SMLE Study Plan by Time Left

What to study first for SMLE: sections ranked by question count, with plans for four weeks, two weeks and the final week.

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Questions and time
200 questions · 240 minutes
Pass mark
560 on the 200–800 reporting scale
Exam fee
Eligibility service: SAR 120; examination booking fee must be checked separately

Start with 10 free questions to find what needs more work. No sign-up, with answer explanations.

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SMLE

Start with 10 free questions to find what needs more work. No sign-up, with answer explanations.

Try 10 free questions and see your level

Full question bank and timed mock exams from SAR 26

Last verified: 11 November 2026. This is an independent guide; it is not affiliated with Saudi Commission for Health Specialties or any government body. Exam details can change, so check the exam page at Saudi Commission for Health Specialties before relying on any figure.

This guide answers one question: with the days you have left before SMLE, what do you study first? Section details are in the syllabus guide; booking and fees are in the registration guide.

The numbers behind the plan

FactWhat it means for your study
200 questions in 240 minutes (Saudi Commission for Health Specialties)About 72 seconds per question. Answer recall questions quickly to leave time for the ones that need reading or calculation.
Pass mark: Passing score: 560 on the 200–800 reporting scale. An equivalent raw correct-answer percentage is not published.Your practice accuracy does not convert to this score, so use it to compare your sections with each other.
Fee: Eligibility service: SAR 120; examination booking fee must be checked separatelyEvery extra attempt costs money and time, so do not book until your mock scores are steady.

Sections in order of size

  1. Medicine: 60 questions (30%)
  2. Obstetrics and gynecology: 50 questions (25%)
  3. Pediatrics: 50 questions (25%)
  4. Surgery: 40 questions (20%)

Four weeks or more

Give the sections 20 study days in proportion to their weight, then keep a week for mock exams:

  • Medicine: 6 days
  • Obstetrics and gynecology: 5 days
  • Pediatrics: 5 days
  • Surgery: 4 days

After each section, work its questions in the practice area and read the explanation for every option you got wrong before moving on.

Two weeks

Ten days for the larger sections and four for mock exams and review:

  • Medicine: 2 days
  • Obstetrics and gynecology: 3 days
  • Pediatrics: 3 days
  • Surgery: 2 days

The final week

  • Day 1: the 10 free questions, to find your weakest sections.
  • Days 2 to 4: Medicine and Obstetrics and gynecology first because they are the largest, then your weakest section.
  • Day 5: one full mock exam: 200 questions in 240 minutes without stopping.
  • Day 6: go through every question you got wrong and read the explanation for each option.
  • Day 7: light review, and check your appointment, test centre and required ID.

SMLE

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Sources and references

  1. Saudi Commission for Health Specialties – exam page scfhs.org.sa
  2. Saudi Commission for Health Specialties – exam specification scfhs.org.sa