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

Name of the University : The Tamilnadu Dr. M.G.R. Medical University
Degree : MASTER OF CHIRURGIAE (M.Ch.)
Branch : Branch I – Cardio Thoracic Surgery
Subject Code/Name : 1503/THORACIC AND CARDIO VASCULAR SURGERY -II
Paper : III
Document Type : Question Bank
Website : web.tnmgrmu.ac.in

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Thoracic & Cardio Vascular Surgery – II Question Paper

Sub. Code: 1503
M.Ch. DEGREE EXAMINATION
(Higher Specialities)
(Revised Regulations)
Branch I – Cardio Thoracic Surgery
Paper III : THORACIC AND CARDIO VASCULAR SURGERY -II
Q.P. Code: 181503
Time: Three hours
Maximum: 100 Marks

Related : TNMGR Vascular & Endo Vascular Surgery M.Ch Question Bank : www.pdfquestion.in/4597.html

August 2008

ANSWER ALL QUESTIONS :
Draw suitable diagrams wherever necessary. :
I. Essays: (2 x 20 = 40)
1. Describe the management of aortopulmonary collaterals in cyanotic congenital heart disease.
2. Discuss the surgical management of chronic pulmonary thrombo-embolism.

II. Write short notes on: (10 x 6 = 60)
1. Barrett’s oesophagus.
2. Small cell carcinoma of lung.
3. Intra coronary shunts.
4. Dermoid cyst of mediastinum.
5. Retrograde Cardioplegia.
6. Megoou’s stitch.
7. Paraneoplastic syndromes of branchogenic carcinoma.
8. Acquired tracheoesophageal fistula.
9. Lung volume reduction surgery.
10. Free arterial grafts for coronary revascularization.

August 2009

I. Essays: (2 x 20 = 40)
1. Classify different types of double outlet right ventricle and discuss the various surgical options in management of DORV.
2. Discuss the management of a child born with respiratory distress due to congenital diaphragmatic hernia.
II. Write short notes on: (10 x 6 = 60)
1. Corrected TGA.
2. Scimitar syndrome.
3. Unroofed coronary sinus.
4. REV procedure.
5. Anomalous left coronary artery from pulmonary artery.
6. Supra valvular aortic stenosis.
7. Radial arterial grafts.
8. Aprotinin.
9. Discuss the management options in tight mitral stenosis.
10. Discuss the factors affecting the haemodynamic performance of mechanical heart valves.

February 2010

I. Essays: (2 x 20 = 40)
1. Describe the indications for mitral valve replacements and discuss the merits and demerits of various valves available
2. Describe the various indications for coronary artery bypass grafting. Discuss the various conduits used for bypass.
II. Write short notes on: (10 x 6 = 60)
1. Hypoplastic left heart syndrome.
2. Seat belt injury.
3. Ventriculoplasty.
4. Ruptured sinus of valsalva into left ventricle.
5. Bronchiectasis.
6. Achalasia cardia.
7. Thymectomy.
8. Cardiac tumours.
9. Maze procedure.
10. Ectopia cordis.

February 2011

I. Essays: (2 x 20 = 40)
1. Discuss surgical management of atrial fibrillation.
2. Describe surgical techniques of cardiac transplantation.
II. Write short notes on: (10 x 6 = 60)
1. Ebstein’s anomaly.
2. Tricuspid Annuloplasty.
3. Ischemic Mitral Regurgitation.
4. Internal Mammary Artery.
5. Left lower lobectomy.
6. Interrupted Aortic Arch Syndrome.
7. Complications of CPBP.
8. Mick’s procedure of Aortic Root Enlargement.
9. RSOV.
10. Cardiac Tamponade.

August 2013

I. Elaborate on: (2X15=30)
1. Technique of total arterial revascularization. Conduits used, long term results.
2. Classification of truncus arteriosus with different surgical techniques.
II. Write notes on: (10X7=70)
1. Management broncho plueral fistula following lung resections.
2. Hepatothorax.
3. Preoperative work up of a case of benign tracheal stenosis.
4. Indications for ascending aortic replacements.
5. Management of acute massive pulmonary embolism.
6. Maze procedure.
7. Management of occluded prosthetic mitral valve.
8. Management of pulmonary hypertensive crisis.
9. Classification of ventricular septal defects.
10.Morphology of Ebstein’s anamoly.

August 2012

Sub. Code: 1502
Answer ALL questions in the same order.
I. Elaborate on:
1. Discuss in detail the anatomy, physiological consequences and management of hypoplastic left heart syndrome. 16 35 15
2. Describe the aetiology of stricture oesophagus and its treatment. 16 35 15

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

August 2015

Sub. Code:1502
I. Elaborate on: (2X15=30)
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: (10X7=70)
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.