrast:
a.Starch and Gealtin as IV fluid
b.Sevoflurane and Isoflurane.
9.Enumerate the Five Hs and Five Ts as possible
causes of Cardiac arrest.What is the management
of pulseless electrical activity in an unconscious
patient?
10.Discuss the ECG abnormalities due to various
electrolyte imbalances.
PAPER IV

1.Draw a labeled diagram to illustrate the Fetal

Circulation.What are the circulatory changes that
occur at birth?
2.Enumerate the
indications,contraindications,complications and
method of establishing Stellate Ganglion Block.
3.Nitric Oxide-Current status.
4.Define FRC.What is significance in anaesthesia?
5.What is Triage?What are Triage criteria in relation
to trauma?
6.Discuss in brief the sites and devices for
temperature monitoring.
7.What is BIS?What are its clinical applications in
anaesthesia practice?
8.Role of Humidification in anaesthesia practice.
9.Write briefly on Research Ethics.
10.Non- Invasive Ventilation.
JUNE 2009
PAPER I
1.Discuss the pathopyhsiology and management of
shivering following anaesthesia.

2.Enumerate the guidelines for regional

anaesthesia in a patient on antiplatelet therapy.
3.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?
4.Describe the pre-operative evaluation and
preparation of a 30 year old patient with portal
hypertension scheduled for L-R shunt.
5.How is Cerebral Blood Flow regulated?What is the
effect of various anaesthetic drugs in cerebral
blood flow?
6.Discuss the role of EBM in anaesthesia
practice.Quote few examples.
7.Enumerate the predictors of weaning from
Mechanical Ventilation.
8.Describe pre-operative evaluation and
anaesthetic management of one day old child
scheduled for repair of CDH.
9.What are the indications of Caudal Epidural
anaesthesia in paediatric patients undergoing
surgery?Describe the technique and enumerate its
complications.

10.Percutaneous Dilatational
Trachesotomy:Indications,Techniques and
complications.
PAPER II
1.Discuss the management of Intra Cranial
Hypertension..
2.What are the common Nosocomial Infections in
ICU?Discuss the measures for prevention of
Ventilatory Associated Pneumonias.
3.Describe the in-hospital management of OP
Poisoning.
4.A 65 year old patient,chronic cigarette smoker is
admitted to Emergency department with acute
respiratory distress and alteres sensorium.His ABG
reveals PaO2- 50 mmHg,PaCo2-85 mm Hg,pH7.10.Discuss your plan of management.
5.Discuss the manifestations and management of
Thyroid Storm.
6.Enumerate the role of analgesics and sedation in
patients on ventilator therapy in the ICU.
7.HPV.
8.What is DIC?Enumerate its causes and
management.

9.Discuss the pathophysiology of Hepato Renal

Syndrome.What are the measures to prevent it?
10.Describe the techniques of Chest
Physiotherapy?What is its role in in the post
surgical period?
PAPER III
1.Discuss the pathophysiology,signs and symptoms
and management of VAE.
2.What are the indications of OLV?What are the
methods of Lung Separation?Discuss the problems
involved?
3.Chronic Smoking and the Anaesthesiologist.
4.Define Hyperkalemia.Discuss signs and symtoms
and anaestehtic consideration.
5.Discuss the perioperative evaluation and
management of a 30 year old primi admitted at 36
weeks of preganacy with Eclampsia presenting for
emergency LSCS.
6.Enumerate the Risk factors for PONV.Discuss
measures to prevent and its management.
7.What is Massive Blood Transfusion?What are the
complications of massive blood transfusion?

8.Assessment and Resuscitation of a patient with

severe burns.
9.Discuss the problems and their anaesthetic
implications of a 40 year old Morbidly Obese
patients scheduled for Gastric Banding.
10.Discuss anaesthetic management of 70 years
old Hypertensive with CAD scheduled for TURP.
PAPER IV
1.Describe the anatomy of Celiac Plexus.Discuss
the Indications and methods to block Celaic Plexus.
2.Safety Features in a Modern Day Anaesthesia
Machine.
3.Classify Inotropes on the basis of their
Mechanism of actions.Compare Dopamine and
Dobutamine.
4.Describe the anatomy of Larynx.How would you
anaesthetize the airway for awake intubation.
5.Define Minimum Alvelolar Concentration.What
are the factors affecting MAC?What is its
significance in anaesthesia?
6.What is Venturi principle?What are its
applications in anaesthesia?

7.Describe Physiological Changes associated with

Pneumoperitoneum for Laparoscopic
Cholecystectomy.
8.Describe with diagram the Flow Volume Loops
in :(a)Healthy Adult.
(b)Patient with Restrictive Lung Disease.
Patient with Obstructive Lung Disease.
9.What are the factors affecting Neuromuscular
Blockage?Discuss various methods to monitor
Neurpmuscular Blockage.
10.What is Monitored Anaesthesia Care?Discuss
the Discharge criteria for a patient after Day Care
Surgery.
DECEMBER 2009
PAPER I
1.A 50 year old male and known diabetic is
scheduled for Upper Abdominal Surgery.How will
you evaluate the ANS?
2.A 40 year old male with Emphysematous Bulla in
right lung is scheduled for thoracoscopic(VATS)

excision of bulla.Describe the anaestehtic

management.
3.Enumerate the Indications of OPCAB.Describe the
technique,advantages and disadvantages.
4.A 20 year old female with mass in posterior
cranial fossa is scheduled for craniotomy.describe
the anaesthetic management.
5.Describe the risk stratification of a patient with
deranged liver functions scheduled for partial liver
resection.
6.Draw the algorithm for preoperative
management of a patient receiving antiplatelet
therapy as recommended by ACC/AHA guidelines in
perioperative cardiovascular evaluation and
care.Describe preoperative management of a
patient with Coronary Stent.
7.Describe the different methods used for
perioperative control of blood sugar in diabetic
patients undergoing major abdominal surgery
with their advantages and disadvantages.
8.Define and Classify Chronic Pain.Describe the
methods of treatment of CRPS in left upper limb in
a 20 year old male patient.

9.Desribe the anaesthetic management of a

patient with PIH scheduled for CS.
10.Describe the anaesthetic management of an 80
year old male scheduled for THR.Mention the
methods of postoperative pain relief.
PAPER II
1.A 30 year old female with Cushings syndrome is
scheduled for Bilateral Adrenalectomy.Describe the
anaesthetic management.
2.How does the paediatric airway differ from that of
an adult?What are the implications for an
anaesthesiologist.
3.Describe the criteria for selection of anaesthetic
agents for use in Day Care Surgery.Enumerate the
agents of your choice.
4.A 22 year old male patient with Multiple
Papilloma of Larynx is scheduled for Laser
Excision.Describe the anaesthetic management.
5.Enumerate the signs and symptoms of
Hyponatremia.Describe the management in a
patient with serum Sodium 115 mEq/L scheduled
for Knee Replacement under Regional Anaesthesia.

6.How will you diagnose mismatched Blood

Transfusion intraoperatively?Describe its
management.
7.Describe the anaesthetic management in a
patient with Abdominal Aortic Dissection scheduled
for Aortic Bypass Graft.
8.A HIV positive patient is scheduled for elective
caesarean section.Describe the precautions for the
management of this patient.
9.Enumerate the evidence based indications for a
Pacemaker insertion.Mention the general principles
of anaesthetic management of a patient with
pacemaker scheduled for surgery.
10.Describe the anaesthetic management in a 10
year old child scheduled for Perforating Eye Injury
repair.
PAPER III
1.Describe the initial assessment and resuscitation
in a 25 year old female with massive burns
evacuated from the site of fire.
2.How will you diagnose VAE?Describe its
pathophysiology and management.

3.Describe the anaesthetic management of a

neonate scheduled for repair of TEF.
4.A 60 year old male with refractory depression is
scheduled for ECT.Describe the anaesthetic
management.
5.Enumerate the indications,contraindications and
complications od invasive arterial blood pressure
monitoring.Describe the technique.
6.Describe the manifestations and management of
thyroid storm intraoperatively.
7.What is PDPH?What are the factors affecting it?
Describe the management of such a case.
8.Describe the role of intraoperative
Echocardiography in clinical anaesthesia.
9.What is Monitored Anaesthesia Care?Describe
the technique in an 80 year old patient with IHD
scheduled for Cataract surgery.
10.What are the limitations and hazards of
providing anaesthesia in the MRI suite?Describe
anaesthetic management of a 6 months old child
with Hydrocephalus scheduled for MRI.
PAPER IV

1.What are the Major Buffer systems in the body?

Enumerate the causes,effects and management of
Metabolic Acidosis.
2.Describe the nerve supply of Larynx.Enumerate
the signs and symptoms of Bilateral Recurrent
Laryngeal Nerve Palsy following Total
Thyroidectomy.
3.Describe the Metabolic Functions of the Lung.
4.Describe the Cardiac Conductions system.How do
you manage a patient with PSVT?
5.How do you diagnose DVT?Describe the
predisposing factors and its management.
6.Illustrate the Anatomy of Celiac Plexus with the
help of a diagram.Descirbe the technique of Celiac
Plexus Block and its complications.
7.Describe the pre-anaesthesia checklist for
anaesthesia machine and equipment.
8.Enumerate the various approaches for CVP
monitoring.Describe the technique and
complications of IJV cannulation.
9.Classify antihypertensive drugs.Describe the
management of hypertensive emergency.

10.What is Venturi Effect? Describe its clinical

application in anaesthesia.

JUNE 2010
PAPER I
1.Describe the anaesthetic management of a 70
year old patient with permanent pacemaker
scheduled for TURP.
2.Outline the anaesthetic management of a female
with26 weeks pregnancy scheduled for emergency
appendicectomy.
3.Enteral feeding in the critically ill patientsindications,techniques and complications.
4.USG-principles and its uses in day to day practice
of anaesthesia.
5.Role of Lipid Emulsions in Local Anaesthetic
Toxicity.
6.A 35 year old hypertensive patient with chronic
cholecystitis is scheduled for Laparoscopic
Cholecystectomy.Outline the pre-operative

evaluation,preparation and anaesthetic

management of this patient.
7.a.Nitric Oxide
b.Dexmedetomidine
8.Different techniques of reducing the need for
allogenic blood transfusion.
9.Simulators in anaesthesia training.
10.Importance of Triage in mass casualty incident.

PAPER II
1.A 68 year old patient with Carcinoma Esophagus
is scheduled for Transthoracic
Esophagectomy.Outline the preoperative
evaluation,preparation and anaesthetic
management.
2.Define Morbid Obesity.Outline the intra-operative
anaesthetic considerations in this patient
scheduled for Bariartric surgery.
3.A 2 day old child with CDH is scheduled for
primary repair.Outline the pre-operative
evaluation,preparation and anaesthetic
considerations of this case.

4.Write the algorithm for management of patient

with PEA as per AHA guidelines.
5.Criteria for Brain Death and the role of
anaesthetist in Organ Harvesting.
6.Current concepts in pre-emptive analgesia.
7.HELLP syndrome:Role of anaesthesiologist.
8.Outline the various modalities for management
of postoperative pain following major abdominal
surgery.Enumerate the differences between acute
and chronic pain.
9.Peribulbar block-indications,techniques and
complications.
10.a.I-gel.
b.BIS

PAPER III
1.A 40 year old patient with Portal Hypertension is
scheduled for Lieno-Renal shunt.Outline the preoperative evaluation,preparation and anaesthetic
management of this patient.

2.What is Mendelsons Syndrome?Enumerate Acid

Aspiration prophylaxis in a patient scheduled for
emergency Caeserean Section.
3.Enumerate the components of RCRI.Draw the
algorithm of cardiac evaluation for non-cardiac
surgery as recommended by ACC/AHA 2007
guidelines on perioperative CVS evaluation and
care.
4.Enumerate the predictors of Weaning a patient
on prolonged Mechanical Ventilatory support in the
ICU.
5.A 6 year old boy underwent Adenoidectomy
under GA as Day Care Surgery.Enumerate the
discharge criteria of this patient.
6.Hpokalemia-definition,clinical manifestation and
management 7.Clinical Manifestations and
management of a patient with Acute Anaphylaxis.
8.Enumerate the changes in the ACC/AHA
guidelines on resuscitation(BLS and ACLS) for
management of cardiac arrest in an adult.
9.a.Informed Consent.
b.Communication skill and anaesthesiologist.

10.Percutaneous Dilatational Tracheostomy-various

techniques and their advantages over conventional
Tracheostomy.
PAPER IV
1.Anatomy of Brachial plexus with the help of
diagram.Enumerate the various techniques of
Brachial Plexus Block.
2.Enumerate various techniques of monitoring
neuromuscular blockade during anaesthesia.List
the advantages and limitations of each of these
techniques.
3.List the various causes of reduced arterial oxygen
tension in the intra-operative period,and outline
their management.
4.Draw schematic diagrams of various types of
Maplesons Breathing Circuits.Give the Functional
Analysis,advantages and disadvantages of Bain
circuit.
5.Enumerate the Safety Features in Modern Day
Anaesthesia Machine.
6.Enumerate the factors regulating normal
Cerebral Blood Flow and the effect of various
anaesthetic drugs on Cerebral Blood Flow.

7.Enumerate the indications for transfusion of

packed red cells,FFP,platelets and cryoprecipitates.
8.ASA physical status classification for preoperative anaesthetic risk assessment.
9.Post Anaesthesia shivering-implications and
management.
10.a}Permissive Hypercapnia.
b.Bedside PFT.
DECEMBER 2010
PAPER I
1.Describe clinical presentation,pathophysiology
and management of Malignant Hyperthermia.
2.Describe the pharmacokinetics and
pharmacodynamics of Etomidate.Desribe its brief
role in clinical practice.
3.Describe Ventilatory Strategy in management of
ARDS.
4.Describe the causes and management of VAE.
5.What is Recombinanat Factor VIIa? Describe the
clinical usage of it.
6.Describe regional block for removal of infected
corn foot.

7.What are the criteria for discharge from PACU?

8.Enumerate the Circulatory Assist Devices.What
are the indications,contraindications and
complications of IABP?
9.Enumerate Classical Biological Warfare
Agents.Describe physical findings,pathogenesis
and treatment of Anthrax.
10.What is Post-operative Jaundice?Describe its
causes.
PAPER II
1.Enumerate the Indications of
Trachesotomy.Describe different techniques of
performing Percutaneous Dilatational
Tracheostomy.
2.What are the causes of Obstetric Haemorrhage?
Describe its management including anaesthetic.
3.Describe consent in anaesthesia practice
including ethical and legal aspects.
4.Enumerate causes of Post-operative Visual
loss.Describe the pathophysiology and its
management.
5.Describe various componenets of Surviving
Sepsis guidelines.

6.Describe the complications associated with

sitting position during Posterior Cranial Fossa
surgery and their management.
7.Describe the anaesthetic management in a
patient scheduled for MRI.
8.Describe the risk factors and predictors of
PONV.Describe its management in the preoperative period.
9.Describe the pathophysiology,clinical
features,diagnosis and management of Fat
Embolism.
10.What are the pre-operative considerations in
THR?What are the goals of it intra-operative
management?
PAPER III
1.Describe clinical manifestation of Diabetic
Autonomic Neuropathy.What are its clinical
implications?
2.What are the pathophysiological insults which
exacerbate the Primary Brain Injury following Head
Trauma? How can these effects be reduced?

3.What are the Indications of RRT? List different

modes of RRT.Discuss thr role of CRRT in septic
shock.
4.Discuss the pre-operative evaluation and
preparation of a 55 year old male with
Bronchiectasis scheduled for right lower lobe
excision.
5.Describe the techniques for anaesthetizing
airway for awake Fibreoptic Laryngoscopy and
Intubation through Nasal route in an adult with
restricted mouth opening.
6.Desribe the anaesthetic considerations in
patients having Coronary Artery Stents.
7.Classify Cardiomyopathies.Describe management
of a 60 year old male with Dilated Cardiomyopathy
scheduled for Laparotomy.
8.Describe anaesthetic concerns for Regional
Anaesthesia in a patient on Anticoagulants.
9.Describe the principles of Weaning from
Mechanical Ventilation.
10.Describe the effects of smoking and its
anaesthetic implications.
PAPER IV

1.Draw a diagram to show various Lung Volumes

and capacities.Describe the spirometry features of
patients with Obstructive and Restirctive
Pulmonary disorder.
2.Describe the anatomy of Stellate
Ganglion.Discuss indications,techniques and
implications of Stellate Ganglion Block.
3.Describe the Coronary Circulation.Discuss factors
affecting Oxygen Demand and Supply to the
Myocardium.
4.What are the major causes of Hypoxemia?What is
HPV?How can GA worsen V/Q mismatch?
5.Classify Vaporizers.Discuss the effect of Altered
Barometric Pressure on the performance of
Vaporizers?
6.What do you understand by Randomization and
Blinding in a clinical study?What is the importance
of p-value and Power os Study?
7.What is Minimum Alveolar Concentration(MAC)?
Discuss the factors which affect the alveolar
concentration of an inhalational agent.
8.Classify Anithypertensive drugs.Describe the
management of a hypertensive episode during
anaesthesia?

9.Describe the Cardiac Conduction System.How do

you manage a patient with PSVT?
10.Describe the Anaesthesia Machine Check
Protocol prior to induction of anaesthesia.
JUNE 2011
PAPER I
1.Define FRC and Closing Volume.Describe their
clinical significance.
2.Define Massive Blood Transfusion.Discuss the
complications associated with Massive Blood
Trasfusion.
3.Discuss the causes and management of
Postoperative Shivering.
4.Discuss the peri-operative problems and
anaesthetic management of a two day old child
scheduled to undergo TEF repair.
5.Describe clinical presentation,pathophysiology
and management of TURP syndrome.
6.Discuss the anaesthetic problems of surgery in
prone position.
7.Discuss pharmacokinetics and pharmacodynmics
of Clonidine and its role in clinical practice.

8.Describe the course of Sciatic Nerve and any one

approach to block the nerve.
9.What is Low Flow Anaesthesia?Discuss its
advantages and disadvantages.
10.Discuss the use of TEE in anaesthesia practice.
PAPER II
1.Nitrous Oxide-Curent Status in anaesthesia
practice.
2.What are the new guidelines for Ventialtion and
External Cardiac compression for Neonatal
Resuscitation? What are the drugs (with doses)
used for Neonatal Resuscitation?
3.What are the problems with acute exposure to
high altitude?Discuss briefly the anaesthetic
considerations at high altitude.
4.Discuss the Hemodynamic and Metabolic
changes during Aortic Clamping and
Unclamping.Describe the Renal protective
measures during Aortic Clamping.
5.Discuss the physiological changes due to
peumoperitoneum in laparoscopic Abdominal
surgery.List the intra-operative complications.

6.Discuss Various Patterns of Nerve Stimulation in

Neuromuscular Monitoring and their interpretation
with the help of diagrams.
7.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.
8.Define Hypokalemia.What are the clinical
manifestations of hypokalemia?How will you treat
hypokalemia intraoperatively?
9.Discuss the anaesthetic management of a full
term primigravida with severe preeclampsia,scheduled for emergency CS.
10.Discuss the various criteria required before
weaning a patient from CPB.
PAPER III
1.Enumerate different SGAs.Tabulate the
differences between Proseal LMA and I-gel Airway
device.
2.Discuss the pre-anaesthetic
preparation,anaesthetic goals and intraoperative
management of a 30 year old female patient with
diagnosis of Pheochromocytoma scheduled for
excision of Adrenal Tumor.

3.What are the goals of Nutritional Support in

Critically ill patients?Describe the daily
requirements for proteins,lipids and carbohydrates
for a patient with advanced sepsis admitted in ICU.
4.A 68 year old male with Carcinoma Esophagis is
posted for Total Esophagectomy and Gastric pull
up.describe the preoperative
preparation,evaluation and anaesthetic
management.
5.Describe the Functional Analysis of the Bains
circuit.How will you check the functional integrity
of Bains circuit?
6.What is Cerebral Autoregulation?Discuss the
implications of various inhalational anaestehtic
agents on Cerebral Autoregulation.
7.A 30 year olf female ASA grade I,following
Exploratory Laparotomy ,is not maintaining Oxygen
saturation in the post operative period.Discuss its
causes and management.
8.What are the symptoms and signs of OP
poisoning?Discuss its management.
9.Discuss the preoperative evaluation,preparation
and anesthetic management of a patient with

Transplanted Kidney presenting for Incidental

elective surgery.
10.Discuss the clinical manifestations of Local
Anaesthetic Tocxicity and its management.
PAPER IV
1.Describe two major effects of Pressure
Fluctuation in the anaesthesia machine on
vaporizer output.Describe the improvisation in
designing to overcome this problem.
2.Define Base Excess.How do Kidneys compensate
for acid base imbalance?
3.Describe various tests for used for monitoring
peri-operative coagulation.
4.Describe the innervations of Larynx.Briefly
discuss various palsies following nerve injury.
5.Discuss the pain management options in a
patient with intractable pain due to Carcinoma
head of Pancreas.
6.Enumerate the environmental hazards in the
operating theatre and discuss the measures for its
prevention.

7.What do you mean by Multi-Casualty Triaging?

Why is it important?How do you triage victims in
the casualty following a mass disaster?
8.Dsicuss the synthetic functions of Liver.What is
the role of Albumin in pharmacokinetics?
9.Describe common Arrythmias encountered
during pre-operative period.Dsicuss the therapeutic
uses of Amiodarone.
10.What is Occulo-Cardiac Reflex?Discuss
measures to attenuate pressor response to
laryngoscopy/intubation.
DECEMBER 2011
PAPER I
1.Discuss the physiologic changes of
cardiovascular and respiratory systems in
pregnancy.Discuss the anaesthetic considerations
and management of pregnant patient undergoing
non-obstetric surgery during first trimester.
2.Discuss the anaesthetic implications and perioperative management of a six month old child
scheduled for excision of Cystic Hygroma.

3.What are the methods of pain assessment Infants

and children? Discuss the pharmacological
management of acute pain in paediatric patients.
4.Define BMI.Classify obesity and discuss the
anaesthetic considerations in a morbidly obese
patient.
5.Define Fink effect,Diffusion Hypoxia, and Second
gas effect.How are they of importance to the
anaesthetist?
6.Write the goals of Pre-Anaesthetic Check up,ASA
risks grading and Fasting guidelines.
7.What are the differences between a Subdural and
Subarachnoid block? Write clinical features and
management of PDPH.
8.What is Diastolic Dysfunction? Discuss its
evaluation and Implications to the anaesthetist.
9.Enumerate the causes of air embolism in clinical
practice.Discuss the clinical features and its
management.
10.Classify Opoids.Discuss the merits and demerits
of Epidural Fentanyl and Morphine.
PAPER II

1.What are the causes of Intra-operative

hypertension in a previously normotensive patient?
Discuss various modalities to manage it.
2.Dsicuss the differential diagnosis of Intraoperative Bronchospasm.How will you manage it?
3.Discuss the physiological changes secondary to
pain in labour.Describe the role of Para-Cervical
and Pudendal nerve blocks in Obstetric Analgesia.
4.What is Oxygen delivery?Classify Oxygen
delivery systems.Discuss the role of Ventimask in
Oxygen therapy.
5.What are the recommendations for Neuraxial
Anaesthesia in a patient on Anticoagulant therapy?
6.Describe the Boundaries of Epidural
space.Discuss five common complications of
Epidural Block.
7.Why is it important to measure the Depth of
Anaesthesia? Briefly describe the methods used.
8.What is Monitored Anaesthesia Care?Describe
Minimum Monitoring Standards for a patient
undergoing Monitored Anaesthesia Care.

9.Describe briefly the Difficult Airway

Algorithm.How will you perform awake intubation
in an adult with restricted mouth opening?
10.How will you evaluate a 50 years old male
patient with history of IHD presenting for Major
Abdominal Surgery?

PAPER III
1.Discuss the anaesthetic considerations for
excision of a mass in the Posterior Cranial Fossa in
a 20 year old patient.
2.Describe the clinical features of
Hypothyroidism.Discuss the anaesthetic
considerations in a hypothyroid patient scheduled
for Upper Abdominal Surgery.
3.Discuss clinical manifestations and management
of Acute Anaphylaxis.
4.Discuss the pre-operative evaluation and
anaesthetic management of a 2 year old child
scheduled for removal of Foreign Body in Bronchus.
5.Describe pathophysiology,clinical manifestations
and anaesthetic management of CDH in a neonate.

6.Dsicuss the pre-operative evaluation and

anaesthetic management of an 80 year old patient
with Cardiac Pacemaker for TURP.
7.Enumerate the causes,clinical manifestations and
management of Hyperkalemia.
8.Describe briefly pathophysiology,signs and
symptoms,diagnosis and treatment of Carbon
Monoxide poisoning.
9.Enumerate the causes and DD of post extubation
Laryngospasm.How will you manage it?
10.What is Mixed Venous Oxygen Saturation and its
importance in Critical Care setup?How is it
measured?
PAPER IV
1.Describe the anatomy of Celiac Plexus.Dsicuss
the Indications and methods of Celiac Plexus Block.
2.Discuss the mechanism of
action.Pharmacodynamics and Pharmacokinetics of
Proppfol.
3.Describe briefly the Safety features in Modern
Day Anaesthesia machines.Discuss various
features that prevent the delivery of Hypoxic gas
mixtures.

4.Describe the anatomy of IJV with the help of a

diagram.Discuss any one approach for IJV
cannulation and its complications.
5.What is SIADH?Describe the clinical features and
management of SIADH.
6.Enumerate the synthetic functions of the
liver.Discuss the anaesthetic implications in a
patient with Cirrhosis and Ascites.
7.What is PEEP?How does it improve arterial po2?
What are its disadvantages?
8.Describe the OHDC.How does it differ from the
carbondioxide dissociation curve?
9.Describe the physiology of circulation during
closed chest compressions.Discuss the Algorithm
for BLC.
10.Define and Classify Septic Shock.Discuss the
guidelines for the management od Septic shock.
JUNE 2012
PAPER I
1.What is the DD of intra operative bronchospasm?
how will you manage it?

2.Discuss indications and techniques of

RRT.Discuss the role of CRRT in septic shock.
3.Enumerate various approaches for central
venous cannulation.Describe the technique and
complications of IJV cannulation.
4.Discuss the regulation of ICP.Describe the
methods available for reducing it under
anaesthesia.
5.Discuss indications,techniques and complications
of caudal epidural block in children.
6.Define monitored anaesthesia care.Discuss its
goals and techniques.
7.Discuss the perioperative problems and
anaesthetic management of a one year old child
with hydrocephalus scheduled for shunt procedure.
8.Discuss pharmacokinetics and
pharmacodynamics of dexmedetomidine.What is
its role in clinical practice?
9.Define and classify dead space ventilation.Define
minute ventilation.Under what conditions is minute
ventilation increased?

10.Discuss the preoperative evaluation of a patient

with IHD.Discuss the perioperative monitoring for
MI and its management.
PAPER II
1.How would you assess a case of septic shock due
to pancreatitis?Briefly discuss its management.
2.Discuss the various criteria for weaning a patient
from prolonged mechanical ventilation.
3.What are the physiological functions of
magnesium?Describe its therapeutic uses in
anaesthesia/
4.Describe the anatomy of larynx and its
innervations.What are the differences between
neonatal and adult larynx?
5.What are the different types of carbon dioxide
absorbents?Describe their composition.Discus the
advantages and disadvantages of each.
6.What are the objectives of premedication in a
patient scheduled for elective CS?describe the
drugs used with their doses and rationale.
7.Briefly outline the evaluation and management of
a patient wiyh suspected perioperative
coagulopathy.

8.Discuss the preoperative evaluation of a 25 year

old man with OSA scheduled for laparotomy.How
would you prepare him for surgery?
9.Describe the toxicity of commonly used LA
agents and its management.
10.Discuss the anaesthetic problems in robotic
surgery.
PAPER III
1.Discuss the preoperative evaluation and
anaesthetic management of a 70 year old
hypertensive patient for total laryngectomy.
2.Discuss the etiology and management of Supra
Ventricular arrhythmias during surgery under GA.
3.What are the clinical features of myasethenia
gravis?discuss preoperative evaluation and
anaesthetic management of a case presenting for
interval appendicectomy.
4.What are the various routes of administration of
morphine?Discuss the pharmacokinetics and
pharmacodynamics of epidural morphine.
5.Discuss the preoperative evaluation and
anaesthetic management of a 40 year old
hyperthyroid patient posted for total

thyroidectomy.Enumerate postoperative
complications.
6.What is capnography?Draw a labeled diagram of
normal capnograph and discuss clinical
considerations of capnography.
7.Discuss the causes,clinical manifestations and
treatment of hypercalcemia.What are their
anaesthetic considerations?
8.Discuss the criteria for patient
selection,contraindications,advantages and
disadvantages of autologous blood transfusion.
9.How would you evaluate and prepare a patient
with chronic bronchiectasis scheduled for
pneumonectomy?Briefly enumerate the
postoperative complications.
10.Describe the countercurrent mechanism in the
kidney.Discuss the renal protection strategies
during perioperative period.
PAPER IV
1.Enumerate the safety features in a modern day
anaesthesia machine.Describe the hypoxia
prevention safety devices.

2.How is autonomic neuropathy evaluated

preoperatively?What is its significance In
anaesthesia?
3.Discuss the different types of colloid
solutions.describe their advantages and
disadvantages.
4.Discuss the signs and symptoms,pathophysiology
and management of cyanide toxicity.
5.Describe the anatomy of paravertebral space
with diagram.describe one method of establishing
the paravertebral block.
6.What are the anaesthetic considerations for day
care surgey?Discuss the clinical criteria for
recovery and discharge after DCS.
7.Classify hypothermia.Describe the
pathophysiological effects of hypothermia.
8.Describe Bernoullis principle and its various
applications in anaesthesia.
9.Explain CRPS.What are the types of CRPS?
Describe the clinical features and options for
treatment.
10.Enumerate the environmental hazards in the OT
and discuss the methods of prevention.

DECEMBER 2012
PAPER I
1.How will you evaluate a three year old child with
Systolic Murmur scheduled for surgery?Briefly
discuss the anaesthetic implications.
2.Describe briefly the intra-operative
considerations for Bariartric surgery.
3.Describe the DD of Intraoperative
Bronchospasm.Write down its management.
4.Draw a labeled diagram of Labor Pain
Pathway.Describe the method,advantages and
disadvantages of preferred technique of Labor
analgesia.
5.What are the factors that predispose trauma
patients to increased anaesthetic risks?Briefly
mention their management.
6.How will you calculate the energy requirements
in an ICU patient?What are advantages and
disadvantages of Parenteral Vs Enteral nutrition?
7.What are the predictors of Cardiac Risk in
cardiac patients undergoing non-cardiac surgery?
Describe briefly the anaesthetic consideration in a

patient with CAD with EF of 40% for Laparoscopic

Cholecystectomy.
8.Describe the preoperative evaluation,anaesthetic
management and intra-operative monitoring of a
patient scheduled for Carotid Endarterectomy.
9.Describe briefly the Diagnosis,Pathophysiology
and treatment of Hepato-Renal Syndrome in a case
of advanced Liver Cirrhosis.
10.Discuss the role of anaesthesiologist in Organ
Donation.
PAPER II
1.What are the indications of RRT?Describe its role
in MODS.
2.Describe the etiology,clinical features and
treatment of Malignant Hyperthermia.
3.What are the anaesthetic concerns in the
management of a patient with Myaesthenia Gravis
scheduled for Thoracoscopic Thymectomy?
4.What are the indications for ICP monitoring in
patients with Head Injury? Describe the ICU
management strategies of a patient with sever
head injury.

5.How will you diagnose and manage a case of VAE

during Spine Surgery?
6.Enumerate the agents implicated in allergic
reactions during anaesthesia.How would you
manage a patient with Anaphylaxis during
anaesthesia?
7.Write down the Algorithm for Resuscitation of a
Newborn.
8.What is Anion Gap?Describe the causes and
management of Metabolic Acidosis from Low
Cardiac Output.
9.Write an Algorithm for the management of Early
Haemorrhagic Shock.What are the goals in early
resuscitation during active bleeding?
10.Describe the commonly encountered problems
following CPB in the post bypass period.
PAPER III
1.What are the clinical fetures of OP Poisoning?
How will you manage a patient of OP Poisoning in
an ICU?
2.What are the ingredients of Professional
Negligence? Write a note on Informed Consent.

3.What is IASP definition of Pain?How do you

classify pain?Briefly describe the Interdisciplinary
management of Chronic Pain.
4.An 8 years old child who underwent
Tonsillectomy 4 hours ago returns to the Operating
Table with Bleeding from Tonsillar site.Describe
preparation,preoperative assessment and
anaesthetic management of this case.
5.What are the hazards and Limitations of
providing anaesthesia in an MRI suite? Describe the
anaesthetic management of a 6 months old child
with Hydrocephalus scheduled for MRI.
6.What are the causes of Intra-operative
Hypotension during THR? Outline the treatment
strategies.
7.Enumerate the major concerns for
anaesthesiologist in Hypertrophic Pyloric Stenosis
in a newborn.Write down the anaesthetic
management of such a case.
8.Enumerate age-related changes in
Cardiovascular,Pulmonary,Nervous and Renal
systems in Geriartric patient which can affect
anaesthetic management.How do the changes in
Renal functions affect anaesthetic management?

9. Describe the preoperative evaluation and

anaesthetic management of a $ year old child with
Perforating eye Injury scheduled for repair under
GA.
10.What is COPD? How will you manage
oxygenation and pain in post-operative period of a
case of COPD undergoing upper abdominal
surgery?
PAPER IV
1.Briefly discuss the management of a patient with
severe sepsis as per Surviving Sepsis Guidelines.
2.What is the significance of Autonomic
Neuropathy in DM? How can it be assessed?
3.Describe the innervations of Larynx and the
palsies following nerve injury with the help of
diagram(s).
4.What are the factors leading to arterial
hypoxemia in the PACU? Discuss the DD.
5.Describe the causes and management of Acute
Dilutional Hyponatremia in the immediate
postoperative period.

6.Describe the algorithm of the evaluation and

initial therapy of a patient with suspected Perioperative coagulopathy.
7.What is Relative and Absolute Humidity? What
are active and passive Humidifiers? What are their
advantages and disadvantages?
8.What is scavenging in OT? What are five basic
parts of a scavenging system? What are the
hazards of a scavenging system?
9.Describe the mechanism by which IABP
augments coronary perfusion.What are the
indications and contra indications for the use of
IABP?
10.What is Hospice? When should you begin
hospice care?How does hospice serve patients and
families?