Download DNB 2020 December Rural Surgery Paper III Question Paper

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RURAL SURGERY

PAPER-III

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Time: 3 hours

Max. Marks: 100

RURAL/D/20/44/III

Important Instructions:

• You are provided with 5 answer sheet booklets. Each individual answer sheet booklet consists of 10 pages excluding the covering jackets.

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• Answers to all the questions must be attempted within these 5 answer sheet booklets which must be later tagged together at the end of the exam.
• No additional supplementary answer sheet booklet will be provided.
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.

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• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.

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Write short notes on:

1. 2+(3+3)+2

   1. What are the causes of jaundice during pregnancy?
   2. How would you investigate and manage a pregnant woman having jaundice at 30 weeks of pregnancy?
   3. What complications can occur in her?

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2. 2+3+5

   1. Define fetal growth retardation.
   2. Enlist its causes.
   3. How would you manage a pregnant woman with growth retardation diagnosed at 34 weeks?

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3. 5+2+3

   1. Write the physiology of normal menstruation using a diagram.
   2. What do you understand by heavy menstrual bleeding?
   3. Enlist the causes of heavy menstrual bleeding during the reproductive years.

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4. 2+(3+2+3)

   What is Copper IUCD insertion at the time of caesarean section called? Write its contradictions, follow up and complications.

5. 2+4+2+2

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   1. What is eclampsia?
   2. Enlist its maternal and fetal complications.
   3. What is the drug of choice for eclampsia?
   4. Where should the patient be managed?

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6. 2+3+5

   1. Define polyhydramnios.
   2. Enlist its causes.
   3. How would you manage a pregnant woman with polyhydramnios at 34 weeks?

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7. 2+2+3+3

   1. What are the various types of episiotomies?
   2. What are the structures cut during episiotomy?
   3. Enlist its complications.
   4. Post-delivery care of episiotomy.

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8. 2+2+2+3+1

   1. Define ectopic pregnancy.
   2. What are its causes?
   3. How can an unruptured tubal pregnancy be diagnosed?

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   4. What are the criteria for its medical management?
   5. Which drug is commonly used for the medical management of unruptured tubal pregnancy?

9. 3+2+(3+2)

   What are the signs and symptoms of vaginal candidiasis? How would you confirm the diagnosis? Discuss the causes and treatment of vaginal candidiasis.

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10. 2+3+2+3

    1. What are uterine fibroids?
    2. Write the common symptoms caused by fibroids.
    3. How would you confirm the diagnosis?

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    4. How would you manage a 30 year old, P2L2, having a 3x3 cm submucous symptomatic fibroid?

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