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MRCOG Part 3 (Clinical Assessment OSCE)

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Sample DRCOG Practice Questions

Try these sample questions to test your DRCOG 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 woman requests combined hormonal contraception. She reports migraine with aura. Using UKMEC, what is the correct category for combined hormonal contraception?

A.Category 4 — unacceptable health risk

B.Category 1 — unrestricted use

C.Category 2 — benefits generally outweigh risks

D.Category 3 — risks generally outweigh benefits

Explanation: UKMEC classifies migraine with aura as Category 4 for combined hormonal contraception (pill, patch or ring) because oestrogen increases stroke risk. Progestogen-only methods are usually preferred alternatives after counselling.

2A 36-year-old woman who smokes 20 cigarettes daily requests the combined oral contraceptive pill. What is the most appropriate UKMEC-based advice?

A.CHC is UKMEC Category 2 and usually acceptable

B.CHC is UKMEC Category 4 and should not be used

C.CHC is UKMEC Category 3 and may be used with caution after specialist advice

D.Smoking status does not affect CHC eligibility under UKMEC

Explanation: For women aged 35 or over who smoke 15 or more cigarettes daily, combined hormonal contraception is UKMEC Category 4 because of substantially elevated cardiovascular risk. Safer alternatives include progestogen-only or intrauterine methods.

3A woman presents 96 hours after unprotected intercourse seeking oral emergency contraception. Which option is most appropriate within licensed timing?

A.Levonorgestrel 1.5 mg as a single dose

B.Combined oral contraceptive as the Yuzpe method only

C.Ulipristal acetate 30 mg as a single dose

D.No oral emergency contraception is effective after 72 hours

Explanation: Ulipristal acetate is licensed for use up to 120 hours (5 days) after unprotected intercourse and is the preferred oral option when presentation is after 72 hours. Levonorgestrel oral EC is licensed only up to 72 hours.

4Which emergency contraceptive method is the most effective overall and can also provide ongoing contraception?

A.Levonorgestrel 1.5 mg orally

B.Ulipristal acetate 30 mg orally

C.Desogestrel progestogen-only pill started immediately

D.Copper intrauterine device

Explanation: The copper IUD is the most effective form of emergency contraception and can remain in situ for ongoing contraception. Oral methods are useful when IUD insertion is declined or unavailable within the eligible window.

5According to current UK sexual-health practice, what is first-line treatment for uncomplicated genital Chlamydia trachomatis infection in a non-pregnant adult?

A.Doxycycline 100 mg twice daily for 7 days

B.Azithromycin 1 g as a single dose

C.Metronidazole 400 mg twice daily for 7 days

D.Ceftriaxone 1 g intramuscularly as a single dose

Explanation: BASHH guidance recommends doxycycline 100 mg twice daily for 7 days as first-line therapy for uncomplicated chlamydia in non-pregnant adults. Azithromycin is no longer preferred first-line because of resistance concerns and lower rectal efficacy.

6A 22-year-old woman has thin grey vaginal discharge with a fishy odour and clue cells on microscopy. What is the most likely diagnosis?

A.Vulvovaginal candidiasis

B.Bacterial vaginosis

C.Trichomonas vaginalis infection

D.Chlamydia trachomatis cervicitis

Explanation: Bacterial vaginosis typically presents with thin grey-white discharge and a fishy odour; clue cells on wet mount support the diagnosis. It is not usually sexually transmitted in the same way as trichomonas or chlamydia.

7In the NHS Cervical Screening Programme in England, what is the primary screening test used for eligible women?

A.Liquid-based cytology alone every 3 years

B.Colposcopy for all first invitations

C.High-risk HPV primary testing

D.CA125 blood testing

Explanation: England's cervical screening programme uses high-risk HPV primary testing. Cytology is performed as triage when HPV is detected; HPV-negative women return to routine recall.

8A woman using a copper IUD reports missing threads. Speculum examination cannot locate them. Pregnancy test is negative. What is the most appropriate next step?

A.Reassure that expulsion is certain and start combined oral contraception today

B.Perform blind instrumentation to retrieve threads in primary care

C.Remove any remaining device fragments with Magill forceps

D.Arrange ultrasound to locate the device and advise additional contraception until located

Explanation: Missing threads require exclusion of pregnancy and imaging (usually ultrasound) to determine whether the IUD is intrauterine, expelled or displaced. Additional contraception is advised until location is confirmed.

9Which statement best reflects UK law on abortion for pregnancies under 24 weeks in England and Wales (Abortion Act framework)?

A.Two registered medical practitioners must certify that statutory grounds are met (with specific early medical abortion arrangements)

B.Abortion is available on request without medical grounds up to 24 weeks

C.Only a consultant obstetrician may authorise abortion at any gestation

D.Abortion is prohibited after 12 weeks except to save the woman's life

Explanation: Under the Abortion Act 1967 (as amended), two registered medical practitioners generally certify that one of the statutory grounds is met. Early medical abortion pathways include regulated remote/home arrangements within current legal frameworks; it is not simply 'on request' without grounds.

10A 19-year-old requests the contraceptive implant. Which counselling point is most accurate?

A.Typical-use failure rate is similar to combined oral contraception

B.It is a progestogen-only method lasting up to 3 years

C.It must be removed after 12 months to avoid infertility

D.It is UKMEC Category 4 after caesarean section

Explanation: The etonogestrel implant is a highly effective progestogen-only long-acting reversible contraceptive licensed for up to 3 years. Fertility returns promptly after removal; it is not associated with lasting infertility.

About the DRCOG Exam

The DRCOG is the RCOG's diploma examination for non-specialist doctors—especially UK GPs and GP trainees—who want to demonstrate advanced knowledge of women's healthcare in primary care. It assesses clinical problem-solving across seven official syllabus modules covering fertility regulation and sexual health, subfertility, early pregnancy, antenatal care, peripartum and neonatal care, urgent gynaecology, and non-urgent gynaecology. There is no clinical training prerequisite; the exam is knowledge-based only.

Assessment

One computer-based paper of 120 single best answer (SBA) questions, each worth 2 marks (240 marks total). Held twice yearly (March and October). Knowledge level is that of a competent UK GP applying women's health guidelines (NICE, RCOG Green-tops, FSRH UKMEC, BASHH).

Time Limit

3 hours for the single computer-based paper.

Passing Score

No fixed percentage. Pass mark is standard-set each sitting using a modified Angoff method against the competent GP-trainee standard; pass marks and pass rates therefore fluctuate by diet.

Exam Fee

UK band £556 (incl. VAT) for 2026 sittings; Republic of Ireland £463. Banding follows the country of the Pearson VUE centre. Confirm current fees on the RCOG key dates and fees page before booking. (Royal College of Obstetricians and Gynaecologists (RCOG))

DRCOG Exam Content Outline

18%

Fertility Regulation and Sexual Health Assessment

STIs, cervical screening, UKMEC contraception, emergency contraception, abortion pathways and sexual assault pathways.

10%

The Couple with Subfertility

Fertility basics, investigations, ovulation induction, ART overview and psychosocial aspects.

12%

The Woman in Early Pregnancy

Miscarriage, ectopic pregnancy, PUL, molar pregnancy, hyperemesis and recurrent miscarriage.

18%

The Pregnant Woman

Antenatal screening, medical disorders, pre-eclampsia, GDM, APH, preterm labour and infections in pregnancy.

14%

The Peripartum Woman and the Neonate

Labour, obstetric emergencies, postnatal check, breastfeeding and postpartum mental health.

12%

Urgent Gynaecological Problems

Acute pelvic pain, PMB, ovarian malignancy pathway and perioperative consent principles.

16%

Non-Urgent Gynaecological Problems

Amenorrhoea, AUB, fibroids, incontinence, prolapse, menopause/HRT, FGM and vulval disease.

How to Pass the DRCOG Exam

What You Need to Know

Passing score: No fixed percentage. Pass mark is standard-set each sitting using a modified Angoff method against the competent GP-trainee standard; pass marks and pass rates therefore fluctuate by diet.
Assessment: One computer-based paper of 120 single best answer (SBA) questions, each worth 2 marks (240 marks total). Held twice yearly (March and October). Knowledge level is that of a competent UK GP applying women's health guidelines (NICE, RCOG Green-tops, FSRH UKMEC, BASHH).
Time limit: 3 hours for the single computer-based paper.
Exam fee: UK band £556 (incl. VAT) for 2026 sittings; Republic of Ireland £463. Banding follows the country of the Pearson VUE centre. Confirm current fees on the RCOG key dates and fees page before booking.

Keys to Passing

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

DRCOG Study Tips from Top Performers

1Drill the FSRH UKMEC table for Category 3 and 4 combined hormonal contraception scenarios (migraine with aura, smoking ≥15/day at age ≥35, prior VTE)—these appear repeatedly in DRCOG SBAs.

2Map revision to the seven RCOG syllabus modules and weight time toward Module 1 (contraception/sexual health) and Module 4 (antenatal care), which together drive a large share of applied primary-care questions.

3Practise timed SBAs at roughly 90 seconds each (120 questions in 3 hours), and cross-check high-yield topics against current NICE and RCOG Green-top recommendations rather than older textbooks alone.

Frequently Asked Questions

What is the DRCOG and who is it for?

The Diploma of the Royal College of Obstetricians and Gynaecologists (DRCOG) is an RCOG knowledge assessment for non-O&G specialists—most often UK GPs and GP trainees—who want to evidence advanced women's health knowledge for primary care, extended roles, or MRCGP women's health preparation. It is not a specialist O&G qualification.

How many questions are on the DRCOG and how long is it?

The official exam is one 3-hour computer-based paper of 120 single best answer (SBA) questions, each worth 2 marks. This free practice bank contains 100 SBA-style questions covering the same seven RCOG syllabus modules.

What is the DRCOG pass mark and fee in 2026?

There is no fixed percentage pass mark; RCOG uses modified Angoff standard setting for each sitting. The 2026 UK-band fee is £556 including VAT (£463 in the Republic of Ireland), banded by test-centre country. Confirm current fees and dates on the RCOG website before booking.

What topics does the DRCOG syllabus cover?

Seven official modules: fertility regulation and sexual health; subfertility; early pregnancy; the pregnant woman (antenatal care); the peripartum woman and neonate; urgent gynaecological problems; and non-urgent gynaecological problems. Questions reflect UK primary-care application of NICE, RCOG, FSRH and BASHH guidance.