OBGYN Oral Board Practice Cases by Domain: Obstetrics, Gynecology, and Office Practice
Use the public blueprint to prevent practice-pattern bias, then connect each domain to personal cases, unfamiliar structured scenarios, operations, emergencies, counseling, and longitudinal outcomes.
Key takeaways
- Prepare approximately equally across Obstetrics, Gynecology, and Office Practice.
- Do not mistake a large personal case volume in one area for readiness across the full blueprint.
- Every domain should include routine care, high-risk decisions, procedures or operations, complications, counseling, and follow-up.
- Pair personal-case rehearsal with original structured cases that change the patient, timing, resources, or outcome.
The public blueprint at a glance
| Section | Subdomain | Approximate examination weight |
|---|---|---|
| Obstetrics | Preconception, prenatal, and antenatal care | 4% |
| Obstetrics | Evaluation and diagnosis of antenatal conditions | 8% |
| Obstetrics | Intrapartum care, complications, and procedures | 18% |
| Obstetrics | Postpartum care | 3% |
| Gynecology | Preoperative care | 4% |
| Gynecology | Perioperative care | 3% |
| Gynecology | Surgical complications | 4% |
| Gynecology | Postoperative care | 8% |
| Gynecology | Gynecologic emergencies | 9% |
| Gynecology | Surgical procedures | 5% |
| Office Practice | Well-woman and preventive care | 10% |
| Office Practice | Office medical problems | 4% |
| Office Practice | Office gynecology | 15% |
| Office Practice | Office procedures | 4% |
Obstetrics case families
Preconception counseling for chronic disease, prior adverse pregnancy outcome, medications, genetic risk, obesity, and social determinants.
Antenatal screening, fetal growth, diabetes, hypertension, multifetal gestation, alloimmunization, placenta previa/accreta, and preterm birth risk.
Preterm labor, rupture of membranes, fetal growth restriction, decreased movement, abnormal testing, and timing of delivery.
Labor management, induction, arrest disorders, fetal heart-rate abnormalities, operative vaginal delivery, shoulder dystocia, breech, cord prolapse, and prior uterine surgery.
Postpartum hemorrhage, retained placenta, genital-tract trauma, uterine inversion, infection, hypertension/eclampsia, thrombosis, cardiopulmonary disease, and postpartum mental health.
Gynecology case families
Abnormal uterine bleeding, fibroids, endometriosis, chronic pelvic pain, adnexal masses, torsion, ectopic pregnancy, pelvic infection, and infertility.
Pelvic organ prolapse, urinary incontinence, fistula, vulvar disease, congenital anomalies, and sexual dysfunction.
Cervical, endometrial, ovarian, vulvar, and vaginal premalignancy/malignancy; staging, referral, fertility preservation, treatment, and surveillance.
Hysteroscopic, vaginal, laparoscopic, robotic, and open procedures with anatomy, injury prevention, specimen handling, and conversion.
Hemorrhage, ureteral/bladder/bowel/vascular injury, VTE, infection, cuff complications, ileus/obstruction, neuropathy, and postoperative shock.
Office Practice case families
Preventive visits, screening, vaccination, preconception care, contraception, sterilization, menopause, bone health, and cardiovascular risk.
Amenorrhea, abnormal bleeding, vaginal discharge, vulvar symptoms, pelvic pain, infertility, early pregnancy, pregnancy of unknown location, and breast concerns.
Sexual health, trauma-informed care, intimate-partner violence, adolescent confidentiality, reproductive autonomy, substance use, and mental health.
Pap/HPV follow-up, endometrial biopsy, colposcopy planning, IUD/implant procedures, vulvar biopsy, office hysteroscopy, and ultrasound-guided decisions.
Result communication, referral, care coordination, longitudinal follow-up, safety-netting, and management of barriers to care.
Cross-content competencies
| Competency | Practice prompts |
|---|---|
| Evidence-based medicine | What current evidence changes this decision? What are the limits of applying it to this patient? |
| Equitable care | How do language, access, disability, bias, insurance, geography, or social conditions change implementation? |
| Communication and crisis management | How do you explain uncertainty, bad news, conflict, consent, error, or a rapidly changing plan? |
| Handoffs and teamwork | Who must be called, what is delegated, what information is handed off, and who owns the next result? |
| Quality improvement | What process change follows this complication or near miss? How will you measure improvement? |
| Professionalism | How do you preserve autonomy, confidentiality, honesty, respectful communication, and responsibility? |
Convert each personal case into three structured variants
- 01
Change physiology
Add hemorrhage, sepsis, hypertension, fetal deterioration, cardiopulmonary compromise, or postoperative shock.
- 02
Change goals or risk
Alter fertility priorities, prior surgery, comorbidity, gestational age, cancer concern, or access to follow-up.
- 03
Change resources or timing
Make transfer difficult, blood scarce, pathology uncertain, consultation delayed, or presentation late.
A domain is ready only when performance transfers
- One routine case answered cleanly.
- One unstable or time-critical case rescued.
- One procedure or operation described safely.
- One complication recognized and managed.
- One difficult counseling or ethics branch completed.
- One personal case defended without notes.
- One unfamiliar structured variant completed under time.
- One follow-up, surveillance, or longitudinal plan closed explicitly.
Use original educational cases
Put the framework under pressure
Practice the answer out loud—not only on paper.
Voice-first cases, adaptive examiner follow-up, imaging, complications, and structured educational feedback for obgyn.
Questions candidates ask
Frequently asked questions
Are the three ABOG sections equally weighted?
Current public exam-content materials describe approximately 33% Obstetrics, 33% Gynecology, and 33% Office Practice.
Do the percentages guarantee exact question counts?
No. They describe blueprint emphasis, not a promise of a particular question sequence or count for an individual candidate.
Should I study only cases from my own practice?
No. Personal-case defense is central, but structured cases can expose scenarios not represented in your recent practice.
How should I use the blueprint?
Use it to balance practice, identify blind spots, and build case families—not to memorize percentages instead of clinical reasoning.
Are these actual ABOG questions?
No. SurgiTest uses original educational cases based on public content domains and does not reproduce secure exam material.
Source transparency
Official references
Board requirements, dates, and candidate instructions can change. Confirm current details directly with ABOG and the Board’s candidate portal.
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