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🎯 FMGE June 28, 2026 — Complete High-Yield Guide

Exam Quick Facts

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📊 Subject-Wise Marks Distribution

Part A — Pre/Para-Clinical (100 Marks)

Part B — Clinical (200 Marks)

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🔥 Most Repeated / High-Yield Topics by Subject

🧬 Anatomy (17 Qs)

• Brachial plexus — lesions (Erb's, Klumpke's, wrist drop, claw hand)
• Cranial nerves — nuclei, lesions, foramina contents
• Embryology — pharyngeal arches, heart development, gut rotation
• Limb nerve injuries — median, radial, ulnar, common peroneal
• Histology — liver, kidney, testis, adrenal
• Brain blood supply — Circle of Willis, watershed areas

⚙️ Physiology (17 Qs)

• ECG & cardiac cycle — intervals, waveforms (most repeated)
• Acid-base balance — compensation formulas
• Renal physiology — clearance, GFR, tubular functions
• Respiratory — compliance, V/Q mismatch, spirometry values
• Endocrine — feedback loops, hormone actions
• Sensory/motor pathways — spinothalamic vs dorsal column

🧪 Biochemistry (17 Qs)

• Vitamins — deficiency diseases, coenzyme roles (very repeated)
• Enzyme kinetics — Km, Vmax, inhibition types
• Metabolic pathways — glycolysis, TCA cycle, urea cycle, HMP shunt
• DNA/RNA — replication, transcription, translation errors
• Hemoglobin disorders — sickle cell, thalassemia

🔬 Pathology (13 Qs)

• Tumor markers — AFP, CEA, PSA, CA-125, etc. (repeated every exam)
• Cell injury & necrosis types
• Inflammation — acute vs chronic, mediators
• Hypersensitivity — Type I–IV mechanisms
• Anemia & leukemia — morphology, classification
• Glomerulonephritis — types, IF patterns

🦠 Microbiology (13 Qs)

• Staining techniques — Gram, ZN, India ink, Giemsa (very repeated)
• TB & HIV — diagnosis, drug resistance
• Malaria — species differences, drug treatment
• Immunology — antibody structure, complement, CD markers
• Lab diagnosis — culture media, growth requirements

💊 Pharmacology (13 Qs)

• Autonomic drugs — adrenergic, cholinergic, blockers (18–20 Qs area)
• Anti-TB drugs — mechanism, side effects (ethambutol → optic neuritis, etc.)
• Antimicrobials — spectrum, MOA, resistance
• Anti-hypertensives — drug classes, contraindications
• Drug side effects — classic associations (amiodarone, lithium, statins)
• Chemotherapy — cell cycle specific vs non-specific

⚖️ Forensic Medicine (10 Qs)

• Organophosphate poisoning — signs, management
• Post-mortem changes — rigor mortis timing, putrefaction
• IPC sections — 302, 304A, 376, 498A
• Identification — age estimation, fingerprints
• Arsenic, cyanide poisoning — features

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🏥 Clinical Subjects — High-Yield Rapid-Fire

🫀 Medicine (33 Qs — TOP PRIORITY)

• ECG interpretation — MI patterns, arrhythmias (most repeated topic in FMGE)
• Cardiology — heart failure (5–7 Qs expected), valvular disease, endocarditis
• Diabetes — diagnosis criteria, drug MOA, complications
• Pulmonology — COPD vs asthma, TB management, pleural effusion
• Thyroid disorders — Graves', hypothyroidism, thyroid function tests
• Renal — AKI vs CKD, nephrotic vs nephritic
• CNS — stroke types, meningitis CSF findings

🔪 Surgery (32 Qs — TOP PRIORITY)

• Thyroid — goiter, carcinoma types, surgical anatomy
• Breast cancer — staging, ER/PR/HER2, sentinel node
• Hernia — types, boundaries, complications
• GI — appendicitis, bowel obstruction, peritonitis
• Urology — renal cell carcinoma, BPH, urolithiasis
• Surgical emergencies — tension pneumothorax, aortic dissection
• Burns — Rule of 9s, fluid resuscitation (Parkland formula)

🤰 OBG (30 Qs — TOP PRIORITY)

• Antepartum hemorrhage — placenta previa vs abruption (repeated)
• Preeclampsia — diagnosis criteria, management (MgSO4)
• National Immunization Schedule (repeated)
• Partogram interpretation
• Ectopic pregnancy — risk factors, management
• Gynecology — PCOS, fibroid, ovarian cysts, cervical cancer screening

🌍 Community Medicine (30 Qs — TOP PRIORITY)

• National Health Programs — NIP, RNTCP/NTEP, NVBDCP (always tested)
• Immunization schedule — vaccines, cold chain, contraindications
• Epidemiology — sensitivity/specificity, PPV/NPV, study designs
• Nutrition — RDA values, deficiency diseases, PEM
• Vital statistics — IMR, MMR, NMR, definitions
• Water standards — WHO standards, purification methods
• Screening — Wilson's criteria

👶 Pediatrics (15 Qs)

• Developmental milestones (repeated)
• Neonatal jaundice — physiological vs pathological
• Vaccination — doses, schedule, contraindications
• Nutritional disorders — Kwashiorkor vs Marasmus
• Acute diarrhea — ORS, Plan A/B/C

👁️ Ophthalmology (15 Qs)

• Glaucoma — open vs closed angle, tonometry
• Cataract — types, surgical complications
• Retinal detachment — types, features
• Image-based — slit lamp findings, fundus photos

👂 ENT (15 Qs)

• CSOM — safe vs unsafe, cholesteatoma
• Audiogram interpretation
• Epistaxis — Little's area, management
• Tonsils — grading, indications for tonsillectomy
• Image-based — otoscopy, laryngoscopy

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📅 38-Day Study Plan (May 21 – June 27)

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✅ Golden Rules for 200+ Score

1. No negative marking → attempt every single question; never leave blank
2. PYQs are gold — at least 30–40% questions repeat directly or conceptually
3. ECG, immunization schedule, tumor markers, APH — revise these at least 3 times
4. Small subjects (Derma, Ortho, Psych, Anesthesia, Radiology) — each is 5 Qs; scoring all 30 here is easy with focused 1-day revision each
5. Community Medicine — purely memory-based; don't ignore — 30 free marks if you study the national programs
6. Use one good question bank (Marrow, PrepLadder, DAMS) — aim for 2,000+ MCQs in the next 38 days

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📋 Your Current Status

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⚠️ Key Problem Areas

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📅 Revised 38-Day Plan (May 21 – June 27)

🔴 Week 1 — May 21–27 | URGENT: Medicine + Pharmacology

🟠 Week 2 — May 28–Jun 3 | Complete Half-Done Subjects

🟡 Week 3 — Jun 4–10 | Remaining Pharmacology + Small Subjects

🟢 Week 4 — Jun 11–17 | First Full Revision Round

• PYQ practice for completed subjects (Patho, Micro, Biochem, Surgery, ENT)
• Tumor markers, staining, vitamins, surgical anatomy — revise 3x

🔵 Week 5 — Jun 18–24 | Mock Tests + Weak Area Drilling

⚡ Last 3 Days — Jun 25–27 | Final Sprint

• Only one-liners and previous year questions
• No new topics
• Sleep well the night before!

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🎯 Subject Priority for YOUR Profile

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💡 Pro Tips for Your Situation

1. Start Medicine tomorrow morning — don't delay, it's 33 marks
2. For half-done subjects, only cover what's remaining — don't restart from scratch
3. Your completed subjects (90 Qs worth) need at least 2 revision rounds before exam day — knowledge fades!
4. PSM is 30 free marks — national health programs, IMR/MMR definitions, and immunization are pure memory; one focused day = big score gain
5. No negative marking — guess on everything you're unsure about