Saudi Medical Licensure Examination (SMLE)
Practise clinical decisions with English questions and Arabic explanations.
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- 1000 questions in the bank
- 200 questions in 240 minutes per site supplementary practice session
- 382 flashcards
Every option explained so you understand why
If your exam were today, would you pass?
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An alert adult with diabetes can swallow safely and has glucose 62 mg/dL. What initial self-treatment follows the CDC 15-15 approach?
All 10 free questions with answers and an explanation for every option
Passing score: 560 on the 200–800 reporting scale. An equivalent raw correct-answer percentage is not published. This is your practice accuracy. It cannot be converted to the exam’s scaled score or used to determine whether you pass.
What you get
- 1000questions in the bankPractise with the answer shown right away, or sit a full timed mock
- 4unitsSplit by the exam syllabus
- 382flashcardsTo lock in terms and definitions
- 461quick review pointsEach unit in a few key lines
Unit map
- 01Medicine60 questions
- 02Obstetrics and gynecology50 questions
- 03Pediatrics50 questions
- 04Surgery40 questions
Exam facts
Saudi Medical Licensure Examination (SMLE) — Number of questions: 200 questions. Exam time: 240 minutes. Pass mark: Passing score: 560 on the 200–800 reporting scale. An equivalent raw correct-answer percentage is not published. Calculator: Not verified in the consulted official material. Exam fee: Eligibility service: SAR 120; examination booking fee must be checked separately. Source: Saudi Commission for Health Specialties (Last verified: 2026-11-03). Question bank: A site supplementary practice session of 200 questions in 240 minutes with a result for every unit, plus 1000 explained questions across 4 units, every option explained, a review of your mistakes, and two ways to practise: see the answer right away, or sit a full timed mock. Free questions: a 10-question diagnostic test covering the main units, no sign-up; at the end you get your score and your weakest units.
- Exam language
- English
- Number of questions
- 200 questions Source
- Exam time
- 240 minutes Source
- Pass mark
- Passing score: 560 on the 200–800 reporting scale. An equivalent raw correct-answer percentage is not published. Source
- Calculator
- Not verified in the consulted official material Source
- Exam fee
- Eligibility service: SAR 120; examination booking fee must be checked separately Source
- Results
- Normally 2–6 weeks after the testing window closes Source
- Retakes
- Up to four attempts per year before passing; two further improvement attempts after passing; no two attempts in one window Source
- Validity
- Confirm the applicable validity period with SCFHS for your intended application Source
Last verified: 2026-11-03
Where other sources differ
- Two blocks of 100 questions, 120 minutes each, with a scheduled 30-minute break.
- The reporting scale is not the percentage of questions answered correctly.
- Arabic text is study support; this resource does not establish Arabic exam availability.
How to register
- Apply for eligibility through Mumaris+.
- Use the issued scheduling permit to book an available Prometric appointment.
- Read the current applicant instructions and check required identification.
Exam body
Saudi Commission for Health Specialties: Official website: Saudi Commission for Health Specialties
Study guides
Frequently asked questions
Can I try SMLE questions for free?
Yes. Free questions: a 10-question diagnostic test covering the main units, no sign-up; at the end you get your score and your weakest units. The free practice test page lists the same questions with answers and an explanation for every option. The rest of the questions and the full mock exams come with a pass from SAR 26.
What makes this SMLE question bank different?
Question bank: A site supplementary practice session of 200 questions in 240 minutes with a result for every unit, plus 1000 explained questions across 4 units, every option explained, a review of your mistakes, and two ways to practise: see the answer right away, or sit a full timed mock. Every question is reviewed and referenced, ready to practise on your phone. Try the free questions and read the explanations before buying full access.
Is this an official site, and how do I pay?
It is an independent site, not part of Qiyas or any government body, and every question is reviewed before it is published. You pay once, with no automatic renewal, through Waffo Pancake (the merchant of record) by Visa, Mastercard, Apple Pay or Google Pay, and your statement shows "WAFFO". If you were charged twice or the pass did not open, email support@saudiexams.com.
Study material sample: Medicine
Summary
Medicine case-based study notes across cardiovascular and metabolic disease, respiratory and infectious disease, digestive/renal/haematological disease, neurology, rheumatology, mental health and older-adult care. These notes accompany the authored questions; they do not reproduce an entire clinical textbook.
What the exam focuses on
- Separate immediate threats from long-term risk management.
- Interpret tests with pre-test probability and medication context.
- Use guideline-specific thresholds within their stated population.
Common traps
- A normal screening snapshot may miss intermittent disease.
- A concentration or symptom alone may not establish full recovery.
- Treatment and follow-up should reflect individual contraindications and risks.
Try the flashcards
Tap a card to see the answer
A patient with longstanding diabetes feels well and asks how kidney disease can be detected before symptoms. Which paired assessment is appropriate?
eGFR and urine albumin-to-creatinine ratio. The pair detects reduced filtration and albuminuria, even without symptoms. [NIDDK, CKD Tests & Diagnosis, Tests used to diagnose and monitor kidney disease (reviewed October 2016). https://www.niddk.nih.gov/health-information/kidney-disease/chronic-kidney-disease-ckd/tests-diagnosis]
Urine albumin is elevated on an initial screening sample in a stable patient. Which next step helps establish whether the finding persists?
Repeat urine albumin measurement. Repeated samples help distinguish a persistent finding. [NIDDK, CKD Tests & Diagnosis, Tests used to diagnose and monitor kidney disease (reviewed October 2016). https://www.niddk.nih.gov/health-information/kidney-disease/chronic-kidney-disease-ckd/tests-diagnosis]
An asymptomatic adult has HbA1c 6.1%, measured by a reliable assay without factors affecting HbA1c. Which category does this result fall into?
Prediabetes range. 6.1% falls within 5.7–6.4%. [NIDDK, Insulin Resistance & Prediabetes, Blood tests and Managing your weight (reviewed March 2025). https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes/prediabetes-insulin-resistance]
A patient with prediabetes weighs 100 kg. A prevention plan uses the 5–7% initial-weight reduction demonstrated in the Diabetes Prevention Program. What weight loss corresponds to that range?
5–7 kg. 100 multiplied by 0.05–0.07 gives 5–7 kg. [NIDDK, Insulin Resistance & Prediabetes, Blood tests and Managing your weight (reviewed March 2025). https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes/prediabetes-insulin-resistance]
An adult with established prediabetes asks when to repeat testing for progression to type 2 diabetes. What interval does NIDDK describe?
Every year. Annual testing detects asymptomatic progression. [NIDDK, Insulin Resistance & Prediabetes, Blood tests and Managing your weight (reviewed March 2025). https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes/prediabetes-insulin-resistance]
An alert adult with diabetes can swallow safely and has glucose 62 mg/dL. What initial self-treatment follows the CDC 15-15 approach?
15 g fast carbohydrate, then recheck in 15 minutes. This corrects the low and provides a prompt reassessment. [CDC, Treatment of Low Blood Sugar, The 15-15 rule and Treating severely low blood sugar (May 2024). https://www.cdc.gov/diabetes/treatment/treatment-low-blood-sugar-hypoglycemia.html]
A conscious adult treating hypoglycemia asks why glucose tablets are preferred over chocolate for rapid correction. What is the best explanation?
Chocolate fat slows absorption of its sugar. Rapid carbohydrate availability matters during a low. [CDC, Treatment of Low Blood Sugar, The 15-15 rule and Treating severely low blood sugar (May 2024). https://www.cdc.gov/diabetes/treatment/treatment-low-blood-sugar-hypoglycemia.html]
At home, a person with diabetes loses consciousness from hypoglycemia. A trained caregiver has the prescribed glucagon kit. Which action is appropriate while obtaining emergency help?
Give prescribed glucagon and obtain emergency help. The trained caregiver can deliver rescue treatment while help is obtained. [CDC, Treatment of Low Blood Sugar, The 15-15 rule and Treating severely low blood sugar (May 2024). https://www.cdc.gov/diabetes/treatment/treatment-low-blood-sugar-hypoglycemia.html]
Why you can trust these questions
- Published questions: 1000. We reviewed every one before publishing it: the answer, the explanation of each option and the source.
- Exam facts last checked against the organiser’s website: 2026-11-03. We check them again every three months and two weeks before each test.
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