MECEE-PG Nepal case studies
MECEE-PG Nepal · Put your knowledge to work in context.
MECEE-PG is the common entrance examination used for admission to postgraduate medical programmes in Nepal, including MD, MS and related clinical and basic-science degrees. It is intended for medical graduates who hold a recognised MBBS (or equivalent) qualification and who are competing for a limited number of residency and specialty seats. The paper is multiple choice and draws on the full undergraduate medical curriculum, so it rewards broad retention rather than deep specialisation in one subject. Pre-clinical sciences carry the largest single share, followed by medicine, surgery and the other clinical specialties, with pathology, pharmacology and microbiology each forming their own block. The MECEE-PG Nepal case studies are 5 cases and about 2,886 words.
1The Collapsed Runner on the Trail
A 24-year-old male trekker is carried into a rural health post at 3,800 m altitude, 6 hours after rapid ascent from 2,000 m. He is confused, ataxic, and has vomited twice.
590 words, about 3 min2The Febrile Child with a Stiff Neck
A 3-year-old girl is brought to a district hospital in terai Nepal in August with 2 days of fever, poor feeding, and one episode of vomiting. She is drowsy but arousable.
573 words, about 3 min3The Postoperative Oliguria
A 58-year-old man with type 2 diabetes and hypertension undergoes an emergency laparotomy for a perforated duodenal ulcer. He receives 4 L of crystalloid intraoperatively and is oliguric in the recovery unit: 15 mL of urine in the last 3 hours.
564 words, about 3 min4Bleeding at 34 Weeks
A 29-year-old G3P2 woman at 34 weeks presents to a zonal hospital with painless vaginal bleeding that started 2 hours ago; she soaked two pads. She has had one prior cesarean delivery.
554 words, about 3 min5The Village with Sputum-Positive Coughs
A hill district reports 14 new sputum-positive tuberculosis cases in one ward of 4,000 people over 6 months, up from 3 in the previous 6 months. Most are adults aged 20–45; two are children under 5 living in the same household as an adult case.
605 words, about 3 min