2021 DNB Anesthesia

2021 DNB
ANESTHESIA
THEORY
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National Board of Examinations
Question Paper Name : DNB Anaesthesiology Paper1
Is this Group for Examiner? : No
Enable Mark as Answered Mark for Review and
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Yes
Clear Response :
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Question Number : 1 Question Type : SUBJECTIVE
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Enumerate the buffer systems of the body. Discuss the renal compensation of metabolic acidosis.
[5+5]
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Discuss the functional analysis of Mapleson D circuit with the help of a diagram. What is Pethick’s
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test and how is it performed ? [6+4]

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Define functional residual capacity and closing volume. What is their importance in anaesthesia
practice? Enumerate factors affecting functional residual capacity and closing volume. [2+2+6]
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a) Cardioversion. [5]
b) Aortocaval compression. [5]
What are the indications of transversus abdominis plane block? With the help of a diagram,
describe the block. [4+6]
Discuss ethical issues:

a) In informing the relative about an adverse event (intraoperative cardiac arrest) of his patient
who was successfully resuscitated but is now to be shifted to the Intensive Care Unit for elective
ventilation. [5]
b) In a pregnant patient as a research subject. [5]
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What is anion gap and how do you calculate it? Enumerate the clinical conditions where the anion
gap is deranged. [5+5]
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a) Graded oxygen therapy. [5]

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b) Oxygen supply failure prevention systems. [5]
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a) Standard deviation in statistical data. [5]

b) Impact factor. [5]
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Define massive blood loss and enumerate methods of blood conservation. [5+5]
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Discuss the anaesthetic considerations in a 46-year-old diabetic male patient with BMI of 40
posted for gastric bypass bariatric procedure. [10]
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How will you diagnose and manage myocardial ischemia in a patient under general anaesthesia?
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[3+7]
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Outline the anaesthetic management of a 5-year-old child with perforating eye injury sustained 2
hours back posted for exploration and repair under general anaesthesia. [10]
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Compare:
a) Total intravenous anaesthesia with Target Controlled Infusion. [5]
b) Airtraq with C Mac Videolaryngoscope. [5]
Enumerate the modifications in the BLS guidelines by the American Heart Association in 2020.
Give the ACLS 2020 algorithm for management of bradycardia. [4+6]
Discuss the blocks for airway anaesthesia. [10]
Enumerate the anaesthetic concerns in a patient for robotic prostatectomy. [10]
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a) Liquid oxygen tank. [5]
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b) Beer-Lambert Law and principles of pulse oximetry. [5]

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Enumerate the causes of post thyroidectomy stridor. How will you diagnose and manage post-
thyroidectomy tracheomalacia? [4+4+2]
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a) Entropy. [5]
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b) Local anaesthetic systemic toxicity (LAST). [5]

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Discuss the anaesthetic management of a 3 year old boy scheduled for removal of organic foreign
body from the right bronchus. [10]
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Briefly discuss thermoregulation in the human body. What is the implication of perioperative
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hypothermia? Enumerate means of preventing perioperative hypothermia in a neonate. [3+2+5]

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Discuss the anaesthetic management of a 35 year old female with one year old post burn
contracture neck leading to fixed flexion deformity of the neck who is posted for contracture
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release and split skin grafting. [10]

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a) DVT prophylaxis. [5]

b) Plasma therapy in COVID-19. [5]
Discuss the anaesthetic concerns in a post COVID patient with rhino-orbital mucormycosis for
endoscopic debridement. [10]
Discuss the pre, intra and post-operative management of a 53-year-old patient posted for
laparoscopic cholecystectomy and detected to be hypertensive in the pre-anaesthetic clinic.
[2+6+2]
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Discuss the preoperative preparation of a 55-year-old COPD patient posted for laparoscopic
fundoplication. [10]
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Enumerate the indications of one lung ventilation. Describe measures to improve oxygenation
during one lung ventilation. [5+5]
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Briefly discuss the preoperative preparation of a 65 year old female patient with coronary artery
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disease, with a history of drug eluting coronary stenting done one year back, posted for right total
knee replacement. [10]
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a) Hepato-pulmonary syndrome. [5]

b) Cardioplegia. [5]
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Discuss Non-invasive ventilation in a patient with severe COVID disease. [10]
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Discuss the role of artificial intelligence in our day to day anaesthesia practice. [10]
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Discuss the management of ventricular tachycardia in an adult patient. [10]

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Enumerate atleast three newer supraglottic airway devices. Descibe their features, advantages
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and uses. [3+(3+2+2)]
a) Preemptive analgesia. [5]

b) Chronic persistent post-surgical pain. [5]
Discuss the role of Ultrasonography in airway assessment. [10]

a) Delirium in ICU. [5]

b) Propofol infusion syndrome. [5]
Assessment of volume responsiveness in a mechanically ventilated patient. [10]
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a) ECMO. [5]
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b) THRIVE. [5]
Question Number : 10 Question Type : SUBJECTIVE IW

Discuss in brief the airway management guidelines for a Covid positive patient posted for
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exploratory laparotomy. [10]
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Subject Name : DNB Anaesthesiology Paper1
Creation Date : 2021-08-25 17:09:20
Duration : 180
Total Marks : 100
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DNB Anaesthesiology Paper1
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Section Id : 327187351
Section Number : 1
Section type : Offline
Mandatory or Optional : Mandatory

Number of Questions : 10
Number of Questions to be attempted : 10
Section Marks : 100

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Sub-Section Number : 1
Sub-Section Id : 327187355
Question Shuffling Allowed : No
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Question Number : 1 Question Id : 3271872001 Question Type : SUBJECTIVE
Correct Marks : 10
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Enumerate the indications of one lung ventilation. Discuss the various methods to improve
oxygenation during one lung ventilation. [3+7]
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a) Happy Hypoxia. [5]

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b) Oxygen cascade and the importance of (A-a)DO2 in clinical practice. [5]

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Correct Marks : 10
Describe and illustrate the major body fluid compartments. Discuss techniques of giving goal
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directed fluid therapy during major abdominal surgery. [4+6]

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Correct Marks : 10
Define frailty. Discuss the physiological changes occurring in a geriatric patient along with their
anaesthetic implications. [2+8]

Correct Marks : 10
a) ANOVA. [5]
b) Formulae to calculate sample size for thesis project. [5]
Correct Marks : 10
a) Low flow anaesthesia. [5]

b) Principle and clinical applications of cerebral oximetry. [2+3]
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Correct Marks : 10
Discuss ethical issues in:

a) Pregnant patient as research subject. [5]
b) Death on OT table during elective surgery. [5]
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a) Occupational hazards to anaesthesiologists. [5]

b) Environmental effects of inhaled anaesthetics. [5]
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a) Paraoxygenation. [5]
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b) Perfusion Index. [5]
Correct Marks : 10
a) Prehabilitation. [5]
b) Six minutes walk test. [5]
Creation Date : 2021-08-25 22:34:07
Duration : 180
Total Marks : 100
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Section Marks : 100

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Correct Marks : 10
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Discuss the anatomy of epidural space. Describe various techniques to identify the space. [4+6]
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Discuss the anesthetic considerations and perioperative management of a 75 year male who is a
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chronic smoker and has a permanent pacemaker in situ posted for transurethral resection of the
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prostate. [10]
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Correct Marks : 10
a) Video assisted thoracoscopy in children. [5]

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b) Bone cement implantation syndrome. [5]

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Correct Marks : 10
Discuss the anaesthetic management of a full term pregnant patient who is RTPCR positive for
COVID-19 and is on bilevel positive airway pressure ventilation in ICU and is now posted for
emergency caesarean section. [10]
Correct Marks : 10
a) Liposomal Bupivacaine. [5]

b) Awake Proning. [5]
Correct Marks : 10
A 20-year-old male with TM joint ankylosis having interincisor gap of 5mm and retrognathia is
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posted for bilateral condylectomy.
a) How will you prepare airway for awake fiberoptic bronchoscopy. [5]
b) At the end of the surgery mouth opening increased to 1.5cm, how will you plan extubation in
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this case. [5]
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Correct Marks : 10
a) E-fast in trauma patients. [5]

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b) Smoking and anaesthetic implications. [5]

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Correct Marks : 10
Discuss the anaesthetic concerns and management of a 40 year male patient who is HIV positive
and posted for total knee replacement. [10]
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Correct Marks : 10
Discuss the perioperative optimisation and anaesthetic management of a neonate with congenital
diaphragmatic hernia. [10]
Correct Marks : 10
a) Thyroid storm. [5]
b) Non-invasive cardiac output monitoring. [5]
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Creation Date : 2021-08-26 19:33:48
Duration : 180
Total Marks : 100
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Group Id : 327187350
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Section Marks : 100

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Correct Marks : 10
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A 30-year-old multigravida with previous 2 LSCS is scheduled for elective LSCS for placenta praevia
with suspicion of placenta accreta. Describe preoperative preparation, anaesthesia plan,
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anticipated perioperative complications and management. [10]
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Correct Marks : 10
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a) EXIT procedure. [5]

b) Passive euthanasia in India. [5]
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Correct Marks : 10
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Describe briefly about postoperative cognitive dysfunction (POCD). Discuss the effects of
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anaesthetic agents on POCD and measures to minimize it. [3+4+3]
Correct Marks : 10
a) Steroid therapy in COVID-19. [5]

b) Use of heparin during cardiopulmonary bypass. [5]
Correct Marks : 10
Discuss the anaesthetic management of a 45 year chronic alcoholic male patient who is a case of
liver failure and is posted for liver transplant surgery. [10]
Correct Marks : 10
a) Uteroplacental blood flow. [5]
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b) Anaesthesia for awake craniotomy. [5]
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Correct Marks : 10
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Discuss the preoperative optimization and anaesthetic management of a 8 weeks post-COVID
patient who is diagnosed with mucormycosis and is posted for maxillectomy and orbital
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exenteration procedure. [5+5]
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Correct Marks : 10
Discuss the anatomy of the pediatric airway and its anaesthetic implications. Describe the role of
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ultrasound in assessment of the paediatric airway. [3+4+3]

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a) Acute traumatic coagulopathy. [5]

b) Damage control resuscitation. [5]
Correct Marks : 10
a) Discuss briefly the role of anaesthesiologist in non-operating room anaesthesia. [5]

b) Principle of co-loading during subarachnoid block. [5]
Creation Date : 2021-08-27 20:12:19
Duration : 180
Total Marks : 100
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Group Id : 327187351
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Break time : 0
Group Marks : 100

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Section Marks : 100

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Clear Response :
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Correct Marks : 10
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Discuss the criteria for weaning a patient after long term ventilation in the ICU. [10]
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a) Transdermal buprenorphine patches. [5]

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b) Patient controlled epidural analgesia. [5]

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Correct Marks : 10
a) Extracorporeal membrane oxygenation. [5]

b) Tele-anaesthesiology. [5]
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Correct Marks : 10
Discuss the relevant anatomy and indications for:

a) Percutaneous dilatational tracheostomy. [5]
b) Cricothyroidotomy. [5]

Correct Marks : 10
Discuss the role of simulators in modern day anaesthesia teaching and training. [10]
Correct Marks : 10
a) Post cardiac arrest care. [5]

b) Role of ketamine in cancer pain. [5]
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Correct Marks : 10
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a) LMA Protector TM Vs I Gel. [5]
b) Role of biomarkers in COVID-19 patient. [5]
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Correct Marks : 10
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a) Pressure swing adsorption oxygen plant. [5]

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b) Various strategies to prevent oxygen wastage during pandemic. [5]

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Correct Marks : 10
a) Ventilatory strategies in the management of COVID-19 positive patient in ICU. [5]

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b) Supportive care of a Covid-19 patient in ICU. [5]

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Correct Marks : 10
a) ROTEM. [5]
b) Continuous renal replacement therapy (CRRT). [5]

2021 DNB Anesthesia

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2021 DNB

Question Paper Name : DNB Anaesthesiology Paper1

Is this Group for Examiner? : No

Enable Mark as Answered Mark for Review and

test and how is it performed ? [6+4]

Question Number : 3 Question Type : SUBJECTIVE

Question Number : 4 Question Type : SUBJECTIVE

Question Number : 5 Question Type : SUBJECTIVE

Discuss ethical issues:

Question Number : 7 Question Type : SUBJECTIVE

a) Graded oxygen therapy. [5]

Question Number : 9 Question Type : SUBJECTIVE

a) Standard deviation in statistical data. [5]

Question Number : 10 Question Type : SUBJECTIVE

Question Paper Name : DNB Anaesthesiology Paper2

Is this Group for Examiner? : No

Enable Mark as Answered Mark for Review and

Question Number : 3 Question Type : SUBJECTIVE

Question Number : 4 Question Type : SUBJECTIVE

Question Number : 5 Question Type : SUBJECTIVE

Question Number : 6 Question Type : SUBJECTIVE

Discuss the blocks for airway anaesthesia. [10]

Question Number : 7 Question Type : SUBJECTIVE

Enumerate the anaesthetic concerns in a patient for robotic prostatectomy. [10]

a) Liquid oxygen tank. [5]

Question Number : 9 Question Type : SUBJECTIVE

Question Number : 10 Question Type : SUBJECTIVE

b) Local anaesthetic systemic toxicity (LAST). [5]

Question Paper Name : DNB Anaesthesiology Paper3

Is this Group for Examiner? : No

Enable Mark as Answered Mark for Review and

hypothermia? Enumerate means of preventing perioperative hypothermia in a neonate. [3+2+5]

Question Number : 3 Question Type : SUBJECTIVE

release and split skin grafting. [10]

Question Number : 4 Question Type : SUBJECTIVE

a) DVT prophylaxis. [5]

Question Number : 5 Question Type : SUBJECTIVE

Question Number : 6 Question Type : SUBJECTIVE

Question Number : 7 Question Type : SUBJECTIVE

Question Number : 9 Question Type : SUBJECTIVE

Question Number : 10 Question Type : SUBJECTIVE

a) Hepato-pulmonary syndrome. [5]

Question Paper Name : DNB Anaesthesiology Paper4

Is this Group for Examiner? : No

Enable Mark as Answered Mark for Review and

Question Number : 3 Question Type : SUBJECTIVE

Discuss the management of ventricular tachycardia in an adult patient. [10]

Question Number : 4 Question Type : SUBJECTIVE

and uses. [3+(3+2+2)]

Question Number : 5 Question Type : SUBJECTIVE

a) Preemptive analgesia. [5]

Question Number : 6 Question Type : SUBJECTIVE

Discuss the role of Ultrasonography in airway assessment. [10]

a) Delirium in ICU. [5]

Question Number : 8 Question Type : SUBJECTIVE

Assessment of volume responsiveness in a mechanically ventilated patient. [10]

Question Number : 10 Question Type : SUBJECTIVE IW

Question Paper Name : DNB Anaesthesiology Paper1

Subject Name : DNB Anaesthesiology Paper1

Creation Date : 2021-08-25 17:09:20

Total Marks : 100

Group Maximum Duration : 0

Group Minimum Duration : 180