Final Professional Examination:
Marks distribution of Assessment of Obstetrics & Gynecology
Total marks – 500 (Summative)

  • Written =200

(Formative =(10+10)=20, MCQ=40 (SBA-20, Multiple true false -20), SAQ & SEQ=140 (SAQ50+50=100) (SEQ-20+20=40)

  • SOE=100
  • Clinical=100
  • Practical=100


Related Equipment/Instrument:
Forceps, Ventouse, Female bony pelvis & dummy fetus, Folley’s catheter, Plain rubber catheter Sponge holding forceps, Alli’s tissue forceps, Artery forceps, Volsellum, Hegar’s dilators, Uterine sound & Curette, Sim’s vaginal speculum, Cusco’s speculum, BP blade with handle, Dissecting forceps, Needle holder, Suture materials Contraceptives – OCP, progesterone only pill (POP or mini pill), implants (2 rods and 1 rod), Injectable contraceptives (IM and subcutaneous), IUCD, Barrier methods (condoms), IUD and Emergency Contraceptive Pill (ECP). MR Syringe with Canula


Core contents of Obstetrics:
Conception and development of fetoplacental unit

a) Fertilization, implantation, fetoplacental unit, placental barrier
b) Placenta, amniotic fluid and umbilical cord: Development, structure and function


Anatomical and physiological changes during pregnancy
Diagnosis of pregnancy
Counseling in reproductive health


Antenatal care
a. Counselling
b. Objectives, principles of antenatal care, identification of high-risk pregnancy
c. Nutrition during pregnancy and lactation
d. Vomiting in early pregnancy


Normal labor
a. Criteria of normal labor
b. Stages, mechanism of normal labor
c. Diagnosis of labor
d. Management of normal labor
e. Assessment of progress of labor
f. Monitoring maternal and fetal condition
g. Partograph
h. Pain relief


Normal puerperium
a. Anatomical and physiological changes during puerperium
b. Management of normal puerperium
c. Post-partum family planning
d. IYCF — Breastfeeding & Complementary feeding


Hypertensive disorder in pregnancy including pre-eclampsia and eclampsia Medical disorders in obstetrics
a. Anemia in pregnancy
b. Urinary problems in obstetrics
c. Diabetes
d. Heart disease
e. Hepatitis


Antepartum hemorrhage
Definitions, classification, clinical features, complications and management


Rh incompatibility
Blood transfusion in Obstetrics
Multiple pregnancies
Definitions and types, clinical features, complications, diagnosis, and principles of management


Malposition and malpresentation
Types, causes, diagnosis, complications and management


Abnormalities of labor
a) Prolonged labor: Definition, etiology, diagnosis, complications, management
b) Obstructed labor: Definition, etiology, diagnosis, complications, management


Post-partum hemorrhage (PPH)
Definitions, causes (atonic, traumatic, and others) of PPH, prevention, and management, follow up.


Abnormal puerperium
Causes, diagnosis, and management


The newborn
Resuscitation, examination, and care of the newborn.


Neonatal problems
Birth Asphyxia
Other problems of newborn
IYCF — Breastfeeding & Complementary feeding


Causes, diagnosis, and management


Obstetric operative procedures
Episiotomy, caesarean section, vacuum and forceps deliveries, version, destructive operations: their indications and complications Steps of operation: Episiotomy, vacuum & forceps delivery


Vital statistics:
Maternal morbidity & mortality
Perinatal morbidity and mortality
Neonatal morbidity & mortality


Diagnostic aids in obstetrics
a) Ultrasonography

  • Basics of ultrasound
  • Role in obstetrics

b) Fetal monitoring- CTG
c) Amniocentesis and other prenatal diagnostic techniques


Social Obstetrics
a) Maternal & perinatal morbidities and mortalities
b) Direct causes of maternal & perinatal morbidity and mortality – Contributing socioeconomic & environmental factors
c) Importance of family planning in the prevention of obstetric problem
d) Strategies for promotion of maternal health & prevention of illness emphasizing maternal nutrition, hygiene & medical care
e) National programs for MCH&FP, EOC, Combined service delivery


Core contents of Gynecology

Anatomy of the female reproductive organs
a) Basic anatomy of the uterus, ovaries, tubes, vagina, and vulva
b) Relationship of uterus, ovaries, tubes, and vagina to other pelvic organs
c) Developmental anomaly of genital organs


Physiology of reproduction
a) Puberty and its complications, menstruation, ovulation
b) Fertilization and implantation


Bleeding in early pregnancy

  • Abortion: Definition, types, causes, and management of all types of abortion and these complications.
  • Ectopic pregnancy: Definition, etiopathology, clinical feature, differential diagnosis and abdomen of acute principles of surgical management
  • Trophoblastic tumors:

i. Hydatidiform mole: types, clinical features, complications, differential diagnosis, management and follow-up.
ii. Choriocarcinoma: diagnosis and management, follow-up


Vaginal discharge
Physiological and pathological, Diagnosis and treatment.


Menstrual disorder
a) Amenorrhea: Types, causes, and principles of management
b) Menorrhagia: Definition, causes and management
c) Metrorrhagia: Definition, causes, and management
d) Dysmenorrhea: Definition types, causes, and management.
e) Abnormal uterine bleeding Definition, PALM-COIN classification, diagnosis, principles of investigation and management


Genital tract infection
a) Defensive mechanism of the genital tract
b) Pelvic inflammatory diseases: acute and chronic
c) Sexually transmitted diseases
d) Genital tuberculosis


Urinary incontinence – definition, types
a) Genitourinary fistula:- Types, causes, clinical features, principles of management, prevention


Other genital tract injuries:
a) Perineal tear
b) RVF


Genital prolapse
Types, etiology, supports of uterus, clinical features, diagnosis, differential diagnosis, principles of management, prevention


Definition, types, clinical features, principles of management


Neoplasia of reproductive organs

  • Benign & malignant conditions of vulva & vagina
  • Benign, precancerous & malignant conditions of the cervix
  • Benign and malignant conditions of the uterus
  • Benign and malignant tumors of the ovary


a) Causes, investigation, and management of both male and female partners.
b) Assisted reproductive techniques
c) Concepts of medical biotechnology in relation to Obstetrics


Classification, mechanism of action, advantages, disadvantages, complications of all methods particularly sterilization and MR & MRM


a) Definition, physiological basis, changes in different organs of the body, clinical features of menopausal syndrome, principles of management
b) Post-menopausal bleeding
c) Hormone replacement therapy (HRT)


Diagnostic Technique
a) Cervical smear
b) Laparoscopy
c) Hysteroscopy
d) Colposcopy
e) Ultrasonography
f) CT scan
g) MRI


Principles of common gynecological operations: MVA, D&C, E&C, suction evacuation, hysterectomy

Additional Contents

1) Developmental structure of placenta
2) Antenatal Foetal screening
3) Mechanism of onset of normal labor (theories)
4) Labor analgesia
5) Thromboembolism
6) Other hypertensive disorders
7) Pathophysiology of pre-eclampsia and eclampsia in detail
8) Hemolytic anemia
9) Nephritis and renal failure in obstetrics
10) Treatment of Rh incompatibility
11) Management of IUGR
12) Management of inversion of the uterus
13) Post-partum and post-MR contraception
14) Diagnostic aids in obstetrics
a) Ultrasonography
b) Foetal monitoring-CTG
c) Amniocentesis, CVS, MSAFP
d) X-ray


1) Management of endometriosis – recent advances
2) Assisted reproductive techniques
3) Hormone replacement therapy
4) Diagnostic techniques
a) Laparoscopy 417
b) Hysteroscopy
c) Colposcopy
d) Ultrasonography
5) Hormonal disorders in gynecology
6) STD