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

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

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Course Code: MBS403                                                   Paper ID:03119405
Obstetric and Gynaecology - II

Time: 2 Hours 10 Minutes                                               Max Marks: 30

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

Part 'B'

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1. Enumerate the causes of secondary amenorrhoea. Discuss the diagnosis and management of PCOS. (2+2+3)
2. Describe menorrhagia (Heavy Menstrual Bleeding). What are its common causes? Describe briefly the diagnosis and management of one of the common causes of menorrhagia (Heavy Menstrual Bleeding). (7)

Part 'C'

Describe briefly the following:

1. Hormone replacement Therapy.

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2. Red degeneration of fibroid
3. Cryptomenorrhea
4. Non contraceptive benefits of OCP

(4x4=16)

Part 'A'

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Time: 20 Minutes                                               Paper ID: 03119405
                                                                                                                 Max Marks: 10

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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1. Commonest cause of VVF in India:
   a) Obstructed labour     b) Gynaecological surgery     c) Carcinoma cervix     d) Post radiation
2. Ovary of new born have:
   a) 5 million primordial follicle     b) 2 million primordial follicle     c) 5 lac primordial follicle     d) 2 lac primordial follicle
3. All of the following female genital organ develop from mullerian ducts except:
   

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   a) Uterus     b) Fallopian tube     c) Vagina     d) Ovary
4. Which of the following is the earliest secondary sex development:
   a) Menarche     b) Growth of pubic hairs     c) Growth of external genitalia     d) Budding of breast
5. All are risk factors for vaginal candidiasis except:
   a) Diabetes mellitus     b) Hypertension     c) HIV     d) Pregnancy

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6. Treatment of carcinoma cervix III B include:
   a) Wertheim hysterectomy     b) Conization     c) Sehaute's operation     d) Radiotherapy
7. Which type of fibroid is most likely associated with menorrhagia and metrorrhagia:
   a) Subserous     b) Intramural     c) Cervical     d) Submucosal fibroid
8. All are branches of the anterior division of internal iliac artery except:
   

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   a) superior vesical     b) middle rectal     c) Superior gluteal     d) obturator
9. The number of oogonia reaches its maximum at:
   a) 12th week     b) 20th week     c) At birth     d) At puberty
10. The commonest change in fibroid over time is:
    a) cystic degeneration     b) Red degeneration     c) Hyaline degeneration     d) Calcareous degeneration

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11. The gold standard for the diagnosis of endometriosis is:
    a) Clinical     b) USG     c) CA 125     d) Laparoscopy
12. The commonest site for metastasis in choriocarcinoma is:
    a) Lung     b) Brain     c) Liver     d) Spine
13. Cervical intra epithelial neoplasia (CIN I) may undergo:
    

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    a) Regression in majority     b) Persistence in majority     c) Progress to invasive carcinoma in majority     d) Reoccurs after local treatment
14. Primary amenorrhoea is most commonly associated with:
    a) Development Defect of genital tract     b) Tuberculosis     c) Endocrine Disorder     d) Chromosomal abnormality
15. Diagnosis of Sheehan's syndrome is made by all except:
    a) Secondary amenorrhoea following PPH in child birth     b) Lactation is not affected     c) Falling of pubic hairs     d) Evidence of hypogonadotrophic hypogonadism

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16. Vaginal pH during reproductive period averages:
    a) 3.5-3.9     b) 4.0-5.0     c) 5.1-6.0     d) 6.1-7.0
17. Preferred surgery for uterine synechiae is:
    a) D&C     b) D&C followed by insertion of IUD     c) Hormonal treatment     d) Hystereoscopic adhesiolysis with placement of IUD
18. Indication of intrauterine insemination:
    

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    a) Hostile cervical mucus     b) Unexplained infertility     c) Oligospermia     d) All of the above

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