Thoracic & Cardio Vascular Surgery-I M.Ch Question Bank : web.tnmgrmu.ac.in

Name of the University : The Tamilnadu Dr. M.G.R. Medical University
Degree : M.Ch
Branch : Branch I – Cardio Thoracic Surgery
Subject Code/Name : 1502/THORACIC AND CARDIO VASCULAR SURGERY – I
Paper : II
Document Type : Question Bank
Website : web.tnmgrmu.ac.in

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Thoracic & Cardio Vascular Surgery-I :

August 2008 :
Sub. Code: 1502
M.CH DEGREE EXAMINATIONS

Related / Similar Question Paper :
TNMGRMU M.Ch Basic Sciences Question Bank

(Higher Specialities)
(Revised Regulations)
Branch I – Cardio Thoracic Surgery
Paper II : THORACIC AND CARDIO VASCULAR SURGERY – I
Q.P. Code: 181502
Time: Three hours
Maximum: 100 Marks
ANSWER ALL QUESTIONS :
Draw suitable diagrams wherever necessary. :
I. Essays: (2 x 20 = 40)
1. Describe various causes of right ventricular outflow tract obstruction and their treatment with surgery.
2. Describe the aetiology of stricture oesophagus and its treatment.
II. Write short notes on: (10 x 6 = 60)
1. Glenn shunt.
2. Vanishing lung.
3. Aortic arch interruptions.
4. Dysphagia lusoria.
5. Jet Ventilation.
6. Rib notching.
7. Benign tumours of oesophagus.
8. Systemic inflammatory response syndrome.
9. Foregut cysts.
10. Branchial artery embolization.

August 2009 :
I. Essays: (2 x 20 = 40)
1. Discuss the various techniques of myocardial protection and their cellular and molecular basis.
2. Discuss the etiopathology of myasthenia gravis and outline the management of a patient admitted with myasthenic crisis.
II. Write short notes on: (10 x 6 = 60)
1. Transplantation biology.
2. Thoracic duct.
3. Ross procedure.
4. Walton C Lillehar.
5. VATS.
6. Enumerate the causes of continuous cardiac murmur.
7. Pectus excavatum.
8. Nitric oxide.
9. Ebstein’s anomaly.
10. Mediastinal tumours in children.

February 2010 :
I. Essays: (2 x 20 = 40)
1. What is video assisted thoracic surgery? Describe various procedures done with this modality.
2. Describe various posterior mediastinal masses and their surgical treatment.
II. Write short notes on: (10 x 6 = 60)
1. Empyema necessitalis.
2. Paradoxic movement of chest.
3. Atrial septal defect surgery using thoracotomy approach.
4. Dextrocardia.
5. Diaphragmatic pacing.
6. Struck valve.
7. Oesophageal perforation.
8. Complete heart block.
9. Closure of ventricular septal defect.
10. Pectus carinatum.

February 2011 :
Draw suitable diagrams wherever necessary.
I. Essays: (2 x 20 = 40)
1. Discuss about protection of the Brain during aortic surgery.
2. Discuss the techniques of Mitral Valve Repair.
II. Write short notes on: (10 x 6 = 60)
1. Extra Corporeal Membrane oxygenators.
2. Features of a membrane oxygenator.
3. Indications for surgery in pulmonary tuberculosis.
4. Classification of bronchial adenomas.
5. Middle lobe syndrome.
6. Double lumen endotracheal tubes.
7. Cor triatriatum.
8. Effects of nicotine on the cardiovascular system.
9. ‘Metabolic’ Syndrome.
10. Pulmonary Arteriovenous fistula.

August 2011 :
I. Elaborate on : Pages Time Marks
1. A patient presents with a carcinoid tumour on the lower Trachea 4 cm from carina. Discuss the surgical technique and post operative management.
2. A 26 year old lady interested in bearing children comes for surgical correction of mitral regurgitation. What are the surgical options? Outline the technique.

II. Write notes on :
1. A victim of road traffic accident comes with a massive air leak in a right sided intercostals drain. How will you proceed to manage him?
2. A patient with a mechanical Mitral valve prosthesis comes in with Acute Dyspnoea. What are the possibilities and management.
3. A young lady comes up for closure of an Atrial Septal defect. What will be the surgical approach cosmetically?
4. A Healthy 5 year old child is brought to the hospital with breathlessness and mild stridor. What are the possibilities and line of management.
5. A 50 year old male develops a low cardiac output 6-7 hours after operation. How will you assess and manage him?
6. How will you compare a rigid with fibreoptic bronchoscope? advantages and limitations.
7. How will you manage a chylothorax following a CABG Surgery?
8. A patient develops massive bleeding posteriorly after a Mitral valve replacement. Possibilities and management.
9. Mention the various surgical procedures to repair coarctation of Aorta. Discuss the indications for each procedure.
10. Investigations and management of pulmonary embolism.

August 2012 :
I. Elaborate on :
1. Discuss in detail the anatomy, physiological consequences and management of hypoplastic left heart syndrome.
2. Describe the aetiology of stricture oesophagus and its treatment.

II. Write notes on :
1. Discuss the surgical approaches for a patient with pan-coast tumour.
2. Surgical technique in coronary A-V fistula.
3. Indications for diaphragmatic pacing.
4. Total arterial revascularization.
5. Indication of Mediastinoscopy.
6. Indications of Bronchial artery embolisation.
7. Explain unifocalisation and its indications.
8. Explain Pulmonary artery banding, its indications and complications.
9. Management of hypertensive Patent Ductus Arteriosus.
10. Diagnosis and management Struck valve.

August 2013 :
I. Elaborate on :
1. What is meant by parenchymal sparing lung resection? Discuss the indications and technique of left main stem bronchial sleeve resection.
2. In a patient coming up for mitral valve replacement how will you assess and manage the tricuspid valve regurgitation. Methods and techniques?

II. Write notes on :
1. Extra pulmonary non metastatic manifestations of bronchogenic carcinoma.
2. Classify thymic tumours. Outline the principles of diagnosis and management.
3. Manifestation and management of spontaneous esophageal rupture.
4. Management of giant left atrium during mitral valve procedures.
5. Assessment of myocardial viability.
6. Surgical ventricular restoration.
7. Stentless aortic valve. Classifications and indications.
8. Classification of aortic dissection.
9. Double aortic arch.
10. Unroofed coronary sinus.