SCFHS exam questions by profession
Free practice questions with full explanations for 7 professions sitting the SCFHS exam in Kingdom of Saudi Arabia, and exactly how SCFHS sets its paper - format, pass mark and attempts from SCFHS's own published rules.
- 105
- Free questions
- 7
- Professions
- 500-560 of 800
- Pass mark
- Up to 4 a year
- Attempts
Quick answer
SCFHS does not release its exam papers. The SCFHS exam is 200 MCQs, 240 min, with a pass mark of 500-560 of 800 and up to 4 a year attempts. Below are free practice questions with answers for 7 professions, written to each exam's official blueprint - the safe alternative to unofficial "recalls".
How the SCFHS exam is set
Result: A scaled score on a 200-800 reporting scale, with a statement of results and a feedback report comparing you with other test takers - announced 2-6 weeks after the test window closes.
Questions test safe, current clinical practice for your title - mostly short patient scenarios asking for the best next step, the most likely diagnosis or the safest action. Booking, exemptions and full rules are in the SCFHS exam guide.
Free SCFHS exam questions by profession
SCFHS lists a separate exam for each of these 7 titles. Search yours - each opens 15 free questions with answers for that exam.
7 professions
Registered Nurse (RN)
Exam: Saudi Nursing Licensure Examination (SNLE). Covers maternal, newborn and women's health nursing and pediatric nursing. 15 free questions with answers, plus the exam at every GCC regulator.
Pharmacist
Exam: Saudi Pharmacist Licensure Examination (SPLE). Covers clinical therapeutics and disease-state management and pharmacology, drug classes, ADRs and drug interactions. 15 free questions with answers, plus the exam at every GCC regulator.
Medical Laboratory Technologist
Exam: Saudi Laboratory Specialist Licensure Examination (SLLE). Covers general laboratory, quality management and safety and clinical chemistry. 15 free questions with answers, plus the exam at every GCC regulator.
Radiographer
Exam: Saudi Radiologic Technologist Licensure Examination (SRTLE). Covers radiographic positioning and imaging procedures and radiation protection and safety. 15 free questions with answers, plus the exam at every GCC regulator.
General Practitioner (GP)
Exam: Saudi Medical Licensure Examination (SMLE). Covers family medicine and primary care and internal medicine. 15 free questions with answers, plus the exam at every GCC regulator.
General Dentist
Exam: Saudi Dental Licensure Examination (SDLE). Covers restorative dentistry and periodontics. 15 free questions with answers, plus the exam at every GCC regulator.
Respiratory Therapist
Exam: Saudi Respiratory Care Licensure Examination (SRCLE). Covers mechanical ventilation: initiation, management and liberation and patient assessment and clinical data evaluation. 15 free questions with answers, plus the exam at every GCC regulator.
Try 6 sample SCFHS exam questions
A mix across professions, at the level of the real exam. Answer first, then open the explanation.
- Question 1Registered Nurse (RN)Maternal, Newborn & Women's Health Nursingmedium
Twenty minutes after a vaginal birth, a woman has heavy bright red bleeding. The uterus is soft, boggy and palpable above the umbilicus, and the placenta has been delivered complete. What is the first nursing action?
- AInsert a urinary catheter to empty the bladder
- BPlace the woman in a head-down position
- CInspect the perineum for an unrepaired tear
- DMassage the uterine fundus firmly until it contracts
Show answer and explanation
Answer: D. Massage the uterine fundus firmly until it contracts
A soft, boggy, high uterus indicates uterine atony, the commonest cause of postpartum haemorrhage; rubbing up a contraction with fundal massage is the immediate measure while help is called and uterotonics are given. Emptying the bladder helps the uterus contract and is part of management, but it does not take priority over fundal massage. A tear is suspected when bleeding continues despite a well-contracted uterus.
- Question 2PharmacistPublic Health, Pharmacoeconomics, Pharmacoepidemiology & Biostatisticshard
A screening test is evaluated in 1,000 people: 90 true positives, 10 false negatives, 30 false positives and 870 true negatives. What is the positive predictive value?
- A75%
- B90%
- C96.7%
- D98.9%
Show answer and explanation
Answer: A. 75%
PPV is true positives divided by all positive results: 90 / (90 + 30) = 75%. Sensitivity, the tempting distractor, is 90 / (90 + 10) = 90%; specificity is 870 / 900 = 96.7% and NPV is 870 / 880 = 98.9%. PPV depends on prevalence as well as test accuracy.
- Question 3Medical Laboratory TechnologistUrinalysis & Body Fluidseasy
A urine reagent strip shows a positive nitrite pad. What does this most likely indicate?
- AInfection with Enterococcus faecalis
- BBacteriuria with nitrate-reducing organisms such as E. coli
- CCandida infection of the urinary tract
- DContamination of the sample with vaginal epithelial cells
Show answer and explanation
Answer: B. Bacteriuria with nitrate-reducing organisms such as E. coli
Many Gram-negative Enterobacterales, such as E. coli, reduce dietary nitrate to nitrite, so a positive nitrite test indicates significant bacteriuria. Enterococci and yeasts do not reduce nitrate, so a negative nitrite does not exclude infection with these organisms.
- Question 4General Practitioner (GP)Family Medicine & Primary Caremedium
A 45-year-old man who smokes 20 cigarettes a day is motivated to quit and has no relevant medical history. Which single pharmacological option is most effective for achieving long-term abstinence?
- AA single form of nicotine replacement therapy
- BVarenicline
- CBupropion
- DNortriptyline
Show answer and explanation
Answer: B. Varenicline
Varenicline, a partial agonist at nicotinic receptors, is the most effective single pharmacotherapy for smoking cessation, with combination NRT (patch plus a short-acting form) giving similar results. A single form of NRT and bupropion are both effective but less so than varenicline, and nortriptyline is only a second-line option. Combining any medication with behavioural support improves quit rates further.
- Question 5General DentistRestorative Dentistry (Operative Dentistry & Prosthodontics)medium
A root-filled maxillary premolar is to be restored with a post and crown. What height of sound vertical tooth structure above the core margin is generally recommended for an effective ferrule?
- AAt least 0.5 mm
- BAt least 4-5 mm
- CNo ferrule is needed if a fibre post is used
- DAt least 1.5-2 mm
Show answer and explanation
Answer: D. At least 1.5-2 mm
A ferrule of at least 1.5-2 mm of sound, parallel-walled tooth structure encircled by the crown significantly improves the fracture resistance of endodontically treated teeth. A ferrule of 0.5 mm offers little protection, and the post type does not remove the need for a ferrule.
- Question 6Registered Nurse (RN)Pharmacology & Medication Administrationmedium
An adult is prescribed 1,000 mL of compound sodium lactate over 8 hours using a gravity administration set with a drop factor of 20 drops/mL. What is the correct drip rate?
- A42 drops/min
- B21 drops/min
- C63 drops/min
- D125 drops/min
Show answer and explanation
Answer: A. 42 drops/min
Drip rate = volume x drop factor / time in minutes = 1,000 x 20 / 480 = 41.7, rounded to 42 drops/min. 125 is the hourly volume in mL/h (1,000 / 8), not the drop rate, and is a common error when the drop factor and minutes are ignored.
SCFHS past papers and recalls
SCFHS does not release past papers - the question pool is confidential and reused. "Recall" files shared online are reconstructed from memory by past candidates: they are unofficial, frequently wrong, and sharing live exam content can breach the confidentiality agreement you accept before you test.
The reliable way to prepare is practice written to the official blueprint, timed like the real thing, with explanations that teach you why each answer is right - the free questions above, our free mock exams and our question banks.
SCFHS exam questions: FAQs
Where can I find SCFHS exam questions?
Are SCFHS past papers or "recalls" available?
How many questions are in the SCFHS exam?
What is the SCFHS exam pass mark?
How many attempts do I get at the SCFHS exam?
More on the SCFHS exam
Sources - last reviewed September 2026
- SCFHS - SMLE Examination Content Guideline and Blueprint (2026): SMLE format, 560 passing score, results, attempts and blueprint weights.
- SCFHS - SNLE Applicant Guide (Sep 2025): SNLE format, 500 passing score and attempts.
- SCFHS - SDLE Applicant Guide (2026): SDLE format and 542 passing score.
- SCFHS - SRTLE Applicant Guide (2026): SRTLE format and 530 passing score.
- SCFHS - SLLE Applicant Guide (2023): SLLE format, 554 pass score and blueprint weights.
- SCFHS - SRCLE Applicant Guide (2023): SRCLE format and 542 pass score.
- SCFHS - SPLE Applicant Guide (2024): SPLE format, 536 passing score and blueprint weights.
SCFHS can change an exam's format or pass mark without notice, so confirm yours before you book.
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