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100+ Free CAQ-OBGYN Practice Questions

Pass your NCCPA CAQ Obstetrics and Gynecology exam on the first try — instant access, no signup required.

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A 52-year-old reports hot flashes, night sweats, and vaginal dryness. She has an intact uterus. Which is the most appropriate hormone therapy regimen?

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B
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Key Facts: CAQ-OBGYN Exam

120

Total Items

NCCPA CAQ

3 hrs

Exam Time

NCCPA

$350

Exam Fee

NCCPA

3,000 hrs

Practice Required

Prior 6 yrs OB/GYN-PA

NCCPA CAQ-OBGYN is the PA subspecialty credential for obstetrics/gynecology. 120 items, 3 hours, $350. Eligibility: 3,000 hours OB/GYN practice + 150 OB/GYN CME. Master ACOG GDM and preeclampsia diagnosis, USPSTF cervical cancer screening, CDC MEC for contraception, Mg sulfate for severe preeclampsia, and ASCCP cytology management.

Sample CAQ-OBGYN Practice Questions

Try these sample questions to test your CAQ-OBGYN 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 G1P0 presents at 8 weeks gestation for her first prenatal visit. According to ACOG guidelines, which laboratory panel should be ordered at this initial visit?
A.CBC, blood type and Rh, antibody screen, RPR, HBsAg, HIV, rubella immunity, urine culture
B.CBC, glucose tolerance test, GBS culture, antibody screen
C.Rh and antibody screen only — other tests deferred to second trimester
D.CBC and urinalysis only; serologies are obtained only if symptoms present
Explanation: ACOG recommends a comprehensive first-visit prenatal panel including CBC, blood type/Rh, antibody screen, RPR/syphilis, HBsAg, HIV, rubella immunity, urine culture, and Pap smear if due. Varicella immunity, TSH (if indicated), and chlamydia/gonorrhea (if at risk) are also obtained.
2A 30-year-old patient at 12 weeks gestation asks about non-invasive prenatal screening (NIPS/cfDNA). When is this test optimally performed?
A.After 6 weeks gestation
B.After 10 weeks gestation
C.After 16 weeks gestation
D.Only in the third trimester
Explanation: Cell-free DNA (NIPS) requires sufficient fetal fraction in maternal circulation, which is reliably present after 10 weeks gestation. ACOG endorses offering NIPS to all pregnant patients regardless of risk after 10 weeks.
3A 32-year-old G2P1 at 12 weeks gestation requests first-trimester combined screening. Which components are included?
A.Maternal serum AFP, hCG, and unconjugated estriol
B.Nuchal translucency ultrasound, PAPP-A, and free beta-hCG between 11 and 13 6/7 weeks
C.Cell-free DNA only
D.Quad screen (AFP, hCG, estriol, inhibin A)
Explanation: First-trimester combined screening includes nuchal translucency (NT) ultrasound plus serum PAPP-A and free beta-hCG, performed between 11 0/7 and 13 6/7 weeks. It screens for trisomy 21, 18, and 13.
4When should the routine fetal anatomy ultrasound be performed in a low-risk pregnancy?
A.8-10 weeks gestation
B.12-14 weeks gestation
C.18-22 weeks gestation
D.28-32 weeks gestation
Explanation: ACOG recommends routine detailed fetal anatomy survey between 18 and 22 weeks gestation, when fetal organs are large enough to evaluate but the pregnancy is still early enough to allow for diagnostic options if anomalies are identified.
5A 27-year-old G2P1 with a normal BMI presents for a 26-week visit. Per ACOG, when is universal screening for gestational diabetes performed?
A.12-14 weeks
B.16-20 weeks
C.24-28 weeks
D.32-36 weeks
Explanation: Universal GDM screening with a 50-g 1-hour glucose challenge test (GCT) is performed at 24-28 weeks. Women at high risk (obesity, prior GDM, family history, PCOS) should be screened earlier in pregnancy, with rescreening at 24-28 weeks if initial test is normal.
6Per ACOG, when is universal screening for Group B Streptococcus (GBS) performed in pregnancy?
A.20-24 weeks gestation
B.28-32 weeks gestation
C.36 0/7 to 37 6/7 weeks gestation
D.Within 1 week of delivery
Explanation: Updated ACOG/CDC guidelines recommend universal vaginal-rectal GBS culture between 36 0/7 and 37 6/7 weeks gestation. The shift from 35-37 weeks improves the predictive value at term delivery (within 5 weeks of culture).
7A 24-year-old G1P0 at 28 weeks is Rh-negative with a negative antibody screen. What is the appropriate management?
A.Administer 300 mcg of anti-D immune globulin (RhoGAM) now and again postpartum if the infant is Rh-positive
B.Administer RhoGAM only after delivery
C.Repeat antibody screen monthly until delivery; no RhoGAM needed
D.Administer RhoGAM only if a sensitizing event occurs
Explanation: Standard practice is to administer 300 mcg anti-D immune globulin (RhoGAM) at 28 weeks to Rh-negative, unsensitized women, with a second dose within 72 hours postpartum if the infant is Rh-positive. Additional doses are given for sensitizing events (bleeding, trauma, amniocentesis).
8A 30-year-old patient with a pre-pregnancy BMI of 22 (normal) is pregnant with a singleton. What is the recommended total weight gain in pregnancy per IOM guidelines?
A.11-20 lbs
B.25-35 lbs
C.28-40 lbs
D.15-25 lbs
Explanation: Per IOM guidelines: underweight (BMI <18.5) gain 28-40 lbs; normal weight (18.5-24.9) gain 25-35 lbs; overweight (25-29.9) gain 15-25 lbs; obese (>=30) gain 11-20 lbs. Twin pregnancies have higher targets.
9Per ACOG and CDC, which vaccine should be administered during EACH pregnancy, regardless of prior vaccination history?
A.MMR
B.Varicella
C.Tdap (preferably between 27 and 36 weeks)
D.HPV
Explanation: Tdap is recommended in every pregnancy, ideally between 27 and 36 weeks, to maximize transplacental antibody transfer protecting the newborn from pertussis. MMR and varicella are live vaccines contraindicated in pregnancy. HPV is not given during pregnancy.
10A pregnant patient asks if she can receive the inactivated influenza vaccine. What is the appropriate response?
A.Influenza vaccine is contraindicated during pregnancy
B.Inactivated flu vaccine is recommended in any trimester during influenza season
C.Only the live attenuated nasal vaccine should be used in pregnancy
D.Defer until postpartum to avoid fetal exposure
Explanation: Inactivated influenza vaccine (IIV) is recommended for all pregnant women in any trimester during influenza season. Pregnancy increases the risk of severe influenza complications. The live attenuated nasal vaccine (LAIV) is contraindicated in pregnancy.

About the CAQ-OBGYN Exam

NCCPA Certificate of Added Qualifications in OB/GYN — for PAs in obstetrics and gynecology practice. Covers antepartum care, intrapartum/postpartum, high-risk obstetric complications (preeclampsia, GDM, preterm labor), gynecologic conditions (AUB, fibroids, endometriosis, PCOS), contraception/family planning (CDC MEC), reproductive endocrinology, menopause/pelvic floor, OB/GYN emergencies/surgery, cancer screening (cervical, breast, ovarian), and OB/GYN PA practice.

Questions

120 scored questions

Time Limit

3 hours

Passing Score

Scaled (NCCPA-set)

Exam Fee

$350 (NCCPA)

CAQ-OBGYN Exam Content Outline

16%

Intrapartum / Postpartum

Labor stages, fetal monitoring (Cat I/II/III), shoulder dystocia (HELPERR), PPH, postpartum care

16%

High-Risk OB Complications

Preeclampsia (Mg sulfate), GDM (ACOG), preterm labor, IUGR, multiples, placenta previa/accreta

15%

Antepartum Care

Prenatal labs, dating, NIPT/screening, vaccines (Tdap, flu, RSV), aspirin for preeclampsia prevention

12%

Gynecologic Conditions

AUB (PALM-COEIN), fibroids, endometriosis, PCOS (Rotterdam), PID (CDC), vulvovaginitis

8%

Contraception / Family Planning

CDC MEC, IUDs, implants, OCPs, EC (LNG/UPA/Cu-IUD), tubal ligation, vasectomy counseling

7%

Reproductive Endocrinology / Infertility

Workup, ovulation induction (clomiphene, letrozole), IVF basics, hyperandrogenism

7%

Menopause / Pelvic Floor

HRT (timing hypothesis), GSM, prolapse (POP-Q), urinary incontinence (stress vs urge)

7%

OB/GYN Emergencies & Surgery

Ectopic, ovarian torsion, severe preeclampsia/HELLP, postpartum hemorrhage, uterine rupture

7%

Cancer Screening

Cervical (USPSTF/ACS), ASCCP, breast (USPSTF), ovarian, endometrial workup for AUB

5%

OB/GYN PA Practice

Documentation, ultrasound basics, scope, billing, telehealth, informed consent

How to Pass the CAQ-OBGYN Exam

What You Need to Know

  • Passing score: Scaled (NCCPA-set)
  • Exam length: 120 questions
  • Time limit: 3 hours
  • Exam fee: $350

Keys to Passing

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

CAQ-OBGYN Study Tips from Top Performers

1Master ACOG preeclampsia criteria (severe features + Mg sulfate prophylaxis) and GDM diagnostic thresholds
2Memorize CDC Medical Eligibility Criteria (MEC) Categories 1-4 for contraception
3Drill USPSTF cervical, breast, and colorectal screening intervals + ASCCP risk-based cytology management
4Know shoulder dystocia maneuvers (HELPERR) and postpartum hemorrhage etiologies (4 Ts: Tone, Trauma, Tissue, Thrombin)
5Apply PALM-COEIN classification to AUB workup and management

Frequently Asked Questions

How is gestational diabetes diagnosed?

ACOG 2-step: (1) 50g 1-hour glucose challenge at 24-28 weeks — if ≥130-140 mg/dL (institution-dependent), proceed to 100g 3-hour OGTT. (2) GDM if ≥2 of: fasting ≥95, 1h ≥180, 2h ≥155, 3h ≥140 mg/dL (Carpenter-Coustan). Alternative IADPSG/ADA 1-step: 75g 2h OGTT — GDM if any: fasting ≥92, 1h ≥180, 2h ≥153.

What is the management of severe preeclampsia?

Severe features: BP ≥160/110, plt <100K, transaminases 2× ULN, Cr >1.1, pulm edema, severe RUQ/headache/visual symptoms. Magnesium sulfate 4-6g load + 1-2g/h infusion (seizure prophylaxis); monitor for toxicity (loss DTRs, RR <12). Antihypertensives (IV labetalol, hydralazine, PO nifedipine) for BP ≥160/110. Delivery at ≥34 wks (severe) regardless.

What is the USPSTF cervical cancer screening schedule?

USPSTF 2018: ages 21-29 cytology alone every 3 years; ages 30-65 cytology every 3 years OR HPV testing alone every 5 years OR co-testing every 5 years. Stop at 65 with adequate prior screening. ACS 2020 recommends primary HPV testing every 5 years starting at 25 (still being adopted). ASCCP 2019 risk-based management for abnormals.

How should I study for CAQ-OBGYN?

Plan 80-120 hours over 10-14 weeks. Work the NCCPA CAQ Obstetrics and Gynecology content blueprint, drill weighted-domain practice questions, complete required Category 1 CME, and submit experience requirements (typically ≥3,000 hours specialty practice in the prior 6 years and ≥150 specialty CME) before sitting the exam.