December 2022

DECEMBER 2022
PAPER 1

  1. Fat embolism syndrome:
    a) Describe the pathophysiology. [3]
    b) Clinical features and diagnosis. [3]
    c) Management of fat embolism in a case of closed fracture shaft femur. [4]
  2. Peripheral nerve injury:
    a) Describe anatomy of a peripheral nerve. [3]
    b) Classification & diagnosis of peripheral nerve injuries. [3]
    c) Algorithm for management of radial nerve palsy. [4]
  3. Femoral anteversion:
    a) Describe evolution of femoral anteversion. [3]
    b) What are the clinical and radiological methods to measure femoral anteversion? [3]
    c) Discuss the role of femoral anteversion in Orthopedics. [4]
  4. a) Describe the pathophysiology of Polytrauma patient. [5]
    b) Discuss the principles of Damage Control Orthopedics vs Early total care. [5]
  5. a) Describe calcium metabolism. [4]
    b) Discuss the clinical features, diagnosis, and management of nutritional rickets. [6]
  6. a) Define Stress, Strain and Young’s Modulus of Elasticity in relation to Orthopedic implants. [2+2+2]
    b) Discuss the recent advances in materials in Orthopaedic surgery. [4]
  7. Discuss the biomechanics & clinical uses of floor reaction orthosis. [5+5]
  8. a) Describe the extensor mechanism of knee joint. [3]
    b) Describe biomechanics of patella-femoral joint. [3]
    c) Describe the factors predisposing to patellar instability. [4]
  9. What are the types of epiphysis? Describe the indications and various methods of epiphysiodesis. [3+(2+5)]
  10. Discuss the pathophysiology, clinical manifestations, and differential diagnosis of Heterotopic Ossification. [4+3+3]

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PAPER 2

  1. a) Describe the etio-pathogenesis and clinical features of a cold abscess. [3+2]
    b) Discuss the management of pott’s paraplegia with cold abscess at dorsal spine level 8,9 vertebra. [5]
  2. a) Describe the various hand deformities in rheumatoid arthritis. [5]
    b) Describe in brief the patho-anatomy and treatment of “Boutonniere deformity”. [5]
  3. What is Kienbock’s disease? Write briefly its etiology, diagnosis, clinical staging and management. [2+(2+2+4)]
  4. Describe in detail the various considerations, investigations and implant choices in management of a failed osteosynthesis of fracture neck of femur in a young adult. [10]
  5. a) Briefly describe the principles & steps of Ponsetti’s method of CTEV correction. [3+3]
    b) Describe the orthotic management of CTEV during the treatment. [4]
  6. a) Describe the surgical anatomy of subacromial space. [3]
    b) How will you investigate and manage a case of chronic full thickness tear of rotator cuff in a 65-year-old osteoporotic female? [7]
  7. Discuss treatment options of the focal cartilage defect over the medial femoral condyle in a 45-year old active man. [10]
  8. a) Describe Trans scaphoid Perilunate fracture dislocation. [5]
    b) Discuss the potential complications and outcomes of a chronic neglected Trans scaphoid perilunate fracture dislocation. [3+2]
  9. Describe terrible triad of elbow & how will you manage it in a 20-year-old throwing athlete? [10]
  10. a) Discuss the indications of allograft use in orthopedic surgery. [5]
    b) Describe the key principles of allograft harvest, preparation and preservation in a bone bank. [5]

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PAPER 3

  1. a) Enumerate injuries due to a fall on outstretched hand. [3]
    b) Discuss the management, complications, and outcomes of supracondylar fracture of humerus in children. [3+2+2]
  2. Discuss diagnosis, investigations, and management of an osteochondral defect in talar dome in a 25-year-old athlete. [10]
  3. Describe the causes of ulnar wrist pain after healing of a distal radial fracture. Discuss the management of distal radio ulnar joint (DRUJ) disruption in 30-year-old software engineer. [5+5]
  4. a) Describe the causes of neuropathic joint. [2]
    b) Mention in brief the clinical features, diagnosis and treatment of neuropathic joint. [3+2+3]
  5. Bowing of tibia in children:
    a) Describe the causes, types. [2+2]
    b) Management of congenital bowing of tibia. [6]
  6. a) Define and classify Volkmann’s ischaemic contracture (VIC). [1+2]
    b) Describe the surgical and orthotic management in Grade II VIC of forearm. [4+3]
  7. a) Describe the clinical presentation and investigations for ankylosing spondylitis. [5]
    b) Discuss briefly its medical and surgical management. [5]
  8. a) Describe pathogenesis & clinical features of medial compartment osteoarthritis. [3]
    b) Discuss the indications, pros & cons of HTO vs Unicondylar replacement. [2+5]
  9. Spondylolisthesis:
    a) Its classification in adults. [3]
    b) Its clinical features & radiological signs. [2+2]
    c) Outline its management. [3]
  10. a) Discuss principles of limb salvage surgery in malignant bone tumors. [5]
    b) List the indications and contraindications of limb salvage in Malignant bone tumours. [5]

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PAPER 4

  1. What are Biochemical markers for bone formation and bone resorption? Discuss their role in management of osteoporosis. [5+5].
  2. Discuss ceramics as a bearing surface in Total Hip Arthroplasty. [10]
  3. Gene therapy in Orthopedics. [10]
  4. Discuss the various considerations, pros and cons and future perspective of day care surgery in Orthopedics. [10]
  5. a) Discuss differential diagnosis of monoarticular arthritis of knee joint in a 25 year old male presenting with pain and difficulty in bearing weight. [5]
    b) Tabulate its investigations and management in an algorithmic manner. [5]
  6. Robotic Surgery in Orthopedics:
    a) Discuss its present role, usage, and indications. [7]
    b) Comment on the cost to benefit ratio of robotic surgery in Orthopedics in developing countries. [3]
  7. Radial head prosthesis:
    a) Indications of surgery. [3]
    b) Design rationale. [3]
    c) Surgical technique of implantation & complications. [4]
  8. Hip arthroscopy:
    a) Indications for surgery. [3]
    b) Portals and surgical technique. [4]
    c) Complications & outcomes. [3]
  9. Prosthetic joint infection:
    a) Role of biofilm in implant infection. [2]
    b) Sonication. [2]
    c) Management algorithm in Prosthetic joint infection in Total Knee Replacement (TKA). [6]
  10. a) What is a myoelectric prosthesis? [3]
    b) Describe its applications, advantages, and disadvantages. [2+2+3]