KUUMAT Nepal case studies

KUUMAT Nepal · Put your knowledge to work in context.

KUUMAT - commonly used as shorthand for the Kathmandu University medical entrance pathway - is the admission route through which candidates seek entry to the MBBS programme delivered under Kathmandu University's School of Medical Sciences (KUSMS). KUSMS describes itself as an institution established in collaboration between Kathmandu University and Dhulikhel Hospital, and states that it launched its own constituent MBBS program in August 2001. The KUUMAT Nepal case studies are 5 cases and about 4,342 words.

IV Infusion at 60 mL/h: Which Element Actually Sets the Drip Rate?

A 26-year-old man admitted with dengue haemorrhagic fever at a Kathmandu hospital needs continuous intravenous fluid at 60 mL/h. The infusion bag hangs so that the fluid surface is 1.10 m above the tip of the cannula in his forearm.

888 words, about 4 min 2

Salicylate Overdose: Reading the Blood Gas, the Anion Gap and the Bicarbonate Strength

A 19-year-old is brought to the emergency department six hours after swallowing about 30 tablets of acetylsalicylic acid (aspirin). He is drowsy but rousable and breathing deeply at 28 breaths per minute.

791 words, about 4 min 3

Trekker at 3,800 m: Alveolar Oxygen, the Right-Shifted Curve and a Daylight-Only Helicopter

A 32-year-old trekker is brought to a health post at 3,800 m in Manang with breathlessness at rest and a dry cough that began the previous night. Barometric pressure there is about 480 mmHg and alveolar water vapour pressure at 37 °C is 47 mmHg.

857 words, about 4 min 4

Two Maize Fields, Two Chloroses: Diagnosing Mg and Fe Deficiency on Calcareous Soil

A maize crop in Chitwan shows yellowing between the veins of the oldest leaves while the younger leaves stay green. A second field 3 km away, sown with the same hybrid and irrigated from the same canal, shows interveinal yellowing of the youngest leaves with the veins remaining green.

905 words, about 5 min 5

A Dengue Rapid Test in Two Seasons: What a Positive Result Is Worth

A district hospital in the Terai is deciding how to use a rapid immunochromatographic test for dengue in febrile patients. In a local validation study the test had a sensitivity of 90% and a specificity of 95%.

901 words, about 5 min