The INI CET November 2026 question paper with solutions is now available for free download. INI CET (November 2026 session, for admission in the January 2027 session) was conducted by AIIMS New Delhi on November 1, 2026 as a 200-question computer-based test of 180 minutes.

INI CET November 2026 Question Paper with Solution PDF

INI CET November 2026 Questions with Solutions

Question 1:

A 4-year-old with nephrotic syndrome completed the steroid course one week ago. On follow-up the urine dipstick shows trace protein; the child is asymptomatic with no edema. What is the clinical status?

  • (A) Relapse
  • (B) Remission
  • (C) Steroid-resistant nephrotic syndrome
  • (D) Steroid-dependent nephrotic syndrome

Question 2:

Manic patient on lithium (therapeutic level) is started on a COX inhibitor for osteoarthritis and develops lithium toxicity symptoms. What is the mechanism?

  • (A) Action on glutathione of RBC
  • (B) Inhibition of renal prostaglandin synthesis decreasing GFR and lithium clearance
  • (C) Inhibition of hepatic microsomal enzymes
  • (D) Increased renal tubular secretion

Question 3:

Patient with asthma and mild depression presenting with hemicranial headache attacks (about once a month) is started on migraine prophylaxis. Which agent is preferred?

  • (A) Propranolol
  • (B) Carbamazepine
  • (C) Topiramate
  • (D) Duloxetine

Question 4:

Which of the following is a novel antidepressant?

  • (A) Fluoxetine (SSRI)
  • (B) Amitriptyline (TCA)
  • (C) Venlafaxine (SNRI)
  • (D) Vilazodone

Question 5:

A 45-year-old with chronic diarrhoea and abdominal discomfort; stool examination reveals larvae of Strongyloides stercoralis. Which is the preferred drug for treatment?

  • (A) Nitazoxanide
  • (B) Metronidazole
  • (C) Paromomycin
  • (D) Ivermectin

Question 6:

A 28-year-old male develops muscarinic toxicity following consumption of a mushroom. Which clinical manifestation is expected?

  • (A) Tachycardia
  • (B) Mydriasis
  • (C) Bradycardia
  • (D) Urinary retention

Question 7:

A 65-year-old male chronic smoker with fatigue, nausea and confusion; imaging shows small cell carcinoma with SIADH. Which drug can be used for management?

  • (A) Desmopressin
  • (B) Tolvaptan
  • (C) Thiazides
  • (D) Furosemide

Question 8:

Which parameters are routinely monitored during magnesium sulfate maintenance therapy to detect magnesium toxicity?

  • (A) Respiratory rate (should be more than 14 per minute)
  • (B) Deep tendon reflexes (knee jerk present)
  • (C) Urine output (more than 100 mL in 4 hours)
  • (D) Serum sodium level every hour

Question 9:

Which of the following statements is FALSE regarding the pediatric larynx in comparison to the adult larynx?

  • (A) The paediatric larynx is funnel shaped while the adult larynx is cylindrical
  • (B) The narrowest part of the paediatric airway is the supraglottis
  • (C) The paediatric larynx lies high in the neck, so the epiglottis can touch the soft palate
  • (D) The anterior commissure lies at the inferior border of the thyroid cartilage, giving the vocal cords a slanted look

Question 10:

Young man after blunt chest trauma, severely breathless, hypotensive, absent breath sounds over right hemithorax with hyperresonant percussion (tension pneumothorax). Most appropriate immediate intervention when needle decompression is the fastest available method?

  • (A) Intravenous fluid bolus and observe
  • (B) CT scan of the chest
  • (C) Intercostal drain insertion after radiological confirmation
  • (D) Immediate needle decompression of the right pleural space

Question 11:

29-year-old man with Crohn's disease with recurrent episodes of colicky abdominal pain, distension and vomiting. After initial decompression and resuscitation, imaging shows a localized fixed stricture with proximally dilated bowel loops. Obstructive symptoms persist despite medical management. Colon and rectum uninvolved. Best management?

  • (A) Right hemicolectomy
  • (B) Total proctocolectomy with end ileostomy
  • (C) Limited resection of the involved segment with primary anastomosis
  • (D) Restorative proctocolectomy with ileal pouch

Question 12:

70-year-old man with atrial fibrillation and severe abdominal pain with disproportionate abdominal signs (pain out of proportion), hemodynamically stable, acute mesenteric ischemia due to embolic arterial occlusion. Next step?

  • (A) Doppler
  • (B) Urgent CT angiography of abdomen and pelvis
  • (C) Plain abdominal radiograph
  • (D) Exploratory laparotomy

Question 13:

45-year-old man 48 hours after onset of severe abdominal pain with generalized guarding and rigidity, pulse 132, BP 78/46, reduced urine output; imaging shows pneumoperitoneum. Management?

  • (A) Transfer directly for laparotomy without resuscitation
  • (B) Immediate resuscitation and IV broad-spectrum antibiotics while arranging urgent laparotomy for source control
  • (C) Laparoscopic drainage alone without treating the perforation
  • (D) Antibiotics alone and observe

Question 14:

36-year-old man with severe pain during and after defecation and occasional streaks of blood. Posterior midline anal fissure with exposed internal sphincter fibres and sentinel skin tag. Symptoms persist despite stool softeners and topical treatment; increased resting tone, normal continence, no previous sphincter injury. Most appropriate definitive surgical treatment?

  • (A) Uncontrolled manual anal dilatation (Lord's procedure)
  • (B) Advancement flap
  • (C) Excision of sentinel tag alone
  • (D) Lateral internal sphincterotomy

Question 15:

Which hypothalamic nucleus is responsible for pulsatile GnRH secretion?

  • (A) Preoptic nucleus
  • (B) Supraoptic nucleus
  • (C) Arcuate nucleus
  • (D) Paraventricular nucleus

Question 16:

All of the following are risk factors for primary open angle glaucoma (POAG) except:

  • (A) Positive family history
  • (B) Myopia
  • (C) Hypermetropia
  • (D) Involvement of the MYOC gene

INI CET November 2026 Exam Pattern and Marking Scheme Explained

Particulars Details
Exam Name INI CET (Institute of National Importance Combined Entrance Test)
Conducted By AIIMS New Delhi
Exam Date November 1, 2026
Mode of Exam Computer-Based Test (CBT)
Total Questions 200 objective MCQs
Question Types Single-best-answer MCQs, multiple-correct questions, match-the-following and image-based questions
Exam Duration 180 minutes
Total Marks 200
Marking Scheme +1 for each correct answer
Negative Marking -1/3 for each wrong answer
Unattempted Questions 0 marks

INI CET November 2026 Paper Analysis: What Candidates Reported

These points come from candidate feedback shared right after the exam, so treat them as indicative, not official.

  • Difficulty: moderate overall, with a mix of short factual questions and lengthy clinical scenarios
  • PYQ-driven: many questions repeated topics from earlier INI CET papers, so previous year papers remained the best preparation
  • Match-the-following: more than 10 such questions were reported
  • Image-based questions: a relatively small share of the paper
  • Multiple-response questions: fewer than in earlier sessions
  • Time management: the longer clinical stems slowed down first-attempt candidates more than repeaters

INI CET November 2026 Paper Analysis Video

Source: PW MedEd

INI CET November 2026 Question Paper FAQs

Ques. Does the INI CET November 2026 question paper PDF include solutions?

Ans. Yes. This page provides memory-based questions from the November 1, 2026 sitting with detailed step-by-step solutions. Download the question paper and the solutions PDF from the table at the top of this page. For your scorecard and result, use the official site aiimsexams.ac.in.

Ques. Is there an official INI CET November 2026 question paper or answer key?

Ans. No. AIIMS conducts INI CET as a computer-based test and does not publish the question paper or an official answer key. The questions on this page are recalled by candidates, so the wording and options can differ slightly from the live paper.

Ques. How difficult was INI CET November 2026?

Ans. Candidates described it as moderate. It had lengthy clinical stems, more than 10 match-the-following questions, and many topics that had appeared in earlier INI CET papers.

Ques. What is the INI CET marking scheme?

Ans. You get +1 for a correct answer and -1/3 for a wrong one, with no penalty for unattempted questions, across 200 marks in 180 minutes.

Ques. Where can I download the INI CET November 2026 question paper with solutions PDF for free?

Ans. Use the download table at the top of this page on Collegedunia. For the official result and counselling details, go to the AIIMS site, aiimsexams.ac.in.