OP CODE : 1042
Rajiv Gandhi University of Health Sciences, Karnataka
MBBS Phase – III (PART II) (CBME) Degree Examination - 06-Mar-2024
Time: Three Hours Max. Marks: 100
OBSTETRICS AND GYNAECOLOGY – PAPER – I (RS-4)
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QP CODE: 1042
(QP Contains two pages)
Your answers should be specific to the questions asked
Draw neat, labeled diagrams wherever necessary
LONG ESSAYS 2 x 10 = 20 Marks
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- A 32 year old primigravida presents at 10 weeks of gestation for antenatal booking. On investigations, she is found to be Rh-negative.
- The woman's husband is found to be Rh-positive. Discuss the measures to prevent Rh isoimmunization during antenatal period and labour.
- What measures should be taken to prevent Rh-isoimmunisation?
- A 30 year old G3P2 presents to the antenatal clinic at 6 weeks of gestation. Her first trimester scan shows two gestational sacs.
- What is the diagnosis? What further history you would like to elicit?
- What further information you would like to obtain from the first trimester USG?
- What are the unique complications associated with monozygotic twins?
- What are the other maternal and fetal complications associated with multiple pregnancy?
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SHORT ESSAYS 8 x 5 = 40 Marks
- Define Intrauterine Growth Restriction (IUGR). What are the factors that contribute to IUGR?
- Describe the symptoms and signs of placenta previa. Compare this condition with abruptio placenta.
- Discuss the various options for postpartum contraception.
- Discuss the diagnosis and management of Preterm PROM
- Define gestation diabetes and discuss its management during pregnancy
- Classify the hypertensive disorders of pregnancy. of pregnancy. Discuss the risk factors for pre-eclampsia.
- Discuss the various types of uterine dysfunction? Enumerate the complications of precipitate labour.
- Discuss the causes and complications for Neonatal Jaundice
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SHORT ANSWERS 10 x 3 = 30 Marks
- Describe the types of Breech presentations
- Enumerate indications for LSCS
- Explain NYHA classification of heart decease during pregnancy
- Enumerate causes for shoulder dystocia.
- Describe the usage of Pritchards regimen
- Describe grades of perineal tear
- Describe the methods of placental separation
- List the antenatal investigations given to a woman presenting at 10 weeks of gestation
- List the effects of iron deficiency anemia on the mother
- List the criteria to be fulfilled before forceps application.
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OP CODE : 1042
Rajiv Gandhi University of Health Sciences, Karnataka
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Multiple Choice Questions 10 x 1 = 10 Marks
- i) The following have been associated with asymptomatic bacteriuria EXCEPT
- Preterm labour
- Intra uterine growth retardation
- Urinary tract abnormality
- Macrosomia
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- ii) The dimension of obstetrical perineum is about
- 5cm×5cm
- 4cm×4cm
- 3.5inchesx 3.5inches
- 6cm×6cm
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- iii) Methotrexate therapy in unruptured ectopic pregnancy can be given in which of the following conditions.
- Breast Feeding
- Significant anemia
- Tubal diameter <4cm without cardiac activity
- Hepatic and Renal dysfunction
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- iv) The labour is said to be prolonged when the combined duration of the first and second stage is more than the arbitrary time limit of
- 18hours
- 48hours
- 12 hours
- 24 hours
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- v) Burns-Marshall method is used in....
- Shoulder Dystotia
- Delivery of the Placenta
- Delivery of the after coming head
- Deep Transverse arrest
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- i) Shock Index (SI) is used as a valuable guide in monitoring and general management of a woman with
- Preeclampsia
- Postpartum haemorrhage
- Puerperal pyrexia
- PROM
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- ii) Centchroman (SAHELI) contain
- Mifeprostone
- Ormiloxifene
- Progesterone
- Misoprostol
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- iii) In a woman undergoing TOLAC, all are risk factors for Scar rupture EXCEPT
- Prior Classical cesarean delivery
- More than 2 prior caesarean delivery
- Induced labour
- Prior vaginal delivery
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- iv) Newborn has a cord pH of 6.8. All are true EXCEPT
- This is normal
- This is classified as birth asphyxia
- Neonate may require resuscitation
- Neonate may require NICU admission
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- v) Recommended Dose of Folic acid to prevent Neural tubal defect
- 5mg
- 10mg
- 2 mg
- 15mg
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