Download Gujarat University MBBS Final Year E014 Obstetrics And Gynecology Paper II Apr 2024 Question Paper

Date: 16-04-2024
0424 E014
Final Year MBBS Examination
III MBBS Part 2 Obstetrics & Gynecology
Paper 2 (New)

--- Content provided by‍ FirstRanker.com ---

Time: 3 hours
Max Marks: 100
Instructions:
1. Answer to the points.
2. Figure to the right indicates marks.

--- Content provided by​ FirstRanker.com ---

3. Use separate answer books for each
section.
4. Draw diagrams wherever necessary.
5. Write legibly.
Section 1

--- Content provided by FirstRanker.com ---

1. Write in detail (Any one out of two)
1x 10= 10 marks (10)
a)
i. Define Primary Amenorrhea.
(02 marks)

--- Content provided by FirstRanker.com ---

---

ii. What are the causes of crypto menorrhea?
(03 marks)
iii. Describe the management of
imperforate hymen.
(05 marks)

--- Content provided by‍ FirstRanker.com ---

b) Describe the Endometrial Cycle of Menstruation.
(10 marks)
2. Case based scenario / Applied Short
Notes (Any two out of three)
2x 6-12 marks (12)

--- Content provided by‌ FirstRanker.com ---

a) a. A 30 years old woman, married for 05 years,
has come to GOPD with complaints of failure to
conceive.
i. How to counsel the couple for infertility?
(03 marks)

--- Content provided by​ FirstRanker.com ---

ii. What are the ovarian causes of
infertility?
(03 marks)
b) 60 years old post menopausal woman complaints
of bleeding per vagina for last 03 months.

--- Content provided by​ FirstRanker.com ---

i. What is your provisional diagnosis?
(02 marks)
ii. What are the common causes of this condition?
(02 marks)
iii. How to evaluate this case?

--- Content provided by​ FirstRanker.com ---

(02 marks)
c) A 25 years old woman, G3P2A02L at
08 weeks of pregnancy wants MTP

---

i. What are the methods of MTP at this stage?
(03 marks)

--- Content provided by‌ FirstRanker.com ---

ii. What are the contraceptive methods
ideal for her?
(03 marks)
3. Write Short Notes (Any three out of four)
3x 6=18 marks (18)

--- Content provided by‍ FirstRanker.com ---

a) Progesterone Only Pill
(POP).
b) Long Acting Reversible Contraceptives (LARC).
c) Normal Semen Analysis.
d) Turner syndrome.

--- Content provided by⁠ FirstRanker.com ---

4. Answer only in 2-3 sentences (Any five out of
six)
5 x 2= 10 marks (10)
a) Risk factors for Pelvic Inflammatory Disease
(PID).

--- Content provided by‍ FirstRanker.com ---

b) Bartholin Cyst.
c) CIN 3.
d) Chocolate Cyst.
e) Corpus Luteum.
f) Mifepristone.

--- Content provided by‌ FirstRanker.com ---

---

Section 2
5. Write in detail (Any one out of two)
1x 10 = 10 marks (10)
a)
i. Define Abnormal Uterine Bleeding (AUB).

--- Content provided by FirstRanker.com ---

(03 marks)
ii. Describe the PALM-COEIN system
for classification of causes of AUB.
(05 marks)
iii. Mention one cause of AUB-O.

--- Content provided by​ FirstRanker.com ---

(02 marks)
b)
i. Define Endometriosis.
(02 marks)
ii. Describe the pathogenesis of endometriosis.

--- Content provided by‍ FirstRanker.com ---

(05 marks)
iii. What are the causes of infertility in
cases of endometriosis?
(03 marks)
6. Case based scenario / Applied Short Notes

--- Content provided by‍ FirstRanker.com ---

(Any two out of three)
2x6 = 12 marks (12)
a) A 46 years old woman has attended GOPD with
gradual swelling of abdomen and weight loss over
last 03 months. On examination, she is cachectic

--- Content provided by‌ FirstRanker.com ---

and moderately pale.

---

i. What is your provisional diagnosis?
(02 marks)
ii. What is the differential diagnosis?
(02 marks)

--- Content provided by‍ FirstRanker.com ---

ii. How to differentiate clinically between the two
conditions?
02 marks)
b) A 50 years old woman having 05 living children,
all are vaginal delivery, menopause for last 03 years

--- Content provided by‍ FirstRanker.com ---

C/O something coming down per vagina for last 06
months.
i. What is your provisional diagnosis?
(02 marks)
ii. What are the risk factors for this condition?

--- Content provided by FirstRanker.com ---

(02 marks)
iii. Mention surgical management of
this condition.
(02 marks)
c) A 45 years old woman C/O post-coital bleeding

--- Content provided by FirstRanker.com ---

per vagina.
i. What is the provisional diagnosis?
(02 marks)
ii. How to evaluate the case?
(02 marks)

--- Content provided by FirstRanker.com ---

iii What are the risk factors of this condition?
(02 marks)
7. Write Short Notes (Any three out of
four)
3x6=18 marks (18)

--- Content provided by​ FirstRanker.com ---

---

a) Medical management of fibroid.
b) Surgical management of Stress Urinary
Incontinence (SUI).
c) Pelvic abscess.
d) Dilatation and curettage(D/C)

--- Content provided by​ FirstRanker.com ---

8. Answer only in 2-3 sentences (Any five out of
six)
5x 2=10 marks (10)
a) Vaginal Candidiasis.
b) Uterine Artery Embolisation (UAE).

--- Content provided by FirstRanker.com ---

c) Lactational Amenorrhea Method (LAM).
d) Ca 125.
e) Mode of spread of carcinoma cervix.
f) Quadrivalent HPV vaccine (4vHPV) -Gardasil.

---