Health Assistant (H.A.) Loksewa Model Question Set 5 with Answer | Health Inspection Fifth Level | Public Service Commission

This model question is based on the syllabus of Health Assistant fifth level, Health Inspection Group of Nepal Health Service, prepared and approved by Public Service Commission of Nepal (लाेकसेवा आयाेग नेपाल).

The H.A. Loksewa model question for fifth level Health inspection group consists of 50 Multiple Choice Questions (MCQs). 

The frame for the given model question is 45 minutes and each question consists of 2 marks, making a total of 100 marks.

Let's start our H.A. Loksewa model question.

.1. Majority of laboratory confirmed cases of JE was reported from which province in 2077/78?

a. Madhesh 

b. Lumbini

c. Bagmati

d. Sudurpaschim

2. CB-PMTCT program was started in Nepal from?

a. 2005 

b. 2009

c. 2010

d. 2012

3. Buffer stocks of anti-TB drug for district Public/Health office is?

a. 90-90-90

b. 90-95-90

c. 95-90-95

d. 95-95-95

4. Appropriate method for safe abortion of 17 weeks:

a. MVA and D & E

b. D & E and MI

c. MA & MI

d. MA and D & I

5. Ambitious goal target by new National HIV Strategic plan (2021-2026) is:

a. 2017

b. 2019

c. 2020

d. 2025

6. Who is known as 'First True Epidemiologist' in history of medicine?

a. John Snow

b. Hippocrates

c. Jams Lind

d. Joseph Lister

7. Pap smear test for detection of carcinoma of cervix is which level of prevention?

a. Primordial

b. Primary

c. Secondary

d. Tertiary

8. Window period is defined as the time taken from:

a. Entry in cell to expulsion of first viral particle

b. Entry of pathogen to appearance of first clinical symptom

c. Exposure to laboratory detection of diseases

d. Entry of organism to maximum communicability

9. All of the following statements about leprosy are true except:

a. Multibacillary leprosy id diagnosed when there are more than 5 skin patches.

b. New case detection rate is an indicator for incidence of leprosy.

c. A defaulter defined as a patient who has not taken treatment for 6 months or more.

d. The target for elimination of leprosy is to reduce the prevalence to less than 1 per 10,000 population.

10. HIV transmission from Mother to Child can be stopped by all except:

a. Caesarean section

b. Vitamin A supplementation

c. Stopping Breast feeding.

d. Zidovudine to mother antenatal and newborn after delivery

11. Which of the following statements about influence of smoking on risk of coronary heart disease (CHD) is not true?

a. Risk of death from CHD decreases from cessation of smoking.

b. Filters provide a protective effect for CHD.

c. Influence of smoking is synergistic to other risk factors of CHD.

d. Influence of smoking is directly related to number of cigarettes smoked per day.

12. Best method of screening for early detection of breast carcinoma in young women is:

a. Regular X-rays

b. Self examination

c. Mammography

d. Regular biopsy

13. Which of the following is not a risk factor for development of diabetes mellitus:

a. Sedentary lifestyle

b. Protein energy malnutrition in infancy

c. Excessive intake of alcohol

d. High intake of vitamin A

14. Best contraceptive for newly married healthy couple:

a. Barrier method

b. IUCD

c. Oral Contraceptive Pills

d. Natural Methods

15. 'Burning Sole Syndrome' is seen in deficiency of:

a. Riboflavin

b. Pyridoxine

c. Pantothenic acid

d. Vitamin B-12

16. Which of the following is not a criteria for determining xeropthalmia problem in the community?

a. Bitot's spots 0.05%

b. Corneal xerosis 0.01%

c. Corneal ulcer 0.o05%

d. Serum retinol level less than 10 mcg/dl 10%

17. When the level of hardness in water is around 150-300 mg/liter, it is classified as:

a. Very hard water

b. Hard water

c. Moderately hard water

d. Soft water

18. Effective size of sand in rapid sand filter is:

a. 0.2 mm

b. 0.5 mm

c. 0.8 mm

d. 0.1 mm

19. Following are the waste types not to be incinerated except:

a. Pressurized gas containers

b. Reactive Chemical waste

c. Halogenated plastics

d. Content combustible matter above 60%

20. Most important pre-requisite in sanitary latrine is:

a. Water seal

b. Adequate drainage

c. Squatting plate/slab

d. Smooth slope of the pan

 

21. The most powerful component of National Tuberculosis program is: 

a. 100% BCG coverage

b. Case finding and treatment.

c. Chemoprophylaxis

d. Surveillance

22. Obesity is a risk factor for all except:

a. Hypertension

b. Varicose of veins

c. Gall bladder disease

d. Cancer of breast

23. Highest incidence of STD is seen in the following age groups:

a. 16-19 years

b. 20-24 years

c. 25-29 years

d. 30-50 years

24. The STD infection is higher among the following except:

a. Singles

b. Married couple

c. Divorced persons

d. Separated persons

25. The frequent cause of blindness in developed countries are all except:

a. Trachoma

b. Glaucoma

c. Diabetes

d. Cataract

26. The population growth is mainly determined by:

a. Birth rate

b. Death rate

c. Contraceptives

d. Migration

27. Billing's method refers to 

a. Monitoring basal body temperature

b. Cervical mucus method

c. Symptothermic method

d. Rhythm method

28. Breastfeeding should be started .... for newborn baby.

a. within 1 hour

b. 2 hours

c. 24 hours

d. none of the above

29. Coomb's test is done for the diagnosis of:

a. Alkaptonuria

b. Neonatal Hypothyroidism

c. Sickle cell anaemia

d. Rh isoimmunization

30. Which is the first step of planning process?

a. Set goals/objectives.

b. Problem identification

c. Write/prepare plan to implement.

d. Distribute work activities

31. All of the following statements are incorrect except:

a. Life span of RBC is 120 days in newborn child.

b. The process of bone formation is Ossification.

c. Length of female urethra is 18 cm.

d. Gluteus minimus is the largest muscle.

32. Which one of the following is the first line drug for management of Pneumonia in children?

a. Cotrimoxazole

b. Ciprofloxacin

c. Amoxicillin

d. Chloramphenicol

33. The most sensitive test to detect Argemone oil is:

a. Nitric acid test

b. Paper Chromatography test

c. Argemone test

d. Both 'a' and 'b'

34. Zinc deficiency leads to:

a. Growth failure

b. Sexual infantilism

c. Loss of taste

d. Delayed wound healing

35. Major reason for widespread iron deficiency is;

a. Hookworm infestation

b. Inadequate intake

c. Poor bioavailability of dietary iron

d. Malaria infestation

36. Implantation bleeding is called; 

a. Hartman's sign

b. Hoffman's sign

c. Arias stella sign

d. Reinz's sign

37. The commonest chromosomal anomaly causing abortion in first trimester is:

a. Monosomy X

b. Autosomal Trisomy

c. Sex chromosome polysomy

d. Triploidy

38. All are true about drug administration to a pregnant woman except:

a. Valproate therapy in pregnancy may cause fetal neural tube defect.

b. Aminoglycosides may cause 8th nerve damage in fetus.

c. Paracetamol may cause Kernicterus.

d. Tetracyclines may cause damage to fetal bone and teeth.

39. In all of the following abortion, cervix (External OS) is closed except:

a. Threatened abortion

b. Inevitable abortion

c. Complete abortion

d. Missed abortion

40. The 9th Global Health promotion conference conducted in 2016 had the main theme as:

a. Health in all policies

b. Health for all, All for health

c. Close the implementation gap

d. Health for all, and Health in all policies.

41. Which is the commonest area of anterior epistaxis?

a. Woodruff's plexus

b. Posterior superior part

c. Kiesselbach's plexus

d. None of the above.

42. A common antiseptic solution used to prepare the surgical site:

a. Betadine

b. Alcohol

c. Hydrogen peroxide

d. Formaldehyde

43. All of the following are done as emergency management for fracture and injury except;

a. Open I/V line

b. Use antibiotics

c. Stop bleeding

d. Assess airway and breathing

44. Which of the following statements is incorrect about COPD?

a. COPD: Chronic Obstructive Pulmonary Disease'

b. Emphysema is also called "pink puffer"

c. Chronic Bronchitis is also termed as "Blue bloater"

d. None of the above

45. Diaphoresis is a medical terminology, which means:

a. Sweating

b. Fainting

c. Vomiting

d. Diarrhoea

46. Which of the following are signs of meningeal irritation:

a. Neck stiffness

b. Brudzinski's sign

c. Kernig's sign

d. All of the above

47. Pedigree chart is drawn under:

a. Past history

b. Family history

c. Personal history

d. Socio-economic history

48. Which of the following is the first national public health program?

a. Malaria Control Project

b. Vector Borne Disease Control Project

c. Malaria Control Program

d. National Malaria Eradication Program

49. To take special leave, a permanent health worker has to work at least ...... years.

a. 3 years

b. 5 years 

c. 7 years

d. 10 years

50. The most common occupational cancer is:

a. Skin cancer

b. Prostate cancer

c. Gastric cancer

d. Oral cancer.

Answer of the above H.A. Loksewa Model Question Set 5 is discussed in the attached video.

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