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Loksewa preparation for HA / SN / AHW /ANM
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<p><strong> Dilip Kumar Yadav (Health Loksewa instructor ,contact 9845610294 call or Whats app</strong></p><p> <strong>प्रदेश लोकसेवा आयोग</strong></p><p><strong>स्वास्थ्य सेवा ,हे.अ./अ.हे.व./स्टाफ नर्स /अ.न.मी. पदको</strong></p><p><strong>लिखित प्रतियोगात्मक नमुना परिक्षा</strong></p><p><strong>विषय : सेवा सम्बन्धी</strong></p><p><strong>पूर्णाङ : १०० समय : ४५ मिनेट </strong></p><p>बस्तुगत बहुउतर ( ५०२=१०० अंक <strong>मिति :२०८२/१०/०४ </strong></p><p><strong>Key –B</strong></p><p><i>उतरपुस्तिकामा प्रश्नपत्रको KEY अनिवार्य रुपले उल्लेख गर्नुपर्ने छ | उल्लेख नगरेमा उतर्पुस्तिका रद्द हुनेछ साथै परिक्षामा मोबाईल तथा क्यालकुलेटर को प्रयोग गर्न पाईने छैन |</i></p><p> </p><p><strong>1. Potassium and sodium are classified as: </strong></p><p> A. Estrogens </p><p> B. Androgens </p><p> C. Catecholamines </p><p><strong> D. Electrolytes </strong></p><p><strong>2. What is the largest gland in the human body? </strong></p><p> A. Gallbladder </p><p> B. Stomach </p><p> C. Spleen </p><p><strong> D. Liver </strong></p><p><strong>3. The gaseous exchange in the alveoli occurs by: </strong></p><p><strong> A. Simple diffusion </strong></p><p> B. Osmosis </p><p> C. Active transport </p><p> D. Passive transport </p><p><strong>4. According to standard guidelines, how long should hands be rubbed together for effective hand washing? </strong></p><p> A. At least 1 minute </p><p> B. At least 45 seconds </p><p><strong> C. At least 20 seconds </strong></p><p> D. At least 15 seconds </p><p><strong>5. An assessment of health problems and health status in a community for planning health care services is known as: </strong></p><p> A. Clinical diagnosis </p><p><strong> B. Community diagnosis </strong></p><p> C. Social diagnosis </p><p> D. Health evaluation </p><p><strong>6. Which is considered the best method of health education? </strong></p><p> A. Giving health talks at home </p><p> <strong>B. Demonstration to a group </strong></p><p> C. Film show </p><p> D. Setting an example </p><p><strong>7. Which test result should a health worker review to determine if penicillin prescribed for a client will be effective? </strong></p><p> A. Serological test </p><p> <strong>B. Sensitivity test </strong></p><p> C. Sedimentation rate </p><p> D. Specific gravity test </p><p><strong>8. What is the most important immediate treatment after a snake bite? </strong></p><p> A. Application of tourniquet </p><p><strong> B. Reassuring the victim </strong></p><p> C. Injection of anti-snake venom </p><p> D. Incision and suction </p><p><strong>9. Road traffic injuries are most common in which age group? </strong></p><p> A. 5–10 years </p><p> B. 10–15 years </p><p><strong> C. 15–25 years </strong></p><p> D. 50–60 years </p><p> </p><p><strong>10. All poisoning cases are classified as: </strong></p><p><strong> A. Medico-legal </strong></p><p> B. Surgico-legal </p><p> C. Medico-surgical </p><p> D. Non-legal </p><p><strong>11. Bradycardia is defined as a heart rate less than: </strong></p><p> <strong>A. 60 beats per minute </strong></p><p> B. 70 beats per minute </p><p> C. 80 beats per minute </p><p> D. 100 beats per minute </p><p><strong>12. During mass casualty triage, which color tag is applied to a dead body? </strong></p><p> A. Red </p><p> B. Green </p><p> <strong>C. Black </strong></p><p> D. Yellow </p><p><strong>13. What is the best first aid treatment for a fracture? </strong></p><p> A. Fixing </p><p> B. Spiral bandage </p><p><strong> C. Immobilization </strong></p><p> D. Surgery </p><p><strong>14. What is the first step in the management of drowning? </strong></p><p> <strong>A. Removing the victim from water </strong></p><p> B. Establishing an intravenous line </p><p> C. Administration of oxygen </p><p> D. Administration of antibiotics </p><p> </p><p><strong>15. Which of the following is a water-borne disease? </strong></p><p> A. Malaria </p><p><strong> B. Poliomyelitis </strong></p><p> C. Chickenpox </p><p> D. Diphtheria </p><p><strong>16. Which disease has been completely eradicated so far? </strong></p><p> A. Chickenpox </p><p> <strong>B. Smallpox </strong></p><p> C. Cholera </p><p> D. Influenza </p><p><strong>17. A sudden occurrence of a disease in a community is called: </strong></p><p> A. Pandemic </p><p> B. Endemic </p><p><strong> C. Outbreak </strong></p><p> D. Synergistic </p><p><strong>18. The causes of discomfort in a crowded room include all except: </strong></p><p> A. Temperature </p><p> B. Humidity </p><p> C. CO₂ </p><p> <strong>D. Air exchange </strong></p><p><strong>19. Giardia lamblia is classified as a: </strong></p><p> A. Bacterium </p><p> B. Virus </p><p> C. Parasite </p><p> <strong>D. Protozoan </strong></p><p><strong>20. Scrub typhus is spread through: </strong></p><p> A. Person to person </p><p> <strong>B. Bite of a mite </strong></p><p> C. Animal bites </p><p> D. None of the above </p><p><strong>21. The reservoirs of rabies include all except: </strong></p><p> <strong>A. Fishes </strong></p><p> B. Dogs </p><p> C. Jackals </p><p> D. Wolves </p><p><strong>22. Whipworm (Trichuris trichiura) is treated with: </strong></p><p><strong> A. Mebendazole </strong></p><p> B. Metronidazole </p><p> C. Praziquantel </p><p> D. Niclosamide </p><p><strong>23. Which of the following is not an infectious disease? </strong></p><p> A. Dengue </p><p> B. Typhoid fever </p><p><strong> C. Scurvy </strong></p><p> D. Pertussis </p><p><strong>24. The most commonly affected gland in mumps is the: </strong></p><p><strong> A. Parotid gland </strong></p><p> B. Sublingual gland </p><p> C. Submandibular gland </p><p> D. None of the above </p><p><strong>25. The commonest fatal cause of malaria in Nepal is: </strong></p><p><strong> A. P. falciparum </strong></p><p> B. P. ovale </p><p> C. P. malariae </p><p> D. P. vivax </p><p><strong>26. Which of the following is not a vector-borne disease? </strong></p><p> A. Dengue fever </p><p> B. Malaria </p><p> C. Kala-azar </p><p> <strong>D. COVID-19 </strong></p><p><strong>27. Which test is good for surveillance of kala-azar? </strong></p><p><strong> A. Aldehyde test </strong></p><p> B. ELISA test </p><p> C. Montenegro test </p><p> D. Erythrocyte sedimentation rate </p><p><strong>28. How often should a pregnant woman visit an antenatal clinic during pregnancy (as per standard recommendations)? </strong></p><p> A. At least 10 times </p><p> B. At least 8 times </p><p> <strong>C. At least 4 times </strong></p><p> D. Every week </p><p><strong>29. Sunlight is the cheapest natural source of which vitamin? </strong></p><p> A. Vitamin A </p><p> B. Vitamin B </p><p> C. Vitamin C </p><p> <strong>D. Vitamin D </strong></p><p><strong>30. The major cause of maternal mortality is: </strong></p><p> A. Infection </p><p> B. Eclampsia </p><p><strong> C. Hemorrhage </strong></p><p> D. Diabetes </p><p> </p><p><strong>31. Which statement is true regarding the first stage of labour? </strong></p><p> A. From full dilatation of the cervix to complete delivery of the baby </p><p><strong> B. From onset of true labour pain to full dilatation of the cervix </strong></p><p> C. Duration of 1 hour after complete expulsion of the cervix </p><p> D. Following birth of the infant through expulsion of the placenta </p><p><strong>32. Immunity developed after exposure to infection is: </strong></p><p> <strong>A. Natural active immunity </strong></p><p> B. Natural passive immunity </p><p> C. Artificial active immunity </p><p> D. Artificial passive immunity </p><p><strong>33. What type of bacteria commonly causes boils? </strong></p><p> A. Meningococcal </p><p> B. Streptococcus </p><p> <strong>C. Staphylococcus </strong></p><p> D. Haemophilus </p><p><strong>34. Which of the following is not a symptom of tuberculosis? </strong></p><p> A. Night sweating </p><p> B. Loss of appetite </p><p> C. Blood in cough </p><p><strong> D. Rebound tenderness </strong></p><p><strong>35. Which is a chronic respiratory disorder caused by smoking? </strong></p><p> A. Asthma </p><p> B. Respiratory alkalosis </p><p> C. Respiratory acidosis </p><p> <strong>D. Emphysema </strong></p><p><strong>36. Rupture of a ligament is called: </strong></p><p> A. Strain </p><p><strong> B. Sprain </strong></p><p> C. Dislocation </p><p> D. Subluxation </p><p><strong>37. The most common and earliest manifestation of rheumatic fever is: </strong></p><p> A. Chorea </p><p><strong> B. Polyarthritis </strong></p><p> C. Carditis </p><p> D. Subcutaneous nodule </p><p><strong>38. The characteristic lesion of scabies is: </strong></p><p><strong> A. Burrow</strong> </p><p> B. Vesicle </p><p> C. Papule </p><p> D. Skin tag </p><p><strong>39. Risk factors for coronary heart disease include all except: </strong></p><p> A. High blood pressure </p><p> B. Smoking </p><p> <strong>C. Exercise</strong> </p><p> D. Age </p><p><strong>40. In the older population of Nepal, the major cause of blindness is: </strong></p><p> A. Trauma </p><p> B. Infection </p><p> C. Glaucoma </p><p> <strong>D. Cataract </strong></p><p><strong>41. In Nepal's government health insurance scheme, how much premium is paid by a 5-member family for an annual benefit package of 1 lakh rupees? </strong></p><p> A. NRS 2500/- </p><p> <strong>B. NRS 3500/- </strong></p><p> C. NRS 700/- </p><p> D. NRS 4500/- </p><p><strong>42. According to the Nepal Health Professional Council Act and regulations, how many categories of registration are there for health professionals? </strong></p><p> A. 2 </p><p> <strong>B. 4 </strong></p><p> C. 6 </p><p> D. 8 </p><p><strong>43. The target of achieving universal health coverage falls under which Sustainable Development Goal (SDG)? </strong></p><p> A. SDG Goal 1 </p><p> B. SDG Goal 2 </p><p> <strong>C. SDG Goal 3 </strong></p><p> D. SDG Goal 13 </p><p><strong>44. In the federal structure of Nepal, basic health care services are the responsibility of: </strong></p><p> A. Federal government </p><p> B. Provincial government </p><p> <strong>C. Local government</strong> </p><p> D. Hospitals </p><p><strong>45. The WHO definition of health incorporates all except: </strong></p><p> A. Mental </p><p> <strong>B. Technical</strong> </p><p> C. Social </p><p> D. Physical </p><p><strong>46. Which classification of drug is used to relieve seizures? </strong></p><p> A. Antihypertensive </p><p> B. Anxiolytics </p><p> C. Anti-hyperlipidemic </p><p> <strong>D. Anticonvulsant </strong></p><p><strong>47. Which of the following anti-tubercular drugs is bacteriostatic? </strong></p><p> A. Pyrazinamide </p><p> <strong>B. Ethambutol</strong> </p><p> C. Rifampicin </p><p> D. Streptomycin </p><p><strong>48. What method is applied for the distribution of medicines from the store? </strong></p><p> A. FIFO (First In First Out) </p><p> <strong>B. FEFO (First Expiry First Out)</strong> </p><p> C. Heavy weight </p><p> D. None of the above </p><p><strong>49. In an adult person, the preferred drug for diabetes is: </strong></p><p> A. Insulin </p><p> <strong>B. Metformin </strong></p><p> C. Glibenclamide </p><p> D. Propionamide </p><p><strong>50. The causative agent of chickenpox is: </strong></p><p> <strong>A. Varicella zoster virus </strong></p><p> B. Herpes zoster virus </p><p> C. Myxo virus </p><p> D. Chickenpox virus</p>
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