O&G · SAQs

SAQs

210 units across 138 domains — FRANZCOG-format structured SAQs (15 marks, 20 min) with per-sub-part model answers.

210Units

138Domains

FRANZCOG-format structured SAQ on acute moderate-to-severe asthma exacerbation in pregnancy, driven by ICS cessation. Covers exacerbation severity classification, the inpatient exacerbation bundle (oxygen, salbutamol, ipratropium, systemic steroid), the BTS/NICE/SIGN stepwise ladder going forward, and ICS safety counselling with fetal-risk framing. Per-sub-part marking rubric included.

Open

SLE and antiphospholipid syndrome in pregnancy — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on SLE with lupus nephritis and probable APS in pregnancy: teratogenic drug switches, APS criteria, surveillance, neonatal lupus and postpartum plan. Per-sub-part marking rubric included.

Open

Domain

Critical care — renal

Acute kidney injury in pregnancy — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on pregnancy-related AKI in a post-caesarean patient with severe preeclampsia and HELLP. Tests KDIGO definition applied to pregnant baseline, focused investigations, magnesium toxicity management with calcium gluconate antidote, RRT indications and modality in pregnancy, and the multidisciplinary decision for delivery. Per-sub-part marking rubric included.

Open

Primary postpartum haemorrhage — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on atonic primary PPH: first-five-minute priorities, bedside exclusion of the 4 T's, the uterotonic ladder with doses and contraindications, and escalation to tamponade and theatre. Per-sub-part marking rubric included.

Open

Shoulder dystocia — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on shoulder dystocia: the first 60 seconds, the manoeuvre ladder with technique, the two contraindicated actions, and the medico-legal record after a brachial plexus injury. Per-sub-part marking rubric included.

Open

Caesarean birth on maternal request — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on caesarean birth on maternal request: structuring the first consultation and screening for tokophobia and trauma, the benefit-and-harm balance in absolute terms with its very low certainty, the two lawful endings under RANZCOG C-Obs 39, and counselling against an early date with gestation-specific neonatal data. Per-sub-part marking rubric included.

Open

Donor conception, surrogacy and social infertility — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on donor-oocyte IVF, the mandatory counselling/consent/welfare-of-the-child gates, the obstetric and donor risks, and the ANZ surrogacy legal framework. Per-sub-part marking rubric included.

Open

Domain

Neonatal care — infection

Early-onset neonatal sepsis — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on early-onset neonatal sepsis: first-hour priorities, investigation sequence, empirical antibiotic regimen (benzylpenicillin plus gentamicin in ANZ), the 48-hour stop rule, and the parental communication. Per-sub-part marking rubric included.

Endometrial cancer — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on endometrial cancer: the postmenopausal bleeding diagnostic pathway, the surgical and sentinel-node strategy (FIRES), the FIGO 2023 molecular stage modifier with risk-group adjuvant therapy (PORTEC-3), and fertility-sparing management. Per-sub-part marking rubric included.

Open

Prophylactic antibiotics in gynaecological surgery — structured SAQ (15 marks)

FRANZCOG-format structured SAQ with per-part marking rubric.

Open

Domain

Antenatal care — neurological disorders

Epilepsy in pregnancy — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on epilepsy in pregnancy: preconception counselling with folic acid 5 mg and lamotrigine management, breakthrough seizures in pregnancy with the lamotrigine clearance increase, the EURAP registry comparative malformation rates, and intrapartum and postpartum care including breastfeeding and contraception. Per-sub-part marking rubric included.

Open

Domain

Professional practice

Evidence-based medicine — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on evidence-based medicine and statistics: PICO question formulation, hierarchy and appraisal, calculation of ARR and NNT, interpretation of funnel plot and I² under GRADE, and application of evidence through shared decision-making. Per-sub-part marking rubric included.

Open

Gynaecological health — sexual, cultural and safeguarding

Female genital mutilation — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on female genital mutilation: the verbatim WHO Type I-IV classification, the antenatal and intrapartum plan for Type III (including deinfibulation timing and mode of birth), the ANZ legal framework and mandatory reporting, and the principles of culturally competent, trauma-informed care. Per-sub-part marking rubric included.

Open

Domain

Intrapartum care — fetal surveillance

Fetal blood sampling and scalp lactate — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on intrapartum fetal blood sampling: indications, prerequisites and the full contraindication list including the group B streptococcus exception, technique, the RANZCOG C-Obs 1 pH and lactate thresholds with actions, and management of an abnormal result. Per-sub-part marking rubric included.

Open

Antenatal care — fetal anomaly screening

Fetal structural anomalies — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on the mid-trimester anatomy scan: the systematic ISUOG protocol and cardiac views, interpretation of an isolated echogenic focus against prior screening, the hyperechogenic-bowel differential, and the microarray referral pathway for a structural anomaly. Per-sub-part marking rubric included.

Open

Domain

Antenatal care — maternal medicine

Gestational diabetes — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on gestational diabetes: applying the ADIPS 2025 diagnostic thresholds, medical nutrition therapy with explicit glycaemic targets, metformin and insulin with doses and limitations, fetal surveillance and timing of birth, and the postpartum plan including the oral glucose tolerance test. Per-sub-part marking rubric included.

Open

Hypertensive disorders of pregnancy — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on the late-booking hypertensive pregnancy: ISSHP 2021 classification and its limits, the booking investigation bundle with thresholds, oral antihypertensive prescribing with the CHAP and CHIPS targets, and the severe-range emergency inside 30 to 60 minutes. Per-sub-part marking rubric included.

Open

Preeclampsia diagnosis and management — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on severe preeclampsia at 33+5 weeks: ISSHP 2021 diagnostic criteria, the first-hour bundle with antihypertensive and magnesium doses and the 30 to 60 minute target, interpreting deranged bloods against thresholds, and timing of birth defended with PHOENIX, HYPITAT and HYPITAT-II. Per-sub-part marking rubric included.

Open

Hepatitis B in pregnancy with a high viral load — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on hepatitis B in pregnancy with a high viral load (HBeAg-positive, high HBV DNA): the perinatal transmission risk and chronicity, the third-trimester tenofovir prophylaxis, the birth-dose immunoprophylaxis regimen and timing, and the breastfeeding and family counselling. Per-sub-part marking rubric included.

Open

FRANZCOG-format structured SAQ on massive pulmonary embolism and respiratory failure in pregnancy: the recognition and empiric thrombolysis with drug and dose, the pregnancy respiratory physiology and lung-protective ventilation settings, and the perimortem and anticoagulation decisions. Per-sub-part marking rubric included.

Open

Maternal collapse and resuscitation in pregnancy — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on maternal collapse: the Green-top 56 definition, the four H and four T framework with obstetric causes, physiologically justified CPR modifications, four antidotes with doses, and the four-minute hysterotomy decision. Per-sub-part marking rubric included.

Open

Maternal sepsis and septic shock — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on maternal sepsis and septic shock: the Sepsis-3 and qSOFA limitations in pregnancy, the one-hour bundle with empiric antibiotic doses, the vasopressor and intensive-care decision, and the group A strep toxin-suppression regimen and post-sepsis follow-up. Per-sub-part marking rubric included.

Open

Early pregnancy care — pregnancy loss

Miscarriage — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on missed miscarriage: confirming the diagnosis against the transvaginal ultrasound thresholds, the three management pathways with doses and procedure detail, the rewritten anti-D policy, and the resuscitation and evacuation sequence for septic miscarriage. Per-sub-part marking rubric included.

Open

Domain

Intrapartum care — place of birth and care model

Models of intrapartum care — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on models of intrapartum care: counselling a nulliparous woman on planned home birth with the Birthplace numbers, water immersion evidence and service requirements, the alongside versus freestanding midwifery unit distinction, and the continuity-of-carer evidence. Per-sub-part marking rubric included.

Open

Uterine fibroids: surgical and radiological management — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on the surgical and radiological management of fibroids: the FIGO-type-to-procedure mapping, UAE durability (EMMY 35 per cent hysterectomy by 10 years) and fertility uncertainty, the RANZCOG C-Gyn 33 morcellation framework with the LMS numbers, and uterine rupture counselling. Per-sub-part marking rubric included.

Pelvic floor after childbirth — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on childbirth pelvic floor trauma: the Sultan OASIS grading, immediate repair in theatre, the post-repair care bundle and perineal clinic follow-up, and the neurological (pudendal nerve) basis of pelvic floor dysfunction. Per-sub-part marking rubric included.

Open

Domain

Gynaecological health — upper genital tract infection

Pelvic inflammatory disease & tubo-ovarian abscess — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on pelvic inflammatory disease: the CDC 2021 minimum criteria and threshold, the outpatient triple regimen with doses, the admission criteria, and the Westrom sequelae data. Per-sub-part marking rubric included.

Open

Domain

Urogynaecology — pelvic floor disorders

Pelvic organ prolapse — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on symptomatic anterior compartment prolapse in a parous postmenopausal woman: POP-Q classification, the conservative ladder, the apical surgery decision (uterosacral vs sacrocolpopexy vs sacrospinous) given her wish to keep the uterus, consent on mesh and recurrence, and follow-up. Per-sub-part mark scheme included.

Open

Pelvic organ prolapse — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on pelvic organ prolapse: POP-Q staging, the compartments and DeLancey's levels, the conservative-to-surgical ladder with PREVPROL evidence, the occult-stress-incontinence rationale and the OPUS trade-off, and the transvaginal mesh regulatory history in Australia. Per-sub-part marking rubric included.

Open

Vulval dermatoses — lichen sclerosus with a focal ulcer — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on vulval lichen sclerosus with a focal ulcer: the diagnosis, the diagnostic biopsy rule, the first-line clobetasol regimen, the approximately 4 percent SCC transformation rate and lifelong surveillance. Per-sub-part marking rubric included.

Open

Vulval lichen sclerosus and the focal ulcer — structured SAQ (15 marks)

Open

Domain

Gynaecological oncology — vulvar cancer and VIN

Vulvar cancer with a focal ulcer on lichen sclerosus — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on vulvar squamous cell carcinoma arising on lichen sclerosus: the FIGO 2021 staging and depth-of-invasion definition, surgical management with sentinel node biopsy, the GROINSS-V evidence, the wound/lymphoedema morbidity data, and radiotherapy indications. Per-sub-part marking rubric included.

Open

Domain

Gynaecological oncology — non-epithelial ovarian tumours

Yolk sac tumour in a young woman — structured SAQ (15 marks)

FRANZCOG-format structured SAQ on a malignant ovarian germ cell tumour in a young woman: the diagnosis and tumour markers, fertility-sparing staging surgery, the BEP regimen with doses, the observation of Stage IA dysgerminoma, and bleomycin toxicity. Per-sub-part marking rubric included.

Open