ORTHOPAEDICS

FINAL YEAR MBBS

QUERENCIANZ ‘ 18
GOVT. MEDICAL COLLEGE , PUDUKKOTTAI
 TRAUMA AND FRACTURE
ESSAY
1.A young motor cycle rider is involved in road traffic accident. Discussthe examination,
assessment and immediate resuscitation of this patient

2. Define Compound fracture, Discuss about classification, Investigation, and Management of

Compound fracture

SHORT NOTES
1.Claw hand (6)

2.Foot drop (4)

3.Wrist drop (4)

4.Non-Union (3)

5.Myositis ossificans (3)

6.Radial nerve injuries (3)

7.Bone graft (3)

8. Plaster of paris & Uses (2)

9.Thomas splint (2)

10.Compartment syndrome (2)

11.Malunion (2)

12.Epiphyseal injuries (2)

13.Erb's palsy (2)

14.Classification of Compound Fracture

15.Bone Cement

16.Uses of external fixation

17. Intramedullary fixation of fracture

18. Clinical features and diagnosis of fatembolism following fracture shaft of femur

19.Clinical features of acute compartment syndrome

20.Nerve injuries

21.Clinical features of ulnar nerve palsy

22.Saturday night palsy

23.Electromyography

24.Tinel's sign

SHORT ANSWERS
1. Pathological fracture (2)

2.Plaster of Paris (2)

3. Malunion (2)

4.Epiphyseal injury (2)

5.Green stick fracture (2)

6.Ulnar paradox (2)

7.Synovial membrane

8.Ilizarov fixator

9.Preservation of amputated finger for transfer to a referral center

10. Treatment of hypertrophic non-union

11.Non-union.

12. Myositis ossificans

13.Foot drop

14.Classification of nerve injury

15.Neuropraxia

16.Ape thumb deformity.

17. Erb's palsy.

18. Cock-up splint

19.Write the typical deformities in: (a) Colles Fracture (b) Monteggia fracture

20. Thurston Holland sign

UPPER LIMB AND LOWER LIMB INJURIES

ESSAY
1.Describe the clinical features, radiological finding treatment and complications

of colle's fracture (6)

2. Supracondylar fracture of humerus (5)

3. Fracture neck of femur; classification & Management (4)

3. Shoulder joint dislocation (3)

4.Dislocation of hip joint (2)

5. Posterior dislocation of hip joint (2)

6.Pathological fracture of shaft of femur (2)

7. Classification and management of ankle fracture(2)

8.Describe the etiopathology and clinical features of anterior dislocation of the

shoulder. Describe surgical options in a 20 years old athletic with recurrent shoulder dislocation

9.Fractures occurring around elbow. Discuss the classification, management

and complications of supracondylar fractures of elbow

10.Describe in detail about intertrochanteric fracture of femur and

its management

11.Trochanteric fracture of femur

12. A foot ball player sustained an injury to his left knee while playing and

complaints of instability of knee. Discuss about: a) Various clinical tests to be done to

diagnose cruciate ligament injuries. b) Investigations to be done. c) Treatment

of cruciate ligament injuries

13.Rheumatoid arthritis

SHORT NOTES
1.Colle's facture (5)

2. Supra condylar fracture of humerus (4)

3.Fracture patella (4)

4. Volkmann's contracture (3)

5.Shoulder dislocation (2)

6. Monteggia fracture (2)

7.clavicle fracture

8.Recurrent dislocation of shoulder

9.Anterior dislocation of shoulder

10.Anterior dislocation shoulder

11.Kocher's manouevre.

12. Tardy ulnar palsy

13 Elbow dislocation

14. Smith's fracture

15.Bennet's fracture

16.Anterior dislocation of hip

17.Management principles of open fracture of the mid shaft of tibia with soft tissue loss

18.Mechanism of injury and clinical features of posterior dislocation of hip

19.Pott's fracture

20.Fracture talus

21. Mallet finger

SHORT ANSWER
1.Bennet's fracture (2)

2.Shoulder dislocation

3.Name the nerves injured in the following situations

a) Fracture shaft of humerus b)Supracondylar fracture

4. Tardy ulnar palsy.

5. Volkmann's ischemic contracture.

6.Mallet finger

7.Write the typical deformities a) Posterior dislocation of HIP b) Anterior dislocation of HIP

8. Ankle joint

9. Injuries of talus

INFECTION OF BONES
1.Classification of osteomyelitis; Details about chronic osteomyelitis (2)

2. Pott's spine (2)

3. Acute osteomyelitis

4.Tuberculosis of Hip joint

SHORT NOTES
1.Chronic osteomyelitis of tibia (4)

2.Osteomyelitis (3)

3.Sequestrum (3)

4.Septic arthritis (3)

5.Pott's spine (3)

6.Clinical features and management of acute osteomyelitis of tibia in a 7 year old girl (2)

7.Osteomyelitis of humerus (2)

8.Tuberculosis arthritis (2)

9.Cold abscess (2)

10.Tuberculosis knee (2)

11.Brodie's abscess

12.Madura foot.

13. Ankylosis

14.Psoas abscess

15.TB synovitis

16.TB dactylitis

SHORT ANSWERS
1.Brodie's abscess(2)

2.Differential diagnosis of acute osteomyelitis

3. What is sequestrum

4.Septic arthritis.

5. Ankylosis.

6. Pott's disease of spine.

7.Gibbus deformity

8. Deformities of TB hip

9.Clinical features of synovitis of knee joint

10.Chronic synovitis of knee joint

11. Web space infection of hand.

12. Garre's osteomyelitis

CTEV
ESSAY
1.Osteosarcoma (5)

2. Classification of tumour. Detail aboutEwing sarcoma (2)

3. Classification of Bone tumours

4. Osteoclastoma (Giant Cell tumour)

5. Classification of Bone Tumors. Describe about Etiology, ClinicalFeatures,

Investigation and Management of Giant Cell Tumors

SHORT NOTES
✓CTEV (7)

✓Osteosarcoma (7)
✓Osteoid osteoma (5)

✓Club foot (4)

✓Osteoclastoma (4)

✓Ewing's sarcoma (4)

✓Congenital dislocation of hip (2)

✓Ortolani sign / Test (2)

✓Acute poliomyelitis (2)

✓Spina bifida (2)

✓Metastatic bone disease (2)

✓Osteochondroma (2)

✓Clinical features of congenital dislocation of the hip

✓Meningomyelocele

✓Diagnosis of Giant cell tumour of proximal tibia

✓Giant cell tumor

✓Codman's triangle

✓Chondrosarcoma

✓Bone cyst

✓Fibrous dysplasia

✓Aneurysmal Bone Cyst

SHORT ANSWER
✓Galezzi sign (2)

✓Ortolani's test (2)

✓Club foot
✓Deformities in a talipes equinovarus & Talipes equino valgus.

✓Clinical features of giant cell tumor

✓X-Ray appearance in osteosarcoma

✓Microscopic pathology of Ewing's sarcoma

✓Treatment of chondrosarcoma of the proximal femur

✓Bone secondaries.

✓Secondary deposits

✓Osteochondroma

✓Synovial chondromatosis

✓X-ray appearance of simple bone cyst

MISCELLANEOUS
Essay
1.A 65 year old obese individual has come to the hospital with complaints

of pain both knee joints. Discuss a) Clinical examination b) Investigations

c) Various treatment modalities of osteoarthritis of knee

2. Describe the etiology, clinical features and management of Rickets

3. Discuss the etiology, pathological anatomy and clinical features of Genu

valgum in a 13 year girl. Add a note on the management

4. Common deformities of knee region in children and adolescents

SHORT NOTES
✓Genu valgum (4)

✓Tennis elbow (3)

✓Paget's disease of bone (3)

✓Baker's cyst (3)

✓Neuropathic joint (2)

✓Trigger finger (2)

✓Ganglion (2)

✓Osteoporosis (2)

✓Perthe's disease (2)

✓Lumbar disc prolapse

✓Spondylolisthesis

✓Rheumatoid arthritis

✓GOUT

✓Gouty arthritis

✓Haemarthrosis

✓Golfer's elbow

✓De Quervain's' Tenosynovitis

✓Carpal tunnel syndrome

✓Frozen shoulder

✓Plantar fascitis

✓Ruptured tendoachillis

✓Calcitonin

✓Rickety rosary
✓Complications of pagets' disease

✓kinenboch's disease

✓Torticollis

✓Cervical rib

✓Diagnosis of slipped capital femoral epiphysis

✓Slipped capital femoral epiphysis

✓Knock knee

✓Pes planus

✓Hallux Valgus

✓Ideal Stump

✓Below knee amputation

✓Arthroplasty & Arthroscopy

✓Allen test

✓Adson test

SHORT ANSWER
✓Tennis elbow (2)

✓Name the nerves injured in the following situations:

(a) Medical Epicondylitis (b) tennis Elbow. (2)

✓Ganglion (2)

✓Causes: (a) Pes Planus (b) Pes Cavus.(2)

✓Exostosis (2)

✓Cervical collar

✓Define a) Spondylolysis b) Spondylolisthesis

✓Haemarthrosis.

✓Neuropathic joint

✓Dupuytren's contracture.

✓Carpel tunnel syndrome

✓De Quervain's disease

✓Dequervain's tenosynovitis.

✓Plantar fascitis

✓Differences between Quadriceps contusion and Quadriceps Rupture.

✓Radiological features of paget's disease

✓Name the osteochondritis of the following a) Femoral head b) Lunate bone

✓Torticollis

✓Genu valgum.

✓Calcaneal spur.

✓Phantom limb.

✓Orthosis

✓Hemiarthroplasty

✓Total hip replacement

✓Bryant's triangle.

✓Crystal Arthropathy