Monday, June 23, 2014

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.

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