Koshi Loksewa Medical Officer
Click on the Options to reveal answers1. First-rank symptoms of schizophrenia were described by:
Correct Answer: c
2. Wernicke's encephalopathy is attributed to:
Correct Answer: b
3. A woman complains of intrusive thoughts about abusing God and slapping a gentleman. These thoughts persist despite her desire to stop. She is likely suffering from:
Correct Answer: c
4. A patient with multi-bacillary leprosy developed multiple painful erythematous lesions and thickening of the nerves after a month of antileprotic therapy. Which reaction has occurred?
Correct Answer: b
5. The WHO regimen for borderline tuberculoid leprosy is:
Correct Answer: c
6. Which form of leishmaniasis specifically affects the skin, causing non-painful, enlarging ulcers?
Correct Answer: c
7. Athlete's foot is associated with:
Correct Answer: a
8. Which of the following routes of drug administration minimizes the first-pass effect through the liver?
Correct Answer: d
9. Severe hepatotoxicity with delayed onset (6-24 hours) following the ingestion of wild mushrooms is most likely due to:
Correct Answer: c
10. Which of the following antihypertensives is considered safe for use during pregnancy?
Correct Answer: b
11. The primary goal of pharmacovigilance is:
Correct Answer: b
12. Strangulation is most common with which type of hernia?
Correct Answer: b
13. The most common complication of Meckel's diverticulum is:
Correct Answer: a
14. In emphysematous pyelonephritis, the classic triad of symptoms includes:
Correct Answer: c
15. A 22-year-old man is brought to the emergency room after a house fire. He has burns around his mouth and his voice is hoarse, but breathing is unlabored. The most appropriate next step is:
Correct Answer: b
16. Which of the following is most important in the initial management of a head injury?
Correct Answer: b
17. The preferred surgical treatment for symptomatic varicose veins is:
Correct Answer: b
18. Which of the following signs is seen in acute cholecystitis?
Correct Answer: d
19. A 25-year-old female presents with a mobile, well-circumscribed lump in the lower outer quadrant of her left breast. What is the most likely diagnosis?
Correct Answer: b
20. What is the best method for preventing hypotension during spinal anesthesia?
Correct Answer: c
21. Which of the following is a fixed performance (high flow) oxygen delivery system?
Correct Answer: d
22. Which of the following is a less common but serious complication of anesthesia?
Correct Answer: a
23. Spinal anesthesia should be injected into the space between:
Correct Answer: a
24. A ranula is a retention cyst involving the:
Correct Answer: a
25. The treatment for the squamous type of Chronic Otitis Media (COM) is:
Correct Answer: c
26. What is the main dietary factor contributing to dental caries?
Correct Answer: c
27. Which of the following conditions is characterized by episodic vertigo, tinnitus, and hearing loss?
Correct Answer: c
28. Which orthopedic condition is characterized by inflammation of the shoulder tendons, causing pain and limited range of motion?
Correct Answer: c
29. Which of the following is the most common metabolic bone disease affecting the spine, characterized by low bone density and increased fracture risk?
Correct Answer: c
30. What is the primary goal of treatment for a comminuted fracture?
Correct Answer: b
31. The most common complication of Colles' fracture is:
Correct Answer: c
32. A fracture that communicates with the external environment is called a:
Correct Answer: c
33. What kind of gait might develop in a person with severe osteomalacia?
Correct Answer: c
34. What is the fundus finding in hypertensive retinopathy?
Correct Answer: d
35. The first clinical sign of vitamin A deficiency is:
Correct Answer: a
36. Which of the following statements is true about diabetic retinopathy?
Correct Answer: c
37. A 72-year-old man complains of gradual vision loss with a cloudy papillary reflex. What is the most likely diagnosis?
Correct Answer: a
38. What is the normal weight gain in a singleton pregnancy?
Correct Answer: a
39. According to the Abortion Act, up to how many weeks of pregnancy can a woman obtain an abortion on her own request?
Correct Answer: c
40. A 27-year-old lady presents with two months of amenorrhea, severe lower abdominal pain, and vaginal bleeding. What is the most likely cause?
Correct Answer: a
41. A lady with G3P2 and a known history of hypertension presents at 28 weeks of gestation with convulsions. What is the likely diagnosis?
Correct Answer: a
42. Which of the following is the most common protozoan infection of the genital tract?
Correct Answer: d
43. Crowning is best defined as:
Correct Answer: c
44. The first step in the management of eclampsia is:
Correct Answer: c
45. A primigravida at 9 weeks of gestation presents with bleeding and the passage of grape-like masses per vaginum. What is the most likely diagnosis?
Correct Answer: b
46. The first step in essential newborn care is:
Correct Answer: b
47. What is the most common complication of chickenpox in children?
Correct Answer: d
48. Marasmus is a form of protein-energy malnutrition primarily characterized by:
Correct Answer: c
49. Which of the following is NOT an X-linked disorder?
Correct Answer: c
50. A child stands with support and speaks a few disyllables at:
Correct Answer: c
51. A 24-hour-old neonate presents with a fluctuant swelling in the parietal region that does not cross suture lines. The likely diagnosis is:
Correct Answer: c
52. What is the management for persistent diarrhea?
Correct Answer: c
53. Which mechanism in phototherapy helps to reduce serum bilirubin?
Correct Answer: b
54. In a village of 1000 people, 25 suffer from cholera, and 5 died. What is the case fatality rate?
Correct Answer: a
55. The HIV epidemic in Nepal is concentrated mainly in:
Correct Answer: c
56. Sustainable Development Goals (SDGs) are developed to be achieved by:
Correct Answer: b
57. Which organization is responsible for coordinating international efforts to combat global health issues and pandemics?
Correct Answer: b
58. A medical officer posted at a district level hospital in the current federal setup is administratively accountable mainly to:
Correct Answer: c
59. SDG 3 includes a target to achieve universal health coverage. What does this mean?
Correct Answer: b
60. Dengue fever is primarily transmitted by:
Correct Answer: a
61. The first step in investigating an outbreak or epidemic is to:
Correct Answer: b
62. A study that compares people with a disease to those without the disease and looks back in time for exposure is:
Correct Answer: a
63. Keeping the frequency of illness within acceptable limits is best described as:
Correct Answer: d
64. In a decomposed body where soft tissues are lost, the most useful structure for identification is:
Correct Answer: c
65. Dribbling of saliva is seen in a case of:
Correct Answer: b
66. The definite postmortem finding of death due to drowning is:
Correct Answer: b
67. If a body is found with rigor mortis present only in the face, neck, and chest, approximately how long has the person been dead?
Correct Answer: b
68. Maggots appear in the natural orifices of a dead body in about:
Correct Answer: d
69. What term is used to describe the examination of a deceased individual to determine the cause and manner of death?
Correct Answer: a
70. A person rescued from a river is dead. He has frothing from the mouth and diatoms in the blood are positive. What is your diagnosis?
Correct Answer: c
71. The hydrostatic test is performed in cases of:
Correct Answer: a
72. What is the main objective of the Nepal Medical Council Act?
Correct Answer: b
73. The main objective of the National Health Insurance Program in Nepal is to:
Correct Answer: a
74. The primary objective of the National Health Policy 2076 is:
Correct Answer: b
75. The One-Stop Crisis Management Centre (OCMC) primarily provides services to:
Correct Answer: b
76. According to the Good Governance Act 2066 (Koshi Province), which of the following is a fundamental principle of good governance?
Correct Answer: c
77. What is the future vision (Sosh) of the Koshi Province health policy?
Correct Answer: d
78. What is the main objective of the health policy of the Nepal government?
Correct Answer: b
79. According to the Right to Information Act 2064, who is the chairperson of the committee formed to recommend the appointment of the Chief Information Commissioner and Information Commissioners?
Correct Answer: a
80. According to the Koshi Province Civil Service Act 2079, who determines the number of employees for the 9th level of the authorized level?
Correct Answer: b
81. On which subject does the Right to Health in the Constitution of Nepal focus?
Correct Answer: a
82. In which article of the Constitution of Nepal is the Right to Health mentioned?
Correct Answer: c
83. According to the Local Government Operation Act 2074, who has the authority to determine the borders of rural municipalities and municipalities?
Correct Answer: c
84. Whose responsibility is it to ensure the performance of public entities?
Correct Answer: d
85. Which of the following is NOT included in the Provincial Civil Service under the Provincial Civil Service Act?
Correct Answer: a
86. A 7-year-old child presents with fever and a maculopapular rash starting on the face and spreading downward, accompanied by cough, coryza, and conjunctivitis. Koplik spots are seen on the buccal mucosa. The most likely diagnosis is:
Correct Answer: a
87. Which of the following statements is NOT true?
Correct Answer: a
88. What is the main characteristic of insulin resistance in type 2 diabetes?
Correct Answer: b
89. A 45-year-old obese man presents with polyuria and polydipsia. Fasting plasma glucose is 146 mg/dL on two occasions. According to standard criteria, the diagnosis is:
Correct Answer: c
90. Which of the following is considered the classic triad of meningitis symptoms in adults?
Correct Answer: d
91. What is a major risk associated with agranulocytosis?
Correct Answer: d
92. A 45-year-old man presents with epigastric pain related to meals, melena, and positive occult blood in the stool. The single most useful initial diagnostic test to evaluate the cause is:
Correct Answer: b
93. Cardiogenic shock is a life-threatening emergency resulting from the heart's inability to:
Correct Answer: c
94. A 25-year-old man with a history of atopy presents with episodic wheezing, chest tightness, and cough, worse at night and early morning. Spirometry shows FEV1/FVC less than 70% with significant reversibility after a bronchodilator. The most likely diagnosis is:
Correct Answer: c
95. A pansystolic murmur developing in a patient recovering from acute myocardial infarction is most commonly due to:
Correct Answer: d
96. The dose of atropine administered through the endotracheal tube is:
Correct Answer: c
97. A 45-year-old man presents with sudden chest pain radiating to the left arm and sweating. What is the first investigation you should perform?
Correct Answer: c
98. What is the recommended initial energy dose for defibrillation of ventricular fibrillation or pulseless ventricular tachycardia in adults during ALS?
Correct Answer: d
99. A patient presents with acute shortness of breath, chest pain, and hemoptysis. The most likely diagnosis is:
Correct Answer: b
100. What is the hallmark feature of Obsessive-Compulsive Disorder (OCD)?
Correct Answer: c