SCFHS Ophthalmology Exam MCQs

Exam Parameter

Details

Exam Title

Saudi Ophthalmology Prometric Exam (Ophthalmology Registrar / Specialist)

Authority

Saudi Commission for Health Specialties (SCFHS)

Delivery Mode

Prometric Computer-Based Test (CBT)

Exam Code

OPH-REG / OPHT

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

Specialty Module

Core Topics

Key Focus Areas & Clinical Scenarios

Retina, Vitreous & Posterior Segment Diseases

Diabetic retinopathy staging (ETDRS), diabetic macular edema (DME), retinal vascular occlusions (CRVO/BRVO), age-related macular degeneration (dry vs. wet), and retinal detachments (rhegmatogenous, tractional, exudative).

Interpreting macular OCT cross-sections and fluorescein angiography patterns, selecting anti-VEGF protocols (treat-and-extend vs. PRN), indications for focal/panretinal photocoagulation, and immediate management of acute central retinal artery occlusion (CRAO).

Glaucoma & Aqueous Outflow Dynamics

Primary open-angle glaucoma (POAG), acute and chronic angle-closure glaucoma, normal-tension glaucoma, secondary glaucomas (pseudoexfoliative, pigmentary, neovascular, uveitic), and tonometry methods.

Interpreting standard automated perimetry (Humphrey visual field mean deviation and pattern standard deviation), OCT retinal nerve fiber layer (RNFL) loss patterns, dynamic gonioscopy findings, laser peripheral iridotomy (LPI) vs. trabeculectomy, and tube shunts.

Cornea, External Eye & Refractive Surgery

Microbial keratitis (bacterial, viral, fungal, Acanthamoeba), corneal dystrophies and degenerations, keratoconus, ocular surface diseases (dry eye, Stevens-Johnson), corneal trauma, and keratorefractive procedures (LASIK, PRK, SMILE).

Distinguishing fungal ulcers from bacterial infiltrates on slit-lamp exam, corneal topography and pachymetry analysis for ectasia screening, emergency chemical injury neutralization, and managing post-refractive surgery complications like flap striae or DLK.

Cataract, Lens & Anterior Segment Surgery

Preoperative biometry calculations (SRK/T, Barrett Universal II), intraocular lens (IOL) options (monofocal, toric, multifocal, EDOF), phacoemulsification hydro-dissection and nuclear fragmentation, and lens subluxation (Marfan, homocystinuria).

Managing intraoperative posterior capsule tear with anterior vitrectomy, troubleshooting toxic anterior segment syndrome (TASS) vs. acute infectious endophthalmitis, and managing post-operative refractive surprises.

Pediatric Ophthalmology & Strabismus

Amblyopia screening and occlusion therapy, infantile esotropia, accommodative esotropia, intermittent exotropia, leukocoria workup, Retinopathy of Prematurity (ROP), and congenital cataracts.

Differential diagnosis of childhood leukocoria (retinoblastoma, Coats disease, persistent fetal vasculature), ROP screening milestones and laser/anti-VEGF criteria, calculating surgical recession/resection dosages, and managing nystagmus.

Neuro-Ophthalmology & Visual Pathways

Optic neuritis, non-arteritic vs. arteritic anterior ischemic optic neuropathy (NAION vs. AAION), papilledema, pupillary pathway defects (Horner syndrome, Adie's tonic pupil, RAPD), and cranial nerve palsies (III, IV, VI).

Emergency differentiation of giant cell arteritis (ESR/CRP, temporal artery biopsy) from NAION, localized aneurysm workup for painful pupil-involving third nerve palsy, and managing idiopathic intracranial hypertension (IIH).

Uveitis, Intraocular Inflammation & Ocular Oncology

Anterior, intermediate, posterior, and panuveitis, HLA-B27 associated iridocyclitis, Behçet disease, Vogt-Koyanagi-Harada (VKH) syndrome, ocular toxoplasmosis, cytomegalovirus (CMV) retinitis, and uveal melanoma.

Choosing targeted immunosuppressive therapy vs. local steroid implants, identifying "spillover" anterior chamber reaction vs. true panuveitis, managing toxoplasma chorioretinitis near the fovea, and distinguishing choroidal nevi from melanomas.

Oculoplastics, Orbit & Lacrimal System

Eyelid malpositions (ectropion, entropion, ptosis), orbital cellulitis vs. preseptal cellulitis, thyroid eye disease (Graves' orbitopathy), dacryocystitis, canalicular lacerations, and periocular malignancies (BCC, SCC, sebaceous carcinoma).

Management of optic nerve compression in thyroid eye disease (CAS score, IV methylprednisolone, surgical decompression), surgical repair pathways for nasolacrimal duct obstruction, and managing full-thickness eyelid margin trauma.

Clinical Optics, Refraction & Low Vision

Geometric and physical optics, vergence, spherical and cylindrical lenses, prismatic effect (Prentice's rule), chromatic aberrations, retinoscopy techniques, and low vision optical aids (magnifiers, telescopes).

Transposition of spherocylindrical prescriptions, calculating induced prism in decentered spectacles, managing high irregular astigmatism with rigid gas permeable (RGP) or scleral contact lenses, and advising low-vision patients on magnification power.

Ophthalmic Emergencies, Patient Safety & Ethics

Ruptured globe and open globe injuries, intraocular foreign body (IOFB), retrobulbar hematoma, traumatic hyphema, WHO Surgical Safety Checklist, patient consent, and SCFHS regulations.

Performing immediate lateral canthotomy and inferior cantholysis for retrobulbar compartment syndrome, rigid eye shield application without pressure in open globes, medical clearance, and Saudi medico-legal requirements for surgical consent.