O&G · Vivas

Vivas

197 units across 133 domains — 12-minute structured oral scripts scored on the 8 official RANZCOG domains.

197Units

133Domains

clinical

Abortion — structured oral station (12 minutes)

FRANZCOG oral-format station on post-abortion complications and the legal-ethical frame: the candidate recognises septic retained products, defends the management with regimens, states the jurisdictional thresholds, and handles a conscientious-objection communication task. Scored against the eight published RANZCOG oral domains.

Open

FRANZCOG oral-format station on a confirmed unruptured tubal ectopic: candidate states the diagnostic certainty, defends methotrexate selection against the predictors of failure, reproduces the day 4 and day 7 monitoring, handles failure and rupture, and counsels for the future. Scored against the eight published RANZCOG oral domains.

Open

clinical

Hyperemesis gravidarum — structured oral station (12 minutes)

FRANZCOG oral-format station on hyperemesis gravidarum: PUQE-24 scoring, fluid and antiemetic prescribing with the thiamine-before-glucose rule, the retirement of ketonuria, recognition of Wernicke encephalopathy, and the termination-of-pregnancy conversation. Scored against the eight published RANZCOG oral domains.

Open

clinical

Interpreting the early pregnancy scan and the hCG pair — structured oral station (12 minutes)

FRANZCOG oral-format station on early pregnancy ultrasound and hCG interpretation after assisted reproduction: candidate classifies the scan, applies the correct rescan interval, refuses the discriminatory zone, recognises the heterotopic risk that the report failed to exclude, and communicates uncertainty. Scored against the eight published RANZCOG oral domains.

Open

communication

Pregnancy after loss — structured oral station (12 minutes)

FRANZCOG oral-format station on pregnancy after loss: the early reassurance scan, mental health screening with the PASS and EPDS, the anniversary phenomenon, the honest framing of supportive care and the progesterone evidence, and word-for-word communication with a frightened woman. Scored against the eight published RANZCOG oral domains.

Open

FRANZCOG oral-format station on acute severe asthma in pregnancy with the underlying cause of ICS cessation. The candidate runs the acute exacerbation bundle, restarts the BTS/NICE/SIGN ladder, addresses the carboprost pitfall, and communicates ICS safety. Scored against the eight published RANZCOG oral domains.

Open

clinical

SLE and antiphospholipid syndrome in pregnancy — structured oral station (12 minutes)

FRANZCOG oral-format station on SLE with lupus nephritis and probable APS planning pregnancy: pre-conception optimisation, the hydroxychloroquine case, the LMWH ladder, neonatal lupus surveillance, and communication. Scored against the eight published RANZCOG oral domains.

Open

Domain

Antenatal care — fetal medicine

clinical

Amniotic fluid disorders — structured oral station (12 minutes)

FRANZCOG oral-format station covering both polyhydramnios and oligohydramnios: thresholds, single deepest pocket versus AFI, the structured differentials, SMFM #46 management, the Potter sequence and the amnioinfusion evidence. Scored against the eight published RANZCOG oral domains.

Open

clinical

Fetal anaemia and hydrops fetalis — structured oral station (12 minutes)

FRANZCOG oral-format station on non-immune hydrops: candidate confirms the diagnosis, splits the differential by the antibody screen, lays out the SMFM #7 workup and MCA-PSV surveillance, describes intrauterine transfusion and treatable-cause management, and counsels honestly. Scored against the eight published RANZCOG oral domains.

Open

FRANZCOG oral-format station on pelvic organ prolapse: candidate stages with the POP-Q, walks the conservative-to-surgical ladder with trial evidence, defends the occult-incontinence screen, handles the mesh conversation, and communicates with the patient. Scored against the eight published RANZCOG oral domains.

Open

clinical

Stress urinary incontinence and midurethral sling — structured oral station (12 minutes)

FRANZCOG oral-format station on female stress urinary incontinence — candidate takes a focused history and examination, runs the stepwise ladder, defends the midurethral sling choice with the C-Gyn 32 (July 2020, amended March 2022) recommendations reproduced, contrasts retropubic with transobturator, and counsels on the C-Gyn 32 mesh-erosion paragraph. Scored against the eight published RANZCOG oral domains.

Open

Domain

Reproductive endocrinology and infertility

clinical

Assisted reproductive technology — structured oral station (12 minutes)

FRANZCOG oral-format station on assisted reproduction: the candidate frames the ART pathway, justifies the protocol (antagonist with agonist trigger) and embryo-transfer number (elective single), and counsels honestly on age-stratified cumulative live birth and the complications of ART. Scored against the eight published RANZCOG oral domains.

Open

FRANZCOG oral-format station on caesarean birth on maternal request: candidate runs the consultation from the opening question, screens for tokophobia and trauma, quotes benefits and harms in absolute terms with very low certainty, names the accreta and future-fertility gradient, and ends with one of the two RANZCOG C-Obs 39 endings. Scored against the eight published RANZCOG oral domains.

Open

clinical

Caesarean urgency and timing — structured oral station (12 minutes)

FRANZCOG oral-format station on caesarean urgency and timing: assign and defend a category, run a category 1 escalation, explain what the decision-to-delivery interval audit does and does not prove, and counsel a woman asking to be delivered before 39 weeks. Scored against the eight published RANZCOG oral domains.

Open

clinical

Instrumental vaginal birth — structured oral station (12 minutes)

FRANZCOG oral-format station on assisted vaginal birth: the candidate runs the prerequisites checklist aloud, defends instrument choice with Cochrane numbers, states the abandonment rules, manages a failed attempt, discusses OASIS and subgaleal haemorrhage, and demonstrates the consent conversation. Scored against the eight published RANZCOG oral domains.

Open

Domain

Antenatal care — medical disorders in pregnancy

clinical

Cardiac disease in pregnancy — structured oral station (12 minutes)

FRANZCOG oral-format station on a decompensating mechanical valve in late pregnancy: recognition of pulmonary oedema and atrial fibrillation, the multidisciplinary response, the anticoagulation transition, the peripartum plan, and the postpartum surveillance. Scored against the eight published RANZCOG oral domains.

Open

FRANZCOG oral-format station on group B streptococcus in labour: the IAP indication and regimen, the timing rule, the labour management, and the neonatal communication. Scored against the eight published RANZCOG oral domains.

Open

clinical

HIV in pregnancy — structured oral station (12 minutes)

FRANZCOG oral-format station on a newly diagnosed HIV in pregnancy: the immediate combined prevention strategy, the viral-load-driven mode of delivery, the neonatal prophylaxis, the setting-dependent infant feeding advice, and a communication probe. Scored against the eight published RANZCOG oral domains.

Open

clinical

Epithelial ovarian cancer — structured oral station (12 minutes)

FRANZCOG oral-format station on epithelial ovarian cancer: candidate reproduces the FIGO 2021 staging, justifies primary debulking vs NACT (EORTC, CHORUS), and defends the PARP-inhibitor maintenance decision (SOLO-1, SOLO-2, PRIMA, NOVA). Scored against the eight published RANZCOG oral domains.

Open

Domain

Gynaecological health — chronic pelvic pain and endometriosis

clinical

Endometriosis — structured oral station (12 minutes)

FRANZCOG oral-format station on endometriosis: the candidate recognises the symptom profile, applies the imaging-first paradigm shift, walks the medical management ladder with the dienogest evidence, and treats fertility on its own pathway using the EFI. Scored against the eight published RANZCOG oral domains.

Open

clinical

Endometriosis surgical management — structured oral station (12 minutes)

FRANZCOG oral-format station on the surgical management of endometriosis: the candidate maps DIE with the #ENZIAN classification, plans an MDT, argues excision over ablation for DIE, chooses a bowel approach citing the Quintairos evidence, offers nerve-sparing citing the voiding-dysfunction outcome, and addresses fertility with the EFI. Scored against the eight published RANZCOG oral domains.

Open

Domain

Perioperative care

clinical

Enhanced recovery after gynaecological surgery — structured oral station (12 minutes)

FRANZCOG oral station covering the eight published oral domains.

Open

clinical

Perioperative VTE prophylaxis — structured oral station (12 minutes)

FRANZCOG oral station covering the eight published oral domains.

Open

FRANZCOG oral-format station on choosing and troubleshooting fetal surveillance modalities: the criteria for intermittent auscultation, structured technique and intervals, conversion triggers, systematic troubleshooting of a poor trace, fetal scalp electrode prerequisites and contraindications, telemetry, and negotiating a change of plan with a woman who wanted to stay mobile. Scored against the eight published RANZCOG oral domains.

Open

FRANZCOG oral-format station on ovarian torsion and cyst accidents: candidate describes the clinical presentation and the whirlpool sign, defends time-critical laparoscopy on suspicion, argues the detorsion-and-observation versus oophorectomy decision, distinguishes torsion from rupture and haemorrhagic cyst, and applies the IOTA Simple Rules and ADNEX model. Scored against the eight published RANZCOG oral domains.

Open

clinical

Uterine fibroids — structured oral station (12 minutes)

FRANZCOG oral-format station on uterine fibroids: candidate applies the FIGO subclassification, runs the structured workup, builds a goal-directed medical-management ladder, and navigates the EMA ulipristal hepatotoxicity restrictions and the coexistence trap. Scored against the eight published RANZCOG oral domains.

Open

Domain

Antenatal care — maternal medicine

clinical

Gestational diabetes — structured oral station (12 minutes)

FRANZCOG oral-format station on gestational diabetes: interpreting the ADIPS 2025 pregnancy OGTT, building a management plan with explicit targets and doses, defending the diagnostic thresholds against GEMS, TARGET and ScreenR2GDM, planning birth, and counselling a woman with health-literacy and cultural-safety considerations. Scored against the eight published RANZCOG oral domains.

Open

clinical

Hypertensive disorders of pregnancy — structured oral station (12 minutes)

FRANZCOG oral-format station on chronic hypertension in pregnancy: preconception and first-trimester planning, switching a fetotoxic antihypertensive, the CHAP and CHIPS targets defended, aspirin prophylaxis, surveillance and timing of birth, the postnatal blood pressure peak, and lifelong cardiovascular counselling. Scored against the eight published RANZCOG oral domains.

Open

clinical

Preeclampsia diagnosis and management — structured oral station (12 minutes)

FRANZCOG oral-format station on preterm preeclampsia at 30 weeks: the inpatient surveillance plan, magnesium indications, angiogenic biomarkers interpreted correctly with Zeisler and PARROT, fullPIERS for prognosis, escalation on deterioration with named drugs and doses, and shared decision-making about birth before 34 weeks. Scored against the eight published RANZCOG oral domains.

Open

FRANZCOG oral-format station on post-molar GTN: candidate confirms the FIGO hCG-plateau diagnosis, excludes phantom hCG, reproduces the FIGO 2000 staging and WHO score verbatim, defends the methotrexate-folinic acid regimen with the resistance switch, and counsels on cure, fertility and future pregnancy. Scored against the eight published RANZCOG oral domains.

Open

Domain

Gynaecological oncology — cancer in pregnancy

clinical

Gynaecological cancer in pregnancy — structured oral station (12 minutes)

FRANZCOG oral-format station on vasa praevia in a twin pregnancy: classify the type, quantify the risk, defend the admission and timing decisions with the published evidence, run the category-1 response to rupture, direct neonatal volume resuscitation, and communicate with a frightened woman. Scored against the eight published RANZCOG oral domains.

Open

Domain

Gynaecological health — menstrual disorders and androgen excess

clinical

Polycystic ovary syndrome — structured oral station (12 minutes)

Gynaecological oncology — vulvar cancer and VIN

clinical

Vulvar cancer on lichen sclerosus with a focal ulcer — structured oral station (12 minutes)

FRANZCOG oral-format station on vulvar squamous cell carcinoma arising on lichen sclerosus: the candidate defends the FIGO 2021 staging (Stage IB) and depth-of-invasion definition, sentinel node biopsy as the standard with the GROINSS-V 2.5 percent groin recurrence, the lymphoedema morbidity data, and the two VIN pathways (usual HPV vs differentiated lichen sclerosus). Scored against the eight published RANZCOG oral domains.

Open