The MDCAT English syllabus is small: just 9 MCQs out of 180. But they are easy marks. Here is what to study and how to score full marks.

MDCAT English is only 9 MCQs (5% of the paper), but they are the easiest marks you can get. The syllabus covers reading and comprehension, grammar (tenses, prepositions, articles, sentence correction), and vocabulary. Master grammar rules and synonyms and you can score all 9.
The MDCAT English syllabus is the smallest part of the test: only 9 MCQs out of 180, around 5 percent of the paper. That is easy to ignore. Do not. These 9 questions are some of the simplest marks in the whole exam, and a difference of 2 or 3 marks can move your aggregate enough to change which college you get. This guide breaks down exactly what is in the syllabus and how to score full marks on it.
The MDCAT English syllabus, set by PMDC, is built around three areas: reading and thinking skills, the formal and lexical aspects of language (grammar plus vocabulary), and writing skills. In plain terms, that means comprehension, grammar rules, vocabulary (synonyms and antonyms), and spotting or correcting sentence errors. There is no separate essay or speaking part. It is all MCQs.
For 2025 and 2026, English is 9 MCQs out of a 180-question, 3-hour paper, with no negative marking. Logical Reasoning is another 9 MCQs. Always confirm the latest count on the official PMDC curriculum before your test year, since the format can change.
| Syllabus area | What to study |
|---|---|
| Reading and thinking skills | Reading comprehension, context clues, contextual meaning, figurative language, drawing conclusions |
| Grammar (formal aspects) | Tenses, subject-verb agreement, prepositions, articles, parts of speech, active and passive voice, direct and indirect narration, punctuation, sentence structure |
| Vocabulary (lexical aspects) | Synonyms, antonyms, choosing the correct word for the context, common confused word pairs |
| Writing skills | Spotting the error in a sentence, choosing the grammatically correct sentence |
Grammar and vocabulary carry the most questions, so spend your time there first. Most English MCQs ask you to fix a sentence, pick the correct version, or choose the right word, and all of those come down to grammar rules and word meanings.
The grammar topics that repeat most often in past papers are:
If your grammar base is shaky, start with the building blocks. Our guide on the types of sentences in English helps you recognise sentence structure quickly, which makes error-spotting MCQs much faster.
Vocabulary MCQs test synonyms and antonyms and asking for the best word in context. There is no shortcut except exposure. Read English regularly, keep a short list of new words with meanings, and revise it. A few minutes a day beats cramming a 1000-word list the night before.
Score full marks by treating English as a rules-and-revision subject, not a reading subject. You do not need to read all three FSc textbooks. You need to know the grammar rules and a solid base of vocabulary, then practice MCQs until the patterns are automatic.
The fastest way to lock in these patterns is repetition with instant feedback. You can practice MDCAT and ECAT English MCQs on Parhlai topic by topic, see where you lose marks, and fix the exact grammar rule behind each mistake.
No. MDCAT English is one of the easier sections because the syllabus is small and the questions are predictable. Most are grammar and vocabulary, both of which you can fully prepare for. The only students who find it hard are those who never practiced it, assuming 9 MCQs were not worth the time. With a week of focused revision, full marks is realistic.
Nine MCQs sounds small until those 3 marks decide your college. English is the cheapest aggregate boost in the whole MDCAT.
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Academic Content Writer, Parhlai
Sana Malik writes Parhlai's study-skills, scholarships, and student-life guides, focused on helping Pakistani students study smarter and stress less.

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