FMGE 2025 Important Topics: High-Weight Subjects & 15-Day Plan

You have fifteen days left before the FMGE 2025-26 examination. The examination is getting close. You have marked your textbooks. You have a big pile of notes. You are thinking: Am I studying the right things for the examination? You have to study nineteen subjects for the FMGE 2025 examination.

There are thousands of possible questions. The difference between passing the FMGE 2025 examination and failing the examination is usually one thing: knowing where you can get the marks in the FMGE examination.

QUICK ANSWER

The Foreign Medical Graduate Examination gives a lot of importance to Medicine. This subject has around 38 to 40 questions. Surgery is also very important, with 35 to 38 questions. Then there is Obstetrics and Gynecology with 28 to 30 questions. Pediatrics has around 22 to 25 questions.

When you have 15 days left to prepare, you should spend most of your time on these four subjects. Medicine, Surgery, Obstetrics and Gynecology, and Pediatrics. You should use 60 percent of your revision time on Medicine, Surgery, Obstetrics and Gynecology, and Pediatrics. At the time, you should also make sure you can quickly recall important topics, such as Preventive and Social Medicine, Pharmacology, and Pathology.

FMGE 2025-26 RELEVANCE

FMGE follows a predictable pattern in subject distribution. Analysis of the last 10 examinations reveals that clinical subjects contribute approximately 65% of questions, while pre/para-clinical subjects make up 35%. Certain topics repeat with remarkable consistency — identifying these gives you a scoring edge that random revision simply cannot match.

Understanding FMGE Subject Weightage

You should know where your marks are coming from before you decide what to study. The FMGE exam is not fair to everyone. Some subjects in the FMGE exam are more important than others. 

The truth is that most students figure this out when it is too late. They think that spending the amount of time on Anatomy and Medicine is a good idea. It is not. Medicine is really important because it has a lot questions than Anatomy, Physiology, and Biochemistry all put together. So students who spend time on Medicine and Anatomy are basically hurting their own chances. Medicine has more questions than Anatomy, Physiology, and Biochemistry combined, which is why students should focus more on Medicine.

I have tracked Foreign Medical Graduate Examination patterns for years now. The way the questions are distributed stays much the same every year. If you understand the Foreign Medical Graduate Examination patterns, you can use your 15 days to study in a very focused way instead of just hoping for the best, with the Foreign Medical Graduate Examination.

Your job isn't to know everything. Your job is to know enough of the right things to cross 150 marks.

Get FMGE Previous Year Question Papers – Free PDF Download!

FMGE 2025 Subject-Wise Question Distribution

High-Yield Topics: Medicine

Medicine questions usually come from just a few main topics. About 8 to 10 areas. These areas are what make up around 70 percent of the medicine questions.

Also Read: Subject Wise Weightage for FMGE

Cardiology (5-7 Questions Expected)

The ECG interpretation shows up in every Foreign Medical Graduate Examination. You should focus specifically on the ECG interpretation:

• MI patterns (STEMI vs NSTEMI, lead-specific changes)
• Arrhythmia recognition (AF, VT, heart blocks)
• Infective endocarditis (Duke criteria, organisms by valve)
• Heart failure management (drugs, staging)
• The Jones criteria are still really important when we talk about rheumatic heart disease
• Neurology (4-6 Questions Expected)
• Choices for epilepsy drugs, what the CSF findings are in meningitis, and the features of myasthenia gravis. 
• Vascular territories and imaging findings for stroke,s and also the specifics of thrombolysis for strokes.

Pulmonology (4-5 Questions Expected)

• Tuberculosis 
• NTEP guidelines and the different drug regimens like 2HRZE and 4HR.
• Difference between COPD and Asthma 
• Test for tuberculosis.

Endocrinology (4-5 Questions Expected)

• Diabetes management 
• Types of insulin and oral hypoglycemic agents OHA choices. 
• Ketoacidosis or DKA, and hyperosmolar hyperglycemic state or HHS. 
• Thyroid disorders
•  Graves disease
• Cushing syndrome testing and adrenal insufficiency 

Gastroenterology (3-4 Questions Expected)

• Liver function test interpretation
• hepatitis serology, cirrhosis complications (ascites, SBP, variceal bleeding)
• Inflammatory bowel disease distinctions 

High-Yield Topics: Surgery

General Surgery Essentials

• Acute abdomen: Differentiation and management priorities
• Hernia types: Inguinal anatomy, complications, and repair choices.Fine Needle Aspiration Cytology, or breast lump FNAC for short, to figure out what is going on with the breast lump. 
• Breast lumps and breast carcinoma 
• Thyroid nodules: TIRADS, FNAC criteria, surgery indication
• Gallstone disease: Acute cholecystitis, CBD stones, Charcot triad

Surgical Emergencies

• Advanced Trauma Life Support.
• The imaging modality of choice for each emergency, such as obstruction, appendicitis, peritonitis, and trauma protocols 

Urology Topics

• Benign Prostatic Hyperplasia
• Understanding of bladder carcinoma

High-Yield Topics: Obstetrics & Gynecology

Obstetrics Priorities

• Antepartum hemorrhage 
• Placenta previa and abruption
•  Antepartum hemorrhage.
• Preeclampsia
• Management of Partners in Health and Preeclampsia
• MgSO4 dosing for Partners in Health and Preeclampsia.
• Labour stages and partograph interpretation
• CTG basics: Reassuring vs non-reassuring patterns
• PPH: Causes (4 T's), management algorithm
• Rh isoimmunization: When to give Anti-D, Kleihauer-Betke test

Gynecology Priorities

• Abnormal uterine bleeding: PALM-COEIN classification
• PCOS: Rotterdam criteria, treatment options
• Ovarian tumors are a concern for women
• Tumor markers
• Cervical cancer: Screening guidelines, staging
• Ectopic pregnancy: Risk factors, diagnosis, management

Also Read: Complete State-Wise List of Recognized & Approved Medical Colleges for FMG Internship in India

High-Yield Topics: Pediatrics

Non-Negotiable Topics

• Developmental milestones (especially gross motor and social)
• The National Immunization Schedule
• Neonatal jaundice: Physiological vs pathological, exchange transfusion criteria
• Pediatric nutrition: Breastfeeding, complementary feeding, SAM management
• Common childhood infections: Measles, mumps, chickenpox, clinical features
• Congenital heart diseases like VSD, ASD, TOF, and TGA.
• VSD/ASD
• Nephrotic vs Nephritic syndrome differentiation
• Childhood malignancies: Wilms tumor vs neuroblastoma

High-Yield Topics: Pre & Para-Clinical Subjects

Pharmacology (18-20 Questions)

• Antimicrobials: Mechanism, spectrum, side effects
• Antihypertensive
• Antiarrhythmics
• Cardiovascular drugs like antihypertensives, antiarrhythmics, and antianginals
• Drug of choice questions (know first-line for major conditions)
• Adverse effects (especially classic associations)
• Poisoning antidotes

Pathology (18-20 Questions)

• Tumor markers (AFP, CEA, CA-125, etc.)
• Anemia classification and peripheral smear findings

• Leukemia and lymphoma basics
• Inflammatory markers
• Autoimmune disease antibodies

PSM (15-18 Questions)

• National health programs (NTEP, NVBDCP, etc.)
• Epidemiological calculations (sensitivity, specificity, predictive values)
• Vaccines: Types, cold chain, VPD surveillance
• Demographic indices and vital statistics
• Biostatistics basics

Microbiology (12-15 Questions)

• To grow an organism, you need to find the culture media. The culture media have to match the organism. You have to choose a medium that's just right for the organism you are working with.
• For example, some organisms do well in one type of culture media while others do better in another type. So the key is to match the organism to the medium.

Staining techniques

• Opportunistic infections in HIV
• Hepatitis serology
• Diagnostic tests for major pathogens

Also Read: FMGE Internship 2025 – Approved Hospitals, Rules & Stipend Structure

High-Yield Topics: Pediatrics

Pediatric questions often revolve around milestones, vaccines, and common childhood conditions.

Non-Negotiable Topics

• Developmental milestones (especially gross motor and social)
• National Immunization Schedule 2024 — know every vaccine, dose, timing
• Neonatal jaundice: Physiological vs pathological, exchange transfusion criteria
• Pediatric nutrition: Breastfeeding, complementary feeding, SAM management
• Common childhood infections: Measles, mumps, chickenpox, clinical features
• Congenital heart diseases: VSD, ASD, TOF, TGA features
• Nephrotic vs Nephritic syndrome differentiation
• Childhood malignancies: Wilms tumor vs neuroblastoma

Also Read: MCI Recognised Medical Colleges in Foreign Countries

High-Yield Topics: Pre & Para-Clinical Subjects

Pharmacology (18-20 Questions)

Pharmacology rewards focused preparation. Examiners love:

• Antimicrobials: Mechanism, spectrum, side effects
• Cardiovascular drugs: Antihypertensives, antiarrhythmics, antianginals
• Drug of choice questions (know first-line for major conditions)
• Adverse effects (especially classic associations)
• Drug interactions
• Poisoning antidotes

Pathology (18-20 Questions)

• Tumor markers (AFP, CEA, CA-125, etc.)
• Anemia classification and peripheral smear findings
• Leukemia and lymphoma basics
• Inflammatory markers
• Autoimmune disease antibodies

PSM (15-18 Questions)

• National health programs (NTEP, NVBDCP, etc.)
• Epidemiological calculations (sensitivity, specificity, predictive values)
• Vaccines: Types, cold chain, VPD surveillance
• Demographic indices and vital statistics
• Biostatistics basics

Microbiology (12-15 Questions)

• Culture media (match organism to medium)
• Staining techniques
• Opportunistic infections in HIV
• Hepatitis serology
• Diagnostic tests for major pathogens

Also Read: FMG January Exam Date ‘26–Eligibility Criteria, Exam Pattern, and Preparation Tips

Diagnostic tests for Your 15-Day FMGE Revision Plan

This plan is for people who have already gone through their syllabus at least one time. The next 15 days are meant for the syllabus to really stick in your mind and to focus on the important parts of the syllabus. It is not for learning the syllabus for the first time.

Days 1-3: Medicine Marathon

Dedicate these three days entirely to Medicine: Cover Cardiology, Neurology, Pulmonology, Endocrinology, Nephrology, and GI. Use your own notes and focus on clinical scenarios. Solve at least 200 Medicine MCQs.

Days 4-5: Surgery & Orthopedics

Two full days for surgical subjects: Emphasize emergency management, investigations of choice, and operative indications. Cover Orthopedics fractures and clinical tests alongside.

Days 6-7: OBG Complete

• Pay attention to things like the Partograph and high-risk pregnancy. 
• Gynecological oncology is also very important.
• Practice solving questions that have images. These questions are about monitoring the baby while it's still in the womb.

Day 8: Pediatrics

One intensive day covering growth milestones, immunization, and pediatric emergencies. Create a single-page sheet of milestone ages and vaccine schedules.

Day 9: Pharmacology

• The drug of choice for 50 conditions is really important. 
• List of antidotes(mechanism-based classifications) that we need to remember.

Day 10: Pathology and Microbiology

• Tumor markers, hematology findings, and classic culture media
• Image-based pathology findings. Laboratory diagnosis patterns.

Day 11: Anatomy and Physiology

Focus on clinical anatomy, nerve injuries, and blood supply territories. Physiology graphs and regulatory mechanisms.

Day 12: PSM + Forensic Medicine

• PSM-Health programs
• Epidemiological terms 
• Statistics 
• Forensic Medicine—injuries. 
• Basics of toxicology.

Day 13: Ophthalmology, ENT, and Dermatology

• Images and the examination findings
• First-line treatments for the clinical images and the examination findings.

Day 14: Rapid Revision

• Go over all the high-yield sheets you have made. 
• Areas that we found when we did the multiple-choice question practice. 
• Do not add any topics to the high-yield sheets. 
• We will just focus on the high-yield sheets and the weak areas we already know about.

Day 15: Rest & Preparation

Light revision until noon. Prepare documents, plan logistics, and sleep early. Refer to our FMGE exam day strategy guide for final hours planning.

Also Read: Internship Application Procedure After Passing FMGE

Subject-Priority Comparison

High-Yield Points for FMGE 2025

• Medicine + Surgery + OBG + Pediatrics = 130+ questions (43% of exam) — Prioritize ruthlessly
• ECG and X-ray interpretation appear in every FMGE — practice at least 50 images
• National Health Programs and Immunization Schedule guarantee 8-10 easy marks in PSM
• Drug of choice questions are predictable — maintain a list of 50 common conditions
• Tumor markers and lab values are tested repeatedly — create a single reference sheet
• Recent FMGE exams show increased clinical scenario-based questions — practice application, not just recall
• Image-based questions have increased to 15-20% of the paper, including visual learning
• Pharmacology and Pathology together contribute nearly 40 questions — don't neglect para-clinical subjects
• Revision of high-yield topics beats extensive coverage of low-yield areas every time

Frequently Asked Questions

Which subject has the highest weightage in FMGE?

Medicine carries the highest weightage with 38-40 questions (approximately 13% of the total paper). Surgery follows closely with 35-38 questions. Together, these two subjects contribute about 25% of your FMGE score.

Can I clear FMGE with 15 days of preparation?

Clearing FMGE in 15 days requires prior foundation from your MBBS years. These 15 days should focus on revision and high-yield consolidation, not primary learning. Students with good clinical knowledge can optimize their scores significantly in this period.

What are the most repeated topics in FMGE?

ECG interpretation, National Immunization Schedule, antepartum hemorrhage differentiation, drug mechanisms and side effects, and tumor markers are among the most consistently repeated topics across FMGE examinations.

Should I focus more on clinical or pre-clinical subjects?

Clinical subjects (Medicine, Surgery, OBG, Pediatrics) deserve 50% of your revision time as they contribute approximately 65% of the questions. However, para-clinical subjects like Pharmacology and Pathology offer high-yield marks and shouldn't be ignored.

How many MCQs should I practice before FMGE?

Aim for at least 3000-4000 quality MCQs before your exam. In the final 15 days, solving 200-300 MCQs daily helps identify weak areas and improve time management. Focus on previous year patterns and clinical scenario-based questions.

Is there any negative marking in FMGE 2025?

No. FMGE has no negative marking system. Attempt every single question regardless of certainty. Even educated guesses have a 25% probability of being correct, which is better than leaving questions unanswered.

CLINICAL PEARL

"In FMGE, knowing 80% of high-yield topics beats knowing 50% of everything." These final 15 days aren't about coverage — they're about consolidation. Focus on what gets tested, revise what you've studied, and trust that strategic preparation outperforms scattered effort every single time.

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