Obstetrics and Gynaecology Paper-2 (Main), 2020 MBBS Batch ABVMU Lucknow

ATAL BIHARI VAJPAYEE MEDICAL UNIVERSITY, LUCKNOW
MBBS DEGREE EXAMINATION - IIIrd PROFESSIONAL - PART-II FEB 2025
Obstetrics and Gynaecology-Paper II

SECTION A - Multiple Choice Questions (MCQs)

PAPER CODE: 2512130015
SET: B

Note: Choose one correct answer in the OMR sheet provided. No overwriting should be done.

Time: 20 Minutes
(20 x 1 = 20 MARKS)

• 1. Which of the following is a common clinical feature of uterine prolapse?
  a) Dyspareunia
  b) Amenorrhea
  c) Pelvic pain
  d) Urinary incontinence

• 2. Which of the following is a common complication of untreated genital fistula?
  a) Infertility
  b) Menorrhagia
  c) Chronic pelvic pain
  d) Urinary or fecal incontinence

• 3. What is the most common benign tumor of the uterus?
  a) Uterine fibroid
  b) Endometriosis
  c) Endometrial polyp
  d) Ovarian cyst

• 4. Which of the following is an effective form of contraception for women with a history of thromboembolic disease?
  a) IUD with progesterone
  b) Depo-Provera injection
  c) Oral contraceptive pills
  d) Barrier methods

• 5. Which of the following is a clinical manifestation of menopause?
  a) Hot flashes
  b) Vaginal discharge
  c) Irregular bleeding
  d) Dysmenorrhea

• 6. What is the gold standard for diagnosing PCOS?
  a) Ultrasound
  b) Biopsy
  c) Laparoscopy
  d) Hormonal assays

• 7. Which of the following is a risk factor for developing uterine fibroids?
  a) Obesity
  b) Early menopause
  c) Smoking
  d) Oral contraceptive use

• 8. What is the first-line treatment for stage 1 uterine prolapse?
  a) Hysterectomy
  b) Estrogen therapy
  c) Pelvic floor exercises
  d) Pessary insertion

• 9. Which contraceptive method is contraindicated in women with a history of breast cancer?
  a) Condoms
  b) Depo-Provera
  c) IUD
  d) Oral contraceptive pills

• 10. What is the first-line therapy for managing menopausal symptoms?
  a) SSRIs
  b) Calcium supplementation
  c) Bisphosphonates
  d) Hormone replacement therapy

• 11. What is the recommended frequency for cervical cancer screening with a Pap smear?
  a) Every 3 years
  b) Only when symptomatic
  c) Annually
  d) Every 5 years

• 12. The ovarian artery is a branch of
  a) Internal iliac artery
  b) Hypogastric artery
  c) Common iliac artery
  d) Aorta

• 13. Spinnbarkeit describes which of the following
  a) Clarity of cervical mucus
  b) Ferning of cervical mucus
  c) Amount of cervical mucus
  d) Elasticity of cervical mucus

• 14. The most common benign condition causing postmenopausal bleeding is
  a) Cervical polyps
  b) Endometrial hyperplasia
  c) Atrophic endometritis
  d) Myomas

• 15. The most common uterine anomaly causing recurrent abortions is
  a) Uterine didelphys
  b) Septate uterus
  c) Arcuate uterus
  d) Bicornuate uterus

• 16. What is the most common type of genitourinary fistula?
  a) Vesicoureteric
  b) Urethra vaginal
  c) Vesicovaginal
  d) Uretero vaginal

• 17. The main support of the uterus is provided by
  a) The cardinal ligament
  b) The integrity of the pelvis
  c) The round ligament
  d) The infundibulopelvic ligament

• 18. Female ureter crosses
  a) Under the uterine artery
  b) Lateral to uterine artery
  c) Above the uterine artery
  d) Medial to uterine artery

• 19. Possible symptoms caused by fibroid except
  a) Infertility
  b) Pressure symptoms
  c) Pelvic pain
  d) Deep vein thrombosis

• 20. Which of the following types of vulval cancer occurs most commonly?
  a) Squamous
  b) Basal cell cancer
  c) Paget’s
  d) Adenocarcinoma

Q.1 Long Answer Question (15 MARKS)

Describe the pathophysiology, clinical features, and management of polycystic ovary syndrome (PCOS) and its impact on fertility.

Q.2 Clinical Case Scenario-based Structured Question (15 MARKS)

A 60-year-old postmenopausal female (PSL5) came to OPD with a complaint of foul-smelling vaginal discharge for the past 6 months. On examination, there is a cauliflower-like growth on the anterior lip of the cervix, which is fragile and bleeds on touch.

i) What is your diagnosis? (2 marks)
ii) Enumerate risk factors for this disease. (4 marks)
iii) How will you manage this patient? (5 marks)
iv) Describe different screening modalities for this disease. (4 marks)

Q.3 Short Note Question (Approx. 500 Words) (5 x 6 = 30 MARKS)

i) Explain the clinical features and treatment options for uterine fibroids.
ii) What are the risk factors for cervical cancer and the preventive measures available?
iii) What are the different hormonal methods of contraception, and how do they work to prevent pregnancy?
iv) Describe the causes and management of secondary amenorrhea.
v) What is the relationship between menopause and osteoporosis, and how can this be prevented?

Q.4 Short Answer Questions (Within 100 Words) (5 x 4 = 20 MARKS)

i) Describe PALM-COEIN classification.
ii) Causes of male infertility.
iii) Hormone replacement therapy.
iv) Management of puberty menorrhagia.
v) Hysterosalpingogram (HSG).

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