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The Saudi Commission for Health Specialties (SCFHS) Hematology and Oncology Exam is a computer based test (CBT) delivered via Prometric.
It consists of 200 multiple choice questions with a single best answer out of four options.
• Registrar / Specialist: Minimum passing score of 65%.
• Senior Registrar / Consultant: Minimum passing score of 70%.
Foreign doctors and specialists must first submit their credentials for primary source verification (DataFlow) and obtain initial eligibility approval through the SCFHS Mumaris+ portal.
Once approved, candidates receive an eligibility ID to schedule their test date at a local Prometric testing center.
The official blueprint is predominantly hematology and hematologic oncology, rather than broad solid tumor oncology.
Major areas include:
• Red cell disorders
• Bleeding and clotting disorders
• Acute leukemia
• Myelodysplastic syndromes
• Myeloproliferative disorders
• Lymphoma
• Plasma cell dyscrasias
• Bone marrow transplantation
• Transfusion medicine
| Official SCFHS Exam Coverage | Preparation Focus |
|---|---|
| Red Cell Disorders | Anemia, hemolysis, hemoglobinopathies, iron disorders, macrocytosis and interpretation of red-cell indices. |
| Benign White Cell Disorders | Neutropenia, leukocytosis, reactive changes and non-malignant disorders of white blood cells. |
| Bone Marrow Failure Syndromes | Aplastic anemia, pancytopenia, marrow failure evaluation and differential diagnosis. |
| Bleeding Disorders | Hemophilia, von Willebrand disease, platelet disorders, coagulation abnormalities and bleeding assessment. |
| Thrombophilias | Inherited and acquired thrombophilia, venous thromboembolism, anticoagulation and thrombosis risk assessment. |
| Myeloproliferative Disorders | Polycythemia vera, essential thrombocythemia, myelofibrosis, CML and molecular findings. |
| Acute Leukemia and Myelodysplastic Syndromes | AML, ALL, MDS, diagnostic testing, risk stratification, treatment principles and complications. |
| Lymphoproliferative Disorders including Plasma Cell Dyscrasias | Hodgkin and non-Hodgkin lymphoma, CLL, multiple myeloma and related disorders. |
| Hematologic Emergencies and Complications | Tumor lysis syndrome, hyperleukocytosis, febrile neutropenia, severe bleeding and other urgent complications. |
| Transfusion Medicine | Blood components, transfusion indications, compatibility and recognition of transfusion reactions. |
| Bone Marrow Transplant and its Complications | Stem cell transplantation, conditioning, graft-versus-host disease, infection and post-transplant complications. |
| Professionalism and Ethics | Consent, confidentiality, communication, ethical care and professional responsibilities. |
| Patient Safety | Medication safety, transfusion safety, chemotherapy-related risks and prevention of avoidable harm. |
| SCFHS Hematology and Oncology Topic | Exam Weightage |
|---|---|
| Red Cell Disorders | 14% |
| Benign White Cell Disorders | 5% |
| Bone Marrow Failure Syndromes | 5% |
| Bleeding Disorders | 11% |
| Thrombophilias | 9% |
| Myeloproliferative Disorders | 11% |
| Acute Leukemia and Myelodysplastic Syndromes | 12% |
| Lymphoproliferative Disorders including Plasma Cell Dyscrasias | 10% |
| Hematologic Emergencies and Complications | 5% |
| Transfusion Medicine | 5% |
| Bone Marrow Transplant and its Complications | 5% |
| Professionalism and Ethics | 5% |
| Patient Safety | 3% |
| Total | 100% |
Expect clinical scenario, laboratory interpretation, diagnosis, treatment, and complication based questions.
Questions may ask you to:
• Interpret a CBC and peripheral blood film.
• Identify the cause of anemia or cytopenia.
• Interpret coagulation results.
• Distinguish leukemia, lymphoma, or myeloproliferative disease.
• Select the next diagnostic test.
• Recognize indications for bone marrow examination.
• Identify transfusion reactions.
• Manage hematologic emergencies.
Red Cell Disorders is the largest blueprint area at 14%.
Use a structured approach:
1. Check hemoglobin and MCV.
2. Review reticulocyte count.
3. Look at the peripheral smear.
4. Assess iron, B12, folate, or hemolysis markers when relevant.
5. Decide whether the problem is reduced production, blood loss, or destruction.
• Study according to the official blueprint weights.
• Use high quality MCQ banks that match the single best answer clinical vignette style.
• Review explanations thoroughly (understand why wrong answers are incorrect).
• Focus on clinical reasoning, guidelines (e.g., NCCN, ASH where relevant), emergencies, transfusion, and transplant complications.
• Practice full length timed tests (200 questions / 4 hours) to build stamina and pacing (~1.2 minutes per question).
• Cover professionalism, ethics, and patient safety, they appear in almost every SCFHS exam.