Rajiv Gandhi University of Health Sciences, Karnataka

Post Graduate Degree Examination – MAY 2018

[Time: 3 Hours] Max. Marks: 100 Marks
MD ANAESTHESIOLOGY

PAPER – I

Q.P. CODE: 7291

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary

Answer all the Questions 10 x 10 = 100 Marks

1. Describe anatomical and physiological differences between “New born” and “Adult” and their
anaesthetic implications.

2. Describe the anatomy of Internal Jugular Vein (IJV). How will you cannulate IJV using ultrasound?
What are the complications of IJV cannulations?

3. Pin index safety system.

4. John Snow – contribution to anaesthesia.

5. Bed side pulmonary function tests.

6. Train of four stimulus.

7. Intubating laryngeal mask airway (LMA).

8. Magnesium sulphate and anaesthesia.

9. Oculocardic reflex.

10. Gate control theory of pain.

*******
 Rajiv Gandhi University of Health Sciences, Karnataka
Post Graduate Degree Examination – MAY 2018
[Time: 3 Hours] Max. Marks: 100 Marks
MD ANAESTHESIOLOGY

PAPER – II

Q.P. CODE: 7292

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary

Answer all the Questions 10 x 10 = 100 Marks

1. 48 year old patient with destroyed left lung is posted for left pneumonectomy. Explain the pre-
operative assessment, preparation and intra-operative management of the patient.

2. Discuss the pre-operative evaluation and preparation of a 30 years old patient with acoustic neuroma
posted for posterior fossa surgery. Describe the intraoperative complications and its management.

3. Uses of heparin in anaesthesia.

4. Intravenous regional anaesthesia (IVRA).

5. Hepato – renal syndrome.

6. Anaesthesia for renal donor patient.

7. Occulo cardia reflex.

8. Laser surgery and anaesthesia.

9. Three in one block.

10. Venturi principle in anaesthesia.

*******
 Rajiv Gandhi University of Health Sciences, Karnataka
Post Graduate Degree Examination – MAY 2018
[Time: 3 Hours] Max. Marks: 100 Marks
MD ANAESTHESIOLOGY

PAPER – III

Q.P. CODE: 7293

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary

Answer all the Questions 10 x 10 = 100 Marks

1. Discuss the anaesthetic management of 2 year old 11 kg child for emergency bronchoscopy to remove
foreign body from right main bronchus. Enumerate possible complications and its management.

2. Describe the pre-operative evaluation optimization and anaesthetic management of a morbidly obese
patient for bariatric surgery.

3. Sub mental intubation.

4. Post anaesthesia care unit.

5. Halothane Vs Sevoflurane induction.

6. Venous air embolism.

7. Fluid management of patient with 50% burns.

8. Electroconvulsive therapy and anaesthesia.

9. Transversus Abdominis plane (TAP) block technique and its clinical implications in anaesthesia.

10. Discuss the role of trans thoracic echocardiography (TTE) in hemodynamic monitoring of an end
stage renal disease patient on haemodialysis with cardiomyopathy scheduled for hemi replacement
arthroplasty.

*******
 Rajiv Gandhi University of Health Sciences, Karnataka
Post Graduate Degree Examination – MAY 2018
[Time: 3 Hours] Max. Marks: 100 Marks
MD ANAESTHESIOLOGY

PAPER – IV

Q.P. CODE: 7294

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary

Answer all the Questions 10 x 10 = 100 Marks

1. How do you medically optimize a patient scheduled for excision of Phaeochromocytoma? Discuss the
merits and demerits of the drugs that can be used to manage the blood pressure intraoperatively in this
case.

2. What are the clinical features of diabetic ketoacidosis? How would you manage a case of diabetic
ketoacidosis admitted in the intensive care unit?

3. Advantage of tetra starch over other available colloid solutions.

4. Gate control theory of pain.

5. Inverse ratio ventilation.

6. Magnesium as a drug in anaesthesia.

7. Myofascial pain.

8. NSAIDs in the management of postoperative pain.

9. Describe the guidelines for central Neuroxial blockage in a patient on anticoagulant therapy.

10. Briefly describe thermoregulation in the human body. Discuss the impact of perioperative
hypothermia.

*******
 Rajiv Gandhi University of Health Sciences, Karnataka
Post Graduate Diploma Examination – MAY 2018
[Time: 3 Hours] Max. Marks: 100 Marks
DIPLOMA IN ANAESTHESIOLOGY

PAPER – I

Q.P. CODE: 7011

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary

Answer all the Questions 10 x 10 = 100 Marks

1. Physiology of Cerebrospinal fluid formation.

2. Methods of disinfection and sterilization.

3. Desflurane.

4. Magnesium in anaesthesia.

5. Laryngeal mask airway.

6. WTG Morton.

7. Pulse Oximetry.

8. Sellick’s maneouver.

9. Venturi principle.

10. Bainbridge reflex.

*******
 Rajiv Gandhi University of Health Sciences, Karnataka
Post Graduate Diploma Examination – MAY 2018
[Time: 3 Hours] Max. Marks: 100 Marks
DIPLOMA IN ANAESTHESIOLOGY

PAPER – II

Q.P. CODE: 7012

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary

Answer all the Questions 10 x 10 = 100 Marks

1. A 50 year old man with chronic renal failure is scheduled for total hip replacement. Describe the
preoperative evaluation, preparation, intraoperative and postoperative management.

2. Discuss preoperative evaluation, preparation intraoperative and postoperative anaesthetic management

in a primigravida at term with suspected uterine rupture.

3. Describe the preoperative preparation and intra – operative management in a 35 year old woman with
diagnosed mitral stenosis scheduled for elective abdominal hysterectomy.

4. Preoperative hypothermia in children.

5. Describe the anaesthetic management of an asthmatic woman scheduled for mastectomy.

6. Anaesthetic management of 35 year old woman with craniopharyngioma presenting with features
suggestive of cushing’s syndrome scheduled for trans – spenoidal hypophysectomy.

7. Discuss the pros and cons of the use of bone cement. Describe the strategies to prevent and treat bone
cement hypotension syndrome.

8. Anaesthetic management of a 5 year old child scheduled for the correction of squint.

9. Define minimum Aiveolar Concentration (MAC) of an inhalational anaesthetics. Enumerate methods

used to assess depth of anaesthesia.

10. Enumerate the safety features in modern anaesthesia work station.

*******
 Rajiv Gandhi University of Health Sciences, Karnataka
Post Graduate Diploma Examination – MAY 2018
[Time: 3 Hours] Max. Marks: 100 Marks
DIPLOMA IN ANAESTHESIOLOGY

PAPER – III

Q.P. CODE: 7013

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary

Answer all the Questions 10 x 10 = 100 Marks

1. Management of Neurotoxic snake venom poisoning.

2. 82 yrs. Male posted for TURP, discuss the anaesthetic management and perioperative complications.

3. Steroids in sepsis.

4. Ropivacaine.

5. PEEP.

6. Supine hypotensive syndrome.

7. Hydroxyethyl starch (HES).

8. Prophylaxis for thromboembolism.

9. Describe the anaesthetic management in a 65 year old male with pacemaker scheduled for obstructed
inguinal hernia repair.

10. Define massive blood transfusion. Describe the complications of massive blood transfusion.

*******
 Rajiv Gandhi University of Health Sciences, Karnataka
Post Graduate Degree Examination – MAY 2017

[Time: 3 Hours] Max. Marks: 100 Marks

MD ANAESTHESIOLOGY

PAPER – I (Revised Scheme)

Q.P. CODE: 7291

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary

LONG ESSAYS 2 x 20 = 40 Marks

1. What is ‘dead space’ in respiratory physiology? Describe the pulmonary distribution of perfusion and
ventilation.
2. Mention the routes of administration of Ketamine with their respective doses. Describe the
pharmacokinetics of Ketamine. Add a note on adverse effects of Ketamine.
SHORT ESSAYS 6 x 10 = 60 Marks
3. Anatomy of stellate ganglion

4. Hepatic blood flow and hepatic arterial buffer response

5. Renin angiotensin aldosterone system

6. Bispectral index monitoring

7. Diffusion hypoxia

8. Arthur Guedel’s contribution to anaesthesia

*****

Rajiv Gandhi University of Health Sciences, Karnataka

M.D. Degree Examination - MAY 2017
[Time: 3 Hours] [Max. Marks: 100]

ANAESTHESIOLOGY

PAPER – II (Revised Scheme)

Q.P. CODE: 7292

Your answers should be specific to the questions asked.

Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Describe the anaesthetic management of postpartum haemorrhage with retained placenta posted for
manual removal of placenta
2. Describe the effects of anaesthetic drugs on intraocular pressure? What methods are adopted to
prevent the rise of intraocular pressure during intraocular surgery?

SHORT ESSAY 6 X 10 = 60 Marks

3. Anaesthetic implications of cervical spine injury
4. Ion trapping in foetus
5. Peribulbar block
6. Systemic effects of tourniquet application
7. Entonox
8. Intracranial pressure monitoring

*****

Rajiv Gandhi University of Health Sciences, Karnataka

M.D. Degree Examination - MAY 2017
[Time: 3 Hours] [Max. Marks: 100]

ANAESTHESIOLOGY

PAPER – III (Revised Scheme)

Q.P. CODE: 7293

Your answers should be specific to the questions asked.

Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Describe the management of an infant with foreign body aspiration posted for bronchoscopy
2. Describe an external defibrillator and the steps to perform defibrillation. How does automated
external defibrillator differ from the conventional defibrillator?

SHORT ESSAY 6 X 10 = 60 Marks

3. Anaesthetic technique for upper gastrointestinal endoscopy on outpatient basis
4. Intra-abdominal pressure
5. Indications for haemodialysis
6. Glossopharyngeal nerve block
7. Thromboelastography (TEG)
8. Intraoperative glycemic control

*****

Rajiv Gandhi University of Health Sciences, Karnataka

M.D. Degree Examination - JUNE 2017
[Time: 3 Hours] [Max. Marks: 100]

ANAESTHESIOLOGY

PAPER – IV (Revised Scheme)

Q.P. CODE: 7294

Your answers should be specific to the questions asked.

Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Explain systemic inflammatory response syndrome
2. Non – invasive ventilation

SHORT ESSAY 6 X 10 = 60 Marks

3. Gabapentene
4. Operation theatre pollution
5. N – Acetyl cysteine
6. WHO analgesia ladder
7. Sedation score
8. Ventilator associated pneumonia

*****

Rajiv Gandhi University of Health Sciences, Karnataka

Post-Graduate Diploma Examination – MAY 2017
[Time: 3 Hours] [Max. Marks: 100]

DIPLOMA IN ANAESTHESIOLOGY (D.A)

PAPER – I (Revised Scheme)

Q.P. CODE: 7011

Your answers should be specific to the questions asked.

Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Describe the anatomy of Broncho-Pulmonary segments with diagram.

2. Describe the anatomy and physiology of coronary circulation with diagram.

SHORT ESSAY 6 X 10 = 60 Marks

3. Extradural space.
4. Capnography
5. Pulmonary arterial wedge pressure
6. Horace Wells
7. Renal function tests
8. Importance of Albumin: Globulin ratio in Anaesthesia

*****

Rajiv Gandhi University of Health Sciences, Karnataka

Post Graduate Diploma Examination – MAY 2017
[Time: 3 Hours] Max. Marks: 100 Marks

DIPLOMA IN ANAESTHESIOLOGY

PAPER – II (Revised Scheme)

Q.P. CODE: 7012

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary

LONG ESSAYS 2 x 20 = 40 Marks

1. Discuss the preoperative evaluation, optimization and anaesthetic management of a 65 year old patient
with chronic obstructive pulmonary disease scheduled for total gastrectomy.
2. Enumerate the physiological changes occurring in pregnancy. How do you evaluate a term pregnant
with severe preeclampsia scheduled for caesarean section?

SHORT ESSAYS 6 x 10 = 60 Marks

3. Spinal cord monitoring in spine surgery

4. Measures to reduce intracranial pressure intraoperatively

5. Treatment of intraoperative myocardial ischaemia

6. Anaesthetic considerations in ‘open-eye (penetrating eye injury), full stomach’ situation

7. Hepatorenal syndrome

8. Preoperative sedation in children

*****

Rajiv Gandhi University of Health Sciences, Karnataka

Post-Graduate Diploma Examination – May 2017
[Time: 3 Hours] [Max. Marks: 100]

DIPLOMA IN ANESTHESIOLOGY (D.A)

PAPER – III (Revised Scheme)

Q.P. CODE: 7013

Your answers should be specific to the questions asked.

Draw neat labeled diagrams wherever necessary.

LONG ESSAY 2 X 20 = 40 Marks
1. How do you anesthetize a patient with Pheochromocytoma posted for removal of the tumor &
discuss the problems faced by the anesthetist.
2. How do you manage a case of acute organophosphate insecticide poisoning.

SHORT ESSAY 6 X 10 = 60 Marks

3. ACLS ( Advanced cardiac life support)
4. Anaesthesia in the rural set up
5. Percutaneous tracheostomy
6. Thyroid crisis
7. Fat embolism
8. Conscious sedation

*****

Rajiv Gandhi University of Health Sciences, Karnataka

MD Degree Examination – JUNE 2016
(Time: 3 Hours) (Max. Marks: 100)

MD ANAESTHESIOLOGY

PAPER – I (Revised Scheme)

Q.P. CODE: 7291

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAYS 2 x 20 = 40 Marks

1. Describe the physiologic mechanism of haemostasis. What are the anaesthetic implications of
perioperative use of clopidogrel?
2. What is train of four stimulation? How do you interpret the findings of train of four stimulation? What
are the clinical tests of postoperative neuromuscular recovery?

6 x 10 = 60 Marks

SHORT ESSAYS
3. Intraoperative hypothermia

4. Functional residual capacity and closing volume

5. Formation and circulation of cerebrospinal fluid

6. Effect of Ketamine on cardiovascular, central nervous and respiratory systems

7. Management of hyperkalemia

8. James Young Simpson’s contribution to anaesthesia

*****

Rajiv Gandhi University of Health Sciences, Karnataka

MD Degree Examination – JUNE 2016
(Time: 3 Hours) (Max. Marks: 100)

MD ANAESTHESIOLOGY
 PAPER – II (Revised Scheme)

Q.P. CODE: 7292

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAYS 2 x 20 = 40 Marks

1. A 6-year-old child is scheduled correction of lumbar scoliosis. Discuss the perioperative anaesthetic
concerns, management plan and postoperative pain management plan for the same. (20 marks)
2. Discuss the perioperative anaesthetic concerns, management options and your plan for management of
a patient having rheumatic heart disease with a mitral stenosis with valve area 1.0 cm2 in atrial
fibrillation scheduled for mitral valve replacement surgery. Add a note on anaesthetic implications
related to atrial fibrillation. (20 marks)
6 x 10 = 60 Marks

SHORT ESSAYS
3. A patient on low molecular weight heparin is scheduled for patellar repair under epidural anaesthesia.
Discuss the implications, concerns and management plan as per the recent guidelines.
4. Anaesthetic management of a patient scheduled for coronary angioplasty.

5. Lung isolation techniques.

6. Anaesthetic management of vitreo-retinal surgery.

7. The anaesthetic management options available for cervical encirclage.

8. Discuss the various cerebral protective measures available for a patient with traumatic brain injury.

*****

Rajiv Gandhi University of Health Sciences, Karnataka

MD Degree Examination – JULY 2016
(Time: 3 Hours) (Max. Marks: 100)

MD ANAESTHESIOLOGY

PAPER – III (Revised Scheme)

Q.P. CODE: 7293

 Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAYS 2 x 20 = 40 Marks

1. Write briefly the anesthetic management of one - day old child posted for TOF repair.

2. Discuss pre-op preparation and anaesthesia for renal recipient.

6 x 10 = 60 Marks

SHORT ESSAYS
3. Anticoagulants and regional anaesthesia

4. Epidural anaesthesia

5. Thyroid storm

6. Anaesthetic management of a 70 yrs old with Carcinoma Larynx posted for total laryngectomy

7. Hepatorenal syndrome

8. Transoesophageal echocardiography

*****

Rajiv Gandhi University of Health Sciences, Karnataka

MD Degree Examination – JULY 2016
(Time: 3 Hours) (Max. Marks: 100)

MD ANAESTHESIOLOGY

PAPER – IV (Revised Scheme)

Q.P. CODE: 7294

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAYS 2 x 20 = 40 Marks
1. Discuss limitations and hazards of MRI suite. Describe anaesthetic management of a 6 month, old
child with hydrocephalus scheduled for MRI brain.

2. Write briefly about labour analgesia.

6 x 10 = 60 Marks

SHORT ESSAYS
3. Awareness and anaesthesia

4. Delayed recovery

5. Non-invasive ventilation

6. Clonidine in anaesthesia and intensive care unit

7. Resuscitation of term pregnant patients

8. Pulse – oximetry – principles and applications

*****

Rajiv Gandhi University of Health Sciences, Karnataka

Post Graduate Diploma Examination – JUNE 2016
(Time: 3 Hours) (Max. Marks: 100)

DIPLOMA IN ANAESTHESIOLOGY

PAPER – I (Revised Scheme)

Q.P. CODE: 7011

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAYS 2 x 20 = 40 Marks

1. Discuss the anatomy and physiology Neuromuscular Junction. Describe the characteristic of
depolarizing blocking drugs.
 2. Discuss in detail the various anesthesia breathing circuits commonly used.

SHORT ESSAYS 6 x 10 = 60 Marks

3. William Thomas green Morton

4. Ropivacaine

5. Capnography

6. Colloids

7. Extradural opioids

8. Humidity and methods of Humidification.

*****

Rajiv Gandhi University of Health Sciences, Karnataka

Post Graduate Diploma Examination – JULY 2016
(Time: 3 Hours) (Max. Marks: 100)

DIPLOMA IN ANAESTHESIOLOGY

PAPER – II (Revised Scheme)

Q.P. CODE: 7012

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAYS 2 x 20 = 40 Marks

1. Discuss the preoperative evaluation and anaesthetic management of a patient scheduled for clipping of
intracranial posterior communicating artery aneurysm. What are the measures you would take in the
event of rupture of the aneurysm intraoperatively?
2. What are the anaesthetic problems in a patient with ankylosing spondylitis scheduled for total hip
arthroplasty? Discuss how you would manage ‘bone-cement implantation syndrome’ in this case.
SHORT ESSAYS 6 x 10 = 60 Marks
3. Pulmonary function tests in obstructive lung disease

4. Complications of transurethral resection of prostate

5. Walking epidural

6. Intraoperative fluid management in a neonate

7. Modified Child-Pugh score

8. Haemodynamic goals in mitral stenosis

*****

Rajiv Gandhi University of Health Sciences, Karnataka

Post Graduate Diploma Examination – JULY 2016
(Time: 3 Hours) (Max. Marks: 100)

DIPLOMA IN ANAESTHESIOLOGY

PAPER – III (Revised Scheme)

Q.P. CODE: 7013

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAYS 2 x 20 = 40 Marks

1. A 50 yrs old lady with thyrotoxicosis is posted for sub total thyroidectomy. Discuss the anaesthetic
management.
2. A 80 year old man with history of recent myocardial infarction is scheduled to undergo exploratory
laparotomy for suspected colonic malignancy. Describe preoperative evaluation, optimisation,
intraoperative and postoperative management.

SHORT ESSAYS 6 x 10 = 60 Marks

3. Recruitment manouvres in ICU

4. Perioperative anaesthetic management for a 60 year old woman weighing 90 kg scheduled to undergo
 total knee replacement for osteoarthrosis.
5. Discuss perioperative laryngospasm in children under
a) Causes
b) Treatment modalities available
6. Discuss briefly the causes and prevention of perioperative renal dysfunction in a patient with severe
obstructive jaundice undergoing radical pancreatoduodenectomy.
7. Anaesthetic management of 2 year old boy scheduled for the removal of foreign body in the bronchus,
under general anaesthesia.
8. Mechanism of diffusion hypoxia and its management.

*****

Rajiv Gandhi University of Health Sciences, Karnataka

MD Degree Examination – MAY 2015
(Time: 3 Hours) (Max. Marks: 100)

MD ANAESTHESIOLOGY

PAPER – I (Revised Scheme)

Q.P. CODE: 7291

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAYS 2 x 20 = 40 Marks

1. What is the difference between capnography and capnometry? Describe the phases of a capnogram.
What are the factors that may change the capnogram characteristics during anaesthesia?
2. What is Justaglomerular apparatus? What are the mechanisms for renal autoregulation? How do you
evaluatge renal function in a patient?

SHORT ESSAYS 6 x 10 = 60 Marks

3. Venturi principle and its application in anaesthesia.

4. Role of renal dose of dopamine.

5. Contribution of Horace Wells to anaesthesia.

6. Pathophysiology of lung injury during artificial ventilation.

7. Liver ancinus.

8. Minimum alveolar concentration.

*****

Rajiv Gandhi University of Health Sciences, Karnataka

MD Degree Examination – MAY 2015
(Time: 3 Hours) (Max. Marks: 100)

MD ANAESTHESIOLOGY

PAPER – II (Revised Scheme)

Q.P. CODE: 7292

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAYS 2 x 20 = 40 Marks

1. Describe pre-op preparation and anaesthetic management of a patient with carcinoma right lung
posted for right pneumonectomy. Add a note on complication and postoperative management.
2. Discuss the anaesthetic management of strangulated inguinal hernia in a patient with history of recent
MI.

SHORT ESSAYS 6 x 10 = 60 Marks

3. Anaesthesia for Intraocular surgery.

4. Anaesthetic implications for scoliosis surgery.

5. Ruptured ectopic for emergency laparotomy.

6. Causes and management of postoperative shivering.

7. Brain death.

8. Enumerate the effects of smoking and its anaesthetic implications.

 *****

Rajiv Gandhi University of Health Sciences, Karnataka

MD Degree Examination – MAY 2015
(Time: 3 Hours) (Max. Marks: 100)

MD ANAESTHESIOLOGY

PAPER – III (Revised Scheme)

Q.P. CODE: 7293

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAYS 2 x 20 = 40 Marks

1. How do you manage a one day old term baby with oesophageal atresia brought for surgical
correction?
2. A 45 year old lady with thyroid malignancy with infiltration into trachea is scheduled for total
thyroidectomy. Describe the preoperative evaluation, optimization, intraoperative and postoperative
management.

SHORT ESSAYS 6 x 10 = 60 Marks

3. Interscalene brachial plexus block.

4. Describe the characteristics of ideal fluid for transurethral resection of prostate (TURP. Monitoring a
patient undergoing TURP.
5. Predisposing factors, diagnosis and treatment of thyroid storm.

6. Discharge criteria for a day care surgery.

7. Strategies to conserve blood during surgery.

8. Anaesthetic management of 80 year old man undergoing surgery for fracture neck of femur.

*****
 Rajiv Gandhi University of Health Sciences, Karnataka
MD Degree Examination – MAY 2015
(Time: 3 Hours) (Max. Marks: 100)

MD ANAESTHESIOLOGY

PAPER – IV (Revised Scheme)

Q.P. CODE: 7294

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAYS 2 x 20 = 40 Marks

1. Define the terms systemic inflammatory response syndrome, sepsis and septic shock. Describe the
pathophysiology of sepsis. Discuss the recent trends in haemodynamic stabilization of septic shock.
2. Compare and contrast the differences in basic life support interventions between an adult and an
infant. Describe the algorithm for pulseless electrical activity in an adult.

SHORT ESSAYS 6 x 10 = 60 Marks

3. Differentiate between phantom pain and stump pain. Describe the options available for management
of phantom limb pain.
4. With the help of a labeled diagram, outline the pain pathways. Add a note on gate control theory.

5. Discuss the relative merits and demerits of enteral and total parenteral nutrition in critically ill
patients. Enumerate the complications of total parenteral nutrition.
6. Non-invasive positive pressure ventilation.

7. What does the term autologous blood transfusion mean? Enumerate the advantages and disadvantages
of this technique.
8. Briefly outline the guidelines for management of the airway in a patient who has sustained a road
traffic accident and has suspected trauma to the cervical spine.

*****

Rajiv Gandhi University of Health Sciences, Karnataka

 Post Graduate Diploma Examination – MAY 2015
(Time: 3 Hours) (Max. Marks: 100)

DIPLOMA IN ANAESTHESIOLOGY

PAPER – I (Revised Scheme)

Q.P. CODE: 7011

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAYS 2 x 20 = 40 Marks

1. Discuss the role played by the major arteries, arterioles, capillaries and major veins in the maintenance of
circulatory function and blood pressure regulation.
2. Describe the anatomy of larynx. Explain superior laryngeal nerve block.

SHORT ESSAYS 6 x 10 = 60 Marks

3. With appropriate examples, describe the meanings of the terms agonist, competitive antagonist, non
competitive – antagonist, mixed agonist antagonist and inverse agonist.
4. List the drugs (with dosages) that can be used to treat bronchospasm. Describe their mechanism of action.

5. Describe the physical principles underlying temperature monitoring in anaesthetic practices.

6. Describe the anatomy and technique of performing ankle block.

7. Define and explain the anaesthetic implications of Laplace’s law and Hagen Poiseuille’s law.

8. History of Ether anaesthesia

*****

Rajiv Gandhi University of Health Sciences, Karnataka

Post Graduate Diploma Examination – MAY 2015
(Time: 3 Hours) (Max. Marks: 100)

DIPLOMA IN ANAESTHESIOLOGY

PAPER – II (Revised Scheme)

Q.P. CODE: 7012

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAYS 2 x 20 = 40 Marks

1. Discuss the anaesthetic concerns and perioperative management goals in a patient with mitral stenosis with a
valve area of 1.2 cm2 scheduled for bilateral inguinal hernioplasty. With the aid of a neatly labeled diagram,
add a note on changes expected in various chambers of heart and great vessels in this patient.
2. Discuss the pathophysiology of one lung ventilation in an anaesthetized and paralysed patient. Add a note on
different lung isolation techniques.

SHORT ESSAYS 6 x 10 = 60 Marks

3. Indications and complications related to haemodialysis.

4. Anaesthetic considerations and optimization plan for a patient scheduled for laparoscopic
cholecystectomy diagnosed incidentally to have elevated liver enzymes.
5. A 3-year old child with foreign body bronchus is scheduled for retrieval of the same. Discuss your
anaesthetic concerns and management plan for the same.
6. Pregnancy induced hypertension.
7. Cerebral protection techniques
8. Intravenous regional anaesthesia

*****

Rajiv Gandhi University of Health Sciences, Karnataka

Post Graduate Diploma Examination – MAY 2015
(Time: 3 Hours) (Max. Marks: 100)
 DIPLOMA IN ANAESTHESIOLOGY

PAPER – III (Revised Scheme)

Q.P. CODE: 7013

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Discuss the Management of Organophosphorous poisoning in ICU.

2. Discuss the preanesthetic evaluation, preparation and anaesthetic management of a patient with
thyrotoxicosis.

SHORT ESSAY 6 X 10 = 60 Marks

3. Jet Ventilation
4. APACHE score
5. Oxygen delivery devices
6. Oral hypoglycemic agents
7. Prone ventilation
8. Methods used to prevent infection in ICU.

*****

7291_9999_9_S283

Rajiv Gandhi University of Health Sciences, Karnataka

MD Degree Examination – Oct/Nov. 2014
(Time: 3 Hours) (Max. Marks: 100)
 MD ANAESTHESIOLOGY

PAPER – I (Revised Scheme)

Q.P. CODE: 7291

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAYS 2 x 20 = 40 Marks

1. Enumerate the gas laws. Discuss their application in anaesthesia.

2. What are the impurities that exist in nitrous oxide? Describe briefly how nitrous oxide is purified.

SHORT ESSAYS 6 x 10 = 60 Marks

3. WTG Morton.

4. Compound A.

5. Cuffless pharyngeal sealers.

6. Body mass index.

7. Beta blockers.

8. Soda lime.

*****

Rajiv Gandhi University of Health Sciences, Karnataka

Post graduate Degree Examination – Oct/Nov. 2014
Time: Three Hours Max. Marks: 100 Marks

MD ANAESTHESIOLOGY

PAPER – II (Revised Scheme)

Q.P. CODE: 7292

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary

LONG ESSAYS 2 x 20 = 40 Marks
1. A 69-year old patient is scheduled for an emergency laparotomy in view of possible intestinal
perforation. This patient is a known case of ischaemic heart disease with a history of poor effort
tolerance. He is on regular treatment with clopidogrel, aspirin and enalapril. Presently he has
dyspnea at rest, pulse rate 110/min, blood pressure 95/50 mmHg. Discuss the perioperative
anaesthetic management plan for this patient. Add a note on the anaesthetic interaction of the drugs
that patient is receiving.
2. Discuss the perioperative concerns, anaesthetic management options and your plan for management of
a patient with thymoma scheduled for video-assisted thoracoscopic.
6 x 10 = 60 Marks
SHORT ESSAYS
3. Discuss the different techniques available for monitoring spinal cord function during scoliosis surgery.

4. Retrobulbar block.

5. Axillary brachial plelxus block.

6. Discuss the failed intubation drill in obstetrics.

7. Discuss the problems and management options for a patient scheduled for sitting position
neurosurgery.
8. Management of raised intracranial pressure.

*****

7293_9999_9_S202

Rajiv Gandhi University of Health Sciences, Karnataka

MD Degree Examination – Oct/Nov. 2014
(Time: 3 Hours) (Max. Marks: 100)

MD ANAESTHESIOLOGY

PAPER – III (Revised Scheme)

Q.P. CODE: 7293

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAYS 2 x 20 = 40 Marks
1. Anaesthetic management of myasthenia gravis patient posted for thymectomy.

2. Anaesthetic management of liver transplantation.

6 x 10 = 60 Marks

SHORT ESSAYS
3. Anaesthesia for extra ocular surgery.

4. Bispectral index.

5. Hypoxic pulmonary vasoconstriction.

6. Dissiminated intravascular coagulation (DIC).

7. Classification of opioid drugs.

8. Anaesthesia for laparoscopic surgery.

*****

Rajiv Gandhi University of Health Sciences, Karnataka

Post graduate Degree Examination – Oct/Nov. 2014
Time: Three Hours Max. Marks: 100 Marks

MD ANAESTHESIOLOGY

PAPER – IV (Revised Scheme)

Q.P. CODE: 7294

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary

LONG ESSAYS 2 x 20 = 40 Marks

1. Describe the clinical features and discuss the management of a young adult presenting with
organophosphate compound poisoning.
2. Explain the term adult respiratory distress syndrome (ARDS). Discuss the aetiology and management
of ARDS.
 6 x 10 = 60 Marks
SHORT ESSAYS
3. Outline Ventricular fibrillation algorithm.

4. Outline the criteria for establishing diagnosis of brain death.

5. WHO ladder for providing pain relief for chronic cancer pain.

6. Outline American Society of Anaesthesiologists (ASA) difficult airway algorithm.

7. Enumerate the various blood components. Briefly mention the indications for administering each of
them.
8. Compare and contrast:

a. Dopamine and Dobutamine.

b. Adrenaline and Nor adrenaline.

*****

Rajiv Gandhi University of Health Sciences, Karnataka

Post Graduate Degree Examination – May 2014
Time: Three Hours Max. Marks: 100 Marks

MD ANAESTHESIOLOGY

PAPER – I (Revised Scheme)

Q.P. CODE: 7291

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary

LONG ESSAYS 2 x 20 = 40 Marks

1. Describe the electrical and mechanical events during cardiac cycle.

2. Describe the mechanism of control of respiration.

SHORT ESSAYS 6 x 10 = 60 Marks

3. Anatomy of the epidural space
4. Contraindications for succinyl choline (including reasons)

5. Somatosensory evoked potential monitoring

6. Pathophysiology of cardiac and haematologic dysfunction in liver cirrhosis

7. Compare and contrast i gel and LMA

8. Nitric oxide in clinical practice

*****

Rajiv Gandhi University of Health Sciences, Karnataka

Post Graduate Degree Examination – May 2014
Time: Three Hours Max. Marks: 100 Marks

MD ANAESTHESIOLOGY

PAPER – II (Revised Scheme)

Q.P. CODE: 7292

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary

LONG ESSAYS 2 x 20 = 40 Marks

1. A 50-year old man with a 10 year old ball-in-cage prosthetic mitral valve, currently only on oral warfarin
therapy, is scheduled for open nailing of a fracture of the right femoral shaft. Presently the patient has moderate
effort tolerance. Discuss the anaesthetic concerns and perioperative management plan of this patient.
2. Discuss the perioperative anaesthetic management plan for a smoker with bronchogenic carcinoma posted for a
right pneumonectomy.

SHORT ESSAYS 6 x 10 = 60 Marks

3. Management of intraoperative myocardial ischaemia / infarction in a patient undergoing non-cardiac surgery.

4. A patient with high velocity road traffic accident presents to casualty with abrasions and contusions over neck
and face. On evaluation he is drowsy but stable. He is scheduled for vascular repair and fixation of right femur.
 Discuss your perioperative anaesthetic management plan for the same.
5. Discuss the anaesthetic management options available for cervical encirclage.

6. Anaesthetic management of a term pregnant lady with gestational diabetes mellitus for Caesarean section.

7. Diagnosis and anaesthetic management of extradural haematoma.

8. A 68-year old male with ischaemic heart disease, hypertension, insulin dependent diabetes mellitus is
scheduled for cataract extraction under monitored anaesthesia care. Discuss the various concerns and your plan
of management for this patient.

*****

Rajiv Gandhi University of Health Sciences, Karnataka

Post Graduate Degree Examination – May 2014
Time: Three Hours Max. Marks: 100 Marks

MD ANAESTHESIOLOGY

PAPER – III (Revised Scheme)

Q.P. CODE: 7293

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary

LONG ESSAYS 2 x 20 = 40 Marks

1. A 72 year old man with obstructive jaundice is scheduled for whipple’s procedure. Describe
preanaesthetic evaluation, preparation, intraoperative and postoperative management.
2. Describe preoperative evaluation, intraoperative and postoperative management of a neonate scheduled for the
repair of tracheoesophageal fistula.

SHORT ESSAYS 6 x 10 = 60 Marks

3. Modern trends in obstetric analgesia

4. Management of mismatched blood transfusion under general anaesthesia
5. What are the nerves involved in three-in-one block. Describe how would you perform a three-in-one
block.
6. Discuss about the problems associated with an adult patient undergoing device closure for atrial septal
defect (ASD) in the cardiology procedure room.
7. Options for postoperative analgesia for an elderly patient who has undergone total hip replacement
8. TURP syndrome

*****

Rajiv Gandhi University of Health Sciences, Karnataka

Post Graduate Degree Examination – May 2014
Time: Three Hours Max. Marks: 100 Marks

MD ANAESTHESIOLOGY

PAPER – IV (Revised Scheme)

Q.P. CODE: 7294

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary

LONG ESSAYS 2 x 20 = 40 Marks

1. A 55 year old man known to ischaemic heart disease develops ventricular tachycardia in the middle of an
exploratory laparotomy for carcinoma colon, with haemodynamic instability. Describe your plan to manage this
patient in the perioperative period. Add a note on the management of ventricular fibrillation.
2. Describe the mechanism(s) by which epidurally / intrathecally administered opioids produce analgesia and
other effects in a surgical patient. What are the various routes of administration of morphine? Discuss the
pharmacokinetics and pharmacodynamics of epidural morphine.

SHORT ESSAYS 6 x 10 = 60 Marks

3. Occupational hazards to anaesthesiologists

4. Classify antiarrhythmics. Write a note on amiodarone.
5. Write a note on
a) Anion gap
b) Base deficit
6. Transfusion associated lung injury.
7. Role of sedation and muscle paralysis in intensive care unit patients.
8. Acute barbiturate poisoning.

*****

Rajiv Gandhi University of Health Sciences, Karnataka

Post Graduate Diploma Examination – May 2014
Time: Three Hours Max. Marks: 100 Marks

DIPLOMA IN ANAESTHESIOLOGY

PAPER – I (Revised Scheme)

Q.P. CODE: 7011

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary

LONG ESSAYS 2 x 20 = 40 Marks

1. With the help of appropriate diagrams, describe the normal conducting pathway of the heart. Describe
various types of conduction disturbances and their anaesthetic implications.
2. With labelled diagrams, describe the anatomy of superficial cervical plexus. Describe the technique of
cervical plexus block and outline its clinical uses.
SHORT ESSAYS 6 x 10 = 60 Marks
3. Classify local anaesthetic agents according to their molecular structure. What are the important
differences between the groups with respect to their toxic effects?
4. Explain the terms minimum alveolar concentration, blood-gas solubility coefficient and oil-gas
solubility coefficient of inhalational anaesthetic agents. Briefly explain why anaesthetic induction is
faster with sevoflurane than halothane.
5. Draw a labelled diagram of the circle system for carbon dioxide absorption. Write briefly about the
interaction between inhalational agents and various carbon dioxide absorbents.
6. Describe the complications and management of spinal anaesthesia.

7. Describe the indications, technique and complications of sciatic nerve block by the posterior
approach.
8. Draw haemoglobin oxygen dissociation curve and enumerate the conditions causing shift of the curve
 to either side.

*****

Rajiv Gandhi University of Health Sciences, Karnataka

Post Graduate Diploma Examination – May 2014
Time: Three Hours Max. Marks: 100 Marks

DIPLOMA IN ANAESTHESIOLOGY

PAPER – II (Revised Scheme)

Q.P. CODE: 7012

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary

LONG ESSAYS 2 x 20 = 40 Marks

1. How will you evaluate a patient scheduled for Whipple’s pancreatoduodenectomy? Discuss your plan of
anaesthetic management for this case.
2. Enumerate the differences in the airway of a neonate as compared to an adult. Discuss the anaesthetic
management of a 4 month old infant scheduled for change of hip spica.

SHORT ESSAYS 6 x 10 = 60 Marks

3. Diagnosis of fat embolus syndrome

4. Cerebral protection
5. Effects of cigarette smoking on pulmonary function
6. Haemodynamic goals in aortic stenosis
7. Management of transurethral resection syndrome
8. Role of anaesthesiologist in management of postpartum haemorrhage

*****
 Rajiv Gandhi University of Health Sciences, Karnataka
Post Graduate Diploma Examination – May 2014
Time: Three Hours Max. Marks: 100 Marks

DIPLOMA IN ANAESTHESIOLOGY

PAPER – III (Revised Scheme)

Q.P. CODE: 7013

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary

LONG ESSAYS 2 x 20 = 40 Marks

1. Enumerate the changes incorporated in the 2010 AHA guidelines for cardiopulmonary resuscitation. Discuss
the rationale behind these changes.
2. Discuss the preoperative evaluation and anaesthetic management for a patient with vocal cord growth
scheduled for laser assisted microlaryngeal surgery.

SHORT ESSAYS 6 x 10 = 60 Marks

3. Airway pressure release ventilation

4. Anaesthetic considerations for MRI procedure

5. Discharge criteria following day care surgery
6. Anaesthetic problems in hypothyroidism
7. Prophylaxis against postoperative nausea and vomiting
8. Cardiovascular and respiratory changes in old age

*****

Rajiv Gandhi University of Health Sciences

M.D. Degree Examination – May 2013
[Time: 3 Hours] [Max. Marks: 100]

ANAESTHESIOLOGY
PAPER – I (Revised Scheme)

Q.P. CODE: 7291

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Describe the Physiology of neuromuscular junction. What is the mechanism of action of non-
depolarising muscle relaxants? Briefly describe how Atracurium is metabolized in the body.

2. With the help of schematic diagrams classify breathing circuits under Mapleson system of
classification. What are the advantages and disadvantages of Brain circuit? Describe the
functional analysis of Brain circuit during spontaneous and controlled ventilation.

SHORT ESSAY 6 X 10 = 60 Marks

3. Double burst stimulation.

4. Boyle’s law and its anaesthetic applications.

5. Alpha-2 agonists in anaesthesia.

6. Effect of volatile anaesthetics on cerebral perfusion pressure.

7. First public demonstration of ether anaesthesia.

8. Pathophysiology of negative pressure pulmonary oedema.

* * * * *

Rajiv Gandhi University of Health Sciences

M.D. Degree Examination – May 2013
[Time: 3 Hours] [Max. Marks: 100]
 ANAESTHESIOLOGY
PAPER – II (Revised Scheme)

Q.P. CODE: 7292

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Discuss the currently available techniques for myocardial preservation during coronary artery by-
pass graft (CABG) surgery. Add a note on the management of specific problems encountered by
the anaesthesiologist during off-pump coronary artery bypass (“OPCAB”) surgery.

2. A 52-year-old woman with a bronchopleural fistula complicating a lung abscess (Right lower lobe)
with a persistent air leak is scheduled for a right lower lobectomy. Discuss your plan for
preoperative evaluation and optimization. Discuss the plan for anaesthetic management of this
patient.

SHORT ESSAY 6 X 10 = 60 Marks

3. Enumerate the anaesthetic concerns in a child scheduled to undergo squint surgery. Add a note on
management options available for postoperative nausea and vomiting.

4. Anaesthetic considerations in a patient scheduled for knee arthroscopy.

5. Discuss the anaesthetic management options available for emergency caesarean section for a
patient with placental abruption.

6. Discuss the anaesthetic management for a patient with multiple fibroid uterus posted for a
myomectomy.

7. Discuss the perioperative anaesthetic management of a patient with fronto-temporal meningioma

scheduled for excision of the same.

8. Discuss the anaesthetic management of a haemodynamically unstable patient with fracture pelvis
scheduled for emergency fixation.

* * * * *
Rajiv Gandhi University of Health Sciences
M.D. Degree Examination – May 2013
[Time: 3 Hours] [Max. Marks: 100]
 ANAESTHESIOLOGY
PAPER – III (Revised Scheme)

Q.P. CODE: 7293

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. A 68 year old man with end stage renal disease on regular haemodialysis is scheduled for the
fixation of fracture neck of femur. Describe preanaesthetic evaluation, preparation, intraoperative
and postoperative management.

2. A 45 year old woman is scheduled to undergo total thyroidectomy for carcinoma thyroid. Discuss
preoperative evaluation, intraoperative and postoperative management.

SHORT ESSAY 6 X 10 = 60 Marks

3. General anaesthesia and respiratory tract infection in children.
4. Anesthetic implications of magnetic resonance imaging (MRI) under general anaesthesia.
5. Use of ultrasound a anaesthesia.
6. Anaesthetic implications of procedures under LASER.
7. Obstructive jaundice and anaesthesia.
8. Sickle cell anaemia and anaesthesia.

* * * * *

7294_2013_1_S283
Rajiv Gandhi University of Health Sciences
M.D. Degree Examination – May 2013
[Time: 3 Hours] [Max. Marks: 100]
 ANAESTHESIOLOGY
PAPER – IV (Revised Scheme)

Q.P. CODE: 7294

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. What are the signs of anaphylaxis in a patient under general anaesthesia? Describe its
management. What tests can be performed to confirm anaphylaxis.

2. How does burns pain differ from acute postoperative pain? Discuss management of pain during
adult burns dressing in a general surgical ward.

SHORT ESSAY 6 X 10 = 60 Marks

3. Substance P.
4. Patient controlled analgesia.
5. J waves in ECG.
6. Oral morphine.
7. NMDA receptors.
8. Fentanyl skin patch.

* * * * *

Rajiv Gandhi University of Health Sciences

Post – Graduate Diploma Examination – May 2013
[Time: 3 Hours] [Max. Marks: 100]

DIPLOMA IN ANAESTHESIOLOGY (D.A)

 PAPER – I (Revised Scheme)

Q.P. CODE: 7011

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Define stroke volume, cardiac output and cardiac index. How is cardiac output measured?
Discuss the factors that affect cardiac output.

2. Draw a labeled diagram of the brachial plexus and its major branches. Mention the different
approaches to perform brachial plexus block and explain any one of them. What are the
complications of the interscalene approach to the brachial plexus?

SHORT ESSAY 6 X 10 = 60 Marks

3. Describe the differences between the structure and mechanism of action of acetylcholine and
succinylcholine.

4. Compare and contrast:

a. Adrenaline and Isoprenaline.

b. Succinylcholine and Atracurium.

5. What are the components of the flow meter assembly? Explain the physical principles of function
of flow meters.

6. Describe the transport of carbon dioxide in blood. Explain Bohr effect and Haldane effect.

7. With reference to 3 in 1 block, list the nerves blocked and describe the technique of performing the
block.

8. Sir Robert Macintosh.

* * * * *
Rajiv Gandhi University of Health Sciences
Post – Graduate Diploma Examination – May 2013
[Time: 3 Hours] [Max. Marks: 100]

DIPLOMA IN ANAESTHESIOLOGY (D.A)

 PAPER – II (Revised Scheme)

Q.P. CODE: 7012

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Anaesthetic management of severe PIH for elective LSCS.

2. Anaesthetic management of Laparoscopic cholecystectomy in 45 yrs. Female weighing 85kgs.

SHORT ESSAY 6 X 10 = 60 Marks

3. Ethics in Anaesthesia practice.

4. Layngospasm.

5. Vasopressin.

6. Central venous pressure.

7. Current guidelines for ambulatory anaesthesia.

8. Sedation in ICU.

* * * * *

Rajiv Gandhi University of Health Sciences

Post – Graduate Diploma Examination – May 2013
[Time: 3 Hours] [Max. Marks: 100]

DIPLOMA IN ANAESTHESIOLOGY (D.A)

PAPER – III (Revised Scheme)
 Q.P. CODE: 7013
Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Define the criteria for diagnosing Acute Respiratory Distress Syndrome (ARDS). Enumerate the
causes for development of ARDS. Describe the strategies used for ventilating a patient with
ARDS.

2. Outline the steps of ACLS algorithm for ventricular fibrillation. Write the mechanism of action
and dose of drugs used in a cardiac arrest situation.

SHORT ESSAY 6 X 10 = 60 Marks

3. Describe the WHO analgesic ladder for cancer pain.

4. Define auto PEEP (Positive end expiratory pressure) and Optimum PEEP. What are the
physiological effects of PEEP?.

5. A 25 year old primigravida is admitted with a history of postpartum haemorrhage in shock. How
will you resuscitate this patient? What are the complications during recovery from this insult?

6. Outline the ASA difficult airway algorithm.

7. Stellate ganglion block.

8. Management of snake bite.

* * * * *

7291_2012_2_S281

Rajiv Gandhi University of Health Sciences

M.D. Degree Examination – Nov. 2012
[Time: 3 Hours] [Max. Marks: 100]

ANAESTHESIOLOGY
 PAPER – I (Revised Scheme)

Q.P. CODE: 7291

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

9. Describe with the help of diagrams the nerve supply of larynx and the various implication
associated with nerve palsy?

10. Describe the role of central and peripheral chemoreceptors in regulation of respiration.

SHORT ESSAY 6 X 10 = 60 Marks

11. Liquid oxygen.

12. Capnography.

13. Pseudocholinesterase.

14. Amiadarone.

15. Spinal needles.

16. Contraindications to thiopentone.

* * * * *

7292_2012_2_S281

Rajiv Gandhi University of Health Sciences

M.D. Degree Examination – Nov. 2012
[Time: 3 Hours] [Max. Marks: 100]

ANAESTHESIOLOGY
 PAPER – II (Revised Scheme)

Q.P. CODE: 7292

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Describe briefly monitoring and its relevance that is undertaken for an open heart procedure.

2. Describe the anaesthetic management of a healthy adult with a hydatid cyst in the liver.

SHORT ESSAY 6 X 10 = 60 Marks

3. Mendelsen’s syndrome.

4. Glasgow coma scale in adults and children.

5. Hypertonic saline.

6. Apgar score.

7. Para cervical block.

8. Oculocardiac reflex.

* * * * *

7293_2012_2_S204

Rajiv Gandhi University of Health Sciences

M.D. Degree Examination – Nov. 2012
[Time: 3 Hours] [Max. Marks: 100]

ANAESTHESIOLOGY
 PAPER – III (Revised Scheme)

Q.P. CODE: 7293

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Discuss the common anaesthetic management and common problems encountered in children in
less than one year for cleft palate repair.

2. Discuss the anaesthetic management of an uncontrolled diabetic patient for emergency below knee
amputation.

SHORT ESSAY 6 X 10 = 60 Marks

3. Myxoedema.

4. End stage renal failure.

5. Intrathecal Narcotics.

6. TURP Syndrome.

7. Effect of halothane on Liver.

8. Brain death and its documentation.

* * * * *

7294_2012_2_S282

Rajiv Gandhi University of Health Sciences

M.D. Degree Examination – Nov. 2012
[Time: 3 Hours] [Max. Marks: 100]
 ANAESTHESIOLOGY
PAPER – IV (Revised Scheme)

Q.P. CODE: 7294

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Describe the preoperative evaluation of a patient with coronary artery disease scheduled for
elective herniorraphy.

2. Discuss management of intraoperative bronchospasm that has occurred after endotracheal

intubation in a patient with history of bronchial asthma.

SHORT ESSAY 6 X 10 = 60 Marks

3. Selective decontamination of digestive tract.

4. Neuromodulators.

5. Differentiate between cobra and viper snake bite.

6. Tests of coagulation.

7. Hypotensive anaesthesia.

8. Electro cautery and pacemaker.

* * * * *

Rajiv Gandhi University of Health Sciences

Post – Graduate Diploma Examination – Nov. 2012
[Time: 3 Hours] [Max. Marks: 100]

DIPLOMA IN ANAESTHESIOLOGY (D.A)

 PAPER – I (Revised Scheme)

Q.P. CODE: 7011

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

9. What is the normal intracranial pressure? Explain briefly the regulation of intracranial pressure.
Enumerate the techniques of monitoring intracranial pressure in the awake state and describe any
one technique in detail.

10. Draw a labeled diagram to depict the segmental cutaneous nerve supply of the anterior and
posterior aspect of the body.

SHORT ESSAY 6 X 10 = 60 Marks

11. Define minimum alveolar concentration (MAC) of inhaled anaesthetic agents. Enumerate the
physiologic and pharmacologic factors affecting MAC.

12. Compare and contrast the cardiovascular and respiratory effect of thiopentone and propofol.

13. What is the principle of measurement of carbon dioxide in the respired gases? Describe the
relative advantages and disadvantages of side stream and main stream capnometry.

14. Explain the process by which oxygen is transported across the placenta from the maternal to the
foetal circulation. What is double bohr effect?

15. Describe the indications, technique and complications of peribulbar nerve block.

16. Sir Ivan Magill.

* * * * *

Rajiv Gandhi University of Health Sciences

Post – Graduate Diploma Examination – Nov. 2012
[Time: 3 Hours] [Max. Marks: 100]

DIPLOMA IN ANAESTHESIOLOGY (D.A)

PAPER – II (Revised Scheme)
 Q.P. CODE: 7012
Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. A 65 year old man, known hypertensive on regular treatment with Losartan hydrochloride and
Atenolol is scheduled for transurethral resection of prostate. Describe the perioperative
anaesthetic management.

2. Describe anaesthetic management of a 2 day old baby, scheduled for exploratory laparotomy, in
view of intestinal obstruction with moderate dehydration.

SHORT ESSAY 6 X 10 = 60 Marks

3. Anaesthetic management of 50 year old man with bronchial asthma scheduled for laparoscopic
cholecystectomy.

4. Hepatitis “B” and the anaesthesiologist.

5. Anaesthetic management of primigravida at term with placenta previa scheduled for caesarean
section.

6. Discuss the following aspects of use of arterial tourniquet during orthopaedic surgery (a) Pressure
(b) Contraindications (c) Haemodynamic and metabolic consequences associated with its inflation
and release.

7. Anaesthetic management of 60 year old woman with chronic renal failure scheduled for abdominal
hysterectomy.

8. Describe perioperative management of a 25 year old man scheduled for the repair of corneal tear
under general anaesthesia with full stomach.

* * * * *
7013_2012_2_S181

Rajiv Gandhi University of Health Sciences

Post – Graduate Diploma Examination – Nov. 2012
[Time: 3 Hours] [Max. Marks: 100]

DIPLOMA IN ANAESTHESIOLOGY (D.A)

 PAPER – III (Revised Scheme)

Q.P. CODE: 7013

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Discuss the role of anaesthetist in trauma care unite.

2. Describe the anapestic management of a obese elderly patient posted for Laparoscopic
cholecystectomy.

SHORT ESSAY 6 X 10 = 60 Marks

3. Metabolic acidosis.

4. Thyroid function tests.

5. Pulse Oximeter.

6. Cryoprecipitate.

7. Oxygen concentrators.

8. Fighting the ventilator in the intensive care unite.

* * * * *

7291_2012_2_S282

Rajiv Gandhi University of Health Sciences

M.D. Degree Examination – May 2012
[Time: 3 Hours] [Max. Marks: 100]

ANAESTHESIOLOGY
 PAPER – I (Revised Scheme)

Q.P. CODE: 7291

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

9. What is mean body temperature? Discuss the relevance of interthreshold range in reference to
general anaesthesia.

10. How is neuromuscular monitoring setup in a patient? Explain its clinical utility in the assessment
of neuromuscular block.

SHORT ESSAY 6 X 10 = 60 Marks

11. Venturi effect.

12. Minimum alveolar concentration.

13. Compare Adrenaline and Vasopressin.

14. Differentiate between Elimination and Clearance of intravenous agent.

15. Etomidate.

16. Ketoacidosis.

* * * * *

7292_2012_1_S283

Rajiv Gandhi University of Health Sciences

M.D. Degree Examination – May 2012
[Time: 3 Hours] [Max. Marks: 100]
 ANAESTHESIOLOGY
PAPER – II (Revised Scheme)

Q.P. CODE: 7292

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. How would you evaluate and manage a 70 yrs. Male with rheumatoid arthritis scheduled for total
hip replacement.

2. Describe the management of a primigravida (36 weeks of gestation) with abruption placenta
(anticipated blood loss 1 lit) posted for emergency cesarean section. Normal fetus with heart rate
160 beats/min.

SHORT ESSAY 6 X 10 = 60 Marks

3. Walking Epidural.

4. Supine hypotension syndrome.

5. Pressure volume curve of the lung.

6. Cardioplegia.

7. Triple “H” therapy for neurosurgical patients.

8. Centrifugal pump.

* * * * *

7293_2012_1_S281

Rajiv Gandhi University of Health Sciences

M.D. Degree Examination – May 2012
[Time: 3 Hours] [Max. Marks: 100]
 ANAESTHESIOLOGY
PAPER – III (Revised Scheme)

Q.P. CODE: 7293

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Discuss the anaesthetic implications and management in a neonate with disphragmatic hernia.

2. How is a patient with vocal cord polyp evaluated for micro laryngeal surgery? Discuss the various
anaesthetic techniques of micro laryngeal surgery.

SHORT ESSAY 6 X 10 = 60 Marks

3. Desflurane versus sevoflurane for outpatient anaesthesia.

4. Thyroid storm.

5. Transtracheal jet ventilation.

6. Transversus abdominis plane block.

7. Hepato-renal syndrome.

8. Anticoagulants and central neuraxial block.

* * * * *

7294_2012_1_S204

Rajiv Gandhi University of Health Sciences

M.D. Degree Examination – May 2012
[Time: 3 Hours] [Max. Marks: 100]

ANAESTHESIOLOGY
PAPER – IV (Revised Scheme)

Q.P. CODE: 7294

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Discuss the management of a Road Traffic accident victim admitted in ICU with head injury.

2. Describe the various techniques used in the management of postoperative pain relief.

SHORT ESSAY 6 X 10 = 60 Marks

3. Role of corticosteroids in Medicine.

4. Anaesthesia for day case surgery.

5. Methods used to prevent infection in intensive care unit.

6. Barbiturate poisoning in ICU.

7. PEEP (Positive end expiratory pressure).

8. Visual analogue scale (VAS).

* * * * *

7011_2012_1_S182

Rajiv Gandhi University of Health Sciences

Post – Graduate Diploma Examination – May 2012
[Time: 3 Hours] [Max. Marks: 100]

DIPLOMA IN ANAESTHESIOLOGY (D.A)

PAPER – I (Revised Scheme)

Q.P. CODE: 7011

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

9. Describe the anatomy of larynx and discuss the vocal cord palsies.

10. Discuss the uptake, distribution and elimination of the anesthetic agents.

SHORT ESSAY 6 X 10 = 60 Marks

11. Lung function tests.

12. Combitube.

13. Chloroform commission.

14. Total intravenous anesthetic agents.

15. Venturi principle.

16. Sir Evan Magill.

* * * * *

7012_2012_1_S182

Rajiv Gandhi University of Health Sciences

Post – Graduate Diploma Examination – May 2012
[Time: 3 Hours] [Max. Marks: 100]

DIPLOMA IN ANAESTHESIOLOGY (D.A)

PAPER – II (Revised Scheme)

Q.P. CODE: 7012

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Discuss your plan of anaesthetic management of a 30 yrs. Old woman suffering with the diabetes
mellitus posted for emergency caesarean section.

2. Discuss the anesthetist management of anelderly patient, suffering with severe bronchial asthma,
posted for lip replacement surgery.

SHORT ESSAY 6 X 10 = 60 Marks

3. Bispectoral index.

4. TURP Sundrome.

5. Pulmonary embolism.

6. Brain death.

7. Role of Anesthetist in trauma care unit.

8. Hepato-renal syndrome.

* * * * *

7013_2012_1_S206

Rajiv Gandhi University of Health Sciences

Post – Graduate Diploma Examination – May 2012
[Time: 3 Hours] [Max. Marks: 100]

DIPLOMA IN ANAESTHESIOLOGY (D.A)

PAPER – III (Revised Scheme)

Q.P. CODE: 7013

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

9. Discuss the Pathophysiology of mitral stenosis of rheumatic etiology. How will you manage 25
years old male posted for closed mitral valvotomy.

10. Define respiratory failure. How will you manage the patient admitted in IRCU with gullian barre
syndrome.

SHORT ESSAY 6 X 10 = 60 Marks

11. Cardioplegia.

12. Cardiac risk scoring.

13. Rescue breathing.

14. Metabolic acidosis.

15. Complications of tracheostomy.

16. Day care anaesthesia.

* * * * *

7291_2011_2_S206

Rajiv Gandhi University of Health Sciences

M.D. Degree Examination – Nov. 2011
[Time: 3 Hours] [Max. Marks: 100]

ANAESTHESIOLOGY
PAPER – I (Revised Scheme)

Q.P. CODE: 7291

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

9. Describe the anatomy of the posterior triangle of the neck. Enumerate the complications that can
occur while cannulating the internal jugular vein.

10. Discuss the physiological changes in pregnancy and its relevance to the anaesthesiologist.

SHORT ESSAY 6 X 10 = 60 Marks

11. Hypothermia.

12. Transfusion reactions.

13. Heart block.

14. Oxygen cascade.

15. Hydroxy ethyl starch.

16. 16th October 1846.

* * * * *

7292_2011_2_S202

Rajiv Gandhi University of Health Sciences

M.D. Degree Examination – Nov. 2011
[Time: 3 Hours] [Max. Marks: 100]

ANAESTHESIOLOGY
PAPER – II (Revised Scheme)

Q.P. CODE: 7292

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Describe the anaesthetic management of schemic Heart disease patient posted for total
gastrectomy.

2. Describe the anaesthetic management of craniotomy for posterior cranial fossa tumor.

SHORT ESSAY 6 X 10 = 60 Marks

3. Types of pacemakers.

4. PEEP.

5. Inter scalene brachial plexus block.

6. Aorto – Caval compression.

7. Magnesium.

8. Bone cement.

* * * * *

7293_2011_2_S201

Rajiv Gandhi University of Health Sciences

 M.D. Degree Examination – Nov. 2011
[Time: 3 Hours] [Max. Marks: 100]

ANAESTHESIOLOGY
PAPER – III (Revised Scheme)

Q.P. CODE: 7293

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Anaesthetic considerations of Facio maxillary surgery in trauma patient.

2. Anaesthetic management of renal transplantation.

SHORT ESSAY 6 X 10 = 60 Marks

3. Haemoglobin - A.

4. Bleeding Tonsil.

5. Oxygen cascade.

6. Intra Aortic Balloon pump.

7. Fresh frozen plasma.

8. Pheochromocytoma.

* * * * *

7294_2011_2_S202

Rajiv Gandhi University of Health Sciences

 M.D. Degree Examination – Nov. 2011
[Time: 3 Hours] [Max. Marks: 100]

ANAESTHESIOLOGY
PAPER – IV (Revised Scheme)

Q.P. CODE: 7294

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Explain multiorgan dysfunction syndrome.

2. Anaesthetic considerations of micro laryngeal laser surgery.

SHORT ESSAY 6 X 10 = 60 Marks

3. Liquid ventilation.

4. Apache II score.

5. NMDA – Receptor anatagonists.

6. Inverse ratio ventilation.

7. Sodium channel blockers.

8. Palliative care for cancer patients.

* * * * *

7011_2011_2_S181

Rajiv Gandhi University of Health Sciences

 Post – Graduate Diploma Examination – Nov. 2011
[Time: 3 Hours] [Max. Marks: 100]

DIPLOMA IN ANAESTHESIOLOGY (D.A)

PAPER – I (Revised Scheme)

Q.P. CODE: 7011

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

17. Describe the anatomy of bronchopulmonary segments.

18. Describe the physiological changes during pregnancy and its relevance to the anesthetist.

SHORT ESSAY 6 X 10 = 60 Marks

19. Fastrach LMA (Laryngealnerk airway).

20. Capnography.

21. Airway pressure release ventilation.

22. Oxygen dissociation curve.

23. James young Simpson (James young Simpson).

24. Sevoflurane.

* * * * *

7012_2011_2_S203

Rajiv Gandhi University of Health Sciences

 Post – Graduate Diploma Examination – Nov. 2011
[Time: 3 Hours] [Max. Marks: 100]

DIPLOMA IN ANAESTHESIOLOGY (D.A)

PAPER – II (Revised Scheme)

Q.P. CODE: 7012

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Pre-eclampsia and Eclampsia – Define and Discuss the anesthetic management for cesarean
section.

1. Discuss the anesthetic problems and management of a patient with ischemic Heart Disease.

SHORT ESSAY 6 X 10 = 60 Marks

2. Anaesthetic for penetrating eye injury in a child.

3. Modified Electro convulsive therapy.

4. How is a child different from an Adults anesthetic implication.

5. One lung ventilation.

6. Discuss Anesthetic problems in a patient with End stage Renal disease.

7. Anesthesia for Total Hip Replacement.

* * * * *

7013_2011_2_S203
 Rajiv Gandhi University of Health Sciences
Post – Graduate Diploma Examination – Nov. 2011
[Time: 3 Hours] [Max. Marks: 100]

DIPLOMA IN ANAESTHESIOLOGY (D.A)

PAPER – III (Revised Scheme)

Q.P. CODE: 7013

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Discuss Preoperative evaluation and anaesthetic Management of a patient with Pheochrmocytoma.

2. Discuss the systemic changes in Geriatric patient and its Anaesthetic implications.

SHORT ESSAY 6 X 10 = 60 Marks

3. Anaesthetic Management for removal of foreign body in the bronchus in a child of 2 years.

4. Fast tracking in Ambulatory anaesthesia.

5. Sedation protocols in ICU.

6. Pressure support ventilation.

7. Total parenteral nutrition.

8. Tracheostomy.

* * * * *

7291_2011_1_S201
 Rajiv Gandhi University of Health Sciences
M.D. Degree Examination – May 2011
[Time: 3 Hours] [Max. Marks: 100]

ANAESTHESIOLOGY
PAPER – I (Revised Scheme)

Q.P. CODE: 7291

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Describe the physiology of respiration in relation to anaesthesia different methods.

2. Describe the anatomy of epidural space and discuss the identification of the lumbar epidural
space.

SHORT ESSAY 6 X 10 = 60 Marks

3. Crawford W. Long.

4. Anticholinesterases.

5. Evoked potentials.

6. Foetal circulation.

7. Flumazenil.

8. Cerebral Autoregulation.

* * * * *

7292_2011_1_S201
 Rajiv Gandhi University of Health Sciences
M.D. Degree Examination – May 2011
[Time: 3 Hours] [Max. Marks: 100]

ANAESTHESIOLOGY
PAPER – II (Revised Scheme)

Q.P. CODE: 7292

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Anaesthetic Management of abdominal aortic aneursm surgery.

2. Anaesthetic management of 4 year old child coming for bronchoscopy for removal of foreign
body.

SHORT ESSAY 6 X 10 = 60 Marks

3. Cerebral protection.

4. Mendelsen syndrome.

5. Anaesthesia for off pump coronary artery bypass surgery.

6. Mandibular nerve block.

7. Shunt fraction.

8. Intra gastric pressure and importance in anaesthesia.

* * * * *

7293_2011_1_S202
 Rajiv Gandhi University of Health Sciences
M.D. Degree Examination – May 2011
[Time: 3 Hours] [Max. Marks: 100]

ANAESTHESIOLOGY
PAPER – III (Revised Scheme)

Q.P. CODE: 7293

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Discuss the pre anesthetic evaluation, preparation and anesthetic management of a patient with
Thyrotoxicosis complicated by Atrial Fibrillation.

2. Discuss in detail the preoperative evaluation, preparation and perioperative management of a 50

year old Insulin dependent diabetic posted for elective Cholecystectomy.

SHORT ESSAY 6 X 10 = 60 Marks

3. Myasthenic syndrome.

4. Autonomic Neuropathy.

5. Modified Electro Convulsive therapy.

6. Stellate Ganglion Block.

7. Awarenes during anaesthesia.

8. Post tonsillectomy bleeding.

* * * * *

7294_2011_1_S206
 Rajiv Gandhi University of Health Sciences
M.D. Degree Examination – May 2011
[Time: 3 Hours] [Max. Marks: 100]

ANAESTHESIOLOGY
PAPER – IV (Revised Scheme)

Q.P. CODE: 7294

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Give an account of endorphins, opioid receptors and their role in post operative pain relief.

2. How will you manage a patient with subdural haematoma and increased intracranial tension for
emergency Decompression Craniotomy.

SHORT ESSAY 6 X 10 = 60 Marks

3. Total parenteral Nutrition.

4. PACU (Post Anaesthetic Care Unit).

5. Respiratory acidosis.

6. Hepato renal syndrome.

7. Sedation for patients in Intensive Care Unit (ICU).

8. Brain death and its documentation.

* * * * *

7011_2011_1_S202
 Rajiv Gandhi University of Health Sciences
Post – Graduate Diploma Examination – May 2011
[Time: 3 Hours] [Max. Marks: 100]

DIPLOMA IN ANAESTHESIOLOGY (D.A)

PAPER – I (Revised Scheme)

Q.P. CODE: 7011

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Describe the Blood supply to the brain, and regulation and factors affecting cerebral blood flow.

2. Describe the Pharmacology of the different Antihypertensive drugs used in clinical practice and
their relevance in the practice of anaesthesia.

SHORT ESSAY 6 X 10 = 60 Marks

3. Describe the functional analysis of Mapleson D circuit.

4. Describe the Principle of Pulse oxymetry.

5. Describe thyroid function tests and their anaesthetic implications.

6. WTG Morton.

7. Central anti cholinergic syndrome central anticholenergic syndrome.

8. Rocuronium.

* * * * *

7012_2011_1_S202
 Rajiv Gandhi University of Health Sciences
Post – Graduate Diploma Examination – May 2011
[Time: 3 Hours] [Max. Marks: 100]

DIPLOMA IN ANAESTHESIOLOGY (D.A)

PAPER – II (Revised Scheme)

Q.P. CODE: 7012

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Describe the Etiology and management of various Cardiac Dysrhythmias which may occur during
anaesthesia.

2. Describe awareness during Anaesthesia and the measures to monitor depth of Anaesthesia.

SHORT ESSAY 6 X 10 = 60 Marks

3. Supine Hypotension Syndrome.

4. Anaesthetic management of congenital diaphragmatic hernia.

5. Double lumen tubes.

6. Anaesthetic management of a geriatric patient for fracture neck of femur.

7. Peribulbar and Retrobulbar block.

8. TURP syndrome.

* * * * *

7013_2011_1_S204
 Rajiv Gandhi University of Health Sciences
Post – Graduate Diploma Examination – May 2011
[Time: 3 Hours] [Max. Marks: 100]

DIPLOMA IN ANAESTHESIOLOGY (D.A)

PAPER – III (Revised Scheme)

Q.P. CODE: 7013

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Discuss the Pathophysiology of malignant hyperthermia. How will you manage such case.

2. Define pain. How will you manage a patient with low back pain as “Anaesthesiologist managing
in the pain clinic.

SHORT ESSAY 6 X 10 = 60 Marks

3. Management of organ phosphorous poisoning.

4. Management of septic shock.

5. Fluid management in 30% burns.

6. Diabetic keto + acidosis.

7. Obstetric hemorrhage.

8. Anaphylaxis.

* * * * *

7291_2009_1_S104
 Rajiv Gandhi University of Health Sciences
M.D. Degree Examination – May 2010
[Time: 3 Hours] [Max. Marks: 100]

ANAESTHESIOLOGY
PAPER – I (Revised Scheme)

Q.P. CODE: 7291

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Describe the anatomy of the coronary circulation. How is coronary circulation regulated?
Enumerate the major determinants of the myocardial oxygen consumption.

2. Define functional residual capacity (FRC). Explain the importance of FRC in normal respiratory
function. How is FRC measured? Enumerate the factors affecting FRC during general.

SHORT ESSAY 6 X 10 = 60 Marks

3. Vocal cord palsies following thyroid surgery.

4. Heat and moisture Exchanger (HMF).
5. Cardiovascular and respiratory effects of halothane, isoflurane and desflurane.
6. Post Dural Puncture Headache (PDPH).
7. Oxygen dissociation curve (ODC).
8. Opiate receptors.

* * * * *
 7292_2009_1_S104

Rajiv Gandhi University of Health Sciences

M.D. Degree Examination – May 2010
[Time: 3 Hours] [Max. Marks: 100]

ANAESTHESIOLOGY
PAPER – II (Revised Scheme)

Q.P. CODE: 7292

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Discuss in detail the pre anaesthetic investigation, preparation and intra operative and post
operative management of a patient with Hydatid Cyst of the Lung posted for Thoracotomy and
removal of the cyst.

2. Describe the management in detail of an 8 year child with post tonsillectomy bleeding posted for
exploration.

SHORT ESSAY 6 X 10 = 60 Marks

3. Bier’s block.
4. Walking epidural.
5. Sellick’s maneuver.
6. Apgar score.
7. Proseal LMA.
8. Massive blood transfusion.

* * * * *
 7293_2009_1_S104

Rajiv Gandhi University of Health Sciences

M.D. Degree Examination – May 2010
[Time: 3 Hours] [Max. Marks: 100]

ANAESTHESIOLOGY
PAPER – III (Revised Scheme)

Q.P. CODE: 7293

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. A 70 year old man on anti hypertensive drug and on oral hypoglycemic agents with an enlarged
prostate is posted for TURP. Describe the pre anaesthetic preparation, intra operative and post
operative management.

2. Discuss in detail the management of 2 year old child posted for cleft palate repair including the
post operative pain relief.

SHORT ESSAY 6 X 10 = 60 Marks

3. Problems of dental chair anaesthesia.

4. Post extubation laryngospasm.
5. Anaesthesia for A.V. fistulae in a chronic renal failure patient.
6. Intercostal block.
7. Post operative jaundice.
8. Anaesthesia for retained placenta.

* * * * *
 7294_2009_1_S104

Rajiv Gandhi University of Health Sciences

M.D. Degree Examination – May 2010
[Time: 3 Hours] [Max. Marks: 100]

ANAESTHESIOLOGY
PAPER – IV (Revised Scheme)

Q.P. CODE: 7294

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Management of a head injury patient in the critical care unit. Discuss the modalities that are
followed to reduce the intracranial pressure.

2. How do you assess autonomic neuropathy in a diabetic patient? Enumerate the various schedules
available for intra operative glycaemic control

SHORT ESSAY 6 X 10 = 60 Marks

3. Ventricular fibrillation / pulse less ventricular tachycardia algorithm.

4. MAO inhibitors.
5. Aminodarone.
6. Newer colloid solutions and blood substitutes.
7. Patient controlled analgesia for chronic pain relief.
8. Epidural haematoma and its managment.

* * * * *
 7011_2009_1_S153

Rajiv Gandhi University of Health Sciences

Post – Graduate Diploma Examination – May 2010
[Time: 3 Hours] [Max. Marks: 100]

DIPLOMA IN ANAESTHESIOLOGY (D.A)

PAPER – I (Revised Scheme)

Q.P. CODE: 7011

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Define cardiac cycle. Enumerate the phases of cardiac cycle. Explain franc-starling relationship
of the heart with the help of a graph.

2. Explain the formation and course of brachial plexus. Enumerate the different approaches of
brachial plexus block. Explain axillary brachial plexus block with the help of a diagram showing
the relationships of the nerves blocked.

SHORT ESSAY 6 X 10 = 60 Marks

3. Compare and contrast: sevoflurane and isoflurane. Discuss the nephrotoxicity of sevoflurane.
4. Classification of vaporizers, compare TEC 4 with TES 5 vaporizer.
5. Explain zero-order and first-order kinetics of drugs with appropriate examples and anesthetic
implications.

6. Bedside pulmonary functions tests.

7. Sir Ivan Magill.
8. Draw hemoglobin oxygen dissociation curve and enumerate the conditions causing shift of the
curve to the either side.

* * * * *
 7012_2009_1_S153

Rajiv Gandhi University of Health Sciences

Post – Graduate Diploma Examination – May 2010
[Time: 3 Hours] [Max. Marks: 100]

DIPLOMA IN ANAESTHESIOLOGY (D.A)

PAPER – II (Revised Scheme)

Q.P. CODE: 7012

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. What are the special anesthetic consideration for a posterior cranial fossa surgery? Discuss the
merits and demerits of sitting position for the surgery.

2. Mention the advantages of regional anesthesia for caesarian section. What are the causes for
reduced local anesthetic requirement in pregnancy? Write briefly on aorto-caval compression
during pregnancy.

SHORT ESSAY 6 X 10 = 60 Marks

3. Oculocarediac reflex.
4. Fluid management in a 4 year old child weighing 21 kgs.
5. Continuous renal replacement therapy.
6. Pulmonary artery catheter.
7. Peripheral nerve injury in orthopedics.
8. One lung ventilation.

* * * * *
 7013_2009_1_S153

Rajiv Gandhi University of Health Sciences

Post – Graduate Diploma Examination – May 2010
[Time: 3 Hours] [Max. Marks: 100]

DIPLOMA IN ANAESTHESIOLOGY (D.A)

PAPER – III (Revised Scheme)

Q.P. CODE: 7013

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Discuss the pathophysiology of pregnancy induced hypertension. How do you manage such cases
coming for elective caesarean section.

2. Define respiratory failure. What are the types of respiratory failure? Write a note on “permissive
hypercapnia”.

SHORT ESSAY 6 X 10 = 60 Marks

3. Management of snake bite.

4. Recruitment maneuvers.
5. Thyroid storm.
6. Early goal directed therapy in sepsis.
7. Tracheostomy.
8. Anesthesia for MRI.

* * * * *
 7291

Rajiv Gandhi University of Health Sciences

M.D. Degree Examination – May 2009
[Time: 3 Hours] [Max. Marks: 100]

ANAESTHESIOLOGY
PAPER – I (Revised Scheme)

Q.P. CODE: 7291

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Describe briefly anatomy of coronary circulation. What are the physiologic factors that alter blood
flow in the circulation.

2. Discuss the various factors that affect the uptake and distribution of inhalational anaesthetics.

SHORT ESSAY 6 X 10 = 60 Marks

3. Venture principle and its application in anaesthesia practice.

4. Arthur.E. Guedel.
5. Hypokalaemia.
6. Cholinergic antagonist.
7. Fat embolism.
8. Bronchial blockers.

* * * * *
 7292

Rajiv Gandhi University of Health Sciences

M.D. Degree Examination – May 2009
[Time: 3 Hours] [Max. Marks: 100]

ANAESTHESIOLOGY
PAPER – II (Revised Scheme)

Q.P. CODE: 7292

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Discuss the problems of anaesthetic management of patient with pre-eclampsia for elective
caesarian section.

2. A 14 year old girl with thoracolumbar scoliosis is scheduled for posterior spinal fusion of 10
vertebral segments. Discuss its evaluation, anaesthetic management and post operative care.

SHORT ESSAY 6 X 10 = 60 Marks

3. Occulo Cardiac Reflex.

4. Cardioplegia.
5. Tension pneumothorax.
6. Factors controlling cerebral blood flow.
7. Anaemic hypoxia.
8. Bicarbonate buffer system.
 * * * * *

7293

Rajiv Gandhi University of Health Sciences

M.D. Degree Examination – May 2009
[Time: 3 Hours] [Max. Marks: 100]

ANAESTHESIOLOGY
PAPER – III (Revised Scheme)

Q.P. CODE: 7293

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Discuss coagulation pathways and management of a patient in disseminated intravascular

coagulation.

2. A 35 year old female of thyroid swelling with hyperthyroidism admitted for thyroidectomy.
Discuss preoperative preparation and anaesthetic management.

SHORT ESSAY 6 X 10 = 60 Marks

3. Oxygen flux.
4. Hepato renal syndrome.
5. Temperature regulation inn children.
6. Nerve blocks for cataract surgery in elderly patient.
7. Sedation in dental surgery.
8. Calcium channel blockers.
 * * * * *

7294

Rajiv Gandhi University of Health Sciences

M.D. Degree Examination – May 2009
[Time: 3 Hours] [Max. Marks: 100]

ANAESTHESIOLOGY
PAPER – IV (Revised Scheme)

Q.P. CODE: 7294

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. What is an intensive care unit? How do you plan it for 1000 bed hospital? Role of anaesthetist in
it.

2. Discuss the role of an anaesthetist in mass casuality like earth quake.

SHORT ESSAY 6 X 10 = 60 Marks

3. NIPPV.
4. Weaning mode of ventilation.
5. Brain death.
6. Role of cortico steroids in medicine.
7. Humidifiers.
8. Status asthamaticus – management.
 * * * * *

7011

Rajiv Gandhi University of Health Sciences

Post – Graduate Diploma Examination – May 2009
[Time: 3 Hours] [Max. Marks: 100]

DIPLOMA IN ANAESTHESIOLOGY (D.A)

PAPER – I (Revised Scheme)

Q.P. CODE: 7011

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Describe in detail the anatomy and physiology of peripheral nerve conduction. Explain the
pharmacology of local anaesthetic agents.

2. Describe the causes, clinical effects of metabolic acidosis and its management.

SHORT ESSAY 6 X 10 = 60 Marks

3. Hyderabad Commission.
4. Placental transfer of anaesthetic drugs.
5. Bain’s circuit.
6. Various abnormal capnograms.
7. Liver function tests.
8. Anatomy and physiology of cerebral circulation and its regulation.
 * * * * *

7012

Rajiv Gandhi University of Health Sciences

Post – Graduate Diploma Examination – May 2009
[Time: 3 Hours] [Max. Marks: 100]

DIPLOMA IN ANAESTHESIOLOGY (D.A)

PAPER – II (Revised Scheme)

Q.P. CODE: 7012

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Discuss the anaesthetic management of a premature neonate for surgery for trachea esophageal
fistula.

2. Describe the methods of assessment of airway. How will you manage the patient with anticipated
difficult airway in elective/emergency situation?.

SHORT ESSAY 6 X 10 = 60 Marks

3. Drugs used for reducing blood loss during surgery.

4. Pathophysiological changes of pregnancy.
5. Diffusion Hypoxia.
6. P O N V (Post Operative Nausea and Vomiting).
7. Methacrylate cement.
8. Bier’s block.
 * * * * *

7013

Rajiv Gandhi University of Health Sciences

Post – Graduate Diploma Examination – May 2009
[Time: 3 Hours] [Max. Marks: 100]

DIPLOMA IN ANAESTHESIOLOGY (D.A)

PAPER – III (Revised Scheme)

Q.P. CODE: 7013

Your answer should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions

LONG ESSAY 2 X 20 = 40 Marks

1. Describe in detail the pathophysiological changes seen in patients with phaeochromocytoma and
also the anaesthetic management for the removal of that tumor.

2. Summarise the management of patient admitted with acute burns.

SHORT ESSAY 6 X 10 = 60 Marks

3. Universal Precautions.
4. Uses and complications of hyperbaric oxygen.
5. Permissive hypercapnia.
6. Vasopressin.
7. Apache II.
8. Paracetamol Toxicity.
* * * * *