DECEMBER 2019

PAPER I
Part A

1. Describe the composition of bone? Enumerate the various cells found in the bone & describe their function. Describe Haversian system of the bone with suitable diagram. 2+(2+3)+3
2. Define osteomalacia. Describe its etiopathogenesis, clinical features & management.  2+(2+3+3)
3. Classify chronic osteomyelitis.  Describe its etiology, pathology, clinical features & management.                              2+(2+2+2+2)
4. Discuss the causes of nonunion of fractures. Describe various types of nonunion. Discuss various modalities used to diagnose nonunion. 4+2+4
5. Define Crush syndrome. Describe its pathology, clinical features & management. 2+(2+3+3)

Part B

6. What is the role of anticoagulant therapy in Orthopaedics?Describe thromboprophylaxis following total hip replacement. (4+6)
7. Define cervical rib. Describe its etiopathogenesis, clinical features & management. 2+(2+3+3)
8. Describe anatomy of palmar deep fascia. Describe etiology, pathology & management of Dupuytren’s contracture. 3+(2+2+3)
9. Define congenital vertical talus. Describe its clinical features & management. 2+(3+5)
10. Classify loose bodies. Describe pathology, clinical features & management of synovial chondromatosis. 2+(2+3+3)

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PAPER II
Part A

1. Discuss the classification of osteonecrosis of femoral head. Discuss its etiology, clinical features & management. 3+(2+2+3)
2. Define recurrent dislocation patella. Describe its ethology, clinical diagnosis & broad principles of treatment. 2+(3+2+3)
3. What is fibrous dysplasia of bone? Discuss its etiopathogenesis, clinical diagnosis & treatment. 1+(3+2+4)
4. What is Ewing’s sarcoma? Discuss its pathology, clinical diagnosis & treatment.  2+(3+2+3)
5. Define Vitamin D resistant rickets. Discuss its clinical picture, investigations & treatment. How will you differentiate it from Vitamin  D deficiency rickets? 1+(2+2+3)+2

Part B

6. Define Protrusion Acetabuli. Discuss its ethology, classification, clinical features & management. 2+(2+2+2+2)
7. Discuss in brief the various complications of Total Hip Arthroplasty (THA). How will you manage aseptic loosening of components in a 65 year old patient of Cemented THA? (5+5)
8. What is Pseudogout? Discuss its pathology, clinical diagnosis & treatment. 2+(2+3+3)
9. How will you diagnose a case of hallux valgus? Discuss broad principles of its management.     5+5
10. What is osteochondritis dissecans of the femoral condyles?Discuss its classification, clinical diagnosis & management. 2+(2+3+3)

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PAPER III
Part A

1. Classification, management & complications of paediatric supracondylar humerus fractures. 2+4+4
2. Classify extracapsular hip fractures. Describe in brief its treatment & complications 3+(3+4)
3. Describe in brief with appropriate diagram &example:  4+3+3
   a) Lag Screw Principle
   b) Wolff Law
   c) Osteoinduction
4. How will classify spine injuries based on mechanism? Discuss in brief the clinical diagnosis & treatment of a patient with anterior wedge compression fracture of L1 vertebra. 3+(3+4)
5. Classify fracture radial head. Describe its mechanism of injury, diagnosis & treatment.   2+(2+2+4)

Part B

6. Classify decubitus ulcers. Describe its etiopathogenesis & management.  3+(3+4)
7. Describe in brief with appropriate diagram & example:  4+3+3
   a) Antiglide Plate
   b) Mangled Extremity Severity Score.
   c) Classification of Lisfranc injuries.
8. a) Haemothorax.                   5+5
   b) Volkmann’s ischemia.
   c) Balloon kyphoplasty.    4
9. Classify various flaps used in the management of Gustilo type III-B open fracture of proximal one-third of both bones of leg. Describe in brief each type.            4+6
10. Describe in brief the mechanism of injury, classification, diagnosis & treatment of Perilunate injuries.              2+2+3+3

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PAPER IV
Part A

1. What are the various modalities of pain management? Discuss recent advances in pain management in Orthopaedics.             5+5
2. Define Orthobiologics. Discuss its classification & applications in Orthopaedics.                       2+(3+5)
3. a) Tranexamic acid
   b) Biologics in management of rheumatoid arthritis.   4+6
4. Define  Osteoid Osteoma. Write in brief about its clinical diagnosis & management including recent advances.       2+(2+6)
5. a) Trabecular metal in THR
   b) Ceramic on Ceramic articulation in THR.         5+5

Part B

6. Discuss briefly the management of Giant cell tumour of distal end of femur. Discuss the recent advances in its management. 7+3
7. a) Bone Bank. 
   b) Alloprosthetic composite.      5+5
8. a) Tests for sacroiliac joint.
   b) SCIWORA.
   c) Femoroacetabular impingement.                3+3+4
9. What is traumatic knee dislocation? Discuss its classification & management.                            2+(3+5)
10. What are different types of bone cement? Write in brief about cementing technique & pressurization.           4+6

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