🇸🇦Saudi Commission for Health Specialties — SCFHS

SMLE Question Bank
2026 Preparation

Over 1,900 practice MCQs for the Saudi Medical Licensing Exam. Adaptive AI-powered question selection, spaced repetition, and detailed explanations aligned with the SCFHS exam blueprint.

بنك أسئلة شامل لامتحان الرخصة الطبية السعودية — أكثر من 1900 سؤال تدريبي

🇸🇦 Saudi Clinical Context·🎯 SCFHS Aligned·🤖 AI-Powered·📊 Performance Analytics
1,900+
Practice Questions
200
MCQs on Real Exam
4 hrs
Exam Duration
~11
Exam Periods/Year
🛡️ 30-Day Money-Back Guarantee·📱 Works on Any Device·🔒 No Credit Card Required·🆕 New Questions Added Daily

What Is the SMLE? (امتحان الرخصة الطبية السعودية)

The Saudi Medical Licensing Exam (SMLE) is a national standardized examination administered by the Saudi Commission for Health Specialties (SCFHS). It is a mandatory requirement for all medical graduates — both Saudi nationals and international medical graduates — who wish to obtain a medical licence to practice in the Kingdom of Saudi Arabia.

The SMLE assesses whether candidates possess the clinical knowledge and competence necessary for safe, supervised medical practice. The exam covers all major medical and surgical disciplines, with questions reflecting clinical scenarios encountered in Saudi healthcare settings. Topics include regional disease patterns such as sickle cell disease, thalassemia, glucose-6-phosphate dehydrogenase (G6PD) deficiency, and consanguinity-related genetic conditions that are more prevalent in the Saudi population.

Saudi Arabia has one of the largest healthcare systems in the Middle East, with over 490 hospitals and more than 2,700 primary healthcare centres. The SMLE ensures that all physicians entering this system meet a consistent standard of medical competence, regardless of where they obtained their medical degree.

For international medical graduates, the SMLE is a critical gateway to a medical career in Saudi Arabia — one of the highest-paying medical markets in the Gulf region, with tax-free salaries and comprehensive benefits packages.

SMLE Exam Format in 2026

200 MCQs across two sections with a break in between. Know exactly what to expect.

Exam Structure

  • Total Questions: 200 MCQs
  • Section 1: 100 questions — 120 minutes
  • Break: 30 minutes between sections
  • Section 2: 100 questions — 120 minutes
  • Total Duration: ~4 hours 30 minutes
  • Delivery: Computer-based testing (CBT) at Prometric centres
  • Question Type: Single best answer with 4 options
  • Negative Marking: No

Exam Availability

The SCFHS offers approximately 11 exam periods throughout the year, making the SMLE one of the most frequently available medical licensing exams in the Gulf region. This gives candidates flexibility to choose a date that aligns with their preparation timeline.

Exams are conducted at Prometric testing centres across Saudi Arabia and in select international locations. Registration is done through the SCFHS Mumaris+ online portal.

Registration Steps:

  1. Create an account on the SCFHS Mumaris+ portal
  2. Submit required documents and credentials
  3. Receive SCFHS eligibility confirmation
  4. Book your exam date via Prometric

Source: scfhs.org.sa. Verify details before registering.

SMLE Subject Breakdown

Approximate weighting of subjects on the SMLE. AiMedQs covers all these areas with targeted question sets.

~20%
Internal Medicine

Cardiology, pulmonology, gastroenterology, endocrinology, nephrology, hematology, rheumatology, and infectious diseases common in Saudi Arabia

~15%
Surgery

General surgery, orthopedics, urology, neurosurgery, and surgical emergencies relevant to Gulf practice

~15%
Pediatrics

Neonatal medicine, developmental pediatrics, pediatric emergencies, genetic disorders prevalent in the Saudi population

~12%
Obstetrics & Gynecology

Prenatal care, high-risk pregnancy, labor management, gynecologic conditions, and fertility considerations

~10%
Pharmacology & Therapeutics

Drug mechanisms, adverse effects, drug interactions, and Ramadan medication adjustments

~8%
Psychiatry & Behavioral Science

Mood disorders, psychotic disorders, substance use, and culturally sensitive mental health approaches

~10%
Preventive Medicine & Ethics

Public health, immunization schedules, screening programs, bioethics, and Saudi healthcare regulations

~10%
Basic Sciences

Pathology, microbiology, biochemistry, and anatomy applied in clinical contexts

SMLE Eligibility Requirements

🇸🇦 Saudi Medical Graduates

  • • Graduates of SCFHS-recognized Saudi medical schools
  • • Final-year medical students at recognized institutions
  • • Active Mumaris+ account with SCFHS
  • • Completion of required internship/training period

🌍 International Medical Graduates

  • • Medical degree from an SCFHS-recognized institution
  • • Credential verification through DataFlow
  • • Active Mumaris+ account with SCFHS
  • • Valid passport and Saudi visa (for in-Kingdom testing)

For the most current eligibility criteria, visit scfhs.org.sa.

How AiMedQs Helps You
Pass the SMLE

An intelligent study platform built for the Saudi Medical Licensing Exam.

🎯

SCFHS-Aligned Content

Questions mapped to the Saudi Commission for Health Specialties exam blueprint. Covers all tested subjects with appropriate weighting.

🏥

Saudi Clinical Context

Clinical scenarios reflect Saudi healthcare practice — consanguinity-related genetic conditions, sickle cell disease patterns, regional infections, and desert-related presentations.

🤖

Adaptive AI Question Selection

Our AI engine identifies your weakest subjects and prioritizes questions in those areas. Study smarter, not just harder.

🌐

Bilingual Support

Questions and explanations designed for English-medium preparation, with Arabic medical terminology naturally integrated where relevant.

🔄

Spaced Repetition

Missed questions return at scientifically optimized intervals. This evidence-based technique ensures long-term retention of high-yield concepts.

📊

Performance Analytics

Track accuracy by subject, identify trends, and see exactly where you need more practice before exam day.

🆕

New Questions Added Daily

Our question bank is continuously growing. Fresh, high-quality MCQs are added regularly to keep your practice current and comprehensive.

Why Saudi-Specific Preparation Matters

The SMLE is not just a generic medical knowledge test. It includes clinical scenarios and disease presentations that are specific to the Saudi Arabian population and healthcare system. Generic international question banks miss these critical areas:

Genetic Conditions

Sickle cell disease, thalassemia, G6PD deficiency, and other conditions common due to consanguinity patterns in the Saudi population.

Regional Infections

MERS-CoV, brucellosis, tuberculosis in migrant populations, leishmaniasis, and other infections with higher prevalence in the region.

Climate-Related Illness

Heat stroke, dehydration syndromes, and occupational heat exposure — particularly relevant during Hajj and summer months.

Cultural Considerations

Ramadan fasting and medication adjustments, family-centered decision making, end-of-life care preferences, and culturally sensitive patient communication.

AiMedQs questions are specifically crafted to include these Saudi-relevant clinical contexts, ensuring your preparation matches what you'll actually encounter on exam day.

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SMLE Frequently Asked Questions

What is the SMLE exam?

The Saudi Medical Licensing Exam (SMLE) is a standardized examination administered by the Saudi Commission for Health Specialties (SCFHS). It is mandatory for all medical graduates — both Saudi and international — who wish to practice medicine in Saudi Arabia. The exam assesses clinical knowledge and competence across all major medical disciplines.

What is the format of the SMLE?

The SMLE consists of 200 multiple-choice questions (MCQs) divided into two sections of 100 questions each. Each section has a time limit of 120 minutes (2 hours), with a 30-minute break between sections. The total exam duration is approximately 4 hours and 30 minutes. Questions are single best answer format with 4 options. The exam is delivered via computer-based testing (CBT) at Prometric test centres.

When can I take the SMLE?

The SCFHS offers approximately 11 exam periods throughout the year, making the SMLE one of the most frequently available medical licensing exams in the Gulf region. Exam dates are published on the SCFHS website (scfhs.org.sa). You can choose a date and Prometric testing centre that works best for your schedule.

Who is eligible to take the SMLE?

Eligibility includes: graduates of medical schools recognized by the SCFHS, final-year medical students at recognized institutions, and international medical graduates with verified credentials. You must register through the SCFHS Mumaris+ portal and book your exam through Prometric.

What is the passing score for the SMLE?

The SMLE uses a criterion-referenced passing standard. While the exact passing score is determined by the SCFHS using established psychometric methods, candidates generally need to score above the established minimum competency threshold. Scores are reported as pass/fail along with a numerical score.

How is the SMLE different from USMLE or MCCQE1?

While the SMLE tests similar core medical knowledge, it includes content specific to the Saudi healthcare context — regional disease patterns (sickle cell disease, thalassemia, consanguinity-related conditions), Saudi healthcare regulations, and Gulf-specific clinical presentations. The exam format (200 MCQs in two sections) also differs from USMLE and MCCQE1 formats.

What subjects does the SMLE cover?

The SMLE covers all major medical disciplines including Internal Medicine (~20%), Surgery (~15%), Pediatrics (~15%), Obstetrics & Gynecology (~12%), Pharmacology (~10%), Psychiatry (~8%), Preventive Medicine & Ethics (~10%), and Basic Sciences (~10%). Percentages are approximate and can vary between administrations.

How does AiMedQs help with SMLE preparation?

AiMedQs provides over 1,900 SMLE practice questions aligned with the SCFHS exam blueprint. Our platform uses adaptive AI-powered question selection to focus on your weak areas, spaced repetition for long-term retention, and detailed performance analytics. Questions include Saudi-specific clinical contexts and comprehensive explanations.

Can I retake the SMLE if I fail?

Yes, you can retake the SMLE. The SCFHS allows multiple attempts, though there may be a waiting period between attempts. Given the registration fees and the opportunity cost of delayed licensure, thorough first-attempt preparation is recommended.

How many questions does AiMedQs have for the SMLE?

AiMedQs currently offers over 1,900 SMLE-specific practice questions covering all subjects tested on the exam. Our question bank is continuously updated with new content reviewed by medical professionals with Gulf clinical experience.

🇸🇦 Your medical career in Saudi Arabia
starts with the SMLE.

Over 1,900 practice questions with Saudi clinical context. AI-powered. Start studying today.

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AiMedQs is an exam preparation tool and does not guarantee exam results. Content is for educational purposes only. AiMedQs is not affiliated with or endorsed by the Saudi Commission for Health Specialties (SCFHS). For official exam information, visit scfhs.org.sa.