100+ Free ABOG OB/GYN Qualifying Exam Practice Questions

The ABOG Qualifying Examination (QE) is a written, computer-based, single-best-answer multiple-choice exam that is Step 1 of the American Board of Obstetrics and Gynecology's two-step initial certification process. It evaluates foundational knowledge across obstetrics, gynecology, and office practice. Candidates must pass the QE before they can apply to sit for the oral Certifying Examination (CE). The exam is administered annually at Pearson VUE testing centers.

The exam contains approximately 230 single-best-answer multiple-choice questions and lasts approximately 3 hours and 45 minutes with no scheduled breaks. The 2026 blueprint allocates the content roughly 33% to Obstetrics, 33% to Gynecology, and 33% to Office Practice with cross-content items assessed within all three domains. The exam is delivered only in English.

ABOG reports a scaled test score and a pass/fail result. The cut-point is criterion-referenced and established through a standard-setting process every 3-5 years, with statistical equating used in intervening years. Candidates are measured against a fixed content-expert standard rather than curved against peers. Score reports include domain-level percentages for Obstetrics, Gynecology, and Office Practice.

The 2026 ABOG QE is administered on July 20, 2026. Applications open January 7, 2026. The standard application window closes February 15, 2026 with an exam fee of $2,195; late applications are accepted through March 15, 2026 with an added $400 late fee (total $2,595). Fees are paid by credit card through the ABOG candidate portal.

Candidates must (1) hold an M.D. or D.O. degree from an accredited institution and (2) have completed an ACGME-accredited (or RCPSC Canada) residency in Obstetrics and Gynecology, verified by the Residency Training Affidavit submitted by the Program Director. A medical license is not required to sit for the QE, but any license held must be unrestricted. If residency completion is not confirmed by the following January 1, the exam result is voided.

The 2025 overall pass rate was approximately 87% with first-time takers at approximately 90%. Pass rates historically range from 85-92% among first-time test takers. Repeat test takers have substantially lower pass rates. Candidates have up to eight years from residency completion to achieve certification before additional supervised practice is required to regain eligibility.

On the obstetrics side: NICHD 3-tier fetal heart monitoring, preeclampsia with severe features (BP ≥160/110, magnesium 4-6 g IV loading then 1-2 g/hr), GDM 75g OGTT thresholds (92/180/153), anti-D RhIg 300 µg IM at 28 weeks and postpartum, postpartum hemorrhage ladder (oxytocin, methylergonovine, carboprost, misoprostol, TXA), preterm labor (betamethasone 24-34 weeks, magnesium neuroprotection <32 weeks), and PPROM management. On gynecology: AUB PALM-COEIN, ectopic pregnancy methotrexate criteria (hCG <5,000, unruptured, <3.5 cm), ovarian mass O-RADS, POP-Q staging. On office practice: cervical cancer screening guidelines, US MEC for contraception, PCOS Rotterdam, STI CDC 2021 treatment.

Use a structured 6-12 month study plan during or after residency. Review the ABOG blueprint, use CREOG in-training exam performance to identify weak areas, and complete all six PROLOG volumes. Supplement with a high-yield Q-bank of at least 2,000 practice questions (aim for >3,000 before test day), board review video courses, and timed full-length mock exams. Emphasize decision-making — the exam rewards selecting the most correct action, not recalling facts. Integrate current guidelines: ACOG practice bulletins, SMFM consults, CDC STI 2021, US MEC for contraceptive use, and the 2026 ABOG blueprint.