Monday, June 27, 2016

DNB Ortho Theory June 2016

PAPER 1

1.       A) Define coxa vara.
b) Etiology, clinical features and management of congenital coxa vara.

2.       A) Pathophysiology of Pott’s spine.
B) Routes through which a tubercular abscess can travel to far off regions in the body based on anatomical facts.
       3.   A) How will you treat a “Borderline Patient” of Polytrauma
             B) Hypotensive resuscitation.

      4.   A) What is fibrous dysplasia of bone?
           B) Clinical features of fibrous dysplasia of bone.
           C) Campanacci’s disease (osteofibrous dysplasia).

     5.  A) Phases of gait cycle
          B) Trendelenburg gait
          C) Why a patient with hip pain walks with a stick in the opposite hand?  
Illustrate your answer with suitable diagrams.
     6. A) Clinical features and pathophysiology of Slipped Capital Femoral Epiphysis (SCFE)
         B) What could be the medical conditions associated with it.
        C) What is the difference in the radiological picture of Delbet type-I fracture neck of femur and SCFE?

  7. A) Pathophysiology of venous thromboembolic disease in patients with skeletal trauma.
B) Discuss the chemical prophylaxis options, with pros and cons of each modality.

8. A) What is the “watershed zone” of the spinal cord?
    B) Draw a cross section of the spinal cord in the dorsal region.
     C) Stages of Pott’s paraplegia in a typical paravertebral lesion based on the anatomy of tracts.

9. A) What is scapular Dyskinesia?
    B) Its role in Rotator Cuff impingement Syndrome.

10. A) Outline the biomechanical principles of total knee replacement.
       B) Gap Balancing Technique





PAPER – II

1. A) Clinical and radiological features of congenital vertical talus.
    B) Differential diagnosis and management of congenital vertical talus.

2.  A) Sacroilitis – Aetiology and diagnosis.
     B) Tardy Ulnar Nerve Palsy.
3.  A) Hallux valgus deformity
     B) Role of triple arthrodesis
4. A) Classify periprosthetic fractures around knee arthroplasty.
    B) Principles and management of each type.
5. A) Current status of Hip Arthroplasty
B) Its indications in contemporary orthopaedic practice.
    C) Explain the important steps of the procedure.
6. A) Define cerebral palsy and write about the classification based on the pattern of involvement.
    B) Clinical features of “crouch gait” and its management.
7. A) Anterior interosseous nerve syndrome.
    B) Schwanomma – Clinical features and diagnosis.
8. Clinical features, pathology and radiological findings of “Diffuse Idiopathic Skeletal Hyperostosis (DISH)”.
9. A) Clinical features and radiology of chondroblastoma of hip.
    B) How will you manage a case of chondroblastoma of hip?
10.A) Osteochondritis dessicans of ankle.
     B) SPONK (Spontaneous Osteonecrosis of Knee)


PAPER – III

1. A) Classify fractures of proximal humerus.
    B) What is the relevance of blood supply of humeral head in planning management of fracture of   proximal humerus?
    C) Management of four part fracture in an elderly man.
2. A) Management of fracture shaft humerus with radial nerve palsy.
    B) What is Holstein Lewis lesion and its management?
3. A) Classification of fracture neck of talus.
    B) Outline the principles of its management.
    C) What is Hawkin’s Sign?
4. A) Enumerate the biologic and biophysical technologies for the enhancement of fracture repair.
    B) Use of BMP in orthopaedics.
5. A) Labral tears of hip in young athletes
    B) Stress fractures – aetiopathogenesis and diagnosis.
6. A) Post traumatic tibia valga
    B) Reperfusion injury.
7. A) Evolution of plate osteosynthesis from “Sherman” plates to present day locking plates.
    B) What are the principles of locking plate osteosynthesis including their advantages and disadvantages?
8. A) Classify tibial plateau fractures.
    B) Ideal time and technique for fixation of a type IV tibial plateau fracture.
9. A) Sideswipe injuries of elbow.
    B) How will you manage such cases?
10. A) Classify trochanteric fractures of hip.
      B) Pros and cons of their management with DHS/PFN.

PAPER – IV

1.  Recent advances in arthroscopic ACL reconstruction with reference to creation off femoral tunnel and femoral fixation methods.
2.  A) Recent advances in detection of Mycobacterium tuberculosis.
     B) Enumerate various newer methods with their sensitivity and specificity.
     C) GeneXpert/CB-NATT and its specific advantages.
3. A) What is the role of PCL in Knee arthroplasty?
    B) Benefits of PCL retention Vs substitution
4. A) Orthopaedic manifestations of AIDS.
    B) Guidelines to prevent spread of HIV infection during operative intervention.
5. A) Safety measures in Scoliotic Surgery.
    B) Role of Meniscal repair in the knee joint.
6. A) Role of ultrasound in musculoskeletal diseases.
    B) Robotic orthopaedic surgery.
7. A) ACL injuries in female athletes.
    B) Molecular based diagnostic technology in osteomyelitis.
8. A) Pathophysiology of cuff tear arthroplasty.
    B) Principles of Reverse Shoulder Arthroplasty.
9. Recent advances in the management of polytrauma patient highlighting the role of various investigative treatment modalities.
10. A) Orthobiologics

       B) Diagnosis of gout, newer drugs in gout and its specific indications