KMLE Obstetrics and Gynecology Specialty Exam 2026
KMLE Obs and Gyn Exam Quick Summary
The KMLE (Kuwait Medical Licensing Examination) Obstetrics and Gynecology exam is a Prometric computer-based test of 150 MCQs in 170 minutes, with a 10 minute break. The passing mark is 65% for Registrar level and 70% for senior levels, and you get 3 attempts with at least 6 weeks between them.
Doctors who want to work in Obs and Gyn under the Kuwait Ministry of Health (MOH) sit a specialty paper set by the MOH Medical Licensing Department and delivered by Prometric. It is a single paper of clinical scenarios, and every section comes from obstetrics, gynecology or the patient safety and ethics that go with them. This page covers the format, the official blueprint section by section, the passing score by level and a practical way to prepare. For the general KMLE route and the GP paper, see our KMLE exam format guide.
What is the KMLE Obstetrics and Gynecology exam format?
| Item | KMLE Obs and Gyn exam |
|---|---|
| Questions | 150 multiple choice questions, single best answer |
| Time | 170 minutes, including a 10 minute break |
| Delivery | Computer-based, at Prometric test centres worldwide |
| Passing score | Registrar 65%, senior levels 70% |
| Attempts | 3, at least 6 weeks apart |
| Booking | Through Prometric after the MOH Kuwait licensing department accepts your application |
That works out to a little over a minute per question. The blueprint notes that its content, percentages and attempt limits can change after departmental review, so check the current version on the Prometric Kuwait MOH page before you book.
Which levels sit the KMLE Obs and Gyn exam?
MOH Kuwait grades doctors by level. Prometric lists two groups of exams:
You do not choose your level yourself. The MOH Kuwait Medical Licensing Department decides it from your postgraduate qualification and experience when it reviews your file on the MOH Kuwait online licensing portal. If your qualification is a diploma rather than a full specialty degree, ask the department which level it maps to before you start preparing, because the pass mark depends on it.
What is KMLE Obstetrics and Gynecology exam Syllabus?
The Prometric blueprint gives the number of questions in each section. This is where your marks come from:
| Section | Questions | Share (approx.) |
|---|---|---|
| General Obstetrics | 36 | 24% |
| General Gynecology | 31 | 21% |
| Maternal-Fetal Medicine | 15 | 10% |
| Gynecologic Oncology | 15 | 10% |
| Women's Health (e.g., menopause, breast health) | 14 | 9% |
| Reproductive Endocrinology & Infertility | 12 | 8% |
| Urogynecology & Pelvic Floor Disorders | 8 | 5% |
| Professionalism and Ethics | 8 | 5% |
| Perioperative Management | 7 | 5% |
| Patient Safety | 4 | 3% |
| Total | 150 | 100% |
General obstetrics and general gynecology together make up nearly half the paper. Get those solid first. The 12 questions on patient safety and ethics are easy marks that many candidates leave to the last week, and then lose.
What is KMLE Obs & Gyn exam Passing Score?
The passing score varies with the level you apply for: 65% for Registrar and 70% for the senior levels (Senior Registrar and above). On 150 questions, that means roughly 98 correct answers for a Registrar and 105 for a senior candidate. You have 3 attempts, and each new attempt must be at least 6 weeks after the previous one, which gives you time to work on the sections where you were weak.
Which books does the KMLE Obs and Gyn blueprint recommend?
The blueprint lists these references. Its editions are old, so use the latest edition of each.
How to prepare for the KMLE Obs and Gyn exam?
How to find KMLE Obs & Gyn Past Questions?
The exact Kuwait Obs & Gyn past questions are not published, and anyone selling "real papers" is selling recalls at best. What you can use are Obs & Gyn specialty recall questions, created by Interface Medical Education and mapped to the blueprint sections above.
KMLE Obstetrics and Gynecology sample practice MCQs
Two questions in the clinical scenario style Prometric uses. Tap a question to see the answer.
Question 1: Rhesus prophylaxis
A 30-year-old woman, gravida 2 para 1, is RhD negative and was not sensitised at booking. She received routine antenatal anti-D prophylaxis (1500 IU) at 28 weeks. At 31 weeks she falls onto her abdomen and has a small amount of vaginal bleeding. She is stable, the uterus is soft and non-tender, and the CTG is normal. What is the most appropriate next step regarding anti-D?
A) No further anti-D, because the 28-week dose covers her until delivery
B) Give anti-D immunoglobulin within 72 hours and send a Kleihauer test to size the fetomaternal haemorrhage
C) Check the antibody screen and give anti-D only if no anti-D antibodies are detected
D) Withhold anti-D and give the full dose after delivery if the baby is RhD positive
Correct answer: B) Give anti-D immunoglobulin within 72 hours and send a Kleihauer test to size the fetomaternal haemorrhage
Abdominal trauma is a potentially sensitising event, and anti-D must be given for each such event even if routine antenatal prophylaxis has already been given. After 20 weeks, give anti-D (at least 500 IU in UK practice) within 72 hours and measure the bleed with a Kleihauer test or flow cytometry; a larger haemorrhage needs more anti-D. Option C is a trap: anti-D from the 28-week injection is still detectable and cannot be told apart from immune anti-D, so a positive screen is not a reason to withhold it.
Question 2: Urogynecology
A 44-year-old woman, para 3, has had urine leakage for a year when she coughs, laughs or runs. She has no urgency, frequency or nocturia. Urinalysis is negative, post-void residual volume is normal, there is no significant prolapse, and leakage is seen on coughing during examination. Her BMI is 26 kg/m2. What is the most appropriate first-line management?
A) Retropubic mid-urethral sling
B) Supervised pelvic floor muscle training for at least 3 months
C) Oral oxybutynin
D) Oral duloxetine
Correct answer: B) Supervised pelvic floor muscle training for at least 3 months
This is stress urinary incontinence. First-line treatment is a supervised programme of pelvic floor muscle training lasting at least 3 months, with lifestyle advice. Surgery such as a mid-urethral sling is considered only if conservative treatment fails. Antimuscarinics like oxybutynin treat overactive bladder, not stress incontinence, and duloxetine is not a routine first-line option.
Frequently Asked Questions
How many questions are in the KMLE Obs and Gyn exam?
The exam has 150 multiple choice questions, taken on computer at a Prometric centre. You get 170 minutes, which includes a 10 minute break. Questions are mostly clinical scenarios with one best answer.
What is the passing score for the KMLE Obs and Gyn exam?
The Prometric blueprint sets 65% for Registrar level and 70% for senior levels (Senior Registrar, Specialist, Senior Specialist and Consultant). MOH Kuwait decides your level from your qualification and experience, so confirm it before you book.
How many attempts do I get?
The blueprint allows 3 attempts, with at least 6 weeks between attempts. The blueprint also says attempt limits can change after departmental review, so check the current rules on the Prometric Kuwait MOH page.
Will the KMLE Obs and Gyn exam ask questions from other specialties?
No. Every blueprint section is obstetrics, gynecology, perioperative care, patient safety or ethics. General medicine and surgery appear only as they relate to your patients, for example diabetes or thromboembolism in pregnancy.
Where do I apply for the Kuwait Obs and Gyn licence?
Applications go to the MOH Kuwait Medical Licensing Department through its online licensing portal. Once your application is accepted, you book the exam with Prometric. Pharmacy is licensed by a separate MOH department.
Your Comments
Readers have asked us these questions over time. Tap any question to open it and read our reply.
dr.sindhu (India): is a DGO enough for a Kuwait specialist licence?
"I am gynecologist (2 yars post graduate diploma) from india with 6 years experience.Please provide KMLE Obs Gyn questions. What are my job prospects in kuwait. Am I eligible to get specialist licence because my post graduation is diploma only.Do I have to go through KMLE which I think questions from other specialities also will have to be answered."
dr.sindhu
Medical Qualification:M.B.B.S,DGO
City, Country:india
noorush (Karachi, Pakistan): has anyone else used the KMLE GP MCQs?
"I want to apply KMLE GP exam. One of my friend who has passed this exam, referred me this KMLE GP MCQs. Please is there anyone else who has used this study material because i don't want to take any risk."
noorush
Medical Qualification: M.B.B.S
City, Country:KARACHI,PAKISTAN
dr mukesh (Hyderabad, Pakistan): KMLE Pediatric exam pattern after a house job
"i m 38y i hv passed my medical ex in 2020 and did house job for one year in paediatrics now i m working as a gp.i want to be appear in KMLE Pediatric examination and which type of sub spec willbe and patern thanx"
dr mukesh
Medical Qualification:mbbs
City, Country:hyderabad pakistan
mujeebrahman (Palakkad, India): KMLE without the MCI screening test?
"hi,can we appear for KMLE without clearing MCI screening test if we are graduated from soviet union?I have 2years of experience..reply me plz"
mujeebrahman
Medical Qualification:Medical doctor
City, Country:palakkad,kerala
elie (Lebanon): no good standing certificate and no sponsor, can I apply?
"i used to work in my own clinic from 2007 so i dont have a Good Standing Certificate for the last three years and i dont have a sponser yet. can i still apply?"
elie
Medical Qualification:dentist
City, Country:lebanon
Uzma khan (Lahore, Pakistan): ICU nurse, register from Pakistan and take the exam online?
"I am a registerd nurse having experience of 14 years working in cardiac surgery Icu wanted to know the schedule of moh dubai registeration schedule and fee and can I get registered while being here in Pakistan and can I take on line exame also while staying here& how to get previous pApers , and how I can get job also there in UAE, looking forward to hear from you ,I will b obliged to get your reply . Regards , Uzma khan"
Uzma khan
Medical Qualification:General nursing and midwifery and one year post basic diploma in ccu /Icu managemnt
City, Country: Lahore /Pakistan
noorush (Karachi, Pakistan): MOH exam for an Obs and Gyn RMO job in Dubai
"i want to give moh exam n want to apply for jon in dubai as a gynae?obs rmo plz provide me information"
noorush
Medical Qualification: M.B.B.S
City, Country:KARACHI,PAKISTAN
s v sudhakar (Hyderabad, India): will I get a job after the exam?
"i want to know about exam and sure that ill get a job after qualifing exam"
s v sudhakar
Medical Qualification:b.sc nursing
City, Country:hyderabad,india
saneesh (Bangalore, India): MOH UAE exam centre in Trivandrum
"can anyone help me to know the address of MOH UAE exam center at Trivandrum kerala."
saneesh
Medical Qualification:post bsc nursing
City, Country:banglore
abida (Peshawar, Pakistan): which position for a family planning worker?
"i was worked in DHQ hospital pakistan as govt emplye in family planing depot for 15 years,now i want to work in Uae please guide me for which position i can apply to get moh licence.thanks,regards"
abida
Medical Qualification: B/A,F/A,SSC,FWC
City, Country: peshawar, pakistan
foumida (Bengaluru, India): where to get MOH question papers?
"i want to know from where i can get the quetion papers for moh exam pis guide me"
foumida
Medical Qualification: bsc
City, Country: bengaluru,india
saba sarfaraz khan (Mumbai, India): lab technician exam schedule and syllabus
"i just want 2 know schedule of pathology lab technician examination.plz guide me.what will be the syllabus should i prepare?how do i do registration?"
saba sarfaraz khan
Medical Qualification: BSCDMLT
City, Country:mumbai,india
bhavani.p (Trichy, India): a preparatory course before the MOH exam
"i want join some preparatory course before MOH exam"
bhavani.p
Medical Qualification: B.sc Nursing
City, Country:trichy; india
Kuldeep (Pune, India): pharmacist requirements in Kuwait and Oman
"What are requirements of pharmacist practice in Kuwait ,Oman?"
Kuldeep
Medical Qualification:B.Pharm
City, Country:Pune,india
Pass the KMLE Obs and Gyn exam
Clinical obstetrics and gynecology MCQs with explanations, organised by blueprint section, plus timed mocks in the 150-question format.
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