NEET PG PYQs for Medicine, Pathology, PSM & Surgery

Preparing for NEET PG involves covering a vast medical syllabus, which can make it difficult for you to identify which concepts need more attention during revision. Simply studying the topics is not always enough, as you also need to understand how concepts are tested through exam-level questions. This is where NEET PG Previous Year Questions (PYQs) become useful.

PW offers a curated set of NEET PG Previous Year Questions (PYQs) with answers, covering subjects such as Medicine, Pathology, PSM, Surgery, Pharmacology, Anatomy, Physiology, and other subjects. These questions allow you to practise exam-level questions, revise important concepts, and understand how questions are framed in the examination.

NEET PG PYQs 2026 MCQs

The NEET PG PYQ collection can be used to practise questions from different subjects covered in the examination. Solving previous year questions allows you to revise concepts while becoming familiar with the way questions are framed.

Q. A woman in her early forties was taking analgesics regularly for headaches for the past 6 months. The intensity of headache increased in severity for the last 3 days and reduced when she stopped taking the analgesic. Likely diagnosis is?

 A. Cluster headache
B. Tension headache
C. Chronic migraine
D. Medication overuse headache

 Answer: D

Explanation: Regular, long-term analgesic use with worsening headache that improves on stopping the drug is the classic pattern of medication overuse (rebound) headache.

Q. A known case of mitral stenosis presented with breathlessness and chest pain in her early twenties. On examination, the pulse was irregularly irregular. On echocardiography, no thrombus was found. Best agent to prevent future thrombotic events is?

 A. Dabigatran
B. Aspirin 150mg
C. Oral warfarin
D. Aspirin + Clopidogrel

Answer: C

Explanation: Irregularly irregular pulse indicates atrial fibrillation due to mitral stenosis (valvular AF). Valvular AF requires a Vitamin K antagonist; NOACs like dabigatran are not recommended. 

Q. Patients presenting with a mid diastolic murmur and JVP showing prominent a-waves, most likely diagnosis is?

 A. Tricuspid stenosis
B. Mitral stenosis
C. Mitral regurgitation
D. Tricuspid regurgitation

Answer: A

Explanation: A mid-diastolic murmur is classic for stenotic AV valve lesions; prominent JVP a-waves occur when the right atrium contracts against a stenotic valve — pointing to tricuspid stenosis rather than mitral stenosis (which wouldn't directly cause a-wave changes on JVP). 

Q. A chronic alcoholic patient presented with abdominal distension, swelling of legs and reduced urine output. Serum creatinine was 1.6 mg/dL. What is the next line of management in this patient?

 A. Methylprednisolone
B. Heparin
C. Torsemide
D. Octreotide plus albumin

Answer: D

Explanation: This is a picture of hepatorenal syndrome (chronic alcoholic with ascites, edema, and rising creatinine with oliguria). First-line treatment is a splanchnic vasoconstrictor (like octreotide/terlipressin) plus albumin. 

Q. A 72-year-old man was brought in with complaints of cough with yellowish sputum. On examination, RR- 20/min, BP-110/70 mmHg, not confused and hemodynamically stable. Lab reports showed urea levels of 44 mg/dL. What is the next best step in the management of this patient?

 A. Give antibiotics and send the patient home
B. Consider admission in a non-ICU setting
C. Admit to ICU with invasive mechanical ventilation
D. Admit to ICU without mechanical ventilation

Answer: B

Explanation: (Handwritten notes: Diagnosis = Community acquired pneumonia; Decision to hospitalize uses CURB-65 or PSI, with PSI noted as superior to CURB-65 in predicting mortality.)
CURB-65 score: Confusion (0) + Urea >19mg/dL/7mmol/L (1) + RR≥30 (0) + BP<90/60 (0) + Age≥65 (1) = 2, indicating short hospital admission/close monitoring in a non-ICU setting. 

Q. A 29-year-old man complained about excessive fatigue by the end of the day that improved with rest. History of ptosis, difficulty in speech and swallowing was also mentioned. Most likely diagnosis is?

 A. Myasthenia gravis
B. Duchenne muscular dystrophy
C. Lambert-Eaton syndrome
D. Systemic lupus erythematosus

Answer: A

Explanation: Fatigable weakness worsening through the day and improving with rest, along with ptosis and bulbar symptoms (speech/swallowing difficulty), is classic for myasthenia gravis. 

Q. Carpo-pedal spasm was developed in a woman suffering with hysteria when she was hyperventilating. What could be the likely cause for this?

 A. Respiratory alkalosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Metabolic acidosis

Answer: A

Explanation: Hyperventilation causes excessive CO₂ loss, leading to respiratory alkalosis, which causes decreased ionized calcium and results in carpopedal spasm (tetany). 

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How to Use NEET PG Previous Year Questions for Preparation?

Previous year questions are more useful when they are included regularly in the preparation schedule rather than being attempted only during the final revision. You can first solve the questions without referring to the answers and then review the concepts behind the questions you could not answer.

A simple approach is to:

• Practise PYQs subject-wise after completing the relevant concepts.

• Note questions that are difficult or repeatedly incorrect.

• Revise the concepts associated with incorrect questions.

• Reattempt marked questions after a gap.

• Use PYQs during revision to identify areas that need more practice.

• Combine PYQ practice with mock tests and regular revision.

NEET PG Previous Year Questions (PYQs) are useful for revising important concepts and understanding the question patterns followed in the examination. Regular practice, along with reviewing incorrect answers and revisiting related concepts, can help make revision more focused. Combining PYQs with mock tests and regular revision can further support effective NEET PG preparation.