Q.P. Code: 326001
2019 Scheme
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Reg. No.: .........................
Third Professional MBBS (Part II) Degree Supplementary (SAY)
Examinations July 2024
Obstetrics and Gynaecology
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Paper I - Obstetrics and Social Obstetrics
Time: 3 Hours
Total Marks: 100
- Answer all questions to the point neatly and legibly. Do not leave any blank pages between answers. 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.
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Essays (2x15=30)
- A 30 years old primigravida at 25 weeks of gestational age, come with urine culture report, which shows significant growth of E. Coli. She does not have any urinary symptoms.
- What is your Diagnosis?
- Describe the physiological changes that occur in the urinary system during pregnancy.
- What are the various urinary tract infections a pregnant woman can develop?
- What are the maternal and fetal effects of Asymptomatic bacteriuria?
- How do you treat Asymptomatic bacteriuria? (1+4+2+5+3)
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- A 35 years old primigravida at 35 weeks of gestation reports to the casualty with complaining of headache, on examination her BP is 170/110mmHg. She is not in labour and NST is reactive.
- What is the diagnosis?
- Discuss the Risk factors and pathogenesis of this condition.
- What investigations will you order?
- Discuss the appropriate medical and obstetrical management in this case.
- List the maternal and fetal complications of Preeclampsia. (1+5+2+5+2)
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Short essays (5x8=40)
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- Discuss the Prepregnancy counselling and antenatal management of type 2 diabetes complicating pregnancy.
- How do you manage a case of 28 years old primigravida at 32 weeks of gestation with fetal growth restriction (FGR)?
- What are the predisposing factors for PPH. Outline the steps in the management of atonic PPH.
- Discuss the causes, diagnosis and management of rupture uterus.
- Define maternal mortality. Discuss the Government policies and programs to reduce the maternal mortality in India.
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Short answers (5x4=20)
- Write a short note on weight gain in pregnancy.
- Medical nutrition therapy for a pregnant diabetic woman.
- Describe red degeneration of fibroid complicating pregnancy.
- List the complications of breech delivery.
- Differentiate between Braxton Hicks contraction and true labour pains.
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Precise answers (8x1=8)
- Infective endocarditis prophylaxis.
- Risk factors for shoulder dystocia.
- Methods of Assessment of cephalopelvic disproportion (CPD).
- What are the Predisposing factors for puerperal sepsis?
- APGAR Score.
- Expand TOLAC.
- Indications for Amniocentesis.
- Describe Abnormal CTG findings seen in labour.
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Draw and label (2×1=2)
- Obstetric forceps.
- Twin peak sign.
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