Free Practice Questions for Saudi Board Neurosurgery
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Key Facts: Saudi Board Neurosurgery Exam
13
Official weighted blueprint sections
SCFHS Neurosurgery Final Examination Blueprint 24–27
70%
Standard pass mark; adjustment floor 65%
SCFHS Neurosurgery Final Examination Blueprint 24–27
Saudi Board Final Examination - Neurosurgery (SCFHS). Two papers, each with 100–125 single-best-answer MCQs. Up to 10% additional unscored items may be added. Duration is not stated in the written blueprint. The standard pass mark is 70%; when the initial pass rate is below 70%, SCFHS lowers the score one mark at a time toward a 70% pass rate or a 65% score, whichever comes first. A separate final clinical examination follows the written examination.
Sample Saudi Board Neurosurgery Practice Questions
Try these sample questions to review concepts for the Saudi Board Neurosurgery exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1A 52-year-old female presents with a Hunt and Hess Grade II, Fisher Grade 3 subarachnoid hemorrhage from a ruptured 7 mm anterior communicating artery (ACoA) saccular aneurysm with favorable neck anatomy. Based on the International Subarachnoid Aneurysm Trial (ISAT) and contemporary neurovascular consensus guidelines, which of the following is the most appropriate management regarding modality and timing?
2A 34-year-old male presents with new-onset generalized seizures. Brain MRI and cerebral digital subtraction angiography (DSA) reveal a 4.5 cm arteriovenous malformation (AVM) located within the dominant left precentral motor cortex with exclusively deep venous drainage into the internal cerebral veins. What is the Spetzler-Martin grade and recommended management strategy?
3A 60-year-old male undergoes cerebral angiography for evaluation of pulsatile tinnitus and progressive cognitive decline. DSA demonstrates a transverse-sigmoid sinus dural arteriovenous fistula (dAVF) with direct drainage into cortical pial veins with retrograde cortical venous flow (Cognard Type IIb / Borden Type II). What is the primary determinant of aggressive intervention in this patient?
4A 40-year-old female presents with acute right-sided hemiparesis and left sixth nerve palsy. MRI brain demonstrates a 1.5 cm well-circumscribed lesion with mixed core signal intensity and a complete hypointense rim on T2-weighted and gradient-echo sequences in the left dorsal pontine tegmentum, reaching the pial surface of the fourth ventricular floor. What is the most appropriate management?
5A 68-year-old male is brought to the emergency department with acute right hemiplegia and global aphasia (NIHSS score 19). Non-contrast head CT shows an ASPECTS score of 8 without hemorrhage. CT angiography reveals an occlusion of the left internal carotid artery terminus and M1 segment. The patient was last seen normal 8 hours ago. Advanced CT perfusion shows an ischemic core volume of 20 mL and a penumbral hypoperfused tissue volume of 95 mL. What is the most appropriate next step according to the DAWN and DEFUSE-3 trials?
6A 56-year-old female is on post-bleed day 7 following coiling of a ruptured anterior communicating artery aneurysm. She develops new-onset left upper extremity weakness and lethargy. Transcranial Doppler shows right middle cerebral artery mean flow velocity of 215 cm/s with a Lindegaard ratio of 4.2. After euvolemia is confirmed, what is the initial medical therapy of choice for this delayed cerebral ischemia (DCI)?
7A 66-year-old male with hypertension and hyperlipidemia experiences two transient episodes of amaurosis fugax in his right eye over the past 5 days. Carotid duplex ultrasonography and CT angiography confirm an 80% atherosclerotic stenosis of the right internal carotid artery by NASCET measurement criteria. What does the North American Symptomatic Carotid Endarterectomy Trial (NASCET) conclude regarding his management?
8A 48-year-old female presents with acute subarachnoid hemorrhage. Angiography reveals a 3 mm wide-necked, blister-like outpouching on the non-branching dorsal surface of the supraclinoid internal carotid artery. Histopathologically, these blood blister-like aneurysms (BBAs) lack a true neck and internal elastic lamina. Which of the following treatment strategies offers the most durable occlusion with lowest risk of intraprocedural avulsion?
9A 32-year-old male with Staphylococcus aureus endocarditis develops severe headache and focal motor seizures. Brain CT angiography demonstrates a 6 mm fusiform aneurysm on a distal cortical branch of the left middle cerebral artery without subarachnoid hemorrhage. What is the recommended primary initial strategy for this infectious (mycotic) intracranial aneurysm?
10A 28-year-old female presents with recurrent transient ischemic attacks affecting both speech and right arm dexterity. Cerebral angiography demonstrates bilateral high-grade stenosis of the terminal internal carotid arteries with a prominent network of lenticulostriate collateral vessels ('puff of smoke' appearance), confirming Moyamoya disease. Which of the following surgical revascularization procedures represents a direct bypass technique?
About the Saudi Board Neurosurgery Exam
Independent English-language MCQ study adaptation by OpenExamPrep for Saudi Board Final Examination - Neurosurgery (SCFHS). These questions practice selected clinical knowledge and decisions; additional study using the official scope is required. The bank does not simulate or replace the separate mandatory clinical/practical examination. Official assessment delivery languages are not confirmed by the written blueprint.
Exam sponsor: Saudi Commission for Health Specialties (SCFHS). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.
Assessment
Two papers, each with 100–125 single-best-answer MCQs. Up to 10% additional unscored items may be added. Duration is not stated in the written blueprint.
Time Limit
Not published by SCFHS
Passing Score
70% (lowered to minimum 65% if pass rate under 70%)
Reported exam pass rate: Not published by SCFHS. SCFHS publishes no candidate pass rate. The blueprint instead sets the passing score at 70% and, if fewer than 70% of candidates pass before final approval, lowers that score one mark at a time until a 70% pass rate is reached or the score reaches 65%, whichever comes first; it is never lowered below 65%. Exam sponsor website
Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.
Our practice resources: topics covered
We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.
Neurovascular
Neurovascular in the official SCFHS written-examination scope.
Neuro-oncology
Neuro-oncology in the official SCFHS written-examination scope.
Cranial Trauma
Cranial Trauma in the official SCFHS written-examination scope.
Pediatric Neurosurgery
Pediatric Neurosurgery in the official SCFHS written-examination scope.
Spine
Spine in the official SCFHS written-examination scope.
Infection
Infection in the official SCFHS written-examination scope.
Functional Neurosurgery
Functional Neurosurgery in the official SCFHS written-examination scope.
Peripheral Nerve
Peripheral Nerve in the official SCFHS written-examination scope.
General Neurosurgical Principles, Approaches and Adjuvant Care
General Neurosurgical Principles, Approaches and Adjuvant Care in the official SCFHS written-examination scope.
Neuro-anatomy and Neurosurgical Anatomy
Neuro-anatomy and Neurosurgical Anatomy in the official SCFHS written-examination scope.
Neuropathology, Molecular Biology, Neuroradiology and Diagnostic Approaches
Neuropathology, Molecular Biology, Neuroradiology and Diagnostic Approaches in the official SCFHS written-examination scope.
Pathophysiology, Neurophysiology and Neurology
Pathophysiology, Neurophysiology and Neurology in the official SCFHS written-examination scope.
Neurocritical Care, Pharmacology and Neuro-anesthesia
Neurocritical Care, Pharmacology and Neuro-anesthesia in the official SCFHS written-examination scope.
Preparing for the Saudi Board Neurosurgery Exam
What You Need to Know
- Passing score: 70% (lowered to minimum 65% if pass rate under 70%)
- Assessment: Two papers, each with 100–125 single-best-answer MCQs. Up to 10% additional unscored items may be added. Duration is not stated in the written blueprint.
- Time limit: Not published by SCFHS
- Exam / certification fees: Not published by SCFHS Official sources
Using Our Practice Resources
- Work through all 100 available questions
- Review every answer and explanation
- Track weak areas and revisit them
- Use our AI tutor for tough concepts
Saudi Board Neurosurgery: Suggested Study Strategy
Frequently Asked Questions
What is the structure of the Saudi Board Neurosurgery Final Written Exam?
Two papers, each with 100–125 single-best-answer MCQs. Up to 10% additional unscored items may be added. Duration is not stated in the written blueprint.
What is the passing score for the Saudi Board Neurosurgery written examination?
The standard pass mark is 70%. If the initial pass rate is under 70%, the passing score is lowered by 1% increments until either a 70% pass rate is achieved or the absolute lower bound of 65% is reached.
Does this question bank prepare for the clinical examination (OSCE/SOE)?
This bank is an independent English-language MCQ study adaptation for the written examination. It does not simulate or replace the separate mandatory final clinical/practical assessment. Consult the specialty clinical blueprint for its station formats and any structured oral or OSCE components.
What content areas receive the highest blueprint weighting?
The official blueprint has thirteen sections. Neurovascular, Neuro-oncology, Pediatric Neurosurgery, Spine, General Neurosurgical Principles and Approaches, Neuro-anatomy, and Neuropathology/Neuroradiology each carry 10%. Neurocritical Care/Pharmacology/Neuro-anesthesia carries 5%.
Who administers the Saudi Board in Neurosurgery?
The examination is governed and administered by the Saudi Commission for Health Specialties (SCFHS) Scientific Board of Neurosurgery.