Q.P. Code: 326001
Reg. no.: .....................
III Professional MBBS Part II Degree Regular/Supplementary Examinations
May 2025
Obstetrics and Gynaecology
(2019 Scheme)
Time: 3 Hours
Total Marks: 100
Answer all questions to the point neatly and legibly ? Do not leave any blank pages between answers
Answer all parts of a single question together ? Leave sufficient space between answers
Draw table/diagrams/flow charts wherever necessary
1. Multiple Choice Questions
(20x1=20)
questions at page No. 51 of the answer book (the inner portion of the back cover page (PART III)).
Responses for MCQs marked in any other part/page of the answer book will not be valued
Question numbers i-v case scenario-based questions
A 26 year old G3A2 woman attends antenatal clinic. Her previous miscarriage were at 18 weeks
i. Most probable cause for her previous abortions is
a) Chromosomal anomaly
b) APLA syndrome
c) Cevical Incompetence
ii. Cervical incompetence is suspected when length of cervix by USG at 18 weeks is
a) More than 5 cms
b) Equal to 4 cms
c) Less than 2.5 cms d) More than 3.5cms
a) Mac Donald's cerclage b) Shirodkar's cerclage
c) Wurm's stitch d) Fothergills procedure
iv. Contra indications for Cerclage is
a) Bulging membranes b) Cervical length < 1cms
v. Causes for Incompetent cervix are all except
a) Previous cervical dilatation b) Infections
c) Cervical amputation
d) Congenital
questions by selecting the appropriate options given below.
vi. Assertion (A): All pregnant women in India should be screened for gestational diabetes in the first visit
Reason (R): Indian women have high risk for gestational diabetes
a) Both A & R are correct and R is correct explanation of A
b) Both A & R are correct and R is not correct explanation of A
d) A is incorrect, R is correct
vii. Assertion (A): Iron tablets are preferably administered before food or in between meals.
Reason (R): Iron tablets cause gastric irritation
c) A is correct, R is incorrect
b) Both A & R are correct and R is not correct explanation of A
d) A is incorrect, R is correct
viii. Assertion (A): Suboccipito bregmatic diameter is the engaging diameter in vertex presentation.
a) Both A & R are correct and R is correct explanation of A
c) A is correct, R is incorrect
b) Both A & R are correct and R is not correct explanation of A
d) A is incorrect, R is correct
Reason (R): Carbetocin can be given after administration of Oxytocin if there is postpartum
haemorrhage.
a) Both A & R are correct and R is correct explanation of A
c) A is correct, R is incorrect
d) A is incorrect, R is correct
x. Assertion (A): Normal weight gain in pregnancy after 1st trimester is 2 to 2.5kgs/month.
Reason (R): Weight gain of more than 2kgs/week should be monitored.
a) Both A & R are correct and R is correct explanation of A
b) Both A & R are correct and R is not correct explanation of A
d) A is incorrect, R is correct
Question numbers xi-xv are multiple-response type questions. Read the statements & mark the
answers appropriately.
1) Fundal height less than period of amenorrhea
2) Oligohydramnios
3) Abdominal circumference is best predictor
4) NST is always nonreactive
c) 1, 3 and 4 d) 2, 3 and 4
xii. Placenta previa
1) Placenta is situated in lower segment
2) It is diagnosed by USG
4) Type II posterior is major degree
a) 1, 2 and 3 b) 1, 3 and 4
c) 1, 2 and 4 d) 2, 3 and 4
(PTO)
xiii. In Puerperial sepsis
1) PROM is one of the cause
2) Temperature less than 100.4 degrees
3) Lactational failure is common
a) 1, 2 and 3
b) 1 and 3 c) 1 and 2 d) 1 and 4
xiv. Downs screening can be done by
1) Nuchal translucency
3) Double marker 4) High MSAFP
a) 1, 2 and 4
b) 2 and 4 c) 2, 3 and 4 d) 1, 2 and 3
xv. Factors favourable for vaginal breech delivery
a) 1, 2 and 4 b) 1 and 2 c) 2 and 3 d) 2 and 4
Question numbers xvi-xx are single-response type questions
xvi. Function of oxytocin in lactation is
a) Breast development
b) Milk production
d) Inhibition of prolactin release
xvii. Following are the risk factors for postpartum haemorrhage EXCEPT
a) Macrosomia
c) Twins
d) Hydramnios
xviii. Treatment in non severe preeclampsia are all EXCEPT
a) Labetalol
c) Diuretics d) Adequate rest
xix. Which of the following is NOT a Parenteral iron preparation
a) Iron Sucrose b) Ferric Carboxy Maltose
c) Iron Dextran d) Ferric Carboxy Sucrose
Cervix is 6 cm dilated; the fetal head is 0 station and felt a pulsating structure on P/V and diagnosed as
cord prolapse. How will you manage
a) Push the umbilical cord up and perform an emergency cesarean section
b) Push the umbilical cord up and perform and immediate delivery by ventouse or forceps.
d) Push the umbilical cord and wait for normal delivery
Long Essays:
(2x10=20)
2. A 24 year old Primi at 12 weeks of gestation attends antenatal OP. This is her first visit.
b) What are the investigations to be done at this time.
c) Advice and counseling for follow up.
(4+2+4)
3. G2A1 at 26 weeks gestation has a OGTT (DIPSI) report of 204mg/dl.
b) What are the medications used for GDM.
c) Mention the complications of GDM.
(4+3+3)
Short Essays:
4. 20 year primi 36 weeks pregnancy comes to casualty with pain abdomen and bleeding PV since 1 hour. On
examination BP is150/100mm of Hg. Uterus is 36 weeks size, tender, FHR is 110/minute. What is the most
probable diagnosis and how will you manage this case.
5. A 30 year old woman G2P1L1 with 37 weeks of pregnancy, previous normal delivery of 3kg baby, presents
a) Briefly describe how you will counsel this patient, mentioning the ethical principles while doing it.
b) What are the management options in this pregnancy.
6. A woman who delivered one day back is now complaining of decreased breast secretion.
a) What are the possible reasons for this.
7. Discuss the clinical application of first trimester and second trimester USG in pregnancy.
8. A 20 year old Primigravida 10 weeks of gestations presents with severe vomiting and tiredness. What is
your diagnosis, how will you evaluate and manage this case.
9. A woman had a normal vaginal delivery of a 2.8 kg baby 30 minutes ago. The placenta is not yet delivered.
b) What are the signs of placental separation.
c) What are the methods of delivery of placenta.
Short Answers:
(6x4=24)
11. Bishop's score.
12. Classification of placenta previa.
13. Role of prostaglandins in Obstetrics.
14. Features of reassuring NST.
**********************
Reg. no.: .....................
III Professional MBBS Part II Degree Regular/Supplementary Examinations
May 2025
Obstetrics and Gynaecology
--- Content provided by FirstRanker.com ---
Paper I - Obstetrics and Social Obstetrics(2019 Scheme)
Time: 3 Hours
Total Marks: 100
Answer all questions to the point neatly and legibly ? Do not leave any blank pages between answers
--- Content provided by FirstRanker.com ---
Indicate the question number correctly for the answer in the margin spaceAnswer all parts of a single question together ? Leave sufficient space between answers
Draw table/diagrams/flow charts wherever necessary
1. Multiple Choice Questions
(20x1=20)
--- Content provided by FirstRanker.com ---
The MCQ questions (Q.No. i to Q.No. xx) shall be written in the space provided for answering MCQquestions at page No. 51 of the answer book (the inner portion of the back cover page (PART III)).
Responses for MCQs marked in any other part/page of the answer book will not be valued
Question numbers i-v case scenario-based questions
A 26 year old G3A2 woman attends antenatal clinic. Her previous miscarriage were at 18 weeks
--- Content provided by FirstRanker.com ---
gestation, which was spontaneous painless abortions.i. Most probable cause for her previous abortions is
a) Chromosomal anomaly
b) APLA syndrome
c) Cevical Incompetence
--- Content provided by FirstRanker.com ---
d) Pre eclampsiaii. Cervical incompetence is suspected when length of cervix by USG at 18 weeks is
a) More than 5 cms
b) Equal to 4 cms
c) Less than 2.5 cms d) More than 3.5cms
--- Content provided by FirstRanker.com ---
iii. Treatment for Cervical Incompetence are all excepta) Mac Donald's cerclage b) Shirodkar's cerclage
c) Wurm's stitch d) Fothergills procedure
iv. Contra indications for Cerclage is
a) Bulging membranes b) Cervical length < 1cms
--- Content provided by FirstRanker.com ---
c) Live fetus d) Ruptured membranesv. Causes for Incompetent cervix are all except
a) Previous cervical dilatation b) Infections
c) Cervical amputation
d) Congenital
--- Content provided by FirstRanker.com ---
Question numbers vi-x consist of two statements - Assertion (A) and Reason (R). Answer thesequestions by selecting the appropriate options given below.
vi. Assertion (A): All pregnant women in India should be screened for gestational diabetes in the first visit
Reason (R): Indian women have high risk for gestational diabetes
a) Both A & R are correct and R is correct explanation of A
--- Content provided by FirstRanker.com ---
c) A is correct, R is incorrectb) Both A & R are correct and R is not correct explanation of A
d) A is incorrect, R is correct
vii. Assertion (A): Iron tablets are preferably administered before food or in between meals.
Reason (R): Iron tablets cause gastric irritation
--- Content provided by FirstRanker.com ---
a) Both A & R are correct and R is correct explanation of Ac) A is correct, R is incorrect
b) Both A & R are correct and R is not correct explanation of A
d) A is incorrect, R is correct
viii. Assertion (A): Suboccipito bregmatic diameter is the engaging diameter in vertex presentation.
--- Content provided by FirstRanker.com ---
Reason (R): LOA is the commonest position in cephalic presentationa) Both A & R are correct and R is correct explanation of A
c) A is correct, R is incorrect
b) Both A & R are correct and R is not correct explanation of A
d) A is incorrect, R is correct
--- Content provided by FirstRanker.com ---
ix. Assertion (A): Oxytocin 10unit IM is given to prevent blood loss in 3rd stage of labor.Reason (R): Carbetocin can be given after administration of Oxytocin if there is postpartum
haemorrhage.
a) Both A & R are correct and R is correct explanation of A
c) A is correct, R is incorrect
--- Content provided by FirstRanker.com ---
b) Both A & R are correct and R is not correct explanation of Ad) A is incorrect, R is correct
x. Assertion (A): Normal weight gain in pregnancy after 1st trimester is 2 to 2.5kgs/month.
Reason (R): Weight gain of more than 2kgs/week should be monitored.
a) Both A & R are correct and R is correct explanation of A
--- Content provided by FirstRanker.com ---
c) A is correct, R is incorrectb) Both A & R are correct and R is not correct explanation of A
d) A is incorrect, R is correct
Question numbers xi-xv are multiple-response type questions. Read the statements & mark the
answers appropriately.
--- Content provided by FirstRanker.com ---
xi. Features of Fetal Growth Restriction1) Fundal height less than period of amenorrhea
2) Oligohydramnios
3) Abdominal circumference is best predictor
4) NST is always nonreactive
--- Content provided by FirstRanker.com ---
a) 1, 2 and 4 b) 1, 2 and 3c) 1, 3 and 4 d) 2, 3 and 4
xii. Placenta previa
1) Placenta is situated in lower segment
2) It is diagnosed by USG
--- Content provided by FirstRanker.com ---
3) Bleeding is always associated with pain4) Type II posterior is major degree
a) 1, 2 and 3 b) 1, 3 and 4
c) 1, 2 and 4 d) 2, 3 and 4
(PTO)
--- Content provided by FirstRanker.com ---
xiii. In Puerperial sepsis
1) PROM is one of the cause
2) Temperature less than 100.4 degrees
3) Lactational failure is common
--- Content provided by FirstRanker.com ---
4) Mastitis can be a causative factora) 1, 2 and 3
b) 1 and 3 c) 1 and 2 d) 1 and 4
xiv. Downs screening can be done by
1) Nuchal translucency
--- Content provided by FirstRanker.com ---
2) NIPT3) Double marker 4) High MSAFP
a) 1, 2 and 4
b) 2 and 4 c) 2, 3 and 4 d) 1, 2 and 3
xv. Factors favourable for vaginal breech delivery
--- Content provided by FirstRanker.com ---
1) Complete breech 2) Frank breech 3) Previous vaginal delivery 4) Fetal weight more than 4kgsa) 1, 2 and 4 b) 1 and 2 c) 2 and 3 d) 2 and 4
Question numbers xvi-xx are single-response type questions
xvi. Function of oxytocin in lactation is
a) Breast development
--- Content provided by FirstRanker.com ---
c) Milk ejectionb) Milk production
d) Inhibition of prolactin release
xvii. Following are the risk factors for postpartum haemorrhage EXCEPT
a) Macrosomia
--- Content provided by FirstRanker.com ---
b) Gestational Hypertensionc) Twins
d) Hydramnios
xviii. Treatment in non severe preeclampsia are all EXCEPT
a) Labetalol
--- Content provided by FirstRanker.com ---
b) Calcium channel blockersc) Diuretics d) Adequate rest
xix. Which of the following is NOT a Parenteral iron preparation
a) Iron Sucrose b) Ferric Carboxy Maltose
c) Iron Dextran d) Ferric Carboxy Sucrose
--- Content provided by FirstRanker.com ---
xx. A pregnant women G2P1L1 with term live fetus presenting with spontaneous rupture of membranes.Cervix is 6 cm dilated; the fetal head is 0 station and felt a pulsating structure on P/V and diagnosed as
cord prolapse. How will you manage
a) Push the umbilical cord up and perform an emergency cesarean section
b) Push the umbilical cord up and perform and immediate delivery by ventouse or forceps.
--- Content provided by FirstRanker.com ---
c) Accelerate the labour and vaginal deliveryd) Push the umbilical cord and wait for normal delivery
Long Essays:
(2x10=20)
2. A 24 year old Primi at 12 weeks of gestation attends antenatal OP. This is her first visit.
--- Content provided by FirstRanker.com ---
a) Discuss the initial assessment of this mother.b) What are the investigations to be done at this time.
c) Advice and counseling for follow up.
(4+2+4)
3. G2A1 at 26 weeks gestation has a OGTT (DIPSI) report of 204mg/dl.
--- Content provided by FirstRanker.com ---
a) What nutritional advice will you give to the mother.b) What are the medications used for GDM.
c) Mention the complications of GDM.
(4+3+3)
Short Essays:
--- Content provided by FirstRanker.com ---
(6x6=36)4. 20 year primi 36 weeks pregnancy comes to casualty with pain abdomen and bleeding PV since 1 hour. On
examination BP is150/100mm of Hg. Uterus is 36 weeks size, tender, FHR is 110/minute. What is the most
probable diagnosis and how will you manage this case.
5. A 30 year old woman G2P1L1 with 37 weeks of pregnancy, previous normal delivery of 3kg baby, presents
--- Content provided by FirstRanker.com ---
with breech presentation.a) Briefly describe how you will counsel this patient, mentioning the ethical principles while doing it.
b) What are the management options in this pregnancy.
6. A woman who delivered one day back is now complaining of decreased breast secretion.
a) What are the possible reasons for this.
--- Content provided by FirstRanker.com ---
b) How will you manage this situation.7. Discuss the clinical application of first trimester and second trimester USG in pregnancy.
8. A 20 year old Primigravida 10 weeks of gestations presents with severe vomiting and tiredness. What is
your diagnosis, how will you evaluate and manage this case.
9. A woman had a normal vaginal delivery of a 2.8 kg baby 30 minutes ago. The placenta is not yet delivered.
--- Content provided by FirstRanker.com ---
a) How long will you wait for explusion of placenta.b) What are the signs of placental separation.
c) What are the methods of delivery of placenta.
Short Answers:
(6x4=24)
--- Content provided by FirstRanker.com ---
10. Screening of Preeclampsia.11. Bishop's score.
12. Classification of placenta previa.
13. Role of prostaglandins in Obstetrics.
14. Features of reassuring NST.
--- Content provided by FirstRanker.com ---
15. Zuspan regimen.**********************