नेपाल व्यावसायिक लाइसेन्स फार्मेसी र स्वास्थ्य व्यवसायी काउन्सिल लाइसेन्स तयारी
नेपाल व्यावसायिक लाइसेन्स – फार्मेसी र स्वास्थ्य व्यवसायी काउन्सिल लाइसेन्स
NPC & NHPC License · Nepal Professional License Exams
२,४१४ प्रश्न उपलब्ध। मोड छान्नुहोस्:
लाइसेन्स परीक्षा: प्रश्न र उत्तर
सही लागेको विकल्पमा थिच्नुहोस्। सही भए हरियो, गलत भए रातो देखिन्छ; ३ सेकेन्डपछि सही उत्तर र व्याख्या देखिन्छ।
सही: ० / ०
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ST-segment elevation in ECG leads II, III and aVF most commonly indicates occlusion of which artery?
सही उत्तर: ख) Right coronary artery
These leads represent the inferior wall, which is usually supplied by the right coronary artery.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a patient with severe hyperkalaemia and ECG changes, which drug is given first to stabilise the myocardium?
सही उत्तर: क) Intravenous calcium gluconate
IV calcium antagonises the membrane effects of potassium within minutes; it does not lower serum potassium itself.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The earliest ECG change typically seen in hyperkalaemia is:
सही उत्तर: ख) Tall, peaked T waves
Rising potassium first produces tall tented T waves, then PR prolongation, QRS widening and sine-wave pattern.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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An unconscious patient with diabetes has a capillary blood glucose of 40 mg/dL. What is the immediate treatment?
सही उत्तर: क) Intravenous dextrose
Severe hypoglycaemia in an unconscious patient is treated with IV dextrose (or IM glucagon); oral glucose risks aspiration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a stable population, the incidence of a chronic disease is 10 per 1000 per year and its average duration is 2 years. What is the approximate prevalence?
सही उत्तर: ग) 20 per 1000
For a stable situation, prevalence ≈ incidence × mean duration = 10 × 2 = 20 per 1000.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In the absence of contraindications, which is the first-line oral drug for most patients with type 2 diabetes mellitus?
सही उत्तर: ख) Metformin
Metformin is recommended first-line because it is effective, weight-neutral, does not cause hypoglycaemia alone and is inexpensive.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A screening test yields 90 true positives, 10 false positives, 30 false negatives and 870 true negatives. What is its positive predictive value?
सही उत्तर: घ) 90%
PPV = TP / (TP + FP) = 90 / (90 + 10) = 90%; sensitivity would be 90/120 = 75%.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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According to WHO/ADA criteria, an HbA1c value at or above which level is diagnostic of diabetes mellitus?
सही उत्तर: ख) 6.5%
An HbA1c of 6.5% or more (confirmed) is diagnostic of diabetes; 5.7–6.4% indicates prediabetes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Deep, rapid sighing respiration (Kussmaul breathing) is characteristically seen in:
सही उत्तर: क) Diabetic ketoacidosis
Kussmaul breathing is a respiratory compensation for severe metabolic acidosis such as DKA.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a study of a new screening test, there are 80 true positives, 20 false positives, 20 false negatives and 180 true negatives. What is the specificity of the test?
सही उत्तर: ग) 90%
Specificity = TN / (TN + FP) = 180 / (180 + 20) = 90%.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
यी अभ्यास प्रश्न हुन्, आधिकारिक प्रश्न होइनन्। पाठ्यक्रम, विज्ञापन र नतिजाका लागि सम्बन्धित निकायको आधिकारिक वेबसाइट हेर्नुहोस्। उत्तरमा गल्ती भेटे प्रश्नमुनिको "टिप्पणी / गल्ती रिपोर्ट" मा लेख्नुहोस्।
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