Free Urology mock exam

What the real Urology licensing exam looks like

What is on the Urology exam: the full blueprint

The published blueprint splits into 13 domains and 241 testable sub-topics. The diagnostic above samples across all of them, which is why its breakdown maps onto the structure the real paper is built from.

• Basic Sciences and Basics of Urologic Surgery~5%18 topics

  SCFHS SLE published 'Basics of Urologic Surgery' 5%; Saudi Board lists 'Anatomy/pathophysiology' as a separate 5%; DHA lists 'Basics of Urologic surgery'

• Urologic Imaging, Endoscopy, Instrumentation and Urodynamics~3%17 topics

  est.; not a separate published section - the authorities embed diagnostic evaluation within 'Basics of Urologic surgery' and the organ-specific sections

• Infections and Inflammatory Conditions of the Genitourinary Tract10%18 topics

  SCFHS SLE published 'Infections / Inflammation' 10%; Saudi Board 10%; DHA lists 'Infections / Inflammation'

• Urolithiasis and Obstructive Uropathy15%19 topics

  SCFHS SLE published 'Urolithiasis / Obstruction' 15% - the single largest section; DHA lists 'Urolithiasis / Obstruction'

• Neurourology, Voiding Dysfunction, Incontinence and Female Urology~7%18 topics

  est.; part of the SCFHS SLE 'Trauma / Neurourology' 13% and mapped to the Saudi Board section 'Urine transport / storage and emptying' 13%; DHA lists 'Trauma / Neurorology'

• Genitourinary Trauma and Reconstructive Urology~6%18 topics

  est.; remainder of the SCFHS SLE 'Trauma / Neurourology' 13%; Saudi Board publishes 'Trauma / Reconstruction' at 10%

• Prostate: Benign Prostatic Hyperplasia and Prostate Cancer11%19 topics

  SCFHS SLE published 'Prostate' 11%; Saudi Board 'Prostate/Adrenal' 11%; DHA lists 'Prostate'

• Kidney and Adrenal Tumours~4%18 topics

  est.; part of the SCFHS SLE 'Adrenal / Neoplasm' 10%; DHA lists 'Adrenal / Neoplasm'

• Bladder Cancer, Urothelial, Testicular and Penile Malignancy~6%19 topics

  est.; remainder of the SCFHS SLE 'Adrenal / Neoplasm' 10%; Saudi Board 'Neoplasm / Molecular and cellular biology' 12%

• Renal Failure, Renovascular Disease and Transplantation5%19 topics

  SCFHS SLE published 'Renal Failure' 5%; Saudi Board 'Renal failure / transplantation & urolithiasis' 12%; DHA lists 'Renal failure'

• Andrology, Male Infertility and Sexual Medicine8%19 topics

  SCFHS SLE published 'Reproductive / Sexual Health' 8%; Saudi Board 10%; DHA lists 'Reproductive / Sexual health'

• Paediatric Urology13%19 topics

  SCFHS SLE published 'Paediatric Urology' 13%; Saudi Board 12%; DHA lists 'Pediatric Urology'

• Patient Safety, Professionalism, Ethics, Communication and Evidence-Based Urology10%20 topics

  SCFHS SLE published 'Patient Safety' 5% + 'Professionalism and Ethics' 5%; DHA lists both as separate coverage items; Saudi Board states these are incorporated within the other domains

Questions

~150 (DHA Specialist Urology = 150, code URO5931; QCHP = 150; MOHAP ~150; OMSB written ~150; NHRA ~150). SCFHS is larger: Saudi Licensure Exam Urology = 200 MCQs; Saudi Board Urology Final Written = 2 papers x 100-125 SBA MCQs (200-250 total)

Duration

3 hours (DHA 3 h inclusive of registration and introduction; QCHP 3 h; MOHAP ~3 h; OMSB written 3 h; NHRA 3 h seating / ~2.5 h testing). SCFHS SLE Urology = 4 hours for 200 MCQs

Pass mark

60% (DHA Specialist Urology, code URO5931 - explicitly 60%, unlike some DHA surgical papers set at 65%; also MOHAP, NHRA, OMSB written minimum, QCHP GP paper). 65% for QCHP specialty papers (reported). SCFHS SLE Urology: 65% Registrar / 70% Senior Registrar. SCFHS Saudi Board Final Written: 70%, lowered one mark at a time toward a 70% pass rate but never below 65%

Single-best-answer MCQs, 4 options, predominantly clinical-vignette items (interpretation, investigation choice, management decision) with a minority of pure-recall basic-science items. Up to 10% unscored pretest items may be embedded (SCFHS states this explicitly). Delivered by Prometric for DHA, MOHAP, SCFHS, QCHP, NHRA and OMSB; DOH Abu Dhabi uses Pearson VUE. Results released as Pass/Fail only with no score disclosed (DHA). Blueprint distributions may vary +/-5% per category (SCFHS). OMSB specialty papers are reported to differ in item type, adding true/false items with negative marking and short-note components alongside single-best-answer questions. Where an oral is required (DHA Consultant, MOHAP surgical viva, OMSB viva, DOH consultant, SCFHS consultant interview) it is a separate stage with its own fee and, where both apply, the CBT must be passed first. Oral durations: DHA 20-30 min minimum with >=5 scenarios; DOH reported 45-60 min with 5-6 scenarios; SCFHS consultant interview 2 x ~30 min sessions; OMSB viva held in Muscat roughly two weeks after the written, with 2-3 attempts allowed depending on the written score. Core references named by DHA and SCFHS: Campbell-Walsh(-Wein) Urology (12th ed.), Atlas of Urologic Surgery (Hinman), Essentials of Patient Safety (SCHS), and the SCFHS Professionalism and Ethics Handbook for Residents; EAU and AUA guidelines are the de facto standard for management-level items.

A worked Urology exam question

Every question in the diagnostic and in the paid bank is written to this standard: a clinical stem, four plausible options and the reasoning for the answer, with its source.

How to use this diagnostic properly

1. 1Sit it cold, once. Do not look anything up. A diagnostic you help yourself through tells you nothing. The number you get is only useful if it is honest.
2. 2Read every rationale - especially the ones you got right. Getting a question right by elimination is not the same as knowing it. The worked reasoning is free above, whether or not you buy anything.
3. 3Work weakest domain first. The breakdown orders your domains worst-first for exactly this reason. Studying what you are already good at feels productive and moves nothing.
4. 4Re-sit under full exam conditions later. The real paper is far longer than this and stamina matters. Full-length timed papers are what the paid bank is for.

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