FCPS Part 2 Written Recalls Paper 4

1.A patient 46 years of age taking contraception in the form of DMP acetate.She developed irregular bleeding.Endometrial biopsy was done and it showed proliferative endometrium.

What will you give to her for her problem

2.  A 23 years old female presented with the complaint of pain and abnormal vaginal discharge.she is using penicillin and gentamicin.she is advised chlamydia cover.which drug is prescribed

3. X ray Pelvimetery still have a role in

4. A patient 55 years old ,menopausal for 7 years presented with the complaint of postmenopausal bleeding.on transvaginal scan endometrial thickness is 14mm.what will be the next step

5. 65 years old patient has history of CA endometrium.her total abdominal hysterectomy  and bilaterlal salpingo oophorectomy was done followed by radio therapy

She presented with a growth of 3x3cm at the vault.

What will be your next step

6. Test of pulmonary embolism in pregnancy which is sensitive but not specific

7. If a patient is taking HRT .which of the following is effect of estrogen

8. A patient, Endometrial Ca with endocervical involvement .what is the treatment

9. Incidence of ureteric injury in TAH

10. A 55 years old patient with history of osteoporosis wants HRT.which test will you perform

11. Congenital heart disease have highest recurrence if

12.  HIV teratogenic drug?

13. Woman conceives after 2 years of renal transplant she is continue with immunosuppression drug she can safely use throughout pregnancy

14.  A 32 years female PA having HMB used many medications including progesterone on and off now fed up with this treatment ,On examination 1Oweeks size uterus anteverted mobile ,Adnexa clear, What is the treatment u prefer for this patient

15. Patient in labour with rupture of membranes she is having temp 37.8 C, which is persistent   on 2^nd reading, on CTG 170 b/min FHR. what is next step in management?

16. Patient having leaking of urine while coughing and sneezing She has hypermobile urethra. Her urine examination is unremarkable, How will u confirm the findings

17. Primigravida Rh neg husband Rh positive ‘at 30weeks of gestation. The best time of single prophylaxis of Anti D is at

18. Balochi women presented at 30weeks of gestation she is known case of sickle cell disease, there were 2 episodes of diarrhea 3 days back now severe abdominal pain but not in labour, What’s your step in management

19. G3p2Pprevious 2 preterm deliveries due to PROM now at 28 weeks of gestation with presented in emergency with pulse 110, temp102, bp 140/90mmhg.She have known hyperthyroidism and taking anti thyroids on and off, her TLC is 18 and CRP raised and altered state of conscious5. What you suspect the cause of this condition

20. Patient having continues leaking of urine after a major pelvic surgery. On further inquiry you came to know that she has desire of micturition and she micturate from utethra what u suspect in this case