FC Cardio(SA) Final

THE COLLEGES OF MEDICINE OF SOUTH AFRICA

Incorporated Association not for gain Reg No 1955/000003/08

Final Examination for the Fellowship of the College of Cardiothoracic Surgeons of South Africa 23 August 2012 Paper 1 (3 hours)
All questions are to be answered. Each question to be answered in a separate book (or books if more than one is required for the one answer) Al die vrae moet beantwoord word. Elke vraag moet in n aparte boek (of boeke indien meer as een nodig is vir n vraag) geskryf word

a) b) c) d)

Discuss the investigations used to diagnose an oesophageal carcinoma. Discuss the surgical options for management of a tuberculous empyema. Enumerate the indications for bronchoscopy. Describe the procedure of mediastinoscopy for lymph node sampling.

(30) (40) (15) (15) [100]

a) b) c) d)

Bespreek die ondersoeke wat gebruik sal word om slukderm karsinoom te diagnoseer. (30) Bespreek die chirurgiese opsies in die behandeling van tuberkuleuse empieem. (40) Lys die indikasies vir brongoskopie. (15) Beskryf die prosedure van medianoskopie vir limf node biopsies. (15) [100]

Discuss a) The role of cerebral oximetric monitoring during cardiac surgery. (40) b) The current practice of transcatheter aortic valve implantation as evidenced by recent trial data. (30) c) The utility of composite grafts for coronary artery bypass surgery. (30) [100] Bespreek a) Die rol van serebrale oksimetriese monitering gedurende kardiale chirurgie. (40) b) Die huidige praktyk van trans kateter aorta klep implantasie soos uitkomste van onlangse reekse se data resultate uitwys. (30) c) Die gebruik van saamgestelde prosteses vir koronre vat omleidings chirurgie. (30) [100]

PTO/ Page 2 Question 3...

-23 Discuss Atrial Fibrillation (AF) under the following headings a) Prevalence and natural history of AF in the elderly. (10) b) Pros and cons of various modalities used in the treatment of AF. (50) c) Objectives of Cox Maze 111 procedure in the treatment of AF. (15) d) Corridor procedure. (10) e) Amputation of left atrial auricle in AF surgery, when to do it and when not to do? (15) (100) Bespreek Atriale Fibrillasie onder die volgende hoofde: a) Insidensie en natuurlike verloop van AF in bejaardes. (10) b) Voordele en nadele van verskillende behandelings modaliteite vir AF. (50) c) Doelwitte van die Cox Maze 111 proseduur in die behandeling van AF. (15) d) Corridor prosedure. (10) e) Amputasie van die linker atriale aurikel met betrekking tot AF chirurgie. Wanneer om dit te doen en wanneer nie. (15) [100]

FC Cardio(SA) Final

THE COLLEGES OF MEDICINE OF SOUTH AFRICA

Incorporated Association not for gain Reg No 1955/000003/08

Final Examination for the Fellowship of the College of Cardiothoracic Surgeons of South Africa 24 August 2012 Paper 2 (3 hours)
All questions are to be answered. Each question to be answered in a separate book (or books if more than one is required for the one answer) Al die vrae moet beantwoord word. Elke vraag moet in n aparte boek (of boeke indien meer as een nodig is vir n vraag) geskryf word

a) b) c)

List the classification of Tricuspid Atresia. (20) Describe the initial management of a patient with Tricuspid Atresia presenting to you as a neonate or infant. (30) Describe briefly the subsequent management of the patient with Tricuspid Atresia with emphasis on the criteria for deciding on the timing of subsequent operative interventions. (50) [100] Lys die klassifikasie van Trikuspidale Atresie. (20) Beskryf die aanvanklike behandeling van n pasint met Tricupidale Atresie wat presenteer as neonaat of jong baba. (30) Beskryf kortliks die daaropvolgende hantering van n pasint met Trikuspidale Atresie met klem op die kriteria vir die tydsbepaling van latere operatiewe ingrepe. (50) [100]

a) b) c)

Discuss a) The radiological diagnosis of congenital lung disease. (30) b) The options for endobronchial tumour management in bronchial carcinoma. (40) c) Risk factors for anastomotic disruption in oesophageal surgery. (30) [100] Bespreek a) Die radiologiese diagnose van kongenitale long siekte. (30) b) Die opsies vir die hantering van endobrongiale tumor in brongus karsinoom. (40) c) Die risiko faktore vir anastomose afbraak in eosophageale chirurgie. (30) [100]

PTO/ Page 2 Question 3...

-2-

a)

b) c)

A patient presents to you for the surgical management of an ascending aortic aneurysm commencing distal to the sinotubular junction and involving the proximal arch of the aorta. There is no aortic incompetence, and unobstructed coronary arteries. Describe briefly your operative management of the patient with emphasis on protecting the various organs and tissues at risk from ischaemic damage. (40) List the options available for treating a descending thoracic aortic aneurysm involving the origin of the left subclavian artery. (20) A patient presents with a large descending thoracic aortic aneurysm involving the distal arch of the aorta. Describe briefly your operative management of the patient with emphasis on protecting the organs and tissues at risk of ischaemic damage. (40) [100] n Pasint presenteer vir chirurgiese hantering van n stygende aorta aneurisma vanaf die sinu-tubulre aansluiting tot by die proksimale deel van die aortaboog. Daar is geen aorta inkompetensie nie, en normale kroonare. Beskryf kortliks u operatiewe hantering van die pasint met klem op die beskerming van die verskillende organe en weefsel strukture teen isgemiese skade. (40) Lys die opsies vir die behandeling van n dalende torakale aorta aneurisma wat die oorsprong van die linker subklaviese arterie betrek. (20) n Pasint presenteer met n groot dalende torakale aorta aneurisma wat ook die distale aorta boog betrek. Beskryf kortliks u operatiewe hantering van die pasint met klem op die beskerming van die verskillende organe en weefsel strukture teen isgemiese skade. (40) [100]

a)

b) c)