FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
OBSTETRICS AND GYNAECOLOGY
PAPER III
OBG/D/16/25/III
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. Define precocious puberty. What are the causes of precocious
puberty? Outline its management.

2. What are the histological categories of gestational
trophoblastic Neoplasia
Work-up for a case of GTN.
Therapeutic option in low risk GTN.

3. What is FIGO classification of system (PALM-COEIN) for
causes of abnormal uterine bleeding in non-gravid
women of reproductive age?
Management of AUB-A in a case of heavy menstrual
bleeding) in a 38 years old woman.
6+4
4. Enumerate causes of genitourinary fistula.
Outline the principles of management of a post
hysterectomy fistula.
Enumerate complications of female sterilization.

5. What are the techniques followed during hysterectomy to
prevent vault prolapse?
Surgical procedures in a case of post-hysterectomy vault
prolapse.
4+6
P.T.O.