Download DNB 2020 December OrthopaedIcs Paper I Question Paper

FINAL EXAM

DECEMBER 2020

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ORTHOPAEDICS

PAPER-I

TIME: 3 HOURS

MAX. MARKS: 100

ORTHO/D/20/27/1

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IMPORTANT INSTRUCTIONS

• You are provided with 5 answer sheet booklets. Each individual answer sheet booklet consists of 10 pages excluding the covering jackets.
• This question paper consists of 10 short note questions. Question paper is divided into 5 Parts - A, B, C, D and E, each part containing 2 questions.
• Answers to questions of part A, part B, part C, part D & part E are to be strictly attempted in a separate answer sheet booklet which must be later tagged together at the end of the exam.
• No additional supplementary answer sheet booklet will be provided.

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• Answers to question(s) attempted on an answer sheet booklet for a different part will not be evaluated.
• Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of the respective answer sheet booklet.
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.

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• 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.

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PART- A

1. Describe the stabilizers of the shoulder joint. Elaborate on the clinical tests for the instability of shoulder joint. 4+6
2. a) Classify surgical site infection (SSI) 4+6
   b) How will you manage SSI detected on fifth post-operative day after plate osteosynthesis?

PART- B

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1. Describe morphology of articular cartilage and changes that occur in articular cartilage in osteoarthritis. 5+5
2. a) Define bone remodeling. 3+3+4
   b) Distinguish between osteoporosis and osteopenia.
   c) Explain management protocol of osteoporotic vertebral fracture with a flow chart.

PART- C

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1. Describe the pathogenesis and management of gout. 4+6
2. Define neurogenic shock following spinal cord injury. Discuss in detail about the clinical methods to diagnose the level of spinal cord injury. 4+6

PART- D

1. What is fat embolism syndrome? Discuss the clinical features, investigations, diagnosis and management of fat embolism syndrome. 2+(2+2+2+2)
2. a) What are the methods of doing biopsy from a suspected neoplastic lesion? 2+4+4
   

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   b) Mention the histo-pathological features of osteosarcoma.
   c) Describe the pre-requisites for limb salvage surgery in a malignant tumour.

PART- E

1. Describe hygiene policies for prevention of viral infection in Orthopaedic practice. Describe the management of needle-stick injuries. 5+5
2. a) Transfusion mismatch. 3+4+3
   

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   b) Giant cell.
   c) Trendelenburg's test.

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