FMGE Difficulty Level 2025 - Question Paper Level, Exam Analysis

FMGE Difficulty Level 2025 - Question Paper Level, Exam Analysis

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Deep PathakUpdated on 11 Aug 2025, 04:00 PM IST

Considered as one of the toughest medical entrance exams in India, the Foreign Medical Graduate Examination (FMGE) is a screening test for foreign-trained medical professionals wishing to practice medicine in India. The NBEMS conducts the FMGE exam for medical graduates from foreign universities who are seeking licensure to practice medicine in India. It is a mandatory screening test only through which candidates can obtain the National Medical Commission (NMC) registration. While the FMGE serves as an essential qualification step for foreign-trained doctors, the exam is widely regarded as one of the most challenging medical exams. Read the full article to know comprehensive details about the difficulty level of the FMGE, the reasons behind its challenging nature, and tips on how to prepare effectively for it.
Also check: FMGE 2024-2025 exam detailed analysis

This Story also Contains

  1. FMGE exam overview
  2. FMGE exam difficulty level
  3. FMGE Pass Percentage Year Wise Trend
  4. Why is the FMGE Considered Difficult?
  5. How to prepare as per the FMGE question paper level?
FMGE Difficulty Level 2025 - Question Paper Level, Exam Analysis
FMGE Difficulty Level

FMGE exam overview

The FMGE exam is held twice a year in June and December. The exam assesses the knowledge and proficiency of foreign medical graduates in the field of medicine, ensuring that they meet the required standards to provide healthcare in India. A brief overview of the FMGE screening test is provided below.

FMGE screening test - Highlights

Particular

Details

Exam name

Foreign Medical Graduate Examinations

Conducting authority

National Board of Examinations in Medical Sciences (NBEMS)

Mode of exam

Online

Total number of questions

300

Type of questions

MCQ

Total exam duration

2 hours 30 minutes

Number of shifts

Two

Marking scheme

1 mark for correct answer

No negative marking for incorrect answer

FMGE exam difficulty level

FMGE exam is one of the toughest medical entrance exams in India due to its content depth, exam format, time constraints and many more. This is evident from the year-wise FMGE pass percentage. Even after having passing marks of 50%, the FMGE success rate ranges roughly from 16% to 24%. The FMGE question paper level can be determined from the fact that despite no negative marking in the FMGE exam, candidates find it hard to score 50% marks.

FMGE Pass Percentage Year Wise Trend

Take a look at the past year's trend of the FMGE result pass percentage. One can check the passing rate of the examination for an understanding of the difficulty level of FMGE.

FMGE Passing Percentage

Year

FMGE Passing Rate (in %)

2013

14.5%

2014

4.93%

2015

10.40%

2016

11.22%

2017

7.41%

2018

10.2%

2019

20.7%

2020

9.94%

2021

24.54%

2022

23.35%

2023 (June Session)

10.20%

2023 December session

20.57%

2024 June session

20.89 %

2024 December session

29.62%

Why is the FMGE Considered Difficult?

Several factors contribute to the FMGE exam difficulty level, making it a tough nut to crack for foreign medical graduates. Some of the key factors are as follows -

Vast content of FMGE syllabus

The FMGE syllabus is comprehensive, covering topics from all areas of medicine. Candidates are asked questions from subjects ranging from Anatomy, Physiology, and Biochemistry, to Pathology, Pharmacology, Microbiology, and various Clinical and Pre-clinical subjects. This vast depth of the FMGE exam syllabus makes it essential for students to have a solid foundation in basic sciences and clinical knowledge.

Difference in medical curriculum

Each country has a different medical curriculum. However, the FMGE exam paper is designed keeping in mind the medical curriculum of India. Due to this many students often find it quite difficult to adjust to India’s Medical curriculum making the FMGE exam a challenging one.

Language barrier

For candidates whose primary language of instruction was not English, the language of the FMGE may pose an additional challenge. Understanding complex medical terminology and being able to read and interpret clinical cases in English can make the exam harder for non-native speakers. This is particularly true for candidates from non-English-speaking countries where medical education may have been conducted in their native language.

Sectional timing in FMGE exam

The FMGE is a time-bound exam with 300 questions to be answered in 2 hours and 30 minutes. This timing of 2 hours and 30 minutes is divided into sectional timing, providing a limited time to answer the questions. This sectional timing in FMGE exam allows limited time and makes it difficult to answer all questions. Many candidates struggle to finish the entire paper within the given time frame, leading to a sense of urgency during the exam.

How to prepare as per the FMGE question paper level?

Given the difficulty level of the FMGE, proper preparation is crucial. Here are some tips for aspiring candidates through which they can prepare well and enhance their performance.

  • Understand the syllabus - The FMGE syllabus is aligned with the MBBS curriculum in India. Hence, candidates should Identify key subjects and focus on understanding the concepts rather than just trying to memorise them.

  • Mock tests and previous year papers - Taking FMGE mock tests and solving previous year’s papers is an effective way to be familiar with the level of the FMGE exam. It helps in improving time management, being familiar with the exam format, and identifying areas where one needs further revision.

  • Revision and conceptual clarity - Constant revision is necessary for retaining knowledge and improving recall during the FMGE exam. Ensuring conceptual clarity in subjects such as Anatomy, Physiology, and Biochemistry is important, as these are fundamental to understanding clinical topics.

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Questions related to FMGE

On Question asked by student community

Have a question related to FMGE ?

Hello,

If you gave your name in the FMGE 2026 form as per Aadhaar and other documents, but your passport has a different full name or surname, then there is a real chance of a name-mismatch problem.

Here is the simple picture:

1. FMGE does not allow name changes after submission.
The name you used in the application cannot be edited later.

2. Your ID proof must match the name on your FMGE application.
If the passport name and application name do not match, the exam centre can refuse entry.
This is also a common issue during document verification after the exam.

3. A mismatch in surname or full name is risky.
FMGE is very strict about name matching, so this can create a problem for you.

There is risk, but it is not hopeless. If you act now and prepare proper documents, you may be able to avoid problems during the exam or verification.

Hope it helps !

Hello,

If there is a spelling mistake in your FMGE passing certificate , you should contact the National Board of Examinations (NBE) , which issues the certificate. Here’s what you can do:

  1. Write an application to NBE explaining the mistake clearly.

    • Mention your name, roll number, exam session, and the correct spelling.

  2. Attach supporting documents , such as:

    • A copy of your FMGE pass certificate (with the error)

    • A valid ID proof (Aadhaar, passport, etc.) showing the correct spelling

    • Your MBBS degree or other educational documents for verification

  3. Send the documents to NBE through email or post.

  4. Wait for their response. NBE will verify your documents and issue a corrected certificate if the mistake is genuine.

It’s best to keep copies of all emails and documents you send.

Hope it helps !

Hello,

If you have an MBBS from Nepal and haven't passed the FMGE, you have several options for further courses abroad, including pursuing a postgraduate degree in countries like the UK, the USA, and Australia, which may not require the FMGE to practice there.

I hope it will clear your query!!

Hello nivedita bm,

For FMGE, passport is the primary form of identification, you must apply using your name exactly as it appears on your passport. If your passport does not have your surname on it and your other documents do, You might face issues during verification.

So, to avoid such problems, you can either prepare a notarized "one and the same person" affidavit linking both names, from your passport and your other documents, or update your passport with your surname to avoid any problems during your FMGE exams.

I hope this will help you.

Hello Aspirant,

Yes, your 54.6% score in the FMGE July 2025 exam is above the required 50% passing mark for the general category. This qualifies you to apply for a provisional medical license from the NMC. To be eligible for INICET and JIPMER , you must have a valid MBBS degree, complete your one-year internship, and possess an NMC registration number.