The MRCOG Part 2 exam, conducted by the Royal College of Obstetricians and Gynaecologists (RCOG), assesses your ability to apply clinical knowledge in real-world obstetrics and gynaecology practice. It focuses on evidence-based decision-making, patient safety, communication and up-to-date clinical guidelines. 

The exam tests the competencies expected of a future specialist and evaluates your understanding of OBGYN patient management in both routine and emergency. 

Candidates preparing through an online MRCOG Part 2 course or structured MRCOG Part 2 preparation online programs benefit from focused modules, mock tests and guideline-based learning. 

MRCOG Part 2 Syllabus 2026- Complete Module List 

The updated MRCOG syllabus 2026 includes eight core modules, each aligned with RCOG training standards and clinical competencies. 

Module 1 – General Obstetrics 

• Antenatal care
• Intrapartum management
• Postpartum complications
• Hypertensive disorders
• Fetal monitoring & CTG interpretation

This module emphasises maternal assessment, labour management and early detection of obstetric emergencies. 

Module 2- General Gynaecology 

• Menstrual disorder
• Fibroid
• Endometriosis
• Infertility basics
• Contraception

Module 3- Maternal & Fetal Medicine 

• Fetal growth 
• Prenatal screening 
• Diabetes in pregnancy 
• Fetal anomalies 
• Preterm labour 

Module 4 – Oncology 

• Cervical cancer 
• Endometrial & ovarian cancer 
• Screening guidelines (HPV screening & follow-up) 
• Staging & management 

Module 5- Sexual & Reproductive Health 

• Contraception 
• STI management 
• Sexual health counselling 

Module 6 – Urogynecology & Pelvic Floor Disorders 

• Incontinence 
• Pelvic organ prolapse 
• Urodynamic tests 

Module 7- Clinical Governance, Ethics & Patient Safety 

• Risk management
• Communication 
• Audit structure 
• Incident reporting 
• Quality improvement 

Module 8- Research, Biostatistics & Evidence-Based Medicine 

• Study design 
• P-values & confidence intervals 
• Hazard ratios 
• Bias & confounding 
• Critical appraisal 

MRCOG Part 2 Exam Pattern 2026 

The exam consists of two written papers: 

Paper 1 & Paper 2 Format 

• Single Best Answer (SBA) questions
• Extended Matching Questions (EMQ)

Exam Duration 

• Each paper: 3 hours
• Both papers were held on the same day

Question Distribution 

• +50% questions from core clinical areas (Obstetrics & Gynecology) 
• +20% from maternal medicine & emergencies 
• +10-15% from governance, ethics & patient safety 
• +10% from biostatistics & evidence-based medicine 

The questions assess applied clinical knowledge, including guidelines from:

• RCOG Green-top guidelines 
• NICE 
• WHO 
• Fetal Medicine protocols 

High-Yield Topics for MRCOG Part 2 

• CTG patterns & intrapartum decision-making
• PPH management
• Pre-eclampsia and magnesium sulphate protocol
• Preterm labour & tocolysis
• Fetal growth restriction Doppler interpretation
• FIGO cancer staging
• Ectopic pregnancy management
• Fertility basics and ART overview
• Contraception in special populations
• UTI, PID, and STI guidelines
• Audit cycle & QI methodology
• Types of bias, sensitivity/specificity, accuracy

Best Books & Study Resources for MRCOG Part 2 

• RCOG Green-top Guidelines
• NICE Guidelines
• Oxford Handbook of Obstetrics and Gynaecology
• MRCOG Part 2: 500 SBAs & EMQs
• TOG (The Obstetrician & Gynaecologist) Journal
• RCOG Revision eLearning

For structured learning, opt for an online MRCOG Part 2 course that provides 

• Video lectures
• Guideline summaries
• EMQ/SBA practice
• Mock exams
• Case-based learning

How to Prepare for MRCOG Part 2 

Here’s a strategic study plan: 

1. Start with the syllabus

Cover the 8 modules systematically without skipping guideline-based topics.

2. Practice SBAs & EMQs daily

These are the core scoring components of the exam.

3. Prioritise guidelines

Green-top guidelines are the backbone of most questions.

4. Use online MRCOG Part 2 preparation platforms

They reduce study time by providing updated content in one place.

5. Focus on clinical application

Always ask: What is the safest next step?

6. Take mock tests regularly

Simulated tests improve time management and exam temperament.

Frequently Asked Questions: 

Q1. What is the MRCOG Part 2 exam based on?

Ans  – It is based on clinical application, evidence-based guidelines, and real-world case scenarios in Obstetrics and Gynecology.

Q2. How many questions are asked in the exam?

Ans – Each paper includes SBAs and EMQs, totalling several hundred questions across both papers.

Q3. Is MRCOG Part 2 difficult?

Ans – It is challenging but manageable with structured study, guideline revision, and continuous SBA/EMQ practice.

Q4. Do I need clinical experience?

Ans – Yes. RCOG recommends sufficient OBGYN training before attempting the exam.

Q5. Which book is best for MRCOG Part 2?

Ans – A combination of:

• RCOG guidelines
• Oxford Handbook
• SBA/EMQ practice books
  works best.

Q6. How long does preparation take?

Ans – Typically, 3–6 months, depending on your clinical exposure and study consistency.