Iran Specialty Board - Obstetrics & Gynecology study plan

List the diagnostic criteria and initial management steps for the five most common medical disorders in pregnancy (hypertensive disorders, gestational and pregestational diabetes, thyroid disease, cardiac disease, venous thromboembolism) from memory.

Explain the physiologic changes of pregnancy that alter interpretation of lab values and drug dosing for each of those disorders.

Compare antihypertensive, antihyperglycemic, and anticoagulant options in pregnancy by fetal safety category and breastfeeding compatibility.

Solve 40 board-style vignettes on medical disorders in pregnancy and write a one-line rationale for every wrong answer.

Differentiate the hypertensive disorders of pregnancy (chronic hypertension, gestational hypertension, preeclampsia without and with severe features, eclampsia, HELLP) by onset, lab findings, and criteria for severe features.

Outline magnesium sulfate dosing, monitoring, and toxicity management, including the antidote and threshold for stopping the infusion.

Describe screening, prophylaxis, and management of preterm labor, PPROM, and preterm birth including antenatal corticosteroid and tocolysis indications.

Interpret fetal surveillance tests (NST, BPP, Doppler, contraction stress test) and state which conditions warrant each.

Map the schedule and content of routine prenatal visits by trimester, including screening windows for aneuploidy, diabetes, and group B streptococcus.

List the components of the first prenatal visit history and physical, and identify which labs are routine versus indicated.

Describe the stages and phases of labor with expected cervical change and fetal descent patterns, and define labor arrest and protraction using current criteria.

Explain the indications, technique, and complications of episiotomy, operative vaginal delivery, and cesarean delivery.

Outline postpartum care including hemorrhage causes and management, infection, thromboprophylaxis, and contraception counseling.

Explain intrapartum fetal heart rate interpretation using category I, II, and III systems and list intrauterine resuscitation steps in order.

Describe shoulder dystocia management maneuvers and the sequence in which to attempt them.

Interpret umbilical cord gas values and Apgar scores in the context of perinatal asphyxia and cerebral palsy causation.

Summarize evidence on induction of labor, trial of labor after cesarean, and multiple gestation delivery planning.

Identify causes of maternal mortality in pregnancy and the postpartum period and the timing of each.

Classify ovarian neoplasms by cell of origin and match each to tumor markers and typical presentation.

Stage endometrial, cervical, ovarian, and vulvar cancer using current FIGO criteria from memory.

Outline screening and management algorithms for abnormal cervical cytology and HPV testing across age groups.

Compare surgical staging, chemotherapy, and radiation for the major gynecologic cancers by stage and patient factors.

Identify hereditary cancer syndromes (BRCA, Lynch) and state referral criteria for genetic counseling.

Interpret the hypothalamic-pituitary-ovarian axis and explain how each hormone feedback loop is disrupted in anovulation.

Apply the diagnostic criteria for PCOS, premature ovarian insufficiency, and hypogonadotropic hypogonadism to clinical vignettes.

Describe the stepwise evaluation of infertility in couples, including when to test semen, tubal patency, and ovulation.

Compare ovulation induction agents and assisted reproduction options by indication, success rate, and risk of multiple gestation and ovarian hyperstimulation.

Outline evaluation and treatment of abnormal uterine bleeding by age group using PALM-COEIN.

Classify pelvic organ prolapse and urinary incontinence by type, and select the appropriate initial and surgical management for each.

Interpret urodynamic findings and explain when testing changes surgical planning.

Describe the anatomy and repair approaches for anterior, posterior, and apical compartment prolapse, including mesh considerations.

List indications, contraindications, and complications for hysterectomy routes and for laparoscopic versus open gynecologic surgery.

Explain perioperative care: antibiotic prophylaxis, thromboprophylaxis, enhanced recovery, and management of intraoperative injury to bladder, ureter, and bowel.

Outline diagnosis and treatment of the common gynecologic infections (vaginitis, cervicitis, pelvic inflammatory disease, sexually transmitted infections) and partner management.

Summarize preventive care: cervical and breast cancer screening intervals, HPV vaccination, and preconception counseling.

Apply ethical and legal principles to vignettes on informed consent, confidentiality in minors, reproductive rights, and conflicts of interest.

Complete a full-length timed mock exam and review every missed item by domain to identify remaining weak areas.