MCCQE Part 1 Obstetrics & Gynaecology MCQs: Practice Questions With Explanations

Sample MCCQE Part 1 MCQs from Obstetrics & Gynaecology — covering both subject pools in HighYield's MCCQE bank without a dedicated practice post yet — from pregnancy complications to gynaecological cancers.

Obstetrics and Gynaecology are two subject pools in HighYield's MCCQE Part 1 question bank that don't yet have a dedicated practice post. Below is a sample set of MCQs spanning both.

Obstetrics: Pregnancy Complications

1. Using Naegele's rule, the estimated date of delivery is calculated from the last menstrual period by:

A) Adding 3 months and subtracting 7 days
B) Subtracting 3 months and adding 7 days (plus 1 year) ✅
C) Adding 9 months exactly
D) Adding 280 days from conception

2. Preeclampsia is defined as new-onset hypertension after 20 weeks of gestation accompanied by:

A) Glycosuria
B) Proteinuria or evidence of end-organ dysfunction ✅
C) Anaemia
D) Reduced fetal movements alone

3. Painless, bright-red vaginal bleeding in the third trimester is most characteristic of:

A) Placental abruption
B) Placenta previa ✅
C) Uterine rupture
D) Vasa previa alone

4. Painful vaginal bleeding with a tender, rigid uterus in the third trimester is most characteristic of:

A) Placenta previa
B) Placental abruption ✅
C) Cervical ectropion
D) Braxton Hicks contractions

5. The most common cause of primary postpartum haemorrhage is:

A) Uterine atony ✅
B) Cervical laceration
C) Retained placenta
D) Coagulopathy

6. The most common site for an ectopic pregnancy is the:

A) Cervix
B) Ampulla of the fallopian tube ✅
C) Ovary
D) Abdominal cavity

7. A markedly elevated beta-hCG with a "snowstorm" appearance on ultrasound and no fetal parts suggests:

A) Twin pregnancy
B) Hydatidiform mole ✅
C) Anembryonic pregnancy
D) Ectopic pregnancy

Gynaecology

8. The Rotterdam criteria for polycystic ovary syndrome require at least two of three features: oligo/anovulation, polycystic ovaries on ultrasound, and:

A) Clinical or biochemical hyperandrogenism ✅
B) Elevated FSH
C) Endometrial hyperplasia
D) Elevated prolactin

9. The vast majority of cervical cancer cases are caused by persistent infection with:

A) Herpes simplex virus
B) Human papillomavirus ✅
C) Chlamydia trachomatis
D) Cytomegalovirus

10. The Pap smear is primarily a screening test for:

A) Ovarian cancer
B) Cervical cancer and precancerous changes ✅
C) Endometrial cancer
D) Pelvic inflammatory disease

11. Sudden-onset, severe unilateral pelvic pain with nausea is classically associated with:

A) Ovarian torsion ✅
B) Uncomplicated ovulation
C) Uterine fibroids
D) Endometriosis alone

12. The Apgar score, used to assess a newborn's condition at 1 and 5 minutes, includes appearance, pulse, grimace, activity and:

A) Temperature
B) Respiration ✅
C) Weight
D) Head circumference

Prepare with HighYield

HighYield's MCCQE Part 1 bank covers Obstetrics and Gynaecology alongside Pediatrics, Psychiatry, Medicine, Surgery and every other subject tested in the exam, with every question explained. Budgeting for the exam? See our MCCQE Part 1 Fees guide.