SMLE Exam 2026 — Free MCQ Practice & Prep Guide
Prepare for the Saudi Medical Licensing Examination (SCFHS) with 10,000+ free Prometric MCQs from real past papers. Covering all four SMLE subjects in the exact CBT format. Free access — no account required.
200
MCQs per exam
4 hrs
Total duration
500/800
Passing score
10,000+
Practice MCQs
What is the SMLE Exam?
The Saudi Medical Licensing Examination (SMLE), administered by the Saudi Commission for Health Specialties (SCFHS), is the mandatory licensing exam for all medical graduates and practitioners seeking to practice medicine in Saudi Arabia. The exam is delivered by Prometric at computer-based testing centres worldwide.
The SMLE evaluates a physician's ability to diagnose, investigate, and manage clinical cases across Medicine, Surgery, Pediatrics, and Obstetrics & Gynaecology. Questions are scenario-based, conforming to the Prometric single-best-answer format with 200 questions across two sections of 100 MCQs each.
SMLE Practice Questions
A 45-year-old male presents with a 3-month history of episodic headaches, sweating, and palpitations. Blood pressure is 190/110 mmHg during the episode. Urine catecholamines are elevated. What is the most appropriate next step?
SMLE Exam FAQs
What is the SMLE exam format in 2026?
The SMLE (Saudi Medical Licensing Examination) consists of 200 single-best-answer MCQs divided into two sections of 100 questions each, with a total testing time of 4 hours. Up to 15–20 pilot (unscored) questions may be included. The exam is computer-based and delivered at Prometric test centres globally.
What is the SMLE passing score?
SMLE is scored on a scaled system from 200 to 800. The passing score is 500, which is approximately equivalent to 62.5% correct answers. However, exact scaling varies by exam cycle. Candidates are advised to target ≥70% accuracy in practice to ensure a comfortable margin above the passing threshold.
How do I register for the SMLE?
Registration for the SMLE goes through the SCFHS Mumaris Plus portal. You must first have your documents verified through DataFlow, then obtain an eligibility number. Once eligible, you schedule your exam directly on the Prometric website. Early booking is recommended as popular test centre dates fill quickly.
Which subjects are tested in the SMLE?
The SMLE tests Internal Medicine (30–35%), Obstetrics & Gynaecology (20–25%), Pediatrics (25%), and Surgery (15–20%). The official SCFHS blueprint provides percentage ranges for each discipline. Questions are clinical scenario-based, testing diagnostic reasoning and management decisions.
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