RRB Paramedical Syllabus 2026: Post-wise Topics for All 9 Posts

The RRB Paramedical syllabus has two parts. Thirty questions come from a common section shared by every post: General Awareness, General Arithmetic, General Intelligence and Reasoning, and General Science. The other 70 questions test Professional Ability, which is different for each post and follows the subjects of the diploma or degree that the post requires.

This page sets out the RRB Paramedical syllabus 2026 for CEN 05/2026, post by post, for all nine posts. For each section you get the topics to cover, where to start, and how the common and professional parts fit into one study plan. The topic lists follow the syllabus annexure published with the notice; where we add guidance on which topics to prioritise, that guidance is ours and not part of the official syllabus.

Table of Contents

RRB Paramedical Syllabus at a Glance

The notice calls this split indicative, so the exact number of questions per section can vary slightly.

Key Points to Know About the Syllabus

• Your post decides 70 percent of the paper: A pharmacy candidate and a nursing candidate sit the same common section but completely different professional sections.

• Applying for more than one post: If you are eligible for, and apply to, more than one post, you need to prepare the professional syllabus for each one. Check the exam schedule once released to see how RRB handles multiple posts.

• Two new posts in 2026: CEN 05/2026 adds Optometrist and Audiologist and Speech Therapist, so older syllabus pages may not list these two.

• General Science is Class 10 level: The science section is not at your degree level. Basic NCERT physics, chemistry and biology is enough.

• Arithmetic and reasoning share one section: These two subjects together carry only about 10 marks, so keep their preparation proportionate.

Common Syllabus for All Posts

These four areas appear in every paramedical paper, whatever post you apply for.

General Awareness

General Arithmetic

• Number basics: Number system, BODMAS, decimals, fractions, LCM and HCF, square roots.

• Commercial maths: Ratio and proportion, percentages, profit and loss, simple and compound interest.

• Time-based problems: Time and work, time and distance, pipes and cisterns.

• Measurement and data: Mensuration, geometry, trigonometry basics, elementary statistics.

• Others: Algebra, age problems, calendar and clock.

Percentages and ratio are worth doing first. They also help in your professional section, where dose calculations, solution strengths and dilutions use the same skills.

General Intelligence and Reasoning

• Verbal reasoning: Analogies, classification, alphabetical and number series, coding and decoding.

• Logical reasoning: Syllogism, Venn diagrams, statements and arguments, statements and assumptions, conclusions and decision making.

• Analytical reasoning: Relationships, directions, mathematical operations, jumbling, data sufficiency and data interpretation.

General Science

The science section follows the CBSE Class 10 standard in Physics, Chemistry and Life Sciences. Focus on light, electricity, acids and bases, chemical reactions, life processes, human body systems, and heredity. Life sciences topics overlap heavily with the anatomy and physiology in your professional syllabus, so you get double value from them.

Professional Ability Syllabus: Nursing Superintendent

Nursing Superintendent has 365 of the 590 vacancies, so this is the professional syllabus most candidates will prepare. It follows the GNM and B.Sc Nursing curriculum.

Medical-surgical nursing, midwifery and community health nursing are the broadest areas. Most candidates find it useful to finish these three before moving to research and management topics.

Professional Ability Syllabus: Pharmacist

The Pharmacist (Entry Grade) syllabus follows the B.Pharm curriculum, so it is the longest topic list in this exam.

With so many subjects, prioritise pharmacology, pharmaceutics, medicinal chemistry and jurisprudence. These are the core of hospital pharmacy work, which is what a railway pharmacist does.

Professional Ability Syllabus: Lab Assistant Grade II

Professional Ability Syllabus: Radiographer X-Ray Technician

• Anatomy and physics: Human anatomy and physiology, general physics, radiology physics, radiation physics and physics of diagnostic radiology.

• Equipment: X-ray machines and accessories, their maintenance, X-ray film and image processing including darkroom techniques.

• Clinical practice: Clinical radiography and positioning, contrast and special radiography procedures, techniques of modern imaging modalities.

• Safety and care: Quality control in radiology, radiation safety, medical ethics and patient care, principles of medical emergencies.

Positioning and radiation safety are practical areas where questions are often direct, so they are a sensible place to begin.

Professional Ability Syllabus: Health and Malaria Inspector

Professional Ability Syllabus: ECG, Dialysis, Optometry and Audiology Posts

These four posts have very few vacancies in CEN 05/2026 (between one and four each), but their syllabi are distinct.

ECG Technician

Anatomy, physiology, biochemistry and pharmacology; introduction to cardiovascular diseases; basic cardiovascular investigations; advanced cardiovascular investigations. Start with ECG lead placement and reading normal and abnormal tracings.

Dialysis Technician

Anatomy, physiology, biochemistry and pharmacology; introduction to kidney diseases; principles and practice of dialysis. Start with renal physiology and haemodialysis procedure.

Optometrist

• Optics: Physical and geometrical optics, optometric optics, visual optics, dispensing optics.

• Eye sciences: Ocular anatomy and physiology, ocular diseases, binocular vision, glaucoma, low vision aids.

• Clinical and public health: Clinical examination of the visual system, optometric instruments, contact lenses, paediatric and geriatric optometry, occupational optometry, public health and community optometry.

• Supporting subjects: General anatomy and physiology, biochemistry, nutrition, pharmacology, pathology and microbiology, systemic diseases, epidemiology and biostatistics, law and optometry, clinical psychology.

Audiologist and Speech Therapist

• Speech and language: Speech and language development and disorders, phonetics and phonology, speech-language diagnostics and therapeutics, voice and laryngectomy.

• Hearing: Anatomy and physiology of speech and hearing, basic acoustics, pathology of the hearing system, diagnostic and rehabilitative audiology, paediatric audiology.

• Rehabilitation: Management of the hearing impaired, hearing conservation, aural rehabilitation and its instrumentation, psychology related to speech and hearing.

Topics Shared Across Posts

Some topics show up in more than one section. Studying them once, properly, saves time.

How to Cover the Syllabus

The CBT date for CEN 05/2026 is not yet announced, which gives you time to plan properly. A phased approach works well:

1. Weeks 1 to 6, professional core: Go through your post's syllabus subject by subject from your diploma or degree textbooks. Make one page of short notes per subject.

2. From week 3, add the common section: Spend 30 to 40 minutes a day on current affairs, arithmetic and reasoning. Revise Class 10 science on weekends.

3. Weeks 6 to 10, topic tests: Take chapter-wise tests in your professional subject. Mark every chapter where your accuracy is below about 70 percent and revise it.

4. Final phase, full-length practice: Take 100-question mocks in 90 minutes, analyse them the same day, and revise from an error log.

Common Mistakes to Avoid

• Studying only general railway books: Books written for other railway exams cover the 30 common marks but not the 70 professional marks.

• Skipping basic sciences: Anatomy, physiology and biochemistry sit under almost every post's syllabus and are easy marks once revised.

• Leaving current affairs to the last month: Ten marks is small, but cramming six months of news in a few days rarely works.

• Ignoring the negative marking while practising: Practise with the one-third penalty switched on so your attempt strategy is realistic.

RRB also says a mock test will be posted on the official RRB website before the CBT so you can get used to the exam interface.If you are still checking whether your qualification fits a post, read the RRB Paramedical eligibility criteria before you commit to a professional syllabus. For dates, vacancies and salary, see the main RRB Paramedical exam guide.