NRE Dec 2024 by FAME

NRE Step 1 Solved Past Paper - 15 December 2024

The National Registration Examination (NRE) is your ticket to practicing medicine in Pakistan. Conducted by PMDC (Pakistan Medical and Dental Council), it ensures that doctors meet the required clinical standards to serve patients effectively. If you’re preparing for this exam, past papers like the one held on 15 December 2024 are a goldmine of high-yield questions and recurring topics.

The recall-based MCQs in this paper have been recalled from students who sat for the exam and collected by FAME academy. This guide breaks down key questions, explanations, and the most frequently tested topics to help you prepare like a pro!

Why Studying Past Papers is a Game-Changer?

✅ Spotting Repeated MCQs - Many questions get reworded but test the same concepts.

✅ Sharpening Clinical Judgment - Real-world case-based questions improve decision-making.

✅ Mastering Time Management - Solving papers under timed conditions enhances efficiency.

✅ Focusing on High-Yield Topics - Prioritize what actually appears on the exam.

✅ Boosting Exam Confidence - Familiarity with question patterns = less stress on test day!

Breakdown of NRE December 2024 Exam (few)

📌 1. Internal Medicine & Endocrinology

A middle-aged woman presents with excessive thirst, frequent urination, and unexplained weight loss.
- Likely Diagnosis: Type 2 Diabetes Mellitus (T2DM).
- Best Initial Drug: Metformin - improves insulin sensitivity and aids weight loss.
A patient on insulin therapy suddenly feels dizzy, diaphoretic, and confused.
- Diagnosis: Hypoglycemia.
- Immediate Management: Give oral glucose if conscious, IV dextrose if unconscious.

📌 2. Pharmacology & Drug Interactions

A taxi driver with seasonal allergies asks for a non-drowsy antihistamine.
- Best Choice: Fexofenadine (2nd-gen antihistamine with minimal sedation).
A patient diagnosed with H. pylori-associated gastritis. What’s the first-line treatment?
- Answer: Triple Therapy - Omeprazole, Clarithromycin, Amoxicillin.

📌 3. Surgery & Trauma

A patient complains of hoarseness after thyroid surgery.
- Likely Cause: Recurrent Laryngeal Nerve Injury.
A young man presents with fatigue, leg swelling, and a history of multiple blood transfusions.
- Diagnosis: Iron Overload (Thalassemia Major leading to Dilated Cardiomyopathy).

📌 4. Pediatrics & Neonatology

A newborn fails to pass meconium in the first 48 hours.
- Diagnosis: Hirschsprung’s Disease.
- Definitive Test: Rectal Biopsy.
A child presents with recurrent infections, eczema, and thrombocytopenia.
- Diagnosis: Wiskott-Aldrich Syndrome.

📌 5. Obstetrics & Gynecology

A pregnant woman at 32 weeks has BP 160/110 with severe headache.
- Diagnosis: Severe Preeclampsia.
- Best Treatment: Labetalol (Safe for Pregnancy).
A 45-year-old woman notices bloody discharge from one nipple but no lump.
- Diagnosis: Intraductal Papilloma.

📌 6. Cardiology & Pulmonology

A patient’s ECG shows ST elevation in leads I, aVL, V5, and V6.
- Diagnosis: Lateral Wall Myocardial Infarction.
A long-term smoker presents with chronic cough and wheezing.
- Diagnosis: Chronic Obstructive Pulmonary Disease (COPD).

Clinical Cases - NRE December 2024 (few)

📌 Case 1: A 45-year-old diabetic with severe abdominal pain radiating to the back.

Diagnosis: Acute Pancreatitis.
Best Diagnostic Test: Serum Lipase.

📌 Case 2: A 2-year-old with a barking cough, stridor, and steeple sign on X-ray.

Diagnosis: Croup.
Management: Nebulized Epinephrine & Steroids.

📌 Case 3: A 60-year-old man with painless jaundice, weight loss, and Courvoisier’s sign.

Diagnosis: Pancreatic Cancer.
Next Step: CT Abdomen.

Most Frequently Repeated MCQs - December 2024 (few)

✅ Best test for pulmonary embolism? CT Pulmonary Angiography.

✅ Most common congenital cyanotic heart disease? Tetralogy of Fallot.

✅ Painless hematuria in an elderly patient? Bladder Cancer.

✅ First-line treatment for eclampsia? IV Magnesium Sulfate.

✅ Most common cause of community-acquired pneumonia? Streptococcus pneumoniae.

Tips to Crush the NRE Exam

📌 Solve past papers extensively - Spot repeated MCQs.

📌 Master case-based scenarios - Clinical reasoning is key.

📌 Use memory aids & mnemonics - Retain facts easily.

📌 Time yourself during mock exams - Avoid running out of time.

📌 Follow PMDC updates - Guidelines evolve frequently.

Why MedsCrack is Your Go-To NRE Prep Partner?

✔️ Authentic Recalled MCQs - By actual test-takers.

✔️ Focused, High-Yield Explanations - Straight to the point.

✔️ Easy Access - Study anytime, anywhere.

⚠Caution!
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Hosla

اے ہمارے پروردگار ! مجھے میرے والدین اور تمام مؤمنین کو بخش دے جس دن حساب قائم ہو
Our Lord, forgive me and my parents and the believers the Day the account is established. 14:41

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