FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
ORTHOPAEDICS
PAPER III
ORTHO/D/16/27/III
Time 3 hours
Max. Marks 100
IMPORTANT INSTRUCTIONS
• This question paper consists of 10 questions divided into Part and Part each part
containing 5 questions.
• Answers to questions of Part and Part 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 questions of Part attempted in answer sheet(s) of Part or vice versa shall
not be evaluated.
• Answer sheet(s) of Part and Part are not to be tagged together.
• Part and Part should be mentioned only on the covering page of the respective answer
sheet(s).
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• 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.
Write short notes on:
PART A
1. ATLS guidelines in polytrauma management.
Early Total Care (ETC in polytrauma and its indications.
5+5
2. Classify nerve injuries.
How will you manage a 1½ year old child with median
nerve injury in the middle of the arm?

3. Indications techniques of hip arthroscopy.
Can you manage an incongruent reduction after a reduced
hip dislocation because of loose body with hip
arthroscopy?
What is an absolute contraindication to manage such a
case with conventional hip arthroscopy?

4. A 5 years old child starts developing a progressive valgus
deformity of tibia after an insignificant trauma to the knee.
What is the possible cause and pathogenesis of such a
deformity? How will you treat this condition?

5. Classify distal femoral fractures.
Management algorithm for such fractures.
4+6
P.T.O.