Last 5-Year PYQs in Surgery 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).

Surgery, being a vast and clinically oriented subject, plays a pivotal role in your FMGE success. It covers general surgery principles, trauma, gastrointestinal surgery, urology, orthopedics, and surgical subspecialties — making both conceptual understanding and memory-based recall 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 Surgery PYQs that have been repeatedly tested in FMGE, along with detailed explanations to help you revise efficiently, avoid common mistakes, and retain key concepts for longer.

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

Q1. In a follow-up case of prostate cancer, what do we need to check?

1. Alkaline phosphatase
2. PSA
3. Testosterone
4. Acid phosphatase

Answer: 2) PSA

Q2. A newborn male presents with urinary retention, lethargy and a distended bladder. Antenatal ultrasound showed a "keyhole sign" with a thickened bladder wall. Which of the following is the most likely diagnosis?

1. Hypospadias
2. Vesicoureteral reflux
3. Posterior urethral valves
4. Neurogenic bladder

Answer: 3) Posterior urethral valves

Also Read: Last 5 year PYQs in PSM for FMGE

Q3. A patient presents to the emergency department with confusion. On examination, he opens his eyes to pain, shows abnormal flexion to pain, and is disoriented in speech. What is his Glasgow Coma Scale (GCS) score?

1. 11
2. 12
3. 10
4. 9

 Answer: 4) 9

Q4. A 20-year-old male presents to the outpatient department with a swelling on his wrist. He reports fluctuation in size, mild numbness in the hand, and occasional pain. What is the most likely diagnosis?

1. Lipoma
2. Ganglion cyst
3. Dermoid cyst
4. Hematoma

Answer: 2) Ganglion cyst

Q5. A 34-year-old male undergoes an open appendectomy for acute appendicitis. The choice of incision was McBurney's incision. Postoperatively, after a few days, he presents with pain and bulging in the right lower quadrant, which is diagnosed as an indirect inguinal hernia. Which nerve injury during the appendectomy is most likely responsible for this complication?

1. Ilioinguinal nerve
2. Femoral nerve
3. Genitofemoral nerve
4. Pudendal nerve

  Answer: 1) Ilioinguinal nerve

Q6. A 56-year-old female was treated for a burn wound in the lower limb 5 years ago. Now she has developed an ulcer in the burn scar as shown in the image below. What is the most probable diagnosis ?

1. Marjolin’s ulcer
2. Venous ulcer
3. Arterial ulcer
4. Cellulitis

Answer: 1 - Marjolin’s ulcer

Q7. A 55-year-old male presents with complaints of dysphagia, halitosis, and regurgitation. Radiological imaging shows a blind pouch at the level of the pharynx. What is the likely diagnosis?

1. Pulsion diverticula
2. Achalasia cardia
3. CA Esophagus
4. GERD

Answer: 1 - Pulsion Diverticula

Q8. ABCD² scoring includes all the following parameters except?

1. Age
2. Hypertension
3. History of stroke
4.  Diabetes Mellitus

Answer: 3 - History of stroke 

Q9. A 60-year-old man, a smoker, presented to the OPD with complaints of fatigue. He is known to be anemic and his sister had a history of endometrial cancer. The physician is considering appropriate colorectal cancer screening methods for this patient. Which screening method should be recommended for colorectal malignancy in this patient?

1. Barium enema
2. Colonoscopy every 10 years
3. Check for occult blood in stool
4. Flexible sigmoidoscopy yearly

 Answer:  2 - Colonoscopy every 10 years

Q10. During a complicated delivery, a mother died. Which of the following is the most common direct cause of maternal death?

1. Embolism
2. Heart Disease
3. Hemorrhage
4. Anemia

 Answer:  3 - Hemorrhage

Q11. Cut off for diagnosis of Priapism?

1. 1 hour
2. 2 hours
3. 3 hours
4. 4 hours

Answer:  4 - 4 hours

Q12. Most common immediate complication of splenectomy:

1. Hemorrhage
2. Fistula
3. Bleeding from gastric mucosa
4. Pancreatitis

Answer: 1 - Hemorrhage

Q13. A 6-year-old child is brought with a high fever with rigors for 5 days with pain in the right hypochondrium. On examination, the patient is anicteric, and tenderness is noted in the right upper quadrant. What is the best investigation for this case?

1. USG
2. Serology
3. SGOT/LFT
4. CECT

 Answer: 2 - Serology

Q14. Comment on the diagnosis of this 60 years of man:

1. Basal cell carcinoma
2. Plunging Ranula
3. Epulis
4. SCC of lip

 Answer:  4 - SCC of lip

Also read: Last 5 Year PYQs in Microbiology for FMGE

Q15. What is the most effective treatment approach for anal canal carcinoma?

1. Chemoradiation
2. Surgery
3. Radiation Therapy
4. Chemotherapy

 Answer: 1 - Chemoradiation

Q16. A middle-aged man presents with a gradual onset of swallowing difficulties for both solid and liquid foods, persisting for 8 months. The barium swallow test results are presented below. The patient undergoes upper gastrointestinal endoscopy and manometry. Which of the following statements is not true regarding this condition?

1. Loss of lower esophageal sphincter pressure causing reflux
2. <75% relaxation of the lower esophageal sphincter
3. It is a primary motility disorder
4. Esophageal peristalsis is absent

 Answer: 1) Loss of lower esophageal sphincter pressure causing reflux

Q17. According to GCS, a verbal score of 1 indicates:

1. No Verbal response
2. Inappropriate words
3. Incomprehensible sounds
4. Oriented response

 Answer: 1) No Verbal response

Also read: Last 5 Year PYQs in Ophthalmology for FMGE​

Q18. What would be the subsequent course of action for managing a 35-year-old woman who has been experiencing swelling in her right groin for the past six months, as determined during her arrival at the emergency department? Upon examination, a reducible hernia is observed in the right groin without any signs of strangulation.

1. Exploratory laparotomy
2. Reduce the swelling and later observe
3. Reduce the swelling and do elective surgery
4.  Do a CT abdomen

 Answer: 3) Reduce the swelling and do elective surgery

Q19. What would be the appropriate course of action for managing a 25-year-old male patient who was brought to the emergency department after a road traffic accident (RTA)? The patient has a respiratory rate of 25 breaths per minute and a blood pressure of 80/45 mmHg. During examination, hyper-resonance is detected over the left side of the chest. The provided chest x-ray is shown below.

1. Wide bore needle insertion in the right 5th ICS
2. Wide bore needle insertion in the left 5th ICS followed by an intercostal drain
3. Aspiration of the pleural fluid
4. No intervention is needed

 Answer: 2) Wide bore needle insertion in the left 5th ICS followed by an intercostal drain

Also read: Last 5 Year PYQs in Pediatrics for FMGE

Q20. A 65-year-old man presented to his primary care physician with a 3-month history of increasing urinary frequency without burning and nocturia four times each day. He has limited his fluid consumption and caffeine intake in the evening without much benefit. On prostate examination, the swelling was palpated with a smooth surface, and a firm, non-tender rubber-like consistency was found. The physician thinks of benign prostate hypertrophy. All are characteristic features of benign prostate hypertrophy except:

1. Increased trabeculations in the bladder
2. J-shaped/ fish hook proximal ureter
3. J-shaped/ fish hook distal ureters
4. Bilateral hydronephrosis

Answer: 1) Increased trabeculations in the bladder

Also read: FMGE Previous Year Question Papers

Q21. In a patient experiencing excessive bleeding, with limbs displaying low temperature and reduced central venous pressure (CVP), what type of shock is observed?

1. Cardiogenic shock
2. Hypovolemic shock
3. Obstructive shock
4. Hypo adrenal shock

Answer: 2) Hypovolemic shock

Q22. In traumatic cases, shock is most likely due to:

1. Injury to intra-abdominal solid organ
2. Head injury
3. Septicemia
4. Cardiac failure

Answer: 1 - Injury to intra-abdominal solid organ

Also Read: Last 5-Year PYQs in Pharmacology for FMGE

Q23. All of the following are features of Zollinger-Ellison syndrome except:

1. Intractable peptic ulcers
2. Severe diarrhea
3. Arise from beta cell tumors of the pancreas
4. Very high acid output

 Answer:  3 - Arise from beta cell tumors of the pancreas

Q24. Most common type of intussusception:

1. Colocolic
2. Ileoileal
3. Ileocolic
4. Ileal

Answer: 3 - Ileocolic

Q25. Serum acid phosphate is raised in:

1. Osteosarcoma
2. Prostatic carcinoma
3. Paget's disease
4. Hyperparathyroidism

 Answer:  2 - Prostatic carcinoma

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