Obstetrics & Gynecology Curriculum | MDster You are offline Back online! [ MDster home ](/ "MDster home") Specialities [ Anesthesiology ](https://mdster.com/speciality/anesthesiology) [ Emergency Medicine ](https://mdster.com/speciality/emergency-medicine) [ Family Medicine ](https://mdster.com/speciality/family-medicine) [ Internal Medicine ](https://mdster.com/speciality/internal-medicine) [ Obstetrics & Gynecology ](https://mdster.com/speciality/obstetrics-gynecology) [ Pediatrics ](https://mdster.com/speciality/pediatrics) [ Psychiatry ](https://mdster.com/speciality/psychiatry) [ Features ](https://mdster.com/features) [ SOE Examiner NEW ](https://mdster.com/soe-examiner) [ Pricing ](https://mdster.com/pricing) [ Blog ](https://mdster.com/blog) Menu Specialities [ Anesthesiology ](https://mdster.com/speciality/anesthesiology) [ Emergency Medicine ](https://mdster.com/speciality/emergency-medicine) [ Family Medicine ](https://mdster.com/speciality/family-medicine) [ Internal Medicine ](https://mdster.com/speciality/internal-medicine) [ Obstetrics & Gynecology ](https://mdster.com/speciality/obstetrics-gynecology) [ Pediatrics ](https://mdster.com/speciality/pediatrics) [ Psychiatry ](https://mdster.com/speciality/psychiatry) [ Features ](https://mdster.com/features) [ SOE Examiner NEW ](https://mdster.com/soe-examiner) [ Pricing ](https://mdster.com/pricing) [ Blog ](https://mdster.com/blog) [ Login ](https://mdster.com/auth/login) 1. [ Home ](https://mdster.com) 2. [ Curriculum ](https://mdster.com/curriculum) 3. Obstetrics & Gynecology Obstetrics & Gynecology curriculum ======================================== Conquer OB-GYN Boards with Confidence—Every Rotation Core Advanced Obstetrics & Gynecology Core Pathway ### Basic Sciences 2,168 questions #### Anatomy for anesthesia (airway, neuraxial, vascular, regional) 50 - Neuraxial anatomy and dermatomes - Dermatome and block height assessment 4 - Meninges and CSF spaces 4 - Vertebral column and ligamentous structures 4 - Peripheral nerve anatomy (regional anesthesia essentials) - Brachial plexus overview 5 - Lower limb plexuses 5 - Truncal blocks anatomy 5 - Upper airway anatomy and airway assessment landmarks - Airway examination correlates 5 - Nasal and oral cavity anatomy 4 - Pharynx and larynx anatomy 5 - Vascular access anatomy - Arterial access anatomy 4 - Central venous anatomy 5 #### Anatomy, Surgical Anatomy & Pelvic Support 70 Gross and applied anatomy relevant to obstetrics, gynecology, pelvic surgery, continence/prolapse, a... - Adnexa and tubo-ovarian anatomy - Broad ligament spaces and adnexal torsion anatomy 2 - Fallopian tube segments and function 3 - Ovary—blood supply and surgical implications 2 - Parametrium and ureteric course 2 - Pelvic sidewall landmarks 3 - Bony pelvis, pelvic diameters, and obstetric biomechanics - Anatomy relevant to operative vaginal birth 3 - Maternal pelvis shapes and relevance 3 - Mechanisms of labor and fetal head molding 3 - Pelvic floor interaction with birth 3 - Pelvimetry concepts and clinical utility 2 - Breast anatomy and lactation-relevant structures - Breast ducts, lobules, and lymphatics 3 - Breast imaging anatomy correlation 2 - Nipple–areolar complex anatomy 3 - Physiology-anatomy interface in lactation 3 - Surgical anatomy (duct excision, abscess drainage) basics 3 - Pelvic floor, continence mechanisms and anorectal anatomy - Anal sphincter complex 4 - Levator ani and fascial supports 3 - Lower urinary tract anatomy 2 - Neurovascular anatomy relevant to pelvic pain 3 - Perineum and episiotomy landmarks 3 - Uterus, cervix, vagina and vulva—applied anatomy - Cervical anatomy and transformation zone 2 - Lymphatic drainage of lower genital tract 3 - Uterine layers and supporting ligaments 3 - Vaginal anatomy and fornices 3 - Vulvar anatomy 4 #### Applied Anatomy for Emergency Care 117 Regional anatomy relevant to resuscitation, procedures, and time-critical diagnosis. - Abdominal and pelvic anatomy for acute abdomen - Appendix, bowel, mesentery 5 - Genitourinary anatomy 5 - Hepatobiliary and pancreatic anatomy 5 - Pelvic anatomy and hemorrhage 3 - Peritoneal spaces and referred pain 5 - Airway, neck, and upper aerodigestive anatomy - Airway edema/obstruction implications 5 - Larynx and trachea 4 - Neck vascular/nerve structures 4 - Surgical airway anatomy (foundational) 4 - Upper airway landmarks 5 - Musculoskeletal compartments and vascular anatomy - Compartment syndrome anatomy 4 - Fracture patterns and growth plates (intro) 5 - Major joints: stability and reduction basics 5 - Ultrasound-relevant vascular anatomy 5 - Vascular anatomy for hemorrhage control 5 - Neuroanatomy and spinal anatomy for EM - Cerebral vascular territories (exam-relevant) 5 - Intracranial compartments and herniation 4 - Ocular and orbital anatomy 5 - Peripheral nerve anatomy for injuries/blocks 5 - Spinal cord/nerve root anatomy 5 - Thoracic anatomy and pleura - Chest wall, ribs, diaphragm 5 - Mediastinum and great vessels 6 - Pericardium and cardiac anatomy basics 5 - Pleural spaces and lung lobes 5 - Procedural anatomy (thoracic) 3 #### Biochemistry, Metabolism & Nutrition 37 Core metabolic pathways, organ metabolism, and clinically important deficiencies/excesses. - Carbohydrate and lipid metabolism (clinically applied) - Glycolysis/gluconeogenesis concepts 3 - Inborn errors (overview) 4 - Lipid metabolism 3 - Obesity and insulin resistance 2 - Micronutrients and deficiency syndromes - Fat-soluble vitamins 3 - Refeeding syndrome 3 - Trace elements 3 - Water-soluble vitamins 3 - Protein metabolism and liver synthetic function - Albumin and oncotic pressure 4 - Amino acid metabolism 4 - Bilirubin metabolism 3 - Coagulation factors synthesis 2 #### Cardiovascular physiology and measurement 71 - Cardiac electrophysiology and ECG basics - Arrhythmia mechanisms (exam core) 5 - Cardiac action potentials 4 - Conduction system anatomy/physiology 5 - Defibrillation/cardioversion principles 5 - ECG interpretation for anesthesia 5 - Cardiac pump function and determinants of CO - Autonomic control of circulation 5 - Determinants of SVR and MAP 4 - Frank–Starling physiology 5 - Myocardial oxygen supply/demand 5 - Pressure–volume concepts 6 - Shock physiology (core principles) 5 - Oxygen transport and hemodynamic oxygenation metrics - Hemoglobin–oxygen dissociation curve 4 - Microcirculation basics 5 - Oxygen consumption and extraction 4 - Oxygen content and delivery 4 #### Cellular & Molecular Biology 43 Core cellular structure/function and signaling relevant to disease mechanisms and therapeutics. - Cell structure, organelles, and trafficking - Cell cycle, apoptosis, necrosis 3 - Cell–cell junctions and extracellular matrix 4 - Membrane structure & transport 4 - Organelles and key functions 4 - Oncogenesis fundamentals - Cancer immunology (intro) 3 - Carcinogenesis & exposures 3 - Hallmarks of cancer (board-level) 3 - Tumor suppressors and oncogenes 4 - Signal transduction & second messengers - Inflammation signaling 4 - Pharmacologic implications 3 - Receptor classes 4 - Second messengers 4 #### Clinical epidemiology, biostatistics, and evidence-based practice 55 Board-relevant study design, diagnostic testing performance, screening, clinical decision-making, an... - Basic statistics interpretation (board level) - Confidence intervals 3 - Hypothesis testing and p-values 3 - Inter-rater reliability and kappa 2 - Measures of central tendency and spread 3 - Regression basics (conceptual) 3 - Diagnostic test characteristics - Decision rules (e.g., PECARN concept) 3 - Interpreting lab reference ranges in pediatrics 3 - Likelihood ratios and post-test probability 2 - ROC curves and thresholds (conceptual) 2 - Sensitivity, specificity, predictive values 3 - Screening principles and prevention evidence - Clinical practice guidelines (CPGs) 3 - Criteria for screening programs 4 - Ethics in evidence application 3 - Number needed to treat/harm 3 - Public health measures and outbreak basics 2 - Study designs and hierarchy of evidence - Diagnostic test studies 3 - Interventional studies (RCTs) 3 - Observational studies (cohort, case-control, cross-sectional) 2 - Quality improvement vs research (distinction) 3 - Systematic reviews and meta-analyses 2 #### Clinical pharmacology and therapeutics (core) 76 Weight-based dosing, pediatric pharmacokinetics/dynamics, antimicrobial fundamentals, common drug cl... - Analgesia, sedation, and peri-procedural medications - Common agents and adverse effects 4 - Local anesthetics and toxicity 4 - Non-opioid analgesics 3 - Opioids and respiratory depression risk 3 - Procedural sedation core concepts 4 - Antimicrobial classes and selection (foundational) - Aminoglycosides and nephro/ototoxicity 2 - Antiviral/antifungal overview (core) 3 - Beta-lactams and cephalosporins 4 - Macrolides and atypical coverage 3 - MRSA agents (clindamycin, TMP-SMX, vancomycin, linezolid) 2 - Common pediatric chronic medication classes (core board level) - Antiepileptic drugs overview 3 - Asthma/allergy pharmacotherapy basics 4 - Cardiac medications basics 3 - Endocrine medications basics 3 - Psychotropic basics (overview) 3 - Pediatric dosing principles and medication safety - Adverse drug reaction types 3 - Medication reconciliation and error prevention 3 - Routes of administration and bioavailability 3 - Therapeutic drug monitoring (TDM) basics 3 - Weight-based dosing and dose limits 2 - Pediatric pharmacokinetics and pharmacodynamics - Absorption differences by age 3 - Distribution (body water/fat, protein binding) 3 - Elimination (renal maturation) 3 - Metabolism (hepatic enzymes) 2 - Pharmacogenomics basics (board overview) 3 #### Core anesthesia pharmacology (drug classes) 95 - Cardiovascular drugs commonly used in anesthesia - Antiarrhythmics (core familiarity) 4 - Antihypertensives and antianginals 5 - Vasopressors and inotropes 6 - Inhalational anesthetics - MAC and factors affecting MAC 6 - Organ effects and toxicity 6 - Special phenomena 5 - Uptake and distribution 4 - Intravenous induction agents and sedatives - Benzodiazepines 4 - Dexmedetomidine and alpha-2 agonists 4 - Etomidate 4 - Ketamine 5 - Propofol 5 - Neuromuscular blockers and reversal agents - Depolarizing blockade (succinylcholine) 4 - Monitoring and reversal 4 - NMJ physiology relevant to blockade 5 - Nondepolarizing blockade 4 - Opioids and adjunct analgesics - Adjuvant analgesics (exam-relevant) 4 - Common IV opioids in anesthesia 5 - Non-opioid analgesics (core) 5 - Opioid receptor pharmacology 6 #### Core Physiology and Pathophysiology 147 High-yield physiologic principles that underpin ED presentation patterns and first-line therapy. - Acid–base physiology and interpretation - Metabolic acidosis 4 - Metabolic alkalosis 5 - Osmolar gap and toxin clues 4 - Respiratory acidosis/alkalosis 5 - Systematic interpretation approach 5 - Inflammation, immunity, and sepsis pathobiology - Anaphylaxis physiology 5 - Coagulation-inflammation interface 5 - Fever physiology 4 - Host response to infection 6 - Vaccines, immunization status, and ED relevance 5 - Neurophysiology of consciousness, seizure, and delirium - Delirium and encephalopathy mechanisms 3 - Raised ICP physiology 4 - Reticular activating system and coma basics 6 - Seizure generation and termination (conceptual) 4 - Temperature and CNS function 5 - Oxygen delivery, shock physiology, and perfusion - Determinants of oxygen delivery 4 - Fluid responsiveness and endpoints 5 - Reperfusion and resuscitation complications 5 - Shock classification and physiology 6 - Vasopressors/inotropes physiology 6 - Renal physiology and electrolyte homeostasis - Acute kidney injury pathophysiology 6 - Calcium, magnesium, phosphate physiology 6 - Diuretics and renal pharmacodynamics (intro) 5 - Potassium physiology and membrane excitability 6 - Sodium and water balance 5 - Respiratory mechanics and gas exchange - Acid-base interplay in respiratory disease 4 - Hypoxemia mechanisms 5 - Ventilation strategy principles (intro) 5 - Ventilation vs oxygenation concepts 5 - Work of breathing and fatigue 4 #### Developmental physiology and anatomy 103 Age-dependent structure and function across fetal, neonatal, infant, child, and adolescent stages re... - GI, hepatic, and pancreatic developmental physiology - Bilirubin metabolism 2 - Feeding physiology and gastric emptying 4 - Gut microbiome concepts (board-relevant) 3 - Liver synthetic function and vitamin K 3 - Pancreatic function maturation 2 - Neurodevelopmental physiology (foundation) - Brain development timing and vulnerability 3 - Intracranial pressure basics 3 - Pain pathways and developmental differences 3 - Seizure physiology overview 3 - Sleep physiology across development 3 - Fetal-to-neonatal transition physiology - Cardiovascular transition and shunts 3 - Neonatal glucose homeostasis 3 - Placental to pulmonary gas exchange transition 3 - Respiratory adaptation 3 - Thermoregulation at birth 3 - Hematopoiesis and pediatric hemostasis basics - Age-based CBC norms 3 - Coagulation and bleeding evaluation foundations 3 - Hemoglobin switching and oxygen affinity 3 - Iron metabolism and erythropoiesis 3 - Transfusion medicine basics 4 - Pediatric cardiovascular physiology basics - Blood pressure norms and perfusion 3 - Cardiac output determinants by age 2 - Congenital heart physiology patterns 3 - Oxygen delivery and consumption 2 - Shock physiology overview 3 - Pediatric respiratory mechanics basics - Age-dependent airway anatomy 3 - Basic blood gas interpretation 4 - Pulmonary defense mechanisms 3 - Ventilation-perfusion relationships 3 - Work of breathing and fatigue 2 - Renal maturation and fluid homeostasis - Acid handling and bicarbonate physiology 3 - Neonatal electrolyte vulnerabilities 3 - Neonatal renal function and GFR maturation 3 - Urine output norms and interpretation 3 - Water balance regulation 3 #### Embryology, Fetal Development & Congenital Anomalies 42 Embryology and developmental physiology underpinning congenital anomalies and reproductive tract dis... - Gametogenesis, fertilization, implantation and early placentation - Amniotic fluid development and regulation 3 - Fertilization and early embryo development 2 - Implantation physiology and abnormal implantation 3 - Oogenesis and spermatogenesis essentials 3 - Placental development and cord formation 3 - Müllerian development and reproductive tract anomalies - Cervical insufficiency developmental considerations 2 - Congenital anomalies—screening principles 3 - Müllerian duct fusion and canalization 3 - Ovarian and testicular differentiation 3 - Urogenital sinus development 2 - Organogenesis and teratology timing - Common teratogens and patterns 5 - Congenital infection pathogenesis (TORCH concept) 3 - Critical periods of development 2 - Fetal growth regulation 2 - Placental transfer and fetal drug exposure 3 #### Emergency Pharmacology and Therapeutics 117 PK/PD and emergency drug classes frequently tested and used in ED resuscitation and symptom control. - Analgesia in emergency medicine - Ketamine for analgesia 3 - Non-opioid analgesics 5 - Opioid pharmacology and safe prescribing 6 - Pain syndromes and multimodal strategy 4 - Regional anesthesia principles (intro) 5 - Antimicrobials and stewardship essentials - Allergy, anaphylaxis, and cross-reactivity 5 - Antibiotic adverse effects 5 - Antiviral/antifungal (board-level) 5 - Empiric antibiotic selection principles 4 - High-yield ED syndromes (empiric) 4 - Cardiovascular and vasoactive medications - Antiarrhythmics and rate control 5 - Antihypertensives in emergencies 5 - Antithrombotics and reperfusion adjuncts 6 - Reversal agents (core overview) 5 - Vasopressors/inotropes 5 - Pharmacokinetics/pharmacodynamics in the ED - Absorption, distribution, metabolism, elimination 4 - Drug interactions and adverse drug events 5 - Medication safety principles 5 - Onset/offset and context-sensitive half-time 5 - Pharmacogenomics and variability (board-level) 3 - Sedation, induction agents, and anxiolysis - Benzodiazepines 5 - Dexmedetomidine (board-level overview) 4 - Ketamine dissociation 4 - Procedural sedation safety 5 - Propofol and etomidate basics 5 #### Epidemiology, Biostatistics & Evidence-Based Medicine 45 Study design, bias, test performance, causality, and applying evidence to patient care. - Clinical guidelines and evidence synthesis - Ethics in research 3 - GRADE and strength of recommendation 3 - Implementation and de-implementation 3 - Systematic reviews/meta-analyses 3 - Diagnostic test interpretation - Bayesian reasoning 2 - Core measures 3 - ROC curves and thresholds 2 - Screening principles 3 - Study design and validity - Bias and confounding 3 - Causality and inference 3 - Interventional trials 3 - Observational designs 4 - Treatment effects and risk - Decision analysis basics 3 - Effect size measures 2 - Heterogeneity and subgroup analyses 3 - Time-to-event analysis 2 #### Fluids, electrolytes, and acid–base 83 Core calculations and physiologic reasoning for pediatric fluid management, electrolyte abnormalitie... - Calcium, magnesium, and phosphate disorders - Hypercalcemia differential and initial workup 2 - Hypomagnesemia and refractory hypokalemia/hypocalcemia 2 - Neonatal hypocalcemia (early/late) 3 - Phosphate abnormalities (refeeding, DKA) 3 - QT prolongation and electrolyte-related arrhythmias 3 - Acid–base disorders and interpretation - Bicarbonate therapy: indications and risks 4 - Metabolic acidosis differential (high vs normal anion gap) 4 - Metabolic alkalosis differential 3 - Respiratory acidosis/alkalosis scenarios 3 - Stepwise blood gas interpretation 3 - Hypernatremia in children - Central diabetes insipidus management 3 - Correction strategy and monitoring 3 - Etiologies and diagnostic approach 3 - Nephrogenic diabetes insipidus basics 2 - Neurologic complications of dysnatremias 2 - Hyponatremia in children - Acute symptomatic hyponatremia management 3 - Classification by volume status 3 - Osmotic demyelination risk 2 - Pseudohyponatremia and lab pitfalls 3 - SIADH approach 3 - Maintenance fluids and dehydration management - Assessment of dehydration severity 3 - Hypernatremic dehydration 2 - IV fluid bolus and deficit replacement 3 - Maintenance fluid calculation and composition 3 - Oral rehydration therapy (ORT) 2 - Potassium disorders (hypo/hyperkalemia) - Hyperkalemia emergency management 3 - Hyperkalemia recognition and ECG changes 3 - Hypokalemia causes and evaluation 2 - Renal tubular disorders related to potassium 3 - Replacement strategies and safety 2 #### Genetics & Genomics 31 Mendelian and complex genetics, genomic medicine, and clinically actionable variants. - Complex traits and gene–environment interaction - Epigenetics 3 - Microbiome (board-level concepts) 2 - Polygenic risk concepts 3 - Somatic mosaicism & clonal hematopoiesis 2 - Genomic testing in clinical practice - Ethical issues 2 - Pharmacogenomics 3 - Testing modalities 2 - Variant interpretation 3 - Mendelian inheritance and risk - Autosomal dominant patterns 3 - Autosomal recessive patterns 3 - Mitochondrial inheritance 2 - X-linked inheritance 3 #### Genetics and metabolism (introductory) 57 Foundations of inheritance, genetic testing, dysmorphology approach, and introductory inborn error r... - Dysmorphology and congenital anomaly approach - Approach to a dysmorphic child 3 - Common genetic syndromes (core list) 3 - Referral and multidisciplinary care 2 - Syndromic vs sequence vs association concepts 3 - Teratology basics 4 - Inborn errors: pattern recognition (intro) - Hypoglycemia patterns and ketones 3 - Lactic acidosis and mitochondrial disease overview 2 - Metabolic acidosis and hyperammonemia patterns 3 - Newborn with lethargy/vomiting after feeds 3 - Recurrent rhabdomyolysis and exercise intolerance 2 - Genetic testing modalities and indications - Ethical considerations in pediatric genetics 2 - Karyotype, microarray, and targeted panels 3 - Newborn screening follow-up basics 3 - Prenatal testing concepts (board-level) 2 - Single-gene sequencing and exome/genome sequencing 3 - Patterns of inheritance and pedigree interpretation - Autosomal dominant/recessive patterns 3 - Chromosomal abnormalities overview 4 - De novo variants and recurrence risk 3 - Multifactorial inheritance and risk 3 - X-linked and mitochondrial inheritance 3 #### Genetics, Immunology, Hematology & Teratology 65 Genetic principles, prenatal screening/diagnosis frameworks, immunohematology (Rh), and teratology r... - Genetic inheritance and counseling fundamentals - Carrier screening concepts 4 - Chromosomal abnormalities and mechanisms 4 - Consanguinity and risk quantification basics 2 - Genetic test ethics and informed consent 3 - Patterns of inheritance 4 - Immunohematology and alloimmunization - Fetal anemia assessment principles 2 - Non-D antibodies and clinical relevance 3 - RhD immunization prevention 3 - Thrombophilia concepts 3 - Transfusion medicine basics in OB 4 - Prenatal screening and diagnostic testing - Aneuploidy screening modalities 3 - Diagnostic procedures principles 3 - Neural tube defect screening and diagnosis 4 - Non-immune hydrops framework 3 - Screening test performance interpretation 3 - Teratology and environmental exposures - Infections as teratogens (TORCH) 4 - Medication risk frameworks 3 - Occupational/environmental hazards 4 - Radiation exposure in pregnancy 3 - Substance use and fetal effects 3 #### Hematology, Transfusion, and Evidence-Based Medicine 94 Coagulation, transfusion science, and biostatistics/EBM essentials commonly assessed in EM training... - EBM in practice: guidelines, pathways, and stewardship - Antimicrobial and imaging stewardship 4 - Applying guidelines safely 3 - Critical incident literature appraisal (M&M style) 4 - Quality metrics vs patient-centered outcomes 4 - Screening and prevention in ED context 5 - Biostatistics and clinical epidemiology for EM - Bias, confounding, and validity 4 - Clinical prediction rules and implementation 6 - Diagnostic test performance 5 - Measures of effect and uncertainty 4 - Study designs and hierarchy of evidence 5 - Hemostasis and coagulation fundamentals - Bleeding risk stratification (conceptual) 4 - Coagulopathies in the ED 6 - Heparin/DOAC physiology and lab interpretation 5 - Primary vs secondary hemostasis 6 - Thrombosis physiology 5 - Transfusion medicine and massive hemorrhage basics - Blood products and indications 5 - Hemolysis and anemia emergencies 5 - Massive transfusion principles 5 - Rh/alloimmunization principles (ED-relevant) 4 - Transfusion reactions 5 #### Immunology & Inflammation 36 Innate/adaptive immunity, hypersensitivity, autoimmunity, immunodeficiency, and transplant fundament... - Adaptive immunity - B cell biology and antibodies 4 - Hypersensitivity reactions 3 - T cell biology 3 - Vaccinology principles 2 - Autoimmunity and tolerance - Central and peripheral tolerance 3 - Immunodeficiency overview 3 - Systemic autoimmune disease mechanisms 3 - Transplant immunology (intro) 3 - Innate immunity and inflammation - Complement system 3 - Inflammation resolution 3 - Pattern recognition and cytokines 3 - Phagocytes and granulomatous inflammation 3 #### Immunology, inflammation, and allergy foundations 84 Fundamental immune mechanisms, hypersensitivity, primary immunodeficiency red flags, and vaccine imm... - Autoimmunity and immune dysregulation fundamentals - Autoantibodies and immune tolerance concepts 3 - Autoinflammatory syndromes (intro) 4 - Cytokine storm/HLH conceptual bridge 3 - Cytopenias and autoimmune disease links 3 - Immune-mediated kidney and skin disease examples 3 - Hypersensitivity and allergic disease mechanisms - Atopic disease spectrum 4 - Drug allergy vs intolerance 3 - Food allergy mechanisms and tolerance 4 - Type I (IgE-mediated) reactions 4 - Type II/III/IV hypersensitivity examples 4 - Innate and adaptive immune system basics - Adaptive immunity components 4 - Complement system basics 3 - Inflammation resolution and chronic inflammation 3 - Innate immunity components 4 - Mucosal immunity and IgA 3 - Primary immunodeficiency (PID) overview and red flags - Basic lab evaluation of immune function 3 - Clinical warning signs and patterns 3 - Immunization considerations in immunocompromise 3 - Secondary immunodeficiency causes 3 - T-cell vs B-cell vs phagocyte vs complement defects 4 - Vaccine immunology foundations - Active vs passive immunity principles 3 - Adjuvants and immunogenicity 3 - Herd immunity and population impact (exam framing) 4 - Live attenuated vs inactivated vaccines 3 - Vaccine adverse events and safety systems 3 #### Maternal–Fetal Physiology, Placenta & Parturition 55 Pregnancy adaptations, uteroplacental unit physiology, and labor physiology essential for safe obste... - Maternal cardiovascular and hemodynamic adaptations - Blood pressure physiology across trimesters 3 - Changes in blood volume, CO, SVR 3 - Coagulation physiology (hypercoagulability) 2 - Postpartum hemodynamic shifts 3 - Uterine blood flow physiology 2 - Placental function, transport, and endocrine activity - Amniotic fluid dynamics 3 - Maternal–fetal immunology 2 - Placental endocrine hormones 3 - Placental transport mechanisms 3 - Umbilical and fetal circulation physiology 3 - Respiratory, renal, and acid–base physiology in pregnancy - GI/hepatic adaptations 3 - Hematologic adaptations beyond coagulation 3 - Renal changes and lab interpretation 3 - Thermoregulation and skin changes 3 - Ventilatory changes and ABG interpretation 2 - Uterine contractility and cervical remodeling - Cervical ripening mechanisms 3 - Lactation physiology 3 - Myometrial excitation–contraction coupling 2 - Postpartum uterine involution 2 - Stages of labor physiology 4 #### Neurophysiology, autonomics, and thermoregulation 43 - Autonomic nervous system and reflexes - Autonomic failure and dysautonomia 6 - Key perioperative reflexes 5 - Sympathetic vs parasympathetic physiology 5 - Cerebral blood flow and intracranial dynamics - CBF regulation 5 - CSF production and drainage 4 - ICP physiology 4 - Thermoregulation and perioperative hypothermia - Anesthesia effects on temperature 5 - Complications of hypothermia 4 - Normal thermoregulatory control 5 #### Nutrition, growth biology, and metabolic fundamentals 76 Core pediatric nutrition and metabolism including breastfeeding, micronutrients, malnutrition, obesi... - Energy metabolism and common IEM overview (intro) - Acute metabolic decompensation first steps 2 - Basic pathways (glycogen, FAO, urea cycle) 4 - Hypoglycemia differential by age 3 - Newborn screen concept and limitations 2 - When to refer for metabolic/genetic evaluation 3 - Failure to thrive (FTT) and malnutrition - Definitions and anthropometric assessment 3 - Differential diagnosis framework 3 - Initial evaluation and targeted testing 3 - Multidisciplinary management and safeguarding interface 3 - Nutritional rehabilitation 3 - Infant feeding (breastfeeding and formula) - Breast milk composition and benefits (exam framing) 2 - Complementary feeding and allergen introduction 4 - Feeding difficulties and red flags 3 - Formula types and indications 4 - Lactation management basics 3 - Micronutrients and deficiency states - Iodine and thyroid development 3 - Iron deficiency and anemia prevention 2 - Vitamin A, E, K deficiencies (board-relevant) 4 - Vitamin D and calcium 4 - Zinc and trace elements 3 - Pediatric obesity and metabolic risk - BMI classification and staging 4 - Lifestyle intervention fundamentals 2 - Metabolic syndrome and NAFLD overview 3 - Obesity pharmacotherapy and bariatric basics (board overview) 3 - Weight stigma and counseling skills 3 #### Pathology & General Pathophysiology 35 General injury, repair, vascular pathology, thrombosis, and systemic responses to illness. - Cell injury and adaptation - Amyloidosis (overview) 3 - Edema and effusions pathophysiology 3 - Inflammation and repair 3 - Reversible vs irreversible injury 3 - Fever, SIRS, and sepsis biology - Biomarkers (concepts) 3 - Cytokine-mediated shock 3 - Organ dysfunction mechanisms 3 - Stress response and endocrine changes 3 - Hemostasis and thrombosis (mechanisms) - Atherosclerosis & aneurysm pathophysiology 3 - Coagulation cascade (clinical interpretation) 3 - Platelet biology 2 - Thrombosis and embolism 3 #### Pathology, Neoplasia, and Breast Pathology Foundations 73 Core gynecologic and obstetric pathology and tumor biology underpinning screening, diagnosis, and in... - Inflammation, infection, and tissue response basics - Acute vs chronic inflammation patterns 2 - Necrosis patterns relevant to OB-GYN 3 - Pathology specimen handling basics 3 - Thrombosis and embolism concepts 3 - Wound healing and scar formation 3 - Breast pathology foundations for OB-GYN - Benign breast disease 3 - Breast cancer basics for generalists 3 - Breast screening and pathology correlation 4 - High-risk lesions overview 3 - Lactation-related breast conditions 3 - Cervical pathology and HPV-mediated disease - CIN/HSIL/LSIL pathologic correlates 3 - Cytology and histology interpretation basics 3 - HPV biology and carcinogenesis 3 - Invasive cervical cancer—histology overview 3 - Vaginal/vulvar intraepithelial lesions basics 3 - Endometrial pathology and AUB foundations - Benign uterine pathology 3 - Endometrial carcinoma basics (Type 1 vs Type 2) 3 - Endometrial hyperplasia classification concepts 2 - Gestational endometrium and retained products concepts 3 - Uterine sarcomas overview 3 - Ovarian, tubal, and peritoneal tumors—foundations - Borderline tumors concepts 2 - Fallopian tube origin hypothesis for HGSC 3 - GTD pathology overview 3 - Ovarian tumor classification overview 3 - Tumor markers basics 3 #### Pharmacology fundamentals (PK/PD and drug handling) 61 - Pharmacodynamics and receptor theory - Dose–response relationships 4 - Drug interactions 5 - Pharmacogenomics (core testables) 5 - Receptor types and signaling 5 - Pharmacokinetics core concepts - Bioavailability and first-pass metabolism 5 - Compartment models and parameters 6 - Organ failure effects on PK 5 - Redistribution and tissue uptake 4 - Special populations 5 - Toxicology and adverse drug reactions - Dose-related vs idiosyncratic reactions 4 - Local anesthetic systemic toxicity (principles) 5 - Methemoglobinemia and CO toxicity (periop) 4 - Opioid toxicity and reversal 4 #### Pharmacology, Microbiology & Diagnostic Science (Core) 83 High-yield medication classes, antimicrobial principles, vaccination and infection concepts, plus di... - Diagnostic test interpretation and screening science - Bias and confounding in diagnostic studies 3 - Critical values and escalation thresholds 3 - Reference ranges and pregnancy-adjusted labs 3 - Screening program principles 3 - Test characteristics and Bayes theorem intuition 3 - Gynecologic pharmacology and contraception hormones - Antibiotics/antifungals commonly used in GYN 4 - Combined hormonal contraception (CHC) pharmacology 3 - Emergency contraception 2 - Menopause therapies 3 - Progestin-only methods 4 - Medication safety in pregnancy and lactation - Medication safety in breastfeeding 3 - Peripartum anesthesia/analgesia pharmacology basics 4 - Pharmacovigilance and counseling resources 4 - Principles of prescribing in pregnancy 3 - Teratogenic medication classes (core list) 4 - Microbiology, immunology and infection prevention - Immunization principles for OB-GYN 3 - Postoperative and postpartum infections 5 - Pregnancy infections 3 - STI microbiology essentials 3 - Vaginal microbiome and common vaginitis 4 - Obstetric medication classes - Diabetes medications in pregnancy 3 - Hypertension medications in pregnancy 3 - Thromboprophylaxis and anticoagulants 3 - Tocolytics and preterm birth meds 4 - Uterotonics and postpartum hemorrhage meds 3 #### Physics, measurement, mathematics, statistics (foundations) 56 - Radiation, MRI, and ultrasound physics (foundations) - Ionizing radiation basics 3 - MRI environment hazards 4 - Ultrasound fundamentals 4 - Electrical safety and basic electronics - Electrical hazards in OR 5 - Ohm’s law and power 5 - Flow, pressure, and resistance - Laminar vs turbulent flow 5 - Poiseuille and Bernoulli principles 5 - Gas laws and vapors relevant to anesthesia - Core gas laws 5 - Humidity and airway gas conditioning 5 - Vaporization concepts 5 - Mathematics, dosing, and basic statistics - Data interpretation basics 5 - Unit conversions and drug calculations 5 #### Physiology & Homeostasis 50 System physiology emphasizing integration and mechanisms behind common clinical syndromes. - Cardiovascular physiology - ECG electrophysiology basics 4 - Exercise physiology 3 - Hemodynamics and cardiac output 3 - Vascular biology 3 - Endocrine physiology - Calcium and bone metabolism 4 - Glucose homeostasis 4 - Hypothalamic–pituitary axes 3 - Thyroid hormone action 3 - Renal physiology & volume regulation - Acid–base renal handling 3 - Glomerular filtration and hemodynamics 3 - Tubular handling of electrolytes 3 - Water balance 3 - Respiratory physiology - Acid–base and respiratory compensation 3 - Hypoxic pulmonary vasoconstriction 2 - Lung mechanics 3 - Ventilation/perfusion and gas exchange 3 #### Reproductive Endocrinology & Menstrual Cycle Physiology 45 Hormonal regulation across lifespan: puberty, cycle, pregnancy, lactation, menopause; core board phy... - Hypothalamic–pituitary–ovarian (HPO) axis regulation - Endometrial cycle and histology 3 - FSH/LH actions and ovarian steroidogenesis 3 - GnRH pulsatility and feedback loops 4 - Ovulation physiology and luteal phase 3 - Puberty physiology and normal variants 3 - Menopause and perimenopause physiology - Cardiometabolic changes around menopause 3 - Hormone therapy physiologic rationale and risks 4 - Ovarian aging and follicular depletion 3 - Premature ovarian insufficiency (POI) physiology 2 - Urogenital atrophy (GSM) pathophysiology 3 - Pregnancy endocrine physiology - Calcium/vitamin D and bone metabolism 3 - hCG, corpus luteum rescue, and placental takeover 2 - Insulin resistance and metabolic adaptations 3 - Postpartum endocrine changes 3 - Thyroid physiology in pregnancy 3 #### Respiratory physiology and acid–base 73 - Acid–base and electrolytes (physiology foundations) - Anion gap and lactate interpretation 4 - Henderson–Hasselbalch and bicarbonate buffering 5 - Key electrolytes for anesthesia 5 - Stewart/strong ion approach (conceptual) 5 - Control of breathing and perioperative respiratory depression - Central and peripheral chemoreceptors 5 - Neuromuscular weakness and ventilation 4 - Ventilatory responses to anesthesia and opioids 4 - Gas exchange: diffusion, V/Q, shunt - Alveolar gas equation and A–a gradient 5 - CO2 transport and elimination 5 - Hypoxic pulmonary vasoconstriction (HPV) 4 - V/Q mismatch vs shunt vs diffusion limitation 5 - Lung volumes, compliance, resistance, and work of breathing - Airway resistance and flow 4 - Closing capacity and FRC 4 - PFT patterns for anesthesia 5 - Static and dynamic compliance 6 - Ventilation distribution and time constants 3 ### Clinical Skills 181 questions #### Clinical Assessment, Communication & Shared Decision-Making 60 Core consultation skills for OSCE/oral exams: history, exam, counseling, consent, cultural humility,... - Communication, counseling, and difficult conversations - Breaking bad news and pregnancy loss counseling 3 - Cultural humility and interpreter use 2 - Risk communication and numeracy 3 - Shared decision-making frameworks 3 - Trauma-informed care and safeguarding responses 3 - Consent and capacity in OB-GYN contexts - Assessing capacity and voluntariness 3 - Consent for intimate examinations 3 - Consent for procedures (IUD, biopsy, colposcopy) 3 - Consent in labor and emergencies 3 - Minor consent and confidentiality basics 3 - Gynecologic/sexual history and symptom characterization - Contraception history and preferences 4 - Menopause symptom assessment 2 - Menstrual history and AUB characterization 3 - Pelvic pain history 3 - Sexual history (5 Ps) and consent 3 - Structured OB history and risk assessment - Dating and pregnancy chronology 3 - Family/genetic history 3 - Medical comorbidities and medication review 3 - Past obstetric history and outcomes 4 - Social determinants and safeguarding 3 #### Investigations, Imaging & Monitoring (Core Interpretation) 61 Selecting and interpreting labs, imaging, ultrasound fundamentals, and fetal monitoring—core written... - Clinical documentation, handover, and safety-netting - Discharge instructions and safety-netting 3 - Documentation of consent and procedures 3 - Problem representation and differential diagnosis 2 - Structured handover tools 3 - Test result management and communication 3 - Fetal surveillance and cardiotocography (CTG) principles - Adjuncts to fetal assessment in labor 3 - Antepartum surveillance tests 3 - CTG classification and response 3 - CTG physiology and signal interpretation 3 - Shoulder dystocia physiology and fetal compromise linkage 2 - Laboratory evaluation in OB-GYN - Coagulation testing and hemorrhage evaluation 3 - Endocrine and reproductive labs 3 - Infection testing strategies 4 - Pregnancy-related labs and interpretation 3 - Tumor marker and pregnancy test pitfalls 3 - Ultrasound fundamentals (OB and GYN) - First-trimester ultrasound: IUP confirmation and viability 2 - Gynecologic ultrasound basics 4 - Placenta, amniotic fluid, and cervical length concepts 4 - Pregnancy dating and biometry basics 4 - Procedural ultrasound awareness 3 #### Physical Examination & Core Technical Skills 60 Examination technique, key findings, and basic procedural competence expected for OSCE and ward/clin... - Abdominal and pelvic examination (non-pregnant) - Bimanual examination and adnexal assessment 2 - External genital and dermatologic exam 3 - Pelvic floor assessment basics 4 - Rectovaginal examination indications 2 - Speculum examination technique and sampling 4 - Core bedside procedures and immediate management skills - Basic suturing and perineal repair principles 4 - Crisis first steps (A–E) and calling for help 4 - Specimen collection and point-of-care testing 4 - Urinary catheterization and bladder assessment 3 - Venipuncture/IV access and blood cultures 3 - General assessment and vital sign interpretation - Edema and volume status assessment 3 - Hypertension measurement and confirmation 2 - Pain assessment and analgesia planning 3 - Respiratory assessment in pregnancy 2 - Shock recognition in OB/GYN 4 - Pregnancy examination and obstetric maneuvers - Assessment of rupture of membranes 3 - Cervical examination in labor 3 - Fetal heart auscultation and Doppler basics 2 - Fundal height and growth assessment 2 - Leopold maneuvers and fetal lie/presentation 3 ### Emergency Care 71 questions #### Triage, Resuscitation & Crisis Resource Management 71 Time-critical assessment, stabilization, escalation, and team behaviors for obstetric and gynecologi... - Crisis resource management (CRM) in OB-GYN - Communication under pressure 2 - Debrief and documentation 3 - Human factors and error prevention 4 - Simulation and preparedness principles 3 - Team roles and leadership 4 - Gynecologic Emergencies (Acute Pelvis, Bleeding, Infection) - Acute heavy uterine bleeding (nonpregnant) 3 - Ovarian torsion 2 - Ruptured ectopic pregnancy 2 - Sexual assault acute presentation 3 - Tubo-ovarian abscess rupture/severe PID 2 - Initial assessment (ABCDE) and escalation - Airway and breathing priorities 2 - Circulation and shock management 2 - Disability and neurologic emergencies 4 - Escalation and transfer-of-care 3 - Exposure and focused exam 3 - Medical/Anesthetic/Trauma Emergencies in OB-GYN Patients - Amniotic fluid embolism (AFE) concepts 3 - Anaphylaxis and medication reactions 2 - Cardiac arrest in pregnancy (perimortem care concepts) 3 - Obstetric trauma and domestic violence 2 - Venous thromboembolism (PE) emergency management 3 - Obstetric Emergencies (Hemorrhage, Hypertension, Sepsis, Labor) - Eclampsia and severe preeclampsia crisis 2 - Maternal sepsis in pregnancy/postpartum 3 - Placental abruption and antepartum bleeding triage 3 - Postpartum hemorrhage (PPH) immediate management 4 - Shoulder dystocia and neonatal compromise 4 ### Gynecologic Care 191 questions #### Bleeding, Pain, Masses & Core Benign Gynecology 63 High-yield benign gynecology: AUB, pelvic pain/endometriosis, fibroids, adnexal masses, and common o... - Abnormal uterine bleeding (AUB) evaluation and management - Imaging and endometrial assessment 2 - Initial workup 4 - Medical management options 3 - PALM-COEIN framework application 3 - Procedural/surgical management 3 - Adnexal masses and ovarian torsion (non-oncologic initial care) - Acute adnexal pain evaluation 2 - Endometrioma vs dermoid vs functional cyst features 3 - Ovarian torsion management principles 2 - Postmenopausal adnexal mass approach 3 - Risk stratification of adnexal masses 3 - Chronic pelvic pain and endometriosis - Endometriosis diagnosis and staging concepts 5 - Medical management of endometriosis pain 4 - Non-endometriosis pelvic pain differentials 4 - Pain mechanisms and biopsychosocial model 3 - Surgical management principles (generalist) 3 - Leiomyomas (fibroids) and adenomyosis - Clinical presentations and differential 4 - Definitive management and special issues 3 - Fertility-sparing procedures basics 3 - Imaging features and classification concepts 3 - Medical therapies 3 #### Infection, Vulvovaginal Disorders & Cervical Screening/Pre-cancer 72 Core clinic presentations and prevention: STIs/PID, vaginitis, vulvar dermatoses, cervical screening... - Cervical screening, colposcopy and dysplasia (generalist level) - Abnormal screening result triage 3 - Colposcopy fundamentals 3 - Pregnancy considerations 2 - Screening strategies (conceptual, guideline-informed) 4 - Treatment options and follow-up 3 - Pelvic inflammatory disease (PID) and tubo-ovarian abscess (TOA) - Antibiotic regimens and follow-up 3 - Clinical diagnosis and thresholds for treatment 2 - Complications and sequelae 3 - Special populations 3 - TOA management 3 - STIs and genital ulcer disease (GYN-facing essentials) - Chlamydia and gonorrhea 3 - Herpes simplex virus 2 - HIV basics for OB-GYN 3 - HPV infection and prevention 3 - Syphilis 3 - Vaginitis and vulvovaginal symptoms - Bacterial vaginosis 3 - Desquamative inflammatory vaginitis and GSM overview 3 - Diagnostic approach 3 - Trichomoniasis 3 - Vulvovaginal candidiasis 3 - Vulvar dermatoses and vulvar pain syndromes - Bartholin gland cyst/abscess 3 - Lichen planus and other inflammatory dermatoses 3 - Lichen sclerosus 3 - Vulvar lesions and biopsy technique basics 3 - Vulvodynia and vestibulodynia 2 #### Menopause, Urogynecology (Generalist), and Breast in GYN Practice 56 Lifespan gynecology: menopause management, common prolapse/incontinence evaluation, and benign breas... - Pelvic organ prolapse (generalist approach) - Fistula suspicion and initial evaluation 3 - Non-surgical management 3 - Prolapse in pregnancy/postpartum 2 - Surgical options overview for counseling 3 - Symptoms and examination staging concepts 3 - Breast complaints in gynecology practice - Breast cancer screening counseling basics 3 - Breast infection and abscess 3 - Breast mass evaluation pathway (initial) 3 - Breast pain (mastalgia) evaluation 2 - Nipple discharge evaluation 3 - Menopause symptom management and hormone therapy (core) - Bone health and osteoporosis prevention 3 - Genitourinary syndrome of menopause (GSM) 3 - POI and early menopause management 2 - Unscheduled bleeding on MHT 2 - Vasomotor symptoms treatment options 4 - Urinary incontinence and lower urinary tract symptoms (generalist) - First-line management 3 - Incontinence surgery awareness for counseling 3 - Pharmacotherapy for overactive bladder basics 2 - Recurrent UTIs and prophylaxis concepts 3 - Types of incontinence and basic evaluation 3 ### Obstetric Care 284 questions #### Common and High-Yield Obstetric Complications 76 Core complications frequently tested: hypertensive disorders, diabetes, hemorrhage, infection, prete... - Diabetes in pregnancy (GDM and pregestational) - Fetal risks and surveillance 3 - Glycemic targets and monitoring 3 - Intrapartum and postpartum management 2 - Screening and diagnosis frameworks (conceptual) 3 - Treatment escalation 3 - Fetal growth restriction (FGR) and placental insufficiency - Definitions and classification 3 - Etiologies and evaluation 3 - Long-term outcomes counseling 3 - Surveillance strategies 3 - Timing of delivery principles 3 - Hypertensive disorders of pregnancy - Classification and diagnostic criteria (conceptual) 3 - Evaluation and maternal monitoring 4 - Postpartum hypertension and long-term risk 4 - Special considerations 3 - Treatment strategies 3 - Multiple gestation (twins/higher order) - Chorionicity and amnionicity determination 2 - Common complications 3 - Delivery timing and mode planning 4 - Higher-order multiples overview 3 - Surveillance and ultrasound schedules (conceptual) 2 - Preterm labor and preterm prelabor rupture of membranes (PPROM) - Antenatal corticosteroids and neuroprotection 3 - Cerclage and progesterone concepts 3 - Diagnosis and differential 4 - PPROM management 3 - Tocolysis and contraindications 3 #### Intrapartum Care, Labor Management & Operative Delivery 74 Labor progression, induction/augmentation, fetal monitoring response, analgesia, operative vaginal d... - Cesarean delivery indications and perioperative management - Indications and decision-making 5 - Intraoperative principles (core) 3 - Postoperative care 3 - Preoperative preparation 3 - Trial of labor after cesarean (TOLAC/VBAC) counseling basics 3 - Induction of labor (IOL) and cervical ripening - Cervical assessment and methods 3 - Failed induction definition concepts 3 - Indications and contraindications 4 - Oxytocin protocols and tachysystole management 4 - ROM and amniotomy considerations 2 - Intrapartum fetal assessment and CTG management - Category II management approach 3 - Category III response pathway 2 - Fetal scalp electrode and IUPC awareness 3 - Intrauterine resuscitation bundle 3 - Meconium-stained amniotic fluid management concepts 2 - Normal labor progress and dystocia - Active labor definitions and assessment 2 - First-stage disorders 2 - Intrapartum infection (chorioamnionitis/IOI) 3 - Malposition and malpresentation intrapartum management 3 - Second-stage management 3 - Operative vaginal delivery (OVD) principles - Complications and counseling 4 - Documentation requirements 2 - Forceps vs vacuum selection 3 - Prerequisites and contraindications 3 - Shoulder dystocia management (core algorithm) 3 #### Postpartum Care, Lactation & Long-Term Maternal Health 73 Puerperium physiology, postpartum complications, breastfeeding medicine basics, contraception, and l... - Immediate postpartum assessment and routine care - Discharge planning 3 - Perineal assessment and pain management 3 - Postpartum vital signs and warning sign screening 3 - Rh/immune and newborn preventive care interface 3 - Uterine tone and lochia monitoring 2 - Postpartum contraception and interpregnancy care - Follow-up after pregnancy complications 3 - Immediate postpartum contraception options 3 - Lactation and contraception interactions 3 - Long-term health counseling 3 - Pelvic floor recovery and sexual function counseling 3 - Postpartum hemorrhage (PPH) prevention and management - Coagulopathy and DIC in obstetrics 4 - Etiology framework (4 Ts) 3 - Genital tract lacerations and hematomas 3 - Retained products and subinvolution 3 - Stepwise management bundle 3 - Postpartum infection and sepsis - Mastitis and breast abscess 3 - Postpartum endometritis 3 - Postpartum urinary tract issues 3 - Sepsis recognition and bundles 3 - Wound and pelvic infections 4 - Postpartum mental health and psychosocial care - Bereavement and perinatal loss support 3 - IPV and safeguarding postpartum 3 - Postpartum depression/anxiety screening and treatment 2 - Postpartum psychosis emergency recognition 2 - Substance use disorders postpartum 2 #### Preconception, Early Pregnancy & Antenatal Care (Routine) 61 Routine pregnancy care from preconception to term, including screening, prevention, and foundational... - Fetal assessment and growth evaluation (routine) - Amniotic fluid disorders approach 4 - Anatomy scan and follow-up pathways 4 - Decreased fetal movement evaluation 2 - Fundal height abnormalities 3 - Post-term pregnancy surveillance 2 - First prenatal visit and pregnancy dating - Accurate gestational dating principles 3 - Baseline maternal assessment 3 - Confirming pregnancy and viability 2 - Early pregnancy counseling 5 - Planning antenatal screening schedule 3 - Preconception optimization and counseling - Fertility planning and spacing 3 - Genetic and carrier screening counseling 3 - Infection and immunization review 3 - Medical optimization and medication review 2 - Substance use and mental health planning 4 - Routine antenatal care (second and third trimester) - Common pregnancy symptoms management 3 - Preparation for birth 3 - Rh-negative management 3 - Vaccination in pregnancy 4 - Visit schedule and routine assessments 2 ### Office Practice 82 questions #### Preventive Care & Screening Across the Lifespan 82 US board-emphasized ambulatory preventive care: cancer screening, immunizations, cardiovascular risk... - Cancer screening and risk reduction (cervix, breast, colorectal, endometrial) - Breast cancer screening and genetics referral 5 - Cervical cancer screening and follow-up (office workflow) 4 - Colorectal cancer screening counseling 2 - Endometrial cancer risk counseling 4 - Ovarian cancer screening limitations 2 - Chronic Disease Integration, Mental Health, IPV & Lifestyle Medicine - Diabetes and prediabetes screening 3 - Hypertension, dyslipidemia, and cardiovascular risk 3 - IPV, coercion, and safeguarding 3 - Mental health in the office (depression/anxiety) 4 - Obesity, nutrition, and exercise counseling 4 - Common Office Presentations & Procedures - Continuity care after pregnancy complications 3 - Contraception follow-up and side-effect management 3 - Menopause visits and MHT initiation follow-up 3 - Office evaluation pathways for AUB, pain, discharge 3 - Office procedures (core) 4 - Immunizations in OB-GYN outpatient practice - Hepatitis A/B and other adult vaccines 3 - HPV vaccination counseling and schedules 3 - Pregnancy-related vaccines (as continuity care) 3 - Travel medicine basics for reproductive-age patients 3 - Vaccine adverse events counseling 3 - Well-woman visit structure and preventive counseling - Comprehensive risk assessment 4 - Counseling frameworks 4 - Documentation and coding awareness (intro) 3 - Health equity and bias mitigation 3 - Screening schedule planning (conceptual) 3 ### Professional Practice 276 questions #### Communication, Teamwork, and Patient-Centered Care 26 Core communication behaviors, empathy under pressure, and effective teamwork. - Patient-centered communication in the ED - Agenda setting and expectation management 3 - Communicating uncertainty and risk 3 - Cross-cultural communication 3 - Delivering difficult news (foundational) 2 - Managing challenging interactions 3 - Teamwork and leadership basics - Closed-loop communication 2 - Conflict management basics 2 - Debriefing and reflective practice (intro) 2 - Handover and transitions 3 - Situational awareness and workload management 3 #### Ethics, Consent, and Legal Interfaces 39 Foundational professional obligations, capacity, consent, and ED medicolegal responsibilities. - Consent and decision-making capacity - Capacity assessment framework 2 - Informed consent in the ED 3 - Refusal of care and AMA discharge 2 - Resuscitation status and goals-of-care basics 3 - Surrogate decision-makers and minors 4 - Documentation Standards and Risk Management - Avoiding biased/stigmatizing language 2 - Handover documentation 3 - Medical decision making (MDM) clarity 3 - Procedure documentation 2 - Results follow-up and callbacks 3 - Mandatory reporting and safeguarding duties - Child abuse reporting 2 - Death certification and coroner/ME interface (awareness) 2 - Fitness to drive/duty to warn (contextual awareness) 2 - Reportable infectious diseases (awareness) 2 - Sexual assault and IPV documentation 4 #### Ethics, law, and professional responsibilities 90 Consent/assent, confidentiality, decision-making standards, safeguarding/reporting obligations, and... - Research literacy and statistics for clinicians - Critical appraisal of medical literature 3 - Data safety and privacy (overview) 3 - Ethics in research and publication 3 - Interpreting common statistical outputs 4 - Practice improvement through audit (overview) 3 - Child protection duties and reporting (core professional practice) - Communication with caregivers in suspected abuse 2 - Mandatory reporting principles 3 - Medical mimics and avoiding diagnostic error 4 - Professional boundaries and self-care after difficult cases 3 - Recognizing possible abuse and neglect (overview) 3 - Communication skills and professionalism - Conflict resolution and teamwork 3 - Cultural humility and cross-cultural communication 3 - Delivering difficult news and serious illness communication 3 - Documentation and medicolegal quality 3 - Professionalism lapses and remediation awareness 3 - Confidentiality and privacy in adolescent care - Creating confidential time in visits 3 - Electronic communication professionalism 3 - Information sharing with schools and agencies 2 - Mandatory disclosure exceptions 2 - Sensitive services (sexual health, mental health, substance use) 2 - Consent, assent, and capacity in pediatrics - Mature minor and emancipated minor concepts (jurisdiction-dependent) 3 - Parental permission vs child assent 4 - Refusal of treatment and best interest standard 3 - Research consent in minors (overview) 3 - Shared decision-making and informed consent elements 4 - Quality, safety, and clinical governance - Error disclosure and apology 3 - Infection prevention and antimicrobial stewardship (professional practice) 3 - Medication and diagnostic safety in pediatrics 3 - Patient safety fundamentals 3 - Quality improvement (QI) methods 3 #### Ethics, Law, Consent & Safeguarding 75 Professional standards for consent, confidentiality, capacity, boundaries, documentation, reporting,... - Confidentiality, privacy, and mandated reporting concepts - Adolescent confidentiality (principles) 2 - Confidentiality principles in sexual and reproductive care 3 - Human trafficking awareness 3 - Mandatory reporting (conceptual, jurisdiction-dependent) 3 - Safeguarding: IPV and sexual violence 3 - Evidence-Based Practice, Research Literacy & Guideline Use - Applying guidelines to individuals 3 - Clinical ethics in evidence translation 2 - Critical appraisal of clinical studies 3 - Research integrity and publication ethics 3 - Statistics commonly tested 3 - Informed consent and refusal of care - Consent for learners and sensitive exams 4 - Consent in emergencies 2 - Elements of informed consent 4 - Procedural consent specifics 4 - Refusal of recommended treatment 4 - Patient Safety, Quality Improvement, and Risk Management - Clinical governance and incident reporting 3 - Medicolegal risk reduction 3 - Obstetric safety bundles (conceptual) 2 - Quality improvement methods 3 - Safety culture and error science 3 - Professionalism, Teamwork, Education & Wellbeing - Clinician wellbeing and burnout prevention 3 - Equity, diversity, and respectful care 4 - Interprofessional teamwork and communication 3 - Professional boundaries and social media 2 - Teaching and supervision (clinical educator basics) 3 #### Quality, Safety, and Systems (Foundational) 46 Basics of patient safety, quality improvement, infection control, and ED operations awareness. - ED operations and flow (intro) - Consultation pathways and transfer 3 - Discharge processes and health system navigation 3 - Equity and access in ED care 3 - Handoffs and staffing considerations 3 - Throughput basics 4 - Professionalism, wellness, and boundaries - Ethical prescribing and controlled substances 3 - Fatigue, burnout, and error risk 3 - Professional boundaries and social media awareness 2 - Professional conduct and accountability 4 - Teaching and supervision basics 3 - Patient safety fundamentals - Diagnostic error mitigation 3 - High-risk medications and dosing safety 2 - Incident reporting and learning systems 3 - Infection prevention and PPE 3 - Violence prevention and workplace safety 4 ### Reproductive Health 141 questions #### Contraception, Fertility Regulation & Sexual Health 41 Contraception selection by patient factors, STI prevention/treatment, sexual function and counseling... - Contraceptive method selection and medical eligibility principles - Contraindications and risk stratification concepts 3 - Long-acting reversible contraception (LARC) 3 - Patient-centered counseling and reproductive goals 3 - Permanent contraception basics 3 - Short-acting hormonal methods 4 - Emergency contraception and postcoital care - EC counseling and follow-up 2 - Emergency contraception options 2 - Legal/ethical considerations (core awareness) 2 - Post-exposure prophylaxis concepts 3 - Sexual assault immediate care basics 3 - STI prevention and sexual health counseling - Adolescent sexual health and confidentiality 3 - Barrier methods and harm reduction 2 - Care for LGBTQ+ and gender-diverse patients 2 - Routine STI screening recommendations (conceptual) 2 - Sexual dysfunction basics 4 #### Early Pregnancy Care & Pregnancy of Unknown Location 58 Core acute presentations: miscarriage, ectopic pregnancy, PUL, hyperemesis, early bleeding; includes... - Ectopic pregnancy diagnosis and management principles - Clinical suspicion and imaging 2 - Medical management with methotrexate (core concepts) 3 - Non-tubal ectopic and special entities awareness 4 - Ruptured ectopic emergency response 3 - Surgical management principles 3 - Hyperemesis gravidarum and early pregnancy medical issues - Assessment and differential 3 - Complications 4 - Discharge planning and follow-up 3 - Fluid and vitamin replacement 2 - Stepwise antiemetic therapy 2 - Miscarriage and early pregnancy loss management - Complications and follow-up 4 - Diagnosis (clinical and ultrasound criteria concepts) 3 - Management options and selection 3 - Psychological support and bereavement 2 - Recurrent pregnancy loss (intro framework) 3 - Pregnancy of unknown location (PUL) evaluation and follow-up - Counseling and documentation 2 - Initial assessment and triage 3 - Management pathways 3 - Serial hCG and ultrasound strategy 3 - Special situations 3 #### Subfertility (Core Generalist) & Preconception Health 42 Initial infertility workup and management principles, ovulatory disorders, male factor overview, and... - Male factor and tubal factor overview - Endometriosis and infertility (intro) 3 - Fertility preservation basics (generalist awareness) 3 - Semen analysis interpretation basics 3 - STIs/PID and infertility linkage 2 - Tubal patency testing concepts 2 - Definition of infertility and timing of evaluation - Core components of initial evaluation 4 - Lifestyle and modifiable factors 3 - Psychosocial aspects 2 - When to refer to REI 4 - When to start workup 2 - Ovulation disorders and PCOS (generalist level) - Hyperandrogenism evaluation 3 - Lifestyle interventions and weight management 3 - Long-term health risks in PCOS 3 - Ovulation induction basics (conceptual) 2 - PCOS diagnostic framework (conceptual) 3 ### Surgical Practice 160 questions #### Core Gynecologic & Obstetric Procedures (Foundational) 74 Foundational approaches and key steps for common procedures expected of generalists, plus basic endo... - Cesarean delivery fundamentals (surgical) - Complications (intro) 3 - Hemostasis and closure principles 3 - Incision and entry principles 4 - Preparation and time-out 4 - Uterine incision and delivery techniques 3 - Dilation and curettage/uterine aspiration - Cervical preparation and analgesia 4 - Complications 3 - Indications 3 - Pathology handling 2 - Rh prophylaxis and follow-up 3 - Hysterectomy approaches (overview and generalist decision-making) - Complication recognition and initial response 3 - Key anatomic danger zones 3 - Oophorectomy vs ovarian conservation counseling 3 - Postoperative expectations and follow-up 2 - Route selection principles 2 - Hysteroscopy and uterine cavity procedures - Complications and management 4 - Distension media and fluid deficit concepts 2 - Endometrial ablation awareness 2 - Indications and contraindications 3 - Operative technique basics (loops, morcellators) awareness 3 - Laparoscopy basics and entry techniques - Abdominal entry methods and complications 3 - Common laparoscopic procedures (generalist) 3 - Conversion to laparotomy decision-making 3 - Energy devices fundamentals 3 - Patient positioning and port placement 3 #### Intraoperative and Postoperative Complications (Recognition & First-Line Management) 43 Board-relevant complication patterns, early detection, and initial management for safe escalation. - Hemorrhage and transfusion strategy - DIC recognition and management 2 - Intraoperative bleeding control methods 3 - Massive transfusion principles 3 - Postpartum hemorrhage surgical escalation awareness 3 - Recognizing occult bleeding postoperatively 3 - Surgical site complications and postoperative issues - Ileus and bowel obstruction 2 - Pain, nausea, urinary retention management 4 - Postoperative fever differential (5 Ws) 2 - VTE diagnosis and prevention 3 - Wound complications 3 - Urinary tract and bowel injuries - Bladder injury recognition and immediate steps 2 - Bowel injury (including thermal) 3 - Fistula risk and early detection 3 - Prevention strategies 4 - Ureter injury suspicion and evaluation 3 #### Perioperative Care, Asepsis, and Surgical Decision-Making 43 Core surgical principles: preop assessment, consent, antibiotics, VTE prophylaxis, instruments, ener... - Asepsis, infection prevention, and antibiotics - Antibiotic prophylaxis principles 2 - Sepsis prevention and early recognition 3 - Special issues: MRSA, GBS, and obstetric infections 3 - Sterile technique and OR discipline 3 - Surgical site infection prevention bundle 2 - Preoperative assessment and optimization - Informed consent standards 2 - Medication management perioperatively 4 - Pregnancy testing and reproductive considerations 3 - Preop imaging and planning 3 - Risk assessment and comorbidity optimization 3 - VTE risk reduction and perioperative medicine - Enhanced recovery after surgery (ERAS) concepts 3 - Mechanical and pharmacologic prophylaxis 3 - Perioperative fluid management 3 - Postop pain control (multimodal) 2 - VTE risk assessment models concept 4 Obstetrics & Gynecology Advanced Pathway ### Advanced Ultrasound 93 questions #### Advanced Gynecologic Ultrasound 38 Characterization of adnexal masses, uterine pathology, pelvic pain etiologies, and standardized repo... - Adnexal mass characterization and risk stratification - Endometrioma and deep endometriosis mapping concepts 3 - Morphologic assessment principles 2 - Ovarian torsion ultrasound findings and limitations 2 - Postmenopausal adnexal masses 2 - Standardized systems concepts 3 - Ultrasound governance, reporting and quality assurance - Incidental findings and follow-up systems 3 - Measurement standardization and audit 2 - Safety: bioeffects and ALARA principles 3 - Structured reporting and key elements 3 - Training and credentialing awareness 2 - Uterine pathology: fibroids, adenomyosis, polyps, and niche - Adenomyosis imaging features concepts 2 - Cesarean scar niche and abnormal bleeding 2 - Endometrial polyps evaluation 2 - Endometrial thickness interpretation pitfalls 3 - Fibroid mapping and FIGO type concepts 4 #### Advanced Obstetric Ultrasound & Fetal Diagnosis 55 Detailed anomaly assessment, Doppler hemodynamics, cervical evaluation, early pregnancy diagnostics,... - Cervical length and preterm birth risk assessment - Management pathways based on cervical length 3 - Multiple gestation cervical surveillance 2 - Post-surgical cervix and cervical insufficiency assessment 2 - Reporting standards for cervical ultrasound 2 - Transvaginal technique and standardization 3 - Detailed second-trimester anomaly scan - Abdominal wall and GI anomalies 3 - Cardiac screening and fetal echocardiography referral 3 - Central nervous system anomalies 4 - Renal/urinary tract anomalies 3 - Skeletal and soft marker integration 3 - Doppler ultrasound and placental/fetal hemodynamics - Ductus venosus Doppler 2 - MCA peak systolic velocity for fetal anemia 2 - Middle cerebral artery and CPR concepts 3 - Umbilical artery Doppler in FGR 3 - Uterine artery Doppler and preeclampsia risk concepts 2 - First-trimester advanced assessment - Early anatomy survey and limitations 2 - Ectopic, cesarean scar pregnancy, and heterotopic diagnosis 3 - Nuchal translucency and first-trimester markers concepts 4 - Procedural guidance awareness (CVS) 3 - Viability and early embryonic development criteria 3 ### Complex Family Planning 60 questions #### Complex Contraception, Abortion Care Principles & Complication Management 60 High-complexity reproductive decision care: comorbidity-based contraception, procedural/medical abor... - Systems, equity, and trauma-informed complex family planning - Care in resource-limited or restrictive settings 3 - Clinician wellbeing and moral distress 3 - Complex cases: fetal anomalies and maternal indications 3 - Consent and safeguarding in vulnerable populations 3 - Stigma reduction and staff training 2 - Abortion care principles (medical and procedural) - Counseling and informed consent 3 - Legal/regulatory navigation (jurisdiction-dependent awareness) 3 - Medical abortion regimens and follow-up (conceptual) 3 - Procedural abortion/uterine aspiration principles 3 - Second-trimester abortion overview (D&E vs induction) 3 - Complications and emergency management - Hemorrhage recognition and management 3 - Infection and sepsis after procedures 3 - Patient support and aftercare 3 - Retained products and ongoing pregnancy 3 - Uterine perforation and organ injury 4 - Contraception for complex comorbidities - Adolescents, coercion, and safeguarding 3 - Cancer and immunosuppression contexts 3 - Cardiac disease and thrombosis risk 3 - Obesity, bariatric surgery, and medication interactions 3 - Postpartum and lactation complex scenarios 3 ### Critical Care 62 questions #### OB-GYN Relevant ICU Care, Resuscitation & Catastrophic Events 62 ICU-level management for hemorrhage, sepsis, respiratory failure, cardiomyopathy, thromboembolism, a... - Cardiovascular collapse, cardiomyopathy, and arrest care - Anesthetic complications and local anesthetic toxicity 4 - Critical care leadership and debrief after catastrophes 3 - Massive PE and thrombolysis decisions 2 - Obstetric cardiac arrest management 3 - Peripartum cardiomyopathy critical care 3 - Massive hemorrhage and transfusion strategy (advanced) - Critical care monitoring in hemorrhage 3 - Hemostatic resuscitation and viscoelastic testing awareness 3 - Obstetric DIC and complex coagulopathy 3 - Post-hemorrhage complications 4 - Surgical and IR escalation pathways 4 - Respiratory failure and ARDS in pregnancy/postpartum - Causes of respiratory failure 4 - ECMO awareness and referral criteria 2 - Mechanical ventilation strategies 2 - Postpartum respiratory decompensation differential 3 - Pregnancy physiology and ventilation implications 3 - Sepsis, septic shock, and source control - Hemodynamic management 2 - Maternal-fetal considerations 4 - Obstetric sources of sepsis 4 - Organ support in sepsis 3 - Sepsis bundles and early antibiotics 3 ### Gynecologic Oncology 73 questions #### Prevention, Diagnosis, Staging & Treatment Pathways 73 Subspecialty-level management frameworks for gynecologic cancers, integrating surgery, chemotherapy,... - Vulvar and vaginal cancers - Invasive vulvar cancer surgery concepts 4 - Radiation and chemotherapy fundamentals 3 - Survivorship and psychosexual care 2 - Vaginal cancer staging concepts 3 - VIN/VAIN and preinvasive disease 3 - Cervical cancer (advanced) - Management in pregnancy 3 - Primary treatment pathways 3 - Screening prevention and HPV vaccination program impact 4 - Staging principles and imaging 3 - Surveillance and recurrence management concepts 3 - Endometrial cancer and uterine sarcomas - Adjuvant therapy fundamentals 3 - Fertility-sparing management in EIN/early cancer 3 - Risk stratification and molecular classification concepts 3 - Surgical staging and lymph node assessment concepts 2 - Uterine sarcomas and rare tumors 3 - Hereditary cancer genetics, survivorship & palliative care - Fertility preservation and pregnancy after cancer 3 - Hereditary syndromes in gyn oncology 3 - Oncologic emergencies 3 - Palliative care and symptom control 4 - Survivorship care planning 2 - Ovarian, tubal, and primary peritoneal cancer - Germ cell and sex-cord stromal tumors 4 - Initial evaluation and referral pathways 2 - Neoadjuvant chemotherapy vs upfront surgery decision-making 2 - Primary cytoreductive surgery principles 2 - Systemic therapy and maintenance concepts 3 ### High-Risk Obstetrics 97 questions #### Maternal Medicine & Multidisciplinary High-Risk Care 54 Advanced management of complex maternal disease in pregnancy, integrating ICU/anesthesia/MFM and evi... - Cardiac disease in pregnancy (advanced) - Arrhythmias in pregnancy 3 - Cardiomyopathy and heart failure 3 - Labor analgesia and hemodynamic management 3 - Risk stratification and counseling 3 - Valvular disease and anticoagulation dilemmas 2 - Diabetes with complications and complex metabolic disease - Complex endocrine disease (thyroid/adrenal) 3 - Diabetes complications (nephropathy/retinopathy) 2 - Fetal surveillance and timing of delivery in complex diabetes 3 - Obesity and bariatric surgery pregnancy management 3 - Type 1 diabetes and DKA in pregnancy 3 - Severe hypertensive disease and end-organ complications - Complex diagnostic dilemmas 3 - Critical management strategies 3 - Postpartum escalation and long-term care 2 - Systems and protocol implementation 3 - Timing of delivery in extreme prematurity 2 - Thromboembolism and thrombophilia (advanced) - Acute PE/DVT management with pregnancy nuances 3 - Antiphospholipid syndrome and pregnancy loss 3 - Heparin-induced thrombocytopenia (HIT) awareness 2 - Inherited thrombophilias—risk-based management 3 - Neuraxial anesthesia timing and hemorrhage risk 2 #### Placenta accreta spectrum (PAS) and complex obstetric hemorrhage 43 Advanced prenatal diagnosis pathways, multidisciplinary surgical planning, and hemorrhage strategy. - Extreme prematurity and complex fetal indications - Antenatal steroids and repeat courses concepts 4 - Complex multiple gestation complications 4 - Fetal growth restriction with abnormal Dopplers 3 - Mode of delivery in extreme prematurity 3 - Periviability counseling and ethics 2 - Intraoperative PAS management principles - Debrief and quality review 2 - Hemorrhage control and transfusion 3 - Postoperative critical care 2 - Surgical strategy options 2 - Urologic considerations 3 - PAS risk factors and antenatal diagnosis strategy - Counseling and consent 3 - Imaging diagnosis (US/MRI) concepts 3 - Referral to PAS center and care coordination 4 - Risk stratification 3 - Timing of delivery concepts 2 ### Leadership And Governance 60 questions #### Service Leadership, Governance, QI, Education & Research Literacy 60 Senior-level systems practice: service design, governance, workforce, medicolegal reporting, guideli... - Workforce, supervision, and educational leadership - Clinical supervision and escalation frameworks 2 - Curriculum design and assessment 3 - Feedback, coaching, and difficult learner situations 2 - Resource management and scheduling 3 - Team wellbeing and culture 4 - Clinical governance and risk management - Governance of devices and new technologies 3 - Incident investigation and root cause analysis 3 - Medicolegal report writing 3 - Morbidity and mortality (M&M) best practices 2 - Policy and protocol development 2 - Quality improvement and safety programs (advanced) - Data governance and dashboards 3 - Designing and evaluating QI projects 4 - Implementing safety bundles in O&G 4 - Patient experience and co-design 4 - Safety in transitions of care 3 - Research methods, statistics, and evidence translation (advanced) - Advanced statistics literacy 3 - Critical appraisal and guideline development 3 - Ethics in research and clinical innovation 3 - Implementation science basics 2 - Study design mastery 4 ### Minimally Invasive Surgery 58 questions #### Advanced Endoscopy, Complex Disease Surgery & Complication Management 58 Complex laparoscopy/hysteroscopy/robotic decision-making, endometriosis surgery, adhesions, ergonomi... - Hysteroscopic advanced procedures - Hysteroscopic complications management 3 - Intrauterine adhesions (Asherman) management awareness 2 - Quality assurance in hysteroscopy 2 - Resection of submucosal fibroids (advanced) 3 - Septum resection concepts 2 - Advanced hysterectomy and myomectomy (MIS) - Hemorrhage prevention and devascularization techniques 3 - Myomectomy strategies and fertility considerations 3 - Postoperative recovery and ERAS integration 3 - Route selection and case complexity triage 4 - Tissue extraction and containment concepts 2 - Complex endometriosis surgery (advanced strategy) - Bowel and bladder endometriosis awareness 3 - Pain outcomes and expectations 3 - Postoperative complications and follow-up 3 - Preoperative planning and imaging integration 3 - Surgical principles and planes 4 - Complication prevention and management in MIS - Bowel injury management 3 - Ergonomics, simulation, and competency progression 3 - Major vascular injury response 3 - Thermal injury prevention 3 - Ureter and bladder injury prevention 3 ### Pediatric Gynecology 63 questions #### Developmental Gynecology, Puberty Disorders & Safeguarding 63 Care for children/adolescents: congenital anomalies, puberty disorders, AUB/amenorrhea, ovarian path... - Endometriosis in adolescents and chronic pelvic pain - Clinical recognition and delays in diagnosis 2 - Comorbidities and multidisciplinary care 2 - Empiric medical management strategies 3 - Long-term reproductive counseling 2 - When to consider laparoscopy and referral 2 - Congenital anomalies and structural problems - Congenital adrenal hyperplasia genital considerations (awareness) 3 - Imperforate hymen and transverse vaginal septum 3 - Labial adhesions and vulvar variants 2 - Müllerian anomalies in adolescents 3 - Obstructive anomalies and endometriosis risk link 3 - Normal development, puberty, and menstrual disorders - Adolescent AUB and bleeding disorders 3 - Normal puberty and variants 3 - Precocious and delayed puberty overview 2 - Primary amenorrhea evaluation 3 - Secondary amenorrhea evaluation in adolescents 3 - Ovarian cysts/masses and torsion in children/adolescents - Functional cysts and conservative management 2 - Germ cell tumors overview 3 - Ovarian torsion pediatric principles 2 - Postoperative follow-up and recurrence counseling 2 - Pregnancy in adolescence and confidentiality 2 - Safeguarding and sexual assault care in pediatrics - Acute sexual assault evaluation principles 3 - Communication with caregivers 3 - Long-term psychological support and follow-up 2 - Mandatory reporting awareness and safety 2 - STI testing in children and implications 3 ### Pelvic Floor Medicine 57 questions #### Comprehensive Pelvic Floor Assessment & Management 57 Advanced evaluation of urinary/bowel dysfunction and prolapse, urodynamics, fistula, pelvic pain syn... - Bowel dysfunction and pelvic pain syndromes integration - Bladder pain syndrome/interstitial cystitis 2 - Chronic pelvic pain in pelvic floor medicine 4 - Defecatory dysfunction and posterior compartment issues 2 - Outcome measurement and QOL tools 4 - Sexual dysfunction after prolapse/incontinence treatment 3 - Fistula, urethral diverticulum, and complex lower tract pathology - Complex urethral stricture/obstruction awareness 2 - Post-radiation pelvic floor complications 3 - Rectovaginal fistula evaluation 3 - Urethral diverticulum 3 - Vesicovaginal and ureterovaginal fistula evaluation 3 - Complex urinary incontinence and urodynamics - Complicated overactive bladder management 3 - Indications for urodynamics and test selection 3 - Interpretation of urodynamic parameters 3 - Postoperative complications of incontinence surgery 3 - Stress incontinence surgery decision-making 3 - Pelvic organ prolapse (advanced) - Apical support evaluation and surgical planning 3 - Pessary management and complications 2 - Postoperative prolapse complications 3 - Prolapse with urinary symptoms interplay 2 - Reconstructive options and outcomes 3 ### Reproductive Endocrinology 72 questions #### Advanced Infertility, ART & Endocrine Disorders 72 Subspecialty depth: ovarian stimulation, IVF/ICSI workflows, OHSS prevention, recurrent pregnancy lo... - ART fundamentals: IVF/ICSI workflows - ART outcomes, quality metrics and counseling 3 - Controlled ovarian stimulation protocols 4 - Embryo transfer strategies 3 - Embryology lab concepts for clinicians 3 - OHSS prevention and management 3 - Endocrine disorders across lifespan (advanced) - CAH/adrenal disorders and DSD care awareness 3 - Hyperprolactinemia and pituitary disorders 3 - PCOS and metabolic syndrome advanced management 3 - Primary ovarian insufficiency and fertility options 3 - Thyroid disease and fertility/pregnancy outcomes 2 - Ethics, regulation, and third-party reproduction - Embryo disposition and consent disputes awareness 2 - Equity and access in reproductive care 2 - Fertility preservation in oncology and social contexts 3 - Gamete donation and disclosure counseling 4 - Gestational carrier/surrogacy concepts 3 - Evaluation of infertility and advanced diagnostics - Lifestyle, environmental and occupational impacts 3 - Male factor infertility advanced overview 3 - Ovarian reserve testing and interpretation 3 - Tubal/uterine cavity evaluation advanced 3 - Unexplained infertility pathways 2 - Recurrent pregnancy loss (RPL) and implantation failure frameworks - Endocrine and metabolic contributors 3 - Etiologic evaluation 4 - Evidence-based treatments 3 - Products of conception testing and interpretation 2 - Unexplained RPL counseling 2 [ View Obstetrics & Gynecology ](https://mdster.com/speciality/obstetrics-gynecology) [ View pricing ](https://mdster.com/pricing) [ MDster home ](/ "MDster home") Master your medical exams with evidence-based learning. [ Download on the App Store ](https://apps.apple.com/app/id6759168258) [ GET IT ON Google Play ](https://play.google.com/store/apps/details?id=com.mdster.app) Platform - [Home](https://mdster.com) - [Features](https://mdster.com/features) - [Pricing](https://mdster.com/pricing) - [About](https://mdster.com/about) Resources - [Blog](https://mdster.com/blog) - [Curriculum](https://mdster.com/curriculum) - [Dashboard](https://mdster.com/user/dashboard) Support - [Contact](https://mdster.com/contact) - [Legal & Policies](https://mdster.com/legal) - [Medical Reviewers](https://mdster.com/medical-reviewers) © 2026 MDster [ ](https://apps.apple.com/app/id6759168258) [ ](https://play.google.com/store/apps/details?id=com.mdster.app) [Terms](https://mdster.com/terms) [Privacy](https://mdster.com/privacy) [Editorial](https://mdster.com/editorial-policy) reCAPTCHA Protected by reCAPTCHA. Google [Privacy Policy](https://policies.google.com/privacy) and [Terms of Service](https://policies.google.com/terms) apply. Cookie Consent -------------- We use cookies to enhance your experience. By continuing to visit this site you agree to our use of cookies. [ Terms of Use ](https://mdster.com/terms) & [ Privacy Policy ](https://mdster.com/privacy) Accept