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

1. Inclusion bodies

2.  Patient came with HMB, scan unremarkable. On examination uterus  8 weeks size, adnexa clear

3.  First line management of adenomyosis

4.    After TAH, BSO is must in which condition

5.  Patient taking 4 antituberculous drugs including Isoniazid. What to check for INH

6.   PG Scenario of DVT, left leg tenderness

7.  Patient came with crushing chest pain, hyperventilation, sweating, BP 80/40 mmhg

8.    Patient with sudden dyspnea, SOB, tachypnea, peripheral cyanosis after delivery, KIC of rhematic heart disease

9.     Patient with fever, subumbilical pain radiating towards right side, guarding positive, TLC 15000, pulse rapid

10.  Patient with subumbilical pain radiating to thigh Patient with sudden chest pain. ECG normal. Investigation to confirm the diagnosis

11.  Patient delivered and just immediately after delivery, vesicles were noted on introitus

12. Patient pregnant, GA 18 weeks, having contact with chicken pox but not sure about her status

13.   Patient in labour, diabetics, she missed her last dose of insulin, her RBS 180 mg/dl. What to do?

14.   What is the incidence of congenital anomalies in monochorionic twins as compared to singleton pregnancy?

15.   Patient on OCP pills, LMP 13 days back, she missed two pills and had UPSI on 6^thday of her cycle, wants advice

16.   Patient with Y fragment, increased risk of

17.   Patient with primary amenorrhea on investigation FSH LH raised, estrogen decreased, secondary sexual characteristics absent

18.   Patient came in labour with one episode of PVB, CTG fine. On examination normal, on P/V os = 8cm clots in vagina membranes intact

19.   Patient came in labour with one episode of PVB, CTG fine. On examination normal, on P/V os = 8cm clots in vagina membranes intact

20.   Patient in labour, membranes rupture for 6 hours. On CTG fetal heart rate 170 bpm, maternal temperature of 37.4⁰C on two consecutive readings of 2 hours apart

21.   White raised lesion, relived on taking bath

22.  Patient at 28 weeks with generalized pruritis. All investigation normal

23.   Patient with 3^rddegree UV prolapse, wants VH but wants to know the cause of subsequent recurrence

24.   Scenario of polymorphic eruption of pregnancy Scenario of herpes gestationis Multigravida fully dilated station – 1, right occipito oblique

25.   Patient came with previous 1 in labour, previous section was due to fetal distress, contractions were3-4 of 40 second/10 min and after some time she progressed to 1cm to 2 cm in 3 hours, contractions were adequate. What is the cause of slow of progress in labour?

26.   Patient came with greenish discharge, itching and strawberry cervix

27.  Patient was using IUCD, now wants to start OCPs. What will adversely effect the OCPs?

28.  Patient came with one sided breast tenderness, redness, erythema and fever on 10^thday (post op)

29.    Patient came with complain of urgency, UTI was ruled out and no incontinence on straining, but unable to make her go to washroom. What investigation?

30.    A girl 9 years old came with menarche at the age of 7 years, adrenarche at 9 years. How will you differentiate central precocious puberty from premature adrenarche?

31.   Most common cause of precocious puberty

33.  Patient presented with irregular bleeding, 45 years of age, on TVS endometrial thickness 18mm

33.  Patient 35 years P5 presented with HMB, not relieved by Transamine and OCPs. What next?

34.  A girl with 14 years of age, pain starts on onset of periods and relieved after 24 hours

35. LMP not sure, 28 weeks by patient, LMP calculated from 11 weeks scan. What is difference?

36.   Fourty-seven years of age with irregular cycle, endometrial sampling taken on 20^thday shows proliferative phase. What will you give her?

37.   adnexal tenderness, UPT –ve

38.   Patient with history of VTE in previous pregnancy after delivery and diagnosed case of protein C deficiency came at booking. What to give her?

39.   Mother was having some inflammatory condition in pregnancy. What will be the factor causing poor prognosis of pregnancy outcome?

40.   Patient in labour with mitral stenosis goes in hypotension and tachycardia. Which vasoconstrictor will you give?

41.   Fifty-six years old on low dose estrogen therapy postmenopausal for 3 years. She is at increased risk of

42.   Patient 45 years, poorly differentiated adenocarcinoma, what is the treatment?

43.   UTI (or maybe bacterial vaginosis) causes

44.  Patient with family history of diabetes fasting BSL 126mg/dl, the random readings were fine. What is she at increased risk of?

45.    Patient known case of DM for few years, taking metformin 500mg B.D. HbA1c is 5.5. Fasting BSL is 5.3, RBS is 8.7, 18 weeks pregnant. What to do?

46.    Patient in pregnancy came with complain of frontal headache (fore head) squeezing pain

47.  Patient with pelvic vein thrombosis at 6^thpost op day, obstetrical hysterectomy. What will you give her?

48.  Patient came at 35 weeks having history of prosthetic valves taking warfarin. What will you do next?