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FMGE Previous Papers Analysis 2025

Analyzing previous FMGE papers reveals consistent patterns and frequently tested topics. This analysis covers exam trends from 2019-2024, helping you focus on high-probability areas. While exact questions don't repeat, concepts and topics recur with high frequency.

FMGE Exam Pattern

Paper 1 (Pre-clinical & Para-clinical)
150 Questions150 minutes
  • Anatomy (20Q)
  • Physiology (15Q)
  • Biochemistry (15Q)
  • Pathology (25Q)
  • Pharmacology (25Q)
  • Microbiology (20Q)
  • Forensic Medicine (15Q)
  • PSM (15Q)
Paper 2 (Clinical)
150 Questions150 minutes
  • Medicine (35Q)
  • Surgery (30Q)
  • OBG (25Q)
  • Pediatrics (25Q)
  • Ophthalmology (15Q)
  • ENT (15Q)
  • Short subjects (25Q)
300
Total Questions
150/300 (50%)
Passing Score
No
Negative Marking
Unlimited
Attempts Allowed

Year-wise Pass Rate Trends

December 2024

Moderate
23.4%%
  • Increased clinical case-based questions
  • More image-based questions
  • Integration across subjects
  • Current affairs in PSM

June 2024

Moderate-High
21.8%%
  • Pharmacology weightage increased
  • More pathology images
  • Recent updates in national programs
  • Applied anatomy questions

December 2023

Moderate
22.1%%
  • Similar pattern to previous years
  • Focus on emergency management
  • Increased PSM questions from programs
  • Standard distribution maintained

June 2023

Moderate-High
19.8%%
  • Slightly harder than usual
  • More conceptual questions
  • Less direct recall questions
  • Focus on mechanisms

Question Patterns

Direct Recall30-35%

Straightforward factual questions testing memory

Example: Which vitamin deficiency causes pellagra?

Strategy: Memorize facts, use mnemonics, regular revision
Clinical Scenario40-45%

Case-based questions requiring application of knowledge

Example: A 45-year-old male presents with crushing chest pain... Most likely diagnosis?

Strategy: Practice clinical reasoning, learn typical presentations
Image-Based10-15%

Questions with images - X-rays, histopathology, clinical photos

Example: Identify the finding in this chest X-ray

Strategy: Practice image identification, use image banks
Investigation/Management15-20%

Questions on diagnostic workup and treatment protocols

Example: Investigation of choice in suspected PE?

Strategy: Learn investigation algorithms, treatment protocols

High-Yield Repeated Topics

anatomy

80% questions from these topics

Very High Yield

Brachial plexus injuriesCranial nerve palsiesHeart embryologyDerivatives of pharyngeal archesBlood supply of brain

High Yield

Inguinal canalKnee joint ligamentsVertebral columnHistology of kidney, liverNerve supply of larynx
physiology

75% questions from these topics

Very High Yield

ECG interpretationCardiac cycle eventsRespiratory volumesGFR and clearanceNerve conduction

High Yield

Hemoglobin dissociation curveThyroid hormonesAdrenal hormonesGIT hormonesMuscle physiology
pathology

85% questions from these topics

Very High Yield

Anemias - all typesLeukemiasTumor markersInflammationGlomerulonephritis

High Yield

Cell injuryAmyloidosisLiver cirrhosisLung tumorsBreast pathology
pharmacology

80% questions from these topics

Very High Yield

Drug mechanismsAntibiotics spectrumAntihypertensivesDrug interactionsAdverse drug reactions

High Yield

AntiepilepticsChemotherapy drugsOpioidsLocal anestheticsDrugs in pregnancy
medicine

70% questions from these topics

Very High Yield

MI managementTB diagnosis & treatmentDiabetes complicationsStroke typesCKD staging

High Yield

Thyroid disordersHepatitis typesHIV stagingMalaria treatmentPoisoning management
surgery

75% questions from these topics

Very High Yield

AppendicitisHernia typesBreast lumpsThyroid nodulesIntestinal obstruction

High Yield

Burns managementTrauma protocolsCommon fracturesUrological emergenciesSurgical infections
obg

80% questions from these topics

Very High Yield

PPH causes & managementPre-eclampsiaEctopic pregnancyLabor stagesContraception

High Yield

FibroidsOvarian tumorsCervical cancer screeningInfertility workupPCOD
pediatrics

85% questions from these topics

Very High Yield

Vaccination scheduleDevelopmental milestonesNeonatal jaundiceORS compositionARI management

High Yield

Congenital heart diseasePEM classificationNewborn resuscitationGrowth chartsPediatric infections

Subject-wise Question Analysis

SubjectQuestionsClinical %Direct Recall %Top Repeaters
Anatomy2060%40%Brachial plexus, Cranial nerves, Heart development
Physiology1550%50%ECG, Cardiac cycle, Renal function
Biochemistry1545%55%Metabolic pathways, Vitamins, Inborn errors
Pathology2555%45%Anemias, Tumors, Inflammation
Pharmacology2560%40%Drug mechanisms, Antibiotics, ADRs
Microbiology2050%50%Culture media, Vaccines, Parasites
Medicine3575%25%MI, TB, Diabetes, Stroke
Surgery3070%30%Appendicitis, Hernia, Trauma

Frequently Asked Questions