FRANZCOG Written MCQ study guide
FRANZCOG Written MCQ · Work through your exam, one topic at a time.
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 written assessment is split across the two clinical halves of the discipline, obstetrics and gynaecology, so candidates should expect to draw on the whole breadth of the O&G curriculum rather than a single subspecialty interest. Preparation is best built around the published curriculum, structured revision across both domains, and deliberate practice in the platform you will actually sit the exam on. Topics on this exam: Obstetrics and Gynaecology. The FRANZCOG Written MCQ study guide has 2 sections and about 634 words.
01Obstetrics: Antepartum Risk, Intrapartum Judgement and Postpartum Emergencies
Obstetric questions reward a structured approach: define the clinical problem, identify the gestational age, then apply the physiological changes of pregnancy to interpretation. Candidates must be fluent in hypertensive disorders (distinguishing chronic hypertension, gestational hypertension, pre-eclampsia with or without severe features, and HELLP), because management thresholds hinge on gestational age, maternal end-organ involvement and fetal status. Understand diabetes screening pathways, the pharmacology of insulin resistance in pregnancy, and the fetal consequences of poor glycaemic control. Know the causes of antepartum haemorrhage (placenta praevia, placental abruption, vasa praevia, uterine rupture) and the immediate actions each demands.
332 words, about 2 min02Gynaecology: Bleeding, Pelvic Masses and Reproductive Endocrinology
Gynaecology questions test a systematic approach to abnormal uterine bleeding, pelvic pain and pelvic masses, anchored in age and reproductive status. Know the PALM-COEIN framework for abnormal uterine bleeding and the age-specific probability of endometrial pathology. Understand the investigation pathway for postmenopausal bleeding: transvaginal ultrasound endometrial thickness, when to biopsy, and the limitations of sampling. Be fluent in the presentation and management principles of fibroids, adenomyosis, endometriosis and ovarian masses, including risk-of-malignancy indices and the significance of simple versus complex cyst features.
302 words, about 2 min