Pre NEET Obstetrics and G Gynaecology R V d SAKeSHI ARORA Faculty of Leading PG and FMGE Coachings t MBBS “Gold Medalist” (GSVM, Kanpur) iDGO (MLNMC, Allahabad) UP n India U ® JAYPEE BROTHERS MEDICAL PUBLISHERS (P) LTD New Delhi • Panama City • London • Dhaka • Kathmandu vip.persianss.ir ® Jaypee Brothers Medical Publishers (P) Ltd Headquarters Jaypee Brothers Medical Publishers (P) Ltd G 4838/24, Ansari Road, Daryaganj New Delhi 110 002, India Phone: +91-11-43574357 Fax: +91-11-43574314 R Email: [email protected] Overseas Offices V J.P. Medical Ltd Jaypee-Highlights Medical Publishers Inc. 83, Victoria Street, London City of Knowledge, Bld. 237, Clayton SW1H 0HW (UK) Panama City, Panama Phone: +44-2031708910 dPhone: +507-301-0496 Fax: +02-03-0086180 Fax: +507-301-0499 Email: [email protected] Email: [email protected] e Jaypee Brothers Medical Publishers (P) Ltd Jaypee Brothers Medical Publishers (P) Ltd 17/1-B Babar Road, Block-B, Shaymali Shorakhute, Kathmandu t Mohammadpur, Dhaka-1207 Nepal Bangladesh i Phone: +00977-9841528578 Mobile: +08801912003485 Email: [email protected] n Email: [email protected] Website: www.jaypeebrothers.com Website: www.jaypeedigital.com U © 2013, Jaypee Brothers Medical Publishers All rights reserved. No part of this book may be reproduced in any form or by any means without the prior permission of the publisher. Inquiries for bulk sales may be solicited at: [email protected] This book has been published in good faith that the contents provided by the Author contained herein are original, and is intended for educational purposes only. While every effort is made to ensure accuracy of information, the publisher and the author specifically disclaim any damage, liability, or loss incurred, directly or indirectly, from the use or application of any of the contents of this work. If not specifically stated, all figures and tables are courtesy of the author. Where appropriate, the readers should consult with a specialist or contact the manufacturer of the drug or device. Pre NEET Obstetrics and Gynaecology First Edition: 2013 ISBN : 978-93-5090-315-5 Printed at vip.persianss.ir G R Dedicated to V SAI BABA d Just sitting here reflecting on where I am and where I started I could not have done ite without you Sai baba.. I praise you and love you for all that you have given me... and thank you for anotther beautiful day ... to be able to sing and praise you and glorify you .. i you are my amazing god n U vip.persianss.ir G R V d e t i n U vip.persianss.ir Preface NEET, NEET, NEET !!!! The entire year was spent debating whether NEET will be there this year or not? G And now when it is finally there —it has brought loads of confusion/anger/ denial/panic along with it. Everybody is confused what to study, how to study and from where to study. Dear Juniors, do not panic—you all have slogged and sweated for four and R a half years, you all are armed with basic knowledge and concepts—what is required is quickly brushing up those concepts, bringing your concepts from subconscious stage to a conscious stage. Do not go behind blindly mugging up facts and figures just because the sample paper uplVoaded by NBE was of single liner questions—even if you carefully analyse those questions, they had a clinical bent rather I should say a concept. As I always say—not only is an MCQ important, but the concept on which it is dbased is more important. Blindly mugging up takes you nowhere. As far as Obs and Gynae is concerned, if you have gone through my Self Assessment and Review of Obsetetrics and Gynaecology even once—your concepts are already formed, now you just need to brush them up…but due to shortage of time you might be finding difficult to revise the two volumes, so I t have come-up with Pre NEET Obstetrics and Gynaecology. This book contaiins basic concepts of obs and gynae in a variety of formats—Clinical qnuestions, case discussions, single liner past DNB questions and few last minute revision. I have included gynaecological cancers in a tabular format such that the entire Obstetrics and Gynaecology will not take more than one day toU revise. For difficult topics like Rh Negative pregnancy, Diabetes in pregnancy, PIH, Herpes during pregnancy, etc. I have included a summary of the chapter so that you do not have to refer to any textbook at this crucial hour. This book cannot be a replacement for Self Assessment and Review - Obstetrics and Gynaecology, but is a supplement for quick revision and retention. Finally—Do not believe what your eyes are telling you. All they show is limitation. Look with your understanding, find out what you already know and you will see the way to fly. All the Best SAKSHI ARORA HANS [email protected] From the Publisher’s Desk We request all the readers to provide us their valuable suggestions/errors (if any) at: [email protected] so as to help us in further improvement of this book in the subsequent edition. vip.persianss.ir Special Thanks to My Dad—Mr Harish Arora and Mr Harish Hans Who has taught me the valuable lesson of never giving up … G Courage does not always roar, sometimes courage is the quiet voice at the end of the day saying, R I will try again tomorrow… V My Husband—Dr Pankaj Hans Who has always been supportive in all my endeavours and for teaching me d the valuable lesson of believing in myself- Believe in you, e Have faith in your abilities. t Without a humble but reasonable confidence in your powers, you cannot i be successful or happy. n My DaughUter—Shreya Who is an epitome of life and verve and for her lively Mantra- Stay cool mom Jaypee Brothers Medical Publishers (P) Ltd For their constructive optimism and faith. vip.persianss.ir Contents 1. New Clinical Question of Obstetrics .................... 1 – 138 G 2. GynaecologyCase Study ......................................... 139 – 226 3. Last Minute Revision Tools .................................R.... 227 – 264 A. Gynaecological Cancers ..................................... 229 – 258 V B. Last Minute Revision ........................................ 259 – 264 4. Single Liner Previous Year DNdB Q’s ..................... 265 – 312 e t i n U vip.persianss.ir G R V d e t i n U vip.persianss.ir Questions :: 1 OBSTETRICS G R V New Clinical Question d of Obstetrics e t i n U vip.persianss.ir G R V d e t i n U vip.persianss.ir