Vascular Surgery-I 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 VIII – VASCULAR SURGERY
Subject Code/Name : 1852/Vascular Surgery-I
Paper : II
Document Type : Question Bank
Website : web.tnmgrmu.ac.in

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Vascular Surgery-I :

August 2008 :
Sub. Code: 1852
M.Ch. DEGREE EXAMINATION
(Higher Specialities)
(Revised Regulations)

Related : The Tamilnadu Dr. M.G.R. Medical University Basic Sciences Applied to Vascular Surgery M.Ch Question Bank : www.pdfquestion.in/4595.html

Branch VIII – VASCULAR SURGERY
Paper II : VASCULAR SURGERY
Q.P. Code: 181852
Time: Three hours
Maximum: 100 Marks
ANSWER ALL QUESTIONS :
Draw suitable diagrams wherever necessary. :
I. Essays: (2 x 20 = 40)
1. Discuss concept of failing graft and secondary arterial reconstructions in lower extremity.
2. Discuss etiopathogenesis and management of subclavian axillary vein thrombosis.
II. Write short notes on: (10 x 6 = 60)
1. Inflamatory Aneurysms.
2. Hyperperfusion syndrome.
3. Wells score for DVT.
4. LMWH Vs UFH.
5. Post thrombotic CVI.
6. SVC Syndrome.
7. Aorta renal bypass.
8. Kassabach merritt phenomenon.
9. Physiological effects of AV fistulas.
10. Renal protection strategies in TAAA.

August 2009 :
I. Essays: (2 x 20 = 40)
1. Discuss the intrinsic and extrinsic pathways of coagulation and describe the prothrombotic conditions.
2. Describe the anatomy of the thoracic outlet and discuss the clinical features and management of thoracic outlet compression syndrome.
II. Write short notes on: (10 x 6 = 60)
1. Venous thromboembolism prophylaxis.
2. Thrombophlebitis migrans.
3. Nonshunt surgical procedure for portal hypertension.
4. Anastomotic false anuerysm.
5. Spinal cord ischaemia.
6. Vascular graft failure.
7. Fasciotomy.
8. Management of fracture femur and femoral artery and vein injury.
9. Haemodynamic complications of arteriovenous fistula.
10. Digital plethesmography.

August 2011 :
I. Elaborate on :
1. Discuss in detail about the etiopathogenesis and present concepts in the management of varicose veins.
2. Discuss the peri operative complications and management following major aortic surgery.
II. Write notes on :
1. Post phlebitic sequelae.
2. Popliteal Artery aneurysm.
3. Superficial venous thrombophlebitis.
4. Secondary Raynauds Syndrome.
5. Non Occlusive mesenteric ischemia.
6. Taylor’s patch.
7. Blue toe Syndrome.
8. Stem Cell therapy in PAD.
9. Post operative Erectile Dysfunction.
10. Paraganglioma.

AUGUST 2012 :
I. Elaborate on :
1. Discuss the Management of Neuro-Ischaemic Diabetic Foot.
2. Discuss the Management of Infected Synthetic Graft.
II. Write notes on:
1. Venous-Thrombectomy.
2. Compartment Syndrome.
3. Asymptomatic Carotid Artery Stenosis.
4. Budd-Chiari Syndrome.
5. Vascular Complications in Renal Transplant.
6. Extra Anatomical Bypass.
7. Penetrating Trauma to Thigh with Vascular Involvement and Management.
8. Thrombin.
9. Aorto-Enteric Fistula.
10. Spinal Cord Ischaemia.

AUGUST 2013 :
I. Elaborate on: (2X15=30)
1. Management of Ruptured Abdominal Aortic Aneurysm.
2. Etiopathogenisis Diagnosis and Management of Reno Vascular Hypertension.
II. Write notes on: (10X7=70)
1. Protection devices.
2. Obturator Bypass.
3. Hypothenar Hammer Syndrome.
4. Thrombin Glue.
5. Trauma Scores.
6. Anatomy of Thoracic outlet syndrome.
7. Complications of EVAR.
8. Non occlusive Mesenteric Ischemia.
9. Vein cuffs.
10. Heparin bonded graft.

Theory Syllabus :
Open Vascular Surgery :
Objective :
** To gain open vascular surgical knowledge and skills Knowledge
** Knows the importance of preoperative checks and team briefing for patient safety
** Antibiotic prophylaxis and anticoagulation
** Blood transfusion and the management of transfusion-related complications
** Intra-operative cell salvage and the use of other blood products
** Principles of local anaesthesia and local blocks e.g. metatarsal
** Common vascular skin incisions and exposure
** Methods of vascular control
** Principles of vascular reconstruction
** Intervention for varicose veins
** Selection of amputation level
** Types and characteristics of bypass grafts, anastomoses and vascular sutures
** Types and characteristics of vascular instruments

Clinical Skills :
** Explanation of open vascular surgery and the risks t** a patient
** Demonstrates good patient, personal and team safety
** Ensures good asepsis, especially when prosthetic materials are involved
** Good communication with patient and all members of the theatre team
** Accurate procedural record and post-procedural instructions

Technical Skills :
** Wound debridement
** Local amputation (e.g. toes)
** Major amputation (e.g. BKA)
** Harvesting of long saphenous (or other) vein
** Exposure and control of veins (e.g. SFJ)
** Exposure and control of arteries (e.g. common femoral)
** Arteriotomy and direct or patch repair
** End-to-end and end-to-side anastomosis
** Embolectomy + on-table arteriogram/thrombolysis

Endovascular Procedures :
Objective :
** To gain endovascular knowledge and skills Knowledge
** Indications and outcomes for endovascular intervention
** The complementary role of endovascular therapy to medical and surgical therapy
** Balloon and stent types, characteristics and indications
** Stent graft types, characteristics and indications
** Materials used for embolisation, characteristics and indications
** Closure devices, characteristics and indications

Clinical Skills :
** Explanation of endovascular intervention and the risks to a patient
** Undertakes preoperative checks and team briefing
** Demonstrates good patient, personal and team safety
** Ensures good asepsis, especially when prosthetic materials are involved
** Good communication with patient and all members of the angio team
** Accurate procedural record and post-procedural instructions
** Recognizes complications e.g. dissection, embolisation
** Use drugs appropriately e.g. vasodilators, anticoagulants, analgesics, sedatives, anti- peristaltics