FCPS Part-2 written Mock(Percentages and incidences)

1. A 45 years old woman has been diagnosed with an ovarian cyst that causes her pain. Her risk of the cyst being malignant at present is 1:1000.   

What would be the risk of malignancy when she turns 50?  

2. A 34 year old lady presents with generalized abdominal pain after laparoscopic ovarian cystectomy for 12 cm dermoid cyst. There was considerable amount of spillage of contents during surgery. The biochemistry shows raised CRP and a diagnosis of chemical peritonitis is made.   The incidence of chemical peritonitis is:  

3. A 39 year old para 3 lady wants female sterilization. She is being consented prior to surgery.   

What would be the failure risk of hysteroscopic sterilization?  

4. A 65 year old lady is diagnosed with epithelial ovarian cancer confined to the fallopian tube and ovary.   

Her 5-year survival rate is:  

5. A 70 year old is diagnosed with vulval cancer. She gives history of lichen sclerosis.   What percentage of vulval cancer has association with lichen sclerosis?  

6. A 52 year old woman had laparoscopic assisted vaginal hysterectomy. She sustained a bladder injury during the procedure that was repaired laparoscopically. The approximate incidence of fistula formation is:

7. The disadvantages of her having a midline incision is as follows:  

8.  In women with recurrent miscarriage, antiphospholipid antibodies are present in:  

9.  A 25-year-old lady complains of intractable headache. She had a normal delivery 1 day ago and had epidural in labour.  

What is the incidence of dural puncture after epidurals?  

10. A 26 year old is having epidural for pain relief in labour. The anaesthetist talks about risks of dural puncture.  

What is the incidence of post dural puncture headache if there is accidental dural puncture?  

11. A 25-year-old lady in her first pregnancy has vasa praevia at her 20 week scan which was confirmed by transvaginal scan.   What is the incidence of the vasa praevia resolving?   

12. A 34 year old lady with monochorionic diamniotic twin pregnancy presents to Day Assessment Unit with reduced fetal movements. Ultrasound scan showed fetal demise of one twin.  What is the incidence of intrauterine death of the second twin?  

13. A 34 year old lady with monochorionic diamniotic twin pregnancy presents to Day Assessment Unit with reduced fetal movements. Ultrasound scan showed fetal demise of one twin. What is the incidence of neurological abnormality in the second twin?  

14. A 22 year old G1P0 presents to the maternity triage with no fetal movements for 12 hours. An ultrasound confirms an intrauterine fetal death at 29 weeks gestation.  

Her risk of having disseminated intravascular coagulopathy within 4 weeks is:  

15. A 19 year old lady who had a stillbirth at 38 weeks has come to see you 2 weeks after delivery. She has agreed to have a post-mortem   

What percentage of stillbirths has congenital anomalies?  

16.  A 28 year old woman has been admitted in emergency with ectopic pregnancy and needs laparoscopic salpingectomy. She gives history of previous midline laparotomy for bowel surgery.   What would be the best method for verress needle insertion?  

17. A 45 year old has presented with her screening report for BRCA 1 which is positive, what is her risk of having breast cancer by age of 70 years?

18. A 30 year old woman has presented with her screening report for BRCA 2 which is positive, what is her risk of having ovarian cancer by age of 70 years?

19. What is the average  oxygen saturation in  intervillous space blood?

20.  At 28 weeks’ gestation, what is the chance of survival without physical or neurological impairment?

21. Birth defects are responsible  for what percentage of  infant mortality?

22. What percentage of  fetuses with the  neural tube defects are born to women at low risk  or the anomaly?

23. A 28 years old G4P3 presents at 32 weeks’ gestation with complain of decreased  fetal movement  for 2 days. ultrasound confirms the diagnosis of intrauterine fetal demise. No other abnormalities are noted. What percentage of stillbirths who undergo standard karyotyping will have a chromosomal abnormality detected?

24. A 29 years old primigravida was just delivered of a newborn with a large posterior encephalocele. Assuming she takes the appropriate dose of folate in the periconceptional period of her next pregnancy, the risk for recurrence is decreased by approximately what percentage?

25. A 29 years old patient presented to you with large for gestational age baby. On scan the amnionic  fluid index was 36 cm. Without any other information, what is the risk of congenital malformation in this patient’s  fetus?

26. What percentage of all birth defects is caused by exposure to medications during pregnancy?

27. A 22 years old primigravida at 12 weeks’ gestation who has sickle-cell anemia requests genetic counseling to learn about the risk of transmission to her fetus. If her partner is a heterozygous carrier for this condition, what is the risk that their offspring will be affected?

28. What is the recurrence risk for an open neural-tube defect after a couple has had one child born with anencephaly?

29. A 27 years old primigravida has 1:100 risk for a fetal open neural tube defect based on serum screening at 18 weeks’ gestation. She undergoes targeted sonographic examination, which documents a singleton fetus and a marginal placenta previa. No fetal abnormalities are detected. Following this examination, how should she be counseled regarding her fetus’s risk for having an open neural-tube defect?

30. A 36 years old infertility patient underwent an amniocentesis at 17 weeks’ gestation. She had leaking per vaginum 1 day after procedure. What should she be told about this post amniocentesis complication?

31. What is the approximate prevalence of red cell alloimmunization in pregnancy?

32. A mother whose blood type is A negative delivers a B-positive child at term. She does not receive anti-D immune globulin postpartum. What are the chances that the patient will become alloimmunized?

33. What percentage of fetuses from Rh D alloimmunized pregnancies will develop mild to moderate anemia?

34. Reasonable expectations of laser ablation for severe twin-twin transfusion syndrome include what anticipated fetal mortality rate following therapy?

35. Approximately what percentage of  spontaneous miscarriages occur in the first 12 weeks of pregnancy?

36. Your patient has completed treatment  for a complete hydatidiform mole. Compared with women without a prior molar pregnancy, those with one prior mole have which of  the following risks of developing this condition again in a subsequent pregnancy?

37. What percentage of fetuses are breech at 28 weeks’ gestation?

38. In what percentage of labors does the fetus enter the pelvis in an occiput posterior position?

39. In laboring nulliparas, fetal station above 0 is associated with which of the following?

40. Which of the following approximates the percentage of deliveries that have decelerations in the second stage of labor?

41. What percentage of term singleton pregnancies present breech?

42. What is the risk that breech presentation  will reoccur at term in a second pregnancy?

43. Approximately what percentage of  cesarean deliveries are  complicated by some type of fetal injury?

44. A patient underwent a primary cesarean in her first pregnancy for a frank breech presentation at term. In general, what is the rate of successful vaginal delivery in a subsequent pregnancy in patients with this original indication?

45.  When uterine rupture occurs, what is the risk for neonataldeath?

46. After 34 weeks’ gestation, approximately what percentage of newborns develops respiratory distress syndrome?

47. Sonographically, approximately what percentage of women will have demonstrable uterine tissue or fluid in their endometrial cavity 2 weeks postpartum?

48. What percentage of women with septic pelvic thrombophlebitis have clot extending into the vena cava?

49. What percentage of women with mastitis develop an abscess?

50. If an intrauterine device is left in situ during pregnancy, what is the risk of miscarrige?

51. If  pregnancy occurs  following bilateral bipolar tubal electrosurgical coagulation, what is the rate of ectopic tubal implantation?

52.If labor induction is attempted at 30 weeks due to severe pre eclampsia, what is the approximate rate of  successful vaginal delivery?

53. Above which threshold are serum fibrinogen levels considered adequate to promote coagulation?

54. With ongoing obstetrical hemorrhage, rapid blood transfusion is typically initiated at which hematocrit threshold?

55. Each unit of packed red blood cells raises the hematocrit by what amount?

56. the term small-for-gestational age is generally used to designate newborns whose birthweight is less than what percentile?

57. Late-preterm births, defned as those between 34 and 36 weeks’ gestation, compose what percentage of all preterm births?

58.  A 33-year-old G2P2 is contemplating pregnancy but is hesitant since her two prior deliveries occurred at 28 and 29 weeks’ gestation, respectively. You inform her that her risk for a recurrent preterm birth less than 34 weeks’ gestation approximates what value?

59. Based on the known natural history of preterm premature ruptured membranes, approximately what percentage of  women will be delivered within  48 hours of  membrane rupture when this complication occurs between 24 and 34 weeks’ gestation?

60. What percentage of post term stillbirths are growth-restricted?

61. What is the approximate risk of triplet or higher order multi fetal gestation if ovarian stimulation and intrauterine insemination is used to achieve pregnancy?

62. What percentage of Quintero stage I cases remain stable without intervention?

63. What is the calculated fetal growth discordance of a twin pair where the estimated fetal weight of twin A is 800 g and that of twin B is 600 g?

64. what percentage of endometrial cancer is diagnosed in women under age of 45 years?

65. what percentage of epithelial ovarian cancers are hereditary?

66. what percentage of gonadoblastomas undergo malignant transformation?

67. what percentage of cervical cancers diagnosed at stage 1 have pap smears consistent with cancer?

68. what percentage of patients undergoing radical hysterectomy for early-stage cervical cancer will be found to have positive lymph nodes?

69. what percentage of vulvar cancers are positive for HPV?