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DNB 2001-10

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Anti-Tetanus Protocol 2. Gene therapy

3. V- D resistant rickets

4. Advances in medical treatment in rheumatoid arthritis

5. Management of multiple ribs fracture with haemothorax

6. Differentiate head injury from cerebral symptoms of fat embolism

syndrome

7. Haemophilic arthropathy

8. PET scan in orthopaedics

9. Automatic bladder

10. Electrodiagnostic studies

Paper II

1. Salter Harris classification of epiphyseal injuries and relevance to

skeletal growth.

2. Principles of management- radial nerve injury

3. Ponseti CTEV management

4. Salter’s osteotomy

5. Floor reaction orthosis

6. Klippel Feil syndrome

7. Claw hand

8. Tom Smith arthritis

9. Principle of amputation of lower limbs- children

10. Pathoanatomy and management of congenital vertical talus

Paper III

1. Principles, merits, demerits of locking plates

2. Damage control orthopaedics

3. Pathophysiology and pharmacological treatment of acute spinal cord

injury

4. Classify distal radius fractures. What are the recent trends in their

management?

5. Methods for reducing risks of blood transfusion

6. Evaluation, principles in management of fracture acetabulum

7. Classify periprosthetic fractures in THR. Outline the management

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strategies.

8. Shoulder instability

9. Distraction histiogenesis

10. Classify fracture calcaneum and management.

Paper IV

1. Biological enhancement in fracture healing

2. High tibial osteotomy

3. Concept- total knee replacement

4. Recent advances- bearing surfaces of total hip arthroplasty

5. DVT prophylaxis

6. Management-metastasis in spine

7. Blood supply of long bones and effects of various modalities of fixation

8. MODS

9. Management-congenital scoliosis

10. List diagnostic tests with relative merit in postop infection & outline

treatment

Dec. 2008 Paper – II

1) Classify elbow dislocation. How will you manage an unreduced posterior

dislocation elbow in 10 yr. old child?

2) Define and classify cerebral palsy. Describe crouched gait and its management

in a 10 yr. old child.

3) Describe various systems, implants available for limb length equalization.

Discuss their underlying principle.

4) Give one example each of concentric and eccentric contraction during gait cycle.

How will paralysis of tibialis anterior affect normal gait.

5) Describe Salter’s osteotomy. What are its indications, merits and demerits.

6) What is thoracic outlet syndrome? Discuss its Anatomy . How will you diagnose

it in OPD?

7) Discuss sexual and bladder rehabilitation of a 30 yr. old male following a

complete spinal injury at D12 vertebral level.8) Discuss indications, merits and demerits of talectomy.

9) Discuss orthotic management in a High Radial Nerve Palsy.

10) Discuss various functions of hand. How will you attain key pinch in a

quadriplegic with no useful power?

D e c. 2 0 0 8 P ap e r – I I I

1) What is Polytrauma? Describe the scoring method & principles of management

of a patient with polytrauma in accident & emergency department.

2) Describe clinical features, diagnostic criteria and treatment of fat embolism


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syndrome.

3) What is floating knee? Discuss its management in a 25 yr. old adult.

4) Describe various clinical methods to diagnose anterior cruciate ligament injury.

Describe post operative management of ACL reconstruction by a bone patellar

tendon bone graft.

5) Discuss the principles of management of Non-Union fracture Neck of Femur in

an adult.

6) What is a Toddler’s fracture? Discuss its differential diagnosis and

management.

7) How will you transport an organ after amputation to a sterilized centre for re-implantation? What is the order of implantation in a below elbow amputation?

8)Classify peri prosthetic fracture following a total hip replacement. Discuss their

management.

9) Discuss the principles and the biomechanics of intra-medullary nailing.

10) Classify Pilon fractures and discuss their management.

D e c. 2 0 0 8 P a p er – I V

1) What is multi system organ failure? What are indicators of mortality? Write

briefly about diagnosis and management.

2) Define and classify VIC. Describe its surgical and orthotic management in Grade

II VIC of forearm.

3) Describe arches of foot. Classify Flat Foot & briefly discuss the management

principles of flat feet in a child.

4) What are the anatomical & physiological differences between neck shaft angle

and version in a child and adult?

5) Discuss principle of chondroplasty in osteoarthritis of knee joint.

6) Define multidirectional instability of shoulder joint. Discuss its management.

7) Discuss the role of injectable steroids following spinal injury.

8)Discuss various methods of preventing deep vein thrombosis following total knee

replacement. Discuss their merits & demerits.

9) What are indications of arthrography in a hip? Discuss various approaches to

aspirate the hip joint.10) What is the indication & principle behind parathormone therapy for treatment

of osteoporosis? What are its merits & demerits?

J u n e . 2 0 0 8 P a p e r – I

1. ) Femoro acetabular impingement syndrome.

2) Chronic recurrent multifocal osteomyelitis. Diagnosis and management.

3) Management of Brachial artery injury in association with supracondylar fracture

of humerus.

4) Differentiating features between Osteonecrosis and transient migratory

osteoporosis.

5) Discuss the diagnosis and clinical features of DVT in orthopedic surgery. Outline

the management. What special precautions are required if post-operative epidural

analgesia is used for 4 – 5 days.

6) Discuss the approach to a patient with suspected bony metastasis with

unknown primary tumor.

7) Enumerate the radiological types of Tuberculosis Hip. How does this

classification help us in prognostication?

8)Discuss the approach to a patient of pelvic fracture with a suspected abdominal

injury.

9) Enumerate various methods of ACL Reconstruction. Discuss the pros & cons of

each method.

10) Bone defects encountered during total knee replacement and their


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management.

Ju n e . 2 0 0 8 P ap e r – I I

1)) Discuss the types of equines contracture in cerebral palsy and its

management.

2) Describe the Anatomy of iliotibial band and the effect of its contracture on the

lower limb. How do you clinically detect the contracture?

3) Renal Osteodystrophy

4) Scheurmans disease.5) Pathophysiology of claw hand and its treatment.

6) Discuss the management of flexor tendon injury in zone II.

7) Describe the orthotic management of an asensate foot particularly in reference

to leprosy.

8) What are the various types of exercises? Discuss the benefits and indications of

isometric exercises.

9) What is paraffin wax? How is it useful in treatment of orthopedic conditions?

What are the indications and contraindications of wax bath therapy?

10)Define ankle foot orthosis. What are the plastic materials used in fabrication.

Describe indications and care during daily use.

Ju n e . 2 0 0 8 P a p er – I I I

1) Describe the causes of ulnar wrist pain after healing of a distal radial fracture

and discuss the management.

2) Damage control orthopaedics .

3) Classify fractures of acetabulum and role of conventional radiology in the

classification

4) Classify ankle injuries. Which fracture patterns have syndesmotic instability &

how do you manage it?

5) Classify fractures of the proximal humerus. What is the relevance of blood

supply of humerus in planning management? How will you treat four part

fractures?6) Discuss the advances in the management of periarticular fractures.

7) Describe the mechanism of injury & clinical presentation of

various incomplete spinal cord syndromes.

8) Differentiating features in the patho Anatomy & management of intracapsular

fracture neck of femur in children & adults.

9) Advances in treatment of osteoporotic fractures.

10)Discuss the clinical features & management of Achilles tendinopathy in athletes

J u n e 2 0 0 8 P a p er – I V

1) Biological therapy in inflammatory arthritis.

2) Trochanteric flip osteotomy in surgical exposures of the hip joint.

3) Rationale for using metallic implants in osteoarticular tuberculosis.

4) Clinical differentiation between pre-ganglionic and postganglionic lesions of

brachial plexus & its effect on the management.

5) Transcutaneous nerve stimulation.

6) Define femoral anteversion. How do you detect it clinically? Discuss the role of

anteversion in orthopaedics diagnosis & management

7) Pathophysiology of lumbar canal stenosis.

8) What are bisphosphonates? Discuss the role of Bisphosphonates in various

orthopedic disorders.

9) Describe the blood supply of a long bone. Discuss the effects


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of various modalities of internal fixation on the blood supply.

10)Biodegradable orthopedic implants.

2007 DEC Paper I

1. management of multiple rib fracture with Haemopneumothorax2. filum terminale syndrome3. management of skeletal metastasis4. round cell tumour. Discuss the management of multiple myeloma

5. osteoporosis6. management of fat embolism7. exertional compartment syndrome8. management of haemarthrosis of knee developing in an injury9. role of labeled WBC and multiphasic bone scan in bone Pathology10. tuberculosis of hip joint

2007 DEC Paper I1

1. etiology and pathological Anatomy of DDH2. Mid carpal instability3. surgical principles of flexor tendon repair

4. klippel feil syndrome5. indications of amputation. Describe surgical principles ofamputation in children and adults6. pes planus7. role and mode of action of pharmacological treatment in CP8. Calcaneovalgusdeformity. Disscuss the treatment issues in mature and immaturefoot9. madelung deformity10. shoulder instability

2007 DEC Paper III

1. indications of Valgus osteotomy for fracture neck of femur. Discussthe preoperative planning, Implant choice, advantages anddisadvantages of the procedure/2. guiding principles of removal of orthopaedic implants afterfracture union. What are the current recommendations forremoval of implant in commonly encountered fractures3. classify Periprosthetic fractures around the knee. Outline thetreatment strategy4. Classify fractures of the Capitullumn and discuss the managementof each type5. Surgical Anatomy of AC joint along with classification of AC jointinjuries. Briefly discuss the management.6. what are the various protocols which have been used for

pharmacological intervention in spinal cord injuries.what is thecurrent opinion on pharmacological intervention7. classify fractures of pelvis briefly discuss the management ofrotationally unstable and vertically stable injuries8. Various methods of fixing severely osteoporotic fractures.9. what is LISS. Discuss its role in stabilizing fractures of distal femur.10. what is ballistics. Briefly describe the current management of

ballistic injuries of the spine.

2007 DEC Paper IV


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1. Biological enhancement of fracture healing2. Bearing surface of total hip arthroplasty3. Causes and treatment of thoracic outlet syndrome4. what are the musculo skeletal manifestations of retroviralinfection5. high tibial osteotomy6. discuss the pharmacological treatment of rheumatoid arthritis7. Structure and function of articular cartilage8. Sickle cell disease9. Classify Spondylolisthesis. Describe the management10. Renal Rickets.

2007 JUNE Paper I

1. DIC2. Enumerate bleeding disorders . How will you manage a grosslyarthritic Knee in haemophilia?3. Tension Pneumothorax4. Decribe the various myocutaneous flaps used to cover tibia indifferent levels.5. primitive neuroectodermal tumours6. pathogenesis of lumbar canal stenosis? What is the differentiatingffeature between vascular & neurogenic claudication7. Briefly discuss the principles and priorities in managing polytrauma8. loose bodies in knee – etiology? How will u manage a case of 30year old sportsmanwho presents with locked knee due toloose body9. how will u differentiate structural scoliosis from nonstructuralscoliosis?describe infantile idiopathic scoliosis. What is theimportance of rib vertebral angle?10. how will u manage a case of recalcitrant tennis elbow?

2007 JUNE Paper II

1. Classify radial club hand. Describe the pathological Anatomy &management of a 1 yr old child?2. Classify Coxa Vara. Describe the management of adolescent coaxvara3. describe the DD of cystic lesion in upper end of humerus in a 10year old child. Describe the management of SBC in samechild4. Classify fracture neck of femur in children. Describe itsmanagement and complications briefly5. Define Gait. Describe the aetiopathogenesis and causes oftrendleberg gait

6. what is symes amputation? Desribe the indications andcomplications. What is the prosthesis suitable for symesamputation?7. Describe briefly the clinical features and management of SCFE?8. Neurological deficit in caries spine; types, pathogenesis and

prognostic factors?9. A one year old child has been successfully treated for CTEV.Describe the orthotic management from this time to thecompletion of treatment?10. Describe the pathological Anatomy of the bursae of the hand.Discuss the etiology, clinical feature and management of acute


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infection in those bursae?

2007 JUNE Paper II1

1. Peritalar dislocation2. Chronic compartment syndrome3. Hanging cast 4. what is unstable trochanteric fracture? Brieflydescribe the various methods of managing unstable trochantericfracture5. discuss the indications pros and cons of reamed Vs unreamedintramedullary nailing6. discuss the management of closed fracture shaft of humerus withradial nerve palsy7. Carpal instability – types, clinical features and radiologicalassessment8. Describe the Anatomy of Subacromial space. What is themorphology of acromion process in the pathogenesis of rotator cufftears? How will you manage full thickness tear?9. what is locked compression plate? Discuss the principles, clinicalsituations where it is particularly usefull10. how will you manage a case of acute Hemarthrosis Knee?

2007 JUNE Paper IV

1. Describe Bone remodeling unit. Briefly describe the drugs whichinfluence remodeling2. PET Scan3. Wallerian degeneration4. Briefly describe the relevant biomechanics of the lower limb,

particularly in relation to bone cuts in total knee replacement5. gate control theory of pain6. what is neuropraxia? How will you differentiate it fromaxonometsis during first few days of injury7. tribology

8. tumour induced osteomalacia9. describe the histological zones of growth plate. Discuss theanatomical changes which takes place in rickets and Slipped capital femoralepiphysis10. Discuss the pathogenesis of acute hematogenous osteomyelitis.How does it differ in different age groups

2006 dec Paper I

1) Autologous Chondrocyte Implantation2) Features which differentiate head injury from the cerebralsymptoms of Fat Embolism syndrome.

3) Synovioma4) Otto Pelvis5) Principles of surface replacement arthroplasty of hip. Whatdo you think are the reasons of failure of previous historicaldesigns compared to the modern successful design?6) What are the various methods of closing gaps between nerveends during nerve repair?7) What are the indications of spinal osteotomy in ankylosingspondylitis? Describe the various techniques.

8)Pathophysiology of septic shock.9) Management of a patient having fracture pelvis with urinary


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retention. Restrict yourself to the management of his urinary problem.10)Kienbock’s disease.

2006 dec Paper I 1

1) Name the prehensile movements of hand. What are thetendon transfers described for opponens deficit hand?2) Describe briefly indications, contraindications and principletechnical steps of Salter’s osteotomy.3) How do principles of amputation differ in children ascompared to adults? What is pylon prosthesis? What areadvantages and disadvantages?4) What is the pathological Anatomy of carpal tunnel? Describe

briefly the diagnosis and management of carpal tunnelsyndrome.5) What are the hand deformities in rheumatoid arthritis?Describe the pathological Anatomy and treatment ofBoutannaire’s deformity.6) Describe briefly the aetiology, clinical features and principlesof treatment of Tom Smith arthritis.7) Outline the calcium metabolism. What do you mean byVitamin D resistant rickets? Describe its clinical features andmanagement.

8)What is crutch palsy? Describe the orthotic management ofwrist drop.9) Describe the pathological Anatomy , clinical features andmanagement of post polio calcaneus deformity in a 12 yr. old

patient.10)What is Floor Reaction Orthosis? Describe its parts andmechanism of function. What are its indications andcontraindications?

2006 dec Paper I11 1) Describe the mechanism of injury and clinical presentation ofvarious incomplete spinal cord syndromes.2) What is Lisfranc joint? Classify injuries around this joint and

principles of management.3) Classify calcaneal fractures. Discuss the management basedon classification system. Enumerate the complications.4) Enumerate Biodegradable implants. What are the advantagesand disadvantages of their use?5) Classify periprosthetic fractures around the knee and discusstheir management.6) Classify fracture acetabulum and outline the indications ofsurgical treatment.7) Classify ankle injuries. Which fracture patterns havesyndesmotic instability and how do you manage that?

8)Classify fractures of the proximal humerus in elderly. What isthe relevance of blood supply of the humeral head in

planning management? How will you treat four partfracture?9) What is Gas Gangrene? Discuss the clinical features,

bacteriology and principles of management.10)Describe the causes of ulnar wrist pain after healing of distalradius fractures. Discuss the management of DRUJ disorders.


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2006 dec Paper IV

1) Describe the Physiology of micturition. Briefly discuss themanagement of automatic bladder in spinal injuries.2) Describe the arches of foot. Discuss the clinical features andmanagement of peroneospastic flat foot.3) Describe the blood supply of femoral head. How does it differin children and adults?4) Describe the properties of synovial fluids. How does it help indifferentiating various types of arthritis?5) What are the stages of fracture healing? Discuss the factorsregulating fracture healing.6) What are bone graft substitutes? How do they work?7) Describe the metabolism of Vitamin D and its clinicalsignificance.

8)What are Giant cell variants? Describe in brief theirdifferential diagnosis.9) What is DOTS? What is its rationale?10)Pathoanatomy, radiology and diagnosis of Congenital verticalTalus.

2006 june Paper I

1) Discuss the Pathology of osteoarthritis of knee with specialreference to the role of ACL rupture in the pathogenesis ofosteoarthritis knee.2) Briefly describe the clinical features, types and managementof osteoid osteoma.3) Describe in detail the synovial fluid analysis. How do youdifferentiate various types of arthritides based on theanalysis?4) Video Assisted Thoracoscopy

5) Osteochondritis Dessicans6) Transient Migratory Osteoporosis of the hips7) Describe various types of skin grafts. Discuss the stages of

biological incorporation of skin grafts.

8)Discuss the pathogenesis of neurospinal claudication.9) Automatic Dysreflexia.10)Control of air quality in a modern orthopaedic operationtheatre.

2006 june Paper I1

1) Anterior Interosseous Nerve syndrome – Aetiology, clinical

features, differential diagnosis and management.2) Dwyer’s osteotomy for CTEV – Indications, steps andcomplications.3) Sprengel’s Deformity. Etio pathogenesis, clinical features andmanagement.4) Coxa Plana – Clinical, Radiological features, Differentialdiagnosis and principles of treatment.5) Boutannaire deformity – etiology, pathomechanics andmanagement.6) Ultrasonic Therapy – Physiological effects, clinicalapplications and contraindications.7) Quadriceps Paralysis Gait – pathomechanics, compensation


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employed and corrective measures.

8)Suction Socket Prosthesis – principles, indications andadvantages over conventional prosthesis and main points inits construction.9) Bowing of Tibia in children – Causes, types and managementof Congenital Bowing10)Equinus Deformity in cerebral palsy – Etiopathogenesis,evaluation and treatment.

2006 june Paper I11

1) Fracture Talus.2) Bennet’s Fracture dislocation3) Hangman’s Fracture.4) Motor March5) Principles of Tendon Transfer.6) Anterior Cruciate Ligament Injury.7) Acromio clavicular Disruption

8) Lateral Condyle fracture of Humerus9) Perilunar Dislocation.10)Fracture Disease.

2006 june Paper IV

1) Etiopathogenesis, Pathology and management of DIC.2) Congenital postural deformities associated with in-utero

position.3) Raloxifene.4) Biomechanics of Knee in relation to total knee replacement.5) Structure and Biochemistry of articular cartilage.6) Bryant’s Traction.7) Biochemical markers of Bone formation and resorption.

8) Describe pathological Anatomy and radiology in CTEV.

9) Stewart and Harnaley ankle arthrodesis.10)Enumerate various deformities of foot and ankle seen in PostPolio Residual Paralysis (PPRP). Describe in detail themanagement of Talipes Calcaneus.

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