Free MRCOG Part 2 Practice Questions

Sample Practice Questions

Try these 10 sample questions from the MRCOG Part 2 practice bank. Each includes the answer and explanation. Continue with the interactive practice above to review the full question set.

1. 1A woman with capacity declines a recommended hysterectomy after understanding the alternatives and consequences. Her spouse asks the registrar to authorise surgery. Who has authority to decide whether she accepts this treatment?

   1. A.The patient herselfCorrect answer: A
   2. B.Her spouse acting as next of kin
   3. C.The consultant leading her care
   4. D.The hospital multidisciplinary team

   Explanation: GMC states: "No one else can make a decision on behalf of an adult who has capacity." The patient retains decision-making authority; neither family status nor clinical seniority transfers it.

   Reference: GMC Decision making and consent — paragraph 65

2. 2At the pre-incision WHO safety check for a gynaecological operation requiring antibiotic prophylaxis, what look-back interval is used to confirm that prophylaxis was given?

   1. A.30 minutes
   2. B.60 minutesCorrect answer: B
   3. C.120 minutes
   4. D.240 minutes

   Explanation: The guidance states: "Has antibiotic prophylaxis been given in the last 60 minutes ?" The WHO check uses the preceding 60 minutes; a dose given earlier should prompt consideration of redosing.

   Reference: WHO Surgical Safety Checklist implementation manual — Before skin incision — antibiotic prophylaxis

3. 3A woman is discharged after laparoscopy with codeine-containing analgesia. Which bowel adverse effect should the clinician anticipate when planning her recovery advice?

   1. A.ConstipationCorrect answer: A
   2. B.Steatorrhoea
   3. C.Haematochezia
   4. D.Secretory diarrhoea

   Explanation: RCOG advises: "painkillers that contain codeine or dihydrocodeine can make you sleepy, slightly sick and constipated." Constipation is an expected problem with codeine-containing postoperative analgesia.

   Reference: RCOG Laparoscopy — recovering well — Pain and discomfort

4. 4A woman had gestational diabetes in a previous pregnancy. Early testing in her new pregnancy is normal. When should she next be offered a glucose tolerance test?

   1. A.At 12–16 weeks
   2. B.At 16–20 weeks
   3. C.At 20–24 weeks
   4. D.At 24–28 weeksCorrect answer: D

   Explanation: RCOG states: "If these are normal, you will be offered a GTT again at 24–28 weeks." Normal early testing does not replace repeat testing at 24–28 weeks after previous gestational diabetes.

   Reference: RCOG Gestational diabetes — How will I be checked for gestational diabetes?

5. 5At 29 weeks, a woman reports a continuous watery vaginal loss before contractions have started. Which initial examination is used to look for leaking amniotic fluid in suspected PPROM?

   1. A.Digital vaginal examination
   2. B.Abdominal bimanual examination
   3. C.Sterile speculum examinationCorrect answer: C
   4. D.Rectovaginal examination

   Explanation: RCOG states: "use a sterile speculum (an instrument used to separate the walls of the vagina) to look at your cervix" A sterile speculum permits direct assessment of fluid leakage; additional fluid testing may help if the finding is unclear.

   Reference: RCOG When your waters break prematurely — How is PPROM diagnosed?

6. 6A woman loses blood during the first 24 hours after birth. What minimum measured blood loss meets RCOG's definition of primary postpartum haemorrhage?

   1. A.500 mLCorrect answer: A
   2. B.250 mL
   3. C.1000 mL
   4. D.1500 mL

   Explanation: The guidance states: "500 ml (a pint) or more of blood within the first 24 hours" The minimum threshold is 500 mL within 24 hours. Larger volumes also qualify but are not the minimum asked for.

   Reference: RCOG Heavy bleeding after birth — What is a postpartum haemorrhage?

7. 7A woman has persistent symptoms suggestive of endometriosis despite initial treatment. Ultrasound and MRI are normal. Which procedure can establish the diagnosis and allow treatment during the same operation?

   1. A.Diagnostic hysteroscopy
   2. B.Diagnostic cystoscopy
   3. C.Diagnostic colposcopy
   4. D.Diagnostic laparoscopyCorrect answer: D

   Explanation: RCOG states: "Laparoscopy – this is keyhole surgery and is carried out under a general anaesthetic. It can be used to diagnose and to treat endometriosis. You may be offered this surgery if initial treatment to help your symptoms is not effective." Laparoscopy permits inspection and treatment of pelvic endometriosis. Hysteroscopy examines the uterine cavity, cystoscopy the bladder, and colposcopy the cervix; these do not provide the required pelvic assessment.

   Reference: RCOG Endometriosis — What will happen if I choose to see a healthcare professional? — Laparoscopy

8. 8A woman presents 72 hours after unprotected intercourse and wants the most effective available emergency contraceptive method. She is suitable for intrauterine contraception. Which should be offered?

   1. A.Copper intrauterine deviceCorrect answer: A
   2. B.Ulipristal acetate pill
   3. C.Levonorgestrel pill
   4. D.Combined oral contraceptive pill

   Explanation: The guidance states: "The IUD is the most effective type of emergency contraception." The copper IUD is the most effective emergency method and can provide continuing contraception.

   Reference: NHS Emergency contraception — Types of emergency contraception

9. 9An early unruptured tubal ectopic pregnancy is suitable for medical management after specialist assessment. Which injected medicine is used to stop growth of the pregnancy?

   1. A.Misoprostol
   2. B.Mifepristone
   3. C.MethotrexateCorrect answer: C
   4. D.Oxytocin

   Explanation: RCOG states: "A drug (methotrexate) is given as an injection" Methotrexate is used in selected ectopic pregnancies, with continuing follow-up until pregnancy hormone levels return to normal.

   Reference: RCOG Ectopic pregnancy — Medical treatment

10. 10A woman leaks small amounts of urine when she coughs, laughs or exercises, without a preceding urgent desire to void. Which diagnosis best fits?

    1. A.Urge incontinence
    2. B.Overflow incontinence
    3. C.Stress incontinenceCorrect answer: C
    4. D.Continuous incontinence

    Explanation: The guidance states: "Stress incontinence is when you leak urine when your bladder is put under sudden extra pressure" Leakage triggered by increased abdominal pressure without urgency is characteristic of stress incontinence.

    Reference: NHS Urinary incontinence — symptoms — Stress incontinence