DNB Previous Questions

DNB JUNE 2008
PAPER I
1. 20 year female with Angiofibroma
nose coming for surgery.
what are the blood conservation
strategies used?
2. Clinical features,and management
of paracetamol poisoning
3. 30 yr female coming for carcinoid
tumour - anaesthetic Mx.
4. Management & Pathophysiology
of post anaesthetic shivering
5. 3 year old coming for caudal
epidural block.-Technique &
Complications
6.Portal hypertension coming for L-R
shunt. Preop evaluation &
preparation.
7.Mediastinoscopy Anaesthetic Mx.3
year old for PDA correction.
8. TEE
9. ULTRASOUND (PRINCIPLE & USES)
PAPER II
1.50-year-old COPD patient on
Ventilator-ENTERAL NUTRITIONAL
PLAN. Advantage& Disadvantage.
2.PRE EMPTIVE ANALGESIA current
status.
3.WEANING CRITERIA from prolonged
ventilation.
4.1 day old child with CDH
Anaesthetic preparation & Mx.
5.SEVERE ECLAMPSIA Caesarean
Anaesthetic Mx.
6.LIPID EMULSION mechanism &
dosage in LA Toxicity.
7.CLONIDINE in anaesthesia & ICU.
8.PARKINSONS Disease-Anaesthetic
Mx.
9.Anaesthesia guidelines for Mx of
patient with CORONARY STENT.
10.THYROID STORM-MANIFESTATION &
MX.
PAPER III
1.Enumerate the symptoms of

SHOCK & discuss the methods to
assess the systemic perfusion.
2.Mx of ANAPHYLAXIS.
3.PERMISSIVE HYPERCAPNIA.
4.TRANSDERMAL DELIVERY of drugs
5.30-year-old Asthamatic for LAP
CHOLECYSTECTOMY- Preop
evaluation & preparation.
6.METHEMOGLOBINEMIA &
anaesthesiologist.
7.Discuss the Regulaion of CERBRAL
BLOOD FLOW.
8.DEXMEDETOMIDINE clinical
applications & complications
9.I- GEL AIRWAY.
10.DVT DIAGNOSIS , PREVENTION & MX.
PAPER IV
1.Resuscitation of TERM PREGNANT
PATIENT
2.Classify VAPORIZERS. Briefly
describe the change with the
ALTITUDE.
3.Describe LUMBAR PLEXUS with the
help of a diagram. Techniquesfor
LUMBAR PLEXUS BLOCK.
4.EVIDENCE BASED MEDICAL
EDUCATION
5.N2O: Current Status
6.Adverse effects of
NEUROMUSCULAR BLOCKING
DRUGS.
7.Planning of PACU.
8.Problems of CHRONIC
HEMODIALYSIS
9.PERCUTANEOUS DIALATATIONAL
TRACHEOSTOMY
10.Clinical tests for AUTONOMIC
FUNCTION
TOPIC WISE ANAESTHESIA PREVIOUS
QUESTION PAPAERS
1. CONSENT
1).Vicarious liability for
negligence(June 1994).
2).Utility of anaesthetic records(Dec

1994).
3).Computer based patient record for
anaesthesia(Dec 1997).
4).Informed consent(Dec 2000)(June
2010).
5.Describe consent in anaesthesia
practice including ethical and legal
aspects(Dec 2010)
2. GENERAL TOPICS
1)Effect of anaesthesia and surgery
on immunological mechanism(June
1995).
13.IVRA(June 1995)(June 1997).(Dec

1998)(Dec 2003)[Pg 981-Barasch,Pg
311-SAARC 9th ]
14.What principle is used in USG?
How is USG useful in anaesthesia?
(June 2008).
3.SLEEP, MEMORY AND

CONSCIOUSNESS.
1)Write down the physiology of
sleep.How does it differ from
anaesthesia?What phases occur
during various stages of
anaesthesia?(June 1999).
2)Simulator in anaesthesia
education(June 2010).
4. AUTONOMIC NERVOUS SYSTEM
3)Stress response to trauma and

surgery(June 2006).
1) Clinical tests for evaluation of

autonomic nervous system(June
2008).[Pg 295-Miller 7th ed]
4)Safe anaesthetic procedure(Dec

1999).
5)Stress management in anaesthesia
practice(Dec 2003).
6)Stress and anaesthesiologists(June
2003)(June 2005).
7)Ethics in anaesthesia(June 2004).
8)Write briefly on research
ethics(Dec 2008).
9)Evidence Based Medical
education(June 2008).
10) Discuss the role of EBM
(evidence based management ) in
anaesthesia practice.Quote few
examples(June 2009).
11) Communication skill and
anaesthesiologist(June 2010).
12.ASA physical status
classification(Dec 2007).
2) A 50 year old male and known

diabetic is scheduled for upper
abdominal surgery.How will you
evaluate the ANS?(Dec 2009).
3)How is autonomic neuropathy
evaluated preoperatively?What is its
significance in anaesthesia?(June
2012).
4)What is significance of autonomic
neuropathy in diabetes mellitus?How
can it be assessed?(Dec 2012)
5.CNS PHYSIOLOGY
1)Regulation of cerebral blood flow.
draw circle of willis (Dec 2001).
2)Discuss the regulation of CBF(June
2008).
3)Regulation of ICP(June 2001),
devices to measure
4)ICP(Dec 2003).
5)How is CBF regulated?What is the

effect of various anaesthetic drugs
on CBF?(June 2009).
10)HPV(June 2005)(June 2009). [Pg

1054-Barasch 6th ed,Pg 29-RACE
2009]
6)Enumerate the factors regulating

CBF and the effect of various
anaesthetic drugs on CBF(June 2010)
[Pg25-RACE 2008]
11)Describe the metabolic functions

of the lung(Dec 2009).
7)What is cerebral autoregulation?

Discuss the implications of various
inhalational anaesthetic agents on
cerebral auroregulation(June 2011)
6.NEUROMUSCULAR PHYSIOLOGY
AND PHARMACOLOGY
1.Neuromuscular transmission(Dec
1999).
7.RESPIRATORY PHYSIOLOGY
1)Oxygen dissociation curve(Dec
1996).
2)Oxygen cascade,oxygen transport
and Oxygen Dissociation Curve(June
2005).
3)Compare ODC and CDC dec 2001
4)FRC(Dec 1998).
5)Define FRC what is the significance
? dec 2008
6)Define FRC and closing
volume.Describe their clinical
significance(Jun 2011).
7)Closing volume of the lung and its
measurement(June 1997).
8)Lung compliance(June 2006).
9)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?
(June 2009).
12)What are the major causes of

hypoxemia?What is HPV?How can GA
worsen v/q mismatch(Dec 2010).
13)Define Fink effect,Diffusion
hypoxia and second gas effect.How
are they of importance to the
anaesthetist?(Dec 2011).
14)Define and classify dead space
ventilation.Define minute
ventilation.Under what conditions is
minute ventilation increased?(June
2012).
8.ANATOMY OF LARYNX
1)Tracheo-bronchial tree with
diagram(June 1999).[Pg 2 Ajay
yadav]
2)Discuss the anatomy of diaphragm
with a diagram.How does it behave
under different stages of
anaesthesia(June 1999).[Pg 49-RACE
2003,Pg 553-Morgan]
3)Anatomy of larynx.Enumerate with
diagrams the types of vocal cord
palsies(June 2005).
4)Describe the anatomy of larynx
and its innervations.What are the
differences between neonatal and
adult larynx?(June 2012).
5)Describe the innervations of larynx
and the palsises following nerve in
jury with the help of diagram(s)(Dec
2012)
9.CARDIAC PHYSIOLOGY
1)Coronary circulation(June 1996)[Pg

752-Stoelting physio pharma]
-Drug interactions(June 2006).[Pg 7RACE 2002,Pg 601-ISACON 2009]
2)Describe the arterial circulation of

the heart with the aid of a diagram
mentioning the unique features of
coronary blood flow.Explain the
Goldmans cardiac risk index and its
importance to the anaesthetist(June
2000).[Pg 21-RACE 2001,Pg 137RACE 2003]
3.Enzyme induction-describe the

mechanism with routine anaesthesia
examples(Dec 1996).
3)Factors affecting coronary

circulation(June 2002).
4)Describe coronary
circulation.Discuss factors affecting
oxygen demand and supply to the
myocardium(Dec 2010).
10.RENAL PHYSIOLOGY
1)Regulation of kidney in acid base
balance(Dec 1995).
2)Discuss the countercurrent
mechanism in the kidney.Discuss the
renal protection strategies during
preoperative period(Dec 2003).
3)Role of kidney in acid base
balance(Dec 2004)(June 2006).
4)Define base excess.How do
kidneys compensate for acid base
balance?(June 2011).[Pg 712
Morgan 4th ed]
5).Describe the countercurrent
mechanism in the kidney.Discuss the
renal protection strategies during
perioperative period(June 2012).
11.BASIC PHARMACOLOGY.
1.Continous infusion of drugs in
anaesthesia(June 1994)
2.Interactions of pre-existing drug
therapy with anaesthetic agents and
techniques(June 1996).
-Enzyme induction-its role in

anaesthesia with examples(Dec
2004).
4.Transdermal administration of
drugs(June 2008).
12.INHALED ANAESTHETICS
1.Minimum alveolar
concentration(Dec 1996)
2.Sevoflurane(June 1997).[Pg 173Morgan]
3.Sevoflurane Vs Desflurane(June
2000).[Pg 172-173-Morgan]
4.Isoflurane Vs.Sevoflurane(Dec
2003).
5.Nitrous oxide:current status(June
2008).[CEACCP 2005 vol 5 no.5,IJA
2007,Pg 433-ISACON 2009]
6. Compare and contrast Sevoflurane
and isoflurane(Dec 2008)
7.Define minimum alveolar
concentration.What are the factors
affecting MAC?What is its
significance in anaesthesia?(June
2009).[Pg 163-Morgan]
8.What is minimum alveolar
concentration?Discuss the factors
which effect the alveolar
concentration of an inhalational
agent(Dec 2010).
9.Concentration effect and second
gas effect produced during uptake of
inhalational agent(Dec 2007).[Pg
543-Miller]
10.Nitrous oxide-current status in

anaesthesia practice(June 2011)
1.Coaxial circuits(Dec 1998)(June

2002)[Pg 27 -RACE 2010]
13.CVS PHARMACOLOGY
2.Paediatric circuits(Dec 2000).[Pg

543-OAR]
1.Calcium channel blockers in

surgical patients(June 1994).
2.Compare and contrast dopamine
and dobutamine as an inotropic
agent(Dec 2006).
3.Classify inotropes on the basis of
their mechanism of actions.Compare
dopamine and dobutamine(June
2009).
4.Classify antihypertensive
drugs.Describe the management of
hypertensive emergency(Dec 2009).
[Pg 448-451-Morgan,Pg 301-ISACON
2009]
5.Classify antihypertensive
drugs.Describe the management of a
hypertensive episode during
14.METABOLISM OF INHALATIONAL
ANAESTHETICS
1.Nephrotoxicity of halogenated
anaesthetics(Dec1994)(June 1996).
[Pg 69-Stoelting physio-pharma]
2.Merits and demerits of halothane
and isoflurane(Dec 1995).
3.Hepatotoxicity of halothane(Dec
1997).[Pg 66-Stoelting]
4.Nephrotoxicity of fluorinated
anaesthetics(Dec 2007).[Pg 650Miller]
15. DELIVERY OF INHALATIONAL
ANAESTHETICS
CIRCUITS
3.Maplesons breathing system(June

2001
4.Draw schematic diagrams of
various types of Maplesonsbreathing
circuits.Give the functional
analysis,advantages and
disadvantages of Bain circuit(June
2010)
5.Describe the functional analysis of
Bains circuit.How will you check
the functional integrity of Bains
circuit(June 2011).
VAPORIZERS
1.Types of plenum vaporizers(Dec
1995).
2.Charecteristics of ideal
vaporizer(June 2004).
3.Classify vaporizers.Briefly mention
the effects of altered barometric
pressure on the performance of the
vaporizers(June 2008).[Pg 15-RACE
2006]
4.Classify vaporizers.Discuss the
effect of altered barometric pressure
on the performance of vaporizers?
(Dec 2010).[Pg 179-ISACON 2009]
5.What are the two major effects of

pressure fluctuation in tha
anaesthesia machine on vaporizer
output?Describe the improvisations
in designing to overcome this
problem(June 2011)[Pg 128-Dorsch &
Dorsch]
SAFETY FEATURES IN MODERN DAY

ANAESTHESIA MACHINE
5.Role of humidification in
anaesthesia practice(Dec 2008)
1.Safety features in a modern day

anaesthesia machine(June 2009)
(June 2010).[Pg no 47-Morgan
4th ed]
6.What are the different types of

carbondioxide absorbents?Describe
their composition.Discuss the
advantages and disadvantages of
each(June 2012).
2.Describe briefly the safety features

in modern anaesthesia
machines.Discuss various features
that prevent the delivery of hypoxic
gas mixtures(Dec 2011)
3.Enumerate the safety features in a
modern anaesthesia
machine.Describe the hypoxia
prevention safety devices(June
2012).
PRE-ANAESTHETIC MACHINE CHECK
7.What is relative and absolute

humidity?What are active and
passive humidifiers?What are their
advantages and disadvantages?(Dec
2012)
16. DRUGS
ADRENERGIC DRUGS
1.Adrenergic receptor antagonist and
their uses(Dec 1994)
1.Check out procedure to be followed

routinely before using an
anaesthesia machine and other
monitoring equipment(June 2000).
[Pg 88-Morgan]
2.Name the adrenergic agonists and

antagonists.Describe in detail their
uses in anaesthesia practice(June
2005).
2.Describe the pre anaesthetic check

list for anaesthesia machine and
equipment(Dec 2009).
BETA BLOCKERS
3.Describe the anaesthesia machine

check protocol prior to induction of
4.Evolution of rotameter(June 1999).
5.What is low flow anaesthesia?
Discuss its advantages and
disadvantages(Dec 2006)(June
2011).
6.Functional analysis of pressure
reducing valve(June2007)[Pg 95Wards]
7.Link 25 proportioning system(Dec
2007).[Pg 109-110-D &D]
3.Adrenergic agonists(June 2006).
1.Beta receptor blockade :-its

relation in anaesthesia(June 1996).
[Pg 32-OAR]
2.Perioperative beta blocker
therapy(Dec 2007).[Pg 597-ISACON
2009]
3.Manifestation and treatment of
beta adrenergic toxicity(June 1997).
[Pg 330-SPP]
4.Effect of atenolol pretreatment on
CVS,NMJ and IOP(June 2003).
ALPHA-2 AGONISTS
1.Clinical use of alpha 2 agonists in
CLONIDINE
1.Clonidine in anaesthesia
practice(June2007).
3.Untoward effects of intravenous

sodium bicarbonate(Dec 1997).
2.Clonidine in anaesthesia and

ICU(June 2008).
4.Role of corticosteroids in the

practice of anaesthesiology(June
2000).
3.Discuss PK and PD of clonidine and

its role in clinical practice(June
2011).
DEXMEDETOMIDINE
1.Dexmedetomidine:Clinical
applications and complications(June
2008).
2.Dexmedetomidine(June 2010).
3.Discuss pharmacokinetics and
pharmacodynamics of
dexmedetomidine.What is its role in
clinical practice(June 2012).[Pg 96RACE 2011,IJA 2011]
CALCIUM CHANNEL BLOCKERS
1.Calcium channel blockers drugs
and anaesthesia(Dec 1995)
2.Calcium channel blockers and
anaesthesia(Dec 1998).{CJA]
PROPOFOL
1.Propofol(June 1996)[Pg 154Stoelting PP]
2.Compare Propofol with
Midazolam(June 1999).
3.Propofol as compared to
Thiopentone(Dec 1999).
4.Disscuss the MOA,PD and PK of
propofol(Dec 2011)
17. GENERAL
1.Impact of cancer therapy on
anaesthetic management(Dec 1994)
2.Midazolam(1996-2000).
5.Adenosine and its clinical uses(June

2002).
6.Mannitol in surgery/surgical uses of
mannitol(June 2004).
7.PK of IV Thiopentone(June 2004).
8.Mention the commonly used
immunosuppressive drugs and their
interaction with anaesthetic
agents(June 2007). [Pg 1257-Satish
deshpande]
9.Describe the pharmacokinetics and
pharmacodynamics of
etomidate.Describe briefly its role in
clinical practice(Dec 2010).
18.OPIOIDS
1.What are the various routes of
administration of morphine?Discuss
the pharmacokinetics and
pharmacodynamics of epidural
morphine(June 1996).[Pg 90Stoelting physio-pharma]
2.Remifentanyl(June 1998).
-Remifentanyl in clinical
practice(June 2001)
3.Narcotic antagonists(June 1998).
[Pg 120-Stoelting physio-pharma]
4.Spinal opiate receptors(Dec 1999).
5.Pharmacology of fentanyl
congenial(Dec 2000)
administration of opoids?Discuss the
merits and demerits of each.(Dec
2001).
8.Transdermal opoids(June 2003).

9.Acute pain relief in opoid
dependant pain(June 2004).
10.Mention the intrathecal and
epidural opoids in clinical practice
and their complications(June 2006).
11.Various epidural narcotics for
management of postoperative
pain(Dec 2006)
12.Epidural opiates in anaesthesia
practice(Dec 2007).[Pg 397-Morgan]
13.Classify opoids.Discuss the merits
and demerits of epidural fentanyl
and morphine(Dec 2011).
administration of morphine?Discuss
pharmacodynamics of epidural
morphine(June 2012).
5.Elimination of Atracurium from the

body(Dec 1999).{pg 231-Stoleting
PP]
6.Enumerate the problems with
muscle relaxants(Dec 2005).
7.Adverse effects of NMBA(June
2008).[Pg 213-Morgan 4th ed]
21. LOCAL ANAESTHETICS
LAST
1.Management of local anaesthetic
toxicity(June 2000).[Pg 59 ISACON
2008]
2.Treatment of systemic toxicity of
LA drugs(June 2003).
3.Lipid emulsion for the treatment of
local anaesthetic toxicity-mechanism
and dosage(June 2008).
19.DRUG DELIVERY SYSTEM
4.Role of lipid emulsions in local

anaesthetic toxicity(June 2010).
1.TIVA(Dec 1996)(June 2000)(June

2001)(Dec 2001)(Dec 2003)(June
2006).[Pg 41-RACE 2009]
5.Discuss the clinical manifestations

of local anaesthetic toxicity and its
management(June 2011).
2.PCA(Dec 1996)(June 1998)(Dec

1998)(June 2003)(Dec 2004)(Dec
2007).[Pg 518,Aitkenhead][Pg 1487Barasch]
6.Describe the toxicity of commonly

used local anaesthetic agents and its
management(June 2012)
20.PHARMACOLOGY OF MUSCLE
RELAXANTS
7.Mechanism of action of local

anaesthetic agents(June 1997).[Pg
181-Stoelting pp,Pg 265-Morgan]
1.Interaction of depolarizing with

NDMRs(Dec 1995)
8.Complication of local
anaesthetics(June 1999).
2.Hauffmans degradation(Dec
1996).
9.Ropivacaine(June 2002).
3.Rocuronium(Dec 1998)(June 2001)

(Dec 2001)
4.Pipecuronium(June 1995)(Dec
1996).[Pg 12-RACE 2006]
22. NITRIC OXIDE AND PULMONARY

VASODILATORS
1.Nitric oxide(Dec 1995)(June 2010).
2.Role of nitric oxide in ICU(Dec
1999).
3.Nitric oxide in clinical practice(June

2000).
24. ARRHYTHMIAS
4.Nitric oxide for management of

pulmonary hypertension(Dec 1998).
1.Prevention and treatment of

ventricular arrhythmias during
GA(Dec 1995).
5.Nitric oxide-current status(Dec

2008).
2.Cardiac arryhthmias during

anaesthesia(Dec1996)
23. ANAESTHESIA MANAGEMENT
3.Discuss the etiology and

management of SVTs during surgical
procedures(June 1998)/Management
of multifocal ventricular ectopics
during anaesthesia(June 1998).
VAE
1.Air Embolism during anaesthesia.
(June 1996).
2.Pathophysiology of VAE.Mention
the methods of detection,prevention
and treatment(1996-2000).
3.Embolisms during anaesthesia(Dec
1998).[Pg 388-Aitkenhead]
4.air embolism under
anaesthesia(June 2002).
5.VAE(Dec 2003).
6.Air embolism:methods of detection
and management(Dec 2006).
7.Discuss the pathophysiology.signs
and symptoms and management of
VAE(June 2009) .
8.How will you diagnose VAE?
Describe its pathophysiology and
management(Dec 2009).
9.Describe the causes and
management of VAE(Dec 2010).
10.Enumerate the causes of air
embolism in clinical practice.Discuss
the clinical features and its
management(Dec 2011).[Pg 638
Morgan 4thed].
11.How do you diagnose and
manage a case of VAE during spine
surgery?(Dec 2012)

management of various cardiac
arrhythmias occurring during
anaesthesia(Dec 2003)(Dec 2004).
5.Desribe the cardiac conduction
system.How do you manage a
patient with PSVT?(Dec 2010).
6.Describe the common arrhythmias
encountered during pre-operative
period.Discuss the therapeutic uses
of Amiodarone(June 2011).
management of Supra Ventricular
arrhythmias during surgery under
GA(June 2012)
25. BRONCHOSPASM
1.Intraoperative bronchospasm(Dec
1995)[Pg 111-RACE 2008]
2.Management of intraoperative
bronchospasm(June 2007)[update in
anaesthesia]
3.Bronchospasm during anaesthesia
and immediate postop period and its
management(Dec 1999)[Pg 53ISACON 2009]
4.Intraoperative bronchospasm(Dec
2004).
5.Discuss the differential diagnosis of

introperative bronchospasm.How will
you manage it?(Dec 2011).
6.What is the differential diagnosis of
intraoperative bronchospasm?How
will you manage it?(June 2012).
7.Describe the differential diagnosis
of intra-operative
bronchospasm.Write down its
26. LARYNGOSPASM
1.Laryngospasm during
anaesthesia(Dec 2007).[Yao,Ph 441ISACON 2009]
2.Enumerate the causes and
differential diagnosis of post
extubation laryngospasm.How will
you manage it(Dec 2011)
27. ANAPHYLAXIS(ANAPHYLACTOID)
REACTIONS
1.Clinical manifestations and
management of anaphylactic
reactions in anaesthesia
practice(June 1995).
6.Anaphylactic reaction on the

operation table(Dec 2005).
7.Management of acute
anaphylaxis(June 2008).
management of a patient with acute
anaphylaxis(June 2010).
9.Discuss clinical manifestations and
management of acute
anaphylaxis(Dec 2011).
10.Enumerate the agents implicated
in allergic reactions during
anaesthesia.How would you manage
a patient with anaphylaxis during
anaesthesia?(Dec 2012).
28. INFECTIONS
1.Infections related to anaesthesia
practice(Dec 2001).[Pg 974-Morgan]
2.Transmission and precaution
against HIV in hospital setting(June
1995).
.HIV and anaesthesia(June 2003).
.AIDS(June 2004).
2.Hypersensitivity reaction in
anaesthesia practice(Dec 1995).
.AIDS and the anaesthesiologist(June

2005).
3.Discuss the pathophysiology and

management of anaphylactoid
reactions in anaesthesia(June 2001)
(Dec 2001).
3.Hepatitis B and
anaesthesiologist(Dec 2000)(Dec
2004).[IJA 2004]
4.Identification of anaphylaxis under

GA and its
management/Anaphylactoid reaction
during anaesthesia(June 2003)(Dec
2003).
5.Recognition and management of
anaphylaxis during general
29. DELAYED RECOVERY

1.Possible causes of delayed
recovery from GA(Dec 2004). [Pg
269-ISACON 2009]
2.What are the potential causes of
delayed resumption of spontaneous
recovery after abdominal surgery
with general anaesthesia.Discuss the
problem,its diagnosis and
management(June 2005).[Pg 112RACE 2002]

3.Discuss the causes of delayed
recovery from anaesthesia and the
4.Discuss the causes of delayed
recovery following GA(Dec 2008).
30. DESATURATION
1.Management of a patient who is
not maintaining oxygen saturation
after an elective abdominal
surgery(Dec 2005).
2.List the various causes of reduced
arterial oxygen tension in the
intraoperative period and outline
their management(June 2010).
3.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(June 2011).
31. PERI OPERATIVE MI
1.Prevention and treatment of intraoperative MI(June 2000).[pg 298-IJA
2007]
2.Discuss the diagnosis and
management of MI in a patient
undergoing non-cardiac surgery(Dec
2008)[Pg 287-302-IJA 2007]
32. HTN
1.Etiology and treatment of
hypertension during surgery(June
1994).
2.Define perioperative
hypertension.Describe the causes
3.What are the causes of intraoperative hypertension in a
previously normotensive patient?

Discus various modalities to manage
it
4.Causes of intraoperative
hypertension and discuss its
5.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?(Dec
2000
33. HYPERCAPNIA
1.CO2 carriage in blood and effects
of hypercapnia(June 1995)
2.What are the causes of hypercarbia
during the intraoperative
period.Discuss the effects and
34. PULMONARY EDEMA
1.Treatment of acute pulmonary
edema(Dec 1994).
2.Pulmonary edema in intraoperative
and immediate postoperative
period(June 2002).
35. BLOOD LOSS
1.Blood loss monitors(Dec 1995)
2.Discuss the management of
massive blood loss(June 2007).
[ATOTW 136]
3.Write an algorithm for the
management of early haemorrhagic
shock.What are the goals in early
resuscitation during active bleeding?
(Dec 2012)
36. HYPOTENSION
1.Aetiology and management of

hypotension during anaesthesia(June
1996).
2.Hypotension during
anaesthesia(Dec 1998).[ATOTW 148]
37.OCCUPATIONAL HAZARDS
1.Occupational hazards for/to the
anaesthetist(June 1996)(June 2001)
(Dec 2001)(Dec 2003)[CEACCP]
2.Describe in detail the occupational
hazards to anaesthetists(Dec 2005).
1.Causes of perioperative
seizures(Dec 1994)
2.Peripheral nerve injury under
anaesthesia is preventable
complication(Dec 2000).
3.Risk and management of
pulmonary aspiration(Dec 2000)
4.Iatrogenic complications in
anaesthesia(1996-2000)
5.Discuss the management of
massive blood loss(June 2007).
38. PRE OPERATIVE EVALUATION
PAC
1.PAC clinic(June 1994).
2.Preoperative visits(Dec 1999).
3.ASA physical status classification
for preoperative anaesthetic risk
assessment(June 2010).
4.What are the goals of preanaesthetic check up?ASA risks
grading and fasting guidelines(Dec
2011).[Pg 1002 Miller 7th ed]
SMOKING
1.Hazards of smoking relevant to
anaesthetist(June 1997).
2.Discuss the
assessment,preparation and
problems of anaesthesia in a chronic
smoker for cholecystectomy(Dec
1999).
3.Enumerate the effects of chronic
smoking and the anaesthetic
implications(Dec 2008).
4.Chronic smoking and the
anaesthesiologist(June 2009).[IJA
2009]
5.Describe the effects of smoking
and its anaesthetic implications(Dec
2010).
39. LIVER DISEASE
1.Assessment of risk factors for
patient with moderate to severe liver
disease(Dec 2001).[RACE 2011]
2.Preoperative preparation and
surgical risk assessment in a patient
with cirrhosis of liver(June 2000).[Pg
1269-1271-Barasch]
3.Pre-anaesthetic evaluation and
preparation of a patient with portal
hypertension for lieno renal
shunt(June 2007)
40. IHD
1.Evaluation of cardiac patient for
non cardiac surgery(June 2004).
2.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(June 2010).
3.How will you evaluate a 50 year old
male patient with history of IHD
presenting for major abdominal
surgery?(Dec 2011).
41.VALVULAR HEART DISEASES

1.Clinical features of infective
endocarditis,principle guidelines to
use antibiotics as prophylaxis
against,during surgery(June 2005).
2.Discuss the anaesthetic
management of 20 year old male
with RHD with MS for closed mitral
valvotomy(June 2007).[Pg 3 OAR,Pg
31-Stoelting]
3.Preop evaluation and anaesthetic
management of a 30 year old patient
with MS and AF scheduled for balloon
angioplasty and valvoplasty(Dec
2007)[CEACCP vol 5 no.6 2005]
4.Preoperative evaluation of a
patient with VHD(Dec 2005).
5.Pre-operative evaluation and
preparation of a apatient with
TOF(June 2006).
6.Pre anaesthetic evaluation of a
patient of MS for MTP and
sterilization(Dec 2005).
42. ENDOCRINOLOGY
PHEOCHROMOCYTOMA, THYROID
AND DIABETES
diagnosis of a case of
pheochromocytoma.Give an account
of preparation,monitoring and
anaesthetic management of a 25
year old patient suffering from
pheochromocytoma(June 1995)
with pheochromocytoma scheduled
for bilateral adrenalectomy(Dec
2006).
3.A young man is suffering from
pheochromocytoma.Discuss the
preoperative preparation and

anesthetic management for removal
of the tumor(June 1997).
4.What is pheochromocytoma?what
are its clinical features?Discuss
preoperative
investigations,preparation and
anaesthetic management of such a
case for surgical removal(Dec 1998).
[Pg 501,ISACON 2011]
5.Discuss pre anaesthetic
assessment,preparation and
management of a 16 year male kept
for pheochromocytoma excision.How
will you manage post anaesthetic
complications?(Dec 2000).
6.Discuss the pre anaesthetic
preparation,anaesthetic golas and
intraoperative management of a 30
year old female patient with
diagnosis of pheochromocytoma
scheduled for excision of adrenal
tumor(June 2011).
7.Pre-operative evaluation of
autonomic function(June 2002)(Dec
2004).
8.Pre-anaesthetic evaluation and
preparation of patient for
pheochromocytoma(Dec 2004).
9.Discuss pre and post anaesthetic
management of acute abdomen in a
patient with uncontrolled
diabetes(Dec 1994)
10.Discuss the preoperative
investigations,preparation and
year old diabetic patient presenting
for an exploratory laparotomy for a
lump in the abdomen.(Dec 1999)
11.Management of DKA(Dec 1998).
[Pg 803-Morgan,Pg 1300-Barasch]
12.Principles of management of
DKA(June 2002).
13.DKA(June 2004).
-Preoperative management of
DKA(June 1994)(Dec 2004).
14.Preoperative patient of a diabetic
patient with history of bleeding
varices linorenal shunt(Dec 2005).
15.Anaesthetic management of a
case of DM scheduled for open
cholecystectomy(Dec 2005).
16.Diabetic patient with autonomic
neuropathy for TAH(June 2006).
management of an inadequately
managed diabetes mellitus patient
with ketoacidosis posted for
BKA(June 2007).[Pg 1300 Barasch]
18.Describe the different methods
used for perioperative control of
blood sugar in diabetic patients
undergoing major abdominal surgery
with their advantages and
disadvantages(Dec 2009).[Pg 782Yao]
19.Describe the clinical
manifestations of diabetic autonomic
neuropathy.What are its
implications?(Dec 2010).
20.A 50 year old woman with
hypothyroidism is scheduled for
abdominal hysterectomy.Discuss the
anaesthetic management(Dec 2008).
21.Describe the clinical features of
hypothyroidism.Discuss the
anaesthetic consideration in a
hypothyroid patient scheduled for
upper abdominal surgery(Dec 2011)
22.Etiopathology and management
of thyroid crisis(Dec 1999)
23.Thyroid crisis(June 2002)

24..Thyroid storm(June 2004).
25..Manifestations and management
of thyroid storm(June 2008)(June
26.Describe the manifestations and
management of thyroid storm
intraoperatively.Describe the
management of such a case(Dec
2009).
27..Describe preop evaluation and
preparation of a patient of
thyrotoxicosis.Describe anaesthetic
and postoperative management of
such a case.(June 1996).[Pg 73-RACE
2004,Pg 64-ARC-06]
28.A 35 year old lady with huge
thyroid mass presenting with
thyrotoxicosis is posted for subtotal
thyroidectomy.Discuss the
[Pg 1282-Barasch,Pg 807-Morgan]
29..Myxoedema coma(June 2002)
(Dec 2004).
30.Causes of airway obstruction
following thyroid surgery and its
31.Thyrotoxic patient for subtotal
thyroidectomy(June 2006).
32.Enumerate the NS of
larynx.Enumerate the signs and
symptoms of bilateral recurrent
laryngeal nerve palsy following total
thyroidectomy(Dec 2009).
33.Discuss preoperative evaluation
and anaesthetic management of a
40 year old hyperthyroid patient
posted for total
thyroidectomy.Enumerate
postoperative complications(June
2012).
34.A 60 years old man presents for
elective parathyroidectomy.Discuss
the anaesthetic management(Dec
2007)[Pg 398-Stoelting]
CARCINOID TUMOR
1.Carcinoid tumor(June
2004). [Stoelting ]
2.A 30 year old woman is scheduled
for removal of carcinoid tumor.Write
the anaesthetic management(June
2008).[Pg 172-Oxford handbook of
anaesthesia]
CUSHINGs SYNDROME
management of a 25 years old
female with cushings syndrome for
bilateral adrenalectomy(June 2007).
[Pg 395-Stoelting]
2.A 30 year old female with
Cushings syndrome is scheduled for
bilateral adrenalectomy.Describe the
43. COPD
1.Discuss the current concepts in the
management of a case of chronic
obstructive airway disease in
respiratory failure(1996-2000).
2.Anaesthetic management of a case
of COAD(Dec 2001).
3.Describe in detail the anaesthetic
management of patients with
reactive airway disease(June 2001).
reactive airway disease(Dec 2001).
5.Intraoperative anaesthetic
considerations in COPD patient
scheduled for upper abdominal
surgery(Dec 2005).
6.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?(Dec 2012)
44. ISCHEMIC HEART DISEASE
CORONARY STENT
1.Guidelines for management of
anaesthesia in a patient with
coronary stent(June 2008).
2.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 the preoperative
management of a patient with
coronary stent(Dec 2009)[Pg 235ISACON 2009]
3.Describe the anaesthetic
considerations in patients having
coronary artery stent(Dec 2010).
evaluation and anaesthetic
management of an emergency
abdominal operation in a 60 year old
man who had MI 6 weeks back(19962000).
5.Preoperative preparation and
evaluation of a patient with history of
exertional angina for surgery under
general anaesthesia.(June 1996)
6.Discuss briefly the preoperative
who had acute MI three months ago,

and is scheduled for inguinal hernia
repair(Dec 2006).
7.Discuss your anaesthetic
management of strangulated
inguinal hernia in a patient with a
recent MI(June 1999).
8.Describe the arterial circulation of
the heart with the aid of a diagram
coronary blood flow.Explain the
Goldmans Cardiac risk Index and its
importance to the anaesthetist(19962000).
9.Pathophysiology of CAD.Discuss
the anaesthetic management of a
patient with angina(June 2004).
10.Cardiac evaluation for non-cardiac
surgery(June 2004).
case of essential hypertension
surgery(June 2005).
12.Classify
cardiomyopathies.Describe
management of a 60 year old male
with dilated cardiomyopathy
scheduled for laparotomy(Dec 2010)
13.What is diastolic dysfunction?
Discuss the evaluation and
implications to the anaesthetists(Dec
2011).[Chapter 6-Stoelting coexisting]
14.Discuss the pre-operative
evaluation of a patient with
IHD.Discuss the perioperative
monitoring for MI and its
management(June2012).
15.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(Dec
2012).
PULMONARY SYSTEM
1.Anaesthesia for drainage of
empyema thoracis(June 2000).[Pg
372-OHA]
2.Broncho-pleural fistula(June 2002).
3.Anaesthetic consideration for
patient with BPF for repair(Dec
2005).
4.Hydropneumothorax(June 2003).
5.Write the indications of
mediastinoscopy?Write the
anaesthetic implications of
mediastinoscopy(June 2008).
[CEACCP 2007][Morgan 607]
6.A 40 year old male with
emphysematous bullae in right lung
is scheduled for thoracoscopic
excision of bulla(VATS).Describe the
7.Bedside PFTs(June 2010).
45. PATIENT POSITIONING
1.Positional hazards under
anaesthesia(1996-2000)[Pg 965Morgan]
2.Enumerate various positions in
relation to anaesthesia and discuss
in detail the problems associated
with them(Dec 1996).[Pg 170-RACE
2003]
3.Describe the complications
associated with sitting position
during posterior fossa surgery and
their management(Dec 2010).
4.Discuss the anaesthetic problems

of surgery in prone position(June
2011).
46. NEUROMUSCULAR DISORDERS,
MYASTHENIA GRAVIS
1.MG versus Myaesthenic
syndrome(June 1994)
2.What is myasthenia gravis?What
are its clinical features?Discuss the
preoperative
investigations,preparation,anaestheti
c management of such a case
presenting for interval
appendicectomy and management of
the likely complications.(June
1998) [Pg 818-Morgan,P 69-RACE
2001,Pg 109-RACE 2005,RACE 2011]
3.Discuss pre-anaesthetic
assessment,preparation,anaesthetic
management and post operative
complication in 20 year old female
with myaesthenis gravis posted for
thymectomy(June 2001)(Dec 2001).
4.Anaesthetic management of
MG(June 2003)
5.MG and its anaesthetic
6.Preoperative preparation of a case
of MG scheduled for
thymectomy(June 2005).
7.Myaesthenic syndrome(June 2006).
management in a patient of MG
scheduled for thymectomy(Dec
2006)
9.What are the clinical features of
MG?Discuss perioperative evaluation
case presenting for interval
appendicectomy(June 2012).
10.What are the anaesthetic

concerns in the management of a
patient with myasthenia gravis
scheduled for thoracoscopic
thymectomy(Dec 2012).
MH
1.MH(Dec 1998)(Dec 2003)(June
2004).[Pg 945-Morgan]
2.Current concepts in the diagnosis
and treatment of MH(June 1999).
3.What is malignant hyperthermia?
Discuss its clinical features and
laboratory finding.Why is it important
for the anaesthetist to know about
this syndrome?(June 2002).
4.Temperature regulation in
adults,predisposing factors,diagnosis
and management of MH(June 2005).
5.What are the diagnostic features
that would lead to identify malignant
hyperthermia during immediately
after anaesthesia and state the
guidelines of management?(Dec
2005).
6.Diagnosis and management of an
acute attack of malignant
hyperthermia(June 2006).
7.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(Dec 2007).[Pg 945Morgan]
8.Describe clinical
presentation,pathophysiology and
managemet of malignant
hyperthermia(Dec 2010).
9.Describe the etiology,clinical

features and treatment of
malignanat hyperthermia(Dec 2012).
8.What is venturi principle?What are

its applications in anaesthesia?(June
2009).
GBS
9.Desribe Bernoullis principle and its

various applications in
1.GBS(June 2004).
2.GBS-discuss briefly
etiology,pathogenesis,symptomatolo
gy and management including
anaesthesia(Dec 2007)[Stoelting
254}.
49. MONITORING
47. PARKINSONs DISEASE
2.What is minimum monitoring

standard?Describe the objectives
and methods(Dec 2005).
1.Pre-op evaluation and anaesthetic

considerations of a patient with
Parkinson disease(June 2008)(Dec
2008).[Pg 227-Stoelting,Pg 650
Morgan,IJA 2007,Pg 630-Barasch]
1.Minimum patient monitoring during

anaesthesia(June 1995)(June 1998).
[Pg 118-Morgan]
3.Invasive intraop monitoring(June

2001)(Dec 2001)
48.APPLIED PHYSICS
50. MONITORING DEPTH OF

ANAESTHESIA
VENTURI
BIS
1.Venturi principle and its clinical

implication(June 1995) [Pg 181Aitkenhead]
1.What is BIS monitoring?What are

its clinical applications in
anaesthesia practice?(Dec 2008).
2.Application of venturi principle in

2.BIS(June 2010).[Pg 99-ISACON

2009]
3.Venturi principle and its use in

MAC AND AWARENESS
4.Venturi principle and its

application(Dec 2001)(Dec 2004).
1.Minimum Alveolar
Concentration(1996-2000).
5.venturi principle and its application

in anaesthesia(June 2003)
2.Causes and prevention of

awareness under anaesthesia(Dec
1995).
6.Venturi principle and its

importance to anaesthetist(Dec
2003).
3.Awareness under
anaesthesia(1996-2000)[Pg 66-RACE
2006,IJA 2009]
7.What is venturi principle?Discuss

its applications in anaesthesia
practice(Dec 2006)
4.Awareness and wakefulness under

anaesthesia(June 1999)(Dec 1994)
[Pg 148-157-IJA 2009]
5.Awareness during anaesthesia(Dec
1998)(Dec 2000) .
6.assessment of intraop
awareness(Dec 2005).
1.Non invasive cardiovascular

monitoring(Dec 1994)
7.what do you mean by awareness

during anaesthesia?Mention the
monitors in use to measure the
depth of anaesthesia(June 2006).
2.cardiac output management with

thermodilution technique(June 1995).
8.Discuss the pharmacological

principles of measuring the depth of
anaesthesia and techniques for
monitoring the depth of
9.List and brief statement and
effectiveness of each of the means
available for detecting awareness
during anaesthesia(June 2005).
10.What are the measures by which
you can measure the depth of
anaesthesia during the intra
operative period?(June 2005).
11.Why is it important to measure
the depth of anaesthesia?Briefly
describe the methods used(Dec
2011).
51. CARDIOVASCULAR
MONITORING
IJV
1.Complications of cannulation of IJV.
(Dec 1996)(Dec 2004).
2.Techniques and approaches to IJV
cannulation(Dec 2007).
3.Describe the anatomy of IJV with
the help of a diagram.Discuss any
one approach for IJV cannulation(Dec
2011)
4.Enumerate various approaches for
central venous cannulation.Describe
the technique and complications of
IJV cannulation(June 2012).
CARDIAC OUTPUT MONITORING
3.what are the determinants of

cardiac output and discuss various
non-invasive methods of
measurement of cardiac output(Dec
2006)
1.Pulmonary artery catheter(June
1998).
-Pulmonary artery pressure
monitoring(June 2006).
2.CVP(June 1999)[Pg 131-Morgan
4th ed]
-CVP,its application in
anaesthesia(Dec 1996)(Dec 2007).
[Pg 1285-Miller]
-CVP monitoring and its
implications(Dec 2008).[Pg 238-RACE
2007]
3.Jugular venous oximetry(June
2002).
4.Central venous cannulation(Dec
2003).
5.Methods of central venous
cannulation,uses,limitations and
complications of CVP monitoring(June
2005).
6.Describe the
indications,contraindications and
complications of invasive arterial
blood pressure monitoring.Describe
the technique(Dec 2009).[Pg 123Morgan]
TEE
1.TEE(June 2001)(Dec 2001).[yao]
2.How is USG useful in anaesthesia

and intensive care medicine and
explain the usefulness of TEE during
cardiac surgery(Dec 2005).[IJA 2007]
3.TEE in anaesthesia practice(June
2008).[RACE 2011]
4.Describe the role of intraoperative
echocardiography in clinical
5.USG->principles and its uses in day
to day practice of anaesthesia(June
2010).
3.Physical principles of pulse

oximetry(June 2005).[Pg 1-ISACON
2009]
4.Pulse oximetry-principles and
applications(Dec 2007).
5.Factors influencing tissue
oxygenation(1996-2000)**.[Pg 65RACE 2010]
6..Respiratory monitoring in
6.Discuss the use of TEE in

anaesthesia practice(June 2011)
7.Discuss various methods of oxygen

monitoring in anaesthesia
practice(June 2007).[Pg 65-RACE
2010]
ECG
CAPNOGRAPHY
1.Modified bipolar standard limb lead

systems and its usefulness for
intraoperative monitoring(Dec 1995).
1.Role of capnography during

anaesthesia(June 1996).[Pg 45-RACE
2004]
ICD and Pacemakers
2.capnography(Dec 1994)(June
2000)(Dec 2001)
1.Discuss different types of

pacemakers and briefly enumerate
precautions to be taken during
surgery with pacemaker(June 2007).
2.Enumerate the evidenced based
indications for pacemaker
insertion.Mention the general
principles of anaesthetic
pacemaker scheduled for
surgery(Dec 2009).
52.RESPIRATORY MONITORING.
PULSE OXIMETER
1.Limitations of pulse oximeter(Dec
1995).
2.Pulse oximetry(Dec 2000).[Pg 140Morgan]
3.Discuss principles of monitoring

end tidal CO2(June 2007).
4.-What is capnography?Draw a neat
labeled diagram of a normal
capnograph and discuss clinical
considerations of capnography(Etco2
monitoring)(June2012).
53. NEUROLOGIC MONITORING
1.SSEP(June 1998)
2.Minimum monitoring for post spinal
fusion in scoliosis(June 2003).
3.Methods of intracranial pressure
monitoring,uses and complication of
ICP monitoring(June 2005).
4.ICP monitoring and its
applications(Dec 2007)[Pg 55ISACON 2007,Pg 395-ISACON 2009]
54. NEUROMUSCULAR MONITORING
56. ACID BASE BALANCE
1.Methods of monitoring
neuromuscular junction function(Dec
1995).
1.Anion gap(Dec 2006).
2.Methods of monitoring of
neuromuscular transmission during
3.Intraoperative neuromuscular
monitoring(June 2007).
4.Compare and contrast TOF and
Double burst(Dec 2008).
5.What are the factors affecting
neuro-muscular blockage?Discuss
various methods to monitor
neuromuscular blockage(June 2009).
[Pg 37-ISACON 2009]
6.Enumerate various techniques of
monitoring neuromuscular blockade
during anaesthesia.List the
advantages and limitations of each
of these techniques(June 2010).[Pg
127-RACE 2010]
7.Discuss various patterns of nerve
stimulation in neuromuscular
monitoring and their interpretation
with the help of diagrams(June
2011).
55.TEMPERATURE REGULATION AND
MONITORING
1.Discuss the regulation of body
temperature.How will you prevent
hypothermia in a neonate posted for
major abdominal surgery(Dec 2002).
2.Describe in brief the sites and
devices for temperature
monitoring(Dec 2008).
3.Classify hypothermia.Describe the
pathophysiological effects of
hypothermia(June 2012)
2.Preanalytical consideration of ABG

measurement(Dec 1999).
3.What are the major buffer systems
in the body?Enumerate the
causes,effects and management of
metabolic acidosis(Dec 2009).[Pg
716-Morgan]
4.What is anion gap?Desribe the
causes and management of
metabolic acidosis from low cardiac
output(Dec 2012).
57. AIRWAY MANAGEMENT
1.Airway assessment(June 2005).
2.List the bedside test available to
predict the difficult
intubations.Comment on their
use(June 2005).
SGA
1.Supra Glottic Airway devices(Dec
2007). [Pg 85-RACE 2009,Pg 633OAR]
2.I-gel Airway(June 2008)(June 2010).
[IJA 2009]
3.Enumerate the different
SGAs.tabulate the differences
between Proseal LMA and I-gel
airway(June 2011).
LMA
1.Merits and demerits of LMA(June
1996).
2.LMA:various
modifications(June2007).[IJA 2005]
DIFFICULT AIRWAY
1Assessment and management of

difficult intubation(June 1995).
2.Evaluation of difficult airway(June
2002).
3.Difficult intubation/Predictive
factors and intubation difficulty(Dec
2003).
4.Describe briefly the difficult airway
algorithm.How will you perform
awake intubation in an adult with
restricted mouth opening?(Dec 2011)
5.Double Lumen ETT(June 1996).
airway(Dec 2008). -Describe briefly

the difficult airway algorithm.How
will you perform awake intubation in
an adult with restricted mouth
opening?(Dec 2011).[IJA 2011]
FOB
1.Modes of ventilation during
bronchoscopy(Dec 1994).
2.Draw a labeled diagram of a
flexible FOB and describe methods
for its sterilization or high level
disinfection(Dec 2007).
7.How will you anaesthetize the

airway of a 40 year old man for
awake intubation?(Dec 2006).
3.Describe the techniques for

anaesthetizing the airway for awake
fibreoptic laryngoscopy and
intubation through nasal route in an
adult with restricted mouth
opening(Dec 2002)
8.Discuss the management of CICV

situation in the OT(Dec 2006).
ATTENTUATION OF LARYNGOSCOPIC
RESPONSE
9.Describe the anatomy of

larynx.How would you anaesthetize
the airway for awake intubation(June
2009).
1.Attentuation of laryngoscopic
reaction to intubation(Dec 2000) .
6.Airway management in an
unconscious patient(June1998).
TM ANKYLOSIS
1.Describe airway management of a
patient of ankylosing spondylitis with
severe restriction of neck movement
posted for total hip replacement(Dec
1996) .
assessment and the method of
anaesthesia in patient with TM
ankylosis for the release of
ankylosis(Dec 2003).
3.A 20 year old is scheduled for
release of TMJ ankylosis.Discuss the
various methods to secure the
2.Discuss various methods to obtund

intubation response to laryngoscopy
and intubation(June 2007).[Pg 145OAR]
3.Describe the occulocardiac reflex?
Discuss measures to attenuate
pressor response to
laryngoscopy/intubation(June 2011).
DIFFERENCES BETWEEN ADULT AND
PAEDIATRIC LARYNX
1.Describe the anatomy of larynx
with difference in adult and
children.What is importance of
recurrent laryngeal nerve in
anaesthesia practice(June 2002).
2.How does the paediatric airway
differ from that of an adult?What are
the implications for an
anaesthesiologist(Dec 2009).[Pg 36IJA 2004,Pg923-Morgan]

58. VOCAL CORD PALSIES
1.Vocal cord palsies with the aid of
diagrams of direct laryngoscopic
view(Dec 2000).
2.Anatomy of larynx.Enumerate with
diagrams the types of vocal cord
palsies(June 2005).
3.Describe innervations of
larynx.Brieflydiscuss various palsies
following nerve injury(June 2011).[Pg
13 Wylie 5th ed]
59. SPINAL EPIDURAL AND CAUDAL
ANAESTHESIA
1.What are the differences between
a subdural and subarachnoid block?
Write the clinical features and
management of PDPH(Dec 2011)
10.Caudal block(June 2003).

11.Modified CSE(June 2003).
12.Caudal epidural analgesia in
anaesthesia practice(Dec 2004).
13.Complications of extradural
anaesthesia(June 2006)(June 2007).
[Pg 153-RACE 2007]
14.Anatomy of epidural space and
methods of identification(Dec 2007)
[Pg 24 and 33-Pramila bajaj]
15.Describe the boundaries of
epidural space.Discuss five common
complications of epidural block(Dec
2011)
ANTICOAGULANTS AND RA
1.Antothrombotic prophylaxis and
neuraxial anaesthesia(June 2006).
2.Complications of epidural
2.Enumerate the guidelines for RA in

a patient on anticoagulant
therapy(Dec 2008).[Pg 299-Morgan
4th ed,Pg 106-RACE 2006]
3.Pulmonary function changes

following central neuraxial
blockade(June 1999).[Pg 297Morgan]
3.Enumerate the guidelines for RA in

a patient on antiplatelet
therapy(June 2009).
4.Continous subarachnoid block(Dec

1996).
4.Describe anaesthetic concerns for

regional anaesthesia in a patient on
anticoagulants(Dec 2010).
5.Epidural analgesia for postop pain

relief(Dec 1996).
6.Epidural pressure and various
factors affecting the same(Dec
1998).
5.What are the recommendations for

neuraxial anaesthesia in a patient on
anticoagulant therapy?(Dec 2011)
PDPH
7.Indications and contraindications of

regional anaesthesia(Dec 2001).
1.PDPH(June 1999).[IJA 2006,ATOTW181,Pg 125 RACE 2012}
8.Effect of intrathecal neostigmine

on spinal anaesthesia(June 2002).
2.What is PDPH?What are the factors

affecting it?Describe the
management of such a case(Dec
2009).
9.CSE(June 2002).
60. NERVE BLOCKS

STELLATE GANGLION BLOCK
1.Indications and methods of stellate
ganglion block(June 2002).
2.Stellate ganglion block-indications
and complications(Dec 1995).
3.Enumerate the
indications,contraindications,complic
ations and method of establishing
stellate ganglion block(Dec 2008).
4.Describe the anatomy of stellate
ganglion.Discuss indications,techn
iques and implications of stellate
ganglion block(Dec 2010).
BRACHIAL PLEXUS BLOCK
1.Anatomy of brachial plexus and its
importance to the anaesthetists(June
2002).
methods to block celiac plexus(June

2009(Dec 2011).[Pg 385-Morgan
4th ed]
2.Illustrate the anatomy of celiac
plexus with the help of a
diagram.Describe the technique of
celiac plexus block and its
complications(Dec 2009).
ANKLE BLOCK
1.Innervation of foot and technique
of performing ankle block(Dec 1995)
2.Describe the nerve supply of foot
and the technique of ankle block for
amputation of great toe(Dec 2006).
3.Describe the nerve innervations of
the foot with diagram and dsicuss
the local anaesthetic block at the
ankle for the amputation of
gangrenous toes in a patient(June
1999).[Pg 352-Morgan]
2.Discuss one method of brachial

plexus block through supraclavicular
approach and enumerate the
complications associated with it(June
2007).[Pg 333-Morgan]
4.Describe the regional block for

removal of infected corn foot(Dec
2010)
3.Anatomy of brachial plexus with

the help of a diagram.Enumerate the
various techniques of brachial plexus
block(June 2010)
1.Describe anatomy of paravertebral

space and describe one method of
establishing paravertebral block(June
2007).[Pg 354-Morgan]
OPTHALMIC BLOCKS
2.Describe the anatomy of

paravertebral space with
diagram.Describe one method of
establishing paravertebral block(June
2012)
1.Peribulbar block(Dec 1998).

2.Peribulbar blockindications,techniques and
complications(June 2010).
3.Merits and demerits of retrobulbar
vs peribulbar block(June 2002).
COELIAC PLEXUS BLOCK
1.Describe the anatomy of celiac
plexus.Discuss the indications and
PARAVERTEBRAL BLOCK
1.Three-in-one block(Dec 2001).

2. Horners syndrome(June 2003).
3.Describe with the help of a labeled
diagram,the anatomy of lumbar
plexus and describe the techniques
of lumbar plexus block(June 2008).

[Pg 343-Morgan 4th ed]
9.Third space loss-its importance to

anaesthesiologist(Dec 2005).
4.Describe the course of sciatic

nerve and any one approach to block
the nerve(June 2011).
10.Merits and demerits of various

synthetic colloids(Dec 2006).
61. FLUID MANAGEMENT AND

ELECTROLYTES
CRYSTALLOIDS
1.Merits and demerits of crystalloids
and colloids(June 1994)
2.Crystalloid and colloid(Dec 1999).
[Pg 1705-Miller]
3.Crystalloid Vs Colloid(Dec 2003).
4.Discuss the different types of
colloid solutions.Describe their
advantages and disadvantages
(June2012)
COLLOIDS
1. Plasma volume expansion(June
1999)(Dec 1999).
2.uses ,advantages and
disadvantages of plasma
expanders(June 1998).
3.Plasma expanders(Dec 2001).
4.Plasma volume expanders(June
2005).
5.Water and electrolyte disturbances
and their pre anaesthetic correction
in small gut obstruction(Dec 1996).
6.gelatin as spinal preloading(june
2002).
7.Comparitive evaluation of RL,Low
molecular weight Dextran and
3.5%poly
8.Human Albumin(Dec 2003).
11.Discuss the role of plasma

proteins in anaesthesia(June 2007).
12.Compare and contrast colloids
and IV fluid(Dec 2008).
MAGNESIUM
1.Role of Magnesium in anaesthesia
practice(June 2000).[FRCA/BJA]
2.What are the therapeutic uses of
magnesium?How does it work?(Dec
2005)
3.Role of Magnesium in anaesthesia
and ICU(Dec 2004)(June 2006)(June
2007).[ATOTW 90]
4.What are the physiological
functions of magnesium?describe its
therapeutic uses in anaesthesia(June
2012)
K+
1.Hypokalemia(Dec 1998)(June
2000).[Pg 677-Morgan]
2.Hypokalemia-definition,clinical
manifestation and management(June
2010).
3.Define hypokalemia.What are the
clinical manifestations of
hypokalemia?How will you treat
hypokalemia intraoperatively?(June
2011)
4.Treatment of hyperkalemia(June
2002).
5.Causes ,diagnosis and treatment of
hypo and hyperkalemia(June 2005)
6.Hyperkalemia(June 2006).
7.Define hyperkalemia.Discuss signs

and symptoms and anaesthetic
consideration(June 2009).[Pg 680Morgan]
8.Enumerate the causes,clinical
manifestations and management of
hyperkalemia(Dec 2011).
9.Causes,diagnosis and treatment of
hypo and hyperkalemia(June 2005).
1.Discuss causes,clinical
manifestations and treatment of
hypercalcemia..What are the
anaesthetic considerations?(June
2012)
62. TRANSFUSION THERAPY
BLOOD COMPONENT THERAPY
1.Present trend of blood component
therapy(June 2000)
10.Discuss the ECG abnormalities

due to various electrolyte
imbalances(Dec 2008).[Pg 679Morgan 4th ed]
2.Blood component therapy(Dec

1998)(June 2002)(June 2005)[Pg 161
ISACON 2008,Pg 1758-Miller]
SIADH
3.Role of blood components in

perioperative period (Dec 2007).
1.Water intoxication(June 1999).

2.How is the diagnosis of dilutional
hyponatremia made?what is its
significance in anaesthesia?
(June2002).
3.What is SIADH?Describe the clinical
features and management of
SIADH(Dec 2011)
4.Enumerate the indications for

transfusion of packed red
cells,FFP,platelets and
cryoprecipitates(June 2010)
COMPLICATIONS
1.Blood transfusion and related
disease transmission(Dec 1995).
4.Describe the causes and

management of acute dilutional
hyponatremia in the immediate
postoperative period(Dec 2012)
2.Complications and Sequelae of

BT(June 1996)(Dec 2008)[Pg 700Morgan 4th ed]
Na+
4.Management of mismatched
BT(Dec 2003).
1.What are the manifestations of

hyponatremia and how will you treat
it?(Dec 2006).
2.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(Dec 2009). [Pg 671Morgan]
Ca2+
3 .Complications of BT(June 1997).
5.How will you diagnose mismatched

BT intraoperatively?Describe its
MASSIVE BLOOD TRANSFUSION
1.Massive blood transfusion(June
2003).
2.What is massive blood transfusion?
What are the complications of
massive blood transfusion?(June
3.Define massive BT.Discuss the

complications associated with
massive blood transfusion(June
2011).
1.Storage lesions in blood(Dec 1995).
2.Recent trends of BT and blood
products(1996-2000).[Pg 147-RACE
2011]
3.Clinical uses of blood(June 2002).
63. HEMOSTASIS AND COAGULATION
1.DIC(June 1995)(June 1998).
2.What is DIC?Enumerate its causes
and management(June 2009)[Pg
403-barasch 6th ed]
3.Discuss the physiology of
Hemostasis and its significance(June
2005).
4.What is TEG?Draw a labeled
diagram to show a normal
tracing.What are its implications?
(Dec 2008).[Pg 394-Barasch
6th ed,Pg 338-Yao]
5.Describe various tests for
monitoring peri-operative
coagulation(June 2011).[Pg 392Barasch 6th ed]
2.Auto transfusion(June 2004).

3.What is autologous BT?Describe
the various techniques of autologous
BT(Dec 2006) .[Pg 151-RACE 2011]
[Pg 1781-Miller]
4.Discuss criteria for patient
selection,contraindications,advantag
es and disadvantages of autologous
BT(June 2012).
BLOODLESS MEDICINE/BLOOD
CONSERVATION STRATEGY
1.Perioperative blood
conservation(Dec 2000)
2.What are the methods adopted by
the anaesthetist to reduce the need
for allogenic blood transfusions(June
2005).
3.Artificial blood/synthetic oxygen
carrying substances(June 2006).
4.Write the blood conservation
strategies in a 20 year old female
scheduled for excision of
angiofibroma of nose(June 2008).[Pg
65-RACE 2009]
5.Different techniques of reducing
the need of allogenic blood
transfusion(June 2010)
6.Briefly outline the evaluation and

suspected perioperative
coagulopathy(June 2012)
RECOMBINANT FACTOR VIIa
7.Describe the algorithm of the

evaluation and initial therapy of a
patient with suspected perioperative
coagulopathy(Dec 2012).
2.What is recombinant Factor VIIa?

Describe the clinical usage of it(Dec
2010).
AUTOLOGOUS BLOOD TRANSFUSION

1.Autologous BT(June 1996)(June
1998)(June 1999)(June 2000)(Dec
2004)(Dec 2007).[ACNA-2005]
1.Recombinant factor VIIa(Dec

2006).
64. PAIN MANAGEMENT

1.Role of anaesthesiologist in
managing shoulder dystrophy
syndrome(Dec 1994).
2.Trigeminal neuralgia,clinical
features and management(Dec
1996).[Pg 375 and 408-Morgan]
3.Management of reflex sympathetic
dystrophy(June 1997).[Pg 406Morgan]
4.Anaesthetists role in pain and
palliative care(Dec 2005).
5.Phantom limb pain(June 2006).
6.Pain management options in a
patient with intractable pain due to
carcinoma of head of pancreas(Dec
2007)(June 2011).[Pg 297-RACE
2010]
7.Define and classify chronic
pain.Describe the methods of
treatment of CRPS in left upper limb
in a 20 year old male patient(Dec
2009).
8.Explain the term CRPS?What are
the types of CRPS?Describe its
clinical features and options for
treatment(June 2012).
9.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.(Dec 2012).
10.What is hospice?When should you
beging hospice care?how does
hospice serve patients and families?
(Dec 2012)
11.WHO regimen of chronic pain
12.The WHO three step ladder
pattern for pain relief in advanced
cancer(Dec 1997)(Dec 2001).
65. ANAESTHESIA FOR THORACIC

SURGERY
OLV
1.One lung anaesthesia(June 1995).
2.Problems and management of one
lung anaesthesia(June 1997).
3.One lung anaesthesia-problems
4.What are the indications for OLV?
Discuss the ventilatory management
during one lung anaesthesia(Dec
2006). [Pg 589-Morgan 4th ed]
5.What are the indications of OLV?
What are the methods of lung
separation?Discuss the problems
involved(June 2009).
management of a patient posted for
pneumonectomy Ca Right Bronchuspreparation and management(June
2004).
evaluation and preparation of a 55
year old male with bronchiectasis
scheduled for right lower lobe
excision(Dec 2010).
8.How would you evaluate and
prepare a patient with chronic
bronchiectasis scheduled for
pneumonectomy?Briefly enumerate
the postoperative complications(June
2012).
ESOPHAGECTOMY
1.Preoperative
assessment,preparation specific to
thoraco abdominal
esophagectomy.Describe your
anaesthetic problem during
operation(June 2005). [Pg 379-OHA],
[Pg 609-Morgan]
2.A 68 year old patient with

carcinoma esophagus is scheduled
for transthoracic
esophagectomy.Outline the
preoperative evaluation,preparation
and anaesthetic management(June
2010)
4.Cardioplegia and its role in cardiac

anaesthesia practice(Dec 2007).[Pg
439-Satish deshpande]
3.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(June 2011)
6.Describe the commonly

encountered problems following CPB
in the post-bypass period(Dec 2012).
PFTs
1.Relevance of PFTs(Dec 2000).[Pg
153-RACE 2009]
2.Describe with diagram the flow
volume loops in:
(a)Healthy adult
(b)Patient with restrictive lung
disease
(c)Patient with obstructive lung
disease(June 2009).[Pg 8-Yao]
3.Draw a diagram to show various
lung volumes and
capacities.Describe the spirometry
features of patients with obstructive
and restrictive pulmonary
disorder(Dec 2010)
CPB
1.Myocardial preservation(June 1994)
(June 2004)
2.Myocardial protection during
CPB(Dec 1997).[Pg 1089-Barasch]
3.Anticoagulation and CPB(Dec
2007).[Pg 1088-Barasch]
5.Discuss the various criteria

required before weaning a patient
from CPB(June 2011).
OFF PUMP CAB

1.Discuss advantages and
disadvantages of OPCAB(Dec 2006)
2.Enumerate the indications of
OPCAB.Describe the
technique,advantages and
disadvantages(Dec 2009).[Pg 177RACE 2009]
1.Discuss anaesthetic management
of 20 years old male with RHD with
MS for closed mitral valvotomy(June
2007).
2.Preop evaluation and anaestheitc
with MS and AF scheduled for balloon
angioplasty and valvoplasty(Dec
2007).
3.Enumerate the circulatory assist
device.What are the
indications,contraindications and
complications of IABP?(Dec 2010).
-Describe the mechanism by which
IABP augments coronary
perfusion.What are the indications
and contraindications for the use of
IABP?(Dec 2012)
CARDIAC TRANSPLANT
1.Preop anaesthetic implications in a
patient with transplanted heart
posted for incidental surgery(Dec
2007).[Pg 22-Stoelting]
66. CARDIAC ARRHYTHMIAS AND

PACE MAKERS
68. ANAESTHESIA FOR

NEUROSURGERY
1.Specific problems and their

prevention during anaesthesia in a
patient with artificial pacemaker(Dec
2000).[RACE 2008,Pg 437-RACE
2009]
POSTERIOR CRANIAL FOSSA

SURGERY
2.Pacemakers(June 2002).
3.What are the indications for
elective cardioversion?How do you
prepare and perform this procedure?
(Dec 2006).
4.Discuss different types of
pacemakers and briefly enumerate
precautions to be taken durin
surgery in a patient with
pacemaker(June 2007)[Pg 74-OAR]
5.Describe the cardiac conduction
system.How do you manage a
patient with PSVT?(Dec 2009).
67. ANAESTHESIA FOR VASCULAR
SURGERY
1.Role of anaesthetist in a case of
TAO(June 2002).
management in a patient with
Abdominal Aortic dissection
scheduled for aortic bypass graft(Dec
2009).[Pg 226-RACE 2010]
3.Discuss hemodynamic and
metabolic changes during aortic
clamping and cross
clamping.Describe the renal
protective measures during aortic
clamping(June 2011).
4.Describe the preoperative
evaluation,anaesthetic management
and intra operative monitoring of a
patient scheduled for carotid
endarterectomy(Dec 2012).
1.A 40 year old male had pulse

45/min amd 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(June 2004)
2.A 20 year old female with mass in
posterior cranial fossa is scheduled
for craniotomy.Describe the
[Pg 205-RACE 2011]
considerations for excision of a mass
in the posterior cranial fossa in a 20
year old patient(Dec 2011)
1.Discuss the regulation of ICT and
methods available for reducing it
under anaesthesia(Dec 1994)..
2.Describe anaesthetic and
postoperative management of a
patient undergoing intra-cranial
aneurysm surgery(Dec 1996).[Pg
385-ISACON 2009]
3.Hydrocephalus and its various
methods of management(June 2002).
4.what is cerebral protection?explain
the methods adopted in clinical
practice for cerebral protection(June
2005)
5.Discuss the perioperative
management of cerebral AVM(Dec
2005)
of pituatory adenoma for
transphenoidal hypophysectomy.
(June 2006)..
7.Intraoperative problems of
neurosurgical procedures under
anaesthesia in sitting
position(June2007).
8. Renal replacement therapy
8.A 25 years old man presents with

marked features of acromegaly and
is posted for transphenoidal
hypophysectomy.Discuss the
[EORCAPS-2011]
1.Morbid obesity-its anaesthetic

implication(Dec 1994).
9.Discuss the regulation of

ICP.Describe the methods available
for reducing it under
anaesthesia(June 2012)
3.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(June
2000).
69. ANAESTHESIA FOR RENAL AND

GENITOURINARY SYSTEM SURGERIES
assessment and management of a
70 year old patient posted for
TURP.What are the possible
complications and how will you treat
them?(Dec 1995).
2.TURP syndrome(Dec 2000).[Pg
359-RACE 2012]
3.Anaesthetic management of 80
years old male kept for TURP(Dec
2001).
4.Anaesthetic considerations of a
patient on pacemaker for TURP(Dec
2005)
5.What are the problems associated
with anaesthesia for an elective
surgery in a patient of chronic renal
failure(Dec 2005).
6.Describe clinical
presentation,pathophysiology and
management of TURP syndrome(June
2011)
7.preop evaluation and anesthetic
management CRF
70. ANAESTHESIA FOR BARIATRIC

SURGERY
2.Discuss the anaesthetic techniques

and postoperative problems in ana
obese patient for large hernia of
interior abdominal wall(Dec 1996).
4.Obesity:anaesthetic
problems(1996-2000).
5.Describe obesity and problems
related to this.How would you
manage the anaesthesia and choice
of anaesthetic agent(June 2003).
6..Morbid obesity-anaesthetic
problems(Dec 2004).
7.Anaesthetic considerations in
obesity(June 2005).
8.Anaesthetic problems in a patient
with extreme obesity(June 2006)
(June 2007).
9.Discuss the perioperative problems
in a patient with morbid obesity(Dec
2008).
10.Discuss the problems and their
anaesthetic implications of a 40 year
old morbidly obese patient
scheduled for gastric banding(June

2009).
11.Define morbid obesity.Outline the
intraoperative anaesthetic
considerations in this patient
scheduled for bariartric surgery(June
2010).
12.Define BMI.Classify obesity and
discuss the anaesthetic
considerations in a morbidly obese
patients(Dec 2011).[Pg 289-OAR]
evaluation of a 25 year old man with
OSA acheduled for laparotomy.How
would you prepare him for
surgery(June 2012)[Pg 79-RACE
2012].
14.Describe briefly the intra
operative considerations for
bariartric surgery.(Dec 2012)
71. HEPATOBILIARY SYSTEM
1.Hepatorenal syndrome in
anaesthesia practice-etiology and
management(June 1997).[Pg 144OHA]
2.Hepatorenal shutdown-etiology
and prevention(June 1999).
3.Discuss the patho-physiology of
hepatorenal syndrome.What are the
measures to prevent it?(June 2009).
4.Describe briefly the
diagnosis,patholophysiology and
treatment of heaptorenal syndrome
in a case of advanced liver
cirrhosis(Dec 2012)
LIENO -RENAL SHUNT
in a patient undergoing lieno renal
shunt(Dec 2004).[Pg 363-RACE 2011]
2.Pre anaesthetic evaluation and

hypertension for leno renal
shunt(June 2007)[IJA 2007]
3.Write preoperative evaluation and
HTN scheduled for L-R shunt(June
2008).[Pg 42-RACE 2010,OAR-Pg
307]
evaluation and preparation of a 30
year old patient with portal
hypertension scheduled for LR
shunt(June 2009).
5.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(June 2010).{Pg 265-270Stoelting]
1.Anaesthetic considerations in
Chronic liver Failure(Dec 2005) .
2.A patient with obstructive
jaundice(Serum bilirubin 20 mg%) is
posted for Whipples
procedure.Discuss preoperative
management of this case(Dec 2006).
3.Describe the risk stratification of a
patient with deranged liver functions
scheduled for partial liver
resection(Dec 2009).
4.Enumerate the functions of
liver.Discuss the anaesthetic
implications in a patient with
cirrhosis and ascites(Dec 2011)
5.Plasma proteins and
6.Discuss synthetic functions of the

liver.What is the role of albumin in
pharmacokinetics?(June 2011).
1.Problems of laparoscopic surgery

and monitoring techniques used
during the procedure(1996-2000).
72. ORGAN TRANSPLANTATION
2.Describe physiological changes

associated with pneumoperitoneum
for laparoscopic
cholecystectomy(June 2009).[Pg 69ISACON 2008]
RENAL TRANSPLANT
1.How do you plan for renal
transplant surgery?Draw plan for an
operation theatre exclusively for
renal transplant surgery(1996-2000).
2.Pre-operative evaluation of a case
with CRF posted for renal
transplant(Dec2002).
3.A 35 year old patient of chronic
renal failure is scheduled for renal
transplant.Discuss the anaesthetic
implications in a patient with a
transplanted kidney posted for
incidental elective surgery(Dec
2008).[Pg 2166-Miller]
anaesthetic management of a
patient with transplanted kidney
presenting for incidental elective
surgery(June 2011).
LIVER TRANSPLANT
1.Anaesthetic problems of liver
transplantation surgery(June 2005).
HEART TRANSPLANT
1.A patient who has undergone heart
transplant requires non cardiac
surgery.What precautions must be
undertaken by an anaesthetic for
surgery(Dec 2005).
73. ANAESTHASIA FOR
LAPAROSCOPIC SURGERY
3.Discuss the physiological changes

due to pneumoperitoneum in
laparoscopic abdominal surgery.List
the intra-operative
74. ANAESTHESIA FOR OBSTETRICS
PIH AND HELLP SYNDROME
1.Diagnosis and management of
HELLP syndrome(June 1996).
2.HELLP syndrome(Dec 2004)(June
2006).
3.management of HELLP
syndrome(June 2007).
4.HELLP syndrome:role of
anaesthesiologist(June 2010)
ECLAMPSIA
1.Define pre-eclampsia and
eclampsia.discuss the
pathophysiology.Formulate,with
reasons the anaesthetic technique
for such a patient posted for CS(Dec
1995).[Pg 375-RACE 2011]
2.Describe the
problems,complications and
anesthetic management of CS in a
patient with pre-eclamptic
toxemia(Dec 1996).[Pg 273-ISACON
2008]
3.Discuss the pathophysiological
changes in pre-eclampsia and
eclampsia.Discuss your choice of
anaesthetic technique for such a

patient for emergency CS.(19962000)[Pg 175-ISACON 2010]
4.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
anaesthetic management(June 2000)
5.Mg SO4 therapy(Dec 2000).[Pg
387-RACE 2011,Pg 142-OAR]
6.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)(Dec
2003)
7.PIH-role of anaesthesiologist(June
2007).
patient with severe pre eclampsia for
CS(June 2008).
9.Discuss the perioperative
evaluation and management of a 30
year old primi admitted at 36 weeks
of pregnancy with eclampsia
presenting for emergency LSCS(June
2009).
management of a patient with PIH
scheduled for CS(Dec 2009).[Pg 128OAR]
management of a full term
prinigravida with severe pre
eclampsia,scheduled for emergency
CS(June 2011).[Pg 375-RACE 2011]
NON OBSTETRIC SURGERY DURING
PREGNANCY
1.A female patient aged 32,with 5

months amenorrhoea suffered from
Kochs mid dorsal spine developed
paraplegia.She is scheduled for
anterolateral decompression
surgery.Discuss pre-operative
preparation,anaesthetic
management and postoperative
care(Dec 1996).
emergency appendicectomy in a 16
weeks pregnant patient(June 2005).
3.Anaesthesia for a pregnant woman
for non-obstetric surgery(Dec 2005).
4.Laparoscopic surgery in a pregnant
patient(June 2006).
5.Outline the anaesthetic
management of a female with 28
weeks pregnancy scheduled for
emergency appendicectomy(June
2010)[RACE 2003,ISACON 2007]
6.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(Dec 2011)
ANAESTHESIA FOR CS
Mendelsons syndrome
1.Discuss the pathogenesis,clinical
mendelsons syndrome(June 1996).
[Pg 286-Morgan,Pg 1223-Barasch]
2.Aspiration prophylaxis in
obstetrics(Dec 1999).
3.Management of Mendelsons
syndrome(Dec 2000).
4.What is Mendelsons syndrome?
Enumerate acid aspiration
prophylaxis in a patient scheduled

for emergency CS(June 2010).
for MTP with laparoscopic

sterilisation(Dec 2006).
PHYSIOLOGICAL CHANGE SDUE TO

PREGNANCY
6.Enumerate the perioperative

problems and anaesthetic
with MS for elective CS(Dec 2008).
[IJA 2010-issue 5 review article]
1.Describe physiological changes

occurring during pregnancy and
clinical implications to the
anaesthesiologist(Dec 2001).[Pg 63ARC-05]
2.Supine hypotension syndrome
(June 2000)(Dec 2004).
3.Techniques to prevent hypotension
after SA in CS(Dec 2007).
4.What are the objectives of
premedication in a patient scheduled
for elective CS?Describe the drugs
used with their doses and
rationale(June 2012)
PREGNANCY AND CO-EXISTING
DISEASE
1.A patient of COA is scheduled for
CS.Discuss the preoperative
preparation,anaesthetic
management and postoperative care
of the patient(Dec 1999).
2.Medical diseases and
obstetrics(June 2003)
3.Problems and management of
pregnant patient with dilated
cardiomyopathy on treatment for
emergency LSCS(June 2005).
4.Pre-anaesthetic evaluation of a
patient of MS for MTP and
sterilization(Dec 2005).
5.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
7.A HIV positive patient is scheduled

for elective CS.Describe the
precautions for the management of
this patient(Dec 2009).
LABOUR ANALGESIA
1.Describe the various regimens for
painless labour(June 1994)
2.Modern trends in obstetric
analgesia(June 2001)(Dec 2001).
3.Describe innervations of female
genital tract with a diagram and
discuss methods of producing
painless labour(June 2006).
4.Discuss the physiological changes
secondary to pain in labour.Describe
the role of para-cervical and
pudendal nerve blocks in obstetric
analgesia(Dec 2011).
5.Draw a labeled diagram of labor
pain pathway.Describe
method,advantages and
disadvantages of preferred technique
of labor analgesia(Dec 2012)
MISCELLANEOUS
1.Amniotic fluid embolism(Dec
1994).
2.Role of anaesthesiologist in an
obstetric unit(Dec 2005).
3.Regional Vs GA in obstetric
surgery(Dec 2005).
4.Medical aspect and obstetrics(Dec

2003).
5.Enumerate the physiological
changes during pregnancy and their
clinical implications(Dec 2008).[Pg
63-ARC 5,Pg 875-Morgan 4th ed]
6.What are the causes of obstetric
haemorrhage?Describe its
management including
75. ANAESTHESIA FOR ORTHOPEDICS
TOTAL HIP REPLACEMENT
1.A 60 year old women with RA is for
THR.Discuss the anaesthetic
problems and management(June
1994)
2.An 80 year old male is posted for
total hip replacement.Discuss the
pre-operative evaluation,preparation
and anaesthetic management of this
case(June 2002).[Pg 205-ISACON
2009]
3.Anaesthetic problems of total hip
replacement in elderly patients(Dec
2005).
4.Anaesthetic consideration of a
patient for surgery for fracture neck
of femur,one year after CABG(Dec
2005).
5.An 86 year old patient is scheduled
for open reduction and internal
fixation of subtronchanteric fracture
of femur.Discuss the preoperative
management of this patient(Dec
2006).
6.Enumerate the perioperative
problems and anaesthetic
management in a 80 year old patient
scheduled for THR(Dec 2008).

management of an 80 year old male
scheduled for THR.Mention the
methods of postop pain relief(Dec
2009).
8.What are the pre-operative
considerations in total hip
arthroplasty?What are the goals of
its intra-operative management?(Dec
2010)
9.What are the causes of intra
operative hypotension during total
hip replacement?Outline the
treatment strategies(Dec 2012)
SCOLIOSIS
problems,preoperative preparation
case posted for correction of
kyphoscoliosis(June 1995).
2.Anaesthetic problems in scoliosis
surgery(June 2006).
FAT EMBOLISM
1.Discuss in detail the
etiology,pathophysiology,diagnosis
and treatment of fat embolism
syndrome(June 2002).
2.Describe pathophysiology,clinical
features,diagnosis and management
of fat embolism(Dec 2010).
1.RA technique for upper extremity
surgery(Dec 1994)
2.What are the indications and
contraindications for use of arterial
tourniquet.What complication may
arise from the use of such
tourniquet(June 2005).
3.Problems encountered by
anaesthetists during the orthopaedic
operative procedures(June 2005).
4.Risk factors for venous

thromboembolism and classify the
current methods of prevention with
examples(Dec 2005)
78. ANAESTHESIA FOR TRAUMA AND

PREHOSPITAL EMERGENCY
5.How will you diagnose DVT?Write

the methods of prophylaxis and
management(June 2008).[Pg 850Morgan]
1.Golden hour(June 2002).
6.How do you diagnose DVT?

Describe the predisposing factors
and its management(Dec 2009).
76. ANAESTHESIA FOR GERIATRICS
1.Ageing and organ function(June
2001)(Dec 2001).
2.Enumerate age related changes in
CVS,RS,NS and renal systems in
geriartric patient which can affect
anaesthetic management.How do
the changes in renal functions affect
anaesthetic management?(Dec
2012)
77) ANAESTHESIA FOR TRAUMA
1.Role of anaesthetist in multiple
trauma(Dec 2001).[Pg 113-ISACON
2007]
2.Post traumatic fat embolism(June
2001)(Dec 2001).
3.How will you do anaesthetic
management in 10 years old child
with multiple injuries?(June 2003).
4.Assessment of an adult who
sustained multiple trauma of few
hours duration(Dec 2004).
5.What are the factors that
predispose trauma patients to
increased anaesthetic risks?Briefly
mention their management(Dec
2012).
GOLDEN HOUR
2.What do you mean by the golden

hour in trauma?Discuss the role of
anaesthetist in resuscitation of
trauma patient(June 2006).[Pg 538ISACON 2011,Pg 287-RACE 2012]
3.what do you mean by golden hour
in trauma?Explain the role of
anaesthetist in trauma
TRIAGE
1.What is Triage?What are triage
criteria in relation to trauma?(Dec
2008).
2.Importance of triage in mass
casualty incident(June 2010).[Pg
2327-2328-Miller]
3.What do you mean by multicasulaty triaging?Why is it
important?How do you triage victims
in the casualty following a mass
disaster?(June 2011).
4.Pre-hospital trauma care(Dec
2001).
5..Enumerate the classical biological
warfare agents.Describe physical
findings,pathogenesis and treatment
of anthrax(Dec 2010).
79. ANAESTHESIA FOR EYE
PERFORATING EYE INJURY IN A CHILD
1.Anaesthesia for perforating injury
of the eye in a 3 year old child(Dec
1996).{Pg 833-Morgan]
2.A 4 year old child is scheduled for
emergency repair of penetrating eye
injury of the eye.Discuss the

management in a 10 year old child
scheduled for perforating eye injury
repair(Dec 2009).
management of a four year old child
with perforating eye injury scheduled
for repair under GA(Dec 2012)
1.Anaesthetic management of a child

with retropharyngeal abscess
presenting for surgical drainage(June
1995).
2.Problems of microlaryngeal
surgery(Dec 1995).
3.Anaesthesia for total
laryngectomy(June 1998).[Pg 23756-MILLER]
1.Anaesthesia for squint

surgery(1996-2000).

management of a 70 year man with
carcinoma larynx for total
laryngectomy(June 2007)
3.Occulocardiac reflex(June 1995)

(June 2001)(Dec 2001)(Dec 2006).
81. ANAESTHESIA FOR ROBOTIC

SURGERY
4.Anaesthesia for intraocular

surgery(June 2001)(Dec 2001).
1.Anaesthetic problems in robotic

surgery(June 2007).[Pg 2389-Miller]
5.Describe the different anaesthesia

techniques practiced for cataract
surgery and their complications(June
2006).

in robotic surgery(June 2012)
80.ANAESTHESIA FOR ENT

POST- TONSILLECTOMY BLEEDING
1.Post tonsillectomy bleeding(June
2002) .
for post-tonsillectomy bleeding(June
2002)(June 2005)(June 2006).
3.Anaesthetic considerations and
management of a child with posttonsillectomy bleeding(Dec 2007).
[Pg 174-RACE 2011]
4.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(Dec 2012)
82.ANAESTHESIA FOR LASER

SURGERY
1.Problems during anaesthesia for
laser surgery(June1996)[Pg 846Morgan]
2.Anaesthesia for laser surgery of
larynx(June 1997).[Pg 168-RACE
2011]
3.Anaesthetic management of laser
surgery on tracheobronchisl
tract(Dec 1999).
4.Anaesthetic problems in laser
surgery(June 2002)(Dec 2004).
5.A 22 year old male patient with
multiple papilloma of larynx is
scheduled for laser excision.Describe
the anaesthetic management(Dec
2009).
83. MONITORED ANAESTHESIA CARE
1.Monitored Anaesthesia Care(June

1997).**(Dec 2007).(June 1998).
[Pg65-RACE 2008]
2.Monitored anaesthesia care in a 75
year old man with IHD for cataract
surgery(June 2000).
3.Monitored anaesthesia care in 80
years old man with IHD for cataract
surgery(Dec 2004).[Pg 65-RACE
2008]
4.Define monitored anaesthesia
care.Discuss its goals and
techniques(Dec 2008).[Pg 814Barasch 6th ed]
5.What is monitored anaesthesia
care?Discuss the discharge criteria
for a patient after day care surgery.
(June 2009).
care?Describe the technique in a 80
year old patient with IHD scheduled
for cataract surgery(Dec 2009).
care?Describe minimum monitoring
standards for a patient undergoing
monitored anaesthesia care(Dec
2011).
8.Define monitored anaesthesia
care.Discuss its goals and
techniques(June 2012)[EORCAPS
2012]
4.Discharge criteria in outpatient

anaesthesia(Dec 1997).(June 2003)
5.Discharge criteria for day care
surgery(Dec 2003)(Dec 2004)(Dec
2006).
6.Criteria for recovery from
anaesthesia in day care surgery(June
1998).[Pg 1427-Barasch]
7.Criteria for selection of patients for
ambulatory surgery(June 2003).
8.RA in day care surgery(June 2006)
(June 2007).[Pg 2435-Miller]
9.Describe the criteria for selection
of anaesthetic agents for use in
DCS.Enumerate the agents of your
choice with reasons(Dec 2009).
10.A 6 years old boy underwent
adenoidectomy under GA as
DCS.Enumerate the discharge
criteria of this patient(June 2010).
considerations for DCS?Discuss the
clinical criteria for recovery and
discharge after day care
surgery(June 2012)
84 .ANAESTHESIA FOR REMOTE
LOCATIONS
MRI
1.MRI and anaesthesia(June 2002).
Day care surgery
2.MRI(June 2004).
1.Day care surgery clinics in

India(Dec 1994).
3.What are the problems in

monitoring an anaesthetized patient
in MRI(Dec 2005).
2.Anaesthesia for DCS(June 1999)

(June 2001)(Dec 2001)(June 2002)[IJA
2005]
3.Day Care anaesthesia(June 2000).
4.Anaesthetic considerations for

MRI(June 2006).
5.Anesthetic concerns for MRI(Dec
2008).
6.What are the limitations and

hazards of providing anaesthesia in
the MRI suite?Describe the
months old child with hydrocephalus
scheduled for MRI(Dec 2009)(Dec
2012).
management in a patient scheduled
for MRI(Dec 2010).
8.Anaesthetic management of radio
diagnostic procedures(June 2007).[Pg
2463-Miller,Pg 21-ISACON 2008]
2.Problems and role of anaesthetist

in dental chair(Dec 1999).[Pg 872Morgan]
3.Anaesthetic problems in dental
chair(June 2001)(Dec 2001).
4.Problems of anaesthesia in dental
chair(June 2005).
5.Discuss in brief the problems of
adult patients with Downs syndrome
for multiple teeth extraction(June
2005).
86) PAEDIATRIC ANAESTHESIA
ECT
CAUDAL EPIDURAL IN PAEDIATRICS
1.Anaesthesia for ECT(June 2006).
1.Caudal epidural in paediatric

patients(June 1994)
2.Anaesthetic considerations for

modified ECT(Dec 2007).
3.A 60 year old male with refractory
depression is scheduled for
ECT.Describe the anaesthetic
4.Elective cardioversion(Dec 2007).
[Pg 1232-Satish deshpande]
CT
1.Management of a 4 year old child
scheduled foe CT barin using an
iodine solution(Dec 2000).
High altitude
1.What are the problems with acute
exposure to high altitude?Discuss
briefly the anaesthetic
considerations at high altitude(June
2011).
85) DENTAL ANAESTHESIA
1.Anaesthesia for multiple dental
extractions in a child with TOF(Dec
1996).
2.Caudal epidural analgesia in

3.What are the indications of caudal
epidural in paediatric patient
undergoing surgery?Describe the
techniques and write its
complications(June 2008). [Update in
anaesthesia]
4.What are the indications of caudal
epidural anaesthesia in paediatric
patients undergoing surgery?
Describe the technique and
enumerate its complications(June
2009).
5.Discuss indications,techniques and
complications of caudal epidural
block in children(June 2012).
1.Postoperative analgesia in
children(Dec 1999).
2.Discuss the various methods of
postop pain relief in paediatrics(Dec
1998).[Pg 203-RACE 2012,IJA 2004]
3.Regional analgesia in
children(1996-2000) .
4.Postop analgesia in infant for
circumscision(June 1997).[Pg356Morgan]
5.Postop analgesia in children for
inguinal hernia(June 1998).
6.Assessment of pain in children(Dec
2001)

management of a neonate scheduled
for repair of TEF(Dec 2009).
two days old child scheduled to
undergo TEF repair(June 2011).
MENINGO-MYELOCOELE
7.Role of regional anaesthesia in

paediatric surgery(June 2002).
1.Preoperative management of a
neonate for meningomyelocoele
surgery(June 1997).[Pg 206-Rebecca
Jacob]
8.Spinal anaesthesia in children(June

2006).
2.A neonate for repair of cervical

meningo-myelocoele(Dec 2005)
9.Indications,techniques and
complications of spinal anaesthesia
in paediatric patients undergoing
surgery(June 2007).[Update in
anaesthesia]
HYDROCEPHALUS
10.What are the methods of pain

assessment in infants and children?
Discuss the pharmacological
management of acute pain in
paediatric patients(Dec 2011).[Pg
1267 Wiley 7th ed,Pg 203-RACE
2012],Ija 2004
TEF
1.Anaesthetic management of a 2
day old neonate for primary repair of
TEF(June 1996).[Pg 2590-Miller]
2.Describe the anatomy and
physiology of various types of
TEF.Discuss the anaesthetic
3.Pre-anaesthetic assessment and
preparation of one day old neonate
for TEF repair(June 2007).[Pg 941Morgan]
1.Preoperative assessment and

anaesthetic management of a 2 year
old child of hydrocephalus posted for
shunt procedure(Dec 2007).[Pg 603Stoelting]
one year old child with
hydrocephalus scheduled for shunt
procedure(June 2012).[EORCAPS
2011]
GASTROCHISIS
1.Discuss the problems,preoperative
preparation and anaesthetic
management of a neonate posted for
repair of gastrochisis(Dec 2001).[Pg
26-ISACON 2008]
2.Management of a one day old
neonate posted for correction of
gastrochisis(June 2001).
FOREIGN BODY
1.A 4 year old boy has come im
emergency with foreign body in right
bronchus.How will u manage for
bronchoscopy for such a patient(June

2004).
day old child scheduled for repair of

CDH(June 2009).
2.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(Dec 2005)
6.A 2 day old child with CDH is

scheduled for primary repair.Outline
the pre-operative
anaesthetic considerations of this
case(June 2010)
3.A 2 year old child weighing 10kg is

scheduled for removal of organic
foreign body in right
bronchus.Discuss the anaesthetic
management(Dec 2007).[Pg 186Rebecca Jacob]
7.Describe the
pathophysiology,clinical
manifestations and anaesthetic
management of CDH in a
neonate(Dec 2011)[Pg 111-RACE
2012]
4.A 2year old child is scheduled for

removal of organic body in the right
bronchus.What is the anaesthetic
management?(Dec 2008). [IJA 2007]
TEMPERATURE REGULATION

management of a 2 year old child
scheduled for removal of foreign
body in bronchus(Dec 2011).
CDH
1.Anaesthetic problems of repair of
CDH in a neonate(Dec 2004)[Pg 111
RACE 2006,Pg 941 Morgan 4th ed]
CDH(June 2007).[Pg 593-Stoelting]
3.Pre-operative evaluation and
anaesthetic management of one day
old child with CDH(June 2008)[Pg
111-RACE 2006]
4.Perioperative problems and
anaesthetic management of a one
day old child with diaphragmatic
hernia(Dec 2008).
5.Describe pre-operative evaluation
and anaesthetic management of one
1.Discuss the regulation of body

temperature.How will you prevent
hypothermia in a neonate posted for
major abdominal surgery(June 2002)
2.Temperature regulation in neonate
and prevention of hypothermia in
neonate during perioperative
period(Dec 2004).
3.Heat loss during abdominal surgery
in a newborn child(Dec 1996)
INGUINAL HERNIA
1.10 months old baby for hernia
repair-anaestehtic and postoperative
pain management discuss(June
2005).
FLUID MANAGEMENT
1.Perioperative fluid requirement for
a paediatric patient undergoing
elective surgery(Dec 1995).
2.Recent advances in intra-operative
paediatric fluid management(Dec
2001)[Pg 11-RACE 2011]
3.Perioperative fluid requirement in
small paediatric patients(Dec 2005).
4.Outline the principles of

perioperative fluid therapy in a 10
days old child scheduled for elective
surgery(Dec 2006).
GENERAL
1.Anaesthetic implications of
neonatal anaesthesia(June 2005).
4.How will you evaluate a three year

old child with systolic murmur
scheduled for surgery?Briefly discuss
the anaesthetic implications?(Dec
2012).
PDA
2.Preoperative considerations in
paediatric patients(June 2005).
1.Classify CHD.Explain with diagrams

the blood flow before and after
delivery in PDA(June 2005)[Pg 44Stoelting]
3.Fasting guidelines for children.How

does premedication inadults differ
from that in children(Dec 2007)[Pg
400-401-RACE 2010]
2.Write anaesthetic management of

a 3 year old child scheduled for PDA
ligation(June 2008).[Pg 795-OHA][Pg
47-Stoelting]

implications and perioperative
management of a six month old child
scheduled for excision of cystic
hygroma(Dec 2011).[IJA VOL 55,Issue
6,Nov-Dec 2011]
PEDIATRIC INTENSIVE CARE
5.Enumerate the major concerns for

anaesthesiologist in hypertrophic
pyloric stenosis in a newborn.Write
down the anaesthetic management
of such a case(Dec 2012).
87.PEDIATRIC CARDIAC SURGERY
TOF
1.A ten year old child suffering from
TOF is diagnosed to have brain
abscess.outline the perioperative
2.A child with TOF is posted for
corrective surgery.Discuss the
preoperative evaluation and
case(June 2002).
3.Preopertaive evaluation and
preparation of a patient of a patient
with TOF(June 2006).
1.Assessment of pain in children(June

2001).s briefly
2.Discuss briefly different modes
used for neonatal ventilation(June
2007).[Pg 78-ISA APCON 2006]
88. FETAL ANAESTHESIA
1.Draw a neat labeled diagram of
fetal circulation and delineate the
difference from adult(June 1996)(Dec
2004).[Pg 733-Stoelting
physio/pharma]
2.Anaesthetic implications of fetal
surgery(Dec 2007).[IJA 2009,Pg 432ISACON 2011,CEACCP 2008]
3.Draw a labeled diagram to
illustrate the fetal circulation.What
are the circulatory changes that
occur at birth?(Dec 2008).[Pg 884Morgan]
89. PACU.
POSTOP SHIVERING
1.Post-op shivering(June 2004).
2.Postoperative hypothermia its

causes,prophylaxis and
3.Causes and management of post
anaesthetic shivering(Dec 2006)
(June 2011).
4.Discuss pathophysiology and
management of shivering in
PACU(June 2008)(June 2009).
5.Post anaesthesia shiveringimplications and management(June
2010)
1.APACHE score(1996-2000).
2.Oxygen therapy in the
postoperative period(1996-2000).
3.Postoperative jaundice(June 2001)
(Dec 2001).
4.Central anticholinergic syndrome in
the postoperative period(Dec 2003).
5.Post-operative elective
ventilation(Dec 2005).
6.Postoperative pulmonary
7.Causes and management of
postoperative hypoxemia(Dec 2006).
-what are the factors leading to
arterial hypoxemia in the PACU?
Discuss the differential diagnosis(Dec
2012)
11.What is postoperative jaundice?

Describe its cause(Dec 2010)
PONV.
1.Post anaesthetic vomiting(Dec
1996).
2.PONV for ophthalmology(Dec
2001).
3.Enumerate the risk factors for
PONV.Discuss its management(Dec
2006)(Dec 2008).
4.Enumerate the risk factors for
PONV.Discuss measures to prevent
and its management(June 2009).[Pg
1005-Morgan 4th ed]
5.Describe the risk factors and
predictors of PONV.Describe its
management in the pre-operative
period(Dec 2010).
90. POST OPERATIVE PAIN
PRE EMPTIVE ANALGESIA
1.Discuss the various methods of
providing postoperative pain
relief.What do you understand from
the term pre-emptive analgesia(Dec
1995).
2.Pre-emptive analgesia(June 2002)
(Dec 2004)(Dec 2005).
3.recent views on pre-emptive
analgesia(June 2007).
8.Planning of PACU(June 2008).[Pg

1002-Morgan 4th ed]
4.Pre-emptive analgesia:current
status(June 2008).
9.Describe the techniques of chest

physiotherapy?What is its role in the
post surgical period(June 2009).
5.Current concepts in pre-emptive

analgesia(June 2010)
10.What are the criteria for discharge

from PACU?(Dec 2010).
1.Commonly used techniques and

drugs for postoperative pain
relief(Dec 1994)
2.Pain relief for fracture ribs(June

1995)
monoxide poisoning(Dec 2008).[Pg

1044 Morgan 4th ed]
3.Acute pain management

service(June 2006).
2.Describe briefly
pathophysiology,signs,symptoms,dia
gnosis and treatment of carbon
dioxide poisoning(Dec 2011)[Pg 552Stoelting]
4.Outline the various modalities for

management of postoperative pain
following major abdominal
surgery.Enumerate the differences
between acute and chronic pain(June
2010).
91. POST OP VISUAL LOSS
1.Enumerate causes of postoperative
visual loss.Describe the
pathophysiology and its
92. CRITICAL CARE MEDICINE
OP POISONING
OTHERS
1.Write clinical features,diagnosis
and management of a case of
paracetamol poisoning(June 2008).
[Paul marino]
2.Methhemoglobinemia and
anaesthetist(June 2008).
3.Discuss the signs and
symptoms,pathophysiology and
management of cyanide toxicity(June
2012)

management of acute OP
poisoning(Dec 1995)
MECHANICAL VENTILATION
2.Care of OP poisoning in ICU(Dec

1998).
1.Weaning from prolonged

ventilation(June 1995).
3.Describe the in-hospital

management of OP poisoning(June
2009).
2.Protocol for weaning a patient from

prolonged ventilator support(Dec
1995).
4.What are the signs and symptoms

of OP poisoning?Discuss its
3.Weaning modes of ventilation(June

1997)(June 2001)(Dec 2001)(Dec
2003)[Pg 1036-Morgan]
5.What are the clinical features of

organophosphorous poisoning?How
will you manage a patient of
oragnophosphorous poisoning in
ICU?(Dec 2012).
CO POISONING
management of a case of carbon
WEANING
4.Weaning criteria in a patient of

COPD on ventilator(June 2000)
5.Discuss different modes of weaning
from ventilator(Dec 2006).
6.Criteria for weaning from
prolonged ventilation(June 2008).
7.Enumerate the predictors of
weaning from mechanical
ventilation(June 2009).[IJA 2006]
8.Enumerate the predictors of

weaning a patient on prolonged
ventilatory support in the ICU(June
2010).
9.Describe the principles of weaning
from mechanical ventilation(Dec
2010).
10.Discuss the various criteria for
weaning a patient from prolonged
mechanical ventilation(June 2012
MODES
1.Pressure support ventilation(June
2004)(Dec 1995).
2.Mandatory minute ventilation(Dec
1995).
3.Inverse ratio ventilation(Dec 1996).
[Pg 112-Chang]
4.Pressure Controlled Ventilation(Dec
1998)[Pg 1033-Morgan]
5.Write briefly on newer modes of
ventilation.Discuss each of these
ventilatory modality with reference
to an established case of ARDS.(June
2000)
6.Newer modes of ventilation(June
1996)(Dec 2004).
7.Pressure Support Ventilation(June
2004).
8.Non invasive ventilation(Dec
2008).
9.Permissive hypercapnia(June
2010).
COMPLICATION
3.Oxygen toxicity(June 2004)(Dec

2004).
4.Ventilator associated pneumoniawhat are the causes and preventive
measures possible?(Dec 2004).
5.What are the common nosocomial
infections in ICU?Discuss the
measures for prevention of VAP(June
2009).
PEEP
1.PEEP and its application in
anaesthesia(June 1999).[Pg 85Chang}
2.Describe PEEP,its mechanism of
action,uses and complications(June
2005).[Pg 1037-Morgan]
3.Compare and contrast PEEP and
CPAP(Dec 2008).[Pg 1038-Morgan
4th ed]
4.What is PEEP?How does it improve
arterial pO2?What are its
disadvantages?(Dec 2011)
IPPV
1.Physiological changes associated
with IPPV(Dec 1999).
2.Applied physiology of IPPV(Dec
2005).
ANALGESIA /SEDATION/PARALYSIS
1.Use of muscle relaxants in ICU(June
1998)(June 1999).[CJA]
2.Enumerate the role of sedation in
ICU patients(June 2005)
1.Volutrauma(June 1998)
3.The role of sedation in ICU

patients(June 2005).
2.Long term ventilation and its

complication(June 1998).
4.Enumerate the role of analgesics

and sedation in patients on ventilator
therapy in ICU(June 2009)[Pg 536Rashmi dutta]

BURNS
1.Discuss the management of a case
of 40% burns(June 1997).[Pg
49,RACE 2011]
management of inhalational
injury(Dec 1998).
3.Management of an adult with
smoke inhalational injury(Dec 2004)
4.Resuscitation of a patient with 60%
deep burn injury(Dec 2000)[Pg 59RACE 2007]
5.Anaesthesia for burnt patient(Dec
2001).[OAR-Pg 213]
6.Resuscitation of 60% burns in an
adult patient(June 2006)[Pg
213,OAR]
7.Discuss the principles,assessment
and methods of analgesia for pain
relief in burns(June 2003).
8.Assessment and resuscitation of
patient with severe burns(June 2009)
[Pg 870-Morgan 4th ed]
9.Describe the initial assessment and
resuscitation in a 25 year old female
with massive burns evacuated from
the site of fire(Dec 2009).
ARDS
1.Describe the pathogenesis and
management of adult respiratory
distress syndrome(June 1997).[Pg
477-anaesthesia and intensive care]
2.Describe the pathophysiology of
ARDS.What are the diagnostic
criteria(Dec 1997).[Ph 143-RACE
2012]
3.Discuss the pathophysiology of

ARDS.Describe the current trends in
the management of ARDS(Dec
2000).
4.ALI(Dec 2001).[Pg 1042-Morgan]
-Recent advances in the
management of ALI(Dec 2004).
5.Etiopathology of ARDS(June 2002).
6.Describe the ventilatory
management of ARDS(Dec 2005)
(Dec 2010).[Pg 669-Satish
Deshpande][Pg 1042-Morgan 4th ed]
7.Recent advances in the
management of ALI and ARDS(June
2007).
8.Permissive hypercapnia(June
2008).
9.What is ARDS?Discuss the
ventilator strategies in a patient of
ARDS(Dec 2008)
SHOCK/SEPSIS
1.Discuss the
pathophysiology,preventive and
corrective measures of irreversible
shock(June 1998).[Pg 1051-Morgan]
2.Define MODS.How do you plan to
manage such a case?(June 2001)
(Dec 2001).
3.Septic shock(June 2004).
4.Role of vasopressors in septic
shock(Dec 2004).
5.What are the criteria for diagnosis
of SIRS?Discuss the principles of
management in a patient of septic
shock admitted in an ICU(Dec 2006).
6.Enumerate the symptoms of shock
and discuss the methods used for
assessment of systemic
perfusion(June 2008).
1.Oxygen therapy(Dec 1997)(Dec

1999).[Pg 111-RACE 2009]
7.Describe various components of

surviving sepsis guidelines(Dec
2010).
-Oxygen therapy in postop

period(June 1998)[Pg 1-RACE 2002]
-Briefly discuss the management of a

patient with severe sepsis as per
surviving sepsis guidelines(Dec
2012)
2.High Frequency ventilation(Dec

2003).
3.Discuss methods of
humidification(Dec 2006).
8.Define and classify shock.Discuss

the recent guidelines for the
management of septic shock(Dec
2011).
4.NIV:advantages,disadvantages and
methods of administration(June
2007).[Pg 73-RACE 2009,Pg 315ISACON 2009]
9.How would you assess a case of

septic shock due to pancreatitis?
Briefly discuss its management(June
2012)
5.What is oxygen delivery?Classify

oxygen delivery systems.Discuss the
role of ventimask in oxygen
therapy(Dec 2011).
TRACHEOSTOMY
NEURO CRITICAL CARE
1.Tracheostomy -techniques and

complications(Dec 2003).
1.Resuscitation of head injury

patient(Dec 1995).
2.Percutaneous dilatational
tracheostomy(June 2008).[Pg 237RACE 2009]
2.GCS(June 1996)(June 2002)(Dec

2002)(Dec 2006).
3.Percutaneous dilatational
tracheostomy:indications,techniques
and complications(June 2009).[IJA
2008-52(1)]
4.Percutaneous dilational
tracheostomy-various techniques
and their advantages over
conventional tracheostomy(June
2010).
5.Enumerate the indications of
tracheostomy.Describe different
techniques of performing
percutaneous dilatational
trachesotomy(Dec 2010).
RESPIRATORY CARE
3.Monitoring and control of raised

ICP in head injury(June 1997) .[Pg 50ISACON 2007]
4.Methods of decreasing increased
ICP(June 2000).
5.Management of spinal injury(June
2001)(Dec 2001).
6.Regulation of intracranial
tension(Dec 2001).[Pg 632-Morgan
4th ed][Pg 1024-Barasch 6th ed]
-Discuss the management of
intracranial hypertension(June 2009)
7.Medical management of head
injured patient(June 2005).
8.What is cerebral protection?Explain
the methods adopted in clinical
practice for cerebral protection(June

2005).
9.Describe the regulation of ICP and
methods available for reducing the
pressure under anaesthesia(June
2007).
10.What are the pathophysiological
insults which exacerbate the primary
brain injury following head trauma?
How can these effects be reduced?
(Dec 2010).
11.What are the indications for ICP
monitoring in patients with head
injury?describe the ICU management
strategies of a patient with severe
head injury?(Dec 2012).
NUTRITION AND METABOLISM
1.TPN(Dec 1996)(June 1999)[Pg 244RACE 2002,Pg 1058-Morgan 4thed]
2.IV alimentation in ICU(June 1998).
3.Present day concept of IV
alimentation(Dec 2000).
4.Principles of TPN(Dec 2001).
5.Indications and hazards of
parenteral nutrition(Dec 2004).
Describe the daily requirements for

proteins,lipids,carbohydrates for a
patient with advanced sepsis
admitted in the ICU(June 2011).
10.How will you calculate the energy
requirements in an ICU patient?What
are the advantages and
disadvantages of parenteral versus
enteral nutrition?(Dec 2012).
BRAIN DEATH
1.Brain death(June 2000)(June 2004)
(Dec 2007).
2.Describe the criteria and
neurological test for brainstem death
and preparing the patient for organ
donation(June 2005).
3.Various clinical and confirmatory
tests for brain death(Dec 2006).
4.Write in brief the criteria for
determination of brain death and
clinical tests for confirmation(Dec
2008).[Pg 567-ISACON 2009]
5.Criteria for brain death and the role
of anaesthetist in organ
harvesting(June 2010).
RRT.
6.Parenteral nutrition in critically ill

patient(Dec 2006)
1.What are the problems related to

chronic hemodialysis(June 2008).
7.A 50 year old man with COPD is on

ventilator in ICU.Plan his enteral
feeding and discuss its advantages
and disadvantages(June 2008).
2.What are the indications for RRT?

List different modes of RRT.Discuss
the role of CRRT in septic shock(Dec
2010).
8.Enteric feeding in the critically ill

patient(Dec 2008).
3.Discuss indications and techniques

of RRT.Discuss role of CRRT in septic
shock(June 2012).
-Enteral feeding in the critically ill

patients-indications,techniques and
complications(June 2010)
9.What are the goals of nutritional
support in critically ill patients?
4.What are the indications for renal

replacement therapy ?Describe its
role in MODS(Dec 2012).
93. INFECTIONS
1.Nosocomial infections in the
ICU(Dec 1994)
2.Control of nosocomial infections in
postop and ICU(June 2001)(Dec
2001).
3.What are the common nosocomial
infections in the ICU?Discuss the
measures for prevention of VAP(June
2009)
1.The factors influencing tissue
oxygenation(June 1999)(Dec 1999).
2.Discuss the management of a
patient with snake bite(Dec 2006).
3.What are the determinants of
cardiac output and discuss various
non-invasive methods of
measurement of cardiac output(Dec
2006)
4.APACHE score(Dec 1997)
5.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,pH7.10.Discuss your plan of
6.What is mixed venous oxygen
saturation? And its importance in
critical care setup?How is it
measured(Dec 2011).
94. CPR-BLS and ALS.
NEONATAL RESUSCITATION
1.Neonatal resuscitation in the
labour room(June 1994).
2.Neonatal resuscitation(Dec 2001).
3.New guidelines for neonatal

resuscitation(Dec 2007).[Pg 1164Barasch,Pg 2697-Miller]
4.What are the recent guidelines for
neonatal resuscitation(Dec 2008)
5.What are the new guidelines for
ventilation and external cardiac
compression for neonatal
resuscitation?What are the
drugs(with doses) used for neonatal
resuscitation?(June 2011). [IJA 2010].
6.Write down the algorithm for
resuscitation of a newborn(Dec
2012)
1.Discuss cardiopulmonary and brain
resuscitation.What are the diagnostic
criteria for brain death?(June 1995).
2.ALS(Dec 1997).
3.Discuss the current concepts and
modified guidelines of Cardio
Pulmonary brain Resuscitation(June
1999).[Pg 73-RACE 2011]
4.Describe the BLS measure in an
adult, who has been brought into the
emergency room of the hospital; in a
state of cardiac arrest(June 1997).
[Part 5-Adult BLS-CPR 2010]
5.CPR in pregnant women(June
2002).
-Resuscitation of term pregnant
patient(June 2008).[Part 12.3-cardiac
arrest in special situations-CPR 2010]
6.Defibrillation(Dec 2003)[Part 6electrical therapies-CPR 2010].
7.Current concepts in CPR(Dec
2004).
8.Recent advances in CPR(Dec 2005)
(June 2006).
9.Discuss the management of an

unconscious young patient with
history of drowning(June 2006).
-Discuss resuscitation of near
drowning patient as per modified
CPR guidelines(June 2007).(Part 12.9CPR 2010)
10.Airway devices recommended
and used for CPR(June 2007) .[Part
7.1-CPR 2010]
11.Enumerate 5 Hs and 5 Ts as
possible causes of cardiac
arrest.What it the management of
PEA in an unconscious patient?(Dec
2008).
12.Write the PEA algorithm as per
the AHA guidelines(June 2010).
13.Enumerate the changes in the
ACC/AHA guidelines on
resuscitation(BLS &ACLS) for
management of cardiac arrest in
adult(June 2010)
14.Describe the physiology of
circulation during closed chest
compressions.Discuss the algorithm
for BLS(Dec 2011)
95. OT MANAGEMENT AND SAFETY
1.OR pollution(Dec 1994)(June 1999).
2.Sterilization of anaesthesia
equipment(June 1998).[Pg 304ISACON 2007]
3.Disinfection(June 2002).
4.Pollution in anaesthesia(Dec 2003).
5.OT safety(Dec 2005).
6.What is scavenging in OT?What are
the five basic parts of a scavenging
system?What are the hazards of a
scavenging system?(Dec 2012)
7.Prevention of fire and explosion

hazards in OT(June 2002).
8.Discuss the environmental hazards
in the OT and discuss the measures
for its prevention(Dec 2008)(June
2011)(June 2012).
[www.acssurgery.com/acs/chapters/c
h08.htm]
96. CASE HISTORIES
evaluation and anaestehtic
management of an 80 year old
patient with cardiac pacemaker for
TURP(Dec 2011).
2.Outline the anaesthetic
with permanent pacemaker
scheduled for TURP(June 2010)
3.Anaesthetic management of an
adult patient with permanent
pacemaker posted for TURP(Dec
2004).
4.a patient on pacemaker for
TURP(Dec 2005).
1.anaesthetic management of a case
of essential hypertension scheduled
for upper abdominal surgery(June
2005)
for resection of carcinoma sigmoid
colon with history of MI sustained 10
weeks ago(June 1995).
3.Preoperative evaluation and
preparation and anaesthesia
management of a known case of
bronchial asthma posted for radical
mastectomy(June 1995).
in a patient with uncontrolled

hypertension(BP-180/120 mmHg) for
emergency laparotomy for
perforated duodenal ulcer.
(June1996).
5.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(June 1998).[Pg 69-RACE 2008]
6.A patient of coarctation of aorta is
scheduled for CS.Discuss the
preoperative preparation,anaesthetic
management and post-operative
care of the patient(1996-2000).
patient with suspected posterior
fossa tumor with BP 180/90
mmHg,HR-45/mt and signs of raised
ICT(June 2004).
8.A patient for surgery for fracture
neck of femur,one year after
CABG(Dec 2005).
9.Diabetic patient with autonomic
neuropathy for abdominal
hysterectomy(June 2006)
10.Intraoperative management of 40
years old male with hypertension
and IHD for right pyelolithotomy(June
2007).
with achalasia cardia and bronchial
asthma for laparoscopic
cardiomyotomy(June 2007).
12.A 70 year old hypertensive man
with CAD is scheduled for
TURP.Discuss the anaesthetic
13.A 40 year old man weighing 140

Kg has DM and HTN and is scheduled
for gastric banding.Discuss the
14.Preop evaluation and preparation
of 36 years old asthmatic female
scheduled for laparoscopic
cholecystectomy(June 2008).
15.Discuss anaesthetic management
of 70 years old hypertensive with
CAD scheduled for TURP(June 2009).
16.A 35 year old hypertensive
patient with chronic cholecystitis is
scheduled for laparoscopic
cholecystectomy.Outline the preoperative evaluation,preparation and
patient(June 2010).
with history of MI 3 months back and
is scheduled to undergo exploratory
laparotomy(June 2011).
management of 70 year old
hypertensive patient for total
laryngectomy(June 20
CHAPTER WISE QUESTIONS FOR
DNB EXAMINATION IN
ANAESTHESIOLOGY
Airway management
1. Describe the anatomy of larynx
with difference in adult and children.
What is importance of recurrent
laryngeal nerve in anaesthesia
Practice
2. Evaluation of difficult airway
3. Difficult intubation
4. Trachesotomy techniques and

complications
5. Discuss the preoperative
assessment and the method of
anaesthesia in Patient with T M
Ankylosis for the Release of Ankylosis
6. Predictive factors & intubation
difficulty
7. Causes of airway obstruction
managementc.
8. Anatomy of larynx. Enumerate
with diagrams the types of vocal
cord palsies
9. Management of an adult with
smoke inhalational injury
10. Problems of anaesthesia in
dental chair
11. List the bed side test available to
predict the difficult intubations.
Comment on their use
12. Anaesthetic Management of two
years old child who is scheduled for
Therapeutic Bronchoscopy following
inhalation of foreign body 2 days ago
child could not exhibit any sign of
airway obstruction
13. Airway management in an
unconscious patient
14. Discuss the patho-physiology and
management of inhalational injury.
(25 marks)
15. Vocal cord palsies with the aid of
diagrams of direct laryngoscopic
view.
Basics and general aspects
1. Infections related to anaesthetic
practice
2. Plasma expanders
3. Discuss the pathophysiology and
management of anaphylactoid
reactions in anaesthesia
4. Disinfection
5. Prevention of fire and explosion
hazards in operation theaters
6. Pre-operative evaluation of
Autonomic function
7. Pollution in Anaesthesia
8. O2 toxicity
9. Role of kidney in acid base
balance
10. Possible causes of delayed
recovery from general anaesthesia
11. Temperature regulation in adults,
Predisposing factors, diagnosis and
management of malignant
hyperpyrexia
12. Oxygen cascade, Oxygen
transport and Oxygen dissociation
curve
13. What is minimum monitoring
standard? Describe the objectives
and methods.
14. The factors influencing tissue
oxygenation
15. Risk and management of
pulmonary aspiration
16. Application of venturi principle in
anaesthetic practice
17. Pre-operative visits
18. Oxygen therapy
19. Plasma proteins and anaesthesia
20. Post anaesthetic vomiting
21. Write down the physiology of
sleep. How does it differ from
anaesthesia?
22. What phases occur in various
stages of anaesthesia
23. Total intravenous anaesthesia
24. Occupational hazards to
anaesthetist
25. Post operative jaundice
26. Pulmonary edema in intra
operative and immediate post
operative period
27. What is malignant hyperthermia?
Discuss its clinical features and
laboratory finding. Why it is
important for the anesthetist to know
about this syndrome?
28. Air Embolism under anesthesia
29. Discuss the Aetiology and
Management of various Cardiac

Arrhythmias occurring during
anaesthesia
30. Management of Mismatched
Blood Transfusione.
31. Occupational Hazards to
Anesthetist
32. Defibrillation
33. Central anticholinergic syndrome
in the post operative period
34. HIV and anaesthesia
35. Stress management in
anaesthesia practice
36. Recognition and management of
anaphylaxis during general
anaesthesia
37. Post-OP shivering
38. Hepatitis B and anaesthesiologist
39. Intra operative bronchospasm
40. Current concepts in cardiopulmonary resuscitation
41. Temperature regulation in adults,
Predisposing factors, diagnosis and
management of malignant
hyperpyrexia
42. Anaesthetic considerations in
obesity
43. What are the potential causes of
delayed resumption of spontaneous
ventilation after abdominal surgery
with general anaesthesia. Discuss
the problem, its diagnosis and
management
44. Discuss in brief the problems of
adult patient with Downs syndrome
for multiple teeth extraction
45. Preoperative preparation of a
diabetic patient with history of
bleeding varices lino-renal shunt
operation.
46. Anaphylactic reaction on the
operation table.
47. Risk factors for Venous Thrombo
Emolism and classify the current
method of prevention with examples.
48. What are the diagnostic features
that would lead to identify Malignant
Hyperthermia during (or)

immediately after Anaesthesia and
state the guidelines of Management?
49. Assessment of intra operative
awareness
50. Define perioperative
hypertension. Describe the causes
and management
51. Describe in detail the
occupational hazards to
Anaesthesiologists
52. Modified guidelines of Cardiopulmonary Brain Resuscitation- 2005
53. Diagnosis and management of an
acute attack of Malignant
Hyperthermia
54. Discuss the causes of delayed
recovery from anaesthesia and the
management
55. What are the causes of
hypercarbia during the
intraoperative period. Discuss the
effects and management
56. Stress response to trauma and
surgery
57. Air embolism during anaesthesia
58. Complications and sequalae of
blood transfusion
59. Discuss the anaesthetic
techniques and postoperative
problems in an obese patient for
large hernia of interior abdominal
wall.
60. Complication of blood
transfusion.
61. Problems of laparoscopic surgery
during the procedure
62. Discuss the aetiology and
management of supra ventricular
arrythmia's during surgical
procedures
63. Disseminated intra-vascular
coagulation
64. naesthetic problems in an
anemic patient
65. Prevention and treatment of
intra-operative myocardial infarction

66. Preoperative preparation and
evaluation of a patient with history of
exertional angina for surgery under
general anesthesia
67. Describe airway management of
a patient of Anyklosing spondylitis
with severe restriction of neck
movement posted for total hip
replacement
68. Management of intra-operative
bronchospasm
69. Pathophysiology of venous air
embolism. Mention the methods of
detection, prevention and treatment.
70. Iatrogenic complications in
anaesthesia
71. Recent trends in blood
transfusion and blood products
72. Somatosensory evoked potential
73. Autologous blood transfusion
74. Awareness during anaesthesia
75. Blood component therapy
76. Crystalloid and colloid
77. Safe anaesthetic procedure
78. Bronchospasm during
anaesthesia and immediate postoperative period and its
management
79. Autologus blood transfusion
80. Attenuation of Laryngoscopic
reaction to intubation
81. Discuss the pathogenesis, clinical
Mendelson's syndrome.
83. Aetiology and management of
hypotension during anaesthesia
84. Beta receptor blockade its
relationship in anaesthesia
85. Post anaesthetic vomiting
86. Advanced life support
87. Management of multi focal
ventricular ectopics during
anaesthesia
88. Minimum patient monitoring
during anaesthesia
89. Malignant hyperthermia

90. Embolisms during anaesthesia
91. .Discuss the current concepts
and modified guidelines of
cardiopulmonary brain resuscitation.
92. Current concepts in the diagnosis
and treatment of malignant
hyperthermia
93. Awareness and wakefullneSS
under anaesthesia
94. APACHE score (acute Physiology
and chronic health evaluation)
96. What is myesthenia gravis? What
are its clinical features? Discuss the
preoperative investigations,
management of such a case
presenting for an interval
appendisectomy and management of
the likely complications
97. Management of multi focal
ventricular ectopics during
anaesthesia
98. Malignant hyperthermia
99. Embolisms during anaesthesia
100. Current concepts in the
diagnosis and treatment of
malignant hyperthermia
101. Autologus blood transfusion
102. Plasma proteins and
anaesthesia
103. Define morbid obesity.
Enumerate the changes that occur in
the respiratory, cardiovascular and
metabolic systems in obesity. A 40
years old patient with a height of 158
cms. And weighing 150 kgs. Is
scheduled for pyelothotomy. How will
you evaluate this patient
preoperatively. Discuss the
anaesthetic management and the
expected problems in such a case
104. Supine Hypotension Syndrome
105. .Define hypertension. How will
you evaluate and prepare preoperatively a 40 year old female
patient scheduled for abdominal

hysterectomy. Discuss the
anaesthetic and post-operative
management of such a case. (
106. Management of Mendelson's
syndrome
107. Perioperative blood
conservation
108. Interactions of pre-existing drug
therapy with the anaesthetic agents
and techniques
109. Water and electrolyte
disturbances and their preanaesthestic correction in small gut
obstruction.
110. Oxygen therapy
111. Oxygen therapy in post
operative period
112. Uses, advantages and
disadvantages of plasma expanders
113. Hypotension during anaesthesia
114. .Discuss anatomy of the
diaphragm with a diagram. How does
it behave under different stages of
anaesthesia?
115. Spinal opiate receptors
116. Neuro-muscular transmission
Critical Care
1. Acute lung injury
2. Principles of total parentral
nutrition
3. Define multiple organ dysfunction
syndrome. How do you plan to
manage such a case
4. Control of nosocomial infections in
post-operative and intensive care
unit
5. Glasgow - Coma Scale
6. Myxoedematous Coma
7. Gullian Barre Syndrome
8. Septic shock
9. Brain death criteria and tests
10. Role of magnesium in anesthesia
and ICU
11. Indications and hazards of
parentral nutrition
12. Newer modes of ventilation
13. Role of vasopressors in septic

shock
14. Causes, diagnosis and treatment
of hypo and hyperkalemia
15. The role of sedation in intensive
care unit patients
16. What are the Therapeutic uses of
Magnesium? How does it work?
17. Hyperkalemia
18. Use of muscle relaxants in
intensive care unit
19. Role of Nitric Oxide in ICU
20. Present day concept of
intravenous alimentation
21. Hypokalemiaa.
22. Total parenteral nutrition
23. Describe the pathogenesis and
distress syndrome (ARDS
24. Discuss the current concepts in
the management of a case of chronic
respiratory failure.
26. Care of organophosphorous
poisioning in intensive care unit
27. Inverse ratio ventilation
28. Intravenous alimentation in
intensive care unit
29. Care of organophosphorous
poisioning in intensive care unit
30. Total Parenteral nutrition
31. Discuss the pathophysiology,
preventive and corrective measures
of irreversible shock..
32. Use of muscle relaxants in
Intensive Care Unit
CVS
1. Pacemakers
2. Adenosine and its clinical uses
3. A Child with tetralogy of fallot is
posted for corrective surgery. Discuss
the pre-operative evaluation and
anesthetic management of this case
4. Role of anesthetist in the
management of a case with

thromboangitis obliterans
5. Factors affecting coronary
circulation
6. Discuss the Aetiology and
Management of various Cardiac
Arrhythmias occurring during
anaesthesia
7. Myocardial preservation
8. Pathophysiology of C.A.D. Discuss
patient with Angina
9. Cardiac evaluation for non-cardiac
surgery
10. Anaesthetic management of an
adult patient with permanent
pacemaker posted for TURP
11. Monitored anaesthetic care in 80
years old man with ischaemic heart
disease for cataract surgery
12. Anaesthetic management of a
case of essential hypertension
surgery
13. Clinical features of Infective
Endocarditis, principle guidelines to
use antibiotics as prophylaxis
against, during surgery
14. Classify Congenital Heart
Diseases. Explain with diagrams the
blood flow before and after delivery
in Patient Ductus Arteriosus
15. Problems and management of
pregnant patient with dilated cardio
myopathy on treatment for
emergency LSCS
16. Pre-anaesthetic evaluation of a
patient of Mitral Stenosis for medical
Termination of pregnancy (MTP) and
sterilization.
17. Preoperative evaluation of a
patient with valvular heart disease
18. A patient who has undergone
Heart Transplant requires noncardiac surgery. What precautions
must be undertaken by an
anaesthesiologist for this surgery?
19. Pre-operative evaluation and

preparation of a patient with Fallot's
Tetrology
20. Describe the anaesthetic
in a patient with uncontrolled
hypertension (B.P. 180/120 mmHg)
for emergency Laparotomy for
perforated duodenal ulcer.
21. Discuss the preoperative
management of an emergency
abdominal operation in a 60 year old
man who had myocardial infarction
six weeks back.
22. A ten year old child suffering
from tetrology for fallot is diagnosed
to have brain abscess. Outline the
per-operative management.
23. Anaesthesia for multiple dental
extractions in a child with tetrology
of fallots
24. Discuss your anaesthetic
management of strangulated
inguinal hernia in a patient with a
recent myocardial infarction.
25. Draw a neat labeled diagram of
foetal circulation and delineate the
difference from adult.
26. Coronary circulation
27. Myocardial protection during
cardiopulmonary bypas
28. .Describe the arterial circulation
of the heart with the aid of a diagram
coronary blood flow. Explain the
Goldmans cardiac risk index and its
importance to the anaesthesiologist.
(25 marks
29. Specific problems and their
prevention during anaesthesia in a
patient with artificial pacemaker.
Machine and instruments
1. Venturi principle and its
application
2. Mapelson's breathing system
3. Coaxial Circuits
4. Characteristics of ideal vaporize
5. Methods of Central Venous
Cannulation, Uses, Limitations and
Complications of CVP monitoring
6. Double lumen endotracheal tubes
7. Pulmonary artery catheter
8. Paediatric circuit
9. Pipecuronium
10. Merits and demerits of laryngeal
mask
Pharmacology
1. What are the various routes of
administration of opioids? Discuss
the merits and demerits of each
2. Remifentanyl in clinical practice
3. Rocuronium
4. Ropivacaine
5. Isoflurane Vs. Sevuflurane
6. Transdermal opioids
7. Effect of esmolol pretreatment on
cardiovascular system, neuromuscular junction and intraocular
pressure
8. Treatment of systemic toxicity of
local anaesthetic drugs
9. Mannitol in surgeryd.
10. Pharmacokinetics of I.V
Thiopentone
11. Ethics in anaesthesia
12. Clinical use of alpha 2 agonists in
anaesthesia
13. 'Enzyme induction' - its role in
anaesthesia with examples
14. Name the adrenergic agonists
and antagonists. Describe in detail
their uses in anaesthesia practice
15. Enumerate the problems with the
muscle relaxants
16. Adrenergic Agonists
17. Drug Interactions
18. Minimum Alveolar Concentration
(MAC).
19. Hauffman degradation.
20. Midazolam
21. Remifentanyl
22. Nitric Oxide in clinical practice
23. Pharmacology of Fentanyl
congenial
24. Narcotic antagonists
25. Management of local anaesthetic
toxicity
26. Pipecuronium
admninistration of morphine. Discuss
pharmacodynamic of epidural
morphine.
28. Nephrotoxicity of halogenated
anaesthetics
29. Propofol
30. Enzyme induction: Describe the
mechanism with routine anaesthesia
examples.
31. Mechanism of action of local
anaesthetic agents.
32. Manifestations and treatment of
beta adrenergic against toxicity.
33. Sevoflurane.
34. d. Hepatotoxicity of halothane
35. Uses, advantages and
disadvantages of plasma expanders
36. Calcium channel blockers and
anaesthesia
37. Nitric Oxide for management of
pulmonary hypertension
38. Compare propofol with
Midazolam
39. Complications of local
anaesthetics
40. Propofol as compared to
thiopentone
41. Elimination of atracurium from
the body.
42. Role of corticosteroids in the
practice of anaesthesiology
43. Sevoflurane Vs. Desflurane
Respiratory
case with COAD
2. Discuss in detail the anaesthetic

reactive airway disease
3. Broncho-pleural fistula
4. Aetiopathology of Acute
respiratory distress syndrome
5. Hydro-Pneumothora
6. Anaesthetic management of a 4
year old with foreign body in right
main bronchus. Discuss the
problems.
management of a patient posted for
pneumonectomy Ca. Right bronchus
8. One lung anaesthesia- problems
and management
9. Recent advances in the
management of acute lung injury
10. Oxygen cascade, Oxygen
transport and Oxygen dissociation
curve
11. Preoperative assessment
preparation specific to thoraco
abdominal. oesophagectomy.
Describe your anaesthetic problem
during operation
12. A patient with bronchopleural
fistula for repair.
13. Intra operative anaesthetic
considerations in COPD patient
surgery
14. Post-operative Pulmonary
Complications
15. Lung Compliance
16. Hazards of smoking relevant to
Anaesthetists
17. Functional residual capacity
18. Anaesthesia for laser surgery for
larynx
19. Problems and management in
one lung anaesthesia
20. Anaesthesia for total
Laryngectomy
21. Anaethesia for drainage of
empyema thoracis
22. Relevance of pulmonary function
tests
23. Discuss the assessment,
preparation and problems of
anesthesia in a chronic smoker for
cholecystectomy.
24. Describe the pathogenesis and
distresssyndrome
25. Discuss the current concepts in
the management of a case of chronic
respiratory failure
26. Discuss the assessment,
preparation and problems of
anesthesia in a chronic smoker for
cholecystectomy.
27. Closing volume of the lungs and
its measurement.
28. Describe the pathophysiology of
adult Respiratory Distress Syndrome
(ARDS). What are the diagnostic
criteria. (25 marks)
29. Tracheo-bronchial tree with
diagram
30. Evolution of rotameter
31. .Discuss anatomy of the
diaphragm with a diagram. How does
it behave
32. under different stages of
anaesthesia?
33. Discuss the pathophysiology of
adult respiratory distress syndrome.
34. Describe the current trends in
the management of A.R.D.S.
Obstetrics
1. Describe physiologic changes
occuring during pregnancy and
clinical implications to the
anaesthesiologist
2. Modern trends in obstetrical
analgesia
3. Cardiopulmonary resuscitation in
pregnant women
1. A 35 weeks pregnant patient with
BP:200/100 mm Hg, Oedema And
albuminuria is to be prepared for

elective caesarean section. Discuss
preparation and preferred
anaesthesia technique (regional or
general)
4. Medical aspects & obstetrics
5. Supine hypotensive syndrome
6. HELLP syndrome
7. Anaesthetic management of
emergency appendicectomy ina 16
weeks pregnant patient
8. Pre-anaesthetic evaluation of a
patient of Mitral Stenosis for medical
Termination of pregnancy (MTP) and
sterilization.
9. Role of anaesthesiologist in an
obstetric unit.
10. Regional versus GA in obstetric
surgery.
11. Anaesthesia for a pregnant
woman for non-obstetric surgery
12. Laparoscopy surgery in a
pregnant patient
13. Describe innervation of Female
Genital Tract with a diagram and
painless labour
14. Diagnosis and management of
"HELLP" syndrome
15. Discuss the pathophysiological
changes in pre-eclampsia and
eclampsia. Discuss your choice of
anaesthetic technique for such a
patient for emergency caesarian
section.
16. Obesity: Anaesthetic problems
17. A patient of coarctation of aorta
is scheduled for caesarean section.
18. A 25 years old primigravida in
34- weeks of pregnency with PIH
presented with a BP of 200/100
mmHg for an elective LSCS. Discuss
anaesthetic management
19. Magnesium sulphate therapy
20. Aspiration prophylaxis in
obstetric
21. Supine Hypotension Syndrome

22. Aspiration prophylaxis in
obstetric
23. Describe the problems,
complications and the anaesthetic
management of caesarean section in
a patient with pre-eclamptic
toxaemia.
Miscellaneous
1. Role of anaesthetist in multiple
trauma
2. Anaesthesia for burnt patient
3. Pre - hospital trauma care
4. Anaesthesia for day stay surgery
5. Anaesthetic problems in dental
chair
6. Post traumatic fat embolism
7. Ageing and organ function
8. MRI and anaesthesia
9. Anaesthesia for day stay surgery
10. Anesthetic problems in laser
surgery
11. Discuss in Detail the Etiology,
Pathophysiology, Diagnosis and
treatment of Fat Embolism
Syndrome.
12. The Golden Hour
13. An 80 Years old male is posted
for total hip replacement. Discuss the
Pre-operative evaluation, preparation
and anesthetic management of this
case
14. Discharge criteria for Day Care
surgery
15. How will you do anaesthetic
management in 10 years old child
with multiple injuries
16. Describe obesity and problems
related to this. How would you
manage the anaesthesia and choice
of anaesthetic agent
17. Criteria for selection of patients
for ambulatory surgery
18. M.R.I
19. Discharge criteria for day care
surgery
20. Morbid obesity- anaesthetic
problems
21. Assessment of an adult who
sustained multiple trauma of few
hours duration
22. Describe the criteria and
neurological test for brainstem death
and preparing the patient for organ
donation
23. Postoperative elective
ventilation.
24. What are the problems in
monitoring an anaesthetized patient
in Magnetic Resonance Imaging?
25. Operation theatre safety
26. Resuscitation of 60% burns in an
adult patient
27. Myasthenic Syndrome
28. Artificial Blood (Synthetic oxygen
carrying substances)
29. Regional anaesthesia in day care
surgery
30. Discuss the management of an
history of drowning
31. Anaesthetic problems in a patient
with extreme obesity
32. Problems during anaesthesia for
laser surgery
33. Positional hazards under
anesthesia
34. Monitored care
35. Discuss the pre-operative
investigations, preparation and
years old diabetic patient presenting
for an exploratory laparotomy for a
lump in the abdomen.
36. Discuss the management of a
case of 40% bums
37. Anaesthesia for radiotherapy
38. Sterlization of anaesthesia
equipments
39. Anaesthesia for day care surgery
40. Occupational hazards for
Anaesthesiologist
41. Enumerate various positions in

relation to anaesthesia and discuss
in detail the problems associated
with them.
42. Monitored anaesthesia care.
43. Simulator in anaesthesia
education
44. Computer - based patient record
for anaesthesia
45. APACHE score (acute Physiology
and chronic health evaluation)
46. Discharge criteria in out patient
anaesthesia (day-stay surgery
47. What is myesthenia gravis? What
are its clinical features? Discuss the
preoperative investigations,
management of such a case
presenting for an interval
appendisectomy and management of
the likely complications.
48. Criteria for recovery from
anaesthesia in day care surgery
49. Operating room pollution
50. Problems and role of
anaesthetists in a dental anaesthesia
laser surgery on tracheobronchial
tract.
52. Define morbid obesity.
Enumerate the changes that occur in
the respiratory, cardiovascular and
metabolic systems in obesity. A 40
years old patient with a height of 158
cms. And weighing 150 kgs. Is
scheduled for pyelothotomy. How will
you evaluate this patient
preoperatively. Discuss the
anaesthetic management and the
expected problems in such a case.
53. Monitored anaesthesia case in a
75 years old man with ischaemic
heart disease for Cataract surgery.
54. Monitored anaesthesia care
55. Simulator in anaesthesia
education
56. Computer - based patient record
for anaesthesia
57. Discharge criteria in out patient
anaesthesia (day-stay surgery)
58. Criteria for recovery from
anaesthesia in day care surgery
59. Minimum patient monitoring
during anaesthesia
60. Discuss the current concepts and
modified guidelines of
cardiopulmonary brain resuscitat
61. Awareness and wakefullneSS
under anaesthesia
62. Operating room pollution
63. Problems and role of
anaesthetists in a dental anaesthesia
laser surgery on tracheobronchial
tract.
65. Hepatitis "B" and the
anaesthesiologist
66. Resuscitation of a patient with
60% deep burns injury.
67. Management of a 4 years old
child scheduled for computerised
tomographic scanning a brain using
an iodine containing solution.
68. Describe the basic life support
(BLS) measures in an adult, who has
been brought into the emergency
room of the hospital in a state of
cardiacarrest.
69. Brain death
70. Informed consent.
Pain
1. WHO - three step ladder pattern
for pain relief in advanced cancer
2. Assessment of pain in children
3. Preemptive Analgesia
4. Discuss the principles, assessment
and methods of analgesia for pain
relief in Burns
5. PCA (Patient controlled analgesia)
6. Acute pain relief in opioid
dependent pain
7. Anaesthetists role in pain and
palliative care
8. Acute Pain Management Service
9. Phantom Limb Pain
10. Post Operative analgesia in
paediatric patients
11. World Health Organization
regimen of chronic pain
management
12. World Health Organization
regimen of chronic pain
management
13. The World Health Organisation three - step ladder pattern for pain
relief in advanced cancer.
Paediatrics
1. Discuss the problems, preoperative preparation and
neonate posted for repair of
gastrochiasis
2. Recent advances in intra-operative
paediatric fluid management
3. Neonatal resuscitation
4. Management of one day old
neonate posted for correction of
gastrochiasis
5. Discuss the regulation of body
temperature. How will you prevent
hypothermic in a neonate posted for
major abdominal surgery
6. Describe the anatomy and
physiology of various types of
Tracheo- Oesphageal fistula. Discuss
the anaesthetic management
year old with foreign body in right
main bronchus. Discuss the
problems.
8. Illustrate with diagram fetal
circulation, and delineate the
differences from adult circulation
9. Anaesthetic problems of repair of
congenital diaphragmatic hernia in a
neonate
10. Preoperative considerations in
paediatric patients
11. lO months old baby for hernia
repair anaesthetic and postoperative
pain management discuss
12. Anaesthetic implications in
neonatal anaesthesia
13. Peri-operative fluid requirements
in small paediatric patients.
14. Anaesthetic Management of two
years old child who is scheduled for
Therapeutic Bronchoscopy following
inhalation of foreign body 2 days ago
child could not exhibit any sign of
airway obstruction
15. Spinal Anaesthesia in children
days Neonate for primary repair of
tracheo-oesophageal fistula
17. Post Operative analgesia in
paediatric patients
18. Anaesthesia for perforating injury
of the eye in a 3 year old child
19. Discuss the various methods of
post op pain relief in paediatric
surgery.
20. Pre-operative management of a
surgery
21. Regional analgesia in children
surgery
23. Heat loss during abdominal
surgery in a new born child.
24. Post operative analgesia in
children for Inguinal hernia
Ophtalmology
1. Post-operative nausea and
vomiting for Ophthalmology
2. Occulocardiac reflex
3. Anaesthesia for intraocular
surgery
4. Merits and demerits of Retro
bulbar vs. Peri-bulbar block
5. Describe the different anaesthesia
techniques practiced for cataract
surgery and their complications

6. Anaesthesia for squint surgery.
7. Anaesthesia for perforating injury
of the eye in a 3 year old child
8. Monitored anaesthesia case in a
75 years old man with ischaemic
heart disease for Cataract surgery.
ENT
Post tonsillectomy bleed
Haemostasis in maxillary surgeries
Orthopedics
1. Minimum monitoring for post
spinal fusion in scoliosis
3. What are the indication and
contra-indication for use of arterial
tourniquet. What complication may
arise from the use of such tourniquet
4. Problems encountered by
anaesthetists during th orthopaedic
operative procedures
5. A patient for surgery for fracture
neck of femur, one year after CABG
(Coronary Artery Bypass Graft).
6. Anaesthetic problems in scoliosis,
surgery
7. A female patient aged 32, with 5
months amenorrhea suffered from
Koch's mid dorsal spine developed
paraplegia. She is scheduled for
aneterolateral decompression
surgery. Discuss pre-operative
preparation, anaesthetic
management and post operative
care.
Fluid Management
1. How is the diagnosis of dilutional
hyponatraemia made? What is its
significance in anaesthesia?
2. Clinical use of blood
3. Comparative evaluation of Ringer
lactate, low molecular Dextran and
3.5% Polygeatine as spinal
preloading
4. Crystalloids Vs Colloids
5. Human Albumin
6. Massive blood transfusion
7. Treatment of hyperkalaemia
9. Auto transfusion
11. Plasma volume expanders
12. Discuss the Physiology of
Hemostasis and its significance
13. What are the methods adopted
by the anaesthetist to reduce the
need for allogenic blood transfusions
14. Third space loss - its importance
to Anaesthesiologist
15. Role of Kidney in Acid-base
Regulation
16. The factors influencing tissue
oxygenation
17. Untoward effects of intravenous
sodium bicarbonate
Metabloism
1. Discuss preanaesthetic
assessment, preparation and
management of a 16 years male,
kept for pheochromocytoma
excision. How will you manage post
anaesthetic complications?
2. Discuss pre-anaesthetic
assessment, preparation,
anaesthetic management and post
operative complications in a 20 year
old female with myasthenia gravis
posted for thymemectomy
3. Thyroid crisis
4. Principles of management of
diabetic ketoacidosis
5. Causes of airway obstruction
management
6. Thyroid storm
7. Carcinoid tumour.
8. Pre operative management of
diabetic ketoacidosis
9. Pre anaesthetic evaluation and
preparation of patient for
pheochromocytoma
10. Pre anaesthetic evaluation of
thyrotoxic patient scheduled for
thyroidectomy
case of diabetes scheduled for open
cholecystectomy.
12. Thyrotoxic patient for subtotal
thyroidectomy
13. A young man is suffering from
pheochromocytoma. Discuss the
anaesthetic management for
removal of the tumor. (25 marks)
14. Describe preop evaluation and
preparation of a patient of
thyrotoxicosis. Describe anaesthetic
and postoperative management of
such a case.
15. A 45 years old man with
uncontrolled diabetes mellitus and
mild hypertension is admitted with
upper intestinal obstruction for
emergency laparotomy. Discuss the
pre-operative evaluation, preparation
and anaesthetic management of the
case.
16. A 35 years old lady with huge
thyroid presenting with
thyrotoxicosis is posted for subtotal
thyroidectomy. Discuss the preoperative preparation and
anaesthetic management.
17. What is phaeochromocytoma?
What are its clinical features?
Discuss preoperative investigations,
preparation and anesthetic
management of such a case for
surgical removal.
18. Plasma proteins and anaesthesia
19. What is phaeochromocytoma?
What are its clinical features?
Discuss preoperative investigations,
preparation and anesthetic
management of such a case for
surgical remova
20. Management of diabetic
ketoacidosis
21. Etiopathology and management
of thyroid crisis
22. Awareness during anaesthesia.
Monitoring and standards
1. Capnography
2. Invasive intra-operative
monitoring
3. Transoesophageal
echocardiography
4. Discuss the pharmacological
principles of measuring the depth of
anaesthesia and techniques for
monitoring the depth of anaesthesia
5. What is meant by end tidal C02
concentration
6. Jugular Venous Oximetry
7. Respiratory Monitoring in
Anaesthesia
8. Central Venous cannulation
9. Complication of canulation of
internal jugular vein
10. Methods of monitoring of
neuromuscular transmission during
anaesthesia
11. Methods of Intracranial Pressure
(ICP) monitoring, uses and
complication of ICP monitoring
12. List and brief statement and
effectiveness of each ofthe means
available for detecting awareness
during anaesthesia
13. Physical principles of Pulse
Oximetry
14. How is ultrasound useful in
Anaesthesia and Intensive care
medicine and explain the usefulness
of Transoesophageal Echo
Cardiograph (TEE) during Cardiac
surgery.
15. Pulmonary Artery Pressure
Monitoring
16. Problems of laparoscopic surgery
during the procedure
17. Somatosensory evoked potential
18. Preanalytical consideration of

arterial blood gas measurement
19. Role of capnography during
anaesthesia
20. Central venous pressure, its
application in anaesthesia
21. Central venous pressure, its
application in anaesthesia
22. Capnography
23. Check out procedure to be
followed routinely before using an
anaesthesia machine and other
monitoring equipment.
24. Pulse oxyimetry
Renal System
1. Anaesthetic management of 80
years old male, kept for TURP
2. Pre-Operative Evaluation of a case
with Chronic renal failure posted for
renal transplant
3. Describe the countercurrent
mechanism in the kidney. Discuss
the renal protection strategies during
preoperative period
4. What are the problems associated
with Anaesthesia for an Elective
Surgery in a patient of chronic renal
failure
Regulation
6. How do you plan for renal
transplant surgery draw plan for an
operation theatre exclusively for
renal transplant surgery.
7. Water intoxication
8. TURP Syndrome
Hepatic
1. Assessment of risk factor for
patient with moderate to severe liver
disease
2. Discuss the anaesthetic problems
in a patient undergoing lieno-renal
shunt
3. Anaesthetic problems of liver
transplantation surgery
4. Preoperative preparation of a
diabetic patient with history of
bleeding varices lino-renal shunt
operation.
5. Anaesthetic considerations in
chronic liver failure.
6. Hepato-renal syndrome in
anaesthesia practice aetiology and
management.
7. Pre-operative preparation and
surgical risk assessment in a patient
with cirrhosis of liver.
CNS
1. Regulation of cerebral blood flow
2. Regulation of Intracranial tension
3. Hydrocephalus and its various
methods of management
patient with suspected posterior
fossa tumour with BP l80/90mmHg,
HR -45/mt and signs of raised intracranial tension
5. Intra cranial Pressure
6. Management of spinal injury
7. Gullian Barre Syndrome
8. Medical management of head
injured patient
9. What is cerebral protection.
Explain the methods adopted in
clinical practice for the cerebral
protection
considerations in A neonate for
repair of cervical meningomyelocoele
11. Discuss the Peri-operative
Management of Cerebral AVM
(ArterioVenous Malformation).
12. Anaesthesia for Electro
Convulsive Therapy
13. Diabetic patient with Autonomic
Neuropathy for Abdominal
Hysterectomy
case of Pituitary Adenoma who is
planned for excision of adenoma
(transsphenoidal hypophysectomy)
15. Mechanism of reflex sympathetic
dystrophy.
16. Describe anaesthetic and postoperative management of a patient
Undergoing intra-cranial aneurysm
surgery
17. Monitoring and control of raised
intra-cranial pressure in head injury.
surgery
19. Monitoring and control of raised
intra-cranial pressure in head injury
20. Methods of decreasing increased
intracranial pressure.
Ventilation
1. Weaning modes of ventilation
2. High frequency ventilation
3. Pressure support ventilation
4. Newer modes of ventilation
5. 'Ventilator associated pneumonia'
what are the causes and preventive
measures possible?
6. Describe PEEP (Positive End
Expiratory Pressure) its mechanism
of action, uses and complications
7. Postoperative elective ventilation.
8. Discuss the Ventilatory
Management of ARDS (Adult
Respiratory) Distress Syndrome).
9. Applied physiology of intermittent
positive pressure ventilation
10. Volutrauma
11. Pressure controlled ventilation
12. Write briefly on Newer modes of
ventilation. Discuss each of these
ventilatory modality with reference
to an established case of A.R.D.S.
14. Long term ventilation and its
complications
15. Weaning criteria in a patient of
COPD on ventilator.
17. Long term ventilation and its
complications
18. Weaning criteria in a patient of
COPD on ventilator.
19. P.E.E.P. and its application in
modern ventilators
20. Physiological changes associated
with I.P.P.V.
Regional Anaesthesia
1. Indications and contraindications
for regional anaesthesia
2. Three in one Block
3. Anatomy of brachial plexus and its
importance to the Anesthetists
4. Effect of intrathecal neostigmine
on spinal anaesthesia
5. Indications and methods of
stellate ganglion block
6. Combined spinal epidural block
7. Role of Regional analgesia in
Pediatric Surgery
8. Intravenous regional anaesthesia
9. Caudal block
10. Horner's syndrome
11. Modified combined spinal and
epidural analgesia.
12. Caudal epidural analgesia in
anaesthetic practice
13. Anti-thrombotic Prophylaxis and
Neuraxial Anaesthesia
15. Complications of Extradural
Anaesthesia
16. Describe the intrathecal and
epidural opioids in clinical practice
and their complications.
17. Describe the nerve innervation of
the foot with diagram and discuss
the local anaesthetic block at the
ankle for the amputation of
gangrenous toes in a patient
18. Pulmonary function changes
following central neuroaxis blockade
19. Peripheral nerve injury under
anesthesia is a preventable
complication
20. Continuous subarachnoid block.
21. Postdural puncture headache

24. Intravenous regional anaesthesia
admninistration of morphine. Discuss
pharmacodynamic of epidural
morphine.
26. Trigeminal Neuralgia, clinical
features and management
27. Epidural analgesia for postoperative pain relief.
28. Post-operative analgesia in an
infant for circumcision.
29. Post operative analgesia in
children for Inguinal hernia
30. Peribulbar block
31. Epidural pressure and the various
factors affecting the same.
32. Spinal opiate receptors
DNB ANAESTHESIOLOGY PREVIOUS
QUESTIONS JUNE 2010
1.Describe the PEA algorithm.
of esophagogastrectomy
newborn.
4.Enteral nutrition advantages over
parenteral nutrition, and
complications.
5.The role of anaesthesiologist in
HELLP syndrome.
6.Simulators in anaesthesia
7.Intra operative considerations in an
obese patient posted for bariatric
surgery.
8.Newer trends and concepts in preemptive analgesia
9.Methods to prevent allogenic
transfusion
pregnant patient for
appendicectomy.
11.Nitric oxide
12.Enumerate the differences
between acute and chronic pain.How

you give post operative analgesia for
abdominal surgery.
13.Dexmeditomedine
14.short notes on a) I-GEL
b) BIS
15.Describe the technique of
peribulbar block.Enumerate the
complications.
16.Uses of ultrasound in anaesthesia
17.Local anaesthesia toxicity
management. Role of intra lipids.
18.What are the criteria for brain
death. Discuss role of anaesthetist in
multiple organ harvesting.
19. What is triage? what are the
different methods employed?
discuss.
20.CPCR 2005 changes.
21.Describe the technique and
advantages of percutaneous
tracheostomy.
22. Blood products.. uses..
23. AHA guidelines for non cardiac
surgery.
24.Describe the anatomy of brachial
plexus with the help of
diagram.Describe any one technique
for block.
25.With the help of diagram classify
the breathing circuits.Describe Bain's
circuit.
26.What are the safety features on
modern anaesthesia machines?
27.Describe the cerebral circulation
and factors affecting it?
28. Describe the criteris used for
weaning from ventilator. Describe
RSBI.
29.Causes and management of
hypokalemia
30.Mendelsons aspiration syndrome.
31.Informed consent
32. Bed side pulmonary function
evaluation
33.Management of a case acute
anaphylaxis
34.With the help of diagrams
describe the patterns of
neuromuscular blockade.
35. Describe the causes and
management of intraop desaturation.
MD/DNB ANAESTHESIOLOGY
PREVIOUS QUESTIONS THEORY
PAPER 1
1.Draw a labeled diagram of
anatomy of brachial plexus. What is
the technique
of supraclavicular approach of
brachial plexus block.
2.Draw Oxygen dissociation curve
and enumerate factors affecting it.
3.Enumerate oxygen delivery
devices. Describe Venturi principle
diagrammatically.
4.Define MAC (Minimum Alveolar
Concentration) and its different
levels.
Enumerate various factors affecting
MAC value.
5. Outline the principles of Pulse
Oximetry, enumerate its pitfalls and
solutions
with brief note on Masimos
technology
6.Short notes on the following drugs
a) Propofol
b) Ropivacaine
7.Define volume of distribution?
What is its clinical significance? Give
one
example?
8.What is the nerve supply of to the
cricothyroid muscle? Enumerate the
sensory
innervation of larynx? Draw
labeled outline diagram of vocal cord
position in
unilateral and bilateral recurrent
laryngeal nerve palsy
9.Give classification of Maplesons
breathing circuits. Describe Bains
Coxial
system in detail including its
functional analysis.
10.Describe the anatomical
differences between adult and infant
airway. Write brief on Upper Lip bite
test and its relevance to Airway
assessment?
PAPER 2.
1.Define autologous blood
transfusion. Enumerate various
methods. Describe
intra-operative blood conservation.
2.Enumerate the methods to relieve
post operative pain in an adult
patient who
has undergone right upper lobe
lobectomy. Give details of thoracic
epidural
analgesia.
3.Anaesthetic considerations in MRI
4.Describe outline of Difficult
Airway Algorithm.
5.Discuss causes, clinical features,
EKG changes and management of
hyperkalemia.
6.Discuss pre-anaesthetic
assessment and preparation of
patient scheduled for
laparoscopic adrenalectomy
7Discuss the differentials and
management of postoperative
oxygen
desaturation in postanaesthesia care
unit
8.Write short note on World
Anaesthesia Day
9.Write short note on Anaesthetic
considerations for globe (Eye)

perforation.
10.Enumerate post operative
complication of thyroid surgery. Write
note on managementof thyroid
storm.
Curriculum MD (Anaesthesia)
PAPER 3
1.A 50yr old male patient with

history of well controlled
hypertension with
breathlessness on moderate
exertion and inferior wall infarction 4
months
back is posted for emergency
Laparotomy. Outline pre-anaesthetic
evaluation, risk stratification,
management.
2.What is renal replacement
therapy? What are the techniques
used?
3.Outline anaesthetic goals with
respect to heart rate, rhythm, preload, after
load for a patient with severe
mitral stenosis posted for open
cholecystectomy
and describe achievement of these
goals during induction.
4.Describe Low flow anaesthesia
advantages, problems & limitations.
5.Describe Continuous Spinal
Epidural Analgesia (CSEA) under the
following
headings:- equipment needed,
position of patient, technique,
volume and
doses of local anaesthetic agents
used, additives and complications.

6.Enumerate methods of confirming
correct posturing of Endotracheal
Tube.
Describe complications of
malplaced ETT.
7.Tabulate the beneficial effects of
cessation of smoking preoperatively
with their
time course. Enumerate pulmonary
function tests in patient scheduled
for
pneumonectomy
8.Enumerate perioperative
complications of one lung
anaesthesia. Outline the
management intraoperative
desaturation in a patient undergoing
lobectomy.
9.Describe pre operative evaluation
and preparation of an adult patient
with burn neck contracture.
10.Define cerebral perfusion
pressure. Describe briefly
perioperative
management of cerebral vasospasm
following aneurismal leak.
Curriculum MD (Anaesthesia)
PAPER 4
1.Define & outline technique of
Percutaneous dilatational
tracheotomy. Tabulate
advantages and disadvantages as
compared to traditional Tracheotomy.
2.Enumerate newer modes of
mechanical ventilation. Tabulate
differences
between Volume preset and
Pressure preset modes.
3.Describe briefly early goal directed

therapy of sepsis. Describe role and
current status of corticosteroids in
sepsis management.
4.Describe resuscitation and
anaesthetic management of patient
who developed
inversion of uterus after delivery
and brought to emergency room in
gasping
state.
5.Define Intra- Cranial Pressure (ICP).
Enumerate factors causing an
increase in
ICP and Enumerate ICP lowering
drugs and non pharmacological
measures to
reduce ICP in post traumatic head
injury.
6. Define Cardioversion and
Defibrillation. Enumerate indications
for both.
Tabulate differences between
Biphasic and Monophasic
defibrillation.
7.Describe early resuscitation of 25
years female, who developed second
degree burns on face, front upper
trunk, upper limbs and upper airway
after
suicidal attempt.
8.Describe briefly preanaesthetic
evaluation, preparation, anaesthetic
management of a middle aged
male scheduled for lobectomy
following
carcinoma lung. Enumerate
postoperative complications.
9. Enumerate different methods of
blood conservation in patient under
going
bilateral total knee replacement
surgery. Enumerate antifibrinolytic
drugs and
describe dosage schedule of one
drug.
8.Percutaneous dialatational
tracheostomy
10.Discuss briefly role of PEEP with

low tidal volume, Inverse Ratio
Ventilation,
Prone ventilation, Permissive
hypercapnia and permissible
hypoxemia in
ARDS
10.role of sedation and analgesia in

ICU.Agents used.
ANAESTHESIA PREVIOUS DNB

THEORY QUESTIONS 2009
THESE QUESTIONS WERE
RECOLLECTED FROM MEMORY BY
PREVIOUS CANDIDATES
1.With the help of diagram describe
physiology of cerebral circulation and
factors affecting
2.Describe in brief the preop
management of leinorenal shunt
9.Enumerate the weaning modes of

ventilator..describe the process of
weaning.
11.Hypoxic pulmonary
vasoconstriction
12.explain the role of physiotherapy
in post surgical patients. enumerate
the methods used for chest
physiotherapy.
13.What are the nosocomial
infections in ICU? write in brief about
ventilator associated pneumonia.
hepatorenal syndrome
15.Management of intracranial
hypertension
3.Guidelines for regional anaesthesia

in patients on anticoagulants
16.Desribe the management of a

case of respiratory failure following
COPD
4.Technique of caudal epidural

anaesthesia in children
17.Explain venturi principle.what are

the applications in anaesthesia?
1 year old baby
18.Explain the physiological changes

associated with laparoscopic
cholecystectomy

shivering. outline the management
of post op shivering.
20.classify inotrops according to their

mechanism of action. compare
dopamine and dobutamine
7.With the help of diagram explain

the ventilation perfusion ratio in
normal lung.
21.Outline the management of a

case of severe organophosphorus
poisoning.
22.Describe the management and

manifestations of thyroid storm.
PAPER 1
1. Acute Pain Management Service
23.Describe the techniques of chest

physiotherapy. describe incentive
spirometry.
2.Modified guidelines of Cardiopulmonary Brain Resuscitation- 2005
24.Pathophysiology of hepatorenal
syndrome.
25.What are the factors affecting
neuro muscular block.Describe train
of four pattern of blockade.
26.What is minimum alveolar
concentration? what are the factors
affecting MAC?
27.30 year old 36 weeks primi with
eclampsia for emergency LSCS.
Describe the preop evaluation and
anaesthetic management.
3. Anaesthetic management of Post

Tonsillectomy Bleed.
4. Resuscitation of 60% burns in an
adult patient
5. Anaesthetic consideration for
Magnetic Resonance Imaging (MRI)
6. Post-operative Pulmonary
Complications
7.Anaesthesia for Electro Convulsive
Therapy
8. Thyrotoxic patient for subtotal
thyroidectomy
28.Define massive blood

transfusion.What are the
complications of massive blood
transfusion?
9. Diabetic patient with Autonomic

Neuropathy for Abdominal
Hysterectomy
29.Describe the resuscitative

measures for a case of acute severe
burns.
10.Anaesthetic implications for

Laparoscopy surgery in a pregnant
patient
30.70 year old patient with CAHD is

posted for TURP.Describe the
preoperative evaluation.Describe in
brief about the management of TURP
syndrome.
PAPER 2
1. Myasthenic Syndrome
31.40 year old morbidly obese

patient is posted for gastric banding.
describe the anaesthetic
management.
3. Diagnosis and management of an

acute attack of Malignant
Hyperthermia
THESE QUESTIONS WERE

RECOLLECTED FROM MEMORY BY
PREVIOUS CANDIDATES
2. Anti-thrombotic Prophylaxis and

Neuraxial Anaesthesia
4. Artificial Blood (Synthetic oxygen

carrying substances)
5. Pulmonary Artery Pressure
Monitoring
with extreme obesity

7. Pre-operative evaluation and
preparation of a patient with Fallot's
Tetrology
8. Total Intravenous Anaesthesia
case of Pituitary Adenoma who is
planned for
excision of adenoma
(transsphenoidal hypophysectomy)
10. Discuss the Anaesthetic
problems in scoliosis, surgery
PAPER 3
1. Discuss the causes and
management of delayed recovery
from anaesthesia
2. Complications of Extradural
Anaesthesia
10. Describe the different

anaesthetic management of cataract
surgery
PAPER 4
1.What do you mean by the term
Golden Hour in Trauma? Discuss the
role of
anaesthetist in resuscitation of a
trauma patient
2.Stress response to trauma and
surgery
3. Describe innervation of Female
Genital Tract with a diagram and
painless labour
4. Lung Compliance
Regulation
3. Regional anaesthesia in pediatrics
5. HELLP Syndrome
5. Discuss the management of an

history of drowning
6. Adrenergic Agonists
6. What do you mean by awareness

during anaesthesia? describe the
measurement of the depth of
anesthesia
8. Phantom Limb Pain
7. Describe the intrathecal and

epidural opioids
8. What are the causes of
hypercarbia during the
intraoperative period. Discuss the
physiological effects and
management
9. Anaesthetic problems in a patient
7. Drug Interactions
9. Hyperkalemia
10.Role of magnesium in anaesthesia
and Intensive Care Unit.
DESCRIBE THE MANAGEMENT OF
NEAR DROWNING
ANAESTHESIA FOR ECT
ORGANOPHOSPHOROUS POISONING
MX
WITH THE HELP OF DIAGRAMS

DESCRIBE CELIAC GANGLION BLOCK
INTRA AORTIC BALLOON COUNTER
PULSATION
LEVOBUPIVACAINE
COMPARE ISOFLURANE AND
SEVOFLURANE
CAUSES FOR DELAYED RECOVERY,
INVESTIGATIONS MX
MAJOR SURGERY IN POST CABG

PATIENT, PREOP ASSESSMENT AND
INTRAOP MANAGEMENT
CONTRIBUTION BY JOHN SNOW
ANESTHETIC CONSIDERATION IN
PACEMAKER
INTRA OP BRONCHOSPASM
POST OP PULM COMPLICATIONS
MYASTHENIC SYNDROME
MALIGNANT HYPERTHERMIA CAUSES

DIAGNOSIS AND MANAGEMENT
ANAESTHESIA FOR LASER SURGERY
PHEOCHROMOCYTOMA
PULSE OXIMETRY PRINCIPLES AND

USES
BRONCHOPLEURAL FISTULA
ANAESTHETIC MX
SAFETY FEATURES IN ANAESTHESIA

MACHINE, DESCRIBE ORMC
PAIN MANAGEMENT IN SICKLE CELL

DISEASE
PHANTOM LIMB PAIN
RECENT RESUSCITATION GUIDELINES
RENAL REGULATION OF ACID BASE
HOW TO SET UP ACUTE PAIN SERVICE

CLINIC
PERCUTANEOUS TRACHEOSTOMY
CRITERIA FOR WEANING FROM
VENTILATOR
TURP SYNDROME DIAGNOSIS AND
MANAGEMENT
ANAESTHETIC CONSIDERATION IN
SCOLIOSIS SURGERY
INTRATHECAL OPIOIDS
MEDICAL MANAGEMENTOF HEAD
INJURY
CLASSIFY INOTROPS, COMPARE
DOPAMINE AND DOBUTAMINE
LABOUR ANALGESIA METHODS

BRACHIAL PLEXUS BLOCK AXILLARY
APPROACH
AIRWAY PRESSURE RELEASE
VENTILATION
OXYGEN DISS CURVE
EXPLAIN TRANSPORT OF CARBON
DIOXIDE IN BLOOD
BAIN CIRCUIT WITH THE HELP OF
DIAGRAM
ASSESSMENT OF DIFFICULT AIRWAY
TETRALOGY OF FALLO ANAESTHESIA

MANAGEMENT
VOCAL CORD PALSIES WITH THE

HELP OF DIAGRAM
MORBID OBESITY
BRAIN DEAD DONOR FOR

TRANSPLANTATION, ASSESSMENT,MX
LAPAROSCOPY ANAESTHETIC
CONSIDERATION
NOSOCOMIAL INFECTIONS IN ICU
PATHOPHYSIOLOGY OF
PREECLAMPSIA, MX OF A PRIMI
GRAVIDA WITH ECLAMPSIA FOR
CAESAREAN
APPENDICECTOMY FOR A PREG

PATIENT
AWARENESS METHODS TO DETECT

PREVENTION
REMIFENTANYL
POST OP NAUSEA AND VOMITING
CAPNOGRAM PRINCIPLE DRAW

DIAGRAM IN COPD
PROBLEMS IN DENTAL CHAIR
DRUG INTERACTIONS
ASSESSMENT OF DIFFICULT AIRWAY
MITRAL STENOSIS PATIENT FOR

CAESAREAN
METABOLIC ACIDOSIS CAUSES MX
ICP MONITORING
BIPAP MODE
MINIMUM ALVEOLAR
CONCENTRATION
WEANING MODES DESCRIBE SIMV
POST ANAESTHESIA CARE UNIT
2 YR CHILD WITH FOREIGN BODY

AIRWAY
70 YR OLD PATIENT FOR TOTAL HIP

REPLACEMENT
SUPRAGLOTTIC AIRWAY DEVICES,

DESCRIBE FASTRACH
PATHOPHYSIOLOGY OF SEPTIC
SHOCK MX
HYPOXIC PULM VASOCONSTRICTION
MASSIVE BLOOD TRANSFUSION
ONELUNG VENTILATION
MANAGEMENT
ANAESTHESIA FOR CATARACT

SURGERY WHAT IS MAC?
MANAGEMENT OF ACUTE BURNS,

FLUID MANAGEMENT
PONV
HYPERKALEMIA,ECG CHANGES, MX

DNB Previous Questions

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

DNB Previous Questions

Uploaded by

Copyright:

Available Formats

DNB JUNE 2008

1.Enumerate the symptoms of

2).Utility of anaesthetic records(Dec

13.IVRA(June 1995)(June 1997).(Dec

3.SLEEP, MEMORY AND

4. AUTONOMIC NERVOUS SYSTEM

3)Stress response to trauma and

1) Clinical tests for evaluation of

4)Safe anaesthetic procedure(Dec

2) A 50 year old male and known

5)How is CBF regulated?What is the

10)HPV(June 2005)(June 2009). [Pg

6)Enumerate the factors regulating

11)Describe the metabolic functions

7)What is cerebral autoregulation?

12)What are the major causes of

1)Coronary circulation(June 1996)[Pg

-Drug interactions(June 2006).[Pg 7RACE 2002,Pg 601-ISACON 2009]

2)Describe the arterial circulation of

3.Enzyme induction-describe the

3)Factors affecting coronary

-Enzyme induction-its role in

10.Nitrous oxide-current status in

1.Coaxial circuits(Dec 1998)(June

2.Paediatric circuits(Dec 2000).[Pg

1.Calcium channel blockers in

3.Maplesons breathing system(June

5.What are the two major effects of

SAFETY FEATURES IN MODERN DAY

1.Safety features in a modern day

6.What are the different types of

2.Describe briefly the safety features

7.What is relative and absolute

1.Check out procedure to be followed

2.Name the adrenergic agonists and

2.Describe the pre anaesthetic check

3.Describe the anaesthesia machine

3.Adrenergic agonists(June 2006).

1.Beta receptor blockade :-its

3.Untoward effects of intravenous

2.Clonidine in anaesthesia and

4.Role of corticosteroids in the

3.Discuss PK and PD of clonidine and

5.Adenosine and its clinical uses(June

8.Transdermal opoids(June 2003).

5.Elimination of Atracurium from the

19.DRUG DELIVERY SYSTEM

4.Role of lipid emulsions in local

1.TIVA(Dec 1996)(June 2000)(June

5.Discuss the clinical manifestations

2.PCA(Dec 1996)(June 1998)(Dec

6.Describe the toxicity of commonly

7.Mechanism of action of local

1.Interaction of depolarizing with

3.Rocuronium(Dec 1998)(June 2001)

22. NITRIC OXIDE AND PULMONARY

3.Nitric oxide in clinical practice(June

4.Nitric oxide for management of

1.Prevention and treatment of

5.Nitric oxide-current status(Dec

2.Cardiac arryhthmias during

23. ANAESTHESIA MANAGEMENT

3.Discuss the etiology and

4.Discuss the etiology and