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

1. Primigravida at term in labour for 2 days, now fully dilated head is right occipito anterior. Station +1. Vacuum applied and baby delivered. Started bleeding heavily soon after delivery due to?

2. Decreased volume of semen in diabetic male

3. Height 155 cm, 78 kg weight, BMI 34. Nearest recommended weight gain during pregnancy?

4. Most common site of ureteric injury in gynae surgery?

5.Best way to identify ureter during surgery

6. 20 yrs Cervical elongation +2 and urinary symptoms

7.Vault prolapse, treatment

8. Prolonged 2nd stage of labour ended in emergency C-section. Patient is 51 kg. What to prevent thrombosis?

9. Patient with Chronic HTN having SGA baby, cause

10. Galactorrhea in an epileptic patient. Taking phenothiazine, which drug cause galactorrhea

11. Patient at 40 weeks with flexed breach baby 3.8, previous normal delivery, what to do?

12. Patient previous 1 due to complicated transverse lie, now frank breech and BP- 130/90. What to do?

13. Patient at 39 weeks with breech 2.8 kg, normal liquor, what to do?

14. Patient with 2 second trimester (17-18 weeks) abortions. Abortions were quick associated with painless expulsion. What investigation you would advise?

15. A patient with two miscarriage and now thromboembolism

16. 20 year girl wants to discuss with you cause of hirsutism which has developed in past 1-2 years. She has regular periods/normal labs. Cause?

17. A chef with increasing weight and hirsutism

18. A patient with transient stroke last year, then DVT and treated with anticoagulant. Now miscarriage. Cause of miscarriage?

19.A patient with raised bilirubin with conjugated bilirubin with raised LFTs and palpable liver.

20. Ovarian CA not involving liver, but mets on peritoneum and undersurface diaphragm, stage

21. Patient with 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?

22. Platelets were normal and bilirubin was raised and blood glucose was 3mmol/liter and liver was bright texture on ultrasound

23. Scenario of threatened abortion treatment. OS closed PVB. Fetal heart positive. Management

24. Fever, confusional state of mind since last few days. LFT’s raised. BP 140/90. Platelets low. Abdominal pain, uric acid 8. Blood film schistocytes /RBS 30mg/dl?

25. Patient with previous myomectomy, now undergoing laparoscopy, when you enter in abdomen, there is hemoperitonium with clots, cause?

26. Patient diagnosed ITP platelets on bone marrow biopsy prior to pregnancy and now antenatal taking steroids but PT fall upto 20 lac and HB 7/8, WBC 4800, what to do?

27. A patient brought to ER she is asthmatic patient and after termination of pregnancy, she developed bronco-spasm. likely l drug is

28. Patient came in Labour room at 38 weeks, she is in labour heart rate is how to Pulse is on auscultation bilateral chest craft, she delivered and condition become more worse, what is the reason?

29. Patient 33 weeks blood pressure 140 / 90 Lft enzymes 72 IU/L alkaline phosphate 68 IU/L, clinically jaundice abdominal pain platelets 160, uric acid 8, protein urea positive i n r 1.5, APTT 68 vomiting. What is the diagnosis?

30. 18 weeks pregnant lady, 5 centimeter complex cyst on scan, on and off pain

31. Post TAH+BSO for endometriosis from 5 years, having dyspareunia since 3 years

33. Patient at 6 cm. Labor mechanism leading to increased new natal morbidity

1. Patient with recurrent vaginal discharge, tried multiple creams and treatments, foul smelling vaginal discharge, non-itching cervix normal looking

34. Primigravida in labour from 2 days, today’s now fully dilated head is right occipito anterior vacuum applied bleed heavily after delivery due to prolong labor

35. 22 years old girl Australian, hirsutism, 3 years regular menstrual cycle, normal testosterone androgen

36. Patient at 39 weeks gave birth to 3 kilogram baby with severe thrombocytopenia, mother CBC normal no history of hematological disorder, what mother’s condition causes this

37.    38 weeks referred some medicine with 90 thousand platelets treated with steroids now well, next appropriate treatment

38.HIV patient want single best drug therapy, what’s most appropriate drug to prevent mother to child transmission

39. Poster patient with sluggish bowel sounds, air fluid levels on X Ray abdomen is not tender, third postoperative day

40. During laparotomy ureteric injury suspected, best option

41. During surgery Crush injury of ureter suspected

42. Bladder Crush injury Open clamp immediately poster blood stained urine, management?

43.  Placenta with basal plate smaller

44. Abruption associated

Correct Answer:A-Cesarean section

46. Patient in labour membrane rupture 6 centimeter dilated mentoposterior next

47. Patient with recurrent herpes, when to give acyclovir?

48. Primigravida fully dilated .5 hours CTG late declaration reduced variability ROT station + one membranes absent caput present

49. Dyspareunia dysmenorrhea 30 year old severe tenderness in fornices, 5 weeks amenorrhea

50. Patient in active labour. Vaginal examination frontal bone and nasal Bridge. Management?