RUHS MBBS Final Year Syllabus (2026-27)

A Note on NExT and Your Final Year Exam

If you have heard of the National Exit Test (NExT) and are wondering whether it applies to your Final Year exam, here is where things stand. NMC officially deferred the NExT rollout in October 2025, with implementation now expected around 2028-29. This means RUHS Final Year students in the current 2026-27 academic cycle continue to sit the traditional university-conducted Final MBBS examination (theory, practical, and viva voce), not NExT. If your batch is affected by a future NExT rollout, RUHS and NMC will notify you well in advance through official channels; check the RUHS exam dates page for the latest notifications closer to your exam.

RUHS Final Year Syllabus at a Glance

A note on exam structure: Unlike 1st, 2nd, and 3rd Year (Part 1) subjects, where NMC CBME regulations specify a uniform pattern of two 100-mark theory papers plus a 100-mark practical for every subject, the national CBME documentation does not lay out one uniform theory-paper count and mark split for Final Year (Phase 3 Part 2) subjects. Universities set the exact paper structure for these major clinical subjects individually, and it commonly differs from the earlier-year pattern. We have not listed specific marks here to avoid giving you a number that may not match your actual RUHS exam. Confirm the exact theory paper count, marks, and duration for each subject against the current RUHS Final MBBS examination notification for your batch, or your college examination cell.

RUHS Final Year Subject-Wise Syllabus Overview

General Medicine Syllabus

General Medicine covers the diagnosis and management of systemic diseases across cardiology, respiratory medicine, gastroenterology, nephrology, neurology, endocrinology, infectious disease, and related systems. It is taught alongside allied subjects (Psychiatry and Dermatology are assessed together with Medicine as part of the same teaching block under NMC CBME).

Explore the General Medicine subject hub for notes, PYQs, and important questions.

General Surgery Syllabus

General Surgery covers surgical principles, pre- and post-operative care, and the diagnosis and operative management of common surgical conditions across the abdomen, breast, thyroid, urology, and trauma. Orthopaedics, Anaesthesiology, and Radiodiagnosis are taught within the same Phase 3 Part 2 block.

Explore the General Surgery subject hub for notes, PYQs, and important questions, or start with best surgery books for MBBS.

Obstetrics and Gynaecology Syllabus

Obstetrics and Gynaecology covers antenatal, intranatal, and postnatal care, high-risk pregnancy, and the diagnosis and management of common gynaecological conditions. It is one of the more practical- and viva-heavy subjects of Final Year.

Explore the Obstetrics and Gynaecology subject hub for notes and PYQs, or practise with OBG viva questions and answers.

Paediatrics Syllabus

Paediatrics covers growth and development, neonatal care, immunisation, nutrition, and the diagnosis and management of common childhood illnesses, from birth through adolescence.

Explore the Paediatrics subject hub for notes, PYQs, and important questions.

Exam Pattern: MBBS Final Year (Phase 3 Part 2)

Passing criteria (NMC CBME): As with earlier years, you need a minimum of 50 percent marks in aggregate, with a required minimum percentage in Theory and in Practical when scored separately (in a 60:40 or 40:60 minimum split between the two components), and a minimum aggregate across both theory papers in subjects that have two papers. NMC has revised the exact qualifying threshold more than once since 2023, so cross-check the current rule against the RUHS examination notification for your academic year before relying on it.

Format: University exams combine long-answer questions, short-answer questions, and MCQs in theory papers, with clinical case-based stations, specimen and investigation identification, and viva voce in the practical component. Because these four subjects lead directly into internship, expect a strong emphasis on clinical decision-making and patient management scenarios rather than pure recall.

For subject-wise question papers and past exam patterns, see RUHS General Medicine question papers, RUHS General Surgery question papers, RUHS Obstetrics and Gynaecology question papers, and RUHS Paediatrics question papers.

Internal Assessment Components

Internal Assessment (IA) for Final Year subjects is cumulative, built up across earlier phases where the subject is also taught:

The bulk of your General Medicine and General Surgery IA is weighted toward Phase 3 (75 percent and 87.5 percent of the cumulative total respectively), which makes your Final Year clinical postings and internal tests disproportionately important to your eligibility to sit the university exam. Confirm the precise breakup, minimum eligibility threshold, and attendance requirement with your RUHS-affiliated college, since implementation can vary slightly by institution.

Recommended Books for RUHS MBBS Final Year

• General Medicine: Davidson's Principles and Practice of Medicine is the most commonly recommended core text, with Harrison's Principles of Internal Medicine used as a reference for depth.
• General Surgery: Bailey and Love's Short Practice of Surgery is the standard reference textbook.
• Obstetrics and Gynaecology: D.C. Dutta's Textbook of Obstetrics (and the companion Gynaecology volume) is the most widely used textbook.
• Paediatrics: OP Ghai's Essential Paediatrics is the standard undergraduate textbook for this subject.

These are the most commonly recommended titles across Indian MBBS colleges rather than an RUHS-specific prescribed list. Check with your department for any RUHS-specific reading list or edition preference before you buy.

RUHS Final Year Question Papers

Practising previous year papers is the fastest way to understand how each subject is actually examined at RUHS:

• RUHS General Medicine Question Papers
• RUHS General Surgery Question Papers
• RUHS Obstetrics and Gynaecology Question Papers
• RUHS Paediatrics Question Papers

Also see RUHS General Medicine important questions and RUHS General Surgery important questions.

MBBS Syllabus by Year (RUHS)

• RUHS MBBS 1st Year Syllabus
• RUHS MBBS 2nd Year Syllabus
• RUHS MBBS 3rd Year Syllabus
• RUHS MBBS Final Year Syllabus (this page)

Frequently Asked Questions