NMCLE Past Questions with Answers


NMCLE Past Questions with Answers 

NMCLE Past Questions pdf download 

General Medicine


1. A 45-year-old male presents with polyuria, polydipsia, and weight loss. His fasting blood glucose is 200 mg/dL. What is the most likely diagnosis?


a) Diabetes mellitus

b) Diabetes insipidus

c) Cushing’s syndrome

d) Addison’s disease


Answer: ✅ a) Diabetes mellitus



2. A patient presents with a BP of 180/110 mmHg, headache, and palpitations. Which investigation is most useful for diagnosing pheochromocytoma?


a) Serum cortisol

b) 24-hour urinary metanephrines

c) Serum aldosterone

d) Plasma renin activity


Answer: ✅ b) 24-hour urinary metanephrines




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Surgery


3. A 55-year-old man with a long history of GERD presents with dysphagia. Endoscopy reveals Barrett’s esophagus. What is the most likely complication?


a) Esophageal adenocarcinoma

b) Peptic ulcer disease

c) Achalasia

d) Boerhaave syndrome


Answer: ✅ a) Esophageal adenocarcinoma



4. A patient presents with an acutely swollen, painful, and tender leg following a long-haul flight. What is the best initial investigation?


a) D-dimer

b) Doppler ultrasound

c) CT pulmonary angiography

d) Venography


Answer: ✅ b) Doppler ultrasound




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Pediatrics


5. A 2-year-old child presents with fever, barking cough, and stridor. What is the most likely diagnosis?


a) Epiglottitis

b) Croup

c) Foreign body aspiration

d) Bronchiolitis


Answer: ✅ b) Croup



6. A neonate presents with jaundice on day 3. Which is the most likely cause?


a) Physiological jaundice

b) Hemolytic disease of the newborn

c) Neonatal hepatitis

d) Biliary atresia


Answer: ✅ a) Physiological jaundice




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Obstetrics & Gynecology


7. A pregnant woman at 34 weeks gestation presents with painless vaginal bleeding. What is the most likely diagnosis?


a) Placental abruption

b) Placenta previa

c) Uterine rupture

d) Vasa previa


Answer: ✅ b) Placenta previa



8. A 28-year-old woman presents with lower abdominal pain and vaginal discharge. On examination, she has cervical motion tenderness. What is the most likely diagnosis?


a) Pelvic inflammatory disease (PID)

b) Endometriosis

c) Ectopic pregnancy

d) Ovarian torsion


Answer: ✅ a) Pelvic inflammatory disease (PID)




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Pharmacology


9. Which of the following drugs is a beta-blocker used for hypertension?


a) Propranolol

b) Amlodipine

c) Enalapril

d) Furosemide


Answer: ✅ a) Propranolol



10. A patient overdoses on paracetamol. What is the antidote?


a) Atropine

b) N-acetylcysteine

c) 

Flumazenil

d) Naloxone


Answer: ✅ b) N-acetylcysteine


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