SMLE
Prepare for the Saudi Medical Licensing Exam with realistic practice questions and answers across every subject tested, timed and tutor-mode exams, and detailed explanations.
Start your free 7-day trialWhat you get
- Timed and tutor-mode exams
- Choose all questions, only new ones, only previously-incorrect, or only flagged ones
- Pick exactly how many questions you want per exam
- Build a custom exam from any combination of topics
- Detailed explanations after every question
- Flag questions for review
- Performance dashboard — accuracy by topic, progress over time
- 7-day free trial, no credit card required
Loading topics…
About the SMLE exam
The Saudi Medical Licensing Exam (SMLE) is required for medical licensure to practice in Saudi Arabia, administered by the Saudi Commission for Health Specialties (SCFHS). It's a computer-based multiple-choice exam, typically around 300 questions split across three timed sections, covering the full range of clinical specialties including internal medicine, surgery, obstetrics and gynaecology, paediatrics, psychiatry, emergency medicine, and community medicine. Eligibility requires document verification (through DataFlow) and registration through the SCFHS's Mumaris Plus system before scheduling a sitting through Prometric. TopQbank's SMLE practice questions are organized by the same subject areas so you can build targeted or comprehensive practice exams. Confirm current eligibility, fees, and scheduling directly with the SCFHS, since these details are updated periodically.
Free SMLE Sample Questions
Real SMLE practice questions and answers with explanations — no sign-up required.
Sample Question 1
A 24-year-old woman presents with mild lower abdominal pain and spotting. BP 115/70, HR 90. Beta-hCG 1800 IU/L. TVUS shows a small adnexal mass, no rupture, stable condition.
What is the best management option?
- Methotrexate IM(Correct answer)
- Immediate laparotomy
- Expectant management without follow-up
- Suction curettage
- Hysterectomy
Explanation
Stable, unruptured ectopic pregnancy with hCG <5000 and no contraindications can be managed medically with methotrexate.
Sample Question 2
Which of the following is first-line therapy for acute uncomplicated cystitis in women?
- Ciprofloxacin
- Nitrofurantoin(Correct answer)
- Ceftriaxone
- Amoxicillin
- Vancomycin
Explanation
Nitrofurantoin is a preferred first-line treatment per guidelines due to low resistance rates.
Sample Question 3
A 34-year-old woman has 6 migraine days/month despite optimized acute therapy. BP 120/75, BMI 29, not pregnant, no asthma or depression. ECG normal.
Which preventive strategy is most appropriate?
- Propranolol 40–80 mg twice daily (monitor HR/BP)(Correct answer)
- Short-course steroids monthly
- Triptan daily
- Opioid patch
- OnabotulinumtoxinA immediately (any frequency)
Explanation
Indications for prevention include ≥4 migraine days per month or disability. First-line options: propranolol, topiramate (titrate 25→50 mg BID), or amitriptyline. OnabotulinumtoxinA is for chronic migraine (≥15 days/month).
Sample Question 4
A 55-year-old asymptomatic man with no family history presents for routine care. He has never been screened for colorectal cancer.
What is the most appropriate screening recommendation?
- No screening needed
- Annual FIT test
- Colonoscopy every 10 years(Correct answer)
- CT colonography
- Sigmoidoscopy only
Explanation
Average-risk adults should begin colorectal cancer screening at age 45–50; colonoscopy every 10 years is a standard option.
Sample Question 5
A 39-year-old Saudi patient presents to the ER with signs consistent with colorectal cancer (surgical management). Imaging is inconclusive and the patient lives in a rural area with limited surgical backup. What is the most appropriate next step?
- Transfer to tertiary care for further workup(Correct answer)
- Start empirical treatment and discharge with follow-up
- Immediate bedside procedure under local anesthesia
- Refer to gastroenterology outpatient
Explanation
In the Saudi healthcare setting, timely referral to a tertiary center is critical when facilities are limited and surgical emergencies like colorectal cancer (surgical management) are suspected.
Loading plans…