Gynae

25) Anatomy of the female pelvic organ:

1-Peroineal body 167
2-Supports of pelvic organ 167
3-Pelvic part of the ureter 169

26) Blood vessels, lymphatic Drainage and Innervation of pelvic organs:

1-Lymphatic drainage of vulva 171
2-Lymphatic drainage. of uterine cervices 172

27) Congenital malformation of FGT.

1- Mullerian duct anomaly, is often associated with uterine tract 173
abnormality comment

28) Puberty’s -- Normal and Abnormal.

1-Puberty menorrhagia 175

29)Menopause
1-Post "Menopausal bleeding causes & investigation 177
2-Define Postmenopausal bleeding, causes + Management 179
3-Define Menopause + clinical problems associated with it How are these 179
problems addressed
4-post Menopausal bleeding per vagina should always be investigated 181
5-Hormone replacement therapy (HRT) Should be 182
advised in post-menopausal women clinically evaluate 182
6-HRT in a postmenopausal woman the advantage & disadvantage 182, Q5
7-Selection of cases must be meticulous before prescribing HRT + Justify 183
8-vaginal bleeding in post-menopausal women should be investigated & justify 181, Q4,183

30) menstruation
1) Hormonal control of physiological menstruation 184

31. History, examination, diagnostic procedure of gynaecology project.

1) causes of lower abdominal lump in women in reproductive age group, differentiate 186
between ovarian and uterine lump, enumerate common epithelial ovarian tumour
2) 45yr lower abdominal lump, complain pelvic pain, causes+ management 187
3) 40yrs lower abdominal lump causes+ investigation 190

32) Pelvic infections

1) PID+ common organisms + detection PID+ complications 192
2) tubercular endometritis 194
3) upper reproductive tract infection is a sequel of lower reproductive tract infection, 196
comment
4) episodes of pelvic infection may lead to infertility 196
5) empirical treatment for PID should be started even suspicious of PID+ comment 196
6) episode of pelvic infection may lead to ectopic pregnancy, comment 196
 33) STD
1) what is the abnormal vaginal discharge + clinical features candida vaginitis+ 197
differentiate trichomonas vaginitis with this.
2) History taking + clinical examination + investigation with vaginal discharge + 198
treatment of t. vaginalis
3) Bacterial vaginosis 197
4)vaginal candidiasis 197
5)Trichomonas vaginitis 197
6) Trichomonas vaginitis is std justify 197
7) Syndromic approach is effective for managing reproductive tract infections 201

34.Dysmenorrhea and other disorder of menstrual cycle

1) what is dysmenorrhea difference between primary and secondary dysmenorrhea. 202
Treatment
2)cause of secondary dysmenorrhea 203
3) primary dysmenorrhea 204

35. ABNORMAL UTERINE BLEEDING AUB

1) Investigation of AUB +treatment of parous women aged 38 YRS 205
2) Define Metrorrhagia + causes + management of 45-year-old this lady 207
3) 33 yr. old lady P3+0 come to OPD with h/0 Menorrhagia approach of diagnosis 209
4) Metrorrhagia 210
5) Dysfunctional uterine bleeding is diagnosis of exclusion 211
6) Hysterectomy is not always necessarily to treat DUB clinically explain 211
7) AUB doesn't need always surgical management comment on 211

36. DISPLACEMENT OF UTERUS

1) 35-year c/0 something coming out of vagina. Different Lab diagnosis + distinguishing 213-215
feature and treatment of 2 'degree vagino-uterine prolapse
2) genital prolapse causes and management of uterine prolapse with cystocele and (215)
rectocele in 35 yrs.
3) support of uterus and causes of genitourinary prolapse and degree of prolapse (216-217)
4) support of uterus and etiology pelvic organ prolapse and management of procidentia (216-17)
in a post-menopausal lady
5) Gartner duct cyst (217-218)
6) support of uterus (216)
7) something coming down per vagina does not necessarily mean it is a case of genital (213)
prolapse
8) prolapse is preventable justify (218)
9) surgical treatment for genital prolapses is decided after considering the age and (219)
reproductive wish of patients explain
10) repeated vaginal delivery increase the chances of genital prolapse (220)
11) examination in case of genital prolapse with full bladder is mandatory explain (220)
 37: infertility
1) causes of infertility in females and detection method of ovulation and how to induce (221-225)
ovulation
2) secondary infertility and causes of infertility secondary + investigation (225-227)
3)define infertility and causes of primary infertility and investigation and short ac. on (227-228)
one ovulation induction agent
4) Investigation of a couple with primary infertility + Drugs for ovulation induction 229,230
5) Define ovulation + signs and symptoms of ovulation + investigation of infertility 229,230
6) Normal semen report 231
7) Tubal factors of infertility 232
8) Tubal patency 232
9) Tests of ovulation 233
10) Laparoscopy is preferred over HSG in a workup of infertility case Justify 235
11) All women with bilateral tubal block should undergo diagnostic Laparoscopy 236
12) Laparoscopy gives more diagnostic information than Hysterosalpingography 235,236
13) Laparoscopy is mandatory for evaluation of female infertility 235
14) Husbands semen analysis is the first investigation to evaluate a case of infertility 237
15) Justify the place of HSG in the workshop protocol of infertility 238

38 - Benign lesion of Cervix

1) Cervical Ectopy/Erosion 239,240

39 - Benign lesion of uterus

1) Define menorrhagia + causes + management of uterine fibroid 241-244
2) Define menorrhagia + causes + management of such cases with associated 241-244
large hypogastric mass
3) 16-week uterine mass (pregnant size), possible causes of lump + management 245-246 (Q-1)
of uterine fibroid + degenerative changes of fibroid
4) Causes of menorrhagia40 yrs. old + management of such a case with fibroids Q.1 (241-244)
5) Submucous myoma (246)
6) Uterine polyp Q.5 (246)
7) Degenerative changes of fibroid Q.5 (246)
8) Different types of menstrual abnormalities may be associated with leiomyomas (247-248)
9) Hysterectomy is not the only solution for management of menorrhagia (248)
10) Medical therapy is preferred over surgical therapy in management of in a case (248)
11) GnRH analogue share an important tool in management of uterine fibroid (249)
12) medical therapy is preferred over surgical in management of DUB cases (249)
13) In some cases of fibroid uterus menorrhagia may be present (249)

40. BENIGN LESION OF OVARY

1) Classify benign ovarian tumours + clinical features + What is the (269-
stage 1 ovarian malignancy acc. to FIGO? 270)
2) Benign epithelial tumours of ovary 2 common variety + Diagnosis and (250)
management
3) Dermoid cyst (251)
4) Granulosa cell tumour (252)
5) Mucinous cystadenoma (253)
6) Solid tumours of ovary (254-
255)
 41. ENDOMETRIOSIS AND ADENOMYOSIS
1) Define endometriosis + common sites + treatment (256-258)
2) Common sites of endometriosis + Clinical features of pelvic endometriosis + (258-259)
Medical management
3) Role of laparoscopy in diagnosis and management of endometriosis (259-260)

42. PREMALIGNANT LESION

1) What’s CIN? + Diagnosis process of the premalignant lesion of the cervix + (261-263)
management of CIN

43. GENITAL MALIGNANCY

1) Irregular vaginal bleeding for 1 year + Differential diagnosis + Management of early (264-265)
stage of cervical cancer
2) Causes of Post-Menopausal bleeding + Management of Ca endometrium in >60 (265-267)
woman
3) Cervical premalignant lesions names + Screening of these lesions + FIGO staging of (267-268)
Ca cervix
4)Classify benign ovarian tumours + clinical features of malignancy with ovarian tumour (269-270)
+ FIGO stage 1 malignancy
5) Complications of ovarian tumours (271)
6) Diagnosis of malignant ovarian tumours (271-72)
7) PAP smear (272-273)
8)There’s no appropriate method of screening of Ca ovary (273)
9) Ovarian malignancy is often diagnosed late Q.8 (273)
10) Ca cervix is a preventable malignancy (274)
11) Cervical screening can effectively reduce Ca cervix (274)
12) Tumour markers have neat prognostic value in ovarian malignancy (275)
13) All married women at reproductive age should undergo PAP smear examination (275)
14) Ovarian malignancy carries a proper prognosis than other malignancies in female (276)
15) All adolescent girls should be given HPV (276)
16) Ovarian malignancy is a silent killer Q.8 (273)
17) Colposcope is an important tool of gynaecology (277)

44.URINARY PROBLEMS IN GYNAECOLOGY

i
) Types of Urinary incontinence +Primipara 22yrs forceps delivery following prolonged (278-280)
delivery complains of continuous leakage of urine per vagina, 7 days after childbirth +
Causes + Methods of diagnosis
ii) Stress urinary incontinence (280-282)

45.GENITAL PROLAPSE
i) Types of genitourinary fistula + causes + Diagnosis of VVF (283-285)
ii) Investigation of VVF (284-285)
iii) Three sab tests (285)
iv) Three swab tests differentiate the different urinary fistula Q.1 (285)
v) VVF is a preventable disorder 285
 46.AMENORRHOEA
i) Define Amenorrhoea + Types + Management of PCOS (287-288)
ii) Causes of primary amenorrhoea + modern day tool to diagnose a case of primary (288-289)
amenorrhoea
iii) Secondary amenorrhoea + Physiological causes + Investigations necessary to (290-291)
diagnose PCOS
iv) Causes of primary amenorrhoea + tools to diagnose Q.2 (288-289)
v) Definition + Causes of secondary amenorrhoea (292)
vi) causes of primary amenorrhoea (293)
vii) Cryptomenorrhea (294)
viii) Imperforate hymen (295-296)
ix) Ovarian causes of secondary amenorrhoea (296-297)
x) PCOs is an endocrine and metabolic disorder (297-298)
xi) PCOs is a diagnostic riddle (298)
xii) Body weight reduction is an important of management of PCOs (298)
xiii) Life style modification is important to treat PCOD Q.12- (298)

47.CONTRACEPTION
i) Progesterone only pills POP (299)
ii) Contraindications of OCP (300)
iii) Emergency contraception (300)
iv) LNGH-IUS (301)
v) Post coital contraception Q.3 (300)
vi) Complications of IUD (302)
vii) Family planning method suitable for the breast-feeding women (304)
viii) Different methods of Tubectomy (304)
ix) Use of injectable or IUCD are important contraceptive in our country (304-305)
x) IUCD is not contraceptive of choice in a newly married woman (305)
xi) Combined oral contraceptive pills have more benefits than risk (305)
xii) Pregnancy can be avoided even following non-protected intercourse (306)
xiii) Non-contraceptive benefits of male condoms (307)
xiv) “No scalpel vasectomy” should gradually replace “Tubectomy” as a method of (307)
permanent contraception
xv) Combined oral contraceptive is best for newlywed couple (307-308)
xvi) Good counselling can increase contraceptive acceptance (308)
xvii) Non contraceptive benefits of OCP (309)
xviii) As a sterilization procedure the ideal site for partial salpingectomy is not ampulla (309)
xix) Emergency contraceptives should be widely available (309-310)
xx) Family planning methods best suitable for breast feeding women (310)
xxi) POP are recommended in lactating women (310)

48. GENITAL TRACT INJURY

i) Complete perianal tear is due to mismanaged 2nd stage of labour (311)

49. INTERSEX
i)Turner syndrome (312)
 50. RADIOTHERAPY AND CHEMOTHERAPY
i) Chemotherapy is the mainstay of choriocarcinoma of uterus (313)

51.HORMONES IN GYNAECOLOGICAL PRACTICE

i) HRT should be used selectively (314)

52.SPECIAL TOPICS
i) Methods of 1st trimester MTP (316)
ii) Methods of choice in 2nd Trimester MTP (317)

53.OPERATIVE GYNAECOLOGY
i) Ovarian conservation during Hysterectomy has both advantages and disadvantages (318)
ii) Age of the patient should be considered before the undertaking hysterectomy for benign (318)
conditions
iii) Indication of “D & C” should not be neglected. Mention and discuss the indication (319)
iv) Healthy ovaries should be preserved in hysterectomy for women< 45 (319-
320)

54.ENDOSCOPIC SURGERY IN GYNAECOLOGY

i) The scope of laparoscopic surgery is enhancing (321)
ii) Laparoscopic female sterilization Advantages and disadvantages (322)
iii) Analyse the importance of diagnostic laparoscopy (322-323)
iv) Lap method is the best method of sterilization Q.2(322)
v)Lap is essential in gynaecological practice Q.1 (321-
322)