MD/DNB Topic wise Question Paper

1. MEDICOLEGAL ISSUES & ANESTHESIA
2. Informed consent
3. Describe consent in anaesthesia practice including ethical and legal aspects
4. What are the ingredients of professional negligence? Write a note on informed consent
5. Vicarious liability for negligence
6. Utility of anaesthetic records
7. Effect of anaesthesia and surgery on immunological mechanism
8. Safe anaesthetic procedure
9. Simulators in anaesthesia training
10. Computer based patient record for anaesthesia
11. Stress management in anaesthesia practice
12. Ethics in anaesthesia
13. Write briefly on research ethics
14. Stress response to trauma and surgery
15. Evidence Based Medical education
16. Discuss the role of EBM in anaesthesiapractice. Quote few examples(June
17. Communication skill and anaesthesiologist
18. Describe role of patient simulator in anesthesia and critical care traninig, mentioning few clinical scenarios where it can be useful.
19. Sleep,Memory and Consciousness
20. Write down the physiology of sleep. How does it differ from anaesthesia? What phases occur during various stages of anaesthesia
21. PHYSIOLOGY
22. Clinical tests for evaluation of autonomic nervous system
23. A 50 year old male and known diabetic is scheduled for upper abdominal surgery. How will you evaluate the ANS?
24. How is autonomic neuropathy evaluated preoperatively? What is its significance in anaesthesia?
25. What are the signs and symptoms of autonomic neuropathy? What is its significance and how is it evaluated preoperatively
26. ) CNS Physiology
27. Regulation of CBF
28. Regulation of
29. How is CBF regulated? What is the effect of various anaesthetic drugs on CBF?
30. What is cerebral autoregulation? Discuss the implications of various inhalational anaesthetic agents on cerebral auroregulation
31. Write and illustrate blood supply of brain. What is cerebral perfusion pressure(CPP)? What factors can affect CPP?
32. Neuromuscular Physiology and Pharmacology
33. Neuromuscular transmission
34. Briefly describe the physiology of NMJ. Name the commonly used cholinesterrase inhibitors and any one in detail with its relevance in anesthesia
35. Respiratory Physiology.
36. ODC
37. Oxygen cascade,oxygen transport and Oxygen Dissociation Curve
38. Describe the oxygen hemoglobin dissociation curve. How does it differ from the carbon dioxide dissociation curve? What is Haldane effect?
39. What is oxygen flux? Draw oxygen hemoglobin dissociation curve and enumerate the factors producing leftward and rightward shift of the curve
40. FRC
41. Define FRC. What is its significance in anaesthesia?
42. Define FRC and closing volume. Describe their clinical significance
43. Eneumerate the causes of impairement of respiratory function during anesthesia. Which intervention can prevent atelectesis during anesthesia
44. Draw a labeled diagram showing various lung volume and capacities. Discuss the importance of FRC in anesthetic practice
45. Closing volume of the lung and its measurement
46. Lung compliance
47. 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?
48. Describe the metabolic functions of the lung
49. What are the major causes of hypoxemia? What is HPV? How can GA worsen v/q mismatch
50. Define Fink effect,Diffusion hypoxia and second gas effect. How are they of importance to the anaesthetist?
51. Define and classify dead space ventilation. Define minute ventilation. Under what conditions is minute ventilation increased?
52. 16)Cardiac Physiology
53. Describe the arterial circulation of the heart with the aid of a diagram mentioning the unique features of coronary blood flow. Explain the Goldman’s cardiac risk index and its importance to the anaesthetist
54. Factors affecting coronary circulation
55. Describe coronary circulation. Discuss factors affecting oxygen demand and supply to the myocardium
56. Hepatic Physiology-Pathology
57. Plasma proteins and anaesthesia
58. Discuss synthetic functions of the liver. What is the role of albumin in pharmacokinetics?
59. Renal Physiology
60. Role of kidney in acid base balance
61. Define base excess. How do kidneys compensate for acid base balance?
62. Describe the countercurrent mechanism in the kidney. Discuss the renal protection strategies during perioperative period
63. Basic Principles of Pharmacology.
64. Continous infusion of drugs in anaesthesia
65. Interactions of pre-existing drug therapy with anaesthetic agents and techniques
66. Drug interactions(June 2006)
67. Enzyme induction-describe the mechanism with routine anaesthesia examples
68. Enzyme induction-its role in anaesthesia with examples
69. Transdermal administration of drugs
70. Draw the structure of acetylcholine receptor(ach). Describe the changes that occurs in acetylcholine receptors when Ach binds at the receptor site
71. Inhaled Anaesthetics , delivery and IV drugs
72. Minimum alveolar concentration
73. Sevoflurane
74. SevofluraneVsDesflurane
75. Nitrousoxide:current status
76. Compare and contrast Sevoflurane and isoflurane
77. Define minimum alveolar concentration. What are the factors affecting MAC? What is its significance in anaesthesia?
78. Define minimum alveolar concentration. Describe briefly the methods used to measure the depth of anesthesia
79. Inhaled Anaesthetics-Uptake and Distribution
80. Concentration effect and second gas effect produced during uptake of inhalational agent
81. Nitrous oxide-current status in anaesthesia practice
82. Define MAC. What are the types of MAC? Describe the role of blood gas and oil gas solubility of volatile anesthetics
83. CVS Pharmacology
84. CCB’s in surgical patients
85. Compare and contrast dopamine and dobutamine as an inotropic agent
86. Classify inotropes on the basis of their mechanism of actions. Compare dopamine and dobutamine
87. Classify antihypertensive drugs. Describe the management of hypertensive emergency
88. Classify antihypertensive drugs. Describe the management of a hypertensive episode during anaesthesia
89. Inhaled Anaesthetics-Metabolism and Distribution
90. Nephrotoxicity of halogenated anaesthetics
91. Merits and demerits of halothane and isoflurane
92. Hepatotoxicity of halothane
93. Nephrotoxicity of fluorinated anaesthetics
94. Inhaled Anaesthetics-Delivery systems
95. CIRCUITS
96. Coaxial circuits
97. Paediatric circuits
98. Mapleson’s breathing system
99. Draw schematic diagrams of various types of Mapleson’sbreathing circuits. Give the functionalanalysis,advantages and disadvantages of Bain circuit
100. Describe the functional analysis of Bain’s circuit. How will you check the functional integrity of Bain’s circuit
101. Classify anaesthesia circuits. Describe the test used for checking the integrity of bain. s circuit.
102. VAPORIZERS
103. Types of plenum vaporizers
104. Charecteristics of ideal vaporizer
105. Classify vaporizers. Briefly mention the effects of altered barometric pressure on the performance of the vaporizers
106. What are the two major effects of pressure fluctuation in theanaesthesia machine on vaporizer output? Describe the improvisations in designing to overcome this problem
107. What is the difference between pumping and pressurizing effect in a vapourisor? What modifications are done to prevent these effects?
108. SAFETY FEATURES IN MODERN DAY ANAESTHESIA MACHINE
109. Safety features in a modern day anaesthesia machine
110. Describe briefly the safety features in modern anaesthesia machines. Discuss various features that prevent the delivery of hypoxic gas mixtures
111. PRE-ANAESTHETIC MACHINE CHECK
112. Describe the pre anaesthetic check list for anaesthesia machine and equipment
113. Describe the anaesthesia machine check protocol prior to induction of anaesthesia
114. Evolution of rotameter
115. What is low flow anaesthesia? Discuss its advantages and disadvantages.
116. Functional analysis of pressure reducing valve
117. Link 25 proportioning system
118. Role of humidification in anaesthesia practice
119. What are the different types of carbondioxide absorbents? Describe their composition. Discuss the advantages and disadvantages of each
120. What is relative and absolute humidity? What are active and passive humidifiers? What are their advantages and disadvantages?
121. IV Anaesthetics drugs.
122. ADRENERGIC DRUGS
123. GENERAL
124. Adrenergic receptor antagonist and their uses
125. Name the adrenergic agonists and antagonists. Describe in detail their uses in anaesthesia practice
126. Adrenergic agonists
127. Discuss the current role of norepinephrine and vasopressin in ICU
128. BETA BLOCKERS
129. Beta receptor blockade:-its relation in anaesthesia
130. Perioperative beta blocker therapy
131. Manifestation and treatment of beta adrenergic toxicity
132. Effect of atenolol pretreatment on CVS,NMJ and IOP
133. ALPHA-2 AGONISTS
134. Clinical use of alpha 2 agonists in anaesthesia
135. What are alpha 2 agonists? Discuss the pharmacodynamics and anesthetic uses of alpha 2 agonists.
136. CLONIDINE
137. Clonidine in anaesthesia and ICU
138. Discuss PK and PD of clonidine and its role in clinical practice
139. DEXMEDETOMIDINE
140. Dexmedetomidine:Clinical applications and complications
141. Dexmedetomidine
142. Discuss pharmacokinetics and pharmacodynamics of dexmedetomidine. What is its role in clinical practice
143. CALCIUM CHANNEL BLOCKERS
144. Calcium channel blockers drugs and anaesthesia
145. Calcium channel blockers and anaesthesia
146. PROPOFOL
147. Compare Propofol with Midazolam
148. Propofol as compared to Thiopentone
149. Disscuss the MOA,PD and PK of propofol
150. Impact of cancer therapy on anaesthetic management
151. Midazolam
152. Untoward effects of intravenous sodium bicarbonate
153. Role of corticosteroids in the practice of anaesthesiology
154. Adenosine and its clinical uses
155. Mannitol in surgery/surgical uses of mannitol
156. PK of IV Thiopentone
157. Mention the commonly used immunosuppressive drugs and their interaction with anaesthetic agents
158. Describe the pharmacokinetics and pharmacodynamics of etomidate. Describe briefly its role in clinical practice
159. )Opoids.
160. What are the various routes of administration of morphine? Discuss the pharmacokinetics and pharmacodynamics of epidural morphine
161. Remifentanyl in clinical practice
162. Narcotic antagonists
163. Spinal opiate receptors
164. Pharmacology of fentanyl congener
165. What are the various routes of administration of opoids? Discuss the merits and demerits of each
166. Transdermal opoids
167. Acute pain relief in opoiddependant pain
168. Mention the intrathecal and epidural opoids in clinical practice and their complications
169. Various epidural narcotics for management of postoperative pain
170. Epidural opiates in anaesthesia practice
171. Classify opoids. Discuss the merits and demerits of epidural fentanyl and morphine
172. What are the various routes of administration of morphine? Discuss the pharmacokinetics and pharmacodynamics of epidural morphine
173. Classify opioid drugs. Briefly mention the mechanism of action and pharmacology of remifentanilalongwith its indication and limitations
174. Classify opioids according to their action on opioid receptors. Compare and contrast fentanyl and remifentanyl.
175. What is eutectic mixture? Describe the principle of transdermal drug delivery. Describe the advantages and disadvantages of transdermal fentanyl patch28)IV Drug Delivery Sytems.
176. TIVA
177. Describe the three compartment model of distribution of intravenous drugs. What is zero order kinetics?
178. What is total intravenous anesthesia? What mathematical models are commonly used with target controlled infusion(TCI)? Describe the best indication for use of TCI
179. What are the benefits of patient controlled analgesia (PCA)? Write a prescription and setting of PCA pump to deliver morphine for post operative pain relief.
180. Pharmacology of Muscle Relaxants and Antagonism.
181. Interaction of depolarizing with NDMR’s
182. Hauffman’s degradation
183. Rocuronium
184. Pipecuronium
185. Elimination of Atracurium from the body
186. Enumerate the problems with muscle relaxants
187. Adverse effects of NMBA
188. Local Anaesthetics LAST
189. Management of local anaesthetic toxicity
190. Treatment of systemic toxicity of LA drugs
191. Lipid emulsion for the treatment of local anaesthetic toxicity-mechanism and dosage
192. Role of lipid emulsions in local anaesthetic toxicity
193. Discuss the clinical manifestations of local anaesthetic toxicity and its management
194. Classify local anesthetic. Discuss their mode of action. how will you treat lidocaine toxicity?
195. Mechanism of action of local anaesthetic agents
196. Complication of local anaesthetics
197. Ropivacaine
198. 31)Nitric Oxide and Inhaled Pulmonary Vasodilators
199. Role of nitric oxide in ICU
200. Nitric oxide in clinical practice
201. Nitric oxide for management of pulmonary hypertension
202. Nitric oxide-current status
203. 33)Risk of Anaesthesia(Anesthetic complications)
204. INTRAOP COMPLICATIONS
205. Pathophysiology of VAE. Mention the methods of detection,prevention and treatment
206. Embolisms during anaesthesia
207. Discuss the pathophysiology. signs and symptoms and management of VAE
208. How will you diagnose VAE? Describe its pathophysiology and management
209. Enumerate the causes of air embolism in clinical practice. Discuss the clinical features and its management
210. How do you diagnose and manage a case of VAE during spine surgery? DVT
211. What are the clinical features of DVT. Describe the prophylactic and management strategies.
212. ARRYTHMIAS
213. Prevention and treatment of ventricular arrhythmias during GA
214. Cardiac arryhthmias during anaesthesia
215. Discuss the etiology and management of SVT’s during surgical proceduresManagement of multifocal ventricular ectopics during anaesthesia
216. Discuss the etiology and management of various cardiac arrhythmias occurring during anaesthesia
217. Desribe the cardiac conduction system. How do you manage a patient with PSVT?
218. Describe the common arrhythmias encountered during pre-operative period. Discuss the therapeutic uses of Amiodarone
219. Discuss the etiology and management of Supra Ventricular arrhythmias during surgery under GA
220. Discuss the different types of arrhythmias encountered in the intraoperative period. Discuss its causes and management.
221. BRONCHOSPASM
222. Intraoperative bronchospasm
223. Management of intraoperative bronchospasm
224. Bronchospasm during anaesthesia and immediate postop period and its management
225. Discuss the differential diagnosis of introperativebronchospasm. How will you manage it?
226. LARYNGOSPASM
227. Laryngospasm during anaesthesia
228. Enumerate the causes and differential diagnosis of post extubation laryngospasm. How will you manage it
229. ANAPHYLAXIS(ANAPHYLACTOID) REACTIONS
230. Clinical manifestations and management of anaphylactic reactions in anaesthesia practice
231. Hypersensitivity reaction in anaesthesia practice
232. Discuss the pathophysiology and management of anaphylactoid reactions in anaesthesia
233. Identification of anaphylaxis under GA and its management/Anaphylactoid reaction during anaesthesia
234. Anaphylactic reaction on the operation table and management
235. Clinical manifestations and management of a patient with acute anaphylaxis
236. Enumerate the agents implicated in allergic reactions during anaesthesia. How would you manage a patient with anaphylaxis during anaesthesia?
237. INFECTIONS
238. Infections related to anaesthesia practice
239. Transmission and precaution against HIV in hospital setting. HIV and anaesthesia
240. Hepatitis B and anaesthesiologist
241. DELAYED RECOVERY
242. Possible causes of delayed recovery from GA
243. What are the potential causes of delayed resumption of spontaneous recovery after abdominal surgery with general anaesthesia. Discuss the problem,its diagnosis and management
244. Discuss the causes of delayed recovery from anaesthesia and the management
245. What are the indications for postoperative ventilation? Describe the various causes of delayed postoperative recovery in an elderly patient.
246. DESATURATION
247. Management of a patient who is not maintaining oxygen saturation after an elective abdominal surgery
248. List the various causes of reduced arterial oxygen tension in the intraoperative period and outline their management
249. A 30 year old female ASA Grade 1 following exploratory laparotomy,is not maintaining oxygen saturation in the postop period. Discuss its causes and management
250. What are the various causes of intraoperative desaturation? Write troubleshooting plan in a patient who has developed desaturation intraoperatively
251. PMI
252. Prevention and treatment of intra-operative MI
253. Discuss the diagnosis and management of MI in a patient undergoing non-cardiac surgery
254. HTN
255. Etiology and treatment of hypertension during surgery
256. Define perioperative hypertension. Describe the causes and management
257. What are the causes of intra-operative hypertension in a previously normotensive patient? Discus various modalities to manage it
258. Anaesthetic management of a case of essential hypertension scheduled for upper abdominal surgery
259. Describe the anaesthetic management and postoperative care in a patient with uncontrolled hypertension(BP-180/120 mmHg) for emergency laparotomy for perforated duodenal ulcer
260. A 45 years old man with uncontrolled DM and HTN is admitted with upper intestinal obstruction for emergency laparotomy. Discuss the preoperative evaluation,preparation and anaesthetic management of the case
261. Discuss the preoperative evaluation and anaesthetic management of 70 year old hypertensive patient for total laryngectomy
262. A 35 year old hypertensive patient with chronic cholecystitis is scheduled for laparoscopic Outline the pre-operative evaluation,preparation and anaesthetic management of this patient
263. Classify acute hypertensive episodes. Discuss the principles of management and the drugs used in the management of hypertensives emergencies.
264. HYPERCAPNIA
265. CO2 carriage in blood and effects of hypercapnia
266. What are the causes of hypercarbia during the intraoperative period. Discuss the effects and management
267. PULMONARY EDEMA
268. Treatment of acute pulmonary edema
269. Pulmonary edema in intraoperative and immediate postoperative period
270. BLOOD LOSS
271. Blood loss monitors
272. Discuss the management of massive blood loss
273. HYPOTENSION
274. Aetiology and management of hypotension during anaesthesia
275. OCCUPATIONAL HAZARDS
276. Occupational hazards for/to the
277. MIX QUESTIONS
278. Causes of perioperative seizures
279. Peripheral nerve injury under anaesthesia is preventable complication
280. Risk and management of pulmonary aspiration
281. Iatrogenic complications in anaesthesia
282. PreoperativeEvaluation and coexisting diseases
283. PAC
284. PAC clinic
285. Preoperative visits
286. ASA physical status classification for preoperative anaesthetic risk assessment
287. What are the goals of pre-anaestheticcheck up? ASA risks grading and fasting guidelines
288. What is the ASA physical status classification? Briefly describe other factors that may alter risk associated with anesthesia?
289. What are the objectives of preoperative anesthesia check up in a patient scheduled for elective surgery? What is ASA physical status classification?
290. SMOKING
291. Hazards of smoking relevant to anaesthetist
292. Discuss the assessment,preparation and problems of anaesthesia in a chronic smoker for cholecystectomy
293. Enumerate the effects of chronic smoking and the anaesthetic implications
294. LIVER DISEASE
295. Assessment of risk factors for patient with moderate to severe liver disease
296. Preoperative preparation and surgical risk assessment in a patient with cirrhosis of liver
297. Pre-anaesthetic evaluation and preparation of a patient with portal hypertension for lieno renal shunt
298. What are the functions of liver? Describe the anesthetic implications of ascitis and its management
299. IHD
300. Evaluation of cardiac patient for non –cardiac surgery
301. Enumerate the RCRI. Draw the algorithm of cardiac evaluation for non-cardiac surgery as recommended in ACC/AHA 2007 guidelines on peri-operative CVS evaluation and care
302. How will you evaluate a 50 year old male patient with history of IHD presenting for major abdominal surgery?
303. VHD
304. Preoperative evaluation of a patient with VHD
305. Pre-operative evaluation and preparation of a apatient with TOF
306. Discuss the pathophysiology and its impact on perioperative management of left to right and right to left shunts. Give examples of each.
307. Pre anaesthetic evaluation of a patient of MS for MTP and sterilization
308. Preoperative preparation of a diabetic patient with history of bleeding variceslino renal shunt operation
309. anaesthetic evaluation of a thyrotoxic patient scheduled for thyroidectomy
310. 35)AnaestheticComplications of Concurrent Disease
311. PHEOCHROMOCYTOMA:-
312. Discuss the pathophysiology and diagnosis of a case of pheochromocytoma. Give an account of preparation,monitoring and anaesthetic management of a 25 year old patient suffering from pheochromocytoma
313. Discuss the anaesthetic management of a 35 year old patient with pheochromocytoma scheduled for bilateral adrenalectomy
314. What is pheochromocytoma? What are its clinical features? Discuss preoperativeinvestigations, preparation and anaesthetic management of such a case for surgical removal
315. Discuss pre anaestheticassessment,preparation and management of a 16 year male kept for How will you manage post anaesthetic complications?
316. IHD
317. CORONARY STENT
318. Guidelines for management of anaesthesia in a patient with coronary stent
319. Draw the algorithm for preoperative management of a patient receiving antiplaelet therapy as recommended by ACC/AHA guidelines in perioperative cardiovascular evaluation and care. Describe thepreoperative management of a patient with coronary stent
320. CARDIAC PATIENT FOR NON CARDIAC SURGERY
321. Discuss the preoperative evaluation and anaesthetic management of an emergency abdominal operation in a 60 year old man who had MI 6 weeks back
322. Preoperative preparation and evaluation of a patient with history of exertional angina for surgery under general anaesthesia. (June 1996)
323. Discuss briefly the preoperative evaluation and anaesthetic management of a 50 year old patient who had acute MI three months ago, and is scheduled for inguinal hernia repair
324. Describe the arterial circulation of the heart with the aid of a diagram mentioning the unique features of coronary blood flow. Explain the Goldman’s Cardiac risk Index and its importance to the anaesthetist
325. Pathophysiology of CAD. Discuss the anaesthetic management of a patient with angina
326. Cardiac evaluation for non-cardiac surgery
327. Classify cardiomyopathies. Describe management of a 60 year old male with dilated cardiomyopathy scheduled for laparotomy
328. Classify CMPs. Briefly describe the anesthetic management of a patient with HOCM scheduled for TAH
329. What is diastolic dysfunction? Discuss the evaluation and implications to the anaesthetists
330. Discuss the pre-operative evaluation of a patient with IHD. Discuss the perioperative monitoring for MI and its management
331. What are the predictors of cardiac risk in cardiac patients undergoing non cardiac surgery? Describe briefly the anaesthetic consideration in a patient with coronary artery disease with ejection fraction of 40% for laparoscopic cholecystectomy
332. VHD
333. Clinical features of infective endocarditis,principle guidelines to use antibiotics as prophylaxis against,during surgery
334. Discuss the anaesthetic management of 20 year old male with RHD with MS for closed mitral valvotomy
335. Preop evaluation and anaesthetic management of a 30 year old patient with MS and AF scheduled for balloon angioplasty and valvoplasty
336. HTN
337. Define HTN. How will you evaluate and prepare preoperatively a 40 year old female patient scheduled for abdominal hysterectomy. Discuss the anaesthetic and postoperative management of such a case?
338. What are the anesthetic concerns in a patient with uncontrolled hypertension posted for elective surgery? Discuss the complications and drug interactions of antihypertensive drugs during perioperative period
339. DM
340. Discuss pre and post anaesthetic management of acute abdomen in a patient with uncontrolled diabetes
341. Discuss the preoperative investigations,preparation and anaesthetic management of a 50 year old diabetic patient presenting for an exploratory laparotomy for a lump in the abdomen
342. Principles of management of DKA
343. Preoperative patient of a diabetic patient with history of bleeding variceslinorenal shunt
344. Anaesthetic management of a case of DM scheduled for open cholecystectomy
345. Diabetic patient with autonomic neuropathy for TAH
346. Discuss the anaesthetic management of an inadequately managed diabetes mellitus patient with ketoacidosis posted for BKA
347. Describe the PREOPERATIVE EVALUATION and different methods used for perioperative control of blood sugar in diabetic patients undergoing major abdominal surgery with their advantages and disadvantages
348. Discuss how glycemic control affects the outcome in critically ill patients. Describe the advantages and disadvantages of tight and non tight glycemic control in ICU.
349. Discuss complications of diabetes mellitus of interest to Discribe anaesthetic management of emergency laparotomy in a diabetic
350. THYROID
351. HYPOTHYROIDISM
352. Describe the clinical features of hypothyroidism. Discuss the anaesthetic consideration in a hypothyroid patient scheduled for upper abdominal surgery
353. THYROID STORM
354. Etiopathology and management of thyroid crisis
355. Manifestations and management of thyroid storm
356. Describe preop evaluation and preparation of a patient of thyrotoxicosis. Describe anaesthetic and postoperative management of such a case.
357. A 35 year old lady with huge thyroid mass presenting with thyrotoxicosis is posted for subtotal Discuss the preoperative preparation and anaesthetic management
358. Myxoedema coma
359. Causes of airway obstruction following thyroid surgery and its management
360. Thyrotoxic patient for subtotal thyroidectomy
361. Enumerate the NS of larynx. Enumerate the signs and symptoms of bilateral recurrent laryngeal nerve palsy following total thyroidectomy
362. Discuss preoperative evaluation and anaesthetic management of a 40 year old hyperthyroid patient posted for total thyroidectomy. Enumerate postoperative complications
363. What are the perioperative risks in patients with uncontrolled hyperthyroidism? How will you manage such a patient posted for emergency surgery? RETROSTERNAL GOITER:
364. Describe in brief symptoms and signs, diagnosis and anesthetic management of retrosternal goiter
365. COPD
366. Discuss the current concepts in the management of a case of chronic obstructive airway disease in respiratory failure
367. Describe in detail the anaesthetic management of patients with reactive airway disease
368. Intraoperative anaesthetic considerations in COPD patient scheduled for upper abdominal surgery
369. What is chronic obstructive pulmonary disease? How will you manage oxygenation and pain in post operative period of a case of COPD undergoing upper abdominal surgery
370. ASTHAMA
371. A40 yrs old female with history of bronchial asthama is scheduled for laparoscopic Describe pre op preparation and anesthetic management
372. CARCINOID TUMOR
373. A 30 year old woman is scheduled for removal of carcinoid tumor. Write the anaesthetic management
374. CUSHING’s SYNDROME
375. Discuss the anaesthetic management of a 25 years old female with cushing’s syndrome for bilateral adrenalectomy
376. Anaesthetic problems in an amemic patient(Dec 1998).
377. A 60 years old man presents for elective parathyroidectomy. Discuss the anaesthetic management
378. 36)PatientPositioning.
379. Positional hazards under anaesthesia
380. Enumerate various positions in relation to anaesthesia and discuss in detail the problems associated with them
381. Describe the complications associated with sitting position during posterior fossa surgery and their management
382. Discuss the anaesthetic problems of surgery in prone position
383. Describe the perioperative anesthetic management of a patient for post cranial fossa surgery in a sitting position
384. Describe the precautions that need to be taken when positioning anaesthetised patient in prone Give an account oof positive pressure ventilation in prone position
385. 37)Neuromuscular Disorders and Malignant Hyperthermia
386. MG
387. MG versus Myaesthenic syndrome
388. What is myasthenia gravis? What are its clinical features? Discuss the preoperative investigations,preparation,anaesthetic management of such a case presenting for interval appendicectomy and management of the likely complications
389. Discuss pre-anaestheticassessment,preparation,anaesthetic management and post operative complication in 20 year old female with myaesthenis gravis posted for thymectomy
390. Preoperative preparation of a case of MG scheduled for thymectomy 5. Myaesthenic syndrome
391. What are the clinical features of MG? Discuss perioperative evaluation and anaesthetic management of a case presenting for interval appendicectomy
392. MH
393. MH
394. Current concepts in the diagnosis and treatment of MH
395. What is malignant hyperthermia? Discuss its clinical features and laboratory finding. Why is it important for the anaesthetist to know about this syndrome
396. Temperature regulation in adults,predisposingfactors,diagnosis and management of MH
397. What are the diagnostic features that would lead to identify malignant hyperthermia during immediately after anaesthesia and state the guidelines of management?
398. Diagnosis and management of an acute attack of malignant hyperthermia
399. A 4 years old child weighing 15 kg undergoing strabismus surgery suddenly develops tachycardia,rigidity of extremeities and rise in temperature during anaesthesia. Discuss the anaesthetic management
400. Describe clinical presentation,pathophysiology and managemet of malignant hyperthermia
401. GBS
402. GBS-discuss briefly etiology,pathogenesis,symptomatology and management including anaesthesia
403. PARKINSON’s DISEASE
404. Pre-op evaluation and anaesthetic considerations of a patient with Parkinson’ disease
405. 38)Fundamental Principles of Monitoring and Instrumentation(PHYSICS related to anaesthesia)
406. VENTURI
407. Venturi principle and its clinical implication
408. Desribe Bernoulli’s principle and its various applications in anaesthesia
409. MONITORING STANDARD
410. Minimum patient monitoring during anaesthesia
411. What is minimum monitoring standard? Describe the objectives and methods
412. Invasive intraop monitoring
413. 39)MonitoringDepth of Anaesthesia.
414. BIS
415. What is BIS monitoring? What are its clinical applications in anaesthesia practice?
416. Causes and prevention of awareness under anaesthesia
417. what do you mean by awareness during anaesthesia? Mention the monitors in use to measure the depth of anaesthesia
418. Discuss the pharmacological principles of measuring the depth of anaesthesia and techniques for monitoring the depth of anaesthesia
419. List and brief statement and effectiveness of each of the means available for detecting awareness during anaesthesia
420. What are the measures by which you can measure the depth of anaesthesia during the intra operative period
421. Why is it important to measure the depth of anaesthesia? Briefly describe the methods used
422. Describe awareness under anesthesia. What are the risk factors for awareness/ how can depth of anesthesia be monitored?
423. 40)Cardiovascular Monitoring
424. IJV
425. Complications of cannulation of IJV
426. Describe the anatomy of IJV with the help of a diagram. Discuss any one approach for IJV cannulation
427. Enumerate various approaches for central venous cannulation. Describe the technique and complications of IJV cannulation
428. Describe the anatomy of IJV with a diagram. Discuss any one approach to IJV cannulation and its complication
429. Discribe the anatomy of carotid triangle with the help of diagram(s). Describe the technique of rt IJV cannulation and its uses in anesthesia
430. CARDIAC OUTPUT MONITORING
431. Non invasive cardiovascular monitoring
432. Cardiac output management with thermodilution technique
433. What are the determinants of cardiac output and discuss various non-invasive methods of measurement of cardiac output
434. Pulmonary artery pressure monitoring
435. CVP,its application in anaesthesia
436. Jugular venous oximetry
437. Methods of central venous cannulation,uses,limitations and complications of CVP monitoring
438. Describe the indications,contraindications and complications of invasive arterial blood pressure monitoring. Describe the technique
439. 41)TEE
440. How is USG useful in anaesthesia and intensive care medicine and explain the usefulness of TEE during cardiac surgery
441. TEE in anaesthesia practice.
442. Describe the role of intraoperative echocardiography in clinical anaesthesia
443. USG->principles and its uses in day to day practice of anaesthesia
444. Describe the role of TEE IN hemodynamic monitoring of a pt with CAD scheduled for sx under GA.
445. 42)ECG & CARDIAC CYCLE:
446. Modified bipolar standard limb lead systems and its usefulness for intraoperative monitoring
447. Describe the pressure and volume changes during different phases of cardiac cycle.
448. 43)ICD and Pacemakers
449. Discuss different types of pacemakers and briefly enumerate precautions to be taken during surgery with pacemaker
450. Enumerate the evidenced based indications for pacemaker insertion. Mention the general principles of anaesthetic management of a patient with pacemaker scheduled for surgery
451. 44)Respiratory Monitoring.
452. PULSE OXIMETER
453. Limitations of pulse oximeter
454. Pulse oximetry
455. Pulse oximetry-principles and applications
456. What are the recent advances in pulse oximetry? briefly describe the multiwave length and reflectance pulse oximetry)
457. CAPNOGRAPHY
458. Role of capnography during anaesthesia
459. capnography
460. Discuss principles of monitoring end tidal CO2
461. -What is capnography? Draw a neat labeled diagram of a normal capnograph and discuss clinical considerations of capnography(Etco2 monitoring
462. Factors influencing tissue oxygenation
463. Respiratory monitoring in anaesthesia
464. Discuss various methods of oxygen monitoring in anaesthesia practice
465. What are the measures of tissue oxygenation? Describe briefly oxygen delivery, oxygen consumption and oxygen extraction
466. 46)Neurologic Monitoring.
467. SSEP
468. Minimum monitoring for post spinal fusion in scoliosis
469. Methods of intracranial pressure monitoring,uses and complication of ICP monitoring
470. ICP monitoring and its applications
471. 47)Neuromuscular Monitoring
472. Methods of monitoring neuromuscular junction function
473. Methods of monitoring of neuromuscular transmission during anaesthesia
474. Intraoperative neuromuscular monitoring
475. Compare and contrast TOF and Double burst
476. What are the factors affecting neuro-muscular blockage? Discuss various methods to monitor neuromuscular blockage
477. Enumerate various techniques of monitoring neuromuscular blockade during anaesthesia. List the advantages and limitations of each of these techniques
478. Discuss various patterns of nerve stimulation in neuromuscular monitoring and their interpretation with the help of diagrams
479. What is neuroplasticity? Describe drugd and techniques that can prevent and treat neuroplasticity
480. 48)Temperature Regulation & Monitoring
481. Discuss the regulation of body temperature. How will you prevent hypothermia in a neonate posted for major abdominal surgery
482. Describe in brief the sites and devices for temperature monitoring
483. Classify hypothermia. Describe the pathophysiological effects of hypothermia
484. 49)Perioperative Acid-Base Balance .
485. Preanalytical consideration of ABG measurement
486. What are the major buffer systems in the body? Enumerate the causes,effects and management of metabolic acidosis
487. What is anion gap? Desribe the causes and management of metabolic acidosis from low cardiac output
488. 50)Airway Management in the Adult
489. AIRWAY ASSESSMENT
490. Airway assessment
491. List the bedside test available to predict the difficult intubations. Comment on their use
492. SGA
493. Supra Glottic Airway devices
494. I-gel Airway
495. Enumerate the different SGA’s. Tabulate the differences between Proseal LMA and I-gel airway
496. Classify supraglottic airway devices(SADs)? ? What are the modifications done in third generation SADs. Discuss the complications associated with the use of SADs
497. LMA
498. Merits and demerits of LMA
499. LMA:various modifications
500. ROLE OF LMA in ASA difficult airway algorithm.
501. DIFFICULT AIRWAY
502. TM ANKYLOSIS
503. Describe airway management of a patient of ankylosing spondylitis with severe restriction of neck movement posted for total hip replacement
504. Discuss the preoperative assessment and the method of anaesthesia in patient with TM ankylosis for the release of ankylosis
505. Describe briefly the difficult airway algorithm. How will you perform awake intubation in an adult with restricted mouth opening?
506. Describe the airway management of a patient of TM joint ankylosis with restricted mouth opening posted for upper abdominal surgery
507. Evaluation of difficult airway
508. Difficult intubation/Predictive factors and intubation difficulty
509. Describe briefly the difficult airway algorithm. How will you perform awake intubation in an adult with restricted mouth opening?
510. How will you evaluate a 55 year old chronic smoker with CA LARYNX scheduled for Discuss the anesthetic management.
511. Describe the management of unanticipated difficult airway in a stepwise manner.
512. What are the predictors of difficult mask ventilation? Write an algorithm to manage/plan to manage a patient with predicted difficult mask ventilation.
513. Describe various local anesthetic techniques used to provide anesthesia of airway. What are the complications associated with airway blocks
514. Describe in a step wise manner rapid sequence intubation(RSI). What are the different modifications suggested with RSI
515. ATTENTUATION OF LARYNGOSCOPIC RESPONSE
516. Attentuation of laryngoscopic reaction to intubation.
517. Discuss various methods to obtund intubation response to laryngoscopy and intubation
518. Describe the occulocardiac reflex? Discuss measures to attenuate pressor response to laryngoscopy/intubation
519. FOB
520. Modes of ventilation during bronchoscopy
521. Draw a labeled diagram of a flexible FOB and describe methods for its sterilization or high level disinfection
522. Describe the techniques for anaesthetizing the airway for awake fibreoptic laryngoscopy and intubation through nasal route in an adult with restricted mouth opening
523. Double Lumen ETT
524. Airway management in an unconscious patient
525. How will you anaesthetize the airway of a 40 year old man for awake intubation?
526. Discuss the management of CICV situation in the OT
527. What is the role of airway exchange catheter in modern anesthesia practice? Describe in short the management of post extubation stridor.
528. 51)Spinal,Epidural and Caudal Anaesthesia.
529. ANTICOAGULANTS AND RA
530. Antothrombotic prophylaxis and neuraxialanaesthesia
531. Enumerate the guidelines for RA in a patient on anticoagulant therapy
532. Describe anaesthetic concerns for regional anaesthesia in a patient on anticoagulants.
533. PDPH
534. What is PDPH? What are the factors affecting it? Describe the management of such a case
535. What are the differences between a subdural and subarachnoid block? Write the clinical features and management of PDPH
536. Complications of epidural anaesthesia
537. Pulmonary function changes following central neuraxial blockade
538. Continous subarachnoid block
539. IVRA
540. Epidural analgesia for postop pain relief
541. Epidural pressure and various factors affecting the same
542. Indications and contraindications of regional anaesthesia
543. Effect of intrathecal neostigmine on spinal anaesthesia
544. CSE
545. Caudal block
546. Describe the boundaries of epidural space. Discuss five common complications of epidural block
547. What is baricity? Describe the relevance of baricity in spinal anesthesia. Describe the adjuvant used with intrathecal block
548. 52)Nerve Blocks.
549. STELLATE GANGLION BLOCK
550. 1Enumerate the indications,contraindications,complications and method of establishing stellate ganglion block
551. Describe the anatomy of stellate ganglion. Discuss indications,techniques and implications of stellate ganglion block
552. BRACHIAL PLEXUS BLOCK
553. Anatomy of brachial plexus and its importance to the anaesthetists
554. Discuss one method of brachial plexus block through supraclavicular approach and enumerate the complications associated with
555. Anatomy of brachial plexus with the help of a diagram. Enumerate the various techniques of brachial plexus block
556. SCIATIC NERVE BLOCK:
557. Describe sciatic nerve with regards to its root value, branches and write the labet,s approach of sciatic nerve block
558. OPTHALMIC BLOCKS
559. Peribulbar block-indications,techniques and complications
560. Merits and demerits of retrobulbarvsperibulbar block
561. Describe various lacal anesthetic techniques used for providing ophthalmic anaesthesia. Discuss their merits and demerits
562. Describe various local anesthetic techniques used for producing ocular anesthesia. What are the complications of retrobulbar block?
563. COELIAC PLEXUS BLOCK
564. Describe the anatomy of celiac plexus. Discuss the indications and methods to block celiac plexus
565. Illustrate the anatomy of celiac plexus with the help of a diagram. Describe the technique of celiac plexus block and its complications
566. Eneumerate the methods available for pain relief in patient with ca pancreas. Describe celioc plexus block with the help of diagram
567. ANKLE BLOCK
568. Innervation of foot and technique of performing ankle block2. Describe the nerve supply of foot and the technique of ankle block for amputation of great toe
569. Describe the nerve innervationsof the foot with diagram and dsicuss the local anaesthetic block at the ankle for the amputation of gangrenous toes in a patient
570. Describe the regional block for removal of infected corn foot
571. PARAVERTEBRAL BLOCK
572. Describe the anatomy of paravertebral space with diagram. Describe one method of establishing paravertebral block
573. Compare the advantages and disadvantages of inter pleural and paravertebral block.
574. OTHER BLOCKS:
575. Three-in-one’ block
576. Horner’s syndrome
577. Describe with the help of a labeled diagram,the anatomy of lumbar plexus and describe the techniques of lumbar plexus block
578. Describe the course of sciatic nerve and any one approach to block the nerve
579. 53)USG guidelines for RA
580. What principle is used in USG? How is USG useful in anaesthesia
581. Describe the principles of ultrasound. Discuss the use of ultrasound in evaluating a patient in emergency department.
582. What is the principle used in ultrasound scanning? Describe the applications of ultrasound in anesthesia and intensive care
583. IV Fluid and BLOOD
584. CRYSTALLOID/COLLOID
585. Merits and demerits of crystalloids and colloids
586. Discuss the different types of colloid solutions. Describe their advantages and disadvantages
587. Plasma volume expansion
588. Uses, advantages and disadvantages of plasma expanders
589. Water and electrolyte disturbances and their pre anaesthetic correction in small gut obstruction
590. Gelatin as spinal preloading
591. Comparitive evaluation of RL,Low molecular weight Dextran and 3. 5%poly
592. Human Albumin
593. Third space loss-its importance to anaesthesiologist
594. Discuss the role of plasma proteins in anaesthesia
595. Describe different fluid compartment in the body. Describe how edema develops?
596. Describe the role of albumin in ICU and current concepts of intravenous fluids in ICU.
597. Mg2+
598. Role of Magnesium in anaesthesia and ICU
599. What are the physiological functions of magnesium? Describe its therapeutic uses in anaesthesia
600. K+
601. Define hypokalemia. What are the clinical manifestations of hypokalemia? How will you treat hypokalemiaintraoperatively?
602. Causes,diagnosis and treatment of hypo and hyperkalemia
603. Define hyperkalemia. Discuss signs and symptoms and anaesthetic consideration
604. Enumerate the causes,clinical manifestations and management of hyperkalemia
605. Causes,diagnosis and treatment of hypo and hyperkalemia
606. Discuss the ECG abnormalities due to various electrolyte imbalances
607. SIADH
608. Water intoxication
609. How is the diagnosis of dilutionalhyponatremiamade? What is its significance in anaesthesia
610. What is SIADH? Describe the clinical features and management of SIADH
611. Describe the causes and management of acute dilutionalhyponatremia in the immediate postoperative period
612. Na+
613. What are the manifestations of hyponatremia and how will you treat it
614. Enumerate the signs and symptoms of hyponatremia. Describe the management in a patient with serum sodium level of 115 meq/L scheduled for knee replacement under RA
615. What are the causes and clinical features of hyponatremia in the post operativeperiod. Describe its management.
616. Ca2+
617. Discuss causes,clinical manifestations and treatment of hypercalcemia. What are the anaesthetic considerations?
618. 55)Transfusion Therapy
619. BLOOD COMPONENT THERAPY
620. Present trend of blood component therapy
621. Blood component therapy
622. Role of blood components in perioperative period
623. Enumerate the indications for transfusion of packed red cells,FFP,platelets and cryoprecipitates
624. COMPLICATIONS
625. Blood transfusion and related disease transmission
626. Complications and Sequelae of BT
627. What are the complication of massive blood transfusion? Describe the tests used to monitor blood coagulation
628. Management of mismatched BT
629. How will you diagnose mismatched BT intraoperatively? Describe its management
630. MASSIVE BLOOD TRANSFUSION
631. Define massive BT. Discuss the complications associated with massive blood transfusionand their management.
632. Storage lesions in blood
633. Recent trends of BT and blood products
634. Clinical uses of blood
635. 56)Coagulation.
636. What is DIC? Enumerate its causes and management
637. Discuss the physiology of Hemostasis and its significance
638. What is TEG? Draw a labeled diagram to show a normal tracing. What are its implications
639. Describe various tests for monitoring peri-operative coagulation
640. Briefly outline the evaluation and management of a patient with suspected perioperative coagulopathy
641. 57)AutologousTransfusion, rVIIa and Bloodless Medicine.
642. AUTOLOGOUS BLOOD TRANSFUSION
643. Autologous BT
644. What is autologous BT? Describe the various techniques of autologous BT
645. Discuss criteria for patient selection,contraindications,advantages and disadvantages of autologous BT
646. BLOODLESS MEDICINE/BLOOD CONSERVATION STRATEGY
647. Perioperative blood conservation
648. What are the methods adopted by the anaesthetist to reduce the need for allogenic blood transfusions
649. Artificial blood/synthetic oxygen carrying substances
650. Write the blood conservation strategies in a 20 year old female scheduled for excision of angiofibroma of nose
651. Different techniques of reducing the need of allogenic blood transfusion
652. RECOMBINANT FACTOR VIIa
653. What is recombinant Factor VIIa? Describe the clinical usage of it
654. Pain.
655. WHO STEP LADDER PATTERN FOR PAIN RELIEF
656. WHO regimen of chronic pain management
657. The WHO three step ladder pattern for pain relief in advanced cancer
658. Role of anaesthesiologist in managing shoulder dystrophy syndrome
659. Trigeminal neuralgia,clinical features and management
660. Management of reflex sympathetic dystrophy
661. Anaesthetists role in pain and palliative care
662. Phantom limb pain
663. Pain management options in a patient with intractable pain due to carcinoma of head of pancreas
664. Define and classify chronic pain. Describe the methods of treatment of CRPS in left upper limb in a 20 year old male patient
665. Explain the term CRPS? What are the types of CRPS? Describe its clinical features and options for treatment
666. What is IASP(international association for study of pain) definition of pain? How do you classify pain? Briefly describe the interdisciplinary management of chronic pain.
667. What are the acute and long term effects of post operative pain? Describe chronic post surgical pain (CPSP) and various methods to prevent it.
668. Define CRPS. Describe the techniques and complications of stelleteganglione block.
669. What is hospice? When should you beging hospice care? how does hospice serve patients and families
670. SUPERSPECIALITY ANESTHESIA
671. Anaesthesia for Thoracic Surgery
672. OLV
673. What are the indications for OLV? Discuss the ventilatory management during one lung anaesthesia
674. What are the indications of OLV? What are the methods of lung separation? Discuss the problems involved
675. What are the indications of one lung ventilation. Describe the management of hypoxemia during one lung ventilation
676. Describe in brief the principles of one lung anesthesia. Justify the need and indications of postoperative ventilator support
677. PNEUMONECTOMY
678. Discuss the anaesthetic management of a patient posted for pneumonectomyCa Right Bronchus-preparation and management
679. Discuss the pre-operative evaluation and preparation of a 55 year old male with bronchiectasis scheduled for right lower lobe excision
680. How would you evaluate and prepare a patient with chronic bronchiectasis scheduled for pneumonectomy? Briefly enumerate the postoperative complications
681. ESOPHAGECTOMY
682. Preoperative assessment,preparation specific to thoraco abdominal esophagectomy. Describe your anaesthetic problem during operation
683. A 68 year old patient with carcinoma esophagus is scheduled for transthoracic esophagectomy. Outline the preoperative evaluation,preparation and anaesthetic management
684. A 68 year old male with carcinoma esophagus is posted for total esophagectomy and gastric pull up. Describe the preoperative preparation,evaluation and anaesthetic management
685. PFT’s
686. Relevance of PFT’s
687. Describe with diagram the flow volume loops in:
688. (a)Healthy adult
689. (b)Patient with restrictive lung disease
690. (c)Patient with obstructive lung disease
691. Draw a diagram to show various lung volumes and capacities. Describe the spirometry features of patients with obstructive and restrictive pulmonary disorder(
692. Bedside PFT’s
693. Discribe various pulmonary function tests and there relevance in clinical practice.
694. MIXED THORACIC
695. Anaesthesia for drainage of empyema thoracis
696. Anaesthetic consideration for patient with BPF for repair.
697. Hydropneumothorax
698. Write the indications of mediastinoscopy? Write the anaesthetic implications of mediastinoscopy
699. A 40 year old male with emphysematous bullae in right lung is scheduled for thoracoscopic excision of bulla(VATS). Describe the anaesthetic management
700. Anaesthesia for cardiac surgery
701. CPB
702. Myocardial preservation
703. Myocardial protection during CPB
704. Anticoagulation and CPB
705. Cardioplegia and its role in cardiac anaesthesia practice
706. Discuss the various criteria required before weaning a patient from CPB
707. Describe the commonly encountered problems following CPB in the post-bypass period
708. What is the difference between partial and total cardiopulmonary bypassduring open heart surgery? Describe the complications associated with cardiopulmonary bypass
709. Describe the role of cardioplegia in myocardial preservation. What are the other techniques employed for myocardial preservation during cardiopulmonary bypass?
710. OPCAB
711. Discuss advantages and disadvantages of OPCAB(Dec 2006)
712. Enumerate the indications of OPCAB. Describe the technique,advantages and disadvantages
713. Discuss anaesthetic management of 20 years old male with RHD with MS for closed mitral valvotomy
714. Preop evaluation and anaesthetic management of a 30 year old patient with MS and AF scheduled for balloon angioplasty and valvoplasty
715. Enumerate the circulatory assist device. What are the mechanism, indications,contraindications and complications of IABP?
716. CARDIAC TRANSPLANT
717. Preopanaesthetic implications in a patient with transplanted heart posted for incidental surgery
718. Anaesthesia for Correction of Cardiac Arrythmias(pacemakers)
719. Specific problems and their prevention during anaesthesia in a patient with artificial pacemaker
720. What are the indications for elective cardioversion? How do you prepare and perform this procedure
721. Discuss different types of pacemakers and briefly enumerate precautions to be taken during surgery in a patient with pacemaker
722. Describe the cardiac conduction system. How do you manage a patient with PSVT
723. Anaesthesia for Vascular Surgery.
724. Role of anaesthetist in a case of TAO
725. Describe the anaesthetic management in a patient with Abdominal Aortic dissection scheduled for aortic bypass graft
726. Discuss hemodynamic and metabolic changes during aortic clamping and cross clamping. Describe the renal protective measures during aortic clampingpathophysiology of acc. Also.
727. Describe the preoperative evaluation,anaesthetic management and intra operative monitoring of a patient scheduled for carotid endarterectomy
728. Anesthesia for Neurosurgery.
729. POSTERIOR CRANIAL FOSSA SURGERY
730. A 40 year old male had pulse 45/min and BP 190/110 mmHg,diagnosed case of tumor mass in the posterior fossa. How will you prepare and manage the case for removal of tumor
731. A 20 year old female with mass in posterior cranial fossa is scheduled for craniotomy. Describe the anaesthetic management
732. Describe the anaesthetic considerations for excision of a mass in the posterior cranial fossa in a 20 year old patient
733. Describe anaesthetic and postoperative management of a patient undergoing intra-cranial aneurysm surgery
734. Hydrocephalus and its various methods of management
735. what is cerebral protection? Explain the methods adopted in clinical practice for cerebral protection 4. Discuss the perioperative management of cerebral AVM
736. Anaesthetic management of a case of pituatory adenoma for transphenoidalhypophysectomy
737. Intraoperative problems of neurosurgical procedures under anaesthesia in sitting position
738. A 25 years old man presents with marked features of acromegaly and is posted for Discuss the anaesthetic management
739. Discuss the regulation of ICP. Describe the methods available for reducing it under anaesthesia
740. Describe the preop evaluation and anesthetic management of a 20 years old male scheduled for cerebral AV MALFORMATION surgery.
741. Anaesthesia for Bariartric Surgery.
742. Morbid obesity-its anaesthetic implication
743. Discuss the anaesthetic techniques and postoperative problems in an obese patient for large hernia of interior abdominal wall
744. Define morbid obesity. Enumerate the changes that occur in the respiratory,cardiovascular and metabolic systems in obesity. A 40 year old patient with height 158 cms and weighing 150 ks is scheduled for pyelolithotomy. How will you evaluate this patient preoperatively? Discuss the problems involved and the anaesthetic management
745. Describe obesity and problems related to this. How would you manage the anaesthesia and choice of anaesthetic agent
746. Discuss the perioperative problems in a patient with morbid obesity(Dec 2008).
747. Discuss the problems and their anaesthetic implications of a 40 year old morbidly obese patient scheduled for gastric banding
748. Define BMI. Classify obesity and discuss the anaesthetic considerations in a morbidly obese patients
749. Discuss the preoperative evaluation of a 25 year old man with OSA scheduled for laparotomy. How would you prepare him for surgery
750. Classify obesity. Describe preoperative evaluation, preparation and anesthetic goals in a 30 year old female scheduled for bariatric surgery
751. How will you evaluate a patient of obstructive sleep apnoea scheduled for an elective laparotomy. Briefly describe the preop prep of such patient.
752. Describe the tumescent technique for local anesthesia in a patient undergoing liposuction and abdominoplasty
753. 65)Anaesthesia for Renal and GUT
754. Describe the anaestheticassessment and management of a 70 year old patient posted for What are the possible complications and how will you treat them?
755. Anaesthetic management of 80 years old male kept for TURP
756. Anaesthetic considerations of a patient on pacemaker for TURP
757. What are the problems associated with anaesthesia for an elective surgery in a patient of chronic renal failure
758. Discuss the anaesthetic concerns in a patient with end stage renal disease. Differentiate between peritoneal dialysis and haemodialysis.
759. Describe clinical presentation,pathophysiology and management of TURP syndrome
760. A 70 year old male with a drug eluting stent placed two years ago following myocardial infarction is scheduled for TURP. Describe the anesthetic management
761. Anaesthesia and Hepatobiliary System .
762. HEPATO RENAL SYNDROME
763. Discuss the patho-physiology of hepatorenal syndrome. What are the measures to prevent it?
764. Describe briefly the diagnosis,patholophysiology and treatment of heaptorenal syndrome in a case of advanced liver cirrhosis
765. LIENO -RENAL SHUNT
766. Pre anaesthetic evaluation and preparation of a patient with portal hypertension for leno renal shunt
767. Write preoperative evaluation and preparation of a patient with portal HTN scheduled for L-R shunt
768. A 40 year old patient with portal hypertension is scheduled for lieno renal shunt. Outline the pre-operative evaluation,preparation and anaesthetic management of this patient
769. Anaesthetic considerations in Chronic liver Failure
770. A patient with obstructive jaundice(Serum bilirubin 20 mg%) is posted for Whipple’s Discuss preoperative evaluation and anaesthetic management of this case
771. Describe the risk stratification of a patient with deranged liver functions scheduled for partial liver resection
772. Enumerate the functions of liver. Discuss the anaesthetic implications in a patient with cirrhosis and ascites
773. 67)Anaesthesia for Organ Transplantation.
774. RENAL TRANSPLANT
775. How do you plan for renal transplant surgery? Draw plan for an operation theatre exclusively for renal transplant surgery
776. Pre-operative evaluation of a case with CRF posted for renal transplant
777. Discuss the preoperative evaluation,preparation and anaesthetic management of a patient with transplanted kidney presenting for incidental elective surgery
778. LIVER TRANSPLANT
779. Anaesthetic problems of liver transplantation surgery
780. HEART TRANSPLANT
781. A patient who has undergone heart transplant requires non cardiac surgery. What precautions must be undertaken by an anaesthetic for surgery
782. 68)Anaesthesia for Laparoscopic Surgery.
783. Problems of laparoscopic surgery and monitoring techniques used during the procedure
784. Discuss the physiological changes due to pneumoperitoneum in laparoscopic abdominal List the intra-operative complications
785. Describe the preanesthetic preparation of a patient with prosthetic heart valves on warferin posted for laproscopic cholecystectomy
786. obstretic anaesthesia
787. PIH
788. HELLP SYNDROME
789. Diagnosis and management of HELLP syndrome
790. HELLP syndrome:role of anaesthesiologist
791. Define pre-eclampsia and eclampsia. discuss the pathophysiology. Formulate,with reasons the anaesthetic technique for such a patient posted for
792. Describe the problems,complications and anesthetic management of CS in a patient with pre-eclamptic toxemia
793. Discuss the pathophysiological changes in pre-eclampsia and eclampsia. Discuss your choice of anaesthetic technique for such a patient for emergency CS.
794. A 25 years primi gravid in 34 weeks of pregnancy with PIH presented with a BP of 200/110 mmHg for an elective LSCS. Discuss the problems involved and the anaesthetic management
795. Mg SO4 therapy
796. A 35 weeks pregnant pt with BP of 200/100 mmHg,edema and albuminuria is to be prepared for elective CS. Discuss preparation and preferred anaesthesia technique(regional or general)
797. Anaesthetic management of patient with severe pre eclampsia for CS
798. Discuss the perioperative evaluation and management of a 30 year old primi admitted at 36 weeks of pregnancy with eclampsia presenting for emergency LSCS
799. Define PIH. How it is different from essential hypertention. Describe the anesthetic management of a 25 year old patient with 38 wks of pregnancy scheduled for emergency LSCS AND elective LSCS.
800. NON OBSTETRIC SURGERY DURING PREGNANCY
801. A female patient aged 32 with 5 months amenorrhoea suffered from Koch’s mid dorsal spine developed paraplegia. She is scheduled for anterolateral decompression surgery. Discuss pre-operative preparation,anaesthetic management and postoperative care
802. Anaesthetic management of emergency appendicectomy in a 16 weeks pregnant patient
803. Anaesthesia for a pregnant woman for non-obstetric surgery
804. Laparoscopic surgery in a pregnant patient
805. Outline the anaesthetic management of a female with 28 weeks pregnancy scheduled for emergency appendicectomy
806. Describe the physiological changes of cardiovascular and respiratory systems in pregnancy. Discuss the anaesthetic considerations and management of pregnant patient undergoing non-obstetric surgery during first trimester
807. Outline the perioperative considerations in an obstretic patient for non obstretic surgical intervention
808. ANAESTHESIA FOR CS
809. Mendelson’s syndrome
810. Discuss the pathogenesis,clinical features and management of mendelson’s syndrome
811. Aspiration prophylaxis in obstetrics
812. What is Mendelson’s syndrome? Enumerate acid aspiration prophylaxis in a patient scheduled for emergency CS
813. PHYSIOLOGICAL CHANGESDUE TO PREGNANCY
814. Describe physiological changes occurring during pregnancy and clinical implications to the anaesthesiologist
815. Supine hypotension syndrome
816. Techniques to prevent hypotension after SA in CS
817. What are the objectives of premedication in a patient scheduled for elective CS? Describe the drugs used with their doses and rationale
818. PREGNANCY AND CO-EXISTING DISEASE
819. A patient of COA is scheduled for CS. Discuss the preoperative preparation,anaesthetic management and postoperative care of the patient
820. Medical diseases and obstetrics
821. Problems and management of pregnant patient with dilated cardiomyopathy on treatment for emergency LSCS
822. Pre-anaesthetic evaluation of a patient of MS for MTP and sterilization
823. Discuss the pre operative evaluation and 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
824. Enumerate the perioperative problems and anaesthetic management of a 28 year old patient with MS for elective CS
825. A HIV positive patient is scheduled for elective CS. Describe the precautions for the management of this patient
826. LABOUR ANALGESIA
827. Describe the various regimens for painless labour
828. Modern trends in obstetric analgesia.
829. Describe innervations of female genital tract with a diagram and discuss methods of producing painless labour
830. Discuss the physiological changes secondary to pain in labour. Describe the role of para-cervical and pudendal nerve blocks in obstetric analgesia
831. Draw a labeled diagram of labor pain pathway. Describe method,advantages and disadvantages of preferred technique of labor analgesia
832. ORTHO/ENT/OPTHALM/PAED/MISC.
833. Amniotic fluid embolism
834. Role of anaesthesiologist in an obstetric unit
835. Regional Vs GA in obstetric surgery
836. Medical aspect and obstetrics
837. What are the causes of obstetric haemorrhage? Describe its management including anaesthesia
838. Describe in a step wise manner management of uterine atony during caesarean section.
839. Describe the use of tranaxemic acid and activated factor VII in management of obstretic haemorrhage
840. Anaesthesia for Orthopaedics.
841. TOTAL HIP REPLACEMENT
842. A 60 year old women with RA is for THR. Discuss the anaestheticproblems and management
843. An 80 year old male is posted for total hip replacement. Discuss the pre-operative evaluation, preparation and anaesthetic management of this case
844. Anaesthetic consideration of a patient for surgery for fracture neck of femur,one year after CABG
845. An 86 year old patient is scheduled for open reduction and internal fixation of subtronchanteric fracture of femur. Discuss the preoperative evaluation and anaesthetic management of this patient
846. Describe the anaesthetic management of an 80 year old male scheduled for THR. Mention the methods of postop pain relief
847. What are the pre-operative considerations in total hip arthroplasty? What are the goals of its intra-operative management?
848. What are the causes of intra operative hypotension during total hip replacement? Outline the treatment strategies
849. TOTAL KNEE REPLACEMENT
850. Discuss the preanesthetic evaluation, anesthetic management and postop pain management in a 75 years old female scheduled for B/L knee replacement
851. SCOLIOSIS
852. Discuss the anaesthetic problems,preoperative preparation and anaesthetic management of a case posted for correction of kyphoscoliosis
853. Anaesthetic problems in scoliosis surgery
854. FAT EMBOLISM
855. Discuss in detail the etiology,pathophysiology,diagnosis and treatment of fat embolism syndrome(June 2002)
856. RA technique for upper extremity surgery
857. What are the indications and contraindications for use of arterial tourniquet. What complication may arise from the use of such tourniquet
858. Problems encountered by anaesthetists during the orthopaedic operative procedures
859. Risk factors for venous thromboembolism and classify the current methods of prevention with examples
860. How will you diagnose DVT? Write the methods of prophylaxis and management
861. How do you diagnose DVT? Describe the predisposing factors and its management
862. 71)Anaesthesia for Geriartrics.
863. Enumerate age related changes in CVS,RS,NS and renal systems in geriartric patient which can affect anaestheticmanagement. How do the changes in renal functions affect anaesthetic management?
864. Describe the process of aging with regard to organ functions and its anesthetic relevance
865. 72)Anaesthesia for Trauma.
866. Role of anaesthetist in multiple trauma
867. Post traumatic fat embolism
868. How will you do anaesthetic management in 10 years old child with multiple injuries?
869. Assessment of an adult who sustained multiple trauma of few hours duration
870. What are the factors that predispose trauma patients to increased anaesthetic risks? Briefly mention their management
871. Describe the objectives and initial assessment of an adult roadside trauma victim presenting to the emergency department.
872. 73)Anesthesia for Prehospital Emergency and Trauma Care.
873. GOLDEN HOUR
874. What do you mean by the golden hour in trauma? Discuss the role of anaesthetist in resuscitation of trauma patient
875. what do you mean by golden hour in trauma? Explain the role of anaesthetist in trauma management
876. TRIAGE
877. What is Triage? What are triage criteria in relation to trauma?
878. What do you mean by multi-casulaty triaging? Why is it important? How do you triage victims in the casualty following a mass disaster?
879. Mention briefly the organization of anesthesia and resuscitative services for disaster management.
880. Pre-hospital trauma care
881. 74)Chemical and Biological Warfare Agents:The Role of the Anaesthesiologist.
882. Enumerate the classical biological warfare agents. Describe physical findings,pathogenesis and treatment of anthrax
883. 75)Anaesthesia for Eye.
884. PERFORATING EYE INJURY IN A CHILD
885. Anaesthesia for perforating injury of the eye in a 3 year old child
886. A 4 year old child is scheduled for emergency repair of penetrating eye injury of the eye. Discuss the anaesthetic management
887. Describe the anaesthetic management in a 10 year old child scheduled for perforating eye injury repair
888. Describe the preoperative evaluation and anaesthetic management of a four year old child with perforating eye injury scheduled for repair under GA
889. Anaesthesia for squint surgery
890. Occulocardiac reflex
891. Anaesthesia for intraocular surgery
892. Describe the different anaesthesia techniques practiced for cataract surgery and their complications
893. Anesthesia for ENT
     1 year old child is scheduled for adenotonsillectomy. Describe the preopassesment and anesthetic management including management of pain.
894. Describe the options available for maintaining airway during microlaryngeal surgery. What are the anesthetic concerns in a patient undergoing microlaryngeal surgery?
895. POST- TONSILLECTOMY BLEEDING
896. Post tonsillectomy bleeding
897. Anaesthetic management of a case for post-tonsillectomy bleeding
898. Anaesthetic considerations and management of a child with post-tonsillectomy bleeding
899. An 8 years old child who underwent tonsillectomy 4 hours ago retuns to the operating table with bleeding from tonsillar site. Describe preparation,preoperative assessment and anaesthetic management of this case
900. Anaesthetic management of a child with retropharyngeal abscess presenting for surgical drainage
901. Problems of microlaryngeal surgery
902. Discuss the anaesthetic management of a 70 year man with carcinoma larynx for total laryngectomy
903. Describe in detail the anaesthetic management of a patient with coronary artery disease, posted for microlaryngeal surgery. What are the main postoperative problems, their prevention and management
904. Anaesthesia for Robotic Surgery.
905. Anaesthetic problems in robotic surgery
906. What are the anesthetic implications in robotic surgery? Discuss the common postoperative complications after laparoscopic procedures
907. 78)Anaesthesia for Laser Surgery.
908. Problems during anaesthesia for laser surgery
909. Anaesthesia for laser surgery of larynx
910. Anaesthetic management of laser surgery on tracheobronchisl tract
911. A 22 year old male patient with multiple papilloma of larynx is scheduled for laser excision. Describe the anaesthetic management
912. What are the anesthetic implications for laser surgery of the airway? Briefly describe the preventive measures.
913. 79)Anaesthesia for DCS(AA).
914. MONITORED ANAESTHESIACARE
915. Monitored AnaesthesiaCare
916. Monitored anaesthesia care in a 75 year old man with IHD for cataract surgery
917. Define monitored anaesthesia care. Discuss its goals and techniques
918. What is monitored anaesthesia care? Discuss the discharge criteria for a patient after day care surgery.
919. What is monitored anaesthesia care? Describe minimum monitoring standards for a patient undergoing monitored anaesthesia care
920. Define monitored anaesthesia care. Eneumerate its goals and indications. Discuss its advantages and disadvantages.
921. DCS
922. Anaesthesia for DCS
923. Discharge criteria in outpatient anaesthesia
924. Criteria for selection of patients for ambulatory surgery
925. RA in day care surgery
926. Describe the criteria for selection of anaesthetic agents for use in DCS. Enumerate the agents of your choice with reasons
927. A 6 years old boy underwent adenoidectomy under GA as DCS. Enumerate the discharge criteria of this patient
928. What are the anaesthetic considerations for DCS? Discuss the clinical criteria for recovery a nd discharge after day care surgery
929. Describe the various drugs used for premedication in patients undergoing ambulatory (outpatient) anesthesia/surgery along with there specific roles80)Anaesthesia at Remote / OUTSIDE OR
930. Enumerate the general principles of anesthesia outside the OR. Briefly outline the anesthetic plan for 23 year old patient scheduled for oocyte retrival in IVF suite
931. MRI
932. MRI and anaesthesia
933. What are the problems in monitoring an anaesthetized patient in MRI
934. What are the limitations and hazards of providing anaesthesia in the MRI suite? Describe the anaesthetic management of a 6 months old child with hydrocephalus scheduled for
935. Describe the anaesthetic management in a patient scheduled for MRI
936. RD AND RT
937. Anaesthesia for RT
938. Anaesthetic management of radio diagnostic procedures
939. ECT
940. Anaesthetic considerations for modified ECT
941. A 60 year old male with refractory depression is scheduled for ECT. Describe the anaesthetic management
942. Elective cardioversion
943. CT
944. Management of a 4 year old child scheduled foe CT brain using an iodine solution(Dec 2000).
945. 81)Clinical Care in Extreme Environments at High and Low pressure in Space.
946. What are the problems with acute exposure to high altitude? Discuss briefly the anaesthetic considerations at high altitude
947. 82)Dental Anesthesia
948. Anaesthesia for multiple dental extractions in a child with TOF
949. Problems and role of anaesthetist in dental chair
950. Discuss in brief the problems of adult patients with Down’s syndrome for multiple teeth extraction
951. SECTION VI-PAEDIATRIC ANAESTHESIA
952. ANATOMY OF LARYNX
953. Tracheo-bronchial tree with diagram
954. Discuss the anatomy of diaphragm with a diagram. How does it behave under different stages of anaesthesia
955. Describe the anatomy of larynx and its innervations. What are the differences between neonatal and adult larynx
956. Describe the innervations of larynx and the palsises following nerve in jury with the help of diagram(s)
957. Describe the anatomy of larynx with difference in adult and children. What is importance of recurrent laryngeal nerve in anaesthesia practice
958. How does the paediatric airway differ from that of an adult? What are the implications for an anaesthesiologist
959. Describe the nerve supply of nasal cavity and larynx. How would you block these nerves for awake nasal intubation?
960. Describe the anatomy of larynx. How would you anaesthetize the airway for awake intubation
961. VOCAL CORD PALSIES
962. Vocal cord palsies with the aid of diagrams of direct laryngoscopic view(Dec 2000).
963. Anatomy of larynx. Enumerate with diagrams the types of vocal cord palsies
964. 83)RA in Children.
965. CAUDAL EPIDURAL IN PAEDIATRICS
966. Caudal epidural analgesia in anaesthesia practice
967. What are the indications of caudal epidural in paediatric patient undergoing surgery? Describe the techniques and write its complications
968. What are the indications of caudal epidural anaesthesia in paediatric patients undergoing surgery? Describe the technique and enumerate its complications
969. Discuss indications,techniques and complications of caudal epidural block in children
970. What are the options for providing postoperative pain relief in children? Describe the complications of caudal block and measures to prevent them
971. Postoperative analgesia in children
972. Discuss the various methods of postop pain relief in paediatrics
973. Regional analgesia in children
974. Postop analgesia in infant for circumscision
975. Postop analgesia in children for inguinal hernia
976. Assessment of pain in children
977. Role of regional anaesthesia in paediatric surgery
978. Spinal anaesthesia in children
979. Indications,techniques and complications of spinal anaesthesia in paediatric patients undergoing surgery
980. What are the methods of pain assessment in infants and children? Discuss the pharmacological management of acute pain in paediatric patients
981. Paediatric Anesthesia.
982. TEF
983. Describe the anatomy and physiology of various types of TEF. Discuss the anaesthetic management
984. Describe the anaesthetic management of a neonate scheduled for repair of TEF
985. Discuss the perioperative problems and anaesthetic management of a two days old child scheduled to undergo TEF repair
986. MENINGO-MYELOCOELE
987. Preoperative management of a neonate for meningomyelocoele surgery
988. A neonate for repair of cervical meningo-myelocoele
989. HYDROCEPHALUS
990. Preoperative assessment and anaesthetic management of a 2 year old child of hydrocephalus posted for shunt procedure
991. Discuss the perioperative problems and anaesthetic management of a one year old child with hydrocephalus scheduled for shunt procedure
992. What are the types of hydrocephalous? What are the anesthetic concerns in a baby with hydrocephalous posted for V-P shunt procedure?
993. GASTROCHISIS
994. Discuss the problems,preoperative preparation and anaesthetic management of a neonate posted for repair of gastrochisis
995. FOREIGN BODY
996. A 4 year old boy has come in emergency with foreign body in right bronchus. How will u manage for bronchoscopy for such a patient
997. Anaesthetic management of a 2 year old child for therapeutic bronchoscopy following inhalation of foreign body 2 days ago child could not exhibit any sign of airway obstruction
998. A 2 year old child weighing 10kg is scheduled for removal of organic foreign body in right Discuss the anaesthetic management
999. Discuss the pre-operative evaluation and anaesthetic management of a 2 year old child scheduled for removal of foreign body in bronchus
1000. CDH
1001. Anaesthetic problems of repair of CDH in a neonate
1002. Pre-operative evaluation and anaesthetic management of one day old child with CDH
1003. Describe the pathophysiology,clinical manifestations and anaesthetic management of CDH in a neonate
1004. What are the anesthetic risks in a premature neonate? Describe the prognostic indicators in a neonate scheduled for repair of congenital diaphragmatic hernia.
1005. TEMPERATURE REGULATION
1006. Discuss the regulation of body temperature. How will you prevent hypothermia in a neonate posted for major abdominal surgery
1007. Temperature regulation in neonate and prevention of hypothermia in neonate during perioperative period
1008. Heat loss during abdominal surgery in a newborn child
1009. INGUINAL HERNIA
      1. months old baby for hernia repair-anaestehtic and postoperative pain management discuss
1010. FLUID MANAGEMENT
1011. Perioperative fluid requirement for a paediatric patient undergoing elective surgery
1012. Recent advances in intra-operative paediatric fluid management
1013. Perioperative fluid requirement in small paediatric patients
1014. Outline the principles of perioperative fluid therapy in a 10 days old child scheduled for elective surgery
1015. GENERAL
1016. Anaesthetic implications of neonatal anaesthesia
1017. Preoperative considerations in paediatric patients
1018. Fasting guidelines for children. How does premedication inadults differ from that in
1019. Discuss the anaesthetic implications and perioperative management of a six month old child scheduled for excision of cystic hygroma
1020. Enumerate the major concerns for anaesthesiologist in hypertrophic pyloric stenosis in a Write down the anaesthetic management of such a case
1021. Describe the preop evaluation and anesthetic management of a one month old child with biliary atresia scheduled for laparotomy and repair
1022. Anesthesia for Paediatric Cardiac Surgery.
1023. TOF
1024. A ten year old child suffering from TOF is diagnosed to have brain abscess. outline the perioperative management
1025. A child with TOF is posted for corrective surgery. Discuss the preoperative evaluation and anaesthetic management of this case
1026. How will you evaluate a three year old child with systolic murmur scheduled for surgery? Briefly discuss the anaesthetic implications?
1027. What are the causes and manifestations of congenital cyanotic heart disease. Briefly discuss the principles of anesthetic management in a case of TOF.
1028. PDA
1029. Classify CHD. Explain with diagrams the blood flow before and after delivery in PDA
1030. Write anaesthetic management of a 3 year old child scheduled for PDA ligtion
1031. Discuss the pathophysiology and clinical presentation of a patient with PDA? Describe the perioperative anesthetic management of an infant posted for surgical closure of PDA.
1032. 86)Paediatric and Neonatal Intensive Care.
1033. Assessment of pain in children
1034. Discuss briefly different modes used for neonatal ventilation
1035. 87)Fetal Anaesthesia.
1036. Draw a neat labeled diagram of fetal circulation and delineate the difference from adult
1037. Anaesthetic implications of fetal surgery
1038. Draw a labeled diagram to illustrate the fetal circulation. What are the circulatory changes that occur at birth?
1039. Describe fetal circulation. Describe the process of conversion of fetal into adult circulation.
1040. POSTOPERATIVE AND CRITICAL CARE
1041. POSTOP SHIVERINGPERIOPERATIVE HYPO THERMIA
1042. Post-op shivering
1043. Postoperative hypothermia its causes,prophylaxis and management
1044. Discuss pathophysiology and management of shivering in PACU
1045. Post anaesthesia shivering-implications and management
1046. Breifly describe thermoregulation in human body. Discuss the impact of perioperative hypothermia.
1047. APACHE score
1048. Oxygen therapy in the postoperative period
1049. Postoperative jaundice
1050. Post-operative elective ventilation
1051. Postoperative pulmonary complications
1052. Causes and management of postoperative hypoxemia
1053. -what are the factors leading to arterial hypoxemia in the PACU? Discuss the differential diagnosis
1054. Planning of PACU
1055. Describe the techniques of chest physiotherapy? What is its role in the post surgical period
1056. What are the criteria for discharge from PACU?
1057. What is postoperative jaundice? Describe its cause
1058. 89)PONV.
1059. Post anaesthetic vomiting
1060. PONV for ophthalmology
1061. Enumerate the risk factors for PONV. Discuss its management
1062. Enumerate the risk factors for PONV. Discuss measures to prevent and its management
1063. Describe the risk factors and predictors of PONV. Describe its management in the pre-operative period
1064. 90)Acute Postoperative Pain.
1065. PRE EMPTIVE ANALGESIA
1066. Discuss the various methods of providing postoperative pain relief. What do you understand from the term pre-emptive analgesia
1067. Pre-emptive analgesia
1068. Current concepts in pre-emptive analgesia
1069. Commonly used techniques and drugs for postoperative pain relief
1070. Pain relief for fracture ribs
1071. Acute pain management service
1072. Outline the various modalities for management of postoperative pain following major abdominal surgery. Enumerate the differences between acute and chronic pain
1073. 92)Cognitive Dysfunction and Other Longterm Complications of Surgery
1074. Central anticholinergic syndrome in postoperative period
1075. Types of post operative cognitive dysfunction(POCD). Enumerate the method to detect POCD in clinical practice
1076. 93)Postoperative Visual Loss.
1077. Enumerate causes of postoperative visual loss. Describe the pathophysiology and its management
1078. -CRITICAL CARE MEDICINE
1079. POISONING
1080. OP POISONING
1081. Clinical manifestations and management of acute OP poisoning
1082. What are the clinical features of organophosphorous poisoning? How will you manage a patient of oragnophosphorous poisoning in ICU?
1083. What are the signs and symptoms of organophosphorous poisoning? Describe its treatment and late complications.
1084. CO POISONING/ PARACETAMOL/CYANIDE
1085. Discuss the pathophysiology and management of a case of carbon monoxide poisoning
1086. Describe briefly pathophysiology,signs,symptoms,diagnosis and treatment of carbon dioxide poisoning
1087. Write clinical features,diagnosis and management of a case of paracetamol poisoning
1088. Methhemoglobinemia and anaesthetist
1089. Discuss the signs and symptoms,pathophysiology and management of cyanide toxicity
1090. NOSOCOMIAL INFECTIONS
1091. What are the common nosocomial infections in the ICU? Discuss the measures for prevention of VAP
1092. The factors influencing tissue oxygenation
1093. Discuss the management of a patient with snake bite
1094. What are the determinants of cardiac output and discuss various non-invasive methods of measurement of cardiac output
1095. A 65 year old patient,chronic cigarette smoker is admitted to emergency department with acute respiratory distress and altered sensorium. His ABG reveals Pao2 50 mmHg,Paco2 85 mmHg, pH-7. 10. Discuss your plan of management
1096. What is mixed venous oxygen saturation and its importance in critical care setup? How is it measured
1097. Critical Care Protocol.
1098. MECHANICAL VENTILATION:-
1099. ]WEANING
1100. Weaning from prolonged ventilation
1101. Weaning modes of ventilation
1102. Weaning criteria in a patient of COPD on ventilator
1103. Enumerate the predictors of weaning from mechanical ventilation(June 2009).
1104. Enumerate the predictors of weaning a patient on prolonged ventilatory support in the ICU
1105. ]MODES
1106. Pressure support ventilation
1107. Mandatory minute ventilation
1108. Inverse ratio ventilation
1109. Pressure Controlled Ventilation
1110. Write briefly on newer modes of ventilation. Discuss each of theseventilatory modality with reference to an established case of ARDS.
1111. Newer modes of ventilation
1112. Non invasive ventilation
1113. Permissive hypercapnia
1114. ]COMPLICATION
1115. Volutrauma
1116. Long term ventilation and its complication
1117. Oxygen toxicity
1118. Ventilator associated pneumonia-what are the causes and preventive measures possible?
1119. ]PEEP
1120. PEEP and its application in anaesthesia
1121. Describe PEEP,its mechanism of action,uses and complications
1122. Compare and contrast PEEP and CPAP
1123. What is PEEP? How does it improve arterial pO2? What are its disadvantages?
1124. ]IPPV
1125. Physiological changes associated with
1126. Applied physiology of IPPV
1127. ]ANALGESIA /SEDATION/PARALYSIS
1128. Use of muscle relaxants in ICU
1129. Enumerate the role of sedation in ICU patients
1130. The role of sedation in ICU patients
1131. Enumerate the role of analgesics and sedation in patients on ventilator therapy in ICU
1132. Describe about current openion on managing pain in ICU. What is the role of sedation in ICU patients
1133. }BURNS
1134. Discuss the management of a case of 40% burns
1135. Discuss the pathophysiology and management of inhalational injury
1136. Management of an adult with smoke inhalational injury
1137. Resuscitation of a patient with 60% deep burn injury
1138. Anaesthesia for burnt patient
1139. Discuss the principles,assessment and methods of analgesia for pain relief in burns
1140. Assessment and resuscitation of patient with severe burns
1141. Describe the initial assessment and resuscitation in a 25 year old female with massive burns evacuated from the site of fire
1142. ARDS
1143. Describe the pathogenesis and management of adult respiratory distress syndrome
1144. Describe the ventilatory management of ARDS
1145. Recent advances in the management of ALI and ARDS
1146. Permissive hypercapnia
1147. What is ARDS? Discuss the ventilator strategies in a patient of ARDS
1148. What are the diagnostic criteria for ARDS. DESCRIBE THE VENTILATOR strategies for management of ARDS
1149. Discuss in brief causes, management and outcome of ARDS. What is the end point of r esuscitation in sepsis?
1150. SHOCK/SEPSIS
1151. Discuss the pathophysiology,preventive and corrective measures of irreversible shock
1152. Define MODS. How do you plan to manage such a case?
1153. Septic shock
1154. Role of vasopressors in septic shock
1155. Enumerate the symptoms of shock and discuss the methods used for assessment of systemic perfusion
1156. Describe various components of surviving sepsis guidelines
1157. Define and classify shock. Discuss the recent guidelines for the management of septic shock
1158. How would you assess a case of septic shock due to pancreatitis? Briefly discuss its management
1159. Describe the criteria for diagnosis of SIRS. Briefly discuss its management.
1160. Write an algorithm for the management of early haemorrhagic shock. What are the goals in early resuscitation during active bleeding?
1161. Describe the pathophysiology of traumatic hemorrhagic shock. Eneumerate the goals, advantages and disadvantages of earLy and late resuscitation practice
1162. Define and classify shock. Discuss the recent guidelines for the management of CARDIOGENIC shock
1163. Classify haemorrhagic shock. What are the indications for permissive hypotension? Describe fluid management in a patient with haemorrhagic
1164. What is anaphylaxis? Describe in a stepwise manner management of hypersensitivity reaction in an anesthetized patient.
1165. }TRACHEOSTOMY
1166. Tracheostomy -techniques and complications
1167. Percutaneous dilational tracheostomy-various techniques and their advantages over conventional tracheostomy
1168. Enumerate the indications of tracheostomy. Describe different techniques of performing percutaneous dilatational trachesotomy
1169. 96)Respiratory Care.
1170. Oxygen therapy
1171. -Oxygen therapy in postop period
1172. High Frequency ventilation
1173. Discuss methods of humidification
1174. NIV:advantages,disadvantages and methods of administration
1175. What is oxygen delivery? Classify oxygen delivery systems. Discuss the role of ventimask in oxygen therapy
1176. Describe the interfaces used with non invasiveventilation(NIV). What is NIV protocol? Describe the current definitive indication of NIV
1177. Neurocritical Care.
1178. Resuscitation of head injury patient
1179. GCS
1180. Monitoring and control of raised ICP in head injury
1181. Methods of decreasing increased ICP
1182. Management of spinal injury
1183. Regulation of intracranial tension
1184. -Discuss the management of intracranial hypertension
1185. Medical management of head injured patient
1186. What is cerebral protection? Explain the methods adopted in clinical practice for cerebral protection
1187. Describe the regulation of ICP and methods available for reducing the pressure under anaesthesia
1188. What are the pathophysiological insults which exacerbate the primary brain injury following head trauma? How can these effects be reduced?
1189. What are the indications for ICP monitoring in patients with head injury? describe the ICU management strategies of a patient with severe head injury?
1190. What is awareness during surgery? Describe methods of monitoring awareness. What are the complications associated with awareness during surgery?
1191. Describe Glasgow coma score. Describe preoperative management of traumatic brain injury.
1192. 98)Nutrition and Metabolic Control.
1193. Present day concept of IV alimentation
1194. Indications and hazards of parenteral nutrition
1195. Parenteral nutrition in critically ill patient
1196. A 50 year old man with COPD is on ventilator in ICU. Plan his enteral feeding and discuss its advantages and disadvantages
1197. Enteric feeding in the critically ill patient
1198. -Enteral feeding in the critically ill patients-indications,techniques and complications
1199. What are the goals of nutritional support in critically ill patients? Describe the daily requirements for proteins,lipids,carbohydrates for a patient with advanced sepsis admitted in the ICU
1200. How will you calculate the energy requirements in an ICU patient? What are the advantages and disadvantages of parenteral versus enteral nutrition?
1201. How would u prescribe TPN to a 50 kg patient in ICU? Briefly mention the monitoring of this
1202. What are the complications of nutritional support in ICU. What are the special consideration in a patient with renal dysfunction.
1203. 99)RRT.
1204. What are the problems related to chronic hemodialysis
1205. What are the indications for RRT? List different modes of RRT. Discuss the role of CRRT in septic shock
1206. Discuss indications and techniques of RRT. Discuss role of CRRT in septic shock
1207. What are the indications for renal replacement therapy? Describe its role in MODS
1208. 100)CPR-BLS and ALS.
1209. NEONATAL RESUSCITATION
1210. Neonatal resuscitation in the labour room
1211. What are the recent guidelines for neonatal resuscitation
1212. What are the new guidelines for ventilation and external cardiac compression for neonatal resuscitation? What are the drugs (with doses) used for neonatal resuscitation?
1213. Write down the algorithm for resuscitation of a newborn
1214. Describe the BLS measure in an adult, who has been brought into the emergency room of the hospital; in a state of cardiac arrest
1215. Resuscitation of term pregnant patient
1216. Defibrillation
1217. Recent advances in CPR).
1218. Discuss the management of an unconscious young patient with history of drowning
1219. -Discuss resuscitation of near drowning patient as per modified CPR guidelines
1220. Airway devices recommended and used for CPR
1221. Enumerate 5 H’s and 5 T’s as possible causes of cardiac arrest. What it the management of PEA in an unconscious patient?
1222. Write the PEA algorithm as per the AHA guidelines
1223. Enumerate the changes in the ACC/AHA guidelines on resuscitation (BLS & ACLS) for management of cardiac arrest in adult
1224. Describe the physiology of circulation during closed chest compressions. Discuss the algorithm for BLS
1225. Describe the salient fetures of the CPR as per AHA 2010 guidelines.
1226. Describe the current role of induced hypothermia after cardiac arrest? What are the complications of hypothermia in a patient of polytrauma?
1227. 101)Brain Death.
1228. Describe the criteria and neurological test for brainstem death and preparing the patient for organ donation
1229. Write in brief the criteria for determination of brain death and clinical tests for confirmation
1230. Criteria for brain death and the role of anaesthetist (anesthetic management) in organ harvesting
1231. Describe the criteria for brain death. and its clinical significance.
1232. Describe the management of a deceased donoe in intensive care
1233. -ANCILLARY RESPONSIBILITIES AND PROBLEMS
1234. OR Management.
1235. OR pollution
1236. Sterilization of anaesthesia equipment
1237. Disinfection
1238. Pollution in anaesthesia
1239. OT safety
1240. What is scavenging in OT? What are the five basic parts of a scavenging system? What are the hazards of a scavenging system?
1241. What are the types of scavenging systems used in OTs. Describe the role of volatile anesthetics in environmental pollution.
1242. 103)Electrical Safetyin the OR
1243. Prevention of fire and explosion hazards in OT
1244. 104)Environmental Safety including Chemical Dependancy.
1245. Discuss the environmental hazards in the OT and discuss the measures for its prevention
1246. 105)Statistical Methods & LAWS in Anaesthesia.
1247. What do you understand by randomization and blinding in a clinical study? What is importance of p-value and power of study?
1248. What is normal distribution? What is the difference between paired and unpaired student, s t-test? How are two proportions compared between independent samples?
1249. Describe sensitivity and specificity as diagnostic statistical test
1250. Describe boyle,s law and its application to anesthesia
1251. BIOMEDICAL WASTE
1252. Define biomedical waste. Briefly describe the guidelines for the management of biomedical waste.
1253. SENARIO BASED
1254. TURP+PACEMAKER
1255. Discuss the pre-operative evaluation and anaesthetic management of an 80 year old patient with cardiac pacemaker for TURP
1256. Outline the anaesthetic management of a 70 year old patient with permanent pacemaker scheduled for TURP
1257. Discuss the anaesthetic management of a 60 year old patient for resection of carcinoma sigmoid colon with history of MI sustained 10 weeks ago
1258. Preoperative evaluation and preparation and anaesthesia management of a known case of bronchial asthma posted for radical mastectomy
1259. A patient of coarctation of aorta is scheduled for CS. Discuss the preoperative preparation, anaesthetic management and post-operative care of the patient
1260. Anaesthetic management of a patient with suspected posterior fossa tumor with BP 180/90 mmHg, HR-45/min and signs of raised ICT
1261. A patient for surgery for fracture neck of femur, one year after CABG
1262. Diabetic patient with autonomic neuropathy for abdominal hysterectomy
1263. Intraoperative management of 40 years old male with hypertension and IHD for right pyelolithotomy
1264. Discuss the anaesthetic management of a 20 year old male with achalasia cardia and bronchial asthma for laparoscopic cardiomyotomy
1265. A 70 year old hypertensive man with CAD is scheduled for TURP. Discuss the anaesthetic management
1266. Preop evaluation and preparation of 36 years old asthmatic female scheduled for laparoscopic cholecystectomy
1267. Discuss anaesthetic management of 70 years old hypertensive with CAD scheduled for TURP
1268. 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
1269. RECENT ADVANCES.
1270. ANTS (anesthesia non technical skills).
1271. Levosimendon
1272. Remifentanyl
1273. Suggamadex
1274. Dexmedetomedine
1275. Desflurane
1276. Alladincassett vaporizer
1277. Sepsis guidelines recent (2017).
1278. Airway guidelines (2015)
1279. Videolaryngoscopes
1280. Supraglottic airway devices.
1281. Newer drug delivery systems (opioids)
1282. Lung ultrasound (blue protocol0
1283. Recent advances in post-op pain management (pediatric & adult).
1284. Obstructive sleep apnoea (stop bang criteria)
1285. Blood substitutes
1286. Recent advances in perioperative fluid management (3rd space concept)
1287. Newer modes of ventilation (NAVA/HFV/LIQUID/HELIOX).
1288. PARAVERTEBRAL BLOCK ANATOMY
1289. Anesthesia for fetal surgeries.
1290. Recent guidelines for neonatal resuscitation. (2014)
1291. Recent advances in neuromuscular monitoring.
1292. Recent advances in labour analgesia.
1293. Oocyte retrival in IVF suites.
1294. Measures of tissue oxygenation.