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Dgo Paper 2

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049/23

The West Bengal University of Health Sciences


D.G.O.(Diploma in Obstetrics &Gynaecology) December, 2023 Ex-
amination Full Marks: 100.
Paper :2
Attempt all questions

DR MITHUN
1.How do you diagnose anti phospholipid antibody syndrome? Write briefly its mana-
gement in pregnancy5+5

2.What is vertical transmission in obstetrics? What are the investigations you will send

BALA,MCK
ot assess a mother with HBSAg positive in antenatal period? What are the precaution
we take during delivery in this scenario?3+3+4

3.How will you diagnosis an un ruptured tubal ectopic pregnancy? Describe the medi-
cal management of an un ruptured ectopic pregnancy.5+5

4. What is the screening protocol for gestational diabetes mellitus (GDM)? Describe
the pharmacological management of GDM.5+5

5.Write short notes on:5+5


a. Cephalohematoma.
b. Twin transfusion syndrome (TTS).

6.Define acute inversion of the uterus. What are its causes? Describe the active man-
agement of 3* stage of labour. 2+3+5

7.What is the Robson classification of LSCS? Describe the common causes contributing
to the rising incidence of LSCS. 5+5

8.How would you manage a case of morbid adherent placenta (MAP) detected at 32
weeks of gestation in a woman with previous two cesarean section.10

9.Define RPL. Evaluation and management of a couple with RPL. 10

10 Briefly describe the outline management of IUGR and role of doppler in prediction
and management of foetal growth restriction.3+2+5
049/22
The West Bengal University of Health Sciences

Diploma in Obstetrics &Gynaecology) May - June. 202 Examination

DR MITHUN
Paper : 2
Full Marks: 100
Time: 3Hours

BALA,MCK
Attempt all questions

1.Define antepartum haemorrhage. Enumerate the causes of antepartum haemor-


rhage)
How kill you manage a case of antepartum haemorrhage due ot Abruption Placental at
37weeks of gestation? 1+2+7

2.Write mechanism of labour in breech presentation and describe assisted breech de-
livery and its complications.4+3+3

3.Discuss screening and diagnosis of fetal down syndrome. Explain maternal coun-
selling and management after confirmation of trisomy 21 at 18 weeks gestation.
2+2+2+4

4. Critically evaluate the role of episiotomy in modern obstetric practice.10

.5 Write short notes on: 7


a.WHO modified Partograph.
b.Impact of Covid 19 ni Obstetric Care.

6. Discuss management of threatened preterm labour at 32 weeks.10

7 . What is trial labour? Discuss its management.5+5

8.Describe the development of placenta.10

9. Write-on millennium development goals related to maternal health

10. Write short notes on:5+5


a VBAC (Vaginal birth after Caesarean Section).
b. Role of Antenatal anti D prevention of Rh isoimmunisation.

DR MITHUN
BALA,MCK
DGO PAPER 2
2021
1.Write down cause of itching in pregnancy.How will you diagnose and manage intra-
hepatic cholestasis in pregnancy.

2.Screening of congenital foetal anomalies.Describe in brief about cell free foetal DNA.

3.Define recurrent pregnancy loss.Evaluation and management of a couple with recur-


rent pregnancy loss.

4.Critically evaluate-VBAC.

5.Write short note on:

a.COVID 19 infection in pregnancy


b.post partum intra uterine contraceptive device.

6.What is post partum psychosis?Discuss causes and management of such case.

7.Discuss causes of intrauterine fetal death (IUFD).Add a note on management of IUFD


in a primi at term.

8.Define and classify hypertensive disorders in pregnancy.Briefly discuss the manage-


ment of eclampsia.

9.Define premature rupture of membrane (PROM).How will you diagnose (PROM).How


will you manage a case of PROM at 32 weeks of gestation.

10.Describe briefly about maternal near miss.

DGO PAPER 2 (2020 march-April )


1.How would you diagnose ectopic pregnancy?Outline the principles of management
of un ruptured tubal ectopic pregnancy.5+5
2.Diagnosis and management of intrauterine fetal growth restriction.5+5

3.Critically comment on different methods of fetal monitoring in labour.10

4.What is blighted ovum?A women presented with USG report of an empty gestational
sac of 5weeks .Discuss the subsequent management.2+8

5.Write short notes on:5+5


a.Partograph

DR MITHUN
b.Deep transverse arrest.

6.How will you diagnose monochorionic twin?mention its complications.3+7

BALA,MCK
7.Write down the advantages of forceps over ventouse and viceversa .10

8.What is shoulder dystocia ?How do you manage a case of shoulder dystocia?

9.Define gestational diabetes mellitus (GDM).Define different screening protocol GDM.

10.Discuss the diagnosis and management of severe preeclampsia.

2020(October)

1.Enumerate the cause of jaundice in pregnancy.Discuss the diagnosis and manage-


ment of acute fatty liver in pregnancy (ACP).

2.Management of post term pregnancy.

3.Write short notes on:


a. Missed abortion. b)cervical encirclage.

4.Define APH.What are different types of APH?Outline the diagnosis and management
of placenta previa in a primigravida.

5.A 23year old primigravida presents at the ER with uncontrolled vomiting at 8weeks
of pregnancy.How do you manage the case?

6.Outline the management of a case of Rh negative second gravida-G2P1L0A0-with no


living issue.

7.Define puerperium .What is puerperal pyrexia and what are the causes .Outline the
management of any one of such causes.

8.Outline the management of COVID positive patient in labor.

9.Write short notes on:


a)Placenta succenturiata. b)cephalohematoma.

10.Define recurrent pregnancy loss(RPL).outline the evaluation and management of a


case of RPL.
2019(March)
1.How will you predict PIH?Discuss the management of severe PIHin a primigravida at
32 weeks of gestation.10

2.Define ante partum haemorrhage (APH).How will you manage a case of pos C/S mor-
bid adherents placenta (MAP),detected at 32 weeks .3+7

DR MITHUN
3.a)Inspection of placenta after delivery is mandatory-justify5
b)CS should be done liberally in breech presentation-debate 5

4.What is Bishops score ?Guidelines of induction of labour-describe briefly 3+7

BALA,MCK
5.Write down indication of CS in IUFD .write short note on use of forceps in CS . 5+5

6.Discuss indications and complications of chorionic villous sampling (CVS).How will


you counsel the patients for the procedure? 3+4+3

7.(a) Evaluate follow up of molar pregnancy.


(b)Write short notes on medical treatment of ectopic pregnancy.

8.Discuss management of renal failure in obstetrics.10

9.Discuss management of Rh-iso immunized pregnancy. 10

10.What is congenital Rubella syndrome?A pregnant woman is exposed to rubella in-


fection at 10 weeks of gestation- outline the management.
2017
1.Describe in brief the method for evaluation of fetal well being at 3rd trimester of
pregnancy.10

2.Describe the diagnosis and management of shoulder dystocia.

3.How will you predict preterm labour ?discuss the measures to arrest it.5+5

4.what do you mean by fetal biophysical profile.How would you interpret a CYG trac-
ing.5+5

5.what are the complications in twin pregnancy during antenatal period?what steps
are taken after the vaginal delivery of first twin?4+6

6.Define puerperal pyrexia.How will you investigate and treat a case of puerperal
pyrexia?2+4+4

7.What measures you will take to prevent PPH following vaginal delivery ?Describe the
surgical management of atonic PPH.5+5

8.What are the obstetrics conditions that can trigger DIC?How will you investigate and
treat DIC in a patient with abruptio placenta?3+3+4

9.Define perinatal mortality.what are its predisposing factors?how can you reduce
perinatal mortality? 2+4+4
10.What is PCPNDT Act?What are the different invasive techniques for prenatal diag-
nosis.5+5

2015

DR MITHUN
1.What do you mean by Rh-isoimmunisation?Mention the complications in pregnancy
of such patient.How will you manage a case of Rh-ve 2 nd gravida at 30 weeks of
pregnancy? 2+5+3

2.Write down the aetiology of Preterm Prelabour Rupture of Membranes (PPROM).What

BALA,MCK
are the complications of such conditions?How will you proceed to manage a case of
PPROMat 32weeks of pregnancy?5+5

3.Write short note on the following

a)HELLP Syndrome
b)caesarean Hysterectomy
c)Medical method of MTP
d)CTG interpretation
e)Thalassemia Screening during antenatal checkup.

4.Answer briefly on the following


a)PPIUCD
b)Antehypertensive in pregnancy and labour.
c)Conservative management of ectopic pregnancy.
d)Vulval haematoma.

2015
1.Define anaemia in pregnancy.Why is iron deficiency anaemia so common in our
country in pregnancy?How will you manage a case of anaemia in pregnancy and
labour?

2.Define GDM ?Enumerate the complications of GDM.how will you screen for GDM in
Ante natal period?outline the management of GDM in 34 year old multigravida at 32
weeks of gestation.

3.Write short notes on the following :


a) Non immue fetal hydrops
b) PPTCT-brief discussion
c) Failed forceps
d) Cephal hematoma
e) Delivery of after coming head of breech

4.Answer briefly on the following:


a) Assessment of antenatal fetal well being
b) Active management of 3rd stage of labour
c) Asynclitism
d) How to determine chorionicity of multiple pregnancy and its importance.

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