SMLE Obstetrics & Gynecology MCQs: Practice Questions With Answers
Sample SMLE MCQs from Obstetrics & Gynecology — one of SCFHS's four core clinical domains, still without a dedicated practice post in HighYield's SMLE bank — covering obstetric emergencies and core gynecologic conditions, each with the correct answer explained.
Obstetrics & Gynecology is one of SCFHS's four core clinical domains tested on the SMLE, alongside Medicine, Surgery and Pediatrics — all three of which already have dedicated practice posts on HighYield. Below is a sample set of Obstetrics & Gynecology MCQs in the same clinical-vignette style tested on exam day.
Obstetrics
1. Naegele's rule estimates the expected date of delivery by adding 7 days and subtracting 3 months from the:
- A) Date of conception
- B) First day of the last menstrual period ✅
- C) Date of the first missed period
- D) Date of the first fetal heartbeat on ultrasound
2. The leading cause of maternal mortality worldwide is:
- A) Postpartum hemorrhage ✅
- B) Ectopic pregnancy
- C) Amniotic fluid embolism
- D) Placenta previa
3. The most common cause of secondary postpartum hemorrhage (occurring after 24 hours but within 6 weeks of delivery) is:
- A) Uterine atony
- B) Retained products of conception ✅
- C) Genital tract trauma
- D) Coagulopathy
Gynecology
4. The Rotterdam criteria for diagnosing polycystic ovary syndrome require at least two of which three features?
- A) Oligo/anovulation, clinical or biochemical hyperandrogenism, and polycystic ovaries on ultrasound ✅
- B) Obesity, insulin resistance, and amenorrhea
- C) Hirsutism, acne, and infertility
- D) Elevated LH, elevated FSH, and weight gain
5. The most common benign tumor of the female genital tract is the:
- A) Ovarian cystadenoma
- B) Uterine leiomyoma (fibroid) ✅
- C) Endometrial polyp
- D) Cervical polyp
6. The most common benign ovarian tumor in women of reproductive age is the:
- A) Mature cystic teratoma (dermoid cyst) ✅
- B) Serous cystadenoma
- C) Fibroma
- D) Krukenberg tumor
Why Obstetrics & Gynecology Deserves Dedicated Revision
With Medicine, Surgery and Pediatrics already covered, Obstetrics & Gynecology is the remaining core clinical domain on the SMLE blueprint — and obstetric emergencies in particular repeat across sessions in the same clinical-vignette format shown above.
HighYield's SMLE question bank covers Obstetrics & Gynecology alongside Medicine, Surgery, Pediatrics, Psychiatry and Pharmacology, with every question explained. For the full exam picture, see our SMLE Exam Guide. Start with your first questions free, no sign-in required.