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Government Exams · Syllabus

RRB Paramedical Syllabus 2026

The complete RRB Paramedical syllabus for 2026 — 4 sections and 44 topics in all, organised exactly as the Railway Recruitment Boards (RRBs) prescribes. Use it as your revision checklist, then test yourself with a free RRB Paramedical mock below.

Professional Knowledge (post-specific — dominant section, ~70-80% weightage)18 topics

  • Anatomy and physiology of major body systems (cardiovascular, respiratory, digestive, nervous, renal, endocrine, musculoskeletal)
  • Common medical terminology and abbreviations
  • Vital signs — normal ranges of pulse, BP, respiration, temperature; how to record them
  • Pharmacology basics (for Pharmacist / Nurse) — drug classifications, indications, contraindications, common side effects, Schedule H / H1 / X drugs, prescription standards
  • Common medications by class — antibiotics, analgesics, antihypertensives, antidiabetics, antipyretics, antiemetics
  • Microbiology basics — common bacterial, viral, parasitic and fungal infections; modes of transmission
  • Pathology basics — common lab investigations, normal vs abnormal lab values (CBC, LFT, KFT, urine routine)
  • Nursing fundamentals (for Staff Nurse) — IV cannulation, injection techniques (IM, IV, SC, ID), wound dressing, catheterisation, bed-making
  • Infection control and biomedical waste management (colour coding of waste bins)
  • First aid and emergency care — CPR steps (adult, child, infant), choking management, burns, fractures, snake bite, poisoning
  • Public health — National Immunisation Schedule (BCG, OPV, Penta, MMR, DPT etc.), vector-borne diseases (malaria, dengue, chikungunya, filariasis), water-borne diseases
  • Major national health programmes — NHM, Ayushman Bharat, RNTCP/NTEP, NLEP, NVBDCP, NPCDCS, RMNCH+A, ICDS
  • Common diseases — TB, HIV/AIDS, diabetes, hypertension, COPD, asthma, COVID-19 management basics, common NCDs
  • Radiography basics (for Radiographer) — X-ray, USG, CT, MRI principles; radiation safety; ALARA principle
  • Lab Technology basics (for Lab Asst/Sup) — sample collection, blood grouping, microscopy, common biochemistry tests
  • Pharmacy practice — drug storage, expiry management, dispensing protocols, indenting (for Pharmacist)
  • Physiotherapy basics — common modalities (TENS, IFT, US, SWD), exercises, post-op rehab (for Physiotherapist)
  • Hospital procedures, patient care, communication, and medical ethics

General Awareness (10 questions)9 topics

  • Indian History — Ancient, Medieval, Modern, Freedom Struggle
  • Indian Geography — physical, political, agricultural basics
  • Indian Polity — Constitution basics, key Articles, Schedules, fundamental rights
  • Indian Economy basics — Budget, RBI, major schemes
  • Healthcare context — Ayushman Bharat (PMJAY), National Health Mission, Ministry of Health & Family Welfare, AIIMS, ICMR, NMC (National Medical Commission), INC (Indian Nursing Council), PCI (Pharmacy Council of India), WHO India
  • General Science (10th level) — Physics, Chemistry, Biology basics
  • Current Affairs (last 12 months) — health-related events tend to be over-represented
  • Static GK — sports, awards, books and authors, important days
  • Railways awareness — basic facts about Indian Railways, zones, recent budget allocations

General Science (10 questions, Class 10 level)5 topics

  • Physics — motion, force, work, energy, light, sound, electricity, magnetism (basics)
  • Chemistry — matter, atoms and molecules, acids/bases/salts, metals and non-metals, common chemical reactions
  • Biology — cell structure, human body systems, nutrition, diseases, plant and animal life
  • Units and measurements, common scientific instruments
  • Everyday science and applications

General Arithmetic, General Intelligence & Reasoning (10 questions combined, Class 10 level)12 topics

  • Number system and simplification
  • Percentages (including hospital/dose-related word problems)
  • Profit and loss, ratio and proportion (drug dilution and dose calculation context)
  • Simple and compound interest (basic), averages
  • Time and work, time-speed-distance (basic)
  • Basic mensuration (perimeter, area, volume)
  • Data interpretation — simple bar charts and tables
  • Number and letter series, analogies, classification (odd-one-out)
  • Coding-decoding (letter shift, numeric, symbolic)
  • Blood relations, direction sense, ranking and ordering
  • Mathematical operations and inequalities
  • Calendar and clock (basic), syllogism (2-statement, basic), Venn diagrams (2-3 set logic)

Know the syllabus — now see where you stand.

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RRB Paramedical Syllabus 2026 — Topic-wise Breakdown