MRCOG PART 2 GYNAECOLOGY EXAM
QUESTIONS AND ANSWERS 2026
VERIFIED.
Suspect DVT but USG negative, next step of management - ANS If ultrasound is negative and
a high level of clinical suspicion exists, anticoagulant treatment should be discontinued but the
ultrasound should be repeated on days 3 and 7.
LICHEN SCLEROSIS - ANS pale atrophic vulva + scratch marks + lichenificaition + LOSS OF
ARCHITECTURE
When to rrBSO for BRCA 1 // BRCA 2 // TAHSBO for Lynch - ANS 35 // 35 - 45 // completed
family or 40 years for cost effective strategy
Cervical Ca - what is the best method of radiologic assessment of primary tumors greater than
10 mm/1cm - ANS MRI is the best method of radiologic assessment of primary tumors
greater than 10 mm.
VULVA CA with FIGO Stage IA tumours - definition and management? - ANS Patients with
FIGO Stage IA tumours, where the primary lesion is <2 cm in maximum diameter with a depth of
invasion <1 mm, can be treated by RADICAL wide local excision alone WITHOUT the need for
groin lymphadenectomy.
Management of vulva Ca with stage 1B and II - ANS All women who have Stage IB or Stage II
cancers should have an inguinofemoral lymphadenectomy.
@2026/2027 ALLRIGHTS RESERVED.
,differentiated VIN is associated with - ANS lichen sclerosus, ALSO most common cause for
SQUAMOUS CELL CARCINOMA.
on the contrary, undifferentiated VIN is associated with HPV
risk of complete molar requiring Chemo - ANS 13 -16% FOR COMPLETE MOLAR
perecentage of women diagnosed with ENDOMETRIAL CANCER after initial inadequate sample -
ANS 4.5%
First line treatment of PMS - ANS FIRST LINE: Drospirenone-containing COCs (YASMIN)
o Use COC continuously (rather than cyclically)
RMI scoring - ultrasound features - ANS solid, multilocular, bilateral, ascites, mets
Most common upper limb nerve injury during gynaecological surgery - ANS ERB PALSY (C5-6)
due to stretch injury
unexplained interility should try how long before IVF - ANS 2 YEARS!
Pregnant + <22 weeks with cervical cancer what is the management? 1A2 OR 1B1 - ANS PLND
positive : TOP
PLND negative: simple trachelectomy or Delay treatment after delivery
Pregnant + >22weeks with cervical cancer what is the maangement? 1A2 or 1B1 - ANS NACT
or Delay treatment after delivery
When to screen for STD after assaulted rape - ANS 2- 3 weeks
@2026/2027 ALLRIGHTS RESERVED.
, possible adverse impact on long-term neurodevelopment of the newborn following in utero
exposure to which antiepileptic - ANS sodium valproate.
commonest vascular injury during umbilical port insertion - ANS common iliac
risk of ovarian cancer for BRCA 1 and 2 - ANS BRCA 1 : 30 - 40
BRCA 2: 10 - 20
Women on tamoxifen are advised to stop this treatment how long before conceiving -
ANS Women on tamoxifen are advised to stop this treatment 3 months
GOLD STANDARD to diagnose MRKH - ANS MRI
adhesion in previous midline incision vs low transverse - ANS 50% vs 20%
Atypical hyperplasia has been associated with a rate of concomitant carcinoma of up to ??? % in
women undergoing hysterectomy - ANS 43%
what is regression for hyperplasia with atypia and what is the long term follow up - ANS 2
consecutive negative biopsy 3 months apart . then 6-12 monthly endometrial biopsy
EH with atypia , when can conceive - ANS disease regression seen on ONE biopsy
if beta HCG >13% DECREASE, what is the liekly diagnosis and how to follow up - ANS failed
PUL. UPT in 2 weeks . repeat serum hCG if +ve
treatment of post hysterec vault prolapse ( name 2) - ANS abdominal sacrocolpopexy (less
dyspareunia),
@2026/2027 ALLRIGHTS RESERVED.
QUESTIONS AND ANSWERS 2026
VERIFIED.
Suspect DVT but USG negative, next step of management - ANS If ultrasound is negative and
a high level of clinical suspicion exists, anticoagulant treatment should be discontinued but the
ultrasound should be repeated on days 3 and 7.
LICHEN SCLEROSIS - ANS pale atrophic vulva + scratch marks + lichenificaition + LOSS OF
ARCHITECTURE
When to rrBSO for BRCA 1 // BRCA 2 // TAHSBO for Lynch - ANS 35 // 35 - 45 // completed
family or 40 years for cost effective strategy
Cervical Ca - what is the best method of radiologic assessment of primary tumors greater than
10 mm/1cm - ANS MRI is the best method of radiologic assessment of primary tumors
greater than 10 mm.
VULVA CA with FIGO Stage IA tumours - definition and management? - ANS Patients with
FIGO Stage IA tumours, where the primary lesion is <2 cm in maximum diameter with a depth of
invasion <1 mm, can be treated by RADICAL wide local excision alone WITHOUT the need for
groin lymphadenectomy.
Management of vulva Ca with stage 1B and II - ANS All women who have Stage IB or Stage II
cancers should have an inguinofemoral lymphadenectomy.
@2026/2027 ALLRIGHTS RESERVED.
,differentiated VIN is associated with - ANS lichen sclerosus, ALSO most common cause for
SQUAMOUS CELL CARCINOMA.
on the contrary, undifferentiated VIN is associated with HPV
risk of complete molar requiring Chemo - ANS 13 -16% FOR COMPLETE MOLAR
perecentage of women diagnosed with ENDOMETRIAL CANCER after initial inadequate sample -
ANS 4.5%
First line treatment of PMS - ANS FIRST LINE: Drospirenone-containing COCs (YASMIN)
o Use COC continuously (rather than cyclically)
RMI scoring - ultrasound features - ANS solid, multilocular, bilateral, ascites, mets
Most common upper limb nerve injury during gynaecological surgery - ANS ERB PALSY (C5-6)
due to stretch injury
unexplained interility should try how long before IVF - ANS 2 YEARS!
Pregnant + <22 weeks with cervical cancer what is the management? 1A2 OR 1B1 - ANS PLND
positive : TOP
PLND negative: simple trachelectomy or Delay treatment after delivery
Pregnant + >22weeks with cervical cancer what is the maangement? 1A2 or 1B1 - ANS NACT
or Delay treatment after delivery
When to screen for STD after assaulted rape - ANS 2- 3 weeks
@2026/2027 ALLRIGHTS RESERVED.
, possible adverse impact on long-term neurodevelopment of the newborn following in utero
exposure to which antiepileptic - ANS sodium valproate.
commonest vascular injury during umbilical port insertion - ANS common iliac
risk of ovarian cancer for BRCA 1 and 2 - ANS BRCA 1 : 30 - 40
BRCA 2: 10 - 20
Women on tamoxifen are advised to stop this treatment how long before conceiving -
ANS Women on tamoxifen are advised to stop this treatment 3 months
GOLD STANDARD to diagnose MRKH - ANS MRI
adhesion in previous midline incision vs low transverse - ANS 50% vs 20%
Atypical hyperplasia has been associated with a rate of concomitant carcinoma of up to ??? % in
women undergoing hysterectomy - ANS 43%
what is regression for hyperplasia with atypia and what is the long term follow up - ANS 2
consecutive negative biopsy 3 months apart . then 6-12 monthly endometrial biopsy
EH with atypia , when can conceive - ANS disease regression seen on ONE biopsy
if beta HCG >13% DECREASE, what is the liekly diagnosis and how to follow up - ANS failed
PUL. UPT in 2 weeks . repeat serum hCG if +ve
treatment of post hysterec vault prolapse ( name 2) - ANS abdominal sacrocolpopexy (less
dyspareunia),
@2026/2027 ALLRIGHTS RESERVED.
