SCFHS General Surgery Exam MCQs 2026

Saudi General Surgery Prometric Exam Overview

The Saudi Commission for Health Specialties (SCFHS) conducts this computer-based examination for surgeons seeking professional classification as a General Surgery Specialist, Registrar, or Senior Registrar across public hospitals, specialized military medical complexes, and private surgical centers throughout the Kingdom of Saudi Arabia. The exam evaluates clinical decision-making, acute trauma resuscitation, operative strategy, critical care physiology, and perioperative safety. Candidates can book their testing date through Prometric once their post-graduate surgical credentials and DataFlow primary source verification are approved on the SCFHS Mumaris+ platform.

Exam Parameter	Details
Exam Title	Saudi General Surgery Prometric Exam (General Surgery Registrar / Specialist)
Authority	Saudi Commission for Health Specialties (SCFHS)
Delivery Mode	Prometric Computer-Based Test (CBT)
Exam Code	GSUR-REG / GSUR
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 report accessible via the Mumaris+ portal within 7 to 10 working days
Score Validity	5 years

Detailed Syllabus & Domain Breakdown

The SCFHS General Surgery blueprint focuses heavily on clinical vignettes, emergency operative indications, and perioperative complication management rather than pure anatomical recall. Scenarios test diagnostic discrimination using computed tomography and endoscopy, intraoperative decision-making during acute surgical crises, and multidisciplinary oncologic planning.

Specialty Module	Core Topics	Key Focus Areas & Clinical Scenarios
Upper Gastrointestinal & Esophageal Surgery	Gastroesophageal reflux disease, hiatal hernias, esophageal motility disorders (achalasia), esophageal malignancies, peptic ulcer perforation/bleeding, and gastric adenocarcinoma.	Emergency operative management of perforated duodenal ulcers (Graham patch), staging and surgical resection margins for gastric cancer, and workup of post-gastrectomy dumping syndromes.
Colorectal, Appendix & Perianal Conditions	Acute appendicitis, diverticular disease (Hinchey classification), colorectal cancer staging and resection, inflammatory bowel disease complications, anorectal abscesses, and anal fistulas (Goodsall's rule).	Laparoscopic vs. open appendectomy timing, Hartmann's procedure vs. primary anastomosis in complicated diverticulitis, sphincter-saving total mesorectal excision (TME), and managing high complex anal fistulas.
Hepatobiliary, Gallbladder & Portal System	Symptomatic cholelithiasis, acute cholecystitis (Tokyo guidelines), choledocholithiasis, cholangitis (Charcot's triad / Reynolds' pentad), liver abscesses, hydatid cysts, and hepatocellular carcinoma.	Identifying the critical view of safety during laparoscopic cholecystectomy, intraoperative management of common bile duct (CBD) injuries, and urgent biliary decompression protocols.
Pancreas, Spleen & Neuroendocrine Tumors	Acute pancreatitis (revised Atlanta criteria, Ranson score), necrotizing pancreatitis step-up approach, pancreatic ductal adenocarcinoma, splenic trauma (AAST grading), and splenectomy indications.	Conservative vs. operative intervention for splenic lacerations, delayed catheter drainage vs. necrosectomy for infected walled-off necrosis, and Whipple procedure (pancreaticoduodenectomy) eligibility.
Abdominal Wall, Groin & Complex Hernias	Inguinal hernias (indirect vs. direct, Nyhus classification), femoral hernias, ventral and incisional hernias, strangulated vs. incarcerated hernias, and components separation techniques.	Mesh selection principles in clean vs. contaminated fields, laparoscopic TAPP vs. TEP approaches, emergency groin exploration for non-reducible strangulated bowel, and groin nerve entrapment prevention.
Endocrine Surgery & Surgical Oncology of the Breast	Thyroid nodules (Bethesda classification), well-differentiated thyroid cancers, primary hyperparathyroidism, breast carcinoma (in situ vs. invasive), breast-conserving surgery, and sentinel lymph node biopsy.	Preventing recurrent laryngeal nerve injury and post-op hypocalcemia after total thyroidectomy, localization of parathyroid adenomas, oncoplastic breast surgery margins, and axillary clearance criteria.
Trauma Resuscitation & Surgical Critical Care	Advanced Trauma Life Support (ATLS) primary and secondary surveys, FAST examination, blunt and penetrating abdominal trauma, damage control laparotomy (DCL), and abdominal compartment syndrome.	Indications for immediate exploratory laparotomy vs. angioembolization in pelvic trauma, temporary abdominal closure techniques, opening bladder pressure monitoring, and massive transfusion protocol ratios.
Surgical Sepsis, Shock, Fluids & Electrolytes	Hemorrhagic, septic, and cardiogenic shock classification, fluid resuscitation formulas, metabolic derangements (refractory metabolic acidosis, hypokalemia), and necrotizing soft tissue infections.	Calculating crystalloid deficits, safe correction of surgical electrolyte imbalances, early surgical debridement of Fournier's gangrene, and empiric antimicrobial stewardship in intra-abdominal sepsis.
Vascular, Pediatric & Minor Surgical Conditions	Abdominal aortic aneurysm (AAA) rupture, acute lower limb arterial ischemia (the 6 Ps), pediatric hypertrophic pyloric stenosis, intussusception, and soft tissue sarcomas.	Urgent open vs. endovascular aneurysm repair (EVAR) criteria, Fogarty catheter embolectomy, pediatric Ramstedt pyloromyotomy, and wide local excision margins for malignant skin/soft tissue tumors.
Perioperative Care, Patient Safety & Surgical Ethics	Cardiac and pulmonary risk stratification (RCRI score), anticoagulation reversal, prevention of deep vein thrombosis (Caprini score), WHO Surgical Safety Checklist, and SCFHS ethical guidelines.	Managing post-operative surgical site infections (SSI bundles), enhanced recovery after surgery (ERAS) pathways, surgical complications disclosure, and informed consent principles under Saudi law.

SCFHS General Surgery Exam MCQs