How to pass MRCOG Exam

Ahmed Elsayed Hasssan Elbohoty

MBBCH, MSc, MD, MRCOG

AHMED ELBOHOTY

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Topics To Be Discussed
Are you sure of your speciality? Can you pass all exam steps without going to UK? Why do you choose to go in MRCOG way? Role of RCOG and benefits to be MRCOG Part 1 Exam format What do you need to pass the exam? Can you pass Part 2 exam without going to UK? Part 2 Exam format What do you need to pass MRCOG part 2 exam? How to pass the MRCOG part 2 Exam?
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Obstetrics and Gynaecology

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DO I Love Obstetrics and Gynaecology!

DO I Hate Obstetrics and Gynaecology!

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Role of the College :

"The encouragement of the study and the advancement of the science and practice of obstetrics and gynaecology" (21 March 1947).
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Benefits to pass part1 MRCOG

Reliable scientific base for many exams. One of the requirements to apply for Part 2 exam. Job in UK (overseas double-ended responsership)

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Benefits to be MRCOG In UK

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Benefits to be MRCOG outside UK

To be a consultant rapidly without getting MD Registration in GMC with potential chance to work in UK Higher salary in Gulf region

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 Every 6 months, around 1500 candidates attempt each Part 1 examination.

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 Part 1 MRCOG is a written examination in the basic and clinical sciences relevant to obstetrics and gynaecology.

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Regulations for Membership Regarding Part 1 Examination: Candidates are eligible to enter for the Part 1 examination when they have obtained their medical degree. However, candidates are advised to attempt the examination only after they have had some grounding in postgraduate obstetrics and gynaecology.
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Method of Application: First-time applications must be accompanied by your original copy of your primary medical degree certificate. Application for entry to the examination must be made on the prescribed form with the correct entry fee, in pounds sterling, must reach the College by the following closing date: 1 December for the March examination
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General Rules To Be Observed By All Candidates For Part 1 And Part 2 MRCOG Examinations:
Banker's drafts in pounds sterling should be made payable to the Royal College of Obstetricians and Gynaecologists.

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Dates March 2014

Centres London Manchester Edinburgh Dublin

Additional centres

Closing dates 1st of December 2013

Egypt
Greece (Thessaloniki), Hong Kong, India (Bangalore & Delhi), Iraq (Erbil), Myanmar (Yangon), Netherlands, Oman, Pakistan (Islamabad), Saudi Arabia, Singapore, Sudan, UAE , West Indies (Trinidad) AHMED ELBOHOTY

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Fees : MRCOG Part 1 310

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 The closing date is the last date for receiving official entry forms. LATE ENTRIES ARE NOT ACCEPTED. Incomplete applications and those which do not fulfill the regulations will be returned.
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Names of successful candidates will be published on a printed pass list on open view at the College, on the College website.

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Is there a time limit between passing the Part 1 and passing the Part 2?
No, but we do require you to have attempted the Part 2 at least once within ten years of passing the Part 1.

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Exam format
Paper 1: 60 SBAs; 30 5-part MCQs SBAs = 150 marks MCQs = 150 marks Paper 2: 60 SBAs; 30 5-part MCQs SBAs = 150 marks MCQs = 150 marks
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Exam format

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Exam format

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How to pass MRCOG part 1 exam ?

You must be eligible to sit the exam Allocate adequate time for preparation Know the curriculum Sources of study Way of study Gaining UK work experience Time management Study partners Exam techniques
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Textbooks/Practice Qs

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Example SBA
Where in the body is angiotensin 1 converted to angiotensin II under the influence of angiontensin-converting enzyme? A. Adrenal cortex B. Blood vessel wall C. Kidney D. Liver E. Lung
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A 24-year-old presents at 27 weeks into her second pregnancy feeling unwell, with backache, fever and rigors. She has a temperature of 39.5C. Urinalysis shows leucocytes and protein +++. Her blood pressure is 80/50. Which action is most appropriate? A. Admit to ICU/HDU for intravenous antibiotics and supportive care B. Arrange ultrasound of renal tract C. Commence 7-day course of oral antibiotics D. Give intramuscular steroids to promote fetal lung maturity E. Make referral for physicians to review

A
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Following abdominal hysterectomy, the nursing staff is worried because the output since last 2 hrs has been 35ml/hr. considering the weight of the patient as 70 kg,the normal urine output is

A.0.5ml/kg/hr B.1ml/kg/hr C.2ml/kg/hr D.3ml/kg/hr E.4ml/kg/hr

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What is the frequency of a transvaginal ultrasound scan? A. 2 MHz B. 6 MHz C. 18 MHz D. 23MHz E. 32 MHz

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WBC 9.3 x 106 /L RBC 5.7 x 1012/L Hb 9.1 g/dL HCT 34% MCV 61 fl MCH 20 pg MCHC 32 g/dL PLT 299 x106/L

(4-15) (4.2-5-4) (11-16) (36-48) (79-98) (31.5-35.5) (31.5-35.5) (150-400)

This blood film couldnt be due to a. Iron deficiency anaemia b. B-Thalathemia c. Folic acid defeciency d. Chronic blood loss e. Long standing infection C
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Optimum intra-abdominal pressure should be achieved to insert the primary trocar safely at laparoscopy. What is the optimum pressure range? A. 1015 mmHg B. 1015 mm water C. 15- 18 mmHg D. 2025 mmHg E. 2025 mm water

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A woman with a previous caesarean section is in labour at 39 weeks of gestation. She is 8 cm dilated. The cardiotocography (CTG) was initially classified as normal. You have now been asked to review the situation because the fetal heart rate has acutely dropped from 140 bpm to 70 bpm for 9 minutes, in spite of a left lateral position. What is the most appropriate course of action? A. Doppler assessment of the umbilical artery blood flow B. Fetal blood sampling C. Oxygen therapy D. Prepare for a caesarean section E. Prepare for a ventouse delivery

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The Format of the Part 2 Examination

Written Exam
Short essay questions paper. Two (MCQ + EMQ paper)

OSCE

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Short essay questions

4 short answer questions 26 minutes to answer each question Each (SAQ) is marked out of 20. Each part of questions and answers space is clearly sub-divided and supplied with the given marks . Only answers in the correct space for each subquestion will gain marks.
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EMQ + MCQ
2 Papers Each paper 2 hours 15 minutes 40 EMQs 240 MCQs

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OSCE
Objective Structured Clinical Examination
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OSCE
12 stations of 15 minutes 3 types of station General

Candidate + examiner Candidate + role player + (5) Candidate + paperwork (2)

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(5) Role player examiner Preparatory

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What do you need to pass the exam?

Knowledge

Awareness of NHS in UK Exam technique and study technique Skills and attitude especially in OSCE Praying and doing good deads

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How to pass MRCOG part 2 exam ?

You must be eligible to sit the exam Allocate adequate time for preparation Know the curriculum Sources of study Way of study Practice writing essays regularly from a good source (busyspr) Patients centered care Gaining UK work experience Attending recommended practical Courses
Basic Practical Skills (BPS) PROMPT PPH workshops CTG interpretation

Time management Study partners Exam techniques Prepare for OSCE simultaneously with the written part
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Part 2 Examination Candidates who have completed the requirements for entry to the Part 2 examination leading to Membership should: have held for not less than four years an Ob Gyn qualification

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These are summarised here under the modules of the curriculum:

Modules 1 Basic Clinical Skills Module 2 Teaching, Appraisal and Assessment Module 3 Information Technology, Clinical Governance and Research Module 4 Ethics & Legal issues Module 5 Core Surgical Skills Module 6 Postoperative Care Module 7 Surgical Procedures Module 8 Antenatal Care Module 9 Maternal Medicine Module 10 Management of Labour
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Module 11 Management of Delivery Module 12 Postpartum Problems Module 13 Gynaecological Module 14 SubfertilityProblems Module 15 Sexual and Reproductive Health Module 16 Early Pregnancy Care Module 17 Gynaecological Oncology Module 18 Urogynaecology and Pelvic Floor Problems
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Source of study
RCOG Guidelines especially the Greentop NICE guidelines TOG articles for at least 3 years. Faculty of Sexual and Reproductive Healthcare guidlines Maternal Mortality Report - new edition, "Saving Mothers' Lives https://www.busyspr.com/ MCQ and EMQ books Dont waste your time with obstetrics and gynecology text books or masses of books written specifically for the MRCOG.
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Recommended Books for MRCOG Part 2 Examinations

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Britain and the NHS Aspects for the MRCOG

Evidence based practice Guidelines Value for money Choice Patient centred care

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 For more details you can visit the website:

www.rcog.org.uk
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Useful links: www.onlinetog.org www.nice.org.uk www.sign.ac.uk

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