SMLE Syllabus: Sections and Question Counts
How the 200 SMLE questions split by section: Medicine 30%, Obstetrics and gynecology 25%, with the topics in each section and the source.
- 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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Start with 10 free questions to find what needs more work. No sign-up, with answer explanations.
Try 10 free questions and see your levelLast 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.
How the questions are split
The exam has 200 questions in 240 minutes, split across the sections according to the exam specification from Saudi Commission for Health Specialties.
| Section | Questions | Share |
|---|---|---|
| Medicine | 60 | 30% |
| Obstetrics and gynecology | 50 | 25% |
| Pediatrics | 50 | 25% |
| Surgery | 40 | 20% |
| Total | 200 | 100% |
The two largest sections are Medicine and Obstetrics and gynecology: together 110 of the 200 questions (55%). Start with them, then take the rest in order of size.
Notes on this split
- 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.
Topics in each section
Medicine (60 questions)
- Cardiovascular and metabolic medicine
- Infection and respiratory medicine
- Digestive, renal and blood disorders
- Neurology, rheumatology and mental health
Obstetrics and gynecology (50 questions)
- Pregnancy complications
- Early pregnancy and gynecology
- Labour and postpartum care
- Reproductive health
Pediatrics (50 questions)
- Pediatric emergencies
- Growth, development and prevention
- Pediatric systemic disease
- Neonatal care
Surgery (40 questions)
- Trauma and emergency surgery
- General and perioperative surgery
- Surgical subspecialties
How to use this split
Start with the 10 free questions, no sign-up: your score comes back split by section, so you see the weakest one. Then spread your study days according to the table above, as laid out in the study plan.
Finished reading? Try a set of questions
Start with 10 free questions to find your weakest units. Keep practising with the full question bank and mock exams from SAR 26.