SMLE exam: Saudi medical licensing exam for doctors
The Saudi Medical Licensure Examination (SMLE) has 200 multiple choice questions, with 120 minutes per block and a 30-minute break. The pass score is 560 on a reporting scale of 200 to 800.
SMLE facts
Practice questions on this site are for nurses at the moment. This page gives the exam facts for doctors, taken from the regulator's own documents. If you are a nurse, the free 20-question check needs no sign-up, and the nursing exam guide compares the regulators.
| Item | SMLE (physician) |
|---|---|
| Questions | 200 MCQs |
| Time | Two blocks of 120 minutes with a 30-minute break |
| Pass score | 560 on a 200 to 800 scale |
| Unscored items | May include up to 20 pilot items |
| Delivery | Prometric, booked through Mumaris+ |
The score is scaled, not a percentage. The 560 cut score was set in April 2017 and has been applied since June 2017.
SMLE blueprint
The 2024 applicant guide gives these weights.
| Section | Weight (2024 guide) |
|---|---|
| Medicine | 30 percent |
| Obstetrics and Gynecology | 25 percent |
| Pediatrics | 25 percent |
| Surgery | 20 percent |
A 2026 SMLE blueprint exists. We only read its first page, which confirms Medicine at 30 percent. The other 2026 weights are not confirmed, so check the SCFHS blueprint before you plan your study.
Who can sit the SMLE
The guide says: a recognized primary degree (MBBS or equivalent), or training started in the internship year, or a student one year away from graduation.
Booking and test rules
- Computer-based at Prometric. You apply on Mumaris+ and get a scheduling permit.
- Scheduling may not be available more than three months ahead.
- You cannot sit twice in the same test window. More than 30 minutes late, or absent, counts as an attempt.
- Results are announced within 2 to 6 weeks of the end of a test window.
- The exam fee is not published on the SCFHS pages we found, so we give no amount. Prometric's 2022 FAQ says rescheduling 16 to 30 days before costs USD 50, with no refund at 15 days or less.
How many attempts
Our sources give three different attempt rules, so we do not state one number. The applicant guides say up to four times a year, counted from the first attempt until you pass. The Mumaris+ page says that failing the first attempt grants two additional attempts, and that the exam may be repeated one year after the first attempt. A 2022 Prometric FAQ says three attempts. The Mumaris+ page is the most recent, but check it before you book.
Practice and next step
SCFHS runs its own practice exam service, linked in the sources. Check that page for which exams it covers.
For doctors, also see the DHA exam for GPs. Back to the SCFHS hub.
Common questions
What is the SMLE exam?
The Saudi Medical Licensure Examination, a 200-question computer-based exam taken at Prometric.
What is the Saudi medical licensing exam pass score?
560 on a reporting scale of 200 to 800.
Is the Saudi Prometric exam for doctors a percentage score?
No. It is a scaled score.
Are the 2026 SMLE weights the same as 2024?
We confirmed only Medicine at 30 percent in 2026. Other 2026 weights are not confirmed.
How much is the SMLE?
SCFHS does not publish an amount on the pages we found.
Related guides
Sources
Practise every day until it feels routine
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