Dr.

Umesh Birole 1

Serial. Topic Page.

No. No.
1 Basic sciences & general orthopaedics 2
2 Arthrodesis 6
3 Arthroplasty 7
4 Amputation 9
5 Infection 10
6 Tumor 13
7 Congenital anomalies 16
8 Paediatric orthopaedics 18
9 Osteochondrosis 19
10 Neurodisorders 20
11 Fracture & dislocation 22
12 Spine 28
13 Sports medicine 31
14 Nerve injuries 34
15 Microsurgery 36
16 Hand & wrist 37
17 Foot & ankle 39
18 Hip & pelvis 40
19 Arthropathy & Inflammatory disorders 41
20 Investigations & clinical test 42
21 Orthotics & prosthesis 43
22 Implants & techniques 45
23 Physiotherapy 48
24 Metabolic disorders 49
25 PSM 51
26 Miscellaneous 52
27 Good to know 54

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 2

BASIC SCIENCES & GENERAL ORTHOPAEDICS

 Define gait. What are its phases. Enumerate various pathological gaits
with their causes. ‘16’15’12’10’07

 Define FES. Describe in brief clinical features, diagnosis & management

of FES. ‘16’15’13‘10‘07

 Callotasis. ‘16

 What is damage control orthopaedics. How will you manage a case of #

shaft of femur with lung contusion in adult. ‘16‘14’13’11’10‘08

 Properties of bone graft. Different types of bone graft, bone graft

substitute & their incorporation. Differentiate between cancellous &
cortical grafts. ‘16’15’11’10’06‘05

 Differentiate between primary & secondary # healing. ‘15’12

 Define & classify VIC. Aetiopathogenesis, clinical features, prevention &

management of VIC. ’15‘08

 Define compartment syndrome. Describe pathogenesis, clinical features,

investigations & management of acute compartment syndrome of leg.
’15’14’12‘10

 Describe the properties of synovial fluid (synovial fluid analysis). How

does it help in differentiating various types of arthritis. ’15‘14’13’11‘06

 Mangled Extremity Severity Score (MESS). ’15’09

 Ganga score. ‘15’14’12

 Crush syndrome. ‘15

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 3

 Terrible triad of death (hypothermia, acidosis, coagulopathy). ‘15

 Define distraction histiogenesis. Principles of distraction histiogenesis.

Enumerate the indications of distraction histiogenesis in orthopaedics.
‘15‘14‘10

 Differentiate between antalgic & trendelenberg gait. ‘15

 Bone bank. ‘15

 Define poly-trauma. Fluid management & clinical monitoring of

polytrauma patient with haemorrhagic shock. ‘16‘15’08‘07

 Allograft – definition, types, principles of preservation, advantages &

disadvantages. ‘14’09’07

 Describe in brief the current state of knowledge of use of stem cells in

orthopaedic practice. ‘14

 Describe the stages of # healing. List the factors influencing # healing.

Discuss the physical & chemical modalities to augment # healing.
‘14’13’12’11’09

 Autologous transfusion. ’14‘09

 Gene therapy in orthopaedics. ‘14‘10

 Metabolic acidosis. ‘14

 Postoperative fever. ‘14

 What is pneumatic tourniquet. Discuss its uses, complications & safety

guidelines. ‘14’09

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 4

 Define “Virchow’s triad”. Management of DVT. What precautions are

required if post-operative epidural analgesia is used for 4-5 days.
‘14’12’11’08

 Clinical features & management of stove-in-chest. ’14’11‘09

 What is ballistics. Briefly describe the current management of ballistic

injuries of the spine. ‘13’11’07

 Define shock. Pathophysiology of septic shock. Discuss the management

of shock in a polytrauma patient. ‘13’07

 Write a short note on BMP. ‘13’11

 What is “ VAC ”. How will you manage a case of compound # tibia

having no neurovascular deficit. ‘13

 What is reperfusion injury. How can we prevent it. Outline the principles
of its management. ‘13

 Describe physiology of normal articular cartilage & its biomechanical

functions. Discuss the advances in articular cartilage tissue engineering &
repair. ’13’11’07‘06

 Define a “ Borderline ” patient of polytrauma. Discuss the

clinical/investigative parameters to decide whether the patient should be
managed by Early Total Care (ETC)/ Damage Control Orthopaedics
(DCO). ‘12

 Describe the structure of bone with illustrative diagrams. ‘12

 Describe various types of cartilage. Discuss their physiology &

ultrastructural characteristics. ‘11

 ATLS. ‘11

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 5

 Management of multiple rib # with hemothorax. ‘10‘07

 Methods of reducing risks of blood transfusion. ‘10

 Describe blood supply of long bones. Discuss the effects of various

modalities of fixation on the blood supply. ‘10‘08

 What is multi-organ dysfunction syndrome. What are indicators of

mortality. Write briefly about diagnosis & management ‘10

 Postoperative pain management. Describe patient control analgesia. ‘09

 Gate control theory of pain. ‘09‘07

 Discuss prophylaxis against secondary complications of patients with

Polytrauma. ‘ 09

 Chronic (exertional, recurrent) compartment syndrome. ‘07

 Aetiopathogenesis, pathology & management of DIC. ’07‘06

 Tension pneumothorax . ‘07

 Describe bone remodelling unit. Briefly describe the drugs which

influence remodelling. ‘07

 Biochemical markers of bone formation & resorption. ’08‘06

 Respiratory distress syndrome. ‘05

 Massive blood transfusion. ‘05

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 6

ARTHRODESIS

 Ankylosis & arthrodesis. ‘16

 Pantalar arthrodesis. ‘15

 Give functional classification of muscles around the shoulder. Enumerate

the indications for shoulder arthrodesis. What are the pre-requisite for
good results. Describe any one technique of shoulder arthrodesis. ‘09

 Stewart & Harnaley ankle arthrodesis. ‘06

 Bristow’s procedure. ‘04

 Triple arthrodesis for equinus. ‘04

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 7

ARTHROPLASTY

 Types & principles of HTO for OA. ‘16

 Define tribology. Recent advances in biomaterials in joint replacements to

increase their longevity.’16’14‘10’07

 What is reverse shoulder arthroplasty. How is it different from

conventional shoulder arthroplasty. Enumerate the indications &
biochemical basis of design of this prosthesis. ‘15’12

 Enumerate bearing surfaces in THA. Advantages & disadvantages of each

bearing surface. ’15’10‘07

 Recent advances in THA. ‘15

 Classify peri-prosthetic # following THA. Outline the management

strategy. ’15‘10

 Describe the role of PCL in knee arthroplasty. Discuss the benefits of PCL
retention vs substitution. ‘14

 Draw diagram(s) of anatomic & biomechanical axis of LL & briefly

discuss the biomechanical principles of TKR. '14

 Enumerate complications of TKR. ‘13

 What is highly crosslinked polyethylene. How it is manufactured. How

does it affect modern THA. ’13’11‘09

 Combined angle of anteversion during THA. ‘13

 Biomechanics of hip joint & its clinical application. ‘12‘05

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 8

 Describe the anatomy of PCL. Discuss pros & cons of cruciate retaining
Vs cruciate sacrificing TKR.’12‘09

 Describe pathogenesis of medial compartment osteoarthritis. Discuss pros

& cons of HTO vs unicondylar replacement. ‘11‘09

 Concepts of total knee replacement. ‘10

 Describe management of unicompartmental OA knee. ‘09

 Discuss causes of loosening after THA. Discuss its clinical features,

diagnosis & management. ‘08

 Discuss differential diagnosis in a 25 year male presenting with

monoarticular arthritis of knee joint. Tabulate the management in
algorithmic manner. ‘08

 Discuss various methods of preventing DVT following TKR. Discuss their

merits & demerits. ‘08

 Bone defects encountered during TKR & their management. ‘08

 Classify peri-prosthetic # around knee knee. Outline the treatment

strategy. ‘07

 Briefly describe the relevant biomechanics of the lower limb particularly

in relation to bone cuts in TKR. ‘07

 Principles of surface replacement arthroplasty of hip. What do you think

are the reasons of failure of previous historical designs compared to
modern successful design. ‘06

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 9

AMPUTATION

 Early management of closed above knee amputation. ‘15

 Describe indications (absolute & relative) & complications of amputation.

Principles of amputation of lower limb in children. ‘13‘11’10’09‘07

 Discuss the principles of amputation in children & adults. ‘13

 What is Symes amputation. Describe indications & complications. What is

the prosthesis suitable for Symes amputation. ‘07

 How do principles of amputation differ in children as compared to adults.

What is pylon prosthesis. What are the advantages & disadvantages. ’06
‘05

 Suction socket prosthesis – principles, indications & advantages over

conventional prosthesis & main points in its construction. ‘06

 Enumerate various classical levels of lower limb amputation. Discuss AK

amputation in detail. What is the difference in energy by the patient in AK
amputation as compared to BK amputation. ‘05

 Skew flap amputation – indications, advantages of conventional

amputation, steps of operation & comlications. ‘05

 Ideal stump. ‘04

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 10

INFECTIONS

 Surgical site infection – prevention & treatment. ‘16‘12

 Precautions taken by surgical team during operation of HIV positive

patient. ’16’12’11

 Sequelae of septic hip in an infant. ‘16’12

 Spina ventosa. ‘16

 Instrumentation in spinal TB – rationale & indications. ‘15

 ATT regimen in bone & joint TB. ‘15

 What are the various causes of late onset paraplegia in TB of spine.

Describe the investigative modalities & outline the principles of
management. ‘15‘09

 Local antibiotic delivery.’15

 Role of biofilm in implant infection. Production, regulation &

management of biofilm. ‘15’13

 Define Tom Smith’s hip arthritis. Discuss the clinical features, diagnosis,
treatment & sequelae. ’14’10‘06

 Describe the indications of surgery in TB spine. Discuss the role of

instrumented stabilisation in TB spine. ‘14

 Write briefly the current presentation & treatment strategy in MRSA

infection. Briefly mention about its evaluation. ‘14

 Clinical features & complications of TB of cervical spine. ‘14

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 11

 Necrotising fascitis. ‘14’13’11

 Briefly describe the clinical features, diagnosis, DD & broad principles of

management of TB dorsal spine with paraplegia. ‘13

 Discuss the aetiology, pathology, diagnosis & management of gas

gangrene of the lower extremity. ’13‘08’06

 What is tubercle. Discuss patho-anatomy, diagnosis & principles of

management of cold abscess. ‘13

 Describe the mechanism of bacterial colonisation & perpetuation in

osteomyelitis after orthopaedic implant surgery. How is the situation
different in TB infection of musculoskeletal system. ‘13

 Chronic recurrent multifocal osteomyelitis. ’13‘08

 Gram negative septicaemia. ‘13

 Define osteomyelitis. Discuss the pathology, clinical features,

investigations & management of acute osteomyelitis of upper end of tibia
in a 10 year old child. ‘13

 What is tuberculoma. Discuss the primary drug used to treat TB spine.

Enumerate complications of isoniazid, streptomycin & ethambutol. ‘13

 Define MDR TB. Discuss the clinical features, diagnosis & treatment of a
case of MDR TB of spine. ‘12

 Describe the clinical features, diagnosis & management of TB hip of

children. ‘12

 Psoas abscess. ‘12

 Define osteomyelitis. Discuss the pathology, clinical features, diagnosis &

management of acute osteomyelitis in a child. ‘11

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 12

 Outline the principles of management in case of infected non-union of

long bone. How will you treat infected non-union of tibia. ‘11‘09

 Discuss the indications of surgery in TB spine with or without

neurological complications. ‘10

 Enumerate various diagnostic tests with their relative merits for

postoperative infection. Outline the treatment. ‘10

 Describe musculoskeletal manifestation of HIV infected patients. ‘09

 Describe anatomical classification of chronic osteomyelitis. Discuss the

principles of management based on this classification. How will you fill
the dead space after excision of infected tissue. ‘09

 Enumerate the radiological types of TB hip. How does this classification

help in prognosis. ’08‘07

 Rationale for using metallic implants in osteoarticular TB. ‘08

 Neurological deficit in caries spine, types, pathogenesis & prognostic

factors. ‘07

 Discuss the pathogenesis of acute hematogenous osteomyelitis. How does

it differ in age groups. ‘07

 What is DOTS. What is its rationale. ‘06

 Nosocomial infection on orthopaedics – common organisms & preventive

measures. ‘05

 Madura foot. ‘05

 Broadies abscess. ‘02

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 13

TUMOR

 Types & principles of biopsy for musculoskeletal tumor. ‘16

 Hemophilic cyst. ‘16

 Musculoskeletal manifestation of neurofibromatosis. ‘16’14 ‘09

 Polyostotic fibrous dysplasia. ‘16

 Osteitis fibrosa cystica. ‘16

 Paget’s disease. Clinical features, biochemical investigations & medical

treatment. ‘16

 Pyknodysostosis. ‘16

 Codman’s tumor (chondroblastoma) . ‘16

 Chemotherapy for osteosarcoma. ‘16‘05

 Rotationplasty. ‘16

 Recent advances in reduction of recurrence in GCT with emphasis on

medical treatment. ‘16

 Extracorporeal RT for bone sarcoma. ‘16

 Brachytherapy. ‘16

 Role of embolization in orthopaedics. ‘16

 Oncogenic osteomalacia. ’15‘07

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 14

 Briefly describe the clinical features, types & management of osteoid

osteoma. ‘15‘06

 Discuss the pathology, clinical features & management of synovial

chondromatosis. ‘15‘12

 Current concepts in management of osteosarcoma. ‘15

 Current concepts in management of skeletal metastasis. ’15‘07

 Enumerate fibrous lesions of bone. Clinical features, diagnosis &

management of fibrous dysplasia of bone. ’15‘14

 Principles of limb salvage surgery in malignant bone tumors. List the

indications & contraindications. Describe the techniques of limb salvage
in osteosarcoma of distal end of femur. ‘15’14‘09

 Differentiate between paraosteal & periosteal osteosarcoma in terms of

pathology, clinical features, treatment & prognosis. ‘14’11

 Discuss the pathology, clinical features, diagnosis & treatment of

pigmented villonodular synovitis. ’14’11‘09

 What is “Sandwich technique”. Describe the technique in the management

of GCT of distal end of radius. ‘14

 Clinical features, radiology & treatment of non-ossifying fibroma. ‘13

 Clinical presentation, diagnosis & management of multiple myeloma.

’13‘05

 Methods to cover defects after excision of primary malignant tumors of

bone. What is extracorporeal irradiated tumor bone. ‘12

 Discuss the pathophysiology, clinical manifestation & DD of heterotopic

ossification. ‘12’11

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 15

 What is Diffuse Interstitial Skeletal Hyperostosis (DISH). Describe the

clinical features & its management. ‘12

 Describe the pathology, clinical features, radiological findings &

treatment of diaphyseal aclasia (HME). ‘12

 What are giant cell variants. Describe in brief their DD.’12‘06

 Briefly discuss the clinical features & pathology of Ewing’s sarcoma.

Outline the principles of treatment in a case of Ewing’s sarcoma of upper
end of humerus. ‘11‘09

 Discuss the DD of cystic lesions in upper end of humerus in a 10 year old

child. Describe the management of SBC (UBC) in same child. ‘11‘07

 Define GCT. Describe in brief clinical features, diagnosis & management

of GCT of upper end tibia. ‘10

 Discuss the management of metastasis in spine. ‘10

 Role of pamidronate in bone metastasis. ‘09

 Osteofibrous dysplasia. ‘09

 Brown tumor & synovioma ‘09’07

 Discuss various methods available for treatment of GCT of proximal tibia

in 30 year man. ‘08

 Discuss the approach to a patient with suspected bony metastasis with

unknown primary tumor. ‘08

 Write a short note on PNET. ‘07

 Round cell tumor. ‘07

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 16

CONGENITAL / DEVELOPMENTAL ANAMOLIES

 Metatarsus adductus. ‘16‘13

 Congenital dislocation of patella. ‘16

 Tibialisation of fibula. ‘16

 CTEV : Pirani scoring & Ponseti plaster technique with reference to

pathoanatomy.’16‘14’’13’12’10‘09

 Angular deformity of knee in children. ‘15

 Enumerate various causes of coxa vara. ‘15‘10

 Describe the classification, clinical features & management of tibial

hemimelia. ‘15’12

 Pathoanatomy , radiology, diagnosis & management of congenital vertical

talus. ’15‘10‘06

 Cleidocranial dysostosis. ‘14

 Genu valgum. ‘14

 Define torticollis. Enumerate signs & symptoms of congenital torticollis in

a 9 year old child. How will you manage spasmodic torticollis in a child.
‘14

 Clinical features of osteogenesis imperfecta. Discuss the types of

osteogenesis imperfecta. How does it differ from Battered Baby
syndrome. ’13‘09

 Define congenital muscular torticollis. List the DD & management of

congenital torticollis. ’13‘10

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 17

 Define pseudoarthrosis of tibia. Describe its pathogenesis, diagnosis,

classification & management. ’13‘10

 Classify the congenital skeletal limb deficiencies. ‘12

 Adolescent coxa vara. ‘12

 Classify radial club hand. Describe the pathological anatomy &

management of 1 year old child. ‘11‘07

 Classify congenital dislocation of knee. Comment on DD & management.

‘09

 What is congenital coxa vara. Describe its pathophysiology & outline

principles of management. ‘09

 A one year old child has been successfully treated for CTEV. Describe the
orthotic management from this time to the completion of treatment. ‘07

 Dwyer’s osteotomy for CTEV : indications, steps & comlications. ‘06

 Sprengel’s deformity. Aetiopathogenesis, clinical features & management’

‘06

 Coxa plana – clinical & radiological features, DD & principles of

treatment. ‘06

 Bowing of tibia in children – causes, types & management of congenital

bowing. ‘06

 Congenital postural deformities associated with in utero position ‘06

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 18

PAEDIATRIC ORTHOPAEDICS

 What are the types of epiphysis. Describe various types, methods &
indications of epiphysiodesis. ‘16‘10

 Role of USG in DDH. ‘16

 Enumerate the DD of a limping child (10 year). Differentiate between a

case of septic arthritis & transient synovitis. ‘15’14’12’11‘10

 Clinical features & management of painful limp with high grade fever in a
5 year old child. ‘15

 Etiology & pathoanatomy of DDH. Clinical & radiological features in

diagnosis of DDH. Treatment of unilateral DDH in 18month old child. ‘15

 Classify epiphyseal injuries. Describe the treatment principles &

complications of each type. What is Langenskold’s procedure.
’14’13’10‘09

 Cubitus valgus. ‘14

 Enumerate the causes of intoeing gait. How will you treat intoeing gait
because of hip disorders. ‘12‘09

 How will you evaluate a child with genu valgum deformity. Outline the
principles of management. What is timed epiphysiodesis. ‘09

 Describe the histological zones of growth plate. Discuss the anatomical

changes which takes place in rickets & SCFE. ‘08’05

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 19

OSTEOCHONDROSIS

 Osgood schalter disease. ‘15

 Describe the aetiopathology, clinical features & management of SCFE.

‘15‘12’07

 Describe the pathology, clinical features, diagnosis & treatment of

Madelung deformity. ’14’12

 What is kienbock’s disease. Write in brief aetiology, diagnosis &

management of this disease. ’13’11‘06

 Describe the musculoskeletal manifestations of sickle cell anemia. ‘12

 Enumerate “Head at Risk sign ”, prognostic factors & outcome in the

treatment of Perthe’s disease. ‘12‘09

 Enumerate bleeding disorders encountered in orthopaedic practice. What

is hemophilic pseudotumor. Discuss its management. ’12‘07

 Define Perthe’s disease. Give classification & describe its clinical

features, diagnosis & management. ‘10’09’07

 Write a short note on hemophillic arthropathy. ‘10

 Osteochondritis dessicans. ‘06

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 20

NEURODISORDERS

 Diplegia & double hemiplegia. ‘16

 What is Gower’s sign . Clinical findings, investigations, pathology &

treatment with prognosis of Duchenne Muscular Dystrophy. ‘16

 Myositis ossificans. ‘15‘13

 Describe the anatomy of iliotibial band & the effects of its contracture on
the lower limb (in polio). How did you clinically detect the contracture.
’14’12‘08

 Describe the aetiology, clinical features & treatment of Sudeck’s

osteodystrophy. ’13

 Classification of neurogenic bladder & management. ’13‘09

 Define & classify cerebral palsy. Define crouched gait, its evaluation &
management in 10 year old child. ‘12‘08

 Quadriceps contracture of infancy & childhood. ‘12

 Describe the various foot & ankle deformities in cerebral palsy & their
management. ‘10

 Discuss the principles of rehabilitation of a paraplegic patient. ‘09

 Give one example each of concentric & eccentric contractions during gait
cycle. How will paralysis of tibialis anterior affect normal gait. ‘08

 Discuss the types of equines contracture in cerebral palsy & its

management. ’08‘06

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 21

 Describe the orthotic management of an arsenate foot particularly in

reference to leprosy. ‘08

 Role & mode of action of pharmacological treatment in CP. Role of

botulinum toxin in CP. ’07‘05

 Describe the pathoanatomy, clinical features & management of post polio

calcaneus deformity in a 12 year old patient. ‘06

 Quadriceps paralysis gait – pathomechanics, compensations employed &

corrective measures. ‘06

 Enumerate various deformities of foot & ankle seen in Post Polio Residual
Paralysis (PRPP). Describe in detail the management of Talipes
Calcaneus. ‘06

 Post polio equinus deformity of foot – aetiopathology, evaluation &

management. ‘06

 Shoulder hand syndrome. ‘04

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 22

FRACTURES & DISLOCATIONS

 What is hangman’s #. Classification & management of Hangman’s #.

‘16’15’12‘06

 Tillaux fracture. ‘16

 Malgaigne # & clinical signs of fracture pelvis. ‘16

 Management of brachial artery injury in association with supracondylar

humerus # (pulseless pink hand in supracondylar humerus #. ‘16’15‘09‘08

 Battered baby syndrome. ‘16

 Management of non-union of femoral neck fracture with viable head in 40

year old patient.’16‘12

 Modalities of surgical treatment of distal end radius # with their

principles. ‘16’10

 Principles of wound debridement. ‘16

 What is Hawkin’s sign. Describe the blood supply of talus. Classify #

neck of talus. Discuss their management. ‘16‘13’11

 Classify neglected femoral neck # in adults. Treatment with rationale in

each type of neglected femoral neck #. ‘15

 Classify # of acetabulum. Radiographic evaluation & principles of

management of acetabulum #. ‘15’14’12’10’09’06

 Pseudo #. ‘15

 Role of ligamentotaxis in acute trauma . ‘15

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 23

 Problems encountered & use of various modalities in surgical

management of fragility #. ‘15

 Classify tibial plateau #. Mechanism of injury, evaluation & treatment of

each types. ‘15’11

 Acute management of traumatic knee dislocation. ‘15’09

 Mechanism of injury of “Unhappy triad of O’Donoghue”. ‘15’11

 Classification of # of distal end of radius. ‘15

 Classify # of calcaneum (Sander’s classification) & describe management

principles & complications. ’15’12‘10

 Hoffa’s #. ‘15

 Describe extensor mechanism of knee. Define the recurrent dislocation of

patella. Discuss in brief its clinical features, diagnosis & treatment.
‘15‘14’11

 Structure of physis with suitable diagrams. Classify physeal injuries.

Describe the management & complications of various types of physeal
injuries. ’15’11‘10

 Enumerate causes of stiff elbow. Surgical management of post traumatic

ankyloses of elbow in extension. ‘15‘13

 Classify traumatic dislocation of shoulder. Diagnosis & management of

neglected posterior shoulder dislocation in young adult. ‘15

 Classify ankle injuries. Discuss in brief the treatment principles of each

type. ‘14’09’06

 Describe blood supply of scaphoid. Describe clinical features, diagnosis &

management of non-union scaphoid. ’14‘13’12‘10

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 24

 Classify # neck of femur in children. Discuss the treatment principles &

prognosis. ’14’11’09‘08‘05

 Vascular fibular grafting in the management of neglected # neck of femur.

‘14

 Stimson’s method to reduce posterior dislocation of hip. ‘14

 Classify open # of tibia. Describe management of type 3B open # of tibia.

’14‘10

 Stress #. ‘14

 Classify pelvic #. Describe various radiological views for assessing pelvic

injuries. How will you manage rotationally unstable pelvic injuries. ‘13

 Classify glenoid # & discuss its management. What is floating shoulder &
how it is managed. ‘13

 Briefly describe the aetiology & pathoanatomy of recurrent shoulder

dislocation. Outline the principles of management. ‘13’11

 Habitual dislocation of patella. ‘13

 Describe the clinical presentation of posterior dislocation of hip. How will

you reduce it by Bigelow’s method. Discuss causes which make reduction
difficult. Enumerate complications of posterior dislocation of hip. ‘13

 Torus #. ‘13

 Discuss the etiology, diagnosis & management of an infected # shaft

femur in an adult after surgery for #. ‘13‘05

 Classify proximal humerus #. Relevance of blood supply. Discuss

management options of various types. Outline the management of type 4 #
in elderly females. ‘13’10‘08

Deenanath Mangeshkar Hospital, Pune

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 Describe the classification of distal humerus # in adults. Describe the

surgical approaches used for internal fixation of these #. ‘12

 What are the components of “Terrible triad of elbow”. Describe the

mechanism & principles of management. ‘12

 Define post-traumatic stiff knee. Discuss in brief its cause, diagnosis &
management. ‘12

 Classify perioperative femoral stem # around hip joint. Discuss the

treatment options. ‘12’11

 Describe the classification, clinical features & management of Lisfranc #

dislocation.’12’09’06‘05

 Describe the mechanism of injury of radial head #. Discuss its

classification & management.’12

 Describe the mechanism of injury & classification of tibial pilon # &

discuss their management. ‘12’11‘08

 Classify posterior # dislocation of femoral head # & describe its

management. ‘11

 Classify # of distal end of femur. Discuss the principles of their

management. ‘11

 Surgical anatomy of AC joint. Classify AC joint injuries & describe their

management.’11’07‘06

 Stress # of neck of femur. ‘11

 # head of femur. ‘11

 Describe classification & management of Monteggia # dislocation. ‘11‘10

Deenanath Mangeshkar Hospital, Pune

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 Classify distal end radius #. Describe radiological indices of wrist. Discuss

treatment principles for extra-articular distal radius #. ‘11

 Define non-union. Describe classification & broad principles of

management of diaphyseal non-union. ‘10

 Describe briefly the aetiology, clinical features, diagnosis & investigations

treatment of painful elbow following injury around elbow. ‘10

 What are Monteggia equivalents. Discuss the principles of management of

Monteggia # dislocation in children . ‘09

 What is traumatic arthrotomy of knee joint. What is fluid challenge test

test to confirm the diagnosis. ‘09

 Current concepts in the management of # neck & head of radius in

children & adults. ‘09

 Describe the anatomy of DRUJ. Describe the indications & techniques of

performing Kapandji’s procedure. ‘09

 What is toddler’s #. Discuss its DD & management. ‘08

 Classify elbow dislocation. How will you manage an unreduced posterior

dislocation elbow in 10 year old child. ‘08

 What is floating knee. Discuss its management in a 25 year old adult. ‘08

 Discuss the approach to a patient of pelvic # with suspected abdominal

injury. ‘08

 Describe the causes of ulnar wrist pain after healing of distal radial # & its
management. ’08’06

 Discuss the advances in the management of periarticular #. ‘08

Deenanath Mangeshkar Hospital, Pune

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 Differentiating features in the pathoanatomy & management of

intracapsular neck of femur # in children & adults. ‘08

 Briefly write management of hemarthrosis of knee developing in an

injury. ‘07

 Indications for valgus osteotomy for # neck of femur. Discuss the

preoperative planning, implant choice, advantages & disadvantages of the
procedure. ‘13‘07

 Classify the capitellum # & its management. ‘07

 What is LISS. Discuss its role in stabilising # of distal femur. ‘07

 Discuss peritalar dislocation & talar #. ‘07

 What is unstable trochanteric #. Briefly describe the methods of managing

unstable trochanteric #. ‘07

 Management of patient having # pelvis with urinary retention. Restrict

yourself to management of urinary problems. ‘06

 Bennet’s # dislocation. ‘06

 # disease. ‘06

 Lateral condyle # of humerus. ‘06

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
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SPINE

 Recent advances in management of PID. ‘16

 Classify scoliosis. Clinical features & management of idiopathic scoliosis.

‘15

 Spinal shock. ‘15

 Brown-sequard syndrome – aetiopathogenesis & clinical features. ‘15

 Spinal cord injury without radiological abnormality (SCIWORA). ‘15

 Differentiate between vascular & neurogenic claudication. ’15‘14’08‘07

 Differentiate between paraplegia with active disease (early onset

paraplegia) & healed disease (late onset paraplegia). ‘15

 Discuss the “ASIA SCORE”. Classify bladder paralysis in spinal cord

injury with salient features. ‘14

 What is whiplash injury of cervical spine. Discuss its clinical features,

diagnosis & treatment. ‘14’13

 Discuss pathology, clinical features, diagnosis & treatment of L4-5 PID.

‘14

 Factors influencing spinal curve progression in congenital scoliosis. ‘14

 Describe the anatomy of central & lateral canals in lumber spine in

relation to LCS. How will you clinically differentiate central from lateral
canal LCS. Briefly describe the management. ‘13

Deenanath Mangeshkar Hospital, Pune

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 Discuss the principles of application of Milwauke brace. What are the

clinical features of idiopathic kyphoscoliosis. Enumerate the indications of
surgical intervention. ‘13

 Spine at risk sign. ‘12

 Discuss the role of injectable methyl prednisolone in post-traumatic spinal

injury. ‘12‘08

 Classify thoracolumbar spine injuries. Give radiological classification of

burst #. Describe management of L1 burst #. ‘12‘10

 Describe the mechanism of injury & clinical presentation of various

incomplete spinal cord syndromes. ‘11’08‘06

 Describe the pathology, diagnosis & broad principles of management of

ankylosing spondylitis. ‘11

 Autonomic dysreflexia in spinal cord injury. ‘11‘06

 Describe various types of lumbar root anomalies. List the complication of

lumbar disc surgeries. ‘10

 Klippel Feil syndrome – aetiology, pathology, clinical & radiological

features, DD & management. ’10’07‘05

 Describe the pathophysiology & pharmacological treatment of acute

spinal cord injury. ‘10

 Management of congenital scoliosis. ‘10

 Describe the physiology of micturition. Briefly discuss the management of

automatic bladder in spinal injuries.’10‘06

 What is central cord syndrome. Describe its clinical presen tation. How
will you manage such cases. ‘09

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
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 Discuss sexual & bladder rehabilitation of a 30 year old male following a

complete spinal injury at D12 vertebral level. ‘08

 Scheurman’s disease. ‘08

 Filum terminale syndrome. ‘07

 What are the various protocols which have been used for pharmacological
intervention in spinal cord injuries. What is the current opinion on
pharmacological intervention. ‘07

 What are the indications of spinal osteotomy in ankylosing spondylitis.

Describe the various techniques. ‘07

 Enumerate the types of spinal cord lesions following # dislocation of C5-6

vertebrae & discuss clinical features, treatment & prognosis of each type
of lesion in adults. ‘05

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
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SPORTS MEDICINE

 Meniscal repair. ‘16

 Minimal access surgical management of acetabular #. Indications,

positioning portals & complications of hip arthroscopy.’16‘14

 Autologous chondrocyte implantation. ’15‘07

 Platelet rich plasma(PRP). ‘15’14

 Painful arc syndrome. ‘15

 Causes of mal tracking of patella. ‘15

 Triple deformity of knee. ‘15

 Scapular dyskinesia. ‘15

 Classify multi ligament knee injury & principles of managing such cases.
‘15

 Increasing role of minimum invasive techniques in orthopaedics & role of

arthroscopy in management of intra-articular #. ‘15

 Outline the management of chronic ACL insufficiency in young athelete.

‘15

 Bankart’s lesion. ‘14

 Frozen shoulder – clinical features & management. ‘14

 Discuss the investigations & management of ACL injury in young athlete

reporting after injury. ‘13’11

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
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 Describe the anatomy of tibialis posterior tendon. What is posterior tibial

tendon dysfunction (PTTD). Describe the management of such cases. ‘13

 Enumerate the portals for arthroscopy of knee joint. Describe the various
arthroscopies, their accessories & indication of arthroscopy of knee joint.
‘13

 Discoid meniscus. ‘13

 Discuss treatment options of the focal cartilage defects over the medial
femoral condyle in a 40 year old man. ‘12

 Discuss the diagnosis & management of ACL injury. ‘11

 Describe various clinical tests for evaluation of ligamentous injuries of

knee. ‘11

 Role of fibrin gel & chondrocyte culture in orthopaedics. ‘11

 Define multidisciplinary instability of shoulder joint. Discuss its

management. ‘10’08

 Sub-acromial impingement syndrome. ‘09

 What do you understand by patellar instability. Describe the principles of

management, before & after skeletal maturity. ‘09

 Discuss anatomy of rotator cuff. What is rotator cuff disease . ‘08

 Describe various clinical methods to diagnose ACL injury. Describe

postoperative management of ACL reconstruction by bone patellar tendon
bone graft. ’08’06

 Enumerate various methods of ACL reconstruction. Discuss the pros &

cons of each method. ‘08

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
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 Loose bodies in knee – aetiology. How will you manage a case of 30 year
old sportsman who presents with locked knee due to loose body. ‘07

 Describe anatomy of sub-acromial space. What is the morphology of

acromion process in the pathogenesis of rotator cuff tears. How will you
manage full thickness tear. ‘07

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
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NERVE INJURIES

 Classification & electrodiagnostic studies of nerve injuries.’16‘09

 Course of radial nerve & its applied surgical significance. ‘15

 Motor march. ‘15’06

 Classify nerve injuries. Pathology of nerve regeneration, methods of nerve

repair & methods of closing gaps between nerve ends. ’15’14’13‘10’07

 Tendon transfer for ulnar nerve palsy. ‘15

 Wallerian degeneration. ’15‘14‘07

 Describe the principles of tendon transfer. Discuss the tendon transfer for
high radial nerve palsy (modified Jones transfer). ’14’13’06’05

 Describe the anatomy of common peroneal nerve. Name the muscles

supplied by the nerve & the tendon transfers in CPN palsy. ‘14

 Draw a labelled diagram of brachial plexus. Classify brachial plexus

injury. Describe clinical features & management of lower brachial plexus
injury. ’13‘10

 Discuss the management of claw hand in a patient suffering from leprosy.

‘13

 AIN syndrome – aetiology, clinical features, DD & management. ’13‘06

 Erb’s palsy. ‘13

 Discuss the management of closed # of shaft of humerus with radial nerve

palsy. ‘12‘07

Deenanath Mangeshkar Hospital, Pune

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 Describe the surgical reconstruction in a case of one & half year old CPN
palsy. ‘12

 Draw a cross section of peripheral nerve & label its structures. ‘11

 Early tendon transfer in radial nerve palsy. ‘11

 Define ulnar claw hand. Enumerate the causes of ulnar claw hand. Discuss
its management. ‘10

 Describe pathophysiology of nerve compression (entrapement) syndrome.

Enumerate various syndromes of nerve entrapement ‘09

 Discuss orthotic management in high radial nerve palsy. ‘08

 Clinical differentiation between preganglionic & post ganglionic lesions

of brachial plexus & its effect on management. ‘08

 What is neuropraxia. How will you differentiate it from axonotmesis

during first few days of injury. ‘07

 Name the prehensile movements of hand. What are the tendon transfers
described for opponens deficit hand. ‘06

 What is crutch palsy. Describe orthotic management of wrist drop. ‘06

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
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MICROSURGERY

 Principles of coverage of soft tissue defect & bone gap in tibia in mid leg
in a patient with feeble distal pulses. ‘16‘12

 Prevention & treatment of pressure sores & UTI in paraplegic patients. ‘16

 Induced membrane formation to cover bone defects. ‘14

 Gluteus maximus flap in the management of decubitus ulcer. ‘14

 Describe free vascularised bone transplant. Describe the principles of

techniques & application in orthopaedic practice. ‘11

 What is flap reconstruction. Write its classification. ‘10

 How will you transport an organ after amputation in sterilised centre for
re-implantation. What is the order of implantation in a below elbow
amputation. ‘08

 Describe the various myocutaneous flaps used to cover tibia in different

levels. ‘06

 Describe various types of skin grafts. Discuss the stages of biological

incorporation of skin grafts. ‘06

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 37

HAND & WRIST

 What is kanavel’s sign. Management of suppurative flexor tenosynovitis

of hand. ‘16

 Describe Dupuytren’s disease & its characteristic features. Describe in

brief its pathogenesis, prognosis & management. ’15’12‘10

 Flexor zones of hand. Clinical features & management of 2 month old

with zone 2 injury. ‘15

 Define carpal tunnel syndrome. Describe pathological anatomy, causes,

diagnosis & management of carpal tunnel syndrome. ’15’11‘06

 Outline the treatment of flexor tendon injury (acute & chronic) in zone 2.
‘14’12

 Describe the potential spaces of hand. Discuss clinical features &

treatment of deep space infection of hand. ‘14

 What is felon. What is its preferred management. How it is different from

paronychia. ‘14

 Compound palmar ganglion. ‘14

 Define trigger finger. Enumerate causes of trigger finger. Describe the

clinical picture & surgical treatment of trigger thumb. ‘14

 What is dupuytren’s # dislocation. Discuss its management. ‘13

 Mallet finger . ‘13

 Anatomy of FDS & FDP in hand. ‘11

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
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 Tendon repair techniques& important suture configurations. ‘11

 Enumerate various causes of claw hand. What is the pathogenesis of

clawing. Discuss the principles of surgical correction.’12 ’10’09‘08

 Describe instability pattern after wrist trauma. Discuss the management of

VISI (volar intercalated segment instability). ‘09

 Classify flexor tendon injuries of hand. Describe the treatment of

neglected ruptures of flexor tendon in zone 2. ’09‘08

 Describe various functions of hand. How will you attain key pinch in a
quadriplegic with no useful power. ‘08

 Carpal instability – types, clinical features & radiological assessment. ’07

‘06

 Describe the pathoanatomy of bursae of the hand. Discuss the aetiology,

clinical features & management of acute infection in those bursae. ‘07

 Write a short note on perilunar dislocation. ‘06

 Pollicisation – indications & prerequisites. ‘05

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 39

FOOT & ANKLE

 Foot drop & equinus deformity. ‘16

 Enumerate causes, pathoanatomy & clinical features of TA rupture &

treatment of a fresh rupture . ‘16’15’08

 Tarsal tunnel syndrome – clinical features & management. ‘15

 Describe the principles of stabilisation of foot. ‘12

 Describe in brief aetiology, pathology, clinical features & principles of

management of Charcot’s joint (diabetic foot). ‘12’11’05

 Describe muscular dynamics in calcaneovalgus deformity. Describe

management in patients before & after attaining skeletal maturity. ’09‘07

 Describe the pathogenesis of hallux valgus deformity. Describe the role of

metatarsus primary varus in pathogenesis. How will you manage an
adolescent girl with severe hallux valgus. ‘09

 Discuss the indications, merits & demerits of talectomy. ‘08

 Describe the arches of foot. Classify flat foot briefly & discuss the
management principles of flat feet in child. ’08’07‘06

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 40

HIP & PELVIS

 Stage of TB arthritis of hip. Differentiating clinical features, treatment &

prognosis of each stage. ‘15

 Enumerate causes of AVN of femoral head & non arthroplasty surgical

management of AVN of femoral head. Describe core decompression.’14

 Describe the blood supply of femoral head. How does it differ in children
& adults. ’13 ‘06

 Femoro-acetabular impingement syndrome. ’13’11’09‘08

 Describe Salter’s osteotomy. What are its indications, principle technical

steps, merits & demerits. ‘12’10’08

 Classify AVN. Pathology & outline the principles of management of Ficat

stage 3 AVN of femoral head in a 30 year old man. ‘11’10

 What is pelvic support osteotomy. Outline its principles & operative

technique. ‘09

 What are anatomical & physiological difference between neck shaft angle
& version in child & adults. ‘08

 Define femoral anteversion. How do you detect it clinically. Discuss the

role of anteversion in orthopaedic diagnosis & management. ‘08

 Otto pelvis ( protrusio acetabuli ). ‘06

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 41

ARTHROPATHY & INFLAMMATORY DISORDERS

 Describe with diagram the extensor expansion of finger. Pathological

anatomy of Boutonniere & swan neck deformities in RA. ‘16’13’10‘06

 Biological agents used in treatment of RA.’16’08

 Morning stiffness . ‘15

 Role of DMARD in RA. ‘15’05

 Differentiate between RA & OA. ‘15

 Recent advances in diagnosis & management of RA. ‘15’10‘07

 Define gout. Describe in brief its clinical features, diagnosis & treatment.
’14’12‘10

 Define & enumerate the aetiology of neuropathic arthropathy. Discuss in

brief the diagnosis & principles of management. ’13’11‘10

 Discuss the pathology of OA knee with special reference to the role of

ACL rupture in pathogenesis of OA knee. ‘06

 Allopurinol. ‘05

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 42

INVESTIGATIONS & CLINICAL TESTS

 Draw a diagram of Strength duration curve & write about its clinical
significance. ‘16’13’12‘05

 PET scan. ‘16’14’13‘10

 Application of MRI in diagnosis & management of spinal tumors. ‘15’11

 Nuclear medicine & role of nuclear scan in orthopaedics. ’15’12‘10

 Whole body CT scan in trauma. ‘15

 Nerve conduction velocity. ‘15

 Bone scan. ‘14’12

 Principles of ultrasonography. Discuss its clinical use in orthopaedics.

‘14’12

 Electromyography. ‘13

 Electrodiagnosis in carpal tunnel syndrome. ‘12

 Trendelenberg’s test with its anatomical basis & clinical application.

’12‘05

 Electrodiagnostic studies. ‘10

 Role of ultrasound in # healing. ‘09

 Role of labelled WBC & multiphasic bone scan in bone pathology. ‘07

 Ober’s test . ‘09

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 43

ORTHOTICS & PROSTHESIS

 Expandable megaprosthesis. ‘16

 Differentiate between SACH foot & Jaipur foot. ‘16‘15

 Bionic hand . ‘16’14

 Knuckle bender splint. ‘15

 PTB cast. ‘15

 What is myoelectric prosthesis. Describe its components, applications &

advantages. ‘14’13

 Halo pelvic device. ‘13

 Steenbeck brace. ‘12

 Draw a diagram of floor reaction orthosis. Describe indications &

contraindications for its use. Describe its mechanism of action.
‘12’11’10‘09

 Role of orthosis in treatment of club foot. ‘12

 PTB prosthesis – indications, prerquisites & advantages. ’12‘05

 Pavlik harness. ‘11

 SOMI brace. ‘11

 Describe JAIPUR FOOT. Discuss the difference between SACH foot &
MADRAS foot. ‘11

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
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 Discuss the principles of application of functional cast bracing in the

management of diaphyseal # of long bones. ‘11

 Thermoplastic splints. ‘09

 Define ankle foot orthosis. What are the plastic materials used in
fabrication. Describe indications & care during daily use. ‘08

 Hanging cast. ‘07

 Suction socket prosthesis – principles, indications & advantages over

conventional prosthesis & main points in its construction. ‘06

 Describe various types of crutches & gait pattern with crutches. ‘05

 What are the parts of a shoe. Describe the modification of a CTEV shoe.
‘05

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 45

IMPLANTS & TECHNIQUES

 What are the attachments of GT. Indications & steps of safe surgical
dislocation of hip. ‘16’15‘09

 Types of frames & methods to increase the stability of external fixator.

How will you prevent complications of external fixator. ‘16‘12‘10

 Surgical steps of Harding’s approach of hip.’15

 Discuss the tension band principles. Describe its clinical use in #

management. ‘15’14’12‘10

 Wake up test. ‘15

 MIPPO. ‘15

 What are biodegradable implants. What is their chemical composition.

Mention the indications of their use, advantages & disadvantages. ‘11‘09

 Surgical steps of anterolateral decompression D5-6 spine. ’15‘14

 Herbert screw. ‘15

 Skeletal traction in acute trauma. ‘15

 Surgical steps of anterolateral exposure of hip. ‘14

 List the osteotomies around hip. Write briefly about the principles of each
osteotomy. ‘14

 Advances in articular cartilage tissue engineering. ‘14

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 46

 What are the commonly used orthopaedic sutures in orthopaedics.

Compare their properties. ‘14

 Describe Ilizarov fixator & corticotomy. How will you manage a case of
defect non union. ’14 ‘13

 Bikini incision. ’14

 Schanz osteotomy. ‘14

 What is bone cement. What are the indications & CI for its use. What are
the methods of cementing techniques. Discuss their differences in brief.
’14 ‘13

 Indications of hip arthrography. Discuss various approach to aspirate hip

joint. ‘13‘08

 Valgus osteotomy. ‘13

 Effects of reaming of bone. ‘13

 What are the indications of excision of head of radius. Describe the

posterolateral approach. ‘13

 Describe principles, merits & pitfalls in using LCP. ’13‘10

 Describe the design of pelvic “C” clamp. What are the indications of its
application & method to fix an unstable pelvic #. ‘13

 Plaster of paris. ‘13

 Describe with illustrative diagrams the surgical exposures of radius at

various levels. ‘12

 Describe stress, strain & Young’s modulus of elasticity in relation to

orthopaedic implants. ‘11

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 47

 Describe briefly the approach to hip. Mention advantages & disadvantages

of each approach. ‘11

 Difference between machine screw & ASIF screw. ‘11

 DCP, LCDCP & LCP. ‘11

 Difference between static compression & dynamic compression. ‘11

 Osteochondral allograft transplantation. Mention indications for the

procedure. ‘09

 Ganz antishock pelvic fixator. ‘09

 Malalignment test. Discuss the principles of focal dome osteotomy. ‘09

 Elaborate the principles of LCP. What are the applications in periarticular

#. ‘09

 Trochanteric flip osteotomy in surgical exposure of hip joint. ‘08

 Describe various systems, implants available for limb length equalisation.

Discuss their underlying principles. ‘08

 Principles & biomechanics of IM nailing. ‘08

 Principles of chondroplasty in OA knee. ‘08

 Discuss the indications, pros & cons of reamed Vs undreamed IM nailing.

‘07

 Bryant’s traction. ‘06

 Harmon’s approach of tibia with applied anatomy. ‘05

 Chiari osteotomy – indications, advantages & steps of surgery. ‘05

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 48

PHYSIOTHERAPY

 Interferential therapy (IFT) . ‘12’11

 Isokinetic exercises. ‘12

 What is isotonic contraction. Classify isotonic muscle contraction. ‘11

 What is SWD. How it is different from microwave diathermy. Indications

& CI of SWD & microwave diathermy. ‘11

 What are closed chain & open chain exercises & discuss ACL
rehabilitation protocol. ‘09

 What are the various type of exercises. Discuss the benefits & indications
of isometric exercises. ‘08

 Transcutaneous electric nerve stimulation (TENS). ‘08

 What is paraffin wax. How is it useful in treatment of orthopaedic

conditions. What are the indications & contraindications of wax bath
therapy. ‘08

 Ultrasonic therapy – physiological effects, clinical applications &

contraindications. ‘06

 Microwave diathermy – its physiological effects, clinical applications &

contraindications. ‘05

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 49

METABOLIC DISORDERS

 Clinical presentation & management of senile osteoporosis. ‘15

 Describe the pathology & radiological signs in rickets & scurvy.

’15’12‘10

 Role of bisphosphonates in the management of osteoporosis & their

complications.’14 ‘08

 Define peak bone mass. What factors affect attaining peak bone mass.
How does it correlate with osteoporosis. ‘14

 Define & classify osteoporosis. Radiological investigations in a patient

with osteoporosis. How will you manage a case of # D12 in an adult.
’13’11‘09

 Discuss the aetiopathogenesis, clinical features & management of

alkaptonuria (ochronotic arthropathy). ‘13’10

 Differentiating features between osteonecrosis & transient migratory

osteoporosis. ’13’11‘08

 Outline the calcium metabolism. What do you mean by vitamin D

resistant rickets. Describe its clinical features & management. ’13’12‘06

 Enumerate various methods for bone mineral measurements. Define its

density in various conditions.’13

 Anatomy of parathyroid gland. Role of PTH in calcium metabolism.

Clinical features & radiological presentation of adenoma of parathyroid.
What is hungry bone syndrome. ‘13’12

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 50

 Describe the aetiology, clinical features, diagnosis & treatment of renal

osteodystrophy. ‘12’08’05

 Bony changes in hyperparathyroidism & hypoparathyroidism along with

relevant physiology.’12‘05

 Define & classify rickets. Describe pathogenesis, clinical features &

management of hypophosphatemic rickets. ‘09‘08

 What is the indication & principles of behind PTH therapy for treatment
of osteoporosis. What are its merits & demerits. ‘08

 Crystal synovitis. ‘05

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 51

PSM

 Randomised control trial. ‘15’12

 What is Evidence based medicine. Define the hierarchy of evidence &

broad principles of each type. Discuss the differences in various types of
studies ’15‘14’12

 Plagiarism. ‘14’12

 Impact factor. ‘14’12

 Telemedicine. ‘14

 Draw a flow chart of disaster planning at state level. What is the concept
of triage. ‘05

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 52

MISCELLANEOUS

 Medical ethics in orthopaedics. ‘16

 What is thoracic outlet syndrome. Discuss its anatomy& aetiology. How

will you diagnose & treat it in OPD. ’13’12’11‘08

 Define component therapy. Enumerate & uses of various blood fractions.

‘14

 What is Cast syndrome. Enumerate its clinical symptoms & discuss its
management. ’14‘13’11

 Methotrexate in orthopaedics. ‘14

 Chymopapain. ‘14

 Ehler danlos syndrome. ‘13

 Fluorosis. ‘13

 Role of botulinum neurotoxin in orthopaedic surgery. ’13‘09

 Alendronate induced #. ‘12

 Discuss clinical features & treatment of osteomalacia. ‘12’11

 Sexual dimorphism in orthopaedic practice. ‘09

 What is Marfan’s syndrome. What is its orthopaedic management. ‘08

 How will you manage a case of recalcitrant tennis elbow. ‘07

 Control of air quality in modern orthopaedic OT. ‘06

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 53

 Raloxifene. ‘06

 Intravenous regional anesthesia in orthopaedic practice. ‘05

 Day care surgery. ‘05

 Surgical audit. ‘05

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 54

GOOD TO KNOW

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 Dr.Umesh Birole 55

Deenanath Mangeshkar Hospital, Pune

DNB Theory Questions : June ’05 – Apr ‘16
 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2016
ORTHOPAEDICS
PAPER – I
ORTHO/J/16/27/I
Time : 3 hours
Max. Marks : 100
IMPORTANT INSTRUCTIONS

• This question paper consists of 10 questions divided into Part ‘A’ and Part ‘B’, each part
containing 5 questions.
• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall
not be evaluated.
• Answer sheet(s) of Part ‘A’ and Part ‘B’ are not to be tagged together.
• Part ‘A’ and Part ‘B’ should be mentioned only on the covering page of the respective answer
sheet(s).
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

PART A

1. a) Define coxa vara. 2+(2+2+4)

b) Etiology, clinical features and management of congenital
coxa vara.

2. a) Pathophysiology of Pott’s spine. 5+5

b) Routes through which a tubercular abscess can travel to
far off regions in the body based on anatomical facts.

3. a) How will you treat a “Borderline Patient” of Polytrauma? 5+5

b) Hypotensive resuscitation.

4. a) What is fibrous dysplasia of bone? 2+3+5

b) Clinical features of fibrous dysplasia of bone.
c) Campanacci disease (osteofibrous dysplasia).

5. a) Phases of gait cycle. 3+3+4

b) Trendelenburg gait.
c) Why a patient with hip pain walks with a stick in the
opposite hand? Illustrate your answer with suitable
diagrams.

P.T.O.

-1-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2016

ORTHOPAEDICS

PAPER – I

Please read carefully the important instructions mentioned on Page ‘1’

• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall
not be evaluated.

PART B

6. a) Clinical features and pathophysiology of Slipped Capital 4+2+4

Femoral Epiphysis (SCFE).
b) What could be the medical conditions associated with it?
c) What is the difference in the radiological picture of Delbet
type-I fracture neck femur and SCFE?

7. a) Pathophysiology of venous thromboembolic disease in 5+5

patients with skeletal trauma.
b) Discuss the chemical prophylaxis options, with pros and
cons of each modality.

8. a) What is the “watershed zone” of the spinal cord? 2+3+5

b) Draw a cross section of the spinal cord in the dorsal region.
c) Stages of Pott’s paraplegia in a typical paravertebral lesion
based on the anatomy of tracts.

9. a) What is Scapular Dyskinesia? 4+6

b) Its role in Rotator Cuff Impingement Syndrome.

10. a) Outline the biomechanical principles of total knee 5+5

replacement.
b) Gap Balancing Technique.

**********************

-2-
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EXAMINATION HALL.
 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2016
ORTHOPAEDICS
PAPER – II
ORTHO/J/16/27/II
Time : 3 hours
Max. Marks : 100
IMPORTANT INSTRUCTIONS

• This question paper consists of 10 questions divided into Part ‘A’ and Part ‘B’, each part
containing 5 questions.
• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall
not be evaluated.
• Answer sheet(s) of Part ‘A’ and Part ‘B’ are not to be tagged together.
• Part ‘A’ and Part ‘B’ should be mentioned only on the covering page of the respective answer
sheet(s).
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

PART A

1. a) Clinical and radiological features of congenital vertical (3+2)+(2+3)

talus.
b) Differential diagnosis and management of congenital
vertical talus.

2. a) Sacroiliitis – Etiology & diagnosis. 5+5

b) Tardy Ulnar Nerve Palsy.

3. a) Hallux valgus deformity 5+5

b) Role of triple arthrodesis

4. a) Classify periprosthetic fractures around knee 4+6

arthroplasty.
b) Principles and management of each type.

5. a) Current status of Hip Arthroscopy. 3+3+4

b) Its indications in contemporary orthopaedic practice.
c) Explain the important steps of the procedure.

P.T.O.

-1-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2016
ORTHOPAEDICS

PAPER – II

Please read carefully the important instructions mentioned on Page ‘1’

• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall
not be evaluated.

PART B

6. a) Define cerebral palsy and write about its classification (1+3)+(2+4)

based on the pattern of involvement.
b) Clinical features of “crouch gait” and its management.

7. a) Anterior interosseous nerve syndrome. 5+5

b) Schwannoma – Clinical features & diagnosis.

8. Clinical features, pathology and radiological findings of 3+3+4

“Diffuse Idiopathic Skeletal Hyperostosis (DISH)”.

9. a) Clinical features and radiology of chondroblastoma. (3+2)+5

b) How will you manage a case of chondroblastoma of hip?

10. a) Osteochondritis dissecans of ankle 5+5

b) SPONK (Spontaneous Osteonecrosis of Knee)

**********************

-2-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2016
ORTHOPAEDICS
PAPER – III
ORTHO/J/16/27/III
Time : 3 hours
Max. Marks : 100
IMPORTANT INSTRUCTIONS

• This question paper consists of 10 questions divided into Part ‘A’ and Part ‘B’, each part
containing 5 questions.
• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall
not be evaluated.
• Answer sheet(s) of Part ‘A’ and Part ‘B’ are not to be tagged together.
• Part ‘A’ and Part ‘B’ should be mentioned only on the covering page of the respective answer
sheet(s).
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

PART A

1. a) Classify fractures of proximal humerus. 3+3+4

b) What is the relevance of blood supply of humeral head in
planning management of fracture of proximal humerus?
c) Management of four part fracture in an elderly man.

2. a) Management of fracture shaft humerus with radial nerve 6+4

palsy.
b) What is Holstein Lewis lesion and its management?

3. a) Classification of fracture neck of talus. 3+5+2

b) Outline the principles of its management.
c) What is Hawkin’s Sign?

4. a) Enumerate the biologic and biophysical technologies for 6+4

the enhancement of fracture repair.
b) Use of BMP in orthopaedics.

5. a) Labral tears of hip in young athletes 5+5

b) Stress fractures – Etiopathogenesis & diagnosis.

P.T.O.

-1-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2016
ORTHOPAEDICS

PAPER – III

Please read carefully the important instructions mentioned on Page ‘1’

• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall
not be evaluated.

PART B

6. a) Post traumatic tibia valga 5+5

b) Reperfusion injury

7. a) Evolution of plate osteosynthesis starting from “Sherman” 6+4

plates to present day locking plates.
b) What are the principles of locking plate osteosynthesis
including their advantages and disadvantages?

8. a) Classify tibial plateau fractures. 3+7

b) Ideal time and technique for fixation of a Type IV tibial
plateau fracture.

9. a) Sideswipe injuries of elbow. 4+6

b) How will you manage such cases?

10. a) Classify trochanteric fractures of hip. 4+6

b) Pros and cons of their management with DHS/PFN.

**********************

-2-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2016
ORTHOPAEDICS
PAPER – IV
ORTHO/J/16/27/IV
Time : 3 hours
Max. Marks : 100
IMPORTANT INSTRUCTIONS

• This question paper consists of 10 questions divided into Part ‘A’ and Part ‘B’, each part
containing 5 questions.
• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall
not be evaluated.
• Answer sheet(s) of Part ‘A’ and Part ‘B’ are not to be tagged together.
• Part ‘A’ and Part ‘B’ should be mentioned only on the covering page of the respective answer
sheet(s).
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

PART A

1. Recent advances in arthroscopic ACL reconstruction with 5+5

reference to creation of femoral tunnel and femoral fixation
methods.

2. a) Recent advances in detection of Mycobacterium 3+2+5

tuberculosis.
b) Enumerate various newer methods with their sensitivity and
specificity.
c) GeneXpert/CB-NATT and its specific advantages.

3. a) What is the role of PCL in knee arthroplasty? 4+(3+3)

b) Benefits of PCL retention Vs substitution.

4. a) Orthopaedic manifestations of AIDS. 5+5

b) Guidelines to prevent spread of HIV infection during
operative intervention

5. a) Safety measures in Scoliotic Surgery. 5+5

b) Role of meniscal repair in the knee joint.

P.T.O.

-1-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2016
ORTHOPAEDICS
PAPER – IV
ORTHO/J/16/27/IV
Time : 3 hours
Max. Marks : 100
IMPORTANT INSTRUCTIONS

• This question paper consists of 10 questions divided into Part ‘A’ and Part ‘B’, each part
containing 5 questions.
• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall
not be evaluated.
• Answer sheet(s) of Part ‘A’ and Part ‘B’ are not to be tagged together.
• Part ‘A’ and Part ‘B’ should be mentioned only on the covering page of the respective answer
sheet(s).
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

PART A

1. Recent advances in arthroscopic ACL reconstruction with 5+5

reference to creation of femoral tunnel and femoral fixation
methods.

2. a) Recent advances in detection of Mycobacterium 3+2+5

tuberculosis.
b) Enumerate various newer methods with their sensitivity and
specificity.
c) GeneXpert/CB-NATT and its specific advantages.

3. a) What is the role of PCL in knee arthroplasty? 4+(3+3)

b) Benefits of PCL retention Vs substitution.

4. a) Orthopaedic manifestations of AIDS. 5+5

b) Guidelines to prevent spread of HIV infection during
operative intervention

5. a) Safety measures in Scoliotic Surgery. 5+5

b) Role of meniscal repair in the knee joint.

P.T.O.

-1-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016
ORTHOPAEDICS
PAPER – I
ORTHO/D/16/27/I
Time : 3 hours
Max. Marks : 100
IMPORTANT INSTRUCTIONS

• This question paper consists of 10 questions divided into Part ‘A’ and Part ‘B’, each part
containing 5 questions.
• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall
not be evaluated.
• Answer sheet(s) of Part ‘A’ and Part ‘B’ are not to be tagged together.
• Part ‘A’ and Part ‘B’ should be mentioned only on the covering page of the respective answer
sheet(s).
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

PART A

1. a) Physiology of calcium metabolism. 4+2+4

b) Role of PTH in calcium metabolism.
c) Tabulate the biochemical differences between renal tubular
and glomerular rickets.

2. a) Ganga score. 5+5

b) Vacuum assisted closure of wounds.

3. Pathophysiology, clinical features and management of septic 3+3+4

arthritis of hip in a neonate.

4. a) Use of Plaster of Paris in orthopaedics and precautions in 6+4

applying hip spica.
b) Principles of functional cast bracing.

5. a) Types of bone grafts 5+5

b) Principles of bone banking.

P.T.O.

-1-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016

ORTHOPAEDICS
PAPER – I

Please read carefully the important instructions mentioned on Page ‘1’

• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall
not be evaluated.

PART B

6. a) Define osteoporosis. How will you assess for osteoporosis? 5+5

b) Principles of management of fragility (osteoporotic)
fractures of long bones.

7. a) Histology of growth plate. 3+3+4

b) Factors causing growth disturbance.
c) Principles of guided growth modulation.

8. a) Radiological features for the diagnosis of tuberculosis of 5+5

spine.
b) Radiological features of scurvy and rickets.

9. a) Blood supply of femoral head in various age groups. 6+4

b) Role of Virchow’s triad in the pathogenesis of DVT.

10. a) Clinical features of chronic painful mid portion tendinopathy 5+5

of Achilles tendon.
b) Role of plantaris tendon in the pathogenesis of this
condition; with special emphasis on anatomy of plantaris
tendon.

**********************

-2-
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EXAMINATION HALL.
 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016
ORTHOPAEDICS
PAPER – II
ORTHO/D/16/27/II
Time : 3 hours
Max. Marks : 100
IMPORTANT INSTRUCTIONS

• This question paper consists of 10 questions divided into Part ‘A’ and Part ‘B’, each part
containing 5 questions.
• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall
not be evaluated.
• Answer sheet(s) of Part ‘A’ and Part ‘B’ are not to be tagged together.
• Part ‘A’ and Part ‘B’ should be mentioned only on the covering page of the respective answer
sheet(s).
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

PART A

1. a) Clinical and radiological features of developmental 5+5

dyplasia of hip.
b) Types of pelvic osteotomies for acetabular dysplasia.

2. a) Classify torticollis. 2+4+4

b) Management of torticollis.
c) Sprengel shoulder deformity.

3. a) Intrinsic plus hand. 5+5

b) Ulnar paradox.

4. a) Patho-anatomy and Pirani scoring in congenital talipes 5+5

equino varus.
b) Steps of Ponsetti manipulation and serial cast application.

5. a) Define Perthes’ disease 2+(2+3+3)

b) Aetiological factors, classification systems and head-at-risk
signs of Perthes’ disease.

P.T.O.

-1-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016

ORTHOPAEDICS

PAPER – II

Please read carefully the important instructions mentioned on Page ‘1’

• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall
not be evaluated.

PART B

6. a) Staging of bone tumours. 4+(2+2+2)

b) Principles, indications and contraindications of limb
salvage surgery.

7. a) Outline the technical steps to achieve desired degree of 4+2+4

version of acetabular & femoral components during THR.
b) What is combined angle of anteversion?
c) How will you modify your version in a case of fixed lumbar
lordosis or flat back?

8. a) Pathology and clinical features of acute hematogenous 6+4

osteomyelitis in long bone.
b) Management of chronic osteomyelitis of long bone.

9. a) Pathogenesis and diagnosis of Bankart’s lesion. 5+5

b) Anterolateral decompression in tuberculosis of spine.

10. a) Aetiopathogeneis of hand to knee gait. 5+5

b) Biomechanical features of floor reaction orthosis.

**********************

-2-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016
ORTHOPAEDICS
PAPER – III
ORTHO/D/16/27/III
Time : 3 hours
Max. Marks : 100
IMPORTANT INSTRUCTIONS

• This question paper consists of 10 questions divided into Part ‘A’ and Part ‘B’, each part
containing 5 questions.
• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall
not be evaluated.
• Answer sheet(s) of Part ‘A’ and Part ‘B’ are not to be tagged together.
• Part ‘A’ and Part ‘B’ should be mentioned only on the covering page of the respective answer
sheet(s).
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

PART A

1. a) ATLS guidelines in polytrauma management. 5+5

b) Early Total Care (ETC ) in polytrauma and its indications.

2. a) Classify nerve injuries. 4+(3+3)

b) How will you manage a 1½ year old child with median
nerve injury in the middle of the arm?

3. a) Indications & techniques of hip arthroscopy. (2+4)+2+2

b) Can you manage an incongruent reduction after a reduced
hip dislocation because of loose body with hip
arthroscopy?
c) What is an absolute contraindication to manage such a
case with conventional hip arthroscopy?

4. A 5 years old child starts developing a progressive valgus 4+3+3

deformity of tibia after an insignificant trauma to the knee.
What is the possible cause and pathogenesis of such a
deformity? How will you treat this condition?

5. a) Classify distal femoral fractures. 4+6

b) Management algorithm for such fractures.

P.T.O.

-1-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016

ORTHOPAEDICS

PAPER – III

Please read carefully the important instructions mentioned on Page ‘1’

• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall
not be evaluated.

PART B

6. a) Management of Volar Barton’s fracture. 5+5

b) Pathological anatomy and management of trans-scaphoid
perilunate dislocation.

7. a) Classify injuries of thoraco-lumbar spine. 3+7

b) Outline management of each type.

8. a) Classify fractures around the elbow in a six year old child. 4+6
b) Myositis ossificans – Diagnosis and management.

9. a) Management of postoperative knee stiffness. 5+5

b) Anatomy of posterolateral corner of knee & various
patterns of injuries in this area.

10. a) Masquelet technique: indication and steps in an infected 5+5

nonunion.
b) Evolution of different generations of cementing techniques
in arthroplasty.

**********************

-2-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016
ORTHOPAEDICS
PAPER – IV
ORTHO/D/16/27/IV
Time : 3 hours
Max. Marks : 100
IMPORTANT INSTRUCTIONS

• This question paper consists of 10 questions divided into Part ‘A’ and Part ‘B’, each part
containing 5 questions.
• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall
not be evaluated.
• Answer sheet(s) of Part ‘A’ and Part ‘B’ are not to be tagged together.
• Part ‘A’ and Part ‘B’ should be mentioned only on the covering page of the respective answer
sheet(s).
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

PART A

1. a) Bearing surfaces in total hip replacement. 5+5

b) Investigation and management of dislocation of hip after
total hip arthroplasty.

2. a) Principles of reverse shoulder replacement. Enumerate its 6+4

indications.
b) Radial head prosthesis - Design & technique of
implantation.

3. a) Endoscopic spinal surgery - technique. 5+5

b) What is sacral nutation & its role in chronic low backache.

4. a) Salient features of tensile elastic nailing & technique of 5+5

implantation.
b) Low molecular weight heparin – Indications & monitoring
during treatment.

5. a) Clinical features of transient migratory osteoporosis of hip 3+4+3

(TMO).
b) Tabulate the differences between osteonecrosis and
transient migratory osteoporosis of hip.
c) Enumerate the steps of managing TMO.

P.T.O.

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016

ORTHOPAEDICS

PAPER – IV

Please read carefully the important instructions mentioned on Page ‘1’

• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall
not be evaluated.

PART B

6. a) Management of degenerative arthritis of knee in the young 7+3

patients.
b) Visco supplementation for knee arthritis.

7. a) Enumerate the causes of painful stiff knee after total knee 3+7
replacement.
b) How will you investigate and manage such a case?

8. a) Arthroscopic management of osteochondral lesion of knee. 6+4

b) Etiology of osteochondritis dessicans.

9. a) Modified Stoppa’s approach for acetabulum fractures. 5+5

b) Classification of brachial plexus injury.

10. a) Define drug resistant tuberculosis. 2+2+(3+3)

b) How do you suspect drug resistance in spinal
tuberculosis?
c) How will you investigate and manage a case of suspected
drug resistant tuberculosis?

**********************

-2-
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EXAMINATION HALL.
 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2017
ORTHOPAEDICS
PAPER – I
ORTHO/J/17/27/I
Time : 3 hours
Max. Marks : 100
IMPORTANT INSTRUCTIONS

• This question paper consists of 10 questions divided into Part ‘A’ and Part ‘B’, each part
containing 5 questions.
• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall
not be evaluated.
• Answer sheet(s) of Part ‘A’ and Part ‘B’ are not to be tagged together.
• Part ‘A’ and Part ‘B’ should be mentioned only on the covering page of the respective answer
sheet(s).
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

PART A

1. a) Define osteoporosis. 1+3+2+4

b) Enumerate various causes of osteoporosis.
c) Enumerate techniques for bone mass measurement.
d) Drug therapy available for osteoporosis.

2. a) What is renal osteodystrophy? 1+2+4+3

b) Enumerate its causes.
c) Its clinical and radiological features.
d) Management of renal osteodystrophy.

3. a) Role of Biofilm in implant infection in orthopedics. 5+5

b) Biomechanics and clinical uses of floor reaction orthosis.

4. a) Anatomy of rotator cuff. 4+(3+3)

b) Clinical tests to diagnose rotator cuff tears, and outline its
management.

5. a) Nerve supply of urinary bladder. 5+5

b) Patho-physiology and management of autonomous
bladder.

P.T.O.
-1-
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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2017

ORTHOPAEDICS

PAPER – I

Please read carefully the important instructions mentioned on Page ‘1’

• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall
not be evaluated.

PART B

6. a) Patho-physiology of compartment syndrome. 3+3+4

b) Clinical signs of compartment syndrome.
c) Principles of management of compartment syndrome.

7. a) What is Milwaukee Shoulder Syndrome? 2+3+5

b) Its clinical signs and symptoms.
c) Its differential diagnosis and management.

8. a) Pathophysiology of peripheral nerve regeneration following 5+5

axonotmesis.
b) Anatomy and contents of carpal tunnel with suitable
diagram(s).

9. a) Clinical signs and symptoms of a neglected Tendo-Achilles 5+5

rupture in a middle aged man.
b) Outline its management.

10. a) Clinical and radiological features of aseptic loosening after 5+5

cementless THA (Total hip arthroplasty).
b) Classification of cavus deformity.

**********************

-2-
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 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2017
ORTHOPAEDICS
PAPER – II
ORTHO/J/17/27/II
Time : 3 hours
Max. Marks : 100
IMPORTANT INSTRUCTIONS

• This question paper consists of 10 questions divided into Part ‘A’ and Part ‘B’, each part
containing 5 questions.
• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall
not be evaluated.
• Answer sheet(s) of Part ‘A’ and Part ‘B’ are not to be tagged together.
• Part ‘A’ and Part ‘B’ should be mentioned only on the covering page of the respective answer
sheet(s).
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

PART A

1. a) Surgical anatomy of Ganz approach to hip joint. 4+6

b) Indications of Ganz approach to hip joint.

2. a) Management of acute septic arthritis of hip in an infant. 6+4

b) Give any one classification system for septic sequelae of
hip in children.

3. a) Symptoms and clinical signs of a rigid pes planus 5+5

deformity.
b) Radiological features of congenital vertical tallus.

4. a) Clinical work up and laboratory diagnosis of metastatic 6+4

bone tumours.
b) Outline management principles of these in long bones.

5. a) Define spondylolisthesis. 1+2+4+3

b) Its classification in adults
c) Its clinical features and radiological signs.
d) Outline its management.

P.T.O.

-1-
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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2017
ORTHOPAEDICS

PAPER – II

Please read carefully the important instructions mentioned on Page ‘1’

• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall
not be evaluated.

PART B

6. Clinical features, radiological features, differential diagnosis 2+2+2+4

and management principles of unilateral coxa vara in a toddler.

7. a) What is triple deformity of the knee? 2+3+5

b) What are its causes?
c) Its management in TB arthritis of the knee

8. a) Indication and surgical method of Zancolli’s capsulodesis. 5+5

b) Clinical features and management of discoid meniscus.

9. Clinical presentation, radiological features and management 5+5

of:
a) Chondromyxoid fibroma of distal femur.
b) Osteoid osteoma of femoral neck.

10. a) Prophylactic management of deep vein thrombosis before 5+5

hip surgery.
b) Fat embolism following fracture shaft femur in a young
adult in casualty.

**********************

-2-
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 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2017
ORTHOPAEDICS
PAPER – III
ORTHO/J/17/27/III
Time : 3 hours
Max. Marks : 100
IMPORTANT INSTRUCTIONS

• This question paper consists of 10 questions divided into Part ‘A’ and Part ‘B’, each part
containing 5 questions.
• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall
not be evaluated.
• Answer sheet(s) of Part ‘A’ and Part ‘B’ are not to be tagged together.
• Part ‘A’ and Part ‘B’ should be mentioned only on the covering page of the respective answer
sheet(s).
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

PART A

1. a) What is terrible triad of elbow and how will you manage it? 5+5
b) Principles of management of intercondylar fracture
humerus and Bryan Morrey approach (Triceps reflecting
approach).

2. a) Classify the ankle fractures (Give any one system). 4+6

b) How will you manage supination external rotation injury?

3. a) Perilunate fracture dislocation and its management in an 5+5

acute case.
b) Potential complications of a chronic perilunate fracture
dislocation.

4. a) Various clinical tests to assess glenohumeral instability. 5+5

b) How will you manage anterior dislocation of shoulder with
Bankart lesion & Hill-Sachs lesion associated with
dislocation?

5. a) What are the options available for the management of 6+4

fracture of proximal third of femur in an adolescent?
b) Advantages and disadvantages of each method.

P.T.O.

-1-
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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2017

ORTHOPAEDICS

PAPER – III

Please read carefully the important instructions mentioned on Page ‘1’

• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall
not be evaluated.

PART B

6. a) What are the types of fracture healing? 3+7

b) Outline stages of endochondral fracture repair.

7. a) What is reconstructive ladder for open factures? 3+3+4

b) What is negative wound therapy?
c) What is fix and close protocol in open fractures?

8. a) Blood supply of scaphoid bone. 2+2+6

b) Classify scaphoid fractures.
c) Management of displaced, unstable scaphoid fractures.

9. a) How will you manage Gustilo-Anderson Type IIIb fracture 3+4+3

of distal femur?
b) Compare pros and cons of angular stable device and
dynamic compression screw for distal femur fractures.
c) Approach to bicondylar Hoffa’s fracture.

10. a) How will you treat unifacetal fracture dislocation of C5 C6? 4+3+3
b) What are the types of cord injuries?
c) Role of methyl prednisolone succinate in spinal cord
injuries.

**********************

-2-
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 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2017
ORTHOPAEDICS
PAPER – IV
ORTHO/J/17/27/IV
Time : 3 hours
Max. Marks : 100
IMPORTANT INSTRUCTIONS
• This question paper consists of 10 questions divided into Part ‘A’ and Part ‘B’, each part
containing 5 questions.
• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall
not be evaluated.
• Answer sheet(s) of Part ‘A’ and Part ‘B’ are not to be tagged together.
• Part ‘A’ and Part ‘B’ should be mentioned only on the covering page of the respective answer
sheet(s).
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.
Write short notes on:
PART A
1. a) Molecular tests used in multidrug resistant tuberculosis. 4+3+3
b) Dosage & important side effects of second line drugs in
osteoarticular tuberculosis.
c) Role of PET to assess healing in osteoarticular
tuberculosis.

2. a) What is the method to prepare Plasma Rich Plasma 2+4+4

(PRP)?
b) What are the indications of PRP in orthopedic lesions?
How does it work?
c) Role of local injection of steroid versus PRP in plantar
fasciitis?

3. a) Different constructs of external fixators. 6+4

b) What are the latest advances in constructs of external
fixator?

4. a) What is nanotechnology? 2+3+5

b) Role of nanotechnology in orthopaedics.
c) Recent advances in detection of periprosthetic joint
infections.

5. a) Management of marrow oedema syndrome 5+5

b) Management of SLAP lesions.

P.T.O.

-1-
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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2017

ORTHOPAEDICS

PAPER – IV

Please read carefully the important instructions mentioned on Page ‘1’

• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall
not be evaluated.

PART B

6. a) What are stem cells? How stem cells are procured for 3+3+4
therapeutic use?
b) Indications of stem cell therapy in orthopaedics.
c) Role of stem cell therapy in avascular necrosis of head of
femur.

7. a) Role of templating in Total Hip Arthroplasty (THA). 3+(3+4)

b) Outline the steps of templating in protrusio acetabuli and a
laterised hip with suitable diagrams.

8. a) What are the various types of grafts used to reconstruct 3+3+4

ACL?
b) What is double bundle ACL reconstruction?
c) Steps to reconstruct multi-ligamentous injury around knee.

9. a) Role of navigation in total knee arthroplasty. 6+4

b) What precautions you will take while doing total knee
arthroplasty with fixed flexion and valgus deformity in
knee?

10. Recent advances in cup and stem designs of cemented and 10

uncemented hips.

**********************

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 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2017
ORTHOPAEDICS

PAPER – I

ORTHO/D/17/27/I
Time : 3 hours
Max. Marks : 100
IMPORTANT INSTRUCTIONS
• This question paper consists of 10 questions divided into Part ‘A’ and Part ‘B’, each part
containing 5 questions.
• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall not
be evaluated.
• Answer sheet(s) of Part ‘A’ and Part ‘B’ are not to be tagged together.
• Part ‘A’ and Part ‘B’ should be mentioned only on the covering page of the respective answer sheet(s).
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

PART A

1. a. Define gait. 1+3+3+3

b. Outline phases of gait.
c. Define eccentric & concentric muscle contraction.
d. Give one example of each contraction in the gait cycle.
2. a. Types of Brachial Plexus injuries around birth, 3+1+2+4
b. Mechanism of causation,
c. Clinical features in a new born &
d. Management of a neglected / undiagnosed Erb’s palsy in
a 3 year old child.
3. a. Level of Syme’s amputation. 1+4+3+2
b. Merits & demerits of Syme’s amputation.
c. Modification of Syme’s amputation.
d. Prosthetic management after Syme’s amputation.
4. a. Classification of congenital scoliosis. 4+6
b. Treatment guidelines in young children with adequate
growth potential.
5. a. What is Virchow’s triad? 3+3+4
b. Enumerate the risk factors for developing deep vein
Thrombosis (DVT).
c. Prophylactic treatment for DVT.

P.T.O

- 1-
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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2017
ORTHOPAEDICS

PAPER – I

Please read carefully the important instructions mentioned on Page ‘1’

• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall not
be evaluated.
PART B

6. a. Define cerebral palsy (CP) 2+3+5

b. Classify cerebral palsy.
c. Principles of dorsal root rhizotomy in management of
static CP.

7. a. Risk factors for developing infections following total hip 3+3+4

arthroplasty.
b. Classification of prosthetic joint infection.
c. Management protocol of prosthetic joint infection

8. a. What is Pes cavus? 2+3+2+3

b. Classification of Pes cavus.
c. Causes of Pes cavus.
d. Coleman’s block test and its interpretation in Pes
cavus.

9. a. Enneking’s staging of benign and malignant bone 4+6

tumours.
b. Techniques of biopsy in aggressive (potentially
malignant) bone tumours.

10. a. Classify congenital failure of formation of limbs 3+4+3

b. Pappas classification for congenital femoral deficiency.
c. Management protocol according to Pappas
classification

************

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 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2017

ORTHOPAEDICS

PAPER – II

ORTHO/D/17/27/II
Time : 3 hours
Max. Marks : 100
IMPORTANT INSTRUCTIONS

• This question paper consists of 10 questions divided into Part ‘A’ and Part ‘B’, each part
containing 5 questions.
• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall not
be evaluated.
• Answer sheet(s) of Part ‘A’ and Part ‘B’ are not to be tagged together.
• Part ‘A’ and Part ‘B’ should be mentioned only on the covering page of the respective answer sheet(s).
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

PART A

1. a. What is tibia vara? 2+2+6

b. Classify tibia vara.
c. Conventional management of tibia vara and recent advances in its
management.
2. Anterior Interosseous Nerve Syndrome: 4+3+3
a. Enumerate its etiology and clinical features
b. What are the diagnostic tests for it?
c. Its treatment protocol
3. a. What is impingement syndrome (Shoulder)? 2+2+2+2+
b. Pathophysiology of Rotator Cuff tear. 2
c. Various imaging modalities for it.
d. Diagnostic tests ( describe any two)
e. Management outline.
4. a. Enumerate the surgical approaches to reduce & fix pilon fracture. 4+4+2
b. Enumerate steps of postero-lateral approach.
c. Enumerate its advantages & disadvantages.
5. a. Define spondylolisthesis 2+3+3+2
b. Its classification in adults.
c. Clinical features & diagnostic tests
d. Treatment protocol
P.T.O

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 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2017

ORTHOPAEDICS

PAPER – II

Please read carefully the important instructions mentioned on Page ‘1’

• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall not
be evaluated.

PART B

6. a. Etiopathogenesis of rheumatoid arthritis 3+5+2

b. Common deformities of rheumatoid hand & their
mechanism.
c. Enumerate the various drugs used for the
management of rheumatoid arthritis.

7. a. Indications of spinal osteotomy in a young patient 3+4+3

of ankylosing spondylitis
b. Enumerate osteotomy techniques & their principles
c. Potential complication of spinal osteotomy

8. Madelung’s deformity: 3+4+3

a. Classifications
b. Pathological anatomy
c. Management protocol

9. a. Methods of closing gaps between nerve ends 5+2+3

during nerve repair.
b. Enumerate expendable nerves.
c. Donor site morbidity of common donor nerves

10. a. Steps of posterior approach to hip joint while 5+2+3

performing total hip arthroplasty
b. Potential complications
c. What are its advantages & disadvantages as
compared to anterior approach?

************

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 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2017
ORTHOPAEDICS

PAPER – III

ORTHO/D/17/27/III
Time : 3 hours
Max. Marks : 100
IMPORTANT INSTRUCTIONS
• This question paper consists of 10 questions divided into Part ‘A’ and Part ‘B’, each part
containing 5 questions.
• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall not
be evaluated.
• Answer sheet(s) of Part ‘A’ and Part ‘B’ are not to be tagged together.
• Part ‘A’ and Part ‘B’ should be mentioned only on the covering page of the respective answer sheet(s).
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

PART A

1. a. Terrible triad in elbow fracture dislocations 3+1+3+3

b. Clinical presentation in acute cases
c. Management outline
d. Short terms & long terms complications

2. a. What is Flail chest? 2+4+4

b. Clinical features of flail chest and its diagnostic methods in
Emergency room
c. Acute and definitive management of flail chest.

3. a. Classify tibial condylar fractures 4+4+2

b. Outline its management principles according to
classification.
c. Potential complications of tibial condylar fractures and their
management

4. a. Classify odontoid fracture. 2+2+2+4

b. Mechanism of injury
c. Clinical features of an acute odontoid fracture
d. Management of acute odontoid fracture

5. a. Classify acromioclavicular joint injuries. 2+3+5

b. Imaging techniques for its diagnosis.
c. Management protocol according to classification

P.T.O

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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2017
ORTHOPAEDICS

PAPER – III

Please read carefully the important instructions mentioned on Page ‘1’

• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall not
be evaluated.

PART B

6. a. Define stress fracture. 1+2+2+5

b. Enumerate common sites for stress fracture
c. Causes of stress fractures
d. Clinical features, classification and management of
stress fracture of femoral neck in young adults.

7. a. Classify proximal radial fractures in children 2+4+4

b. Its management principles in fresh fractures
c. Management principles in malunited fractures

8. a. Define amputation 2+4+4

b. Enumerate the indications for amputation
c. Discuss any one objective method to decide
amputation / limb salvage after traumatic limb injury.

9. a. Effects of polytrauma on respiratory physiology. 3+3+4

b. What is ‘second hit phenomena’?
c. Principles of damage control Orthopaedics.

10. a. Discuss wound ballistics briefly. 2+(4+4)

b. Pathologic anatomy of ballistic wounds and its
management principles

************

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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
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 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2017
ORTHOPAEDICS

PAPER – IV

ORTHO/D/17/27/IV
Time : 3 hours
Max. Marks : 100
IMPORTANT INSTRUCTIONS
• This question paper consists of 10 questions divided into Part ‘A’ and Part ‘B’, each part
containing 5 questions.
• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall not
be evaluated.
• Answer sheet(s) of Part ‘A’ and Part ‘B’ are not to be tagged together.
• Part ‘A’ and Part ‘B’ should be mentioned only on the covering page of the respective answer sheet(s).
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

PART A

1. a. Define end vertebrae & apical vertebrae in adolescent idiopathic 3+3+4

scoliosis (AIS).
b. Describe two radiological methods to measure the curve in AIS.
c. Fusionless technique of correction in idiopathic scoliosis

2. a. Define osteoporosis 2+3+3+2

b. Enumerate lab tests & radiological tests to diagnose &
prognosticate osteoporosis
c. Mechanism of action of Teriparatide in treatment of osteoporosis
d. Potential complication of Teriparatide

3. a. Orthopedic manifestations of HIV infections. 6+4

b. Universal guidelines for surgeons while operating a patient with
proven HIV infection.

4. a. Stulberg classification in Perthes disease 3+2+5

b. What is hinged abduction?
c. Management principles /techniques for hinged abduction and
coxa magna in healed Perthes disease.

5. a. What are synthetic bioabsorbable materials for orthopedic 6+2+2

surgery?
b. Enumerate their advantages
c. Enumerate their complication & limitations

P.T.O

- 1-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL.
 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2017
ORTHOPAEDICS

PAPER – IV

Please read carefully the important instructions mentioned on Page ‘1’

• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer
sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall not
be evaluated.

PART B

6. a. Role of posterior cruciate ligament (PCL) in total knee 4+3+3

arthroplasty
b. Benefits of PCL retention prosthesis
c. Benefits of PCL substitution prosthesis

7. a. Principles of Gamma Camera 4+2+4

b. Radioactive substance(s) used in Gamma Camera
c. Indications & use of Gamma Camera

8. a. Broad indications for hip arthroscopy 3+4+3

b. Portal positioning for hip arthroscopy
c. Potential complications of hip arthroscopy

9. a. Causes of intoeing of gait 3+3+4

b. Radiological investigations and their interpretation in in-
toeing of gait
c. Its management protocol

10. a. Indications & contraindications of total elbow 5+2+3

arthroplasty
b. What are the complications of total elbow arthroplasty
c. Changes in design to reduce complications

************

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HALL.