Obstetrics, Gynaecology and Sexual Health
Assess pregnancy-related, pelvic and sexual-health presentations with appropriate consent and urgency.
How to prepare for MRCEM SBA
Build clinical synthesis across stable adult care, resuscitation, injury, paediatrics, procedures and complex decisions while preserving the full RCEM clinical-syllabus breadth.
Core concepts
Concept 1
Early-pregnancy pain and bleeding, later-pregnancy emergencies, pelvic pain, abnormal bleeding, ovarian disease, pelvic infection, contraception, STI and sexual assault care.
Exam cue: Identify diagnosis, investigation, immediate treatment, longer management, disposition or professional action in the lead-in.
Concept 2
Use pregnancy status, gestation, haemodynamics, examination, ultrasound and safeguarding context to choose the pathway.
Exam cue: Use acuity, age, physiology, time course, comorbidity and response to treatment to rank plausible options.
Concept 3
Recognise ectopic pregnancy, major obstetric haemorrhage, torsion, sepsis and forensic or safeguarding needs.
Exam cue: Choose the single fully correct action at this point in care and know when senior, specialty or critical-care escalation is required.
Concept 4
Use the current Year 1-3 RCEM capabilities and the full clinical syllabus at the understanding-and-applying level expected before higher specialist training.
Risk pitfalls and guardrails
Excluding pregnancy or serious pelvic pathology from age, reported contraception or one negative historical feature.
Guardrail: Do not choose an option merely because it is true; select the one that fits the exact patient, urgency and time point.
Choosing a true statement that does not answer the exact time point or clinical task.
Guardrail: Do not choose an option merely because it is true; select the one that fits the exact patient, urgency and time point.
Inventing a paper-specific or subcategory weighting that RCEM has not published.
Guardrail: Do not choose an option merely because it is true; select the one that fits the exact patient, urgency and time point.
Memory anchors
Obstetrics, Gynaecology and Sexual Health: scope
Early-pregnancy pain and bleeding, later-pregnancy emergencies, pelvic pain, abnormal bleeding, ovarian disease, pelvic infection, contraception, STI and sexual assault care.
Obstetrics, Gynaecology and Sexual Health: clinical synthesis
Use pregnancy status, gestation, haemodynamics, examination, ultrasound and safeguarding context to choose the pathway.
Obstetrics, Gynaecology and Sexual Health: safety boundary
Recognise ectopic pregnancy, major obstetric haemorrhage, torsion, sepsis and forensic or safeguarding needs.
Obstetrics, Gynaecology and Sexual Health: common trap
Excluding pregnancy or serious pelvic pathology from age, reported contraception or one negative historical feature.
Obstetrics, Gynaecology and Sexual Health: MRCEM SBA sequence
Identify the clinical task and acuity, synthesise history, examination and investigations, choose the safest evidence-based decision, then check disposition and escalation.
Checkpoint rule
Do the check-up only after you can summarize each concept in one sentence and identify one dangerous pitfall from memory.
Knowledge Check (after reading)
Short check-up to confirm understanding of this module.
Check-up Questions
A 30-year-old woman at approximately eight weeks' gestation has sudden lower abdominal pain, shoulder-tip pain and collapse. Blood pressure is 72/40 mmHg and bedside ultrasound shows free intraperitoneal fluid with no definite intrauterine pregnancy. What is the priority?
A stable 27-year-old woman has mild pelvic pain and a positive pregnancy test. Transvaginal ultrasound shows no intrauterine or extrauterine pregnancy, and hCG is below the local discriminatory threshold. What is the safest label and plan?
Answer all questions to submit.
Next step personalized recommendations
Continue learning
Move forward only after this module is stable.
What is Pass Harbor?
Completely free exam prep for 247 UK exams.
- Practice questions
- Flashcards
- Study guides
- Mock exams
- No registration
- No paywall
- Start instantly
“No more expensive exam prep. Quality study tools should be accessible to everyone.”