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PAEDIATRIC 10 years question paper for 3rd prof part2 WBUHS

PAEDIATRIC 10 years question paper for 3rd prof part2 WBUHS

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Recent Marks Distributions of WBUHS

❤ PAEDIATRICS including NEONATOLOGY

A. Theory examination 40 marks

Group-A

1) Long Question (Basic & Allied)

             1                      = 10 Marks
Group-B

2) Short answer type

         2 out of 3                      = 2 x 5 =10 Marks
Group-C

3) Short Notes

         3 out of 4                      = 3 x 4 =12 Marks
Group-D

4) Short problem based question

             1                      = 8 Marks
Total                      = 40 Marks

 

B. Practical Examination = 30 Marks [20+10]

  1. One long case = 20 marks
  2. One short case = 10 marks

 

C. Oral Examination = 10 Marks [5+5]

  1. X- rays ( Paediatric), other images (CT, USG, MRI )     = 5 marks
  2. ECG, charts, instruments                                                 = 5 marks

D. Internal Assessment = 20 Marks (theory 10 + practical 10)

 

 

TOTAL 100 Marks in PAEDIATRICS including NEONATOLOGY

 

 

 

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2018

Subject: Paediatrics including Neonatology

Time: 2 hrs. Full Marks: 40

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Discuss the process of vitamin D absorption and metabolism. Mention the clinical and radiological features of Vitamin deficient Rickets. 5+5

Group-B

2. Write briefly on the following (any two): 2 x 5

a) ‘Warm chain’ in New born.

b) Differentiation of Jitteriness from convulsion in Neonate.

c) Clinical features and management of Acute Bronchiolitis in 6 months old infant.

Group-C

3. Write short notes on (any three) of the following: 3 x 4

a) Baby of days old, mother having chickenpox

b) MMR vaccine.

c) Febrile convulsion.

d) Indications of renal biopsy in Nephrotic syndrome.

Group-D

4. A two year old child presented in the emergency room with history of sudden onset of difficulty in breathing. What is the probable diagnosis? How will you diagnose and manage such case? 2+6

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2017

Subject: Paediatrics including Neonatology

Time: 2 hrs. Full Marks: 40

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Describe the functions of the different parts of a nephron. Mention the laboratory diagnosis of Nephrotic Syndrome. 7 +3

Group-B

2. Write briefly on the following (any two): 2 x 5

a) Late onset of Neonatal sepsis.

b) Developmental milestones of a normal child of one year.

c) Management of Hypothermia in Neonate.

Group-C

3. Write short notes on (any three) of the following: 3 x 4

a) Management of foreign body in Respiratory tract.

b) Initial steps of resuscitation of a new born.

c) IPV.

d) Features of HIV in children.

Group-D

4. A three year old boy has been brought to the emergency with convulsion persisting for more than 30

minutes. 2+6

a) What is the probable diagnosis?

b) Outline the management of such a patient.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2016

Subject: Paediatrics including Neonatology

Time: 2 hrs. Full Marks: 40

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Describe the functions of the different parts of a nephron. Mention the laboratory diagnosis of Nephrotic Syndrome. 7 +3

Group-B

2. Write briefly on the following (any two): 2 x 5

a) Late onset of Neonatal sepsis.

b) Developmental milestones of a normal child of one year.

c) Management of Hypothermia in Neonate.

Group-C

3. Write short notes on (any three) of the following: 3 x 4

a) Management of foreign body in Respiratory tract.

b) Initial steps of resuscitation of a new born.

c) IPV.

d) Features of HIV in children.

Group-D

4. A three year old boy has been brought to the emergency with convulsion persisting for more than 30 minutes. 2+6

a) What is the probable diagnosis?

b) Outline the management of such a patient.

 

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2015

Subject: Paediatrics including Neonatology

Time: 2 hrs. Full Marks: 40

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Name the common causes of generalised oedema in children. Describe the pathophysiology of oedema in children. 2+8

Group-B

2. Write briefly on the following (any two): 2 x 5

a) Phototherapy in neonates.

b) Write your plan of feeding of a premature very low birth weight new born baby.

c) Developmental milestones achieved at 9 months of age.

Group-C

3. Write short notes on (any three) of the following: 3 x 4

a) M.M.R vaccine.

b) Kangaroo mother care.

c) Skeletal changes in Rickets.

d) Treatment of infected Scabies.

Group-D

4. A 3 year old child presented in emergency room with history of fever and cough for 3 days and respiratory distress for one day. Enumerate the common differential diagnosis for the case. How will you approach the case to arrive at a definite diagnosis? 3+5

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2014

Subject: Paediatrics including Neonatology

Time: 2 hrs. Full Marks: 40

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Describe the formation and circulation of CSF in brain. Describe the clinical features of raised intracranial pressure of a 6 years old child. Give an outline of treatment of such a patient. 3+3+4

Group-B

2. Write briefly on the following (any two): 2 x 5

a) Hypoglycemia in neonate.

b) Haemorrhagic disease of new born.

c) Enumerate the vaccines that can be given to an unimmunized 2 years old child.

Group-C

3. Write short notes on (any three): 3 x 4

a) Modified Jones Criteria.

b) Pneumatocele.

c) Common causes and laboratory diagnosis of iron deficiency anaemia in children.

d) Causes and clinical features of hyponatremia.

Group-D

4. A 6-year-old girl child is admitted with hematuria, moderate oedema and headache. Mention the possible differential diagnosis. How will you evaluate such a case to reach to a definite diagnosis? 2+6

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2013

Subject: Paediatrics including Neonatology

Time: 2 hrs. Full Marks: 40

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Pathophysiology of large VSD and the future changes in haemodynamics if remain untreated. Mention the complications of VSD. Outline the treatment of VSD with CCF. 5+3+2

Group-B

2. Write briefly on the following (any two): 2 x 5

a) Kangaroo Mother Care.

b) Clinical features and laboratory investigation of Dengue fever in children.

c) Neonatal Sepsis screening.

Group-C

3. Write short notes on (any three): 3 x 4

a) Utility of growth chart.

b) Rabies Prophylaxis.

c) Miliary tuberculosis in children

d) Pulse polio immunization.

Group-D

4. A 4 years old child prescribed with h/o lever for 7 days and recurrent convulsion for last two days and headache. How will you proceed for diagnosis clinically and by laboratory investigations? 4 + 4

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2012

Subject: Paediatrics including Neonatology

Time: 2 hrs. Full Marks: 40

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Discuss briefly the synthesis of Thyroid hormones. Outline the clinical features and treatment of Cretinism. 5+3+2

Group-B

2. Write briefly on the following (any two): 2 x 5

a) Management of Cyanotic Spell in Tetralogy of Fallot.

b) Prevention of Hypothermia in Newborn.

c) Diagnosis of Rheumatic Arthritis.

Group-C

3. Write short notes on (any three): 3 x 4

a) Pulsus-Paradoxus.

b) Complications of acute glomerulonephritis.

c) Biochemical change in Rickets.

d) Milestones of development in a one year old child.

Group-D

4. A 4 years old child presented with pallet, fever, gum bleeding and 1.5 cm. palpable spleen. Mention the diagnostic possibility and investigations to confirm diagnosis. 3+5=8

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2011

Subject: Paediatrics including Neonatology

Time: 2 hrs. Full Marks: 40

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Describe formation, circulation, absorption and composition of C.S.F. of a normal child. Give outline of management of Tubercular Meningitis of 2 years old child. 11/2+11/2+11/2+11/2+4

Group-B

2. Write briefly on the following (any two): 2 x 5

a) Bell’s palsy.

b) Kangaroo-mother carer.

c) Sepsis screen of newboms.

Group-C

3. Write short notes on (any three): 3 x 4

a) Laboratory diagnosis of Acute Glomerulonephritis.

b) Febrile convulsion.

c) Diet of one year old infant.

d) Head-circumference.

Group-D

4. A two years old child has presented with fever for 20 days. Examination revealed some pallor, hepato-splenomegaly and purpuric spots all over the body. 5+3

a) Write the differential diagnosis.

b) Suggest investigations to reach the final diagnosis.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2010

Subject: Paediatrics including Neonatology

Time: 2 hrs. Full Marks: 40

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Outline the Metabolism of iron in the body. Compare the laboratory findings of iron deficiency Anemia and Thalassemia. 4+6

Group-B

2. Write briefly on the following (any two): 2 x 5

a) Breast milk versus Cow’s milk.

b) Developmental milestones of one year old child.

c) Urinary findings of acute post streptococcal glomerulonephritis.

Group-C

3. Write short notes on (any three): 3 x 4

a) Transient Tachypnea of new born.

b) Clinical presentation and management of Acute Bronchiolitis.

c) OPV versus IPV.

d) Photo Therapy.

Group-D

4. A seven year old with History of exchange transfusion in neonatal period, presents with Haematemesis . Physical examination is unremarkable except for splenomegaly (6 cm).

What is your differential Diagnosis? Describe the steps to the management of this child. 1+7

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2009

Subject: Paediatrics including Neonatology

Time: 2 hrs. Full Marks: 40

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Give an outline of bilirubin metabolism. Describe the underlying mechanism for physiological jaundice in the new-born. 6+4

Group-B

2. Write briefly on the following (any two): 2 x 5

a) Causes of failure of breast feeding?

b) Routine care of newborn in the delivery room.

c) Clinical features and treatment of scabies in children.

Group-C

3. Write short notes on (any three): 3 x 4

a) Rheumatic chorea.

b) Laboratory evaluation of ascites of a child.

c) Tuberculin test.

d) Vascular purpura.

Group-D

4. A four years old child has been brought to the emergency with convulsion persisting for more than 30 minutes. How you will diagnose the case? Briefly narrate the management of the case.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2008

Subject: Paediatrics including Neonatology

Time: 2 hrs. Full Marks: 40

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. What is glomerular filtration? How it is affected in acute Post streptococcal glomerulonephritis? Describe the underlying pathogenic mechanism for the clinical picture of acute PSGN? l+3+6

Group-B

2. Write briefly on the following (any two): 2 x 5

a) Give an outline of the clinical features of neonatal sepsis.

b) Describe briefly the Complications of low birth weight (LBW) babies.

c) Write in short the indications and complications of phototherapy.

Group-C

3. Write short notes on (any three): 3 x 4

a) Dietary management of severe Protein Emergency Malnutrition (PEM).

b) Congenital hypothyroidism.

c) Clinical features of pyogenic meningitis in children.

d) Complications of Ventricular Septal Defect (VSD).

 

Group-D

4. A 4 years old boy was presented at the emergency room with acute onset of cough and respiratory distress. He has no fever. His father also suffers from recurrent episodes of similar problem. The child was admitted three times with similar complications in the preceding one year. What is your most probable diagnosis? How will you manage the condition? 1+7

SURGERY 10 years question paper for 3rd prof part2 WBUHS

SURGERY 10 years question paper for 3rd prof part2 WBUHS

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Recent Marks Distributions of WBUHS
❤ surgery

A. Theory examination 120 marks (2 paper1st paper 60 marks + 2nd paper 60 marks)

Surgery Paper I:
1. General Surgery
2. Gastro-intestinal including Colo-rectal surgery. Abdominal Wall & Hernia, Hepatobiliary System, Pancreas, Spleen, Peritoneum Retroperitonent.
3. Breast
4. Head Neck surgery
5. Orthopaedics

Surgery Paper II:
1. General Surgery including venous, arterial & lymphatic diseases.
2. Genitourinary System.
3. Endocrinology
4. Anaesthesiology
5. Radiology & Radiotherapy
6. Dental Surgery
7. Special Surgery – Paediatric Surgery, Cardio-Vascular Surgery, Neurosurgery, Plastic Surgery and Traumatology

Questions in Both Papers:
1) Group-A Long Question (Basic & Allied) 1 = 15 Marks
2) Group-B Long Question- clinical problem 1 out of 2 = 15 Marks
3) Group-C Short Notes 3 out of 5 = 3 x 5 =15 Marks
4) Group-D Short Question 3 out of 5 = 3 x 5 =15 Marks
Total = 60 Marks

B. Practical Examination = 100 Marks [60+30+10]
1. One long Case = 60 (Marks History Taking = 15 Marks + Demonstration = 30 + Marks Discussion = 15 Marks)
2. One Short Case = 30 Marks
3. Spot Cases 2 Subjects to be given 5+5 = 10 Marks
C.  Oral Examination = 20 Marks

D. Internal Assessment = 60 Marks (theory 30 + practical 30)

TOTAL 300 MARKS IN SURGERY

 

 

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2018

Subject: Surgery Full Marks: 60

Paper: I Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

l. A 40 years old man presents with a nonhealing ulcer over the lower part of his inferior extremity. What are the causes? How will you investigate the case? What are the surgical considerations of diabetic foot ulcer? (No operative details). 3+7+5

Group B

2. A 25 years old female, recently married, presents with sudden pain over the right lower abdomen. How will you take up the case to come at a diagnosis? Outline the management of acute appendicitis (No operative details). 10+5

OR

b) What are the causes of intra abdominal lump in the region of epigastrium? Discuss the management of Hydatid cyst of the liver. 5+10

Group-C

3. Write short notes on (any three) of the following: 3×5

a) Diagnostic peritoneal Lavage.

b) Colostomy.

c) Molecular subtypes of Breast carcinoma.

d) Intussusception.

e) Amoebic Liver Abscess.

Group-D

4. Answer in brief on any three of the following: 3×5

a) Myositis ossificans.

b) Fracture patella.

c) Complications of colles’ fracture.

d) Pathological fracture.

e) Giant cell tumour.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2018

Subject: Surgery Full Marks: 60

Paper: II Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. What are the different forms of Renal Calculi? Discuss the clinical presentation end its management of a stone in the Renal pelvis. 5+10

Group B

2. a) What is ANDI to classify benign lesions of the Breast? Discuss the management of discharge from the nipple. 7+8

OR

b) Classify Thyroid neoplasm. Discuss the management of solitary thyroid nodule. 3 cm in size of 30 years old female. 5×10

Group-C

3. Answer in brief on any three of the following: 3 x 5

a) Lucid interval.

b) Thyroid storm.

c) Ranula.

d) E.R.C.P.

e) Testicular torsion.

Group-D

4. Write short notes on (any three): 3 x 5

a) PSA.

b) Brachytherapy.

e) Biomarkers.

d) Triage.

e) Regional anesthesia

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2017

Subject: Surgery Full Marks: 60

Paper: I Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Describe the signs, symptoms, prevention and treatment of tetanus. 15

Group-B

2. Answer any one of the following:

a) Discuss the investigations of a 50 years old male presented with obstructive jaundice and palpable gall bladder. Give outline of management of patient. How will you prepare liver for operation if needed? 5+5+5

b) Discuss the pathophysiology of acute intestinal obstruction. How will you manage a case of intussuception? 5+10

Group-C

3. Write short notes on any three: 3 x5

a) Sentinel node biopsy.

b) Alvarado score.

c) Parotid abscess.

d) Mesenteric cyst.

e) Gastrinoma (ZE syndrome).

Group-D

4. Answer in brief on any three of the following: 3 x 5

a) Volkman’s ischaemic contracture.

b) Pathological fracture.

c) Congenital talipes equinovarus.

d) Radial nerve injury due to fracture.

e) Perthes disease.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2017

Subject: Surgery Full Marks: 60

Paper: II Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Discuss the causes of haemoperitoneum and its management. 5+10

Group-B

2. Answer any one of the following:

a) What are the clinical features of renal cell carcinoma? How will you investigate and treat a case of renal cell carcinoma? 8+4+3

b) Discuss the clinical features, investigations and management of Pheochromocytoma. 4+5+6

Group-C

3. Answer in brief on any three of the following: 3 x 5

a) Myocutaneous flap.

b) Autotransfusion.

c) PCNL.

d) Subdural haemorrhage.

e) Complications of spinal anaesthesia.

Group-D

4. Write short notes on any three of the following: 3 x 5

a) Tongue ulcers.

b) Pulmonary embolism.

c) DVT.

d) ABPI.

e) Ludwig’s angina.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2016

Subject: Surgery Full Marks: 60

Paper: I Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Classify haemorrhage. Discuss briefly the management of haemorrhagic shock. Mention complications of blood transfusion. 5+5+5

Group-B

2. Answer any one of the following:

a) A 50 year old man presents with alternate constipation and diarrhoea. He has a lump in left iliac fossa. How would you investigate and diagnose the case. Outline the treatment of such case. 6+4+5

b) A 45 year old man presented with a recently discovered lump in the epigastrium with rapidly developing anorexia, asthenia, anaemia and increasing vomiting. How would you investigate to arrive at diagnosis? Outline the management of the case. 8+7

Group-C

3. Write short notes on (any three) of the following: 3 x 5

a) Hydatid cyst of liver.

b) Pancreatic pseudocyst.

c) Femoral hernia.

d) Liver abscess.

e) Marjolins ulcer.

Group-D

4. Answer in brief on any three of the following: 3 x 5

a) Carpal tunnel syndrome.

b) Tardy ulnar nerve palsy.

c) Supra condylar fracture of humerus.

d) Giant cell tumour.

e) Trendelenberg test for hip joint.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2016

Subject: Surgery Full Marks: 60

Paper: II Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Enumerate the causes of painless haematuria. Discuss the investigation and treatment in a patient of 65 years presented with painless heamaturia. 5+5+5

Group-B

2. Answer any one of the following:

a) Classify thyroid cancer. Discuss the management of F.N.A.C. proved follicular neoplasm of (R) lobe of thyroid in a lady of 45 years. 5+10

b) What are the aetiologies of pancreatitis? How will you investigate and treat a case of acute pancreatitis? 5+5+5

Group-C

3. Answer in brief on any three of the following: 3 x 5

a. Epidural anaesthesia.

b. Venus ulcer lower leg.

c. Spina bifida.

d. M E N syndrome.

e. Principle of skin grafting.

Group-D

4. Write short notes on any three of the following: 3 x 5

a. Bleeding from gum.

b. Hydrocephalus.

c. Post burn contracture.

d. Ionising radiation.

e. Hamartoma.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2015

Subject: Surgery Full Marks: 60

Paper: I Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Describe the biological process of wound healing. What are the factors affecting wound healing? Treatment options for presternal keloid. 5+5+5

Group-B

2. Answer any one of the following:

a. A 45 yrs. old gentleman presents with intractable anaemia and a painless lump in the right iliac fossa for 3 months duration. How would you investigate the case to confirm the diagnosis. Briefly outline a comprehensive management of the problem. 8+7

b. A 50 year old male patient comes to you with painless progressive jaundice and on clinical examination the gall bladder is palpable. How would you investigate the patient to come to a diagnosis? Describe the preoperative preparations of jaundiced patient. 10+5

Group-C

3. Write short notes on (any three) of the following: 3 x 5

a. Ludwig’s angina.

b. Oestrogen and progesterone receptors.

c. Types of anorectal abscess.

d. Appendicular lump.

e. MODS.

Group-D

4. Answer in brief on any three of the following: 3 x 5

a. Ring sequestrum.

b. Exostosis of bone.

c. Volkmann’s ischaemic contracture.

d. Pathological fracture.

e. Ideal ampulation stump.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2015

Subject: Surgery Full Marks: 60

Paper: II Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Classify goitre. How will you investigate and treat a 50 yrs. old man with a clinically discrete nodule of 3 cm diameter in right lobe of thyroid. 5+5+5

Group-B

2. Answer any one of the following:

a) Classify renal injury. Discuss clinical features and management of a patient having injury to left kidney following blunt trauma in left loin. 4+5+6

b) Discuss the clinical features, complications and management of undescended testis. 2+4+9

Group-C

3. Answer in brief on any three of the following: 3 x 5

a) Breast abscess.

b) Meconium ileus.

c) Basal cell carcinoma.

d) Premalignant conditions of penile carcinoma.

e) Acute pancreatitis.

Group-D

4. Write short notes on any three of the following: 3 x 5

a) Glasgow Coma Scale.

b) Radiofrequency ablation of tumours.

c) Tension pneumothorax.

d) Epulis.

e) Complications of spinal anaesthesia.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2014

Subject: Surgery Full Marks: 60

Paper: I Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Classify shock. Discuss the patho-physiology and management of septic shock. 3+6+6

 

Group-B

2. Answer any one of the following:

a) Describe the clinical features, investigations and management of carcinoma of stomach. 4+4+7

b) A 50 years male patient presents with bleeding per rectum. How will you investigate and manage the patient? 7+6

 

Group-C

3. Write short notes on (any three) of the following: 3 x 5

a) Breast Biopsy.

b) Incarcerated Hernia.

c) Blood Substitutes.

d) Volvulus Neonatoram.

e) Amoebic Liver Abscess.

Group-D

4. Answer in brief on any three of the following: 3 x 5

a) Fractures occurring due to fall on outstretched hand.

b) Osteochondroma.

c) Greenstick fracture.

d) Fracture of Patella.

e) Spine Bifida.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2014

Subject: Surgery Full Marks: 60

Paper: II Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Discuss the clinical features, investigation and treatment of Thyrotoxicosis. 5+5+5

 

Group-B

2. Answer any one of the following:

a) Describe the pathophysiology of BHP. Mention the medical and surgical management of BHP. 6+4+5

b) Classify testicular tumours. Discuss investigation necessary to plan the treatment for a suspected testicular tumour. What are the treatment options available? 5+5+5

 

Group-C

3. Write short notes on (any three) of the following: 3 x 5

a) Paget disease of nipple.

b) Electric burns.

c) Dentigerous cyst.

d) Lucid interval.

e) Fistula in ano.

Group-D

4. Answer in brief on any three of the following: 3 x 5

a) Penile carcinoma.

b) Muscle Relaxant.

c) Flail Chest.

d) Epidural Anaesthesia.

e) Compartment Syndrome.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2013

Subject: Surgery Full Marks: 60

Paper: I Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Discuss assessment of Burn wound. Write in short pathophysiology of Burn injury. How would you treat 30% burn in 50 kg. body weight female patient. 3+6+6

 

Group-B

2. Answer any one of the following:

a) Classify colonic tumours. How will you manage a 60 years old man presenting with fresh bleeding per rectum? 5 + 10

b) Describe the clinical features, diagnosis and management of Choledocholithiasis. 4+4+7

Group-C

3. Write short notes on (any three) of the following: 3 x 5

a. Causes and treatment of metabolic acidosis.

b. venous ulcer.

c. Fourier’s gangrene.

d. Anorectal Malformation.

e. Torticollis.

Group-D

4. Answer in brief on any three of the following: 3 x 5

a. Volkmann’s ischaemic Contracture.

b. Ewing’s tumour.

c. Core needle biopsy.

d) Colles Fracture.

e) Bone graft.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2013

Subject: Surgery Full Marks: 60

Paper: II Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Define Hydronephrosis. Discuss the causes and management of unilateral hydronephrosis. 2+5+8

 

Group-B

2. Answer any one of the following:

a) Describe Lymphatic drainage of breast. Mention the risk factors of breast carcinoma. How to manage a 52 year old female patient with locally advanced breast carcinoma? 4+3+8

b) A 50 year old gentleman presented with painless hematuria. What may be the possible causes? How would you investigate the case? Give an outline of the management. 5+5+5

Group-C

3. Write short notes on (any three) of the following: 3 x 5

a) Cleft lip.

b) Thyroglossal Cyst.

c) Spinal Anaesthesia.

d) Types of Skin graft.

a) Role of ERCP in obstructive Jaundice.

Group-D

4. Answer in brief on any three of the following: 3 x 5

a) Oral submucous fibrosis.

b) Wax bath.

c) Subdural haematoma.

d) Intussusception.

e) Marjolins’ ulcer.

 

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2012

Subject: Surgery Full Marks: 60

Paper: I Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. What are the types of haemorrhage? What are the methods of determining acute blood loss? How would you treat haemorrhage? 3+6+6

Group-B

2. Answer any one of the following:

a) Middle aged patient presented with a big tense cystic lump in the upper abdomen following an attack of acute abdomen. How would you investigate the patient and plan the management? 8+7

b) What are the causes of benign biliary strictures? Discuss management of retained stone in common bile duct. 5+10

Group-C

3. Write short notes on (any two) of the following: 2 x 5

a) Post-operative pain management.

b) Creating Pneumoperitoneum in Lap. Surgery (procedures only).

c) Burst Abdomen.

d) Decubitus ulcer.

Group-D

4. Answer in brief on any five of the following: 5 x 5

a) Fracture clavicle.

b) Tennis Elbow.

c) Supra condylar fracture of Humerus.

d) Dupytren’s contracture.

e) Ruptured Tendoachilles.

f) Mallet finger.

g) Pyogenic Osteomyelitis.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2012

Subject: Surgery Full Marks: 60

Paper: II Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

l. (a) Classify Thyroid Neoplasms. Write clinical features, investigations and management of papillary carcinoma of the Thyroid gland (A lady of 25 years old). 3+4+3+5

OR

(b) A 40 years old gentleman presented with bilateral knobby Renal Lump in the abdomen. How do you investigate and treat such a patient (Operation details not required). 7+8

Group-B

2. Write short notes on (any three): 5×3

a) Breast Biopsies.

b) Causes of Haematuria.

c) Antegrade Pyelography.

d) Stress gastritis.

e) P.S.A.

Group-C

3. Write short notes on (any three): 5×3

a) Paraphimosis.

b) Lucid interval.

c) Chest Drain.

d) Torsion of Testes.

e) Tissue Expansion.

Group-D

4. Write short notes on (any three): 5×3

a) Anaesthetic monitoring devices.

b) Radiotherapy in treatment of Carcinoma Breast.

c) Ameloblastoma.

d) Transluminal U.S.G.

e) Short Wave Diathermy.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2011

Subject: Surgery Full Marks: 60

Paper: I Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Define and classify wound. Discuss factors influencing wound healing. Write in brief management of Diabetic ulcer affecting foot, in a middle aged man. 4+5+6

Group-B

2. Answer any one of the following:

a) A forty five years old lady presents with acute upper abdominal pain. Discuss the differential diagnosis and management of such a patient. 7+8

b) Enumerate the common causes of intestinal obstruction in an infant. Write the clinical features. investigations and management of intussusception in a 7 months old child. 3+4+3+5

Group C

3. Write short note on any two

(a) Pre-operative preparation of case of obstructive Jaundice.

(b) Epigastric Hernia.

(c) D.V.T.

(d) Active immunisation against Tetanus.

Group D

4. Write in brief on any five of the following

Trigger finger.

Ewing’s Tumour.

Mechanism of fracture patella.

Brodie’s Abscess.

Carpal tunnel syndrome.

Shoulder dislocation.

 

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2011

Subject: Surgery Full Marks: 60

Paper: II Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. (a) Classify Carcinoma of Breast. How will you investigate and manage a case clearly Carcinoma of Breast in a 40 years old lady? 4+5+6

OR

(b) Classify renal neoplasms. How will you diagnose and manage a case of renal Cell Carcinoma? 4+5+6

Group B

2. Write short notes on (any three): 5×3

a) Flail chest.

b) Post operative Pyrexia.

c) Brain Death.

d) Split thickness skin graft.

e) Omphalocele.

Group C

3. Write short note: on any three:

a) Retrosternal goitre.

b) Parotid abscess.

c) Alvarado Score of Acute Pancreatitis.

d) T.U.R P.

e) Oxalate stone.

Group-D

4. Write than note: on any three

a) Wax bath.

b) Epulis.

c) M.R.I. scan in Surgery.

d) Radiation Dermatitis.

e) Spinal Anaesthesia.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2010

Subject: Surgery Full Marks: 60

Paper: I Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

l. What are coagulation factors? Write in detail about the mechanism of hemostasis. 5+10

 

Group-B

2. Answer any one of the following:

a) What are the all causes of upper GI bleed? How will you manage acute variceal bleeding? 8+7

b) What are the causes of obstructive jaundice? Write about the management of carcinoma head of pancreas? 5+10

Group C

3. Write short note on (any two): 2×5

a) Hemangioma.

b) Carotid body tumour.

c) Bronchial sinus.

d) Carcinoid tumour.

Group-D

4. Write in brief on any five of the following: 4×5

a) Exostosis.

b) Brown tumour.

c) Ewing’s sarcoma.

d) Spondylolisthesis.

e) Bone scan.

f) TB spine.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2010

Subject: Surgery Full Marks: 60

Paper: II Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Answer any one or the following:

a) What are the functions of thyroid? Write in detail about clinical features, investigations and treatment of hyperthyroidism. 3+4+4+4

(b) Give differential diagnosis of scrotal swelling. Write in detail about management of testicular tumour. 5+10

Group B

2. Write short note on (any three): 3×5

a) Ectopia vesicae.

b) Neurofibromatosis.

c) Paget’s disease of nipple.

d) Fistula in ano.

e) Varicocele.

Group C

3. Write short note on (any three): 3×5

a) Subdural hematoma.

b) Muscle relaxant.

c) I14 scan.

d) Congenital hypertrophic pyloric stenosis.

e) Lumbar puncture.

Group-D

4. Write short notes on (any three): 3×5

a) Ludwig’s angina.

b) Meningomylocele.

c) Empyma thoracis.

d) Referred pain.

(e) Patent ductus arteriosus.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2009

Subject: Surgery Full Marks: 60

Paper: I Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Define and classify wounds. Discuss various factors influencing wound healing. Discuss in brief management of “Diabetic foot”. 5+5+5

Group-B

2. Answer any one of the following:

a) A middle aged male patient presents with an epigastric lump. Discuss the differential diagnosis. How would you investigate to come to a diagnosis? 8+7

b) What are the causes of weeping umbilicus? Discuss the problems related to vitello-intestinal duct and their remedy. 5+5+5

Group-C

3. Write short notes on (any two): 2 x5

a) Arteriovenous fistula.

b) Basal Cell Carcinoma.

c) Pre operative preparation of a patient of Pyloric stenosis.

d) Auto transfusion.

Group-D

4. Write in brief on any five of the following: 5 x 4

a) Myositis ossification.

b) Pathological fracture.

c) Carpal tunnel syndrome.

d) Fracture neck femur – types and complications.

e) Aetiopathogenetic of acute osteomyelitis.

f) Spina bifida.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2009

Subject: Surgery Full Marks: 60

Paper: II Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. A 35 yeas old lady presents with a Solitary thyroid nodule in right lobe. How would you come to a diagnosis and manage such a patient? 8+7

OR

b) Classify kidney tumours. Mention different modes of presentation of Renal Adeno Carcinoma. Outline the management of such a patient. 3+5+7

Group-B

2. Write short notes on (any three): 3 x 5

a) Salivary Calculi.

b) Fournier’s gangrene.

c) Breast abscess.

d) MEN. syndrome.

e) Complications of undescended testis.

Group-C

3. Write short notes on (any three): 3 x 5

a) Anorectal malformations.

b) Extradural haematoma.

c) Cardiopulmonary resuscitation (CPR).

d) MRI.

e) Complications of Radiotherapy.

Group-D

4. Write in brief on any three of the following: 3 x 5

a) Fat embolism.

b) Odontoma.

c) Short wave diathermy.

d) Tension pneumothorax.

g) Hypokalemia.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2008

Subject: Surgery Full Marks: 60

Paper: I Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Define and classify shock. How will you assess and treat a case of haemorrhagic shock ? Mention the complications of blood transfusion. 2+2+5+3+3

Group-B

2. Answer any one of the following questions:

a) Enumerate the causes of bleeding per rectum. Mention how it is diagnosed. Outline the management for bleeding haemorrhoids. 5+5+5

b) What are the causes of obstructive jaundice? How do you establish the diagnosis? Discuss the various options in the management of choledocholithiasis. 5+5+5

Group-C

3. Write short notes on (any two): 2 x 5

a) Methods of sterilisation.

b) Biochemical abnormality in Pyloric Stenosis.

c) Universal precaution.

d) Nipple discharge.

Group-D

4. Write briefly on (any five): 5 x 4

a) Frozen shoulder.

b) Complication of supracondylar fracture of humerus.

c) Sequestrum.

d) Volkman’s contracture.

e) Talipe’s equinus.

f) Bladder problem in spinal paraplegia.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2008

Subject: Surgery Full Marks: 60

Paper: II Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. a) Enumerate the causes of haematuria. How will you confirm the diagnosis? What will you do for a patient diagnosed to have carcinoma of the urinary bladder? 5+5+5

OR

b) Discuss the pathogenesis of multinodular goitre. Mention the complications of such a goitre. How do you manage such a patient? 5+5+5

Group-B

2. Write short note on (any three): 3×5

a) Venous ulcer.

b) Epididymal cyst.

c) Tetany.

d) Thyroglossal cyst.

e) Dermoid cyst.

Group-C

3. Write short notes on (any three): 3×5

a) Exomphalos.

b) Skin grafting.

c) Spinal anaesthesia.

d) Double contrast enema.

e) Brachytherapy.

Group-D

4. Answer briefly on (any three): 3×5

a) Dental cyst.

b) Flail chest.

c) Glasgow coma scale.

d) Therapeutic use of ultrasound.

e) Patent ductus arteriosus.

Obstetrics & Gynaecology 10 years question paper for 3rd prof part2 WBUHS

Obstetrics & Gynaecology 10 years question paper for 3rd prof part2 WBUHS

Download pdf Link

Recent Marks Distributions of WBUHS

❤Obstetrics & Gynaecology

A. Theory examination 80 marks (2 paper1st paper 40 marks + 2nd paper 40 marks)

Paper I Obstetrics & Social Obstetrics
Paper II Gynaecology, FW & Demography

Questions in Both Papers:

1) Group-A

Long Question (Basic & Allied)

1 = 10 Marks
2) Group-B

Long Question- clinical problem

1 out of 2 = 10 Marks
3) Group-C

Short Notes

2 out of 4 = 2 x 5 =10 Marks
4) Group-D

Brief answer type

2 out of 4 = 2 x 5 =10 Marks
Total = 40 Marks

B. Practical Examination = 50 Marks [30+20]

  1. One long case = 30
  2. One Short case = 20

C. Oral Examination = 30 Marks

  1. Instrument, Operation (only outline) and steps of minor operations =5
  2. 6 Specimen = 5
  3. X-Ray (only in Gynecology Table) & USG films (Only reading) = 5
  4. Problems and recent advances = 5
  5. Delivery Notes = 5,
  6. Obstetrics maneuvers = 5

D. Internal Assessment = 40 Marks (theory 20 + practical 20)

TOTAL 200 Marks in Obstetrics & Gynaecology

 

 

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2018

Subject: Obstetrics & Gynaecology Full Marks: 40

Paper: I Time: 2 hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. A lady comes with history of 8 month amenorrhoea, on examination fundal height was found to be of 24 week size – What are the possibilities? Give an outline of diagnosis and management of intra-uterine Foetal Death (IUFD) 2+4+4

Group-B

2. Define PPH. What are the causes of PPH? How do you manage a case of atonic PPH immediately after vaginal delivery? 2+3+5

Group-C

3. Write short notes on (any tow) of the following: 2×5

a) Plane of pelvic dimension.

b) Medical management of ectopic pregnancy.

c) MgSO4 (Magnesium Sulphate) therapy in eclampsia..

d) Apgar score

Group-D

4. Answer brief any tow of the following: 2×5

a) Once caesarean section in not always caesarean section – Justify

b) Routine ultrasonography USG examination in second trimester 18-20 weeks, to all pregnant mother is mandatory – Justify

c) Supplementation of folic acid is necessary in all pregnancy – Justify

d) All labours should be monitored by partograph – Comment

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2018

Subject: Obstetrics & Gynaecology Full Marks: 40

Paper: II Time: 2 hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. What are the common cause of lower abdominal lump in women of reproductive age group? How will you differentiate clinically between ovarian and uterine lump? Enumerate the common epithelial ovarian tumours. 3+4+3

Group-B

2. A women aged 35 years came to OPD with the complain of something coming down per vagina. What are different diagnosis and distinguishing features of these condition? Discuss the different treatment options available for second degree vagino-uterine prolapse? 2+4+4

Group-C

3. Write short notes on (any tow) of the following: 2×5

a) Puberty menorrhagia.

b) Complication of ovarian tumour.

c) definition and causes of secondary amenorrhoea.

d) tubal factors of infertility.

Group-D

4. Answer brief any tow of the following: 2×5

a) Carcinoma cervix is a preventable malignancy – Justify

b) Post-menopausal bleeding per vagina should always be investigate – Justify

c) Different types of menstrual abnormalities may be associated with leiomyomas – Comment

d) Three swab test differentiates the different urinary fistulas – Comment

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2017

Subject: Obstetrics & Gynaecology Full Marks: 40

Paper: I Time: 2 hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. How do you diagnose pre-eclampsia? What are its complications? 5+5

Group-B

2. Define abortion. Give its classification. How do you differentiate between threatened abortion and inevitable abortion? Briefly outline the management of missed abortion. 2+2+3+3

Group-C

3. Write short notes on any two: 2 x 5

a) Non-stress test.

b) Amniotic fluid.

c) Puerperal sepsis.

d) Neonatal resuscitation at birth.

Group-D

4. Answer in brief on any two of the following: 2 x 5

a) Active management of third stage of labour should be routinely practised – justify

b) Injection Betamethasone should be given to all women with pre-term labour – justify

c) Follow up is necessary after evacuation of Hydatidiform mole – comment

d) All antenatal mothers should be screened for diabetes mellitus – justify

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2017

Subject: Obstetrics & Gynaecology Full Marks: 40

Paper: II Time: 2 hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Define ovulation. What are the symptoms and signs of ovulation? How would you investigate the female

factors in a case of infertility? 1+4+5

Group-B

2. What are the causes of post-menopausal bleeding? How would you proceed to investigate such a case? 4+6

Group-C

3. Write short notes on any two of the following: 2 x 5

a) Perineal body.

b) Dermoid cyst of ovary.

c) Progesterone-only pill.

d) Normal semen report.

Group-D

 

4. Answer briefly on any two of the following: 2 x 5

a) Ovarian malignancy is often diagnosed late – Comment

b) Upper reproductive tract infection is a sequale of lower reproductive tract infection – Comment

c) Use of injectable contraception’s or IUCD are important contraceptives for our country – Justify

d) Laparoscopy is mandatory for evaluation of female infertility – Justify

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2016

Subject: Obstetrics & Gynaecology Full Marks: 40

Paper: I Time: 2 hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Define intra-uterine fetal death (IUFD). What are its causes? How do you diagnose such a case? 1+4+5

Group-B

2. A primigravida, 28 year, presents with vaginal bleeding at 34 weeks of gestation. What are its causes?

How will you investigate such a case? Outline its management. 2+3+5

Group-C

3. Write short notes on any two of the following: 2 x 5

a) Use of Misoprostol in Obstetrics.

b) Placenta succenturiata.

c) Routine examination of newborn at birth.

d) Vulval haematoma.

Group-D

4. Answer in brief on any two of the following: 2 x 5

a) Early diagnosis of ectopic pregnancy prevents surgical intervention – Justify

b) Oral iron supplementation during pregnancy is necessary – Comment

c) Perinatal mortality and morbidity is higher in breech delivery – Comment

d) All post – caesarean section mothers do not require caesarean section as a mode of Termination of subsequent pregnancy.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2016

Subject: Obstetrics & Gynaecology Full Marks: 40

Paper: II Time: 2 hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Define metrorrhagia. What are its causes? How would you proceed to manage a patient aged 45 years having metrorrhagia? 1+3+6

Group-B

2. Enumerate two common varieties of benign epithelial tumours of ovary. Discuss the diagnosis and

management of benign ovarian tumour. 1+4+5

Group-C

3. Write short notes on any two of the following: 2 x 5

a) Causes of secondary dysmenorrhoea.

b) PAP smear from cervix.

c) Different methods of tubectomy.

d) Gartner’s duct cyst.

Group-D

4. Answer briefly any two of the following: 2 x 5

a) Husband’s semen analysis is the first investigation to evaluate a case of infertility – Justify

b) Surgical treatment for genital prolapse is decided after considering age and reproductive wishes

of the patient – Comment

c) Dysfunctional uterine bleeding is a diagnosis of exclusion – Justify

d) Syndromic approach is effective for managing reproductive tract infection – Justify

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2015

Subject: Obstetrics & Gynaecology Full Marks: 40

Paper: I Time: 2 hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. What are the varieties of twin pregnancy? Enumerate the maternal and fetal complications of twin pregnancy. How would you diagnose twin pregnancy? 2+4+4

Group-B

2. What are the causes of bleeding per vagina in the first trimester of pregnancy? Discuss the diagnosis of

hydatidiform mole. Write in short its management. 2+4+4

Group-C

3. Write short notes on any two of the following: 2 x 5

a) Haematological changes in pregnancy.

b) Battledore placenta.

c) Complications in Intra-uterine fetal death.

d) Benefits of breast feeding.

Group-D

4. Answer briefly any two of the following: 2 x 5

a) Iron therapy is essential during pregnancy – Justify

b) Partograph is a suitable method to monitor labour – Comment

c) Active management of third stage of labour should be done in all cases – Justify

d) Eclampsia is preventable to a large extent – Comment

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2015

Subject: Obstetrics & Gynaecology Full Marks: 40

Paper: II Time: 2 hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Define post-menopausal bleeding. What are the causes of post-menopausal bleeding? Give an outline of its

management. 1+4+5

Group-B

2. A 15 year old girl complains of amenorrhoea with periodic pain in lower abdomen. How would you proceed to diagnose the case? What will be the management of such a case? 5+5

Group-C

3. Write short notes on (any two) of the following: 2 x 5

a) Vaginal trichomoniasis.

b) Uterine polyp.

c) Lymphatic drainage of uterine cervix.

d) Tubercular endometritis.

Group-D

4. Answer briefly any two of the following: 2 x 5

a) Healthy ovaries should be preserved in hysterectomy done for benign diseases in women aged less

than 45 years – Comment

b) Oral contraceptive pills have non-contraceptive benefits – Comment.

c) Laparoscopy is more informative than HSG in evaluation of female infertility – Justify

d) Diagnosis of ovarian cancer is usually delayed – Justify

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2014

Subject: Obstetrics & Gynaecology Full Marks: 40

Paper: I Time: 2 hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

l. A primigravida at 34 weeks of gestation with vaginal bleeding attends hospital emergency. Enumerate

the possible causes. How will you diagnose it? What will be the management of such case? 2+4+4

Group B

2. Define normal labour. What are the different stages of labour? How will you monitor the progress of

labour? What precautions are taken during delivery of head in vertex position? 2+2+4+2

Group C

3. Write short note on (any two): 2×5

a) Retained placenta.

b) Long Uterine Segment.

c) Apgar Score.

d) Vulva hematoma.

Group-D

4. Answer briefly any two of the following: 2×5

a) Maternal mortality is mostly preventable – Justify

b) All pregnant women should undergo routine ultrasound in 2nd trimester (18-12) week – Justify

c) Screening for HIV infection should be done on all pregnant women – Justify

d) External cephalic version still has got a place in the management of breech presentation – Comment

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2014

Subject: Obstetrics & Gynaecology Full Marks: 40

Paper: II Time: 2 hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. What are the different types of genito-urinary fistula? What are its cause? How will you diagnose a case of

V.V.F.? 2+4+4

Group-B

2. What is dysmenorrhoea? How will you differentiate between primary and secondary dysmenorrhoea? How

will you treat a case of primary dysmenorrhoea? 1+4+5

Group-C

3. Write short note on (any two): 2×5

a) Support of the pelvic organs.

b) Mucinous cystadenoma.

c) Contraindications of OCP.

d) Causes of primary amenorrhoea.

Group-D

4. Answer briefly any two of the following: 2×5

a) laparoscopy is essential in gynaecological practice – Comment

b) Male partner should be investigated first to evaluate an infertility couple – Justify

c) Vaginal bleeding in post-menopausal women should always be investigate – Justify

d) There is no appropriate method for screening carcinoma of ovary – Comment

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2013

Subject: Obstetrics & Gynaecology Full Marks: 40

Paper: I Time: 2 hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Enumerate the causes of bleeding per vagina in early months of Pregnancy. Discuss the diagnosis of molar pregnancy and its management. 2+4+4

Group-B

2. Discuss the diagnosis & complications of twin pregnancy. Enumerate briefly the management of twin pregnancy in labour. 3+3+4

Group-C

3. Write short note on (any two): 2×5

a) Obstetric outlet.

b) Partogram.

c) Cord prolapse.

Group-D

4. Answer briefly any two of the following: 2×5

a) All post caesarean section Pregnancy cases may not be delivered by caesarean section again-Give reasons.

b) Magnesium sulphate is the drug of choice in the treatment of Eclampsia – Justify

c) Active management of third stage of labour should be done in all cases – Justify

d) Prophylactic Iron therapy should be given to all pregnant women – Justify

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2013

Subject: Obstetrics & Gynaecology Full Marks: 40

Paper: II Time: 2 hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. What are the causes of menorrhagia. Discuss the management of uterine fibroid. 4 + 6

Group-B

2. What are the causes of Infertility in female partner. Discuss the methods of detection of ovulation & how to induce ovulation. 2 +4 +4

Group-C

3. Write short note on (any two): 2×5

a) Cervical erosion.

b) Dermoid cyst of ovary.

c) Cryptomenorrhoea.

Group-D

4. Answer briefly any two of the following: 2×5

a) Non-contraceptive use of male condoms – Discuss.

b) Role of Laparoscopy in diagnosis & management of Endometriosis.

c) Methods of choice of second trimester M.T.P. Justify the methods.

d) Tumour Marker has great prognostic value in ovarian malignancy – Justify

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2012

Subject: Obstetrics & Gynaecology Full Marks: 40

Paper: I Time: 2 hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

l. A primigravida of 36 weeks of gestation was admitted with convulsions and a blood pressure of 160/110 mm of Hg. What is your provisional diagnosis? How will you manage this case? 2+3+5

Group-B

2. Define intrauterine foetal death. Enumerate the causes of intrauterine foetal death. Outline it’s management. 2+3+5

Group-C

3. Write short note on (any two): 2×5

a) External Caphalic Version.

b) Retained Placenta.

c) Maternal Complications of multifetal pregnancy.

d) Cardiovascular changes in normal pregnancy.

Group-D

4. Answer briefly any two of the following: 2×5

a) All cases of placenta praevia should be delivered by caesarean section – Comment

b) Forceps is losing its place to ventouse us a method of instrumental delivery – Comment

c) Routine ultrasonography in all asymptomatic low risk pregnant women is not recommended – Justify

d) Vaginal delivery in breech presentation is more dangerous than in vertex presentation – Justify

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2012

Subject: Obstetrics & Gynaecology Full Marks: 40

Paper: II Time: 2 hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Discuss the supports of uterus. Enumerate the etiological factors for Pelvic organ Prolapse. Outline the management of procidentia in a post menopausal lady. 4+3+3

Group-B

2. A 45 years old lady with a lower abdominal lump complains of pelvic pain. Who are the possible causes? Briefly outline the management of such a case. 3+7

Group-C

3. Write short note on (any two): 2×5

a) Trichomonal Vaginitis.

b) Submucous myoma.

c) Progesterone only Pill (POP).

Group-D

4. Answer briefly any two of the following: 2×5

a) Cervical Screening can effectively reduce Cancer Cervix – Justify

b) The scope of laparoscopic surgery is enhancing – Comment

c) Combined oral Contraceptive is the best Contraceptive option for newly married couple – Justify

d) Age of the patient should be considered before undertaking hysterectomy for benign conditions.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2011

Subject: Obstetrics & Gynaecology Full Marks: 40

Paper: I Time: 2 hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. A multi gravida carrying 32 weeks of gestation comes to O&G Emergency with the c/o painful bleeding per vagina. Mention the diagnosis and outline the management in short. 4+6

Group-B

2. Define Recurrent Abortion. Outline the investigations in such a case. 2+8

Group-C

3. Write short note on (any two): 2×5

a) Bishop’s Score.

b) Physiological Anaemia of Pregnancy.

c) Induction of Labour.

Group-D

4. Answer briefly any two of the following: 2×5

a) How antenatal care can reduce maternal mortality in our country.

b) HIV testing should be done in all pregnant woman – Justify

c) Episiotomy reduces many of the gynaecological disorder – Clarify it

d) Pre-eclampsia is not preventable always whereas Eclampsia is always preventable – Justify

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2011

Subject: Obstetrics & Gynaecology Full Marks: 40

Paper: II Time: 2 hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

l. Define Menorrhagia. What are its causes? How would you manage a case of Menorrhagia due to fibroid uterus? 2+2+6

Group-B

2. Define secondary infertility. What are the causes of secondary infertility? Outline the investigation of such a case. 2+4+4

Group-C

3. Write short note on (any two): 2×5

a) Imperforate Hymen.

b) Emergency Commotion.

c) Ovarian curses of Secondary Amenorrhoea.

Group-D

4. Answer briefly any two of the following: 2×5

a) Any case of post-menopausal bleeding should be carefully investigated – Justify

b) Indications of ‘Dilatation Curettage’ operation should not be neglected – Mention the discuss the indication.

c) Analyse the importance of Diagnostic Laparoscopy.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2010

Subject: Obstetrics & Gynaecology Full Marks: 40

Paper: I Time: 2 hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

l. A primigravida is admitted at 34 weeks pregnancy with bleeding per vagina. How will you investigate and manage such a case? 4+6

Group-B

2. A multigravida is admitted at 32 weeks pregnancy with a haemoglobin value of-4 gm%. Discuss investigation and management of such a ease. 3+7

Group-C

3. Write short note on (any two): 2×5

a) Screening for Down’s syndrome in pregnancy.

b) Non-stress test.

c) Polyhydramnios.

Group-D

4. Answer briefly any two of the following: 2×5

a) All pregnant women should be given iron and folic acid – Comment

b) All pregnant women should undergo ultrasound in second trimester – Justify

c) All women should be advised about early breast feeding – Why?

e) injection betamethasone should be given to all women with preterm labour – Justify

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2010

Subject: Obstetrics & Gynaecology Full Marks: 40

Paper: II Time: 2 hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Enumerate causes of menorrhagia in a forty year old women. Discuss management of such a case with fibroids. 3+7

Group-B

2. Discuss investigation of a couple with primary infertility. Describe drugs used for ovulation induction. 5+5

Group-C

3. Write short note on (any two): 2×5

a) Cervical erosion.

b) Methods of 1st trimester MTP.

c) Post coital contraceptive.

 

Group-D

4. Answer briefly any two of the following: 2×5

a) All married women should undergo PAP smear examination – Justify

b) Good counselling can increase contraceptive acceptance – How?

(c) All women with bilateral tubal block on hysterosalpingography should undergo diagnostic laparoscopy – Justify

d) Prolapse of uterus is preventable – How?

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2009

Subject: Obstetrics & Gynaecology Full Marks: 40

Paper: I Time: 2 hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. A primigravida had assisted delivery with outlet forceps. She started severe vaginal bleeding four hours after child birth. Enumerate the causes of this bleeding. How will you manage such a patient? 2+8

Group-B

2. A primigravida aged 30 years attends your clinic at 32 weeks of gestation with breech presentation. How will you manage the case till birth of the baby? What injury may occur to the mother and the baby during vaginal breech delivery? 5+5

Group-C

3. Write short note on (any two): 2×5

a) Face presentation.

b) Daily foetal movement count beyond 36 weeks of pregnancy.

c) Partogram.

Group-D

4. Answer briefly any two of the following: 2×5

a) All pregnant women should be offered screwing for HIV infection in early pregnancy – Justify

b) Magnesium sulphate is the drug of choice in the treatment of eclampsia – Justify

c) Active management of third stage of labour should be done in all cases – Justify

d) Maternal mortality is mostly avoidable – Comment

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2009

Subject: Obstetrics & Gynaecology Full Marks: 40

Paper: II Time: 2 hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Name the cervical premalignant lesions. How do you screen these lesions? Describe the FIGO staging of carcinoma of cervix. 2+3+5

Group-B

2. What are the types of urinary incontinence? A primipara aged 22 years who had forceps delivery following prolonged delivery, complains of continuous leakage of urine par vaginum which started about 7 days after childbirth. Mention the likely cause and your methods to diagnosis of the condition. 5+1+4

Group-C

3. Write short note on (any two): 2×5

a) Pelvic part of ureter.

b)Dermoid cyst of ovary.

c) Complications of intra uterine contraceptive device.

Group-D

4. Answer briefly any two of the following: 2×5

a) Hormone replacement therapy should be advised in all post menopausal women – critically evaluate

b) Laparoscopy is a better procedure than hystero-salpingography in evaluation of infertility – Justify

c) Method of your choice for second trimester medical termination of presume (MTP) – Justify your choice

d) Chemotherapy is the mainstay of treatment in chorio-carcinoma of uterus – Justify

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2008

Subject: Obstetrics & Gynaecology Full Marks: 40

Paper: I Time: 2 hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Define Pre-eclampsia. What are the diagnostic criteria? What are immediate and remote complications? Outline a protocol of management of Eclampsia with Magnesium Sulphate. 2+2+3+3

Group-B

2. Define habitual abortion. How will you investigate a patient with history of habitual abortion? Briefly outline the treatment of cervical incompetence in pregnancy. 2+5+3

Group-C

3. Write short note on (any two): 2×5

a) Lower Uterine Segment.

b) Vulval Haematoma.

c) Non-Stress test.

Group-D

4. Answer briefly any two of the following: 2×5

a) Prenatal counselling is a must – Justify

b) External Cephalic Version has got a place in management of breech presentation – Critically evaluate

c) Misoprostol has almost replaced other drugs for pregnancy termination (MTP) – Comment

d) Twin pregnancy is a high risk pregnancy – Justify

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2008

Subject: Obstetrics & Gynaecology Full Marks: 40

Paper: II Time: 2 hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Define post menopausal bleeding. What are the causes? How you will arrive at a diagnosis in a case of post menopausal bleeding? l+4+5

Group-B

2. Define secondary amenorrhoea. What are the pathological causes of secondary amenorrhoea? Mention the investigations necessary for diagnosis of PCOS. 1+4+5

Group-C

3. Write short note on (any two): 2×5

a) Lymphatic drainage of cervix.

b) LNG -IUS.

c) Solid tumours of ovary.

Group-D

4. Answer briefly any two of the following: 2×5

a) Justify the place of H.S.G. in the workup protocol of infertility.

b) Early diagnosis of ovarian cancer is still not possible – Give reasons.

c) Male partner should be investigated first in a case of infertility – Give reasons.

d) Selection of cases must be meticulous before prescribing HRT – Justify.

OPTHALMOLOGY SORTED 10 YEAR QUESTION PAPERS [2009-2018] WBUHS 3RD PROFESSIONAL MBBS

OPTHALMOLOGY SORTED 10 YEAR QUESTION PAPERS [2009-2018] WBUHS 3RD PROFESSIONAL MBBS

OPTHALMOLOGY SORTED 10 YEAR QUESTION PAPERS [2009-2018] WBUHS 3RD PROFESSIONAL MBBS

Click the link below to download.

Download PDF

Marks Distribution
Total Marks 100 Pass Marks 50
Theory: 40 Marks
Pre & Para clinical subject
Group A Long question (No alternative): 10 Marks
Operative and Clinical question
Group B Short notes (Two out of three): 10 (5×2) Marks
Group C Long questions (One out of two): 10 Marks
Group D Short notes (Two out of three): 10 (5×2) Marks
Oral: 10 Marks
[Oral questions, Instruments, X-ray & other imaging]
Practical: 30 Marks
[Long case, Short case]
Internal Assessment: 20 Marks

 

Sorted Questions

GROUP A
1. Describe the anatomy of lacrimal apparatus with a labelled diagram. Enumerate the causes of
watering of eye. [2018]
2. Describe a schematic diagram of pupillary light reflex. Mention the drugs acting on pupil.
[2017]
3. Describe anatomy and physiology of lens. What is mechanism of accommodation? [2016]
4. Discuss the theories of Aqueous Humour formation, circulation and drainage. [2015]
5. Describe the anatomy of the upper eyelid with a labelled diagram. [2014]
6. Describe the anatomy of physiological lens. What is the mechanism of accommodation?
[2013]
7. Describe the pathway of light reflex with diagram. [2012]
8. Describe the anatomy of conjunctiva. [2011]
9. Discuss pupillary reactions with special reference to their basis and clinical significance.
[2010]
10. Describe the origin, insertion, nerve supply and action of extra ocular muscles. [2009]

GROUP C

1. Describe symptoms, signs and management of acute attack of angle closure glaucoma. [2018]
2. A 65 years old patient presented with gradual painless dimness of vision in both eyes during
last 2 years. Discuss the differential diagnosis and management. [2018] {Hint: D/D- Senile
cataract, POAG, Age related macular degeneration, Diabetic retinopathy, Presbyopia, Degenerative
myopia, Retinitis pigmentosa}
3. What is Keratoplasty? What are types? How will you collect the donor cornea and how will
you preserve it? [2017] {Hint: Keratoplasty = Corneal transplantation}
4. Enumerate the postoperative complications of cataract surgery. Briefly outline the treatment
of any one of them. [2017] {Hint: Most common late complication of ECCE is posterior capsular
opacification}
5. What is chronic dacryocystitis? Describe the steps of dacryocystorhinostomy. [2016] {HintDacryocystitis = inflammation of lacrimal sac}

6. How do you prepare a patient before cataract operation? How to predict the outcome of
cataract surgery? [2016]
7. Describe in brief the management of a case of a bacterial corneal ulcer. How would you treat
a non-healing ulcer? Enumerate the complications of corneal ulcer. [2015]
8. What are causes of seeing rainbow halo around light? Describe the management of one such
case having severe pain in the eye. [2015] {Hint: Causes of rainbow halo include Angle closure
glaucoma, Immature cataract & Mucopurulent conjunctivitis; out of these acute attack of angle closure
glaucoma is extremely painful}
9. Enumerate the possible causes of sudden painful dimness of vision in a 35 years old female
patient. Briefly discuss the signs, symptoms and management of any one of the cause. [2014]
{Causes include Acute attack of angle closure glaucoma, Acute keratitis, Acute Iridocyclitis, Orbital apex
syndrome, Chemical or thermal burn etc.}
10. A 7 years old boy was hit by a cricket ball in one eye. Enumerate possible damage in each of
the ocular structures expected in such a case. Describe the options for treatment to each
injury. [2014] {Hint: Blunt trauma}
11. A patient comes with Rainbow haloes. How do you diagnose the case? [2013] {Hint:
Differentiated by Fincham’s stenopaeic slit test, irrigating discharge etc.}
12. Enumerate the causes of night blindness. Write down the clinical features and management of
Vitamin A deficiency. [2013] {Hint: Causes include Vitamin-A deficiency/ xerophthalmia, Retinitis
pigmentosa, High myopia, Open angle glaucoma, Nuclear cataract etc.}
13. What are the causes of red eye? Write in brief about their differential diagnosis with
management. [2012] {Hint: Causes of red eye include Conjunctivitis, Keratitis, Acute iridocyclitis, Acute
angle closure glaucoma, Episcleritis, Scleritis, Subconjunctival haemorrhage etc.}
14. Describe the effect of blunt trauma on the eye. [2012]
15. Same as 8. [2011]
16. Describe the signs, symptoms and management of acute iridocyclitis. [2011] {Hint: Iridocyclitis
= anterior uveitis}
17. How would you diagnose a case of open angle glaucoma and follow up such a patient? [2010]
18. Write down the causes of gradual painless loss of vision and their management. [2009]
19. What is intraocular pressure? Mention conditions where intraocular pressure is low. [2009]
{Hint: Causes of hypotony include Chronic uveitis, Recent penetrating injury, Wound leak, Post-surgical
(e.g. trabeculectomy), Choroidal detachment, Retinal detachment etc.}

GROUP B & D

ERRORS OF REFRACTION AND ACCOMMODATIONS

1. Myopia [2015, 2009], Pathological Myopia [2014, 2011], Treatment of myopia [2018]
2. Hypermetropia [2012]
3. Presbyopia [2017]
DISEASES OF CONJUNCTIVA
4. Vernal Conjuctivitis [2011], Clinical features of vernal keratoconjunctivitis [2013]
5. Phlyctenular conjunctivitis [2017]
6. Red eye [2010]
7. Pterygium [2015], Management of recurrent pterygium [2017]
DISEASES OF CORNEA
8. Bacterial Corneal Ulcer [2012]
9. Hypopyon corneal ulcer [2016]
10. Removal of corneal foreign body [2013]
11. Paracentesis [2016]
12. Indications of keratoplasty [2009], Eye banking and keratoplasty [2015]
DISEASES OF SCLERA
13. Staphyloma [2016, 2012]
DISEASES OF UVEAL TRACT
14. Keratic precipitates [2018, 2009]
15. Endophthalmitis [2018]

16. Panophthalmitis [2014]
17. Evisceration [2014, 2012]
DISEASES OF LENS
18. Hypermature cataract [2009], Morgagnian Cataract [2011]
19. Capsulotomy in cataract extraction [2011]
20. SICS [2013]
21. Biometry [2018, 2012]
22. Early postoperative complications following cataract surgery [2009]
23. Posterior capsular opacification (PCO) [2017]
GLAUCOMA
24. Buphthalmos [2017]
25. Field changes in Primary Open Angle Glaucoma [2015]
26. Phacolytic glaucoma [2016]
27. Trabeculectomy [2014]
DISEASES OF VITREOUS
28. Vitreous haemorrhage [2010]
DISEASES OF RETINA
29. Diabetic Retinopathy [2011]
30. Retinoblastoma [2016]
31. Enucleation [2018, 2011]
DISORDERS OF OCULAR MOTILITY
32. Binocular Vision [2013]
33. Management of estropia in a 2 year old [2010]
DISORDERS OF EYELIDS
34. Entropion [2013]
35. Symblepharon [2014]
DISEASES OF LACRIMAL APPARATUS
36. Epiphora [2015]
37. Syringing of the Lacrimal passage [2012]
38. Acute Dacryocystitis [2013]
39. Symptoms, signs and management of a case of chronic dacryocystitis [2010]
40. Dacryocystorhinostomy [2009]
OCULAR INJURIES
41. Alkali burn of eye [2018]
OCULAR PHARMACOLOGY
42. Anti-glaucoma drugs [2016]
43. Side effects of topical corticosteroids [2010]

LASERS AND CRYOTHERAPY IN OPHTHALMOLOGY

44. Use of laser in eye [2014]
SYSTEMIC OPHTHALMOLOGY
45. Nutritional blindness [2017]
COMMUNITY OPHTHALMOLOGY
46. Vision 2020 [2015]
CLINICAL METHODS IN OPHTHALMOLOGY
47. Various methods of determination of visual acuity [2010]

N.B. Chapter division is based on “Comprehensive Ophthalmology by A K Khurana”

OTORHINOLARYNGLOGY SORTED 10 YEAR QUESTION PAPERS [2009-2018] WBUHS 3rd Professional MBBS

OTORHINOLARYNGLOGY SORTED 10 YEAR QUESTION PAPERS [2009-2018] WBUHS 3rd Professional MBBS

WBUHS THIRD PROF. MBBS [PART- I]
SORTED 10 YEAR QUESTION PAPERS [2009-2018]

Click in this link below to download.

Download PDF

Marks Distribution
TOTAL MARKS- 100

PASS MARKS- 50

THEORY: 40 MARKS

Group A Pre and Para Clinical Subjects (No Alternative) – 10 Marks
Group B Problem Based Question (One out of Two) – 10 Marks
Group C Short Notes (Two out of Three) – 10(5×2) Marks
Group D Answer in Brief (Two out of Three) – 10(5×2) Marks
ORAL: 10 MARKS
[Flying Oral, Instruments, X-Ray and Other Imaging]
PRACTICAL: 30 MARKS
[One Long Case, One Short Case]
INTERNAL ASSESSMEMNT: 20 MARKS

 

 

Questions –

For Group A & B

DISEASES OF EAR
1. Describe anatomy of the Middle Ear Cavity. [2009]
2. What is middle ear cleft? Describe the anatomy of medial wall of the middle ear with
diagram. [2013]
3. Describe the anatomy of medial and posterior wall of middle ear. Describe the
relation of facial nerve in medial and posterior wall. [2011]
4. A middle aged male reported with bilateral conductive deafness with intact tympanic
membrane. How will you diagnose and manage the case? [2016]
5. Describe the etiology, clinical features and management of acute suppurative otitis
media. [2018]
6. Describe the aetiopathology, clinical feature, management of otitis media with
effusion. [2014]
7. Define Cholesteatoma. Describe the pathogenesis and management of the C.S.O.M.
with cholesteatoma [2017]
8. A middle aged patient presents in the ENT OPD with intermittent mucopurulent
discharge from one ear. How will you investigate & treat the case? [2015]
9. Describe the intratemporal course of the facial nerve. Enumerate the intratemporal
branches of the facial nerve and their site of origin. What is Bells Palsy? [2018]

10. A 65 years old male presents with pain in Right Ear. How will you investigate the
case? [2014]
DISEASES OF NOSE AND PARANASAL SINUSES
11. Describe the lateral wall of the nose. Mention its surgical importance. [2015]
12. Describe the anatomy of Nasal septum. [2012]
13. Illustrate with diagram the constituents of Nasal Septum and its vascular supply.
Describe the surgical importance of little’s area. [2016]
14. Write a note on deviated nasal septum and its effect on the ear. [2010]
15. A male patient 15 years of age presented with H/O recurrent sever epistaxis and
nasal obstruction. What is your provisional diagnosis? How will you manage the
case? [2017]
16. A young adult presented with left sided nasal polyp. Give their differential diagnosis.
Outline the management of antro-choanal Polyp. [2012]
17. A 17 year old male presented with history of recurrent profuse epistaxis for last one
year. What are the probable causes? Give an outline of relevant investigations and
management of the patient. [2011]
18. A 65 years old male presents with epistaxis. How will you manage this case? [2010]
19. Describe the anatomy of Maxillary Antrum and functions of nose. [2014]
DISEASES OF PHARYNX
20. Describe the clinical features, treatment and complications of acute tonsillitis. [2016]
21. Describe the etiology, clinical features and management of Acute Follicular
Tonsillitis. [2013]
22. A 10yr old child presents with a patch in the tonsil with fever. How would you
examine the patient? What will be treatment? [2015]
23. Outline the clinical features and management of patches over Tonsil in short. [2018]
24. An 8 year old child presented with patch over the tonsil and adjoining region.
Discuss the differential diagnosis. [2009]
25. Describe the clinical feature, complication and management of acute Peritonsillar
abscess. [2012]
26. Describe the clinical features, investigation and management of Acute
Retropharyngeal abscess. [2017]
DISEASES OF LARYNX AND TRACHEA
27. Draw a neat labelled diagram of larynx as seen on indirect laryngoscopy. Describe
briefly the levels and groups of lymph node in the neck. Describe the pre-epiglottis space and its significance. [2010]

28. A 65 yrs old male presented with Hoarseness of voice for last 3 months. How will you
investigate the case to arrive at a diagnosis? [2013]
29. A 60 year old male presented with hoarseness of voice for one month. How will you
investigate the case? [2011]
DISEASES OF OESOPHAGUS
30. Discuss the mechanism of deglutition. [2009]

GROUP C & D
DISEASES OF EAR
1. MacEwen’s triangle (suprameatal) [2015]
2. Absolute Bone Conduction test [2015]
3. Ototoxic drugs [2018]
4. Fistula test [2014]
5. Caloric test [2012]
6. Circumscribed otitis externa [2010]
7. Malignant otitis externa [2013, 2011]
8. Foreign Body Ear [2012]
9. Cholesteatoma [2015]
10. Masked mastoiditis [2009]
11. Lateral sinus thrombosis [2018]
12. Cahart’s notch [2016]
13. Facial nerve palsy of sudden onset [2010]
DISEASES OF NOSE AND PARANASAL SINUSES
14. Osteo-mental complex [2017, 2013, 2011]
15. Dangerous area of nose [2017, 2015]
16. Atrophic Rhinitis [2018, 2009]
17. Rhinolith [2016]
18. C.S.F. Rhinorrhoea [2014]
19. Maxillary sinus [2012]
DISEASES OF PHARYNX
20. Waldeyer’s ring [2016]
21. Adenoid facies [2009]
22. Clinical features and management of Juvenile Nasopharyngeal Angiofibroma [2010]
23. Diagnosis of Diphtheria [2017]
24. Peritonsillar abscess/ Quinsy [2016, 2014, 2010]
25. Retropharyngeal abscess [2018]
26. Acute Retropharyngeal Abscess [2015, 2013]
27. Obstructive sleep apnoea [2013]

DISEASES OF LARYNX AND TRACHEA
28. Safety muscle of larynx [2016]
29. Acute epiglottitis [2014]
30. Laryngomalacia [2010]
31. Nerve supply of Larynx [2018]
32. Vocal nodule [2014, 2009]
33. Functions of Tracheostomy [2015]
34. Complications of Tracheostomy [2017, 2013, 2011]
DISEASES OF OESOPHAGUS
35. Oesophageal strictures [2012]
36. Plummer-Vinson syndrome [2016, 2011]
37. Cardiospasm [2009]
38. Coin in Oesophagus [2017]
CLINICAL METHODS IN ENT AND NECK MASSES
39. Branchial cyst [2017]
OPERATIVE SURGERY
40. Myringotomy [2011]
41. Myringoplasty [2010]
42. Antral puncture [2012]
43. Caldwell-luc operation [2009]
44. Indications of Caldwell-Luc’s operation [2013]
45. Complications of S.M.R operation [2014]
46. Difference between Septoplasty and SMR operation [2011]
47. FESS [2018]
48. Indications of Tonsillectomy [2012]
N.B. Chapter division is based on “Diseases of Ear, Nose and Throat by Dhingra & Dhingra”.

Adrenaline in Anaphylactic Shock and Other Drugs for it

Adrenaline in Anaphylactic Shock and Other Drugs for it

  • What is adrenaline?
    Adrenaline, or epinephrine, is a catecholamine secreted by the adrenal medulla and is one of the hormones released during stressful situations. Other catecholamines synthesised in the body are noradrenaline (norepinephrine) and dopamine. Structurally it contains a 3,4-dihydroxybenzene group.

Synthesis
The principal catecholamines of the body are formed by hydroxylation and decarboxylation of the amino acid, tyrosine. Adrenaline is formed by methylation of noradrenaline, which is formed from tyrosine in neurons secreting catecholamines. Enzyme phenylethanolamine-N-methyltransferase (PNMT) catalyses this reaction and is found in the brain and adrenal medulla.
The normal level of free epinephrine in plasma is about 30 pg/mL (0.16 nmol/L).

Release
The adrenal medulla has receptors which when sympathetically stimulated by norepinephrine release epinephrine into the blood stream.

Mechanism of action
Adrenaline acts by stimulating adrenergic receptors. It has non-selective action and hence stimulates all adrenergic receptors:
• Alpha-1
• Alpha-2
• Beta-1
• Beta-2
• Beta-3

On binding to these receptors they stimulate formation of cyclic AMP which brings about further actions.

Physiologic actions
Epinephrine exerts sympathomimetic effects on the body.
• Heart: it has cardiac stimulant actions and causes increase in contractility, heart rate and cardiac output
• Blood vessels: it mediates vasoconstriction in the skin, mucous membranes and viscera ( alpha action) but dilatation in the liver and skeletal muscles (beta-2 action) with a net rise in the systolic blood pressure
• Respiratory system: adrenaline causes bronchodilation and also inhibits the release of allergic mediators from mast cells
• Hyperglycemia
• Initiation of lipolysis

Therapeutic uses
Generally this drug is used in emergency situations like the following:
1. Anaphylactic shock
2. Bronchospasm
3. Cardiopulmonary arrest
Besides the above mentioned scenarios adrenaline may also be used, in low concentrations (1:100000 parts), to increase the duration of local anaesthesia.

Use in anaphylactic shock
Anaphylactic shock
​Anaphylactic shock is an immediate type of hypersensitivity (type I) reaction. This occurs in response to exposure to an allergen to which the body has been hypersensitised and hence an unwanted, dangerous reaction occurs. Typical symptoms include a rash, nausea, vomiting, difficulty in breathing and shock.
Adrenaline
​The best route for administration is the intramuscular route and the best site for injection is the anterolateral aspect of the middle one-third of the thigh. (An IV route is not preferred because it has a greater risk of causing harmful side effects since adrenaline is very potent even in small amounts.)
The usual dose for adults is 0.5 mg IM (i.e. 0.5 mL of 1:1000) adrenaline.
​Mechanism of action
​Action of adrenaline in anaphylaxis is basically a manifestation of its physiologic actions. It induces vasoconstriction which reduces the erythema of rashes.
Bronchodilating effect relieves dyspnoea.
Perhaps the most important effect of adrenaline here is the inhibition of mast cells which play an active part in anaphylaxis. As a result mediators of allergy, such as histamine, serotonin, are not released and the reaction is controlled.
Other drugs
Apart from adrenaline, nowadays several other drugs have emerged for treating a case of anaphylaxis.
Antihistamines (such as diphenhydramine and hydroxyzine) are one such choice. These act by blocking the H1 receptors of histamine which plays an important role in the reaction. Sometimes a combination of H1 and H2 blockers may also be used. However these have to be continued for 2-3 days after the attack.
​Inhaled beta-2 agonists (such as albuterol) may also be used. They act by relaxing the bronchial smooth muscles and thus reducing dyspnoea. These are administered to patients who appear with wheezing.
Glucocorticoids (such as methylprednisolone) prevent inflammation by suppressing the migration of polymorphonuclear leucocytes and fibroblasts, decreasing capillary permeability and stabilising lysosomes at the cellular level.
​Lesser used drugs include glucagon and dopamine which help in relieving symptoms. But these are used in adjunct with epinephrine and not alone. Dopamine may be used alone but requires high doses.

What is Multiple sclerosis? And what its treatment?

What is Multiple sclerosis? And what its treatment?

What is Multiple sclerosis:

Introduction:

Multiple sclerosis also known as Disseminated sclerosis is the most common CNS demyelinating  disease. The usual age onset is 20 to 40 years. In this disease there is recurrent attack of focal degenerative neurological disorders with predilection for involvement of the spinal cord , optic nerve and brain. The early attack is like a single symptom or sign ; most commonly optic neuritis followed by recovery.

Prevalence in India:

In India MS is a very common neurological disorders. There is about 1 million case in every year.

Etiology:

  1. Genetic susceptibility.
  2. Infectious agent.
  3. Immunologic mechanism.

Pathophysiology:

The hallmark of multiple sclerosis is the presence of many scattered discreat areas of demyelination termed plaques. Grossly plaques are grey pink , swollen , sharply defined , usually bilateral areas in the white matter .

In histopathologic features; plaques are made up of accumulated lymphocytes and macrophages arround the sites where demyelination is already started. In addition there is loss of oligodendrocytes and presence of reactive astrocytes and lipid laden microglia ( macrophages).

Symptoms:

  1. Stiffness and spasms in muscles.
  2. Depression.
  3. Epilepsy.
  4. Bowel and bladder problem.

Treatment of Multiple sclerosis:

As disease become progressive, remission become infrequent and incomplete. The drugs are used mainly for prolongation of life and delay disease progression.  In march ; 2017 FDA approved first drug for multiple sclerosis; that is OCRELIZUMAB.

  • Disease modifying drugsAs MS is a autoimmune disease ; causes immune destruction of myelin sheath. These drugs work by curbing the immune system . They also reduce the number of flare-ups….include –
  1. Glatiramer.
  2. Interferon beta 1b.

Both cut down the number of flare-up and slow down the advance of MS –

  1. Daclizumab.
  2. Dimethyl fumarate.
  3. Interferon beta 1a
  4. Ocrelizumab
  5. Peginterferon beta 1a

The interferons are considered as very safe drugs for treating MS. Sometimes self injection can cause redness, warmth, itching and dimpling of skin.

Other Adverse effect of interferons are-

  1. Flu like symptoms – aches, chills,fatigue , fever.
  2. Increase risk of infections due to lowering down of white blood cell count and also decrease immunity.

In relapsing case of MS ; drugs like Teriflunomide causes sideeffects like nausea , hair loss.

Another drug Aubagio ; is detected as” BLACK BOX” warning by FDA due to its serious side effects ..like-

  1. Hepatitis or other liver disease.
  2. And may cause serious teratogenic effect if prescribed for pregnant women.

Gilenya ; another drug causes –

  1. Headache.
  2. Leucoencephalopathy.
  3. Cough.
  • For the treatment of Flare-ups:
    1)High dose of steroides are given intravenously.
    2)Another technique is plasmapheresis.
  • For the Treatments of other symptoms:
    1) For muscle stiffness and spasms: muscle relaxant Beclofen or sedative like clonazepam or diazepam.
    2)Fatigue: Amantidine.
    3) Depression: antidepressants like leupropion or fluoxetine or sertraline.
    4) bladder problem:oxybutynin.

Except the above drug therapy the doctor can give advise to have a little exercise and moderate walking everyday. It can relief from the symptoms of MS and gives a comfortable feeling to the patients.

How to lose belly fat in one month – very effective way

How to lose belly fat in one month – very effective way

Belly fat is more than just a nuisance that makes your clothes feel tight.

Fat inside the belly area is also termed visceral fat, and it is seriously harmful.

This type of fat is a major risk factor for type 2 diabetes and heart disease, to name a few.

Many health organizations use BMI (body mass index) to classify weight and predict the risk of metabolic disease. However, this is misleading.

 

People with excess belly fat are at an increased risk, even if they look thin on the outside Although losing fat from this area can be difficult, there are several things you can do to reduce excess abdominal fat.

 

 

We all have a Fascination for Muscles and Strength. Whether we want to be stronger, look like Superman or just get rid of that annoying belly bulge.

Today,

How to lose belly fat is still one of the most commonly searched health and fitness topics of all time.

That why today.

I’m going to show exactly how to lose that stubborn stomach and start carving a sexy stomach

And it’s all Backed by science.

Before we talk about methods for blasting away belly fat. Let’s talk about what causes it.

And if you want to see our video about – “How to Lose Belly Fat in 1 Month” – Click Here or Check at the end of the article.

There are 5 main causes to an pesky belly bulge.

 

1. Overeating

Kind of obvious , but has to be said.

 

The main culprit of belly fat is consuming too much calories leading conversion of unnecessary calories into stomach fat, Leading to weight gain and stomach fat.

 

So , it is really necessary to have a daily nutrition plan.

 

2. Sugar –

Eating foods that contains a sugar is the number one contributor to belly fat.

High sugary foods such as candies, donuts, cake, sodas and other sugar-laden foods and drinks are to be blamed for belly fat.

If you eat these foods often, you will gain belly fat whether you exercise or not.

Sugar is you number one enemy.

 

There are other types of sugar, that many peoples are not aware of that are equally dangerous as sucrose or regular table sugar.

Fructose or fruit sugar are dangerous too if consumed in large quantities. Fewer fruits contains high amount of fructose level like bananas, cherries and mangoes. So, eat those in fewer moderations.

 

3. Hormonal imbalances

Especially high amount of stress hormone cortisol have been found to be directly linked to higher abdominal fat.

Other hormonal issues are also been linked with slow weight loss and difficulty for the body to properly uptake nutrients.

So, it’s just as important to get hormones in check as it is to make sure your nutrition is aligned.

4. Bloating –

Missed by lots of Health and fitness professionals , bloating certainly Does not help with belly Fat. This is usually caused by high sodium intake, excessive carbohydrate intake, and even be sign of food intolerance.

 

5. Alcohol intake –

Studies have shown that certain types of alcohol are directly correlated with stubborn belly fat.

And if your goal is to lose fat, cutting down on alcohol intake is a simple solution that really works.

 

So, here’s how to lose belly fat Fast and its actually backed by science!!!

 

1. Start eating right type of food-

 

Try eating food that has low carbohydrate level and low Sugar Contents.Look for food that is rich in vitamins and minerals and low in fat and calories.Chow down on fibre rich foods.

 

Studies have show there is a direct relation between fibre intake and reduction of belly fat.

Type of fibre you want to focus on is viscous fibre. Viscous fibre binds with the water and slows down the digestive process hence reduces cravings.

 

Its can be found in – beans, vegetable and whole fruits.

 

d. Make some of these foods part of your daily diet – watermelon, orange, beans, strawberries, limes, peas, grapefruit and leafy vegetables like – spinach, kale, cabbage and broccoli.

 

e. Eat more of these fats – a study done by Swedish scientists shows a strange result.

 

Those ate more polyunsaturated lost more visceral fat, lost more weight and gain more lean muscles than those who ate other fats.

 

Poyunsaturated fat can be found in – fish, nuts and seeds.

2. Cut down the “sugar” from diet–

Plenty of studies have shown how sugar increases belly fat, causes cravings and is ultimately “terrible” for the body.

 

Cut it out of your diet.

3. Reduce your salt intake –

High salt intake in an average diet causes stored water weight and lots of belly bloat.

 

Reducing salt intake to between 1500mg and 2300mg will usually result in an immediate reduction in belly bloat.

 

4. High intensity interval training (HIIT) –

HIIT is one of the most effective workouts to burn fat faster. You only need to work for 30 minutes a day, and as short as 10 to 15 minutes can do.

 

For instance, start jogging “as fast as you can” on the treadmill for 10 seconds followed by 12 seconds of slower jogging. Do as much repetition as you can for 1 to 3 minutes.

 

5. Sleep well and avoid stress –

Getting at least 7 hours of sleep each night very good for your health.

 

When you lack sleep you of get irritated. And you will be in stress. When you are stressed your body craves for sugary food and increases cravings and will make you gain belly fat.

A good night sleep and less stress in your life will help you lose belly fat.

6. Add Apple Cider Vinegar to your diet –

Apple cider vinegar is uniquely effective for losing belly fat.

 

Its ability to control blood sugar and carve appetite is also AWESOME…

 

Studies have shown that those who take 1 to 2 tablespoon daily have a Significant decrease in visceral fat than those who do not.

 

7. Take a long daily walk –

Walking is a part losing weight is often underrated. But you will be surprised of how much fat you burn walking 30 minutes every day.

 

Walk everyday if you can it is more effective. A long walk is not a targeted belly fat routine but don’t forget that when you start losing weight, it will start coming off everywhere.

 

8. Stay hydrated –

Drink 7 to 8 glasses of water to help your body burn fat efficiently.

If you want to increase your appetite for water try flavoured water infused with lemon, cucumber and mint.

 

Water has no calories and it will keep you full .when you feel full you are less likely to look for for snacks or something to quench your hunger.

 

Drinking a lot of water is the number one of the things you should do to daily lose belly fat.

Watch our Full Video on – “How To Lose Belly Fat in 1 Month” – HERE .

These things you must know about Male and Female Epispadias

These things you must know about Male and Female Epispadias

Epispadias is a rare congenital abnormality that involves the opening of the urethra. It can occur in male as well as in female.
In Male – The urethra opens in the top of the penis rather than the tip.

epispadias
Epispadias

In Female – The urethral opening is towards the clitoris or even in the belly area.

Frequency – It occurs more commonly in males than in females, with a prevalence of 1 case in 10,000 – 50,000 persons.
The male to female ratio is 2.3 : 1

Epispadias from Front View
Epispadias from Front View

Etiology – There are more than one hypothesis about epispadias.
1. Defective migration of paired primordia of  the genital tubercle that usually fuse on the midline to form the genital tubercle at the fifth week of embryonal development.
2. Another hypothesis relates the defect to the abnormal developement  of the cloacal membrane.
Classification – Usually Epispadias are of three types.
1. Glandular – Malformation affects the distal part of the urethra.
2. Penile – Entire penile urethra is affected, with an external meatus on the dorsal shaft of the penis.
3. Complete or Penopubic type – total deficiency of the dorsal wall of the urethra.

How epispadias are diagnosed ?
Epispadias is most often noticed at birth during physical examination. If the defect is mild, it might not be detected at first.
In some cases, it might not be noticed until the child has been toilet trained and presents with urine leak. This is most common eith girls.

Epispadias from Lateral View
Epispadias from Lateral View

Treatment – Surgery is the treatment of choice for epispadias.
The main goals of the treatment are –
1. Make sure the penis works properly
2. Make the penis of a good length.
3. Fix bends in the penis ( dorsal bend and chordae)
4. Make the penis look normal
5. If the bladder and bladder neck are affected, surgery will be needed to make sure that the child can control his urine
6. Surgery might also be needed to preserve fertility.