Exam Components

1. • The MRCOG Part 2 exam tests applied clinical knowledge in obstetrics and gynaecology. It is written, computer-based, and consists of two main formats:

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     Single Best Answer (SBA) Questions

     • Format: A clinical stem (case/vignette) is followed by 5 options.

     • Task: Choose the one best answer.

     • Content focus:

       • Evidence-based clinical practice

       • Guidelines (RCOG, NICE, WHO, etc.)

       • Diagnosis, management, ethics, and patient safety

     • Weight: ~40–50% of the exam.

     Example:
     A 32-year-old primigravida at 38 weeks has reduced fetal movements. CTG shows late decelerations. What is the most appropriate next step?
     A. Reassure and repeat CTG
     B. Perform fetal scalp pH
     C. Offer immediate cesarean section
     D. Induce labour with oxytocin
     E. Give maternal oxygen

     Correct: C – Immediate cesarean section (late decelerations = fetal hypoxia).

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     Extended Matching Questions (EMQs)

     • Format:

       • A theme (e.g., “Complications of pregnancy”)

       • A list of options (10–20)

       • Several clinical scenarios (stems) under that theme

     • Task: Match each scenario to the most appropriate option (can be used once, more than once, or not at all).

     • Content focus:

       • Broad coverage of O&G topics

       • Testing ability to apply knowledge to varied scenarios

     • Weight: ~50–60% of the exam.

     Example Theme: Causes of Secondary Amenorrhea
     Options: A. PCOS, B. Asherman’s syndrome, C. Sheehan’s syndrome, D. Premature ovarian insufficiency, E. Hyperprolactinemia

     • Stem 1: Amenorrhea after PPH with failure to lactate → C

     • Stem 2: Amenorrhea with galactorrhea, raised prolactin → E

     • Stem 3: Amenorrhea with obesity, acne, hirsutism → A

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     Exam Details

     • Mode: Computer-based test (CBT)

     • Duration: ~3 hours per paper

     • Papers: Two written papers (SBA + EMQ mix in each)

     • Total Questions: ~300 (150 per paper)

     • Scoring: No negative marking

     • Blueprint Coverage:

       • Obstetrics (~40%)

       • Gynecology (~40%)

       • Applied clinical science (~20%) (pharmacology, anatomy, physiology, stats, ethics, EBM)

     • Summary: MRCOG Part 2 is a knowledge + application exam with SBA and EMQ formats only. It emphasizes guidelines, safety, and best clinical practice across obstetrics and gynaecology.

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