Sunday, June 14, 2015

DNB #Orthopaedics June 2015 Paper 1-4

                                         PART A

  1.     Pathology, clinical features, diagnosis and treatment of rickets.

  2.     A) structure of physis with suitable diagrams

          B)classify the physeal injuries
  3. Evidence based medicine
  4. Pathophysiology , diagnosis and management of fat embolism syndrome
  5.  Role of nuclear scan studies in orthopedic practice


Short notes on :

1. a) gait cycle

    b) list various types of gaits

    c) features of antalgic and trendelenberg gait

2. a) synovial fluid analysis

    b) wallarian degeneration

3. a) nerve conduction velocity

    b) clinical features, diagnosis, treatment of carpal tunnel syndrome

4. a) properties of bone graft

    b) different types of bone grafts, bone graft substitute and their      


5. a) role of biofilm in implant infection

    b) production, regulation and management of biofilm


Write short notes on:

1.     a) dupuytren’s contracture

        b)  tibial hemimelia

2.     a) sunderland’s classification of nerve injury

        b) tendon transfers or ulnar nerve palsy

3.     surgical steps of:

        a)     hardinge approach to hip

        b)    antero-lateral decompression of D5 – D6 spine

4.    a) ATT regimens in bone and joint tuberculosis

       b) safe surgical dislocation : indications and key steps

5.    a) clinical and radiological features in diagnosis of developmental     

             dyspalsia of hip(DDH)

       b)treatment of unilateral DDH in an 18 month old child.

                                              PART – B
6. a) stage of tubercular arthritis hip

    b) differentiating clinical features, treatment and prognosis of each


7. differentiate between

    a) neurological and vascular claudication

    b) paraplegia with active disease(early onset paraplegia) and

        paraplegia with healed disease(late onset paraplegia)

8. a) enumerate fibrous lesions of bone

    b) clinical features, diagnosis and management of fibrous dysplasia of   


9. a) Osgood – Schlatter disease

    b) congenital vertical talus
10.a) flexor zones of hand
      b) clinical features and management of a 2 month old with zone 2


Paper 3 part A
Short notes on:
1 a) what is reverse shoulder arthroplasty
   b) how is it different from conventional shoulder arthroplasty
2 a) randomized control trial
   b)instrumentation in spinal tuberculosis- rationale and indications
3) applications of MRI in diagnosis and managment of spinal tumours
4) differentiate between
   ) primary and secondary fracture healing
   b) sach foot and jaipur foot
5) A) enumerate the bearing surfaces in total hip arthroplasty
   B) advantages and disadvantages of each bearing surfaces

Paper 3 part B
6) classsify periprosthetic femoral shaft fractures after total hip arthroplasty and their treatment options
7) A. Classify calcaneal fractures principles and complications of calcaneal fracture
8) A. Mangled extremity severity score
    B. Ganga score
9) A. Pulseless pink hand following a supracondylar fracture of a humerus in a child
    B.hoffa 's fracture
10 A. Enumerate the causes of rupture of achilles tendon
    B.diagnosis and treatment of a fresh case of rupture of achilles tendon in 60yr old patient

Paper 4 part A

Short notes on:
1)a.classify tibial plateau fracture
B.mechanism of injury,evaluation and treatment of each type
2)a. Spinal cord injury without radiographic abnormality(schiwora)
   b.. Hangman's fracture
3)a.define compartment syndrome 
    b. clinical features,investigations and management of acute compartment syndrome of leg
4)a. Mechanism of injury of 'unhappy triad of O'donoghue'
B.outline management of chronic ACL insufficiency in a young athelete
B.classification of fracture of distal end of radius

Paper 4 part B
1)a. Oncogenic osteomalacia
   b. autologous chondrocyte implantation
2)current concepts in management of osteosarcoma
3)a.DMARDS in rheumatoid arthritis
   b. local antibiotic delivery
4)current concepts in the management of skeletal metastasis
5)a. Classify neglected femoral neck fracture in adults
  b..treatment with rationale in each type of neglected femoral neck fracture