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FINAL M.B.B.S. DEGREE EXAMINATION, MARCH 2003
Part II
OBSTETRICS AND GYNAECOLOGY-Paper II
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(Includes Gynaecology, Family Welfare and Demography)
Time: Two Hours
Maximum: 40 Marks
Answer all the questions.
Draw diagrams wherever necessary.
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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 1/2 = 4 marks)
II. Match the following. Single response type 8 (separate sheet attached). (8 x 1/2 = 4 marks)
III. Draw diagrams and label : (2x1=2 marks)
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- Copper T.
- Histology of vaginal mucosa.
IV. Short answer questions : (4 x 1=4 marks)
- Cervical fibroid.
- Dodderlein bacilli.
- Nabothian follicle.
- Rubins cannula.
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V. Write short notes on: (3 x 2=6 marks)
- Brenner tumour.
- Methotrexate.
- Mefipristone.
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Section B
VI. Read this case summary and answer the following questions :
44 year old nulliparous woman, presenting with menorrhagia of six months duration.
- What is the most probable diagnosis ?
- List one important investigation you will do and the findings you expect from that.
- How will you medically treat menorrhagia ?
- Give the important steps of total abdominal hysterectomy.
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(1+3+3+3 = 10 marks)
VII. Short answer questions: (4 x 1=4 marks)
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- Emergency contraception.
- Causes of maternal mortality in Kerala.
- Pyometra.
- Blighted ovum.
VIII. Write short notes on: (3 x 2 = 6 marks)
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- Operative laparoscopy.
- Cryptomenorrhoea.
- Fractional curettage.
C 24421
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C 24421
OBSTETRICS AND GYNAECOLOGY-Paper II
(Includes Gynaecology, Family Welfare and Demography)
I. MULTIPLE CHOICE QUESTIONS
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Note.-(1) Do not write anything on the question paper.
(2) Write your register number in the answer-sheet provided.
(3) Select one most appropriate response and encircle the corresponding alphabet against each question number in the answer-sheet provided.
- Commonest predisposing factor for ectopic pregnancy is :
- Endometriosis.
- Intrauterine devices.
- Pelvic inflammatory disease.
- Oral contraceptive use.
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- Fibroids can produce all of the above except :
- Menorrhagia.
- Intestinal obstruction.
- Infertility.
- Urinary retention.
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- Cancer of the endometrium is common in:
- Teenage girls.
- Multiparous elderly women.
- Women in child bearing age.
- Nulliparous elderly.
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- Endometriosis is caused by:
- Retrograde menstruation.
- Serosal metaplasia.
- Altered immunity.
- All of the above.
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- Clomiphene citrate is :
- An antioestrogen.
- A week progesterone.
- An androgen.
- An oestrogen.
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- The commonly reported failure rate of Pomeroy sterilization is :
- 0.1%.
- 0.2%.
- 0.4%.
- 0.6%.
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- Uterus develop from:
- Mullerian system.
- Wolfian system.
- Midgut.
- Hindgut.
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- Most probable diagnosis in a patient presenting with a suburethral nodule is :
- Melanoma.
- Varicose vein.
- Choriocarcinoma.
- Urethral caruncle.
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(8 x 1/2 = 4 marks)
OBSTETRICS AND GYNAECOLOGY-Paper II
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(Includes Gynaecology, Family Welfare and Demography)
II. Match the following :--
- Marsupialisation
- Sims Huhner test
- Danazol
- Cytobrush
- Decidual cast
- Clue cells
- Filshie clip
- Kellys plication
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- Vaginitis.
- Endometriosis.
- Laparoscopic sterilisation.
- Stress incontinence.
- Bartholin's cyst.
- Ectopic gestation.
- Cervical factor.
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(8 x 1/2 = 4 marks)
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