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NRE 2024 — Syllabus High-Yield Logic

Each subject tests at two cognitive levels:

3,105 words ~14 min

NRE 2024 — Syllabus High-Yield Logic

Source: PM&DC NRE Syllabus 2024 (NRE_Syllabus_2024.docx) Purpose: Master reference for generating all study materials (MCQs, MedCORE, cheatsheets, quizzes) Generated: 2026-06-29

1. EXAM ARCHITECTURE

NRE = Theory (MCQs) + CSE (OSCE)

THEORY: 200 MCQs, computer-based, 60% pass
├── Basic Sciences: 60 MCQs (30%)
└── Clinical Sciences: 140 MCQs (70%)

CSE: 20 OSCE stations, 60% pass, 3 mandatory stations

Passing Logic

  • Must pass BOTH components separately
  • Theory valid for 5 years
  • Fail CSE 3× → must retake entire exam
  • No negative marking

2. WEIGHTAGE DISTRIBUTION (THE CORE NUMBERS)

Basic Sciences (60 MCQs)

Discipline MCQs Weight
Applied Pathology 11 18.3%
Applied Anatomy 11 18.3%
Applied Physiology 10 16.7%
Clinical Pharmacology 8 13.3%
Applied Biochemistry 6 10%
Community Medicine 6 10%
Forensic Medicine & Toxicology 4 6.7%

Clinical Sciences (140 MCQs)

Discipline MCQs Weight
Medicine and Allied 52 37.1%
Surgery and Allied 48 34.3%
Obstetrics & Gynaecology 14 10%
Paediatrics 14 10%
Ophthalmology 6 4.3%
Otorhinolaryngology (ENT) 6 4.3%

CSE Station Distribution (20 stations)

Discipline Stations
Medicine and Allied 7
Surgery and Allied 7
Obstetrics & Gynaecology 2
Paediatrics 2
Ophthalmology 1
Otorhinolaryngology 1

3. COGNITIVE LEVEL MAPPING (From TOS)

Each subject tests at two cognitive levels:

  • Recall Level — Direct knowledge recall (facts, definitions, classifications)
  • Application Level — Clinical reasoning, diagnosis, management decisions

High-Application Subjects (more “applied” questions):

  • Medicine & Allied: Heavy on application — CVS (3/4 applied), Nephrology (3/4), Critical Care (3/4), ID (4/4 applied), Pharmacotherapeutics (2/4 applied)
  • Surgery & Allied: Trauma (3/3 applied), Skin (3/3 applied), Orthopedics (2/3 applied), Abdomen (2/3 applied)
  • Pathology: Most topics tested at application level
  • Pharmacology: Autonomics, Endocrinology tested at application

High-Recall Subjects (more direct knowledge):

  • Anatomy: More recall-heavy (embryology, histology, general anatomy)
  • Biochemistry: Balanced recall/application
  • Community Medicine: Epidemiology, nutrition, ethics at recall

Key Pattern:

Clinical disciplines favor application > recall. Basic sciences are more balanced.

4. SUBJECT-TOPIC CROSSWALK (For generating integrated material)

High-Yield Overlap Topics (appear in ≥2 subjects)

Topic Appears In
Diabetes Mellitus Physiology, Biochemistry, Pathology, Pharmacology, Medicine, Surgery, O&G, Paeds, Ophthalmology
Hypertension Physiology, Pathology, Pharmacology, Medicine
Ischemic Heart Disease Anatomy, Physiology, Pathology, Pharmacology, Medicine
Tuberculosis Microbiology, Pathology, Community Med, Medicine, Surgery, Paeds
Hepatitis Biochemistry, Pathology, Pharmacology, Medicine, Surgery
Meningitis Anatomy, Microbiology, Pathology, Medicine, Paeds, CNS section
Thyroid Disorders Anatomy, Physiology, Biochemistry, Pathology, Pharmacology, Medicine, Surgery
Renal Failure Physiology, Pathology, Pharmacology, Medicine, Surgery
Peptic Ulcer Disease Anatomy, Pathology, Pharmacology, Medicine, Surgery
Pneumonia Microbiology, Pathology, Medicine, Paeds, Surgery
Thalassemia Biochemistry, Pathology, Medicine, Paeds
HIV/AIDS Microbiology, Pathology, Community Med, Medicine, Surgery
Stroke/CVA Anatomy, Physiology, Pathology, Medicine
Cirrhosis/Liver Disease Anatomy, Pathology, Medicine, Surgery, Paeds
Shock Physiology, Pathology, Surgery, Medicine
Congenital Heart Disease Anatomy, Physiology, Pathology, Paeds, Medicine
Breast Cancer Anatomy, Pathology, Surgery, Gynaecology
Carcinoma Cervix Pathology, Gynaecology, Microbiology (HPV)
Osteoporosis Pathology, Medicine, Gynaecology (menopause), Orthopedics
Head Injury/Trauma Anatomy, Surgery, Orthopedics, Neurosurgery
Burns Pathology, Surgery, Paeds
Epilepsy Anatomy, Physiology, Medicine, Paeds
Asthma Physiology, Pathology, Pharmacology, Medicine, Paeds
Malnutrition Biochemistry, Community Med, Paeds
Immunization/Vaccines Microbiology, Community Med, Paeds (EPI)
Contraception Pharmacology, Community Med, Gynaecology
Foreign Body Aspiration Anatomy, Paeds, ENT, Surgery (tracheostomy)

5. SYSTEM-BY-SYSTEM SYLLABUS LOGIC

5.1 Applied Anatomy (11 MCQs)

Core distribution: General/Histology/Embryo (3) + Upper Limb (2) + Lower Limb (2) + Thorax/Abdomen/Pelvis (2) + Neuroanatomy (2)

Generate from these buckets:

  • Development: Neural tube, branchial arches, facial clefts, GI rotation, cardiac looping
  • Neuroanatomy: Cord lesions (Brown-Sequard, syringomyelia), brainstem syndromes, basal ganglia (Parkinson, Huntington), CN lesions, hypothalamic disorders
  • Regional: Fractures + nerve injuries (upper/lower limb), hernias, breast spread, pelvic fractures, thyroid surgery relations, thoracic outlet

5.2 Applied Physiology (10 MCQs)

Core distribution: CVS (2) + Resp/CNS (2) + GIT (1) + GU (2) + Endo (2) + MSK/Special Senses (1)

Generate from these buckets:

  • CVS: ECG, cardiac cycle, heart sounds, BP regulation, shock, heart failure
  • Resp: Spirometry, V/Q mismatch, hypoxia types, acid-base, lung volumes
  • CNS: Reflexes, UMN/LMN, sensory pathways, EEG, sleep, speech
  • Renal: GFR regulation, RFTs, acid-base balance, micturition
  • Endo: Feedback loops, pituitary, thyroid, adrenal, pancreas
  • Special Senses: Optics, Rinne/Weber, visual pathway, color vision

5.3 Applied Biochemistry (6 MCQs)

Core distribution: Digestive (4) + GU (2) + Neurosciences (1) + Maxillofacial/Special Senses (1) + Endo (2)

Generate from these buckets:

  • Inborn errors: PKU, MSUD, albinism, homocystinuria, alkaptonuria, glycogen storage diseases
  • Hemoglobin: Porphyrias, hyperbilirubinemia, thalassemia, sickle cell
  • Diabetes: Lab diagnosis, HbA1c, ketosis, metabolic syndrome
  • Lipids: Hypercholesterolemia, lipoproteins, atherosclerosis
  • Enzymes: Isoenzymes (CK-MB, LDH, ALP), therapeutic enzymes
  • Vitamins: Hyper/hypovitaminosis, deficiency disorders

5.4 Pathology (11 MCQs)

Core distribution: CVS (2) + Resp (2) + GIT/Hepatobiliary (2) + Renal (2) + Genital/Breast (2) + Endo/Chemical Path (2) + CNS (2) + MSK/Skin (2) + Hematology (1)

Generate from these buckets:

  • General: Cell injury, necrosis types, inflammation, wound healing, neoplasia
  • CVS: Atherosclerosis, aneurysm, MI, endocarditis, cardiomyopathy, rheumatic fever
  • Resp: Pneumonia, TB, COPD, asthma, ARDS, lung cancer
  • GI: Gastritis, PUD, IBD, colorectal cancer, malabsorption
  • Hepatobiliary: Hepatitis, cirrhosis, jaundice types, HCC, cholelithiasis, pancreatitis
  • Renal: GN types (nephrotic vs nephritic), pyelonephritis, renal tumors, stones
  • Female/Breast: Cervical dysplasia, ovarian tumors, endometrial cancer, breast cancer
  • Endo: Thyroiditis, thyroid tumors, DM complications, adrenal tumors
  • Hemato: Anemia classification, leukemia, lymphoma, DIC, hemophilia, ITP
  • MSK: Osteomyelitis, arthritis types, bone tumors, muscular dystrophy

5.5 Clinical Pharmacology (8 MCQs)

Core distribution: General + ANS (2) + CNS (1) + GIT (1) + CVS (1) + Diuretics (1) + Chemotherapy (1) + Endo (2)

Generate from these buckets:

  • Antimicrobials: Cell wall, protein synthesis, gyrase inhibitors, antifungals, antivirals, antimalarials, TB drugs
  • CVS: Antihypertensives, antianginals, antiarrhythmics, anticoagulants, antiplatelets, statins
  • CNS: Antiepileptics, antipsychotics, antidepressants, anxiolytics, antiparkinson, anesthetics
  • Endo: Insulin, OHA, thyroid drugs, corticosteroids, contraceptives
  • ANS: Sympathomimetics/lytics, parasympathomimetics/lytics, muscle relaxants
  • Chemotherapy: Cancer drug classes, MOA, side effects, resistance

5.6 Community Medicine (6 MCQs)

Core distribution: Epidemiology (2) + Research (2) + Infection/NCD (2) + MCH (2) + Nutrition (1) + Ethics (1)

Generate from these buckets:

  • Epidemiology: Incidence/prevalence, study designs, outbreak investigation, screening
  • Biostatistics: Mean/median/mode, SD, t-test, chi-square, sampling methods
  • Pakistan Health System: National programs, EPI, LHWs, district health system
  • Communicable Diseases: Malaria, TB, dengue, typhoid — local protocols
  • NCDs: DM, HTN, IHD, asthma — burden and prevention
  • Nutrition: PEM (marasmus/kwashiorkor), micronutrients, vitamin deficiencies
  • MCH: Reproductive health, family planning, maternal mortality indicators

5.7 Forensic Medicine & Toxicology (4 MCQs)

Core distribution: Toxicology (2) + Traumatology (2) + Thanatology (2) + Sexual Offences (2) — but only 4 total

Generate from these buckets:

  • Thanatology: Signs of death, postmortem changes, brain death, sudden death
  • Traumatology: Blunt/sharp/firearm injuries, burns, head injury, ante vs postmortem
  • Asphyxia: Hanging, strangulation, drowning, choking
  • Toxicology: Organophosphates, opioids, alcohols, CO, cyanide, paracetamol, plants
  • Sexual Offences: Rape examination, virginity, abortion laws
  • Laws: PPC sections relevant to medical practice, consent, professional misconduct

5.8 Medicine & Allied (52 MCQs) — Largest subject

Core distribution: ID (4) + GI (3) + Neuro (3) + CVS (4) + Resp (3) + Renal (4) + Endo (4) + Hemato (3) + Rheum (2) + Derm (3) + Psych (3) + Nutrition (3) + Genetics (2) + Critical Care (4) + Pharmacotherapeutics (4) + Oncology (3)

Generate from these buckets:

  • ID: PUO, sepsis, TB, typhoid, malaria, dengue, HIV, meningitis, hepatitis
  • GI: GERD, PUD, IBD, malabsorption, cirrhosis, pancreatitis, GI bleeds
  • CVS: ACS, CHF, arrhythmias, hypertension, valvular disease, infective endocarditis
  • Resp: Asthma, COPD, pneumonia, bronchiectasis, pulmonary embolism
  • Renal: AKI, CKD, nephrotic/nephritic, RRT, stones
  • Endo: DM (huge), thyroid, adrenal, pituitary, lipid disorders, metabolic bone
  • Hemato: Anemia (all types), leukemia, lymphoma, MPD, DIC, ITP, TTP, HUS
  • Rheum: RA, SLE, OA, gout, vasculitis, Sjogren, scleroderma
  • Derm: Eczema, psoriasis, infections (scabies, fungal), acne, bullous disorders, Stevens-Johnson
  • Psych: Depression, anxiety, psychosis, bipolar, schizophrenia, emergencies
  • Neuro: Stroke, epilepsy, Parkinson, MS, GBS, meningitis, coma, headache

5.9 Surgery & Allied (48 MCQs)

Core distribution: Basic principles (3) + Skin (3) + Trauma (3) + Radiology (2) + Paediatric Surgery (2) + Orthopedics (3) + Spine (2) + Neurosurgery (2) + Vascular (2) + Thoracic (2) + Oncology (3) + Anesthesia (3) + Head & Neck (2) + Breast/Endocrine (3) + Abdomen (3) + Hepatobiliary (2) + Upper GI (3) + Lower GI (3) + Urology (2)

Generate from these buckets:

  • Basic: Wound healing, shock, blood transfusion, pre-op assessment, nutrition
  • Trauma: ATLS, head/chest/abdo/extremity trauma, burns
  • Breast: Lumps (triple assessment), Ca breast, mastectomy types, benign breast disease
  • Thyroid/Parathyroid/Adrenal: Goitre, hyperthyroidism, thyroid cancer, MEN, Conn’s/Cushing’s
  • Upper GI: GERD, achalasia, Ca esophagus, PUD, Ca stomach, GIST
  • Hepatobiliary: Gallstones, cholecystitis, obstructive jaundice, liver tumors, pancreatitis
  • Lower GI: Appendicitis, diverticulitis, colorectal Ca, IBD surgery, obstruction
  • Hernias: Inguinal, femoral, ventral — types, repair, complications
  • Urology: BPH, Ca prostate, stones, hematuria, testicular torsion, Ca bladder
  • Orthopedics: Fractures, dislocations, compartment syndrome, OA, septic arthritis
  • Vascular: Acute/chronic limb ischemia, AAA, varicose veins, DVT
  • Anesthesia: GA vs LA, airway management, perioperative care

5.10 Paediatrics (14 MCQs)

Core distribution: Immunization (2) + Nutrition (2) + ID (1) + IMNCI (2) + GI (1) + Neonatology (1) + Cardiology (1) + Resp (1) + CNS (1) + Nephrology (1) + Poisoning (1)

Generate from these buckets:

  • Neonatology: Birth asphyxia, RDS, neonatal jaundice, NEC, neonatal sepsis, TORCH, prematurity
  • Growth/Development: Milestones, growth charts, puberty/Tanner staging, malnutrition
  • Immunization: EPI schedule, vaccines, cold chain, contraindications
  • IMNCI: Integrated management of childhood illness — diarrhea, pneumonia, fever
  • Infections: Acute diarrhea, typhoid, measles, polio, TB, dengue, rabies
  • Cardiology: CHD (cyanotic/acyanotic), rheumatic fever, Kawasaki disease
  • Respiratory: Bronchiolitis, croup, pneumonia, asthma, CF
  • Neurology: Febrile seizures, meningitis, cerebral palsy, epilepsy, GBS
  • Nephrology: Nephrotic syndrome, AGN, UTI, Wilms tumor
  • Hematology: Thalassemia, hemophilia, ITP, iron deficiency
  • Genetic/Metabolic: Trisomies, Turner, PKU, galactosemia, storage diseases

5.11 Obstetrics & Gynaecology (14 MCQs)

Core distribution: Pregnancy/Labour (6) + Medical Disorders (1) + Malpresentation (2) + Fetal Growth (1) + Obstetric Emergency (1) + Puberty (1) + Contraception/Infertility (1) + Menstrual (1) + Sexual (1) + Prolapse (1) + Gynae Tumors (2) + Infection (2)

Generate from these buckets:

  • Antenatal: Physiological changes, antenatal care, gestational DM/HTN, infections in pregnancy
  • Labour: Stages, mechanism, partograph, induction, prolonged labour, instrumental delivery, CS
  • Obstetric Emergencies: APH (placenta previa, abruption), PPH, eclampsia, cord prolapse
  • Postpartum: Puerperal pyrexia, DVT, lactation problems, postpartum hemorrhage
  • Gynaecology: AUB, fibroids, endometriosis, PID, PCOS
  • Oncology: Cervical dysplasia, cervical cancer, ovarian tumors, endometrial cancer, molar pregnancy
  • Contraception: Methods, emergency contraception, sterilization
  • Infertility: Causes (male/female), investigations, management
  • Prolapse: Uterovaginal prolapse, cystocele, rectocele

5.12 Ophthalmology (6 MCQs)

Core distribution: Lid/Adnexa (1) + Orbit/Uvea/Lens (1) + Refraction/Glaucoma/Therapeutics (2) + Retina (1) + Neuro-ophth/Strabismus (1)

Generate from these buckets:

  • Red eye differential: Conjunctivitis, keratitis, iritis, acute glaucoma
  • Cataract: Types, surgery, complications
  • Glaucoma: Open-angle vs closed-angle, management
  • Diabetic/Hypertensive retinopathy: Stages, management
  • Refractive errors: Myopia, hyperopia, astigmatism, presbyopia
  • Neuro: Papilledema, optic atrophy, CN III/IV/VI palsy, visual field defects
  • Trauma: Principles, chemical burns
  • Squint: Paralytic vs non-paralytic

5.13 ENT (6 MCQs)

Core distribution: Ear (1) + Hearing Loss/Vertigo (2) + Nose (2) + Throat (2)

Generate from these buckets:

  • Ear: Otitis externa, otitis media (acute/chronic), CSOM, mastoiditis
  • Hearing loss: Conductive vs sensorineural, tuning fork tests, audiometry, presbyacusis
  • Vertigo: BPPV, Meniere’s, vestibular neuritis
  • Nose: Allergic rhinitis, sinusitis, DNS, epistaxis, nasal polyps
  • Throat: Tonsillitis, peritonsillar abscess, adenoid hyperplasia
  • Larynx: Laryngitis, vocal nodules, Ca larynx
  • Neck: Thyroid swellings, cervical lymphadenopathy, branchial cysts

6. HIGH-YIELD CROSS-DISCIPLINE INTEGRATION (For generating integrated MedCORE)

6.1 Chest Pain (CVS + Resp + Surgery)

  • ACS (Medicine) — ECG, enzymes, management
  • Pulmonary embolism (Medicine) — Wells criteria, D-dimer, CT-PA
  • Pneumothorax (Surgery) — Chest tube insertion (CSE skill)
  • Aortic dissection (Surgery) — BP control, emergency surgery
  • Pericarditis (Medicine) — ECG diffuse ST elevation
  • GERD (Medicine/Surgery) — Differentials

6.2 Acute Abdomen (Surgery + Medicine + Gynae)

  • Appendicitis (Surgery) — Alvarado score
  • Cholecystitis (Surgery) — Murphy sign, ultrasound
  • Pancreatitis (Surgery/Medicine) — Ranson/Glasgow criteria
  • Perforated PUD (Surgery) — Erect CXR
  • Ectopic pregnancy (Gynae) — BhCG, ultrasound
  • PID (Gynae) — Cervical motion tenderness
  • Intestinal obstruction (Surgery) — X-ray, CT

6.3 Shortness of Breath (CVS + Resp + Paeds)

  • Acute pulmonary edema (CVS/Medicine)
  • Asthma/COPD exacerbation (Medicine)
  • Pneumonia (Medicine/Paeds)
  • Pleural effusion (Medicine/Surgery)
  • ARDS (Medicine/Critical Care)
  • Bronchiolitis (Paeds)

6.4 Fever (ID + All Systems)

  • PUO workup (Medicine)
  • Typhoid, malaria, dengue, TB (ID/Community Med)
  • UTI, pneumonia, meningitis, osteomyelitis (by system)
  • Post-surgical fever (Surgery)
  • Puerperal pyrexia (Gynae)

6.5 Diabetic Patient (All Subjects)

  • Biochemistry: HbA1c, glucose tolerance
  • Medicine: DKA/HONK management, complications
  • Surgery: Perioperative DM management, diabetic foot
  • Gynae: Gestational DM
  • Paeds: IDM, type 1
  • Ophthalmology: Diabetic retinopathy
  • Pharmacology: Insulin types, OHAs

6.6 Pregnant Patient (Gynae + Medicine + Surgery + Pharmacology)

  • Medical disorders in pregnancy: DM, HTN, thyroid, heart disease
  • Drug safety in pregnancy (Pharmacology)
  • Surgical emergencies in pregnancy
  • Anaesthesia in pregnancy

6.7 Pediatric Patient (Paeds + Anatomy + Surgery + Pharmacology)

  • Congenital anomalies (surgical + anatomical)
  • Drug dosing in children
  • Fluid management in children
  • Immunization schedule

6.8 Trauma Patient (Surgery + Anatomy + Orthopedics)

  • ATLS primary/secondary survey
  • Head injury (Neurosurgery)
  • Chest trauma (Thoracic surgery)
  • Abdominal trauma (General surgery)
  • Fractures (Orthopedics)
  • Burn management

7. CSE CLINICAL SKILLS BREAKDOWN

Must-Know Procedures (CSE Stations)

  1. Basic Life Support (mandatory station likely)
  2. Male/Female catheterization
  3. NG tube insertion
  4. IV cannulation + venepuncture
  5. Arterial blood gas sampling
  6. Chest tube insertion
  7. ECG recording and interpretation
  8. Wound closure/suturing
  9. Splinting fractures
  10. Digital rectal examination + proctoscopy
  11. Ophthalmoscopy + otoscopy
  12. Peak flow measurement
  13. Capillary blood glucose
  14. Urine dipstick
  15. Prescribing — safety, controlled drugs

Communication Skills (Mandatory)

  • Informed consent
  • Breaking bad news
  • Explaining procedures
  • Confidentiality
  • Empathy and cultural sensitivity

8. SYLLABUS-DERIVED MCQ GENERATION RULES

Rule 1: Proportion Enforcement

Always respect the MCQ count per subject. For a 200-MCQ set:

  • Med: 52 MCQs → split across 17 buckets
  • Surgery: 48 MCQs → split across 19 buckets
  • O&G: 14, Paeds: 14, Path: 11, Anatomy: 11, Physiology: 10, Pharm: 8, Biochem: 6, Comm Med: 6, FM: 4, Ophth: 6, ENT: 6

Rule 2: Cognitive Level Balance

  • Clinical subjects: ~60-70% application, ~30-40% recall
  • Basic sciences: ~50% each recall/application
  • Label each MCQ as Recall or Application

Rule 3: Trap-Type Integration

For every MCQ, anticipate common traps:

  • Synonym trap: Different name, same disease
  • Look-alike trap: Two similar presentations, one discriminator
  • Timing trap: Acute vs chronic presentation
  • Number trap: Memorize the one number
  • Reversal trap: “All of the following EXCEPT”
  • Double-negative trap: Confusing phrasing

Rule 4: Vignette Format

Every application-level MCQ should include a clinical vignette with:

  • Age, gender, presenting complaint
  • Key positive and relevant negative findings
  • One investigation result
  • Ask: diagnosis, next step, management, or complication

9. REVERSE-ENGINEERED NRE PATTERN

Based on the TOS cognitive level distribution:

What NRE Prioritizes

  1. Clinical decision-making (next best step in management)
  2. Diagnosis from vignettes (pattern recognition)
  3. Complication identification (what goes wrong)
  4. Drug mechanism and side effects (not just names)
  5. Investigation interpretation (CXR, ECG, ABG, lab values)

What NRE De-emphasizes

  • Pure anatomy recall (origins, insertions, relations)
  • Pure biochemistry pathways (unless clinically relevant)
  • Historical minutiae
  • Low-yield community medicine theory

High-Yield Recognition Triggers by Subject

  • Medicine: Classic triad patterns (Virchow’s, Beck’s, Charcot’s)
  • Surgery: Scoring systems (Alvarado, Glasgow, Ranson, Wells)
  • Paeds: Age-specific differentials (birth → infant → child → adolescent)
  • O&G: Obstetric emergencies management algorithm
  • Anatomy: Nerve injury → functional deficit
  • Pathology: Cell type → tumor behavior
  • Pharmacology: Drug class → adverse effect
  • Biochemistry: Enzyme defect → accumulation disease

10. SYLLABUS TOPIC INDEX (Quick-Lookup)

Code Subject Buckets Total MCQs
ANAT Anatomy 8 regional + neuro 11
PHYS Physiology 8 systems 10
BIOC Biochemistry 6 organ-based 6
PATH Pathology 11 system + general 11
PHAR Pharmacology 8 categories 8
COMM Community Med 6 topics 6
FM Forensic Med 4 topics 4
MED Medicine & Allied 17 sections 52
SURG Surgery & Allied 19 sections 48
PAED Paediatrics 14 domains 14
O&G Obs & Gynae 12 areas 14
OPHTH Ophthalmology 6 clusters 6
ENT ENT 6 clusters 6

How to use this index:

For any study material generation task:

  1. Look up the subject code and its topic buckets
  2. Cross-reference with high-yield overlap topics (Section 4)
  3. Apply cognitive level from TOS (Section 3)
  4. Use vignette template (Section 8, Rule 4)

End of NRE Syllabus High-Yield Logic — Use this as the single source of truth for generating NRE study materials.