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O&G · Topics

Topics

228 units across 144 domains — Exam-exhaustive O&G topics mapped to the FRANZCOG curriculum's 12 clinical topics.

Back to O&GJump to first domain
Obstetrics & Gynaecology Topics
Plate — o&gMedVellum Press
228Units
144Domains
Gynae-surgery — cervical insufficiency and preterm birth preventionGynaecological health — menstrual disordersSexual & reproductive healthAntenatal care — medical disorders of pregnancyCritical care — renalEarly pregnancy careAntenatal care — maternal age and ARTAntenatal care — fetal medicineIntrapartum care — obstetric emergenciesAntenatal care — haematological disordersReproductive endocrinology & infertilityAntenatal care — fetal surveillanceAntenatal care — obstetric haemorrhageReproductive endocrinology and infertilityIntrapartum care — birth after caesareanNeonatal care — birth traumaGynaecological oncology — non-epithelial ovarian tumoursProfessional practiceAntenatal care — fetal presentation and mode of birthIntrapartum care — operative birthAntenatal care — medical disorders in pregnancyGynaecological oncology — cervicalIntrapartum care — preterm birth preventionGynaecological oncology — screening and preventionGynaecological health — chronic painProfessional practice — clinical governance, quality and patient safetyGynaecological oncology — premalignant cervical diseasePerioperative care — medico-legalProfessional practice — ethics, consent and communicationProfessional practice — equity, culture and communicationCritical care in obstetrics and gynaecologyprofessionalReproductive endocrinology & infertility — third-party reproductionNeonatal care — infectionAntenatal care — obstetric emergenciesGynaecological oncology — uterine corpusGynaecological oncologyGynaecological health — chronic pelvic pain and endometriosisPerioperative careAntenatal care — neurological disordersProfessional practice — family and domestic violence, advocacy and safetyGynaecological health — sexual, cultural and safeguardingAntenatal care — fetal medicine and alloimmune diseaseIntrapartum care — fetal surveillanceAntenatal care — fetal growth and surveillanceAntenatal care — fetal anomaly screeningAntenatal care — maternal medicineEarly pregnancy care — gestational trophoblastic diseaseGynaecological oncology — gestational trophoblastic diseaseGynaecological oncology — cancer in pregnancyGynae-oncology — hereditary cancerGynaecological health — androgen excessSexual and reproductive health — hormonal, non-hormonal and emergency contraceptionCritical care — maternal resuscitationgynae-surgeryIntrapartum care — induction of labourIntrapartum care — medical comorbidityPostpartum care — lactationperioperativeAntenatal care — fetal loss and bereavementSexual and reproductive health — long-acting reversible contraceptionAntenatal care — maternal malignancyProfessional practice — ethics, law and regulationEarly pregnancy care — pregnancy lossIntrapartum care — place of birth and care modelAntenatal care — multiple pregnancyGynaecological surgery — uterus-sparing proceduresNeonatal care — assessment and transitionNeonatal care — hypoxic-ischaemic encephalopathyNeonatal care — metabolic and transitional careNeonatal care — bilirubin metabolismNeonatal care — resuscitation and transitionIntrapartum care — physiological birthPostpartum care — routine and preventiveAntenatal care — routine care and lifestyleAntenatal care — maternal medical conditionsIntrapartum care — analgesia and anaesthesiaCritical care — escalation and safety-netNeonatal care — outcomes of prematurityGynaecological health — benign gynaecologyUrogynaecology — lower urinary tract dysfunctionGynaecological health — paediatric and adolescentPerioperative care — patient blood managementUrogynaecology — maternal birth trauma and rehabilitationGynaecological health — upper genital tract infectionUrogynaecology — pelvic floor disordersAntenatal care — perinatal infectionsAntenatal care — perinatal mental healthNeonatal care — perinatal palliative careIntrapartum care — birth injury and repairPostpartum care — perineal health and wound carePerioperative care — gynaecological surgeryCritical care — maternal physiologyPre-pregnancy and antenatal care — placental disordersAntenatal care — abnormal placentationGynaecological health — menstrual disorders and androgen excessPerioperative care — post-operative complicationsAntenatal care — timing of birthPostpartum care — perinatal mental healthPostpartum care — contraception and reproductive planningPostpartum care — hypertensive diseaseAntenatal care — preconceptionAntenatal care — pregnancy after bariatric surgeryGynaecological health — premature ovarian insufficiencyAntenatal care — screening and prenatal diagnosisIntrapartum care — preterm birthProfessional practice — professionalism, ethics and regulationGynaecological surgery — pelvic floor reconstructionPostpartum care — infection and sepsisGynaecological surgery — intraoperative complications and lower urinary tract injuryPostpartum care — recovery and perioperative careEarly pregnancy care — recurrent lossUrogynaecology — infectionProfessional practice — Scholar role, research literacy and evidence-based practiceIntrapartum care — third stage of labourAntenatal care — fetal medicine and immunohaematologyAntenatal care — routine and preventive carePostpartum care — haemorrhageSexual and reproductive healthIntrapartum care — labour dystocia and augmentationGynaecological health — sexually transmitted infectionsAntenatal care — perinatal mortalityAntenatal care — substance use and addictionGynae-surgery — early pregnancy and abortion carePerioperative care — positioning and nerve injuriesGynaecological oncology — survivorship and MDT workingGynaecological oncology — survivorshipAntenatal care — fetal growth and mode of birthGynae-oncology — systemic therapyIntrapartum care — labour and birthGynaecological health — menstrual physiologyAntenatal care — endocrine disordersGynaecological surgery — permanent contraception and fertility restorationGynaecological health — paediatric, adolescent and congenitalIntrapartum care — multiple pregnancyUrogynaecology — lower urinary tract evaluationAntenatal care — maternal immunisationIntrapartum care — malpresentation and operative birthGynaecological oncology — vaginaGynaecological health — vaginal infectionsUrogynaecology — fistulaGynaecological health — vulval disordersGynaecological oncology — vulvar cancer and VINGynaecological health — chronic vulvar pain
AtlasO&GTopics

Domain

Gynae-surgery — cervical insufficiency and preterm birth prevention

1

high

Abdominal and transvaginal cervical cerclage

Exam-exhaustive FRANZCOG fellowship reference on cervical cerclage — history-, ultrasound- and examination-indicated indications; McDonald vs Shirodkar; transabdominal cerclage (open and laparoscopic) for failed vaginal cerclage; rescue cerclage; suture material (C-STICH); PPROM and removal; and the landmark RCTs and meta-analyses (MRC/RCOG, To, Berghella, MAVRIC). RCOG Green-top Guideline No. 75 (2022)-aligned, globally tagged to MRCOG and ABOG.

Open

Domain

Gynaecological health — menstrual disorders

8

high

Abnormal uterine bleeding: PALM-COEIN classification & assessment (FIGO 2018)

Exam-exhaustive FRANZCOG fellowship foundation on abnormal uterine bleeding (AUB): the FIGO System 1 bleeding descriptors (frequency, duration, regularity, flow volume), the System 2 PALM-COEIN classification reproduced verbatim with its 2018 revisions, the structured assessment, the initial workup, when to image and biopsy, and when to refer. The most important foundational gynaecology topic — heavy menstrual bleeding, intermenstrual/postcoital bleeding, fibroids, PCOS and amenorrhoea all build on it. RANZCOG-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

high

Adenomyosis: pathophysiology, MUSA imaging features & management (the A of PALM-COEIN)

Exam-exhaustive FRANZCOG fellowship topic on adenomyosis — the A of FIGO PALM-COEIN. Covers the pathophysiology (endometrial glands and stroma within the myometrium), the MUSA-consensus transvaginal ultrasound features (globular uterus, asymmetrical thickening, myometrial cysts, fan-shaped shadowing), the MRI junctional-zone threshold of at least 12 mm (Reinhold), the symptom overlap with fibroids and endometriosis, stepwise medical-to-surgical management (LNG-IUS, GnRH analogues, dienogest, hysterectomy endpoint) and the fertility and pregnancy implications. RANZCOG-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

high

Dysmenorrhoea and the PMS–PMDD spectrum: prostaglandin-mediated period pain and the luteal-phase psychiatric disorder

Exam-exhaustive FRANZCOG fellowship topic on dysmenorrhoea and the premenstrual syndrome to premenstrual dysphoric disorder spectrum: primary dysmenorrhoea (prostaglandin-mediated, with the COX-PGF2α pathway read from source), secondary dysmenorrhoea (endometriosis, adenomyosis, fibroids, copper IUD), the PMS/PMDD spectrum with DSM-5 PMDD criteria reproduced verbatim, the symptom-free follicular phase signature, and the evidence-based management ladder (NSAID, COCP/progestin, LNG-IUS, SSRI continuous or luteal-phase, CBT, GnRH). RANZCOG-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

high

Endometrial polyps: prevalence, malignant potential, PPP framework & hysteroscopic management (the P of PALM-COEIN)

Exam-exhaustive FRANZCOG fellowship topic on endometrial polyps — the P of FIGO PALM-COEIN. Covers prevalence and the malignant-potential risk factors (age, postmenopausal bleeding, tamoxifen), the imaging ladder from TVUS to saline-infusion sonohysterography, the PPP (polyp, pregnancy, pathology) framework for triaging a focal intracavitary lesion, the hysteroscopic polypectomy technique, indications for histology, the conservative-management evidence for small asymptomatic polyps (up to a quarter regress; under 10 mm), and tamoxifen-related polyp surveillance. RANZCOG-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

high

Heavy menstrual bleeding: NICE NG88 assessment & stepwise management

Exam-exhaustive FRANZCOG fellowship topic on heavy menstrual bleeding (HMB): the classical 80 mL threshold (Hallberg 1966) and the modern patient-determined quality-of-life definition, the NICE NG88 structured history, the investigation pathway (hysteroscopy versus ultrasound, when to biopsy, when to avoid blind biopsy), and the full stepwise pharmacological-then-surgical ladder with the levonorgestrel IUS first-line, tranexamic acid, NSAIDs, combined hormonal contraception, cyclical oral progestogens, second-generation endometrial ablation, myomectomy, uterine artery embolisation and hysterectomy. RANZCOG-primary with NICE NG88 (2018) as the global standard, cross-linked to the PALM-COEIN classification and the uterine fibroids topics.

Open

high

Intermenstrual and postcoital bleeding: structured assessment & when to refer (RANZCOG C-Gyn 6)

Exam-exhaustive FRANZCOG fellowship topic on intermenstrual bleeding (IMB) and postcoital bleeding (PCB): the structured history and speculum-led assessment, the role of cervical screening (HPV plus LBC co-test) within the National Cervical Screening Program, when to test for chlamydia, when to refer for colposcopy, when to refer for hysteroscopy and endometrial biopsy, and the red flags that mandate urgent suspected cancer pathway referral. Regional anchor is RANZCOG C-Gyn 6 with NICE NG88 and NG12 deltas. Built on the FIGO PALM-COEIN framework.

Open

high

Postmenopausal bleeding: investigation pathway, endometrial-cancer risk and the RCOG GTG 67 hyperplasia interaction

Exam-exhaustive FRANZCOG fellowship topic on postmenopausal bleeding (PMB): the definition (any bleeding 12 months or more after the last menstrual period), the pooled endometrial-cancer risk of about 9% read from the Clarke 2018 meta-analysis, the structured transvaginal-ultrasound and biopsy pathway with the endometrial-thickness threshold (the Karlsson and Smith-Bindman numbers), the RCOG Green-top 67 split of non-atypical versus atypical hyperplasia, the NICE NG12 two-week-wait referral criterion, and tamoxifen-related bleeding. RANZCOG-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

high

Postmenopausal bleeding: investigation pathway, endometrial-cancer risk and the RCOG GTG 67 hyperplasia interaction

Exam-exhaustive FRANZCOG fellowship topic on postmenopausal bleeding (PMB): the definition (any bleeding 12 months or more after the last menstrual period), the pooled endometrial-cancer risk of about 9% read from the Clarke 2018 meta-analysis, the structured transvaginal-ultrasound and biopsy pathway with the endometrial-thickness threshold (the Karlsson and Smith-Bindman numbers), the RCOG Green-top 67 split of non-atypical versus atypical hyperplasia, the NICE NG12 two-week-wait referral criterion, and tamoxifen-related bleeding. RANZCOG-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

Domain

Sexual & reproductive health

2

high

Abortion

Exam-exhaustive FRANZCOG fellowship reference on induced abortion as a complications-and-law topic — the four post-abortion complications (infection, haemorrhage, retained tissue, uterine perforation) with incidence and management, failed versus incomplete medical abortion, reproductive-coercion-aware counselling, the Australia and Aotearoa New Zealand decriminalised legal framework state-by-state, and conscientious objection duties. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

high

Abortion care

Exam-exhaustive FRANZCOG fellowship reference on abortion care — the MS-2 Step early medical abortion regimen (mifepristone 200 mg plus buccal misoprostol 800 micrograms), manual and electric vacuum aspiration, dilation and evacuation, cervical priming, pain management, the RANZCOG Clinical Guideline for Abortion Care (v1.4, 2026) and the gestational-age limits across Australia and Aotearoa New Zealand. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Antenatal care — medical disorders of pregnancy

4

high

Acute fatty liver of pregnancy and other liver disorders in pregnancy

Exam-exhaustive FRANZCOG fellowship reference on acute fatty liver of pregnancy and the other liver disorders of pregnancy. The Swansea criteria reproduced exactly (6 of 14 features), the AFLP-vs-HELLP discriminator, delivery as the cure, supportive care with dextrose/FFP/vitamin K 10 mg, the Westbrook 2010 liver-transplant referral rule, the LCHAD/TFP pathophysiology, plus an overview of viral hepatitis, autoimmune hepatitis and gallstones in pregnancy. RANZCOG-primary, globally tagged.

Open

high

Asthma and respiratory disease in pregnancy

Exam-exhaustive FRANZCOG fellowship reference on asthma in pregnancy. The BTS/NICE/SIGN stepwise ladder (SABA, low-dose ICS 200-400 mcg, ICS+LABA, medium/high-dose ICS, refer severe), the exacerbation bundle (oxygen to SpO2 94-98%, salbutamol 5 mg nebulised every 15-20 min, prednisolone 40-50 mg or hydrocortisone 100 mg, IV magnesium 2 g), influenza and pneumococcal vaccination, and the effect of uncontrolled asthma on the fetus (IUGR, preterm birth, preeclampsia OR 3.55, neonatal death RR 1.49). RANZCOG-primary, globally tagged.

Open

high

Intrahepatic cholestasis of pregnancy

Exam-exhaustive FRANZCOG reference on intrahepatic cholestasis of pregnancy — the bile-acid threshold for diagnosis (>10 or >19 micromol/L), the Ovadia bile-acid-stillbirth relationship, the PITCH and PITCHES trial evidence on UDCA (no perinatal benefit), delivery timing by bile acid tier (37-38w for 40-99; 35-36w for 100+), and recurrence risk. RANZCOG-primary, globally tagged.

Open

high

SLE and antiphospholipid syndrome in pregnancy

Exam-exhaustive FRANZCOG fellowship reference on SLE and antiphospholipid syndrome in pregnancy — the revised Sapporo criteria, flare versus preeclampsia, lupus nephritis thresholds, the hydroxychloroquine case (400 mg, EULAR and ACR), the LMWH ladder, neonatal lupus and congenital heart block. RANZCOG-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

Domain

Critical care — renal

1

high

Acute kidney injury in pregnancy

Exam-exhaustive FRANZCOG fellowship reference on pregnancy-related acute kidney injury (PrAKI) — the KDIGO definition applied against the pregnant baseline creatinine (above 75 micromol/L is already abnormal), the obstetric causes (preeclampsia, HELLP, AFLP, sepsis, PPH, retention, aHUS), the modified fluid and drug-dosing principles, RRT indications and modality in pregnancy, and the long-term renal and cardiovascular legacy. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Early pregnancy care

6

high

Adnexal masses in early pregnancy

Exam-exhaustive FRANZCOG fellowship reference on the adnexal mass found at the dating scan — IOTA Simple Rules and ADNEX characterisation in pregnancy, why tumour markers mislead, the great mimic of decidualised endometrioma, torsion recognition and management, the timing and route of surgery with the laparoscopy-in-pregnancy evidence, and the management of a malignancy diagnosed in pregnancy. ANZ-anchored, globally tagged.

Open

high

Early pregnancy pain and bleeding, including pregnancy of unknown location

Exam-exhaustive FRANZCOG reference on early pregnancy pain and bleeding — the structured assessment, the five-category ultrasound classification, pregnancy of unknown location with the hCG ratio and M6 triage, the 48-hour hCG change bands with the action attached to each, expectant management criteria and the exact failure triggers. RANZCOG C-Gyn 38 primary, with NICE NG126, RCOG and ACOG deltas.

Open

high

Early pregnancy support and pregnancy-after-loss care

Exam-exhaustive FRANZCOG fellowship reference on early pregnancy support and pregnancy-after-loss care — the psychological epidemiology of miscarriage, what good bereavement care looks like operationally, the honest evidence on supportive care and its limits, word-for-word communication scripts, the follow-up pathway, the next-pregnancy care plan, and the ANZ bereavement ecosystem. ANZ-anchored, globally tagged.

Open

high

Early pregnancy ultrasound and hCG dynamics

Exam-exhaustive FRANZCOG reference on early pregnancy ultrasound and hCG dynamics — the visualisation milestones, the diagnostic criteria for failed pregnancy reproduced exactly, why the discriminatory zone is not a rule, hCG kinetics in viable, failing and ectopic pregnancy, and every interpretation pitfall including the pseudosac, heterotopic pregnancy, the hook effect and measurement variability.

Open

high

Ectopic pregnancy

Exam-exhaustive FRANZCOG fellowship reference on ectopic pregnancy — the anatomical classification and risk factors, the transvaginal ultrasound diagnostic ladder, the methotrexate single-dose protocol with its day 4 and day 7 monitoring and failure criteria, salpingotomy versus salpingectomy with the ESEP fertility evidence, the management of each non-tubal ectopic, and anti-D and psychological aftercare. RANZCOG C-Gyn 38 primary, with RCOG Green-top 21, ACOG Practice Bulletin 193 and SOGC Guideline 414 deltas.

Open

high

Nausea, vomiting of pregnancy and hyperemesis gravidarum

Exam-exhaustive FRANZCOG fellowship reference on nausea and vomiting of pregnancy and hyperemesis gravidarum — the PUQE-24 score reproduced exactly, the Windsor diagnostic criteria, the antiemetic ladder with drug, dose and route at every rung, thiamine and Wernicke encephalopathy, fluid and electrolyte prescribing, refeeding syndrome, thromboprophylaxis, and the termination-of-pregnancy conversation. RCOG Green-top 69 second edition, ANZ-anchored and globally tagged.

Open

Domain

Antenatal care — maternal age and ART

1

high

Advanced maternal age and ART-conceived pregnancies

Exam-exhaustive FRANZCOG fellowship reference on advanced maternal age (35 and over) and ART-conceived pregnancies — the risks of age (aneuploidy, gestational diabetes, preeclampsia, stillbirth, caesarean), the risks of ART (multiple pregnancy, VLBW, preterm birth, imprinting disorders), the fresh versus frozen embryo transfer signals, the counselling of the older mother, and the surveillance framework. Anchored on Reddy 2006, the Stillbirth Collaborative Research Network, the CoNARTaS Nordic cohorts and the Davies NEJM birth-defects study.

Open

Domain

Antenatal care — fetal medicine

2

high

Amniotic fluid disorders — polyhydramnios and oligohydramnios

Exam-exhaustive FRANZCOG fellowship reference on amniotic fluid disorders — the diagnostic thresholds read from SMFM and Magann (DVP ≥8 cm or AFI ≥24 cm for polyhydramnios; DVP under 2 cm or AFI under 5 cm for oligohydramnios), why you measure the single deepest pocket and not the AFI, the polyhydramnios workup and the SMFM #46 management rules, the oligohydramnios causes and the Potter sequence, amnioreduction, indomethacin and amnioinfusion. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

high

Fetal anaemia and hydrops fetalis

Exam-exhaustive FRANZCOG reference on fetal anaemia and hydrops fetalis — the immune (anti-D, anti-c, anti-Kell, anti-Duffy) and non-immune causes (parvovirus B19, alpha-thalassaemia, cardiac, TTTS and twin anaemia-polycythaemia sequence), the SMFM #7 definition and evaluation pathway, MCA peak systolic velocity above 1.5 multiples of the median for detection, intrauterine transfusion technique and survival, parvovirus management, and the non-immune hydrops workup. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Intrapartum care — obstetric emergencies

5

high

Amniotic fluid embolism

Exam-exhaustive FRANZCOG fellowship reference on amniotic fluid embolism — the immune-mediated (anaphylactoid) model that replaced the embolic one, the Clark/SMFM research criteria and where they fail, the biphasic haemodynamic course, DIC with fibrinogen targets, A-OK, the factor VIIa harm signal, ECMO, and registry outcome data. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

high

Primary postpartum haemorrhage

Exam-exhaustive FRANZCOG fellowship reference on primary postpartum haemorrhage — the 4 T's, quantitative blood loss (E-MOTIVE), the uterotonic ladder with doses and contraindications, tranexamic acid (WOMAN), balloon tamponade, B-Lynch, embolisation and hysterectomy, ROTEM-guided coagulation rescue, and the killer pitfalls. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

high

Shoulder dystocia

Exam-exhaustive FRANZCOG fellowship reference on shoulder dystocia — the manoeuvre ladder in order with technique detail, why fundal pressure is banned, the head-to-body delivery interval evidence, brachial plexus injury counselling, and the medico-legal record. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

high

Umbilical cord prolapse

Exam-exhaustive FRANZCOG fellowship reference on umbilical cord prolapse — the immediate manoeuvres with objective evidence on which position works best, bladder filling with volumes and technique, mode and urgency of birth, the bradycardia-to-delivery interval, outcomes, and the rural and community scenario. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

high

Uterine rupture and scar dehiscence

Exam-exhaustive FRANZCOG fellowship reference on uterine rupture and scar dehiscence — quantified risk for every scar and every induction plan, the fetal heart rate signature, dehiscence versus rupture, resuscitation and laparotomy, the repair-versus-hysterectomy decision, and counselling for the next pregnancy. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Antenatal care — haematological disorders

2

high

Anaemia in pregnancy

Exam-exhaustive FRANZCOG fellowship reference on anaemia in pregnancy — physiological anaemia vs iron deficiency, the ferritin-below-30 threshold, oral ferrous sulfate dosing, intravenous ferric carboxymaltose with weight-based dosing, the Khalafallah, Breymann FER-ASAP, Froessler and FRIDA trials, and the Daru maternal mortality data. RANZCOG C-Obs 25 anchored, ACOG PB 233 and WHO aligned, globally tagged to MRCOG and ABOG.

Open

high

Haemoglobinopathies in pregnancy

Exam-exhaustive FRANZCOG fellowship reference on haemoglobinopathies in pregnancy — thalassaemia trait vs major with iron overload and cardiac risk, sickle cell disease with crisis management, acute chest syndrome, hydroxyurea contraindication, VTE prophylaxis, and the ANZ screening approach with partner testing. Oteng-Ntim Blood 2015 meta-analysis, BSH 2021, ASH 2020, Taher 2020 anchored; globally tagged to MRCOG and ABOG.

Open

Domain

Reproductive endocrinology & infertility

14

high

Anovulation & ovulation induction: WHO classification (FIGO HyPO-P 2023), letrozole first-line, gonadotropins, and OHSS prevention

Exam-exhaustive FRANZCOG fellowship topic on anovulation and ovulation induction. Reproduces the WHO classification of ovulation disorders verbatim and maps it to the 2023 FIGO HyPO-P update (hypothalamic, pituitary, ovarian, PCOS). Walks the evidence-based induction ladder — letrozole first-line for WHO Group II (2.5 to 7.5 mg days 2 to 6 or 3 to 7, with the PPCOS II live-birth data), clomiphene second-line with its 6-cycle limit, low-dose step-up gonadotropins with follicle tracking and the cycle-cancellation thresholds, and the OHSS-prevention bundle for IVF in PCOS (antagonist protocol, GnRH-agonist trigger, freeze-all, metformin). Group I gets pulsatile GnRH or gonadotropins; Group III / POI gets donor oocyte — you cannot induce a depleted ovary.

Open

medium

Congenital uterine anomalies (Müllerian duct anomalies)

Exam-exhaustive FRANZCOG fellowship reference on congenital uterine (Müllerian duct) anomalies. Reproduces the three competing classifications — the 1988 American Fertility Society system, the 2013 ESHRE/ESGE (CONUTA) anatomy-based U0–U6 classes, and the 2021 ASRM Müllerian Anomalies Classification — with the septate diagnostic criteria (ASRM, ESHRE/ESGE, CUME) that produce wildly different prevalence figures. Covers Müllerian duct embryology, the ESHRE/ESGE Thessaloniki diagnostic tier (3D ultrasound first-line, MRI for complex), hysteroscopic septum resection with the limits of its observational evidence (Cochrane, TRUST trial, Wu meta-analysis), and Strassman metroplasty for the bicornuate uterus. RANZCOG-primary, globally tagged.

Open

high

Fertility preservation (oncofertility, oocyte, embryo and ovarian tissue cryopreservation)

Exam-exhaustive FRANZCOG fellowship reference on fertility preservation — the oncofertility pathway (urgent referral, random-start stimulation, letrozole 5 mg co-stimulation in ER-positive disease, GnRH agonist trigger), the three cryopreservation strategies (oocyte, embryo, ovarian tissue), GnRH agonist ovarian suppression (POEMS/SWOG and the Lambertini IPD meta-analysis), ovarian transposition for pelvic radiotherapy, and age-stratified social egg-freezing outcomes (Cobo). Anchored to ESMO (Lambertini 2020), ASCO (Oktay 2018), ASRM committee opinions, the Sonmezer 2026 25-year review, and the Li 2025 ovarian-tissue-transplantation meta-analysis.

Open

high

Infertility: assessment & investigation — NICE NG257 (2026), WHO 6th-edition semen criteria, and the structured couple workup

Exam-exhaustive FRANZCOG fellowship topic on the assessment and investigation of the infertile couple. Anchored to NICE NG257 (2026), which replaced CG156 and reframes fertility care around inclusive access, endometriosis as a distinct pathway, and an evidence-based rejection of routine IVF add-ons. Covers the structured couple workup: WHO 6th-edition (2021) semen-analysis reference limits reproduced verbatim, day-2/3 hormones, AMH and ovarian-reserve testing, tubal patency by HyCoSy versus HSG versus laparoscopy with chromopertubation, the male-factor genetic cascade (karyotype, Y microdeletion, CFTR), the tests NICE explicitly says not to do, when to refer to ART, and how ART success falls with maternal age. The WHO ovulation-disorder classification, the letrozole-first ovulation-induction ladder, and the OHSS pathway live in the companion anovulation-and-ovulation-induction topic.

Open

medium

Intrauterine adhesions and Asherman syndrome

Exam-exhaustive FRANZCOG fellowship reference on intrauterine adhesions (IUA) and Asherman syndrome. Covers the pathophysiology (basal endometrial injury, dysregulated inflammation, fibrosis), the AFS/Nasr classifications, procedure-specific incidence (Munro 2025: 17% after pregnancy-loss evacuation, 16% after myomectomy, 28% after septum metroplasty; recurrence 35% after adhesiolysis), diagnosis (hysteroscopy gold standard, 3D ultrasound and saline infusion sonography first-line), hysteroscopic adhesiolysis (TCRA), and the prevention ladder — hyaluronic acid gel (Luo 2024, risk ratio 0.53), estrogen (Feng 2024 estrogen-releasing device), barriers, and emerging stem-cell therapies. RANZCOG-primary, globally tagged.

Open

high

IVF add-ons: evidence and the HFEA traffic-light system; fertility preservation in cancer, social egg freezing, and ovarian transposition

Exam-exhaustive FRANZCOG fellowship topic on the evidence base for IVF add-ons (endometrial scratch, embryo glue, PGT-A, time-lapse, assisted hatching) and the HFEA traffic-light system; fertility preservation in cancer patients (oocyte, embryo, and ovarian tissue cryopreservation); social egg freezing outcomes; and ovarian transposition for pelvic radiation. Anchored to the Cochrane 2021/2022/2026 reviews (endometrial scratch, blastocyst, trigger), the HFEA traffic-light league table, the ESMO fertility preservation guideline (Lambertini 2020), and Cobo's elective egg freezing outcomes (Cobo 2016, 2021).

Open

high

IVF and ART techniques: stimulation, trigger, transfer, luteal support, OHSS prevention and cumulative success

Exam-exhaustive FRANZCOG fellowship topic on IVF and ART techniques: the controlled ovarian stimulation protocols (long agonist vs antagonist), the trigger decision (hCG vs GnRH agonist trigger and the OHSS risk window), freeze-all and the OHSS prevention bundle, embryo culture and transfer (day 3 vs day 5 blastocyst, fresh vs frozen), the luteal phase support (vaginal, oral, IM progesterone with doses), the live-birth rate by maternal age and cycle number, the OHSS severity grading, and the cumulative success after up to 6 cycles. Anchored to the Cochrane 2021/2022 reviews, the Malizia 2009 cumulative live-birth data, and the regional guidelines (NICE NG257, RANZCOG, ASRM, ESHRE, HFEA).

Open

high

Male infertility: structured assessment, WHO 6th-edition (2021) semen criteria, endocrine panel, genetic cascade, and ART pathway

Exam-exhaustive FRANZCOG fellowship topic on the structured assessment and management of male-factor infertility. Covers history, examination, the WHO 6th-edition (2021) semen reference limits reproduced verbatim, the endocrine panel (FSH, LH, testosterone, prolactin, TSH), the obstructive-versus-non-obstructive azoospermia distinction, the genetic cascade (karyotype, Y-chromosome microdeletion, CFTR), the evidence-based management ladder (lifestyle, varicocele repair in selected cases, hormonal therapy for hypogonadotropic hypogonadism, surgical sperm retrieval — TESE/MESA/PESA — for obstructive azoospermia, donor sperm), the genetic counselling obligation, and the IVF/ICSI pathway.

Open

high

Male-factor infertility

Exam-exhaustive FRANZCOG fellowship topic on male-factor infertility. Covers the WHO 6th-edition (2021) semen reference limits, the pre-testicular/testicular/post-testicular framework, the endocrine panel, the obstructive-versus-non-obstructive azoospermia distinction, the genetic cascade (karyotype, Y-chromosome microdeletion, CFTR), the management ladder (lifestyle, varicocele repair, gonadotrophins for hypogonadotropic hypogonadism, surgical sperm retrieval — TESE/MESA/PESA — for obstructive azoospermia, donor sperm), the IVF/ICSI pathway, and the killer pitfalls including exogenous testosterone as a contraceptive. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

high

OHSS and fertility-treatment complications — Golan grading, VEGF pathophysiology, prophylaxis (cabergoline, GnRH antagonist trigger), and ICU management

Exam-exhaustive FRANZCOG fellowship topic on ovarian hyperstimulation syndrome and fertility-treatment complications. Anchored to the RANZCOG CREI consensus (2015), the ASRM Practice Committee opinion, and the ESHRE ovarian-stimulation guideline. Covers the Golan classification (mild / moderate / severe / critical, with reproductive endocrinology modification), the VEGF-mediated capillary-leak pathophysiology, the recognition (ovarian size, haematocrit, oliguria, ascites), the prophylaxis ladder (GnRH antagonist protocol with agonist trigger, prophylactic cabergoline 0.5 mg daily, low-dose hCG trigger, freeze-all), the supportive management (crystalloid then colloid, paracentesis, thromboprophylaxis, ICU for severe and critical disease), the long-term implications for ovarian function, and the rare but life-threatening complications (thromboembolism, ARDS, torsion). Globally defensible at MRCOG Part 2/3 and ABOG level.

Open

high

Pelvic-factor infertility: tubal patency (HyCoSy, HSG, laparoscopy), endometriosis, adhesions, and submucous fibroids

Exam-exhaustive FRANZCOG fellowship topic on pelvic-factor infertility. Covers the assessment of tubal patency (HyCoSy as first-line under NICE NG257, HSG as alternative, laparoscopy with chromopertubation as the gold standard when surgery is indicated), the management of tubal disease (salpingectomy for hydrosalpinx before IVF, salpingostomy for select cases, fimbrial surgery), endometriosis and infertility (the effect of stage I-II on fecundity, the surgery-or-IVF debate), adhesions, and the role of submucosal fibroid removal before ART.

Open

high

Recurrent implantation failure (RIF) and ART adjuncts — definition, the ESHRE good practice recommendations, endometrial receptivity, and the PGT-A controversy

Exam-exhaustive FRANZCOG fellowship reference on recurrent implantation failure and ART adjuncts — the ESHRE 2023 good practice recommendations and the 60 per cent cumulative-chance definition, the Coughlan and Polanski older definitions, the window of implantation and ERA, the Cochrane 2026 endometrial-scratch review, and the PGT-A controversy (STAR, ESTEEM, Cochrane, ASRM 2024, Gleicher, Lensen 2025). Anchored to the ESHRE RIF and add-ons GPRs and the Cimadomo 2023 'black box of implantation' meta-analysis.

Open

high

Recurrent pregnancy loss — ESHRE 2022 update, the evidence-based workup, antiphospholipid syndrome (revised Sapporo), and the active interventions

Exam-exhaustive FRANZCOG fellowship topic on recurrent pregnancy loss (RPL), anchored to the ESHRE 2022 update and the RANZCOG C-Gyn 38 / RCOG Green-top 17 framing. Covers the two-loss definition (whether or not consecutive), the focused pregnancy timeline that distinguishes RPL from cervical insufficiency and from recurrent implantation failure, the routinely-recommended four-test panel (lupus anticoagulant, anticardiolipin IgG and IgM, thyroid function with thyroid peroxidase antibodies, 3D pelvic ultrasound), the deliberate refusals (inherited thrombophilia outside selected cases, NK cells, vitamin D, HLA, levothyroxine in euthyroid antibody-positive women), the revised Sapporo / Sydney 2006 classification criteria for antiphospholipid syndrome with the 12-week repeat rule, the aspirin-plus-LMWH treatment, the role of vaginal progesterone in the bleeding-PRISM subgroup, and the prognostic reassurance that is the point of the clinic. Globally defensible at MRCOG Part 2/3 and ABOG level.

Open

high

Tubal-factor infertility and tubal surgery

Exam-exhaustive FRANZCOG fellowship topic on tubal-factor infertility and tubal surgery. Covers tubal disease classification (proximal, mid, distal/hydrosalpinx), aetiology (PID/chlamydia, endometriosis, prior surgery, sterilisation), tubal patency testing (HSG, HyCoSy, laparoscopy with dye), the therapeutic effect of oil-based HSG (Dreyer H2Oil), the hydrosalpinx-before-IVF rule (salpingectomy/occlusion), the surgery-versus-IVF decision by damage grade and female age, proximal cannulation and tubal reversal. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Antenatal care — fetal surveillance

2

high

Antenatal fetal surveillance: CTG, biophysical profile, umbilical artery Doppler

Exam-exhaustive FRANZCOG fellowship reference on antenatal fetal surveillance — cardiotocography (CTG/NST), the biophysical profile and modified BPP, and umbilical artery Doppler, with the waveform interpretation (absent and reversed end-diastolic flow), when to start each modality, what each tells you, and the ACOG PB 229 framework. ANZ-primary, globally tagged.

Open

high

Fetal Dopplers — umbilical artery, MCA, ductus venosus, uterine artery

Exam-exhaustive FRANZCOG reference on fetal Doppler velocimetry — the umbilical artery (absent/reversed end-diastolic flow = severe FGR), the middle cerebral artery (brain-sparing, PI below 5th centile), the ductus venosus (absent/reversed a-wave = late-stage compromise), the uterine artery (notching = placental insufficiency), and the TRUFFLE-informed delivery-timing logic. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Antenatal care — obstetric haemorrhage

2

high

Antepartum haemorrhage: undifferentiated approach

Exam-exhaustive FRANZCOG reference on undifferentiated antepartum haemorrhage — the RCOG Green-top 63 severity grades, the causes with their discriminating features, the first-fifteen-minute resuscitation, why the digital vaginal examination is forbidden, anti-D and Kleihauer with ANZ doses, fetal assessment, and disposition by gestation and severity. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

high

Placental abruption

Exam-exhaustive FRANZCOG reference on placental abruption — risk factors from the meta-analytic evidence, the classic and concealed presentations, the CTG signature, consumptive coagulopathy and hypofibrinogenaemia with targets, decision-making by fetal status, birth for intrauterine death, and the Couvelaire uterus. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Reproductive endocrinology and infertility

2

high

Assisted reproductive technology (ART)

Exam-exhaustive FRANZCOG fellowship reference on assisted reproductive technology — the staged IVF/ICSI pathway (suppress, stimulate, trigger, retrieve, fertilise, culture, transfer with luteal support), the antagonist versus long agonist protocols, ICSI indications, embryo transfer strategy and elective single embryo transfer, cumulative live birth by age, the OHSS safety net, and the perinatal and multiple-pregnancy pitfalls. RANZCOG/CREI-primary, ESHRE/ASRM-aligned, globally tagged.

Open

high

Ovarian hyperstimulation syndrome (OHSS)

Exam-exhaustive FRANZCOG fellowship reference on ovarian hyperstimulation syndrome — the Golan classification (mild to critical), the VEGF-driven capillary-leak pathophysiology, early versus late OHSS, the high-risk phenotype and prediction thresholds, the prevention ladder (antagonist protocol, GnRH agonist trigger, cabergoline, metformin, freeze-all), and the inpatient management of severe disease with paracentesis and thromboprophylaxis. RANZCOG/CREI-primary, ESHRE/ASRM/SOGC-aligned, globally tagged.

Open

Domain

Intrapartum care — birth after caesarean

1

high

Birth after caesarean: VBAC and elective repeat caesarean

Exam-exhaustive FRANZCOG fellowship reference on birth after caesarean — absolute and relative contraindications, quantified success predictors and the VBAC calculator, uterine rupture risk with the actual numbers and their sources, intrapartum monitoring requirements, induction and augmentation after caesarean, and the shared decision-making conversation. Anchored to RANZCOG C-Obs 38 (2025), globally tagged to RCOG Green-top 45, ACOG Practice Bulletin 205, MRCOG and ABOG.

Open

Domain

Neonatal care — birth trauma

1

high

Birth injuries

Exam-exhaustive FRANZCOG fellowship reference on birth injuries — the three extracranial scalp swellings (caput, cephalohaematoma, subgaleal haemorrhage) with the differentiating table, RANZCOG C-Obs 28 subgaleal haemorrhage tiered surveillance protocol, brachial plexus birth palsy natural history, clavicular fracture, facial nerve palsy, and the documentation requirements after instrumental birth. ANZ-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Gynaecological oncology — non-epithelial ovarian tumours

1

high

Borderline, germ cell and sex cord-stromal ovarian tumours: fertility-sparing surgery, BEP chemotherapy, tumour markers and FIGO staging

Exam-exhaustive FRANZCOG fellowship topic on the non-epithelial ovarian tumours: borderline ovarian tumours (serous and mucinous, the peritoneal implants distinction, fertility-sparing surgery and the recurrence-versus-malignant-transformation data), malignant ovarian germ cell tumours (dysgerminoma, yolk sac, immature teratoma — the BEP chemotherapy regimen with doses and the tumour markers), and the sex cord-stromal tumours (adult granulosa cell tumour with inhibin B and the late-recurrence pattern, Sertoli-Leydig with virilisation). FIGO ovarian staging applies throughout. Anchored to the FIGO 2021 ovarian cancer update (Berek), the ESMO 2018 non-epithelial ovarian cancer guideline (Ray-Coquard), the CNGOF borderline guidelines (Bourdel), the Taniskidi 2026 borderline systematic review, and the landmark GOG stromal trials. RANZCOG-primary, globally tagged.

Open

Domain

Professional practice

4

high

Breaking bad news and perinatal loss communication

FRANZCOG fellowship guide to breaking bad news and perinatal-loss communication: SPIKES, exact language, early pregnancy loss, stillbirth, neonatal death, memory-making, follow-up, pregnancy after loss and staff wellbeing.

Open

high

Cultural safety in maternity and gynaecological care

Exam-exhaustive FRANZCOG fellowship reference on cultural safety: the Curtis 2019 framework, the difference between cultural awareness, competence and safety, individual and institutional responsibility, the Aotearoa origin, RANZCOG's Cultural Safety Steering Group, and the clinical application to Aboriginal and Torres Strait Islander women in maternity care — Birthing on Country, the RISE Framework, continuity of midwifery, workforce, and communication.

Open

high

Evidence-based medicine and statistics for O&G

FRANZCOG fellowship reference on evidence-based medicine and statistics applied to O&G: PICO question formulation, the hierarchy of study designs, common effect measures (RR, OR, ARR, NNT, NNH, sensitivity, specificity, PPV, NPV, likelihood ratios), critical-appraisal tools (CASP, JAMA Users' Guides, RoB 2, ROBINS-I, QUADAS-2, PRISMA 2020, CONSORT 2010, AMSTAR 2, AGREE II), the GRADE framework, the systematic-review process and how to apply evidence to an O&G decision. ANZ-primary, globally tagged to MRCOG and ABOG.

Open

high

Human factors, teamwork and leadership on labour ward

Exam-exhaustive FRANZCOG fellowship guide to human factors, teamwork, and clinical leadership on labour ward: the five CRM skills, ANTS, NOTSS, TeamSTEPPS, Swiss-cheese and Endsley models, SBAR/iSoBAR handover, closed-loop communication, graded assertion, the PROMPT/ALSO/MBRRACE programmes, and the named drills for PPH, shoulder dystocia and eclampsia. RANZCOG-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

Domain

Antenatal care — fetal presentation and mode of birth

1

high

Breech presentation at term and external cephalic version

Exam-exhaustive FRANZCOG fellowship reference on breech presentation at term and external cephalic version — the ECV technique, timing at 36-37 weeks, contraindications, success rates and predictors, moxibustion evidence, the counselling conversation for vaginal breech versus planned caesarean, and the Term Breech Trial and PREMODA data. RANZCOG C-Obs 11 primary, globally tagged to MRCOG and ABOG.

Open

Domain

Intrapartum care — operative birth

4

high

Caesarean birth on maternal request

Exam-exhaustive FRANZCOG reference on caesarean birth on maternal request — RANZCOG C-Obs 39 (2023) and its two lawful endings, the very-low-certainty benefit and harm table in absolute terms, tokophobia and the trauma behind the request, the accreta and future-fertility consequences of a first caesarean, and how to document a request you disagree with. RANZCOG-primary, globally tagged.

Open

high

Caesarean birth: indications, technique, complications

Exam-exhaustive FRANZCOG fellowship reference on caesarean birth — the four-category urgency classification and decision-to-delivery intervals, step-by-step technique with the CORONIS evidence, the deeply impacted head, preterm and placenta praevia variants, antibiotic prophylaxis with agent, dose and timing, thromboprophylaxis, bladder, ureteric and bowel injury, and enhanced recovery after caesarean. ANZ-anchored to RANZCOG C-Obs 37 and NICE NG192, globally tagged to MRCOG and ABOG.

Open

high

Caesarean urgency categorisation and timing at term

Exam-exhaustive FRANZCOG reference on how urgent a caesarean is and when a planned one should happen — the four-category Lucas classification, the RANZCOG C-Obs 14 position that no time is attached to any category, the NICE 30 and 75 minute audit standards and what the DDI evidence actually shows, and the gestation-by-gestation neonatal respiratory data behind the 39-week rule in C-Obs 23. RANZCOG-primary, globally tagged.

Open

high

Instrumental vaginal birth: ventouse and forceps

Exam-exhaustive FRANZCOG fellowship reference on instrumental vaginal birth — the prerequisites checklist, station and position assessment, choosing between ventouse and forceps, rotational birth, the trial of instrumental birth in theatre, why sequential instruments are discouraged, OASIS and subgaleal haemorrhage, prophylactic antibiotics after ANODE, and the documentation that protects everyone. RANZCOG C-Obs 16 primary, globally tagged to RCOG Green-top 26, MRCOG and ABOG.

Open

Domain

Antenatal care — medical disorders in pregnancy

3

high

Cardiac disease in pregnancy

Exam-exhaustive FRANZCOG reference on cardiac disease in pregnancy — the modified WHO risk classification (mWHO I-IV), the haemodynamic changes of pregnancy, specific lesions including mitral stenosis, mechanical valves, repaired congenital heart disease and peripartum cardiomyopathy, CARPREG II, anticoagulation choices and their trade-offs, the peripartum management plan, and the postpartum haemodynamic surge. ESC 2018 and AHA anchored, globally tagged to MRCOG, ABOG and ISUOG.

Open

high

Thromboprophylaxis in pregnancy — risk assessment, tiering and LMWH dosing

Exam-exhaustive FRANZCOG reference on thromboprophylaxis in pregnancy — the RCOG GTG 37a / ASH 2018 risk-assessment and tiering framework, the risk factors, the prophylactic LMWH doses by risk tier and weight (Highlow, Bruno trials), mechanical prophylaxis, and the postpartum duration by risk. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

high

Venous thromboembolism in pregnancy and the puerperium

Exam-exhaustive FRANZCOG reference on venous thromboembolism in pregnancy and the puerperium — the hypercoagulable state, the diagnostic pathway with d-dimer limitations and imaging choices, the therapeutic and prophylactic LMWH doses by weight and trimester, the RCOG Green-top 37a risk-tier framework, anticoagulant reversal, and the postpartum duration. ASH 2018 and RCOG GTG 37a anchored, globally tagged to MRCOG, ABOG and ESC.

Open

Domain

Gynaecological oncology — cervical

1

high

Cervical cancer: FIGO 2018 staging, surgery vs chemoradiotherapy, and survival (fellowship depth)

Exam-exhaustive FRANZCOG fellowship foundation on cervical cancer at the depth a consultant defends at viva: the FIGO 2018 staging reproduced verbatim including the IB1/IB2/IB3 size subgroups and the IIIC1/IIIC2 nodal substages with 'r' (imaging) and 'p' (pathology) notation; the watershed decision between IA1 cone (fertility-sparing) and IA2/IB1 radical hysterectomy or radical trachelectomy plus pelvic lymphadenectomy; the cisplatin 40 mg/m2 weekly concurrent chemoradiotherapy regimen for IIB-plus disease; the GOG-240 triplet and KEYNOTE-826 pembrolizumab for metastatic disease; the role of MRI and PET-CT in modern staging; the LACC-driven return to open radical hysterectomy; and 5-year survival by stage. The HPV E6/E7 pathogenesis, the global burden (GLOBOCAN 2020), and special scenarios (pregnancy, HIV, fertility-sparing) are covered in full. An MBBS-level cervical cancer leaf already exists; this fellowship page extends it and cross-links rather than duplicating. RANZCOG-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

Domain

Intrapartum care — preterm birth prevention

1

high

Cervical cerclage: history-indicated, ultrasound-indicated and rescue

Exam-exhaustive FRANZCOG fellowship reference on cervical cerclage — the three indications and the evidence behind each, McDonald versus Shirodkar versus transabdominal technique, C-STICH, MAVRIC and SuPPoRT, contraindications, removal timing, and the management of PPROM with a suture in situ. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Gynaecological oncology — screening and prevention

1

high

Cervical screening and HPV: the NCSP pathway, self-collection, LLETZ/CKC, and elimination (fellowship depth)

Exam-exhaustive FRANZCOG fellowship foundation on cervical screening and HPV at the depth a consultant defends at viva: the Australian National Cervical Screening Program (NCSP) pathway verbatim from the Cancer Council Australia living wiki — women and people with a cervix aged 25 to 74 years, 5-yearly HPV-based Cervical Screening Test (CST), exit test at 70 to 74; the universal self-collection option available since 1 July 2022; the reflex cytology pathway for an HPV-positive sample (HPV 16/18 to colposcopy regardless; other high-risk HPV with HSIL to colposcopy; LSIL or negative to 12-month repeat); the colposcopy referral criteria; LLETZ versus cold-knife cone biopsy with the histological margin reading and the obstetric sequelae (Kyrgiou 2016); the 9-valent HPV vaccine schedule; and the WHO 90-70-90 elimination strategy with the Australia elimination modelling (Canfell). Complements — does not duplicate — the MBBS cervical cancer leaf and the new gynae-oncology cervical-cancer topic. RANZCOG-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

Domain

Gynaecological health — chronic pain

1

high

Chronic pelvic pain: the multifactorial biopsychosocial model, structured assessment & multidisciplinary management

Exam-exhaustive FRANZCOG fellowship topic on chronic pelvic pain: the 6-month definition, the multifactorial biopsychosocial model (gynaecological, urological, gastrointestinal, musculoskeletal, psychological), the structured assessment of every system, the multidisciplinary stepped-care management, the role of laparoscopy, the evidence that LUNA is not effective, and the chronic-pelvic-pain clinic model. RCOG Green-top 41 anchored, ESHRE endometriosis guidance and the SPIRIT trials carried. RANZCOG-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

Domain

Professional practice — clinical governance, quality and patient safety

1

high

Clinical governance

Exam-exhaustive FRANZCOG fellowship reference on clinical governance — Scally and Donaldson's definition, the four pillars (clinical effectiveness, risk management, patient experience, staff and education), Donabedian's structure–process–outcome triad, Reason's Swiss cheese and the system approach, incident reporting and classification, root cause analysis (London Protocol), the clinical audit cycle, open disclosure, the mortality and morbidity meeting, the second victim, and the ACSQHC framework. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Gynaecological oncology — premalignant cervical disease

1

high

Colposcopy and treatment of CIN/CGIN

Exam-exhaustive FRANZCOG fellowship reference on colposcopy and the treatment of CIN and CGIN, written from PubMed sources: HPV E6/E7 pathogenesis, the transformation zone and TZ types, Bethesda reporting and the ASCCP risk-based management principle, the excision-versus-ablation decision (LLETZ/LEEP, cold-knife cone, cryotherapy, cold coagulation/thermal ablation, laser) with the Kyrgiou and Athanasiou obstetric-outcome data, CGIN/AIS management, CIN in pregnancy, and HPV vaccination. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Perioperative care — medico-legal

1

high

Consent and provision of information

Exam-exhaustive FRANZCOG reference on informed consent and provision of information: the three legal elements (capacity, voluntariness, adequate information), the reasonable patient standard from Rogers v Whitaker and Montgomery v Lanarkshire, the threshold for disclosing material risks, RANZCOG C-Gen 2 requirements, consent for adolescents, mature minors, the patient who lacks capacity, advance care directives, and the special situations (Jehovah's Witness, innovative procedures, off-label use, obstetric emergencies).

Open

Domain

Professional practice — ethics, consent and communication

1

high

Consent and shared decision-making

Exam-exhaustive FRANZCOG professional reference on the four-principles framework, consent as a shared decision, Montgomery and Rogers material-risk standards, capacity, documentation, adolescents, patients lacking capacity, advance directives, emergency consent and culturally safe practice.

Open

Domain

Professional practice — equity, culture and communication

1

high

Cultural safety for culturally and linguistically diverse communities

Exam-exhaustive FRANZCOG professional reference on culturally safe care for migrant, refugee, asylum-seeking and other culturally and linguistically diverse communities: qualified interpreter use, trauma-informed maternity care, inclusive language, equitable service design, consent, screening, continuity and RANZCOG positions.

Open

Domain

Critical care in obstetrics and gynaecology

2

high

Diabetic ketoacidosis in pregnancy

Exam-exhaustive FRANZCOG fellowship reference on diabetic ketoacidosis in pregnancy — why it happens faster and at lower glucose, euglycaemic DKA, the 2024 ADA/EASD/JBDS diagnostic triad, fluid and fixed-rate insulin regimens with rates, potassium thresholds, the abnormal CTG that recovers with maternal correction, precipitants including corticosteroids and beta-agonists, and the decision to stabilise rather than deliver. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

high

Massive obstetric haemorrhage: transfusion, ROTEM-guided replacement and DIC

Exam-exhaustive FRANZCOG fellowship reference on massive obstetric haemorrhage — definitions and activation triggers, ratio-based versus viscoelastic-guided replacement, the fibrinogen and FIBTEM A5 thresholds with the three negative randomised trials, calcium and temperature, the lethal triad, ISTH DIC scoring in pregnancy, cell salvage evidence, and post-event AKI and Sheehan syndrome. Companion to the primary postpartum haemorrhage topic, which carries the uterotonic and surgical ladders.

Open

Domain

professional

1

high

Documentation, clinical handover and open disclosure

Exam-exhaustive FRANZCOG professional reference on the contemporaneous medical record, structured handover (ISBAR, iSoBAR), the Australian Open Disclosure Framework and duty of candour, expression of regret versus admission of liability, the second-victim phenomenon, and clinical governance obligations across ANZ, UK, US and Canada.

Open

Domain

Reproductive endocrinology & infertility — third-party reproduction

1

medium

Donor conception, surrogacy and social infertility frameworks

Exam-exhaustive FRANZCOG fellowship reference on donor conception (oocyte, sperm, embryo), surrogacy (gestational vs traditional), the ANZ legal and ethical frameworks (NHMRC 2017 ART guidelines, state surrogacy acts, the HART Act 2004), identity-release donation, the welfare of the child, and cross-border reproductive care. RANZCOG-primary, globally tagged to ESHRE, ASRM, MRCOG and ABOG.

Open

Domain

Neonatal care — infection

1

high

Early-onset neonatal sepsis

Exam-exhaustive FRANZCOG fellowship reference on early-onset neonatal sepsis — the ANZ risk-factor-based approach (no universal calculator), the GBS-fever-ROM-prematurity tier, empirical antibiotics with benzylpenicillin 60 mg/kg IV plus gentamicin 5 mg/kg IV, the 48-hour stop rule, and the maternal chorioamnionitis decision. ANZ-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Antenatal care — obstetric emergencies

2

high

Eclampsia and HELLP syndrome

Exam-exhaustive FRANZCOG reference on eclampsia and HELLP syndrome — the seizure bundle from the doorway, the Zuspan and Pritchard magnesium regimens with monitoring, toxicity ladder and calcium gluconate antidote, recurrent-seizure management, the Tennessee and Mississippi criteria reproduced with thresholds, the corticosteroid controversy, separating HELLP from acute fatty liver and thrombotic microangiopathy, hepatic haematoma, timing of birth and the postpartum course. SOMANZ 2023 and RANZCOG-anchored, globally tagged to MRCOG and ABOG.

Open

high

Trauma in pregnancy

Exam-exhaustive FRANZCOG fellowship reference on trauma in pregnancy — the physiological changes that distort trauma care, the modified primary survey with left lateral tilt and uterine displacement, the secondary survey with CTG, ultrasound and Kleihauer-Betke, perimortem caesarean (the 4-minute rule, RCOG GTG 56), intimate partner violence screening, and the killer pitfalls. RANZCOG-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

Domain

Gynaecological oncology — uterine corpus

1

high

Endometrial cancer — FIGO 2023 staging with molecular classification and the ESGO 2025 management ladder

FRANZCOG-exhaustive treatment of endometrial cancer building on the MBBS foundation: the FIGO 2023 (Berek) staging system reproduced verbatim including its four molecular subgroups (POLEmut, MMRd, NSMP, p53abn) and their stage modifiers, the 2025 ESGO-ESTRO-ESP risk-stratified management ladder, the full surgical and adjuvant ladder with trial evidence (PORTEC-1/2/3, FIRES, Fader 2018), fertility-sparing management, and survival by stage and molecular subgroup. ANZ-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

Domain

Gynaecological oncology

2

high

Endometrial hyperplasia and atypia: WHO 2014 classification and management

Exam-exhaustive FRANZCOG fellowship foundation on endometrial hyperplasia and atypia: the WHO 2014 two-tier classification (hyperplasia without atypia vs atypical hyperplasia/EIN), the Kurman 1985 progression-risk data, the 42.6% concurrent-cancer rate of the GOG cohort, and the management pathway anchored by the Gallos 2010 systematic review and Gallos 2013 cohorts — progestin doses, surveillance intervals, and hysterectomy thresholds. RANZCOG-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

high

Epithelial ovarian cancer: FIGO 2021 staging, histotypes and the PARP era

Exam-exhaustive FRANZCOG fellowship foundation on epithelial ovarian cancer: the FIGO 2021 staging of ovarian, fallopian tube and peritoneal cancer reproduced verbatim from Berek 2021, the five major histotypes and the dualistic type I/type II model, BRCA1/2 and HRD testing, the primary debulking vs neoadjuvant chemotherapy decision (EORTC 55971 and CHORUS), maintenance therapy with PARP inhibitors (SOLO-1, SOLO-2, PRIMA, NOVA, PAOLA-1), and survival by stage. RANZCOG-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

Domain

Gynaecological health — chronic pelvic pain and endometriosis

2

high

Endometriosis surgical management: excision vs ablation, DIE, ENZIAN, nerve-sparing

Exam-exhaustive FRANZCOG fellowship topic on the surgical management of endometriosis: the indications for surgery, laparoscopy as the preferred route, the excision-vs-ablation evidence (equivalent for minimal-to-mild peritoneal disease; excision preferred for DIE and fibrotic nodules), the #ENZIAN classification of deep infiltrating endometriosis (DIE) with compartments A/B/C/FA/FB/FU/FI and severity grades, the multidisciplinary approach to bowel/bladder/ureter disease (shaving, discoid, segmental), nerve-sparing surgery, the endometrioma and ovarian-reserve trade-off, the recurrence rate of 20-40% at 5 years, and the fertility-sparing surgical outcomes by the EFI. RANZCOG-primary (Australian Living Evidence), globally tagged to ESHRE 2022, MRCOG, ABOG, FRCSC and MRCPI.

Open

high

Endometriosis: symptom profile, diagnosis and medical management (ESHRE 2022)

Exam-exhaustive FRANZCOG fellowship topic on endometriosis: the symptom profile (secondary dysmenorrhoea, deep dyspareunia, cyclical bowel and bladder symptoms, chronic pelvic pain), the diagnostic delay of about 7 years and the paradigm shift from laparoscopy-first to clinical-plus-imaging-first diagnosis, the medical management ladder from simple analgesia through continuous COCP/LNG-IUS and progestins (dienogest) to GnRH analogues with add-back, the fertility preservation discussion, and endometrioma classification (rASRM, EFI). Surgical management has its own companion topic. RANZCOG-primary (Australian Living Evidence), globally tagged to ESHRE 2022, MRCOG, ABOG, FRCSC and MRCPI.

Open

Domain

Perioperative care

3

high

Enhanced recovery after gynaecological surgery

FRANZCOG fellowship guide to enhanced recovery after gynaecological surgery: prehabilitation, carbohydrate loading, selective bowel preparation, opioid-sparing analgesia, PONV prevention, early feeding, mobilisation, catheter and drain removal, discharge and audit.

Open

high

Perioperative venous thromboembolism prophylaxis

FRANZCOG fellowship guide to perioperative VTE prevention: procedure and patient risk assessment, IPC, LMWH and UFH, enoxaparin dosing, bleeding and neuraxial considerations, and 28-day extended prophylaxis after major abdominopelvic cancer surgery.

Open

high

Prophylactic antibiotics in obstetric and gynaecological surgery

FRANZCOG fellowship guide to surgical antimicrobial prophylaxis: indication by wound class, cefazolin-based regimens, anaerobic cover for hysterectomy, timing within 60 minutes, redosing, allergy assessment, stewardship and management of prophylaxis failure.

Open

Domain

Antenatal care — neurological disorders

1

high

Epilepsy in pregnancy

Exam-exhaustive FRANZCOG fellowship reference on epilepsy in pregnancy — preconception counselling, antiepileptic drug teratogenicity with the EURAP registry data (valproate worst at 10.3 percent, lamotrigine and levetiracetam lowest), lamotrigine clearance increase, folic acid 5 mg, vitamin K for neonates of women on enzyme-inducing AEDs, breastfeeding on AEDs, and the trade-off of seizure control vs AED risk. AAN/AES/SMFM 2024 guideline, Harden 2009, EURAP registry anchored; globally tagged to MRCOG and ABOG.

Open

Domain

Professional practice — family and domestic violence, advocacy and safety

1

high

Family and domestic violence

Exam-exhaustive FRANZCOG fellowship reference on family and domestic violence (FDV) in women's healthcare — RANZCOG routine enquiry, the WHO LIVES first-line response, validated screening tools (HARK, HITS, Abuse Assessment Screen), the Campbell Danger Assessment, safety planning, trauma-informed care, the perinatal period as a high-risk window, mandatory reporting by jurisdiction, reproductive coercion, and the documentation standard. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Gynaecological health — sexual, cultural and safeguarding

1

high

Female genital mutilation (FGM/C): WHO Type I-IV classification, antenatal & intrapartum care, deinfibulation and cultural competence (RANZCOG C-Gyn 1)

Exam-exhaustive FRANZCOG fellowship foundation on female genital mutilation/cutting (FGM/C): the WHO Type I-IV classification reproduced verbatim with its subdivisions, the ANZ legal framework and mandatory-reporting duties, the antenatal and intrapartum management (including deinfibulation and mode of birth for Type III), the deinfibulation procedure and its timing, the obstetric and psychosexual sequelae, and trauma-informed, culturally competent care. Anchored to RANZCOG C-Gyn 1 (2023) and the WHO evidence base, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

Domain

Antenatal care — fetal medicine and alloimmune disease

1

high

Fetal and neonatal alloimmune thrombocytopenia (FNAIT)

Exam-exhaustive FRANZCOG reference on fetal and neonatal alloimmune thrombocytopenia — the platelet equivalent of haemolytic disease of the fetus and newborn, anti-HPA-1a the commonest antibody, severe thrombocytopenia under 50 × 10⁹ per L, and the feared intracranial haemorrhage; antenatal management with maternal IVIG 1 g/kg per week (from 20 to 28 weeks for standard risk, from 12 to 18 weeks with higher dose for a previous sibling intracranial haemorrhage), weekly platelet surveillance, mode of delivery, and neonatal HPA-matched platelet transfusion. Anchored to the Leiden-led international NOICH registry (Kamphuis), the Berkowitz and Paridaans randomised trials, and the de Vos natural history and postnatal cohorts; globally tagged to MRCOG and ABOG.

Open

Domain

Intrapartum care — fetal surveillance

3

high

Fetal blood sampling and scalp lactate

Exam-exhaustive FRANZCOG fellowship reference on intrapartum fetal blood sampling and scalp lactate — indications, the full contraindication list, technique step by step, the RANZCOG C-Obs 1 v5.2 pH and lactate thresholds with repeat intervals, why lactate beat pH on sampling success but not on outcome, device-specific cut-offs, and the honest argument about whether the test still earns its place. A mandatory RANZCOG Basic Obstetric Skills station. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

high

Fetal surveillance modalities in labour: intermittent auscultation, fetal scalp electrode, telemetry

Exam-exhaustive FRANZCOG fellowship reference on choosing and using fetal surveillance modalities in labour — intelligent structured intermittent auscultation with its timing rules, external CTG, the fetal scalp electrode with its prerequisites and complication data, wireless telemetry and beltless fetal ECG, the intrauterine pressure catheter, admission CTG, and defeating maternal heart rate confusion. RANZCOG C-Obs 1 v5.2 primary, globally tagged to MRCOG and ABOG.

Open

high

Intrapartum CTG interpretation

Exam-exhaustive FRANZCOG fellowship reference on intrapartum CTG interpretation — the RANZCOG C-Obs 1 v5.2 (June 2026) feature framework and the FIGO 2015 classification, the physiology of fetal heart rate control, the mechanism behind every deceleration, intrauterine resuscitation with doses, the three-minute rule, and the classic exam traps (sinusoidal, tachysystole, maternal pyrexia, preterm, maternal heart rate confusion). Built to the FSEP syllabus. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Antenatal care — fetal growth and surveillance

1

high

Fetal growth restriction and small for gestational age

Exam-exhaustive FRANZCOG fellowship reference on fetal growth restriction and small for gestational age — the Delphi consensus definition (early and late FGR), customised versus INTERGROWTH standards, the differential of causes, surveillance with umbilical artery Doppler and cerebroplacental ratio, timing of delivery from TRUFFLE, GRIT and DIGITAT, the Alfirevic Cochrane evidence, and the Safer Baby Bundle. ANZ-primary, globally tagged.

Open

Domain

Antenatal care — fetal anomaly screening

1

high

Fetal structural anomalies and the mid-trimester anatomy scan

Exam-exhaustive FRANZCOG fellowship reference on fetal structural anomalies and the mid-trimester anatomy scan — the ISUOG systematic protocol, the cardiac views (four-chamber, outflow tracts, three-vessel-trachea), common anomalies (cardiac, neural tube, renal, skeletal) and their management, the soft markers with Agathokleous likelihood ratios, and the referral pathway. Anchored on the ISUOG 2022 mid-trimester guideline and the Carvalho 2013 fetal-heart guideline, globally tagged to MRCOG and ABOG.

Open

Domain

Antenatal care — maternal medicine

5

high

Gestational diabetes: screening, diagnosis, management

Exam-exhaustive FRANZCOG fellowship reference on gestational diabetes — the ADIPS 2025 diagnostic thresholds and the screening controversy behind them, HAPO, GEMS, TARGET, TOBOGM and ScreenR2GDM, medical nutrition therapy, metformin and insulin with doses, fetal surveillance, timing and mode of birth, intrapartum glycaemic control, neonatal hypoglycaemia and the postpartum OGTT. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

high

Hypertensive disorders of pregnancy: ISSHP 2021 classification and chronic hypertension

Exam-exhaustive FRANZCOG reference on hypertensive disorders of pregnancy — the ISSHP 2021 classification in full, white-coat and masked hypertension, chronic hypertension from preconception to postnatal, antihypertensive drug, dose and titration, the CHAP and CHIPS targets, severe-range emergency treatment inside 30 to 60 minutes, and lifelong cardiovascular follow-up. SOMANZ 2023 and RANZCOG-anchored, globally tagged to NICE NG133, MRCOG and ABOG.

Open

high

Preeclampsia: diagnosis and management

Exam-exhaustive FRANZCOG reference on diagnosing and managing preeclampsia — the ISSHP 2021 criteria with every threshold, ACOG PB 222 severe features, severe-range treatment inside 30 to 60 minutes with drug, dose and ceiling, the Zuspan magnesium regimen with monitoring and antidote, fluid restriction, angiogenic markers and fullPIERS, and timing of birth answered gestation by gestation with PHOENIX, HYPITAT and HYPITAT-II. SOMANZ 2023 and RANZCOG-anchored, globally tagged to MRCOG and ABOG.

Open

high

Preeclampsia: prediction and prevention

Exam-exhaustive FRANZCOG reference on predicting and preventing preeclampsia — the NICE and USPSTF risk-factor checklist, the Fetal Medicine Foundation competing-risks model with MAP, uterine artery Doppler and PlGF, ASPRE and the Roberge dose-response data, aspirin dose and the before-16-weeks rule, calcium supplementation, and the interventions that do not work. RANZCOG and SOMANZ 2023 anchored, globally tagged to NICE NG133, FIGO, MRCOG and ABOG.

Open

high

Pregestational diabetes (type 1 and type 2) in pregnancy

Exam-exhaustive FRANZCOG fellowship reference on pregestational diabetes — preconception care and HbA1c targets, 5 mg folic acid, diabetic embryopathy and the anomaly pattern, retinopathy and nephropathy screening and progression, insulin titration across the trimesters, CONCEPTT and closed-loop evidence, metformin in type 2 diabetes (MiTy), timing and mode of birth, and the sick-day and antenatal-steroid plan. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Early pregnancy care — gestational trophoblastic disease

1

high

Gestational trophoblastic disease

Exam-exhaustive FRANZCOG fellowship reference on gestational trophoblastic disease — complete versus partial mole genetics with p57, suction evacuation and its cautions, hCG surveillance and the shortened follow-up evidence, the FIGO 2000 staging and WHO prognostic score reproduced in full, single-agent methotrexate and actinomycin-D versus EMA-CO by risk, and the PSTT/ETT exception. FIGO 2025 update and RANZCOG C-Gyn 31 primary, with the Queensland Trophoblast Centre for ANZ.

Open

Domain

Gynaecological oncology — gestational trophoblastic disease

2

high

Gestational trophoblastic neoplasia (including hydatidiform mole)

Exam-exhaustive FRANZCOG fellowship reference on gestational trophoblastic neoplasia from the hydatidiform mole through risk-scored chemotherapy, written from PubMed sources: complete versus partial mole (cytogenetics and p57), suction evacuation and centralised hCG surveillance, the FIGO 2000 anatomic staging and the WHO eight-variable prognostic score with the Charing Cross score 0 to 8 convention, the FIGO hCG criteria, the methotrexate-folinic acid and actinomycin-D regimens, EMA-CO with induction etoposide-cisplatin, and the placental-site and epithelioid trophoblastic tumours. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

high

Post-molar gestational trophoblastic neoplasia: FIGO 2000 staging and WHO prognostic score, risk-stratified chemotherapy, hCG surveillance and the near-universal cure

Exam-exhaustive FRANZCOG fellowship topic on gestational trophoblastic neoplasia after molar evacuation (post-molar GTN): the FIGO 2000 anatomic staging (I uterus; II genital tract; III lungs; IV other sites) and the WHO eight-variable prognostic score reproduced verbatim, the 0-6 low-risk versus 7 or more high-risk cut-off, the low-dose methotrexate-folinic acid regimen, pulsed actinomycin-D, the EMA-CO regimen for high-risk disease, the FIGO hCG diagnostic criteria and surveillance schedule, the survival figures and subsequent pregnancy advice. Anchored to the FIGO 2025 update, the FIGO Oncology Committee 2000 staging, Kohorn 2001, McNeish 2002, the Alifrangis 2013 EMA-CO cohort, the Albright 2020 meta-analysis and Soper 2021. Cross-links the early-pregnancy gestational trophoblastic disease topic.

Open

Domain

Gynaecological oncology — cancer in pregnancy

2

high

Gynaecological cancer in pregnancy

Exam-exhaustive FRANZCOG fellowship reference on gynaecological cancer in pregnancy — cervical cancer (fertility- and pregnancy-preserving strategy, neoadjuvant chemotherapy), the adnexal mass in pregnancy (IOTA/ESGO imaging, surgery in the second trimester), the trimester safety of chemotherapy (first-trimester malformation risk, long-term child outcomes), timing of treatment versus delivery, the contraindicated agents, and the ESGO/INCIP and ASCO guideline framework. ANZ-primary (RANZCOG), globally tagged to ESMO, ESGO/INCIP, ASCO.

Open

high

Gynaecological cancer in pregnancy — diagnostic, treatment-timing and delivery framework

Exam-exhaustive FRANZCOG fellowship reference on gynaecological cancer in pregnancy — the surgical-oncology companion to malignancy-in-pregnancy: incidence 1 in 1000, cervical cancer the commonest gynaecological malignancy, ultrasound and non-contrast MRI first-line imaging, surgery safe at any gestation, chemotherapy after 14 weeks and stopped by 35 weeks, caesarean for cervical and vulvar cancer and vaginal delivery for most ovarian cancers, and the multidisciplinary team including maternal-fetal medicine, gynae-oncology and neonatology. ANZ-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

Domain

Gynae-oncology — hereditary cancer

1

high

Hereditary gynaecological cancer syndromes — BRCA and Lynch

Exam-exhaustive FRANZCOG reference on the two inherited syndromes that reshape gynaecological cancer care: hereditary breast and ovarian cancer (BRCA1/BRCA2) and Lynch syndrome (MLH1/MSH2/MSH6/PMS2/EPCAM). Gene-specific ovarian and endometrial cancer risks, the timing of risk-reducing bilateral salpingo-oophorectomy (35-40 for BRCA1, 40-45 for BRCA2), the Manchester and PROSPECT referral criteria, the fallopian-tube (STIC) origin of high-grade serous carcinoma, and the counselling that prevents the next preventable cancer. RANZCOG-primary, globally tagged.

Open

Domain

Gynaecological health — androgen excess

1

high

Hirsutism and virilisation: the mFG score, the androgen-excess differential, and the management ladder (Endocrine Society 2018)

Exam-exhaustive FRANZCOG fellowship topic on hirsutism and virilisation: the modified Ferriman-Gallwey score reproduced verbatim (nine androgen-sensitive sites, 0 to 4 each, maximum 36, with ethnicity-specific thresholds), the distinction between hirsutism and virilisation, the differential (PCOS, non-classic CAH, androgen-secreting tumour, Cushing, idiopathic), the investigation panel (total testosterone, SHBG, calculated free androgen index, DHEAS, 17-hydroxyprogesterone, androstenedione, with the LC-MS/MS assay-quality requirement), the Endocrine Society 2018 management ladder (cosmetic, combined OCP, anti-androgens — spironolactone, cyproterone, finasteride — eflornithine, photoepilation), and the thresholds that demand imaging for tumour. The Endocrine Society 2018 Clinical Practice Guideline (Martin et al) is the global anchor, with the SOGC Guideline No. 444 (2023) and the Monash PCOS Guideline converging. RANZCOG-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

Domain

Sexual and reproductive health — hormonal, non-hormonal and emergency contraception

1

high

Hormonal, non-hormonal contraception and emergency contraception

Exam-exhaustive FRANZCOG fellowship reference on the combined hormonal contraception (oestrogen plus progestin) — combined pill, patch, vaginal ring — and the progestin-only pill, plus the non-hormonal barrier, fertility awareness and emergency contraception options. WHO MEC four-tier eligibility, VTE risk, missed pills, drug interactions (enzyme inducers), ulipristal acetate vs levonorgestrel EC vs Cu-IUD for EC, dosing, timing and efficacy per option (Cochrane, Brache pooled analysis, Edelman 2024 in BMI ≥30). ANZ-primary, globally tagged to MRCOG, ABOG.

Open

Domain

Critical care — maternal resuscitation

5

high

Hypertensive crisis and refractory eclampsia

Exam-exhaustive FRANZCOG fellowship reference on the hypertensive crisis and refractory eclampsia — the severe-range blood pressure treatment targets and the three first-line agents (labetalol, hydralazine, nifedipine) with doses and titration, the magnesium sulfate loading, maintenance and antidote with doses, the refractory-eclampsia escalation ladder, and the delivery decision. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

high

Maternal collapse and resuscitation in pregnancy

Exam-exhaustive FRANZCOG fellowship reference on maternal collapse and cardiac arrest in pregnancy — RCOG Green-top 56, the four H and four T framework with the obstetric causes bolted on, the specific CPR modifications (manual left uterine displacement, hand position, airway, access above the diaphragm), defibrillation, antidote doses, team roles, and post-resuscitation care. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

high

Perimortem caesarean birth

Exam-exhaustive FRANZCOG fellowship reference on perimortem caesarean birth (resuscitative hysterotomy) — where the 4-minute rule came from and how good the evidence really is, indications by fundal height, the maternal rationale, technique without moving the patient, why no anaesthetic and no consent are needed, the equipment, and the aftercare of both patients. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

high

Respiratory failure, ventilation and massive pulmonary embolism in pregnancy

Exam-exhaustive FRANZCOG fellowship reference on respiratory failure, ventilation and massive pulmonary embolism in pregnancy — the physiological changes that alter ventilation and oxygenation, the recognition and thrombolysis of massive PE with doses, the perimortem interaction, the lung-protective ventilation settings for the pregnant patient, and ARDS in pregnancy. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

high

Sepsis and septic shock in pregnancy and the puerperium

Exam-exhaustive FRANZCOG fellowship reference on maternal sepsis and septic shock — the organisms (E coli, group A and group B strep), why SOFA and qSOFA fail in pregnancy and the Sepsis in Obstetrics Score, the Surviving Sepsis bundle adapted for pregnancy with drug doses, the RCOG GTG 64 and SOMANZ empiric regimens, source control, and the group A strep speed-and-mortality lesson. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

gynae-surgery

4

high

Hysterectomy

Exam-exhaustive FRANZCOG fellowship reference on hysterectomy — the four routes (abdominal, vaginal, laparoscopic, robotic), the abdominal incisions (midline vs Pfannenstiel), the steps of total laparoscopic hysterectomy (ureter identification, uterosacral transection, colpotomy, cuff closure), the complications (bleeding, ureteric and bladder injury, vaginal cuff dehiscence, vault haematoma), the evidence base (Cochrane Pickett 2023 route comparison), and the contemporary AAGL/RANZCOG/RCOG/ACOG positions. RANZCOG-primary, globally tagged to MRCOG, ABOG and FRCSC.

Open

high

Operative hysteroscopy — distension media, fluid management, energy and complications

Exam-exhaustive FRANZCOG fellowship reference on operative hysteroscopy — distension media and the fluid-deficit stop points (1000 mL hypotonic, 2500 mL isotonic; lower for the comorbid), bipolar versus monopolar energy, the resectoscope and mechanical tissue-removal systems, outpatient see-and-treat versus operating-room day-case, and the complications that kill (fluid overload, hyponatraemia, gas embolism, perforation). Grounded in the AAGL distending-media report, the BSGE/ESGE fluid guideline, ACOG Committee Opinion 800, the Cochrane review of distension media, and the bipolar-technology literature. RANZCOG-primary, globally tagged to MRCOG, ABOG and FRCSC.

Open

high

Operative laparoscopy — entry, energy, port placement and complications

Exam-exhaustive FRANZCOG fellowship reference on operative laparoscopy — the three entry techniques (closed Veress, open Hasson, direct optical/direct trocar), energy sources (monopolar, bipolar, advanced bipolar, ultrasonic), port placement and fascial closure, and the complications that drive mortality and litigation (major vessel injury, unrecognised bowel/thermal injury, gas embolism, port-site hernia). Grounded in the Cochrane review of laparoscopic entry techniques, the SOGC No. 193 entry guideline, and the AAGL/RCOG energy and entry literature. RANZCOG-primary, globally tagged to MRCOG, ABOG and FRCSC.

Open

high

Surgical anatomy of the female pelvis

Exam-exhaustive FRANZCOG fellowship reference on surgical anatomy of the female pelvis — the five retroperitoneal avascular spaces (pararectal Latzko and Okabayashi, paravesical medial and lateral, retropubic Retzius, presacral), the ureter course with cervical, vaginal and intramural branches, the pelvic autonomic nerves (superior hypogastric plexus, hypogastric nerves, pelvic splanchnic S2–S4, inferior hypogastric plexus with vesical, uterovaginal and rectal subdivisions), the uterine and ovarian arterial anastomoses, and the laparoscopic pelvic orientation for benign and radical hysterectomy. RANZCOG-primary, globally tagged to MRCOG, ABOG and FRCSC.

Open

Domain

Intrapartum care — induction of labour

1

high

Induction of labour

Exam-exhaustive FRANZCOG reference on induction of labour — indications by gestation, the Bishop score reproduced accurately, dinoprostone, oral misoprostol, balloon catheter, amniotomy and oxytocin with ANZ doses and intervals, tachysystole and its tocolytic doses, failed induction, uterine rupture risk after caesarean, outpatient induction and the counselling conversation. RANZCOG C-Obs 22 primary, globally tagged to NICE, ACOG and WHO.

Open

Domain

Intrapartum care — medical comorbidity

1

high

Intrapartum care for women with existing medical conditions

Exam-exhaustive FRANZCOG reference on intrapartum care for women with existing medical conditions — the modified WHO cardiac classification and CARPREG II risk, the diabetes intrapartum glucose target and CONCEPTT, epilepsy in labour, the obesity class III thresholds and difficult-airway implications, and the anticoagulation-to-neuraxial timing rules. Anchored to the ESC and ASH guidelines, RANZCOG-primary, globally tagged.

Open

Domain

Postpartum care — lactation

1

high

Lactation: establishment, complications, suppression and drug safety

Exam-exhaustive FRANZCOG fellowship reference on lactation — secretory activation and the prolactin and oxytocin reflexes, attachment and nipple damage, the mastitis spectrum with antibiotic doses and the four practices the 2022 protocol reversed, abscess drainage, low supply and galactagogues, cabergoline suppression, and how to answer a drug-safety question using the resources actually used in Australia and New Zealand.

Open

Domain

perioperative

1

high

Laparoscopic entry and complications

Laparoscopic entry and complications

Open

Domain

Antenatal care — fetal loss and bereavement

1

high

Late intrauterine fetal death and stillbirth

Exam-exhaustive FRANZCOG fellowship reference on late intrauterine fetal death — confirming the diagnosis, the investigation bundle (Kleihauer, cytogenetics, placental histopathology, autopsy), the PSANZ classification, induction with mifepristone plus misoprostol by gestation (RCOG GTG 55), expectant management, bereavement care, and the next-pregnancy plan. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Sexual and reproductive health — long-acting reversible contraception

1

high

Long-acting reversible contraception (LARC)

Exam-exhaustive FRANZCOG fellowship reference on the three LARC methods — etonogestrel subdermal implant, 52 mg levonorgestrel-releasing IUS (Mirena) and the copper IUD — with the insertion technique, bleeding patterns, current durations of use (implant up to 5 years; LNG-IUS up to 8 years for contraception), evidence vs female sterilisation and combined oral contraception (CHOICE Project, Mirena Extension Trial, Bahamondes RCT), and the management of unscheduled bleeding, lost threads and contraceptive failure. ANZ-primary, globally tagged to MRCOG, ABOG, MRCPI.

Open

Domain

Antenatal care — maternal malignancy

1

high

Malignancy in pregnancy

Exam-exhaustive FRANZCOG fellowship reference on malignancy in pregnancy — anchored on SMFM Consult Series #76 (2026) and the ESMO guidelines, covering breast cancer (the commonest, surgery safe, chemotherapy after the first trimester, tamoxifen contraindicated), cervical cancer (cone biopsy in pregnancy, delay versus deliver), haematological malignancies, melanoma, the diagnostic approach avoiding radiation, the timing of delivery versus treatment, and multidisciplinary management. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Professional practice — ethics, law and regulation

1

high

Medico-legal frameworks in O&G

Exam-exhaustive FRANZCOG professional reference on Australian medico-legal frameworks: the four-stage negligence test (duty, breach, causation, harm), the standard of care from Bolam to Bolitho to Montgomery/Rogers, the three elements of valid consent, defensible documentation, the role of expert witnesses, the coronial process after maternal and perinatal death, AHPRA notification (voluntary and mandatory under National Law s141), the differential thresholds for treating versus non-treating practitioners, and the open-disclosure framework. RANZCOG-primary, globally tagged to MRCOG, ABOG, FRCSC, MRCPI.

Open

Domain

Early pregnancy care — pregnancy loss

1

high

Miscarriage: diagnosis and management

Exam-exhaustive FRANZCOG fellowship reference on miscarriage — the six clinical types, the transvaginal ultrasound thresholds that define non-viability, expectant versus medical versus surgical management with full doses, the MifeMiso evidence, antibiotic prophylaxis, the rewritten anti-D policy, septic miscarriage, and how to break the news. RANZCOG C-Gyn 38 primary, with NICE NG126 deltas, globally tagged to MRCOG and ABOG.

Open

Domain

Intrapartum care — place of birth and care model

1

high

Models of intrapartum care

Exam-exhaustive FRANZCOG reference on models of intrapartum care — the four planned birth settings and the Birthplace in England numbers by parity, the counselling conversation, water immersion and waterbirth with the exclusion criteria and evacuation drill, midwifery continuity of carer and its evidence, the transfer pathway, and the Dutch home-birth cohort that frames the debate. RANZCOG-primary, globally tagged.

Open

Domain

Antenatal care — multiple pregnancy

2

high

Monochorionic twin pregnancy

Exam-exhaustive FRANZCOG reference on monochorionic twin pregnancy — first-trimester chorionicity determination, Quintero staging of twin-twin transfusion syndrome, the Solomon fetoscopic laser technique, twin anemia-polycythemia sequence, selective fetal growth restriction types, the surveillance schedule from 16 weeks, and the timing of birth. RANZCOG C-Obs 42-anchored, globally tagged to MRCOG, ABOG and ISUOG 2025.

Open

high

Multiple pregnancy — chorionicity, surveillance and timing of birth

Exam-exhaustive FRANZCOG reference on multiple pregnancy — first-trimester chorionicity/amnionicity determination (lambda versus T sign), DCDA versus MCDA versus MCMA surveillance and timing of birth (37 and 36 weeks respectively), mode of birth (Twin Birth Study), selective reduction, and the complications specific to multiples (TTTS cross-linked). RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Gynaecological surgery — uterus-sparing procedures

1

high

Myomectomy

Exam-exhaustive FRANZCOG fellowship reference on myomectomy — indications, FIGO type-to-route mapping (hysteroscopic 0-2, laparoscopic or abdominal 3-7), pre-operative optimisation (iron, GnRH analogues), operative technique step by step (vasopressin 20 IU, uterine tourniquet, hysterotomy, enucleation along the pseudocapsule, multi-layer closure, barrier agents, contained in-bag morcellation), complications (bleeding, visceral injury, conversion, uterine rupture), the morcellation controversy (RANZCOG C-Gyn 33, FDA April 2014 Safety Communication, occult leiomyosarcoma 0.01-0.08%, in-bag technique), recurrence 15-30% at 5 years, and the alternative uterus-sparing options (UAE, HIFU/MRgFUS, RFA). RANZCOG-primary, globally tagged.

Open

Domain

Neonatal care — assessment and transition

1

high

Neonatal assessment and transitional care

Exam-exhaustive FRANZCOG fellowship reference on newborn assessment and transitional care — the Apgar score reproduced correctly and what it must never be used for, paired cord gas technique and interpretation with the acidaemia thresholds, the physiology of normal transition minute by minute, escalation triggers on the postnatal ward, and sudden unexpected postnatal collapse. ANZ-primary, globally tagged.

Open

Domain

Neonatal care — hypoxic-ischaemic encephalopathy

1

high

Neonatal encephalopathy, HIE and therapeutic hypothermia

Exam-exhaustive FRANZCOG fellowship reference on neonatal encephalopathy and HIE — Sarnat staging reproduced accurately, the ACOG/AAP 2014 acute-intrapartum framework and cord-gas criteria (pH under 7.0, base deficit 12 mmol/L or worse), the ANZ three-gate cooling criteria and the 6-hour window, the RCT and RR evidence (CoolCap, NICHD, TOBY, ICE, optimal-cooling, HELIX, the mild-HIE pilot and the 33-to-35 week preterm trial), the differential of the encephalopathic newborn, and the medico-legal significance of the language you write. ANZ-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Neonatal care — metabolic and transitional care

1

high

Neonatal hypoglycaemia

Exam-exhaustive FRANZCOG fellowship reference on neonatal hypoglycaemia — the at-risk groups, the operational-threshold concept and the Queensland Clinical Guideline age-stratified blood glucose targets, buccal dextrose gel 200 mg/kg with the Sugar Babies and Cochrane evidence, intravenous and glucagon escalation, and the neurodevelopmental outcome evidence (CHYLD, HypoEXIT). ANZ-primary, globally tagged.

Open

Domain

Neonatal care — bilirubin metabolism

1

high

Neonatal jaundice

Exam-exhaustive FRANZCOG fellowship reference on neonatal jaundice — physiological versus pathological timing, the gestational-age-stratified hour-of-life-specific threshold nomograms (NICE CG98 and Queensland Clinical Guidelines), the kernicterus risk factors (haemolysis, prematurity, G6PD deficiency), the obstetric contributors (isoimmunisation, bruising, delayed cord clamping), phototherapy and exchange. ANZ-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Neonatal care — resuscitation and transition

1

high

Neonatal resuscitation at birth

Exam-exhaustive FRANZCOG fellowship reference on neonatal resuscitation at birth — the ANZCOR newborn life support sequence with real timings, air versus oxygen and the minute-by-minute saturation targets, ventilation pressures and why ventilation fails, the 3:1 compression ratio, adrenaline dose and route, volume replacement, the deferred cord clamping interaction, and who must attend under RANZCOG C-Obs 32. ANZ-primary, globally tagged.

Open

Domain

Intrapartum care — physiological birth

1

high

Normal labour and birth

Exam-exhaustive FRANZCOG reference on normal labour and birth — the physiology of onset and the mechanism of birth, the three stages with the real ANZ durations from RANZCOG C-Obs 31, partogram and WHO Labour Care Guide interpretation, active versus physiological third stage with drug doses, deferred cord clamping, and what actually counts as normal. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Postpartum care — routine and preventive

1

high

Normal puerperium and postnatal care

Exam-exhaustive FRANZCOG fellowship reference on the normal puerperium and postnatal care — involution and lochia timelines, the NICE NG194 and WHO 2022 contact schedules, red flags for the woman and for staff, postpartum contraception with UKMEC timing, and the six-week review content. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Antenatal care — routine care and lifestyle

1

medium

Nutrition, supplementation and exercise in pregnancy

Exam-exhaustive FRANZCOG fellowship reference on nutrition, supplementation and exercise in pregnancy — folate 400 micrograms for all (5 mg high-risk), iodine 150 micrograms, targeted iron and vitamin D, the IOM gestational weight-gain targets by BMI class, the 150 to 300 minutes weekly exercise prescription with contraindications, and the caffeine limit of under 200 mg. RANZCOG C-Obs 25 and C-Obs 62 named in prose; PubMed-backed evidence. ANZ-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Antenatal care — maternal medical conditions

1

high

Obesity in pregnancy

Exam-exhaustive FRANZCOG fellowship reference on maternal obesity in pregnancy — WHO BMI tiers and the rising risk ladder (GDM, preeclampsia, VTE, stillbirth, caesarean, congenital anomaly), gestational weight gain targets, anaesthetic referral triggers, weight-based enoxaparin dosing (Overcash, Stephenson), vitamin D 1000 IU, aspirin for preeclampsia prevention, intrapartum considerations, and the killer pitfalls. RANZCOG C-Obs 49 anchored, globally tagged to MRCOG and ABOG.

Open

Domain

Intrapartum care — analgesia and anaesthesia

1

high

Obstetric analgesia and anaesthesia

Exam-exhaustive FRANZCOG fellowship reference on obstetric analgesia and anaesthesia — the labour analgesia efficacy ladder with real numbers, epidural technique and the Cochrane evidence, the COMET and RESPITE trials, spinal for caesarean with hyperbaric bupivacaine, hypotension prevention with phenylephrine (international consensus), accidental dural puncture and post-dural puncture headache with the epidural blood patch, the OAA-DAS failed-intubation drill, NAP5 awareness, and remifentanil PCA monitoring. RANZCOG/ANZCA-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Critical care — escalation and safety-net

1

high

Obstetric early warning scores and escalation

Exam-exhaustive FRANZCOG fellowship reference on obstetric early warning scores — the CEMACH origin and MBRRACE lesson, the difference between aggregate-weighted MEOWS and single-parameter MEWT triggers, the modified physiological parameters for pregnancy, the validation evidence (Singh, Shields, Hedriana, Edwards), and the escalation pathway without which the chart is decoration. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Neonatal care — outcomes of prematurity

1

high

Outcomes of prematurity the obstetrician must know

Exam-exhaustive FRANZCOG fellowship reference on the outcomes of prematurity the obstetrician must own — survival and disability by completed week from ANZNN 2023 Table 29 and ANZNN 2022 Table 45 read directly from the source, the denominator trap that flatters the fetus in utero, the four obstetric levers (antenatal corticosteroids, magnesium sulphate, in-utero transfer, active treatment policy) with the trials that bound each, the periviability counselling script at 22 to 24 weeks, the late-preterm majority, and the equity dimension. ANZ-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Gynaecological health — benign gynaecology

3

high

Ovarian torsion and cyst accidents: whirlpool sign, time-critical detorsion, cyst rupture and haemorrhagic cyst, with IOTA assessment

Exam-exhaustive FRANZCOG fellowship topic on ovarian torsion and the cyst accidents: the clinical presentation (sudden intermittent pain with nausea and vomiting), the sonographic whirlpool (whirl) sign of the twisted vascular pedicle, the time-critical diagnostic laparoscopy, the detorsion-and-observation versus oophorectomy debate, cyst rupture and the haemorrhagic cyst, and the IOTA Simple Rules and ADNEX model for the underlying cyst. RANZCOG-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

high

Uterine fibroids (leiomyomas): FIGO classification, assessment and medical management

Exam-exhaustive FRANZCOG fellowship reference on uterine fibroids (leiomyomas): the FIGO 0-8 leiomyoma subclassification reproduced verbatim, the lifetime risk by ethnicity (Baird NIEHS ultrasound study), the symptom-to-location logic, ultrasound and MRI characterisation with sarcoma red flags, and the full medical-management ladder (tranexamic acid, NSAIDs, LNG-IUS, GnRH analogues with add-back, SPRMs and the EMA ulipristal hepatotoxicity restrictions, relugolix combination therapy) plus a UAE overview (RANZCOG C-Gyn 23). RANZCOG-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI. The dedicated surgical and radiological management topic carries myomectomy, UAE detail, HIFU and morcellation.

Open

high

Uterine fibroids: surgical and radiological management — myomectomy, UAE, HIFU, morcellation

Exam-exhaustive FRANZCOG fellowship reference on the surgical and radiological management of uterine fibroids: the FIGO-type-to-procedure mapping (hysteroscopic myomectomy for FIGO 0-2, laparoscopic or open myomectomy for 3-7, hysterectomy when the family is complete), uterine artery embolisation detail (RANZCOG C-Gyn 23, REST and EMMY re-intervention rates), HIFU / MR-guided focused ultrasound and radiofrequency ablation, and the power-morcellation controversy and occult-leiomyosarcoma risk (RANZCOG C-Gyn 33 / AGES, in-bag containment). Assessment and medical management live in the uterine-fibroids topic. RANZCOG-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

Domain

Urogynaecology — lower urinary tract dysfunction

2

high

Overactive bladder and urgency urinary incontinence

Exam-exhaustive FRANZCOG fellowship reference on overactive bladder and urgency urinary incontinence — the ICS 2002 standard, the stepwise management ladder, antimuscarinics (oxybutynin, tolterodine, solifenacin, darifenacin, trospium) with cognitive and anticholinergic burden, mirabegron (β3 agonist), intradetrusor onabotulinumtoxinA (100 U versus 200 U), sacral neuromodulation, and the cognitive-safety shift that has reshaped the second-line. RANZCOG-primary, globally tagged to MRCOG, ABOG, EAU, AUA/SUFU.

Open

high

Voiding dysfunction and urinary retention

Exam-exhaustive FRANZCOG fellowship reference on voiding dysfunction and urinary retention in women — the ICS/IUGA terminology and pressure-flow definitions, the four aetiological buckets (obstructive, neurogenic, pharmacologic, psychogenic), the standard workup (bladder diary, post-void residual, uroflowmetry and urodynamic pressure-flow study), intermittent self-catheterisation as the global gold standard, sacral neuromodulation for Fowler's syndrome, and the red flags for cauda equina syndrome. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Gynaecological health — paediatric and adolescent

1

high

Paediatric and adolescent gynaecology: Tanner staging verbatim, labial adhesions, prepubertal vulvovaginitis, precocious puberty, adolescent menstrual concerns and the safeguarding framework

Exam-exhaustive FRANZCOG fellowship topic on paediatric and adolescent gynaecology: the Marshall and Tanner 1969 staging reproduced verbatim; the common prepubertal gynaecological concerns (labial adhesions, vulvovaginitis in prepubertal girls, the differential of vaginal discharge); the definition and workup of precocious puberty; adolescent menstrual concerns (dysmenorrhoea, heavy menstrual bleeding, primary and secondary amenorrhoea); the safeguarding and mandatory reporting framework; and the HEEADSSS adolescent consultation approach. RANZCOG-primary with ACOG and ESPE deltas.

Open

Domain

Perioperative care — patient blood management

1

high

Patient blood management and transfusion in gynaecology

Exam-exhaustive FRANZCOG fellowship reference on patient blood management in gynaecology: pre-operative anaemia detection and management with iron infusion and EPO, intra-operative cell salvage, restrictive transfusion thresholds (Hb under 70 g/L), massive transfusion protocol for obstetric haemorrhage (1:1:1 ratio with the evidence from WOMAN 2017), informed consent and patient preferences. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Urogynaecology — maternal birth trauma and rehabilitation

1

high

Pelvic floor after childbirth

Exam-exhaustive FRANZCOG fellowship reference on the pelvic floor after childbirth — levator ani avulsion and microtrauma, the Sultan OASIS classification (3a, 3b, 3c, 4th degree), occult versus recognised sphincter injury, the forceps-versus-vacuum risk gradient (Sultan 1993; Kamisan Atan 2019), pudendal nerve injury and denervation (Allen 1990), the overlap-versus-end-to-end repair evidence (Fernando Cochrane), and pelvic floor muscle training. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Gynaecological health — upper genital tract infection

1

high

Pelvic inflammatory disease & tubo-ovarian abscess — CDC 2021 management at fellowship depth

Exam-exhaustive FRANZCOG fellowship topic on pelvic inflammatory disease (PID) and tubo-ovarian abscess (TOA), extending the existing MBBS PID leaf to fellowship depth. Reproduces the CDC 2021 minimum and specificity-increasing diagnostic criteria and the outpatient (ceftriaxone 500 mg IM + doxycycline 100 mg BD + metronidazole 500 mg BD, both 14 days) and parenteral regimens verbatim; the admission criteria; the TOA drainage-versus-conservative decision with size and inflammatory predictors (TOAST and Fouks data); the Fitz-Hugh-Curtis syndrome; and the Westrom data on tubal-factor infertility, ectopic pregnancy and chronic pelvic pain by episode number and severity. Cross-links the MBBS PID topic without duplicating it.

Open

Domain

Urogynaecology — pelvic floor disorders

4

high

Pelvic organ prolapse

Exam-exhaustive FRANZCOG fellowship reference on pelvic organ prolapse: POP-Q staging reproduced verbatim from the Bump 1996 standard, compartment-based classification (anterior / apical / posterior), the management ladder (observation, PFMT, pessary, surgery), the surgical options (sacrospinous fixation, uterosacral ligament suspension, sacrocolpopexy, native-tissue repair), levator avulsion as a long-term predictor (Atan 2018), lifetime surgical risk (Olsen 1997, Wu 2014), Maher 2023 apical surgery evidence, Dumoulin 2018 PFMT Cochrane, the IUGA/ICS 2011 mesh-complication classification, transvaginal mesh regulatory history, and the regional guideline deltas. ANZ primary, globally tagged to MRCOG / ABOG / FRCSC.

Open

high

Pelvic organ prolapse

Exam-exhaustive FRANZCOG fellowship reference on pelvic organ prolapse: the POP-Q system and Stages 0 to IV reproduced verbatim from the Bump 1996 standard, the three compartments and DeLancey's three levels, the lifetime surgical burden (Olsen 1997, Wu 2014), levator avulsion as the strongest anatomic predictor (Atan 2018), the conservative-to-surgical ladder (PREVPROL, Bø 2022), pessary fitting and trouble-shooting, occult stress incontinence and the OPUS trade-off, the mesh regulatory history, and the regional guideline deltas. ANZ primary, globally tagged to MRCOG, ABOG, FRCSC.

Open

high

Prolapse surgery: native-tissue repair, vaginal apical suspension, sacrocolpopexy and the mesh controversy

Exam-exhaustive FRANZCOG fellowship reference on prolapse surgery: native-tissue anterior and posterior colporrhaphy (Altman 2011, Christmann-Schmid 2026), vaginal apical suspension — sacrospinous fixation and uterosacral ligament suspension (OPTIMAL: Barber 2014, Jelovsek 2018), laparoscopic sacrocolpopexy as the gold-standard apical repair (Maher 2004, Nygaard 2004, Maher 2023 RR 2.31), post-hysterectomy vault prolapse, the native-tissue versus mesh evidence (PROSPECT, Yeung 2024), the transvaginal mesh withdrawal (TGA 2018, FDA 2019, Cumberlege 2020), the IUGA/ICS mesh-complication classification, the OPUS anti-incontinence trade-off, and the regional guideline deltas. ANZ primary, globally tagged to MRCOG, ABOG, FRCSC.

Open

high

Stress urinary incontinence & midurethral slings

Exam-exhaustive FRANZCOG fellowship reference on female stress urinary incontinence and midurethral sling surgery — the stepwise ladder from lifestyle and PFMT through pessary to MUS, the retropubic vs transobturator decision with the Cochrane 2017 and TOMUS evidence, the C-Gyn 32 (Position statement on midurethral slings, July 2020, amended March 2022) recommendations, complications (mesh exposure, voiding dysfunction, groin pain, de novo urgency), recurrent SUI workup, Burch colposuspension and pubovaginal sling as alternatives, and the credentialing framework. Globally tagged to MRCOG, ABOG and FRCSC.

Open

Domain

Antenatal care — perinatal infections

4

high

Perinatal infections I: group B streptococcus

Exam-exhaustive FRANZCOG reference on group B streptococcus in pregnancy — the three screening approaches (risk-factor versus universal culture versus intrapartum PCR), the intrapartum antibiotic prophylaxis regimen with doses, the penicillin allergy alternatives (clindamycin, vancomycin), the resistance concern, and the neonatal consequences. ACOG Committee Opinion 797 and Cochrane (Ohlsson) anchored, globally tagged to MRCOG and ABOG.

Open

high

Perinatal infections II: CMV, parvovirus B19, varicella, rubella and Zika

Exam-exhaustive FRANZCOG reference on the five vertical-transmission viral infections a candidate must hold — CMV (trimester-by-trimester transmission, primary vs recurrent, the valaciclovir treatment and secondary-prevention evidence, hygiene prevention), parvovirus B19 (erythroid progenitor tropism, MCA-PSV surveillance, intrauterine transfusion), varicella (VZIG and aciclovir post-exposure, congenital varicella syndrome risk by gestation), rubella (the CRS triad and pre-pregnancy MMR), and Zika (travel, mosquito and sexual-transmission prevention). RANZCOG C-Obs 64 anchored, globally tagged to MRCOG and ABOG.

Open

high

Perinatal infections III: HIV, hepatitis B and hepatitis C in pregnancy

Exam-exhaustive FRANZCOG reference on the three blood-borne viral infections in pregnancy — HIV (vertical transmission falling from about 25% without intervention to under 1% with combined antiretroviral therapy and a suppressed viral load; the ACTG 076 legacy; viral-load-driven mode of delivery; neonatal prophylaxis; setting-dependent infant feeding), hepatitis B (70 to 90% perinatal transmission if HBeAg-positive; birth-dose vaccine plus immunoglobulin preventing about 94%; tenofovir for high viral load to reach under 1%), and hepatitis C (vertical transmission around 7%; no proven antenatal intervention). ASID Perinatal Infections anchored, globally tagged to MRCOG and ABOG.

Open

high

Perinatal infections IV: syphilis in pregnancy and other sexually transmitted infections

Exam-exhaustive FRANZCOG reference on syphilis in pregnancy and the other common curable sexually transmitted infections — benzathine penicillin G 2.4 million units intramuscularly as the only recommended syphilis treatment in pregnancy (single dose for early syphilis, three weekly doses for late latent or unknown duration), the Jarisch-Herxheimer reaction with its 2 to 8 hour onset and its uterine-contraction and fetal-monitoring implications, serological response and re-treatment, and the safe-in-pregnancy regimens for chlamydia (azithromycin 1 g), gonorrhoea (ceftriaxone 500 mg IM) and trichomoniasis (metronidazole 2 g). ASID Perinatal Infections 3rd edition anchored, CDC 2021 STI Treatment Guidelines primary, globally tagged to MRCOG and ABOG.

Open

Domain

Antenatal care — perinatal mental health

1

high

Perinatal mental health

Exam-exhaustive FRANZCOG fellowship reference on antenatal and perinatal mental health — universal EPDS screening (thresholds 0-9, 10-12, 13+, item 10), GAD-7 for anxiety, the stepped-care model, CBT and IPT, SSRI safety in pregnancy with sertraline first-line, the PPHN and ASD debate, lithium and bipolar continuity, referral pathways by severity, and the perinatal mental health plan. COPE-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Neonatal care — perinatal palliative care

1

high

Perinatal palliative care and neonatal death

Exam-exhaustive FRANZCOG fellowship reference on perinatal palliative care and neonatal death — antenatal planning for a life-limiting diagnosis, the birth plan and the monitoring-coherence trap, the investigation bundle (placenta every time, Kleihauer early because it decays), the PSANZ two-axis perinatal mortality classification, the autopsy conversation, memory-making, lactation suppression, follow-up and staff debrief. The communication station written as a script: ask the name, say 'died', and then stop talking. ANZ-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Intrapartum care — birth injury and repair

1

high

Perineal trauma: episiotomy, second-degree repair and OASIS

Exam-exhaustive FRANZCOG fellowship reference on perineal trauma — the Sultan/RCOG classification reproduced exactly (3a, 3b, 3c, fourth degree), mediolateral episiotomy geometry and the 60-degree rule, layer-by-layer repair with named suture materials, the postoperative antibiotic and laxative package, the perineal clinic, subsequent-birth counselling and the anal incontinence outcome data. RANZCOG-primary with the Australian Perineal Protection Bundle, globally tagged to MRCOG and ABOG.

Open

Domain

Postpartum care — perineal health and wound care

1

high

Perineal wound complications and breakdown

Exam-exhaustive FRANZCOG fellowship reference on perineal wound complications after birth — infection, dehiscence and haematoma; the Gommesen cohort risk factors (BMI over 35, episiotomy); PREVIEW and the resuture-versus-secondary-healing evidence honestly stated; the antibiotic and analgesia package; the RCOG Green-top 29 post-OASIS bundle; the perineal clinic, dyspareunia and the long-term continence and sexual function outcomes. RANZCOG-primary with RCOG GT29 and NICE NG194, globally tagged.

Open

Domain

Perioperative care — gynaecological surgery

2

high

Perioperative medication management

Exam-exhaustive FRANZCOG reference on perioperative medication management — warfarin and DOAC interruption, when to bridge with LMWH, sliding-scale insulin and VRIII, stress-dose hydrocortisone, withholding ACEi/ARB, continuation of beta-blockers, levothyroxine on the day of surgery, and the 2-4-6 fasting rule with regional deltas. ANZ-first, globally tagged.

Open

high

Pre-operative assessment and optimisation

Exam-exhaustive FRANZCOG reference on structured pre-operative assessment and optimisation — ASA Physical Status, the Lee Revised Cardiac Risk Index, ARISCAT for pulmonary risk, Caprini for VTE, iron-deficiency and EPO, glycaemic control, smoking cessation, ERAS, fasting 2-4-6, the WHO Surgical Safety Checklist, and the populations that need a different playbook. ANZ-first, globally tagged.

Open

Domain

Critical care — maternal physiology

1

high

Physiological changes of pregnancy for critical care

Exam-exhaustive FRANZCOG fellowship reference on the physiological adaptations of pregnancy relevant to critical care — cardiovascular (CO +30-50%, SVR -21%, blood volume +40-50%), respiratory (FRC -10-20%, minute ventilation +30-50%, PaCO2 28-31 mmHg, compensated respiratory alkalosis), haematological (physiological anaemia Hb 105-110 g/L, hypercoagulable, fibrinogen elevated), renal (GFR +50%, creatinine under 75 micromol/L), GI (delayed gastric emptying, relaxed LES). All numbers read from source. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Pre-pregnancy and antenatal care — placental disorders

2

high

Placenta accreta spectrum

Exam-exhaustive FRANZCOG fellowship reference on placenta accreta spectrum — the caesarean-praevia interaction with Silver's numbers, the ultrasound and MRI signs with their accuracy, FIGO 2019 clinical grading, multidisciplinary antenatal planning, timing of birth, caesarean hysterectomy versus conservative and delayed-hysterectomy strategies, interventional radiology, and outcomes. RANZCOG C-Obs 20 primary, globally tagged to MRCOG and ABOG.

Open

high

Vasa praevia

Exam-exhaustive FRANZCOG fellowship reference on vasa praevia — the three types, risk factors, transvaginal colour Doppler detection and the universal-versus-targeted screening debate, admission and timing of planned caesarean, the catastrophic intrapartum rupture and the category-1 response, and neonatal resuscitation of acute fetal blood loss. RANZCOG C-Obs 47 (2025) primary, globally tagged to MRCOG and ABOG.

Open

Domain

Antenatal care — abnormal placentation

1

high

Placenta praevia and low-lying placenta

Exam-exhaustive FRANZCOG reference on placenta praevia and low-lying placenta — the two-term system and the 20 mm transvaginal measurement, the surveillance scanning intervals, inpatient versus outpatient care, corticosteroids, the timing and technique of caesarean, the lower-segment haemorrhage ladder, and the accreta spectrum overlap. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Gynaecological health — menstrual disorders and androgen excess

2

high

Polycystic ovary syndrome

Exam-exhaustive FRANZCOG fellowship reference on polycystic ovary syndrome — the Rotterdam 2003 criteria (two of three, after exclusion), the four phenotypes and their prevalence (Lizneva 2016), insulin resistance and hyperandrogenism as the engine (Stener-Victorin 2024), the cardiometabolic and cancer burden (Kakoly 2018; Barry 2014), letrozole as first-line ovulation induction (PPCOS 27.5% vs clomiphene 19.1%), depression risk (Cooney 2017), and the life-stage multidisciplinary approach anchored by the 2023 International Guideline.

Open

high

Polycystic ovary syndrome: Rotterdam criteria, phenotypes & life-stage management (International Guideline 2023)

Exam-exhaustive FRANZCOG fellowship topic on polycystic ovary syndrome at fellowship depth: the Rotterdam 2003 criteria reproduced verbatim (2 of 3, after exclusion of mimics), the four phenotypes (A, B, C, D) and their cardiometabolic stratification, the pathophysiology triad (insulin resistance, theca-cell androgen excess, follicular arrest), the investigation panel with assay-quality caveats, the life-stage management ladder (lifestyle, COCP, metformin, letrozole-first fertility pathway, gonadotrophins, ovarian drilling, the IVF/OHSS pathway), the cardiometabolic and psychological burden, and lifelong follow-up. The 2023 Monash-led International Evidence-based Guideline (Teede et al, Fertil Steril 2023) is the global anchor; an MBBS-level PCOS leaf exists and is cross-linked. RANZCOG-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

Domain

Perioperative care — post-operative complications

1

high

Post-operative complications in gynaecological surgery

Exam-exhaustive FRANZCOG fellowship reference on post-operative complications in gynaecological surgery: paralytic ileus, anastomotic leak, wound dehiscence and surgical site infection, secondary haemorrhage, venous thromboembolism, urinary retention; the sepsis screen (qSOFA, NEWS2) and the hour-1 bundle; the indications for reoperation and the Clavien-Dindo severity grading. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Antenatal care — timing of birth

1

high

Post-term pregnancy

Exam-exhaustive FRANZCOG fellowship reference on post-term pregnancy — the definition (42+0 weeks), the steeply rising stillbirth risk by gestation (Muglu meta-analysis), the induction-versus-expectant evidence (Cochrane, ARRIVE and its critiques), the NICE/ACOG/RANZCOG positions, membrane sweeping, the post-dates surveillance debate, and the structured counselling of the woman declining induction. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Postpartum care — perinatal mental health

1

high

Postnatal mental health

Exam-exhaustive FRANZCOG fellowship reference on postnatal mental health — telling baby blues from postnatal depression from puerperal psychosis, the EPDS and its thresholds, puerperal psychosis as a psychiatric emergency, SSRIs in lactation (sertraline first), the neurosteroid class, referral pathways and the perinatal mental health plan. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Postpartum care — contraception and reproductive planning

1

high

Postpartum contraception

Exam-exhaustive FRANZCOG fellowship reference on contraception after birth — when ovulation returns, the LAM triad and its 98% perfect-use figure, the WHO/US-MEC postpartum categories, immediate versus interval intrauterine device placement and the expulsion trade-off, the implant-in-lactation evidence, the combined hormonal contraception window, sterilisation counselling, and the reproductive-justice conversation that frames every visit. RANZCOG C-Gyn 3 anchored, globally tagged to MRCOG and ABOG.

Open

Domain

Postpartum care — hypertensive disease

1

high

Postpartum hypertension and preeclampsia

Exam-exhaustive FRANZCOG fellowship reference on hypertension and preeclampsia AFTER birth — de novo versus persistent disease, the day 3 to 7 blood pressure peak, acute and oral agents with doses, breastfeeding-compatible prescribing, late postpartum eclampsia, magnesium and furosemide, explicit discharge thresholds, POP-HT self-monitoring, and lifelong cardiovascular follow-up. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Antenatal care — preconception

1

high

Pre-pregnancy counselling and optimisation

Exam-exhaustive FRANZCOG fellowship reference on pre-pregnancy counselling and optimisation — folate dosing (400 micrograms vs 5 mg high-risk), iodine 150 micrograms, BMI and weight, the teratogen medication review, sodium valproate, diabetes HbA1c target below 6.5%, thyroid, epilepsy, carrier screening timing and interpregnancy interval. Anchored on RANZCOG C-Obs 3a v13.1 (November 2024), globally tagged to MRCOG and ABOG.

Open

Domain

Antenatal care — pregnancy after bariatric surgery

1

high

Pregnancy after bariatric surgery

Exam-exhaustive FRANZCOG fellowship reference on pregnancy after bariatric surgery — restrictive (LAGB, sleeve) versus malabsorptive (RYGB) complications, internal hernia in the third trimester, dumping syndrome and OGTT avoidance, the micronutrient supplementation regimen with doses, gestational weight gain targets, glucose monitoring strategy, and delivery considerations. ACOG/AACE/ASMBS-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Gynaecological health — premature ovarian insufficiency

1

high

Premature ovarian insufficiency: ESHRE 2024 (with ASRM, CREWHIRL and IMS) — definition, causes and lifelong hormone therapy

Exam-exhaustive FRANZCOG fellowship topic on premature ovarian insufficiency (POI): the ESHRE 2024 (with ASRM, CREWHIRL and IMS) definition — FSH over 25 IU/L on two samples at least 4 weeks apart in a woman under 40 — the causes (Turner, fragile X premutation, autoimmune, iatrogenic, and idiopathic), the bone and cardiovascular consequences of early oestrogen loss, hormone therapy continued until the average age of natural menopause (~51), fertility options (donor-oocyte IVF), and the psychological support. Anchored to ESHRE 2024, the IMS POI White Paper, NICE NG23, the 2024 international Turner guideline, the Society for Endocrinology 2024 female hypogonadism guideline, and the Bachelot phenotyping study. Cross-links the MBBS menopause page; the FRANZCOG depth adds the diagnostic FSH threshold, the autoimmune/Addison screen, and the case that HRT here is physiologic replacement, not menopausal HRT.

Open

Domain

Antenatal care — screening and prenatal diagnosis

1

high

Prenatal screening for chromosomal conditions

Exam-exhaustive FRANZCOG fellowship reference on prenatal screening for chromosomal conditions — first-trimester combined screening and its performance, NIPT/cfDNA with detection and false-positive rates read from the Gil meta-analysis, the Malone FIRST trial, the difference between screening and diagnostic testing, the counselling of a screen-positive woman and the no-call result, with regional guideline anchors (ACOG PB 226, ISUOG, FMF). ANZ-primary, globally tagged.

Open

Domain

Intrapartum care — preterm birth

2

high

Preterm labour and birth

Exam-exhaustive FRANZCOG fellowship reference on preterm labour and birth — diagnosis with cervical length and quantitative fetal fibronectin, the tocolytic ladder with drug, dose, regimen and contraindications, antenatal corticosteroid dosing and the repeat-course question, magnesium sulfate neuroprotection with the regimen and gestational window, in-utero transfer and place of birth, and mode of birth by gestation and presentation. RANZCOG-primary, globally tagged to NICE NG25, RCOG Green-top 74, ACOG and SOGC.

Open

high

Preterm prelabour rupture of membranes

Exam-exhaustive FRANZCOG fellowship reference on preterm prelabour rupture of membranes — sterile speculum diagnosis and biochemical testing, erythromycin latency antibiotics and why co-amoxiclav is forbidden, corticosteroids and magnesium sulfate, expectant management with chorioamnionitis surveillance and the Triple I criteria, timing of birth by gestation after PPROMT, and counselling at periviable gestations. RANZCOG-primary, globally tagged to RCOG Green-top 73, NICE NG25 and ACOG.

Open

Domain

Professional practice — professionalism, ethics and regulation

1

high

Professionalism

Exam-exhaustive FRANZCOG professional reference on the professionalism framework: the social contract, the four-principles framework, RANZCOG Code of Professional Conduct, Medical Board of Australia Good medical practice, the eight CanMEDS-derived RANZCOG Roles, mentoring, professional boundaries, conflicts of interest, mandatory reporting under the National Law and the HPCA Act, the complaints and notifications pathway, and the medical indemnity framework (Avant, MDA National, MIGA, MPS).

Open

Domain

Gynaecological surgery — pelvic floor reconstruction

1

high

Prolapse surgery: native-tissue repairs, sacrocolpopexy and colpocleisis

Exam-exhaustive FRANZCOG fellowship topic on the operative management of pelvic organ prolapse: route-based procedure selection (abdominal sacrocolpopexy, sacrospinous fixation, uterosacral suspension, Manchester repair, native-tissue anterior/posterior repair, colpocleisis), the native-tissue versus mesh evidence including the 2017 Australian TGA withdrawal of transvaginal mesh kits for primary prolapse and the separate status of abdominal sacrocolpopexy mesh, Maher 2023 apical surgery Cochrane, Yeung 2024 transvaginal mesh Cochrane, recurrence and reoperation, urinary and sexual outcomes, IUGA/ICS 2011 mesh complication classification. ANZ primary with RANZCOG C-Gyn 37, globally tagged to NICE NG123, ACOG PB, AUGS, ESHRE.

Open

Domain

Postpartum care — infection and sepsis

1

high

Puerperal sepsis and endometritis

Exam-exhaustive FRANZCOG fellowship reference on puerperal sepsis and endometritis — the organisms including group A Streptococcus and its speed, recognition against physiological postnatal change, the first-hour sepsis bundle with antibiotic names and doses, source control, and the maternal-death lesson from the UKOSS case-control analysis. SOMANZ- and RANZCOG-anchored, globally tagged.

Open

Domain

Gynaecological surgery — intraoperative complications and lower urinary tract injury

1

high

Recognition and intraoperative management of ureteric and bladder injury

Exam-exhaustive FRANZCOG fellowship reference on recognising and repairing ureteric and bladder injury during gynaecological surgery — the points where the pelvic ureter is at risk, bladder and trigone relations, intraoperative recognition with cystoscopy (sensitivity 80-90 percent for ureteral trauma), intraureteral ICG, indigo carmine and sodium fluorescein, the repair ladder by ureteric level (ureteroureterostomy, ureteroneocystostomy, psoas hitch, Boari flap), incidental cystotomy repair, management success rates and the medicolegal weight of delayed recognition. RANZCOG-primary, globally tagged to MRCOG, ABOG and FRCSC.

Open

Domain

Postpartum care — recovery and perioperative care

1

high

Recovery after operative birth and enhanced recovery after caesarean

Exam-exhaustive FRANZCOG fellowship reference on recovery after operative birth and the enhanced recovery after caesarean (ERAC) bundle — the three-phase ERAS Society caesarean guidance element by element, the multimodal analgesia ladder with doses (paracetamol 1 g qid, diclofenac 50 mg tds, tramadol 50 mg q4h prn), enoxaparin 40 mg SC daily for 10 days in high-risk VTE, early feeding and mobilisation, catheter removal timing, discharge criteria, operative vaginal birth recovery, and the day-by-day trajectory and complications to flag. RANZCOG-primary with RCOG and ACOG deltas, globally tagged.

Open

Domain

Early pregnancy care — recurrent loss

1

high

Recurrent pregnancy loss

Exam-exhaustive FRANZCOG fellowship reference on recurrent pregnancy loss — the ESHRE and RANZCOG two-loss definition and why it matters, the evidence-based investigation list and the deliberate do-not-test list, antiphospholipid syndrome criteria and treatment with doses, uterine anomalies after TRUST, thrombophilia after ALIFE2, the PROMISE and PRISM progesterone evidence, and supportive care that is actually an intervention. RANZCOG C-Gyn 38 primary with ESHRE 2023 and RCOG Green-top 17 deltas.

Open

Domain

Urogynaecology — infection

1

medium

Recurrent urinary tract infection (rUTI) in women

Exam-exhaustive FRANZCOG fellowship reference on recurrent urinary tract infection in women — the ≥2/6-month or ≥3/12-month definition, re-infection vs persistence, behavioural, biological and structural risk factors, the workup with urine culture and the 10^5 vs 10^3 cfu/mL threshold, non-antibiotic prevention (cranberry, vaginal oestrogen, probiotics, methenamine hippurate, Uro-Vaxom immunoprophylaxis), antibiotic prophylaxis (continuous low-dose, post-coital, self-start) and stewardship principles. Globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

Domain

Professional practice — Scholar role, research literacy and evidence-based practice

1

high

Research literacy and the Scholar role

Exam-exhaustive FRANZCOG reference on the Scholar role: the FRANZCOG research project, hierarchy of study designs, PICO framing, biostatistics (RR/OR/ARR/NNT/LR/sensitivity/specificity/PPV/NPV/CI/p-value), critical appraisal with RoB 2 / ROBINS-I / AMSTAR-2 / CONSORT / STROBE / PRISMA, GRADE certainty of evidence, the ANZ ethics application pathway (HREC/SSA in Australia; HDEC in NZ), the key O&G journals and landmark trials, and the application of evidence to clinical practice.

Open

Domain

Intrapartum care — third stage of labour

1

high

Retained placenta and manual removal

Exam-exhaustive FRANZCOG fellowship reference on retained placenta — the duration thresholds by third-stage management, the three mechanisms (adherens, trapped, accreta), the Release and GOT-IT trials that killed the medical shortcuts, manual removal step by step with anaesthesia and antibiotics, accreta recognition and the do-not-pull rule, and the haemorrhage that travels with it. RANZCOG C-Obs 43 anchored, globally tagged to MRCOG and ABOG.

Open

Domain

Antenatal care — fetal medicine and immunohaematology

1

high

Rh(D) alloimmunisation and anti-D prophylaxis

Exam-exhaustive FRANZCOG reference on Rh(D) alloimmunisation and anti-D prophylaxis — the pathophysiology of maternal sensitisation, the NBA/RANZCOG 2024 anti-D schedule (625 IU at 28 and 34 weeks, 625 IU within 72 hours of birth, 250 IU for events under 12 weeks), sensitising events, fetomaternal haemorrhage quantification by Kleihauer and flow cytometry, and management of the alloimmunised pregnancy with serial MCA-PSV Doppler (above 1.5 MoM = fetal blood sampling with intrauterine transfusion) and intrauterine transfusion. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Antenatal care — routine and preventive care

1

high

Routine antenatal care and risk assessment

Exam-exhaustive FRANZCOG fellowship reference on routine antenatal care and risk assessment — the schedule of contacts (NICE NG201, WHO 2016), the screening tests by gestation, the risk-assessment framework with escalation triggers, the preventive interventions with doses (folate, aspirin, iodine, iron, vaccines, anti-D), and the regional guideline anchors (RANZCOG C-Obs 3b, NICE NG201, LEAPP). ANZ-primary, globally tagged to MRCOG, ABOG, FRCSC, MRCPI.

Open

Domain

Postpartum care — haemorrhage

1

high

Secondary postpartum haemorrhage

Exam-exhaustive FRANZCOG fellowship reference on secondary postpartum haemorrhage — causes led by retained products and endometritis, ultrasound interpretation and its real limits, antibiotics and uterotonics with doses, surgical evacuation and Asherman syndrome, and when to suspect uterine artery pseudoaneurysm or gestational trophoblastic disease. RANZCOG-primary, globally tagged.

Open

Domain

Sexual and reproductive health

1

high

Sexual dysfunction and dyspareunia

FRANZCOG fellowship reference on sexual dysfunction and dyspareunia: classification, biopsychosocial assessment, PLISSIT, GSM, vestibulodynia, endometriosis-related deep pain, and stepwise evidence-based management.

Open

Domain

Intrapartum care — labour dystocia and augmentation

1

high

Slow progress in labour and augmentation

Exam-exhaustive FRANZCOG reference on slow progress in labour — the RANZCOG C-Obs 31 and NICE definitions by parity in the first and second stage, power/passenger/passage as a working diagnosis, oxytocin augmentation regimens with ANZ doses and 30-minute escalation intervals, when to stop, manual rotation, and the decision-to-caesarean reasoning you must defend out loud. RANZCOG-primary, globally tagged to NICE, WHO and ACOG.

Open

Domain

Gynaecological health — sexually transmitted infections

1

high

STI screening and management for the gynaecologist: the panel, the doses, and the partner notification framework (ASHM / CDC 2021)

Exam-exhaustive FRANZCOG fellowship topic on STI screening and management for the gynaecologist: the structured screening panel (chlamydia/gonorrhoea NAAT, syphilis serology, HIV, hepatitis B/C, HPV), the verbatim ASHM / CDC 2021 first-line drug/dose/duration for the common curable STIs (chlamydia doxycycline 100 mg BD for 7 days, gonorrhoea ceftriaxone 500 mg IMI plus azithromycin 1 g PO, trichomoniasis metronidazole 400 mg BD for 7 days, early syphilis benzathine benzylpenicillin 2.4 MU IMI), the partner notification and contact tracing framework including the ANZ Public Health Act legal duties, and the test-of-cure and retest-at-3-months policy. RANZCOG-primary and anchored to the ASHM Australian STI Management Guidelines with CDC 2021 deltas.

Open

Domain

Antenatal care — perinatal mortality

1

high

Stillbirth prevention

Exam-exhaustive FRANZCOG fellowship reference on stillbirth prevention — the Safer Baby Bundle's five elements (smoking cessation, fetal growth restriction detection, decreased fetal movements response, side-sleeping from 28 weeks, timing of birth) with their evidence, the PSANZ perinatal mortality classification, risk-factor stratification, the late-preterm/early-term birth decision, and the NHMRC Stillbirth CRE framework. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Antenatal care — substance use and addiction

1

high

Substance use in pregnancy

Exam-exhaustive FRANZCOG fellowship reference on substance use in pregnancy — alcohol and the FASD spectrum with no safe dose, nicotine and smoking cessation with NRT safety and bupropion caution, cannabis and low birth weight, opioid use disorder with methadone vs buprenorphine maintenance, the MOTHER trial, methamphetamine, and the harm-reduction, trauma-informed, multidisciplinary model anchored by RANZCOG C-Obs 53. Globally tagged to MRCOG and ABOG.

Open

Domain

Gynae-surgery — early pregnancy and abortion care

1

high

Surgical management of miscarriage and abortion

Exam-exhaustive FRANZCOG fellowship reference on the surgical management of first-trimester pregnancy loss and induced abortion — MVA vs electric suction vs sharp curettage vs medical (misoprostol ± mifepristone), the diagnostic cut-offs before you operate, antibiotic prophylaxis (AIMS/Lissauer), anti-D, complications and Asherman risk. RANZCOG-primary, NICE NG126 and RCOG-aligned, globally tagged to MRCOG and ABOG.

Open

Domain

Perioperative care — positioning and nerve injuries

1

medium

Surgical positioning and nerve injuries in gynaecology

Exam-exhaustive FRANZCOG fellowship reference on surgical positioning and nerve injuries in gynaecology: lithotomy (femoral, ulnar, sciatic, common peroneal), Trendelenburg (brachial plexus), Lloyd-Davies (saphenous/obturator), robotic and laparoscopic injuries, incidence, prevention strategies (padding, time limits, modified Allen stirrups), documentation, and medico-legal implications. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Gynaecological oncology — survivorship and MDT working

1

high

Survivorship and MDT working in gynaecological oncology

Exam-exhaustive FRANZCOG fellowship reference on gynaecological cancer survivorship and multidisciplinary team working — surveillance after endometrial, cervical, ovarian and vulvar cancer, the survivorship care plan, sexual function after pelvic radiotherapy (vaginal dilator, topical oestrogen), lower-limb lymphoedema, premature menopause, fear of cancer recurrence and distress, and the structure and function of the gynaecological oncology MDT. ANZ-primary (COSA, RANZCOG), globally tagged to ASCO, ESMO, NCCN and SGO.

Open

Domain

Gynaecological oncology — survivorship

1

medium

Survivorship, MDT working and the generalist's role — surveillance schedules, late effects and transition to shared care

Exam-exhaustive FRANZCOG fellowship reference on gynaecological cancer survivorship written for the generalist: surveillance schedules by cancer type (endometrial, ovarian, cervical) with visit intervals and the role of vault cytology, CA-125 and imaging; the four dominant late effects (lymphoedema, sexual dysfunction, premature menopause, psychosocial distress and fear of recurrence); the GP and generalist O&G role in the shared-care transition; the written survivorship care plan; and return to work. Surveillance is symptom-driven, not test-driven. ANZ-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

Domain

Antenatal care — fetal growth and mode of birth

1

high

Suspected fetal macrosomia

Exam-exhaustive FRANZCOG fellowship reference on suspected fetal macrosomia — definitions, risk factors (GDM, obesity, post-term), the error margins of ultrasound and clinical estimation, the shoulder dystocia risk prediction and its limits, the evidence on induction of labour (Boulvain 2015, Gardosi Big Baby 2025, Cochrane 2023), ACOG PB 216 thresholds, RANZCOG C-Obs 65, and the counselling that balances them.

Open

Domain

Gynae-oncology — systemic therapy

1

high

Systemic therapy for gynaecological cancer — what the generalist must know

Exam-exhaustive FRANZCOG reference on systemic therapy in gynaecological malignancy written for the generalist who must understand (not prescribe) the oncologist's plan: the platinum agents with carboplatin dosing by the Calvert AUC formula, the taxanes, the carboplatin-paclitaxel first-line backbone for ovarian cancer, bevacizumab, PARP inhibitors and their synthetic-lethality mechanism, checkpoint immunotherapy, and the recognition and management of the common toxicities including neutropenic sepsis. RANZCOG-primary, globally tagged.

Open

Domain

Intrapartum care — labour and birth

1

high

Term prelabour rupture of membranes

Exam-exhaustive FRANZCOG fellowship reference on term prelabour rupture of membranes — sterile speculum diagnosis, the TERMPROM and Cochrane evidence for immediate induction versus expectant management, oxytocin as the induction agent of choice, the group B streptococcus interaction with intrapartum antibiotic prophylaxis doses, infection surveillance, and the counselling conversation with its time thresholds. RANZCOG C-Obs 36 anchored, globally tagged to NICE, ACOG and CDC.

Open

Domain

Gynaecological health — menstrual physiology

1

high

The normal menstrual cycle & HPO axis

Exam-exhaustive FRANZCOG fellowship foundation on the normal menstrual cycle and the hypothalamic-pituitary-ovarian axis — pulsatile GnRH, FSH and LH, the two-cell two-gonadotrophin theory, the rise and fall of oestradiol, progesterone and inhibins A and B, ovulation, the corpus luteum, the endometrial cycle, and what goes wrong (anovulation, luteal phase defect). The physiology every menstrual-disorder and infertility topic on MedVellum is built on. RANZCOG-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

Domain

Antenatal care — endocrine disorders

1

high

Thyroid disease in pregnancy

Exam-exhaustive FRANZCOG fellowship reference on thyroid disease in pregnancy — physiological changes (hCG/TSH cross-reactivity, TBG rise), the levothyroxine dose-increase rule and TSH targets by trimester, antithyroid drug strategy (PTU first trimester, carbimazole later) with teratogenicity data, postpartum thyroiditis, and the counterintuitive CATS and Casey trials showing no neurodevelopmental benefit from screening or treatment of subclinical disease. RANZCOG C-Obs 46 anchored, globally tagged to MRCOG and ABOG.

Open

Domain

Gynaecological surgery — permanent contraception and fertility restoration

1

high

Tubal sterilisation and reversal: methods, regret, IVF and re-anastomosis

Exam-exhaustive FRANZCOG fellowship topic on tubal sterilisation and reversal: Filshie clips, Pomeroy and partial salpingectomy, coagulation, the Essure hysteroscopic device and its withdrawal, consent and age-related regret, cumulative failure rates, tubal re-anastomosis, IVF comparison and method- and age-dependent success. ANZ primary with RANZCOG, RCOG and ACOG consent principles, globally tagged.

Open

Domain

Gynaecological health — paediatric, adolescent and congenital

2

medium

Turner syndrome and differences of sex development (DSD) at generalist depth

Exam-exhaustive FRANZCOG foundation on Turner syndrome (45,X and mosaics, the phenotype, SHOX haploinsufficiency and short stature, gonadal dysgenesis and premature ovarian insufficiency, the cardiac and renal associations, and the timing of growth hormone and oestrogen replacement) together with a generalist-depth DSD overview — the 2006 consensus classification, the urgent exclusion of salt-wasting congenital adrenal hyperplasia in the newborn with ambiguous genitalia, androgen insensitivity, and the initial evaluation and multidisciplinary care pathway. ANZ-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

medium

Turner syndrome and differences of sex development (DSD) at generalist depth

Exam-exhaustive FRANZCOG foundation on Turner syndrome (45,X and mosaics, the phenotype, SHOX haploinsufficiency and short stature, gonadal dysgenesis and premature ovarian insufficiency, the cardiac and renal associations, and the timing of growth hormone and oestrogen replacement) together with a generalist-depth DSD overview — the 2006 consensus classification, the urgent exclusion of salt-wasting congenital adrenal hyperplasia in the newborn with ambiguous genitalia, androgen insensitivity, and the initial evaluation and multidisciplinary care pathway. ANZ-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

Domain

Intrapartum care — multiple pregnancy

1

high

Twin birth: mode, timing and intrapartum management

Exam-exhaustive FRANZCOG fellowship reference on twin birth — chorionicity-driven timing, mode of birth by presentation of twin 1 and twin 2, the Twin Birth Study and its 2-year follow-up, internal podalic version and breech extraction, the inter-twin interval evidence, combined delivery, and the second-twin risks. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Urogynaecology — lower urinary tract evaluation

1

high

Urodynamics

Exam-exhaustive FRANZCOG fellowship reference on urodynamics — the four component studies (uroflowmetry, filling cystometry, urethral pressure profilometry, pressure-flow study), the ICS-standardised diagnostic patterns (urodynamic stress incontinence, detrusor overactivity, mixed picture, voiding dysfunction, DO with impaired contractility), the NICE NG123 indications that flip the test from do-not-do to do-it, the ValUE and VUSIS-2 non-inferiority trials that underpin the do-not-routine line for primary SUI surgery, and the FUTURE RCT (Lancet 2025) that reopens the question in refractory overactive bladder. Globally tagged to MRCOG, ABOG and FRCSC.

Open

Domain

Antenatal care — maternal immunisation

1

high

Vaccination in pregnancy

Exam-exhaustive FRANZCOG fellowship reference on vaccination in pregnancy — the four routinely recommended vaccines (influenza, pertussis/dTpa, COVID-19, RSV) with their timing and doses, the contraindicated live vaccines (MMR, varicella, BCG), transplacental IgG transfer, the effectiveness evidence (pertussis VE 93%, influenza VE 63%, RSV VE 81.8%), RANZCOG C-Obs 44 signposting the ATAGI/Australian Immunisation Handbook, and the management of inadvertent live-vaccine exposure. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Intrapartum care — malpresentation and operative birth

1

high

Vaginal breech birth

Exam-exhaustive FRANZCOG fellowship reference on vaginal breech birth — RANZCOG C-Obs 11 selection criteria and weight limits, the Term Breech Trial and its critiques, PREMODA, the hands-off principle, Lövset, Mauriceau-Smellie-Veit, Burns-Marshall and forceps to the after-coming head, head entrapment and Dührssen incisions, external cephalic version, and the counselling numbers. RANZCOG-primary, globally tagged to MRCOG and ABOG.

Open

Domain

Gynaecological oncology — vagina

1

high

Vaginal cancer and vaginal intraepithelial neoplasia (VaIN): FIGO staging, the HPV association, radiotherapy-dominant management and survival by stage

Exam-exhaustive FRANZCOG fellowship topic on primary vaginal cancer and vaginal intraepithelial neoplasia (VaIN): the FIGO staging system for vaginal cancer reproduced verbatim (framework retained through the 2018 FIGO revision), the HPV association in around four in five squamous cell carcinomas mirroring the cervix, the radiotherapy-dominant management with brachytherapy and concurrent cisplatin, the narrow surgical role, the SEER survival-by-stage data (stage I about 76 per cent down to stage IV about 22 per cent), and the ESGO/ISSVD 2023 VaIN management ladder with the distinction from VIN. Anchored to the FIGO staging framework, the Nogueira-Rodrigues 2025 CA Cancer J Clin comprehensive review, the Jhingran 2022 treatment update, the Kesic 2023 ESGO/ISSVD VaIN consensus, and SEER survival analyses. Cross-links the cervical cancer, vulvar cancer and cervical screening topics.

Open

Domain

Gynaecological health — vaginal infections

2

high

Vaginal discharge — bacterial vaginosis, vulvovaginal candidiasis & aerobic vaginitis

Exam-exhaustive FRANZCOG fellowship topic on vaginal discharge: the normal vaginal physiology and its Lactobacillus-dominated microbiota; bacterial vaginosis (the Amsel criteria and the Nugent score reproduced verbatim, the CDC 2021 recommended and international regimens, the recurrence and suppression problem); vulvovaginal candidiasis (uncomplicated vs complicated, the species distribution, fluconazole and intravaginal azoles, the Sobel maintenance regimen for recurrent disease, non-albicans and boric acid); and aerobic vaginitis (the Donders definition, its distinction from BV, and its different treatment). Cross-links to pelvic inflammatory disease, the menstrual cycle and cervical screening. RANZCOG-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

high

Vaginal discharge — bacterial vaginosis, vulvovaginal candidiasis & aerobic vaginitis

Exam-exhaustive FRANZCOG fellowship topic on vaginal discharge: the normal vaginal physiology and its Lactobacillus-dominated microbiota; bacterial vaginosis (the Amsel criteria and the Nugent score reproduced verbatim, the CDC 2021 recommended and international regimens, the recurrence and suppression problem); vulvovaginal candidiasis (uncomplicated vs complicated, the species distribution, fluconazole and intravaginal azoles, the Sobel maintenance regimen for recurrent disease, non-albicans and boric acid); and aerobic vaginitis (the Donders definition, its distinction from BV, and its different treatment). Cross-links to pelvic inflammatory disease, the menstrual cycle and cervical screening. RANZCOG-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

Domain

Urogynaecology — fistula

1

medium

Vesicovaginal and other urinary fistulae

Exam-exhaustive FRANZCOG fellowship reference on vesicovaginal and other urinary fistulae — the Goh and WHO/FIGO classifications, the obstetric versus iatrogenic versus radiation mechanism, the methylene blue dye test and indigo carmine discriminator, the 3-month timing rule for delayed repair, the vaginal Latzko and abdominal O'Connor approaches, and the Martius labial fat pad and gracilis muscle flap interposition options for complex, recurrent or irradiated fistulae. Globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

Domain

Gynaecological health — vulval disorders

2

high

Vulval dermatoses: lichen sclerosus & lichen planus — figure-of-eight distribution, the diagnostic biopsy rule, SCC risk and lifelong surveillance

Exam-exhaustive FRANZCOG fellowship topic on the chronic inflammatory vulval dermatoses: lichen sclerosus (the figure-of-eight distribution, porcelain-white atrophic plaques, the autoimmune associations, the approximately 4 percent squamous cell carcinoma transformation rate, the ultrapotent topical corticosteroid clobetasol first-line treatment, and the lifelong surveillance), and erosive lichen planus (the vulvo-vaginal-gingival syndrome, vaginal adhesions, the lower but elevated SCC risk). The diagnostic biopsy rule, the re-biopsy triggers, and the ISSVD / 2016 European classification framework. Anchored to the British Association of Dermatologists 2018 guideline, the EuroGuiderm 2024 treatment guideline, and the Vieira-Baptista 2022 systematic review of vulvar cancer risk. RANZCOG-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

high

Vulval dermatoses: lichen sclerosus & lichen planus — figure-of-eight distribution, the diagnostic biopsy rule, SCC risk and lifelong surveillance

Exam-exhaustive FRANZCOG fellowship topic on the chronic inflammatory vulval dermatoses: lichen sclerosus (the figure-of-eight distribution, porcelain-white atrophic plaques, the autoimmune associations, the approximately 4 percent squamous cell carcinoma transformation rate, the ultrapotent topical corticosteroid clobetasol first-line treatment, and the lifelong surveillance), and erosive lichen planus (the vulvo-vaginal-gingival syndrome, vaginal adhesions, the lower but elevated SCC risk). The diagnostic biopsy rule, the re-biopsy triggers, and the ISSVD / 2016 European classification framework. Anchored to the British Association of Dermatologists 2018 guideline, the EuroGuiderm 2024 treatment guideline, and the Vieira-Baptista 2022 systematic review of vulvar cancer risk. RANZCOG-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open

Domain

Gynaecological oncology — vulvar cancer and VIN

1

high

Vulvar cancer and vulvar intraepithelial neoplasia (VIN): FIGO 2021 staging, usual vs differentiated VIN, the 3-step management, sentinel node biopsy and radiotherapy

Exam-exhaustive FRANZCOG fellowship topic on vulvar cancer and vulvar intraepithelial neoplasia (VIN): the FIGO 2021 vulvar cancer staging reproduced verbatim with the new depth-of-invasion definition and lymph node substages, the ISSVD 2004 classification of VIN into usual (HPV-related) and differentiated (lichen sclerosus-related) types, the 3-step management of VIN, vulvar cancer surgery (wide local excision versus radical vulvectomy, inguinofemoral node assessment with sentinel node biopsy as the new standard), the wound breakdown and lymphoedema rates, and the radiotherapy indications. Cross-links lichen sclerosus. Anchored to the Olawaiye 2021 FIGO vulvar staging revision, the GROINSS-V long-term follow-up (Te Grootenhuis 2016), the ISSVD 2004 VIN terminology (Sideri) and the Rahm 2022 population-based surgical complications study. RANZCOG-primary, globally tagged.

Open

Domain

Gynaecological health — chronic vulvar pain

1

medium

Vulvodynia & genital pain syndromes: the 2015 ISSVD definition, multidimensional classification, neuropathic pain framework and multidisciplinary management

Exam-exhaustive FRANZCOG fellowship topic on vulvodynia and genital pain syndromes: the 2015 ISSVD / ISSWSH / IPPS consensus definition (vulvar pain of at least 3 months without a clearly identifiable cause), the multidimensional classification (localised vs generalised; provoked vs unprovoked vs mixed; primary vs secondary; temporal pattern), the neuropathic / nociplastic pain framework, the cotton-swab test, the multidisciplinary stepped-care management (general care measures, topical lidocaine, pelvic floor physiotherapy, cognitive-behavioural therapy, oral neuromodulators, vestibulectomy as last resort), and the validated questionnaires. Anchored to the Bornstein 2016 ISSVD consensus, the Pukall 2016 review, the Bergeron 2021 RCT and the Morin 2017 systematic review. RANZCOG-primary, globally tagged to MRCOG, ABOG, FRCSC and MRCPI.

Open