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Q1
The function of red blood cells is:
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D
Q2
Calcium supplementation is important in:
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D
Q3
The first vaccine given to a newborn in Nepal is:
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D
Q4
HIV is transmitted through:
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B
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D
Q5
The management of asthma in Nepal primary care includes:
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B
C
D
Q6
The community health insurance pilot in Nepal showed:
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D
Q7
The quality assurance of point-of-care testing in Nepal includes:
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B
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D
Q8
The fingers are _______ to the wrist.
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D
Q9
Which of the following organ systems is responsible for the production of bile?
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D
Q10
Which bone cell originates from monocytes/macrophages?
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D
Q11
Which of the following articulations allows movement in only one plane (flexion-extension)?
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D
Q12
Which type of fracture is most likely to result from a direct blow to the bone?
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D
Q13
Which muscle forms the anterior abdominal wall and is supplied by the lower six thoracic nerves?
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D
Q14
A patient with a muscle contusion presents with a firm, painful area that is tender on palpation but the overlying skin is intact. Which of the following is the most likely cause?
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D
Q15
Which of the following is NOT a component of the brainstem?
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D
Q16
A patient is given an intravenous infusion of dopamine at a moderate dose (5-10 ยตg/kg/min). Which autonomic effect predominates?
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D
Q17
A 45-year-old woman presents with unilateral, painful, red eye, photophobia, and a corneal ulcer with a hypopyon. Which organism is most commonly associated with this presentation in Nepal?
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D
Q18
Which heart sound is best described as a low-frequency, early diastolic sound that may be heard in patients with left ventricular failure?
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D
Q19
Which of the following is the correct order of blood flow starting from the Right Atrium?
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D
Q20
A 65-year-old male with known coronary artery disease is started on a medication that inhibits the conversion of angiotensin I to angiotensin II. Which drug class does this represent?
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D
Q21
During inspiration, the pressure gradient that drives airflow is primarily generated by:
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D
Q22
In a healthy adult, which lung volume changes most during a normal breath?
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D
Q23
The portal triad in the liver consists of which three structures?
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D
Q24
Which investigation is gold standard for diagnosing Helicobacter pylori infection in a patient with dyspepsia?
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D
Q25
Which of the following is NOT a significant contributor to the net filtration pressure in the glomerulus?
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D
Q26
A patient with chronic hypertension shows increased peripheral resistance. Which electrolyte change contributes most to this condition?
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D
Q27
Which hormone mediates the calcitonin effect on bone tissue?
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D
Q28
A 28-year-old pregnant woman at 12 weeks gestation has TSH 0.1 mIU/L (low) and free T4 1.8 ng/dL (high normal). The most likely explanation is:
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D
Q29
In congenital adrenal hyperplasia due to 21-hydroxylase deficiency, which precursor accumulates and is shunted to androgen synthesis?
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D
Q30
Which ligament suspends the testis and helps in temperature regulation?
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B
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D
Q31
Which of the following is the primary determinant of menstrual cycle length?
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D
Q32
Which nerve injury would most likely result in loss of sensation over the nipple?
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D
Q33
Which coagulation factor is activated first in the extrinsic pathway following tissue injury?
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D
Q34
Following a bacterial infection, a patient develops delayed-type hypersensitivity reactions. This immune response is mediated primarily by which type of T lymphocyte?
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D
Q35
Which of the following is the most common cause of reversible blindness worldwide?
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D
Q36
In a skin biopsy, thickening of the stratum corneum is most characteristic of which condition?
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D
Q37
According to the Ottawa Charter for Health Promotion, which of the following is a core action area?
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D
Q38
When conducting a health education session on tuberculosis, which method best addresses stigma in the community?
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D
Q39
In the context of health education, what does the acronym IEC stand for?
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D
Q40
Which of the following is a key principle of Ecological Sanitation (Ecosan)?
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D
Q41
A CMA is counseling a family about disposing of used cooking oil. Which method is considered safe and environmentally friendly?
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D
Q42
Which statement about the use of DDT in Nepal's malaria control is correct?
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D
Q43
In Nepal's housing and ventilation guidelines, what is the primary reason for recommending separate kitchens with smoke outlets?
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D
Q44
According to the Sustainable Development Goals (SDGs), by which year is universal health coverage targeted to be achieved?
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D
Q45
The term 'Health Assistant' (HA) in Nepal's PHC system is best defined as:
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D
Q46
The incubation period of an infection is most closely related to which link in the chain of infection?
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D
Q47
A sudden increase in cases of dengue fever in a district over a period of two weeks, exceeding the expected baseline, is best described as which type of occurrence?
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C
D
Q48
Which of the following best illustrates secondary prevention for oral health?
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D
Q49
A community health worker is counseling families about indoor air quality. Which intervention will most effectively reduce the risk of ARI in children?
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D
Q50
Which district in Nepal is classified as a high-risk malaria endemic area according to the National Malaria Control Programme?
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C
D
Q51
What is the role of humans in the transmission cycle of Japanese Encephalitis?
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D
Q52
In the WHO operational classification, a patient with 3 skin lesions and a single nerve involvement is classified as:
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D
Q53
A 6-month-old infant is exposed to a confirmed measles case. The infant is too young for routine MR vaccine. The recommended post-exposure prophylaxis is:
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D
Q54
Which complication is most likely to develop in an untreated case of diphtheria?
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D
Q55
Which of the following is a public health priority for controlling typhoid outbreaks in rural Nepal?
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D
Q56
Which of the following best describes the purpose of the vaccine vial monitor (VVM) attached to EPI vaccine vials?
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D
Q57
If a vaccine refrigerator's temperature alarm sounds continuously for 10 minutes, what is the immediate recommended action?
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D
Q58
A 15-year-old adolescent girl is due for a booster dose of Tdap. She reports a history of fainting episodes after previous injections. What is the best practice to minimize risk?
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D
Q59
In the context of intranatal care, which of the following best describes the purpose of a clean delivery kit?
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D
Q60
Which of the following is a key strategy of Safe Motherhood in Nepal to reduce maternal mortality?
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D
Q61
Which of the following statements best describes the relationship between maternal anemia and maternal mortality?
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D
Q62
In growth monitoring, 'Wasting' is best defined as:
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D
Q63
Which practice is part of the Baby-Friendly Hospital Initiative's 'Ten Steps'?
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D
Q64
In the management of severe acute malnutrition (SAM), which of the following is the most appropriate initial step to prevent metabolic collapse?
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D
Q65
A 45-year-old man presents with bilateral pitting edema of the lower limbs. On nutritional assessment, what is the most likely finding?
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D
Q66
Which MPOWER component directly involves community health education about the dangers of tobacco use?
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D
Q67
Which of the following tasks is NOT typically part of the CMA's responsibilities in HMIS?
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D
Q68
Which of the following health issues is addressed by Nepal's National Leprosy Eradication Programme?
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D
Q69
The "Safe Workplaces for Women" programme primarily addresses occupational hazards in which sector?
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D
Q70
A patient with sepsis shows a pulse pressure of 70 mmHg. This finding indicates
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D
Q71
A patient with a suspected pleural effusion undergoes thoracentesis. The fluid is milky, triglyceride level is 150 mg/dL, and cholesterol is 80 mg/dL. The most likely diagnosis is:
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D
Q72
A 68-year-old man with known ischemic cardiomyopathy presents with worsening dyspnea on exertion, orthopnea, and leg swelling. Which physical sign is most specific for elevated right-sided filling pressures?
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D
Q73
A 45-year-old male presents with burning epigastric pain relieved by food and occurring 2-3 hours after meals. On investigation, endoscopy reveals erythematous gastric mucosa with focal erosions. What is the most likely diagnosis?
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D
Q74
Which intestinal parasite is most commonly associated with iron-deficiency anemia due to chronic blood loss?
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D
Q75
A 40-year-old woman with heavy menstrual bleeding has microcytic anemia. After 3 months of oral iron therapy, her hemoglobin improves to 11 g/dL but MCV remains low. What is the most appropriate next step?
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D
Q76
Which investigation is most useful to differentiate between an epileptic seizure and a psychogenic non-epileptic attack?
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D
Q77
Which vector is responsible for transmitting kala-azar in Nepal?
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D
Q78
Which of the following systemic signs is most characteristic of necrotizing fasciitis?
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D
Q79
In allergic contact dermatitis, the typical latency period between allergen exposure and skin reaction is:
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D
Q80
Which of the following is NOT a typical side effect of first-generation (typical) antipsychotics?
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D
Q81
Which of the following statements about childhood conduct disorder is true?
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D
Q82
A 2-year-old child has height-for-age Z-score โ3.2, weight-for-height Z-score โ0.8, and no edema. This pattern indicates:
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D
Q83
A pregnant woman with recurrent genital herpes lesions at 38 weeks gestation is best managed by:
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D
Q84
In a patient with advanced liver cirrhosis, the pharmacokinetic parameter most likely to be altered is:
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D
Q85
Which antibiotic is commonly used for the treatment of uncomplicated Urinary Tract Infections (UTIs) in the community setting?
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D
Q86
Which antidiabetic medication is contraindicated in patients with severe renal impairment (eGFR <30 mL/min/1.73m2) due to risk of lactic acidosis?
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D
Q87
Which of the following is NOT included in the NLEM list of essential injectable antibiotics?
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D
Q88
Before entering the operating room, the surgical team must perform a surgical hand antisepsis. Which duration is recommended for an alcohol-based surgical hand rub?
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D
Q89
A 28-year-old male presents with a painful swelling over the right thigh after a dirty laceration. On examination there is warmth, erythema, and fluctuance. The most appropriate initial management step is:
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D
Q90
When should rescue breaths be administered during adult CPR?
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D
Q91
When applying a triangular bandage as an arm sling, where should the knot be positioned to avoid pressure on the cervical spine?
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D
Q92
Which of the following is the most appropriate fluid of choice for initial resuscitation of a patient in hypovolemic shock due to hemorrhage in an RTA?
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D
Q93
A woman with an incomplete miscarriage presents with a temperature of 38.5 ยฐC, uterine tenderness and foul-smelling lochia. What is the most appropriate immediate management?
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D
Q94
A patient complains of a 'burning sensation' in the mouth and tongue. Upon examination, the tongue appears smooth and red (glossitis). This is most commonly associated with which deficiency?
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D
Q95
Which condition is an absolute contraindication to the use of NSAIDs for pain relief in renal colic?
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D
Q96
A patient presents with enlarged lymph nodes in multiple sites, including cervical, axillary, and inguinal regions. This condition is termed as:
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D
Q97
The primary function of a hematocrit reader is to:
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D
Q98
Which laboratory parameter is most sensitive for detecting early hyperglycemia in a fasting state?
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D
Q99
What is the recommended maximum storage time for accumulated biomedical waste before it is sent to a disposal facility?
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D
Q100
Total of all direct costs is termed as ________.
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Community Medical Assistant Licensure Exam preparation SET 2
100 multiple-choice questions ยท 100 questions ยท 2 hours (practice format) ยท Mid-level licensing
โ Program discontinued - no longer accepting new admissions
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