DNB ANESTHESIA QBANK ( 2020 – 2024) CVS 1. a) Indications of off pump CABG. b) Technique, advantages and disadvantages of offpump bypass. 2. a) What is preload and after load? b) What are the determinants of left ventricular diastolic function? 3. a) Extracorporeal membrane oxygenation. [2 times] 4. a) Post cardiac arrest care. [5] 5. Discuss the anesthetic considerations and perioperative management of a 75 year male who is a chronic smoker and has a permanent pacemaker in situ posted for transurethral resection of the prostate. 6. b) Non-invasive cardiac output monitoring. 7. b) Use of heparin during cardiopulmonary bypass. 8. Discuss the management of ventricular tachycardia in an adult patient 9. How will you diagnose and manage myocardial ischemia in a patient under general anaesthesia? 10. Discuss the pre, intra and post-operative management of a 53-year-old patient posted for laparoscopic cholecystectomy and detected to be hypertensive in the pre-anaesthetic clinic. [2+6+2] 11. Briefly discuss the preoperative preparation of a 65 year old female patient with coronary artery disease, with a history of drug eluting coronary stenting done one year back, posted for right total knee replacement. [10] 12. b) Cardioplegia. [5] 13. ) Cardioversion. [5] b) Aortocaval compression. 14. Discuss the pre-requisites before starting the weaning from cardiopulmonary bypass 15. Discuss the causes, diagnosis and treatment of atrial fibrillation under anaesthesia. 16. What is blood pressure, how to accurately measure it and enumerate types of hypertension? 17. Draw a labelled diagram and describe in detail the coronary circulation? How can ischemia be monitored during anaesthesia? [3 + 2] b) Discuss the factors that affect myocardial oxygen consumption and the clinical significance 18. A 26-year-old 36 week pregnant female, known case of rheumatic heart disease with severe mitral stenosis, posted for elective LSCS: a) Discuss pathophysiology of mitral stenosis. [5] b) Anesthetic plan of above patient. 19. ) Discuss the pre-anaesthetic evaluation of a 70 year old chronic smoker with systemic hypertension for 10 years on medications, posted for total hip replacement (THR) surgery