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Clinical Scenarios in NEET PG

Most Frequently Asked Clinical Scenarios in NEET PG

July 29, 2025
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The NEET PG exam continues to shift from rote learning toward clinical understanding. With a growing emphasis on clinical case questions in NEET PG, aspirants must learn to apply concepts across disciplines.

This guide lists frequently asked NEET PG cases to help you focus your preparation. Whether it’s solving image-based questions or navigating case-based MCQs in NEET PG clinical exposure is your key to success. 

General Medicine 

Clinical Scenarios in NEET PG Medicine: 

  • Elderly male with nocturnal cough and leg swelling – Congestive Heart Failure 
  • Young female with weight loss, heat intolerance and tremors – Hyperthyroidism 
  • Recurrent episodes of breathlessness with wheezing – Bronchial Asthma
  • Sudden onset hemiparesis with facial droop- Ischemic Stroke 

NEET PG image-based questions: ECG of atrial fibrillation, fundus photo in hypertensive retinopathy 

Neurology & Psychiatry 

Frequently Asked NEET PG Cases: 

  • Patient with visual hallucinations, disorganised behaviour – Schizophrenia 
  • Person with hand tremors, slurred speech, history of alcohol use – Alcohol withdrawal
  • Young female with diplopia, fatigable weakness – Myasthenia Gravis 
  • Elderly with progressive memory loss – Alzheimer’s Disease 

Surgery 

Common Surgical Clinical Scenarios 

  • Groin swelling increasing on coughing – Inguinal Hernia 
  • Post-trauma patient with absent breath sounds on one side – Tension Pneumothorax 
  • Bleeding per rectum in a middle-aged male – Carcinoma Rectum 
  • Sudden abdominal pain with guarding and rigidity – Perforation Peritonitis 

Image-based question examples: X-ray showing gas under diaphragm (perforation), Doppler scan for DVT 

Pediatrics 

NEET PG Paediatrics Case Examples: 

  • Child with barking cough and inspiratory stridor – Croup 
  • 1-year-old with delayed milestones and hypotonia – Cerebral Palsy 
  • Neonate with failure to pass meconium – Hirschsprung’s Disease 
  • Child with fever, rash, conjunctivitis – Measles 

Microbiology 

Case-Based Questions in Microbiology: 

  • Patient with UTI symptoms and Gram-negative rods – E. coli 
  • Farmer with ulcerative lesion and black eschar – Anthrax 
  • Immunocompromised patient with oral white patches – Candidiasis 
  • Fever with rose spots and abdominal pain – Typhoid Fever 

Pharmacology 

Frequently Asked Clinical Scenarios: 

  • Patient with dry mouth, blurred vision on antihistamines – Anticholinergic toxicity 
  • Bleeding tendencies on warfarin with antibiotics – Drug interaction
  • Parkinson’s patient on levodopa with hallucinations – Side effect profile 
  • Hypertensive crisis after MAOI and cheese – Tyramine interaction 

Pathology 

High-Yield NEET PG Clinical Cases: 

  • Young male with fatigue, pallor and low Hb – Iron Deficiency Anaemia 
  • Splenomegaly with tear-drop RBCs – Myelofibrosis 
  • Hematuria following sore throat – Post-streptococcal GN 
  • Fatigue with high calcium and lytic bone lesions – Multiple Myeloma 

Obstetrics & Gynecology 

Frequently Asked OBGYN Scenarios: 

  • First-trimester bleeding with closed os – Threatened Abortion 
  • Painless vaginal bleeding in the third trimester – Placenta Previa 
  • Amenorrhea with positive pregnancy test – Early Pregnancy Detection 
  • Vaginal discharge with fishy odour – Bacterial Vaginosis 

ENT & Ophthalmology 

ENT Clinical Scenarios: 

  • Sudden hearing loss with vertigo – Meniere’s Disease 
  • Recurrent sore throat with enlarged tonsils – Chronic Tonsillitis 
  • Nasal bleeding in a young male – Juvenile Nasopharyngeal Angiofibroma 

Ophthalmology Cases: 

  • Gradual loss of peripheral vision – Chronic Glaucoma 
  • Painful red eye after trauma – Hyphema 
  • Fundus showing cherry red spot – Central Retinal Artery Occlusion 

Orthopedics

Clinical Case Questions NEET PG Must know: 

  • Hip pain in a child with limited abduction – Perthes Disease 
  • Young adult post road traffic accident unable to dorsiflex – Common Personal Nerve Injury
  • Elderly with back pain and vertebral collapse – Osteoporotic Fracture 
  • Child with fever, joint swelling – Septic Arthritis 

Biochemistry & Physiology 

Biochemistry Cases: 

  • Vomiting, seizures and high ammonia in a neonate – Urea Cycle Disorder 
  • Hypoglycemia with lactic acidosis – Glycogen Storage Disease 
  • Failure to thrive with sweet-smelling urine – Maple Syrup Urine Disease 

Physiology Cases: 

  • Athlete with bradycardia – Increased Vagal Tone 
  • Polyuria with dilute urine – Diabetes Insipidus 
  • Sudden hypotension with postural change – Orthostatic Hypotension 

Final Tips to Master Clinical Scenarios in NEET PG 

  • Practice 30-50 case-based MCQs NEET PG daily
  • Focus on integrated learning across subjects 
  • Attempt image-based clinical cases in a timed manner 
  • Review frequently asked NEET PG cases from past years 
  • Use clinical flashcards, mock tests and short notes for revision 

The shift toward clinical reasoning in NEET PG means you must go beyond textbooks. Understanding how symptoms, lab findings and images connect to diagnosis is now essential. 

To stay ahead, make clinical case questions NEET PG the core of your preparation. Practice consistently, analyse deeply and revise high-yield clinical concepts across all subjects. That’s how you turn knowledge into top ranks. 

Frequently Asked Questions: 

Q1 Which subjects are most important for NEET PG?

Ans – The most important subjects for NEET PG are General Medicine, General Surgery, Obstetrics & Gynaecology, and Paediatrics, due to their high weightage in the exam. These are considered the “big four” and require focused preparation. Other crucial subjects include Pathology, Pharmacology, and subjects like Anatomy, Physiology, Biochemistry, and Microbiology, which are foundational to understanding the clinical subjects. 

Q2. Which subject carries the most weightage in the NEET PG exam?

Ans – Based on the latest patterns, General Medicine and General Surgery have the highest weightage in the NEET PG exams.

Q3. Which branch of NEET PG has the highest cutoff?

Ans – In NEET PG, Radiodiagnosis, Dermatology, and General Medicine typically have the highest cutoffs, indicating high demand and competition for these clinical specialities. Other branches, such as Obstetrics & Gynaecology, General Surgery, and Paediatrics, also tend to have high cutoffs. 

Q4. Which branch do NEET PG toppers choose?

Ans – Radiology, once the top choice for most NEET-PG toppers, has seen a slight decline but remains THE preferred field. The specialisation is known for its modern, tech-driven approach, appealing to those who prioritise safety and work-life balance.

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