Our Questions

Just like you’ll see on the actual exam. Based on the American Board of Obstetrics and Gynecology (ABOG) format

No “negatively phrased” questions, no “all of the following except”, no “A and B”…you know what we mean. In order for a test question to be high quality, it must satisfy two basic criteria:

  1. Must address important content
  2. Must be well structured
Question » Stem » Lead in click-05

A 58-year-old postmenopausal woman presents with fever and lower abdominal pain. Temperature is 102°F and vital signs are otherwise normal. On physical exam, she has cervical motion tenderness, mucopurulent discharge, and right adnexal tenderness. Pelvic ultrasound reveals a 7 cm complex adnexal mass. Which of the following is an indication for surgical intervention?

Our Answer Choices

Building difficulty into the question. Meet the Challenge.

A question’s difficulty is defined by the choice of distractors. Good distractors determine the difficulty level of a question. Therefore, good distractors are one of the most important features of a high quality question.


Understanding why an answer choice is incorrect is just as important as knowing why it is correct

Our Explanations

Synthesized for optimized learning and recall & created with a purpose

Every question contains a detailed explanation for the correct and incorrect answer choices and integrated media for those that learn best by visual stimuli. Understanding a topic cannot be learned in isolation. You require context. We take deliberate steps to deliver a comprehensive explanation linking the most important components to master a topic.

Tubo-ovarian abscess is an inflammatory mass involving the fallopian tube, ovary, and potentially adjacent organs like bowel and bladder. Tubo-ovarian abscess is potentially lifethreatening and requires aggressive medical or surgical treatment. Treatment options include admission for observation (for a minimum of 24 hours) with IV antibiotic therapy plus or minus minimally-invasive image-guided drainage, surgery, or a combination of these depending on size and duration of symptoms despite antibiotic therapy . Tubo-ovarian abscesses diagnosed in postmenopausal women have a higher rate of associated malignancy and, therefore, warrant surgical evaluation Most tubo-ovarian abscesses occur in reproductive-aged women, however, and usually result from upper genital tract infection Organisms found in tubo-ovarian abscesses typically are polymicrobial with similar organisms to those found in pelvic inflammatory disease, including mixtures of aerobic, facultative, and anaerobic organisms Intravenous antibiotic therapy should be initiated immediately and include broad-spectrum coverage of potential sources, including coverage of sexually transmitted pathogens and anaerobes. First-line therapy typically includes a second-generation cephalosporin in combination with doxycycline and metronidazole or clindamycin for a full 14-day course of treatment.

Enhanced learning

Explanations contain integrated audio and visual content to further clarify meaning of the core concept. By representing information using audio cues and spatially with images, you are able to focus on meaning, reorganize and group similar ideas easily and make better use of your audio and visual memory.

More than just a question

Advanced reinforcement

To optimize recall and understanding of a topic we link concepts to help you express knowledge, thoughts and ideas and build relationships between them.


Taking Your Learning One Step Further

After each question explanation is a straightforward factoid-based question with a simple, memorizable answer that serves as reinforcement for the corresponding topic.

(Q) What is the most common indication for primary cesarean delivery?

(A) Labor arrest


Break it down, Keep it simple.

Boiling it down to the most high yield concepts


  • Patient will be a woman complaining of malodorous vaginal discharge
  • PE will show frothy, green/yellow discharge, “Strawberry cervix”
  • Labs will show pH > 5, flagellated, motile, pear-shaped
  • Diagnosis is made by wet mount
  • Most commonly caused by Trichomonas vaginalis
  • Treatment is metronidazole

Powerful Analytics

Progress, performance, predictions

“If you can’t measure it, you can’t manage it.” Rosh Review provides you with key statistics and robust analytics to create an efficient and effective learning strategy.


Focus your learning on what matters

Identify your strengths and weaknesses based on ABOGs Exam Blueprint

Peer comparison

Compare your answer choices to the answers provided by other medical students, OB/GYN residents, and practicing OB/GYN around the country.

Probability of Passing Your Exam

Using data generated by our previous users, we can predict your probability of passing the ABOG Certification Exam

“We have had awesome results with the ROSH review. Using since 2013. Residents love it and have seen a nice increase in In-service exam scores.”

Dr. Robert Strony, Program Director

OB/GYN Questions Topics

ABOG publishes a content blueprint for the material that will appear on your exam.

This blueprint is how we determine which material appears in your Qbank.

Obstetrics 40%
Preconception/Antenatal Care 50%
Intrapartum Care 30%
Postpartum care 20%
Gynecology 25%
Diagnostic and Preoperative Evaluation 25%
Surgical Management [decision making] 20%
Surgical Procedures 20%
Neoplasia 20%
Postoperative Care and Complications 10%
Emergency Care 5%


Office Practice and Women’s Health 25%
Age-appropriate Routine Care 15%
Medical Problems 15%
Gynecologic-specific Disorders 50%
Psychosocial Problems 10%
Office Procedures 10%
Cross Content Areas 10%
Basic Science 50%
Ethics and Professionalism 10%
Epidemiology and Evidence-based Practice 10%
Systems-based Practice 10%
Patient Safety 10%
Communication and Health Literacy 10%


Obstetrics & Gynecology

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Use for the new 2020-21 computer-based examination specialty certifying exam

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2,000 Comprehensive explanations

2,000 One Step Further questions and answers

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Perfect for the Shelf Exam and USMLE Step 2 CK

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500+ One Step Further questions and answers (All new!)

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