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FCPS Part-2 Written-Sexual & Reproductive Health

FCPS Part-2 Written-Sexual & Reproductive Health

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  1. Question 1 of 50
    1. Question

    1. What is the primary mode of action of the progestogen-only injectable method of contraception?

    Correct

    Incorrect

  2. Question 2 of 50
    2. Question

    2. Which form of progestogen-only contraception is most strongly associated with loss of bone mineral density?

    Correct

    Incorrect

  3. Question 3 of 50
    3. Question

    3. Vasectomy failure rate is quoted as approximately 1 in 2000 . By how many months postprocedure should the vasectomy be considered a failure if motile sperm are still observed in a fresh semen sample?

    Correct

    Incorrect

  4. Question 4 of 50
    4. Question

    4.  a 26years old lady presenyted to you with UPSI,  she has used UPA for emergency contraception, she is otherwise using CHC for contraception. Ulipristal acetate (UPA) may itself reduce the efficacy of other hormonal contraception. When emergency contraception is administered because of a

    missed combined oral contraceptive pill (CHC) the CHC should be continued. For how many days should additional contraception be advised?

    Correct

    Incorrect

  5. Question 5 of 50
    5. Question

    5.  A 28-year-old woman with a BMI of 28, who has been taking

    enalapril for essential hypertension, requests the combined oral

    contraceptive pill. Her BP is well controlled on this treatment and today

    is 134/88 mm Hg. To which UK Medical Eligibility Criteria would well-controlled

    hypertension be considered?

    Correct

    Incorrect

  6. Question 6 of 50
    6. Question
    1. A 32-year-old patient attended for routine cervical

    screening which has shown borderline changes and HPV inadequate

    results. She is not currently sexually active and has had normal smear

    results before this test.What is the next appropriate step in management?

    Correct

    Incorrect

  7. Question 7 of 50
    7. Question

    7. An 18-year-old nulliparous patient attends the gynaecology clinic for heavy painful menstrual bleeding. She is in a sexual relationship with a new partner and both have tested negative for STDs, though she has history of  chlamydia infection.She takes lamotrigine for epilepsy control and has not suffered any seizures for 3 years. General and pelvic examinations are normal, and her BMI is 30. What is the best appropriate method of contraception in her situation?

    Correct

    Incorrect

  8. Question 8 of 50
    8. Question

    8. A 27-year-old patient presented with lower abdominal pain and vaginal discharge. her temperature of 99F , PR 86 bpm and  BP is120/83 mm Hg. Her abdomen is slightly tender in the right iliac fossa. On vaginal examination there is a mild adnexal tenderness, the IUCD threads are seen and a swab of mucopurulent discharge is taken. She has a new sexual partner and has not used barrier contraception. What is the most appropriate next step in her management?

     

    Correct

    Incorrect

  9. Question 9 of 50
    9. Question

    9. Which one of the following is correct in relation to neisseria gonorrhoea?

    Correct

    Incorrect

  10. Question 10 of 50
    10. Question

    10. Which one of the following is characteristically associated with the use of combined oral contraceptive pill?

    Correct

    Incorrect

  11. Question 11 of 50
    11. Question

    11. a 22 years old pt has presented to you after single episode of unprotected sexual intercourse and is requesting emergency contraception   Which one of the following is appropriate?

    Correct

    Incorrect

  12. Question 12 of 50
    12. Question

    12. you have just delivered a 22years old P2 patient, delivery was uneventful. she wants postnatal contraception. what will you advise her?

     

    Correct

    Incorrect

  13. Question 13 of 50
    13. Question

    13. A 32-year-old woman presented with her male partner 34yrs. they have been trying to concieve for last 3 years. she is diagnosed with mild-stage pelvic endometriosis at diagnostic

    laparoscopy. She has regular menstrual cycles. Her partner has normal semen

    analysis. . Which of the following management options is the preferred initial treatment?

    Correct

    Incorrect

  14. Question 14 of 50
    14. Question

    14. a 26years old lady had an ERPOC 1 week ago for a missed miscarriage following an

    unplanned pregnancy at 10 weeks of gestation. The histology results suggest a molar pregnancy. she wants to avoid a further unplanned pregnancy. Her

    beta hCG levels are 1000 mIU/l today.Which of the following contraceptives are best suited to her?

    Correct

    Incorrect

  15. Question 15 of 50
    15. Question

    15. a 25years old lady has presented to you with h/o unprotected sexual intercourse 4 days back. she wants emergency contraception. She has irregular cycles otherwise,

    she has never been screened for STIs but agrees to have it if needed. Which of the following is best suited for her?

    Correct

    Incorrect

  16. Question 16 of 50
    16. Question

    16. Mrs XY is a 35-year-old woman who is a known case of congenital heart disease with a single ventricle.  and on regular follow-up with the cardiologist. She is stable in regard to her cardiac condition and wants an intrauterine contraceptive device (IUCD) inserted. Her cardiologist has given his consent for the same after reviewing her case. Which of the following is appropriate regarding the arrangements for the IUCD insertion in this case?

    Correct

    Incorrect

  17. Question 17 of 50
    17. Question

    17. A couple have been trying to conceive for 3 years. The semen analysis shows:

    Volume 1.5ml, 0.5 million sperm/ml, 40% motility and 3.5% normal forms. her wife is 32 years

    has regular periods every 30days. hormonal profile all within normal

    limits. Pelvic ultrasound is normal. Her BMI is 24.5 kg/m². Physical examination

    of both partners is unremarkable.

    Correct

    Incorrect

  18. Question 18 of 50
    18. Question

    18.A couple have been trying to conceive for 2 years. husband is 30 years old with semen analysis shows:

    Volume 1.5ml, 23 million sperm/ml, 42% motility and 5.1% normal forms. her wife is 26years old with

    regular periods every 28 days. hormonal profile is within normal limits.

    Pelvic ultrasound 6 months ago was normal. She reports getting some

    antibiotics for vaginal discharge 3 years ago but can’t remember which ones. Her BMI is 24.5

    kg/m². Physical examination of both partners is unremarkable

    Correct

    Incorrect

  19. Question 19 of 50
    19. Question

    19. A 26 year old woman wants effective contraception. She has tried multiple combined and progesterone only oral contraceptives but had to discontinue due to multiple side effects. She doesn’t want long acting reversible contraception . She is considering the use of a diaphragm with spermicide. What

    would you advise her regarding timing of diaphragm removal after sexual intercourse?

    Correct

    Incorrect

  20. Question 20 of 50
    20. Question

    20. A 35years old woman consults you about her contraception. She wants a method

    with the lowest risk of thrombosis because she has a family history of venous thromboembolism

    in her first-degree relative. She doesnot want any intrauterine devices. How will you counsel her?

    Correct

    Incorrect

  21. Question 21 of 50
    21. Question

    21. A 32-year-old woman consults you about combined hormonal contraception.

    she had first degree relative with breast cancer who died at the age of 55 years. She is healthy but has a problem with painful periods. What is best suited to this situation?

    Correct

    Incorrect

  22. Question 22 of 50
    22. Question

    22. An 18-year-old girl who is on an enzyme-inducing drug
    comes to the accident and emergency department requesting advice as she had
    unprotected sexual intercourse on the 18th day of her cycle. She does not wish to become pregnant. She did not accept your advice for an intrauterine device (IUD) fitting. What alternatives can you offer her?

    Correct

    Incorrect

  23. Question 23 of 50
    23. Question

    23. A 17-year-old girl comes to you with history of unprotected

    intercourse four days ago. She is not very keen on an intrauterine

    device (IUD). What other you can offer?

    Correct

    Incorrect

  24. Question 24 of 50
    24. Question

    24. A woman with systemic lupus erythematosus comes to see you regarding safer

    contraception. she also has positive antiphospholipid antibodies.

    According to the UK medical eligibility criteria (UKMEC), which contraceptive would

    you offer

    Correct

    Incorrect

  25. Question 25 of 50
    25. Question

    25.  A 33-year-old woman is using levonorgestrel intrauterine system. She has recently

    suffered from a cerebral transient ischaemic attack. She is now improving. she wants effective

    contraception What will you tell her ?

    Correct

    Incorrect

  26. Question 26 of 50
    26. Question
    1. Strawberry cervix is characteristic of

    Correct

    Incorrect

  27. Question 27 of 50
    27. Question

    27. normal vaginal pH?

     

    Correct

    Incorrect

  28. Question 28 of 50
    28. Question

    28. infection with bacterial vaginosis in pregnancy is associated with which of following?

    Correct

    Incorrect

  29. Question 29 of 50
    29. Question

    29.Which of the following is associated with rise in vaginal pH in post menupausal women?

    Correct

    Incorrect

  30. Question 30 of 50
    30. Question

    30. A 28 years old patient  has recently been diagnosed with HIV . presented to you with c/o a painless warty lesion on vulva from last 1 week. she reports having a single lesion 4 months back as well which resolved itself with in 2 weeks. what is wrong with this patient?

    Correct

    Incorrect

  31. Question 31 of 50
    31. Question

    31. A patient is diagnosed with PID  , on investigation chlamydia trachomatis is diagnosed. which of the following best explain mechanism of tubal damage caused by said organism?

    Correct

    Incorrect

  32. Question 32 of 50
    32. Question

    32. A 16 years old patient presented with history of warty lesions on vulva. She became sexually active 4 months back. She has never been vaccinated against HPV. Which of following has almost 100% initial clearance rates ?

    Correct

    Incorrect

  33. Question 33 of 50
    33. Question

    33. A 32 years old patient presented with c/o abdominal pain from last 1 week. Pain is associated with fever and vaginal discharge. She had IUCD inserted 1 year back. Urine pregnancy test was negative. She was admitted for i.v antibiotics . after 48hours of treatment patient as persistent c/o abdominal pain. Laproscopy was planned. On laproscopy both fallopian tubes were seen to be swollen and having . on histopathology it shows sulphur granules. Which of the following organism is responsible?

    Correct

    Incorrect

  34. Question 34 of 50
    34. Question

    34. A 28years old patient has presented to get her IUCD removed which was inserted 2 years back because she wants to concieve . her last menstrual period was 9 weeks back. She had regular cycle previously. Her urine pregnancy test confirms that she is pregnanct.. her transvaginal scan confirms intrauterine pregnancy of 8weeks  she is afebrile and no other compalint. She wishes to continue this pregnancy. On examination thread of IUCD is visible.. which of the following option is suitable for this patient?

    Correct

    Incorrect

  35. Question 35 of 50
    35. Question

    35. Risk of perforation with IUCD?

    Correct

    Incorrect

  36. Question 36 of 50
    36. Question

    36. A 32 years unmarried girl on oral progesterone for heavy and irregular cycles, on 16 day of medication she started yellowish vaginal discharge slightly blood stained what could be the cause?

    Correct

    Incorrect

  37. Question 37 of 50
    37. Question
    1. A 22 years old woman presents reporting that she is using phenytoin for epilepsy. She doesnt want to concieve and is satisfied with her current method of contraception and wishes to continue to use IM DMPA. which of the following fits best to her situation?

    Correct

    Incorrect

  38. Question 38 of 50
    38. Question

    38.A 38 years old lady had a myocardial infarction 5 months ago . she is para 4 and doesnot want to have any children further. Which of the following contraceptive methods would be associated with a UKMEC Category 4 in this situation ?

    Correct

    Incorrect

  39. Question 39 of 50
    39. Question
    1. For which of the following conditions would you consider a hospital setting for the insertion of an intrauterine device?

    Correct

    Incorrect

  40. Question 40 of 50
    40. Question

    40. A 29 years old patient has history of secondary dysmenorrhea from last 2 years. she wants to have a reliable method of contraception that also helps with painful periods. which of the following is suitable for her situation??

    1. subcutaneous DMPA is preferable in women with dysmenorrhoea

    Correct

    Incorrect

  41. Question 41 of 50
    41. Question

    41. A 24years old athelete has presented to you effective contraception. she wants a reliable method with minimum side effects. With regard to affects of hormones on bone health, which of the following is true?

    Correct

    Incorrect

  42. Question 42 of 50
    42. Question

    42. A 32 years old patient has consulted for a safe method of contraception.. she is known case of cardiac disease since childhood. Which of the following antibiotic regimens is correct for routinely inserting or removing an IUD in a woman with valvular heart disease?

    Correct

    Incorrect

  43. Question 43 of 50
    43. Question

    43. what is the safe limit for a woman to continue with progestogen-only injectables?

    Correct

    Incorrect

  44. Question 44 of 50
    44. Question

    44. Which of the following is true with regards to anti-Müllerian hormone:

    Correct

    Incorrect

  45. Question 45 of 50
    45. Question

    45. With regards to intracytoplasmic sperm injection (ICSI) which of following is false:

    Correct

    Incorrect

  46. Question 46 of 50
    46. Question

    46.  Which of the following tests can be used to assess ovulation

    Correct

    Incorrect

  47. Question 47 of 50
    47. Question
    1. With regards to azoospermia:

    Correct

    Incorrect

  48. Question 48 of 50
    48. Question
    1. Gonadotrophins are not raised in which of the following conditions:

    Correct

    Incorrect

  49. Question 49 of 50
    49. Question
    1. With regards to hyperprolactinaemia:

    Correct

    Incorrect

  50. Question 50 of 50
    50. Question
    1. Klinefelter syndrome:

    Correct

    Incorrect

By admin123|2021-01-05T10:06:42+05:30November 30th, 2020|Comments Off on FCPS Part-2 Written-Sexual & Reproductive Health

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