KUHS MBBS Obstretics And Gynaecology Previous Question Paper - May 2025 (327001 2019 Scheme)

327001Kerala University of Health Sciences · Obstetrics And Gynaecology · 2025 · May · 2019 Scheme

Questions (18)

  1. 1.A 22 year married girl presents with irregular menstrual cycles and weight gain. She has acne and excessive facial hair.
    Which of the following is true in PCOD a) Insulin is low c) Low oestrogen b) Increased androgen levels d) Hyper thyroid
    All of the following are treatment options for PCOD except: a) Life style modification b) Combined OCP c) Metformin d) Steroids
    Drug of choice for regularisation of menstruation in PCOD a) Combined oral contraceptive pill c) Depot medroxy progesterone b) Clomiphene citrate d) LNG –IUS
    The most common cause for infertility in PCOD is: a) Tubal factor b) Endometrial abnormality c) Anovulation d) Cervical factor
    What is the most probable diagnosis a) Androgen producing tumor c) Tuberculosis b) Polycystic ovarian disease (PCOD) d) Endometriosis
    5 Marks
  2. 2.Two statements - Assertion (A) and Reason (R). Answer these questions by selecting the appropriate options given below.
    Assertion (A): HPV infection is a risk factor for carcinoma of cervix. Reason (R): HPV 16 &18 are high risk oncogenic strains. a) Both A and R are correct and R is correct explanation of A c) A is correct; R is incorrect b) Both A and R are correct and R is not correct explanation of A d) A is incorrect; R is correct
    Assertion (A): Congenital hypogonadotrophic hypogonadism is a cause for primary amenorrhea. Reason (R): Hypogonadotrophic hypogonadism is seen in Kallmann syndrome. a) Both A and R are correct and R is correct explanation of A c) A is correct; R is incorrect b) Both A and R are correct and R is not correct explanation of A d) A is incorrect; R is correct
    Assertion (A): Endometriosis commonly causes infertility. Reason (R): Endometriosis distorts pelvic anatomy by scarring and adhesions. a) Both A and R are correct and R is correct explanation of A c) A is correct; R is incorrect b) Both A and R are correct and R is not correct explanation of A d) A is incorrect; R is correct
    Assertion (A): Submucosal fibroids cause heavy menstrual bleeding Reason (R): Subserosal fibroids increase the endometrial thickness. a) Both A and R are correct and R is correct explanation of A c) A is correct; R is incorrect b) Both A and R are correct and R is not correct explanation of A d) A is incorrect; R is correct
    Assertion (A): Combined contraceptive pills reduce the risk of endometrial cancer. Reason (R): Combined contraceptive pills are the best choice in treating endometrial hyperplasia. a) Both A and R are correct and R is correct explanation of A c) A is correct; R is incorrect b) Both A and R are correct and R is not correct explanation of A d) A is incorrect; R is correct
    5 Marks
  3. 3.Multiple-response type questions. Read the statements & mark the answers appropriately
    Following are FALSE about Dermoid cyst 1) Torsion is one of the complication 2) It is a sex cord stromal tumour 3) Incidence of bilateral dermoid cyst is <1% 4) It is common in menopausal age a) 1, 2 and 3 b) 1, 2 and 4 c) 2, 3 and 4 d) 1 and 3
    Criteria for medical management of ectopic pregnancy 1) Unruptured ectopic pregnancy 2) Beta HCG > 5000 i.u 3) Sac size <3.5 cms 4) Absent Fetal heart rate a) 1, 2 and 3 b) 1, 2 and 4 c) 2, 3 and 4 d) 1, 3 and 4
    Which of the following in endometriosis is TRUE 1) It is commonly associated with chronic pain 2) Laporoscopy is the best method to diagnose 3) Infertility may be seen in this condition 4) Life style modification is the treatment of choice a) 1, 2 and 3 b) 1, 2 and 4 c) 2, 3 and 4 d) 1, 3 and 4
    In vaginal candidiasis following are CORRECT 1) KOH preparation to see the hyphae and budding yeast 2) Rule out Diabetes 3) Clotimaxozole is the drug of choice 4) Vaginal PH is >7.5 in candidiasis a) 1, 2 and 3 b) 1, 3 and 4 c) 1, 2 and 4 d) 2, 3 and 4
    Risk factors for endometrial carcinoma 1) Obesity 2) Hypertension 3) Combined oral contraceptive pills usage for 4 years 4) Delayed menopause a) 1, 2 and 3 b) 1, 2 and 4 c) 2, 3 and 4 d) 1, 3 and 4
    5 Marks
  4. 4.Single-response type questions
    Karyotype of complete hydatid form mole is: a) 45XO b) 69XXY c) 46XX d) 47XXY
    Indicators of ovarian reserve are all EXCEPT a) Anti mullerian hormone c) Volume of ovary b) Antral follicular count d) CA 125
    Uterus develops from: a) Mesonephric duct b) Genital ridge c) Paramesonephric duct d) Genital tubercle
    Which of the following statement is FALSE in HIV a) Vertical transmission to newborn is 15-25% if no intervention is given b) Breast feeding may also cause transmission to baby c) Artificial feeding is advised always d) Transmission of HIV from male to female is high
    A 16-year-old girl with 6 weeks of pregnancy comes for MTP. What is the first line of management a) Mifepristone b) Misoprostol c) Oxytocin d) Inform the police
    5 Marks
  5. 5.A couple is unable to conceive after 3 years of unprotected intercourse. a) What are the tests for ovulation b) What are the drugs used for ovulation induction c) WHO criteria for normal Semen parameters d) Tests for tubal patency
    10 Marks
  6. 6.47-year-old woman presents with post coital bleeding. On vaginal examination there is an ulcerative lesion on cervix which bleeds on touch. a) What is the most probable diagnosis and one differential diagnosis b) Risk factors for this carcinoma c) Management of stage 1 of this condition d) Complications of this condition
    10 Marks
  7. 7.A patient reported because she cannot feel the thread of Copper –T inserted 2 years back. What are the possibilities for missing thread. How will you manage her
    6 Marks
  8. 8.26-year woman reports with fever, pain abdomen and white discharge. How will you evaluate and manage the case.
    6 Marks
  9. 9.A 36-year lady presents with heavy menstrual bleeding and dysmenorrhoea. What is the approach and management.
    6 Marks
  10. 10.A young couple recently married have come for contraceptive advice. How will you counsel and advice. What are the ethical principles to be kept in mind while counselling.
    6 Marks
  11. 11.70-year-old woman presents with 3rd degree utero vaginal prolapse; she is not fit for prolonged. anaesthesia and hysterectomy. How will you Counsel and what are the management options.
    6 Marks
  12. 12.A 28-year-old lady has presented with secondary amenorrhoea and pregnancy test is negative. How will you investigate her.
    6 Marks
  13. 13.Clinical features of menopause
    4 Marks
  14. 14.Bartholin’s abscess
    4 Marks
  15. 15. Causes of heavy menstrual bleeding in submucous fibroid.
    4 Marks
  16. 16.Indications and Technique of PAP smear
    4 Marks
  17. 17.Emergency contraception.
    4 Marks
  18. 18. Role of hysteroscopy in gynaecology.
    4 Marks

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