GYNAECOLOGY (PAPER-2)

ANATOMY
Essays
➢ Describe Anatomy of Pelvic Floor. Enumerate causes and
management of uterine prolapse in a woman aged 45 years para 6
and living 6****
Shorts
➢ Perineal body the and its clinical importance*****
➢ Supports of uterus*****Ligamentary supports of uterus
➢ Pelvic floor & it’s anatomy*****
➢ Transformation Zone of Cervix**
➢ Course of Ureter in pelvis**
➢ Pelvic diaphragm*
➢ Draw and name the Fallopian tube
➢ Follicular study
➢ Lymphatic drainage of cervix
➢ Cardinal ligament (Mackenrod's Ligament)

NORMAL HISTOLOGY
Shorts
➢ Graafian Follicle*****
➢ Corpus Luteum*****
➢ Vaginal cytology***

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➢ Pruritis vulva
➢ Lining epithelium of vagina
➢ Granulose cell tumor
➢ Histology of ovary

PHYSIOLOGY
Essays
➢ Define menstruation. Explain physiology of menstruation with respect
to ovarian, endometrial and endocrine cycle*****
➢ Discuss Physiological and Histological changes during normal
menstruation***
➢ Describe menstrual cycle. Discuss types of dysfunctional uterine
bleeding and medical management***
Shorts
➢ Physiology of menstruation*****
➢ Normal Menstrual Cycle****
➢ Menstrual regulation****
➢ Cyclical cervical mucus changes**
➢ Safe period
➢ Changes in the cervical mucus in the ovulatory menstrual cycle

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 PERIMENOPAUSE,MENOPAUSE,PREMATUREMENOPAUSE&POSTMENO
POUSAL BLEEDING
Essays
➢ Define Dysmenorrhea. Explain in detail the causes, clinical features
and management of Primary dysmenorrhea*****
➢ Enumerate the causes of post menopausal bleeding. How will you
investigate a case of post menopausal bleeding?*****
➢ A 55 year old woman presents with post Menopausal bleeding,What
are the causes ?,How do you do the screening for Ca cervix
(Carcinoma) ?,How will you treat endiometrical cancer, What are the
causes of postmenopausal bleeding? How will you investigate such a
case? Outline the treatment cancer of cervix stage*****
➢ Discuss the causes, diagnosis and management of Dysfunctional
uterine bleeding****
➢ A50 year old woman presents with postmenopausal bleeding. Discus
the differential diagnosis. How will you investigate to arrive at the
diagnosis****
Shorts
➢ Symptoms of Menopause*****
➢ Post menopausal symptoms*****
➢ Dilatation and Curettage****
➢ Menopausal syndrome,Post Menopausal Syndrome****
➢ Pyometra**
➢ Hormonal treatment of dysfunctional uterine bleeding**

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➢ Differential diagnosis of post menopausal bleeding Fractional
Curettage**
➢ Causes of Post menopausal bleeding**
➢ Metropathia hemorrhagica**
➢ Types of Dysmenorrhea**
➢ Cryptomenorrhoea (Hemato colpos)
➢ Type of dysfunctional uterine bleeding and their diagnosis

GYNAECOLOGICAL DIAGNOSIS
Shorts
➢ Pap smear*****
➢ Diagnosis of ovulation***
➢ Colposcope*
➢ Uses of Sim's speculum*
➢ Pap's Test*
➢ Tubal patency tests*
➢ Sonar in Gynecology

ENDOSCOPY IN GYNAECOLOGY
Shorts
➢ Indications of Laparoscopy in Gynaecology*****
➢ Chromopertubation***
➢ Diagnostic laparoscopy****
➢ Hysterosalpingography**

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➢ Tubal patency test**
➢ Schiller's Test Hysteroscopy
➢ Hysterosalpingogram

MALFORMATION OF FEMALE GENERATIVE ORGANS

Shorts
➢ Classification of Uterine Anomalies****, Development of Uterus,
Biocornuate uterus
➢ Imperforate hymen*****
➢ True Hermaphroditism*****
➢ Hematocolpos*****
➢ Uterus didelphys**
➢ Developmentof uterus and Haematometra*
➢ Cryptomenorrhoea*
➢ Differential diagnosis of pelvic
haematocele Meig's syndrome

SEXUAL DEVELOPMENT DISORDERS

Shorts
➢ Causes of Hirsutism and management in Adolescents*****
➢ Precocious puberty*****
➢ Turner's syndrome*****
➢ Precocious puberty*****
➢ Adreno genital syndrome****

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➢ Klinefelter's syndrome*****
➢ Causes of primary amenorrhoea*
➢ Identification of High risk cases in the Antenatal clinic

SEXUALLY TRANSMITTED DISEASES

Shorts
➢ Pruritus Vulvae -Aetiology, investigations and treatment*****
➢ Monilial vaginitis*****
➢ Trichomonal vaginitis*****
➢ Monilial vulvitis**
➢ Gonorrhoea,Treatment**
➢ Bartholin's Abscess**
➢ Syndromic management of STIs (Sexually Transmitted Infections)**
➢ Differences between Trichomonal &Monilial vaginitis**
➢ Metronidazole**
➢ Chlamydial infection
➢ Aids
➢ Bartholinitis
➢ Pelvic abscess

INFLAMMATION OF CERVIX
Shorts
➢ Conization (Cone Biopsy)*****
➢ Erosion cervix*****

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➢ Cervical erosion and its treatment***
➢ Chronic cervicitis***
➢ Ectropion**
➢ Pyometra*
➢ Bartholin's cyst*
➢ Congenital elongation of
cervix
➢ Laminar Tent

PELVIC INFLAMMATORY DISEASES

Essays
➢ Write the aetiology,pathology, signs, symptoms and diagnosis and
management of acute Pelvic inflammatory diseases, Define PID.
Mention the organisms causing PID*****
Shorts
➢ Write the Causes for Pelvic Inflammatory Disease and
treatment***** management of Pelvic Inflammatory
Disease*****
➢ Vaginal moniliasis (Candida infection)****
➢ Clinical features of acute Pelvic Inflammatory Disease*****
➢ Leucorrhoea*****
➢ Acute salpingitis-causes &treatment,diagnosis****
➢ Clinical diagnosis of PID**
➢ Trichomoniasis of vagina**

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➢ Bacterial vaginosis**
➢ Syndromic management of reproductive tract infection**
➢ Common vaginal infections**
➢ Hydrosalpinx
➢ Retroverted uterus
➢ Examination of placenta after delivery

TUBERCULOSIS OF GENITAL TRACT

Essays
➢ Discuss the differential diagnosis of mass in right iliac fossa in a 25
years old woman. How will you treat genital tuberculosis**
Shorts
➢ Asherman syndrome*****
➢ Genital tuberculosis*
➢ Tubercular cervicitis

INJURIES TO FEMALE GENITAL TRACT

Shorts
➢ Post operative care after repair of complete perineal tear,Causes of
Complete perineal tear***** 3rd degree perineal tear
➢ Ureteric injury
➢ Old complete perineal tear

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 GENITAL FISTUALE AND URINARY INCONTINENCE
Essays
➢ Discuss the differential diagnosis of female urinary incontinence. How
will you investigate and treat a case of vaginal fistulae****
➢ Write briefly etiology, types and diagnosis of vesical fistulae**
Shorts
➢ Recto-vaginal fistula*****
➢ Write the Etiology and management of vesicovaginal fistula*****
➢ Define incontinence. What are the types of Incontinence?*****
➢ Define Genuine Stress Incontinence (GSI). Discuss its diagnosis,
Etiopathogenesis and clinical features*****
➢ Etiology of VVF (Vesico Vaginal Fistula)****
➢ Types and causes of genitourinary fistula*****
➢ Urinary incontinence,Types, Differential diagnosis of urinary
incontinence****
➢ Stress inconsistence, Diagnosis,Investigations,Treatment ****
➢ Asymptomatic Bacteruria**
➢ Three swab test**
➢ Indications for continous bladder drainage*
➢ Treatment of vesico vaginal fluid
INFERTILITY AND STERILITY
Essays
➢ 16-year-old girl with Menorrhagia and Severe Dysmenorrhea, USG -
Showing Intra mural Fibroid of

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➢ 8x5 cm. How will you Investigate and Plan for further
Management?*****
(or)
➢ 30-year-old lady married life two years with primary infertility, found
to have mass abdomen 20 weeks size, USG showed fibroid of 15 × 12
cm. How will you manage this case?
➢ Discus the causes and diagnosis of primary infertility in a female,
Define primary infertility. Mention the causes of female infertility. How
do you manage a case of anovulatory infertility in a women aged 30
years*****
➢ What are the causes of male infertility? Write the normal values of
seminal analysis. How will you treat oligospermia?****
➢ A couple presents with infertility, Describe the 'normal semen
parameters, How will you investigate the female partner?, How will
you induce ovulation?*
➢ A20-year old lady married for 10 years in anxious to conceive. Discuss
investigations in this infertile couple*
Shorts
➢ Anovulatory infertility*****
➢ Pomeroy's technique*****
➢ Tubal Patency Tests*****
➢ Causes for female infertility*****
➢ Androgen insensitivity syndrome*****
➢ Tests for ovulation*****

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➢ Semen analysis*****
➢ Hydrosalpinx****
➢ Induction of ovulation****
➢ Post coital tests**
➢ Hysteroscopy**
➢ Male infertility**
➢ Uses of condum in Gynaecology**
➢ Fern test**
➢ Tubal factors in sterility**
➢ Modified Pomeroy's technique of Tubectomy**
➢ Intra uterine insemination**
➢ Hysterosalpingogram, Complications**
➢ Indications, Complications for hysteroscopy
➢ Causes &investigations for Azospermia*
➢ Clomiphene citrate
➢ Pelvic Haematocele
➢ Evaluation of tubal factor in infertility
➢ Cervical factor in infertility
➢ Danazole
➢ Female sterilization

BIRTH CONTROL AND MEDICAL TERMINATION OF PREGNANCY

Shorts
➢ Write about IUCD (Intra uterine contraceptive device)*****

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➢ Non contraceptive benefits or oral contraceptives*****
➢ Permanent methods of contraception*****
➢ Mechanism of action and side effects of combined oral contraceptive
pills*****
➢ MTP Act*****
➢ Hormone producing Intrauterine devices*****
➢ Methods of termination of a second trimester pregnancy MTP (Medical
Termination of
➢ Pregnancy)*****
➢ Emergency contraception*****
➢ Progesterone only pill*****
➢ Methods of contraception*****
➢ Mention indications for female sterilization. Add a note on mini- lap
tubectomy****
➢ Laparoscopic sterilization*****
➢ Injectable contraceptives***
➢ Types, Mechanism of action of intrauterine contraceptive devices
(IUCDs)***
➢ Vasectomy***
➢ Interval sterilization***
➢ Post coital contraception***
➢ Copper- T 200***
➢ Barrier Contraception***
➢ Beneficial effects of hormonal contraceptives**

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➢ Benefits and contra-indications of oral contraceptive pills**
➢ Contraception in male**
➢ Failure rate in Contraception**
➢ Complication of Laparoscopy**
➢ Uses of Progesterone in Gynaecology*
➢ Triphasic pills*
➢ Enumerate various methods of tubal sterilization*
➢ Injectable hormonal contraception*
➢ Complications of tubectomy*
➢ Intrauterine contraceptive device-mechanism of actions &side
effects*

ECTOPIC GESTATION
Shorts
➢ Medical Management & Surgical Management of Ectopic
Pregnancy*****
➢ Unruptured tubal pregnancy - Diagnosis and treatment**
➢ Culdocentesis**
➢ Pelvic hematocele*
➢ TVS. (Transvaginal Sonography)*
➢ Diagnosis, Management of ruptured tubal pregnancy
GESTATIONAL TROPHOBLASTIC DISEASE
Shorts
➢ Management, Diagnosis, Mode of spread of Chorio-carcinoma*****

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➢ Methotrexate uses, Indications in Gynaecology****
➢ Write the follow up of vesicular mole***
➢ Clinical features of preterm neonate

DISORDERS OF MENSTRUATION AMENORRHOEA

Essays
➢ What are the causes of Amenorrhoea ?How will you investigate and
treat such a case****
Shorts
➢ Causes, Investigations of secondary amenorrhea*****
➢ Primary Amenorrhea - Aetiology, causes and investigations*****
➢ Hypomenorrhea*
➢ Fractional curettage
➢ Sucction evacuation
➢ Cryptomenorrhoea
➢ Pelvic haematocele

MENORRHAGIA
Essays
➢ Discuss the causes of 'Menorrhagia' and outline the treatment of
Fibroid uterus in the age group of 30-50 years***** What is
menorrhagia? Mention the causes for menorrhagia. How will you
manage Puberty Menorrhagia?***, Enumerate causes of Menorrhagia.

46
 Describe clinical features and management of a-case of Fibroid uterus
at age of 33*
➢ Define menorrhagia. Discuss differential diagnosis. How will you
manage a-woman of 35 years old with dysfunctional uterine
bleeding*****
➢ Enumerate the causes for abnormal uterine bleeding in 40 years old
para 2living 2patient. How will you investigate and counsel the
patient?*****, What is abnormal uterine bleeding? Enumerate its
causes? Discuss the management of dysfunctional uterine bleeding in
various age groups?***
Shorts
➢ Medical, Surgical Management of Fibroid Uterus in a young
nullipara*****
➢ Causes of abnormal uterine bleeding*****
➢ Definition and causes of menorrhagia, Puberty menorrhagia*****
➢ Metropathia haemorrhagica****
➢ Medical treatment, Causes of menorrhagia****
➢ Chocolate cyst*****
➢ Suction evacuation
➢ Indications for D&C
➢ Fractional currettage
➢ Diagnosis &management of cystocele
➢ Enterocele
➢ Secondary hemorrhage

47
 GENITAL PROLAPSE
Essays
➢ Enumerate the supports of uterus, different types of uterovaginal
prolapsed. Write the management of multiparous prolapse, What is
prolapse uterus? Discuss the symptomatology of prolapse uterus.
Management of a prolapse uterus in a multiparous lady, What are the
etiological factors for prolapse of uterus? How do you manage a case
of 3rd degree uterine descent with cystocele, rectocele and
enterocoele in a women aged 45 years?
➢ A 50 years old woman presents with a mass per vagina, What is the
differential diagnosis,
➢ Aetiology of Genital prolapse, Principles of Ward-Mayo's
operation*****
➢ Describe Anatomy of Pelvic Floor. Enumerate causes and management
of uterine prolapse ni a woman aged 45 years para 6 and living 6,
Describe the pelvic floor and discuss etiology and management of
uterovaginal prolapse in a 30 yrs. old multipara*****
Shorts
➢ Classification of utero vaginal prolapse*****
➢ Indications and complications of vaginal hysterectomy****
➢ Non surgical management of genital prolapse***
➢ Nulliparous prolapse, Treatment ****
➢ Fothergill'srepair operation***
➢ Decubitus ulcers of cervix*,Treatment**

48
➢ Pouch of Douglas**
➢ Write shaw's Classification of prolapse**
➢ Enterocoele
➢ Cystocele
➢ Posterior colpotomy
➢ Culdocentesis (Aspiration of Douglas Pouch)

DISEASE OF VULVA
Shorts
➢ Bartholin's cyst, Bartholin abscess*****
➢ Pruritis vulvae, Aetiology and investigations*****
➢ Vulval dystrophies**
➢ Causes of itching of vulva*
➢ Trichomonas vaginalis*
➢ Cytoglandular hyperplasia*
➢ Leukoplakia vulvae
➢ Vulvar haematoma
➢ Lymphatic drainage of vulva

DISEASES OF VAGINA
Essays
➢ What are the causes of leucorrhoea? Describe the clinical features,
diagnosis & management of
➢ Trichomonal Vaginitis****

49
➢ What are the causes of white discharge per vaginum ? How will l you
investigate and treat such acase ?Discuss the causes and diagnosis of
excess white discharge per vaginum. How will you treat**
Shorts
➢ Vaginal trichomoniasis/ Trichomonal vaginitis*****
➢ Bacterial vaginosis*****
➢ Differential diagnosis of Leucorrhoea**
➢ Clue cells*
➢ Candidial vaginal infections*
➢ Common Vaginal Infections*
➢ TV.. Infection
➢ Causes of Vaginitis
➢ Trichomonas vaginalis infection

BENIGN DISEASES OF UTERUS

Essays
➢ What are the symptoms and signs of fibroid uterus? What are the
complications of Fibroid uterus?
➢ Write the management of Fibroid uterus in a multiparous woman****
➢ Discuss the differential diagnosis of mass in lower abdomen in a
woman of 35 years age. How will you manage fibroid uterus in this
woman**
Shorts
➢ Types,Complications of fibroids uterus*****

50
➢ Myomectomy, Principles, Complications*****
➢ Fibroid polyp****
➢ Red degeneration****
➢ Hysterectomy,
Complications*** Infertility
in Fibroid uterus*

ENDOMETRIOSIS AND ADENOMYOSIS

Essays
➢ Define Endometriosis. Discuss the clinical features and
management of Endometriosis What are the symptoms and signs
of Endometriosis? Write the diagnosis and medical management
of endometriosis*****
➢ Describe the clinical features, diagnosis and treatment of
adenomyosis of the uterus*****
Shorts
➢ Adenomyosis -Definition, causes, pathogenesis and clinical
features*****
➢ Write Causes,Pathology, Clinical features, Treatment of
Endometriosis*****
➢ FIGO staging of endometrial carcinoma****
➢ Chocolate Cyst****
➢ Indications, Complications of abdominal
hysterectomy****

51
➢ Endometrial biopsy**
DISORDERS OF OVARY
Shorts
➢ Polycystic ovarian syndrome, Pathophysiology, Clinical features*****
➢ Dermoid cyst of ovary**
➢ Functional Ovarian Cyst*
➢ Meigs' syndrome*
➢ Clomiphene Citrate*

OVARIAN TUMOUR
Essays
➢ Classify ovarian tumors. What are the clinical features? How do you
manage a case of malignant epithelial ovarian Tumour****
➢ Describe complications of ovarian tumour. How do you diagnose and
manage a case of twisted ovarian tumour*
➢ A 40-year old woman presents with a mass in right iliac fossa. Discus
the differential diagnosis. How will you treat ovarian tumour*
Shorts
➢ Torsion of ovarian cyst*****
➢ Dermoid cyst*****, Gross and microscopic appearance
➢ Dysgerminoma***
➢ Functional ovarian tumour**
➢ Twisted ovarian cyst**
➢ Complications of ovarian tumours**

52
➢ Germ cell tumour of ovary**
➢ Differentiating features of benign and malignant ovarian tumour*
➢ Cystic ovary*
➢ Mucinous cyst of ovary*

DYSMENORRHOEA, PREMENSTRUAL SYNDROME

Essays
➢ Mrs. Y Aged 23 years with 2 months of Amenorrhoea, urine pregnancy
test positive comes to hospital for check up. Write in brief the
examination antenatal Investigations, antenatal advice and follow up
for this patient****
➢ Define dysmenorrhoea. Briefly describe the clinical features and
treatment****
Shorts
➢ Pre menstrual tension/Premenstrual Syndrome (PMS)*****
➢ Congestive dysmenorrhoea****
➢ Dysmenorrhoea,types***
➢ Spasmodic dysmenorrhoea**
➢ Causes of primary, secondary dysmenorrhoea**
CERVICAL INTRAEPITHELIAL NEOPLASIA CARCINOMA OF CERVIX
Essays
➢ 60-year-old P6L6 with Post-Menopausal Bleeding per vagina. H/o
Menopause 10 years. How will you investigate this case? Write the
management of carcinoma cervix stage Ib?*****

53
➢ What are the causes of postmenopausal bleeding? How will you
investigate such a-case? What is the treatment of stage IB cancer
cervix?****
➢ Describe clinical features, diagnosis and management of carcinoma
cervix stage,What are symptoms and signs of cancer cervix? How do
you stage cancer cervix? What are the principles of
management,screening, treatment of endometrial cancer*****
➢ Describe clinical features, diagnosis and management of Cancer
Cervix Stage 1***
Shorts
➢ HPV Vaccine*****
➢ Screening for cervical cancer***** Methods for Cervical Cancer
Screening
➢ Staging of Ca Cervix*****
➢ HPV virus*****
➢ Cervical Intraepithelial Neoplasia****
➢ Screening and staging of Carcinoma breast****
➢ FIGO Staging of Ca Cervix****
➢ Management of CIN III****
➢ Screening for cervical malignancy***
➢ Lymphatic drainage of the cervix***
➢ Prevention of cervical cancer mortality**
➢ Pap smear**
➢ Transformation Zone of cervix*

54
➢ Cone biopsy, Indications*
➢ Elongation of cervix*
➢ Cervical biopsy*

CANCER OF ENDOMETRIUM, UTERUS, AND FALLOPIAN TUBE

Essays
➢ 60 years old post-menopausal woman is found to have bleeding p/v
for the last one month: (a) Discuss the causes, (b) Enumerate risk
factors of Ca endometrium, (c) Management of Ca endometrium
state 1a*****
Shorts
➢ FIGO staging, Predisposing causes of endometrial carcinoma*****

OVARIAN CANCER
Essays
➢ Classify ovarian tumours. What are the clinical features? How do you
manage a case of malignant epithelial ovarian Tumour****
Shorts
➢ Krukenberg tumor****
➢ Tumour markers in ovarian cancers***
➢ Malignant Ovarian Tumour, Investigations***
➢ Grading of ovarian malignancy**
➢ Granulosa Cell Tumour*
➢ Gynaecological tumour markers*

55
➢ Aetiology of epithelial ovarian cancer*

RADIOTHERAPY IN GYNAECOLOGY
Shorts
➢ Radiotherapy in Gynaecology,
Complications**** Cisplatinum*

HORMONAL THERAPY IN GYNAECOLOGY

Shorts
➢ Hormonal Replacement Therapy, Benefits& Side effects, Indications,
Complications *****
➢ Uses of progestogens in gynaecology****
➢ Androgen insensitivity syndrome***
➢ Prostaglandins**
➢ Human chorionic Gonadotrophins*

PREOPERATIVE AND POST OPERATIVE CARE AND SURGICAL

PROCEDURE
Shorts
➢ Indications of Diagnostic Laparoscopy**
➢ Minimally Invasive Surgery in Gynaecology**
➢ Fractional curettage*
➢ Uses of Sim's speculum*

56
NTRUHS GYNAECOLOGY MODEL PAPER
I. Long essay Questions 2X15=30
1) A 36 year old nulliparous woman with BMI 35 came to the OPD with
complaints of heavy menstrual bleeding. Define AUB and how will you
arrive at a diagnosis and discuss the various management options.
(4+5+6)
2) A 28 year old woman P1L1 who delivered 6 months back came to the
OPD requesting contraception. List the various contraceptive
methods. How will you counsel her regarding the various
contraceptive options available to her. What is informed consent
II. Short essay Questions 10X5=50
1) Management of cancer cervix
2) Sling operations for treatment of prolapse
3) HAART therapy
4) Role of Endoscopy in Gynecology
5) Semen analysis.
6) A 20 year old comes to the hospital with complaints of 2 months
amenorrhea with pain abdomen. Discuss differential diagnosis ,
investigations and treatment.
7) Dysmenorrhea
8) Pap smear
9) MTP
10) Endometrial biopsy

57
NTRUHS 2K19 REGULAR GYNAECOLOGY
WRITE ESSAY ON THE FOLLOWING:
1) A 25 year old female came to OPD with complaints of pain in the left
lower abdomen, vaginal discharge, sometimes fever, frequent
urination. On history she underwent 3 abortions by a local dai. What is
your probable diagnosis. Investigations, treatment of acute PID.
2) A 36 year nulliparous woman came with a complaint of heavy
menstrual bleeding since 5 days. Define abnormal uterine bleeding,
causes and management of AUB in premenopausal woman
WRITE SHORT NOTES ON THE FOLLOWING:
3) How will you evaluate and manage a case of primary amenorrhea
4) What are the common causes of male infertility
5) Differentiate a benign and malignant ovarian tumour
6) Methotrexate uses and side effects of gynaecology
7) Describe the etiopathogenesis and medical management of
endometriosis
8) Pre-requisites, indications and complications of myomectomy
9) How do you diagnosis and management of mid-vesicovaginal fistula
10) What is the current recommendation for cervical cancer screening
11) How do you diagnose and manage a decubitus ulcer
12) Define the diagnostic criteria and treatment of PCOD

58
NTRUHS 2K19 INSTANT GYNAECOLOGY
WRITE ESSAYS ON THE FOLLOWING:
1)What are the different masses that will arise from the Uterus?
What are the types of Fibroids?,Name different degenerations in the
Fibroid?,Management of a Nulliparous woman of 33 year old with 16
weeks Uterus size?[2+4+4+5]
2)Patient presented with mass per Vagina protruding through introitus.
What are the differential diagnosis for mass per vagina?Describe signs
and Symptoms of Uterine prolapsed?,Describe (SHAWS) classification
of prolapsed uterus?, Discuss the management of Third degree uterine
prolapsed of 60 Year old women?[3+3+4+5]
WRITE SHORT ESSAYS ON THE FOLLOWING:
3)Emergency Contraception?
4)What are the different methods to diagnose CIN and name different
methods of treatment for CIN?
5)Name four benign ovarian tumours? And four complications of
ovarian tumours?
6)Clinical features, diagnostic methods and treatment of vaginal
candidiasis?
7)A newly married couple came for contraception How will you
counsel them?
8)Discuss different methods of tubal patency tests?
9)WHO Criteria for Semen analysis?

59
10)Define dysmenorrhoea? Describe different types with examples?
11)Cryptomenorrhoea causes, clinical features, treatment?
12)Define AUB? Medical management of DUB?

60
KNRUHS 2K19 REGULAR
Essays:
1. Classify Genital Prolapse Discuss in detail clinical features,
differential diagnosis and management of III degree Urero Vaginal
Prolapse with Cystocele and Rectocele in 60 years old patient
2. What are the types of Fibroid uterus. Write clinical features,
diagnosis and management of Fibroid Uterus in 45 years old Multipara
Short Answer Questions:
3. Pathophysiology of Polycystic Ovarian Syndronse
4. Bacterial Vaginosis
5. Semen Analysis.
6. Emergency Contraception.
7. Tubal patency tests
8. Dermoid Cyst.
9. Vesico Vaginal Fistula
Very Short Answer Questions:
10.Causes of Post Menopausal Bleeding
11. Bartholin’s Cyst.
12. Transformation zone of Cervix
13.Human Papilloma Virus Vaccines
14. Graffian Follicle.
15. Methotrexate

61
KNRUHS 2K19 INSTANT
Essays:
1. Define, Causes of Abnormal Uterine Bleeding, Investigations and
management of 40 yr old women with AUB.
2. Define Contraception, Write the various methods of contraception,
Mechanism of action, benefits and side effects of oral contraceptive
pills.
Short Answer Questions:
3. Vaginal Moniliasis
4. Anovulatory infertility managaement
5.Endometriosis
6. PAP Smear
7. Symptoms of Menopause
8. Medical management of Ectopic pregnancy
9. Course of Ureter in Pelvis
Very Short Answer Questions:
10. Aetiology of Prolapse Uterus
11. Indications of Laproscopy in gynaecology
12. Hydrosalpinx
13. Asherman’s Syndrome
14. Four common causes of Primary Amenorrhoea
15. Functional Ovarian Cyst

62