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Q1.

An upper limit of noise which people can tolerate without damage to their hearing is:

60 dB

85 dB

90 dB

100 dB

Q2.

PAMS V2 is related to:

Training Management Information

Logistics Management Information

Health Management Information

Financial Management Information

Q3.

Universal Health Coverage (UHC) index ranges in between:

0 to 1

0 to 100

-1 to +1

+1 to -1

Q4.

Which term is more comprehensive, covering both live births and biological capacity for reproduction in a population?

Natality

Birth rate

Fertility rate

Growth rate

Q5.

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

Q6.

What are four types of sustainable development?

Poverty, climate, social and environmental

Human, social, economic and environmental

Political, social, economic and environmental

Biodiversity, social, economic and environmental

Q7.

Vaccination is an example of:

Primordial prevention

Primary prevention

Secondary prevention

Tertiary prevention

Q8.

Round shape bacteria is called:

Bacilli

Vibrio

Actinomycetes

Cocci

Q9.

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

Rectum

Colon

Cecum

Ileum

Q10.

Which of the following is contraindication of corrosive poisoning?

Intravenous fluid administration

Blood test

Catheterization

Induced vomiting

Q11.

Disease caused by food intoxicants are all EXCEPT:

Pellagra

Epidemic dropsy

Endemic Ascites

Lathyrism

Q12.

All of the following are true about quality assurance in health care EXCEPT:

It involves continuous monitoring, assessment and improvement of health care processes

It focuses detecting and rectifying defects after the service is provided

It aims to enhance patient satisfaction

It increases healthcare efficiency

Q13.

A person on Iron diet usually passes:

Clay colored stool

Black colored stool

Normal colored stool

Light green stool

Q14.

Matri suraksha Chakki (MSC) is given to prevent:

Antepartum Hemorrhage (APH)

Post partum Hemorrhage (PPH)

Pre-eclampsia

Puerperal Sepsis

Q15.

The folic acid supplementation reduces the risk of:

Down syndrome

Neural tube defect

Eclampsia

Placenta previa

Q16.

An absolute contraindication to killed vaccine is:

Pregnancy

Immunodeficiency

Lymphoma

Reaction to previous dose

Q17.

According to WHO recommended drinking water quality, the pH level of most drinking water lies within the range:

2.5-4.5 pH level

4.5-6.5 pH level

6.5-8.5 pH level

8.5-10.5 pH level

Q18.

Initial test for screening for breast cancer:

Mammography

FNAC

Breast biopsy

USG

Q19.

In autoclave, the principle involved is:

Dry heat

Moist heat

Steam under pressure

Moist heat and steam under pressure

Q20.

Which health care financing method pool risk and funds across a large group of people?

Out of pocket payment

Health Insurance

Free for services

Direct donations for the health care

Q21.

Which of the following confirmed values meet the diagnostic threshold for diabetes?

FBS 140 mg/dl

RBS > 100 mg/dl

2 hrs-pp > 126 mg/dl

FBS ≥ 126 mg/dl

Q22.

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

Q23.

Suicide is the most common in:

Anxiety

Epilepsy

Depression

Psychosis

Q24.

Mumps is the most frequent cause of parotitis in children in age group:

0-6 months

6 months–4 years

5–9 Years

10–12 years

Q25.

The use of mobile & wireless applications ie. SMS, use of social media Facebook to health related purposes describes:

e-Health

i-Health

s-Health

m-Health

Q26.

Which type of economic evaluation is commonly used for evaluating public Health interventions:

Cost-effective Analysis

Cost-utility Analysis

Cost-Benefit Analysis

Budget Impact Analysis

Q27.

What is the main difference between monitoring and evaluation in health programs?

Monitoring focuses on outcomes, while evaluation focuses on processes

Monitoring is continuous, while evaluation is periodic

Monitoring involves external stakeholders, while evaluation does not

Monitoring is used only during program planning, while evaluation is used during implementation

Q28.

Health services must be shared equally by all people irrespective of their ability to pay, and all must have access to health services is related to which principle of PHC?

Equitable distribution

Community participation

Inter sectoral coordination

Appropriate technology

Q29.

After BCG vaccination, mother should instruct following points EXCEPT:

Do not put oil and water at injection site

There may be small pustule after 1-2 weeks after vaccination

Do not do anything if there is small pustule

The pustule must be incised and drained and put antibiotic

Q30.

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

Corneal xerosis

Bitot spots

Night blindness

Conjunctival xerosis

Q31.

What is the important determinant of health globally?

Location

Nationality

Urban population

Poverty

Q32.

What is the major responsibility of Local Government for the national health program in Federal Nepal?

Overall local planning

Monitoring

Supervision

Implementation

Q33.

A comparative analysis of two or more alternatives in terms of their costs and consequences is:

Cost effectiveness analysis

Economic assessment

Economic evaluation

Health economic

Q34.

Which of the following criteria best fit for youths?

10-19 years

10-24 years

15-24 years

19-24 years

Q35.

You can clarify that a child aged 2 years has fast breathing if he has a respiratory rate of:

60 bpm or more

50 bpm or more

40 bpm or more

30 bpm or more

Q36.

Pasteurization of milk kills all the followings EXCEPT:

Anthrax

Streptococcus

M. tuberculosis

Brucella

Q37.

Piles are:

Enlarged blood vessels inside esophagus

Mucosal tumor inside esophagus

Enlarged blood vessels around anus

Muscular tumor around anus

Q38.

The incubation period of gonorrhea is:

4-6 weeks

2-7 days

10-14 days

18-24 days

Q39.

Which is the most common cancer among females in Nepal?

Breast cancer

Cervical cancer

Lung cancer

Ovarian cancer

Q40.

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

Q41.

Quarantine is:

Minimum incubation period

Maximum incubation period

Period of infectivity

Serial interval

Q42.

Denominator of crude birth rate is:

Midyear population

Number of living children

Number of death children

Total number of crude birth

Q43.

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

Q44.

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

Authority

Responsibility

Accountability

Power

Q45.

Prevalence is:

Rate

Ratio

Average

Proportion

Q46.

Daily Iodine requirements for lactating mother is about:

90 mcg

120 mcg

150 mcg

250 mcg

Q47.

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

0-50 ml

50-100 ml

100-200 ml

200-300 ml

Q47. 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

Q48.

The male hormone "Testosterone" is produced by:

Seminiferous tubules

Epididymis

Vas deferens

Leydig cells

Q49.

One of the key principles of health education is:

Imposing rules

Cultural relevance

Use of legal action

Avoiding community involvement

Q50.

MOHP has been providing iron folic acid (IFA) supplementation to pregnant and post-partum women since 1998. The protocol provides elemental iron and folic acid is:

60 mg + 400 microgram

60 gm +400 gm

60 mg +400 mg

60 microgram + 400 gm

Q51.

Which of the following drugs causes teratogenic effects, meaning it can lead to developmental abnormalities or birth defects when taken by a pregnant woman, particularly during the first trimester of pregnancy? (CEE 2025)

Iodine

Folic Acid

Iron

Albendazole

Q52.

Vector of Kala-azar:

Anopheles mosquito

Culex mosquito

Sandfly

Tsetse fly

Q53.

Following are steps of digestive system, please choose the correct sequence of digestive system.

Digestion → Ingestion → Excretion → Metabolism

Excretion → Metabolism → Digestion → Ingestion

Ingestion → Digestion → Metabolism → Excretion

Metabolism → Digestion → Ingestion → Excretion

Q54.

The Richter scale expresses an earthquake:

Magnitude

Location

Duration

Depth

Q55.

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

Creamed soup

Milk

Daal

Black tea

Q56.

Which vaccines need to be reconstituted by the administering healthcare worker?

FIPV, DPT, PCV

Penta, TD, OPV, Rota

Rota, BCG, Measles-Rubella, JE

BCG, Measles-Rubella, JE

Q57.

The window period for HIV infection:

2-12 weeks

3-12 weeks

12-14 weeks

14-16 weeks

Q58.

Highest amount of saturated fatty acid is seen in:

Sunflower oil

Soyabean oil

Palm oil

Mustard oil

Q59.

Nepal's aging population is primarily due to:

High birth rate

Decreased fertility and increased life expectancy

Migration of youth to cities

High mortality rate among the elderly

Q60.

A 18 weeks pregnant woman came to health facility with severe PV bleeding. What is your first priority action to her?

Send to provincial hospital without doing nothing

Do PV examination to assess cervix and os dilatation

Keep in complete rest, assess blood loss by asking mother and attendant, start IV infusion and call for help

Evacuate the uterus by using MVA, oxytocin injection and blood transfusion

Q61.

Monitoring is the part of:

Program evaluation

Program implementation

Program planning

Process of strategy making

Q62.

Which health education method is best for the group of illiterate mothers on preparation of Sarbottam Pitho?

Lecture

Demonstration

Small group discussion

Seminar

Q63.

The disinfecting action of chlorine in water is due to:

Hypochlorite ions

Chloride

Hypochlorous acid

Residual chlorine

Q64.

What is the term for the movement of people into a particular area, typically from another country?

Emigration

Immigration

Natural increase

Migration

Q65.

Which disease is also known as water washable disease?

Bacillary dysentery

Amoebic dysentery

Giardiasis

Trachoma

Q66.

Kwashiorkor, a disease of children is due to:

Protein deficiency

Carbohydrate deficiency

Genetic problem

Vitamin deficiency

Q67.

When maintaining accurate records in situations of suspected abuse, the nurse should document......

An interpretation of patient's statement

A body map to indicate size, color, areas and type of injuries

A description of the suspected abuses

Generalized statements about the events leading up to the abuse

Q68.

While teaching the parents of preschool children to emphasize that the major cause of death at this age is due to:

Accidents

Poison

Violence

Infections

Q69.

All are the measures of vector control for malaria and filarial EXCEPT:

Management of case

Use of insecticide

Environmental sanitation

Use of chemical treated mosquito net

Q70.

Incubation Period COVID-19 is:

1-14 days

2-14 days

7-10 days

10-14 days

Q71.

Which is not a principle of PHC?

Community participation

Appropriate technology

Inter-Sectoral co-ordination

Provision of health education

Q72.

What is the full form of PEN?

Personal Education Number

Prevention Education and Nutrition

Palliative Effective Numerator

Package of Essential Non-Communicable Diseases

Q73.

Appetite for non-nutritive substance is called:

Bulimia

Anorexia

Insomnia

Pica

Q74.

Which of the following contraceptive method is commonly used in Nepal?

Depo provera

Oral pills

Norplant

Copper - T

Q75.

Who could be the ideal listener in a flash card show program of health education on diarrhea?

School children

Mothers attending antenatal clinic

Mothers attending pediatric OPD

Men attending general OPD

Q76.

Which is the ideal site for measuring the body’s core temperature?

Axilla

Oral

Rectal

Tympanic Membrane

Q77.

How should you open the airway of an unconscious casualty?

Head tilt and chin lift

Jaw thrust

Head tilt and jaw thrust

Lift the chin

Q78.

According to Karnali Province Civil Service Regulations, 2080 who is coordinator of temporary positions recommendation committee?

Chief minister

Minister for finance and planning

Principle secretary

Secretary of finance

Q79.

After ovulation, the ovum is thought to remain viable for...... hours.

1 to 6

12 to 18

24 to 36

48 to 72

Q80.

The incubation period of Hepatitis A is:

10-15 days

15-45 days

5-10 days

40-80 days

Q81.

When was the Nepal Health Professional Council (NHPC) established?

2043 B.S.

2053 B.S.

2054 B.S.

2066 B.S.

Q82.

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

Q83.

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

Q84.

A population pyramid that has a wide base and narrow top typically indicates:

Low birth and low death rates

High birth and high death rates

High birth rate and declining death rate

Aging population

Q85.

If the population growth rate of a certain place is 2% per annum, in how many years will the population double?

35 years

40 years

45 years

50 years

Q86.

Which of the following diseases is caused by the rubella virus?

Measles

Mumps

German measles

Whooping cough

Q87.

One key reason for school health programs is:

To promote early employment

To reduce school dropouts due to ill health

To stop sports in schools

To delay health interventions until adulthood

Q88.

What do you mean by 5 F 'in disease transmission?

Flies, finger, foot, food, fomite

Flies, finger, faeces, food, fomite

Flies, finger, food, fluid, fomite

Flies, finger, flesh, food, fomite

Q89.

All of the following are tools for data analysis EXCEPT:

MS Excel

SPSS

Epi Info

MS Word

Q90.

In Nepal, acute flaccid paralysis needs to be reported in a child aged:

0-3 years

0-5 years

0-15 years

0-25 years

Q91.

Nepal family planning costed implementation plan 2024-2030 aims to increase CPR from 43 to ......by 2030.

Q92.

Which is the best measure for the calculation of burden of diseases in the community?

Incidence rate

Prevalence rate

Proportionate mortality rate

Case fertility rate

Q93.

What is not included in the school health program?

Environment sanitation

Personal hygiene

Construction of school

Immunization program

Q94.

Demographic transition model describes:

Changes in population size based on fertility and mortality rates

Patterns of migration and fertility

The migration of population in new areas

The cultural composition of population

Q95.

Acute Bronchitis can be characterized by all of the following EXCEPT:

Fever and malaise

Crackles on auscultation with white infiltrates shown on x-ray

Episodes of generalized chest pain after coughing us

Dry cough that is worsened by breathing in cold, dry air

Q96.

Weaning is a form of:

Supplementary feeding

Fortification

Complimentary feeding

Balanced diet

Q97.

Postural hypotension is commonly seen with: (Past Question)

Captopril

Sodium nitroprusside

Prazosin

Labetalol

Q98.

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

Q99.

In PHC, what does the term " Essential Health Care" refer to:

Specialized medical Treatment

Exclusive focus on curative care

Services that can be provided in Hospital only

Basic, universally accessible health services

Q100.

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

Play Quiz Play Puzzle Know the Picture

Result*	A1C Test	Fasting Blood Sugar Test	Glucose Tolerance Test	Random Blood Sugar Test
Diabetes	6.5% or above	126 mg/dL or above	200 mg/dL or above	200 mg/dL or above
Prediabetes	5.7-6.4%	100-125 mg/dL	140-199 mg /dL	NA
Normal	Below 5.7%	99 mg/dL or below	140mg/dL or below	NA
* Result for gestational diabetes can differ.

Age	Respiration Rate/minute	Classification
0-2	> 60	ARI
2-12 months	> 50	ARI
12-60 months	> 40	ARI

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%

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

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