1.Which of the following statements about ideal protocol and transport of the COVID-19 PCR samples in transport tubes is true? *
a. Specimens should be kept in room temperature (22°C) for storage and transported within 72 hours
b. Specimens should immediately be frozen and transported within 72 hours
c. Specimens should be stored at 12°C and transported on an ice pack within 72 hours
d. Specimens should be stored between 2°C and 8°Cand transported with a cold pack within 72 hours
2.Which of the following about development is NOT True: *
a. Pincer grasp at 4 months
b. Sitting at 6 months
c. Social smile at 3 months
d. Can use pleurals at 2 years
3.Newborn commonly has following except: *
a. Milia
b. Mongolian Spots
c. Epstein Pearls
d. Café-au-lait spots
4.The anion gap is increased in following except: *
a. Uraemic Acidosis
b. Diabetic Ketoacidosis
c. Classical renal tubular acidosis
d. Lactic Acidosis
5.100 ml of human milk consist of: *
a. 60 Kcal
b. 62 Kcal
c. 65 Kcal
d. 67 Kcal
6.All are features of non-paralytic polio Except: *
a. Absent deep tendon reflexes
b. Head drop
c. Nuchal rigidity
d. Knee head test positive
7.Which one of the following Chromosomal anomalies is associated with the highest occurrence of congenital heart diseases? *
a. Trisomy 13
b. Trisomy 18
c. Turner Syndrome
d. Trisomy 21
8.Bull Neck’ in Diphtheria is due to: *
a. Retropharyngeal abscess
b. Laryngeal Oedema
c. Cellulitis
d. Lymphadenopathy
9.Daily dose of Vitamin A in a 6-12 months old child is: *
a. 500 microgram
b. 200 microgram
c. 300 microgram
d. 700 microgram
10.True statement about IUGR is: *
a. Hepatomegaly is due to fatty infiltration
b. Head circumference is 3cm more than chest circumference
c. Hyaline Membrane Disease is common cause of death
d. Hypothermia does not occur due to good shivering mechanisms
11.The Infant Mortality Rate (per 1000 live births) of Nepal according to NDHS 2018 is: *
a. 22
b. 24
c. 26
d. 28
12.Which of the following is not part of the basic Personal Protective Equipment (PPE) to prevent the spread of COVID-19? *
a. Positive Pressure Suit
b. Gown
c. Disposable Mask
d. Face Shield
13.The inactivated influenza vaccine is a: *
a. Killed vaccine
b. Live attenuated vaccine
c. Subunit vaccine
d. Toxoid
14.Oral rehydration mixture contains both glucose and sodium because *
a. Are needed to maintain the plasma osmolality
b. Are prominent energy sources for the body
c. Facilitate the transport of each other from the intestinal mucosa to the blood
d. Are required for the activation of sodium potassium ATPase
15.Which of the following drugs is used in children as an antihelmintic: *
a. Praziquantel
b. Tinidazole
c. Methotrexate
d. Pyrimethamine
16.Health check-up in school is done for the following purposes, except: *
a. To assess normal development of the child
b. To keep track of immunization schedule
c. For early detection of disease / abnormalities, which when treated in time, allows the child to lead a normal life
d. To screen for genetic metabolic disorders as a baseline for future reference
17.AedesAegypti is the vector for: *
a. Yellow Fever
b. Dengue Fever
c. Japanese Encephalitis
d. Both Dengue and Yellow fever
18.Epiglottitis in a 2 year old child occurs most commonly due to infection with: *
a. Influenza virus
b. Staphylococcal aureus
c. Hemophilus influenza
d. Respiratory syncytial virus
19.CSF examination in a case of tubercular meningitis shows all of the following except? *
a. Elevated protein levels
b. Raised sugar level
c. Low chloride level
d. High chloride level
20.The most likely finding in the initial stages of septic shock is: *
a. Abnormally low blood pressure
b. Absent femoral pulses
c. Delayed capillary refill
d. Hyperpnea
21.Severe megaloblastosis is caused by: *
a. Panhypoplasia
b. Myelosclerosis
c. Malignancy
d. Hypersplenism
22.Immunologic acute transfusion reaction include all except: *
a. Haemolytic
b. Febrile Non-haemolytic transfusion reaction
c. Anaphylactic
d. Hypotension
23.Which one of the following organism is not targeted by post splenectomy vaccination? *
a. H. influenza
b. S. pneumonia
c. E. coli
d. N. meningitides
24.The first biochemical change to occur in iron deficiency anaemia is: *
a. Bone marrow hemosiderin disappears lastly.
b. Serum iron decreases first.
c. Transferrin saturation is normal
d. Free erythrocyte protoporphyrines accumulates
25.Infant should regain birth weight by *
a. 2 days
b. 1 week
c. 2 weeks
d. 4 weeks
26.Complications of measles include all of the following except: *
a. Ear Infection
b. Diarrhoea
c. Bronchopneumonia
d. Motor Deificit
27.What is the Calorie requirement (Kcal/kgday) at 1 year of age? *
a. 50-55
b. 90-95
c. 110-120
d. 130-150
28.Rheumatic fever is suggested by the presence of: *
a. Symmetrical poly arthritis
b. Nail clubbing
c. Anemia
d. ECG evidence of prolonged PR interval
29.Nephrotic Syndrome can be caused by all except: *
a. Malaria
b. Syphilis
c. Hepatitis
d. Mycoplasma
30.Which of the following statements about donning PPE is True? *
a. Gloves should be donned first
b. The top of a mask should be pinched snugly over the bridge of the nose
c. The cuff of the gloves should be underneath the sleeves of the gown
d. One must wear goggles and face shield together
