Dutta’s Bedside Clinics and Viva-Voce in Obstetrics & Gynecology Hiralal Konar
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1Dutta's BEDSIDE CLINICS AND VIVA-VOCE IN OBSTETRICS AND GYNECOLOGY
2Other books by the same author
  • Textbook of Obstetrics
  • Textbook of Gynecology
  • Master Pass in Obstetrics and Gynecology
3Dutta's BEDSIDE CLINICS AND VIVA-VOCE IN OBSTETRICS AND GYNECOLOGY
Sixth Edition 2016
Hiralal Konar (Hons., Gold Medalist) MBBS (Cal), MD (PGI), DNB (India) MNAMS, FACS (USA), FRCOG (London) Chairman, Indian College of Obstetricians and Gynaecoloists (2013) Professor, Department of Obstetrics and Gynecology Calcutta National Medical College and CR Hospital Kolkata, West Bengal, India One-time Professor and Head, Department of Obstetrics and Gynecology Midnapore Medical College and Hospital, West Bengal University of Health Sciences Kolkata, West Bengal, India Rotation Registrar in Obstetrics, Gynecology and Oncology Northern and Yorkshire Region, Newcastle upon Tyne, United Kingdom Examiner of MBBS, DGO, MD and PhD of different Indian universities and National Board of Examination, New Delhi, India
4
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© Copyright reserved by Mrs Madhusri Konar
The views and opinions expressed in this book are solely those of the original contributor(s)/author(s) and do not necessarily represent those of editor(s) of the book.
All rights reserved. No part of this publication may be reproduced, stored or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission in writing of the publishers.
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This book is sold on the understanding that the publisher is not engaged in providing professional medical services. If such advice or services is/are required, the services of a competent medical professional should be sought.
Every effort has been made where necessary to contact holders of copyright to obtain permission to reproduce copyright material. If any have been inadvertently overlooked, the publisher will be pleased to make the necessary arrangements at the first opportunity.
Inquiries for bulk sales may be solicited at: jaypee@jaypeebrothers.com
Bedside Clinics and Viva-Voce in Obstetrics and Gynecology
Sixth Edition: 2016
9789351529767
Printed at
5Dedicated to
the students
of
Obstetrics and Gynecology
(past and present)6
7Preface
The examination system all over the world keeps on changing as science and technology continues to evolve and develop. The sole objective is ‘improved patient care’. The current examination system is primarily aimed not only to evaluate the factual or theoretical knowledge, but also the conceptual understanding and the analytical power of the candidate. To qualify any examination system, besides the textbook knowledge, a candidate is expected to demonstrate the skills of clinical examination and data interpretation, the art of communication, decision-making and the management issues. With this sole determination the book “Bedside Clinics and Viva-Voce in Obstetrics and Gynecology” has been written.
This book is intended for the students at their final phase, while preparing for the examination. The book needs to be read and reread to develop a solid grasp of each topic as it contains a huge wealth of the new material. Repetition is the key-aid as the different topics are integrated.
Exhaustive case discussions, commonly presented in the examination (both in obstetrics and gynecology) have been made. All the chapters provide innumerable model answers which are framed in a simple, concise and easy-to-reproduce manner. SBAs and MCQs are still the accepted modes of evaluation throughout the world. More than 600 MCQs have been discussed in the book. Current question papers of various universities have been solved. The explanatory notes with each SBA and MCQ are a guide to improve the analytical power of the student. Model answers are given for Short Questions to guide the students especially when the question needs justification (Give reasons/Justify) or Critical Evaluation.
Numerous (approximately 350) clinical photographs, sketches, boxes, tables, flow charts, partographs, cardiotocographs are incorporated to cope up with the need of the changing examination pattern.
Chapters on Endoscopy (Laparoscopy and Hysteroscopy) and Robotic Surgery in gynecology have been incorporated to keep the readers up-to-date with the progress of science and technology. Similarly, it is enriched with exhaustive number of imaging studies [Ultrasonograms, Doppler studies, Magnetic Resonance Imaging (MRI), Computed Tomography (CT) and good-quality skiagrams]. Excellent quality colored photographs of operative procedures, instruments, morbid specimens, and imaging studies are provided to build up the concept of such difficult areas. The presentation has been made lucid with easy-to-understand outline format. The index has been elaborated for ease of quick referencing. The book is primarily aimed to cover the Indian system of examination (both the University and the National Board). With the growing demand, the current 5th edition has been thoroughly revised and updated to cover the international examinations like the Royal College, London (RCOG), Royal College, Ireland (RCPI), and the American Board of Examinations (USMLE).
Bedside Clinics and Viva-Voce in Obstetrics and Gynecology is equally essential for the homeopathic, ayurvedic, and nursing students and also the midwives. The postgraduate students will find it informative and time-saving. Specialists and practitioners will be benefitted as they like to refresh and update their knowledge. It is a handy book that helps quick revision and memorization. It aims to sharpen the clinical skills as well as the art of communication.
Comprehensive knowledge is the domain of a textbook. But it is less likely seen a candidate translating the textbook knowledge into practice at the time of need, unless one trained specifically.
Above all, Bedside Clinics is an authoritative, evidence-based synoptic guide mainly for the clinical and viva-voce part of the examination.
I have aimed for brevity and clarity to make reading simple and enjoyable. Chapter objectives have been highlighted throughout the book. Color codes are used to make reading comfortable and for easy pick-up.
8Key management points have been highlighted. Textbook references have been given for further study and clarification, especially for those who strive for excellence. Readers are requested to contact us (e-mail: h.kondr@gmail.com; website: www.hiralalkonar.com) for their opinions and views through the students' forum of the website.
I do hope this book will be of immense value to the students and the clinicians as ever. According to the author's desire, the book is dedicated to the ‘Students of Obstetrics and Gynecology – Past and Present'.
HIRALAL KONAR
P-13, New C.I.T. Road
Kolkata – 700 014
West Bengal, India
9Acknowledgment
I am deeply indebted to all the teachers in this country and abroad for their guidance and support in the preparation of this book (to name a few, I will miss many!). The students from different medical colleges have provided many innovative ideas on how to enhance the book. I am especially indebted to all of them for their enthusiastic support. Their inputs have been invaluable and are sincerely appreciated. While writing such a book, I have consulted a multitude of eminent authors, related publications and many current evidence-based studies, recommendations and guidelines. I do sincerely acknowledge my legacy to all of them including the related authors and publishers.
I express my sincere thanks to Professor. S Banerjee, Director of Medical Education, WB, Professor (Mrs.) M. Ray, Principal, Professor P.B. Chakraborty, MSVP, Profsessor A. Biswas, Head of the Department, Obstetrics and Gynecology, Calcutta National Medical College and Hospital for their support. I am deeply indebted to Dr. A. Roy, Professor (Retd.), for his continued guidance and support while writing this book. Mrs. Madhusri Konar, MA, B Ed, needs special appreciation for her patient and sincere secretarial job as ever. Her hard work, sacrifice and devotion to continue her father's work is a special support to me.
The author expresses his sincere thanks to all the students (undergraduates and postgraduates), nursing staff, residents and the teachers of different medical institutions in this country and abroad for their views and suggestions (on e-mail id: h.kondr@gmail.com; and website: www.hiralalkonar.com).
I thank my colleagues who have generously provided many of the illustrations that appear in this edition. I am grateful to all my patients for their wholehearted support to enrich the book in the true sense of its title.
I am especially grateful to all those working for Jaypee Brothers Medical Publishers (P) Ltd, in particular, Dr. Sakshi Arora, Ms. Nitasha Arora and Ms. Sunita Katla for their expertise in editing, designing, shaping, collation, and expert proofreading. Md Jakir Hossain deserves special thanks for his hard work of initial composition that was done very carefully over the months.
Shri J.P. Vij (Group Chairman) and Mr. Ankit Vij (Group President), Jaypee Brothers Medical Publishers (P) Ltd. deserve special appreciation for their generous support to bring out this edition as per the international standard.
Acknowledgments to Teachers in the advisory board:
Prof. Partha S. Chakraborty, IPGMER, Kolkata; Prof. Partha Mukherjee, Medical College, Kolkata; Prof. Siddhartha Dutta, NBMCH, Darjeeling; Prof. Gita Basu Banerjee, B.S. Medical College, Bankura; Dr. Malay Sarkar, Assoc. Prof., Malda Medical College; Prof. Nimmi Chutani, Sharda Institute of Medical Sciences, Noida; Prof. Swarup Rani, Tanjavur Medical College, Tamil Nadu; Dr. Seema Mehrotra, Asst. Prof., KGMC, Lucknow; Prof. Tripti Nagaria, JLN Medical College, Raipur; Dr. Pushpya Dahiya, Assoc. Prof., Pt. BD Sharma Medical College, Rohtak; Prof. Rokya Begum, Bangladesh; Prof. D.K. Bhowmik, Wardha; Prof. Ruplekha Chauhan, Netaji Subhash Chandra Bose Medical College, Jabalpur; Prof. Nisha Rani Agarwal, BHU, Varanasi; Prof. Rowshan Ara Begum, Bangladesh; Prof. Ranjit L. Singh, Imphal; Dr. Milan Taye, Asst. Prof., Dibrugarh; Prof. Saroj Singh, SN Medical College, Agra; Prof. Farhana Dewan, Bangladesh; Dr. Lal B. Palo, Assoc. Prof., PIMS, Pondichery; Dr. Abha Rani Sinha, Assoc. Prof., Patna; Prof. A. Meena, Madurai, Tamil Nadu; Prof. Gangambika Nisty, Gulbarga; Dr. Subhadip Basak, Asst. Prof., Sagar Dutta Medical College, Kolkata; Prof. Anju Huria, GMCH, Chandigarh; Prof. Hemant Deshpande, DY Patil Medical College, Pune; Prof. M.M. Umadi, Government Medical College, Belgaum; Prof. B.K. Kanungo, 10Sikkim Manipal, Gangtok; Prof. Ratna Balusu, VMJ Medical College, Bangalore; Prof. Jayanthi, Kempegowda Medical College, Bengalore; Prof. Jyoti Bindal, G.R. Medical College, Gwalior; Prof. Ambarisha Viniward, Mysore Medical College, Karnataka; Prof. Asha Rani, Bellary, Prof. Ng. Indra Kumar Singh, Imphal; Dr. Arindam Halder, Asst. Professor, CRSS, Kolkata; Prof. Gakul Das, GMCH, Guwahati, Assam; Prof. Sunita Ghaike, NK Salve Institute of Medical Sciences and Research Center, Nagpur; Prof. V K Chellamma, Calicut; Prof. Reena Srivastava, BRD Medical College, Gorakhpur; Prof. HR Seneviratne, Colombo, Sri Lanka; Prof. Shiva Murthy, Davangare, Karnataka; Prof. Kiran Pandey, GSVM Medical College, Kanpur; Prof. Santosh Minhans, IGMC, Shimla, Himachal Pradesh; Prof. M.K. Valsan, MES Medical College; Malapuram, Kerala; Prof. Ratna Thakur, Indore; Dr. Malabika Mishra, Asst. Professor, Kalyani Medical College, Kalyani; Prof. LK Pandey, BHU, Varanasi; Dr. Pallab K. Mistri, Assoc. Prof. CMCH, Kolkata; Prof. Sudesh Agarwal, Bikaner Medical College Bikaner; Prof. Neelam Prdhan, Tribhuban University, Kathmandu Nepal; Prof S Mishra, Tribhuban University, Kathmandu, Nepal; Prof. Meeta Singh, Tribhuban University kathmandu Nepal; Prof. Habibullah, JIPMER, Pondicherry
Hiralal Konar
P-13, New C.I.T. Road,
Kolkata-700 014
11List of Abbreviations Used ABC
Airway, Breathing and Circulation
AC
Abdominal Circumference
ACE
Angiotensin II Converting Enzyme
ACTH
Adrenocorticotrophic Hormone
AFI
Amniotic Fluid Index
AFP
Alpha-fetoprotein
AIDS
Acquired Immunodeficiency Syndrome
ALT
Alanine Transaminase
AMH
Anti-Müllerian Hormone
AMTSL
Active Management of Third Stage of Labor
ANA
Antinuclear Antibody
ANC
Antenatal Check-up
ANM
Auxiliary Nurse Midwife
APH
Antepartum Hemorrhage
aPL
Antiphospholipid
APS
Antiphospholipid Syndrome
APTT
Activated Partial Thromboplastin Time
ARM
Artificial Rupture of Membrances
ART
Assisted Reproductive Technology
ART
Antiretroviral Therapy
ASHA
Accredited Social Health Activist
AST
Aspartate Aminotransferase (Aspartate Transaminase)
BCG
Bacilli Calmette Guerin
b-hCG
Beta-human Chorionic Gonadotropin
BMI
Body Mass Index
BP
Blood Pressure
BPM
Beats Per Minute
BPP
Biophysical Profile
BSO
Bilateral Salpingo-oophorectomy
BV
Bacterial Vaginosis
CCT
Controlled Cord Traction
COC
Combined Oral Contraceptive
CPAP
Continuous Positive Airway Pressure
CPD
Cephalopelvic Disproportion
CPR
Cardiopulmonary Resuscitation
CRL
Crown Rump Length
CS
Cesarean Section
CSF
Cerebrospinal Fluid
CT
Computed Tomography
CTG
Cardiotocography
CVA
Cerebrovascular Accidents
CVP
Central Venous Pressure
CVS
Chorionic Villus Sampling
CXR
Chest X-ray
D&C
Dilatation and Curettage
D&E
Dilatation and Evacuation
DHT
Dihydrotestosterone
DIC
Disseminated Intravascular Coagulation
DMPA
Depot Medroxy Progesterone
DUB
Dysfunctional Uterine Bleeding
ECG
Electrocardiogram
ECP
Emergency Contraception Pill
ECV
External Cephalic Version
EDD
Estimated Date of Delivery
EDF
End-diastolic Flow
EEG
Electroencephalogram
EFM
Electronic Fetal Monitoring
ERCS
Elective Repeat Cesarean Section
ERPC
Evacuation of Retained Products of Conception
ET
Embryo Transfer
FBC
Full Blood Count
FBS
Fetal Blood Sampling
FDPs
Fibrin Degradation Products
12FGR
Fetal Growth Restriction
FHR
Fetal Heart Rate
FHS
Fetal Heart Sound
FIGO
International Federation of Gynecology and Obstetrics
FMC
Fetal Movement Counting
FRU
First Referral Unit
FS
Female Sterilization
GnRH
Gonadotropin-releasing Hormone
GOI
Government of India
GTD
Gestational Tropholblastic Disease
GTN
Gestational Trophoblastic Neoplasia
HAART
Highly Active Anti-retroviral Therapy
Hb
Hemoglobin
HBsAg
Hepatitis B Surface Antigen
HBV
Hepatitis B Virus
hCG
Human Chorionic Gonadotropin
HCV
Hepatitis C Virus
HDU
High Dependency Unit
HELLP
Hemolysis, Elevated Liver Enzymes and Low Platelets
HIE
Hypoxic-ischamic Encephalopathy
HIV
Human Immunodeficiency Virus
HLD
High-level Disinfection
hMG
Human Menopausal Gonadotropins
HNPCC
Hereditary Nonpolyposis Colorectal Cancer
HPL
Human Placental Lactogen
HPS
High Performing States
HPV
Human Papilloma Virus
HRT
Hormone Replacement Therapy
HSV
Herpes Simplex Virus
ICSI
Intracytoplasmic Sperm Injection
ICTC
Integrated Counseling and Testing Center
ICU
Intensive Care Unit
IFA
Iron Folic Acid
IPPV
Intermittent Positive Pressure Ventilation
ITP
Idiopathic Thrombocytopenic Purpura
IUCD
Intrauterine Contraceptive Device
IUD
Intrauterine Death
IUFD
Intrauterine Fetal Death
IUGR
Intrauterine Growth Restriction
IUI
Intrauterine Insemination
IUP
Intrauterine Pregnancy
IUS
Intrauterine System
IVF
Invitro Fertilization
IVF-ET
IVF and Embryo Transfer
IVU
Intravenous Urogram
JSY
Janani Suraksha Yojana
LAM
Lactational Amenorrhea Method
LAVH
Laparoscopically Assisted Vaginal Hysterectomy
LDL
Low-density Lipoprotein
LH
Luteinizing Hormone
LHV
Lady Health Visitor
LMP
Last Menstrual Period
LMWH
Low Molecular Weight Heparin
LNG
Levonorgestrel
LNG-IUS
Levonorgestrel-releasing Intrauterine System
LOD
Laparoscopic Ovarian Drilling
LPS
Low-performing States
LSCS
Lower Segment Cesarean Section
LSIL
Low-grade Squamous Intraepithelial Lesions
LUNA
Laparoscopic Uterine Nerve Ablation
MAP
Mean Arterial Pressure
MAS
Meconium Aspiration Syndrome
MCA
Middle Cerebral Artery
13MCHC
Mean Corpuscular Hemoglobin Concentration
MCQ
Multiple Choice Question
MIS
Minimally Invasive Surgery
MNM
Maternal Near Miss
MMR
Maternal Mortality Ratio
MPA
Medroxyprogesterone Acetate
MRI
Magnetic Resonance Imaging
MSAFP
Maternal Serum Alphafetoprotein
MSU
Midstream Urine
MTP
Medical Termination of Pregnancy
MVA
Manual Vacum Aspiration
NGO
Nongovernmental Organization
NICE
National Institute for Health and Clinical Excellence
NRHM
National Rural Health Mission
NSAID
Non-steroidal Anti-inflammatory Drugs
NST
Non-stress Test
NSV
No-scalpel Vasectomy
NT
Nuchal Translucency
NTDs
Neural Tube Defects
OAB
Overactive Bladder
OCP
Oral Contraceptive Pill
OGTT
Oral Glucose Tolerance Test
OHSS
Ovarian Hyperstimulation Syndrome
P/V
Per Vaginam
PCA
Patient-controlled Analgesia
PCOS
Polycystic Ovary Syndrome
PCR
Polymerase Chain Reaction
PEEP
Positive end-expiratory Pressure
PET
Positron Emission Tomography
PFR
Peak Flow Rate
PHC
Primary Health Center
PID
Pelvic Inflammatory Disease
PMB
Postmenopausal Bleeding
PMR
Perinatal Mortality Rate
PMS
Premenstrual Syndrome
PNC
Postnatal Check-up
PNDT
Prenatal Diagnostic Technique or Test
POC
Products of Conception
POF
Premature Ovarian Failure
PID
Pelvic Inflammatory Disease
PFR
Pelvic Floor Repair
POP-Q
Pelvic Organ Prolapse-Quantification
POPs
Progestogen Only Pills
PPH
Postpartum Hemorrhage
PPROM
Preterm Premature Rupture of Membrances
PPTCT
Prevention of Parent-to-child Transmission
PROM
Prelabor Rupture of Membranes
PT
Prothrombin Time
PTL
Preterm Labor
RCH
Reproductive and Child Health
RCOG
Royal College of Obstetricians and Gynecologists
RDS
Respiratory Distress Syndrome
RCT
Randomized Controlled Trial
RMI
Risk of Malignancy Index
ROP
Right Occiput Posterior
RR
Respiratory Rate
RTI
Reproductive Tract Infection
SAQ
Short-answer Question
SAMM
Severe Acute Maternal Morbidity
SBA
Single Best Answer
SBA
Skilled Birth Attendant
SCBU
Special Care Baby Unit
SCC
Squamous Cell Carcinoma
SCJ
Squamo Columnar Junction
SERM
Selective Estrogen Receptor Modulators
SFH
Symphisis Fundal Height
SGOT
Serum Glutamic-oxaloacetic Transaminase
SGPT
Serum Glutamic Pyruvic Transaminase
SHBG
Sex Hormone-binding Globulin
14SLE
Systemic Lupus Erythematosus
STD
Sexually Transmitted Disease
STI
Sexually Transmitted Infection
TAH/BSO
Total Abdominal Hysterectomy/Bilateral Salpingo-oopherectomy
TBA
Thermal Balloon Ablation
TBA
Traditional Birth Attendant
TCRE
Transcervical Resection of the Endometrium
TDF
Testes-determining Factor
TENS
Transcutaneous Electrical Nerve Stimulation
TT
Tetanus Toxoid
TTP
Thrombotic Thrombocytopenic Purpura
TLH
Total Laparoscopic Hysterectomy
TTTS
Twin-to-twin Transfusion Syndrome
TVS
Transvaginal Ultrasound
TVT
Tension-free Vaginal Tape
UAE
Uterine Artery Embolization
UTI
Urinary Tract Infection
VBAC
Vaginal Birth After Cesarean Section
VDRL
Venereal Disease Research Laboratory
VIN
Vulval Intraepithelial Neoplasia
VLP
Virus-like Particles
VTE
Venous Thromboembolism
VVF
Vesico Vaginal Fistula
vWF
Von Willebrand Factor
VZIG
Varicella Zoster IgG
WHO
World Health Organization
ZDV
Zidovudine
15
OBSTETRICS AND GYNECOLOGY
MARKS DISTRIBUTION OF 3RD PROFESSIONAL MBBS PART-II EXAMINATION
1
WEST BENGAL UNIVERSITY OF HEALTH SCIENCES : KOLKATA
TOTAL MARKS = 200
(A) THEORY
PAPER 1
(40)
PAPER 2
(40)
TOTAL (Paper 1 + 2)
(80)
INTERNAL ASSESSMENT (IA)
(20)
TOTAL
(100)
(B) ORAL (30), CLINICAL (50) AND INTERNAL ASSESSMENT (20) = 100
OBSTETRICS
TABLE VIVA = 20
GYNECOLOGY
TABLE VIVA = 10
TOTAL
20 + 10
= 30
CLINICAL = 50
GRAND
TOTAL
(80)
OBSTETRIC
MANEUVER
(5)
LOG
BOOK
(5)
OBSTETRICs VIVA VOCE = 10
GYNECOLOGY VIVA VOCE = 10
LONG
CASE
(OBST.)
(30)
SHORT
CASE
(GYNE.)
(20)
Instrument
+
Operative
(3)
Specimen)
(2)
X-Ray/USG
(2.5)
Recent
Advances/Problems
(2.5)
TOTAL
(10)
Instrument
+
Operative
(3)
Specimen
(2)
X-Ray/USG
(2.5)
Recent
Advances/
Problems
+
Family Planning
(2.5)
2
MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES: NASHIK (MAHARASHTRA)
TOTAL MARKS = 200
(A) THEORY
PAPER 1
(40)
PAPER 2
(40)
TOTAL (Paper 1 + 2)
(80)
INTERNAL ASSESSMENT (IA)
(20)
TOTAL
(100)
(B) ORAL (30), CLINICAL (50) AND INTERNAL ASSESSMENT (20) = 100
OBSTETRICS
TABLE VIVA
GYNECOLOGY
TABLE VIVA
FAMILY
PLANNING
CLINICAL
INTERNAL
ASSESSMENT
TOTAL
Long case
(OBST.)
Short case
(GYNE.)
10
10
10
40
10
20
100
16
3
ALL INDIA INSTITUTE OF MEDICAL SCIENCES : NEW DELHI
A. INTERNAL ASSESSMENT = 150 (continued assessment)
}
B. EXTERNAL ASSESSMENT = 150
TOTAL MARKS = 300
EXTERNAL ASSESSMENT
150
THEORY
75
ORAL
30
CLINICAL
45
TOTAL
150
(A) THEORY
PAPER 1 = 38
PAPER 2 = 37
TOTAL (Paper 1+ 2) = 75
(B) ORAL (30); (C) CLINICAL (45)
OBSTETRICS
TABLE VIVA
GYNECOLOGY
TABLE VIVA
FAMILY PLANNING
CLINICAL
TOTAL
OBST. CASE
GYNE. CASE
10
10
10
25
20
75
4
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES : KARNATAKA
TOTAL MARKS = 500
(A) THEORY
PAPER 1
100
PAPER 2
100
TOTAL (Paper 1 + 2)
200
INTERNAL ASSESSMENT (IA)
100
CLINICAL
160
VIVA
40
TOTAL
500
(B) INTERNAL ASSESSMENT
(IA)
CONTINUED IA THEORY
60
IA : CLINICAL AND PRACTICAL
40
TOTAL
100
(C) ORAL = (40), CLINICAL = (160) TOTAL = (200)
OBSTETRICS
TABLE VIVA
GYNAECOLOGY
TABLE VIVA
FAMILY
PLANNING
CLINICAL
TOTAL
Obst. case
Gyne. case
15
15
10
80
80
200
17
5
KERALA UNIVERSITY OF HEALTH SCIENCES : THIRUVANANTHAPURAM (KERALA) — TOTAL MARKS = 200
(A) THEORY
PAPER 1
40
PAPER 2
40
TOTAL (Paper 1 + 2)
80
INTERNAL ASSESSMENT (IA)
20
TOTAL
100
(B) ORAL = 30, (C) CLINICAL = 50 (D) INTERNAL ASSESSMENT = 20 TOTAL : 100
OBSTETRICS VIVA
GYNECOLOGY VIVA
CLINICAL
INTERNAL
ASSESSMENT
TOTAL
Obst. case
Gyne. case
Log Book
10
Viva
10
10
25
25
20
100
6
RANI DURGABATI UNIVERSITY OF HEALTH SCIENCES : JABALPUR (M.P) — TOTAL MARKS = 200
(A) THEORY
PAPER 1
(40)
PAPER 2
(40)
TOTAL (Paper 1 + 2)
(80)
INTERNAL ASSESSMENT (IA)
(20)
TOTAL
(100)
(B) ORAL (40), CLINICAL (40) AND INTERNAL ASSESSMENT (20) TOTAL : 100
OBSTETRICS
VIVA TABLE
GYNECOLOGY
VIVA TABLE
FAMILY
PLANNING
CLINICAL
INTERNAL
ASSESSMENT
TOTAL
Obst. case
Gyne. case
15
15
10
25
15
20
100