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 minipill), implants (2 rods and 1 rod), Injectable contraceptives (IM and sub-cutaneous), IUCD, Barrier methods (condoms), IUD and Emergency Contraceptive Pill (ECP). MR Syringe with Canula



Core contents of Obstetrics:

Conception and development of fetoplacental unit


  1. Fertilization, implantation, fetoplacental unit, placental barrier
  2. Placenta, amniotic fluid and umbilical cord: Development, structure and function


Anatomical and physiological changes during pregnancy

Diagnosis of pregnancy

Counselling in reproductive health


Antenatal care

  1. Counselling
  2. Objectives, principles of antenatal care, identification of high risk pregnancy
  3. Nutrition during pregnancy and lactation
  4. Vomiting in early pregnancy


Normal labor

  1. Criteria of normal labor
  2. Stages, mechanism of normal labor
  3. Diagnosis of labor
  4. Management of normal labor
  5. Assessment of progress of labor
  6. Monitoring maternal and fetal condition
  7. Partograph
  8. Pain relief


Normal puerperium

  1. Anatomical and physiological changes during puerperium
  2. Management of normal puerperium
  3. Post-partum family planning
  4. IYCF — Breast feeding & Complementary feeding


Hypertensive disorder in pregnancy including pre-eclampsia and eclampsia Medical disorders in obstetrics

  1. Anemia in pregnancy
  2. Urinary problems in obstetrics
  3. Diabetes
  4. Heart disease
  5. Hepatitis


Ante-partum hemorrhage

Definitions, classification, clinical features, complications and management


Rh incompatibility

Blood transfusion in Obstetrics

Multiple pregnancy

Definitions and types, clinical features, complications, diagnosis and principles of management


Malposition and malpresentation

Types, causes, diagnosis, complications and management


Abnormalities of labor

  1. Prolonged labor: Definition, an etiology, diagnosis, complications, management
  2. Obstructed labor: Definition, an 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 — Breast feeding & Complementary feeding


Causes, diagnosis and management


Obstetric operative procedures

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


Vital statistics:

Maternal morbidity & mortality

Perinatal morbidity and mortality

Neonatal morbidity & mortality


Diagnostic aids in obstetrics

  1. Ultrasonography
  • Basics of ultrasound
  • Role in obstetrics
  1. Fetal monitoring- CTG
  2. Amniocentesis and other prenatal diagnostic techniques


Social Obstetrics

  1. Maternal & perinatal morbidities and mortalities
  2. Direct causes of maternal & perinatal morbidity and mortality – Contributing socio-economic & environment factors
  3. Importance of family planning in prevention of obstetric problem
  4. Strategies for promotion of maternal health & prevention of illness emphasizing maternal nutrition, hygiene & medical care
  5. National programs for MCH&FP, EOC, Combined service delivery



Core contents of Gynecology


Anatomy of the female reproductive organs

  1. Basic anatomy of uterus, ovaries, tubes, vagina and vulva
  2. Relationship of uterus, ovaries, tubes and vagina to other pelvic organs
  3. Developmental anomaly of genital organs


Physiology of reproduction

  1. Puberty and its complication, menstruation, ovulation
  2. 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:
  1. Hydatidiform mole: types, clinical features, complications, differential diagnosis, management and follow up.
  • Choriocarcinoma: diagnosis and management, follow up


Vaginal discharge

Physiological and pathological, Diagnosis and treatment.


Menstrual disorder

  1. Amenorrhea: Types, causes and principles of management
  2. Menorrhagia: Definition, causes and management
  3. Metrorrhagia: Definition, causes and management
  4. Dysmenorrhea: Definition types, causes and management.
  5. Abnormal uterine bleeding Definition, PALM-COIN classification, diagnosis, principles of investigation and management


Genital tract infection

  1. Defensive mechanism of genital tract
  2. Pelvic inflammatory diseases: acute and chronic
  3. Sexually transmitted diseases
  4. Genital tuberculosis


Urinary incontinence – definition, types

  1. Genitourinary fistula:- Types, causes, clinical features, principles of management, prevention


Other genital tract injuries:

  1. Perineal tear (
  2. 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 cervix
  • Benign and malignant conditions of uterus
  • Benign and malignant tumors of ovary



  1. Causes, investigation and management both male and female partner.
  2. Assisted reproductive techniques
  3. Concepts of medical biotechnology in relation to Obstetrics





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



  1. Definition, physiological basis, changes in different organs of body, clinical features of menopausal syndrome, principles of management
  2. Post-menopausal bleeding
  3. Hormone replacement therapy (HRT)


Diagnostic Technique

  1. Cervical smear
  2. Laparoscopy
  3. Hysteroscopy
  4. Colposcopy
  5. Ultrasonography
  6. CT scan
  7. MRI


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


Additional Contents


  • Developmental structure of placenta
  • Antenatal Foetal screening
  • Mechanism of onset of normal labor (theories)
  • Labor analgesia
  • Thromboembolism
  • Other hypertensive disorders
  • Pathophysiology of pre-eclampsia and eclampsia in details
  • Hemolytic anemia
  • Nephritis and renal failure in obstetrics
  • Treatment of Rh incompatibility
  • Management of IUGR
  • Management of inversion of uterus
  • Post-partum and post-MR contraception
  • Diagnostic aids in obstetrics
  1. Ultrasonography
  2. Foetal monitoring-CTG
  3. Amniocentesis, CVS, MSAFP
  4. X ray



  • Management of endometriosis – recent advances
  • Assisted reproductive techniques
  • Hormone replacement therapy
  • Diagnostic techniques
  1. Laparoscopy 417
  2. Hysteroscopy
  3. Colposcopy
  4. Ultrasonography
  • Hormonal disorders in gynecology
  • STD