Obstetrics & Gynecology exam questions
3 exam-length papers covering every published domain for Obstetrics & Gynecology.
What is riding on this exam
One failed attempt costs you the fee again, plus months of delay on your licence, your visa and your start date. This bank costs about a 4th of one exam fee.
Try two questions from this bank
Real questions from the bank - pick an answer to see the rationale and reference.
A 59-year-old postmenopausal woman has a 9 cm complex adnexal mass with solid areas, ascites, and a CA-125 of 640 U/mL. Using the standard Risk of Malignancy Index (RMI I), which combination of variables is used to calculate her score?
Choose an answer to see the rationale.
At the end of an emergency laparotomy for a ruptured ectopic pregnancy, the scrub nurse reports that the swab count is one short. The patient is stable and the abdomen has been closed. What is the most appropriate next step?
Choose an answer to see the rationale.
Not sure where you stand? Sit 25 of these questions free, timed at real exam pace, and see which domains you are weakest in.
Take the free mock exam →Liked those? The full bank has 448 questions at this standard - every one with a rationale and a reference.
Get the full bank - AED 289What's inside
- ✓3 full-length papers (~150 Q each)
- ✓448 questions, no overlap between papers
- ✓Four options, one unambiguous best answer
- ✓A full rationale on every question
- ✓A real guideline or textbook reference
- ✓Every sub-topic in the published blueprint
Exam route by authority
| Authority | Delivered by | Specialist title |
|---|---|---|
| DHA - Dubai | Prometric | Computer-based MCQ |
| DOH - Abu Dhabi | Pearson VUE | Computer-based MCQ |
| MOHAP - Northern Emirates | Prometric | Computer-based MCQ |
| SCFHS - Saudi Arabia | Prometric / Pearson | Computer-based MCQ |
| QCHP - Qatar | Prometric | Computer-based MCQ |
| NHRA - Bahrain | Prometric | Computer-based MCQ |
| OMSB - Oman | Prometric | MCQ then oral viva |
Assessment mode depends on your licence title as well as your profession. Confirm your own route on your Sheryan / TAMM eligibility notice.
What the Obstetrics & Gynecology exam covers
The published blueprint for this exam breaks into 12 domains and 224 testable sub-topics. Our bank covers every one of them - here is the full map, so you can see exactly what you are expected to know.
General Obstetrics: Preconception, Antenatal Care & Normal Pregnancy~12% (est.)18 topics
- Physiological changes of pregnancy: cardiovascular, respiratory, renal, haematological, endocrine
- Preconception counselling, folic acid, optimisation of chronic disease, vaccination status
- Dating and confirmation of viability; accuracy of LMP vs first-trimester ultrasound
- Schedule and content of routine antenatal visits; booking investigations
- Antenatal screening for anaemia, haemoglobinopathies, diabetes, thyroid disease, hepatitis B/C, HIV, syphilis, rubella
- Aneuploidy screening: combined first-trimester test, quadruple test, cell-free fetal DNA (NIPT), invasive testing thresholds
- +12 more in the bank
Labour, Delivery & Intrapartum Care~11% (est.)20 topics
- Mechanisms and stages of normal labour; cardinal movements; Bishop score
- Assessment of labour progress, partogram use, definitions of arrest and protraction disorders
- Induction of labour: indications, contraindications, prostaglandins, mechanical methods, oxytocin regimens
- Augmentation of labour, active management, amniotomy
- Intrapartum fetal monitoring: intermittent auscultation vs continuous CTG; NICHD/FIGO category I-III interpretation
- Fetal scalp stimulation, fetal blood sampling, intrauterine resuscitation measures
- +14 more in the bank
Obstetric Emergencies & Maternal Critical Care~10% (est.)18 topics
- Postpartum haemorrhage: 4T aetiology, quantitative blood loss, uterotonic ladder, tranexamic acid
- Surgical and radiological management of PPH: balloon tamponade, B-Lynch, uterine/internal iliac artery ligation, embolisation, hysterectomy
- Massive transfusion protocol, fibrinogen replacement, cell salvage, coagulopathy in obstetrics
- Preeclampsia with severe features and eclampsia: magnesium sulfate regimens, toxicity and antidote
- Acute severe hypertension in pregnancy: labetalol, hydralazine, nifedipine protocols
- HELLP syndrome: diagnosis, differentiation from AFLP and TTP/HUS, delivery timing
- +12 more in the bank
Maternal-Fetal Medicine & High-Risk Pregnancy~11% (est.)23 topics
- Hypertensive disorders of pregnancy: classification, aspirin prophylaxis, sFlt-1/PlGF testing, surveillance and timing of birth
- Gestational diabetes and pregestational diabetes: screening thresholds, glycaemic targets, insulin/metformin, fetal surveillance
- Thyroid disease in pregnancy: hypothyroidism, Graves, thyroid storm, postpartum thyroiditis
- Cardiac disease in pregnancy: WHO risk classification, peripartum cardiomyopathy, valvular lesions, pulmonary hypertension
- Renal disease, chronic kidney disease and pregnancy after transplantation
- Autoimmune disease: SLE, antiphospholipid syndrome, rheumatoid arthritis, immunosuppression in pregnancy
- +17 more in the bank
Early Pregnancy Problems & Postpartum Care~6% (est.)16 topics
- Threatened, inevitable, incomplete, complete and missed miscarriage: definitions and management options
- Medical vs surgical vs expectant management of miscarriage; misoprostol/mifepristone regimens
- Recurrent pregnancy loss: investigation algorithm, antiphospholipid syndrome, uterine anomalies, karyotyping
- Ectopic pregnancy: risk factors, hCG discriminatory zone, methotrexate criteria, surgical management
- Caesarean scar pregnancy, cervical, interstitial and heterotopic ectopic pregnancy
- Pregnancy of unknown location: serial hCG interpretation and safe follow-up
- +10 more in the bank
General & Benign Gynecology~12% (est.)21 topics
- Abnormal uterine bleeding: PALM-COEIN classification and investigation pathway
- Heavy menstrual bleeding: medical therapy, LNG-IUS, ablation, hysterectomy
- Postmenopausal bleeding: endometrial thickness thresholds, sampling, urgent cancer pathway
- Uterine fibroids: classification (FIGO), symptoms, GnRH analogues, myomectomy, uterine artery embolisation
- Endometriosis: diagnosis, staging, medical suppression, surgical excision, deep infiltrating disease
- Adenomyosis: imaging features and management
- +15 more in the bank
Reproductive Endocrinology & Infertility~8% (est.)20 topics
- Hypothalamic-pituitary-ovarian axis physiology and the menstrual cycle
- Amenorrhoea: primary and secondary, WHO classification, diagnostic algorithm
- Polycystic ovary syndrome: Rotterdam criteria, metabolic screening, ovulation induction, long-term risk
- Hyperprolactinaemia and prolactinoma: workup, dopamine agonists, pregnancy management
- Hirsutism and virilisation: androgen source workup, congenital adrenal hyperplasia, androgen-secreting tumours
- Premature ovarian insufficiency: diagnosis, karyotype/FMR1 testing, hormone replacement
- +14 more in the bank
Gynecologic Oncology~8% (est.)18 topics
- Cervical cancer screening: HPV primary testing, cytology, screening intervals and exit criteria
- Management of abnormal cervical screening: colposcopy, CIN grading, LLETZ/cone, obstetric consequences
- HPV vaccination: schedules, catch-up, counselling on efficacy
- Cervical cancer: FIGO staging, imaging, radical hysterectomy vs chemoradiation, fertility-sparing trachelectomy
- Endometrial hyperplasia with and without atypia: progestin therapy vs hysterectomy, LNG-IUS
- Endometrial cancer: risk factors, molecular classification (POLE, MMRd, p53abn, NSMP), FIGO staging, surgical management
- +12 more in the bank
Urogynecology & Pelvic Floor Disorders~6% (est.)16 topics
- Pelvic floor anatomy, levator ani, endopelvic fascia and continence mechanism
- Urinary incontinence classification: stress, urgency, mixed, overflow, functional
- Assessment: bladder diary, cough stress test, post-void residual, urinalysis, when to do urodynamics
- Conservative management: pelvic floor muscle training, bladder retraining, weight loss, pessaries
- Pharmacotherapy for overactive bladder: antimuscarinics, mirabegron, side-effects in the elderly
- Surgery for stress incontinence: mid-urethral sling, colposuspension, autologous fascial sling, bulking agents; mesh controversy and consent
- +10 more in the bank
Operative Gynecology, Perioperative Management & Surgical Complications~7% (est.)19 topics
- Surgical anatomy of the pelvis: ureter, uterine artery, obturator and hypogastric vessels, avascular spaces
- Preoperative assessment, ASA classification, optimisation of comorbidity and medication management
- VTE risk assessment and thromboprophylaxis in gynecologic surgery
- Surgical antibiotic prophylaxis: agent, timing, redosing
- WHO surgical safety checklist, site marking, swab and instrument counts, never events
- Hysteroscopy: diagnostic and operative, distension media, fluid deficit monitoring, TURP/hyponatraemia syndrome
- +13 more in the bank
Contraception, Family Planning & Sexual Health~4% (est.)15 topics
- UK MEC / WHO medical eligibility criteria and their use in contraceptive counselling
- Combined hormonal contraception: mechanisms, VTE and arterial risk, missed-pill rules, drug interactions
- Progestogen-only pills, implants and injectables: bleeding patterns, bone density, return of fertility
- Intrauterine devices: copper and LNG-IUS, insertion technique, expulsion, malposition, actinomyces, pregnancy with IUD in situ
- Emergency contraception: levonorgestrel, ulipristal acetate, copper IUD; efficacy by BMI and timing
- Permanent contraception: female tubal occlusion/salpingectomy, vasectomy, counselling on regret and failure rates
- +9 more in the bank
Professionalism, Ethics, Law, Patient Safety, Communication & Evidence-Based Practice~5% (est.)20 topics
- Informed consent for obstetric and gynecologic procedures; capacity, Montgomery-style material-risk disclosure
- Consent in the emergency and unconscious obstetric patient; refusal of caesarean section by a competent woman
- Confidentiality and its limits: adolescents, spouses, employers, insurers, notifiable conditions
- Local law and regulation on termination of pregnancy, assisted reproduction, surrogacy and gamete donation in GCC states
- Cultural and religious competence: modesty, chaperones, gender-concordant care, family involvement in decisions, Ramadan and pregnancy
- Working with interpreters and low-health-literacy patients
- +14 more in the bank
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