Download MBBS KUHS Final Year 2010 February Obstetrics And Social Obstetrics I Question Paper

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Name:........................

Reg No:.........

THIRD PROFESSIONAL M.B.B.S. DEGREE EXAMINATION, FEBRUARY 2010

Part II

Obstetrics and Gynaecology

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Paper I-OBSTETRICS INCLUDING SOCIAL OBSTETRICS

Time: Two Hours Maximum: 40 Marks

Answer all the questions.

Draw diagrams wherever necessary.

Answer Sections A and B in separate answer-books.

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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)

III. Draw the diagram and label:

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1. Draw a partograph.
2. Outlet forceps. (2 x 1 = 2 marks)

IV. Short answer questions:

1. Perinatal mortality.
2. Trophoblast.

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3. Septic abortion.
4. Cephal haematoma. (4 x 1 = 4 marks)

V. Write short notes on:

1. Cardiovascular changes in pregnancy.
2. Engagement.

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3. Persistent trophoblastic disease. (3 x 2 = 6 marks)

Section B

VI. A 20 year primigravida presents with breech presentation at term:

1. What are the types of breech presentation?
2. Describe the mechanism of breech delivery.

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3. How will you conduct assisted breech delivery? (4 + 4 + 2 = 10 marks)

Turn over

VII. Short answer questions:

1. Anticoagulation in pregnancy.
2. Neonatal complications of diabetic pregnancy.

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3. Hegar's sign.
4. Prevention of Rh-isoimmunization. (4 x 1 = 4 marks)

VIII. Write short notes on:

1. Determination of chrionicity.
2. Antepartum foetal surveillance.

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3. HELLP syndrome. (3 x 2 = 6 marks)

I. MULTIPLE CHOICE QUESTIONS

Paper I-OBSTETRICS INCLUDING SOCIAL OBSTETRICS

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

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

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

1. All these are methods of inducing labour except-
   1. Oxytocin
   2. Prostaglandins
   3. ARM.
   4. Amnioinfusion.

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2. Drug used for treating preterm labour:
   1. Methyl ergometrine.
   2. Ritodrine.
   3. Mesoprostal.
   4. Ethinyl oestradiol.

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3. The engaging diameter in face presentation:
   1. Suboccipito bregmatic.
   2. Occipito frontal.
   3. Mentovertical.
   4. Sub mentobregmatic.

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4. Physiological changes in pregnancy include all except:
   1. Heart is pushed upwards and outwards.
   2. Blood volume increase.
   3. Diastolic murmur over apex.
   4. Cardiac output increased.

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5. Shirodhkar's operation is done for:
   1. Missed abortion.
   2. Inevitable abortion.
   3. Cervical incompetence.
   4. Hydatidiform mole.

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6. Medical management of ectopic pregnancy is suitable in all but:
   1. Haemodynamically stable patient.
   2. Tubal diameter less than 4 cm.
   3. Presence of foetal cardiac activity.
   4. All of the above

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Turn over

7. Indication for caesarean section in multiple pregnancy:
   1. Contracted pelvis.
   2. Placenta praevia.
   3. First baby transverse lie.

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   4. All are correct.
8. All these changes may occur in pre-eclampsia except:
   1. Thrombocytopenia.
   2. Increased uric acid.
   3. Elevated liver enzymes.

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   4. Haemodilution. (8 x ½ = 4 marks)

II. Match the following:

1. Vasa praevia
2. Chorionic villus sampling

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3. Meconium
4. Jaundice
5. Occipito posterior position
6. Lactational amenorrhoea method
7. External cephalic version

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8. B Lynch suture

1. Amnioinfusion.
2. Rh incompatibility.
3. Android pelvis.
4. Atonic PPH.

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5. Foetal exsanguination.
6. Breech presentation.
7. Contraception.
8. Chromosomal study. (8 x ½ = 4 marks)

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