Kathmandu University conducts an annual system of examinations, with supplementary exams taking place every six months.Students whose performance is not satisfactory are liable to be held back in the first year.It is mandatory for all students to pass all the papers of the first and second academic years before moving into third academic year. All the subjects of the first four semesters are prerequisites to community medicine and clinical subjects to be studied in the fifth and subsequent semesters.
A student must complete the different subjects of the Part I: Basic Sciences - MBBS Examination within three years of admission. Similarly, s student must complete the different subjects of the Part I: Basic Science (excluding community medicine) - II MBBS Examination within four years of admission.
At the end of the seventh semester, examinations are held in community medicine, forensic medicine, ophthalmology and otorhinolaryngology. Students must pass all subjects before enrolling into the ninth semester at the beginning of the fifth academic year. The examination in medicine, paediatrics, surgery (including orthopaedics) and obstetrics and gynaecology are held on completion of the MBBS course at the end of the ninth semester.
Sessional examinations are held towards the end of each semester and the scores are accumulated for inclusion as the internal assessment marks. Appearance in the final examination is decided on the result of the sessional examinations.