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No.QuestionSubjectLevelStatus
021 Glycated haemoglobin (HbA1c) reflects the average blood glucose over approximately what period?Regulation and diabetes · NMC Licensing Examination pattern Biochemistry 022 An infant with fair skin, a musty body odour and developmental delay is found to have phenylketonuria. Which enzyme is most commonly deficient?Lipids and amino acids · NMC Licensing Examination pattern Biochemistry 023 A 4-year-old child from a remote village in Karnali cannot see well at dusk and has dry, foamy triangular patches on the conjunctiva. Deficiency of which vitamin is responsible?Vitamins and enzymes · NMC Licensing Examination pattern Biochemistry 024 A labourer whose diet consists almost entirely of maize develops a scaly, pigmented rash on sun-exposed skin, diarrhoea and memory loss. Deficiency of which vitamin is most likely?Vitamins and enzymes · NMC Licensing Examination pattern Biochemistry 025 A young man from the western Terai has chronic haemolytic anaemia with recurrent painful crises, and sickle-shaped red cells on a blood film. What is the molecular defect?Molecular biology · NMC Licensing Examination pattern Biochemistry 026 Which study design is most efficient for investigating the causes of a rare disease?Epidemiological study designs · NMC Licensing Examination pattern Community Medicine 027 What is the main purpose of randomisation in a clinical trial?Epidemiological study designs · NMC Licensing Examination pattern Community Medicine 028 In a cohort study, 30 of 100 smokers and 10 of 100 non-smokers develop chronic bronchitis over ten years. What is the relative risk of chronic bronchitis in smokers?Measures of disease and association · NMC Licensing Examination pattern Community Medicine 029 A new rapid test is compared with a gold standard in 1,000 people, of whom 100 have the disease. The test is positive in 80 of the diseased and in 90 of the non-diseased. What is the sensitivity of the test?Screening · NMC Licensing Examination pattern Community Medicine 030 The same screening test is used in two districts. In which circumstance will its positive predictive value be higher?Screening · NMC Licensing Examination pattern Community Medicine 031 Screening women by cervical cytology (Pap smear) or visual inspection with acetic acid is an example of which level of prevention?Levels of prevention · NMC Licensing Examination pattern Community Medicine 032 Providing reconstructive surgery and protective footwear to a person with deformities caused by leprosy is an example of which level of prevention?Levels of prevention · NMC Licensing Examination pattern Community Medicine 033 In Nepal, which health worker is a volunteer chosen from the local community through the mothers' group to promote maternal and child health at ward level?Nepal's health system · NMC Licensing Examination pattern Community Medicine 034 Under Nepal's federal structure, which tier of government has the primary responsibility for delivering basic health services through health posts?Nepal's health system · NMC Licensing Examination pattern Community Medicine 035 Which body administers the national contributory health insurance programme in Nepal?Nepal's health system · NMC Licensing Examination pattern Community Medicine 036 Many guests develop vomiting and diarrhoea after a wedding feast in Bara. The epidemic curve rises sharply and falls quickly, with all cases occurring within one incubation period. What type of epidemic is this?Infectious disease epidemiology · NMC Licensing Examination pattern Community Medicine 037 Visceral leishmaniasis (kala-azar), found in parts of the Terai, is transmitted by which vector?Infectious disease epidemiology · NMC Licensing Examination pattern Community Medicine 038 Which clinical feature distinguishes kwashiorkor from marasmus?Nutrition and child health · NMC Licensing Examination pattern Community Medicine 039 Fever in acute inflammation is produced when interleukin-1 and tumour necrosis factor stimulate hypothalamic production of which mediator?Chemical mediators · NMC Licensing Examination pattern Pathology 040 Glucocorticoids reduce the synthesis of both prostaglandins and leukotrienes by inhibiting which enzyme?Chemical mediators · NMC Licensing Examination pattern Pathology