JUNE 2018                                                  download

June2018_PAPER 1to4

PAPER I
Part A

1. a)Stages of fracture healing.
   b)Describe various patterns of fracture healing after
   intramedullary nailing, locked plates and dynamic
   compression.
2. a)What is gout?
   b)Differences between gout and pseudo gout.
   c)Management of gout in a middle aged woman.
3. a)Write the extensor mechanism of finger with its diagram.
   b)Describe in brief development of proximal end femur.
   c) Blood supply of femoral head.
4. a)Describe calcium metabolism
   b)Skeletal and radiological changes in hyperparathyroidism.
   c)Principles and indications of Teriparatide in osteoporosis.
5. a)What is Complex Regional Pain Syndrome (CRPS)?
   b)Describe its type and stages.
   c)Diagnostic criteria and management of CRPS.

Part B

6. a)Anatomy of arches of foot.
   b)What is posterior tibial tendon dysfunction?
   c)Write stages and management of posterior tibial tendon
   dysfunction..
7. a)Histological zone of growth plate.
   b)Classification of physeal injury in children.
   c)Management of physeal injury in children.
8. a)What is limb length discrepancy?
   b)Classification of limb length discrepancy.
   c)Management of limb length discrepancy due to congenital
   pseudoarthrosis tibia in children.
9. a)Define entrapment syndrome.
   b)Enumerate various entrapment syndromes.
   c)Clinical features and management of carpel tunnel
   syndrome.
10. Etiopathogenesis, diagnosis and management of gas gangrene
    in lower extremity.

PAPER II

Part A

1. a)Sequelae of osteomyelitis in paediatric patients.
   b)Describe management of each sequela.
2. a)Classification of acetabular fracture.
   b)Describe necessary radiological views for diagnosis of
   acetabular fracture
   c)Surgical management of posterior column acetabular
   fracture.
3. a)Enumerate causes of painless limp.
   b)What is Perthes disease?
   c)Classification and management of Perthes disease.
4. a)Types of tourniquets used in orthopaedic surgery.
   b)Principles of usage of tourniquet.
   c)Complications of tourniquet in orthopaedic surgery and its
   management.
5. a)Types of proximal tibial osteotomies in children & adults.
   b)Indications and contraindications of high tibial osteotomy for
   O.A. Knee.
   c)Technique of high tibial osteotomy.

Part B

6. a)Enumerate various deformities of rheumatoid hand
   b)Management of deformities of rheumatoid hand.
7. a)Classify periprosthetic fracture around total hip arthroplasty.
   b)Management of periprosthetic fracture around hip.
8. a)Define claudication.
   b)Difference between vascular and neurological claudication.
   c)Management of a 60-year-old woman with lumbar canal
   stenosis.
9. a)Clinical, radiological features and management of giant cell
   tumour.
   b)How to prevent & manage recurrence of giant cell tumour?
10. a)What is dynamization?
    b)Describe its role in Orthopaedics using various implants.

PAPER III

Part A

1. a)Describe Hoffa’s fracture.
   b)Mechanism of injury of Hoffa’s fracture.
   c)Diagnosis and management of Hoffa’s fracture.
2. a)Classify thoracolumbar spinal injuries.
   b)Management of patient with D12 burst fracture.
3. a)What is Lisfranc joint?
   b)Classify the Lisfranc joint injury.
   c)Management of Lisfranc injury with complications.
4. a)What is unstable trochanteric fracture?
   b)Briefly discuss the various methods of treatment of unstable
   trochanteric fracture.
5. a)Anatomy of posterolateral corner of knee joint. (PLC)
   b)Clinical test for diagnosis of PLC injury.
   c)Management of PLC injury.

Part B

6. a)Classify Monteggia fractures.
   b)Management of Monteggia fractures in children.
   c)Management of a 3 month old anterior neglected Monteggia
   fracture dislocation in a 6-year-old child.
7. a)What is Hangman’s fracture?
   b)Mechanism of injury classification and management of
   Hangman’s fracture
8. a)Surgical anatomy of lower end radius.
   b)Classify the lower end radius fractures.
   c)Describe management of comminuted fracture of lower end
   of radius.
9. a)Classify nerve injury.
   b)Causes of radial nerve palsy in an adult.
   c)Management of Holstein Lewis fracture.
10. a)Indications of amputation.
    b)Surgical principles of amputation in children.
    c)Levels of various foot amputations; their indications &
    disadvantages.

PAPER IV

Part A

1. a)What is free vascularized bone graft?
   b)Role of free vascularized bone graft, allograft and bone
   substitutes in Orthopaedics.
2. a)What is biodegradable implants?
   b)Describe various biodegradable implants used in
   Orthopaedics.
   c)Advantages and disadvantages of biodegradable implants.
3. a)Indications and contraindications of Tibiotalocalcaneal (TTC)
   Nail.
   b)Advantages of Tibiotalocalcaneal Nail over other methods of
   ankle arthrodesis.
4. a)Classification of cartilage injury.
   b)Describe investigation and management of cartilage injuries
   of knee joint.
5. a)Define non-union.
   b)Classification of non-union.
   c)Recent advances in management of gap non-union of
   fracture tibia.

Part B

6. a)Anatomy of rotator cuff of shoulder joint.
   b)Indications, contraindications and biomechanics of reverse
   shoulder arthroplasty.
7. a)Recent advances in medical and surgical management of
   osteoporotic vertebral fracture.
   b)Minimal invasive spine surgery in Orthopaedics.
8. a)Unicompartmental knee arthroplasty indications.
   b)Advantages & disadvantages of unicompartmental knee
   arthroplasty.
   c)Complications of unicompartmental knee arthroplasty.
9. a)Radiation hazards in Orthopaedics
   b)Preventive measures for radiation hazards in Orthopaedics.
10. Recent advances in various imaging modalities in Orthopaedics.