Gandaki Loksewa Medical Officer
Click on the Options to reveal answers1. The most important mode of treatment for post-infective myocarditis is:
Correct Answer: c
2. Chronic hepatitis can be caused by all of the following except:
Correct Answer: a
3. All of the following conditions cause palpable kidneys, EXCEPT:
Correct Answer: d
4. The auscultatory gap while recording blood pressure is best avoided by:
Correct Answer: a
5. Which neurotransmitter is depleted in Parkinsonism?
Correct Answer: d
6. Which of the following is NOT a preventive measure against Dengue fever?
Correct Answer: d
7. The most common cause of hypothyroidism is:
Correct Answer: c
8. A 78-year-old man presents with a one-month history of shortness of breath, chest wall pain, and weight loss. He has a 60 pack-year smoking history. Examination reveals a stony dull percussion note at the left base with absent breath sounds. Chest X-ray shows a large left pleural effusion and numerous bilateral pleural plaques. What is the most appropriate initial investigation?
Correct Answer: b
9. A 77-year-old diabetic woman presents with fatigue and breathlessness. ECG confirms atrial fibrillation with good heart rate control. Echocardiogram shows left atrial enlargement but no other abnormality. What is the most appropriate strategy to reduce her risk of a future stroke?
Correct Answer: a
10. A 55-year-old female with chronic constipation fails to respond to fiber supplements and laxatives. Anorectal manometry suggests dyssynergic defecation. What is the next appropriate management step?
Correct Answer: c
11. Which of the following is NOT considered professional misconduct according to the Nepal Medical Council Act?
Correct Answer: d
12. What is the first step you should take when a patient enters your outpatient department (OPD)?
Correct Answer: a
13. Which is the most dangerous pathway during electrocution?
Correct Answer: b
14. The main cause of death in road traffic accidents is:
Correct Answer: a
15. Rigor mortis is first seen in which organ?
Correct Answer: c
16. Which phase of organophosphate poisoning is associated with significant morbidity?
Correct Answer: b
17. Which of the following is NOT an example of Gender-Based Violence (GBV)?
Correct Answer: d
18. According to the Mother's Milk Substitute Act, which of the following is strictly prohibited?
Correct Answer: b
19. Intersex conditions include all of the following except:
Correct Answer: c
20. Which of the following wounds simulates a red-hot poker?
Correct Answer: d
21. Which of the following is NOT a sign of atropinization?
Correct Answer: b
22. All are modalities of treatment for carbon monoxide poisoning except:
Correct Answer: d
23. The drug of choice for postural hypotension is:
Correct Answer: c
24. Which of the following regular medicines is most likely to require a dose reduction in a patient with stage 3 chronic kidney disease?
Correct Answer: a
25. Which aspect of a new drug is typically not considered by drug regulators but is considered by health-care providers (e.g., a hospital drug and therapeutics committee)?
Correct Answer: d
26. In which study design does the population sample receive both treatments (at different times)?
Correct Answer: d
27. What is the recommended minimum number of antenatal care visits according to the 2016 WHO model?
Correct Answer: c
28. According to the national immunization schedule of Nepal, which vaccines should be given to a child at 9 months of age?
Correct Answer: d
29. The decrease in the incidence of a disease to a level where it ceases to be a public health problem is called:
Correct Answer: b
30. Farmer's lung results from exposure to:
Correct Answer: c
31. The index for current nutritional status or severity of malnutrition is:
Correct Answer: c
32. The main objective of the safe motherhood program is:
Correct Answer: c
36. For a neonate with moderate dehydration, the ideal fluid of choice for resuscitation is:
Correct Answer: a
37. The most common congenital heart defect detected during birth is:
Correct Answer: a
38. Which of the following is NOT a characteristic feature of Fragile X syndrome?
Correct Answer: b
39. After a recent earthquake, the nutritional status of children in the community can be best assessed by:
Correct Answer: b
40. What is the most likely cause of unilateral nasal discharge in children?
Correct Answer: d
41. Which of the following is highly suggestive of Battered Baby Syndrome?
Correct Answer: c
42. In a normal child, the upper segment to lower segment ratio at 10 years of age is:
Correct Answer: d
43. The most common cause of stridor in infants and children is:
Correct Answer: b
44. An infant presents with hepatomegaly, hypoglycemia, hyperlipidemia, and acidosis. The most probable diagnosis is:
Correct Answer: a
45. The incubation period of measles is:
Correct Answer: a
46. Stevens-Johnson syndrome is classically associated with all of the following EXCEPT:
Correct Answer: c
47. The following drugs can be used in a patient with Psoriasis EXCEPT:
Correct Answer: c
48. All statements regarding tuberous sclerosis are true, EXCEPT:
Correct Answer: b
49. A 28-year-old gentleman presents with a single, painless genital ulcer and non-tender lymphadenopathy. The most likely diagnosis is:
Correct Answer: b
50. The first-line Antiretroviral Therapy (ART) regimen recommended in Nepal for adults living with HIV is:
Correct Answer: c
51. Which method of labor induction should not be performed in a patient with a previous lower segment cesarean section (LSCS)?
Correct Answer: c
52. What is the principal source of lubrication during sexual intercourse?
Correct Answer: b
53. The average weight of the uterus at term is:
Correct Answer: c
54. Which of the following increases during pregnancy?
Correct Answer: d
55. What is the shortest diameter of the pelvic cavity?
Correct Answer: c
56. The half-life of human chorionic gonadotropin (hCG) is:
Correct Answer: c
57. Which of the following antihypertensive medications is contraindicated in pregnancy?
Correct Answer: d
58. Which of the following puerperal infections is associated with scanty, odorless lochia?
Correct Answer: a
59. The deep and superficial perineal pouches are divided by the:
Correct Answer: d
60. A Gartner duct cyst is a remnant of the:
Correct Answer: b
61. Which of the following is a common cause of osteomyelitis in intravenous drug users?
Correct Answer: c
62. A patient complains of pain in his leg after an accident. Compartment syndrome is diagnosed. Which of the following is most suggestive of this condition?
Correct Answer: a
63. What is the most common complication of Central Venous Catheterization?
Correct Answer: c
64. A man with burns presents to the hospital. Which of the following is used for rapid sequence intubation?
Correct Answer: a
65. Which of the following micronutrients is accumulated in excess in Wilson's disease?
Correct Answer: c
66. The presence of an endotracheal tube in the trachea is best confirmed by:
Correct Answer: a
67. Which of the following is a 'red flag' symptom in a person presenting with a headache?
Correct Answer: d
68. The investigation of choice for the diagnosis of a biliary stone is:
Correct Answer: b
69. The most common type of hip dislocation is:
Correct Answer: b
70. A 10-year-old child presents after a fall onto an outstretched hand. Radiographs confirm a displaced supracondylar fracture of the humerus. You note a cool, pale hand with an absent radial pulse. What is the immediate and most critical action in a Primary Health Care (PHC) setting?
Correct Answer: d
71. Which of the following organisms is associated with a higher risk of complications in Ophthalmia neonatorum?
Correct Answer: b
72. In soft contact lens users, which organism is most commonly associated with an increased risk of infection?
Correct Answer: a
73. A patient presents with parotitis and has been on broad-spectrum antibiotics for two weeks, but the condition has not improved. What is the most probable cause?
Correct Answer: c
74. The semicircular canal is responsible for which of the following movements?
Correct Answer: a
75. The principal component of dental plaque is:
Correct Answer: b
76. Which one of the following is a premalignant condition?
Correct Answer: d
77. Which salivary gland tumor is more common among children?
Correct Answer: c
78. The drug which is indicated irrespective of the etiology of a corneal ulcer is:
Correct Answer: c
79. A chalazion is a chronic inflammatory condition of the:
Correct Answer: a
80. A 35-year-old male presents with a non-healing oral ulcer present for two months. He is a regular user of tobacco and betel quid. What is the most appropriate initial action?
Correct Answer: c
81. The most common site for a Hydatid cyst to occur is the:
Correct Answer: a
82. Which of the following is used for disability assessment during the primary survey of a trauma patient?
Correct Answer: b
83. The most effective method to measure hydration status after resuscitation of a surgical patient is:
Correct Answer: a
84. Which age group is most commonly affected by anal fissures?
Correct Answer: a
85. A source of increased serum amylase level could be the:
Correct Answer: d
86. Scar constriction is facilitated by:
Correct Answer: a
87. The timing of repair for a primary hard palate cleft is:
Correct Answer: b
88. Froment's sign tests the:
Correct Answer: a
89. Which of the following can lead to functional intestinal obstruction (ileus)?
Correct Answer: d
90. The primary function of the prostate gland is:
Correct Answer: d
91. The most specific feature of psychosis is:
Correct Answer: b
92. Which clinical feature is seen due to a lesion on the bilateral amygdala?
Correct Answer: b
93. An 85-year-old man with a fractured neck of femur is unable to understand he has a fracture or even that he is in the hospital. What term is used to describe his inability to give informed consent?
Correct Answer: a
94. When assessing cognitive function, it is good practice to perform which of the following in all patients?
Correct Answer: b
95. Which of the following is a negative symptom of schizophrenia?
Correct Answer: c
96. Which of the following is a cause of hypercapnia?
Correct Answer: d
97. A 30-year-old male sustained injury to his right chest following an RTA. His BP is 100/70, pulse is 110, and JVP is 7 cm above the sternal angle. There is diminished movement with absent breath sounds on the right. What is the most important initial management?
Correct Answer: b
98. You are part of a rescue team looking for a trapped trekker. Below what core temperature can ventricular fibrillation be induced from excessive movement?
Correct Answer: c
99. What is the gold standard diagnostic test for hemodynamically stable patients with blunt abdominal trauma?
Correct Answer: c
100. Before inserting a nasogastric tube, the patient should be positioned:
Correct Answer: c