ortholectures.

org- Orthopedic lecture notes,ask orthopedic surgeon, academic writing

Ortholectures.org

home

Google Search

lectures

The Web

forum

blog

faq

contact

Ask K's

About Us
Ortholectures aims to improve
the orthopedic education, care
and research using web based
orthopedic lectures notes, learning
resourses and technologies. We

I Recommend
Skeletal Trauma
in Children,
Volume Three
Neil E. Green

$5.95

Kindle 3G W
$189.00
Must haves

Current
Diagnosis and
Treatment in
Orthopedics

Dorland's
Orthopedic Word
Book for Medical

Harry B. Skinn

$0.43

strive to improve the quality of

Amazon.com

Orthopedic information available in

the world wide web by providing
upto date

field of orthopedics

Dorland, Shar

1 2 >

informations in the

Our Services

$40.95

Get Widget Privacy

Instructional Lectures

2010 question paper underlines the fact that

previous years question bank is the main key for
the road to success in DNB orthopedics Theory
examination. Questions in red are repeated
several times.

Discussions
Articles
Links

Pre Questions
DNB 2001-10
Complete question bank 1991-

2010 June
Paper I
1. A/c compartment syndrome

http://ortholectures.org/dnb%20dec%202008.html[31/03/2011 10:30:28 ]

2006

Latest Articles

ortholectures.org- Orthopedic lecture notes,ask orthopedic surgeon, academic writing

2. Gene therapy

Anti-Tetanus Protocol

3. V- D resistant rickets
4. Advances in medical treatment in rheumatoid arthritis
5. Management of multiple ribs fracture with haemothorax
6. Differentiate head injury from cerebral symptoms of fat embolism
syndrome
7. Haemophilic arthropathy
8. PET scan in orthopaedics
9. Automatic bladder
10. Electrodiagnostic studies

Paper II
1. Salter Harris classification of epiphyseal injuries and relevance to
skeletal growth.
2. Principles of management- radial nerve injury
3. Ponseti CTEV management
4. Salters osteotomy
5. Floor reaction orthosis
6. Klippel Feil syndrome
7. Claw hand
8. Tom Smith arthritis
9. Principle of amputation of lower limbs- children
10. Pathoanatomy and management of congenital vertical talus

Paper III
1. Principles, merits, demerits of locking plates
2. Damage control orthopaedics
3. Pathophysiology and pharmacological treatment of acute spinal cord
injury
4. Classify distal radius fractures. What are the recent trends in their
management?
5. Methods for reducing risks of blood transfusion
6. Evaluation, principles in management of fracture acetabulum
7. Classify periprosthetic fractures in THR. Outline the management

http://ortholectures.org/dnb%20dec%202008.html[31/03/2011 10:30:28 ]

ortholectures.org- Orthopedic lecture notes,ask orthopedic surgeon, academic writing

strategies.
8. Shoulder instability
9. Distraction histiogenesis
10. Classify fracture calcaneum and management.

Paper IV
1. Biological enhancement in fracture healing
2. High tibial osteotomy
3. Concept- total knee replacement
4. Recent advances- bearing surfaces of total hip arthroplasty
5. DVT prophylaxis
6. Management-metastasis in spine
7. Blood supply of long bones and effects of various modalities of fixation
8. MODS
9. Management-congenital scoliosis
10. List diagnostic tests with relative merit in postop infection & outline
treatment

Dec. 2008 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 Salters 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?
Dec. 2008 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

http://ortholectures.org/dnb%20dec%202008.html[31/03/2011 10:30:28 ]

ortholectures.org- Orthopedic lecture notes,ask orthopedic surgeon, academic writing

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

Toddlers

fracture?

Discuss

its

differential

diagnosis and

management.
7) How will you transport an organ after amputation to a sterilized centre for reimplantation? 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.
Dec. 2008 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?
June. 2008 Paper I
1. ) Femoro acetabular impingement syndrome.
2) Chronic recurrent multifocal osteomyelitis. Diagnosis and management.
3) Management of Brachial artery injury in association with supracondylar fracture
of humerus.
4)

Differentiating

features

between

Osteonecrosis

and transient migratory

osteoporosis.
5) Discuss the diagnosis and clinical features of DVT in orthopedic surgery. Outline
the management. What special precautions are required if post-operative epidural
analgesia is used for 4 5 days.
6) Discuss the approach to a patient with suspected bony metastasis with
unknown primary tumor.
7)

Enumerate

the

radiological

types

of

Tuberculosis

Hip.

How does this

classification help us in prognostication?

8)Discuss the approach to a patient of pelvic fracture with a suspected abdominal
injury.
9) Enumerate various methods of ACL Reconstruction. Discuss the pros & cons of
each method.
10)

Bone

defects

encountered

during

total

knee

http://ortholectures.org/dnb%20dec%202008.html[31/03/2011 10:30:28 ]

replacement

and their

ortholectures.org- Orthopedic lecture notes,ask orthopedic surgeon, academic writing

management.
June. 2008 Paper II
1))

Discuss

the

types

of

equines

contracture

in

cerebral

palsy and its

management.
2) Describe the Anatomy of iliotibial band and the effect of its contracture on the
lower limb. How do you clinically detect the contracture?
3) Renal Osteodystrophy
4) Scheurmans disease.
5) Pathophysiology of claw hand and its treatment.
6) Discuss the management of flexor tendon injury in zone II.
7) Describe the orthotic management of an asensate foot particularly in reference
to leprosy.
8) What are the various types of exercises? Discuss the benefits and indications of
isometric exercises.
9) What is paraffin wax? How is it useful in treatment of orthopedic conditions?
What are the indications and contraindications of wax bath therapy?
10)Define ankle foot orthosis. What are the plastic materials used in fabrication.
Describe indications and care during daily use.
June. 2008 Paper III
1) Describe the causes of ulnar wrist pain after healing of a distal radial fracture
and discuss the management.
2) Damage control orthopaedics .
3) Classify fractures of acetabulum and role of conventional radiology in the
classification
4) Classify ankle injuries. Which fracture patterns have syndesmotic instability &
how do you manage it?
5) Classify fractures of the proximal humerus. What is the relevance of blood
supply of humerus in planning management? How will you treat four part
fractures?
6) Discuss the advances in the management of periarticular fractures.
7) Describe the mechanism of injury & clinical presentation of
various incomplete spinal cord syndromes.
8) Differentiating features in the patho Anatomy & management of intracapsular
fracture neck of femur in children & adults.
9) Advances in treatment of osteoporotic fractures.
10)Discuss the clinical features & management of Achilles tendinopathy in athletes
June 2008 Paper IV
1) Biological therapy in inflammatory arthritis.
2) Trochanteric flip osteotomy in surgical exposures of the hip joint.
3) Rationale for using metallic implants in osteoarticular tuberculosis.
4) Clinical differentiation between pre-ganglionic and postganglionic lesions of
brachial plexus & its effect on the management.
5) Transcutaneous nerve stimulation.
6) Define femoral anteversion. How do you detect it clinically? Discuss the role of
anteversion in orthopaedics diagnosis & management
7) Pathophysiology of lumbar canal stenosis.
8) What are bisphosphonates? Discuss the role of Bisphosphonates in various
orthopedic disorders.
9) Describe the blood supply of a long bone. Discuss the effects

http://ortholectures.org/dnb%20dec%202008.html[31/03/2011 10:30:28 ]

ortholectures.org- Orthopedic lecture notes,ask orthopedic surgeon, academic writing

of various modalities of internal fixation on the blood supply.
10)Biodegradable orthopedic implants.

2007 DEC Paper I

1. management of multiple rib fracture with Haemopneumothorax
2. filum terminale syndrome
3. management of skeletal metastasis
4. round cell tumour. Discuss the management of multiple myeloma
5. osteoporosis
6. management of fat embolism
7. exertional compartment syndrome
8. management of haemarthrosis of knee developing in an injury
9. role of labeled WBC and multiphasic bone scan in bone Pathology
10. tuberculosis of hip joint
2007 DEC Paper I1
1. etiology and pathological Anatomy of DDH
2. Mid carpal instability
3. surgical principles of flexor tendon repair
4. klippel feil syndrome
5. indications of amputation. Describe surgical principles of
amputation in children and adults
6. pes planus
7. role and mode of action of pharmacological treatment in CP
8. Calcaneovalgus
deformity. Disscuss the treatment issues in mature and immature
foot
9. madelung deformity
10. shoulder instability
2007 DEC Paper III
1. indications of Valgus osteotomy for fracture neck of femur. Discuss
the preoperative planning, Implant choice, advantages and
disadvantages of the procedure/
2. guiding principles of removal of orthopaedic implants after
fracture union. What are the current recommendations for
removal of implant in commonly encountered fractures
3. classify Periprosthetic fractures around the knee. Outline the
treatment strategy
4. Classify fractures of the Capitullumn and discuss the management
of each type
5. Surgical Anatomy of AC joint along with classification of AC joint
injuries. Briefly discuss the management.
6. what are the various protocols which have been used for
pharmacological intervention in spinal cord injuries.what is the
current opinion on pharmacological intervention
7. classify fractures of pelvis briefly discuss the management of
rotationally unstable and vertically stable injuries
8. Various methods of fixing severely osteoporotic fractures.
9. what is LISS. Discuss its role in stabilizing fractures of distal femur.
10. what is ballistics. Briefly describe the current management of
ballistic injuries of the spine.
2007 DEC Paper IV

http://ortholectures.org/dnb%20dec%202008.html[31/03/2011 10:30:28 ]

ortholectures.org- Orthopedic lecture notes,ask orthopedic surgeon, academic writing

1. Biological enhancement of fracture healing

2. Bearing surface of total hip arthroplasty
3. Causes and treatment of thoracic outlet syndrome
4. what are the musculo skeletal manifestations of retroviral
infection
5. high tibial osteotomy
6. discuss the pharmacological treatment of rheumatoid arthritis
7. Structure and function of articular cartilage
8. Sickle cell disease
9. Classify Spondylolisthesis. Describe the management
10. Renal Rickets.
2007 JUNE Paper I
1. DIC
2. Enumerate bleeding disorders . How will you manage a grossly
arthritic Knee in haemophilia?
3. Tension Pneumothorax
4. Decribe the various myocutaneous flaps used to cover tibia in
different levels.
5. primitive neuroectodermal tumours
6. pathogenesis of lumbar canal stenosis? What is the differentiating
ffeature between vascular & neurogenic claudication
7. Briefly discuss the principles and priorities in managing polytrauma
8. loose bodies in knee etiology? How will u manage a case of 30
year old sportsmanwho presents with locked knee due to
loose body
9. how will u differentiate structural scoliosis from nonstructural
scoliosis?describe infantile idiopathic scoliosis. What is the
importance of rib vertebral angle?
10. how will u manage a case of recalcitrant tennis elbow?
2007 JUNE Paper II
1. Classify radial club hand. Describe the pathological Anatomy &
management of a 1 yr old child?
2. Classify Coxa Vara. Describe the management of adolescent coax
vara
3. describe the DD of cystic lesion in upper end of humerus in a 10
year old child. Describe the management of SBC in same
child
4. Classify fracture neck of femur in children. Describe its
management and complications briefly
5. Define Gait. Describe the aetiopathogenesis and causes of
trendleberg gait
6. what is symes amputation? Desribe the indications and
complications. What is the prosthesis suitable for symes
amputation?
7. Describe briefly the clinical features and management of SCFE?
8. Neurological deficit in caries spine; types, pathogenesis and
prognostic factors?
9. A one year old child has been successfully treated for CTEV.
Describe the orthotic management from this time to the
completion of treatment?
10. Describe the pathological Anatomy of the bursae of the hand.
Discuss the etiology, clinical feature and management of acute

http://ortholectures.org/dnb%20dec%202008.html[31/03/2011 10:30:28 ]

ortholectures.org- Orthopedic lecture notes,ask orthopedic surgeon, academic writing

infection in those bursae?

2007 JUNE Paper II1
1. Peritalar dislocation
2. Chronic compartment syndrome
3. Hanging cast 4. what is unstable trochanteric fracture? Briefly
describe the various methods of managing unstable trochanteric
fracture
5. discuss the indications pros and cons of reamed Vs unreamed
intramedullary nailing
6. discuss the management of closed fracture shaft of humerus with
radial nerve palsy
7. Carpal instability types, clinical features and radiological
assessment
8. Describe the Anatomy of Subacromial space. What is the
morphology of acromion process in the pathogenesis of rotator cuff
tears? How will you manage full thickness tear?
9. what is locked compression plate? Discuss the principles, clinical
situations where it is particularly usefull
10. how will you manage a case of acute Hemarthrosis Knee?
2007 JUNE Paper IV
1. Describe Bone remodeling unit. Briefly describe the drugs which
influence remodeling
2. PET Scan
3. Wallerian degeneration
4. Briefly describe the relevant biomechanics of the lower limb,
particularly in relation to bone cuts in total knee replacement
5. gate control theory of pain
6. what is neuropraxia? How will you differentiate it from
axonometsis during first few days of injury
7. tribology
8. tumour induced osteomalacia
9. describe the histological zones of growth plate. Discuss the
anatomical changes which takes place in rickets and Slipped capital femoral
epiphysis
10. Discuss the pathogenesis of acute hematogenous osteomyelitis.
How does it differ in different age groups
2006 dec Paper I
1) Autologous Chondrocyte Implantation
2) Features which differentiate head injury from the cerebral
symptoms of Fat Embolism syndrome.
3) Synovioma
4) Otto Pelvis
5) Principles of surface replacement arthroplasty of hip. What
do you think are the reasons of failure of previous historical
designs compared to the modern successful design?
6) What are the various methods of closing gaps between nerve
ends during nerve repair?
7) What are the indications of spinal osteotomy in ankylosing
spondylitis? Describe the various techniques.
8)Pathophysiology of septic shock.
9) Management of a patient having fracture pelvis with urinary

http://ortholectures.org/dnb%20dec%202008.html[31/03/2011 10:30:28 ]

ortholectures.org- Orthopedic lecture notes,ask orthopedic surgeon, academic writing

retention. Restrict yourself to the management of his urinary

problem.
10)Kienbocks disease.
2006 dec Paper I 1
1) Name the prehensile movements of hand. What are the
tendon transfers described for opponens deficit hand?
2) Describe briefly indications, contraindications and principle
technical steps of Salters osteotomy.
3) How do principles of amputation differ in children as
compared to adults? What is pylon prosthesis? What are
advantages and disadvantages?
4) What is the pathological Anatomy of carpal tunnel? Describe
briefly the diagnosis and management of carpal tunnel
syndrome.
5) What are the hand deformities in rheumatoid arthritis?
Describe the pathological Anatomy and treatment of
Boutannaires deformity.
6) Describe briefly the aetiology, clinical features and principles
of treatment of Tom Smith arthritis.
7) Outline the calcium metabolism. What do you mean by
Vitamin D resistant rickets? Describe its clinical features and
management.
8)What is crutch palsy? Describe the orthotic management of
wrist drop.
9) Describe the pathological Anatomy , clinical features and
management of post polio calcaneus deformity in a 12 yr. old
patient.
10)What is Floor Reaction Orthosis? Describe its parts and
mechanism of function. What are its indications and
contraindications?
2006 dec Paper I11
1) Describe the mechanism of injury and clinical presentation of
various incomplete spinal cord syndromes.
2) What is Lisfranc joint? Classify injuries around this joint and
principles of management.
3) Classify calcaneal fractures. Discuss the management based
on classification system. Enumerate the complications.
4) Enumerate Biodegradable implants. What are the advantages
and disadvantages of their use?
5) Classify periprosthetic fractures around the knee and discuss
their management.
6) Classify fracture acetabulum and outline the indications of
surgical treatment.
7) Classify ankle injuries. Which fracture patterns have
syndesmotic instability and how do you manage that?
8)Classify fractures of the proximal humerus in elderly. What is
the relevance of blood supply of the humeral head in
planning management? How will you treat four part
fracture?
9) What is Gas Gangrene? Discuss the clinical features,
bacteriology and principles of management.
10)Describe the causes of ulnar wrist pain after healing of distal
radius fractures. Discuss the management of DRUJ disorders.
http://ortholectures.org/dnb%20dec%202008.html[31/03/2011 10:30:28 ]

ortholectures.org- Orthopedic lecture notes,ask orthopedic surgeon, academic writing

2006 dec Paper IV

1) Describe the Physiology of micturition. Briefly discuss the
management of automatic bladder in spinal injuries.
2) Describe the arches of foot. Discuss the clinical features and
management of peroneospastic flat foot.
3) Describe the blood supply of femoral head. How does it differ
in children and adults?
4) Describe the properties of synovial fluids. How does it help in
differentiating various types of arthritis?
5) What are the stages of fracture healing? Discuss the factors
regulating fracture healing.
6) What are bone graft substitutes? How do they work?
7) Describe the metabolism of Vitamin D and its clinical
significance.
8)What are Giant cell variants? Describe in brief their
differential diagnosis.
9) What is DOTS? What is its rationale?
10)Pathoanatomy, radiology and diagnosis of Congenital vertical
Talus.
2006 june Paper I
1) Discuss the Pathology of osteoarthritis of knee with special
reference to the role of ACL rupture in the pathogenesis of
osteoarthritis knee.
2) Briefly describe the clinical features, types and management
of osteoid osteoma.
3) Describe in detail the synovial fluid analysis. How do you
differentiate various types of arthritides based on the
analysis?
4) Video Assisted Thoracoscopy
5) Osteochondritis Dessicans
6) Transient Migratory Osteoporosis of the hips
7) Describe various types of skin grafts. Discuss the stages of
biological incorporation of skin grafts.
8)Discuss the pathogenesis of neurospinal claudication.
9) Automatic Dysreflexia.
10)Control of air quality in a modern orthopaedic operation
theatre.
2006 june Paper I1
1) Anterior Interosseous Nerve syndrome Aetiology, clinical
features, differential diagnosis and management.
2) Dwyers osteotomy for CTEV Indications, steps and
complications.
3) Sprengels Deformity. Etio pathogenesis, clinical features and
management.
4) Coxa Plana Clinical, Radiological features, Differential
diagnosis and principles of treatment.
5) Boutannaire deformity etiology, pathomechanics and
management.
6) Ultrasonic Therapy Physiological effects, clinical
applications and contraindications.
7) Quadriceps Paralysis Gait pathomechanics, compensation
http://ortholectures.org/dnb%20dec%202008.html[31/03/2011 10:30:28 ]

ortholectures.org- Orthopedic lecture notes,ask orthopedic surgeon, academic writing

employed and corrective measures.

8)Suction Socket Prosthesis principles, indications and
advantages over conventional prosthesis and main points in
its construction.
9) Bowing of Tibia in children Causes, types and management
of Congenital Bowing
10)Equinus Deformity in cerebral palsy Etiopathogenesis,
evaluation and treatment.
2006 june Paper I11
1) Fracture Talus.
2) Bennets Fracture dislocation
3) Hangmans Fracture.
4) Motor March
5) Principles of Tendon Transfer.
6) Anterior Cruciate Ligament Injury.
7) Acromio clavicular Disruption
8) Lateral Condyle fracture of Humerus
9) Perilunar Dislocation.
10)Fracture Disease.
2006 june Paper IV
1) Etiopathogenesis, Pathology and management of DIC.
2) Congenital postural deformities associated with in-utero
position.
3) Raloxifene.
4) Biomechanics of Knee in relation to total knee replacement.
5) Structure and Biochemistry of articular cartilage.
6) Bryants Traction.
7) Biochemical markers of Bone formation and resorption.
8) Describe pathological Anatomy and radiology in CTEV.
9) Stewart and Harnaley ankle arthrodesis.
10)Enumerate various deformities of foot and ankle seen in Post
Polio Residual Paralysis (PPRP). Describe in detail the
management of Talipes Calcaneus.
More

2010 Ortholectures.org. All Rights Reserved.

http://ortholectures.org/dnb%20dec%202008.html[31/03/2011 10:30:28 ]

Design by Best Web Host