FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2016

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
OBSTETRICS GYNAECOLOGY
PAPER II
OBGY/J/16/25/II
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. Enumerate the factors that influence the increased
incidence of twinning?
How would you determine the chorionicity and
amnionicity?
Management of discordant twins.

2. How does the presence of mitral stenosis impact the
pregnant patient?
What are the indications for correction during pregnancy
for this condition?
How will you manage a patient after mitral valvuloplasty
done in fifth month of pregnancy?

3. SLE in pregnancy.
Face to pubes delivery.
5+5
4. Definition, risks, diagnosis and management of Caesarean
scar pregnancy.

5. Why is pregnancy considered high risk for HbsAg positive
women?
How will you manage such a woman in labor?
Management of her newborn.

P.T.O.