MOH Oman OMSB Examination for Internal Medicine 2026
OMSB Internal Medicine Exam Quick Summary
OMSB (Oman Medical Specialty Board) runs two different Internal Medicine exams. Doctors who want a licence to work in Oman as internal medicine specialists sit the Omani Examination for Internal Medicine (OEIM), a computer-based licensing exam taken at Pearson VUE centres worldwide, with the score report emailed within 24 hours. Residents in the OMSB Internal Medicine programme sit the separate Part I and Part II specialty exams during and at the end of training.
Many doctors searching for "the OMSB Internal Medicine exam" are mixing up these two. If you are a specialist from abroad looking for a job in Oman, you need the OEIM. If you are training in an OMSB residency, you need Part I and Part II. This page explains both, then covers preparation and two practice questions. The general Oman licensing route (MOH registration and DataFlow) is on our OMSB Oman exam and DataFlow process page.
Which OMSB Internal Medicine exam do you need?
| Item | OEIM (licensing) | Residency Part I and Part II |
|---|---|---|
| Who sits it | Doctors applying to work in Oman under the internal medicine title | Residents in the OMSB Internal Medicine programme |
| Purpose | Used by MOH and other employers in Oman for licensing | Part I to progress in training, Part II for the OMSB Specialty Certificate |
| Where | OMSB National Test Center (Muscat) or Pearson VUE centres worldwide | Arranged by OMSB for its trainees |
| Format | Computer-based MCQs | Part I written; Part II written, then a clinical part |
| Attempts | No maximum at present; retakes follow OMSB policy | 3 attempts for each part |
What is the OMSB Internal Medicine licensing exam (OEIM)?
The OEIM is one of OMSB's Occupational Classification (OC) exams. OMSB says these exams check that candidates meet its standards to work as safe practitioners, and MOH Oman, other government bodies and private institutions use them for licensing. OMSB publishes a content document for each OC exam on its OC examinations page; read the OEIM one before you plan your study, because it is the only official outline of what is tested.
Booking and results work like this, according to Pearson VUE's OMSB page:
- Create a Pearson VUE account at pearsonvue.com/omsb and book a date. Confirmation arrives by email within 48 hours.
- You can reschedule or cancel free of charge up to 48 hours before the exam. Later changes may lose the fee.
- Bring one original, valid government photo ID. If you test outside your country of citizenship, bring your passport.
- In Pakistan, online payment is not available: you book by visiting the test centre at least 2 business days before your exam date and pay in cash.
- Your score report is emailed within 24 hours and is not re-issued, so save it. OMSB can issue a certification letter if you lose it.
- There is currently no maximum number of attempts; retakes follow OMSB policy.
Older pages, including the previous version of this one, describe this as a Prometric exam. OMSB OC exams are now delivered by Pearson VUE.
What are the OMSB Internal Medicine residency Part I and Part II exams?
The OMSB Internal Medicine residency is 4 years of full-time training at accredited centres. Applicants need a medical degree, a completed internship and medical fitness, and they must pass the OMSB selection examination and an interview. Non-Omani applicants also submit a licence from their last country of practice and a good standing certificate, each not older than 6 months.
Passing Part I is required to progress in the OMSB Internal Medicine residency. After completing training and passing Part II, you receive the OMSB Specialty Certificate.
How to best prepare for OMSB Internal Medicine exam?
- Go through internal medicine textbooks, such as Harrison and Kumar & Clark, for the topics where your MCQs show gaps. But do not rely only on textbooks.
- Practise with the OMSB Internal Medicine Qbank created by Interface Medical Education, 40 to 50 questions a day by system.
- Take full-length timed tests in the final 2 to 3 weeks to get used to exam-day pressure.
- Learn current international guidelines for the common acute presentations (ESC for cardiology and pulmonary embolism, KDIGO for kidney disease, GOLD and GINA for airways, endocrine society guidance for adrenal and thyroid emergencies). Licensing questions test first-line management.
- Try to connect with OMSB residents or alumni through online professional networks to understand the Part I and II patterns.
If you are also applying in the UAE, the specialist papers there follow a similar style; see the MOH UAE Internal Medicine QBank and the DOH Internal Medicine QBank. Exams for other OMSB titles are listed on our MOH Oman exams page.
OMSB Internal Medicine sample practice MCQs
Two questions in clinical scenario style. Tap a question to see the answer.
Question 1: Pulmonary embolism
A 58-year-old man had calf swelling for 3 days after a long-haul flight. Today he collapsed with sudden breathlessness. Blood pressure is 82/50 mmHg and stays below 90 mmHg after a 500 mL fluid bolus; pulse is 124/min and SpO2 88% on air. Bedside echocardiography shows a dilated right ventricle, and CT pulmonary angiography confirms bilateral main pulmonary artery emboli. He has no history of bleeding, stroke or recent surgery. What is the most appropriate treatment?
A) Subcutaneous low molecular weight heparin and admission to a monitored bed
B) Intravenous unfractionated heparin with systemic thrombolysis
C) Insertion of an inferior vena cava filter
D) Oral apixaban, starting with the loading dose
Correct answer: B) Intravenous unfractionated heparin with systemic thrombolysis
Sustained hypotension makes this high-risk (massive) pulmonary embolism. With no contraindication, guidelines recommend systemic thrombolysis (for example alteplase) together with unfractionated heparin. LMWH and oral anticoagulants alone are for haemodynamically stable patients. An IVC filter is reserved for patients who cannot be anticoagulated, and surgical or catheter embolectomy is used if thrombolysis is contraindicated or fails.
Question 2: Adrenal crisis
A 34-year-old woman with known primary adrenal insufficiency, on oral hydrocortisone and fludrocortisone, has had vomiting and diarrhoea for 2 days and could not keep her tablets down. She is drowsy. Blood pressure is 78/44 mmHg and pulse 120/min. Sodium is 127 mmol/L, potassium 5.9 mmol/L and glucose 3.6 mmol/L. What is the most appropriate immediate management?
A) Short Synacthen test before giving any steroid
B) Intravenous hydrocortisone 100 mg with rapid intravenous 0.9% sodium chloride
C) Double her oral hydrocortisone dose and give oral rehydration solution
D) Intravenous dexamethasone 4 mg, then restart her usual tablets
Correct answer: B) Intravenous hydrocortisone 100 mg with rapid intravenous 0.9% sodium chloride
This is an adrenal crisis. Give hydrocortisone 100 mg IV (or IM) immediately, then 200 mg over 24 hours, with about 1 litre of 0.9% saline in the first hour and glucose as needed. Her diagnosis is already known, so testing would only delay treatment. Oral treatment fails when she is vomiting. Dexamethasone has no mineralocorticoid effect, while high-dose hydrocortisone covers both, so separate fludrocortisone is not needed during the crisis.
Frequently Asked Questions
Is the OMSB Internal Medicine exam a Prometric or Pearson VUE exam?
The OMSB licensing exams, including the Omani Examination for Internal Medicine, are computer-based and delivered at the OMSB National Test Center in Muscat and at Pearson VUE centres worldwide. You register at pearsonvue.com/omsb. Older references to Prometric are out of date.
Can I take the OMSB Internal Medicine exam outside Oman?
Yes. The licensing exam is offered at Pearson VUE centres worldwide. In Pakistan, online payment is not available, so you book at the test centre at least 2 business days before your exam date and pay in cash.
When do I get my OMSB exam result?
Pearson VUE emails the score report to your registered email within 24 hours of the exam. It is not re-issued, so keep a copy; OMSB can issue a certification letter if you lose it.
How many times can I retake the OMSB Internal Medicine exam?
For the licensing exam, Pearson VUE states there is currently no maximum number of attempts, and retakes follow OMSB policy. For residents, Part I and Part II each allow 3 attempts, and failing Part I three times ends the residency registration.
What is the difference between OMSB Part I and Part II?
Both are for OMSB residents. Part I is a qualifying written exam, usually in the second year, that you must pass before moving to the fourth year. Part II is the exit exam after training, with a written and a clinical part, and passing it leads to the OMSB Specialty Certificate.
Your Comments
Readers have asked us these questions over time. Tap any question to open it and read our reply.
SREEKUMAR K (Oman): sample papers for the OMSB internal medicine exam
"I am preparing for the MOH OMAN OMSB examination for internal medicine specialty in May, is any Sample Question papers or useful hints available. Please help. with regards Sreekumar "
SREEKUMAR K
Medical Qualification: M.D
City, Country: OMAN
Saji jose (UAE): is a HAAD licence valid in other emirates?
"I passed the HAAD exam in Abu Dhabi for clinical support.Can I work any where in UAE with this license? i.e Is this HAAD License acceptable out of Abu Dhabi instead of all other emirates professional Lic. [DOH,MOH etc..] "
Saji jose
Medical Qualification: DMLT
City, Country: UAE
Naushad ali (Bangalore, India): MOH exam dates and books for pharmacists
"As salam mu alai kum, Iam Naushad ali, i would like to write MOH exam so kindly guide me giving appropriate information regarding the dates of the exam and how to get registered for the exam and also all about the study materials."and its possible to get a job after writing the exam,please give detail regarding writing exams and which book to refer for writing exams. Khuda hafiz "
Naushad ali
Medical Qualification: M.Pharm
City, Country: Bangalore & India
dr.sabah mohsin (Karachi, Pakistan): UAE residency after MRCOG Part 1?
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dr.sabah mohsin
Medical Qualification: mbbs
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Medical Qualification: BSC CLINICAL NUTRITION AND DIETETICS
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Naim
Medical Qualification: specialist in urology & general surgery, Hungary
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DR Amrita Natarajan (Kollam, India): BDS 2008 with four months of work
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Medical Qualification: BDS
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dr farnaz niaz (Peshawar, Pakistan): continuing FCPS training in the UAE
"can i get the oppurtunity 2 continue my remaining 2 year FCPS training in UAE as i also have residential visa also.do i need to take any exam in order to contuiue my trianing in UAE. i can also get my NOC certificate .kindly reply . Thanking you in anticipation. "
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Medical Qualification: MBBS, FCPS 1
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dr aftab (Pakistan): with DCH, specialist or GP exam?
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shyamala deve.B (India): BDS with 1.5 years of experience, am I eligible?
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ZINEB (Sharjah, UAE): MOHAP GP exam dates, syllabus and sample questions
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Prepare for the OMSB Internal Medicine exam
Internal medicine MCQs by system with clear explanations, plus timed mock exams to build speed before your Pearson VUE date.
Enroll in OMSB Internal Medicine QBank