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FMGE Exam Pattern 2026: Master the Blueprint to Score 150+


Text on a white background says: "FMGE Exam Pattern 2026, Subjects, Marks & Passing Criteria, Master the Blueprint to Score 150+." Red and black text.

Mastering the FMGE Exam Pattern 2026 is the first step toward transforming your international medical degree into a valid license to practice in India. This examination, conducted by the National Board of Examinations in Medical Sciences (NBEMS), is the gatekeeper for Foreign Medical Graduates (FMGs). With a growing emphasis on clinical reasoning over rote memorization, staying updated with the 2026 guidelines is vital for your success.


In this guide, we break down everything you need to know—from subject weightage to the specific marks required to clear the exam—helping you build a high-yield study plan.


What is the FMGE Exam Pattern 2026?


The FMGE Exam Pattern 2026 remains a computer-based test (CBT) consisting of 300 multiple-choice questions (MCQs). The exam is designed to assess if a graduate’s medical knowledge aligns with the Indian MBBS curriculum standards.


Core Exam Features


Feature

Details

Exam Format

Computer-Based Test (CBT)

Total Questions

300 MCQs

Time Duration

5 Hours (2.5 hours per session)

Language

English

Sessions

Two parts (150 questions each)

Marking Scheme

+1 for correct; No negative marking


The 2026 sessions continue the tradition of being held twice a year, typically in June and December. One of the most student-friendly aspects of the exam is the absence of negative marking, allowing you to attempt every question without fear of losing marks.



Subject-Wise Marks Distribution for 2026


The syllabus is vast, covering 19 subjects. However, the FMGE Exam Pattern 2026 allocates marks in a way that allows students to prioritize "heavy-hitter" subjects. The paper is split into two major sections: Pre/Para-Clinical (Part A) and Clinical (Part B).


Part A: Pre & Para-Clinical Subjects (100 Marks)


These subjects establish your foundational medical knowledge. Focusing here helps in solving complex clinical cases in Part B.


  • Anatomy: 17 Marks


  • Physiology: 17 Marks


  • Biochemistry: 17 Marks


  • Pathology: 13 Marks


  • Microbiology: 13 Marks


  • Pharmacology: 13 Marks


  • Forensic Medicine: 10 Marks


Part B: Clinical Subjects (200 Marks)


This section carries 66% of the total marks. If you want to clear the 150-mark threshold, your clinical concepts must be crystal clear.


  • Medicine & Allied (Psychiatry, Dermatology, Radiotherapy): 48 Marks


  • Surgery & Allied (Anaesthesia, Orthopaedics, Radiodiagnosis): 47 Marks


  • Obstetrics & Gynaecology: 30 Marks


  • Community Medicine (PSM): 30 Marks


  • Paediatrics: 15 Marks


  • Ophthalmology: 15 Marks


  • Otorhinolaryngology (ENT): 15 Marks


FMGE Passing Criteria 2026: The Roadmap to 150


The FMGE Passing Marks 2026 are straightforward: you need to score a minimum of 150 out of 300 (50%). Unlike other competitive exams, there is no percentile system or category-based relaxation. Everyone must meet the same standard to qualify for the Medical Council of India (MCI) or State Medical Council (SMC) registration.


High-Yield Areas for 2026


Recent analysis of previous papers shows a significant shift toward integrated clinical questions. For example:


  • Instead of asking the name of a muscle, a question might describe a patient's injury (Surgery/Anatomy) and ask for the likely deficit.


  • Community Medicine often focuses on National Health Programs and immunization schedules.


  • Obstetrics & Gynaecology remains the most scoring subject with highly predictable question patterns.


Essential Medical Calculations


While you won't need complex math, you should be familiar with the following high-priority formula names frequently tested in the exam:


  • Parkland Formula (for burn fluid resuscitation)


  • Anion Gap Calculation (for metabolic acidosis)


  • Naegele’s Rule (for estimating delivery dates)


  • Body Mass Index (BMI)


  • Glomerular Filtration Rate (GFR)


Conclusion


The path to practicing medicine in India is challenging but manageable with a clear strategy. By understanding the FMGE Exam Pattern 2026, you can move away from overwhelming textbooks and focus on high-yield, high-weightage topics. Remember, you don't need to top the exam; you just need to reach 150 marks with confidence and precision.



Frequently Asked Questions (FAQs)


What is the FMGE Exam Pattern 2026 for negative marking?


According to the official FMGE Exam Pattern 2026, there is no negative marking for incorrect or unanswered questions. You receive +1 mark for every correct response, making it beneficial to attempt all 300 questions.


Are there sectional cut-offs in FMGE 2026?


No. While the exam is divided into Part A and Part B, you do not need to pass them individually. Your total aggregate score must be 150 or higher to be considered "Qualified."


Which subjects should I prioritize for the 2026 session?


Focus on the "Big Four": General Medicine, General Surgery, OBG, and PSM. Together, these subjects account for nearly 140-150 marks, which is almost the entire passing score.


Is the 2026 exam more difficult than previous years?


The difficulty level is generally rated as moderate-to-difficult. The challenge in 2026 lies in the length of the clinical stems (case-based questions), which require efficient time management.


CTA





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