FCPS Part 1 Obstetrics & Gynaecology, Paper 2
Every chapter for the Obstetrics & Gynaecology Paper 2, in CPSP syllabus order. Paper 1 is the same for every specialty and is in the subject chapters.
Most repeated Paper 2 topicsPractise Gynae & Obs questionsGynae Paper 2 study guideWhole textbook
Paper 2: Anatomy: Embryology
- Female genital tract developmentDevelopment of the ovary, uterus, tubes, cervix and vagina: Müllerian and Wolffian ducts
- Urinary tract developmentDevelopment of the kidney, ureter, bladder and rectum: cloaca and urorectal septum
- Genital tract anomaliesGenital tract anomalies: uterine malformations, vaginal obstruction and DSD
- Pituitary and adrenal developmentDevelopment of the pituitary and adrenal glands
- Placenta and umbilical cordPlacenta, fetal membranes, umbilical cord and twinning
Paper 2: Anatomy: Histology
- Ovary and fallopian tube histologyOvary and fallopian tube histology: follicles, corpus luteum and the tubal lining
- Uterus and cervix histologyUterus, cervix and vagina histology: the endometrial cycle, transformation zone and vaginal epithelium
- Breast histologyBreast histology: resting, pregnant and lactating breast, and how milk is secreted
- Kidney and bladder histologyKidney, ureter and bladder histology
Paper 2: Anatomy: Pelvis, pelvic floor and perineum
- Bony pelvisBony pelvis: types, inlet and outlet diameters and their obstetric importance
- Pelvic floorPelvic walls and floor: levator ani, perineal body, pelvic fascia and their nerve supply
- Supports of the uterusSupports of the uterus: ligaments, levels of support and their role in prolapse
- Female perineumFemale perineum: pudendal nerve, perineal pouches, Bartholin gland and episiotomy
- Anal sphinctersAnal canal and anal sphincters; obstetric anal sphincter injury
- Pouch of DouglasPeritoneal reflections of the female pelvis: pouch of Douglas, vesicouterine and rectovesical pouches
Paper 2: Anatomy: Pelvic organs, vessels and nerves
- Female pelvic organsUterus, ovaries, tubes and vagina: parts, supports, relations and lymph drainage
- Pelvic blood supplyBlood supply of the pelvic organs: internal iliac, uterine and ovarian arteries; ligation and embolisation in haemorrhage
- Ureter anatomyUreter: course, relations to the uterine artery, and injury at gynaecological surgery
- Urinary bladder and urethraUrinary bladder and urethra: structure, relations, nerve supply, micturition and disease
- Lymphatic drainage of the pelvisLymphatic drainage of the pelvic organs and the vulva
- Pelvic nerves and plexusesLumbosacral plexus, pelvic splanchnic nerves, sacral sympathetic trunk and hypogastric plexuses
Paper 2: Anatomy: Abdominal wall and breast
- Anterior abdominal wall (Gynae & Obs Paper 2)Anterior abdominal wall: layers, rectus sheath, vessels, nerves and incisions
- Female inguinal canalInguinal region and inguinal canal in the female
- Breast development and pathologyBreast: development, structure, blood supply, lymph drainage and common pathology
Paper 2: Physiology and biochemistry: Endocrinology
- Pituitary hormones and prolactinHypothalamic and pituitary hormones; prolactin and its control
- Thyroid in pregnancyThyroid in pregnancy and the newborn
- Calcium and parathyroid hormoneCalcium, parathyroid hormone and vitamin D; bone in pregnancy, lactation and menopause
- Mechanism of hormone actionMechanism of hormone action: receptors, second messengers and receptor disorders
- Adrenal hormones and insulinAdrenal hormones, insulin and glucagon in pregnancy
Paper 2: Physiology and biochemistry: Reproduction, pregnancy and labour
- Hypothalamic-pituitary-ovarian axisGonadotrophins and the hypothalamic–pituitary–ovarian axis
- Menstrual cycleMenstrual cycle: ovarian and endometrial phases; ovulation
- Puberty and menopausePuberty, precocious and delayed puberty, menarche and menopause
- Sex steroid hormonesOestrogen, progesterone and androgens: actions; male reproduction and spermatogenesis
- Fertilisation and implantationFertilisation, implantation and placental hormones (hCG, hPL)
- Maternal changes in pregnancyMaternal adaptation to pregnancy: cardiovascular, respiratory, renal, haematological and metabolic
- Fetal circulationFetal circulation, fetal haemoglobin and oxygen transfer across the placenta
- Physiology of labourParturition: onset and mechanism of labour, oxytocin and prostaglandins
- Lactation physiologyLactation: prolactin, oxytocin, milk ejection reflex and lactational amenorrhoea
Paper 2: Physiology and biochemistry: Systems physiology for obstetrics
- Blood pressure and cardiac outputArterial pressure regulation and cardiac output in pregnancy, haemorrhage and shock
- Respiratory physiology (Gynae & Obs Paper 2)Ventilation, gas transport and hypoxia, including respiratory changes in pregnancy
- Pain pathways and labour painPain pathways, labour pain and thermal sensation; the micturition reflex
- Glycolysis and the TCA cycleEnergy metabolism: glycolysis, the citric acid cycle and their regulation; enzyme kinetics
Paper 2: Pharmacology: Drugs in obstetrics and gynaecology
- Anaesthetics and labour analgesiaLocal and general anaesthetics; epidural and spinal analgesia in labour
- Drugs in pregnancyDrugs in pregnancy: teratogens, timing and placental transfer
- Drugs in breastfeedingDrugs in breastfeeding: transfer into milk and which drugs to avoid
- Oxytocics and prostaglandinsOxytocics and prostaglandins: oxytocin, ergometrine, carboprost and misoprostol
- Tocolytic drugsTocolytics: nifedipine, beta-2 agonists, atosiban, indomethacin and magnesium
- Hormonal contraceptives and HRTHormonal drugs: contraceptives, HRT, ovulation induction, GnRH analogues and antiprogestogens
- Antihypertensives in pregnancyAntihypertensives and magnesium sulphate in pregnancy: methyldopa, labetalol, hydralazine
- Diabetes drugs in pregnancyInsulin, metformin and sulphonylureas in pregnancy
- Chemotherapy in gynaecologyChemotherapy in gynaecological cancer and trophoblastic disease: methotrexate, actinomycin D and platinum drugs
- Antimicrobials in pregnancyAntimicrobials in pregnancy and the puerperium; anti-D immunoglobulin
Paper 2: Pathology: General pathology in obstetrics
- Septic shock and DICSeptic shock and disseminated intravascular coagulation in obstetrics
- Amniotic fluid embolismARDS, amniotic fluid embolism and pulmonary embolism in pregnancy
- Hypersensitivity and rhesus diseaseHypersensitivity reactions; rhesus isoimmunisation and haemolytic disease of the newborn
- Antiphospholipid syndrome and SLEAutoimmune and immunodeficiency disorders in pregnancy: antiphospholipid syndrome and SLE
- Pre-eclampsia pathogenesisHypertensive disorders of pregnancy: pathogenesis of pre-eclampsia, eclampsia and HELLP
Paper 2: Pathology: Neoplasia of the female genital tract
- Cervical neoplasia and HPVCarcinogens and risk factors for genital tract cancers; HPV and cervical neoplasia (CIN and screening)
- Endometrial carcinoma and fibroidsEndometrial hyperplasia and carcinoma; uterine fibroids and sarcomas
- Ovarian tumoursOvarian tumours: epithelial, germ cell and sex cord-stromal tumours and their markers
- Gestational trophoblastic diseaseGestational trophoblastic disease: complete and partial mole, choriocarcinoma, PSTT
- Vulval lesions and FIGO stagingVulval and vaginal lesions, endometriosis, and grading and staging of gynaecological cancer (FIGO)
Paper 2: Pathology: Genetics and congenital anomalies
- Inheritance and chromosomal disordersMutations, patterns of inheritance and chromosomal disorders (Down, Turner, Klinefelter)
- Prenatal diagnosisPrenatal screening and diagnosis: combined and quadruple tests, NIPT, CVS, amniocentesis
- Congenital anomaliesCommon congenital anomalies: neural tube, heart, kidney and facial defects, teratogens
Paper 2: Pathology: Blood disorders in pregnancy and the perinatal period
- Anaemia in pregnancyAnaemia in pregnancy: iron, folate and B12 deficiency, thalassaemia and sickle cell
- Thrombocytopenia in pregnancyWhite cells and platelets in pregnancy and the newborn: thrombocytopenia, ITP, TTP
- Jaundice in pregnancyJaundice in pregnancy and the newborn: cholestasis, acute fatty liver, HELLP, hepatitis
Paper 2: Pathology: Infection in obstetrics and gynaecology
- Puerperal infectionPuerperal and postoperative infection: organisms, routes and group B streptococcus
- TORCH infectionsTORCH infections in pregnancy: rubella, CMV, toxoplasma, herpes, syphilis, varicella
- HIV and hepatitis in pregnancyHepatitis B, hepatitis C and HIV in pregnancy: serology, transmission and prevention
- Pelvic inflammatory diseaseGenital tuberculosis, pelvic inflammatory disease and sexually transmitted infections
- Parasitic infections in pregnancyParasitic infections in pregnancy: malaria, giardiasis, amoebiasis, hydatid, hookworm
Paper 2: Statistics, epidemiology and biophysics: Statistics and epidemiology
- Study designs and screeningStudy designs, screening test performance, measures of risk and the role of chance
- Maternal and perinatal indicatorsMaternal and perinatal health indicators, with emphasis on Pakistan
Paper 2: Statistics, epidemiology and biophysics: Biophysics
- Principles of imagingPrinciples of ultrasound, Doppler, X-ray, CT, MRI, radioisotopes and lasers
- Biological effects of radiationBiological effects of radiation, heat, cold and sound; imaging safety in pregnancy