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PSC MEDICAL OFFICER SYLLABUS 8TH LEVEL

NEPAL HEALTH SERVICE , GENERAL HEALTH SERVICE – 8TH LEVEL OPEN TEST EXAMINATION SYLLABUS

Structure of Syllabus :- According to Syllabus , there are following 2 types of examinations:

First Step : – Written examination Full Mark:- 200

Second Step:- Group Discussion and Oral test Full Mark:- 40

First Step – Examination Scheme

Paper	Subject	Full mark	Pass mark	Examination type	No. of Questions	Time
First	General health services	100	40	MCQ	100×1=100	1 hour and 15 minutes
Second		100	40	Subjective	10×10=100	3 hours

Second Step

Subject	Full Mark	Examination Type	Time
Group Test	10	Group Discussion	30 minutes
Personal Oral test	30	Oral	–

1. Medium of written exam will be Nepali or English or both.
2. Syllabus of both papers will be same.
3. Questions will be from following Unit Syllabus of First paper and Second paper.

Unit of first paper	1	7	8	14	15	2	9	10	16	11	12	13	3	4	5	6	17
No. of questions	10	5	5	5	5	5	10	“	“	10	“	“	10	10	10	10	“
Section of second paper	A	A	A	A	A	A	B	B	B	B	B	B	C	C	D	D	D
Unit of second paper	1	7	8	14	15	2	9	10	16	11	12	13	3	4	5	6	17
No. of questions	1	1	“	1	“	1	1	“	“	1	“	“	1	1	1	1	“

5. Every wrong answer of Multiple Choice questions will be deducted 20 % mark but giving no answer no negative mark.

6. Calculator are prohibited to use during Multiple Choice questions.

7.In Long Answer Questions , there are two or more parts of a single questions which contains 10 marks each or One questions contains two or more short notes and have total of 10 Long Questions.

8.In Second Paper , Every Section have different Answer sheet. Examine should answer in same section.

9.In this syllabus scheme under subject or paper whatever written , Syllabus including jurisprudence , rule and regulations( which are updated or deleted or added) before 3 months of examination belongs to Syllabus.

10. Written examination of first step who are selected only be able to attend Second step of Oral examination.

11. Before this, above mentioned syllabus has been cancelled.

12. Syllabus proceeded date : From 2062/2/24 to (According to decision on date 2072/07/24 include group examination )

 

ACTIOLOGY, SYMPTOMS, SIGNS, INVESTIGATIONS AND CURATIVE AND PREVENTIVE MANAGEMENT OF THE FOLLOWING HEALTH RELATED PROBLEMS:

 

SECTION A : 30 MARKS

General Medicine:

1.1 Respiratory Disease: Acute Bronchitis, Chronic Obstructive Airway Disease, Bronchial Asthma, Pneumonias, Tuberculosis, Bronchogenic Carcinoma, Bronchiectasis, Occupational Lung Diseases, Respiratory Failure, SARS, Pleural effussion, Pneumothorax , Bird Flue.

1.2 Cardiovascular Disease: Rheumatic Fever, Rheumatic Heart Disease (MS, MR, AS, AR), Congestive Cardiac Failure, Acute LVF, Ischemic Heart Disease, Myocardial Infarction, Hypertension, Infective Endocarditis, Congenital Heart Diseases, Cardiomyopathies, Cor pulmonale, Cardiacarrhythmias, Cardiogenic Shock.

1.3 Gastrointestinal Disease: Acid Peptic Diseases, Cirrhosis of Liver and ascitis, Hepatitis, Hepatic Coma, Abdominal Tuberculosis, Pancreatitis, Worm Infestation, Ulcerative Colitis, Carcinoma of Gastro Intestinal Tract, Gastroenteritis, H pylori, Gastro-oesophageal reflux

1.4 Blood and Lymphoreticular Diseases: Anaemia, Leukamia, Purpura Agranulocytosis, Polycythemia, Reticulosis, Lymphomas

1.5 Neurological Diseases: Cerebro-Vascular Accident, Meningitis, Encephalitis, Parkinson’s Disease, Paraplegia, Multiple Sclerosis, Myasthenia Gravis, Epilepsy, Neuro-cysticercosis, Bell’s palsy, GBS, Neurosyphilis, Coma Headache, Spin bifida, Neurogenic Shock, Coma, Cerebral Malaria

1.6 Endocrine and Metabolic Diseases: Diabetes Mellitus, Non-ketotic Coma, Ketoacidosis, Thyrotoxicosis, Hypothyrodism, Cushing’s Syndrome, Addison’s Disease, Hyperparathyroidism, Tetany, Hypogonadism, Diabetes Insipidus

1.7 Joint and Collagen Diseases: Rheumatoid Arthritis, Gout, Systemic Lupus Erythematosus, Osteoarthritis, Osteomalacia and Osteoporosis, Ankylosing Spondylitis

1.8 Renal Diseases: Urinary Tract Infection, Acute Glomerulonephritis, Nephrotic Syndrome, Urinary Calculi, Renal Failure, Tuberculosis, Neoplasm, Acidosis, Alkalosis, Hyperkalaemia, Kidney Transplantation

1.9 Tropical Disease: Cholera, Enteric Fever, Malaria, Filariasis, Kala-azar, Leprosy, Chickenpox, Amoebiasis, Mumps, Snakebite, Rabies, Insect bite, Tuberculosis, Food Poisoining, Tetanus, Scorpion Bite, Hornet Bite

Psychiatry: (Units 7 and 8 = 10%)

Emotional Disorders ( anxiety, depression, sleep disturbance), Neurosis, Psychosis, Psychosomatic Disorders, Anorexia nervosa, Substance abuse (Alcohol/drugs/others)

Dematology and STD:

(i) Dermatology: Utricaria, Scabies, Dermatophytosis, Herpes Simplex, Herpes Zoster, Psoriasis, Lichen Plannus, Pemphigoid , Pemphigus, Drug Eruption (ii) STD: Syphilis, gonorrhoea, Non Specific Urethritis. HIV, AIDS including Universal Precaution

14. Pharmacology: (Units 14 and 15 = 10%)

Poison and Toxicology – Organophosphorus, Barbiturates, Corrosives, Heavy metals, Mushroom poisoning, Drugs in pregnancy and lactation, Prescribing in children and elderly, Dosage, Preparation, Mode of action and site effects of drugs acting on different systems of body

15. Emergency Medicine:

Management of Acute poisoning, Coma, Acute pain abdominal and chest, Status Epilepticus, Acute severe asthma Breathlessness, Epistaxis, Vaginal bleeding, Shock including anaphylaxis , Multiple trauma including blunt abdominal injury, Haemoptysis, haematemesis and malaena, RTA, Trauma, Cut down Poisoning, Insect bite, Snake bite, Catheterisation, NG Tube Insertion

 

SECTION B – 30 MARKS

2. General Surgery:

Sinus, Fistula, Fissure, Polyp, Ulcer , Tumour, Hernia, Hydrocele , Burn, Shock, Peptic Ulcer, Pyloric Stenosis, Haematemesis and Malaena, Oesophageal Varices, Intestinal Obstruction, Paralytic ilius, Acute Abdomen, Ac Appendicitis, Typhoid Perforation, Perforated Peptic Ulcer, Lymphadenitis, Haemorrhoids, Gall Stones, Urinary Stones, Liver Abscess, Hydatid Cyst, Cholecystitis, Billiary Obstruction, Pancreatitis, Pain Abdomen, Pneumothorax, Pleural Effusion, Haemothorax, Chylothorax, Bronchiectasis, Pulmonary Embolism, Lung Abscess , Bronchogenic Carcinoma, Thrombo-angitis obliterans, Chyluria, Deep Vein Trhombosis, Head Injuries, Phimosis, Para-Phimosis, Pinhole Meatus, Stricture Urethra, Carcinoma Penis, Hydramnios, Breast bascess and Carcinoma breast, Hypovolemia, Oliguria, Ac Retention of Urine, Suprapubic Cystosmy, Wounds

9. Ophthalmology Trachoma: (Units 9, 10 and 16 = 10%)

10. Ear, Nose and Throat:

Foreign Bodies in Ear, Nose and Throat, Otitis Media, Otitis Externa, Mastoiditis, Mastoid Abscess Rupture of Tympanic Membrane, Meniere’s Disease, Hearing Loss, Rhinotis Nasal Allergy, Polyp, Epistaxis, Sinusities, Tonsillitis, Peritonsillar Abscess, Pharyngitis, Ludwing’s Angina, Hoarseness of Voice, Laryngotracheitis, Laryngeal Obstruction, Diptheria, Tracheostomy, Carcinoma of Larynx, Wax in Ear, Haematoma Auris, Furunculosis, Septal abscess, Rhinosporidiosis Otomycosis

16. Dental:

Casries, Extraction of teeth, Caries teeth, Gingivitis, Pulpitis, Root abscess, Leucoplakia carcinoma of gum, Pericoronitis, Dentigerous cyst

11. Bone and Joint Disease: (Units 11, 12 and 13 = 10%)

12. Anaesthesiology and Emergency:

Principles of administering safe general anaesthesia, Local Anaethesia, Pre-anaesthetic history, Pre-anaesthetic drugs, Anaesthetics, Post-anaesthetic complications, Basic life support and cardiopulmonary resuscitation, Lumbar Puncture, Intubation

13. Pathology:

Interpretations of laboratory results, Normal values of biochemical and haematological tests, Aetiology, Pathogenesis, Microscopic and Macroscopic features of different disease entities listed under different subjects and mentioned under heading 1 to 5 and 8 to 11

 

SECTION C – 20 MARKS

3. Obstetrics and Gynaecology:

Antenatal, Natal and Postnatal care, Pregnancy Induced Hypertension, Eclampsia, Tuberculosis, Diabetes Mellitus and Rheumatic Heart Diseases in relation to Pregnancy, Hyper emesis Gravidarum, Stages of labour, Retained Placenta, Ruptured Uterus, Foetal Disteress, Prolonged Labour, Obstructed Labour Leucorrhoea, Ante partum and Postpartum Haemorrhage, Abortion, Multiple Pregnancy, Hydramnios, Foetal Malformation, Endometriosis, Tumours of Genital Tact, Ovarian cyst, Fibroid, Genital prolapsed, Family Planning

4. Childhood Diseases:

ARI, Measles Mumps, Pertussis, Poliomyelitis, Diphtheria, Tuberculosis, Enteric Fever, Diarrhoeal Diseases, Pneumonias, Lung Abscess Cellulitis, Candidiasis, Meningitis, Rheumatic Fever, Worm Infestations, Cyanotic Congenital Heart Disease, Cretinism, Protein-energy Malnutrution, Down’s syndrome, Turner Syndrome, rickets, Vitamin A Deficiency, Mental Retardation

 

SECTION D – 20 MARKS

5. Community Medicine:

Demography, Sociology and social understanding of health, Socio-cultural patterns, Social Problems and Social Changes, Health Economics, Gender and Environmental issues, Effective doctor patient relationship Sociological research methods, Epidemiology, Investigation of an Epidemic in District, Problem Solving Exercise on the Epidemic of Infectios Diseases, Bacterial, Viral, Fungal, Protozoal, Metazoals, Cestode, Nematode, Epidemiology of Non-infectious and Chronic Diseases, Bio – statistics, Safe Water and Sanitation, Food Sanitation, Insects and Rodent Control, Housing, Concept of Health Education, Principles of Behavior Change Communication, Group Dynamics, Methods and Media and Health Education, Nutrition and Health, Breast Feeding, Complementary Feeding, Food Hygiene, Adulteration and Food Processing, Nutritional Education and Surveys, RH and Safe Motherhood, CBC, EPI, IMCI, Growth monitoring, School Health, Occupational health, Health Care Health System, Management and Administrative Requirement of, the Job Descriptions as drawn up by Ministry for Medical Offices

6. Forensic Medicine and Jurisprudence: (Units 6 and 17 = 10%)

Role and Duties of Medical Practitioner, Post-mortem and its Legal Implication, Medical Ethics, Death, Rigor Mortis, Putrefaction, Mummification, Saponification, Wounds, Rape, Infanticide, Abortion, Homicide, Sucide, Procedure for Identifying living person and dead body

17. Acts related to Health and Medical Profession:

Nepal Health Services Act, Nepal Health Service Regulation, National Health Policy, Second Long Term Health Plan, Nepal Medical Council Act, Mother’s Milk Substitute Act, Legalization of abortion, Organ Transplant Act, Other health related acts.

1. A 12 – year-old girl comes to you with severe pain in right ear since last night She is suffering from Ac. coryza for last 5 days, for which she had some treatment. On Otoscopy right eardrum is red and bulging. In which quadrant of eardrum will you do myringotomy ?

A) Anteriosuperior B) Anterioinferior C) Posteriosuperior D) Posterioinferior Correct Answer:- D

2. In acute abdomen the first imaging of importance is:

A)Plain X-ray Abdomen B) Barium Meal X-ray C) CT scan of Abdomen D) MRI of abdomen Correct Answer: (A)

3. All are true about pressure sores except

A) Occur over bony Prominence B) Barium Meal X-ray

C) Are caused by injury D) Are also called decubitus ulcers Correct Answer: (C)

4. Ringer lactate contains all except

A) Sodium B) Potassium C) Bicarbonate D) Chloride Correct Answer:- (C)

5. Live Vaccines are usually used for active immunization against

A) Pertussis B) Typhoid fever

C) Mumps, Measles and rubella D)Hepatitis B Correct Answer:- (C)

6. In HIV infection

A) 80% of vertically transmitted infections are transplcental

B) A child born to an infected mother has a 90% chance of acquiring HIV

C) Transmission can occur vie breast milk

D) Risk of fetal transmission is inaffected by pre-partum antiviral agents Correct Answer:- (C)

 

LONG ANSWER QUESTIONS ( SAMPLE QUESTIONS)

1. Describe full form of HIV and AIDS, What are the routes of transmission ?
2. How you will manage a case of epistaxis in primary health care centre ?
3. How you will manage a patient with severe chest pain in district Hospital?
4. Why maternal mortality rate in so high in Nepal ? What will be your steps to bring it down ?

 

GROUP TEST

नेपाल आर्थिक योजना तथा तथ्यांक , ईञ्जिनेअरिङ्ग , कृषि , बन , बिबिध र शिक्षा सेवाका सबै समूह / उपसमूह , राजपत्रांकित तृतीय क्ष्रेणी र एवं स्वास्थ्य सेवाको सातौ र आठौ तहका पदहरुमा प्रथम चरणको लिखित परीक्षाबाट छनौट भएका उमेद्वारहरुलाई मात्र लिईने सामुहिक परीक्षण (Group Test) को लागि

 

GROUP DISCUSSION

यस प्रयोजनको लागि गरिने परिक्षण १० पुर्णाङ्क र ३० मिनेट अवधिको हुनेछ जुन नेताविहीन सामुहिक छलफल (Leaderless Group Discussion)को रुपमा अवलम्बन गरिने छ। दियिएको प्रसन वा Topic का बिषयमा पलैपलोसंग निर्दिस्ट समयभित्र समूहबीच छलफल गर्दै प्रतेयेक उमेद्वारले ब्यक्तिगत प्रस्तुति (Individual Presentation) गर्नु पर्ने छ। यस परिक्षनमा मुल्यांकनको लागि देहाये अनुसारको ३ जना भन्दा बढीको समिति रहने छ।

 

आयोगका सदस्य – अधयक्ष
आयोगका सदस्य – सदस्य
मनोविज्ञ सदस्य
दछ/बिज्ञ (१ जना ) – सदस्य

 

सामुहिक छलफलमा दिइने नामुना प्रसन वा Topic

उदाहरणको लागि – उर्जा संकट , गरिबी निवारण , स्वास्थ्य बिमा , खाद्यन सुरक्षा , प्रतिभा पलायन जस्ता Topics मधये कुनै एक मात्र Topic दिइनेछ।