POSTGRADUATE INSTITUTE OF MEDICINE

UNIVERSITY OF COLOMBO

MD (OBSTETRICS AND GYNAECOLOGY) PART II EXAMINATION

JANUARY, 2008

Date: 7th January 2008 Time: 1.00 p.m. - 4.00 p.m.

PAPER I

Answer all three questions.

Each question to be answered in a separate book.

1. Discuss the implications of abnormal Mullerian development on female

reproduction, and evaluate the options of management.

2. Critically appraise the practice of induction of labour in Sri Lanka and evaluate
measures to improve outcomes.

3. Evaluate preventive strategies to reduce the incidence of carcinoma of cervix in

Sri Lanka.
 POSTGRADUATE INSTITUTE OF MEDICINE
UNIVERSITY OF COLOMBO

MD (OBSTETRICS AND GYNAECOLOGY) PART II EXAMINATION

JANUARY 2008

Date: 8th January 2008 Time: 9.30 a.m. - 12.30 p.m.

PAPER II

Answer all six questions.

Each question to be answered in a separate book.

1. Evaluate the anaesthetic techniques available for caesarean section.

2. A 24 year old is transferred to a teaching hospital at 28 weeks of pregnancy due to

a platelet count of 40 x W() /L detected at a routine full blood examination.
Outline the differential diagnosis and further management.

3. You are called urgently to the labour ward to see a woman who has a uterine
inversion with the placenta still attached. Her blood pressure is 70/40mmHg.
Describe your management.

4. Describe your management of a 65 year old woman presenting with a pruritic

white patches on her vulva.

5. Critically appraise the principles of induction of ovulation in polycystic ovarian

disease.
"

6. How would you counsel a woman with one living child who requests sterilization
at the time of second caesarean section ?