Download DNB 2013 June OBSTETRICS AND GYNECOLOGY P III PART B JUNE13 Question Paper

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NATIONAL BOARD OF EXAMINATIONS

JUNE 2013

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OBSTETRICS AND GYNAECOLOGY

PAPER - II

Please read carefully the important instructions mentioned on Page ‘1’

PART B

1. What is the physiological mechanism of urinary continence? How will you investigate urge incontinence in a 55 year old parous woman? What are the non-pharmacological and pharmacological approaches to treat urge incontinence? (3+4+3)

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2. What are the etiological factors causing intrauterine adhesions? What are its clinical consequences? Describe the hysteroscopic management of intrauterine adhesions and prevention of its recurrence. (3+3+4)
3. Describe the preoperative evaluation in vesico-vaginal fistula. What are the surgical principles of the management of post hysterectomy vesico-vaginal fistula? Outline its post operative management. (3+4+3)
4. What is non descent vaginal hysterectomy? What are its indications and prerequisites? Enumerate its immediate and late post operative complications. Describe its advantages and disadvantages in comparison to laparoscopic hysterectomy. (2+3+2+3)
5. What are the clinical features of Gestational Trophoblastic Neoplasia (GTN)? What is the WHO Risk Scoring in GTN? Describe single and multiagent chemotherapy in GTN and its follow-up. (3+3+4)

POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL

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