FMGE Exam Questions - Download Previous Year Question Papers PDF

FMGE Exam Questions (Memory-Based)

Since NBE does not release the official FMGE question paper, memory-based FMGE exam questions are compiled after the exam based on candidate recall. These questions closely reflect the actual exam pattern and cover all subject categories.

The FMGE January 2026 memory-based questions include:

• Clinical case-based MCQs
• Image-based questions
• Integrated questions from multiple subjects

The updated set of FMGE exam questions with answers is provided below for reference and practice. A downloadable FMGE exam questions PDF is also made available for offline use.

FMGE 2025 December Question Paper

The memory based FMGE 2026 questions are provided below:

Ques: A middle-aged man complains of gradually worsening exercise intolerance and awareness of strong heartbeats for several months. On examination, a forceful bounding pulse is noted with prominent carotid pulsations. Nail bed inspection shows rhythmic blanching synchronous with the heartbeat. Which auscultatory finding best explains this presentation?

A. Late diastolic murmur

B. Early diastolic murmur

C. Systolic ejection (crescendo–decrescendo) murmur

D. Mid-systolic murmur

Correct Answer: B. Early diastolic murmur

Ques. The pulse waveform shown corresponds to pathology involving which cardiac valve?

A. Pulmonic valve

B. Aortic valve

C. Mitral valve

D. Tricuspid valve

Correct Answer: B. Aortic valve

Ques. A young patient has persistent hypertension despite lifestyle modification. Laboratory tests reveal hypokalemia with metabolic alkalosis. Renal function is normal, and there is no history of diuretic use. What is the most likely diagnosis?

A. Pheochromocytoma

B. Conn syndrome

C. Liddle syndrome

D. Carcinoid syndrome

Correct Answer: B. Conn syndrome

Ques. A patient with head injury presents with hypertension, bradycardia, and abnormal posturing. The observed breathing pattern is shown. What is the diagnosis?

A. Cheyne–Stokes breathing

B. Biot breathing

C. Kussmaul breathing

D. Apneustic breathing

Correct Answer: D. Apneustic breathing

Ques. A middle-aged woman reports chronic dryness of eyes and mouth requiring frequent use of artificial tears and water while eating. She also has generalized pruritus and intermittent pain with stiffness in small joints of the hands. There is no history of Raynaud phenomenon, oral ulcers, or photosensitivity. What is the most likely diagnosis?

A. Sjogren syndrome

B. Systemic lupus erythematosus

C. Rheumatoid arthritis

D. Scleroderma

Ques: A middle-aged man presents with vague abdominal pain, intermittent diarrhea, and weight loss. Imaging shows a diffusely enlarged pancreas with a “sausage-shaped” appearance. Serum IgG4 levels are markedly elevated. What is the best treatment option?

A. Steroids

B. Antibiotics

C. Surgery

D. Pancreatic enzyme supplements

Correct Answer: A. Steroids

Ques: A patient presents in circulatory failure. Arterial blood gas shows: pH 7.3, HCO₃⁻ 10 mEq/L, and pCO₂ 25 mmHg. Which acid–base disturbance best explains these findings?

A. Metabolic acidosis with respiratory compensation

B. Metabolic alkalosis with respiratory compensation

C. Respiratory alkalosis with metabolic compensation

D. Mixed metabolic acidosis and respiratory alkalosis

Correct Answer: A. Metabolic acidosis with respiratory compensation

Ques: A 17-year-old boy has gradually progressive proximal muscle weakness, difficulty climbing stairs, and rising from a squatting position. There is a positive family history, with an elder sibling who had similar symptoms and died around 40 years of age. What is the most likely diagnosis?

A. Duchenne muscular dystrophy

B. Becker muscular dystrophy

C. Charcot–Marie–Tooth disease

D. Amyotrophic lateral sclerosis

Correct Answer: B. Becker muscular dystrophy

Ques: A 10-year-old child with refractory epilepsy develops a diffuse morbilliform rash, fever, and painful oral mucosal erosions two weeks after an antiepileptic dose adjustment. Which drug is the most likely cause?

A. Phenytoin

B. Valproate

C. Lamotrigine

D. Clobazam

Correct Answer: C. Lamotrigine

FMGE Exam Questions PDF

Having well-organised study material makes the preparation effective and efficient. Students can download the FMGE exam questions PDF from the link given below. It includes the FMGE exam questions subject-wise, which makes the study structured. Candidates can use these FMGE exam preparation questions offline without needing the internet.

FMGE Exam Sample Questions

FMGE Exam Questions with Answers

To gain a clear understanding of the real exam pattern and difficulty level, FMGE solutions of previous year questions are useful. Solving the FMGE previous year exam questions helps candidates identify their strengths and weaknesses. Practising these questions also improves accuracy, time management, and confidence for the actual exam. Provided below are some of the FMGE previous year questions for quick reference.

FMGE Physiology Questions

Q1. Winter season with shortness of breath during exercise is due to which condition?

A. Pulmonary edema
B. Bronchoconstriction
C. Pleural effusion
D. Pneumothorax

Correct Answer: B. Bronchoconstriction

Explanation: Cold air can trigger narrowing of the airways, especially during exercise, leading to bronchoconstriction. This results in increased airway resistance and causes shortness of breath, commonly seen in asthma patients.

Q2. In atrial fibrillation, which JVP wave is absent?

A. V wave
B. C wave
C. A wave
D. Y descent

Correct Answer: C. A wave

Explanation: The A wave represents atrial contraction. In atrial fibrillation, organized atrial contraction is absent, so the A wave is not seen in the jugular venous pulse.

Q3. In myasthenia gravis, autoantibodies block which receptor at the postsynaptic membrane?

A. Muscarinic receptor
B. Dopamine receptor
C. Acetylcholine receptor (AChR)
D. GABA receptor

Correct Answer: C. Acetylcholine receptor (AChR)

Explanation: Myasthenia gravis is an autoimmune disorder in which antibodies block or destroy AChRs at the neuromuscular junction. This reduces neuromuscular transmission, leading to muscle weakness.

FMGE Pathology Questions

Q4. In a case of coagulation + hyperlipidemia + ACS patient, which test tube is used?

A. Red tube
B. Blue tube
C. Purple tube
D. Green tube

Correct Answer: B. Blue tube

Explanation: Blue-top tubes contain sodium citrate, which preserves coagulation factors and is used for coagulation tests such as PT and aPTT, especially important in ACS patients.

Q5. Klinefelter syndrome has which chromosomal pattern?

A. 46, XY
B. 47, XXY
C. 45, XO
D. 47, XYY

Correct Answer: B. 47, XXY

Explanation: Klinefelter syndrome results from an extra X chromosome in males, leading to the classic karyotype of 47, XXY, and features like hypogonadism and infertility.

Q6. Which of the following genes is pro-apoptotic?

A. Bcl-2
B. Bax
C. Bcl-XL
D. Survivin

Correct Answer: B. Bax

Explanation: Bax promotes apoptosis by increasing mitochondrial membrane permeability, leading to cytochrome c release and activation of the caspase pathway.

Q7. A patient with knee swelling, normal PT, and increased aPTT is suffering from which condition?

A. von Willebrand disease
B. Disseminated intravascular coagulation
C. Platelet dysfunction
D. Hemophilia

Correct Answer: D. Hemophilia

Explanation: Hemophilia is a coagulation factor deficiency that presents with prolonged aPTT, normal PT, and bleeding into joints (hemarthrosis), commonly affecting the knees.

FMGE Pharmacology Questions

Q8. A patient with stroke, balance problems, and blood pressure of 150/95 mmHg is treated with which drug?

A. Amlodipine
B. Atenolol
C. Telmisartan
D. Hydrochlorothiazide

Correct Answer: C. Telmisartan

Explanation: Telmisartan is an ARB commonly used in hypertensive patients with a history of stroke. It helps reduce blood pressure and provides cerebrovascular and renal protection.

Q9. Chronic kidney disease associated with anemia is treated with which drug?

A. Iron sucrose
B. Darbepoetin
C. Vitamin B12
D. Folic acid

Correct Answer: B. Darbepoetin

Explanation: Anemia in CKD occurs due to reduced erythropoietin production. Darbepoetin is a long-acting erythropoiesis-stimulating agent used to correct anemia in CKD patients.

Q10. A 70 kg patient has a creatinine clearance of 100 mL/min. What is the estimated GFR?

A. 100 mL/min
B. 140 mL/min
C. 167 mL/min
D. 70 mL/min

Correct Answer: C. 167 mL/min

Explanation: GFR can be estimated by normalizing creatinine clearance to a standard body surface area of 1.73 m². In this case, the adjusted calculation gives an estimated GFR of approximately 167 mL/min.

FMGE Surgery Questions

Q11. A 40-year-old man presents with gynecomastia. Ultrasound reveals a 1 cm solid mass within the body of the testis. Serum testosterone is 600 ng/dL, and estradiol is 35 pg/mL. What is the most likely diagnosis?

A. Spermatocytic tumour
B. Sertoli cell tumour
C. Granulosa cell tumour
D. Leydig cell tumour

Correct Answer: D. Leydig cell tumour

Explanation: Leydig cell tumors secrete sex hormones, particularly estrogen, leading to gynecomastia. They are usually small, solid testicular masses and may present with normal or altered testosterone levels.

Q12. A 35-year-old male presents with a bulky scrotal swelling. Malignancy is suspected, and an orchidectomy is performed. The gross section of the testicular mass is shown. What is the most likely diagnosis?

A. Seminoma
B. Teratoma
C. Yolk sac tumour
D. Endodermal sinus tumor

Correct Answer: A. Seminoma

Explanation: Seminoma is the most common testicular tumor in adults and typically presents as a bulky, homogeneous mass. Grossly, it appears gray-white and lobulated without hemorrhage or necrosis.

FMGE Medicine Questions

Q13. A person who was mentally unsound at the time of committing a crime is exempt from liability if they were unaware of the nature of their actions or their consequences. What is this principle called?

A. McNaughton rule
B. Durham’s rule
C. Currens rule
D. Irresistible impulse test

Correct Answer: A. McNaughton rule

Explanation: The McNaughton rule states that a person is not criminally responsible if, due to a mental disorder, they did not understand the nature of their act or could not distinguish right from wrong. It focuses on the defendant’s cognitive ability at the time of the crime. This principle is widely used to determine legal insanity in criminal cases.

Q14. Acute liver failure is a clinical feature of which of the following?

A. OP poisoning
B. Amanita Phalloides poisoning
C. Belladonna poisoning
D. Morphine poisoning

Correct Answer: B. Amanita Phalloides poisoning

Explanation: Acute liver failure is a hallmark of Amanita Phalloides (death cap mushroom) poisoning due to its potent hepatotoxins. These toxins cause severe liver cell necrosis, leading to jaundice, coagulopathy, and encephalopathy. Early recognition and supportive treatment, including possible liver transplantation, are crucial for survival.

FMGE Pediatrics Questions

Q15. What is the likely age of a child who can ride a tricycle, walk up stairs with alternate steps, but cannot hop?

A. 2.5 years
B. 3.5 years
C. 4.5 years
D. 5.5 years

Correct Answer: B. 3.5 years

Explanation: A child around 3.5 years old can typically ride a tricycle and walk up stairs using alternate feet, showing developing coordination. However, hopping on one foot usually develops later, around 4 years of age. These milestones help assess normal gross motor development in early childhood.

FMGE Exam Questions Overview

The FMGE exam questions test both conceptual and clinical knowledge of students. It consists of multiple-choice questions covering different subjects. The exam is divided into two parts and follows a particular marking scheme. Given below is a table that summarizes all the important details about the FMGE questions.

FMGE Exam Pattern

FMGE Syllabus and Marks Distribution

Before practising FMGE questions, it is important to understand the marks distribution and syllabus. This helps in prioritising the most scoring FMGE topics during preparation and focusing on the high-yield areas. Given below is the detailed information about the subject-wise questions. This can serve as a guide while solving the FMGE question bank and FMGE screening test questions.

A. Pre & Para-Clinical Subjects (100 Marks)

B. Clinical Subjects (200 Marks)

1. Medicine & Allied Subjects

2. General Surgery & Allied Subjects

3. Other Clinical Subjects

Tips to Prepare Effectively Using FMGE Previous Year Questions

Efficient preparation requires analysing weak areas, recognising the mistakes, and improving them. Accessing FMGE model exam questions helps candidates stimulate the real exam conditions. Some effective strategies for FMGE exam questions for Indian students are listed below. These expert-proven tips make the most use of the FMGE practice questions online.

• Understand the syllabus thoroughly before moving on to the FMGE MCQ questions for practice.

• Prepare a study plan and allot sufficient time to each subject and topic that are included in the syllabus.

• Analyse the FMGE anatomy questions, FMGE obstetrics and gynaecology questions, etc through FMGE practice tests to understand the pattern of the questions.

• Use only high-quality study materials, such as trusted textbooks, to study effectively. This allows a clear understanding and avoids wasting time.

• Do consistent practice of the FMGE question paper to improve speed and accuracy.