FCPS Exam Preparation | MDster You are offline Back online! [ ](/) Specialities [ Anesthesiology ](https://mdster.com/speciality/anesthesiology) [ Emergency Medicine ](https://mdster.com/speciality/emergency-medicine) [ Family Medicine ](https://mdster.com/speciality/family-medicine) [ Internal Medicine ](https://mdster.com/speciality/internal-medicine) [ Obstetrics & Gynecology ](https://mdster.com/speciality/obstetrics-gynecology) [ Pediatrics ](https://mdster.com/speciality/pediatrics) [ Psychiatry ](https://mdster.com/speciality/psychiatry) [ Features ](https://mdster.com/features) [ Pricing ](https://mdster.com/pricing) [ Blog ](https://mdster.com/blog) Menu Specialities [ Anesthesiology ](https://mdster.com/speciality/anesthesiology) [ Emergency Medicine ](https://mdster.com/speciality/emergency-medicine) [ Family Medicine ](https://mdster.com/speciality/family-medicine) [ Internal Medicine ](https://mdster.com/speciality/internal-medicine) [ Obstetrics & Gynecology ](https://mdster.com/speciality/obstetrics-gynecology) [ Pediatrics ](https://mdster.com/speciality/pediatrics) [ Psychiatry ](https://mdster.com/speciality/psychiatry) [ Features ](https://mdster.com/features) [ Pricing ](https://mdster.com/pricing) [ Blog ](https://mdster.com/blog) [ Login ](https://mdster.com/auth/login) 1. [ Home ](https://mdster.com) 2. [ Internal Medicine ](https://mdster.com/speciality/internal-medicine) 3. FCPS FCPS Exam Preparation ======================= Fellowship of the College of Physicians and Surgeons Pakistan College of Physicians and Surgeons Pakistan Pakistan FCPS is the flagship postgraduate fellowship qualification awarded by the College of Physicians and Surgeons Pakistan (CPSP) across major specialties, including Medicine (Internal Medicine). CPSP conducts a high volume of postgraduate examinations annually through its Examination Department, using theory and clinical components delivered across multiple centres. Progression typically involves passing FCPS Part I, completing structured training requirements, and then attempting FCPS Part II for fellowship recognition. FCPS Part I FCPS Part II (Medicine/Internal Medicine) 3,853+ Questions 3,627+ Flashcards 68+ Podcasts About the FCPS Exam --------------------- The Fellowship of the College of Physicians and Surgeons Pakistan (FCPS) in Internal Medicine is a premier postgraduate medical qualification. It consists of Part I, an entry-level basic sciences assessment, and Part II, an exit-level examination evaluating specialty clinical competence. ### Eligibility Candidates for Part I must hold a recognized MBBS degree, have completed a one-year house job, and possess valid PMDC registration. Part II eligibility requires passing Part I, completing a 4-year structured internal medicine training program, passing the Intermediate Module (IMM), and submitting an approved dissertation or research papers. ### Exam Format Part I consists of two multiple-choice question (BCQ) papers covering basic medical sciences. Part II includes two Theory papers (BCQs) and a rigorous Clinical examination comprising TOACS (Task-Oriented Assessment of Clinical Skills) and traditional clinical cases. ### Duration Part I involves two 3-hour papers. The Part II Theory component also consists of two 3-hour papers, while the Part II Clinical examination is conducted over a full scheduled day involving multiple stations and patient interactions. ### Passing Criteria The passing threshold for Part I is generally around 75 percent, determined by standard-setting methodologies. For Part II, candidates must pass the theory component to advance to the clinicals, which use standardized grading rubrics. Candidates should verify exact scoring with CPSP. ### Exam Fees Examination fees typically range from PKR 15,000 to PKR 20,000 for Part I, and PKR 25,000 to PKR 45,000 for Part II components, subject to periodic revisions. Candidates should consult the official CPSP website for the most current fee schedules. ### Exam Frequency FCPS Part I is usually conducted three to four times a year, often in February, May, September, and November. FCPS Part II theory examinations are generally held twice a year. ### Registration Process Registration is conducted entirely online through the CPSP e-portal. Candidates must create an account, fill out the application, upload verified documents including PMDC certificates and supervisor approvals for Part II, and submit the fee challan before the deadline. FCPS Key Syllabus Topics -------------------------- Core topics and subject areas covered in the FCPS examination ### Basic Medical Sciences Core anatomy, physiology, pathology, and pharmacology required to understand internal medicine. ~100% of Part I, foundational for Part II ### Cardiovascular Medicine Diagnosis and management of ischemic heart disease, heart failure, arrhythmias, and valvular disorders. ~10-15% of Part II ### Respiratory Medicine Management of asthma, COPD, pulmonary embolism, interstitial lung diseases, and respiratory infections. ~10-15% of Part II ### Endocrinology and Diabetes Comprehensive care for diabetes mellitus, thyroid disorders, parathyroid conditions, and adrenal insufficiency. ~10-15% of Part II ### Gastroenterology and Hepatology Evaluation of peptic ulcer disease, inflammatory bowel disease, viral hepatitis, and complications of cirrhosis. ~10-15% of Part II ### Nephrology Management of acute kidney injury, chronic kidney disease, acid-base balance, and complex electrolyte disturbances. ~5-10% of Part II ### Infectious Diseases Diagnosis and treatment of endemic diseases like malaria, typhoid, dengue, tuberculosis, and HIV/AIDS. ~10-15% of Part II ### Neurology Clinical approaches to stroke, epilepsy, movement disorders, and central nervous system infections. ~5-10% of Part II ### Rheumatology Pathophysiology and management of rheumatoid arthritis, SLE, crystal arthropathies, and vasculitis. ~5-10% of Part II ### Hematology and Oncology Evaluation of anemias, leukemias, lymphomas, oncological emergencies, and bleeding disorders. ~5-10% of Part II **10** key topics covered Start Your FCPS Preparation Today ----------------------------------- Comprehensive study materials designed to help you pass the FCPS with confidence [ Get Started Free ](https://mdster.com/user/dashboard) No credit card required • 5-day free trial Everything You Need to Pass the FCPS -------------------------------------- A complete preparation platform with tools designed for Internal Medicine professionals ### Practice Questions 3,853+ questions across MCQ, SAQ, SOE formats with detailed explanations and references ### Flashcards 3,627+ flashcards for active recall — mark known and unknown cards to focus on weak areas ### Audio Podcasts 68+ audio episodes — learn on the go during commutes, workouts, or ward breaks ### Timed Mock Exams Simulate real exam conditions with timed sessions, customisable question counts, and topic filters ### AI-Powered Q&A Ask follow-up questions on any topic and get instant, contextual answers with references ### Performance Analytics Track your progress, identify weak areas, and monitor your exam readiness with detailed analytics FCPS Exam Structure --------------------- Our materials cover all parts of the FCPS examination ### FCPS Part I FCPS Part I in Internal Medicine is a foundational computer-based examination that assesses a candidate's knowledge of core basic medical sciences. It evaluates fundamental concepts in anatomy, physiology, pathology, and pharmacology, ensuring candidates possess the theoretical groundwork necessary to begin structured postgraduate specialty training in Pakistan. Computer-Based Test (CBT) consisting of Multiple Choice Questions (Single Best Answer), divided into two papers (Paper I and Paper II). 4 hours total (2 hours allocated for each of the two papers). Pass: Pass/Fail based on a fixed standard, traditionally requiring a 75% aggregate score across both papers. Key Topics Physiology Pathology Gross Anatomy, Histology & Embryology Pharmacology Microbiology & Immunology Biochemistry & Genetics ### FCPS Part II (Medicine/Internal Medicine) The FCPS Part II in Internal Medicine is the final exit examination that assesses a candidate's advanced clinical knowledge, diagnostic reasoning, and patient management skills. It evaluates whether a doctor is competent to practice independently as a consultant physician after completing four years of rigorous post-graduate residency training. The exam consists of two parts: a Written Examination (two theory papers comprising 100 MCQs each) and a Clinical Examination (Extended Task Oriented Assessment of Clinical Skills \[TOACS\], long cases, short cases, and viva voce). Written Exam: 3 hours per paper (6 hours total). Clinical Exam: Multi-station assessment typically spanning 1 to 2 days. Pass: Candidates must achieve at least 75% in the written examination to qualify for the clinical component, which is evaluated using standardized pass/fail criteria across individual clinical cases and TOACS stations. Key Topics Cardiology Pulmonology Gastroenterology and Hepatology Neurology Endocrinology Nephrology +3 more How to Prepare for the FCPS ----------------------------- A practical guide to help you plan your FCPS preparation effectively ### Recommended Timeline 4 to 6 months of dedicated preparation for Part I, and 6 to 12 months of structured study concurrent with clinical rotations for Part II. ### Study Tips - Practice Best Choice Questions (BCQs) daily to build stamina and identify knowledge gaps. - Utilize official CPSP past papers to understand the examiner's phrasing and high-yield themes. - Form clinical study groups to practice TOACS and long/short case presentations under timed conditions. - Focus on local epidemiology and national clinical guidelines for endemic diseases in Pakistan. - Do not neglect basic sciences; thoroughly review anatomy and physiology as they form the core of Part I. ### High-Yield Topics - Neuroanatomy and cardiovascular physiology for Part I. - ECG and radiological interpretation for TOACS. - Acid-base and complex electrolyte disorders. - Management of tuberculosis, typhoid, and malaria. - Acute coronary syndromes and heart failure pathways. - Diabetic ketoacidosis and hyperosmolar hyperglycemic state. ### Common Pitfalls - Underestimating the depth of basic sciences required for Part I. - Focusing solely on theory and neglecting hands-on ward experience for Part II. - Poor time management during the TOACS stations. - Failing to structure clinical presentations logically during the long case. - Relying on outdated study materials instead of current medical guidelines. ### Recommended Resources - Davidson's Principles and Practice of Medicine. - Kumar and Clark's Clinical Medicine. - Harrison's Principles of Internal Medicine. - First Aid for the USMLE Step 1 (highly recommended for Part I basic sciences). - CPSP official syllabi and approved past paper compilations. Study Pathways ---------------- Choose the pathway that matches your FCPS preparation stage ### Internal Medicine Core Pathway Core pathway for Internal Medicine covering foundational exams and initial certification steps. #### What's Included 1,174 MCQ Questions 686 SAQ Questions 2,266 Flashcards 35 Podcasts 4,161 total study resources #### Exam Coverage FCPS FCPS Part I [ Start Learning ](https://mdster.com/user/dashboard) ### Internal Medicine Advanced Pathway Advanced pathway for Internal Medicine covering final exams, oral assessments, and advanced clinical evaluations. #### What's Included 1,083 MCQ Questions 810 SAQ Questions 100 SOE Questions 1,361 Flashcards 33 Podcasts 3,387 total study resources #### Exam Coverage FCPS FCPS Part II (Medicine/Internal Medicine) [ Start Learning ](https://mdster.com/user/dashboard) Last refreshed: April 2026 Flexible Pricing Plans ------------------------ Choose the plan that fits your FCPS study schedule ### Try Risk-Free for 5 Days Start your free trial today and get full access to all FCPS features. **No credit card required**. Cancel anytime. No Commitment! Full platform access All study materials Analytics & tracking Cancel anytime ### Internal Medicine Core Pathway Core pathway for Internal Medicine covering foundational exams and initial certification steps. #### Monthly Flexible month-to-month $12.00 /month Cancel anytime Immediate access Save 8% #### 3 Months Popular Great for exam cycles $11.00 /month Billed $33.00 every 3 months Save 8% vs monthly Perfect for exam cycles Save 17% #### 6 Months Maximum savings $10.00 /month Billed $60.00 every 6 months Save 17% vs monthly Best value for serious learners ### Internal Medicine Advanced Pathway Advanced pathway for Internal Medicine covering final exams, oral assessments, and advanced clinical evaluations. #### Monthly Flexible month-to-month $15.00 /month Cancel anytime Immediate access Save 13% #### 3 Months Popular Great for exam cycles $13.00 /month Billed $39.00 every 3 months Save 13% vs monthly Perfect for exam cycles Save 20% #### 6 Months Maximum savings $12.00 /month Billed $72.00 every 6 months Save 20% vs monthly Best value for serious learners ### Internal Medicine Bundle (Core + Advanced) Bundle subscription for Internal Medicine: Core + Advanced pathways with all features included. #### Monthly Flexible month-to-month $20.00 /month Cancel anytime Immediate access Save 15% #### 3 Months Popular Great for exam cycles $17.00 /month Billed $51.00 every 3 months Save 15% vs monthly Perfect for exam cycles Save 25% #### 6 Months Maximum savings $15.00 /month Billed $90.00 every 6 months Save 25% vs monthly Best value for serious learners Latest FCPS Updates --------------------- Recent changes and developments for the FCPS examination 2023-2024 ### Transition to Computer-Based Testing CPSP has increasingly shifted FCPS Part I and IMM examinations to computer-based testing (CBT) formats to streamline the assessment process. Candidates should verify the exact format for their specific center with the College of Physicians and Surgeons Pakistan. Ongoing ### E-Logbook and Dissertation Requirements Strict compliance with the e-logbook and timely submission of the research dissertation or two approved articles is required before applying for the Part II examination. Recent Exam Cycles ### Enhanced TOACS Format The Task-Oriented Assessment of Clinical Skills (TOACS) in Part II has been refined to include more interactive, communication-based stations reflecting real-world clinical scenarios. Updates are based on publicly available information and may not reflect the very latest changes. Always verify with the official College of Physicians and Surgeons Pakistan website. Related Internal Medicine Exams --------------------------------- Other examinations in Internal Medicine you may be interested in [ ### ABIM American Board of Internal Medicine USA ](https://mdster.com/speciality/internal-medicine/abim) [ ### AIM Facharztprüfung Allgemeine Innere Medizin Europe ](https://mdster.com/speciality/internal-medicine/aim) [ ### AOBIM American Osteopathic Board of Internal Medicine USA ](https://mdster.com/speciality/internal-medicine/aobim) [ ### DNB/DrNB Diplomate of National Board India ](https://mdster.com/speciality/internal-medicine/dnb-drnb) [ ### FCP(SA) Fellowship of the College of Physicians of South Africa South Africa ](https://mdster.com/speciality/internal-medicine/fcp-sa) [ ### MRCP(UK) Membership of the Royal Colleges of Physicians of the United Kingdom UK ](https://mdster.com/speciality/internal-medicine/mrcp-uk) Frequently Asked Questions ---------------------------- Everything you need to know about FCPS preparation What is the difference between FCPS Part I and Part II? FCPS Part I is an entry-level exam assessing basic medical sciences, which qualifies a doctor to begin specialty training. FCPS Part II is the final fellowship exit exam taken after completing the 4-year training, evaluating advanced clinical and theoretical competence in the specialty. How long is the validity of the FCPS Part I exam? Generally, candidates must register for their specialty training within three years of passing the FCPS Part I examination. Candidates should check current CPSP rules as validity periods can be subject to change. Is a house job mandatory before taking FCPS Part I? Yes, candidates must have completed a one-year mandatory house job (internship) and hold a valid registration with the Pakistan Medical and Dental Council (PMDC) to be eligible to sit for Part I. What is the Intermediate Module (IMM)? The IMM is a mid-training examination that Internal Medicine trainees must pass after completing their first two years of residency. It assesses core clinical competencies before candidates can proceed to the final two years of training and eventually sit for Part II. How many attempts are allowed for the FCPS exams? There is typically no strict limit on the number of attempts for Part I, though specific time limits may apply depending on PMDC and CPSP regulations. For Part II, candidates must pass within a specified validity period of their training completion; otherwise, remedial training may be required. Does FCPS Part II require research work? Yes, a major prerequisite for appearing in the FCPS Part II examination is the approval of a research dissertation by CPSP, or alternatively, the publication of two research articles in CPSP-recognized medical journals. What is the format of the FCPS Part II clinical exam? The clinical examination includes a Task-Oriented Assessment of Clinical Skills (TOACS), short clinical cases, and a comprehensive long case. Candidates must perform physical examinations, elicit clinical signs, and formulate management plans in front of examiners. Are foreign medical graduates eligible for FCPS? Yes, foreign medical graduates are eligible provided their medical degree is recognized by the Pakistan Medical and Dental Council (PMDC) and they meet all standard CPSP training and internship prerequisites. How do I register for the FCPS examinations? Candidates must apply online through the CPSP e-portal by filling out the application form, uploading verified required documents, and paying the fee challan generated by the system before the specified deadline. Is the FCPS qualification recognized internationally? The FCPS is highly regarded and recognized in several Middle Eastern countries, including Saudi Arabia and the UAE, often qualifying the holder for specialist or consultant roles depending on local regulatory body requirements. Specialty reading hub Related Internal Medicine Articles ------------------------------------ Reinforce your FCPS preparation with specialty-specific guides, exam strategy articles, and clinical revision insights from the MDster blog. [ Browse all Internal Medicine articles ](https://mdster.com/blog?speciality=internal-medicine) [ ![IBS Subtypes and Diagnosis: Rome IV, IBS-C/D, and Colonoscopy](https://mdster.com/storage/blog/images/ibs-subtypes-and-diagnosis-rome-iv-ibs-cd-and-colonoscopy.jpg) Medical Education / 7 min read ### IBS Subtypes and Diagnosis: Rome IV, IBS-C/D, and Colonoscopy A focused Internal Medicine review of IBS diagnosis: how to use Rome IV concepts, separate IBS-C from IBS-D and mixed IBS, and decide when colonoscopy is truly indicated. Apr 05, 2026 Read article ](https://mdster.com/blog/ibs-subtypes-and-diagnosis-rome-iv-ibs-cd-and-colonoscopy) [ ![Cavitary Lung Lesion Case Discussion: TB, Abscess, Hemoptysis](https://mdster.com/storage/blog/images/cavitary-lung-lesion-case-discussion-tb-abscess-hemoptysis.jpg) Case Discussion / 5 min read ### Cavitary Lung Lesion Case Discussion: TB, Abscess, Hemoptysis A board-focused case discussion on cavitary lung lesions: separating TB from lung abscess, spotting septic emboli, and managing hemoptysis without missing the first lifesaving step. Apr 01, 2026 Read article ](https://mdster.com/blog/cavitary-lung-lesion-case-discussion-tb-abscess-hemoptysis) [ ![Colorectal Cancer Treatment Concepts: Surgery to Surveillance](https://mdster.com/storage/blog/images/colorectal-cancer-treatment-concepts-surgery-to-surveillance.jpg) Medical Education / 6 min read ### Colorectal Cancer Treatment Concepts: Surgery to Surveillance A practical, board-focused guide to colorectal cancer treatment: when surgery cures, when adjuvant therapy helps, how to frame metastatic palliation, and how to surveil after resection. Mar 29, 2026 Read article ](https://mdster.com/blog/colorectal-cancer-treatment-concepts-surgery-to-surveillance) Ready to Pass the FCPS? ------------------------- Join medical professionals who are preparing for the Fellowship of the College of Physicians and Surgeons Pakistan with MDster [ Get Started Free ](https://mdster.com/user/dashboard) No credit card required • Cancel anytime [ ](/) Master your medical exams with evidence-based learning. [ GET IT ON Google Play ](https://play.google.com/store/apps/details?id=com.mdster.app) ### Platform - [Home](https://mdster.com) - [Features](https://mdster.com/features) - [Pricing](https://mdster.com/pricing) - [About](https://mdster.com/about) ### Resources - [Blog](https://mdster.com/blog) - [Dashboard](https://mdster.com/user/dashboard) ### Support - [Contact](https://mdster.com/contact) - [Legal & Policies](https://mdster.com/legal) - [Medical Reviewers](https://mdster.com/medical-reviewers) © 2026 MDster [ ](https://play.google.com/store/apps/details?id=com.mdster.app) [Terms](https://mdster.com/terms) [Privacy](https://mdster.com/privacy) [Editorial](https://mdster.com/editorial-policy) reCAPTCHA Protected by reCAPTCHA. Google [Privacy Policy](https://policies.google.com/privacy) and [Terms of Service](https://policies.google.com/terms) apply. Cookie Consent -------------- We use cookies to enhance your experience. By continuing to visit this site you agree to our use of cookies. [ Terms of Use ](https://mdster.com/terms) & [ Privacy Policy ](https://mdster.com/privacy) Accept