FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2017

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
OBSTETRICS AND GYNAECOLOGY
PAPER III
OBG/J/17/25/III
Time 3 hours
Max. Marks 100
IMPORTANT INSTRUCTIONS
• This question paper consists of 10 questions divided into Part and Part each part
containing 5 questions.
• Answers to questions of Part and Part are to be strictly attempted in separate answer
sheet(s) and the main supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part attempted in answer sheet(s) of Part or vice versa shall
not be evaluated.
• Answer sheet(s) of Part and Part are not to be tagged together.
• Part and Part should be mentioned only on the covering page of the respective answer
sheet(s).
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.
Write short notes on:
PART A
1. What are the causes of lower abdominal lump in a 13 year old adolescent
girl?
Clinical and investigative approach in this girl to arrive at a diagnosis.
How will you manage ovarian dermoid cyst in this young girl?

2. Enumerate the etiological factors of acute pelvic inflammatory disease
in a young woman of reproductive age?
What are its symptoms, signs and management?
Its long term consequences their prevention.

3. Enumerate causes of vulval ulcers.
How will you clinically evaluate a case and how will you proceed to
confirm your diagnosis?
Outline its management.

4. What are the causes of post menopausal bleeding per vaginum in a 55
year old woman?
Give an approach to its diagnosis and management.
Current clinical practice guidelines in the management of stage I
adenocarcinoma of body of uterus.

5. What are the risk factors and causes of stress urinary incontinence
in mid life?
How will you confirm SUI?
Current treatment of SUI.

P.T.O.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2017

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
OBSTETRICS AND GYNAECOLOGY
PAPER III
Please read carefully the important instructions mentioned on Page
• Answers to questions of Part and Part are to be strictly attempted in separate answer
sheet(s) and the main supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part attempted in answer sheet(s) of Part or vice versa shall
not be evaluated.
PART B
6. What is cafeteria approach and counseling for post abortal
contraception?
Timing of their initiation, advantages and disadvantages.
5+5
7. Enumerate different methods and timings of female tubal ligation.
Their eligibility criterion and preoperative assessment.
Female Sterilization Indemnity Bond Scheme.

8. What are the advantages of newer generation oral contraceptive pills
over conventional OCPs?
Their relative and absolute contraindications.
Missed Pills How to deal with it?

9. Thermal enodmetial ablation versus Levonorgestrel IUS in
management of menorrhagia.
Perioperative complications of electrosurgery in Laparoscopic
endogynae surgeries and their prevention.
5+5
10. Classify Műllerian duct anomalies. What are the associated renal tract
anomalies?
How will you investigate and manage a case of cryptomenorrhoea?
5+5