FCPS Part-2 Written Essential Questions(BatchC-PaperD)

1. G7P6 came in advanced labour with frank breech at the perineum. To release entrapped fetal head by cervix. Duhssen’s incision is classically performed at?

2.  Indicators of macrosomia?

3.   Patient came with cyclical dysmenorrhea and endometriosis. First line treatment?

4.   Epileptic patient came to your clinic. You must have to give?

5.  Puerperal sepsis with non-foul smelling vaginal discharge

6.   Patient with term , prevs 1 LSCS presented with pain. Contractions 1 in every 30 mins. UTI is excluded. What is most appropriate about scar dehiscence?

7.  14  yrs old girl with heavy prolonged cycles since menarche. What is investigation to do?

8.  26 yrs old nulliparous, marathon runner came with secondary amenorrhea for 4 months cause?

9.  26 yrs old lady with BMI> 30 presented with genuine stress incontinence and cystocele. No rectocele. Treatment of choice?

10. A 48 yrs old lady had TAH+BSO done for endometriosis.. patient now complains of depression, headache and loss of libido. Treatment?

11.  60 yrs old patient had TAH+BSO for endometrial CA. pre-operatively she had high grade fever for which she was given antibiotics. She remained in hospital for 6 days before surgery for workup. What is your immediate concern after her surgery?

12.  Patient had vaginal hysterectomy. she presented on 5^thpost operative day with abdominal pain and fever. O/E she looked pale and anxious. Most likely diagnosis?

13.  While doing pelvic surgery, ureter clamped near brim. Extreme DE vascularizing injury occurred at distal end. How will you manage?

14.   Patient had vaginal hysterectomy. She got injury to lower urinary tract along with vagina and presented with persistent urinary leakage. No urgency or dysuria. MSU normal. How to confirm the diagnosis?

15.  During hysterectomy, ureteric injury identified after stitch taken through ureter mistakenly which was immediately removed. 8=F character placed in ureter during repair. When to remove?

16.  You review a patient in gynaecology ward. She had TVT post operative catheterization for  48  hours. After removal of catheter, she got urinary retention. For how long would you re-catheterize her?

17.  Ligaments tied to strength vaginal vault after hysterectomy to prevent prolalpse

18.  During surgery for vault prolapse i.e. sacropinous, fixation, patient had profuse vaginal bleeding. Which artery got damaged?

19.   While performing a diagnostic laparoscopy, blood was dripping into the pelvis soon after inserting the lateral secondary trocar. Which blood vessel is most likely injured?

20. Incidence of true knots in umbilical cord?

21.  Suture materiel for bladder repair?

22.  Physiological change in pregnancy?

23.   A preterm boy born and sent to NNU. The most important intervention for RDS?

24.   A baby born vaginally. There was meconium stained liquor in 1^ststage of labor. Your immediate step will be?

25.  A patient is HCV+ ve weight with high risk for CLD. What treatment should be given?

26.   The most important test to be done on cord blood from cordocentesis for intrauterine transfusion?

27.   A patient with HB=8.0 g/dl. Next lab to order?

28. Most common presentation of sheehan’s syndrome?

29.   Unbooked primigravida at 32 wks presented with shortness of breath. Her HB is 7.6g/dl, chest clear. How will you mange?

30.   A 45 yrs old woman came with endometrial histopathology report of atypical hyperplasia. Most appropriate choice if treatment?

31.   Greatest risk of rupture is associated with?

32.   Beefy red ulcers with granulations. Treatment?

33.  A patient comes with painful genital ulcer with granulation tissue and vesicles. Most appropriate test?

34.   A patient comes with painful genital ulcer with regional lymphadenopathy. She gives H/O fever, malaise, myalgias, bodyaches. Diagnosis?

35.  Treatment of stage 1b vulval carcinoma?

36.  The most likely etiological factor for sphincter damage?

37.  A patient with pre-eclampsia and BP of 150/100 mmHg comes at 38 wks with reduced fetal movements. Most appropriate management?

38.  A patient delivered vaginally, collapsed after manual removal of placenta. BP was 80/50 mmHg, pulse rate 60 bpm, feeble, blood loss 150 ml. uterus not palpable. What is the most likely cause?

39.  Patient delivered vaginally at full term. Now presented with profuse bleeding. Her last pregnancy was molar. What is the common  diagnosis?

40.   Patient with H/O venous thromboembolism in previous pregnancy after delivery and protein C deficiency came at booking. What will you give her?

41.   Patient had hysterectomy 2 yrs back, now presented with backache, dragging sensation and something coming out of vagina. What is the most likely diagnosis?

42.   Patient with stage 1 C endometrial CA. treatment to prevent recurrence?

43.   Patient is a diagnosed case of CA endometrium with endocervical gland involvement. What is the most appropriate management?

44.  56 yrs old lady with CA endometrium limited to corpus. Treatment option?

45.   During hysterectomy, to avoid ureteric injury which course is identified?

46.   During hysterectomy ureter got ligated/ injured in distal part with extreme revascularization stent placed in ureter during repair. When to remove?

47.   A young 25-year-old woman is diagnosed with PCOS. Her BMI is 22. Her mother had type 2 diabetes and her elder sister developed gestational diabetes in her first pregnancy. She is concerned about her risk of developing diabetes. The OGTT fasting glucose level was 6.5 mmol/L. What is the recommended next step for her?

48.   A 18 yr young girl married for 1 year compliant of cyclical mood swings. Imitability. Depression, bloating and mastalgia. She also complains of reduced libido. However her symptoms get improved immediately after the periods. Which is the best treatment option to control her symptomatology?