Thyroid Disorders in Pregnancy, MRCOG Part 2&3 Complete Pack

"RCOG now has its own guideline on thyroid disease in pregnancy. Some of it differs from what you were taught."

Study notes, five original diagrams and a 68-question bank built on RCOG Green-top Guideline No. 76 (2025), with the changes from older teaching marked.

Until 2025, RCOG had no Green-top guideline of its own on thyroid disease in pregnancy. Most candidates revised the topic from textbooks, the ATA and ETA guidance, and whatever their unit's protocol said.

Then the guideline arrived, and it takes a clear position on questions that used to be argued both ways. Test everyone at booking? No, case-find. Check TPO antibodies routinely? No. Give levothyroxine to a euthyroid woman with positive TPO antibodies and recurrent miscarriage? No. What does a woman on levothyroxine do when her pregnancy test turns positive? She raises the dose that day. Which thionamide before conception, and when must the switch happen? What target do you titrate to?

These are the kind of positions that turn into exam stems. Reading the full guideline takes a long evening, and any question bank written before April 2025 predates it. This pack does that reading for you and then tests it.

What is included

• 24 pages of study notes. Guideline at a glance, a one-page cheat sheet of the numbers, and the seven exam-mapped sections: classification, pathophysiology, investigations, management, complications, surveillance, and postnatal and future-pregnancy care. The numbers that matter are in bold, and thresholds and doses carry the guideline's own grade of recommendation where it gives one.
• A 20-row "what changed" table. Common pre-2025 teaching beside the 2025 position, each row marked major, moderate, minor or no change.
• Five original diagrams. The TSH and fT4 matrix, pregnancy thyroid physiology week by week, the levothyroxine pathway, the hyperthyroid decision tree, and the Graves' disease timeline.
• 18 exam traps and 18 cover-and-recall questions. Cover the answer column and say it aloud.
• A 68-question bank. 24 single best answer questions, 5 extended matching sets (32 items) and 4 vignette cases (12 parts). The correct answer and the explanation sit directly under each question, and each explanation cites the guideline by name and year.
• A question map. Missed questions grouped by theme, so you know which section to reread.
• A start-here guide. A study order, a three-evening plan and a contents page, with every section bookmarked in the PDF.
• Delivered as one 45-page bookmarked PDF, plus the notes and the question bank as separate PDFs. Instant download.

Who it is for

• MRCOG Part 2 candidates who want one current source for this topic rather than assembling it from the guideline, BJOG and older notes.
• Part 3 candidates who need the facts behind thyroid counselling and management stations. The pack does not include station practice.
• Trainees on a maternal medicine or endocrine placement who want a quick, structured read of the new guideline.

Not for patients or the general public, and not a substitute for the guideline or your local protocols.

Why it is credible

• Built from the guideline itself. Green-top Guideline No. 76, BJOG 2025;132:e130–e161. Every threshold and dose traces to it, and the sources page lists the supporting papers.
• Honest about its baseline. There was no earlier RCOG Green-top on this topic, so the "old teaching" column is a generalised pre-2025 position, and the pack says so on the page.
• Honest about open questions. The authors have published a response to concerns about the guideline. The pack flags it, tells you which points to check, and does not pretend the guideline is beyond question.
• Original throughout. Notes, diagrams and questions are written fresh. Nothing is copied from RCOG, from the guideline's figures, or from other question banks.
• Written by a practising Consultant Obstetrician and Gynaecologist. (Keep this line only once you have reviewed the content. See the checklist above.)

FAQ

Is this the official RCOG guideline or an official mark scheme? No. It is an independent study aid based on the guideline. Read the guideline itself as well.

Will it guarantee a pass? No resource can. It is built to make the new guideline quick to revise and to test whether you have it.

Does it cover Part 3? It covers the clinical content that sits behind Part 3 stations on this topic. It does not include station scripts or marking practice.

What if the guideline changes? Guidelines are revised. Check the live RCOG page before your sitting. (Add an update promise only if you intend to keep it.

This is a study aid based on the guideline as published in 2025. It is not the official MRCOG curriculum and does not guarantee exam success. Check the live RCOG guideline and any later correspondence from the authors before your sitting. Do not state or imply a pass-rate guarantee anywhere in the listing.

[Buy now / Add to cart]: instant download, start tonight.

one of a series of single-guideline Green-top update packs. Early-access price while the series is built.")