Professional Documents
Culture Documents
Provided by Dr Sirisha
1]EQUIPMENT
2]PHYSIOLOGY
3]PHYSICS
4]PHARMACOLOGY
9.Use of Sch in cardiac patients posted for non-cardiac surgery(RACE 2005-pg no.193).
12.Perioperative beta blockade is mandatory with CAD for non-cardiac surgery(RACE 2007-pg no.
193).
5]MONITORING
4.How to get the most out of your CVP catheter?(RACE 2003-pg no.92).
6]BLOOD
7]ABG
8]AIRWAY
9.I-LMA is the ideal method of intubation in cervical spine injuries(RACE 2010-pg no.239/243).
9]PAIN
10]ANAESTHETIC COMPLICATIONS
11]REGIONAL ANAESTHESIA.
2.Epidural test dose with epinephrine 1:200,000 in Lignocaine contraindicated in PIH(P & C)-
(RACE 2002-pg no 210).
12]POSITIONING
13]FLUID MANAGEMENT
14]CNS
5.Anaesthetic management of patient with SAH for cerebral aneurysm clipping(RACE 2012-pg no.
191).
-Anesthesia for patients with VHD for non-cardiac surgery(RACE 2012-pg no.97).
4.Anesthetic management of patient with IHD for non cardiac surgery(RACE 2005-pg no.104).
9.Role of goal directed therapy in high risk non-cardiac surgery(RACE 2012-pg no.91).
16]RS
17]OBG
2.GA for LSCS for fetal distress-pros and cons(RACE 2001-pg no 126).
4.20 year old primi with severe MS requires labour analgesia(RACE 2003-pg no.186).
8.Anaesthesia for patient with APH coming for LSCS(RACE 2008-pg no.133).
9.Anaestheaia for LSCS for a patient with Eisenmengers syndrome(RACE 2009-pg no.167).
14.Anaesthesia for placenta percreta planned for elective LSCS(RACE 2010-pg no.185).
15.Use of clotting factors and other prohemostasic drugs for obstetric haemorrhage(RACE 2011-pg
no.129).
16.Anaesthetic management of a Morbidly Obese Parturient for elective LSCS(RACE 2011-pg no.
179).
17.GA versus RA in a pregnant patient with critical MS for LSCS(RACE 2011-pg no.355).
18]PAEDIATRICS
5.Sedation and analgesia in children for procedures outside OR(RACE 2003-pg no.111)(RACE
2013-pg no.61).
-Anaesthetic management of a child with CHD for non-cardiac surgery(RACE 2011-pg no.65)
11.Is anaesthesia for neonate different from paediatric anaesthesia?(RACE 2006-pg no120).
18.A child with Pierre Robin syndrome for laparotomy(RACE 2010-pg no.377).
19]CARDIOTHORACIC SURGERY
20]VASCULAR SURGERY
21]NEUROMUSCULAR DISORDERS
22]ENDOCRINE DISORDERS
2.DM
-Strict preoperqative blood sugar control to an FBS of 200 mg% is mandatory before elective
surgery(RACE 2003-pg no.208).
23]GIT
LIVER
24]ORTHOPAEDICS
25]RENAL
1.Anaesthetic management of a patient with ESRD for renal transplantation(RACE 2003-pg no.
100).
26]ENT
1.A 25 year old otherwise healthy male with Ludwigs Angina is posted for abscess drainage(RACE
2003-pg no.194).
28]EYE
29]CRITICAL CARE
9.Mechanical Ventilation
-Ventilatory strategies in ICU(RACE 2004-pg no.102).
-ventilator graphics are useful in patients on long term ventilation(RACE 2007-pg no.197).
-Newer strategies in weaning from long term mechanical ventilation(RACE 2008-pg no.179).
10.SEPSIS
14.ARDS
15.BURNS
30]GENERAL
31]OBESITY/BARIARTRIC SURGERY
32]DCS
33]CASES
1.Uncontrolled DM and 2 weeks old MI with intestinal obstruction coming for emergency
surgery(RACE 2008-pg no.69).
HISTORY OF ANAESTHESIA
1) WTG Morton(S/N)*
2) John Snow(S/N)*
3) August Bier(S/N)**
6) Horace Wells(S/N)
PRE-OP ASSESSMENT
2) Describe the use of various laboratory tests for the pre-anaesthetic assessment of
5) What special preoperative preparation and precaution will be taken when you are
GENERAL
1) What is TIVA? Discuss the merits and demerits of various agents (M/Q).*
2) TIVA(S/N)*
8) Obesity(S/N).
9) Porphyria(S/N).
11) DVT(S/N).
15) What is informed consent? Discuss the importance in the present day
17) Hypothermia(S/N).
19) Discuss the physiological changes and complications of laparoscopic surgery (M/Q).
PHYSICS
1) Describe the various gas laws and their application in anaesthesia (M/Q).
2) Venturi Principle(S/N).*
Chapter 2. The Operating Room: Medical Gas Systems, Environmental Factors, & Electrical Safety
3) What are the health hazards faced by health care professionals, routinely working?
1) Describe in detail the different anaesthesia circuits used in clinical anaesthesia practice (M/Q)
*
2) Describe the functional analysis of Mapleson A circuit for spontaneous breathing and
controlled ventilation (M/Q).
7) Paediatric circuit(S/N) .
7) Bains circuit(S/N).
8) Give an account of the non-return valves used in anaesthetic practice. With the
1) Rotameter(S/N).
4) Oxygen concentrator(S/N).*
1) LMA(S/N) ****
2) Describe the various types of LMAs available for the use of anaesthetists. Mention the merits
and demerits of the commonly used LMAs. (M/Q)
4) Mallampati test(S/N).*
6) Jet ventilation(S/N).
9) Bullard laryngoscope(S/N).
11) Describe the airway management of a patient with Ankylosing Spondylitis with
12) Severe restriction of neck movement scheduled for total hip replacement (M/Q).* *
13) NIV(S/N).
14) Cricothyrotomy(S/N).
15) Discuss the airway management of a RTA victim who has come to ICU with acute
2) Capnography(S/N) ***
3) ETCO(S/N)
4) Neuromuscular monitoring(S/N).
5) CVP(S/N)*
6) Bispectral index(S/N).*
7) Describe the anatomy of the posterior triangle of the neck. Enumerate the complications that
can take place when cannulating the IJV (M/Q). **
9) What are the monitoring devices used during anaesthesia? Write a brief note on
Capnography. (M/Q)
1) Sevoflurane(S/N) **
5) Describe the uptake, distribution and elimination of volatile anaesthetic agents (M/Q)
1) Propofol(S/N)
3) Atracurium(S/N).
4) Mivacurium(S/N).
5) Dibucaine number(S/N).
6) Describe the effects of antibiotics on the neuromuscular blockade caused by clinically used
muscle relaxants (M/Q).
7) Describe the physiology of neuromuscular transmission and the causes for prolonged apnea
following depolarizing relaxants (M/Q).
9) Recurarisation(S/N).
10) Describe the physiology of neuromuscular transmission. How do depolarising and Non-
depolarizing muscle relaxants act. (M/Q)
11) Classify muscle relaxants. Briefly describe the various newer muscles relaxants (M/Q).
13) What are the hazards of using Sch.Describe the management of an adult patient who fails to
breathe 20 minutes after a single dose of Sch (M/Q)?
1) Autonomic neuropathy(S/N).
1) Sodium nitroprusside(S/N).
1) Classify local anaesthetic drugs and discuss their mode of action. Describe the
3) Classify and describe the pharmacology of local anaesthetic drugs. Write a note
5) Etidocaine(S/N).
6) Ropivacaine(S/N)
3) Classify diuretic agents according to their site (or mode) of action. Add a note on the
complications of diuretic therapy (M/Q).
4) Classify diuretic agents according their site of action. Enumerate the indications and
complications of diuretic therapy. (M/Q)
5) Describe the pharmacology of benzodiazepines. Give merits and demerits of various drugs of
this group (M/Q).
7) Midazolam(S/N).*
8) Pulmonary Surfactants(S/N).
9) Dantrolene sodium(S/N)
10) Amiodarone(S/N)
11) Flumazenil(S/N)
12) Glycopyrrolate(S/N).
1) Describe the anatomy of epidural space. What are the methods to locate the epidural space
(M/Q?)
1) Discuss the anatomy of brachial plexus, the sites at which it can be blocked and
complications of such a block (M/Q).
2) Describe the anatomy of brachial plexus. Write ant one technique of brachial Plexus block (M/
Q).
3) Discuss the various methods of brachial plexus block with merits and Demerits (M/Q).
4) Three-in-one block(S/N).
5) Describe the anatomy of celiac plexus, method and indication of celiac plexus Block (M/Q).
6) Describe the anatomy of an intercostals nerve, the sites at which it can be blocked and
complications of such a block. (M/Q)
7) Discuss the anatomy of cervical plexus, method, indications and complications of the cervical
plexus block (M/Q).
8) Describe the cervical plexus block. Mention the various types of operations that can be
performed under this anaesthesia (M/Q).
11) IVRA(S/N)
1) Describe the anatomy of pain pathways with reference to methods used to relieve pain (M/Q).
3) Interpleural analgesia(S/N).
4) Describe the anatomy of intercostals nerve. Write a technique of intercostals nerve Block (M/
Q).
5) Give an account of Endorphins, Opoid receptors and their role in post-operative pain relief (M/
Q).
8) Intrathecal narcotics(S/N).
9) Discuss the various techniques used in the management of post op pain relief (M/Q).
10) Buprenorphine(S/N).
11) PCA(S/N).
12) Why is it important to provide postoperative analgesia to patients? What are the recent
advances in this field? (M/Q).
13) What are the methods employed in postoperative pain relief? Mention the merits and demerits
of each method (M/Q).
1) Mention the factors influencing cardiac output and the changes produced by IPPV (M/Q) (**)
2) Cardiac index(S/N).
3) Describe the arterial circulation of the heart with the aid of a diagram. Explain Goldmans
cardiac risk index and its importance to anesthetists (M/Q).
4) Define and explain the factors affecting preload, afterload and contractility and their
anesthetic implications (M/Q).
1) Atrial fibrillation(S/N).
2) What are the problems of anaesthetizing a patient with IHD.describe briefly your management
(M/Q).
3) Cardio version(S/N).
4) Heart block(S/N).
1) Describe the anatomy of bronchopulmonary segments with a neat diagram and the
anaesthetic implications (M/Q).
2) Describe the anatomy of bronchopulmonary segments (M/Q).
3) Describe the anatomy of bronchopulmonary segments with illustration and mention various
lung function tests. (M/Q)
4) Describe the anatomy of bronchial tree and its anaesthetic significance (M/Q)
5) Give an account of the anatomy of the various segments of the lung (M/Q).*
7) What is humidification? Describe the various methods used to humidify the inspired Gases
(M/Q).
8) Mention the importance of oxygen dissociation curve to the anaesthetists. What is Shift to the
left (M/Q).
14) Describe the oxygen carriage to the tissues. Enumerate the different methods of administering
oxygen to the patient (M/Q).
1) A middle aged chronic smoker with bronchiectasis is posted for left lower lobectomy.Discuss
the principles of pre-operative care of this patient (M/Q).
2) Describe the clinical features, preoperative evaluation in COPD patients. Write a note on
various anaesthetic techniques practiced in these patients (M/Q).
2) Describe the cerebral circulation and factors affecting cerebral blood Flow (M/Q).*
1) Hyperkalemia(S/N) **
2) Hyponatremia(S/N).
3) Base deficit(S/N).
2) Enumerate the various complications of blood transfusion. Discuss any one of the
complications in detail (M/Q)
4) Transfusion reactions(S/N).
6) Blood substitutes(S/N).
7) Discuss the nature and indications for the use of various blood products which are currently
available. Mention the advantages and disadvantages of each. (M/Q)
9) Jehovahs witness(S/N).*
10) Cryoprecipitate(S/N). **
11) What is conservation of blood for surgery? Discuss in detail the various methods adopted in
practice. (M/Q)
14) List the blood components and its derivatives available for use in which conditions are they
specifically indicated (M/Q).
15) Describe briefly the pathogenesis and clinical features of anaphylactic shock. How would you
manage a case of mismatched blood transfusion (M/Q)?
16) Perfluoro-hydrocarbons(S/N).
1) Discuss the anaesthetic problems involved during renal transplant surgery (M/Q).
1) Describe the anaesthetic management of a 70 year old man for TURP surgery (M/Q).
2) What do you mean by TURP syndrome? How will you manage such a patient in? OT (M/Q).
1) Describe the liver function tests and their importance (relevance to) in anaesthesia (M/Q). **
1) Discuss the anaesthetic management of a sixty year old male suffering from Obstructive
jaundice needing a palliative cholecysto-jejunostomy operation (M/Q).
2) Childs Score(S/N).
1) Describe the synthesis of thyroid hormones and the factors regulating it. List the drugs
currently used in the treatment of thyrotoxicosis mentioning their mode of Action and dosage. (M/
Q).
3) Describe the pre-operative evaluation of a patient with primary thyrotoxicosis and the
anaesthetic management in the patient (M/Q).
5) Describe the problems in a patient with hypothyroidism coming for surgery (M/Q).
6) Discuss in detail the pre-operative evaluation, preparation and preoperative management of a
50 year old Insulin dependent diabetic posted for elective cholecystectomy (M/Q).
1) Discuss in detail the anaesthetic management of a patient suffering for myasthenia gravis
posted for surgery (M/Q).
3) Discuss the anaesthetic management of a 2 year old child with perforated eye injury (M/Q).
1) Discuss in detail the anaesthetic management of a 15 year old boy for scoliosis surgery (M/
Q).
2) Placental barrier(S/N).
3) Foetal Hb(S/N)
1) Describe the innervations of uterus and any one method of providing obstetric analgesia (M/
Q).
2) Describe the innervations of uterus. How do you provide obstetric analgesia by epidural route
(M/Q).
3) Describe the various techniques of pain relief for a woman in labor (M/Q).
6) HELLP syndrome(S/N)
8) Briefly summarize the problems, anesthetic management of a primipara with rupture uterus in
a state of shock (M/Q).
9) Discuss the anaesthetic management of a primigravida with ruptured uterus coming for
emergency surgery (M/Q).
10) A 30 year old primi with impending rupture of uterus requires emergency CS. There is mild
fetal distress and the patient gives history of taking meal two hours ago. Desribe your plan of
anaeshetic management (M/Q).
11) Briefly summarize the problems and anaesthetic management of a primi-gravida brought with
rupture uterus in a state of shock (M/Q).
12) A 28 year old female patient, second gravid in the third trimester is scheduled for elective
laparotomy. Discuss the anaesthesia management (M/Q).
13) A 28 year female patient, second gravid in the third trimester is scheduled for mitral valve
surgery. Discuss the anaesthetic management (M/Q).*
14) Discuss the physiological changes in pregnancy and its relevance to anaesthetist (M/Q).
16) Discuss the anaesthetic management of a patient in first trimester pregnancy posted for
appendicectomy (M/Q).
17) Discuss the anaesthetic management of 25 year old primi gravid with co-existing PIH needing
an emergency CS (M/Q).
3) Describe the anaesthetic problems and management of a child 3 months old with
hydrocephalus for shunt surgery (M/Q).
4) Classify trachea-esophageal fistula. Describe the anesthetic problems and management (M/
Q)
5) A two day old neonate weighing 3kg with TEF is posted for surgery. Discuss the preoperative
evaluation, preparation and your method of anaesthetic
management (M/Q).
6) A ten year old child with retropharyngeal abscess is scheduled for elective surgery. What
problems are to be expected? Describe your plan of
anaesthesia (M/Q).
7) How will you manage anaesthesia for a cervical meningocoele in a newborn? What are the
problems during anaesthesia and post-operative?
Period? (M/Q).
8) A 6 year old boy is brought with post-tonsillectomy bleeding. Discuss the preparation and
anaesthetic management (M/Q).
9) Discuss the anaesthetic management of a 10 year old boy coming for post tonsillectomy
bleeding(S/N).
10) Discuss the anaesthetic management in a 5 week old infant with congenital hypertrophic
pyloric stenosis, posted for incidental surgery (M/Q).
12) Discuss the pre-operative evaluation, preparation, and anaesthetic management of a 2 year
old child coming for herniotomy (M/Q).
13) A 2years old child posted for cleft palate repair. Narrate the anaesthetic management (M/Q).
14) A four year old child with mild respiratory distress is posted as an emergency for
bronchoscopic removal of foreign body lodged in right main bronchus. Describe your technique of
anaesthetizing this patient (M/Q).
15) Explain in detail the problems and anaesthetic management of a 2 year old child with
hydrocephalus for VP shunt (M/Q)
4) Discuss the causes and management of delayed recovery from general Anesthesia (M/Q). ***
5) Discuss the etiopathogenesis of pulmonary edema, under anaesthesia and its Management
(M/Q).
8) Enumerate the various positions in relation to anaesthesia and discuss in detail the problem
associated with them (M/Q).
10) What are the causes of perioperative hypertension? Discuss the management of Acute
hypertensive crisis under GA (M/Q)
11) VF(S/N)
13) Discuss the causes and management of cardiac arrhythmias during arrhythmias during
anaesthesia (M/Q)
14) Common post-operative respiratory problems after GA and management- Discuss (M/Q)
16) Describe in detail the clinical and lab evaluation of Mendelsons syndrome and its
management (M/Q).
17) Discuss the etiology, pathogenesis and management of pulmonary edema (M/Q).
3) ACLS(S/N). **
4) Brain death(S/N)
1) Describe relative humidity. Discuss the various methods of humidifying the Inspired gas of a
patient on prolonged ventilation (M/Q).
2) Discuss briefly the current concepts of shock. How will you manage a case of Septic shock
(M/Q). *
3) Discuss the pathophysiology of septic shock. Write in brief the recent trends in management
(M/Q).
5) GCS(S/N).
7) OP poisoning(S/N).
8) Discuss the clinical features and the management including medico legalConsideration and
essential monitoring of a young adult with OP poisoning (M/Q).
10) Discuss the management of a near drowning victim found unconscious on the sea beach and
brought by the police to ICU (M/Q).
12) Enumerate the indications and discuss about the care and complications of Tracheostomy (M/
Q).
15) TPN(S/N)
17) Discuss the management of a RTA victim admitted in ICU with head Injury (M/Q).
20) Describe the management of a patient with h/o OP poisoning admitted in the ICU (M/Q)
21) I: E ratio(S/N)
22) Cardio version(S/N).
23) IMV(S/N)
24) PSV(S/N)
25) Discuss the principles of management including monitoring and ventilator support of a severe
case of MG in the ICU (M/Q).
CASE HISTORY
1) Discuss the pre-operative preparation and the anaesthetic management of a 70 year old man
with Diabetes mellitus scheduled for upper abdominal surgery(laparotomy)(M/Q).***
2) Discuss the preparation and management of an uncontrolled diabetic patient posted for
emergency laparotomy (M/Q).*
3) Describe the anaesthetic management of a patient in DKA coming emergency BKA (M/Q).
4) Discuss the pre-operative evaluation and anaesthetic management of an elderly patient with a
history of recent MI for emergency strangulated inguinal hernia surgery (M/Q). **
5) A 20 year old male patient with MS develops acute appendicitis. Discuss the anaesthetic
management (M/Q).
6) Describe the evaluation, preparation and anaesthetic management of a patient with MS for
laparotomy (M/Q).
8) Describe the evaluation, preparation and management of a patient with bronchial asthma
posted for herniorraphy (M/Q).
9) Discuss the anaesthetic management of a 40 year old lady with hypertension posted for
abdominal hysterectomy (M/Q).
10) Describe MG.Discuss the anaesthetic management of a 40 year old male with MG posted for
fracture neck femur surgery (M/Q).
11) Describe the anaesthetic management of a patient with MI 6 months for herniorraphy (M/Q).
12) Describe the anaesthetic management of a strangulated inguinal hernia in a 65 year old male
chronic smoker (M/Q).
13) Discuss the patho physiology and diagnosis of pheochromocytoma.An eight year old child with
the condition is posted for surgery. What are the anaesthetic problems? How would you manage
this case? (M/Q).
14) A 40 year old patient with history of bronchial asthma requires surgery for fibro adenoma
breast. Discuss the anesthetic problems and management of the case (M/Q).
15) Evaluation and preoperative management of patient with coagulation defects (M/Q).
16) Anaesthetic problems in HIV patients posted for surgery (M/Q).
17) A known epileptic patient on treatment is posted for laparotomy.Discuus the pre-operative
evaluation and anaesthetic management (M/Q).
18) Discuss the management of a 70 year old diabetic for fracture neck of femur (M/Q).
1) Describe the anaesthetic services in DCS. Briefly mention the selection and discharge criteria
for DCS patients (M/Q) **