27-01-2025
III-MBBS (Part-II) RUHS 1431A3+1431A4
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Third Professional M.B.B.S. Part-II (Main) Examination (New Scheme)
January 2025
Obstetrics and Gynaecology
Paper-II
Time: Three Hours
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Maximum Marks: 100
Attempt all questions in both sections.
Section-A
1. Fill in the blanks: 6x1=6
a) Presence of endometrial tissue outside the uterus in termed _______
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b) Painful menstruation is called as _______
c) AUB stands for _______ in gynecological context.
d) Peg cells are seen in _______
e) Palm leaf appearance of cervical mucus is produced by _______
f) Curdy vaginal discharge in seen in _______.
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Q.2 Write the correct answer 4x1=4
i) What is the typical age range for the onset of menarche in females.
a) 15 – 17 years b) 11 – 14 years
c) 20 – 22 years d) 8 -10 years
ii) Menorrhagia in defined as
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a) Excessive menstrual bleeding typical lasting > 7 days.
b) Complete absence of menstruation.
c) Abnormal bleeding between periods.
d) Longer menstrual cycle with reduced flow.
iii) Which of the following factor predispose to genital prolapse?
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a) Repeated LSCS b) Multiparity
c) Pelvic inflammatory disease d) Endometrioses
iv) Postmenopausal change includes all except.
a) Increase vaginal acidity. b) Vaginal Dystrophy
c) Night sweats d) Mood Disturbance
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3. A 55 years old woman comes to the Gynecological outpatient department
with complain of bleeding per vaginum after 5 years of menopause. 15
a) What is the most likely diagnosis 2
b) What are the causes 4
c) How will you manage the case
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4. Write briefly on (All five). 5x2=10
a) Pap smear
b) Genital tuberculosis in female.
c) Write medical management of Fibroid uterus.
d) Laparoscopic tubal ligation
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e) Dermoid cyst of ovary.
5. Differentiate between (Any three) 3x5=15
a) Primary & secondary Dysmenorrhea
b) Hysteroscopy & Hysterosalpingography
c) Invasive and Non-Invasive carcinoma cervix
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d) Primary and secondary Amenorrhea.
Section-B
6. Discuss the etiology, clinical features, differential diagnosis and
management of 3° utero vaginal prolapse in 38 years postmenopausal women.
2+4+4+10=20
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7. Write briefly on (Any five) 5x2=10
a) Semen analysis
b) Chocolate cyst of ovary
c) Granulosa cell tumor of ovary
d) Cryptomenorrhea
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e) Tanner Staging
f) Red degeneration of fibroid
8. Write short notes on (All five) 5x4=20
a) Premenstrual syndrome
b) Primary infertility
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c) Colposcopy
d) FIGO classification of AUB
e) Management of Hydatidiform mole.
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