SMLE Exam 2026 – SCFHS Format, Pass Score & Free MCQs
Prepare for the Saudi Medical Licensing Examination (SCFHS) with 15,000+ free Prometric MCQs from real past papers. Covering all four SMLE subjects in the exact CBT format. Free access — no account required.
Prepare with GulfMedExams
The steps above handle SMLE paperwork; timed MCQ practice handles exam day. GulfMedExams offers Prometric-style questions with explanations — many doctors drill here after each licensing milestone.
Book Prometric only after several stable mock sessions on GulfMedExams — not after one strong practice day.
200
MCQs per exam
4 hrs
Total duration
500/800
Passing score
15,000+
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 four options per question and 200 questions across two sections of 100 MCQs each (current format as of March 2023).
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 with four options each, divided into two sections of 100 questions (current format as of March 2023), with 120 minutes per section and 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%, ±5% per SCFHS), Obstetrics & Gynaecology (~25%), Pediatrics (~25%), and Surgery (~20%). The official SCFHS blueprint may fluctuate by up to ±5% per category. Questions are four-option, clinical scenario-based MCQs testing diagnostic reasoning and management decisions.
SMLE study resources
How to Pass SMLE 2026
Complete study plan & syllabus
SMLE MCQ Bank
Subject-by-subject practice
SMLE Preparation Guide
12-week study plan
SMLE Exam Syllabus
Subject blueprint
SMLE Exam Pattern
Format and scoring
SMLE Licensing Process
Eligibility to license
SMLE Eligibility
Documents and criteria
DHA Exam (Dubai)
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Repeated MCQs
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Practice Free NowQuick answer
SMLE is the Saudi Prometric licensing exam for healthcare professionals. Most candidates complete eligibility, document verification, exam booking, and SCFHS registration in sequence.
This guide is written for doctors preparing for SMLE licensing in Saudi Arabia. Requirements change — always confirm fees, deadlines, and eligibility on official authority portals before booking your exam slot.
SMLE licensing hub — related steps
Each page in this hub covers one step in depth. Follow the full pathway rather than relying on a single article — this reduces gaps that cause retakes and delays.
SMLE — practical notes for doctors
This page supports one part of your Saudi Arabia licensing journey. Combine it with official Saudi Commission for Health Specialties (SCFHS) communication, your employer HR checklist, and consistent MCQ practice before the Prometric sitting.
What to verify on official channels
Before acting on any third-party guide (including this one), confirm your profession category, document list, and fee schedule directly with Saudi Commission for Health Specialties (SCFHS). Policies in Saudi Arabia are updated without always being reflected in older blog posts.
If your profile involves gaps in practice, multiple registrations, or credentials from several countries, expect additional review steps — generic checklists may not cover your case.
Next step — exam practice
Turn licensing research into exam-ready performance
Reading guides alone rarely converts to exam performance. After you confirm Saudi Commission for Health Specialties (SCFHS) requirements, use GulfMedExams to drill Prometric-style MCQs with explanations, track weak systems, and revisit high-yield topics before booking your slot.
Prometric MCQ practice
Timed sessions, explanations, and progress tracking for SMLE and all Gulf exams.
Verified exam repeats
Candidate-submitted recalls organised by exam — use alongside structured MCQ banks.
Requirements, fees, and timelines change. This page is educational — always confirm your category-specific rules on official authority portals before paying verification or exam fees.