Friday, June 14, 2019

DNB Orthopaedics June 2019

1.a) Antibiotic prophylaxis
b)Operation theatre sterilisation and antisepsis

2. a)Role of embolization in orthopaedic surgery
b)Floor reaction orthoses
c)Psuedo tumours

3. a) Surgical anatomy of hip joint
b) Enumerate surgical approaches of the hip, mention advantages and disadvantages of each technique.

4. a) Kapandji technique
b) Jaipur foot
c) Orthoses in developmental dysplasia of hip

5. Principles of management including recent advances in the treatment of flail chest


6.a)Enumerate the various metabolic and endocrine diseases having skeletal manifestations.
b)Clinical features of rickets.
c)Radiologic findings of rickets.

7.a)Mechanism of action and use of TENS in Orthopaedics
b)PET scan in orthopaedics.

8.a)Histology of bone
b)Various factors regulating bone metabolism
c)Electric phenomena and electrical changes in bones.

9.a)Clinical features of gas gangrene.
c)Surgical anatomy of posterior interosseous nerve.

10.a)Anti-tubercular therapy in
muscuoskeletal tuberculosis.
b)Liquid culture(MGIT)



1.a)Surgical reduction of fractures
b)Absolute and relative stability in the treatment of fractures

2.a)Outline the principles of external fixation.
b)Modular and hybrid external fixator and Taylor spatial frame.
c)Dynamization of external fixator.

3. a) Causes and classification of non union of fractures. 5+5
b)Clinical features and assessment of floating knee and principles of its management.

4a)Early and late onset paraplegia in spinal tuberculosis.
b)Surgical approaches for Pott’s paraplegia.
c)Stages in tuberculosis of the hip joint.



6.a)General principles and technique of application of plaster cast.
b)Advantages and disadvantages of plaster of Paris cast.
c)Functional cast brace.

7.a)Etiology and pathoanatomy of old unreduced dislocation of shoulder joint.
b)Clinical features and management of posterior dislocation of shoulder joint.

8.a)Classify nerve injuries.
b)Significance and interpretation of electrodiagnostic studies in nerve injuries.

9.Discuss the various conventional and
modern methods of management and congenital psuedoarthroses of the tibia.

10.a)Volkman splint.
b)Phemister bone grafting.



1.a)Define shock and classify different  types of hemorrhagic shock.
b)Reperfusion injury and the principles of treatment of hypovolemic shock.

2.a)The different compartments of leg. b)Clinical features and management of compartment syndrome of leg.
c)Whiteside’s technique.

3.a)Anatomy of joint capsule and its surgical importance.
b)Synovial fluid analysis in various disorders.

4.The pathoanatomy of sciatic nerve  with special surgical considerations in nerve injuries.

5.a)Classify open fractures.
b)Management of grade IIIB open fracture of the tibia.


6. Indications and principles of pelvic osteotomies
and their merits and demerits.

7.a)Lateral mass fixation technique.
b)Proximal fibular osteotomy.
c)Medial collateral ligament injury in total knee arthroplasty.

8.Clinical and radiological features and management
of aneurysmal bone cyst of distal femur.

b)Custom mega prosthesis.
c)Balloon kyphoplasty.

10.a)Skin grafts.
b)Fasciocutaneous and musculocutaneous flaps.
c)Free flaps.



1 .a Dual mobility in hip arthroplasty
b Orthobiologics in orthopaedics

2. a Indications and principles of revision total hip surgery.
b Discuss the different types of acetabular defects and management.

3.Current concepts in treatment of clavicle fractures.

4.Unreconstructable fractures in elderly and discuss the management options.

5.Principles of early total care and damage control orthopaedics


6.a) 3D and 4 D printing in orthopaedics.
b) Reamer Irrigation aspiration system.
C) Current concepts in treatment of osteomyelitis

7 .a)Patient specific instrumentation in arthroplasty
b)V A C therapy .
c)Fixation devices in cruciate ligament reconstruction.

8 .a)Role of bone marrow aspirate in orthopedic trauma.
b)Minimal invasive spine surgery.

9. Current concepts of classification and management of thoracolumbar spine fractures.

10.a) Tranexamic acid in orthopaedic surgery
b) Principles of volar locking plate.
c) Robotic surgery in orthopaedics