Last 5-Year PYQs in Orthopaedics for FMGE

When it comes to preparing for FMGE, there is no smarter way to understand exam patterns, identify high-yield topics, and refine your strategy than solving previous years’ questions (PYQs).

Radiology, being a high-yield and image-focused subject, plays a pivotal role in your FMGE success. It covers X-ray, CT, MRI, ultrasound, nuclear medicine, and interventional radiology — making both visual interpretation and conceptual clarity crucial.

But what if you had access to the most frequently asked questions from the last five years? That’s exactly what this blog offers.

We’ve compiled high-yield Radiology PYQs that have been repeatedly tested in FMGE, along with detailed explanations to help you revise efficiently, avoid common mistakes, and sharpen your image-based question-solving skills.

Let’s dive in and supercharge your Orthpaedics prep for FMGE 2025!

Q1. A 42-year-old woman laborer presented with visible, soft, and fluctuating swelling in front of the knee, over the patella and some discomfort or difficulty with knee movement, MRI findings are given below. What is the diagnosis?

1. Housemaid's knee
2. Subdermal abscess
3. Gout
4. Rheumatoid arthritis

Answer A : Housemaid's knee

Q2. Which nerve will be involved in the following finding on rest?

1. Ulnar
2. Median
3. Musculocutaneous
4. None

Answer A: Ulnar

Q3. A 20-year-old male patient presented with localized pain, which is gradual in onset and worsened over time. X-ray showed the following finding. What is the diagnosis?

1. Osteosarcoma
2. Ewing sarcoma
3. Chondrosarcoma
4. Gout

Answer A: Osteosarcoma

Q4. Identify the instrument:

1. Bohler braun splint
2. Thomas splint
3. Volkmann splint
4. Cramer wire

 Answer A: Bohler braun splint

Q5. A 22-year-old male presents with pain and swelling over the distal radius. X-ray shows an expansile lytic lesion in the metaphysis. Fine needle aspiration (FNA) reveals a bloody aspirate with hemosiderin-laden macrophages. What is the most likely diagnosis?

1. Giant cell tumor
2.  Aneurysmal bone cyst
3.  Osteosarcoma
4. Chondroblastoma

 Answer: B) Aneurysmal bone cyst

Q6. A patient has a painless, palpable bony mass near the metaphysis of a long bone. X-ray done shows the following finding. What is the most probable diagnosis?

1. Osteosarcoma
2. Multiple myeloma
3. Osteochondroma
4. Osteoid osteoma

 Answer C - Osteochondroma

Q7. Which of the following nerves is damaged in the picture of the patient given below?

1. Radial nerve
2. Ulnar nerve
3. Median nerve
4. Axillary nerve

 Answer: A - Radial nerve

Q8. What condition is shown in the image?

1. Biceps tendon rupture
2. Triceps muscle rupture
3. Humerus fracture
4. Tennis elbow 

Answer:  A - Biceps tendon rupture

Q9. An 11-year-old patient presents with an outward angulation of the forearm in relation to the upper arm. The patient reports occasional discomfort and limitation in the range of motion of the affected arm. What is the most likely diagnosis for this patient's condition?

1. Cubitus varus
2. Cubitus valgus
3. Gunstock deformity
4. Coxa vara

Answer: B - Cubitus valgus

Q10. A 14-year-old patient presents to the outpatient department with a noticeable deformity of the neck and upper back. On physical examination, the patient's scapula is observed to be elevated and medially rotated, giving it the appearance of an equilateral triangle. The patient also has limited neck mobility. The patient and their family report that the deformity has been present since birth and has not improved over time. What is the likely diagnosis for this patient's condition?

1. Separated shoulder deformity
2. Torticollis
3. Klippel-Feil deformity
4. Congenital scoliosis

Answer:  C - Klippel-Feil deformity

Q11. Blount Disease results from the  involvement of

1. Proximal tibia
2. Distal tibia
3. Proximal femur
4. Distal femur

Answer:  A - Proximal Tibia

Q12. Which joints are affected in a condition where the distal interphalangeal (DIP) and proximal interphalangeal (PIP) joints are involved, while the metacarpophalangeal (MCP) joints and wrist are spared?

1. Osteoarthritis
2. Rheumatoid arthritis
3. Psoriasis
4. Hyperparathyroidism

Answer:  A - Osteoarthritis

Q13. What is the medical condition of a tennis player who is able to repeatedly and independently reduce a shoulder dislocation?

1. Acute shoulder dislocation
2. Recurrent shoulder dislocation
3. Inferior shoulder dislocation
4. Fracture upper end humerus

Answer B: Recurrent shoulder dislocation

Q14. A 35 year old man, when presented with a gradual progressive swelling , was diagnosed with  Adamantinoma. Which of the following bone  is typically affected by this tumor?

1. Radius
2. Humerus
3. Femur
4. Tibia

Answer:  D - Tibia

Q15. A 34-year-old woman comes to the emergency department after a road traffic accident. She was a non-restrained passenger in a car. She has pain in her neck and difficulty in neck movements. She has no associated neurological deficits. A neck collar is applied to protect the spinal cord. An X-ray of the neck is shown in the image below. Which of the following is the most likely diagnosis?

1. Hangman fracture
2. Jefferson's fracture
3. Clay shoveler fracture
4. Sciwora

 Answer: A - Hangman Fracture

Q16. Albers Schonberg disease is:

1. Paget
2. Osteogenesis imperfecta
3. Osteoporosis
4. Osteopetrosis

Answer:  D - Osteopetrosis

Q17. A 25 year old Volleyball player presents to your OPD with injury to the thumb ,along with pain, swelling, and tenderness at the base of the thumb. On examination the thumb is in the position of abduction. Which of the following is the diagnosis of the presenting condition?

1. Game keepers thumb
2. Bowler's thumb
3. Kaplan injury
4. Mallet finger

Answer:  A - Game Keepers Thumb

Q18. A child presents to the orthopedic OPD with a limp and limb shortening. His X-ray is given below, What is the diagnosis?

1. Perthes
2. SCFE
3. DDH
4. Fracture neck of femur

Answer:  C - DDH

Q19. What is the medical condition of a tennis player who is able to repeatedly and independently reduce a shoulder dislocation?

1. Acute shoulder dislocation
2. Recurrent shoulder dislocation
3. Inferior shoulder dislocation
4.  Fracture upper end humerus

 Answer: B) Recurrent Shoulder Dislocation

Q20. A 25 year old Volleyball player presents to your OPD with injury to the thumb,along with pain, swelling, and tenderness at the base of the thumb. On examination the thumb is in the position of abduction. Which of the following is the diagnosis of the presenting condition?

1. Game keepers thumb
2. Bowler's thumb
3. Kaplan injury
4. Mallet finger

 Answer: A) Game keepers thumb

Q21. Blount Disease results from the involvement of

1.  Proximal tibia
2. Distal tibia
3. Proximal femur
4. Distal femur

Answer: A) Proximal tibia

Q22. Which joints are affected in a condition where the distal interphalangeal (DIP) and proximal interphalangeal (PIP) joints are involved, while the metacarpophalangeal (MCP) joints and wrist are spared?

1. Osteoarthritis
2. Rheumatoid arthritis
3.  Psoriasis
4. Hyperparathyroidism

Answer: A) Osteoarthritis

Q23. A 35 year old man presented with a gradual progressive swelling, and was diagnosed with Adamantinoma. Which of the following bones is typically affected by this tumor?

1. Radius
2. Humerus
3. Femur 
4. Tibia

 Answer: D) Tibia

Q24. A 34-year-old woman comes to the emergency department after a road traffic accident. She was a non-restrained passenger in a car. She has pain in her neck and difficulty in neck movements. She has no associated neurological deficits. A neck collar is applied to protect the spinal cord. An X-ray of the neck is shown in the image below. Which of the following is the most likely diagnosis?

1. Hangman fracture
2. Jefferson's fracture
3. Clay Shveler fracture
4. Sciwora

Answer: A) Hangman fracture

Q25. A child presents to the orthopedic OPD with a limp and limb shortening. His X-ray is given below, What is the diagnosis?

1. Perthes
2. SCFE
3. DDH
4. Fracture neck of femur

 Answer: C) DDH

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