PAPER I
Write Short notes on:
Part A
     1. a) Bearing surfaces in total hip replacement
b) Investigation & management of dislocation of hip after total hip arthroplasty.

2. a) Principles of reverse shoulder replacement. Enumerate its indications.
   b) Radial head prosthesis- Design & technique of implantation
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 implantation.
   b) Low molecular weight heparin- Indications & monitoring during treatment.
5. a) Clinical features of transient migratory osteoporosis of hip (TMO)
   b) Tabulate the differences between osteonecrosis and transient migratory osteoporosis of hip.
   c) Enumerate the steps of managing TMO.

 

Part B
     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 spine.
   b) Radiological features of scurvy & 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 pain & mid portion tendinopathy of Achilles tendon.
    b) Role of plantaris tendon in the pathogenesis of this condition with special emphasis on anatomy plantaris tendon

 

PAPER II
Write short notes on:

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

2. a) Ganga score.
   b) Vacuum assisted closure of wounds.
3. Pathophysiology, clinical features & management of septic arthritis of hip in a neonate.
4. a) Use of Plaster of Paris in orthopaedics & precautions in applying hip spica
   b) Principles of functional cast bracing.
5. a) Type of bone grafts.
   b) Principles of bone banking.

 

Part B
    6. a) Staging of bone tumours.
b) Principles, indications & 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 & clinical features of acute hematogenous osteomyelitis in long bones.
   b) Management of chronic osteomyelitis of long bone.
9. a) Pathogenesis & diagnosis of Bankart’s lesion.
   b) Anterolateral decompression in tuberculosis of spine.
10. a) Aetiopathogenesis of hand to knee gait.
    b) Biomechanical features of floor reaction orthosis.

 

 

PAPER III

Part A
     1.  a) ATLS guidelines in polytrauma management.
b) Early Total Care (ETC) in polytrauma & its indications.

2. a) Classify nerve injuries.
   b) How will you manage a 1^1/2 year old child with median nerve injury in the middle of the arm.
3. a) Indication & techniques of hip arthroscopy.
   b) Can you manage an incongruent reduction after a reduced hip dislocation because of loose body with hip arthroscopy?
   c) What is an absolute contraindication to manage such a case with conventional hip arthroscopy?
4. A 5-year-old child starts developing a progressive valgus deformity of tibia after an insignificant trauma to the knee. What is the possible cause & pathogenesis of such a deformity? How will you treat this condition?
5. a) Classify distal femoral fractures.
   b) Management algorithm for such fractures.

 

Part B
     6.  a) Management of Volar Barton’s fracture.
b) Pathological anatomy & management of trans-scaphoid perilunate dislocation.

7. a) Classify injuries of thoracolumbar spine.
   b) Outline management of each type.
8. a) Classify fractures around the elbow in a six-year-old child.
   b) Myositis ossificans- Diagnosis & 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 & steps in an infected nonunion
    b) Evolution of different generations of cementing techniques in arthroplasty.

 

PAPER IV

Part A
     1.  a) Clinical & radiological features of developmental dysplasia 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) Path-anatomy & Pirani scoring in congenital talipes equino-varus.
   b) Steps of Ponseti manipulation & serial cast application.
5. a) Define Perthes’ disease
   b) Aetiological factors, classification systems & head-at-risk signs of Perthes’ disease.

 

Part B
     6. a) Management of degenerative arthritis of knee in the young patients.
b) Visco-supplementation for knee arthritis.

7. a) Enumerate the causes of painful stiff knee after total knee replacement.
   b) How will you investigate & 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 tuberculosis?
    c) How will you investigate & manage a case of suspected drug-resistant tuberculosis?