DNB ORTHOPAEDICS DEC 2014

DNB Orthopaedics DEC 2014

PAPER I

PART A

1. Define Torticollis. Enumerate the signs and  symptoms of Congenital Torticollis in a 9 yr old child. How will you manage spasmodic torticollis in a child?

2. Define Trigger Finger. What are the causes. Describe the clinical feature and surgical management of trigger thumb?

3. What is Myoelectric  Prosthesis.What are it’s  components ?It’s applications and advantages.

4. Describe the anatomy of Common Peroneal Nerve. Name the muscles supplied by the nerve and the tendon transfer in CPN Palsy.

5. TB of Cervical Spine.

PART B

Write short notes on

6. Clinical features of gout and management of acute attack of gout.

7. Enumerate Causes of avascular necrosis(AVN) and non  arth roplasty surgical methods of AVN of femoral head .Describe core decompression.

8.  A Iliotibial band

     B Bone cement

9.  A. Chymopapain

     B. Methotrexate in Orthopaedics

10. Frozen shoulder .Clinical features and management.

PAPER II

PART A

1. Ponsetti  Steps in CTEV Correction

2. Compound Palmar Ganglion

3. a.Bikini Incision              

   b.Schanz  Osteotomy

4. a.CleidocranialDysostosis

   b. Genu Valgum

5. a Vascular  Claudication

    b . Synovial Fluid

PART  B

6. a Gluteus Maximus flap in the  management of decubitus ulcer

     b.Stove-in- Chest

7.a. Fibrous Dysplasia

    b.Corticotomy

8.a.Factors influencing spinal curve progression in congenital scoliosis

   b. Neurofibromastosis

9. What is felon?It’s  preferred management  and it’s difference from paronychia.

10. Draw diagram(s) of  anatomical and mechanical axis of lower limb and briefly discuss the biomechanical principles of total knee replacement.



PAPER III

PART A

1. What is cast syndrome?Discuss it’s clinical symptoms and management.

2. Mechanism , clinical features and management of scaphoid fractures.

3. Classify open fractures .Discuss the emergency management of Grade3B  G(Gustilo &Anderson)Open fractures of tibia.

4. a. Damage Control Orthopaedics

    b.Stress fracture

5. Define ‘Virchow’s triad’ .Discuss the management  of DVT

PART  B

6. a.Stimson method to reduce Posterior Dislocation Hip

   b.Cubitus Valgus

7. a.Bankart’s Lesion

    b.Necrotizing Fascitis

8.a. Metabolic Acidosis

   b.Post operative fever

9. Define Component therapy. Enumerate and mention uses of various  blood fractions.

10. What is pneumatic tourniquet? Discuss it’s uses, complications & safety guidelines



PAPER IV

PART A

Write short notes on

1.a. Gene therapy in orthopaedics

   b.Induced membrane formation to cover bone defects

2. What are the commonly used absorbable sutures in Orthopaedics ? Compare their properties

3. What is “Sandwich Technique”? Describe this technique  in management of Giant Cell Tumour  of distal end of radius.

4. Indications ,positioning, portals and  complications of hip arthroscopy.

5.Role of bisphosphonates in the management of  Osteoporosis  and their complications.



PART  B



6. PET Scan  in Orthopaedic practice.

7. Vascular Fibular Grafting in management of neglected fracture neck of femur.

8. a. Autologous transfusion

   b. Platelet rich plasma



9.Advances in articular cartilage tissue engineering.

10. a.Telemedicine

DNB Orthopaedics June 2014 Questions

1. Describe the stages of fracture healing .List the factors influencing the fracture healing. What are the causes of nonunion? 4+4+2

 2. Define peak bone mass. What factors affect attaining peak bone mass? How does it correlate with osteoporosis? 2+4+4

3. Describe the principles of ultrasonography. Discuss its clinical use in Orthopaedic practice. 4+6

 4. Write briefly the current presentation and treatment strategies in MRSA infection. Briefly mention about its evaluation. (3+5)+2

 5. Describe the potential spaces of hand. Discuss clinical features and treatment of deep space infection of hand. 4+(2+4)

6. Allograft – Definition , types, principles of preparation, advantages and disadvantages. 2+2+2+2+2

 7. Wallerian degeneration – Definition and pathology. 10

 8. a) Principles of Tendon transfer. b) Tendon transfer for high radial nerve palsy. 4+6

 9. What is evidence based medicine? Describe the hierarchy of evidence. Discuss the differences in various types of studies 2+4+4

10. Enumerate the differential diagnosis of limping child (10 years). Differentiate between a case of septic arthritis with transient synovitis. 5+5

 11. Describe the indications of surgery in tuberculosis of spine. Discuss role of instrumented stabilization in TB spine. 6+4

12. Describe the pathology, clinical features, diagnosis and treatment of Madelung deformity . 3+2+2+3

 13. Describe the flexor zones of hand. Outline the treatment of flexor tendon injury (acute and chronic) in zone II. 3+7

14. Discuss pathology, clinical features, diagnosis and treatment of L4-L5 intervertebral disc prolapse. 2+3+2+3

 15. Discuss the pathology, clinical features, diagnosis and treatment of Pigmented villonodular synovitis . 2+3+2+3

 16. Discuss in brief pathology, clinical features, diagnosis and treatment of fibrous dysplasia of bone. 2+3+2+3

17. List the osteotomies around hip. Write briefly about the principles of each osteotomy. 3+7

 18. Define the recurrent dislocation of patella. Discuss in brief its clinical features, diagnosis and treatment. 2+(2+3+3)

19. Define distraction histiogenesis. Discuss the principles of distraction histiogenesis. Enumerate the indications of distraction histiogenesis in orthopaedic practice. 2+5+3

20. Define Tom Smith’s hip arthritis. Discussthe clinical features, diagnosis, treatment and sequelae. 2+(2+2+2+2)

 21. Classify fracture of acetabulum. Outline treatment of specific fracture patterns. 2+8

 22.Classify fracture neck and femur in children. Discuss the treatment principles and prognosis. 3+(4+3)

23. What is whiplash injury of cervical spine? Discussits clinical features, diagnosis and treatment. 3+(2+2+3)

24. Discuss the tension band principles. Describe its clinical use in fracture management. 4+6

25. Discuss the pathology, clinical features, diagnosis and treatment of acute compartment syndrome. 2+3+2+3

26. Discuss the “ASIA SCORE”. Classify bladder paralysis in spinal cord injury with salient features. 4+6

 27. Classify ankle injuries. Discuss in brief the treatment principles of each type. 3+7

28. Classify epiphyseal injuries. Describe the treatment principles and complications of each type. 3+7

 29. Describe the classification used for open fractures. Discuss in brief Ganga score. 6+4

 30.Discuss the pathology , clinical features, diagnosis and treatment principles of nonunion of fracture scaphoid. 2+2+3+3

31. List the various generations of cementing techniques. Discuss their difference in brief. 10

32. Differentiate between parosteal and periosteal osteosarcoma in terms of pathology, clinical features, treatment and prognosis. 2+3+3=2

33. Describe in brief the current state of knowledge of use of stem cells in Orthopaedic practice. 10

34. Describe principles and clinical use of:- a) PET Scan b) Bone Scan 5+5

35. Discuss principles of limb salvage surgery in malignant bone tumor. List the indications and contraindications. 5+(2+3)

36. Discuss the surgical steps of : a) Anterolateral decompression of D5-6 tuberculosis of spine b) Anterolateral exposure of hip 5+5

 37. Write short notes on a) Plagiarism b) Impact factor 5+5

38. Describe the pathology of nerve regeneration. Classify nerve injuries. 5+5

 39. Describe the role of PCL in knee arthroplasty. Discuss the benefits of PCL retention v/s substitution. 4+6

40. Name the biomaterials used in Orthopaedics. Discuss their characteristic features.