FMGE Solutions 2025, 2024, 2023: Previous Year Questions with Solutions

FMGE Solutions: Why Every Aspirant Needs Them?

FMGE solutions help candidates understand concepts clearly and improve accuracy by breaking down each question in a simple, logical way.

• Provide clear reasoning behind every correct answer.

• Highlight the key facts that are important for quick revision.

• Point out common mistakes to help you avoid repeated errors.

• Build stronger concepts by showing how questions are solved.

• Improve the effectiveness of FMGE previous-year question practice and time management.

FMGE Solutions for Previous Year Questions

Understanding FMGE solutions for previous years' questions helps you recognise patterns, strengthen concepts for FMGE topics, and improve accuracy during exam preparation.

FMGE Solutions (June 2025 Session)

1. Erb’s palsy and “policeman’s tip” deformity are associated with injury to which nerve roots? (Anatomy)

Ans: C5-C6

Injury to the upper trunk of the brachial plexus (C5-C6) causes paralysis of the deltoid, biceps, and supraspinatus muscles. The arm hangs by the side, internally rotated, with the forearm pronated- known as the ‘waiter’s tip’ position.

2. In atrial fibrillation, which JVP wave is absent? (Physiology)

Ans: A-wave

A-wave represents atrial contraction. Since atrial fibrillation has no coordinated atrial activity, the A-wave disappears, producing an irregular JVP pattern.

3. Increased orotic acid with high ammonia indicates which condition? (Biochemistry)

Ans: OTC deficiency

Ornithine transcarbamylase deficiency leads to impaired urea cycle function. This results in hyperammonemia with excess orotic acid due to carbamoyl phosphate accumulation.

4. Klinefelter syndrome has which chromosomal pattern? (Genetics)

Ans: 47,XXY

Patients have an extra X chromosome, leading to tall stature, small testes, infertility, and gynecomastia. It is the most common chromosomal cause of male hypogonadism.

5. Chronic kidney disease with anaemia is treated with which drug? (Pharmacology)

Ans: Darbepoetin

Darbepoetin is an erythropoiesis-stimulating agent that replaces deficient erythropoietin production in CKD. It helps correct anaemia and improves the quality of life.

6. Chocolate agar is used for which organism? (Microbiology)

Ans: Haemophilus influenzae

Chocolate agar provides NAD (factor V) and hemin (factor X), which H. influenzae requires for growth. It appears as small, moist, gray colonies on this enriched medium.

7. Water in the lungs and stomach suggests what? (Forensic Medicine)

Ans: Drowning

The presence of water in both organs indicates active inhalation and swallowing during drowning. This helps differentiate true drowning from postmortem immersion.

8. Achilles tendon rupture can occur with which antibiotic? (Pharmacology)

Ans: Fluoroquinolone

Fluoroquinolones can cause tendinopathy and tendon rupture by damaging collagen fibres. The Achilles tendon is most commonly affected, especially in elderly patients or those on steroids.

FMGE Solutions (Dec 2024 Session)

1. Which ion channel is affected by mutations in CFTR? (Physiology)

Ans: Chloride

CFTR is a chloride ion channel present mainly in epithelial cells of lungs, pancreas, and intestines. A defect prevents proper chloride and water movement, causing thick mucus secretions. This is the hallmark of cystic fibrosis pathophysiology.

2. Deficiency causing follicular hyperkeratosis? (Dermatology)

Ans: Vitamin A

Vitamin A is essential for epithelial cell differentiation. Its deficiency leads to dryness, rough skin, and plugging of hair follicles, producing a “gooseflesh” or follicular hyperkeratosis appearance.

3. Testicular mass with gynecomastia? (Surgery)

Ans: Leydig cell tumour

Leydig cell tumours secrete estrogen and testosterone, causing a hormonal imbalance. Gynecomastia occurs due to estrogen excess. These tumours are usually small, solid, and hormonally active.

4. Serous otitis media with cervical lymphadenopathy? (ENT)

Ans: Nasopharyngeal cancer

Unilateral serous otitis in adults is a red-flag sign for nasopharyngeal carcinoma causing Eustachian tube obstruction. Associated cervical lymphadenopathy strengthens the suspicion.

5. Substance involved in conjugation in the liver? (Biochemistry)

Ans: Glucuronic acid

Glucuronidation is the most common Phase II metabolism pathway. Glucuronic acid binds bilirubin, drugs, and toxins to make them water-soluble for excretion. It is an essential detoxification process.

6. Atypical antipsychotic with the least metabolic side effects? (Psychiatry)

Ans: Ziprasidone

Among atypical antipsychotics, ziprasidone has minimal risk of weight gain, dyslipidemia, or insulin resistance. It is preferred when metabolic health is a concern but requires monitoring for QT prolongation.

7. Investigation of choice for CML? (Pathology)

Ans: FISH

CML is diagnosed by detecting the BCR-ABL fusion gene (Philadelphia chromosome). FISH is rapid, highly sensitive, and can detect the translocation even when karyotyping is difficult or unclear.

8. Bee sting with shock: Hypersensitivity type? (Microbiology)

Ans: IgE-mediated reaction

Anaphylaxis after an insect sting is a Type I hypersensitivity reaction. Preformed IgE antibodies trigger mast cell degranulation, causing hypotension, bronchospasm, and vascular collapse within minutes.

FMGE Solutions (Dec 2023 Session)

1. Which component of the diaphragm is formed by the dorsal mesentery of the oesophagus? (Anatomy)

Ans: Crus of diaphragm

The crura develop from the dorsal mesentery of the oesophagus during embryology. They anchor the diaphragm to the vertebral column and form the muscular pillars around the oesophagal hiatus.

2. The lateral boundary of Hesselbach’s triangle will be formed by? (Surgery)

Ans: Inferior epigastric vessels

Hesselbach’s triangle is bordered medially by the rectus abdominis, laterally by the inferior epigastric vessels, and inferiorly by the inguinal ligament. It is the site of direct inguinal hernias.

3. The maternal component of the placenta is? (Obstetrics)

Ans: Decidua basalis

The decidua basalis is the part of the endometrium where the embryo implants. It contributes to the maternal portion of the placenta and supports fetal–maternal exchange.

4. Surfactant deficiency in a newborn with collapsed alveoli suggests? (Paediatrics)

Ans: Respiratory distress syndrome

RDS occurs due to a deficiency of surfactant, mainly dipalmitoyl phosphatidylcholine, in premature infants. This leads to alveolar collapse (atelectasis), hypoxemia, and laboured breathing.

5. The brain part responsible for thermoregulation is? (Physiology)

Ans: Hypothalamus

The hypothalamus contains the heat-loss and heat-gain centres. It regulates body temperature through mechanisms like sweating, vasoconstriction, and shivering, maintaining homeostasis.

6. The proteins kinesin, dynein, and myosin are known as? (Biochemistry)

Ans: Molecular motors

These motor proteins convert chemical energy (ATP) into mechanical movement. They transport cellular cargo along microtubules (kinesin, dynein) and drive muscle contraction (myosin).

7. A strict vegetarian antenatal mother is least likely to have a deficiency of? (Biochemistry)

Ans: Vitamin B12

Vitamin B12 is obtained mainly from animal products, so vegetarians are at high risk of deficiency. Since deficiency is common, not least likely question implies all other options would be even more common shortages in pregnancy.

8. Diarrhoea, cheilitis, stomatitis, sun-exposed rash, and glove-and-stocking neuropathy suggest deficiency of? (Biochemistry)

Ans: Niacin deficiency

This presentation describes pellagra, characterised by the 3 dermatitis, diarrhoea, and dementia. The rash typically involves sun-exposed areas (‘Casal’s necklace’) with neurological symptoms as the deficiency worsens.

FMGE 2025 Study Plan Using Solutions

A structured study plan helps aspirants use FMGE solutions effectively and improve both accuracy and recall. The table below summarises daily and weekly tasks that improve conceptual clarity, revision habits, and exam-oriented practice. Follow these steps regularly to build a strong base for the FMGE December 2025 session.

Common Mistakes Students Make With FMGE Solutions

Many students use FMGE solutions but fail to get the full benefit because of a few common errors. Avoiding these mistakes can significantly improve the score and overall preparation.

• Memorising answers instead of understanding concepts

• Skipping the explanation and focusing only on the final option

• Practising without a timer leads to slow exam performance

• Ignoring weak areas and repeating the same mistakes

• Not revising previously solved questions regularly