100+ Free RCPSC Obstetrics and Gynecology Practice Questions
Pass your Royal College Certification Examination in Obstetrics and Gynecology exam on the first try — instant access, no signup required.
Loading practice questions...
Explore More Royal College of Canada Specialty Exams
Continue into nearby exams from the same family. Each card keeps practice questions, study guides, flashcards, videos, and articles in one place.
Key Facts: RCPSC Obstetrics and Gynecology Exam
2 MCQ papers
Written component is Paper 1 and Paper 2, each ~80-90 single-best-answer questions
RCPSC - Format of the Examination in Obstetrics and Gynecology
3 hours per paper
Each written MCQ paper is 3 hours, for 6 hours of written testing
RCPSC - Format of the Examination in Obstetrics and Gynecology
70%
Pass score required for each component, written and applied
RCPSC - Format of the Examination in Obstetrics and Gynecology
OSCE
Applied component is a structured oral OSCE exam
RCPSC - Format of the Examination in Obstetrics and Gynecology
C$5,130
2026 comprehensive objective exam fee covering written and applied components
RCPSC - Assessment and exam fees 2026
Decoupled
Passing the written but not the applied does not require retaking the written
RCPSC - Format of the Examination in Obstetrics and Gynecology
100
Free original single-best-answer practice questions here
OpenExamPrep
The Royal College Certification Examination in Obstetrics and Gynecology is Canada's national certifying exam for specialist ObGyns, administered by the Royal College of Physicians and Surgeons of Canada. The written component has two single-best-answer MCQ papers (~80-90 questions each, 3 hours per paper), and the applied component is a structured oral examination of about 2 hours; the written must be passed before the applied. The pass score is 70% for each component. 2026 registration is C$5,130 for the comprehensive objective exam (or C$2,565 per component), with a separate assessment fee. This 100-question bank provides original single-best-answer practice across the official blueprint, built on SOGC guidelines.
Sample RCPSC Obstetrics and Gynecology Practice Questions
Try these sample questions to test your RCPSC Obstetrics and Gynecology 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 at 39 weeks gestation presents in active labor. Fetal heart rate monitoring is Category I. According to SOGC guidelines, what is the recommended frequency for intermittent auscultation during the active phase of the first stage of labor?
2A 32-year-old G2P1 at 38 weeks gestation has continuous electronic fetal monitoring (EFM) in labor. The tracing shows a baseline of 145 bpm, moderate variability, and late decelerations associated with more than 50% of uterine contractions. What is the most appropriate initial management step?
3A 24-year-old nulliparous patient in active labor has been dilated at 6 cm for the last 4 hours despite ruptured membranes and adequate uterine contractions (confirmed by intrauterine pressure catheter showing 250 Montevideo units). What is the diagnosis?
4A 29-year-old G1P0 at 37 weeks gestation is diagnosed with gestational hypertension. Her blood pressures are consistently 145/95 mmHg, and she has no proteinuria or severe features. What is the most appropriate management plan?
5Which of the following clinical findings meets the SOGC criteria for preeclampsia with severe features (severe preeclampsia)?
6A 34-year-old G3P2 at 35 weeks gestation presents with severe preeclampsia and a blood pressure of 175/115 mmHg. According to SOGC guidelines, what is the recommended target blood pressure range when administering acute antihypertensive therapy?
7What is the standard dosing regimen for magnesium sulfate when used for seizure prophylaxis in a patient with severe preeclampsia?
8A patient receiving magnesium sulfate for preeclampsia develops loss of deep tendon reflexes, a respiratory rate of 8 breaths/minute, and urine output of 10 mL over the last hour. What is the immediate management step?
9According to Canadian guidelines, what is the recommended gestational age range for screening pregnant patients for Group B Streptococcus (GBS) colonization?
10A G1P0 at 38 weeks gestation is GBS-positive and in active labor. She reports a history of a severe penicillin allergy characterized by anaphylaxis. Her GBS isolate is resistant to clindamycin and erythromycin. Which antibiotic is the most appropriate for intrapartum GBS prophylaxis?
About the RCPSC Obstetrics and Gynecology Exam
The Royal College Certification Examination in Obstetrics and Gynecology is the national certifying exam for specialist obstetricians and gynecologists in Canada, administered by the Royal College of Physicians and Surgeons of Canada. It assesses readiness to enter unsupervised specialist practice and consists of a written component (two MCQ papers of about 80-90 single-best-answer questions each, 3 hours per paper) followed by an applied structured-oral component of about 2 hours. The pass score is 70% for each component. Most questions assess the Medical Expert role, with some assessing intrinsic CanMEDS roles, and content follows a blueprint covering obstetrics, general gynecology, and subspecialties. The exam follows SOGC guidelines and other Canadian standards of care.
Assessment
Two-component exam. Written: Paper 1 (~80-90 single-best-answer MCQs) and Paper 2 (~80-90 single-best-answer MCQs). Applied: structured oral, about 2 hours. The written must be passed before the applied.
Time Limit
Written: 3 hours for Paper 1 and 3 hours for Paper 2 (6 hours MCQ total). Applied: structured oral, about 2 hours.
Passing Score
70% passing score on written component. Decoupled format.
Exam Fee
2026 exam registration (CAD): comprehensive objective exam C$5,130 (written and applied together) or C$2,565 each component separately, plus a separate assessment-of-eligibility fee (e.g. C$850 for Canadian residency specialty training). All fees in Canadian dollars. (Royal College of Physicians and Surgeons of Canada (RCPSC))
RCPSC Obstetrics and Gynecology Exam Content Outline
Normal and Complicated Obstetrics
Covers normal and complicated obstetrics, antepartum care, intrapartum care, postpartum care, and related fetal and maternal health monitoring.
General Gynecology and Urogynecology
Covers pediatric and adolescent gynecology, abnormal uterine bleeding, pelvic pain, endometriosis, contraception, menopause, and pelvic floor disorders.
Subspecialties (REI, Gynecologic Oncology, Maternal-Fetal Medicine)
Covers reproductive endocrinology and infertility (infertility evaluation, PCOS, amenorrhea), gynecologic oncology (cervical, endometrial, ovarian cancers), and maternal-fetal medicine (FGR, alloimmunization, medical complications of pregnancy).
How to Pass the RCPSC Obstetrics and Gynecology Exam
What You Need to Know
- Passing score: 70% passing score on written component. Decoupled format.
- Assessment: Two-component exam. Written: Paper 1 (~80-90 single-best-answer MCQs) and Paper 2 (~80-90 single-best-answer MCQs). Applied: structured oral, about 2 hours. The written must be passed before the applied.
- Time limit: Written: 3 hours for Paper 1 and 3 hours for Paper 2 (6 hours MCQ total). Applied: structured oral, about 2 hours.
- Exam fee: 2026 exam registration (CAD): comprehensive objective exam C$5,130 (written and applied together) or C$2,565 each component separately, plus a separate assessment-of-eligibility fee (e.g. C$850 for Canadian residency specialty training). All fees in Canadian dollars.
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
RCPSC Obstetrics and Gynecology Study Tips from Top Performers
Frequently Asked Questions
How many questions are on the Royal College ObGyn written exam?
The written component has two papers of multiple-choice questions: Paper 1 has about 80-90 single-best-answer MCQs and Paper 2 has about 80-90, for roughly 160-180 MCQs in total. Each paper is 3 hours.
What is the passing score for the Royal College ObGyn exam?
The pass score is 70% for each component (written and applied), determined through a standard-setting process. Paper 1 and Paper 2 are combined into one overall written score, so you pass the written component overall rather than each paper individually.
Is the exam written-only or does it have an oral component?
It has two components. The written MCQ component comes first, and only candidates who pass it are invited to the applied component, which is a structured oral OSCE examination.
How much does the Royal College ObGyn exam cost?
For 2026, the comprehensive objective exam (written and applied) costs C$5,130, or C$2,565 per component if registered separately. A separate assessment-of-eligibility fee also applies, for example C$850 for Canadian residency specialty training. All fees are in Canadian dollars.
What guidelines does the exam follow?
The exam follows SOGC clinical practice guidelines, choosing wisely Canada, and standard textbooks such as Williams Obstetrics and Comprehensive Gynecology.
Are these official Royal College practice questions?
No. These are original OpenExamPrep questions modelled on the official blueprint and single-best-answer format. The Royal College provides its own guidelines and format documents separately on royalcollege.ca.