MECEE-BL Nepal case studies
MECEE-BL Nepal · Put your knowledge to work in context.
MECEE-BL is the common entrance examination used for admission to bachelor-level health science programmes in Nepal, most prominently MBBS and BDS, and it is also used for several allied health programmes depending on the year's rules. It is aimed at students who have completed higher secondary or equivalent science study and now need a single competitive score to be considered in the national merit-based admission process. The MECEE-BL Nepal case studies are 5 cases and about 3,515 words.
1Trekking guide at 4,850 m: AMS or HACE?
A 27-year-old trekking guide from Besisahar has crossed Thorong La (5,416 m) eleven times, but this season he stops at High Camp (4,850 m) with a throbbing bitemporal headache that began six hours ago, nausea, and breathlessness at rest. He is alert but slow to answer, and he stumbles twice on the heel-to-toe walk.
697 words, about 3 min2Releasing a batch of normal saline by Mohr titration
A district hospital in Birgunj prepares its own intravenous normal saline (labelled 0.90% w/v NaCl) and the pharmacy asks you to release or reject batch 14. You standardise silver nitrate at exactly 0.1000 M and titrate 10.00 mL of the batch by Mohr's method, using potassium chromate indicator, with the sample adjusted to pH 7.0.
701 words, about 4 min3Sizing an off-grid solar system for a Karnali health post
A health post in a remote Karnali village has no grid connection. Its solar array has four panels rated 335 Wp each, a 48 V, 200 Ah lead-acid battery bank, and a 3 kVA inverter with 90% efficiency.
778 words, about 4 min4Interpreting a rapid HIV test in a low-prevalence donor pool
A district hospital's blood transfusion service screens every donated unit with a rapid HIV assay that, under local field conditions, has a sensitivity of 98.0% and a specificity of 97.0%. The service collects 12,000 units a year from voluntary donors, and the estimated HIV prevalence in this donor pool is 0.12%.
650 words, about 3 min5Five dermatology slots: a scheduling judgement call
A district hospital's dermatology clinic runs five 20-minute slots starting at 08:00 - 08:00, 08:20, 08:40, 09:00 and 09:20. Five patients, Asha, Bikash, Chandani, Dipesh and Elina, are booked one per slot.
689 words, about 3 min