Dec 2008

Paper I
1. Discuss Anatomy of rotator cuff. What is rotator cuff disease? Discuss its pathogenesis and management.
2. Define and classify Rickets. Describe pathogenesis, clinical features and management of hypophosphatemic rickets.
3. What are Biochemical markers for bone formation and bone resorption. Discuss their role in management of osteoporosis.
4. Discuss causes of loosening after a total hip replacement. Discuss its clinical features, diagnosis and management.
5. Discuss various methods available for treatment of Giant cell tumor of proximal tibia in a 30 yr. old man.
6. What is claudication? Classify it and discuss its cause specific management.
7. Discuss the etiology, Pathology , diagnosis, and management of Gas Gangrene of the Lower Extremity.
8. Discuss approach to find out a primary tumor in a 65 yr. Old man presenting with vertebral metastasis and low backache.
9. Discuss differential diagnosis in a 25 yr. old male presenting with mono-articular arthritis of knee joint. Tabulate the management in an algorithmic manner.
10. What is Marfan’s syndrome? What is its orthopaedic management?

Paper II
1. Classify elbow dislocation. How will you manage an unreduced posterior dislocation elbow in 10 yr. old child?
2. Define and classify cerebral palsy. Describe crouched gait and its management in a 10 yr. old child.
3. Describe various systems, implants available for limb length equalization. Discuss their underlying principle.
4. Give one example each of concentric and eccentric contraction during gait cycle. How will paralysis of tibialis anterior affect normal gait.
5. Describe Salter’s osteotomy. What are its indications, merits and demerits.
6. What is thoracic outlet syndrome? Discuss its Anatomy . How will you diagnose it in OPD?
7. Discuss sexual and bladder rehabilitation of a 30 yr. old male following a complete spinal injury at D12 vertebral level.
8. Discuss indications, merits and demerits of talectomy.
9. Discuss orthotic management in a High Radial Nerve Palsy.
10. Discuss various functions of hand. How will you attain key pinch in a quadriplegic with no useful power?

Paper III
1. What is Polytrauma? Describe the scoring method & principles of management of a patient with polytrauma in accident & emergency department.
2. Describe clinical features, diagnostic criteria and treatment of fat embolism syndrome.
3. What is floating knee? Discuss its management in a 25 yr. Old adult.
4. Describe various clinical methods to diagnose anterior cruciate ligament injury. Describe post operative management of ACL reconstruction by a bone patellar tendon bone graft.
5. Discuss the principles of management of Non-Union fracture Neck of Femur in an adult.
6. What is a Toddler’s fracture? Discuss its differential diagnosis and management.
7. How will you transport an organ after amputation to a sterilized centre for re-implantation? What is the order of implantation in a below elbow amputation?
8. Classify peri prosthetic fracture following a total hip replacement. Discuss their management.
9. Discuss the principles and the biomechanics of intra-medullary nailing.
10. Classify Pilon fractures and discuss their management.

Paper IV
1. What is multi system organ failure? What are indicators of mortality? Write briefly about diagnosis and management.
2. Define and classify VIC. Describe its surgical and orthotic management in Grade II VIC of forearm.
3. Describe arches of foot. Classify Flat Foot & briefly discuss the management principles of flat feet in a child.
4. What are the anatomical & physiological differences between neck shaft angle and version in a child and adult?
5. Discuss principle of chondroplasty in osteoarthritis of knee joint.
6. Define multidirectional instability of shoulder joint. Discuss its management.
7. Discuss the role of injectable steroids following spinal injury.
8. Discuss various methods of preventing deep vein thrombosis following total knee replacement. Discuss their merits & demerits.
9. What are indications of arthrography in a hip? Discuss various approaches to aspirate the hip joint.
10. What is the indication & principle behind parathormone therapy for treatment of osteoporosis? What are its merits & demerits?

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