NLE Obstetrics & Gynaecology MCQs: Practice Questions With Explanations

Sample NLE (NRE) theory MCQs from Obstetrics & Gynaecology — 14 of the 200 theory questions by PM&DC's own weighting, tied with Paediatrics — covering obstetric complications and core gynaecology, each with the correct answer explained.

Obstetrics & Gynaecology makes up 14 of the 200 questions on the NLE (NRE) theory paper — tied with Paediatrics for the third-largest clinical section, just behind Medicine and Allied and Surgery and Allied. Below is a sample set of Obstetrics & Gynaecology MCQs in the same clinical-vignette style tested on exam day.

Obstetric Complications

1. A woman at 32 weeks gestation presents with painless, bright-red vaginal bleeding. The most likely diagnosis is:

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

2. A pregnant woman at 34 weeks presents with BP 160/110 mmHg, proteinuria, and headache. The immediate management concern is preventing progression to:

A) Postpartum haemorrhage
B) Eclampsia ✅
C) Gestational diabetes
D) Placental abruption

3. The most common site of implantation in an ectopic pregnancy is the:

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

Gynaecology

4. Irregular menses, hirsutism, and bilaterally enlarged ovaries with multiple small peripheral follicles on ultrasound are classic for:

A) Endometriosis
B) Polycystic ovary syndrome ✅
C) Asherman syndrome
D) Premature ovarian failure

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

A) Retained placenta
B) Uterine atony ✅
C) Genital tract trauma
D) Coagulopathy

Why Obstetrics & Gynaecology Deserves a Dedicated Pass

Obstetrics & Gynaecology and Paediatrics are tied for the third-largest share of the NLE theory paper, at 14 questions each, right after Medicine and Surgery. As our NLE exam guide explains, that makes it worth a dedicated study pass rather than an afterthought — obstetric emergencies and core gynaecology conditions repeat across sessions in the same clinical-vignette format shown above.

HighYield's NLE question bank covers Obstetrics & Gynaecology alongside every discipline on the theory paper, including a dedicated Obstetrics & Gynaecology subject bank, with every question explained. Start with your first questions free, no sign-in required.