MBBS Final Year Syllabus 2026 (Subject-wise)

Final Year MBBS at a Glance

Exact practical marks, weightage and internal assessment percentage are set by each affiliated university within NMC CBME guidelines. Verify these with your university's official syllabus notification.

Detailed Syllabus by Subject

General Medicine

General Medicine Subject Hub

General Medicine is the broadest subject in Final Year MBBS, covering clinical diagnosis and management across all organ systems. The NMC CBME curriculum emphasises clinical reasoning, evidence-based prescribing, and the ability to manage common medical emergencies. Students are expected to present long cases (clinical case workup) and short cases (targeted examination) in the practical examination.

Cardiovascular system: Hypertension (primary and secondary), ischaemic heart disease, acute myocardial infarction, heart failure, arrhythmias, rheumatic heart disease, valvular disorders, infective endocarditis. See: Hypertension | Myocardial Infarction | Congestive Heart Failure

Respiratory system: Tuberculosis (a high-priority topic in Indian MBBS), pneumonia (community-acquired and hospital-acquired), asthma, COPD, pleural effusion, carcinoma lung. See: Tuberculosis | Pneumonia | Asthma

Gastrointestinal and hepatic: Peptic ulcer disease, viral hepatitis, liver cirrhosis, portal hypertension, ascites, hepatic encephalopathy, inflammatory bowel disease. See: Jaundice | Liver Cirrhosis

Renal: Glomerulonephritis, nephrotic syndrome, urinary tract infections, acute kidney injury, chronic kidney disease, renal replacement therapy basics.

Neurological: Stroke and cerebrovascular disease, epilepsy, meningitis and encephalitis, Parkinson's disease, peripheral neuropathy, Guillain-Barré syndrome. See: Stroke | Meningitis

Endocrine: Diabetes mellitus (type 1 and type 2, complications, management), thyroid disorders (hypothyroidism, hyperthyroidism, thyroid emergencies), adrenal disorders, pituitary disorders. See: Diabetes Mellitus

Haematology: Anaemias (iron deficiency, megaloblastic, haemolytic, aplastic), bleeding disorders, leukaemias, lymphomas. See: Anaemia

Infectious diseases (India-specific priority): Malaria, typhoid fever, dengue, leptospirosis, filariasis, HIV/AIDS, viral hepatitis.

Practical components: Bedside clinical examination (long case 30 minutes + short cases), ECG interpretation, chest X-ray reading, blood report interpretation, clinical viva.

General Surgery

General Surgery Subject Hub

General Surgery at the Final Year MBBS level covers surgical principles, common surgical conditions, and the basics of operative surgery. The NMC CBME curriculum emphasises clinical reasoning in surgical decision-making and the ability to manage surgical emergencies. The practical examination includes surgical long cases and short cases, with clinical viva on management.

Surgical foundations: Wound healing (phases, factors affecting, complications), surgical infections, haemostasis, blood transfusion, pre-operative assessment, post-operative care, fluid and electrolyte balance.

Shock and trauma: Types of shock (hypovolaemic, cardiogenic, septic, neurogenic), pathophysiology, recognition, and management. Burns: classification, assessment (rule of nines), fluid resuscitation, wound management. Trauma: principles of polytrauma management.

Abdominal surgery: Hernia (inguinal, femoral, umbilical, incisional -- anatomy, classification, complications, repair), acute appendicitis and Alvarado score, intestinal obstruction (mechanical and paralytic), peritonitis, peptic ulcer disease (complications and surgical management), hepatobiliary surgery (cholecystitis, gallstones, obstructive jaundice), carcinoma stomach, colorectal conditions. See: Appendicitis | Intestinal Obstruction | Cholecystitis | Peptic Ulcer

Endocrine and breast surgery: Goitre (classification, management), thyroid carcinoma, hyperthyroidism. Fibroadenoma, fibrocystic disease, carcinoma breast (staging, surgical management, adjuvant principles). See: Thyroid Disorders | Breast Cancer

Peripheral vascular: Arterial occlusion, varicose veins, deep vein thrombosis.

Orthopaedic principles (within Surgery syllabus): Fractures (general principles, Colles fracture, neck of femur, tibial shaft), dislocations, osteomyelitis, septic arthritis, bone tumours, osteoarthritis. See: Colles Fracture

Practical components: Surgical long case workup (history, examination, diagnosis, management plan), short case examination (focused examination of a surgical condition), clinical viva, surgical instrument identification at some universities.

Obstetrics and Gynaecology

Obstetrics and Gynaecology Subject Hub

OBG is examined as a single integrated subject covering both obstetrics and gynaecology. The practical examination includes ward-based clinical assessments (antenatal examination, labour ward observation) and OSCE components. Viva questioning spans both components.

Obstetrics:

Normal pregnancy: physiological changes in pregnancy, antenatal care, investigations, nutrition and supplementation, antenatal complications screening.

Normal labour: stages of labour, management of normal labour, partograph use, monitoring of foetal wellbeing.

Hypertensive disorders: gestational hypertension, pre-eclampsia, eclampsia, HELLP syndrome. See: Preeclampsia

Antepartum haemorrhage: placenta praevia, placental abruption, clinical features, management.

Complications: malpresentations (breech, face, shoulder), malpositions, prolonged labour, obstructed labour, gestational diabetes, anaemia in pregnancy, cardiac disease in pregnancy.

Obstetric emergencies: eclampsia, postpartum haemorrhage, ruptured uterus, cord prolapse, shoulder dystocia, amniotic fluid embolism.

Operative obstetrics: lower segment caesarean section (LSCS), forceps delivery, ventouse extraction, episiotomy, manual removal of placenta.

Puerperium: normal puerperium, puerperal sepsis, puerperal psychosis, mastitis.

Gynaecology:

Menstrual disorders: abnormal uterine bleeding (AUB), dysmenorrhoea, amenorrhoea, PCOS.

Uterine conditions: fibroids (types, complications, management), endometrial polyps. See: Fibroids

Ectopic pregnancy: risk factors, diagnosis (serum beta-HCG, ultrasound), management (medical and surgical). See: Ectopic Pregnancy

Gynaecological infections: pelvic inflammatory disease, cervicitis, STIs, vaginal infections.

Malignancies: carcinoma cervix (screening, staging, management -- high-priority topic in India), endometrial carcinoma, ovarian tumours.

Contraception: barrier methods, combined oral contraceptives, progestin-only pills, IUCD, injectables, sterilisation, emergency contraception.

Infertility: causes (male and female factors), investigations, management approach.

Gestational trophoblastic disease: hydatidiform mole, choriocarcinoma.

Practical components: Antenatal abdominal examination (fundal height, presenting part, foetal heart), clinical viva on obstetric cases, OSCE stations (CTG reading, pelvimetry assessment, emergency scenario).

OBG viva preparation: OBG Viva Questions and Answers

Paediatrics

Paediatrics Subject Hub

Paediatrics covers child health from the newborn period through adolescence. The NMC CBME curriculum emphasises recognition of sick children, growth monitoring, immunisation protocols, and management of common childhood illnesses. Clinical examination differs significantly from the adult approach, and practical examinations test both examination technique and developmental assessment.

Neonatology: Normal newborn assessment, neonatal jaundice (physiological and pathological, phototherapy, exchange transfusion thresholds), birth asphyxia and neonatal resuscitation (APGAR scoring), neonatal sepsis, respiratory distress syndrome, prematurity and low birth weight management. See: Neonatal Jaundice

Growth and development: Motor, language, social, and cognitive milestones, growth chart interpretation, anthropometry (weight, height, head circumference, mid-arm circumference), developmental delay assessment.

Nutrition: Protein-energy malnutrition (kwashiorkor and marasmus, distinguishing features), vitamin D deficiency and rickets, iron deficiency anaemia in children, vitamin A deficiency, iodine deficiency, breastfeeding promotion.

Immunisation: National Immunization Schedule (UIP), IAP recommended schedule, cold chain requirements. See: National Immunization Schedule India

Childhood infections: Measles, varicella, mumps, typhoid in children, malaria, dengue, meningitis, tuberculosis in children (presentation differences from adults).

Respiratory diseases: Upper respiratory tract infections, acute laryngotracheobronchitis (croup), bronchiolitis, pneumonia (community-acquired, in-hospital), asthma in children.

Gastrointestinal: Acute diarrhoea and ORS management, dehydration assessment, malabsorption, worm infestations, hepatitis.

Haematology: Iron deficiency anaemia, haemolytic anaemias (sickle cell disease, thalassaemia, G6PD deficiency), childhood leukaemia.

Neurology: Febrile seizures, epilepsy in children, cerebral palsy, meningitis and encephalitis, neurodevelopmental disorders.

Cardiology: Congenital heart disease (VSD, ASD, PDA, Tetralogy of Fallot -- acyanotic vs cyanotic distinction), rheumatic fever and rheumatic heart disease.

Practical components: Paediatric clinical examination (age-appropriate history from parent and child), growth chart plotting and interpretation, developmental milestone assessment, neonatal examination technique, viva.

Final Year Exam Pattern

WBUHS and all other NMC-affiliated universities assess Final Year MBBS using the following standard NMC CBME examination structure:

The NMC CBME framework requires a minimum percentage for internal assessment to be eligible to sit the final examination. The specific pass mark for theory and practical components is set by each university. Verify pass criteria with your affiliated university's examination regulations.

Internal Assessment in Final Year MBBS

Under NMC CBME, internal assessment is a compulsory component of the Final Year examination. It typically includes periodical written tests (formative theory assessments), practical assessments during ward postings, case presentations, and attendance-based components. Internal assessment results must be submitted to the university before a student is permitted to sit the Final Professional examination. The minimum threshold for internal assessment eligibility and its proportion of the final mark are set by individual universities.

Recommended Textbooks for MBBS Final Year

GeckoMed publishes subject-wise book guides for Final Year. Students should also verify the recommended reading list from their university's official syllabus document.

• Best Medicine Book for MBBS
• Best Surgery Book for MBBS
• How to Pass MBBS Final Year -- subject-wise revision strategy and time planning for the Final Professional examination

Final Year MBBS Question Papers

Previous year question papers are available for all four Final Year subjects across all seven universities on GeckoMed. Question papers are the most direct guide to what examiners test and how they phrase questions.

• MBBS Final Year Question Papers -- all four subjects, all seven universities, 2021 to 2025
• MBBS Surgery Question Papers -- national General Surgery archive with high-yield topic analysis
• MBBS Final Year Hub -- complete study resources, subject hubs, and exam preparation for Phase 3 Part 2

Final Year Syllabus by University

The NMC CBME curriculum framework is common to all universities. For university-specific examination patterns, marks distributions, and official syllabus notifications, see the university-specific Final Year syllabus pages:

• RGUHS Final Year Syllabus 2026
• KNRUHS Final Year Syllabus 2026
• TNMGRMU Final Year Syllabus 2026
• NTRUHS Final Year Syllabus 2026
• WBUHS Final Year Syllabus 2026
• KUHS Final Year Syllabus 2026
• RUHS Final Year Syllabus 2026

Other MBBS year syllabi:

• MBBS 1st Year Syllabus -- Anatomy, Physiology, Biochemistry
• MBBS 2nd Year Syllabus -- Pathology, Pharmacology, Microbiology, Forensic Medicine

Frequently Asked Questions