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

Pediatrics and Neonatal Medicine

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

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

All 31 questions

  1. A full-term newborn delivered via emergency cesarean delivery for fetal distress is apneic and limp at birth. After initial drying, positioning, and suctioning, the infant remains apneic with a heart…
  2. A 36-hour-old full-term infant born to an O-positive mother develops visible jaundice extending to the extremities. Total serum bilirubin is 19.8 mg/dL (338 micromol/L). Infant blood type is A-positiv…
  3. A 4-week-old first-born male infant presents with non-bilious, projectile vomiting immediately after feeds for 4 days. On physical examination, the infant appears mildly dehydrated, and an olive-shape…
  4. An 8-month-old infant presents with sudden-onset paroxysms of severe colicky abdominal pain during which he pulls his legs up to his abdomen, followed by lethargy. Between episodes, he appears exhaust…
  5. A 3-year-old child presents with a 2-day history of low-grade fever, hoarseness, and a harsh, barking 'seal-like' cough. On examination, the child is alert with mild inspiratory stridor at rest and su…
  6. A 4-year-old boy presents with high fever (39.8°C) for 6 days refractory to antipyretics. Physical examination demonstrates bilateral non-exudative bulbar conjunctival injection, cracked red strawberr…
  7. A 7-year-old boy presents with sudden-onset palpable purpuric lesions distributed symmetrically over his buttocks and extensor surfaces of both lower limbs. He reports diffuse crampy abdominal pain an…
  8. A 3-year-old girl is brought to the clinic because of generalized facial puffiness and abdominal swelling. Laboratory investigations reveal serum albumin 1.8 g/dL, total serum cholesterol 380 mg/dL, a…
  9. A 6-year-old boy known to have Sickle Cell Anemia (HbSS) is admitted to the pediatric inpatient ward with fever (38.9°C), productive cough, tachypnea, and chest wall pain. Physical examination reveals…
  10. A 2-year-old boy with cyanotic congenital heart disease suddenly becomes irritable, hyperpneic, deeply cyanotic, and unresponsive while crying at the pediatric clinic. The mother states that he often…
  11. A routine screening of a 4-year-old boy reveals an asymptomatic blood pressure of 134/86 mmHg in the right upper arm. On further examination, femoral pulses are weak and delayed compared to prominent…
  12. A mother brings her 6-month-old infant for a well-child checkup. When evaluating normal developmental milestones according to standard developmental screening (Denver II / CDC guidelines), which miles…
  13. A 3-week-old newborn presents with prolonged neonatal jaundice, sluggish feeding, severe constipation, and an umbilical hernia. Physical examination reveals an enlarged tongue (macroglossia), a large…
  14. A previously healthy 2-year-old boy is brought to the emergency department after a sudden choking episode while eating peanuts. On examination, the child is conscious but irritable, with tachypnea and…
  15. A 4-month-old infant presents with a 3-day history of clear rhinorrhea, low-grade fever, tachypnea (respiratory rate 64 bpm), bilateral subcostal retractions, and widespread expiratory wheezes and cra…
  16. A 5-year-old child presents with a high fever (39.5°C), cough, coryza, and marked conjunctivitis with photophobia for 4 days. On oral examination, tiny white-gray lesions on an erythematous base are o…
  17. An 18-month-old toddler presents to the emergency department following a 2-minute generalized tonic-clonic seizure that occurred during a spike in temperature to 39.2°C associated with acute otitis me…
  18. A 6-week-old infant is brought to the clinic because of continuous non-bilious emesis and failure to gain weight. Physical exam reveals a sunken anterior fontanelle, poor skin turgor, delayed capillar…
  19. A 14-day-old term neonate presents with poor feeding, lethargy, hypothermia (rectal temperature 35.8°C), and a full, bulging anterior fontanelle. Blood cultures and lumbar puncture are performed. Cere…
  20. A 10-year-old girl presents with progressive polyuria, polydipsia, unprovoked weight loss of 4 kg over three weeks, and persistent nausea with abdominal pain. On physical examination, she has deep, ra…
  21. A 6-year-old child presents with pallor, fatigue, generalized petechiae, and bone pain that wakes him at night. Physical exam reveals cervical and axillary lymphadenopathy and splenomegaly palpable 4…
  22. A 3-month-old infant who has not yet received vaccinations presents with persistent, paroxysmal coughing episodes consisting of 15 to 20 consecutive forceful coughs followed by an inspiratory 'whoop'…
  23. A newborn born at 39 weeks' gestation fails to pass meconium within the first 48 hours of life. The infant develops progressive abdominal distension and bilious vomiting. Digital rectal examination re…
  24. According to the State of Kuwait Ministry of Health National Childhood Immunization Schedule, which two vaccines are routinely administered to all healthy neonates within the first 24 to 48 hours foll…
  25. A 9-month-old infant is brought to the pediatric outpatient clinic due to poor weight gain. Physical growth parameters plot weight below the 3rd percentile, while head circumference and length remain…
  26. A late preterm infant born at 36 weeks' gestation via elective repeat cesarean delivery without prior labor develops tachypnea (respiratory rate 78 bpm), nasal flaring, and mild intercostal retraction…
  27. A 2-week-old neonate presents with poor feeding, lethargy, vomiting, and dehydration. Genital examination reveals clitoromegaly and labioscrotal fusion. Serum sodium is 122 mEq/L, potassium 7.1 mEq/L…
  28. A 3-year-old boy presents with high fever for 3 days, drooling, difficulty swallowing, and sitting in a 'tripod' position with neck extended. He has inspiratory stridor. Lateral neck radiograph demons…
  29. A 25-year-old primigravida at 28 weeks gestation presents with persistent generalized pruritus, predominantly on the palms and soles, which worsens at night. She has no skin rash. Total serum bile aci…
  30. A 14-month-old girl presents with 3 days of high fever (39.8°C) without localizing signs. On day 4, the fever abruptly defers, immediately followed by the appearance of a rose-pink maculopapular blanc…
  31. A 32-year-old G2P1 at 39 weeks gestation undergoes normal vaginal delivery. Five minutes after placenta expulsion, brisk continuous vaginal hemorrhage ensues, totaling 700 mL. On examination, the uter…

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