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Kerala PSC Assistant Professor in Cardio Vascular and Thoracic Surgery – Medical Education Services Previous Question Paper – 003/2021/OL

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Post NameAssistant Professor in Cardio Vascular and Thoracic Surgery - Medical Education Services
Question Paper Code003/2021/OL
Category Code014/2020
Date of Test4 March 2021
Medium of QuestionENGLISH
Exam TypeOnline Examination
Total Questions100
1
The Inferior Vena Cava (IVC) opening in the diaphragm in adults is at the level of
Answer
B. T8
2
PAPVC is frequently associated with which type of ASD ?
Answer
D. Sinus venosus type
3
Triangle of Koch is related to all EXCEPT
Answer
C. Inferior Vena Cava
4
In a normal heart all the following veins drains into the left atrium EXCEPT
Answer
B. Anterior cardiac vein
5
Based on which arterial supply of heart determines the dominance of the system ?
Answer
C. Posterior descending artery
6
In which condition you get pulsus parvus-et-tardus ?
Answer
D. Aortic stenosis
7
In total circulatory arrest, the level of hypothermia achieved is
Answer
A. 15 - 18°C
8
Following can be branches arising from Left Circumflex EXCEPT
Answer
D. Acute marginal artery
9
Normal mixed venous saturation ranges from
Answer
C. 60 - 80%
10
Normal pulmonary artery wedge pressure ranges from
Answer
B. 6-12 mm of Hg
11
Normal Pulmonary vascular resistance ranges from
Answer
C. 155 - 255 dynes/sec/ 𝑐𝑚
12
Normal Cardiac index ranges from
Answer
D. 2.5 - 4 L/min/ 𝑚 2
13
Following are CT radiological features of traumatic aortic rupture in majority of cases EXCEPT
Answer
A. Right hemothorax
14
About MUGA following statements are correct EXCEPT
Answer
D. Defects observed during stress are indicative of areas of ventricular scar
15
Structures commonly compressed in Thoracic outlet syndrome are all EXCEPT
Answer
C. Phrenic nerve
16
Indications for Emergency Room Thoracotomy are all EXCEPT
Answer
B. Blunt thoracic injuries with no previously witnessed cardiac activity
17
Trauma score in a case of blunt cardiac injury causing valvular insufficiency is
Answer
C. 4
18
Absolute contraindications of VATS in Thoracic Trauma includes all EXCEPT
Answer
A. Treatment for ongoing thoracic hemorrhage
19
Benign lung tumor of epithelial origin is
Answer
D. Pleomorphic adenoma
20
Alveolitic Interstial lung disease is seen in
Answer
C. Goodpastures syndrome
21
Selection criteria for lung volume reduction surgery include all EXCEPT
Answer
A. Bronchiectasis
22
Indications of lung transplant include all EXCEPT
Answer
B. Severe PAH with MODS
23
7 station of lymph node for staging non small cell Carcinoma of lung is
Answer
B. Subcarinal node
24
Which describes the thoraco abdominal aortic aneurysm repair ?
Answer
D. Crawford classification
25
Adamkiewicz artery is
Answer
C. Largest radicular artery supplying spinal cord
26
Closed mitral commissurotomy is most commonly performed through
Answer
B. Left Anterolateral thoracotomy
27
Surgery involving replacement of aortic root with pulmonary autograft is
Answer
D. Ross procedure
28
Life long oral anticoagulants is advised to all except
Answer
C. MVR with bioprosthetic valve
29
The class I recommendations for aortic valve replacement in patients with AS are all EXCEPT
Answer
A. Patients with moderate AS who are undergoing cardiac surgery for another indication
30
Nicks Nunez is an aortic root enlargement technique which involves
Answer
A. A vertical incision through the commissure between the left coronary and the noncoronary cusp and extending down in the interleaflet triangle
31
Wilkins score is to assess disease of
Answer
B. Mitral valve
32
In Carpentier's functional classification of Mitral regurgitation, Type II will have the following pathophysiological changes
Answer
D. Increased leaflet motion above annular plane (leaflet prolapse), Chordal elongation or rupture, Degenerative diseases/Infective endocarditis
33
Closed mitral valvotomy can be done in all the following condition EXCEPT
Answer
A. Presence of commissural calcification
34
Following are not Selection Criteria for Lung Metastasectomy EXCEPT
Answer
B. Can perform a complete resection of the metastases
35
Hernia associated with defected development of pleuroperitoneal membrane is
Answer
A. Bochdalek hernia
36
Most common type of Esophageal Atresia (EA) is
Answer
A. EA with distal Tracheo Esophageal Fistula (TEF)
37
Benign esophageal tumor arising from submucosa is
Answer
C. Fibroma
38
Following are techniques of esophagectomy EXCEPT
Answer
A. Nissens procedure
39
Most common systemic disease associated with thymoma is
Answer
B. Myesthenia Gravis
40
Posterior mediastinal neurogenic tumor arising from sympathetic ganglia is
Answer
A. Neuroblastoma
41
End Diastolic Pressure Volume Relationship (EDPVR) is affected by all EXCEPT
Answer
C. Atrial suction
42
Benefits of CABG compared to PTCA are all EXCEPT
Answer
A. Quicker recovery from initial procedure
43
Cangrelor is
Answer
B. P2Y12 inhibitor
44
Abciximab is
Answer
A. Glycoprotein inhibitor
45
Which drug causes no change in low doses in Systemic Vascular Resistance (SVR) and Pulmonary Artery Wedge Pressure (PAWR) but increases both in higher doses ?
Answer
B. Dopamine
46
Following are valve sparing ascending aortic or aortic root repair procedures EXCEPT
Answer
D. Bendall's procedure
47
Major criteria of Cardiovascular system seen in Marfan Syndrome is
Answer
C. Aortic Root Dilatation
48
Following Thoracic Endovascular Aortic Repair (TEVAR), Type IV endoleak is due to
Answer
A. Graft wall porosity
49
Clinical grading system for Peripheral Occlusive Vascular Disease (POVD) is
Answer
B. Rutherford scale
50
All are sutureless valves EXCEPT
Answer
A. Perimount valve
51
Stentless valve is
Answer
D. Prima plus valve
52
De Vega annuloplasty is done for the repair of
Answer
C. Tricuspid valve
53
Modified Duke criteria is for the diagnosis of
Answer
B. Infective endocarditis
54
Implantable Cardioverter Defibrillator (ICD) therapy is contraindicated in all EXCEPT
Answer
A. Patient with LVEF < 35% due to prior MI, more than 40 days post MI, NYHA - class II
55
Contour 3D ring is used for the repair of
Answer
C. Tricuspid regurgitation
56
SYNTAX study compares
Answer
D. CABG VS PCI
57
Following Mechanical circulatory support device can be placed percutaneously EXCEPT
Answer
C. LVAD
58
About SynCardia following statement is/are correct. Choose the correct option (i) Right ventricular assist device (ii) Left ventricular assist device (iii) Biventricular assist device
Answer
C. Only (iii) is correct
59
Most common cause of heart failure requiring heart transplantion is
Answer
B. Cardiomyopathy
60
Surgically placed mechanical circulatory support devices are the following EXCEPT
Answer
B. Tandem heart
61
Most common malignant sarcoma of heart is
Answer
A. Angiosarcoma
62
Development of heart completes by
Answer
B. 10 weeks
63
For survival after birth, patency of ductus arteriosus dependent congenital heart diseases are all EXCEPT
Answer
B. PAPVC
64
Long term mechanical circulatory support device are all EXCEPT
Answer
D. Impella
65
Post tricuspid acyanotic congenital heart disease is
Answer
A. Patent ductus arteriosus
66
3 generation mechanical circulatory support devices are all EXCEPT
Answer
A. Heartmate II
67
Grade 4 murmur is
Answer
D. Loud with palpable thrill
68
Cyanotic congenital heart disease with low pulmonary blood flow and no PAH is
Answer
D. Ebstein anomaly
69
Rib notching in chest X-ray is seen in
Answer
B. CoA
70
Left superior vena cava is due to persistence of
Answer
B. Left anterior cardinal vein
71
Seen in Scimitar syndrome is
Answer
C. Hypoplastic right pulmonary artery and right lung
72
Type 2 TAPVC is
Answer
A. Cardiac type
73
ASD due to endocardial cushion defect is
Answer
A. Ostium primum ASD
74
Children with which chromosomal abnormality will have most congenital cardiovascular malformation ?
Answer
C. Trisomy 21
75
According to Kirklins classification Type I Ventricular Septal Defect is
Answer
D. Supracristal infundibular VSD
76
Gerbode defect is
Answer
C. Defect between LV and RA
77
Regarding indications for surgical closure of VSD, which statement is correct i. Refractory heart failure ii. Development of AR iii. Asymptomatic older children with Qp/Qs greater than 2 : 1
Answer
D. All i, ii, iii is correct
78
Rastelli classification is for
Answer
A. Complete AV canal defect
79
Gibson murmur is seen in
Answer
B. PDA
80
Cap of Zinn in Chest X-ray is seen in
Answer
A. PDA
81
Regarding aortopulmonary window, most common type is due to
Answer
A. Proximal defect
82
The type of Aneurysm of Sinus of Valsalva, which is most commonly associated with VSD is ?
Answer
C. Type II
83
RVOT obstruction can be due to all the following EXCEPT
Answer
D. Tricuspid atresia
84
Type A interrupted aortic arch is
Answer
B. Distal to left subclavian artery
85
Cyanotic spell in Tetrology of Fallot (TOF) is due to atrial tachycardia was proposed by
Answer
D. Young's theory
86
Type IV Aneurysm of Sinus of Valsalva ruptures into
Answer
C. Right Atrium
87
Sub valvular LVOT obstruction is due to
Answer
B. Hypertrophic obstructive cardiomyopathy
88
Following indices are considered for prediction of success of Intra Cardiac Repair in TOF EXCEPT
Answer
A. Goldman risk index
89
Advantage of Balloon pulmonary valvotomy are all EXCEPT
Answer
C. The need of transannular patch is reduced by 80%
90
Palliative procedure augmenting pulmonary blood flow in TOF are all EXCEPT
Answer
B. Intracardiac repair
91
Taussig Bing anomaly is
Answer
B. DORV with sub pulmonary VSD
92
Arterial switch operation for dTGA is
Answer
A. Jatene operation
93
Indication for IABP insertion includes all the following EXCEPT
Answer
B. Severe aortic regurgitation
94
Norwood procedure is done for
Answer
C. Hypoplastic left heart syndrome
95
Closed mitral valvotomy is done using
Answer
D. Tubb's dilator
96
Conduits most commonly used for CABG are all EXCEPT
Answer
B. Intercostal vein
97
Type I Cor triatriatum is
Answer
C. Accessory atrial chamber receives all PV and communicates with LA
98
Hammock valve causes
Answer
A. Left ventricular inflow obstruction
99
The type of Tricuspid atresia associated with Truncus Arteriosus is
Answer
D. Type IV
100
Based on Carpentiers classification, Type C Ebsteins anomaly is
Answer
D. Anterior leaflet mobility is limited, RVOT is severely obstructed

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