Download MBBS 4th Year WBUHS Obstetrics and Gynaecology Paper I 2024 April New Regulation Question Paper

www.FirstRanker.com www.FirstRanker.com

The West Bengal University of Health Sciences

MBBS 3rd Professional Part-II Examination (New Regulation)

--- Content provided by⁠ FirstRanker.com ---

March - April 2024

Subject: Obstetrics & Gynaecology

Paper: I

Full Marks:100

Time: 3 hours

--- Content provided by​ FirstRanker.com ---

Attempt all questions. The figures in the margin indicate full marks.

1. a) A 32 year old primigravida at 37 weeks of gestation presented with active bleeding per vagina. 1+3+4+7
   1. What is the diagnosis?
   2. How can you differentiate the causes for this clinical condition?
   3. Write down the immediate management.
   4. What is the definitive management of this patient?

   --- Content provided by‍ FirstRanker.com ---

2. b) A 30 year old primigravida with twin pregnancy at 34 weeks of gestation attended emergency for mild pain abdomen with twin pregnancy. What are the predisposing factors for twin pregnancy? How can you determine chorionicity? What are the complications of multiple pregnancy? Outline the management of the case till delivery. 2+3+4+6
3. a) Compare the WHO labor care guide with modified WHO Partograph. Describe the components of active management of third stage of labor (AMTSL). 3+7
4. b) What are the causes of hyperglycemia in pregnancy? How will you screen the patient? What are the fetal complications? 3+3+4
5. c) Outline the guidelines for antenatal anti-D prophylaxis in Rh negative pregnancy. What are the neonatal complications in Rh-negative pregnancy? 6+4

--- Content provided by‍ FirstRanker.com ---

6. Write short notes on the following: 2 x 5
   1. Psychological counseling of a mother presented with IUFD.
   2. Parenteral iron therapy.
7. Explain the following statements: 5 x 4
   1. Antenatal corticosteroids should be given in preterm delivery.
   2. Anomaly scan is mandatory in modern obstetrics.

   --- Content provided by FirstRanker.com ---

   3. PCPNDT act - a boon to reduce female foeticide.
   4. Exclusive breastfeeding should be encouraged.
   5. Asymptomatic bacteriuria must be treated during pregnancy.

P.T.O

--- Content provided by​ FirstRanker.com ---

www.FirstRanker.com

www.FirstRanker.com www.FirstRanker.com

5. Choose the correct option for each of the following: 10x1
   1. In cardiotocography which one is the hallmark of oxygenation?
      1. Baseline
      2. Baseline variability
      3. Acceleration

      --- Content provided by​ FirstRanker.com ---

      4. Deceleration
   2. Urgency of Caesarian section is classified into:
      1. Two categories
      2. Three categories
      3. Four categories

      --- Content provided by​ FirstRanker.com ---

      4. Five categories
   3. Fetal hemopoiesis first occurs in:
      1. Yolk sac
      2. Fetal spleen
      3. Fetal liver

      --- Content provided by‌ FirstRanker.com ---

      4. Fetal bone marrow
   4. Causes of hydramnios are all except:
      1. Anencephaly
      2. Spina bifida
      3. Diabetes mellitus

      --- Content provided by FirstRanker.com ---

      4. Hypothyroidism
   5. Which of the following is not true about maternal and perinatal health in India and Globally:
      1. SDG targets MMR reduction <=70 per 1 lakh live births.
      2. Target for NMR is <=12 per 1000 live births.
      3. Hemorrhage is the lead cause of maternal death globally.

      --- Content provided by‍ FirstRanker.com ---

      4. The target year for the SDG goals to achieve is 2025.
   6. Commonest cause of puerperal pyrexia is:
      1. Genital infection
      2. Urinary infection
      3. Mastitis

      --- Content provided by⁠ FirstRanker.com ---

      4. Thrombophlebitis
   7. Ultrasonography at 10 weeks can diagnose:
      1. Hydrocephalus
      2. Anencephaly
      3. Microcephalus

      --- Content provided by‍ FirstRanker.com ---

      4. Abruptio placentae
   8. Which antihypertensive is not used in pregnancy?
      1. Labetalol
      2. Enalapril
      3. Methyldopa

      --- Content provided by​ FirstRanker.com ---

      4. Nifedipine
   9. Ominous signs of eclampsia are all except:
      1. Headache
      2. Blurred vision
      3. Bleeding per vagina

      --- Content provided by FirstRanker.com ---

      4. Epigastric pain
   10. Retained placenta is declared when placenta is not separated from uterus by:
       1. 30 min
       2. 20 min
       3. 10 min

       --- Content provided by‍ FirstRanker.com ---

       4. 45 min

www.FirstRanker.com

--- Content provided by‌ FirstRanker.com ---