OBS ( Paper 2)

1) Previous cs for preterm breech delivery, now 6wks pog pregnancy test positive
and mild bleeding p/v. cervical canal and upper segment empty. GS near LUS and
shows negative sliding sign. Diagnosis?
a) CS scar ectopic
b) Cervical ectopic
c) Retained POC
2) Pregnant lady died after sudden chest pain and Ischemic heart finding,
association with
a)Migraine
b) Celiac disease
c) Asthma
3) Which most commonly used antiepileptic causes sga?
a) Carbamazepine
b) Phenytoin
c) Lamotrigine
d) levitracetam
4) Oxytocin causes....which metabolic disturbance?
a) Hyponatremia
b) Hypogycemia
c) Hypokalemia
5) Chronic essential HT , migraine on drugs delivered by CS . one day later C/O
sudden constant headache , 6 hrs later CNS exam found papilledema and diplopia.
Now patient’s consciousness slightly disoriented.
a) Sagittal Venous thrombosis
b) Migraine
c) Post dural puncture
d) SAH
e) Eclampsia
6) 28 yrs old suffering from Ulcerative Colitis on Mesalazine, planning for pregnancy
and came for prepregnacy counselling. What advice will you give regarding
Mesalazine on pregnancy?
a) Increased congenital defects
b) Increased miscarriage
c) Increased preterm delivery
d) Safe in pregnancy
e) bloody diarrhea in newborn
7) Intractable Hyperemesis, came to A & E dept the first line treatment
a) Cyclizine oral
 b) Promethazine oral
c) Ondansetron oral
d) Metoclopramide oral
e) Hydrocortisine IV
8) Pregnant lady recovered from intractable hyperemesis, discharged. On taking oral
diet suspected refeeding syndrome, suspected some electrolyte disturbance, in
which insulin shift back into cells.
a) Hypokalemia
b) Hyponatremia
c) Hypomagnesemia
d) Hypocalcemia
9) 30 wks pregnancy with right iliac fossa pain, long history & C/E ( RIF
tenderness,tachycardia , Temp 39)investigations. USG shows Pod fluid &
tubular non compressible structure 5 cm length 10 mm diameter Most appropriate
treatment?
a) SPT incision & appendicectomy
b) Verical incision & appendicectomy
c) Incision over the point of maximum tenderness and appendicetomy
d) laparotomy, CS, appendicetomy & peritoneal lavage
10) 20 wks pregnant women , jump from overbridge & died
a) Direct maternal
b) Late direct
c) Indirect maternal
d) Co incidental
11) school teacher, exposed to slapped cheek syndrome & confirmed Parvo
infection,How much percentage fetal risk of parvovirus infection from mother at 18
wks?
a)5%
b)10%
c)15%
d)20%
e)25%
12) Primi followed up in consultant lead unit for serial growth scans, last scan shows
baby growth is 70th centile and normal liquor & presented in labour at 39 weeks.
a) continuous CTG
b) Intermittent auscultation
c) Admission CTG followed by intermittent auscultation
d) Intermittent monitoring by USG

13)Surveillance for TTTS in MC MA from which week?

a)16 weeks
 b) 14wks
c) 18wks
d) 24wks
14) Scenario about maternal collapse,CPR failed. When Perimortem CS done?
a) At 2 minutes
b) At 4 minutes
c) At 6minutes
d) At 10minutes
15) MCDA twin at single twin death at 30 wks, CTG of live twin normal, appropriate
management?
a) CS
b) IOL
c) conservative policy & IOL at 36 + 1 wks
d) CTG
e) Refer for MRI
16) Pregnant female haemophilia carrier, cffdna found girl baby, risk of carrier
status?
a) 0%
b) 25%
c) 50%
d) 75%
e)100%

17) Asthmatic pregnant lady at 20 weeks, receiving short acting beta blocker and
800microgmof inhalational steroid . Now presented with breathless for past few days?
a) Oral steroid
b) LABA
c) Theophylline
d) Leukotriene
18) A Pregnant women with irregular periods ,can't remember LMP.
USG shows
CRL 96mm
HC 118
BPD 24
AC 32. Which parameter best to calculate GA in this women?
a) CRL
b) BPD
c) AC
d) HC
19) A women just had a normal vaginal delivery, found labial , paraurethral tears & Perineal
tear involving 50% of external anal sphincter with intact internal anal sphincter and anal
mucosa.Which gradeof perineal tear?
 a)3a
b) 3b
c) 3c
d) 4th

20) Pregnant woman at 6 wks , abdominal pain & mild spotting PV, suspected to
have ectopic. Midwifery has sent blood for serum B Hcg test.
Which of the following B Hcg pattern, we expect in normal Intrauterine
pregnancy? ( note: entirely different from scenario)
Options with various graphs of B HCG( Rising in early pregnancy either falling
after 1st trimester or staying at higher level till delivery)
21) Midwifery did P/V for labouring woman, she suspected face presentation. What
is the presenting diameter for Face presentation?
a) Suboccipito bregmatic
b) Occipito Frontal
c) Submento bregmatic
d) Mento vertical
22) In a face presentation , the presenting diameter of submento bregmatic, how
much it measures?
a) 9.5cm
b)13.5cm
c) 11cm
23) In labouring woman midwifery used nitrous oxide for pain relief, what is the
mechanism of action?
a) Direct vaso dilatation
b) Increased release of Endorphins, dopamines
c) Decreases sodium influx into the cell
d) membrane stabilisation
24) Primigravida on HAART at 35 wks, presented with preterm labour and rupture of
membranes, Viral load < 40 copies done 1 week ago, S/E confirmed Leaking P/V
a) Immediate CS
b) IOL after a course of steroids
c) Immediate IOL
d) IOL at 37 wks
e) Antibiotics and expectant mgt
25) ) Previous classical cesarean done for vascular tumour, now at 8wks pregnancy what
advise will you give regarding the delivery?

a) Elective Classical section at 38

 b) Elective Classical section at 39

c) Elective LSCS at 38 wks

d)Elective LSCS at39wks

e) IOL at 41wks

26) Pregnant woman with combined test risk for T 21 1:2 denied invasive tests and Anomaly
scan shows Brachycephalic, Duodenal Artesia, AVSD, limb femur length less than 5th centile.
What diagnosis will you suspect?

a)Trisomy 13

b)Trisomy 18

c) Trisomy 21

d) Turner

27) A unit wants to assess their still birth rate against national data. What is the bench
mark in UK?

a) 1 in 100

b) 1 in 200

c) 1 in 500

d) 1 in 1000

28) Recurrent risk of shoulder dystocia?

a) 2 times

b) 10 times

c) 5 times

d) 3times

29) 35yrs old undergone surgery ( bowel resection) for Crohn’s disease. Now pregnant,
adviced VitD & calcium intake as they are deficient. What is the main mechanism of action
of Vit D on calcium metabolism?

a) Stimulates Parathyroid gland and promotes bone formation

b) Decreases renal excretion of calcium from tubules

c) Increases the calcium absorption from Small bowel

d) Increases the calcium absorption from large bowel

30) Pregnant women booking blood shows Hb 98gm/ldecreased MCH,decreased MCV ,
serum ferritin 50 (normal)

a) B Thalassemia minor

b) Iron deficiency anaemia

c) Sickle cell disease

d) B Thalassemia major

31) Pregnant women diagnosed as stage 1 invasive intraductal ca , undergone mastectomy.

Now 18 wks, ??? recurrent symptoms? What is appropriate CT agent?

a) Anthracycline

b) Tamoxifen

c) Taxanes

d) Methotrexate

e) Transutumab

32) Preterm labour at 31wks, delivered vaginally. Postnatally, early imaging done for
Newborn

Which is the most specific lesion of severe HIE to predict long term
neurodevelopmental outcome?

a) Germinal matrix haemorrhage

b) IVH
c) Periventricular Leukomalacia
d) Ventriculomegaly

33) pregnant women with Previous lscs, at 34wks diagnosed to have preterm labour.

What is incidence of scar rupture in this women?

a)< 0.5%

b) 0.5%

c) 1%

d) 2%

34) Pregnant women , had spinal cord injury above T 6 level. Admitted in labour ward, her
baseline BP 60/50 mmHg. Suddenly she developed tachycardia, BP 110/80mmHg. Which of
the following explains these changes?
 a) Autonomic dysreflexia

b) Hypogycemia

c) Panic attacks

35) Labouring women, midwifery noticed multiple shallow ulcers, women has noticed first
time. What is the risk of Herpes simplex transmission to newborn)

a)5-10%

b) 10- 20%

c) 20-30%

d) 30 -40%

e) 40 50%

36) 43yrs old occasional smoker had previous normal vaginal delivery 10 yrs back. Later,
undergone LEETZ for severe dyskaryosis. Now pregnant , attebded booking at 10wks. Which
risK factor more predict PTL?

a) LEETZ

b) maternal age

c) smoking

d) Pregnancy interval more than 10 yrs

37) Pregnant lady teacher exposed to child with chicken pox 3 days back and found to be
non immune to chicken pox .They asked till how many days Varicella IgG can be given?

a) 5days

b) 24 hrs

c) 10days

d) 48 hrs

38) Pregnant women, blood picture S/O macrocytic anemia(Hb 90g/l, MCV – 109fl, MCH
increased n S.ferritin 55.) Wha is the first line treatment?

a) Ferrous SO4 + Folic acid

b) Ferrous sulphate + B12

c) Oral folic acid 5mg od

d) B12 injections
39) Pregnant women diagnosed as Obstetric Cholestasis and followed up with LFT. Which of
the following bile acid level predicts higher perinatal mortality risk?

a) 10-20mmol/l

b) 20-30mmol/l

c) 30-40mmol/l

d) 40-50mmol/l

40) Pregnant women on Tab. Fluoxetine 40mg for severe depression and her symptoms are
well controlled, came for booking worried about effect of Tab.Fluoxetine on the fetus. What
is the most appropriate advice?

a) Stop the drug abruptly

b) Reduce to 20mg dose

c) Change to another drug

41) 36 +2wks Para 3 MCDA twins twin1 vx , twin 2 breech, TTTS surveillance scan
normal.USG shows 2nd twin EFW less than 5th centile, Liquor volume of both twin sac
normal. What is the most appropriate next line of management?

a) Repeat Scan after 1 week

b) Induction now

c) CS after a course of steroids

42) 40 yrs lady, dating scan shows MCDA twins with one twin non viable, wants to know the
down syndrome risk. What is the most appropriate one?

a) Maternal age +NT Commented [T1]:

b) Mat age + NT + PAPP A+ b hcg

c) cffDNA

d) Anomaly scan

43 ) 21 yrs old pregnant women with previous baby down syndrome, worried about this
baby non invasive prenatal testing done positive and followed by amniocentesis done,
results came as negative for down. What is the reason for positive NIPT result?

a) Placental mosaicism
b) Maternal DNA contamination
c) Presence of fetal cells of previous baby

44) 32 yrs old delivered a week back, presented with features of sepsis, the following
analgesic to be avoided
 a) Ibrufen

b) Paracetamol

c) Morphine

d) Pethidine

45) Pregnant lady treated with Quinine & Clindamycin, recovered well , Now delivered
baby . How will you monitor the Newborn?

a) Monthly blood smear

b) Placenta & Cord blood if normal, no follow up

c) Weekly blood smear for 4 wks

d)Placental HPE

46) Pregnant women , Diabetic on insulin , features of DKA urine ketones3++,Blood

sugar> 23mmol/l. Arterial blood gas analysis sent. Which feature closely correlate with this
condition?

PH Po2 Pco2 Hco3

a) Low Normal/High High High

b) Low Low Low High
c) Low Normal/High Low Low
d) Low Low Low Low

47) A pregnant lady ( High risk factors for VTE)complaining of severe chest pain.
Tachycardic & Tachypenic , they have done Chest X ray and showing some abnormal
findings.What next investigation will you do to confirm the diagnosis?

a) compression duplex USG

b) CTPA

c) V/P scan

48) Pregnant women with lump in the breast attended AN clinic. Which is the best
investigation to proceed?

a) FNAC

b) Mammography

c) USG

49) Women on Carbimazole for Hyperthyroidism, now c/o sore throat. What
investigation will you advice?
 a) LFT

b) Full Blood count

c) RFT

50 )Pregnant woman came for regular ANC check, midwifery found multiple bruises
over the abdomen & Thigh. On further discussion, she has disclosed domestic violence by
husband. But she requested not to disclose anyone.What is the next appropriate action?

a) Inform police

b) Contact social services

c) Share the information of local safeguarding services

d) Contact legal services

EMQs
A) Newborn
1) Gestational diabetes mother on Metformin delivered a baby and fed him within
30 mins.. after two hrs has difficulty in feeding?
2) Multiple pregnancy , second twin is LGA at 36 weeks.what problems expected.,
options
a) Hypoglycaemia
b) Hypocalemia
c) Polycythemia
d) Hyponatremia
e) Hyperbilirubinemia
f) Late anaemia
B. Breast feeding & Drugs
3) Patient with cold and flu 6 days postnatal, community midwife visited & gave
pseudoephedrine nasal drops. What advice ?
4) Patient with mechanical mitral valve replacement and on warfarin on Day2 –
would you advice change
5) Known chronic Hypertensive on labetalol, presented to GP on D2, C/o
intense headache & o/E BP- 160/105, GP made a call to you and asked advice
about change of drugs to enalapril as she was taking in prepregnacy period.

a) stop lactation
b) prescribe another medication
c) commence/ continue lactation
 d) take minimum dose
e) measure the drug concentration in the mother
f) measure the drug concentration in the baby
g) measure the drug concentration in the mother and baby
h) stop lactation after administration of the medication
I) Give drug before BF

C. PPH & blood component

6) G2, Previous h/o PPH , still birth , diagnosed as Ptn C def, now 36 wks
worried about PPH during labour and asking how bleeding will be controlled?
7) Multiple pregnancy with previous lscs posted for elective lscs, recurrent
APH, no LLP in USG
8) Atonic PPH blood loss 1500ml, pharmacological and conservative
mechanical measures given. Not profusely Bleeding now, 4th blood running.
Parameters (blood count, APTT, PT, Fibrinogen within normal limits)
a) Administer Oxytocin infusion
b) Oxytocin 5u im & Ergometrine 0.5mg im
c) Oxytocin 10u iv
d) 4 units FFP
e) 4 units FFP , 10units CP, 1 unit platelets
f) Hystrectomy
g)10 units CP & 1 unit Platelets
h) Carboprost
i) Misoprostol
j) Oxytocon 5U iv
k) no more blood products needed

D. Labour

9) G2,fully dilated for 2hrs actively pushing 45mins, FHR nl

10) P2 Fully dilated for 2hrs , pushing for 1hr with moulding+1/2, caput , head 2 cm
below the spines, descent with contractions ,FHR nl
11) Primi under epidural, actively pushing for 105 minutes, contractions 2/10 , FHR
nl, adequate descent with contractions.
a) Oxytocin infusion
b) Forceps in room
c) Ventouse in room
d) FBS
e) Reasses in 15 min
f) Reasses in 1hr
 g) Reasses in 30 min
h) Continue the same
i) CS
E. Preterm Labour
12. G 2 Preterm 28+ 2 wks pog , received a course of steroids
3 days back for threatened preterm labour. Multiple recurrent episodes of mild
bleeding PV, now settled. Now C/O pain abdomen, O/E. mild irregular uterine
contractions, cephalic presentation . S/E, parous cervix 3 cm dilated, pool of Pinkish
fluid in vagina. Next appropriate mgt?
13. Previous lscs with Preterm 28+ 2 wks, received steroids 3 days back, now c/o
pain abdomen. O/E irritable uterus.
S/E - 3 cm dilated. USG shows breech, AFI 19. Next line of mgt?
14. Multigravida with 22wks, admitted with pain abdomen, O/E uterine contracions
+, S/E- 2cm dilated, membrane prolapse in vagina

a) Administer nifedipine
b) Administer steroids & nifedipine
c) Administer Atosiban
d) Emergency CS
e) Administer steroids and CS 48 hrs later
f) Administer Mg So4 immediately followed by CS 24 hrs later
g) Administer Mg So 4 and expectant mgt
h) Observation
i) Cervical circlage

F. Post abortion care

Multi with 6wks pregnancy, received mifepristone and misoprostol
15) Phoned gynaecology department on D3 and informed that she had heavy
bleeding BPV on the next day. Now having abdominal cramps and mild BPV. Otherwise
healthy.
16) Called gyn department on D 3, informed that no bleeding p/v or pain abdomen
except mild spotting p/v
17) She phoned up gynaecology dept and informed she had passed products of
conception. Now she is having bouts of severe diarrhoea.
a) Reassure and to take simple analgesics
b) Report to EPAU with in 24 hrs
c) Report to GP at the earliest
d)Admission, Antibiotics & IV fluids
e) USG after 1 wk
f) Report with home pregnancy test after 1 wkk
 g) Report after a week for pregnancy test
G. Maternal death

18) Post SE at 1st trimester under GA, uneventful died after a day. Later
found to be Eisenmenger’s syndrome
19) Pregnant lady murdered by husband at 4 wks after delivery
20) Pregnant lady diagnosed to have severe preeclampsia, delivered
vaginally, on died at 5 th week due to IVH
a) Indirect
b) Anaesthetic related death
c) Direct
d) Late direct
e) Late Indirect
H. Specific microorganism
21) Pregnant Lady has came back from wedding in ghana took
mefloquine prophylaxis n felling unwell with fever and anaemia
22) Woman developed sudden onset of Unilateral facial palsy, noticed
to have erythematous rash in ear canal. Which organism associated?

a) Cocksakie virus
b) CMV
c) EBV
d) Plasmodium Falciparum
e) Herpes simplex
f) Varicella Zoster
g) measles
I. Consent
23) 23 yrs old girl with down syndrome with severe learning difficulties,
heavy bleeding p/v and pain abdomen. Her mother brought her to
you, after discussion with the mother and to some extent with
patient about the pros & cons of the treatment, decided to fit LNG
IUS under general anaesthesia. for her symptoms
24) Multigravida at 36wks, insisted for induction of labour as her
husband flying to overseas. The consultant decides to refuse the
request.

25) 30yrs old at 32wks diagnosed as severe preeclampsia , urine

protein3+, c/o severe headache admitted. Advised for immediate
delivery by as CS as Cx is not favourable. She refuses treatment and
want to allow nature to run its course. She has been adequately
counselled and still refuses treatment.
 a)Benefeciene
b)Autonomy
c) Nonmalfacience
d) Paternalism
e) veracity
f) Equality
g) justice

J. VTE & Thromboprophylaxis

26) Primi gravida delivered baby by vaginally. She is a chronic smoker and also having gross
varicose veins

27) Pregnant women came for booking she gives h/o DVT and investigated diagnosed to
have Antithrombin 3 deficiency.
28) G2 known chronic hypertensive, now proteinuric admitted at 32 weeks for
investigation, BMI 32kg/m2 & DCDA twins

a) Prophylactic LMWH throughout Antenatally & 6wks Postpartum

b) Therapeutic LMWH throughout Antenatally & 6wks Postpartum

c) Aspirin & GES

d) Fit GES

e) High dose prophylactic LMWH throughout antenatally & Postpartum

f) Prophylactic LMWH From 28 wks and 6wks Postpartum

g) Antenatal Prophylactic LMWH & 10 days Postpartum

h) Postnatal LMWH for 10 days

i) Warfarin antenatal & postpartum

K. GBS bacteriuria & Urinary tract complications

Pregnant women with previous history of pretem labour is having UTI symptoms,
diagnosed to have GBS bacteriuria at 16 wks & treated. During AN period follow up at 31
wks

29)On Day 0 : 0700 hrs

C/o Abdominal discomfort & mild vaginal discharge. on

examination there was white discharge os closed. No uterine contractions. CTG normal.
Dipstick urine showed protein 1+,nitrites 1+,leukocytes1+. Blood investigations shows WBC
14 & CRP 10mg/dl .What is the appropriate management?
30) Day 1 10:00 hrs

Patient become unwell, tachycardic, tachypenic and c/o pain in loin ,O/E irritable
uterus, 2 cm dilated os. ? USG shows pelvicalyceal dilatation.What is the next appropriate
management?

a) Refer for renal USG

b) Refer to urologist
c) Admit, analgesics and Inj Gentamycin IV 8 th hrly
d) Tab Cefazolin 250 mg stat and repeat
e) Reassure
f) Admit, analgesics and Inj Ciprofloxacin IV 8 th hrly
g) Deliver immediately
h) Tocolytics & Antibiotics

L. FASP

31) Pregnant women at 9 wks pregnancy, known case of Sickle cell carrier, said
abandoned by her partner no longer wants to meet him. Also does not wants to undergo
any prenatal diagnostic tests. Next line of management?

32) Pregnant mother, on FOQ by midwife - found her parents are from Belgium &
her partner’s parents are from Netherlands , attended for booking. What is next appropriate
advice?

a) Anomaly scan

b) Neonatal blood spot test

c) NIPT

d) CVS

e) Amniocentesis

f) Haemoglobinopathy screening for both partners

g) Haemoglobinopathy screening for women

h) Haemoglobinopathy screening for partner alone

i) No need for haemoglobinopathy screening

j) Karyotyping by both parents

k) FOQ

L) Serial USG every 4 weeks

 M. Maternal Collapse

33) During CS for failed induction of labour ( No mention about GA), women
suddenly become breathless , Tachycardic and PO2 is low , end tidal Pco2 High, no change in
airway pressure

34) During CS, Patient suddenly become tachycardic, hypotensive , urticaric. On

auscultation heard wheeze.

a) Fat embolism

b) Air embolism

c) Tension Pneumothorax

d) Amniotic fluid embolism

e) Anaphylactic shock

f) Cardiac arrest

N. CTG abnormalities

35) Scenario about labouring women, CTG shows prolonged deceleration

more than 3minutes. What is the next appropriate management?

36) Primigravida at term with H/O leaking pv, admitted with abdominal
pain. 1600hrs O/E Uterine contractions 2:10, cephalic , P/V 5cm dilated. 2000hrs, uterine
contractions 2:10, P/V 6cm dilated. CTG shows FHR 160- 170bpm. BSV normal.No
decelerations. Maternal temperature & pulse rate normal. Next line of management?

37) Patient admitted in labour ward with 2- 3 in 10 uterine contractions & 4cm
cervical dilatation & 4 hrs later found cervix 5 cm dilated with normal CTG & 2-3 contrections in
10min. What is the next step?

a) Reasses in 2 hr

b) Aminiotomy

c) Cat 1 CS

d) Cat 2 CS

e) Cat 3 CS

d) Oxytocin infusion

e) Stop Oxytocin
 F. Breech

38) Unbooked multiparous at term admitted in labour ward, diagnosed

to have breech presentation contracting 2 in 10, 5 cm dilatation with intake membranes at
0100hrs. Factors given are favourable for vaginal delivery. Given epidural analgesia based on
her request. At 0500hrs cervix 6cm dilated & contractions 2:10. What is the best
management?

a) ECV
b) Cat 2 CS
c) Cat 1 CS
d) Oxytocin infusion
e) Amniotomy
f) Reasses in 2hrs

G. UK Law
39) Surrogate mother with VSD baby at 20wks . fear of abandoning by
commissioning couples. request not to inform commissioning couple.
40) 15 yrs girl n 15 yr boy at 17 wks pog.understanding the consequences. next step
Options
a) encourage to tell parents
b) Inform parents
c) inform police
d) Inform child safeguarding
e) verbal consent of girl
f) written consent of girl
g) seek NHS legal team advice
h) agree to write a formal agreement
i) Disclose inform to couples

H. FGM
41). 16 yrs old , unbooked delivered vaginally at 39 wks, male baby. Found to have FGM.
What next step?
42).26yrs old para 2, request SE at 6wks of pog, found to have fgm .next step?
43) .24yrs old admits she had a ‘’cut ‘’. Had 2 vaginal deliveries normally. now no urinary
or sexual problems except poor sexual satisfaction. Now requesting clitoral reconstruction
surgery. What next?
a) Agree with her request
b) Refer to psychosexual counselling
c) HSIC with anomysiation
 d) HSIC without anomysation
e) Inform police within 1 month
f) Inform police with in 2 month
g) Inform police with in 3 month
h) Inform local Child safeguarding services
i) Refer to Psychological assessment
j) Disagree with her request

Few more questions

1)A women weighing 80 kg, second stage of labour you decided to deliver by forceps,
perineal infiltration with Lignocaine with out adrenaline. How much is the dose of lignocaine
to be given? ( with out seeing the options you must have been sincerely calculated the dose
- See down)

a) 5mg/kg

b) 7mg/kg

c) 3mg/kg

d) 4mg/kg

2) scenario of PPH with 1500 ml loss, investigation results shown

Hb 90g/l

Platelet count 80 * 109

Fibrinogen <1.2gm/l

APTT & PT 1.3 times normal.What blood component will you replace?

a) FFP
b) Platelets
c) Packed RBCs
d) Cryoprecipitate
e) Factor VIIa

Note : Many questions including SBA, long exhausting scenarios and many distractors ( like
lead in will be entirely different to the scenario).

Thanks to all who has shared.

Special Thanks to Reham Tuaimah
 Sameena Noor
Bushra
Ammara Kasif
Rukshana
Maimoona
Hend
Nagwa
Indira Murugan
Subashini
Forgive me if I’ve done mistakes. Awaiting for the suggetions.

Best of Luck to all

Dr Maheswari