Kuwait Medical Licensing Examination (KMLE / KIMS) ยท Pediatrics and Obstetrics & Gynecology

Paediatric and obstetric cases

86 practice questions, each with the answer and an explanation.

Practise Paediatric and obstetric cases now

Random questions from this topic, one at a time. You see the answer and the explanation straight after each one.

All 86 questions

  1. A 3-year-old has fever, ear pain and a bulging red tympanic membrane. What is the most likely diagnosis?
  2. Which is the most appropriate initial treatment for Acute otitis media?
  3. Which investigation best confirms Croup?
  4. A 4-month-old has a runny nose, wheeze, crackles and difficulty feeding in winter. What is the most likely diagnosis?
  5. Which is the most appropriate initial treatment for Bronchiolitis?
  6. Which investigation best confirms Acute epiglottitis?
  7. Which complication or association is classically linked with Acute epiglottitis?
  8. A 3-year-old has fever for six days, red cracked lips, a strawberry tongue, conjunctivitis and swollen hands. What is the most likely diagnosis?
  9. Which is the most appropriate initial treatment for Kawasaki disease?
  10. Which investigation best confirms Measles?
  11. A 7-year-old has cola-coloured urine and facial puffiness two weeks after a sore throat. What is the most likely diagnosis?
  12. Which complication or association is classically linked with Post-streptococcal glomerulonephritis?
  13. Which investigation best confirms Minimal change nephrotic syndrome?
  14. Which complication or association is classically linked with Minimal change nephrotic syndrome?
  15. A 7-month-old has episodes of severe crying with drawing up of the legs, vomiting and redcurrant-jelly stool. What is the most likely diagnosis?
  16. Which is the most appropriate initial treatment for Intussusception?
  17. Which investigation best confirms Infantile pyloric stenosis?
  18. Which complication or association is classically linked with Infantile pyloric stenosis?
  19. A newborn has not passed meconium by 48 hours and has abdominal distension. What is the most likely diagnosis?
  20. Which is the most appropriate initial treatment for Hirschsprung disease?
  21. Which investigation best confirms Developmental dysplasia of the hip?
  22. Which complication or association is classically linked with Developmental dysplasia of the hip?
  23. A newborn has upslanting palpebral fissures, a single palmar crease and marked hypotonia. What is the most likely diagnosis?
  24. Which is the most appropriate initial treatment for Tetralogy of Fallot?
  25. An infant has a harsh pansystolic murmur at the left lower sternal edge and poor feeding. What is the most likely diagnosis?
  26. Which complication or association is classically linked with Ventricular septal defect?
  27. Which is the most appropriate initial treatment for Patent ductus arteriosus?
  28. A baby born at 28 weeks has grunting, nasal flaring and a ground-glass appearance on the chest film. What is the most likely diagnosis?
  29. Which is the most appropriate initial treatment for Neonatal respiratory distress syndrome?
  30. Which is the most appropriate initial treatment for Simple febrile seizure?
  31. A child has recurrent chest infections, fatty stools and poor growth, with a raised sweat chloride. What is the most likely diagnosis?
  32. Which is the most appropriate initial treatment for Cystic fibrosis?
  33. Which investigation best confirms Coeliac disease?
  34. Which complication or association is classically linked with Coeliac disease?
  35. An infant has paroxysms of coughing with an inspiratory whoop and post-tussive vomiting. What is the most likely diagnosis?
  36. Which is the most appropriate initial treatment for Pertussis?
  37. Which investigation best confirms Duchenne muscular dystrophy?
  38. A toddler has bowed legs, widened wrists and a rachitic rosary. What is the most likely diagnosis?
  39. Which is the most appropriate initial treatment for Nutritional rickets?
  40. Which investigation best confirms Pre-eclampsia?
  41. Which complication or association is classically linked with Pre-eclampsia?
  42. A woman with amenorrhoea has unilateral pelvic pain and spotting, a positive pregnancy test and an empty uterus on ultrasound. What is the most likely diagnosis?
  43. Which is the most appropriate initial treatment for Ectopic pregnancy?
  44. Which is the most appropriate initial treatment for Placenta praevia?
  45. A woman has sudden severe abdominal pain, dark vaginal bleeding and a rigid tender uterus. What is the most likely diagnosis?
  46. Which is the most appropriate initial treatment for Placental abruption?
  47. Which investigation best confirms Gestational diabetes?
  48. Which complication or association is classically linked with Gestational diabetes?
  49. After vaginal delivery a woman bleeds heavily and the uterus is soft and boggy. What is the most likely diagnosis?
  50. Which complication or association is classically linked with Uterine atony?
  51. Which investigation best confirms Hyperemesis gravidarum?
  52. Which complication or association is classically linked with Hyperemesis gravidarum?
  53. A 24-year-old has irregular periods, hirsutism, acne and polycystic ovaries on ultrasound. What is the most likely diagnosis?
  54. Which complication or association is classically linked with Polycystic ovary syndrome?
  55. Which investigation best confirms Endometriosis?
  56. Which complication or association is classically linked with Endometriosis?
  57. A 40-year-old has heavy menstrual bleeding and a bulky irregular uterus. What is the most likely diagnosis?
  58. Which complication or association is classically linked with Uterine fibroids?
  59. Which investigation best confirms Cervical carcinoma?
  60. Which complication or association is classically linked with Cervical carcinoma?
  61. A 52-year-old woman has had no periods for 12 months and has hot flushes and vaginal dryness. What is the most likely diagnosis?
  62. Which complication or association is classically linked with Menopause?
  63. Which investigation best confirms Pelvic inflammatory disease?
  64. Which complication or association is classically linked with Pelvic inflammatory disease?
  65. A woman with a known ovarian cyst has sudden severe unilateral pelvic pain and vomiting. What is the most likely diagnosis?
  66. Which complication or association is classically linked with Ovarian torsion?
  67. Which investigation best confirms Preterm labour?
  68. Which complication or association is classically linked with Preterm labour?
  69. A breastfeeding woman has a hot, red, painful breast and fever. What is the most likely diagnosis?
  70. Which complication or association is classically linked with Lactational mastitis?
  71. Which is the most appropriate initial treatment for Umbilical cord prolapse?
  72. After delivery of the head the shoulders do not follow and the head retracts against the perineum. What is the most likely diagnosis?
  73. Which complication or association is classically linked with Shoulder dystocia?
  74. Which is the most appropriate initial treatment for Hydatidiform mole?
  75. Ten days after delivery a woman is agitated and has delusions about her baby. What is the most likely diagnosis?
  76. Which complication or association is classically linked with Postpartum psychosis?
  77. Which investigation best confirms Turner syndrome?
  78. A baby of a group O mother becomes jaundiced within 24 hours of birth and has a positive direct Coombs test. What is the most likely diagnosis?
  79. Which is the most appropriate initial treatment for ABO haemolytic disease of the newborn?
  80. Which investigation best confirms Acute lymphoblastic leukaemia?
  81. Which complication or association is classically linked with Acute lymphoblastic leukaemia?
  82. A 6-year-old has palpable purpura on the buttocks and legs, joint pain, abdominal pain and haematuria after a cold. What is the most likely diagnosis?
  83. Which investigation best confirms Early-onset neonatal sepsis?
  84. Which complication or association is classically linked with Early-onset neonatal sepsis?
  85. A woman at 33 weeks has intense itching of the palms and soles without a rash and raised bile acids. What is the most likely diagnosis?
  86. Which is the most appropriate initial treatment for Obstetric cholestasis?

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