FCPS Part 2 Obs & Gynae Exam 2027: Format, Eligibility & Fee
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FCPS Part 2 Obs & Gynae Quick Summary
FCPS Part II in Obstetrics and Gynaecology is the final exit exam of the College of Physicians and Surgeons Pakistan (CPSP). It has two computer-based theory papers of 100 single best answer MCQs each, then a TOACS and clinical cases held only in Pakistan. The fee is Rs 15,050, and the next theory dates are 16 February and 17 August 2027. You need four years of completed training, the IMM, an approved synopsis and a published article.
Passing FCPS Part II in Obstetrics and Gynaecology gives you the FCPS fellowship and the specialist title in Pakistan. This guide covers who can apply, the research rule that now catches many candidates out, how the theory and clinical parts are marked, what to study and how to plan the last few months, with sample questions from our QBank.
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Who can sit FCPS Part 2 Obs & Gynae
FCPS Part II in Obstetrics and Gynaecology is open to trainees who have completed four years of supervised training in Obstetrics and Gynaecology at a CPSP accredited unit. Before you apply you need:
- FCPS Part I passed in the relevant subject group, or a CPSP exemption.
- The Intermediate Module (IMM) passed.
- All four years of training and every required rotation completed. CPSP does not relax this for the major subjects.
- A training completion certificate from your supervisor, and your e-logbook entries up to date.
- An approved synopsis and a published article (see the next section).
Training done partly abroad must be in a unit CPSP accredits for that period. If you are not sure whether a rotation counts, ask the CPSP Department of Postgraduate Medical Education before the closing date, not after.
Research and the published article rule
Research is now a hard requirement, not something you can finish later. Under CPSP notifications issued in July and September 2025:
- Your synopsis must be approved by the CPSP Research Evaluation Unit (REU).
- You must complete the Research Methodology, Biostatistics and Academic Writing (RMB&AW) workshop before writing the synopsis.
- You need one original article based on that synopsis, with you as first author, published in an indexed journal with an impact factor or in an HEC W or X category journal.
- The article must be uploaded to your CPSP e-portal at least three months before the exam.
Journal review and publication can take six months or more, so start the synopsis early in your third year.
How to apply, step by step
CPSP publishes the exam notice with closing dates on its website. Read the eligibility section for your subject.
Make sure training records, e-logbook, IMM result, workshops and the published article are all on your CPSP e-portal account.
Apply through the e-portal and choose your theory centre in Pakistan, or one of the CPSP centres abroad that holds Part II theory.
Pay Rs 15,050 before the closing date to avoid the late fee.
Your exact date, shift and centre appear on the admit card in your e-portal account.
Theory papers
| Paper | Questions | Time |
|---|---|---|
| Paper I | 100 single best answer MCQs | 2.5 hours |
| Paper II | 100 single best answer MCQs | 2.5 hours |
Both papers are computer-based and are taken on the same day in two shifts. Questions are clinical scenarios at the level of a consultant in training: expect management decisions, interpretation of investigations and complications rather than plain recall. Only candidates who pass the theory are called for the clinical exam.
TOACS and clinical exam
Candidates who pass the theory sit a TOACS of short stations, usually 4 to 8 minutes each, covering skills such as CTG and partograph reading, instruments, counselling and emergency drills. Those who clear it go on to the long cases, normally one obstetric and one gynaecological, with paired examiners. As in the other major subjects, the overall pass mark is 60%. Check the current CPSP guideline for the exact number of stations and marks before you prepare.
TOACS results are announced on the same day. A score of 55% or more lets you take the cases in that exam only; 60% or more carries forward to the next exam, so you can skip the TOACS while your theory pass is still valid.
What to study for FCPS Part 2 Obs & Gynae
CPSP does not publish a weighting for each topic. The bars below are our guide to how much time each area deserves, based on how the theory papers usually look:
A 16-week study plan
Most candidates prepare during the final months of training, so plan for about two hours on working days and more at weekends:
| Weeks | Focus | Daily target |
|---|---|---|
| 1 to 4 | Read the core text for the highest weighted areas and make short notes | 40 MCQs plus reading |
| 5 to 8 | Remaining areas, with recent guidelines for common conditions | 50 MCQs |
| 9 to 12 | Timed blocks of 100 questions, review every wrong answer | 100 MCQs on alternate days |
| 13 to 14 | Two full mock papers and weak area revision | Mock papers |
| 15 to 16 | Clinical practice: present long cases to a senior, rehearse TOACS stations | Two cases a day |
Recommended books for FCPS Part 2 Obs & Gynae
Read one core text well and use the others for reference, alongside a question bank.
| Book | Why it helps |
|---|---|
| Dewhurst's Textbook of Obstetrics and Gynaecology | The main reference for the theory papers. |
| Ten Teachers Obstetrics and Ten Teachers Gynaecology | Readable core texts for revision. |
| RCOG Green-top Guidelines | Current management that MCQs and TOACS stations are based on. |
| High Risk Pregnancy (James) | Depth on medical disorders and fetal medicine. |
| Arias' Practical Guide to High-Risk Pregnancy and Delivery | Practical labour ward management for the cases. |
Sample FCPS Part 2 Obs & Gynae MCQs
These five questions come from the free trial of our FCPS Part 2 Obs & Gynae QBank, covering obstetrics and gynaecology. Tap a question to see the answer and explanation.
A 32-year-old woman, G1P0, at 14 weeks has a BMI of 29 kg/m2 and has been physically inactive for several years. Her pregnancy is uncomplicated and she has no medical problems. She would like to start exercising but worries that it may harm the baby. What is the most appropriate advice?A. Do not start new exercise in pregnancy; only continue activity done before pregnancyB. Start gradually and build up to at least 150 minutes of moderate-intensity activity a weekC. Keep her heart rate below 140 beats per minute during all exerciseD. Wait until after 20 weeks before starting any exerciseE. Limit exercise to swimming only
Answer: B. Start gradually and build up to at least 150 minutes of moderate-intensity activity a week
Explanation: WHO (2020), ACOG (2020) and the UK Chief Medical Officers (2019) advise that all pregnant women without contraindications, including those previously inactive, should aim for at least 150 minutes a week of moderate-intensity aerobic activity, with muscle-strengthening work twice a week. Inactive women should start gradually (for example 10 to 15 minutes a day) and build up. Intensity is judged by the 'talk test' (able to hold a conversation), not a fixed heart rate.
A 44-year-old woman has squamous cell carcinoma of the cervix on biopsy. MRI shows a 3.5 cm tumour confined to the cervix with intact parametria and no vaginal involvement. CT of the chest, abdomen and pelvis shows no enlarged lymph nodes and no distant disease. What is the FIGO 2018 stage?A. IB1B. IIA1C. IB3D. IB2E. IA2
Answer: D. IB2
Explanation: FIGO 2018 divides stage IB (invasive carcinoma confined to the cervix, depth of invasion >5 mm) by the greatest tumour dimension: IB1 ≤2 cm, IB2 >2 cm and ≤4 cm, IB3 >4 cm. Her 3.5 cm tumour is IB2. FIGO 2018 allows imaging and pathology to assign stage (recorded with the suffix r or p when they change it), and lymph node metastasis moves any tumour to IIIC.
A unit is updating its protocol for the assessment of amniotic fluid volume in third-trimester scans for low-risk women with suspected reduced liquor. A senior trainee compares the amniotic fluid index (AFI) with the single deepest vertical pocket (SDP). Which approach is recommended, and why?A. AFI, because it detects more oligohydramniosB. AFI, because it improves perinatal outcomeC. SDP, because it reduces intervention without worsening perinatal outcomeD. Subjective assessment, because it has the best reproducibilityE. Biophysical profile, because it measures liquor more accurately
Answer: C. SDP, because it reduces intervention without worsening perinatal outcome
Explanation: Oligohydramnios is defined as a single deepest pocket <2 cm (free of cord and limbs) or an AFI <5 cm. A Cochrane review (Nabhan & Abdelmoula) found that using AFI diagnoses oligohydramnios about twice as often, leading to more inductions and caesarean births for fetal distress, with no improvement in perinatal outcome (NICU admission, acidosis, Apgar). Therefore SDP is preferred for assessing reduced liquor (SMFM, ISUOG).
A 33-year-old woman, G3P1, has a dating scan at 6+5 weeks after a previous miscarriage. Transvaginal scan shows a single intrauterine sac with a yolk sac and an embryo with a crown-rump length of 5 mm. The embryonic heart rate is 82 beats/min. She has no bleeding or pain. What is the most appropriate next step?A. Diagnose miscarriage and offer medical managementB. Reassure and book routine antenatal careC. Repeat transvaginal scan in about 7 daysD. Start oral dydrogesterone 10 mg twice dailyE. Serial serum hCG 48 hours apart
Answer: C. Repeat transvaginal scan in about 7 days
Explanation: The embryo is alive, so miscarriage cannot be diagnosed. But an embryonic heart rate below 100/min up to 6+2 weeks, or below 120/min from 6+3 to 7+0 weeks, is embryonic bradycardia. It carries a high risk of later miscarriage, often more than 50%, and higher the slower the rate.
A 26-year-old woman, G2P1, in spontaneous preterm labour at 31+2 weeks reaches full dilatation. While pushing, the CTG shows a prolonged deceleration to 80 bpm lasting 4 minutes. The head is 0/5 palpable, direct occipito-anterior, at station +3 cm with no caput. A paediatric team is present. What is the most appropriate method of birth?A. Low-cavity non-rotational forcepsB. Soft silicone cup vacuum extractionC. Kiwi OmniCup vacuum extractionD. Kielland rotational forcepsE. Fundal pressure with maternal pushing
Answer: A. Low-cavity non-rotational forceps
Explanation: The head is low (+3 cm) and direct OA, so an assisted vaginal birth is the fastest safe route. At 31+2 weeks vacuum is contraindicated: RCOG advises against vacuum below 32+0 weeks and caution between 32+0 and 36+0 weeks, because the soft preterm skull is prone to subgaleal and intracranial haemorrhage, cephalohaematoma and jaundice. Non-rotational forceps (e.g.
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Fee and 2027 dates
| Item | Details |
|---|---|
| Exam fee | Rs 15,000 plus Rs 50 handling charges (Rs 15,050) |
| Late fee | Charged after the normal closing date; see the CPSP notice |
| Withdrawal | 75% of the fee is refunded if you withdraw by the deadline |
| Theory dates 2027 | 16 February and 17 August 2027 |
| Theory centres in Pakistan | Karachi, Hyderabad, Larkana, Quetta, Multan, Lahore, Faisalabad, Islamabad, Peshawar and Abbottabad |
| Theory centres abroad | Riyadh, Kathmandu and Birmingham (Solihull) |
| Clinical exam | Pakistan only; venue announced after the theory result |
Fees and dates are those CPSP has announced for the current cycle. Always confirm them in the latest notice before paying.
Results and attempts
After you pass the theory, you can appear in three of the next four consecutive clinical exams, counting any you miss, and the first clinical attempt is mandatory. If you do not pass within these chances, you need to pass the theory again.
Once you pass, CPSP awards the FCPS fellowship. Many fellows go on to work in the Gulf, where each country has its own licensing exam; see our guides to the DHA Dubai exam, the QCHP Qatar exam and the Saudi licensing exam.
Frequently asked questions
How many MCQs are in the FCPS Part 2 Obs & Gynae exam?
The theory has two computer-based papers, each with 100 single best answer MCQs, so 200 questions in total. Each paper lasts two and a half hours.
What is the fee for FCPS Part 2 Obs & Gynae?
Rs 15,000 plus Rs 50 handling charges, so Rs 15,050. A late fee applies after the closing date.
When is the next FCPS Part 2 exam?
For Medicine, Surgery, Paediatrics, Obstetrics and Gynaecology and Ophthalmology, the 2027 theory exams are on 16 February and 17 August 2027.
Is a published article required for FCPS Part 2?
Yes. CPSP requires one original article based on your approved synopsis, with you as first author, in an indexed journal with an impact factor or an HEC W or X category journal. It must be on the e-portal at least three months before the exam.
How many attempts do I get at the clinical exam?
After you pass the theory, you can sit three of the next four consecutive clinical exams, counting any you miss, and you must take the first one.
What happens if I pass the TOACS but fail the cases?
A TOACS score of 60% or more carries forward, so you can go straight to the long and short cases next time while your theory pass is valid. A score of 55% to 59% lets you sit the cases only in the current exam.
Which book is best for FCPS Part 2 Gynae?
Most candidates use Dewhurst as the main text, Ten Teachers for revision and the RCOG Green-top Guidelines for current management, with timed practice from a question bank.
Further reading
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