Free Practice Questions for Oral Medicine and Pathology Board
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Key Facts: Oral Medicine and Pathology Board Exam
2 papers
Written exam structure (100-125 single-best-answer MCQs each)
SCFHS Oral Medicine and Pathology Final Exam Blueprint
70% / 65%
Pass mark standard: 70% cutoff, adjustable to 65% minimum
SCFHS Regulations
13 Sections
Official blueprint sections for the written examination
SCFHS Oral Medicine and Pathology Final Exam Blueprint
2-Stage
Certification pathway requiring written exam followed by clinical OSCE/oral
SCFHS Training Regulations
Senior Resident
Target candidate level completing specialty residency training
SCFHS Program Specification
Independent
Practice bank by OpenExamPrep, not affiliated with SCFHS
OpenExamPrep
Saudi Board Final Examination - Oral Medicine and Pathology (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 Oral Medicine and Pathology Board Practice Questions
Try these sample questions to review concepts for the Oral Medicine and Pathology Board exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1A 58-year-old male presents with an asymptomatic, irregularly shaped, dark brown-to-black macule with variegated pigmentation on the hard palate. Incisional biopsy reveals malignant melanocytes invading the lamina propria. Which immunohistochemical marker profile is most characteristic and useful for confirming primary oral mucosal melanoma?
2A 34-year-old female presents with a rapidly growing, painless, dark brown flat-to-slightly elevated lesion on the right buccal mucosa that developed over the past 3 weeks. Biopsy reveals hyperplastic stratified squamous epithelium containing numerous dendritic melanocytes scattered throughout the spinous layer. Which of the following is the most likely diagnosis?
3Which of the following histopathological features distinguishes an oral melanotic macule from an intraoral junctional nevus?
4A 16-year-old male is evaluated for multiple 1- to 4-mm dark brown macules distributed across his vermilion border, perioral skin, and labial mucosa. His medical history is notable for recurrent episodes of colicky abdominal pain due to small bowel intussusception. Which gene mutation is responsible for this condition?
5A biopsy of a flat, blue-gray gingival macule adjacent to a restored lower first molar shows fine, brownish-black foreign granules lining reticulin fibers and the basement membranes of blood vessels and neural sheaths. No significant inflammatory reaction is present. Which of the following is the definitive diagnosis?
6A 42-year-old heavy cigarette smoker presents with diffuse, brown macular pigmentation of the anterior labial attached gingiva. Biopsy reveals basal layer melanin hyperpigmentation and scattered subepithelial melanophages. Which of the following statements regarding smoker's melanosis is correct?
7A 52-year-old female presents with an asymptomatic, yellowish-white, sessile, papillary plaque measuring 8 mm on the keratinized attached gingiva. Histopathology demonstrates hyperparakeratinized papillary projections with elongated epithelial rete pegs of uniform depth. The dermal/connective tissue papillae are packed with large, polygonal foamy histiocytes that stain strongly positive for CD68 and negative for S100. What is the diagnosis?
8A pedunculated, cauliflower-like, pink-white exophytic growth measuring 5 mm is excised from the soft palate of a 28-year-old patient. Microscopic examination demonstrates multiple finger-like projections lined by stratified squamous epithelium with koilocytic change, supported by delicate fibrovascular connective tissue cores. Which human papillomavirus (HPV) genotypes are most commonly associated with this lesion?
9A 65-year-old male presents with a rapidly growing, dome-shaped nodule with an elevated rolled border and a central keratin-filled crater on the sun-exposed vermilion border of the lower lip that reached 1.5 cm in 4 weeks. Biopsy reveals a cup-shaped architecture with overhanging epithelial lips and mature keratinizing squamous epithelium exhibiting minimal cytologic atypia. Which clinical phase characteristically follows the rapid proliferative phase in this condition?
10Which of the following histopathologic features best distinguishes verrucous carcinoma (Ackerman tumor) of the oral cavity from conventional well-differentiated squamous cell carcinoma?
About the Oral Medicine and Pathology Board Exam
Independent English-language MCQ study adaptation by OpenExamPrep. Independent practice resource by OpenExamPrep for the Saudi Board Final Examination in Oral Medicine and Pathology. Coverage follows the 13 sections of the official SCFHS blueprint: developmental disturbances of the oral region, epithelial and pigmented lesions, mucocutaneous diseases, salivary gland diseases and tumors, soft tissue tumors, allergic, immunologic and hematologic diseases, odontogenic cysts and tumors, bone pathology, oral manifestation of systemic diseases and related therapies, diagnostic clinical and laboratory techniques together with bacterial, viral, fungal and protozoal infections, management of the medically compromised patient, orofacial pain and headaches, and oral biology, genetics, physiology, general and systemic pathology, pharmacology and head and neck anatomy. This bank is an independent study aid for the written paper and does not simulate the separate clinical/OSCE examination required for final board certification. OpenExamPrep is not affiliated with or endorsed by the Saudi Commission for Health Specialties (SCFHS).
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.
Official sources
- SCFHS official written examination blueprint (checked 2026-10-13)
- Saudi Commission for Health Specialties (SCFHS) - Specialty Training · Source checked 2026-10-13Official administrative authority governing Saudi Board medical and dental residency programs and final certifying examinations.
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.
Developmental disturbances of the oral region, including teeth abnormalities, periodontal diseases and syndromes
Inherited and acquired defects of enamel, dentin and eruption, syndromic periodontal disease and the genes behind them.
Epithelial and pigmented lesions
Benign and malignant epithelial proliferations, melanocytic and exogenous pigmentation, and their immunohistochemistry.
Mucocutaneous diseases
Pemphigus, pemphigoid, lichen planus and lichenoid reactions, erythema multiforme, lupus and graft-versus-host disease.
Salivary gland diseases and tumors
Obstructive and autoimmune sialadenitis, benign and malignant salivary neoplasms and their defining gene fusions.
Soft tissue tumors
Neural, vascular, myofibroblastic and muscle tumors of the oral soft tissues and their immunoprofiles.
Allergic, immunologic and hematologic diseases
Angioedema, aphthous disease, hypersensitivity gingivitis, leukemia, lymphoma, plasma cell dyscrasias and histiocytosis.
Odontogenic cysts and tumors
Developmental and inflammatory odontogenic cysts, mixed and epithelial odontogenic tumors and their molecular drivers.
Bone Pathology
Fibro-osseous lesions, giant cell lesions, metabolic bone disease, osteonecrosis and primary bone malignancy of the jaws.
Oral manifestation of systemic diseases and related therapies
Oral signs of gastrointestinal, endocrine, nutritional, vasculitic and haematological disease and of their treatments.
Diagnostic clinical and laboratory techniques; Bacterial, viral, fungal, and protozoal infections
Biopsy and stain selection, cytology and culture, and the viral, bacterial, fungal and deep mycotic infections of the mouth.
Management of medically compromised patient
Anticoagulation and antiplatelet therapy, endocarditis prophylaxis, steroid cover, renal and oncology patients.
Orofacial pain and headaches
Trigeminal neuralgia, burning mouth syndrome, temporomandibular disorders, giant cell arteritis and persistent idiopathic facial pain.
Oral biology, Genetics, Physiology, general and systemic pathology, Pharmacology, and Head & Neck Anatomy
Salivary and neural physiology, head and neck anatomy, inheritance patterns, molecular carcinogenesis and relevant pharmacology.
Preparing for the Oral Medicine and Pathology Board 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
Oral Medicine and Pathology Board: Suggested Study Strategy
Frequently Asked Questions
What is the official structure of the Saudi Board Oral Medicine and Pathology Final Examination?
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 Oral Medicine and Pathology written exam?
The standard pass mark is 70%. Per SCFHS regulations, if fewer than 70% of candidates pass, the pass mark is lowered one mark at a time toward a 70% pass rate, but never below a minimum cutoff of 65%.
Does this question bank simulate the clinical OSCE or oral examination?
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.
Who administers the Saudi Board Oral Medicine and Pathology certification?
The certification is administered by the Saudi Commission for Health Specialties (SCFHS), the statutory healthcare licensing and training authority in the Kingdom of Saudi Arabia.
What topics are emphasized in the SCFHS Oral Medicine and Pathology blueprint?
The blueprint covers 12 core domains: epithelial and pigmented lesions (15%), mucocutaneous diseases (10%), salivary gland diseases and tumors (10%), bone pathology (9%), systemic oral manifestations (9%), odontogenic cysts and tumors (9%), allergic/immunologic/hematologic diseases (8%), premalignant lesions (8%), soft tissue tumors (7%), infections (5%), medically compromised patients (5%), and orofacial pain (5%).
Is this practice resource affiliated with or endorsed by SCFHS?
No. This question bank is an independent educational study aid created by OpenExamPrep. It is not affiliated with, approved by, or endorsed by the Saudi Commission for Health Specialties.