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ROYAL COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS

PART 1 MEMBERSHIP EXAMINATION SEPTEMBER 2014


INSTRUCTIONS TO CANDIDATES
This information must be read carefully. Failure to follow the instructions may result in failure in the examination.
Your candidate entrance ticket has been emailed to you. Please check your ticket very carefully and note where and at what
time you are to attend the examination (all times are local). Please advise the Examination Deartment if the sellin! of
your name has been misinterreted. Your ENTRANCE TICKET a! E"IDENCE OF IDENTIFICATION must be
taken to the examination.
"hen attendin! the written examination you must rovide#
$. Entrance ticket.
%. Evidence of identification that must include your name and hoto!rah (e.!. assort& hosital identification bad!e).
CANDIDATES #HO FAIL TO PRODUCE E"IDENCE OF IDENTIFICATION $#HICH MUST INCLUDE
NAME AND PHOTOGRAPH% TO THE SATISFACTION OF THE IN"IGILATORS&EXAMINERS AT THE
BEGINNING OF ANY SECTION OF THE PART 1 EXAMINATION #ILL HA"E THEIR ENTRY
#ITHDRA#N'
The invi!ilator will read out certain instructions& which& for your assistance& are !iven below#
$. 'o textbooks& aers& calculators& mobile telehones& ocket comuters or similar articles are allowed into the
examination hall. (nk bottles are not allowed on desks. 'o smokin! is allowed) no smokin! devices are ermitted.
%. *ny form of communication between candidates durin! the examination is strictly forbidden.
+. ,andidates are not ermitted to coy any art of the examination aers& and on no account may the -uestion
books be removed from the examination hall.
.. Ca!(!a)*+ ,u+) o) +)ar) )-* *.a,(a)(o u)(/ (+)ru0)*! 12 )-* (3(4(/a)or a! ,u+) o) 0o)(u* )o
5r()* a6)*r a *.a,(a)(o -a+ *!*!'
/. #HERE THERE IS ANY INFRINGEMENT OF INSTRUCTIONS 17 27 8 OR 47 CANDIDATES #ILL BE
DIS9UALIFIED AND MAY NOT BE ALLO#ED TO SIT ANY SUBSE9UENT EXAMINATION'
0. ,andidates will not be allowed to enter the examination hall after +1 minutes have elased or to leave the
examination hall until one hour after the commencement of each aer. ,andidates will not be allowed to leave the
hall durin! the final $1 minutes of each aer and must remain seated whilst the answer booklets2answer sheets are
bein! collected.
3. Two time warnin!s will be !iven& the first +1 minutes and the second $1 minutes before the end of each aer.
,andidates must sto writin! immediately when advised by the invi!ilator.
4. (nvi!ilators have been instructed by the Examination and *ssessment ,ommittee that they may NOT discuss
-uestions.
5. *ny candidate wishin! to attract the invi!ilator6s attention should raise his2her hand.
$1. *ny candidate leavin! the examination hall durin! the examination will be allowed to return only if s2he has been
escorted whilst outside the hall.
$$. Your CANDIDATE NUMBER7 not desk number& should be written on the answer booklets and answer sheet.
$%. ON ALL OCCASIONS YOU MUST SHO# YOUR NAME AS STATED ON YOUR ENTRANCE TICKET'
$+. 9UESTION PAPERS7 ANS#ER SHEETS AND ALL EXAMINATION MATERIALS REMAIN THE
PROPERTY OF THE COLLEGE AT ALL TIMES'
$.. ,andidates are discoura!ed from brin!in! to the ,olle!e lar!e amounts of lu!!a!e& as the ,olle!e has limited
sace for stora!e. 7u!!a!e and items of clothin! are left at the ,olle!e at the owner6s risk.
$/. ,andidates re-uire only their entrance ticket and hoto (D. Pencils and erasers and all examination material will be
rovided.
,andidates who are late for any art of the examination may not be admitted.
Your r*+u/) 6or )-* *.a,(a)(o 5(// 1* +*) 12 *,a(/ a::ro.(,a)*/2 6our 5**;+ a6)*r )-* *.a,(a)(o' A) )-* +a,*
)(,*7 )-* a,*+ o6 :a++(4 0a!(!a)*+ 5(// 1* a3a(/a1/* o )-* Co//*4* 5*1+()* a!!r*++< 555'r0o4'or4'u; = 2ou ar*
a!3(+*! )o 0-*0; )-* 5*1+()* o a !a(/2 1a+(+ 6ro, Fr(!a2 2> S*:)*,1*r 20147 u)(/ )-* /(+) (+ :u1/(+-*!' ANY
RE9UESTS FOR INFORMATION O"ER THE TELEPHONE #ILL BE REFUSED' IF YOU HA"EN?T
RECEI"ED YOUR RESULT BY 24 OCTOBER 20147 YOU MAY RE9UEST A DUPLICATE BY EMAILING US
#ITH YOUR FULL NAME7 REGISTRATION NUMBER7 CANDIDATE NUMBER AND DATE OF BIRTH'
Please note that as the 89,:; is a two<art examination& certificates are not issued for assin! Part $. Please retain your
Part $ ass letter& as it is the only certification that you will receive.
The nearest under!round station to the ,olle!e is =aker >treet& which is serviced by the =akerloo& ?ammersmith and ,ity&
@ubilee& 8etroolitan and ,ircle lines. The followin! buses sto nearby# $+& 4%& $$+& $+5& $45 and %3.. THERE ARE NO
PARKING FACILITIES A"AILABLE FOR CANDIDATES ON COLLEGE PREMISES' ILLEGALLY
PARKED "EHICLES #ILL BE CLAMPED $@A0'00 CHARGE FOR REMO"AL OF CLAMP%'
SINGLE BEST ANS#ER AND MULTIPLE CHOICE 9UESTIONS
GENERAL INSTRUCTIONS
A+5*r +-**)+< =oth -uestion formats are marked by a comuterised document readin! machine. You
,u+) o/2 u+* )-* HB 4ra!* :*0(/ :ro3(!*! 6or 0o,:/*)(4 a// :ar)+ o6 )-* a+5*r +-**)+' Pens must
not be used for any art of the examination. =old& dark marks that comletely fill each loAen!e are
re-uired. Faint lines will not be read by the document readin! machine. You may erase any encil mark
by usin! the eraser rovided. The answer sheet must not be folded& creased or torn. Please rint your
name as stated on your entry sli at the to of the answer sheet& write your 0a!(!a)* u,1*r (not your
desk number) in the boxes rovided and 1/a0;=ou) the loAen!es corresondin! to your candidate number.
Examle#
*t the end of the examination& insert the comleted answer sheet inside the front cover of the -uestion
book.
Fro) 0o3*r< :n the front cover of each -uestion book lease rint your name in the boxes rovided and
then si!n your name in the sace marked Bsi!nature6. Your candidate number must be written in the four
s-uares rovided.
SINGLE BEST ANS#ER $SBA% SECTION
A+5*r(4 )-* Bu*+)(o+< The answer sheet is numbered $<01 and a!ainst each number there are five loAen!es
labelled from * to E. Each -uestion in the -uestion booklet will consist of an otion list (lettered to reflect the answer
sheet)& a lead<in statement (which tells you clearly what to do)& and then a list of one to five -uestions (each
numbered& a!ain to match the answer sheet). (ndicate your Cud!ment of each articular -uestion by 1o/!/2 blackin!
out the letter that corresonds to the sin!le best answer in the otion list. ,andidates may mark their resonses in the
-uestion book and then transfer these to the answer sheet. Please be aware that this will take lon!er& and all transfers
,u+) be done fully 5()-( the time allowed for the examination.
The otion listed will nearly always be in alhabetical or numerical order for ease of reference) if not& they will be in
the most aroriate order for -uick reference.
The most imortant element of the format is that you must select the sin!le answer that best fits. You may feel that
there are several ossible answers& but you must choose only the most likely one from the otion list.
S:*0(,* a+5*r +-**)<
* ortion of a comleted answer sheet may look like this#
Mar;(4< (ncorrect answers are o) enalised. (t is in your best interests to ensure for each of the 01 answers& one
loAen!e is filled in by the end of the examination. (f you mark two or more boxes on the same -uestion& no mark will
be awarded& even if one of the answers you choose is the correct one. Please ensure that any mistakes are clearly and
fully erased.
Each correct >=* answer will be worth the same number of marks as %D individual correct 8,E answers. Time
mana!ement is candidate6s resonsibility& but we recommend sendin! aroximately 3/ minutes on the >=*s and
3/ minutes on the 8,Es.
E.a,:/* o6 )-* SBA+<
9u*+)(o 1<
* %.<year<old resents at %3 weeks into her second re!nancy feelin! unwell& with backache& fever and ri!ors. >he
has a temerature of +5./F,. Grinalysis shows leucocytes and rotein HHH. ?er blood ressure is 412/1. "hich action
is most aroriateI
$ *. *dmit to (,G2?DG for intravenous antibiotics and suortive care
% =. *rran!e ultrasound of renal tract
+ ,. ,ommence 3<day course of oral antibiotics
. D. ;ive intramuscular steroids to romote fetal lun! maturity
/ E. 8ake referral for hysicians to review
*nswer# *
MULTIPLE CHOICE 9UESTION $MC9% SECTION
A+5*r(4 )-* Bu*+)(o+< The answer sheet is numbered 0$ to 51 and each -uestion number has five comonents&
lettered * to E. *!ainst each letter there are two loAen!es labelled T (J True) and F (J False). (ndicate your Cud!ment
of each articular -uestion by 1o/!/2 blackin! out either the T or F loAen!e. ,andidates may mark their resonses in
the -uestion book and then transfer these to the answer sheet. Please be aware that this will take lon!er and all
transfers ,u+) be done fully 5()-( the time allowed for the examination.
S:*0(,* Bu*+)(o+ a! a+5*r+<
T-* :u!*!a/ *r3*
A' derives its fibres from the second& third and fourth sacral se!ments
B' runs between the yriformis and coccy!eus muscles before leavin! the elvis
C' has the udendal artery on its medial side as it lies of the ischial sine
D' !ives off the inferior haemorrhoidal (rectal) nerve in the udendal canal
E' innervates the clitoris
*nswers *& =& D and E are BTrue6& answer , is BFalse6. Your answer sheet relatin! to these -uestions would look like
this when correctly filled in#
A B C D E
T
F
T
F
T
F
T
F
T
F
T means T9GE) F means F*7>E
Mar;(4< Each answer correctly answered (i.e. a true statement indicated as T or a false statement indicated as F) is
awarded one mark (H$). For each incorrect answer no mark (1) is awarded. A// Bu*+)(o+ ,u+) 1* a+5*r*! T or F'
(f both loAen!es or neither loAen!e is marked& no mark (1) is awarded. Please ensure that any mistakes are clearly and
fully erased. (ncorrect answers are o) enalised' (t is in your best interests to ensure for each of the answers& one
loAen!e is filled in by the end of the examination.
DI"ISION OF MARKS
For each of the two aers& marks will be evenly distributed between the >=* and 8,E comonents of that aer&
and each aer will contribute the same roortion of marks to the overall total#
The revised format enables the existin! content of the syllabus to be assessed in a more clinically relevant way& with a
!reater focus on basic science as alied to obstetric and !ynaecolo!ical ractice. 8oreover& the examination now
includes -uestions on data interretation and clinical mana!ement& in addition to existin! subCect domains. * tyical
distribution of marks for each of the subCect domains in the two aers is shown below& althou!h naturally this will
vary from sittin! to sittin!#
STANDARD SETTING
:ur well<established standard settin! rocedure ensures that the difficulty of each examination is taken into account
and is not linked to a set ass mark or rate. * different ass mark is used for each examination& deendin! on the
difficulty of that examination. (t is therefore also not ossible to ublish the ass mark for the examination in
advance. This is a comlex rocess& which involves assessin! the -uestions individually for their difficulty.
The aim of standard settin! is to imrove the fairness and validity of the examination rocess& and to set levels of
cometence for success in the examination. The use of these methods bears no relationshi whatsoever to the
ercenta!e of candidates who will succeed in the Part $ examination& or to any other external factors.
Dr 8ichael ; 8urhy
Deputy Chief Executive
8;829P215<%1$.

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