FCPS PART 2 WRITTEN SELLABLE MEGA MOCK – PAPER C

1. Lochia, in its various forms, typically resolves after how many weeks postpartum?

2. Secondary postpartum hemorrhage is defined as bleeding from 24 hours to 12 weeks postpartum. It may be caused by all EXCEPT which of the following?

3. Your patient had a vaginal delivery yesterday complicated by a first-degree perineal laceration after a 12hours labor. She is asymptomatic, afebrile, and has less normal vital signs.her uterus is firm and nontender. Her remaining physical examination is unremarkable. She has voided several times, and total urine output for the past 12 hours is 1400mL. her complete blood count from this morning reveals the following: white blood cell count 16000/mm³ platelet count 118000/mm³ Which of the following is next best management step?

4. To minimize neonatal drug exposure from maternal medication, which drug quality is preferred during selection?

5. Which of the following is not associated with postpartum urinary retention?

6. Which of the following anticoagulants is not compatible with breast feeding?

7. Which of the following has been shown to prevent puerperal pelvic infections following cesarean delivery?

8. When is an infected episiotomy ready for early repair?

9. During insertion, which of the following increases  IUD-related perforation?

10. Your patient complains of lower abdominal ache in the months following placement of her IUD. During examination, no IUD strings are seen. Which of the following is the most appropriate next management step?

11. A new patient request removal of her Implanon implant. You are unable to locate the device by palpation. What is the best next management step?

12. Drugs whose efficacy may be diminished by combination oral contraceptive pill use include which of the following?

13. The relative risk of which of the following cancers has been associated with current combination oral contraceptive pill use?

14. A proven benefit of combination oral contraceptive pills includes which of the following?

15. Latex condom efficacy is enhanced by which of the following?

16. The incidence of which of the following is increased with diaphragm use

17. Which of the following aspect of normal postpartum maternal anatomy are not advantageous for puerperal sterilization?

18. Puerperal sterilization failure results most commonly from which of the following?

19. During vasectomy, which of the following structures is ligated?

20. With the parkland method of female tubal sterilization, it is recommended that approximately what length of tubal segment be excised to allow adequate separation of tubal stumps?

21. Studies support that tubal ligation is a risk for which of the following psychological or sexual side effects?

22. What is the underlying etiology for proteinuria that is seen with preeclampsia?

23. Which of the following physiological responses is typically seen in preeclamptic patients?

24. In patient with preeclampsia, limited blood volume expansion during pregnancy affects maternal cardiac function by which mechanism?

25. Which of the following leads to increased uric acid level in patients with preeclampsia?

26. What salutary effect does dexamethasone possibly have when used in the treatment of HELLP (hemolysis, elevated liver enzymes, low platelet count) syndrome?

27. Antenatal use of nitroglycerin to control severe maternal hypertension can lead to whichof the following complication?

28. Which of the following is highest associated relative risk for placental abruption?

29. Which obstetrical condition can lead to significant consumptive coagulation?

30. All except which of the following are electrocardiogram changes seen in normal pregnancy?

31. A pregnant patient of 13 weeks gestation has known heart disease. All except which of following are predictive of poor outcomes in pregnancy?

32. In a pregnant women with a mechanical heart valve, which of the following anticoagulation regimens would be considered inadequate for prevention of thromboembolism involving the prosthesis?

33. a patient in labor gives a history of mitral stenosis. She is asymptomatic and currently taking a beta blocker, but she is not sure why her doctor recommended it. What complication is the prophylactic beta blocker trying to prevent in these patients?

34. With infective endocarditis, what is the most common causative organism in intravenous drug users?

35. All except which of the following support the diagnosis of superimposed preeclampsia

36. Which of the following medications is preferred for intrapartum prevention of eclampsia

37. d-Dimer concentration can be elevated in which of the following pregnancy related complications?

38. In women who are fully anticoagulated with low molecular weight heparin, periodic monitoring of anti-factor Xa levels is particularly important when which of the following comorbidities is present?

39. What is the most common presenting symptoms in patients with a pulmonary embolus?

40. An asymptomatic 17year old G1P0 at 16 weeks gestation presents for her first prenatal visit, and a urine culture is sent as part of routine care. The result  show > 100,000 gram- negative rods. The diagnosis is which of the following?

41. After discharge from the hospital for acute pyelonephritis, patient should receive oral antimicrobial treatment for how long?

42. Which of the following viral infection has been associated with a marked increase in the risk for intrahepatic  cholestasis of pregnancy

43. All except which of the following clinical findings would indicate a severe course of acute hepatitis that should promote hospitalization?

44. Which of the following  findings on hemoglobin electrophoresis would be the most  consistent with a diagnosis of β-thalassemia minor

45. Which of the following infections is increased in gravidas with overt diabetes?

46. Subclinical hyperthyroidism is characterized by which of the following changes in serum hormone level?

47. All expect which of the following are associated with primary uterine rupture?

48. Morbidity from volume replacement  with only packed red blood cells and crystalloid infusion would include which of the following

49. Evaluation of abnormal bleeding for more than 6 weeks following any pregnancy may include which of following?

50. As a new, young obstetrician-gynecologist, you strive to avoid post cesarean infection in your patients. Which of the following interventions would be most helpful in this pursuit?