Free Pakistan exam resources
Study plans, syllabus guides, fees and dates, topic guides and official sources for exams in Pakistan. Free to read, no account needed.
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- Exam hub · NRE Step INRE Step I: format, fees and how to pass
- Guide · NRE Step IPassed or failed NRE Step I? What happens next, step by step
- High-yield topics · NRE Step IWhere the 200 marks sit: a topic ranking for the PM&DC NRE
- Fees & dates · NRE Step IHow to register for NRE Step I, what it costs and which dates are confirmed
- Scoring · NRE Step INRE Step I scoring: why 60% is 120 correct answers and why most still fail
- Guide · NRE Step IWhich countries do NRE candidates pass from? The December 2025 numbers, read carefully
- Study plan · NRE Step IChoose your NRE Step I study plan by baseline score, then follow the weeks
- Guide · NRE Step IStep II OSCE: 20 stations, three mandatory, and how to prepare for it
- Guidelines · NRE Step IThe Pakistan-specific facts foreign-trained doctors miss in the NRE
- Guide · NRE Step IStudied MBBS abroad? The PM&DC requirements, in order
- Licensing guideHow licensing works in Pakistan
Topic guides by domain
- Topic guide · NRE Step IApplied anatomy for the NRE: lesions, nerves and congenital anomalies
- Topic guide · NRE Step IApplied biochemistry for the NRE: learn the clinical pictures, skip the pathway posters
- Topic guide · NRE Step IApplied pathology for the NRE: one block, four disciplines, 12 items
- Topic guide · NRE Step IApplied physiology for the NRE: mechanisms behind the patient in the stem
- Topic guide · NRE Step IClinical pharmacology for the NRE: drug of choice, adverse effect, interaction
- Topic guide · NRE Step ICommunity medicine for the NRE: Pakistani programmes plus epidemiology
- Topic guide · NRE Step IForensic medicine and toxicology for the NRE: four items, one legal system
- Topic guide · NRE Step IMedicine and allied: the biggest block of the NRE, 52 items
- Topic guide · NRE Step IObstetrics and gynaecology for the NRE: 14 items built on emergencies
- Topic guide · NRE Step IEye and ENT for the NRE: twelve items worth a focused week
- Topic guide · NRE Step IPaediatrics for the NRE: the rules you have to know exactly
- Topic guide · NRE Step ISurgery and allied: 48 items of trauma, acute abdomen and consent
Sample questions
Original questions in the exam's style. Choose an answer, then check it.
A 22-year-old university student in Lahore has excessive daytime sleepiness, sudden loss of muscle tone when laughing and vivid hallucinations at sleep onset. Which abnormality explains this disorder?
Answer: A. Narcolepsy with cataplexy results from loss of orexin-producing neurons in the lateral hypothalamus, which normally stabilise wakefulness. REM sleep phenomena such as atonia and dream imagery intrude into wakefulness, producing cataplexy and hypnagogic hallucinations. Based on: Guyton and Hall Textbook of Medical Physiology, 14th ed. sleep physiology
A 28-year-old G2P1 attends the antenatal clinic of a tehsil headquarters hospital at 28 weeks' gestation. Her blood group is O Rh-negative and her husband is B Rh-positive. Her first pregnancy ended in an uncomplicated delivery and she received no injection afterwards. The indirect Coombs test today is negative. Which is the most appropriate management?
Answer: E. An Rh-negative woman with a negative antibody screen is unsensitised and should receive routine antenatal anti-D prophylaxis at about 28 weeks, plus a further dose within 72 hours of delivery if the baby is Rh-positive. Extra doses are given after sensitising events such as bleeding or amniocentesis. The aim is to prevent haemolytic disease of the fetus and newborn in later pregnancies. Based on: RCOG Green-top Guideline 22: The Use of Anti-D Immunoglobulin for Rhesus D Prophylaxis (2011)
A 30-year-old woman in a rural area near Bahawalpur has a severe postpartum haemorrhage at home and is later admitted to a hospital. After discharge she fails to lactate, and she develops amenorrhoea, fatigue and cold intolerance. Which hormone deficiency explains the failure to lactate?
Answer: E. Sheehan syndrome is pituitary infarction after severe obstetric haemorrhage, because the enlarged pregnant pituitary has a vulnerable blood supply. Loss of anterior pituitary hormones causes failure of lactation (prolactin), amenorrhoea (gonadotrophins), hypothyroidism (TSH) and adrenal insufficiency (ACTH). Based on: Guyton and Hall Textbook of Medical Physiology, 14th ed. pituitary hormones; Kumar and Clark's Clinical Medicine (hypopituitarism)
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