Download MBBS TMU Final Year 2020 MBS403 Obstetric And Gynaecology I Question Paper

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MBBS III (Third) Professional Part-2 Examination 2019-20

Course Code: MBS403

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Paper ID: 03119404

Obstetric and Gynaecology - I

Time: 2 Hours 10 Minutes

Max Marks: 30

Note: Attempt all questions. Draw proper diagrams to support your answer.

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1. Part 'B'

   Enumerate absolute indications of Caeserean Section. How will you manage a case of 25 yr old 2nd gravida with Previous Caeserean Section at 36 wks of pregnancy? (3+4)

2. A woman presented to you with 7 months amonorrhoea with breathlessness, swelling over body, easy fatiguability. What are differential diagnosis? How will you manage it? (3+4)

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3. Part 'C'

   Write short notes on the following: (4x4=16)

   1. Screening of Diabetes in pregnancy
   2. Maternal Mortality in India
   3. Fetal Monitoring in labour.

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   4. Active management of 3rd Stage of Labour

MBBS III (Third) Professional Part-2 Examination 2019-20

Course Code:MBS403

Paper ID: 03119404

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Obstetric and Gynaecology - I

Part 'A'

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.

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2. Full flexion of head during normal vaginal delivery occurs in which position:
   1. Occipito posterior
   2. Mentoanterior
   3. Mentoposterior

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   4. Brow presentation
3. Indicators of impending uterine rupture during labour include all of the following except:
   1. Fetal distress
   2. Haematuria
   3. Fresh bleeding per vagina

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   4. Passage of meconium
4. A woman with 20 weeks of pregnancy presents with bleeding per vaginum. On speculum examination, the os is open but no products have come, the diagnosis is:
   1. Missed abortion
   2. Incomplete abortion
   3. Inevitable abortion

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   4. Complete abortion
5. Most important diameter of pelvis during labour is:
   1. Interspinous diameter of outlet
   2. Oblique diameter of inlet
   3. AP diameter of outlet

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   4. Intertubercular diameter of outlet
6. On TVS, which of the following shape of cervix indicates preterm labour:
   1. T
   2. Y
   3. U

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   4. O
7. Rupture of membranes is said to be premature when it occurs at:
   1. 38 wks of pregnancy
   2. 32 wks of pregnancy
   3. Prior to first stage of labour

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   4. 2nd stage of labour
8. Beta-Hcg level, is it that normal pregnancy can be earliest detected by TVS:
   1. Methylergometrine
   2. Folic acid
   3. Calcium

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   4. Vit.A
9. Which cardiovascular change is physiological in last trimester of pregnancy:
   1. Mid diastolic murmur
   2. Occassional Atrial fibrillation
   3. Shift of apical impulse laterally & upwards in left 4 ICS

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   4. Cardiomegaly
10. Anti Progesterone component, RU486 is effective for inducing abortions, if duration of pregnancy is:
    1. 63 days
    2. 72 days
    3. 88 days

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    4. 120 days
11. Macrosomia in diabetic fetuses is the result of:
    1. Maternal hyperglycaemia
    2. Fetal hyperglycaemia
    3. Fetal hyperinsulinemia

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    4. Maternal hyperinsulinemia
12. Commonest congenital malformation seen in pregnancy with Diabetes Mellitus is:
    1. Neural Tube defect
    2. Sacral agenesis
    3. Hydrocephalus

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    4. Oesophageal atresia
13. A woman develops chickenpox at 8 wks gestation. What is the best method to exclude fetal varicella syndrome:
    1. Perform amniocentesis at 15 wks& test for VZV DNA in amniotic fluid
    2. Perform an Ultrasound scan at 20 wks
    3. Perform an USG Scan immediately

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    4. Perform CVS & test for VZV DNA
14. Most common manifestation of Ectopic pregnancy is:
    1. Vomiting
    2. Bleeding
    3. Pain abdomen

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    4. Shock
15. Regimen followed in Expectant Management of Placenta praevia is:
    1. Liley's method
    2. Crede's method
    3. McAfee & Johnson's regime

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    4. Brandt's Andrew method
16. Most common type of twin pregnancy:
    1. Vertex + transverse
    2. Vertex + Breech
    3. Both Vertex

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    4. Both Breech
17. Which is not a complication of Rh Incompatibility:
    1. APH
    2. PPH
    3. PIH

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    4. Oligohydramnios
18. Which of the followinghaematological criteria remains unchanged in pregnancy:
    1. Blood Volume
    2. TIBC
    3. MCHC

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    4. Serum Ferritin
19. All of the following may be used in Pregnancy Induced Hypertension except:
    1. Nifedipine
    2. Captopril
    3. Methyldopa

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    4. Hydralazine

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