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:
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First Phase – Written Examination
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Full Marks: 200
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Pass Marks: 40% in each paper
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Language: Nepali, English, or both
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Papers:
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Paper I: General Health Services (MCQs) – 100 Marks
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Paper II: General Health Services (Subjective) – 100 Marks
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Second Phase – Group Test & Interview
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Full Marks: 40 (10 for Group Discussion, 30 for Interview)
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First Phase – Written Examination
Paper I: General Health Services (MCQs)
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Marks: 100
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Duration: 1 hr 15 min
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Negative Marking: 20% deduction for each wrong answer; no deduction for unanswered questions
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No calculators allowed
Paper II: General Health Services (Subjective)
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Marks: 100
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Duration: 3 hrs
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Questions may be a single 10-mark question, multi-part questions, or short notes.
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Separate answer booklets for each section must be used.
Second Phase – Group Test & Interview
Group Discussion
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Marks: 10
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Duration: 30 minutes
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Format: Leaderless Group Discussion on a given topic
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Includes turn-by-turn discussion and an individual presentation.
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Evaluation Committee:
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PSC Member – Chairperson
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PSC Member – Member
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Psychologist – Member
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Subject Expert – Member
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Interview
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Marks: 30
Vacancy Fulfillment
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Open Competition: 55% of total posts
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Reserved Quotas (45%):
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Women – 33%
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Indigenous/Janajati – 27%
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Madhesi – 22%
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Dalit – 9%
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Persons with Disabilities – 5%
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Candidates from Backward Regions – 4%
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Eligibility
Education
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MBBS or equivalent from a recognized institution.
Age Limit
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Minimum: 21 years
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Maximum: 45 years (special provision under Health Service Group)
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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)
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Respiratory Diseases (e.g., Acute Bronchitis, COPD, TB, SARS, Bird Flu)
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Cardiovascular Diseases (e.g., Rheumatic Fever, IHD, Myocardial Infarction)
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Gastrointestinal Diseases (e.g., Peptic Ulcer, Cirrhosis, Hepatitis)
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Blood & Lymphoreticular Disorders (e.g., Anaemia, Leukemia)
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Neurological Disorders (e.g., Stroke, Epilepsy, Meningitis)
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Endocrine & Metabolic Disorders (e.g., Diabetes, Thyroid Disorders)
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Joint & Collagen Disorders (e.g., RA, Osteoarthritis, SLE)
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Renal Diseases (e.g., UTI, Renal Failure, Kidney Transplant)
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Tropical Diseases (e.g., Malaria, Cholera, Leprosy)
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Psychiatry (e.g., Anxiety, Depression, Substance Abuse)
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Dermatology & STDs
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Pharmacology (drug actions, poison management, special prescribing)
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Emergency Medicine (acute care, trauma, shock management)
Section B – Surgery, Ophthalmology, ENT, Dental, Orthopedics, Anesthesiology, Pathology (30 Marks)
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General Surgery (e.g., Hernia, Burns, Gallstones)
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Ophthalmology (e.g., Cataract, Glaucoma, Trachoma)
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ENT (e.g., Otitis Media, Sinusitis, Tonsillitis)
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Dental (e.g., Caries, Oral Cancer)
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Orthopedics & Joint Diseases
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Anesthesiology & Emergency Care
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Pathology (lab interpretation, disease pathology)
Section C – Obstetrics & Gynecology, Pediatrics (20 Marks)
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Antenatal, Natal, Postnatal Care
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Pregnancy Complications (e.g., Eclampsia, Obstructed Labour)
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Childhood Diseases (e.g., ARI, Measles, Malnutrition)
Section D – Community Medicine & Forensic Medicine (20 Marks)
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Demography, Sociology, Epidemiology, Health Education
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Nutrition & Health
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RH, EPI, IMCI, School Health, Occupational Health
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Forensic Medicine & Jurisprudence (legal aspects, post-mortem, ethics)
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Health-related Acts & Policies
Past Question Examples
MCQs:
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Quadrant for myringotomy in acute otitis media – D) Posterioinferior
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First imaging in acute abdomen – A) Plain X-ray Abdomen
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All true about pressure sores except – C) Caused by injury
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Ringer lactate contains all except – C) Bicarbonate
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Live vaccines are used for – C) Mumps, Measles, Rubella
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In HIV infection, transmission can occur via breast milk – C) True
Subjective Samples:
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Describe full form of HIV and AIDS, and routes of transmission.
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Management of epistaxis in a primary health care centre.
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Steps to reduce maternal mortality in Nepal.
Group Discussion Topics (Examples):
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Energy Crisis
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Poverty Reduction
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Health Insurance
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Food Security
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Brain Drain
