SLE Obs & Gynae Exam 2026: Eligibility & MCQs

Last updated on 22-Sep-2026, by Dr. Muhammad Dr. Muhammad

 

SLE Obs & Gynae Exam Quick Summary

The Saudi Licensing Exam (SLE) Obstetrics & Gynecology specialty exam is a 200-question, computer-based Prometric test covering general obstetrics, gynecology, and women's health, with a passing score of 65% for Registrar-level classification and 70% for Senior Registrar.

Saudi Licensing Exam (SLE) Obstetrics & Gynecology Specialty Exam

The Saudi Commission for Health Specialties (SCFHS) administers this specialty exam as part of its physician classification and licensing process, evaluating a candidate's knowledge and clinical skills in the diagnosis, treatment, and management of conditions related to women's health, spanning both obstetrics (pregnancy and childbirth) and gynecology (the female reproductive system).

Eligibility criteria for the SLE Obs & Gynae exam

To apply for SCFHS classification and sit the Obstetrics & Gynecology specialty exam, candidates are generally expected to meet the following:

Primary medical degree: A recognized MBBS, MD, or equivalent medical degree from an accredited institution.
Specialization in Obstetrics & Gynecology: Completion of a recognized residency, MD, MS, DNB, or equivalent postgraduate qualification in Obstetrics & Gynecology from an accredited institution.
Post-specialization clinical experience: Generally 2-4 years of post-specialty experience for Specialist-level classification, with 5+ years (or equivalent) required for Consultant-level classification. The exact figure depends on your qualification and prior classification.
Valid license & Good Standing Certificate: An active license to practice in your home country (or country of last employment), plus a Certificate of Good Standing confirming no disciplinary action.
DataFlow PSV & Mumaris Plus registration: All educational, professional, and licensing documents must be verified through DataFlow, and your application is processed through SCFHS's Mumaris Plus portal (mumaris.scfhs.org.sa).

SLE Obs & Gynae exam exemption criteria

Possible exam exemption
Obstetricians and gynecologists holding an active board certification from a recognized authority, such as a US board certification, a UK Certificate of Completion of Training (CCT), a Canadian Royal College fellowship, or an equivalent Australian/New Zealand fellowship, may be considered for exemption from the written Prometric exam during SCFHS classification. Exemption is evaluated case-by-case as part of the classification review and is not automatically guaranteed, so confirm your own status directly with SCFHS through the Mumaris Plus portal rather than assuming it applies.

SLE Obs & Gynae exam syllabus & weightage

The exam draws from the following subject areas, based on published SCFHS-aligned blueprints:

Topic
Weight
General Obstetrics
21%
General Gynecology
17%
Gynecology Oncology
13%
Maternal-Fetal Medicine
11%
Women's Health
9%
Reproductive Endocrinology & Infertility
8%
Perioperative Management
6%
Urogynecology & Pelvic Floor Disorders
5%
Patient Safety
5%
Professionalism & Ethics
5%

Most questions are presented as clinical scenario-based MCQs, each typically with 4-5 answer choices and one correct answer, testing diagnosis, investigation, and management judgment.

SLE Obs & Gynae study material & questions
Our Qbank offers 860+ high-yield MCQs with real exam simulation, competitive self-assessment, and detailed explanations/analytics.

SLE Obs & Gynae exam format

200
MCQs (2 x 100)
4 hours
Time allowed
65% / 70%
Registrar / Senior Registrar

The SLE Obs & Gynae exam is delivered as a computer-based test via Prometric, split into two 100-question papers with a short break between them. Questions emphasize clinical decision-making across obstetric and gynecologic emergencies, common conditions, and evidence-based management protocols.

Preparation tips for the SLE Obs & Gynae exam

Prioritize the high-weight domains
General obstetrics and general gynecology together make up 38% of the exam, build your revision schedule around these first.
Master obstetric emergencies
Preeclampsia, postpartum hemorrhage, and other high-acuity presentations are consistently well represented and high-yield.
Practice scenario-based MCQs
Expect vignette-style questions requiring diagnosis, investigation ordering, and management planning, not simple recall.
Pace yourself across both papers
With 200 questions in 4 hours split into two papers, aim for roughly 1.2 minutes per question and use the break to reset focus.

Sample Practice MCQs

Test your knowledge with these original clinical scenario-style questions. Tap a question to reveal the answer.

> Question 1: General Obstetrics
A woman at 39 weeks gestation presents in active labor. The fetal heart rate tracing shows recurrent late decelerations with reduced variability despite intrauterine resuscitation measures. What is the most appropriate next step?

Answer: Proceed to emergency delivery (operative vaginal delivery if criteria are met, otherwise cesarean section).

Explanation: Recurrent late decelerations with reduced variability that persist despite maternal repositioning, oxygen, and fluid administration suggest ongoing fetal compromise. Expedited delivery is indicated rather than continued observation.
> Question 2: Gynecology Oncology
A 55-year-old postmenopausal woman presents with new vaginal bleeding. What is the most appropriate initial investigation?

Answer: Transvaginal ultrasound to assess endometrial thickness, followed by endometrial biopsy if indicated.

Explanation: Postmenopausal bleeding requires prompt evaluation to exclude endometrial cancer. Transvaginal ultrasound is a reasonable first step to assess endometrial thickness; a thickened or abnormal endometrium warrants biopsy for histological diagnosis.
> Question 3: Reproductive Endocrinology
A 30-year-old woman with a 2-year history of primary infertility has irregular cycles, elevated LH:FSH ratio, and ultrasound findings of multiple small peripheral ovarian follicles. What is the most appropriate first-line treatment to induce ovulation?

Answer: Letrozole (or clomiphene citrate) as first-line ovulation induction.

Explanation: This presentation is consistent with PCOS-related anovulatory infertility. Letrozole is now generally preferred over clomiphene citrate as first-line therapy for ovulation induction in PCOS, per current evidence-based guidelines.

Frequently Asked Questions

> What does the SLE Obs & Gynae exam cover?

It covers general obstetrics, general gynecology, gynecology oncology, maternal-fetal medicine, women's health, reproductive endocrinology and infertility, perioperative management, urogynecology and pelvic floor disorders, patient safety, and professionalism and ethics.

> How many questions are on the SLE Obs & Gynae exam?

The exam consists of 200 MCQs, split into two 100-question papers, with 4 hours allowed in total.

> What is the passing score for the SLE Obs & Gynae exam?

Candidates generally need to score 65% for Registrar-level classification, or 70% for Senior Registrar-level classification.

> Can Obs & Gynae doctors be exempted from the SLE Prometric exam?

Possibly. Doctors holding an active board certification (e.g. US board certification, UK CCT, Canadian Royal College fellowship, or an equivalent Australian/New Zealand fellowship) may be considered for exemption during SCFHS classification, though this is evaluated case-by-case and isn't guaranteed.

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Dr. Radhika Mishra
Dr. Radhika Mishra

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