On 28 April 2026 the Medical Education Commission issued the third revision of its Syllabus for Bachelor Level Common Entrance Examination. If you had been preparing against the second revision — the one dated 2082/05/02 that introduced norm-referencing, the 0.25 penalty and the 50:30:20 cognitive-level ratio — most of what you know still holds. Here is what actually changed.
What did not change
- The paper: 200 single-best-answer MCQs, 3 hours, +1 / −0.25.
- The sections and their totals for the MBBS/BDS cluster: Zoology 40, Botany 40, Chemistry 50, Physics 50, Mental Agility Test 20.
- Norm-referenced marking and the 50th-percentile qualifying line.
- The cognitive ratio: roughly 50% recall, 30% understanding, 20% application.
If your study plan was built around section totals, it is still correct.
What changed: the units inside each section
The revision re-cut the per-topic weightage within each subject. The number of questions a unit carries went up or down by a few marks across the board, and some unit boundaries were redrawn. The practical consequence: a topic-by-topic plan built from the second revision now over-prepares some units and under-prepares others by a question or two each — small individually, but across four subjects it adds up to a noticeable slice of the paper.
The full current table — every unit, its question count, and how it maps to your practice history — is on our syllabus page. Our question bank and mock blueprints were re-balanced to the third revision at the same time, so a full-length mock here already reflects the new weightage.
What this means for your plan
- Re-derive your weak-topic list from the new weights, not the old ones. A unit that lost two questions and a unit that gained two are now four questions apart in importance. The study plan generator uses the current table.
- Do not throw away second-revision notes. Content coverage is essentially the same; the emphasis moved, the material did not.
- Sit at least one full mock on the new blueprint before you judge your readiness. Your section scores may shift a little purely from re-weighting.
A note on model questions
MEC does not release past papers, so no question bank — ours included — contains "real" MECEE questions. What a good bank does is author questions to the published blueprint, at the published cognitive ratio, and keep them re-balanced when the blueprint moves. That is what the third revision required, and it is done.
For dates — application windows, the exam day itself, counselling rounds — keep the notices hub open; we post each MEC announcement as it is issued. And if you want to see what a score on the new paper is likely to reach, the college predictor works from the current 200-mark scale.
Source: MEC, Syllabus for Bachelor Level Common Entrance Examination (2020), third revision dated 28 April 2026 — available from mec.gov.np.