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