PSC 2081 Central

Question 1

Exclusive breast feed recommend for?

Answer 1

6months

Question 2

Koplik’s spot pathognomonic of

Answer 2

Measles

Question 3

First indicator of protein energy malnutrition

Answer 3

Wasting

Question 4

Oxygenated blood to fetus carried by

Answer 4

Umbilical vein

Question 5

1yr male with fever and fits, EEG and CSF finding nrml, Dx?

Answer 5

Febrile Convulsion

Question 6

Solid waste from hospital is classified as

Answer 6

Hazardous

Question 7

Which health program has demand side financing in Nepal?

• National Immunization program
• Safe motherhood program
• IMNCI program
• Family planning program

Answer 7

Family Planning program

Question 8

Census 2078, annual population growth rate of Nepal

Answer 8

0.92%

Question 9

In health education program, if a grp of 10people are speaking on a topic of common interest, it is called?

• panel discussion
• workshop
• group discussion
• symposium

Answer 9

Group discussion

Question 10

NOT Non communicable diseas?

• COPD
• HTN
  -DM
• Leprosy

Answer 10

Leprosy

Question 11

Odds ratio is related to?

Answer 11

Relative risk

Question 12

Most heat sensitive vaccine?

• BCG
• Polio
• Measles
• DPT

Answer 12

Polio

Question 13

Level of prevention aimed at reducing risk factors?

Answer 13

Primary prevention

Question 14

Most significant benefit of exclusive breast feeding for a six mnth baby?

• Enhance maternal bonding only
• Provides all essential nutrients for growth
• Reduce the risk of allergies in mother
• Prevents all infection in baby

Answer 14

Provides all essential nutrients for growth

Question 15

One of the major challenges in Nepal’s health care delivery system?

Answer 15

Unequal distribution of health care resources

Question 16

Agency responsible to regulate ethical clinical practice for practitioner?

-MoHP
- Nepal Medical Council
- Health Professional Council
- Nepal Health Research Council

Answer 16

NMC

Question 17

Examination of dead body taken out of grave for suspicion of poisoning or any other foul play

Answer 17

Exhumation

Question 18

Which of the following is for establishing identity?

• Anthropometry
• Dactylography
• Hair examination
• Blood

Answer 18

Dactylography

Question 19

Diagnostic of antemortem drowning ?

• Paltauf hemorrhage
• emphysema aquosum
• woods and grass in clenched hands
• water in esophagus

Answer 19

• woods and grass in clenched hands

Question 20

Primary role of forensic medicine

Answer 20

Investigation of cause of death

Question 21

Constitution of Nepal, article for right to health?

Answer 21

Article 35

Question 22

Span of time period of second long term heath plan

Answer 22

20yrs

Question 23

Safe abortion act, a pregnant woman can get safe abortion with her consent upto

Answer 23

12wks

Question 24

Acc to Nepal Medical Council act, 2020 registration will be cancelled of medical practitioner?

• if any person has been registered owing to fraud
• if severely violets medical ethics
• if mentally incapable
  -all

Answer 24

All

Question 25

Acc to Nepal Medical Council, which is required for medical practitioner to practice in Nepal?

Answer 25

Registration with Nepal Medical Council

Question 26

During Blood transfusion, pt develop fever and pain at infusion site. Your action?

Answer 26

Stop infusion + monitor + acetaminophen

Question 27

During seizure, which position is recommended

Answer 27

Left lateral

Question 28

Standard t/t of Compartment Syndrome for a case of RTA?

Answer 28

Decompression

Question 29

Antidote for acetaminophen

Answer 29

Acetyl cysteine

Question 30

22y/m , RTA, conscious but confused, BP 90/60mmHg, P 135bpm, RR 24/min, no external bleeding, but FAST scan reveals free fluid in abdomen. Next best step in Mx?

Answer 30

Immediate laparotomy

Question 31

Which poisoning cause aspiration pneumonia in children?

Answer 31

Kerosene

Question 32

Which anti epileptic given by intranasal route?

Answer 32

Midazolam

Question 33

Metabolic Acidosis with increased anion gap , NOT characteristic of poisoning with ? - Methanol - PCM - Aspirin - Ethylene glycol

Answer 33

PCM

Question 34

Which hormone is known as emergency hormone

Answer 34

Adrenaline

Question 35

Causative org of Scabies

Answer 35

Sarcoptes scabie

Question 36

Most potent y Topical glucocorticoids preparation? - Clobetasol propionate 0.05% - Clobetasol butyrate 0.05% - Fluocinolone acetamide 0.025% - Betamethasone valerate 0.1%

Answer 36

Clobetasol propionate 0.05%

Question 37

25y/f with fever, chills, flank pain. Urine analysis shows white blood cells and Bacteria, dx with acute pyelonephritis caused by E Coli which is found to produce Extended Spectrum Beta lactamase. Antibiotic of choice?

Answer 37

Meropenem

Question 38

What happens when arrector pili muscle contracts?

Answer 38

Goose bumps

Question 39

Oil drop phenomenon is seen in

Answer 39

Psoriasis of nails

Question 40

45y/m hypopigmented, anaesthetic patches on his left arm. Thickened ulnar nerve, skin biopsy shows acid fast bacilli. Dx?

Answer 40

Leprosy/Hansen's disease

Question 41

Pseudo dementia is seen in? - depression - alcoholism - schizophrenia - mania

Answer 41

Depression

Question 42

How might pt appear if they display a complete lack of interest in their environment

Answer 42

Apathetic

Question 43

Which of the following is NOT a psychological symptoms of anxiety disorder? - Irritability - fear of impending disease - Tremors - Depersonation

Answer 43

Tremors

Question 44

What precaution one has to take for the first 2 weeks of initiation of antidepressants for those with severe depressed pt? - drug adherence - possible suicidal attempts - side effect - Mood change

Answer 44

Possible suicidal attempts

Question 45

Mini mental state examination is primarily used to assess

Answer 45

Cognitive function

Question 46

If a pt has an ischemic stroke , how quickly should that person be treated to minimize long term problems?

Answer 46

Within 3hrs

Question 47

What is most common cause of community acquired pneumonia? - - streptococcus - staph aureus - pneumococcal pneumoniae - salmonella

Answer 47

Pneumococcal pneumoniae

Question 48

Primary function of beta blockers in Cardiovascular Disease

Answer 48

Reduce heart rate and blood pressure

Question 49

Impt long term complication of streptococcal throat infection in children?

Answer 49

Rheumatic heart disease

Question 50

Commonest acute presentation of sickle cell anemia

Answer 50

Bone pain

Question 51

Upper motor neuron lesion is characterized by? - weakness and spasticity - rigidity - fasciculation - localized muscle atrophy

Answer 51

Weakness and spasticity

Question 52

HbA1C level in blood explains

Answer 52

Long term status of blood sugar

Question 53

Which electrolyte abnormality is most commonly seen in AKI?

Answer 53

Hyperkalemia

Question 54

Which condition causes complete atrioventricular block? - malaria - Sarcoidosis - Aortic Stenosis - Buergers disease

Answer 54

Sarcoidosis

Question 55

Which of the disease is reportable based on International Health Regulation ? - Cholera - Typhoid - leprosy - kalazar

Answer 55

Cholera

Question 56

A case presented with h/o black stool. What information do you ask to confirm this a case of GI bleeding or not ? - Nsaids - iron intake

Answer 56

Nsaid