MBBS Final Year: Subjects, PYQs and Syllabus

Final Year MBBS Subjects

Phase 3 Part 2 has four paper-bearing subjects, each with both theory and clinical examination components. The bedside or OSCE examination — in which students assess a real patient in front of examiners — carries significant weight alongside the theory paper in all four subjects.

General Medicine

General Medicine is the broadest clinical subject in the MBBS, covering cardiovascular disease, respiratory disease, gastroenterology, nephrology, neurology, haematology, endocrinology, infectious diseases, and rheumatology. It is also the subject with the largest and most varied question bank across university papers. The important questions pages for General Medicine are the most efficient starting point for revision: they distil the highest-frequency topics from PYQ analysis across all confirmed years.

Resources:

• RGUHS General Medicine Important Questions
• KNRUHS General Medicine Important Questions
• General Medicine Question Papers (RGUHS)
• Antihypertensive Drugs Chart
• Antidiabetic Drugs Chart

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General Surgery

General Surgery covers surgical anatomy, wound healing, fluid and electrolyte management, abdominal surgery, breast and thyroid surgery, vascular surgery, orthopaedics (fractures and joint conditions), and trauma principles. Surgery theory papers draw from both the clinical and anatomical knowledge base, and surgical anatomy questions — which integrate Phase 1 Anatomy with clinical surgical context — are a consistently tested category across all seven universities.

Resources:

• RGUHS General Surgery Important Questions
• KNRUHS General Surgery Important Questions
• General Surgery Question Papers
• Best Surgery Book for MBBS
• Fracture Healing Topic Page

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Obstetrics and Gynaecology

Obstetrics and Gynaecology covers the full spectrum of women's reproductive health: antenatal care, labour and delivery, obstetric complications, postpartum care, gynaecological conditions, and reproductive endocrinology. OBG is a subject that combines surgical skill (operative obstetrics) with clinical medicine (medical complications of pregnancy) and requires students to be comfortable with both dimensions in the bedside examination.

Resources:

• OBG Viva Questions and Answers
• OBG Question Papers (RGUHS)
• Ectopic Pregnancy Topic Page
• Preeclampsia Topic Page
• Fibroids Topic Page

Paediatrics

Paediatrics covers the health and disease of children from the neonatal period through adolescence, including neonatal care, growth and development, vaccination schedules, common paediatric infections, nutritional disorders, and paediatric emergencies. Paediatrics is often underestimated in terms of syllabus breadth. The neonatal section in particular — covering neonatal jaundice, respiratory distress, sepsis, and birth asphyxia — is heavily tested across all university papers and requires dedicated preparation separate from the general paediatric content.

Resources:

• Paediatrics Question Papers (RGUHS)
• Neonatal Jaundice Bilirubin Chart
• Neonatal Jaundice Topic Page
• Meningitis Topic Page

Paediatrics viva questions are coming soon to GeckoMed. Download the app to get notified.

Final Year MBBS Syllabus 2026

MBBS Final Year follows the NMC CBME syllabus for Phase 3 Part 2. The CBME framework for this phase is the most clinically integrated in the MBBS: competencies are defined around patient assessment, clinical reasoning, and management, not purely around factual recall. Theory papers reflect this — long essay questions in Medicine, Surgery, OBG, and Paediatrics are routinely case-framed, and short notes frequently test applied clinical judgement alongside factual knowledge.

• MBBS Final Year Syllabus (National)
• RGUHS Final Year Syllabus
• KNRUHS Final Year Syllabus
• TNMGRMU Final Year Syllabus
• NTRUHS Final Year Syllabus
• WBUHS Final Year Syllabus
• KUHS Final Year Syllabus
• RUHS Final Year Syllabus

MBBS Final Year Question Papers (2025 to 2021)

Tier-1 universities (RGUHS, KNRUHS, TNMGRMU) have five paper years (2025, 2024, 2023, 2022, 2021). Non-Tier-1 universities (NTRUHS, WBUHS, KUHS, RUHS) have three paper years (2025, 2024, 2023).

General Medicine Question Papers

General Surgery Question Papers

Obstetrics and Gynaecology Question Papers

Paediatrics Question Papers

Browse all Final Year Question Papers

How to Study for MBBS Final Year

• Use important questions pages as your General Medicine entry point, not the textbook. General Medicine covers more conditions than any other MBBS subject, and open-ended textbook reading without PYQ guidance produces uneven preparation. The important questions pages compile the highest-frequency topics across confirmed paper years. Start there, read the relevant clinical topic pages, then use PYQs to practise your answers.
• Prepare the bedside examination as a separate, active track. The clinical component of Final Year exams is assessed in front of examiners with a real patient. Theory revision alone does not prepare you for this. Use posting time to take histories, present cases, and practise systematic examination of each organ system. The gap between knowing the content and demonstrating it at the bedside is where most Final Year marks are lost.
• Treat Surgery and Anatomy as integrated, not separate. Final Year Surgery papers consistently test surgical anatomy — the applied version of Phase 1 content. Reviewing the anatomy of structures involved in high-frequency surgical conditions (hernias, appendix, thyroid, biliary tree, breast, major vessels) improves both theory answers and clinical examination performance.
• Give the neonatal section of Paediatrics its own preparation time. Neonatal jaundice, neonatal sepsis, respiratory distress syndrome, and birth asphyxia are disproportionately represented in Paediatrics papers across all seven universities. Students who treat Paediatrics as a single undifferentiated syllabus often underinvest in neonatal content and lose marks in a predictable question category.
• OBG requires preparation in both obstetric and gynaecological sections independently. The two sections draw from different clinical knowledge bases and are often examined with separate question sets within the same paper. Prepare them as two parallel tracks rather than as one subject, and prioritise complications of pregnancy and gynaecological emergencies from PYQ analysis.

Other MBBS Year Resources

• 1st Year
• 2nd Year
• 3rd Year

Frequently Asked Questions