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Q1.

The components of a comprehensive school health program include all of the following EXCEPT:

Health education

School health services

Healthful school environment

Parental employment policies

Q2.

The analytical study where population is the unit of study:

Cross sectional

Ecological

Case control

Cohort

Q3.

In the case of non-corrosive poison, gastric lavage should be done if patient arrives in emergency within....... hour/s of poisoning

1 hour

2 hours

3 hours

4 hours

Q4.

There may be gathering of toxins in organisms over time compared to the chemical's concentration in the environment. What is such a phenomenon commonly known?

Bioaccumulation

Biomagnification

Bioremediation

Biotransformation

Q5.

What population is particularly susceptible to protein energy malnutrition (PEM)?

Pregnant women

Under 5-year-old children

1-4-year-old children

School age children

Q6.

Which of the following is the abundant source of calcium?

Jwano

Cucumber

Papaya

Mango

Q7.

A person on Iron diet usually passes:

Clay colored stool

Black colored stool

Normal colored stool

Light green stool

Q8.

The measles & Rubella vaccine is given to the babies at the age of:

Soon after birth

9 months and 15 months

6 months and 12 months

2 years times

Q9.

When was the first national list of essential drug formulated in Nepal?

1976

1987

1986

1998

Q10.

Generally DPT vaccine is store at:

-10°C to 0°C

-1°C to 8°C

+2°C to +8°C

-0°C to -10°C

Q11.

How much premium amount should have to pay by a family having up to 5 members in a year for health insurance?

Rs 2500/-

Rs. 3000/-

Rs. 3500/-

Rs. 4000/-

Q12.

According to census 2078, what percentage of total population of Nepal living in Karnali province?

7.83%

6.75%

5.93%

5.79%

Q13.

Which of the following is an example for passive community participation?

Communities attending health education sessions

Communities being consulted but not involved in decision making

Communities actively designing health interventions

Communities independently running health initiatives

Q14.

First menstruation is called:

Menarchy

Puberty

Involution

Menopause

Q15.

Which of the following is not a direct determinant of fertility?

Literacy rate

Contraceptive uses

Age at marriage

Postpartum infecundability

Q16.

Food adulteration is defined as:

The intentional addition of nutrients to food to improve its nutritional value

The process of adding or removing substances to food to increase profit, thereby reducing its quality

The process of heating food to kill pathogenic microorganisms

The process of adding preservatives to extend shelf life

Q17.

International Day of Older Persons:

October 1

December 10

July 15

November 14

Q18.

The incubation period of gonorrhea is:

4-6 weeks

2-7 days

10-14 days

18-24 days

Q19.

Which of the following was invented most recently?

Snapchat

Tiktok

PUBG

ChatGPT

Q20.

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

Q21.

Which of the following vitamins is essential for the proper functioning of the immune system and the maintenance of skin health?

Vitamin A

Vitamin B12

Vitamin C

Vitamin D

Q22.

First aid means:

Treatment given to the victim on the spot with all medical facilities

Treatment given on the spot immediately before advanced medical or surgical facilities

Try to carryout necessary action by expert immediately

All of the above

Q23.

Nepal targets to fulfill the health human requirement rate per 1000 population by the year 2030 is.........

4.30

4.97

1.93

3.20

Q24.

If a pregnant women as come for antenatal check up on 2080-10-30 and her LMP was 2080-5-20 what may be her expected date of delivery?

2080-12-27

2081-2-27

2081-12-27

2081-3-7

Q25.

The most commonly accepted (popular) family planning method among in Nepalese women is:

Depo-provera

Oral pills

Condom

Norplant

Q26.

Spinal cord is extended from base of skull to:

Base of L2

Upper L3

Middle L4

Last L4

Q27.

Universal health coverage aims to:

Provide free health care for everyone

Ensure access to necessary health services without financial hardship

Focus on hospital-based care

Exclude private health care providers

Q28.

Vitamin K is essential for normal blood clotting because it promotes:

Platelet aggregation

Fibrinogen formation by the liver

Ionization of blood calcium

Prothrombin formation by the liver

Q29.

In a ratio, the numerator:

Is always part of denom.

Not a part of denom.

Equals the denom.

Is irrelevant

Q30.

How many goals, targets and indicators are directly health related in Millennium Development Goal?

1 goal, 4 targets and 9 indicators

2 goals, 6 targets and 12 indicators

3 goals, 8 targets and 18 indicators

8 goals, 18 targets and 48 indicators

Q31.

Nasolabial Dyssebacia is caused by a deficiency of:

Thiamine

Riboflavin

Niacin

Cyanocobalamin

Q32.

Population change has three components EXCEPT:

Birth

Death

Migration

Morbidity

Q33.

Which one is the natural method of family planning?

Calendar method

Pills

IUCDS

Condom

Q34.

A researcher has a complete list of 12,000 households in a municipality and selects every 20th household after randomly choosing the first household between 1 and 20. Which sampling technique is being used?

Stratified random sampling

Systematic random sampling

Cluster sampling

Convenience sampling

Q35.

Tab. Misoprostol is commonly used to prevent and manage PPH, it can be used through:

Sublingual

Vaginal

Both 'A' and 'B'

Intra rectally

Q36.

Which of the following methods is most effective in preventing foodborne toxication caused by bacterial contamination?

Freezing all food items

Storing food at room temperature

Adding preservatives to food

Cooking food to appropriate temperatures

Q37.

HMIS 1.3 means:

Master Register

Health Service Card

Outpatient Services Register

Open Tally Sheet

Q38.

Mixing if wood dust in turmeric powder is an example of:

Food additives

Food fortification

Food mixing

Food adulteration

Q39.

Behavioral Change Communication (BCC) mainly focuses on:

Giving medicines

Changing individual and group behavior

Punishing unhealthy habits

Promoting traditional beliefs

Q40.

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

Q41.

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

85%

90%

98%

100%

Q42.

A client in 1st post-operative day is ordered clear liquid diet. This diet includes:

Creamed soup

Milk

Daal

Black tea

Q43.

What is the 16th plan's target of the population below poverty line by FY 2085/086?

12%

10%

10.5%

11.5%

Q44.

Why is health education important in public health?

It increases dependency on healthcare providers

It replaces the need for medical interventions

It empowers individuals to make informed health decisions

It focuses only on physical health

Q45.

What is a prodrug?

Inactive drug converted into an active metabolite

Active drug converted into an inactive metabolite

Measures drug safety or not

Binds to a receptor and elicits a biological response

Q46.

The leading risk factor for Chronic Obstructive Pulmonary Disease is:

Smoking

High cholesterol

Physical inactivity

Poor sanitation

Q47.

The process where the message is interpreted for its content is:

Sender

Message

Encoding

Decoding

Q48.

SDG no 3.2 has aimed to reduce under five mortality upto as low as .... by 2030.

12 per 1,000 live birth

25 per 1,000 live birth

35 per 1,000 live birth

45 per 1,000 live birth

Q49.

Suicide is the most common in:

Anxiety

Epilepsy

Depression

Psychosis

Q50.

Amoebic liver abscess is caused by:

Entamoeba histolytica

E.coli

Taenia

Leishmania

Q51.

Which of the following is H2 receptor antagonist?

Metronidazole

Buscopan

Lansoprazole

Ranitidine

Q52.

Infants are susceptible from birth to:

Poliomyelitis

Diphtheria

Pertussis

Measles

Q53.

A Legal power which gives by position in an organization to make work done by others is known as:

Authority

Responsibility

Accountability

Power

Q54.

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

Infant mortality

Disability adjusted life year

Maternal mortality

Crude death rate

Q55.

Which antibody is produced in the early stage of microbial infection in human body?

IgG

IgM

IgE

IgD

Q56.

The drug amitriptyline is:

Antipsychotic

Anxiolytic

Antidepressant

Antibiotic

Q57.

The nosocomial infections are acquired from:

Plants

Hospitals

Animals

Community

Q58.

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.

Q59.

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

Q60.

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

Q61.

The colour of amniotic fluid is:

Clear pale straw colour

Dark colour

Yellow colour

Brown colour

Q62.

Recent contamination of water is indicated by the presence of:

Streptococci

Clostridium

E. Coli

Salmonella

Q63.

Which of the following are zoonotic diseases?

Anthrax and Brucellosis

Malaria and Typhoid

Cholera and Dengue

Influenza and Diarrhea

Q64.

Daily Iodine requirements for lactating mother is about:

90 mcg

120 mcg

150 mcg

250 mcg

Q65.

What is not included in the school health program?

Environment sanitation

Personal hygiene

Construction of school

Immunization program

Q66.

What is a key role of the health governance at federal level?

Providing basic health services from the health post

Monitoring and evaluations of the health policies and system

Making available all the essential medicines

Organizing immunizations campaigns

Q67.

Which of the following “P”is incorrect about social marking approach?

Product

Price

Promotion

Population

Q68.

Highest amount of saturated fatty acid is seen in:

Sunflower oil

Soyabean oil

Palm oil

Mustard oil

Q69.

Cancer of bladder is most commonly seen in industry:

Gas

Mine

Dye-stuffs

Oil-refine

Q70.

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

Q71.

The finance manager is accountable for:

Earning capital assets of the company

Effective management of a fund

Arrangement of financial resources

Proper utilization of funds

Q72.

Clearing the airway before beginning resuscitation of the newborn involve:

Suctioning the mouth only

Suctioning the nose only

Suctioning the mouth then the nose

Suctioning the nose then the mouth

Q73.

Which of the following human body temperature is NOT normal?

Oral-37°C

Axillary-36.4°C

Rectal-37.5°C

Rectal -38°C

Q74.

The epidemiological triad includes:

Agent, host and environment

Virus, bacteria and fungi

Prevention, promotion and rehabilitation

Diagnosis, treatment and care

Q75.

The most popular and effective media for creating awareness among general people is:

Radio

Television

Newspaper

Internet

Q76.

In which type of leadership style, there is a feeling of togetherness:

Democratic leadership

Autocratic leadership

Laissez faire

Situational leadership

Q77.

In autoclave, the principle involved is:

Dry heat

Moist heat

Steam under pressure

Moist heat and steam under pressure

Q78.

Which of the following is not an inferential statistical method?

ANOVA

Standard deviation

Regression analysis

Chi-square test

Q79.

The public heath nurse who does Blood Pressure screening and related health education is conducting activities in the level of:

Primary prevention

Secondary prevention

Tertiary prevention

Focused prevention

Q80.

Where is SAARC cultural center?

Nepal

Sri Lanka

Bhutan

Bangladesh

Q81.

The cessation of menstruation is called:

Thelarche

gravidity

Menopause

Puberty

Q82.

The disinfecting action of chlorine in water is due to:

Hypochlorite ions

Chloride

Hypochlorous acid

Residual chlorine

Q83.

What is the Sustainable Development Goal (SDG) target for Maternal Mortality Ratio (MMR) in Nepal by 2030?

Reduce MMR to less than 150 per 100,000 live births

Reduce MMR to less than 110 per 100,000 live births

Reduce MMR to less than 100 per 100,000 live births

Reduce MMR to less than 70 per 100,000 live births

Q84.

Which of the following health program has demand side financing in Nepal?

National immunization program

IMNCI program

Safe motherhood program

Family planning program

Q85.

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

Child nutrition

Child health education

Immunization

Safe abortion

Q86.

Heimlich maneuver is used to remove foreign body of:

Nose

Throat

Ear

Nose and ear

Q87.

Which of the following method of contraception in considered as most suitable for newly married couple?

Condom

Combined oral pills

Intrauterine device

Injectable progesterone

Q88.

Where are pressure ulcers (bed sore) most likely to form?

On the heels, ankles and toes

On the elbows and shoulder blades

On the spine

All of the above

Q89.

Which of the following workplace measures helps reduce exposure to occupational hazards?

Incentive programs for high-performing workers

Recreational breaks during work hours

Team-building activities

Regular handwashing facilities

Q90.

Commonest sites of peptic ulcers is:

1st part of duodenum

2nd part of duodenum

Distal 1/3rd of stomach

Pylorus of stomach

Q91.

A Null Hypothesis is defined as:

An assumption of change

A confirmed fact

No relationship between variables

A statistical error

Q92.

Which is the correct sequential order during systemic examination?

Palpation – Inspection – Auscultation -Percussion

Inspection - Palpation – Percussion -Auscultation

Inspection – Percussion – Palpation - Auscultation

Inspection-Palpation- Auscultation-Percussion

Q93.

While caring a client with a fractured leg. Which sign requires immediate action?

Pain in leg, relieved by pain killer

A dim-sized area of blood on the cast

Pale, cool toes with decreased movement

Complaint of itching in the cast

Q94.

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

Q95.

Which combination correctly represents the four essential components of epidemiology?

Disease, diagnosis, drug and rehabilitation.

Distribution, determinants, specified populations, and application of findings to health problems.

Incidence, prevalence, mortality and palliation.

Prevention, promotion, treatment and palliation.

Q96.

Rodent surveillance is important for:

Early detection of infestation and diseases

Increasing rodents population

Managing livestock disease

Promoting biodiversity

Q97.

Which one of the following is a water borne disease?

Tuberculosis

Malaria

AIDS

Cholera

Q98.

What is meant by a new TB patient?

A patient who has taken treatment for more than 30 days

A patient whose treatment was interrupted for 2 consecutive months or more

A patient who has taken continuous treatment for 1 year

Patients who have never been treated for TB of have taken anti TB drugs for less than one month

Q99.

Positive signs of pregnancy include:

Fetal heart tones heard by Doppler or fetal stethoscope

Frequency of micturition

Amenorrhea

Morning sickness

Q99. Positive signs of pregnancy include:

Ans: [A] Fetal heart tones heard by Doppler or fetal stethoscope

Explanation:

Note:

1. Presumptive signs:

§ Amenorrhea

§ Breast tenderness

§ Nausea and vomiting

§ Fatigue

§ Increased skin pigmentation

§ Skin striae

2. Probable signs:

§ Enlargement of the uterus

§ Maternal sensation of uterine contractions or fetal movement, Hegar sign (softening of the junction between the corpus and cervix),

§ Goodell’s sign

§ Cchadwick’s sign

§ Ossiander’s sign (increased vascularity)

§ Positive urine or serum b-human chorionic gonadotropin (b-hCG) testing

3. Positive/absolute signs:

§ Hearing fetal heart tones

§ Sonographic visualization of a fetus,

§ Perception of fetal movements by an external examiner

§ X-ray showing a fetal skeleton.

Q100.

Earliest symptom of acute appendicitis:

Pain

Vomiting

Fever

Diarrhea

Play Quiz Play Puzzle Know the Picture

Group	Recommended daily intake
Preschool children (0 – 59 months)	90 mcg
School children (6 – 12 years)	120 mcg
Adults (>12 years)	150 mcg
Pregnancy and lactation	250 mcg

Temperature Reading Site	Average Normal Body Temperature	Timing
Oral	37⁰C (98.6⁰F)	1-2 minute
Axilla or Groin	36.4⁰C (97.6 ⁰F)	2-3 minute
Rectal	37.5⁰C (99.6 ⁰F)	1-2 minute

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