Saturday, June 17, 2017

DNB Ortho December 2016 Papers

1. a) Physiology of calcium metabolism.
b) Role of PTH in calcium metabolism.
c) Tabulate the biochemical differences between renal tubular
and glomerular rickets.

2. a) Ganga score.
b) Vacuum assisted closure of wounds.

3. Pathophysiology, clinical features and management of septic
arthritis of hip in a neonate.

4. a) Use of Plaster of Paris in orthopaedics and precautions in
applying hip spica.
b) Principles of functional cast bracing.

5. a) Types of bone grafts
b) Principles of bone banking.

6. a) Define osteoporosis. How will you assess for osteoporosis?
b) Principles of management of fragility (osteoporotic)
fractures of long bones.

7. a) Histology of growth plate.
b) Factors causing growth disturbance.
c) Principles of guided growth modulation.

8. a) Radiological features for the diagnosis of tuberculosis of
b) Radiological features of scurvy and rickets.

9. a) Blood supply of femoral head in various age groups.
b) Role of Virchow’s triad in the pathogenesis of DVT.

10. a) Clinical features of chronic painful mid portion tendinopathy
of Achilles tendon.
b) Role of plantaris tendon in the pathogenesis of this
condition; with special emphasis on anatomy of plantaris
Part 2
1. a) Clinical and radiological features of developmental
dyplasia of hip.
b) Types of pelvic osteotomies for acetabular dysplasia.

2. a) Classify torticollis.
b) Management of torticollis.
c) Sprengel shoulder deformity.

3. a) Intrinsic plus hand.
b) Ulnar paradox.

4. a) Patho-anatomy and Pirani scoring in congenital talipes
equino varus.
b) Steps of Ponsetti manipulation and serial cast application.

5. a) Define Perthes’ disease
b) Aetiological factors, classification systems and head-at-risk
signs of Perthes’ disease.

6. a) Staging of bone tumours.
b) Principles, indications and contraindications of limb
salvage surgery.

7. a) Outline the technical steps to achieve desired degree of
version of acetabular & femoral components during THR.
b) What is combined angle of anteversion?
c) How will you modify your version in a case of fixed lumbar
lordosis or flat back?

8. a) Pathology and clinical features of acute hematogenous
osteomyelitis in long bone.
b) Management of chronic osteomyelitis of long bone.

9. a) Pathogenesis and diagnosis of Bankart’s lesion.
b) Anterolateral decompression in tuberculosis of spine.

10. a) Aetiopathogeneis of hand to knee gait.
b) Biomechanical features of floor reaction orthosis.
Part 3
1. a) ATLS guidelines in polytrauma management.
b) Early Total Care (ETC ) in polytrauma and its indications.

2. a) Classify nerve injuries.
b) How will you manage a 1½ year old child with median
nerve injury in the middle of the arm?

3. a) Indications & techniques of hip arthroscopy.
b) Can you manage an incongruent reduction after a reduced
hip dislocation because of loose body with hip
c) What is an absolute contraindication to manage such a
case with conventional hip arthroscopy?

4. A 5 years old child starts developing a progressive valgus
deformity of tibia after an insignificant trauma to the knee.
What is the possible cause and pathogenesis of such a
deformity? How will you treat this condition?

5. a) Classify distal femoral fractures.
b) Management algorithm for such fractures.
6. a) Management of Volar Barton’s fracture.
b) Pathological anatomy and management of trans-scaphoid
perilunate dislocation.

7. a) Classify injuries of thoraco-lumbar spine.
b) Outline management of each type.

8. a) Classify fractures around the elbow in a six year old child.
b) Myositis ossificans – Diagnosis and management.

9. a) Management of postoperative knee stiffness.
b) Anatomy of posterolateral corner of knee & various
patterns of injuries in this area.

10. a) Masquelet technique: indication and steps in an infected
b) Evolution of different generations of cementing techniques
in arthroplasty.
Part 4
1. a) Bearing surfaces in total hip replacement.
b) Investigation and management of dislocation of hip after
total hip arthroplasty.

2. a) Principles of reverse shoulder replacement. Enumerate its
b) Radial head prosthesis - Design & technique of
3. a) Endoscopic spinal surgery - technique.
b) What is sacral nutation & its role in chronic low backache.

4. a) Salient features of tensile elastic nailing & technique of
b) Low molecular weight heparin – Indications & monitoring
during treatment.

5. a) Clinical features of transient migratory osteoporosis of hip
b) Tabulate the differences between osteonecrosis and
transient migratory osteoporosis of hip.
c) Enumerate the steps of managing TMO.
6. a) Management of degenerative arthritis of knee in the young
b) Visco supplementation for knee arthritis.
7. a) Enumerate the causes of painful stiff knee after total knee
b) How will you investigate and manage such a case?

8. a) Arthroscopic management of osteochondral lesion of knee.
b) Etiology of osteochondritis dessicans.

9. a) Modified Stoppa’s approach for acetabulum fractures.
b) Classification of brachial plexus injury.

10. a) Define drug resistant tuberculosis.
b) How do you suspect drug resistance in spinal
c) How will you investigate and manage a case of suspected

drug resistant tuberculosis?

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