NRE STEP 1 Practice Test with Latest Exam Questions 2026

The PM&DC National Registration Examination Step 1 (NRE I) is the theory component of the National Registration Examination for eligible foreign medical graduates seeking registration to practise medicine in Pakistan. The examination is designed to assess applied medical knowledge and higher cognitive ability across basic and clinical sciences, with emphasis on applying knowledge to clinical situations rather than relying only on factual recall. The official PM&DC syllabus divides the 200 item paper into 60 questions from applied basic sciences and 140 questions from clinical sciences. Applied basic sciences include Applied Anatomy, Applied Pathology, Applied Physiology, Clinical Pharmacology, Applied Biochemistry, Community Medicine, and Forensic Medicine and Toxicology. Clinical sciences cover Medicine and Allied, Surgery and Allied, Obstetrics and Gynaecology, Pediatrics, Ophthalmology, and Otorhinolaryngology.

Exam Covers the Following Sections

Number	Section	# of Items
01	Applied Anatomy	11
02	Applied Pathology	11
03	Applied Physiology	10
04	Clinical Pharmacology	8
05	Applied Biochemistry	6
06	Community Medicine	6
07	Forensic Medicine and Toxicology	4
08	Medicine and Allied	52
09	Surgery and Allied	48
10	Obstetrics and Gynaecology	14
11	Paediatrics	14
12	Ophthalmology	6
13	Otorhinolaryngology	6

Preparing for the NRE-STEP-1 exam requires not only understanding the exam topics but also practicing with exam style questions. Our National Registration Exam Part - I exam questions in practice tests help candidates review key concepts and familiarize themselves with the format and difficulty of exam.

At Killexams.com, our team works to maintain up-to-date practice content for exam preparation. We continuously review and refine our question sets and explanations to cover the latest relevant syllabus areas and help learners strengthen their understanding of core topics before facing the official exam. These Practice tests allow you to identify areas where you need improvement by measuring your readiness, and provide you exam questions to polish those areas.

By using our NRE-STEP-1 Practice Exam PDF and Test Engine, you can practice a structured set of questions and answers that ensure your readiness to face the difficulty of exam. Wherever possible, content includes detailed explanations to clarify reasoning and support deeper learning. For NRE Step I preparation, candidates should build a strong understanding of the complete MBBS curriculum and give particular attention to clinical application because 140 of the 200 questions belong to clinical sciences. Medicine and Allied and Surgery and Allied together account for 100 questions, while the remaining clinical questions cover Obstetrics and Gynaecology, Pediatrics, Ophthalmology, and Otorhinolaryngology. Candidates should practice solving single best answer style questions under timed conditions and review the reasoning behind incorrect answers rather than simply memorizing facts. The theory examination contains 200 questions and the examination duration is 3 hours and 30 minutes, giving candidates about one minute per question on average. The official passing criterion is 60 percent, and PM&DC has stated that there is no negative marking. Candidates therefore benefit from attempting all questions while keeping enough time for difficult clinical scenarios and final review.

To help you evaluate our material, you may download free sample pdf with example questions and answers that we provide. This sample allows you to review content and approach before deciding on Premium materials..

The National Registration Exam Part - I practice test files contains 3488 Questions, are compatible with multiple devices, including Windows, macOS, iOS, and Android, and can be used for both online and offline study. The PDF format is printable, making it easy to study during travel or when away from a computer. Access to updated materials is available through your online account.

After purchase, you will receive your username and password immediately, allowing you to log in and download your study files without delay. Our goal is to support exam preparation at your pace with practice content designed for reinforcement and understanding of key concepts.

For candidates preparing for PM&DC NRE Step I, Killexams.com exam questions and answers and practice tests can be useful as an additional revision resource alongside the official PM&DC syllabus and standard medical textbooks. Working through well structured MCQs helps candidates check their understanding of core topics, identify areas that need further study, and become more comfortable with clinical application questions within the NRE syllabus. Killexams MCQs can also provide a broader question bank for revision across the basic and clinical science areas covered by the latest published syllabus, allowing candidates to practise Medicine, Surgery, Pharmacology, Pathology, Anatomy, Physiology, Paediatrics, Obstetrics and Gynaecology and other important areas before the examination. The practice material should be used for preparation and knowledge improvement, while the official PM&DC syllabus remains the primary reference for examination coverage and requirements.

Killexams.com provides an Online Test Engine designed to help candidates practice exam questions in a structured and interactive environment. The Test Engine is compatible with iPhone, iPad, Android, Windows, and Mac, allowing you to study and practice on the device that best fits your schedule.

The NRE-STEP-1 Online Test Engine enables candidates to simulate exam-style practice sessions, review answers, and track progress over time. This learning approach helps users practice exam questions, question formats and improve time management while preparing for the National Registration Exam Part - I exam.

The Test Engine includes features that support effective learning, such as customizable practice sessions, question review modes, and progress tracking. These tools are designed to assist candidates in identifying knowledge gaps and reinforcing key concepts through repeated practice rather than memorization alone.

The Online Test Engine maintains practice history, performance summaries, and visual progress reports. Where available, questions may include explanations or reference information to support better understanding of exam topics. Content is reviewed and updated periodically to reflect relevant syllabus changes and maintain consistency with exam objectives.

The Killexams Desktop Test Engine (version 2026) is a dedicated test preparation software designed to support candidates preparing for the NRE-STEP-1 exam. The simulator provides a structured desktop based practice environment that allows users to work through exam style questions and review their performance in detail.

By practicing with the National Registration Exam Part - I Exam Simulator, candidates can become familiar with question formats, exam navigation, and time based testing conditions similar to those used in official exams. This experience helps users build confidence across testing environment, time management, exam topics and identify areas that may require additional study.

The Desktop Exam Simulator records practice history, performance summaries, and graphical progress reports. Where available, questions may include explanations or reference information to support understanding of correct and incorrect answers. The simulator content is reviewed and updated periodically to remain aligned with current exam objectives and syllabus requirements.