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NEET PG 2026 - Zero to 400: Your Complete Battle Plan

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SUBJECT-WISE WEIGHTAGE (NEET PG Pattern)

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3-MONTH STUDY PLAN (July 10 - Oct 10)

MONTH 1 (July 10 - Aug 10): Foundation Sprint

• Focus ONLY on: Autonomic drugs, Antimicrobials, CVS drugs, CNS drugs, Anticancer
• High-yield topics: Beta blocker uses/contraindications, Penicillin MOA/resistance, Statins, Antiepileptics
• Resource: GOBIND RAI GARG (standard for PG)

• Focus: Cell injury, Inflammation, Neoplasia, Hematology, Cardiovascular pathology
• High-yield: Reed-Sternberg cell, Amyloid types, Tumor markers, Hyperplasia vs Hypertrophy

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MONTH 2 (Aug 10 - Sep 10): Heavy Hitters

• High-yield: Rheumatology (RA, SLE criteria), Cardiology (MI, HF management), Endocrinology (DM, thyroid), Nephrology (GN patterns)
• Focus on clinical scenario Qs - NEET PG loves these

• High-yield: Hernia types, Ca stomach/colon staging, Thyroid surgery, Breast carcinoma, Head injury Glasgow Scale

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MONTH 3 (Sep 10 - Oct 10): Completion + Revision

• High-yield: Bishop score, Placenta previa, PCOS criteria, Gynaec cancers staging, Contraception

• PSM: Vaccine schedule, Epidemiology stats (sensitivity/specificity), National programs
• Pediatrics: Milestones, Nutritional disorders, Congenital anomalies

• Anatomy, Physiology, Biochemistry, ENT, Ophthalmology, Skin, Ortho, Radiology

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HIGH-YIELD NOTES BY SUBJECT

PHARMACOLOGY - Must-Know Topics

• Alpha-1 blocker = Prazosin (used in BPH + hypertension)
• Beta-1 selective = Metoprolol, Atenolol (safe in asthma)
• Beta blocker contraindicated in: Asthma, 2nd/3rd degree AV block, Prinzmetal angina
• Atropine MOA: Muscarinic antagonist → blocks vagus → increases HR

• Penicillin: Inhibits cell wall synthesis (transpeptidase inhibition)
• Aminoglycosides: 30S ribosome, nephrotoxic + ototoxic, NOT in pregnancy
• Tetracyclines: 30S ribosome, chelates calcium, NOT in children < 8 years
• Chloramphenicol: 50S ribosome → Gray baby syndrome (in neonates)
• Fluoroquinolones: DNA gyrase inhibitor, NOT in children (cartilage damage)
• Metronidazole: Anaerobes + Protozoa, avoid alcohol (disulfiram reaction)

• Digoxin toxicity: Visual disturbance (yellow-green vision), Brady/heart block; antidote = Digibind
• Amiodarone: Multiple toxicities - Pulmonary fibrosis, Thyroid dysfunction, Corneal deposits, Photosensitivity
• Statins: HMG-CoA reductase inhibitor, side effect = Myopathy (check CPK)

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PATHOLOGY - Must-Know Topics

• AA amyloid = Secondary (chronic inflammation - TB, RA, Osteomyelitis)
• AL amyloid = Multiple myeloma (light chains)
• AB amyloid = Alzheimer's disease
• ATTR = Familial amyloidosis (Transthyretin)

• Hyperplasia = Increased NUMBER of cells (reversible)
• Hypertrophy = Increased SIZE of cells (reversible)
• Metaplasia = Reversible change (Barrett's esophagus: squamous → columnar)
• Dysplasia = Pre-malignant change
• Anaplasia = Highly malignant (no differentiation)

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MEDICINE - Must-Know Topics

• SLE (SLICC 2012): 4 of 11 criteria OR biopsy-proven lupus nephritis
• RA: ≥6 points (ACR/EULAR 2010) - joints, serology, duration, acute phase reactants
• DM (ADA): FBS ≥126, PPBS ≥200, HbA1c ≥6.5%, Random ≥200 with symptoms

• Anti-dsDNA + anti-Smith = SLE specific
• Anti-CCP = Most specific for RA (also anti-RF but less specific)
• Anti-Scl-70 = Diffuse systemic sclerosis
• Anti-centromere = Limited systemic sclerosis (CREST)
• c-ANCA = Granulomatosis with polyangiitis (Wegener's)
• p-ANCA = Microscopic polyangiitis, Eosinophilic granulomatosis

• STEMI: PCI within 90 min (door-to-balloon) or thrombolysis within 30 min
• Aspirin + Clopidogrel dual antiplatelet = standard
• Absolute contraindication to thrombolysis: Prior hemorrhagic stroke, Active internal bleeding

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SURGERY - Must-Know Topics

• Direct inguinal hernia: Through Hesselbach triangle (medial to inferior epigastric vessels)
• Indirect inguinal hernia: Through deep inguinal ring (lateral to inferior epigastric), most common overall
• Femoral hernia: Below and lateral to pubic tubercle, most common in females, highest incarceration risk
• Richter's hernia: Only part of bowel wall in sac (no obstruction symptoms)
• Maydl's hernia: W-shaped loop in sac, segment inside abdomen is ischemic

• Recurrent laryngeal nerve injury → Hoarseness (unilateral), Aphonia (bilateral)
• Superior laryngeal nerve injury → Loss of high-pitched voice (external branch)
• Parathyroid injury → Hypocalcemia → Tetany

• Total: 3-15; <8 = intubate

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OBG - Must-Know Topics

• Components: Dilation, Effacement, Station, Consistency, Position
• Score ≥8 = favorable cervix, induction likely to succeed
• Score ≤4 = unfavorable, needs cervical ripening first

• Combined OCP: Contains estrogen + progestogen; contraindicated in smokers >35 yrs, thromboembolic disease, breast Ca
• Emergency contraception: Levonorgestrel 1.5 mg within 72 hrs
• IUCD: Copper T = most effective EC within 5 days; also used as long-term contraception

• Diagnosis: BP ≥140/90 after 20 weeks + Proteinuria ≥300 mg/24hrs
• Severe: BP ≥160/110 OR end-organ damage
• Management: MgSO4 for seizure prophylaxis (antidote = Calcium gluconate)
• Definitive treatment = Delivery

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PSM - Must-Know Topics

• Sensitivity = TP/(TP+FN) - ability to detect disease (rules OUT if negative)
• Specificity = TN/(TN+FP) - ability to rule out (rules IN if positive)
• PPV = TP/(TP+FP) - depends on prevalence
• NPV = TN/(TN+FN) - depends on prevalence
• Gold standard for sensitivity = Used to screen
• Gold standard for specificity = Used to confirm

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RESOURCES TO USE (Free + Fast)

1. Marrow / PrepLadder app - Best for NEET PG, do Subject-wise QBank
2. Previous Year Questions (PYQs) - Most important. Last 5 years = 60% of exam
3. ACROSS / DAMS notes - Compact, exam-focused notes
4. YouTube - Dr. Ajay Aggarwal / Marrow faculty - For video learning

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DAILY ROUTINE (For 3 months)

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STRATEGY FOR SCORING 400+

1. PYQs first - Solve last 5 years of NEET PG questions topic by topic. Pattern repeats.
2. One topic at a time - Don't jump. Finish Pharmacology fully before Surgery.
3. Mnemonics - Make short memory tricks for every list (I can give you more if you ask by subject).
4. No negative marking - Attempt ALL questions. Random guessing adds ~25% correct for attempted blanks.
5. Clinical Qs - Most NEET PG Qs are now clinical vignette-based. Practice identifying: "What is the diagnosis?" → "What is the next step?" → "What is the treatment?"
6. Weak subject = Minimum 40% - Don't leave any subject below 40% correct rate. That's where you lose big.
7. Last 2 weeks - Only revision, NO new topics.

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MNEMONICS FOR QUICK RECALL

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• "Give me Pharmacology MCQs"
• "Give me Surgery one-liners"
• "Give me Medicine high-yield for NEET PG"