Thursday, September 20, 2018

DNB Orthopaedics June 2018







Paper 1


1. a) Stages of fracture healing.


b) Describe various patterns of fracture healing after intramedullary nailing, locked plates and dynamic compression.


2. a) What is gout?


b) Difference between gout and pseudo gout.


c) Management of gout in middle aged woman


3. a) Write the extensor mechanism of finger with its diagram.


b) Describe brief development of proximal end femur.


c) Blood supply of femoral head.


4. a) Describe calcium metabolism.


b) Skeletal and radiological changes in hyperparathyroidism.


c) Principles and indications of Teriparatide in osteoporosis.


5. a) What is Complex Regional Pain Syndrome(CRPS)?


b) Describe its types and stages.


c) Diagnostic criteria and management of CRPS.






6. a) Anatomy of the arches of the foot.


b) What is posterior tibial tendon dysfunction?


c) Write stages and management of posterior tibial tendon dysfunction.






7. a) Histological zone of growth plate.


b)Classification of physeal injury in children.


c) Management of physeal injury in children.






8. a)What is limb length discrepancy?


b)Classification of limb length discrepancy.


c)Management of limb length discrepancy due to congenital pseudoarthrosis of tibia in children.






9. a)Define entrapment syndrome.


b)Enumerate various entrapment syndromes.


c)Clinical features and management of carpal tunnel syndrome.






10. Etiopathogenesis ,diagnosis and management of gas gangrene in lower extremity.






PAPER –2


Write short notes on:


1.a)Sequelae of osteomyelitis in paediatric patients.


b)Describe management of each sequela.


2. a)Classification of acetabular fracture.


b) Describe necessary radiological views for diagnosis of acetabular fracture.


c) Surgical management of posterior column acetabular fracture.


3. a)Enumerate causes of painless limp.


b) What is perthes disease?


c) Classification and management of perthes disease


4 .a)Types of tourniquets used in orthopaedic surgery.


b) Principles of usage of tourniquet.


c) Complications of tourniquet in orthopaedic surgery and its management.


5. a)Types of proximal tibial osteotomies in children &adults.


b) Indicatioins and contraindications of high tibial osteotomy for O.A Knee.


c) Technique of high tibial osteotomy


6. a)Enumerate various deformities of rheumatoid hand .


b)Management of deformities of rheumatoid hand






7. a)Classify periprosthetic fracture around total hip arthroplasty.


b)Management of periprosthetic fracture around hip






8. a)Define claudication. b)Difference between vascular and neurological claudication


c)Management of 60 year old woman with lumbar canal stenosis.


9. a)Clinical,radiological features and management of giant cell tumour.


b)How to prevent &manage recurrence of giant cell tumour?


10. a)What is dynamization?


b) Describe its role in orthoipaedics using various implants.









Paper 3


1.a)Describe Hoffa’s fracture.


b)Mechanism of injury in Hoffa’s fracture.


c)Diagnosis and management of HOFFA’S FRACTURE.


2. a)Classify thoracolumbar spinal injuries.


b)Management of patient with D12 burst fracture.


3. a)What is Lisfranc joint?


b)Classify Lisfranc joint injury.


c)Management of Lisfranc injury with complications.


4. a)What is unstable trochanteric fracture?


b)Briefly discuss the various methods of treatment of unstable trochanteric fracture.


5. a)Anatomy of posterolateral corner 9f knee joint(PLC).


b) Clinical test for diagnosis of PLC injury.


c) Management of PLC injury.


6. a)Classify Monteggia fractures.


b) Management of Monteggia fracture in children


c) Management of a 3 month old anterior neglected Monteggia fracture dislocation in a 6 year old child


7. a)What is Hagman’s fracture?


b) Mechanism of injury ,classification and management of Hagman’s fracture.


8. a)Surgical anatomy of lower end of radius.


b)Classify lower end of radius fractures


c)Describe management of comminuted fracture of lower end of radius


9.a) Classify nerve injury.


b)Causes of radial nerve palsy in adult


c) Management of Holstein Lewis fracture.


10.a) Indications of amputation.


b)Surgical principles of amputation in children.


c)Levels of various foot amputations,their indication & disadvantages.






Paper 4






1.a)What is free vascularised bone graft?


b)Role of free vascularised bone graft,allograft and bone substitutes in orthopaedics.


2.a)What is biodegradable implants?


b)Describe various biodegradable implants used in orthopaedics.


c)Advantages and disadvantages of biodegradable implants.


3.a)Indications and contraindications of Tibiocalcaneal(TCC) Nail.


b)Advantages and of Tibiocalcaneal Nail over other methods of ankle arthrodesis.


4.a)Classification of cartilage injury.


b)Describe investigation and management of cartilage injuries of knee joint.


5.a)Define non-union.


b)Classification of non-union.


c)Recent advances in management of gap non-union of fracture tibia.


6.a)Anatomy of rotator cuff of shoulder joint.


b)Indications ,contraindications and biomechanics of reverse shoulder arthroplasty


7.a)Recent advances in medical and surgical management of osteoporotic vertebral fracture.


b)Minimal invasive spine surgery in orthopaedics.


8.a)Unicompartmental knee arthroplasty indications.


b)Advantages &disadvantages of unicompartemental knee arthroplasty.


c)Complications of unicompartemental knee arthroplasty


9.a)Radiation hazards in orthopaedics.


b)Preventive measures for radiation hazards in orthopaedics.


10.a)Recent advances in various imaging modalities in orthopaedics.





















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