Going by previous years, the cut offs have been reduced when the vacant seats were more than the students qualified. It might be the case this year too if the situation remains the same. MCI will have to consult the Ministry of Health and Family welfare before taking such a decision. You haven't mentioned your Category but if you belong to General Category, the chances of the cut offs being reduced to 269 are quite less. Cut offs change every year depending on various factors such as no.of Candidates appearing for the exam, no.of Candidates qualified, difficulty of the exam, and no.of seats available for each specialisation.