100+ Free ABOG Maternal-Fetal Medicine Practice Questions

ABOG MFM certification is a two-step voluntary subspecialty credential administered by the American Board of Obstetrics and Gynecology. Step 1 is the Qualifying Examination (QE), a computer-based multiple-choice written exam delivered at Pearson VUE testing centers. Step 2 is the Certifying Examination (CE), an oral exam administered at the ABOG National Center in Dallas that includes thesis defense, case-list review, and structured case discussion. Candidates must hold primary ABOG Specialty (OB-GYN) certification, complete an ACGME-accredited MFM fellowship (36 months total with 18 months core clinical including ICU, genetics, and supervisory L&D experiences), and successfully defend a thesis before sitting for the CE.

The MFM Qualifying Exam is a computer-based single-best-answer multiple-choice exam delivered at Pearson VUE over approximately 4 hours. Content is drawn from the ABOG MFM Blueprint (Guide to Learning) and covers obstetric complications, fetal medicine and imaging, maternal medical conditions, genetics and genomics, critical care obstetrics, ultrasound and procedural knowledge, and research methods. The 2026 QE is administered on July 20, 2026.

Both the Qualifying and Certifying Examinations use criterion-referenced scaled passing standards set by the ABOG MFM Division through a modified Angoff standard-setting process. Scores are not curved against peers — candidates are measured against a content-expert performance standard. Score reports include pass/fail plus diagnostic performance by content domain. Historical first-time MFM QE pass rates run approximately 80-88% per the ABOG public pass-rate tool.

Candidates must (1) hold active primary ABOG Specialty (OB-GYN) certification; (2) complete an ACGME-accredited Maternal-Fetal Medicine fellowship — under the AY2021 revised standards this is 36 months total with 18 months of MFM core clinical experience (including 2 months of genetics/genomics, 2 months of supervisory L&D, and 1 month of ICU); (3) successfully defend an approved thesis before applying for the CE; (4) submit a compliant case list for the CE; and (5) maintain active, unrestricted medical licensure.

For 2026, the Subspecialty Qualifying Examination fee is $2,195 when applied for by February 15, 2026, with a $400 late fee if applied March 15 or earlier (total $2,595). The Certifying Examination fee is $1,275 when submitted July 1-31, 2026, with a $400 late fee for August submissions (total $1,675). These fees are set by ABOG and apply across subspecialties. The CE application fee is additional ($1,125 standard; $1,525 with late fee).

The 2026 Subspecialty Qualifying Examination is scheduled for July 20, 2026 at Pearson VUE testing centers. The 2026 Subspecialty Certifying Examination is administered in person at the ABOG National Center for Certification and Continuing Education in Dallas during exam weeks of October 5-8, November 2-5, November 16-19, and December 7-10, 2026. Candidates are assigned to one week after application approval (by June 30, 2026).

High-yield topics include preeclampsia prophylaxis with low-dose aspirin 81 mg starting ≤16 weeks for high-risk patients (USPSTF/ACOG), magnesium sulfate for seizure prophylaxis (4-6 g load then 2 g/hr) and neuroprotection (<32 weeks), betamethasone 12 mg IM q24h x 2 for lung maturity, cfDNA/NIPT performance (≥99% T21 detection, limitations from vanishing twin/BMI/CPM), monochorionic twin complications (TTTS Quintero staging, TAPS, sFGR), placenta accreta spectrum diagnosis and delivery planning, obstetric hemorrhage/massive transfusion (1:1:1), maternal cardiac disease (mWHO classification), and perinatal infections (CMV, Zika, GBS, syphilis).

Use a structured plan during fellowship with focused review in the final 6-9 months before the QE. Start with the ABOG MFM Guide to Learning to understand expected content. Anchor your review on ACOG Practice Bulletins, SMFM Consult Series, and current ACOG/SMFM committee opinions. Master core protocols: preeclampsia with severe features, PPROM, betamethasone/magnesium dosing, cfDNA interpretation, monochorionic twin surveillance, placenta accreta spectrum delivery planning, and critical care obstetrics (sepsis, ARDS, maternal cardiac arrest with resuscitative hysterotomy). Complete thousands of practice questions across all blueprint domains and review statistics/research methods for both QE and CE thesis defense.