Model MCQs for Nepal Government 8th Level Medical Officer Exam (NEW)

Model MCQs for Nepal Government 8th Level Medical Officer Exam

General Medicine 

1. Which of the following is NOT a common cause of Chronic Obstructive Pulmonary Disease (COPD)?
   a) Smoking
   b) Air pollution
   c) Alpha-1 antitrypsin deficiency
   d) Tuberculosis
2. A patient presents with fever, murmur, and Janeway lesions. What is the most likely diagnosis?
   a) Myocardial infarction
   b) Rheumatic heart disease
   c) Infective endocarditis
   d) Pericarditis
3. Which investigation is most specific for diagnosing Hepatitis B infection?
   a) ALT/AST ratio
   b) HBsAg
   c) Anti-HBc IgM
   d) Anti-HAV IgM
4. What is the most common type of anemia worldwide?
   a) Megaloblastic anemia
   b) Iron deficiency anemia
   c) Aplastic anemia
   d) Sickle cell anemia
5. Which neurological condition is characterized by resting tremor, rigidity, and bradykinesia?
   a) Multiple sclerosis
   b) Parkinson’s disease
   c) Myasthenia gravis
   d) Guillain-Barré syndrome

   General Surgery
   

6. The most common cause of acute appendicitis is:
   a) Fecalith obstruction
   b) Intestinal tuberculosis
   c) Volvulus
   d) Hernia
7. Which is a common complication of deep vein thrombosis (DVT)?
   a) Pulmonary embolism
   b) Myocardial infarction
   c) Stroke
   d) Peripheral artery disease
8. The first-line management for pneumothorax in a hemodynamically stable patient is:
   a) Chest tube insertion
   b) Needle decompression
   c) Oxygen therapy
   d) Observation
9. Which condition is characterized by sudden onset of severe scrotal pain and absent cremasteric reflex?
   a) Testicular torsion
   b) Epididymitis
   c) Hydrocele
   d) Varicocele
10. Which of the following is the best initial investigation for breast carcinoma?
    a) Mammography
    b) FNAC
    c) MRI
    d) Ultrasound

     Obstetrics and Gynecology
    

11. A patient at 32 weeks gestation presents with painless vaginal bleeding. The most likely diagnosis is:
    a) Placenta previa
    b) Abruptio placentae
    c) Ectopic pregnancy
    d) Uterine rupture
12. Which of the following is NOT a risk factor for ectopic pregnancy?
    a) Pelvic inflammatory disease
    b) Previous ectopic pregnancy
    c) In vitro fertilization
    d) Multiparity

Answer Key:

1. d) Tuberculosis
2. c) Infective endocarditis
3. b) HBsAg
4. b) Iron deficiency anemia
5. b) Parkinson’s disease
6. a) Fecalith obstruction
7. a) Pulmonary embolism
8. c) Oxygen therapy
9. a) Testicular torsion
10. a) Mammography
11. a) Placenta previa
12. d) Multiparity