Download KUHS Fourth Year 2024 March Scheme 19 327001 Obstetrics And Gynaecology Paper II Question Paper

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Q.P. Code: 327001 Reg. No.: ........................

Third Professional MBBS (Part II) Degree Regular Examinations

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March 2024

Obstetrics and Gynaecology

Paper II - Gynaecology and Family Welfare

Time: 3 Hours Total Marks: 100

• Answer all questions to the point neatly and legibly. Do not leave any blank pages between answers

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• Indicate the question number correctly for the answer in the margin space
• Answer all parts of a single question together. Leave sufficient space between answers
• Draw table/diagrams/flow charts wherever necessary

Essays (2x15=30)

1. 46-year-old multiparous woman come with heavy menstrual bleeding for 6 months. On examination pallor is present and abdominal examination is found to be normal
   1. Enumerate the causes for heavy menstrual bleeding

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   2. List the investigations you do for this case
   3. Classification of abnormal uterine bleeding
   4. How do you manage this case
   5. List the Complications of hysterectomy (3+2+2+5+3)

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2. 60-year-old multiparous woman a case of uterovaginal prolapse presented with blood stained discharge of 2 weeks duration; without any history of loss of appetite or loss of weight
   1. What is your diagnosis. What are the risk factors of UV prolapse
   2. What are the various supports of uterus
   3. What are the degrees of the UV prolapse. What is the full form of POP-Q
   4. How do you manage this case
   5. Write the steps of Fothergill's repair (Manchester operation) (3+2+2+5+3)

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Short essays (5x8=40)

3. How do you manage a case of 79-year-old woman with post-menopausal bleeding
4. A 19 year old woman presents with a painful swollen right labium majorum. Discuss your differential diagnosis and investigations you do for this case. Outline your treatment for this patient
5. Turner's syndrome

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6. Define puberty menorrhagia. Enumerate the causes and discuss its management
7. Mechanism of action, contraindications, non-contraceptive health benefits and side effects of Combined Oral Contraceptive pills (COC)

Short answers (5x4=20)

8. Cervical cancer screening
9. Intra uterine insemination

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10. Dermoid cyst
11. Diagnostic tests for stress urinary incontinence
12. Discuss the role of Ultrasound in gynecology

Precise answers (8x1=8)

13. Causative organism for Strawberry cervix

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14. Name the Drugs used for Emergency contraception
15. Clinical features of PCOS
16. Complications of D&C
17. Expansion of UAE
18. Methods of tubal Sterilization

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19. Tests for Ovulation

Draw and label (2×1=2)

20. Asherman's syndrome
21. Pelvic ureter.
22. IUCD-multiload Cu T

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