Medical Officer Loksewa Model Questions 2082

Medical Officer – Lok Sewa Aayog (Public Service Commission)

Position: मेडिकल अधिकृत (Medical Officer)
Grade: Eighth Level
Service: Nepal Health Service – General Health Services Group


Exam Overview

The Eighth Level Open Competitive Examination for the Medical Officer position in the General Health Services Group is conducted in two phases:

  1. First Phase – Written Examination

    • Full Marks: 200

    • Pass Marks: 40% in each paper

    • Language: Nepali, English, or both

    • Papers:

      • Paper I: General Health Services (MCQs) – 100 Marks

      • Paper II: General Health Services (Subjective) – 100 Marks

  2. Second Phase – Group Test & Interview

    • Full Marks: 40 (10 for Group Discussion, 30 for Interview)


First Phase – Written Examination

Paper I: General Health Services (MCQs)

  • Marks: 100

  • Duration: 1 hr 15 min

  • Negative Marking: 20% deduction for each wrong answer; no deduction for unanswered questions

  • No calculators allowed

Paper II: General Health Services (Subjective)

  • Marks: 100

  • Duration: 3 hrs

  • Questions may be a single 10-mark question, multi-part questions, or short notes.

  • Separate answer booklets for each section must be used.


Second Phase – Group Test & Interview

Group Discussion

  • Marks: 10

  • Duration: 30 minutes

  • Format: Leaderless Group Discussion on a given topic

  • Includes turn-by-turn discussion and an individual presentation.

  • Evaluation Committee:

    • PSC Member – Chairperson

    • PSC Member – Member

    • Psychologist – Member

    • Subject Expert – Member

Interview

  • Marks: 30


Vacancy Fulfillment

  • Open Competition: 55% of total posts

  • Reserved Quotas (45%):

    • Women – 33%

    • Indigenous/Janajati – 27%

    • Madhesi – 22%

    • Dalit – 9%

    • Persons with Disabilities – 5%

    • Candidates from Backward Regions – 4%


Eligibility

Education

  • MBBS or equivalent from a recognized institution.

Age Limit

  • Minimum: 21 years

  • Maximum: 45 years (special provision under Health Service Group)

  • No age limit for permanent government employees.


Syllabus Summary

The syllabus covers General Health Services topics across multiple medical disciplines.
Both Paper I (MCQ) and Paper II (Subjective) will use the same syllabus.


Section A – General Medicine (30 Marks)

  • Respiratory Diseases (e.g., Acute Bronchitis, COPD, TB, SARS, Bird Flu)

  • Cardiovascular Diseases (e.g., Rheumatic Fever, IHD, Myocardial Infarction)

  • Gastrointestinal Diseases (e.g., Peptic Ulcer, Cirrhosis, Hepatitis)

  • Blood & Lymphoreticular Disorders (e.g., Anaemia, Leukemia)

  • Neurological Disorders (e.g., Stroke, Epilepsy, Meningitis)

  • Endocrine & Metabolic Disorders (e.g., Diabetes, Thyroid Disorders)

  • Joint & Collagen Disorders (e.g., RA, Osteoarthritis, SLE)

  • Renal Diseases (e.g., UTI, Renal Failure, Kidney Transplant)

  • Tropical Diseases (e.g., Malaria, Cholera, Leprosy)

  • Psychiatry (e.g., Anxiety, Depression, Substance Abuse)

  • Dermatology & STDs

  • Pharmacology (drug actions, poison management, special prescribing)

  • Emergency Medicine (acute care, trauma, shock management)


Section B – Surgery, Ophthalmology, ENT, Dental, Orthopedics, Anesthesiology, Pathology (30 Marks)

  • General Surgery (e.g., Hernia, Burns, Gallstones)

  • Ophthalmology (e.g., Cataract, Glaucoma, Trachoma)

  • ENT (e.g., Otitis Media, Sinusitis, Tonsillitis)

  • Dental (e.g., Caries, Oral Cancer)

  • Orthopedics & Joint Diseases

  • Anesthesiology & Emergency Care

  • Pathology (lab interpretation, disease pathology)


Section C – Obstetrics & Gynecology, Pediatrics (20 Marks)

  • Antenatal, Natal, Postnatal Care

  • Pregnancy Complications (e.g., Eclampsia, Obstructed Labour)

  • Childhood Diseases (e.g., ARI, Measles, Malnutrition)


Section D – Community Medicine & Forensic Medicine (20 Marks)

  • Demography, Sociology, Epidemiology, Health Education

  • Nutrition & Health

  • RH, EPI, IMCI, School Health, Occupational Health

  • Forensic Medicine & Jurisprudence (legal aspects, post-mortem, ethics)

  • Health-related Acts & Policies


Past Question Examples

MCQs:

  1. Quadrant for myringotomy in acute otitis media – D) Posterioinferior

  2. First imaging in acute abdomen – A) Plain X-ray Abdomen

  3. All true about pressure sores except – C) Caused by injury

  4. Ringer lactate contains all except – C) Bicarbonate

  5. Live vaccines are used for – C) Mumps, Measles, Rubella

  6. In HIV infection, transmission can occur via breast milk – C) True

Subjective Samples:

  • Describe full form of HIV and AIDS, and routes of transmission.

  • Management of epistaxis in a primary health care centre.

  • Steps to reduce maternal mortality in Nepal.

Group Discussion Topics (Examples):

  • Energy Crisis

  • Poverty Reduction

  • Health Insurance

  • Food Security

  • Brain Drain

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