SCFHS Pediatrics Exam MCQs 2026

Saudi Pediatrics Prometric Exam Overview

The Saudi Commission for Health Specialties (SCFHS) conducts this licensing examination for pediatricians seeking professional classification as a Pediatric Registrar or Senior Registrar in hospitals, specialized pediatric clinics, and emergency centers throughout the Kingdom of Saudi Arabia. The computer-based test focuses on clinical decision-making, acute resuscitation, organ-system pathophysiology, childhood development, and ambulatory pediatric care. Once your specialty qualification review and DataFlow primary source verification are approved through the SCFHS Mumaris+ portal, you receive eligibility to book the Prometric exam.

Exam Parameter	Details
Exam Title	Saudi Pediatrics Exam (General Pediatrics Licensing Exam)
Authority	Saudi Commission for Health Specialties (SCFHS)
Delivery Mode	Prometric Computer-Based Test (CBT)
Exam Code	PED-REG / PEDI
Question Format	Multiple-Choice (Single Best Answer)
Number of MCQs	200 questions (split into 2 clinical blocks)
Exam Duration	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 available on the Mumaris+ portal
Score Validity	5 years

Detailed Syllabus & Domain Breakdown

The SCFHS Pediatrics blueprint reflects practical inpatient, outpatient, and acute critical care responsibilities. Rather than testing abstract physiological recall, clinical vignettes present diagnostic dilemmas, lab interpretation, dosage safety, and urgent management steps across neonatal and childhood disorders.

Specialty Module	Core Topics	Key Focus Areas & Clinical Scenarios
Growth, Development & Adolescent Medicine	Physical growth curves (WHO vs. CDC), milestone surveillance (motor, speech, adaptive), puberty staging (Tanner stages), behavioral issues, and adolescent health.	Identifying failure to thrive vs. constitutional growth delay, evaluating speech-language regression, managing precocious vs. delayed puberty, and screening for eating disorders or depression in teens.
Acute Care (PICU, NICU & Pediatric ER)	Neonatal resuscitation (NRP), Pediatric Advanced Life Support (PALS), respiratory failure, septic shock, status epilepticus, and severe trauma stabilization.	Immediate airway support for severe stridor, fluid bolus titration in distributive shock, managing meconium aspiration syndrome, and second-line anticonvulsant sequencing for refractory status epilepticus.
Respiratory & Airway Disorders	Acute bronchiolitis, viral croup, bacterial tracheitis, foreign body aspiration, persistent childhood asthma, and community-acquired pneumonia.	Deciding on nebulized epinephrine and systemic dexamethasone in severe croup, step-up inhaler regimens according to GINA guidelines, and evaluating localized persistent atelectasis.
Allergy, Immunology & Infectious Diseases	Common childhood exanthems (measles, rubella, roseola, parvovirus B19), Kawasaki disease, occult bacteremia, congenital immunodeficiencies, and vaccination schedules.	Timely diagnosis and IVIG/aspirin administration for Kawasaki disease, workup of recurrent atypical infections, managing acute food-induced anaphylaxis, and administering catch-up vaccines.
Neurology & Neuromuscular Disorders	Febrile seizures (simple vs. complex), neonatal seizures, infantile spasms (West syndrome), pediatric meningitis, cerebral palsy, and acute flaccid paralysis.	Differentiating benign breath-holding spells from seizures, interpreting abnormal CSF opening pressure and chemistry, hypsarrhythmia on EEG, and managing intracranial hypertension.
Gastroenterology & Nutrition	Acute viral gastroenteritis, oral rehydration therapy, parenteral deficit calculations, celiac disease, inflammatory bowel disease, hypertrophic pyloric stenosis, and intussusception.	Correcting hypochloremic metabolic alkalosis in pyloric stenosis, managing non-operative pneumatic reduction for intussusception, and formulating refeeding plans for severe acute malnutrition.
Cardiology & Circulatory Defects	Congenital heart defects (VSD, ASD, PDA, Coarctation, Tetralogy of Fallot, Transposition of the Great Arteries), acute rheumatic fever, and myocarditis.	Stabilizing hypercyanotic "Tet" spells, maintaining ductal patency with prostaglandin E1 infusions in cyanotic newborns, and applying modified Jones criteria.
Metabolic, Genetic & Endocrine Disorders	Diabetic ketoacidosis (DKA), congenital hypothyroidism, congenital adrenal hyperplasia (CAH), inborn errors of metabolism, Down syndrome, and Turner syndrome.	Cautious IV fluid and low-dose insulin infusion protocols in pediatric DKA to prevent cerebral edema, salt-wasting crisis recognition in neonates, and newborn metabolic screening recalls.
Nephrology & Musculoskeletal Conditions	Nephrotic syndrome (minimal change disease), acute glomerulonephritis, hemolytic uremic syndrome (HUS), pediatric UTIs, septic arthritis, and transient synovitis.	Corticosteroid regimens in steroid-sensitive nephrotic syndrome, initial workup of gross hematuria and hypertension, investigating limp in a toddler, and hip ultrasound indications.
Hematology, Oncology & Pediatric Surgery Basics	Iron deficiency anemia, sickle cell disease crises, beta-thalassemia, immune thrombocytopenia (ITP), acute leukemias, appendicitis, and congenital anomalies (TEF, CDH).	Managing acute chest syndrome and vaso-occlusive pain in sickle cell patients, observation vs. IVIG for childhood ITP without major bleeding, and urgent surgical referrals for acute abdomen.
Patient Safety & Professional Medical Ethics	Child abuse/neglect recognition, consent and assent procedures, medication calculation error prevention, parent communication, and Saudi healthcare regulatory laws.	Spotting characteristic non-accidental trauma patterns (fractures, retinal hemorrhages), navigating refusal of blood transfusions, disclosing medical errors, and ethical confidentiality rules.

SCFHS Pediatrics Exam MCQs