MBBS Final Professional

Examination
Obstetrics & Gynaecology
Obstetrics and Gynaecology
Department
Faisalabad Medical University,
Faisalabad
Format And Marks Distribution
(Written + Clinical Assessment
 Format And Marks Distribution
WRITTEN ASSESSMENT
Obstetrics Paper Total Marks=70
• MCQ = 35 (1 x 35)
• SEQ = 25 (5 x 5)
• LEQ = 10 (1 x 10)
 Format And Marks Distribution
WRITTEN ASSESSMENT

Gynaecology Paper Total Marks=65

• MCQ = 35 (1 x 35)
• SEQ = 24 (3 x 8)
• LEQ = 06 (1 x 6)
 Format And Marks Distribution
Clinical Assessment-I

OSCE Total Marks=75

• Non-observed Station = 35 (7 x 5)
• Time for Non-observed station = 5 Mins each

• Observed Station = 40 (8 x 5)
• Time for observed station = 5 Mins each
 Format And Marks Distribution
Clinical Assessment-II

LONG CASES Total Marks=60

• Long cases Obstetrics & Gynaecology = 60 (2 x 30)

 Format And Marks Distribution
Written Assessment (Obstetrics & Gynaecology) = 135
Clinical Assessment-I (OSCE) = 75
Clinical Assessment-II (02 Long Cases) = 60
Internal Assessment Marks = 30
Total Marks = 300
 “Candidate must pass the
theory exam, OSCE and long cases
individually to be successful.
Failure in either component will
result in overall failure”
Table of Specification (TOS)
Written Assessment
 Table of Specification (TOS)
MCQs (Obstetrics) = 35 (1 x35) Time: 45
Min Sr. Topic No. of Questions
No.
1 Physiological changes in pregnancy 2
2 Normal fetal development 2
3 Abnormal fetal development 2
4 Assessment of fetal well being 3
5 Prenatal diagnosis 2
6 Antenatal obstetric complications 2
7 Antenatal care 4
 Table of Specification (TOS)
MCQs (Obstetrics) = 35 (1 x35) Time: 45
Min8 Pain relief in labour 1
9 Normal labour 4
10 Abnormal labour 4
11 Puerperal disorders 2
12 Medical disorders in pregnancy 4
13 Bio-Statistics 2
14 Neonatology 1
Total MCQs 35
 Table of Specification (TOS)
SEQ + LEQ (Obstetrics) = 35 (5 x 5) + 10 (1 x 10)
Time: 2 Hrs
Sr. No. Topic No of
Questions
1 Antenatal care 1
2 Antenatal obstetric complications(Antepartum 1
haemorrhage, Preterm labour , Multiple pregnancy,
Rh isoimmunization)
3 Assessment of fetal well being ( CTG, USG, biophysical 1
profile)
4 Medical disorders in pregnancy (DM, Hypertension, 1
cardiac diseases )
5 Postpartum disorders ( puerperal sepsis, DVT) 1
6 Labour (normal and abnormal) ( LEQ ) 1
Total Questions 6
 Table of Specification (TOS)
MCQs (Gynaecology) = 35 (1 x35) Time: 45
Min
Sr. No. Contents No. of
Questions
1 Anatomy and embryology of genital tract 2
2 Disorders of puberty and ovulation 2
3 Disorders of menstruation 4
4 Miscarriages 2
5 Ectopic gestation 1
6 Infertility 2
7 Endometriosis and adenomyosis 1
8 Infections of the genital tract 3
 Table of Specification (TOS)
MCQs (Gynaecology) = 35 (1 x35) Time: 45 Min
9 Uterovaginal prolapse 1

10 Urogynaecology and fistulae 1

11 Benign disease of genital tract 4

12 Malignant disease of genital tract 4

13 Contraception 2

14 Menopause & HRT 2

15 Common gynaecological procedures 2

16 Pre-operative and post-operative care 2

Total MCQs 35
 Table of Specification (TOS)
SEQ + LEQ (Gynaecology) = 30 (3 x 8) + 6 (1 x 6)
Time: 2 Hrs
Sr. No. Topics No. of
Questions
1 Disorder of menstruation (long essay question) 1
2 Early pregnancy complications including miscarriage, 1
ectopic pregnancy & gestational trophoblastic disease
3 Infertility and endometriosis 1
4 Infections of genital tract 1
5 Benign tumours of genital tract 1
6 Malignancies of the genital tract 1
7 Displacements of the uterus and urinary problems 1
8 Contraception 1
9 Common gynaecological procedures 1
Total Questions 9
 CLINICAL ASSESSMENT
OBSTETRIC & GYNAECOLOGY
• Total Marks =135
Clinical Assessment I
• OSCE =75

Clinical Assessment II =60

• LONG CASE OBSTETRIC =30
• LONG CASE GYNAECOLOGY =30
CLINICAL ASSESSMENT-I
(OSCE)
 Clinical Assessment I
OSCE
TOTAL STATIONS = 15[7static + 4 interactive(A&B=8)]+
Rest Stations (03)
(Each interactive of A & B part, 05 marks Each)
TOTAL TIME = 1hr 30 min (5x18=90min)
Time for each Station = 05 Minutes at each station

TOTAL MARKS =05x15=75

05 Marks for each static station =05x07=35
10 Marks for 4 Interactive station =10x04=40
(5 Marks for A&B part of each Interactive)
 OSCE
Obstetrics
Static Stations 1-7: Scenarios
Table of Content
Demographic indicator of Hypertensive Disorders of
Pakistan Pregnancy
Antenatal care etc. Medical complications of
pregnancy
Assessment of Fetal wellbeing Perinatal Infections
Prenatal Diagnosis Labour : Normal & Abnormal
Antenatal Obstetric The puerperium
Complications
Multiple Pregnancy Pre term Labour
 OSCE
Gynaecology
Static Stations 1-7: Scenarios
(Table of Contents)
Development of female sexual organs Benign conditions of uterus, cervix
(Mullerian duct anomalies) and endometrium
Disorders of menstrual bleeding Benign conditions of vulva and
vagina
Early Pregnancy Complications Pre Malignant & Malignant tumours
of genital tract
Contraception Gynaecological Surgery &
therapeutics
Infertility Urogynaecology
Menopause Benign conditions of ovary and
pelvis
Genitalurinary problems
 OSCE
Obstetrics & Gynaecology
Interactive 8A & 8B
Table of Contents
Obstetrics examination Obstetric Skills (8B)
(8A)
Examination of Antenatal Demonstrations Dummy
Patient pelvis
Mechanism of normal
labour
Forceps delivery
Ventouse delivery
Breech delivery
Shoulder dystocia
Internal podalic version
 OSCE
Obstetrics & Gynaecology
Interactive 9A & 9B
Table of Contents
Operative Obstetr ic (9A) Obstetric Emergency (9B)
Cesarean section Post partum hemorrhage
Episiotomy etc. Placenta abruption
Placenta Previa
Eclampsia
Amniotic fluid embolism
Thrombosis and thromboembolism
Uterine rupture
Uterine inversion etc.
 OSCE
Obstetrics & Gynaecology
Interactive 10A & 10B
Pictures/ Labs/ instruments / Medicines
to be put in exam
Pictures Labs
CBC report CBC report
Dopplers pictures Histopathology report
Fetal skull diameters PAP smear report etc.
Female pelvis diameters
Types of female pelvis
Mullerian duct anomalies
Hysterosalpingogram
Laparoscopy Picture
Hysteroscopy Picture
Ring Pessary
 OSCE
Obstetrics & Gynaecology
Interactive 10A & 10B
Pictures/ Labs/ instruments / Medicines
to be put in exam
Medicines Instruments
Inj. Magnesium sulphate SIMs speculum
Inj. Labetalol Cusco’s speculum
Inj. Syntocinon Cesarean section set
instruments
Tab. Nefidipine DNC sets instruments
Tab. Glucophage Myomectomy Screw
Laparoscopy
Veress Needle
Trocar
 OSCE
Obstetrics & Gynaecology
Interactive 11A & 11B
Ward card (11A) Counselling (11B)
OPD procedures Intrauterine fetal demise
PAP smear Down syndrome
Pipelle endometrial biopsy Thalassemia
Colposcopy Turner syndrome
OT procedures Recurrent miscarriages
Lower segment cesarean section Contraception choice
Total Abdominal Hysterectomy Taking informed consent
etc.
Vaginal hysterectomy
Laparoscopy
Hysteroscopy
Dilatation & curettage
CLINICAL ASSESSMENT-II
Long Cases (Obstetrics)
List of Obstetrics Long Cases to be put in
exam
Antepartum haemorrhage (Placenta previa)

Pre-term labour

Prerterm premature labour of membranes

Fetal growth restriction

Malpresentation

Anemia in pregnancy

Hypertensive disorders in pregnancy

CLINICAL ASSESSMENT-II
Long Cases (Obstetrics)
List of Obstetrics Long Cases to be put in
exam
Diabetes in pregnancy

Cardiac disease in pregnancy

Oligohydramnios

Polyhydramnios

Twin pregnancy

Intrauterine fetal demise

Pregnancy with repeat lower segment cesarean

section
CLINICAL ASSESSMENT-II
Long Cases (Gynaecology)
List of Gynaecology Long Cases to be put in exam

Abnormal uterine bleeding

Pelvic organ prolapse

Benign diseases of uterus (fibroid, adenomyosis)

Benign disease of ovary (ovarian cyst)

Malignant diseases of ovary, uterus cervix

Subfertility
CLINICAL ASSESSMENT-II
Long Cases (Gynaecology)
List of Gynaecology Long Cases to be put in
exam
Pelvic inflammatory disease

Endometriosis

Ectopic pregnancy

Miscarriage

Gestational trophoblastic disease