Download RGUHS Fellowship Examination 2025 February 4284 Orthopaedic Oncology Paper II Question Paper

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Rajiv Gandhi University of Health Sciences, Karnataka

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Fellowship Examination — 18-Feb-2025

Time: Three Hours Max. Marks: 100 Marks

ORTHOPAEDIC ONCOLOGY - PAPER - I1

QP Code: 4284

Your answers should be specific to the questions asked.

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Draw neat, labeled diagrams wherever necessary.

Answer All The Questions 10 X 10 = 100 Marks

1. Staging and grading of malignant bone tumours.
2. Surgical treatment options of a 9 year old with high grade osteosarcoma of proximal tibia.
3. Classify Liposarcoma. A 50 year old operated at a secondary care facility for a lump on the thigh suspecting a lipoma, has presented to you with a post-operative report suggestive of Liposarcoma (grade 3). Explain further management of the patient.

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4. Metastatic spinal cord compression. Red flags, scoring system and management based on any of the known guidelines/frame works.
5. Provide the treatment algorithm for a 10 year old boy who has been recently diagnosed with non-metastatic Ewings sarcoma of the humerus shaft. Include:
   1. Regimen, duration of chemotherapy (with or without dose)
   2. Indications, complications and timing of radiation therapy for this patient
   3. Mention possible surgical options with advantages and disadvantages

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6. Chondrosarcoma of the Pelvis - Brief the known poor prognostic factors for local recurrence and overall survival. Mention the types of pelvic resection and appropriate reconstruction methods for each type. A note on Harrington techniques/method of pelvic reconstruction.
7. Electrochemotherapy for bone metastasis.
8. Malignant round blue cell tumours. Differentials and management.
9. Explain treatment workflow in a 65 year old with recurrent non-metastatic sacral chordoma (S3-S5)
10. Internal Hemipelvectomy: Types, common complications, indications and recent advances in reconstruction.

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