FMGE Exam Pattern
The FMGE is divided into two parts, each designed to evaluate the student’s understanding across all
medical subjects taught during the MBBS curriculum.
Paper I
• Contains 150 MCQs, each carrying 1 mark.
• Duration: 150 minutes (2 hours and 30 minutes).
Paper II
• Contains another 150 MCQs, also of 1 mark each.
• Duration: 150 minutes (2 hours and 30 minutes).
There is a break of approximately 2 hours between the two papers. During this interval, candidates are allowed to leave the examination center, relax, or have refreshments before appearing for the second paper.
Each question carries 1 mark, and candidates get 1 minute per question. The paper is divided into three sections:
• Section A: 50 Questions
• Section B: 50 Questions
• Section C: 50 Questions
Each section is of 50 minutes, making the total duration 150 minutes per paper.
The NBE has structured the FMGE to test clinical understanding and practical application rather than rote memorization. The question distribution is as follows:
• 90% Clinical-Based Questions:
• These questions are designed to test your ability to apply medical knowledge to real-life clinical scenarios. They cover case-based stems, diagnosis, investigations, and management principles across all 19 subjects.
10% Visual/Image-Based Questions:
These include interpretation of X-rays, ECGs, histopathology slides, surgical instruments, radiological images, and clinical photographs. The visual questions assess diagnostic and analytical ability in identifying conditions through images.
This balanced approach ensures that students demonstrate both theoretical knowledge and clinical reasoning skills, similar to real-world medical practice.
The FMGE is conducted Twice every year by the NBE:
• June–July Session
• December–January Session
This gives students two opportunities annually to qualify and apply for registration with the National Medical Commission (NMC).
Approximately 90% of the questions in the FMGE are text-based (written questions), while the remaining 10% are visual or image-based questions.
This balance ensures that the majority of the exam evaluates theoretical and clinical problem-solving ability, while a smaller portion tests the candidate’s interpretation skills through medical images, diagnostic visuals, and clinical slides.
The text-based questions are derived from all 19 medical subjects, ensuring comprehensive coverage of the MBBS curriculum.
The visual/image-based questions are primarily asked from the following subjects:
• Surgery
• Radiology
• Obstetrics & Gynaecology (OBG)
In addition, 2–3 visual questions may also appear from:
• Pathology
• Microbiology
• Preventive & Social Medicine (PSM)
• Ophthalmology
• Medicine
• Dermatology
• Orthopaedics
These image-based questions usually include interpretation of X-rays, ECGs, histopathology slides, instruments, radiographs, or clinical photographs, testing the student’s practical diagnostic ability.
According to the official blueprint posted by the NBE on their website – www.natboard.edu.in – the exam maintains a balanced distribution of questions across all subjects.
Each subject contributes proportionately to the total of 300 questions, covering both basic medical sciences and clinical subjects, to ensure fair assessment of every area of medical knowledge.
Total Questions: 300 (Two Papers of 150 questions each)
• Marks per Question: 1
• Negative Marking: None
• Passing Criteria: 150/300 (50%)
• Nature of Questions:
• 90% Text-Based
• 10% Visual/Image-Based
• Question Format: Single Best Answer (MCQs)
• Exam Mode: Online (Computer-Based Test)
• Frequency: Twice a year – June–July & December–January sessions
1.The FMGE is a computer-based test (CBT) in English. It comprises 300 multiple-choice questions (MCQs) in total, each carrying one mark, with no negative marking.
2.The examination is structured into multiple sessions (Paper 1 / Part A,b,c and Paper 2 / Part A,b,c). Each session consists of 50 questions, and each has a time allowance of 50 minutes— thereby giving about 1 minute per question.
3.The syllabus covers the full gamut of medical education – Pre-clinical, Para-clinical and Clinical subjects — aligned with the Indian MBBS curriculum. Subject-wise weightage is defined: Pre & Para‐clinical subjects contribute approx. 100 marks, while Clinical subjects contribute approx. 200 marks (out of the 300 total).
4.The questions are objective, single-best-answer format. They emphases application and clinical scenarios, not just rote text-only questions. The official pattern no longer guarantees that only 5% of questions are visual slides; rather, the focus is on knowledge and clinical reasoning across all subjects.
5.Visual (image/slide-based) questions may appear, particularly in subjects like Radiology, Surgery, Ophthalmology, Obstetrics & Gynaecology etc., but the official documentation doesn’t specify a fixed “5% slides” quota or strict breakdown.
6.It is essential for candidates to check the official FMGE & NMC/NBE bulletin for any further updates, as the regulatory framework may evolve with time (especially given the advent of the National Exit Test for medical licensing).
Participate actively in all live online or Face to face sessions by our expert faculty. Each MIST mentor is among India’s finest medical educators, known for simplifying complex topics and ensuring that students grasp and retain key concepts right in the classroom.
Concentration is the foundation of mastery. Strive to remain focused and mentally present for at least 80% of every session to gain maximum benefit from each lecture.
Carefully review and internalize every concept taught in class and reinforced through the FMGE Test Series. Memorize your self-written notes thoroughly — they serve as your most trusted resource for revision and conceptual clarity.
Never hesitate to ask questions. If any topic feels unclear, reach out directly to the faculty during or after class to resolve your doubts promptly.
Consistent revision is the key to long-term retention. Aim to revise each subject three times before the final examination to ensure accuracy, speed, and confidence.
Attend the weekly tests and subject-wise assessments conducted by MIST. Your performance is reviewed by a dedicated evaluation team at MIST, which identifies weak areas and provides personalized improvement feedback.
MIST’s records show that students who consistently score above 70% in our internal tests have successfully achieved 200+ marks in FMGE Regular testing is your pathway to consistent success.
Appear for multiple Mock Tests and Grand Tests (G.T.) of 300 questions each. These simulated exams are designed to mirror the actual NMC exam format, helping you strengthen your exam strategy and time management.
You will be added to an exclusive WhatsApp group where all updates regarding class schedules, test announcements, and exam-related notifications are shared. You’ll also receive regular visual-based questions to enhance your clinical understanding and image interpretation skills — essential for the new FMG exam structure.
17Anatomy
17Physiology
17Biochemistry
13Pathology
13Microbiology
13Pharmacology
10Forensic Medicine
30PSM
15ENT
15Ophthalmology
33Medicine
32Surgery
30Obstetrics and gynaecology
15Paediatrics
5Orthopaedics
5Dermatology
5Psychiatry
5Radiology
5Anaesthesia
MIST is the best Education platform/Coaching Institutes in India amongst all for Foreign Medical Graduates for FMGE and that is why MIST has continuously delivered the best results every time consistently over the years.
