FCPS Part 2-Written-Recall Mock

1. A 36 years old primigravida who is known case of Chronic HTN is having  SGA baby, what medication has caused this complication in her baby?

2. A 25 year old patient has presented with Galactorrhea . she is known case of epilepsy from last 5 years and her condition is controlled on phenothiazine , which of the following drugs cause galactorrhea?

3. A 28 years old Patient with personal history of VTE, her mother and sister also has thrombophilia. On evaluation, she has raised factor Xa. Deficiency of which of these is the cause?

4. A 28 years old patient with H/O 2 second trimester (17-18 weeks) abortions. Abortions were quick associated with painless expulsion. What investigation you would advise?

5. A patient is brought to ER with shortness of breath due to bronco-spasm. She had termination of pregnancy at a local clinic.  she is known asthmatic . which of the following drug is likely to be cause of her shortness of breath?

6. A 30 year old  patient has presented with c/o Dyspareunia and dysmenorrhea. On examination she has severe tenderness in fornices, her last menstrual period was  5 weeks back. Which of the following is best next step?

7. Placental abruption is most likely associated with which of the following conditions?

8. A 28 years old patient has presented with c/o productive cough at 22 weeks of gestation. She also gives h/o Hemoptysis and greenish sputum associated with Night sweats and low grade fever. How will you treat this patient?

9. In which type of hysterectomy Uterine arteries are ligated at their origin ?

10. During hysterectomy a structure was cut which drain into left renal vein ?

11. Which of the following Epileptic drug is not hepatotoxic ?

12. Pregnant patient with right sided headache not relieved with paracetamol and one other drug, what treatment option we have next?

13. What is complication of Ace inhibitor in pregnancy?

14.Treatment for obstetric Cholestasis

15. A lady had PE and she was started on therapeutic doses of unfractioned heparin. How to monitor levels of heparin?

16. Pt with previous history of VTE at 7 post natal day now came at 18 weeks how will you give her thromboprophylaxis?

17. Patient on therapeutic low molecular weight heparin presented at term, when epidural can be given?

18. A 24 years old patient has presented at 33weeks with c/o Bleeding from nose and mouth, she is known case of obstetric cholestasis In current pregnancy, how will you manage this pt?

Explanation:

19Which type of placenta has small chorionic plate large basal plate ?

20. First effect of magnesium sulfate toxicity

21. A 28years old HIV positive patient has presented with spontaneous rupture of membranes at 38 weeks of pregnancy. Her viral load less than 50 copies, what will be the management?

22. A nulliparous patient has undergone HSG for workup of infertility . 12 hours after procedure she develops complaint of severe abdominal pain . what is most likely cause ?

23. A 35 yrs old obese who is smoker at 14 weeks gestation came with swelling of one leg from last few days associated with pain. What is the next best step to reach the diagnosis ?

24. vaginoplasty with skin graft and amnion is done in procedure?

25.  UAE most  common complication is?

26. 49 yrTah + bso for endometriosis, 3month back- Depression , loss of libido –

27. Ambiguous genitalia with hypernatremia and hypertension –

28. After VH few days patient presented with lower vaginal spotting with hb declining from 12to 9- most common cause

29. pt with intermentural bleeding and hmb bit relived with transamjne and ocps but IMB dont

30. During surgery ureter damaged and j stent placed wen will it b removed –

31. A men presented with subfertility semen analysis revealed azoospermia, low fsh,lh treatment

32. After TAH patient having foot drop, absence of dorsiflexion and eversion of foot. Nerve damaged?-

33. Which pharmacological treatment is most commonly used as a first-line therapy in the treatment of endometriosis in women with chronic pelvic pain?

34. Pt h/o breast ca and had mastectomy 4 yrs back and she is takin tamoxifen now having pv bleedibg wat u do??-

35. Twenty-four years old girl complaining of chronic cyclical pelvic pain and dysmenorrhea since menarche with normal cycle 7/28. On pelvic examination, 4 cm elongated mass felt in right adnexa above vaginal mass, uterus deviated to left side.

36. Mrs. A , multiparous lady is postpartum clinic She has delivered 8months back with history of major post partum hemorrhage ( 4500ml) now she complains of amenorrhoea. she stopped breastfeeding , also complains of difficulty in lactation . She complains of weight loss , dry skin and breast atrophy .what is the probable cause of diagnosis ?

37. A 50-year-old woman had a Mirena IUS inserted 2 years ago for heavy menstrual periods. She was initially amenorrhoeic but has now developed heavy menstrual bleeding again. Endometrial biopsy shows complex endometrial hyperplasia with atypia.What is the best treatment option?

38. A 45 year old women commenced with sequential HRT 3 months ago due to hot flashes she presented with an episode of heavy vaginal bleeding, what would be your next step

40. A 55 year old women commenced with combine HRT 5 months ago due to hot flashes she presented with an episode of vaginal Spotting, what would be your next step

 40. Women with premature ovarian insufficiency are not at increased risk of:

41. A woman opts to take oral continuous combined HRT for 5 years after the menopause.In which year of HRT use will her risk of venous thromboembolism (VTE) be greatest?

42. A 36-year-old lady undergoes total abdominal hysterectomy and bilateral salpingo oophorectomy for painful complex adnexal masses. She is being seen in the gynaecology clinic 6 weeks later. The histology is reported to be benign. She is complaining of severe hot flushes. What is the most appropriate choice?

43.  A 50-year-old executive complains of severe vasomotor symptoms, a lack of concentration and irritability. Her periods are regular and she was evaluated for perimenopausal bleeding 6 months ago. The results were found to be completely normal. What is the most appropriate choice?

44. The commonest pathology identified at diagnostic laparoscopy in patients with chronic pelvic pain is:

45.  During diagnostic laparoscopy on a 28-year-old female for chronic pelvic pain, you noticed inflammation of the liver capsule and adjacent peritoneum.What is the most likely causative organism?

46. While doing pelvic surgery, ureter clamped near brim. Extreme devascularizing inury occurred at distal end. How will you manage?

47. At abdominal  hysterectomy  you suspect bladder injury  what is the best option to identify this injury

48. While doing pelvic surgery on patient distal end of the ureter is damaged what to do?

49. Common site of ureteric injury during hysterectomy ?

50. Patient’s vaginal hysterectomy done injury to lower urinary tract and vagina (VVF)?