Free NLE Preparation 2026

Free NLE preparation with solved past papers and unlimited chapter-wise MCQs, every answer explained. No fee and no account needed to start. National Licensing Examination is conducted by Pakistan Medical and Dental Council.
The licensing examination required to practise medicine in Pakistan, taken by MBBS graduates after house job or on return from a foreign degree.
NLE MCQs with answers and explanations
Free NLE MCQs for every subject on the paper: Pathology, Pharmacology, Physiology, General Anatomy, Biochemistry and Microbiology. Each question is chapter-wise, taken from the Pakistan Medical and Dental Council syllabus, and carries a written explanation of why the correct option is correct, so a wrong attempt teaches you the fact you were missing instead of just marking you down. Unlimited attempts, no fee and no account needed. Pick the subject you are weakest in and start there.
Sample NLE MCQs by subject
A few questions from across each subject on the NLE paper. Open one for the correct answer and its explanation.
NLE Pathology sample MCQs
- A infant with cleft lip, palate, polydactly, microcephaly with holoprosencephaly, ectodermal scalp defect is…
- Increased proliferation of cells is called_______________?
- Cold abscess formation is due to_____________?
- Malignant tumour of skeletal muscie is__________________?
- DiGeorge's syndrome is due to___________?
- Auto immune hymolytic anemia is seen in_______________?
NLE Pharmacology sample MCQs
- Phenothiazines are used to____________?
- The maximum antiseptic action is seen with which of the following concedntrations of ethanol_____________?
- Which one of the following does NOT act by increasing insulin secretion______________?
- A child is brought with drowsiness, decreased deep tendon reflexes and seizures.
- Aminocaproic acid is a drug of choice for treatment of:
- Which antisialagogue is contraindicated in glaucoma_____________?
NLE Physiology sample MCQs
- The part of nephron" least permeable to water" is______________?
- Which is not produced enteroendocrinally_____________?
- The study of the electrical activity of the muscle is_______________?
- Progesterone production in the ovary is primarily by______________?
- Survival time of platelet is approximately______________?
- 2nd heart sound is characterized by all except______________?
NLE General Anatomy sample MCQs
- Visual cortex is present in the_____________?
- Glossopharyngeal nerve supplies posterior part of tongue because it develops from_____________?
- Haversian system is seen in______________?
- All of the following are composite muscles except ____________?
- Correct about right and left main bronchi is_______________?
- The kidney has _______ segments?
NLE Biochemistry sample MCQs
- In TCA cycle or tricarboxylic acid cycle, which is first formed________________?
- FSH, LH, TSH acts through_________________?
- In Niemann-Pick's disease the following substrance accumulate in CNS in excess______________?
- Which of the following about biological membrane is true ?
- Colloidal osmotic pressure of plasma is by___________?
- A example of a preventive antioxidant is_______________?
NLE Microbiology sample MCQs
- The Manufacturing unit of surgical needle & sutures are sterilized by ________________?
- Phase contrast microscopy is based on principle of__________________?
- Most of the drug resistances occurs due to_____________?
- Presence of HBe Ag in patients with hepatitis indicates_____________?
- Aflatoxins are produced by________________?
- All are true about Entamoeba histolytica except________________?
NLE paper at a glance
National Licensing Examination is 100 MCQs in 120 minutes, with no negative marking, so never leave a question unanswered.
100
MCQs
120
Minutes
No
Negative marking
NLE subject weightage
How many MCQs each subject contributes to the NLE paper, and how many free MCQs we hold for it. Study in this order: the heaviest subject is where a weak topic costs you the most marks.
| Subject | MCQs on paper | Share | Free MCQs here |
|---|---|---|---|
| NLE Pathology MCQs | 18 | 18% | 289 |
| NLE Pharmacology MCQs | 18 | 18% | 476 |
| NLE Physiology MCQs | 18 | 18% | 437 |
| NLE General Anatomy MCQs | 16 | 16% | 452 |
| NLE Biochemistry MCQs | 15 | 15% | 393 |
| NLE Microbiology MCQs | 15 | 15% | 452 |
Full NLE paper pattern 2026: the marking scheme, the time each subject is worth, and the subject weightage charted.
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NLE preparation: frequently asked questions
What is the NLE paper pattern?
NLE is 100 MCQs in 120 minutes, about 72 seconds a question. There is no negative marking. The marks are split across 6 subjects, led by Pathology at 18 MCQs.
Which subjects are in the NLE paper?
Pathology (18 MCQs), Pharmacology (18 MCQs), Physiology (18 MCQs), General Anatomy (16 MCQs), Biochemistry (15 MCQs) and Microbiology (15 MCQs), 100 in total. Start with Pathology: a weak chapter there costs more marks than a weak chapter anywhere else on the NLE paper.
Is NLE preparation on TestUstad really free?
Yes. All 2,499 NLE MCQs here, across Pathology, Pharmacology and Physiology and the rest of the paper, can be practised at no cost with the answer and explanation shown. Paid NLE access only adds full-length NLE mocks on the 100-MCQ pattern and a saved record of your scores.
How many free NLE MCQs are there?
2,499 across the NLE syllabus: 289 Pathology MCQs, 476 Pharmacology MCQs, 437 Physiology MCQs, 452 General Anatomy MCQs, 393 Biochemistry MCQs and 452 Microbiology MCQs. Each one carries the correct answer and a written explanation, and attempts are unlimited.
How should I prepare for NLE?
The NLE syllabus here runs to 48 chapters across 6 subjects. Work through them in weightage order, Pathology (18), Pharmacology (18) and Physiology (18) first, and stay on each chapter until you score above 80 percent. NLE has no negative marking, so practise answering every question, including the ones you have to guess. In the final weeks, sit timed mixed tests at the real pace of about 72 seconds a question.
Does TestUstad have NLE past papers?
Not as solved papers yet. Until one is added, the 2,499 NLE MCQs here cover the same Pathology, Pharmacology and Physiology syllabus, and any NLE paper that is added appears on the NLE past papers page with every answer explained.
Who conducts the NLE exam?
National Licensing Examination is conducted by Pakistan Medical and Dental Council. Dates, eligibility and the fee change every cycle, so confirm them on the Pakistan Medical and Dental Council advertisement before you apply.
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