Kerala University of Health Sciences Bachelor of Medicine and Bachelor of SurgeryObstetrics And Gynaecology Previous Year Question Papers

A 28 years old woman is found to have a haemoglobin level of 8 grams % in her second trimester of pregnancy. Answer the following a) What are the investigations you would do b) How do you treat iron deficiency anemia in second trimester of pregnancy c) Management of labour in severe anemia d) Rationale of routine iron supplementation in pregnancy

Define and classify postpartum hemorrhage. Mention the causes of the same. Discuss the diagnosis and management of a 6th gravida profusely bleeding after a normal delivery.

Mrs. M, para1 living1 referred from primary health centre for PPH following full term vaginal delivery. a) Define PPH b) Enumerate causes for PPH c) Diagnosis and management of atonic PPH

Discuss the stages of carcinoma cervix, its symptoms, signs and its differential diagnosis. Add a note on its treatment options.

21years primigravida with 32 weeks of gestation comes with h/o tiredness, giddiness, and easy fatiguability a) Define anemia and what is the classification of anemia in pregnancy b) Discuss causes of anemia in pregnancy c) Discuss management of severe anemia at 32 weeks gestation

A 60yrs old postmenopausal women presented with mass per vagina. Answer the following a) Differential diagnosis of mass per vagina b) Classification of uterovaginal prolapse c) Signs and symptoms of prolapse d) Management of Stage III prolapse in the above patient

28 year old G2P1L1 with 26 weeks of pregnancy came with OGTT (Oral Glucose Tolerance Test) report of 160mg/dl. a) What is the diagnosis b) Enumerate maternal and fetal complications of the same c) Screening methods for diabetes in pregnancy d) Outline the management of GDM

Define normal delivery. Enumerate the abnormalities that can occur in each stage of labour.

A 55 years old woman presents with postmenopausal bleeding. Answer the following a) How will you evaluate b) Risk factors for cervical cancer c) FIGO staging of cervical cancer d) Management of Stage I carcinoma cervix

24 years primigravida with 34 weeks of gestation comes with complaints of edema feet, puffiness of face and headache for one week. Answer the following: a) What is the most probable diagnosis and important differential diagnosis b) What are the investigations to be done c) Describe the mode of management.

30 years old married for 5 years with primary infertility and menstrual cycles every 2-3 months. Answer the following: • What is the main cause for her infertility • Mention female factors causing infertility • Evaluation and management of anovulation

27 years old pregnant woman has NYHA class II cardiac disease. Answer the following:  NYHA classification of cardiac disease in pregnancy and what is class II.  What is the antenatal management  How will you conduct the delivery  What contraceptive advice to be given

A 35 years old woman presents with mass abdomen. Answer the following a) What are the differential diagnosis b) Classify ovarian tumours c) Complications of ovarian tumours d) Management of ovarian cyst in a young nulliparous woman

28Years old primigravida at 30weeks of gestation admitted with intermittent pain abdomen with occasional tightening and low backache for 6 hours. a) What is the probable diagnosis. What could be the etiological factors involved b) How would you manage this case c) Enumerate the Tocolytic drugs you would use d) What are the other drugs used to improve the neonatal outcome e) What are the complications of preterm delivery

A 22 year married girl presents with irregular menstrual cycles and weight gain. She has acne and excessive facial hair.

A 60 years old woman presents with mass per vagina which comes out on straining and also difficulty in micturition. Answer the following: • What is the most probable diagnosis • What are the complications. • Investigations to be done • Describe the management.

46-year-old multiparous woman come with heavy menstrual bleeding for 6 months. On examination pallor is present and abdominal examination is found to be normal a) Enumerate the causes for heavy menstrual bleeding b) List the investigations you do for this case c) Classification of abnormal uterine bleeding d) How do you manage this case e) List the Complications of hysterectomy

What are the clinical features of polycystic ovarian syndrome. What are the investigations useful for the diagnosis of PCOD. Treatment options for anovulatory infertility in PCOD.

Mrs. Y, 48-year-old woman, para3, living3 comes with h/o. mass per vagina of 1-year duration. a) Give differential diagnosis for mass per vagina b) Classify pelvic organ prolapse c) Write a brief note on management of 3rd degree uterine prolapse with cystocele

A 30 years old woman presents with vaginal bleeding at 30 weeks of gestation. Answer the following a) Define antepartum haemorrhage b) What are the causes c) How will you proceed with evaluation and diagnosis d) How will you manage placenta previa at 30 weeks of gestation

20 years old primigravida with newly detected hypertension at 35 weeks of gestation complains of headache and epigastric pain. Answer the following: • What is the classification of hypertensive disorders in pregnancy • What are the investigations to be done • Describe the management of eclampsia.

A 35 years multiparous presents to your OPD with heavy menstrual bleeding for past six months. She is pale and has 24 weeks firm mass palpable per abdomen a) What is your diagnosis b) Write the FIGO classification of the above condition c) Describe the management for the above patient d) Discuss the complications in detail

A 42 years old woman presents with heavy menstrual bleeding with pallor. Answer the following: • What are the differential diagnosis. • Classification of abnormal uterine bleeding • Management of Dysfunctional Uterine Bleeding • Complications of abdominal hysterectomy

Mention the indications for caesarean section. How to select women for vaginal delivery after caesarian section. How to monitor women with previous caesarian in labour. Management of labour including complications in Vaginal Birth After Caesarian sections

A 30 years old primigravida at 25 weeks of gestational age, come with urine culture report, which shows significant growth of E Coli. She does not have any urinary symptoms a) What is your Diagnosis b) Describe the physiological changes that occur in the urinary system during pregnancy c) What are the various urinary tract infections a pregnant woman can develop d) What are the maternal and fetal effects of Asymptomatic bacteriuria e) How do you treat Asymptomatic bacteriuria

Management of shoulder dystocia

Source and functions of estrogen.

Intrapartum fetal monitoring

Development of uterus and classification of mullerian anomalies

Complications of vesicular mole and follow up.

Medical management of endometriosis

Define PPH. Its causes. Describe the management of atonic PPH.

Clinical features, evaluation and management of adenomyosis

Ultrasound assessment of fetal growth

Phases of menstrual cycle

35years old para1 living 1 referred from nearby primary health center. She had a spontaneous vaginal delivery 1hour ago and Following the delivery of the placenta she had profuse vaginal bleeding. On admission, her pulse is 120bpm and BP is 100/70 a) Define PPH b) What are the possible causes for post-partum hemorrhage c) Enumerate the steps of management of above case d) If women continues to bleed despite the above measures, how would you manage her e) What is AMTSL and describe its components.

Two statements - Assertion (A) and Reason (R). Answer these questions by selecting the appropriate options given below.

Management of Abnormal Uterine Bleeding (AUB) in 20 years old girl

60-year-old multiparous woman a case of uterovaginal prolapse presented with blood stained discharge of 2 weeks duration; without any history of loss of appetite or loss of weight a) What is your diagnosis. What are the risk factors of UV prolapse b) What are the various supports of uterus c) What are the degrees of the UV prolapse. What is the full form of POP-Q d) How do you manage this case e) Write the steps of Fothergill’s repair (Manchester operation)

Normal semen analysis report.

Describe the types of retained placenta. What is the management of placenta accreta.

A 55 year old multiparous presents to your OPD with foul smelling blood stained discharge per vagina a) Enumerate the differential diagnosis b) FIGO staging of carcinoma cervix c) Discuss the management of advanced carcinoma cervix d) Preventive strategies for carcinoma cervix

Management of nulliparous prolapse.

A 35 years old primigravida at 35 weeks of gestation reports to the casualty with complaining of headache, on examination her BP is 170/110mmhg. She is not in labour and NST is reactive. a) What is the diagnosis b) Discuss the Risk factors and pathogenesis of this condition c) What investigations will you order d) Discuss the appropriate medical and obstetrical management in this case e) List the maternal and fetal complications of Preeclampsia

Diagnosis and management of cervical incompetence

Pathophysiology and risk factors for developing pre-eclampsia

Prescription of balanced diet in pregnancy

Tubal factors for fertility and its patency tests.

Define maternal mortality. Discuss important causes and prevention of Maternal mortality

Imminent Eclampsia

Causes for cervical incompetence and management.

Define Hyperemesis gravidarum. Write clinical features and discuss management of Hyperemesis gravidarum.

Pathogenesis of endometriosis. Classification and description of pelvic endometriosis

Cardinal movements in labor

Evaluation of tubal factor in infertility

A 28 years old Gravida 2 para1 at 8 weeks of pregnancy with previous history of gestational diabetes comes to OPD .How will you counsel her and manage this pregnancy

Multiple-response type questions. Read the statements & mark the answers appropriately

Cervical Intraepithelial Neoplasia (CIN) management

How do you manage a case of 79-year-old woman with post-menopausal bleeding

Management of fibroid uterus in 25 years old infertile woman.

Screening for cervical intraepithelial neoplasia

Describe the diagnosis, management and follow up of molar pregnancy.

A 19 year old married woman presents with genital prolapse. Discuss the management of the condition

Diagnostic tests for ovulatory causes of infertility.

Discuss the Prepregnancy counselling and antenatal management of type 2 diabetes complicating pregnancy

HELLP Syndrome

Maternal and fetal complications of twin pregnancy

Enumerate MCH (maternal and child health) care indicators

Fibroid polyp.

Write a note on recent amendments of MTP act and discuss methods of 1st trimester MTP

Signs and symptoms of fibroid uterus, FIGO classification of fibroid and discuss medical management of fibroid uterus

Management of Rh negative pregnancy

Indications and complications of obstetric hysterectomy.

Differential diagnosis of Acute Pelvic Inflammatory Disease

Antenatal assessment of fetal wellbeing.

Management of atonic PPH

Endometrial Hyperplasia

A 21 years old primigravida of 30 weeks of gestation is brought to casualty with history of two episodes of convulsions at home. She is conscious and her BP is 150/100.What is your provisional diagnosis, how will you investigate and manage her

Single-response type questions

Syndromic management of STD

A 19 year old woman presents with a painful swollen right labium majorum. Discuss your differential diagnosis and investigations you do for this case. Outline your treatment for this patient

Tumor markers.

Complications of multiple pregnancy

What are the maternal and fetal complications of gestational diabetes mellitus.

A 35 year old infertile woman presents to your OPD for evaluation. Discuss the steps

How do you manage a case of 28years old primigravida at 32 weeks of gestation with fetal growth restriction (FGR)

Differential Diagnosis of puerperal pyrexia

Screening for gestational diabetes mellitus

Hydrops fetalis

Brenner tumor

Follow up of vesicular mole after evacuation

1st trimester USG

Cardiovascular changes that mimic heart disease in pregnancy

LNG IUS (Levonorgestrel –Releasing Intrauterine System)

Diagnosis of diabetes in pregnancy.

Dysgerminoma

Screening for diabetes mellitus in pregnancy

Puberty menorrhagia

How will you evaluate a 19 years old primigravida at 24 weeks of gestation with severe anemia. Briefly discuss the management of iron deficiency anemia in pregnancy

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

Vesico Vaginal Fistula (VVF)

Intraoperative complications of mayo-wards operation.

Semen analysis

Safe motherhood initiative

Role of USG in the first trimester.

A 20 year old with primary amenorrhea presents to your OPD. Discuss the evaluation

Indications and complications of levonorgestrel IUCD.

What are the predisposing factors for PPH. Outline the steps in the management of atonic PPH

Contraindications for the use of combined oral contraceptive pill.

Management of iron deficiency anemia in pregnancy

Indications for MTP (Medical Termination of Pregnancy)

Hormonal IUCD.

Indications and prerequisites of outlet forceps delivery

Staging of carcinoma cervix

Oligohydramnios

Complications of assisted breech delivery

Laparoscopy in gynecology

Cryptomenorrhoea

A 25 years old primigravida at 18weeks of gestation with twin pregnancy. Discuss the maternal and fetal complications. Discuss labor management of twin pregnancy

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

Endometrial biopsy

Define puberty menorrhagia. Enumerate the causes and discuss its management

Urethral caruncle.

Current CDC regimens for treatment of acute PID.

Diagnosis of ectopic pregnancy

Clinical features of obstructed labour.

A 27 year old presents with mass abdomen and pain abdomen of recent onset. On examination a variable consistency mass palpable of 20 weeks size with free fluid. What is the likely diagnosis and how will you manage her

Discuss the causes, diagnosis and management of rupture uterus

Neonatal Jaundice

Cephal hematoma

Treatment options for management of malignant ovarian tumor

Perineal body

Outlet forceps application

In which type of pelvis precipitate labour is more common and why.

Menopausal symptoms

Indication of external cephalic version.

Endometrial polyp

Management of non-reassuring fetal heart rate

Follow up after molar evacuation

A 22 years old Gravida 2 para1 at 41 weeks of pregnancy with previous normal delivery. What is Bishop Score. What are the methods for inducing her. How would you manage hyperstimulation with oxytocin

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

Spinbarkeit test

Mechanism of action, contraindications, non-contraceptive health benefits and side effects of Combined Oral Contraceptive pills (COC)

Screen and treat approach and common screening tests of carcinoma cervix.

Uses of Depo Medroxyprogesterone acetate

Contraindications for external cephalic version

What are the complications of UTI in pregnancy.

Describe the outpatient management of PID and criteria for inpatient management

How to differentiate between benign and malignant ovarian tumor.

Define maternal mortality. Discuss the Government policies and programs to reduce the maternal mortality in India

Importance of pre conceptional counselling

Biophysical profile score

Complications of LSCS

Residual urine.

Bishops score

Caput succedaneum

Hyaline membrane disease and prevention.

Role of pessaries in prolapse uterus

APGAR.

Candidial vulvo-vaginitis

Retained placenta

Non contraceptive health benefits of oral contraceptive pills

26-year woman reports with fever, pain abdomen and white discharge. How will you evaluate and manage the case.

Non contraceptive benefits of OCPs

Site of selection of tube during tubectomy and its significance.

Causes of recurrent miscarriage

What are the tests for anemia in pregnancy.

Prevention of vault prolapse.

Triple test.

Write a short note on weight gain pregnancy

Polyhydramnios

Placental function in prolonged pregnancy

Advantages of Ventouse over obstetric forceps delivery

Screening of diabetes in pregnancy

Classification of Abnormal uterine bleeding

Labetalol

Proteinuria in pregnancy.

Diagnosis of Polycystic Ovarian Disease

Advantages of breastfeeding.

Levo norgestrel (LNG) – IUS

Physiology of lactation

Complications of vaginal hysterectomy

Define missed Abortion and discuss its management

A 36-year lady presents with heavy menstrual bleeding and dysmenorrhoea. What is the approach and management.

Intra uterine insemination

Sequale of PID.

Elaborate PALM- COEIN classification

Diagnosis of fetal distress

Medical management of ectopic pregnancy.

MTP amendments 2021

Medical nutrition therapy for a pregnant diabetic woman

Characteristic sonological feature of molar pregnancy

Name the depression between upper and lower halves of uterus in an obstructed labor

Write any one indication for classical caesarean section

Genital malignancy with highest mortality.

Drug used for medical management of ectopic pregnancy

Tumour marker for epithelial ovarian carcinoma

Lambda sign is seen in ………..

USG, for calculation of gestational age is most accurate if done at ……………..

Chromosomal pattern in Turner’s Syndrome

Medical termination of pregnancy permitted up to.

Most common cause for primary amenorrhea

Medication given to the mother for fetal lung maturity

Gold standard for diagnosing endometriosis

Causes and management of neonatal Jaundice

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.

Procidentia

Dermoid cyst

First metastatic lymph node in malignancy.

Ring pessary is used in ____________

Most severe form of fetal Rh hemolytic disease

What is the full form of TOLAC.

Different methods of tubectomy

Name the 4th generation progestogen pill.

Describe red degeneration of fibroid complicating pregnancy

Pathological retraction ring seen in obstructed labour

What is the indication for Antenatal Corticosteroid

Drug of choice in persistent trophoblastic disease.

Swelling due to stagnation of fluid in the scalp of a new born that crosses the suture line

Visualization of endometrial cavity is done using

Name the anticoagulant preferred in pregnancy

Which type of presentation with meconium stained liquor is not an indicator of fetal distress. 12.Perinatal mortality rate in India is about .............

Commonly used first line ovulation inducing drug

The type of degeneration that occurs in fibroids during pregnancy.

Name of the operation to correct stress urinary incontinence, in present day practice.

Popular male contraceptive

Area between old and new squamocolumnar junction in cervix

Fetal circulation

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.

Drug of choice in atrophic vaginitis

Plication at bladder neck during anterior colporrhaphy for stress incontinence.

Theca Lutein cysts are seen in __________

When the combined duration of I and II stages of labour is less than two hours

Labor monitoring is done using ……………………

Etiopathogenesis of endometriosis

Health assistant or worker at village level -

List the complications of breech delivery

Condition when chorionic villi of the placenta penetrates the myometrium up to the serosal layer

Name the type of deceleration seen with cord compression in labor

Write the name of the outlet forceps

Commonest mode of action of combined oral contraception pill.

Anteroposterior diameter in brow presentation

Cytology test used for screening of premalignant lesions of cervix

One indication for VBAC

Perinatal mortality rate in India is about .............

Ultrasound guided technique to visualize intrauterine pathology

Most dangerous complications of placenta previa.

Where is Rokitansky protuberance found.

Malignant form of hydatidiform mole

Image guided minimally invasive procedure in treatment of fibroid uterus

Uses of Ultrasound in pregnancy

A 28-year-old lady has presented with secondary amenorrhoea and pregnancy test is negative. How will you investigate her.

Name the virus which causes cervical cancer

Discuss the role of Ultrasound in gynecology

Ovary develops from........

Tumour marker for granulosa cell tumour of the ovary is _____________

Name of the forceps used to deliver the after coming head in breech

Forceps used for after coming head.

Full form of POP-Q classification.

Differentiate between Braxton Hicks contraction and true labour pains

-------------- denote types of placentation in twin pregnancy

Name the drug used to prevent respiratory distress syndrome in preterm labor

Name the antiretroviral drug used in the newborn of an HIV positive mother.

The reference point in POP Q classification of prolapse.

One method for delivering after coming head in breech presentation

What percent of Endometrial hyperplasia with atypia progress to endometrial carcinoma

Naegele’s formula

Pathological demarcation between upper segment and lower segment of uterus is called ………………

Ovarian tumour which is solid but benign

Bluish discoloration of vagina in pregnancy is called as ……………

Fixed reference point in the POPQ system

Common form of anemia in pregnancy according to peripheral smear

Triad of obesity, high blood pressure and diabetes with endometrial carcinoma

List the complications of hyperemesis

Clinical features of menopause

Name of injectable contraceptive

Causative organism for Strawberry cervix

Commonest site of genital tuberculosis.

Secondary amenorrhea due to formation of intrauterine synechiae is called __________

Commonly used hormone releasing intrauterine contraceptive device

Most common technique for abdominal tubectomy.

Expand POP-Q

Most common cause of cryptomenorrhia

Draw and label CTG (cardiotocogram) showing late decelerations

Draw and label Absent end diastolic flow

Draw and label Ovarian menstrual cycle.

Draw and label Pelvic inlet diameters

Draw and label lymphatic drainage of cervix

Draw and label Vasa previa

Draw and label Least pelvic diameter of pelvis.

Draw and label Secretory endometrium

Draw and label Anteroposterior diameters of fetal skull.

Draw and label Represent the various hormonal pattern in a normal menstrual cycle

Draw and label Outlet of the pelvis

Draw and label Mature Graafian follicle

Enumerate the causes for cervical incompetency

Bartholin’s abscess

Draw and label Transformation zone

Name the Drugs used for Emergency contraception

Draw and label Perineal body

Draw and label Pelvic inlet in gynecoid pelvis

Draw and label Anteroposterior diameters of pelvic inlet.

Causes of Asherman syndrome

Draw and label Normal vaginal epithelium.

Risk factors for shoulder dystocia

Structure of tertiary chorionic villi

Draw and label Peripheral blood picture in iron deficiency anemia

Draw and label Parts of fallopian tube

Draw and label Candida albicans.

Draw and label Anatomy of fallopian tube

Draw and label Branches of anterior division of internal iliac artery

Draw and label Graphical representation of variable deceleration

Draw and label Chorionic villi.

Draw and label Structure of Trichomonas Vaginalis

Draw and label Partogram

Draw and label B-Lynch suture

What are the risk factors for Ectopic Pregnancy

Causes of heavy menstrual bleeding in submucous fibroid.

Draw and label Levatorani muscle

Clinical features of PCOS

Draw and label Internal iliac-artery and its branches.

Draw and label Parts of Cu-T

Draw and label Cephalhematoma

Corpus cancer syndrome

Draw and label Histology of dermoid tumor

Methods of Assessment of cephalopelvic disproportion (CPD)

List the clinical features of molar pregnancy

Indications and Technique of PAP smear

Normal levels of CA 125

What are the Predisposing factors for puerperal sepsis

Define intrauterine growth restriction (IUGR)

Expansion of UAE

MIRENA-Dosage

APGAR Score

Rh iso immunization

Role of hysteroscopy in gynaecology.

Methods of tubal Sterilization

Aspermia

Tests for Ovulation

Treatment of Chancre

Indications for Amniocentesis

Define maternal mortality Draw and label

Asherman’s syndrome

Name two tubal patency tests

Describe Abnormal CTG findings seen in labour

Draw and label CTG showing Variable decelerations

Normal uterine position

Draw and label Obstetric forceps

Draw and label IUCD –multiload Cu T

Structure of mature Graafian follicle

Define missed abortion and its management.

Management of fetal distress in first and second stage of labour.

Enumerate the differences between cephalhaematoma and caput succedaneum.

Anencephaly.

Oligohydramnios and its complications.

Obstetric causes of DIC.

Denominator in face presentation

Active management of labour will help to reduce ………………….

Use of forceps to cut short the second stage of labour in cardiac disease.

Infrequent painless contractions of uterus during pregnancy.

Draw and label Sutures of fetal skull.

Draw and label Diagonal conjugate.