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NLE (National Licensing Examination) Dr Mairah Sohail FMC Pioneer batch 2021FOR WHOM? • Both national(gov. and private)and international medical graduates • Conducted for national graduates for the 1 time on 21st27th August 2021. Local graduates only need to pass NLE step 1 for full license.WHY?HOW? • For full license PMC requires NLE Step 1 for local graduates. We get only provisional license after finishing mbbs. • Apply when registration opens on nle.pmc.gov.pk about a month before exam. Get access to teps practice papers. 1 practice test is free. Others charged at 600 Rupees per test. Select test centreand date. • Exam is computerized conducted on tablet computers. There are 200 mcqs to be done in 200 mins. No negative marking. You need 70% to pass. • Mcqsare scenario-based and mostly clinical.Tips to prepare/give le • Do final year well. • Practice tepspapers. Prepare according to mcqsin practice tests. • Revise clinical subjects before exam. • Can revise basic sciences if you get time otherwise you can wing it(I cleared nle without basic sciences revision so yes, it is doable) • Give as soon as possible after final year as your knowledge is fresh.Egs. 1. 45 yrold man has acute chest pain and is prescribed nitroglycerin tablet s/l. Why not asked to swallow? It is inactivated in: • A Blood • B Liver • C Intestines • D Stomach2. 52 yrold hypertensive has deranged LFTS: increased indirect bilirubin. Which drug can cause this? A Beta blocker B Hydralazine C Hydrochlorothiazide D Methyldopa3. A 46 yr old male has acute abdominal pain with migratory thrombophlebitis. What can be the cause? A. Acute pancreatitis B. Viral hepatitis C. Cystic fibrosis D. DM4.A young girl brought in ER with acute abdomen. Pain started in umbilicus radiating towards RIF . Tenderness increases on flexing right thigh and medially rotating it. Most likely site of appendix: A pelvic B Retro colic C Sub cecal D Paracolic5. Pt has difficulty in raising arm above head following injury in right axilla. On examination inferior angle of right scapula was more prominent. Nerve most likely injured is? A Axillary N B Long thoracic N C Thoracodorsal N D Upper and lower subscapular N6. Healthy primigravida in last trimester of pregnancy reports easy fatiguability. Most likely cause of anemia is: A Pyridoxine deficiency B Fe deficiency C Hemodilution D B12 deficiencyans 1. B 2. D 3. A 4. A 5. B 6. CBEST OF LUCK!