III MBBS Part 2 Obstetrics & Gynecology 1
(New)
Time: 3 hours
Date: 15-04-2024
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Max Marks: 1001. Answer to the points.
2. Figure to the right indicates marks.
3. Use separate answer books for each
section.
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4. Draw diagrams wherever necessary.5. Write legibly.
Section 1
1. Write in detail (Any one out of
two)
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1x10 = 10 marksa)
i. Define Antenatal care. (02 marks)
ii. What is the schedule of antenatal
care recommended by WHO?
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iii. What is the aim of
(03 marks)
antenatal care?
(05 marks)
b)
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i. Define Maternal Mortality.ii. What are the causes of (02 marks)
maternal mortality?
(03 marks)
iii. Describe the actions taken for
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Safe Motherhood.(05 marks)
2. Case based scenario/Applied
Short Notes (Any two out of three)
a) A primigravida at 2x 6=12 marks
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37 weeks of gestation attended G & Oemergency with H/O one convulsion.
On examination, she was unconscious,
BP-180/110 mmHg, and pedal edema
present.
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i. What is the provisional diagnosis?ii. Outline the immediate (02 marks)
management.
(02 marks)
iii. What is the definitive
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management of this patient?b) A second gravida, post
(02 marks)
caesarian pregnancy at 38 weeks, with
one living issue, presents with lower
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abdominal pain, dysuria and mild ableeding per vagina. On examination,
she has moderate pallor, BP 90/60 mm
Hg, Pulse rate- 120/minute, tenderness
over previous scar and fetal
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bradycardia.i. What is your provisional
diagnosis?
(02 marks)
ii. How to resuscitate the patient?
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iii. What is the definitive (02 marks)management of this case? (02 marks)
c) A 25 years old primigravida at 34
weeks C/O leakage of watery discharge
per vagina.
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i. What is your diagnosis?ii. What are the causes of (02 marks)
this condition?
(02 marks)
iii. What are the maternal and fetal
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complications?(02 marks)
3. Write Short Notes (Any three
out of four)
3x6=18 marks
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a) Functions of Placenta.
b) Episiotomy.
c) Active Management of 3rd. Stage of
Labor (AMTSL).
d) Bishop's score.
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4. Answer only in 2-3 sentences(Any five out of six) 5x2=10 marks
a) Landmarks of Pelvic inlet.
b) Define Puerperium.
c) Cephai hematoma.
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d) True labor pain.e) PPIUCD.
f) Perinatal mortality.
Section 2
5. Write in detail (Any one out of
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two)1x10=10 marks
a)
i. What is twin pregnancy?
ii. How the zygosity of
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(02 marks)twin pregnancy is determined?
iii. What are the maternal (03 marks)
and fetal complications of twin
pregnancy?
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(05 marks)b)
i. Define Molar pregnancy.
ii. What is the clinical
(02 marks)
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presentation of molar pregnancycase?
(03 marks)
iii. Describe the management of this
case.
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(05 marks)6. Case based scenario/Applied
Short Notes (Any two out of three)
a) A 26 years old
2x6=12 marks
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woman, G2P1A0L1, at 30 weeks ofgestation presented to OPD with fasting
blood sugar report of 130 mg%. She
was euglycaemic before pregnancy.
i. What is the provisional diagnosis?
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ii. How will you confirm (02 marks)your diagnosis?
(02 marks)
iii. What is the management of this
case?
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(02 marks)b) A 23 years old 3rd gravida at 32
weeks of gestation attended GOPD
with complaints of profound weakness
and breathless. On examination, she
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had moderate pallor and pedal edema.i. What is your diagnosis?
ii. What is the commonest (02 marks)
cause of this condition?
(02 marks)
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iii. How will you manage the case?c)
(02 marks)
i. Define Post Partum Haemorrhage
(PPH).
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(02 marks)ii. What are the different types of
PPH?
(02 marks)
iii. Describe in short the management
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of atonic PPH.(02 marks)
7. Write Short Notes (Any three
out of four)
3x6=18 marks
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a) PPTCT Counseling.b) Breast Feeding.
c) Puerperal sepsis.
d) Partograph.
8. Answer only in 2-3 sentences
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(Any five out of six) 5x2=10 marksa) External Cephalic version.
b) Deep transverse arrest.
c) Vulval hematoma.
d) Causes of Oligohydramnios.
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e) Outlet forceps.f) Neonatal jaundice.