NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
ORTHOPAEDICS
PAPER-IV
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TIME: 3 HOURSORTHO/J/20/27/IV
MAX. MARKS: 100
IMPORTANT INSTRUCTIONS
This question paper consists of 10 questions divided into Part "A" and part "B", each part
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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 be
evaluated.
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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 careful y 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 al 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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Write short notes on:PART A
1. a) Principle of laminar air flow and its application in
5+5
operation room.
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b) EUSOL.2. Transport protocol of completely dis-membered finger and
10
limb from site of injury to hospital.
3. a) Fracture fixation using shape-memory (Ninitol) staples.
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5+5b) Mechanism of action of various anticoagulants and
precautions required during their use.
4. a) Principle & mechanism of action of a proximal femoral
4+3+3
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nail in the treatment of proximal femoral fractures.b) How is it different from extra-medul ary implants in the
same fractures?
c) Write its complications and how to avoid them.
5. a) Til aux fracture.
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5+5b) Complications of lateral condylar fractures in children.
P.T.O
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
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HALL.FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
ORTHOPAEDICS
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PAPER-IVPlease read careful y 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.
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PART B6. a) Classify gunshot wounds.
4+6
b) Brief management outline for a high velocity gunshot
wound to thigh in an adult male with fracture shaft femur.
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7. a) Etiopathogenesis of hand knee gait.5+5
b) Floor reaction orthosis.
8. a) Enumerate modifiable risk factors to reduce
5+5
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prosthetic joint infection.b) Briefly outline indications & principles of Single stage
Exchange arthroplasty for prosthetic joint infection.
9. a) Classify Tibial Plafond fractures.
4+4+2
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b) Outline the principles of managing these cases.c) Role of MIPO in such injuries.
10. a) Explain the concept of tension band plating with the help
5+5
of diagrams.
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b) What is the center of rotation of angulation (CORA)? Drawa diagram to show how to calculate it?
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
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HALL.