Obstetrics and Gynaecology Paper-1 (Main), 2020 MBBS Batch ABVMU Lucknow

ATAL BIHARI VAJPAYEE MEDICAL UNIVERSITY, LUCKNOW
MBBS DEGREE EXAMINATION – III rd PROFESSIONAL – PART-II – FEB 2025
Obstetrics and Gynaecology – Paper-I
SECTION A – Multiple Choice Questions (MCQs)

PAPER CODE: 2511130015
SET: D

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

Time: 20 Minutes (20 × 1 = 20 MARKS)

1. False about caput succedaneum
   a) Can extend over midline
   b) Poorly defined margins
   c) Increases after birth
   d) Subcutaneous plane

2. Sinusoidal pattern in Non stress Test (NST) is associated with
   a) Maternal infection
   b) Foetal infection
   c) Foetal anaemia
   d) Maternal anaemia

3. Which is not a part of active stage of labor
   a) Vigorous uterine massage
   b) Delayed cord clamping
   c) Controlled cord traction
   d) Administration of uterotonic soon after birth

4. Initiation of lactation is done by
   a) Human placental lactogen
   b) Human chorionic gonadotropin
   c) Prolactin
   d) Oxytocin

5. Which one of the following types of pelvis is common in females?
   a) Anthropoid pelvis
   b) Platypelloid pelvis
   c) Gynecoid pelvis
   d) Triangular pelvis

6. Maneuver to deliver arms in breech presentation
   a) Pinard’s
   b) Wood’s
   c) Mauritio Smellie Veit
   d) Lovset’s

7. Cut off value in DIPSI criteria for screening of Gestational Diabetes Mellitus is
   a) 200mg/dl
   b) 180mg/dl
   c) 140mg/dl
   d) 150mg/dl

8. Three cleans of intrapartum care include all of the following except
   a) Clean cord tie
   b) Clean birth canal
   c) Clean perineal area
   d) Clean hands

9. Living ligature of uterus is
   a) Perimetrium
   b) Inner layer of myometrium
   c) Middle layer of myometrium
   d) All of the above

10. Bag and mask ventilation is contraindicated in
    a) Transient tachypnea of newborn
    b) Gasping baby
    c) Diaphragmatic hernia
    d) Meconium stained amniotic fluid

11. Which of the antimalarial drug is safest in pregnancy
    a) Chloramphenicol
    b) Primaquine
    c) Chloroquine
    d) Quinine

12. Septic Pelvic Thrombophlebitis is diagnosed using
    a) Clinical sign
    b) CT scan
    c) Vaginal swab
    d) Duplex ultrasound

13. In partogram active labor starts from
    a) 6cm
    b) 7cm
    c) 5cm
    d) 4cm

14. Rate of cervical dilatation in active labor in primigravida and multigravida is …… and ……. respectively
    a) 1cm/hr and 1.4cm/hr
    b) 1.2cm/hr and 1.5cm/hr
    c) 1cm/hr and 1.2cm/hr
    d) 1.2cm/hr and 1.6cm/hr

15. Which of the following factors is associated with an increased risk of recurrent premature rupture of membranes
    a) Primigravida
    b) Normal BMI
    c) Smoking
    d) Recurrent vaginal infections

16. Which sign appears earliest in intrauterine foetal demise
    a) Crowding of ribs
    b) Hyperflexion of spine
    c) Spalding sign
    d) Robert’s sign

17. False about ventilation corrective step in neonatal resuscitation
    a) Suction
    b) Reposition head and neck
    c) Decrease pressure
    d) Mask adjustment

18. What is the presentation in transverse lie
    a) Breech
    b) Shoulder
    c) Brow
    d) Vertex

19. Human Chorionic Gonadotropin is secreted by
    a) Extraembryonic mesoderm
    b) Syncytiotrophoblast
    c) Cytotrophoblast
    d) None of the above

20. Modified Biophysical Profile includes
    a) NST and AFI
    b) NST and fetal breathing movement
    c) NST and fetal tone
    d) NST and fetal movement

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

TIME: 3 Hrs
Max. Marks: 100 Marks (80 Theory + 20 MCQs)

NOTE:

• Attempt all questions.

• This question paper consists of two sections: Section A – Multiple Choice Questions and Section B – Theory Questions.

• Both sections have different paper codes. Write the correct paper code on the respective sheet.

• Write the correct MCQ paper set on the OMR sheet.

• Answer MCQs on the provided OMR sheet and theory questions on the provided answer booklet.

SECTION B – THEORY QUESTIONS

PAPER CODE: 2511230015

Q.1 Long Answer Question (15 MARKS)

i) Describe the classification of anaemia based on type and severity. (3 marks)
ii) Enumerate complications of anaemia in pregnancy. (2 marks)
iii) Discuss the workup and management of a case of severe anaemia at 30 weeks of gestation. (10 marks)

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

G2P1L1 at 38 weeks period of gestation presents with loss of fetal movement perception for 1 day and sudden pain abdomen. On examination, her blood pressure is 140/90 mmHg. Abdomen is tense and tender. FHS is not localized and dark-colored bleeding is present per vaginum.

i) Discuss the differential diagnosis for the above case. (5 marks)
ii) Discuss the management of the above case. (10 marks)

Q.3 Short Note Questions (Approx 500 Words) (5 × 6 = 30 MARKS)

i) Causes and management of atonic postpartum hemorrhage.
ii) Prerequisites and indications of vacuum-assisted delivery.
iii) Anencephaly – clinical features, diagnosis, and management.
iv) Strategies to minimize perinatal transmission of HIV.
v) Define Maternal Mortality Ratio. What is the current rate in India? Enumerate strategies to reduce Maternal Mortality Ratio in India.

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

i) How will you encourage mothers to practice exclusive breastfeeding?
ii) Neonatal resuscitation.
iii) Role of ultrasonography in the first trimester of pregnancy.
iv) Haemodynamic and haematological changes in normal pregnancy.
v) Shoulder dystocia.

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