National Registration Examination Syllabus – NRE for Medical Graduate | 2024

PMDC designs the National Registration Examination syllabus for medical graduates according to their discipline.

You can download the NRE syllabus by clicking on the button below.

Applied Basic Sciences Discipline in NRE syllabus

The basic sciences disciplines in the National Registration Examination syllabus will include the following: However, the basic sciences content of the theory examination will be largely, but not exclusively, based on applied aspects of the following subjects:

• Applied Anatomy
• Applied Physiology
• Applied Biochemistry
• Applied Pathology
• Clinical Pharmacology
• Community Medicine
• Forensic Medicine and Toxicology

NOTE: If you want to find out more about the National Registration Examination criteria, passing criteria, and registration date, Click Here.

Weightage of Applied Basic Sciences disciplines in NRE

Weightage of Applied Basic Sciences disciplines in the theory (MCQs) component of NRE
will be as follows:

BASIC SCIENCES WEIGHTAGE:30% TOTAL MCQS: 60	TOTAL # OF MCQS
Applied Pathology	11
Applied Anatomy	11
Applied Physiology	10
Clinical Pharmacology	8
Applied Biochemistry	6
Community Medicine	6
Forensic Medicine and Toxicology	4
Total	60

Clinical Sciences Disciplines in NRE syllabus

Clinical sciences disciplines in the National Registration Examination syllabus will comprise of the following.

• Medicine and Allied
• Surgery and Allied
• Obstetrics & Gynecology
• Paediatrics
• Ophthalmology (Eye)
• Otorhinolaryngology (ENT)

Weightage of Clinical Sciences disciplines in NRE – I

CLINICAL SCIENCES WEIGHTAGE:70% TOTAL MCQS:140
Medicine and Allied	52
Surgery and Allied	48
Obstetrics & Gynecology	14
Paediatrics	14
Ophthalmology (Eye)	6
Otorhinolaryngology (ENT)	6
Total	140

Weightage of Clinical Sciences disciplines in NRE – II

CSE aims to assess the essential clinical skills that would include interpretation of clinical data, including the diagnostic data, formulation of diagnosis and development of management plans.

CSE would also include examination skills and key procedural skills.

The format of CSE will be similar to that of an objectively Structured Clinical Examination
(OSCE). The duration of CSE shall be approximately 3 hours and 30 minutes (including the
initial briefing) and will consist of 20 stations. Pass percentage is fixed at 60% for the final result of the CSE.

Each CSE station shall be assigned 8 minutes, with 2 minutes for the changeover. The details
about the content and conduct of CSE (duration, number of stations, pass percentage) remain subject to change at the discretion of PttI&DC. Provided, any such change is notified and displayed on the PM&DC website at least ’12 weeks prior to the date of commencement of the CSE.

Syllabus for Applied Basic Sciences

Distribution of disciplines for stations for CSE will be as follows:

Discipline	TOTAL # OF Stations
Medicine and Allied	07
Surgery and Allied	07
Obstetrics and Gynecology	02
Paediatrics	02
Ophthalmology (Eye)	01
Otorhinolaryngology (ENT)	01
Total Stations	20

Syllabus for Applied Basic Sciences Component of NRE

APPLIED ANATOMY

1. DEVELOPMENT ANATOMY

• Development of the Nervous System
• Development of Head and Neck
• Development of Digestive & Urogenital System
• Development of Musculoskeletal System
• Development of Cardiovascular System
• Development of Respiratory System
• Development of lntegumentary System
• General Embryology

2. NEUROANATOMY

• Organization of Nervous System
• Spinal cord lesions
• Brain stem lesions
• Cerebellar diseases
• Cerebral diseases
• Diseases of basal ganglia
• Cranial nerve lesions
• Lesions of the thalamus
• Clinical disorders associated with hypothalamic lesions
• Disease involving the autonomic nervous system
• Diseases involving meninges
• Diseases involving ventricular system

4. REGIONAL ANATOMY

• Upper limb
• Lower limb
• Abdomen & Pelvis
• Head and neck
• Thorax

APPLIED BIOCHEMISTRY

• Proteins
• Lipids and fatty Acids
• Enzymes
• Porphyrinsand hemoglobin
• Vitamins and minerals
• Nutrition
• Bioenergetics and biological oxidation
• Metabolism of carbohydrates
• Metabolism of lipids
• Metabolism of proteins and amino acids
• Metabolism of nucleotides
• Biochemical genetics
• Biochemistry of endocrine system
• Biochemistry of water and electrolyte imbalance and acid-base balance

COMMUNITY MEDICINE

• Health Systems in Pakistan
• General Epidemiology and Research Methodology
• Biostatistics
• Demography and Population dynamics
• Prevention and control of infectious diseases
• Disasters and Accidents
• Issues of Nutritional Health
• Issues of Reproductive Health
• Common endemic Communicable diseases (Diagnosis & management)
• Common endemic Non-Communicable diseases (Diagnosis & management)

FORENSIC MEDICINE

• Law Pakistan’s legal system
• Law in relation to physicians
• Personal identification
• Autopsy and exhumation
• Thanatology
• Asphyxia
• Drowning
• Traumatology
• Forensic sexology
• Sexual offences
• Forensic pediatrics
• Forensic psychiatry
• Forensic serology
• Role of Forensic Science in crime detection
• Forensic odontology

TOXICOLOGY

• General principles of toxicology
• Special Toxicology

APPLIED PATHOLOGY

GENERAL PATHOLOGY

• Cell injury
• Inflammation and repair
• Neoplasia
• Disorders of circulation

IMMUNOLOGY

GENETICS

MICROBIOLOGY

• GENERAL BACTERIOLOGY
• SPECIAL BACTERIOLOGY
• PARASITOLOGY
• VIRUSES
• MYCOLOG

APPLIED PATHOLOGY

• BLOOD VESSELS AND HEART
• HAEMATOPOIETIC AND LYMPHOID SYSTEMS
• RESPIRATORY SYSTEM
• GASTROINTESTINAL TRACT AND LIVER
• FEMALE GENITAL SYSTEM AND BREAST
• MUSCULOSKELETAL SYSTEM
• ENDOCRINE SYSTEM
• SKIN
• NERVOUS SYSTEM
• CHEMICAL PATHOLOGY
• General Pharmacology
• Locally Acting Drugs
• Autacoids
• Drugs Acting on Gastrointestinal Tract
• Drugs Acting on Autonomic Nervous System
• Drugs acting on renal system
• Drugs acting on Cardiovascular System
• Drugs Acting on Respiratory System
• Drugs Acting on Endocrine System
• Drugs acting on the Nervous System
• Drugs Acting on Uterus
• Ghemotherapy
• lmmunopharmacology
• Miscellaneous

APPLIED PATHOLOGY

• Homeostasis
• Glinical/Applied Concepts
• Blood
• Clinical/Applied Concepts
• Nerve and muscle
• Clinical/Applied Concepts
• Cardiovascular system
• Clinical/Applied Concepts
• Respiratory system
• Clinical/Applied Goncepts
• Body fluids and kidneys
• Clinical/Applied Concepts
• Gastrointestinal Tract (GlT)
• Clinical/Applied Concepts
• Nervous system
• Clinica!/Applied Concepts
• Special senses
• Clinical/Applied Concepts
• Endocrinology
• Clinical/Applied Concepts
• Reproduction
• Clinical Applied Concepts

Syllabus for Clinical Sciences Component of NRE

INFECTIOUS DISEASES

• INFECTIOUS DISEASES
• GASTROINTESTINAL SYSTEM
• LIVER AND PANCREATIG DISEASES
• HEMATOLOGICAL DISEASE
• RHEUMATOLOGY AND BONE DISEASE
• RENAL
• WATER, ELECTROLYTES AND ACID-BASE BALANCE
• CVS
• PULMONOLOGY
• POISONING AND ENVIRONMENTAL MEDICINE
• ENDOCRINOLOGY AND DIABETES MELLITUS
• CNS
• SKlN

SURGERY AND ALLIED

• METABOLIC RESPONSE TO INJURY, SHOCK, AND BLOOD TRANSFUSION
• WOUND HEALING
• SURGICAL INFECTIONS
• PRE AND POSTOPERATIVE INVESTIGATIONS
• . PRE.OPERATIVE ASSESSMENT OF SURGICAL PATIENT
• PRINCIPLES OF ANAESTHESIA AND PAIN MANAGEMENT
• POST.OPERATIVE CARE
• NUTRITION, FLUID, ELECTROLYTE AND ACID.BASE BALANCE
• PRINCIPLE OF MANAGEMENT OF TRUMA PATIENTS
• BURN INJURIES
• ARTERIAL DISORDERS
• VENOUS DISORDERS
• PRINCIPLES OF LAPAROSCOPIC AND ROBOTIC SURGERY
• SYSTEMIC DISEASES (Head, Face and Neck,Breast,Thyroid Gland)
• Surgical Ethics, Human Factors, Patient Safety, Quality lmprovement
• ORTHOPAEDIC SURGERY
• UROLOGY
• PLASTIC AND RECONSTRUCTIVE SURGERY
• RADIOLOGY
• PAEDIATRIC SURGERY
• PRINCIPLES OF ONCOLOGY

PAEDIATRICS

• SOCIAL AND PREVENTIVE PAEDIATRICS
• GROWTH AND DEVELOPMENT / NUTRITION
• BEHAVIOR AND PSYCHIATRIC DISORDERS
• FLUIDS AND ELECTROLYTES
• POISONING AND TOXICOLOGY
• BURN / DROWNING AND FOREIGN BODIES IN CHILDREN
• METABOLIC DISEASE
• RHEUMATIC DISEASE / NEUROMUSCULAR DISORDERS
• HUMAN GENETICS
• Dermatology
• IMMUNOLOGIC DISORDERS
• HEMATOLOGIC DISORDERS
• ENDOCRINE DISORDERS
• NEONATOLOGY
• INFECTIOUS DISEASES
• RESPIRATORY DISORDERS
• GASTROINTESTINAL AND LIVER DISORDERS
• CARDIOVASCULAR DISEASE
• NEUROLOGICAL DISORDERS
• NEPHROLOGY
• BONES AND JOINTS DISORDERS

OBSTERTRICS AND GYNAECOLOGY

• Contraception
• Fertility Problems (both male & female)
• Puberty
• Normal Pregnancy
• Labor
• Abnormal Labor
• Problems in Pregnancy
• Bleeding in Early Pregnancy
• Puerperium
• Etiology of Bleeding in Pregnancy and Management of Shock 9complications of pregnancy)
• Essential anatomy of genital tract
• Endocrine basis of menstrual cycle
• Abnormal uterine bleeding – causes, diagnosis and management
• Etiology, pathophysiology, complications and management of endometriosis
  lS. Etiology, pathophysiology, complications and management of fibroids
• Etiology, pathophysiology and management of pelvic inflammatory disease
• Etiology of premalignant diseases of the uterus
  age
• Principles of diagnosis and management of carcinoma of uterus
• Benign disease of cervix
• Principles of ceruical cytology and colposcopy
• Etiology, diagnosis and management of benign ovarian cysts
• Principles of diagnosis and management of malignant ovarian neoplasms
• Differential diagnosis, diagnosis and management of pelvic mass
• Principles of diagnosis and management of vulval lesions and lumps
  ZS. Causes, diagnosis and options for management of utero-vaginal prolapse
• Micturition

OPTHALMOLOGY EYE

• ADNEXA & ORBIT
• LACRIMAL APPARATUS
• LIDS
• CONJUNCTIVA
• CORNEA
• UVEAL TRACT
• PUPIL
• LENS
• GLAUCOMA
• RETINA AND VITREOUS
• SQUINT
• NEURO.OPTHALMOLOGY
• OCULAR TRAUMA
• SYSTEMIC DISEASES
• OPHTHALMIC THERAPEUTICS

OTORHTNOLARYNGOLOGY (ENT)

• DISORDERS OF EXTERNAL EAR
• DISORDER OF MIDDLE EAR
• DISORDER OF INNER EAR

Conclusion

We have convered major heading of National Registration Examination syllabus for medical graduates , but for detail you should follow the pmdc full guideline for syllabus, we have given link above to download pdf for NRE syllabus.