Last 5-Year PYQs in Radiology 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-intensive subject, plays a crucial role in your FMGE success. It covers X-ray, CT, MRI, ultrasound, nuclear medicine, and interventional radiology — making both visual recognition and conceptual clarity essential.

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, correct common errors, and sharpen your image-based question-solving skills.

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

Q1. A patient presents with a neck mass and laboratory findings of increased T4 and decreased TSH. The patient has a history of I-131 ablation therapy. Which of the following is a likely side effect of the treatment?

1. Acute Thyroiditis
2. Hypothyroidism
3. Hyperthyroidism
4. Thyroid Storm

Answer: 3) Hyperthyroidism

Q2. Which of the following methods is used to measure fetal anemia?

1. Umbilical artery Doppler
2. Cord blood sampling
3. Chorionic villus sampling
4. Peak systolic velocity in the fetal middle cerebral artery (MCA)

Answer 4: Peak systolic velocity in the fetal middle cerebral artery (MCA)

Q3. A 70-year-old patient presents with absolute constipation and abdominal distension. And the X-ray abdomen is given below. What is the most likely diagnosis?

1. Caecal Volvulus
2. Sigmoid Volvulus
3. Intestinal Obstruction
4. Small Bowel Volvulus

 Answer 2: Sigmoid Volvulus

Q4. Which of the following is a primary use of this imaging modality?

1. Staging of esophageal cancer
2. Evaluation of gastroesophageal reflux disease (GERD)
3. Identifying the cause of dysphagia
4. Assessing cardiac and aortic pathology

Answer 1) Staging of esophageal cancer

Q5. What is the investigation shown in the image?

1. Intravenous Pyelogram (IVP)
2. Retrograde Pyelogram
3. Computed Tomography (CT) Urography
4. Magnetic Resonance Urography

Answer 1: Intravenous Pyelogram (IVP)

Q6. A 55-year-old female patient presents to the emergency department with chills and rigors. She has acute pain in right flank region. The imaging is shown below. What is the most likely diagnosis?

1. Cholecystitis
2. Emphysematous pyelonephritis
3. Small bowel obstruction
4. Volvulus

 Answer:  B - Emphysematous pyelonephritis

Q7. A newborn presents with bilious vomiting. Which sign is depicted in the following radiograph?

1. Double bubble sign
2. Air crescent sign
3. Cupola sign
4. Triple bubble sign

 Answer A - Double bubble sign

Q8. A patient presented with a head injury after a hammer fell on the skull. CT is shown below. What is the likely diagnosis?

1. Concussion
2. Epidural hematoma
3. Depressed skull fracture
4. Subarachnoid hemorrhage

Answer:  C - Depressed skull fracture

Q9. A 28-year-old patient presents with recurrent urinary tract infections and left flank pain. CT scan of the abdomen was performed and the image is shown below. What is the likely diagnosis?

1. Horseshoe kidney
2. Polycystic kidney disease
3. Renal ectopia
4. Hydronephrosis

Answer:  1 - Horseshoe kidney

Q10. Identify the pathology in the shown CT:

1. Intraventricular bleed
2. Massive Epidural hemorrhage
3. Subdural hemorrhage
4. Subarachnoid hemorrhage

 Answer B: Massive Epidural hemorrhage

Q11. Identify the sign?

1. Claw sign
2. Target sign
3. Coffee bean sign
4. Lead pipe sign

Answer B: Target sign

Q12. Which of the subsequent investigations operate based on the same principle?

1. CT and MRI
2. CT and X-ray
3. USG and HIDA Scan
4. MRI and PET Scan

Answer:  B CT and X-ray

Q13. Investigation of choice for GERD:

1. USG
2. HIDA
3. Manometry
4. 24 hour pH monitoring

Answer: D 24 hour pH monitoring

Q14. What is the probable diagnosis for a 36-year-old farmer who presented with a cough, chest pain lasting one week, fatigue persisting for a month, and a chest x-ray revealing the image provided below?

1. Hydatid cyst
2. Anthrax
3. Silicosis
4. Byssinosis

 Answer: A) Hydatid cyst

Q15. A 13-year-old boy presents to you with a limitation of abduction and internal rotation of the left hip. The x-ray appearance of his left hip joint is shown in the below image. What is the diagnosis of this patient?

1. Slipped capital femoral epiphysis
2. Perthes disease
3. Development of dysplasia of the hip
4. Ankylosing spondylitis

Answer: A) Slipped capital femoral epiphysis

Q16. What is the likely diagnosis for a 20-year-old male who presents with pain in the right flank, along with fever and chills? The patient experiences pain when the hip is passively extended on the right side. Lab tests indicate an increased white blood cell count, and a CT scan reveals specific findings.

1. Pyelonephritis
2. Psoas abscess
3. Appendicitis
4. Torsion of right undescended testis

 Answer: B) Psoas abscess

Q17. Identify the labelled structure in the image?

1. Midbrain
2. Pons
3. Medulla
4. Cerebellum

 Answer: A) Midbrain

Q18. Please identify the structure labelled 'X' in the given ultrasound image of the liver.

1. Portal vein
2. Hepatic artery
3. Hepatic vein
4. Inferior vena cava

Answer : A) Portal Vein

Q19. Please provide your analysis of the diagnosis based on the CT scan of the chest displayed below.

1. Aortic dissection
2. Pulmonary embolism
3. Cardiac myxoma
4. Aortic aneurysm
   

 Answer:  A - Aortic dissection

Q20. A 55 year old male patient presented with complaints of dyspnea with congestive heart failure . The clinician wants to know whether it's HF with preserved EF or reduced EF. Which of the below investigations is used for calculation of ejection fraction ?

1. MUGA
2. SPECT using thallium 201
3. PET myocardial perfusion imaging
4. Sestamibi scan with pharmacological stress

Answer A: MUGA

Q21. Which of the following images accurately represents the medical condition described in the given scenario?

1. Diaphragmatic hernia
2. Intestinal obstruction
3. Pleural effusion
4. Pneumonia

Answer A:  Diaphragmatic hernia

Q22. In which of the following scans does maximum radiation exposure occur?

1. X-ray abdomen
2. Chest X ray
3. IV pyelography
4. CT

Answer: CT

Q23. What is the structure indicated by the arrowhead in the image provided?

1. Esophagus
2. Pulmonary artery
3. Trachea
4. Left atrium

Answer : C -  Trachea

Q24. The patient presented with dyspnea and the X-ray indicates:

1. Consolidation
2. Exudative pleural effusion
3. Pneumothorax
4. Hydropneumothorax

Answer : B - Exudative pleural effusion

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