Free Practice Questions for MECEE-PG Nepal

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Key Facts: MECEE-PG Nepal Exam

200

Total Questions

MEC Nepal Blueprint

180 min

Exam Time

MEC Nepal

50%

Min Qualifying Percentile

MEC Rules

5,000 NPR

Application Fee

MEC Portal

MECEE-PG is Nepal's national postgraduate health-sciences entrance examination, run by the Medical Education Commission. Every programme paper is 200 single-best-response MCQs with four options, 200 marks in 3 hours, criterion-referenced at a 50 per cent pass mark with no negative marking, and candidates must also reach the 50th percentile for the merit list. The MD/MS weighting is 115 marks clinical, 60 basic sciences and 25 community medicine, forensic medicine and mandatory CPD. The paper is set in English. Fees are NPR 5,000 for Nepalese and NPR 8,000 for foreign applicants.

Sample MECEE-PG Nepal Practice Questions

Try these sample questions to review concepts for the MECEE-PG Nepal exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 114+ question experience with AI tutoring.

1Which cranial nerve provides sensory innervation to the anterior two-thirds of the tongue for taste?

A.Facial nerve (CN VII via chorda tympani)

B.Glossopharyngeal nerve (CN IX)

C.Vagus nerve (CN X)

D.Trigeminal nerve (CN V3 lingual nerve proper)

Explanation: Taste sensation to the anterior 2/3 of the tongue is carried by the chorda tympani branch of the Facial nerve (CN VII). General sensation is by CN V3 (lingual nerve).

2Which cell in the gastric mucosa secretes intrinsic factor and hydrochloric acid (HCl)?

A.Parietal (oxyntic) cells

B.Chief (peptic) cells

C.G cells

D.Mucous neck cells

Explanation: Parietal (oxyntic) cells secretes HCl and intrinsic factor (essential for vitamin B12 absorption in the terminal ileum).

3Which rate-limiting enzyme regulates cholesterol biosynthesis in hepatocytes?

A.HMG-CoA reductase

B.Acetyl-CoA carboxylase

C.Glucose-6-phosphatase

D.Lipoprotein lipase

Explanation: HMG-CoA reductase converts HMG-CoA to mevalonate and is the key rate-limiting enzyme inhibited by statins.

4What is the hallmark microscopic feature of granulomatous inflammation seen in Mycobacterium tuberculosis infection?

A.Caseous necrosis surrounded by Langhans giant cells and epithelioid histiocytes

B.Liquefactive necrosis with abundant neutrophils

C.Fibrinoid necrosis with Aschoff nodules

D.Coagulative necrosis with infarction

Explanation: Tuberculous granulomas exhibit central caseous (cheese-like) necrosis surrounded by horseshoe-nucleated Langhans giant cells, epithelioid macrophages, and lymphocytes.

5Which antibiotic acts by irreversibly binding to the 30S ribosomal subunit to cause mRNA misreading?

A.Gentamicin (Aminoglycoside)

B.Azithromycin (Macrolide)

C.Chloramphenicol

D.Ciprofloxacin (Fluoroquinolone)

Explanation: Aminoglycosides (e.g. Gentamicin, Amikacin) bind bactericidal to the 30S subunit, inhibiting translation initiation and causing misreading.

6Which bacterium is a Gram-positive, catalase-positive, coagulase-positive coccus in clusters?

A.Staphylococcus aureus

B.Streptococcus pneumoniae

C.Staphylococcus epidermidis

D.Enterococcus faecalis

Explanation: Staphylococcus aureus is Gram-positive, catalase-positive, and specifically differentiated from other staphylococci by being coagulase-positive.

7Which hormone produced by the anterior pituitary gland stimulates thyroid hormone synthesis and secretion?

A.TSH (Thyroid-Stimulating Hormone / Thyrotropin)

B.ACTH (Adrenocorticotropic Hormone)

C.FSH (Follicle-Stimulating Hormone)

D.Prolactin

Explanation: TSH, secreted by anterior pituitary thyrotrophs, binds TSH receptors on thyroid follicular cells to stimulate T3/T4 synthesis.

8The middle meningeal artery enters the cranial cavity through which skull foramina?

A.Foramen spinosum

B.Foramen ovale

C.Foramen rotundum

D.Jugular foramen

Explanation: The middle meningeal artery (a branch of the maxillary artery) passes through the foramen spinosum to supply the dura mater.

9Which enzyme deficiency is responsible for classical Galactosemia?

A.Galactose-1-phosphate uridylyltransferase (GALT)

B.Galactokinase (GALK)

C.UDP-galactose 4-epimerase (GALE)

D.Fructokinase

Explanation: Classical Galactosemia results from GALT deficiency, causing accumulation of toxic galactose-1-phosphate, cataracts, hepatomegaly, and mental disability.

10Which vitamin deficiency causes wet beriberi (high-output heart failure) and Wernicke-Korsakoff syndrome?

A.Vitamin B1 (Thiamine)

B.Vitamin B3 (Niacin)

C.Vitamin B6 (Pyridoxine)

D.Vitamin B12 (Cobalamin)

Explanation: Thiamine (B1) deficiency impairs pyruvate dehydrogenase and alpha-ketoglutarate dehydrogenase, leading to beriberi (wet/dry) and Wernicke encephalopathy.

About the MECEE-PG Nepal Exam

The MECEE-PG (Medical Education Common Entrance Examination for Postgraduate) is the national common entrance examination in Nepal for postgraduate medical studies (MD/MS, MDS, MPH, MN/MSc). Administered by the Medical Education Commission (MEC), it evaluates medical knowledge across basic sciences, clinical specialties, and community medicine.

Exam sponsor: Medical Education Commission (MEC), Government of Nepal. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

Single-paper 200 single-best-response MCQ examination (four options per item, 200 marks) with programme-specific weightings; no negative marking, and item stems are capped at 60 words

Time Limit

180 minutes

Passing Score

50th percentile / 50% minimum cutoff for merit listing

Exam / Certification Fees

5,000 NPR

Exam sponsor website

Reported exam pass rate: Competitive merit ranking determines specialty seat allocation. High merit rank is necessary for preferred MD/MS residency seats. Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Official sources

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

57.5%

Clinical Medical Sciences

Medicine and Surgery 18 marks each, Obstetrics and Gynaecology and Paediatrics 12 each, Orthopaedics and Otorhinolaryngology 10 each, and Ophthalmology, Anaesthesiology, Psychiatry, Radiology and Dermatology 7 each.

30%

Basic Medical Sciences

Anatomy and Physiology 12 marks each, Pathology and Pharmacology 10 each, Biochemistry and Microbiology 8 each.

12.5%

Community Medicine, Forensic Medicine & Mandatory CPD

Community medicine with research methodology 10 marks, forensic medicine 5 marks, and 10 marks of mandatory CPD topics (medical ethics, rational drug use, infection prevention, BLS/ACLS and communication skills).

Preparing for the MECEE-PG Nepal Exam

What You Need to Know

Passing score: 50th percentile / 50% minimum cutoff for merit listing
Assessment: Single-paper 200 single-best-response MCQ examination (four options per item, 200 marks) with programme-specific weightings; no negative marking, and item stems are capped at 60 words
Time limit: 180 minutes
Exam / certification fees: 5,000 NPR Official sources

Using Our Practice Resources

Work through all 114 available questions
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MECEE-PG Nepal: Suggested Study Strategy

1Prioritize high-yield clinical scenarios and pharmacology drug mechanisms, which form a major portion of the test.

2Review basic biostatistics formulas (sensitivity, specificity, odds ratios, positive predictive values).

3Practice timed 200-question mock exams to build endurance for the 3-hour testing window.

Frequently Asked Questions

What is the format of the MECEE-PG exam in Nepal?

The exam consists of 200 single-best-response multiple-choice questions with four options each, worth 200 marks and sat over 3 hours. It is a criterion-referenced test with no negative marking, and item difficulty is set to a Recall : Understanding : Application ratio of 30 : 50 : 20.

What is the minimum score required to pass MECEE-PG?

Candidates must achieve at least the 50th percentile (or 50% marks) to qualify for merit ranking and seat counseling.

Are foreign medical graduates eligible for MECEE-PG?

Yes. Foreign candidates with recognized MBBS/equivalent medical degrees and valid medical registration can apply under the foreign candidate quota.