NEET PG 2026 Most Expected Questions Based on PYQ Trends

What Are NEET PG 2026 Most Expected Questions?

NEET PG 2026 most expected questions are not leaked papers. NBEMS does not release its official question paper. No source can honestly claim to have the "real" paper in advance. What we can do is study patterns. Some subjects carry more weight. Some concepts return year after year in some form. These NEET PG important questions are built around that pattern, not around guesswork.

Each question is tagged with its subject and topic. Each one also carries a short line on why it is high-yield. This helps you see the logic, not just the answer. You can then revise the actual concept in your textbook, not just memorise one question. For the full sectional structure behind these questions, check the NEET PG exam pattern.

How These NEET PG 2026 Most Expected Questions Were Selected (Subject-Wise Weightage)

Every subject in NEET PG does not carry equal weight. Medicine, Surgery, and Obstetrics & Gynaecology have always carried more questions than ENT or Dermatology. This has stayed true even after the exam moved to the 180-question format. Our subject-wise weightage table below is based on this consistent trend, which we have also mapped in detail in our NEET PG 2026 chapter-wise weightage article and our NEET PG 2026 high-weightage subjects guide.

20 NEET PG 2026 Most Expected Questions With Answers and Explanations

Below are 20 sample questions from the full set. Try each one before you check the answer. This helps you test your own recall, not just read passively.

Q1. [Medicine]

A 55-year-old CKD patient on hemodialysis misses two sessions. ECG shows tall tented T waves, widened QRS, and absent P waves. What is the most likely serum abnormality?

(A) Hypokalemia (B) Hyperkalemia (C) Hypercalcemia (D) Hyponatremia

Answer: (B) Hyperkalemia.

Explanation: Tall tented T waves, followed by QRS widening and loss of P waves, is the classic hyperkalemia sequence. IV calcium gluconate is given first to stabilise the heart.

Q2. [Medicine]

DKA patient: pH 7.20, HCO3- 10 mEq/L, PaCO2 22 mmHg. Using Winter's formula, is respiratory compensation appropriate?

(A) Yes (B) No, extra alkalosis (C) No, extra acidosis (D) Cannot say

Answer: (A) Yes.

Explanation: Winter's formula gives expected PaCO2 = 1.5(10) + 8 = 23 (±2), so 21–25. The measured value of 22 fits this range.

Q3. [Medicine] A farmer has excess salivation, miosis, bradycardia, and fasciculations after chemical exposure. Which drug is the antidote?

(A) Naloxone (B) Atropine (C) Flumazenil (D) N-acetylcysteine

Answer: (B) Atropine.

Explanation: This is organophosphate poisoning. Atropine blocks the muscarinic effects; pralidoxime is added to reactivate the enzyme.

Q4. [Surgery]

Which is NOT part of the Alvarado score for acute appendicitis?

(A) Migration of pain (B) Anorexia (C) Rebound tenderness (D) Elevated serum amylase

Answer: (D) Elevated serum amylase.

Explanation: This is not part of the Alvarado score. It relates to pancreatitis instead.

Q5. [Surgery]

Multiple dilated small bowel loops with "step-ladder" air-fluid levels on an erect X-ray suggest:

(A) Sigmoid volvulus (B) Small bowel obstruction (C) Perforated ulcer (D) Toxic megacolon

Answer: (B) Small bowel obstruction.

Explanation: This step-ladder pattern is the classic sign of mechanical small bowel obstruction.

Q6. [OBG]

On a WHO partograph, crossing the action line means:

(A) Normal progress (B) Watch closely only (C) Active intervention needed (D) Fetal distress confirmed

Answer: (C) Active intervention needed.

Explanation: Crossing the action line means labour is delayed and needs oxytocin augmentation or reassessment for delivery.

Q7. [OBG]

A woman has heavy postpartum bleeding, a well-contracted uterus, and no tissue or trauma. Which of the "4 Ts" explains this?

(A) Tone (B) Tissue (C) Trauma (D) Thrombin

Answer: (D) Thrombin.

Explanation: A firm uterus without trauma or retained tissue points to an underlying coagulation problem.

Q8. [Pediatrics] As per the National Immunization Schedule, BCG is given:

(A) At 6 weeks (B) At birth or as early as possible (C) At 9 months (D) At 5 years

Answer: (B) At birth.

Explanation: BCG protects mainly against severe childhood TB, such as TB meningitis.

Q9. [Pediatrics] Which congenital heart defect is cyanotic?

(A) VSD (B) ASD (C) Tetralogy of Fallot (D) PDA

Answer: (C) Tetralogy of Fallot.

Explanation: It causes right-to-left shunting due to right ventricular outflow obstruction, unlike VSD, ASD, or PDA.

Q10. [PSM] A new screening test has high sensitivity but low specificity. In a low-prevalence group, this mainly causes:

(A) Many false negatives (B) Many false positives (C) Low negative predictive value (D) Cannot be used at all

Answer: (B) Many false positives.

Explanation: Low specificity means many healthy people test positive, especially where the disease is rare.

Q11. [PSM]

If a disease has R0 = 5, what is the herd immunity threshold?

(A) 20% (B) 50% (C) 80% (D) 95%

Answer: (C) 80%.

Explanation: Herd immunity threshold = 1 - (1/R0) = 1 - (1/5) = 0.8, or 80%.

Q12. [Pharmacology]

Which drug most increases warfarin's anticoagulant effect?

(A) Rifampicin (B) Fluconazole (C) Phenytoin (D) Carbamazepine

Answer: (B) Fluconazole.

Explanation: It blocks the enzyme (CYP2C9) that breaks down warfarin, raising bleeding risk.

Q13. [Pathology]

Which tumour marker is linked to hepatocellular carcinoma?

(A) CA 19-9 (B) Alpha-fetoprotein (C) CA-125 (D) PSA

Answer: (B) Alpha-fetoprotein.

Explanation: AFP is the classic marker for liver cancer and yolk sac tumours.

Q14. [Microbiology]

Which organism is Gram-negative?

(A) Staphylococcus aureus (B) Escherichia coli (C) Streptococcus pyogenes (D) Clostridium tetani

Answer: (B) E. coli.

Explanation: It is a Gram-negative bacillus. The other three are Gram-positive organisms.

Q15. [Anatomy]

"Waiter's tip" deformity after a difficult delivery points to injury of which roots? (A) C5-C6 (B) C8-T1 (C) C7 only (D) T1-T2

Answer: (A) C5-C6 (Erb's palsy).

Explanation: Injury here affects shoulder abduction and elbow flexion, giving the classic posture.

Q16. [Physiology] A rightward shift of the oxygen-hemoglobin curve happens with all EXCEPT:

(A) Increased 2,3-DPG (B) Increased temperature (C) Decreased PCO2 (D) Increased H+

Answer: (C) Decreased PCO2.

Explanation: This causes alkalosis, which shifts the curve left, not right.

Q17. [Biochemistry] The rate-limiting enzyme of glycolysis is:

(A) Hexokinase (B) Phosphofructokinase-1 (C) Pyruvate kinase (D) G6PD

Answer: (B) PFK-1.

Explanation: It is the key regulated step, activated by AMP and inhibited by ATP.

Q18. [Ophthalmology] Sudden eye pain, blurred vision, a mid-dilated fixed pupil, and a hazy cornea suggest:

(A) Open-angle glaucoma (B) Acute angle-closure glaucoma (C) Anterior uveitis (D) Conjunctivitis

Answer: (B) Acute angle-closure glaucoma.

Explanation: This is an emergency with sudden pain and sharply raised eye pressure.

Q19. [ENT] Brief, position-triggered vertigo without hearing loss or tinnitus suggests:

(A) Meniere's disease (B) BPPV (C) Vestibular neuronitis (D) Acoustic neuroma

Answer: (B) BPPV.

Explanation: Episodes last seconds, are triggered by head position, and hearing stays normal.

Q20. [Orthopaedics] A Colles fracture shows which displacement?

(A) Volar angulation (B) Dorsal angulation, "dinner fork" deformity (C) Displacement into the joint only (D) No angulation

Answer: (B) Dorsal angulation.

Explanation: This gives the classic "dinner fork" deformity, usually from a fall on an outstretched hand.

For more practice in this same format, our NEET PG previous year clinical questions set and NEET PG case-based questions article are built to test the same clinical reasoning style.

Download NEET PG 2026 Most Expected Questions PDF (Complete eBook, 100 Questions)

The 20 questions above are only a preview. The complete NEET PG 2026 most expected questions PDF has all 100 questions in one place, with the correct answer and a full explanation for each one. Use the table below to download the complete eBook.

NEET PG 2026 Most Expected Questions PDF: Full Subject-Wise Breakdown and Free Download

The 20 questions above are only a sample. The full NEET PG 2026 most expected questions PDF has 100 questions in total, spread across 19 subjects. It also carries a full explanation for every question, not just the correct option. The table below shows how many more questions are waiting for you in each subject inside the full PDF.

You can download the complete NEET PG 2026 most expected questions PDF, with all 100 solved questions, from our eBooks and sample papers section. It is free, and it also carries a full explanation for every answer.

How to Use These NEET PG 2026 Most Expected Questions PDF for Final Revision

Do not just read the answers. Attempt each question first. Then check your answer, and read the explanation even if you got it right. This locks the concept in your memory better than reading alone.

Use the subject tags to find your weak spots. If you get PSM or Pharmacology questions wrong often, spend more time there. Go back to your standard textbook for that topic. Do not just remember the one question.

Keep this NEET PG 2026 most expected questions PDF for your last two weeks. Pair it with full mock tests from our NEET PG 2026 memory-based question paper resource, and check your syllabus coverage against the NEET PG 2026 syllabus one final time before exam day.