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AIIMS Pioneers Conscious Spinal Surgery

AIIMS has achieved a milestone by performing ambulatory spinal fusion surgeries with patients fully conscious and discharged on the same day, led by Professor Rajesh Malhotra and Dr. Puneet Khanna. This innovative approach aims to maximize resource potential in Indian hospitals and reduce patient waiting times, while also decreasing hospital costs and infection risks. The document discusses the benefits of this technique for both patients and healthcare systems.

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0% found this document useful (0 votes)
37 views9 pages

AIIMS Pioneers Conscious Spinal Surgery

AIIMS has achieved a milestone by performing ambulatory spinal fusion surgeries with patients fully conscious and discharged on the same day, led by Professor Rajesh Malhotra and Dr. Puneet Khanna. This innovative approach aims to maximize resource potential in Indian hospitals and reduce patient waiting times, while also decreasing hospital costs and infection risks. The document discusses the benefits of this technique for both patients and healthcare systems.

Uploaded by

ana
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Sample Paper-8

SECTION A : READING SKILLS (22 marks)


1. Read the text carefully and answer the questions:
1. AIIMS has become the first medical institute in South Asia to carry out a
surgical procedure with the patient fully conscious and unanaesthetised and
being discharged within a day, as in an outpatient department. In the past month,
the spinal surgery team led by Professor Rajesh Malhotra and the anaesthesia
team under Dr Puneet Khanna planned and executed four ‘ambulatory’ spinal
fusion surgeries in which the patients remained awake throughout the procedure
and were allowed to leave on the same day of the surgery.
2. The first case was that of a 40-year-old female patient. “There was a slippage
of the vertebra. Normally, we do it under general anaesthesia, but in this
particular case, we gave injections in the spine and using a special ultrasound
guided thoracolumbar in Ter fascial plane (TLIP) block and advanced surgical
techniques to anaesthetise the specific area of surgery,” disclosed Dr Bhavuk
Garg, orthopaedics professor.
3. The patient was monitored for four hours after the procedure until the effects
of the spinal anaesthesia wore off. She was then discharged the same day on
oral medication. The goal of having surgeries using targeted anaesthesia is not
simply to have the patients awake during the surgery, but to discharge them in a
day.
4. “In the western world, this process is used to reduce the cost of medical
expenditure but in India, we resort to it to maximise resource potential,” said
Garg. “This is how we are reducing the long waiting list. Besides conscious
surgery, the ortho surgery department has also been the first to start day-care
service for total knee replacement or hip replacement”.
5. Dr Rajesh Malhotra, orthopaedic surgeon and head of the AIIMS trauma
centre, remarked that ‘day-care surgery’ entailed a variety of mental and
physical benefits for the patient. One wouldn’t have to go through the hassle of
staying in a monitored environment of the hospital after the surgery in this case.
6. While the benefit of increased patient satisfaction scores undoubtedly
indicates the necessity of this, it also carries with it the unseen advantage of
reducing per-patient costs to the hospital, hence, the government. An early

1
discharge decreases the need for antibiotics and dependence on hospitals while
reducing incidence of infections.
(a) The Passage mainly discusses:
a) the latest achievement of AIIMS b) the limited resources available in
hospitals
c) the expansion plans of AIIMS d) the annual expenditure incurred in
AIIMS

(b) List two qualities of the orthopaedic surgeons practising in AIIMS as


highlighted in the passage.
(c) AIIMS has become the first hospital in south Asia to carry out a surgical
procedure:
i. when the patient was fully awake.
ii. when the patient was under the effect of general anaesthesia for only half an
hour.
iii. when the patient was discharged on the same day of surgery.
iv. when the patient was made to stay in a monitored environment of the
hospital for only two days.
Choose the correct option:
a) Both (i) and (iii) b) Only (i) c) Only (ii) and (iii) d) Both (ii) and
(iv)
(d)After which paragraph of the text, would the following sentence most
likely be placed?
In government hospitals, where the patient rush is huge, this technique can help
reduce the load of bed occupation.
(e) The surgeries that use targeted anaesthesia are beneficial for the
hospitals too. Comment.
(f)Choose a suitable word from paragraphs 1-2 to fill in the blank:
In ________ surgery, a patient is usually not staying for the night in the
hospital.

2
a) (ii) and (iv) b) (i) and (iii) c) only (iii) d) (i) and (ii)
(g) How did the doctors treat a middle aged patient suffering from a
condition involving spinal instability?
i. The patient was treated after giving the general anaesthesia.
ii. The patient was given oral medication only.
iii. The patient was operated upon using advanced surgical techniques.
iv. Both (i) and (iii)
(h)Complete the following appropriately:
Based on the use of the phrase monitored environment in paragraph 5, we can
infer that the patient________.
(i)Complete the following sentence appropriately:
In Indian medical institutes, the focus is still on how to maximise resource
potential because ________.
(j)The main motive of the surgeons conducting the mentioned surgery was
to compete with the medical institutes of the Western countries.
a) True b) False

[Link] the text carefully and answer the questions:


Read the following table displaying the information about hiking and
trekking.

3
(a) Differentiate between hiking and trekking on the basis of terrain and
trails.
a) It reconnects the hiker with nature. b) It is another name for
mountaineering.
c) It is an activity undertaken for pleasure. d) It has a calming effect on the
mind.
(b) Which of the following statements is not TRUE about hiking?
(c) Trekking is usually undertaken in challenging environments, likely to be
hilly or mountainous. State two benefits of trekking in the light of the given
statement.
a) long comfortable journey b) short vigorous walk

4
c) short energetic walk d) long vigorous journey
(d)Select the correct option to complete the analogy.
hiking : long energetic walk : : trekking : ________.
(e) Identify the textual clue that suggests that hiking can damage the
vegetation on trails.
(f)Complete the following sentence appropriately.
Hiking trails are generally signposted so that ________.
(g) Identify from the given option the purpose of leave no trace policy in
context of hiking and trekking.
Briefly explain the need for the policy.
i. The purpose of Leave no Trace Policy is to reduce the impact of our presence
on the natural
environment.
ii. The purpose of Leave no Trace Policy is to leave behind the harsh memories
of the journey.
iii. The purpose of Leave no Trace Policy is to plan and pack the equipment for
hiking and trekking.
(h) Choose the option that displays an equipment required for trekking but
not for hiking.

SECTION B : WRITING SKILLS (22 marks)


3. Write an e-mail to the Principal of your school requesting her to introduce
classes for some foreign languages. [3]
4. Write a descriptive paragraph based on the visual clue given below. [4]

5
5. Write a letter to the Director of the Archaeological Survey of India
complaining about the damage caused to a historical monument in your city due
to negligence in 120 words.
OR
You are Nisha, the music - teacher of St. Joseph's convent school, Kanpur. You
need some musical instruments for the school. Write a letter to place an order to
the Sales Manager, Music gallery, Civil Lines Kanpur.
6. As sports captain of your school, write an article for your school magazine
emphasising the need of adventure sports in youngsters’ lives. You can use the
following lines as clues. [8]
Clues
 Craze for adventure sports
 Excitement and enjoyment
 Positive impact on mind and body
 Increases confidence
 Emotional and physical benefits
OR
Choice of course after clearing Senior School Examination produces a great
deal of stress on the minds of our students. Counselling can be of great help to
them. Write an article on the topic, Role of counselling in choice of course Use
the following clues.
Clues
 Deciding a career goal is important
 Discover their potential and interests, strengths and weaknesses
 Decide your career based on your aptitude, skills, interests, performance
and personality
 Identifies that unique quality and guides informed choice
SECTION C : GRAMMAR (10 marks)
Complete the tasks A-C , as directed.
[10]
Fill in the blanks (a)-(c) with the appropriate option from those in the
brackets. [3]

6
(a) Climate change (a) ________ (is, was, will) one (b) ________ (on, with, of)
the most (c) ________ (hot, hoted, hotly) contested environmental debates of
our time. Will the West Antarctic ice sheet melt entirely?
(b)In the following passage, one word has been omitted in each line. Write the
missing word along with the words before and after against the correct blank
number (4)

(c) Do as directed.
i. Rearrange the following jumbled words/phrases in the given dialogue to
create a meaningful sentence. [1]
There are two birds in the nest, but one is injured. Our teacher Mr. Shyam has a
cat named
Timmy. Ram and Rahim like to play cricket on holidays.
park/to take/is/a/place/morning walk/Green/good/a
ii. Read the conversation given below. Based on your reading, fill in the
blanks appropriately. [2]
Mr. Yadav: Have you booked the rooms in the Hotel for our holiday?
Mrs. Yadav: Yes I have. I have asked them to book a double room on the tenth
floor.
Mr. Yadav: Why did you ask for a room on the tenth floor?
Mrs. Yadav: The view from there is really great.
Mr. Yadav: Have you forgotten I am afraid of lifts?

7
Mr. Yadav inquired from his wife (a) ________. She replied that she had and
added that she
had asked them to book a double room on the tenth floor. Mr. Yadav then
wanted to know (b)
________ to which Mrs Yadav replied. that the view from there was really
great.
SECTION D : LITERATURE TEXTBOOK (26 marks)
8. Read the given excerpts and answer the questions briefly, for ANY TWO
excerpts, of the three, given. [8]
a) Read the extract carefully and answer the questions that follow:
He reached down from a fissure in the earth-wall in the gloom
And trailed his yellow-brown slackness soft-bellied down,
over the edge of the stone trough
And rested his throat upon the stone bottom.
a. How had the snake come there?
b. Where did it rest its throat?
c. How did it reach there?
d. Why had the snake come there?
b) Read the extract carefully and answer the questions:
Cowards die many times before their deaths;
The valiant never taste of death but once.
Of all the wonders that I yet have heard.
It seems to me most strange that men should fear;
a. What was strange for Caesar?
b. Which word in the extract is a synonym of brave?
c. What did Calpurnia see in her dream?
d. What was the result of Caesar not being worried?

8
c) Read the extract carefully and answer the questions that follow:
Next morning, coming out of our hotel, we saw our friends bent over shoeshine
boxes beside the fountain in the public square, doing a brisk business.
a. Whom does we stand for?
b. What were the boys doing?
c. What does the word brisk mean?
d. Explain - in the public square.
9. Answer ANY FIVE of the following six questions in about 30- 40 words
each: [10]
(a) What quality of King Ozymandias does the poem reflect? [2]
(b) What difference did the postmaster notice in Ali? [2]
(c) What problems did Helen, the ghost, cause in John Hallock’s life? [2]
(d) Why did Patol Babu abandon his factory job in Kanchrapara and settle down
in Calcutta?[2]
(e) A real message from the real Sebastian Shultz, says Michael. What does he
mean by this?[2]
(f) Who is Ben? What is he most worried about? [2]
10. Answer ANY ONE of the following two questions in about 150 words.
[8]
(a) The moral values are degraded in respect and care within the members of the
family [Link] this statement with reference to Mrs. Slater and Mrs.
Jordan.[8]
(b) Before targeting anyone, one must not forget that even a biter can be bitten.
Explain with the reference to the story Mrs. Packletide’s Tiger. What values do
you learn from the story?

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