0225 E572
Final Year MBBS Examination
III MBBS Part 2 Obstetrics & Gynecology 1
(New)
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Time: 3 hoursMax Marks: 100
Instructions:
1. Answer to the points.
2. Figure to the right indicates marks.
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3. Use separate answer books for eachsection.
4. Draw diagrams wherever necessary.
5. Write legibly.
Section 1
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1. Write in detail (Any one of the two)1X 10- 10 marks (10)
a)
i. What are the stages of labour (3
marks) ii. What are the events that occur
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in l?oe stage of labour (4 Marks) iii.How do you manage the 3" stage of
labour (3 marks)
b)
1. Define birth asphyxia (2 marks) ii,
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What are the causes of birth asphyxia (3marks) ill. How do you diagnose birth
asphyxia and resuscitate a new born (5
marks)
2. Case based scenario/Applied short
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notes (Any two of the three)2 X 6- 12 marks (12)
a) How do you
manage retained placenta in a para 3 living
3 with previous 2 cesarean deliverics.
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b) A 35year old primigravida with a BMIof 40kg/M? has come to you at 24 wecks
of gestation for routine antenatal checkup.
[low do you investigate and advise her.
c) A primigravida has delivered twin
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babies which have discordancy. One babyweighs 2.2 Kgs and the other 1.4 Kgs.
How do you advise and counsel the mother
regarding breast feeding.
3. Write short notes (Any three out of
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four)3X 6- 18 marks (18)
a) Maternal mortality
definition and measures to reduce the same
b) Tuner's syndrome
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c) Oogenesisd) Abnormalities of placenta
4. Answer only in 2-3 sentences (Any five
out of six)
2 X 5= 10 marks (10)
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a) Drugs used in 3rdstage of labour
b) Obstetric problems with uterine
anomalics
c) Types of perineal tears
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d) List three indications for induction oflabour
e) Respectful maternity care
f) Three methods of puerperal
contraception
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Section 2
5. Write in detail (Any one of the two)
1X 10= 10 marks (10)
a)
i. Define obstructed labour (2 marks) ii.
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What are the causes of obstructed labour(3 marks) iii, What are the complications
of obstructed labour and how do you
manage a case of obstructed labour,
discuss in detail (5 marks)
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b)i. Define puerperal sepsis ii. What are
the causes of puerperal sepsis iii. How
do you manage a case of septic shock
with a pelvic abscess.
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6. Case based scenario/Applied shortnotes (Any two ofthe three)
2 X 6- 12 marks (12)
a) A 24year old
primigravida, a known patient of
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rheumatic mitral stenosis, NYHA ITpresents in early labour, Discuss the
management of labour in this patient
b) A 36year old 5" gravida with 4 living
children has presented with bleeding per
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vaginum at 35 weeks of gestation. Discussthe differential diagnosis
c) A multigravida with previous history of
2 vaginal deliveries has presented with
breech presentation at 36 weeks of
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gestation. What are the managementoptions and how do you decide the option
7. Write short notes (Any three out of
four)
3 X 6= 18 marks (18)
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a) Magnesiumsulphate in eclampsia
b) Pre conceptional advise for a known
case of Type 2 diabetes with previous
history of aborting an anencephalic baby
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c) Role of ultrasound scan in fetal growthrestriction
d) Advantages and disadvantages of
Outlet forceps and ventouse during
assisted vaginal delivery
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8. Answer only in 2-3 sentences (Any five
out of six)
2 X 5= 10 marks (10)
a) Indications for
peripartum hysterectomy
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b) Types of morbidly adherent placentac) Define HELLP syndrome
d) Commonly used antihypertensives in
pregnancy and their dosage
e) Causes of acute renal failure in
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pregnancyf) Indications for classical cesarean section