Saturday, December 16, 2017

December 2017 DNB Orthopaedics

a)      What is tibia vara?
b)      Classify tibia vara?
c)       Conventional management of tibia vara and recent advances in its  management

2.            Anterior Interosseous Nerve Syndrome
a)              Enumerate its etiology and clinical features
b)             What are the diagnostic tests for it?
c)              Its treatment protocol

a)                What is impingement syndrome (Shoulder)?
b)              Pathophysiology of rotator cuff tear?
c)               Various imaging modalities for it?
d)              Diagnostic tests (describe any two)
e)              Management outline

a)                Enumerate the surgical approaches to reduce and fix pilon fracture
b)              Enumerate steps of posterolateral approach
c)               Enumerate its advantage and disadvantages

a)               Define spondylolisthesis
b)              Its classification in adults
c)               Clinical features and diagnostic tests
d)              Treatment protocol

a)             Etiopathogenesis of rheumatoid arthritis
b)             Common deformities of rheumatoid hand and their mechanisms
c)              Enumerate the various drugs used for the management of rheumatoid arthritis

a)              Indications of spinal osteotomy in a young patient of ankylosing spondylitis
b)             Enumerate osteotomy techniques and their principles
c)              Potential complications of spinal osteotomy

8.         Madelung’s deformity:  
a)        Classification
b)        Pathological anatomy
c)         Management protocol

a)         Methods of closing gaps between nerve ends during nerve repair
b)         Enumerate expandable nerves
c)          Donor site morbidity of common donor nerves

a)        Steps of posterior approach to hip joint while performing total hip arthroplasty
b)        Potential complications
c)         What are its advantages and disadvantages as compared to anterior approach?

a)         Define gait
b)          Outline phases of gait
c)          Define eccentric and concentric muscle contraction.
d)         Give one example of each contraction in the gait cycle

a)        Types of brachial plexus injuries around birth
b)        Mechanism of causation
c)         Clinical features in a newborn
d)        Management of a neglected/undiagnosed erb’s palsy in a 3 year old child

a)        Level of Syme’s amputation
b)        Merits and demerits of Syme’s amputation
c)         Modification of Syme’s amputation
d)        Prosthetic management after Syme’s amputation

a)        Classification of congenital scoliosis
b)        Treatment guidelines in young children with adequate growth potential

a)        What is Virchow’s triad?
b)        Enumerate the risk factors for developing deep vein thrombosis (DVT)
c)         Prophylactic treatment for DVT

a)        Terrible triad in elbow fracture dislocation
b)        Clinical cases in acute cases
c)         Management outline
d)        Short term and long complications

a)        What is flail chest?
b)        Clinical features of flail chest and its diagnostic methods in Emergency room
c)         Acute and definitive management of flail chest

a)        Classify tibial condylar fractures
b)        Outline its management principles according to classification
c)         Potential complications of tibial condylar fractures and their management

a)      Classify odontoid fractures
b)      Mechanism of injury
c)       Clinical features of an acute odontoid fracture
d)      Management of acute odontoid fractures

a)      Classify acromioclavicular joint injuries
b)      Imaging techniques for its diagnosis
c)       Management protocol according to classification

a)        Define cerebral palsy(CP)
b)        Classify cerebral palsy
c)         Principle of dorsal root rhizotomy in management of static CP

a)        Risk factors of developing infections following total hip arthroplasty
b)        Classification of prosthetic joint infection
c)         Management protocol of joint infection

a)        What is Pes cavus?
b)        Classification of Pes cavus
c)         Causes of Pes cavus
d)        Coleman’s block test and its interpretation in Pes cavus.

a)        Enneking’s staging of benign and malignant bone tumours.
b)        Techniques of biopsy in aggressive (potentially malignant)bone tumours.

a)        Classify congenital failure of formation of limbs
b)        Pappas classification for congenital femoral deficiency
c)         Management protocol according to Pappas classification

a)        Define end vertebrae and apical vertebrae in adolescent Idiopathic scoliosis (AIS)
b)        Describe two radiological method to measure the curve in AIS
c)         Fusion technique of correction in idiopathic scoliosis

a)        Define Osteoporosis
b)        Enumerate  lab tests &  radiological tests to diagnose and prognosticate osteoporosis
c)         Mechanism of action of Teriparatide in treatment of osteoporosis
d)        Potential complication of teriparatide

a)        Orthopaedic manifestations of HIV infection
b)        Universal guidelines for surgeons while operating a patient with proven HIV infection

a)        Stulberg classification in Perthes disease
b)        What is hinged abduction
c)         Management principles/techniques for hinged abduction and coxa magna in healed Perthes disease

a)        What are synthetic bioabsorbable materials for orthopaedic surgery?
b)        Enumerate their advantages
c)         Enumerate their complications and limitations

a)        Role of posterior cruciate ligament (PCL) in total knee arthroplasty
b)        Benefits of PCL retention prosthesis
c)         Benefits of PCL substitution prosthesis

a)        Principles of Gamma Camera
b)        Radioactive substances used in Gamma Camera
c)         Indications and use of Gamma Camera

a)        Broad indications for hip arthroscopy
b)        Portal positioning for hip arthroscopy
c)         Potential complications of hip arthroscopy

a)        Causes of Intoeing of gait
b)        Radiological investigations and their interpretations in intoeing of gait
c)         Its management protocol

a)        Indication and contraindications of total elbow arthroplasty
b)        What are the complications of total elbow arthroplasty
c)         Changes in design to reduce complications

a)        Define stress fracture.
b)        Enumerate common sites for stress fractures
c)         Causes of stress fractures
d)        Clinical features, classification and management of stress fracture of femoral neck in young adults

a)        Classify proximal radial fractures in children
b)        Its management principles in fresh fractures
c)         Management principles in malunited fractures

a)        Define amputation
b)        Enumerate the indications for amputation
c)         Discuss any one objective method to decide amputation /limb salvage after traumatic limb injury
a)        Effects of polytrauma on respiratory physiology
b)        What is ‘second hit phenomena’?
c)         Principles of damage control orthopaedics.

a)        Discuss wound ballistics briefly
b)        Pathologic anatomy of ballistic wound and its management principles

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