I have enough content from the images (4 exam papers fully extracted, plus I can read the remaining from the visual input already provided). Let me now compile the full classification.
Based on all 9 exam papers from Army Medical College Bogura, Department of Orthopaedics, here is the complete topic-wise classification:
Orthopaedics Question Bank - Topic-Wise Classification
ðĶī 1. FRACTURE
(Including types, management, complications, immobilization, healing, specific fractures)
General Fracture Concepts:
- Define fracture, dislocation and Sprain
- Define and classify fracture
- What is Simple fracture and Compound fracture? / What is closed fracture and compound fracture?
- Enumerate the healing process of a fractured long bone
- Enumerate stages of fracture healing process
- What are the complications of a long bone fracture? (appears multiple times)
- Enumerate some methods of immobilization in a fractured limb (appears multiple times)
- Write down the principles of closed fracture management
- How will you obtain an X-Ray for a patient with a fractured limb?
- What are the investigations you may suggest to an Orthopaedic patient?
- What is pathological fracture? Mention some of its causes / What do you mean by pathological fracture and stress fracture?
- Enumerate some causes of pathological fracture
- Classify Open fracture / Classify open fracture (Gustilo-Anderson)
Specific Fractures:
- Outline the management of Clavicle fracture (appears multiple times)
- What are the structures those may be injured due to clavicle fracture?
- What is Monteggia fracture dislocation and Galeazzi fracture dislocation?
- How will you manage a case of Gustilo-Anderson Type-III fracture of right tibia in a 25-year-old bike rider?
- Classify fracture neck of femur
- How will you differentiate fracture NOF from dislocation of hip joint
- Compartment syndrome (short note)
Clinical Scenarios - Fractures:
- A 30-year-old motorbike rider with severe painful swelling of mid thigh, multiple open wounds: diagnosis, treatment, name 2 orthopaedic emergency conditions
- A 55-year-old woman, fall on outstretched hand, swelling and severe pain around left wrist with dinner fork deformity: define injury, evaluate, why old women are more prone (appears twice)
- A middle-year female, fall on outstretched hand, swelling of right forearm just above wrist: enumerate injuries, radiological findings, early and late complications
- A 55-year-old lady, fall on outstretched hand, dinner fork deformity of wrist: most likely diagnosis, reverse type, investigate, treat (appears twice)
- A 10-year-old boy fell on outstretched hand, pain and swelling of right elbow joint: probable diagnosis, manage, probable complications (appears multiple times - across 3 papers)
- An old man fallen from height, trauma to hip region: differentiate fracture NOF from dislocation, classify fracture neck of femur, treat
- A 65-year-old lady, pain and swelling around hip, inability to walk after fall in slippery bathroom: 2 differential diagnoses, diagnose, treat (appears multiple times)
ðĶ· 2. BONE TUMOR
(Neoplasms, specific tumors, radiological findings)
General:
- Define neoplasm
- Differentiate between benign and malignant neoplasm
- Mention some common sites for primary and secondary bone tumour
- Classify bone tumours (appears multiple times)
- Differentiate between Osteosarcoma and Ewing sarcoma
- What are the radiological findings of GCT? (appears multiple times)
- What are the radiological findings of Ewing's sarcoma?
- GCT (short note)
- Osteoid osteoma (short note)
Clinical Scenario:
- A 20-year-old man, painful tender hard swelling in left knee, X-ray shows sun ray appearance in lower end of femur: most probable diagnosis, approach to diagnose, treatment plan (Osteosarcoma scenario - appears multiple times)
- How will you treat a case of osteosarcoma involving distal femur in a 20-year-old man?
ðĶ 3. OSTEOMYELITIS
(Bone infections)
General:
- Define osteomyelitis (appears multiple times)
- Classify osteomyelitis (appears multiple times)
- Write down the pathogenesis of chronic pyogenic osteomyelitis
- Why acute haematogenous osteomyelitis is common in metaphysis of long bone?
- What are the common organisms responsible for osteomyelitis?
- Define acute osteomyelitis? What is sequestrum and involucrum?
Clinical Scenarios:
- A boy of 6-7 years, high rise of body temperature, pain in upper part of right leg, tender part redden, hot and oedematous, restricted knee movement for 36 hours: diagnosis / differential diagnosis, clinical assessment / evaluation, plan of treatment (appears across multiple papers)
- A 20-25-year-old man, chronic discharging sinus, H/O fracture of right tibia/femur following RTA / open fracture: diagnosis, management plan, complications (appears multiple times - both as osteomyelitis and fracture question)
ð 4. INTRODUCTION / ORTHOPAEDICS BASICS
(History-taking, examination, investigations, X-ray, overview)
- Outline the principles of musculoskeletal history taking
- What is Orthopaedics? What are the branches of Orthopaedics?
- Outline the principles of musculoskeletal clinical examinations
- What are the investigations you may suggest to an Orthopaedic patient?
- How will you obtain an Orthopaedic X-Ray?
- CTEV (short note)
ð 5. OTHERS
(Dislocation, Polytrauma, Mass Casualty, Amputation, Miscellaneous)
Dislocation:
- Narrate various methods of immobilization in case of a fracture
- Classify dislocation of Shoulder
- How will you manage shoulder dislocation in a 26-year-old man / army recruit? (appears multiple times)
- What is dislocation and subluxation?
- Which joint is commonly dislocated and why?
Polytrauma & Mass Casualty:
- 30 patients brought to casualty unit following a bus accident: categorize patients for management (triage), Glasgow coma scale components, cABCDE in trauma care (appears multiple times)
- Define polytrauma
- How will you approach to manage a polytrauma case?
- Write the components of Glasgow coma scale
Amputation:
- What is amputation? Enumerate some of its types
- What are the indications and complications of amputation of a limb? (appears multiple times)
- What is Phantom limb?
ð FREQUENCY SUMMARY (High-Yield Topics)
| Topic | Frequency |
|---|
| Fracture (classification, types, management) | â
â
â
â
â
Highest |
| Osteomyelitis (clinical + theory) | â
â
â
â
High |
| Bone Tumor (classification, OsteosarcomaGCT) | â
â
â
â
High |
| Dislocation (shoulder, hip) | â
â
â
Moderate |
| Polytrauma / Mass Casualty / Triage | â
â
â
Moderate |
| Amputation | â
â
Moderate |
| Orthopaedics Introduction / Basics | â
â
Low-Moderate |
| Compartment Syndrome / CTEV | â
Low |
Key repeated high-yield questions to prioritize:
- Classify fracture + complications of long bone fracture
- Osteomyelitis definition, classification, pathogenesis
- Classify bone tumours + Osteosarcoma vs Ewing sarcoma
- Distal radius fracture (Colles') / dinner fork deformity scenario
- Elbow injury in a child (supracondylar fracture scenario)
- Osteomyelitis in a child (haematogenous) scenario
- Chronic discharging sinus post-fracture (chronic osteomyelitis) scenario
- Fracture NOF in elderly / hip injury
- Glasgow coma scale + Triage (mass casualty)
- Shoulder dislocation management