लोक सेवा आयोग
नेपाल स्वास्थ्य सेवा हेल्थ इंडपेक्सन समूह
सहायक स्तर चौथो तह अ हे ब पद को प्रतियोगात्मक लिखीत परीक्षा
मिति २०७८/८/०७ गते
समय: ४५ मिनेट
प्रथम पत्र पूर्णांक: १००
बस्तुगत बहुबाइकल्पिक ( ५० प्रश्न x २ अंक )
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1. Fat पच्नको लागि केको आवश्यकता पर्छ ?
Which of the following is essential to digest fat?
A. HCL
B. Gastric juice
C. Bile salt
D. Pepsine
2. तलकामध्ये कुन सानो आन्द्राको भाग होइन ?
Which one of the following is not a part of small intestine?
A. Duodenum
B. Stomach
C. Ileum
D. Jejunum
3. कुनचाहिँ अनुभूति गर्ने अंग अन्तर्गत पर्दैन ?
Which is not the sense organs of the body?
A. आँखा (Eye)
B. कान (Ear)
C. नाक (Nose)
D. दाँत (Teeth)
4. कुन हड्डिलाई सुन्दरताको हड्डि भनिन्छ ?
Which bone is known as beauty bone?
A. Pelvic bone
B. Femur bone
C. Clavicle bone
D. Facial bone
5. सामान्यतयाः स्वस्थ्य मान्छेको कलेजोको तौल कति हुन्छ ?
What is the average weight of the liver in healthy person?
A. 1-2 kg
B. 1.5-2.5 kg
C. 1.5-2 kg
D. 2.5-3 kg
Explanation: Liver is the largest gland in human body. Weighing between 1 to 2.3 kg.
6. औषधी प्रयोग गरेर रोगको उत्पादनलाई रोकथाम गर्ने कार्यलाई के भनिन्छ ?
What is the process of prevention of diseases by using medicine?
A. Chemotherapy
B. Prosnosis
C. Prophylaxis
D. Vaccination
7. संचारका तत्वहरूमध्ये कुनचाहिँ पर्छ ?
The elements of communication is:
A. Source
B. Message
C. Channel
D. All of the above
8. वेद्यालय स्वास्थ्य शिक्षाको सबै भन्दा महत्वपूर्ण कार्य कुन हो ?
Which one is the most important activities in school health program?
A. Arrangement of tiffin
B. Personal hygiene
C. Constructing toilet
D. Safe drinking water
9. निम्न लिखितमध्ये कुनचाहिं श्रव्य दृष्य सामाग्री अन्तर्गत पर्दछ ?
Which one of the following is included in audio-visual aids?
A. Puppet show
B. Poster
C. Radio
D. Cinema
10. तलकामध्ये कुनचाहिँ स्वास्थ्य शिक्षाको उत्तम विधि हो ?
Which one of the following is the best method for health education?
A. Lecture method
B. Group discussion
C. Poster show
D. Research
11. तलकामध्ये कुन शुद्ध पानीको स्रोत हो ?
Which of the following is the purest source of water?
A. आकासे पानी (Rain water)
B. जमिन मुनीको पानी (Ground water)
C. धाराको पानी (Tap water)
D. जमिन माथीको पानी (Surface water)
12. बाल मृत्यु भन्नाले के बुझिन्छ ?
What do we understand by child mortality?
A. Death before age of 1 month
B. Death before age of 2 year
C. Death before age of 3 year
D. Death before age of 5 year
13. रोग रोकथामका … चरण छन् ।
Steps of disease prevention level are…….
A. 1
B. 2
C. 3
D. 6
14. तलकामध्ये कुनचाहिँ दिसाबाट सर्ने रोग अन्तर्गत पर्दैन ?
The faecal borne disease EXCEPT:
A. Diarrhoea
B. Jundice
C. Polio
D. Pneumonia
15. महामारी रोगका तत्वहरूमध्ये कुनचाहिँ होइन ?
All are the component of epidemiology EXCEPT:
A. Disease frequency
B. Disease causation
C. Disease distribution
D. Disease determinants
16. नाकबाट रगत बग्ने समस्यालाई के भनिन्छ ?
What is called bleeding from nose?
A. Haemoptysis
B. Haemetemesis
C. Episiotomy
D. Epistaxis
17. तल उल्लिखितमध्ये Shock को प्राथमिक उपचार कुन हो ?
During the shock what is your first aid management?
A. Start I.V. driti
B. Low down the patients foot
C. Low down the patients head
D. Give hot liquid from the mouth
18. बच्चाहरूमा हुने सामान्य (प्रायः) Fracture कुन हो ?
Common fracture in children is
A. Simple fracture
B. Compound fracture
C. Green stick fracture
D. Pathogenic fracture
19. तल उल्लिखितमध्ये शरीरको तापक्रम नियन्त्रण गर्ने कुन हो ?
The temperature regulating centre of the body is:
A. Mid brain
B. Pons
C. Hypothalamus
D. Cerebellum
20. तल उल्लिखितमध्ये Carbon-Monoxide विषको Antidote कुन हो ?
Antidote for Carbon-Monoxide poisoning is:
A. Atropine
B. Physostigmene
C. Vitamin K
D. 100% oxygen
21. तलकामध्ये कुनचाहिँ स्वाइन फ्लु भनेर चिनिन्छ ?
Which is known as Swine Flu?
A. HIN2
B. H5N1
C. H2N2
D. H1N1
22. कुन रोग लामखुट्टेको टोकाइबाट सर्दैन ?
Which one of the following disease is not transmitted by mosquito bite?
A. Malaria fever
B. Typhus fever
C. Dengue fever
D. Filaria fever
23. तल उल्लिखितमध्ये Filariasis को रोग लाग्ने अवधि कति हो ?
The clinical incubation period of filariasis is:
A. 10-20 days
B. 3-6 months
C. 6-12 months
D. 8-16 months
24. तलकामध्ये कुन Vector-Born Disease होइन ?
Which one of the following is not a vector born disease?
A. Malaria
B. Yellow fever
C. Dengue
D. Viral fever
25. तलकामध्ये भिंगा नियन्त्रण गर्न प्रभावकारी तरीका कुन हो ?
Which one is the best way to control house fly?
A. Eliminate breading places
B. Insecticide spray
C. Fly paper
D. Paris green
26. तल उल्लिखितमध्ये कुन Parameter ले दीर्घ कुपोषणलाई मापन गरिन्छ ?
The best parameter for measuring chronic malnutrition is:
A. Weight for age
B. Weight for height
C. Height for age
D. All of the above
27. तल उल्लिखितमध्ये कुन तत्वले घाउलाई निको हुन प्रवर्द्धन गर्दछ ।
Which one of the following elements promotes wound healing?
A. Zinc
B. Copper
C. Sodium
D. Calcium
28. तल उल्लिखितमध्ये गर्भावस्थामा कति हप्तामा बच्चाको मुटुको धड़कन सुनिन्छ ?
We can hear the fetal heart sound from the abdomen after?
A. 16-20 weeks of gestation
B. 20-22 weeks of gestation
C. 22-24 weeks of gestation
D. 24-26 weeks of gestation
29. तल उल्लिखितमध्ये कुन परिवार नियोजनको प्राकृतिक तरिका होइन ?
Which is not the natural method of family planning?
A. Breast feeding
B. Coitus interruptus
C. Safe period
D. Abortion
30. कुन अवस्थामा Partograph गरिन्छ ?
When the partograph is filled?
A. The woman admitted for delivery
B. The pain starts
C. The cervix is 4 cm dilated
D. Head is engaged
31. तल उल्लिखित कुन औषधी छोटो अवधिको Chemotherapy होइन ?
Which of the following medicine does not fall under short term chemotherapy?
A. Rifampicin
B. Ethambutol
C. Thiacetazone
D. Pyrazimemide
32. कुन औषधीको जैविक कारक Hepatitis A को तत्व हो ?
Which is the causative organism for Hepatitis A?
A. Retro virus
B. Adeno virus
C. Enterovirus
D. None of the above
33. Mumps ले कुन ग्रन्थीमा बढी प्रभाव पार्दछ ?
Mumps most commonly involves.
A. Parotid glands
B. Sublingual glands
C. Submandibular glands
D. Thyroid gland
34. तल उल्लिखित रोगहरुमध्ये कुन रोग किटजन्य हो ?
Which one of the following is vector born disease?
A. Cholera
B. Tuberculosis
C. Malaria
D. Measles
35. Enteric fever मा शरीरको कुन अङ्ग संक्रमण हुन्छ ?
Which part of the organ involved in Enteric Fever?
A. Brain
B. Small intestine
C. Kidney
D. Heart
36. तल उल्लिखितमध्ये कुन घाउ को जटिलता होइन ?
Which is not the following complication of wound?
A. Bleeding
B. Shock
C. Deformity
D. Pain
37. माथिल्लो Gastrointestinal मा रक्तस्रावको सामान्य कारण कुन हो ?
Common cause of upper gastrointestinal bleeding in:
A. Peptic ulcer disease
B. Oesopnageal cancer
C. Varicos
D. Gastric cancer
38. Diethyl carbamazine औषधी तल उल्लिखित कुन रोगमा दिइन्छ ?
Diethyl carbamazine is used to treat mainly which of the following disease?
A. Filariasis
B. Amoebiasis
C. Malaria
D. Kala-azar
39. कुनचाहिँ दाहिने Heart failure को संकेत होइन ?
Which is not the sign of right sided heart failure?
A. Peripheral cyanosis
B. Raised JVP
C. Ascititis
D. Chest pain
40. अपरेशन तथा चोटपटकको २४ घण्टा भित्र हुने रक्तस्रावलाई के भनिन्छ ?
Hemorrhage that occurs within 24 hours of injuries and operation:
A. Primary hemorrhage
B. Secondary hemorrhage
C. Reactionary hemorrhage
D. Concealed hemorrhage
41. तल उल्लिखितमध्ये Enalapril औषधीले पार्ने प्रतिकूल असर कुन हो ?
Which one of the following is the side effect of Enalapril?
A. Skin rash
B. Diarrhoea
C. Red urine
D. Dry cough
Explanation: Dry cough is most common side effect (30%) of ACE inhibitors
42. तलकामध्ये कुन औषधी सेवन गर्दा Ranitidine दिनुपर्ने हुन्छ ?
When do you prescribe Ranitidine during the consumption of medicine?
A. NSAID
B. Antibiotics
C. Vitamin
D. None of the above
43. निम्न लिखितमध्ये कुनचाहिँ औषधीको Side effect भएर रक्तअल्पता हुन्छ ?
Which one of the following medicine has side effect of anemia?
A. Antacid
B. Ampicillin
C. Cetamol
D. Chloramphenical
44. तलकामध्ये कुन Antihypertensive drug होइन ?
Which one of the followings is not a antihypertensive drug?
A. Amlodipine
B. Atenolol
C. Enalapril
D. Metronidazole
45. Oral Rehydration Solution (ORS) मा ग्लुकोज कति मात्रामा मिसाइएको हुन्छ ?
What amount of glucose mixed in Oral Rehydration Solution (ORS)?
A. 1.5 gram
B. 2.6 gram
C. 2.9 gram
D. 13.5 gram
Explanation: WHO ले Recommended गरेको Oral rehydration fluid को Composition निम्नानुसार छ ।
Composition of ORS Ingredient New formula (ORS)
| Ingredient | Quantity |
| Sodium chloride | 2.6 gm |
| Trisodium citrate dehydrate | 2.9gm |
| Potassium chloride | 1.5gm |
| Glucose | 13.5gm |
| Potable water | 1 litre |
| Total osmolarity | 245mosm/L |
46. तलकामध्ये कुनचाहिँ स्वास्थ्य प्रवर्द्धनको उद्देश्य होइन ?
Which one of the following is not the objective of health promotion?
A. रोग रोकाथाम गर्नु (To prevent disease)
B. सहयोगी वातावरण सृजना गर्नु (to create supportive environment)
C. बहुपक्षीय सहभागीता (Multi-sector participation)
D. उपचार गर्नु (Medication)
Explanation: Along with strategy, Ottawa charter incorporates five key action areas in health promotion. They are:
- Build healthy public policy,
- Create supportive environment for health,
- Strengthen community action for health,
- Develop personal skills, and
- Re-orient health services
47. गाउँघर क्लिनिक कसले सञ्चालन गर्छ ?
Who conduct the Primary Health Care-Out Reach Clinic (PHC-ORC)?
A. Medical Officer
B. AHW/ANM
C. Health Assistant/Staff Nurse
D. All of the above
48. स्वास्थ्यको वर्णपटमा कटिवटा सूचकहरू छन ?
How many indicators are there in spectrum of health?
A. 4
B. 5
C. 6
D. 7
Explanation:
(A diagram shows a triangle representing health. The top point is ‘Optimum/positive Health’. Below that are bands for ‘Better Health’, ‘Freedom form sickness’, ‘Unrecognized Sickness’, ‘Mild sickness’, ‘Severe sickness’, and the bottom point is ‘Death’. The Nepali labels ‘स्वास्थ्य’ (Health) and ‘रोग’ (Disease) point to the upper and lower parts of the triangle, respectively.)
49. समाजका मान्यताहरू………….. हुन्छन् ।
Social values are…..
A. Positive
B. Negative
C. Both ‘A’ and ‘B’
D. None of the above
Note: समुदायमा बस्ने मानिसहरुले चाहेर वा नचाहेर अपनाउँदै आएका धारणाहरुलाई मान्यता भन्न सकिन्छ । यस्ता धारणाहरु सकारात्मक वा नकारात्मक दुवै हुन सक्दछन् । मान्यताभित्र इमान्दारिता, सहयोग, दया तथा प्रवृत्ति आदि पर्दछन् । जस्तैः नेपालमा छोरीहरुलाई भन्दा छोराहरुलाई बढी महत्व दिइएको पाइन्छ । त्यस्तै झारफुकेलाई प्राथमिकता दिनु आदि यसका उदाहरण हुन् ।
50. Small pox रोग कहिलेदेखि Eradicate भएको हो ?
When small pox was eradicated?
A. 1980
B. 1990
C. 1975
D. 1985
Explanation: Small pox सन् १९८० मे ८ मा विश्वबाट र नेपालबाट सन् १९७९ (२०३४ बैशाख १ गते) उन्मुलन भएको थियो ।
ANSWERS
| Question | Answer |
| 6. | C. Prophylaxis |
| 7. | D. All of the above |
| 8. | C. चर्पी बनाउने (Constructing toilet) |
| 9. | D. चलचित्र (Cinema) |
| 10. | B. समूह छलफल (Group discussion) |
| 11. | A. आकासे पानी (Rain water) |
| 12. | D. Death before age of 5 year |
| 13. | C. 3 |
| 14. | D. Pneumonia |
| 15. | B. रोगको कारक तत्व (Disease causation) |
| 16. | D. Epistaxis |
| 17. | C. Low down the patients head |
| 18. | C. Green stick fracture |
| 19. | C. Hypothalamus |
| 20. | D. 100% oxygen |
| 21. | D. H1N1 |
| 22. | B. टाइफस ज्वरो (Typhus fever) |
| 23. | D. 8-16 months |
| 24. | D. Viral fever |
| 25. | A. Eliminate breading places |
| 26. | C. Height for age |
| 27. | A. Zinc |
| 28. | A. 16-20 weeks of gestation |
| 29. | D. Abortion |
| 30. | C. The cervix is 4 cm dilated |
| 31. | C. Thiacetazone |
| 32. | C. Enterovirus |
| 33. | A. Parotid glands |
| 34. | C. Malaria |
| 35. | B. Small intestine |
| 36. | D. Pain |
| 37. | A. Peptic ulcer disease |
| 38. | A. Filariasis |
| 39. | D. Chest pain |
| 40. | C. Reactionary hemorrhage |
| 41. | D. Dry cough |
| 42. | A. NSAID |
| 43. | A. NSAID |
| 44. | D. Metronidazole |
| 45. | D. 13.5 gram |
| 46. | D. उपचार गर्नु (Medication) |
| 47. | B. AHW/ANM |
| 48. | D. 7 |
| 49. | C. Both ‘A’ and ‘B’ |
| 50. | A. 1980 |
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