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MS/IMM Intermediate Examination Syllabus | MCQs & TOACS Breakdown

MS/IMM Intermediate Examination Syllabus 2026 | MCQs & TOACS Breakdown

Preparing for the MS/IMM Intermediate Examination in Obstetrics & Gynaecology requires more than studying O&G alone. The examination also gives significant weightage to General Surgery, Basic Sciences, Biostatistics and Research Methodology.

Written Examination — 100 MCQs

  • Obstetrics & Gynaecology: 30 MCQs
  • General Surgery: 40 MCQs
  • Biostatistics, Research & Basic Sciences: 30 MCQs

Obstetrics — 15 MCQs

Major areas include:

  • Normal pregnancy, labour and puerperium
  • Abnormal pregnancy and labour
  • Medical disorders in pregnancy
  • CTG and intrapartum monitoring
  • Preterm labour, induction and obstetric complications

Gynaecology — 15 MCQs

Important topics include:

  • Amenorrhoea and PCOS
  • Endometriosis and menstrual disorders
  • Early pregnancy
  • Urogynaecology
  • Infertility
  • Contraception
  • Menopause and HRT
  • Oncology
  • Pre- and postoperative care

General Surgery — 40 MCQs

This is the largest component of the written examination.

Candidates should focus on:

  • Fundamental surgical principles
  • Pre- and postoperative care
  • Surgical infections and antibiotics
  • Shock, fluids and blood transfusion
  • Trauma
  • Wound healing
  • Sutures and knots
  • Drains and haemostasis
  • Anaesthesia and theatre safety
  • Common surgical and technical procedures

Biostatistics, Research & Basic Sciences — 30 MCQs

Biostatistics & Research

  • Study designs
  • Sampling
  • Data analysis
  • Research methodology
  • Scientific writing
  • Literature searching

Basic Sciences

  • Anatomy
  • Physiology
  • Pharmacology
  • Pathology
  • Forensic medicine relevant to O&G

TOACS Examination — 10 Stations

  1. Normal pregnancy, labour and puerperium
  2. Abnormal pregnancy or maternal medicine
  3. Gynaecology
  4. Common surgical skills
  5. Technical surgical skills
  6. Sutures and knots
  7. Shock recognition and management
  8. Physiology and pharmacology
  9. Anatomy and pathology
  10. Biostatistics and research methodology

How to Prepare Smart

The key is to prepare according to the exam weightage:

40% General Surgery + 30% O&G + 30% Basic Sciences/Research

Do not restrict your preparation to Obstetrics and Gynaecology. Strong concepts in surgical skills, basic sciences and research methodology are essential for both the written examination and TOACS.

Know the syllabus. Follow the blueprint. Practise TOACS alongside theory.

Join MedHome for MS/IMM Exam Preparation

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✅ TOACS practice and clinical stations
✅ Mentor-guided preparation

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