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-III
TIME: 3 HOURS OBG/J/18/25/III
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. Discuss the endocrinology of ovulation.
Briefly discuss various modalities to assess ovulation.
5+5
2. Describe anatomy of anterior abdominal wall.
What are different types of incisions used in gynaecological
surgeries?
5+5
3. Describe in brief different modalities of tubal ligation.
What is the eligibility criteria for female sterilization with
caesarean section as per Government of India?
5+5
4. What are the clinical manifestations of pelvic tuberculosis?
How will you diagnose pelvic tuberculosis?
Treatment of pelvic tuberculosis.

5. What are the different types of endometrial hyperplasia?
Discuss briefly about the prognosis of each type
How will you manage different types of endometrial
hyperplasia in a perimenopausal woman?

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-III
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 vaginal vault prolapse?
Briefly describe the POP-Q staging of vault prolapse.
What techniques you will perform during hysterectomy to
prevent vault prolapse?

7. What are the risk factors for ovarian carcinoma?
What is the current evidence for screening of ovarian
carcinoma?
Discuss the management principles of advanced ovarian
carcinoma.

8. Describe methods for second trimester termination of
pregnancy.
A case for MTP at 18 weeks pregnancy received
Mifepristone and Misoprostol according to protocol with no
result. Discuss reasons of failure and management of the
case.
5+5
9. Discuss causes of heavy menstrual bleeding (HMB).
How will you evaluate a case of abnormal HMB in a 32-year
multiparous woman?
What are medical modalities available in management of a
case of HMB?

10. List the various modalities of treatment of ectopic pregnancy.
What is the criteria for patient selection for medical
management of ectopic pregnancy?
Discuss various surgical procedures performed in
management of ectopic pregnancies.