SCFHS Oral Surgery Exam MCQs 2026

Saudi Oral Surgery Prometric Exam Overview

The Saudi Commission for Health Specialties (SCFHS) conducts this computer-based licensing test for dental surgeons seeking classification as an Oral and Maxillofacial Surgery Specialist or Registrar across public hospitals, specialized military and university dental centers, and private healthcare facilities in the Kingdom of Saudi Arabia. The exam assesses advanced surgical judgment, complex exodontia, maxillofacial trauma management, reconstructive principles, head and neck pathology, and perioperative care. Candidates can schedule their Prometric sitting once their credential assessment and DataFlow primary source verification are approved through the SCFHS Mumaris+ platform.

Exam Parameter	Details
Exam Title	Saudi Oral Surgery Exam (Oral & Maxillofacial Surgery)
Authority	Saudi Commission for Health Specialties (SCFHS)
Delivery Mode	Prometric Computer-Based Test (CBT)
Exam Code	OMFS / OS-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% (Registrar / Specialist level)
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 examination blueprint tests surgical decision-making, clinical diagnosis, and crisis intervention rather than basic textbook theory. Clinical vignettes feature radiographs, CT scans, and operative challenges requiring candidates to evaluate surgical approaches, mitigate medical risks, prevent intraoperative complications, and manage post-surgical recovery according to international OMFS standards.

Specialty Module	Core Topics	Key Focus Areas & Clinical Scenarios
Dentoalveolar, Pre-prosthetic & Implant Surgery	Complex impactions (mandibular and maxillary third molars, canines), surgical extractions, alveoloplasty, ridge augmentation, sinus floor elevation, and dental implant placement.	Sparing the inferior alveolar and lingual nerves, managing root displacements into the maxillary sinus, immediate vs. delayed implant loading criteria, and treating peri-implantitis.
Maxillofacial Trauma & Reconstructive Care	Mandibular fractures (symphysis, body, angle, condyle), midface fractures (Le Fort I, II, III), zygomaticomaxillary complex (ZMC) fractures, orbital blowout fractures, and soft tissue trauma.	Champy’s lines of osteosynthesis, open vs. closed reduction of condylar fractures, managing post-traumatic enophthalmos and diplopia, and definitive primary wound debridement.
Maxillofacial Infections & Fascial Space Spread	Odontogenic infections, canine, buccal, submandibular, pterygomandibular, lateral pharyngeal, and retropharyngeal spaces, Ludwig's angina, and osteomyelitis of the jaw.	Airway preservation priorities during floor-of-mouth phlegmon, surgical incision and drainage pathways, empirical vs. targeted IV antibiotic titration, and hyperbaric oxygen indications.
Oral Pathology, Cysts & Maxillofacial Tumors	Odontogenic cysts (radicular, dentigerous, keratocystic odontogenic tumor/OKC), benign tumors (ameloblastoma), salivary gland neoplasms, and oral squamous cell carcinoma (OSCC).	Enucleation and curettage vs. en bloc resection margins, clinical staging (TNM), neck dissection indications, frozen section utility, and reconstruction using vascularized free flaps.
Medically Compromised Patients & Perioperative Care	Anticoagulated and antiplatelet-treated patients, bisphosphonate-related osteonecrosis of the jaw (MRONJ), end-stage renal disease, severe cardiac disease, and poorly controlled diabetes.	Staging and surgical intervention criteria for MRONJ, bridging protocols for systemic antithrombotic therapies, perioperative glycemic control, and infection risk reduction.
Local Anesthesia, Sedation & Pain Control	Regional nerve block anatomy (IANB, Gow-Gates, Vazirani-Akinosi), local anesthetic pharmacology, maximum dosages, conscious sedation protocols, and complex facial pain syndromes.	Diagnosing and resuscitating Local Anesthetic Systemic Toxicity (LAST) with 20% lipid emulsion, preventing hematomas during deep blocks, and managing persistent trigeminal neuralgia.
Temporomandibular Joint (TMJ) Disorders	Internal derangements (disc displacement with vs. without reduction), TMJ osteoarthritis, ankylosis, recurrent dislocation, arthrocentesis, arthroscopy, and total joint replacement.	Conservative therapy sequences, arthrocentesis fluid pressure protocols, gap arthroplasty with interpositional graft for ankylosis, and surgical reduction of persistent joint lock.
Craniofacial Anomalies & Orthognathic Surgery	Skeletal Class II and Class III deformities, vertical maxillary excess, maxillary hypoplasia, mandibular asymmetry, Le Fort I osteotomy, BSSO, and cleft lip and palate repair.	Cephalometric surgical planning, sequence of mandibular vs. maxillary movements, intraoperative bleeding management during downfracture, and distraction osteogenesis timing.
Surgical Emergencies, Patient Safety & Ethics	Severe intraoperative hemorrhage, acute airway compromise, surgical fires in oxygen-rich zones, WHO Surgical Safety Checklist compliance, patient consent, and SCFHS regulations.	Internal maxillary or facial artery bleeding control, needle/scalpel cricothyroidotomy during acute obstruction, disclosing intraoperative nerve injuries, and Saudi health law compliance.

SCFHS Oral Surgery Exam MCQs