FMGE 2026 Medicine: High-Yield Topics for Last-Minute Revision

The Medicine section of FMGE 2026, scheduled for June 25, 2026, is expected to contribute approximately 40–50 questions out of 300 and is one of the most decisive sections for clearing the examination.

With FMGE 2026 just days away, focused last-minute revision of General Medicine can significantly lift your total score. Based on previous FMGE paper trends, the section heavily tests clinical reasoning across Cardiology, Nephrology, Respiratory Medicine, Neurology, and Endocrinology. This guide maps the high-yield sub-topics and expected question patterns so you can direct your remaining preparation time where it counts most.

• FMGE 2026 is conducted by the National Board of Examinations (NBE) on June 25, 2026.
• The paper has 300 questions (300 marks); General Medicine is expected to contribute 40–50 questions based on previous years.
• Cardiology, Nephrology, and Respiratory Medicine are historically the highest-weightage sub-topics in the Medicine section.
• A minimum passing score of 150 out of 300 (50%) is required to clear FMGE 2026.
• There is no negative marking in FMGE — attempt every question to maximise your score.

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FMGE 2026 Medicine Section: Weightage and Exam Overview

General Medicine is among the most heavily tested subjects in FMGE, reflecting its centrality in clinical practice. Based on previous years, the section is expected to contribute approximately 40–50 questions, making it one of the largest drivers of your total score. Each correct answer carries 1 mark with no negative marking, so attempting all questions — including uncertain ones — maximises your chances of passing.

FMGE Medicine questions are predominantly clinical vignettes: a short patient scenario followed by the best management option, most likely diagnosis, or appropriate investigation. Pure recall questions are fewer; the emphasis is on applying pathophysiology and treatment guidelines to a clinical context.

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High-Yield Topics in Medicine for FMGE 2026

The following sub-topics appear consistently in large numbers across previous FMGE papers. Prioritising these in your last-minute revision gives the best return on your remaining study time.

Cardiology

Cardiology is the single largest sub-topic in FMGE Medicine. Revise Heart failure classification and management (HFrEF vs HFpEF), STEMI vs NSTEMI differentiation and thrombolysis criteria, hypertension guidelines, Infective endocarditis (Duke criteria, common organisms), and Rheumatic heart disease. Know ECG findings for atrial fibrillation, complete heart block, and LBBB vs RBBB patterns.

Respiratory Medicine

Focus on COPD vs Asthma clinical differentiation and spirometry interpretation (obstructive vs restrictive), Tuberculosis (drug regimens, RNTCP guidelines, drug-specific side effects), community-acquired pneumonia (CURB-65 scoring), Pleural effusion (Light’s criteria for transudate vs exudate), and Pneumothorax management.

Nephrology

The Nephrotic vs Nephritic syndrome distinction is a perennial FMGE favourite. Also revise CKD staging (KDIGO criteria), dialysis indications (AEIOU mnemonic), Glomerulonephritis types (IgA nephropathy, post-streptococcal GN), and management of electrolyte disturbances including hyponatraemia, hyperkalaemia, and metabolic acidosis.

Neurology

High-yield topics include ischaemic stroke (thrombolysis window, NIHSS scoring, CT vs MRI timing), bacterial vs viral meningitis CSF findings, epilepsy drug of choice in specific patient scenarios, Parkinson’s disease pharmacology, Guillain-Barré syndrome, and Myasthenia gravis.

Endocrinology

Revise DKA vs HHS differentiation and management, insulin types and pharmacokinetics, oral hypoglycaemic agents (mechanism and contraindications), hypothyroidism and Graves’ disease (clinical features and treatment options), Cushing’s syndrome investigations, and Addison’s disease.

Gastroenterology and Hepatology

Focus on cirrhosis complications (portal hypertension, varices, SBP, hepatic encephalopathy — staging and management), viral hepatitis serology interpretation, Crohn’s disease vs Ulcerative colitis key differentiators, and H. pylori eradication regimens for peptic ulcer disease.

Rheumatology

SLE diagnostic criteria (ACR/EULAR criteria, ANA, anti-dsDNA relevance), Rheumatoid Arthritis (seropositive vs seronegative, DMARD choices), and gout management (colchicine for acute attack, allopurinol for chronic prevention) are recurring question areas in FMGE Medicine.

Haematology

Anaemia classification and workup algorithm, Vitamin B12 deficiency vs folate deficiency differentiating clues, ITP vs TTP, CML (Philadelphia chromosome, BCR-ABL fusion, imatinib mechanism), and coagulation disorder profiles (haemophilia A vs B, PT vs aPTT interpretation) are commonly tested topics.

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Topic-Wise Expected Question Distribution

The table below shows the approximate question distribution for the Medicine section based on previous FMGE paper analysis. These are estimates based on past trends; actual distribution in FMGE 2026 may vary.

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Last-Minute Revision Strategy for the Medicine Section

With the exam on June 25, 2026, consolidation is far more valuable than covering new material. Use the day-wise schedule below to organise your final preparation.

1. Prioritise the three highest-weightage sub-topics first — Cardiology, Respiratory Medicine, and Nephrology together account for an estimated 19–25 questions. Secure these before moving to other areas.
2. Revise diagnostic criteria and drug-of-choice tables — Duke criteria, Light’s criteria, ACR/EULAR for SLE, CURB-65, and JNC/ESC hypertension guidelines are direct question sources in FMGE.
3. Solve previous-year FMGE MCQs in Medicine — At least two full sets from the past three years. Identify recurring stems and practise eliminating wrong options before selecting the best answer.
4. Use mnemonics for high-yield lists — MUDPILES for high anion-gap metabolic acidosis, AEIOU for dialysis indications, and similar short-cuts reduce recall time during the exam.
5. Practise clinical vignette interpretation — Identify the 2–3 key diagnostic clues in each question stem before reading the answer options to avoid option-anchoring bias.
6. Do not start new topics in the final 48 hours — Revise only consolidated material to avoid confusion and information overload before the exam.

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