Saudi Medical Licensing Exam (SMLE) Syllabus
Browse clinical topics for your study plan. These are SMLEMed study categories, not an official SCFHS syllabus publication.
Internal Medicine
Adult clinical medicine covering high-prevalence chronic diseases, acute emergencies, and regional endemic pathologies.
Cardiovascular Disorders
ACS stratification, heart failure with preserved vs reduced EF, Saudi hypertension targets, and valvular emergencies.
Endocrinology & Diabetes
Type 2 diabetes in Saudi populations, Ramadan fasting management, DKA vs HHS protocols, and thyroid nodules.
Infectious Diseases & Regional Zoonoses
MERS-CoV, Brucellosis (raw camel milk vectors), Dengue in Jeddah/Jazan, Tuberculosis, and Hajj respiratory pathogens.
Respiratory Medicine
Asthma GINA guidelines, COPD exacerbations, community-acquired pneumonia, and pulmonary embolism scoring.
Gastroenterology & Hepatology
Hepatitis B & C management, upper GI bleeding, NAFLD/NASH, and inflammatory bowel disease.
Nephrology & Acid-Base
Acute kidney injury, diabetic nephropathy, glomerulonephritis, and Winter's formula acid-base disorders.
Pediatrics
Neonatal resuscitation, congenital disorders, pediatric infections, and the Saudi National Immunization Schedule.
Neonatology & Resuscitation
NRP algorithms, neonatal jaundice phototherapy thresholds, respiratory distress syndrome, and sepsis workup.
Saudi National Immunization Schedule
Unique Saudi MOH vaccine timings (9-month single measles, MCV4 meningitis at 9 & 12 months, and hepatitis A).
Pediatric Infectious Diseases
Febrile convulsions, bronchiolitis, croup vs epiglottitis, Kawasaki disease, and gastroenteritis rehydration.
Growth, Nutrition & Development
Developmental milestones, failure to thrive, rickets (Vitamin D deficiency), and celiac disease.
Pediatric Hematology & Genetics
Sickle cell vaso-occlusive crises, beta-thalassemia major, G6PD deficiency, and neonatal screening panels.
Obstetrics & Gynecology
Antenatal screening, high-risk obstetrics, labor management, contraception, and gynecological oncology.
Antenatal Care & KSA Premarital Screening
Saudi Premarital Screening Program (hemoglobinopathies, viral hepatitis, HIV), gestational diabetes screening, and preeclampsia prophylaxis.
Obstetric Emergencies & Labor
Postpartum hemorrhage (4 Ts protocol), shoulder dystocia, eclampsia management (MgSO4), and CTG interpretation.
General Gynecology & Infertility
Abnormal uterine bleeding (PALM-COEIN), PCOS Rotterdam criteria, endometriosis, and pelvic inflammatory disease.
Gynecological Oncology & Cervical Screening
Postmenopausal bleeding (endometrial biopsy), HPV vaccination guidelines, and ovarian mass triage.
General Surgery
Acute abdominal surgical conditions, trauma management, surgical oncology, and critical post-operative complications.
Acute Abdomen & Biliary Surgery
Acute appendicitis scoring, acute cholecystitis Tokyo guidelines, bowel obstruction, and perforated peptic ulcer.
Trauma & Advanced Trauma Life Support (ATLS)
Primary and secondary survey, tension pneumothorax, massive transfusion protocols, and FAST ultrasound.
Post-Operative Care & Complications
Post-op fever (5 Ws), surgical site infections, pulmonary embolism prophylaxis, and wound dehiscence.
Surgical Oncology & Breast Disease
Triple assessment of breast lumps, thyroid nodules (Bethesda classification), and colorectal cancer screening.
Ethics & Patient Safety
Islamic medical ethics, Saudi healthcare regulations, patient confidentiality, informed consent, and quality safety protocols.
Islamic Medical Jurisprudence & SCFHS Ethics
End-of-life care, brain death determination, DNR orders in Saudi hospitals, organ transplantation, and informed consent for female patients.
Patient Safety & Healthcare Quality
Root cause analysis, sentinel event reporting to CBAHI (Central Board for Accreditation of Healthcare Institutions), and medical error disclosure.