FCPS IMM Medicine: Exam Overview and Preparation
The Intermediate Module (IMM) in Medicine is the mid-training examination conducted by the College of Physicians and Surgeons Pakistan for FCPS trainees in Medicine and its allied specialties. It follows Part 1 and comes before the final Part 2 exam, and it is almost entirely clinical: short case vignettes asking for the diagnosis, the next investigation or the best treatment.
Good to know
- IMM Medicine tests bedside reasoning across every medical specialty, not basic-science recall.
- It has a written MCQ component and a clinical component. A question bank prepares you for the MCQ side only.
- Eligibility, format, syllabus and passing criteria are set by CPSP and change between cycles. Check the current CPSP prospectus before you plan.
Where to spend your time
Subject blocks in the IMM Medicine QBank, from largest to smallest:
| Subject | Focus |
|---|---|
| Cardiology | Acute coronary syndromes, valvular disease, cardiomyopathy, arrhythmias, pericardial disease, endocarditis |
| Gastroenterology and hepatology | IBD, hepatitis serology, pancreatitis, coeliac disease, GI bleeding |
| Endocrinology | Thyroid disease, Cushing syndrome, adrenal insufficiency, pituitary disorders, diabetes |
| Pulmonology | TB, pneumonia, COPD, asthma, pulmonary embolism, pleural disease |
| Nephrology | Nephrotic and nephritic syndromes, renal tubular acidosis, CKD, acid-base disorders |
| Haematology and oncology | Anaemias, bleeding disorders, leukaemia, lymphoma, tumour markers |
| Neurology | Stroke, epilepsy, meningitis, neuromuscular disease, spinal cord disease |
| Infectious diseases, rheumatology, dermatology, general medicine | HIV, malaria, typhoid, RA, SLE, gout, common skin conditions |
How to prepare for the MCQ component
- Read a scenario and commit to a diagnosis and next step before looking at the options.
- Practise by subject first, then in mixed timed sets in the final weeks.
- Read every explanation, including for questions you answered correctly.
- Keep a short log of repeated mistakes and revise it weekly.
Frequently asked questions
How is IMM different from FCPS Part 1?+
Part 1 leans on basic sciences and recall. IMM focuses on applied clinical reasoning in your specialty.
Are the QBank questions official CPSP papers?+
No. They are practice questions with our own explanations and are not endorsed by CPSP.
Does it cover the clinical exam?+
No. It covers the MCQ component only; clinical stations need supervised bedside practice.
More FCPS IMM (Intermediate Module) guidance
Know the rules. Now practise.
Understanding the exam is step one. Drill past-paper style MCQs with detailed explanations and track your accuracy by subject.
Practise FCPS IMM Medicine MCQsGuidance is provided for candidates' convenience and is not an official CPSP publication. Always confirm current rules and criteria at www.cpsp.edu.pk.