MRCOG Part 1 Structure, Syllabus and Sample Questions

MRCOG Part 1: Structure, Syllabus and Sample Questions

AuthorDr. Sophie BrackeJanuary 25, 2025
MRCOGObstetricsGynaecologyExam Prep

Introduction

The MRCOG Part 1 exam is a critical step in the journey to becoming a Member of the Royal College of Obstetricians and Gynaecologists. It is designed to test a candidate's knowledge of the fundamental scientific principles underpinning the practice of obstetrics and gynaecology. Covering topics such as anatomy, physiology, pharmacology, and pathology, the exam assesses the core knowledge necessary to build a strong foundation for clinical practice.

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If you are looking for a comprehensive guide on MRCOG Part 1 exam, see our article on MRCOG Part 1: A Comprehensive Guide

MRCOG Part 1 Exam Structure

  • Number of Papers: Two papers, each lasting 2 hours and 30 minutes.
  • Total Time: 5 hours (with a one-hour break between the two papers).
  • Number of Questions: 100 Single Best Answer (SBA) questions in each paper.
  • Mode of Delivery: The exam is computer-based and completed at designated test centers.

📝 Paper One

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Duration

2.5 hours (150 minutes)

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Questions

100 SBA questions

📝 Paper Two

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Duration

2.5 hours (150 minutes)

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Questions

100 SBA questions

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Key Information

  • One hour break between papers
  • Computer-based examination
  • No negative marking
  • Equal weighting for both papers

MRCOG Part 1 Exam Scoring: Understanding the Pass Mark

The MRCOG Part 1 exam uses an automated marking process. Each correct answer earns one mark, and there is no negative marking, meaning incorrect answers will not reduce your score. As a result, it's always advisable to attempt every question, even if you are unsure of the answer!

The pass mark is set using the Angoff method, a widely accepted standard-setting technique. A panel of experts reviews each question and estimates how likely a borderline candidate is to answer it correctly. These estimates are used to calculate the overall pass mark for MRCOG Part 1, which typically falls between 60–70%, depending on the difficulty of the specific exam. This ensures fairness and consistency across different sittings.

MRCOG Part 1 Exam Syllabus: Core Knowledge Areas

The MRCOG Part 1 exam focuses on the fundamental scientific knowledge essential for obstetrics and gynaecology. It evaluates candidates across 15 core knowledge areas, grouped into four main domains:

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Understanding Cell Function

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Understanding Human Structure

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Understanding Measurement & Manipulation

These knowledge areas are aligned with Capabilities in Practice (CiPs), which outline the competencies expected of obstetrics and gynaecology trainees. For Part 1, the focus is on CiP 6: "The doctor takes an active role in helping self and others to develop." This emphasises the importance of building a solid scientific foundation to support clinical expertise.

For a detailed breakdown of each Knowledge Area and its associated requirements, candidates are encouraged to consult the official MRCOG Syllabus and Knowledge Requirements for Core Curriculum 2019 document.

MRCOG Part 1 Exam Question Format

The MRCOG Part 1 exam uses the Single Best Answer (SBA)question format, a multiple-choice style designed to test both knowledge and application. Each question presents a short scenario with five possible answers, and candidates must choose the single best option. While several answers may seem correct, only one is the most appropriate, requiring careful consideration and understanding.

Previously, the MRCOG Part 1 exam included question styles such as true/false MCQs and Extended Matching Questions (EMQs). However, these have been fully replaced by the SBA format, which better mirrors the critical thinking and decision-making skills required in clinical practice.

Example questions

Below are some examples of the types of questions you might encounter in the MRCOG Part 1 exam:

Q1

If the blood supply to the pelvic portion of the ureter is compromised, occlusion of which artery is most likely responsible?

  • External iliac artery
  • Internal pudendal artery
  • Ovarian artery
  • Renal artery
  • ✓Uterine artery

Q2

A patient with a known history of Paget's disease of the bone is scheduled for an elective surgery. What are the most probable findings in her blood tests?

  • Low calcium, low phosphate, low alkaline phosphatase
  • High calcium, high phosphate, low alkaline phosphatase
  • ✓Normal calcium, normal phosphate and elevated alkaline phosphatase
  • Low calcium, high phosphate, low alkaline phosphatase
  • Normal calcium, low phosphate, low alkaline phosphatase

Q3

Which embryological structure gives rise to the round ligament of the uterus?

  • Mesonephric duct
  • ✓Gubernaculum
  • Paramesonephric duct
  • Urogenital sinus
  • Genital folds

For more practice questions and a comprehensive way to prepare for the MRCOG Part 1 exam, explore our complete question bank on Uterio. With over 1,500 expertly crafted questions and detailed explanations, Uterio is designed to help you succeed.

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