Hi everybody! This discussion covers the OBG questions from the INI CET November 2025. Most of you would have been quite pleased — many questions came directly from Obs-gyn. But surprisingly, there were just 10–11 questions this time. Let’s quickly go through them.
1. Postpartum/Postplacental IUCD Insertion – Repeat PYQ
This was a repeat question, asked multiple times across exams (including last year’s NEET PG).
- Postplacental insertion: within 10 minutes
- Postpartum insertion: within 48 hours
The exact answer depends on what was asked in your paper.
Video Link: INICET Nov 2025 OBG Recall | Dr. Raina Chawla’s Quick Discussion of All Questions
2. Instrument Used in Cesarean Section
Repeated PYQ & Very straightforward:
- Doyen’s Reractor
- We will use a BP knife and handle
- We do not use a Shirodkar as it is used to lift the uterus in hysterectomies
- Karmen’s cannula is used for MTPs
- Cusco is for vaginal examination
- Green-Armitage and Allis forceps may be used
- Allis Forceps
Correct answer: A, B, F, and G.
3. PAP Smear Showing Atypical Glandular Cells
Atypical glandular cells may arise from the endocervix or endometrium.
Hence, we perform:
- Cervical biopsy/colposcopy-guided biopsy
- Endometrial biopsy
- Sometimes endocervical curettage
This combination helps identify the exact origin of abnormal cells.
4. Thickened Endometrium – 15 mm
Common, frequently repeated question.
For any reproductive-age woman with endometrial thickness >12–15 mm:
➡️ Endometrial biopsy is mandatory to rule out hyperplasia.
We repeat PAP after biopsy if needed.
5. Shock Types – Not Exactly an OBG Question
One option in this question related to OBG:
- Uterine inversion → Neurogenic shock (correct)
Other provided options included:
- Severe shock = blood loss >30–40%
- Gram-negative bacteria → Endotoxic shock
6. PPH Management
A question that always comes.
If uterotonics are given but bleeding persists:
➡️ Mechanical management is the next step
(Medical + mechanical → then surgical if needed)
7. Test for Ovarian Reserve in Early Follicular Phase
If the question was “Which is NOT a test?”
All are tests for ovarian reserve, but the least sensitive is:
➡️ Estradiol (E2)
All investigations (Day 2 FSH, AMH, AFC, E2) are generally done in the early follicular phase. A raised Day 2 E2 indicates poor ovarian reserve.
8. Signs of Impending Eclampsia
Repeated PYQ.
- Pedal edema is not a sign (it is physiological)
- Correct signs:
- Headache
- Blurring of vision
- Epigastric pain
- Headache
9. NACO Kit Question (Syndromic Management)
Symptoms were listed, and candidates had to identify: For which symptom is NACO kit NOT given in men?
Correct:
- Lower abdominal pain → Yellow kit → PID → given only to women
- Vaginal discharge → Green kit → also women only
So these symptoms are NOT indications for kit usage in men.
10. Strawberry Cervix – Causative Organism
A classic image-based question.
- Causative organism: Trichomonas vaginalis
- Treatment: Oral Metronidazole (partner treatment required)
In the actual exam, only the organism was asked.
11. Placenta Previa at 30 Weeks With Minimal Bleeding
Scenario:
- Gestational age: 30 weeks
- Minimal bleeding
- Vitals stable
- FHR normal
Management:
Hospital admission + Expectant (Conservative) Management
Follow the McAfee–Johnson protocol.
Delivery only if:
- Heavy bleeding
- Persistent bleeding
- Maternal vitals deteriorate
- Fetal distress
- Or at 37 weeks
Final Thoughts
That concludes the OBG recall for INI CET November 2025. As you can see, the paper was quite straightforward with very few OBG questions. But overall, most students answered well.
All the best for your results!
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