Kuwait MOH Obstetrics and Gynecology Exam: Official Blueprint & Preparation
The Obstetrics and Gynecology examination is a specialist licensing test that Prometric delivers for the Kuwait Ministry of Health. It is intended for physicians seeking registration in obstetrics and gynecology at registrar or senior level and tests the knowledge needed to manage pregnancy, labor, gynecologic disease, infertility and gynecologic cancer independently. Questions are clinical scenarios that ask for the most appropriate diagnosis, investigation or management decision.
- Questions150 MCQs
- Time170 min + 10 min break
- Pass markRegistrar 65% · Senior 70%
- Attempts3, 6 weeks apart
Obstetrics and Gynecology: Kuwait licensing facts
| Specialty | Obstetrics and Gynaecology |
|---|---|
| Professional category | Medical |
| Licensing authority | Kuwait Ministry of Health — Medical Licensing Department |
| Official exam | Kuwait Licensing Exam — Obstetrics and Gynecology |
| Exam provider | Prometric (worldwide test centres) |
| Blueprint status | Official Prometric blueprint Official Prometric blueprint: 150 MCQs, 170 min, pass mark Registrar 65% · Senior 70%. |
| Questions | 150 multiple-choice questions |
| Duration | 170 min plus a 10-minute break |
| Passing score | Registrar 65% · Senior 70% |
| Attempts | 3 attempts, at least 6 weeks apart |
| Language | Not stated in official documents |
| Source | Prometric “Kuwait Licensing Exam” document |
| Last verified |
The exam consists of 150 computer-based multiple-choice questions completed in 170 minutes, with an additional 10-minute break. The pass mark is 65% for Registrar and 70% for Senior. Candidates have three attempts, and each attempt must be at least six weeks after the previous one. Because the threshold is set at specialist level, practice scores should comfortably exceed the mark for the level you are applying for before you book.
The official blueprint lists ten sections. General Obstetrics (36 items) and General Gynecology (31) make up almost half of the exam. Maternal-Fetal Medicine and Gynecologic Oncology have 15 items each, Women's Health 14, Reproductive Endocrinology and Infertility 12, Urogynecology and Pelvic Floor Disorders 8 and Perioperative Management 7. Professionalism and Ethics (8) and Patient Safety (4) complete the paper, which means non-clinical topics contribute 12 items. Prometric states that the content is subject to change upon department review, so check the current blueprint with Kuwait MOH or Prometric before sitting the exam.
Obstetrics and Gynecology exam blueprint: questions per section
| # | Section | Questions | % of exam |
|---|---|---|---|
| 1 | General Obstetrics | 36 | 24% |
| 2 | General Gynecology | 31 | 20.7% |
| 3 | Maternal-Fetal Medicine | 15 | 10% |
| 4 | Gynecologic Oncology | 15 | 10% |
| 5 | Women's Health | 14 | 9.3% |
| 6 | Urogynecology and Pelvic Floor Disorders | 8 | 5.3% |
| 7 | Reproductive Endocrinology and Infertility | 12 | 8% |
| 8 | Perioperative Management | 7 | 4.7% |
| 9 | Patient Safety | 4 | 2.7% |
| 10 | Professionalism and Ethics | 8 | 5.3% |
| Total | 150 | 100% |
Source: Prometric “Kuwait Licensing Exam”, verified 1 November 2026. Section totals checked to equal 150. Prometric notes that content, percentages and attempts are subject to change upon department review.
Section-by-section high-yield topics
1General Obstetrics 36 Q · 24%
The largest section, covering antenatal care, normal and abnormal labor, intrapartum monitoring and the postpartum period. Obstetric emergencies are a major focus.
- Antenatal screening and routine care
- Hypertensive disorders and preeclampsia with severe features
- Gestational diabetes diagnosis and management
- Antepartum hemorrhage: placenta previa, abruption and vasa previa
- Intrapartum fetal heart rate interpretation
- Induction of labor and Bishop score
- Shoulder dystocia maneuvers
- Postpartum hemorrhage escalation
- Preterm labor, antenatal corticosteroids and magnesium for neuroprotection
- Rh alloimmunization prevention
2General Gynecology 31 Q · 20.7%
Covers common benign gynecologic problems including bleeding disorders, pelvic pain, early pregnancy complications and infections.
- Abnormal uterine bleeding and the PALM-COEIN classification
- Ectopic pregnancy and methotrexate criteria
- Miscarriage management options
- Uterine fibroids medical and surgical treatment
- Endometriosis and chronic pelvic pain
- Pelvic inflammatory disease
- Adnexal torsion and ovarian cysts
- Vulvovaginal infections
- Contraception and emergency contraception
3Maternal-Fetal Medicine 15 Q · 10%
Covers high-risk pregnancy, medical disorders in pregnancy, fetal growth and fetal anomalies.
- Fetal growth restriction and Doppler surveillance
- Multiple pregnancy and twin-twin transfusion syndrome
- Thyroid disease and epilepsy in pregnancy
- Venous thromboembolism in pregnancy
- Prenatal screening and diagnostic testing for aneuploidy
- Cervical insufficiency and cerclage
- HELLP syndrome
- Red cell alloimmunization and fetal anemia
4Gynecologic Oncology 15 Q · 10%
Covers screening, diagnosis, staging principles and initial management of cervical, endometrial, ovarian, vulvar and gestational trophoblastic disease.
- Cervical screening and risk-based management of abnormal results
- Colposcopy and treatment of CIN
- Endometrial cancer and postmenopausal bleeding
- Endometrial hyperplasia
- Adnexal mass evaluation and CA-125
- Ovarian cancer and BRCA
- Vulvar cancer and lichen sclerosus
- Gestational trophoblastic disease and hCG follow-up
5Women's Health 14 Q · 9.3%
Covers preventive care, menopause, breast health and wellbeing across a woman's life span.
- Menopause symptoms and hormone therapy risks and benefits
- Osteoporosis screening and prevention
- Breast lump evaluation
- Intimate partner violence screening
- Perinatal depression
- HPV vaccination
- Sexually transmitted infection screening
6Urogynecology and Pelvic Floor Disorders 8 Q · 5.3%
Covers urinary incontinence, pelvic organ prolapse and other pelvic floor disorders.
- Stress versus urge urinary incontinence
- Urodynamic testing
- Pelvic floor muscle training
- Pelvic organ prolapse staging (POP-Q)
- Pessary and surgical options for prolapse
- Overactive bladder medications
- Obstetric anal sphincter injury
- Vesicovaginal fistula
7Reproductive Endocrinology and Infertility 12 Q · 8%
Covers menstrual and endocrine disorders, infertility evaluation and assisted reproduction.
- Polycystic ovary syndrome diagnosis and management
- Primary and secondary amenorrhea work-up
- Hyperprolactinemia
- Infertility evaluation: ovulation, tubal and semen analysis
- Ovulation induction with letrozole
- Ovarian hyperstimulation syndrome
- Premature ovarian insufficiency
- Recurrent pregnancy loss
8Perioperative Management 7 Q · 4.7%
Covers preoperative assessment, surgical techniques and the prevention and management of perioperative complications in obstetric and gynecologic surgery.
- Preoperative assessment and optimization
- Antibiotic prophylaxis for cesarean section and hysterectomy
- VTE prophylaxis
- Enhanced recovery after surgery
- Ureteric, bladder and bowel injury
- Postoperative fever evaluation
- Laparoscopic entry complications
9Patient Safety 4 Q · 2.7%
Covers systems approaches to reducing harm in obstetric and gynecologic care.
- WHO Surgical Safety Checklist
- Obstetric emergency drills and simulation
- Structured communication and handover
- Incident reporting and learning from adverse events
- Medication safety in pregnancy
- Modified early obstetric warning scores
10Professionalism and Ethics 8 Q · 5.3%
Covers consent, confidentiality and ethical dilemmas specific to reproductive health.
- Informed consent for obstetric and gynecologic procedures
- Maternal autonomy and refusal of treatment
- Confidentiality in reproductive and sexual health
- Ethics of assisted reproduction
- Disclosure of adverse outcomes
- Professional conduct and chaperones
High-yield topics & competencies
Must-know topics
- Give magnesium sulfate for seizure prophylaxis in preeclampsia with severe features and treat severe-range blood pressure urgently.
- Recommend delivery after maternal stabilization for preeclampsia with severe features at or beyond 34 weeks.
- Follow the four Ts approach and stepwise escalation in postpartum hemorrhage.
- Know methotrexate eligibility criteria for ectopic pregnancy.
- Apply risk-based management of abnormal cervical screening; HPV-positive ASC-US usually warrants colposcopy.
- Investigate postmenopausal bleeding to exclude endometrial cancer.
- Use letrozole as first-line ovulation induction in PCOS.
- Know the components of the Bishop score and fetal heart rate categories.
- Know the risks and benefits of menopausal hormone therapy.
- Do not neglect Professionalism and Ethics and Patient Safety, which together make up 12 items.
Competencies assessed
- Manage normal and high-risk pregnancy, labor and the postpartum period
- Diagnose and treat benign gynecologic conditions
- Recognize and manage obstetric and gynecologic emergencies
- Apply screening and early diagnosis in gynecologic oncology
- Evaluate infertility and reproductive endocrine disorders
- Practice safe perioperative care with professionalism and ethical judgment
How to prepare for the Obstetrics and Gynecology exam
Base your study plan on the blueprint: General Obstetrics (24%) and General Gynecology (about 21%) together account for nearly half of the exam, so they deserve the largest share of your time. Next come Maternal-Fetal Medicine and Gynecologic Oncology (10% each), Women's Health and Reproductive Endocrinology and Infertility, followed by the smaller sections. Use the listed core texts for depth, but cross-check management with current international guidelines because some listed editions are older. Practice timed blocks of clinical scenarios and review every explanation, including the reasons each distractor is wrong. Book the exam once your practice scores are consistently above the pass mark for your level, 65% for Registrar or 70% for Senior.
How our question bank is weighted
Practice questions follow the official section percentages:
- General Obstetrics24%
- General Gynecology20.7%
- Maternal-Fetal Medicine10%
- Gynecologic Oncology10%
- Women's Health9.3%
- Urogynecology and Pelvic Floor Disorders5.3%
- Reproductive Endocrinology and Infertility8%
- Perioperative Management4.7%
- Patient Safety2.7%
- Professionalism and Ethics5.3%
Recommended references (from Prometric’s reference list)
- Williams Obstetrics (Cunningham et al.)
- Speroff's Clinical Gynecologic Endocrinology and Infertility
- Berek & Novak's Gynecology (Berek)
- Comprehensive Gynecology (Katz et al.)
- Professionalism and Ethics Handbook for Residents: A Practical Guide (Ware, Alkaabba, Hussein, Kasule; SCFHS)
- Essentials of Patient Safety (SCFHS)
Obstetrics and Gynecology sample questions
Q1. A 31-year-old woman, gravida 2, para 1, at 35 weeks' gestation presents with a severe headache and visual disturbance. Her blood pressure is 166/112 mm Hg on repeated measurements 15 minutes apart, and urine dipstick shows 3+ protein. Platelets are 142 x 10^9/L and liver enzymes are normal. Cardiotocography is reassuring.
Show answer & explanation
Correct answer: C. This patient has preeclampsia with severe features, shown by severe-range blood pressure and neurological symptoms. Management is urgent treatment of blood pressure with IV labetalol or hydralazine (or oral nifedipine), magnesium sulfate for seizure prophylaxis and delivery after maternal stabilization, because she is beyond 34 weeks. The mode of delivery is guided by obstetric factors; preeclampsia alone is not an indication for cesarean section. Close maternal and fetal monitoring continues during and after delivery.
- A: Oral methyldopa is too slow for severe-range blood pressure, and outpatient care is unsafe with severe features.
- B: Expectant management is not recommended for preeclampsia with severe features at or beyond 34 weeks.
- D: The mother must be stabilized first, and cesarean section is not automatically required.
Q2. A 32-year-old woman attends for routine cervical screening. Her cytology result shows atypical squamous cells of undetermined significance (ASC-US), and reflex HPV testing is positive for high-risk HPV. Her previous screening 5 years ago was normal. She is not pregnant and has no symptoms.
Show answer & explanation
Correct answer: B. Under risk-based management guidelines, HPV-positive ASC-US in a woman with no recent history of an HPV-positive result carries an immediate risk of CIN 3 or worse high enough to warrant colposcopy. Colposcopy allows directed biopsy of any abnormal areas to determine whether treatment is needed. Women with HPV-negative ASC-US can return to routine screening. Excision or more aggressive treatment depends on the biopsy findings.
- A: A 3-year interval is used for low-risk results and would delay assessment of a significant HPV-positive abnormality.
- C: Hysterectomy is not a treatment for an abnormal screening result without a histological diagnosis.
- D: A 5-year interval applies only to women with negative HPV-based screening.
Q3. A 28-year-old woman presents with 18 months of infertility. She has cycles every 45 to 90 days, acne and hirsutism, and her BMI is 27 kg/m2. Transvaginal ultrasound shows more than 20 follicles in each ovary. Her partner's semen analysis is normal, and a hysterosalpingogram shows patent tubes. Thyroid function and prolactin are normal.
Show answer & explanation
Correct answer: A. This patient meets the Rotterdam criteria for polycystic ovary syndrome, with oligo-ovulation, clinical hyperandrogenism and polycystic ovarian morphology. In anovulatory infertility due to PCOS, current international guidelines recommend letrozole as first-line pharmacological ovulation induction because it gives higher live birth rates than clomiphene. Lifestyle modification to support weight management is also advised. Gonadotropins, ovarian drilling or IVF are second- or third-line options.
- B: Clomiphene with or without metformin is an alternative but is less effective than letrozole as first-line treatment.
- C: IVF is reserved for women who do not conceive with ovulation induction or who have other indications.
- D: Laparoscopic ovarian drilling is a second-line option, usually after failure of oral ovulation induction.
Original educational question written by KMLE Exam — not a recalled exam question.
Obstetrics and Gynecology exam FAQs
How many questions are on the Kuwait MOH Obstetrics and Gynecology exam?
The exam has 150 computer-based multiple-choice questions across ten sections of the official blueprint.
How long is the exam?
Testing time is 170 minutes, with an additional 10-minute break.
What is the pass mark?
The pass mark is 65% for Registrar level and 70% for Senior level.
How many attempts are allowed?
You can take the exam up to three times, with at least six weeks between attempts.
Is this the same as the OB/GYN section of the General Practitioner exam?
No. The GP exam includes an Obstetrics and Gynaecology section of 38 items at general practitioner level, while this is a full specialist exam with its own blueprint and higher pass marks.
Where can I find fees, eligibility and registration details?
These are not stated in the blueprint document. Confirm fees, eligibility and registration steps directly with the Kuwait Ministry of Health or Prometric. Note that content is subject to change upon department review.