Skip to content
AR

Prepare for the SPLE in its real format

A 200-question mock timed like Prometric, a question bank sorted by blueprint area, a daily plan paced to your exam date, and a score estimate against the 536 pass mark.

Create a free accountTake the free diagnostic (40 questions)
A question from the bank, answeredAnticoagulation

A woman on warfarin had an INR of 10, having always been in range. She started a new medication 3 days ago. Which drug is responsible?

  1. Antihistamine (ranitidine)
  2. Antacid (calcium carbonate)
  3. Metronidazole
  4. Ferrous sulphate
Sample from the dashboard

Estimated SPLE score

Estimate

548–604/ 800

Above the 536 pass mark

200800

Today's progress

32/50 questions

  • 14,700+

    practice questions

  • 39

    study guides

  • 200

    question full mock

  • 536

    pass mark for your estimated score

What's inside Ubour

Built on the SCFHS blueprint and the real exam format.

  • Question bank by blueprint

    Practise by area and module in tutor or exam mode, with an explanation and a reference for every answer.

  • Full 200-question timed mock

    Two timed parts of 100 questions with a break between them, as at Prometric.

  • Daily study plan

    Paced to your exam date: a guide and questions each day, or a questions-only plan if you prefer.

  • 39 study guides

    One guide per module, linked to the questions that test it.

  • Dosing guides

    Adult doses and renal adjustments by therapeutic area, each with its source.

  • Estimated score vs the 536 pass mark

    An estimated range on the 200–800 scale, and the area that costs you the most marks.

How it works

Four steps from sign-up to the full mock.

  1. 1. Create your account

    Sign up free in under a minute, in Arabic or English.

  2. 2. Take the free diagnostic

    40 questions across the blueprint give you a predicted score out of 800 and your weakest area.

  3. 3. Follow your study plan

    Each day sets a guide to read and the questions to practise, paced to your exam date.

  4. 4. Sit the full mock

    200 questions in two timed parts, then see where you stand against 536.

See a question from the bank

A real core question as it appears in practice. Work out your answer, then open the explanation and the guide section it links to.

Clinical sciences · Heart failureQuestion SPLE-10182

A heart failure (HFrEF) patient is already taking lisinopril, carvedilol and spironolactone. Adding which medication provides additional mortality benefit?

  1. Dapagliflozin (SGLT2 inhibitor)
  2. Digoxin (cardiac glycoside)
  3. Amlodipine (calcium channel blocker)
  4. Furosemide (loop diuretic)
Show the answer and explanation

Answer: A. Dapagliflozin (SGLT2 inhibitor)

GDMT for HFrEF has four pillars: an ARNI (or ACE inhibitor/ARB), an evidence-based beta-blocker, an MRA and an SGLT2 inhibitor. A patient already on the first three should add an SGLT2 inhibitor (dapagliflozin or empagliflozin), which reduces cardiovascular death and HF hospitalization. Hydralazine plus isosorbide dinitrate is reserved for self-identified Black patients with NYHA III–IV symptoms on full GDMT, or for patients who cannot take an ARNI, ACE inhibitor or ARB. Digoxin and furosemide relieve symptoms without lowering mortality, and amlodipine is neutral.

Reference: DiPiro's Pharmacotherapy 13th ed., ch. 39 (Chronic Heart Failure): four GDMT classes and SGLT2 inhibitors p1176; hydralazine–isosorbide dinitrate in self-identified African American patients on GDMT p1177, p1214.

Read the guide section: HFrEF (EF ≤40%): the drugs that reduce mortality

Ready for the full question bank?

Everything on Ubour is free: the complete question bank, the full 200-question mock, every study guide and your daily plan. Create your account and start with the diagnostic.

Create a free accountTake the free diagnostic (40 questions)