Free MCQs
Obstetrics & Gynaecology MCQs with Answers
Free single best answer (SBA) and true/false MCQs, plus flashcards, for medical students revising Obstetrics & Gynaecology. Every question has a worked explanation. 126 MCQs · 113 flashcards. The full bank has 2,712 items.
Topics
- Abnormal Transition at Birth
- Amenorrhoea
- Amniotic Fluid Disorders
- Antepartum Haemorrhage
- Benign and Malignant Breast Disease
- Breast Imaging and Biopsy
- Caesarean Birth
- Cardiac Disease in Pregnancy
- Cardiovascular Physiology of Pregnancy
- Cervical Cancer and Screening
- Community Maternal and Child Health Services
- Congenital Infections
- Contraception
- Diagnosis and Dating of Pregnancy
- Differences of Sex Development
- Dignity and Respect in Maternity Care
- Doppler Ultrasound and Placental Insufficiency
- Ectopic Pregnancy and Pregnancy of Unknown Location
- Endometrial Cancer and Postmenopausal Bleeding
- Endometriosis and Adenomyosis
- Examination and Care of the Newborn
- Female Pelvic Anatomy
- Fetal Circulation and Neonatal Transition
- Fetal Growth Restriction
- Gametogenesis, Fertilisation and Early Development
- Genital Tract and Sexually Transmitted Infections
- Gynaecological Laparoscopy
- Heavy and Irregular Menstrual Bleeding
- Hyperemesis Gravidarum and Common Pregnancy Symptoms
- Hypertensive Disorders of Pregnancy
- Infant of a Diabetic Mother
- Infertility: Assessment and Treatment
- Intrapartum CTG Interpretation
- Intrapartum Maternal and Fetal Monitoring
- Labour Dystocia and Prolonged Labour
- Male Sexual Dysfunction
- Malpresentation and Malposition
- Maternal Anaemia
- Maternal and Perinatal Deaths
- Maternal Infections in Pregnancy
- Maternal Physiology in Pregnancy
- Medical Disorders in Pregnancy
- Miscarriage and Recurrent Pregnancy Loss
- Molar Pregnancy and Trophoblastic Neoplasia
- Neonatal Jaundice
- Neonatal Respiratory Distress
- Neonatal Seizures
- Neonatal Sepsis and Infection
- Normal Labour and the Partograph
- Obstetric Ultrasound
- Operative Vaginal Birth
- Ovarian Tumours
- Ovulatory Disorders
- Pelvic Inflammatory Disease
- Pelvic Organ Prolapse
- Perinatal Asphyxia and HIE
- Perineal Trauma and Anal Sphincter Injury
- Physiology and Management of the Third Stage
- Postpartum Haemorrhage and Third-Stage Complications
- Pre-existing and Gestational Diabetes
- Preconception Care and Antenatal Screening
- Preterm Labour and Prelabour Rupture of Membranes
- Principles of Reproductive Health
- Red Cell Alloimmunisation in Pregnancy
- Routine Antenatal Care
- Sexual Response and Dysfunction
- Small-for-Gestational-Age Babies
- The Placenta and Fetoplacental Unit
- The Puerperium
- Twin and Higher-Order Pregnancy
- Urinary Incontinence in Women
- Uterine Fibroids
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Abnormal Transition at Birth
- FlashcardWhy is delayed cord clamping beneficial, and when should it be avoided?
- FlashcardWhy is keeping a newborn warm, oxygenated and well-perfused important for the circulatory transition?
- SBA questionA clinician explains the stimuli that close the ductus arteriosus after birth. Which single combination is correct?
- SBA questionA term neonate becomes cyanosed soon after birth with right-to-left shunting and persistently high pulmonary vascular resistance after a…
- True/False MCQRegarding the precipitants and consequences of PPHN, which of the following statements are TRUE?
Amenorrhoea
- FlashcardWhat is Asherman's syndrome?
- True/False MCQConcerning causes of secondary amenorrhoea, which of the following statements are TRUE?
- SBA questionA clinician explains how breast development and uterine presence help classify primary amenorrhoea. Which single inference is correct?
- FlashcardWhat is the diagnostic work-up for amenorrhoea?
Amniotic Fluid Disorders
Antepartum Haemorrhage
- True/False MCQRegarding the distinction between placenta praevia and abruption, which of the following statements are TRUE?
- FlashcardHow is placenta praevia defined and classified?
- SBA questionA 24-year-old with two previous caesareans has placenta praevia with accreta and develops severe uncontrollable haemorrhage at caesarean…
- FlashcardWhat is placental abruption and what are its clinical features?
Benign and Malignant Breast Disease
- FlashcardWhat are Paget's disease of the nipple and inflammatory breast cancer?
- True/False MCQConcerning risk factors for breast cancer, the following statements are correct:
- FlashcardWhat is the role of endocrine therapy (e.g. tamoxifen) in breast cancer?
- SBA questionA 58-year-old woman with breast cancer is found on staging CT and bone scan to have multiple liver and bone metastases. What is the most…
Breast Imaging and Biopsy
- FlashcardWhat is the role of excisional and incisional biopsy in breast disease?
- FlashcardWhat is triple assessment of a breast lump?
- SBA questionA 30-year-old breastfeeding mother presents with right breast pain and mild fever. The right breast shows a tender, red, warm segment but…
- True/False MCQRegarding age-related benign breast disease, which of the following are TRUE?
Caesarean Birth
- FlashcardWhat are the risks of multiple repeat caesarean sections?
- True/False MCQConcerning post-operative complications of caesarean section, the following statements are correct:
- FlashcardWhat is the preoperative preparation for a caesarean section?
- SBA questionA 30-year-old primigravida at 39 weeks is found to have an uncomplicated singleton breech presentation. External cephalic version has…
Cardiac Disease in Pregnancy
Cardiovascular Physiology of Pregnancy
Cervical Cancer and Screening
- FlashcardWhat is the natural history of HPV infection and progression to cervical cancer?
- FlashcardHow are abnormal cervical screening results managed (the screening-to-colposcopy pathway)?
- True/False MCQConcerning the staging and treatment of cervical carcinoma, the following statements are correct:
- SBA questionA well woman attends for cervical screening advice. Based on the long natural history of cervical carcinogenesis, what is the appropriate…
Community Maternal and Child Health Services
Congenital Infections
Contraception
- True/False MCQRegarding contraceptive methods and their effectiveness, the following statements are correct:
- SBA questionIn the WHO medical eligibility criteria for contraception, what does Category 4 mean?
- FlashcardWhat are the natural (fertility awareness) methods of contraception?
- SBA questionA woman wants a copper intrauterine device after delivery. Regarding timing of insertion postpartum, which statement is correct?
- FlashcardWhat are the non-contraceptive benefits of the combined oral contraceptive pill?
Diagnosis and Dating of Pregnancy
Differences of Sex Development
- SBA questionWhich endocrine change is responsible for initiating pubic hair growth in puberty?
- FlashcardWhat are primary and secondary sexual characteristics?
- True/False MCQRegarding androgen insensitivity syndrome, which of the following statements are TRUE?
- FlashcardWhat is the normal sequence of pubertal development in boys?
- SBA questionA girl has had no breast development by the age of 13 years. Which condition should be suspected?
Dignity and Respect in Maternity Care
Doppler Ultrasound and Placental Insufficiency
Ectopic Pregnancy and Pregnancy of Unknown Location
- FlashcardWhat is an ectopic pregnancy, and what is a pregnancy of unknown location (PUL)?
- True/False MCQRegarding risk factors for ectopic pregnancy, which of the following statements are TRUE?
- FlashcardWhat is the prognosis and recurrence risk after an ectopic pregnancy?
- SBA questionA clinician compares serum hCG patterns. Which single pattern is typical of a normal intrauterine pregnancy (versus an ectopic)?
Endometrial Cancer and Postmenopausal Bleeding
Endometriosis and Adenomyosis
- FlashcardWhat is endometriosis, and what is its prevalence?
- SBA questionWhich statement best characterises the natural history of endometriosis?
- FlashcardWhat examination findings suggest endometriosis?
- True/False MCQConcerning the clinical features of endometriosis, the following statements are correct:
Examination and Care of the Newborn
Female Pelvic Anatomy
- FlashcardDescribe the structure and histology of the fallopian tubes.
- FlashcardWhat are the three muscle layers of the uterus?
- SBA questionA student is asked which structure attaches the ovary to the lateral angle (cornu) of the uterus. Which single ligament is this?
- SBA questionA 28-year-old has a tubal ectopic pregnancy. In which single part of the fallopian tube do most ectopic pregnancies implant?
- True/False MCQRegarding the cervix, which of the following statements are TRUE?
Fetal Circulation and Neonatal Transition
Fetal Growth Restriction
Gametogenesis, Fertilisation and Early Development
- SBA questionIn the placenta, how are oxygen, nutrients and waste products exchanged between mother and fetus?
- SBA questionBy the end of which week of development is the conceptus termed a fetus, with all major structures present, and approximately how long is…
- FlashcardWhat roles do FSH and LH play in gametogenesis in males and females?
- FlashcardHow is subfertility investigated?
- True/False MCQRegarding fertilization and early development, which of the following are TRUE?
Genital Tract and Sexually Transmitted Infections
- FlashcardWhat is the role of a specialist sexual health (GUM) service and asymptomatic screening?
- SBA questionA 26-year-old sexually active woman presents with an offensive, frothy, yellow-green vaginal discharge and vulval itching. On speculum…
- FlashcardWhat are the key viral STIs (HSV, HPV, HIV)?
- True/False MCQConcerning the laboratory diagnosis of sexually transmitted infections, the following statements are correct:
Gynaecological Laparoscopy
Heavy and Irregular Menstrual Bleeding
Hyperemesis Gravidarum and Common Pregnancy Symptoms
- SBA questionA woman hospitalised with hyperemesis has vomiting of gastric contents. Which single acid-base and electrolyte disturbance is…
- True/False MCQConcerning minor ailments of pregnancy, which of the following statements are TRUE?
- FlashcardWhat antiemetics are used for nausea and vomiting in pregnancy, and in what order?
- FlashcardWhy is mild hyperthyroidism common in hyperemesis, and how is it managed?
Hypertensive Disorders of Pregnancy
Infant of a Diabetic Mother
Infertility: Assessment and Treatment
- FlashcardHow is unexplained subfertility managed?
- True/False MCQRegarding investigations in subfertility, the following statements are correct:
- SBA questionA 22-year-old subfertile woman has amenorrhoea, recent frequent headaches and bilateral nipple discharge. Investigations show an elevated…
- FlashcardWhat is intrauterine insemination (IUI), and when is it used?
Intrapartum CTG Interpretation
- SBA questionA CTG shows decelerations that vary in timing and shape relative to contractions. Which single cause do these variable decelerations most…
- True/False MCQConcerning the causes of decelerations on a CTG, which of the following statements are TRUE?
- SBA questionA CTG is categorised as pathological in the first stage of labour, but immediate delivery is not yet decided. Which single test can help…
- FlashcardWhat are the four features assessed on a CTG (the DR C BRAVADO components)?
- FlashcardWhat are early, variable and late decelerations, and what does each suggest?
Intrapartum Maternal and Fetal Monitoring
- FlashcardWhat does the DR C BRAVADO mnemonic stand for in CTG interpretation?
- FlashcardWhen is continuous electronic fetal monitoring (CTG) indicated instead of intermittent auscultation?
- SBA questionA CTG shows decelerations that begin with the onset of each contraction and return to baseline as the contraction ends, mirroring the…
Labour Dystocia and Prolonged Labour
- True/False MCQConcerning the management of prolonged first stage, which of the following statements are TRUE?
- FlashcardWhat are the alert and action lines on the partogram, and how do they guide management?
- SBA questionA woman in prolonged labour has poor maternal motivation, no companion, and feels unsupported. Using the labour analysis framework, which…
- FlashcardWhat is the expected normal rate of cervical dilatation in the active phase?
- SBA questionA clinician lists indications for emergency caesarean section in prolonged first stage. Which single scenario is a clear indication for…
Male Sexual Dysfunction
Malpresentation and Malposition
- FlashcardWhat is shoulder dystocia and how is it managed (HELPERR)?
- FlashcardWhat is external cephalic version (ECV), when is it offered, and what features favour success?
- True/False MCQRegarding breech presentation, which of the following statements are TRUE?
- SBA questionA woman at term is found to have a transverse lie with the shoulder presenting. Labour has started. Which single management is appropriate…
Maternal Anaemia
Maternal and Perinatal Deaths
Maternal Infections in Pregnancy
- FlashcardWhat is the difference between condylomata acuminata and condylomata lata?
- FlashcardWhat general principles apply to managing STIs in pregnancy?
- SBA questionA neonate born to a mother with untreated syphilis later develops notched teeth, interstitial keratitis and sensorineural deafness. Which…
- SBA questionA woman in the third trimester has active primary genital herpes lesions. Which single mode of delivery is recommended to reduce neonatal…
- True/False MCQConcerning trichomoniasis and bacterial vaginosis, which of the following statements are TRUE?
Maternal Physiology in Pregnancy
- SBA questionA clinician explains by how much plasma volume increases in normal pregnancy. Which single figure is correct by term?
- True/False MCQRegarding renal changes in normal pregnancy, which of the following statements are TRUE?
- SBA questionA clinician explains why serum creatinine and urea are lower than non-pregnant values in normal pregnancy. Which single change is…
- FlashcardWhat renal and urinary changes occur in pregnancy?
- FlashcardHow does ventilation change in pregnancy, and what drives it?
Medical Disorders in Pregnancy
Miscarriage and Recurrent Pregnancy Loss
Molar Pregnancy and Trophoblastic Neoplasia
Neonatal Jaundice
- True/False MCQRegarding benign neonatal jaundice, which of the following statements are TRUE?
- SBA questionWhich set of features is characteristic of physiological jaundice in a term newborn?
- FlashcardWhat is the physiology of bilirubin metabolism in the newborn?
- FlashcardHow is the severity of neonatal jaundice assessed?
Neonatal Respiratory Distress
- SBA questionA newborn has respiratory distress and a chest X-ray is planned. Regarding timing, which statement is correct?
- FlashcardWhat is the main mechanism causing respiratory distress, and how does it relate to the causes?
- FlashcardWhat is transient tachypnoea of the newborn (TTN)?
- True/False MCQConcerning blood gases and oxygen therapy in the newborn, the following statements are correct:
Neonatal Seizures
- FlashcardHow are neonatal seizures investigated?
- SBA questionA newborn has fine, fast tremulous movements of the limbs that come on when the baby is handled or moved, and stop when the affected limb…
- FlashcardHow are neonatal seizures managed?
- True/False MCQRegarding the types of neonatal seizures, the following statements are correct:
Neonatal Sepsis and Infection
- SBA questionWhich is the most common invasive (deep) early-onset infection in the newborn?
- FlashcardWhat are the types of infection in the newborn?
- True/False MCQRegarding investigations in suspected neonatal sepsis, the following statements are correct:
- FlashcardHow do you identify a sick (infected) newborn - what are the signs?
Normal Labour and the Partograph
- FlashcardHow are caput and moulding assessed and graded, and what do they indicate?
- FlashcardWhat are the cardinal movements (mechanism) of normal labour?
- SBA questionA midwife is starting a partogram. At what point should the alert line be commenced, and at what rate is it drawn?
- SBA questionA 30-year-old primigravida reaches full cervical dilatation. Two hours into the active second stage the head is at +2 station with…
- True/False MCQRegarding signs of obstructed labour and cephalopelvic disproportion, which of the following statements are TRUE?
Obstetric Ultrasound
- FlashcardHow is first-trimester screening for trisomy 13, 18 and 21 performed?
- True/False MCQRegarding MRI and Doppler in pregnancy, which of the following statements are TRUE?
- FlashcardHow is ultrasound used to assess cervical length, and what is the significance?
- SBA questionA clinician schedules the anomaly scan. Which single timing and purpose is correct?
Operative Vaginal Birth
Ovarian Tumours
Ovulatory Disorders
- FlashcardWhat are the clinical features of PCOS?
- True/False MCQRegarding ovulation induction and ovarian hyperstimulation syndrome (OHSS), the following statements are correct:
- FlashcardWhat are the long-term and metabolic consequences of PCOS, and how are they managed?
- SBA questionAccording to the Rotterdam criteria, how many features are required to diagnose polycystic ovary syndrome (PCOS), and what are they?
- SBA questionInsulin resistance plays a central role in the pathophysiology of PCOS. Which statement best describes its effect?
Pelvic Inflammatory Disease
- True/False MCQRegarding pelvic inflammatory disease, which of the following statements are TRUE?
- FlashcardWhy is early empirical treatment important in PID?
- SBA questionA 23-year-old woman is diagnosed clinically with mild-to-moderate PID and is suitable for outpatient management. Microbiology results are…
- SBA questionIn a woman with suspected PID, which investigation is most appropriate to detect Chlamydia trachomatis and Mycoplasma genitalium?
- FlashcardWhat are the diagnostic (clinical) criteria for PID?
Pelvic Organ Prolapse
Perinatal Asphyxia and HIE
- SBA questionPulmonary surfactant, whose deficiency causes respiratory distress syndrome, is produced by which cells?
- FlashcardWhat is the supportive management of a baby with birth asphyxia/HIE?
- True/False MCQConcerning meconium aspiration syndrome and congenital pneumonia, the following statements are correct:
- FlashcardHow does birth asphyxia relate to cerebral palsy?
- SBA questionA term baby develops respiratory distress with prominent tachypnoea. The mother had ruptured membranes for 24 hours, a fever in labour…
Perineal Trauma and Anal Sphincter Injury
- SBA questionFollowing a difficult vaginal delivery, examination reveals a perineal tear extending through the perineal muscles and the entire anal…
- FlashcardWhy is it important not to miss an obstetric anal sphincter injury?
- FlashcardWhat follow-up and future-delivery counselling are needed after OASIS?
- True/False MCQConcerning episiotomy, the following statements are correct:
Physiology and Management of the Third Stage
- SBA questionA junior doctor applies cord traction immediately after the baby is born, before any sign of placental separation and while the uterus is…
- FlashcardWhat uterotonic is used for active management of the third stage, and what are the alternatives?
- True/False MCQRegarding acute uterine inversion in the third stage, which of the following statements are TRUE?
- FlashcardWhat are the components of active management of the third stage of labour?
Postpartum Haemorrhage and Third-Stage Complications
- FlashcardWhat is acute uterine inversion, how is it classified, and how does it present?
- True/False MCQRegarding amniotic fluid embolism and coagulation in obstetric haemorrhage, which of the following statements are TRUE?
- FlashcardWhat surgical and mechanical interventions are used when uterotonics fail to control PPH?
- SBA questionA woman has heavy vaginal bleeding immediately after delivery of the placenta. The uterus feels soft and poorly contracted. What is the…
- SBA questionA clinician lists causes of uterine atony. Which single factor is a recognised cause of atonic PPH?
Pre-existing and Gestational Diabetes
- True/False MCQConcerning diabetic ketoacidosis and end-organ screening in pregnancy, which of the following statements are TRUE?
- SBA questionA woman with diabetes has a fetus estimated above the 90th centile for weight. Which single intrapartum complication should be anticipated?
- FlashcardWhat are the glycaemic targets and stepwise treatment in GDM?
- FlashcardWhy do babies of diabetic mothers develop hypoglycaemia after birth?
Preconception Care and Antenatal Screening
Preterm Labour and Prelabour Rupture of Membranes
Principles of Reproductive Health
Red Cell Alloimmunisation in Pregnancy
- FlashcardWhat three stages are required for haemolytic disease of the newborn (HDN) to occur?
- SBA questionA clinician contrasts ABO haemolytic disease with Rhesus disease. Which single statement about ABO haemolytic disease is correct?
- SBA questionA neonate with Rh haemolytic disease has rapidly rising unconjugated bilirubin despite phototherapy, approaching exchange transfusion…
- True/False MCQConcerning the diagnosis and monitoring of fetal anaemia in alloimmunisation, which of the following statements are TRUE?
- FlashcardHow is fetal RhD status determined antenatally, and what maternal serology is done?
Routine Antenatal Care
Sexual Response and Dysfunction
Small-for-Gestational-Age Babies
- SBA questionA pregnant woman has microcytic, hypochromic red cells and a serum ferritin of 8 ng/mL. Which single cause of anaemia is most likely?
- SBA questionA clinician quotes the WHO haemoglobin threshold for diagnosing anaemia in pregnancy. Which single value is correct?
- True/False MCQRegarding the surveillance and prophylaxis for fetal growth restriction, which of the following statements are TRUE?
The Placenta and Fetoplacental Unit
The Puerperium
- FlashcardWhat is the postpartum period (puerperium), and how is it divided?
- SBA questionA woman develops a secondary postpartum haemorrhage on day 14. Which single combination of causes is most likely?
- FlashcardWhat is secondary postpartum haemorrhage, and what are its common causes?
- True/False MCQConcerning lochia and Sheehan's syndrome, which of the following statements are TRUE?
Twin and Higher-Order Pregnancy
- FlashcardWhen and how is chorionicity determined?
- FlashcardWhy does chorionicity matter clinically in twin pregnancy?
- SBA questionWhich aspect of antenatal management is particularly important in a twin pregnancy?
- SBA questionWhich of the following is a recognised maternal complication of multiple pregnancy?
- True/False MCQConcerning twin-to-twin transfusion syndrome (TTTS), the following statements are correct:
Urinary Incontinence in Women
Uterine Fibroids
- SBA questionA 30-year-old woman presents with a six-month history of regular, heavy menstrual bleeding. Her cycles are regular with no intermenstrual…
- FlashcardWhat are the principles of managing uterine fibroids?
- FlashcardWhat is myomectomy, and when is it used?
- True/False MCQConcerning fibroids in pregnancy, the following statements are correct: