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 I
OBG/J/17/25/I
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. Development of human embryo.
What are the important aspects of sex differentiation during
development?
Enlist the teratogens that affect growing embryo.

2. Human chorionic gonadotrophin and its clinical relevance
of its levels is early pregnancy.
Termination of missed abortion during first trimester.
6+4
3. Surgical anatomy of pelvic organ support system.
Etiology and surgical approach to nulliparous uterovaginal
prolapse.
5+5
4. What are the anatomical and physiological changes in hepato
biliary system in pregnancy?
Clinical and laboratory markers of Intrahepatic cholestasis of
pregnancy (IHC).
What are the fetal and neonatal morbidity of IHC and how will
you prevent them?

5. Define preconceptional care. What are its clinical applications?
How will you investigate and manage a woman with history of
congenital heart disease in previous baby?
5+5
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 I
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 office hysteroscopy?
What are its indications, prerequisites and precautions?
Management of endometrial polyps on hysteroscopy.

7. What are the recent developments in male contraception?
RISUG or reversible inhibition of sperms under guidance.
Non-scalpel vasectomy: Technqiue.

8. How will you counsel a young low risk primigravida
regarding dietary intake?
How does obesity affect pregnancy?
Obstetric management of a pregnant patient with prior
history of bariatric surgery.

9. Clinical importance of Doppler studies in fetal growth
restriction.
What are the perinatal complications in such a case?
Outline their management.

10. What are the causes of delayed puberty?
Give an algorhythmic clinical approach to an adolescent
girl with delayed puberty.
5+5