Download RGUHS MBBS Final Year 2024 June 1043 Obstetrics And Gynaecology Paper II Rs 4 Previous Question Paper

OP CODE : 1043

Rajiv Gandhi University of Health Sciences, Karnataka

MBBS Phase - III (PART II) (CBME) Degree Examination - 10-Jun-2024

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Time: Three Hours

Max. Marks: 100

OBSTETRICS AND GYNAECOLOGY – PAPER – II (RS-4)

QP CODE: 1043

(QP Contains two pages)

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Your answers should be specific to the questions asked

Draw neat, labeled diagrams wherever necessary

LONG ESSAYS 2 x 10 = 20 Marks

1. Describe the FIGO staging of Carcinoma Endometrium. Discuss the clinical features of the condition. Discuss management options for Stage III disease.
2. Define endometriosis. Discuss the clinical features of the condition. Describe the medical and surgical management of the condition.

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SHORT ESSAYS 8 x 5 = 40 Marks

3. Define menopause. Discuss the options in Menopausal Hormonal therapy.
4. Discuss the mechanism of action and usage of ovulation induction drugs in a case of anovulatory infertility.
5. Discuss the management options for Cervical Intraepithelial Neoplasia II
6. Discuss the clinical features and management options for Metropathia Hemorrhagica.

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7. A 25 year old woman comes with obesity, hirsuitism and irregular cycles. Identify the most common condition with such a presentation. Discuss the management options for the same.
8. Describe the surgical management for a 30 year old with large uterine fibroid wishing to preserve uterus.
9. Discuss the concept of syndromic management to Sexually Transmitted Infections.
10. Discuss the clinical features and management options in Turner Syndrome.

SHORT ANSWERS 10 x 3 = 30 Marks

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11. List the steps in performing endometrial curettage
12. Enumerate the non-contraceptive usage of Oral Contraceptive Pills.
13. List the diagnostic criteria for Bacterial vaginosis.
14. Enumerate the options for conservative management of prolapse.
15. List the main steps in vaginal hysterectomy.

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16. Define Stress urinary incontinence.
17. Discuss the features of male condom.
18. Describe the steps in performing hysterosalpingography.
19. List the advantages of endoscopic surgery when compared to open surgery.
20. Discuss the common types of dysmenorrhea.

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Multiple Choice Questions 10 x 1 = 10 Marks

21. i) Which of the following is an anti-progestin
    1. Mifepristone
    2. Misoprostol
    3. Methotrexate
    4. Desogesterel

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22. ii) Which of the following is NOT a feature of Hematocolpos
    1. Can cause cyclical abdominal pain
    2. Is usually relieved by drainage
    3. Can be seen in imperforate hymen
    4. Never causes urinary obstruction

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23. iii) High FSH value is suggestive of
    1. Menopause
    2. Normal menstrual variation
    3. PCOS
    4. Endometriosis

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24. iv) Ring of fire sign is seen in
    1. Tuberculosis
    2. Adenomyosis
    3. Tubal Ectopic pregnancy
    4. Pelvic Inflammatory disease

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25. v) Surgical options for stress urinary incontinence includes all EXCEPT
    1. Transobturator tape repair
    2. Kelly's procedure
    3. Bursch Colposuspension
    4. Ward-Mayo procedure

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22. i) AMH is a marker for
    1. Endometrial reserve
    2. Ovarian reserve
    3. Tubal factor
    4. Pituitary factor

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23. ii) Risk of Malignancy Index. Which is TRUE?
    1. Uses CA-125
    2. Helps in diagnosis of ovarian cancer
    3. Uses MRI for diagnosis
    4. Helps determine choice of chemotherapy

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24. iii) First choice drug in AUB is
    1. High dose estrogen
    2. Ethamsylate
    3. Tranexamic acid
    4. Letrozole

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25. iv) Which of the following can be a life threatening complication of Ovulation induction drugs?
    1. OHSS
    2. Hypopituitarism
    3. Abnormal vaginal discharge
    4. Endometrial atrophy

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26. v) First step Treatment in unexplained infertility is
    1. Invitrofertilization
    2. Surrogacy
    3. Adoption
    4. Intrauterine insemination

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