SEQs:
Q. No.
1:- a 56 year old woman undergoes a burch
colposuspension for stress incontinence. Following this, she is unable to void
urine. Explain the steps you will undertake to manage this situation.
Q. No.
2:- A woman undergoes a Wertheim Hysterectomy.
In the post-operative period she develops pyrexia, flank pain and persistent
hematuria. You suspect ureteric injury. Critically appraise the steps you will
undertake to reach a diagnosis and institute a plan of management.
Q. No.
3:- A healthy 59 year old woman with no history
of urinary incontinence undergoes vaginal hysterectomy and anteroposterior
repair of uterine prolapse, large cystocele and rectocele. 2 weeks
post-operatively, she presents to your office with the new complaint of intermittent
leakage of urine. What is your differential diagnosis. Justify it…
(21-07-12)
1.24 yr old P0+0
married for 2 yrs c/o dysmenorrhea,laproscopy shows multiple endometriotic deposits.discuss management?
2.Discuss role of
assisted reproductive techniques in endometriosis?
3.42yr old P5A0
presented with heavy menstrual bleeding and dysmenorrhea,usg shows finding suggestive of adenomyosis,critically discuss various
treatment options?
•TOACS
1
•Regarding
DANAZOLE
1.What is mechanism of action? (2)
2.Routes of administration? (2)
3.Enlist 5 side effects? (2.5)
4.Enlist contraindications? (1.5)
5.How will u prescribe it(dosage)? (2)
•TOACS
2
•Regarding
GnRH analogues
1.What is mechanism of action? (2)
2.Different Routes of administration? (1.5)
3.Name preperations? (2)
4.Name 3 different ADD BACK regimens? (3)
5.What is DRAW BACK regimen ? (1.5)
•TOACS
3
•Mrs amna 27yrs old P0A0
married for 3 yrs has come with complain of dysmenorrhea and deep dysparunia,she is scheduled for laproscopy. How will you counsel her regarding fertility outcome
after surgery?
(14-07-12)
QUESTION NO. 1:
7 days old baby presented to you with ambiguous genitalia, excessive vomiting and hypotension. What is your diagnosis and how will you investigate and manage this case.
QUESTION NO. 2:
2 Months old baby presented with ambiguous genitalia. Karyotype is 46 XY. What is your differential diagnosis and how will you manage this case.
QUESTION NO. 3:
18 years old girl presented in OPD with primary amenorrheoa. Her height is 5 feet and weight is 40 kg. her breasts are normal. Secondary sex characters show stage 1 development. What is your differential diagnosis and management.
TOACS:
Station # 1:
Newborn baby delivered with ambiguous genitalia. How will you counsel parents. What aspects will you consider.
Station #2:
14 years old female presented in OPD with the complaints of primary amenorrhea. On examination, she has hirsutism, clitoromegaly and swelling of genital folds.
a)- What investigations will you do?
b)- What is the most likely diagnosis?
c)- How will you counsel her?
Station # 3:
14 years old female presented in OPD with the complaints of primary amenorrhea. On examination, she has hirsutism, clitoromegaly and swelling of genital folds. On ultrasound pelvis, Uterus is ABSENT.
a)- What is your diagnosis?
b)- How will you investigate her?
c)- What is the treatment?
(30-06-12)
Q No: 1
Q No: 2
Critically appraise different uterine conserving surgical options available in a lady with abnormal uterine bleeding?
Q No: 3
A 46 years old women came to me having been told that she needs a hysterectomy because of heavy bleeding from her fibroid. Ultrasound showed a tennis ball size fibroid that was 2/3 in the uterine wall and 1/3 in the cavity of the uterus. What are different treatment options available to her..?TOACS:
Q.No.1:
Write down PALM COEIN FIGO Classification of Abnormal Uterine bleeding?
Q. No. 2:
Write down protocol of management of abnormal uterine bleeding?
Q.No.3:
Identify , Steps of use, advantages, and disadvantages?
(23-06-12)
Q No: 1
P1+1
presents with secondary amenorrhea for 6 months O/E. She is slim but has
hirsutism. Hormonal profile shows increase LH: FSH ratio. She wants to
conceive. She proves to be clomiphene citrate resistant on ovulation induction.
Give plan of management.
Q No: 2
18 years old
unmarried girl presents in OPD with menorrhagia and hirsutism O/E. She has normal
BMI. Her ultrasound shows ploycystic ovaries. Write management plan.
Q No: 3
17 years old
unmarried girl presents in OPD with secondary amenorrhea for 8 months. On
detailed history it turned out to be previously treated primary amenorrhea. She
had menstrual with drawl bleeding induced with OCP prescribed by GP. O/E She
has marked hirsutism but not virilism. Her height is 4 feet 11 inches. Her
secondary sex characters are developed. How will you manage her.
TOACS:
TOACS:
STATION NO 1
1. Name four causes
of hirsutism.
2. Identify six
salient symptoms, which could lead you to make a differential diagnosis in a
case of hirsutism.
3. Name four drugs
that can cause hirsutism.
4. Name four drugs
used in the treatment of hirsutism.
STATION NO 2
Write
differential diagnosis
PCOS
|
CAH
|
ANDROGEN-SECRETING TUMOUR
|
CUSHING’S DISEASE/ INCREASED ACTH
|
|
Onest
|
||||
Virilisation
|
||||
LH:FSH
|
||||
Testosterone
|
||||
DHEAS
|
||||
17-HP
|
||||
Dexamethasone
suppression test
|
||||
ACTH stimulation test
|
STATION NO 3
1. What is HAIR–AN
syndrome?
2. What is clinical
picture of HAIR-AN syndrome?
3. What is
diagnostic insulin level in HAIR-AN syndrome?
4. What are health consequences/Risks
for patients suffering from this syndrome?
(16-06-12)
QUESTION NO. 1:
A young lady presents to u with secondary amenorrhea.describe her evaluation and diagnosis in a tabulated form.
QUESTION NO. 2:
25 year old lady p2A0 presents with secondary amenorrhea.her HSG shows irregular filling defect of uterus.what is your diagnosis and how will you manage it.
QUESTION NO. 3:
Write a short note on bone mineral density. Is it indicated in amenorrhea?justify it.
(09-06-12)
QUESTION NO. 1:
A 19 years old nulliparous has presented with primary amenorrhea. She denies excessive excercise and weight loss. On examination, her height is 5 feet 6 inches, weight 140 lbs, B.P 110/70. Her thyroid is not enlarged. She has Tanner IV staging of breast development , axillary and pubic hair development. What are the differential diagnosis and what are the distinguishing features of all differentials.
QUESTION NO. 2:
QUESTION NO. 3:
A 17 years old female has presented with primary amenorrhea. She has absent secondary sex characters. How will you manage her.
(02-06-12)
QUESTION NO. 1:
P1A0 delivered 2 days back by cesarean section due to prolonged labour. now she is suffering from 102 fever. No History of dysuria or cough. How will you manage. . .
QUESTION NO. 2:
Write management protocol of puerperal pyrexia.
QUESTION NO. 3:
19 years old P1A0 delivered 2 weeks back via normal vaginal delivery. she has presented now in acute confusional state . How will you manage..
(19-05-12)
QUESTION NO. 1:
G8P7A0 has presented in emergency with labour pains. At 5cm dilatated cervix, she had gush of amniotic fluid from vagina. She suddenly developed cyanosis and became unconscious. 15 minutes later, she had vaginal bleeding. Discuss emergency management.
QUESTION NO. 2:
Write protocol of manaegment of post partum collapse.
QUESTION NO. 3:
Obstetrical emergncies lead to life threatning situations..
(12-05-12)
QUESTION NO. 1:
Mrs. Fazeelat 25 years old , known epileptic since the last 15 years presented in OPD. Her UPT is +ve . Discuss her antenatal, intrapartum and post partum management.
QUESTION NO. 2:
Discuss in detail OVERLAP SPHINCTEROPLASTY.
QUESTION NO. 3:
P1A0 delivered 2 weeks back in rural health center presented with Anal incontinence. discuss the non-surgical therapy with her.
(05-05-12)
QUESTION NO. 1:
Discuss the prognosis and management of atwin pregnancy complicated by antenatal demise of one of the fetuses diagnosed at 30 weeks of gestation.
QUESTION NO. 2:
A successful amniocentesis of one of two gestational sacs shows that the chromosomal pattern is consistant with Edward's Syndrome, while the other fetus has a normal Karyotype. Critically discuss the management options.
QUESTION NO. 3:
A 35 years old G6P5A0 woman has a normal vaginal delivery and after lengthening of cord, a reddish mass is seen bulging in the introitus. patient is in shock. What is differential diagnosis and how will you manage this case?
(28-04-12)
QUESTION NO. 1:
G3P0A2 has presented to antenatal OPD at 6 weeks gestation with report carrying thrombophillia screening +ve for factor V Laiden deficiency. How will you subsequently manage her?
QUESTION NO. 2:
31 years old Primigravida has presented at 12 weeks with complaint of 2 days history of right leg soreness. On examination, her heart rate is 100 bpm, respiratory rate is 12/min, heart and lung examination are normal. Right leg is tender and swollen. Discuss management.
QUESTION NO. 3:
You are consultant on call. A G2P1A0 has been shifted to OT with the diagnosis of ruptured uterus. How will you proceed to exploration of ruptured uterus?
