PAPER CODE: MB2019136
KALOJI NARAYANA RAO UNIVERSITY OF HEALTH SCIENCES
TELANGANA, WARANGAL ? 506 002
FINAL MBBS PART-II DEGREE SUPPLEMENTARY EXAMINATIONS: JUNE, 2025
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OBSTETRICS AND GYNAECOLOGY
Paper - I
Time: 3 Hours
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Max Marks: 100
Note: Answer all questions
Give Diagrammatic representation wherever necessary
Multiple Choice Questions: 10 X 1 = 10
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1.28-year-old lady with 8 weeks amenorrhoea, complains of vaginal bleeding
and lower abdominal pain, On ultrasonography 8 weeks size live fetus is seen
and internal os is closed. The diagnosis is:
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a) Threatened Abortion
b) Missed Abortion
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c) Inevitable abortiond) Incomplete abortion
2.
Which of the following statement is true for complete molar pregnancy?
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a) HCG levels will be low
b) HCG levels will be high
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c) TSH levels will be high
d) Fetal heart rate is normal on
ultrasound
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3.After delivery the patient was found to have a perineal tear classified as 3b.
Which structure is not involved?
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a) Internal anal sphincterb) Superficial transverse perineal
muscle
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c) External anal sphincterd) Bulbospongiosus muscle
4.
In multiple pregnancy, vaginal delivery is planned for:
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a) Triplet pregnancy
b) First vertex, second breech
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presentationc) Monochorionic
d) First breech, second vertex
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monoamniotic twinspresentation
5.
In assisted breech delivery, the after coming head is delivered by:
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a) Burns-Marshall manoeuvre
b) Pinard's manoeuvre
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c) Lovset's manoeuvred) Outlet forceps
6.
In footling presentation:
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a) Hips are flexed, Knees are
b) Hips are extended, Knees are
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flexedextended
c) Hips are flexed, Knees are
d) Hips are extended, Knees are flexed
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extended7.
Emergency management of shoulder dystocia is:
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a) Lovset's manoeuvreb) Pipers Forceps delivery
c) McRoberts manoeuvre
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d) Burn Marshall technique8.
Factors favouring for long internal rotation in Occipito posterior malposition:
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a) Deflexed head
b) Premature rupture of membranes
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c) Good uterine contractionsd) Laxity of pelvic floor muscles.
9.
A women is diagnosed to be positive for HIV in her first trimester. What is the
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appropriate management?a) Start ART immediately and b) Start ART after 1st trimester and
continue till 6 weeks after
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continue till 6 weeks after delivery.delivery.
c) Start ART immediately and d) Start ART after 1st trimester and
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continue life-long.continue life-long.
10. Magnesium sulphate has no role in:
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a) Neuroprotection in preterm b) Prevention of seizures in severe pre-labour
eclampsia
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c) Prevention of RDS ind) Prevention of recurrent seizures in
premature babies
eclampsia
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Essay/ Long Answer Questions:
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2 X 15 = 30
11. 28 years old primigravida at 33 weeks of pregnancy has come with history of
painless vaginal bleeding which started 1 hour ago but has now subsided. She
can feel the fetal movements. What is your diagnosis? Discuss investigations
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and management of the case.12. Define puerperium. Discuss the physiological changes taking place during
puerperium. How will you manage a patient with puerperal pyrexia?
Short Answer Questions:
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7 X 6 = 42
13. Management of eclampsia.
14. External cephalic version.
15. Parenteral iron therapy in pregnancy.
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16. Induction of labour.17. Write the differences between Caput-succedaneum and Cephal haematoma.
18. Bio physical profile (BPP).
19. How will you counsel a patient before caesarean delivery.
Very Short Answer Questions:
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6 X 3 = 18
20. Methotrexate.
21. Screening for GDM in Pregnancy.
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22. Complications of twin gestation.23. Prevention of vertical transmission of HIV.
24. Cervical circlage.
25. Pelvic assessment.
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