100+ Free DCSRH Practice Questions
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A patient reports pain with penetration and avoids sex. What is the best first consultation approach?
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Key Facts: DCSRH Exam
50
OTA SBA questions
CoSRH OTA guide
60 minutes
OTA duration
CoSRH OTA guide
60%
OTA pass mark
CoSRH OTA guide
5
Summative Clinical Assessments
CoSRH DCSRH page
GBP 331
DCSRH application fee
CoSRH fees for 2026
2 years
DCSRH completion window
CoSRH DCSRH page
DFSRH is a legacy source label for the current CoSRH Diploma (DCSRH). CoSRH states that the Diploma includes an Independent Learning Portfolio, a 50-question one-hour Online Theory Assessment, five Summative Clinical Assessments and an Assessment Half Day. The OTA guide confirms the OTA is open-book, online, has 50 five-option SBA questions and a 60% pass mark. The 2026 fees page lists a GBP 331 application fee and GBP 142 Diplomate membership; an AHD event page lists GBP 343 for a virtual AHD when charged separately.
Sample DCSRH Practice Questions
Try these sample questions to test your DCSRH exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1A 27-year-old asks why a levonorgestrel intrauterine device can reduce menstrual bleeding. Which explanation is most accurate?
2A patient tracking cycles asks when ovulation usually occurs in a regular 28-day cycle. Which timing is the best approximation?
3During contraception counselling, a patient asks why cervical mucus changes matter. Which hormone effect is most relevant to progestogen-only contraception?
4A learner asks which structure is the usual site of fertilisation. What is the best answer?
5A patient using combined hormonal contraception asks why ovulation is suppressed. Which mechanism is central?
6A 45-year-old with perimenopausal symptoms asks why cycle timing is less predictable. Which physiological change is most relevant?
7A 35-year-old requests combined hormonal contraception and reports migraine with visual aura. What is the safest counselling point?
8A patient wants contraception and takes carbamazepine for epilepsy. What should the DCSRH candidate prioritise?
9A patient with previous venous thromboembolism asks for the combined pill. What is the best next step?
10A new patient asks for emergency contraception after unprotected sex. Which history item is essential before recommending a method?
About the DCSRH Exam
The source row uses the legacy DFSRH title and Faculty naming. CoSRH now publishes the current official qualification as the CoSRH Diploma (DCSRH). The Diploma is a portfolio-based SRH qualification for registered UK and Irish healthcare professionals, with an Online Theory Assessment of 50 five-option SBA questions in 60 minutes, five Summative Clinical Assessments and an Assessment Half Day with written and station-based assessment. This bank keeps the source ID to close the missing-exam row but normalizes display metadata to DCSRH.
Assessment
Portfolio-based Diploma with Independent Learning Portfolio, Online Theory Assessment, five Summative Clinical Assessments and Assessment Half Day.
Time Limit
OTA is 60 minutes. AHD includes a 1-hour written assessment plus four stations; a 2026 virtual AHD event is scheduled for 09:00-13:00.
Passing Score
OTA pass mark is 60%; CoSRH does not publish a single overall Diploma pass mark for all portfolio and AHD components on reviewed public pages.
Exam Fee
GBP 331 DCSRH application fee; AHD may be GBP 343 if not provided locally; GBP 142 Diplomate membership after completion (College of Sexual and Reproductive Healthcare)
DCSRH Exam Content Outline
Basic Anatomy and Physiology
Reproductive anatomy, ovulation, cervical mucus, endometrium and basic contraceptive physiology.
Health History and Risk Assessment
Medical, medication, pregnancy and sexual history, UKMEC reasoning and risk assessment.
Contraceptive Choices
Shared decision-making across oral, injectable, implant, intrauterine, barrier, natural and permanent methods.
Emergency Contraception
Copper IUD, oral EC, quick starting, repeat UPSI, vomiting, follow-up testing and trauma-informed EC care.
Contraception: Managing Side Effects and Complications of Use
Bleeding, pain, infection, neurovascular symptoms, VTE red flags and procedure complications.
Planning Pregnancy
Preconception counselling, fertility return, folic acid, chronic disease, medicines and immunisation.
Unintended Pregnancy and Abortion
Non-directive options counselling, abortion pathways, contraception after abortion and reproductive coercion.
Early Pregnancy
Pregnancy testing, ectopic red flags, pregnancy of unknown location and IUD pregnancy management.
Sexually Transmitted Infections (STIs)
Sexual history, testing, PID, chlamydia, gonorrhoea, HIV PEP, partner notification and self-sampling.
Needs of Specific Groups
Inclusive and accessible SRH care for adolescents, postpartum patients, trans patients, disabled patients and perimenopause.
Adult and Child/Young Person Safeguarding
Child and adult safeguarding, reproductive coercion, domestic abuse, FGM and confidentiality limits.
Psychosexual Medicine
Pain, desire, vaginismus, sexual wellbeing and referral or signposting.
Cervical Screening
Programme eligibility, HPV results, symptomatic bleeding and inclusive screening advice.
How to Pass the DCSRH Exam
What You Need to Know
- Passing score: OTA pass mark is 60%; CoSRH does not publish a single overall Diploma pass mark for all portfolio and AHD components on reviewed public pages.
- Assessment: Portfolio-based Diploma with Independent Learning Portfolio, Online Theory Assessment, five Summative Clinical Assessments and Assessment Half Day.
- Time limit: OTA is 60 minutes. AHD includes a 1-hour written assessment plus four stations; a 2026 virtual AHD event is scheduled for 09:00-13:00.
- Exam fee: GBP 331 DCSRH application fee; AHD may be GBP 343 if not provided locally; GBP 142 Diplomate membership after completion
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
DCSRH Study Tips from Top Performers
Frequently Asked Questions
Is DFSRH still the official current name?
The missing row uses DFSRH, but CoSRH now publishes the qualification as CoSRH Diploma (DCSRH). This page keeps the source ID and normalizes display metadata to DCSRH.
What is the DCSRH OTA format?
The CoSRH OTA guide states that the OTA is an open-book online assessment with 50 five-option single-best-answer questions and a 60-minute time limit.
What other DCSRH assessments are required?
CoSRH states that the Diploma includes the Independent Learning Portfolio, OTA, five Summative Clinical Assessments and an Assessment Half Day with a written assessment plus stations.
How much does DCSRH cost in 2026?
The 2026 fees page lists GBP 331 to apply, including a GBP 75 non-refundable admin fee, plus Diplomate membership after completion. The AHD may cost GBP 343 if not provided locally.
Who can apply for DCSRH?
CoSRH welcomes doctors, nurses, midwives, pharmacists, physician associates and other UK or Irish registered healthcare professionals working in primary care, community or integrated services, provided they meet the entry requirements.