FRANZCOG Written MCQ case studies
FRANZCOG Written MCQ · Put your knowledge to work in context.
The FRANZCOG Written Examination is one component of the Fellowship of RANZCOG training program, which RANZCOG describes as designed to ensure trainees develop the knowledge and skills needed to deliver the highest standards of patient care. It sits alongside the Certificate and Procedural Examinations and the Subspecialty Examinations in the College's assessment structure, and it is intended for trainees progressing through the Fellowship pathway rather than for established specialists seeking CPD. The FRANZCOG Written MCQ case studies are 5 cases and about 3,782 words.
1Second-trimester bleeding in a woman with two prior caesareans
A 34-year-old G4P2 (both lower-segment caesareans, last 3 years ago) presents at 30+2 weeks with painless bright-red vaginal bleeding of about 150 mL over 2 hours. She has had two earlier episodes of small painless bleeds at 26 and 28 weeks, each settling with observation.
742 words, about 4 min2Shoulder dystocia followed by a tight nuchal cord and a floppy infant
A 29-year-old G2P1 is in the second stage at 40+5 weeks. She had a spontaneous vaginal birth 4 years ago of a 3.4 kg infant.
842 words, about 4 min3Postpartum haemorrhage refractory to first-line drugs in a woman who wants more children
A 31-year-old G3P2 has a spontaneous vaginal birth at 39 weeks after a 9-hour labour and active third stage. Estimated blood loss is 1200 mL at 10 minutes and ongoing.
730 words, about 4 min4Severe early-onset pre-eclampsia at 27 weeks with a rising creatinine
A 24-year-old G1P0 presents at 27+1 weeks with headache, visual blurring and epigastric pain. BP is 168/112 on two readings, urine protein:creatinine ratio is 95 mg/mmol, and she has 3+ protein on dipstick.
739 words, about 4 min5A 62-year-old with postmenopausal bleeding and a large fibroid uterus
A 62-year-old para 2 presents with three episodes of postmenopausal bleeding over 4 months. She is obese (BMI 34), has type 2 diabetes on metformin and hypertension on amlodipine.
729 words, about 4 min