O&G Sessional Question Papers

Batch 16

Sem 6

1. Describe differentiating features of true labour pains from false labor pains.

2. Describe the phases of lactation.

3. Mention 5 common causes for recurrent abortion. How do you diagnose and manage inevitable abortion at 10 weeks?

4. Mention the complications of a pregnancy with gestational diabetes mellitus.

5. Describe 5 common symptoms of fibroid uterus.

6. Describe the method of taking and sending Papanicolaou smear for screening for cancer of cervix.

7. Mention the mechanism of action and complications of an intrauterine contraceptive device.
page tags: batch16 mmmc ong questions

Batch 14

Sem 8

Q1
A 36 years of age gravida 5 Para 4, with 26 weeks of gestation presents to complaints of thick, curdy white, vaginal discharge for last ONE week. On clinical examination her blood pressure was 150/100 mm of mercury and fundal height is about 32 cms.
- List 4 relevant histories that you would like to ask this patient with rationale for each one of them (2)
- List at least 4 clinical signs that you would look for in this patient with reasoning for each (2)
- What would be your most likely diagnosis in this patient? Justify with reasons for each of them. (2)
- Discuss the evaluation and management plan with rationale during pregnancy (2+2)

Q2
Following are the results of investigations done on a 56 year old, para 3, live 3 woman present with lower abdominal distension of 6 months duration.
Hb: 10.5 gm/dl, Blood sugar: Fasting: 5.2 mmol/L, Postprandial: 9.2 mmol/L; Serum CA 128 level: 140 units/L
Ultrasound scan (abdomen): pelvic mass, 6 x 7 cm with internal echoes, solid structure.
Endometrial thickness: 9 mm, Pap smear: Inflammatory cells, unremarkable, Pipelle sampling: Proliferate endometrium
- List all tha ABNORMAL investigative findings with interpretation of the same (2)
- What additional history and clinical examination might be of help to you in arriving at a diagnosis? Give reason for each (2+2)
- What is the most likely DIAGNOSIS in this patient and why?
- Outline the management plan for this patient with justification (2)

Q3
Write short notes on types of medical methods of induction of labour with indications and contraindications (5)

Sem 9

1. A nulliparous woman aged 35 years presents to primary care clinic with history of 10 weeks amenorrhea following previous regular cycles. She also reports to have retrosternal burning pain for the last 4 days. She recently confirmed her blood group and Rh type to be A negative. (4+2+2+2)
a. List the symptoms and signs of pregnancy that she might have at this period of amenorrhea? What is the definitive evidence of pregnancy at this period of amenorrhea?
b. List 4 obstetric risks that she might face in view of her age.
c. Indicate the additional tests that need to be performed at this visit, in view of her Rh type.
d. What advice needs to be offered to relieve her complain of retrosternal pain?

2. A G6P5L5 aged 38 years at 30 weeks of POG with Hx of previous one CS has been attending her regular antenatal visits. Her recent investigations results were as follows. Hemoglobin - 8g/dl. MGTT: 5.9 and 8.8 mmol/L fasting and 2 hours post prandial respectively. (2+3+4+1)
a. List all the risk factors that you have recognized in this patient from the details given.
b What additional tests need to be done in view of her Hb?
c. Briefly discuss the plan of management, if the investigations revealed Iron deficiency Anemia.
d. Comment on the MGTT results and state the diagnosis according to the WHO criteria.

3. Write short note on aetiopathogenesis of pre-eclampsia. (5)

4. A single, but sexually active woman aged 26 presented 3 days ago (from 15.9.2008) with history of severe lower abdominal pain for one day. Her LMP was on 1st August 2008 and she reported it to be Normal. (2+2+2+2+2)
a. List 4 differential diagnoses.
b. List 4 sings of the most common condition considered with this presentation.
c. What investigations would be helpful in further confirming the diagnosis.
d. Outline the principles of management of this patient.
e. On her discharge following treatment, she requested for contraceptive advice. What contraceptive advice would you like to offer?

5. A 30 year old nulligravida woman with Hx of infertility of 5 years duration was found to have uterine fibroids (2 in number, each measuring 5x6cm) on USG. (2+2+4+2)
a. State the most likely location of these fibroids to account for her infertility.
b. Name the conservative surgery indicated in this patient.
c. List the pre-requisites for the surgery as mentioned above.
d. List 2 intraoperative and 2 remote complications of this surgery.

6. Write short note on prevention of Cervical Cancer. (5)

EOP Group C

[5 x 10 = 50 Marks]

1. A 30 year old primigravida was hospitalized witha blood pressure of 150/100 mmHg. Her investigations were as follows: Hb- 10g/dl, Platelets 80,000/ul.
a. State the most probable diagnosis.
b. State 3 more investigations that will help in further assessing her condition. Provide explanations.
c. What are the risks in this case? (List any 5)

2. A 35 year old para2, who delivered vagianlly 5 days ago, presents witha bout of ofresh, heavy bleding per vagina. Examination revealed temperature of 38.8 C and mild suprapubic tenderness was noted.
a. State the diagnosis.
b. Indicate 3 relevant investigations.
c. Briefly outline the plan of management.

3. Write short note on "Supine hypotension". State from what period of gestation it is known to occur.

4. Briefly discuss management of the following minor ailments of pregnancy.
a. Heart Burn.
b. Constipation
c. Varicose veins of lower limbs
d. Low back ache

5. Write short note on "routine urine examination" during pregnancy.

6. Define the following.
a. Maternal death
b. Direct maternal death.
c. Indirect maternal death.
d. Late maternal death.
e. Coincidental deaths.

7. Write short note on Dx and Mx of bacterial vaginosis.

8. What is an ectropion of the cervix? List 2 symptoms. Mention the Mx.

9 Write short note of complications of miscarriage.

10. A 55 year old post menopausal woman who is a known diabetic and hypertensive presents with bleeding pervaginum for 5 days.
a. List the possibilities.
b. List with explanations the relevant investigations that need to be done.

Batch 12

Sem 9

Section 'A'
1. A 30-year-old Primigravida at 38 weeks of gestation is in active labour. The partogram reveals
delayed progress in active phase.
a. Define active phase of labour
b. Discuss the likely maternal & fetal causes for her delayed progress
c. Outline the management
d. List 4 (2 maternal & 2 fetal) complications of prolonged labour (1 +4 + 3 +2)

2. A Primiravida at 32 weeks of gestation presents with persistent severe headache. Blood pressure
was measured to be 170/110mmhg.
a. State the most likely diagnosis & list the other symptoms that this patient may possibly
have.
b. List 2 other physical findings that should be looked for in addition to the raised blood
pressure
c. List the investigations that should be performed. Provide explanations.
d. List 4 complications that may occur in this condition
e. Outline the management (2+1+2+2+3)

3. Write short note on contraindications and complications of external cephalic version. Indicate,
what period of gestation that the procedure is to be performed (2 +2+1)

SECTION 'B'

1. a. Describe pathophysiology & risk factors for endometriosis.
b. Discuss the management of a 3 3-year-old para 2 living 2 presenting with severe dysmenorrhoea & dyspareunia whose physical examination and ultrasound revealed bilateral chocolate cysts.
(5+5)

2. A 45-year-old para6 presents with history of postcoital bleeding of 3 months duration.
a. List the differential diagnoses.
b. Discuss the evaluation and describe the management for any one condition (2 + 4 + 4)

3. a. Indicate the appropriate choice of contraception for the following women, with justification,
b. List 4 contraindications for each of the methods you chose. (1 +2 + 2)
1. A 25-year-old single, nulliparous woman with high risk behavior, keen on avoiding
pregnancy
2. A para2 live 2 from low socio economic group, on her postnatal visit requesting for
contraception

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