100+ Free FRANZCOG Written MCQ Practice Questions

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Sample FRANZCOG Written MCQ Practice Questions

Try these sample questions to test your FRANZCOG Written MCQ exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A 28-year-old at 11 weeks chooses combined first-trimester screening rather than a cell-free DNA screen. Which components are used for combined screening?

A.Nuchal translucency ultrasound alone

B.Maternal serum β-hCG and PAPP-A with NT measurement

C.Amniocentesis at 11 weeks

D.Maternal serum AFP and an anatomy scan

Explanation: Combined first-trimester screening combines nuchal translucency assessment with maternal serum free β-hCG and PAPP-A. It estimates risk; it is not diagnostic, and screening choices should follow informed counselling and local pathways.

2At booking, which maternal BMI category defines obesity class I in WHO/Australian antenatal guidance?

A.BMI 25.0–29.9 kg/m²

B.BMI 30.0–34.9 kg/m²

C.BMI 35.0–39.9 kg/m²

D.BMI ≥40 kg/m²

Explanation: WHO classifies BMI 30.0–34.9 as obesity class I. Obesity increases risks of GDM, pre-eclampsia, caesarean and thromboembolism—requiring enhanced antenatal planning.

3A Rh-negative woman has anti-D prophylaxis at 28 and 34 weeks. At 36 weeks her antibody screen is negative. When should routine antenatal anti-D be given postpartum if the baby is Rh-positive?

A.Only if there is fetomaternal haemorrhage >4 mL

B.Within 72 hours of delivery

C.At 6 weeks postpartum

D.Anti-D is not needed after prophylactic antenatal doses

Explanation: Postpartum anti-D immunoglobulin should be given within 72 hours when the neonate is Rh(D)-positive to prevent alloimmunisation, in addition to antenatal prophylaxis schedules.

4Which infection is a nationally notifiable condition routinely screened in first-trimester antenatal care in Australia?

A.Hepatitis A

B.Syphilis

C.Lyme disease

D.Toxoplasmosis (universal serology)

Explanation: Syphilis serology is part of routine antenatal screening in Australia because untreated maternal syphilis causes serious fetal/neonatal disease and is notifiable.

5A woman at 8 weeks has hyperemesis with ketonuria and 5% weight loss. What is the most appropriate initial management?

A.Immediate termination of pregnancy

B.IV fluid resuscitation, thiamine, antiemetic and electrolyte monitoring

C.Oral metoclopramide only and discharge

D.Dexamethasone as first-line antiemetic

Explanation: Severe hyperemesis with dehydration/ketonuria needs IV fluids, thiamine before dextrose, antiemetics and electrolyte correction. Oral-only care is inadequate when dehydrated.

6At 20 weeks, a low-lying placenta is seen on morphology scan. What is the principal concern if the placenta remains low at term?

A.Placenta accreta only

B.Vasa praevia only

C.Painless antepartum haemorrhage and risk of major haemorrhage at delivery

D.Preterm labour exclusively

Explanation: Placenta praevia classically causes painless APH and major haemorrhage risk, often necessitating caesarean. Serial imaging is required as many low-lying placentas migrate.

7Which vaccine is recommended in every pregnancy regardless of season in Australia?

A.Measles-mumps-rubella

B.Varicella

C.Influenza and pertussis (whooping cough)

D.HPV

Explanation: Influenza and pertussis vaccination are routinely recommended in pregnancy in Australia to protect mother and neonate (pertussis from 20 weeks). Live vaccines (MMR, varicella) are contraindicated in pregnancy.

8A 35-year-old at 16 weeks has anatomy scan showing bilateral renal pelvis dilatation (AP pelvis 6 mm). What is the most appropriate next step?

A.Immediate termination

B.Counsel that isolated mild pelviectasis may resolve; plan follow-up ultrasound

C.Amniocentesis for all cases

D.Induce labour at 37 weeks

Explanation: Isolated mild fetal renal pelvis dilatation often resolves; follow-up ultrasound and counselling are appropriate unless other anomalies or progression suggest significant obstruction.

9Booking bloods include full blood count. A haemoglobin of 98 g/L at 12 weeks in an otherwise well woman is best classified as:

A.Normal pregnancy physiology

B.Mild anaemia warranting iron studies and supplementation

C.Indication for immediate transfusion

D.Thalassaemia until proven otherwise without further workup

Explanation: A haemoglobin of 98 g/L at booking is anaemia and merits assessment for iron deficiency and other causes. The appropriate threshold varies by gestation and laboratory guidance; transfusion is not routine for an otherwise stable woman with this result.

10At 24 weeks, oral glucose tolerance test shows fasting 5.8 mmol/L, 1-hour 11.0, 2-hour 8.5. Using Australasian GDM criteria, what is the diagnosis?

A.Normal—no GDM

B.Gestational diabetes mellitus

C.Pre-existing type 2 diabetes only if HbA1c elevated

D.Impaired fasting glucose not requiring treatment

Explanation: ADIPS 2024 consensus criteria diagnose GDM if any value meets/exceeds thresholds on a 75 g OGTT: fasting ≥5.3, 1-hr ≥10.6, 2-hr ≥9.0 mmol/L. Here fasting 5.8 and 1-hr 11.0 both confirm GDM; any single elevated value suffices for diagnosis.

About the FRANZCOG Written MCQ Exam

The FRANZCOG Written Examination is the knowledge assessment for Fellowship of RANZCOG trainees in Australia and Aotearoa New Zealand. The MCQ component comprises 100 single-best-answer questions in 2 hours, testing obstetrics, gynaecology, fetal medicine, oncology, urogynaecology and professional practice against the published FRANZCOG curriculum. Trainees must pass both the MCQ and SAQ components (from 2026) before proceeding to the structured oral examination.

Assessment

The FRANZCOG Written Examination assesses knowledge across the RANZCOG curriculum in two components on the same day: 12 equally weighted short-answer questions (180 marks in two 2-hour sessions with breaks) and 100 single-best-answer multiple-choice questions (100 marks in 2 hours). Total 280 marks over 7 hours 30 minutes including breaks. From 2026, candidates must pass both SAQ and MCQ to pass overall; a failed component may be re-sat at a future sitting. This practice page targets the 100-question MCQ component.

Time Limit

100 MCQs in 2 hours (full written sitting 7 hours 30 minutes including SAQ and breaks).

Passing Score

No fixed public percentage is published. Both MCQ and SAQ components must be passed from 2026; RANZCOG determines the required standard for each examination.

Exam Fee

AUD $2,810 (no GST), payable when registration is confirmed (RANZCOG 2026 fee schedule). (Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG))

FRANZCOG Written MCQ Exam Content Outline

12%

Antenatal Care & Early Pregnancy

Screening, infections, hyperemesis, placental location, immunisation, anaemia and GDM.

12%

Maternal Medicine & High-Risk Pregnancy

Pre-eclampsia, chronic disease, thromboprophylaxis, autoimmune conditions and pregnancy drugs.

12%

Labour, Delivery & Intrapartum Emergencies

CTG, induction, operative delivery, shoulder dystocia, VBAC and intrapartum haemorrhage.

10%

Postpartum, Neonatal & Lactation

PPH, sepsis, perineal trauma, mastitis, jaundice, resuscitation and postnatal mental health.

12%

Fetal Medicine & Perinatal Diagnostics

FGR, Doppler, multiples, PPROM, invasive testing, NIPT and fetal anomalies.

12%

General Gynaecology

Endometriosis, HMB, contraception, PID, cervical screening and PCOS.

10%

Reproductive Endocrinology & Infertility

POI, infertility workup, OHSS, IVF, hyperprolactinaemia and molar pregnancy.

10%

Gynaecologic Oncology

Endometrial and cervical cancer, ovarian cancer, GTN and hereditary risk.

Urogynaecology & Pelvic Floor

Prolapse, incontinence, OASI, mesh context and genitourinary syndrome of menopause.

Professional Practice, Ethics & Training

Consent, cultural safety, mandatory reporting, disclosure and training requirements.

How to Pass the FRANZCOG Written MCQ Exam

What You Need to Know

Passing score: No fixed public percentage is published. Both MCQ and SAQ components must be passed from 2026; RANZCOG determines the required standard for each examination.
Assessment: The FRANZCOG Written Examination assesses knowledge across the RANZCOG curriculum in two components on the same day: 12 equally weighted short-answer questions (180 marks in two 2-hour sessions with breaks) and 100 single-best-answer multiple-choice questions (100 marks in 2 hours). Total 280 marks over 7 hours 30 minutes including breaks. From 2026, candidates must pass both SAQ and MCQ to pass overall; a failed component may be re-sat at a future sitting. This practice page targets the 100-question MCQ component.
Time limit: 100 MCQs in 2 hours (full written sitting 7 hours 30 minutes including SAQ and breaks).
Exam fee: AUD $2,810 (no GST), payable when registration is confirmed (RANZCOG 2026 fee schedule).

Keys to Passing

Complete 500+ practice questions
Score 80%+ consistently before scheduling
Focus on highest-weighted sections
Use our AI tutor for tough concepts

FRANZCOG Written MCQ Study Tips from Top Performers

1Map revision to the FRANZCOG Curriculum roles and core conditions — antenatal, intrapartum emergencies, gynaecology, oncology and professional practice all appear in both SAQ and MCQ components.

2Drill single-best-answer technique under time pressure: 100 questions in 2 hours allows roughly 72 seconds per question — practise mixed-topic timed blocks.

3Use RANZCOG Acquire released MCQ samples alongside this bank, then target weak domains (fetal Doppler, hypertensive disease, contraception UKMEC, gynae oncology workup) with curriculum reading.

Frequently Asked Questions

What is the FRANZCOG Written Examination format?

It is a computer-based exam with 12 short-answer questions (180 marks in two 2-hour parts with breaks) and 100 single-best-answer MCQs (100 marks in 2 hours). The full sitting is 7 hours 30 minutes including breaks. From 2026 you must pass both SAQ and MCQ components.

What is the FRANZCOG Written Examination fee in 2026?

RANZCOG lists the FRANZCOG Written Examination fee as AUD $2,810 (no GST), payable when registration is confirmed. Confirm the current fee on the RANZCOG fees page before applying.

How many attempts are allowed at the written examination?

Trainees who commenced from 1 December 2013 may have up to three attempts at each component (SAQ and MCQ). From 2026, if you fail only one component you may re-sit that component alone at a future examination.

When is the FRANZCOG Written Examination held in 2026?

RANZCOG schedules two sittings in 2026: Cycle 1 on Friday 30 January 2026 and Cycle 2 on Friday 3 July 2026. Results release on Thursday 19 March 2026 and Tuesday 18 August 2026 respectively.

Does this practice bank cover the SAQ component?

No. This free bank provides 100 original single-best-answer MCQs aligned to the FRANZCOG curriculum for the MCQ component only. SAQ preparation requires structured long-answer practice across the same curriculum domains.