NRE/NLE Past Papers

Past Papers - The Ultimate Resource

What is the NRE/NLE Exam?

The National Registration Examination (NRE), formerly known as the National Licensing Examination (NLE), is a mandatory medical licensing exam in Pakistan. Conducted by the Pakistan Medical and Dental Council (PMDC), it serves as a gateway for medical graduates to obtain a practicing license in Pakistan. The exam evaluates a candidate’s medical knowledge, clinical reasoning, and patient management skills, ensuring that they meet the standards required to practice medicine safely and effectively.

Why Are Past Papers Important? 

Studying past papers is one of the most effective strategies for preparing for the NRE. These papers provide:
✅ Familiarity with the Exam Pattern -Understand the structure and types of questions asked.
✅ Repetition of High-Yield Topics - Identify frequently tested topics in medicine, surgery, pediatrics, gynecology, and other clinical subjects.
✅ Time Management Practice - Learn how to pace yourself during the exam to complete all questions on time.
✅ Confidence Boosting – Simulating real exam conditions reduces anxiety and enhances performance on test day.

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Past Papers Available on MedsCrack 

MedsCrack provides a comprehensive collection of past papers, covering all subjects and disciplines tested in the NRE. Here’s what you can find , Please Click To Open:

📌 NUMS Very Recent Past Papers:

• 👉 NRE June 2025 by FAME  - recalled detailed answers and explanations. 

• 👉 NRE Dec 2024 by NRE Essence -  with recalled detailed answers and explanations. 

• 👉 NRE Dec 2024 by Medicall - detailed answers with references

• 👉 NRE Dec 2024 by FAME - available with recalled detailed answers and explanations.

• 👉 NRE June 2024 by NRE Essence -  MCQs with Explanation

• 👉 NRE June 2024 by FAME - Includes solved MCQs and explanations.

• 👉 NRE June 2024 by Medicall - Includes solved MCQs and explanations.

• 👉 NRE Aug 2023 by Dr. Asif Ali Khan - A detailed breakdown of exam questions.

• 👉 NRE Aug 2023 by Medicall - MCQs with Explanation

• 👉 NRE Aug 2023 by FAME - Available with detailed answers and explanations.

• 👉 NLE November 2022 by Dr. Asif Ali Khan -  Solved MCQs and Explanation (if any)

• 👉 NLE 27 June 2022 by Medicall - well explained MCQs

• 👉 NLE June 2022 by Medicall - available with recalled detailed answers and explanations.

• 👉 NLE 31 March 2022 by Medicall - Morning+Evening Solved detailed MCQs.

• 👉 NLE 28 March 2022 by Medicall - Detailed solved MCQs

• 👉 NLE 27 March 2022 by Medicall - MCQs with Explanation

• 👉 NLE March 2022 & all 2021 - available with solved detailed MCQs.

• 👉 NLE December 2021 by Medicall - MCQs with Explanation

• 👉 NLE Aug 2021 by Medicall - detailed answer with explanations.

📌 NUMS & UHS old Past Papers:

• 👉 UHS/NUMS Past 2015 to 2020 - recalled MCQs of UHS and NUMS

• 👉 UHS/NUMS Past 2012 to 2019 - solved detailed breakdown MCQs.

📌 Subject-Wise old Past Papers:

1️⃣ Medicine & Allied Past Papers - Covers cardiology, pulmonology, nephrology, gastroenterology, endocrinology, and more.

2️⃣ Surgery & Allied Past Papers - Includes general surgery, orthopedic surgery, and trauma cases.

3️⃣ Pediatrics NRE Past Papers - Essential for pediatricians preparing for licensing.

4️⃣ Obstetrics & Gynecology NRE Past Papers - High-yield topics for OBGYN candidates.

Followings are the links to access all above Subject-wise past papers:

• 👉 NUMS December 2018 by Dr Asif Ali Khan - includes the clinical solved Questions.

• 👉 Past MCQs 2016-2018 by Medicall - includes the clinicals subjects MCQs.

• 👉 NUMS May 2017 by Dr. Asif Ali Khan - clinical subjects's solved MCQs. 

📌 Practice MCQs and Mock Exams:

1️⃣ NRE Mock MCQs - You can also find comprehensive set of practice questions for real exam simulation on MedsCrack.

2️⃣ NLE Tests by PMC - Officially curated tests already solved to assess your preparation are also available.

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How to Use Past Papers Effectively?

🔹 Step 1: Solve Past Papers Under Timed Conditions

• Set a timer to simulate exam conditions.

• Attempt one full past paper in one sitting to improve stamina.

🔹 Step 2: Identify Weak Areas

• Review incorrect answers and understand why you got them wrong.

• Focus on repeatedly missed topics to improve conceptual understanding.

🔹 Step 3: Cross-Reference with Standard Medical Books

• Use Davidson’s Medicine, Bailey & Love’s Surgery, and Nelson’s Pediatrics for detailed explanations.

• Refer to PMDC-approved guidelines to ensure accuracy.

🔹 Step 4: Take Notes and Create Flashcards

• Summarize key concepts from past papers.

• Create quick recall flashcards for last-minute revision.

🔹 Step 5: Join Online Study Groups

• Discuss difficult questions with peers in medical forums or WhatsApp study groups.

• Join Our Telegram  ,  Facebook , Whatsapp Channel.

• Engage in active discussions to clarify doubts.

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Clinical Learning from Past Papers (Case-Based Questions)

Many questions in the NRE are clinical case-based, requiring critical thinking and diagnostic reasoning. Here are a few example cases commonly found in past papers:

📌 Case 1: A 45-Year-Old Male with Chest Pain A 45-year-old male presents with sudden-onset severe chest pain radiating to his left arm. He has a history of hypertension and smoking. On examination, his ECG shows ST-segment elevation in leads II, III, and aVF. What is the next step in management?

📌 Case 2: A 30-Year-Old Female with Severe Abdominal Pain A 30-year-old female presents to the emergency room with acute lower abdominal pain and vaginal bleeding. Her last menstrual period was 7 weeks ago. A beta-hCG test is positive, and transvaginal ultrasound shows an empty uterus. What is the most likely diagnosis?

📌 Case 3: A 2-Year-Old Child with Failure to Thrive A 2-year-old child presents with chronic diarrhea, irritability, and weight loss. Physical examination reveals abdominal distension and wasted extremities. Lab findings show anti-tissue transglutaminase (anti-tTG) antibodies positive. What is the most likely diagnosis?

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Tips for Acing the NRE Exam

📍 Solve at least 5 years’ worth of past papers to recognize high-yield topics.

📍 Use recall-based learning methods to remember key facts efficiently.

📍 Time your practice sessions to develop exam-taking endurance.

📍 Keep updated with PMDC guidelines as question trends may change.

📍 Revise using MCQs and mock tests to simulate the real exam experience.

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