Kathmandu University
BIRAT MEDICAL COLLEGE
Budhiganga-02, Tankisinuwari, Morang

Level: III MBBS (Batch: 2023)
Semester: 5th
Time: 2 hrs. 30 mins.
Date: February 16, 2026

Examination: End-Semester
Subject: Obstetrics & Gynaecology
Marks: 50

#INSTRUCTION TO THE CANDIDATE

• Answer each section in a separate answer book.

• Write brief, relevant and legible answers.

• Illustrate your answer with well labeled diagrams where required.

• All questions are compulsory.

#SECTION ‘B’

Short Answer Questions [6Q × 5 = 30 marks]

1. What is antenatal care? What are the antenatal investigation in 1st trimester pregnancy?
   [2+3=5]

2. Classify pregnancy trimester wise. What are the signs and symptoms of 1st trimester pregnancy?
   [3+2=5]

3. Write short note on placenta.
   [5]

4. Define labor. Write down the different stages of labor.
   [1+4=5]

5. Write down the management of 3rd stage of labor.
   [5]

6. What are the constituents of amniotic fluid? What do you understand by oligohydramnios and polyhydramnios?
   [2+3=5]

#SECTION ‘C’

Problem Based Questions / Modified Essay Questions [2Q × 10 = 20 marks]

#Problem–I

P₁L₁ delivered 1 hour back by SVD, suddenly sister called for help as patient started to bleed heavily.
O/E pulse 110/min, BP 80/60, periphery cold?

a. What is your diagnosis?
[1]

b. What are the causes for the above case?
[2]

c. Write down in flow chart regarding the medical management of atonic uterus?
[4]

d. Write down the surgical management of PPH?
[3]

#Problem–II

a. Draw a well labelled illustrative diagram of female reproductive organs and write down the development of uterus. Management of imperforated hymen?
[3+3+4=10]