Feb 19, 2026

CLINICAL SCENARIO
Imagine a final-year intern taking the PG exam on August 30, 2026. She has studied for 14 months. The first 20 questions throw her off. Three clinical vignettes test topics she didn't quite cover. Managing postpartum hemorrhage, differentiating tubular acidosis, and a dermoscopy question on melanoma. She freezes.
Meanwhile, another candidate across the hall is confident. He had seen these patterns in his previous year's question analysis and practiced them during revision. He finishes with over 185 attempts.
What makes the difference between them?
Not the number of hours they studied. What they studied. If you're preparing for PG 2026, this article will guide you to become the second candidate. Let's break down the high-yield topics you need to focus on.
QUICK ANSWER. NEET PG 2026 STRATEGY
Exam Date: August 30, 2026. The exam format includes 200 multiple-choice questions divided into 5 sections of 40 questions each. You have 42 minutes per section. The total marks are 800 with +4 for answers and -1 for incorrect ones.
The subjects with the weightage are Surgery with around 23 questions, Medicine with around 21 questions, and OBG with around 19 questions. Most questions are vignettes (32%) and integrated questions (21%). 30% Of questions are repeated from previous years.
Over 2.4 lakh candidates are vying for 45,000 PG seats across the country. The exam pattern has changed a lot from 2023 to 2025. Now it focuses more on reasoning rather than simple one-liners. The questions are becoming more integrated, combining subjects.
The exam conducting body, NBEMS, prefers a format: a clinical case with an image and lab results, asking for the most likely diagnosis or the next best step. In 2025, subjects like OBG, PSM, Microbiology, and Ophthalmology were given importance.
For 2026, expect more complex questions that test multiple subjects at once, like Medicine, Pharmacology, and Pathology together. New health programs like NTEP, NPCDCS, and Ayushman Bharat PM-JAY are likely to be asked questions about.
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Focusing on the right topics is key. From my 25 years of experience in coaching PG aspirants, I have seen that top performers do one thing differently: they master a small portion of the content that generates most of the questions. Here is a subject-by-subject breakdown of the important topics for the August 2026 exam.
The NEET PG 2025 paper had a lot of questions about Medicine, about the heart, and things like that. For 2026, you should really know about ketoacidosis and hyperosmolar hyperglycemic state. What makes them different? You should also know how to understand thyroid function tests, what rheumatic fever is, and how to treat coronary syndrome.
You need to know about kidney disease and how it is staged. You need to know about hepatitis B. What the different tests mean. This has been on the test a lot, 6 out of the 10 times.
A lot of students get confused about hepatitis B. They mix up the window period and the markers for infection. The thing that makes them different is if someone just has HBc IgM. This is something that NBEMS likes to test.
If you want to be one of the students, you should know about the new rules for hypertension from the WHO. You should also know about the guidelines for lipids from the ACC/AHA. You should read the new version of Harrison's. It has updates on heart failure and new medicines, like dapagliflozin and empagliflozin. These are things to know for the test.
Surgery has the questions in the entire paper. About 23 questions, including Orthopedics. The NEET PG 2025 paper had a lot of questions on GI surgery and neoplasia, based on what students remember. We think this will keep happening.
Image Alert: You should practice looking at pictures like CT scans for abdominal problems, mammograms for breast problems, and barium tests for blockages. It is not enough to know what is wrong; you need to be able to point out the specific sign in the picture.
NBEMS Trap Alert: Be careful when answering questions about burn treatment. Some students make a mistake when using the Parkland formula to calculate how much fluid to give someone with burns. They think you start counting from when the person gets to the hospital. You actually start counting from when the person got burned. This can cost you 4 marks.
In the PG 2025 Obstetrics and Gynecology saw a big increase in importance, with around 19 questions. The topics that were most asked about were postpartum hemorrhage, the protocols for taking care of women, and how to manage ectopic pregnancies.
Must Know Topics: These include how to manage postpartum hemorrhage, which is done in a step-by-step way, starting with oxytocin, methylergometrine, then carboprost, then B-Lynch suture, and finally hysterectomy.
This is a way to ask questions, so you should know it well. You should also know the difference between pre-eclampsia and eclampsia, including how to diagnose them and how much magnesium sulfate to give, using either the Pritchard or Zuspan method.
Other important topics in Obstetrics and Gynecology include the criteria for diagnosing PCOD, which is based on the Rotterdam criteria, how to screen for cancer, which can be done using VIA, Pap, or HPV DNA tests, and which contraceptive drug to use in different situations.
In the context of India, it is also important to know about the guidelines under the Janani Shishu Suraksha Karyakram and LaQshya programs, which are related to the quality of labor rooms. You should know what benefits are available under these programs, such as drugs, tests, food, transport, and blood.
Contraindications: It is very important to remember that methylergometrine should not be used in patients with high blood pressure or pre-eclampsia. This is a common question in the NEET PG exam, where you are asked which drug is not used to treat postpartum hemorrhage in a patient with high blood pressure, and the answer is always methylergometrine.
The main things to focus on in Pathology are:
Pharmacology is a subject that overlaps with every other clinical subject. For example, a question about a patient might test your knowledge of Pharmacology regarding metformin contraindications, as well as your knowledge of Medicine.
Key things to know for Pharmacology: lists of the medicines for certain conditions, choosing the right antiepileptic medicine based on the type of seizure, selecting anti-hypertensive medicines based on other health conditions a patient has, understanding how different antibiotics work and their resistance patterns, knowing about interactions between different medicines, and being aware of common bad reactions to certain medicines.
Important Trap to Avoid: Rifampicin is a medicine that can make other medicines work less well. It can affect the working of contraceptives, warfarin, and cyclosporine. A typical question might describe a situation where a transplant patient taking cyclosporine starts rejecting the organ after beginning ATT. The answer lies in understanding how rifampicin interacts with cyclosporine. The 9th edition of KDT explains this in detail.
There are some areas that you should focus on to get marks. These include Biostatistics, which is the study of numbers in medicine. You should know about things like sensitivity and specificity, and how to design a study. The people who make the exam questions are asking more about biostatistics every year.
You should also know about the National Health Programs in India. For example, you should know about the names and terms used in these programs, like NTEP, which replaced RNTCP. You should know about the DOTS-Plus protocol and the different medicines used to treat diseases. Other important programs include NVBDCP, NPCDCS, and NMEP.
Preventive and Social Medicine also includes the study of how diseases spread. You should know about things like measles and polio and how India is working to eliminate these diseases. You should also know about the vaccines that are available, like PCV, RVV, and the MR vaccine. These vaccines are very important. Are likely to be asked about in the exam.
You should also know some facts about the population of India. For example, you should know that the total fertility rate or TFR is 2.0 according to the NFHS-5 survey.
You should also know that the infant mortality rate, or IMR, is 28 per 1000 live births and that the maternal mortality rate, or MMR, is around 97 per lakh. These numbers are often asked about in the exam, so it is a good idea to memorize them.
The questions are now more linked to life clinical cases. For instance, a question on pneumonia might test your knowledge of the germ that causes it, how it appears under a microscope, the way to grow it in a lab, and which medicines can kill it.
The main areas to focus on are: understanding Gram stain results and how they relate to germs and treatments knowing the right food to grow different germs in a lab (like Löwenstein-Jensen for TB, Thayer-Martin for gonococcus and TCBS for Vibrio) understanding the different tests for viral hepatitis knowing the details about HIV testing (like window period, ELISA, Western blot, NAAT and NACO guidelines) being able to tell different malaria parasites apart (like P. Falciparum and P. Vivax which come up almost every year) and understanding fungal infections in people, with weak immune systems.
Preclinical subjects are very important for PG 2025. The analysis shows that these subjects are now being tested in a practical way with questions that apply to real-life clinical scenarios rather than just straightforward recall.
Anatomy Focus: Anatomy was considered tough in 2025 with questions that required a clinical understanding, as well as the ability to interpret images used in Radiology. Key areas of focus in Anatomy included Neuroanatomy, where questions were asked about damage to nerves and the blood supply to the brain.
For example, a question might ask which artery blockage causes a problem. Other areas of focus were embryology, where questions were about birth defects linked to issues during development, such as tracheoesophageal fistula, Meckel's diverticulum, and horseshoe kidney, and cross-sectional Anatomy as it relates to Radiology.
Physiology Focus: Physiology, the main areas tested were Cardiac Physiology, with questions that combined knowledge of the Wiggers diagram and the cardiac cycle with ECG interpretations. Other areas included physiology, where questions were about how the Glomerular Filtration Rate is controlled, the countercurrent mechanism, and differentiating between various Renal Tubular Acidosis types.
Respiratory Physiology was also tested, the oxygen-hemoglobin dissociation curve, which is a favorite topic of NBEMS, often with a clinical application.
Biochemistry focused on metabolic pathways, such as deficiencies in glycolysis enzymes and disorders of the urea cycle. It also tested knowledge on storage diseases like Gaucher's, Niemann-Pick, and Tay-Sachs diseases, requiring information on the enzyme involved, the substance that builds up, and the inheritance pattern.
Molecular Biology was another area with questions, on DNA repair mechanisms and different types of PCR, which is increasingly being tested under the topic of advances.

These include Ophthalmology and ENT, Dermatology, Psychiatry, Anesthesia, Radiology, Orthopedics, and Forensic Medicine. All these subjects together have around 40 to 50 questions. From what I have seen while teaching, the students who do well in exams consider these subjects to be easy to score. If you study these subjects for two weeks, you can easily get more than 30 marks.
R — Revise PYQ themes (30% repeat rate)
A — Ace the short subjects (easy 40+ marks)
N — National programs are non-negotiable
K — Know your drug of choice lists cold
S — Sharpen image interpretation skills
M — Master differential diagnosis tables
A — Apply concepts clinically (no rote recall)
R — Recent guidelines are 2026 question sources
T — Time your practice (42 min/section discipline)
Parkland formula: 4 mL × body weight (kg) × %TBSA burned (first 24 hours)
Magnesium sulfate toxicity: Loss of deep tendon reflexes at >8 mEq/L, respiratory arrest at >12 mEq/L
GFR staging (CKD): Stage 3a = 45–59, Stage 3b = 30–44, Stage 4 = 15–29, Stage 5 = <15
Bishop's score ≥6 → favorable for induction of labor
CD4 count <200 → AIDS-defining, start prophylaxis for Pneumocystis
We looked at NEET PG papers from 2020 to 2025. Found the themes that are most often repeated.
For 2026, we predict that at least 55% of the paper will need clinical reasoning. This is because there is a trend towards clinical integration, and in 2025, 32% of the questions were purely clinical and 21% were integrated.
To prepare, look at every topic with a "case study lens". Of just knowing the drug of choice, be ready to answer "A patient has these symptoms, what treatment do you give and why?"

The subjects that are really important for PG 2026 are Surgery, Medicine, and OBG. Surgery has 23 questions, Medicine has around 21 questions, and OBG has around 19 questions; together Surgery, Medicine, and OBG have over 60 questions. This is one-third of the entire paper.
30 percent of the questions in NEET PG are the same as the questions from previous years. This means that practicing with years of questions is a very good idea. It can really help you prepare for PG.
You should focus on important topics. These topics are lists of medicines, diagnostic criteria, national health programs, and questions with images. These topics are important in all subjects. If you focus on these topics, you can get 60 to 80 marks. You should also review the subjects. This can help you get 30 to 40 marks.
Yes — NBEMS has been steadily increasing biostatistics and research methodology questions. Expect 5–8 questions on sensitivity, specificity, study designs, and statistical tests. These are straightforward marks if you invest 3–4 focused days on the topic.
Use the 3-pass method: First pass for concept clarity (5–6 months out), second pass for rapid revision with notes and tables (2–3 months out), third pass for PYQs and Grand Tests (final month). Prioritize subjects by their question count, not by your comfort level.
Image-based questions accounted for approximately 18% of the NEET PG 2025 paper — that's roughly 36 questions or 144 marks. Radiology, Ophthalmology, Pathology, histopathology, and Dermatology clinical photos are the primary image sources. Practicing image interpretation is no longer optional.
Absolutely. NBEMS reserves a portion of questions for recent guideline updates and newer drugs. For 2026, focus on SGLT2 inhibitors in heart failure, updated TB regimens under NTEP, newer vaccines in UIP (PCV, RVV), and revised WHO classifications published in 2024–2025.
The exam does not give a grade to the student who studies a lot. It gives a good grade to the student who studies the right things and practices using them when they are very important. In my experience of teaching more than thirty groups of NEET PG students who did very well, I found that the students who did very well in the exam and got a rank under one thousand have one thing in common: they studied the most important topics, not just the topics in the order they appear in the book.
They know that sixty to seventy questions in every NEET PG exam paper come from the fifty topics, but are asked in slightly different ways each year. If you learn these fifty topics in all subjects, practice answering questions that include stories about patients.
You will feel confident when you take the exam on August 30, 2026, and this confidence can help you get a much better rank. Every single topic in this article has been asked in NBEMS exams. Use this article to guide your studying.
Do you want to watch videos that explain things, practice with questions that are like the ones on the NBEMS exam, and take big tests that cover every important topic mentioned above?
PrepLadders NEET PG course has videos with 3D pictures, a question bank for each subject, and classes taught by teachers that focus on the important topics and are designed to help you do well on the exam.
If you’re looking to strengthen your final prep, don’t miss out on Rapid Revision Reignite in Question-Answer format by PrepLadder. It’s designed to help Medical PG aspirants cover the entire syllabus quickly with concise notes in a Question-Answer format, high-yield MCQs, and expert-led revision videos—perfect for last-minute reinforcement before the exam.

Access all the necessary resources you need to succeed in your competitive exam preparation. Stay informed with the latest news and updates on the upcoming exam, enhance your exam preparation, and transform your dreams into a reality!
General Medicine - 21 questions
NBEMS TRAP ALERT:
General Surgery: The Applied Science Giant (23 Questions)
Obstetrics and Gynecology -Rising Star with around 19 questions.
Pathology -15 questions
Pharmacology. The Mark Multiplier (around 14 Questions)
Preventive and Social Medicine-15 questions
Microbiology-12 questions
Pre-clinical Trio: Anatomy, Physiology, and Biochemistry (40-45 questions)
HIGH-YIELD RAPID RECALL
Key Numbers to Memorize
What are the important subjects for NEET PG 2026?
How many questions in PG are repeated from previous years?
What topics should I focus on in the 3 months before NEET PG 2026?
Is Biostatistics important for NEET PG 2026?
What is the best revision strategy for NEET-PG 2026?
How important are image-based questions in NEET PG 2026?
Should I focus on recent advances for NEET PG 2026?
STEPS FOR YOUR NEET PG 2026 PREP
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