DNB Orthopaedics December 2018

ORTHOPAEDICS PAPER I

PART A

1.    Define growth plate. Describe the zones of growth plate with diagram. Discuss the clinical significance of these zones?

2.     Describe the types of fracture healing. Describe the stages of secondary fracture healing. Enumerate the factors affecting the fracture healing.

3.    Describe the investigations and their uses in musculoskeletal system.

a)    DEXA Scan

b)    Bone Scan

c)     Ultrasonography

4.    Define allograft. Describe the types of allograft. Give salient features of each type.

5.    Pathology, clinical features and management of primary hyperparathyroidism.

PART B

6.    Etiopathology , clinical features, radiographic findings and management of scurvy.

7.    Describe strength duration curve. Describe the changes in the curve after nerve injury and following regeneration.

8.    Describe necrotizing fasciitis in following subheads:

a)    Definition

b)    Pathology

c)     Management

9.    Define neuropathic joint. Discuss the causes ,clinical features and treatment.

10.           Discuss anti-tubercular treatment in osteo-articular TB in terms of drugs, doses, regimen and duration of anti-tubercular treatment.

 ORTHOPAEDICS PAPER II  

PART A

1.Define  muscular torticollis .describe  causes ,investigations and treatment .

2.Define recurrent anterior dislocation of shoulder . discuss the pathological anatomy ,investigations and broad principles of treatment .

3.Types  ,causes ,clinical features ,diagnosis and treatment of radial nerve paralysis .

4.Clinical features ,diagnosis and treatment of De Quervains tenovaginitis.

5.proximal femoral osteotomies and the indications of each type .

PART B

6. Classify femoral bone stock deficiency in total hip arthroplasty. Describe the broad principles of management

7. Describe the clinical features of giant cell tumour(GCT). Describe the treatment options in a young patient with GCT upper end of tibia without a pathological fracture

8. Enumerate the sequelae of septic hip in infancy. List the types and indications of each type of reconstruction

9. Describe peri-prosthetic fracture of upper end of femur. Describe the treatment of each type.

10. Define slipped capital femoral epiphysis. Describe its clinical features, diagnosis and treatment in brief.

 ORTHOPAEDICS PAPER III

PART A

1.    Classify ankle fractures. Describe in brief the investigations and treatment of each type.

2.    Describe tension band principle with a diagram. Describe its applications in orthopaedics.

3.    Classify femoral neck fracture in children. Describe its treatment and complications in brief.

4.    Classify cervical spine injuries. Describe diagnosis and treatment of a patient with c5/c6 dislocation(in brief).

5.    Describe the pathophysiological changes in response to intramedullary reaming of long bones. Describe the reamed vs non reamed nails in a patient with polytrauma.

PART B

6.    Describe in brief the mechanism of injury , classification, treatment and complications of calcaneal fractures.

7.    Classify proximal humerus fractures. Describe in brief treatment and complications of proximal humerus fractures.

8.    Describe the classification and broad principles of management of open fractures of tibia.

9.    Define distraction osteogenesis. Describe its clinical applications in orthopaedics practice.

10.Pathoanatomy, investigations and principles of treatment of habitual dislocation of patella.

ORTHOPAEDICS   PAPER 4      

PART A

1.    Define  Surgical   site  infection SSI. Describe the current   WHO guidelines for prevention of SSI

2.    Describe the biomechanics   of ankle joint.  Describe the  current status of total ankle arthroplasty  .

3.    Define drug resistant bone and joint tuberculosis .describe the case identification  , and broad principles of treatment

4.    Define femoro- acetabular  impingement .describe the investigation, types  and their management .

5.    Describe in brief , the principles of limb savage surgery in musculoskeletal tumors .what are the patients not suitable for this procedure?

Part B

6. Define  and enumerate the bearing surfaces in hip arthroplasty  .Describe  each types with their pros and cons .

7. Enumerate  the  bone graft substitutes and describe in brief the advantages and disadvantages of each type .

8. Define evidence based  orthopaedics and how it can be applied in clinical practice .list the hierarchy of evidence (various types of studies)

9. what is spontaneous osteonecrosis of the knee (SPONK)describe the clinical features and principles of treatment .

10. Describe the current concepts of the mechanism of osteolysis after arthroplasty .what is the role of bone grafting in such patients without performing a revision arthroplasty ?