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I

1

C) Surgical options in the failing heart

SRI VENKATESWARA INSTITUTE OF MEDICAL SCIENCES, TIRUPATI

M.Ch CARDIO-THORACIC & VASCULAR SURGERYFINAL UNIVERSITY EXAMINATIONS - 2010-2011

Paper 4: Clinical Cardio-thoracic & Vascular Surgery IITime: 3 hours Date: 18.7.2011Maximum marks: 100

Instructions to Doctors: Answer all questions.Draw neat and labeled diagrams wherever neces

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - ~ ~ - ~ ~ - - - - - - - - - - - - -

1 0 1 Discuss tumours of Ribs and Sternum. Discuss the techniques of 20chest wall reconstruction

~ : : - <2 Write briefly on all of the following: 5x10=50

~1 A) Mechanism and management of post operative chylo thorax

B) Pathophysiology and management of post infarction VSD . .

D) Discuss the surgical principles in 'fontan type' operation~C" -

E) Classify Thoraco Abdomi.nal Aortic Aneurysms and discuss the " ' .- ; . .1u~t ~

various management options

3 Write short notes on all of the following:6x5=30

I ,

A) Horner's syndrome

-:; B) AV canal Defect - Management

2-- C) Sequestration lung

D) Carvedilol

E) PA banding

F) V-Q lung scinitigraphy

* * *

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1 Discuss the evolution and current status of Total Artificial heart 2 0 : ~

SRI VENKATESWARA INSTITUTE OF MEDICAL SCIENCES, TIRUPATI

M.Ch CARDIO-THORACIC & VASCULAR SURGFINAL UNIVERSITY EXAMINATIONS _ 2010-2;~Y

Paper 2: Recent advancesTime: 3 hours Date: 13.7.2011

Maximum marks. 100

Instructions to Doctors: Answer all questions.Draw neat and labeled diagrams wherever necessary.

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2 Write briefly on §ll_of the following: 5 x 1 0 = 5 0

A) Discuss the techniques of assessment of myocardial viability

B) Discuss the role of Robotics in Cardiac Surgery

C) Cannulation strategies in port access bypass heart surgery

D) Current role of Stem Cell therapy in management of Heart Disease h

E) Discuss the various energy modalities available for AF Ablation 0

Procedures

3 Write short notes on illI._ofthe following:6 x 5 = 3 0

A) VATSd ditis managementB) Anti fungal drugs for fungal en ocar

C) Lipid lowering drugs

D) IVUS\

'y

E) Percutaneous Implantable heart valves

F) Proximal anastomotic devices

* * *

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! s - 1 Discuss the Surgical Anatomy of the Mitral vaive 2 0

SRI VENKATESWARA INSTITUTE OF MEDICAL SCIENCES, TIRUPATI

M.Ch CARDIO-THORACIC & VASCULAR SURGERYFINAL UNIVERSITY EXAMINATIONS - 2010-2011

Paper 1: Basic medical sciencesTime: 3 hours Date: 11.7.2011Maximum marks: 100

Instructions to Doctors: Answer all questions.Draw neat and labeled diagrams wherever necessary.

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2 Write briefly on all of the following: 5 x 1 0 = 5 0

A) Discuss the physiology of CPB

B) Discuss normothermic vs hypothermic bypass

C) Tabulate important differences in Pulmonary Hypertension invalvular heart disease and intra / extra cardiac shunts

D) Describe the vascular implications of marfan syndrome

E) Thoracic Outlet Syndrome

3 Write short notes on all of the following:6 x 5 = 3 0

A) Protamine Reaction

') B) Nakata index

C) Mini bypass

D) Pump lung

E)TAPVC

·t· dysfunctionF) Post operative cog nr Ive* * *