FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2018

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
OBSTETRICS GYNAECOLOGY
PAPER-I
TIME: 3 HOURS OBG/J/18/25/I
MAX. MARKS: 100
IMPORTANT INSTRUCTIONS
This question paper consists of 10 questions divided into Part "A" and part each part
containing 5 questions.
Answers to questions of part A and part B 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 question(s) of Part A attempted in answer sheet(s) of part B or Vice versa shall not be
evaluated.
Answer sheets of Part A and Part B are not to be tagged together.
Part A and Part B should be mentioned only on the covering page of the respective answer sheets.
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. Surgical anatomy of urinary bladder?
How will you prevent bladder injury in obstetrics and
gynaecological surgery?
How will you identify bladder injury intra-operatively or
postoperatively and manage it?

2. What are different types of pathological changes in skin during
pregnancy?
Enumerate the various causes of pruritus in pregnancy.
How will you manage a case of pregnancy related pruritus?

3. What are the physiological changes in thyroid function during
pregnancy?
What are the complications associated with hypothyroidism
during pregnancy?
How will you suspect and manage a case of post-partum
thyroiditis?

4. Physiological changes in vagina during menstrual cycle.
How will you diagnose a case of bacterial vaginosis?
What is 'Syndromic Approach' in management of case with
vaginal discharge?

5. Development of Mullerian duct.
Classify different types of Mullerian anomalies.
How will you diagnose various Mullerian anomalies?

FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2018

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
OBSTETRICS GYNAECOLOGY
PAPER-I
Please read carefully the important instructions mentioned on Page
Answers to questions of Part A and part B are to be strictly attempted in separate answer sheets and the
main supplementary answer sheets used for each part must be tagged separately.
Answers to question(s) of Part A attempted in answer sheets of Part B or vice versa shall not be evaluated.
PART B
6. What is the advantage of Liquid Based Cytology?
Pathogenesis of persistent Human Papilloma Virus
infection of cervix and its significance.
How will you diagnose HPV infection and prevent it?

7. Hormonal and physical changes during puberty.
What are the different causes of precocious puberty?
Make an outline for the management of a case with precocious
puberty.

8. What is vertical transmission?
What are the risk factors for vertical transmission of HIV?
How will you prevent vertical transmission of HIV infection from
mother to baby?

9. What are the risk factors of Venous Thrombo-Embolism
in Obstetric and Gynaecological practice?
How will you prevent VTE in your clinical practice?
How will you suspect and manage a case of Pulmonary
Thrombo-Embolism?

10. Blood supply of female genital tract.
What is the role of uterine artery embolization in Obstetrics and
Gynecology?
Enumerate the complications associated with uterine artery
embolization.