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199 High-Yield
NEET SS Pathology
MCQs โ€” Free PDF With Answers & Concept Explanations ยท 2026 Edition

The most focussed free resource for NEET SS Pathology, INI-SS DM Histopathology & FRCPath Part 1 candidates. 199 exam-pattern MCQs across all major pathology systems โ€” with detailed explanations, not just answers.

No email required. No paywall. Direct PDF download.

FREE
๐Ÿ“„

NEET SS Pathology
High-Yield MCQs

199 MCQs ยท Answers ยท Explanations ยท 2026 Ed.

By Dr. Akshay Bali & Dr. Maitrayee Roy
13 Pathology Systems Covered
Correct Answers + Why Others are Wrong
Concept-Based, Not Rote Memory
Also Covers INI-SS & FRCPath Part 1
2026 Edition โ€” WHO 5th Ed Updated
Download PDF โ€” Free
199MCQs
13Systems Covered
100%Free โ€” No Login
3-in-1NEET SS ยท INI-SS ยท FRCPath

What's Inside

13 High-Yield Systems.
Every Major NEET SS Topic.

Every system in this PDF is a high-frequency examiner favourite. Questions are crafted to test mechanism, morphology, and clinico-pathological correlation โ€” exactly how NEET SS and INI-SS ask.

01

Thyroid Pathology

BRAF V600E, RAS mutations, NIFTP, TERT promoter, papillary carcinoma variants, calcitonin-negative MTC, WHO 5th Ed updates.

02

Breast Pathology

Invasive carcinoma subtypes, molecular classification, BRCA1/2, HER2, triple-negative breast cancer, prognostic markers, DCIS.

03

Hepatobiliary Pathology

HCC, cholangiocarcinoma, autoimmune hepatitis, PBC, PSC, Wilson's disease, hepatic steatosis patterns, viral hepatitis grading.

04

Pancreatic Pathology

IPMN, MCN, SPN, ductal adenocarcinoma, acinar cell carcinoma, PanIN, neuroendocrine tumours, WHO grading.

05

Dermatopathology

BCC, SCC, melanoma staging, Breslow thickness, dermatofibrosarcoma, Merkel cell carcinoma, inflammatory dermatoses.

06

Haematopathology

Leukaemia classification, lymphoma subtypes, TLS, myeloproliferative disorders, plasma cell neoplasms, bone marrow pathology.

07

Gastrointestinal Pathology

GIST, CRC, FAP, juvenile polyposis, IBD patterns, carcinoma of unknown primary, GI NET grading.

08

Genitourinary Pathology

RCC subtypes, urothelial carcinoma, prostate carcinoma Gleason grading, Wilms tumour, testicular germ cell tumours.

09

Gynaecological Pathology

Endometrial carcinoma types, cervical SIL, ovarian tumour classification, gestational trophoblastic disease, LVI significance.

10

Pulmonary Pathology

UIP pattern, DAD, hypersensitivity pneumonitis, lung adenocarcinoma classification, carcinoid tumours, EGFR mutation significance.

11

Neuropathology

WHO 2021 CNS classification, IDH mutation, TERT, 1p/19q co-deletion, glioblastoma, medulloblastoma molecular groups.

12

Molecular Pathology

IHC markers, EGFR, KRAS, BRAF, NTRK fusions, next-gen sequencing, predictive vs prognostic biomarkers.

13

Clinical Governance

Audit cycles, quality indicators in pathology labs, clinical governance frameworks โ€” high-yield for NEET SS and FRCPath.

Sample Preview

See the Question Quality.
Real questions from the free PDF.

Every question tests clinical reasoning and mechanism โ€” not rote recall. Explanations tell you why each option is right or wrong.

Thyroid Pathology ยท Q1

Which molecular alteration is most commonly associated with invasive encapsulated follicular variant of papillary thyroid carcinoma (EFVPTC)?

A. BRAF V600E mutation
B. RAS mutation (HRAS/NRAS/KRAS) โœ“
C. RET/PTC rearrangement
D. TERT promoter mutation
Concept: EFVPTC and NIFTP are characterised by high-frequency RAS mutations (particularly NRAS), similar to follicular adenoma. BRAF V600E is the hallmark of classical and tall-cell PTC, not EFVPTC.
Thyroid Pathology ยท Q4

A 35-year-old female with a thyroid tumour is found to have a TERT promoter mutation. What is the most likely implication?

A. Indolent course with excellent prognosis
B. Resistance to radioactive iodine โœ“
C. Association with familial medullary carcinoma
D. No impact on prognosis
Concept: TERT promoter mutations indicate more aggressive tumour behaviour and are associated with resistance to radioactive iodine therapy in papillary thyroid carcinoma โ€” a high-yield examiner favourite.
Thyroid Pathology ยท Q3

Congo red stain is positive, but IHC for calcitonin is negative. Which stain would be most helpful next to confirm medullary thyroid carcinoma?

A. Thyroglobulin
B. Chromogranin A โœ“
C. TTF-1
D. CK7
Concept: Calcitonin-negative MTC is a rare variant. Chromogranin A confirms the neuroendocrine nature of the tumour when calcitonin IHC fails โ€” testing integrated diagnostic reasoning.
Thyroid Pathology ยท Q2

A thyroid tumour shows cribriform areas with spindle-cell morules; IHC shows nuclear ฮฒ-catenin and ER positivity. Which molecular alteration is most commonly associated?

A. BRAF V600E mutation
B. Germline APC mutation โœ“
C. RET/PTC1 fusion
D. HRAS mutation
Concept: Cribriform-morular variant of PTC with nuclear ฮฒ-catenin is associated with germline APC mutation (FAP). A classic morphology-to-molecular correlation question โ€” very high yield for NEET SS.

This is just a preview. The full PDF contains 199 questions across all 13 systems.

Get All 199 MCQs โ€” Free PDF

Study Strategy

How to Use the 199 MCQ PDF
Recommended 3-pass strategy by Dr. Akshay Bali

1

First Pass โ€” Attempt Blind

Go through all 199 MCQs without reading the answers. Mark questions you're unsure about. This reveals your genuine weak areas โ€” which is the whole point of the first pass.

2

Second Pass โ€” Read Explanations

For every question you marked or got wrong, read the explanation carefully. The explanations tell you why the correct answer is right and why the distractors are wrong โ€” that's where real learning happens.

3

Final Pass โ€” Rapid Revision

In the final weeks before NEET SS or INI-SS, use the PDF for rapid self-assessment. Re-attempt flagged questions. By now, your accuracy should visibly improve across all 13 systems.

Pro Tip: Pair with the Full Course

This free PDF works best as a companion to the full eLearningFRCPath course. After each live Saturday session topic, use the corresponding PDF section for immediate reinforcement. The 800+ online mock tests then extend your practice well beyond these 199 questions.

Why Free?

We Give This Away Because Every Candidate Deserves a Fair Start.

NEET SS Pathology and INI-SS DM Histopathology are highly competitive exams with limited structured resources. eLearningFRCPath was built to fix that. The 199 MCQ PDF is our way of letting every candidate โ€” regardless of whether they can afford a full course โ€” experience what good pathology exam preparation looks like.

No email capture. No hidden paywall. No tricks. Just download and study.

Download Free PDF Now
๐Ÿ”ด
Live Now
March 2026 Batch โ€” Running

The free PDF is a strong starting point. For complete NEET SS & INI-SS preparation, the 6-month live batch is currently running โ€” weekly Saturday Zoom sessions with Dr. Akshay Bali.

  • Weekly Zoom sessions every Saturday 6 PM IST
  • 800+ online MCQs โ€” far beyond the free PDF
  • High-yield notes across all systems
  • Lifetime access + recorded sessions
  • 50% OFF for old students ยท 30% OFF for groups of 5

Go Further

After the Free PDF โ€” What's Next?

199 MCQs is a great start. For comprehensive NEET SS & INI-SS preparation, explore these resources on eLearningFRCPath.

FAQ

Common Questions

Is the 199 MCQ PDF really free โ€” no registration needed?

Yes. The PDF is 100% free with no email capture, no login requirement, and no paywall. Direct download link here.

Is this useful for INI-SS DM Histopathology as well?

Yes. NEET SS Pathology and INI-SS DM Histopathology share approximately 90% syllabus overlap. All 13 systems in this PDF are high-yield for both exams. The molecular pathology and WHO classification questions are especially relevant for INI-SS. See our full NEET SS vs INI-SS guide.

Who authored the 199 MCQ book?

The book was written by Dr. Akshay Bali and Dr. Maitrayee Roy โ€” the lead faculty at eLearningFRCPath. It is published in 2026 edition and available as a Kindle-format PDF download.

Does this cover the WHO 5th Edition updates?

Yes. The 2026 edition of the MCQ book incorporates WHO 5th Edition classification updates relevant to NEET SS and INI-SS โ€” including CNS tumours (2021 WHO), thyroid, breast, GIT, and lung pathology updates.

How is this different from the 800+ online mock tests?

The 199 MCQ free PDF is a curated, offline-ready revision tool โ€” ideal for first and second revision passes. The 800+ online mock tests in the full course are timed, system-organised, and include performance tracking. They are complementary resources, not duplicates.

Free. Always.

199 Questions That Could Change
Your NEET SS Score.

Concept-based. Explanation-driven. Exam-pattern. No fluff. Written by pathologists for pathologists. Download it now โ€” it costs nothing.