NRE June 2025 by FAME

🧠Past MCQs with Explanations — Structured Review for Exam-Oriented Preparation

Understanding MCQs with strong conceptual explanations is a core component of medical licensing exam preparation. It's structured MCQ-based revision , compiled from 1st June 2025 NRE exam , which emphasizes clinical judgment, recent guidelines, and foundational knowledge.

The recall-based MCQs in this paper have been recalled from students who sat for the exam and collected by F.A.M.E academy. This review highlights high-yield questions relevant to NRE, FCPS, PLAB, USMLE Step 1/2, and other equivalent exams. The post explores key concepts, clarifies differentials, and provides clinically sound reasoning behind correct answers.

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🔍 Overview of Subjects Covered

• Medicine – Internal medicine, infectious diseases, neurology

• Surgery – Emergency care, trauma, burns

• Obstetrics & Gynecology – Screening, fetal monitoring

• Pediatrics – Milestones, developmental delays

• Forensic Medicine – Rigor mortis, postmortem findings

Each question in the document is designed not only to test recall but to challenge clinical reasoning. Let’s explore some core areas in detail.

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⚕️ Internal Medicine: Applied Clinical Reasoning

Case-Based Scenarios in Cardiology

Several MCQs address acute coronary syndromes, highlighting important ECG changes such as ST-segment elevations and regional coronary artery involvement (e.g., LAD in anterior wall MI). The key learning is the ability to localize infarction based on ECG leads.

Metabolic Emergencies

Conditions like Diabetic Ketoacidosis (DKA) are discussed, including interpretation of arterial blood gas (ABG) results. A sample case involves low pH, decreased bicarbonate, and compensatory respiratory changes — classic for DKA.

Infectious Diseases and Treatment Logic

Antibiotic selection is tested, especially in UTIs. E. coli is emphasized as the most common uropathogen, reinforcing the need for empirical choices guided by epidemiology.

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🧬 Neurology & Toxicology: Pattern Recognition

Guillain-Barré Syndrome

A classic presentation with ascending flaccid paralysis, areflexia, and normal CSF cell count but elevated protein confirms albuminocytologic dissociation. Management with IVIG is emphasized over corticosteroids.

Organophosphate Poisoning

Pupillary constriction, bradycardia, and respiratory secretions guide you toward cholinergic toxidrome. Atropine is the first-line management. The document makes an important distinction between atropine (symptom relief) and pralidoxime (enzyme reactivation).

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👶 Pediatrics: Milestones and Development

Developmental Delay

MCQs focus on recognizing delayed milestones. For example, a child not walking by 18 months may warrant evaluation for neuromuscular disorders. Another point is differentiating between language delay, global developmental delay, and autism spectrum signs.

Nutritional Deficiencies

Recognition of vitamin D deficiency in toddlers, with bowing of legs and widened wrists, is discussed. The key takeaway is clinical pattern recognition over lab reliance.

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🩺 Obstetrics and Gynecology: Clinical Protocols

Gestational Diabetes Screening

OGTT at 24–28 weeks is confirmed as the gold standard. The document correctly rules out random glucose or HbA1c due to poor reliability in pregnancy.

CTG Interpretation

Fetal heart rate decelerations and variability questions test interpretation skills for intrapartum monitoring — crucial in both theory and clinical viva.

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🧪 Forensic Medicine: Application of Core Principles

Rigor Mortis vs. Cadaveric Spasm

Conceptual questions clarify the difference between instantaneous rigor (cadaveric spasm) and rigor mortis. This is not just academic — it's applicable in medico-legal casework and MCQ-based scenarios.

Poisoning and Time of Death Estimation

Factors such as body cooling, muscle stiffness, and skin color changes help estimate time since death. These MCQs train deductive thinking.

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📊 Emergency and Trauma: Quick Decision-Making

Triage Protocols

The document includes disaster triage color coding (e.g., red = immediate, yellow = delayed). This is highly relevant in community medicine and emergency drills.

Burn Area Estimation

The Rule of 9s for estimating TBSA (Total Body Surface Area) in burns appears in MCQ format, reinforcing rapid calculation techniques for fluid resuscitation.

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📌 Final Takeaways

• Focus is placed on symptom clusters, diagnostic logic, and protocol adherence

• All MCQs are supported by concise explanations that clarify why the correct answer is correct and why the others are not

• Multiple topics incorporate updated guidelines, ensuring relevance for current exams

Proven Strategies for NRE Success

📌 Master Past Papers – Repeated questions are common. 

📌 Develop Strong Clinical Reasoning – Case-based MCQs test real-world medical decision-making. 

📌 Use Mnemonics & Flashcards – Simplify pharmacology & microbiology etc

📌 Time Yourself During Practice – Work on speed & accuracy. 

📌 Follow PMDC Guidelines – Stay updated with medical protocols.

✔️ MedsCrack got Easy Access – Study anytime, anywhere.

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Sabar

اے ہمارے پروردگار !ہمیں اپنے پاس سے رحمت عطا فرما اور ہمارے کام میں ہمارے لئے راہ یابی کو آسان کر دے
Our Lord! Grant us mercy from Yourself and guide us rightly through our ordeal. 18:10

NRE 1st June 2025 by FAME Academy is as follows 

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