Q.P. Code: 327001
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 22 year married girl presents with irregular menstrual cycles and weight gain. She has acne and
i. What is the most probable diagnosis
a) Androgen producing tumor
c) Tuberculosis
b) Polycystic ovarian disease (PCOD)
ii. Which of the following is true in PCOD
a) Insulin is low
c) Low oestrogen
b) Increased androgen levels
iii. Drug of choice for regularisation of menstruation in PCOD
a) Combined oral contraceptive pill c) Depot medroxy progesterone
b) Clomiphene citrate
d) LNG ?IUS
a) Tubal factor
b) Endometrial abnormality c) Anovulation
d) Cervical factor
v. All of the following are treatment options for PCOD except:
b) Combined OCP
c) Metformin d) Steroids
Question numbers vi-x consist of two statements - Assertion (A) and Reason (R). Answer these
questions by selecting the appropriate options given below.
Reason (R): Hypogonadotrophic hypogonadism is seen in Kallmann syndrome.
a) Both A and R are correct and R is correct explanation of A
c) A is correct; R is incorrect
b) Both A and R are correct and R is not correct explanation of A
vii. Assertion (A): Endometriosis commonly causes infertility.
Reason (R): Endometriosis distorts pelvic anatomy by scarring and adhesions.
a) Both A and R are correct and R is correct explanation of A
c) A is correct; R is incorrect
d) A is incorrect; R is correct
viii. Assertion (A): Combined contraceptive pills reduce the risk of endometrial cancer.
Reason (R): Combined contraceptive pills are the best choice in treating endometrial hyperplasia.
a) Both A and R are correct and R is correct explanation of A
b) Both A and R are correct and R is not correct explanation of A
d) A is incorrect; R is correct
ix. Assertion (A): HPV infection is a risk factor for carcinoma of cervix.
Reason (R): HPV 16 &18 are high risk oncogenic strains.
c) A is correct; R is incorrect
b) Both A and R are correct and R is not correct explanation of A
d) A is incorrect; R is correct
x. Assertion (A): Submucosal fibroids cause heavy menstrual bleeding
a) Both A and R are correct and R is correct explanation of A
c) A is correct; R is incorrect
b) Both A and R are correct and R is not correct explanation of A
d) A is incorrect; R is correct
answers appropriately.
xi. Which of the following in endometriosis is TRUE
1) It is commonly associated with chronic pain
2) Laporoscopy is the best method to diagnose
4) Life style modification is the treatment of choice
a) 1, 2 and 3
b) 1, 2 and 4
c) 2, 3 and 4 d) 1, 3 and 4
xii. Risk factors for endometrial carcinoma
1) Obesity
2) Hypertension
3) Combined oral contraceptive pills usage for 4 years
a) 1, 2 and 3
b) 1, 2 and 4 c) 2, 3 and 4 d) 1, 3 and 4
xiii. In vaginal candidiasis following are CORRECT
1) KOH preparation to see the hyphae and budding yeast
3) Clotimaxozole is the drug of choice
4) Vaginal PH is >7.5 in candidiasis
a) 1, 2 and 3
b) 1, 3 and 4 c) 1, 2 and 4 d) 2, 3 and 4
1) Torsion is one of the complication
2) It is a sex cord stromal tumour
3) Incidence of bilateral dermoid cyst is <1%
4) It is common in menopausal age
b) 1, 2 and 4
c) 2, 3 and 4 d) 1 and 3
xv. Criteria for medical management of ectopic pregnancy
1) Unruptured ectopic pregnancy
3) Sac size <3.5 cms
4) Absent Fetal heart rate
a) 1, 2 and 3
b) 1, 2 and 4 c) 2, 3 and 4 d) 1, 3 and 4
xvi. A 16-year-old girl with 6 weeks of pregnancy comes for MTP. What is the first line of management
a) Mifepristone b) Misoprostol
c) Oxytocin
d) Inform the police
a) 45XO
b) 69XXY
c) 46XX
d) 47XXY
a) Anti mullerian hormone
c) Volume of ovary
b) Antral follicular count
d) CA 125
a) Mesonephric duct
b) Genital ridge
c) Paramesonephric duct
d) Genital tubercle
a) Vertical transmission to newborn is 15-25% if no intervention is given
b) Breast feeding may also cause transmission to baby
c) Artificial feeding is advised always
d) Transmission of HIV from male to female is high
(2x10=20)
2. A couple is unable to conceive after 3 years of unprotected intercourse.
a) What are the tests for ovulation
b) What are the drugs used for ovulation induction
d) Tests for tubal patency
(2+2+3+3)
3. 47-year-old woman presents with post coital bleeding. On vaginal examination there is an ulcerative lesion
on cervix which bleeds on touch.
b) Risk factors for this carcinoma
c) Management of stage 1 of this condition
d) Complications of this condition
(1+2+5+2)
(6x6=36)
4. A patient reported because she cannot feel the thread of Copper ?T inserted 2 years back. What are the
possibilities for missing thread. How will you manage her.
5. 26-year woman reports with fever, pain abdomen and white discharge. How will you evaluate and manage
6. A 36-year lady presents with heavy menstrual bleeding and dysmenorrhoea. What is the approach
and management.
7. A young couple recently married have come for contraceptive advice. How will you counsel and advice.
What are the ethical principles to be kept in mind while counselling.
anaesthesia and hysterectomy. How will you Counsel and what are the management options.
9. A 28-year-old lady has presented with secondary amenorrhoea and pregnancy test is negative. How will
you investigate her.
Short Answers:
10. Clinical features of menopause.
11. Bartholin's abscess.
12. Causes of heavy menstrual bleeding in submucous fibroid.
13. Indications and Technique of PAP smear.
15. Role of hysteroscopy in gynaecology.
**********************
Reg. no.: .....................
III Professional MBBS Part II Degree Regular/Supplementary Examinations
May 2025
Obstetrics and Gynaecology
--- Content provided by FirstRanker.com ---
Paper II - Gynaecology and Family Welfare(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 22 year married girl presents with irregular menstrual cycles and weight gain. She has acne and
--- Content provided by FirstRanker.com ---
excessive facial hair.i. What is the most probable diagnosis
a) Androgen producing tumor
c) Tuberculosis
b) Polycystic ovarian disease (PCOD)
--- Content provided by FirstRanker.com ---
d) Endometriosisii. Which of the following is true in PCOD
a) Insulin is low
c) Low oestrogen
b) Increased androgen levels
--- Content provided by FirstRanker.com ---
d) Hyper thyroidiii. Drug of choice for regularisation of menstruation in PCOD
a) Combined oral contraceptive pill c) Depot medroxy progesterone
b) Clomiphene citrate
d) LNG ?IUS
--- Content provided by FirstRanker.com ---
iv. The most common cause for infertility in PCOD is:a) Tubal factor
b) Endometrial abnormality c) Anovulation
d) Cervical factor
v. All of the following are treatment options for PCOD except:
--- Content provided by FirstRanker.com ---
a) Life style modificationb) Combined OCP
c) Metformin d) Steroids
Question numbers vi-x consist of two statements - Assertion (A) and Reason (R). Answer these
questions by selecting the appropriate options given below.
--- Content provided by FirstRanker.com ---
vi. Assertion (A): Congenital hypogonadotrophic hypogonadism is a cause for primary amenorrhea.Reason (R): Hypogonadotrophic hypogonadism is seen in Kallmann syndrome.
a) Both A and R are correct and R is correct explanation of A
c) A is correct; R is incorrect
b) Both A and R are correct and R is not correct explanation of A
--- Content provided by FirstRanker.com ---
d) A is incorrect; R is correctvii. Assertion (A): Endometriosis commonly causes infertility.
Reason (R): Endometriosis distorts pelvic anatomy by scarring and adhesions.
a) Both A and 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 and R are correct and R is not correct explanation of Ad) A is incorrect; R is correct
viii. Assertion (A): Combined contraceptive pills reduce the risk of endometrial cancer.
Reason (R): Combined contraceptive pills are the best choice in treating endometrial hyperplasia.
a) Both A and R are correct and R is correct explanation of A
--- Content provided by FirstRanker.com ---
c) A is correct; R is incorrectb) Both A and R are correct and R is not correct explanation of A
d) A is incorrect; R is correct
ix. Assertion (A): HPV infection is a risk factor for carcinoma of cervix.
Reason (R): HPV 16 &18 are high risk oncogenic strains.
--- Content provided by FirstRanker.com ---
a) Both A and R are correct and R is correct explanation of Ac) A is correct; R is incorrect
b) Both A and R are correct and R is not correct explanation of A
d) A is incorrect; R is correct
x. Assertion (A): Submucosal fibroids cause heavy menstrual bleeding
--- Content provided by FirstRanker.com ---
Reason (R): Subserosal fibroids increase the endometrial thickness.a) Both A and R are correct and R is correct explanation of A
c) A is correct; R is incorrect
b) Both A and R are correct and R is not correct explanation of A
d) A is incorrect; R is correct
--- Content provided by FirstRanker.com ---
Question numbers xi-xv are multiple-response type questions. Read the statements & mark theanswers appropriately.
xi. Which of the following in endometriosis is TRUE
1) It is commonly associated with chronic pain
2) Laporoscopy is the best method to diagnose
--- Content provided by FirstRanker.com ---
3) Infertility may be seen in this condition4) Life style modification is the treatment of choice
a) 1, 2 and 3
b) 1, 2 and 4
c) 2, 3 and 4 d) 1, 3 and 4
--- Content provided by FirstRanker.com ---
(PTO)xii. Risk factors for endometrial carcinoma
1) Obesity
2) Hypertension
3) Combined oral contraceptive pills usage for 4 years
--- Content provided by FirstRanker.com ---
4) Delayed menopausea) 1, 2 and 3
b) 1, 2 and 4 c) 2, 3 and 4 d) 1, 3 and 4
xiii. In vaginal candidiasis following are CORRECT
1) KOH preparation to see the hyphae and budding yeast
--- Content provided by FirstRanker.com ---
2) Rule out Diabetes3) Clotimaxozole is the drug of choice
4) Vaginal PH is >7.5 in candidiasis
a) 1, 2 and 3
b) 1, 3 and 4 c) 1, 2 and 4 d) 2, 3 and 4
--- Content provided by FirstRanker.com ---
xiv. Following are FALSE about Dermoid cyst1) Torsion is one of the complication
2) It is a sex cord stromal tumour
3) Incidence of bilateral dermoid cyst is <1%
4) It is common in menopausal age
--- Content provided by FirstRanker.com ---
a) 1, 2 and 3b) 1, 2 and 4
c) 2, 3 and 4 d) 1 and 3
xv. Criteria for medical management of ectopic pregnancy
1) Unruptured ectopic pregnancy
--- Content provided by FirstRanker.com ---
2) Beta HCG > 5000 i.u3) Sac size <3.5 cms
4) Absent Fetal heart rate
a) 1, 2 and 3
b) 1, 2 and 4 c) 2, 3 and 4 d) 1, 3 and 4
--- Content provided by FirstRanker.com ---
Question numbers xvi-xx are single-response type questionsxvi. A 16-year-old girl with 6 weeks of pregnancy comes for MTP. What is the first line of management
a) Mifepristone b) Misoprostol
c) Oxytocin
d) Inform the police
--- Content provided by FirstRanker.com ---
xvii. Karyotype of complete hydatid form mole is:a) 45XO
b) 69XXY
c) 46XX
d) 47XXY
--- Content provided by FirstRanker.com ---
xviii. Indicators of ovarian reserve are all EXCEPTa) Anti mullerian hormone
c) Volume of ovary
b) Antral follicular count
d) CA 125
--- Content provided by FirstRanker.com ---
xix. Uterus develops from:a) Mesonephric duct
b) Genital ridge
c) Paramesonephric duct
d) Genital tubercle
--- Content provided by FirstRanker.com ---
xx. Which of the following statement is FALSE in HIVa) Vertical transmission to newborn is 15-25% if no intervention is given
b) Breast feeding may also cause transmission to baby
c) Artificial feeding is advised always
d) Transmission of HIV from male to female is high
--- Content provided by FirstRanker.com ---
Long Essays:(2x10=20)
2. A couple is unable to conceive after 3 years of unprotected intercourse.
a) What are the tests for ovulation
b) What are the drugs used for ovulation induction
--- Content provided by FirstRanker.com ---
c) WHO criteria for normal Semen parametersd) Tests for tubal patency
(2+2+3+3)
3. 47-year-old woman presents with post coital bleeding. On vaginal examination there is an ulcerative lesion
on cervix which bleeds on touch.
--- Content provided by FirstRanker.com ---
a) What is the most probable diagnosis and one differential diagnosisb) Risk factors for this carcinoma
c) Management of stage 1 of this condition
d) Complications of this condition
(1+2+5+2)
--- Content provided by FirstRanker.com ---
Short Essays:(6x6=36)
4. A patient reported because she cannot feel the thread of Copper ?T inserted 2 years back. What are the
possibilities for missing thread. How will you manage her.
5. 26-year woman reports with fever, pain abdomen and white discharge. How will you evaluate and manage
--- Content provided by FirstRanker.com ---
the case.6. A 36-year lady presents with heavy menstrual bleeding and dysmenorrhoea. What is the approach
and management.
7. A young couple recently married have come for contraceptive advice. How will you counsel and advice.
What are the ethical principles to be kept in mind while counselling.
--- Content provided by FirstRanker.com ---
8. 70-year-old woman presents with 3rd degree utero vaginal prolapse; she is not fit for prolonged.anaesthesia and hysterectomy. How will you Counsel and what are the management options.
9. A 28-year-old lady has presented with secondary amenorrhoea and pregnancy test is negative. How will
you investigate her.
Short Answers:
--- Content provided by FirstRanker.com ---
(6x4=24)10. Clinical features of menopause.
11. Bartholin's abscess.
12. Causes of heavy menstrual bleeding in submucous fibroid.
13. Indications and Technique of PAP smear.
--- Content provided by FirstRanker.com ---
14. Emergency contraception.15. Role of hysteroscopy in gynaecology.
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