0225 E576
Final Year MBBS Examination
III MBBS Part 2 Obstetrics &
Gynecology Paper 2 (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)a)
1 X 10 = 10 marks
i. Classify the different types of hormonal
contraceptives
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(4 marks)ii. Discuss the non-contraceptive uses of
combined OC pills
(4 marks)
iii. What are the contraindications for
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estrogen usage(2 marks)
b)
i. What are the causes for anovulatory
infertility
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(3 marks)ii. How do you diagnose anovulation
(4 marks)
iii. What are the drugs used for
ovulation induction
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(3 Marks)2. Case based scenario/Applied short
notes (Any two of the three)
a)
2 X 6 = 12 marks
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A 14-year-old girl who attained menarche 1year ago complains of heavy bleeding during
her periods which are irregular. She
complains of general weakness and easy
fatiguability. What is your diagnosis. How
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do you manage her.b)
Discuss how you counsel a primigravida
who has come with 4 months of amenorrhea
and requesting for MTP. What are the
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grounds on which you can proceed with
MTP in this patient.
c)
A 55-year-old lady has come with irregular
cycles with heavy flow for the past 3 years.
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She is a known diabetic and hypertensivewith a BMI of 34Kg/M?. i. Define
menopause ii. What are the risks associated
with early menarche and late menopause iii.
How do you manage the lady who has
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approached you. Add a short note on HRT3. Write short notes (Any three out of
four)
3 X 6 = 18 marks
a)
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Primary amenorrhoea and the aetiologyb)
Complications of IUCD
c)
Tubectomy
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d)Acute PID
4. Answer only in 2-3 sentences (Any five
out of six)
5 X 2 = 10 marks
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a)Amendments of MTP act
b)
Basic investigatory approach for primary
infertility
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c)Contraceptives for breast feeding mothers
d)
Causes for post-menopausal bleeding
e)
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Cryptomenorrheaf)
Precocious puberty
Section 2
5. Write in detail (Any one of the two)
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a)1 X 10 = 10 marks
How do you stage ovarian cancer. Discuss
the management of a case of ovarian cancer
stage 3C.
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b)
Discuss the various conservative
management options for multiple uterine
leiomyomas in a nulliparous lady aged 38
years.
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6. Case based scenario/Applied shortnotes (Any two of the three)
a)
2 X 6 = 12 marks
A 30-year-old lady with frequent cycles
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(once in 20 days) with severe congestivedysmenorrhea and infertility has been found
to have bilateral adnexal mass.
i. Discuss the differential diagnosis
ii. Discuss the role of
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(3 marks)laparoscopy in this patient
(3 marks)
b)
A 60-year-old lady has come with 3rd degree
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genital prolapse. You have decided for asurgical management of this patient.
Describe the steps of the surgical procedure.
c)
A 30-year-old asymptomatic commercial sex
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worker has come to you with a request to
rule out cervical cancer. What are the
available modalities of screening for cervical
cancer.
7. Write short notes (Any three out of
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four)3 X 6 = 18 marks
a)
PALM-COEIN classification of AUB
b)
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Vesicovaginal fistulac)
Causes and management of white discharge
per vaginum
d)
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Adenomyosis8. Answer only in 2-3 sentences (Any five
out of six)
5 X 2 = 10 marks
a)
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Torsion ovaryb)
Role of hysteroscopy in AUB
c)
Intermenstrual bleeding
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d)Indications for pessary in prolapse
e)
Indications for endometrial biopsy
f)
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Use of GnRH analogues in gynaecology