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-IV
TIME: 3 HOURS OBG/J/18/25/IV
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. List the various nonsurgical methods of treatment of
leiomyoma?
Discuss the advantages and disadvantages of each method.
5+5
2. What is ART?
What are different components of IVF cycle?
How can you prevent Ovarian Hyper Stimulation Syndrome


3. What is role of minimally invasive surgery in a case of
endometriosis? Discuss the management of recurrent
endometriosis in infertility.
5+5
4. A primigravida conceived with in-vitro fertilization after long term
infertility reported at 24 weeks gestation with bilateral renal
pelvicalyceal dilatation in fetus.
Discuss the causes.
How will you manage this case?
5+5
5. A morbidly obese 30 years old patient approaches for prepregnancy
counselling before bariatric surgery.
What will you counsel this patient?
What are the complications during pregnancy in such a
5+5
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.
patient?
OBSTETRICS GYNAECOLOGY
PAPER-IV
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. Pathophysiology of urinary incontinence.
Medical management of overactive bladder.
5+5
7. A HBsAg Positive patient admitted at 36 weeks gestation in the
Obstetrical ward:
What precautions will you observe to avoid transmission to
health care provider?
How will you prevent perinatal transmission to the neonate?
5+5
8. A fetus in primigravida at 19 weeks gestation is noticed to have
liver calcification on Ultrasound.
Discuss the causes of fetal liver calcification.
How will you manage this case?
5+5
9. Define unexplained infertility.
Discuss the role of laparohysteroscopy in women with
unexplained infertility.
How will you manage a woman with unexplained infertility?

10. What is Cell Free Fetal DNA?
Discuss the role of Cell Free Fetal DNA screening in
Obstetrical practice.
5+5