OP CODE : 1042
Rajiv Gandhi University of Health Sciences, Karnataka
MBBS Phase – III (PART II) (CBME) Degree Examination - 07-Jun-2024
Time: Three Hours
Max. Marks: 100
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OBSTETRICS AND GYNAECOLOGY – PAPER – I (RS-4)
QP CODE: 1042
(QP Contains two pages)
Your answers should be specific to the questions asked
Draw neat, labeled diagrams wherever necessary
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LONG ESSAYS 2 x 10 = 20 Marks
- A 23-year-old G2P1L1 has come with history of severe growth restriction at 34 weeks of gestation.
- Define fetal growth restriction and describe the types of FGR.
- Enumerate the causes fetal growth restriction.
- What preventive measures can be taken before and during future pregnancies?
- How would you monitor this woman during pregnancy?
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- A 30-year-old G3P2 was admitted at 39 weeks of gestation with labour pains. Her hemoglobin was 7g/dl.
- How would you manage her during labour?
- What complications should one anticipate in such a case?
SHORT ESSAYS 8 x 5 = 40 Marks
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- Discuss Pathogenesis of pre-eclampsia.
- Describe the expectant management of PLACENTA PREVIA.
- Enumerate the causes of miscarriage.
- Describe management of HIV infection in pregnancy.
- Outline the steps of management of PPH.
- What criteria should be fulfilled for medical management of an ectopic pregnancy?
- Define preterm labour and enumerate its causes and risk factors.
- What are the causes of prolonged pregnancy?
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SHORT ANSWERS 10 x 3 = 30 Marks
- What are the complications of Eclampsia?
- Describe Indirect Coomb's test.
- What are discordant twins?
- What are the degrees of perineal tear?
- Describe diagonal conjugate and its significance.
- What are the complications of obstructed labour?
- How is the diagnosis of transverse lie made?
- List the complications of hyperemesis gravidarum.
- What is the chemotherapy regimen for low risk non-metastatic GTN?
- Define Couvelaire uterus.
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OP CODE : 1042
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Rajiv Gandhi University of Health Sciences, Karnataka
Multiple Choice Questions 10 x 1 = 10 Marks
- i) Which of these is not true of mifepristone?
- RU-486
- Progesterone agonist
- Softens the cervix
- Sensitises uterus to misoprostol
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- ii) In amniotic fluid embolism, which factor is increased?
- Thromboplastin
- Fibrinogen
- Platelet
- Clotting factor
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- iii) Which of these measures is NOT beneficial in reducing maternal mortality?
- Active management of the third stage of labour
- Presence of a trained birth attendant
- Strengthening first referral units
- Providing emergency obstetric care only at tertiary care centres
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- iv) Which of the following is a drug used for tocolysis prior to External cephalic version?
- Salbutamol
- Terbutaline
- Nifedipine
- Atosiban
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- v) The first symptom of Sheehan syndrome is
- Failure of lactation
- Subinvolution of uterus
- Loss of axillary and pubic hair
- Cold intolerance
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- i) Which of the following is not the risk factor for uterine rupture during labour?
- Previous myomectomy
- Previous cesarean
- Prematurity
- Obstructed labour
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- ii) In which of the following conditions is trial of labour not allowed?
- Minor degree of CPD
- Small gynaecoid pelvis
- Platypelloid pelvis
- Postdated pregnancy
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- iii) The Marshall- Burns method is used in the delivery of the
- After coming head
- Shoulder
- Nuchal arm
- Leg
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- iv) Which of the following is the commonest heart disease complicating pregnancy?
- Mitral stenosis
- Mitral regurgitation
- Aortic stenosis
- Aortic regurgitation
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- v) Which of the following does not cause Rh-isoimmunization in an Rh-negative woman?
- Antepartum hemorrhage
- External cephalic version
- Postdated pregnancy
- Advanced maternal age
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