Download MBBS 4th Year WBUHS Obstetrics and Gynaecology Paper II 2024 April New Regulation Question Paper

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The West Bengal University of Health Sciences

MBBS 3rd Professional Part-II Examination (New Regulation)

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March - April 2024

Subject: Obstetrics & Gynaecology

Paper: II

Full Marks: 100

Time: 3 hours

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Attempt all questions. The figures in the margin indicate full marks.

1. a) A 26 year old married woman presented with abnormal uterine bleeding (AUB) with a mass just palpable suprapelvically.
   1. How can you differentiate between uterine & ovarian mass clinically?
   2. How can you confirm the diagnosis?
   3. Enumerate degenerative changes in fibroid.
   4. Outline management if fibroid is of 6 cm in diameter on the fundal region (intramural).

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   3+2+3+7

2. b) A post menopausal woman aged 55 year C/O something down per vagina for last 3 year. She has five living children, all are home delivered.
   1. What is your provisional diagnosis?
   2. What are the risk factors for the development of this condition?
   3. Describe the supports of uterus.

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   4. How will you manage this case?

   2+4+5+4

3. a) Define infertility. Write common causes of female infertility. How will investigate the tubal factors of female infertility.

   2+4+4

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4. b) What are the different types of genitourinary fistula? What are its causes? How will you diagnose a case of VVF?

   3+3+4

5. c) A 15 year old girl complains of amenorrhea with periodic pain in lower abdomen. How do you proceed to diagnose such a case? What will the management of such case?

   5+5

6. Write short notes on the following:

   2 x 5

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   1. Three swab test.
   2. Imperforate hymen.
7. Explain the following statements:

   5 x 4

   1. Laparoscopy gives more diagnostic information than hysterosalpingography.

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   2. HRT can prevent post-menopausal osteoporosis.
   3. Ovarian malignancy is a silent killer.
   4. Emergency contraception should not be used as a regular contraception.
   5. Uterine artery embolization is a promising newer method of treatment of symptomatic fibroid.

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8. Choose the correct option for each of the following:

   10x1

   1. Which of the following tumor markers is used for the diagnosis of ovarian germ cell tumor?
      1. CA-125
      2. LDH
      3. TAG-72
      4. CEA

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   2. Contraindication of prostaglandin F2a (PGF2a) is:
      1. Anemia
      2. Jaundice
      3. Asthma
      4. Diabetes Mellitus

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   3. All are surgical management of stress urinary incontinence (SUI) except:
      1. Burch colposuspension
      2. Midurethral sling
      3. Kelly stitch
      4. Fothergill stitch

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   4. The commonest cause of precocious puberty is:
      1. Pituitary tumour
      2. Granulosa cell tumor of ovary
      3. Dermoid cyst of ovary
      4. Constitutional

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   5. The commonest site of pelvic endometriosis is:
      1. Uterosacral ligament
      2. Ovary
      3. Rectovaginal septum
      4. Pelvic peritoneum

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   6. The most reliable method of diagnosis of genital tuberculosis is:
      1. Endometrial curettage in late secretary phase followed by histological and bacteriological examination
      2. Hysterosalpingography
      3. Hysteroscopy and laparoscopy
      4. PCR for nucleic acid amplification from specimen

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   7. What is not a criteria for diagnosis of bacterial vaginosis?
      1. Presence of 'clue-cells'
      2. Fishy odor of vaginal secretion on alkalinization
      3. Plenty of lactobacilli
      4. Vaginal pH greater than 4.5

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   8. What is the correct descending order of incidence of malignancy of female genital organ in India?
      1. Endometrium, Cervix, Ovary
      2. Cervix, Ovary, Endometrium
      3. Ovary, Cervix, Endometrium
      4. Cervix, Endometrium, Ovary

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   9. Excessive amount of cyclical bleeding at normal intervals is termed as:
      1. Menorrhagia
      2. Metrorrhagia
      3. Epimenorrhea
      4. Oligomenorrhea

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   10. Followings are contraindications of IUCD except:
       1. Irregular vaginal bleeding
       2. PID
       3. Following MTP
       4. Uterine didelphys

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