How you can crack NEXT Exam 2021 ?


There are some changes to be inducted in NEXT exams. There might be lots of changes in the NEXT Examinations. The NEXT exams will be added with new features and the exams will be more clinically oriented. Most students are not well versed with the features of NEXT Examinations. Should students read the same books and should their preparation be on similar lines.

There might be alterations in the pattern of marking and questions. There will be :

  • Renewed focus on Clinical Cases

  • Renewed focus on Concept based questions

  • Renewed focus on Image Based Questions

  • Renewed focus on studying Clinical subjects on Clinical pattern

  • Renewed focus on Recent developments

  • Renewed focus on Explanatory and Lab value based questions.


That means the approach to studying should be more concept study oriented.

What would be the books studied by students. More or less the Standard Text books would be same like

  • Anderson / Robbins for Pathology

  • BD Chaurasia/ Lasts Anatomy for Anatomy

  • Davidson /Harrison for Medicine

  • Guyton / Ganong for Physiology

  • Harper for Biochemistry

  • Khurana for Opthomology along with Kanski

  • Nelson for Pediatrics

  • OP Ghai for Pediatrics

  • Parikh for SPM

  • Park for SPM

  • Roxburg for Dermatology

  • S Das and Bailey for Surgery

  • But students might need some additional books For NEXT Pattern.


The New pattern will and should cover syllabus according to latest curriculum.

The Subjects are main, that is major and minor. So what are Major and what are minor Subjects.

  • Surgery

  • SPM(Major)

  • Radiology

  • Psychiatry

  • Physiology

  • Pharmacology(Major)

  • Pediatrics

  • Pediatrics

  • Pathology(Major)

  • Orthopedics

  • Opthomology

  • Microbiology

  • Medicine(Major)

  • Gynae /Obs (Major)

  • Forensic Sciences

  • Biochemistry

  • Anatomy(Major)

What would NEXT Students be asked?

The NEXT Pattern Question :

Q:- A 70 years old lady slipped in the bathroom and sustained displaced intertrochanteric fracture of the femur. She had hypertension that was controlled on medication. Which one of the following methods is the most accepted modality worldwide?

  • Dynamic condylar Plate

  • Dynamic hip screw

  • Three cannulated hip screws

  • Upper tibial pin traction for 6-8 weeks as she is unlikely to tolerate the anaesthesia owing to old age and hypertension


Q:- A 44 year old has a frontal lobe mass and the mass is benign related to Duramater and arising from the meningothelial cell of the arachnoid . Most Likely Tumor is :

  • Astrocytoma

  • Porencephalic Cyst

  • Meningioma

  • Teratomas


Q:- A 22 year old man had road traffic accident and sustained fracture of femur. A few days later he developed sudden breathlessness and shock and died. The most probable cause can be:

  • Pneumonia

  • Congestive heart failure

  • Bronchial asthma

  • Fat Embolism


Q:- A 4 year old macrosomic male child has a renal mass with hemihypertrophy , Macroglossia and omphalocele. Most likely Renal Mass is

  • Angiomyolipoma

  • Neuroblastoma

  • Polycystic kidney disease

  • Wilms Tumor


Q:- A 27 year-old woman visits his doctor with complaints of weight loss, irritability, insomnia, and palpitations. Her past medical history is insignificant. She is not taking any current medications and denies drug abuse. Her blood pressure is 165/70 mmHg and heart rate is 100/min. Physical examination reveals lid retraction, fine tremor of the hands, and increased neck circumference. The most probable cause of hypertension in this patient is:

  • Hyperdynamic circulation

  • Increased peripheral vascular resistance

  • Sodium retention

  • Decreased vascular compliance


Q:- A 77 year old has a thyroid swelling . She denies weight loss, change in appetite, diarrhea or palpitations .Her past medical history is unremarkable. There is no family history of thyroid cancer. She does not take any medication. Examination shows 2-3 cm, fixed, hard and non-tender thyroid nodule as well as cervical lymphadenopathy. Her serum TSH is normal and fine needle aspiration (ENA) shows malignant cells.


Which of the following is the most likely expected pathology on FNAC ?

  • Lymphoma of Thyroid

  • Papillary carcinoma of thyroid

  • Follicular carcinoma of thyroid

  • Anaplastic carcinoma of thyroid


This would be the Likely Pattern for Most of the Questions. There might be a practical part to the Examination as well And Full modalities are to be worked out. But on the whole the MCQ pattern will be retained with minor Modifications. Negative marking might be retained.


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