NRE Dec 2024 by Medicall
MedsCrack proudly presents high-yield recalled MCQs from the NRE Step 1 exam held on 15th December 2024, compiled by MediCall Academy. Here is your one-stop spot for reviewed and verified questions, perfect for your revision.
📊 Recalled MCQs with Explanations (Few)
1. A child presents with fever, neck rigidity. CSF shows Gram-negative diplococci. Diagnosis?
Correct Answer: Neisseria meningitidis
Neisseria is the most common in children aged 2-18. Ref: Levinson, P.131
Other options:
-
Streptococcus pneumoniae - neonatal and older adults
-
Staphylococcus aureus - secondary to trauma
2. A young child has high BP in upper limbs, low BP in lower limbs, radio-femoral delay. Likely diagnosis?
Correct Answer: Post-ductal coarctation of aorta
Classically presents in children or adolescents with HTN in upper limbs and weak femoral pulses.
3. 30-year-old female with silver scaly lesions on elbows and knees, bleeding on removal. Diagnosis?
Correct Answer: Psoriasis
Key signs include Auspitz sign (bleeding points) and Koebner phenomenon.
4. What is the investigation of choice for intestinal perforation?
Correct Answer: X-Ray
Chest X-ray is best to detect air under diaphragm.
5. A 22-year-old post-accident patient has localised back pain. Best imaging for cord injury?
Correct Answer: MRI
MRI is most sensitive for soft tissue and spinal cord.
6. Child can’t read blackboard but can read a book. Most likely condition?
Correct Answer: Myopic astigmatism
This is blurred distance vision but clear near vision.
🔧 Clinically Tested Facts (Few)
🪖 Snake bite (viper): Major effect?
Answer: Haemotoxic
Viper venom affects clotting, causing bleeding.
📊 Pheochromocytoma diagnosis?
Answer: Increased VMA, metanephrines in urine. Ref: Robbins P.794
🧵 Neonatal resuscitation compression-ventilation ratio?
Answer: 3:1
For every 3 compressions, give 1 breath.
🔹 Important Pediatric Recall (Few)
👶 Child with soft, transilluminating neck mass (Down Syndrome)?
Answer: Cystic hygroma
Soft, compressible mass that glows.
👶 1.5-year-old with abdominal distension and foul-smelling bulky stools?
Answer: Celiac disease
Duodenal biopsy confirms the diagnosis.
🚀 More Quick Hits
✔ First-line for anaphylactic shock: Adrenaline IM
✔ CT scan contraindicated in: Early pregnancy (radiation risk)
✔ Lipoma description: Soft, mobile, well-defined swelling
✔ Epigastric reducible lump in female: Epigastric hernia
📖 Verified Source
All MCQs are compiled by MediCall.pk app and are sourced from Davidson, Robbins, Kaplan, Nelson, BRS, and First Aid.
📈 Pro Tip: For more updates, try MedsCrack Pro for free practice .
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