DNB

ANESTHESIA
2020 THEORY

AR
AK
PAPER
IW
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AN
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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2020

ANAESTHESIOLOGY
PAPER-I
TIME: 3 HOURS ANS/J/20/01/I
MAX. MARKS: 100

IMPORTANT INSTRUCTIONS

 This question paper consists of 10 questions divided into Part “A” and part “B”, each part
containing 5 questions.
 Answers to questions of part A and part B are to be strictly attempted in separate answer sheet(s)
and the main + supplementary answer sheet(s) used for each part must be tagged separately.
 Answers to question(s) of Part A attempted in answer sheet(s) of part B or Vice versa shall not be
evaluated.

AR
 Answer sheets of Part A and Part B are not to be tagged together.
 Part A and Part B should be mentioned only on the covering page of the respective answer sheets.
 Attempt all questions in order.
 Each question carries 10 marks.

AK
 Read the question carefully and answer to the point neatly and legibly.
 Do not leave any blank pages between two answers.
 Indicate the question number correctly for the answer in the margin space.
 Answer all the parts of a single question together.

 IW
Start the answer to a question on a fresh page or leave adequate space between two answers.
Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

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PART A

1. Describe the principle of capnography. Describe the different 4+6

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components of a time capnogram with a labeled diagram.

U

2. Discuss the physiology and applications of Positive End 5+5

SH

Expiratory Pressure (PEEP).

3. a) Temperature monitoring in neonates. 5+5

b) Nitrous Oxide in anaesthesia practice.
AN

4. Define Hyperkalemia. Describe the clinical features and ECG 1+3+6

findings of hyperkalemia with reference to serum potassium
levels. Describe the management of hyperkalemia.
R

5. What is type I and type II error in statistics? Write briefly on p 5+5

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value.

P.T.O

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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2020

ANAESTHESIOLOGY
PAPER-I

Please read carefully the important instructions mentioned on Page ‘1’

 Answers to questions of Part A and part B are to be strictly attempted in separate answer sheets and the
main + supplementary answer sheets used for each part must be tagged separately.
 Answers to question(s) of Part A attempted in answer sheets of Part B or vice versa shall not be evaluated.

PART B

6. What are the Medical gases commonly used in 1+2+2+5

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Anaesthesia, source of medical oxygen, storage and
detailed description of liquid oxygen storage tank?

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7. a) What are different types of hypoxia? Discuss in brief. 5+5
b) Describe hypoxic hypoxia in detail.

8. a) Atrial fibrillation. 5+5

9.
b) Oxygen flux.
IW
What are the effects of propofol on the cardiovascular 5+5
D
system? Describe the precautions and management to
minimize these effects.
L

10. Discuss briefly the concept of anaesthesia “crisis resource 6+4

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management” (CRM). Enumerate the key points of CRM.

SH

************
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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2020

ANAESTHESIOLOGY
PAPER-II
TIME: 3 HOURS ANS/J/20/01/II
MAX. MARKS: 100

IMPORTANT INSTRUCTIONS

 This question paper consists of 10 questions divided into Part “A” and part “B”, each part
containing 5 questions.
 Answers to questions of part A and part B are to be strictly attempted in separate answer sheet(s)
and the main + supplementary answer sheet(s) used for each part must be tagged separately.

AR
 Answers to question(s) of Part A attempted in answer sheet(s) of part B or Vice versa shall not be
evaluated.
 Answer sheets of Part A and Part B are not to be tagged together.
 Part A and Part B should be mentioned only on the covering page of the respective answer sheets.
 Attempt all questions in order.

AK
 Each question carries 10 marks.
 Read the question carefully and answer to the point neatly and legibly.
 Do not leave any blank pages between two answers.
 Indicate the question number correctly for the answer in the margin space.

IW
 Answer all the parts of a single question together.
 Start the answer to a question on a fresh page or leave adequate space between two answers.
 Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

D
PART A
L
1. Discuss the recognition and management of intraoperative 4+6
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anaphylaxis.
2. How do you predict postoperative pulmonary complications? 4+6
SH

Discuss the preoperative optimization and postoperative care

in a patient with moderate chronic obstructive lung disease
posted for elective laparoscopic cholecystectomy.
AN

3. Define difficult airway. Discuss the risk stratification and 2+(3+5)

management of extubation in a patient with difficult airway.
4. What is surgical stress response, methods to attenuate it and 2+3+5
R

its benefit when controlled?

5. Discuss ERAS protocol for ambulatory surgery. 10

D

P.T.O

-1-
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HALL.
 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2020

ANAESTHESIOLOGY
PAPER-II

Please read carefully the important instructions mentioned on Page ‘1’

 Answers to questions of Part A and part B are to be strictly attempted in separate answer sheets and the
main + supplementary answer sheets used for each part must be tagged separately.
 Answers to question(s) of Part A attempted in answer sheets of Part B or vice versa shall not be evaluated.

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PART B

6. Enumerate the perioperative anesthetic concerns in a 50-year- 5+5

old male with truncal obesity and BMI of 40, scheduled for

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epigastric hernia repair. Discuss briefly preoperative
assessment and anesthetic induction issues.

7. A 70-year-old frail female is posted for emergency neck femur. 4+6

IW
She was diagnosed to be diabetic and hypertensive when she
had primary coronary stenting for anterior wall myocardial
infarction and is on NPH for last 2 years. Her recent transthoracic
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echocardiography showed EF of 50% with diastolic dysfunction.
She does not have any other comorbidity. Stratify the cardiac
risk, and discuss perioperative cardiac and metabolic concerns
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briefly including commonly used medications.
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8. a) Massive blood transfusion protocol. 5+5

b) Chronological changes in stored blood.
SH

9. A 20-year-old biker is brought to emergency after a head on 5+5

collision with a car. Cervical collar and venturi mask are in situ.
His GCS is 10 and he has mandible fracture on X ray. He is
AN

posted for emergency laparotomy for air under diaphragm.

Discuss briefly airway concerns and induction of anesthesia.

10. Discuss the possible complications associated with prone 10

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positioning in a 40-year male undergoing lumbar discectomy.

D

************

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2020

ANAESTHESIOLOGY
PAPER-III
TIME: 3 HOURS ANS/J/20/01/III
MAX. MARKS: 100

IMPORTANT INSTRUCTIONS

 This question paper consists of 10 questions divided into Part “A” and part “B”, each part
containing 5 questions.
 Answers to questions of part A and part B are to be strictly attempted in separate answer sheet(s)
and the main + supplementary answer sheet(s) used for each part must be tagged separately.
 Answers to question(s) of Part A attempted in answer sheet(s) of part B or Vice versa shall not be

AR
evaluated.
 Answer sheets of Part A and Part B are not to be tagged together.
 Part A and Part B should be mentioned only on the covering page of the respective answer sheets.
 Attempt all questions in order.


AK
Each question carries 10 marks.
 Read the question carefully and answer to the point neatly and legibly.
 Do not leave any blank pages between two answers.
 Indicate the question number correctly for the answer in the margin space.
 Answer all the parts of a single question together.

IW
 Start the answer to a question on a fresh page or leave adequate space between two answers.
 Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

D
PART A
L
1. a) Ventilation strategies during rigid bronchoscopy. 5+5
b) Recommendations for perioperative β-blockers usage.
U

2. How do you classify the urgency of a surgical procedure? 4+6

SH

Discuss management of post tonsillectomy bleeding in a 6-

year-old child posted for exploration?
3. How will you evaluate a 23-year-old lady posted for scoliosis 4+6
correction? What are the main intraoperative concerns and
AN

how will you manage?

4. Describe briefly the risk assessment of postoperative nausea 2+2+3+3
and vomiting (PONV), its prevention, treatment and rescue
management for persistent vomiting.
R

5. How will you plan and administer labour analgesia in a 10

morbidly obese parturient?
D

P.T.O

-1-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2020

ANAESTHESIOLOGY
PAPER-III

Please read carefully the important instructions mentioned on Page ‘1’

 Answers to questions of Part A and part B are to be strictly attempted in separate answer sheets and the
main + supplementary answer sheets used for each part must be tagged separately.
 Answers to question(s) of Part A attempted in answer sheets of Part B or vice versa shall not be evaluated.

PART B

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6. Discuss briefly management of: 5+5
a) TURP syndrome.
b) Deep hypothermic circulatory arrest (DHCA).

AK
7. a) Anesthesia for fetal surgery. 5+5
b) Complex Regional Pain Syndromes.

IW
8. A meningomyelocele is present in a 3 kg, full term, 10-day 3+5+2
neonate. What are your preoperative, intra operative and
post-operative concerns? D
9. a) Porto-pulmonary hypertension. 5+5
b) Hepatorenal syndrome.
L
10. What is the role of magnesium in present day anaesthesia? 10
U
SH

************
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D

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2020

ANAESTHESIOLOGY
PAPER-IV
TIME: 3 HOURS ANS/J/20/01/IV
MAX. MARKS: 100

IMPORTANT INSTRUCTIONS

 This question paper consists of 10 questions divided into Part “A” and part “B”, each part
containing 5 questions.
 Answers to questions of part A and part B are to be strictly attempted in separate answer sheet(s)
and the main + supplementary answer sheet(s) used for each part must be tagged separately.

AR
 Answers to question(s) of Part A attempted in answer sheet(s) of part B or Vice versa shall not be
evaluated.
 Answer sheets of Part A and Part B are not to be tagged together.
 Part A and Part B should be mentioned only on the covering page of the respective answer sheets.
 Attempt all questions in order.

AK
 Each question carries 10 marks.
 Read the question carefully and answer to the point neatly and legibly.
 Do not leave any blank pages between two answers.
 Indicate the question number correctly for the answer in the margin space.

IW
 Answer all the parts of a single question together.
 Start the answer to a question on a fresh page or leave adequate space between two answers.
 Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

D
PART A
L
1. Enumerate the causes, prevention and management of post 3+3+4
U

extubation respiratory distress in ICU.

2. a) Trans-nasal Humidified Rapid-Insufflation Ventilatory 5+5

SH

Exchange [THRIVE].
b) Oral Factor Xa inhibitors.
AN

3. a) Neuraxial ultrasound. 5+5

b) Opioid free anaesthesia.

4. a) Recruitment maneuvers. 5+5

b) Delirium in ICU.
R

5. Discuss WHO ladder for chronic pain. What are its 10

limitations?
D

P.T.O

-1-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2020

ANAESTHESIOLOGY
PAPER-IV

Please read carefully the important instructions mentioned on Page ‘1’

 Answers to questions of Part A and part B are to be strictly attempted in separate answer sheets and the
main + supplementary answer sheets used for each part must be tagged separately.
 Answers to question(s) of Part A attempted in answer sheets of Part B or vice versa shall not be evaluated.

PART B

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6. a) Role of video laryngoscope for intubation in Covid-19 5+5
patients.
b) PPE for airway management during Covid-19 pandemic.

AK
7. a) Post-obstructive pulmonary oedema. 5+5
b) Transfusion related lung injury.

IW
8. a) Temperature management following cardiac arrest from 5+5
non- shockable rhythm.
b) Xenon and its use in anesthesia. D
9. a) Angiotensin II agonist. 5+5
b) Dexmedetomidine.
L
10. a) Hyperchloremic metabolic acidosis. 5+5
b) Heparin induced thrombocytopenia.
U
SH

************
AN
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D

-2-
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HALL.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020

ANAESTHESIOLOGY
PAPER-I

TIME: 3 HOURS ANS/D/20/01/I

MAX. MARKS: 100

IMPORTANT INSTRUCTIONS

 You are provided with 5 answer sheet booklets. Each individual answer

AR
sheet booklet consists of 10 pages excluding the covering jackets.
 This question paper consists of 10 short note questions. Question paper

AK
is divided into 5 Parts - A, B, C, D and E, each part containing 2 questions.
 Answers to questions of part A, part B, part C, part D & part E are to be
strictly attempted in a separate answer sheet booklet which must be later


tagged together at the end of the exam.
IW
No additional supplementary answer sheet booklet will be provided.
D
 Answers to question(s) attempted on an answer sheet booklet for a
different part will not be evaluated.
L

 Part A/Part B /Part C/Part D/Part E should be mentioned on the covering

U

page of the respective answer sheet booklet.

SH

 Attempt all questions in order.

 Each question carries 10 marks.
AN

 Read the question carefully and answer to the point neatly and legibly.
 Do not leave any blank pages between two answers.
 Indicate the question number correctly for the answer in the margin space.
R

 Answer all the parts of a single question together.

D

 Start the answer to a question on a fresh page or leave adequate space

between two answers.
 Draw table/diagrams/flowcharts wherever appropriate.

-1 of 6-
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 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020

ANAESTHESIOLOGY
PAPER-I

PART- A

TIME: 3 HOURS ANS/D/20/01/I

MAX. MARKS: 100

IMPORTANT INSTRUCTIONS

AR
 Answers to questions of part A, part B, part C, part D & part E are to be strictly
attempted in a separate answer sheet booklet which must be later tagged
together at the end of the exam.
 No additional supplementary answer sheet booklet will be provided.

AK
 Answers to question(s) attempted on an answer sheet booklet for a different part
will not be evaluated.
 Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of
the respective answer sheet booklet.

Write short notes on:

PART - A
IW
D
L

1. a) Discuss the implications of autonomic neuropathy in a patient 5+5

U

undergoing general anaesthesia.

b) Describe the non-invasive tests for assessment of autonomic
SH

neuropathy in a diabetic patient.

2. a) Describe the anatomy of the paravertebral space with the help of a 5+5
AN

diagram.
b) Briefly enumerate the methods of providing post-operative
analgesia in a patient of carcinoma breast.
R
D

-2 of 6-
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 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020

ANAESTHESIOLOGY
PAPER-I

PART- B

TIME: 3 HOURS ANS/D/20/01/I

MAX. MARKS: 100

IMPORTANT INSTRUCTIONS

AR
 Answers to questions of part A, part B, part C, part D & part E are to be strictly
attempted in a separate answer sheet booklet which must be later tagged
together at the end of the exam.
 No additional supplementary answer sheet booklet will be provided.

AK
 Answers to question(s) attempted on an answer sheet booklet for a different part
will not be evaluated.
 Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of
the respective answer sheet booklet.

Write short notes on:

PART - B
IW
D
3. a) What is preload and after load? 5+5
L

b) What are the determinants of left ventricular diastolic function?

U

4. a) Pathophysiology of nausea and vomiting. 2+8

SH

b) Pharmacological strategies to prevent nausea and vomiting in

perioperative period.
AN
R
D

-3 of 6-
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 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020

ANAESTHESIOLOGY
PAPER-I

PART- C

TIME: 3 HOURS ANS/D/20/01/I

MAX. MARKS: 100

IMPORTANT INSTRUCTIONS

AR
 Answers to questions of part A, part B, part C, part D & part E are to be strictly
attempted in a separate answer sheet booklet which must be later tagged
together at the end of the exam.
 No additional supplementary answer sheet booklet will be provided.

AK
 Answers to question(s) attempted on an answer sheet booklet for a different part
will not be evaluated.
 Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of
the respective answer sheet booklet.

Write short notes on:

PART - C
IW
D
5. What are the recommendations for the prevention and management of 10
L

operating room fires?

U

6. a) Null hypothesis and “p” value. 5+5

SH

b) Reynolds number and its clinical applications.

AN
R
D

-4 of 6-
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 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020

ANAESTHESIOLOGY
PAPER-I

PART- D

TIME: 3 HOURS ANS/D/20/01/I

MAX. MARKS: 100

IMPORTANT INSTRUCTIONS

AR
 Answers to questions of part A, part B, part C, part D & part E are to be strictly
attempted in a separate answer sheet booklet which must be later tagged
together at the end of the exam.
 No additional supplementary answer sheet booklet will be provided.

AK
 Answers to question(s) attempted on an answer sheet booklet for a different part
will not be evaluated.
 Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of
the respective answer sheet booklet.

Write short notes on:

PART - D
IW
D
7. Discuss the ethical issues: 5+5
L

a) In organ transplantation.
U

b) In children as research subjects.

SH

8. a) Enumerate the changes in the respiratory system in a 75-year-old 5+5

patient.
b) What are the anaesthetic implications if this patient will undergo an
AN

elective upper abdominal surgery under general anaesthesia?

R
D

-5 of 6-
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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020

ANAESTHESIOLOGY
PAPER-I

PART- E

TIME: 3 HOURS ANS/D/20/01/I

MAX. MARKS: 100

IMPORTANT INSTRUCTIONS

AR
 Answers to questions of part A, part B, part C, part D & part E are to be strictly
attempted in a separate answer sheet booklet which must be later tagged
together at the end of the exam.

AK
 No additional supplementary answer sheet booklet will be provided.
 Answers to question(s) attempted on an answer sheet booklet for a different part
will not be evaluated.
 Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of
the respective answer sheet booklet.

Write short notes on:

PART - E
IW
D
L

9. a) Define pregnancy induced hypertension. 2+8

U

b) Briefly discuss its effects on the circulatory system and the

obstetric airway.
SH

10. a) Enumerate the functions of the kidney. 5+5

b) Discuss the counter current mechanism in the kidney with the
AN

help of diagram(s).
R
D

-6 of 6-
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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020

ANAESTHESIOLOGY
PAPER-II

TIME: 3 HOURS ANS/D/20/01/II

MAX. MARKS: 100

IMPORTANT INSTRUCTIONS

 You are provided with 5 answer sheet booklets. Each individual answer
sheet booklet consists of 10 pages excluding the covering jackets.

AR
 This question paper consists of 10 short note questions. Question paper
is divided into 5 Parts - A, B, C, D and E, each part containing 2 questions.
 Answers to questions of part A, part B, part C, part D & part E are to be

AK
strictly attempted in a separate answer sheet booklet which must be later
tagged together at the end of the exam.


IW
No additional supplementary answer sheet booklet will be provided.
Answers to question(s) attempted on an answer sheet booklet for a
D
different part will not be evaluated.

 Part A/Part B /Part C/Part D/Part E should be mentioned on the covering

L

page of the respective answer sheet booklet.

U

 Attempt all questions in order.

SH

 Each question carries 10 marks.

 Read the question carefully and answer to the point neatly and legibly.

AN

Do not leave any blank pages between two answers.

 Indicate the question number correctly for the answer in the margin space.
 Answer all the parts of a single question together.

R

Start the answer to a question on a fresh page or leave adequate space

between two answers.
D

 Draw table/diagrams/flowcharts wherever appropriate.

-1 of 6-
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 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020

ANAESTHESIOLOGY
PAPER-II
TIME: 3 HOURS ANS/D/20/01/II
MAX. MARKS: 100

PART A

IMPORTANT INSTRUCTIONS

 Answers to questions of part A, part B, part C, part D & part E are to be strictly

AR
attempted in a separate answer sheet booklet which must be later tagged
together at the end of the exam.
 No additional supplementary answer sheet booklet will be provided.
 Answers to question(s) attempted on an answer sheet booklet for a different part

AK
will not be evaluated.
 Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of
the respective answer sheet booklet.

Write short notes on:

PART A
IW
D
L

1. a) Explain the anatomy of brachial plexus with the help of a 5+5

U

diagram.
b) Name the various approaches to brachial plexus and explain
SH

any one of them.

2. a) Classify oxygen delivery devices giving examples. 5+5
b) What is the importance of central venous oxygen saturation
AN

(SVO2) in clinical practice?

R
D

-2 of 6-
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 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020

ANAESTHESIOLOGY
PAPER-II
TIME: 3 HOURS ANS/D/20/01/II
MAX. MARKS: 100

PART B

IMPORTANT INSTRUCTIONS

 Answers to questions of part A, part B, part C, part D & part E are to be strictly
attempted in a separate answer sheet booklet which must be later tagged

AR
together at the end of the exam.
 No additional supplementary answer sheet booklet will be provided.
 Answers to question(s) attempted on an answer sheet booklet for a different part
will not be evaluated.

AK
 Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of
the respective answer sheet booklet.

Write short notes on:

PART B IW
D
3. Rifles criteria in acute renal injury. 10

4. a) What is permissive hypercapnia? 5+5

L

b) Enumerate the strategies to be adopted to decrease the

operation theatre pollution.
U
SH
AN
R
D

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 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020

ANAESTHESIOLOGY
PAPER-II
TIME: 3 HOURS ANS/D/20/01/II
MAX. MARKS: 100

PART C

IMPORTANT INSTRUCTIONS

 Answers to questions of part A, part B, part C, part D & part E are to be strictly
attempted in a separate answer sheet booklet which must be later tagged

AR
together at the end of the exam.
 No additional supplementary answer sheet booklet will be provided.
 Answers to question(s) attempted on an answer sheet booklet for a different part
will not be evaluated.

AK
 Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of
the respective answer sheet booklet.

Write short notes on:

PART C
IW
D
5. a) Draw a neat labelled diagram of neuromuscular junction. 4+4+2
b) What are the types of neuromuscular blocking agents?
L

c) Phase 2 block.
U

6. a) Enumerate factors that increase the intracranial pressure. 5+5

SH

b) List the pharmacological methods to reduce the ICP

intraoperatively in a patient undergoing craniotomy.
AN
R
D

-4 of 6-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL.
 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020

ANAESTHESIOLOGY
PAPER-II
TIME: 3 HOURS ANS/D/20/01/II
MAX. MARKS: 100

PART D

IMPORTANT INSTRUCTIONS

 Answers to questions of part A, part B, part C, part D & part E are to be strictly
attempted in a separate answer sheet booklet which must be later tagged

AR
together at the end of the exam.
 No additional supplementary answer sheet booklet will be provided.
 Answers to question(s) attempted on an answer sheet booklet for a different part
will not be evaluated.

AK
 Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of
the respective answer sheet booklet.

Write short notes on:

PART D
IW
D
7. Principles of management of a young diabetic in ketoacidosis, 10
brought to the emergency department.
L
U

8. a) What is the point of care coagulation testing and its importance 5+5
in peri-op period?
SH

b) Blood components and its uses.

AN
R
D

-5 of 6-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL.
 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020

ANAESTHESIOLOGY
PAPER-II
TIME: 3 HOURS ANS/D/20/01/II
MAX. MARKS: 100
PART E

IMPORTANT INSTRUCTIONS

 Answers to questions of part A, part B, part C, part D & part E are to be strictly
attempted in a separate answer sheet booklet which must be later tagged
together at the end of the exam.

AR
 No additional supplementary answer sheet booklet will be provided.
 Answers to question(s) attempted on an answer sheet booklet for a different part
will not be evaluated.
 Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of

AK
the respective answer sheet booklet.

Write short notes on:

PART E IW
D
9. a) Jet ventilation - techniques & complications. 5+5
b) TIVA - techniques and drugs commonly used.
L

10. Guidelines for segregation of biomedical waste and disposal. 10

U
SH

*************
AN
R
D

-6 of 6-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020

ANAESTHESIOLOGY
PAPER-III

TIME: 3 HOURS ANS/D/20/01/III

MAX. MARKS: 100

IMPORTANT INSTRUCTIONS

 You are provided with 5 answer sheet booklets. Each individual answer sheet

AR
booklet consists of 10 pages excluding the covering jackets.
 This question paper consists of 10 short note questions. Question paper is

AK
divided into 5 Parts - A, B, C, D and E, each part containing 2 questions.
 Answers to questions of part A, part B, part C, part D & part E are to be strictly
attempted in a separate answer sheet booklet which must be later tagged

IW
together at the end of the exam.
 No additional supplementary answer sheet booklet will be provided.
D
 Answers to question(s) attempted on an answer sheet booklet for a different
part will not be evaluated.
L
 Part A/Part B /Part C/Part D/Part E should be mentioned on the covering
U

page of the respective answer sheet booklet.

SH

 Attempt all questions in order.

 Each question carries 10 marks.

AN

Read the question carefully and answer to the point neatly and legibly.
 Do not leave any blank pages between two answers.
 Indicate the question number correctly for the answer in the margin space.
 Answer all the parts of a single question together.
R

 Start the answer to a question on a fresh page or leave adequate space between
D

two answers.
 Draw table/diagrams/flowcharts wherever appropriate.

-1 of 6-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020

ANAESTHESIOLOGY
PAPER-III
TIME: 3 HOURS ANS/D/20/01/III
MAX. MARKS: 100
PART-A

IMPORTANT INSTRUCTIONS

 Answers to questions of part A, part B, part C, part D & part E are to be strictly

AR
attempted in a separate answer sheet booklet which must be later tagged together
at the end of the exam.
 No additional supplementary answer sheet booklet will be provided.
 Answers to question(s) attempted on an answer sheet booklet for a different part

AK
will not be evaluated.
 Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of the
respective answer sheet booklet.

IW
Write Short notes on:

PART-A
D
1. a) Define brain death. 2+4+4
b) Enumerate the steps to diagnose brain death.
L
c) Anaesthetic management of brain dead for organ retrieval.
U

2. a) Discuss awareness during anaesthesia, and its prevention. 5+5

b) Enumerate the discharge criteria for patient coming for day care
SH

surgery.
AN
R
D

-2 of 6-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020

ANAESTHESIOLOGY
PAPER-III
TIME: 3 HOURS ANS/D/20/01/III
MAX. MARKS: 100
PART-B

IMPORTANT INSTRUCTIONS

 Answers to questions of part A, part B, part C, part D & part E are to be strictly

AR
attempted in a separate answer sheet booklet which must be later tagged together
at the end of the exam.
 No additional supplementary answer sheet booklet will be provided.
 Answers to question(s) attempted on an answer sheet booklet for a different part

AK
will not be evaluated.
 Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of the
respective answer sheet booklet.

IW
Write Short notes on:

PART-B
D
3. Pre-op evaluation and anaesthetic management of an uncontrolled diabetic 10
L
patient posted for emergency below knee amputation.
U

4. a) Management of hepato-renal syndrome in obstructive jaundice. 5+5

SH

b) Modified Child Pugh criteria and its anaesthetic implications.

AN
R
D

-3 of 6-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020

ANAESTHESIOLOGY
PAPER-III
TIME: 3 HOURS ANS/D/20/01/III
MAX. MARKS: 100
PART-C

IMPORTANT INSTRUCTIONS

 Answers to questions of part A, part B, part C, part D & part E are to be strictly

AR
attempted in a separate answer sheet booklet which must be later tagged together
at the end of the exam.
 No additional supplementary answer sheet booklet will be provided.
 Answers to question(s) attempted on an answer sheet booklet for a different part

AK
will not be evaluated.
 Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of the
respective answer sheet booklet.

IW
Write Short notes on:

PART-C
D
5. Anaesthetic management of 30-year-old primi with mitral stenosis with 10
L
moderate pulmonary hypertension scheduled for an elective LSCS.
U

6. a) APGAR scoring and its relevance. 3+4+3

SH

b) Colloids solutions - merits and demerits.

c) Local anaesthetic toxicity.
AN
R
D

-4 of 6-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020

ANAESTHESIOLOGY
PAPER-III
TIME: 3 HOURS ANS/D/20/01/III
MAX. MARKS: 100
PART-D

IMPORTANT INSTRUCTIONS

 Answers to questions of part A, part B, part C, part D & part E are to be strictly

AR
attempted in a separate answer sheet booklet which must be later tagged together
at the end of the exam.
 No additional supplementary answer sheet booklet will be provided.
 Answers to question(s) attempted on an answer sheet booklet for a different part

AK
will not be evaluated.
 Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of the
respective answer sheet booklet.

IW
Write Short notes on:

PART-D
D
7. a) Post tonsillectomy bleeding. 5+5
L
b) Modified Mallampatti and its predictability of difficult airway.
U

8. a) Indications of off pump CABG. 2+(4+2+2)

b) Technique, advantages and disadvantages of off-pump bypass.
SH
AN
R
D

-5 of 6-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020

ANAESTHESIOLOGY
PAPER-III
TIME: 3 HOURS ANS/D/20/01/III
MAX. MARKS: 100
PART-E

IMPORTANT INSTRUCTIONS

 Answers to questions of part A, part B, part C, part D & part E are to be strictly

AR
attempted in a separate answer sheet booklet which must be later tagged together
at the end of the exam.
 No additional supplementary answer sheet booklet will be provided.
 Answers to question(s) attempted on an answer sheet booklet for a different part

AK
will not be evaluated.
 Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of the
respective answer sheet booklet.

IW
Write Short notes on:

PART-E
D
9. a) Inodilators and its uses. 5+5
L
b) Compare and Contrast Sevoflurane and Desflurane.
U

10. Anaesthetic considerations and anaesthetic management of a 25-year- 10

old female posted for oocyte retrieval in IVF suite.
SH
AN

************
R
D

-6 of 6-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020

ANAESTHESIOLOGY
PAPER-IV

TIME: 3 HOURS ANS/D/20/01/IV

MAX. MARKS: 100

IMPORTANT INSTRUCTIONS

 You are provided with 5 answer sheet booklets. Each individual answer sheet

AR
booklet consists of 10 pages excluding the covering jackets.
 This question paper consists of 10 short note questions. Question paper is
divided into 5 Parts - A, B, C, D and E, each part containing 2 questions.

AK
 Answers to questions of part A, part B, part C, part D & part E are to be strictly
attempted in a separate answer sheet booklet which must be later tagged

IW
together at the end of the exam.
 No additional supplementary answer sheet booklet will be provided.
D
 Answers to question(s) attempted on an answer sheet booklet for a different
part will not be evaluated.
L
 Part A/Part B /Part C/Part D/Part E should be mentioned on the covering
U

page of the respective answer sheet booklet.

SH

 Attempt all questions in order.

 Each question carries 10 marks.
 Read the question carefully and answer to the point neatly and legibly.
AN

 Do not leave any blank pages between two answers.

 Indicate the question number correctly for the answer in the margin space.
 Answer all the parts of a single question together.
R

 Start the answer to a question on a fresh page or leave adequate space between
D

two answers.
 Draw table/diagrams/flowcharts wherever appropriate.

-1 of 6-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020

ANAESTHESIOLOGY
PAPER-IV

TIME: 3 HOURS ANS/D/20/01/IV

MAX. MARKS: 100
PART-A

IMPORTANT INSTRUCTIONS

AR
 Answers to questions of part A, part B, part C, part D & part E are to be strictly
attempted in a separate answer sheet booklet which must be later tagged together
at the end of the exam.
 No additional supplementary answer sheet booklet will be provided.

AK
 Answers to question(s) attempted on an answer sheet booklet for a different part
will not be evaluated.
 Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of the
respective answer sheet booklet.

IW
Write Short notes on:
PART - A
D
1. a) HFNO – High Frequency Nasal Oxygenation 5+5
b) Oral Xa inhibitors.
L
2. Newer Ventilatory modes for ARDS. 10
U
SH
AN
R
D

-2 of 6-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020

ANAESTHESIOLOGY
PAPER-IV

TIME: 3 HOURS ANS/D/20/01/IV

MAX. MARKS: 100
PART-B

IMPORTANT INSTRUCTIONS

AR
 Answers to questions of part A, part B, part C, part D & part E are to be strictly
attempted in a separate answer sheet booklet which must be later tagged together
at the end of the exam.
 No additional supplementary answer sheet booklet will be provided.

AK
 Answers to question(s) attempted on an answer sheet booklet for a different part
will not be evaluated.
 Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of the
respective answer sheet booklet.

IW
Write Short notes on:
PART - B
D
3. a) Enumerate CT changes in Covid-19. 5+5
b) Protocol for management of Covid-19 pneumonia.
L
U

4. a) Sugammadex. 5+5
b) Angiotensin 2 agonist.
SH
AN
R
D

-3 of 6-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020

ANAESTHESIOLOGY
PAPER-IV

TIME: 3 HOURS ANS/D/20/01/IV

MAX. MARKS: 100
PART- C

IMPORTANT INSTRUCTIONS

AR
 Answers to questions of part A, part B, part C, part D & part E are to be strictly
attempted in a separate answer sheet booklet which must be later tagged together
at the end of the exam.
 No additional supplementary answer sheet booklet will be provided.

AK
 Answers to question(s) attempted on an answer sheet booklet for a different part
will not be evaluated.
 Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of the
respective answer sheet booklet.

IW
Write Short notes on:
PART – C
D
5. a) Define chronic pain. 2+8
b) Discuss the different modalities to manage cancer pain.
L
6. A 40-year old male with post gunshot wound to the left lower 2+8
U

extremity presented with severe pain and trophic skin changes of

the left foot. What is your diagnosis and how would you manage
SH

this patient?
AN
R
D

-4 of 6-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020

ANAESTHESIOLOGY
PAPER-IV

TIME: 3 HOURS ANS/D/20/01/IV

MAX. MARKS: 100
PART- D

IMPORTANT INSTRUCTIONS

AR
 Answers to questions of part A, part B, part C, part D & part E are to be strictly
attempted in a separate answer sheet booklet which must be later tagged together
at the end of the exam.
 No additional supplementary answer sheet booklet will be provided.

AK
 Answers to question(s) attempted on an answer sheet booklet for a different part
will not be evaluated.
 Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of the
respective answer sheet booklet.

IW
Write Short notes on:
PART – D
D
7. What are the indications for a coeliac plexus block? Describe one 2+(4+4)
L
approach and the complications of this technique.
U

8. Define transfusion related acute lung injury (TRALI). Discuss its 2+(4+4)
SH

pathogenesis and management.

AN
R
D

-5 of 6-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020

ANAESTHESIOLOGY
PAPER-IV

TIME: 3 HOURS ANS/D/20/01/IV

MAX. MARKS: 100
PART- E

IMPORTANT INSTRUCTIONS

AR
 Answers to questions of part A, part B, part C, part D & part E are to be strictly
attempted in a separate answer sheet booklet which must be later tagged together
at the end of the exam.
 No additional supplementary answer sheet booklet will be provided.

AK
 Answers to question(s) attempted on an answer sheet booklet for a different part
will not be evaluated.
 Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of the
respective answer sheet booklet.

IW
Write Short notes on:
PART – E
D
9. What is evidence-based medicine? How would you apply the 10
L
process to your clinical practice?
U

10. A 75-year old woman with herpes zoster of the right side of the 3+3+4
SH

face is referred to you for pain treatment.

a) How will you evaluate and treat her?
b) She has thoracic lesions. What is your treatment?
c) Will pain relief influence the course of her infection and
AN

neuralgia? Explain.

************
R
D

-6 of 6-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.