OMSB Family Medicine Exam MCQs

Exam Parameter

Details

Exam Title

Omani Examination for Family Medicine (OMSB_OEFM)

Authority

Oman Medical Specialty Board (OMSB)

Delivery Mode

Computer-Based Testing (CBT)

Exam Code

OMSB_OEFM / FM-OMSB

Question Format

Multiple-Choice (Single Best Answer)

Number of MCQs

100 to 150 questions

Exam Duration

2.5 to 3 hours (150 to 180 minutes)

Passing Score

60% to 65%

Negative Marking

None

Language

English

Score Result

Pass / Fail outcome posted directly to the candidate portal

Score Validity

5 years

Specialty Module

Core Topics

Key Focus Areas & Clinical Scenarios

Cardiovascular System & Metabolic Health

Essential hypertension (stepwise pharmacological algorithms), ischemic heart disease, heart failure with preserved/reduced ejection fraction, dyslipidemia, and metabolic syndrome.

Selecting first-line antihypertensive therapy based on compelling indications (e.g., microalbuminuria), monitoring statin-associated muscle symptoms, calculating 10-year atherosclerotic cardiovascular disease (ASCVD) risk, and managing stable chronic angina.

Endocrine & Metabolic Disorders

Type 1 and Type 2 diabetes mellitus, prediabetes lifestyle counseling, thyroid disorders (hypo/hyperthyroidism, subclinical disease), osteoporosis, and obesity pharmacotherapy.

Formulating individualized HbA1c targets, initiating and adjusting basal insulin, interpreting thyroid function test variations, interpreting DEXA scan T-scores, and screening for diabetic microvascular complications.

Child Health & Pediatric Primary Care

Normal developmental milestones, child growth charts (WHO standards), childhood immunization schedules, acute upper respiratory tract infections, viral croup, bronchiolitis, and otitis media with effusion.

Managing pediatric acute gastroenteritis with oral rehydration therapy, evaluating fever without localizing signs in infants, screening for developmental delay, and diagnosing childhood atopic eczema and allergic rhinitis.

Women’s Health & Ambulatory Gynecology

Routine antenatal surveillance, contraception selection (hormonal vs. non-hormonal, LARC), abnormal uterine bleeding (PALM-COEIN classification), polycystic ovary syndrome (PCOS), and menopause.

Managing first-trimester nausea and vomiting, identifying red flags for preeclampsia, counseling on emergency contraception options, selecting hormone replacement therapy (HRT) regimens, and cervical cancer screening.

Respiratory Medicine

Chronic obstructive pulmonary disease (COPD), bronchial asthma (GINA step-therapy), community-acquired pneumonia (CURB-65 scoring), acute bronchitis, and tobacco use disorder.

Differentiating asthma from COPD using spirometry and reversibility testing, demonstrating proper metered-dose inhaler (MDI) technique with spacers, and structuring structured smoking cessation counseling and pharmacotherapy.

Gastrointestinal & Hepatic Disorders

Gastroesophageal reflux disease (GERD), peptic ulcer disease, Helicobacter pylori testing and eradication, irritable bowel syndrome (Rome IV criteria), non-alcoholic fatty liver disease (NAFLD), and viral hepatitis.

Identifying alarm features in dyspepsia that mandate endoscopy, interpreting hepatitis B serological panels, managing chronic constipation and functional diarrhea, and guiding non-pharmacological NAFLD care.

Musculoskeletal & Rheumatologic Conditions

Mechanical low back pain, knee and hip osteoarthritis, shoulder impingement, tennis/golfer’s elbow, fibromyalgia, plantar fasciitis, and crystalline arthropathies (gout).

Ruling out red flags for cauda equina syndrome and infectious spondylodiscitis, selecting conservative non-opioid analgesia, evaluating acute monoarthritis, and managing uric acid-lowering therapy.

Mental Health & Neuro-Psychiatry

Major depressive disorder, generalized anxiety disorder, panic attacks, insomnia, dementia screening (MMSE, MoCA), and common tension-type headaches vs. migraine.

First-line selective serotonin reuptake inhibitor (SSRI) titration, monitoring suicidal risk during therapy initiation, differentiating delirium from dementia in elderly patients, and acute vs. preventive migraine pharmacotherapy.

Dermatology, ENT & Ophthalmology

Common skin rashes (psoriasis, contact dermatitis, acne vulgaris, superficial fungal tinea infections), acute rhinosinusitis, pharyngotonsillitis (Centor criteria), and the red eye.

Differentiating viral from bacterial pharyngitis, managing benign paroxysmal positional vertigo (BPPV) with canalith repositioning, identifying acute narrow-angle glaucoma red flags, and safe topical corticosteroid potency choices.

Infections, Public Health & Epidemiology

Common travel-related infections, tuberculosis screening, urinary tract infections, sexually transmitted infections (STIs), epidemiological study designs, and screening test evaluation (sensitivity/specificity).

Managing uncomplicated cystitis, interpreting tuberculin skin test (PPD) and interferon-gamma release assays (IGRA), calculating positive predictive values, and assessing outbreak containment principles.

Emergency Triage, Minor Surgery & Medical Ethics

Outpatient emergencies (anaphylaxis, acute chest pain, TIA), minor wound debridement and suturing, informed consent, patient autonomy, confidentiality, and Oman health regulations.

Immediate intramuscular epinephrine administration for anaphylactic shock, rapid triage of transient ischemic attacks using the ABCD2 score, handling family-physician boundary conflicts, and ethical clinical record documentation.