Self Assessment & Review: Gynecology

451 Pages·2017·39.993 MB·English

by  SAKSHI ARORA HANS

Self Assessment & Review
Gynecolog y

Self Assessment & Review
Gy n e c ol o g y
Ninth Edition
SAKSHI ARORA HANS
Faculty of Leading PG and FMGE Coachings
MBBS “Gold Medalist” (GSVM, Kanpur)
DGO (MLNMC, Allahabad)
India
The Health Sciences Publisher
New Delhi | London | Philadelphia | Panama
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Self Assessment & Review: Gynecology
First Edition : 2007
Second Edition : 2009
Third Edition : 2010
Fourth Edition : 2011
Fifth Edition : 2012
Sixth Edition : 2013
Seventh Edition : 2014
Eighth Edition : 2015
Ninth Edition : Digital Version 2017
ISBN: 978-93-85999-55-0
Typeset at JPBMP typesetting unit
Dedicated to
SAI BABA
Just sitting here reflecting on where I am and where I started, I could not have done
it without you Sai baba... I praise you and love you for all that you have given me...
and thank you for another beautiful day... to be able to sing and praise
you and glorify you... you are “My Amazing God”

Preface
Dear Students,
I wish to extend my thanks to all of you for your overwhelming response to all the 8 editions of my book and for making
it the bestseller book on the subject. Thanks once again for the innumerable emails you have sent in appreciation of the book; a
few of which I have got printed at the end of the book. I apologise to all those who have sent me mails of appreciation but due
to paucity of space, I was unable to get them printed.
NEET continued in year 2015, but yes, this time the anxiety of the students for NEET was less. Students looked more settled.
The approach of NEET became a little clear. Reading important theory becomes absolutely essential. Whether you do it from a
textbook or from subjectwise help-books, that is your choice.
It now gives me immense pleasure to share with you the new edition of the book. Many changes have been done in the book.
Each chapter has been thoroughly revised and updated. All new guidelines have also been incorporated.
Salient Features of 9th Edition
i Theory before all the chapters revised and updated. In the theory part, you will get all the information you are required
to know as an intern or as an undergraduate student of Gynecology.
ii. Use of a lot of pedagogical features makes learning easy and simple to reproduce during exams:
(a) New tables have been added wherever necessary
(b) Flowcharts have been used to add simplicity
(c) Many new diagrams and real-time photographs have been added, for which I thank Shri Jitendar P Vij (Group
Chairman), Jaypee Brothers Medical Publishers for allowing me to use photographs and illustrations from eminent
Obs. and Gyne. books of Jaypee publication.
iii. The section of difficult review questions has been merged with the main questions of AI, AIIMS and PGI, because if NEET
will be held in the forthcoming years, it is no more important which question was asked in which state and which year;
what is important is the Question itself. I have incorporated them in the main section so that you do not miss out on any
of the important questions.
iv New pattern questions (more than 200) with their explanations have been incorporated to give a fair idea to the students
about how the new pattern would be.
v. Image-based questions have been included in each chapter to give an idea to the students about this new pattern.
vi. In the color plates, many new diagrams, HSGs and images of instruments have been included. This section has been
created to help not only the undergraduate students for the preparation of their practical exams but also the PG aspirants
for the image-based questions.
vii. For the first time ever, annexures have been added for last-minute revisions.
1. Lining of female genital tract
2. Blood supply of genital tract
3. Lymphatic drainage of female genitalia
4. pH of vagina at different ages
5. Some important measurements
6. Male and female derivatives of embryonic urogenital structures
7. Origin of female genital tract
8. Culture media and DOC of various organisms
9. Clinical features of genital ulcers
10. Types of hysterectomies and structures removed
11. Pearl index of contraceptives
viii. All the references are from Shaw’s Gynecology 15th edition, Novak’s 15th edition, William’s Gynecology 1st and 2nd
editions, Jeffcoates’ 8th edition, Leon Speroff’s 8th edition and Dutta’s Gynecology 6th edition.
ix. Recent solved papers of AIIMS May/November 2015, PGI May 2015 and November 2014, with fully explained, referenced
and authenticated answers are included at the end.
I hope all of you will appreciate the changes and accept the book in this new format, like you have done for the previous
editions.
Remember there is no substitute to theory books, but hopefully you will find all relevant theory in this user-friendly book
of Gynecology. I must admit hereby that despite keeping an eagle’s eye for any inaccuracy regarding factual information or
typographical errors, some mistakes must have crept in inadvertently. You are requested to communicate these errors and send
your valuable suggestions for the improvement of this book. Your suggestions, appreciation and criticism are most welcome.
New Delhi Dr Sakshi Arora Hans
June 2016 [email protected]

Acknowledgments
Everything what we are is the outcome of a series of factors and circumstances, in addition to ourselves.
It would not be fair, therefore, to ignore the people who have played an important part in making me known as ‘Dr Sakshi
Arora’ and to whom I am deeply grateful.
My Teachers
¾¾ Dr Manju Verma (Professor & Head, Department of Obstetrics and Gynecology, MLNMC, Allahabad) and Dr Gauri
Ganguli (Professor & Ex-Head, Department of Obstetrics and Gynecology, MLNMC, Allahabad) for teaching me to focus
on the basic concepts of any subject.
My Family
¾¾Dr Pankaj Hans, my better-half, who has always been a mountain of support and who is, to a large measure, responsible
for what I am today. He has always encouraged me to deliver my best.
¾¾My Father: Shri HC Arora, who has overcome all odds with his discipline, hard work, and perfection.
¾¾My Mother: Smt. Sunita Arora, who has always believed in my abilities and supported me in all my ventures—be it
authoring a book or teaching.
¾¾My in-laws (Hans family): For happily accepting my maiden surname ‘Arora’ and taking pride in all my achievements.
¾¾My Brothers: Mr Bhupesh Arora and Mr Sachit Arora, who encouraged me to write books and have always thought
(wrong although) their sister is a perfectionist.
¾¾My Daughter: Shreya Hans (A priceless gift of god): For accepting my books and work as her siblings (who is now
showing signs of intense sibling rivalry!!) and letting me use her share of my time. Thanks ‘betu‘ for everything—your
smile, your hugs, and tantrums!
My Colleagues: I am grateful to all my seniors, friends and colleagues of past and present for their moral support.
 Dr Manoj Rawal  Dr Pooja Aggrawal  Dr Parul Aggrawal Jain
 Dr Ruchi Aggrawal  Dr Shalini Tripathi  Dr Kushant Gupta
 Dr Parminder Sehgal  Dr Amit Jain  Dr Sonika Lamba Rawal
Directors of PG Entrance coaching, who helped me in realizing my potential as an academician:
¾¾Dr Vineet Gupta (Director MIST Coaching)
¾¾Mr Parcha R Sundar Rao (SIMS Academy)
Students
¾¾Dr Ahmed Savani—Surat, Gujrat
¾¾Dr Nazir Ahmad
¾¾Dr Sachin Paparikar
¾¾Dr Rakshit Chakravarty
¾¾Dr Linkan Verma, intern, Gandhi Medical College, Bhopal
¾¾Dr Asharam Panda, MKCG Medical College, Behrampur district, Odisha
¾¾Dr Hamik Patel
¾¾Dr Pankaj Zanwar
¾¾Dr Sreedhanya Sreedharan, Final year MBBS, Jubilee Mission Medical College, Thrissur
¾¾Dr Vinit Singh, Intern, RG Kar Medical College, Kolkata
¾¾Dr Junaid Shaikh, CU Shah Medical College, Dudhrej, Gujarat
¾¾Dr Niraj R Shah (Student of DIAMS) Academy, Smolensk State Medical Academy, Russia
¾¾Dr Aarti Dalwani, Baroda Medical College, Vadodara, Gujarat
¾¾Dr Rola Turki, King Abdulaziz University, Jeddah, Saudi Arabia
¾¾Dr Ronak Kadia, Baroda Medical College, Vadodara, Gujarat
¾¾Dr Anita Basoode, Raichur Institute of Medical Sciences, Raichur, Karnataka
¾¾Dr Neerja Barve, Bukovinian State Medical University, Ukraine
¾¾Dr Vinod Babu Veerapalli, Gandhi Medical College, Hyderabad
¾¾Dr Indraneel Sharma  Dr Ashutosh Singh  Dr Surender Morodia
¾¾Dr Vishal Sadana  Dr Azizul Hasan  Dr Awanish Kant
¾¾Dr Kumuda Gandikota  Dr Vaibhav Thakare  Dr Ramesh Ammati
x Self ASSeSSment & Review: GynecoloGy
¾¾Dr Shiraz Sheikh  Dr Gayatri Mittal  Dr Mariya Shabnam Sheikh
¾¾Dr Innie Sri  Dr Chhavi Goel  Dr Jayesh Gosavi
¾¾Dr Ulhas Patil Medical Clg, Jalgaon, Maharashtra  Dr Sandeepan Saha
¾¾Dr Prasanna Lakshmi  Dr Nelson Thomas  Dr Sana Ravon
¾¾Dr Ankit Baswal  Dr S Jayasri Medhi, Gauhati Medical College, Assam
My Publishers – Jaypee Brothers Medical Publishers (P) Ltd
¾¾Shri Jitendar P Vij (Group Chairman) for being my role model and a father-like figure. I will always remain indebted to
him for all that he has done for me.
¾¾Mr Ankit Vij (Group President) for being so down-to-earth and always approachable.
¾¾Ms Chetna Malhotra Vohra (Associate Director—Content Strategy) for working hard with the team to achieve the
deadlines.
¾¾The entire MCQs team for working laborious hours in designing and typesetting the book.
Last but not the least—
All the Students/Readers for sharing their invaluable, constructive criticism for the improvement of the book.
My sincere thanks to all FMGE/UG/PG students, present and past, for their tremendous support, words of appreciation
(rather I should say e-mails of encouragement), which have helped me in the betterment of the book.
Dr Sakshi Arora Hans
[email protected]