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The SCFHS Anatomic Pathology licensure exam consists of 200 single best answer (SBA) MCQs delivered in 4 hours.
Candidates should still check the latest SCFHS exam information before their test because SCFHS notes that exam specifications and content can change.
Registrar: 65%.
Senior Registrar: 70%.
Scores and cut offs can be adjusted slightly under SCFHS standard setting rules, but the published targets are as above.
| Official SCFHS Exam Coverage | Preparation Focus |
|---|---|
| Cytology | Cytological assessment of cells and specimens, recognition of benign and malignant changes, and diagnostic interpretation. |
| Skin | Inflammatory, benign, premalignant and malignant dermatopathology and important microscopic patterns. |
| Head and Neck and CNS | Pathology of head and neck structures and the central nervous system, including common tumors and differential diagnosis. |
| Respiratory Tract and Cardiovascular System | Pulmonary, pleural and cardiovascular pathology, including inflammatory and neoplastic conditions. |
| Endocrine System | Pathology of thyroid, parathyroid, adrenal and other endocrine organs, with emphasis on diagnostic patterns. |
| Gastrointestinal Tract | Inflammatory, premalignant and malignant disorders affecting the gastrointestinal tract and related structures. |
| Soft Tissue and Bone | Diagnosis and classification of common soft tissue and bone lesions and tumors. |
| Male Reproductive System and Urinary Tract | Pathology of prostate, testis, kidney, bladder and other male reproductive and urinary structures. |
| Breast, Female Reproductive System and Placenta | Breast, gynecological and placental pathology, including benign lesions, malignancies and important diagnostic features. |
| Hematolymphoid | Pathological assessment of lymph nodes and hematolymphoid disorders, including major neoplastic conditions. |
| Quality Control, Lab Safety and Lab Management | Quality assurance, laboratory safety, specimen handling, error prevention and effective laboratory management. |
| SCFHS Anatomic Pathology Topic | Exam Weightage |
|---|---|
| Cytology | 9% |
| Skin | 5% |
| Head and Neck and CNS | 15% |
| Respiratory Tract and Cardiovascular System | 6% |
| Endocrine System | 6% |
| Gastrointestinal Tract | 15% |
| Soft Tissue and Bone | 6% |
| Male Reproductive System and Urinary Tract | 9% |
| Breast, Female Reproductive System and Placenta | 19% |
| Hematolymphoid | 5% |
| Quality Control, Lab Safety and Lab Management | 5% |
| Total | 100% |
SCFHS identifies several important competencies for Anatomic Pathology, including:
• Histological diagnosis and assessment
• Surgical specimen collection
• Microscopic interpretation of tissues
• Tissue fixation and processing
• Common and special stains
• Integration of clinical, radiological and laboratory findings with histopathology
A good preparation strategy is to combine textbook review with regular MCQ practice.
Candidates should:
• Follow the official SCFHS exam blueprint.
• Study one organ system at a time.
• Practice histopathology and cytology cases.
• Review important differential diagnoses.
• Revise special stains and immunohistochemistry.
• Practice laboratory safety and quality control questions.
• Review explanations for incorrect answers.
• Complete timed mixed topic practice tests.