Download BFUHS MBBS Final Year MBN407 Obstetrics And Gynaecology B MCQ Question Paper

Total No. = 03 pages
Q.P. Code: MBN407
M.B.B.S. Final Prof. Part-II
(New Scheme w.e.f. 2019 admission onwards)
BF/2024/03

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Obsttetrics and Gynaecology-B
M.M. : 100
Time : 3 Hours(First 30 Min. for MCQs)
Note: 1.
Use OMR Sheet to answer Multiple Choice Questions(MCQs).

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2.
Attempt all questions. Illustrate your answers with suitable diagrams
3.
NO SUPPLEMENTARY SHEET SHALL BE ALLOWED/PROVIDED
4.

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The student must write Q.P. Code in the space provided on OMR Sheet and the Title page of
the Answer Book.
Q.1
MCQs (Attempt on OMR sheet)
[1x20]

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1.
A 58 year old woman has presented with complaint of post menopausal bleeding for the last 15 days.
The most essential investigation would be
a.
Colposcopy

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b.
Pap smear
c.
D & C (dilation and curettage)
d.

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Hysteroscopy
2.
A newly married girl comes to Gynae OPD with history of dysuria, burning micturition and sore
perineum. What is your likely diagnosis?
a.

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Trauma due to colitis
b.
Honeymoon cystitis
c.
Trichomonal naginitis

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d.
Candidiasis
3.
A 56 year old woman has come to you with the complaints of hot flashes irritability, joint pains with
lack of sleep. Most appropriate treatment will be

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a.
Hormone therapy
b.
Multivitamins
c.

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Reassurance
d.
Hysteroscopy
4.
A young girl of 13 years age comes with excessive bleeding. The most common cause is

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a.
Ectopic pregnancy
b.
Uterine cancer
c.

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An ovulation
d.
Trauma
5.
A 63 year old lady presents with abdominal mass and weight loss, was diagnosed as having ovarian

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tumor. The most common ovarian tumor in this age is
a.
Germ cell tumor
b.
Epithelial cell tumor

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c.
Sex cord tumor
d.
Trobhoblastic tumor
6.

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A 26 year old G3P2 has presented with complaints of amenorohoea, vaginal discharge, passage of
vesicles and excessive vomiting. USG shows snow storm appearance in uterus with no foetus
a.
Fibroid uterus
b.

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Gestational trophoblastic disease
c.
Ectopic pregnancy
d.
Twin pregnancy

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7.
A 55 year old post menopausal lady with simple endometrial hyperplasia with atypia. What is the ideal
management?
a.
Mirena

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b.
Progestin
c.
Estrogen
d.

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Hysterectomy
8.
A large cystic tumor is detected in a woman in routine antenatal checkup. The most common
complication she can encounter is
a.

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Haemorrhage
b.
Torsion
c.
Rupture

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d.
Degeneration
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9.
A 39 year old woman Para 6, has presented with complaint of postcoital bleeding for the past 3

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months. Your further investigation should be
a.
D &C
b.
Colposcopy

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c.
Laparoscopy
d.
Cone biopsy of cervix

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10.
A perimenopausal lady with well differentiated adenocarcinoma of uterus has more than half of
myometrial invasion and inguinal lymphnode metastasis. She is stage as
a.
Stage 3b

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b.
Stage 3c
c.
Stage 4a
d.

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Stage 4b
11.
A 13 year old girl presents in casuality with acute pain in lower abdomen. She has history of cyclical
pain for last 6 months and has not attained menarche. On local examination a tense bulge in the region
of hymen is seen. The most probable diagnosis is-

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a.
MRKH syndrome
b.
Ashermann's syndrome
c.

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Testicular feminisation syndrome
d.
Imperforate hymen
12.
A patient treated for infertility with clomiphene citrate presents with acute onset of pain, distension

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and ascites. The possible cause is
a.
Uterine rupture
b.
Hyper stimulation syndrome

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c.
Multifoetal pregnancy
d.
None of the above
13.

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A 65 year female complaints of procidentia. She has past history of MI, severe diabetes mellitus and
hypertension. The best management for the patient's prolapsed uterus is
a.
Cervicopexy
b.

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Luait and cuatech
c.
Vaginal hysterectomy
d.
Colpocleisis

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14.
A 40 year old multiparous lady complaint of involuntary loss of urine associated with coughing,
laughing, lifting weight or even standing. The history is most suggestive of
a.
Fistula

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b.
Stress incontinence
c.
Urge incontinence
d.

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Urinary tract infection
15.
A 45 year old female present with post coital bleeding. On per speculum examination a friable mass is
found in cervix. First step in management is
a.

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Dilatation and currettage
b.
Pap's smear
c.
Punch biopsy

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d.
Only oliservation
16.
A woman having pregnancy with fibroid develops acute pain abdomen with low grade fever and mild
leukocytosis at 28 weeks. The most likely diagnosis is

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a.
Preterm labour
b.
Torsion of fibroid
c.

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Red degeneration of fibroid
d.
Infection of fibroid
17.
A 20 year old woman is on oral contraceptive pills and she is currently diagnosed as having pulmonary

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tuberculosis. Which anti-tubercular drug decrease the effect of OCPs
a.
Isoniazid (INH)
b.
Rifampicin

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c.
Ethambutol
d.
Pyrazinanide
18.

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A 55 year female presents with abdominal pain, distension, ascites and dyspnoea. Her CA-125 levels
are elevated. The most likely diagnosis is-
a.
Ca cervix
b.

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Ca lung
c.
Ca ovary
d.
Lymphoma

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19.
A 27 year old multiparous woman complaints of severe menstrual bleeding with lower abdominal pain
since 3 months. On investigation there was 14 weeks size uterus with fundal fibroid. The treatment of
choice is
a.

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Hysterectomy
b.
Myomectomy
c.
Gonadotrophin analogues

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d.
Wait and watch
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20.
A 37 years old female on oral contraceptive presents with thick curdy discharge, itching. What is the

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likely causative agents?
a.
Trichomonas vaginslis
b.
Candida albicans

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c.
Moluluncus
d.
Chlamydia

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Q.2.
What is ectopic pregnancy? List the causes of tubal pregnancy. Describe the clinical features of acute
tubal rupture and its management.
[3+3+3+3]
Q.3.

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Write short notes on:-
[5x4]
a.
Indications of diagnostic hysteroscopy
b.

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PALM-COEIN classification
c.
Pelvic diaphragm
d.
Candidiasis

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Q.4.
Explain why:-
[3x5]
a.
Screening of cervical cancer is important

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b.
Oral contraceptive pill (OCP) should be avoided after 35 years
c.
Adenomyosis an important cause of abnormal uterine bleeding
d.

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Weight management in obese infertile woman
e.
In a young female spasmodic type of dysmenorrhea is more common
Q.5.
Write short notes on

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[6x3]
a.
Dermoid cyst

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b.
Lactational amenorrhoea method (LAM)
c.
Degeneration of fibroid
Q.6.

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Write short notes on:

[5x3]
a.
How will you disclose or reveal any bad news to the patient's attendants?

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b.
Mullerian agenesis
c.
Staging of endometrial carcinoma
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