How we made this
We built this guide from the UHS final professional MBBS scheme and final-year syllabus, and from news reports of the UHS decision to move all theory exams to MCQs from 2026. Written in October 2026. UHS is introducing these changes now, so check uhs.edu.pk for the current scheme, pass marks and date sheet.
The exam in one minute
- Medicine theory is examined in two papers, Paper I and Paper II.
- From 2026, short essay questions are being dropped and theory is MCQ-only.
- Clinical skills are assessed by structured clinical exams such as OSCE.
- Internal assessment counts for 20%. Check the current pass marks for theory and clinical parts in the UHS scheme.
If you prefer books on paper
- Davidson's Principles and Practice of Medicine
- Main medicine textbook for both papers.
- Macleod's Clinical Examination
- Clinical skills for the OSCE and ward assessments.
- Oxford Handbook of Clinical Medicine
- Short revision of investigations and management.
- UHS final-year syllabus
- Lists the topics in each paper so you can track your coverage.
If you can study from a screen
MedSurgOnline is built for MCQ practice, which is now the whole theory exam.
- Explained medicine MCQs, including recalls, linked to topics.
- Exam Companion Medicine notes and minors, with search.
- A weak areas view showing the topics you keep missing.
- Unlimited timed mocks in the real exam style — Mock 1 to 5, plus a new mock every time.
Look inside free for 90 seconds at medsurgonline.com, then request access to your exam.
Step by step
- Read the UHS scheme and syllabus Check which topics fall in Paper I and Paper II and the current marks scheme.
- Switch to MCQ thinking With no essays, practise choosing the single best answer and reading explanations, rather than writing long answers.
- Revise by system Work through one system at a time, then do questions on it the same day.
- Keep up internal assessment Internal assessment is 20% of your result, so attend and do well in college tests.
- Practise clinical skills Rehearse history and examination for OSCE-style stations each week.
- Do timed papers In the final weeks, sit full timed MCQ papers for each paper and review every mistake.
Short on time?
- Do MCQs with explanations every day.
- Focus on common, high-yield conditions.
- Do at least one timed paper for Paper I and Paper II.
Common mistakes
- Preparing for essays that no longer appear in the theory papers.
- Ignoring internal assessment, which counts towards the final result.
- Leaving clinical practice until just before the exam.
Screen or paper?
Try one week on screen. If you remember what you read and can keep going for 2–3 hours, stay on screen. If not, use Route 1 and use the website only for MCQ practice.
Prepare for UHS final-year MBBS medicine on MedSurgOnline
Look inside any exam free for 90 seconds, then request access to your exam.
Request accessSources
Always check the latest official notice before you rely on any date or rule.