Midgard collection (SMLE)

Midgard collection (SMLE)

The most recent SMLE collection, fully reviewed against the 2026 question style. This collection holds 1280 SMLE-style questions, each with a written explanation of why the answer is right.

Neither SCFHS nor Prometric publishes past exam papers. What you find here are question collections assembled by the SQB team from what candidates report after sitting the exam, then answer-checked and rewritten to the current exam style. This platform is not affiliated with SCFHS or Prometric.

Specialties it covers

Open questions from this collection

  1. A 52-year-old man develops sudden severe retrosternal chest pain that radiates to his back.
  2. A 28-year-old woman presented to the clinic with 2-month history of pain and swelling in the hand joints with…
  3. A 45-year-old woman presented with 9-months history of worsening dysphagia for both solid and liquid.
  4. A 31-year-old woman is evaluated because of daily wheezing and breathlessness that limit her activities…
  5. A 69-year-old man seen in Outpatient Clinic for a routine check-up.
  6. A 38-year-old man has episodic chest pain.
  7. A 25-year-old woman non-smoker presents to Emergency Department with sudden onset of severe chest pain and…
  8. A 55-year-old man was admitted with a 2-year history of recurrent upper abdominal pain attacks.
  9. A 42-year-old woman presented with a right breast mass that has been present for 3 months and is not…
  10. A 25-year-old man underwent an open appendectomy for a perforated appendix.
  11. A 23-year-old military man presented to the clinic with history of bilateral groin swelling.
  12. A 25-year-old man brought to the Emergency Department unconscious with massive bleeding from stab wound in…
  13. A 45-year-old patient complains of frequent anal itching, and post defecation pain.
  14. A 58-year-old man had laparotomy with sigmoidectomy and colostomy for perforated diverticulitis, presented to…
  15. A 29-year-old patient underwent a right hemithyroidectomy for a symptomatic right thyroid nodule (see report).
  16. A 33-year-old man is known to have renal impairment, underwent appendectomy for acute appendicitis.
  17. Which of the following is the first priority when managing long bone fracture?
  18. A 62-year-old man presents with an incidental finding of a 4.5 cm abdominal aortic aneurysm and gallstones on…
  19. A 70-year-old women p7+1 with chronic constipation presented to Emergency Room with abdominal distension and…
  20. A 68-year-old man has been advised to undergo surgical treatment for a left reducible inguinal hernia.
  21. A 40-year-old presents with a right breast lump that has been present for 2 years.
  22. A 4-year-old child presents with shortness of breath and cough following flu-like illness for 2 days.
  23. A 3-year-old girt is brought to the Emergency Department with fever and dark urine.
  24. Which of the following leukemia is the most common in pediatric age group?
  25. A 6-month-old boy presents to the Well Baby Clinic for the 6-month vaccination.
  26. Which of the following is the most appropriate approach to manage nutritional rickets?
  27. A 5-year-old child presents with features of glomerulonephri7s.
  28. A 1-year-old girl presents to the Pediatrics Emergency Department at night with episodes of loud coughing and…
  29. A 6-years-old boy who has been treated since infancy for eczema is coming now to be evaluated for…
  30. A 3-year-old child is a known asthmatic who usually has 1 acute exacerbation each month.

40 free questions from the full bank

The questions shown here are a sample. Create a free account to practise on the full bank, with performance analytics by specialty and a page for reviewing your mistakes.

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Questions about the collections

Are these official past SMLE papers?

No. Neither SCFHS nor Prometric publishes past exam papers, and anyone claiming to sell official papers is not being straight with you. What you find here are collections assembled by the SQB team from what candidates report after sitting the exam, then answer-checked and rewritten to the current exam style.

What is the difference between the collections?

The bank is split into 5 collections totalling 5033 questions. Some carry a name candidates already know, such as Midgard and GameBoy; others are grouped by a rule — "Confirmed" means reported by more than one source, "Most repeated" means highest recurrence across sittings.

Can I read a whole collection for free?

No. What is published from each collection is an open sample you can read without an account. For the collections in full, create a free account — it gives you 40 questions from the whole bank, with no payment card.

Are the collections updated?

Yes. New collections are added once their questions are reviewed and their answers checked, and the counts on this page update with each addition.