Download MBBS TMU Final Year 2018 MBS403 Obstetric And Gynaecology II Question Paper

Part 'B'

1. Describe FIGO staging of carcinoma cervix. How would you manage a 45 years old patient with cervical cancer stage II A? (7)

2. A 60 years old, multiparous woman came to gynae OPD with complaints of something coming out per vaginum: (2+2+3=7)

   1. Write differential diagnosis.
   2. Describe supports of uterus.

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   3. How will manage the case

Part 'C'

3. Describe briefly the following: (4x4=16)

1. The clinical features of Genital Tuberculosis.
2. Methods of 1st Trimester termination of pregnancy

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3. Tests for tubal patency.
4. Candidal Vaginitis

MBBS III (Third) Professional Part-2 Examination 2017-18

Course Code:MBS403

Obstetric and Gynaecology - II

Part 'A'

Time: 20 Minutes

Max Marks: 10

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Note: 1. Attempt all questions and return this part of the question paper to the invigilator after 20 Minutes.

2. Please tick (√) correct one only. Cutting, overwriting or any other marking are not allowed.

3. For answering please use Ball- pen only.

1. Q.1 A 63 years old lady presents with abdominal mass and weight loss, was diagnosed as having an ovarian tumour. The most common ovarian tumour in this woman would be:

   1. Epithelial tumour

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   2. Germ Cell tumour
   3. Stromal tumour
   4. Sex cord tumour

2. Q.2 A 23 years old primigravida presents with abdominal pain, syncope and vaginal spotting. Assessment reveals that she has an ectopic pregnancy. The most common site of pregnancy is:

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   1. Isthmus
   2. Ampulla
   3. Fimbrial end
   4. Cervix

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3. Q.3 Mean age for menopause is:

   1. 40 years
   2. 45 years
   3. 51 years
   4. 48 years

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4. Q.4 A 25 years old school teacher Para 1 wants to use oral contraceptive pills for contraception. She is asking about the mode of action of oral contraceptive pills. The mechanism of action of oral contraceptive pills is:

   1. Inhibiting ovulation by suppression of serum FSH
   2. Inducing endometrial atrophy
   3. Increasing cervical mucous hostility

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   4. Inducing endometritis

5. Q.5 Women complaining of milky whitish discharge with fishy odour. No history of itching. Most likely diagnosis is:

   1. Trichomoniasis
   2. Bacterial Vaginosis

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   3. Candidiasis
   4. Malignancy

6. Q.6 A young medical student has come to you with complaints of oligomenorrhea, hirsutism and

   1. Diabetes mellitus

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7. Q.7 A 39 years old women Para 6 has presented with FirstRanker.comcoital bleedingf FirstRanker.com months. Your first investigation should be:

   1. Dilatation & Curettage
   2. Cone biopsy of cervix
   3. Pap smear

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   4. Colposcopy

8. Q.8 A 40 years old multiparous woman complains of involuntary loss of urine associated with coughing, laughing, lifting or standing. The history is most suggestive of:

   1. Fistula
   2. Stress incontinence

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   3. Urge incontinence
   4. Urethral diverticulum

9. Q.9 A 28 years old G3 P2 has presented with complaints of brownish vaginal discharge, passage of vesicles and excessive vomiting. Ultrasound scan shows snowstorm appearance in uterus with no fetus. The most likely diagnosis is:

   1. Septic induced abortion

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   2. Twin pregnancy
   3. Gestational trophoblastic disease
   4. Ectopic pregnancy

10. Q.10 The maximum number of oogonia are formed at what age of female life:

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    1. One month intrauterine
    2. Five month intrauterine
    3. At birth
    4. At puberty

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11. Q.11 Menarche usually occurs at age of:

    1. 8 and 10 years
    2. 11 and 13 years
    3. 14 and 16 years
    4. 17 and 18 years

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12. Q.12 A 28 year old patient complains of amenorrhea after having dilatation and curettage. The most likely diagnosis is:

    1. Kallman's Syndrome
    2. Turner's Syndrome
    3. Asherman's Syndrome

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    4. Pelvic inflammatory disease

13. Q.13 The most common cause of vesicovaginal fistula (VVF) in under developed countries would be:

    1. Obstetrical injuries
    2. Pelvic irradiation

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    3. Carcinoma
    4. Haemorrhoidectomy

14. Q.14 A large cystic ovarian tumour is detected in a woman on routine antenatal check up. The most common complication she can encounter is:

    1. Torsion

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    2. Rupture
    3. Haemorrhage
    4. Degeneration

15. Q.15 Which of the following is used to take cervical smear:

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    1. Colposcope
    2. Vaginoscope
    3. Ayre's spatula
    4. Laparoscope

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16. Q.16 Serum prolactin levels are highest in which of the following:

    1. Menopause
    2. Ovulation
    3. Parturition
    4. Sleep

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17. Q.17 Main uterine support is:

    1. Uterosacral ligaments
    2. Round ligaments
    3. Transverse cervical

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    4. Broad ligaments

18. Q.18 Which of the following pubertal event would occur even in the absence of ovarian estrogen production:

    1. Thelarche
    2. Menarche

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    3. Pubarche
    4. Skeletal growth

19. Q.19 Which of the following is used as an emergency contraceptives:

    1. Combined oral contraceptive pills

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    2. Progesterone only
    3. Depoprovera
    4. Levonorgestril (EM-Kit)

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