December 2021

DECEMBER 2021

PAPER 1

  1. Describe the Ligaments of elbow joint. Describe Posterolateral Rotatory Instability (PLRI) of elbow and briefly outline its management [3+(4+3)]
  2. Discuss causes of avascular necrosis of lunate and describe management of Kienbock disease. [4+6]
  3. Describe boundaries of quadrilateral space (shoulder). Describe clinical features & treatment of quadrilateral space syndrome briefly. [5+5]
  4. Differentiate between osteoid osteoma & osteoblastoma. [10]
  5. Write salient features of Ollier’s disease. Write differentiating features from Maffucci syndrome. [6+4]
  6. Write briefly about clinical features & management of musculo-skeletal syndromes in HIV. [5+5]
  7. Tabulate at least five differences in the characteristic features of synovial fluid in pyogenic arthritis & non-infective inflammatory arthritis. [5+5]
  8. Write briefly about principle, interpretation and indications of Technetium 99 scan in orthopaedics. [3+3+4]
  9. Describe briefly the pathology, salient clinical features & management of hypophosphatemic rickets. [4+2+4]
  10. Differentiate between spasticity & rigidity. What are the pharmacological methods of reducing spasticity in children with cerebral palsy? [4+6].

PAPER 2

  1. Discuss pathology, differential diagnosis & brief management of Scheuermann disease. [2+3+5]
  2. What is Carpal Tunnel Syndrome? Describe its causes. Briefly discuss its management. [3+3+4]
  3. What is Perthes’ disease? Describe its stage wise management. [2+8]
  4. Describe principle & interpretation of Trendelenburg’s test. [5+5]
  5. Describe salient steps & indications of Ganz approach to the hip joint. [5+5]
  6. Classify & briefly discuss management of spondylolisthesis in adults. [4+6]
  7. Discuss pathophysiology & approach to management of knee joint dislocation with multi-ligamentous injury. [3+7]
  8. Discuss various bony procedures to correct hindfoot varus in a neglected clubfoot in a 5 year old child. [10]
  9. Discuss clinical features and imaging in chronic inferior tibio-fibular diastasis. Briefly discuss its management in a young & active adult male. [(2+3)+5]
  10. Write principle & indications for reverse total shoulder arthroplasty. [5+5]

PAPER 3

  1. Discuss principle, dose & role of tranexamic acid in management of polytrauma. [5+2+3]
  2. Discuss differential diagnosis & approach to confirm diagnosis in a lytic metaphyseal long bone lesion in an 8 year old child. [5+5]
  3. Discuss principle, level & indications of a Syme’s amputation. [3+2+5]
  4. Discuss at least five differences between SACH foot & Jaipur foot. [10]
  5. Write risk factors & preventive measures for the geriatric fractures for citizens aged > 65 years.[2+8]
  6. Describe briefly the clinical features & management protocol for adult respiratory distress syndrome. [5+5]
  7. Briefly discuss categories of dog bite, their first aid & post exposure prophylaxis. [3+3+4]
  8. First aid management of a firecracker hand injury in an adult. [10]
  9. a) Non Structural Scoliosis. [5]
    b) Interpretation of straight leg raise test in patients with acute low backache. [5]
  10. Prehospital care of a polytrauma patient. [10]

PAPER 4

  1. Principle, advantages & indications of contrast enhanced MRI in orthopaedics. [2+3+5]
  2. Principles & indications of Musculoskeletal Ultrasonography. [5+5]
  3. Principle, advantages & disadvantages of myo-electric prosthesis in upper limb. [3+3+4]
  4. Musculoskeletal symptoms associated with SARS-COV-2 virus infection & their management. [5+5]
  5. Factors affecting regeneration after peripheral nerve repair. [10]
  6. Biological therapies in tendon regeneration for chronic tendinopathies. [10]
  7. Discuss current advancements in the treatment of chronic lateral ankle instability. [10]
  8. Discuss role & principles of various pharmacological agents in fibrous dysplasia. [5+5]
  9. Describe Paley classification of congenital pseudoarthrosis of tibia. Describe principle of the latest approach to its management. [6+4]
  10. Discuss principle, indications, advantages & disadvantages of motorized intra-medullary bone lengthening in adults. [3+3+2+2].