Basic Sciences Applied to Vascular Surgery 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 : 1851/BASIC SCIENCES APPLIED TO VASCULAR SURGERY
Paper : I
Document Type : Question Bank
Website : web.tnmgrmu.ac.in

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Basic Sciences Applied to Vascular Surgery :

August 2008 :
Sub. Code: 1851
M.Ch. DEGREE EXAMINATION
(Higher Specialities)
(Revised Regulations)

Related : The Tamilnadu Dr. M.G.R. Medical University Surgical Oncology-II M.Ch Question Bank : www.pdfquestion.in/4592.html

Branch VIII – VASCULAR SURGERY
Paper I – BASIC SCIENCES APPLIED TO VASCULAR SURGERY
Q.P. Code: 181851
Time: Three hours
Maximum: 100 Marks
ANSWER ALL QUESTIONS :
Draw suitable diagrams wherever necessary. :
I. Essays: (2 x 20 = 40)
1. Discuss Genetic manipulations in vascular disease.
2. Discuss the anatomy and physiology of the autogeneous vein and techniques of vein graft preparation.
II. Write short notes on: (10 x 6 = 60)
1. Development of lower extremity arterial system.
2. Plaque morphology and evolution of atherosclerotic lesions.
3. Physiological indices in assessment of PAOD.
4. Types of plethysmography and significance in management of venous disorder.
5. IA DSA.
6. Direct thrombin inhibitors.
7. Protamine sulphate.
8. Role of prostaglandins in vascular surgery.
9. CPRS.
10.APLA syndrome.

August 2011 :
I. Elaborate on :
1. Discuss in detail about the etiopathogenesis and management of Takayasu’s arteritis.
2. Discuss in detail about the anatomy of arterial wall and thrombo modulation by endothelium.
II. Write notes on :
1. Anomalies of IVC.
2. Unfractionated Heparin.
3. Laplace law.
4. Lipoprotein (a).
5. Fondaparinoux.
6. Radiation Arteritis.
7. Venous Aneurysms.
8. Peroneal artery exposure.
9. Persistent sciatic artery.
10. Abdominal compartment syndrome.

August 2009 :
I. Essays: (2 x 20 = 40)
1. Describe the anatomy and physiological features of the arterial wall and describe briefly the regulation of thrombosis by the endothelium.
2. Describe the anatomy and surgical exposure of the carotid bifurcation and internal carotid artery.
II. Write short notes on: (10 x 6 = 60)
1. Platelet derived growth factor (PDGF).
2. Aprotinin.
3. Vitamin K dependent coagulation factors.
4. Protein C and Protein S.
5. Fibrous plaque.
6. Antioxidants.
7. Risk factors for atherosclerotic disease.
8. Expanded polytetrafluro ethylene graft.
9. Popliteal entrapment syndrome.
10. L arginine.

AUGUST 2012 :
I. Elaborate on :
1. Describe the anatomy of abdominal aorta and its major Branches with illustrations. Give a detailed account of Mesentericcollateral circulation.
2. Discuss the Hemodynamics, patho physiology and Current management of Arterio-Venous Fistula.
II. Write notes on:
1. Exposure of left Subclavian Artery.
2. Anatomy of Deep-Femoral Artery.
3. Popliteal Artery Aneurysms.
4. Persistent Sciatic Artery.
5. Blood Supply to Spinal Cord.
6. Smoking and Vascular Disease.
7. Anatomy and importance of arches of the foot.
8. Surgical exposure of Peroneal Artery.
9. Graft surveillance.
10. Pharmacology of Fonda.

AUGUST 2013 :
I. Elaborate on: (2X15=30)
1. Biology of arterial wall and discuss in detail endothelial dysfunction and chemical mediators.
2. Non invasive arterial physiologic assessment in vascular laboratory.
II. Write notes on: (10X7=70)
1. Development of Abdominal Aorta.
2. Persistent Sciatic Artery.
3. Collateral pathways in Aorto iliac occlusion.
4. Calf Muscle pump.
5. Trans Cranial Doppler.
6. Anatomy of Circle of Willis.
7. Reperfusion Injury.
8. Intra Vascular Ultra Sound.
9. Intimal Hyperplasia .
10. N-acetyl cysteine.

Theory Syllabus :
The Specialty of Vascular Surgery is an upcoming surgical specialty in INDIA and has evolved out as the specialty of general surgery. The Vascular Surgery Syllabus and the ability at the completion of training to manage a vascular emergency ‘take’, provide a common purpose across the specialty of Vascular Surgery.

The major areas of special interest associated with the specialty of Vascular Surgery are listed below, each involving the acquisition of both open and endovascular / endovenous competencies to include relevant imaging skills :
** Aortic
** Carotid
** Limb salvage
** Vascular Access
** Reno – vascular
** Visceral

In addition to these clearly defined disease-based areas of special interest there are others that are less well developed within the syllabus but represent substantial areas of practice :
** Vascular Surgery related to trauma
** The Vascular Surgery of Childhood
** Vascular medicine

The variations in the scope of practices within the specialty are highly variable and largely shaped by local circumstances, the needs of the service and the personal development of the surgeons delivering those services.

All vascular surgeons will be given the opportunity to develop an area of special expertise by the time they gain their M.Ch Degree and some will then go on to include that area as a major part of their consultant practice as their individual careers develop.

There is also significant shared (‘Interface’) practice with other specialties and subspecialties such as interventional radiology, cardiology, cardiothoracic surgery, Diabetology, Geriatric medicine, Nephrology, transplant surgery and Neurology.

Areas of Special Interest :
** Superficial and Deep venous disease
** Lower limb ischaemia (acute and chronic)
** Upper limb ischemia (acute and chronic)
** Aortic aneurysmal disease
** Peripheral artery aneurysms

** Vascular accesses
** Reno vascular disease
** Carotid artery disease
** Mesenteric vascular disease
** Vascular trauma

** Hyperhidrosis
** Lymphoedema
** Endovascular Interventions
** Thoracic outlet syndrome
** Diabetic foot