The advent of the post-Unified Tertiary Matriculation Examinations (post-UTMEs) into the Nigerian Education System in 2005 has been surrounded by a lot of controversies and arguments for and against both the original, Unified Tertiary Matriculation Examination (UTME) and the post-UTME. However, many of these expressed views have been largely subjective, sentimental and anecdotal. This study set out to objectively evaluate and scientifically compare the performance of the same group of candidates (applying to study Medicine in Kaduna State University-KASU) in both examinations. The findings call for a closer review, scrutiny and screening of the apparently "good grades" candidates applying for admission into institutions of higher learning present.