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 II
OBG/J/17/25/II
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 clinical criteria of preterm labor?
Prediction and prevention of preterm labor.
Role of Atosiban as a tocolytic agent.

2. Anatomy of lower uterine segment in pregnancy and its
role in labor.
What are the clinical features of obstructed labor in
cephalopelvic disproportion?
Difficulties in 2nd stage LSCS.

3. HELLP syndrome: Its differential diagnosis and
management.
Thromboprophylaxis during pregnancy.
5+5
4. What are the current recommendations and methods for
screening for thalassemia in pregnancy?
Management of pregnant women with thalassemia trait.
5+5
5. Enlist fetal risks in twin gestation.
How and when will you establish chorionicity of twin
pregnancy?
How will you diagnose and manage twin to twin
transfusion syndrome?

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 II
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 are the physiological cardiovascular adaptations in
pregnancy?
How will you diagnose cardiac disease in pregnancy?
Management of a pregnant patient with a prosthetic mitral
valve.

7. Factors influencing perinatal transmission of HIV infection.
What are its preventive measures?
Current WHO recommendations on neonatal management
in HIV affected mothers.

8. What are the non-invasive and invasive techniques to
identify fetal isoimmunization in Rh-Negative pregnancy?
Role of intra-uterine fetal blood transfusion.
5+5
9. Resuscitation in a critically ill patient with advanced
pregnancy.
Sudden post partum collapse: Causes and management.
5+5
10. Fetal inflammatory response syndrome (FIRS) and its
morbidity.
Sudden intra partum fetal demise: Causes and counseling.
5+5