NNC License and TU Staff Nurse Examination Model Question Set


  1. How many bones are there in human vertebra?

    • 25

    • 64

    • 33

    • 80

  2. Which of the following chamber of heart pumps oxygenated blood towards the aorta?

    • Right atrium

    • Right ventricle

    • Left atrium

    • Left ventricle

  3. The normal WBC count is……..

    • 4000-11000

    • 400000-900000

    • 150000-400000

    • 4.5-6.5 *10^6

  4. The process of blood cells formation is called……..

    • Thrombocytosis

    • Leucocytosis

    • Erythropoiesis

    • Hemolysis

  5. The normal intake of water per day is………

    • 1000ml

    • 2000ml

    • 1500ml

    • 2500ml

  6. Which type of drug is mebendazole?

    • Antifungal

    • Antihelminitic

    • Antibactericidal

    • Antiviral

  7. The safest route for injection is……..

    • Intravenous

    • Intraperitoneal

    • Intrapleural

    • Intracardinal

  8. What is the pressure of vitreous humor in eyes?

    • 5-10 mm of Hg

    • 15-20 mm of Hg

    • 10-15 mm of Hg

    • 20-25 mm of Hg

  9. The most important electrolyte of intracellular fluid is…….

    • Sodium

    • Calcium

    • Potassium

    • Chloride

  10. The beta cell of islets of Langerhans secretes………hormone.

    • Glucagon

    • Glycogen

    • Insulin

    • Amylase

  11. A patient is scheduled for a urinary catheterization, in which position should the nurse place the patient…….

    • Dorsal recumbent position

    • Supine position

    • Trendelenburg position

    • Prone position

  12. Tachycardia means pulse rate……….

    • Below 60

    • Above 100

    • Below 100

    • Above 60

  13. A patient is scheduled for NG feeding. In which position should the nurse place the patient……..

    • Low Fowler’s position

    • Trendelenburg

    • Supine position

    • Side lying position

  14. The fastest route to give medicine is………

    • IV (intravenous)

    • ID (intradermal)

    • IM (intramuscular)

    • SC (subcutaneous)

  15. Nosocomial infection is the infection acquired by………

    • Infected person

    • Community

    • Hospital

    • None of the above

  16. Nepal Nursing Council was established in……

    • 193 BS

    • 2053 BS

    • 1954 BS

    • 2054 BS

  17. A nurse administers an intravenous solution of 0.45 sodium chloride. With respect to human blood cell, to which category of fluid does this solution belong?

    • Isotonic

    • Hypotonic

    • Isometric

    • Hypertonic

  18. A patient is to have gastric gavage. In which position should the nurse place the client when the gavage tube is being inserted…………

    • Supine position

    • High-Fowler’s position

    • Mid-Fowler’s position

    • Trendelenburg position

  19. Which electrolyte of intracellular fluid is the most important?

    • Sodium chloride

    • Chloride

    • Calcium

    • Potassium

  20. Sterile urine specimen is collected from…………

    • From clean bedpan or urinal

    • The first small amount of urine voided

    • Urine voided at midstream

    • All of the above

  21. A patient is having dyspnea. To facilitate respiration, the nurse would….

    • Remove pillow from under the head

    • Elevate the head of the body

    • Elevate the foot of the body

    • Take the blood pressure

  22. A patient has an abnormal, unexpected response to a drug this is defined as…….

    • Drug tolerance

    • A cumulative effect

    • Idiosyncratic effect

    • Anaphylactic

  23. You are to administer a medication using a nasogastric tube. Before giving medicine, you should…….

    • Crush the enteric coated pill for mixing in a liquid

    • Flush open the tube with 60ml of very warm water

    • Check for proper placement of NG tube

    • Take the patient’s vital sign

  24. Vitamin K, 10mg given IM, is ordered vitamin K is available as 5mg/ml. how much would the nurse administers?

    • 1 ml

    • 2 ml

    • 3 ml

    • 4 ml

  25. While administering a blood transfusion, when would the nurse assess the patient for a blood transfusion reaction?

    • Every 15 minutes after the infusion is started

    • After the blood is all infused

    • Every hour

    • Every 15 minutes

  26. When assessing a patient at risk for pressure ulcer formation, which site would the nurse identify as being most common?

    • Occipital area

    • Sacrum

    • Sternum

    • Humerus

  27. A patient is receiving 100ml of IV fluid per 24 hours. Using an IV set with drop rate of 15 drops/ml the nurse should plan to regulate the IV is………

    • 10 drops/min

    • 15 drops/min

    • 20 drops/min

    • 30 drops/min

  28. The identification of client’s health needs occurs in nursing process step of………..

    • Planning

    • Evaluation

    • Assessment

    • Implementation

  29. Oxygen, Food and water are which of the following need according to Maslow’s hierarchy of human needs……

    • Physiological needs

    • Safety and security need

    • Love and belonging

    • Self esteem

  30. When you find a person lying on the ground with a cardiopulmonary arrest, what will be the immediate action to be taken?

    • Assess responsiveness

    • Assess the airway

    • Assess circulation

    • Assess breathing

  31. ICN (International Council of Nurses) was established in………

    • 1899 A.D

    • 1888 A.D

    • 1898 A.D

    • 1889 A.D

  32. NLEN (National Licensure Examination for Nurses) is conducted by………

    • NNC

    • ICN

    • NAN

    • INC

  33. If heat is transferred from one object to another by direct contact, it is……

    • Convection

    • Conduction

    • Evaporation

    • Radiation

  34. When the elevated temperature fluctuates wildly but does not reach normal levels between fluctuation is called………

    • Constant fever

    • Remittent fever

    • Intermittent fever

    • Relapsing fever

  35. Type of abnormal breathing which is the combination of hyperpnea and apnea………

    • Dyspnea

    • Orthopnea

    • Cheyne-Stokes breathing

    • Asphyxia

  36. A client has temperature 104⁰F. This temperature is equal to……………

    • 38⁰C

    • 40⁰C

    • 41⁰C

    • 42⁰C

  37. A patient is receiving blood transfusion, if an allergic reaction to the blood develops on patient, the nurse’s first intervention should be…….

    • Call the physician

    • Stop the blood immediately

    • Slow the flow rate of blood

    • Administer anti-allergic drug

  38. Which is the unfavorable factor affecting wound healing?

    • Young age

    • Hemorrhage

    • Intake of protein, calcium, vitamin C

    • Blood supply to the injured part

  39. For safe administration of drugs, the nurse should follow right …

    • 4 rights

    • 5 rights

    • 6 rights

    • 10 rights

  40. For safe administration of drugs, the nurse should follow right …

    • Gluteus medius

    • Deltoid muscle

    • Gluteus minimus

    • Vastus lateralis

  41. The process which makes inanimate objects safer to be handled by health personnel before cleaning is………….

    • Sterilization

    • High level disinfection

    • Decontamination

    • Cleaning

  42. Recommended temperature, time pressure for autoclaving (steam under pressure)

    • 120⁰C (250⁰F), at 106kpa (15 Ibs/in 2) for 30 minutes

    • 110⁰C at 106 kpa (15 Ibs/in 2) for 30 minutes

    • 100⁰C at 106 kpa (15 Ibs/in 2) for 30 minutes

    • 90⁰C 106 kpa (15 Ibs/in 2) for 30 minutes

  43. If nurse is administering a cleansing enema to a client enema to a client with a fecal impaction. Before administering the enema the nurse places the client in which position?

    • Left Sims position

    • Right Sims position

    • On the left side of the body, with the head of the bed elevated at 45 degree

    • None

  44. Who will be third line manager for you at PHC?

    • Self

    • Medical superintendent

    • Medical officer

    • Chief of T/OH

  45. A nurse is preparing to insert a nasogastric tube in an adult client. To determine the measurements of the length of the tube to be inserted, the nurse should………..

    • Mark the tube at 10 inches

    • Mark the tube at 32 inches

    • Place the tube at the tip of the nose and measures by extending the tube to the earlobe and then down to the xiphoid process

    • Place the tube at the tip of the nose and measure by extending the tube earlobe and then down to the sternum

  46. Physician prescribed a hypotonic solution (IV) for a client. Which of the following IV solutions would the nurse except to prescribe………

    • 5% dextrose in water

    • 0.45% sodium chloride

    • 10% dextrose in water

    • 0.9% sodium chloride

  47. The nurse has obtained a unit of blood from the blood bank and has checked the blood bag properly with another nurse. Just before beginning the transfusion, the nurse assess which of the following items?

    • Vital sign

    • Skin color

    • Urine output

    • Latest hematocrit level

  48. Best type of solution to use for the irrigation of urinary catheter…

    • Distilled water

    • Normal saline

    • Tap water

    • Warm water

  49. The most important way to prevent the spread of infection is………….

    • Wearing gloves

    • Hand washing

    • Wearing mask

    • Wearing coat

  50. Which instrument is used to test the client’s hearing?

    • Stethoscope

    • Tuning fork

    • Otoscope

    • Reflex hammers

  51. When is international nurse’s day celebrated?

    • 12th May

    • 12th March

    • 2nd May

    • 31st July

  52. A nurse is preparing a preoperative client for transfer to the operating room. The nurse should take which action in the care of this client at this time?

    • Ensure that the client has voided

    • Administer all the daily medications

    • Practice postoperative breathing exercises

    • Verify that the client has not eaten for the last 24 hours

  53. The nurse is performing an abdominal assessment the nurse performs which assessment at first…..

    • Auscultation

    • Inspection

    • Palpation

    • Percussion

  54. While giving an intradermal injection the needle should be held at ……

    • 15⁰

    • 45⁰

    • 30⁰

    • 90⁰

  55. Appropriate temperature of solution prepared for sitz-bath should be………

    • 105-110⁰ F

    • 100-105⁰F

    • 110-115⁰F

    • 115-120⁰F

  56. The nurse determines that a client is having a transfusion reaction. After the nurse stops the transfusion, which action should immediately be taken next………

    • Remove IV line

    • Run normal saline at a keep vein open rate

    • Run a solution of 5% dextrose in water

    • Obtain a culture of the tip of catheter device removed from the client

  57. When suctioning an unconscious client, which nursing intervention should the nurse prioritize in maintaining cerebral perfusion….

    • Administer diuretics

    • Administer analgesics

    • Provide hygiene

    • Hyper oxygenate before

  58. Savlon is……..

    • Cetrimide

    • Chlorhexidine

    • Chloroxylenol

    • A and B

  59. Scald is a burn caused by……….

    • Dry heat

    • Radiation

    • Moist heat

    • Friction

  60. When you perform CPR on an unresponsive adult, you should correctly assess the pulse of which location?

    • Over the radial artery

    • Over the carotid artery

    • Over the brachial artery

    • Over the temporal artery

  61. Which of the following would the nurse use as the most reliable indicator of a patient’s fluid balance status?

    • Intake and output

    • Skin turgor

    • Complete blood count

    • Daily weight

  62. Health policy formation in Nepal since……

    • 1991 AD

    • 1998 AD

    • 1995 AD

    • 1999 AD

  63. Trachoma is a disease of………….

    • Eye lid

    • Cornea

    • Conjunctiva

    • Lachrymal gland

  64. Koplik’s spot is the clinical feature of……….

    • Measles

    • Tuberculosis

    • Chicken pox

    • Leprosy

  65. BCG vaccine is against………..

    • Measles

    • Diphtheria

    • Tuberculosis

    • Whooping cough

  66. DOTS stand for………….

    • Directly observed treatment short course

    • Direct observed treatment short course

    • Direct observed treatment system

    • Directly observed treatment system

  67. The vector for malaria is………….

    • Plasmodium vivax

    • Plasmodium falciparum

    • Plasmodium malaria

    • Female anopheles mosquito

  68. HIV/AIDS is caused by a………….

    • Retro virus

    • Rhabdo virus

    • Rota virus

    • Pox virus

  69. Which of the following is waterborne disease?

    • Meningitis

    • Typhoid

    • Hepatitis A

    • Malaria

  70. Kala-azar is caused by…………vector

    • Malaria

    • Sand fly

    • Housefly

    • Bee

  71. Syphilis is caused by………….

    • Salmonella Typhi

    • Neisseria gonorrhea

    • Treponema pallidum

    • Streptococcus

  72. What type of vaccination is given against measles?

    • Live attenuated

    • Killed

    • Toxoid

    • Inactive

  73. Which of the following is principle of primary health care?

    • Health education

    • Dental health

    • Mental health

    • Community participation

  74. Oral contraceptives act by……………

    • Preventing ovulation

    • Making endometrial non-reactive to embryo

    • Making inactive to sperm

    • Inhibiting sperm penetration to the ovum

  75. The ages of child to receive DPT vaccine are………….

    • 6 week, 10 week, 14 week

    • 6 week, 7 week, 8 week

    • 6 week, 7 week, 8 week

    • 1 week, 2 week, 3 week

  76. When was the ALMA Ata conference held?

    • 1972

    • 1988

    • 1978

    • 1990

  77. Which of the following comes under STDs disease?

    • HIV/AIDS

    • Typhoid

    • Diarrhea

    • Leprosy

  78. When oral contraceptives are prescribed for a patient, the nurse should teach the client about the potential of developing……….

    • Cervicitis

    • Fibrocystic disease

    • Ovarian cyst

    • Break through bleeding

  79. Which of the following are not the 6 killer diseases?

    • ARI

    • Diarrhea

    • Measles

    • Meningitis

  80. When emergency contraceptive should be taken after the unprotected sexual intercourse?

    • Within 24 hrs

    • Within 48 hrs

    • Within 36 hrs

    • Within 72 hrs

  81. What is the best method of solid waste disposal?

    • Composting

    • Incineration

    • Dumping

    • Burial

  82. Which of the following permanent family planning method requires contraceptives at least for 20 ejaculation surgery?

    • Vasectomy

    • Laparoscopy

    • Minilap

    • Norplant

  83. The comprehensive assessment of the health status of an entire community is called……….

    • Community diagnosis

    • Micro-teaching

    • Home visit

    • Health education

  84. Which type of approach is used in home visit?

    • Individual approach

    • Group approach

    • Mass approach

    • Media approach

  85. Which of following contraceptives is excluded in the outreach clinic?

    • Oral pills

    • ORS packet

    • Condom

    • Norplant

  86. The cases occurs irregular haphazardly form time to time and generally infrequently is…………

    • Epidemic

    • Sporadic

    • Pandemic

    • None

NNC License Model Questions Set

Table of Contents(toc)

NNC License Model Questions Set (May 2025)

NNC License Model Questions Set (May 2025)

  1. What is the primary electrolyte found in intracellular fluid?

    a) Sodium

    b) Calcium

    c) Potassium

    d) Chloride

  2. What is the normal count of white blood cells?

    a) 4000-11000

    b) 400000-900000

    c) 150000-400000

    d) 4.5-6.5 *10^6

  3. What is the safest route for administering an injection?

    a) Intravenous

    b) Intraperitoneal

    c) Intrapleural

    d) Intracardinal

  4. What is the term for the formation of blood cells?

    a) Thrombocytosis

    b) Leucocytosis

    c) Erythropoiesis

    d) Hemolysis

  5. Which chamber of the heart pumps oxygenated blood to the aorta?

    a) Right atrium

    b) Right ventricle

    c) Left atrium

    d) Left ventricle

  6. What is the pressure of vitreous humor in the eyes?

    a) 5-10 mm Hg

    b) 15-20 mm Hg

    c) 10-15 mm Hg

    d) 20-25 mm Hg

  7. How many bones are in the human vertebra?

    a) 25

    b) 64

    c) 33

    d) 80

  8. Which type of drug is mebendazole?

    a) Antifungal

    b) Antihelminthic

    c) Antibactericidal

    d) Antiviral

  9. What is the normal daily water intake?

    a) 1000 ml

    b) 2000 ml

    c) 1500 ml

    d) 2500 ml

  10. Which hormone is secreted by the beta cells of the islets of Langerhans?

    a) Glucagon

    b) Glycogen

    c) Insulin

    d) Amylase

  11. In which position should a patient be placed for a urinary catheterization?

    a) Dorsal recumbent position

    b) Supine position

    c) Trendelenburg position

    d) Prone position

  12. What is the fastest route to administer medication?

    a) IV (Intravenous)

    b) ID (Intradermal)

    c) IM (Intramuscular)

    d) SC (Subcutaneous)

  13. What is the normal body temperature in Celsius for 104°F?

    a) 38°C

    b) 40°C

    c) 41°C

    d) 42°C

  14. What is the purpose of administering an intravenous solution of 0.45 sodium chloride?

    a) Isotonic

    b) Hypotonic

    c) Isometric

    d) Hypertonic

  15. What is the most common site for pressure ulcer formation?

    a) Occipital area

    b) Sacrum

    c) Sternum

    d) Humerus

  16. What is the most important step to prevent the spread of infection?

    a) Wearing gloves

    b) Hand washing

    c) Wearing a mask

    d) Wearing a coat

  17. When is International Nurses Day celebrated?

    a) 12th May

    b) 12th March

    c) 2nd May

    d) 31st July

  18. What is the term for an abnormal, unexpected response to a drug?

    a) Drug tolerance

    b) Cumulative effect

    c) Idiosyncratic effect

    d) Anaphylactic shock

  19. What type of vaccine is given against measles?

    a) Live attenuated

    b) Killed

    c) Toxoid

    d) Inactive

  20. What is the best method for solid waste disposal?

    a) Composting

    b) Incineration

    c) Dumping

    d) Burial

  21. What is the standard temperature and pressure for autoclaving?

    a) 120°C (250°F), at 106 kPa (15 Ibs/in²) for 30 minutes

    b) 110°C at 106 kPa (15 Ibs/in²) for 30 minutes

    c) 100°C at 106 kPa (15 Ibs/in²) for 30 minutes

    d) 90°C at 106 kPa (15 Ibs/in²) for 30 minutes

  22. What does DOTS stand for in tuberculosis treatment?

    a) Directly Observed Treatment Short-course

    b) Direct Observed Treatment Short-course

    c) Direct Observed Treatment System

    d) Directly Observed Treatment System

  23. What is the most reliable indicator of a patient’s fluid balance status?

    a) Intake and output

    b) Skin turgor

    c) Complete blood count

    d) Daily weight

  24. What type of breathing is a combination of hyperpnoea and apnoea?

    a) Dyspnea

    b) Orthopnea

    c) Cheyne-Stokes breathing

    d) Asphyxia

  25. What is the role of oral contraceptives?

    a) Preventing ovulation

    b) Making the endometrial lining non-reactive to the embryo

    c) Making sperm inactive

    d) Inhibiting sperm penetration of the ovum

  26. What is the primary vector for malaria?

    a) Plasmodium vivax

    b) Plasmodium falciparum

    c) Plasmodium malariae

    d) Female Anopheles mosquito

  27. What is the most effective way to collect a sterile urine specimen?

    a) From a clean bedpan or urinal

    b) From the first small amount of urine voided

    c) From urine voided midstream

    d) All of the above

  28. What is the recommended position for a patient undergoing nasogastric feeding?

    a) Low Fowler’s position

    b) Trendelenburg

    c) Supine position

    d) Side-lying position

  29. When administering a blood transfusion, when should the nurse assess the patient for a transfusion reaction?

    a) Every 15 minutes after infusion starts

    b) After the blood is fully infused

    c) Every hour

    d) Every 15 minutes

  30. What is the first action when encountering a person with cardiopulmonary arrest?

    a) Assess responsiveness

    b) Assess the airway

    c) Assess circulation

    d) Assess breathing


Correct Answers:

  1. c) Potassium
  2. a) 4000-11000
  3. a) Intravenous
  4. c) Erythropoiesis
  5. d) Left ventricle
  6. b) 15-20 mm Hg
  7. c) 33
  8. b) Antihelminthic
  9. b) 2000 ml
  10. c) Insulin
  11. a) Dorsal recumbent position
  12. a) IV (Intravenous)
  13. b) 40°C
  14. b) Hypotonic
  15. b) Sacrum
  16. b) Hand washing
  17. a) 12th May
  18. c) Idiosyncratic effect
  19. a) Live attenuated
  20. b) Incineration
  21. a) 120°C (250°F), at 106 kPa (15 Ibs/in²) for 30 minutes
  22. a) Directly Observed Treatment Short-course
  23. d) Daily weight
  24. c) Cheyne-Stokes breathing
  25. a) Preventing ovulation
  26. d) Female Anopheles mosquito
  27. c) From urine voided midstream
  28. a) Low Fowler’s position
  29. a) Every 15 minutes after infusion starts
  30. a) Assess responsiveness

Nursing MCQs Model Question (VVIMP)

Table of Contents(toc)


Important Nursing MCQs Model Questions

  1. What is the pressure of vitreous humor in the eyes?

  • 5-10 mm of HG

  • 15-20 mm of HG

  • 10-15 mm of HG

  • 20-25 mm of HG

  1. How many bones are present in the human vertebra?

  • 25

  • 64

  • 33

  • 80

  1. The process of blood cell formation is known as…

  • Thrombocytosis

  • Leucocytosis

  • Erythropoiesis

  • Hemolysis

  1. Which of the following is the most important electrolyte of intracellular fluid?

  • Sodium

  • Calcium

  • Potassium

  • Chloride

  1. The safest route for injection is…

  • Intravenous

  • Intraperitoneal

  • Intrapleural

  • Intracardial

  1. The normal WBC count is…

  • 4000-11000

  • 400000-900000

  • 150000-400000

  • 4.5-6.5 *10⁶

  1. A nurse is administering a hypotonic IV solution. Which of the following is the correct solution?

  • 5% dextrose in water

  • 0.45% sodium chloride

  • 10% dextrose in water

  • 0.9% sodium chloride

  1. What is the normal intake of water per day?

  • 1000 ml

  • 2000 ml

  • 1500 ml

  • 2500 ml

  1. The beta cells of Islets of Langerhans secrete which hormone?

  • Glucagon

  • Glycogen

  • Insulin

  • Amylase

  1. Which chamber of the heart pumps oxygenated blood to the aorta?

  • Right atrium

  • Right ventricle

  • Left atrium

  • Left ventricle

  1. A patient is scheduled for urinary catheterization. In which position should the nurse place the patient?

  • Dorsal recumbent position

  • Supine position

  • Trendelenburg position

  • Prone position

  1. The fastest route for administering medicine is…

  • IV (Intravenous)

  • ID (Intradermal)

  • IM (Intramuscular)

  • SC (Subcutaneous)

  1. When is International Nurses Day celebrated?

  • 12th May

  • 12th March

  • 2nd May

  • 31st July

  1. The most effective way to prevent the spread of infection is…

  • Wearing gloves

  • Hand washing

  • Wearing a mask

  • Wearing a coat

  1. A patient is having dyspnea. To facilitate respiration, the nurse would…

  • Remove the pillow from under the head

  • Elevate the head of the bed

  • Elevate the foot of the bed

  • Take the blood pressure

Please comment down the answers below.

Here’s the answer key for the provided MCQs:

  1. 15-20 mm of HG
  2. 33
  3. Erythropoiesis
  4. Potassium
  5. Intravenous
  6. 4000-11000
  7. 0.45% sodium chloride
  8. 2000 ml
  9. Insulin
  10. Left ventricle
  11. Dorsal recumbent position
  12. IV (Intravenous)
  13. 12th May
  14. Hand washing
  15. Elevate the head of the bed

High yeild dermatology notes

Condyloma Acuminatum (Genital Warts)

Caused by Human Papillomavirus (HPV).
Exophytic, cauliflower-like lesions.
Typically found on moist surfaces: perianal area, vaginal introitus, vagina,
labia, and vulva.
Can also occur on dry surfaces like the shaft of the penis.
Condyloma lata: Flat papules of secondary syphilis, painless ulcers.
Chancroid: Caused by Haemophilus ducreyi, characterized by painful ulcers.

Curable Non-Ulcerative STDs

Gonorrhea
Chlamydia
Trichomoniasis

Vaginitis

Most common cause: Candida.
Second most common cause: Trichomonas vaginalis.
Vulvar Intraepithelial Disease/Pre-malignant Lesion
Paget’s Disease.
Most common lesion of the vulva: Condyloma acuminata (Genital warts).

Bartholin Cyst

Results from obstruction of the Bartholin duct.
Soft, painless mass.
Most commonly infected by Gonorrhea, less commonly by Staphylococcus aureus.
Infected cyst is called Bartholin abscess, which is painful.

Bacterial Vaginosis vs. Trichomonas Vaginalis

Bacterial Vaginosis

Clue cells and fishy smell, painless.
Thin, grayish-white discharge, often fishy-smelling after sexual intercourse.
Amsel’s Criteria (requires at least 3 out of 4):
Thin, homogeneous discharge coating the vaginal walls.
Clue cells on microscopy (vaginal epithelial cells covered with bacteria).
Vaginal pH > 4.5.
Positive “whiff test” (fishy odor when 10% KOH is added).
Nugent scoring (Gram stain-based scoring system) for a definitive diagnosis.
Can cause early miscarriage and pre-term birth (most common cause).

Trichomonas Vaginalis

Microscopic examination: Wet mount reveals motile T. vaginalis (pear-shaped
with flagella).
NAAT (Nucleic Acid Amplification Test) for high sensitivity and specificity.
Per speculum: Erythematous plaques, punctate “strawberry cervix.”
Normal pH.
Symptoms: Pain during intercourse, burning sensation, itching.
Offensive, foul-smelling, green/gray/pink frothy, yellow vaginal discharge.
Treat with Metronidazole for both partners.
Can cause pregnancy complications, including low birth weight and premature
rupture of membranes.
Comparison of Bacterial Vaginosis and Trichomonas Vaginalis
Feature Bacterial Vaginosis Trichomonas Vaginalis
Cause Overgrowth of anaerobic bacteria Trichomonas vaginalis (protozoan parasite)
Discharge Characteristics Thin, grayish-white, homogeneous, fishy odor Green, gray, pink frothy, yellow discharge
Pain/Itching Painless Painful intercourse, burning sensation, itching
Microscopic Findings Clue cells (vaginal epithelial cells covered with bacteria) Motile pear-shaped organisms with flagella
pH > 4.5 Normal pH
Diagnostic Test Amsel’s criteria, Nugent scoring (Gram stain) NAAT (Nucleic Acid Amplification Test), Wet mount microscopy
Treatment Metronidazole or Clindamycin Metronidazole (both partners)
Impact on Pregnancy Can cause early miscarriage and pre-term birth Low birth weight, premature rupture of membranes

check ctevt result with marksheet

How to check ctevt result with marksheet?

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How to Check Your CTEVT Exam Results Online

Are you eagerly waiting for your CTEVT exam results? The process is now
easier than ever! With the online portal provided by CTEVT, you can access
your results quickly and conveniently. Here’s a step-by-step guide to help
you check your results seamlessly.

What is the easiest way of check ctevt result with marksheet?

Go to CTEVT results portal using above link and fill up the required details. Thats the easiest way iif gerring CTEVT results with marksheet as well.
Other methods include SMS services and other online portals but depends on availability of the year.

Step-by-step Guide to Check Your CTEVT Results:

  1. Visit the Official Website: Go to the official
    result-checking page by clicking on the link:
    Click here to check your results now.

  2. Enter Your Information: Input your exam roll number and
    other required credentials as prompted on the page.

  3. Verify and Submit: Double-check your information for
    accuracy and click the submit button.

  4. View Your Results: Your results will be displayed on
    the screen. You can download or print the results for future reference.

Why Check Your Results Online?

  • Convenience: No need to visit the CTEVT office or wait
    for official notices.

  • Speed: Access your results immediately once they are
    published.

  • Accuracy: The online system ensures accurate and
    up-to-date information.

Common Issues and Solutions:

  • Incorrect Roll Number: Double-check the details you
    entered.

  • Website Traffic: Try accessing the site during off-peak
    hours.

  • Browser Compatibility: Use an updated browser like
    Chrome or Firefox.

Final Thoughts

The online result-checking system by CTEVT is a great initiative to make the
process more efficient and accessible for students. By following the steps
above, you can easily check your exam performance without any hassle.

Spinal Reflexes and their roots

Deep tendon reflexes roots

  • Ankle jerk: S1, S_{2}
  • Knee jerk: L_{3} L_{4}
  • Biceps jerk: C_{5} , C_{6}
  • Triceps jerk: C_{7} C_{8}
  • Radial jerk: C_{6}
  • Jaw jerk: Pons

Superficial reflexes roots

  • Plantar reflex: S_{1} S_{2}
  • Abdominal reflex: Gamma_{7} – T_{11}
  • Cremasteric reflex: L_{1}

Model Question 

24. Inverse supinator jerk is:
a. C5, C6
с. 15,51
b. C6,C7
d. L4, S1
Ans: ‘a’ c5, c6

Anatomy of the stethoscope: You must know how does a stethoscope work 2024

Anatomy of a Stethoscope? What are parts of the stethoscope? how does
stethoscope work?

Table of Contents(toc)

A stethoscope is an essential tool for auscultation or listening to internal
sounds of an animal or human body. It can help diagnose various conditions
related to the heart, lungs, abdomen and blood vessels. A stethoscope consists
of three main parts: a chest-piece, a headset and a tubing. This is anatomy of
stethoscope (stethoscope anatomy). Stheth is occasionally referred as steth as
well.

Parts of stethoscope

Parts of stethoscope: 

Here are parts of stethoscope explained.

The chest piece:

The chest-piece is the part that contacts the patient’s body. It has a stem
that connects to the tubing and a diaphragm and/or a bell that transmits sound
waves to the earpieces. The diaphragm is a thin membrane that vibrates when
exposed to high-frequency sounds, such as heartbeats and breath sounds. The
bell is a hollow cup that resonates with low-frequency sounds, such as murmurs
and bruits. Some stethoscopes have a single-head design that can switch
between diaphragm and bell modes by applying different pressure on the
chest-piece. Others have a dual-head design that has both diaphragm and bell
on opposite sides of the chest-piece.

The headset:

The headset is the part that delivers sound to the user’s ears. It consists of
two eartubes, tension springs and eartips. The eartubes are metal rods that
are angled to fit into the user’s ear canals comfortably and securely. The
tension springs are flexible wires that allow the user to adjust the pressure
on their ears by squeezing or pulling apart the eartubes. The eartips are soft
rubber or silicone caps that seal out external noise and enhance sound
quality.
They come in different sizes and shapes to suit different
preferences.

The tubings:

The tubing is the part that connects the chest-piece to the headset.

It is made of durable material that can withstand bending and folding without
affecting sound transmission.
The length of the tubing affects how far
you can stand from your patient while auscultating.
A longer tubing may
reduce sound quality but increase mobility, while a shorter tubing may improve
sound quality but limit mobility.

How does stethoscope work?

  • A stethoscope works by converting acoustic energy into mechanical energy and
    then into electrical energy. 
  • When sound waves hit the diaphragm or bell of the
    chest-piece, they cause it to vibrate. 
  • These vibrations are transmitted through air-filled columns in the lumen
    tubing to metal springs in the eartubes. 
  • These springs amplify the vibrations and send them to magnets in the eartips.
    These magnets generate electric currents that stimulate the user’s auditory
    nerves. 
In this way if we listen to a person’s heart we can hear a lub dub sound. Some
stethoscope’s have tunable diaphragms as well.

Know parts of steth

Importance of stethoscope?

A stethoscope is not only an instrument for diagnosis but also an expression
of professionalism and identity for doctors and nurses. It is important to
choose one that suits your needs, preferences and budget. You should also take
care of your stethoscope by cleaning it regularly, storing it properly and
replacing worn-out parts when necessary.

Types of stethoscope?

There are many types of stethoscopes available in the market, each with its
own advantages and disadvantages. Some common types are:

Acoustic stethoscopes:

These are traditional stethoscopes that use air columns in tubes to transmit
sound waves from chest-pieces to earpieces. They are simple, inexpensive and
widely used, but they may have low sound quality, especially for low-frequency
sounds.

Electronic stethoscopes:

These are modern stethoscopes that use electronic circuits to amplify, filter
and process sound waves from chest-pieces before sending them to earpieces or
speakers. They have high sound quality, even for low-frequency sounds, but
they may be expensive, complex and require batteries.
How to wear a stethoscope

Digital stethoscopes:

These are advanced stethoscopes that use digital technology to convert sound
waves from chest-pieces into digital signals before sending them to earpieces
or computers. They can record, display and analyze sounds using software
applications,but they may be costly, sophisticated and require compatible
devices.
Anatomy of the stethocope and physiology: different parts labelled

Fetal stethoscopes:

These are specialized stethoscopes that are designed to listen to fetal
heart sounds during pregnancy. They have large bells or horns that can fit
over pregnant women’s abdomens, but they may be difficult to use,
uncomfortable and inaccurate.

Doppler stethoscopes:

These are unique stethoscopes that use Doppler effect.

Manufacturers of stethoscope:

Various companies make stethoscopes including 3m littmann, fricare, mdf,
mccoy, alimed etc.
How does a stethoscope work

Use of stethoscope:

  1. Measure blood pressure
  2. Hear lung sounds
  3. listen to heart sounds
  4. listen to bruits
  5. listen to other sounds in body
  6. listen to fetal heart sounds



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Normal Lab Values Commonly Used


Vital Signs

  • Blood Pressure: <120 mmHg Systolic, <80 mmHg Diastolic
  • Heart Rate: 60 – 100 bpm
  • Respirations: 12 – 20 breaths/min
  • Oxygen Saturation: 92% – 100%
  • Temperature: 97.8°F – 99°F

Complete Blood Count (CBC)

  • Hemoglobin: 12 – 18 g/dL
  • Hematocrit: 35% – 55%
  • Total RBC: 4 – 6 million/mm³
  • Platelets: 150,000 – 400,000 /mm³
  • WBC: 4,000 – 10,000 /mm³

Electrolytes

  • Sodium: 135 – 145 mEq/L
  • Potassium: 3.5 – 5 mEq/L
  • Magnesium: 1.3 – 2.1 mEq/L
  • Calcium: 9 – 10.5 mg/dL
  • Phosphorous: 3.0 – 4.5 mg/dL
  • Ammonia: 15 – 45 µg/dL

Liver Panel

  • ALT: 10 – 36 U/L
  • AST: 0 – 35 U/L
  • Bilirubin: 0.2 – 1.2 mg/dL
  • Total Protein: 6 – 8 g/dL

Arterial Blood Gas (ABG)

  • pH: 7.35 – 7.45
  • PaCO2: 35 – 45 mmHg
  • PaO2: 80 – 100 mmHg
  • HCO3 (Bicarbonate): 22 – 26 mEq/L

Coagulation / Cardiac Enzymes

  • PT: 10 – 20 seconds
  • PTT: 25 – 35 seconds
  • INR: 2 – 3
  • Troponin T: <0.10 ng/mL
  • Troponin I: <0.03 ng/mL
  • BNP: <100

Renal Function

  • BUN: 7 – 20 mg/dL
  • Creatinine: 0.6 – 1.2 mg/dL
  • Creatinine Clearance: 85 – 135 mL/min
  • Serum Albumin: 3.5 – 5.5 g/dL
  • Specific Gravity: 1.010 – 1.030

Random Values

  • ICP: 7 – 15 mmHg
  • MAP: 70 – 100 mmHg
  • Amylase: 30 – 200 U/L
  • Lipase: 0 – 160 U/L

Metabolism

  • Cholesterol: <200
  • LDL: <70
  • HDL: >60
  • Triglycerides: <150
  • Glucose: <200
  • Hemoglobin A1C: 4 – 5.7%

Improving Child Health in Nepal: Balvita, Vitamin A, and Deworming Programs

Improving Child Health in Nepal: Balvita, Vitamin A, and Deworming Programs -Baal Vita

Table of Contents(toc)
vitamin a capsules in nepal


 What are vitamins?

Vitamins are types of micronutrients needed for proper growth and maintainance of health. Vitamins are found in the foods we eat daily. 

How much vitamin does a person require?

Vitamins are required in very small quantity for our body. The growing a children require more amount of vitamins and minerals than adults. Adults are also required to eat sufficient amount of vitamins for maintenance of their body. Vitamins are also required to boost the immune system of our body. This helps our body to fight against different kind of communicable and non communicable disease like infection of bacteria, viruses and fungus as well as cancer and heart diseses.

Where do we get nutrients and vitamins from?

Generally if a person is eating healthy and nutritious balanced diet and he or she is not suffering from any disease then there is high chance that the person is already taking sufficient amount of nutrition and nutrients in his or her diet. But in some cases and if the person is suffering from disease or not able to eat properly then there might be nutrition defeciency. 

Why do children need nutrients supplement?

Children are special population, nutrition during childhood refers to their health growth and long term health benefit. If a child suffers from nutrition deficiency in childhood the person might suffer is who life due to this. Nutrition supplement during childhood also means that the child will be healthy his whole life. Growth and development failure during his or her childhood means he/she will have problem with his/her whole life. 

Does my child need nutrition supplement?

The answer to this question is not all the children may need nutrition supplement. But still there is possibility that your child might be having nutrition deficiency. If the nutrients are supplied in safe doors then there is no side effect of it. So basically there is no harm in supplementing nutrients to your child but this may benefit your child instead. Supplementing nutrition will treat the nutrition deficiency while not harming your baby. For the same reason you should provide supplement nutrition to your baby rather than not doing it. There is more benefit of providing supplement. There is high chance that you are baby might have nutrition deficiency so it should be advised to treat the nutrition deficiency.

What are the nutrition supplement that I can give to my baby?

There are multiple supplementary options available for our baby. There is a famous nutrition supplement which contains 16 types of micro nutrients all in one called Balvita supplied by government of nepal for free. Special nutrients supplement required for children is vitamin A. 

What is Balvita?

Balvita is a type of nutritional supplement that is designed to provide essential vitamins and minerals to support the growth and development of children. Balvita is typically recommended for children who may have nutritional deficiencies or who require additional support for healthy growth and development. 
It is also called multi micronutrient powder as well. 

How to feed balvita to my baby?

Deworming

According to WHO the country in which there is more than 20 % of ppulation suffering from worm infestation then the country should deworm the population twice a year. 
Neapal also has hugh prevalence of worm infestation and among children and the pregnant women the prevalence of infestatio nis more than one third. 
It has been shown that one tablet of albendazole 400 mg or mebendazole 500 mg can kill almost all of the intestinal worms.
Nepal has decided to distribute albendazole for purpose of deworming. This tablet can kill various types of worms including Ancylostoma canium, Ancylostoma duodenale (Nectar americanus), Ascaris lumbricoids (intestinal worm), Enteribiasis (pinworm), Oesophagostomum bifurcum etc. 

Mechanism of action of albendazole:

The active metabolite of albendazole is albendazole sulfoxide. It causes selective degenration if the cytoplasmic degeneration of the microtubules in intestinal and tegmental cells of intestinal helminths and larvae; glycogen is depleted, glucose uptake and cholinesterase secretion is imparired, and desecratory substance is accumulated intracellularly. ATP production decreases. This causes energy depletion and immobilization and subsequent worm death. Thus dead worm is passed down in stool. 

Dose of albendazole:

Childres one year to less than 2 years -> 200 mg (1/2 tablet twice yearly
Children 2 years to 5 years -> one tablet of 400 mg twice yearly
Pregnant woman after first trimester -> one tablet of albendazole 400 mg

What is vitamin A?

Vitamin A is a micronutrient found mostly in green leafy vegetables and animal source foods like meat, eggs and dairy products.

What does vitamin a do in our body:

High dose vitamin A  supplementation is done to prevent and treat many conditions among children and adults.
The dose of vitamin A in different population is summerized below
  1. Children 6 to under 12 months of age – one oral vitamin A dose of 100,000 IU two times per year
  2. Children 12 to 59 months of age – one oral vitamin A dose of 200,000 IU two times per year
  3. Women immediately following childbirth, or as soon as possible up to six weeks post-partum, can be given one oral dose of vitamin A 200,000 IU
  4. To treat complications related to deficiency- xerophthalmia etc three doses one upon diagnosis, one the following day and third dose one month later (Note: one dose: 100,000 IU for children aged 6-<12 months; 200,000 IU for children more than 12 months)
  5. For measles: one upon diagnosis and another the following day(Note: one dose: 100,000 IU for children aged 6-<12 months; 200,000 IU for children more than 12 months)
  6. Prolonged diarrhea: more than two weeks: one dose immidiately after diagnosis (Note: one dose: 100,000 IU for children aged 6-<12 months; 200,000 IU for children more than 12 months)
  7. Severe malnutrition: one dose immidiately after diagnosis (Note: one dose: 100,000 IU for children aged 6-<12 months; 200,000 IU for children more than 12 months)
  8. For pregnant women with nightblindness: 25000 IU once  a week for four weeks (4 doses)

Foods that are rich in vitamin A: (mcg/100 gm)

  • Stinging nettle 12857
  • Colocasia leaves 12000
  • Coriandr leaves 6918
  • Spinach 5580
  • Amaranth, tender 5520
  • Radish leaves 5295
  • Carrot 4275
  • Goat liver 3030
  • Mango 2743
  • Mustard leaves 2622
  • Fenugreek leaves 2340
  • Pumpkin leaves 1940
  • Chicken liver 1930
  • Bethe leaves 1740
  • Mustard leaves 1520
  • Rape leaves 1380
  • Pumpkin 1160
  • Papaya 666
  • Onion stalk 595
  • Soybean 426
  • Eggs 420
  • Lentil 270
  • Cabbage 120
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