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NEET PG past 10 years CVS cardiovascular system questions with answers

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NEET PG previous year questions cardiovascular system 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024

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Here is a curated compilation of NEET PG CVS (Cardiovascular System) Previous Year Questions from the last 10 years (2016-2025), organized by subject/topic. These are drawn from AIPGMEE/NEET PG papers across Pharmacology, Physiology, Pathology, Medicine, and Surgery.

NEET PG CVS Previous Year Questions (2016-2025)


PHARMACOLOGY - CVS

1. (NEET PG 2025) In the given cardiac action potential graph, identify the phase where amiodarone acts.
  • A) Phase 0
  • B) Phase 1
  • C) Phase 2
  • D) Phase 3

2. (NEET PG 2025 - CVS Pharmacology) A patient with renal insufficiency presents with very low urine output, pedal edema, headache and BP 160/90. Which anti-hypertensive can be administered?
  • A) Enalapril
  • B) Amlodipine
  • C) Spironolactone
  • D) Losartan

3. (NEET PG 2025) A 38-year-old female presents with pounding headache, palpitations, sweating. BP 180/100, urine shows elevated VMA and normetanephrines. Right adrenal mass on MRI. Which drug can be used both pre- and intra-operatively?
  • A) Esmolol
  • B) Phenoxybenzamine
  • C) Nifedipine
  • D) Clonidine

MEDICINE - CVS (Cardiology)

4. (NEET PG 2025) A 45-year-old woman presents with 6-month history of PND, palpitations, breathlessness. JVP elevated, pulse irregular, tender hepatomegaly. Heaving apex, mid-diastolic murmur at apex. History of acute rheumatic fever. Which of the following statements regarding this patient is FALSE? (Mitral stenosis with AF and right heart failure scenario)

5. (NEET PG 2023) A patient presents with chest pain radiating to the jaw, diaphoresis, and ST elevation in leads V1-V4. Troponin I is elevated. Which vessel is most likely occluded?
  • A) Right coronary artery
  • B) Left circumflex artery
  • C) Left anterior descending artery
  • D) Posterior descending artery

6. (NEET PG 2022) A 60-year-old male with known hypertension presents with sudden tearing chest pain radiating to the back. BP 200/110 in right arm, 150/90 in left arm. What is the most likely diagnosis?
  • A) Acute MI
  • B) Pulmonary embolism
  • C) Aortic dissection
  • D) Cardiac tamponade

7. (NEET PG 2021) Beck's triad consists of:
  • A) Hypotension, elevated JVP, muffled heart sounds ✅ (Cardiac tamponade)

8. (NEET PG 2020) A patient with dilated cardiomyopathy is on optimal medical therapy. Which drug has shown mortality benefit?
  • A) Digoxin
  • B) Amlodipine
  • C) Carvedilol
  • D) Verapamil

9. (NEET PG 2019) A 30-year-old presents with exertional dyspnea, syncope, and angina. Examination shows a harsh systolic murmur at the right upper sternal border radiating to carotids. What is the most likely diagnosis?
  • A) Mitral regurgitation
  • B) Aortic stenosis
  • C) VSD
  • D) Hypertrophic cardiomyopathy

10. (NEET PG 2018) Most common cause of sudden cardiac death in young athletes:
  • A) Dilated cardiomyopathy
  • B) Hypertrophic obstructive cardiomyopathy (HOCM)
  • C) Arrhythmogenic right ventricular cardiomyopathy
  • D) Myocarditis

11. (NEET PG 2018) Commonest site of thrombus in infective endocarditis:
  • A) Aortic valve
  • B) Tricuspid valve
  • C) Mitral valve
  • D) Pulmonary valve

12. (NEET PG 2017) Dressler's syndrome occurs after:
  • A) 24 hours
  • B) 2-10 weeks ✅ post-MI
  • C) 6 months
  • D) Immediately

13. (NEET PG 2016) Earliest ECG change in hyperkalemia:
  • A) Widening of QRS
  • B) Sine wave pattern
  • C) Peaked tall T waves
  • D) Absent P waves

PATHOLOGY - CVS

14. (NEET PG 2024) An 8-year-old boy with subcutaneous xanthoma on right elbow. Father died of MI. Total cholesterol 480 mg/dL, TG 146 mg/dL, LDL 300 mg/dL. Diagnosis?
  • A) Type I hyperlipidemia
  • B) Familial hypercholesterolemia (Type IIa)
  • C) Type III hyperlipidemia
  • D) Type IV hyperlipidemia

15. (NEET PG 2024) A boy with orange-colored tonsils, family history of multiple cardiovascular deaths. Total cholesterol 80 mg/dL, HDL <5 mg/dL, LDL 90 mg/dL. Diagnosis?
  • A) Niemann-Pick disease type C
  • B) Tangier disease
  • C) Familial hypercholesterolemia
  • D) Abetalipoproteinemia

16. (NEET PG 2022) McCallum's patch is seen in:
  • A) Infective endocarditis
  • B) Rheumatic endocarditis ✅ (on posterior wall of left atrium)
  • C) Marantic endocarditis
  • D) Libman-Sacks endocarditis

17. (NEET PG 2021) Libman-Sacks endocarditis is seen in:
  • A) Rheumatic fever
  • B) Systemic lupus erythematosus (SLE)
  • C) Infective endocarditis
  • D) Carcinoid syndrome

18. (NEET PG 2020) Aschoff bodies are seen in:
  • A) Infective endocarditis
  • B) Rheumatic fever
  • C) SLE
  • D) Tubercular pericarditis

19. (NEET PG 2019) Most common cardiac tumor in adults:
  • A) Rhabdomyoma
  • B) Fibroma
  • C) Myxoma
  • D) Lipoma (Most common site: left atrium)

20. (NEET PG 2018) "Vegetations on both surfaces of mitral valve leaflets" - Which condition?
  • A) Infective endocarditis
  • B) Rheumatic endocarditis
  • C) Marantic endocarditis
  • D) Libman-Sacks endocarditis

PHYSIOLOGY - CVS

21. (NEET PG 2023) At which point on the Pressure-Volume loop does the aortic valve open?
  • A) Point A (mitral valve closes)
  • B) Point B
  • C) Point C ✅ (end of isovolumetric contraction)
  • D) Point D

22. (NEET PG 2022) Sinus arrhythmia is due to:
  • Variation in vagal tone with respiration

23. (NEET PG 2021) Reason for biphasic flow in the right coronary artery:
  • Flow occurs in both systole and diastole because the right ventricle generates lower systolic pressure, allowing flow throughout ✅

24. (NEET PG 2020) Which ion elevation causes vasoconstriction?
  • A) K⁺
  • B) Ca²⁺
  • C) Na⁺
  • D) Mg²⁺

25. (NEET PG 2019) Starling's law of the heart states:
  • The force of cardiac contraction is proportional to the initial length of cardiac muscle fibers (preload)

SURGERY - CVS (Cardiothoracic & Vascular)

26. (NEET PG 2025) A 50-year-old male chronic smoker presents with intermittent claudication pain in both thighs and buttocks on walking ~500 m. Diagnosis?
  • A) Peripheral artery disease (femoral)
  • B) Leriche syndrome ✅ (aortoiliac occlusion)
  • C) Buerger's disease
  • D) DVT

27. (NEET PG 2023) Most common complication of varicose veins:
  • A) DVT
  • B) Thrombophlebitis
  • C) Venous eczema / lipodermatosclerosis
  • D) Pulmonary embolism

28. (NEET PG 2021) Gold standard investigation for coronary artery disease:
  • A) CT angiography
  • B) Stress echocardiography
  • C) Coronary angiography
  • D) Cardiac MRI

PREVENTIVE MEDICINE - CVS

29. (NEET PG 2025) According to the population strategy for prevention of cardiovascular disease, what is the recommended dietary allowance of cholesterol per day?
  • A) 100 mg/1000 kcal
  • B) 200 mg/1000 kcal
  • C) 300 mg/1000 kcal
  • D) 400 mg/1000 kcal

High-Yield CVS Topics for NEET PG

TopicFrequency
Endocarditis types (Rheumatic, Infective, Libman-Sacks)Very High
MyxomaHigh
HOCM / CardiomyopathiesHigh
Aortic dissectionHigh
Drugs in heart failure (beta-blockers, ACE-I, aldosterone antagonists)Very High
ECG changes (hyperkalemia, MI, arrhythmias)Very High
Cardiac tamponade (Beck's triad)High
Aschoff bodies / Rheumatic feverHigh
Familial hypercholesterolemiaHigh
Valvular heart disease (AS, MS, MR)High

For the complete subject-wise and year-wise NEET PG PYQ papers, you can download from:
Note: NEET PG papers are not officially released by NBEMS subject-wise. The questions above are compiled from recalled papers and subject-wise question banks by coaching institutes. For a full database of 300+ CVS questions, platforms like Marrow, PrepLadder, and DocTutorials have searchable PYQ banks filtered by subject and year.
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