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Q1.

What is the indication to start ART treatment of HIV patient?

WHO stage 1 and 2

Once client is HIV positive

When the client has CD4 less than 500 cu/mm³ with WHO stage 1 and 2

Once the HIV positive client has opportunistic infections

Q2.

The incubation period of gonorrhea is:

4-6 weeks

2-7 days

10-14 days

18-24 days

Q3.

Which of the following has the thickest wall in the heart?

Left auricle

Right auricle

Right ventricle

Left ventricle

Q4.

The analytical study where population is the unit of study:

Cross sectional

Ecological

Case control

Cohort

Q5.

What term refers to the blending of two cultures resulting in a new, hybrid culture?

Enculturation

Acculturation

Assimilation

Cultural diffusion

Q6.

What is the neglected dimension of health program management in recent years?

Supervision

Evaluation

Budget disbursement

Audit

Q7.

HPV vaccine to unmarried adolescent girls is a milestone for preventing: (Past Question)

STD and HIV/AIDS

Breast Cancer

Cervical Cancer

HPV infections

Q8.

What is the purpose of randomization in a clinical trial?

To equalize the effects of extraneous variables, thus guarding against bias

To allow inferential statistics to be used

To guard against placebo effects

To guard against ethical problems in the allocation of patients to experimental and control groups

Q9.

Which injury results from the overstretching or tearing of a muscle or tendon often caused by sudden movement or excessive force?

Sprain

Strain

Fracture

Dislocation

Q10.

All of the following affect wound healing EXCEPT:

Hygiene/dressing of wound

Occurrence of wound

Nutrition or diet

Co-morbidity conditions

Q11.

A viral infection characterized by red blotchy rash and Koplik's spots in the baby is:

Measles

Rubella

Chickenpox

Mumps

Q12.

Which of the following is NOT a measure for general health protection of workers in Nepal?

Providing access to clean drinking water and sanitation facilities

Ensuring adequate ventilation and temperature control in the workplace

Promoting healthy lifestyle choices through awareness programs

Prioritizing treatment of injuries over prevention strategies

Q13.

Which of the following is not a part of large intestine?

Rectum

Colon

Cecum

Ileum

Q14.

General Fertility Rate (GFR) is:

Live births per 1,000 women (15-49)

Live births per 1,000 pop.

Pregnancies per 100 women

Children per couple

Q15.

Which viral illness, transmitted through mosquito bites, can lead to fever, joint pain, and in rare cases, severe neurological complications in children?

West Nile virus

Zika virus

Dengue fever

Lyme disease

Q16.

Infertility defined when couple fails to conceive after:

Four years regular unprotected sex

Three years regular unprotected sex

Two years regular unprotected sex

One year regular unprotected sex

Q17.

The earliest public health law was promulgated in:

England

USA

USSR

Spain

Q18.

In epidemiological investigation of disease the first step is:

Notification

Immunization

Isolation

Verification of diagnosis

Q19.

Which of the following is a potential complication of excessive fluid intake during rehydration therapy?

Hyperkalemia

Fluid overload and edema

Increased urination

Hypovolemia

Q20.

'Father of Public Health' refers to:

John Snow

Louis Pasteur

Cholera

Typhoid fever

Q21.

Which of the following is a bilateral agency working in Nepal?

WHO

UNICEF

USAID

UNDP

Q22.

Which is NOT the criteria for cure in the Kala-azar?

Regression of liver

Return of appetite

Improvement in anemia

Increase in body weight

Q23.

The health education, is define as the following EXCEPT:

Tool

A process

A service

Education

Q24.

According to WHO region, SEARO stands for:

South East Asia Regional Office

South East Asia Pacific Regional Office

South East Africa Regional Organization

South East Asia Regional Organization

Q25.

Which of the following is a barrier to effective communication?

Use of local language

Clear message

Noise and distraction

Appropriate channel

Q26.

The Ottawa Charter identified all of the following as strategies of health promotion EXCEPT:

Build healthy public policy

Create supportive environment

Strengthen community action

Reduce health care cost

Q27.

Spinal cord is extended from base of skull to:

Base of L2

Upper L3

Middle L4

Last L4

Q28.

Nasolabial Dyssebacia is caused by a deficiency of:

Thiamine

Riboflavin

Niacin

Cyanocobalamin

Q29.

The end product of purine catabolism is:

Urea

Creatinine

Uric acid

Amylase

Q30.

"Leader clearly spell-out task to eliminate confusion between leaders and subordinates" is a leadership style:

Laissez faire leadership

Democratic leadership

Transformational leadership

Transactional leadership

Q31.

Which of the following is an occupational disease who work in a livestock farm?

Chronic Obstructive Pulmonary Disease

Rheumatic heart disease disease

Nephrotic Syndrome

Brucellosis

Q32.

All of the following drug reduces gastric acid secretion EXCEPT:

Ranitidine

Misoprostol

Pantoprazole

Sucralfate

Q33.

What is the primary goal of Universal Health Coverage (UHC)?

To reduce healthcare costs for governments

To focus only on preventive health care

To eliminate all private healthcare providers

To ensure that all individuals have access to essential health services without financial hardship

Q34.

What is the term for chronic inflammation of the gums, often caused by plaques buildup and can lead to tooth loss if left untreated?

Gingivitis

Thrush

Periodontitis

Halitosis

Q35.

What is the most common disease transmitted by sandflies?

Malaria

Dengue fever

Plague

Leishmaniasis

Q36.

The typical temperature for an autoclave (operating at 15 pounds per square inch of pressure) is:

121°C

100°C

63°C

121°F

Q37.

Foreign body entering the trachea is most likely to:

Terminal end of trachea

Left main bronchus

Right main bronchus

Left-upper lose bronchus

Q38.

In breast cancer metastatic conditions, which tissue is mainly affected?

Bone

Liver

Brain

Skin

Q39.

What is the term for the measure of the sensitivity of the quantity demanded of a healthcare service to changes in its price?

Elasticity

Cost benefit

Cost effective

Cheap services

Q40.

What is the antidote of Organophosphate poisoning?

Atropine

Adrenaline

Charcoal

Dexona

Q41.

Pea soup diarrhoea is a feature of:

Bacterial dysentery

Cholera

Amoebiasis

Typhoid

Q42.

UNICEF's scope of work is directly related to all EXCEPT:

Child nutrition

Child health education

Immunization

Safe abortion

Q43.

What is the full form of EWAR?

Early Warning Alert and Response

Early Warning and Reporting

Early Warning and Action Response

Emergency Warning and Response

Q44.

National Family Planning Day celebrate on:

25 April

18 September

5 July

1 December

Q45.

According to the Constitution of Nepal, every citizen shall have the right to seek……. from the state, and no one shall be deprived of emergency health services.

Right to seek basic health care services

Right to seek essential health care services

Right to free specialized treatment

Right to seek free health care services

Q46.

Which of the following apical body is responsible for providing scientific study and quality health research in the country with highest level of ethical standards?

NHPC

NHRC

Medical Education Commission

NEPHA

Q47.

Most common organism causing sore throat:

Staphylococcus

Hemophilus

Bacillus

Streptococcus

Q48.

Which of the following blood groups is considered a universal donor?

A +Ve

B-ve

AB +ve

O-ve

Q49.

What is the vitamin A dose recommended for a 9-month-old child?

10,000 IU

100,000 IU

150,000 IU

200,000 IU

Q50.

Getting things done through other people means:

Leadership

Organization

Staffing

Management

Q51.

In case of burn in children, for maintaining kidney function, how much urine output/flow should be there as indicator of proper kidney functioning:

0.5 ml/kg/hr

1 ml/kg/hr

1.5 ml/kg/hr

2.5 ml/kg/hr

Q52.

WHO declared global eradication of Small pox on:

26th October 1977

5th July 1975

17th May 1975

8th May 1980

Q53.

Which is NOT the strategy of Kala-azar eliminations program of Nepal?

Early diagnosis and complete treatment

Integrated vector management

Effective disease and vector surveillance

Mass drug administration

Q54.

According to NDHS 2022, what percentage of households in Nepal have iodized salt?

85%

90%

98%

100%

Q55.

A Null Hypothesis is defined as:

An assumption of change

A confirmed fact

No relationship between variables

A statistical error

Q56.

COVID-19 is classified as a:

Epidemic

Endemic

Sporadic

Pandemic

Q57.

What would be the first action for immediate newborn baby care with meconium stain liquor?

Dry the baby

Rub up down the baby's back

Suction of nose

Suction of mouth

Q58.

How many districts are high risk for Rabies in Nepal?

Q59.

Morning sickness usually occurs till:

First 3 months

First 3 weeks

Up to 6 months

Up to labour

Q60.

What is the most sensitive and commonly use indicator of health?

Infant mortality

Disability adjusted life year

Maternal mortality

Crude death rate

Q61.

How much ORS should be given per loose stool for a child?

0-50 ml

50-100 ml

100-200 ml

200-300 ml

Q61. How much ORS should be given per loose stool for a child?

Ans: [C] 100-200 ml

Explanation:

According to the CBIMNCI guideline Plan A:

Up to 2 years: 50 to 100 ml after each loose stool
2 years or more: 100 to 200 ml after each loose stool

According to the CBIMNCI guideline Plan B: Amount of ORS to give during first 4 hours

AGE*	Up to 4 months	4 months upto 12 months	12 months upto 2 years	2 years upto 5 years
WEIGHT	< 6 kg	6 - < 10 kg	10 - < 12 kg	12 - <20 kg
Amount of fluid (ml) over 4 hours	200 - 450	450 - 800	800 - 960	960 - 1600

*Use the child’s age only when you do not know the weight. The approximate amount of ORS required (in ml) can also be calculated by multiplying the child’s weight in kg times 75

If the child wants more ORS than shown, give more
For infants below 6 months who are not breastfed, also give 100-200 ml clean water during this period

Q62.

Buffer stock of drugs is maintained for all of the following, EXCEPT:

To cover the delays/disruptions in the supply chain

To reduce the price of the drugs

To manage unexpected requirements of the drugs

To ensure consistent availability of the drugs

Q63.

WHO recommended formula of oral rehydration salt is:

Sodium chloride 2.6 gm, Potassium chloride 1.5 gm, Sodium citrate 2.9 gm, Glucose anhydrous 13.5 gm

Sodium chloride 2.0 gm, Potassium chloride 1.0 gm, Sodium citrate 2.0 gm, Glucose anhydrous 15 gm

Sodium chloride 3 gm, Potassium chloride 2.0 gm, Sodium citrate 3 gm, Glucose anhydrous 12 gm

None of the above

Q64.

The nurse midwives determine on PV examination that the fetus is in right occipital-anterior position and at (-1) station. This indicates the fetal presenting part is:

1 cm below the ischial spine

Directly in the line with the Ischial spine

1 cm above the ischial spine

In no relationship to the ischial spine

Q65.

Which plan document outlines the direction an organization intends to follow, with broad guidance as to the implications for services or action?

Operational plan

Work plan

Strategic plan

Business plan

Q66.

When the Coronary Heart Disease epidemic was begin in USA?

The early 1920 AD

In the 1930 AD

In the 1940 AD

In the 1980 AD

Q67.

Which of the following is a key characteristic of disease elimination?

Disease burden is reduced to zero globally

Disease no longer exists in any geographic region or human population

Disease transmission has been stopped in a specific region but continues to be monitored and controlled

The pathogen is eradicated from both humans and animals globally

Q68.

What is the important determinant of health globally?

Location

Nationality

Urban population

Poverty

Q69.

In inchargeship role, supervision, communication with subordinate, and understanding staff needs are belongs to which skill?

Technical skill

Human skill

Management skill

Supervision skill

Q70.

What is the sex ratio of Nepal according to the National Census 2078 B.S.?

95.59 males per 100 females

97.59 males per 100 females

99.59 males per 100 females

95.59 females per 100 males

Q71.

All are the steps of drug management cycle EXCEPT:

Selection

Procurement

Distribution

Selling

Q72.

Maximize health outcomes by managing funds responsibly and strategically within the health sector is the objective of:

Health economics

Health financing

Financial management in health

Economic evaluations of health care services

Q73.

Which government body is primarily responsible for basic health services in Nepal?

Ministry of Health and Population

Federal Government

Provincial Government

Local Level Government

Q74.

In normal delivery, breastfeeding should be started within:

Half an hour of delivery

1 hour of delivery

4 hour of delivery

6 hour of delivery

Q75.

Corona Virus is:

Double stranded RNA Virus

Double stranded DNA Virus

Single stranded DNA Virus

Single stranded RNA Virus

Q76.

Which of the following is not a measure of variability?

Range

Mean deviation

Mode

Standard deviation

Q77.

The first institution for child education and socialization is:

School

Community

Hospital

Family

Q78.

The condition for legal abortion in the case of rape or incest is up to:

12 weeks

18 weeks

22 weeks

28 weeks

Q79.

According to WHO, which of the following is the earliest manifestation of xerophthalmia?

Corneal xerosis

Bitot spots

Night blindness

Conjunctival xerosis

Q80.

What is the average glomerular filtration rate?

180 L per day

10 L per day

1500 ml per day

1 ml per minute

Q81.

Which of the following is not a dimension of health?

Physical health

Mental health

Scientific health

Social health

Q82.

When was the Iodized Salt (Production, Sale and Distribution) Act implemented in Nepal?

2055 B.S.

2060 B.S.

2040 B.S.

2075 B.S.

Q83.

What is the denominator of maternal mortality?

Total births

Total reproductive age women

Total live births

Total married reproductive age women

Q84.

TFR of Nepal as per NDHS 2022:

2.5

2.1

1.8

Q85.

Logical Framework (Log Frame) is primarily used in:

Budget estimation

Procurement

Project Planning and Evaluation

Human Resource Training

Q86.

An infectious disease, transmitted by mosquitoes, poses a significant health risk worldwide. It can lead to severe complications if left untreated and is known to cause frequent outbreaks in densely populated urban areas. What is this disease?

Malaria

Dengue

Kala-azar

Scrub typhus

Q87.

Which is not a principle of PHC?

Community participation

Appropriate technology

Inter-Sectoral co-ordination

Provision of health education

Q88.

Fluid of choice in head injury is:

5% Dextrose

DNS

Normal saline

10% Dextrose

Q89.

Which is the most common cancer among females in Nepal?

Breast cancer

Cervical cancer

Lung cancer

Ovarian cancer

Q90.

The main difference between placenta previa and placenta abruption is:

Painful bleeding

Rigid abdomen

Bright red blood

Blood filled with clot

Q90. The main difference between placenta previa and placenta abruption is:

Ans: [A] Painful bleeding

Explanation:

Placenta Previa Vs Abruptio Placenta

Features	Placenta previa	Abruptio placenta
Nature of bleeding	Painless bleeding	Painful bleeding
Colour of blood	Bright red	Red
General condition	Proportionate to visible blood loss	Not proportionate to visible blood loss
Abdominal /Examination	Soft relaxed uterus	Tense, tender uterus
Abdominal /Examination	FHS+	FHS+/-
Placenta	Lower segment	Upper segment
Fundal height (FH)	FH is proportional to the gestation	FH may be enlarged more than gestation
Malpresentation	may be present	is usually absent

Q91.

Where is SAARC cultural center?

Nepal

Sri Lanka

Bhutan

Bangladesh

Q92.

Which ray has a high energy wave?

Radio wave

Microwave

X-ray

Gamma ray

Q93.

What is the function of local health facilities (PHCC and health post)?

Planning health program

Budget management

Program evaluation

Program implementation

Q94.

Which is not a six right of logistics?

Right condition

Right goods

Right service

Right quantity

Q95.

The total utility will be a maximum when:

Marginal utility is negative

Marginal utility equals price

The ratio of the respective marginal utilities is equal to the ratio of prices

Marginal utility is positive

Q96.

Obtaining the consent of patient before doing any procedure is the example of:

Good professional practice

Professional right

It is not necessar

Client/patient right

Q97.

An epidemic that arises from a common source and affects a large number of people in a short period is termed:

Propagated epidemic

Point-source epidemic

Mixed epidemic

Endemic

Q98.

Kwashiorkor, a disease of children is due to:

Protein deficiency

Carbohydrate deficiency

Genetic problem

Vitamin deficiency

Q99.

Drug of first choice of management of scrub typhus in adult is:

Chloramphenicol

Ciprofloxacin

Doxycycline

Azithromycin

Q100.

The male hormone "Testosterone" is produced by:

Seminiferous tubules

Epididymis

Vas deferens

Leydig cells

Play Quiz Play Puzzle Know the Picture

High Risk	Districts of Terai region (26)
Moderate Risk	Districts of Hilly region (35)
Low Risk	Districts of Mountain region (16)

Rank	Cancer site	Number of cases	Percent
1st	Breast	2,255	18.5%
2nd	Cervix uteri	2,169	17.8%
3rd	Lung	903	7.4%
4th	Gallbladder	807	6.6%
5th	Stomach	651	5.3%
-	Others	5,431	44.5%

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