.Short Answer question (Any Four out of Five) (4X5-20 Marks a) Enlist the complications of the third stage of labour. Describe briefly AMTSL (Active Management of Third Stage of labour). b) Classify perineal injuries. Explain physiotherapy management and pelvic floor rehabilitation in an immediate postnatal patient. c) Define anemia in pregnancy. Discuss haematological changes in pregnancy. d) Define induction and augmentation of labour. Discuss management of first stage of labour also mentioning supportive physiotherapy care. e) What are the complications of cesarean section? Discuss wound care principles. SECTION B Q.2. Short Answer Questions. (Any Four Out of Five). (4X5-20 Marks) a) What is Stress Urinary Incontinence (SUI). Describe role of physiotherapy in management of SUI focussing on Kegel's exercise. b) What is Polycystic Ovarian Syndrome (PCOS)? Discuss role of exercise and lifestyle modification in its management. c) Enumerate grades of uterine prolapse? Discuss in detail management of third degree prolapse in a 60-year-old patient. d) Describe Pelvic Inflammatory Disease (PID) Enlist the symptoms that the patient will present with in a case of acute PID. e) Define menopause? Enlist symptoms of Menopause. Explain physiotherapy management for musculoskeletal complaints in menopause.
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| Question | Key Topics Covered |
|---|---|
| A(a) | PPH (4 T's), retained placenta, uterine inversion + AMTSL: oxytocin 10 IU IM, CCT, uterine massage |
| A(b) | Sultan classification (1st-4th degree, 3a/b/c) + immediate postnatal physio: cryotherapy, PFM exercises, TENS, TrA activation, functional bracing |
| A(c) | WHO definition Hb <11 g/dL + plasma volume ↑45%, RBC mass ↑20-30%, physiological anaemia, WBC leucocytosis, hypercoagulable state, iron metabolism |
| A(d) | Induction vs augmentation definitions + partograph, CTG, active management + TENS, breathing techniques, massage, hydrotherapy, mobility in labour |
| A(e) | Intraoperative/postop/infective/long-term CS complications + wound dressing, NPWT, physiotherapy: supported coughing, early mobilisation, TrA activation, scar massage |
| B(a) | SUI definition, urethral hypermobility vs ISD + Kegel's: slow holds (3-10 sec), fast flicks, Knack manoeuvre, biofeedback, 12-week programme |
| B(b) | Rotterdam criteria, insulin resistance pathophysiology + 5-10% weight loss, aerobic 150 min/week, resistance training, HIIT, low-GI diet |
| B(c) | 1st-3rd degree prolapse grading + 60-year-old: Gellhorn pessary, Manchester repair, vaginal hysterectomy + PFR, colpocleisis (Le Fort's) |
| B(d) | PID definition, Chlamydia/GC aetiology, sequelae + bilateral lower abdominal pain, purulent discharge, fever, cervical excitation (chandelier sign) |
| B(e) | 12 months amenorrhoea definition, FSH >40 IU/L + weight-bearing exercise, resistance training, Tai Chi, hydrotherapy, postural correction, Pilates, pelvic floor rehab |
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