PMDC NRE case studies
PMDC NRE · Put your knowledge to work in context.
The National Registration Examination (NRE) is an examination administered by the Pakistan Medical and Dental Council (PM&DC), which describes itself as the successor of the Pakistan Medical Commission. PM&DC lists the NRE as one of the examinations for which candidates register through its online exam registration portal, alongside the NEB and MDCAT, and it publishes NRE Step 1 results through the same results area of its website where MDCAT and NEB results appear. The PMDC NRE case studies are 5 cases and about 3,546 words.
1Severe pre-eclampsia at 34 weeks in a district hospital without NICU
A 32-year-old woman, G3P2, presents at 34 weeks' gestation to a district hospital three hours by road from the nearest tertiary centre. She reports frontal headache and flashing lights for 12 hours.
798 words, about 4 min2Severe dehydration in an 18-month-old at a basic health unit
A mother brings her 18-month-old boy to a rural basic health unit with a three-day history of watery diarrhoea and vomiting. He is lethargic, has sunken eyes, a skin pinch that takes three seconds to retract, a heart rate of 162/min, capillary refill of four seconds, and has passed no urine for 10 hours.
687 words, about 3 min3Anti-tuberculosis drug-induced hepatitis in a patient far from the clinic
A 46-year-old man with newly diagnosed sputum smear-positive pulmonary tuberculosis was started on weight-based isoniazid, rifampicin, pyrazinamide and ethambutol four weeks ago. He returns with nausea, right upper quadrant discomfort, dark urine and jaundice.
676 words, about 3 min4Possible appendicitis at eight weeks of pregnancy with no obstetrician on site
A 24-year-old woman presents to the emergency department with 18 hours of peri-umbilical pain that has migrated to the right iliac fossa. She has vomited twice and has no appetite.
700 words, about 4 min5Dengue with warning signs on day five, with no platelet service overnight
A 27-year-old man presents on day five of fever with severe abdominal pain, persistent vomiting, and gum bleeding after brushing his teeth. Temperature is 38.4 degrees Celsius, pulse 112/min, blood pressure 100/70 mmHg, and capillary refill is three seconds.
685 words, about 3 min