NMCLE case studies
NMCLE · Put your knowledge to work in context.
The Nepal Medical Council licensure examination is the credentialing gateway that allows an MBBS graduate to register and practise as a medical doctor in Nepal. It is written for graduates of Nepalese medical colleges and for those holding a recognised foreign MBBS who are seeking registration through the Council. The NMCLE case studies are 5 cases and about 3,113 words.
1Young man with vomiting, drowsiness and severe dehydration
A 22-year-old male university student is brought to the emergency department of a district hospital at 2 a.m. after two days of vomiting and increasing drowsiness.
703 words, about 4 min2Elderly farmer with gross abdominal distension and absolute constipation
A 58-year-old farmer presents to a zonal hospital with four days of abdominal distension, absolute constipation, and vomiting. He reports two similar episodes in the past year that resolved after passing a large amount of flatus and stool.
585 words, about 3 min3Pregnant woman at 33 weeks with headache, visual blurring and thrombocytopenia
A 31-year-old woman, G2P1, at 33 weeks and 4 days by dating ultrasound, is admitted to a district hospital with a severe frontal headache and blurred vision for six hours. Her blood pressure is 168/114 mmHg on two readings 15 minutes apart.
594 words, about 3 min4Lethargic toddler with edema, diarrhea and hypoglycemia in a rural health post
A 14-month-old boy is brought to a rural health post with five days of watery diarrhea and poor feeding. He was exclusively breastfed for four months only and has been fed mainly rice water since.
596 words, about 3 min5Post-wedding outbreak of profuse watery diarrhea in a hill district
In a hill district, 27 people developed profuse watery diarrhea within 36 hours after attending a wedding feast of 180 guests. Four are severely dehydrated and one elderly woman died at home before reaching hospital.
635 words, about 3 min