This complete enumeration, cross-sectional comparative record-based study was conducted at a municipal medical college in Maharashtra state, India. First-year MBBS students undergo formative assessment (one terminal examination and one preliminary examination) before they appear for First MBBS University examinations (summative assessment). Marks scored by the First-year MBBS students in terminal and preliminary practical examinations during the seven year period (2011-2017) were statistically analysed. In the terminal practical examination, the gender difference in the average marks scored in terminal practical examinations was statistically significant (Z=2.226; p=0.026) only for Batch 2013, while in the preliminary practical examination the gender difference was statistically significant for Batch 2011 (Z=2.094; p=0.036) and Batch 2017 (Z=2.139; p=0.032). The marks obtained in preliminary practical examination exhibited less variability as compared to that in the terminal practical examination. This study may serve as a springboard towards further research on student assessment in the subject of Physiology