CHAPTER WISE QUESTIONS FOR DNB EXAMINATION IN ANAESTHESIOLOGY

 Airway management
 
1. Describe the anatomy of larynx with difference in adult and children. What is importance of recurrent laryngeal nerve in anaesthesia Practice
2. Evaluation of difficult airway
3. Difficult intubation
4. Trachesotomy techniques and complications
5. Discuss the preoperative assessment and the method of anaesthesia in Patient with T M Ankylosis for the Release of Ankylosis
6. Predictive factors & intubation difficulty
7. Causes of airway obstruction following thyroid surgery and its managementc.
8. Anatomy of larynx. Enumerate with diagrams the types of vocal cord palsies
9. Management of an adult with smoke inhalational injury
10. Problems of anaesthesia in dental chair
11. List the bed side test available to predict the difficult intubations. Comment on their use
12. Anaesthetic Management of two years old child who is scheduled for Therapeutic Bronchoscopy following inhalation of foreign body 2 days ago child could not exhibit any sign of airway obstruction
13. Airway management in an unconscious patient
14. Discuss the patho-physiology and management of inhalational injury. (25 marks)
15. Vocal cord palsies with the aid of diagrams of direct laryngoscopic view.


 Basics and general aspects
 
1. Infections related to anaesthetic practice
2. Plasma expanders
3. Discuss the pathophysiology and management of anaphylactoid reactions in anaesthesia
4. Disinfection
5. Prevention of fire and explosion hazards in operation theaters
6. Pre-operative evaluation of Autonomic function
7. Pollution in Anaesthesia
8. O2 toxicity
9. Role of kidney in acid base balance
10. Possible causes of delayed recovery from general anaesthesia
11. Temperature regulation in adults, Predisposing factors, diagnosis and management of malignant hyperpyrexia
12. Oxygen cascade, Oxygen transport and Oxygen dissociation curve
13. What is minimum monitoring standard? Describe the objectives and methods.
14. The factors influencing tissue oxygenation
15. Risk and management of pulmonary aspiration
16. Application of venturi principle in anaesthetic practice
17. Pre-operative visits
18. Oxygen therapy
19. Plasma proteins and anaesthesia
20. Post anaesthetic vomiting
21. Write down the physiology of sleep. How does it differ from anaesthesia?
22. What phases occur in various stages of anaesthesia
23. Total intravenous anaesthesia
24. Occupational hazards to anaesthetist
25. Post operative jaundice
26. Pulmonary edema in intra operative and immediate post operative period
27. What is malignant hyperthermia? Discuss its clinical features and laboratory finding. Why it is important for the anesthetist to know about this syndrome?
28. Air Embolism under anesthesia
29. Discuss the Aetiology and Management of various Cardiac Arrhythmias occurring during anaesthesia
30. Management of Mismatched Blood Transfusione.
31. Occupational Hazards to Anesthetist
32. Defibrillation
33. Central anticholinergic syndrome in the post operative period
34. HIV and anaesthesia
35. Stress management in anaesthesia practice
36. Recognition and management of anaphylaxis during general anaesthesia
37. Post-OP shivering
38. Hepatitis B and anaesthesiologist
39. Intra operative bronchospasm
40. Current concepts in cardio-pulmonary resuscitation
41. Temperature regulation in adults, Predisposing factors, diagnosis and management of malignant hyperpyrexia
42. Anaesthetic considerations in obesity
43. What are the potential causes of delayed resumption of spontaneous ventilation after abdominal surgery with general anaesthesia. Discuss the problem, its diagnosis and management
44. Discuss in brief the problems of adult patient with Downs syndrome for multiple teeth extraction
45. Preoperative preparation of a diabetic patient with history of bleeding varices lino-renal shunt operation.
46. Anaphylactic reaction on the operation table.
47. Risk factors for Venous Thrombo Emolism and classify the current method of prevention with examples.
48. What are the diagnostic features that would lead to identify Malignant Hyperthermia during (or) immediately after Anaesthesia and state the guidelines of Management?
49. Assessment of intra operative awareness
50. Define perioperative hypertension. Describe the causes and management
51. Describe in detail the occupational hazards to Anaesthesiologists
52. Modified guidelines of Cardio-pulmonary Brain Resuscitation- 2005
53. Diagnosis and management of an acute attack of Malignant Hyperthermia
54. Discuss the causes of delayed recovery from anaesthesia and the management
55. What are the causes of hypercarbia during the intraoperative period. Discuss the effects and management
56. Stress response to trauma and surgery
57. Air embolism during anaesthesia
58. Complications and sequalae of blood transfusion
59. Discuss the anaesthetic techniques and postoperative problems in an obese patient for large hernia of interior abdominal wall.
60. Complication of blood transfusion.
61. Problems of laparoscopic surgery and monitoring techniques used during the procedure
62. Discuss the aetiology and management of supra ventricular arrythmia's during surgical procedures
63. Disseminated intra-vascular coagulation
64. naesthetic problems in an anemic patient
65. Prevention and treatment of intra-operative myocardial infarction
66. Preoperative preparation and evaluation of a patient with history of exertional angina for surgery under general anesthesia
67. Describe airway management of a patient of Anyklosing spondylitis with severe restriction of neck movement posted for total hip replacement
68. Management of intra-operative bronchospasm
69. Pathophysiology of venous air embolism. Mention the methods of detection, prevention and treatment.
70. Iatrogenic complications in anaesthesia
71. Recent trends in blood transfusion and blood products
72. Somatosensory evoked potential
73. Autologous blood transfusion
74. Awareness during anaesthesia
75. Blood component therapy
76. Crystalloid and colloid
77. Safe anaesthetic procedure
78. Bronchospasm during anaesthesia and immediate post-operative period and its management
79. Autologus blood transfusion
80. Attenuation of Laryngoscopic reaction to intubation
81. Discuss the pathogenesis, clinical features and management of Mendelson's syndrome.
82. Autologous blood transfusion
83. Aetiology and management of hypotension during anaesthesia
84. Beta receptor blockade its relationship in anaesthesia
85. Post anaesthetic vomiting
86. Advanced life support
87. Management of multi focal ventricular ectopics during anaesthesia
88. Minimum patient monitoring during anaesthesia
89. Malignant hyperthermia
90. Embolisms during anaesthesia
91. .Discuss the current concepts and modified guidelines of cardiopulmonary brain resuscitation.
92. Current concepts in the diagnosis and treatment of malignant hyperthermia
93. Awareness and wakefullneSS under anaesthesia
94. APACHE score (acute Physiology and chronic health evaluation)
95. Advanced life support
96. What is myesthenia gravis? What are its clinical features? Discuss the preoperative investigations, preparation and anaesthetic management of such a case presenting for an interval appendisectomy and management of the likely complications
97. Management of multi focal ventricular ectopics during anaesthesia
98. Malignant hyperthermia
99. Embolisms during anaesthesia
100. Current concepts in the diagnosis and treatment of malignant hyperthermia
101. Autologus blood transfusion
102. Plasma proteins and anaesthesia
103. Define morbid obesity. Enumerate the changes that occur in the respiratory, cardiovascular and metabolic systems in obesity. A 40 years old patient with a height of 158 cms. And weighing 150 kgs. Is scheduled for pyelothotomy. How will you evaluate this patient preoperatively. Discuss the anaesthetic management and the expected problems in such a case
104. Supine Hypotension Syndrome
105. .Define hypertension. How will you evaluate and prepare pre-operatively a 40 year old female patient scheduled for abdominal hysterectomy. Discuss the anaesthetic and post-operative management of such a case. (
106. Management of Mendelson's syndrome
107. Perioperative blood conservation
108. Interactions of pre-existing drug therapy with the anaesthetic agents and techniques
109. Water and electrolyte disturbances and their pre-anaesthestic correction in small gut obstruction.
110. Oxygen therapy
111. Oxygen therapy in post operative period
112. Uses, advantages and disadvantages of plasma expanders
113. Hypotension during anaesthesia
114. .Discuss anatomy of the diaphragm with a diagram. How does it behave under different stages of anaesthesia?
115. Spinal opiate receptors
116. Neuro-muscular transmission

DNB ANAESTHESIOLOGY PREVIOUS QUESTIONS JUNE 2010

1.Describe the  PEA algorithm.

2.Anaesthetic management of a case of esophagogastrectomy

3.Anaesthetic management of congenital diaphragmatic hernia in a newborn.

4.Enteral nutrition advantages over parenteral nutrition, and complications.

5.The role of anaesthesiologist in HELLP syndrome.

6.Simulators in anaesthesia

7.Intra operative considerations in an obese patient  posted for bariatric surgery.

8.Newer trends and concepts in pre-emptive analgesia

9.Methods to prevent allogenic transfusion

10.Anaesthetic management of a pregnant patient for appendicectomy.

11.Nitric oxide

12.Enumerate the differences between acute and chronic pain.How you give post operative analgesia for abdominal surgery.

13.Dexmeditomedine

14.short notes on    a) I-GEL
                                b) BIS

15.Describe the technique of peribulbar block.Enumerate the complications.

16.Uses of ultrasound in anaesthesia

17.Local anaesthesia toxicity management. Role of intra lipids.

18.What are the criteria for brain death. Discuss role of anaesthetist in multiple organ harvesting.

19. What is triage? what are the different methods employed? discuss.

20.CPCR 2005 changes.

21.Describe the technique and advantages of percutaneous tracheostomy.

22. Blood products.. uses..

23. AHA guidelines for non cardiac surgery.

24.Describe the anatomy of brachial plexus with the help of diagram.Describe any one technique for block.

25.With the help of diagram  classify the breathing circuits.Describe Bain's circuit.

26.What are the safety features on modern anaesthesia machines?

27.Describe the cerebral circulation and factors affecting it?

28. Describe the criteris used for weaning from ventilator. Describe RSBI.

29.Causes and management of hypokalemia

30.Mendelsons aspiration syndrome.

31.Informed consent

32. Bed side pulmonary function evaluation

33.Management of a case acute anaphylaxis

34.With the help of diagrams describe the patterns of neuromuscular blockade.

35. Describe the causes and management of intraop desaturation.

DNB ANAESTHESIA PREVIOUS YEAR WISE QUESTIONS

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MD/DNB ANAESTHESIOLOGY PREVIOUS QUESTIONS THEORY

THESE ARE THE GUN SHOTS....

PAPER 1

1.Draw a labeled diagram of anatomy of brachial plexus. What is the technique
of supraclavicular approach of brachial plexus block.

2.Draw Oxygen dissociation curve and enumerate factors affecting it.

3.Enumerate oxygen delivery devices. Describe Venturi principle
   diagrammatically.

4.Define MAC (Minimum Alveolar Concentration) and its different levels.
  Enumerate various factors affecting MAC value.

5. Outline the principles of Pulse Oximetry, enumerate its pitfalls and solutions
 with brief note on Masimo’s technology

6.Short notes on the following drugs
 a) Propofol
 b) Ropivacaine

7.Define volume of distribution? What is its clinical significance? Give one
   example?

8.What is the nerve supply of to the cricothyroid muscle? Enumerate the sensory
    innervation of larynx? Draw labeled outline diagram of vocal cord position in
   unilateral and bilateral recurrent laryngeal nerve palsy
9.Give classification of Mapleson’s breathing circuits. Describe Bain’s Coxial
   system in detail including its functional analysis.
10.Describe the anatomical differences between adult and infant airway.  Write brief on Upper Lip bite test and its relevance to Airway assessment?

PAPER 2.

1.Define autologous blood transfusion. Enumerate various methods. Describe
intra-operative blood conservation.

2.Enumerate the methods to relieve post operative pain in an adult patient who
has undergone right upper lobe lobectomy. Give details of thoracic epidural
analgesia.

3.Anaesthetic considerations in MRI

4.Describe outline of – Difficult Airway Algorithm.

5.Discuss causes, clinical features, EKG changes and management of
hyperkalemia.

6.Discuss pre-anaesthetic assessment and preparation of patient scheduled for
laparoscopic adrenalectomy

7Discuss the differentials and management of postoperative oxygen
desaturation in postanaesthesia care unit

8.Write short note on “World Anaesthesia Day”

9.Write short note on Anaesthetic considerations for globe (Eye) perforation.

10.Enumerate post operative  complication of thyroid surgery. Write note on managementof thyroid storm.
Curriculum MD (Anaesthesia)

 PAPER 3


1.A 50yr old male patient with history of well controlled hypertension with
 breathlessness on moderate exertion and inferior wall infarction 4 months
back is posted for emergency Laparotomy. Outline pre-anaesthetic
evaluation, risk stratification, preparation and anaesthetic management.

2.What is renal replacement therapy? What are the techniques used?

3.Outline anaesthetic goals with respect to heart rate, rhythm, pre-load, after
   load for a patient with severe mitral stenosis posted for open cholecystectomy
  and describe  achievement of these goals during induction.

4.Describe Low flow anaesthesia – advantages, problems & limitations.

5.Describe Continuous Spinal Epidural Analgesia (CSEA) under the following
 headings:- equipment needed, position of patient, technique, volume and
doses of local anaesthetic agents used, additives and complications.

6.Enumerate methods of confirming correct posturing of Endotracheal Tube.
  Describe complications of malplaced ETT.

7.Tabulate the beneficial effects of cessation of smoking preoperatively with their
   time course. Enumerate pulmonary function tests in patient scheduled for
  pneumonectomy

8.Enumerate perioperative complications of one lung anaesthesia. Outline the
    management intraoperative desaturation in a patient undergoing lobectomy.

9.Describe pre operative evaluation and preparation of an adult patient with burn neck contracture.

10.Define cerebral perfusion pressure. Describe briefly perioperative
 management of cerebral vasospasm following aneurismal leak.
Curriculum MD (Anaesthesia)

PAPER 4



1.Define & outline technique of Percutaneous dilatational tracheotomy. Tabulate
 advantages and disadvantages as compared to traditional Tracheotomy.

2.Enumerate newer modes of mechanical ventilation. Tabulate differences
  between Volume preset and Pressure preset modes.

3.Describe briefly early goal directed therapy of sepsis. Describe role and
   current status of corticosteroids in sepsis management.

4.Describe resuscitation and anaesthetic management of patient who developed
  inversion of uterus after delivery and brought to emergency room in gasping
 state.

5.Define Intra- Cranial Pressure (ICP). Enumerate factors causing an increase in
 ICP and Enumerate ICP lowering drugs and non pharmacological measures to
reduce ICP in post traumatic head injury.

6. Define Cardioversion and Defibrillation. Enumerate indications for both.
  Tabulate differences between Biphasic and Monophasic defibrillation.

7.Describe early resuscitation of 25 years female, who developed second
   degree burns on face, front upper trunk, upper limbs and upper airway after
  suicidal attempt.

8.Describe briefly preanaesthetic evaluation, preparation, anaesthetic
    management of a middle aged male scheduled for lobectomy following
   carcinoma lung. Enumerate postoperative complications.

9. Enumerate different methods of blood conservation in patient under going
  bilateral total knee replacement surgery. Enumerate antifibrinolytic drugs and
 describe dosage schedule of one drug.

10.Discuss briefly role of PEEP with low tidal volume, Inverse Ratio Ventilation,
 Prone ventilation, Permissive hypercapnia and permissible hypoxemia in
ARDS

ANAESTHESIA MD PREVIOUS YEAR QUESTIONS

Few of the anaesthesia MD questions can be found from this web site..http://www.keralauniversity.ac.in/index.php/component/content/article/29-the-cms/290old-question-papers-of-mdms-examinations.

ANAESTHESIA PREVIOUS DNB THEORY QUESTIONS 2009

THESE QUESTIONS WERE RECOLLECTED FROM MEMORY BY PREVIOUS CANDIDATES

1.With the help of diagram describe physiology of cerebral circulation and factors affecting

2.Describe in brief the preop preparation and anaesthetic management of leinorenal shunt

3.Guidelines for regional anaesthesia in patients on anticoagulants

4.Technique of caudal epidural anaesthesia in children

5.Anaesthetic management of congenital diaphragmatic hernia in a 1 year old baby

6.Describe the pathophysiology of shivering. outline the management of post op shivering.

7.With the help of diagram  explain the ventilation perfusion ratio in normal lung.

8.Percutaneous dialatational tracheostomy

9.Enumerate the weaning modes of ventilator..describe the process of weaning.

10.role of sedation and analgesia in ICU.Agents used.

11.Hypoxic pulmonary vasoconstriction

12.explain the role of physiotherapy in post surgical patients. enumerate the methods used for chest physiotherapy.

13.What are the nosocomial infections in ICU? write in brief about ventilator associated pneumonia.

14.Describe the pathophysiology of hepatorenal syndrome

15.Management of intracranial hypertension

16.Desribe the management of a case of respiratory failure following COPD

17.Explain venturi principle.what are the applications in anaesthesia?

18.Explain the physiological changes associated with laparoscopic cholecystectomy

20.classify inotrops according to their mechanism of action. compare dopamine and dobutamine

21.Outline the management of a case of severe organophosphorus poisoning.

22.Describe the management and manifestations of thyroid storm.

23.Describe the techniques of chest physiotherapy. describe incentive spirometry.

24.Pathophysiology of hepatorenal syndrome.

25.What are the factors affecting neuro muscular block.Describe train of four pattern of blockade.

26.What is minimum alveolar concentration? what are the factors affecting MAC?

27.30 year old 36 weeks primi with eclampsia for emergency LSCS. Describe the preop evaluation and anaesthetic management.

28.Define massive blood transfusion.What are the complications of massive blood transfusion?

29.Describe the resuscitative measures for a case of acute severe burns.

30.70 year old  patient with CAHD is posted for TURP.Describe the preoperative evaluation.Describe in brief about the management of TURP syndrome.

31.40 year old morbidly obese patient  is posted for gastric banding. describe the anaesthetic management.
 

PREVIOUS YEAR QUESTIONS DNB THEORY ANAESTHESIA 2006 DECEMBER

THESE QUESTIONS WERE RECOLLECTED FROM MEMORY BY PREVIOUS CANDIDATES


PAPER 1
1. Acute Pain Management Service

2.Modified guidelines of Cardio-pulmonary Brain Resuscitation- 2005

3. Anaesthetic management of Post Tonsillectomy Bleed.

4. Resuscitation of 60% burns in an adult patient

5. Anaesthetic consideration for Magnetic Resonance Imaging (MRI)

6. Post-operative Pulmonary Complications

7.Anaesthesia for Electro Convulsive Therapy

8. Thyrotoxic patient for subtotal thyroidectomy

9. Diabetic patient with Autonomic Neuropathy for Abdominal Hysterectomy

10.Anaesthetic  implications  for Laparoscopy surgery in a pregnant patient

PAPER 2
1. Myasthenic Syndrome

2. Anti-thrombotic Prophylaxis and Neuraxial Anaesthesia

3. Diagnosis and management of an acute attack of Malignant Hyperthermia

4. Artificial Blood (Synthetic oxygen carrying substances)

5. Pulmonary Artery Pressure Monitoring

6. Spinal Anaesthesia in children

7. Pre-operative evaluation and preparation of a patient with Fallot's Tetrology

8. Total Intravenous Anaesthesia

9. Anaesthetic management of a case of Pituitary Adenoma who is planned for
excision of adenoma (transsphenoidal hypophysectomy)

10. Discuss  the Anaesthetic problems in scoliosis, surgery

PAPER 3

1. Discuss the causes   and management of delayed recovery from anaesthesia
2. Complications of Extradural Anaesthesia

3. Regional anaesthesia in pediatrics

4.

5. Discuss the management of an unconscious young patient with history of drowning

6. What do you mean by awareness during anaesthesia? describe  the measurement of the depth of anesthesia

7. Describe the intrathecal and epidural opioids

8. What are the causes of hypercarbia during the intraoperative period. Discuss the physiological effects and management

9. Anaesthetic problems in a patient with extreme obesity

10. Describe the different anaesthetic management of cataract surgery



PAPER 4
 1.What do you mean by the term Golden Hour in Trauma? Discuss the role of
anaesthetist in resuscitation of a trauma patient

2.Stress response to trauma and surgery

3. Describe innervation of Female Genital Tract with a diagram and discuss methods of producing painless labour

4. Lung Compliance

4. Role of Kidney in Acid-base Regulation

5. HELLP Syndrome

6. Adrenergic Agonists

7. Drug Interactions

8. Phantom Limb Pain

9. Hyperkalemia

10.Role of magnesium in anaesthesia and Intensive Care Unit.

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