How should I study for the GSRH EOR exam?

Obstetric emergencies are the highest-yield: preeclampsia severe features, previa vs. abruption (painless vs. painful bleeding), ectopic pregnancy, and postpartum hemorrhage (the 4 T's). Then practice with a focused GSRH question set, read every explanation, and use timed mixed blocks in the final week.

End-of-Rotation Exam Prep

Gynecologic, Sexual, and Reproductive Health (GSRH) EOR exam prep

Q: When do the 2026 GSRH EOR blueprint changes take effect?

PAEA's updated End of Rotation exams are effective as of July 27, 2026, with legacy versions available through July 2027. The Women's Health exam is renamed Gynecologic, Sexual, and Reproductive Health and reorganized by anatomy, with new fertility-management (10%), sexual-health (10%), and psychiatric/behavioral-health (6%) content areas and an 8% Professional Practice area.

Written & clinically reviewed by Ryan Busch, PA-C · Updated July 2026 · Report an error

The GSRH EOR — PAEA's new name for the Women's Health exam, effective July 27, 2026 — spans obstetrics, gynecology, breast health, contraception, sexual health, and preventive care, with a strong emphasis on obstetric emergencies, abnormal bleeding, and cancer screening.

2026 blueprint update

PAEA's updated End of Rotation exams are effective as of July 27, 2026 (legacy versions run through July 2027). The Women's Health exam is renamed Gynecologic, Sexual, and Reproductive Health and reorganized by anatomy, with new fertility-management (10%), sexual-health (10%), and psychiatric/behavioral-health (6%) content areas and an 8% Professional Practice area.

See the full GSRH EOR blueprint changes →

What topics does the GSRH EOR exam cover?

Prenatal care

Routine schedule, screening labs and ultrasounds, and immunizations in pregnancy.

Obstetric complications

Preeclampsia/eclampsia, gestational diabetes, placenta previa vs abruption, ectopic pregnancy.

Labor & delivery

Stages of labor, fetal monitoring basics, and postpartum hemorrhage.

Menstrual & bleeding disorders

Abnormal uterine bleeding (PALM-COEIN), amenorrhea, dysmenorrhea, PCOS, fibroids.

Contraception

Method selection, efficacy, and contraindications.

Breast health

Breast mass workup, mastitis, and screening mammography guidelines.

Cervical & gynecologic cancer screening

Pap/HPV intervals, colposcopy triggers, ovarian/endometrial red flags.

Pelvic infections

Vaginitis, PID, cervicitis, and sexually transmitted infections.

Fertility & sexual health

Infertility evaluation basics, preconception counseling, sexual development, and sexual dysfunction — fertility management and sexual health are new content areas on the 2026 GSRH blueprint.

Behavioral health in GSRH care

Perinatal depression and anxiety, intimate partner violence screening, and substance use in pregnancy — a new psychiatric/behavioral health content area for 2026.

Menopause

Diagnosis and the risks/benefits of hormone therapy.

Pelvic floor & benign disease

Fibroids, endometriosis, ovarian cysts, and prolapse.

Which topics show up most on the GSRH EOR?

Preeclampsia criteria and severe features
Placenta previa vs abruption (painless vs painful bleeding)
Ectopic pregnancy presentation and βhCG/ultrasound logic
Postpartum hemorrhage causes (the 4 T's)
Cervical cancer screening intervals by age
AUB evaluation with the PALM-COEIN framework
Contraindications to combined oral contraceptives
PID diagnostic criteria and treatment
Breast mass workup by age
Postmenopausal bleeding = cancer until proven otherwise

How should you study for the GSRH EOR?

Obstetric emergencies are the highest-yield: preeclampsia severe features, previa vs. abruption (painless vs. painful bleeding), ectopic pregnancy, and postpartum hemorrhage (the 4 T's).
Anchor on screening and frameworks: cervical cancer intervals by age, AUB (PALM-COEIN), and breast-mass workup by age.
Reflex to a pregnancy test before imaging or meds, know contraception contraindications, and treat postmenopausal bleeding as endometrial cancer until proven otherwise.
Then run it on FirstPassPA. Work the GSRH question set by topic, read every explanation, and let spaced repetition resurface your misses as your exam date nears — then simulate with timed, mixed blocks in the final week.

What are common GSRH EOR mistakes?

Confusing previa (painless) and abruption (painful) bleeding
Missing severe-feature criteria in preeclampsia
Forgetting to check a pregnancy test before imaging/meds
Mixing up cervical cancer screening ages
Overlooking ectopic in any reproductive-age woman with pain + bleeding
Forgetting postmenopausal bleeding needs endometrial evaluation

Study GSRH on FirstPassPA

EOR rotation mode gives you a focused GSRH question set with an AI tutor on every answer, spaced repetition, and analytics that show your weak spots. Free to start — no credit card.

Start studying free → Try free GSRH questions →

Educational use only. This outline is a study aid for PA students and is not medical advice or a substitute for clinical judgment. FirstPassPA is an independent study tool and is not affiliated with, endorsed by, or sponsored by NCCPA or PAEA. PANCE® and PANRE® are registered trademarks of the National Commission on Certification of Physician Assistants; End of Rotation™ is a program of the Physician Assistant Education Association.