How to Pass MRCOG Part 1: A Complete Strategy Guide
The MRCOG Part 1 exam has a first-time pass rate of around 40–50%. With the right strategy and consistent practice, passing on your first attempt is very achievable. Here is the approach that works.
1. Understand the Exam Format
The MRCOG Part 1 consists of 225 Single Best Answer (SBA) questions split across two papers, each 90 minutes long. The exam tests basic science knowledge across 14 subjects relevant to obstetrics and gynaecology.
Key exam facts:
- 📋 225 SBA questions total (2 papers × ~112 questions)
- ⏱️ 90 minutes per paper (approx. 48 seconds per question)
- ✅ No negative marking — answer every question
- 📊 Pass mark varies by sitting (typically 60–70%)
- 🔄 Offered twice yearly (March and September)
2. Build a 3-Month Study Plan
Most candidates who pass on their first attempt study for 3–6 months. If you are working clinically, 3 months with structured daily study (2–3 hours/day) is realistic.
Foundation
Work through each subject systematically. Use a core textbook (Monga & Baker or similar). Do 10–20 questions per day to test understanding as you read.
Consolidation
Increase to 30–50 questions daily. Focus on weak subjects identified from Month 1. Review explanations carefully, not just right/wrong answers.
Exam Mode
Do timed mock tests (100 questions, 90 minutes). Review mistakes intensively. Stop learning new material — focus entirely on reinforcing what you know.
3. Prioritise High-Yield Subjects
Not all subjects carry equal weight. Focus more time on subjects with the highest question count in the real exam:
4. Use a Question Bank Every Day
This is the single most important habit. Candidates who practice at least 30 questions per day consistently outperform those who only read. Questions:
- →Force active recall rather than passive reading
- →Identify gaps in knowledge you did not know you had
- →Build the speed and stamina needed for 90-minute papers
- →Expose you to question styles and common traps in SBA format
5. Exam Day Tips
- ✓Never leave a question blank — no negative marking
- ✓Spend max 48 seconds per question; flag and return if stuck
- ✓Read the last line of the question first to know what is being asked
- ✓Eliminate obviously wrong options first
- ✓Trust your first instinct — change answers only if clearly wrong
- ✓Eat a proper meal and sleep the night before — cognitive function matters
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