Monday, December 14, 2015

DNB Orthopaedics Theory 2015 December

DNB Orthopaedics Paper

1. a)Classify osteoporosis
   b) Clinical presentation and management of senile osteoporosis.
2. a)Indications and complications of amputations.
    b) Early management of closed above knee amputation
3. a)Anatomy and blood supply of proximal end of femur and its      importance in safe surgical dislocation of hip.
4.a. Fracture healing
    b. Various factors influencing fracture healing
 5.a. Morning stiffness.
    b. Angular deformity of knee in children.
6.a.Differentiate between rheumatoid arthritis and osteoarthritis
    b. Management of osteoarthritis of knee in elderly
7.Etiopathogenesis ,clinical features, diagnosis and management of carpal tunnel syndrome.
8.a. Classify scoliosis.
    b. Clinical features and management of slipped upper femoral      epiphysis
10.a.Triple deformity of knee
b. Tarsal tunnel syndrome; clinical features and management
11. Course of radial nerve and its applied surgical significance.
12.Etiopathogenesis ,clinical features, prevention and management of Volkmann’s ischemic contracture.
13.What is thoracic outlet syndrome? Discuss briefly about its various causes.
14.a.Motor march.
      b.Painful arc syndrome- etiopathogenseis and management
15.a.Pseudo fractures.
      b. Myositis ossificans,diagnosis and management
16.a. Enumerate various causes of limp in a child.
     b.Clinical features and management of painful limp with high grade fever in  5 yr old child,
17. Causes of maltracking of patella.
18.Surgical management of recurrent dislocation of patella in a child.
19.Diagnosis and managemnt of pott’s paraplegia.
20.Knuckle bender splint
21.Pantalar arthrodesis
22. Synovial chondromatosis-diagnosis and management
23.Osteoid osteoma-diagnosis and management

1.A. Classify traumatic dislocation of shoulder
    B. Diagnosis and management of neglected posterior dislocation of shoulder in a young adult
2.A.Classify acetabular fracture
    B.Role of radiological investigations  in management of acetabular  fractures
3.A.Acute management of traumatic knee dislocation
    B.Classify multi ligament knee injury and principles of managing such cases
4.A.Crush syndrome
   B.Spinal shock
5.A.Herbert screw
    B.Skeletal traction in acute trauma
6.A.Classify open fractures
    B. Management of open fracture shaft of tibia in a tertiary care setting
7.A. Enumerate causes of stiff elbow
    B. Surgical management of post traumatic ankylosis of elbow in extension
8.A.Define polytrauma
    B.Clinical presentation, complications and general principles of management of polytrauma
9.A.Role of ligamentotaxis in acute trauma
    B.PTB Cast
10.A.Tension band wiring
      B. Brown sequard syndrome; etiopathogenesis and clinical features
11.Bone bank and the role of allografts in orthopaedic practice
12.Recent advances in the diagnosis and management of rheumatoid arthritis
13.Limb salvage in malignant bone tumours with special emphasis on  osteosarcoma of distal end of femur.
14.A.Minimal invasive plate osteosynthesis
       B.Distraction histiogenesis
15.A.Wake up test
      B.Bioabsorbable implants
16.Increasing role of minimum invasive techniques in orthopaedics and the role of arthroscopy in the management of intra articular fractures.
17.Problems encountered and the use of various modalities in surgical management of fragility fractures.
18. A. Common surgical factors affecting the early outcome of total hip arthroplasty.
       B. Recent advances in the field of total hip arthroplasty
19.A. Terrible triad of death
     B. Scapular dyskinesis.
20.A. Role of whole body CT scan in trauma
      B.Role of Platelet Rich Plasma (PRP) in orthopaedics.

Sunday, June 14, 2015

DNB #Orthopaedics June 2015 Paper 1-4

                                         PART A

  1.     Pathology, clinical features, diagnosis and treatment of rickets.

  2.     A) structure of physis with suitable diagrams

          B)classify the physeal injuries
  3. Evidence based medicine
  4. Pathophysiology , diagnosis and management of fat embolism syndrome
  5.  Role of nuclear scan studies in orthopedic practice


Short notes on :

1. a) gait cycle

    b) list various types of gaits

    c) features of antalgic and trendelenberg gait

2. a) synovial fluid analysis

    b) wallarian degeneration

3. a) nerve conduction velocity

    b) clinical features, diagnosis, treatment of carpal tunnel syndrome

4. a) properties of bone graft

    b) different types of bone grafts, bone graft substitute and their      


5. a) role of biofilm in implant infection

    b) production, regulation and management of biofilm


Write short notes on:

1.     a) dupuytren’s contracture

        b)  tibial hemimelia

2.     a) sunderland’s classification of nerve injury

        b) tendon transfers or ulnar nerve palsy

3.     surgical steps of:

        a)     hardinge approach to hip

        b)    antero-lateral decompression of D5 – D6 spine

4.    a) ATT regimens in bone and joint tuberculosis

       b) safe surgical dislocation : indications and key steps

5.    a) clinical and radiological features in diagnosis of developmental     

             dyspalsia of hip(DDH)

       b)treatment of unilateral DDH in an 18 month old child.

                                              PART – B
6. a) stage of tubercular arthritis hip

    b) differentiating clinical features, treatment and prognosis of each


7. differentiate between

    a) neurological and vascular claudication

    b) paraplegia with active disease(early onset paraplegia) and

        paraplegia with healed disease(late onset paraplegia)

8. a) enumerate fibrous lesions of bone

    b) clinical features, diagnosis and management of fibrous dysplasia of   


9. a) Osgood – Schlatter disease

    b) congenital vertical talus
10.a) flexor zones of hand
      b) clinical features and management of a 2 month old with zone 2


Paper 3 part A
Short notes on:
1 a) what is reverse shoulder arthroplasty
   b) how is it different from conventional shoulder arthroplasty
2 a) randomized control trial
   b)instrumentation in spinal tuberculosis- rationale and indications
3) applications of MRI in diagnosis and managment of spinal tumours
4) differentiate between
   ) primary and secondary fracture healing
   b) sach foot and jaipur foot
5) A) enumerate the bearing surfaces in total hip arthroplasty
   B) advantages and disadvantages of each bearing surfaces

Paper 3 part B
6) classsify periprosthetic femoral shaft fractures after total hip arthroplasty and their treatment options
7) A. Classify calcaneal fractures principles and complications of calcaneal fracture
8) A. Mangled extremity severity score
    B. Ganga score
9) A. Pulseless pink hand following a supracondylar fracture of a humerus in a child
    B.hoffa 's fracture
10 A. Enumerate the causes of rupture of achilles tendon
    B.diagnosis and treatment of a fresh case of rupture of achilles tendon in 60yr old patient

Paper 4 part A

Short notes on:
1)a.classify tibial plateau fracture
B.mechanism of injury,evaluation and treatment of each type
2)a. Spinal cord injury without radiographic abnormality(schiwora)
   b.. Hangman's fracture
3)a.define compartment syndrome 
    b. clinical features,investigations and management of acute compartment syndrome of leg
4)a. Mechanism of injury of 'unhappy triad of O'donoghue'
B.outline management of chronic ACL insufficiency in a young athelete
B.classification of fracture of distal end of radius

Paper 4 part B
1)a. Oncogenic osteomalacia
   b. autologous chondrocyte implantation
2)current concepts in management of osteosarcoma
3)a.DMARDS in rheumatoid arthritis
   b. local antibiotic delivery
4)current concepts in the management of skeletal metastasis
5)a. Classify neglected femoral neck fracture in adults
  b..treatment with rationale in each type of neglected femoral neck fracture

Sunday, January 18, 2015

Current Progress in Orthopaedics 1

This multiauthored book written and edited by Panel of experts in their respective fields is the latest high profile entry into the market. The Editors:- Dr Ashok Johari is a well known paediatric orthopaedic surgeon and heads the education committee of SICOT, Dr Keith D Luk is a reputed spine surgeon from HongKong and is currently the President of SICOT. The book takes a glimpse into the currently discussed and hot topics in orthopaedics. Every topic is written and edited by the experts in that particular topic

Book Review by Dr Cyril Mauffrey, Denver Health Medical Centre, Colorado, USA Published in Eur J Orthop Surg Traumatol
                 "This is a unique orthopedic textbook written under the educational initiative of SICOT. The editors have put together an incredible instrument aimed at educating the readers on the latest available trends in the management of common orthopedic disorders. The book is divided into 24 sections ranging from femoroacetabular impingement to Ponseti management of club feet and the role of osteotomy for the management of knee osteoarthritis. The authors selected are expert in their fields and internationally renown. What I liked most was the structure of each chapter ending with a boxed section called key learning points that summarizes the main points of the chapter. The illustrations and structure of the book are high quality with excellent drawings and X-rays to highlight each chapter. I recommend this textbook to any student, resident of fellow with the desire to improve their knowledge and advance their careers."