Most common cause of hypertension is:

• A. Adrenal hyperplasia

• B. Heart disease

• C. Essential ✓

• D. Obesity

The definite treatment of abscess is:

• A. Antibiotics

• B. Analgesics

• C. Incission and drainage ✓

• D. Suturing

Rota virus is an important cause of which of the following disease?

• A. RTI in adults

• B. Bloody diarrhea and vomiting in adults

• C. Gastroenteritis in children ✓

• D. Cancer in female

Which of the following organism is the most common cause of urinary tract infection?

• A. Staphylococcus aureus

• B. Chlamydia

• C. Escherichia coli (E.coli) ✓

• D. Mycoplasma

Hairline fracture is also known as:

• A. Pathological fracture

• B. Oblique fracture

• C. Stress fracture ✓

• D. Open fracture

Which local antibiotic is most commonly used to treat the secondary infection on burns?

• A. Amoxicillin

• B. Silver sulfadiazine ✓

• C. Cloxacillin

• D. Ciprofloxacin

What is the initial management of patient with acute abdomen?

• A. NPO and IV fluid ✓

• B. IV fluid

• C. Liquid orally and pain killer injection

• D. None of the above

Which one of the following is non absorbable suture material?

• A. Vicryl

• B. Simple Catgut

• C. Chromic catgut

• D. Nylon thread ✓

Which of the following is regarded as important measures to prevent post-operative complications?

• A. Balanced diet

• B. Adequate fluid intake

• C. Early ambulation ✓

• D. Antibiotics

Commonest site of abdominal tuberculosis is:

• A. Ileum ✓

• B. Duodenum

• C. Jejunum

• D. Stomach

Which of the following is not used for drug sensitive TB according to the national antitubercular treatment regimen?

• A. Rifampicin

• B. Levofloxacin ✓

• C. Pyrizinamide

• D. Ethambutol

Which of the following statement is correct with regards to good dispensing practices?

• A. Effective form of correct medicine is delivered to right patient

• B. Medicine is delivered in a correct dosage and quantity with clear instructions

• C. Medicine is appropriately packaged to maintain its potency

• D. All of the above ✓

Sodium level in ringer's lactate is:

• A. 145 meq/l

• B. 150 meq/l

• C. 135 meq/l

• D. 130 meq/l ✓

In Nepal, the use of narcotic drugs is controlled/regulated by:

• A. The public health service act, 2075

• B. Nepal health service act, 2053

• C. Nepal health research council act, 2047

• D. Narcotic drugs (control) act, 2033 ✓

Which organ of the body does not associate with the drug excretion?

• A. Stomach ✓

• B. Lungs

• C. Kidney

• D. Liver

Which of the following penicillin can be given intravenously?

• A. Benzathine penicillin

• B. Procaine penicillin

• C. Benzyl penicillin ✓

• D. Penicillin V

All are antiparkinsonian drug; except,

• A. Levodopa

• B. Carbidopa

• C. Bromocriptine

• D. Haloperidol ✓

Amchi a traditional healing system of medicine, practiced in:

• A. Terai region of Nepal

• B. Mountain region of Nepal ✓

• C. Madhesh province of Nepal

• D. Lumbini province of Nepal

............... is a social or religious custom prohibiting or restricting a particular practice or forbidding association with a particular person, place or thing.

• A. Norms

• B. Values

• C. Taboos ✓

• D. Custom

First health service act was passed in:

• A. 2049 BS

• B. 2053 BS ✓

• C. 2055 BS

• D. 2059 BS

18 gauze IV canula is available in:

• A. Pink coloured

• B. Grey coloured

• C. Green coloured ✓

• D. Blue coloured

Data quality of a reporting is determined by:

• A. Accuracy

• B. Completeness

• C. Timeliness

• D. All of the above ✓

District Health Office comes under supervision of which government?

• A. Local

• B. Provincial ✓

• C. Federal

• D. Autonomous

Division responsible for FCHV:

• A. MD

• B. FWD ✓

• C. PHCRD

• D. CHD

In Nepal, Primary Health Care Outreach Clinic (PHC-ORC) program was started in the year 2051 with an aim to:

• A. Improve access to specialized clinical services

• B. Improve access to some basic health services including family planning, child health and safe motherhood ✓

• C. Provide eye health services

• D. Advocate about leprosy control program in the country

Which is the longest muscle in human body?

• A. Biceps brachi

• B. Triceps muscle

• C. Sartorius muscle ✓

• D. Sternocleidomastoid

What is the percentage of oxygen in expired air?

• A. 79%

• B. 20%

• C. 16% ✓

• D. 4%

Diabetes is related to:

• A. Heart

• B. Kidney

• C. Liver

• D. Pancreas ✓

The amount of energy obtained from one gram of Fat:

• A. 4 kcal

• B. 7 kcal

• C. 9 kcal ✓

• D. 10 kcal

For the education of general public particularly in rural communities, the most effective method of communication is:

• A. Television

• B. Group discussion

• C. Daily newspaper

• D. Radio ✓

Which of the following health disparities in a community can be addressed by educating and engaging the members of that community?

• A. Gender health disparities

• B. Ethnic or racial health disparities

• C. Socioeconomic health disparities

• D. All of the above ✓

Community Diagnosis is based on all except:

• A. Vital statistics

• B. Incidence and prevalence

• C. Age and sex distribution

• D. Health care delivery ✓

The aspect of epidemiology which deals with the distribution of disease is:

• A. Descriptive ✓

• B. Analytical

• C. Experimental

• D. Interventional

Waste water arising from domestic activities without human excreta is:

• A. Sullage ✓

• B. Sewage

• C. Sludge

• D. Garbage

Chain of infection does not include:

• A. Source of reservoir

• B. Mode of transmission

• C. Suceptible host

• D. Environment ✓

Which is not a part of epidemiological triad:

• A. Agent

• B. Host

• C. Environment

• D. Vector ✓

Which one is the indirect transmission of communicable diseases:

• A. Droplet infection

• B. Inoculation into skin or mucosa

• C. Transplacental

• D. Vehicle-borne ✓

What do you understand by the term safe and clean water?

• A. It is free from pathogenic agents

• B. It is free from harmful chemicals

• C. It is usable for domestic purposes

• D. All of the above ✓

What do you mean by Black water?

• A. Waste water from bathroom

• B. Waste water from toilet ✓

• C. Waste water from kitchen

• D. Waste water from garden

Which of the following statement is correct about febrile convulsions in children?

• A. The convulsion occurs only after a warning sign

• B. Febrile convulsion is a common medical condition in children ✓

• C. The brain activity is normal during the convulsion

• D. None of the above

Which of the following is not a general principle of the bandage application?

• A. A bandage should be applied directly over the wound ✓

• B. It should be used only to hold the dressing that covers the wound

• C. It should be applied firmly and fastened securely

• D. It should not be applied very tightly or very loosely

First aid for the patient suffered by electric current is:

• A. General treatment

• B. Treatment of burn

• C. Treatment of shock

• D. Both B & C ✓

Immediate management of an unconscious patient on priority basis is:

• A. I.V. therapy

• B. I.V. mannitol

• C. Clearance of the air way ✓

• D. Cardiac compression

The most dangerous injury is:

• A. Snake bite ✓

• B. Scorpion bite

• C. Wasp bite

• D. Human bite

Antidote for op poisoning:

• A. Atropine ✓

• B. Adrenaline

• C. Avil

• D. Charcoal

Orientia tsutsugamushi is etiological agent of:

• A. Leptospirosis

• B. Brucellosis

• C. African sleeping sickness

• D. Scrub typhus ✓

Japanese encephalitis is caused by bite of which mosquito:

• A. Aedes

• B. Anopheles

• C. Culex ✓

• D. Both A and B

Elimination of Kala-azar is defined as achieving annual incidence of less than ................. at district level.

• A. 1 case per 10,00,000 population

• B. 1 case per 1,00,000 population

• C. 1 case per 10,000 population ✓

• D. 1 case per 1,000 population

Recurring chills and fever in malaria is due to:

• A. Destruction of sporozoites

• B. Destruction of hypnozoites

• C. Destruction of trophozoites

• D. Rupturing of RBCs by rapid multiplication and release of hemozoin ✓

Bleeding per vagina after 22 weeks of pregnancy but before the birth of baby is known as:

• A. Puerperium

• B. Post-partum haemorrhage

• C. Ante-partum haemorrhage ✓

• D. Abortion

Which one is the correct dose for giving element iron and folic acid from second trimester:

• A. 60 mg element iron and 300 microgram folic acid

• B. 50 mg element iron and 300 microgram folic acid

• C. 60 mg element iron and 400 microgram folic acid ✓

• D. 40 mg element iron and 400 microgram folic acid

Which one is not the true labour pain?

• A. Cervical changes present

• B. Frequency and duration of contraction irregular ✓

• C. Pain in lower abdomen and back radiating to thigh

• D. Show present

The most sensitive indicator to know the health status of a country is:

• A. MMR

• B. IMR ✓

• C. CDR

• D. CMR

A 2 years male child presents in your OPD with complaints of cough. Which one of the following signs will help you to diagnose as pneumonin?

• A. Barking cough

• B. O2 saturation 96%

• C. Respiratory rate 44 breaths/minute ✓

• D. Fever with chills

जन्मेको ४ हप्ता भित्र मृत्यु भएको अवस्थालाई के भनिन्छ ?

• A. Infant mortality

• B. Child mortality

• C. Perinatal mortality

• D. Neonatal mortality ✓

PMTCT is related to:

• A. Smoking

• B. Family planning

• C. HIV/AIDS ✓

• D. Disease control

Breastfed children are less likely to have:

• A. Diarrhoea

• B. Ear infection

• C. Pneumonia

• D. All of the above ✓

Puerperium last for:

• A. 2 weeks

• B. 4 weeks

• C. 6 weeks ✓

• D. 8 weeks

Which of the following is an example of a non-communicable diseases?

• A. Diabetes

• B. Cancer

• C. Hypertension

• D. All of the above ✓

Which is not a symptom of diabetes?

• A. Itchy skin

• B. Thirst

• C. Frequent urination

• D. Muscle pain ✓

Hypertension can affect following organs except:

• A. Brain

• B. Kidney

• C. Spleen ✓

• D. Heart

Dead end infection in man occurs in:

• A. Meningitis

• B. Rabies ✓

• C. Measles

• D. Poliomyelitis

Which of the following does not transmit through feco-oral route:

• A. Hepatitis A

• B. Hepatitis C ✓

• C. Cholera

• D. Shigellosis

Which one of the following is the cause of unconsciousness to Diabetic patient?

• A. Hypoglycaemia

• B. Ketoacidosis

• C. All of the above ✓

• D. None of the above

Oopheritis in female is the complication due to:

• A. Measles

• B. Mumps ✓

• C. Influenza

• D. Chicken pox

Which is the largest paranasal sinus in human?

• A. Maxillary sinus ✓

• B. Frontal sinus

• C. Ethmoidal sinus

• D. Sphenoid sinus

Causes of COPD does not include:

• A. Chronic bronchitis

• B. Bronchial asthma

• C. Mitral stenosis ✓

• D. Interstitial lung disease

Most common type of hydrocoele:

• A. Vaginal hydrocoele ✓

• B. Encysted hydrocoele

• C. Funicular hydrocoele

• D. Epididymal

Absoulute constipation is seen in:

• A. Intestinal obstruction ✓

• B. Acute appendicitis

• C. Acute cholecystitis

• D. Cystitis

Peripheral blood smear in iron deficiency anaemia reveals:

• A. Normocytic Normochromic Anaemia

• B. Macrocytic Normochromic Anaemia

• C. Microcytic Hypochromic Anaemia ✓

• D. Macrocytic Hypochromic Anaemia