Essential Questions Batch C – Paper A

 1.Patient 40 years of age with infertility for 7 years. Husband’s semen analysis 5 million sperm/ml, 30% motility

2. Uterine bleeding that is irregular and heavy

3. Patient came in labour 7cm dilated – 3 station and cord prolapsed in vagina.

4. When to give antibiotics in patient with cardiac disease

5. Complication rate of diagnostic laparoscopy

6. Mother is hyperthyroid and is taking PTU and it worried about its effect on fetus. When effect of PTU appears in fetus?

7. Patient came in labour. On CTG decreased variability type I and type II deceleration, scalp PH 7.22. What will be the next step?

8. Patient having adnexal mass of 2 cm with no cardiac activity BHCG 1500 and mild lower abdominal pain for one day. Treatment?

9. Complication of toxoplasmosis

10. Patient taking PTU, for Grave’s disease. What to tell her in her counseling? It causes leukopenia most commonly

11. Patient came with mild vaginal bleeding and lower abdominal pain with 5x5cm right adnexal mass with amenorrhea of 5 weeks. On USG there is echogenic foci in uterine cavity. BHCG was initially 150 IU and after this 5 IU. What is likely diagnosis?

12.   Patient 72 years with procedentia and decubitus ulcer

13. Incidence of bilateral serous ovarian carcinoma

14.  Incidence of chromosomal abnormalities in hydrops fetalis

15.  Most common cause of hydrops fetalis in mother with +ve blood group

16. Patient conceived with IUCD in situ. 10 weeks gestation. What to do?

17. Patient with amenorrhea of 5 weeks. IUCD in situ. What is most common risk to her?

18.  Family history of diabetes. Patient known case of diabetics, all levels correct. Just one is  abnormal.

19. Patient presented on 3^rdday post op with fever, ecchymosis after induced septic miscarriage from her village. Next investigation

20. Patient came with something coming out of vagina. On examination most descending part of the prolapse is 1cm proximal to hymen. What is POP Q stage?

21.   Patient came with continuous bleeding for 1 year after evacuation of molar pregnancy. Choriocarcinoma was diagnosed on sample. She is 35 years old; BHCG was 15000 and multiple secondaries. What to give?

22.  Patient came post op with 0.5×0.5cm hole in ileum. What to do?

23.  In patient with lymphogranuloma venereum painless ulcer with tender lymphadenopathy. Which investigation?

24.  Patient came at 34 weeks with vomiting and epigastric pain for 6 hours and abdominal discomfort for 10 days. USG shows right adnexal cyst of 7x8cm. What to do?

25.  Patient came at 37 weeks with previous 1 LCSC due to fetal distress; want to take trial of VBAC. Contraindication of VBAC.

26. Patient diabetic hypertensive, BMI 30 came with complain of irregular bleeding, we decided to go for hysteroscopy, common complication

27. Family history of ovarian and breast cancer. What is association of BRCA 1 with ovarian CA?

28. After TAH+BSO patient came with fever and bilateral pain. Diagnosis

29. Patient came at 20 weeks with moderate dyskaryosis, what to do next?

30. Moderate dyskaryosis when to do colposcopy

31.  Patient 28 years old, recurrent vaginal discharge history of abortion and one preterm labour.

32. What cover is given if patient infected with gram –ve diplococcus

33.  PID come penicillin and gentacin is given. What additional antibiotic you will give?

34. Patient came with 160/100 mmhg with +++ edema ALT 92, LDH 900 platelet 84000. Diagnosis

35. Patient came with labour pains, fully dilated, station +2 with bradycardia

36.  Patient came after 10 days with complain of episiotomy with continuous bleeding and no relief after antibiotics

37. Peau d’ orange

38.   Recurrent infections

40. Cord prolapse 7cm station – 2 multigravida

40.  Swelling after forceps delivery

41. Patient came on 5^thday after delivery with thoughts of self-harm

42. Patient came in OPD for removal of stitches of LSCS, She was tearful but no thoughts of self-harm

43. Patient came with galactorrhea and prolactin level 789 with secondary amenorrhea and infertility of 3 years. Drug to be given

44. Patient with premature ovarian insufficiency. Investigation of choice?

45. Patient came with hirsutism and virilization. Her testosterone and DHEAs normal. Drug to be given

46.  Labial adhesions in a baby girl of 5 years that were not removed manually.

47.  Uterine inversion

48. Uterine inversion was not corrected manually. What will you do next?

49. Hyperemesis gravidarum.spot  Diagnosis

50.  Sickle cell crisis. Least likely