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1	Schultze mechanism is related to:	A) Delivery of baby B) Separation of placenta C) Expulsion of placenta D) Delivery of the head	Edit
2	The most frequently observed method of placental separation?	A) Marginal separation B) Central separation C) Premature separation D) None of these	Edit
3	All of the following are the signs of placental separation, Except?	A) Uterus becomes firm and globular B) Lengthening of the cord C) Cervical ripening D) A gush of blood from vagina	Edit
4	Rate of cervical dilatation in active phase of first stage of labour?	A) 0.5 cm/hour B) 1 cm/hour C) 1 inch/hour D) 2 cm/hour	Edit
5	Prolonged labor is defined when duration of first and second stage of labor is more than:	A) 8 hours B) 10 hours C) 12 hours D) 16 hours	Edit
6	Colostrum can be squeezed from breast after ... of pregnancy.	A) 8 weeks B) 12 weeks C) 18 weeks D) 24 weeks	Edit
7	Colostrum is rich in:	A) IgA B) IgG C) IgM D) IgD	Edit
8	Thick yellowish milk secreted within 1–3 days following delivery is called:	A) Witch's milk B) Skimmed milk C) Colostrum D) Fore milk	Edit
9	Breastfeeding stimulates the production of:	A) Progesterone B) Oestrogen C) Prolactin D) Oxytocin	Edit
10	Which of the following is steroid hormone:	A) FSH B) Progesterone C) Prolactin D) Oxytocin	Edit
11	Active fetal movement felt by mother:	A) Quickening B) Lightening C) Ballottement D) Ripening	Edit
12	Most common form of neural tube defect is:	A) Anencephaly B) Spina bifida C) Encephalocele D) Hydrocephalus	Edit
13	Colostrum contains high amount of... in comparison to normal milk:	A) Carbohydrate B) Protein C) Fat D) All of the above	Edit
14	A thick yellow serous fluid secreted from breast starting from pregnancy and for 2–3 days after delivery is called:	A) Witch's milk B) Colostrum C) Immunoglobulin D) Serum	Edit
15	Rh antigen is present on the surface of:	A) RBC B) WBC C) Platelets D) All of the above	Edit
16	Most common congenital heart disease is:	A) Rheumatic heart disease (RHD) B) Atrial Septal defect (ASD) C) Ventricular septal defect (VSD) D) Aortic valve stenosis	Edit
17	The most common type of cancer in children is:	A) Acute Lymphoid Leukemia (ALL) B) Acute Myeloid Leukemia (AML) C) Chronic melanocytic anemia (CML) D) Myelodysplastic syndrome	Edit
18	A group of neurological disorders that appear in early in life which affect body movement and posture, is called:	A) Down's syndrome B) Rey's syndrome C) Anencephaly D) Cerebral palsy	Edit
19	Newborn loss weight in first week by:	A) 10–20% B) 5–10% C) 5–15% D) 8–12%	Edit
20	Breastfeeding should be initiated within... of delivery.	A) 1 hour B) 3 hours C) 4 hours D) 6 hours	Edit
21	Kangaroo Mother Care is commonly used for:	A) Low birth weight babies B) Post term babies C) Twins babies D) Female babies	Edit
22	Resuscitation is need to baby if there is:	A) Low birth weight B) Gasping or asphyxia C) Unable to suck milk D) Secretion present in mouth	Edit
23	What is the cause of congenital cataract?	A) Teratology of folate B) Retinoblastoma C) Cytomegalovirus D) Tuberculosis	Edit
24	Waxy white substance found on the skin of new born babies is called:	A) Lanugo B) Meconium C) Vernix caseosa D) Lanugo	Edit
25	Congenital syphilis transmitted at:	A) First trimester B) Second trimester C) Third trimester D) All of the above	Edit
26	Transport cost given to women for institutional delivery in hilly region is:	A) 800 B) 2000 C) 1000 D) 3000	Edit
27	Incentive given to women for 4 ANC visit is:	A) 400 B) 800 C) 900 D) 1800	Edit
28	Ama surakshya program has:	A) 2 components B) 3 components C) 4 components D) 6 components	Edit
29	Safe motherhood program was started in:	A) 1991 B) 1994 C) 1997 D) 1998	Edit
30	Baby friendly hospital initiative focus on:	A) Immunization B) PEM C) Breastfeeding D) Growth monitoring	Edit
31	Neonatal jaundice develops:	A) Within 24 hour of birth B) After 24 hour of birth C) After 72 hours of birth D) After 14 days of birth	Edit
32	When a baby recognize his/her mother?	A) 1 month B) 3 month C) 5 months D) 6 months	Edit
33	When a baby starts to crawl?	A) 6 months B) 9 months C) 4 months D) 12 months	Edit
34	A baby can sit without support at:	A) 5 months B) 6 months C) 8 month D) 10 month	Edit
35	Social smile is seen in baby after:	A) 1 month B) 2 months C) 3 months D) 5 months	Edit
36	Which of the following is first observed in baby?	A) Alert to sound B) Social smile C) Neck holding D) Recognize mother	Edit
37	Head circumference & chest circumference will be equals at:	A) 3–4 months B) 6–9 month C) 10–12 months D) 12–18 months	Edit
38	'Road to health chart' was first developed by:	A) WHO B) John Snow C) Henry Fayal D) David Morley	Edit
39	Road to health chart is used for:	A) Poverty B) Growth monitoring C) Immunization records D) ANC record	Edit
40	When the weight of the newborn becomes triple?	A) 6 month B) 12 months C) 18 month D) 24 months	Edit
41	Height of baby doubles at:	A) 1 year B) 2 year C) 3 year D) 4 year	Edit
42	Weight of the baby doubles at:	A) 5 months B) 8 months C) 12 months D) 24 month	Edit
43	A best single parameter to assess physical growth is:	A) Height B) Weight C) MUAC D) Z-score	Edit
44	Increase in mass or size of the body tissue is called:	A) Growth B) Development C) Overweight D) Malnutrition	Edit
45	Brain development of child occurs within 2 years of age is:	A) 80% B) 70% C) 60% D) 50%	Edit
46	Which is not a component of APGAR?	A) Color B) Activity C) Reflex D) Respiratory rate	Edit
47	The most important component of APGAR is:	A) Appearance B) Pulse C) Grimace D) Respiration	Edit
48	If the baby's APGAR score is 5, it is:	A) Normal B) Mild asphyxia C) Moderate asphyxia D) Severe asphyxia	Edit
49	The maximum score of APGAR is?	A) 7 B) 10 C) 12 D) 15	Edit
50	Low birth weight is called if the newborn weighs:	A) <2500 gm B) <1500 gm C) <1000 gm D) <500 gm	Edit
51	Normal weight of the newborn should be at least:	A) 2 kg B) 2.5 kg C) 3 kg D) 3.5 kg	Edit
52	Down's syndrome is:	A) Trisomy 21 B) Trisomy 18 C) Trisomy 13 D) Trisomy 16	Edit
53	Swelling of scalp that occurs at birth due to collection of fluid is called:	A) Caput succedaneum B) Cephalhematoma C) Hydrocephalus D) Meningitis	Edit
54	Bluish spot seen commonly back or buttocks of the newborn baby is:	A) Milia B) Erythema toxicum C) Mongolian spot D) Diaper rash	Edit
55	The heart rate (PR) of new born is about:	A) 100-120/min B) 100-140/min C) 110-160/min D) 100-160/min	Edit
56	Normal respiratory rate of new born baby should be:	A) 12-20 breaths/min B) 20-30 breaths/min C) 30-60 breaths/min D) 60-100 breaths/min	Edit
57	All of the following are contraindications of breastfeeding, except:	A) Peurperal psychosis B) Cleft palate C) Cracked Nipple D) HIV Positive mother	Edit
58	All of the following are true about identical twins, except:	A) Only one ovum fertilized B) Single placenta C) Usually baby have same sex D) Two amnions, two chorions	Edit
59	Degree of perineal tear involving skin & muscles but no effect on anus:	A) First degree B) Second degree C) Third degree D) Fourth degree	Edit
60	The commonest types of episiotomy is:	A) Medial B) Mediolateral C) J-shaped D) Lateral	Edit
61	Episiotomy is given during second stage of labour:	A) Just prior to crowning of head B) After delivery of head C) Immediately after engagement D) After full dilatation of cervix	Edit
62	Incision given in perineum during labour to prevent perineal tears is called:	A) Cesarean section B) Laparoscopy C) Episiotomy D) Herniotomy	Edit
63	Role of oxytocin is important for:	A) Initiation of labour B) Uterine involution C) Milk ejection D) All of the above	Edit
64	All of the following are the contraindications of oxytocin, except?	A) Multipara B) Fetal distress C) Contracted pelvis D) Cardiac disease	Edit
65	For management of third stage of labour, oxytocin is given:	A) 5 IU, IM B) 10 IU, IM C) 8 IU, IV D) 10 IU, IV	Edit
66	A postpartum mother feels helplessness, insomnia and negative feeling towards the fetus after 7 days of delivery, what will be the probable cause?	A) Blues B) Depression C) Psychosis D) Mania	Edit
67	Most severe psychiatric illness seen in postpartum mother is:	A) Blues B) Depression C) Psychosis D) Mania	Edit
68	Mildest form of psychiatric illness seen in postpartum mother is:	A) Blues B) Depression C) Psychosis D) Mania	Edit
69	The most common psychiatric illness seen in postpartum mother is:	A) Blues B) Depression C) Psychosis D) Mania	Edit
70	The color of Lochia alba is:	A) Red B) Yellow C) Pink D) White	Edit
71	Vaginal discharge within 3 days of delivery which contains more RBCs, vernix & lanugo is called:	A) Lochia alba B) Lochia serosa C) Lochia rubra D) None of these	Edit
72	Vaginal discharge seen within 15 days of delivery is:	A) Show B) Lochia C) Serosa D) Decidua	Edit
73	Puerperium is duration:	A) Within 7 days of delivery B) Within 30 days of delivery C) Within 42 days of delivery D) Within 60 days of delivery	Edit
74	The rate of uterine involution is about:	A) 1/2 inch/day B) 1 inch/day C) 1.5 inch/day D) 2 inch/day	Edit
75	Immediately after delivery, fundal height remains:	A) At umbilicus B) At xiphisternum C) At symphysis pubis D) In pelvic cavity	Edit
76	A process in which the uterus returns to non-pregnant state after birth is called:	A) Puerperium B) Involution C) Sub-involution D) Parturition	Edit
77	'Matri Surakshya chakki' is used for prevention of:	A) APH B) PPH C) Eclampsia D) Abortion	Edit
78	All of the following are the causes of Post partum hemorrhage, except?	A) Tone B) Tissue C) Trauma D) Tight	Edit
79	The most common cause of secondary PPH is:	A) Retained placenta B) Atonic uterus C) Post term labour D) Trauma	Edit
80	Most common cause of post partum hemorrhage is:	A) Retained placenta B) Atonic uterus C) Post term labour D) Trauma	Edit
81	PPH is called when blood is more than ________ during normal delivery.	A) 250 ml B) 500 ml C) 750 ml D) 1000 ml	Edit
82	Average length of new born baby:	A) 45 cm B) 50 cm C) 75 cm D) 100 cm	Edit
83	The color of new born baby should be:	A) Pale B) Yellow C) Pink D) White	Edit
84	New born baby should pass stool within ________ of birth.	A) 12 hours B) 24 hours C) 48 hours D) 72 hours	Edit
85	Most of the baby passes urine & stool within ________ of birth.	A) 12 hours B) 24 hours C) 48 hours D) 72 hours	Edit
86	'Rooming in' means:	A) Women in labour room B) Sterile room for delivery C) Keeping the baby side of the mother for at least 24 hour D) Keeping the rooms free from noise	Edit
87	According to WHO, Postnatal visit should be done at:	A) 24 hour, 48-72 hour, 7 days & 29 days B) 24 hour, 120 hour, 7 days & 6 weeks C) 48 hour, 72 hours, 7 days & 6 weeks D) 24 hours, 48-72 hours, 7 days & 6 weeks	Edit
88	Recommended number of Postnatal visit as per WHO/Nepal Protocol:	A) 2 Visits B) 3 Visits C) 4 Visits D) 5 Visits	Edit
89	APGAR score is take after birth in:	A) 1 minute & 2 minute B) 1 minute & 3 minute C) 1 minute & 5 minute D) 3 minute & 5 minute	Edit
90	What is the first step immediate care of newborn baby?	A) APGAR scoring B) Dry & stimulate the baby C) Deciding if baby need resuscitation D) Tie & cut the cord	Edit
91	Which is the danger sign of pregnancy?	A) Back pain B) Leg cramps C) Severe headache with blurring vision D) Varicose vein	Edit
92	If the pregnant women said her last menstrual period (LMP) was on 19 Ashar 2078, when will be expected date of delivery?	A) 2078, Falgun 26 B) 2078, Chaitra 19 C) 2078, Chaitra 26 D) 2079, Baishakh 26	Edit
93	When a women came to check her pregnancy, she said that there were three surviving babies and one case was abortion, in this situation choose a appropriate medical term?	A) $G_{4}P_{3}$ B) $G_{5}P_{3}$ C) $G_{5}P_{4}$ D) $G_{4}P_{5}$	Edit
94	During which stage of the menstrual cycle does the endometrium layer thicken?	A) Secretary phase B) Luteal phase C) Ovulation phase D) Proliferative phase	Edit
95	Head control is possible by the age of:	A) 1 month B) 2 months C) 3 months D) 5 months	Edit
96	While administrating oxytocin, intake and output must be closely monitored in women because oxytocin:	A) Cause water intoxication B) Cause excessive thirst C) Toxic to kidney D) Has diuretic effect	Edit
97	Frog eye appearance is seen in:	A) Anencephaly B) Acardia C) Down's syndrome D) Patau's syndrome	Edit
98	Immediately after delivery of the baby, the nursing step is:	A) Empty bladder B) Palpate abdomen C) Administer oxytocin D) Fundal massage	Edit
99	When the neonate throws out it's arm, hand opened and being to cry suddenly loud noise happen in postnatal ward, the reaction indicates the:	A) Startle reflex B) Babinski reflex C) Grasping reflex D) Tonic neck reflex	Edit
100	When an object such as adult finger placed on infant's palm, his/her fingers closes it, which reflex is it?	A) Glabellar reflex B) Moro reflex C) Grasp reflex D) Sucking reflex	Edit
101	How long with umbilical cord stump generally remain on a new born?	A) 2-5 days B) 5-7 days C) 2-3 weeks D) 4 weeks	Edit
102	Which of the following is not belonged with the APGAR score?	A) Appearance B) Respiration C) Activity D) Grugling	Edit
103	The most crucial stage of labour for women is:	A) First stage B) Second stage C) Third stage D) Fourth stage	Edit
104	Immediately after descend of head, the next action is:	A) Crowning B) Engagement C) Flexion D) External rotation	Edit
105	The first movement during labour is:	A) Descend B) Flexion C) Engagement D) External rotation	Edit
106	Progress of labor is best assessed by:	A) Pelvic assessment B) Abdominal palpation C) Partograph D) Bishops score	Edit
107	The duration of first stage of labor in primigravidae is about:	A) 6-8 hours B) 8-10 hours C) 12-14 hours D) 18 hours	Edit
108	Crowning is best defined as a condition:	A) When a presenting part reaches the pelvic floor B) When perineum bulges infront of fetal head C) When the head is visible at vulva D) When head of fetus is delivered	Edit
109	प्रसवको कुन चरणमा बच्चाको जन्म हुन्छ ?	A) पहिलो चरण B) दोस्रो चरण C) तेस्रो चरण D) चौथो चरण	Edit
110	A multipara admitted with the cervix 8 cm dilated, completely effaced and presenting part at 0 station, what phase of labour is she in:	A) Active phase B) Latent phase C) Expulsive phase D) Transitional phase	Edit
111	Duration from onset of true labour pain to full dilatation of cervix is:	A) First stage of labor B) Second stage of labor C) Third stage of labor D) Fourth stage of labor	Edit
112	Normal labour includes all of the following, EXCEPT:	A) Spontaneous onset at term B) Cephalic presentation C) Termination with forcep D) Without prolongation	Edit
113	Shortening & Thinning of cervix during labor is called:	A) Dilatation B) Effacement C) Ballottement D) Lightening	Edit
114	Hydatidiform mole is benign neoplasm of:	A) Amnion B) Chorion C) Uterus D) Fetus	Edit
115	When placenta is implanted completely or partially over lower uterine segment, it is called:	A) Placenta previa B) Abruptio placentae C) Ectopic pregnancy D) H. mole	Edit
116	One sided lower abdominal pain in early pregnancy may be due to:	A) H. Mole B) Ectopic pregnancy C) Abortion D) APH	Edit
117	Indirect Coomb's test is used for:	A) Spontaneous abortion B) Rh incompatibility C) Fetal distress D) Congenital rubella	Edit
118	Anti-D antibody (IgG) can be given in all of the following, except:	A) Within 72 hours of delivery B) During pregnancy C) Abortion after 12 weeks D) Abortion before 12 weeks	Edit
119	Definitive management of Pregnancy induced hypertension is:	A) Antihypertensive drugs B) Anti-convulsant drugs C) Calcium therapy D) Termination of pregnancy	Edit
120	Signs of MgSO4 toxicity are all, except?	A) Urine output <30 ml/hour B) Systolic BP >140 mm of Hg C) Patellar reflex absent D) Respiratory rate <16 breaths/min	Edit
121	Magnesium sulphate is:	A) Anti-hypertensive B) Anti-convulsant C) Anti-labor D) Anti-spasmodic	Edit
122	Drug of choice for eclampsia is:	A) Calcium gluconate B) Misoprostol C) Magnesium sulphate D) Labetelol	Edit
123	A pregnant mother feels epigastric pain, blurring of vision & headache at 32 weeks of gestation. You get her systolic BP 110 mm of Hg with proteinurea & no history of seizure. What may be the diagnosis?	A) Chronic hypertension B) Mild pre-eclampsia C) Severe pre-eclampsia D) Eclampsia	Edit
124	Pregnancy induced hypertension occurs usually	A) Within 12 weeks of gestation B) After 20 weeks of gestation C) Within 20 weeks of gestation D) May occur at any time	Edit
125	When you suspect fetal distress during labour, your first action is:	A) To inform doctor B) To stop oxytocin infusion C) To reassure the women D) To monitor FHS	Edit
126	Most dangerous form of placenta previa is:	A) Type-I anterior B) Type-II anterior C) Type-III anterior D) Type-II posterior	Edit
127	तलका मध्ये कुन मा PV examination गर्नु हुदैन ?	A) Placenta previa B) Abruptio placentae C) First stage of labour D) Abortion	Edit
128	Painless & Bright red vaginal bleeding at late pregnancy is due to:	A) Abortion B) Labour C) Abruptio placentae D) Placenta previa	Edit
129	Delivery of dead fetus after 22 weeks of gestation is:	A) Premature birth B) Abortion C) Viable birth D) Still birth	Edit
130	गर्भावस्थाको २२ हप्तादेखि बच्चा जन्मिनु भन्दा अगाडि हुने vaginal bleeding लाई के भनिन्छ ?	A) Primary PPH B) Secondary PPH C) Antepartum hemorrhage D) Abortion	Edit
131	The most common site for ectopic pregnancy is:	A) Ampulla of the uterine tube B) Cervix C) Posterior fundus D) Vagina	Edit
132	Best time for abortion is:	A) 2-3 weeks of gestation B) 7-8 weeks of gestation C) 10-12 weeks of gestation D) 12-16 weeks of gestation	Edit
133	सामान्य अवस्थामा गर्भवती आमा को मन्जुरीमा कति हप्ता सम्मको गर्भपतन गराउन नेपालमा अनुमति दिएको छ ?	A) 22 weeks B) 12 weeks C) 18 weeks D) 28 weeks	Edit
134	When 3 or more miscarriage occurs subsequently, it is called:	A) Missed abortion B) Threatened abortion C) Septic abortion D) Habitual abortion	Edit
135	Cervical OS is dilated in:	A) Threatened abortion B) Missed abortion C) Complete abortion D) Inevitable abortion	Edit
136	Causes of vaginal bleeding in early pregnancy are all of the following, except:	A) Ectopic pregnancy B) Antepartum hemorrhage C) Abortion D) H. mole	Edit
137	Albendazole is given in ........ pregnancy.	A) First trimester B) Second trimester C) Third trimester D) All trimesters	Edit
138	Neural tube defect may be due to:	A) Lack of folic acid B) Excess of folic acid C) Lack of iron D) Excess of iron	Edit
139	Total number of IFA tablet given to a women during pregnancy as well as in postpartum?	A) 150 tablets B) 180 tablets C) 225 tablets D) 280 tablets	Edit
140	Morning sickness is usually due to:	A) HCG & Oestrogen B) Prolactin & Oxytocin C) FSH & LH D) Rennin	Edit
141	Generally, when the morning sickness end during pregnancy?	A) After 2 months B) After 3 months C) After 4 months D) After 5 months	Edit
142	नेपाल सरकारको प्रोटोकल अनुसार कम्तिमा कतिपटक गर्भ जाँच गराउनुपर्दछ ?	A) 3 B) 4 C) 5 D) 8	Edit
143	According to WHO, minimum number of Antenatal (ANC) visit should be:	A) 3 B) 4 C) 11 D) 8	Edit
144	Ideal number of ANC visit is:	A) 4 B) 8 C) 11 D) 13	Edit
145	High risk pregnancy includes all of the following except?	A) Rh positive mother B) Height <140 cm C) Breech presentation D) Age >35 years	Edit
146	The positive sign of pregnancy is:?	A) Abdominal enlarge B) Leucorrhea C) Fetal Heart sound D) Amenorrhea	Edit
147	Bluish discoloration of vagina and vulva at around 8th weeks of pregnancy is called:	A) Osiander's sign B) Goodell's sign C) Chadwick's sign D) Hager's sign	Edit
148	Presumptive signs of pregnancy are all, except:	A) Morning sickness B) Frequency of micturition C) Quickening D) Goodell's sign	Edit
149	Which of the following is major changes seen in second trimester of pregnancy?	A) Goodell's sign B) Lightening C) Quickening D) Morning sickness	Edit
150	Height of the uterus is less than the period of gestation in:	A) Polyhydramnios B) Molar pregnancy C) IUGR D) Twins pregnancy	Edit
151	Naegele's formula is used to calculate:	A) LMP B) Gestational age C) EDD D) Fundal height	Edit
152	To reduce risk of pedal oedema, varicose vein & hemorrhoids, pregnant women must be advised to sleep on:	A) Right lateral B) Left lateral C) Supine position D) Prone position	Edit
153	A brownish black straight line in the midline from xiphisternum to below umbilicus is called:	A) Linea nigrae B) Striae C) Chloasma D) Leukoderma	Edit
154	Dark or hyperpigmentation on skin of face during pregnancy is called:	A) Linea nigrae B) Striae C) Chloasma D) Leukoderma	Edit
155	Montgomery's tubercles are prominently seen in pregnancy at:	A) Lower abdomen B) Face C) Breasts D) Vagina	Edit
156	At 24 weeks, fundal height of uterus remains:	A) Below symphysis pubis B) Above symphysis pubis C) Above umbilicus D) At umbilicus	Edit
157	Diabetic mother may give birth to:	A) Low birth weight baby B) Big baby C) Dead baby D) Twins baby	Edit
158	Best tool to identify Gestational Diabetes mellitus is:	A) Fasting blood sugar B) Post prandial blood sugar C) Random blood sugar D) Oral Glucose Tolerance Test (OGTT)	Edit
159	Best time for amniocentesis is:	A) 10-15 weeks B) 15-20 weeks C) 20-25 weeks D) 25-30 weeks	Edit
160	Best time for screening of gestational diabetes is:	A) 14-16 weeks B) 20-24 weeks C) 24-28 weeks D) 28-36 weeks	Edit
161	Ideal weight gain during pregnancy is:	A) 10 kg B) 11 kg C) 12 kg D) 13 kg	Edit
162	Umbilical vein carries ........ Saturated blood.	A) 60% B) 70% C) 75% D) 80%	Edit
163	Umbilical vein meets inferior venacava at:	A) Foramen ovale B) Ductus venosus C) Ductus arteriosus D) Right ventricle	Edit
164	Placenta बाट शिशुको शरिरमा रगत लैजाने रक्तनली लाई के भनिन्छ ?	A) Umbilical cord B) Umbilical vein C) Umbilical artery D) Pulmonary vein	Edit
165	Shunt between right atrium & left atrium in fetal circulation is:	A) Ductus arteriosus B) Ductus venosus C) Foramen ovale D) Foramen monro	Edit
166	Amniocentesis helps to diagnose all of the following, except?	A) Neural tube defects B) Gender of the fetus C) Polyhydramnios D) Fetal distress	Edit
167	The main purpose of amniocentesis is to identify:	A) Pelvic infection B) Fetal maturity C) Twins baby D) Chromosomal abnormalities	Edit
168	All of the following increases during pregnancy, except?	A) RBC count B) Plasma volume C) Cardiac output D) Blood pressure	Edit
169	Amniocentesis is process of aspiration of amniotic fluid for:	A) Diagnostic purpose B) Therapeutic purpose C) Psychological purpose D) Both A & B	Edit
170	Golden coloured amniotic fluid indicates:	A) Fetal distress B) IUFD C) Rh incompatibility D) Post maturity	Edit
171	Oligohydramnios is called, if AFI is:	A) Less than 5cm B) More than 5cm C) Less than 10 cm D) Less than 6 cm	Edit
172	Meconium stained Green colored amniotic fluid indicates:	A) Fetal distress B) Still birth C) Abortion D) Cord prolapsed	Edit
173	Water of amniotic fluid replaced in every:	A) 1 hour B) 3 hours C) 5 hours D) 7 hours	Edit
174	Amount of amniotic fluid maximum at:	A) 28 weeks B) 36-38 weeks C) 40 weeks D) 42 weeks	Edit
175	The main function of amniotic fluid is:	A) To provide nutrition to the fetus B) To help in fetal growth C) To protect the fetus D) All of the above	Edit
176	Fetus swallows amniotic fluid about:	A) 250 ml/day B) 500 ml/day C) 750 ml/day D) 600 ml/day	Edit
177	Major contributor of amniotic fluid is:	A) Fetal urine B) Meconium C) Fetal saliva D) Fetal lung	Edit
178	Complication of long cord is:	A) Premature separation B) Cord prolapsed C) IUGR D) Abnormal lie	Edit
179	Which vessel disappeared in umbilical cord, after 4th month of pregnancy?	A) Right vein B) Left vein C) Right artery D) Left artery	Edit
180	Umbilical cord consist of:	A) Two arteries & two veins B) Two arteries & one vein C) Two veins & one artery D) One artery & one vein	Edit
181	गर्भावस्थाको कुन समयमा रगतमा HCG को मात्रा सबैभन्दा बढि हुन्छ ?	A) 4-6 weeks B) 8-10 weeks C) 10-12 weeks D) 12-16 weeks	Edit
182	गर्भावस्थामा insulin resistance तलका मध्ये कुन हर्मोनको प्रभावले हुने गर्दछ ?	A) Progesterone B) Oestrogen C) Human chorionic gonadotrophic (HCG) hormone D) Human Placental Lactogen (HPL)	Edit
183	गर्भावस्थामा मधुमेह (Gestational diabetes) हुने प्रमुख कारण कुन हो ?	A) High calorie intake B) Lack of exercise C) Deficiency of insulin D) Insulin resistance	Edit
184	Placenta ले उत्पादन गर्ने हर्मोन कुन होइन ?	A) HCG B) HPL C) Progesterone D) Prolactin	Edit
185	HCG can be detected in maternal serum after:	A) 5-7 days after fertilization B) 8-9 days after fertilization C) 10-12 days of fertilization D) 2-3 weeks after fertilization	Edit
186	Placenta takes over the function of corpus luteum after:	A) 5-8 weeks B) 8-10 weeks C) 10-12 weeks D) 12-16 weeks	Edit
187	The main source of progesterone within first 6-7 weeks of pregnancy is:	A) Placenta B) Yolk sac C) Corpus luteum D) Amnion	Edit
188	IgG can cross placenta after:	A) 6 weeks B) 12 weeks C) 16 weeks D) 20 weeks	Edit
189	From which layer of embryo, umbilical cord developed?	A) Amnion B) Chorion C) Allantosis D) Yolk sac	Edit
190	Wharton's jelly is found:	A) Placenta B) Umbilical cord C) Body of fetus D) Genitalia	Edit
191	When the cord is attached to the margin of the placenta, called:	A) Battledore placenta B) Velamentous placenta C) Lobed placenta D) Placenta accrete	Edit
192	Function of placenta is:	A) Transfer nutrients B) Hormone production C) Barrier function D) All of the above	Edit
193	Which of the following immunoglobulin can cross placenta?	A) IgA B) IgD C) IgE D) IgG	Edit
194	Fetal blood flow through the placenta is about?	A) 200 ml/min B) 400 ml/min C) 600 ml/min D) 750 ml/min	Edit
195	Utero-placental blood flow at term is about?	A) 250-500 ml/min B) 500-750 ml/min C) 750-1000 ml/min D) 150-250 ml/min	Edit
196	Functional unit of placenta is called:	A) Amnion B) Cotyledon C) Villi D) Chorion	Edit
197	Volume of blood in mature placenta:	A) 150 ml B) 350 ml C) 500 ml D) 750 ml	Edit
198	Number of lobules (cotyledons) in placenta:	A) 5-10 B) 10-15 C) 15-20 D) 20-30	Edit
199	Average weight of the placenta at term:	A) 250 gm B) 500 gm C) 750 gm D) 900 gm	Edit
200	Fetal heart starts to function after:	A) 12 days of fertilization B) 16 days of fertilization C) 18 days of fertilization D) 21 days of fertilization	Edit
201	Which system first develops in embryo?	A) Nervous system B) Cardiovascular system C) Urinary system D) Musculoskeletal system	Edit
202	Feto-placental circulation starts after:	A) 12 days of fertilization B) 16 days of fertilization C) 18 days of fertilization D) 21 days of fertilization	Edit
203	At term, average diameter of the placenta is:	A) 5-10 cm B) 10-15 cm C) 15-20 cm D) 20-25 cm	Edit
204	A connection between mother & fetus is formed by:	A) Placenta B) Liquor amnii C) Decidua D) Uterus	Edit
205	Formation of placenta completes by:	A) 6 weeks B) 8 weeks C) 12 weeks D) 18 weeks	Edit
206	Placenta is developed from which part of the embryo?	A) Chorion B) Yolk sac C) Amnion D) Allantosis	Edit
207	Human placenta is:	A) Discoid B) Hemochorial C) Deciduate D) All of the above	Edit
208	If the head is at the level of ischial spine, the station is:	A) 0 B) +1 C) -1 D) +2	Edit
209	Most common presenting part is:	A) Cephalic B) Vertex C) Face D) Brow	Edit
210	Cesarean section is compulsory in which of the following presentations?	A) Cephalic B) Vertex C) Face D) Brow	Edit
211	All of the following palpations are carried by facing the women's face, except:	A) Fundal grip B) Lateral grip C) Pawlik's grip D) Pelvic grip	Edit
212	Denominator refers to:	A) Part of presentation which lies over the internal os B) Relation of different parts of the fetus to one another C) Bony fixed point of reference on presenting part D) Parts of the fetus lying in the lower segment of the uterus	Edit
213	The least common type of pelvis is:	A) Android B) Gynecoid C) Anthropoid D) Platypelloid	Edit
214	The only pelvis with AP diameter more than transverse diameter:	A) Android B) Gynecoid C) Anthropoid D) Platypelloid	Edit
215	FHS can be recorded at USG after:	A) 4 weeks B) 6 weeks C) 8 weeks D) 12 weeks	Edit
216	Feeling of pulsation at lateral fornices is:	A) Hager's sign B) Osiander's sign C) Chadwick's sign D) Palmer's sign	Edit
217	Goodell's sign is:	A) Bluish color of vagina & vulva B) Softening of cervix C) Pulsation at lateral fornices D) Lower segment of uterus feels soft	Edit
218	Maternal side of placenta is formed by:	A) Chorionic frondosum B) Decidua basalis C) Chorionic villi D) Amnion	Edit
219	Fertilized ovum (morula) enters the uterine cavity by:	A) 3rd day of fertilization B) 4th day of fertilization C) 5th day of fertilization D) 6th day of fertilization	Edit
220	Ischial spines are prominent in:	A) Android pelvis B) Gynecoid pelvis C) Anthropoid pelvis D) Platypelloid pelvis	Edit
221	Number of joints in pelvis:	A) 2 B) 3 C) 4 D) 5	Edit
222	Which step is not used in obstetric examination?	A) Inspection B) Palpation C) Percussion D) Auscultation	Edit
223	Leopold maneuver is used for:	A) Inspection B) Palpation C) Percussion D) Auscultation	Edit
224	Uterus becomes palpable after:	A) 6 weeks B) 12 weeks C) 18 weeks D) 20 weeks	Edit
225	The commonest position during labour is:	A) Right occipito-anterior (ROA) B) Left occipito-anterior (LOA) C) Right occipito-transverse (ROT) D) Left occipito-transverse (LOT)	Edit
226	The commonest position is:	A) Right occipito-anterior (ROA) B) Left occipito-anterior (LOA) C) Right occipito-transverse (ROT) D) Left occipito-transverse (LOT)	Edit
227	The relationship of the denominator to the 8 equal quadrants of pelvis is:	A) Position B) Station C) Lie D) Presentation	Edit
228	Denominator used in breech presentation:	A) Occiput B) Mentum C) Sacrum D) Shoulder	Edit
229	The universal attitude of fetus is:	A) Restitution B) Rotation C) Flexion D) Extension	Edit
230	The commonest presentation of the fetus is:	A) Breech B) Shoulder C) Cephalic D) Vertex	Edit
231	When maternal axis crosses the fetal axis at 45º, the lie may be:	A) Transverse B) Longitudinal C) Oblique D) None of these	Edit
232	The commonest lie is:	A) Transverse B) Longitudinal C) Oblique D) None of these	Edit
233	The relationship between long axis of the fetus to the long axis of the mother is called:	A) Lie B) Presentation C) Position D) Station	Edit
234	Swelling on the scalp of newborn appears at birth which is not limited by suture is:	A) Caput succedaneum B) Cephalhematoma C) Hydrocephalus D) Bulging fontanelle	Edit
235	The longest diameter of fetal skull is:	A) Biparietal diameter B) Bitemporal diameter C) Mento-vertical diameter D) Submento-bregmatic diameter	Edit
236	Overlapping of skull bones during labour:	A) Cephalhematoma B) Crowning C) Molding D) CPD	Edit
237	Anterior fontanelle closed after ........... of birth.	A) 6–8 weeks B) 12 months C) 18 months D) 24 months	Edit
238	At birth, number of fontanelles present in fetal skull is:	A) 2 B) 4 C) 6 D) 8	Edit
239	Membranous space (wide gap) between two cranial bones is called:	A) Suture B) Fontanelle C) Vertex D) Sinciput	Edit
240	After fertilization, the zygote gradually migrates from the ampulla to the uterine tube and reaches the uterine cavity at:	A) 12 hours B) 24 hours C) 48 hours D) 72 hours	Edit
241	The vault part of fetal skull consists of:	A) 3 sutures B) 4 sutures C) 5 sutures D) 6 sutures	Edit
242	Suture between two parietal bones is:	A) Sagittal suture B) Coronal suture C) Lambdoid suture D) Metopic suture	Edit
243	Joint between two cranial bones is called:	A) Suture B) Fontanelle C) Fissure D) Lobule	Edit
244	Trial labour can be used for:	A) Contracted pelvis B) CPD C) Fetal distress D) Cord prolapsed	Edit
245	Best management of contracted pelvis is:	A) Oxytocin induced delivery B) Forceps delivery C) Trial labour D) Cesarean delivery	Edit
246	The antero-posterior diameter of pelvic brim is about:	A) 10 cm B) 11 cm C) 12 cm D) 13 cm	Edit
247	Face to pubis delivery is common in:	A) Android B) Gynaecoid C) Platypelloid D) Anthropoid	Edit
248	Male type pelvis is:	A) Android B) Gynaecoid C) Platypelloid D) Anthropoid	Edit
249	Most common type of female pelvis is:	A) Android B) Gynaecoid C) Platypelloid D) Anthropoid	Edit
250	True pelvis is divided into:	A) Inlet, cavity, outlet B) Inlet, armlet, cavity C) Armlet, brim, outlet D) Inlet, tube, cavity	Edit
251	Symphysis pubis is:	A) Bone B) Joint C) Muscles D) Cartilage	Edit
252	Which of the following is not a part of the hip bone?	A) Ischium B) Ilium C) Ileum D) Pubis	Edit
253	The pelvis consists of ......... pelvic bones.	A) 1 B) 3 C) 4 D) 5	Edit
254	A basin-like structure formed by two innominate bones, sacrum & coccyx is called:	A) Decidua B) Foramen C) Pelvis D) Ischial spine	Edit
255	All of the following develop from the ectoderm layer, except?	A) Central nervous system B) Pituitary gland C) Kidney D) Hair & nail	Edit
256	HCG hormone is secreted by:	A) Cytotrophoblast B) Syncytiotrophoblast C) Germinal cells of ovary D) Chorion of the placenta	Edit
257	The embryo can be differentiated as human after:	A) 4 weeks of fertilization B) 6 weeks of fertilization C) 8 weeks of fertilization D) 10 weeks of fertilization	Edit
258	Implantation occurs at:	A) Blastomere B) Blastocyst C) Morula D) Zygote	Edit
259	Implantation occurs on:	A) 3rd day of fertilization B) 4th day of fertilization C) 5th day of fertilization D) 6th day of fertilization	Edit
260	Morula is:	A) Single cell stage B) Two cell stage C) 12 cell stage D) 16 cell stage	Edit
261	Which of the following stage enters the uterine cavity?	A) Zygote B) Morula C) Blastocyst D) Blastomere	Edit
262	One primary oocyte forms:	A) 1 ovum B) 2 ova C) 4 ova D) 8 ova	Edit
263	Time taken for capacitation of sperm:	A) 2-4 hours B) 4-6 hours C) 6-8 hours D) 8-10 hours	Edit
264	Zona hatching occurs:	A) 3 days after fertilization B) 5 days after fertilization C) 6 days after fertilization D) 8 days after fertilization	Edit
265	Maximum number of oocytes/oogonia are in the ovary at:	A) 5th month of intrauterine life B) 7th month of intrauterine life C) At birth D) At puberty	Edit
266	Major part of the capacitation of sperm takes place in:	A) Vagina B) Cervix C) Fallopian tube D) Uterine body	Edit
267	Zygote consist of:	A) Single cell B) 2 cells C) 4 cells D) 16 cells	Edit
268	Fertilizable life span of ovum is:	A) 12-24 hour B) 24-48 hours C) 48-72 hours D) 72-120 hours	Edit
269	LH surge भएको कति समयपछि ovulation हुन्छ ?	A) 12 hours B) 24 hours C) 48 hours D) 72 hours	Edit
270	The mature Graafian follicle measures about:	A) 10 mm B) 20 mm C) 30 mm D) 50 mm	Edit
271	Sperm मा देखा पर्ने Physiological change जसबाट यसले ovum लाई fertilize गर्ने क्षमता प्राप्त गर्दछ, यसलाई के भनिन्छ ?	A) Spermatogenesis B) Spermiogenesis C) Capacitation D) Proliferation	Edit
272	Time taken for spermiogenesis:	A) 14 days B) 24 days C) 45 days D) 64 days	Edit
273	Germinal epithelium of the ovary is formed by:	A) Columnar cells B) Cuboidal cells C) Squamous cells D) All of the above	Edit
274	The number of chromosomes in meiosis-I cell division remains:	A) Half B) Same C) Double D) Either same or half	Edit
275	Ovum को बाहिर एक किसिमको glycoprotein को cover हुन्छ, जसलाई के भनिन्छ ?	A) Zona glomerulosa B) Zona Pellucida C) Zona fasciculata D) Zona reticularis	Edit
276	Fully mature ovum measures about:	A) 100μm B) 130 μm C) 150 μm D) 165 μm	Edit
277	Around ............... ovulation occurs during whole reproductive life.	A) 200 B) 400 C) 600 D) 800	Edit
278	Number of sperm formed from one spermatogonia is?	A) 4 B) 8 C) 16 D) 64	Edit
279	Number of sperm formed by one primary spermatocyte:	A) 4 B) 8 C) 16 D) 64	Edit
280	Release of secondary oocyte from primary oocyte is called:	A) Capacitation B) Fertilization C) Oogenesis D) Ovulation	Edit
281	Number of chromosomes in zygote:	A) 22 B) 23 C) 44 D) 46	Edit
282	Human body develops from a single cell is called:	A) Sperm B) Ovum C) Zygote D) Morula	Edit
283	The full form of SBA is:	A) Still Birth Attendant B) Skilled Baby Assistance C) Skilled Birth Attendant D) Skill for Baby Assistant	Edit
284	Which of the following is the professional forum of midwives in Nepal?	A) NAN B) FIGO C) MIDSON D) NNC	Edit
285	Painless irregular uterine contractions seen in early pregnancy is called:	A) Uterine contraction B) Braxton hicks contractions C) Endometrial contraction D) Unstable contraction	Edit
286	The term 'dystocia' means:	A) Preterm labor B) Normal labor C) Term labor D) Abnormal labor	Edit
287	According to WHO, Period of viability for fetus is:	A) 20 weeks of gestation B) 22 weeks of gestation C) 28 weeks of gestation D) 12 weeks of gestation	Edit
288	Endometrium of pregnant (gravid) uterus is called:	A) Lanugo B) Decidua C) Chorion D) Allantois	Edit
289	The women who have not given any birth to a child is called:	A) Parturient B) Primiparous C) Nulliparous D) Primigravidae	Edit
290	Preterm birth भन्नाले के बुझिन्छ ?	A) Birth before 28 weeks of gestation B) Birth before 32 weeks of gestation C) Birth before 37 weeks of gestation D) Birth before 40 weeks of gestation	Edit
291	कति उमेरको बच्चालाई Toddler भनिन्छ ?	A) Below 1 years B) 1-4 years C) 1-3 years D) 3-5 years	Edit
292	तलका मध्ये prenatal period कुन होइन ?	A) Fetus B) Neonate C) Ovum D) Embryo	Edit
293	The term 'neonate' means:	A) First 4 weeks of life B) First year of life C) First one week of life D) First 1-3 years of life	Edit
294	Perinatal period refers to:	A) Birth of the baby to 7 days thereafter B) Period within 42 days of birth C) Period from 20 weeks of gestation to 7 days after birth D) Period from 28 weeks of gestation to 7 days after birth	Edit
295	The term 'embryo' refers to:	A) 0-2 weeks B) 2-6 weeks C) 6-8 weeks D) 3-8 weeks	Edit
296	Expected date of delivery (EDD) should be calculated from:	A) First day of last menstrual period B) Last day of Last menstrual period C) Day of the ovulation D) Day of the fertilization	Edit
297	Second trimester of pregnancy refers to:	A) 12-20 weeks of gestation B) 13-28 weeks of gestation C) 16-28 weeks of gestation D) 22-37 weeks of gestation	Edit
298	गर्भावस्थाको जम्मा अवधी कति हुन्छ ?	A) 36 weeks B) 40 weeks C) 37 weeks D) 42 weeks	Edit
299	The period of gestation from the day of fertilization is:	A) 270 days B) 280 days C) 266 days D) 264 days	Edit
300	Florence Nightingale was professionally a:	A) Midwife B) Nurse C) Obstetrician D) Researcher	Edit
301	WHO ले कुन वर्ष लाई 'Year of the nurse & Midwife' को नामले मनाएको थियो ?	A) 1990 AD B) 2000 AD C) 2010 AD D) 2020 AD	Edit
302	ts	A) te B) t C) t D) t	Edit
303	The umbilical cord consists of:	A) Two arteries & two veins B) Two arteries & one vein C) Two veins & one artery D) One artery & one vein	Edit
304	Wharton's jelly is found in the:	A) Placenta B) Umbilical cord C) Body of fetus D) Genitalia	Edit
305	When the cord is attached to the margin of the placenta, it is called:	A) Battledore placenta B) Velamentous placenta C) Lobed placenta D) Placenta accreta	Edit
306	The functional unit of the placenta is called:	A) Amnion B) Cotyledon C) Villi D) Chorion	Edit
307	The number of lobules (cotyledons) in a placenta is:	A) 5-10 B) 10-15 C) 15-20 D) 20-30	Edit
308	The average weight of the placenta at term is:	A) 250 gm B) 500 gm C) 750 gm D) 900 gm	Edit
309	Which system is the first to develop in an embryo?	A) Nervous system B) Cardiovascular system C) Urinary system D) Musculoskeletal system	Edit
310	Formation of the placenta is complete by:	A) 6 weeks B) 8 weeks C) 12 weeks D) 18 weeks	Edit
311	The placenta is developed from which part of the embryo?	A) Chorion B) Yolk sac C) Amnion D) Allantois	Edit
312	If the head is at the level of the ischial spine, the station is:	A) 0 B) +1 C) -1 D) +2	Edit
313	In a vertex presentation, the head is engaged if:	A) 4/5 is palpable B) 5/5 is palpable C) 2/5 is palpable D) 1/5 is palpable	Edit
314	The only pelvis with an AP diameter larger than the transverse diameter is:	A) Android B) Gynecoid C) Anthropoid D) Platypelloid	Edit
315	Fetal heart sound (FHS) can be recorded via USG after:	A) 4 weeks B) 6 weeks C) 8 weeks D) 12 weeks	Edit
316	The feeling of pulsation at the lateral fornices is:	A) Hager's sign B) Osiander's sign C) Chadwick's sign D) Palmer's sign	Edit
317	Goodell's sign is defined as:	A) Bluish color of vagina & vulva B) Softening of cervix C) Pulsation at lateral fornices D) Lower segment of uterus feels soft	Edit
318	The maternal side of the placenta is formed by:	A) Chorionic frondosum B) Decidua basalis C) Chorionic villi D) Amnion	Edit
319	A fertilized ovum (morula) enters the uterine cavity by which day?	A) 3rd day B) 4th day C) 5th day D) 6th day	Edit
320	Ischial spines are prominent in which pelvis type?	A) Android pelvis B) Gynecoid pelvis C) Anthropoid pelvis D) Platypelloid pelvis	Edit
321	How many joints are in the pelvis?	A) 2 B) 3 C) 4 D) 5	Edit
322	Which step is NOT used in an obstetric examination?	A) Inspection B) Palpation C) Percussion D) Auscultation	Edit
323	Leopold maneuver is used for:	A) Inspection B) Palpation C) Percussion D) Auscultation	Edit
324	The uterus becomes palpable (above the symphysis pubis) after:	A) 6 weeks B) 12 weeks C) 18 weeks D) 20 weeks	Edit
325	The most common position is:	A) Right occipito-anterior (ROA) B) Left occipito-anterior (LOA) C) Right occipito-transverse (ROT) D) Left occipito-transverse (LOT)	Edit
326	The relationship of the denominator to the 8 equal quadrants of the pelvis is:	A) Position B) Station C) Lie D) Presentation	Edit
327	What is the denominator used in a breech presentation?	A) Occiput B) Mentum C) Sacrum D) Shoulder	Edit
328	The universal attitude of the fetus is:	A) Restitution B) Rotation C) Flexion D) Extension	Edit
329	The most common presentation of the fetus is:	A) Breech B) Shoulder C) Cephalic D) Vertex	Edit
330	When the maternal axis crosses the fetal axis at 45º, the lie is:	A) Transverse B) Longitudinal C) Oblique D) None of these	Edit
331	The most common lie is:	A) Transverse B) Longitudinal C) Oblique D) None of these	Edit
332	The relationship between the long axis of the fetus and the long axis of the mother is:	A) Lie B) Presentation C) Position D) Station	Edit
333	Swelling on the scalp of a newborn that is NOT limited by sutures is:	A) Caput succedaneum B) Cephalhematoma C) Hydrocephalus D) Bulging fontanelle	Edit
334	The longest diameter of the fetal skull is:	A) Biparietal diameter B) Bitemporal diameter C) Mento-vertical diameter D) Subento-bregmatic diameter	Edit
335	Overlapping of skull bones during labour is called:	A) Cephalhematoma B) Crowning C) Molding D) CPD	Edit
336	The anterior fontanelle closes after how long?	A) 6-8 weeks B) 12 months C) 18 months D) 24 months	Edit
337	At birth, how many fontanelles are present in the fetal skull?	A) 2 B) 4 C) 6 D) 8	Edit
338	A wide membranous space between two cranial bones is called a:	A) Suture B) Fontanelle C) Vertex D) Sinciput	Edit
339	The vault part of the fetal skull consists of how many sutures?	A) 3 B) 4 C) 5 D) 6	Edit
340	The suture between the two parietal bones is the:	A) Sagittal suture B) Coronal suture C) Lambdoid suture D) Metopic suture	Edit
341	The joint between two cranial bones is called a:	A) Suture B) Fontanelle C) Fissure D) Lobule	Edit
342	Trial labour can be used for:	A) Contracted pelvis B) CPD (Cephalopelvic Disproportion) C) Fetal distress D) Cord prolapsed	Edit
343	The antero-posterior diameter of the pelvic brim is about:	A) 10cm B) 11cm C) 12cm D) 13cm	Edit
344	The male type of pelvis is:	A) Android B) Gynaecoid C) Platypelloid D) Anthropoid	Edit
345	The most common type of female pelvis is:	A) Android B) Gynaecoid C) Platypelloid D) Anthropoid	Edit
346	True pelvis is divided into:	A) Inlet, cavity, outlet B) Inlet, armlet, cavity C) Armlet, brim, outlet D) Inlet, tube, cavity	Edit
347	Symphysis pubis is a:	A) Bone B) Joint C) Muscle D) Cartilage	Edit
348	Which of the following is NOT a part of the hip bone?	A) Ischium B) Ilium C) Ileum (Note: this refers to the small intestine) D) Pubis	Edit
349	The pelvis consists of how many pelvic bones?	A) 1 B) 3 C) 4 D) 5	Edit
350	A basin-like structure formed by two innominate bones, sacrum & coccyx is called the:	A) Decidua B) Foramen C) Pelvis D) Ischial spine	Edit
351	All of the following develop from the ectoderm layer EXCEPT:	A) Central nervous system B) Pituitary gland C) Kidney D) Hair & nail	Edit
352	HCG hormone is secreted by:	A) Cytotrophoblast B) Syncytiotrophoblast C) Germinal cells of ovary D) Chorion of the placenta	Edit
353	The embryo can be differentiated as human after:	A) 4 weeks of fertilization B) 6 weeks C) 8 weeks D) 10 weeks	Edit
354	Implantation occurs at which stage?	A) Blastomere B) Blastocyst C) Morula D) Zygote	Edit
355	Which stage enters the uterine cavity?	A) Zygote B) Morula C) Blastocyst D) Blastomere	Edit
356	One primary oocyte forms how many ova?	A) 1 ovum B) 2 ova C) 4 ova D) 8 ova	Edit
357	Time taken for the capacitation of sperm is:	A) 2-4 hours B) 4-6 hours C) 6-8 hours D) 8-10 hours	Edit
358	Zona hatching occurs how many days after fertilization?	A) 3 days B) 5 days C) 6 days D) 8 days	Edit
359	Maximum number of oocytes/oogonia are in the ovary at:	A) 5th month of intrauterine life B) 7th month of intrauterine life C) At birth D) At puberty	Edit
360	Major part of the capacitation of sperm takes place in the:	A) Vagina B) Cervix C) Fallopian tube D) Uterine body	Edit
361	A zygote consists of:	A) Single cell B) 2 cells C) 4 cells D) 16 cells	Edit
362	The fertilizable life span of an ovum is:	A) 12-24 hours B) 24-48 hours C) 48-72 hours D) 72-120 hours	Edit
363	Ovulation occurs how long after the LH surge?	A) 12 hours B) 24 hours C) 48 hours D) 72 hours	Edit
364	A mature Graafian follicle measures about:	A) 10 mm B) 20mm C) 30mm D) 50mm	Edit
365	The physiological change in sperm that gives it the ability to fertilize an ovum is:	A) Spermatogenesis B) Spermiogenesis C) Capacitation D) Proliferation	Edit
366	The germinal epithelium of the ovary is formed by:	A) Columnar cells B) Cuboidal cells C) Squamous cells D) All of the above	Edit
367	The number of chromosomes in meiosis-I cell division remains:	A) Half B) same C) Double D) Either same or half	Edit
368	The glycoprotein cover on the outside of an ovum is called:	A) Zona glomerulosa B) Zona Pellucida C) Zona fasciculata D) Zona reticularis	Edit
369	A fully mature ovum measures about:	A) 100μm B) 130 µm C) 150 μm D) 165 µm	Edit
370	Around how many ovulations occur during a whole reproductive life?	A) 200 B) 400 C) 600 D) 800	Edit
371	Number of sperm formed from one spermatogonia is:	A) 4 B) 8 C) 16 D) 64	Edit
372	Number of sperm formed by one primary spermatocyte is:	A) 4 B) 8 C) 16 D) 64	Edit
373	The human body develops from a single cell called a:	A) Sperm B) Ovum C) Zygote D) Morula	Edit
374	What is the full form of SBA?	A) Still Birth Attendant B) Skilled Baby Assistance C) Skilled Birth Attendant D) Skill for Baby Assistant	Edit
375	Which of the following is the professional forum of midwives in Nepal?	A) NAN B) FIGO C) MIDSON D) NNC	Edit
376	Painless irregular uterine contractions seen in early pregnancy are called:	A) Uterine contractions B) Braxton Hicks contractions C) Endometrial contractions D) Unstable contractions	Edit
377	The second trimester of pregnancy refers to:	A) 12-20 weeks B) 13-28 weeks C) 16-28 weeks D) 22-37 weeks	Edit
378	According to WHO, the period of viability for a fetus is:	A) 20 weeks of gestation B) 22 weeks of gestation C) 28 weeks of gestation D) 12 weeks of gestation	Edit
379	The endometrium of a pregnant (gravid) uterus is called:	A) Lanugo B) Decidua C) Chorion D) Allantois	Edit
380	A woman who has never given birth to a child is called:	A) Parturient B) Primiparous C) Nulliparous D) Primigravidae	Edit
381	Preterm birth is defined as birth before:	A) 20 weeks of gestation B) 28 weeks of gestation C) 37 weeks of gestation D) 40 weeks of gestation	Edit
382	A child of what age is called a "Toddler"?	A) Below 1 year B) 1-4 years C) 1-3 years D) 3-5 years	Edit
383	Which of the following is NOT part of the prenatal period?	A) Fetus B) Neonate C) Ovum D) Embryo	Edit
384	The term 'neonate' means:	A) First 4 weeks of life B) First year of life C) First one week of life D) First 1-3 years of life	Edit
385	he period of gestation from the day of fertilization is:	A) 270 days B) 280 days C) 266 days D) 264 days	Edit
386	Florence Nightingale was professionally a:	A) Midwife B) Nurse C) Obstetrician D) Researcher	Edit
387	Which approach gives slow but long-lasting results by making people actively involved?	A) Regulatory approach B) Service approach C) Health education approach D) None of the above	Edit
388	In which approach are people considered passive receivers of services?	A) Service approach B) Health education approach C) Primary health care approach D) Regulatory approach	Edit
389	Which approach controls people's behavior through laws and regulations?	A) Service approach B) Health education approach C) Regulatory approach D) Primary health care approach	Edit
390	Workshop is a.	A) Discussion of 4 to 8 expert in front of audience B) Discussion between 6 t0 12 members C) Series of 4 or more meeting D) Series of speeches on given subject	Edit
391	Best method to teach about preparation of ORS in urban areas.	A) Lecture B) Demonstration C) role play D) Flash card	Edit
392	GATHER Approaches is useful for	A) role play B) counselling C) demonstration D) interview	Edit
393	The method of health education in which 4-8 persons who are qualified on topic and discuss a given problems in front of a large audience .	A) Focus group discussion B) Panel discussion C) Workshop D) Seminar	Edit
394	In term of health education , Lecture method is	A) Socratic method B) Didactic method C) non verbal D) visual communication	Edit
395	misinterpretation is a…….	A) communication barrier B) distortion C) both D) none	Edit
396	Communication barrier is	A) silence B) disinterest C) lack of sincerity D) all	Edit
397	The correct sequence of communication is	A) Sender → receiver → feedback → encoding → decoding B) Sender → message → channel → receiver → feedback C) Message → sender → channel → feedback → receiver D) Channel→ receiver →sender→ receiver →feedback	Edit
398	Which of the following is not the element of communication ?	A) Message B) channel C) Gesture D) Audience	Edit
399	Non-verbal communication includes:	A) Speech B) Written message C) Body language and gestures D) Telephone conversation	Edit
400	Which of the following is an example of two-way communication?	A) Television B) Radio C) Lecture D) Group discussion	Edit
401	One-way communication is also called:	A) Socratic method B) Democratic communication C) Didactic method D) Interactive method	Edit
402	Encoding means:	A) Receiving message B) Converting symbols into meaning C) Converting ideas into symbols D) Giving feedback	Edit
403	Which component of communication refers to the ‘medium’ used?	A) Sender B) Channel C) Feedback D) Receiver	Edit
404	Affective domain deals with:	A) Skills B) Knowledge C) Attitude and behavior D) Memory	Edit
405	Which domain of communication is related to knowledge?	A) Affective B) Psychomotor C) Cognitive D) Behavioral	Edit
406	The main goal of communication is to:	A) Entertain people B) Provide information only C) Bring desired change in receiver D) Increase workload	Edit
407	Communication is mainly a:	A) One-way process B) Two-way process C) Mechanical process D) Passive process	Edit
408	Communication is defined as:	A) One-way transfer of information B) Exchange of ideas, feelings, and information- Ans C) Only verbal interaction D) Giving instructions	Edit
409	Learning by doing, means	A) practical learning B) Reading C) Writing D) listening only	Edit
410	Ultimate goal of Health education is	A) Knowledge only B) behaviour changes C) income D) power	Edit
411	Community involvement in health education	A) failure B) sustainability C) isolation D) delay	Edit
412	Comprehensive approach include	A) Only mental health B) all aspect C) only physical D) none	Edit
413	Evaluation helps to	A) Stop program B) Improve program C) Waste time D) Ignore people	Edit
414	adaptability means in health education is	A) Fixed method B) Ignoring culture C) Strict teaching D) Flexible approaches	Edit
415	Motivation leads to :	A) Behaviour changes B) Negative changes C) Disease D) Fear	Edit
416	The method of repetition , helps in during health education	A) Memory retention B) Ignorance C) Boredom D) Confusion	Edit
417	The language of Health education should be	A) Technical B) Simple C) Scientific only D) Complex	Edit
418	Participation helps in	A) Confusion B) Forgetting C) Better understanding D) Ignorance	Edit
419	Health education information should be	A) Scientific B) Random C) Traditional D) Emotional	Edit
420	Glands and ducts are internally lined by which type of tissue?	A) Columnar epithelium B) Cuboidal epithelium C) Transitional epithelium D) Ciliated epithelium	Edit
421	Besides endocrine function, the Hypothalamus is involved in:	A) Thermoregulation B) Hunger control C) Circadian rhythm D) All of the above	Edit
422	Which of the following is NOT under the direct control of the pituitary gland for its secretion?	A) Thyroid B) Adrenal Medulla C) Adrenal Cortex D) Testes	Edit
423	"Gorilla-like appearance" is associated with:	A) Excess Growth Hormone (Acromegaly) B) Excess TSH C) Lack of ADH D) Excess Insulin	Edit
424	Hormones can be chemically classified as:	A) Steroids B) Peptides C) Amines D) All of the above	Edit
425	The size of a normal human kidney is approximately:	A) 11 cm x 6 cm x 3 cm B) 15 cm x 10 cm x 5 cm C) 5 cm x 2 cm x 1 cm D) 20 cm x 5 cm x 5 cm	Edit
426	The right kidney is slightly lower than the left because of the position of the:	A) Liver B) Spleen C) Stomach D) Pancreas	Edit
427	The kidney is considered a:	A) Intraperitoneal organ B) Retroperitoneal organ C) Thoracic organ D) Pelvic organ in adults	Edit
428	The functional unit of the urinary system that secretes urine is the:	A) Kidney B) Ureter C) Bladder D) Urethra	Edit
429	Simple Goiter is caused by the enlargement of the:	A) Thyroid gland B) Pituitary gland C) Adrenal gland D) Parathyroid gland	Edit
430	Which of the following is NOT an endocrine disorder?	A) Goiter B) Cretinism C) Hypertension D) Diabetes mellitus	Edit
431	Prolonged or excessive use of steroids may lead to:	A) Diabetes mellitus B) Hypothyroidism C) Skin disease D) All of the above	Edit
432	The overall basal metabolic rate (BMR) is controlled by the:	A) Pancreas B) Thyroid gland C) Adrenal gland D) Thymus	Edit
433	Hormone levels that often increase in female urine after menopause include:	A) FSH B) TSH C) Insulin D) Oxytocin	Edit
434	Which hormone is responsible for milk production (lactogenesis)?	A) Oxytocin B) Prolactin C) FSH D) LH	Edit
435	Secondary sexual characters in males develop under the influence of:	A) Testosterone B) Estrogen C) Progesterone D) GH	Edit
436	Which hormone is responsible for the production of gametes (sperm/ova)?	A) LH B) FSH C) Prolactin D) Oxytocin	Edit
437	The thymus gland is unique because it:	A) Secretes iodine B) Atrophies after puberty C) Is the largest gland in adults D) Controls calcium levels	Edit
438	Which gland is located behind the sternum and is responsible for the maturation of T-lymphocytes?	A) Thyroid B) Thymus C) Pituitary D) Pineal	Edit
439	The hormone secreted by the pineal gland that regulates the sleep-wake cycle is:	A) Aldosterone B) Cortisone C) Melatonin D) Insulin	Edit
440	Which gland is found within the cranial cavity and is known for producing "Brain sand"?	A) Thyroid B) Thymus C) Pineal gland D) Adrenal	Edit
441	Somatostatin, secreted by the pancreas, inhibits the release of:	A) Prolactin B) Growth hormone C) Melanin D) Thyroxine	Edit
442	Which hormone acts to increase blood glucose levels?	A) Glucagon B) Insulin C) Calcitonin D) Melatonin	Edit
443	Diabetes Mellitus is primarily due to:	A) Increased level of insulin B) Decreased level of insulin C) Decreased level of ADH D) Increased level of Glucagon	Edit
444	The endocrine portion of the pancreas is known as:	A) C-cells B) Islet of Langerhans C) Acini D) Follicles	Edit
445	Addison's disease is associated with the under-secretion of:	A) Glucocorticoids B) Growth Hormone C) Insulin D) Testosterone	Edit
446	Which hormone increases heart rate and is active during "fight or flight" stress conditions?	A) Thyroxine B) Calcitonin C) Adrenaline D) Estrogen	Edit
447	Cushing's syndrome is a result of:	A) Deficiency of Glucocorticoids B) Excess of Glucocorticoids C) Deficiency of Insulin D) Excess of Adrenaline	Edit
448	Which hormone is primarily responsible for water and electrolyte balance (Mineralocorticoid)?	A) Cortisol B) Aldosterone C) Insulin D) Melatonin	Edit
449	All of the following are secreted by the adrenal cortex EXCEPT:	A) Glucocorticoids B) Mineralocorticoids C) Adrenaline D) Androgens	Edit
450	Which gland is also known as the "Suprarenal gland"?	A) Thyroid B) Thymus C) Adrenal D) Pineal	Edit
451	Grave's disease is caused by:	A) Increased level of thyroid hormones B) Decreased level of thyroid hormones C) Increased level of growth hormone D) Deficiency of iodine	Edit
452	How many parathyroid glands are typically found in the human body?	A) 2 B) 4 C) 1 D) 6	Edit
453	The primary function of Parathormone (PTH) is to:	A) Decrease calcium in blood B) Increase calcium in blood C) Increase sodium in blood D) Decrease glucose in blood	Edit
454	Cretinism is a condition caused by a deficiency of:	A) Growth Hormone B) Thyroid Hormone C) Insulin D) Glucocorticoids	Edit
455	Hormone secreted by the parafollicular cells (C-cells) of the thyroid gland is:	A) Thyroxine (T4) B) Tri-iodothyronine (T3) C) Calcitonin D) PTH	Edit
456	Which mineral is essential for the secretion of thyroid hormones?	A) Iron B) Calcium C) Iodine D) Magnesium	Edit
457	Which gland is described as "Butterfly shaped"?	A) Thyroid gland B) Adrenal gland C) Thymus D) Pineal gland	Edit
458	Deficiency of Antidiuretic Hormone (ADH) results in:	A) Increased volume of urine (Diabetes Insipidus) B) Decreased volume of urine C) High blood sugar D) Excessive urea secretion	Edit
459	Which hormone is responsible for uterine contractions during labor and milk ejection?	A) Prolactin B) Progesterone C) Oxytocin D) Estrogen	Edit
460	The two hormones stored and secreted by the posterior pituitary are:	A) FSH & LH B) ADH & Oxytocin C) TSH & ACTH D) MSH & Prolactin	Edit
461	Excessive secretion of Growth Hormone in adults can lead to:	A) Gigantism B) Acromegaly C) Cretinism D) Both A & B	Edit
462	"Dwarfism" is caused by a deficiency of:	A) Thyroid hormone B) Growth hormone C) ADH D) Insulin	Edit
463	Which of the following is NOT secreted by the anterior lobe of the pituitary?	A) Growth hormone B) Prolactin C) Antidiuretic hormone (ADH) D) Thyroid-stimulating hormone(TSH)	Edit
464	Where is the pituitary gland located?	A) Hypophyseal fossa B) Maxillary fossa C) Sternum D) Abdominal cavity	Edit
465	Which germinal layer does the pituitary gland develop from?	A) Ectoderm B) Mesoderm C) Endoderm D) All of the above	Edit
466	The organ on which a particular hormone acts is called the:	A) Target organ B) Effector organ C) Active organ D) Functional organ	Edit
467	Hormones are also known as:	A) Enzymes B) Chemical messengers C) Antibodies D) Excretory products	Edit
468	Which of the following is considered a "Mixed Gland" (both endocrine and exocrine)? X	A) Liver B) Pancreas C) Thyroid D) Thyroid	Edit
469	Endocrine glands are characterized as:	A) Ductless glands B) Hormone producing glands C) Glands that pour secretion into blood by means of a duct D) Both A & C	Edit
470	The brain receives approximately what percentage of total cardiac output?	A) 10% B) 14% C) 20% D) 25%	Edit
471	The brain can survive without oxygen for approximately:	A) 2 minutes B) 4 minutes C) 10 minutes D) 15 minutes	Edit
472	White matter in the nervous system is primarily composed of:	A) Cell bodies B) Axons C) Dendrites D) Neuroglia	Edit
473	Neural tube defects are often caused by a deficiency in:	A) Iron B) Calcium C) Folic acid D) Vitamin C	Edit
474	Which drug is commonly used to reduce Intracranial Pressure (ICP)?	A) Amlodipine B) Mannitol C) Heparin D) Labetalol	Edit
475	Paralysis affecting all four limbs is termed:	A) Hemiplegia B) Paraplegia C) Monoplegia D) Quadriplegia	Edit
476	Which condition is characterized by the absence of a major part of the brain at birth?	A) Spina bifida B) Hydrocephalus C) Anencephaly D) Microcephaly	Edit
477	What recording is used to measure the electrical activity of the brain?	A) ECG B) EEG C) EMG D) Echo	Edit
478	The longest nerve in the entire human body is the:	A) Radial nerve B) Ulnar nerve C) Sciatic nerve D) Femoral nerve	Edit
479	A lumbar puncture (spinal tap) is usually performed between which vertebrae?	A) L1 and L2 B) L2 and L3 C) L3/L4 or L4/L5 D) T12 and L1	Edit
480	Inflammation of the brain tissue is called:	A) Meningitis B) Neuritis C) Encephalitis D) Myelitis	Edit
481	The layers of the meninges from outer to inner are:	A) Pia, Arachnoid, Dura B) Dura, Pia, Arachnoid C) Dura, Arachnoid, Pia D) Arachnoid, Dura, Pia	Edit
482	The number of cervical spinal nerve pairs is:	A) 7 B) 8 C) 12 D) 5	Edit
483	How many pairs of spinal nerves are there?	A) 12 pairs B) 24 pairs C) 31 pairs D) 33 pairs	Edit
484	Which cranial nerve is responsible for the movement of the eyeball?	A) II, III, IV B) III, IV, VI C) I, V, VII D) IX, X, XII	Edit
485	The 8th cranial nerve is the:	A) Vagus B) Glossopharyngeal C) Vestibulocochlear D) Hypoglossal	Edit
486	The smallest cranial nerve in the human body is the:	A) Trigeminal B) Trochlear C) Abducens D) Olfactory	Edit
487	Which cranial nerve is the longest and supplies many organs in the thorax and abdomen?	A) Trigeminal nerve B) Vagus nerve C) Optic nerve D) Accessory nerve	Edit
488	The first cranial nerve (CN I) is responsible for:	A) Vision B) Hearing C) Smell D) Taste	Edit
489	How many pairs of cranial nerves are found in the human body?	A) 10 pairs B) 12 pairs C) 31 pairs D) 33 pairs	Edit
490	Which of the following cells does not have the ability to divide?	A) Sperm B) Ovum C) Neuron D) Cuboidal cell	Edit
491	The site of transmission for electrical impulses between two neurons is the:	A) Chiasma B) Synapse C) Myelin D) Node of Ranvier	Edit
492	A group of axons located within the Peripheral Nervous System is called:	A) Nerve B) Tract C) Ganglia D) Nuclei	Edit
493	A group of cell bodies located within the Central Nervous System is called:	A) Ganglia B) Nuclei C) Tract D) Nerve	Edit
494	Which cells produce the myelin sheath in the Peripheral Nervous System (PNS)?	A) Oligodendrocytes B) Schwann cells C) Astrocytes D) Microglia	Edit
495	The macrophage cells found specifically in the brain are:	A) Kupffer cells B) Langerhans cells C) Microglia D) Astrocytes	Edit
496	Which of the following is NOT a part of a typical neuron?	A) Axon B) Dendrite C) Tail D) Cell body	Edit
497	The structural and functional unit of the nervous system is the:	A) Nerve B) Neuron C) Neuroglia D) Synapse	Edit
498	Excessive collection of CSF within the brain is known as:	A) Meningocele B) Encephalitis C) Hydrocephalus D) Meningitis	Edit
499	CSF is absorbed into the venous circulation via:	A) Choroid plexus B) Ependymal cells C) Subarachnoid villi D) Cerebral aqueduct	Edit
500	The Foramen of Monroe connects:	A) Third and Fourth ventricles B) Lateral ventricles and Third ventricle C) Lateral ventricles and Fourth ventricle D) Fourth ventricle and Central canal	Edit
501	What is the approximate daily production of CSF?	A) 150ml B) 500ml C) 720ml D) 1000ml	Edit
502	CSF is found within which space?	A) Epidural space B) Subdural space C) Subarachnoid space D) Pleural space	Edit
503	Which cell type is responsible for the formation of the Blood-Brain Barrier (BBB)?	A) Microglia B) Oligodendrocytes C) Ependymal cells D) Astrocytes	Edit
504	Cerebrospinal fluid (CSF) is primarily secreted by the:	A) Arachnoid villi B) Choroid plexus C) Meninges D) Ependymal cells	Edit
505	How many ventricles are present in the human brain?	A) 2 B) 3 C) 4 D) 5	Edit
506	Broca’s area, responsible for speech production, is situated in the:	A) Frontal lobe B) Temporal lobe C) Occipital lobe D) Parietal lobe	Edit
507	Which lobe of the brain is responsible for vision and visual memory?	A) Frontal lobe B) Parietal lobe C) Temporal lobe D) Occipital lobe	Edit
508	The "Fight or Flight" response is a function of the:	A) Central Nervous System B) Parasympathetic Nervous System C) Sympathetic Nervous System D) Somatic Nervous System	Edit
509	Reflex actions are primarily controlled by the:	A) Spinal cord B) Cerebrum C) Thalamus D) Corpus callosum	Edit
510	The Pneumotaxic center is located in which part of the brain?	A) Medulla B) Pons C) Midbrain D) Spinal cord	Edit
511	The Respiratory and Cardiac centers are primarily located in the:	A) Pons B) Cerebrum C) Cerebellum D) Medulla oblongata	Edit
512	Appetite, thirst, sleep, and body temperature are controlled by the:	A) Pituitary gland B) Thalamus C) Hypothalamus D) Medulla	Edit
513	Which region contains the Thalamus and Hypothalamus?	A) Diencephalon B) Cerebrum C) Midbrain D) Hindbrain	Edit
514	The brain stem consists of which three parts?	A) Cerebrum, Pons, Medulla B) Midbrain, Pons, Cerebellum C) Midbrain, Pons, Medulla D) Thalamus, Hypothalamus, Pineal gland	Edit
515	Which structure connects the two cerebral hemispheres?	A) Thalamus B) Corpus callosum C) Pons D) Tentorium cerebelli	Edit
516	The largest part of the human brain is the:	A) Cerebellum B) Cerebrum C) Midbrain D) Medulla oblongata	Edit
517	The average weight of the human brain is approximately:	A) 1.2 kg B) 1.5 kg C) 750 gm D) 2.4 kg	Edit
518	The central nervous system (CNS) is derived from which embryonic layer?	A) Endoderm B) Mesoderm C) Ectoderm D) All of the above	Edit
519	prevention of emergence or developement of risk factor of disease in human body is	A) primordial prevention B) primary prevention C) secondary prevention D) tertiary prevention	Edit
520	complete interuption of transmission of a disease is called	A) disease control B) disease elimination C) disease eradication D) all of the above	Edit
521	The continious scrutiny of the factors that determines the occurance of disease and other condition is called .....	A) Monitoring B) Suerveillance C) isolation D) quarantine	Edit
522	The iceberg phenomenon of disease ,tip of iceberg represents	A) clinical case B) subclinical case C) new case D) secondary case	Edit
523	killing power of disease is represented by	A) TFR B) CPR C) CFR D) IMR	Edit
524	Human developement index include all of the following except	A) IMR B) Income C) Knowledge D) Life expactancy	Edit
525	which of the following disease is barometer of social wellfare ""	A) AIDS B) Tuberculosis C) Measles D) cholera	Edit
526	Best measure of overal social burden of disease in community is	A) DALY B) HDI C) PQLI D) IMR	Edit
527	which of the following is known as father of epidemiology	A) John snow B) Hippocrates C) Louish pasteur D) cholera	Edit
528	Which structure increases surface area for absorption?	A) Rugae B) Villi C) Alveoli D) Nephron	Edit
529	Which part of GI tract has Peyer’s patches?	A) Duodenum B) Jejunum C) Ileum D) Colon	Edit
530	Which is the main storage form of carbohydrate in liver?	A) Glucose B) Glycogen C) Lactose D) Fructose	Edit
531	Which condition is due to lack of intrinsic factor?	A) Iron deficiency anemia B) Pernicious anemia C) Sickle cell anemia D) Aplastic anemia	Edit
532	Which is NOT a digestive enzyme?	A) Amylase B) Lipase C) Gastrin D) Pepsin	Edit
533	Bile does NOT contain:	A) Bile salts B) Bile pigments C) Enzymes D) Cholesterol	Edit
534	Which part prevents food from entering trachea?	A) Uvula B) Epiglottis C) Tongue D) Pharynx	Edit
535	Normal capacity of stomach is about:	A) 500 ml B) 1–1.5 L C) 2–3 L D) 4–5 L	Edit
536	Ileocaecal valve is between:	A) Stomach & duodenum B) Ileum & cecum C) Colon & rectum D) Esophagus & stomach	Edit
537	Absorption of water mainly occurs in:	A) Small intestine B) Large intestine C) Stomach D) Esophagus	Edit
538	Which organ has no digestive function?	A) Mouth B) Esophagus C) Stomach D) Intestine	Edit
539	Which vitamin is synthesized by intestinal bacteria?	A) Vitamin A B) Vitamin B12 C) Vitamin K D) Vitamin D	Edit
540	Lactose is broken down into:	A) Glucose + Fructose B) Glucose + Galactose C) Glucose + Maltose D) Fructose + Galactose	Edit
541	Hormone that stimulates gastric juice:	A) Insulin B) Gastrin C) Secretin D) Glucagon	Edit
542	Opening between stomach and small intestine:	A) Cardiac sphincter B) Pyloric sphincter C) Ileocaecal valve D) Anal sphincter	Edit
543	Pancreatic enzyme for fat digestion:	A) Amylase B) B. Trypsin C) Lipase D) Pepsin	Edit
544	Function of large intestine is:	A) Digestion B) Absorption of nutrients C) Water absorption D) Enzyme secretion	Edit
545	Vitamin B12 is absorbed in:	A) Duodenum B) Jejunum C) Ileum D) Colon	Edit
546	Absorption of nutrients mainly occurs in:	A) Stomach B) Jejunum C) Colon D) Esophagus	Edit
547	Enzyme for protein digestion in stomach:	A) Amylase B) Pepsin C) Lipase D) Maltase	Edit
548	Bile is produced by:	A) Gallbladder B) Liver C) Pancreas D) gall bladder	Edit
549	artificial set of human teeth Contains ... ... teeth.	A) 20 B) 28 C) 32 D) 30	Edit
550	Sympathetic stimulation of GI track causes	A) Increase peristalsis B) Decrease secretion C) Constipation D) All	Edit
551	HCL and intrinsic factor is secreted from which cell of stomach	A) Parietal / oxyntic cell B) Chief cell C) Mucus cell D) G cell	Edit
552	Enzyme required for protein digestion which is secreted by Stomach is :	A) Trypsin B) Peptidase C) Pepsinogen D) Chymotrypsin	Edit
553	Digestion of carbohydrate start from :	A) Mouth B) Stomach C) Intestine D) Liver	Edit
554	The organ known as reservoir of stool is :-	A) Rectum B) Ascending colon C) Sigmoid colon D) Anus	Edit
555	The Largest organ of human.body is skin . Largest gland is	A) Liver B) Heart C) Skin D) Spleen	Edit
556	Dental formulla of Decidious teeth carries ..	A) 2102 B) 2122 C) 2123 D) 2212	Edit
557	Which of the following is duct of parotid gland	A) Whartson`s duct B) Stenson duct C) Duct of Rivinus D) None of the above	Edit
558	Commonest organism causing Dental carries :-	A) Staphylococus B) Streptococus mutans C) Staphylococus D) Peumococus	Edit
559	The commonest position of appendix is	A) Retrocecal B) Pelvic C) Subsecal D) Paracolic	Edit
560	Which vitamin deficiency seen in patient of gastrectomy ?	A) Folic acid B) Thiamine C) Cynocobalamin D) Pyridoxine	Edit
561	Adult hook worm live in	A) Duodenum B) Jejunum C) Ileum D) Stomach	Edit
562	Food mixed with gastric juice is called .. .. ..	A) Bolus B) Chyle C) Chyme D) Faeces	Edit
563	Burner's Gland is present in	A) Duodenum B) Jejunum C) Ileum D) Stomach	Edit
564	Maximum absorption of alcohol in ... ... ...	A) Stomach B) Duodenum C) Jejunum D) Ileum	Edit
565	Gastric carcinma is more common in ....	A) Blood group A B) Blood group o C) B D) AB	Edit
566	Digestive enzyme found in saliva	A) Ptyalin B) Trypsinogen C) Hcl D) Chemotrypsinogen	Edit
567	How many salivary Gland in human body ?	A) 1 Pair B) 2 Pair C) 3 Pair D) 4 Pair	Edit
568	Which of the following is largest salivary Gland ?	A) Sub-mandibullar Gland B) Parotid gland C) sub lingual gland D) None	Edit
569	Dyspagia means .. .. ..	A) Difficulty in swallowing B) Painfull swallowing C) Painfull micturation D) Difficulty in micturation	Edit
570	Which of the following teeth known as " Wisdom teeth "	A) First molar B) Second molar C) Third molar D) Canine	Edit
571	Tongue is posteriorly connected by	A) Maxilla B) Mandible C) Unsocial bone D) None	Edit
572	First teeth errupt in milk teeth	A) Upper lower central incisor B) Lower central incisor C) Canine D) Molar	Edit
573	" Stomatitis " is inflamation of	A) Tongue B) Oral cavity C) Tongue D) Gingiva	Edit
574	The collection of excessive fluid in the peritoneal cavity is called	A) Hydrocele B) Effusion C) Acities D) Peritonitis	Edit
575	All of the following are part of Digestive system Except	A) Pharynx B) Larynx C) Mouth D) Esophagus	Edit
576	The causes of AEFI ( program error includes)	A) anxiety B) coincidence C) wrong storage D) Genetics causes	Edit
577	Intussusception is caused by :	A) BCG B) Hep B C) Rota D) OPV	Edit
578	VAAP is associated with :	A) BCG B) OPV C) DPT D) Measle	Edit
579	Which component of DPT Vaccine causes neurological complication	A) Diptheria B) Pertusis C) Tetanus D) all of the above	Edit
580	Toxic shock syndrome is side effects of :	A) BCG B) Measles C) DPT D) JE	Edit
581	which of the following is used as diluent of BCG vaccine is :	A) potasium B) Distilled water C) normal saline D) almunium	Edit
582	full form of BCG vaccine is	A) bacterial calmate guirrine B) biological calmite gurine C) Bacillus calmette Guerin D) bacillus conjugated Guerin	Edit
583	All live vaccine is contraindicated in pregnancy except :	A) measles B) rubella C) infuluenza D) yellow fever	Edit
584	Rota virus vaccine is:	A) Live attenuated B) Killed C) Toxoid D) Conjugated	Edit
585	Which of the following vaccine should be given by subcutaneous route	A) MR B) JE C) Pentavalent D) Both A & B	Edit
586	Adverse Events Following Immunization (AEFI) are:	A) The result of vaccine or immunization B) Not associated with vaccine or immunization C) Either due to result of vaccination or not associated with the process of vaccination. D) None of these.	Edit
587	The site for MR vaccine is:	A) Right upper arm B) Left upper arm C) Right thigh D) Left thigh	Edit
588	Immunization status of which vaccine should be identified with presence of scar?	A) BCG B) DPT-Hib-HepB C) MR D) JE	Edit
589	JE vaccine should be used ........... of reconstitution.	A) 1 hour B) 3 hour C) 6 hour D) 8 hour	Edit
590	Which of the following equipment is used for storage of vaccine?	A) Cold Box B) ILR C) Vaccine carrier D) Day carrier	Edit
591	The vaccines given at 14 weeks of birth are:	A) IPV, PCV & Rota B) OPV, fIPV, DPT-HepB-Hib C) PCV, fIPV, OPV, DPT-HepB-Hib D) OPV, IPV, PCV & Rota	Edit
592	Father of immunology (immunization) refers to:	A) Louis Pasteur B) John snow C) Edward Jenner D) Robert Koch	Edit
593	BCG vaccine leaves scar after ................ of vaccination.	A) 2 weeks B) 4 weeks C) 6 weeks D) 18 weeks	Edit
594	All of the following are stored in Freezing compartment of ILR, except?	A) BCG B) DPT C) Measles D) OPV	Edit
595	Temperature of Ice lined refrigerator is recorded by:	A) Mercury thermometer B) kata thermometer C) Dial Thermometer D) Alcohol thermometer	Edit
596	Measles vaccine is given at ..	A) intradermal route B) subcutaneous route C) intramuscullar route D) Oral route	Edit
597	Which of the following is combined vaccine ?	A) BCG B) PCV C) MMR D) TCV	Edit
598	Measles vaccine is given at :	A) 6 , 10 and 14 weeks B) 6 week and 14 weeks C) 9 months and 15 months D) 12 months and 15 months	Edit
599	The first vaccine to be discovered is :	A) BCG B) Small pox C) Chicken pox D) Rabies	Edit
600	Vaccine store in pHC is	A) WIC B) WIR C) ILR D) Vaccine carrier	Edit
601	Rota virus vaccine is used to prevent	A) Diarrhea B) pneumonia C) Malnutrition D) cancer	Edit
602	Which of the following vaccine is also known as immunity of community	A) Natural immunity B) Active immunity C) herd immunity D) passive immunity	Edit
603	Multi dose vial policy isnot applied for	A) pentavalent B) PCV C) FIPV D) OPV	Edit
604	The dose of BCG vaccine is :	A) 0.5 ml B) 0.05 ml C) 0.01 ml D) 0.1 ml	Edit
605	Route of adrenaline in anaphylaxis:	A) IV B) IM C) SC D) Oral	Edit
606	First-line treatment of anaphylaxis:	A) Paracetamol B) Antibiotic C) Adrenaline (IM) D) IV fluid only	Edit
607	AEFI can be caused by:	A) Vaccine B) Program error C) Coincidental event D) All of the above	Edit
608	What does AEFI stand for?	A) Adverse Effect From Injection B) Adverse Event Following Immunization C) After Effect of Immunization D) Adverse Event From Immunity	Edit
609	VVM changes color due to:	A) Freezing B) Heat exposure over time C) Light exposure D) Air contact	Edit
610	If inner square matches outer circle color:	A) Use immediately B) Shake well C) Discard vaccine D) Freeze again	Edit
611	First antibody produced is:	A) IgG B) IgM C) IgA D) IgE	Edit
612	Which immunoglobulin is highest in blood?	A) IgA B) IgM C) IgG D) IgE	Edit
613	T lymphocytes are responsible for:	A) Antibody production B) Cell-mediated immunity C) Clotting D) Digestion	Edit
614	Which equipment maintains -15°C to -25°C?	A) ILR B) Cold box C) Deep freezer D) Vaccine carrier	Edit
615	Cold chain equipment used at outreach site:	A) Deep freezer B) ILR C) Vaccine carrier D) Refrigerator	Edit
616	Shake test is used for:	A) Checking expiry B) Detecting freezing damage C) Heat damage D) Contamination	Edit
617	Ice packs should be conditioned to prevent:	A) Heat damage B) Freezing of vaccines C) Expiry D) Contamination	Edit
618	Vaccine Vial Monitor (VVM) indicates:	A) Freezing damage B) Expiry date C) Heat exposure D) Sterility	Edit
619	Which vaccine is most sensitive to freezing?	A) OPV B) Measles C) DPT D) HPV	Edit
620	Which vaccine is most sensitive to heat?	A) BCG B) OPV C) Hepatitis B D) TT	Edit
621	Ideal temperature for vaccine storage at health facility:	A) -20°C B) 0°C C) +2°C to +8°C D) +10°C	Edit
622	Which immunity develops after infection?	A) Passive immunity B) Active natural immunity C) Artificial immunity D) Herd immunity	Edit
623	Which immunoglobulin crosses placenta?	A) IgA B) IgM C) IgG D) IgE	Edit
624	Antibodies are produced by which cells?	A) T lymphocytes B) Plasma cells C) Neutrophils D) Macrophages	Edit
625	The first milk for baby is clostrum contains immunoglobin A. which supports the immunity of newborn. the immunity type is called	A) Natural innate immunity B) Natural acquired active immunity C) Natural acquired passive immunity D) Artifical acquired passive immunity	Edit
626	Gonorrhea is caused by;	A) Neisseria gonorrhoea B) treponema pallidum C) papilloma virus D) human immune virus	Edit
627	HIV/AIDS IS TRANSMITTED by all of the following except;	A) sexual transmission B) parenteral transmission C) perinatal transmission D) hugging	Edit
628	A women experienced passage of stool or fk]latus though vagina following delivery, what may bethe cause?	A) vesicovaginal fistula B) vagino urethral fistula C) recto- vaginal fistula D) vesico urethral fistula	Edit
629	First fetal movement felt by mother is known as;	A) lightening B) ballottement C) engagement D) quickening	Edit
630	At birth normal length of baby is	A) 30 cm B) 40 cm C) 50 cm D) 60 cm	Edit
631	Gravida refers to;	A) serous pregnancy B) number of times a female has been pregnant C) number of children a female has delivered D) number of term pregnancies a female had	Edit
632	The main cause of constipation during pregnancy is;	A) decrease physical excretion B) change in diet C) obstruction of bowel by presentimng part of fetus D) relaxation of smooth muscles	Edit
633	Which of the following vitamin prevent neural tube defect in fetus?	A) folic acid B) Vit .C C) Vit. D D) Vit. E	Edit
634	DOTS is related to;	A) cataract B) pneumonia C) tuberculosis D) bronchitis	Edit
635	For detection of abnormality breast examination is performed;	A) one week after menstruation B) one week before menstruation C) immediate after menstruation D) In any time between two menstruation	Edit
636	Which of the following vaccine is subcutaneous?	A) BCG B) Polio C) MEasles D) DPT	Edit
637	River outflow is the method of	A) refuse disposal B) sewage disposal C) human excreta disposal D) animals excreta disposal	Edit
638	Occurence in the community of a member of cases of disease that is usually large or unexpected is;	A) endemic B) epidemic C) infection D) pandemic	Edit
639	AIDS is caused by ;	A) cytomegalovirus B) varicellazoster virus C) HIV Virus D) AIDS Virus	Edit
640	An infection originating in a while in a hospital or other health care facility is called	A) oppurtunistic infection B) Nosocomial infection C) Iatrogenic infection D) endemic infection	Edit
641	During blood transfusion, a client develops chills and headache , the nurse's best section is to;	A) stop the transfusion immediately B) notify the physician C) slow the transfusion flow to keep vein open D) cover the client with extra blanket	Edit
642	Collapse of lungs is called;	A) pneumothorax B) hydrothorax C) bronchitis D) Atelectasis	Edit
643	The nurse should position a client recovering from general anesthesia in;	A) supine position B) side lying position C) high flower's position D) Trendelenburg position	Edit
644	Most peptic ulcer occuring in the stomach are in the;	A) pyloric portion B) cardiac portion C) Esophageal portion D) body in stomach	Edit
645	one major early problem of the patient with spinal injury;	A) bladder control B) nutritional intake C) quadriceps setting D) use of aids for malnutrition	Edit
646	A client with osteoporosis is vulnerable to;	A) fatigue fracture B) pathological fracture C) greenstick fracture D) compound fracture	Edit
647	deficiency of vit. b12 can cause...	A) iron deficiency anemia B) aplastic anemia C) pernicious anemia D) sickle cell anemia	Edit
648	Gout is the disease of joint which is caused because of;	A) calcium metabolism disorder B) purine metabolism disorder C) phosphate metabolism disorder D) potassium metabolism disorder	Edit
649	Progressive muscle weakness leading to ascending paralysis is known as;	A) Nephrotic syndrome B) myasthenia gravis C) Gullaine baric syndrome D) Multiple sclerosis	Edit
650	which of following statement is indicative of typical pain experienced by patient with cholecystitis?	A) The pain is usually below the sternum B) eating food makes the pain better C) the pain gets worse after eating fatty food D) the pain usually related to constipation	Edit
651	Which drug is used to treat anemia?	A) Tetanus toxoid B) paracetamol C) folic acid D) metronidazole	Edit
652	Endocytosis, exocytosis and transcytosis is example of	A) Osmosis B) diffusion C) passive transport D) active transport	Edit
653	COVID -19 declared as pandemic which is caused by;	A) bacteria B) virus C) parasite D) fungus	Edit
654	Fertilization occurs in;	A) vagina B) uterus C) ovary D) fallopian tube	Edit
655	Oxytocin is produced by;	A) Anterior part of pituitary gland B) posterior part of pituitary gland C) middle part of pituitary gland D) adrenal gland	Edit
656	What do you mean by first aid treatment?	A) Immediate care according to situation B) Let the patient sleep C) nothing to do D) take temperature	Edit
657	THE lower level of need in Maslow's hierarchy of need is which of the following	A) safety and security need B) love and belongings need C) physiological need D) self esteem need	Edit
658	A nursing diagnosis represents the;	A) proposed plan of care B) client health problem C) assessment of client data D) Actual nursing intervention	Edit
659	When instructing the patient to collect a sputum specimen , the nurse should tell the patient to;	A) Collect sputum from first morning coughing episode B) collect sputum from evening coughing episode C) keep specimen at the room temperature for the duration D) collect sputum from any coughing episode	Edit
660	Evidence based practice is defined as;	A) advanced nursing care B) nursing care based on alternative medicine and science C) A problem solving approach that integrates the best current evidence with clinical practice D) Nursing care provided in an economically sound manner	Edit
661	During adolscent, psychological development is focus on;	A) becoming industrious B) establishing an identity C) achievind infirmly D) developing initiative	Edit
662	job description is importangt to provide the employee for clarification of;	A) role, function and responsibily of individual B) term of working C) incentive and facilities D) rules and working place	Edit
663	If the leader shares decision making power with the group members and explain the group reason for personal decision, it is under the;	A) Autocratic leadership style B) laisesez faire C) non leadership style D) democratic leadership style	Edit
664	these patient for whom , treatment can be delayed for longer hour, need minor care falls into category	A) yellow B) green C) red D) black	Edit
665	Authority is the;	A) expert power B) coercive power C) legitimate power D) political power	Edit
666	observe and record enough of situation to make the behaviour or incident meaningful is the principle of	A) Anecdotal report B) Rating scale C) communication report D) check list	Edit
667	Mental disorders are classified as;	A) psychosis,neurosis ,personality, and mental retardation B) Anxiety ,schizophrenia, illness C) psychometric, organic, phosphoric D) hysteria, manic ,depression	Edit
668	The term most commonly used for superego is..	A) conscience B) idealself C) self narcissism D) self	Edit
669	A PATIENT STATE THAT HE HEAR VOICE TELLING HIM THAT '' Madhav'' this misperception is an	A) Delusion B) Hallucination C) illusion D) false belief	Edit
670	The relationship that is extremely important in the personality development is;	A) the relationship B) sibling relationship C) parent child relationship D) neighbourhood relationship	Edit
671	Normal weight of an infant at 1year from birth is;	A) double of birth weight B) triple of the birth weight C) quardrupled of birth weight D) greater than 10 kg	Edit
672	common causes of diarrhoea in children	A) Giardia B) Adenovirus C) E.coli D) E.histolytica	Edit
673	seperation anxiety start from .....	A) oral stage B) anal stage C) phallic stage D) Latent stage	Edit
674	one middle age women having the descent of cervix and the whole uterus through the introitus ......	A) 1st degree uterine prolapse B) 2nd deegree uterine prolapse C) 3rd deegree uterine prolapse D) 4th deegree uterine prolapse	Edit
675	Which type of drug cause fetal malformation;	A) Tocolytic agent B) Teratogenic C) Anti-convulsant D) oxytocin	Edit
676	A 5 Year old child performs all skills except ;	A) hand eye coordination B) Abstract thought C) tying shoe lashes D) making decisions	Edit
677	A 4 month old baby is not able to breastfeed and chest indrawing is present. this can be classified as........	A) pneumonia B) severe pneumonia C) no pneumonia cough or cold D) mild pneumonia	Edit
678	True pelvis lies...	A) Above pelvic brim B) below pelvic brim C) at the level of pelvis brim D) laterally to pelvic brim	Edit
679	Which of the followinh is true is regarding Gender based violence (GBV).....	A) Only women is victim B) it refers to domestic physical abuse only C) it refers to sexual abuse only D) both gender are victim by either	Edit
680	Bleeding during pregnancy is called;	A) ectopic pregnancy B) antepartum hemorrhage C) post partum hemorrhage D) intra partum hemorrhage	Edit
681	partograph is a chart which helps you to know about	A) progress of labour B) growth of baby C) weight and height of baby D) temperature of mother	Edit
682	The delivery set consists of all of the following except;	A) sponge forceps B) pain artery forceps C) tooth forceps D) cued cutting scissors	Edit
683	What is the major factor of infertility;	A) over weight B) advanced age C) stress D) all of above	Edit
684	According to the government of nepal the four focused antenatal visits at;	A) 4, 6, 8, 9 months B) 1 , 3, 6, 9 months C) 5, 6, 7, 9 months D) 3, 6, 8, 9 months	Edit
685	The placenta is said to be retained when it is not expelled with in	A) 10 min B) 30 min C) 45 min D) 60 min	Edit
686	premature separation of normally situated placenta after 28 weeks of pregnancy is called...	A) placenta previa B) placenta abruption C) cervical polyp D) antepartum haemorrhage	Edit
687	post partum hemorrhage is defined as bleeding ................ from genital at any time of following the baby birth up to 6 weeks	A) more than 200 ml B) more than 300 ml C) more than 400 ml D) more than 500 ml	Edit
688	caput succedaneum is common birth injury which is present ;	A) at birth B) 12 hour after birth C) 24 hour after birth D) 36 hour after birth	Edit
689	Dizygotic twin means;	A) one placenta two amnion B) two placenta two amnion C) develop from one ovum and one spermatozoon D) two placenta one amnion	Edit
690	Exophthalmia is one of the condition caused due to lack of	A) VIT. C B) VIT E C) VIT D D) VIT A	Edit
691	SODIS is an inexpensive and sample method used to purify water by;	A) sunlight B) boiling C) use of medicine D) use of chemical	Edit
692	Vitamin B DEFICIENCY leads to;	A) beriberi B) scurvy C) hemophilia D) anemia	Edit
693	The denominator of MATERNAL MORTALITY RATIO(MMR) IS:	A) TOTAL NO OF INFANT DEATH B) TOTAL NO OF MOTHER C) MIDYEAR POPULATION D) TOTAL LIVE BIRTH	Edit
694	Which of the following is most common immediate effects or problem due to air	A) respiratory problem B) gastric problem C) bowel problem D) skin problem	Edit
695	Community health refers to:	A) Religious practice of people B) eating habit of people C) Health status of member of community D) people living in same community	Edit
696	Which of the following is physical barrier of communication?	A) fear B) distance C) signs nd symbols D) Lack of affection	Edit
697	Which of the following is suitable latrine during camp...	A) borehole latrine B) Deeptrench latrine C) swallow trench latrine D) all of above	Edit
698	Health is the state of complete physical, mental,social wellbeingand not merely an absence of disease and infirmity '' defined by:	A) WHO B) ICN C) Florence nightingle D) Henderson	Edit
699	Prolonged exposure to noise level greater than following can impair hearing permanently......	A) 40dB B) 85dB C) 100 dB D) 140 dB	Edit
700	Golden thousand day is focused on growth and development of children for under ...................... of age	A) 1 year B) 2 year C) 3 year D) 4 year	Edit
701	the full form of PHC is reffered to..........	A) primary health care B) primary heath center C) public health center D) public heath care	Edit
702	The advantage of breast feeding are all of following except...	A) it is a natural and first food for baby B) it promotes cognitive and sensory development C) it protect against infection and chronic disease D) mother do not require to feed baby all the day and night	Edit
703	The mode of disease transmission are all of the following except...	A) use of furniture B) bite of animals C) droplet infection D) contact with soil	Edit
704	A viral infection characterized by a red rash and koplik's spot in mouth is..	A) rubella B) chickenpox C) mumps D) measles	Edit
705	All of the following are components of epidemiological triad except...	A) agent B) host C) empowerment D) culture	Edit
706	Which of the following is a toxoid vaccine?	A) OPV B) BCG C) MMR D) Tetanus	Edit
707	optimum health means;	A) Ability to lead economically productive life B) Ability to lead socially productive life C) both A and B D) Capability of funding in way to manage potential in balance of life	Edit
708	A client with osteoporosis is vulnerable for;	A) fatigue fracture B) green stick fracture C) pathological fracture D) compound fracture	Edit
709	what immediate complication may arise if appendicitis not managed properly?	A) perforation of appendix B) gangrene of appendix C) peritonitis D) All of above	Edit
710	The nurse should collect ....................... sample for sputum analysis.	A) at evening B) just after breakfast C) early morning D) no special preparation	Edit
711	THE pre procedural preparation for client for xray KUB include;	A) NPO after 10 pm B) Tranquilizer before the rest C) Enema before examination D) No special preparation required	Edit
712	the patient with glomerulonephritis should have the diet containing;	A) low protein high carbohydrate B) high protein high carbohydrate C) low protein low carbohydrate D) high protein low carbohydrate	Edit
713	The self breast examination should be done;	A) before and after taking bath B) after each menstrual cycle C) before menstrual cycle D) every morning in front of mirror	Edit
714	cystitis is the inflammation of;	A) fallopian tube B) uterus C) kidney D) urinary bladder	Edit
715	one of the main sign of intestinal obstruction;	A) abdominal distention B) excessive urination C) loss of appetite D) low temperature	Edit
716	Nepal nursing council is an organization which works for benefit of	A) Nurses B) hospital C) doctors D) patients/clients	Edit
717	The main goal of aseptic technique is to...................	A) eliminate or reduce the transmission of infection from one to another B) clean the equipment C) cleaning the floor or ward D) use of clean lines for burn patient	Edit
718	what is the date of establishment of NAN ( NEPAL NURSING COUNCIL ASSOCIATION)?	A) 2015 Magh 15 B) 2016 magh 16 C) 2017 magh 16 D) 2018 magh 15	Edit
719	We must respect and maintain the dignity of client to fulfill ....................... according to Maslows hierarchy need is;	A) physiological need B) safety and security need C) love and belonging need D) self esteem need	Edit
720	The correct ratio of chest compressions to rescue breaths for use in CPR of an adult casualty is;	A) 2 compressssions: 30 rescue breaths B) 5 compressions : 1 rescue b C) 15 compressions : 2 rescue breath D) 30 compressions: 2 rescue breaths	Edit
721	Which of following is a causative organism of ringworm infection;	A) parasite B) fungus C) bacteria D) virus	Edit
722	Portal vein is formed by combination of following vessels;	A) splenic vein and lower mesentric vein B) splenic vein , superior and inferior mesentric vein C) splenic vein, superior and inferior mesentric vein , gastric vein and cystic vein D) splenic vein ,superior and inferior mesentric vein and gastric vein	Edit
723	A patient with dehydration following diarrhoea should receive;	A) isotonic fluid B) hypotonic fluid C) hypertonic fluid D) distilled water	Edit
724	which hormone is secreted by alpha cell of pancreas?	A) insulin B) glucagon C) thyroxin D) somatostatin	Edit
725	Saliva is the mucus secreted by?	A) salivary gland in the mouth B) salivary gland in the stomach C) pancreas D) bile salt	Edit
726	Which of the following artery supply blood to the heart ?	A) Carotid artery B) celiac artery C) coronary artery D) left subclavian artery	Edit
727	At least how many times ANC should be done according to WHO Currebt standard?	A) 4 B) 6 C) 8 D) 10	Edit
728	Immediately after the delivery of baby , the midwife should first;	A) clamp and cut the cord within 1 minute B) Dry, stimulate and wrap the baby in dry cloth C) keep in skin to skin contact D) suction the mouth and then nose using penguin suction	Edit
729	During the active phase of labour, the contractions become more frequent and longer with;	A) 3-5 contractions every 5 minute each lasting more than 40 seconds B) 3-5 contractions every 10 minute each lasting more than 40 seconds C) 3-5 contractions every 15 minute each lasting more than 40 seconds D) 2-3 contactions every 10 minute each lasting more than 40 seconds	Edit
730	Danger of the brain damage of the newborn baby is associated with;	A) Asphyxia neonatrum B) Rh incompatibilty C) APGAR Score more than 6 D) COngenital abnormality	Edit
731	2nd stage of labour describes;	A) when the cervix is fully dilated to when the baby is born B) when the cervix is fully dilated to when the baby is not born C) when the baby is born and the placenta is separated D) when the baby is born and the placenta is not separated	Edit
732	A primigravida has an expected date of delivery (EDD) ON DECEMBER 26, 2022. when is her last day of menstrual period?	A) 20 April 2022 B) 19 march 2022 C) 3 september 2023 D) 18 march 2022	Edit
733	Leading cause of maternal death in nepal;	A) Anemia B) Pre - eclampsia C) haemorrhage D) obstructed labour	Edit
734	Disease that occur clearly more than expected frequency is known as;	A) Pandemic B) endemic C) epidemic D) sporadic	Edit
735	Population - focused nursing practice requires which of the following process?	A) Nursing process B) community diagnosis C) family health D) epidemiological process	Edit
736	A woman with 6 TH month pregnancy came to the centre for consultation, which of the following is contraindicated?	A) tetanus toxoid B) ferrous sulphate 200mg C) retinol 200,000unit D) potassium iodide 200mg capsule	Edit
737	The effective rate of depoprovera vaccine is;	A) 98% B) 97.6% C) 99% D) 100%	Edit
738	Receiver, message, channel, noise, feedback are the ............. of communication.	A) elements B) key C) subject D) encoding	Edit
739	The most common complication of mumps in children is;	A) Aseptic meningitis B) myocarditis C) orchitis D) pancreatitis	Edit
740	P. C. V vaccine is given in	A) 6 weeks, 10 weeks and 9 months B) 6 weeks , 10 weeks and 14 weeks C) 6 weeks , 12 weeks and 14 weeks D) all of above	Edit
741	Following the vasectomy, for family planning the couple should be advised to to use some other method of contraception till.....	A) Removal of sutures B) two weeks C) one months D) three months	Edit
742	What is the color coding of bag in hospital to dispose the human anatomical wastes such as body parts?	A) Yellow B) black C) Red D) Blue	Edit
743	During family health assessment , the community health nurse finds that a. pregnant women is there in family . According to Freemans typology, this falls under;	A) Development crisis B) Health deficits C) Health threats D) Foreseeable crisis	Edit
744	A patient came in emergency with history of sudden sharp shooting pain, cough, sudden shortness of breath,violeny respiratory effort, what might be the diagnosis	A) Atelectasis B) Bronchial asthma C) pneumonia D) pneumothorax	Edit
745	Foamy urine is present in;	A) UTI B) Pyelonephritis C) glomerulonephritis D) Nephrotic syndrome	Edit
746	When a client is experiencing diabetes ketoacidosis , the insulin that would be administered is;	A) human NPH Insulin B) human regular insulin C) insulin lispro injection D) insulin glargine injection	Edit
747	Roving's sign is present in;	A) Appendicitis B) intestinal PB C) Gastritis D) Intestinal obstruction	Edit
748	Rheumatic heart disease is caused by?	A) influenza virus B) Group A beta hemolytic streptococcus C) streptococcus aureus D) staphylococcus bacteria	Edit
749	Which is the main assessment tool used to assess the level of consciousness in patient with head injury?	A) Glassgow coma scale B) Braden risk assessment tool C) motor assessment tool D) rating scale	Edit
750	Setting priority according to needs of the patients is done in which phase of nursing process?	A) Assessment B) Nursing diagnosis C) planning D) implementation	Edit
751	What is the antidote for organophosphorus poisoning?	A) Atropine B) vitamin k C) folic acid D) pyridoxine	Edit
752	Intradermal injections are given at the angle of;	A) 15 degree B) 25 degree C) 45 degree D) 90 degree	Edit
753	When the elevated temperature falls gradually to normal, it is called;	A) normal B) crisis C) lysis D) constant fever	Edit
754	How many lobes are there in right lung?	A) 4 B) 3 C) 2 D) 6	Edit
755	The total volume of CSF is;	A) 150ml B) 250 ml C) 50ml D) 500ml	Edit
756	The smallest cranial nerve is the;	A) olfactory B) oculomotor C) trochlear D) accessory	Edit
757	Nepal Nursing Council come into force in ;	A) 16 June 1996 B) 16 June 1986 C) 16 June 1966 D) 16 June 1946	Edit
758	Which article in the constitution of Nepal has been started about right to health?	A) Article-3 B) Article -23 C) Article-35 D) Article-36	Edit
759	Duration of second long term health plan is;	A) 5 years B) 10 years C) 15 years D) 20 years	Edit
760	Job security refers to;	A) freedom to think B) unity of staffs C) stability of quantity and quality of work D) stability of tenure	Edit
761	OCMC provides comprehensive service and came to ;	A) women and children B) gender based violence survivors C) geriatric population D) poor and disadvantaged	Edit
762	During a disaster ,rapidly classifying the injured on the basis of their likelihood of survival with prompt medical intervention is a part of ;	A) search,rescue and first aid B) triage C) tagging D) mitigation	Edit
763	Provincial health system is lead by ;	A) ministry of health and population B) ministry of health and education C) provincial health directorate D) ministry of social development	Edit
764	In diaster management ,delayed cases are color coded as;	A) red B) green C) yellow D) black	Edit
765	Schizophrenia is a;	A) acute psychosis B) chronic psychosis C) functional psychosis D) chronic and functional psychosis	Edit
766	Which of the following IQ has been given by WHO for mild mental retardation?	A) 20-30 B) 35-49 C) 50-70 D) 60-80	Edit
767	which theory of learning states that behaviour is learned through reward and punishment?	A) theory of operant conditioning B) theory of classical conditioning C) social learning theory D) none of the above	Edit
768	Babies usually start crawling in the age of;	A) 7-12 months B) 4-5 months C) 10-12 months D) 6-12 months	Edit
769	koplick's spots are seen in ;	A) prodormal stage B) incubation stage C) eruptive stage D) convalscent stage	Edit
770	The most effective measures in helping the infant with cleft lip and palate to retain oral feeding	A) feeding small amounts at one time B) feeding in a lying position C) burping the infant at frequent intervals D) place the end of the nipple far to the back of the infant's tongue	Edit
771	A neonate is the period from birth to ;	A) 2 weeks of age B) 4 weeks of age C) 6 weeks of age D) 8 weeks of age	Edit
772	bacillary dysentery is caused by	A) shigella bacteria B) rota virus C) salmonella typhi D) roundworm	Edit
773	most common helminthic infestation in children is;	A) hookworm infestation B) tapeworm infestation C) roundworm infestation D) pinworm infestation	Edit
774	During a pelvic examination, the nurse notes a purple blue tinge of the cervix. the nurse documents this as which of the following?	A) goodell's sign B) MC Donald's sign C) chadwick's sign D) braxion hicks sign	Edit
775	after delivery , umbilical vein became:	A) ligament B) ligamentum arteriosum C) umbilical venous D) ligamentum teres	Edit
776	The commonest cause of retain placeta is :	A) Uterine atonicity B) Hour glass contraction C) placeta accreta D) placenta increta	Edit
777	''Course of disease process without any investigation ''is the definition of ;	A) epidemiology B) spectrum of disease C) natural history of disease D) epidemiological triad	Edit
778	Normal range of T3 is ;	A) 100-200 ngm/dl B) 100-300 ngm/dl C) 200-300 ngm/dl D) 200-400 ngm/dl	Edit
779	most common complication of CSON is ;	A) meningitis B) intracerebral abscess C) cholesteatoma D) conductive hearing loss	Edit
780	What is the most common cause of hyperthyroidism ?	A) toxic thyroid adenoma B) toxic multinodular goitre C) grave's disease D) thyroiditis	Edit
781	After and acute myocardial infraction ,when is the patient act greatest risk for ventricular arrhythmic?	A) within the first hour B) within the first 12 hour C) within the first 24hour D) as long as the patient is symptomatic	Edit
782	What are the priorities nursing diagnosis for a client in the rehabilition phase of recovery from burn injury ?	A) acute pain B) impaired adjustment C) deficient diversional activity D) imbalanced nutrition less than body requirement	Edit
783	A conplete care given by a nurse to a patient is called ;	A) primary nurse B) secondary nurse C) scrub nurse D) in-charge nurse	Edit
784	What is the recommended chest compression rate while doing CPR in adult ?	A) 70/min B) 100/min C) 100-120/min D) 110 -130/min	Edit
785	The cause of acute renal failure is;	A) severe burn B) anaphylaxis C) acute pyelonephritis D) all of the above	Edit
786	Ketoacidosis can result ;	A) hypertension B) anemia C) dibetic coma D) cerebral vascular occident	Edit
787	Which vitamin deficiency is most likely to be a long term consequece of a full thickness burn injury ?	A) vitamin A B) Vitamin B C) Vitamin C D) Vitamin D	Edit
788	Hageman factor is;	A) clotting factor II B) Cloting factor V C) Clotting factor X D) Clotting factor XII	Edit
789	Movement of fluid across semipermeable membranes from a lessor concentraction to a greater concemtration is known as ;	A) diffusion B) osmosis C) active transport D) filtration	Edit
790	Which of the following cells in the stomach secrete HCL and intrinsic factor?	A) goblet cells B) stomach cells C) chief cells D) parietal cells	Edit
791	Blood enters into heart because of muscle of ;	A) atria contract B) ventricular relax C) ventricular contract D) artria relax	Edit
792	What is target for oxygen saturation in adult person without having COPD ?	A) 92-98% B) 95-100% C) 98-100% D) 95-99%	Edit
793	Which step of the nursing process includes short term goal for the appendicitis patient in the surgical ward?	A) planning B) asssesing C) implementing D) evaluating	Edit
794	The best method for opening of the airway of unconscious clients;	A) Head tilt and chin lift B) head tilt C) lift the chin D) jaw thrust	Edit
795	Nurse should follow the principles of standard precaution for doing nursing action of ;	A) providing hair comb B) providing oral care C) demonstration D) feeding a patient	Edit
796	You are using glutaradehyde solution (cidex) solution strilization of instrument .how many hours do you deep instrument in cidex solution for sterilization ?	A) 8 hours B) 10 hours C) 12 hours D) 14hours	Edit
797	A disaster of landslide is brought from Bajura District A patient complained that he has difficult to breath, chest pain. on examination, he is oriented, his respiration is 36 breaths/min,capillary refill is 4 second. How would you triage this patient?	A) red B) yellow C) green D) black	Edit
798	OCMC means ;	A) one stop crisis management centers B) one way crisis management centers C) one crisis management centers D) both A and B	Edit
799	______means communication without words ;	A) object communication B) written communication C) oral communication D) non verbal communication	Edit
800	An agent that exerts an effect on the mind is called as ;	A) psychotic B) psychotropic C) psychotogenic D) psychomimetic	Edit
801	Branches of psychology is ;	A) general psychology B) clinical psychology C) both 'A' and 'B' D) none of the above	Edit
802	The ability to understand one's own behavior and emotion is called ;	A) judgment B) insight C) intelligence D) personality	Edit
803	The nurse is aware that children born with a missing chromosome is most likely to have ;	A) cretinism B) down's syndrome[trisomy 21] C) phenylketonuria D) turner's syndrome	Edit
804	The following features are true for tetralogy of fallot,except ;	A) right ventricular hypertrophy B) ventricular septal defect C) pulmonary stenosis D) atrial septal defect	Edit
805	a disorder following a streptococcus infection characterized by swollen joint ,fever and possibility of endocarditis and death is :	A) Tetanus B) Measles C) Rheumatoid arthritis D) Rheumatic fever	Edit
806	The test that would be done immediately to confirm the diagonsis of meningitis in a child is:	A) Blood cultures B) Lumber puncture C) Meningomylogram D) Peripheral skin smears	Edit
807	Vesico-vaginal fistula is the false passage create between:	A) Rectum & vagina B) Vaginal & urethra C) Vaginal & perineal muscle D) Vagina & urinary bladder	Edit
808	Causes of uterine prolapse is:	A) Multipara woman B) Heavy weight lifted C) Weak pelvic floor D) Big baby	Edit
809	Which of these tests is used to screen for cervical cancer?	A) Stool test B) Blood test C) Primary HPV test D) Urine test	Edit
810	Treatment of breast cancer is:	A) Hysterectomy B) Mastectomy C) Colostomy D) Appendectomy	Edit
811	Which of hte following bacterial infection is major in chronic HIV infected patients or AIDS?	A) Pneumonia B) Tuberculosis C) Candidiasis D) Toxoplasmosis	Edit
812	Incubation period of primary syphilis is: [best ans:9-90day]	A) 10-20 day B) 14-28 day [Ref: Europian guideline on management of syphilis] C) 16-30 day D) 16-28 day	Edit
813	Clearing the airway before beginning resuscitation of the newborn involve:	A) Suctioning of the mouth only B) Suctioning of the nose only C) Suctioning of the mouth then the nose D) Suctioning of the nose then the mouth	Edit
814	While induction of labour, a woman should be observed carefully for the sign of:	A) Severe pain B) Uterine tetany C) Hypoglycemia D) Prolapsed of umbilical cord	Edit
815	A women's was on 10th jestha 2079, what is her EDD?	A) Poush 17th B) Magh 17th C) Falgun 17th D) Falgun 10th	Edit
816	The most common cause of puerperal pyrexia is:	A) UTI B) Breast infection C) Genital herpes D) DVT	Edit
817	Cervical dilatation plotted to the right of the alert line on the partograph indicate:	A) satisfactory progress of labour B) Unsatisfactory progress of labour C) The end of the latent phase D) The end of the active phase	Edit
818	In patient with hypertension and proteinuria, severe headache is a symptom of:	A) Mild pre-eclampsia B) Moderate pre-eclampsia C) Severe pre-eclampsia D) Impending pre-eclampsia	Edit
819	Dizziness or fainting during pregnancy, accompained by fatigue, pallor, breathlessness and rapid heart beat may indicate:	A) Ruptured ectopic pregnancy B) Food poisoning C) Severe anemia D) Heart disease	Edit
820	When the cells in the morula change position and create a fluid filled cavity,it is called:	A) Morula B) Blastocyst C) Gastrulation D) Ovulation	Edit
821	An intervention designed to stimulate the uterus to begin labour is called:	A) Induction and augmentation of labour B) Augmentation of labour C) Induction of labour D) Rupture of membranes	Edit
822	Immediate resuscitation using a bag and mask should be implemented if the baby's respiratory rate is:	A) Between 30-60 breaths/min B) Less than 40 or greater than 30 breaths/min C) Between 20-30 breaths/min D) Less than 20 breaths/min	Edit
823	Following are morbidity indicators,except:	A) Prevalence B) Notification rate C) Life Expectancy D) Incidence	Edit
824	The outbreak of disease more than normal expectation is called :	A) Epidemic B) Endemic C) Pandemic D) Sporadic	Edit
825	The deficiency disease can be prevented by:	A) prolonged looking B) Eating only fruits C) eating only vegetables D) eating food with good nutritional value	Edit
826	CYP of condom refers to :	A) 72 condom B) 144 condom C) 120 condom D) 220 condom	Edit
827	Efficiency of family planning method can be mesured by :	A) pearl Index B) CYP C) CPR D) Stadiometer	Edit
828	what is total fertility rate ?	A) Rate of contraceptive rate B) effectiveness of contraceptives C) average number of child bear by women of reproductive age group D) Duration of action for contraceptive.	Edit
829	Which of the following isnot indicator family planning program?	A) CPR B) CYP C) CDR D) TFR	Edit
830	TCU 380 A Should be replaced in	A) 4 years B) 6 years C) 8 years D) 10 years	Edit
831	Eligible couple refers to a couple having all of the following characteristic except	A) Married couple wife in reproductive age B) Not using any family planning C) No baby plan now D) Having 2-3 living children	Edit
832	Sayana press is given by	A) Intramuscular B) Intradermal C) Subcutaneous D) subdermal	Edit
833	Which of the following is most reversible popular long acting reversible contraceptive method	A) depo B) pills C) implant D) IUCD	Edit
834	National family planning day is celebrated on	A) September 18 B) October 15 C) September 2 D) October 2	Edit
835	The main mechanism of action of IUCD	A) prevent fertilization B) Prevent ovulation C) Prevalence implantation D) All of the above	Edit
836	Symptothermal method of family planning is combined used of	A) Obstinaence and calendar method B) Calendar method billing method , BBT C) Cervical mucous method and BBT D) Lam method and obstanance	Edit
837	Risk of ectopic pregnancy is associated with use of	A) Implant B) Iucd C) Depo D) Oral pills	Edit
838	Condom should be used for ................................after bisectomy	A) 20 ejaculatin B) 30 ejaculation C) 50 ejaculation D) 40 ejaculation	Edit
839	Informed choice is related with	A) Nutrition B) Family planning C) Safe motherhood D) Immunization	Edit
840	How many condom are required for a couple in a 1 year who are using safe. Method	A) 72 B) 144 C) 92 D) 120	Edit
841	The meaning of " A" in GATHER approches is	A) ASK B) answer C) assist D) assure	Edit
842	Most effective natural method of family planning is	A) abstinence B) BBT C) Safe period D) Cervical mucus method	Edit
843	The most cost effective method of family Planning is	A) vasectomy B) minillap C) IUCD D) implant	Edit
844	The most cost effective reversible method of family planning is	A) Vasectomy B) minillap C) IUCD D) Implant	Edit
845	The most common side effect of iucd removal	A) pain B) bleeding C) perforation D) expulsion	Edit
846	The most common side effect of intrauterine contraceptive device	A) Back pain B) For vaginal bleeding C) Perforation D) Expulsion	Edit
847	Iucd can be used by which of the following women	A) With pid B) Women with history of hypertension C) Women with history of ectopic pregnancy D) Cancer of cervix	Edit
848	The most commonly used brand of IUCD in Nepal	A) TCU-360 B B) CUT 380 C C) TCU -380 A D) TCU-480 A	Edit
849	The most common side effect of depo	A) Pain B) Ectopic pregnancy C) Irregular bleeding D) Hypertension	Edit
850	Depo provera should not be used	A) Within 6 week of delivery B) Patient of heart disease C) Irregular mensuration D) All of the above	Edit
851	The mechanism of action of depoand oral contraceptive pills is	A) By preventing ovulation B) By thinning of endometrium C) Thickening of cervical mucus D) All of the above	Edit
852	Which of the following women can use combined oral pills?	A) Women with hypertension B) Women with active liver disease C) wOmen with history of ovarian cancer D) Women with history of breast cancer	Edit
853	Oral contraceptive pills is not appropriate for with of the following women	A) Up to 6 month of Postpartum periods B) Smoker and is more than 35 C) Diabetes women D) All of the above	Edit
854	The choice of method for newly married women is	A) Combined oral pills B) Depo provera C) Iucd D) Implant	Edit
855	The combined oral contraceptive pills contains	A) Estrogen hormone B) Progester hormone C) Ferrous fumerrate D) All of the above	Edit
856	When ovulation occurs , the temperature of body is	A) Increase B) The temperature of body is decrease C) There is no changes in body temperature D) May increase or decrease	Edit
857	Unsafe period of Family planning refers to	A) 5-15 days B) 15-25 days C) 9-19 days D) 20-28 days	Edit
858	which of the following is not hormonal method of contraception ?	A) oral pills B) jaddle C) copper T D) Depo provera	Edit
859	The choice of Family planning method for lactating women is .. ..	A) COCP B) Implant C) Depo provera D) IUCD	Edit
860	The most commonly used family planning in Nepal is :	A) Depo provera B) COCP C) Female sterilization D) IUCD	Edit
861	which of the following is an objective of family planning ?	A) to avoid unwanted birth B) To bring about wanted birth C) To regulate the interval between pregnancy D) all of the above	Edit
862	n Nepal “ Vitamin A & albendazole program” Albendazole is give to which age group	A) 6 months to 59 months B) 12 months to 59 months C) 6 months to 23 months D) 12 months to 23 months	Edit
863	A chronic discharging track connecting two epithelium surface is called	A) Abscess B) Sinus C) Fistula D) Ulcer	Edit
864	Which micro-organism is most commonly associated with dental carries ?	A) Staphylococcus aurius B) Streptococcus Mutans C) Candida albicans D) Lactobacillus acidophilus	Edit
865	In Nepal , Which contraceptive method occupies the highest part of the method mix among all current users?	A) Implant B) Depo C) Male sterilization D) Female sterilization	Edit
866	Which of the following is considered a "negative" symptom of schizophrenia?	A) Hallucinations B) Delusions C) Avolition D) Disorganized speech	Edit
867	Which of the following is the most critical assessment for a patient starting an antidepressant?	A) Improved appetite B) Increased risk of suicide C) Weight gain D) Dry mouth	Edit
868	Depression is best defined as mental health disorder charachterized……by	A) persistent low mood with decreased interest. B) Flight of idea C) Hallucination D) Sweating, palpitation	Edit
869	दिगो बिकाशका लक्ष्य मा स्वास्थ्य सम्बन्धी लक्ष्य कति नं मा राखिएको छ ?	A) लक्ष्य : १ B) लक्ष्य : २ C) लक्ष्य : ३ D) लक्ष्य : ४	Edit
870	नेपालको २०७८ को जनसंख्या अनुसार , नेपालमा बोलिने प्रथम भाषा नेपाली हो , भन्ने दोस्रो मा कुन हो ?	A) भोजपुरी B) मैथली C) बजिका D) नेवार भाषा	Edit
871	कर्मचारी संचय कोषमा कोशी प्रदेश अन्तरगत स्थानीय सरकारी सेवाका कर्मचारीको मासिक तलबबाट कति प्रतिसत कटा गर्ने व्यवस्था छ ?	A) ५ % B) १० % C) १५ % D) २० %	Edit
872	रास्ट्रिय जनगणना २०७८ अनुसार नेपालमा कति जाति रहेका छन् ?	A) १२० B) १४२ C) १५० D) ११०	Edit
873	बिदा सम्बन्धी तलको कुन कुरा सत्य हो ?	A) बिदा भनेको कर्मचारीको लागि अधिकार को कुरा हो । B) बिदा भनेको कर्मचारी को लागि अधिकार् र सहुलियत् दुवै हो । C) बिदा भनेको कर्मचारीको लागी सहुलियत मात्र हो , अधिकार होईन । D) माथि को सबै कथन सहि हो ।	Edit
874	कोशी प्रदेश आर्थिक कार्यप्रणाली को अनुसार , महिला तथा अपाङ्ग ब्यक्तीको हकमा सेवा सुरु भए देखि कति महिनाको परिक्षणकाल को अवधी रहेको हुन्छ ?	A) १० महिना B) १२ महिना C) ८ महिना D) ६ महिना	Edit
875	नेपालको संबिधान अनुसार रास्ट्रपति हुन् लागि उमेर कति वर्ष भएको हुनु पर्छ ?	A) ४० वर्ष B) ४५ वर्ष C) ५० वर्ष D) ५५ वर्ष	Edit
876	३६.नेपालको संबिधानमा। ……..भाग। ………धारा। ……….अनुसूची रहेका छ ।	A) क. ३५ भाग , ३०९ धारा , १० अनुसूची B) ख. ३५ भाग , ३०८ धारा , ९ अनुसूची C) ग.३० भाग , ३०९ धारा , ९ अनुसूची D) घ. ३५ भाग , ३०० धारा र १० अनुसूची	Edit
877	Delivery of dead fetus after 22 weeks of gestation is	A) Premature birth B) Abortion C) Viable birth D) Still Birth	Edit
878	Feeling of pulsation at lateral fornices is	A) Hager’s sign B) Osiander’s sign C) Chadwik’s sign D) Palmer’s sign	Edit
879	The vault part of fetal skull consist of :	A) 3 suture B) 4 suture C) 5 suture D) 6 suture	Edit
880	The joint between two cranial bones is called…	A) Suture B) Fontanelle C) Fissure D) Lobule	Edit
881	Painless irregular uterine contraction seen in early pregnancy is called :	A) Uterine contraction B) Braxton hicks contraction C) Endometrial contraction D) Unstable contraction	Edit
882	Frog eye appearance is seen in :	A) anencephaly B) Arcadia C) Down’s syndrome D) Patau’s syndrome	Edit
883	Immediately after delivery of baby , the nursing step is	A) Empty the bladder B) Palpate abdomen C) Administer oxytocin D) Fundal massage	Edit
884	Prolonged labour is defined as when duration of first and second stage of labour is more than	A) 8 hours B) 10 hours C) 12 hours D) 16 hours	Edit
885	Which of the following is not a component of APGAR is	A) Color B) Activity C) Reflex D) Respiratory rate	Edit
886	What is the cause of congenital cataract ?	A) Teratogenicity of folate B) Retinoblastoma C) Cytomegalovirus D) tuberculosis	Edit
887	Kangaroo mother care is commonly is commonly used for	A) Low birth weight B) Post term babies C) Twins babies D) Female babies	Edit
888	The predominant venom of viper is	A) Neurotoxic B) Myotoxic C) Hemotoxic D) Both b & c	Edit
889	Burn caused by alkali should be.	A) Washed with strong current of water B) Treat with 2 % acetic acid C) Treat with Lemon juice D) Treat with strong acid	Edit
890	During the CPR , compression:Ventilation ratio for single rescuer adult is	A) 15:2 B) 30:2 C) 5:1 D) 10:2	Edit
891	………………………….is the process of determining the priority of patents treatment best on the severity of their condition.	A) Triage B) Dressing C) Investigation D) All of the above	Edit
892	PAMS v2 is related with which of the following ?	A) HMIS B) LMIS C) Health program D) Community Diagnosis	Edit
893	Sanitary wells should be located in which distances from the source of Contamination ?	A) 20 ft B) 50 ft C) 70 ft D) 10 ft	Edit
894	Coliferm test is for	A) Air pollution B) Water contamination C) Sound pollution D) none of the above	Edit
895	DDT is	A) Stomach poison B) Repellants C) Contact poison D) Fumigants	Edit
896	Intradermal pre-exposure prophylaxis for rabies is	A) Days 0,3,7,14,28 B) Day 0,3,7 C) Day 0,3 D) Days 0,7	Edit
897	Which of the following is a confirmatory test for HIV / AIDS ?	A) ELBA B) Western blot test C) Southern blot test D) Decreased t4 /t8	Edit
898	Most serious complication of measles is	A) Koplik spot B) Parotis C) Measles encephalitis D) Otitis media	Edit
899	Vitamin A prophylaxis is example of	A) Primordial prevention B) Health promotion C) Specific protection D) Disability limitation	Edit
900	Which of the following is not the indicator of mortality ....	A) Case fatality rate B) Neonatal mortality rate C) Doctor population ration D) Infant mortality rate	Edit
901	The first case that comes to the notice of a physician is called…..	A) Primary case B) Secondary case C) Refer case D) Index case	Edit
902	The FCHV logo contains ……………rings.	A) one B) two C) three D) four	Edit
903	Which is not a component of PHC ?	A) MCH +family planning B) Geriatric care C) Immunization D) Prevention and control of disease	Edit
904	What is the first step of microhealth planning	A) Need assessment B) Community development C) Monitoring D) Setting an objectives	Edit
905	Management of objective was introduced by	A) Taylor B) Elton mayo C) Peter Drucker D) Maslow	Edit
906	The most efficient media of the health education is	A) Radio B) Television C) Health journals D) Newspaper	Edit
907	The master gland of the endocrine system sits in a bony depression called the sella turcica. Which bone contains the structure?	A) Ethmoid bone B) Sphenoid bone C) Occipital bone D) Temporal bone	Edit
908	Which of the following is considered sesamoid bone?	A) scapulla B) patella C) sternum D) femur	Edit
909	The term proximal refers to a structure begins	A) Further from point the point of attachment B) Toward the midline of the body C) Close to the point of attachment D) Toward the surface of the body.	Edit
910	The largest gland of our body is.	A) Thyroid B) pancreas C) liver D) pituitary	Edit
911	Which chamber of hearts pumps oxygenated blood to the body?	A) Right atrium B) Right ventricle C) Left atrium D) Left ventricle	Edit
912	नेपालको संविधानले तल उल्लेख गरिएको मध्ये कुन विषय प्रदेशको एकल अधिकार अन्तर्गत राखेको छ?	A) सहकारी B) औषधि र विषादी C) परिवार नियोजन D) स्वास्थ्य सेवा	Edit
913	नेपालको संविधानले तल उल्लेख गरिएको मध्ये कुन विषय प्रदेशको एकल अधिकार अन्तर्गत राखेको छ?	A) सहकारी B) औषधि र विषादी C) परिवार नियोजन D) स्वास्थ्य सेवा	Edit
914	नेपालको संविधानले कस्तो व्यक्तिलाई देश निकाला गर्न पाउने व्यवस्था गरेको छ?	A) अदालतबाट सजाय पाएको B) राज्यविरुद्धको अपराध गर्ने C) सङ्गठित अपराधमा सजाय पाएको D) कसैलाई देश निकाला गर्न पाइँदैन	Edit
915	कोशी प्रदेश निजामती सेवा ऐन बमोजिम प्रदेश निजामती सेवाको पदमा कार्यरत कर्मचारीले कति प्रकारका बिदा पाउने उल्लेख गरेको छ?	A) 8 B) 9 C) 10 D) 11	Edit
916	स्थानीय सरकारी सेवा (गठन तथा सञ्चालन) ऐन, २०८० (कोशी प्रदेश) अनुसार स्थानीय स्वास्थ्य सेवा, अधिकृत सातौ तहको रिक्त पद मध्ये कति प्रतिशत खुला प्रतियोगिताद्वारा पदपूर्ति हुने व्यवस्था रहेको छ?	A) ६० प्रतिशत B) ७० प्रतिशत C) १५ प्रतिशत D) ७५ प्रतिशत	Edit
917	कोशी प्रदेश सुशासन (व्यवस्थापन तथा सञ्चालन) नियमावली, २०७७ मा व्यवस्था गरिएको गुनासो व्यवस्थापन अधिकृत (Nodal Officer) को प्रमुख कार्य कुन हो?	A) प्राप्त गुनासो आफै समाधान गर्ने B) गुनासो व्यवस्थापनको लागि सुझाव सहित कार्यालय प्रमुख समक्ष पेश गर्ने C) अर्को कार्यालयमा पठाउने D) माथिको कुनै पनि होइन	Edit
918	तलका मध्ये प्रदेश सरकारले अख्तियार गर्ने नीति अन्तर्गत नपर्ने विषय कुन हो?	A) अन्तर प्रदेश समन्वय B) आर्थिक समृद्धि C) सन्तुलित प्रादेशिक विकास D) गरिब वर्गको उत्थान	Edit
919	प्रदेश लोक सेवा आयोग, कोशी प्रदेशको खुला प्रतियोगितात्मक परीक्षाको विज्ञापनमा दस्तुर बुझाउने म्याद सकिएको कति दिनभित्र दोब्बर दस्तुर तिरी दरखास्त बुझाउन सकिने व्यवस्था छ?	A) तीन दिन B) पाँच दिन C) सात दिन D) दश दिन	Edit
920	प्रदेश लोक सेवा आयोग, कोशी प्रदेशमा कति सदस्य रहने प्रावधान प्रदेश लोक सेवा आयोग ऐनमा उल्लेख छ?	A) अध्यक्ष र १ सदस्य B) अध्यक्ष र ३ सदस्य C) अध्यक्ष र २ सदस्य D) अध्यक्ष सहित ५ सदस्य	Edit
921	प्रदेश सरकारको आगामी आर्थिक वर्षको लागि राजस्व र व्ययको अनुमान प्रदेश सभामा कहिले पेश गर्नुपर्दछ?	A) प्रत्येक वर्षको जेष्ठ १५ गते B) प्रत्येक वर्षको असार १ गते C) प्रत्येक वर्षको असार १५ गते D) प्रत्येक वर्षको श्रावण १ गते	Edit
922	कोशी प्रदेशको पहिलो आवधिक योजनाले गरिबीको रेखामुनि रहेको जनसङ्ख्यालाई योजना अवधिमा कति प्रतिशतमा झार्ने लक्ष्य लिएको छ?	A) 10% B) 11% C) 12% D) 13%	Edit
923	What is the main objective of the Koshi Province Public Health Act?	A) To regulate the private health sector B) To ensure access to essential health care services for all residents....... C) To provide financial assistance for healthcare infrastructure D) To establish a national health insurance system	Edit
924	39. In the constitution of Nepal, Article..............concerns the right relating to health.	A) 27 B) 32 C) 35 D) 36	Edit
925	What is the normal color of healthy vaginal discharge?	A) Green and foul-smelling B) Clear or milky white C) Bright yellow D) Dark brown	Edit
926	What is the complication of the third stage of labour?	A) Hemorrhage B) Infection C) Deep vein thrombosis D) Anorexia	Edit
927	Which hormone is primarily responsible for ovulation during the menstrual cycle?	A) Estrogen B) Progesterone C) Luteinizing hormone (LH) D) Prolactin	Edit
928	Which micro-organism is most commonly associated with dental caries?	A) Staphylococcus aureus B) Streptococcus mutans C) Lactobacillus acidophilus D) Candida albicans	Edit
929	Strongly held false beliefs, such as believing that one has special powers, is being persecuted or is receiving messages from an external source is called:	A) Perception B) Feeling C) Hallucination D) Delusions	Edit
930	What is the management of a corneal ulcer with diminish vision?	A) Local steroid B) Local antibiotic C) Hot compression D) Referral to the higher center	Edit
931	Which of the following is the most common predisposing factor for otitis media in children?	A) Dental caries B) Upper respiratory tract infection C) Eye infection D) Skin allergy	Edit
932	Which of the following is NOT a cause of night blindness?	A) Vitamin A deficiency B) Cataract C) Glaucoma D) Retinopathy	Edit
933	Which condition presents with abdominal pain that initially starts in periumbilical area and later right lower quadrant of abdomen, loss of appetite, nausea and vomiting, fever, rebound tenderness and abdominal swelling?	A) Appendicitis B) Peritonitis C) Pancreatitis D) Nephritis	Edit
934	Which of the following is a common cause of gross hematuria?	A) Urinary tract infection B) Kidney stone C) Dehydration D) Diabetes mellitus	Edit
935	An abnormal connection or passage that forms between two organs, blood vessels, or other structures in the body that are not normally connected is called:	A) Fistula B) Sinus C) Hernia D) Piles	Edit
936	Which of the following skin disease is highly contagious and causes severe itching at night?	A) Eczema B) Scabies C) Psoriasis D) Boil	Edit
937	Which bacteria commonly cause impetigo, a contagious skin infection?	A) Escherichia coli B) Staphylococcus aureus and Streptococcus pyogenes C) Pseudomonas aeruginosa D) Clostridium difficile	Edit
938	How should you treat a sprained ankle?	A) Apply heat immediately B) Use the RICE method C) Massage the area vigorously D) Ignore the pain and keep walking	Edit
939	Which of the following is a common cause of hypovolemic shock?	A) Severe allergic reaction B) Loss of blood or fluids C) Heart failure D) Sepsis	Edit
940	Which of the following is a CLASSIC clinical feature of liver cirrhosis?	A) Jaundice, ascites and spider angiomas B) Productive cough and hemoptysis C) Abdomen pain and frequent diarrhea D) Jaundice, Rash and joint pain	Edit
941	Which of the following is the normal range of respiratory rate per minute in an adult at rest?	A) 6-10 B) 12-20 C) 20-30 D) 30-40	Edit
942	What does leucocytosis indicate?	A) Acute infection B) Chronic infection C) Ascariasis D) Ascariasis	Edit
943	What is the first-line drug for the treatment of childhood pneumonia?	A) Injectable penicillin B) Cotrimoxazole C) Amoxycillin D) Cephalosporin	Edit
944	According to the national immunization schedule, which vaccination is given at the age of 12 months?	A) MR B) JE C) TCV D) fIPV	Edit
945	Normal dose of chlorine CANNOT destroy:	A) Viruses B) Spores C) Both A and B D) Pathogenic bacteria	Edit
946	What is the most common organism for causing food poisoning?	A) Shigella B) Vibrio cholerae C) Arbusvirus D) Salmonella	Edit
947	Which of the following is a modifiable risk factor for cardiovascular diseases?	A) Smoking and physical inactivity B) Family history of heart disease C) Gender D) Age and gender	Edit
948	Which of the following components are ESSENTIAL to the epidemiological triad?	A) Diagnosis, treatment and rehabilitation B) Host, agent and environment C) Incidence, prevalence and mortality D) Prevention, promotion and protection	Edit
949	Depression is BEST defined as a mental health disorder characterized primarily by:	A) Sudden memory loss and confusion B) Hallucinations and delusions C) Repeated aggressive behavior D) Persistent low mood, loss of interest and reduced functioning	Edit
950	Mothers' Groups in the community are mobilized to improve which of the following outcomes?	A) Maternal, Neonatal and Child Health B) Occupational health and safety C) Geriatric care D) Mental health service	Edit
951	What is the most important function of the local government in health?	A) Implementation of the National Health Program B) Only implementation of Provincial Government Program C) Prioritize and implement local health programs only D) Only implement the National Health Program	Edit
952	What is the main function of the Department of Health Services (DoHS) in Nepal?	A) To regulate food safety B) To implement public health policies at the grass root levels C) To manage national educational policies D) To promote medical tourism in Nepal	Edit
953	When did the Female Community Health Volunteer Program start?	A) 1985 A.D B) 1986 A.D C) 1987 A.D. D) 1988 A.D.	Edit
954	What method is used in community diagnosis?	A) Qualitative only B) Quantitative only C) Both Qualitative and quantitative D) Participatory Rural Appraisal	Edit
955	PAMS V2 is related to:	A) Training Management Information B) Health Management Information C) Logistics Management Information D) Financial Management Information	Edit
956	Which tool is MOST useful during micro-planning to estimate vaccine, medicine or commodity requirements?	A) Population projection at national level B) Disease surveillance report of the community C) Target population estimation and service delivery schedule D) Media communication plan to make immunization program success	Edit
957	In Nepal, which contraceptive method occupies the highest part of the method mix among all current users?	A) Implant B) Depo C) Male sterilization D) Female sterilization	Edit
958	Which of the following is NOT a vector-borne disease included in Nepal's public health control programs?	A) Japanese Encephalitis B) Kala-azar C) Cholera D) Dengue	Edit
959	One of the key targets of SDG3 is to reduce the global maternal mortality ratio to less than:	A) 50 per 100,000 live births B) 70 per 100,000 live births C) 80 per 100,000 live births D) 100 per 100,000 live births	Edit
960	Which gland secretes steroid hormones?	A) Thyroid B) Pituitary C) Adrenal D) Pineal	Edit
961	What is the primary function of red blood cells?	A) Fight infections B) Transport oxygen C) Clot blood D) Produce hormones	Edit
962	What is the primary function of alveoli in the respiratory system?	A) Filter air particles B) Facilitate gas exchange between air and blood C) Produce mucus D) Warm incoming air	Edit
963	The priority nursing intervention for a suicidal patient is to	A) provide counselling only B) ensure safety C) Give antidepressants D) encourage group therapy	Edit
964	A misinterpretation of real external stimulus such as hearing the rustling of leavfes as the sound of voice is known as	A) Delusion B) illusion C) hallucination D) Elaboration	Edit
965	Which of following is not considered to vital sign?	A) Pulse B) Weight C) Temperature D) BP	Edit
966	Which of following is not part of history taking	A) Age/sex B) Occupation C) Duration D) Breath sound	Edit
967	......... is a method of tapping body part with fingers, hand or small instruments as Parts of physical examination to determine size, consistency an border of organs.	A) Percussion B) Palpation C) Auscultation D) Inspection	Edit
968	Which of following vitamin deficiency caused "Beriberi"?	A) Vitamin B1 B) Vitamin 2 C) Vitamin B6 D) Vitamin B12	Edit
969	The most common site for amoebiasis is .............	A) Cecum B) Transverse colon C) Hepatic flexure D) Sigmoid colon	Edit
970	What is pneumonia?	A) A Severe chest cold B) A lung infection C) An unusual result of hepatitis D) Advanced bronchitis	Edit
971	Which of following is not the most common infection term used for UTI?	A) Urethritis B) Pyelonephritis C) Cystitis D) Endometriosis	Edit
972	A condition marked by TSH level is called ...........	A) Hyperthyroidism B) Hypothyroidism C) Goiter D) Thyroid cancer	Edit
973	What is the underlying cause of epileptic seizure?	A) Congenital defect B) Allergies C) Barometric pressure D) Abnormal electrical activity in brain	Edit
974	............. is a cluster of boils that form a connected area if infection under skin.	A) Abscess B) Boils C) carbuncles D) Cellulitis	Edit
975	A....... is caused by an injury that stresses a joint and overstretches or even raptured supporting ligaments.	A) Dislocation B) Fractures C) strains D) Sprains	Edit
976	The vitamin essential for blood clotting is .............	A) Vitamin A B) Vitamin C C) Vitamin E D) Vitamin K	Edit
977	......... is the presence of fluid surrounding the testicles that is contained by the tunica vaginalis.	A) Scrotal hydrocele B) Hydrocele of spermatic cord C) Communicating hydrocele D) Indirect inguinal hernia	Edit
978	Patching of the eye is contraindicated in .........	A) After glaucoma surgery B) Mucopurulent conjunctivitis C) Corneal abrasion D) Bacterial corneal ulcer	Edit
979	Major cause of enteric fever is :	A) Salmonella typhi B) . S. paratyphi C) . S. paratyphi B D) S. cholera suis	Edit
980	Which one is the causative organism of Cholera?	A) Tubercle cholera B) Vibrio cholera C) Helementhesis D) None of above	Edit
981	Leprosy is transmitted by:	A) Droplet infection B) Contact transmission C) Brest milk D) All of above	Edit
982	What is the reservoir of cholera?	A) Human B) Pigs C) Mites D) Mosquito	Edit
983	Causative organism of mumps is:	A) Arbo virus B) Rhabdo virus C) paramyxo virus D) Myxovirus	Edit
984	Bull neck appearance is seen in:	A) Diphtheria B) Whopping cough C) Measles D) Rubella	Edit
985	Rice water stool is seen in:	A) Salmonella food poisoning B) Cholera C) Bacillary dysentery D) Amebic dysentery	Edit
986	Percentage of increase in blood volume during pregnancy:	A) 10-20% B) 0-5 C) 30-40% D) 40-50%	Edit
987	Which of following is not Essential New born care?	A) Supporting breast feeding B) Bathing new born C) Providing adequate warm care D) Ensuring good hygiene and cord	Edit
988	Danger sign in acute respiratory infection is :	A) Inability to drink B) Severe malnutrition C) Convulsion D) all of above	Edit
989	The preterm baby refers to :	A) Born before 47week o B) born before 40 week C) Born before 42 week D) Born before 37 week	Edit
990	Fetal movement is usually fell for the first time between:	A) 30-32 week B) 10-16 week C) . 16-20 week D) . 25-28 week	Edit
991	Exclusive breast feeding of babies should be continue for:	A) 3 month B) 6 month C) 12 month D) 24 month	Edit
992	Perinatal period ranges from:	A) 28 week of gestation to 7 day of life B) After birth to 7 day of life C) 7 day to 28 days of life D) After birth to 28 days of life	Edit
993	Usual dose of DMPA	A) 200 mg 3 monthly B) 150 mg 3 monthly C) 250 mg 3 monthly D) . 350 mg 3 monthly	Edit
994	A 1 year old child has 1000F fever, cough and respiratory rate 39 /min. He has:	A) Pneumonia B) no pneumonia C) Severe pneumonia D) All of above	Edit
995	Which of one of the following is not mode of transmission of cholera?	A) . Through water contamination B) Through food & drinks C) . Contaminated towels and utensil D) . Direct contacts	Edit
996	Most sensitive index for malaria incidence is ............	A) Annual Parasite incidence (API) B) . Annual Blood Examination Rate C) . Infant parasite rate D) Slide positivity rate (SPR)	Edit
997	The type of epidemiology which deals with the risk factor of the disease ?	A) Descriptive B) Analytical C) Experimental D) Interventional	Edit
998	Which vector transmits the filariasis:	A) Culex mosquito B) tse-tse fly C) Anopheles D) sand fly	Edit
999	Heimlich maneuver is used for :	A) Drowning B) Seizure C) Choking D) Shock	Edit
1000	Fluid of choice for hypovolemic shock is :	A) Blood B) Colloid solution C) Distilled water D) Crystalloid solution (NS or RL)	Edit
1001	Which is not the objective of first aid ?	A) To preserve life B) To promote recovery C) To prevent further worsening of patient D) To cure the disease	Edit
1002	Some people are very allergic to insects bites and stings, this condition is called :	A) Septic shock B) Cardiac arrest C) Toxic shock syndrome D) Anaphylactic shock	Edit
1003	To treat a first degree burn you should	A) Apply a good quality burn cream or ointment B) Clean the area thoroughly with hot soapy water C) Apply cool running water until there is little or no remaining pain D) Apply a constricting band	Edit
1004	First aid treatment for infected wound is :	A) Use antibiotics B) Thorough washing C) Stop bleeding D) Minor surgery	Edit
1005	Which of the following snakes are hematotoxic?	A) Cobra B) Krain C) Python D) Russel viper	Edit
1006	SARS corona virus -2 is which type of virus :	A) Negative stranded DNA virus B) Positive stranded DNA virus C) Negative single stranded RNA virus D) Positive single stranded RNA	Edit
1007	Insecticides spraying controls all of the diseases, except :	A) Hepatitis B) Kala-azar C) Malaria D) Encephalitis	Edit
1008	Vaccine contraindicated in pregnancy is :	A) Yellow fever B) BCG C) Influenza D) Rubella	Edit
1009	Minimum distance between water source and latrine is :	A) 10 m B) 15 m C) 25 m D) 50 m	Edit
1010	Acceptable pH of drinking water is :	A) 6.5-8.5 B) 8.5-9.5 C) 5.5-6.5 D) 4.5-6.5	Edit
1011	Aflatoxins causes :	A) Neurolathyrism B) Hepatoma C) Cholangiocarcinoma D) Botulism	Edit
1012	Which is not the tool of community diagnosis ?	A) Questionnaire B) Observational C) Register D) Interview	Edit
1013	Which of the following is not a principle of effective communication ?	A) Persuasive and convincing dialogue B) Participation of the audience C) One way transfer of information D) Strategic use of grapevine	Edit
1014	At school, one sanitary latrine is recommended for ............ Number of students.	A) 30 B) 40 C) 50 D) 60	Edit
1015	Bile duct opens in :	A) Colon B) Jejunum C) Ileum D) Second part of duodenum	Edit
1016	Blood pressure becomes higher in :	A) Infants B) Adolescents C) Adults D) Aged	Edit
1017	Functional unit of lung is :	A) Bronchiole B) Alveolar duct C) Alveoli D) Bronchi	Edit
1018	Which hormone helps to contract uterine muscle and expulsion of fetus?	A) Prolactin B) Oxytocin C) Progesterone D) Oestrogen	Edit
1019	Which of the following service is not given in PHC/ORC?	A) Growth monitoring B) Sterilization C) First aid D) ANC	Edit
1020	Head of the institution can supervise: (Depends on question maker)	A) Subordinates B) Cold chain system C) Institutional objectives D) Service provision	Edit
1021	Primary Health care (PHC) is ............	A) Vision B) Mission C) Goal D) Strategy	Edit
1022	There are ............ different health sections in rural health office under rural municipality. (Question unclear)	A) 2 B) 3 C) 4 D) 5	Edit
1023	Target of under five mortality rate 2030 as per SDG (As proposed by national planning commission)	A) 12/1000 live birth B) 5/1000 live birth C) 10 /1000 live birth D) 1/1000 live birth	Edit
1024	Barrier to changes in community is due to :	A) Social barrier B) Cultural barrier C) Economic barrier D) All of the	Edit
1025	What is the basis for identifying community health need?	A) Felt need of the community B) Observed need of the community C) Real need of the community D) All of the above	Edit
1026	Typhoid vaccine is given to all the child in Nepal between............ Age of group .	A) 0-15 months B) 15months -3 years C) 15 months-10 years D) 15 months -15 years	Edit
1027	Drugs used to relieve pain are	A) Analgesics B) Antipyretics C) Antiseptic D) Antibiotics	Edit
1028	The substance produced by or derived from living organism that are used to kill bacteria or prevent their multiplication is called :	A) Enzymes B) Hormones C) Antidotes D) Antibiotics	Edit
1029	............ is an art, practice or profession of preparing, preserving, compounding and dispensing medical drugs.	A) Pharmacy B) Pharmacology C) Pharmacodynamics D) Pharmacokinetics	Edit
1030	Sodium content in Ringer's lactate solution is :	A) 154 meq/L B) 134 meq/L C) 130 meq/L D) 140 meq/L	Edit
1031	Diclofenac is contraindicated in which group of patients?	A) Diabetes B) Hypertensive C) Asthmatics D) Chronic kidney disease	Edit
1032	Which vitamin deficiency is likely to occur in patient taking ATT?	A) B6 B) B1 C) B12 D) D	Edit
1033	Total body water ............ of body weight.	A) A. 25% B) B. 45% C) C. 60% D) D. 70%	Edit
1034	Which of the following is longest cell?	A) NERVE B) OVUM C) SPERMNO D) NONE	Edit
1035	Treatment of hydrocele is	A) Chemotherapy B) Tapping of fluid aspiration C) Both a & b D) Surgical treatment	Edit
1036	Covid 19 caused by Corona virus is example of	A) Epidemic B) Pandemic C) Sporadic D) Endemic	Edit
1037	True fact about trachoma Includes	A) A leading cause of blindness B) Caused chalmydia trachomatis C) Both a & B D) None of the above	Edit
1038	Which vitamin deficiency causes Gum bleeding	A) Vitamin A B) Vitamin C C) Both A & B D) Vitamin B	Edit
1039	Which of the following is not true about the cancer ?	A) Occupational exposure to asbestos produces lungs cancer B) Incidence of cancer is more in old people C) Hepatitis B virus can causes leukemia D) Personal hygeine can decreases the incidence of Cancer .	Edit
1040	Anemia is due to deficiency of :	A) Ca B) Zn C) Po4 D) fe	Edit
1041	A patient with chest pain which of the following is the most suggestive feature of myocardial infraction	A) severe chest pain B) Sweating & vomitting C) Pain last for 1 week D) Pain is sharp like knife	Edit
1042	A person having diacoloration of Tongue due to hypoxia in the blood is known as :	A) Clubbing B) Cachetic C) Anemia D) Cyanosis	Edit
1043	Peptic Ulcer Mainly occur in :	A) Large intestine B) Mouth C) Stomach D) Sleep	Edit
1044	The most common causes of death in measles	A) Secondary bacterial infection B) pneumonia C) Measles encephlitis D) Otitis Media	Edit
1045	Vibrio cholera is	A) Gram positive bacteria B) Gram Negative bacteria C) Gram positive virus D) Gram negative virus	Edit
1046	The test done to determine the presence of Salmonella is	A) Albumim Test B) Shick test C) Widal test D) Mantoux test	Edit
1047	Blood and mucus mixed with fecal material is seen in	A) Cholera B) Giardiasis C) Bacillary dysentery D) None of the above	Edit
1048	Janaki can speak short sentence clearly . According to this milestone , what is her expected age ?	A) 12 months B) 24 Months C) 16 Months D) 18 Months	Edit
1049	रतन्धो रोग लाग्ने प्रमुख कारण के हो?	A) भिटामिन "सी" को कमी B) प्रोटिनको कमी C) क्याल्सियमको कमी D) भिटामिन "ए" को कमी	Edit
1050	सन् २०३० सम्ममा हासिल गरिसक्नुपर्ने राष्ट्र सङ्घ (United Nations) ले तय गरेका दिगो विकास लक्ष्यहरू नेपालको कम प्राथमिकतामा रहेको लक्ष्य तलकामध्ये कुन हो?	A) Partnerships for the Goals B) Climate Actions C) Affordable and Clean Energy D) Life Below Water	Edit
1051	नेपालको सोह्रौं योजनाले वि.सं. २०८५/८६ सम्म श्रम उत्पादकत्व कति प्रतिशत हुने लक्ष्य राखेको छ?	A) २४० B) २४५ C) 270 D) 275	Edit
1052	सिरुवा पर्व कुन जातिले मनाउने साँस्कृतिक पर्व हो?	A) छन्त्याल B) राजवंशी C) सुनुवार D) राउटे	Edit
1053	कुनै पनि उपमहानगरपालिका नभएको प्रदेश देहायको मध्ये कुन हो?	A) कोशी B) गण्डकी C) लुम्बिनी D) बागमती	Edit
1054	According to the Health Service Act, 2053 what is the mandatory age for retirement for health employees?	A) 58 years B) 60 years C) 62 years D) 65 years	Edit
1055	The classic triad of Ruptured ectopic pregnancy includes:	A) Amenorrhea, PV bleeding, abdominal pain B) Dysmenorrhea, fever, vomiting C) PV discharge, lower abdominal pain, fever D) Nausea, vomiting, breast tenderness	Edit
1056	Which of the following is most commonly associated with the third delay in the "Three Delays" model?	A) Delay in deciding care B) Delay in seeking care C) Delay in reaching care D) Delay in receiving care	Edit
1057	Which of the following is a common symptom of depression?	A) Hallucinations B) Persistent sadness and loss of interest in daily activities C) Excessive energy and euphoria D) Memory loss only	Edit
1058	Trachoma is a disease primarily affecting the:	A) Ear B) Eye C) Nose D) Throat	Edit
1059	Which of the following is a clinical characteristic of a fistula?	A) A blind-ending tract lined by granulation tissue B) Sudden onset of severe abdominal pain C) A localized collection of pus within a tissue D) An abnormal communication between two epithelial-lined surfaces	Edit
1060	A chronic discharging tract connecting two epithelial surface is called:	A) Abscess B) Sinus C) Fistula D) Ulcer	Edit
1061	Sarcoptes scabiei mite is the causative agent of:	A) Eczema B) Ringworm C) Scabies D) Impetigo	Edit
1062	Which of the following is a fungal skin infection commonly affecting the scalp or body?	A) Impetigo B) Tinea C) Psoriasis D) Eczema	Edit
1063	What is the recommended compression to breath ratio for CPR in adult?	A) 5 compression to 2 breath B) 15 compression to 2 breath C) 30 compression to 5 breath D) 30 compression to 2 breath	Edit
1064	What is the preferred first aid for a victim of a venomous snake bite?	A) Suction of the wound B) Cutting the wound site C) Immobilization and rapid transport D) Applying a tight tourniquet	Edit
1065	Amlodipine is a:	A) Antipyretic drug B) Antibacterial drug C) Antiviral drug D) Antihypertensive drug	Edit
1066	Step of physical examination performed by listening sounds of the body by tapping with finger is: x	A) Inspection B) Palpation C) Percussion D) Auscultation	Edit
1067	In Nepal, Biannual Vitamin A supplementation is provided to:	A) 0 to 5 years children B) 6 to 59 months children C) 6 to 60 months children D) 5 years children	Edit
1068	According to the national immunization schedule, which vaccine is given to a child at birth?	A) Measles-Rubella (MR) B) OPV-0 C) BCG D) Pentavalent-1	Edit
1069	Purification of water on large scale can be done by:	A) Boiling B) UV radiation C) Chlorination D) Oxygen exchange	Edit
1070	The main objective of environmental sanitation is to:	A) Increase industrial development B) Beautify the environment C) Prevent disease and promote health by controlling environmental factors D) Improve agricultural production	Edit
1071	The most serious complication of measles is:	A) Encephalitis B) Koplik spots C) Parotitis D) Nephritis	Edit
1072	In epidemiology, the term incidence refers to:	A) Total number of existing cases at a given time B) Number of new cases occurring in a population during a specified period C) Proportion of people immune to a disease D) Number of deaths due to a disease	Edit
1073	The elimination threshold for leprosy is:	A) <1 per 1,000 population B) <1 per 10,000 population C) <1 per 100,000 population D) <1 per 200,000 population	Edit
1074	Primary Health Care is:	A) Goal B) Mission C) Objective D) Strategy	Edit
1075	FCHVs are selected by:	A) Mother's group B) Health facility in-charge C) Local leaders D) School teacher	Edit
1076	Which level is mainly responsible for national health policy formulation and regulation?	A) Local level B) Provincial level C) Health facility level D) Federal level	Edit
1077	How many MDGP doctors are there in a primary hospital with 15 beds operating at the local level?	A) 0 B) 1 C) 2 D) 3	Edit
1078	The recommended temperature range for storing most vaccines in the cold chain is:	A) -25^\circ C to -15^\circ C B) 0^\circ C to 4^\circ C C) +2^\circ C to +8^\circ C D) +8^\circ C to +15^\circ C	Edit
1079	During in-service training of health workers, some participants repeatedly fail to demonstrate correct hand washing and ORT preparation techniques. What is the most appropriate approach to ensure learning outcomes?	A) Provide written instructions only B) Remove them from service until they pass C) Conduct skill-based hands-on demonstrations and supervised practice sessions D) Reduce training duration	Edit
1080	Which of the following diseases is not vaccine preventable?	A) Measles B) Malaria C) Typhoid D) Japanese encephaliti	Edit
1081	The Target population for the CB-IMNCI programme is:	A) Under one year of age B) Under two years of age C) Under five years of age D) Under ten years of age	Edit
1082	Which strategy is currently being implemented in Nepal to reach 'zero' malaria cases?	A) Control Strategy B) Elimination Strategy C) Mitigation Strategy D) Eradication Strategy	Edit
1083	Which one of the following is a limiting method of family planning?	A) E-pill B) Implant C) Vasectomy D) Sayana Press	Edit
1084	हेनरी फायोल (Henry Fayol) को प्रशासकीय व्यवस्थापनको १४ सिद्धान्तमध्ये तलको कुन पर्दैन?	A) कार्य विभाजन (Division of Work) B) अधिकार र उत्तरदायित्व (Authority and Responsibility) C) अनुशासन (Discipline) D) लगानी, प्रक्रिया र उत्पादन (Input, Process and Output)	Edit
1085	नेपाल सरकारका अर्थमन्त्रीले प्रत्येक आर्थिक वर्षको राजस्व र व्ययको अनुमान प्रत्येक वर्ष कुन मितिमा सङ्घीय संसदमा पेश गर्ने संवैधानिक व्यवस्था छ?	A) जेठ १५ गते B) असार १ गते C) असार १० गते D) असार मसान्तमा	Edit
1086	आर्थिक वर्ष २०८१/८२ मा अख्तियार दुरुपयोग अनुसन्धान आयोगमा दर्ता भएका उजुरी मध्ये प्रदेशका उजुरी कति प्रतिशत रहेका छन्?	A) ५३.८४% B) ३३.६९% C) १२.४७% D) २५.५५%	Edit
1087	भ्रष्टाचार निवारण ऐन, २०५९ ले झुट्टा उजुरी गर्नेलाई कति सजायको व्यवस्था गरेको छ?	A) सचेत गराउने B) पाँच हजार रुपैयाँसम्म जरिवाना C) झुट्टा उजुरीबाट पर्न गएको क्षतिको क्षतिपूर्ति भरण D) कुनै सजायको व्यवस्था छैन	Edit
1088	स्थानीय सरकार सञ्चालन ऐन, २०७४ अनुसार उपमहानगरपालिका घोषणा हुनका लागि कम्तिमा कति जनसङ्ख्या आवश्यक पर्दछ?	A) . कम्तिमा १ लाख B) कम्तिमा २ लाख C) कम्तिमा ५ लाख D) कम्तिमा ७ लाख	Edit
1089	तलका मध्ये कुन पदाधिकारी प्रदेश सरकारको मन्त्रिपरिषद्को सचिवको भूमिकामा रहने व्यवस्था रहेको छ?	A) प्रदेश सचिव B) प्रमुख सचिव C) मुख्य सचिव D) मुख्यमन्त्रीले तोकेको प्रदेश सरकारको मन्त्री	Edit
1090	गण्डकी प्रदेश निजामती सेवा ऐन, २०७९ अनुसार गण्डकी प्रदेश निजामती सेवामा कति वटा सेवा रहने व्यवस्था गरिएको छ?	A) ७ B) ८ C) ९ D) १०	Edit
1091	कुनैपनि प्रकारको भवन निर्माण गर्न नक्सा पास गरिदिने अधिकारी को हो?	A) सहरी विकास मन्त्रालयको सचिव B) भवन विभागको महानिर्देशक C) स्थानीय तहको अध्यक्ष वा प्रमुख D) स्थानीय तहको प्रमुख प्रशासकीय अधिकृत	Edit
1092	सार्वजनिक खरिद नियमावली, २०६४ को नियम ११२ बमोजिम खरिद प्रक्रियामा कति मूल्य भन्दा बढीको निर्माण कार्य खरिद गरेको अवस्थामा अनिवार्य रूपमा बिमा गर्नुपर्दछ?	A) रु. १० लाख B) रु. २० लाख C) रु. १ करोड D) रु. १० करोड	Edit
1093	"सञ्चार अरुको मस्तिष्कसँग समझदारी कायम गर्नका लागि व्यक्तिले गर्ने सबै कार्यहरूको योग हो" यो भनाई कसको हो?	A) J. Paul Legans B) L.A. Allen C) George R. Terry D) C.B. Memoria	Edit
1094	नेपालको जनगणना २०७८ अनुसार नेपालमा अपाङ्गता भएका व्यक्तिको जनसङ्ख्या कति छ?	A) ५,४७,७४४ B) ६,४७,७४४ C) ७,४७,७४४ D) ४,४७,७४४	Edit
1095	नेपाल साङ्घाई सहयोग सङ्गठन (Shanghai Cooperation Organization - SCO) को संवाद साझेदार (Dialogue Partner) हुने सहमतिमा कहिले पुगेको हो?	A) सन् २०१६ मार्च २२ B) सन् २००१ जुन १५ C) सन् २०१० अप्रिल १४ D) सन् २०२४ डिसेम्बर २८	Edit
1096	संयुक्त राष्ट्र सङ्घका स्थायी पर्यवेक्षक राष्ट्रहरूको सङ्ख्या कति रहेको छ?	A) 2 B) 3 C) 4 D) 5	Edit
1097	नेपालमा सङ्घीय लोकतान्त्रिक गणतन्त्रात्मक शासन व्यवस्था कहिलेदेखि लागू भएको हो?	A) वि.सं. २०६३ जेठ ४ गतेदेखि B) वि.सं. २०६५ जेठ १५ गतेदेखि C) वि.सं. २०७२ असोज ३ गतेदेखि D) वि.सं. २०७४ असोज २९ गतेदेखि	Edit
1098	नेपालको संविधानको धारा २७ मा तलका मध्ये कुन मौलिक हकको व्यवस्था छ? सूचनाको हक	A) रोजगारीको हक B) सूचनाको हक C) स्वच्छ वातावरणको हक D) सामाजिक न्यायको हक	Edit
1099	A pulse pressure is considered normal, when it is -	A) 10-30 mm Hg B) 30-50 mm Hg C) 50-80 mm Hg D) 80-100 mm Hg	Edit
1100	The most accurate site for taking temperature is:	A) Anus B) Groin C) Axilla D) Mouth	Edit
1101	Which of the following is cardinal sign of human being?	A) Pulse B) Respiration C) Excretion D) both a & b	Edit
1102	Which of the following is not considered to vital sign?	A) Pulse B) Weight C) Temperature D) BP	Edit
1103	If a patient suffering from malaria, Health worker measured his body temperature and found 104°F then tell his temperature on celsius.	A) 40° C B) 37° C C) 39° C D) 33° C	Edit
1104	Which of the following method is not followed while doing physical examination?	A) Smelling B) Auscultation C) Tasting D) Measurement	Edit
1105	Taking vital signs comes under:	A) Follow up B) History taking C) General examination D) Inspection	Edit
1106	If the temperature is increased excessively to 40.6°C (105°F), it is called...	A) Pyrexia B) hyperpyrexia C) Hypothermia D) Abnormal body temperature	Edit
1107	When the elevated temperature fluctuates widely but does not reaches normal levels between fluctuations is called.....	A) Constant fever B) Remittent fever C) Intermittent fever D) Relapsing fever	Edit
1108	Which site is considered the best for calculation the pulse for a child of two years of age?	A) . Brachial B) Apical C) Redial D) Temporal	Edit
1109	All are symptoms except ...	A) Blood in cough B) Rebound Tenderness C) Night sweating D) Loss of appetite	Edit
1110	Which of the following is not a general symptom?	A) Blood in cough B) Weakness C) Loss of weight D) Fever	Edit
1111	Which of the following factor is not included in general physical examination?	A) Inspection B) Auscultation C) Palpation D) History taking	Edit
1112	Lungs on Right and Left side have .......lobes respectivel	A) 2,3 B) 3,2 C) 2,2 D) 3,3	Edit
1113	Description of chief complaints is done in which section of history taking	A) Chief complaints B) History of presenting illness C) Past history D) Family history	Edit
1114	Personal history includes	A) Smoking B) Alcohol history C) Diet history D) All of the above	Edit
1115	Diaphragm of stethoscope is used for....	A) High pitched sound B) Low pitched sound C) Musical sounds D) None	Edit
1116	16. Which of the following is generally used as sequence during physical examination?	A) Inspection -> Palpation -> Auscultation -> Percussion B) Inspection -> Auscultation -> Percussion -> Palpation C) Inspection -> Palpation -> Percussion -> Auscultation D) Inspection -> Percussion -> Palpation -> Auscultation	Edit
1117	Right Kidney lies.......than Left kidney in location	A) Lower B) Upper C) Equal level D) None	Edit
1118	Apex of heart lies in......	A) Left 5th ICS B) Left 4th ICS C) Left 6th ICS D) Left 7th ICS	Edit
1119	In Pleural effusion, the percussion sound is....	A) Resonant B) Dull C) Stony dull D) Tympanic	Edit
1120	Hernial sites are examined as a part of....examination	A) Abdominal B) Respiratory C) Genitourinary D) Cardiovascular	Edit
1121	Which of the following is most important chief complaint in emergency department?	A) Pain B) Skin pigmentation C) Vomiting D) Cough	Edit
1122	A full bladder on percussion gives...... sound	A) Tympanic B) Dull C) Stony dull D) Resonant	Edit
1123	Murphy's sign is seen in....	A) Appendicitis B) Cholecystitis C) Cholelithiasis D) Hepatitis	Edit
1124	While asking chief complaints, which of the following is true	A) Chronological Order B) Should be in patient's own word C) Should not describe the complaint D) All of the above	Edit
1125	Kidneys are.....organs	A) Peretoneal B) Retroperitoneal C) Macullar D) Fatty liver	Edit
1126	While taking history, we should ask patient's name for all purpose given below, except	A) maintain close relation B) Record purpose C) Comfort the discussion D) Disclose his disease	Edit
1127	Liver lies in....	A) Rt lumbar B) Right hypochondriac C) Rt ileac D) Right lumbar	Edit
1128	4. Which of the following is not true about chief complaint?	A) Chronological order B) Use patient` s own word C) Use technical word D) Specify the duration	Edit
1129	Abdomen is divided into................ regions	A) 5 B) 9 C) 7 D) 11	Edit
1130	What are the points you need to ask while describing pain?	A) Site B) Onset C) Charachter D) All	Edit
1131	Which of the following is not part of systemic examination?	A) Inspection B) Percusion C) Palpation D) BMI	Edit
1132	A child of 1 year MUAC 120 mm will be classified as ......... according to CBIMNCI	A) NO Acute malnutrition B) moderate Acute malnutrition C) Severe Acute malnutrition D) None of the above	Edit
1133	A Child of 10 month is suffering from Severe dehydration the 100ml/kg fluid is given within:	A) 1 hour B) 5 hour C) 3 hour D) 6 hour	Edit
1134	which of the following advice should be given for an infant suffering from mild diarrhea with some dehydration.	A) stop all breast feed and Start ORS B) Iv Fluid C) Continue breast feeding D) antibiotics.	Edit
1135	16 month child , diarrhea x 5 days , drink eagerly sunken eyes , weight 10kg classification ?? How much fluid needed??	A) 1200mL B) 750mL C) 900 ml D) 360m1	Edit
1136	A child 18 months Suffering from diarrhea is classified as no dehydration What is the ammount of fluid that is given to child after each loose stool.	A) 25-50mL B) 50-100 m\| C) 100-150m) D) 100-200m L	Edit
1137	All of the following are included in the management of NO dehydration except:	A) Give ORS B) Give zinc tablet C) Counseling D) Give RL	Edit
1138	A child having diagnosed pneumonia is prescribed antibiotic amoxicillin BD For 5 days. The Same child will be requested to follow up on	A) 2nd day B) 3rd day C) 4th day D) 7th day.	Edit
1139	when a child of 13 month is brought to your health post with the problem of cough What would you do first?	A) count the Respiration Rate B) ask duration of Cough. C) examine chest in drawing D) Listen wheeze or stridor.	Edit
1140	All of the following are general danger sign in 2 months to i5 years children Except:	A) Inability to feed. B) convulsion C) sthidor D) Unconcious	Edit
1141	If the yellowish discoloration of palm and soles due to high billurubin then according to CBIMNCI it is classified as:	A) Jaundice B) pathological Jaundice C) physiological Jaundice D) Severe Jaundice	Edit
1142	Jaundice that is usually observed 2nd day of life is termed as	A) Hemolytic Jaundice B) pathological Jaundice C) physiological Jaundice D) obstructive Jaundice	Edit
1143	Measles vaccination campaign between 9-14 months of age for elimination?	A) Keep up B) Follow up C) Mopping up D) Catch up	Edit
1144	The full form of OCMC is:	A) Outdoor Crisis Management Center B) Outdoor Crime Management Center C) One Stop Crisis Management Center D) One stop Center for Management of Crime	Edit
1145	Each FCHV get dress allowance per year is:	A) NRs. 5000 B) NRs. 7000 C) NRs. 10,000 D) NRs 12000	Edit
1146	First case of Dengue reported in Nepal in:	A) 2005 AD B) 2006 AD C) 2008 AD D) 2009 AD	Edit
1147	What is the bed occupancy rate of Sudurpascchim province according to FY 2077/78 ?	A) 23 B) 28 C) 35 D) 36	Edit
1148	Safe Abortion can be made before	A) 24 weeks B) 20 weeks C) 8 weeks D) 12 weeks	Edit
1149	The graphic plan of all events and activities to be com- pleted in order to reach an end objective is called:	A) Network Analysis B) Cost accounting C) Work Sampling D) Job Chacting	Edit
1150	Most commonly injured solid organ in CPR is	A) Lungs B) Liver C) Spleen D) Heart	Edit
1151	According to the National Immunization schedule, PCV Vaccine is given in	A) 0,6,10 weeks B) 6,10,14 weeks C) 6 week, 10 weeks and 9 months D) 6 weeks, 14 weeks and 9 months	Edit
1152	Filariasis is transmitted through the bite of:	A) Anopheles mosquito B) Culex mosquito C) Aedes mosquito D) All of the above	Edit
1153	Incidence of disease in a community can be best calculated by :	A) Case Control study B) Cross Sectional study C) Cohort study D) Ecological Study	Edit
1154	In twin pregnancy, treatment of choice when first baby is in transverse lie is	A) Home delivery B) Cesarean section C) Low forceps after external rotation D) High forceps	Edit
1155	The Suitable method of disposing organic waste if there is a small garden or produce only a small amount of water is	A) Dumping B) Composting C) Earthworm plant D) Manure pit	Edit
1156	Usual dose of DMPA	A) 200 mg 3 monthly B) 150 mg 3 monthly C) 250 mg 3 monthly D) 350 mg 3 monthly	Edit
1157	A 1 year old child has 100°F fever, cough and respiratory rate 39/min. He has:	A) Pneumonia B) no pneumonia C) Severe pneumonia D) All of above	Edit
1158	Some people are very allergic to insect bites and stings, this condition is called:	A) Septic shock B) Cardiac arrest C) Toxic shock syndrome D) Anaphylactic shock	Edit
1159	How many chest leads are used in ECG?	A) 2 B) 4 C) 6 D) 12	Edit
1160	To treat a first degree burn you should	A) Apply a good quality burn cream or ointment B) Clean the area thoroughly with hot soapy water C) Apply cool running water until there is little or no remaining pain D) Apply a constricting band	Edit
1161	Insufficient supply of oxygen in tissue is called.	A) Hypoxia B) Hypoxemia C) Hypervolemia D) Hypovolemia	Edit
1162	Bull neck appearance is seen in	A) Diphtheria B) Whooping cough C) Measles D) Rubella	Edit
1163	The newborn should be breastfed?	A) Hourly B) Every 5 hours C) On demand D) Every 4 hours	Edit
1164	What is the Abbreviation used if the medicines given three times a day?	A) OD B) BD C) TDS D) QID	Edit
1165	What is the Normal APGAR score?	A) 3-4 B) 4-5 C) 6-7 D) 7-10	Edit
1166	Function of placenta is:	A) To provide nourishment to the fetus B) To supply oxygen to the fetus C) To protect fetus against certain diseases D) All of the above	Edit
1167	"GOBI" campaign of UNICEF includes all except	A) Growth Chart B) Oral Rehydration C) Breastfeeding D) Iodine Supplementation	Edit
1168	" Course of disease process without any intervention" is the definition of	A) Epidemiology B) Spectrum of Disease C) Natural History of Disease D) Epidemiological Triad	Edit
1169	The most important tool used by FCHV for Health Education is	A) Pamphlet B) Poster C) Flip chart D) Flannel Graph	Edit
1170	To take special leave, a permanent Health worker has to work atleast _____ years.	A) 3 years B) 5 years C) 7 years D) 10 years	Edit
1171	The standard schedule for the treatment of scabies with benzyl benzoate consists of:	A) One application B) Three application C) Seven application D) Five application	Edit
1172	Which of the following insulin is used for the emergency treatment of ketoacidosis;	A) Regular insulin B) Insulin Pirc suspension C) Sodium Bicarbonate Infusion D) KCl Infusion	Edit
1173	The methods of heat transfer during cold compression is	A) Conduction B) Convection C) Radiation D) All of the above	Edit
1174	A boy develops chicken pox in a school hostel. The best step to be taken is:	A) Vaccination of all other boys B) Isolation of the boy C) Send the boy home D) Restrict the movement of the boy	Edit
1175	The normal Position of the uterus is:	A) Anteverted and Retroflexed B) Antiverted and Antiflexed C) Retroverted and Retroflexed D) Retroverted and Antiflexed	Edit
1176	Total lung capacity (TLC) and vital capacity (VC) are............. ......respectively.	A) 5800 ml and 4200 ml B) 6000 ml and 2300 ml C) 5800 ml and 4600 ml D) 1600 ml and 1200 ml	Edit
1177	Zinc deficiency leads to:	A) Sexual infantilism B) Growth Failure C) Loss of taste D) Delayed wound healing	Edit
1178	Xpert MTB/RIF test is used:	A) To diagnose multi drug resistant TB B) To assess sensitivity of Rifampicin C) To assess sensitivity of Isoniazid D) Both A & B	Edit
1179	When the level of hardness in water is around 150-300 mg/liter it is classified as:	A) Very hard water B) Hard water C) Moderately Hard Water D) Soft water	Edit
1180	Window period is defined as time taken from:	A) Entry in cell to expulsion of first viral particle B) Entry of pathogen to appearance of first clinical symptom C) Exposure to laboratory detection of disease D) Entry of organism to maximum communicability	Edit
1181	Which is false regarding Hydrocele?	A) Scrotal swelling B) fluctuation test positive C) cough impulse positive D) Transillumination test positive	Edit
1182	Buffer stocks of anti TB drug for district Public/Heath office is:	A) 6 months B) 4 months C) 2 months D) 1 months	Edit
1183	The main role in maintaining fluid balance in the body is performed by the:	A) Liver B) Heart C) Lungs D) Kidney	Edit
1184	Odynophagia means	A) Painful swallowing B) Difficult Swallowing C) Both a and b D) Difficulty in chewing	Edit
1185	The protrusion of some of the contents of the abdomen through a weakness in the abdominal wall is called:	A) Hydrocele B) Hernia C) Hematuria D) GI bleeding	Edit
1186	Epistaxis is a condition where there is :	A) Bleeing from ear B) CSF fluid leaking from ear C) Bleeding from Nose D) CSF fluid leaking from nose	Edit
1187	DHIS-2 software development is a global collaboration managed by:	A) University of Toronto B) University of West London C) University of Oslo D) University of Texas	Edit
1188	Delusions are seen in all of the following EXCEPT:	A) Conversion disorder B) Schizophrenia C) Depression D) Dementia	Edit
1189	The maximum level of inventory that the institution can store is called:	A) Stock in hand B) Emergency Order point C) ASL D) Lead time stocking	Edit
1190	IQ ranges 51 -70 denotes______ mental Retardation	A) Mild B) Moderate C) Severe D) No mental Retardation	Edit
1191	Cystitis is the inflammation of	A) Liver B) Pancreas C) Gall bladder D) None	Edit
1192	How many stages are there in the sexual cycle ?	A) 3 B) 4 C) 5 D) 6	Edit
1193	How many DOTS center are there in Sudurpascchim province according to FY 2077/78?	A) 815 B) 5503 C) 628 D) 563	Edit
1194	Strains are more commonly seen in,	A) Hockey players B) Football C) Aerobic dancer D) Both A and B	Edit
1195	The installation and usage of sanitary latrines by the general public constitutes in a rural village is which level of prevention?	A) Health promotion B) Specific protection C) Early diagnosis and treatment D) Disability limitation and rehabilitation	Edit
1196	The most practical way of treating typhoid carrier:	A) Cholecystectomy B) Chemotherapy C) Vaccination D) Isolation	Edit
1197	Health Assistant lies in	A) Primary level B) Secondary level C) Third level D) Incharge level	Edit
1198	The expectation of life, free of disability is known as which of the following?	A) DALY B) QALY C) Sullivan index D) YPLL	Edit
1199	Which of the following is semi essential amino acid?	A) Arginine B) Tyrosine C) Cysteine D) All of the above	Edit
1200	World mental health day is celebrated on	A) 10 October B) 14 October C) 15 October D) None	Edit
1201	FCHV survey held in 2014 shows literacy rate for FCHV is	A) 83% B) 63% C) 65 % D) 87%	Edit
1202	Scaphoid Abdomen is seen in	A) Typhoid B) Cholera C) Ascitis D) All	Edit
1203	How many pulmonary veins are present in human body?	A) 1 B) 2 C) 3 D) 4	Edit
1204	The most lethal complication of peptic ulcer is	A) Hemorrhage B) Perforation C) Gastric outlet obstruction D) none of the above	Edit
1205	A patient diagnosed with uremic syndrome has the potential to develop complications. Which among the following complications should the health worker anticipates:	A) Flapping hand tremors B) An elevated hematocrit level C) Hypotension D) Hypokalemia	Edit
1206	Auto infection is seen in all except,	A) Pinworm B) Thread worm C) Seat worm D) Whip worm	Edit
1207	Syncope is a medical terminology which means	A) Sweating B) Fainting C) Vomiting D) All of the above	Edit
1208	The supervision of Tuberculosis program by local level is done:	A) Annually B) Bi annually C) 4 monthly D) Every months	Edit
1209	Most common cause of dementia is:	A) Parkinson's disease B) Alzheimer's disease C) Depression D) COPD	Edit
1210	Most common burn recorded in health facilities is:	A) Sun burn B) Electric burn C) Acid burn D) Thermal burn	Edit
1211	Complication of fracture may be :	A) Shock B) Pulmonary embolism C) Tetanus D) All of the above	Edit
1212	Safe antihypertensive drug in pregnancy is :	A) Amlodipine B) Enalapril C) Telmisartan D) Methyldopa	Edit
1213	From which of the following, the highest percentage of iron absorbed,	A) Spinach B) Soyabean C) Mutton D) Egg	Edit
1214	Drug of choice for Whipworm is	A) Albendazole B) Mabendazole C) Praziquintal D) Pyrental pamoate	Edit
1215	"Catch up-keep up-follow up" strategy is related to:	A) Polio B) Rubella C) Measles D) Mumps	Edit
1216	Enterically transmitted non A non B hepatitis is :	A) Hepatitis A B) Hepatitis B C) Hepatitis C D) Hepatitis E	Edit
1217	Most sensitive test for lymphatic filariasis is:	A) Aldehyde test B) Thin smear C) Membrane Filter Concentration D) Immunechromatography (ICT)	Edit
1218	Dose of zinc for 3 months old baby is :	A) 5 mg B) 10 mg C) 15 mg D) 20 mg	Edit
1219	Breast milk is deficient in which Vitamin?	A) Vit A B) Vit C C) Vit D D) Vit K	Edit
1220	Total number of IFA tablet given to a women during pregnancy as well as in postpartum ?	A) 150 tablets B) 180 tablets C) 225 tablets D) 280 tablets	Edit
1221	The main purpose of amniocentesis is to identify :	A) Pelvic infection B) Fetal maturity C) Twins baby D) Chromosomal abnormalities	Edit
1222	Zero incidence is	A) Elimination of disease B) Elimination of Infection C) Eradication of disease D) Eradication of infection	Edit
1223	Minipills contains:	A) High amount of progesterone B) Low amount of progesterone C) Low amount of oestrogen D) High amount of estrogen & Progesterone	Edit
1224	Primary Health Care is	A) Goal B) Vision C) Objective D) Strategy	Edit
1225	Missing cases are identified by	A) Active surveillance B) Passive surveillance C) Sentinel surveillance D) All of the above	Edit
1226	Odd one out,	A) Pap smear B) Helmet C) Contraceptive D) Vaccines	Edit
1227	How many fully frozen ice packs are used in Vaccine carrier?	A) 2 B) 4 C) 6 D) 8	Edit
1228	The most commonly reported Disease in post disaster phase is	A) Vitamin deficiency B) Tuberculosis C) Typhoid D) Acute Gastroenteritis	Edit
1229	Total number of tools in HMIS which are used for recording is	A) 73 tools B) 57 tools C) 68 tools D) 5 tools	Edit
1230	Micro Health Project should be conducted on the basis of:	A) Felt need B) Observed need C) Real need D) All of the above	Edit
1231	As compared to cow milk, human milk has	A) More proteins B) More iron C) Less carbohydrates D) Less vitamins	Edit
1232	Counselor must have all of the following except?	A) Sensitivity B) Sympathy C) Understanding D) Patience	Edit
1233	Under MoHP, Administrative Division has______ sections	A) 2 B) 3 C) 4 D) 5	Edit
1234	Best diagnostic method for breast lump is:	A) USG B) Mammogram C) Biopsy D) FNAC	Edit
1235	Who is known as the father of scientific management?	A) Harold Koontz's B) Henry Fayol C) F.W Taylor D) Max Weber	Edit
1236	How many goals & targets are in Sustainable development Goals (SDGs)?	A) 12 goals & 164 targets B) 14 goals & 167 targets C) 17 goals & 169 targets D) 17 goals & 178 targets	Edit
1237	Peripheral neuritis is deficiency sign of	A) Folic acid B) Niacin C) Thiamine D) Tocopherol	Edit
1238	It is estimated that ______ population infected with TB in Nepal.	A) 25% B) 40% C) 45% D) 50%	Edit
1239	FCHV program first started in______ district.	A) 25 B) 27 C) 28 D) 30	Edit
1240	Among the following components through pain assessment, which is the most significant?	A) Effect B) Cause C) Causing factors D) Intensity	Edit
1241	Brain development of child under 2 years of age is about	A) 75% B) 80% C) 85% D) 90%	Edit
1242	When Nepal passed the social security act?	A) 2073/06/02 B) 2076/06/02 C) 2075/06/02 D) 2074/06/02	Edit
1243	GAVI stands for:	A) Government Alliance for Vaccine and Immunization B) Global Alliance For Vaccine and Immunization C) Global Active for Vaccine and Immunization D) None of the above	Edit
1244	FCHV programme was expanded to all over the country by:	A) 1998 B) 1988 C) 1990 D) 1995	Edit
1245	Which of the following is the ultimate end result of planning?	A) Target B) Achievement C) Objective D) Goal	Edit
1246	Zinc supplementation program to treat diarrhoea was introduced in FY 2062/63 from which of the following district:	A) Rauthahat and Parsa B) Parbat and Rolpa C) Ramechap and Parbat D) Parbat and Rauthahat	Edit
1247	What is the percentage of institutional Delivery of Sudurpascchim Province according to NDHS 2022?	A) 79% B) 65% C) 83% D) 87%	Edit
1248	Mediastinal shift occurs in:	A) Lungs collapse B) Pneumothorax C) both a & b D) Emphysema	Edit
1249	Common side effects of hormonal contraceptives includes all of the following except	A) change in bleeding pattern B) Nausea, headache C) infertility D) breast tenderness	Edit
1250	In Nephrotic syndrome the most essential feature is:	A) Proteinuria B) Hematuria C) Hyperlipidemia D) Edema	Edit
1251	Generally steps needs to follow to prepare health plan at local level:	A) 5 B) 7 C) 10 D) 14	Edit
1252	Drug of choice for acute gout is:	A) Colchicine B) Indomethacin C) Allopurinol D) Dexamethasone	Edit
1253	In fetal life, pulmonary artery is in direct communication with aorta through:	A) Ductus Venosus B) Ductus Arteriosus C) Ductus Aortica D) Ductus Pulmonaris	Edit
1254	Nosocomial infection is that infection acquired by:	A) Nasal Secretion B) Droplet Infection C) Hospital Setting D) Infection of Nasal Cavity	Edit
1255	Which of the following functions is blocked last when a local anesthetic is applied to a nerve?	A) Motor function B) Pain sensation C) Muscle tone D) Sympathetic activity	Edit
1256	The height of baby doubles in:	A) 12 months B) 24 months C) 18 months D) 48 months	Edit
1257	As the age of a person increases, the ability to hear decreases. The condition is called	A) Senile dementia B) Otomycosis C) Presbyopia D) Presbycusis	Edit
1258	The first step performed to set up a sterile field is to:	A) Open the sterile package B) Pour solutions that will be used during the procedure C) Hand washing D) Use sterile Gloves	Edit
1259	Which of the following Hepatitis is only transmitted through feco-oral route?	A) Hep-A B) Hep-B C) Hep-D D) Hep-E	Edit
1260	All of the following are bactericidal except :	A) Aminoglycoside B) Penicillin C) Isoniazid D) Tetracycline	Edit
1261	Malaria is transmitted by	A) Plasmodium species B) Aedes C) Male anopheles D) Female anopheles	Edit
1262	The best index of air pollution is:	A) Carbondioxide B) Sulphur dioxide C) Carbon Monoxide D) Hydrocarbon	Edit
1263	Inhaled foreign body usually lodges in the :	A) Apex of the left lung B) Apex of the right lung C) Lower lobe of left lung D) Lower lobe of right lung	Edit
1264	Which of the following is the most common type of bleeding?	A) Arterial Bleeding B) Venous bleeding C) Capillary Bleeding D) All of the above	Edit
1265	The richest source of calcium containing food is:	A) Yellow fruits like mangoes B) Green leafy vegetables C) Dairy products D) Cereals and pulses	Edit
1266	Single most useful test for identifying individuals at high risk of developing CHD is:	A) BP B) Serum Cholesterol C) Sedentary Lifestyle D) Age	Edit
1267	How scabies disease communicated from one person to another person?	A) by air B) from noise C) from water D) personal contact	Edit
1268	The most appropriate test to assess the prevalence of Tuberculosis Disease in a community is	A) X Ray B) Sputum microscopy C) Sputum Culture D) Tuberculin Test	Edit
1269	In adult, Ratio of Chest Compressions and Ventilation in CPR if 2 rescuer's are present is......	A) 30:2 B) 15:2 C) 5:1 D) 3:1	Edit
1270	Which of the following disease is not example of water related disease?	A) Malaria B) Filariasis C) Dengue D) Schistosomiasis	Edit
1271	The health worker anticipates that the immunosuppressed patient is at greatest risk for which type of shock?	A) Cardiogenic shock B) Septic shock C) Anaphylactic shock D) Hypovolemic shock	Edit
1272	The lateral ventricles communicates with the third ventricle through:	A) Foramen of Monro B) Foramen of Luschka C) Foramen of Magendie D) Cerebral Aqeuduct	Edit
1273	Road to health chart was first designed by:	A) WHO B) Michael Faraday C) UNICEF D) David Morley	Edit
1274	Maximum power of destruction of a disease in a community is measured by:	A) Survival Rate B) Case Fetality Rate C) Specific Death Rate D) Proportional Mortality Rate	Edit
1275	Humoral antibodies are produced by:	A) B cells B) T cells C) Plasma Cells D) Globulins	Edit
1276	Which of the following communicable disease is the commonest in swimming pools:	A) Scabies B) Conjunctivitis C) Dysentary D) Diarrhoea	Edit
1277	A client has diagnosed with appendicitis. He develops a fever, hypotension and tachycardia. The health worker suspects which of the following complication:	A) Intestinal obstruction B) Peritonitis C) Bowel Ischemia D) Deficient Fluid Volume	Edit
1278	Best way for prevention of dental disease:	A) proper regular check up with dentistry B) avoid the sweetness food C) proper oral hygiene D) proper tooth scalling	Edit
1279	Normal fluid level in the pericardial cavity:	A) 200 ml B) 150 ml C) 100 ml D) 50ml	Edit
1280	Which of the following blood group is universal receiver?	A) A B) B C) AB D) O	Edit
1281	Pica is one of the disorders of infancy and early childhood. It is a..	A) Eating disorder B) Sleeping disorder C) Conduct disorder D) Speech disorder	Edit
1282	Pyometra is collection of pus in.	A) Cervix B) Uterus C) Vagina D) Overy	Edit
1283	Sexually transmitted disease is higher among the following except:	A) Separated person B) Divorced person C) Singles D) Married couple	Edit
1284	Which of the following does not cause hardness of water?	A) Calcium carbonate B) Calcium sulphate C) Calcium Bicarbonate D) Magnesium bicarbonate	Edit
1285	The family planning service comes under...........services.	A) Promotive health services B) Preventive health services C) Curative health service D) All of the above	Edit
1286	Health Post & PHCCs submits monthly HMIS report with:	A) HMIS 9.1 B) HMIS 9.3 C) HMIS 9.5 D) HMIS 9.6	Edit
1287	The most common complication of chicken pox is:	A) Aseptic meningitis B) Otitis media C) Hemorrhage D) Secondary bacterial infection	Edit
1288	Who is the chairman of Health facility organizing & management Committee (HFOMC) of health post?	A) Health post incharge B) Mayor of the Palika C) President of related ward D) Nominated person by ministry of health	Edit
1289	Which of the following is a classical feature of uterine fibroid?	A) Menorrhagia B) Lower abdominal pain C) Dysmenorrhea D) Purulent vaginal discharge	Edit
1290	What is Socratic method of communication?	A) Communication in which audience does not participate B) Two-way communication C) Visual communication D) Telecommunication	Edit
1291	In which type of leadership style, there is no control of leaders to the members?	A) Autocratic B) Democratic C) Laissez faire D) All of the above	Edit
1292	Unmet need of Family Planning as per NDHS 2022 is	A) 18% B) 21% C) 24% D) 26%	Edit
1293	EDCD started distribution of LLIN since,	A) 2002 AD B) 2005 AD C) 2006 AD D) 2008 AD	Edit
1294	When was the 4th amendment of Nepal Health service Act done ?	A) 2070/12/12 B) 2055/10/28 C) 2053/11/15 D) 2056/04/29	Edit
1295	The target of the second long term health plan is to decrease the percentage of iron deficiency anemia among pregnant is upto	A) 12% B) 15% C) 35% D) 40%	Edit
1296	"Essential health care made universally accessible to all individuals In a community through full Participation of its members by means That are acceptable to them and at a cost the community And the Country can afford" this is the definition of:	A) Basic health services B) Comprehensive Health care C) Primary health care D) Integrated health care	Edit
1297	Which of the following statements is not true regarding Organogram of MoHP	A) Three departments B) Five division C) Six Council D) None of the above	Edit
1298	Which of the following is a risk factor for the development of Atherosclerosis and CVD?	A) High levels of LDL B) High level of HDL C) Low triglycerides D) Low levels of LDL	Edit
1299	Gray baby syndrome is associated with the use of:	A) Tigecycline B) Chloramphenicol C) Tetracycline D) Amikacin	Edit
1300	A child is brought to you with severe burn. What would you prefer to do first?	A) Clean with water B) Balance body fluids and electrolytes C) Leave her sometimes D) Apply antiseptic first	Edit
1301	The PMTCT program was launched in:	A) 2005 B) 2009 C) 2011 D) 2015	Edit
1302	Which is not neurotic disorder?	A) Mania B) Anxiety disorders C) Panic disorder D) OCD	Edit
1303	Refresher training is conducted in every.	A) 10 year for 10 days B) 5 year for 5 days C) 10 years for 4 days D) 4 year for 4 days	Edit
1304	Which of the following vaccines is contraindicated in Pregnancy	A) MMR B) Rabies C) Tetanus Toxoid D) Hepatitis A	Edit
1305	Which of the following statements is not true?	A) Lecture method is the didactic method of teaching B) GATHER is useful for counseling C) Best method of teaching an urban slum about ORS is demonstration D) Group approach is used for HIV pretest counseling	Edit
1306	Excessive frequency of menstruation is called:	A) Oligomenorrhea B) Dysmenorrhoea C) Menorrhagia D) Polymenorrhea	Edit
1307	Studying distribution of disease or health related characteristics in Human population and identifying the characteristics with which Disease seem to be associated is:	A) Descriptive epidemiology B) Experimental Epidemiology C) Analytical epidemiology D) Ecological Epidemiology	Edit
1308	Which of the following is used to test efficiency of sterilization of an autoclave?	A) Bacillus substilis B) Clostridium tetani C) Bacillus stearothermophilus D) Bacillus pumilus	Edit
1309	Which of the following is used to prevent transmission of HIV from an infected pregnant mother to a newborn child?	A) Lamivudine B) Nevirapine C) Stavudine D) Didanosine	Edit
1310	True about pertussis is:	A) Most of the infections are subclinical B) The most infective stage is the paroxysmal stage C) Drug of choice is erythromycin D) Cerebellar ataxia may be a chronic common complication	Edit
1311	If the birth weight is 3 kg by the end of one year of age it should become:	A) 6 kg B) 9 kg C) 12 kg D) 15 kg	Edit
1312	A daily water supply considered adequate to meet the need for all urban domestic purposes is............... per capita	A) 10 liters B) 40-60 liters C) 150-200 liters D) 200-250 liters	Edit
1313	Best way to control houseflies:	A) Eliminate breeding places B) Insecticide spray C) Bed net use D) Paris green	Edit
1314	Trickling filter is used in:	A) Primary treatment of sewage B) Secondary treatment of sewage C) Sewage effluent treatment D) Sewage farming treatment	Edit
1315	Most common cause of Vesico-Vaginal Fistula (VVF) in developing countries is	A) Obstructed Labour B) Forceps delivery C) Wertheim hysterectomy D) vaginal hysterectomy	Edit
1316	Which of the following is the earliest sign of Magnesium toxicity in a patient with eclampsia treatment with magnesium sulphate?	A) Cardiac arrest B) Loss of deep tendon reflexes C) Respiratory depression D) Decreased urine output	Edit
1317	Cataract in diabetes is due to accumulation of__________in lens:	A) Sorbitol B) Glucose C) Galactose D) Fructose	Edit
1318	A 4-8 years old boy tries to be very clean, wears nice clothes, is Meticulous and complains of palpitation and apprehension particularly before exam can be diagnosed as:	A) Schizophrenia B) Anxiety disorder C) Sexual abuse D) Depressive	Edit
1319	What is not a feature of alcohol withdrawal?	A) Tremor B) Delirium C) sweating D) Depressed mood	Edit
1320	HbA1C level in blood explains:	A) Acute rise of blood sugar B) Long term status of Blood sugar C) Hepatorenal syndrome D) Chronic pancreatitis	Edit
1321	The most common type of delusion in Schizophrenia is,	A) Delusion of reference B) Delusion of persecution C) Delusion of grandeur D) Nihilistic delusion	Edit
1322	Blood specimen for neonatal thyroid screening is obtained on:	A) Cord blood B) 24 hrs after birth C) 48 hrs after birth D) 72 hrs after birth	Edit
1323	A 23 years old male working in an iron factory visited the hospital for taking his TT dose. Injectable tetanus toxoid (TT) is an example of which of the following immunity?	A) Active immunity B) Passive Immunity C) Native Immunity D) Innate Immunity	Edit
1324	The best indicator of use of hospital is	A) Case fatality rate B) Bed occupancy rate C) Emergency enrollment rate D) OPD visit rate	Edit
1325	The earliest clinical sign of improvement during PEM treatment is:	A) Hair color changes B) Appetite gain C) Weight gain D) Increase in height	Edit
1326	Infant eye is	A) Emmetropic B) Myopic C) Hypermetropic D) None	Edit
1327	Most common cause of Maternal Mortality in Nepal is:	A) Abortion B) Obstructed Labour C) Toxemia of Pregnancy D) Post Partum Haemorrhage	Edit
1328	A disease is called endemic when it:	A) Occurs in more than one geographical area B) Occurs in more than one season C) constantly present at low rates in a specified geographical Area D) Occurs in a frequency more than expected in a specified Geographical area	Edit
1329	The first in the health planning cycle:	A) Identifying B) Community Assessment C) Community diagnosis D) Setting priorities	Edit
1330	Counseling is most important communication method because:	A) It builds Rapport B) It helps to know the client need and help to make appropriate decision C) It gives way to solve problems D) It maintains patience	Edit
1331	In which article of "The constitution of Nepal" has made the Provision of "Right to Health".	A) Article 33 B) Article 35 C) Article 37 D) Article 39	Edit
1332	Which disease is related with protein deficiency, severe edema, Hair discoloration but can be Reversed with a high protein diet?	A) Kwashiorkor B) Marasmus C) Stunting D) Underweight	Edit
1333	All are vitamin K dependent clotting factors except	A) II B) V C) VII D) X	Edit
1334	Functions of female community health volunteers include all except:	A) Distribute Vitamin A B) Administration of polio drop C) Distribute oral contraceptives D) Malaria surveillance	Edit
1335	Dictatorship is an example of	A) Autocratic Leadership style B) Democratic Leadership style C) Leissez fair type of leadership D) Re creative leadership style( changed)	Edit
1336	which of the following is a prime health risk associated with greater ultra violet radiation due to depletion of stratospheric ozone:	A) Damage to the digestive system B) Increase liver cancer C) Neurological disorder D) Increase skin cancer	Edit
1337	Urea is synthesized in:	A) Liver B) RER C) Kidney D) Spleen	Edit
1338	Level of resistance of a community or group of people to a particular Disease is:	A) Passive immunity B) Active immunity C) Herd immunity D) None of the above	Edit
1339	MC cause of intra uterine infection	A) Rubella B) Toxoplasma C) Hepatitis D) CMV	Edit
1340	Which of the following is not a preventive measure of hookworm Infestation?	A) Health education B) Prevent soil contamination through construction of latrine C) Prevent from sharing of food and bed of infected person D) Early diagnosis and prompt treatment	Edit
1341	Which of the following is the food born disease due to toxin produced by bacteria?	A) Lathyrism (BOAA) B) Aflatoxin C) Ergot D) Botulism	Edit
1342	Baby friendly hospital initiative was established in	A) 1991 B) 1995 C) 1998 D) 1891	Edit
1343	How many health workers are required for 5 beded primary hospital at the local level ?	A) 15 B) 18 C) 22 D) 30	Edit
1344	Abortion legalized in nepal in	A) 2002 AD B) 2003 AD C) 2004 AD D) 2005 AD	Edit
1345	What is the current Maternal Mortality Ratio of Sudurpascchim Province?	A) 125 per lakh live birth B) 130 per lakh live birth C) 140 per lakh live birth D) 151 per lakh live birth	Edit
1346	Female sterilization according to NDHS 2022 is	A) 9% B) 12% C) 15% D) 13%	Edit
1347	The duration of the second-long term health plan (SLTHP) is	A) 10 years B) 15 years C) 17.5 years D) 20 years	Edit
1348	The sound produced during percussion on urinary bladder	A) Resonance B) Hyperresonance C) Dull D) Tympany	Edit
1349	Set of rules for carrying work is called as	A) Method B) Rule C) Procedure D) schedule	Edit
1350	A mother complains of cramps in her breasts while breastfeeding her child. Which hormone is responsible for this?	A) Progesterone B) Estrogen C) Prolactin D) Oxytocin	Edit
1351	Second degree burn is	A) Erythema B) Full thickness C) Partial thickness D) None	Edit
1352	In which position oral care of unconscious patient is done	A) High fowlers position B) Side lying C) Dorsal recumbent D) Sims	Edit
1353	Commonly used bed in nepal is	A) Manual B) Hydraulic C) Electric D) None	Edit
1354	Best site for taking temperature is	A) Oral B) Axilla C) Rectum D) Tympanum	Edit
1355	Schilling test involved the collection of	A) Urine B) Blood C) Stool D) Sputum	Edit
1356	A pregnant woman comes to the clinic. She already has twins by normal delivery. Which of the following is the correct representation of her obstetric score?	A) G3P2 B) G3P1 C) G2P1 D) G2P2	Edit
1357	Second stage of labour ends with	A) Full dilation of cervix B) Delivery of placenta C) Delivery of baby D) True labour pain	Edit
1358	The best indicators for routine monitoring of air pollution are?	A) Sulfur dioxide, smoke, and suspended particles B) Sulfur dioxide, lead, and particulate matter C) Sulfur dioxide and carbon monoxide D) Carbon monoxide and hydrogen sulfide	Edit
1359	The total fluid in body is	A) 40 L B) 42 L C) 44 L D) 46 L	Edit
1360	The incidence of a disease in 4 per 1000 of the population with an average duration of 2 years. What is the prevalence?	A) 16/1000 B) 2/1000 C) 4/1000 D) 8/1000	Edit
1361	When a fits come multiple times without conscoiusness it is called	A) Eclampsia B) Pre -eclampsia C) Status epilepticus D) Convulsion	Edit
1362	A child is able to dress and undress himself at the age of	A) 5 yrs B) 4 yrs C) 3 yrs D) 1 years	Edit
1363	The height of a child is 90 cm who was normal at the time of birth what could be the age of child ?	A) 3 month B) 9 month C) 1 year D) 2 year	Edit
1364	Administration of DPT vaccine is Contraindicated in	A) URTI B) Diarrhoea C) Fever D) None	Edit
1365	Smoking by mother can cause newborn	A) LBW B) Preterm baby C) Heart disease D) Lung disease	Edit
1366	In which of the following condition vaccine should not be given to child	A) Fever B) Common cold C) Loose motion D) Severe pneumonia	Edit
1367	Bleeding can be due to all of the following causes except	A) Thrombocytopenia B) Decrease in calcium C) deficiency of coagulation factors D) Deficiency of white blood cells	Edit
1368	Which of the following prevents intravascular clotting	A) Thromboplastin B) Fibrinogen C) Heparin D) Histamine	Edit
1369	All of the following drug produce physical dependence except	A) Cocaine B) Barbiturate C) Alcohol D) Heroin	Edit
1370	Light with greater frequency is,	A) Yellow B) Violet C) Blue D) Red	Edit
1371	Most common presenting clinical feature in case of rupture of urethra is	A) Haematuria B) Pain C) Discharge D) Oliguria	Edit
1372	Not a feature of phimosis	A) Discharge from urethral meatus B) Dribbling of urine C) Difficulty in passing urine D) Ballooning of prepuce	Edit
1373	The sample survey means ......	A) Household survey B) Some porportion of the total population C) both a and b D) All	Edit
1374	National tuberculosis center is present in	A) Pokhara B) Janakpur C) Kathmandu D) Bhaktapur	Edit
1375	The responsibility of transfer of health workers within province is	A) DHO B) MOSD C) DOHS D) All	Edit
1376	What is the normal size of flip chart	A) 18×20 " B) 18×24" C) 23×20" D) 18×26"	Edit
1377	A drinking water and well should be _______ feet away from source of a contamination	A) 15 B) 50 C) 75 D) 100	Edit
1378	The process of water storage reduced the content of free ammonia	A) Physical process B) Biological process C) Chemical process D) All	Edit
1379	In case of cobra bite the main effect is in	A) Haematology B) Cardiology C) Nervous system D) Kidney	Edit
1380	Rule of 9 is associated with	A) Wound B) Fractured C) Cleft lip D) Burn	Edit
1381	A young man gets fractured his humerus will be cured in,	A) 7 days B) 1 month C) 6 month D) 1 year	Edit
1382	A sudden fright or bad news may cause	A) anaphylactic shock B) neurogenic shock C) Toxic shock D) Hypovolemic shock	Edit
1383	The spread of schistosomiasis, a vector borne disease has the following pattern:	A) man - arthropod B) mamamal-arthropd -man C) Man- snail - man D) bird - arhropod - man	Edit
1384	Incubation period of Dengue fever is	A) 10-14 days B) 5 - 15 days C) 2-6 days D) 2-21 days	Edit
1385	Study about dose of a drug is called	A) Pharmacy B) Pharmacognosy C) Posology D) Pharmacology	Edit
1386	In order to reach the demographic goal of NRR = 1, the couple protection rate should exceed:	A) 50% B) 40% C) 70% D) 60%	Edit
1387	A paradoxical carrier is defined as:	A) A person who sheds pathogens during incubation period B) A carrier who acquired pathogen from another carrier C) A person who acquired pathogen from patient D) A patient who became a carrier	Edit
1388	Which of the following vaccine is contraindicated in pregnancy?	A) Hepatitis A B) Hepatitis B C) Rabies D) Varicella	Edit
1389	Cinical imporance of lymph is	A) They wash out microbes B) They carry tumor to distant site C) Obstruction causes oedema D) All of the above	Edit
1390	Least blood pressure is at	A) Vein B) Venacava C) Aorta D) Capillary	Edit
1391	A person comes to you, He was acutely hysterical. After doing arterial blood gas analysis, his pH is 7.55, pCO2 is 20 mm Hg, plasma HCO3 level is 20 mEq/L. What is your interpretation?	A) Respiratory Acidosis B) Respiratory Alkalosis C) Metabolic Acidosis D) Metabolic Alkalosis	Edit
1392	Role of antibiotics in pertussis is to:	A) Reduce the severity of spasms B) Reduce the frequency of spasms C) Shorten the duration of illness D) Control the secondary bacterial infection	Edit
1393	The first person becoming sick in an epidemic is:	A) primary case B) contact case C) index case D) secondary case	Edit
1394	Toxicity of local anaesthetics involves the following organs except	A) Heart B) Brain C) Kidney D) Skin and subcutaneous tissue	Edit
1395	If a child with diarrhea registers two signs in the yellow row in the IMCI Chart, we can classify the patient as:	A) Moderate dehydration B) Some dehydration C) Severe dehydration D) No dehydration	Edit
1396	Percussion note on pneumothorax is:	A) Stony dull B) Resonance C) Hyper-resonance D) Impaired	Edit
1397	What would be the primary goal of therapy for a client with pulmonary edema and heart failure?	A) Enhance comfort B) Increase cardiac output C) Improve respiratory status D) Improve respiratory status	Edit
1398	Which drug is contraindicated for the client having the problem of gastric ulcer?	A) Antibiotic B) Antacids C) Salicylic acid D) Laxatives	Edit
1399	All of the following are the risk factors for Urinary Tract Infection EXCEPT:	A) Sexual intercourse B) Uterine prolapse C) Use of diaphragm and spermicide D) irregular menses	Edit
1400	The metabolic rate is controlled by:	A) Liver B) Thyroid C) Pituitary D) Pancreas	Edit
1401	Only objective way of monitoring the benefits of treatment of leprosy is:	A) Lepromin test B) Morphology index C) Histamine index D) Bacteriological index	Edit
1402	Carbon monoxide is a poisonous gas. One of the following is not true about it:	A) Odourless gas B) Bitter in taste C) Suffocation if present in 0.1% D) May death occur at 0.4%	Edit
1403	All of the following are the treatment of poisonous snake bite. Among them the specific one is:	A) Immobilization of the bitter part B) Application of tourniquet proximal to the bite C) Incision at the bitter area and suction of the venom D) Injection of antisnake venom	Edit
1404	A young man gets fractured his humerus. He will be cured in:	A) 7 days B) 1 month C) 6 months D) 1 year	Edit
1405	Brain can survive for............... after the stoppage of heartbeat.	A) 1 minute B) 4 minutes C) 10 minute D) 1 hour	Edit
1406	A young person who is smoking for few years, would have which problem as a major consequences:	A) Lung asbestosis B) Tuberculosis C) Emphysema D) Chronic bronchitis	Edit
1407	Which one is not an infectious disease:	A) Chicken pox B) Tuberculosis C) Thyrotoxicosis D) Hepatitis	Edit
1408	A ten year old boy complains of fever,diarrhea with blood and mucus which one of the following answer is correct:	A) Cholera B) Amoebic dysentery C) Bacillary dysentery D) Giardiasis	Edit
1409	Which artery supply blood to the heart:	A) Jugular artery B) Amoebic dysentery C) Coronary artery D) Femoral artery	Edit
1410	Temporary hardness of water can be removed by the following EXCEPT:	A) Boiling B) Addition of lime C) Filtering D) Permutit process	Edit
1411	Government employee get sick leave in a year:	A) 30 days/annum B) 180 days/annum C) 12 days/annum D) 9 days/annum	Edit
1412	Occupational Health is basically:	A) Preventive in nature B) Curative in nature C) Rehabilitative in nature D) None of the above	Edit
1413	Adult requirement of sodium per day is:	A) 5 gm B) 5-10 gm C) 10-15 gm D) 20 gm	Edit
1414	Community Health Diagnosis better indicates the:	A) Diagnosis of community health resource B) Comprehensive assessment of a community C) Study of distribution and determinants of disease in the community D) None of above	Edit
1415	Reduction of incidence unit malaria is no longer for public health problem in an objective of a:	A) Surveillance B) Control C) Eradication D) Consolidation	Edit
1416	Which is the correct sequence?	A) Ovum – Embryo → Fetus B) Embryo→ Ovum → Fetus C) Ovum → Fetus → Embryo D) Fetus → Embryo → Ovum	Edit
1417	In Nepal, the most common form of malnutrition is?	A) Iodine deficiency disorder B) PEM C) Vita. A deficiency D) Iron deficiency anemia	Edit
1418	The First Long Term Health Plan ends by:	A) 1990 B) 1997 C) 2001 D) 2015	Edit
1419	The dermatitis associated with dandruff is called:	A) Atopic dermatitis B) Contact dermatitis C) Seborrhea dermatitis D) Allergic Dermatitis	Edit
1420	Which of the following is the correct sequence of various components of the 'communication process':	A) Receiver, Message, Channel, Feedback, Sender B) Sender, Feedback, Message, Channel, Receiver C) Sender, Message, Channel, Receiver, Feedback D) Message, Sender, Channel, Feedback, Receive	Edit
1421	Theory of web of causation was given by?	A) Mc Mohan and Pugh B) Pettenkoffer C) John snow D) Louis Pasteur	Edit
1422	If the placenta is not delivered within 30 minutes after delivery of foetus, it is called:	A) Retained placenta B) Abnormal placenta C) Vasa previa D) Circumvallate Placenta	Edit
1423	Which of the following urinary Symptoms does the pregnant woman most frequently experience during the first trimester?	A) Dysuria B) Frequency C) Incontinence D) Burning	Edit
1424	The indication of ECT is:	A) Post-partum depression and psychosis B) Severe depression and suicidal risk C) Both 'a' and 'b' D) Epilepsy	Edit
1425	A localized collection of pus is called:	A) Abscess B) Carbuncle C) Gangrene D) Cellulitis	Edit
1426	The condition in which a person can see near object clearly but difficult to see distance objects is called:	A) Myopia B) Hypermetropia C) Presbyopia D) Astigmatism	Edit
1427	Thorough washing and flushing of the wounds for approximately ...........with soap or detergent and plenty of water is required for bite wound.	A) 5 minutes B) 10 minutes C) 15 minutes D) 30 minutes	Edit
1428	A child with diarrhea is observed for the following except:	A) How long the child has diarrhea B) Skin petechiae C) Presence of blood in the stool D) Signs of dehydration	Edit
1429	In measles, a day or two before the appearance of the rash, Koplik's spot appear on the buccal mucosa opposite to the:	A) 1st and 2nd upper molar B) 1st and 2nd lower molar C) 2nd and 3rd upper molar D) 2nd and 3rd lower molar	Edit
1430	Which is not the role of FCHV?	A) Distribution of condom, ORS B) Support health personnel C) Health education to people D) Treatment of cases	Edit
1431	Primary level of Health care is provided by:	A) Health Post B) PHCC C) Both 'a' and 'b' D) None of the above	Edit
1432	A good trainer should:	A) Having good knowledge and skill on subject matter B) Do not be much closed with the trainees C) Give long lecture to the participants D) All of the above	Edit
1433	Need hierarchy theory was formulated by:	A) Maslow B) FW Taylor C) Henry Fayol D) MC Gregor	Edit
1434	According to WHO, the main function of the management is:	A) Planning B) Implementation C) Evaluation D) All of the above	Edit
1435	AIDS develops in _____ percentage of those infected with HIV.	A) 1% B) 10 C) 50 D) 75%	Edit
1436	World mosquito Day is celebrated in:	A) 20 August B) 25 April C) 27 January D) 10 November	Edit
1437	According to NDHS 2022, the percentage of exclusive breast feeding in Nepal is:	A) 66 B) 56 C) 55 D) 85	Edit
1438	All are the key commodities of indicators in CB-IMNCI program EXCEPT:	A) Chlorhexidine B) ORS C) Zinc D) Paracetamol	Edit
1439	The golden thousands day refers to:	A) Birth to 3 years B) Birth to 2 years C) Pregnancy to children up to 2 years D) 28 weeks of gestation to 7 days after	Edit
1440	In line with SDG, Nepal has targeted to decrease under five mortality rate to by 2030 as proposed by National Planning Commission (NPC):	A) 12 per 1000 live births B) 10 per 1000 live births C) 5 per 1000 live births D) 1 per 1000 live births	Edit
1441	Breast feeding week is celebrated from:	A) 1st January to 7th January B) 1st March to 7th March C) 1st August to 7th August D) 7th August to 14th August	Edit
1442	UN Genreal Assembly targeted to end the AIDS epidemic as a public health threat by:	A) 2020 B) 2022 C) 2025 D) 2030	Edit
1443	It is estimated that 1 SBA is required per ....... pregnancies in Terai Region:	A) 50 B) 100 C) 150 D) 200	Edit
1444	What is the child Mortality Rate of Sudurpascchim province according to NDHS 2022 ?	A) 9 B) 28 C) 33 D) 39	Edit
1445	The uppermost organization of health service in Sudurpascchim province is	A) Ministry of social development B) Ministry of Health and Population C) Ministry of Health D) Ministry of science, technology and environment	Edit
1446	What is the most common type of Occupational Carcinoma in skin?	A) Basal cell carcinoma B) Squamous Cell Carcinoma C) Luminal Cell Carcinoma D) None	Edit
1447	The point at which chlorine Demand is met is	A) Chlorine point B) Water point C) Break point D) Bleaching point	Edit
1448	Xerophthalmia is result of deficiency of	A) Vit A B) Vit B C) Vit C D) Vit D	Edit
1449	Which one is the first step of waste management?	A) Transportation B) Segregation C) collection and storage. D) Minimisation	Edit
1450	Which of the Following leadership is called directive leadership?	A) Autocratic leadership B) Democratic leadership C) Leissez faire leadership D) None of the above	Edit
1451	Which of the following IEC material is most appropriate for illiterate people?	A) Poster B) Pamphlets C) Flash card D) Bulletin Board	Edit
1452	Aldosterone mainly acts upon:	A) PCT B) Loop of Henle C) Glomerulus D) Collecting duct	Edit
1453	Intrinsic Factor is produced by	A) Stomach B) Liver C) Pancreas D) Small intestine	Edit
1454	Longest muscle in the body:	A) Biceps B) Triceps C) Sartorius D) Quadriceps	Edit
1455	During first aid, highest priority is given	A) Airway B) Breathing C) Circulation D) Disability	Edit
1456	Basic difference between neurosis and psychosis is:	A) Severity B) Insight C) Clinical feature D) Duration	Edit
1457	Foley's catheter in numbered:	A) According to French B) According to circumference C) According to inner diameter D) According to outer diameter	Edit
1458	Vulnerable to develop hypertension likely to	A) persons who smoke cigarettes B) persons who play football C) persons who are sedentary workers D) persons who are having gastritis	Edit
1459	Most common cause of Hypertension is	A) Acute chronic disease B) Chronic kidney disease C) Essential D) None	Edit
1460	The major way of heat loss is:	A) Conduction B) Radiation C) Evaporation D) Convection	Edit
1461	A 35 year old male comes to an emergency , After doing ABG analysis, His pH is 7.54, PCO2 is 40 mm of Hg, HCO3 is 31 mEq/L. What is the diagnosis?	A) Respiratory Acidosis B) Respiratory Alkalosis C) Metabolic Acidosis D) Metabolic Alkalosis	Edit
1462	Number of bones in thoracic cage is :	A) 24 B) 33 C) 37 D) 45	Edit
1463	Average weight of the lungs is :	A) 250 gm B) 350 gm C) 500 gm D) 600 gm	Edit
1464	Stunting denotes:	A) Low height for age B) Low weight for age C) Low weight for height D) Low weight for age	Edit
1465	The most common cause of per rectal bleeding in child is?	A) Intussusception B) Rectal polyp C) Mega colon D) HSP	Edit
1466	Which if the following part is not affected by rheumatic fever?	A) Heart B) Peritoneum C) Joint D) Subcutaneous nodule	Edit
1467	Which of the following is first antibiotic to be used clinically?	A) Ciprofloxacin B) Penicillin C) Erythromycin D) Tetracycline	Edit
1468	Which vector Borne disease is in the elimination plan?	A) Measles B) Malaria C) Dengue D) Scrub typhus	Edit
1469	A mother may keep baby with KMC for treatment of	A) Hypothermia B) anemia C) Tetanus D) Heart disease	Edit
1470	Antidote of carbon monoxide poisoning	A) Atropine B) Physostigmine C) Vit K D) 100% oxygen	Edit
1471	Adult requirement of sodium per day is	A) 20 gm B) 10-15 gm C) 5-10 gm D) 5 gm	Edit
1472	Which wound is most likely to produce tetanus?	A) Intra oral lacerations B) Crush injury C) Puncture wound D) Frost bite	Edit
1473	When the elevated temperature fluctuates widely but doesn't reaches normal level between fluctuations is called.	A) Constant fever B) Remittent fever C) Intermittent fever D) Relapsing fever	Edit
1474	Night Blindness is caused by	A) Central Retinal vein occlusion B) Dystrophies of retinal rod C) Dystrophies of retinal cones D) Retinal detachment	Edit
1475	Growth chart is a graph plotted with	A) Height and weight B) Age and height C) Age and weight D) Age, height and weight	Edit
1476	Social values are	A) Positive B) Negative C) Both A and B D) None	Edit
1477	What is the laboratory picture of Iron deficiency anemia?	A) Microcytic hypochromic B) Macrocytic hypochromic C) Microcytic Hyperchromic D) Macrocytic Hyperchromic	Edit
1478	From which part of small intestine Vit B12 absorbed?	A) Duodenum B) Jejunum C) Illeum D) All	Edit
1479	Endocytosis, Exocytosis and transcytosis is the example of?	A) Osmosis B) Diffusion C) passive transport D) Active transport	Edit
1480	Risk of cold chain failure occurs highest at:	A) Regional level B) Central level C) District level D) HP/PHC level	Edit
1481	All of the following are mortality indicators, except?	A) MMR B) IMR C) Life expectancy D) Incidence	Edit
1482	Which prevention is best in pre- pathogenesis phase of disease?	A) Primordial prevention B) Primary prevention C) Tertiary prevention D) Secondary prevention	Edit
1483	An injury within 24 hour must be compressed with:	A) Hot B) Cold C) Ice D) should not be compressed	Edit
1484	Which of the following is not the part of small intestine?	A) Duodenum B) Jejunum C) Ileum D) Ilium	Edit
1485	What is the smallest cell in human body ?	A) Nerve cell B) Ovum C) Sperm D) Epithelial cell	Edit
1486	Who is the father of modern Anatomy?	A) Herophilus B) Aristotle C) Andreas vesalius D) Ambrose pare	Edit
1487	Diethylcarbamazine is used to treat mainly which of following disease?	A) Filariasis B) Amoebiasis C) Malaria D) KALA-AZAR	Edit
1488	Which of the following medicine doesn't fall under short-term chemotherapy?	A) Rifampicin B) Ethambutol C) Thioacetazone D) Pyrazinamide	Edit
1489	What is the principle of meaningful learning?	A) Learning should only involve rote memorization B) Learning is best when it is connected to the learner's existing knowledge C) Learning should be based solely on the teacher's expertise D) The learner's interests and motivations should not be considered in the learning process	Edit
1490	A person who harbour the disease without having outwards sign and symptoms is called	A) Patient B) Isolation C) Carrier D) Index person	Edit
1491	Which is the elimination of leprosy	A) Incidence rate below 1 per 1000 B) Prevalence rate below 1 per 10,000 C) Incidence rate below 1 per 10,000 D) Disability rate below 1 per 10,000	Edit
1492	When Public Health act of Sudurpascchim Came into force?	A) 1996 AD B) 1998 AD C) 2003 AD D) 2005 AD	Edit
1493	To support polio eradication activities, surveillance of acute flaccid paralysis for polio was started in Nepal in:	A) 1996 AD B) 1998 AD C) 2003 AD D) 2005 AD	Edit
1494	The SDG target is to increase percentage of deliveries conducted by Skilled Birth Attendants( SBA) will be increases upto:	A) 80% B) 70% C) 90% D) 100%	Edit
1495	Interim plan period is from:	A) 2062/63 to 2064/65 B) 2063/64 to 2065/66 C) 2064/65 to 2066/67 D) 2065/66 to 2067/68	Edit
1496	5. Maternal Mortality Ratio(MMR) is...	A) No.of maternal deaths due to pregnancy and it's complication/Total live births in the same year × 100000 B) No.of deaths due to the pregnancy and it's complications/Total live births in the same year × 100000 C) No.of maternal deaths due to tuberculosis/Total live in the same year × 1000 D) All of the above	Edit
1497	A test done to determine the presence of Salmonella is called:	A) Mountoux test B) Widdal test C) Schick's test D) Albumin test	Edit
1498	You are a health worker in a remote health post and a mother comes to you with a 3 year old baby whose respiratory rate is 60/min and sign of chest indrawing, you would do all except?	A) Treat fever and wheezing B) Give Antibiotics for 5 days C) Refer urgently to District Hospital D) Explain danger signs	Edit
1499	Which of the following is not a major function of off management?	A) Directing B) Budgeting C) Recording and Reporting D) Co operating	Edit
1500	Insecticides spraying program includes control of all diseases except	A) Hepatitis B) Kala-azar C) Malaria D) Encephalitis	Edit
1501	Which of the following is most appropriate for Illiterate people?	A) Role play B) Lecture C) Symposium D) Seminar	Edit
1502	Sputum sample collection for TB should be collected:	A) 2 samples 1 hour apart B) 3 samples 24 hours apart C) 2 samples 24 apart D) only one sample on the spot	Edit
1503	The most common oral disease in Nepal:	A) Dental carries B) Periodontitis C) pericoronotitis D) Cleft lips & other anomalies	Edit
1504	Increase in the number of cell is called	A) Hyperplasia B) Hypertrophy C) Metaplasia D) All of above	Edit
1505	Which are the female reproductive organs?	A) uterus and vagina B) ovaries and vagina C) uterus ovaries and vagina D) uterus and ovaries	Edit
1506	Which of the following Hormonal contraceptives can't be used during Lactation?	A) Mini pills B) IUCD C) COCPs D) Implant	Edit
1507	Which is water borne disease?	A) Malaria B) Polio C) Chiken pox D) Diphtheria	Edit
1508	Which is not a zoonotic disease:	A) Rabies B) Salminellaosis C) Plague D) Epidemic typhus	Edit
1509	Which of the following is not the elements of PHC?	A) MCH and Family planning B) Provision of essential drugs C) Food supply and basic sanitation D) ICU service	Edit
1510	Injection Vit K1 need to be given to newborn IM after Breastfeeding within	A) 15 minutes of delivery B) 30 minutes of delivery C) 1 hour of delivery D) 24 hour of delivery	Edit
1511	Immunization is:	A) Rehabilitation B) early diagnosis and treatment C) specific protection D) Health promotion	Edit
1512	A mental disease in which a person gets delusion of torture is known as:	A) Paranoia B) delirium C) Epilepsy D) depression	Edit
1513	One sachet of ORS contains all of the following except:	A) sodium chloride B) potassium chloride C) Magnesium chloride D) Glucose	Edit
1514	Cullen's sign in pancreatitis is described as:	A) Bluish discoloration around umbilicus B) Bluish Discolouration at loin region C) Tenderness at right lumbar region D) Pain relieved when leaning forward	Edit
1515	Humoral antibodies are produced by:	A) B cells B) T-cells C) plasma cells D) Globulins	Edit
1516	Clinical features of Rickets are all except:	A) pigeon chest B) muscular hypertonia C) harrison's sulcus D) delayed walking and teething	Edit
1517	All are true for iron defeciency anemia except:	A) Low haemoglobin level B) Decrease in red blood cell count C) Macrocytes seen D) target cells seen	Edit
1518	Eye transplantation means_______transplantation	A) lens B) pupil C) cornea D) retina	Edit
1519	Which of the following antitubercular drug reaches high level in CSF?	A) Isoniazid B) Rifampicin C) Pyrazinamide D) Ethambutol	Edit
1520	All the following parasites reside primarily in gut except:	A) A.lumbricoides B) E.vermicularis C) G.lamblia D) L. donvani	Edit
1521	Immediately after delivery, the fundal height remains at :	A) just below umbilicus B) Just above umbilicus C) Xiphisternum D) Just above symphysis pubis	Edit
1522	"Vero cell" vaccine for COVID 19 is	A) Live attenuated vaccine B) Inactivated Vaccine C) Toxoid Vaccine D) Recombinant Vaccine	Edit
1523	Pull system is related to	A) Health Management B) Inventory management C) PHC/ORC management D) Waste management	Edit
1524	Management of acute abdomen includes all of the following, except:	A) NPO B) Broad spectrum Antibiotics C) IV steroids D) Surgery	Edit
1525	The very useful diagnosis for Tuberculosis is:	A) Mountoux test B) Chest X-ray C) Sputum examination D) Sputum culture	Edit
1526	The mesoderm gives to all structures except:	A) nervous system B) muscular system C) gonads D) circulatory system	Edit
1527	Myxodema is the disorder of the gland?	A) pituitary B) thyroid C) parathyroid D) adrenal	Edit
1528	Purpose of stool sample collection are all of the following except?	A) To identify intestinal parasites B) To assess per rectal bleeding C) To perform occult blood test D) To detect jaundice	Edit
1529	Filariasis is caused by	A) sand fly B) mosquito C) nematode D) protozoa	Edit
1530	Which is not the danger sign of ARI	A) continuous coughing B) Chest indrawing C) severe malnutrition D) high grade fever	Edit
1531	Pain associated with Myocardial infraction is caused by:	A) Ischemia of heart muscles B) Damage to the coronary artery C) Damage to the valves of the heart D) Damage to the aorta	Edit
1532	Hemoglobin level less than 5gm% is considered as	A) mild anemia B) moderate anemia C) severe anemia D) None of above	Edit
1533	Inflammation of bladder is called as :	A) Nephritis B) Pyelnephritis C) Ureteritis D) none of above	Edit
1534	Diarrhoea, Dementia and Dermatitis are the clinical manifestations of	A) Vit A deficiency B) Beri beri C) Phrynoderma D) Pellagra	Edit
1535	Gas exchange occurs through which process in lungs	A) Osmosis B) Diffusion C) Active Transport D) Both A and B.	Edit
1536	Which is not the medical emergency?	A) Bronchial asthma B) Poisioning C) Corpumonale D) HIV/AIDS	Edit
1537	All of the following are examples of iatrogenic disease, except?	A) Hepatitis B following blood transfusion B) Reaction to vaccine after immunization C) Infection of surgical wound D) Aplastic anemia following use of chloramphenicol	Edit
1538	Colour halos around light is the key features of	A) Trachoma B) Glaucoma C) Cataract D) Conjunctivitis	Edit
1539	Yellow fever is transmitted by:	A) Culex B) Anopheles C) Aedes D) All of above	Edit
1540	Which is not the major manifestation of Rheumatic fever?	A) Carditis B) polyarthritis C) Fever nodule D) Subcutaneous nodules	Edit
1541	EDCD finished the first micro stratification of malaria in	A) 2012 AD B) 2014 AD C) 2016 AD D) 2019 AD	Edit
1542	When Safe Delivery Incentive Program endorsed in Nepal?	A) 2003 AD B) 2005 AD C) 2008 AD D) 2011 AD	Edit
1543	In Nepal, Immunization program was first started with,	A) 2 antigens B) 3 antigens C) 4 antigens D) 5 antigens	Edit
1544	What is the TFR of Sudurpascchim Province according to NDHS 2022 ?	A) 2.1 B) 2.3 C) 3.5 D) 2.5	Edit
1545	The fracture that is most common in children is	A) supracondylar fracture of tibia B) supracondylar fracture of humerus C) colles fracture Adult D) neck of femur fracture	Edit
1546	The relationship of the long axis of the fetus to the long axis of the uterus is	A) lie B) position C) attitude D) station	Edit
1547	Which of the following is not the part of the brainstem?	A) pons B) midbrain C) cerebellum D) medulla	Edit
1548	Mental disease can be treated by all of the following except? .	A) counseling B) medicine C) rehabilitation D) evaluation	Edit
1549	IQ level between 50-70 would be classified as what kind of mental retardation?	A) mild B) moderate C) severe D) borderline	Edit
1550	Which of the following is the positive sign for pregnancy?	A) amenorrhea B) quickening C) FSH scanned by USG D) softening of cervix	Edit
1551	A child waves bye, bye in.............	A) 6 months B) 9 months C) 12 months D) 15 months	Edit
1552	The most freeze sensitive vaccine is ......	A) OPV B) measles C) hepatitis B D) TT	Edit
1553	Rule of nine is related to burn. who is responsible for the rule of nine in burn patients?	A) parkland B) Johns C) Rawson D) Wallace	Edit
1554	Which of the following is not the feature of hypovolemic shock?	A) tachycardia B) hypotension C) hypertension D) increased CRT	Edit
1555	Mosquito transits all of the following diseases except...	A) leishmaniasis B) filariasis C) malaria D) yellow fever	Edit
1556	Mature cells in the bone are called as ........	A) chondroblasts B) osteoblasts C) chondrocytes D) osteocytes	Edit
1557	ADH is produced from	A) anterior pituitary B) posterior pituitary C) Hypothalamus D) adrenal gland	Edit
1558	heart rate is maximum in	A) old age B) adult C) newborn D) fetus	Edit
1559	Where does fat digestion occur?	A) mouth B) stomach C) duodenum D) Ileum	Edit
1560	4T is related to the cause of which of the following problem?	A) ante partum hemorrhage B) post abortal hemorrhage C) post coital hemorrhage D) post partum hemorrhage	Edit
1561	The drug of choice for gonorrhea is	A) azithromycin B) ceftriaxone C) amoxicillin D) doxycycline	Edit
1562	The numerator is not the component of denominator in	A) rate B) ratio C) Proportion D) None	Edit
1563	Prevention of emergence or development of risk factors is a type of	A) Primary prevention B) Secondary prevention C) Tertiary prevention D) Primordial prevention	Edit
1564	Prevalence of disease is estimated from	A) case control study B) cross sectional study C) cohort study D) randomized trial	Edit
1565	National vitamin A programme was initiated in:	A) 1981 B) 1992 C) 1993 D) 1994	Edit
1566	Which of the following does not fall under planning?	A) Follow up B) Plan formulation C) Execution D) Evaluation	Edit
1567	Pyridoxine is the name for	A) Vitamin B6 B) Vitamin B12 C) Vitamin B1 D) Vitamin D4	Edit
1568	Which antibody is at the higher concentration in colostrum?	A) IgG B) IgM C) IgA D) IgE	Edit
1569	The highest source of energy among the following is:	A) Fat B) Carbohydrate C) Protein D) Minerals	Edit
1570	The reference protein is	A) Egg B) Milk C) Soybean D) Meat	Edit
1571	WHO day is celebrated on	A) July 7 B) March 7 C) April 7 D) June 7	Edit
1572	Which of the following is not included in the eight elements of PHC?	A) Essential drugs B) Safe drinking water and sanitation C) Maternal and child health D) Occupational health	Edit
1573	After giving magnesium sulphate for severe preeclampsia, the nurse should observe the signs of toxicity. Which of the following is not a sign of magnesium toxicity?	A) absent patellar reflex B) decreased respiration rate C) decreased urine output D) non reactive pupil	Edit
1574	Which of the following is not the risk factor for cervical cancer?	A) nulliparity B) smoking C) sex at an early age D) multiparity	Edit
1575	Physiological anemia during pregnancy is a result of	A) decreased dietary intake of iron B) increased plasma volume of mother C) decreased erythropoiesis in pregnancy D) increased demand of fetus	Edit
1576	Most common cause of first trimester abortion is	A) Cervical incompetency B) drugs C) fibroid uterus D) chromosomal abnormality	Edit
1577	Nuptiality refers to	A) Death B) Birth C) Marriage D) Fertility	Edit
1578	Which of the following is the best indicator of health status of a community?	A) Birth rate B) Infant mortality rate C) Crude death rate D) None of the above	Edit
1579	Most useful single measure of mortality is,	A) Case fatality rate B) CDR C) ASDR D) Proportional Mortality rate	Edit
1580	Garbage is responsible for transmitting	A) Kala-azar B) Malaria C) JE D) Plague	Edit
1581	Guinea worm is............disease.	A) Water based B) Water borne C) Water washed D) Water related insect vector	Edit
1582	Ergonomics is related to	A) Economics B) Agriculture C) occupational hazards D) Agricultural economics	Edit
1583	For collection of hazardous waste, color of bin is	A) black B) yellow C) red D) green	Edit
1584	Biological layer is present in	A) Rapid sand filter B) Slow sand filter C) Reed bed system D) Mechanical filter	Edit
1585	According to AH Maslow "Love is...........	A) Physiological need B) Safety need C) Social need D) Self esteem need	Edit
1586	Which is the best way of changing the behavior?	A) Incentives B) Internalization C) Identification D) Enforcement	Edit
1587	Motivation to the people in changing health behavior is	A) Incentives B) counseling C) Education D) All of the above	Edit
1588	Which of the following is the objective of health education?	A) Awareness interest adoption B) Information motivation guiding into action C) Interest participation and reinforcement D) Evaluation motivation and implementation	Edit
1589	Creative ideation is also known as	A) Brain storming B) Work shop C) Symposium D) all	Edit
1590	Total number of Health offices in Sudurpascchim province is	A) 8 B) 9 C) 13 D) 15	Edit
1591	How many department falls under MoHP ?	A) 5 B) 11 C) 3 D) 6	Edit
1592	All levels or management between supervisory level and top level of the organizations are termed as:	A) Middle manager B) First line manager C) Supervisor D) Foreman	Edit
1593	In which management system EOP is included?	A) Health management B) Infrastructure management C) Logistics management D) Information management	Edit
1594	Ideal contraceptive for lactating mother:	A) POP B) IUCD C) Lactation amenorrhea D) Barrier methods	Edit
1595	All are the risk factors for carcinoma of cervix except:	A) Multiple sexual partners B) Oral contraceptive users C) Genital warts D) Nulliparity	Edit
1596	Cervical excitation is the sign of	A) Fibroid B) Endometriosis C) Pregnancy D) PID	Edit
1597	The daily requirement of iodine for adult is:	A) 50 µg/day B) 100 µg/day C) 150 µg/day D) 200 µg/day	Edit
1598	Citrate has been added to conventional ORS to:	A) improve chloride absorption B) to correct acidosis C) improve glucose absorption D) stabilize ORS	Edit
1599	BCG vaccine should be	A) intravenous B) intramuscular C) sub-cutaneous D) intradermal	Edit
1600	Which of the following is not among four rules of domestic treatment of diarrhoea for under five children?	A) give the child liquid diet frequently B) give the child zinc tab for 10 days C) give Cotrimoxazole D) consult the nearest health facility in care of seriousness of child	Edit
1601	All the following are included in 'IMNCI' except:	A) malaria B) malnutrition C) tuberculosis D) ARI	Edit
1602	Which one of the exposure has highest efficiency of transmission of AIDS?	A) contaminated blood transfusion B) intravenous drug uses C) sexual intercourse D) infected mother to child	Edit
1603	The FCHV program strategy has been latest revised in	A) 2067 B) 2069 C) 2074 D) 2076	Edit
1604	Health Insurance Act was given in year	A) 2072 BS B) 2073 BS C) 2074 BS D) 2075 BS	Edit
1605	Which of the following is NOT Correct?	A) Uterus - Hysteritis B) Fallopian tube - oopharitis C) Breast - Mastitis D) Glans penis - Balanitis	Edit
1606	Blood volume in infants is:	A) 70 mL/kg B) 60 mL/kg C) 80 mL/kg D) 90 mL kg	Edit
1607	Bleeding within 24 hours after tonsillectomy surgery is,	A) Primary hemorrhage B) Reactionary Hemorrhage C) Secondary Hemorrhage D) Tertiary Hemorrhage	Edit
1608	Earliest symptom of acute appendicitis	A) Pain Abdomen B) Vomiting C) Fever D) Diarrhea	Edit
1609	In management of intestinal obstruction which statement is false ?	A) NPO and Aspiration with Naso gastric tube B) Correct dehydration C) Explorative laparotomy D) None of above	Edit
1610	First antibiotic to be used clinically,	A) Ciprofloxacin B) Penicillin C) Erythromycin D) Tetracycline	Edit
1611	Common complication of tonsillitis is:	A) Nephritis B) Hemorrhoids C) Hepatitis D) Bronchitis	Edit
1612	A blind tract lined by granulation tissue from an epithelial surface in surrounding tissue:	A) Ulcer B) Sinus C) Fistula D) Cavity	Edit
1613	The primary health outreach clinic (PHC ORC) was initiated in	A) 2050 BS B) 2051 BS C) 2052 BS D) 2053 BS	Edit
1614	The risk factor of heart attack is:	A) Hypertension & Diabetes mellitus B) Cigarette smoking & Hypercholesteremia C) Both A & B D) None	Edit
1615	Removing leech from the nose is:	A) put hypertonic saline in the nasal cavity repeatedly so that the leech becomes inactive B) Remove it using mosquito artery forceps C) Refer to hospital D) Both A & B	Edit
1616	The common cause of cirrhosis of liver is	A) Alcohol consumption B) High intake of protein C) Diabetes D) Hypertension	Edit
1617	The first step in investigation of an epidemic is:	A) Data analysis B) Defining the risk population C) Verification of disease D) None of the above	Edit
1618	Which is the common disease caused by anaerobic bacteria?	A) TB B) Tetanus C) Measles D) Polio	Edit
1619	Mycotoxins are produced by:	A) Algae B) Bacteria C) Protozoa D) Fungi	Edit
1620	Pigs and dogs are the sources of human infection by following parasite, except:	A) Echinococcus granulosus B) taenia solium C) Ascaris lumbricoides D) Trichinella	Edit
1621	Which disease is known as "Koch disease"?	A) TB B) Typhoid C) Leprosy D) Plague	Edit
1622	Which one is the most common species of malaria parasite found in Nepal?	A) P. vivax B) P. falciparum C) P ovale D) P. malaria	Edit
1623	Road traffic injuries are more common in age group	A) 5-10 years B) 10-15 years C) 15-25 years D) 50-60 years	Edit
1624	Vesicular lesion with the pain along the nerve is seen in:	A) Acne B) Herpes zoster C) Psoriasis D) Urticaria	Edit
1625	Which test result should the health worker review to determine if the penicillin prescribed for the client will be effective?	A) Serological test B) Sensitivity test C) Sedimentation rate D) Specific gravity test	Edit
1626	The best method of health education is:	A) Giving Health talk at home B) Demonstration to a group C) Film show D) Setting example	Edit
1627	An assessment of health problems and health status for planning health care service is known as:	A) Clinical diagnosis B) Community diagnosis C) Social diagnosis D) Health evaluation	Edit
1628	How long hands to be rubbed together for effective hand washing ?	A) at least 1 minute B) At least 45 seconds C) At least 20 seconds D) At least 15 seconds	Edit
1629	The gaseous exchange in alveoli is a type of:	A) Simple diffusion B) Osmosis C) Active transport D) Passive transport	Edit
1630	Largest gland in the body:	A) Gall bladder B) Stomach C) Spleen D) Liver	Edit
1631	The Sustainable Development Goal (SDG) related to maternal health is to reduce global maternal mortality rate by 2030 to below.	A) 100/100,000 live births B) 70/100,000 live births C) 50/100,000 live births D) 30/ 100, 000 live births	Edit
1632	Community diagnosis को tool मा के पर्दैन ?	A) Questionnaire B) Observation checklist C) Interview Guidelines D) Health Survey	Edit
1633	Which of the following is a chronic respiratory disorder caused by smoking?	A) Asthma B) Emphysema C) Respiratory Alkalosis D) Respiratory Acidosis	Edit
1634	The system of triage is based upon the following principles of:	A) Treating patients in order of priority B) Treating patient first come first C) Treating patient quickest and easiest first D) Treating those that complain the first	Edit
1635	Which color is given to disaster victims who have sustained severe injuries and need immediate medical help to survive ?	A) Black B) Green C) Red D) Yellow	Edit
1636	The most important part of treatment immediately after the snake bite:	A) Application of tourniquet B) Reassuring a victim C) Injection of anti snake venom D) Incision & suction	Edit
1637	When a disease affects large groups of people in different parts of the world, it is considered to be:	A) Epidemic B) Endemic C) Pandemic D) Sporadic	Edit
1638	The process of water purification that brings reduction in suspended solid particles by combining smaller particles into larger ones is called	A) Flocculation B) Sedimentation C) Filtration D) Disinfection	Edit
1639	When was the Health service act Implemented in Nepal :	A) 2054/11/15 B) 2053/11/15 C) 2054/02/18 D) 2054/03/18	Edit
1640	Kala azar is endemic in How many District ?	A) 64 B) 23 C) 24 D) 18	Edit
1641	The IMCI program started in nepal from	A) 1997 A.D B) 1994 A.D C) 1983 A.D D) 1987 A.D	Edit
1642	PHC/ORC program was piloted in 1994 A.D in all districts except:	A) morang B) lalitpur C) kailali D) bardiya	Edit
1643	How many Health office are there in Sudurpascchim Province?	A) 8 B) 9 C) 10 D) 16	Edit
1644	which of the anti- TB drug causes Hepatitis:	A) Rifampicin B) streptomycin C) pyrazinamide D) Both A & B	Edit
1645	The roof of the nose is formed by :	A) cribriform plate of ethmoid bone B) sphenoid bone C) nasal bone D) all of the above	Edit
1646	EPI program was first started from all district except ?	A) Dhanusa B) Rupandehi C) sindhupalchowk D) Sindhuli	Edit
1647	The main purpose of home visit is :	A) To find the need of community B) To provide nursing care daily C) To immunize children D) To provide permanent means of family Planning	Edit
1648	Disinfectant destroyed all except:	A) Bacteria B) Fungi C) parasite D) spores	Edit
1649	Not classical 4 'A' of bleuler in schizophrenia:	A) Affective blunting B) Automatism C) Autism D) Ambivalence	Edit
1650	Which is not the tool of supervision :	A) checklist B) supervision guidelines C) performance appraisal D) policy manuals	Edit
1651	Which is not an emergency management of golden 1 minutes according to CB-IMNCI management:	A) suction B) bag & mask C) rubbing the back D) kangaroo mother care	Edit
1652	Which of the following is not an objective of health education:	A) informing people B) motivating them C) guiding into action D) following up	Edit
1653	How should you open the airway of an unconscious casualty:	A) Head tilt and chin lift B) jaw thrust C) Head tilt and jaw thrust D) Lift the chin	Edit
1654	Which of the following drugs is used in T.B prophylaxis:	A) Isoniazid B) Rifampicin C) Ethambutol D) Pyrazinamide	Edit
1655	The main hormone secreted by the thyroid gland ?	A) T4 B) T3 C) Both A & B D) TSH	Edit
1656	The most common organisms for UTI is:	A) Proteus B) E.coli C) pseudomonas Hills D) staphylococcus	Edit
1657	Changes in uterus during pregnancy are due to	A) Circulatory changes B) Hormonal changes C) fetal growth D) all of the above	Edit
1658	Nepal health insurance program started from which district:	A) Kailali B) baglung C) illam D) None	Edit
1659	Nepal health service day is celebrated on :	A) Mangsir- 15 B) poush -15 C) magh -15 D) Falgun-15	Edit
1660	What are the common causes of infertility in male people:	A) Testicular failure B) Obstruction C) cryptorchidism D) all of the above	Edit
1661	A 35 year male has BP 180/120 mm of Hg without target organ damage, the case is diagnosed as:	A) Stage-1 hypertension B) Hypertensive urgency C) Hypertensive emergency D) Severe hypertension	Edit
1662	Most common site of Hydatid cyst occurs in	A) Liver B) eye C) kidney D) brain	Edit
1663	The most common cause of Neonatal death is :	A) septicemia B) birth asphyxia C) prematurity D) LBW	Edit
1664	Husband and wife with married son is called :	A) Nuclear family B) Joint family C) Extended family D) none of the above	Edit
1665	Hilton's Method is related to,	A) Abscess drainage B) Treatment of cancer C) First-aid treatment D) None of the above	Edit
1666	The life cycle of plasmodium was discovered by :	A) Ronald ross B) David Morley C) jonas salk D) louis pasteur	Edit
1667	Seasonal trend of disease is due to	A) vector variation B) Environmental variation C) change in herd immunity D) All of the above	Edit
1668	Most common type of pelvic organ prolapse is	A) Cystocele B) Rectocele C) Urethroele D) Uterine Prolapse	Edit
1669	The first step in acute retention of urine is :	A) Hot compression B) catheterization C) prescribe medicine D) consult a doctor	Edit
1670	Which of the following conditions is most commonly responsible for myocardial infarction?	A) Aneurysm B) Heart failure C) Coronary artery thrombosis D) Renal failure	Edit
1671	Facial Nerve is...... Cranial nerve	A) 6th B) 7th C) 8th D) 9th	Edit
1672	Fetal growth is affected mostly by	A) Growth hormone B) Cortisol C) insulin D) Thyroxine	Edit
1673	Unidirectional vertical information is present in :	A) Autocratic B) laissez-faire C) Communist D) Democratic	Edit
1674	In health center, 0.5% chlorine solution ( virex) is prepared by using	A) sodium hypochlorite B) calcium hypochlorite C) potassium hypochlorite D) magnesium hypochlorite	Edit
1675	The most common site for taking temperature is	A) Oral B) axilla C) groin D) rectum	Edit
1676	Most appropriate for a position for a victim of drowning is:	A) supine B) prone C) right lateral D) left-lateral	Edit
1677	When epistaxis occurs , the nose should be pinched for	A) 5 minutes B) 10 minutes C) 15 minutes D) 20 minutes	Edit
1678	Drug of choice for status epileptics	A) lorazepam B) diazepam C) midazolam D) phenobarbitone	Edit
1679	When depo-provera starts to act	A) within 12 hours of administration B) within 24 hours of administration C) after 24 hours of administration D) after 120 hours of administration	Edit
1680	Wound healing is promoted by	A) vitamin-A B) vitamin-C C) vitamin-E D) vitamin-K	Edit
1681	The floor area available in living rooms per person should not be less than	A) 25 sq.feet B) 50 sq.feet C) 70 sq.feet D) 100 sq.feet	Edit
1682	The latrine of choice for semi-permanent camp is	A) deep- trench latrine B) chemical closet C) aqua privy D) shallow trench latrine	Edit
1683	In case MI ,we should give :	A) vasodilator B) thrombolytic C) tranquilizer D) both A & B	Edit
1684	Drugs sensitivity test is done in	A) intradermal B) sub-cutaneous C) intravenous D) intramuscular	Edit
1685	Which of the following dosage forms need to shake well before use	A) syrup B) suspension C) drops D) elixirs	Edit
1686	How many countries were participated in SDG?	A) 134 B) 187 C) 189 D) 193	Edit
1687	Control of diarrheal disease Program started:	A) 1983 AD B) 1987 AD C) 1998 AD D) 1999 AD	Edit
1688	1 FCHV is selected for population in Hills.	A) 150 B) 600 C) 450 D) 1000	Edit
1689	Percentage of institutional Delivery of Sudurpascchim province according to FY 2077/78.	A) 65% B) 80% C) 83% D) 91%	Edit
1690	Most common and earliest manifestation of rheumatic fever is:	A) Carditis B) Polyarthritis C) Chorea D) Subcutaneous nodules	Edit
1691	Clubbing and haemoptysis is seen in:	A) Pneumonia B) Empyema C) Bronchiectasis D) Crohn's disease	Edit
1692	The first stage of labour is said to be complete:	A) When the membrane raptures B) When the cervix fully dilates (10cm) C) When active phase of labour begins D) With the appearance of bearing down efforts	Edit
1693	The main purpose of home visiting is:	A) To find out the needs of community B) To provide nursing care daily C) To immunize children D) To provide family planning service	Edit
1694	Monitoring is necessary to do in:	A) Periodic basic B) Beginning phase of implementation C) Midterm of program D) Continue basis of program period	Edit
1695	In health education program, a group of 10 people are speaking on a topic of common interest, best is:	A) Panel discussion B) Symposium C) Group discussion D) Workshop	Edit
1696	Which Hepatitis is highly fatal in pregnancy?	A) Hepatitis A B) Hepatitis B C) Hepatitis C D) Hepatitis E	Edit
1697	Case fetality rate of JE is	A) 20 - 40% B) 10-30% C) 30-50% D) 1-4%	Edit
1698	Whitefield ointment contains.......... Benzoic acid.	A) 3% B) 6% C) 8% D) 10%	Edit
1699	In case of suspected organophosphorus poisoning, it is best assessed by:	A) Torch light B) Stethoscope C) BP instrument D) USG	Edit
1700	Sequence of meninges from inner to outside is:	A) Duramater - Arachnoid - Piamater B) Duramater - Piamater - Arachnoid C) Arachnoid - Duramater - Piamater D) Piamater - Arachnoid - Duramater	Edit
1701	1 pint blood refers go______ blood.	A) 350 ml B) 280 ml C) 380 ml D) 480 ml	Edit
1702	Sliding Filament theory is associated with	A) Neurones B) Muscle C) Bone D) Kidney	Edit
1703	The purpose of cold application is:	A) To relief pain B) To reduce hemorrhage C) To reduce temperature D) All of the above	Edit
1704	All of the following are aim of first aid EXCEPT:	A) To preserve life B) To prevent further damage C) To cure the disease/infirmity D) To promote recovery	Edit
1705	If a mother has a gonococcal infection the child born may develop:	A) Meningitis B) Acute conjunctivitis C) Neonatal sepsis D) Gonococcal urethritis	Edit
1706	Anti-pyretic" is closely associated to:	A) Headache B) Plants C) Diabetes D) Fever	Edit
1707	Sullage consists of:	A) Solid vegetable waste matter B) Inorganic waste C) Waste containing human excreta D) Waste water from kitchen	Edit
1708	Coliform test is for:	A) Water contamination B) Air pollution C) Sound pollution D) Land pollution	Edit
1709	Most common viral disease affecting parotid glands:	A) Mumps B) Measles C) Rubella D) Varicella	Edit
1710	What disease is linked with coated tongue:	A) Malaria B) Kala-azar C) Meningitis D) Enteric fever	Edit
1711	What is the term used to denote the ending of the disease and its causative agent?	A) Prevention B) Control C) Elimination D) Eradication	Edit
1712	Primary hemorrhage is called:	A) 7-10 days of wound or operation B) At the time of operation or wound C) Within 24 hours of operation or wound D) All of the above	Edit
1713	All of the following are the features of shock EXCEPT:	A) Cool and clammy skin B) Decrease in blood pressure C) Sub normal temperature D) Increase in urine output	Edit
1714	What is the very important step before conducting training?	A) Need assessment for training by data collection and prioritization B) Preparation of stationary C) Giving information to the participants about date and time D) Fixing the venue	Edit
1715	The most common cause of bleeding per rectum in men between 20-40 years of age is:	A) Anal tissue B) Internal hemorrhoids C) Rectal polyp D) Rectal carcinoma	Edit
1716	The most common characteristic feature of alcohol hallucination is:	A) Visual hallucination B) Tactile hallucination C) Auditory hallucination D) Delirium tremens	Edit
1717	Eruption of deciduous teeth starts from lower central incisor, at the age of:	A) 24 months B) 6 months C) 6 years D) 4 months	Edit
1718	Stye occurs due to inflammation of:	A) Muller's gland B) Lacrimal gland C) Meibomian gland D) Zeis gland	Edit
1719	Dance's sign is positive in:	A) Intestinal obstruction B) Acute peritonitis C) Intestine intussuceptions D) Acute pancreatitis	Edit
1720	Retraction of tight prepuce behind the glans penis which cannot be returned to its original position is called:	A) Paraphimosis B) Phimosis C) Hydrocele D) Hernia	Edit
1721	Collection of plexus of veins covered over by mucus membrane just above then ano-rectal junction is:	A) Piles B) Fissure C) Fistula D) Hernia	Edit
1722	Characteristic lesion of scabies	A) Papule B) Vesicle C) Burrow D) Fissure	Edit
1723	Which of the following is not the criteria of physiological jaundice?	A) Jaundice on 2nd/3rd day of birth B) Rapid rise of bilirubin C) Infant otherwise healthy D) No specific treatment	Edit
1724	Which of the following is not included in Possible Severe Bacterial Infection Severe Bacterial according to CB-IMNCI guidelines of Nepal Government?	A) Redness around umbilicus spread up to skin B) Bulging fontanelle C) Fever (37.5°C or above) D) Skin pustules less than 10	Edit
1725	Which of the following is not included in direct method of disease transmission?	A) Transplacental B) Droplet nuclei C) Droplet infection D) None of the above	Edit
1726	Which one is the richest source of thiamine?	A) Rice- raw home pounded B) Rice-milled C) Gingerly seed D) Groundnut	Edit
1727	Which type of latrine is used in an aircraft?	A) Chemical closet B) Ventilated improved latrine (VIP) C) ICMR type D) Sulabh Shauchalaya	Edit
1728	According to new 'National Guideline for Rabies Prophylaxis in Nepal-2019' intradermal IPC vaccine regimen for the post exposure prophylaxis (PEP) Cell Culture Vaccines and Embryonated Egg- based Vaccines (CCEEVS) is given:	A) 0,3, 7 days B) 0, 3, 7, 14 days C) 0,3,7, 14, 28 days D) 0.3, 7, 14, 28, 90 days	Edit
1729	Which of the following is not a parasite?	A) Tick B) Housefly C) Bedbug D) Flea	Edit
1730	Which of the following is the common occupational hazard health worker?	A) Hepatitis B) Typhoid C) Pneumonia D) AIDS	Edit
1731	Third generation IUCD has:	A) Progesterone B) Copper C) Estrogen D) Silver	Edit
1732	A porter carriers heavy load on his back in a remote village of Dolpa. What is the disease he may probably suffer from?	A) Embolism B) Thrombosis C) Varicose vein D) Thrombophlebitis	Edit
1733	According to the annual report of DoHS 2077/78 prevalence rate (PR) of leprosy is.............. at the national level.	A) 0.72 per 10,000 populations B) 0.73 per 10,000 populations C) >1 per 10,000 populations D) 7 per 10,000 populations	Edit
1734	Free Anti Snake venom distribution started in:	A) 2055/56 B) 2056/57 C) 2058/59 D) 2060/61	Edit
1735	PEN program is currently running in how many districts?	A) 20 B) 22 C) 52 D) 77	Edit
1736	What was the theme for Leprosy day in 2023 ?	A) Beat Leprosy, End Stigma, and Advocate for Mental Well-Being B) Act now, end Leprosy C) United for dignity D) Ending discrimination, stigma and prejudice	Edit
1737	MDT covers all 75 district in:	A) 1966 AD B) 1982 AD C) 1976 AD D) 1996 AD	Edit
1738	In Nepal HIV/AIDS has become	A) Generalized Epidemic B) Epidemic C) Concentrated epidemic D) Pandemic	Edit
1739	What is the causative organism of the AIDS?	A) Retro virus B) Rhabdo virus C) Bacteria D) Fungi	Edit
1740	New National policy on HIV/AIDS was launched in	A) 2010 B) 2012 C) 2020 D) 1995	Edit
1741	The government of Nepal started CB PMTCT program in	A) 2003 B) 2004 C) 2007 D) 2009	Edit
1742	According to Multi sectoral Action plan form non communicable disease, The intake of salt in mean population should be reduced by	A) 25% B) 30% C) 50% D) 10%	Edit
1743	Tilangana institute of opthalmology was established in	A) 1978 B) 1984 C) 1994 D) 1998	Edit
1744	WHO [2021] estimates that % of women experiencing violence in their lifetime is :	A) 30% B) 20% C) 25% D) 17%	Edit
1745	Global commitment of WHO is to reduce the Grade 2 disability to:	A) 1 per 10000 B) 1 per lakh C) 1 per million D) 1 per ten million	Edit
1746	According to NDHS 2022, prevalence of Wasting is ?	A) 10% B) 25 % C) 19% D) 8%	Edit
1747	Which of the following is not a key strategy of PMTCT?	A) Prevent HIV infection in women of reproductive age group B) Prevent Pregnancy in HIV infected women C) Prevent HIV infection to fetus D) Collect data of HIV infected women	Edit
1748	World Rabies day is celebrated on	A) 29 march B) 26 September C) 23 June D) 28 September	Edit
1749	First case of JE was seen in which district?	A) Dhanusa B) Rupandehi C) Chitwan D) Bajura	Edit
1750	What is the TB treatment Success Rate according to FY 2077/78?	A) 90% B) 91% C) 87% D) 78%	Edit
1751	Vertical Leprosy program was integrated in general health service in:	A) 1983 AD B) 1985 AD C) 1987 AD D) 1990 AD	Edit
1752	How many DOTS center are there is Sudurpascchim province?	A) 815 B) 5503 C) 628 D) 563	Edit
1753	Reduction of TB incidence rate by 2030 from the base line of 2015 is	A) Less than 85 per 100000 B) Less than 55 per 100000 C) Less than 20 per 100000 D) Less than 10 per 100000	Edit
1754	In Nepal TB & leprosy are best prevented by:	A) Health education B) Early diagnosis and treatment C) Mass chemoprophylaxis D) Passive immunization	Edit
1755	95-95-95 goals by 2030 is related to:	A) Hypertension B) Diabetes C) Tuberculosis D) HIV/AIDS	Edit
1756	World TB day is celebrated in	A) 24th May B) 24th March C) 10th November D) 1st December	Edit
1757	Recently Dengue Epidemic occured in	A) Lalitpur B) Kathmandu C) Bhaktapur D) Pokhara	Edit
1758	Now the prevalence of HIV in Nepal is:	A) 0.10% B) 0.12% C) 0.13% D) 0.23%	Edit
1759	The most common extra- pulmonary TB in Nepal is:	A) TB meningitis B) Gland TB C) Abdominal TB D) Genital TB	Edit
1760	Treatment of XDR TB was started in:	A) 2008 B) 2010 C) 2012 D) 2013	Edit
1761	National TB center was established in:	A) 1969 AD B) 1979 AD C) 1984 AD D) 1989 AD	Edit
1762	Case notification rate of tuberculosis in FY 2077/78 is:	A) 82 per lakh population B) 90 per lakh population C) 95 per lakh population D) 97 per lakh population	Edit
1763	Which of the following chemical is used for indoor residual spraying to control kala- azar?	A) Malathion B) Alpha cypermethrin C) Pyrimethamine D) DDT	Edit
1764	Kala azar elimination activities were carried out as a pilot program from which district?	A) Siraha B) Okhaldhunga C) Kanchanpur D) Saptari	Edit
1765	First case of Dengue reported in Nepal in:	A) 2005 AD B) 2006 AD C) 2008 AD D) 2009 AD	Edit
1766	The total number of Kala azar cases reported from Sudurpascchim province in FY 2077/78 is	A) 50 B) 55 C) 59 D) 6	Edit
1767	Elimination of kala-azar means:	A) Incidence < 1 case per 1000 population B) Prevalence < 1 case per 1000 population C) Incidence <1 case per 10,000 population D) Prevalence <1 case per 10,000 population	Edit
1768	According to NDHS 2022 SBA delivery of Sudurpascchim province is.....	A) 87% B) 80% C) 57% D) 79%	Edit
1769	The main purpose of mass drug administration for Lymphatic Filariasis is:	A) Disease control B) Disease elimination C) Disease Eradication D) Disease prevention	Edit
1770	Which of the following drugs are used in MDA of filariasis?	A) DEC B) Albendazole C) Ivermectin D) All of the above	Edit
1771	MDA was stopped in first district in.....	A) 2009 B) 2011 C) 2010 D) 2012	Edit
1772	How many wards of Sudurpascchim are at High risk of malaria?	A) 2 B) 6 C) 14 D) 15	Edit
1773	Out of 77 districts, how many districts are endemic for lymphatic filariasis?	A) 61 B) 64 C) 63 D) 67	Edit
1774	Malaria control project was first initiated in 1954 AD with support of:	A) UNICEF B) WHO C) USAID D) Global fund	Edit
1775	Mapping of Lymphatic Filariasis using ICT shows prevalence :	A) 10% B) 13% C) 15% D) 19 %	Edit
1776	WHO Roll Back Malaria (RBM) initiative launched in:	A) 1958 AD B) 1968 AD C) 1978 AD D) 1998 AD	Edit
1777	According to NDHS 2022 Fully immunized children are..	A) 78% B) 81% C) 80% D) 79%	Edit
1778	Out of 77 districts, how many districts are endemic for malaria?	A) 61 B) 67 C) 65 D) 71	Edit
1779	The first public health program of Nepal is :	A) National Immunization program B) Leprosy control program C) Malaria Eradication Program D) Filariasis control program	Edit
1780	The meaning of outermost circle of FCHV logo is that FCHV program is implementing in:	A) Ward level B) Palika Level C) Province level D) National Level	Edit
1781	When the second amendment of Nepal health professional council act, 2053 was held?	A) 2072/11/13 B) 2073/11/15 C) 2074/10/03 D) 2073/11/03	Edit
1782	Nepal Health Professional Council was established in:	A) 2051 BS B) 2052 BS C) 2053 BS D) 2054 BS	Edit
1783	How many days A government employee can get casual leave per annum?	A) 6 days B) 12 days C) 15 days D) 21 days	Edit
1784	National Health Communication Policy was endorsed in	A) 2011 AD B) 2012 AD C) 2004 AD D) 2016 AD	Edit
1785	LMD initiated Telemedicine program since:	A) 2005 AD B) 2009 AD C) 2007 AD D) 2012 AD	Edit
1786	HP/ PHCC should report HMIS form to Health Section of local level office with in	A) 1st day of next month's B) 7th day of next month's C) 15th day of next month's D) None of the Above	Edit
1787	Colour page used in Health Facility for HMIS form is	A) White B) Blue C) Green D) Yellow	Edit
1788	According to revised A.G.F, A.G.F 402 is related to,	A) Request forml B) Requisition form C) Good entry report D) Transfer from	Edit
1789	In Nepal, HMIS was established in	A) 1993 AD B) 1997 AD C) 2002 AD D) 2003 AD	Edit
1790	What is the Adolescents Birth Rate per 1000 according to NDHS 2022?	A) 77 B) 88 C) 71 D) 81	Edit
1791	Legal age for marriage for girls in Nepal is:	A) 16 years B) 18 years C) 20 years D) 22 years	Edit
1792	The national ASRH program was first piloted in ................ Districts	A) 5 B) 10 C) 15 D) 20	Edit
1793	Community Drug Program was started initially from How many districts?	A) 3 B) 5 C) 7 D) 6	Edit
1794	Average number of client served per PHC/ORC in FY 2077/78 ?	A) 12-14 B) 15-17 C) 18- 20 D) 22-25	Edit
1795	The PHC/ORC should be conducted at least............ per session.	A) 4 hour B) 6 hours C) 8 hours D) 10 hours	Edit
1796	The minimum gap between PHC/ORC and EPI/ORC should be:	A) 5 days B) 15 days C) 10 days D) 20 days	Edit
1797	When the first PHC Outreach clinical activities was started?	A) FY 2051/52 B) FY 2052/53 C) FY 2053/54 D) FY 2054/55	Edit
1798	FCHV day is celebrated in	A) 15 October B) 5 November C) 5 December D) 5 June	Edit
1799	Farewell of FCHV should be required when she completes age:	A) 50 years B) 55 years C) 60 years D) 65 Years	Edit
1800	MoHP established FCHV fund by the F.Y:	A) 2060/61 B) 2063/64 C) 2064/65 D) 2071/72	Edit
1801	Review meeting of FCHV should be conducted in:	A) Monthly B) Every 3 months C) Every 6 months D) Annually	Edit
1802	In Municipality, 1 FCHV is selected for _____ population.	A) 1500 B) 1000 C) 600 D) 300	Edit
1803	FCHV program first started in :	A) 25 districts B) 27 districts C) 28 Districts D) 32 districts	Edit
1804	FCHV stands for	A) Forecasted communal health volunteer B) Female committee health volunteer C) First contact HIV virus D) Female community health volunteer	Edit
1805	New Family Planning strategy is published in	A) 2009 B) 2012 C) 2016 D) 2020	Edit
1806	Indicators related to family planning are all of the following, except?	A) Pearl index B) Couple year of protection (CYP) C) Unmet need D) Women of Reproductive Age (WRA)	Edit
1807	The most common reason for discontinuation of family planning in Nepal is:	A) Side effect of contraceptives B) Desire to become pregnant ghost C) Want to use natural methods D) Due to husband being away	Edit
1808	Most commonly used contraception in new acceptor is :	A) Oral pills B) Implant C) Depo- provera D) Sterilization	Edit
1809	The unmet need of family planning at present is	A) 10 B) 16 C) 21 D) 24	Edit
1810	The objective of family planning:	A) Space or limit the number of children B) Prevent unwanted pregnancies C) Improve overall reproductive health D) all of the above	Edit
1811	What is the current Maternal Mortality Ratio of Sudurpascchim Province?	A) 125 per lakh live birth B) 130 per lakh live birth C) 140 per lakh live birth D) 151 per lakh live birth	Edit
1812	According to Maternal Mortality Report of National Population and Housing Census, Percentage of Maternal Death occurs during pregnancy is	A) 29% B) 31% C) 33% D) 39%	Edit
1813	Initially Medical abortion was Started from How many districts?	A) 4 B) 5 C) 6 D) 9	Edit
1814	Incentive given to institution for CS delivery is	A) Rs 3000 B) Rs 5000 C) Rs 7000 D) Rs 10000	Edit
1815	When free institutional delivery started Nationwide in Nepal?	A) 2005 AD B) 2006 AS C) 2009 AD D) 2016 AD	Edit
1816	Safe motherhood day is celebrated on	A) 12 June B) 8 march C) 14 September D) 6 June	Edit
1817	Six pillars of Safe motherhood doesn't include	A) Family Planning B) Female education C) Post abortion care D) STD/HIV control	Edit
1818	Safe motherhood program initiated in Nepal in	A) 1990 B) 1995 C) 1996 D) 1997	Edit
1819	How many Health Division are there in Sudurpascchim Province?	A) 1 B) 7 C) 9 D) 14	Edit
1820	Five pillars of Sustainable development goals includes all, except?	A) People B) Planet C) Prosperity D) Patient	Edit
1821	Pre plan period is from:	A) 1945-1950 B) 1951-1956 C) 1956-1961 D) 1961-1965	Edit
1822	In DOHS, there is	A) 5 division and 3 center B) 3 division and 5 department C) 5 Division and 5 center D) 5 Division and 6 council	Edit
1823	How many Disease are included in Urban Health Policy?	A) 10 B) 11 C) 12 D) 16	Edit
1824	According to 15th five year plan, The Life expectancy of Nepalese people should be	A) 68 years B) 69.5 years C) 70 years D) 72 years	Edit
1825	World Immunization day is celebrated on:	A) 10 November B) 12 November C) 5 December D) 15 October	Edit
1826	Goal 3 of SDG is:	A) No poverty B) Zero hunger C) Health & wellbeing D) Quality education	Edit
1827	National school health and nutrition strategy was endorsed in Nepal in :	A) 2003 AD B) 2006 AD C) 2009 AD D) 2012 AD	Edit
1828	National health policy 2076 purposed which level of health institution will be established in ward basis?	A) Primary health care center (PHCC) B) Primary hospital with 5 bed C) Health Post D) Basic Health Service Center	Edit
1829	The target group for deworming is :	A) 6 months to 5 years B) 6 months to 23 months C) 1 year to 5 year D) 2 years to 5 years	Edit
1830	MDG summit was declared in	A) 1990 A.D B) 2000 AD C) 2002 A.D D) 2005 A.D	Edit
1831	Which of the following is NOT correct as per NDHS 2022:	A) 8% of Under-five children are wasted B) 25% of under-five children are stunted C) CMR is 5% D) Under five children with overweight is 2%	Edit
1832	According to SDG, the target of 4 ANC according to National Planning Commission SDG 2030 report is:	A) 80% B) 95% C) 90% D) 100%	Edit
1833	The main Vision of National immunization Program is:	A) Nepal: A country of full immunization B) Achieve measles elimination by 2023 C) Accelerate, achieve & sustain Vaccine preventable disease control D) Nepal: A country free of vaccine preventable disease	Edit
1834	How many goals & targets are in Sustainable development Goals (SDGs) ?	A) 12 goals & 164 targets B) 14 goals & 167 targets C) 17 goals & 169 targets D) 17 goals & 178 targets	Edit
1835	The Global nutrition target by 2025 as set by WHA is to increase the Rate of Exclusive Breastfeeding in the first Month upto atleast	A) 55% B) 70% C) 50% D) 60%	Edit
1836	National Tuberculosis Center is located in	A) Pokhara B) Kathmandu C) Bhaktapur D) Janakpur	Edit
1837	Establishment of MoHP was done in	A) 1st Five year plan B) 3rd Five year plan C) 4th Five year plan D) 7th Five year plan	Edit
1838	Weekly IFA distribution program provides how many tablets of IFA to an adolescent girl in a year?	A) 13 Tablets B) 24 Tablets C) 26 tablets D) 36 Tablets	Edit
1839	In FY 2077/78, Average Number of growth Monitoring Visit is highest in which province?	A) Madhesh B) Bagmati C) Gandaki D) Sudurpascchim	Edit
1840	The waste rate of ________ is maximum in F.Y 2077/78	A) OPV B) BCG C) Pentavalent D) PCV	Edit
1841	Free newborn care services was started from	A) 2009 AD B) 2012 AD C) 2016 AD D) 2020 AD	Edit
1842	The target of newborn who have CHX gel applied according to CBIMNCI program by 2030 is:	A) 80% B) 90% C) 95% D) 100%	Edit
1843	Which of the following service is not included in Health Insurance Program?	A) Surgery B) MRI C) Family Planning D) Indoor services	Edit
1844	Which province of Nepal had been declared as "full immunization province" at first?	A) Lumbini B) Sudurpashim C) Gandaki D) Bagamati	Edit
1845	Polio Eradication Nepal( PEN) was initiated from	A) 1996 AD B) 1998 AD C) 2003 AD D) 2016 AD	Edit
1846	In Nepal, most of the newborn babies dies with in	A) 1 hour of birth B) 24 hour of birth C) 7 days of birth D) 1 month of birth	Edit
1847	In the sense of EPI Coverage, Category - III means	A) Problems- high drop-out >10% and high coverage >90% B) No problem - low dropout <10% and high coverage >90% C) Problems- low dropout <10% and low coverage <90% D) Problem- high dropout >10% and low Coverage <90%	Edit
1848	The objective of NHSP-II is:	A) To increase access to and the utilization of quality EHCS B) to reduce harmful cultural practices C) to improve the health system D) all of the above	Edit
1849	Iodine month is celebrated in:	A) January B) February C) May D) August	Edit
1850	Nepal was declared polio free country by WHO on:	A) 19 Jan 2010 B) 24 April 2018 C) 27 March 2014 D) 26 September 2002	Edit
1851	What is the percentage of Newborn who had applied Chlorhexidine gel in F.Y 2077/78 ?	A) 65% B) 72% C) 79% D) 96%	Edit
1852	There is a ward having a population of 3500.The total Number Health Staff in Basic Health Service Center of that ward is	A) 10 B) 6 C) 8 D) 12	Edit
1853	The constitution of Nepal 2072 has provision of Right to Health in Article	A) 20 B) 25 C) 35 D) 40	Edit
1854	According to federal health policy,a sophisticated ambulance will be available at:	A) local level B) ward level C) province level D) federal level	Edit
1855	The duration of the second-long term health plan (SLTHP) is	A) 10 years B) 15 years C) 17.5 years D) 20 years	Edit
1856	Registration for health insurance was first started in Nepal from:	A) Kailali B) Kanchanpur C) Ilam D) Baglung	Edit
1857	Registration for health insurance was first started in Nepal from:	A) Kailali B) Kanchanpur C) Ilam D) Baglung	Edit
1858	Catch-up, Keep up & follow up strategy belongs to:	A) Measles elimination B) Polio eradication C) rubella control D) JE control	Edit
1859	Immunization act was endorsed in	A) 2069 B) 2070 C) 2071 D) 2072	Edit
1860	All are the newborn specific intervention of CB-IMNCI program except	A) promotion of birth preparedness package B) promotion of essential newborn package C) management of sepsis among young child D) case management of 5 major killer disease	Edit
1861	CBIMNCI program expanded all over the country in	A) 1999 AD B) 2009 AD C) 2014 AD D) 2016 AD	Edit
1862	The most cost effective Health Intervention is	A) Nutrition B) Immunization C) Family planning D) Rehabilitation	Edit
1863	As per NDHS 2022, who many household that use iodized salt for cooking?	A) 85% B) 90% C) 95% D) 98%	Edit
1864	There are ____ policies in National Health policy of federal Structure.	A) 10 B) 14 C) 25 D) 30	Edit
1865	The Vision of National Health Policy 2071 includes all of the following aspects of health except,	A) physical B) Emotional C) Social D) Economical	Edit
1866	The first National Health policy in federal Structure was endorsed in	A) 2045 BS B) 2071 BS C) 2075 BS D) 2076 BS	Edit
1867	The most common cause of Under 5 mortality in Nepal is	A) ARI B) Infection C) Diarrhoea D) Malnutrition	Edit
1868	IMNCI stands for:	A) Integrated Management on Neonatal And Childhood illness B) Integrated Management on Neonatal or Childhood Illness C) Integrated Management of Neonatal and Childhood Illness D) Integrated Management of Neonatal or Childhood Illness	Edit
1869	KAT and RAD is related to	A) Training B) Planning C) Directing D) Leading	Edit
1870	At what level of an organization does a corporate manager operate?	A) Functional B) Operational C) Middle level D) Top leve	Edit
1871	The Primary goal of Public Health is to:	A) Protect the Infected B) Protect the uninfected C) Treat and rehabilitate infected D) All of the above	Edit
1872	The abbreviation BCC means:	A) before christ century B) bacilli calmette courier C) behavior change communication D) behavior & community change	Edit
1873	Which is not a good character of supervisor ?	A) Competent B) Honesty C) Dominant D) Courageous	Edit
1874	The concept of six rights are related to	A) HMIS B) Logistic Management C) Stress Management D) Time Management	Edit
1875	The first step of controlling is:	A) Correcting actions B) Measuring Performance C) Setting standards D) Finding Deviations	Edit
1876	In the management process, the most misinterpreted word is	A) Organizing B) Delegating C) Controlling D) Planning	Edit
1877	The first in the health planning cycle	A) Identifying B) Community assessment C) Community diagnosis D) Setting priorities	Edit
1878	Total Number of Staff in PHCC is	A) 8 B) 10 C) 6 D) 8	Edit
1879	Most universally accepted indicator of Health status of whole population	A) CMR B) IMR C) MMR D) NMR	Edit
1880	Monitoring is_____ oriented	A) Process B) Target C) Data D) All of the above	Edit
1881	The most precious and difficult resource to manage is	A) Machines B) Man C) Money D) Materials	Edit
1882	Coordinating people and human resources to accomplish organizational goals is the process of:	A) planning B) directing C) management D) Leadership	Edit
1883	Leadership is a function of all the following factors except:	A) Work group B) Product or Service C) Leader D) Situation	Edit
1884	What are the types of supervision?	A) Educational B) Administrative C) Supportive D) All of the above	Edit
1885	Which of the following is the duty of Health Assistant?	A) Administer radical treatment of smear positive malaria cases B) Insure regular and complete treatment of leprosy cases C) Community Education D) All of the above	Edit
1886	MBO refers to:	A) Management by outputs B) Management by others C) Management by objectives D) Marginal batch outputs	Edit
1887	Cost effectiveness and cost benefit is the example of:	A) Planning B) Evaluation C) Monitoring D) Implementation	Edit
1888	What is the very important step before conducting training?	A) Need assessment for training by data collection and prioritization B) Preparation of stationary C) Fixing the vanue D) Giving information to the participant about date and time	Edit
1889	Which of the following is not of tool for supervision?	A) Check list B) Job description C) Working manuals D) Implementation	Edit
1890	Managers with good_______to get the best out of their people.	A) Human Skills B) conceptual skills C) technical skills D) visual skills	Edit
1891	Usually monitoring is done by.	A) Higher level in the program implementing area B) Program director for all personnel C) Subordinates of the supervisor D) None of the above	Edit
1892	PERT is a technique for:	A) Network Analysis B) Cost-effective Analysis C) Input-Output Analysis D) System Analysis	Edit
1893	In health management, Cost benefit analysis is an example of:	A) Critical path method B) Program evaluation and review technique C) Management by objectives D) Total Quality management	Edit
1894	In Management “Goal” refers to:	A) Planned end point of all activity B) Discrete activity C) Ultimate desired state towards which objectives and resources are directed D) Analysis of health Situation	Edit
1895	Time taken for any project is estimated by:	A) Work sampling B) Input-output analysis C) Network analysis D) Systems analysis	Edit
1896	Set of statement for monitoring Progress towards goal is referred as:	A) Target B) Objective C) Programme D) Procedure	Edit
1897	Which of the following is a set point framed for long term plans but is yet something that cannot be quantified or measured?	A) Target B) Goal C) Objective D) Mission	Edit
1898	Use of Shakir’s tape for measuring arm circumference is:	A) Equitable distribution B) Community participation C) Intersectoral coordination D) Appropriate technology	Edit
1899	Which of the following is a new concept in primary Health Care?	A) Equitable distribution B) Community participation C) Qualitative enquiry D) Primary Health Care	Edit
1900	All of the following are Pillars of primary health care except:	A) Equitable distribution B) Community Participation C) Health Education D) Inter sectoral coordination	Edit
1901	Health Post & PHCCs submits monthly HMIS report with :	A) HMIS 9.1 B) HMIS 9.3 C) HMIS 9.5 D) HMIS 9.6	Edit
1902	Formative evaluation means	A) Evaluating at the beginning of programme B) Evaluating in middle of programme C) Evaluating at the end of programme D) All of the above	Edit
1903	Characteristics of planning is:	A) Planning is a process B) Planning is pervasive C) Planning is efficiency oriented D) All of the above	Edit
1904	Generally steps need to follow to prepare health plan at local level.	A) 5 B) 7 C) 10 D) 14	Edit
1905	CCEOP is part of a strategy to strengthen vaccine supply, what does CCEOP means:	A) Cold chain emergency operation plan B) Cold chain equipment optimization program C) Cold chain equipment optimization platform D) Cold chain emergency optimization plan	Edit
1906	Which one is not the part of monitoring?	A) To Provide concurrent feedback on the progress of activities B) To identify the problems in their implementation C) To take corrective action D) To Assess the desired results of the program	Edit
1907	How many sentinel sites for EWARS are exists in Nepal?	A) 112 B) 114 C) 118 D) 128	Edit
1908	Authorized Stock Level (ASL) for Health post is:	A) 1 months B) 3 months C) 5 months D) 10 months	Edit
1909	EWARS was first initiated in Nepal in :	A) 1997 AD B) 1999 AD C) 2003 AD D) 2006 AD	Edit
1910	How many VBDs disease are reported under EWARS?	A) 3 B) 4 C) 6 D) 9	Edit
1911	'No commodity, no program' is related to:	A) HMIS B) Logistic management C) Disease control D) Community diagnosis	Edit
1912	A day to day ongoing process of systemic collection and analysis of information during implementation of program is called:	A) Planning B) Implementation C) Evaluation D) Monitoring	Edit
1913	A plan ranges from 1-5 year duration are called:	A) Long term plan B) Short term plan C) Medium term plan D) Strategic plan	Edit
1914	Policy formulation is the function of:	A) Top level management B) Middle level management C) Operational Management D) All of the above	Edit
1915	Putting plans into action is:	A) Supervision B) Implementation C) Planning D) Monitoring	Edit
1916	Henry Fayol has given______ Principles of management	A) 10 B) 14 C) 7 D) 9	Edit
1917	Who is known as the father of scientific management?	A) Harold Koontz's B) Henry Fayol C) F.W Taylor D) Max Weber	Edit
1918	Loss of Interpersonal communication is managed by	A) Group counseling B) Individual counseling C) Check telecommunications D) Improving language	Edit
1919	When a person is______ he feels that he is____ and the society regards him______	A) ill, sick, diseased B) diseased, ill, sick C) sick, ill, diseased D) sick, diseased, ill	Edit
1920	In health education programme, a group of 10 people are speaking on a topic of common interest, best is	A) panel discussion B) symposium C) group discussion D) workshop	Edit
1921	All of them are the steps of change according to Kurt Lewin's three stage model of change except	A) Resting B) Unfreezing C) Refreezing D) Freezing	Edit
1922	Delegation of authority to some extent occurs in which style of leadership?	A) Autocratic leadership B) Democratic leadership C) Leissez faire leadership D) None of the above	Edit
1923	4 - 8 qualified persons discuss a topic in front of large audience is example of	A) Symposium B) Panel discussion C) Work shop D) Group discussion	Edit
1924	In which of the following method of health education, there is limited number of participants but it required lots of preparation?	A) Seminar B) Panel Discussion C) Workshop D) Lecture	Edit
1925	Which of the following method is most suitable in a hospital setting	A) Counselling B) Case study C) Lecture D) Group discussion	Edit
1926	Global strategy for health for all was adopted in	A) 1977 AD B) 1978 AD C) 1979 AD D) 1981 AD	Edit
1927	The concept of health promotion arose from:	A) Jakarta declaration B) Ottawa charter C) Alma ata declaration D) Beijing declaration	Edit
1928	Husband and wife with a married child is which type of family?	A) Nuclear family B) Extended Family C) Joint family D) None	Edit
1929	Which of the following is an example of non-material culture?	A) Clothing styles B) Traditional dances C) Language D) Tools and technology	Edit
1930	Which of the following is the correct sequence of various components of the 'communication process':	A) Receiver, Message, Channel, Feedback, Sender B) Sender, Feedback, Message, Channel, Receiver C) Sender, Message, Channel, Receiver, Feedback D) Message, Sender, Channel, Feedback, Receiver	Edit
1931	Most popular media for mass education of general public is:	A) Television B) Radio C) Newspaper D) Internet	Edit
1932	An assessment of health problems and health status and factors affecting them for planning health care service in community is known as	A) Community Diagnosis B) Community Assessment C) Clinical diagnosis D) Health evaluation	Edit
1933	All are true for a group discussion except.	A) Not a very effective method of health communication B) Ideally a group should comprise of 6-12 members C) Can lead to change in health attitudes and behaviour (d) D) Allows free exchange of ideas and opinions	Edit
1934	In school, one toilet is required for each___ students.	A) 30 B) 40 C) 50 D) 60	Edit
1935	All are advantages of using mass media except:	A) More influential with average and below average education level B) Gives greater support for concentrated programmes C) Get public attention D) Reaches the widest population	Edit
1936	Community Diagnosis is based on all except	A) Vital statistics B) Incidence and prevalence C) Health care delivery D) Age and Sex distribution	Edit
1937	Effective media for mass education is	A) Pamphlet B) Flip chart C) Flash card D) Flannel Graph	Edit
1938	Best method of teaching an urban slum about ORS is	A) Lecture B) Role play C) Flash card D) Demonstration	Edit
1939	D in GALIDRAA stands for.	A) Discuss B) Decide C) Demonstrate D) Discipline	Edit
1940	How many Basic elements of communication are there?	A) 4 B) 5 C) 6 D) 8	Edit
1941	Which is not the Socratic method of communication?	A) Interview B) Symposium C) Panel Discussion D) Workshop	Edit
1942	Which leadership style focuses on giving clear directions, establishing specific goals, and closely supervising subordinates?	A) Autocratic leadership B) Transformational leadership C) Laissez-faire leadership D) Democratic leadership	Edit
1943	All of the following are areas of the school health program, except?	A) Health instruction B) Health examination C) School community joint activities D) Student teacher relationship	Edit
1944	School Health education program can be effectively run by	A) Doctors B) Health Assistant C) Nurses D) School teachers	Edit
1945	Total communication means:	A) Use of all methods of communication for advertisement B) Use of all methods of communication for school teaching C) Use of all methods of communication for commu- nity participation D) Using every communication option to teach deaf child	Edit
1946	Micro Health Project should be conducted on the basis of:	A) Felt need B) Observed need C) Real need D) All of the above	Edit
1947	Which of the following is a method of community development?	A) External agent method B) Multiple agent method C) Internal resource mobilization D) All of the above	Edit
1948	Which of the following is not the objectives of the community Diagnosis program?	A) To know the health and demographic status of the community people B) To find the cause of the disease C) To explore the existing potential resources D) To study about determinants of Health problems	Edit
1949	Most popular methods of community Diagnosis is	A) Household survey B) PRA C) RRA D) All of the above	Edit
1950	Which of the following is not the elements of PHC?	A) Essential Health education B) Control of local Epidemic disease C) Safe water supply and environmental sanitation D) Essential drug supply	Edit
1951	What is the slogan of World Health Day 2023?	A) Health for all B) Our planet, our earth C) Health is a universal goal to achieve D) Health should be static	Edit
1952	Self confidence, Self recognition belongs to which level of need of Maslow's hierarchy?	A) Physiological need B) Safety need C) Self steem need D) Self actualisation need	Edit
1953	Which is correct about Roger's model of Adoption?	A) Adoption - Interest- evaluation - trial - awareness B) Awareness - trial- Interest - evaluation - Adoption C) Awarness- Evaluation - trial- Interest - Adoption D) Awareness - interest - Evaluation - trial- adoption	Edit
1954	Health Belief model was given by	A) Maslow B) Rosenstock C) Roger D) Kurt lewin	Edit
1955	Culture is the hardwork of man and medium through which he achieved his ends" is defined by	A) E. B Taylor B) Malinowski C) Margaret William D) M.C Nile	Edit
1956	Which of the following is the most cost effective method of learning?	A) Learning by hearing B) Learning by doing C) Learning by repetition D) Learning by seeing	Edit
1957	If the leader shares decision making power with a group member and explains to the group reason for personal decision, it is under the:	A) Autocratic Leadership style B) Laisesez faire C) Non Leadership style D) Democratic leadership style	Edit
1958	If the leader shares decision making power with a group member and explains to the group reason for personal decision, it is under the:	A) Autocratic Leadership style B) Laisesez faire C) Non Leadership style D) Democratic leadership style	Edit
1959	The following are the main features of primary health care except :	A) Essential health care B) Universal accessible C) Acceptability D) Physician mediated	Edit
1960	What best describes the relationships between culture and health?	A) Culture has a negative effect on health B) Culture has a positive effect on health C) Culture affect peoples health in variety of ways D) Culture is not really relevant to people's health	Edit
1961	A Group of individuals and families living together in a defined geographic area usually comprising villages is called:	A) Society B) Community C) Family D) Culture	Edit
1962	Which one of the following is included in Audio Visual Aids?	A) Puppet Show B) Poster C) Radio D) Cinema	Edit
1963	Which of the following is not the objective of Health promotion?	A) To prevent disease B) To create supportive environment C) Multi spectral Participation D) Medication	Edit
1964	The highest point of Health Spectrum is	A) Better Health B) Positive Health C) Normal Health D) None	Edit
1965	All of the following are approaches to health education except:	A) Service approach B) Regulatory approach C) Health education approach D) Mass media approach	Edit
1966	Principles of Health Education include all except:	A) Participation B) Motivation C) Reinforcement D) Punishment	Edit
1967	Informing people, motivating people and guiding into action is the main objective of	A) Communication B) Preventive medicine C) Health education D) Primary Health Care	Edit
1968	Definition of Health given by WHO excludes which dimension?	A) Physical B) Mental C) Emotional D) Economical	Edit
1969	Which of the following hormone isn't secreted by kidney?	A) Angiotensin I B) Renin C) Erythropoietin D) Calcitriol	Edit
1970	Sodium-potassium ATPase pumps:	A) Three sodium ions out of the cell for every two potassium ions pumped in B) Two sodium ions out of the cell for every three potassium ions pumped in C) Three sodium ions into the cell for every two potassium ions pumped out D) Two sodium ions into the cell for every three potassium ions pumped out	Edit
1971	Excessive vomiting may results in	A) Respiratory acidosis B) Respiratory Alkalosis C) Metabolic Acidosis D) Metabolic alkalosis	Edit
1972	Movement of solute from Higher concentration to lower concentration is	A) Osmosis B) Transportation C) Diffusion D) Radiation	Edit
1973	Which Buffer is considered the most Powerful Buffer system.?	A) Bicarbonate Buffer system B) Phosphate Buffer System C) Protein Buffer system D) Sodium Buffer System	Edit
1974	Renin is released from which organ in response to decreased blood pressure or decreased blood flow to the kidneys?	A) Liver B) Heart C) Adrenal glands D) Kidneys	Edit
1975	Which of the following forces opposes the hydrostatic pressure and helps retain fluid within the blood vessels?	A) Transcellular pressure B) Hydrostatic pressure C) Oncotic pressure D) Diffusion pressure	Edit
1976	A chemical substance that prevents sudden change in the pH of a solution on the addition of a small amount of acid or base is called:	A) Salts B) Catalysts C) Buffer D) Electrolytes	Edit
1977	The most abundant cation in intracellular fluid (ICF) is:	A) Sodium B) Potassium C) Chloride D) Phosphate	Edit
1978	A 35 year old male with OP poisoning comes to an emergency , After doing ABG analysis, His pH is 7.54, PCO2 is 40 mm of Hg, HCO3 is 31 mEq/L. What is the diagnosis?	A) Respiratory Acidosis B) Respiratory Alkalosis C) Metabolic Acidosis D) Metabolic Alkalosis	Edit
1979	IUCD acts by all of the following excepts :	A) inhibits ovulation B) prevent sperm entry C) alter cervical mucus D) prevents implantation	Edit
1980	Best contraceptive for a newly married healthy couple:	A) Barrier method B) IUCD C) Oral contraceptive pills D) Natural methods	Edit
1981	Not caused by DMPA	A) Thromboembolism B) Amenorrhea C) Irregular cycle D) weight gain	Edit
1982	Which is the appropriate period for minilap insertion.	A) menstrual phase B) immediate after delivery C) immediate after abortion D) all of the above	Edit
1983	Progesterone only pills are known as	A) mini pills B) micro pills C) both A & B D) macro pills	Edit
1984	IUCD works for	A) 5years B) 8 years C) 10 years D) 12 years	Edit
1985	The most cost-effective reversible method of family Planing method is	A) vasectomy B) minilap C) IUCD D) implant	Edit
1986	Common side effects of hormonal contraceptives includes all of the following except	A) change in bleeding pattern B) Nausea, headache C) infertility D) breast tenderness	Edit
1987	Good qualities of contraceptive includes all except;	A) easily available B) expensive C) simple to use D) effectiveness	Edit
1988	Barrier method doesn't includes	A) diaphragm B) condom C) vaginal sponge D) vaginal ring	Edit
1989	Most common cause of IUCD removal	A) bleeding B) pain C) pelvic inflammatory disease D) uterine perforation	Edit
1990	Best & most usable emergency contraceptive is	A) IUCD B) COCP C) implant D) POPs	Edit
1991	most popular long acting reversible contraceptive is	A) IUCD B) implant C) inj.depo D) Vasectomy	Edit
1992	Net reproduction rate 1 can be achieved if CPR is :	A) >60% B) >70% C) >80% D) >90%	Edit
1993	which of the following is being tried as a male pills :	A) gossypol B) DMPA C) quinestral D) norethindrone	Edit
1994	Which of the following is not a principle of family Planing counseling	A) To maintain secrecy B) To center on clients need C) To give emphasis on particular device D) informed choice	Edit
1995	Which of the following contraceptive has highest effectiveness?	A) COCP B) IUCD C) vasectomy D) Implant	Edit
1996	Ideal contraceptive for a couple who are living separately in two cities and meets only occasionally	A) Barrier method B) Ocp's C) IUCD D) inj.DMPA	Edit
1997	Mechanicm of IUCD is	A) prevent fertilization B) prevent Implantation C) prevent ovulation D) spermicidal	Edit
1998	contraceptive efficacy is measured by	A) pearl index only B) pearl index and life table analysis C) life table analysis & CPR D) pearl index & CPR	Edit
1999	Epidemic dropsy is caused by	A) sanguinarine B) BOAA C) Pyruvic acid D) mustard oil	Edit
2000	Twin fortified salt contains	A) iodine+ fluorine B) iodine+ calcium C) iodine+ iron D) iodine+ chlorine	Edit
2001	Which vitamin is given to a patient with gastrectomy	A) vitamin -B6 B) vitamin- B9 C) vitamin- B3 D) vitamin-B12	Edit
2002	The best weaning food is	A) khichadi B) jaulo C) sarbotaam pitho D) daal	Edit
2003	How many types of Amino- acids are required for human body?	A) 9 B) 10 C) 20 D) 24	Edit
2004	The best measurements of state of protein in human body is	A) serum amino-acid B) serum albumin C) serum globulin D) serum fibrinogen	Edit
2005	Biological value is maximum of	A) Milk B) soyabean C) Egg D) pulses	Edit
2006	Folic acid is required highest during which trimester of pregnancy:	A) 1st Trimester B) 2nd Trimester C) 3rd Trimester D) both B & C	Edit
2007	function of calcium is	A) bone and teeth formation B) muscle contraction C) blood coagulation D) All of the above	Edit
2008	All of the following are biologically complete protein except :	A) egg B) milk C) fish D) soyabean	Edit
2009	Maltose is	A) glucose+ fructose B) glucose+glucose C) glucose+ galactos D) fructose+ galactose	Edit
2010	Normal BMI is	A) 18-24.9 kg/ m2 B) 18.5-24.9 kg/ m2 C) 18.5- 27 kg/ m2 D) 24.9-30 kg/ m2	Edit
2011	which Amino-acid is not found in cereals	A) Tryptophan B) Lysine C) Threonine D) both B & C	Edit
2012	The chief source of protein for general Nepali population is	A) pulses B) egg C) meat D) soyabean	Edit
2013	Which of the following is the first sign of PEM	A) stunting B) wasting C) underweight D) overweight	Edit
2014	which of the following is known as syndrome of displaced child	A) marasmus B) kwashiorkor C) both A & B D) stunting	Edit
2015	Essentially Amino-acids are chemically	A) unsaturated fatty acids B) mono unsaturated fatty acids C) poly unsaturated fatty acids D) none	Edit
2016	The most sensitive test for evaluating iron status in human body is :	A) Hb level B) serum iron C) RBC count D) serum ferritin	Edit
2017	The protein energy malnutrition is most common in	A) 6month-5 years B) 0-5 years C) 6month - 3years D) 1-5 years	Edit
2018	Which of the following is heat sensitive vitamins	A) vitamin-A B) vitamin-C C) folic acid D) both B & C	Edit
2019	The body of insects is divided into	A) 2 parts B) 3 parts C) 4 parts D) 6 parts	Edit
2020	Strength of sewage is expressed in terms of all except:	A) E. Coli Count B) Suspended particles C) Chemical oxygen demand D) Biological oxygen demand	Edit
2021	The best approach to control of arthropods is:	A) Environmental control B) Chemical control C) Biological control D) Genetic control	Edit
2022	The hearing threshold for human ear is	A) 20 dB B) 60 dB C) 0 dB D) 90 dB	Edit
2023	The daily requirement of water for domestic purpose in rural areas	A) 40 ltr/ person B) 150 ltr/ person C) 100 ltr/ person D) 75 ltr/ person	Edit
2024	Distance covered by Anopheles mosquito is	A) 11 km B) 3-5 km C) 100 m D) 1 km	Edit
2025	Rat fleas do not transmit which of the following disease,	A) Bubonic plague B) Endemic Typhus C) Pneumonic plague D) H. Nana	Edit
2026	Best & more used method of Pasteurization is	A) holder method B) high temperature & short time C) ultra have temperature D) all of the above	Edit
2027	Which of the following is not a component of the definition of safe and wholesome water?	A) Free from pathogenic agents B) Usable for domestic purposes C) Not necessarily colorless D) Free from harmful chemicals	Edit
2028	Most common bacterial water borne disease	A) typhoid B) Amoebiasis C) dysentery D) polio	Edit
2029	Ideal retention period of septic tank is	A) 12 hrs B) 24 hrs C) 36 hrs D) 48 hrs	Edit
2030	Most important part in water seal latrine is	A) squatting plate B) pan C) Trap D) connecting pipe	Edit
2031	Ecology is derived from	A) french word B) Latin word C) Greek word D) Egyptian	Edit
2032	The tools used for measuring the heat temperature of air is	A) kata thermometer B) dry bulb thermometer C) wet globe thermometer D) psychrometer	Edit
2033	Alfatoxin is produced by	A) Aspergillus flavus B) Aspergillus fumigatus C) Aspergillus Niger D) all of the above	Edit
2034	Bacteriological quality of drinking water is small community is acceptable upto:	A) No coliform bacteria in water B) 10 coliform bacteria in 100 ml water C) 10 E. coli in 100 ml III water D) 100 E. coli in 100 ml. Water	Edit
2035	Most important factor in sewage treatment	A) Bacterial count B) Solids C) Nitrate and phosphorus D) Water content	Edit
2036	The life cycle of mosquito from egg to adult stage is	A) 7-10 days B) 8-34 days C) 15-25 days D) 10-25 days	Edit
2037	Which types of worker is commonly affected by byssinosis:	A) weavers B) dyers C) spinners D) growers	Edit
2038	Food safety means	A) cleaning the edible things B) cooking properly C) protection from contamination, adulteration & proper storing D) all of the above	Edit
2039	Latrine of choice for semi-permanent camp is	A) deep trench latrine B) chemical closet C) Aqua privy D) shallow trench latrine	Edit
2040	Horrock's apparatus estimates:	A) Free non-residual chlorine B) Combined chlorine C) Both a & b D) Chlorine demand	Edit
2041	Incineration is not done for	A) human waste B) solid waste C) cytotoxic waste D) sharp waste	Edit
2042	Which of the following is incorrectly matched?	A) Agent changes in form and number: Cyclopropagative transmission B) Agent merely multiplies in vector, but no change in form: Propagative transmission C) Agent transmitted from nymph to adult vector: Transovarial transmission D) Agent undergoes only development but no multiplication: Cyclodevelopmental transmission	Edit
2043	Not a feature of septic tank is	A) used for personal & small public use B) water tight compartment C) used where water supply is adequate D) used where public sewerage system is adequate	Edit
2044	Which of the following has no radiation hazard:	A) MRI B) USG C) Both a & b D) CT scan	Edit
2045	Most hazardous occupational disease is	A) silicosis B) Asbestosis C) Anthracosis D) radiation	Edit
2046	Waste water from kitchen is called.	A) Refuse B) Garbage C) Sullage D) Sewage	Edit
2047	Highest permissible intensity of sound is	A) 65 db B) 85 db C) 90 db D) 80 db	Edit
2048	Methylene blue reduction test is done for estimating	A) activity of bacteria in milk B) fecal contamination of milk C) fat content in milk D) protein content in milk	Edit
2049	Which of the following insecticide is least toxic to man & most toxic to insect	A) parathion B) Malathion C) physiostigmine D) Nicotine	Edit
2050	Incineration is the ideal final disposal in all of the following except	A) Microbiology waste B) Animal waste C) Human anatomical waste D) catheter/ blood transfusions	Edit
2051	Scavenging is related to	A) pasteurization B) waste disposal C) Tuberculin Test D) None of the above	Edit
2052	All are water borne disease except	A) leptospirosis B) Brucellosis C) schistosomiasis D) fish tapeworm	Edit
2053	Most reliable evidence of fecal contamination of water is provided by	A) Coliform bacteria B) Clostridium perfinges C) Clostridium welchi D) None	Edit
2054	The residual germicidal effect for disinfection of water is present in	A) Ozonation B) chlorination C) ultraviolet radiation D) All of the above	Edit
2055	If land is available, the best method of sewage disposal is:	A) Trickling filters B) Dumping C) Activated sludge process D) Composting	Edit
2056	All are features of septic tank except:	A) Ideal retention period - 24 hrs B) Minimum capacity - 500 gallons C) Aerobic oxidation takes place inside D) Sludge is solids setting down	Edit
2057	Housefly transmits all except	A) Anthrax B) helminthic infestation C) Trachoma D) Yellow Fever	Edit
2058	Disinfecting action of chlorine on water is mainly due to:	A) Hydrogen Chloride B) Hypochlorous acid C) Hypochlorite ions D) Hydrogen ions	Edit
2059	Which of the following is a non-natural greenhouse gas?	A) Carbon dioxide B) Methane C) Ozone D) Chlorofluorocarbon	Edit
2060	Biological Hazard of water is	A) Tuberculosis B) cancer C) Diarrhoea D) Malaria	Edit
2061	The most effective method of purification of water on individual or family scale is	A) filteration B) Boiling C) Nirmal chakki D) bleaching powder	Edit
2062	Except in higher doses , chlorination has no effect on all except:	A) salmonella B) bacterial spores C) protozoal cyst D) helminthic,ova,polio,& hepatitis virus	Edit
2063	The most commonly reported disease in post disaster phase is	A) vitamin -A deficiency B) Tuberculosis C) typhoid fever D) Gastroenteritis	Edit
2064	Among the following sources of water, the best source is	A) River B) Artificial lake C) Shallow well D) ocean	Edit
2065	Which of the following waste is stored in black color container:	A) sharp hazardous waste B) pharmaceutical waste C) Highly infectious waste D) Radioactive waste	Edit
2066	Permanent hardness is due to all of the following ions except:	A) Bicarbonate B) sulphate C) Nitrate D) Chloride	Edit
2067	Waste disposed in the wrong place by unlawful human action is called:	A) Garbage B) Ash C) Rubbish D) litter	Edit
2068	The cheapest and more practicable source of water is	A) ground water B) surface water C) rain water D) none	Edit
2069	Best disinfectant for cholera stools is:	A) Bleaching powder B) Cresol C) Coal-tar D) Formalin	Edit
2070	In the management of leprosy, Lepromin test is most	A) Herd immunity B) Prognosis C) Treatment D) Epidemiological Investigations	Edit
2071	A herd immunity of over ........ % is considered necessary to prevent epidemic spread of diphtheria:	A) 50% B) 55% C) 60% D) 70%	Edit
2072	An important Skin lesion at the site of bite in scrub typhus is :	A) Papules B) Vesicles C) Black eschar D) Burrows	Edit
2073	Incubation period of JE is:	A) 1-5 days B) 5-15 days C) 2-3 weeks D) 1-4 months	Edit
2074	Which of the following is also called break bone fever'?	A) Kala-azar B) Malaria C) JE D) Dengue fever	Edit
2075	In JE, Pigs are best described as:	A) Definitive host B) Intermediate host C) Amplifier host D) Dead end host	Edit
2076	Malaria recrudescence is:	A) Resistant to treatment B) Relapse of infection C) Relapse in vivax and ovale D) Reappearance of sexual stage parasitemia after treat- ment	Edit
2077	Most sensitive test for lymphatic filariasis is:	A) Aldehyde test B) Thin smear C) Membrane Filter Concentration D) Immunechromatography (ICT)	Edit
2078	Lymphatic filariasis most commonly affects:	A) Leg B) Scrotum C) Breast D) Hands	Edit
2079	Definitive host for L. filariasis is :	A) Culex mosquito B) Aedes mosquito C) Man D) Anopheles mosquito	Edit
2080	In malaria, best index to know about incidence in a community is:	A) Annual parasite incidence B) Annual parasite index C) Annual Blood Examination Rate D) Slide positive rate	Edit
2081	Fever in malaria is due to:	A) Entry of merozoites in liver cells B) Release of merozoites from liver cell C) Entry of merozoites in the RBC D) Release of merozoites from RBC	Edit
2082	WHO defines Multi-drug resistant (MDR) Tuberculo- sis strain as one that is:	A) At least resistant to INH B) At least resistant to Rifampicin C) Resistant to INH and Rifampicin with or without resistant to other anti TB drugs D) Resistant to Streptomycin only	Edit
2083	Newborn & infants are resistant to:	A) P. vivax B) P. falciparum C) P. ovale D) P. malaria	Edit
2084	A mosquito is called infected, if there is:	A) Oocyst in stomach B) Gametocyte in stomach C) Sporozoites in stomach D) Sporozoites in salivary glands	Edit
2085	The highly infections clinical form of plague is:	A) Bubonic plague B) Pneumonic plague C) Septicaemic plague D) All of the above	Edit
2086	In which stage of life cycle of plasmodium, merozoites are released?	A) Erythrocytic stage B) Pre-erythrocytic stage C) Sporogony stage D) Gametogony	Edit
2087	High grade fever, anemia, splenomegaly & weight loss are characteristics features of:	A) Malaria B) Kala-azar C) Lymphatic filariasis D) JE	Edit
2088	The life cycle of malaria was first studied by:	A) Edward Jenner B) John snow C) Ronald Ross D) Laveran	Edit
2089	Plasmodium vivax causes :	A) Benign tertian malaria B) Malignant tertian malaria C) Benign quartan maria D) Benign quotidian malaria	Edit
2090	Which of the following mosquitoes is also known as 'Tiger mosquito'?	A) Anopheles B) Culex C) Aedes D) Mansonia	Edit
2091	True regarding pertussis is all except:	A) It is associated with an inspiratory whoop B) It is a droplet infection C) Para pertussis causes more severe disease pertussis D) Pneumonia is most common complication	Edit
2092	Scrub typhus is transmitted by:	A) Itch mite B) Trombiculid mite C) Cyclopes D) Hard tick	Edit
2093	An arthropod which transmit infectious agent from one host to another is called :	A) Insect B) Carrier C) Reservoir D) Vector	Edit
2094	Non gonococcal Urethritis is best treated with:	A) Azithromycin B) Tinidazole C) Ceftriaxone D) Cefixime	Edit
2095	Straw-berry cervix is seen in:	A) Bacterial vaginosis B) Syphilis C) HIV D) Trichomoniasis	Edit
2096	Spastic paralysis is caused by toxin of:	A) Clostridium tetani B) Clostridium botulism C) Clostridium Perfinges D) All of the above	Edit
2097	Drug of choice for Scabies in pregnancy is:	A) Ivermectin B) Crotaminton C) Benzyl benzoate D) Permethrin	Edit
2098	All of the following are the signs of tetanus, except?	A) Opisthotonos B) Risus Sardonicus C) Trismus D) Pseudo membrane	Edit
2099	Common cranial nerve involved in Leprosy is	A) Facial nerve B) Trochlear nerve C) Trigeminal Nerve D) Both A and C	Edit
2100	Earliest sensation to be affected in leprosy is :	A) Heat B) Cold C) Pain D) Light touch	Edit
2101	Prevalence of TB can be confirmed by:	A) Tuberculin test B) Sputum microscopy C) Sputum culture D) Chest X-ray	Edit
2102	The following statements about meningococcal meningitis are true, except:	A) The source of infection is mainly clinical cases B) The disease is more common in dry and cold months of the year C) Chemoprophylaxis of close contacts of cases is recommended D) The vaccine is not effective in children below 2 years of age	Edit
2103	Most powerful drug of tuberculosis is	A) Isoniazid B) Rifampicin C) Ethambutol D) Pyrazinamide	Edit
2104	The result of the tuberculin test should be read at:	A) 12 hour B) 72 hour C) 36 hours D) 120 hour	Edit
2105	Tuberculosis is also known as:	A) Social disease B) Koch Disease C) Barometer of social welfare D) All of the above	Edit
2106	Confirmatory test of typhoid is:	A) Widal test B) Urine examination C) Blood culture D) USG	Edit
2107	All of the following are the clinical features of typhoid, except :	A) Pea soup diarrhoea B) Splenomegaly C) Leukocytosis D) Relative bradycardia	Edit
2108	For controlling an outbreak of cholera, all of the following measures are recommended except:	A) Mass chemoprophylaxis B) Proper disposal of excreta C) Chlorination of water D) Early detection and management of cases	Edit
2109	Choice of drug for the chemoprophylaxis of meningococcal meningitis is:	A) Penicillin B) Erythromycin C) Rifampicin D) Doxycycline	Edit
2110	Which of the following disease is also known as 'Cerebrospinal fever'?	A) Japanese Encephalitis B) Meningococcal meningitis C) Cerebrovascular accident D) Rabies	Edit
2111	Incubation period of pertussis is :	A) 2-6 days B) 6-10 days C) 14-21 days D) 7-14 days	Edit
2112	The most common clinical type of diphtheria is:	A) Faucial or pharyngotonsillar B) Laryngotracheal C) Nasal D) Cutaneous	Edit
2113	Most common organism which causes bacillary dysentery is :	A) Vibrio B) Balantidium coli C) E. coli D) Shigella	Edit
2114	Chemoprophylaxis is indicated in the following conditions except:	A) Cholera B) Meningococcal meningitis C) Plague D) Typhoid	Edit
2115	The most effective preventive measure for cholera is:	A) Early diagnosis and treatment B) Improved water sanitation C) Chemoprophylaxis D) Health education	Edit
2116	An area is declared free of cholera epidemic after.......... Days of isolation of last case.	A) 5 days B) 10 days C) 28 days D) 42 days	Edit
2117	Commonest cause of diarrhoea in infants & children is :	A) E. coli B) E. histolytica C) Rota virus D) Adeno virus	Edit
2118	Cholera is	A) Bacterial disease B) Viral disease C) Protozoal Disease D) None of the above	Edit
2119	3rd day disease is	A) Measles B) Scarlet fever C) Rubella D) Mumps	Edit
2120	Which is not the major diagnostic criteria of HIV/ AIDS.	A) weight loss more than 10% of TBW B) Diarrhoea for more than 1 months C) Prolonged fever D) Prolonged and persistent cough	Edit
2121	KFD is caused by	A) Group A arbo virus B) Group B arbo virus C) Monkey virus D) None	Edit
2122	Which of the following disease is also known as American plague?	A) Ebola virus B) monkey pox C) Yellow fever D) Zika fever	Edit
2123	What is the incubation period of Monkey pox Virus?	A) 7 - 14 days B) 14 - 28 days C) 1 - 6 days D) 2 - 12 days	Edit
2124	Among the hepatitis viruses, which of the following is most fatal?	A) Hepatitis B B) Hepatitis C C) Hepatitis D D) Hepatitis E	Edit
2125	Koplik's spot is seen in:	A) Prodomal stage B) Incubation C) Eruptive D) Convalescent stage	Edit
2126	Window period for HIV infection is	A) 3-12 weeks B) 8-20 weeks C) 6-24 weeks D) None	Edit
2127	To eradicate measles the percentage of infant population to be vaccinated is at least %:	A) 90 B) 80 C) 85 D) 96	Edit
2128	Congenital Rubella Syndrome include all except:	A) Cataract B) VSD C) Intracerebral hemorrhage D) SN deafness	Edit
2129	Which of the following viral markers signifies the ongoing viral replication in the case of Hepatitis-B infec- tion?	A) Anti-HBs B) Anti-HBc C) HBe Ag D) HBs Ag	Edit
2130	HIV post exposure prophylaxis should be started with in:	A) 24 hours B) 48 hours C) 72 hours D) 6 hours	Edit
2131	The most common clinical feature of COVID-19 is:	A) Headache B) Cough C) Fever D) Loss of smell	Edit
2132	The first case of COVID-19 was discovered in Nepal on:	A) 21 Jan 2019 B) 23 Jan 2020 C) 11 March 2020 D) 23 Jan 2019	Edit
2133	When to start ART in HIV positive person?	A) When CD4 count is below 350 cells/mm³ B) When CD4 count us below 500 cells/mm³ C) When opportunistic infections appears D) As soon as possible after diagnosis	Edit
2134	Confirmatory test for HIV?	A) ELISA B) VDRL C) Western blot D) Widal test	Edit
2135	Interferon is a drug effective for	A) Hepatitis A B) Hepatitis B C) Hepatitis C D) Hepatitis E	Edit
2136	Which of the following is also known as epidemic jaundice?	A) Hepatitis A B) Hepatitis B C) Hepatitis C D) Hepatitis E	Edit
2137	The main cause of death in rabies is:	A) Viremia B) Meningitis C) Respiratory paralysis D) Anaphylactic shock	Edit
2138	According to current national protocol on rabies prophylaxis, schedule of post exposure rabies vaccine is:	A) 0,3 days B) 0,3,7 days C) 0,7 days D) 0,3,7,14,28 days	Edit
2139	The most vulnerable age group for poliomyelitis is:	A) 1-2 years B) 6 months -5 years C) 6 months - 3 years D) 5-15 years	Edit
2140	AFP surveillance is related to	A) Measles B) Tetanus C) Rubella D) Poliomyelitis	Edit
2141	Antigenic shift & drift is most common in:	A) Influenza virus type A B) Influenza virus type B C) Influenza virus type C D) None of these	Edit
2142	The management of Mumps is:	A) To prescribe antibiotic B) To give analgesic and oral hygiene C) To refer for hospital admission D) To prescribe IV antibiotics and bed rest	Edit
2143	The secondary attack rate of mumps is:	A) 40% B) 90% C) 86% D) 100%	Edit
2144	Causative agent of rubella is:	A) Paramyxovirus B) Toga virus C) Orthomyxovirus D) C. diphtheriae	Edit
2145	WHO case definition of measles is:	A) Fever with Vesicular rash B) Cough, coryza & conjunctivitis C) Fever with maculopapular rash D) Fever, cough, coryza & Conjunctivitis	Edit
2146	Chicken pox is characterized by all except:	A) Scabs are infective B) Pelomorphic stage C) Rash symmetrical centripetal dew drop like D) Palms & soles are not affected by rash	Edit
2147	"Dew drop Rash" is characteristics of :	A) Small pox B) Chicken pox C) Measles D) Whooping cough	Edit
2148	WHO had declared eradication of small pox worldwide on :	A) 26 September 2002 B) 14 April 2009 C) 27 March 2014 D) 8 May 1980	Edit
2149	The most effective method of preventing human Cysticercosis is:	A) Early detection and treatment of Taenia solium cases B) Proper housing and feeding of pigs C) Thorough cooking of beef and pork D) Prevention of soil, water and food pollution with human faeces	Edit
2150	Definitive host for Taenia saginata is:	A) Man B) Cattle C) Pig D) Dog	Edit
2151	Which of the following is useful for mass treatment of Ascariasis:	A) Pyrantel B) Levamisole C) Piperazine D) Mebendazole	Edit
2152	The blood loss due to Ancylostoma is	A) 0.2 ml/day B) 0.3 ml/day C) 0.02 ml/day D) 0.03 ml/day	Edit
2153	What is the drug of choice for pinworm?	A) Praziquintal B) Albendazole C) Pyrental Pamoate D) metronidazole	Edit
2154	Rectal prolapse is common in	A) Whipworm B) Thread worm C) Round worm D) Hookworm	Edit
2155	The infective stage of Hookworm for men is	A) Embryonated egg B) Filariform larva C) Cysticercosis D) Second stage larva	Edit
2156	Zn staining is used for the diagnosis of	A) E.coli B) Mycobacterium C) Staphylococcus D) Neisseria	Edit
2157	The incubation period of the round worm is about?	A) 1 month B) 2 month C) 3 month D) 4 months	Edit
2158	Giardia Lamblia resides in which part of small intestine	A) Duodenum B) Jejunum C) Ileum D) Caecum	Edit
2159	The shortest tape worm is	A) T. Solium B) T. Saginata C) H. Nana D) Diphyllobothrium	Edit
2160	All of the following are intestinal worms except	A) Tinea solium B) Enterobius vermicularis C) Wuchereria Bancrofti D) Trichuris trichiura	Edit
2161	The reservoir of hookworm is	A) Soil B) Man C) Pig D) Sheep	Edit
2162	The most common infestation in Nepal is	A) Round worm B) Hookworm C) Pin worm D) Tape worm	Edit
2163	Hemophilus Influenza is	A) Bacteria B) Virus C) Protozoa D) Fungus	Edit
2164	Which of the following bacteria doesn't contain a cell wall?	A) Salmonella B) Chlamydia C) Mycoplasma D) Gonococcus	Edit
2165	Clostridium is	A) Gram negative Bacilli B) Gram negative cocci C) Gram positive cocci D) Gram positive Bacilli	Edit
2166	Who is known as the father of Microbiology?	A) Robert Koch B) Louise Pasteur C) Edward Jenner D) Ronald Ross	Edit
2167	Which of the following is the smallest virus?	A) Small Pox virus B) Papilloma virus C) Parvo virus D) Adeno virus	Edit
2168	Study of fungi is called	A) Helmithology B) Biology C) Mycology D) Phycology	Edit
2169	Iceberg phenomenon differentiates:	A) Apparent and Inapparent B) Symptomatic and Asymptomatic C) Cases and Carriers D) Diagnosed and Undiagnosed	Edit
2170	All of the following are morbidity indicators except	A) Incidence B) Prevalence C) Number of days of restricted activity D) Notification rates	Edit
2171	A person who has lost his foot in an accident and is not able to walk is an example of:	A) Disease B) Disability C) Impairment D) Handicap	Edit
2172	Total fertility rate Indicates	A) Total unmarried women B) Total children C) Complete family size D) Women between 15-45 yrs	Edit
2173	Midyear population refers to population as on:	A) 31st March B) 1st January C) 1st July D) 31st December	Edit
2174	The secondary attack rate of measles is more than mumps. What is the conclusion?	A) Measles is more dangerous than mumps B) Mumps is more dangerous than measles C) Measles is more infectious than mumps D) Measles is more common than mumps	Edit
2175	Difference between the lowest and highest in the series is known as	A) Interval B) Difference C) Median D) Range	Edit
2176	Primary prevention of obesity is:	A) High cholesterol diet B) Low fibre diet C) High intake of protein D) High fibre diet	Edit
2177	The number of cases of a given point of time in a given population?	A) Incidence B) Prevalence C) Epidemiology D) Dracunculiasis	Edit
2178	Human Development index value ranges between	A) – 1 to + 1 B) 0 to 1 C) 0 to 3 D) 0 to 100	Edit
2179	Chronic carrier state is seen in:	A) Poliomyelitis B) Measles C) Malaria D) Tetanus	Edit
2180	Analytical studies include the following methods of studies except:	A) Case-control studies B) Randomised controlled trials C) Cohort studies D) Cross-sectional studies	Edit
2181	Socialized medicine is	A) Healthcare at people's expense B) Charitable care at government expense C) Free medical care at government expense, regulated by professional groups D) Integration of social medicine with health care	Edit
2182	Disease that are always present in a community, usually at low, more or less constant, frequency are classified as having a/an .......... Pattern.	A) Epidemic B) Endemic C) Pandemic D) Sporadic	Edit
2183	The first bacterium discovered as a cause of disease was	A) TB bacillus B) Anthrax bacillus C) Leprosy bacillus D) Plague bacillus	Edit
2184	If the data is arranged in descending order, the middle value is:	A) Mean B) Mode C) Median D) Geometric mean	Edit
2185	What do you mean by '5 F in disease transmission?	A) Flies, finger, foot, food, fomite B) Flies, finger, faeces, food fomite C) Flies, finger, food, fluid, fomite D) Flies, finger, flesh, food, fomite	Edit
2186	Sullivan's Index is	A) Life expectancy free from disability B) Life adjusted with disease C) Years of life lost due to premature death D) Standard of living	Edit
2187	Surveillance of disease has a direct role in all of the following except	A) Health planning B) Control of disease C) Data on new and changing trends D) Breaking chain of transmission	Edit
2188	Case control study is generally used for	A) Finding morbidity rates B) Finding incidence rates C) Finding multiple risk factors D) Finding a rare causal factor	Edit
2189	According to the demographic cycle, in which stage, the death rate begins to decline while the birth remains unchanged?	A) Low stationary B) Early expanding C) Late expanding D) High stationary	Edit
2190	The target group for primary prevention are all of the following except	A) Healthy individuals B) Risk groups C) Children D) Patients	Edit
2191	Disability prevention by appropriate treatment is a mode of intervention in	A) Primordial prevention B) Primary prevention C) Secondary Prevention D) Tertiary prevention	Edit
2192	First step during epidemic investigation is:	A) Preparing the cases definition B) Mapping the endemic C) Conformation of Epidemic D) Searching the cases	Edit
2193	The epidemiological triangle includes:	A) Agent and host B) Agent, host and Environment C) Agent, time and environment D) Agent, theory and host	Edit
2194	The only one eradicated disease so far is	A) Chicken pox B) Small pox C) Cholera D) Influenza	Edit
2195	Staying apart from other people when you have been exposed to the corona virus is called:	A) Physical distancing B) Isolation C) Quarantine D) Contact tracing	Edit
2196	The most useful parameter to predict virulence of acute illness is:	A) Secondary attack rate B) Case fatality rate C) Proportional mortality rate D) Incidence	Edit
2197	Incidence rate is calculated with the help of	A) Case control study B) Randomized control study C) Cohort studies D) Field trials	Edit
2198	Incidence of a disease in a population of 30,000 with 300 new cases is	A) 0.1 per 1000 B) 10 per 1000 C) 100 per 1000 D) 1 per 1000	Edit
2199	Which of the following is a good indicator of efficacy of health programs?	A) Case fatality rate B) Prevalence C) Secondary attack rate D) Incidence	Edit
2200	Which of the following is false with regard to prevalence?	A) It is a product of incidence and duration B) It can be determined by cross-sectional studies C) It is a rate D) Prevalence is point prevalence unless otherwise specified	Edit
2201	Descriptive epidemiology includes all of the following except	A) Time B) Controls C) Place D) Person	Edit
2202	Building codes, Vulnerability/ Risk assessment, public education related to disaster are examples of:	A) Preparedness B) Mitigation C) Response D) Recovery	Edit
2203	Food poisoning is an example of	A) Common source, single exposure epidemics B) Common source, multiple exposure epidemic C) Propagated epidemic D) Modern epidemic	Edit
2204	Which among the following is the weakest study design to prove causation?	A) Cohort study B) Case control study C) Randomized control trials D) Ecological study	Edit
2205	A host in which the parasite only passes through its sexual stage of maturity is called.	A) Obligate host B) Definitive host C) Intermediate host D) Transport host	Edit
2206	A disease which is maintained in both humans and lower vertebrates and can be transmitted in either direction is called	A) Anthropozoonoses B) Zooanthroponoses C) Amphixenosis D) Epornithic	Edit
2207	Subclinical infection occurs in all of the following except	A) Hepatitis A B) Diphtheria C) Measles D) Japanese encephalitis	Edit
2208	Which of the following is not a method of direct transmission of communicable diseases?	A) Vertical transmission B) Contact with soil C) Droplet nuclei D) Droplet transmission	Edit
2209	Lodgement and development of an arthropod on the body is	A) Infection B) Infestation C) Contamination D) Contagion	Edit
2210	________ expresses a relation in size between two random quantities.	A) Rate B) Ratio C) Proportion D) None	Edit
2211	The main purpose of Mass drug administration for lymphatic filariasis is:	A) Disease control B) Disease Elimination C) Disease eradication D) disease notification	Edit
2212	All of the following are applied during pre-pathogenesis phase of disease, except?	A) Primordial prevention B) Health promotion C) Secondary prevention D) Specific protection	Edit
2213	Malaria is an example of the type of biological transmission in vector-borne diseases.	A) Propagative B) Cyclo-developmental C) Cyclo-propagative D) Developmental	Edit
2214	When is an area declared as free of an epidemic?	A) No cases are reported for one incubation period of the disease. B) Reports for 1 year reveal no cases C) Reports of 6 months reveal no cases D) No cases are reported for twice the incubation period of the disease	Edit
2215	Diet modification and exercise belong to level of prevention.	A) Primordial B) Primary C) Secondary D) All of the above	Edit
2216	Which of the following is also called 'Father of public health'?	A) John snow B) Hippocrates C) Louis Pasteur D) Cholera	Edit
2217	Which of the following is not a component of the definition of epidemiology?	A) Disease frequency B) Distribution of disease C) Treatment of disease D) Determinants of disease	Edit
2218	Which of the following is not a component of the definition of epidemiology?	A) Disease frequency B) Distribution of disease C) Treatment of disease D) Determinants of disease	Edit
2219	Antibiotics are drugs which kills:	A) Bacteria B) Virus C) Protozoa D) All of the above	Edit
2220	Centrally acting antihypertensive drug is:	A) Phenoxybenzamine B) Methyl dopa C) Propranolol D) Prazosin	Edit
2221	Heart rate is decreased by:	A) Propranolol B) Isoprenaline C) Dopamine D) Dobutamine	Edit
2222	What is the term used to describe "a treatment that appears real but is designed to have no therapeutic benefit" ?	A) Prophylaxis B) placebo C) Pseudotherapy D) Simulated intervention	Edit
2223	Pirenzepine is used for.	A) Asthma B) Peptic ulcers C) Glaucoma D) Hypertension	Edit
2224	Synergistic effects in pharmacology refer to:	A) The combined effects of two drugs that are less than the sum of their individual effects B) The combined effects of two drugs that are greater than the sum of their individual effects C) The adverse effects of two drugs used in combination D) The additive effects of two drugs used in combination	Edit
2225	The therapeutic index is an assessment of	A) Potency of a drug B) Onset of action C) Duration of action D) Margin of safety	Edit
2226	Which of the following is NOT a prodrug?	A) Enalapril B) Trimethoprime C) Carbimazole D) Cyclophosphamide	Edit
2227	Main part of prescription is	A) Superscription B) Inscription C) Subscription D) None	Edit
2228	All are cell wall synthesis inhibitors except?	A) Penicillins B) Fluroqunolones C) Vancomycin D) Cephalosporins	Edit
2229	Which of the following route is mainly used for diagnostic purpose?	A) Oral B) IM C) ID D) SC	Edit
2230	All are anti protozoal except,	A) Metronidazole B) Tinidazole C) Albendazole D) Chloroquine	Edit
2231	Which of the following statement is not correct regarding drug administration?	A) Creams are absorbed faster than ointment B) Local route is safer than system route C) Most common route of drug administration is oral D) Oral route is most applicable in emergency	Edit
2232	Meaning of "HS" in prescription is	A) When required B) At bed time C) Before meal D) If necessary	Edit
2233	In kidney, drugs are excreted by	A) Filteration B) Selective Reabsorption C) Secretion D) All of the above	Edit
2234	Use of furosemide may causes	A) Hyperkalemia B) Hypokalemia C) Hypernatremia D) None of the above	Edit
2235	Side effect of aspirin is:	A) Peptic ulcer B) Bleeding C) Rey's syndrome D) All of the above	Edit
2236	The effect of drug to the fetus when used by pregnant mother is	A) Iatrogenic effect B) Teratogenic effect C) Adverse effect D) Toxic effect	Edit
2237	What do you mean by 'orphan drugs'?	A) Drugs used to treat chronic disease B) Drug used to treat tropical disease C) Drug used to treat rare disease D) Drug which causes drowsiness & sedation	Edit
2238	Which of the following may cause 'Grey baby syndrome'?	A) Chloroquine B) Tetracycline C) Streptomycin D) Chloramphenicol	Edit
2239	The drug which induce sweating is :	A) Diuretics B) Diaphoretics C) Salicylates D) Antitussive	Edit
2240	Common side effect of steroids is :	A) Susceptibility of infection B) Hyperglycemia C) Delayed wound healing D) All of the above	Edit
2241	Tocolytic agents are those which:	A) Increase uterine contractions B) Decrease uterine contraction C) Reduce IOP D) Increase IOP	Edit
2242	Amitriptyline is:	A) Anti-psychotic drug B) Anti-depressant C) Tranquilizer D) Laxative	Edit
2243	WHO had published first list of essential medicines in:	A) 1977 B) 1987 C) 1997 D) 2003	Edit
2244	Principles of drug use are all except:	A) To Cure disease B) To suppress disease C) To Prevent disease D) To modify disease	Edit
2245	There are some undesirable but unavoidable pharmacodynamics effect of a drug which are known as:	A) Intolerance B) Idiosyncrasy C) Side effect D) Toxic effect	Edit
2246	What method is applied for distribution of medicine from the store?	A) FIFO B) FEFO C) Heavy Weight D) None	Edit
2247	Sodium content of Ringer's Lactate solution is	A) 154 mEq/L B) 134 mEq/L C) 130 mEq/L D) 140 mEq/L	Edit
2248	While using rifampicin drug the colour of urine may be	A) Yellow B) Black C) Red D) Green	Edit
2249	How much sodium chloride contains in a sachet of oral rehydration solution to be prepared in one liter?	A) 2.5 gm B) 2. 6 gm C) 2.8 gm D) 2.9 gm	Edit
2250	First antibiotic to be used clinically,	A) Ciprofloxacin B) Penicillin C) Erythromycin D) Tetracycline	Edit
2251	For how long does Jeevan jal be used once it is prepared ?	A) 12 hour B) 24 hour C) 48 hour D) 18 hour	Edit
2252	You have to give 180 mg of ceftriaxone to a patient in 2 ml syringe that has 10 divisions per ml. The concentration of this drug in the vial is 500 mg/5 ml. How many divisions should be filled in 2 ml of the syringe to give 180 mg of ceftriaxone?	A) 18 B) 1.8 C) 36 D) 3.6	Edit
2253	Which of the following is the side effects of Enalapril?	A) Skin rashes B) Diarrhoea C) Red urine D) Dry cough	Edit
2254	Safe drugs in pregnancy is	A) Chloroquine B) Niclosamide C) Insulin D) All	Edit
2255	Thalidomide causes..........	A) Skin rashes B) Limb abnormalities C) Bleeding D) Lungs fibrosis	Edit
2256	Biotransformation is also called as	A) Absorption B) Bioavailability C) Metabolism D) Excretion	Edit
2257	Which of the following is semisolid dosage form of medicament?	A) Cream B) Syrup C) Suspension D) Paints	Edit
2258	Which is the safest route of drug administration?	A) IV B) Oral C) Ocular D) Nasal	Edit
2259	Which of the following is proton pump inhibitor?	A) Rabeprazole B) Metronidazole C) Aripirazole D) Albendazole	Edit
2260	Drug use for treatment of disease is called	A) Prophylactic B) Therapeutic C) Antseptic D) Liniment	Edit
2261	Whitefield ointment contains.......... Salicylic acid.	A) 3% B) 6% C) 8% D) 10%	Edit
2262	Bioavailability is:	A) Amount of drugs that reach the systemic circulation B) Drug metabolized in liver before the drug reaches the systemic circulation C) Drug metabolized in liver after the drug reaches the systemic circulation D) Maximum by rectal route	Edit
2263	Which of the following is not General anaesthetic?	A) Ketamine B) Nitrous oxide C) Ether D) Lidocaine	Edit
2264	All of the following drugs have antibacterial activity except:	A) Tetracycline B) Carbapenam C) Metronidazole D) Penicillin	Edit
2265	Study of 'What the body does to the drug' is....	A) Pharmacy B) Pharmacodynamic C) Pharmacokinetic D) Pharmacovigilance	Edit
2266	The primary site of drug metabolism is...	A) Kidney B) Lungs C) Liver D) Intestine	Edit
2267	Posology is the study of____ of a drug.	A) Drug B) Dosage form C) Dose D) Disease	Edit
2268	The study of the interaction of drugs with living organisms is called:	A) pathology B) pharmacology C) physiology D) immunology	Edit
2269	In pregnancy, most of the women suffers from gestational Diabetes Mellitus. Which Hormone is responsible for causing insulin Resistant in pregnancy?	A) HPL B) Prolactin C) Progesterone D) Estrogen	Edit
2270	Medical termination of pregnancy is up to	A) 4 weeks B) 9 weeks C) 8 weeks D) 10 weeks	Edit
2271	Most common type of female pelvis is :	A) Android B) Gynaecoid C) Platypelloid D) Anthropoid	Edit
2272	Lochia Serosa is seen in postpartum at	A) 5th - 9th days B) 1st - 4th days C) 10th - 14th days D) None	Edit
2273	Amount of water retained during normal pregnancy at term approximates	A) 1.5 liters B) 6.5 liters C) 8.5 liters D) 10 liters	Edit
2274	Painless irregular uterine contractions seen in early pregnancy is called:	A) Uterine contraction B) Braxton hicks contractions C) Endometrial contraction D) Unstable contraction	Edit
2275	The major cause of Maternal Mortality is	A) Infection B) Eclampsia C) Haemorrhage D) Diabetes	Edit
2276	Active management of third stage of labour is...	A) Uterine massage, CCT & oxytocin B) CCT, massage & oxytocin C) Oxytocin, Delayed cord clamping, CCT D) oxytocin, CCT & uterine massage	Edit
2277	The weight of the fetus and placenta are equal at	A) 14 weeks B) 15 weeks C) 17 weeks D) 21 weeks	Edit
2278	HCG hormone is secreted by:	A) Cytotrophoblast B) Synctiotrophoblast C) Germinal cells of ovary D) Chorion of the placenta	Edit
2279	The commonest position of is:	A) Right occipito-anterior (ROA) B) Left occipito -anterior (LOA) C) Right occipito -transverse (ROT) D) Left occipito-transverse (LOT)	Edit
2280	Excessive vomiting during pregnancy is called:	A) Nephrotic Syndrome B) Morning Sickness C) Hyperemesis Gravidarum D) Ectopic pregnancy	Edit
2281	Best time for screening of gestational diabetes is	A) 14-16 weeks B) 20-24 weeks C) 24-28 weeks D) 28-36 weeks	Edit
2282	What do you advise to the pregnant women to reduce morning sickness that she usually has during first trimester?	A) To take protein food at bed time B) To take antacid at bed time C) To avoid all type of food D) To take antiemetics	Edit
2283	Implantation occurs on:	A) 3rd day of fertilization B) 4th day of fertilization C) 5th day of fertilization D) 6th day of fertilization	Edit
2284	All of the following are true about hCG except	A) Identical to LH, FSH, TSH B) Causes involution of corpus luteum C) Maximum level is seen at 60-70 days of gestation D) Detected in serum 8-9 days after fertilisation	Edit
2285	All of the following are risk factors for Ovarian Cancer except:	A) Early Menarche B) Nulliparity C) Age > 60 years D) Use of OCPs	Edit
2286	Physiological changes during pregnancy are all of the following, except?	A) Decrease in Blood pressure B) Increase in heart rate C) Decrease in cardiac output D) increase in urine output	Edit
2287	Procidentia is term used for which degree of uterine prolapse?	A) 1 degree B) 2nd degree C) 3rd degree D) 4th degree	Edit
2288	The following are the signs that the placenta has detached, except?	A) Lengthening of the cord B) Uterus becomes more globular C) Sudden gush of blood D) Mothers feels like bearing down	Edit
2289	Not a feature of HELLP syndrome:	A) Raised liver enzyme B) Eosinophilia C) Thrombocytopenia D) Hemolytic anemia	Edit
2290	The pain during sexual intercourse is called:	A) Dysuria B) Dysmenorrhoea C) Dyspareunia D) Dyspnoea	Edit
2291	Macrosomia is occasionally related to all except	A) Gestational diabetes B) Maternal obesity C) Prolonged pregnancy D) Maternal hypertension	Edit
2292	Uterus becomes a pelvic organ by of postpartum.	A) 1 week B) 2 week C) 4 week D) 6 week	Edit
2293	Painless, bleeding is seen in	A) Abruption placenta B) Placenta previa C) Ectopic Pregnancy D) PID	Edit
2294	The techniques for stimulating uterine contractions prior to the onset of spontaneous labor is:	A) Augmentation of labor B) Induction of labor C) Both a and b D) Abortion	Edit
2295	Quickening is the	A) Positive signs B) Presumptive sign C) Probable sign D) All of the above	Edit
2296	All of the following are included in the first stage of labor except	A) Effacement of cervix B) Dilatation of cervix C) Crowning of fetal head D) Fetal descent beginning	Edit
2297	Mechanism of central separation of placenta is known as	A) Mathews Duncan B) Schultze C) Letymen D) Naegele's	Edit
2298	The commonest cause of the breech presentation is:	A) Prematurity B) Hydrocephalus C) Placenta previa D) Polyhydramnios	Edit
2299	Most common site of ectopic pregnancy	A) Fallopian tube B) Cervix C) Ovary D) Abdomen	Edit
2300	A 28 year old woman with 6 weeks of amenorrhea, came to the clinic with complaint of pain in the lower abdomen. Her UPT is positive. USG shows an empty uterus. What is the likely diagnosis?	A) Ovarian cyst B) Ectopic pregnancy C) Complete abortion D) None of the above	Edit
2301	Fetal growth is affected mostly by	A) Growth hormone B) Cortisol C) insulin D) Thyroxine	Edit
2302	What precautions with diabetes mellitus during should be taken to the women labour?	A) Avoid acidosis and dehydration B) Give oxygen therapy C) Baby should be given 10-20 ml of 10% Dextrose orally within 2 hours of delivery D) Both a and c	Edit
2303	Pre-eclampsia is characterized by:	A) Hypertension & Oedema B) Hypertension & Proteinuria C) Hypertension and convulsion D) Hemolysis & hypertension	Edit
2304	When does the partograph start to be filled	A) The women is admitted for delivery B) The pain starts C) The cervix is 4 cm dilated D) Head is engaged	Edit
2305	Brownish black pigmented area in the midline of the abdomen of a pregnant woman extending from xiphisternum to symphysis pubis is called:	A) Striae gravidarum B) Chloasma C) Linea alba D) Linea nigra	Edit
2306	What is the most common cause of postpartum hemorrhage?	A) Vulval laceration B) Uterine atony C) Uterine rupture D) Retained placenta	Edit
2307	Fertilization occurs in:	A) Infundibulum with fimbriae B) Ovary C) Isthmus D) Ampulla	Edit
2308	Oxygen rich blood from placenta to fetus is carried by:	A) Umbilical artery B) Umbilical veins C) Vitellian vein D) Vitellian artery	Edit
2309	The main function of amniotic fluid is:	A) To provide nutrition to the fetus B) To help in fetal growth C) To protect the fetus D) All of the above	Edit
2310	Mother Experiences fetal movement at about fifth month of pregnancy is known as:	A) Lightening B) Quickening C) Engorgement D) Engagement	Edit
2311	Most common cause of abortion in the first trimester?	A) Chromosomal abnormalities B) Cervical incompetence C) Infection D) All of the above	Edit
2312	First stage of labor is up to:	A) Crowning of head B) Full dilatation of cervix C) Expulsion of fetus D) Rupture of membrane	Edit
2313	Metrorrhagia means...	A) More episodes of bleeding within 28 day B) Excessive bleeding during menstruation C) Scanty blood flow during menstruation D) Intermenstrual bleeding	Edit
2314	Generally, when the morning sickness end during pregnancy?	A) After 2 month B) After 3 months C) After 4 months D) after 5 months	Edit
2315	Which of the following hormones are secreted by Ovary?	A) Oestrogen & Progesterone B) Thyroxine & Oestrogen C) Insulin and testosterone D) Prolactin & Insulin	Edit
2316	Anemia is confirmed in pregnancy when hemoglobin is less than:	A) 10 gm/dl B) 11mg/dl C) 12gm/dl D) 13 mg/dl	Edit
2317	Gravida refers to:	A) Serous pregnancy B) number of times a female has been pregnant C) Number of children a female has delivered D) Number of term pregnancies a female had	Edit
2318	The shape of the ovary is like a...	A) Almond B) Pear C) Finger D) None of the above	Edit
2319	A condition where the ribs are fractured in multiple places, resulting in a segment of the chest wall that moves independently during respiration and shows Paradoxical Breathing.	A) Ribs Fracture B) Flail chest C) Pneumothorax D) Pulmonary Contusion	Edit
2320	Strangulation is most common with which hernia	A) Inguinal B) Epigastric C) Obturator D) Femoral	Edit
2321	Emergency management for tension pneumothorax is:	A) Tracheosteomy B) Thoracotomy C) Needle decompression D) Insertion of a chest tube	Edit
2322	Curling's ulcer is a complication of:	A) Head injury B) Severe burns C) Old scars of burns D) Analgesics overdose	Edit
2323	The surgical treatment of choice for inguinal hernia in infants is:	A) Herniotomy B) Herniorrhaphy C) Hernial Truss D) Hernioplasty	Edit
2324	Protrusion of visceral organ from it's normal anatomical position is called:	A) Hydrocele B) Hernia C) hemorrhoids D) Phimosis	Edit
2325	Hemorrhoids managed by manual reduction:	A) I degree B) II degree C) III degree D) IV degree	Edit
2326	Most common cause of lower gastro intestinal bleeding is:	A) Diverticulosis B) Colorectal carcinoma C) Peptic ulcer D) Anal fissure	Edit
2327	Sinus is lined by	A) Fibrous tissue B) Adipose tissue C) Granulation tissue D) Both A and C	Edit
2328	Best investigation for acute intestinal obstruction is:	A) Barium studies B) X-ray C) USG D) ERCP	Edit
2329	The commonest organism seen in peritonitis is:	A) Escherichia coli B) Clostridium welchii C) Staphylococci D) Klebsiella	Edit
2330	The following conditions are indications of surgery in acute pancreatitis, except:	A) Acute fluid collection B) Persistent pseudocyst pancreas C) Pancreatic abscess D) Infective pancreatic necrosis	Edit
2331	Investigation of choice in acute cholecystitis:	A) X ray B) HIDA scan C) USG D) CT	Edit
2332	Collection of blood under the skin is	A) Abrasion B) Hematoma C) Laceration D) All of the above	Edit
2333	Line of demarcation of wound is absent in:	A) Dry gangrene B) Gas gangrene C) Amputation D) Venous ulcers	Edit
2334	An instrument used to grasp tissue is:	A) Probe B) dilator C) curette D) forceps	Edit
2335	Red current jelly stool is seen	A) Intestine intussusceptions B) Intestinal obstruction C) Acute peritonitis D) Acute peritonitis	Edit
2336	Which of the following best defines apoptosis?	A) A process of cell division resulting in the formation of identical daughter cells B) A programmed cell death characterized by controlled breakdown of cellular components C) A process of cellular growth and differentiation D) local death of tissue and organ deu to reduced blood supply	Edit
2337	Increase in number of cell is termed as	A) Hypertrophy B) Hyperplasia C) Atrophy D) Metaplasia	Edit
2338	Malignant tumor of Bone is called	A) Osteoma B) Osteo sarcoma C) Chondroma D) Leomyoma	Edit
2339	First Intervention in case of acute Abdomen is	A) Open IV line and give IV fluid B) NG tube suctioning C) Immediate surgery D) Nil per oral	Edit
2340	Hippocratic faces is seen in	A) appendicitis B) Peritonitis C) Pancreatitis D) Cholecystitis	Edit
2341	Most common cause of acute appendicitis is	A) Worms B) Cyst of entamoeba C) Structure D) Fecolith	Edit
2342	Most commonly injured organ in blunt trauma	A) Spleen B) Liver C) Pancrease D) Gall bladder	Edit
2343	All are radiopaque stones except,	A) Calcium oxalate B) Uric acid stone C) Cysteine stone D) Calcium Phosphate	Edit
2344	All are true regarding pressure sore except,	A) It is Also called bed sore B) Common sites are bony prominence C) It is generally seen in more than 50% of hospital patients D) Best prevented by turning patient frequently in 2 hours interval..	Edit
2345	Three tube test is done in	A) Polyuria B) Chyluria C) Hematuria D) Pyelonephritis	Edit
2346	Inflammation of bile ducts is called	A) Cholecystitis B) Cholangitis C) Choledecolithiasis D) Charcot triad	Edit
2347	Intestinal Obstruction is most common in	A) Large intestine B) Small intestine C) Abdomen D) Colon	Edit
2348	RANSON'S criteria is related to	A) Acute appendicitis B) Acute pancreatitis C) Acute peritonitis D) Acute cholecystitis	Edit
2349	In acute appendicitis, the pain first felt around	A) Right iliac fossa B) Left iliac fossa C) Umbilicus D) Right hypochondrium	Edit
2350	Most dangerous position of appendix is:	A) Retrocecal B) Paracolic C) Pelvic D) Retroperitoneal	Edit
2351	Which is false regarding Hydrocele?	A) Scrotal swelling B) fluctuation test positive C) cough impulse positive D) Transillumination test positive	Edit
2352	Which type of bleeding occurs in haemorrhoids?	A) Painless Bright red B) Painless Dark red C) Painful bright red D) Painful dark red	Edit
2353	Causative organism of abscess is	A) Staphylococcus B) Streptococcus C) E. Coli D) All of the above	Edit
2354	The best management of fistula is	A) Antibiotics B) Excision C) Gauze packing D) Suturing	Edit
2355	Claw sign seen in:	A) Intussusception B) Volvulus C) Both D) Appendicitis	Edit
2356	Most common site of boils is	A) Back of the neck B) Gluteal region C) Palm and sole D) Axilla	Edit
2357	Sign of acute pancreatitis is:	A) Kernig's sign B) Cullen's sign C) Grey turner's sign D) Both B & C	Edit
2358	The cause of intestinal obstruction is:	A) Adhesion B) Volvulus C) Hernia D) All of the above	Edit
2359	Circumcision is a surgical correction of:	A) Phimosis B) Paraphimosis C) Both A and B D) None of these	Edit
2360	Invagination of the proximal part of the intestine into lumen of adjacent part of same intestine is called:	A) Volvulus B) hernia C) Intussusception D) Adhesion	Edit
2361	Location of primary piles is :	A) 2,6,8 O'clock B) 3,7,9 O'clock C) 3,7,11 O'clock D) 4,8,12 O'clock	Edit
2362	Specific management of hydrocele is :	A) Antibiotic B) Aspiration of fluid C) Surgery D) None of these	Edit
2363	Commonest complication following haemorrhoidectomy is:	A) Hemorrhage B) Infection C) Fecal impaction D) Urinary retention	Edit
2364	Best management of acute retention of urine is:	A) Hot & cold application B) Suprapubic puncture C) Catheterization D) IV diuretics	Edit
2365	Which hernia is most common in females?	A) Inguinal B) Femoral C) Umbilical D) Hiatus	Edit
2366	The commonest cause of acute pancreatitis is:	A) Alcohol B) Mumps C) Trauma D) Gall stone	Edit
2367	2. Triad of appendicitis is:	A) Pain, fever, headache B) Pain, constipation, vomiting C) Fever, headache, vomiting D) Pain, fever, vomiting	Edit
2368	Which is not the Cardinal signs of inflammation?	A) Rubor B) Dolor C) Color D) Tumor	Edit
2369	Pernicious anaemia is caused	A) Deficiency of Vit B12 B) Deficiency intrinsic factor C) Abnormalities of bone marrow D) Deficiency of iron and folic acid	Edit
2370	Cerebro vascular accident is:	A) Epilepsy B) Seizure C) Stroke D) Fainting	Edit
2371	Echocardiogram is done in:	A) Heart disease B) Pulmonary disease C) Renal Disease D) All of the above	Edit
2372	As a result of fractured ribs, the client may develop:	A) Scoliosis B) Paradoxical respiration C) Obstructive lung-disease D) Herniation of the diaphragm	Edit
2373	A 34 year old male, presented with complaints of fever for 6 days, and left sided chest pain for 4 days. On examination, a stony dull note was present on percussion of the left chest. What is your probable diagnosis?	A) Pneumonia B) Pleural effusion C) Pneumothorax D) Lung collapse	Edit
2374	A 60 year old man with type 2 diabetes mellitus develops BP of 160/100. The drugs of choice:	A) Amlodipine B) Propanol C) Enalapril D) Atenolol	Edit
2375	Palmar erythema occurs in:	A) Heart failure B) Liver cell failure C) Renal failure D) Adrenal failure	Edit
2376	Most common symptom of pulmonary embolism is:	A) Cough B) Hemoptysis C) Chest pain D) Dyspnoea	Edit
2377	Gout is a disorder of:	A) Protein Metabolism B) Ketone Metabolism C) Urine metabolism D) Purine Metabolism	Edit
2378	Christmas disease is	A) Factor VIII deificiency B) Factor IX deficiency C) Factor X deficiency D) Factor XII deficiency	Edit
2379	Most common feature of essential hypertension is:	A) Headache B) Dizziness C) Palpitations D) Visual disturbances	Edit
2380	Which of the following parameter shows long term control of blood glucose level ?	A) RBS B) HbA1c C) Fasting and PP glucose level D) Urine glucose level	Edit
2381	A 56 year old male who is a smoker, diabetic and hypertensive presented with complaints of severe central chest pain radiating to the left shoulder and jaw. On examination the patient was agitated, diaphoretic, tachypnoeic and tachycardic. What is the probable diagnosis?	A) Pneumonia B) Cardiac Tamponade C) Pneumothorax D) Myocardial Infarction	Edit
2382	Not included among major criteria in acute rheumatic fever is:	A) Erythema marginatum B) Polyarthralgia C) Chorea D) Pancarditis	Edit
2383	Rule of Halves' is seen in:	A) CHD B) Hypertension C) Blindness D) Accidents and Injuries	Edit
2384	A male client with a history of cirrhosis and alcoholism is admitted with severe dyspnea resulted to ascites. The health worker should be aware that the ascites is most likely the result of increased...	A) Pressure in the portal vein B) Production of serum albumin C) Secretion of bile salts D) Interstitial osmotic pressure	Edit
2385	If renal transplantation is done, which drugs be given to the patient throughout the life	A) Penicillin B) ATT (anti-tubercular therapy) C) Steroid D) vitamin	Edit
2386	What is the diagnosis of a patient with BP- 200/150 with Hypertensive retinopathy?	A) Hypertensive urgency B) Hypertensive emergency C) Hypertensive crisis D) Hypertensive explosion	Edit
2387	The most lethal complication of peptic ulcer is	A) Hemorrhage B) Perforation C) Gastric outlet obstruction D) none of the above	Edit
2388	Hematemesis is:	A) Vomiting out of blood B) Coughing out of blood C) Vomiting out of gastric contents D) regurgitating blood	Edit
2389	WHO criteria for diagnosis of diabetes is:	A) Venous blood fasting sugar 140 to 200 mg/100 mL B) Venous blood fasting sugar 120 to 180 mg/100 mL C) Venous blood fasting sugar 120 to 200 mg/100 mL D) Venous blood fasting sugar 140 to 180 mg/100 mL	Edit
2390	Diet to be prescribed in hypertension:	A) Fruits, vegetables and low salt diet B) Proteins, fibres and low salt diet C) Fruits, vegetables, Low fat dairy foods D) Carbohydrate, fibres and low salt diet	Edit
2391	Pneumothorax is due to	A) Congestive cardiac failure B) Pleural effusion C) Subpleural bleb D) Bronchiectasis	Edit
2392	Hepatic encephalopathy develops when the blood level of which substance increases?	A) Ammonia B) Amylase C) Calcium D) Potassium	Edit
2393	Hemophilia can be:	A) X-linked disease B) Female carrier only C) Only male sufferer D) All of above	Edit
2394	What is the underlying cause of epileptic seizure?	A) Congenital defect B) Allergies C) Barometric pressure D) Abnormal electrical activity in brain	Edit
2395	Which of the following is a chronic respiratory disorder caused by smoking?	A) Asthma B) Emphysema C) Respiratory Alkalosis D) Respiratory Acidosis	Edit
2396	Following a streptococcal infection a disorder characterized by swollen joints, fever & possibility of endocarditis is.	A) Tetanus B) Rheumatic fever C) Measles D) Whooping cough	Edit
2397	Which is not sign of hypertension?	A) Dizziness, fatigue B) Palpitation C) Blurring of vision D) Loss of appetite	Edit
2398	Cyanosisis due to:	A) Increased level of reduced hemoglobin > 5 gm/dl B) Increased level of reduced hemoglobin > 10 gm/dl C) Decreased level of reduced hemoglobin < 5gm/dl D) Decreased level of reduced hemoglobin < 5gm/dl	Edit
2399	Pheochromocytoma is the disease of........	A) Tumour in adrenal gland B) Enlargement of adrenal gland C) Hyperparathyroidism D) Hypopituitarism	Edit
2400	Which of the following should be done to reduce obesity?	A) Regular exercise with same amount of food B) Decrease fat intake but have stomach full C) Reduce the amount of fat in diet only D) Reduce intake of fats, carbohydrates and protein	Edit
2401	In our country the most common cause of anaemia is........	A) Malaria B) Hemolysis C) Hemorrhage D) Hookworm	Edit
2402	Commonest cause of upper GI bleeding is:	A) Peptic ulcer disease B) Oesophageal cancer C) Varices D) Gastric Cancer	Edit
2403	Kussmaul's breathing is seen in:	A) Metabolic acidosis B) Metabolic alkalosis C) Respiratroy acidosis D) respiratory alkalosis	Edit
2404	Vulnerable to develop hypertension likely to	A) persons who smoke cigarettes B) persons who play football C) persons who is sedentary worker D) persons who is having gastritis	Edit
2405	If there is a patient with Right sided heart failure, which symptoms is likely to occur............	A) Pulmonary oedema B) cough & dyspnea C) peripheral oedema D) orthopnea	Edit
2406	Which of the following prevents intravascular clotting	A) Thromboplastin B) Fibrinogen C) Heparin D) Histamine	Edit
2407	Best method of screening for early detection of carcinoma breast in young woman is:	A) Regular X-rays B) Self examination C) Mammography D) Regular biopsies	Edit
2408	Which of the following actions is the first priority care for the client exhibiting signs and symptoms of coronary artery disease?	A) Decrease anxiety B) Enhance myocardial oxygenation C) Administer sublingual nitroglycerin D) Educate the client about his symptoms	Edit
2409	Which of the following is not a sign of thromboembolism?	A) Edema B) Swelling C) Redness D) Coolness	Edit
2410	The most important cause of COPD is:	A) Air pollution B) Alcohol intake C) Chronic infection D) Cigerette smoking	Edit
2411	Which of the following conditions is most commonly responsible for myocardial infarction?	A) Aneurysm B) Heart failure C) Coronary artery thrombosis D) Renal failure	Edit
2412	In case of acute pyogenic meningitis, what culture will be beneficial along with the culture of CSF:	A) Sputum B) Blood C) Stool D) Urine	Edit
2413	The simple pain relieving technique is:	A) Distraction B) Taking aspirin C) Deep breathing exercise D) Positioning	Edit
2414	Most reliable test for screening of diabetes mellitus	A) Random blood sugar B) Fasting blood sugar C) Glucose tolerance test D) Urine sugar	Edit
2415	Most common cause of Hypertension is:	A) Adrenal hyperplasia B) Heart disease C) Essential D) Obesity	Edit
2416	All are symptoms except.	A) Blood in cough B) Rebound Tenderness C) Night sweating D) Loss of appetite	Edit
2417	The following is the commonest symptom of respiratory system:	A) Cough B) Strido C) Chest pain D) Haemoptysis	Edit
2418	Which of the following is not included in systemic examination:	A) General condition B) Inspection C) Palpation D) Percussion	Edit
2419	All lesions are seen in leprosy except:	A) Erythematous macule B) Hypopigmented patch C) Vesicles D) Patches	Edit
2420	Psoriasis is characterized by:	A) Darier's sign B) Auspitz sign C) Nikolsky sign D) Bohr's sign	Edit
2421	Dermatophytes primarily involves:	A) Stratum corneum B) Stratum granulosum C) Stratum basale D) Stratum spinosum	Edit
2422	Characteristics lesions of Acne is:	A) Fissure B) Burrows C) Papule D) Comedones	Edit
2423	Urticaria can be treated by....	A) Corticosteroid B) Antihistamine C) Antibiotic D) All of the above	Edit
2424	'Liver'spots is signs of:	A) Echinococcus B) Cirrhosis C) Hepatoma D) Senility	Edit
2425	Tinea versicolor is casued by:	A) Tinea pedis B) Streptococcus C) Malasezia furfur D) Furasezia murmur	Edit
2426	At health post, fungal infections of ski can be treated with:	A) Gention violet B) Calamine lotion C) Clotrimazole D) Itraconazole	Edit
2427	The commonest site for plaque psoriasis?	A) Scalp B) Genitalia C) Extensor surface of elbow D) Lower limbs	Edit
2428	The most common Type of skin cancer is	A) Squamous Cell Carcinoma B) Basal Cell Carcinoma C) Kaposi Sarcoma D) Myeloma	Edit
2429	5% permethrin lotion in scabies is applied for:	A) Single time B) 2 times C) 3 times D) 4 times	Edit
2430	Incubation period of scabies is	A) 2-6 days B) 2-6 weeks C) 2-6 months D) 2-6 years	Edit
2431	Vesicular lesion with the pain along the nerve is seen in:	A) Acne B) Herpes zoster C) Psoriasis D) Urticaria	Edit
2432	Acne is common in:	A) Children B) young aged C) Old age D) pregnant	Edit
2433	Tinea mannum is the infection of:	A) Hand B) feet C) Head D) Body	Edit
2434	The choice of drug for scabies is:	A) Antihistamines B) Steroid C) Permithrin D) Mupirocin	Edit
2435	Full form of SLE is	A) Systematic Lupus Erthematosus B) Systematic Leprosy Erthemal C) Sun Light Erthema D) Single Layer Erosion	Edit
2436	Lupus vulgaris is a form of	A) Skin tuberculosis B) bone tuberculosis C) intestinal tuberculosis D) Spine tuberculosis	Edit
2437	Fluid filled blisters, small size <0.5 cm is called	A) Vesicles B) Bulla C) Pustule D) Abscess	Edit
2438	Which of the following is the primary lesion?	A) Scales B) Crust C) ulcer D) Nodule	Edit
2439	Honey colored crusts are found in:	A) Psoriasis B) Impetigo C) Herpes zoster D) Cutaneous diphtheria	Edit
2440	Phrynoderma is caused by:	A) Bacteria B) Fungi C) Virus D) Nutritional deficiency	Edit
2441	Dermatophytosis is ....... Infection of skin.	A) Bacterial B) Viral C) Protozoal D) Fungal	Edit
2442	Scabies is caused by:	A) Fungus B) Itch mite C) Soft tick D) Bacteria	Edit
2443	Erythematous plaque with silvery white scale is seen in:	A) Eczema B) Psoriasis C) Impetigo D) Scabies	Edit
2444	Emotion is controlled by:	A) Limbic system B) Frontal lobe C) Temporal lobe D) Occipital lobe	Edit
2445	Ram is teaching poor students who can't afford their high fees at very low cost as he was not able to pay very high amount due to poverty during his preparation time. Ram is using which defense mechanism?	A) Sublimation B) Rationalisation C) Altruism D) Passive aggression	Edit
2446	That part of mind which works on reality principle is:	A) ID( Instinctual Drive) B) Ego C) Super ego D) Ego-ideal	Edit
2447	All is true about pseudocyesis except:	A) Abdominal enlargement B) Patient is pregnant C) Labor pains at expected date of delivery D) Amenorrhea	Edit
2448	Which of the following is not a symptom of mania:	A) Distractibility B) Elated mood C) Delusion of grandeur D) Increased sleep	Edit
2449	All of the following are major mental illnesses except:	A) Schizophrenia B) Paranoia C) Psychoneurosis D) Manic depressive psychosis	Edit
2450	Ambivalence is associated to which of the following:	A) Schizophrenia B) Hysteria C) Depression D) OCD	Edit
2451	Which of the mineral deficiencies is associated with mental health?	A) Calcium B) Iron C) Zinc D) Sodium	Edit
2452	__________is the commonest hallucination.	A) Visual hallucination B) Auditory hallucination C) Both a and b D) None of the above	Edit
2453	Schizophrenia is also known as:	A) Hysteria B) Split personality C) Weak personality D) Strong personality	Edit
2454	Korsakoff's psychosis is due to deficiency of:	A) Thiamin B) Niacin C) Pyridoxine D) All of the above	Edit
2455	Which is not a common cause of mental illness?	A) Biological B) Psychological C) Social D) Nosocomial	Edit
2456	Delirium tremens is seen in:	A) Morphine poisoning B) Alcohol overdose C) Alcohol withdrawal D) Atropine poisoning	Edit
2457	Depression is called if mood is depressed for at least:	A) 1 week B) 2 weeks C) 3 weeks D) 4 weeks	Edit
2458	Most common cause of dementia is:	A) Parkinson's disease B) Alzheimer's disease C) Depression D) COPD	Edit
2459	Fear of close place is known as:	A) Agoraphobia B) Acrophobia C) Xenophobia D) Claustrophobia	Edit
2460	First psychiatric OPD was established in Nepal in :	A) TU teaching hospital B) Patan hospital C) Bir hospital D) Army hospital	Edit
2461	A person's IQ is 26, he is suffering from:	A) Mild mental retardation B) Moderate mental retardation C) Severe mental retardation D) Profound mental retardation	Edit
2462	Psychoses includes all of the following disorders, except?	A) Mania B) Depression C) Schizophrenia D) Bipolar disorder	Edit
2463	Hopelessness, helplessness, worthlessness with suicidal thoughts are features of:	A) Mania B) Depression C) Phobic anxiety D) Schizophrenia	Edit
2464	ECT is used to treat various mental disorders, ECT stands for:	A) Echocardiotherapy B) Electro cardio therapy C) Electroconvulsive therapy D) Electric Current Therapy	Edit
2465	A person seeing a design on the wallpaper perceives it is animal, this is an example of:	A) Delusion B) Illusion C) Hallucinations D) Confusion	Edit
2466	False perception without external stimulus is:	A) Hallucination B) Delusion C) Illusion D) Delirium	Edit
2467	Mania is a disorder of:	A) Thought B) Belief C) Perception D) Mood	Edit
2468	The most common mental disorder in Nepal is:	A) Psychosis B) Neurosis C) Dementia D) Anxiety disorders	Edit
2469	Myringotomy is.	A) Surgical opening in tympanic membrane B) Repair of ossicles C) Surgical opening in eustachian tube D) Closure of perforation of tympanic membrane	Edit
2470	Allergic rhinitis is mediated by	A) IgA B) IgE C) IgD D) IgM	Edit
2471	Most commonly fractured bone on face is	A) Orbit B) Nose C) Maxilla D) Mandible	Edit
2472	Organ of Corti is situated in	A) Scala vestibuli B) Scala media C) Scala tympani D) Saccule	Edit
2473	All of the following sentences are true regarding eustachian tube except	A) Also known as pharyngotympanic tube B) 36 mm in length C) The outer 1/3rd is bony and the inner 2/3rd is cartilaginous D) Connects oropharynx with middle ear	Edit
2474	Chlorhexidine is a useful mouthwash as:	A) It prevents plaque accumulation B) It prevents bacterial proliferation C) It breaks down plaque matrix D) It causes hemostasis	Edit
2475	Main component of dental plaque is:	A) Dextran B) Microorganism C) Levans D) Mucopolysaccharides	Edit
2476	The brush should be...	A) Expensive B) Straight soft and short headed C) Cheap D) Attractive	Edit
2477	Which of the following deals with the disease of the dental pulp and nerves.	A) Pedodontist B) Orthodontist C) Endodontist D) Periodontist	Edit
2478	What should be necessary for' Dental Caries?	A) Teeth, Carbohydrate and Protein B) Bacteria, Protein and carbohydrate C) Teeth, Bacteria and carbohydrate D) Teeth, Protein and Bacteria	Edit
2479	The best method of teeth brushing is:	A) Vibrating technique B) Circular method C) Modified bass method D) None of above	Edit
2480	The number of succedaneous teeth in man:	A) 20 B) 24 C) 32 D) 28	Edit
2481	Dental enamel is:	A) Softer than bone B) Hardest layer C) 1st layer D) 2nd layer	Edit
2482	Most dominant symptom of AOM is:	A) Hearing loss B) Discharge C) Fever D) Pain	Edit
2483	Absence of pinna is	A) Anotia B) Macrotia C) Microtia D) Bat ear	Edit
2484	During air flight most problem is:	A) Barotaumatic otitis media B) ASOM C) Glue ear D) None of the above	Edit
2485	All of the following are true of Antrochoanal polyp except:	A) Bleeds on touch B) Common in children C) Single & unilateral D) Treatment involves avulsion	Edit
2486	Commonest cause of facial nerve paralysis:	A) Mastoid surgery B) Bell's palsy C) Mumps D) Parotid surgery	Edit
2487	Not a complication of tonsillitis?	A) Quinsy B) Nephritic syndrome C) Rheumatic fever D) Thyroiditis	Edit
2488	Rhinosporidiosis is caused by	A) Virus B) Fungus C) Bacteria D) Allergy	Edit
2489	Epistaxis can result due to lack of	A) Vit B B) Vit A C) Vit K D) Vit C	Edit
2490	Most common sinusitis in children is	A) Maxillary B) Ethmoidal C) Frontal D) Sphenoidal	Edit
2491	Treatment of choice for amblyopia is:	A) Occlusion therapy B) Orthoptic exercises C) Spectacles D) Surgery	Edit
2492	Corneal sensations are decreased in:	A) Herpes simplex B) Fungal infection C) Trachoma D) Mooren's ulcer	Edit
2493	Bitot's spots are seen in:	A) Conjunctiva B) Cornea C) Retina D) Vitreous	Edit
2494	Night Blindness is caused by	A) Central Retinal vein occlusion B) Dystrophies of retinal rod C) Dystrophies of retinal cones D) Retinal detachment	Edit
2495	WHO defines Blindness as	A) Visual acuity less than 3/60 B) Visual acuity less than 6/60 C) Inability to count fingers at night from a distance of 6 meters D) Both A and C	Edit
2496	Light with greatest frequency is	A) Yellow B) Violet C) Blue D) Red	Edit
2497	The number of bones that make each of the orbits of the eye is	A) 7 B) 8 C) 9 D) 10	Edit
2498	The commonest cause of blindness in Nepal is	A) Cataract B) Glaucoma C) Trachoma D) Vit A deficiency	Edit
2499	Not a common symptom of conjunctivitis	A) Pain B) Redness C) Discharge D) Irritation	Edit
2500	Tonometer is used to detect	A) Squint B) Visual field C) Intraocular pressure D) convergence	Edit
2501	Drug of choice for acute tonsillitis is	A) Erythromycin B) Azithromycin C) Amoxicillin D) Ceftriaxone	Edit
2502	Discharge from ear is known as	A) Otorrhoea B) Rhinorrhea C) Leukorrhea D) Audiotorrhoea	Edit
2503	Which one of the following Vitamin is associated with enamel defects and increase the risk of Dental caries?	A) Vit A B) Vit C C) Vit D D) Vit E	Edit
2504	What will you do if a person comes with nasal bleeding?	A) Pinch nose and bend neck forward B) Pinch nose and bend neck backward C) Put cotton and bend neck forward D) Nasal examination	Edit
2505	What is the commonest ENT emergency?	A) Trauma B) Earache C) Epistaxis D) Chocking	Edit
2506	Hoarseness of Voice is associated with	A) Acute pharyngitis B) Acute laryngitis C) Acute tonsillitis D) Acute sinusitis	Edit
2507	The primary cause of acute Laryngitis is	A) Viral B) Bacterial C) Rickettsia D) Allergic	Edit
2508	All are true about dental plaque, except?	A) Hard Deposit B) Removed by brushing C) 70-90% organism D) Sticky	Edit
2509	The term " Halitosis" refers to	A) Discoloration of tooth B) Infections of tooth C) Bad smell of breath D) Infection of gums	Edit
2510	Dental Calculus can be removed by	A) RCT B) Tooth brush C) Scaling D) Gargle	Edit
2511	SAFE strategy is used in the management of	A) Cataract B) Xerophthalmia C) Trachoma D) Glaucoma	Edit
2512	Prolonged use of topical steroids in eye may leads to	A) Glaucoma B) Cataract C) Trachoma D) Conjunctivitis	Edit
2513	Which of the following is also known as " Swimmer ear" ?	A) Otitis media B) Otitis externa C) Labyrinthitis D) Otomycosis	Edit
2514	Best management of cataract is	A) Steroid B) Oral Antibiotics C) Topical Antibiotic D) Surgery	Edit
2515	Which lens is used in the correction of Astigmatism?	A) Concave lens B) Convex lens C) Cylindrical lens D) Bifocal lens	Edit
2516	Stye is the inflammation of	A) Lacrimal gland B) Zeis gland C) meibomian gland D) Iris	Edit
2517	"Lazy eye" is the another name of	A) Presbyopia B) Myopia C) Diplopia D) Amblyopia	Edit
2518	Inflammation of the middle ear is called	A) Otitis externa B) Otomycosis C) Otitis media D) Labyrinthitis	Edit
2519	Which of the following statements regarding live vaccines is false?	A) Two live vaccines cannot be administered simultaneously B) Booster doses are not required when live vaccines are administered C) Single dose gives life long immunity D) Live vaccine contains both major and minor antigens	Edit
2520	CBIMNCI is used to prevent morbidity and mortality from all except:	A) Malaria B) Malnutrition C) Otitis media D) Neonatal tetanus	Edit
2521	WHO Growth Chart has got information for all except:	A) Immunisation procedures B) Child spacing C) History of sibling health D) History of maternal health	Edit
2522	Which of the following is age independent indicator of malnutrition?	A) Underweight B) Wasting C) Stunting D) MUAC	Edit
2523	Which of the following is the Best indicator of Long term nutritional status?	A) Mid arm circumference B) Height for age C) Weight for age D) Weight for height	Edit
2524	The most common cause of low birth weight baby is:	A) Prematurity B) Infection C) Anemia D) Diabetes	Edit
2525	You're assessing the one minute APGAR score of a newborn baby. On assessment, you note the following about your newborn patient: weak cry, some flexion of the arm and legs, active movement and cries to stimulation, heart rate 145, and pallor all over the body and extremities. What is your patient's APGAR score?	A) APGAR 5 B) APGAR 9 C) APGAR 7 D) APGAR 6	Edit
2526	The weight of a child less than 2 years is measured by	A) Infantometer B) Stadiometer C) Bathroom scale D) Salter scale	Edit
2527	How many vials can be transported in vaccine carrier?	A) 6-8 vials B) 10-15 vials C) 16 - 20 vials D) 20-25 vials	Edit
2528	In CBIMNCI, illnesses are classified on a color based triage system, which includes:	A) Red, yellow, green B) Red, blue, yellow C) Green, Yellow, blue D) Red, green, white	Edit
2529	A baby requires breastfeeding for total :	A) 6 month B) 12 month C) 24 month D) 36 month	Edit
2530	What is the total number of steps recommended by the World Health Organization (WHO) for successful breastfeeding?	A) 5 B) 10 C) 8 D) 4	Edit
2531	What is the cause of congenital cataract?	A) Teratology of folate B) retinoblastoma C) Cytomegalovirus D) Tuberculosis	Edit
2532	A 5 month baby with some dehydration requires how much ORS in first 4hours?	A) 200-400 ml B) 400-800 ml C) 800-960 ml D) 900-1400 ml	Edit
2533	If the child of 2 week having diarrhea for 3 days came to your clinic and on examination you found sunken eyes, then newborn will be classified as:	A) Severe dehydration B) Some dehydration C) No dehydration D) Persistent diarrhea	Edit
2534	Chronic ear infection in under five children can be managed by:	A) Give oral amoxycillin for 5 days B) Absorb pus and keep ear dry C) Give ciprofloxacin ear drop for 14 days for local application D) Both B & C	Edit
2535	As per CBIMNCI, Jaundice can be managed by:	A) Give first dose antibiotic & refer B) Give oral amoxicillin for 5 days C) Expose the baby to sunlight in the morning for 20-30 minutes D) Admit in hospital	Edit
2536	A newborn baby of 21 days comes to your clinic. His Respiratory Rate is 64 b/m and severe chest indrawing is present. What is your next step?	A) Give Injection Ampicillin and Gentamycin and refer urgently B) Give Amoxicillin For 7 days and Follow up after 3 days C) Advice mother to give home care only D) None of the above	Edit
2537	How do you manage a baby with hypothermia?	A) Frequent breastfeeding B) Keep the room warm C) Use Kangaroo Mother's care as D) All of the above	Edit
2538	World breastfeeding week is celebrated on:	A) August 1-7 B) July 1-7 C) Baishakh 1-7 D) February 1-7	Edit
2539	Which stage of vaccine can be used?	A) VVM 1st & 2nd B) VVM 3rd & 4th C) VVM 1st & 3rd D) VVM 1,2 & 3	Edit
2540	Baby friendly hospital initiative focus on	A) Immunization B) PEM C) Breastfeeding D) Growth monitoring	Edit
2541	The mother need breastfeeding to her child for how many times in 24 hours?	A) 5 time B) 10 times C) 15 times D) 24 times	Edit
2542	Most common cause of Neonatal seizure is	A) Hypoglycaemia B) Hypoxic Ischemic Encephalopathy C) Fever D) Hypothermia	Edit
2543	A baby can creep well at which age	A) 6 months B) 9 months C) 12 months D) 18 months	Edit
2544	Which of the following organisms is the most common cause of urinary tract infection (UTI) in children?	A) Klebsiella B) Staphylococcus C) Escherichia coli D) Pseudomonas	Edit
2545	Signs of good attachment includes all of the following except:	A) The baby's lower lip is turned outwards B) The baby's mouth is wide open C) Most of the Areola is visible outside the baby's mouth D) The baby's chin is touching the breast	Edit
2546	Which is the following statement is incorrect regarding newborn care?	A) Bath baby with lukewarm water only B) Keep the baby in skin to skin contact with mother C) Apply only chlorhexidine to the cord stump D) Start breastfeeding within 1 hour of birth	Edit
2547	A child comes to your clinic, after measuring his Height and Weight, His standard deviation score is slightly less than ( –2 SD). He belongs to which Category?	A) SAM B) MAM C) No malnutrition D) Overweight	Edit
2548	Height of the child is 75 cm, Who was normal at the time of birth. What could be the age of child?	A) 3 months B) 9 month C) 1 year D) 2 year	Edit
2549	If you have to infuse 240 ml RL in 1 hour by using an IV set of 20drops/ml. How many drops would you infuse per minute?	A) 60 drops/min B) 70 drops/min C) 80 drops/min D) 90 drops/min	Edit
2550	Most common congenital heart disease is:	A) Rheumatic heart disease (RHD) B) Atrial Septal defect (ASD) C) Ventricular septal defect (VSD) D) Aortic valve stenosis	Edit
2551	Head circumference & chest circumference will be equals at:	A) 3-4 months B) 6-9 month C) 10-12 months D) 12-18 months	Edit
2552	A 8 month baby weighing 10 kg body weight has found some dehydration, how much ORS given to him in first 4 hours?	A) 500 ml B) 650 ml C) 750 ml D) 1000 ml	Edit
2553	Choice of drug for dysentery in under five children:	A) Amoxicillin B) Doxycycline C) Ciprofloxacin D) Cotrimoxazole	Edit
2554	During third year of life, there is increment of	A) 2.5 kg weight, 9 cm height B) 2 kg weight 12 cm height C) 3 kg weight 9 cm height D) 2 kg weight, 9 cm height	Edit
2555	A 5 month baby brought to you with chest indrawing and stridor, you found his respiratory rate 54 breaths/min, the appropriate classification for him is:	A) No pneumonia B) Pneumonia C) Severe pneumonia D) PSBI	Edit
2556	Height of baby doubles at:	A) 1 year B) 2 year C) 3 year D) 4 year	Edit
2557	The WHO recommended strain for BCG vaccine is:	A) SA-14-14-2 B) DANISH 1331 C) BCG 13-31-2 D) TB-14-31	Edit
2558	Low birth weight is called if the newborn weighing:	A) <2500 gm B) <1500 gm C) <1000 gm D) <500 gm	Edit
2559	For 6 month child, fast breathing is defined when the respiratory rate is :	A) ≥40 breaths/min B) ≥50 Breaths/min C) ≥60 Breaths/min D) ≥70 Breaths/min	Edit
2560	Which is not a classification of ARI in under five children?	A) No pneumonia B) Pneumonia C) Very severe pneumonia D) very severe disease	Edit
2561	The most common cause of PEM in Nepal is :	A) Hypothermia B) Low birth weight C) Infection D) Hookworm	Edit
2562	Pre school children refers to	A) 1-3 years children B) 0-3 years children C) 1-4 year children D) 0-4 year children	Edit
2563	If the body temperature of a neonate is 35.2°C, how do you classify it?	A) Normal B) Hypothermia C) Hyperthermia D) Severe hypothermia	Edit
2564	All live vaccines are contraindicated in pregnancy, except:	A) Measles B) Rubella C) Influenza D) Yellow fever	Edit
2565	Swelling of scalp that occurs at birth due to collection of fluid is called:	A) Caput succedaneum B) Cephalhematoma C) Hydrocephalus D) Meningitis	Edit
2566	As per CBIMNCI, the five killer disease includes	A) Tuberculosis, Diphtheria, pertussis, tetanus, poliomyelitis B) Measles, rubella, tetanus, diphtheria, poliomyelitis C) Diarrhea, pneumonia, malaria, measles, malnutrition D) Diarrhoea, pneumonia, Measles, tetanus, Poliomyelitis	Edit
2567	Immunity provided by vaccine & immunization is called:	A) Active natural B) Active artificial C) Passive natural D) Passive artificial	Edit
2568	General Danger Signs (GDS) includes all of the following, Except?	A) Vomiting all B) Unable to suck C) Chest indrawing D) Convulsions	Edit
2569	Which is not the feature of a poisonous snake?	A) Small scales are present in body B) Head is cone shaped C) Pointed tail D) One or two deep puncture marks are present at the site of the bite	Edit
2570	All of the following are examples of surgical asepsis, except	A) Wearing mask B) Wearing gloves C) Hand washing D) Sterilization	Edit
2571	About GCS, Which is true	A) Eye opening 4, verbal 6, motor 5 B) Eye opening 5, verbal 4, motor 6 C) Eye opening 6, verbal 5, Motor 6 D) Eye opening 4, verbal 5, motor 6	Edit
2572	In case of suspected organophosphorus poisoning, it is best assessed by:	A) Torch light B) Stethoscope C) BP instrument D) USG	Edit
2573	The method of disinfection of sputum is	A) Burning B) Autoclave C) Chlorhexidine D) Both A and B	Edit
2574	For enema, the tube should be inserted into rectum about?	A) 5 cm B) 10 cm C) 15 cm D) 20 cm	Edit
2575	A client with osteoporosis is vulnerable to	A) Fatigue fracture B) Pathological fracture C) Greenstick fracture D) Compound fracture	Edit
2576	All of following are the advantage of of subcutaneous route except?	A) The non irritant substance cab be injected by this route B) Improved patient compliance C) Drug absorption is slow D) Low risk of systemic infection	Edit
2577	All are distributive shock, except	A) Septic shock B) Anaphylactic shock C) Neurogenic shock D) Cardiogenic shock	Edit
2578	Which bandage is used in the clavicle fracture?	A) Figure of 8 type B) Head and foot bandage C) Roller D) Traingular	Edit
2579	To treat a minor dog bite, you should?	A) Wash with soap and water B) Bandage the wound tightly to prevent infection C) Capture the animal or alive D) Get medical help immediately before treatment	Edit
2580	Which test should you use if you suspect that a casualty has had stroke?	A) face, arms, speech test B) Alert, voice, Pain, Unresponsiveness C) Response, Airway, breathing, circulation D) Pulse Respiratory rate, temperature	Edit
2581	Which of the following is not considered as a vital sign?	A) Pulse B) Weight C) Temperature D) BP	Edit
2582	Liquid paraffin can be best sterilized by	A) Autoclaving B) Hot air oven C) Ionising radiation D) 5% cresol	Edit
2583	Total Parenteral nutrition is not used in:	A) Enterocutaneous fistula B) Acute Burns C) Pancreatitis D) Renal failure	Edit
2584	The drug of choice in raising blood pressure septic shock is :	A) Dobutamine B) Dopamine C) Noradrenaline D) Vasopressin	Edit
2585	When the elevated temperature fluctuates widely but doesn't reach Normal level between fluctuation is called :-	A) Constant Fever B) Remittent fever C) Intermittent fever D) Relapsing fever	Edit
2586	First aid treatment for infected wound is :	A) Use antibiotics B) Thorough washing C) Stop bleeding D) Minor surgery	Edit
2587	The first step in case of drawing?	A) Removing the victim from water B) Establishing intravenous line C) Administration of oxygen D) Administration of antibiotic	Edit
2588	The term tachypnea means	A) Difficulty in breathing B) Increased in Depth and frequency of Respiration C) Rapid shallow breathing D) Increased rate and depth of Respiration	Edit
2589	How long can blood should be stored with CPDA 1?	A) 42 days B) 21 days C) 28 days D) 35 days	Edit
2590	All poisoning cases are:	A) Medico legal B) Surgico legal C) Medico surgical D) Non legal	Edit
2591	The process in which all living cells, spores and viruses are completely destroyed from an object is called	A) Antisepsis B) Pasteurization C) Sterilization D) Disinfection	Edit
2592	A child is brought to you with severe burn. What would you prefer to do first:	A) Clean with water B) Leave her sometimes C) Balance body fluids & electrolytes D) Apply antiseptic first	Edit
2593	Venom in bee is	A) Neutral B) Acidic C) Alkaline D) None	Edit
2594	Very high fever is managed by sponging with:	A) Luke warm water B) Ice C) Cold water D) Hot water	Edit
2595	First line of therapy in shock in the patients of trauma:	A) Crystalloids B) Colloids C) Inotropes D) Blood transfusion	Edit
2596	In snake bites generally death occurs due to:	A) Respiratory arrest B) Diarrhoea C) Motor paralysis D) Convulsion	Edit
2597	Some people are very allergic to insect bites and stings. This condition is called:	A) Septic shock B) Cardiac arrest C) Toxic shock syndrome D) Anaphylactic shock	Edit
2598	The commonest fracture is:	A) Colle's fracture B) Greenstick fracture C) Smith's fracture D) Supracondylar fracture	Edit
2599	What would be the colour of man dying of bleeding?	A) Pale B) Blue C) Black D) cherry red	Edit
2600	Antidote of carbon-monoxide poisoning is:	A) Atropine B) Physostigmine C) Vitamin K D) 100% oxygen	Edit
2601	What is the size of Green coloured IV cannula ?	A) 18 Gauge B) 20 Gauge C) 22 Gauge D) 16 Gauge	Edit
2602	Shock is a condition where:	A) The respiratory system fails to deliver air to the lungs B) The cardiovascular system fails to deliver blood to the heart C) The circulatory system fails to deliver blood to all parts of the body D) All of the above	Edit
2603	A tactful quality of first aider is to:	A) Report to police B) Inform the family first C) Listen to the history & symptoms first, & proceeding to the first aid D) Rush him to the hospital first	Edit
2604	The appropriate position for the patient having difficulty in breathing is:	A) Lateral position B) Supine position C) Lithotomy position D) Flower's position	Edit
2605	To control bleeding or hemorrhage, you should initially:	A) Place ice over the wound B) Apply direct pressure C) Apply a tourniquet above the injury D) Immobilize the body part	Edit
2606	Which temperature is considered most accurate?	A) Oral B) Groin C) Rectal D) Axillary	Edit
2607	How often do you give breaths to adult on mouth to mouth breathing	A) Once every second B) Once every 3 second C) Once every 9 second D) Once every 5 second	Edit
2608	The most common type of shock in the emergency room is:	A) Cardiogenic B) Hypovolemic shock C) Obstructive D) Neurogenic	Edit
2609	The predominant venom of cobra is:	A) Myotoxic B) Haemotoxic C) Neurotoxic D) Cardiotoxic	Edit
2610	Best desirable temperature for initial re- warming in frostbite or cold injuries is:	A) 37 degree C B) 40 degree C C) 42 degree C D) None of the above	Edit
2611	First step after snake bite is:	A) Immediately tie the part B) Explore the wound C) Give TD injection D) Reassurance of the patient and the party	Edit
2612	Pointing index" sign is seen in paralysis of which of the following nerves:	A) Radial B) Ulnar C) Median D) Axillary	Edit
2613	If you believe there is a risk of C-spine injury, open the airway by using:	A) Head tilt chin lift B) Jaw thrust C) Abdominal thrust D) Both A and B	Edit
2614	A client received burns to his entire back and left arm. Using the Rule of Nines, the health worker can calculate that he has sustained burns on what percentage of his body?	A) 9% B) 18% C) 27% D) 36%	Edit
2615	Shock after severe burn is:	A) Septic shock B) Neurogenic shock C) Hypovolemic shock D) Anaphylactic shock	Edit
2616	Hemorrhage that occurs after 24 hours of operation or injuries is called:	A) Primary hemorrhage B) Secondary hemorrhage C) Reactionary hemorrhage D) Concealed hemorrhage	Edit
2617	The most common poisoning in children is	A) Organophorphorus B) Atropine C) Kerosene D) Zinc phosphide	Edit
2618	The objective of first and are all except:	A) To preserve life B) To promote recovery C) To prevent worsening of patient D) To cure the disease	Edit
2619	Striated muscle fibres are found in:	A) Urinary bladder B) Lungs C) Gall bladder D) Leg muscles	Edit
2620	Which is a part of the pectoral girdle?	A) Glenoid cavity B) Sternum C) Ilium D) Acetabulum	Edit
2621	The sense of balance is maintained with the help of:	A) Hammer B) Stirrup C) Semicircular canals D) Cochlea	Edit
2622	Artery differs from vein in having:	A) Narrow wall B) Thick walls C) Valves D) None of the above	Edit
2623	We feel sleepy just after taking meals because:	A) Blood pressure increases B) Blood pressure decreases C) Body weight increases D) We feel lethargic	Edit
2624	Which of the following correctly traces the electrical impulses that trigger each heartbeat?	A) Ventricles-Pacemaker-AV node-Atria B) Pacemaker-AV node-Atria-Ventricles C) Atria-Pacemaker-AV node-Ventricles D) Pacemaker-Atria-AV node-Ventricles	Edit
2625	Shortest phase in the menstruation cycle of women is:	A) Menses B) Luteal phase C) Ovulatory phase D) Follicular phase	Edit
2626	Hormones, secreted by human placenta are: (i) Human chorionic gonadotropin (hCG) (ii) Human placental lactogen (hPL) (iii) Oestrogen and progesterone (iv) Relaxin	A) (i) and (ii) B) (i), (ii), (iii) and (iv) C) (iii) and (iv) D) (i), (ii) and (iii)	Edit
2627	ADH influences water permeability in the:	A) Proximal tubule B) Distal tubule C) Collecting tubule D) Both (a) and (b)	Edit
2628	Glomerulus and Bowman's capsule constitute:	A) Nephrotome B) Renal corpuscle C) Renal capsule D) Malpighian tubule	Edit
2629	In man, the two kidneys lie:	A) at the level of ovaries B) at the same level C) left kidney at a higher level than the right one D) right kidney at a higher level than the left one	Edit
2630	The common bile duct in human is formed by the joining of:	A) Pancreatic duct and bile duct B) Cystic duct and hepatic duct C) Cystic duct and pancreatic duct D) Hepatic duct and pancreatic duct	Edit
2631	The gall bladder is attached to the liver in the region of:	A) Quadrate lobe B) Caudate lobe C) Right lobe D) Left lobe	Edit
2632	In pancreatic juice, which of the followings are secreted in inactive form as proenzymes?	A) Trypsin, chymotrypsin, carboxypeptidases B) Pepsin, trypsin and chymotrypsin C) Trypsin only D) Trypsin and chymotrypsin only	Edit
2633	All of the following are flat bones except,	A) Sternum B) Most of the skull bones C) Ribs D) Hip bone	Edit
2634	All are the features of skeletal muscle except,	A) Cylindrical B) Multiple nuclei C) Transverse striation D) Centrally placed nuclei.	Edit
2635	Blood pressure is measured in	A) Cephalic artery B) Radial artery C) Brachial artery D) Ulnar artery	Edit
2636	Ringing of ear is termed as	A) Otalgia B) Tinnitus C) Otorrhoea D) Tinismus	Edit
2637	External Auditory canal measures about	A) 5 cm B) 2.5 cm C) 4 cm D) 10 cm	Edit
2638	Albumin is one of the plasma protein is synthesized by	A) Liver B) Adrenal gland C) Pancreas D) Spleen	Edit
2639	Which nerve supplies the heart?	A) Vagus nerve B) Trigeminal Nerve C) Accessory nerve D) Abduscent nerve	Edit
2640	Release of mature ovum from ovary is called	A) Oogenesis B) Osteogenesis C) Ovulation D) Fertilization	Edit
2641	All are the parts of vulva, except	A) Vestibule B) Mons pubis C) Clitoris D) Vagina	Edit
2642	How much blood of total cardiac output is received by kidney?	A) 15% B) 25% C) 27% D) 30%	Edit
2643	Structural and functional unit of kidney is	A) Neuron B) Nephron C) Glomerulas D) Calculus	Edit
2644	Kidney can filter whole blood in	A) 1 minute B) 4 minute C) 7 minute D) 10 minute	Edit
2645	Production of progesterone from ovary is stimulated by	A) Oestrogen B) FSH C) LH D) both B and C	Edit
2646	Number of lobes in breast	A) 5-10 B) 10-15 C) 15-20 D) 20-25	Edit
2647	The average glomerular Filtration rate (GFR) is:	A) 125 Liter/day B) 150 Liter/day C) 180 Liter/day D) 130 Liter/day	Edit
2648	Electrical impulse in heart generated from	A) Left ventricle B) AV node C) SA node D) Myocardium	Edit
2649	1 pint blood refers go______ blood.	A) 350 ml B) 280 ml C) 380 ml D) 480 ml	Edit
2650	Which of the following cell doesn't contain nucleus? [ ANM past questions Karnali 2079]	A) RBCs B) WBCs C) Platelets D) Fibroblast	Edit
2651	Erythropoietin Hormone, that stimulates RBC production is secreted by	A) Adrenal gland B) Kidney C) Liver D) Bone marrow	Edit
2652	Which of the following structure divides external Ear from middle ear	A) Tympanic membrane B) Auditory ossicles C) Eustachian tube D) Temporal bone	Edit
2653	What does oliguria means?	A) Reduced urinary output B) Increased urinary output C) No urine output D) Normal urine output	Edit
2654	Appendix is located in	A) Left Anticubital fossa B) Left iliac fossa C) Right iliac fossa D) Right Anticubital fossa	Edit
2655	Which of the following organ secretes insulin in our body?	A) oesophagus B) Pancreas C) Gall bladder D) Appendix	Edit
2656	Kernicterus, which may occurs as a complication of jaundice, is a pathological condition of	A) Liver B) Brain C) Kidney D) Heart	Edit
2657	The chamber of the heart that receives oxygenated blood from lungs is?	A) Right atrium B) Right ventricles C) Left atrium D) Left ventricles	Edit
2658	From which part of small intestine, Vit B12 Absorbed?	A) Duodenum B) Jejunum C) Ileum D) All	Edit
2659	Which of the following is required for fat digestion?	A) HCl B) Gastric juices C) Bile salt D) Pepsin	Edit
2660	Cardiac sphincter is found in	A) Stomach B) Small intestine C) Heart D) Large intestine	Edit
2661	The longest part of GI tract is	A) Oesophagus B) Small intestine C) Jejunum D) Large intestine	Edit
2662	Muscle fatigue is due to accumulation of	A) Acetic acid B) Lactic acid C) Hydrochloric acid D) Amino acid	Edit
2663	The strongest muscle of the body is	A) Gluteus B) Massater C) Deltoid D) Soleus	Edit
2664	Which muscle is found in heart?	A) Skeletal muscle B) Voluntary muscle C) Cardiac muscle D) Involuntary muscle	Edit
2665	Ligament connects	A) Bone to muscle B) Bone to bone C) Tendon to bone D) Cartilage to bone	Edit
2666	Number of bone in skull is	A) 8 B) 14 C) 26 D) 22	Edit
2667	Inflammation of bone is called	A) Arthritis B) Osteoarthritis C) Osteomyelitis D) Osteoporosis	Edit
2668	Which of the following structures is responsible for regulating the amount of light entering the eye?	A) Lens B) Retina C) Pupil D) Iris	Edit
2669	Primary Visual Cortex is located in	A) Frontal lobe B) Parietal lobe C) Temporal lobe D) Occipital lobe	Edit
2670	Which of the following light is most harmful for human eye?	A) Red light B) Blue light C) Green light D) Violet light	Edit
2671	Human eye lens is	A) Concave B) Convex C) Biconcave D) Biconvex	Edit
2672	Inflammation of skin is called	A) Leukoderma B) Dermatitis C) Cellulitis D) Hysteritis	Edit
2673	For the synthesis of Vit D, The individual should expose to sunlight for atleast _______ A. For the synthesis of Vit D, The individual should expose to sunlight for atleast _______	A) 1 minute B) 5 minute C) 10 minute D) 15 minute	Edit
2674	Dermis is thinnest at	A) Palms B) Soles C) Both A and B D) Eyelids	Edit
2675	Melanocytes are found in	A) Stratum corneum B) Stratum lucideum C) Stratum spinosum D) Stratum Basale	Edit
2676	Capacitation occurs in	A) Epididymis B) Vas deferens C) Female reproductive tract D) Rete testis	Edit
2677	The concentration of ______ is maximum in semen.	A) Spermatozoa B) Cowper's fluid C) Seminal Fluid D) Urethral fluid	Edit
2678	The process of Formation of spermatozoa from spermatids is	A) Spermatogenesis B) Meiosis C) Spermiogenesis D) None	Edit
2679	There is a connective tissue cord extending between the testis and abdominal wall known as	A) mesenteric cord B) gubernaculum C) testis cord D) spermatic cord	Edit
2680	Which muscle is found in scrotum	A) Dextrous muscle B) Dartous muscle C) Latissimus dorsi D) Detrusor muscle	Edit
2681	Absence of sperm in semen is termed as	A) Aspermia B) Azospermia C) Oligospermia D) Polyspermia	Edit
2682	Store house of sperm is	A) Epididymis B) Vas defens C) Seminal Vesicles D) Ejaculatory duct	Edit
2683	Real covering of testes is	A) Tunica Vasculosa B) Tunica vaginalis C) Tunica Albuginea D) None	Edit
2684	The homologous organ of scrotum is	A) Round ligament B) Labia minora C) Labia majora D) Clitoris	Edit
2685	CO2 diffuses more easily through the respiratory membrane than O2 because it is:	A) Less dense B) More soluble in plasma C) Less molecular weight D) Less PCO, in the alveoli	Edit
2686	One molecule of Hemoglobin combines with:	A) 2 molecule of oxygen B) 3 Molecules of oxygen C) 4 Molecules of oxygen D) 8 molecules of oxygen	Edit
2687	The main muscles involved in inspiration are:	A) Diaphragm & Sternocleidomastoid B) Diaphragm & Internal intercostal muscles C) Diaphragm & external intercostal muscles D) External & internal intercostal muscles	Edit
2688	Odd one out,	A) Nose B) Bronchioles C) Pharynx D) Larynx	Edit
2689	All are elastic cartilage found in larynx except	A) Epiglottitis B) Cricoid C) Cuneiform D) None of the above	Edit
2690	The Volume of air that remains in Lungs after normal expiration is called?	A) Residual Volume B) Expiratory Reserve Volume C) Functional Residual Capacity D) Vital Capacity	Edit
2691	When Carbon dioxide Combined with Hemoglobin, the compound formed is called?	A) Carbaminohemoglobin B) Oxyhemoglobin C) Carboxyhemoglobin D) Both A and C	Edit
2692	Exchange of gases between Alveoli and capillary is which respiration?	A) External Respiration B) Internal Respiration C) Tissue respiration D) None	Edit
2693	Pleural fluid is secreted by which pleural layer?	A) Parietal pleura B) Visceral pleura C) Middle layer D) None	Edit
2694	Weight of lungs is	A) 300 gm B) 1500 gm C) 600 gm D) 250 gm	Edit
2695	Paralysis of all four limbs is called	A) Monoplegia B) Hemiplegia C) Paraplegia D) Quadriplegia	Edit
2696	Micturition reflex center is present in which part of brain	A) Cerebellum B) Pons Varoli C) Medulla Oblongata D) Mid brain	Edit
2697	A tissue which supports Neuron is	A) Ganglia B) Neuroglia C) Nuclei D) Nerve	Edit
2698	In meiosis - I Cell division, The number of chromosome becomes:	A) Same B) Half C) Double D) Both A and B	Edit
2699	The average weight of the human brain is about:	A) 500 gm B) 750 gm C) 1.5 kg D) 2.4 kg	Edit
2700	If there is an injury in the hypothalamus region of the brain, it is most likely to affect	A) regulation of body temperature B) decision making C) co-ordination during locomotion D) short-term memory	Edit
2701	Nerve fibres are surrounded by an insulating fatty layer called:	A) Adipose sheath B) Schwann cells C) Myelin sheath D) Peritoneum	Edit
2702	Sequence of meninges from inner to outside is:	A) Duramater - Arachnoid - Piamater B) Duramater - Piamater - Arachnoid C) Arachnoid - Duramater - Piamater D) Piamater - Arachnoid - Duramater	Edit
2703	The function of cerebrospinal fluid does not include:	A) protection of the delicate brain and spinal cord from shock B) protection of the brain and spinal cord by containing antibodies C) provide buoyancy to the brain D) as a medium for excretion of waste product	Edit
2704	Which of the following controls reflex action?	A) Central nervous system B) Sympathetic nervous system C) Parasympathetic nervous system D) Sensory nerves	Edit
2705	Oxytocin is produced by	A) Hypothalamus B) Adrenal gland C) Thyroid gland D) Posterior pituitary gland	Edit
2706	Which gland is the largest Endocrine gland?	A) Pituitary gland B) Pinela gland C) Thyroid gland D) Hypothalamus	Edit
2707	Which of the following is not under direct control of pituitary gland with respect to the regulation of its secretory function?	A) Thyroid gland B) Adrenal cortex C) Adrenal medulla D) Testes	Edit
2708	Cushing's syndrome is due to:	A) Deficiency of Glucocorticoids B) Excess of glucocorticoids C) Deficiency of mineralocorticoids D) Excess of mineralocorticoids	Edit
2709	Pituitary gland develops from which germ layer	A) Ectoderm B) Mesoderm C) Endoderm D) All of the above	Edit
2710	Endocrine glands are	A) Ductless glands B) Glands with duct C) Hormone producing glands D) Both A and C	Edit
2711	Uterine contraction at child birth is stimulated by	A) Prolactin B) Progesterone C) Adrenaline D) Oxytocin	Edit
2712	The plane which divides the body or body parts into the upper and lower portion is called.....	A) Transverse plane B) Coronal plane C) Median plane D) Saggital plane	Edit
2713	The process of Formation of Female gametes is called oogenesis. This process begins during	A) Fetal life B) Childhood C) Puberty D) Old age	Edit
2714	Largest organelle in cytoplasm of cell is	A) Nucleus B) Endoplasmic Reticulum C) Mitochondria D) Golgi apparatus	Edit
2715	Cells in the bronchus responsible for production of Asthma are	A) Plasma cells B) Monocyte C) Mast cells D) Fibroblast	Edit
2716	How many types of tissue are found in our body?	A) 2 B) 3 C) 4 D) 5	Edit
2717	Structure and Functional Unit of living beings is called	A) Cell B) Tissue C) DNA D) Cytoplasm	Edit
2718	How many policies are there in National Health Policy 2076?	A) 14 policies B) 17 policies C) 25 policies D) 15 policies	Edit
2719	MDA was first started in	A) Bara B) Parsa C) Dhanusa D) Chitwan	Edit
2720	Which is not included in six pillars of Safe motherhood?	A) Family planning B) Female Education C) post Abortion care D) STD/HIV control	Edit
2721	Nepal has endorsed Multi Dose Vial Policy( MDVP) in	A) 2003 B) 2005 C) 2006 D) 2008	Edit
2722	Which of the following is not included in the National Health insurance program?	A) Surgery B) MRI C) Family Planning D) Indoor services	Edit
2723	What is the Tuberculosis Treatment success Rate of Sudurpascchim Province according to Annual report 2077/78 ?	A) 85% B) 89% C) 93% D) 98%	Edit
2724	Which of the following is a model for health education program planning	A) PRECEDE/PROCEED model B) Health belief model C) Trans theoretical model D) Rogers adoption model	Edit
2725	Vector control means:	A) Control of mosquito breeding places B) Destruction of stray dogs C) Control of cattle and pets D) All of the above	Edit
2726	A child is able to say "baba", "mama", then what could be the age of child?	A) 6 months B) 9 months C) 12 months D) 18 months	Edit
2727	If a child with diarrhea registers two signs in the yellow row in the IMCI chart, we can classify the patient as:	A) Moderate dehydration B) Some dehydration C) Severe dehydration D) No dehydration	Edit
2728	Mc Burney point is at:	A) Umbilicus liver junction B) Middle of right spino-umbilical C) Junction of lateral 2/3rd and medial 1/3rd D) Junction of lateral 1/3rd and medial 2/3rd	Edit
2729	Most common sign of hyper-thyroidism:	A) Exophthalmus B) Hyperreflexia C) Tremor D) Goiter	Edit
2730	Radical treatment of Plasmodium vivax malaria is:	A) Chloroquine 600+ Primaquine 15 mg on Day 1 followed by Primaquine 15 mg for 14 days B) Chloroquine 600 mg + Primaquine 45 mg stat C) Chloroquine 600 mg + Primaquine 15 mg for 15 days D) Chloroquine 600 mg + Pyrimethamine 50 mg stat	Edit
2731	A 7-year-old child was bitten by a stray dog on the left hand with deep multiple cuts. The treatment of choice is:	A) Clean the wound with antiseptic and apply bandage, followed by anti rabies vaccine B) Clean the wound with soap and water and inject anti tetanus serum C) Clean the wound, cauterise the wound with carbolic acid followed by full course of anti rabies vaccine D) Clean the wound with soap and water, administer anti rabies immunoglobulin along with a full course of anti rabies vaccine	Edit
2732	Kaposi sarcoma is seen in:	A) Syphilis B) AIDS C) Gonorrhea D) All of the above	Edit
2733	The main aim of antitubercular treatment is:	A) Bacteriological cure B) Radiological cure C) To prevent complications D) Contact tracing	Edit
2734	Which of the following is the side effects of Enalapril?	A) Skin rashes B) Diarrhoea C) Red urine D) Dry cough	Edit
2735	Which of the following is used to test the efficiency of sterilization in an autoclave?	A) Clostridium tetani B) Bacillus stearo thermophilus C) Bacillus pumilus D) Bacillus cereus	Edit
2736	Strains are more common among all except	A) Hockey players B) Football C) Aerobic Dancers D) Wrestlers	Edit
2737	Which of the following is not the part of middle ear cleft?	A) Eustachian tube B) Mastoid Air cells C) Middle ear D) Tympanic membrane	Edit
2738	Which is not a tool of supervision?	A) Work schedule B) Records and registers C) Interview D) Job description	Edit
2739	The Causation agent of Mycobacterium Tuberculosis is identified under	A) Gram stain B) AFB stain C) Willer stain D) None	Edit
2740	Emergency service register falls under	A) HMIS 8.1 B) HMIS 8.2 C) HMIS 8.3 D) None	Edit
2741	Abnormal excessive Accumulation of Serous fluid in Peritoneal cavity is regarded as	A) Peritonitis B) Peritoneal Effusion C) Ascitis D) Pericardial Effusion	Edit
2742	The newly introduced Vaccine is NIP	A) Rota vaccine B) PCV C) TCV D) Pentavalent	Edit
2743	Odd one out,	A) IUCD B) OCP C) Vasectomy D) Depo provera	Edit
2744	The delivery of a baby occurs in which stage of labour?	A) First stage B) Second stage C) Third stage D) Fourth stage	Edit
2745	The inflammation of Fallopian tube is	A) Funicullitis B) Chondritis C) Salpingitis D) Oophoritis	Edit
2746	Most sensitive measure of growth is	A) Height B) Weight C) MUAC D) Head circumference	Edit
2747	Major source of water is	A) Ground water B) Rain water C) Surface water D) None of the above	Edit
2748	Rifampicin is a first-line therapy in	A) Tuberculosis B) Leprosy C) Brucellosis D) All of the above	Edit
2749	The major signs for AIDS case definition according to WHO are all except	A) Weight loss more than equal to 10% of body weight B) Prolonged fever more than 1 month C) Prolonged cough for more than 1 month D) Chronic diarrhoea for more than 1 month	Edit
2750	The first step of Epidemiological investigation is	A) Confirmation of existence of Epidemic B) Confirmation of diagnosis C) Rapid search for all cases D) Defining population at risk	Edit
2751	Waste water mixed with Human excreta is	A) Sullage B) Sewage C) Garbage D) Refuse	Edit
2752	Most common cause of Dental caries is	A) Dental Calculus B) Dental plaque C) Periodontitis D) Dental prosthesis	Edit
2753	CBIMNCI program started from	A) 1997 AD B) 1999 AD C) 2009 AD D) 2014 AD	Edit
2754	Most common poisoning in Nepal is	A) Kerosine poisoning B) Dhatura poisoning C) Mushroom poisoning D) Organophosphorus poisoning	Edit
2755	When the temperature fluctuates not more than 1° C and doesn't reach the normal level. This is called....	A) Constant Fever B) Remittent fever C) Intermittent fever D) Continuous fever	Edit
2756	Most common complication of Peptic ulcer is	A) Anemia B) Perforation C) Haemorrhage D) None	Edit
2757	Firm, Unshakable, false belief which is out of keeping with the patient form social and cultural background is called.....	A) Illusion B) Delusion C) Hallucination D) Paronia	Edit
2758	Ring worm is caused by	A) Bacteria B) Fungus C) Helminths D) Both B and C	Edit
2759	maximum amount of Fluid is present in our body in	A) Extracellular Compartment B) Intracellular compartment C) Intravascular Compartment D) Interstitial Compartment	Edit
2760	The most common site of endometriosis is	A) Abdomen B) Ovary C) Pouch of Douglas D) Both A and C	Edit
2761	How many staff are there in the Health Post of Terai?	A) 5 B) 6 C) 7 D) 10	Edit
2762	Food, Shelter, oxygen falls under Which need of Maslow's Hierarchy need?	A) Social need B) Physiological need C) Esteem need D) Self Actualisation	Edit
2763	What is the richest source of Ascorbic Acid?	A) Guava B) Indian goose berry C) Cabbage D) Green leafy vegetables	Edit
2764	Total lung Capacity of lungs is	A) 500 ml B) 2300 ml C) 5800 ml D) None	Edit
2765	What is the net filteration pressure of glomerulus?	A) 5 mm Hg B) 10 mm Hg C) 55 mm Hg D) 45 mm Hg	Edit
2766	The thickest layer of skin is	A) Epidermis B) Dermis C) Hypodermis D) None	Edit
2767	What is the percentage of institutional Delivery of Sudurpascchim Province according to NDHS 2022?	A) 79% B) 65% C) 83% D) 87%	Edit
2768	Five pillars of Sustainable development goals includes all, except ?	A) People B) Planet C) Prosperity D) Patient	Edit
2769	The most abundant Immunoglobulin in human body is	A) IgA B) IgG C) IgE D) IgM	Edit
2770	World No tobacco Day is celebrated on	A) 16 June B) 31 November C) 31 may D) 12 November	Edit
2771	When Multi drug therapy (MDT) was introduced in Leprosy program?	A) 1978 B) 1982 C) 1991 D) 1997	Edit
2772	Nepal planning Commission has targeted to increase contraceptive prevalence rate to what percent by 2030 ?	A) 50% B) 60% C) 75% D) 80%	Edit
2773	The new case detection rate (NCDR) of leprosy in FY 2077/78 is	A) 6.2 per 100,000 population B) 7.2 per 100,000 population C) 8.2 per 100,000 population D) 5.2 per 100,000 population	Edit
2774	All about incidence are false except:	A) No affected by duration B) More than prevalence C) Measures old and new cases D) Used for chronic conditions	Edit
2775	Casal's Necklace is seen in deficiency of:	A) Vitamin A B) Vitamin B3 C) Vitamin B6 D) Vitamin D	Edit
2776	The vaccine administered as "Nose drops":	A) Rubella B) Poliomyelitis C) Influenza D) Measles	Edit
2777	A daily water supply considered adequate to meet the need for all urban domestic purposes is:	A) 10 litres per capita B) 20 litres per capita C) 40-60 litres per capita D) 150-200 litres per capita	Edit
2778	Chandler's index is:	A) No. of eggs of hook work in 100 gram stool B) No. of eggs of hookworm in per gram soil C) No. of eggs of hookworm in per gram stool D) Percentage of stool specimens positive for hookworms	Edit
2779	Which type of sample can be used to isolate poliovirus earliest?	A) Stool B) Blood C) Throat D) CSF	Edit
2780	In health center, 0.5% chlorine solution (Virex) is prepared by using:	A) Sodium hypochlorite B) Calcium hypochlorite C) Potassium hypochlorite D) Magnesium hypochlorite	Edit
2781	A child who is 7 weeks has had diarrhea for 14 days but has no sign of dehydration is classified as?	A) Persistent diarrhea B) Severe dysentery C) Dysentery D) Severe persistent diarrhea	Edit
2782	Respiratory alkalosis is seen in all EXCEPT:	A) Stroke B) ARDS C) Salicylate poisoning D) Hypoventilation	Edit
2783	The condition of hypo pigment patches in skin due to loss of melanocytes is:	A) Albinism B) Impetigo C) Acne D) Vitiligo	Edit
2784	Dendritic ulcer is due to:	A) Herpes simplex B) Fungal infection C) Syphilis D) Phlycten	Edit
2785	The circulating blood volume is about 70 ml/kg body weight. When there is blood loss more than 15%, it needs:	A) No replacement B) Normal saline, ringer lactate C) ½ crystalline and ½ colloid solution D) Replacement by whole blood	Edit
2786	Which is antiprotozoal drug?	A) Mebendazole B) Albendazole C) Praziquantel D) Tinidazole	Edit
2787	What are the numbers of beds in Primary Health Care Centers (PHCC)?	A) 1 emergency and 1 maternity bed B) 1 emergency and 2 maternity beds C) 2 emergency and 1 maternity bed D) 2 emergency and 2 maternity beds	Edit
2788	All are the true statement about community diagnosis except:	A) Treatment of disease B) Described community C) Pattern of disease D) Influencing factors that causes disease	Edit
2789	Which artery does not belongs to external carotid artery in the human body?	A) Occipital artery B) Temporal artery C) Ophthalmic artery D) Facial artery	Edit
2790	Which is the following is the reason of mental disease?	A) Change in mind B) Hereditary bad impact experience in childhood C) Poor family relationship & lifestyle D) All of the above	Edit
2791	The protrusion of some of the contents of the abdomen through a weakness in the abdominal wall is called?	A) Hydrocele B) Hematoma C) GI bleeding D) Hernia	Edit
2792	The major role in maintaining fluid balance in the body is performed by the?	A) Liver B) Heart C) Lungs D) Kidney	Edit
2793	Why family planning program is necessary and needed for:	A) Making the family life happy B) Better mother and child health C) Population management D) All of the above	Edit
2794	WHO definition for multidrug Rx means resistance to at least:	A) INH and Rifampicin B) Rifampicin and streptomycin C) Rifampicin and pyrazinamide D) Ethambutol and streptomycin	Edit
2795	Anthropozoonosis is defined as:	A) Infection transmission to man from vertebrate animals B) Infection transmission from man to vertebrate animals C) Infection maintained in both man and animals D) None of the above	Edit
2796	Which of the following is a highly contagious respiratory disease?	A) Influenza B) Scabies C) Pneumothorax D) Measles	Edit
2797	After how many days of ovulation embryo implantation occurs?	A) 3-5 days B) 7-9 days C) 10-12days D) 13-15 days	Edit
2798	According to Health Service Act, 2053 the fourth level position is fulfilled by open competition	A) 10% B) 33% C) 65% D) 100%	Edit
2799	Types of leadership includes all except:	A) Autocratic B) Democratic C) Re-creative D) Transformational	Edit
2800	The first step in the health planning process is:	A) Monitoring B) Evaluation C) Implementation D) Measurement	Edit
2801	Dyspnoea means:	A) Difficulty is swallowing B) Difficulty in breathing C) Easy breathing D) No breathing	Edit
2802	Laxatives are used for the treatment of:	A) Cough B) Constipation C) Diarrhea D) Fever	Edit
2803	Vertical transmission is by:	A) Mosquitoes B) Direct contact C) Droplet D) Placenta	Edit
2804	Health posts are under.	A) DPHO B) District hospital C) Zonal hospital D) Central hospital	Edit
2805	All are complications of anemia in pregnant mothers except:	A) Premature birth B) Puerperal sepsis C) PPH D) Erythroblastosis fetalis	Edit
2806	Full form of FNAC is:	A) Fine needle aspiration cytology B) Fetal nose aspiration cytology C) Fine and normal aspirin course D) Fine needle acupuncture cytophylaxis	Edit
2807	To manage an unconscious patient one should first look for.	A) Airway B) Breathing C) Circulation D) Bleeding	Edit
2808	The most comfortable environmental temperature for a man is:	A) 69 °F B) 69-76 °F C) 77-80 °F D) 80-90 °F	Edit
2809	In a fetal blood vessels the oxygen contain is highest in	A) Umbilical artery B) Ductus venosus C) Pulmonary artery D) Ductus arteriosus	Edit
2810	Most common complication of mumps in childhood?	A) orchitis B) Oophoritis C) Aseptic Meningitis D) spontaneous abortion	Edit
2811	When did WHO Formally name corona virus as covid 19	A) Feb 11, 2020 B) Jan 23, 2020 C) Jan 30, 2020 32 D) March 11, 2020	Edit
2812	Universal antidotes is:	A) Activated charcoal B) 100% oxygen C) penicillamine D) potassium sulphate	Edit
2813	The region of brain which contains thalamus, hypothalamus & Pinal gland is called -	A) Cerebral cortex B) Telencephalon C) Diencephalon D) Metancephalon	Edit
2814	Muscle fatigue is due to accumulation of:	A) Acetic acid B) Lactic acid C) Hydrochloric acid D) Amino acid	Edit
2815	Respiratory center is located at	A) Cerebrum B) Cerebellum C) Pons D) Medulla	Edit
2816	Colour of stool is determined by	A) Bilirubin B) Stercobilin C) Urobilin D) Hemoglobin	Edit
2817	The loading dose of Magnesium sulphate is	A) 4 grams 20 % Mgso4 IV bolus and 10 grams IM B) 4 Grams 50% Mgso4 IV bolus and 10 grams IM C) 4 grams 20 % Mgso4 IV Bolus only D) 4 grams 50 % Mgso4 bolus only	Edit
2818	Daily requirement of protein for an adult .....	A) 0.5 gm /kg/day B) 1 gm /kg /day C) 1.5gm/kg/day D) 2gm/kg/day	Edit
2819	Visual inspection of cervix using acetic acid is applied to detect :-	A) PID B) Cervical cancer C) breast cancer D) UTI	Edit
2820	Iron folic acid supplementation to pregnant women consists of ..............................Folic acid :	A) 40 mg B) 400 mg C) 400 mcg D) 400 gm	Edit
2821	The condition in the fetus caused by Rh incompatibility is called:	A) Neonatal tetanus B) Hemolytic disease of the newborn C) Congenital rubella syndrome D) Erythema toxicum	Edit
2822	Rh immunoglobulin (Anti-D) should be given to Rh-negative mothers at what time?	A) Immediately after conception B) 24 weeks gestation C) Within 72 hours after delivery of Rh-positive baby D) After every ultrasound	Edit
2823	Which immunoglobulin is responsible for hemolysis in Rh incompatibility?	A) IgA B) IgG C) IgD D) IgE	Edit
2824	The vessel carrying oxygen-rich blood from the placenta to the fetus is:-	A) Pulmonay artery B) Pulmonary vein C) Ductus venosus D) Ductus arteriosus	Edit
2825	Which of the following shunts in fetal circulation connects the pulmonary artery to the aorta?	A) Foramen ovale B) Ductus arteriosus C) Ductus venosus D) Umblical vein	Edit
2826	Respiratory center is located at	A) Cerebrum B) Cerebellum C) Pons D) Medulla	Edit
2827	Colour of stool is determined by	A) Bilirubin B) Stercobilin C) Urobilin D) Hemoglobin	Edit
2828	Hyperkalemia is defined as a plasma K+ concentration of ?	A) > 4.5 mmol/L B) > 5.0 mmol/L C) > 5.5 mmol/L D) > 6.0 mmol/L	Edit
2829	The shortest acting benzodiazepine is:	A) Midazolam B) Alprazolam C) Lorazepam D) Temazepam	Edit
2830	Which of the following refers to a system of social relationships between individuals?	A) Family B) Community C) Society D) Social institution	Edit
2831	MDA ongoing in how many district?	A) 12 B) 14 C) 15 D) 48	Edit
2832	As per DoHS report of FY2077/78, percent of deliveries occurs in health facilities.	A) 65% B) 58% C) 62% D) 66%	Edit
2833	The target group for deworming is:	A) 6 months to 5 years B) 6 months to 23 months C) 1 year to 5 year D) 2 year to5 years	Edit
2834	The Ottawa charter was held in :	A) 21 November 1986 B) 21 April 1981 C) 13 November 1996 D) 13 April 1986	Edit
2835	Which of the following is false about Rubella?	A) Droplet infection B) Vertical transmission C) Infection in early pregnancy causes milder disease D) Foetus affected in late pregnancy may have only deafness	Edit
2836	All of the following are true about S1, except:	A) Lower frequency than S2 B) Caused by closure of mitral valve C) Heard at the end of ventricular systole D) Better heard with diaphragm of stethoscope	Edit
2837	The target to reduce MMR according to 15th 5 year plan by the year 2100/01 BS is...?	A) 99 per lakh live birth B) 70 per lakh live birth C) 25 per lakh live birth D) 20 per lakh live birth	Edit
2838	How many types of medical systems are approved in Nepal ?	A) 2 B) 3 C) 4 D) 5	Edit
2839	The most common form of violence in Nepal is :	A) Sexual violence B) Domestic violence C) Economic violence D) None of these	Edit
2840	An effective hand sanitizer contains at least_____ of alcohol to kill the corona virus.	A) 40% B) 60% C) 70% D) 80%	Edit
2841	Rabies vaccine is given in all of the following conditions, except?	A) Minor scratches without bleeding B) Consumption of milk of rabid animal C) Bite by wild animal D) Direct contact with bat	Edit
2842	Period of communicability of Cholera is:	A) 1-2 days B) 7-10 days C) 10-14 days D) 2-3 weeks	Edit
2843	Whitefield's ointment is composed of:	A) Benzoic acid 3% & Salicylic acid 3% B) Benzoic acid 6% & Salicylic acid 3% C) Benzoic acid 3% & Salicylic acid 6% D) Benzoic acid 6% & Salicylic acid 6%	Edit
2844	What is the main purpose of "Heimlich" maneuver?	A) To remove a blockage in the victim airway B) To treat the absence of victim's breathing C) To treat an insufficient breathing D) All of the above	Edit
2845	When body temperature raised by 1°F, what changes occur in pulse?	A) increased by 5/min B) increased by 10/min C) Decreased by 5/min D) Decreased by 10/min	Edit
2846	The commonest fracture in children is:	A) Colle's fracture B) Supracondylar fracture C) Jone's Fracture D) Clavicle fracture	Edit
2847	Intravenous injection is given most commonly at:	A) Cephalic vein B) Basilic vein C) Median cubital vein D) Radial vein	Edit
2848	Group of Axon in CNS is	A) Nerve B) Ganglia C) Nuclei D) Tract	Edit
2849	Muscle stiffness after death is	A) Rigor Mortis B) Myasthenia Gravis C) Muscular Atrophy D) Musclopathy	Edit
2850	Tuning fork test is related with	A) Eye B) Ear C) Nose D) None	Edit
2851	Busiest organ of our Body is	A) Brain B) Liver C) Heart D) Kidney	Edit
2852	Antidote for carbon monoxide poisoning is	A) Physiostigmine B) Naloxone C) 100% oxygen D) Glucagon	Edit
2853	Communication is best described as the process of	A) Sharing message B) Forwarding information C) Sharing information D) Feedback formulation	Edit
2854	Working manual is a tool of	A) Evaluation B) Supervision C) Role play D) Training	Edit
2855	When early liver damage occurs, which enzyme is released	A) SGPT B) CPK MB C) Bradykinine D) Ptyaline	Edit
2856	The sound produced by patient of Asthma while Respiration is	A) Wheezing B) Ronchi C) Crepitation D) None	Edit
2857	Base exchange process is used to remove	A) Temporary hardness of water B) Permanent hardness of water C) Both A and B D) None	Edit
2858	The action of chlorine for disinfection of water depends upon	A) Time B) pH C) Temperature D) All of the above	Edit
2859	What is the consequences of Dental plaque?	A) Dental Caries B) Teeth mobility C) Dental Calculus D) All of the above	Edit
2860	Allergic dermatitis is chronic inflammation caused by	A) Irritants B) Bacteria C) Parasite D) All of the above	Edit
2861	Softening of cervix is called	A) Godell's sign B) Hegar sign C) Chadwick sign D) Effacement	Edit
2862	In persistent transverse lie, what may be the presenting part?	A) Vertex B) Shoulder C) Cord D) Both B and C	Edit
2863	Which of the following is being tried as a male pills?	A) Gysopoll B) Quinesteral C) DMPA D) none	Edit
2864	Which is not the principle of PHC?	A) Appropriate technology B) Full participation C) Accessible D) Inequity	Edit
2865	The least common complication of falciparum malaria is,	A) DIC B) pancreatitis C) Malaria Hepatitis D) Loss of consciousness	Edit
2866	The aspects of Epidemiology, which deals with time, place and person distribution.	A) Analytical study B) Descriptive study C) Experimental study D) Interventional study	Edit
2867	Flasked shape ulcer is a feature of	A) Gastric ulcer B) Dueodenal ulcer C) Mouth ulcer D) Amoebiasis	Edit
2868	Most useful measure of mortality is	A) Case Fetality Rate B) CDR C) Age specific Death Rate D) Proportional Mortality rage	Edit
2869	______ are most commonly affected by gangrene.	A) Limbs B) Lungs C) Liver D) Testes	Edit
2870	Sinus is usually lined by	A) Fibrous tissue B) Adipose tissue C) Granulation tissue D) Both A and C	Edit
2871	The main apex body of health system of Nepal is	A) DoHS B) MoHP C) HRD D) DPO/DPHO	Edit
2872	In road to health chart, the upper reference line corresponds to,	A) 3rd percentile for girls B) 50th percentile for boys C) 80th percentile for girls D) 90th percentile for boys	Edit
2873	Mid arm circumference is constant during	A) 0 -5 months B) 0-4 years C) 1-5 year D) 5-10 year	Edit
2874	Bleeding of gums is associated with	A) Beri heri B) Pellagra C) Scurvy D) Rickets	Edit
2875	The best parameter for assessing chronic Malnutrition is	A) Weight for age B) Weight for height C) Height for age D) All of the above	Edit
2876	Cesarean section is compulsory in which of the following presentation?	A) Cephalic B) Vertex C) Face D) Brow	Edit
2877	The duration of first long term Health plan is	A) 10 years B) 5 years C) 15 years D) 20 years	Edit
2878	Home leave can be stored upto	A) Can be stored unlimited B) Upto 120 days C) Upto 180 days D) Can't be stored	Edit
2879	Which of the following is first intervention for a client experiencing MI?	A) Administer morphine B) Administer Oxygen C) Administer sublingual nitroglycerin D) Obtain an ECG	Edit
2880	Schizophrenia is also known as	A) Hysteria B) Split personality C) Week personality D) Strong personality	Edit
2881	Measles is caused by	A) Human Herpes Virus 3 B) RNA paramyxovirus C) Orthomyxovirus D) Toga virus	Edit
2882	Drug to prevent mother to child transmission (PMTCT) is	A) Zidovudine B) Delaviridine C) Enfluritide D) Maraviroc	Edit
2883	Marasmus, Kwashiorkor and Marasmic Kwashiorkor are the forms of	A) Mild PEM B) Moderate PEM C) Severe PEM D) All of the above	Edit
2884	Which of the following is not correct?	A) Condom : Dhaal B) Spermicide: Kamal chakki C) Oral pills : Nilocon D) IUCD : Sangini	Edit
2885	Each 100 grams of sarbottam pitho contains about	A) 117 calories B) 350-370 calories C) 450-470 calories D) 670 calories	Edit
2886	MC cause of abortion in first trimester is, defect in:	A) Placenta B) Uterus C) Embryo D) Ovarian	Edit
2887	The incubation period of scrub typhus is about	A) 5-12 hours B) 2-10 days C) 10-12 days D) 2- 6 days	Edit
2888	Fever in malaria is due to	A) Exo erythrocytic phase B) Pre erythrocytic phase C) Erythrocytic phase D) Sporogony phase	Edit
2889	Most common Vector Borne Disease is	A) Malaria B) Filaria C) Dengue D) Kala azar	Edit
2890	Which of the following mineral influences would healing?	A) Vit C B) Zinc C) Vit D D) All of the above	Edit
2891	In case of cobra bite, the main effects is in	A) Blood B) Heart C) Nervous system D) Kidney	Edit
2892	Action of chlorine is maximum when water pH is around	A) 3 B) 5 C) 7 D) 9	Edit
2893	Which of the following is a non communicable Disease?	A) Rheumatic Fever B) Infective hepatitis C) Tetanus D) Diphtheria	Edit
2894	Community medicine is a new term for	A) Community health B) Public Health C) Preventive medicine D) All of the above	Edit
2895	School Health education program can be effectively run by	A) Doctors B) Health Assistant C) Nurses D) School teachers	Edit
2896	The evaluation done at end of the program is called.	A) Diagnostic Evaluation B) Formative evaluation C) Summative evaluation D) None	Edit
2897	ASL for Health post	A) 1 months B) 3 months C) 5 months D) 10 months	Edit
2898	How many VBD disease are reported under EWARS?	A) 6 B) 4 C) 3 D) 9	Edit
2899	How many members are present in HFOMC?	A) 13 B) 9 C) 10 D) 7	Edit
2900	Gender based violence work is done by	A) Management Division B) Nursing and social security division C) Family welfare division D) EDCD	Edit
2901	Amitriptyline is	A) Antipsychotic B) Anti depressant C) Anti depressant D) Tranquilizer	Edit
2902	Hypertension, edema and Hematuria are signs of	A) UTI B) Nephrolithiasis C) Nephrotic syndrome D) Nephritic syndrome	Edit
2903	Most common cause of Intestinal obstruction is	A) Adhesion B) Lymphoid Hyperplasia C) Volvolus D) Hernia	Edit
2904	Wood's lamp examination is used to diagnose?	A) Blood infections B) STDs C) Skin diseases D) Throat infections	Edit
2905	The drug of choice for rheumatic fever is	A) Benzyl penicillin B) Benzathine penicillin C) Aspirin D) Erythromycin	Edit
2906	All of the following are clinical features of TB, except?	A) High fever B) Cough with blood C) Sweating D) Weight loss	Edit
2907	Drug of choice for Alcohol Withdrawal syndrome is	A) Haloperidol B) Diazepam C) Amitriptyline D) Lithium	Edit
2908	Infective stage of Roundworm is	A) Third stage larva B) Embryonated egg C) Cyst D) Filariform larva	Edit
2909	Drug of Choice for cholera is	A) Tetracycline B) Doxycycline C) Chloramphenicol D) Metronidazole	Edit
2910	Which of the following Vitamin is also known as Beauty Vitamin?	A) Vit A B) Vit D C) Vit E D) Vit K	Edit
2911	What is the CPR of Sudurpascchim province according to DOHS annual report 2077/78?	A) 40 B) 41 C) 42 D) 43	Edit
2912	Which is not a classification of ARI in under 5 child?	A) No pneumonia B) Pneumonia C) Very severe pneumonia D) Very severe disease	Edit
2913	Lochia Serosa is seen in postpartum at	A) 5th - 9th days B) 1st - 4th days C) 10th - 14th days D) None	Edit
2914	All of the following are biological vector except?	A) Sandfly B) Mosquito C) Housefly D) Lice	Edit
2915	What is the Annual parasite incidence (API) of Malaria in sudurpascchim in to F.Y 2077/78?	A) 0.07 B) 0.04 C) 0.08 D) 0.05	Edit
2916	Presence of which antibody is suggestive of dengue	A) IgG B) IgA C) IgM D) IgE	Edit
2917	Ratio of Pulse and respiration is	A) 4:1 B) 1:4 C) 4:2 D) 2:4	Edit
2918	In which of the following Heat injury, Sweating is absent?	A) Heat Syncope B) Heat Exhaustion C) Heat stroke D) Heat cramps	Edit
2919	A person sleeps inside bed net , is an example of	A) Primordial prevention B) Primary prevention C) Secondary prevention D) Tertiary Prevention	Edit
2920	Strong sewage has BOD(Biological oxygen Demand)	A) > 100 mg/L B) < 100 mg/L C) > 300 mg/L D) < 300 mg/L	Edit
2921	Which of the Following leadership is called directive leadership?	A) Autocratic leadership B) Democratic leadership C) Leissez faire leadership D) None of the above	Edit
2922	Which of the following IEC material is most appropriate for illiterate people?	A) Poster B) Pamphlets C) Flash card D) Bulletin Board	Edit
2923	Aldosterone mainly acts upon:	A) PCT B) Loop of Henle C) Glomerulus D) Collecting duct	Edit
2924	Intrinsic Factor is produced by	A) Stomach B) Liver C) Pancreas D) Small intestine	Edit
2925	Longest muscle in the body:	A) Biceps B) Triceps C) Sartorius D) Quadriceps	Edit
2926	The maximum maternal deaths occur during,	A) During pregnancy B) During Labour C) During Post partum D) None	Edit
2927	The Malaria eradication program launched in ....	A) 1955 B) 1956 C) 1957 D) 1958	Edit
2928	The objectives of NIP is:	A) maintain polio free status B) Sustain MNT elimination status C) Initiate measles elimination D) All of the above	Edit
2929	Time taken for any project is estimated by:	A) Work sampling B) Input-output analysis C) Network analysis D) Systems analysis	Edit
2930	What is the CPR of Sudurpascchim province according to NDHS 2022?	A) 41% B) 57% C) 59% D) 70%	Edit
2931	A child of 10 months is suffering from severe dehydration. The 100 ml/kg fluid is given with in	A) 1 hour B) 5 hour C) 3 hour D) 6 hour	Edit
2932	In acute appendicitis pain is first felt around:	A) Right iliac fossa B) Left iliac fossa C) Umbilicus D) Right Hypochondrium	Edit
2933	Hypothyroidism doesn't cause	A) Weight gain B) Constipation C) Myxedema D) Increased Appetite	Edit
2934	Which of the following is not a principle of family planning counseling?	A) To maintain secrecy B) To center on client's need C) To give emphasis on a particular device D) Informed choice	Edit
2935	TORCH organism include, EXCEPT	A) Chicken pox B) Tuberculosis C) Rubella D) Herpes	Edit
2936	First Vaccine of COVID 19 is Sputnic V, This Vaccine was first developed by which country?	A) India B) Russia C) China D) Nepal	Edit
2937	Which of the following is not a side effect of Oxytocin:	A) Fetal distress B) Embolism C) Uterine rupture D) Hypernatremia	Edit
2938	World AIDS day is on:	A) 1st May B) 31st October C) 1st December D) 29th May	Edit
2939	Cluster testing is done in:	A) Leprosy B) Tuberculosis C) STD D) Malaria	Edit
2940	Vitamin deficiency common in meseales:	A) Vitamin C B) Vitamin K C) Vitamin A D) Vitamin D	Edit
2941	What is the Route of MR Vaccine?	A) Oral B) IM C) IV D) SC	Edit
2942	The form which is used as referral slip is:	A) HMIS 1.1 B) HMIS 1.3 C) HMIS 1.2 D) HMIS 1.4	Edit
2943	The person who sends a message is known as	A) Sender B) Sender C) Messenger D) Communicator	Edit
2944	Allocated staff nurse of health post is	A) 1 B) 0 C) 2 D) 3	Edit
2945	Flight of ideas commonly present in	A) Schizophrenia B) Mania C) PTSD D) Depression	Edit
2946	Unwanted but common effects of drugs with normal therapeutic dose is	A) Toxic effect B) Teratogenic effect C) Side effect D) Drug allergy	Edit
2947	In Sudurpascchim province, the upper most body of health sector is:	A) Ministry of health and population B) Ministry of social development C) Health directorate D) Seti Provincial hospital	Edit
2948	Major clinical signs of acute appendicitis includes all of the following except?	A) Kernig's sign B) Psoas sign C) Obturator sign D) Rovsing's sign	Edit
2949	Flaky paint dermatosis is a sign of	A) Scabies B) Leprosy C) Kwashiorkor D) Ring worm	Edit
2950	Which is not under the school health programme ?	A) School health services B) Mental health C) Healthful school living D) School community joint activity	Edit
2951	In which of the following malaria, relapse is most common?	A) P. Vivex B) P. Ovale C) P. Malariae D) P. Falciparum	Edit
2952	Kyoto protocol is related to	A) Family planning B) Climate change C) Natural disasters D) PHC	Edit
2953	Dengue fever transmitting vector is found in:	A) Stagnant water B) Dirty water C) Clean and flowing water D) River water	Edit
2954	A child can stand with support at the age of	A) 9 months B) 6 months C) 12 months D) 15 months	Edit
2955	Which of the following is NOT the essential fatty acid?	A) Linoleic acid B) Linolenic acid C) Palmitic acid D) Arachidonic acid	Edit
2956	Which of the following method does not kills spores?	A) Glutaraldehyde B) Ethylene oxide C) Chlorhexidine D) Boiling	Edit
2957	Before performing CPR, what would you do first?	A) Check airway B) Chest compression C) Mouth to mouth breathing D) Check for responsiveness	Edit
2958	Which of the following is a feature of right sided heart failure?	A) Pulmonary edema B) Cough C) Peripheral edema D) Orthopnea	Edit
2959	Occurance of disease clearly in excess of expected occurance is	A) Endemic B) Epidemic C) Pandemic D) Sporadic	Edit
2960	The colour of impetigo is found	A) White B) Red C) Golden D) Black	Edit
2961	Which of the following is known as 'heart of slow sand filtration"?	A) Mixing chamber B) Storage tank C) Sand bed D) Vital layer	Edit
2962	Best time to provide activated charcoal is	A) Upto 1 hour of poisoning B) Upto 6 hour of positioning C) Upto 12 hour of poisoning D) Upto 24 hour of poisoning	Edit
2963	Fever pattern at 48 hour interval is known as	A) Quotidian fever B) Quartan fever C) Tertian fever D) Remittent fever	Edit
2964	Ambulatory patients are classified as______ colour in triage.	A) Yellow B) Red C) Black D) Green	Edit
2965	Labyrinthitis is the inflammation of	A) External Ear B) Middle ear C) Inner ear D) All of the above	Edit
2966	The characteristics of Braxton Hicks contractions is	A) Spasmodic B) Irregular C) Infrequent D) All of the above	Edit
2967	When excess bilirubin in blood, it may cause	A) Anemia B) Jaundice C) Cyanosis D) Oedema	Edit
2968	Amniotic fluid is mainly produced by	A) Placenta B) Fetus C) Chorion D) Amnion	Edit
2969	Glands and ducts are internally lined by:	A) Columnar epithelium B) Cuboidal epithelium C) Ciliated columnar epithelium nol D) Transitional epithelium	Edit
2970	The largest vertebra is	A) C5 B) T6 C) L1 D) L5	Edit
2971	Circle of Willi's is found in	A) Kidney B) Heart C) Brain D) Liver	Edit
2972	Oesophagus measures about	A) 15 cm B) 20 cm C) 25 cm D) 45 cm	Edit
2973	सदुरपु श्चिम प्रदेश जनस्वास्थ्य ऐन २०७६ मा कतिवटा परिच्छेदहरु रहेका छन ?	A) 11 B) 12 C) 14 D) 17	Edit
2974	Trachoma elimination in Nepal was declared by WHO on:	A) 24 March 2019 B) 24 April 2020 C) 25 April 2021 D) 24 April 2018	Edit
2975	What is the current Neonatal Mortality Rate (NMR) in Nepal?	A) 21 per Lakh live births B) 31 per 1000 live births C) 39 per 1000 live births D) 21 per 1000 live births	Edit
2976	You are going to maintain the required stock of Jeevan Jal in your store. What is the basis for calculation of required Jeevan Jal packets?	A) Number of diarrheal episodes per child per year B) Number of deaths of children from diarrheal per year C) Number of children who are prone to have diarrhea D) Registered cases of diarrhea in different health institutions	Edit
2977	Commonest cause of unilateral foul smelling nasal discharge in children:	A) Adenoids B) Deviated Nasal Septum C) Foreign body nose D) Nasal polyp	Edit
2978	Not a sign of placental separation	A) Decrease in fundal height B) Gush of vaginal blood C) Permanent lengthening of cord D) Uterus becomes firm	Edit
2979	What would be the color of a person dying of CO poisoning?	A) Cherry red B) Back C) Blue D) Pale	Edit
2980	Most emergency hernia is	A) Incisional B) Inquinal C) Ritcher's hernia D) Strangulated hernia	Edit
2981	When the body temperature rises and falls to normal every day, it is called--	A) constant Fever B) remittent fever C) intermittent fever D) relapsing fever	Edit
2982	The Drugs that can safely administered in Pregnancy is	A) Iron B) Antibiotic C) Levodopa D) All of the above	Edit
2983	Though Alination is associated to the which of the following:	A) Schizophrenia B) Hysteria C) Depression D) OCD	Edit
2984	Phobia is a:	A) Fear of animal B) Psychosis C) Irrational behaviour D) Anxiety	Edit
2985	Acne vulgaris is due to involvement of:	A) Apocrine glands B) Sweat glands C) Sebaceous glands D) Hair follicles	Edit
2986	Diarrhoea kills because of....	A) Malnutrition B) Infection C) Dehydration D) All of the above	Edit
2987	ECG gives information about:	A) Coronary flow B) Ventricular contraction C) Ejection fraction D) Afterload	Edit
2988	Right Kidney lies.......than Left kidney in location	A) Lower B) Upper C) Equal level D) None	Edit
2989	PHC/ORC register is used as:	A) HMIS 4.1 B) HMIS 4.2 C) HMIS 4.3 D) HMIS 9.2	Edit
2990	Supervision occurs only in...	A) Supervisor Supervisor B) Supervisor - Subordinate C) Subordinate Supervisor D) Subordinate- In-charge	Edit
2991	Which of the following two nutrients give maximum energy to us?	A) Carbohydrate + protein B) Carbohydrate + Fat C) Fat + Vitamins D) Protein + Vitamin	Edit
2992	The popular synonym for TB is...	A) Rheumatic heart disease B) Coronary heart disease C) Hydatid disease D) Koch's disease	Edit
2993	Incubation period for mumps is :	A) 18 days B) 11 days C) 10 days D) 8 days	Edit
2994	Commonest site of elephantiasis in bancroftian filariasis is:	A) Vulva B) Arms C) Legs D) Scrotum	Edit
2995	Which of the following is used to treat P. vivax during pregnancy?	A) ACT B) Pyrimethamine C) Chloroquine D) Primaquine	Edit
2996	The best method of collecting stools for detection of cholera is by:	A) Rubber catheter B) Rectal swab C) Disinfected stool D) All of the above	Edit
2997	Occurrence of a disease in a haphazard and irregular pattern is known as	A) Endemic B) Epidemic C) Sporadic D) Pandemic	Edit
2998	FCHV program is expanded to whole 75 districts by:	A) 1988 B) 1995 C) 2001 D) 2005	Edit
2999	Recommended age for first dose of DPT is:	A) At birth B) 6 weeks C) 3 months D) 6 months	Edit
3000	Modern concept of family planning includes all except	A) Sex education B) Adoption services C) Screening for cervical cancer D) In-vitro fertilization	Edit
3001	The process of deflouridation of water is:	A) Nalgonda technique B) Soaking C) Sand filter D) Parboiling	Edit
3002	Failure of erection of penis is known as	A) Sterility B) Infertility C) Impotence D) Libido	Edit
3003	सदुरपु श्चिम प्रदेश जनस्वास्थ्य ऐन २०७६, अनसार ु गठन ह ु ने प्रदेश स्वास्थ्य समितीको बठकै बर्षमा र्ष कम्तिमा कतिपटक बस्नप ु र्नेछ ?	A) १ पटक B) २ पटक C) ३ पटक D) ४ पटक	Edit
3004	As per the DoHS report of FY2077/78, percent of deliveries occur in health facilities in sudurpascchim province,	A) 78% B) 80% C) 83% D) 88%	Edit
3005	Which of the following is NOT correct regarding nutritional status as per NDHS 2022:	A) 8% of Under-five children are wasted B) 25% of under-five children are stunted C) 19% of under-five children have underweight D) Percentage of under five children with overweight is 3%	Edit
3006	Assigning authority to another person is:	A) Order B) Equity C) Scaler chain D) Delegation	Edit
3007	What is the slogan of World Health Day 2023?	A) Health for all B) Our planet, our earth C) Health is universal goal to achieve D) Health should be static	Edit
3008	Example of cyclo-developmental transmission is :	A) Malaria B) Filariasis C) plaque D) Cholera	Edit
3009	Risk of cold chain failure occurs highest at:	A) Regional level B) Central level C) District level D) HP/PHC level	Edit
3010	All of the following are mortality indicators, except?	A) MMR B) IMR C) Life expectancy D) Incidence	Edit
3011	Which prevention is best in pre- pathogenesis phase of disease?	A) Primordial prevention B) Primary prevention C) Tertiary prevention D) Secondary prevention	Edit
3012	An injury within 24 hour must be compressed with:	A) Hot B) Cold C) Ice D) should not be compressed	Edit
3013	Most effective natural method of family planning is:	A) Abstinence B) BBT C) Safe period method D) Cervical mucous method	Edit
3014	Ideal number of ANC visit is	A) 4 B) 8 C) 11 D) 13	Edit
3015	The main function of amniotic fluid is:	A) To provide nutrition to the fetus B) To help in fetal growth C) To protect the fetus D) All of the above	Edit
3016	Time taken for spermiogenesis is	A) 14 days B) 24 days C) 45 days D) 64 days	Edit
3017	Which of the following is "Reference protein"?	A) Egg B) Soyabean C) pulses D) Cereals	Edit
3018	A 5 month baby with some dehydration requires how much ORS in first 4hours?	A) 200-400 ml B) 400-800 ml C) 800-960 ml D) 900-1400 ml	Edit
3019	In which of the following malaria, hemolysis is most severe ?	A) P. Vivax B) P. falciparum C) P. Ovale D) P. Malariae	Edit
3020	Which diarrhea is common in AIDS patients?	A) Bacterial B) Viral C) Protozoal D) Fungal	Edit
3021	The shortest tape worm is:	A) T. solium B) T. saginata C) H. nana D) Diphylobothrium	Edit
3022	Side effect of aspirin is:	A) Peptic ulcer B) Bleeding C) Rey's syndrome D) All of the above	Edit
3023	The effect of a drug on the fetus when used by a pregnant mother is:	A) Iatrogenic effect B) Teratogenic effect C) Adverse effect D) Toxic effect	Edit
3024	Savlon contains:	A) Cetrimide+ Lindane B) Cetrimide + Chloroxylenol C) Chlorhexidine+ Chloroxylenol D) Cetrimide + Chlorhexidine	Edit
3025	During first aid, highest priority is given	A) Airway B) Breathing C) Circulation D) Disability	Edit
3026	Basic difference between neurosis and psychosis is:	A) Severity B) Insight C) Clinical feature D) Duration	Edit
3027	Foley's catheter in numbered:	A) According to radius B) According to circumference C) According to inner diameter D) According to outer diameter	Edit
3028	Vulnerable to develop hypertension likely to	A) persons who smoke cigarettes B) persons who play football C) persons who are sedentary workers D) persons who are having gastritis	Edit
3029	The major way of heat loss is:	A) Conduction B) Radiation C) Evaporation D) Convection	Edit
3030	A 35 year old male comes to an emergency , After doing ABG analysis, His pH is 7.54, PCO2 is 40 mm of Hg, HCO3 is 31 mEq/L. What is the diagnosis?	A) Respiratory Acidosis B) Respiratory Alkalosis C) Metabolic Acidosis D) Metabolic Alkalosis	Edit
3031	Number of bones in thoracic cage is :	A) 24 B) 33 C) 37 D) 45	Edit
3032	Average weight of the lungs is :	A) 250 gm B) 350 gm C) 500 gm D) 600 gm	Edit
3033	Which of the following is the primary gas exchanged in the alveoli of the lungs?	A) Oxygen B) Carbon dioxide C) Nitrogen D) Hydrogen	Edit
3034	The normal shape of RBC is :	A) Concave B) Convex C) Biconcave D) Biconvex	Edit
3035	Gout is a disorder of:	A) Protein Metabolism B) Ketone Metabolism C) Urine Metabolism D) Purine Metabolism	Edit
3036	Vesicles are never seen in:	A) Herpes simplex B) Herpes zoster C) Chicken pox D) Measles	Edit
3037	Treatment of ASOM is :	A) Penicillin B) Chloramphenicol C) Erythromycin D) Streptomycin	Edit
3038	Which of the following disease is called silent killer?	A) Diabetes mellitus B) Hypertension C) Hypothyroidism D) Cancer	Edit
3039	Best management of abscess is:	A) Hot fomentation B) Incision & drainage C) Antibiotic D) Aspiration of pus	Edit
3040	A person's IQ is 26, he is suffered from:	A) Mild mental retardation B) Moderate mental retardation C) Severe mental retardation D) Profound mental retardation	Edit
3041	40°C is equal to :	A) 102° F B) 100° F C) 104° F D) 106° F	Edit
3042	Fever with chills and rigor is associated with:	A) Hypovolemic shock B) Septic shock C) Cardiogenic shock D) Anaphylactic shock	Edit
3043	The therapeutic index is an assessment of	A) Potency of a drug B) Onset of action C) Duration of action D) Margin of safety	Edit
3044	Straw-berry cervix is seen in:	A) Bacterial vaginosis B) Syphilis C) HIV D) Trichomoniasis	Edit
3045	Incubation period of poliomyelitis ranges from:	A) 2-6 days B) 7-14 days C) 2-3 weeks D) 2 months	Edit
3046	In malaria, best index to know about incidence in a community is:	A) Annual parasite incidence(API) B) Annual parasite index C) Annual Blood Examination Rate D) Slide positive rate	Edit
3047	Physiological jaundice (Neonatal jaundice) is seen :	A) Within 24 hour of birth B) After 24 hour of birth C) within 28 days of birth D) after 28 days of birth	Edit
3048	One hen's egg gives______ energy	A) 50 k cal B) 60 k cal C) 70 k cal D) 80 k cal	Edit
3049	Fertilized ovum (morula) enter the uterine cavity by :	A) 3rd day of fertilization B) 4th day of fertilization C) 5th day of fertilization D) 6th day of fertilization	Edit
3050	Most common Congenital Heart Disease is	A) Rheumatic Heart Disease B) Arterial Septal Defect C) Ventricular Septal Defect D) Aortic Valve stenosis	Edit
3051	Which of the following method of birth spacing is appropriate for women with severe jaundice,	A) COCP B) IUCD C) DEPO D) Implant	Edit
3052	Approximate height of the IV bottle from the bed should be	A) 30 cm B) 35 cm C) 40 cm D) 45 cm	Edit
3053	There is a ______ spectrum of Health and disease.	A) 4 B) 6 C) 7 D) 9	Edit
3054	Hypothesis Formulation is carried out by	A) Descriptive study B) Analytical study C) Experimental study D) All of the above	Edit
3055	BCG Vaccine leaves scar after________ of vaccination.	A) 2 weeks B) 4 weeks C) 6 weeks D) 18 weeks	Edit
3056	The most effective method of arthropod control is	A) Physical Control B) Chemical control C) Environmental Control D) Integrated Approach	Edit
3057	Role play must should have:	A) 5 characters & 5 audiences B) 5 characters & 10 audiences C) 10 characters & 15 audiences D) 5 characters & 15 audiences	Edit
3058	Authorised Stoke level for Health post is	A) 1 months B) 3 months C) 5 months D) 10 months	Edit
3059	स्थानिय सरकार सन्चालन ऐन २०७४ कहिलेप्रकाशनभएको थियो ?	A) 2074/6/29 B) 2075/6/29 C) 2074/7/19 D) 2075/7/29	Edit
3060	Which Vaccine has high wastage Rate according to F.Y 2077/78.?	A) PCV B) BCG C) Rota D) MR	Edit
3061	Unmet need of Family Planning as per NDHS 2022 is	A) 18% B) 21% C) 24% D) 26%	Edit
3062	EDCD started distribution of LLIN since,	A) 2002 AD B) 2005 AD C) 2006 AD D) 2008 AD	Edit
3063	How many pulmonary veins are present in human body?	A) 1 B) 2 C) 3 D) 4	Edit
3064	The most lethal complication of peptic ulcer is	A) Hemorrhage B) Perforation C) Gastric outlet obstruction D) none of the above	Edit
3065	A patient diagnosed with uremic syndrome has the potential to develop complications. Which among the following complications should the health worker anticipates:	A) Flapping hand tremors B) An elevated hematocrit level C) Hypotension D) Hypokalemia	Edit
3066	Syncope is a medical terminology which means	A) Sweating B) Fainting C) Vomiting D) All of the above	Edit
3067	Most common cause of dementia is:	A) Parkinson's disease B) Alzheimer's disease C) Depression D) COPD	Edit
3068	Most common burn recorded in health facilities is:	A) Sun burn B) Electric burn C) Acid burn D) Thermal burn	Edit
3069	Complication of fracture may be :	A) Shock B) Pulmonary embolism C) Tetanus D) All of the above	Edit
3070	Safe antihypertensive drug in pregnancy is :	A) Amlodipine B) Enalapril C) Telmisartan D) Methyldopa	Edit
3071	Drug of choice for Ancylostoma Dueodenale	A) Albendazole B) Mabendazole C) Praziquintal D) Pyrental pamoate	Edit
3072	"Catch up-keep up-follow up" strategy is related to:	A) Polio B) Rubella C) Measles D) Mumps	Edit
3073	Enterically transmitted non A non B hepatitis is :	A) Hepatitis A B) Hepatitis B C) Hepatitis C D) Hepatitis E	Edit
3074	Most sensitive test for lymphatic filariasis is:	A) Aldehyde test B) Thin smear C) Membrane Filter Concentration D) Immunechromatography (ICT)	Edit
3075	Dose of zinc for 3 months old baby is :	A) 5 mg B) 10 mg C) 15 mg D) 20 mg	Edit
3076	Breast milk is deficient in which Vitamin?	A) Vit A B) Vit C C) Vit D D) Vit K	Edit
3077	Total number of IFA tablet given to a women during pregnancy as well as in postpartum ?	A) 150 tablets B) 180 tablets C) 225 tablets D) 280 tablets	Edit
3078	The main purpose of amniocentesis is to identify :	A) Pelvic infection B) Fetal maturity C) Twins baby D) Chromosomal abnormalities	Edit
3079	Minipills contains:	A) High amount of progesterone B) Low amount of progesterone C) Low amount of oestrogen D) High amount of estrogen & Progesterone	Edit
3080	Primary Health Care is	A) Goal B) Vision C) Objective D) Strategy	Edit
3081	Missing cases are identified by	A) Active surveillance B) Passive surveillance C) Sentinel surveillance D) All of the above	Edit
3082	Odd one out,	A) Pap smear B) Helmet C) Contraceptive D) Vaccines	Edit
3083	How many fully frozen ice packs are used in Vaccine carrier?	A) 2 B) 4 C) 6 D) 8	Edit
3084	The most commonly reported Disease in post disaster phase is	A) Vitamin deficiency B) Tuberculosis C) Typhoid D) Acute Gastroenteritis	Edit
3085	Total number of tools in HMIS which are used for recording is	A) 73 tools B) 57 tools C) 68 tools D) 5 tools	Edit
3086	Micro Health Project should be conducted on the basis of:	A) Felt need B) Observed need C) Real need D) All of the above	Edit
3087	Counselor must have all of the following except?	A) Sensitivity B) Sympathy C) Understanding D) Patience	Edit
3088	Under MoHP, Administrative Division has______ sections	A) 2 B) 3 C) 4 D) 5	Edit
3089	How many goals & targets are in Sustainable development Goals (SDGs)?	A) 12 goals & 164 targets B) 14 goals & 167 targets C) 17 goals & 169 targets D) 17 goals & 178 targets	Edit
3090	It is estimated that ______ population infected with TB in Nepal.	A) 25% B) 40% C) 45% D) 50%	Edit
3091	FCHV program first started in______ district.	A) 25 B) 27 C) 28 D) 30	Edit
3092	Brain development of child under 2 years of age is about	A) 75% B) 80% C) 85% D) 85%	Edit
3093	Probation period for newly recruited female health workers is:	A) 3 months B) 6 months C) 1 year D) 5 years	Edit
3094	All are the benefits of copper -T, except,	A) Simplicity & inexpensive B) Free of systemic effect C) No need of daily motivation D) Less chances of PID	Edit
3095	Vesico-vaginal fistula is the false passage created between.	A) The rectum and vagina B) Vagina and urinary bladder C) Vagina and urethra D) vagina and perineal muscle	Edit
3096	Parotid duct is known as:	A) Finely's duct B) Stylle's duct C) Stenson's duct D) Wharton's duct	Edit
3097	Cataract in diabetes is due to accumulations of ______ in lens	A) Fructose B) Glucose C) Sorbitol D) Galactose	Edit
3098	All are ototoxic drug, EXCEPT:	A) Streptomycin B) Ciprofloxacin C) Furosemide D) Quinine	Edit
3099	Catgut is obtained from:	A) Dog B) Cat C) Sheep D) Horse	Edit
3100	Which is most common hernia of abdominal wall:	A) Femoral hernia B) Inguinal hernia C) Umbilical hernia D) Epigastric hernia	Edit
3101	Which of the following is not true about impetigo?	A) It is bacterial infection B) More common in infants and children C) Treated with acyclovir D) highly contagious	Edit
3102	The rationale in giving IV fluids for the burn's patient is to prevent:	A) Cardiogenic shock B) Septic Shock C) Hypovolemic shock D) Neurogenic Shock	Edit
3103	In head Injury case, Injection mannitol is given for the purpose of	A) Decrease intracranial pressure B) Diuretic purpose C) Provide fluid D) Both a and b	Edit
3104	Liver lies in....	A) Rt lumbar B) Rt Hypochondrium C) Rt iliac fossa D) Rt epigastrium	Edit
3105	Road to health chart has got information for all except:	A) H/O maternal health B) H/O sibling health C) child spacing D) immunization	Edit
3106	Food Rich in Niacin are all except:	A) Liver B) Meat C) ground nut D) Milk	Edit
3107	Height of the child is 90 cm, who was normal at the time of birth. What could be the age of child?	A) 3 month B) 9 months C) 1 years D) 2 years	Edit
3108	Break of Chlorination is:	A) Start of Chlorination process B) End of Chlorination process C) When free residual chlorine starts appearing D) After partial saturation of water with chlorine	Edit
3109	Leishmania donovani has a _____ body shaped	A) Round B) Cylindrical C) Rectangular D) Squared	Edit
3110	Most serious toxic manifestation of primaquine is	A) Plasmoid type B) Gastrointestinal C) Cardiovascular D) Renal	Edit
3111	The major Epidemic of Influenza A occur at interval of	A) 2-3 years B) 3-5 years C) 4-7 years D) 10-15 years	Edit
3112	Vitamin A prophylaxis is an example	A) Primordial prevention B) Health Promotion C) Specific protection D) Disability limitation	Edit
3113	The infective stage of malarial parasite for man is	A) Trophozoites B) Sporozoite C) Schizonts D) Gametocyte	Edit
3114	The innermost circle of FCHV denotes	A) ward B) Local level C) Province D) Country	Edit
3115	Nutrition section of central level comes under	A) MD B) FWD C) NSSD D) FD	Edit
3116	Which of the following is the method of monitoring?	A) review record B) Visit C) Interview D) All of the above	Edit
3117	The person who sends message is known as	A) Sender B) Receiver C) Messanger D) Communicants	Edit
3118	Supervision is	A) process oriented B) Money oriented C) Staff oriented D) All of the above	Edit
3119	What is the TB treatment success rate of Sudurpascchim province according to FY 2077/78?	A) 80% B) 89% C) 98% D) None	Edit
3120	When the prevalence of HIV infection is more than 1% in pregnant women then, it is called:	A) concentrated epidemic B) Low level epidemic C) Generalized epidemic D) Epidemic	Edit
3121	Free newborn care program was added to Aama program in Fiscal Year	A) 2070/71 B) 2072/73 C) 2073/74 D) 2074/75	Edit
3122	All are the key commodities of indicator in CBIMNCI program except:	A) Chlorhexidine B) ORS C) zinc D) Paracetamol	Edit
3123	To upgrade from 5th level to 6th level, HA should work at least.........years:	A) 3 years B) 5 years C) 8 years D) 10 years	Edit
3124	DMPA stands for:	A) Dextrose maltose progesterone acetate B) Depot maltose progesterone acetate C) Depot medoxy progesterone acetate D) Drunal medoxy progesterone acetate	Edit
3125	White vaginal discharge is also known case of...	A) Leukemia B) Leucorrhoea C) Otorrhoea D) All of the above	Edit
3126	Electric shock is given to the patient suffering from	A) Mental retardation B) Schizophrenia C) Depression D) All of the above	Edit
3127	Disease of inner ear alone produces	A) Mixed hearing loss B) Sensorineural hearing loss C) Conductive Hearing loss D) None	Edit
3128	Which of the following is diagnosed by three tube test?	A) Hematuria B) Hydrocele C) Acute cholecystitis D) Filariasis	Edit
3129	Inflammation of skin is called.	A) Dermatitis B) Cellulitis C) Carbuncle D) Boils	Edit
3130	Fluid filled blisters, small size <0.5 cm is called	A) Vesicles B) Bulla C) Pustule D) Abscess	Edit
3131	The first step to be taken for a client with fracture would be	A) Transfer to health facility B) Immobilization C) Use of padding D) Reassure the client	Edit
3132	In "Rule of Nine" while calculating percentage body surface area in adult client, genital area represent	A) 18% of the body surface area B) 30% of the body surface area C) 9% of th body surface area D) 1% of the body surface area	Edit
3133	Hemoglobin A1C level in blood explains:	A) Acute rise in sugar level B) Chronic pancreatitis C) Hepato-renal syndrome D) Long term status of blood sugar	Edit
3134	Generally, DPT Vaccine is given at...	A) Outer part of right thigh B) Right arm C) Outer part of left thigh D) Inner part of left thigh	Edit
3135	Which is the richest source of Vitamin A?	A) Amala B) Carrot C) Guava D) Egg	Edit
3136	Most common cause of LBW baby is	A) Infection B) Prematurity C) PIH D) Anemia	Edit
3137	Waste water from kitchen is called	A) Refuse B) Garbage C) Sullage D) Sewage	Edit
3138	Most common cranial nerve involved in Leprosy is	A) Ulnar nerve B) Median nerve C) Optic nerve D) Facial nerve	Edit
3139	Why Citrate is added to ORS?	A) To give energy B) To improve taste C) To Promote salt absorption D) To correct acidosis	Edit
3140	AIDS is an infectious Disease caused by	A) Retro virus B) Rota virus C) Both D) None	Edit
3141	Subclinical infection is not seen in:	A) Mumps B) Rubella C) Measles D) Poliomyelitis	Edit
3142	Which of the following characteristics is not of much importance in screening test:	A) Low cost B) High safety margin C) High sensitivity D) High specificity	Edit
3143	Which of the following disease is referred as Black death:-	A) Cholera B) TB C) Dengue D) Plague	Edit
3144	Case control study is generally used for	A) Finding morbidity rates B) Finding incidence rates C) Finding multiple risk factors D) Finding a rare causal factor	Edit
3145	The most common tools used by FCHV for health Education is	A) Pamphlets B) Poster C) Flip chart D) Flannel graph	Edit
3146	Regional TB center is located in	A) Kathmandu B) Pokhara C) Biratnagar D) Bhaktapur	Edit
3147	Hospital Reporting HMIS is	A) HMIS 9.2 B) HMIS 9.3 C) HMIS 9.4 D) HMIS 9.5	Edit
3148	Purpose of logistics management is	A) Support the program B) Save the cost C) Minimize the cost D) All of the above	Edit
3149	The total number of endemic district of Filariasis according to 2021 survey is	A) 60 B) 63 C) 64 D) 68	Edit
3150	What is the modern CPR of Sudurpascchim province according to DOHS annual report 2077/78?	A) 39% B) 40% C) 41% D) 42%	Edit
3151	The last case of poliomyelitis was seen in	A) Bara B) Parsa C) Rauthahat D) sunsari	Edit
3152	In case of cobra bite, the main effect is in	A) Blood B) Heart C) Nervous system D) Kidney	Edit
3153	The most commonly affected gland in mump is :	A) Submandibular gland B) Parotid gland C) Sublingual gland D) All of the above	Edit
3154	If the body temperature suddenly falls to the normal, it is called.....	A) Lysis B) Crisis C) Hypothermia D) Hyperthermia	Edit
3155	Leprosy is not transmitted	A) By droplet infection B) During breastfeeding C) During labour D) During pregnancy	Edit
3156	Highest point of Health Spectrum is	A) Better Health B) Positive Health C) Normal Health D) None	Edit
3157	Most important Function of bone is	A) Protection of Vital organs B) Provide posture to our body C) Haemopoiesis D) Storage of Calcium and phosphorus	Edit
3158	Which is correct about Roger's model of Adoption?	A) Adoption - Interest- evaluation - trial awareness B) Awareness - trial- Interest - evaluation Adoption C) Awarness- Evaluation - trial- Interest Adoption D) Awareness - interest - Evaluation - trial - adoption	Edit
3159	Folic acid supplementation reduces the risk of	A) Toxemia of pregnancy B) Placenta previa C) Neural tube defects D) Down's syndrome	Edit
3160	Which mirror is used in ENT department	A) Concave mirror B) Convex mirror C) Plain mirror D) None of the above	Edit
3161	Which is also known as "lick the joint and bite the heart'	A) Rheumatic Fever B) Rheumatic Heart Disease C) Rheumatoid Arthritis D) Osteoarthritis	Edit
3162	Dose of Human Rabies immunoglobulin is	A) 20 IU/Kg B) 40 IU/Kg C) 60 IU/Kg D) 80 IU/Kg	Edit
3163	Most popular methods of community Diagnosis is	A) Household survey B) PRA C) RRA D) All of the above	Edit
3164	Most common site for ectopic pregnancy is	A) Ampulla B) Abdomen C) Ovary D) Cervix	Edit
3165	Chalazion affects	A) Meibomian gland B) Gland of Zeis C) Moll D) All of the above	Edit
3166	Deficiency of Vitamin C causes	A) Anemia B) Scurvy C) Spongy gums D) All of the above	Edit
3167	5. Basic training of FCHV is about	A) 18 days B) 10 days C) 9 days D) 1 month	Edit
3168	Who is the Father of management?	A) Max Weber B) Henry fayol C) F.W Taylor D) Luther Guillic	Edit
3169	Softening of uterus is called	A) Goodle's sign B) Hegar sign C) Ossinder sign D) Chadwick's sign	Edit
3170	Most common hernia in female	A) Femoral hernia B) Indirect inguinal hernia C) Epigastria hernia D) Direct inguinal hernia	Edit
3171	Most abundant Mineral in nature is	A) Calcium B) Fluoride C) Iron D) Sodium	Edit
3172	Gonococcus is not involved in	A) Cervix B) Testis C) Fallopian tube D) Ovary	Edit
3173	The function of copper-T is;	A) Check mutation B) Stop fertilization C) Stop cleavage D) Stop gastrulation	Edit
3174	What is Bennett's fracture?	A) Fracture dislocation of base of the first metatarsal B) Fracture dislocation of base of the first metacarpal C) Fracture of first metatarsal D) Fracture of first metacarpal	Edit
3175	Which of the following is not the cause of hypovolemic shock?	A) Burn B) Open fracture C) Severe Diarrhea D) Pneumonia	Edit
3176	Hydrophobia is most commonly seen in ;	A) Rabies B) Plaque C) Polio D) All of the above	Edit
3177	Which of the following helps in preventing Colon Cancer?	A) Selenium B) Antioxidants C) Fatty food D) High fibre diet	Edit
3178	Diarrhoea, dermatitis and dementia is related to;	A) Xerophthalmia B) Pellagra C) Keratomalacia D) Scurvy	Edit
3179	Mosquito transmits all of the following Disease except;	A) SARS B) Filariasis C) Malaria D) Yellow fever	Edit
3180	Nosocomial infections acquired by;	A) Nasal secretions B) Droplet infection C) Hospital setting D) All of the above	Edit
3181	Which of the following is not an aim of Epidemiology?	A) To promote Health B) To identify aetiological factors C) To reduce or eliminate the health problems D) To treat the patients in health facilities	Edit
3182	Restriction of women for some activities during menstruation is ?	A) Superstition B) Tradition C) Norms D) Taboos	Edit
3183	The pain during sexual intercourse is called:	A) Dysuria B) Dysmenorrhoea C) Dyspareunia D) Dyspnoea	Edit
3184	The abbreviation 'HS' stands for	A) Before food B) After food C) Immediately D) At bed time	Edit
3185	Informing people, motivating people and guiding into action is the main objective of	A) Communication B) Preventive medicine C) Health education D) Primary Health Care	Edit
3186	Which part of bone is responsible for blood cell production?	A) White bone marrow B) Red bone marrow C) Yellow bone marrow D) None	Edit
3187	The amount of sewage flowing in a system in 24 hours is called:	A) Sewage rate B) RCA index C) Dry weather flow D) Sludge	Edit
3188	To reach the Alveoli, bronchus divides	A) 13 times B) 18 times C) 21 times D) 23 times	Edit
3189	What is the most widely disseminated media of communication?	A) Television B) Radio C) Internet D) Newspaper	Edit
3190	The most common cause of per rectal bleeding in Adult is?	A) Intussusception B) Rectal polyp C) Mega colon D) Internal Haemorrhoids	Edit
3191	Study of cancer is called	A) Mycology B) Rheumatology C) Oncology D) Serology	Edit
3192	Most stable measure of growth is	A) Height B) Weight C) Head circumference D) MUAC	Edit
3193	Which is not a common symptom of conjunctivitis?	A) Pain B) Discharge C) Redness D) Irritation	Edit
3194	Out patient Register falls under HMIS	A) 1.2 B) 1.3 C) 1.4 D) 1.8	Edit
3195	Phlebotomus argentipes is a main vector of	A) Amoebiasis B) Leishmaniasis C) Filariasis D) Giardiasis	Edit
3196	Earliest sensation to be affected in Leprosy is	A) Heat B) Cold C) Pain D) Light touch	Edit
3197	Lack of oxygen in tissue is called.	A) Hypoxia B) Hypoxemia C) Apnea D) Dyspnoea	Edit
3198	Most heat sensitive vitamin is	A) Vit A B) Vit C C) Vit E D) Vit K	Edit
3199	Most common cause of Neonatal sepsis is	A) Group B streptococcus B) E. Coli C) Staphylococcus aureus D) Pseudomonas	Edit
3200	Pre school children refers to child of age	A) 1-3 years B) 0-4 years C) 1-4 years D) 0-3 years	Edit
3201	In MI, Zone of infarction lies in	A) Outer most region B) Central area C) Between A and B D) Anywhere	Edit
3202	Most common Type of DM	A) Type I B) Type II C) Both D) Gestational Diabetes Mellitus	Edit
3203	Which is true about mode	A) Mode : 3 median - 3 mean B) Mode : 3 median - 2 mean C) Mode: 2 median- 2 mean D) Mode : 2 median - mean	Edit
3204	Action of chlorine is maximum at pH	A) 6 B) 7 C) 3 D) 5	Edit
3205	Air humidity is measured by	A) Kata thermometer B) Dry bulb C) Hygrometer D) Anemometer	Edit
3206	Road to health Chart was developed by	A) WHO B) Christian Bernard C) David Morley D) Gomez	Edit
3207	POSDCORB function of management is given by	A) Luther Guillic B) Henry fayol C) Max webar D) F.W Taylor	Edit
3208	Self confidence, Self recognition belongs to which level of need of Maslow's hierarchy?	A) Physiological need B) Safety need C) Self steem need D) Self actualisation need	Edit
3209	Drug of choice for Ancylostoma dueodenale	A) Albendazole B) Mabendazole C) Pyrental pamoate D) Praziquintal	Edit
3210	Major source of Diphtheria is	A) Case B) Carrier C) Both A and B D) None	Edit
3211	Dose of Isoniazid is	A) 5 mg/kg B) 10 mg/kg C) 15 mg/kg D) 25 mg/kg	Edit
3212	________ is a vital link or mediator between management and worker.	A) Supervisor B) First link manager C) Gang manager D) Speed manager	Edit
3213	'Dew drop rash' is the feature of	A) Measles B) Chicken pox C) Mumps D) Typhoid	Edit
3214	Efficient media of Health Education is	A) Television B) Radio C) Internet D) Milking	Edit
3215	Which Disease is not reported under EWARS?	A) Malaria B) Dengue C) Filariasis D) Cholera	Edit
3216	Who is the member secretary of HFOMC?	A) Chairman of local level B) Ward head of Respective ward C) Head of local trade union D) Health post incharge	Edit
3217	Which local anaesthetic agent is commonly used?	A) Cocaine B) Tetracycline C) Lignocaine D) Bupivacaine	Edit
3218	Conversion of glucose to glycogen is called....	A) Glycolysis B) Gluconeogenesis C) Glycogenesis D) Glycogenolysis	Edit
3219	Most specific presentation of Vit A deficiency	A) Night Blindness B) Conjunctival Xerosis C) Bitot's spot D) Corneal xerosis	Edit
3220	The free residual chlorine in a swimming pool must be_____ mg/ litre	A) 0.5 B) 2 C) 1 D) 2.5	Edit
3221	Mosquitoes that breed in dirty water collection belong to the species	A) Anopheles B) Culex C) Aedes D) Mansonia	Edit
3222	Measles is characterized by	A) Fevere with lymphadenopathy B) Fever with centripetal rash C) Fever with dew drop Rash' D) Fever with maculopapular rash	Edit
3223	The first case of COVID 19 case in Nepal was detected in	A) 23 Jan 2020 B) 23 march 2020 C) 4 April 2020 D) 15 July 2020	Edit
3224	Muscle contraction in our body is regulated by	A) Na, Ca B) k, Ca C) Na, K, cl D) Na, K, Ca	Edit
3225	Commonest benign bone tumour is:	A) Bone cyst B) Blastoma C) Chordoma D) Osteoma	Edit
3226	Common cold is usually due to infection by	A) Bacteria B) Viruses C) Fungi D) Allergy	Edit
3227	Allergic rhinitis is mediated by	A) IgA B) IgE C) IgD D) IgM	Edit
3228	4. Adenoids are also known as	A) Nasopharyngeal tonsil B) Palatine tonsil C) Faucial tonsil D) Lingual tonsil	Edit
3229	Ketone bodies are produced in:	A) GIT B) Kidney C) Liver D) Muscle	Edit
3230	Down's syndrome is	A) Trisomy 21 B) Trisomy 18 C) Trisomy 13 D) Trisomy 22	Edit
3231	Active search of disease in apparently healthy person is called	A) Surveillance B) monitoring C) Screening D) Diagnosis	Edit
3232	Nucleus is discovered by	A) Robert Koch B) Rober Hook C) Robert Brown D) Jansen	Edit
3233	How many dose of vitamin A given to a child with measles?	A) Single dose B) Two doses C) 3 doses D) Not given	Edit
3234	Which of the following is not the feature of organophosphate poisoning?	A) Tachycardia B) Lacrimation C) Salivation D) Sweating	Edit
3235	Which category of burn is most painful?	A) First degree B) Superficial second degree C) Deep second degree D) Third degree	Edit
3236	Major cause of death in fracture of femur is due to:	A) Infection B) Delayed healing C) Hemorrhage D) Gangrene	Edit
3237	Incubation period of chicken pox is?	A) 7 - 14 days B) 14 - 16 days C) 14 - 21 days D) 10 - 14 days	Edit
3238	Best management of cataract is	A) Steroid B) Oral antibiotics C) Topical antibiotic D) Surgery	Edit
3239	Samuel Hahnemann is referred to as the founding father of	A) Ayurveda B) Homeopathy C) Unani D) Yoga	Edit
3240	Soiling index is used to measure	A) Soil pollution B) Water pollution C) Air pollution D) Heat temperature	Edit
3241	The average life span of RBC is	A) 60 days B) 100 days C) 120 days D) 150 days	Edit
3242	How many Health Office are there in lumbini province?	A) 12 B) 9 C) 10 D) 11	Edit
3243	Carbon dioxide is released by oxidation of:	A) Glucose B) Protein C) Fat D) water	Edit
3244	Syphilis is transmitted from mother to fetus during:	A) First trimester of pregnancy B) Second trimester of pregnancy C) Third trimester of pregnancy D) All of the above	Edit
3245	"Ampulla of vater" is formed by the union of:	A) Fallopian tube and ovary B) Aorta and left ventricle C) Cystic duct & hepatic duct D) Common bile duct & pancreatic duct	Edit
3246	Physiological changes during pregnancy are all of the following, except?	A) Decrease in Blood pressure B) Increase in heart rate C) Decrease in cardiac output D) increase in urine output	Edit
3247	Which of the following is 3P disease?	A) Diabetes B) Pellagra C) Hypertension D) Hypothyroidism	Edit
3248	Window period of HIV is about	A) 10- 20 days B) 2-12 weeks C) 2-3 months D) 6 months-1 year	Edit
3249	Black water fever is caused by	A) Kala-azar B) Dengue fever C) JE D) Malaria	Edit
3250	Prevention of disease by using drugs is an example of	A) Primordial prevention B) Primary Prevention C) Secondary prevention D) Tertiary prevention	Edit
3251	Which of the following hepatitis is transmitted only by the feco oral route?	A) Hepatitis A B) Hepatitis E C) Hepatitis C D) Both A & B	Edit
3252	Resistant develops by community after vaccination of a portion of population is:	A) Natural immunity B) Social immunity C) Herd immunity D) Innate immunity	Edit
3253	Waste matter arising from food and vegetables is:	A) Sullage B) Litter C) Garbage D) Rubbish	Edit
3254	In epidemiology, Formulation of hypothesis is related to:	A) Descriptive study B) Analytical study C) Experimental study D) Both B & C	Edit
3255	Housefly transmits all of the following disease, except?	A) Typhoid B) Bacillary dysentery C) Trachoma D) Diabetes	Edit
3256	Pyrethrum is	A) Anti larval measures B) Anti adult measures C) Both D) None	Edit
3257	Perinatal mortality includes all of the following, except?	A) Late fetal deaths B) Death during labour C) Early neonatal deaths D) Deaths up to 4 weeks	Edit
3258	Beer consumption has been associated with cancer of:	A) Colon B) Breast C) Liver D) Rectum	Edit
3259	PHC/ORC clinics are conducted not more than...............walking distance from the residential area.	A) 15 minute B) 30 minutes C) 45 minutes D) 60 minute	Edit
3260	What is the maternal mortality Ratio of Lumbini province?	A) 151 per lakh live birth B) 201 per lakh live birth C) 207 per lakh live birth D) 213 per lakh live birth	Edit
3261	The concept of PHC arises from:	A) Ottawa charter B) Alma-ata conference C) World health assembly D) Constitution of Nepa	Edit
3262	Family planning day is celebrated on	A) September 13 B) September 18 C) November 10 D) December 5	Edit
3263	''Golden thousands day' program started in Nepal since:	A) 2073/01/09 B) 2073/2/19 C) 2074/1/09 D) 2074/2/19	Edit
3264	Most common Type of Anemia in Nepal is	A) Megaloblastic Anemia B) Hemolytic anemia C) Iron deficiency anemia D) Sideroblaastic anemia	Edit
3265	Which of the following is a non-infectious disease of skin?	A) ringworm B) impetigo C) Eczema D) Shingles	Edit
3266	Which of the following is the first step of examination of the chest?	A) Palpation B) Percussion C) Auscultation D) Inspection	Edit
3267	The common complication of Peptic ulcers is:	A) Perforation B) Anal fissure C) Haemorrhage D) constipation	Edit
3268	Ranson's criteria is related to	A) Acute appendicitis B) Acute cholecystitis C) Acute peritonitis D) Acute pancreatitis	Edit
3269	Which of the following disorders is also known as 'lazy eye"?	A) Presbyopia B) Myopia C) Hypermetropia D) Amblyopia	Edit
3270	Catgut suture is best sterilized by:	A) Ethylene dioxide B) Glutaraldehyde C) Gamma radiation D) Autoclave	Edit
3271	The near point for human eye is:	A) 15 cm B) 25 cm C) 50 cm D) Infinity	Edit
3272	Benign prostatic hypertrophy is a disease of:	A) young male B) Childhood C) Adult male D) Old male	Edit
3273	Vomiting of blood is called	A) Hemoptysis B) Hematemesis C) hemorrhoids D) Melena	Edit
3274	The drugs which are used to treat productive cough are called	A) Antitussive B) Expectorant C) Sedatives D) Tranquilizer	Edit
3275	A process of removing or destroying micro-organisms from non-living objects is called:	A) Disinfection B) Disinfectant C) Sterilization D) Pasteurization	Edit
3276	In Which of the following conditions, women can use hormonal method of family planning	A) History of breast cancer B) signs of PID C) Active liver disease D) Hypertension	Edit
3277	Which vitamin is not found in plant source	A) Vitamin E B) Vitamin D C) Vitamin B12 D) Both B and C	Edit
3278	Which of the following is not a responsibility of FCHV:	A) Distribution of Vitamin A & Albendazole B) Distribution of IFA tablets C) Treatment of mild cases of pneumonia D) Home delivery गराउने	Edit
3279	Which of the following is not a general danger sign:	A) Unable to drink or suck B) Blood in stool C) vomiting all D) Lethargic or unconscious	Edit
3280	A child has developed neurological complications after vaccination,what would be the vaccine taken by him?	A) BCG B) MMR C) DPT D) IPV	Edit
3281	Wharton's jelly is related to	A) Fetus B) Umbilical cord C) Placenta D) None	Edit
3282	Which complication occurs when some pieces of placenta retained inside the uterus?	A) Inversion of uterus B) Puerperal sepsis C) Post partum hemorrhage D) Placenta previa	Edit
3283	The primary skin lesion seen in Acne vulgaris is:	A) Papule B) Vesicle C) Burrow D) Comedones	Edit
3284	Glomerular Filtration Rate (GFR) of kidneys is about:	A) 125 Liter/day B) 150 Liter/Day C) 180 Liter/Day D) 220 Liter/Day	Edit
3285	The bacteria 'Helicobacter pylori' is associated with:	A) Pneumonia B) UTI C) Cellulitis D) Peptic ulcer	Edit
3286	lodgment of arthropods on the surface of the body or in clothing is :	A) Infection B) Contamination C) Infestation D) Disinfection	Edit
3287	Most of the drugs are detoxified in:	A) Kidney B) Liver C) Stomach D) Gall bladder	Edit
3288	The most common complication of mumps is :	A) Otitis media B) Aseptic meningitis C) Orchitis D) Pancreatitis	Edit
3289	All of the following are true about cholera, except?	A) Gradual onset of diarrhoea B) Rice watery diarrhoea C) Painless diarrhoea D) Around 40 stools per day	Edit
3290	The dose of rifampicin is:	A) 5 mg/kg B) 10 mg/kg C) 15 mg/kg D) 25 mg/kg	Edit
3291	Which of the following is a sign of right sided heart failure?	A) Pulmonary oedema B) Paroxysmal Nocturnal Dyspnea (PND) C) Raised JVP D) Orthopnea	Edit
3292	Rheumatic fever is caused by:	A) Streptococcus pneumoniae B) Group A beta hemolytic streptococci C) Group B Beta hemolytic streptococci D) Streptococcus mutans	Edit
3293	'Culture is the hard work of man and medium through which he achieved his ends" is defined by	A) E. B Taylor B) Malinowski C) Margaret William D) M.C Nile	Edit
3294	Fundoscopy is the examination of	A) Eye B) Mouth C) Skin D) Uterus	Edit
3295	Athletes foot is fungal infection caused by	A) Tinea pedis B) Tinea capitis C) Tinea cruris D) Tinea manum	Edit
3296	Which of the following disorders is Common in children?	A) Presbyopia B) Cataract C) Glaucoma D) Amblyopia	Edit
3297	Tympanic membrane develops from?	A) Ectoderm B) Mesoderm C) Endoderm D) All of the above	Edit
3298	Effect of drug seen with overdose or prolonged use is called	A) Toxic effects B) Teratogenic effects C) Side effects D) Drug allergy	Edit
3299	Drug Act 1978 classified drugs into	A) 2 categories B) 3 categories C) 4 categories D) 5 categories	Edit
3300	The drug which induce sweating is?	A) Diuretics B) Diaphoretics C) Salicylates D) Antitussive	Edit
3301	Septic shock is best managed by	A) Steroids B) Antihistamines C) Broad spectrum antibiotics D) Aspirin	Edit
3302	Most commonly used contraceptive in new acceptor is	A) Oral pills B) Depo provera C) Implant D) Sterilization	Edit
3303	'pull system' is associated with	A) Hospital management B) Logistics management C) OPD management D) Ward management	Edit
3304	LMIS reporting should be submitted	A) Monthly B) Trimesterly C) Quarterly D) biannually	Edit
3305	Best way of communication is	A) Visual B) Auditory C) Tactile D) Combined	Edit
3306	The motivation resulting from fear and threats is	A) Intrinsic motivation B) Extrinsic motivation C) Internal motivation D) External motivation	Edit
3307	Which of the following is regarded as emergency disinfectant?	A) Iodine B) Potassium C) Cresol D) Bleaching powder	Edit
3308	An important skin lesion at the site of bite in scrub typhus is	A) Papules B) Vesicles C) Black eschar D) Burrows	Edit
3309	DEC is very effective in killing	A) Microfilariae B) Adult filiarial worm C) Infective stage larva D) All of the above	Edit
3310	Phlebotomus argentipes is a main vector of	A) Amoebiasis B) Leishmaniasis C) Filariasis D) Giardiasis	Edit
3311	Earliest sensation to be affected in Leprosy is	A) Heat B) Cold C) Pain D) Light touch	Edit
3312	'S' in DOTS stands for?	A) System B) Service C) Short course D) Syndrome	Edit
3313	Case fetality rate of JE is	A) 20 - 40% B) 10-30% C) 30-50% D) 1-4%	Edit
3314	Commonest cause of diarrhoea in AIDS patient is :	A) Rota virus B) E. coli C) Cryptosporidium D) Cryptococcus	Edit
3315	Measles is highly infectious during	A) Prodromal stage B) Eruptive stage C) Post measles stage D) none	Edit
3316	Dressings and bandages are used to:	A) Reduce the victim's pain B) Reduce internal bleeding C) Help to control bleeding and prevent infection D) Make it easier to take victim to the hospital	Edit
3317	Bleeding that occurs after 24 hour of wound is	A) Primary haemorrhage B) Reactionary heammorrhage C) Secondary haemorrhage D) All	Edit
3318	Charcot's triad is seen in:	A) Acute pancreatitis B) Acute appendicitis C) Cholangitis D) Choledecolithiasis	Edit
3319	Bed sore is an example of :	A) Venous ulcer B) Tropical ulcer C) Post thrombotic ulcer D) Tropic ulcer	Edit
3320	Most common cause of death in a patient with renal failure on dialysis:	A) Infection B) Uraemia C) Respiratory failure D) Cardiovascular disease	Edit
3321	Anatomical dead space is	A) 50 ml B) 150 ml C) 200 ml D) 250 ml	Edit
3322	Maximum amount of blood is present in	A) Artery B) Vein C) Capillary D) Aorta	Edit
3323	What is the TB treatment success rate of lumbini province?	A) 90% B) 91% C) 98% D) 100%	Edit
3324	Myelination in PNS is done by	A) Astrocytes B) Oligodendrocytes C) Ependymal cells D) Schwann cells	Edit
3325	As per CBIMNCI, a case of Pneumonia is managed with	A) Oral Amoxicillin and gentamycin B) Gentamycin and Ampicillin C) Oral amoxicillin and Salbutamol D) ORS and Zinc	Edit
3326	Full form of HMIS is:	A) Health Monitoring & Information system B) Hospital management and information system C) Health management information system D) Health management and implementation system.	Edit
3327	Separation of infected person with symptom for the period of communicability of the such disease is called:	A) Surveillance B) Isolation C) Quarantine D) Rehabilitation	Edit
3328	World mental health day is celebrated on	A) 10 October B) 15 October C) 5 May D) 15 May	Edit
3329	A 35 year male has BP 180/120 mm of Hg without target organ damage, the case is diagnosed as:	A) Stage-11 hypertension B) Hypertensive urgency C) Hypertensive emergency D) Severe hypertension	Edit
3330	The process by which uterus & pelvic organ reverted back to non-pregnant state after birth of the baby is:	A) Puerperium B) Postpartum C) Involution D) Subinvolution	Edit
3331	Registration for health insurance was first started in Nepal from:	A) Kailali B) Kanchanpur C) Ilam D) Baglung	Edit
3332	Fluoridation of water is an example of:	A) Food preservation B) Food adulteration C) Food fortification D) Food additives	Edit
3333	MUAC is a measurement of:	A) Mental status B) Nutritional status C) Educational status D) Immunization status	Edit
3334	Height of 3 years old child is measured by:	A) Salter's scale B) Seca scale C) Infantometer D) Stadiometer	Edit
3335	False about vaccines:	A) Thiomersal is used as preservative in DPT vaccine B) Neomycin and Erythromycin is used as preservative in measles vaccine C) Neomycin is used as preservative in PCV vaccine D) Magnesium chloride used to stabilize OPV	Edit
3336	Best method of health education for skill development is:	A) Focus group discussion B) Panel discussion C) Demonstration D) Exhibition	Edit
3337	The combination of air, water, soil, climate, housing etc makes:	A) Physical environment B) Biological environment C) Social environment D) All of the above	Edit
3338	sexual intercourse is not allowed in pregnancy	A) baby is fully developed B) membrane is ruptured C) FHS is heard D) Quickening	Edit
3339	The choice of treatment of acute breast mastitis	A) Cloxacillin B) Amoxicillin C) Ampicillin D) Ciprofloxacillin	Edit
3340	What is the presumptive sign ( mostly subjective ) sign of pregnancy?	A) Amenorrhoea and fetal movement felt by examiner B) Amenorhoea & pregnancy test detect HCG C) Breast changes and goodels sign D) amenorrhoea and quickening	Edit
3341	Main causes of post menaopausal bleeding is	A) cervical cancer B) VVF C) Sexual intercorse D) all of the above	Edit
3342	Which of the fetus blood vessels contains high oxygenated concentration	A) Umblical artery B) Umblical vein C) Pulmonary artery D) Ductus arteriourus	Edit
3343	First stage of labour is up to	A) crowning of head B) full dilation of cervix C) Expulsion of fetus D) Rupture of membrane	Edit
3344	Presence of fecal streptococci in water indicates:	A) Water pollution B) Recent contamination of water C) Remote contamination of water D) No contamination of water	Edit
3345	Which is not a principle of PHC?	A) Appropriate technology B) Intersectoral co-ordination C) Strengthen health system D) Community participation	Edit
3346	Serious complication of oral contraceptive is:	A) Leg vein thrombosis B) Headache C) Break through bleeding D) Breast tenderness	Edit
3347	Controlled tipping is a method of disposal of	A) Refuse B) Sewage C) Sullage D) Excreta	Edit
3348	Which of the following is a classical feature of uterine fibroid?	A) Menorrhagia B) Lower abdominal pain C) Dysmenorrhea D) Purulent vaginal discharge	Edit
3349	All are complications of IUCD except	A) Increased Vaginal bleeding B) PID C) ectopic pregnancy D) Suppression of lactation	Edit
3350	Fully immunized children of lumbini province of F.Y 2077/78?	A) 78% B) 81% C) 83% D) 87%	Edit
3351	Which of the following is thrombolytic agent?	A) Glyceryl trinitrate B) Streptokinase C) Cefotaxime D) Digoxine	Edit
3352	WHO updated list of essential medicines in every	A) 5 years B) 3 years C) 2 years D) 4 years	Edit
3353	The mother needs breastfeeding to her child for how many times in 24 hours?	A) 5 times B) 10 times C) 16 times D) 24 times	Edit
3354	For bancroftian filariasis the diethyl carbamazine regimen is:	A) 6 mg/kg/day for 21 days B) 6 mg/kg/day for 12 days C) 30 mg/kg/day for 6 days D) 60 mg/kg/day for 6 days	Edit
3355	Example of cyclo propagative transmission is	A) Malaria B) Filariasis C) Plaque D) All of the above	Edit
3356	Average incubation period of rabies ranges from	A) 2-6 weeks B) 3-8 weeks C) 7-14 weeks D) 1-5 days	Edit
3357	Out patient Register falls under HMIS	A) 1.2 B) 1.3 C) 1.4 D) 1.8	Edit
3358	Which of the following methods helps to make informed choice?	A) Interview B) Counseling C) Lecture D) Role playing	Edit
3359	Plasma belongs to	A) Intracellular fluid B) Extracellular fluid C) Interstitial fluid D) Transcellular fluid	Edit
3360	A very thin baby with prominent bones and monkey face is most likely suffered from	A) Marasmus B) Kwashiorkor C) Runche D) Pellagra	Edit
3361	In which type of malaria, relapse are most common	A) P. Vivek B) P. Falciparum C) P. Knawolesi D) P. Ovale	Edit
3362	In Nepal, free institutional delivery started in	A) 2006 AD B) 2009 AD C) 2011 AD D) 2002 AD	Edit
3363	Fear of closed space is known as	A) Agoraphobia B) Acrophobia C) Xenophobia D) Claustrophobia	Edit
3364	All are true about COPD, except	A) Irreversible destruction of alveoli B) History of smoking C) Dry cough at night D) Barrel shaped chest	Edit
3365	Palliative therapy is given to a patient of	A) Diabetes B) Cancer C) Hypertension D) Hyperthyroidism	Edit
3366	The most important part of disease diagnosis is	A) History taking B) General examination C) Systemic examination D) Laboratory examination	Edit
3367	Best management of cataract is	A) Steroid B) Oral antibiotics C) Topical antibiotic D) Surgery	Edit
3368	The properties of neurons are all except	A) Contractility B) Conductivity C) Excitability D) Secretion	Edit
3369	Dental formula of Adult is	A) 2102 B) 2123 C) 2122 D) 2132	Edit
3370	Conversion of glucose to glycogen is called....	A) Glycolysis B) Gluconeogenesis C) Glycogenesis D) Glycogenolysis	Edit
3371	Delusion is a disorder of	A) Form of thought B) Content of thought C) Form of belief D) Content of belief	Edit
3372	Epistaxis can result due to lack of	A) Vit A B) Vit B C) Vit C D) Vit K	Edit
3373	Jaundice is seen in	A) Palpebral conjunctiva B) Bulbar conjunctiva C) Cornea D) All of the above	Edit
3374	Sanguinarine in argemon oil causes,	A) Lathyrism B) Ergotism C) Epidemic dropsy D) Endemic Ascitis	Edit
3375	What is the normal duration of the pregnancy?	A) 266 days B) 277 days C) 280 days D) 294 days	Edit
3376	Referral of burn case in adult required when burn is more than?	A) 10% B) 15% C) 20% D) 25%	Edit
3377	Release of toxin by bacteria after multiplication in blood stream is called....	A) Toxemia B) Bacteremia C) Pyemia D) Septicemia	Edit
3378	All are true about Hydrocele except	A) Fluctuation test positive B) Cough impulse positive C) Transillumination test positive D) Getting above swelling positive	Edit
3379	Safest and fastest route of drug Absorption is	A) Topical B) Inhalational C) Intramuscular D) Intravenous	Edit
3380	Which of the following is an opioid Analgesics	A) Aspirin B) Diclofenace C) Codein D) Ibuprofen	Edit
3381	Most common cause of Tinea infection is	A) Trichophyton B) Epidermophyton C) Microsporum D) tinea concentrium	Edit
3382	High mortality is seen in	A) Early onset neonatal sepsis B) Late onset neonatal sepsis C) Mid onset neonatal sepsis D) None of the above	Edit
3383	Weight of child less than 2 years is measured by	A) Infantometer B) Stadiometer C) Bathroom scale D) Salter scale	Edit
3384	Ear is supplied by,	A) Vestibulocochlear nerve B) Optic nerve C) Hypoglossal nerve D) Olfactory nerve	Edit
3385	Most common site of flask shape ulcer is	A) Caecum B) ascending colon C) Sigmoid colon D) Transverse colon	Edit
3386	Which is not the freeze dried vaccine?	A) BCG B) MR C) DPT D) J.E	Edit
3387	Most sensitive cardiac marker for MI is	A) Troponin B) CK-MB C) LDH D) G-6PD	Edit
3388	Which is not the POSDCoRB function of management?	A) Directing B) Recording C) Reporting D) staffing	Edit
3389	Which is correct about Roger's model of Adoption?	A) Adoption - Interest- evaluation - trial - awareness B) Awareness - trial- Interest - evaluation - Adoption C) Awarness- Evaluation - trial- Interest - Adoption D) Awareness - interest - Evaluation - trial- adoption	Edit
3390	Vanaspati ghee is fortified with	A) Vit A B) Vit D C) Both D) None	Edit
3391	Torniquet test is done in	A) Malaria B) KALA-AZAR C) Dengue D) Filariasis	Edit
3392	Koplik's spot is seen in	A) Rubeola B) Rubula C) Varicella D) Rubella	Edit
3393	Which is not a communicable disease?	A) Tetanus B) Polio C) Rabies D) Cervical cancer	Edit
3394	Soiling index is used to measure	A) Soil pollution B) Water pollution C) Air pollution D) Heat temperature	Edit
3395	How many countries were participated in Alma ata conference?	A) 134 B) 187 C) 189 D) 194	Edit
3396	Group of Axon in PNS is called	A) Nuclei B) Ganglia C) tract D) Nerve	Edit
3397	Most active layer of epidermis	A) Stratum corneum B) Stratum lucideum C) Stratum granulosum D) Stratum spinosum	Edit
3398	Knee joint is which type of Synovial joint?	A) Ball and socket joint B) Condyloid joint C) Hinge joint D) Pivot joint	Edit
3399	Putting the plan of action into operation is	A) Implementation B) Monitoring C) Evaluation D) Supervision	Edit
3400	How many vector Borne diseases are reported under EWARS?	A) 3 B) 6 C) 9 D) 12	Edit
3401	Self respect, autonomy, advancement is	A) Self actualisation need B) Safety need C) Social need D) Self steem need	Edit
3402	The Heat sensitive vaccine is	A) DPT B) OPV C) Hepatitis D) Measles	Edit
3403	Rota vaccine is given by_____route	A) ID B) IM C) SC D) oral	Edit
3404	For diagnosis of disease, the test should be more	A) Sensitive B) Specific C) Valid D) Reliable	Edit
3405	Which of the following hormone is not produced by placenta?	A) HCG B) HPL C) Progesterone D) Oxytocin	Edit
3406	Which of the following immunoglobulin show Primary response against antigen ?	A) IgG B) IgA C) IgM D) IgE	Edit
3407	Which is not the danger sign of newborn?	A) Unconsciousness B) Hypothermia C) Fever D) Severe chest indrawing	Edit
3408	Person with Duffy negative RBC are resistant to	A) P. Vivex B) P. Ovale C) P. Falciparum D) P. Malariae	Edit
3409	Incubation period of chicken pox is?	A) 7 - 14 days B) 14 - 16 days C) 14 - 21 days D) 10 - 14 days	Edit
3410	Benedict test is used for the estimation of	A) Blood glucose B) Blood insulin level C) Urine Glucose D) Urine insulin level	Edit
3411	Which of the following drug can be given in pregnancy?	A) Metronidazole B) Fluroqunolones C) Chloramphenicol D) Dapson	Edit
3412	Which of the following drugs is NOT aminoglycoside?	A) Neomycin B) Gentamycin C) Clindamycin D) Streptomycin	Edit
3413	Collection of dead epidedmal cells, dried serum and dried blood is best defined as	A) Wound B) Fissure C) Crust D) Ulcer	Edit
3414	Hot air oven is	A) Dry health method B) Moist heat method C) Chemical method D) None	Edit
3415	A 30 year old male presents to Emergency with complain of epigastric pain which wakes him up at night and is relieved by consuming food. He has similar episode in the past and pain was relieved with proton pump inhibitors. The Most likely diagnosis is	A) Gastric Ulcer B) Duodenal Ulcer C) Atrophic Gastritis D) Chronic Pancreatitis	Edit
3416	The commonest organism cause of acute pharyngitis is	A) Bacterial B) Viral C) Fungal D) Allergic	Edit
3417	Auspitz sign is positive in	A) Pemphigus B) Psoriasis C) Urticaria D) Herpes Simplex Virus	Edit
3418	Fear of open space is known as	A) Acrophobia B) Agoraphobia C) Xenophobia D) Claustrophobia	Edit
3419	The meaning of "T" in GATHER approach is?	A) Together B) Trust C) Tell D) Teach	Edit
3420	What is the BCG coverage of lumbini province according to F.Y 2077/78?	A) 90% B) 91% C) 94% D) 81%	Edit
3421	Which is not a tool of supervision?	A) Work schedule B) Records and registers C) Implementation manual D) Job description	Edit
3422	Unit of study of cohort study	A) Individual B) Population C) Community people D) None	Edit
3423	Cheapest and most effective water disinfectant is	A) Chlorine B) Iodine C) Bleaching powder D) Potassium permanganate	Edit
3424	Most sensitive part of retina is	A) Macula lutea B) Fovea Centralis C) Retinal rods D) None	Edit
3425	Which one is the first step of waste management?	A) Transportation B) Segregation C) collection and storage D) Minimisation	Edit
3426	chronic Malnutrition is indicated by	A) Low height for age B) Low weight for age C) Low weight for height D) Low weight for age	Edit
3427	The most common cause of per rectal bleeding in child is?	A) Intussusception B) Rectal polyp C) Mega colon D) Internal Haemorrhoids	Edit
3428	Which of the following is a non-communicable Disease?	A) Rheumatic Fever B) Infective hepatitis C) Tetanus D) Diphtheria	Edit
3429	Which of the following Anti tubercular drug is contraindicated in pregnancy?	A) Isoniazid B) Rifampicin C) Ethambutol D) Streptomycin	Edit
3430	Fever in malaria is due to	A) Entry of merozoites in liver cell B) Entry of merozoites in the RBC C) Release of merozoites from liver cell D) Release of merozoites from RBC	Edit
3431	A mother may keep baby with KMC for treatment of	A) Hypothermia B) anemia C) Tetanus D) Heart disease	Edit
3432	Antidote of carbon monoxide poisoning	A) Atropine B) Physostigmine C) Vit K D) 100% oxygen	Edit
3433	Adult requirement of sodium per day is	A) 5 gm B) 10 gm C) 100 gm D) 5 mg	Edit
3434	For child, CPR with and ratio of chest compression and ventilation should be	A) 15:1 B) 15:2 C) 30:1 D) 30:2	Edit
3435	Most sensitive measure of growth is	A) Height B) Weight C) Head circumference D) Chest circumference	Edit
3436	Xerophthalmia is result of deficiency of	A) Vit A B) Vit B C) Vit C D) Vit D	Edit
3437	A 4 month old baby is not able to breastfeed and chest indrawing is present. This can be classified as	A) Pneumonia B) Severe pneumonia C) No pneumonia or cough or cold D) Mild pneumonia	Edit
3438	Social values are	A) Positive B) Negative C) Both A and B D) None	Edit
3439	Incubation period of Filariasis is	A) 4-8 months B) 8-16 months C) 8-16 weeks D) None	Edit
3440	Which drug causes hepatotoxicity?	A) Aspirin B) Codein C) Paracetamol D) Amoxicillin	Edit
3441	Which of the following is most sustainable method of learning?	A) Learning by hearing B) Learning by doing C) Learning by Repetition D) Learning by seeing	Edit
3442	first case comes to the notice of the investigator during Epidemic is	A) Primary case B) Secondary case C) Index case D) Carrier	Edit
3443	What is the laboratory picture of iron deficiency anemia?	A) Microcytic hypochromic B) Macrocytic hypochromic C) Microcytic Hyperchromic D) Macrocytic Normochromic	Edit
3444	From which part of small intestine Bile is absorbed?	A) Duodenum B) Jejunum C) Ileum D) All	Edit
3445	Movement of Solvent from it's higher concentration to lower concentration through semi permeable membrane is called	A) Osmosis B) Diffusion C) Phagocytosis D) Endocytosis	Edit
3446	Which of the following is not the part of pelvic bone?	A) Ischium B) Pubis C) Ileum D) Ilium	Edit
3447	Nucleus is discovered by	A) Robert Koch B) Rober Hook C) Robert Brown D) Jansen	Edit
3448	Anatomy is derived from _______ word.	A) Latin B) Greek C) French D) Italian	Edit
3449	Total number of Health post in Lumbini province	A) 639 B) 568 C) 569 D) 3794	Edit
3450	Commonest cause of hearing loss in children is:	A) CSOM B) ASOM C) Acoustic - neuroma D) Chronic secretory otitis media	Edit
3451	Which is responsible for blood transfusion malaria?	A) Hypnozoite B) Merozoites C) Trophozoites D) Sporozoite	Edit
3452	Which of the following is used for the treatment of paucibacillary leprosy?	A) Dapsone + Rifampicin for 6 months B) Dapsone +Rifampicin + Clofazimine for 6 months C) Dapsone+ Rifampicin+ Clofazimine for 12 months D) Dapsone monotherapy for 6 months	Edit
3453	What is the first intervention for a client experiencing MI?	A) Administer morphine B) Administer oxygen C) Administer sublingual nitroglycerin D) Obtain an ECG	Edit
3454	Most common ENT emergency is	A) Chocking B) Epistaxis C) Sinusitis D) None	Edit
3455	The hierarchy of human needs according to Maslow from bottom to top are :	A) Love & belonging, safety, physiological, self actualization, self esteem B) Physiological, safety, love and belonging, Self esteem , self actualization C) Physiological, love and belonging, safety, self esteem, self actualization D) Physiological, love & Belonging, safety, self actualization, self esteem	Edit
3456	Movement of solvent from lower concentration to higher concentration through semi permeable membrane is called :	A) Active transport B) Diffusion C) Osmosis D) Passive transport	Edit
3457	The Absorption, Distribution, Metabolism and elimination of drugs in the body is called :	A) Pharmacodynamics B) Pharmacokinetics C) Pharmacotherapy D) Chemotherapy	Edit
3458	Which of the following is not an important mode of spread of cholera?	A) Droplet infection B) Contaminated water C) Direct contact D) Bottle feeding of infants	Edit
3459	Urine formation occurs in fetus after :	A) 8 weeks B) 12 weeks C) 16 weeks D) 24 weeks	Edit
3460	Normal physiological changes during pregnancy are all of the following , except?	A) Quickening B) Bluish discoloration of vulva and vagina C) Excessive desire of micturition D) Excessive vomiting	Edit
3461	Surveillance of vector borne diseases (malaria, kala-azar & Dengue) are carried out by which of the following system?	A) HMIS B) DHIS C) EWARS D) Direct phone call to EDCD	Edit
3462	The tool of epidemiology, in which numerator is a part of denominator and multiplier is always 100, is :	A) Rate B) Ratio C) Proportion D) All of the above	Edit
3463	All of the following are areas of school health program, except?	A) Health instruction B) Health examination C) School community joint activities D) Student teacher relationship	Edit
3464	A case of electrical injury should be observed for	A) 6 hour B) 12 hour C) 24 hour D) 36 hour	Edit
3465	Milk is a poor source of which mineral?	A) Calcium B) Iodine C) Magnesium D) Iron	Edit
3466	As per NDHS 2016, What is the adolescent (15-19 years) fertility rate of Nepal ?	A) 98 births per 1000 women B) 88 births per 1000 women C) 58 births per 1000 women D) 48 births per 1000 women	Edit
3467	The function of spleen in adults is:	A) Formation of blood cell B) Development of macrophage C) Phagocytosis of old RBCs D) Secretion of hormone	Edit
3468	First step in first aid?	A) Environmental assessment B) Call C) Assess D) Care	Edit
3469	what is the average weight of Liver in Healthy person?	A) 1-2.3 kg B) 1.5-2.5 kg C) 1.5-2 kg D) 2.5-3 kg	Edit
3470	Which one is the most important activities in school health programmme?	A) Arrangement of tiffin B) Construction of toilet C) Personal hygiene D) Safe drinking water	Edit
3471	Process of preventing of disease by using medicine is:	A) Chemotherapy B) rognosis C) Chemoprophylaxis D) Vaccination	Edit
3472	Which one is first aid management of Shock?	A) Start IV drip B) Low down the patient's foot C) Low down the patient's head D) Give hot liquid from mouth	Edit
3473	Which Traditional method is most effective?	A) Calendar method B) Billing's method C) Symtothermic method D) Sexual Abstinence	Edit
3474	Epidemiology is the study of	A) Communicable disease B) Non communicable disease C) Both A and B D) All health related states and events	Edit
3475	C- reactive protein is synthesized in	A) Kidney B) Liver C) Blood D) Bone marrow	Edit
3476	Height of the newborn baby doubles at	A) 5 months B) 12 months C) 2 years D) 4 years	Edit
3477	Which of the following milk contains highest amount of lactose?	A) Human milk B) Cow's milk C) Buffallo milk D) Goat milk	Edit
3478	Most common site for extra-pulmonary tuberculosis is	A) Bone B) Lungs C) intestine D) Gland	Edit
3479	Contraindication of DPT vaccine is:	A) Child with mild Fever B) Child taking Corticosteroid C) Child with HIV/AIDS D) Hypersensitivity with previous dose	Edit
3480	Increased level of PCO2 in blood is the sign of:	A) Metabolic acidosis B) Respiratory acidosis C) Metabolic alkalosis D) Respiratory alkalosis	Edit
3481	Pentavalent vaccine contains all of the following except:	A) Live vaccine B) Killed vaccine C) Toxoid D) Sub-unit vaccine	Edit
3482	Fresh blood in stool is seen in	A) Upper GI bleeding B) Lower GI bleeding C) Anal fissure D) None	Edit
3483	Control of diarrhoeal disease in under five children is the responsibility of_________ of DOHS	A) Curative service division B) Family welfare division C) Epidemiology and Disease control division D) Management division	Edit
3484	The systemic determination of the work, whether the goals are achieved or not.	A) Monitoring B) Evaluation C) Surveillance D) Implementation	Edit
3485	False perception without stimulus is called	A) Hallucination B) Delusion C) Illusions D) none of these	Edit
3486	The term 'Embryo' refer to	A) 0-2 weeks B) 2-8 weeks C) 9 weeks to birth D) Birth to 28 days	Edit
3487	Which of the following sign will be positive in acute pancreatitis?	A) Psoas sign B) Murphy's sign C) Cullen's sign D) Kernig's sign	Edit
3488	Which of the following is light sensitive vaccine?	A) OPV B) Measles C) DPT D) Rabies	Edit
3489	Autoclave is not suitable for sterilization of	A) Dressings B) Syringes C) Sharp instrument D) Linen	Edit
3490	How many health workers are sanctioned for health department of sub-metropolitan?	A) 2 B) 3 C) 4 D) 5	Edit
3491	The commonest side effect of 'Pyrazinamide' is	A) Peripheral neuritis B) Red Urine C) Optic neuritis D) Gout	Edit
3492	A victim of poisonous snake bite is found unconscious. His pulse and breathing is absent what do you do first?	A) Reassurance of the victim B) Declare death, nothing to do C) Start CPR and transport to the hospital D) Check ABC	Edit
3493	Man is dead end host for	A) Measle, yellow fever B) Tetanus, Measles C) Tetanus, Yellow fever D) Rabies, Tetanus	Edit
3494	Disinfectant is a chemical substance which kills -	A) Bacteria and spores B) Bacteria only C) Spores only D) Virus only	Edit
3495	The amount of ORS given to a child with some dehydration in first 4 hour, where the weight of the baby is 8 kg.?	A) 600 ml B) 700 ml C) 750 ml D) 800 ml	Edit
3496	Which of the following is mode of transmission of tetanus?	A) Droplet infection & Droplet Nuclei B) Contaminated wound or surgery C) Direct contact to infected person D) Feco-oral route	Edit
3497	Iatrogenic disease' refers to	A) Physician induced disease B) Hospital Acquired disease C) Community acquired infection D) Opportunistic infections	Edit
3498	An inflammation of Lacrimal gland is called	A) Chalazion B) Dacriocistits C) Blepharitis D) Conjunctivitis	Edit
3499	Which plane divides the body into the right and left half?	A) Sagittal plan B) Transverse plane C) Coronal plane D) None	Edit
3500	Step ladder pattern fever is seen in	A) Malaria B) UTI C) typhoid D) Cholera	Edit
3501	A plan ranges from 1-5 year duration is called	A) Long term plan B) Short term plan C) Medium term plan D) Strategic plan	Edit
3502	The first step of community Diagnosis is	A) Rapport building B) Sampling C) Community presentation D) Planning	Edit
3503	Most commonly reported Disease in post disaster phase is	A) Vitamin deficiency B) Tuberculosis C) Typhoid fever D) Gastroenteritis	Edit
3504	Most important component of living is	A) Health B) Education C) Occupation D) Housing	Edit
3505	In JE, pigs are best described as	A) Definitive host B) Intermediate host C) Amplifier host D) Dead end host	Edit
3506	Definitive host for malaria is	A) Man B) Pig C) Mosquito D) Sand fly	Edit
3507	The choice of drug for falciparum malaria is	A) Chloroquine B) Primaquine C) ACT D) quinine	Edit
3508	Immunity provided by one attack of small pox is	A) 10 years B) 15 years C) 20 years D) Life long	Edit
3509	The drug which are used to treat constipation is	A) Sedatives B) Emetics C) Laxatives D) Hypnotics	Edit
3510	Most of the drugs are detoxified in	A) Liver B) Blood C) Kidney D) Muscle	Edit
3511	Drug sensitivity test is done in______ route	A) Intradermal B) Subcutaneous C) Intravenous D) Intramuscular	Edit
3512	Splint is used to	A) Relief pain B) Immobile the part C) Prevent from Injury D) All of the above	Edit
3513	Pathognomonic Features of scabies is	A) Comedones B) Macules C) Burrows D) Scales	Edit
3514	To diagnose Depression, the symptoms of depression should be present for atleast?	A) 1 weeks B) 2 weeks C) 2 months D) 6 months	Edit
3515	Acute laryngitis is more common in	A) Adult B) Child C) Old age D) None	Edit
3516	Which is not a common symptom of conjunctivitis?	A) Pain B) Discharge C) Redness D) Irritation	Edit
3517	Most common cause of tooth ache is	A) Dental Calculus B) Dental caries C) Gingivitis D) Periodontitis	Edit
3518	The average life span of RBC is	A) 60 days B) 100 days C) 120 days D) 150 days	Edit
3519	According to FY 2077/78, percentage of Delivery Conducted by SBA in Lumbini province is____	A) 61% B) 66% C) 77% D) 81%	Edit
3520	Gastric lavage should be done with in ______ of poisoning.	A) 1 hour B) 4 hours C) 6 hours D) 2 hours	Edit
3521	Most important factor in sewage treatment is	A) Bacterial count B) Solids C) Nitrate and phosphates D) Water content	Edit
3522	Learning by imitation is commonly occurs in	A) Children B) Blind people C) Adult D) Old people	Edit
3523	In the federal, structure of Nepal, latest National Health policy was endorsed in	A) 2071 B) 2076 C) 1991 D) 2000	Edit
3524	Which is not a tool of supervision?	A) Work schedule B) Records and registers C) Interview D) Job description	Edit
3525	For 6 months child, fast breathing is defined when the respiratory rate is	A) ≥40 breaths/min B) ≥50 breaths/min C) ≥60 Breaths/min D) ≥70 Breaths/min	Edit
3526	Government of Nepal is using	A) Monovalent OPV B) Bivalent OPV C) Trivalent OPV D) Pentavalent OPV	Edit
3527	Celebrating festival is	A) Norms B) Values C) Tradition D) Customs	Edit
3528	First and most important feature of acute Abdomen	A) Abdominal distension B) Sudden onset of severe abdominal pain C) Nausea and vomiting D) Constipation	Edit
3529	Psoriasis is common in	A) Scalp B) Genitalia C) Extensor surface of elbow D) All of the above	Edit
3530	Most reliable test for screening of Diabetes Mellitus is	A) Random blood sugar B) Fasting blood sugar C) Glucose tolerance test D) Urine sugar	Edit
3531	For controlling an outbreak of cholera, all of the following measures are recommended except:	A) Mass chemoprophylaxis B) Proper disposal of excreta C) Chlorination of water D) Early detection and management of cases	Edit
3532	The life span of mosquito is about?	A) 15 - 25 days B) 8 -34 days C) 8-24 days D) 7-10 days	Edit
3533	USAID GOBI- 3F program is related to	A) Diabetes B) Hypertension C) Malnutrition D) Respiratory disease	Edit
3534	Which of the following is not included in ' cleans' in conduction of delivery?	A) Clean hands B) Clean cutting C) Clean perineum D) Clean perineum	Edit
3535	Norplant contains which of the following hormone	A) Norethisterone B) Norgesterol C) Levonorgesterol D) Ethyl oestradiol	Edit
3536	Zinc phosphide is	A) pesticides B) Rodenticide C) Larvicide D) All of the above	Edit
3537	Confirmative diagnostic test for breast cancer?	A) FNAC B) Mammography C) Ultrasound D) Breast self examination	Edit
3538	Which medication can be given in pregnancy?	A) Aminoglycosides B) Metronidazole C) Tetracycline D) Paracetamol	Edit
3539	The commonest organism causing acute pharyngitis is	A) Staphylococcus B) Staphylococcus C) Group A Streptococcus D) H. Influenza	Edit
3540	The first step of Epidemiological investigation is	A) Confirmation of existence of Epidemic B) Confirmation of diagnosis C) Rapid search for all cases D) Defining population at risk	Edit
3541	When should you give rescue breathing?	A) Conscious chocking victim B) Unconscious chocking victim C) Unconscious, no pulse, no breathing D) Unconscious, no breathing but has a pulse	Edit
3542	Which is not prioritized as zoonotic disease according to EDCE?	A) Rabies B) Influenza C) Malaria D) Brucellosis	Edit
3543	Which of the following is bone forming cell?	A) Osteocytes B) Osteoclast C) Osteoblast D) All of the above	Edit
3544	Measles is characterized by	A) Fevere with lymphadenopathy B) Fever with centripetal rash C) Fever with dew drop Rash' D) Fever with maculopapular rash	Edit
3545	The drug regimen for Tuberculosis if Rifampicin and isoniazid both are sensitive?	A) 2HRZE + 4HR B) 6HRZE + levofloxacin C) 6HRZE D) 2HRZE + 7HRE	Edit
3546	The pelvis consists of _____ pelvic bones.	A) 1 B) 2 C) 3 D) 4	Edit
3547	In which type of leadership style, there is feeling of togetherness?	A) Democratic B) Autocratic C) Situational D) Leissez faire	Edit
3548	Emergency service register falls under	A) HMIS 8.1 B) HMIS 8.2 C) HMIS 8.3 D) None	Edit
3549	No commodity, No program is related to	A) HMIS B) Logistics management C) Disease control D) Community Diagnosis	Edit
3550	According to AH Maslow, prestige is_____ need.	A) Physiological need B) Safety need C) Social need D) Esteem need	Edit
3551	Which of the following is not a step of water purification in large scale?	A) Filtration B) Boiling C) Disinfection D) Storage	Edit
3552	Belief in ghost and boksi is an example of	A) Tradition B) Norms C) Superstition D) Taboos	Edit
3553	Incubation period of Q. Fever is	A) 1-2 weeks B) 2-3 weeks C) 10-14 days D) 2-4 months	Edit
3554	Infective stage of leishmania for man is	A) Promastigote B) Amastigote C) Cyst D) Microfilariae	Edit
3555	Cold stage of malaria lasts for	A) 15 minute to 1 hour B) 1-2 hours C) 2-4 hours D) 2-6 hours	Edit
3556	Loffler's syndrome is caused by	A) Roundworm B) Hook worm C) Tape worm D) Pin worm	Edit
3557	Chance of severe allergic reaction is common in	A) Metronidazole B) Penicillin C) Hydrocortisone D) Azithromycin	Edit
3558	The liquid preparation introduced into Rectum in constipation is	A) Elixir B) Suppository C) Droughts D) Enema	Edit
3559	Which of the following drugs causes metallic test?	A) Codeine B) Aspirin C) Albendazole D) Metronidazole	Edit
3560	Most common site of IM injection is	A) Deltoid B) Biceps C) Gluteus maximus D) Gluteus medius	Edit
3561	A person seeing a design on the wallpaper perceives it is animal, this is an example of	A) Delusion B) Illusion C) Hallucinationa D) Confusion	Edit
3562	Erythematous plaque with silvery scales is seen in	A) Eczema B) Impetigo C) Psoriasis D) Scabies	Edit
3563	Dental plaque can be removed by	A) RCT B) Tooth brushing C) Scaling D) Gargle	Edit
3564	Study of cancer is called	A) Mycology B) Rheumatology C) Oncology D) Serology	Edit
3565	What percentage of diagnosis can be made from proper history taking?	A) 10% B) 30% C) 50% D) 80%	Edit
3566	Hepatic portal circulation originates from?	A) Kidney B) Liver C) Diaphragm D) Alimentary canal	Edit
3567	What is the maternal Mortality Ratio of lumbini province?	A) 151 per lakh live birth B) 230 per lakh live birth C) 207 per lakh live birth D) 230 per lakh live birth	Edit
3568	All are paired cartilage found in larynx except:	A) Cricoid B) Cuneiform C) Arytenoid D) Corniculate	Edit
3569	Complete uterine prolapse is called;	A) Procidentia B) Genital fistula C) Regino uterine prolapse D) Enterocele	Edit
3570	Blood supply to uterus is from:	A) Uterine artery B) Ovarian artery C) Vaginal artery D) All of the above	Edit
3571	Which of the following is not the component of Active management of third stage of labor?	A) Uterine massage B) Uterotonic C) Control cord traction D) Manual removal of placenta	Edit
3572	How many Basic elements of communication are there?	A) 4 B) 5 C) 6 D) 8	Edit
3573	Which of the following is method of community development?	A) External agent method B) Multiple agent method C) Internal resource mobilization D) All of the above	Edit
3574	All the following are the roles of FCHVS except:	A) Distribute ORS B) Distribute Pills C) Treatment of pneumonia D) Biannual Supplementation of Vitamin A	Edit
3575	Henry Fayol's administration consists all of the following elements except:	A) Planning B) Commanding C) Staffing D) Coordinating	Edit
3576	Organism causing swimming pool conjunctivitisis:	A) Guinea worm B) Chlamydia C) Oncorrhoea D) None of above	Edit
3577	Salk vaccine is a:	A) Live vaccine B) Live attenuated vaccine C) Killed vaccine D) Toxoid	Edit
3578	Droplet nuclei are seen in all except:	A) Typhoid B) Measles C) Diphtheria D) Pertussis	Edit
3579	All of the following are true regarding the Ratio except	A) Numerator is component of denominator B) Numerator is not a component of denominator C) Numerator & denominator are not related values D) It is expressed as a number	Edit
3580	Definition of Health given by WHO excludes which dimension?	A) Physical B) Mental C) Emotional D) Economical	Edit
3581	To achieve Net Reproductive rate 1, CPR should be?	A) more than 50% B) More than 60% C) More than 70% D) More then 80%	Edit
3582	Which is not the essential Amino acid?	A) Arginine B) Lysine C) Tyrosine D) Valine	Edit
3583	Hepatitis causing Hepatocellular carcinoma?	A) Hepatitis A B) Hepatitis B C) Hepatitis C D) Both B and C	Edit
3584	AIDS was first identified in Nepal in	A) 1981 B) 1988 C) 1991 D) 1998	Edit
3585	Catgut suture is best sterilized by	A) Autoclave B) Hot air oven C) Glutaraldehyde D) Gamma radiation	Edit
3586	Which of the following nursing intervention is appropriate when an IV infusion infiltrates?	A) Elevate the site B) Discontinue the infusion C) Attempt to flush the tube D) Apply warm, moist compress	Edit
3587	Which of the following is considered as the most important aspect of hand washing?	A) Soap B) Water C) Friction D) Time	Edit
3588	In our country, Most common cause of vision impairment in child is,	A) Refractive errors B) Vit A Deficiency C) Congenital Cataract D) Glaucoma	Edit
3589	Most common cause of acute pancreatitis is	A) Idiopathic B) Alcohol C) Cholelithiasis D) Steroids	Edit
3590	Flask shape ulcer is seen in	A) Caecum B) Sigmoid colon C) Rectum D) None	Edit
3591	Diabetes is a disorder of	A) Pancreas B) Thyroid gland C) Pituitary gland D) Both A and C	Edit
3592	Most common cause of summer Diarrhoea is	A) E.coli B) Rota virus C) Shigella D) Giardia lamblia	Edit
3593	Length of Shakir tape for child is	A) 5-25 cm B) 6- 26 cm C) 5-50 cm D) None	Edit
3594	Thickest layer of heart is	A) pericardium B) Myocardium C) Endocardium D) Perimetrium	Edit
3595	Functional unit of muscle fiber is	A) Sarcomere B) Myocyte C) Actin and myosin D) Sarcolemma	Edit
3596	Most abundant cartilage in our body is	A) Hyaline cartilage B) Elastic cartilage C) Fibrous cartilage D) None	Edit
3597	Colour of skin is affected by	A) Melanin B) Hb level C) Bile pigment D) All of the above	Edit
3598	How many Health posts are there in lumbini province?	A) 639 B) 568 C) 569 D) 3794	Edit
3599	Health for all by 2000 is	A) Vision B) Goal C) Objective D) Strategy	Edit
3600	GATHER approach is useful for	A) Role playing B) Counseling C) Demonstration D) Interview	Edit
3601	The waste water containing human excreta is called	A) Sludge B) Sullage C) Sewage D) Garbage	Edit
3602	State of social dysfunction is	A) Disease B) Illness C) Sickness D) Disability	Edit
3603	Disease transmitted by Aedes mosquito is	A) Yellow fever B) Filariasis C) Malaria D) Culex	Edit
3604	Lymphatic filariasis is caused by	A) Bacteria B) Virus C) Protozoa D) Nematodes	Edit
3605	Newborns and infants are resistant to	A) P. Vivex B) P. Falciparum C) P. Ovale D) P. Malaria	Edit
3606	Scrub typhus is transmitted by	A) Itch mites B) Trombiculid mite C) Cyclops D) Hard tick	Edit
3607	Incubation period of poliomyelitis ranges from	A) 2-6 days B) 7-14 days C) 2-3 weeks D) 2 months	Edit
3608	Which drug is given during anaphylactic reaction?	A) Aminophylline B) Adrenaline C) Atropine D) Dyphylline	Edit
3609	Fastest route of drug administration is	A) Oral B) IM C) IV D) Inhalational	Edit
3610	Drugs are excreted through	A) Saliva B) Sweat C) Urine D) All of the above	Edit
3611	Bleeding from vein is	A) Steady flow B) Spurt jet like C) Oozing D) None	Edit
3612	Hallucination is a disorder of	A) Cognition B) Perception C) Thought D) Affect	Edit
3613	The term halitosis refers to	A) Discoloration of tooth B) Infection of teeth C) Bad smell of breath D) Infection of guma	Edit
3614	Acne vulgaris can be treated by	A) Salicylic acid B) Clindamycin C) Silver ointment D) Calamine lotion	Edit
3615	Infection of middle ear is called	A) Otitis media B) Labyrinthitis C) Otomycosis D) Otorrhoea	Edit
3616	The best treatment of acute laryngitis is	A) Voice rest B) Azithromycin C) Betadine gargle D) Antihistamines	Edit
3617	Inflammation of tongue is called	A) Stomatitis B) Gastritis C) Glossitis D) Proctitis	Edit
3618	Most common Presentation of fetus in utero is	A) Vertex B) Breech C) shoulder D) Cephalic	Edit
3619	Most common cause of Abortion is	A) Genetic B) Anatomical C) Infections D) Endocrinal	Edit
3620	Most popular Family Planning Method?	A) Minilap B) Implant C) Depo D) IUCD	Edit
3621	Most common cause of Dental caries is	A) Dental Calculus B) Dental plaque C) Vit D deficiency D) Periodontitis	Edit
3622	First symptoms of xerophthalmia	A) Night Blindness B) Bitot's spot C) Conjunctival Xerosis D) Corneal xerosis	Edit
3623	Cart wheel like appearance is seen in	A) ASOM B) CSOM C) OME D) DNS	Edit
3624	Murphy's triad syndrome is related to	A) Acute cholecystitis B) Acute pancreatitis C) Acute appendicitis D) Peritonitis	Edit
3625	Most common site of carbuncles	A) back of neck B) Axilla C) Scalp D) Palm and sole	Edit
3626	Most common type of tinea infection	A) tinea pedis B) Tinea corporis C) Tinea capitis D) Tinea cruris	Edit
3627	Most common type of shock	A) Neurogenic shock B) Cardiogenic shock C) Anaphylactic shock D) Hypovolemic Shock	Edit
3628	Most serious Heat injury is	A) Heat stroke B) Heat Exhaustion C) Hyperpyrexia D) Heat syncope	Edit
3629	Most powerful mechanism of fluid and electrolyte balance is	A) Thirst mechanism B) Osmoreceptor mechanism C) Renin Angiotensin Aldosterone System D) Parathormone	Edit
3630	Most commonly affected organ of hypertension	A) Brain B) Heart C) Kidney D) Eye	Edit
3631	Pedigree chart is drawn under	A) Past History B) Family History C) Personal History D) Drug history	Edit
3632	Burning foot syndrome is due to deficiency of	A) Vit B3 B) Vit B5 C) Vit B7 D) Vit B9	Edit
3633	Which is not true about physiological jaundice?	A) Self limiting jaundice B) Occurs After 24 hours and before 14 days C) Conjugated bilirubin usually rise D) Baby is well and active	Edit
3634	Target Age group for Immunization?	A) 0-23 months B) 0-15 months C) 0-12 months D) 0-5 years	Edit
3635	How much Bleaching powder is required to disinfect 100 litre water?	A) 2.5 gm B) 2.5 mg C) 250 mg D) 25 mg	Edit
3636	Which of the following serological marker is the first evidence of Hepatitis B infection?	A) HBsAg B) HBeAg C) Anti HBs D) Anti HBe	Edit
3637	Tripod sign is seen in	A) Influenza B) Dengue C) Poliomyelitis D) measles	Edit
3638	Drug of choice for cholera is	A) Doxycycline B) Tetracycline C) Azithromycin D) Ciprofloxacin	Edit
3639	________ is the process to invade and multiplication of microorganism in the body of animal or man.	A) Infectivity B) Infection C) Infestation D) Pathogenicity	Edit
3640	Which is not belongs to 6 logistics right?	A) Right good B) Right cost C) Right time D) Right person	Edit
3641	According to the latest National Health policy, Basic Health Service center should be available in.	A) Ward level B) Local level C) Province leve D) National level	Edit
3642	How many elements of PHC are there?	A) 8 B) 10 C) 17 D) 20	Edit
3643	Which is not the Socratic method of communication?	A) Interview B) Symposium C) Panel Discussion D) Workshop	Edit
3644	What is nuclear Family?	A) Husband and wife with unmarried child B) Husband and wife with married child C) More than 2 couple with unmarried child D) More than 2 couple with married child	Edit
3645	World mosquito Day is celebrated on	A) 20 August B) 29 September C) 24 march D) 25 April	Edit
3646	MDG 5 is related to	A) Improve Maternal Health B) Reduce Child mortality C) Combat Communicable Disease D) Global partnership	Edit
3647	AEFI stands for	A) Adverse Effect Following Immunization B) Adverse Event following Immunization C) Adverse Effect for Immunization D) Adverse Event for Immunization	Edit
3648	Dark or hyperpigmentation of Skin of face durring pregnancy is called	A) Linea nigrae B) Striae C) Chloasma D) Leucoderma	Edit
3649	The positive sign of pregnancy is	A) Abdominal enlarge B) Leucorrhoea C) Fetal heart sound D) Amenorrhoea	Edit
3650	Total number of IFA Tablet give n to a women durring pregnancy as well as in post partum ?	A) 150 Tablet B) 180 Tablet C) 225 Tablet D) 280 Tablet	Edit
3651	Painless and bright red vaginal bleeding at late pregnancy is due to	A) Abortion B) Labour C) Abruptio placenta D) Placenta previa	Edit
3652	Which of the following is a method open airway?	A) Finger sweep method B) Head tilt chin lift C) Jaw thrust maneuver D) All of the above	Edit
3653	The most common cause of Dental caries is	A) Dental Calculus B) Dental plaque C) Vit D deficiency D) Periodontitis	Edit
3654	EOP for Health post is	A) 1 months B) 3 months C) 5 months D) 10 months	Edit
3655	Chlorpromazine is	A) Antipsychotic B) Anti depressant C) Anti epileptic D) Tranquilizer	Edit
3656	Which one is a swimming muscle ?	A) Platysma B) Latissimus dorsi C) Rectus femoris D) Palmer brevis	Edit
3657	Malaria undergoes	A) Trans ovarian cycle B) Propagative cycle C) Cyclo developmental cycle D) Cyclo propagative cycle	Edit
3658	The basic training duration of FCHV is of..........	A) 5 days B) 10 days C) 18 days D) 2 months	Edit
3659	What is the present modern CPR of Nepal according to NDHS 2022?	A) 43% B) 53% C) 57% D) 24%	Edit
3660	Which leadership style focuses on giving clear directions, establishing specific goals, and closely supervising subordinates?	A) Autocratic leadership B) Transformational leadership C) Laissez-faire leadership D) Democratic leadership	Edit
3661	Which festival is widely celebrated in Nepal to mark the "victory of good over evil"(असत्य माथी सत्य को जीत) and is known as the "Festival of Lights"?	A) Dashain B) Tihar C) Teej D) Holi	Edit
3662	Gray baby syndrome is associated with the use of:	A) Tigecycline B) Chloramphenicol C) Tetracycline D) Amikacin	Edit
3663	A 35-year-old female presents to your OPD with decreased sleep, elevated mood and talkativeness since 1 month. She also complains of irritability and distractibility; what is your probable diagnosis?	A) Schizophrenia B) Depression C) Delusional disorder D) Mania	Edit
3664	Most common cause of facial nerve palsy is	A) Postoperative B) Bell's palsy C) Cholesteatoma D) Cerebellopontine angle tumors	Edit
3665	Tonsils reach their maximum size by	A) 1 yr B) 3 yrs C) 5 yrs D) 12 yrs	Edit
3666	ROM regimen for leprosy does not include:	A) Rifampicin B) Ofloxacin C) Metronidazole D) Minocycline	Edit
3667	The commonest mode of transmis- sion of HIV in Nepal in descending order is	A) Transplacental, homosexual, heterosexual B) Homosexual, heterosexual, transplacental C) Heterosexual, transplacental, homosexual D) Heterosexual, homosexual, transplacenta	Edit
3668	Diet modification and exercise belong to level of prevention.	A) Primordial B) Primary C) Secondary D) All of the above	Edit
3669	All of the following are mosquito anti-larval measures except	A) Mineral oils B) Gambusia fish C) Gambusia fish D) Pyrethrum	Edit
3670	What is the drug of choice for Chlamydial infection?	A) Doxycycline B) Ceftriaxone C) Azithromycin D) Clarithromycin	Edit
3671	Honey-colored golden brown Perioral crusts is a feature of	A) Bullous Impetigo B) Ecthyma C) Non-bullous Impetigo D) Erysipelas	Edit
3672	The most common metal to cause allergic contact dermatitis is:	A) Chromium B) Nickel C) Silver D) Palladium	Edit
3673	Longest Visceral muscle is found in	A) Abdomen B) Uterus of pregnant women C) Lungs D) None	Edit
3674	All are strong supports of uterus, except:	A) Round ligament of uterus B) Uterosacral ligament C) Cardinal ligament D) Pubocervical cervical ligament	Edit
3675	Treatment of choice for giardiasis	A) Metronidazole B) Ciprofloxacin C) Albendazole D) Mebendazole	Edit
3676	True Morbidity in population can be calculated by	A) Sentinel surveillance B) Active surveillance C) Passive surveillance D) Monitoring	Edit
3677	Curling's ulcer is a complication of:	A) Head injury B) Severe burns C) Old scars of burns D) Analgesics overdose	Edit
3678	A 56 years old male who is a smoker, diabetic and hypertensive presented with complaints of severe central chest pain radiating to the left shoulder and jaw. On examination the patient was agitated, diaphoretic, tachypnoeic and tachycardic. What is the probable diagnosis?	A) Acute exacerbations of COPD B) Cardiac Tamponade C) Pneumothorax D) Myocardial Infarction	Edit
3679	Which vitamin deficiency is responsible for neonatal seizure:	A) Pyridoxine B) Vitamin C C) Thiamine D) Cobalamin	Edit
3680	IV injection is given most commonly at	A) Cephalic vein B) Basilic vein C) Median cubital vein D) Radial vein	Edit
3681	National Family planning day is celebrated on	A) September 18 B) October 15 C) September 2 D) October 2	Edit
3682	Natural immunity is provided by all of the following except?	A) Skin and mucous membranes B) Phagocytic cells C) Immunoglobulins D) Inflammation	Edit
3683	All of the following are the characteristics of rain water, except:	A) Prime source of all water B) Purest water in nature C) High mineral content D) Chemically it is very soft	Edit
3684	The first international conference on health promotion was held in	A) UAE B) Ottawa C) Jakarta D) Jakarta	Edit
3685	Most cost effective and economical method of health education	A) Group discussion B) Demonstration C) Lecture D) Counseling	Edit
3686	Total steps in local level planning is	A) 3 B) 7 C) 8 D) 14	Edit
3687	Which of the following is not a management system used in health care system of Nepal?	A) HMIS B) LMIS C) DMIS D) FMIS	Edit
3688	Painless vaginal bleeding in late pregnancy is commonly due to	A) Abortion B) Hydatidiform mole C) Placenta previa D) Ectopic pregnancy	Edit
3689	Status epilepticus is a single seizure lasting for more than	A) 5 minute B) 15 minute C) 30 minute D) 60 minute	Edit
3690	First aid management of acute mountain sickness includes:	A) Resting for about one hour B) Chewing fresh lemon and garlic C) Descend to comfortable a height immediately D) Drinking plenty of water	Edit
3691	Gomez classification is used to calculate:	A) Weight for age B) Height for age C) Weight for height D) All of the above	Edit
3692	Normal BMI ranges from	A) <18.5 kg/m² B) 18.5-24.9 kg/m² C) 25-29 kg/m² D) 20.5-30 kg/m²	Edit
3693	Minimum urinary output required to remove body waste products is	A) 300 ml/day B) 400 ml/day C) 500 ml/day D) 1000 ml/day	Edit
3694	Active search of disease in apparently healthy person is called	A) Surveillance B) monitoring C) Screening D) Diagnosis	Edit
3695	Which of the following blood cell is responsible for allergic conditions?	A) Neutrophils B) Eosinophils C) Basophils D) Both B and C	Edit
3696	Live vaccine is not given to	A) Pregnant women B) AIDS patient C) Long term steroids users D) All of the above	Edit
3697	Excessive vomiting may results in	A) Respiratory acidosis B) Respiratory Alkalosis C) Metabolic Acidosis D) Metabolic alkalosis	Edit
3698	Which part of bone is responsible for blood cell production?	A) White bone marrow B) Red bone marrow C) Yellow bone marrow D) Both B and C	Edit
3699	Which of the following are steroids hormones?	A) Oestrogen and progesterone B) Prolactin and oxytocin C) FSH and LH D) all of the above	Edit
3700	Which of the following is long term effect of alcohol?	A) Korasakoff psychosis B) Depression C) Delirium tremens D) Paronia	Edit
3701	Earliest symptom of menopause is	A) Hot flushes B) Spotting C) Lower back pain D) Vaginal discharge	Edit
3702	Which symptom is best considered while treating STIs as syndromic approach?	A) Lower abdominal pain B) Burning micturition C) Discharge D) Change in PH of vagina	Edit
3703	Temperature is regulated by all except	A) Skin B) Mouth C) Kidney D) Lungs	Edit
3704	Which is not a symptom of Shock?	A) Hypotension B) Dizziness C) Cold extremities D) Thirsty	Edit
3705	Chikunguniya is caused by	A) Group A arbo virus B) Group B arbo virus C) Both D) Flavi virus	Edit
3706	Ranitidine is	A) anticholinergic B) H2 receptor antagonist C) Proton pump inhibitors D) Prostaglandin analogues	Edit
3707	Most popular methods of community Diagnosis is	A) Household survey B) PRA C) RRA D) All of the above	Edit
3708	Which of the following are not the elements of PHC?	A) Essential Health education B) Control of local Epidemic disease C) Safe water supply and environmental sanitation D) Essential drug supply	Edit
3709	The commonest cause of blindness in Nepal is;	A) Trachoma B) Glaucoma C) Vitamin A deficiency D) Cataract	Edit
3710	Organophosphorus poisoning is related to;	A) Atropine B) Adrenaline C) Digoxin D) Rapine	Edit
3711	Causes of cholera do not include;	A) Infectious pathogens B) Genetic disorders C) Poor sanitation D) Unclear water	Edit
3712	In Nepal, which of the following is a traditional value that holds great importance in society?	A) Caste system B) Polygamy C) Individualism( personal independence) D) Gender equality	Edit
3713	Commonest benign bone tumour is:	A) Bone cyst B) Chordoma C) Blastoma D) Osteoma	Edit
3714	Common cold is usually due to infection by	A) Bacteria B) Viruses C) Fungi D) Allergy	Edit
3715	Allergic rhinitis is mediated by	A) IgA B) IgE C) IgD D) IgM	Edit
3716	Adenoids are also known as	A) Nasopharyngeal tonsil B) Palatine tonsil C) Faucial tonsil D) Lingual tonsil	Edit
3717	A major cause of death in schizophrenia is	A) Infection B) Suicide C) Drug reactions D) Homicide	Edit
3718	The therapeutic index is an assessment of	A) Potency of a drug B) Onset of action C) Duration of action D) Margin of safety	Edit
3719	Rifampicin is a first-line therapy in	A) Tuberculosis B) Leprosy C) Brucellosis D) All of the above	Edit
3720	The major signs for AIDS case definition according to WHO are all except	A) Weight loss more than equal to 10% of body weight B) Prolonged fever more than 1 month C) Prolonged cough for more than 1 month D) Chronic diarrhoea for more than 1 month	Edit
3721	Tracking of blood pressure implies that:	A) Blood pressure increases with age B) Blood pressure decreases with age C) Blood pressure of hypotensive children becomes hypertensive D) Blood pressure of hypotensive children tends to remain at a lower level	Edit
3722	Lice are not vectors of:	A) Relapsing fever B) Q fever C) Trench fever D) Epidemic typhus	Edit
3723	Which of the following organisms cause Bullous impetigo?	A) Staphylococcus aureus B) Streptococcus pyogenes C) Pneumococcus D) Diphtheriods	Edit
3724	Which of the following vaccine is not administered at birth?	A) OPV B) BCG C) Hepatitis B D) Hib	Edit
3725	Samuel Hahnemann is referred to as the founding father of	A) Ayurveda B) Homeopathy C) Unani D) Yoga	Edit
3726	Which one is not associated with peptic ulcer?	A) Smoking cigarette B) Zollinger-Ellison’s syndrome C) Plummer-Vinson syndrome D) Cirrhosis	Edit
3727	All of the following are true except:	A) Facilitated diffusion requires energy B) Active transport is an energy dependent process C) Co-transport is mediated via the use of carriers D) Glucose is transported via passive diffusion	Edit
3728	IUCD/ Implant service register falls under	A) HMIS 3.3 B) HMIS 3.4 C) HMIS 3.5 D) HMIS 3.7	Edit
3729	Which of the following is Not the purpose of community diagnosis?	A) To identify the food problem of people B) To solve financial problem of people C) To set priorities and planning D) To implement and Evaluate health problem	Edit
3730	FCHVs are selected by:	A) Mother's group for health B) Health post C) Ward office D) District Health office	Edit
3731	Most effective method of health education is considered as:	A) Mass media B) Print media C) Lecture method D) Interpersonal communication	Edit
3732	Outward turning of eyelid margin is called:	A) Trichiasis B) Ptosis C) Ectropion D) Chalazion	Edit
3733	Which of the following cannot be sterilized by hot air oven?	A) Glassware B) Sharp instrument C) Foley's catheter D) Oils	Edit
3734	Secondary Attack Rate of Rubella is	A) 80% B) 86% C) 90% D) 100%	Edit
3735	Cellular immunity is provided by:	A) B-lymphocyte B) T-lymphocycte C) Leucocyte D) Monocyte	Edit
3736	Blood brain barrier is formed by:	A) Oligodendrocytes B) Astrocyte C) Osteocyte D) Leucocyte	Edit
3737	Chronic Obstructive Pulmonary Disease (COPD) is characterized by	A) Breathlessness, Wheezing, young age, dry cough B) Breathlessness, Wheezing, productive cough, old age C) Orthopnoea, cough, raised JVP D) Cough, fever, chest pain, crepitation	Edit
3738	How many Sachets of Micronutrient Powder (Baal-Vita) is given to child age 6-23 months?	A) 60 sachets B) 80 sachets C) 120 sachets D) 180 Sachets	Edit
3739	Which of the following vaccine may be damaged by excessive cold?	A) OPV B) BCG C) MR D) DPT	Edit
3740	Most common route of poisoning is :	A) Inhalation B) Ingestion C) Injection D) Direct contact	Edit
3741	Primary sanitation barrier refers to :	A) Hand washing B) Control of flies C) Proper disposal of excreta D) Boiling of water	Edit
3742	Temperature taken from rectum is:	A) Higher than oral temperature B) Lower than axillary temperature C) Same as oral temperature D) Same as axillary temperature	Edit
3743	As per WHO, Diabetes mellitus is diagnosed when Fasting Blood Sugar (FBS) is more than:	A) 116 mg/dl B) 126 mg/dl C) 140 mg/dl D) 200 mg/dl	Edit
3744	HIV cannot transmitted through which of the following?	A) Protected sexual intercourse B) Through amniotic fluid C) Vertical transmission D) Sharing needles	Edit
3745	Which of the following may reduce the breast milk?	A) Progesterone B) Oestrogen C) Oxytocin D) Prolactin	Edit
3746	Most effective long acting reversible contraceptive is	A) IUCD B) implant C) Vasectomy D) DEPO	Edit
3747	The most important counselling given to women after abortion?	A) Maintain personal hygiene B) Take plenty of water C) Use of contraceptives D) Regular follow up	Edit
3748	Which of the following obstetric complication cannot be managed at BEONC?	A) Post partum hemorrhage B) Pre-eclampsia C) Retained placenta D) Type -IV placenta previa	Edit
3749	For pregnant women, Iron & Folic acid (IFA) should not be:	A) Taken with lemon juice B) Taken with water C) Taken with milk & tea D) Taken at night	Edit
3750	How many dose of vitamin A given to a child with measles?	A) Single dose B) Two doses C) 3 doses D) Not given	Edit
3751	All are the signs of birth asphyxia, except?	A) Baby does not cry B) Gasping or slow breathing C) Bluish lips, ear lobules and nails D) Hear rate 150 per minute	Edit
3752	Non risk biodegradable waste such as food stuff, peels of fruits, flowers are stored in which color of bucket?	A) Black B) Light blue C) Dark blue D) Green	Edit
3753	Diabetic mother gives birth to	A) Multiple baby B) Small baby C) Big baby D) LBW Baby	Edit
3754	What is the TB treatment success rate of lumbini province?	A) 90% B) 91% C) 98% D) 103%	Edit
3755	How many goals are in MDGs?	A) 6 B) 8 C) 12 D) 7	Edit
3756	Comfortable room temperature refers	A) 20-25° C B) 25-27° C C) 27-30° C D) 30-35° C	Edit
3757	Which of the following is a zoonotic disease?	A) Malaria B) Kala azar C) Dengue D) JE	Edit
3758	Incubation period of JE is	A) 1-5 days B) 5-15 days C) 2-3 weeks D) 1-4 months	Edit
3759	Vaccine preventable hepatitis is	A) Hepatitis A B) Hepatitis B C) Hepatitis C D) Hepatitis E	Edit
3760	Pupil is dilated in all of the following poisoning, except:	A) Alcohol poisoning B) Atropine poisoning C) Morphine poisoning D) Dhatura poisoning	Edit
3761	Which of the following drugs is NOT aminoglycoside?	A) Neomycin B) Clindamycin C) Gentamycin D) Streptomycin	Edit
3762	Drug of choice for acute gout is:	A) Colchicine B) Indomethacin C) Allopurinol D) Dexamethasone	Edit
3763	Severe mental retardation isa.	A) 50-70 B) 35-50 C) 20-35 D) <20	Edit
3764	Condyloma acuminata is caused by:	A) Primary syphilis B) Secondary syphilis C) HSV D) HSV	Edit
3765	Irregular image is due to which of the following:	A) Asthenopia B) Hypermetropia C) Astigmatism D) Myopia	Edit
3766	A 55 year old man bleeds from nose posteriorly. What is the most probable area of epistaxis in this patient?	A) Retrocolumellar vein B) Woodruff's area C) Little's area D) Floor of nasal cavity	Edit
3767	Which of the following factors plays the MOST significant role in the development of dental caries?	A) Poor oral hygiene B) Sugar consumption C) Genetic factors D) Saliva composition	Edit
3768	Which of the following drugs is classified as a selective serotonin reuptake inhibitor (SSRI)?	A) Fluoxetine B) Amitriptyline C) Venlafaxine D) Haloperidol	Edit
3769	Which of the following diseases is NOT transmitted by mosquitoes?	A) Malaria B) Dengue fever C) Lyme disease D) Zika virus	Edit
3770	Which of the following vectors is responsible for transmitting Chagas disease?	A) Mosquitoes B) Ticks C) Sandflies D) Triatomine bugs	Edit
3771	According to Maslow's hierarchy of needs, which of the following needs must be satisfied first?	A) Esteem needs B) Safety needs C) Love and belongingness needs D) Self-actualization needs	Edit
3772	Which of the following is an example of non-material culture?	A) Clothing styles B) Traditional dances C) Language D) Tools and technology	Edit
3773	Which of the following structures is NOT part of the lower respiratory system?	A) Larynx B) Trachea C) Bronchioles D) Pharynx	Edit
3774	The vaccine with maximum efficacy is	A) BCG B) MR C) TT D) OPV	Edit
3775	The target group for primary prevention are all of the following except	A) Healthy individuals B) Risk groups C) Children D) Patients	Edit
3776	Most important modified risk factors of coronary Artery Disease is	A) Hyperlipidemia B) Diabetes mellitus C) Hypertension D) Cigarette smoking	Edit
3777	Pain at the tip of shoulder is due to all except:	A) Peptic ulcer B) Pancreatitis C) Cholecystitis D) Appendicitis	Edit
3778	According to health service regulation 2055, the probation period for government male employee of health service?	A) 3 months B) 6 months C) 12 months D) 18 months	Edit
3779	The best approach to prevent cholera epidemic in a community:	A) Mass chemoprophylaxis B) Vaccination C) Health education D) Safe water and sanitation	Edit
3780	Most commonly abused substance in Nepal is:	A) Cannabis B) Alcohol C) Tobacco D) Dhaturo	Edit
3781	Inflammation of tissues surrounding the nail is known as:	A) Clubbing B) Koilonychia C) Paronychia D) Cellulitis	Edit
3782	Process of assessment of community health need is called:	A) community participation B) Community assessment C) Community development D) Community diagnosis	Edit
3783	Gonorrhoea infection usually appears with:	A) Syphilis B) Chlamydia C) Trichomoniasis D) HIV	Edit
3784	Palpation of mass in upper segment of uterus while lower segment feels soft and empty, it is:	A) Osiander's sign B) Goodel's sign C) Chadwick's sign D) Hager's sign	Edit
3785	Color blindness is due to defect in:	A) Rod cells B) Cone cells C) Rod & cone cells D) Cornea	Edit
3786	Sunset eyes and increased intracranial pressure is the sign of:	A) Spina bifida B) Hydrocephalus C) inborn errors of metabolism D) Galactosemia	Edit
3787	Which of the following is not a surgical contraception?	A) No scalpel vasectomy B) Laparoscopy C) Laparotomy D) Mini-laparotomy	Edit
3788	All of the following sources are rich in vitamin C, except?	A) Germinating seeds B) Gauva C) Milk D) Amala	Edit
3789	Arterial and venous blood get mixed in :	A) Spleen B) Brain C) Kidney D) Liver	Edit
3790	In Nepal, most of the new born babies dies within	A) Within 1 hour B) within 24 hours C) Within 7 days D) Within 15 days	Edit
3791	Which of the following is the first step in CPR ?	A) Check airway B) Assess breath C) Chest compression D) Mouth to mouth breathing	Edit
3792	According to WHO, at least what % of of total budget should be allotted for health sector?	A) 5% B) 8% C) 10% D) 15%	Edit
3793	All of the following are correct about 'Myopia' except?	A) It is also called short sightedness B) Image is formed in front the retina C) Can be corrected by convex lens D) It is a kind of refractive error of the eye	Edit
3794	Which of the following is first indicator of PEM?	A) Low weight for age B) Low weight for height C) Low height for age D) All of the above	Edit
3795	According to Alma-Ata Declaration, All of the following are the principle of PHC, except?	A) Equitable distribution B) Community Participation C) Decentralization D) Appropriate Technology	Edit
3796	Which of the following is not a criteria for FCHV selection?	A) Permanent residence of the related ward B) Interested to work as FCHV for at least 5 years C) Married or single, priority given to married or having a child D) Age 18-45 years	Edit
3797	Carpal bone are found in:	A) Elbow joint B) Wrist joint C) Ankle joint D) Knee joint	Edit
3798	Viscosity of the blood is mainly due to.	A) RBC B) WBC C) Platelets D) Plasma protein	Edit
3799	Hyperpyrexia is called when body temperature is above :	A) 103 degree F B) 105 degree F C) 107 degree F D) 100 degree F	Edit
3800	Which abbreviation is used in prescription to advice a patient for taking medicine when required?	A) SOS B) AC C) HS D) Stat	Edit
3801	Combined oral pills (COCP) can be safely used by a women with history of:	A) Breast cancer B) Ovarian cancer C) Cervix cancer D) All of the above	Edit
3802	Which of the following is not a clinical feature of typhoid fever?	A) Rice watery diarrhoea B) Rose spot on trunk C) Coated tongue D) Splenomegaly	Edit
3803	Best indicator for nutritional status for a child is:	A) Mid Upper Arm Circumference B) Head circumference C) Rate of increase of height and weight D) Chest circumference	Edit
3804	As per national guideline of health care waste management, Which of the following wastes are stored in red color container?	A) Human body parts, tissues, removed organs B) Needles, syringes, blades, glass C) Pharmaceutical wastes D) All of the above	Edit
3805	Restriction of women for some activities during menstruation is ?	A) Superstition B) Tradition C) Norms D) Taboos	Edit
3806	Sunflower type of cataract is seen in:	A) Wilson's Disease B) Measles C) Congenital syphillis D) Diabetes	Edit
3807	Eustachian tube opens into middle ear cavity at which of the following:	A) Posterior wall B) Superior surface C) Anterior wall D) Hypo-tympanum	Edit
3808	What is the drug of choice for Obsessive Compulsive Disorder?	A) Imipramine B) Fluoxetine C) Benzodiazepines D) Alprazolam	Edit
3809	What does P refer to in AVPU?	A) Previous response B) Pupillary response C) Pain response D) Patient response	Edit
3810	Partograph in labour should start to fill.	A) Soon after full dilation of cervix B) From the beginning of Active phase C) When true labour pain starts D) When the cervix is 5cm dilated	Edit
3811	Most common cause of Secondary PPH?	A) Uterine Atony B) Retained placenta C) Sepsis D) None	Edit
3812	Fever in malaria is due to	A) Exo erythrocytic phase B) Pre erythrocytic phase C) Erythrocytic phase D) Sporogony phase	Edit
3813	The ideal size of the poster should be	A) 2×3 feet B) 2×2 feet C) 3×3 feet D) 3×4 feet	Edit
3814	The amount of sewage flowing in a system in 24 hours is called:	A) Sewage rate B) RCA index C) Dry weather flow D) Sludge	Edit
3815	Which of the following causes malignant tertian malaria?	A) P. Vivax B) P. Ovale C) P. Falciparum D) P. Malaria	Edit
3816	Which is not the protozoal disease	A) Kala azar B) Malaria C) Toxoplasmosis D) Filariasis	Edit
3817	The bioavailability of the drug depends upon:	A) First pass metabolism B) Second pass metabolism C) Volume of distribution D) Excretion	Edit
3818	The most common cause of impetigo is .	A) Staphylococcus B) Streptococcus C) Pneumococcus D) Itch mites	Edit
3819	Foramen of Magnum is found in	A) Skull B) Hip joint C) Shoulder joint D) Brain	Edit
3820	Which of the following is not true about Scrub typhus?	A) It is a zoonotic disease B) Caused by rickettsia C) Can be transmitted person to person D) Transmitted by larva of trmobiculid mites	Edit
3821	First sign of wound healing is	A) Haematoma formation B) Granulation tissue C) Callous formation D) Stage of consolidation	Edit
3822	What is the prevalence of leprosy in Lumbini province according to FY 2077/78?	A) 0.7 B) 1.1 C) 1.0 D) 1.3	Edit
3823	Characteristics of planning is	A) Planning is a process B) Planning is pervasive C) Planning is efficiency oriented D) All of the above	Edit
3824	Cotrimoxazole is the combination of	A) Trimethoprime and Silver sulfadiazine B) Trimethoprime and Carbimazole C) Trimethoprime and sulfamethoxazole D) Trimethoprime and sulfasalazine	Edit
3825	Which of the following anti microbial drug is not cell wall Synthesis inhibitor?	A) Penicillin B) Fluoroquinolones C) Cephalosporins D) Vancomycin	Edit
3826	Monitoring is	A) Process oriented B) Resource oriented C) Data oriented D) All of the above	Edit
3827	LMIS was established under logistic management division in	A) 1991 B) 1993 C) 1994 D) 1996	Edit
3828	School Health education program can be effectively run by	A) Doctors B) Health Assistant C) Nurses D) School teachers	Edit
3829	Road to health chart was designed by	A) Dr. Benjamin Spock B) Andrew Watkins C) David Morley D) WHO	Edit
3830	Movement of solute from Higher concentration to lower concentration is	A) Osmosis B) Transportation C) Diffusion D) Radiation	Edit
3831	Primary Visual cortex is located in	A) Parietal lobe B) Frontal lobe C) Temporal lobe D) Occipital lobe	Edit
3832	Diabetes insipudus is due to deficiency of	A) ADH B) Glucose C) Insulin D) Adrenaline	Edit
3833	Function of liver includes all of the following except,	A) Production of bile B) Urea formation C) Detoxification of drug D) Storage of Vit C	Edit
3834	Diluents used for reconstituting BCG Vaccine is	A) NS B) Distilled water C) Dextrose saline D) 10% Alcohol	Edit
3835	Which vaccine is contraindicated in pregnancy?	A) Rubella B) Diphtheria C) Tetanus D) Hepatitis B.	Edit
3836	Third generation IUCD has	A) Progesterone B) Estrogen C) Silver D) Copper	Edit
3837	Correct sequence in female puberty:	A) Menarche, Pubarche, Thelarche B) Pubarche, Menarche, Thelarche C) Thelarche, Menarche, Pubarche D) Thelarche, Pubarche, Menarche	Edit
3838	Not a feature of HELLP syndrome:	A) Raised liver enzyme B) Eosinophilia C) Thrombocytopenia D) Hemolytic anemia	Edit
3839	The pain during sexual intercourse is called:	A) Dysuria B) Dysmenorrhoea C) Dyspareunia D) Dyspnoea	Edit
3840	All are true about Diphtheria except:	A) Immunization is available B) It produces throat infection C) The bacterium produces endotoxin D) It is caused by Corynebacterium diphtheria	Edit
3841	World AIDS Day is observed every year in	A) January 31 B) May 1 C) December 1 D) October 1	Edit
3842	Murphy's sign is positive in	A) Appendicitis B) Cholecystitis C) Pancreatitis D) Ascitis	Edit
3843	Which of the following solid organ most likely rupture during road traffic accident?	A) Liver B) Spleen C) Pancreas D) Kidney	Edit
3844	Which of the following is not the feature of organophosphate poisoning?	A) Tachycardia B) Lacrimation C) Salivation D) Sweating	Edit
3845	Which category of burn is most painful?	A) First degree B) Superficial second degree C) Deep second degree D) Third degree	Edit
3846	Major cause of death in fracture of femur is due to:	A) Infection B) Hemorrhage C) Delayed healing D) Gangrene	Edit
3847	Transplantation of a kidney from mother to son is an example of:	A) Autograft B) Allograft C) Isograft D) Xenograft	Edit
3848	All are the features of acute severe asthma except:	A) Pulsus paradoxus B) Hypertension C) Cyanosis D) Silent chest	Edit
3849	Total daily iron loss in an adult male is	A) 1 mg B) 2 mg C) 5 mg D) 10 mg	Edit
3850	All are included in Kangaroo Mother Care except:	A) Skin to skin contact B) Early discharge and follow-up C) Free nutritional supplements D) Exclusive Breast feeding	Edit
3851	Sensitivity parameter of combined pediatric and obstetric care, in our country is:	A) IMR B) PNMR C) NNMR D) NMR	Edit
3852	Pasteurization of milk kills all of the following except	A) Anthrax B) M. Tuberculosis C) Streptococcus D) Brucella	Edit
3853	Infections transmitted to man from vertebrate animals are known as:	A) Exotic B) Anthropozoonoses C) Zooanthroponoses D) Epizootic	Edit
3854	Desks provided with table top to prevent neck problems is an example of?	A) Primary Prevention B) Secondary Prevention C) Tertiary Prevention D) Primordial prevention	Edit
3855	All of the following are methods of disease transmission by a housefly except:	A) Biting B) Defecation C) Vomit drop D) Mechanical transmission	Edit
3856	Life cycle of plasmodium was discovered by	A) Ronal Ross B) CA Laveran C) Robert Koch D) John snow	Edit
3857	Which is the best time of JE Epidemic?	A) August to September B) may to June C) July to August D) January to April	Edit
3858	Reservoir of KALA-AZAR in Nepal is	A) Man B) Rodents C) Rodents D) Mosquito	Edit
3859	Most common cause of mental retardation is	A) Down's Syndrome B) Fragile X syndrome C) Fragile X syndrome D) Smoking	Edit
3860	Which mirror is used in ENT department?	A) Convex mirror B) Concave mirror C) Plain mirror D) None	Edit
3861	WHO FISTO grading is related to	A) Xerophthalmia B) Glaucoma C) Trachoma D) Corneal ulcer	Edit
3862	Dental plaque changes into dental Calculus in	A) 48 hours B) 3 days C) 7 days D) 50 days	Edit
3863	At health post, fungal infection of skin can be treated with	A) Gention violet B) Calamine lotion C) Clotrimazole D) Itraconazole	Edit
3864	First line defense mechanism against acid base balance is	A) Buffer system B) Respiratory mechanism C) Renal mechanism D) None of them	Edit
3865	Which of the following leadership style is more effective in emergency condition?	A) Autocratic leadership B) Democratic leadership C) Laissez fare leadership D) None of these	Edit
3866	As per National Health policy 2076, which of the following health institution has been proposed to establish in ward level?	A) Basic health service center B) Sub Health post C) PHCC D) Primary hospital	Edit
3867	How many central medical stores are exist in Nepal?	A) 1 B) 2 C) 3 D) 4	Edit
3868	Learning by imitation is commonly occurs in	A) Children B) Blind people C) Adult D) Old people	Edit
3869	The best indicator of aur pollution is	A) Lichens B) CO C) CO2 D) SO2	Edit
3870	Which of the following is source of infection of measles?	A) Case only B) Carrier only C) Both case and carrier D) None of these	Edit
3871	Tocolytic agents are those which	A) Increase uterine contractions B) Decrease uterine contractions C) Reduced IOP D) increased IOP	Edit
3872	Which of the following may cause discoloration of tooth?	A) Chloramphenicol B) Cotrimoxazole C) Tetracycline D) Rifampicin	Edit
3873	Drugs are excreted majorly through	A) Saliva B) Urine C) Sweat D) All of the above	Edit
3874	Blood pressure primarily depends on which of the following	A) PVR and Stroke volume B) Body temperature and cardiac output C) PVR and CO D) size of heart and cardiac output	Edit
3875	Mixing of two cultures or cultural contact is called:	A) Culture B) Custom C) Acculturation D) Folk way	Edit
3876	Total fertility rate indicates	A) Total unmarried women B) Total children C) Complete family size D) Women between 15-45 yrs	Edit
3877	What is the suitable time to take Depo- Provera first?	A) Within five days of menstrual period B) within seven days of menstrual period C) After seven days of menstrual period D) Anytime she wants	Edit
3878	Health Belief model was given by	A) Maslow B) Rosenstock C) Roger D) Kurt lewin	Edit
3879	The main purpose of home visiting is:	A) To find out the needs of community B) To provide nursing care daily C) To immunize children D) To provide permanent means of family planning	Edit
3880	Trench method of refuse disposal is a type of	A) Compositing B) Incineration C) Control tipping D) None of the above	Edit
3881	Daily requirement of folic acid in children is	A) 100 mcg B) 300 mcg C) 2.5 mg D) 10 mg	Edit
3882	Acute mastoiditis case of under 5 years coming to Health post should be	A) Treated with antibiotics B) Admitted to the health post C) Refer urgently D) Send back to home	Edit
3883	A child is able to dress and undress herself at the age of	A) 5 years B) 4 years C) 3 years D) 1 years	Edit
3884	To maximize the absorption of the iron, the health worker must instruct the client to take the tablet with --	A) Water B) tea C) orange juice D) orange juice	Edit
3885	Transformation of one adult type of tissue into another adult type of tissue is called:	A) Metaplasia B) Aplasia C) Anaplasia D) Dysplasia	Edit
3886	Interruption of transmission of disease is called	A) Control of disease B) Eradication of disease C) Surveillances of disease D) Elimination of disease	Edit
3887	Best method to find out the infected individuals with TB in a community is	A) Sputum microscopy B) Mantoux test C) Sputum smear examination D) Sputum Culture examination	Edit
3888	Home made ORS is made of _________ in one liter I'd water.	A) 10 gm salt, 10 gm sugar B) 5 gm salt, 20 gm sugar C) 10 gm salt, 20 gm sugar D) 5 gm salt, 10 gm sugar	Edit
3889	The inflammation of lymph node is	A) Lymphadenitis B) Lymphadenopathy C) Lymphoma D) Lymphangitis	Edit
3890	Ligaments connects	A) Muscle to bone B) Muscle to muscle C) Bone to bone D) Muscle to tendon	Edit
3891	Which parts of brain included in brain stem?	A) Pons, Cerebrum, medulla B) Mid brain, pons, Medulla C) Mid brain, Pons, spinal cord D) Cerebrum, cerebellum, spinal cord	Edit
3892	Total number of hormone secreted by posterior pituitary gland is	A) 6 B) 3 C) 2 D) 9	Edit
3893	Shortening and thinning of cervix during labour is called	A) Godell's sign B) Dilatation C) Effacement D) Ballotment	Edit
3894	Quickening is the	A) Positive signs B) Presumptive sign C) Probable sign D) All of the above	Edit
3895	Smoking by mother can cause new born	A) LBW B) preterm baby C) Heart disease D) Lung disease	Edit
3896	Shake test us related to	A) Cold sensitive Vaccine B) Heat sensitive Vaccine C) Heat sensitive Vaccine D) All of the above	Edit
3897	The second dose of MR is given at	A) 6 weeks B) 10 weeks C) 9 months D) 15 months	Edit
3898	Target sign is seen in	A) Acute pancreatitis B) Acute appendicitis C) Acute cholecystitis D) Acute diverticulitis	Edit
3899	Collection of plexuses of dilated veins in anal canal is	A) Polyp B) Haemorrhoids C) Rectal prolapse D) None of the above	Edit
3900	Emergency service register of hospital is	A) HMIS 8.1 B) HMIS 8.2 C) HMIS 8.3 D) HMIS 9.1	Edit
3901	All are the elements of good plan except	A) Budget B) Policy C) Strategy D) Program	Edit
3902	Union of fracture is rapid if the patient is	A) A child B) A teenage C) An adult D) An old man	Edit
3903	Treatment of hyperpyrexia is:	A) Cold compress B) Plenty fluid C) Antipyretics D) All of the above	Edit
3904	To manage an unconscious patient, one should first look for	A) Airway B) Breathing C) Circulation D) Bleeding	Edit
3905	Which of the following doesn't belongs to IMNCI program?	A) Malaria B) Malnutrition C) Kala azar D) HIV	Edit
3906	What is the root issue for improvement of HMIS in our system?	A) Reporting B) Compilation C) Recording D) Presentation	Edit
3907	Which is not step of learning process?	A) An individual feels the need of learning B) An individual determines his learning objectives C) An individual is not ready mentally and physically to take appropriate action D) The individual takes necessary action and gain desired learning	Edit
3908	Which of following is not two way communication?	A) Interview B) Speech C) Counseling D) Demonstration	Edit
3909	Which of following is least effective method of learning?	A) Learning by hearing B) Learning by doing C) Learning by imitation D) Learning by seeing	Edit
3910	According to the Alma Ata conference, primary health care is regarded as,	A) Basic health care B) Early accessible care C) first contact care D) A cost the community and country can afford	Edit
3911	In which type of leadership style is there feeling of togetherness?	A) Democratic B) Autocratic C) Situational D) Laissez-faire	Edit
3912	Toxic shock syndrome is the side effects of	A) BCG B) DPT C) Measles D) J.E	Edit
3913	Ideal time gap between two live vaccinations is	A) 2 weeks B) 4 weeks C) 12 weeks D) 3 weeks	Edit
3914	Department of Health Service ( DoHS) Consists of ___ division.	A) 2 B) 3 C) 4 D) 5	Edit
3915	What is the CPR of lumbini province?	A) 39% B) 40% C) 55% D) 43%	Edit
3916	The free residual chlorine in a swimming pool must be_____ mg/ litre	A) 0.5 B) 2 C) 1 D) 2.5	Edit
3917	Change in the occurrence of disease over very long periods of time is called	A) Propagated epidemics B) Secular trend C) Seasonal trend D) Modern epidemics	Edit
3918	Prevalence and CFR are	A) Rate B) Ratio C) Proportion D) All of the above	Edit
3919	Most durable method of family planning is	A) Minilap B) Vasectomy C) IUCD D) implant	Edit
3920	The positive sign of pregnancy is	A) Abdominal enlarge B) Leucorrhoea C) Fetal Heart sound D) Amenorrhea	Edit
3921	Exclusive Breast feeding of babies should be continued for.	A) 3 months B) 6 months C) 12 months D) 24 months	Edit
3922	Which one of the following statement is true regarding first stage of labour?	A) From full dilatation of the cervix to complete delivery of the baby B) From onset of true labour pain to full dilatation of the cervix C) The duration of 1 hour after complete expulsion of placenta D) Following birth of the infant through expulsion of the placenta	Edit
3923	Kangaroo mother care is commonly used for	A) Low birth weight baby B) Post term babies C) Twins baby D) Female baby	Edit
3924	The most important component of APGAR is	A) Appearance B) Pulse C) Grimace D) Respiration	Edit
3925	Frog eye appearance is seen in.....	A) Ancephalopathy B) Acardia C) Down´s syndrome D) Patau´s syndrome	Edit
3926	Which of the following is not belong to the score ?	A) Appearance B) Respiration C) Activity D) Grugling	Edit
3927	How long with umbilical cord stump generally remain on a newborn ?	A) 2-5 days B) 5-7 Days C) 2-3 Weeks D) 4 Weeks	Edit
3928	In which of the following condition pelvic examination in pregnancy is contraindicated	A) Placenta previa B) abruptio placenta C) First stage of labour D) Abortion	Edit
3929	According to who the minimal number of antenatal care visit is	A) 3 B) 4 C) 11 D) 8	Edit
3930	Best time for abortion is	A) 2-3 Week of gestation B) 7-8 Week of gestation C) 10-12 week of gestation D) 12-16 Week of gestation	Edit
3931	Average weight of placenta at term	A) 250 Gm B) 500 Gm C) 750 Gm D) 900 Gm	Edit
3932	The vault part of fetal skull consist of	A) 3 Suture B) 4 Suture C) 5 Suture D) 6 Suture	Edit
3933	Joint between two ceanial bone is called	A) Suture B) Fontanelle C) Fissure D) Lobule	Edit
3934	Which of the following statement is false regarding milk?	A) Milk protein contains all essential amino acid B) Milk from which fat has removed is known as skimmed milk C) Human milk contains 3 times more protein than Animal milk D) Human milk contains more sugar than animal milk	Edit
3935	Danger sign in acute respiratory infection is	A) Inability to drink B) Severe Malnutrition C) Convulsion D) All of the above	Edit
3936	Best indicator for growth monitoring in children is	A) Weight B) MUAC C) rate of increase in height and weight D) Head circumference	Edit
3937	Duration of hot stage of malaria is	A) 2-6 hour B) 2-4 hour C) 1-3 hour D) 30 min to 1 hour	Edit
3938	Causative organisms of mumps is	A) Arbo virus B) Rhabdo virus C) Paramyxo virus D) Myxovirus	Edit
3939	'Undulant fever' is the another name of	A) Rubella B) Yellow fever C) Brucellosis D) J.E	Edit
3940	Incubation period of Lymphatic filariasis is about	A) 1-2 weeks B) 2-6 weeks C) 1-4 months D) 8-16 months	Edit
3941	Which of the following is not true about influenza virus?	A) Influenza virus A is subject to frequent antigenic variations B) Antigenic drift is a gradual antigenic change over a period of time C) Antigenic shift is due to genetic recombination of virus D) Major epidemics are due to antigenic drift	Edit
3942	Croupy cough and hoarseness of voice is the feature of	A) Nasal Diphtheria B) Pharyngotonsillar Diphtheria C) Laryngotrochlear Diphtheria D) All of the above	Edit
3943	The major route of transmission of hookworm is	A) Through contaminated food and water B) Through undercooked food C) Through penetration of skin D) All of the above	Edit
3944	Which of the following statement is not correct regarding drug administration?	A) Creams are absorbed faster than ointment B) Local route is safer than system route C) Most common route of drug administration is oral D) Oral route is most applicable in emergency	Edit
3945	In Nepal, drugs are most commonly prescribed in	A) Generic name B) Chemical name C) Trade name D) None	Edit
3946	A teaspoon ful = ______?	A) 5 ml B) 8 ml C) 10 ml D) 15 ml	Edit
3947	Bleeding from vein is	A) Steady flow B) Spurting or JET Like C) Oozing D) None	Edit
3948	Shock due to decreased peripheral resistant or vasodilation is	A) Hypovolemic Shock B) Neurogenic shock C) Shock D) Anaphylactic shock	Edit
3949	How long would you check if an unconscious casualty is breathing normally?	A) Not more than 10 second B) Approximately 10 second C) Exactly 10 second D) Atleast 10 second	Edit
3950	What is included in the CPR procedure?	A) Rescue breathing only B) Compression of chest only C) Rescue breathing and chest compression D) None of the above	Edit
3951	Which of the following mineral is related to mental health?	A) Iodine B) Zinc C) Copper D) Both A and B	Edit
3952	All of the following are secondary skin lesions except	A) Scar B) Crust C) Fissure D) Hematoma	Edit
3953	Choice of treatment for dental plaque is	A) Brushing B) Scaling C) Dental check up D) Restoration of tooth	Edit
3954	Presbyopia is corrected by	A) Convex lens B) Concave lens C) Bifocal lens D) Cylindrical lens	Edit
3955	Drug if choice for acute tonsillitis	A) Erythromycin B) Azithromycin C) Amoxicillin D) Ceftriaxone	Edit
3956	Charcot's triad contain all except	A) Vomiting B) Pain abdomen C) Fever D) Jaundice	Edit
3957	Which of the following is likely to be hydrocele ?	A) A scrotal swelling that transilluminates but in which cannot fill the testes B) A mass that is tender but can be reduced by pressure over the swelling C) A mass that is tender in the scrotum that does not transilluminate D) A painless mobile mass on the left site of the scrotum that can get above on palpation	Edit
3958	Which of the following is chronic Respiratory disorder caused by smoking?	A) Asthma B) Respiratory Alkalosis C) Respiratory Acidosis D) Emphysema	Edit
3959	Which is the most common and earliest manifestation of rheumatic fever?	A) Chorea B) Polyarthritis C) Carditis D) Subcutaneous nodules	Edit
3960	Potassium and sodium are classified as which of the following?	A) Androgens B) Catecholamines C) Electrolytes D) None of the above	Edit
3961	The pelvic organs from anterior to posterior are	A) Bladder– Vagina – uterus – Rectum B) Vagina – bladder – Uterus – Rectum C) Bladder – Uterus – vagina – rectum D) Bladder – rectum – Vagina – Uterus	Edit
3962	Respiratory tract is lined by	A) Simple squamous epithelium B) Columnar epithelium C) Transitional epithelium D) Pseudostratified ciliated	Edit
3963	Ketone bodies are produced in:	A) GIT B) Kidney C) Liver D) Muscle	Edit
3964	Down's syndrome is	A) Trisomy 21 B) Trisomy 18 C) Trisomy 13 D) Trisomy 22	Edit
3965	Drug of choice for prevention and treatment of PPH is	A) Ergometrine B) Misoprostol C) Oxytocin D) Tranexemic acid	Edit
3966	The abbreviation 'HS' stands for	A) Before food B) After food C) Immediately D) At bed time	Edit
3967	A child having history of measles has pus discharge from eye, then child would be classified as,	A) Severe complicated measles B) Measles with eye or ear complication C) Measles like illness D) None of the above	Edit
3968	Following statements are true/false about diuretics? A. Mannitol is contraindicated in pulmonary edema B. Thiazides are first line drugs in hypertension C. Furosemide has high ceiling diuretic effect D. Acetazolamide is used for prophylaxis of mountain sickness	A) All statements are true B) All statements are false C) A , C, D are only true D) C and D are true	Edit
3969	What is the most common cause of non-bullous impetigo?	A) Staphylococcus B) Streptococcus C) Pseudomonas D) Escherichia coli	Edit
3970	Most specific presentation of Vit A deficiency	A) Night Blindness B) Conjunctival Xerosis C) Bitot's spot D) Corneal xerosis	Edit
3971	Which filter is more preferred in large scale water purification?	A) Slow sand filter B) Rapid sand filter C) Ceramic filter D) Sintered glass filter	Edit
3972	Controlling of rodent's and insects is which level of prevention?	A) Prevention prevention ( specific Protection) B) Primary prevention ( Health Promotion) C) Secondary Prevention D) Secondary Prevention	Edit
3973	Energy obtained protein is about	A) 3 kCal/100 gm B) 4 kCal/100 gm C) 4 kcal/gm D) 10 kCal/100 gm	Edit
3974	Which of the following is not the part of middle ear cleft?	A) Eustachian tube B) Mastoid Air cells C) Middle ear D) Tympanic membrane	Edit
3975	Food in stomach is called	A) Chyme B) Chyle C) Bolus D) None	Edit
3976	The best method of tooth brushing is	A) Vibrating technique B) Circular method C) Modified bass method D) None of the above	Edit
3977	Who discovered the compound microscope?	A) Robert Hook B) Antone Von Leeuwenhoek C) Robert Brown D) Jansen	Edit
3978	Respiration is controlled by	A) Medulla oblongata B) Cerebral cortex C) Pons varoli D) All of the above	Edit
3979	Primary muscle of chest is	A) Diaphragm B) Intercostal muscle C) Pectoralis D) Sartorius	Edit
3980	Which of the following refers to the handing down of customs, beliefs, and practices from generation to generation?	A) Culture B) Custom C) Tradition D) Norm	Edit
3981	Spironolactone causes	A) Hyperkalemia B) Hypokalemia C) Hyponatremia D) Hypernatremia	Edit
3982	Fully immunized children of lumbini province of F.Y 2077/78?	A) 78% B) 81% C) 83% D) 87%	Edit
3983	Total number of goals in SDG is,	A) 8 B) 15 C) 17 D) 3	Edit
3984	Which preservative used for OPV?	A) Neomycin B) Theomersal + magnesium C) Magnesium D) Erythromycin+ neomycin	Edit
3985	Which of the following vaccine is given as nasal spray or nasal drop.?	A) TAB vaccine B) Influenza C) Cholera D) Yellow fever	Edit
3986	Best time for screening of gestational diabetes is	A) 14-16 weeks B) 20-24 weeks C) 24-28 weeks D) 28-36 weeks	Edit
3987	Implantation occurs on	A) 3rd day of fertilization B) 4th day of fertilization C) 5th day of fertilization D) 6th day of fertilization	Edit
3988	Mumps is mostly seen in which if the following age group?	A) 3-5 years B) 5-9 years C) 10-15 years D) 10-20 years.	Edit
3989	In malaria, best index to know incidence in a community is	A) Annual parasite incidence B) Annual parasite index C) Annual blood examination Rate D) Spleen rate	Edit
3990	The correct sequence in stages of life cycle of plasmodium in mosquito are:	A) Zygote →oocyst→ookinete → Sporozoites B) ookinete — zygote — oocyst — Sporozoites C) ookinete → zygote → Sporozoites → ->oocyst D) Zygote→ookinete → oocyst→ Sporozoites	Edit
3991	Which of the following is also called break bone fever?	A) J.E B) Malaria C) Kala azar D) Dengue	Edit
3992	Person who have delusion of rich and power are called.	A) Kleptomaniac B) Megalomaniac C) Schizophrenia D) Hypochondriac	Edit
3993	Recently, Nepal government introduced new vaccine in NIP. What is the new vaccine?	A) MMR B) Influenza C) Typhoid vaccine D) Rota virus	Edit
3994	Focus point of Epidemiology	A) Community people B) Population at risk C) Healthy people D) Patient	Edit
3995	The waste water from house which doesn't contain solid or liquid human excreta is called.	A) Sullage B) Sewage C) Scum D) Sludge	Edit
3996	Palpitation that may be felt while facing an oral examination is primarily due to activation if	A) Central Nervous system B) Sympathetic nervous system C) Peripheral nervous system D) Parasympathetic nervous system	Edit
3997	Which one is the reservoir of cholera?	A) Pigs B) Human C) Mites D) Mosquito	Edit
3998	Pin prick test is done in	A) Shock B) Burn C) Poisoning D) Fracture	Edit
3999	A........is caused by an injury that stresses a joint and overstretches or even ruptured supporting ligaments.	A) Dislocations B) Fractures C) Strains D) Sprains	Edit
4000	Fluid of choice for Hypovolemic Shock is	A) Blood B) Colloid solution C) Distilled water D) Crystalloid solution	Edit
4001	Barrier to changes in communication is due to	A) Social barrier B) Cultural barrier C) Economic barrier D) All of the above	Edit
4002	Who is the incharge of PHCC?	A) Health Assistant B) Sr. AHW C) MO D) AHW	Edit
4003	Which one is the purpose of school health program?	A) To establish the mental, physical and social health of students B) To give both formal and informal health teaching C) To make the school environment healthy D) All of the above	Edit
4004	Most popular long acting reversible contraceptive(LARCs) in Nepal is	A) Depo B) Vasectomy C) IUCD D) Implant	Edit
4005	Which of the following is not the step of micro health program?	A) Program formulation phase B) Planning phase C) Implementation phase D) Research phase	Edit
4006	Most specific investigation for DIC is,	A) D Dimer Assay B) Clotting time C) Bleeding time D) Fibrinogen Level	Edit
4007	All of the following are expiratory sound except,	A) Ronchi B) Stridor C) Wheezing D) Grunting	Edit
4008	In Nephrotic syndrome, the essential feature is	A) Proteinuria B) Hypoalbuminemia C) Hyperlipidemia D) Edema	Edit
4009	.......is indicated in agitation & restlessness in the elderly, despite the high incidence of extrapyramidal side effects.	A) Prochlorperazine B) Clozapine C) Haloperidol D) Flupentixol	Edit
4010	A 34 years old was brought to hospital unconscious after falling, which of the finding would be most concerning?	A) Reactive pupil B) Depressed Fontanelle C) Bleeding from ears D) An elevated temperature	Edit
4011	At local level, Government of Nepal has planned to establish primary hospital of	A) 5,10,15 beds B) 10,15,25 beds C) 20,30,50 beds D) 10,20,30 beds	Edit
4012	Informing people, motivating people and guiding into action is the main objective of	A) Communication B) Preventive medicine C) Health education D) Primary Health Care	Edit
4013	Body looses it's temperature after profuse sweating, it is deu to	A) Conduction B) Evaporation C) Radiation D) Convection	Edit
4014	Most common Type of fracture in Adult is	A) Smith's fracture B) Clavicle fracture C) Jone's fracture D) Colle's fracture	Edit
4015	Shape of Incus is	A) Hammer B) Stirrup C) Anvil D) Wheel like	Edit
4016	Alcohol is	A) Hallucinogens B) Sedatives C) CNS stimulants D) CNS depressants	Edit
4017	Eczema can be treated with	A) Topical steroids B) Systemic steroids C) Antihistamines D) None of the above	Edit
4018	Most common site for epistaxis	A) Little's area B) Woodruffs area C) Keisselbach's plexus D) Both A and C	Edit
4019	According to WHO, Blindness is defined as	A) Visual acuity less than 3/60 B) Visual acuity less than 6/60 C) Inability to count fingers in day light at a distance of 3 met D) Both A and C	Edit
4020	Rule of ten is related to	A) Cleft lip B) Cleft palate C) Spina bifida D) Epistaxis	Edit
4021	Porters of infection are	A) Cockroaches B) Sandfly C) Mosquito D) Housefly	Edit
4022	The most cost effective and simple method of disposal of solid waste is	A) Dumping B) Burial C) Composting D) Controlled tipping	Edit
4023	Leishmania donovani us responsible for the causation of	A) Filariasis B) Kala azar C) Typhoid D) Malaria	Edit
4024	The time interval between inoculation of infective Larva and first appearance of detectable microfilariae is	A) Prepatent period B) Latent period C) Clinical incubation period D) Generation time	Edit
4025	Which of the following is used to treat P. Vivax during pregnancy?	A) ACT B) Pyrimethamine C) Chloroquine D) Primaquine	Edit
4026	All are true about Bacillary Dysentary except	A) Stool for more than 10 times per day B) Stool is odourless C) Blood, mucus and fecal materials in stool D) Stool is adherent to pan	Edit
4027	All are distributive shock except	A) Hypovolemic Shock B) Septic shock C) Neurogenic shock D) Anaphylactic shock	Edit
4028	Nepalese National Formulary first published in	A) 1997 AD B) 1998 AD C) 1999 AD D) 2001 AD	Edit
4029	Biotransformation is also known as	A) Absorption B) Bioavailability C) Metabolism D) Excretion	Edit
4030	Effective size of sand grains in a rapid sand filter is mm	A) 0.2 - 0.3 B) 0.4 - 0.7 C) 0.5 - 0.6 D) 0.8 - 0.9	Edit
4031	Best Health care system of medicine in Nepal is	A) Ayurvedic system B) Allopathic system C) Homeopathic system of medicine D) Unani system of medicine	Edit
4032	Which local anaesthetic agent is commonly used?	A) Cocaine B) Tetracycline C) Lignocaine D) Bupivacaine	Edit
4033	Best time for collection of blood for Lymphatic filariasis is ?	A) 8:30 PM to 12 AM B) 10 AM to 12 PM C) 6 PM to 12 PM D) 10 PM to 2 AM	Edit
4034	What is the CPR of lumbini province according to DOHS annual report 2077/78?	A) 39 B) 40 C) 42 D) 43	Edit
4035	Culture is the hardwork of man and medium through which he achieved his ends" is defined by	A) E. B Taylor B) Malinowski C) Margaret William D) M.C Nile	Edit
4036	Which of the following is not the area of healthful school environment?	A) Latrin construction B) Safe drinking water C) Waste management D) First aid services	Edit
4037	Toxic shock syndrome is caused by	A) Measles vaccine B) Pertusis C) Staphylococcus aureus D) None	Edit
4038	According National immunization schedule, PCV vaccine is given in:	A) 0,6,10 weeks B) 6,10,14 weeks C) 6 weeks, 10 weeks & 9 months D) 6 weeks, 14 weeks & 9 months	Edit
4039	Antidote for Cyanide poisoning	A) Penicillamine B) Calcium gluconate C) Sodium thiosulfate D) Protiminal sulphate	Edit
4040	A method of group teaching of discussion between 4-8 experts is	A) Panel Discussion B) Symposium C) Group discussion D) Workshop	Edit
4041	Duration from onset of true labour pain to full dilatation of cervix is	A) First stage of labor B) Second stage of labor C) Third stage of labor D) Fourth stage of labor	Edit
4042	All of the following involve a two-way communication, except?	A) Symposium B) Lecture C) Panel discussion D) Workshop	Edit
4043	Which Hepatitis is highly fatal in pregnancy?	A) Hepatitis A B) Hepatitis B C) Hepatitis C D) Hepatitis E	Edit
4044	At 14th days of birth, respiratory rate of neonate is found 66 breaths/min. How do you classify it?	A) severe pneumonia B) Possible severe bacterial infection C) Local bacterial infection D) Pneumonia	Edit
4045	A process of deciding in advance what to do, how to do it, when to do it, and who should do it, is called:	A) Planning B) Implementation C) Evaluation D) Monitoring	Edit
4046	The first step of Epidemiological investigation is	A) Confirmation of existence of Epidemic B) Confirmation of diagnosis C) Rapid search for all cases D) Defining population at risk	Edit
4047	Which of the following is most accurate core body temperature?	A) Axilla B) Oral C) Rectal D) Groin	Edit
4048	Pre-eclampsia is characterized by:	A) Hypertension & Oedema B) Hypertension & Proteinuria C) Hypertension and convulsion D) Hemolysis & hypertension	Edit
4049	Which of the following International conference advocate the health promotion	A) ICPD B) Alma Ata C) Ottawa Charter D) Kyto protocol	Edit
4050	Most common cause of Intestinal obstruction is	A) Adhesion B) Hernia C) Volvolus D) None of the above	Edit
4051	The most common side effects of IUCD is	A) Bleeding B) UTI C) Pain D) Amenorrhea	Edit
4052	For neonates, severe hypothermia is defined as when body temperature is below:	A) 36.5 degree C B) 35.5 degree C C) 34 degree C D) 32.5 degree C	Edit
4053	Neonatal tetanus most commonly manifest at	A) Birth B) 24 hours C) 7th day D) 58 hours	Edit
4054	The full form of AMBU is	A) Airway management and breathing unit B) Artificial manual breathing unit C) Airway management and breaking unit D) Artificial management and breathing unit	Edit
4055	Water of amniotic fluid is replaced in	A) 1 hour B) 3 hours C) 5 hours D) 7 hours	Edit
4056	Treatment of syphilis in pregnant women is	A) Primordial prevention B) Primary prevention C) Secondary prevention D) Tertiary prevention	Edit
4057	Which of the following is the feature of Right sided heart failure?	A) Pulmonary edema B) Peripheral edema C) Cough D) Orthopnea	Edit
4058	Scurvy is treated with supplementation of	A) Pantothenic acid B) Ascorbic acid C) Nicotinic acid D) Folic acid	Edit
4059	Which of the following is liquid waste?	A) Garbage B) Refuse C) Sullage D) Sludge	Edit
4060	Which of the following cell is responsible to produce Asthma?	A) Plasma cell B) Beta cell C) Mast cell D) Kupffer cell	Edit
4061	Blood distribution to Kidney is	A) 14% B) 15% C) 25% D) 27%	Edit
4062	Enzymes for digestion of protein are all of the following except:	A) Pepsin B) Peptidase C) Lactase D) Chymotrypsin	Edit
4063	During fetal life, the hormone responsible for fetal growth is mainly,	A) Growth hormone B) Insulin C) Cortisone D) HCG	Edit
4064	The place where trachea divides into 2 bronchi is	A) T1 B) T4 C) T6 D) T12	Edit
4065	What is the present CPR of Nepal according to NDHS 2022?	A) 43% B) 53% C) 57% D) 24%	Edit
4066	Which of the following is an example of a cultural norm?	A) Believing in ghosts B) Covering your mouth when you cough or sneeze C) Refusing to eat pork D) Believing that certain herbs can cure diseases	Edit
4067	In school, one toilet is required for each___ students.	A) 30 B) 40 C) 50 D) 60	Edit
4068	Which style of leadership emphasizes teamwork and delegation of authority to some extent?	A) Autocratic style B) Democratic style C) Free rein/Laissez-faire style D) All of the above	Edit
4069	Concept of PHC was adopted from	A) National Health policy B) First international conference on health promotion C) World health assembly D) Alma ata declaration	Edit
4070	Which of the following is not the decentralised management of health system?	A) Decentralisation B) Delegation C) Centralisation D) Devolution	Edit
4071	BCG, OPV belongs to which type of vaccines	A) Live attenuated vaccine B) Inactivated or killed Vaccine C) Cellular fraction vaccine D) Combined Vaccine	Edit
4072	Which of the following is not a component of the definition of safe and wholesome water?	A) Free from pathogenic agents B) Usable for domestic purposes C) Not necessarily colorless D) Free from harmful chemicals	Edit
4073	A drug that reduces mortality but doesn't cure the disease will lead to	A) Increase in incidence and prevalence B) Decrease in incidence and prevalence C) Increase in prevalence and Decrease in incidence D) Increase in prevalence and no change in incidence	Edit
4074	Husband and wife with married child is which type of family?	A) Nuclear family B) Extended Family C) Joint family D) None	Edit
4075	What is the CYP of implants?	A) 5 year B) 7 year C) 3.5 year D) 10 year	Edit
4076	Most Dangerous type of placenta previa	A) Fourth degree B) Third degree C) Second degree Anterior D) Second degree posterior	Edit
4077	Weight of placenta at term is	A) 1000 gm B) 700 gm C) 500 gm D) None	Edit
4078	Which of the following is not essential newborn care?	A) Supporting breast feeding B) Bathing newborn C) Providing adequate warm D) Ensuring good hygiene and cord care	Edit
4079	Most important source of Lymphatic filariasis transmission is?	A) Adult worm B) Asymptotic microfilaria C) Asymptomatic amicrofilaria D) Third stage larva	Edit
4080	Most common cause of Epidemic of dengue fever is?	A) Den 1 B) Den 2 C) Den 3 D) Den 4	Edit
4081	Primaquine is contraindicated in	A) Pregnancy B) Infants C) G-6PD deficiency D) All of the above	Edit
4082	Most common form of extrapulmonary Tuberculosis in Nepal is	A) abdominal TB B) Glandular TB C) Lupus vulgaris D) Potts disease	Edit
4083	Drugs mixed with alcohol is called	A) Syrup B) Emulsion C) Tincture D) Capsule	Edit
4084	Most commonly depression is seen in:	A) Middle aged men B) Middle aged female C) Young girl D) Children	Edit
4085	Most common cranial nerve involved in Leprosy is	A) Optic nerve B) Facial nerve C) Ulnar nerve D) Trochlear nerve	Edit
4086	Most common site of breast cancer	A) Lower outer quadrant B) Lower inner quadrant C) Upper outer quadrant D) Upper inner quadrant	Edit
4087	In head injury, choice of investigation is	A) X ray B) CT scan C) MRI D) CSF examination	Edit
4088	Reticulocyte count increases in case of	A) Leukemia B) Hemolytic anemia C) IDA D) After blood transfusion	Edit
4089	Cyanosis is due to	A) Increased level of reduced Hb > 5 gm/dl B) Increased level of reduced Hb > 10gm/dl C) Decreased level of reduced Hb > 5 gm/dl D) Decreased level of reduced Hb > 10 gm/dl	Edit
4090	Types of reservoir	A) 1 type B) 2 type C) 3 type D) 4 type	Edit
4091	. According to health insurance Regulation 2075, Annual premium if rupees 3500 covers the__ members of family.	A) 3 B) 4 C) 5 D) 6	Edit
4092	The sign of successful CPR is	A) Long expansion will occurs the each breath B) The pupil will react to light or will appear normal C) Both A & B D) None	Edit
4093	Organogram and job description are the components of	A) Planning B) Managing C) Staffing D) Organising	Edit
4094	How long hands to be rubbed together for effective hand washing?	A) Atleast 1 minute B) Atleast 45 second C) Atleast 20 Second D) Atleast 15 second	Edit
4095	Which is the common disease caused by anaerobic bacteria?	A) TB B) Tetanus C) Measles D) Polio	Edit
4096	Principal of drug use is all except	A) To cure disease B) To suppress disease C) To prevent Disease D) To modify disease	Edit
4097	Incubation period of Zika fever	A) 2-21 days B) 3-12 days C) 2-6 days D) 10-12 days	Edit
4098	The first case of COVID 19 case in Nepal was detected in	A) 23 Jan 2020 B) 23 march 2020 C) 4 April 2020 D) 15 July 2020	Edit
4099	Cereals are poor source of which of the following amino acids?	A) Lysine and leucine B) Arginine and histidine C) Lysin and threonine D) Lysin and tyrosin	Edit
4100	Growth chart is a graph plotted with	A) Height and weight B) Age and height C) Age and weight D) Age, height and weight	Edit
4101	Which of the following is non electrical cold chain equipment?	A) Walk in cold room B) Ice lined refrigerator C) Cold box D) Deep freezer	Edit
4102	Placenta should be delivered with in	A) 5 min B) 15 min C) 30 min D) 1 hour	Edit
4103	When MUAC of 6 months child is 125 mm, it is classified as.	A) SAM B) MAM C) Normal nutritional status D) Chronic malnutrition	Edit
4104	The final step of purification of water is	A) Coagulation B) Filteration C) Sedimentation D) Chlorination	Edit
4105	If epistaxis occurs, Nose should be pinched for	A) 5 minute B) 10 minute C) 15 minute D) 2 minute	Edit
4106	Choice of antiseptic for burn	A) Betadine B) Spirit C) Silver + Chlorhexidine D) Cetrimide+ Chlorhexidine	Edit
4107	Corneal sensation is lost in which of the following disease?	A) Trachoma B) Conjunctivitis C) Fungal D) Herpes Simplex	Edit
4108	The most common part of treatment immediately after snake bite is	A) Incision and suction B) Application of torniquet C) Injection of ASV D) Reassurance of victim	Edit
4109	Pharmacy word is derived from which language	A) Latin B) France C) Greek D) German	Edit
4110	Androgen is produced by	A) Zona fascicular B) Zona glomerulosa C) Zona reticularis D) None	Edit
4111	Absorption of CSF takes place in	A) Choroid plexus B) Cerebral aque duct C) Arachnoid villi D) Spinal cord	Edit
4112	Muscle contraction in our body is regulated by	A) Na, Ca B) k, Ca C) Na, K, cl D) Na, K, Ca	Edit
4113	Length of kidney is	A) 2 cm B) 6 cm C) 3 cm D) 11 cm	Edit
4114	Which type of epithelial tissue is found in the skin?	A) Simple squamous B) Cuboidal epithelium C) Columnar epithelium D) Keratinized S.C.E tissue	Edit
4115	Drug of choice for Herpes Zoster is	A) Oseltamavir B) Amantadine C) Acyclovir D) None	Edit
4116	Choice of drug for the tubercular Meningitis is.	A) Rifampicin B) Pyrazinamide C) Ethambutol D) Benzyl penicillin	Edit
4117	Symptoms should be present for atleast ___ to diagnose Depression.	A) 1 weeks B) 2 weeks C) 6 weeks D) 6 months	Edit
4118	Best investigation for the diagnosis of appendicitis is	A) CT scan B) USG Abdomen C) Physical examination D) MRI	Edit
4119	Anal fissure is most common in	A) Young males B) Old males C) Young females D) Old females	Edit
4120	Hepatic necrosis from paracetamol taken in overdose is the example of	A) Side effects B) Toxic effects C) Idiosyncrasy D) Intolerance	Edit
4121	Gout is a disorder associated with:	A) Increase in lactic acid B) Increase in uric acid C) Increase in urea D) Decrease level of uric acid	Edit
4122	The term 'corona' is derived from	A) French word B) Greek word C) Latin word D) Chinese	Edit
4123	Which of the following Hepatitis may cause liver cirrhosis or liver cancer?	A) Hepatitis A B) Hepatitis B C) Hepatitis C D) Both B and C	Edit
4124	Most common cranial nerve involved in Leprosy is	A) Ulnar nerve B) Facial nerve C) Trochlear nerve D) Vagus nerve	Edit
4125	Choice of drug for pain in MI is	A) Nitroglycerin B) Rest C) Morphine D) Oxygen administration	Edit
4126	Most severe psychotic disorder is	A) Mania B) Depression C) Schizophrenia D) Dementia	Edit
4127	Mumps is caused by	A) Human Herpes Virus 3 B) RNA paramyxovirus C) Orthomyxovirus D) RNA myxovirus	Edit
4128	Drug given to newborn baby from HIV mother is	A) Zidovudine B) Delaviridine C) Nevirapin D) Maraviroc	Edit
4129	Runche is the forms of	A) Mild PEM B) Moderate PEM C) Severe PEM D) All of the above	Edit
4130	Which of the following is not correct?	A) Condom : Dhaal B) Spermicide: Nirmal chakki C) Oral pills : Nilocon D) DEPO : Sangini	Edit
4131	Each gram of Fiber contains about___ kCal/gm	A) 2 B) 5 C) 7 D) 9	Edit
4132	MC cause of abortion in first trimester is, defect in:	A) Placenta B) Uterus C) Embryo D) Ovarian	Edit
4133	The incubation period of scrub typhus is about	A) 5-12 hours B) 2-10 days C) 10-12 days D) 2- 6 days	Edit
4134	Fever in malaria is due to	A) Entry of merozoites in liver cell B) Entry of merozoites in the RBC C) Release of merozoites from liver cell D) Release of merozoites from RBC	Edit
4135	Most dangerous serotype of dengue is	A) DEN 1 B) DEN 2 C) DEN 3 D) DEN 4	Edit
4136	Ratio of Respiration and pulse is	A) 4:1 B) 1:4 C) 4:2 D) 2:4	Edit
4137	Most serious type of head injury is	A) Heat Syncope B) Heat Exhaustion C) Heat stroke D) Heat cramps	Edit
4138	Reducing prevalence of disease by shortening it's duration is an example of	A) Primordial prevention B) Primary prevention C) Secondary prevention D) Tertiary Prevention	Edit
4139	Strong sewage has BOD(Biological oxygen Demand)	A) > 100 mg/L B) < 100 mg/L C) > 300 mg/L D) < 300 mg/L	Edit
4140	Delegation of authority to some extent occurs in which style of leadership?	A) Autocratic leadership B) Democratic leadership C) Leissez faire leadership D) None of the above	Edit
4141	Which of the following IEC material is most appropriate for illiterate people?	A) Poster B) Pamphlets C) Flash card D) Bulletin Board	Edit
4142	Aldosterone mainly acts upon:	A) PCT B) Collecting duct C) Glomerulus D) Loop of Henle	Edit
4143	Rennin is produced by	A) Peptic cell B) Chief cell C) Parietal cell D) Both A and B	Edit
4144	Longest cranial nerve in the body:	A) Trochlear B) Trigeminal C) Glossopharyngeal D) Vagus	Edit
4145	The evaluation done at planning phase of the program is called.	A) Diagnostic Evaluation B) Formative evaluation C) Summative evaluation D) None	Edit
4146	EOP for Health post is	A) 1 months B) 3 months C) 5 months D) 10 months	Edit
4147	Which Disease is not reported under EWARS?	A) Malaria B) Dengue C) Filariasis D) Cholera	Edit
4148	Who is the member secretary of HFOMC?	A) Chairman of local level B) Ward head of Respective ward C) Head of local trade union D) Health post incharge	Edit
4149	Which of the following is NOT a prodrug?	A) Enalapril B) Trimethoprime C) Carbimazole D) Cyclophosphamide	Edit
4150	Which is not the characteristics feature of Nephrotic syndrome?	A) Massive proteinuria B) Hyperlipidemia C) Hypertension D) Hypoalbuminemia	Edit
4151	Most common cause of Intestinal obstruction in Old age is	A) Adhesion B) Lymphoid Hyperplasia C) Volvolus D) Paralytic ileus	Edit
4152	Wood's lamp examination is used to diagnose?	A) Blood infections B) STDs C) Skin diseases D) Throat infections	Edit
4153	What is the age group most commonly affected by Rheumatic Fever?	A) 0-5 years B) 5-15 years C) 15-30 years D) 30-50 years	Edit
4154	False about scabies is	A) Caused by Sarcoptes scabie B) Counselling plays an important role C) Sever itchy papulovesivles, worsens at night D) Treated with Steroids	Edit
4155	Antibiotics are used in cholera to,	A) Prevent carrier state B) Prevent secondary complications C) Shorten the duration of illness D) Control from secondary bacterial infection	Edit
4156	Drug of choice for pregnant women in cholera.	A) Doxycycline B) Furazolidone C) Azithromycin D) Tetracycline	Edit
4157	How many essential amino acid are required for children?	A) 20 B) 24 C) 10 D) 9	Edit
4158	At birth chest circumference is about,	A) 38cm B) 36cm C) 34cm D) 32cm	Edit
4159	CYP( couple year protection) of IUCD is	A) 5 years B) 8 years C) 10 years D) 12 years	Edit
4160	Medical termination of pregnancy is upto	A) 4 weeks B) 9 weeks C) 8 weeks D) 10 weeks	Edit
4161	Which is contact poison	A) Paris green B) Sodium Fluoride C) Hydrogen cyanide D) Malathion	Edit
4162	___ is porter of infection.	A) Housefly B) Mosquito C) Sandfly D) Louse	Edit
4163	Filariasis is endemic in .......... district in Nepal.	A) 23 B) 64 C) 63 D) 67	Edit
4164	Infective stage of filariasis is	A) Filariform larva B) Embryonated egg C) Third stage larva D) None	Edit
4165	All are the features of neurogenic shock except	A) Hypotensive B) Tachycardia C) Poor capillary refill D) Diaphoresis	Edit
4166	Most common site for epistaxis in old age	A) Little's area B) Keisselbach's plexus C) Woodruff area D) Both A and B	Edit
4167	Strength of sewage is expressed in terms of all except:	A) Biological oxygen demand B) Chemical oxygen demand C) Suspended solids D) None	Edit
4168	Forward looking is study is.....	A) Cohort study B) Ecological study C) Case control study D) Cross sectional study	Edit
4169	Which type of communication is more likely to be used for official announcements?	A) Formal communication B) Informal communication C) Both types equally D) Neither type is suitable for official announcements	Edit
4170	What is the most widely disseminated media of communication?	A) Television B) Radio C) Internet D) Newspaper	Edit
4171	Which nerve is responsible for tongue movement?	A) Vestibulocochlear nerve B) Optic nerve C) Hypoglossal nerve D) Olfactory nerve	Edit
4172	Homologues organ of Bartholin's gland	A) Round ligament B) Balbourethral gland C) Para urethral gland D) Penis	Edit
4173	Which one is swimming muscle ?	A) Platysm B) Latissimus dorsi C) Rectus femoris D) Palmer brevis	Edit
4174	Sick can be stored upto	A) Can be stored unlimited B) Upto 120 days C) Upto 180 days D) Can't be stored	Edit
4175	Global strategy for health for all was came in	A) October 1978 AD B) September 1978 AD C) September 1979 AD D) October 1979 AD	Edit
4176	Which skill is best required for corporate manage	A) Conceptual skill B) Technical skill C) Human skill D) None	Edit
4177	Which of the following is live vaccine?	A) Influenza B) Rabies C) Pertusis D) Rubella	Edit
4178	Which of the following dosage form need to shake well before use?	A) Syrup B) Suspension C) Drops D) Elixirs	Edit
4179	First line drug for Acute CCF	A) Carbonic anhydrase inhibitor's B) Loop diuretics C) Thiazide diuretics D) Morphine	Edit
4180	Most common site of Acute appendicitis	A) Preileal B) Post ileal C) Retrocaecal D) None of the above	Edit
4181	Drooping of wrist is seen in injury of.............nerve	A) Radial B) Median C) Ulnar D) Musculocutaneous	Edit
4182	Thickest layer of epidermis is	A) Stratum corneum B) Stratum lucideum C) Stratum Basale D) Stratum spinosum	Edit
4183	Renal transplant is done in	A) UTI B) Kidney TB C) Hypertension D) Chronic Kidney Disease	Edit
4184	Antidotes for MgSo4 poisoning is,	A) Glucagon B) Calcium gluconate C) Dimercaprol D) Sodium Bicarbonate	Edit
4185	All of the following are observed in Marasmus except;	A) Hepatomegaly B) Muscle wasting C) Low insulin level D) Extreme weakness	Edit
4186	Most common complications of peptic ulcer is	A) Haemorrhage B) Perforations C) Gastric outlet obstruction D) None of the above	Edit
4187	Spironolactone causes	A) Hyperkalemia B) Hypokalemia C) Hyponatremia D) Hypernatremia	Edit
4188	Deficiency of Vitamin C causes	A) Anemia B) Scurvy C) Spongy gums D) All of the above	Edit
4189	Most common cause of Diarrhoea in Adult is	A) Rota virus B) E.coli C) Shigella D) Giardia lamblia	Edit
4190	Most stable measure of growth is	A) Height B) Weight C) Head circumference D) Chest circumference	Edit
4191	Malaria undergoes	A) Trans ovarian cycle B) Propagative cycle C) Cyclo developmental cycle D) Cyclo propagative cycle	Edit
4192	Which is true about typhoid?	A) Female carriers are less common B) Male carriers are less but more danger C) Gall bladder usually not involved in carrier state D) Tetracycline is the DOC for carriers	Edit
4193	Most sensitive test for Kala azar detection is	A) Aldehyde test B) rK39 dipstick C) Montegro test D) None of the above	Edit
4194	In an epidemic , the first case of disease in a community is	A) Index case B) Primary case C) Secondary case D) Tertiary case	Edit
4195	Most common complication of chicken pox is	A) Pneumonia B) Secondary bacterial infections C) Haemorrhage D) Shingles	Edit
4196	Which media is best for providing Health Education during disaster?	A) Television B) Radio C) Internet D) Milking	Edit
4197	Which is not the component of supervision ?	A) Suggestion B) Motivation C) Planning D) Direction	Edit
4198	Training duration of skilled birth Attendant ( SBA) is	A) 1 Month B) 2 month C) 6 month D) 1 year	Edit
4199	Which of the following is not the elements of PHC?	A) Essential Health education B) Treatment of major injury and illness C) Safe water supply and environmental sanitation D) Essential drug supply	Edit
4200	Most important goal of MDG is	A) Improve maternal health B) Improve maternal health C) Eradicate poverty and hunger D) Ensure environmental sustainability	Edit
4201	What is the reporting status of Health post in F.Y 2077/78?	A) 80% B) 90% C) 99% D) 100%	Edit
4202	Which of the following is not included in 1 vial per session policy?	A) JE B) BCG C) DPT D) MR	Edit
4203	CBIMNCI program expanded all over the country in___	A) 2009/10 B) 2014 C) 2016 D) 2020	Edit
4204	The primary role to conduct immunisation at health post:	A) AHW and ANM B) Staff nurse C) Immunization officer D) Medical officer	Edit
4205	The process to know whether the goal is achieved or not as per plan?	A) Implementation B) Monitoring C) Evaluation D) Supervision	Edit
4206	Silent Epidemic of the century is	A) Coronary artery disease B) Hypertension C) Hepatitis B D) Alzheimer's disease	Edit
4207	Maximum Response produced by a drug is called......	A) Potency B) Efficiency C) Efficacy D) Affinity	Edit
4208	Acetaminophen is the another name for	A) Aspirin B) Codein C) Paracetamol D) Amoxicillin	Edit
4209	What is the present modern CPR of Nepal according to NDHS 2022?	A) 43% B) 53% C) 57% D) 24%	Edit
4210	Anaphylaxis is which type of hypersensitivity reaction.	A) Type 1 B) Type 2 C) Type 3 D) Type 4	Edit
4211	____ hernia is more common in female.	A) Indirect inguinal hernia B) Direct inguinal hernia C) femoral hernia D) Umbilical hernia	Edit
4212	Tinea unguium affects	A) Nail plate B) Nail fold C) Joints D) Nail bed	Edit
4213	Which of the following is NOT a symptom of depression?	A) Loss of interest in pleasurable activities B) Feelings of guilt or worthlessness C) Hallucinations D) Changes in appetite or weight	Edit
4214	Which type of COPD is commonly referred to as "pink puffers"?	A) Chronic bronchitis B) Emphysema C) Asthma D) Pneumonia	Edit
4215	Incubation period of Hepatitis B is	A) 15 - 45 days B) 30 - 120 days C) 21 - 45 days D) 45 - 180 days	Edit
4216	Ridley jopling classification is done in	A) Tuberculosis B) COPD C) pneumonia D) Leprosy	Edit
4217	Most common complication of Pertusis	A) Bronchitis B) Bronchopneumonia C) Bronchiectasis D) Bronchiolitis	Edit
4218	A 8 month baby weighing 10 kg body weight has found some dehydration, how much ORS given to him in first 4 hours?	A) 500 ml B) 650 ml C) 750 ml D) 1000 ml	Edit
4219	In comparison to buffalo milk, human milk has high amount of	A) Protein B) Fat C) Lactose D) Calcium	Edit
4220	Minimum duration of birth spacing should be	A) 2 year B) 3 year C) 2.5 year D) 4 year	Edit
4221	Most common risk factors for Ectopic pregnancy is	A) PID B) previous Ectopic pregnancy C) IUCD user D) Contraceptive failure	Edit
4222	Which of the following is not true about Scrub typhus?	A) It is a zoonotic disease B) Caused by rickettsia C) Incubation period is 3-21 days D) Transmitted by larva of trmobiculid mites	Edit
4223	Which is not true about Kala azar?	A) Caused by leishmania species. B) Intracellular parasite that divides into macrophages C) Vector is sandfly D) In the non vertebrate host, Amastigote form of parasite is present	Edit
4224	Vector of rural malaria is	A) Anopheles Stephensi B) Anopheles Culucifacies C) Anopheles minimus D) Anopheles epiroticus	Edit
4225	How long time is taken for Sterilization by hot air oven at temperature of 160° C?	A) 30 minute B) 1 hour C) 2 hour D) 15 minute	Edit
4226	In case of poisonous snake bite, ASV should be given with in___ hours.	A) 1 hour B) 2 hour C) 4 hour D) 6 hour	Edit
4227	____ is not the process of disinfection of water.	A) Chlorination B) Ozonation C) Oxidation D) UV irradiation	Edit
4228	Reducing incidence of disease is which level of prevention?	A) Primordial prevention B) Primary prevention C) Secondary prevention D) Tertiary Prevention	Edit
4229	Health education should be based on which of the following principles?	A) Culture-specific b) Evidence-based B) Evidence-based C) Individualistic D) Non-specific answer with explanation	Edit
4230	Which of the following best describes the goal of community diagnosis?	A) To identify and address health problems and concerns in a community B) To provide medical treatment to individuals within a community C) To evaluate the effectiveness of healthcare interventions in a community D) To develop public health policies for a community	Edit
4231	Which type of white blood cell is responsible for engulfing and digesting foreign particles such as bacteria?	A) Lymphocytes B) Neutrophils C) Eosinophils D) Basophils	Edit
4232	What is the glomerulus?	A) A small tubular structure in the kidney B) A network of capillaries in the kidney C) A hormone produced by the kidneys D) A type of cell found in the urine	Edit
4233	Which blood vessel carries nutrient-rich blood from the digestive system to the liver?	A) Hepatic artery B) Hepatic vein C) Portal vein D) Pulmonary vein	Edit
4234	What is the TB treatment success rate of lumbini province of FY 2077/78?	A) 90% B) 91% C) 92% D) 93%	Edit
4235	LMIS report should be submitted	A) Monthly B) Trimesterly C) Quarterly D) Biannually	Edit
4236	Total number of PHC/ORC in Nepal,	A) 11699 B) 16950 C) 16095 D) 11050	Edit
4237	Who discovered the living cell?	A) Robert Hook B) Antone Von Leeuwenhoek C) Robert Brown D) Jansen	Edit
4238	Which chromosomal abnormality is characterized by the presence of only one X chromosome in females?	A) Turner syndrome B) Klinefelter's syndrome C) Super female syndrome D) Jacobs syndrome	Edit
4239	All of the following Live vaccines are contraindicated in pregnancy except:	A) Yellow fever B) BCG C) Rubella D) OPV	Edit
4240	Casal’s Necklace is seen in deficiency of:	A) Vitamin A B) Vitamin B3 C) Vitamin B6 D) Vitamin D	Edit
4241	Which of the following best defines culture?	A) Specific behaviors or practices that are common within a particular society or culture. B) Deeply held beliefs about what is important and desirable in a society C) Customs and practices that are passed down from generation to generation D) Social expectations for behavior	Edit
4242	Hyperkalemia is caused by which drug:	A) Bumetanide B) Spironolactone C) Thiazide D) Furosemide	Edit
4243	Mechanism of action of vancomycin is:	A) Cell wall synthesis inhibition B) Protein synthesis inhibition C) Increase in membrane permeability D) Inhibition of folic acid metabolism	Edit
4244	In kidney , drugs are excreted by	A) Filteration B) Selective reabsorption C) Secretion D) All of the above	Edit
4245	Red current jelly stool is the features of	A) Volvolus B) Intussusception C) Strangulated hernia D) Necrotising enterocolitis	Edit
4246	The length of eustachian tube is	A) 12 mm B) 24 mm C) 36 mm D) 48 mm	Edit
4247	Light house is seen in	A) CSOM B) Otosclerosis C) Mastoiditis D) OME	Edit
4248	Triad of appendicitis is	A) Pain, fever, headache B) Pain , constipation, vomiting C) Pain , fever, vomiting D) Fever, headache, vomiting	Edit
4249	Most common type of cancer is?	A) Lymphoma B) Sarcoma C) Carcinoma D) Leukemia	Edit
4250	A person feels sharp chest pain on inspiration and hyper resonance sounds detected when percussion, this may be a case of,	A) Pneumonia B) Tuberculosis C) Pleural effusion D) Pneumothorax	Edit
4251	A perception that occurs when a sensory stimulus is present but is in- correctly perceived and misinterpreted is known as:	A) Illusion B) Hallucination C) Delusion D) Delirium	Edit
4252	Hypothyroidism includes all except,	A) Goiter B) Cretinism C) Myxedema D) Thyrotoxicosis	Edit
4253	Most common cause of Iron deficiency anemia in Nepal is	A) Haemorrhage B) Low iron diet C) Hookworm infestation D) None	Edit
4254	Circle of Hebra's is related to	A) Psoriasis B) Scabies C) Acne vulgaris D) Impetigo	Edit
4255	Most important in diagnosing Acute Hepatitis B is:	A) IgG Anti-HBc B) IgM Anti-HBc C) Anti HBs D) HBsAg	Edit
4256	Mother to child transmission of rubella most commonly occurs during	A) First trimester of pregnancy B) Second trimester of pregnancy C) Third trimester of pregnancy D) All of the above	Edit
4257	Infective stage of leishmania for man is	A) Promastigote B) Amastigote C) Cyst D) Microfilariae	Edit
4258	An important skin lesion at the site of bite in scrub typhus is	A) Papules B) Burrows C) Eschar D) Excoriation	Edit
4259	Relapse occurs in malaria deu to,	A) Erythrocytic cycle B) Exo erythrocytic cycle C) Sporogony cycle D) Gametogony cycle	Edit
4260	An unconscious patient of organophosphorus has brought to Emergency, what would you do first?	A) Establish ABC B) Give Antidote C) Gastric lavage D) Remove contaminated clothes	Edit
4261	Savlon contains	A) Cetrimide + Lindane B) Cetrimide+ chlorxylenol C) Cetrimide+ Chlorhexidine D) Chlorhexidine+ Chlorxylenol	Edit
4262	The secondary attack rate of measles is more than mumps. What is the conclusion?	A) Measles is more dangerous than mumps B) Mumps is more dangerous than measles C) Measles is more infectious than mumps D) Measles is more common than mumps	Edit
4263	Time taken for Spermatogenesis?	A) 14 days B) 24 days C) 45 days D) 64 days	Edit
4264	Which is not a component of APGAR?	A) colour B) Activity C) Reflex D) Respiratory rate	Edit
4265	Pyrethrum extract is used as spray of mosquito control measures if malaria as:	A) Anti larval measures B) Anti adult measures C) For personal protection D) All of the above	Edit
4266	Stunting Denotes	A) Low height for age B) Low weight for age C) Low weight for height D) None	Edit
4267	Vector control means	A) Control of cattle and pets B) Control of mosquito breeding places C) Destruction of stray dogs D) All of the above	Edit
4268	The commonest cause of breech presentation is	A) Prematurity B) Hydrocephalus C) Placenta previa D) Polyhydramnios	Edit
4269	Rays of light are focused on	A) Retina B) Macula lutea C) Lens D) Cornea	Edit
4270	Adding Vit A in vegetable oil on large scale to prevent Vit A deficiency among population is	A) Food fortification B) Food supplementation C) Food adulteration D) Food preservation	Edit
4271	Which of the following is an example of communicable disease?	A) Coronary Artery Disease B) plaque C) Cancer D) Anxiety disorders	Edit
4272	All of the following are in service training, except	A) CMA B) RH training C) Infection prevention D) Recording and reporting	Edit
4273	Afla toxin causes	A) Neurolathyrism B) Hepatoma C) Cholangiocarcinoma D) Botulism	Edit
4274	Which method is not used during the community Diagnosis?	A) Demonstration B) Observation C) Surveillance D) interview	Edit
4275	The first step in case of drowning	A) Removing victim from water B) establishing IV line C) Administration of oxygen D) Administration of antibiotics	Edit
4276	Which is not the tool of community Diagnosis?	A) Questionnaire B) Observational check list C) Register D) Interview	Edit
4277	Sodium content in Ringer's Lactate solution is	A) 154 mEq/L B) 134 mEq/L C) 130 mEq/L D) 140 mEq/L	Edit
4278	Diclofenace is contraindicated in which group of patients?	A) Diabetes B) Hypertension C) Asthmatics D) CKD	Edit
4279	What are the symptoms of third degree burn?	A) Charred skin, no pain B) Charred skin, pain C) Blistered and pain D) Redness and pain	Edit
4280	Which is not the step of learning process?	A) An individual feels the need of learning B) An individual determines his learning objectives C) .An individual is not ready mentally and physically to take appropriate action D) The individual take necessary action and gain desired result	Edit
4281	Coronal sutures present between	A) Frontal and parietal B) Parietal and occipital C) Parietal and parietal D) Parietal and temporal	Edit
4282	Choose the incorrect one	A) Ovary - ovulation B) Fallopian tube - fertilization C) Uterus- implantation D) Cervix - contraction on delivery	Edit
4283	Linear discontinuation of skin is known as	A) Ulcer B) Excoriation C) Erosion D) Fissure	Edit
4284	First thing to be done in case of acute Abdomen case.	A) Open IV line and give IV fluid B) NG tube insertion C) Nil per oral D) Hospitalisation	Edit
4285	Best management of acute retention of urine is	A) Hot compression B) Suprapubic puncture C) Catheterization D) IV diuretics	Edit
4286	PIE function of management is given by?	A) Luther Guillic B) Henry fayol C) Newmann and summary D) WHO	Edit
4287	Ideal contraceptives for post partum women?	A) Depo B) IUCD C) OCPs D) Implants	Edit
4288	Believe in ghost and boksi is an example of	A) Tradition B) Norms C) Superstition D) Taboos	Edit
4289	Which of the following disease is called silent killer?	A) Diabetes mellitus B) Hypertension C) Hypothyroidism D) Cancer	Edit
4290	Most dangerous type of abortion is	A) Complete abortion B) Threatened abortion C) Missed Abortion D) Incomplete Abortion	Edit
4291	Cold stage of malaria lasts for.....	A) Half to 1 hour B) 2 - 4 hour C) 2-6 hour D) 1-4 hour	Edit
4292	Which of the following is not a vector Borne disease?	A) Dengue B) Malaria C) Kara azar D) Corona viruses disease	Edit
4293	There are some undesirable but unavoidable pharmacodynamics effects of a drug which are known as	A) Intolerance B) Idiosyncrasy C) Side effects D) Toxic effects	Edit
4294	Which is not sign of hypertension?	A) Dizziness, fatigue B) Palpitation C) Blurring of vision D) Loss of appetite	Edit
4295	The period of communicability of tetanus is	A) 7 days B) 14 days C) 21 days D) None	Edit
4296	In oral rehydration solution, least amount is of	A) Sodium citrate B) Potassium chloride C) Sodium chloride D) Glucose	Edit
4297	Drug of choice for prophylaxis against Diphtheria	A) Ciprofloxacin B) Amoxicillin C) Erythromycin D) Cotrimoxazole	Edit
4298	All of the following are disease under international surveillance of WHO, except	A) Malaria B) Polio C) Dengue D) Rabies	Edit
4299	Community Diagnosis is based on all except?	A) Vital statistics B) Incidence and prevalence C) Health care delivery D) Age and sex distribution	Edit
4300	The daily requirement of folic acid for adult male is?	A) 75 mcg B) 200 mcg C) 300 mcg D) 500 mcg	Edit
4301	Alma ata declaration gives____ principles of Primary Health care.	A) 4 B) 5 C) 8 D) 10	Edit
4302	Which of the following post is not sanctioned in Health section of Sub metropolitan office?	A) Public Health officer B) Nursing Inspector C) Ayurveda inspector D) Medical officer	Edit
4303	Which of the following is the side effects of ethambutol?	A) Jaundice B) Peripheral neurites C) Colour blindness D) Gout	Edit
4304	How many dose of Vit A given to a child with measles?	A) Single dose B) Two dose C) 3 doses D) Not given	Edit
4305	What can be done if cardiogenic shock is suspected?	A) Open IV line and give IV fluid B) Reassurance of the patient C) Give oxygen and refe D) give IV adrenaline and ceftriaxone 1 gm	Edit
4306	How long time is taken for Sterilization by hot air oven at temperature of 170° C?	A) 30 minute B) 1 hour C) 2 hour D) 15 minute	Edit
4307	First case of dengue in Nepal was seen in	A) Paras B) Rautahat C) Chitwan D) Sunsari	Edit
4308	Which of the following is indicator of acute infection?	A) IgG B) IgA C) IgM D) IgE	Edit
4309	The minimum distance between well and latrine should be?	A) 15 m B) 50 m C) 75 m D) 100 m	Edit
4310	The most abundant plasma protein is	A) Albumin B) Globulin C) Fibrinogen D) Prothrombin	Edit
4311	Which organelle is responsible for breaking down cellular waste and debris?	A) Mitochondria B) Ribosomes C) Lysosomes D) Golgi body	Edit
4312	Which one is rudimentary organ of digestive system?	A) Mouth(oral cavity) B) Appendix C) Large intestine D) Pancrease	Edit
4313	According to FY 2077/78, percentage of Delivery Conducted by SBA in Lumbini province is__	A) 61% B) 66% C) 77% D) 81%	Edit
4314	Gastric lavage should be done with in __ of poisoning.	A) 1 hour B) 4 hour C) 6 hour D) 2 hour	Edit
4315	Most important factor in sewage treatment is	A) Bacterial count B) Solids C) Nitrate and phosphates D) Water content	Edit
4316	Learning by imitation is commonly occurs in	A) Children B) Blind people C) Adult D) Old people	Edit
4317	In the federal, structure of Nepal, Basic Health care services is responsibility of:	A) Fedral government B) Provincial government C) Local government D) Hospitals	Edit
4318	Which is not a tool of supervision?	A) Work schedule B) Records and registers C) Interview D) Job description	Edit
4319	For 6 months child, fast breathing is defined when the respiratory rate is	A) ≥40 breaths/min B) ≥50 Breaths/min C) ≥60 Breaths/min D) ≥70 Breaths/min	Edit
4320	Government of Nepal is using	A) Monovalent OPV B) Bivalent OPV C) Trivalent OPV D) Pentavalent OPV	Edit
4321	Celebrating festival is	A) Norms B) Values C) Tradition D) Customs	Edit
4322	First and most important feature of acute Abdomen	A) Abdominal distension B) Sudden onset of severe abdominal pain C) Nausea and vomiting D) Constipation	Edit
4323	Psoriasis is common in	A) Scalp B) Genitalia C) Extensor surface of elbow D) All of the above	Edit
4324	Most reliable test for screening of Diabetes Mellitus is	A) Random blood sugar B) Fasting blood sugar C) Glucose tolerance test D) Urine sugar	Edit
4325	For controlling an outbreak of cholera, all of the following measures are recommended except:	A) Mass chemoprophylaxis B) Proper disposal of excreta C) Chlorination of water D) Early detection and management of cases	Edit
4326	The life span of mosquito from egg to adult stage is about?	A) 1-2 days B) 2-5 days C) 5-7 days D) 7-10 days.	Edit
4327	For prevention of PEM, GOBI - 3F concept is given by,	A) WHO B) UNICEF C) USAID D) UNDP	Edit
4328	Which of the following is not included in ' cleans' in conduction of delivery?	A) Clean hands B) Clean cutting C) Clean perineum D) Clean surface of delivery	Edit
4329	Norplant contains which of the following hormone	A) Norethisterone B) Norgesterol C) Levonorgesterol D) Ethyl oestradiol	Edit
4330	Zinc phosphide is	A) pesticides B) Rodenticide C) Larvicide D) All of the above	Edit
4331	According to WHO, a case of TB is defined as	A) Tuberculin test positive B) Sputum positive for AFB C) X ray positive D) All of the above	Edit
4332	Confirmative diagnostic test for breast cancer?	A) FNAC B) Mammography C) Ultrasound D) Breast self examination	Edit
4333	Which medication is dangerous for pregnant client?	A) Propranolol B) Penicillin C) Tetracycline D) Cefixime	Edit
4334	The commonest organism causing acute pharyngitis is	A) Influenza virus B) Staphylococcus C) Group A Streptococcus D) H. Influenza	Edit
4335	The first step of Epidemiological investigation is	A) Confirmation of existence of Epidemic B) Confirmation of diagnosis C) Rapid search for all cases D) Defining population at risk	Edit
4336	When should you give rescue breathing?	A) Conscious chocking victim B) Unconscious chocking victim C) Unconscious, no pulse, no breathing D) Unconscious, no breathing but has a pulse	Edit
4337	How many zoonotic disease have been identified in Nepal?	A) 60 B) 90 C) 150 D) More than 300	Edit
4338	Which of the following is bone forming cell?	A) Osteocytes B) Osteoclast C) Osteoblast D) All of the above	Edit
4339	Measles is characterized by	A) Fevere with lymphadenopathy B) Fever with centripetal rash C) Fever with dew drop Rash D) Fever with maculopapular rash	Edit
4340	The drug regimen for Tuberculosis if Rifampicin and isoniazid both are sensitive?	A) 2HRZE + 4HR B) 6HRZE + levofloxacin C) 6HRZE D) 2HRZE + 7HRE	Edit
4341	The pelvis consists of ___ pelvic bones.	A) 1 B) 2 C) 3 D) 4	Edit
4342	In which type of leadership style, there is feeling of togetherness?	A) Democratic B) Autocratic C) Situational D) Leissez faire	Edit
4343	What is the prevalence of leprosy in Lumbini province according to FY 2077/78?	A) 0.7 B) 1.1 C) 1.0 D) 1.3	Edit
4344	If the manager gives his responsibility to subordinates, it is called	A) Power B) Delegation C) Authority D) Accountability	Edit
4345	Characteristics of planning is	A) Planning is a process B) Planning is pervasive C) Planning is efficiency oriented D) All of the above	Edit
4346	An assessment of health problems and health status and factors affecting them for planning health care service in community is known as	A) Community Diagnosis B) Community Assessment C) Clinical diagnosis D) Health evaluation	Edit
4347	Cotrimoxazole is the combination of	A) Trimethoprime and Silver sulfadiazine B) Trimethoprime and Carbimazole C) Trimethoprime and sulfamethoxazole D) Trimethoprime and sulfasalazine	Edit
4348	Which of the following anti microbial drug is not cell wall Synthesis inhibitor?	A) Penicillin B) Fluoroquinolones C) Cephalosporins D) Vancomycin	Edit
4349	The most common cause of Haemorrhoids is	A) Anal fissure B) Injury to the anal canal C) Constipation D) None of the above	Edit
4350	Anal fissure is most commonly located in	A) Anterior lateral B) Posterior lateral C) Anterior midline D) Posterior midline	Edit
4351	The full form of AMBU is	A) Airway management and breathing unit B) Artificial manual breathing unit C) Airway management and breaking unit D) Artificial management and breathing unit	Edit
4352	What should be your first action when treating an electric burn?	A) Ensure that the casualty is still breathing B) Wash the burn with cold water C) Check for danger and ensure that contact with the electrical source is broken D) Check for level of response	Edit
4353	Prayer's sign is seen in	A) Diabetes mellitus B) Hypertension C) Creationism D) Pancreatitis	Edit
4354	DASH strategy is for control of	A) Stroke B) Diabetes C) Hypertension D) Mental illness	Edit
4355	Adjuvant are used in vaccine	A) To preserve Vaccine B) To maintain cold chain C) To increase immunogenicity D) To prevent complications	Edit
4356	Combined oral pills can be safely used by a women with history of:	A) Breast cancer B) Ovarian cancer C) Cervix cancer D) All of the above	Edit
4357	Example of surface water are all of the following except?	A) Lakes B) Stream C) Spring D) River	Edit
4358	Tetany is due to the deficiency of	A) Growth hormone B) Thyroid hormone C) Parathormone D) Insulin	Edit
4359	Graft taken from one part of the body of an individual and transplanted to other individual is called,	A) Autograft B) Isograft C) Allograft D) Heterograft	Edit
4360	Which of the following is also called toddler age?	A) Below 1 years B) 1-3 years C) 0-3 years D) 3-5 years.	Edit
4361	Important skin lesions seen in chicken pox is	A) Pustules B) Burrows C) Petechiae D) Vesicles	Edit
4362	The uppermost organization of health service in Lumbini province is	A) Ministry of social development B) Ministry of Health and Population C) Ministry of Health D) Ministry of science, technology and environment	Edit
4363	Hepatitis D always occurs in association with	A) Hepatitis A B) Hepatitis B C) Hepatitis C D) Hepatitis E	Edit
4364	The rate of blood flow to fetus through feto placental circulation is	A) 600 ml/min B) 500 ml/min C) 400 ml/min D) 200 ml/min	Edit
4365	IQ between 50 -70 would be classified as what kind of mental retardation?	A) Mild B) Moderate C) Severe D) Profound	Edit
4366	All of the following are examples of iatrogenic infection, except?	A) Hep B following blood transfusion B) Reaction to vaccine after Immunization C) Infection of surgical wound D) Aplastic anemia following use of cholarmphenicol	Edit
4367	In which types of malaria , relapse are most common	A) P. Vivex B) P. Falciparum C) P. Malariae D) P. Ovale	Edit
4368	Most common animal host involved in transmission of JE is,	A) Dog B) Pig C) Bat D) Monkey	Edit
4369	A very thin baby with prominent bones and monkey face is most likely to suffered from	A) Marasmus B) Kwashiorkor C) Runche D) Pellagra	Edit
4370	In which phase of menstruation, the endometrium becomes thick, vascular and glandular	A) Menstrual phase B) Proliferative phase C) Luteal phase D) None of the above	Edit
4371	To reach the Alveoli, bronchus divides	A) 13 times B) 18 times C) 21 times D) 23 times	Edit
4372	Most regenerative tissue is	A) Epithelial tissue B) Connective tissue C) Nervous tissue D) muscular tissue	Edit
4373	Neurogenic pain , grouped vesicles lesion and itching is the characteristic feature of	A) Chicken pox B) Herpes Zoster C) Herpes Simplex D) Small pox	Edit
4374	Choice of investigation for the diagnosis of Meningitis is.	A) Blood culture B) MRI of brain C) CSF analysis D) CT of brain	Edit
4375	Depression is characterised by all except	A) Feeling of sadness B) Worthlessness C) Delusion of Grandiosity D) Delusion of Nihilism	Edit
4376	Appendicitis is best diagnosed by	A) CT scan B) USG Abdomen C) Physical examination D) MRI	Edit
4377	Most painful condition affecting anal region?	A) Haemorrhoids B) Anal fistula C) Anal fissure D) None of the above	Edit
4378	Side effects of Atropine includes all of the following except	A) Tachycardia B) Dry mouth C) Decreased sweating D) Constricted pupil	Edit
4379	Gout is a disorder associated with:	A) Increase in lactic acid B) Increase in uric acid C) Increase in urea D) Increase in glutamic acid	Edit
4380	Corona viruses are	A) Single stranded positive sense RNA virus B) Single stranded negative sense RNA virus C) Double stranded Positive sense RNA virus D) Double stranded negative sense RNA virus	Edit
4381	Which of the following Hepatitis may cause liver cirrhosis or liver cancer?	A) Hepatitis A B) Hepatitis B C) Hepatitis C D) Both B and C	Edit
4382	Most common nerve involved in Leprosy is	A) Medial nerve B) Radial nerve C) Ulnar nerve D) Peripheral nerve	Edit
4383	All of the following are the advantages of 2nd generation IUD’s except:	A) High Efficacy B) Low expulsion rates C) Long acting D) Low risk of ectopic pregnancy	Edit
4384	Healthy blood circulation is promoted by	A) Vit A B) Vit C C) Vit E D) Vit K	Edit
4385	When a baby recognised his/her mother?	A) 1 months B) 3 months C) 5 months D) 6 months	Edit
4386	Shortening and thinning of cervix during labour is called	A) Godell's sign B) Dilatation C) Effacement D) Ballotment	Edit
4387	Which of the following is not true about Scrub typhus?	A) It is a zoonotic disease B) Caused by rickettsia C) Can be transmitted person to person D) Transmitted by larva of trmobiculid mites	Edit
4388	Best time for collection of blood for Lymphatic filariasis is ?	A) 8:30 PM to 12 AM B) 10 AM to 12 PM C) 6 PM to 12 PM D) 10 PM to 2 AM	Edit
4389	World malaria day is celebrated on	A) 24 march B) 25 April C) 14 June D) 20 August	Edit
4390	First sign of wound healing is	A) Haematoma formation B) Granulation tissue C) Callous formation D) Stage of consolidation	Edit
4391	Antidote for Cyanide poisoning?	A) Atropine B) Sodium thiosulfate C) Flumazenil D) Dimercaprole	Edit
4392	If the prevalence is very low as compared to the incidence for a disease, it implies:	A) Disease is very fatal and /or easily curable B) Disease is nonfatal C) Calculation of prevalence & incidence is wrong D) Nothing can be said, as they are independent	Edit
4393	Temporary hardness of water is due to presence of:	A) Bicarbonates of calcium and magnesium B) Chlorides of calcium and magnesium C) Nitrates of calcium and magnesium D) Oxides of calcium and magnesium	Edit
4394	Which of the following is not the feature of family?	A) People living together B) Eating from a common kitchen C) All members are not blood relation D) Share common physical and social environment	Edit
4395	What is the Tuberculosis treatment success rate the lumbini province according to Annual report 2077/78?	A) 90% B) 91% C) 92% D) 93%	Edit
4396	Most precious and difficult resource to manage is	A) Machines B) Man C) Money D) Materials	Edit
4397	JE vaccine should be used with in ...........hours after dilution.	A) 1 hour B) 2 hour C) 3 hour D) 6 hour	Edit
4398	Which of the following is not the objectives of community Diagnosis program?	A) To know the health and demographic status of the community people B) To find the cause of the disease C) To explore the existing potential resources D) To study about determinants of Health problems	Edit
4399	Which of the following is not true about lecture as health education method?	A) One way of communication B) Gives basic information C) Group should not be more than 30 D) Large number of points can be covered	Edit
4400	Vasomotor center is present in	A) Heart B) Medulla oblongata C) Cerebellum D) Kidney	Edit
4401	Foramen of Magnum is found in	A) Skull B) Hip joint C) Shoulder joint D) Brain	Edit
4402	Connective tissue is derived from	A) Ectoderm B) Mesoderm C) Endoderm D) All of the above	Edit
4403	Which of the following is the side effects of Enalapril.	A) Red urine B) Diarrhoea C) Skin rashes D) Dry cough	Edit
4404	. Meaning of "HS" in prescription is ..	A) If necessary B) Before meal C) At bed time D) When required	Edit
4405	Most dangerous type of bleeding is	A) Arterial Bleeding B. B) Venous Bleeding C) Capillary Bleeding D) Bony bleeding.	Edit
4406	In cardiopulmonary resuscitation,chest compressions should be administered in the center of chest on the	A) Upper half of the sternum B) Middle of the sternum C) Lower half of the sternum D) Any of the above.	Edit
4407	Kala azar is	A) Cutaneous leishmaniasis B) Visceral leishmaniasis C) Muco cutaneous leishmaniasis D) All of the above.	Edit
4408	The fluid present between cornea and lens is .	A) Aqueous Humour B) Vitreous Humour C) Both A and B D) Serous fluid.	Edit
4409	Generation time भन्नालेके बझि ुझिन्छ ?	A) Time interval between the onset of primary and secondary case B) Time interval between the entry of organisms in the body and appearance of symptoms C) Time interval between the onset of disease and maximum infectivity D) Time lag between the 1st possible detection and usual time of diagnosis.	Edit
4410	acceptable noise level in hospital wards?	A) 15-20 dB B) 20-35 dB C) 20-50 dB D) 20-30 dB	Edit
4411	Nepal has adopted " End game strategy" got	A) Measles Elimination B) Malaria eradication C) Leprosy Eradication D) Polio Eradication	Edit
4412	WHO Oral Rehydration Slat contains.	A) Sodium, zinc, potassium, copper. B) Sodium, potassium, glucose, citrate C) Sodium, potassium, calcium, citrate. D) Sodium, citrate, magnesium, glucose	Edit
4413	All are risk factors for Carcinoma of cervix except:	A) Nulliparity B) Genital warts C) OCPs user's D) Multiple Sexual partners	Edit
4414	The total number of cases at a given point of time in a given population is	A) Attack rate B) Epidemiology C) Prevalence D) Incidence	Edit
4415	Health Service Regulation was endorsed in ..	A) 2055/11/03 B) 2053/09/19 C) 2055/09/19 D) 2053/11/15	Edit
4416	The most crucial period in the life of an infant is ..	A) First week of life B) Second week of life C) c)Third week of life D) Fourth week of life.	Edit
4417	chizophrenia is also known as .	A) Strong personality B) split personality C) Hysteria D) weak personality	Edit
4418	Which is deficient in pernicious anemia?	A) Vitamin B1 B) Vitamin B7 C) Vitamin B6 D) Intrinsic factor	Edit
4419	Prevention of TB infection in a community is estimated by ..	A) Tuberculin test B) Chest X ray C) Sputum culture D) Chest X ray	Edit
4420	Most common cause of impetigo is	A) Staphylococcus B) Streptococcus C) Pneumococcus D) Itch mites	Edit
4421	Pig tail catheter drainage is done in	A) Empyema Thoracic B) Amoebic liver abscess C) Pyothorax D) Hydrothorax	Edit
4422	Accumulation of air in the pleural space is called	A) Pneumothorax B) Hydrothorax C) empyema D) None of the above	Edit
4423	Rectal bleeding known medically as.	A) Hematochezia B) Hematuria C) Melena D) Haemorrhoids	Edit
4424	The bioavailability of the drug depends upon:	A) First pass metabolism B) Second pass metabolism C) Volume of distribution D) Excretion	Edit
4425	All are true about Reye’s Syndrome except:	A) Hepatic encephalopathy B) Seen with ampicillin therapy C) Fever and rash D) Viral associated	Edit
4426	Congenital Rubella syndrome( CRS) is characterized by all except	A) Deafness B) Cataract C) Anosmia D) Cardiac malformations	Edit
4427	Window period of HIV infection is	A) 3 - 12 weeks B) 8-20 weeks C) 6-24 weeks D) None of the above	Edit
4428	Which is not the protozoal disease	A) Kala azar B) Malaria C) Toxoplasmosis D) Filariasis	Edit
4429	If the child has severe classification because of ear problem. What would be the best thing that you do as the health post incharge?	A) Instruct mother when to return immediately B) Refer urgently C) Give oral antibiotics for 5 days D) Dry the ear by wicking	Edit
4430	Digestibility of fish is	A) 70% B) 75% C) 80% D) 85%	Edit
4431	The function of copper-T is;	A) Check mutation B) Stop fertilization C) Stop cleavage D) Stop gastrulation	Edit
4432	Best tool to identify gestational diabetes mellitus is	A) Fasting blood sugar B) Oral glucose tolerance test C) Random blood sugar D) Post prandial blood sugar	Edit
4433	Definitive host for Lymphatic filariasis is	A) Culex mosquito B) Aedes Mosquito C) Man D) Anopheles mosquito	Edit
4434	Life span of housefly is	A) 10 - 15 days B) 15 - 25 days C) 20 - 35 days D) 8 - 34 days	Edit
4435	Which of the following causes malignant tertian malaria?	A) P. Vivax B) P. Ovale C) P. Falciparum D) P. Malaria	Edit
4436	Temperature is regulated by all except	A) Skin B) Mouth C) Kidney D) Lungs	Edit
4437	A classical sign of cardiogenic shock is	A) classical sign of cardiogenic shock is B) Tissue hypo perfusion C) High blood pressure D) Hyperactive bowel movement	Edit
4438	The amount of sewage flowing in a system in 24 hours is called:	A) Sewage rate B) RCA index C) Dry weather flow D) Sludge	Edit
4439	All are indicators of mortality except:	A) Case fatality rate B) Life expectancy C) Duration of sickness D) Standardised death rate	Edit
4440	Restriction of women for some activities during menstruation is ?	A) Superstition B) Tradition C) Norms D) Taboos	Edit
4441	Fully immunized children of lumbini province of F.Y 2077/78?	A) 78% B) 81% C) 83% D) 87%	Edit
4442	Who is considered as the Health post incharge ?	A) Health Assistant B) Officer Sixth ( Health inspection) C) Officer fifth ( Health inspection) D) Sr. AHW	Edit
4443	Vit A register is used as	A) HMIS 4.1 B) HMIS 4.2 C) HMIS 4.3 D) HMIS 4.4	Edit
4444	Why the vaccines should be stored in certain temperature?	A) Saves it's antigenicity B) Increase its life span C) Reduce the side effects D) All of the above	Edit
4445	Which of the following is the ultimate result of planning?	A) Target B) Achievement C) Goal D) Objectives	Edit
4446	Provision of free medical care to the people at government expenses is knowns as	A) State Medicine B) Social therapy C) Social medicine D) Social insurance program	Edit
4447	Common hepatic duct is formed by the union of	A) Cystic duct and common bile duct B) Right and left hepatic duct C) Pancreatic duct and common bile duct D) Cystic duct and right hepatic duct	Edit
4448	Shortest cranial nerve is	A) Olfactory B) Optic C) Trochlear D) Trigemina	Edit
4449	Unit of muscle contraction is known as	A) Muscle fiber B) Sacromere C) Sarcoplasm D) Motor unit	Edit
4450	Total number of Elements of PHC in the context of Nepal is?	A) 8 B) 12 C) 10 D) 14	Edit
4451	Which is the Best mortality indicator to find the Socio economic status of a country?	A) Crude death rate B) Infant mortality rate C) Under 5 mortality rate D) Proportional mortality rate	Edit
4452	Best Health care system of medicine in Nepal is	A) Ayurvedic system B) Allopathic system C) Homeopathic system of medicine D) Unani system of medicine	Edit
4453	How many Health Office are there in lumbini province?	A) 12 B) 9 C) 10 D) 11	Edit
4454	Which local anaesthetic agent is commonly used	A) Cocaine B) Tetracycline C) Lignocaine D) Bupivacaine	Edit
4455	Posology is the study of drug	A) Drug B) Dosage form C) Disease D) Dose	Edit
4456	Which is not a common symptom of conjunctivitis?	A) Redness B) Pain C) Discharge D) Irritation	Edit
4457	Sinus is usually lined by	A) Fibrous tissue B) Adipose tissue C) Granulation tissue D) Both A and C	Edit
4458	Most common symptoms of lung cancer is	A) Cough B) Chest pain C) Hoarseness of voice D) Shortness of breathing	Edit
4459	All are true about COPD , except	A) Irreversible destruction of alveoli B) History of smoking C) Dry cough at night D) Barrel shaped chest	Edit
4460	False about scabies is	A) Caused by Sarcoptes scabie B) Counselling plays an important role C) Sever itchy papulovesivles, worsens at night D) Treated with Steroids	Edit
4461	Antibiotics are used in cholera to,	A) Prevent carrier state B) Prevent secondary complications C) Shorten the duration of illness D) Prevent from secondary bacterial infection	Edit
4462	Inaba , ogawa and hikojima are related to.?	A) Typhoid B) Cholera C) Pertusis D) Diphtheria	Edit
4463	How many types of amino acid are required for human body?	A) 20 B) 24 C) 10 D) 9	Edit
4464	At birth head circumference is about,	A) 38cm B) 36 can C) 34 cm D) 32 cm	Edit
4465	IUCD works for	A) 5 years B) 8 years C) 10 years D) 12 years	Edit
4466	Medical termination of pregnancy is up to	A) 4 weeks B) 9 weeks C) 8 weeks D) 10 weeks	Edit
4467	Which is not the contact poison	A) Paris green B) Sodium Fluoride C) Hydrogen cyanide D) All of the above	Edit
4468	Housefly is a....	A) Vector B) Host C) Carrier D) Latent host	Edit
4469	Malaria is endemic in .......... district in Nepal.	A) 23 B) 18 C) 63 D) 67	Edit
4470	Process of motivation in orderly. [ AHW 2075]	A) Needs, tension, wants, satisfaction B) Needs, wants, tension, action, satisfaction C) Wants, action, tension, needs, satisfaction D) Tension, needs, wants, action, satisfaction	Edit
4471	What is the first action to be done in a patient with heart attack?	A) CPR B) ECG C) DC shock D) Artificial Respiration	Edit
4472	The commonest fracture is	A) Colle's fracture B) Greenstick fracture C) Supracondylar fracture D) Smith's fracture	Edit
4473	Major air pollution in KTM is,	A) CO2 B) CO C) SO2 D) both A and B	Edit
4474	Which of the following is not included in Demographic process,	A) Fertility B) Mortality C) Morbidity D) Migration	Edit
4475	Ideal size of poster should be	A) 2×3 feet B) 2×2 feet C) 3×3 feet D) 3×2 feet	Edit
4476	Which doesn't belong to school Health program?	A) School and community joint activities B) Mental health C) School Health service D) healthful school living	Edit
4477	Spermatogenesis is controlled by	A) FSH B) LH C) FSH and prolactin D) GH and prolactin	Edit
4478	Odontoid process is found in	A) Sternum B) Sacrum C) Axis bone D) Atlas bone	Edit
4479	Spleen belongs to which system	A) Digestive system B) Endocrine system C) Immune system D) Circulatory system	Edit
4480	The evaluation done at end of the program is called.	A) Diagnostic Evaluation B) Formative evaluation C) Summative evaluation D) None	Edit
4481	ASL for Health post	A) 1 months B) 3 months C) 5 months D) 10 months	Edit
4482	How many VBD disease are reported under EWARS?	A) 6 B) 4 C) 3 D) 9	Edit
4483	How many members are present in HFOMC?	A) 13 B) 9 C) 10 D) 7	Edit
4484	Which of the following is NOT a prodrug?	A) Enalapril B) Imipramine C) Sulphasalazine D) Cyclophosphamide	Edit
4485	Amitriptyline is	A) Antipsychotic B) Anti depressant C) Anti epileptic D) Tranquilizer	Edit
4486	Hypertension, edema and Hematuria are signs of	A) UTI B) Nephrolithiasis C) Nephrotic syndrome D) Nephritic syndrome	Edit
4487	Most common cause of Intestinal obstruction is	A) Adhesion B) Lymphoid Hyperplasia C) Volvolus D) Hernia	Edit
4488	Wood's lamp examination is used to diagnose?	A) Blood infections B) STDs C) Skin diseases D) Throat infections	Edit
4489	The drug of choice for rheumatic fever is	A) Benzyl penicillin B) Benzathine penicillin C) Aspirin D) Erythromycin	Edit
4490	All of the following are clinical features of TB, except?	A) High fever B) Cough with blood C) Sweating D) Weight loss	Edit
4491	Drug of choice for Alcohol Withdrawal syndrome is	A) Haloperidol B) Diazepam C) Amitriptyline D) Lithium	Edit
4492	Infective stage of Roundworm is	A) Third stage larva B) Embryonated egg C. Cyst C) Cyst D) Filariform larga	Edit
4493	Drug of Choice for cholera is	A) Tetracycline B) Doxycycline C) Chloramphenicol D) Metronidazole	Edit
4494	Which of the following Vitamin is also known as Beauty Vitamin?	A) Vit A B) Vit D C) Vit E D) Vit K	Edit
4495	What is the CPR of lumbini province according to DOHS annual report 2077/78?	A) 39 B) 40 C) 42 D) 43	Edit
4496	Which is not a classification of ARI in under 5 child?	A) No pneumonia B) Pneumonia C) Very severe pneumonia D) Very severe disease	Edit
4497	Lochia Serosa is seen in postpartum at	A) 5th - 9th days B) 1st - 4th days C) 10th - 14th days D) None	Edit
4498	All of the following are biological vector except?	A) Sandfly B) Mosquito C) Housefly D) Lice	Edit
4499	What is the Annual parasite incidence (API) of Malaria in lumbini in to F.Y 2077/78?	A) 0.03 B) 0.04 C) 0.02 D) 0.05	Edit
4500	Presence of which antibody is suggestive of dengue	A) IgG B) IgA C) IgM D) IgE	Edit
4501	Ratio of Pulse and respiration is	A) 4:1 B) 1:4 C) 4:2 D) 2:4	Edit
4502	In which of the following Heat injury, Sweating is absent?	A) Heat Syncope B) Heat Exhaustion C) Heat stroke D) Heat cramps	Edit
4503	A person sleeps inside bed net , is an example of	A) Primordial prevention B) Primary prevention C) Secondary prevention D) Tertiary Prevention	Edit
4504	Strong sewage has BOD(Biological oxygen Demand)	A) > 100 mg/L B) < 100 mg/L C) > 300 mg/L D) < 300 mg/L	Edit
4505	Which of the Following leadership is called directive leadership?	A) Autocratic leadership B) Democratic leadership C) Leissez faire leadership D) None of the above	Edit
4506	Which of the following IEC material is most appropriate for illiterate people?	A) Poster B) Pamphlets C) Flash card D) Bulletin Board	Edit
4507	Aldosterone mainly acts upon:	A) PCT B) Loop of Henle C) Glomerulus D) Collecting duct	Edit
4508	Intrinsic Factor is produced by	A) Stomach B) Liver C) Pancreas D) Small intestine	Edit
4509	Longest muscle in the body:	A) Biceps B) Triceps C) Sartorius D) Quadriceps	Edit
4510	Home leave can be stored upto	A) Can be stored unlimited B) Upto 120 days C) Upto 180 days D) Can't be stored	Edit
4511	Global strategy for health for all was came in	A) 1977 AD B) 1978 AD C) 1981 AD D) 1983 AD	Edit
4512	Which skill is best for supervisory level manager	A) Conceptual skill B) Technical skill C) Human skill D) None	Edit
4513	Which of the following is killed vaccine?	A) BCG B) Measles C) Pertusis D) Rubella	Edit
4514	Which of the following dosage form need to shake well before use?	A) Syrup B) Suspension C) Drops D) Elixirs	Edit
4515	All of the following drugs are administered orally except:	A) Ciprofloxacin B) Cotrimoxazole C) Gentamicin D) Amoxicillin	Edit
4516	Most common cause of Acute appendicitis	A) lymphoid Hyperplasia B) Stricture C) Fecolith D) Cyst of Entamoeba	Edit
4517	Pointing index is seen in injury of.............nerve	A) Radial B) Median C) Ulnar D) Musculocutaneous	Edit
4518	Melanocytes are present in	A) Stratum corneum B) Stratum lucideum C) Stratum Basale D) Stratum spinosum	Edit
4519	Renal transplant is done in	A) UTI B) Kidney TB C) Hypertension D) Chronic Kidney Disease	Edit
4520	Which of the following is first intervention for a client experiencing MI?	A) Administer morphine B) Administer Oxygen C) Administer sublingual nitroglycerin D) Obtain an ECG	Edit
4521	Schizophrenia is also known as	A) Hysteria B) Split personality C) Week personality D) Strong personality	Edit
4522	Measles is caused by	A) Human Herpes Virus 3 B) RNA paramyxovirus C) Orthomyxovirus D) Toga virus	Edit
4523	Drug to prevent mother to child transmission (PMTCT) is	A) Zidovudine B) Delaviridine C) Enfluritide D) Maraviroc	Edit
4524	Marasmus, Kwashiorkor and Marasmic Kwashiorkor are the forms of	A) Mild PEM B) Moderate PEM C) Severe PEM D) All of the above	Edit
4525	Which of the following is not correct?	A) Condom : Dhaal B) Spermicide: Kamal chakki C) Oral pills : Nilocon D) IUCD : Sangini	Edit
4526	Each 100 grams of sarbottam pitho contains about	A) 117 calories B) 350-370 calories C) 450-470 calories D) 670 calories	Edit
4527	MC cause of abortion in first trimester is, defect in:	A) Placenta B) Uterus C) Embryo D) Ovarian	Edit
4528	The incubation period of scrub typhus is about	A) 5-12 hours B) 2-10 days C) 10-12 days D) 2- 6 days	Edit
4529	Fever in malaria is due to	A) Exo erythrocytic phase B) Pre erythrocytic phase C) Erythrocytic phase D) Sporogony phase	Edit
4530	Most common Vector Borne Disease is	A) Malaria B) Filaria C) Dengue D) Kala azar	Edit
4531	Which of the following mineral influences would healing?	A) Vit C B) Zinc C) Vit D D) All of the above	Edit
4532	In case of cobra bite, the main effects is in	A) Blood B) Heart C) Nervous system D) Kidney	Edit
4533	Action of chlorine is maximum when water pH is around	A) 3 B) 5 C) 7 D) 9	Edit
4534	Which of the following is a noncommunicable Disease?	A) Rheumatic Fever B) Infective hepatitis C) Tetanus D) Diphtheria	Edit
4535	Community medicine is a new term for	A) Community health B) Public Health C) Preventive medicine D) All of the above	Edit
4536	School Health education program can be effectively run by	A) Doctors B) Health Assistant C) Nurses D) School teachers	Edit
4537	The serious membrane which covers the lungs is called	A) Pericardium B) Periosteum C) Pleura D) Peritoneum	Edit
4538	The longest part of alimentary canal is	A) Duodenum B) Jejunum C) Ileum D) Colon	Edit
4539	ABO system of blood grouping was discovered by	A) William Harvey B) Christian Bernard C) Karl Landsteiner D) Ronald ross	Edit
4540	Which leave can be stored unlimited?	A) Home leave B) Festival leave C) Sick leave D) Extra service leave	Edit
4541	Monitoring is a part of..	A) Program evaluation B) Program planning C) Program implementation D) Process of strategies making	Edit
4542	The following are the main features of primary health care except :	A) Essential health care B) Universal accessible C) Acceptability D) Physician mediated	Edit
4543	Hospital level monthly reporting form falls under	A) HMIS 9.2 B) HMIS 9.3 C) HMIS 9.4 D) HMIS 9.5	Edit
4544	The most common side effect of NSAIDS is:	A) Gastritis B) Metallic taste C) Ototoxicity D) Optic neuritis	Edit
4545	Which of the following Antitubercular drug is administered before meal?	A) INH B) Ethambutol C) Pyrizinamide D) Rifampicin	Edit
4546	Murphy's triad consists of all except	A) Diarrhoea B) Pain C) Fever D) Vomiting	Edit
4547	Site of pneumococal conjugate vaccine is	A) Left thigh B) Right arm C) Left arm D) Right thigh	Edit
4548	Full form of SLE	A) Systematic lupus ecthyma B) Systemic lupus Erosion C) Systemic lupus erythema D) Systemic lupus Erythematosus	Edit
4549	The health worker is performing an abdominal assessment, which assessment should perform at first?	A) Auscultation B) Inspection C) Palpation D) Percussion	Edit
4550	Urticaria can be treated by :	A) Corticosteroid B) Antihistamines C) Antibiotics D) None of the above	Edit
4551	Sign of left sided CCF is	A) Swelling of feet B) Ascitis C) Pulmonary oedema D) Hepatomegaly	Edit
4552	The most commonly affected gland in mump is :	A) Submandibular gland B) Parotid gland C) Sublingual gland D) All of the above	Edit
4553	Which is not the major criterion for diagnosis of AIDS according to WHO?	A) Weight loss > 10% of TBW B) Diarrhoea> 1 month C) Fever > 1 month D) Cough > 1 months	Edit
4554	Most effective Family planning contraceptive device?	A) IUCD B) Implant C) Depo D) Condom	Edit
4555	Which of the mineral deficiency is associated with mental health?	A) Calcium B) Iron C) Zinc D) Iodine	Edit
4556	A female completely unable to fertile is called:	A) Sterilization B) Infertility C) Sterility D) Impotence	Edit
4557	Which is not the common cause of neonatal mortality?	A) Birth asphyxia B) Syphilis C) Diarrhoea D) Low birth weight	Edit
4558	Scrub typhus is caused by	A) Trmobiculid mite B) Group A arbo virus C) Orienta tsu tsu gamushi D) None	Edit
4559	Chikunguniya is caused by	A) Group A arbo virus B) Group B arbo virus C) Both D) Flavi virus	Edit
4560	Diethyl-carbamazine (DEC) is used for:	A) Filariasis B) Kalazar C) Leprosy D) Pnemonia	Edit
4561	Which is not symptom of Shock?	A) Hypotension B) Dizziness C) Cold extremities D) Thirsty	Edit
4562	Epistaxis is commonly in 60 years male due to:	A) Foreign body B) Bleeding disorder C) Nose picking D) Hypertension	Edit
4563	Strength of sewage is expressed in terms of all except:	A) Biological oxygen demand B) Chemical oxygen demand C) E. Coli D) Suspended solids	Edit
4564	Backward looking is study in..	A) Cohort study B) Ecological study C) Case control study D) Cross sectional study	Edit
4565	Informal communication is commonly known as _	A) Downward communication B) Upward communication C) Horizontal communication D) Grapevine	Edit
4566	In Nepal, the best media of communication is	A) Radio B) Television C) Film D) Magazines	Edit
4567	Ear is supplied by:	A) Vestibulocochlear nerve B) Optic nerve C) Hypoglossal nerve D) Olfactory nerve	Edit
4568	Homologus organ of vas deference:	A) Round ligament B) Labia minora C) Para urethral gland D) Penis	Edit
4569	Which one is Micro muscle?	A) Platysm B) Latsimus dorsi C) Arector pillorum D) Palmer brevis	Edit
4570	"Theory of 4 humour" is related to which system of medicine	A) Allopathic B) Ayurvedic C) Homeopathic D) Unani	Edit
4571	'Culture is the hardwork of man and medium through which he achieved his ends" is defined by	A) .E. B Taylor B) Malinowski C) Margaret William. D) M.C Nile	Edit
4572	Which of the following is the Choice of drug for mild headache and fever(100° F) ?	A) Ibuprofen B) Paracetamol C) Both A and B D) Ibuprofen and codein	Edit
4573	Ranitidine is	A) anticholinergic B) H2 receptor antagonist C) Proton pump inhibitors D) Prostaglandin analogues	Edit
4574	If the body temperature suddenly falls to the normal, it is called.....	A) Lysis B) Crisis C) Hypothermia D) Hyperthermia	Edit
4575	Most common cause of Acute pancreatitis?	A) Idiopathic B) Gall stones C) Alcohol D) Autoimmune	Edit
4576	Ringworm is an example of	A) Infection B) Infestation C) Contamination D) Sepsis	Edit
4577	Barrel shaped chest is seen in	A) Emphysema B) Chronic bronchitis C) Pneumothorax D) Rickets	Edit
4578	Myocardial infarction is due to	A) Thickening of arterial wall B) Loss of elasticity of arterial wall C) Sudden interruption of blood flow to myocardium D) Clot formation in coronary artery	Edit
4579	All of the following are blood parasite except,	A) Plasmodium B) Tenia solium C) Wuchereria D) Leishmania	Edit
4580	Leprosy is not transmitted	A) By droplet infection B) During breastfeeding C) During labour D) During pregnancy	Edit
4581	The causative agent of Influenza is	A) Paramyxovirus B) Myxovirus C) Orthomyxovirus D) Parvo virus	Edit
4582	Kangaroo mother care is method of caring for all except	A) LBW infants B) Preterm infants C) Post-partum mother D) Infants with hypothermia	Edit
4583	A 1 month male child was brought to you with fast breathing and severe chest indrawing, he is unable to suck milk. how you will classify the Child as per CBIMNCI guideline?	A) Pneumonia B) Severe pneumonia C) Severe dehydration D) Possible severe bacterial infection	Edit
4584	Oral contraceptives may prevent all of the following except	A) Ectopic pregnancy B) Ovarian cancer C) Endometriosis D) Breast Cancer	Edit
4585	Partograph in labour should start to fill.	A) Soon after full dilation of cervix B) From the beginning of Active phase C) When true labour pain starts D) When cervix is 5cm dilated	Edit
4586	Which is not true about Dengue fever?	A) Low grade fever B) Retro orbital pain C) Muscle and joint pain D) Photophobia	Edit
4587	Insulin is given at the angle of	A) 15° B) 30° C) 45° D) 90°	Edit
4588	What does P refers in AVPU?	A) Previous response B) Pupillary response C) Painful response D) Patient response	Edit
4589	For Infant and child, CPR with and ratio of chest compression and ventilation should be	A) 15:1 B) 15:2 C) 30:1 D) 30:2	Edit
4590	The problem of waste disposal in rural area can be solved by	A) Sanitary latrine B) Composting C) Manure pit D) Dumping	Edit
4591	A patient with cough for more than 2 weeks and fever comes to the DOTS clinic, which level of prevention you would apply in this case?	A) Primary prevention B) Secondary prevention C) Tertiary Prevention D) Primordial prevention	Edit
4592	Highest point of Health Spectrum is	A) Better Health B) Positive Health C) Normal Health D) None	Edit
4593	Which of the following is not the area of healthful school environment?	A) Latrin construction B) Safe drinking water C) Waste management D) First aid services	Edit
4594	Diaphragm is	A) Skeletal muscle B) Smooth muscle C) Ligament D) Cartilage	Edit
4595	All Hormones acting on kidney, except	A) Aldosterone B) ADH C) Parathormone D) Renin	Edit
4596	Which of the following Vitamin has Anticoagulant action?	A) Vit C B) Vit B2 C) Vit D D) Vit K	Edit
4597	Which is not the part of small intestine?	A) Duodenum B) Jejunum C) Illium D) None	Edit
4598	Most important Function of bone is	A) Protection of Vital organs B) Provide posture to our body C) Haemopoiesis D) Storage of Calcium and phosphorus	Edit
4599	Dental formula of Adult is	A) 2102 B) 2123 C) 2122 D) 2132	Edit
4600	Conversion of glucose to glycogen is called....	A) Glycolysis B) Gluconeogenesis C) Glycogenesis D) Glycogenolysis	Edit
4601	Delusion is a disorder of	A) Form of thought B) Content of thought C) Form of belief D) Content of belie	Edit
4602	Epistaxis can result due to lack of	A) Vit A B) Vit B C) Vit C D) Vit K	Edit
4603	Jaundice is seen in	A) Palpebral conjunctiva B) Bulbar conjunctiva C) Cornea D) All of the above	Edit
4604	Most common cause of maternal mortality in Nepal	A) Post partum haemorrhage B) Toxemia of pregnancy C) Puerperal sepsis D) Obstructed labour	Edit
4605	What is the normal duration of the pregnancy?	A) 266 days B) 277 days C) 280days D) 294 days	Edit
4606	Referral of burn case in adult required when burn is more than?	A) 10% B) 15% C) 20% D) 25%	Edit
4607	Release of toxin by bacteria after multiplication in blood stream is called....	A) Toxemia B) Bacteremia C) Pyemia D) Septicemia	Edit
4608	All are true about Hydrocele except	A) Fluctuation test positive B) Cough impulse positive C) Transillumination test positive D) Getting above swelling positive	Edit
4609	Fastest route of drug Absorption is	A) Topical B) Inhalational C) Intramuscular D) Intravenous	Edit
4610	Which of the following is an opioid Analgesics	A) Aspirin B) Diclofenace C) Codein D) Ibuprofen	Edit
4611	Most common cause of Tinea infection is	A) Trichophyton B) Epidermophyton C) Microsporum D) tinea concentrium	Edit
4612	High mortality is seen in	A) Early onset neonatal sepsis B) Late onset neonatal sepsis C) Mid onset neonatal sepsis D) None of the above	Edit
4613	Weight of child less than 2 years is measured by	A) Infantometer B) Stadiometer C) Bathroom scale D) Salter scale	Edit
4614	Movement of water from it's higher concentration to lower concentration through semi permeable membrane is called	A) Osmosis B) Diffusion C) Filteration D) Active transport	Edit
4615	Most common site of flask shape ulcer is	A) Caecum B) ascending colon C) Sigmoid colon D) Transverse colon	Edit
4616	Which is not the freeze dried vaccine?	A) BCG B) MR C) DPT D) J.E	Edit
4617	Most sensitive cardiac enzyme for MI is	A) Troponin B) CK-MB C) LDH D) G-6PD	Edit
4618	Which is not the POSDCoRB function of management?	A) Directing B) Recording C) Reporting D) Staffing	Edit
4619	Which is correct about Roger's model of Adoption?	A) Adoption - Interest- evaluation - trial - awareness B) Awareness - trial- Interest - evaluation - Adoption C) Awarness- Evaluation - trial- Interest - Adoption D) Awareness - interest - Evaluation - trial-adoption	Edit
4620	Most important essential Fatty acid is	A) Arachidonic acid B) Palmitic acid C) Linoleic acid D) Linolenic acid	Edit
4621	Torniquet test is done in	A) Malaria B) KALA-AZAR C) Dengue D) Filariasis	Edit
4622	Koplik's spot is seen in	A) Rubeola B) Rubula C) Varicella D) Rubella	Edit
4623	Which is not a communicable disease?	A) Tetanus B) Polio C) Rabies D) Cervical cancer (due to Human papilloma Virus 16, 18)	Edit
4624	Soiling index is used to measure	A) Soil pollution B) Water pollution C) Air pollution D) Heat temperature	Edit
4625	How many countries were participated in Alma ata conference?	A) 134 B) 187 C) 189 D) 194	Edit
4626	Total number of vertebral column	A) 1 B) 32 C) 33 D) 34	Edit
4627	Most active layer of epidermis	A) Stratum corneum B) Stratum lucideum C) Stratum granulosum D) Stratum spinosum	Edit
4628	Knee joint is which type of Synovial joint?	A) Ball and socket joint B) Condyloid joint C) Hinge joint D) Pivot joint	Edit
4629	Most common cause of Secondary PPH?	A) Retained placenta B) Uterine Atony C) Sepsis D) Trauma	Edit
4630	Which of the following is false regarding physiological changes during pregnancy?	A) Increased Heart Rate B) Increased Cardiac Output C) Increased stroke volume D) Increased Blood pressure	Edit
4631	Folic acid supplementation reduces the risk of	A) Toxemia of pregnancy B) Placenta previa C) Neural tube defects D) Down's syndrome	Edit
4632	Dental plaque is formed by reaction of enzymes on	A) Glucose and proteins B) Sucrose and liquids C) Glucose and lipids D) Sucrose and saliva	Edit
4633	A person who can't see the near object clearly is likely to use?	A) Convex lens B) Concave lens C) Bifocal lens D) Cylindrical lens	Edit
4634	Which mirror is used in ENT department	A) Concave mirror B) Convex mirror C) Plain mirror D) None of the above	Edit
4635	Most common type of renal stone	A) Calcium phosphate B) Uric acid C) Struvite stone D) Calcium oxalate	Edit
4636	Most common site for intussusception	A) Ileo ileal B) Ileo colic C) Ileo ileo colic D) Colo colic	Edit
4637	Composition of Benzoic acid and salicylic acid in Whitefield Ointment?	A) 3% benzoic acid+ 6% salicylic acid B) 6% benzoin acid+ 3% Salicylic acid C) 5% benzoic acid+ 4% salicylic acid D) 4% benzoic acid+ 5% salicylic acid	Edit
4638	Most common type of fracture in child is	A) Greenstick fracture B) Colle's fracture C) Smiths fracture D) Neck of femur fracture	Edit
4639	Best site for taking temperature in newborn is	A) Axilla B) Oral C) Rectum D) Parenteral	Edit
4640	Most common complication of Diabetes Mellitus	A) Nephropathy B) Neuropathy C) Retinopathy D) Stroke	Edit
4641	Tubular Heart is seen in	A) Chronic bronchitis B) Emphysema C) Asthma D) Pneumothorax	Edit
4642	Which is also known as "lick the joint and bite the heart'	A) Rheumatic Fever B) Rheumatic Heart Disease C) Rheumatoid Arthritis D) Osteoarthritis	Edit
4643	Vit C is	A) Niacin B) Thiamine C) Ascorbic Acid D) biotin	Edit
4644	Which is not the danger sign of newborn?	A) Unconsciousness B) Hypothermia C) Fever D) Severe chest indrawing	Edit
4645	Dose of Human Rabies immunoglobulin is	A) 20 IU/Kg B) 40 IU/Kg C) 60 IU/Kg D) 80 IU/Kg	Edit
4646	Flight range of Culex mosquito is	A) 50 yard B) 11 Km C) 100 m D) 3-5 km	Edit
4647	Primaquine is contraindicated in	A) Pregnancy B) Infants C) G-6PD deficiency D) All of the above	Edit
4648	Chandler's Index is used in the epidemiological studies of	A) Roundworm B) Hookworm C) Whipworm D) Tapeworm	Edit
4649	Prevalence of TB disease is determined by	A) Sputum smear B) Clinical examination C) Cheat X ray D) Mantoux test	Edit
4650	Which of the following Disease shows the iceberg phenomenon?	A) Tetanus B) TB C) Measles D) Rubella	Edit
4651	First step of community Diagnosis in community is	A) Planning B) Data collection C) Sampling D) Rapport Building	Edit
4652	How many federal Hospitals are there in Nepal?	A) 20 B) 25 C) 30 D) 35	Edit
4653	The person who sends message is known as	A) Sender B) Receiver C) Message D) Communicator	Edit
4654	Most popular methods of community Diagnosis is	A) Household survey B) PRA C) RRA D) All of the above	Edit
4655	FCHV register is used as	A) HMIS 4.1 B) HMIS 4.2 C) HMIS 4.3 D) HMIS 4.4	Edit
4656	First major Health service provided by PHC/ORC in F.Y 2077/78 is	A) First Aid service B) Newborn care C) Condom distribution D) Health Education	Edit
4657	Nepal is declared as polio free in	A) 25 march 2014 B) 27 march 2014 C) 24 March 2018 D) 24 April 2018	Edit
4658	Bir hospital was established in	A) 937B.S B) 1957 B.S C) 1947 B.S D) 1997 B.S	Edit
4659	Most common Presentation of fetus in utero is	A) Vertex B) Breech C) shoulder D) Cephalic	Edit
4660	Most common cause of Abortion is	A) Genetic B) Anatomical C) Infections D) Endocrinal	Edit
4661	Most popular Family Planning Method?	A) Minilap B) Implant C) Depo D) IUCD	Edit
4662	Most common cause of Dental caries is	A) Dental Calculus B) Dental plaque C) Vit D deficiency D) Periodontitis	Edit
4663	First symptoms of xerophthalmia	A) Night Blindness B) Bitot's spot C) Conjunctival Xerosis D) Corneal xerosis	Edit
4664	Cart wheel like appearance is seen in	A) ASOM B) CSOM C) OME D) DNS	Edit
4665	Murphy's triad syndrome is related to	A) Acute cholecystitis B) Acute pancreatitis C) Acute appendicitis D) Peritonitis	Edit
4666	Most common site of carbuncles	A) Face and back of neck B) Axilla C) Scalp D) Palm and sole	Edit
4667	Most common type of tinea infection	A) tinea pedis B) Tinea corporis C) Tinea capitis D) Tinea cruris	Edit
4668	Most common type of shock	A) Neurogenic shock B) Cardiogenic shock C) Anaphylactic shock D) Hypovolemic Shock	Edit
4669	Most serious Heat injury is	A) Heat stroke B) Heat Exhaustion C) Hyperpyrexia D) Heat syncope	Edit
4670	Most powerful mechanism of fluid and electrolyte balance is	A) Thirst mechanism B) Osmoreceptor mechanism C) Renin Angiotensin Aldosterone System D) Parathormone	Edit
4671	Most commonly affected organ of hypertension	A) Brain B) Heart C) Kidney D) Eye	Edit
4672	Pedigree chart is drawn under	A) Past History B) Family History C) Personal History D) Drug history	Edit
4673	Burning foot syndrome is due to deficiency of	A) Vit B3 B) Vit B5 C) Vit B7 D) Vit B9	Edit
4674	Which is not true about physiological jaundice?	A) Self limiting jaundice B) Occurs After 24 hours and before 14 days C) Conjugated bilirubin usually rise D) Baby is well and active	Edit
4675	Target Age group for Immunization?	A) 0-23 months B) 0-15 months C) 0-12 months D) 0-5 years	Edit
4676	How much Bleaching powder is required to disinfect 100 litre water?	A) 2.5 gm B) 2.5 mg C. 250 mg C) 250 mg D) 25 mg	Edit
4677	Which of the following serological marker is the first evidence of Hepatitis B infection?	A) HBsAg B) HBeAg C) Anti HBs D) Anti HBe	Edit
4678	Tripod sign is seen in	A) nfluenza B) Dengue C) Poliomyelitis D) measles	Edit
4679	Drug of choice for cholera is	A) Doxycycline B) Tetracycline C) Azithromycin D) Ciprofloxacin	Edit
4680	____ is the process to invade and multiplication of microorganism in the body of animal or man.	A) Infectivity B) Infection C) Infestation D) Pathogenicity	Edit
4681	Which is not belongs to 6 logistics right?	A) Right good B) Right coat C) Right time D) Right person	Edit
4682	According to the latest National Health policy, Basic Health Service center should be available in.	A) Ward level B) Local level C) Province level D) National level	Edit
4683	Most effective method of learning is	A) Learning by doing B) Learning by repetition C) Learning by hearing D) Learning by imitation	Edit
4684	Which is not the Socratic method of communication?	A) Interview B) Symposium C) Panel Discussion D) Workshop	Edit
4685	What is nuclear Family?	A) Husband and wife with unmarried child B) Husband and wife with married child C) More than 2 couple with unmarried child D) More than 2 couple with married child	Edit
4686	World mosquito Day is celebrated on	A) 20 August B) 29 September C) 24 march D) 25 April	Edit
4687	MDG 5 is related to	A) Improve Maternal Health B) Reduce Child mortality C) Combat Communicable Disease D) Global partnership	Edit
4688	AEFI stands for	A) Adverse Effect Following Immunization B) Adverse Event following Immunization C) Adverse Effect for Immunization D) Adverse Event for Immunization	Edit
4689	Which of the following is not the probable sign?	A) Godell's sign B) Quickening C) Hegar's sign D) UPT Positive	Edit
4690	How many chromosomes are present in sperm?	A) 1 pair B) 22 pair C) 23 D) 23 pair	Edit
4691	Most common site for ectopic pregnancy is	A) Ampulla B) Abdomen C) Ovary D) Cervix	Edit
4692	Delusions are seen in all of the following except	A) Depression B) Schizophrenia C) Conversion Disorder D) Dementia	Edit
4693	Chalazion affects	A) Meibomian gland B) Gland of Zeis C) Moll D) All of the above	Edit
4694	What is the normal IOP?	A) 10-15 mm of Hg B) 15-20 mm of Hg C) 20-25 mm of Hg D) 25-30 mm of Hg	Edit
4695	Most common cause of Large intestine obstruction is	A) Intestinal Adhesions B) Volvolus C) Neoplasia D) Intussusception	Edit
4696	Omphalosis is____hernia	A) Inguinal B) Femoral C) Umbilical D) All of the above	Edit
4697	Most common Cause of impetigo is	A) Staphylococci B) Pseudomonads C) Streptococci D) Pneumococci	Edit
4698	Minimum Score of GCS is	A) 0 B) 3 C) 15 D) 8	Edit
4699	Antidotes for Aspirin poisoning	A) Glucagon B) Calcium gluconate C) Dimercaprol D) Sodium Bicarbonate	Edit
4700	All of the following are observed in Marasmus except;	A) Hepatomegaly B) Muscle wasting C) Low insulin level D) Extreme weakness	Edit
4701	Most lethal complications of peptic ulcer is	A) Haemorrhage B) Perforations C) Gastric outlet obstruction D) None of the above	Edit
4702	Furosemide causes	A) Hyperkalemia B) Hypokalemia C) Hyponatremia D) Hypernatremia	Edit
4703	Deficiency of Vitamin C causes	A) Anemia B) Scurvy C) Spongy gums D) All of the above	Edit
4704	Most common cause of Diarrhoea in infants and children is	A) Rota virus B) E.coli C) Shigella D) Adenovirus	Edit
4705	Most sensitive measure of growth is	A) Height B) Weight C) Head circumference D) Chest circumference	Edit
4706	Plaque undergoes	A) Trans ovarian cycle B) Propagative cycle C) Cyclo developmental cycle D) Cyclo propagative	Edit
4707	Which is true about typhoid?	A) Female carriers are less common B) Male carriers are less but more danger C) Gall bladder usually not involved in carrier state D) Tetracycline is the DOC for carriers	Edit
4708	Kala azar can be treated with	A) Quinine B) Sodium stibogluconate C) Meltifosin D) Both B and C	Edit
4709	All are water borne disease except	A) Typhoid B) Cholera C) Malaria D) Infective hepatitis	Edit
4710	Which is not the direct transmission	A) Droplet infection B) Droplet nuclei C) Direct contact D) Vertical	Edit
4711	How many goals are there in SDG?	A) 169 B) 8 C) 17 D) 231	Edit
4712	Basic training of FCHV is about	A) 18 days B) 10 days C) 9 days D) 1 month	Edit
4713	D in GALIDRAA stands for. [ HA PSC 2078]	A) Discuss B) Decide C) Demonstrate D) Discipline	Edit
4714	Which is best mortality indicator?	A) Age specific death rate B) Proportional mortality rate C) Crude death rate D) Under 5 mortality rate	Edit
4715	Who is the Father of management?	A) Max Weber B) Henry fayol C) F.W Taylor D) Luther Guillic	Edit
4716	The ASL of Health office is	A) 1 months B) 3 months C) 6 months D) 10 months	Edit
4717	Transport incentive for mother in Terai is	A) 1000 B) 2000 C) 3000 D) 4000	Edit
4718	What is the slogan of World Tuberculous Day 2023?	A) We can end the TB B) Yes, we can end the TB C) End the TB D) None of the above	Edit
4719	Softening of uterus is called	A) Goodle's sign B) Hegar sign C) Ossinder sign D) Ossinder sign	Edit
4720	foetal Kidney start producing urine by	A) 6 weeks B) 12 weeks C) 18 weeks D) 24 weeks	Edit
4721	First sign of puberty in female is	A) Thelarche B) Pubarche C) Adenarche D) Menarche	Edit
4722	Rule of ten is related to	A) Cleft lip B) Cleft palate C) Spina bifida D) None of the above	Edit
4723	Most common ENT emergency in Nepal isf	A) Epistaxis B) Sinusitis C) Epiglottitis D) Chocking	Edit
4724	SAFE strategy is related to	A) Glaucoma B) Trachoma C) Cataract D) Xerophthalmia	Edit
4725	Most common site for epistaxis	A) Little's area B) Woodruffs area C) Keisselbach's plexus D) Both A and C	Edit
4726	Most common hernia in female	A) Femoral hernia B) Indirect inguinal hernia C) Epigastria hernia D) Direct inguinal hernia	Edit
4727	The most common cancer in female is	A) Breast cancer B) Cervix cancer C) Colon cancer D) Stomach cancer	Edit
4728	Any single area of damage or abnormal change in skin is	A) Macule B) Ulcer C) Lesion D) Rash	Edit
4729	The initial response of tissue after injury is	A) Immediate vasodilation B) Transient vasodilation C) Immediate vasoconstriction D) Transient vasoconstriction	Edit
4730	Blood seen in sputum is called	A) Haemoptysis B) Melena C) Hematemesis D) Hemothorax	Edit
4731	Diabetes mellitus is caused by	A) Increased glucose level In blood B) Decreased use of glucose by body cells C) Excessive passage of glucose in urine D) Lack of insulin hormone in body	Edit
4732	One pint of blood is equal to	A) 450 ml B) 480 ml C) 750 ml D) 600 ml	Edit
4733	Most abundant Mineral in nature is	A) Calcium B) Fluoride C) Iron D) Sodium	Edit
4734	Most common cause of Neonatal seizure	A) Hypoglycaemia B) Hypoxic Ischemic Encephalopathy C) Fever D) None of the above	Edit
4735	Which of the following is not included in CBIMNCI?	A) HIV/AIDS B) Malaria C) ARI D) TB	Edit
4736	Hardness of water is due to all except	A) Sulphates B) Nitrates C) Chlorides D) Phosphates	Edit
4737	Which of the following is not the arbo viral disease?	A) Dengue B) Yellow fever C) Epidemic typhus D) JE	Edit
4738	Gonococcus is not involved in	A) Cervix B) Testis C) Fallopian tube D) Ovary	Edit
4739	In an epidemic, the first case come to the notice of the investigator is,	A) Index case B) Primary case C) Secondary case D) Tertiary case	Edit
4740	'Dew drop rash' is the feature of	A) Measles B) Chicken pox C) Mumps D) Typhoid	Edit
4741	Efficient media of Health Education is	A) Television B) Radio C) Internet D) Milking	Edit
4742	Most important component of supervision is__	A) Suggestion B) Motivation C) Planning D) Directio	Edit
4743	Training duration of Anaesthesia Assistant is	A) 1 year B) 2 year C) 3 year D) 3 months	Edit
4744	5. Which of the following is not the elements of PHC?	A) Essential Health education B) Control of local Epidemic disease C) Safe water supply and environmental sanitation D) Essential drug supply	Edit
4745	4. Most important goal of MDG is	A) A. Improve maternal health B) B. Reduce child mortality C) C. Eradicate poverty and hunger D) D. Ensure environmental sustainability	Edit
4746	3. What is the reporting status of Health post in F.Y 2077/78?	A) A. 80% B) B. 90% C) C. 99% D) D. 100%	Edit
4747	. Which of the following is not included in 1 vial per session policy?	A) A. MR B) B. BCG C) C. JE D) D. OPV	Edit
4748	1. CBIMCI program expanded all over the country in___	A) A. 2008/09 B) B. 2009/10 C) C. 2010/11 D) D. 2011/12	Edit
4749	Plotting on partograph begins at:	A) Active phase of first stage B) Latent phase of first stage C) When cervix fully dilates D) When woman admitted to labor room	Edit
4750	Breastfeeding should be started:	A) Within 1 hour B) Within 2 hours C) Six hours D) Ten hours	Edit
4751	First step for tonic-clonic seizure:	A) Restrain arms and legs B) Elevate head C) Place tongue blade D) Prevent safety hazards	Edit
4752	Comprehensive community health status assessment is:	A) Community government B) Community participation C) Community development D) Community diagnosis	Edit
4753	SDG target for under-five mortality:	A) Below 25/1000 live births B) Below 15/1000 live births C) Below 12/1000 live births D) Below 5/1000 live births	Edit
4754	Nepal law allows abortion for defective embryo up to:	A) 12 weeks B) 22 weeks C) 18 weeks D) 28 weeks	Edit
4755	Preterm baby is defined as born before:	A) 37 incomplete weeks B) 37 completed weeks C) 40 incomplete weeks D) 40 completed weeks	Edit
4756	Nutritional supplement to prevent pre-eclampsia:	A) Iron B) Protein C) Calcium D) Vitamin D	Edit
4757	Disease not transmitted by mosquito:	A) Yellow fever B) Kala-azar C) Malaria D) Filariasis	Edit
4758	Family planning method with least failure:	A) OCP B) IUCD C) Vasectomy D) Depo-provera	Edit
4759	Acute lung inflammation caused by infection is:	A) Pneumothorax B) Pleurisy C) Pneumonia D) Tuberculosis	Edit
4760	"Infectious hepatitis" is:	A) Hepatitis A B) Hepatitis B C) Hepatitis C D) Hepatitis E	Edit
4761	Bluish spot on newborn’s back/buttock:	A) Milia B) Mongolian Spot C) Erythema toxicum D) Rash	Edit
4762	Misinterpretation of real external stimuli is:	A) Delusion B) Illusion C) Hallucination D) Concrete	Edit
4763	Major criteria for rheumatic fever diagnosis exclude:	A) Carditis B) Fever C) Polyarthritis D) Erythema marginatum	Edit
4764	Ideal dose of Vitamin A at 9 months:	A) 50,000 IU B) 100,000 IU C) 200,000 IU D) 75,000 IU	Edit
4765	Pentavalent vaccine does not include:	A) Haemophilus influenza type A B) Hepatitis B C) Tetanus D) Diphtheria	Edit
4766	First step of large scale water purification:	A) Storage B) Filtration C) Disinfection D) Boiling	Edit
4767	Primipara's EDD (LMP 2080/05/26):	A) 2081/02/02 B) 2081/02/03 C) 2081/02/04 D) 2081/04/03	Edit
4768	Recommended postnatal visit schedule is:	A) Within 24 hr, 2–3 days, 7 days, 28 days B) Within 6 hr, 7 days, 28 days, 42 days C) Within 48 hr, 5 days, 9 days, 42 days D) Within 24 hr, 2–3 days, 7 days, 29 days	Edit
4769	"Bag techniqueq" is used for!	A) Family planning B) Community diagnosis C) Home visit D) Sterilization	Edit
4770	Transmission from mother to child during pregnancy is:	A) Vehicle borne B) Vector borne C) Horizontal transmission D) Vertical transmission	Edit
4771	नेपाल नर्सिङ परिषद् ऐन २०५२ को कुन दफामा परिषद्को गठन व्यवस्था गरिएको छ?	A) दफा २ B) दफा ३ C) दफा ४ D) दफा ५	Edit
4772	Domestic Violence Act of Nepal launched in:	A) 2003 AD B) 2006 AD C) 2009 AD D) 2012 AD	Edit
4773	Unlawful threat to inflict immediate harm is called:	A) Mayhem B) Assault C) Robbery D) Battery	Edit
4774	Second stage of labor pain begins with:	A) Onset of true labor pain B) Delivery of placenta C) Birth of baby D) Full dilatation of cervix	Edit
4775	Rapid fetal growth occurs at:	A) First trimester B) Second trimester C) Third trimester D) Equal in all trimesters	Edit
4776	First system developed during embryogenesis:	A) Digestive system B) Reproductive system C) Musculoskeletal system D) Cardiovascular system	Edit
4777	Child able to sit without support and pronounce bi-syllables is aged:	A) 3 months B) 7 months C) 6 months D) 9 months	Edit
4778	Most common cause of first trimester abortion:	A) Chromosomal abnormalities B) Infection C) Poor immunity D) Anatomical abnormalities	Edit
4779	Rapid screening of children upon hospital arrival is called:	A) Investigation B) Triage C) Rehabilitation D) Admission	Edit
4780	Providing physiotherapy to poliomyelitis patient is:	A) Primordial prevention B) Primary prevention C) Secondary prevention D) Tertiary prevention	Edit
4781	Abnormalities with prolapse of anterior vaginal wall includes except:	A) Rectocele B) Cystocele C) Urethrocele D) Cysto-urethrocele	Edit
4782	Irregular, acyclic uterine bleeding is called:	A) Dysmenorrhoea B) Polymenorrhoea C) Metrorrhagia D) Menorrhagia	Edit
4783	Most common cause of antepartum hemorrhage:	A) Placenta previa B) Vasa previa C) Atonicity of uterus D) Ruptured uterus	Edit
4784	In cephalic presentation, most common presenting part:	A) Face B) Brow C) Occiput D) Vertex	Edit
4785	Volume of blood in mature placenta:	A) 150 ml B) 350 ml C) 500 ml D) 750 ml	Edit
4786	Visual Inspection with Acetic acid (VIA) is a test for screening:	A) Leprosy B) Tinea infection C) Cervix cancer D) Skin cancer	Edit
4787	Ill-eased palpation at 8 weeks of gestation is called:	A) Chadwick sign B) Osiander sign C) Goodell's sign D) Hager's sign	Edit
4788	Diagnostic test to detect hemolytic disease of newborn (Rh incompatibility):	A) Rose water test B) Direct Coomb's test C) Paul Bunnel's test D) ABG test	Edit
4789	Symptom signifying bad prognosis in head injury:	A) Development of fever B) Beginning of vomiting C) Increased frequency of micturition D) Development of chest pain	Edit
4790	High flow oxygen can be delivered by:	A) Nasal canula B) Nasal prongs C) Simple face mask D) Venturi mask	Edit
4791	Redness of skin without blisters is characterized by which stage of pressure ulcer?	A) Decubitus ulcer B) Stage-I C) Stage-III D) Stage-IV	Edit
4792	Most accurate site for taking temperature is:	A) Oral B) Axilla C) Rectal D) Groin	Edit
4793	The important aspect of aseptic technique is:	A) Hand washing B) Gown technique C) Use mask D) Use of gloves	Edit
4794	Which is a risk factor for osteoporosis?	A) Use of NSAIDs B) Use of analgesics C) Prolonged use of glucocorticoids D) Anticoagulant therapy	Edit
4795	Which enzyme helps in digestion of fat?	A) Amylase B) Peptidase C) Lipase D) All of the above	Edit
4796	What is the functional unit of the liver?	A) Hepatocytes B) Acinus C) Sinusoid D) Nephron	Edit
4797	Foramen magnum is found in:	A) Temporal bone B) Parietal bone C) Frontal bone D) Occipital bone	Edit
4798	What is the average vital capacity of the lungs in adult?	A) 1200 ml B) 2500 ml C) 4600 ml D) 5800 ml	Edit
4799	Which is NOT a common symptom of labour?	A) Backache B) Increased appetite C) Contractions D) Water breaking	Edit
4800	First stage of labor is characterized by:	A) Complete dilation of cervix B) Delivery of placenta C) Progressive dilation and effacement of cervix D) Expulsion of fetus	Edit
4801	Recommended age for Typhoid conjugated vaccine (TCV):	A) 9 months B) 12 months C) 15 months D) 23 months	Edit
4802	Symptom seen in bee's bite:	A) Anaphylactic B) Cardiogenic C) Neurogenic D) Psychogenic	Edit
4803	In primary hyperthyroidism hormone pattern is:	A) High T4, High T3, Low TSH B) High T4, High T3, Normal TSH C) High T4, High T3, High TSH D) High T4, Low T3, Low TSH	Edit
4804	Odynophagia means:	A) Painful swallowing B) Difficult swallowing C) Both A and B D) Difficulty in chewing	Edit
4805	नेपालको संविधान अनुसार राष्ट्रपतिको कार्यकाल:	A) 3 वर्ष B) 5 वर्ष C) 6 वर्ष D) 7 वर्ष	Edit
4806	नेपालको हालको संसद कति सदन छ?	A) एक B) दुई C) तीन D) चार	Edit
4807	Most commonly used position for female catheterization:	A) Lithotomy position B) Dorsal Recombinant position C) Trendelenburg position D) Knee chest position	Edit
4808	First step of Nursing process is:	A) Nursing assessment B) Nursing diagnosis C) Nursing planning D) Nursing evaluation	Edit
4809	How many goals and targets in SDG?	A) 12 goals & 164 targets B) 14 goals & 167 targets C) 17 goals & 169 targets D) 17 goals & 178 targets	Edit
4810	Each FCHV gets dress allowance per year:	A) NRs. 5000 B) NRs. 7000 C) NRs. 10,000 D) NRs. 12,000	Edit
4811	CEONC provides all BEONC services along with:	A) Anesthesia B) Caesarean section C) Blood transfusion D) All of the above	Edit
4812	हिमाल र पहाड स्वास्थ्य चौकीमा कर्मचारी दरबन्दी:	A) 5 B) 6 C) 7 D) 8	Edit
4813	36) As per Labour Act 2074, maternity leave (paid) is:	A) 30 days B) 52 days C) 60 days D) 98 days	Edit
4814	35) Most sensitive indicator to measure socioeconomic status:	A) Prevalence B) CMR C) IMR D) CDR	Edit
4815	34) Commonest complication of mumps in children:	A) Pneumonia B) Pancreatitis C) Aseptic meningitis D) Encephalitis	Edit
4816	33) Most reliable test for diabetes mellitus screening:	A) Random blood sugar B) Fasting blood sugar C) Glucose tolerance test D) Urine sugar	Edit
4817	32) Side effects of Furosemide include:	A) Hypokalemia B) Pedal edema C) Shortness of breath D) None	Edit
4818	31) Dose of BCG Vaccine is:	A) 0.1 ml B) 0.5 ml C) 0.01 ml D) 0.05 ml	Edit
4819	30) Latrine suitable for small camp is:	A) Bore hole latrine B) Pit latrine C) Water seal latrine D) Trench latrine	Edit
4820	29) Chlorine demand of water is estimated by:	A) Orthotoluidine test B) Horrock's apparatus C) Parkland formula D) Schick test	Edit
4821	28) A substance that removes dirt and microorganism is called:	A) Disinfectant B) Antiseptics C) Deodorant D) Detergent	Edit
4822	27) Separation of a case during communicable disease is called:	A) Isolation B) Quarantine C) Surveillance D) Monitoring	Edit
4823	26) Infection transmission from man to animal is called:	A) Anthropozoonosis B) Zooanthroponosis C) Epornithitic D) Epizootic	Edit
4824	25) Preterm baby is born before:	A) 37 incomplete weeks of gestation B) 37 completed weeks C) 40 completed weeks D) 40 incomplete weeks	Edit
4825	24) Visual Inspection with Acetic Acid (VIA) is used for screening:	A) Leprosy B) Tinea infection C) Cervix cancer D) Skin cancer	Edit
4826	23) Ideal dose of Vitamin A for 15 months child in National Program:	A) 50,000 IU B) 100,000 IU C) 200,000 IU D) 75,000 IU	Edit
4827	22) नेपाल नर्सिङ परिषद २०५२ अनुसार परिषद सदस्यको पदावधि:	A) 3 वर्ष B) 4 वर्ष C) 5 वर्ष D) 6 वर्ष	Edit
4828	21) राष्ट्रिय खोप तालिका अनुसार FIPV खोप कहिले लगाइन्छ?	A) ६ हप्ता र १० हप्ता B) ६ हप्ता र १४ हप्ता C) १० हप्ता र १४ हप्ता D) १४ हप्ता र ९ महिना	Edit
4829	20) Intravenous injections are given at angle of:	A) 15 degrees B) 30 degrees C) 45 degrees D) 60 degrees	Edit
4830	19) Prevention of emergence of risk factor before disease is called:	A) Primordial prevention B) Primary prevention C) Secondary prevention D) Tertiary prevention	Edit
4831	18) Most common cause of hospital acquired UTI is:	A) Short urethra in females B) Weakened immunity C) Improper catheter care D) Urinary drainage bag	Edit
4832	17) Antidote of opioid poisoning is:	A) Atropine B) 100% oxygen C) Naloxone D) Pyridoxine	Edit
4833	16) WHO defines oligospermia as sperm count per ml below:	A) 10 million B) 15 million C) 20 million D) 50 million	Edit
4834	15) Fear of close places is called:	A) Agoraphobia B) Acrophobia C) Xenophobia D) Claustrophobia	Edit
4835	14) Clinical features of Depression are all EXCEPT:	A) Loss of energy or interest B) Sadness of mood C) Flight of ideas D) Suicidal thoughts	Edit
4836	13) HMIS tool number for Child Health Card (बाल स्वास्थ्य कार्ड):	A) HMIS 2.1 B) HMIS 1.2 C) HMIS 3.2 D) HMIS 4.3	Edit
4837	12) World Rabies Day is celebrated on:	A) 18 September B) 28 September C) 29 September D) 10 September	Edit
4838	11) Ring pessary needs to be changed every:	A) 3 months B) 4 months C) 5 months D) 6 months	Edit
4839	10) According to WHO, period of viability for fetus is: • 20 weeks gestation • 22 weeks gestation • 28 weeks gestation • 12 weeks gestation	A) 20 weeks gestation B) 22 weeks gestation C) 28 weeks gestation D) 12 weeks gestation	Edit
4840	9) During which stage of the menstrual cycle does the endometrium thicken?	A) Secretory phase B) Luteal phase C) Ovulation phase D) Proliferative phase	Edit
4841	8) According to NDHS 2022, % of children aged 12-23 months who did not receive any vaccine:	A) 1% B) 4% C) 78% D) 80%	Edit
4842	7) A 6 months child with fever, cough and chest indrawing brought to health post. Respiratory rate is 57. How to classify as per CB-IMNCI?	A) No pneumonia B) Pneumonia C) Severe pneumonia D) Very severe disease	Edit
4843	6) Modifiable risk factor for hypertension is:	A) Ethnicity B) Age C) Age D) Obesity	Edit
4844	5) Most effective long acting reversible contraception is:	A) Vasectomy B) Implant C) IUCD D) COCP	Edit
4845	4) Which of the following statement is true about VVM in Cold chain?	A) "Vaccine can be used with VVM 1 and 2" even if the expiry date has passed B) "Vaccine can't be used with VVM 1 and 2" even if the expiry date has not passed. C) "Vaccine can't be used with VVM 1 and 2" even if the expiry date has not passed. D) Vaccine can be used with VVM 3 and 4" even if the expiry date has not passed	Edit
4846	3) Main pillars of safe motherhood program is all of the following Except:	A) Family planning B) Antenatal care C) HIV & STI Control D) Screening of cervical cancer	Edit
4847	2) IUCD protects pregnancy by preventing:	A) Ovulation B) Fertilization C) Implantation D) All of the above	Edit
4848	1) In which part of respiratory system gaseous exchange take place?	A) Trachea B) Bronchus C) Alveoli D) Larynx	Edit
4849	The most common hernia in females is	A) Umbilical hernia B) Indirect inguinal hernia C) Femoral hernia D) Direct inguinal hernia	Edit
4850	Strongest muscular wall is possessed by:	A) left atrium B) right atrium C) left ventricle D) right ventricle	Edit
4851	Most common cause of Hypertension is:	A) essential B) renal disease C) heart disease D) adrenal hyperplasia	Edit
4852	Treatment for partial placenta previa?	A) Activity limited to bed rest B) Platelet infusion C) Immidiate cessarian delivery D) Labour induction	Edit
4853	Denominator of Maternal Mortality Ratio (MMR)?	A) Total number of live year birth B) Mid year population C) Total no of death of pregnant D) Population at risk	Edit
4854	Macrophages of kidney is called ……………	A) Mesangial cells B) kuffer cell C) osteoclast D) Dust cell	Edit
4855	Capacitation is the process of	A) Travel of sperm in vas deference B) Travel of sperm in fallopian tube C) penetration wall of ovum by sperm D) breakdown of sperm	Edit
4856	All of the following are mortality indicators, except?	A) Incidence. B) Life expectancy C) IMR D) MMR	Edit
4857	. The main function of amniotic fluid is.	A) To provide nutrition to the fetus B) To help in fetal growth C) To protect the fetus. D) All of the above	Edit
4858	Savlon contains: ...	A) Cetrimide+ Lindane B) Cetrimide + Chloroxylenol C) Chlorhexidine+ Chloroxylenol D) Cetrimide + Chlorhexidine.	Edit
4859	3. A 35 year old male comes to an emergency , After doing ABG analysis, His pH is 7.54, PCO2 is 40 mm of Hg, HCO3 is 31 mEq/L. What is the diagnosis?	A) Respiratory Acidosis B) Respiratory Alkalosis C) Metabolic Acidosis D) Metabolic Alkalosis.	Edit
4860	In malaria, best index to know about incidence in a community is: A. Annual parasite incidence(API) ..	A) Annual parasite incidence(API) B) Annual parasite index C) annual blood Examination Rate D) Slide positive rate	Edit
4861	Hypothesis Formulation is carried out by ..	A) Descriptive study B) Experimental study C) Analytical study D) All of the above.	Edit
4862	Syncope is a medical terminology which means	A) Sweating B) Fainting C) Vomiting D) All of the above	Edit
4863	Most common cause of dementia is:	A) Parkinson's disease B) Alzheimer's disease C) Depression D) COPD	Edit
4864	The structural and functional unit of life is	A) cell B) tissue C) organ D) system	Edit
4865	if a child of 10 months suffering from severe dehydration , the 100ml/kg body wight fluid is given within	A) 1 hour B) 5 hours C) 3 hours D) 6 hours	Edit
4866	if a infant with diarrhea, having sunken eyes and drink eagarly classify the patient according to CBIMNCI	A) Severe dehydration B) some dehydration C) No dehydration D) Moderately dehyration	Edit
4867	period of life from 3 to 5 year is called .....	A) Toddler B) pre-school C) school age D) late child hood	Edit
4868	Child birth occur in which stage of labour	A) first stage B) second stage C) Third stage D) Fourth stage	Edit
4869	Umblical cord has	A) 2 veins 1 artery B) 2 artery , 1 vein C) 2 vein , 2 artery D) 1 vein , 1 artery	Edit
4870	The height of fundus reaches to the level of umblicus at	A) 20 week of pregnancy B) 24 week of pregnancy C) 28 week of pregnancy D) 30 week of pregnancy	Edit
4871	A person who harbor the disease without having outwards sign and symptoms is knowns as	A) Patient B) isolation C) carrier D) index person	Edit
4872	Which of the following is not two way communication	A) interview B) speech C) counselling D) Demonstration	Edit
4873	Which of the following is most cost effective methods of learning	A) Learning by hearing B) Learning by Doing C) Learning by repeataion D) Learning by seeing	Edit
4874	in which type of leadership style is there is feeling of togetherness...................................	A) Democratic B) autocratic C) Situational D) Laissezz -faire	Edit
4875	from which part of small intestine Vitamin B12 is absorbed ?	A) Duodenum B) jejunum C) Ileum D) All	Edit
4876	Master endocrine gland is synonym of	A) adrenal gland B) pitutary gland C) pancreas D) Cerebrum	Edit
4877	Ranitidine is .. ... ...	A) anti-cholenergic B) H2 -Receptor antagonist C) proton pump inhibitor D) prstaglandine analoge	Edit
4878	Hormone is ..............................	A) product of endocrine gland secretion B) mediator of inflamatory response C) by product of metabolism D) product of exocrine secretion	Edit
4879	Loss of continuity of epithelial lining Fr	A) Ulcer B) Scald C) Gangreene D) Fracture	Edit
4880	Hypertensive urgency is when systolic blood pressure is more than	A) >120 mmhg B) >140 mmhg C) >160 mmhg D) >180 mmhg	Edit
4881	sensation of skin is usually loss in	A) Meningitis B) Leprosy C) Diptheria D) Typhoid	Edit
4882	post exposure vaccine is used in	A) Pertusis B) Tuberculosis C) Rabies D) Tetanus	Edit
4883	incubation period of cholera is	A) 1-3 days B) 3-7 days C) 7-10 days D) 10-14 days	Edit
4884	Which of the following disease is characterized by fever , skin lesion in craps papules , vesicles , pustules , and centripetal distribution rash	A) Measles B) small pox C) chicken pox D) Mumps	Edit
4885	Diluent in BCG Vaccine is	A) Distilled water B) Normal saline C) Ringer Lactate D) Glucose water	Edit
4886	Anemia is confirmed in Pregnancy when hemoglobin is less than	A) 10mg/dl B) 11 mg/dl C) 12gm/dl D) 13mg/dl	Edit
4887	Which of the following is most popullar family planning method in Nepal	A) Oral pills B) Condom C) Depo provera D) IUCD	Edit
4888	All mosquito bite at night Except	A) Aedes agypti B) Culex C) Anopheles D) Mansonia	Edit
4889	All of the following disease is transmitted by bite of mosquito	A) Filaria B) Kala-zar C) Japanese encephalitis D) None of the above	Edit
4890	Mass drug administration stratedy is related to	A) Dengue B) filariasis C) Kalazar D) POLiomyelitis	Edit
4891	A person is called obese , when his/her BMI is	A) ≥25 B) >30 C) >23.5 D) ≥40	Edit
4892	Which of the following drug is not used in helminthic infestation	A) Mebendazole B) piperazine C) Niclosamide D) Tinidazole	Edit
4893	Epidemiology of cholera was first studied by	A) Hippocrates B) Louish pasteur C) Edward janeer D) John snow	Edit
4894	Normal saline contains	A) 0.5% glucose in 5% sodium chloride B) 5 % dextrose in 0.9% sodium chloride C) 9% sodium chloride D) 0.9% sodium chloride	Edit
4895	infant mortality rate is expressd in	A) percentage B) per 1000 live birth C) per 1000 women D) per 1 lakh live birth	Edit
4896	Direct transmission of disease is occur by	A) vector B) air C) water D) placenta	Edit
4897	in measles Koplik spot are seen in	A) Eruptive period B) Incubation period C) Prodormal period D) Convalescent period	Edit
4898	Primary drug resistance is more common in	A) Rifampicin B) Isoniazid C) Streptomycin D) Ethambutol	Edit
4899	Trichomoniasis is .............................................disease	A) Bacterial B) Viral C) Protozoa D) Fungal	Edit
4900	Following are measure sign and symptoms of AIDS Except	A) Weight loss more than 10% B) Diarrhoea more than 1 months C) fever for more than 1 months D) cough for more than 1 months	Edit
4901	Norplant contains which of the following hormones	A) Norethisterone B) Norgesterol C) Levonorgesterol D) Ethynyl estradiol	Edit
4902	Which of the following is not an important antenatal investigation	A) hemoglobin estimation B) Urine analysis C) VDRL D) X ray of abdomen	Edit
4903	Which of the following is not included in "cleans" in conduction of delivery	A) clean hands B) clean perinium C) clean cutting and care of care of cord D) clean surface of delivery	Edit
4904	Which of the following is first indicator of protein energy malnutrition is	A) Decreased weight for age B) Decreased weight for height C) Decreased height for age D) None of the above	Edit
4905	Which of the following is the first step of the disaster cycle ?	A) Responce B) recovery C) preparedness D) mitigation	Edit
4906	waste matter arising from food and vegetable is	A) refuse B) garbage C) litter D) rubbish	Edit
4907	Housefly transmit all of the following disease except	A) Typhoid B) bacillary dycentary C) Trachoma D) pinworm	Edit
4908	Perinatal mortality includes all of the following except	A) late fetal death B) death durring labour C) early neonatal death D) death up to 4 weeks	Edit
4909	Beer consumption is associated with cancer of	A) colon B) liver C) breast D) rectum	Edit
4910	Descriptive epidemiology is related to study of all of the following aspect of disease except	A) Who B) when C) why D) where	Edit
4911	Pernicious anemia is common in blood group	A) Group A B) Group B C) Group o D) Group AB	Edit
4912	Protein restriction is required in which of the following condition	A) Nephrotic syndrome B) Nephritic syndrome C) Acute pylonephritis D) nephrolithiasis	Edit
4913	Microcytic anemia is developed due to deficiency of	A) Vitamin B12 B) Folic acid C) iron D) All of the above	Edit
4914	Each hemoglobin carries...............................................molecules of oxygen	A) 1 B) 2 C) 3` D) 4	Edit
4915	FAST strategy is related to management of	A) Hypertension B) Diabetes C) stroke D) Hyperthyroidism	Edit
4916	Spermatozoa are produced in	A) semina vesicles B) semniferus tubules C) vas deferances D) Epidydimis	Edit
4917	Which of the following is features of anxiety	A) Rapid pulse B) Diarhhorea C) Dry mouth D) all of the above	Edit
4918	all are the fat soluble vitamins except is	A) retinol B) calciferol C) Thiamine D) Tocopherol	Edit
4919	The longest visceral muscles is found in	A) Vas deferance B) pregnant uterus C) Normal uterus D) abdomen	Edit
4920	Milk is poor source of which minirals	A) Calcium B) Iodine C) Magnesium D) Iron	Edit
4921	permanent hardness of water is due to all except	A) magnesium sulphate B) calcium chloride C) Magnesium nitrate D) calcium bicarbonate	Edit
4922	Dietry protein requirnment per kg body weight is highest durring	A) infancy B) adoloscent C) pregnancy D) Lactation	Edit
4923	Trench method of refuse disposal is a type of	A) Inceneration B) Controll tipping C) Composting D) Manure pit	Edit
4924	Most common occupational cancer is	A) Bladder B) Lungs C) Skin D) Blood	Edit
4925	Silent killer disease is	A) Hepatitis C B) Hypertension C) Alzeimer's disease D) all of the above	Edit
4926	Exclusive breastfeeding helps to pregnancy and is called....	A) pregnancy interuption B) Lactational amenorrhoea C) Ammenorrhoea D) Metrorrhagia	Edit
4927	Which disease is also called social disease ?	A) HIV /AIDS B) Tuberculosis C) Leprosy D) Cholera	Edit
4928	This is a risk factor for developing kidney stones:	A) Lack of exercise B) Dehydration C) High fluid intake D) Low salt diet	Edit
4929	अईरन तथा फोलिक एसिड वितरण कार्यक्रमको लक्षित समुह तलका मध्ये कुन हो ?	A) Pregnant women B) post partum women C) adolescent girl D) All of the above	Edit
4930	When was world cancer day is celebrated	A) January 1 B) Feb 4 ` C) March 4 D) April 4	Edit
4931	नेपालमा कोरोना बिरुद्आद एको पहिलो भ्याक्सिन कुन हो ?	A) Pfizer vaccine B) Coviedshield C) Moderna vaccine D) Verocell Vaccine	Edit
4932	नेपालमा महिला स्वास्थ्य कार्यक्रम कहिले देखी लागु भएको हो?	A) 2040 B) 2045 C) 2048 D) 2055	Edit
4933	The drug of choice for amoebiasis	A) Mtronidazole B) ciprofloxacin C) Amoxicillin D) Mebendazole	Edit
4934	The infective stage of Malaria parasite is	A) Trophozoites B) Sporozoites C) Gametocytes D) Schizonts	Edit
4935	operation theater are sterilized by	A) Formaldehyde B) Gluteraldehyde C) Chloroform D) Estrogens	Edit
4936	Flag sign is seen in	A) Kwashiorker B) Marasmus C) Rickets D) Pellagra	Edit
4937	Most heat sensitive vaccine is	A) BCG B) Polio C) Measles D) DPT	Edit
4938	Neck holding can occur by	A) 3 months B) 2 months C) 4 months D) 6 months	Edit
4939	An example of a two-way discussion is:	A) A seminar B) Role playing C) Symposium D) Group discussion	Edit
4940	GATHER Approach is useful for:	A) Chlorination of water B) Counseling C) Refuse disposal D) Data analysis	Edit
4941	Major cause of Lymphatic Filiariasis is:	A) Plasmodium vivax B) Wuchereria bancrofti C) Leishmania donovani D) Giardia lamblia	Edit
4942	The most common complication of severe Burn..	A) Hypothermia B) Infection C) Diabetes D) Hypertension	Edit
4943	Waste matter generated from kitchen is:	A) Sullage B) Refuse C) Garbage D) Both (a) and (c)	Edit
4944	Addison's disease is due to:	A) Glucocorticoids deficiency B) Glucocorticoids excess C) Aldosterone excess D) Aldosterone deficiency	Edit
4945	The largest type of WBC is:	A) Monocytes B) Basophils C) Lymphocytes D) Lymphocytes	Edit
4946	Collection of the air inside the thoracic cavity or pleural space due to injury is called:	A) Hemothorax B) Pneumothorax C) Empyema thoracic D) Bronchitis	Edit
4947	Where is the remittent fever seen?	A) Malaria B) Rheumatic Fever C) TB D) Typhoid fever	Edit
4948	All of the following drug are sedatives except:	A) Diazepam B) Lorazepam C) Midazolam D) Fluoxetine	Edit
4949	. Which of the following is lipid lowering agent:	A) Atorvastatin B) Labetalol C) Nifedipine D) Dopamine	Edit
4950	Which of the following is first aid management of Snake bite?	A) Reassurance B) Immobilization of the bitten part with a splint or sling C) Removal of rings, tight fitting clothing D) All of the above	Edit
4951	Which of the following is not cardinal symptoms of Intestinal obstruction?	A) Constipation B) Vomiting C) Abdominal pain D) Rebound tenderness	Edit
4952	Sudden onset right lower quadrant abdominal pain starts around the umbilicus and shifts towards the right lower quadrant within a few hours, Nausea, vomiting is features of:	A) acute pancreatitis B) acute appendictis C) acute cholecystitis D) acute salpingitis	Edit
4953	In which of the following shortness of breath occur	A) Pneumonia B) Pulmonary embolism C) Heart Failure D) All of the above	Edit
4954	Which of the following is not a killed vaccine?	A) Rabies B) Rubella C) DPT D) Hepatitis B	Edit
4955	The boy comes with macules, papules, vesicles with history of similar lesion in 10-year-old brother. What is the diagnosis?	A) Measles B) Varicella C) Herpes D) Mumps	Edit
4956	Shakir tape is used for	A) Measurement of height B) Measurement of length in infant C) Measurement mid arm circumference D) Measurement of skin pad thickness	Edit
4957	Shakir tape is used for	A) Measurement of height B) Measurement of length in infant C) Measurement mid arm circumference D) Measurnment of skin pad thickness	Edit
4958	Incubation period of Dengue is	A) 3-5 days B) 4-10 days C) 10-15 days D) 15-20 days	Edit
4959	Mantoux test is read after ?	A) 24 hour B) 48 hours C) 72 hours D) 36 hours	Edit
4960	Which of the following is not the sign of severe dehydration ?	A) Lethargic or unconscious child B) Thirsty child C) Skin pinch goes back very slowly D) Sunken of eyes	Edit
4961	DMPA stands for:	A) Dextrose maltose B) Depot maltose progesterone acetate c. Depot medoxy C) Depot medoxy progesterone acetate D) Drunal medoxy progesterone acetate	Edit
4962	Subclinical infection is not seen in..	A) Poliomyelitis B) Rubella C) Mumps D) Measles	Edit
4963	Hospital Reporting HMIS is	A) HMIS 9.2 B) HMIS 9.3 C) HMIS 9.4 D) HMIS 9.5	Edit
4964	The most commonly affected gland in mump is :	A) Submandibular gland B) Parotid gland C) Sublingual gland D) All of the above	Edit
4965	Highest point of Health Spectrum is ...	A) Positive Health B) Better Health C) Normal Health D) None .	Edit
4966	Most important Function of bone is ..	A) Storage of Calcium and phosphorus B) Haemopoiesis C) Provide posture to our body D) Protection of Vital organs	Edit
4967	Which is correct about Roger's model of Adoption?	A) Adoption - Interest- evaluation - trial awareness B) Awarness- Evaluation - trial- Interest Adoption C) Awareness - interest - Evaluation - trial - adoption D) Awareness - trial- Interest - evaluation Adoption	Edit
4968	Folic acid supplementation reduces the risk of.......	A) Down's syndrome B) Neural tube defects C) Toxemia of pregnancy D) Down's syndrome	Edit
4969	Which mirror is used in ENT department.	A) Plain mirror B) Convex mirror C) Concave mirror D) None of the above	Edit
4970	Which is also known as "lick the joint and bite the heart'	A) Rheumatic Fever B) Rheumatic Heart Disease C) Rheumatoid Arthritis D) Osteoarthritis	Edit
4971	15. What happens to the body muscle with tetanus toxin?	A) Contraction B) Paralysis C) Numbness D) Pain	Edit
4972	14. Which one is not a water-borne disease?	A) Typhoid B) Cholera C) TB D) Hepatitis A	Edit
4973	13. Normal level of hemoglobin in females is	A) 15 gm% B) 13 gm% C) 11 gm% D) 10 gm%	Edit
4974	12. Which of the following statements is correct regarding normal urinary test?	A) Protein present B) sugar present C) Acetone present D) No protein, sugar, and	Edit
4975	11. Which of the following is used to test for sensitivity of TB bacteria to drugs?	A) Mantoux test B) Culture and sensitivity test C) Sputum AFB test D) Blood sampling	Edit
4976	10.10. Accumulation of abdominal fluid is called	A) Ascites B) Edema C) Pleurisy D) Stomach	Edit
4977	9. Which of the following is regarded as important measure to prevent post-operative wound infection?	A) Administering analgesics B) Adequate fluid intake C) Proper hand hygiene D) Early mobilization	Edit
4978	8. What is the initial management of patient with hypokalemia?	A) Oral potassium B) Sodium chloride C) Calcium gluconate D) None of the above	Edit
4979	7. What is the drug of choice to treat the secondary stage of syphilis?	A) Ceftriaxone B) Silver sulfadiazine C) Erythromycin D) Penicillin	Edit
4980	6. Inflammation of bone is	A) Myelitis B) Osteomyelitis C) Arthritis D) Osteitis	Edit
4981	5. Full form of BCG vaccine is	A) Bacillus calmette-luke bovis B) Bacillus calmette-guerin C) Bacillus calmette group D) Bacillus calmette general	Edit
4982	4. The condition in which body lacks enough healthy red blood cells is called	A) a) Leukemia B) b) Anemia C) c) Hemophilia D) d) Polycythemia	Edit
4983	3. Rod shaped bacteria are known as	A) a) Cocci B) b) Bacilli C) c) Spirochetes D) d) Vibrios	Edit
4984	2. The initial management of burns is	A) Administer oxygen B) Fluid resuscitation C) Analgesics D) Dressing	Edit
4985	Most common symptom in Hypertension is	A) Headache B) Chest pain C) Palpitation D) Heart disease	Edit
4986	For sigmoidoscopy , Nurse should kept patient in......	A) Lithotomy position B) Fowler's position C) Sims position D) Prone position	Edit
4987	Flight and fight responce is seen in which of the following General adaptation syndrome (GAS)?	A) Alarm stage B) Resistance C) Exhaution stage D) Psycological respince	Edit
4988	Which is appropriate route for administration of Insulin	A) Intramuscullar B) Intradermal C) Sub cutaneous D) Intravenous	Edit
4989	Which method is used for high level disinfection of un wrapped-equipment ?	A) Boiling B) Autoclave C) Decontamination D) Flash sterilization	Edit
4990	Daily Protein requirement adolescent is? for.	A) 1gm/kg/day B) 1.5 gm/kg/day C) 2gm/kg/day D) 10gm/kg/day	Edit
4991	For elimination of Measles, the coverage of vaccination should be at least.	A) 90% B) 95% C) 98% D) 100%	Edit
4992	Which is not a component of PHC?	A) MCH + Family planning B) Geriatric care C) Immunization D) Prevention and control of disease	Edit
4993	Nepal aims to end tuberculosis epidemic by.	A) 25 B) 20 C) 50 D) 40	Edit
4994	Which of the following is not the pillar of safe motherhood.?	A) Antenatal care B) Postnatal care C) Newborn care D) Perinatal care	Edit
4995	Which of the following is not included in CBIMNCI?	A) HIV/AIDS B) Malaria C) Acute Respiratory infection D) Tuberculosis	Edit
4996	Which of the following is not the elements of PHC?	A) Essential Health education B) Control of local Epidemic disease C) Safe water supply and environmental sanitation D) Essential drug supply	Edit
4997	Complete uterine prolapse is called;	A) Genital fistula B) Regino uterine prolapse C) Procidentia D) Enterocele	Edit
4998	Sequestrum is;	A) Dead bone B) New bone C) Fractured bone D) Cancerous bone	Edit
4999	Painless Haematuria is seen in;	A) Renal stone B) UTI C) Renal tumour D) Pyelonephritis	Edit
5000	COVID virus is a;	A) RNA virus B) DNA virus C) Fungus D) None of the above	Edit
5001	Diarrhoea, dermatitis and dementia is related to; .	A) Xerophthalmia B) Pellagra C) Keratomalacia D) Scurvy	Edit
5002	Immunization is........prevention.	A) Secondary B) Primary C) Tertiary D) Disability	Edit
5003	Which of the following is the reservoir for measles?	A) Man B) Soil C) Fomites D) Monkey	Edit
5004	PHC - ORC services was initiated and established in.	A) 2048 B.S B) 2049 B.S C) 2050 B.S D) 2051 B.S	Edit
5005	Intracellular fluid contains........% of body weight.	A) 60 B) 40 C) 20 D) `5	Edit
5006	Department of Health Service ( DoHS) Consists of ___ division.	A) 2 B) 4 C) 3 D) 5	Edit
5007	Which of the following is physical barrier in communication?	A) Distance B) Fear C) Lack of attention D) Signs & symbols	Edit
5008	Depo-provera is injectable contraceptive given every...	A) Three months B) Three weeks C) Three years D) Two month	Edit
5009	All are true about the key elements of communication except...	A) Communicator B) Message C) Channel of Communication D) Behavioral change	Edit
5010	In which group does drug amlodipine belong to?	A) ACE Inhibitor B) Beta- blocker C) Calcium Channel Blocker D) Mannitol	Edit
5011	What does HMIS stands for	A) Health Management Information System B) Health Management In-taking System C) Health Makeup including System D) Health Management Indoor System	Edit
5012	Most common cause of maternal death related to pregnancy in Nepal is...	A) Post partum hemorrhage B) Eclampsia C) Puerperal sepsis D) Gastroenteritis	Edit
5013	Which of the following is the correct way of first aid management of epistaxis?	A) Tilt the patient's head backward B) Apply hot compress on nose C) Ask patient to sit down, lean forward & pinch soft part of D) Ask patient to sit down, lean forward & pinch soft part of	Edit
5014	Which of the following is known as happy Hormone ?	A) Thyroxine B) Dopamin C) Estrogen D) Prigesteron	Edit
5015	Pain abdomen afrer 2-3 hours after food intake and relived by cold milk , The patient is suffering from	A) Gastric ulcer B) Duodenal ulcer C) Peptic ulcer D) Cholecystitis	Edit
5016	Which drug is choice for acute MI ?	A) Morphine B) Nitroglycerine C) Codein D) Atenolol	Edit
5017	Zinc tablet in the treatment of diarrhoea was first introduced in :	A) Dhanush and rupandehi B) Kailali and Ilam C) Rautahat and parbat D) Mugu and Dhading	Edit
5018	Which of the following do not have radiation hazards?	A) x-ray B) radiotherapy C) USG D) Laser therapy	Edit
5019	Carpal bone are found in :	A) Elbow joint B) Wrist joint C) Ankle joint D) Knee joint	Edit
5020	Dengue fever is caused by ;	A) Adeno virus B) Entero virus C) Rabdo virus D) Arbo virus	Edit
5021	Viscosity of the blood is mainly due to :	A) RBC B) WBC C) Platelets D) Plasma protein	Edit
5022	महामारीको संक्रमणबाट बचन स्वास्ठ्या सुरक्षा र साबधानी ''भन्ने वाक्यांशमा कतिवटा शब्दहरु असुध रहेका छन्?	A) एउटा B) २ वटा C) 3 वटा D) ४ वटा	Edit
5023	तलका मध्ये शुद्धसंग लेखिएको शब्द कुन हो ?	A) बालविकास B) प्रणालि C) विवेकशील D) प्रदुषित	Edit
5024	Choose correct indirect speech of the given sentence is : He said ,'' I have finished the work ''	A) He said that he has finished work B) He said that i had finished the work C) He said that he had finished the work D) None of these	Edit
5025	Fill in the blanks with most suitable word from the alternatives given below. ''....................... it rained a lot , we enjoyed our holiday.''	A) Although B) Because C) Because of D) In spite of	Edit
5026	Community medicine is new term for	A) Public health B) preventive medicine C) Community health D) All of the above	Edit
5027	Nepal has endorsed ' immunization act' in :	A) 2069 BS B) 2072 BS C) 2075 BS D) 2070 BS	Edit
5028	Which abbreviation is used in prescription to advice a patient for taking medicine when required?	A) SOS B) AC C) HS D) Stat	Edit
5029	Planning , Implementation and Evaluation are the function of management given by:	A) Henry Fayol B) WHO C) Luther Gullick D) F.W Taylor	Edit
5030	Temperature required for autoclave is:	A) 112 degree C B) 121 degree C C) 160 degree C D) 127 degree C	Edit
5031	Commonest worm infestation in Nepal is :	A) Hook worm B) Round worm C) Tape worm D) Pin worm	Edit
5032	Painless ulcer seen in Primary syphilis is called :	A) gumma B) candylomata C) chancre D) fistula	Edit
5033	Most common cause of Intestinal obstruction in children is :	A) Adhesion B) Hernia C) Volvulus D) Intussusception	Edit
5034	Hyperpyrexia is called when body temperature is above :	A) 103 degree F B) 105 degree F C) 107 degree F D) 100 degree F	Edit
5035	Most important component of healthful school environment is:	A) Health instruction B) Health checkup C) Latrine construction D) Waste management	Edit
5036	Increased pigmentation in face in pregnancy is called :	A) Linea nigra B) Striae gravida C) Acne vulgaris D) Chloasma	Edit
5037	How much extra calorie is required for a pregnant mother?	A) 150 kcal B) 250 kcal C) 350 kcal D) 600 kcal	Edit
5038	Enzyme required for digestion of protein is	A) Lipase B) Amylase C) Peptidase D) All of the above	Edit
5039	Which of the following is the largest joint of the human body ?	A) Knee joint B) shoulder joint C) Hip joint D) Temporomandibular joint	Edit
5040	The minimum distance between sanitary well and latrine should be:	A) 20 feet B) 15 feet C) 30 feet D) 50 feet	Edit
5041	Rash of measles first appears at :	A) neck B) face C) chest D) abdomen	Edit
5042	Glassware and syringes are best sterilized by:	A) autoclave B) glutaraldehyde C) gamma radiation D) Hot air oven	Edit
5043	Combined oral pills COCP can be safely use by a a woman with history of :	A) Breast cancer B) Ovarian cancer C) Cervix cancer D) All of the above	Edit
5044	Richest source of vitamin A is :	A) Soyabean B) Fish liver oil C) Carrot D) Green leafy vegetables	Edit
5045	Constricted pupil , sweating and Bradycardia are features of which of the following poisioning?	A) Kerosene poisoning B) Dhatura poisioning C) Organophosphorus poisoning D) Alcohol intoxication	Edit
5046	Which of the following is most commonly affected in mumps?	A) prostate gland B) parotid gland C) Pituitary gland D) parathyroid gland	Edit
5047	Ideal number of members should be present in group discussion is:	A) 4-8 B) 6-12 C) 10-14 D) 15-20	Edit
5048	Best indicator for nutritional status for a child is:	A) Mid upper arm circumference B) Head circumference C) Rate of increase of height and weight D) Chest circumference	Edit
5049	Road to health chart was first developed by:	A) Erik Erikson B) Hippocrates C) Luther gullick D) David morley	Edit
5050	All of the following are tertian malaria , except?	A) Vivex B) Ovale C) Malariae D) Falciparaum	Edit
5051	Preterm births means birth before :	A) before 32 complete weeks B) Before 37 completed weeks C) Before 40 completed weeks D) Before 42 completed weeks	Edit
5052	False perception without stimulus is called:	A) Delusion B) Hallucination C) Ilusion D) Phobia	Edit
5053	Which lens is use for correction of hypermetropia?	A) concave lens B) convex lens C) Cylindrical lens D) Biofocal lens	Edit
5054	How much blood is in 1 pint blood ?	A) 450 ml B) 480 ml C) 350 ml D) 373 ml	Edit
5055	Positive Rovsing's sign is suggestive of:	A) Meningitis B) Appendicities C) Cholecystities D) Pancreatitis	Edit
5056	Which of the following disease had been eradicated from worldwide?	A) Poliomyelities B) Smallpox C) chicken pox D) Guinea from disease	Edit
5057	The most universal accepted indicator to health status is :	A) TFR B) Life expectancy C) MMR D) IMR	Edit
5058	बागमती प्रदेशको पहिलो आवाधिक योजना ( periodic plan) को अवधी तलका मधये कुन हो ?	A) FY 2072 /73 to 2077/78 B) 2074/75 to 2079/80 C) FY 2076/77 to FY 2080/81 D) FY 2076 /77 to FY 2084/85	Edit
5059	What is Neonatal mortality rate of Nepal according to NDHS 2016?	A) 21 per 1000 live birth B) 29 per 1000 live birth C) 32 per 1000 live birth D) 39 per 1000 live birth	Edit
5060	Which of the following is the first step of epidemiological investigation?	A) Confirmation of existence of epidemic B) Confirmation of diagnosis C) Defining population at risk D) Rapid searching for all cases	Edit
5061	After chlorination the level of free residual chlorine in drinking water should be:	A) 2.5 gm/L B) 2.5 mg /L C) 0.7 mg /L D) 0.5 mg/L	Edit
5062	Primary prevention is applied when :	A) prior to onset of disease B) prior to development of risk factor C) After disease occur D) After complication occur	Edit
5063	Jadella implant prevents pregnancy for :	A) 3 years B) 5 years C) 7 years D) 10 years	Edit
5064	Which of the following is not a clinical feature of Typhoid fever:	A) Rice watery diarrhoea B) Rose spot on trunk C) Coated tongue D) Splenomegaly	Edit
5065	Function of Liver include all of the following except :	A) Production of bile B) Urea formation C) Detoxification of drug D) Storage of Vitamin c	Edit
5066	Most common cause of postpartum hemorrhage is:	A) Retained placenta B) Birth Trauma C) Atonic uterus D) Vitamin k deficiency	Edit
5067	According to WHO, Pulmonary TB is define is a case who is positive for AFP in:	A) Blood smear B) Chest x-ray C) Sputum smear D) Sputum culture	Edit
5068	Example of surface water are all of the following , except?	A) Lakes B) Stream C) Spring D) River	Edit
5069	How much Energy can be obtained from 1 gm protein?	A) 2 Kcal B) 4 kcal C) 6 kcal D) 8 kcal	Edit
5070	As per National guideline of health care waste management ,Which of the following waste are store in red color container?	A) human body parts, tissue, removed organs B) Needles , syringe , blade , glass C) Pharmaceutical wastes D) All of the above	Edit
5071	The causative agent of Japanese encephalitis is	A) Lysa virus B) Paramyxo virus C) Piconavirus D) Flavivirus	Edit
5072	The definitive sign of pregnancy is	A) Amenorrhea B) Visible fetal part in USG C) Morning sickness D) Darkening of the areolar of breast	Edit
5073	Post partum Vitamin A supplied	A) soon after delivery B) within 42 days of delivery C) Within 7 days of delivery D) Within 6 month of delivery	Edit
5074	A pregnant women's LMP is began on Asar 15th 2079,using Naegele's rule her estimated date of delivery will be	A) 2081/11/21 B) 2080/12/21 C) 2079/12/21 D) 2079/11/21	Edit
5075	When pregnant women is suspected HIV/AIDS , She needs to have tested	A) Elisa Test B) VDRL Test C) Western blot or immunoblot test D) Both A&B	Edit
5076	A diabetes pregnant mother can give birth to	A) small baby B) Mental retarded baby C) Anemic baby D) Large baby	Edit
5077	Mechanism of drug action comes under	A) Pharmacy B) Pharkokinetics C) Pharmacodynamics D) Pathology	Edit
5078	When body temperature fall Normal every day it is called	A) Constant Fever B) Intermittent fever C) Relapsing Fever D) Remittent fever	Edit
5079	Filariasis is transmitted through the bite of	A) Anophele mosquito B) Culex mosquito C) Aedes mosquito D) None of the above	Edit
5080	Xeropthalmia is result of deficiency of	A) Vitamin A B) Vitamin D C) Vitamin B D) Vitamin C	Edit
5081	The contraceptive of choice for newly married couple is	A) IUCD B) Implant C) ECP D) Combined oral pills	Edit
5082	Which of the following is not considered to vital sign	A) pulse B) Weight C) Temperature D) BP	Edit
5083	Most popular long acting reversible contraception in Nepal is	A) Depo B) Vasectomy C) IUCD D) Implant	Edit
5084	Which of the following does not belongs to IMCI Program	A) Malaria B) Malnutrition C) Kalazar D) Diarrhoea	Edit
5085	After unprotected sexual intercourse , when emergency contraceptive should be consume for avoiding unwanted pregnancy	A) within 120 hour B) within 12 hours C) within 72 hours D) withing 36 hours	Edit
5086	While using Rifampicin drug , the color of urine may be	A) yellow B) Black C) Red D) Green	Edit
5087	Partograph is used to :	A) Record a labour event B) Record weight of fetus C) Graph ANC visit D) All of the above	Edit
5088	The type of epidemiology which deals with the risk factor of the disease is	A) Descriptive B) analytical C) Experimental D) Interventional	Edit
5089	fetal movement is usually felt for the first time between :	A) 30-32 weeks B) 10-16 weeks C) 16-20 weeks D) 25-28 weeks	Edit
5090	Minimum distance between water source and latrine is .......	A) 10 meter B) 15 meter C) 25 meter D) 50 meter	Edit
5091	Which of the following snake is hemotoxic?	A) Cobra B) karaith C) python D) Russel viber	Edit
5092	Usual dose of DMPA is	A) 200 mg 3 monthly B) 150 mg 3 monthly C) 250 mg 3 monthly D) 350 mg 3 monthly	Edit
5093	Exclusives breast feeding of babies should be continue for :	A) 3 months B) 6 months C) 12 months D) 24 months	Edit
5094	..............................is art ,practice or profession of preparing , preserving ,compounding and dispensing medical drugs	A) Pharmacy B) Pharmacology C) Pharmacodynamics D) Pharmacokinetics	Edit
5095	World handwashing day is celebrated on	A) june 5 B) sept..28 C) Nov.12 D) Oct.15	Edit
5096	Process of killing all living micro-organisms is called...............	A) Disinfection B) Sterilization C) anti septic D) Decontamination	Edit
5097	When blood vessels constrict , blood flow .........................	A) increase B) decrease C) stops D) change direction	Edit
5098	posology is study of	A) dose B) Drugs C) infection D) None of the above	Edit
5099	Metallic taste is side effects of ......................................	A) Metronidazole B) ciprofloxacin C) erythromycin D) penicillin	Edit
5100	Ringworm is an example of A. Infection B. Infestation C. Contamination D. Sepsis	A) Infection B) Infestation C) Contamination D) Sepsis	Edit
5101	Stool of a person is whitish grey coloured due to malfunctioning of which organ?	A) Pancreas B) Spleen C) Kidney D) Liver	Edit
5102	• A 2 years old female child presents in your OPD with complaints of cough. Which of the following signs will help you to diagnose as pneumonia?	A) Barking cough B) O₂ saturation 96% C) Respiratory rate 44 breaths/minute D) Respiratory rate 44 breaths/minute	Edit
5103	Vomiting should not be induced in ..... poisoning.	A) Kerosene B) Organophosphorus C) Cyanide D) Organochlorine	Edit
5104	Involuntary passing of urine is known as ..... on	A) Enuresis B) Elimination C) Micturition D) Defecation	Edit
5105	Spinal cord extends from the foramen magnum to ..... A) T1-T12 B) L1-L2 C) S1-S2 D) L4-L5	A) T1-T12 B) L1-L2 C) S1-S2 D) L4-L5	Edit
5106	What is the main purpose of the Heimlich procedure?	A) To remove a blockage in the victim's airway B) To treat the absence of a victim's breathing C) To treat an insufficient breathing D) To treat severe vomiting	Edit
5107	Which of the mineral deficiency is associated with mental health?	A) Calcium B) Iron C) Zinc D) iodine	Edit
5108	Diethyl-carbamazine (DEC) is used for:	A) Filariasis B) Kalazar C) Leprosy D) Pnemonia	Edit
5109	Backward looking is study in..	A) Cohort study B) Ecological study C) Case control study D) Cross sectional study	Edit
5110	Drug of choice for cholera is	A) Doxycycline B) Tetracycline C) Azithromycin D) Ciprofloxacin	Edit
5111	How many chromosomes are present in sperm?	A) 1 pairs B) 22 pairs C) 23 D) 23 pairs	Edit
5112	Most common site for ectopic pregnancy is	A) Ampulla B) Abdomen C) ovary D) cervix	Edit
5113	irregularly, haphazardly ,type of case spread to community is termed as	A) Epidemic B) Sporadic C) Pandemic D) Endemic	Edit
5114	The most common cause of IUCD removable is	A) Backpain B) Vaginal bleeding C) infection D) fear	Edit
5115	The liquid waste congaing Human excreta is	A) Sullage B) Sewage C) Sludge D) Scum	Edit
5116	Nepal is Polio free country Since	A) 2009 B) 2010 C) 2011 D) 2015	Edit
5117	The National Vitamin A & Albendazole program for Under 5 year children by FCHV conducted at ward level	A) Annually B) Bi-annually C) Quarterly D) every 2 year	Edit
5118	Which of the following drug is used in Single dose Leprosy post exposure prophylaxis(SDR-LPEP)	A) Dapsone B) Rifampicin C) Clofazamine D) Prednisolone	Edit
5119	Which of the following vaccine is not combined vaccine?	A) MMR B) TD C) TCV D) PENTAVALENT	Edit
5120	The respiratory center or the groups of nerve cells that control the rate and depth of respiration are situated in....	A) Cerebellum B) Cerebrum C) Brain steam D) Spinal cord	Edit
5121	What is called to fat cells?	A) Epithelial Tissue B) Connective tissue C) Muscular tissue D) Adipose tissue	Edit
5122	2.Sex is determined by....	A) X of ovum B) Y of sperm C) X and Y sperm D) All of above	Edit
5123	Housefly is a .......................	A) Vector B) Source C) Reservoir D) Host	Edit
5124	Drinking water should be :	A) very hard B) Very soft C) Moderately hard D) Moderately soft	Edit
5125	Low birth weight of a baby refers to birth weight below:	A) 1500 gm B) 2000 gm C) 2500 gm D) 3000 gm	Edit
5126	Kangaroo mother care is used to prevent....	A) Jaundice B) Hypothermia C) Low birth weight D) both B & C	Edit
5127	Crowning is best defined as a condition :	A) When presenting part reaches to pelvic floor B) when perinium bulges infront of fetal head C) when the head is visible to vulva D) when the head of fetus is delivery	Edit
5128	Average weight of placenta at term is	A) 25 gram B) 500 gram C) 750 gram D) 900 gram	Edit
5129	Ascaris Lumbricids is the scientific name of	A) Round worm B) tape worm C) Hook worm D) Hydatid worm	Edit
5130	Killing power of disease is called	A) TFR B) CPR C) CFR D) IMR	Edit
5131	White field ointment is composed of	A) Benzoic acid 3% Salicylic acid 3% B) benzoic acid 6 % Salicylic acid 3% C) benzoic acid 3% Salicylic acid 6% D) benzoic acid 6 % Salicylic acid 6%	Edit
5132	Most common cause of UTIs:	A) Klebsiella B) Proteus C) E. coli D) Staphylococcus	Edit
5133	Pallor is the examination of:	A) Tongue B) Sclera C) Lips D) Conjunctiva	Edit
5134	Prophylactic administration of vitamin A in children is for:	A) Health promotion B) Specific protection C) Treatment D) Rehabilitation	Edit
5135	According to National Immunization Schedule, which of the following vaccine is given at 6 week, 10 week, and 9 month?	A) OPV B) PCV C) Rota virus D) Mumps	Edit
5136	Which of the following is not an endocrine gland?	A) Hypothalamus B) Pituitary C) Parathyroid D) Pancreas	Edit
5137	The most common cause of blindness in Nepal is:	A) Cataract B) Glaucoma C) Trauma D) Vitamin A deficiency	Edit
5138	The most common cause of blindness in Nepal is:	A) Cataract B) Glaucoma C) Trauma D) Vitamin A deficiency	Edit
5139	The first step in management of acute retention of urine is:	A) Catheterization B) Hot compression C) Give furosemide drug D) Refer	Edit
5140	Which is not a cardinal sign of inflammation?	A) Redness B) Coldness C) Swelling D) Pain	Edit
5141	______ is a common and highly contagious skin infection that causes sores and blisters:	A) (A) Abscess B) (B) Cellulitis C) Impetigo D) Boils	Edit
5142	What names are given to the three different depths of burns?	A) First, Second and Third degree B) Minor, Medium and Severe C) Superficial, Partial Thickness, and Full Thickness D) Small, Medium and Large	Edit
5143	Following are the types of bleeding, except:	A) Capillary B) Venous C) arterial D) heart	Edit
5144	Goodell's sign is	A) bluish color of vagina and cervix B) softening of the cervix C) pulsation at lateral fornices D) lower segment of uterus feels soft	Edit
5145	Situation of HIV in Nepal is	A) Epidemic B) sporadic C) Endemic D) Concentrated Epidemic	Edit
5146	TB preventive therapy includes	A) isoniazid for 3 months B) isoniazid & rifampicin for 3 months C) isoniazid & rifampicin for 1 months D) Rifampicin for 1 months	Edit

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