Download MBBS KUHS Final Year 2014 August Obstetrics And Social Obstetrics II Question Paper

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FINAL M.B.B.S. (PART II) DEGREE EXAMINATION, AUGUST 2014

OBSTETRICS AND GYNAECOLOGY—Paper II

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(2007 Scheme)

Maximum : 40 Marks

Time : Two Hours

Answer all the questions.

Draw diagrams wherever necessary.

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MCQs should be answered first in the response sheet provided.

Section A

I. Multiple Choice Questions.

Single response type 8 (separate sheet attached). (8 x ½ = 4 marks)

II. Match the following.

Single response type 8 (separate sheet attached). (8 x ½ = 4 marks)

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III. Draw the diagram and label : (2 x 1 =2 marks)

1. Anatomy of levator ani muscles.
2. Draw the diagram of carcinoma cervix stage II B.

IV. Short answer questions : (4 x 1 =4 marks)

1. Red degeneration.

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2. Clomiphene citrate.
3. Complication of an Ovarian cyst.
4. Dysmenorrhoea.

V. Write short notes on : (3 x 2 = 6 marks)

1. No scalpel vasectomy.

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2. Chemotherapy of Ovarian malignancy.
3. Tests for Tubal patency.

Section B

VI. 55 years old obese, hypertensive and diabetic lady complaining of bleeding per vaginum.

1. What is the most probable diagnosis (1 mark)
2. Discuss the investigation for diagnosing the condition. (2 marks)

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3. What are the differential diagnosis (3 marks)
4. What are the steps of abdominal hysterectomy (4 marks)

(1 +2+3+4=10marks)

VII. Short answer questions : (4 x 1 =4 marks)

1. Graffian follicle.

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2. Classification of premalignant lesions of cervix.
3. Newer IUCD’s.
4. Brenner tumour.

VIII. Write short notes on : (3 x 2 = 6 marks)

1. Polycystic ovarian disease.

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2. Management of acute pelvic inflammatory disease.
3. Hormone replacement therapy.

I. MULTIPLE CHOICE QUESTIONS

Note.—(1) Do not write anything on the question paper.

(2) Write your register number in the answer-sheet provided.

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(3) Select one most appropriate response and encircle the corresponding alphabet against each question number in the answer-sheet provided.

1. Commonest pathogen implicated in Non gonococcal urethritis is :
   1. Trichomonas vaginalis.
   2. Chlamydia trachomatis.
   3. Candida albicans.
   4. All of the above.

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2. The risk factors is carcinoma endometrium are all except :
   1. Nulliparity.
   2. Early Menopause.
   3. Diabetes.
   4. Obesity.

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3. During tubectomy fallopian tube should be occluded ideally in the :
   1. Fimbrial end.
   2. Ampullary region.
   3. Isthmus.
   4. Interstitial portion.

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4. Commonest site of genital tuberculosis due to :
   1. Vagina.
   2. Uterus.
   3. Ovary.
   4. Fallopian tubes.

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5. Commonest post menorpausal symptom is :
   1. Hot flushes.
   2. Insomnia.
   3. Osteoporosis.
   4. Dyspareunia.

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6. Carcinoma cervix screening is done by
   1. Hysteroscopy.
   2. Laparoscopy.
   3. Rectoscopy.
   4. Coloposcopy.

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7. Ferning of cervical mucous is due to :
   1. Estrogen.
   2. Progesterone.
   3. FSH.
   4. LH.

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8. Ideal treatment of Adenomyosis in a perimenopausal women
   1. Testosterone.
   2. Radiotherapy.
   3. Surgery.
   4. Progesterone.

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(8 x ½ = 4 marks)

II. Match the following :—

(8 x ½ = 4 marks)

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