PMC Medicine Licensure case studies
PMC Medicine Licensure · Put your knowledge to work in context.
The Pakistan Medical Commission Medical Licensure Examination - widely called the PMC NLE - is the national assessment that graduates must clear to practise medicine in Pakistan. It is aimed at final-year students and graduates of MBBS programmes, whether trained in Pakistan or abroad, who need a licence to work as a doctor. The exam spans the full undergraduate curriculum: the basic sciences, the major clinical disciplines, and the preventive, forensic and behavioural subjects that Pakistani practice requires. It is a multiple-choice examination, and the official PMC publishes the current question count, timing, fee, passing standard and retake rules on its website - always confirm those details there rather than relying on second-hand summaries. The PMC Medicine Licensure case studies are 5 cases and about 2,315 words.
1Fever with Thrombocytopenia in a Dengue-Endemic District
A 28-year-old man presents on day 5 of fever to a district hospital in a dengue-endemic area. Temperature 39.2 C, pulse 104/min, BP 100/70 mmHg, capillary refill 3 seconds.
454 words, about 2 min2Postoperative Day 3 Tachycardia After Emergency Laparotomy
A 54-year-old woman is on postoperative day 3 after emergency laparotomy and bowel resection for perforated sigmoid diverticulitis. She has a midline wound, a drain, and a urinary catheter.
422 words, about 2 min3Hypertensive Disorder at 34 Weeks with Fetal Compromise
A 31-year-old primigravida at 34+2 weeks presents with headache and epigastric pain. BP 168/112 mmHg on two readings, urine protein 3+ on dipstick, platelets 88,000/uL, AST 142 U/L, creatinine 1.1 mg/dL.
423 words, about 2 min4A 6-Week-Old with Poor Feeding and Lethargy
A 6-week-old exclusively breastfed boy is brought with 2 days of poor feeding, irritability, and one episode of vomiting. Birth weight 3.1 kg, current weight 3.4 kg (below expected).
425 words, about 2 min5An Unresponsive Patient Found at Home - Medico-Legal and Clinical Reasoning
A 45-year-old man is brought to the emergency department by police after being found unresponsive at home. He has pinpoint pupils, a respiratory rate of 6/min, and SpO2 82% on room air.
591 words, about 3 min