SCFHS Family Medicine Exam MCQs 2026

Saudi Family Medicine Prometric Exam Overview

The Saudi Commission for Health Specialties (SCFHS) conducts this computer-based licensing examination for medical practitioners seeking classification as a Family Medicine Specialist, Registrar, or Senior Registrar across primary healthcare centers (PHCs), ambulatory care clinics, and hospital outpatient departments in Saudi Arabia. The exam tests chronic illness management, undifferentiated symptom triage, preventive screenings, maternal-child health, and acute outpatient stabilization. Once credentials, post-graduate specialty diplomas, and DataFlow primary source verifications are cleared, applicants obtain test scheduling eligibility via the SCFHS Mumaris+ portal.

Exam Parameter	Details
Exam Title	Saudi Family Medicine Prometric Exam (Family Medicine Specialist / Registrar)
Authority	Saudi Commission for Health Specialties (SCFHS)
Delivery Mode	Prometric Computer-Based Test (CBT)
Exam Code	FAM-MED / FM-REG
Question Format	Multiple-Choice (Single Best Answer)
Number of MCQs	150 to 200 questions (split into 2 clinical sections)
Exam Duration	3.5 to 4 hours (with a scheduled 30-minute midpoint break)
Passing Score	65% for Registrar; 70% for Senior Registrar
Negative Marking	None
Language	English
Score Result	Pass / Fail outcome posted to the Mumaris+ portal within 7 to 10 working days
Score Validity	5 years

Detailed Syllabus & Domain Breakdown

The SCFHS Family Medicine blueprint tests whole-person care across the lifespan. Questions focus on real-world primary care presentations where candidates must navigate diagnostic ambiguity, formulate cost-effective management plans, apply regional preventive health guidelines, and coordinate referrals for acute surgical or medical red flags.

Specialty Module	Core Topics	Key Focus Areas & Clinical Scenarios
Chronic Disease Management & Adult Medicine	Hypertension (ACC/AHA guidelines), Type 2 diabetes mellitus, dyslipidemia, coronary artery disease, heart failure with preserved vs. reduced ejection fraction, stable COPD, and asthma.	Step-up pharmacotherapy, individualized HbA1c targets, screening for diabetic nephropathy and retinopathy, secondary cardiovascular prevention, and statin risk assessment.
Preventive Medicine, Health Screening & Public Health	Adult cancer screening (breast, colorectal, cervical), age-specific adult immunizations, premarital screening panels, smoking cessation strategies, and obesity counseling.	Mammography and colonoscopy age intervals, hemoglobinopathy carrier counseling (sickle cell and thalassemia traits), smoking cessation pharmacotherapy, and cardiovascular risk calculators.
Pediatrics, Child Health & Immunization	Routine developmental milestones, child growth charts, national Saudi immunization schedule, acute upper respiratory infections, bronchiolitis, otitis media, and childhood gastroenteritis.	Oral rehydration deficit replacement, managing fever without localizing signs in infants, screening for autism spectrum disorders (M-CHAT), and identifying pediatric failure to thrive.
Women’s Health & Ambulatory Gynecology	Antenatal routine checkups, first-trimester bleeding, contraception counseling, abnormal uterine bleeding (PALM-COEIN framework), polycystic ovary syndrome (PCOS), and menopause.	Identifying high-risk preeclampsia markers, choosing safe contraceptives for hypertensive or migraine patients, evaluating postmenopausal bleeding, and treating recurrent vaginitis.
Musculoskeletal & Rheumatologic Care	Mechanical low back pain, knee and hip osteoarthritis, shoulder impingement, lateral epicondylitis, gout, rheumatoid arthritis, and osteoporosis screening.	Ruling out red flags for cauda equina syndrome and vertebral fractures, interpreting DEXA T-scores, initiating bisphosphonate therapy, and acute flare management in gouty arthritis.
Mental Health & Psychosocial Care	Major depressive disorder, generalized anxiety disorder, panic attacks, somatization disorders, sleep disturbances, and common substance use disorders.	First-line SSRI/SNRI selection, monitoring treatment responses with PHQ-9 and GAD-7 scales, identifying active suicidal ideation, and managing benzodiazepine-free insomnia.
Dermatology & Common Infections in Primary Care	Eczematous dermatitis, acne vulgaris, psoriasis, superficial fungal infections (tinea, candida), viral exanthems, acute cellulitis, scabies, and viral hepatitis screening.	Stepwise topical corticosteroid selection, laboratory monitoring for oral isotretinoin, contact tracing and treatment protocols for scabies, and hepatitis B/C serological interpretation.
Ear, Nose, Throat, Eye & Minor Procedures	Acute rhinosinusitis, pharyngitis (Centor criteria), allergic rhinitis, red eye differential diagnosis (conjunctivitis vs. uveitis vs. acute glaucoma), and minor wound suturing.	Distinguishing viral from bacterial pharyngitis to prevent rheumatic fever, tonometry referral for hard painful red eyes, epistasis control, and excisional skin biopsy techniques.
Urgent Care, Outpatient Emergencies & Triage	Acute chest pain evaluation, transient ischemic attack (ABCD2 score), anaphylaxis, acute asthma exacerbation, hypertensive urgency vs. emergency, and acute abdomen triage.	Immediate intramuscular epinephrine dosing for anaphylaxis, pre-hospital STEMI stabilization and transfer, managing acute renal colic, and identifying acute surgical peritonitis.
Communication Skills, Patient Safety & Medical Ethics	Patient-centered consultation models (Calgary-Cambridge guide), delivering bad news (SPIKES protocol), informed consent, medical error disclosure, and Saudi health law compliance.	Navigating shared decision-making with hesitant patients, preserving confidentiality in family settings, handling requests for inappropriate sick leaves, and ethical reporting duties.

SCFHS Family Medicine Exam MCQs