FCPS Part-2 Written Essential Questions (Batch C- Paper B)

1. Patient came with USG at 10 weeks with missed abortion. What will you do immediately?

2. Blood transfusion acute haemolytic reaction commonly?

3. Rh negative with hydrops fetalis at 32 weeks. What next?

4.  Postnatal patient delivered few hours back comes with jitteriness, headache and visual scotoma, no history of grand malfit. PB 150/100 mmhg. What next?

5. Thirty eight years old, hot flushes with secondary amenorrhea and irritability. Investigation

6.  Patient came with hirsutism and signs of virilization. Explanation of hirsutism is

7.   Mother came at booking with HIV +ve. When will you start?

8. Instrumental delivery is called failed when

9.  Patient 28 years old came with adnexal tenderness. On USG a cyst 5×6 cm with fatty contents and soft areas. Diagnosis

10.  Coffee bean nucleus

11.  Rheumatic heart disease with pulmonary hypertension complicate in/

12.  Which of the following shows high infectivity?

13.   Patient with prosthetic valve replacement taking 3mg of warfarin. On treatment INR 5 APTT 68, hematuria. What next?

14.   History of stitched epi after one hour, patient started to bleed. On examination there was a swelling on one side of the stitches.

15. HIV with RNA copies greater than 800 copies. CD4 count greater than 450. Mode of delivery

16. Patient bleeding heavily after forceps delivery

17.  Correct statement about scar dehiscence

18.  Clear cell carcinoma of vagina

19.  Labour stopped at 7cm for 4 hours.

20.  Patient came with lethargy, fatigued, constipation

21. scenario of patient with same finding of hypothyroidism. How to monitor

22. Patient came at 14 weeks with twin pregnancy and wants to know about the best method for diagnosis of Down’s syndrome.

23.   Forty years old lady, pregnant, wants to know about Down’s syndrome risk

24.  Mother conceived on ART and wants to know the chance of Down’s syndrome with least invasive test

25.  Patient came with primary amenorrhea with absent secondary sexual characteristics. What else can be found common?

26.  Atypical hyperplasia at 46 year

27.  Stage II ovarian carcinoma

28. Patient 47 years of age came with report of endometrial sampling on which gland to stromal ratio was more than the one with nuclear atypia

29.  Young girl 13 years old with HMB since menarche

30.  Patient diabetic, HTN +ve and wants contraception with 3cm submucosal fibroid

31.  P3 wants contraception as effective as sterilization

32. Patient with holoprosencephaly, VSD, rocker bottom feet

33. Patient para 9, HB 6, delivered at home, bleeding profusely. What is best management?

34.   Patient with atony, on bimanual compression bleeding stops

35.  On Pap smear, high grade CIN on colposcopy. SCT was not visualized. What to do next?

36. Patient with incomplete miscarriage at 9 weeks. She was G4 Po A3. What will you do next?

37.   Mother at 34 weeks with decreased fetal movement. On BPP, AFI less than 1cm, one episode of fetal flexion. No breathing movements. On CTG only one acceleration in 30 mins

38.   Five years old girl came with 3cm cyst in broad ligament no symptoms

39.  Patient with PPROM, organism

40.   Patient delivered after 24 hours. HB 7, PLT > 84000/mm PT APTT deranged. FDPS increased.

41. Best method of transfusion of blood and FFP

42.   Circadian rhythm activity of the fetus in evening. What is the cause?

43. Patient with TAH+BSO on 3^rdday with fever and flank pain, ureteric injury is suspected

44.  Patient came after 10 hours of hysteroscopy with severe abdominal pain. On USG there is a mixed echogenic fluid behind the uterus

45.G2P1+O at 22 weeks with chronic hypertension, previous history of delivery at 34 weeks due to super imposed preeclampsia. Now patient is stable and on anti-hypertensives

46. Patient came with discharge; her husband is a businessman (suspicious activities, STI). Investigation

47.  Deficiency of folic acid leads to

48.   Patient is taking enalapril known case of chronic kidney disease, came for pre pregnancy counseling

49. Most common cause of hirsutism in adults

50.        Good Support of uterus