
NEET PG 2026 is moving beyond traditional theory-based questions, making clinical observation more important than ever. With the latest exam pattern introducing more video-and image-based questions, especially in Pediatrics, candidates must learn to identify diseases, developmental milestones, neonatal procedures, and emergency conditions through real clinical scenarios rather than memorising facts alone.
The given details explain the latest NEET PG 2026 Pediatrics video-based question trend with exam pattern updates, real practice questions, and high-yield concepts. Whether you're preparing from scratch or revising before the exam, these examples will help you understand what to expect and build the clinical reasoning skills needed to score well in the new exam format.
The NEET PG 2026 exam will now have 180 questions instead of 200, but the total time stays the same at 3.5 hours. This means each question gets more time, so expect longer clinical stems and more detailed case scenarios.
Here is a quick look at the pattern change:
|
Feature |
Old Pattern |
NEET PG 2026 Pattern |
|
Total Questions |
200 |
180 |
|
Exam Duration |
3.5 hours |
3.5 hours |
|
Question Style |
Mostly text-based |
More video and image-based questions |
|
Clinical Stems |
Shorter |
Longer and more detailed |
Because of this change, students preparing for the NEET PG exam should practice with video-based pediatrics questions, not just text-based ones. Real patient videos and clinical animations are both likely to appear in the exam.
Many childhood conditions are easier to identify by watching a movement, a posture, or a behavior than by reading a description. This is exactly why examiners are using clinical videos for topics like developmental milestones, seizure disorders, and movement disorders in children. A short video clip can test both your observation skills and your medical knowledge at the same time.
Video Based Questions Series | Neet PG 2026 | Pediatrics | Dr. Divya Ma'am
Below are real practice questions in the video-based question format, along with the correct answers and simple explanations.
Q1. An infant is observed holding onto the furniture. Which of the following milestones is most likely present in this child at this age?
a. Mature pincer grasp
b. Immature pincer grasp
c. Walks with one hand held
d. Speaks 2-word sentences
Q2. An 18-month-old girl who was previously meeting all developmental milestones presents with loss of purposeful hand movements & development of repetitive midline hand movements. Genetic analysis is likely to reveal a mutation in which of the following?
A. FMR1 gene
B. MECP2 gene
C. ATP7B gene
D. UBE3A gene
Q3. A 6-month-old infant presents with sudden, brief, symmetric contractions of the trunk & limbs, occurring in clusters. The EEG shows a highly disorganised pattern with high-voltage slow waves & spikes. What is the drug of choice for this condition?
a. Ethosuximide
b. Vigabatrin
c. Sodium valproate
d. Adrenocorticotropic hormone
Q4. A 4-year-old child presents to ED with high-grade fever, sore throat, and drooling. The child is leaning forward with extended neck. What is the most appropriate next step?
A. Examine throat with tongue depressor
B. Administer nebulised epinephrine
C. Prepare for urgent intubation
D. Obtain a lateral neck X-ray
Q5. During a physical examination, a child is asked to protrude their tongue, but it repeatedly retracts & darts in & out. This sign is most classically associated with which condition?
a. Tardive dyskinesia
b. Wilson disease
c. Sydenham chorea
d. Huntington disease
Q6. At what age does a child enjoy looking at a mirror — smiles & tries to reach their own reflection, without yet realizing it is themselves?
a. 6 months
b. 9 months
c. 12 months
d. 3 months
Q7. A 2-year-old boy becomes angry after his mother denies giving him a mobile phone, cries vigorously, then suddenly stops breathing & turns blue before losing consciousness for a very brief duration. He turns back normal after a few seconds without any confusion. Which of the following is most likely associated with this condition?
a. Temporal lobe epilepsy
b. GERD
c. Long QT syndrome
d. Iron deficiency anemia
Q8. A preterm male infant born at 30 weeks of gestation is currently on day 10 of life in the NICU. He has been receiving gavage feeding via a nasogastric tube and is tolerating full enteral volumes well. His current weight is 1.35 kg. On examination today, he shows stable vitals, good spontaneous activity, and has begun exhibiting coordinated rooting and sucking behaviors during care circles.
The clinical team wants to transition him to oral feeds using a traditional paladai as shown. What is the absolute minimum gestational age/post-menstrual age this infant should typically reach before safely initiating paladai feeding, and why?
A) 30 weeks; because the paladai bypasses the need for the sucking reflex.
B) 32 weeks; because sucking and swallowing coordination matures at this time.
C) 34 weeks; because the protective cough reflex is absent prior to this age.
D) 36 weeks; because a paladai requires active, coordinated lip seals like breastfeeding.
Q9. A low-birth-weight (LBW) infant born at 33 weeks gestation weighing 1.6 kg is admitted to a Level II special newborn care unit. The baby is stable on room air with no respiratory distress.
The pediatric resident is counseling the mother regarding the initiation of Kangaroo Mother Care (KMC). Which of the following instructions provided by the resident is completely accurate according to standard WHO and national guidelines?
A) "KMC should only be provided by the biological mother to prevent cross-contamination."
B) "To be effective, each session of KMC must last for a minimum uninterrupted duration of 1 hour."
C) "KMC can be safely discontinued as soon as the infant reaches a chronological age of 28 days."
D) "During KMC, the baby should be kept fully clothed with a front-opening sweater to retain body heat."
Q10. A term male neonate is born via emergency lower segment cesarean section (LSCS) for fetal distress. At birth, the baby is apneic and limp. Initial steps of resuscitation (drying, warming, positioning, and suctioning) are performed. At 60 seconds of life, the heart rate is 78 beats per minute, and the infant remains apneic.
Which of the following represents the most appropriate immediate action, including the correct ventilation rate and pressure, using an AMBU bag?
A) Start chest compressions immediately at a 3:1 ratio with ventilation.
B) Initiate PPV at a rate of 40–60 breaths/min, aiming for an initial peak inspiratory pressure (PIP) of 20–25 cm H2O.
C) Initiate PPV at a rapid rate of 80–100 breaths/min with a high initial pressure of 40 cm H2O to clear fetal lung fluid.
D) Administer 100% free-flow oxygen via a face mask held closely to the baby's face for 30 seconds.
Some pediatrics topics are more likely to appear as video-based questions because they are easy to show visually. Focus your revision on:
Developmental milestones — gross motor, fine motor, and social milestones by age
Neonatal feeding progression — from parenteral nutrition to tube feeding, spoon feeding (paladai), and breastfeeding
Kangaroo Mother Care (KMC) — correct technique, duration, and WHO guidelines
Neonatal resuscitation — correct ventilation rate and pressure using an Ambu bag
Movement disorders — athetosis, chorea, tics, myoclonus, stereotypies, dystonia, tremors, and ballismus
Genetic syndromes — Rett syndrome (MECP2), Fragile X syndrome (FMR1), Wilson disease (ATP7B), and Angelman syndrome (UBE3A)
Watch real patient videos and animations of common pediatric conditions.
Practice identifying developmental milestones by age.
Learn to spot key clinical triads, like the one for West syndrome.
Solve full-length clinical stems, not just isolated facts.
Revise neonatal care protocols such as KMC and resuscitation steps regularly.