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

Obstetrics, Gynecology, and Medical Ethics & Safety

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 32-year-old primigravida at 34 weeks of gestation presents with a severe frontal headache, visual blurring, and epigastric pain. Her blood pressure is 172/114 mmHg on two readings taken 20 minutes aā€¦
  2. A 28-year-old woman at 38 weeks of gestation undergoes uncomplicated spontaneous vaginal delivery of a 4,100 g infant. Ten minutes after placental expulsion, brisk continuous vaginal bleeding is notedā€¦
  3. A 31-year-old multipara at 32 weeks of gestation presents to the labor ward with sudden-onset, painless bright red vaginal bleeding. She denies abdominal pain or uterine contractions. Maternal vital sā€¦
  4. A 24-year-old woman presents to the emergency department with acute right lower quadrant abdominal pain, light vaginal spotting, and 7 weeks of amenorrhea. Serum beta-hCG is 3,200 mIU/mL. Transvaginalā€¦
  5. A 30-year-old pregnant woman at 26 weeks of gestation undergoes routine screening for gestational diabetes mellitus (GDM) with a 75 g 2-hour Oral Glucose Tolerance Test (OGTT) following standard IADPSā€¦
  6. A 29-year-old primigravida at 30 weeks of gestation presents with sudden watery fluid leakage from the vagina. Sterile speculum examination confirms clear fluid pooling in the posterior fornix with niā€¦
  7. During the second stage of labor in a 34-year-old multipara delivering a 4,300 g infant, the fetal head delivers, but immediately retracts against the maternal perineum ('turtle sign'). Gentle downwarā€¦
  8. A 36-week pregnant woman has a positive routine rectovaginal swab culture for Group B Streptococcus (GBS; Streptococcus agalactiae). She arrives in active labor at 39 weeks with cervical dilation of 4ā€¦
  9. A 24-year-old nulliparous woman presents with severe dysmenorrhea, chronic pelvic pain, and deep dyspareunia that worsen during menstruation. Pelvic examination reveals tenderness along the uterosacraā€¦
  10. A 26-year-old woman presents to the clinic with irregular oligomenorrheic menstrual cycles (cycles every 45 to 60 days), acne, and increasing terminal hair growth over her chin and lower abdomen (Ferrā€¦
  11. A 56-year-old postmenopausal woman presents with a single episode of painless vaginal spotting. She underwent menopause 5 years ago and is not taking systemic hormone replacement therapy. Physical andā€¦
  12. A 22-year-old woman presents with acute, severe, stabbing right lower quadrant pain associated with nausea and two episodes of vomiting for 4 hours. She has a history of a known 6 cm right ovarian derā€¦
  13. A 21-year-old sexually active female presents with bilateral lower abdominal pain, abnormal yellowish vaginal discharge, and postcoital bleeding for 5 days. On pelvic examination, there is marked cervā€¦
  14. A 35-year-old woman presents to the family planning clinic seeking effective, reversible contraception. She smokes 15 cigarettes per day and has a history of migraine headaches with visual aura. Her bā€¦
  15. A 28-year-old Rh-negative primigravida presents for routine prenatal care at 28 weeks of gestation. Maternal antibody screen (indirect Coombs test) is negative, indicating she is unsensitized. The fatā€¦
  16. A 32-year-old nulliparous woman presents with primary infertility of 18 months' duration despite regular, unprotected intercourse. Her menstrual cycles are regular every 28 days with premenstrual moliā€¦
  17. A 33-year-old woman has had three consecutive first-trimester miscarriages between 8 and 10 weeks of gestation. She has no history of medical illness, but reports a past episode of deep vein thrombosiā€¦
  18. A 28-year-old trauma patient arrives at the emergency department unconscious and hypotensive after a high-speed motor vehicle collision in Kuwait City. A focused assessment with sonography for traumaā€¦
  19. A 35-year-old patient in Kuwait is diagnosed with active pulmonary tuberculosis with sputum smear-positive acid-fast bacilli. The patient adamantly demands that the physician keep the diagnosis compleā€¦
  20. In a public hospital intensive care unit in Kuwait, a 68-year-old patient with multi-organ failure and catastrophic intracranial hemorrhage is evaluated for brain death. According to Kuwait Ministry oā€¦
  21. A junior resident physician inadvertently administers 10 mg of intravenous morphine instead of 1 mg to a postoperative patient due to look-alike packaging. The patient develops respiratory depressionā€¦
  22. A 42-year-old multipara undergoes an elective total abdominal hysterectomy for symptomatic uterine fibroids. On postoperative day 5, she develops watery fluid drainage from the vagina. Intravenous indā€¦
  23. A 62-year-old postmenopausal woman with early-stage ER-positive, HER2-negative breast cancer undergoes breast-conserving surgery and completes adjuvant radiation. She is started on daily Tamoxifen theā€¦
  24. During a continuous intrapartum cardiotocography (CTG) recording at 40 weeks of gestation, the baseline fetal heart rate drops abruptly from 145 bpm to 70 bpm for 4 minutes with loss of baseline variaā€¦
  25. A 27-year-old G1P0 woman at 39 weeks of gestation in active labor develops acute fever (38.8Ā°C), maternal tachycardia (118 bpm), persistent fetal tachycardia (175 bpm), and purulent foul-smelling amniā€¦
  26. Under the Kuwait Medical Liability Law (Law No. 70 of 2020) and standard medical jurisprudence, which of the following elements must be definitively established by a plaintiff to prove civil medical nā€¦
  27. A newborn born at 41 weeks gestation via emergent cesarean section for fetal distress is covered in thick green amniotic fluid. At delivery, the infant is limp, apneic, and bradycardic with heart rateā€¦
  28. A 7-year-old boy presents with periorbital edema, dark tea-colored urine, and hypertension (BP 138/88 mmHg). Two weeks earlier, he had an untreated impetigo skin infection. Urinalysis reveals proteinuā€¦
  29. A 29-year-old woman presents at 10 weeks gestation with excessive nausea and intractable vomiting, resulting in a 6% body weight loss, ketonuria, and hypokalemic metabolic alkalosis. Transvaginal ultrā€¦
  30. A 5-year-old child presents with sudden severe testicular pain, swelling, and scrotal erythema. On examination, the left testicle is high-riding with a transverse lie, and the cremasteric reflex is abā€¦
  31. A 30-year-old Rh-negative G2P1 mother with an Rh-positive husband gives birth to an Rh-positive infant. The indirect Coombs test during pregnancy was negative. To prevent Rh isoimmunization in futureā€¦

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