100+ Free Facharzt FMH Gynäkologie und Geburtshilfe Practice Questions
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Key Facts: Facharzt FMH Gynäkologie und Geburtshilfe Exam
SGGG / SSGO
Exam Body
SIWF / SGGG Examination Regulations
120
Written Exam MCQs
SGGG Examination Committee
5 Years
Postgraduate Training
SIWF Weiterbildungsprogramm
240 min
Written Duration
SGGG Examination Regulations
Lifetime
FMH Title Validity
Swiss Medical Association (FMH)
100
Practice Questions
OpenExamPrep
The Facharzt FMH Gynäkologie und Geburtshilfe credential certifies specialist obstetricians and gynecologists in Switzerland through SIWF and SGGG. Assessment comprises a 120-MCQ written examination (Basisexamen/Schlussexamen Teil 1) and a structured oral-practical examination (Schlussexamen Teil 2) covering obstetrics, general gynecology, oncology, endocrinology, and urogynecology.
Sample Facharzt FMH Gynäkologie und Geburtshilfe Practice Questions
Try these sample questions to test your Facharzt FMH Gynäkologie und Geburtshilfe exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1A 29-year-old primigravida at 34+2 weeks of gestation presents to the labor ward with a severe throbbing frontal headache, visual scotoma, and epigastric discomfort. Her blood pressure is 168/112 mmHg on two measurements taken 15 minutes apart. Urinalysis shows 3+ proteinuria (protein-to-creatinine ratio 0.8 mg/mg). Laboratory analysis reveals platelet count 145,000/µL, serum creatinine 75 µmol/L, AST 38 U/L, and LDH 210 U/L. Fetal cardiotocography (CTG) is reassuring with a normal baseline of 135 bpm. In accordance with SGGG and international guidelines, what is the most urgent and appropriate initial pharmacotherapy regimen?
2A 32-year-old woman at 30+4 weeks of gestation in her first pregnancy is being monitored for early-onset fetal growth restriction (FGR). Fetal biometry shows an estimated fetal weight at the 2nd percentile. Umbilical artery (UA) Doppler ultrasound reveals absent end-diastolic flow (AEDF). Middle cerebral artery (MCA) Doppler demonstrates brain-sparing with a pulsatility index (PI) below the 5th percentile. Ductus venosus (DV) Doppler shows forward flow during atrial systole (positive a-wave). Computerized cardiotocography (cCTG) shows a short-term variability (STV) of 4.2 ms with no decelerations. According to ISUOG and TRUFFLE consensus guidelines, what is the most appropriate management plan?
3A 28-year-old woman with a monochorionic diamniotic (MCDA) twin pregnancy presents at 19+4 weeks for routine ultrasound. The inter-twin membrane is confirmed. Twin A exhibits a deepest vertical pocket (DVP) of amniotic fluid of 1.5 cm with a non-visualized collapsed bladder. Twin B exhibits a DVP of 9.2 cm with a significantly distended bladder. Umbilical artery Doppler in Twin A demonstrates persistent absent end-diastolic flow, while Twin B has normal Doppler waveforms. According to the Quintero staging system and SGGG/ISUOG guidelines, what stage is this condition and what is the primary gold standard intervention?
4A 31-year-old P2G2 woman delivers a 4,100 g infant vaginally following a 10-hour labor augmented with oxytocin. Ten minutes after delivery of the placenta, brisk vaginal bleeding is noted, totaling approximately 800 mL within 5 minutes. On abdominal palpation, the uterine fundus is soft, boggy, and located 3 cm above the umbilicus. Continuous uterine massage is initiated. What is the most appropriate next pharmacotherapy step according to SGGG postpartum hemorrhage (PPH) guidelines?
5A 26-year-old primigravida at 31+1 weeks of gestation presents with sudden painless pooling of clear fluid from the vagina. Sterile speculum examination confirms clear amniotic fluid pooling in the posterior fornix with positive IGFBP-1 / PAMG-1 rapid test. Maternal temperature is 36.8°C, maternal pulse 76 bpm, and fetal heart rate is 140 bpm with no uterine contractions. Laboratory markers (CRP and leukocyte count) are normal. What is the standard evidence-based management strategy for this patient with preterm premature rupture of membranes (PPROM)?
6During a vaginal delivery of a 4,350 g infant in a diabetic mother at 39 weeks, the fetal head delivers easily over the perineum, but immediately retracts against the maternal vulva ('turtle sign'). Gentle axial traction fails to deliver the anterior shoulder. The obstetric team declares a shoulder dystocia. According to standard obstetric algorithms (HELPERR), what is the correct initial sequence of physical maneuvers?
7A 27-year-old G1P0 woman at 40+1 weeks is in active labor at 6 cm cervical dilation. The intrapartum cardiotocogram (CTG) demonstrates a baseline fetal heart rate of 145 bpm, baseline variability of 2 bpm (persistently <5 bpm for >50 minutes), and recurrent U-shaped decelerations starting after the peak of each uterine contraction and returning to baseline well after the contraction ends. According to FIGO 2015 and SGGG intrapartum monitoring guidelines, how is this CTG categorized and what is the required clinical action?
8A 33-year-old primigravida at 38 weeks of gestation presents in active labor with spontaneous rupture of membranes. Her routine rectovaginal culture performed at 36 weeks was positive for Group B Streptococcus (GBS / Streptococcus agalactiae). She reports a mild childhood rash following oral amoxicillin, but has never experienced urticaria, respiratory distress, or anaphylaxis. According to SGGG and CDC guidelines, what is the optimal intrapartum antibiotic prophylaxis (IAP) regimen?
9A 30-year-old pregnant woman following in vitro fertilization (IVF) has an ultrasound at 22 weeks showing a bilobed placenta with a succenturiate lobe. Transvaginal color Doppler ultrasound demonstrates fetal blood vessels crossing the internal cervical os, unsupported by placental tissue or Wharton's jelly, located 1.2 cm above the internal os. The patient remains completely asymptomatic with closed cervix. What is the diagnosis and the recommended management plan to ensure optimal perinatal survival?
10A 34-year-old G2P1 woman at 26 weeks of gestation undergoes a standard 75 g oral glucose tolerance test (OGTT) for gestational diabetes mellitus (GDM) screening. The plasma glucose results are: Fasting 5.4 mmol/L (97 mg/dL), 1-hour 10.4 mmol/L (187 mg/dL), and 2-hour 8.2 mmol/L (148 mg/dL). According to SGGG and IADPSG diagnostic criteria, what is the interpretation and the recommended initial management?
About the Facharzt FMH Gynäkologie und Geburtshilfe Exam
The Facharzt FMH für Gynäkologie und Geburtshilfe (Specialist in Obstetrics and Gynaecology FMH) is the Swiss Federal postgraduate specialist title granting full independent practice rights in obstetrics and gynecology across Switzerland. Governed by the SIWF (Swiss Institute for Postgraduate and Continuous Medical Training) and the SGGG (Swiss Society of Obstetrics and Gynaecology / SSGO), qualification requires completing at least 5 years of accredited postgraduate residency training, passing the 120-question written multiple-choice examination, passing the oral-practical board examination, and fulfilling all surgical and clinical e-Logbook requirements. The core curriculum spans maternal-fetal medicine, high-risk obstetrics, intrapartum care, obstetric emergencies, benign and operative gynecology, gynecologic oncology, senology/breast disease, reproductive endocrinology and infertility, and urogynecology. Note on format and language: While the official Swiss examination is administered in German and French (using the EGONE e-learning platform and SGGG Expertenbriefe as core reference material), this question bank is an English-language multiple-choice study adaptation created by OpenExamPrep—not an official SGGG examination release—specifically designed to train high-yield clinical decision-making, surgical anatomy, and evidence-based protocols.
Assessment
Two-part qualifying assessment: 1) Written Multiple-Choice Examination (Basisexamen / Schlussexamen Teil 1) comprising 120 MCQs (4 hours) testing the comprehensive curriculum based on EGONE and clinical guidelines; 2) Oral-practical examination (Schlussexamen Teil 2, 60–90 minutes) consisting of case presentations, operative intervention analysis, and structured clinical stations before a panel of expert examiners.
Time Limit
240 minutes written examination plus approximately 60–90 minutes structured oral-practical examination
Passing Score
Criterion-referenced passing score on the 120-MCQ written examination and structured consensus passing evaluation across all clinical case stations and surgical logbook discussions in the oral-practical examination
Exam Fee
Written MCQ Exam CHF 600; Oral-Practical Exam CHF 2,500; SIWF FMH Title Application fee CHF 1,000–2,500 (Schweizerische Gesellschaft für Gynäkologie und Geburtshilfe (SGGG / SSGO) & Schweizerisches Institut für ärztliche Weiter- und Fortbildung (SIWF / FMH))
Facharzt FMH Gynäkologie und Geburtshilfe Exam Content Outline
Obstetrics & Perinatal Medicine (Geburtshilfe & Perinatologie)
Antenatal screening, ultrasound, preeclampsia/HELLP, fetal growth restriction (Doppler flows), preterm labor, labor induction, intrapartum CTG monitoring, operative vaginal delivery, postpartum hemorrhage (PPH), obstetric emergencies, and puerperal care.
General & Operative Gynecology (Allgemeine & Operative Gynäkologie)
Benign uterine disorders (leiomyomas, adenomyosis, AUB), endometriosis (#Enzian classification), acute pelvic pain, pelvic inflammatory disease, ectopic pregnancy, laparoscopy and hysteroscopy safety, surgical complications, and benign vulvovaginal disorders.
Gynecologic Oncology & Senology (Gynäkologische Onkologie & Senologie)
Cervical cancer (HPV screening, Bethesda, FIGO staging, trachelectomy, chemoradiation), endometrial cancer (FIGO 2023 molecular classification, sentinel node), ovarian cancer (cytoreduction, PARP inhibitors), vulvar cancer, gestational trophoblastic disease, and breast cancer diagnosis/multimodality therapy.
Reproductive Endocrinology, Infertility & Contraception
Menstrual cycle physiology, PCOS (Rotterdam criteria, letrozole), amenorrhea workup, menopausal hormone therapy (MHT), hormonal and non-hormonal contraception (WHO MEC), emergency contraception, infertility workup, and assisted reproductive technologies (ART/OHSS).
Urogynecology & Pelvic Floor Disorders (Urogynäkologie)
Pelvic organ prolapse (POP-Q staging, pessaries, surgical repairs), stress and urge urinary incontinence, urodynamic testing, recurrent urinary tract infections, and obstetric/iatrogenic fistulas.
How to Pass the Facharzt FMH Gynäkologie und Geburtshilfe Exam
What You Need to Know
- Passing score: Criterion-referenced passing score on the 120-MCQ written examination and structured consensus passing evaluation across all clinical case stations and surgical logbook discussions in the oral-practical examination
- Assessment: Two-part qualifying assessment: 1) Written Multiple-Choice Examination (Basisexamen / Schlussexamen Teil 1) comprising 120 MCQs (4 hours) testing the comprehensive curriculum based on EGONE and clinical guidelines; 2) Oral-practical examination (Schlussexamen Teil 2, 60–90 minutes) consisting of case presentations, operative intervention analysis, and structured clinical stations before a panel of expert examiners.
- Time limit: 240 minutes written examination plus approximately 60–90 minutes structured oral-practical examination
- Exam fee: Written MCQ Exam CHF 600; Oral-Practical Exam CHF 2,500; SIWF FMH Title Application fee CHF 1,000–2,500
Keys to Passing
- Work through all 100 available questions
- Review every answer and explanation
- Track weak areas and revisit them
- Use our AI tutor for tough concepts
Facharzt FMH Gynäkologie und Geburtshilfe Study Tips from Top Performers
Frequently Asked Questions
What is the Facharzt FMH für Gynäkologie und Geburtshilfe title?
The Facharzt FMH für Gynäkologie und Geburtshilfe is the federally recognized medical specialist title awarded by the SIWF / FMH (Swiss Medical Association) upon completion of at least 5 years of accredited postgraduate clinical training, passing both the written and oral-practical SGGG board examinations, and meeting all surgical logbook requirements.
How is the Swiss OB/GYN specialist examination structured?
The examination consists of two main parts: 1) A written 120-question multiple-choice examination (Basisexamen or Schlussexamen Teil 1) taking 4 hours; 2) An oral-practical examination (Schlussexamen Teil 2) lasting 60–90 minutes involving clinical case presentations (1 obstetric and 1 gynecologic case), surgical logbook discussion, and structured oral clinical questions.
What is the difference between the Basisexamen and Schlussexamen Teil 1?
The Basisexamen and the written part of the Schlussexamen use the same 120-question examination booklet administered on the same examination date. However, the passing standard is lower for the Basisexamen (taken earlier during residency) and higher for the Schlussexamen (required for the final specialist title).
What primary learning resources and guidelines are recommended?
The official learning platform recommended by the Swiss Chief Physicians Conference is EGONE (e-learning in Gynaecology and Obstetrics). Candidates are also expected to master the SGGG Expertenbriefe (expert letters), joint DGGG-SGGG-OeGGG S3 guidelines, and FIGO/ESGO/ESHRE consensus standards.
Why is this practice bank presented in English?
While the official Swiss examination is administered in German and French, modern gynecological oncology, perinatology, and reproductive endocrinology clinical trial data and international guidelines (FIGO, ESGO, ESHRE, ISUOG) are universally published in English. This practice bank adapts Swiss and international curriculum standards into 100 high-yield English-language questions.
What are the common obstetric emergencies tested on the Swiss board?
High-yield emergencies include postpartum hemorrhage (4Ts algorithm, uterotonics, balloon tamponade, and surgical techniques), shoulder dystocia (HELPERR mnemonic), eclampsia and magnesium sulfate protocols, umbilical cord prolapse, amniotic fluid embolism, and uterine rupture during trial of labor after cesarean (TOLAC).