FCPS OBG Part 2 Written Essential Questions Batch A – Paper C

1. Recurrent painless miscarriages at 18-20 weeks investigation

2. Pt h/o breast ca and had mastectomy 4 yrs back and she is taking tamoxifen now having pv bleeding what will you do?

3. 5 weeks overdue off  pain with spotting upt + BP 90/60 pulse 120

4. Moderate endometriosis with Infertility

5. Motorcycle accident and which parameter tells about fetomaternal haemorrhage

6. Hetero tropic pregnancy with cardiac valve replacement on warfarin for 3yrs ideal?

7. How will the CTG be in a fetus with arrhythmias

8. Penicillin allergy pt cyanotic

9. Highest risk of congenital heart disease is highest in siblings of

10. On anti epileptic drugs which element required

11. G9p8 referred from private in labour fully dilated late dececls head 1 now

12. A pregnant Females health deterioted in last trimester in which she had shortness of breath and her brother also died in childhood due to heart related problem what is diagnosis

13. Female jad molar pregnancy…evacuation done and now for last 3 weeks her hcg is 7500 and nt decreasing …..what we do now?

14. Pt is having hysterectomy she is worried for sexual dysfunction. What to do?

15. Amenorrhea of few months after dilatation and curettage

16. 1cm mass in cervix and pt want to preserve her fertility what we do?

17. Multi g9p8 referred for prolonged labour of 8 hrs..She is having pp at -1… baby was in right occipito oblique and head was molded …..dilation 7 cm

18. Pt prg with 2.5cm mobile Mass in breast next in was beneath areola

19. Cord prolaps first step

20. Female thalassemia minor worried for baby

21. Female had iud what is the next best step to undertake….

22. X-ray limbo sacral region at 10wks

23. Massive haemorrhage hemostatic failure

24. Most sensitive test to diagnose pcod

25. Female complaints of lower abdominal pain and hematuria….on ivu bilateral hydronephrosis and hydro ureter more on the right side what will u do?

26. Post menopausal with bleeding.. hysteroscopy show poloidal mass from fundus biopsy show poorly differentiated endometrial adenoma … management

27. Pt 32 yrs old BMI 34 . Em lscs done.bp 140/90,  what is imp aspect  in postop period?

28. Joint pains fatigue ana positive, apla positive, anti ro/la positive

29. Middle-aged Adenomatous hyperplasia treatment?

30. Prev 3 cec, abdomen opened, fecal soiling, 1.5 cm rent in small bowel?

31. Scenario was. Pt with Ms. have hypotension. Bp 80/60. Most potent vasoconstriction

32. Aloimune fetal thrombocytopenia ..plt should b for normal delivery ?

33. 44 year old Severe dyskaryosis in smear

On colpo 3*4 mm lesion with 1mm invasion .no lymphovascular involvement

34. 35 year old BMI 35 with no periods for 13 months…she is diabetic…which risk factor in her can predispose to endometrial CA?

35. Pt referred form primary level care in prolonged labour…6 cm …right occipitooblique…section decided…IOP on opening peritoneum tortuous vessels seen on Lower segment…how to open the uterus?

36. Primigravida came in labour

4 cm station -1, after 2 hours 6cm station 0 , membranes intact, CTG reactive. What should be done?

37. 25 year old P1 C O spotting before start of menses came as she is unable to conceive. What else is important investigation?

38. On smear glandular hyperplasia…

39. P4+0 despite ocp and transamic acid ..bleeding persit …biopsy negative ….most appropriate

40. Patient had post menopausal spotting, vaginal discharge and dyspareunia cause? 

41. Pt on tamoxifen having bleeding. What to do?

42. Early pregnancy and. 14 cm cyst n pt asymptomatic. dragging sensation symptoms

43. On pap smear glandular endometrial cells 40 yrs old

44. Obese pt with no chid normal looking cx flushed with vagina post coital bleeding dyspareunia no other significant findings in exam

45. 40 years old lady want screening for down syndrome with least invasive effect /risk to baby. Gestational age was not mentioned

46. Pt with previous hx of myomectomy now undergoing laparoscopy when entered peritoneal cavity found hemoperitoneum

47. Patient had vaginal discharge used multiple creams and pessary there was no itch foul smelling discharge cervix was normal looking..

48. With weight gain and hirsutism from 2 years ..dx

49. Patient underwent cesarean hysterectomy some ___5 yrs back now presented with vault prolapse moderate operation

50. Pt age  25 with 2nd degree UV prolapse with prolapse just outside the introits