December 2019 DNB Orthopaedics question paper solved answers
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FINAL EXAM
DECEMBER 2019
NATIONAL BOARD OF EXAMINATIONSORTHOPEDICS
PAPER-1
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 sheets and the
main + supplementary answer sheets used for each part must be tagged separately.• Answers to question(s) of Part A attempted in answer sheets of Part B or vice versa shall not be evaluated.PART B
7. Define cervical rib. Describe its etiopathogenesis, clinicalfeatures and management.2+(2+3+3)8. Describe anatomy of palmar deep fascia. Describe etiology
pathology and management of Dupuytren’s contracture.3+(2+2+3)
9. Define congenital vertical talus. Describe its clinical features
and management.2+(3+5)10. Classify loose bodies. Describe pathology, clinical featuresand management of synovial chondromatosis.2+(2+3+3)-2-POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL
FINAL EXAM
DECEMBER 2019
NATIONAL BOARD OF EXAMINATIONSORTHOPEDICSPAPER-!TIME: 3 HOURSMAX. MARKS: 100
ORTHO/D/19/27/IIMPORTANT INSTRUCTIONS
• This question paper consists of 10 questions divided into Part “A” and part “B”, each partcontaining 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 question(s) of Part A attempted in answer sheet(s) of part B or Vice versa shall not be
evaluated.Answer sheets 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 sheets.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 A1. Describe the composition of bone? Enumerate the various cellsfound in the bone and describe their function. Describe Haversian
system of the bone with suitable diagram.2+(2+3)+3
2. Define osteomalacia. Describe its etiopathogenesis, clinicalfeatures and management.2+(2+3+3)
Classify chronic osteomyelitis. Describe its etiology, pathology
clinical features and management.
3. 2+(2+2+2+2)
4. Discuss the causes of nonunion of fractures. Describe varioustypes of nonunion? Discuss various modalities used to diagnose
nonunion.
4+2+4j l5. Define Crush syndrome. Describe its pathology, clinical features
and management.
2+(2+3+3) i ' lP.T.O.-1-POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL \
FINAL EXAM
DECEMBER 2019
NATIONAL BOARD OF EXAMINATIONSORTHOPEDICSPAPER-IITIME: 3 HOURS
MAX. MARKS: 100
ORTHO/D/19/27/IIIMPORTANT 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 question(s) of Part A attempted in answer sheet(s) of part B or Vice versa shall not beevaluated.• Answer sheets 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 sheets.• 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.! IWrite Short notes on:PART A1. Discuss the classification of osteonecrosis of femoral head.
Discuss its etiology, clinical features and management.
2. Define recurrent dislocation of patella. Describe its etiology,clinical diagnosis and broad principles of treatment.3+(2+2+3)
2+(3+2+3)
3. What is fibrous dysplasia of bone? Discuss its etiopathogenesis,clinical diagnosis and treatment.
4. What is Ewing’s sarcoma? Discuss its pathology, clinicaldiagnosis and treatment.5. Define Vitamin D resistant rickets. Discuss its clinical picture,
investigations and treatment. How will you differentiate it from
Vitamin D deficiency rickets?1+(3+2+4)
2+(3+2+3)1+ (2+2+3)+2:P.T.O-1-POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATIONHALL.
FINAL EXAM
DECEMBER 2019
NATIONAL BOARD OF EXAMINATIONSORTHOPEDICS
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 sheets and themain + supplementary answer sheets used for each part must be tagged separately.• Answers to question(s) of Part A attempted in answer sheets of Part B or vice versa shall not be evaluated.PART B6. Define Protrusio Acetabuli. Discuss its etiology, classification,
clinical features and management.7. Discuss in brief the various complications of Total Hip
Arthroplasty (THA). How will you manage aseptic loosening ofcomponents in a 65 year old patient of Cemented THA?
8. What is Pseudogout? Discuss its pathology, clinical diagnosis
and treatment.
9. How will you diagnose a case of hallux valgus? Discuss broad
principles of its management.
10. What is osteochondritis dissecans of the femoral condyles?
Discuss its classification, clinical diagnosis and management.
2+(2+2+2+2)
5+5
2+(2+3+3)!5+5
2+(2+3+3)irk -kick -kick* -kick:2POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATIONHALL \
FINAL EXAMDECEMBER 2019
NATIONAL BOARD OF EXAMINATIONSORTHOPEDICSPAPER-IIITIME: 3 HOURSMAX. MARKS: 100
ORTHO/D/19/27/111IMPORTANT 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 question(s) of Part A attempted in answer sheet(s) of part B or Vice versa shall not beevaluated.Answer sheets 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 sheets.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. iWrite Short notes on:
PART AClassification, management and complications of pediatric
supracondylar humerus fractures.1. 2+4+4 :Classify extracapsular hip fractures. Describe in brief itstreatment and complications.
2. 3+(3+4)Describe in brief with appropriate diagram and example:
a) Lag Screw Principle
b) Wolff Lawc) Osteoinduction3. 4+3+3
How will you classify spine injuries based on mechanism?Discuss in brief the clinical diagnosis and treatment of a patientwith anterior wedge compression fracture of L1 vertebra.Classify fracture radial head. Describe its mechanism of injury,
diagnosis and treatment.
4. 3+(3+4)
5. 2+(2+2+4)HP.T.O: In-1-POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATIONHALL
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2019ORTHOPEDICSPAPER-IIIPlease 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 sheets and the
main + supplementary answer sheets used for each part must be tagged separately.• Answers to question(s) of Part A attempted in answer sheets of Part B or vice versa shall not be evaluated.PART BClassify decubitus ulcers. Describe its etiopathogenesis
and management.Describe in brief with appropriate diagram and example:
a) Antiglide Plate.b) Mangled Extremity Severity Score.
c) Classification of Lisfranc injuries.
6. 3+(3+4)
7. 4+3+3a) Haemothorax. 5+5b) Volkmann’s ischemia.Classify various flaps used in the management of Gustilotype lll-B open fracture of proximal one-third of both bones
of leg. Describe in brief each type.
Describe in brief the mechanism of injury, classification,diagnosis and treatment of Perilunate injuries.8.9. 4+6
10. 2+2+S+3************2POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2019 U
; iORTHOPEDICSPAPER-IVTIME: 3 HOURS ORTHO/D/19/27/1VMAX. MARKS: 100IMPORTANT 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 question(s) of Part A attempted in answer sheet(s) of part B or Vice versa shall not beevaluated.• Answer sheets 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 sheets.• 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.! \iWrite short notes on: ! :PART A 5What are the various modalities of pain management?Discuss recent advances in pain management inOrthopaedics.1. 5+5
Define Orthobiologics. Discuss its classification andapplications in Orthopaedics.
2. 2+(3+5)
a) Tranexamic acid.b) Biologies in management of rheumatoid arthritis.
3. 4+6
Define Osteoid Osteoma. Write in brief about its clinicaldiagnosis and management including recent advances.
4. 2+(2+6)
a) Trabecular metal in THR.
b) Ceramic on Ceramic articulation in THR.
5. 5+5P.T.O: sI-1-POSSESSION/USE OP CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALLl
ORTHOPEDICSPAPER-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 sheets and the
main + supplementary answer sheets used for each part must be tagged separately.• Answers to question(s) of Part A attempted in answer sheets of Part B or vice versa shall not be evaluated.PART BDiscuss briefly the management of Giant cell tumour of distalend of femur. Discuss the recent advances in its
management.
6. 7+3a) Bone Bank.
b) Alloprosthetic composite.7. 5+5a) Tests for sacroiliac joint.
b) SCIWORA.c) Femoroacetabular impingement.
8. 3+3+4What is traumatic knee dislocation? Discuss its classification
and management.9. 2+(3+5)
************( $ i-2-POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION IHALL1
DECEMBER 2019
NATIONAL BOARD OF EXAMINATIONSORTHOPEDICS
PAPER-1
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 sheets and the
main + supplementary answer sheets used for each part must be tagged separately.• Answers to question(s) of Part A attempted in answer sheets of Part B or vice versa shall not be evaluated.PART B
| 6. What is the role of anticoagulant therapy in Orthopaedics? | (4+6) | |||
| Describe arthroplasty. | thromboprophylaxis | following | total | hip |
pathology and management of Dupuytren’s contracture.3+(2+2+3)
9. Define congenital vertical talus. Describe its clinical features
and management.2+(3+5)10. Classify loose bodies. Describe pathology, clinical featuresand management of synovial chondromatosis.2+(2+3+3)-2-POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL
FINAL EXAM
DECEMBER 2019
NATIONAL BOARD OF EXAMINATIONSORTHOPEDICSPAPER-!TIME: 3 HOURSMAX. MARKS: 100
ORTHO/D/19/27/IIMPORTANT INSTRUCTIONS
• This question paper consists of 10 questions divided into Part “A” and part “B”, each partcontaining 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 question(s) of Part A attempted in answer sheet(s) of part B or Vice versa shall not be
evaluated.Answer sheets 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 sheets.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 A1. Describe the composition of bone? Enumerate the various cellsfound in the bone and describe their function. Describe Haversian
system of the bone with suitable diagram.2+(2+3)+3
2. Define osteomalacia. Describe its etiopathogenesis, clinicalfeatures and management.2+(2+3+3)
Classify chronic osteomyelitis. Describe its etiology, pathology
clinical features and management.
3. 2+(2+2+2+2)
4. Discuss the causes of nonunion of fractures. Describe varioustypes of nonunion? Discuss various modalities used to diagnose
nonunion.
4+2+4j l5. Define Crush syndrome. Describe its pathology, clinical features
and management.
2+(2+3+3) i ' lP.T.O.-1-POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL \
FINAL EXAM
DECEMBER 2019
NATIONAL BOARD OF EXAMINATIONSORTHOPEDICSPAPER-IITIME: 3 HOURS
MAX. MARKS: 100
ORTHO/D/19/27/IIIMPORTANT 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 question(s) of Part A attempted in answer sheet(s) of part B or Vice versa shall not beevaluated.• Answer sheets 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 sheets.• 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.! IWrite Short notes on:PART A1. Discuss the classification of osteonecrosis of femoral head.
Discuss its etiology, clinical features and management.
2. Define recurrent dislocation of patella. Describe its etiology,clinical diagnosis and broad principles of treatment.3+(2+2+3)
2+(3+2+3)
3. What is fibrous dysplasia of bone? Discuss its etiopathogenesis,clinical diagnosis and treatment.
4. What is Ewing’s sarcoma? Discuss its pathology, clinicaldiagnosis and treatment.5. Define Vitamin D resistant rickets. Discuss its clinical picture,
investigations and treatment. How will you differentiate it from
Vitamin D deficiency rickets?1+(3+2+4)
2+(3+2+3)1+ (2+2+3)+2:P.T.O-1-POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATIONHALL.
FINAL EXAM
DECEMBER 2019
NATIONAL BOARD OF EXAMINATIONSORTHOPEDICS
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 sheets and themain + supplementary answer sheets used for each part must be tagged separately.• Answers to question(s) of Part A attempted in answer sheets of Part B or vice versa shall not be evaluated.PART B6. Define Protrusio Acetabuli. Discuss its etiology, classification,
clinical features and management.7. Discuss in brief the various complications of Total Hip
Arthroplasty (THA). How will you manage aseptic loosening ofcomponents in a 65 year old patient of Cemented THA?
8. What is Pseudogout? Discuss its pathology, clinical diagnosis
and treatment.
9. How will you diagnose a case of hallux valgus? Discuss broad
principles of its management.
10. What is osteochondritis dissecans of the femoral condyles?
Discuss its classification, clinical diagnosis and management.
2+(2+2+2+2)
5+5
2+(2+3+3)!5+5
2+(2+3+3)irk -kick -kick* -kick:2POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATIONHALL \
FINAL EXAMDECEMBER 2019
NATIONAL BOARD OF EXAMINATIONSORTHOPEDICSPAPER-IIITIME: 3 HOURSMAX. MARKS: 100
ORTHO/D/19/27/111IMPORTANT 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 question(s) of Part A attempted in answer sheet(s) of part B or Vice versa shall not beevaluated.Answer sheets 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 sheets.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. iWrite Short notes on:
PART AClassification, management and complications of pediatric
supracondylar humerus fractures.1. 2+4+4 :Classify extracapsular hip fractures. Describe in brief itstreatment and complications.
2. 3+(3+4)Describe in brief with appropriate diagram and example:
a) Lag Screw Principle
b) Wolff Lawc) Osteoinduction3. 4+3+3
How will you classify spine injuries based on mechanism?Discuss in brief the clinical diagnosis and treatment of a patientwith anterior wedge compression fracture of L1 vertebra.Classify fracture radial head. Describe its mechanism of injury,
diagnosis and treatment.
4. 3+(3+4)
5. 2+(2+2+4)HP.T.O: In-1-POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATIONHALL
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2019ORTHOPEDICSPAPER-IIIPlease 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 sheets and the
main + supplementary answer sheets used for each part must be tagged separately.• Answers to question(s) of Part A attempted in answer sheets of Part B or vice versa shall not be evaluated.PART BClassify decubitus ulcers. Describe its etiopathogenesis
and management.Describe in brief with appropriate diagram and example:
a) Antiglide Plate.b) Mangled Extremity Severity Score.
c) Classification of Lisfranc injuries.
6. 3+(3+4)
7. 4+3+3a) Haemothorax. 5+5b) Volkmann’s ischemia.Classify various flaps used in the management of Gustilotype lll-B open fracture of proximal one-third of both bones
of leg. Describe in brief each type.
Describe in brief the mechanism of injury, classification,diagnosis and treatment of Perilunate injuries.8.9. 4+6
10. 2+2+S+3************2POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2019 U
; iORTHOPEDICSPAPER-IVTIME: 3 HOURS ORTHO/D/19/27/1VMAX. MARKS: 100IMPORTANT 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 question(s) of Part A attempted in answer sheet(s) of part B or Vice versa shall not beevaluated.• Answer sheets 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 sheets.• 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.! \iWrite short notes on: ! :PART A 5What are the various modalities of pain management?Discuss recent advances in pain management inOrthopaedics.1. 5+5
Define Orthobiologics. Discuss its classification andapplications in Orthopaedics.
2. 2+(3+5)
a) Tranexamic acid.b) Biologies in management of rheumatoid arthritis.
3. 4+6
Define Osteoid Osteoma. Write in brief about its clinicaldiagnosis and management including recent advances.
4. 2+(2+6)
a) Trabecular metal in THR.
b) Ceramic on Ceramic articulation in THR.
5. 5+5P.T.O: sI-1-POSSESSION/USE OP CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALLl
| FINAL EXAM | NATIONAL BOARD OF EXAMINATIONS |
| DECEMBER 2019 |
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 sheets and the
main + supplementary answer sheets used for each part must be tagged separately.• Answers to question(s) of Part A attempted in answer sheets of Part B or vice versa shall not be evaluated.PART BDiscuss briefly the management of Giant cell tumour of distalend of femur. Discuss the recent advances in its
management.
6. 7+3a) Bone Bank.
b) Alloprosthetic composite.7. 5+5a) Tests for sacroiliac joint.
b) SCIWORA.c) Femoroacetabular impingement.
8. 3+3+4What is traumatic knee dislocation? Discuss its classification
and management.9. 2+(3+5)
| 10. What are different types of bone cement? Write in brief about cementing technique and pressurization. | 4+6 |
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