JUNE 2021

PAPER 1

1. a) Mention the pattern of recovery of peripheral nerve injuries. [6]
   b) What are the indications and clinical role of electromyography in peripheral nerve injuries. [4]
2. a) Enumerate salient clinical and histo-pathological features of PVNS (Pigmented Villo-Nodular Synovitis). [5]
   b) Briefly outline treatment options of PVNS of the knee joint in a young adult male. [5]
3. What is Ertl procedure of amputation osteomyoplasty and it’s indications and advantages? [4+3+3]
4. a) Describe patho-anatomy of thoracic outlet syndrome. [5]
   b) Describe the clinical tests for diagnosis of thoracic outlet syndrome. [5]
5. a) Describe Morel-Lavallee lesion and briefly mention the management. [5]
   b) Describe sectoral sign in clinical examination of the hip joint and it’s clinical significance. [5]
6. a) Describe differences in the neck shaft angle and ante-version angles of hip joint in infants, adolescents & adults. [6]
   b) Describe the principle and indications of tension band wire in fracture fixation. [4]
7. a) Describe rotator cuff interval and mention its clinical and surgical significance. [5]
   b) Describe briefly salient clinical and radiological features of diaphyseal aclasis. [5]
8. a) Describe various clinical and radiological features of skeletal fluorosis. [4]
   b) Describe different types of sequestrum. [6]
9. Discuss clinical and radiological features of parosteal osteosarcoma and its management. [3+3+4]
10. Briefly descibe anatomy of posterolateral corner of knee joint and its role in knee stability. [5+5]

---

PAPER 2

1. Briefly outline the management of pronation-abduction injuries of ankle joint according to LaugeHansen classification. [10]
2. Discuss the indication of surgical and non-surgical management of thoracolumbar spine injury as per thoracolumbar injury severity score. [10]
3. a) Briefly describe three clinical tests to diagnose rotator cuff tendinosis of shoulder. [6]
   b) Define adhesive capsulitis of shoulder and its management in brief. [4]
4. a) Describe clinical signs of fat pad syndrome and briefly outline its management. [5]
   b) Describe patho-anatomy and brief management of the commonest ligamentous injury of thumb in adults. [5]
5. a) Discuss briefly principle and indications of hind-foot nailing in acute and neglected trauma. [5]
   b) Describe the method and clinical interpretation of Coleman block test in foot pathology. [3+2]
6. Discuss the principles of management of recurrent dislocation of patella. [10]
7. a) Discuss the method and principle of Ilizarov hip reconstruction. [5]
   b) What are the indications, advantages and shortcomings of Ilizarov hip reconstruction. [5]
8. a) Discuss briefly the patho-anatomy of Sprengel shoulder. [5]
   b) Outline the management options of Sprengel shoulder in children. [5]
9. a) Briefly describe “double-crush syndrome” and its patho-physiology. [5]
   b) Briefly describe Brostrom procedure in ankle joint and its indications. [5]
10. Briefly mention the principles of management of different stages of Kienbock’s disease. [10]

---

PAPER 3

1. a) What is turret exostosis? Outline its management briefly. [5]
   b) What is Caffey disease? Outline its salient clinical and radiological features. [5]
2. a) Tabulate the differences between septic and hypovolemic shock. [7]
   b) Briefly describe management of septic shock. [3]
3. a) Describe the clinical features of deep vein thrombosis in a bed ridden patient. How is the diagnosis established? [5]
   b) What is the preventive management of deep vein thrombosis? [5]
4. a) Describe briefly the surgical steps of instrumented anterolateral decompression of thoracic spine in tuberculosis. [3]
   b) What are the indications and contraindications for surgical decompression in tuberculosis of spine? [5+2]
5. a) Draw the cross section of spinal cord. [4]
   b) Mention the patho-anatomic basis of the clinical features of Brown Sequard and Central spinal cord syndrome. [3+3]
6. Briefly discuss management of human bites on hand. [10]
7. Describe triage and its role in the management of polytrauma patients. [10]
8. a) What are the indications and advantages of total contact casts in orthopaedics. [5]
   b) Describe the management of neglected flexor tendon injury in Zone 2 of the hand. [5]
9. a) Briefly describe TRASH injuries of elbow in children. [5]
   b) Briefly outline diagnosis and management of tension pneumothorax. [5]
10. a) Describe in brief reverse shoulder arthroplasty and its advantages. [3]
    b) Describe Syme’s amputation and its indications and advantages. [3+2+2]

---

PAPER 4

1. a) Describe briefly the principle and indications of pulsatile parathormone therapy in orthopaedics.[5]
   b) Describe briefly the clinical implications of bone morphogenetic proteins in orthopaedics. [5]
2. a) What is the role of liquid culture (MGIT) in diagnosis & management of osteo-articular tuberculosis? [5]
   b) Write briefly about the principle, advantages & disadvantages of hip resurface arthroplasty. [5]
3. Discuss the current status of management of meniscal injuries of the knee. [10]
4. a) Describe briefly the principle and indications of FDG-PET scan in orthopaedic practice. [5]
   b) Mention briefly about the latest generation of cementing technique for total hip arthroplasty. [5]
5. a) Mention briefly the intraoperative factors leading to failure of primary ACL reconstruction. [5]
   b) Discuss in short the factors to be considered during revision ACL surgery. [5]
6. Discuss briefly the technique of bone lengthening by various external fixation devices. Mention the role of other devices and its advantages. [5+5]
7. What is calcaneoplasty? What are its indications, advantages & shortcomings? [3+3+2+2]
8. Discuss briefly the biological treatment options for rotator cuff tears. [10]
9. Discuss briefly the fusionless techniques in management of adolescent idiopathic scoliosis. [10]
10. Enumerate the names of first, second and third line drugs of anti-tubercular therapy with their common side effects and any precautions needed during their use. [10].