jk"Vªh; LokLF; fe'ku (NHM) ,oa IGNOU }kjk fu/kkZfjr ikB~;Øe vuqlkj

Tribute
lHkh jkT;ksa }kjk vk;ksftr lkeqnkf;d LokLF; vf/kdkjh (CHO), MLHP, CCH,
To a Special Nurse
Staff Nurse vkSj ANM dh HkrhZ ijh{kkvksa ds fy, Hkkjr dh igyh çekf.kr xkbZMA

Mission High.....a path of success in nursing education....! CHO

fgUnh 1-0 ,fM'ku&2022

1 Nation
Book FOR CHO Exams

RAJASTHAN PUNJAB|HARYANA KARNATAKA|GUJRAT TRIPURA & ASAM

M.P. | U.P. BIHAR|JHARKHAND TELANGANA|ANDHRA ALL NORTH EAST STATES
H.P. | U.K. MAHARASHTRA KERALA | TAMIL NADU & ALL OTHER STATES

ys[kdx.k

M. L. Saini L. R. Solanki
Nursing Officer, JIPMER Nursing Officer, CGHS
RNRM, Govt. JLN Medical College, Ajmer (Raj.) RNRM, Govt. RNT Medical College, Udaipur (Raj.)
Post B.Sc. Nursing Post B.Sc. Nursing
IGNOU, Mumbai IGNOU, Belgavi
Secured Top Ranks in JIPMER, AIIMS, ESIC Secured Top Ranks in NIV, CGHS
& 10+ Nursing Officer Exams & 5+ Nursing Officer Exams

MISSION HIGH PUBLICATION, JAIPUR

02
 çLrkouk || Preface
Hkkjro"kZ esa dsUnz ljdkj ds LokLFk; ea=ky; }kjk 2018 ls lapkfyr vk;q"eku Hkkjr dk;ZØe ds rgr mi&LokLF; dsUnzksa (Sub-
Centres) dks Health & Wellness Centre (HWC) esa fodflr fd;k tk jgk gSA bl dk;ZØe ds rgr lHkh Health & Wellness Centres
(HWCs) ij ,d lkeqnkf;d LokLF; vf/kdkjh (CHO) in dk ltZu fd;k x;k gSA vr% lHkh jkT;ksa ds NHM }kjk le;≤ ij CHO dh
HkrhZ;ka vk;ksftr dh tkrh gSA blfy, lkeqnkf;d LokLF; vf/kdkjh (CHO) dh izfr;ksxh HkrhZ ijh{kk,a izfrf"Br ijh{kk,a gSA
fe'ku gkbZ dh bl ßfe'ku CHOÞ xkbM ¼fgUnh laLdj.k½ dk eq[; mÌs”; uflZax Nk=&Nk=kvksa dks lkeqnkf;d LokLF; vf/kdkjh (CHO), LVkQ ulZ vkSj ANM
dh izfr;ksxh ijh{kkvksa ls laEcfU/kr mi;ksxh ijh{kk fo"k;&lkexzh miyC/k djkuk gSA
bl xkbM esa CHO Syllabus ds vuqlkj lkeqnkf;d LokLF; uflZax (Comunity Health Nursing) ds ikB~;Øe dks foLrkj ls le>k;k x;k gS vFkkZr ikB~;Øe ds
vuqlkj lkeqnkf;d LokLF; uflZax fo"k; ij eq[; QksDl fd;k x;k gSA CHN ds lHkh Chapters dks tSls xzkeh.k LokLF; iz.kkyh (SC, PHC, CHC), xzkeh.k Lrfj;
LokLF; dk;ZØrk (ASHA, Dai, VHG, Anganwadi Worker), lHkh jk"Vªh; LokLF; dk;ZØe] tSfod lkaf[;dh, NFHS-2022, SRS-2022, COVID-19, Epidemiolgy,
laØked chekjh;ka] xHkZfujks/kd fof/k;ka vkSj Vhdkdj.k dk;ZØe vkSj vU; 'kkfey gSaA Paedia vkSj OBG dks Hkh ikB~;Øe ds vuqlkj vPNh rjg ls le>k;k x;k gS vkSj
'ks"k lHkh fo"k;ksa dks Hkh vklku vkSj Nk= vuqdwy Hkk"kk esa çeq[k fcanqvksa ds lkFk doj fd;k x;k gSA 'k‚VZdV] fVªDl vkSj mnkgj.kksa ds lkFk ,d Li"V vkSj ljy Hkk"kk esa
'kSf{kd ;ksX;rk vkSj ijh{kk ds iSVuZ ds vuqlkj ikB~;Øe dks foLrkj ls le>k;k x;k gSA
uflZax çfr;ksxh ijh{kkvksa ds fy, cktkj esa cgqr lkjh fdrkcsa@xkbMl miyC/k gSa ysfdu vfèkdka'k fdrkcsa@xkbM lh,pvks (CHO) ijh{kkvksa ds ikB~;Øe ds
vuqlkj rS;kj ugha dh xbZ gS] blfy, uflZax Nk=ksa ds fy, ;s lHkh fdrkcsa@xkbM cgqr tfVy vkSj le>us esa dfBu gSaA geus ns[kk gS fd lh,pvks uflZax çfr;ksxh
ijh{kkvksa ds ikB~;Øe ds vuqlkj vkt rd cktkj esa dksbZ xkbM miyC/k ugha gSA
;g ßfe'ku CHOÞ xkbM ¼fgUnh laLdj.k½ CCH/BPCCCHN, MLHP, MP Staff Nurse, UP Staff Nurse, Rajasthan Staff Nurse, Gujarat Staff Nurse, PGI
Rohtak, CRPF, BSF, MNS vkSj vU; lHkh jkT;ksa dh LVkQ ulZ vkSj ,,u,e dh çfr;ksxh ijh{kkvksa ds fy, Hkh mi;ksxh gSA D;ksafd bu lHkh ijh{kkvksa esa Basic Questions
(MCQs) iwNs tkrs gSa vkSj bl xkbM esa lHkh fo"k;ksa ds Basic Questions (MCQs) dks cgqr vPNh rjg ls 'kkfey fd;k x;k gSA
gekjk mÌs”; uflZax çfr;ksxh ijh{kkvksa dks vklku ,oa uflZax f'k{kk dks lqfo/kktud cukuk gSA bl iqLrd dks cukus esa uflZax {ks= ds fo”ks'kKksa ;k fofHkUu
izfr;ksxh ijh{kkvksa esa p;fur CHO & Nursing Officers dk ekxZ n'kZu fy;k x;k gS rFkk iqLrd esa CHO Syllabus vuqlkj uohure lkexzh] ljy Hkk"kk] vko';d fp=
,oa ifjHkk"kk,a ladfyr dh xbZ gSA
ßfe'ku CHOÞ çfr;ksxhrk xkbM ¼fgUnh laLdj.k½ dh eq[; fo'ks"krk,a (Salient Features) fuEu gS&
 ;g xkbM CHO çfr;ksxh ijh{kkvksa ds uohure ikB~;Øe ij vk/kkfjr gSA ;g iqLrd lHkh jkT;ksa ds lh,pvks vkSj LVkQ ulZ dh çfr;ksxh ijh{kkvksa dks ikl djus
ds fy, i;kZIr gSA
 laEiq.kZ iqLrd esa Hkk"kk dks ljy vkSj le> vuq:i cukus gsrq vaxzsth vkSj fgnha Hkk"kkvkas dk fefJ.k fd;k x;k gSA
 lh,pvks ds ikB~;Øe ds vuqlkj] eq[; :i ls lkeqnkf;d LokLF; uflZax ij è;ku dsafær fd;k x;k gS] D;ksfad ge tkurs gSa fd 50-60% MCQs CHN fo"k;
ls vkrs gS blfy, geusa CHN dks foLrkj esa rFkk Pedia & OBG vkSj vU; fo"k;ksa dks MCQs rFkk Key Points ds lkFk laf{kIr esa doj fd;k gSA
 lHkh Nursing Subjects ls yxHkx 7000+ egRoiw.kZ MCQs dks 'kkfey fd;k x;k gSA
 34+ Old CHO & CCH Papers ds gy fd, x, ç'ui= dks 'kkfey fd;k x;k gSA
 lHkh Nursing Subjects ls yxHkx 4500+ Mission Key Points dks 'kkfey fd;k x;k gSA
 COVID-19 vkSj blds Vhdkdj.k dh laf{kIr tkudkjh 'kkfey dh xbZ gSA
 lHkh jkT;ksa ds CHO, ANM vkSj LVkQ ulZ dh çfr;ksxh ijh{kkvksa ds fy, ;g iqLrd i;kZIr gSA
 ckj&ckj iwNs tkus okys ç'uksa (FAQs) vkSj Important Key Points dks gkbZykbV fd;k x;k gSA
 yxHkx 60+ uflZax fo'ks"kK Vhe ds lnL;ksa vkSj Top Rank CHOs }kjk Content dks pquk x;k gSA
 fn;s x, lHkh MsVk vkSj lkexzh ikB~;Øe ds vuqlkj Revised & Updated gSA
 bl iqLrd dh dher U;wure j[kh xbZ gS rkfd bls lHkh Nk=ksa ds fy, fdQk;rh ,oa igqap ;ksX; cuk;k tk ldsA
vk'kk gS fd geus vkidks ,d ekud lh,pvks çfr;ksxh ekxZnf'kZdk çnku dh gS tks vkxkeh lHkh CHO, ANM vkSj LVkQ ulZ çfr;ksxh ijh{kkvksa dh rS;kjh esa
vkidh iqjh enn djsxhA gesa mEehn gS fd ;g ßfe'ku CHO 1.0Þ çfr;ksxhrk xkbM ¼fgUnh laLdj.k½ uflZax Nk=ksa }kjk ialn dh tk;sxh ,slh es vk'kk djrk gww¡ A
laHkor% iw.kZ lko/kkuh o lrdZrk ds mijkUr Hkh ekuoh; LoHkko ls =qfV;k¡ jguk laHko gSA vr% lHkh uflZax Nk=ksa@ikBdksa ls vuqjks/k gS fd vkxkeh laLdj.k (Next
Edition) gsrq vius cgqewY; lq>ko nsdj vuqx`ghr djsaA

ge Mission High Publication t;iqj dk vkHkkj izdV djrs gS ftUgksaus iqLrd dk vfr'kh?kz izdk'ku dj bls uflZax fo|kfFkZ;ksa rd ig¡qpkus esa lgk;rk iznku
dhA

M. L. Saini Sir L. R. Solanki Sir

uflZax v‚fQlj] JIPMER uflZax v‚fQlj] CGHS

03
 vkHkkj || ACKNOWLEDGEMENTS
lcls igys ge ije~firk ijes”oj :ih gekjs ekrk&firk dks muds vk'khokZn vkSj I;kj ds fy, /kU;okn nsuk pkgrs gSaA vkt ge
tks dqN Hkh gSa] tgka Hkh gSa] mUgha dh cnkSyr gSaA
bl ^fe'ku CHO 1.0* çfr;ksxhrk xkbM ¼fgUnh laLdj.k½ dks rS;kj djus vkSj viMsV djus esa mu lHkh uflZax vf/kdkjh;ksa]
lkeqnkf;d LokLF; vf/kdkjh;ksa (CHO) vkSj vU; lHkh lg;ksxh;ksa dk /kU;okn Kkfir djuk pkgrs gS ftuds lg;ksx ,oa ekxZ n'kZu esa bl
iqLrd dh jpuk gqbZ gSA
ge mu lHkh lEekuh; yksxksa tSls vius çkFkfed vkSj ek/;fed fo|ky; ds f'k{kdksa] fo'ks"k #i ls Jh vkseçdk'k lSuh lj]
jkensoth dh <k.kh] Jh isek jke fljoh lj vkSj Jh iq[kjkt dqekor lj O;k[Fkkrk&dkslsyo] ikyh vkSj ts,y,u esfMdy dkWyst]
vtesj vkSj vkj,uVh esfMdy dkWyst] mn;iqj ds gekjs f'k{kdksa dks Hkh ân; ls èkU;okn Kkfir djuk pkgrs gS] mUgha dh otg ls ge
vkt ;gka gSaA
gekjs xq# Jh gjh'k ikBd vkSj Jh fu'kkar çrki flg] uflZax vksfQlj] ,El ubZ fnYyh] dk Hkh ân; ls èkU;okn Kkfir
djuk pkgrs gS] tc ge csjkstxkjh dk lkeuk dj jgs Fks] mUgksaus gekjh enn dh vkSj gekjk leFkZu fd;kA os vHkh Hkh ,d HkkbZ ds #i esa
fdlh Hkh le;] fdlh Hkh rjg ls gekjk leFkZu djrs gSa] ekxZn'kZu djrs gSa] çsfjr djrs gSa vkSj gekjh enn djrs gSaA
Jh fnus'k tkafxM+ lj] 2nd xzsM f'k{kd ljdkjh Ldwy] j.k/khjx<+] vkSj Jh y[ku iky flag] uflZax vfèkdkjh] ,El jk;cjsyh
dk Hkh ân; ls èkU;okn Kkfir djuk pkgrs gS] ftUgksaus le;&le; ij dk;Z ds fy, çksRlkfgr ,oa izsfjr fd;k vkSj lkFk&lkFk vko';d
cgqewY; lq>ko Hkh fn,A
Jh eksgu flag] jkds'k lSuh vkSj eaxy lj ,oa funs'kd] fe'ku gkbZ uflZax Dyklsl] Jh deys'k lSuh dks cgqr&cgqr
/kU;okn] tks igys fnu ls gh bl iqLrd ds Vkbfiax dk;Z ls tqM+s gq, gSa rFkk ftUgksus bl iqLrd dh izHkkoh fMtkbfuax vkSj mRiknu ds fy,
mR"V dk;Z fd;k gSA
ge fuEu lHkh Hkk"kk v/;kidksa vkSj fo"k; fo'ks"kKksa dk Hkh /kU;okn Kkfir djuk pkgrs gS ftuds Hkk"kk dkS'ky ,oa Kku ls
English Version Mission CHO iqLrd dk lQyrkiq.kZ fgUnh Hkk"kk esa :ikaUrj.k dj ^fe'ku CHO 1.0* iqLrd ¼fgUnh laLdj.k½ dh
jpuk gqbZA
• B. L. Regar Sir, M. Sc. Nursing & Gold Medalist, Udaipur
• Mr. Gopal Menaria, Community Health Officer (CHO), Rajasthan Government
• Mrs. Pinky Lamror, Community Health Officer (CHO), Rajasthan Government
• Mr. Bhola Ram Meena, Community Health Officer (CHO), Rajasthan Government
• Mrs. Deepika Kumawat, Community Health Officer (CHO), Rajasthan Government
• Mrs. Lalita Prajapat, Community Health Officer (CHO), Rajasthan Government
• Mr. Naresh Vishnoi, Community Health Officer (CHO), Haryana Government
• Mr. Pukhraj Jangid, Community Health Officer (CHO), Bihar Government
• Mr. Goverdhan Mehra, Community Health Officer (CHO), Rajasthan Government
• Mr. Kartik Tailor, Community Health Officer (CHO), Madhya Pradesh (MP) Government
• Mr. B. R. Meghwal, Community Health Officer (CHO), Madhya Pradesh (MP) Government
• Mrs. Sikha Jatav, Community Health Officer (CHO), Uttar Pradesh (UP) Government
• Mr. Rahul Verma, Community Health Officer (CHO), Madhya Pradesh (MP) Government
• Mr. Shankar Chouidhary, Student Reader, Jaipur, Rajasthan
• Mr. Javed, Student Reader, Kota, Rajasthan
• Mr. Mohan Singh, Book Designer, Jaipur, Rajasthan
• Mr. Sushil Kumar, Typist & Language Translator , Jaipur, Rajasthan
• Mr. Kuldeep Kumar, Typist Language Translator, Jaipur, Rajasthan
• Mr. Jitendra Jangid, Typist & Language Translator, Jaipur Rajasthan
• Mr. Rakesh Saini, Typist & Language Translator, Jaipur, Rajasthan

var eas ge gekjs I;kjs vufxur uflZax Nk=ksa dks Hkh /kU;okn Kkfir djuk pkgrs gS D;ksafd ,d f'k{kd ds :i esa gesa vkdkj
nsus esa mudk ;ksxnku vewY; vkSj vrqyuh; gSA ge vki lHkh Nk=kss ds vewY; lq>ko Lohdkj djus ds fy, ges”kk rRij gSaA

;g iqLrd gekjs ekrk&firk vkSj Hkfo"; ds lHkh uflZax vfèkdkfj;ksa vkSj lh,pvks dks lefiZr gSA 04
 fe'ku gkbZ uflZax Dyklsl t;iqj (MHNC)
^fe'ku gkbZ uflZax DyklslÞ jktLFkku ds çeq[k uflZax dksfpax
laLFkkuksa esa ls ,d gSA laLFkku dk eq[; mn~ns'; ulZst] fo'ks"k :i ls
csjkstxkj ulZst dks muds liuksa dks lkdkj djus ds fy, lgh fn'kk esa f'k{kk]
ekxZn'kZu ,oa çsj.kk nsuk gSA fe'ku gkbZ dksfpax dh “kq:vkr fnlacj 2019 esa
YouTube ds ek/;e ls gqbZ Fkh] ftldk mn~ns'; csjkstxkj ulZst dks muds ?kj ls gh
vkWuykbu ek/;e ls ,d eap çnku djuk FkkA blds vykok fe'ku gkbZ ulZst dh ubZ
HkfrZ;ksas] çfr;ksxh ijh{kkvksa vkSj muds ifj.kkeksa ds ckjs esa mi;ksxh tkudkjh çnku djrk gS
vkSj egkfo|ky; vkSj fo”ofo|ky;ksa ds Hkkoh uflZax vf/kdkjh;ksa vkSj lkeqnkf;d LokLF;
vf/kdkjh;ksa (CHO) dks Hkh tksM+rk gSA
tc ls bldh LFkkiuk gqbZ gS] fe'ku gkbZ us uflZax çfr;ksxh ijh{kkvksa ds {ks= esa dbZ u,
vk;ke LFkkfir fd, gSaA fe'ku gkbZ YouTube pSuy ds ekè;e ls v‚uykbu ykbo Dyklsl
vk;ksftr djrk gSA fe'ku gkbZ us lHkh jkT;ksa vkSj dsaæh; uflZax çfr;ksxh ijh{kkvksa (Nursing
Officer & CHO) ds fy, tSls fd AIIMS/NORCET, PGI, JIPMER, RRB, DSSSB,
NIMHANS, ESIC, NCL, IGIMS & All States PSC & All State's CHO v‚uykbu ijh{kk ;k
VsLV lhjht+ ds fy, Hkkjr dk lcls cM+k osc iksVZy cuk;k gS] ftlesa Test Sries ds ek/;e ls eq[;
ijh{kk ls igys iwoZ&ewY;kadu ds fy, mEehnokjksa dh enn djuk gSA
;g g"kZ dh ckr gS fd ßfe'ku gkbZ uflZax DyklslÞ viuh lQyrk] f'k{kk dh xq.koÙkk vkSj
bldh fo'ks"krkvksa ds fy, de le; esa çfl) gqbZ gSA
fe'ku gkbZ uflZax Dyklsl dk eq[; mÌs';
 'kgjh vkSj xzkeh.k Nk=ksa dks uflZax v‚fQlj] LVkQ ulZ vkSj lh,pvks çfr;ksxh ijh{kkvksa
dks Test Series & Books ds ek/;e ls ikl djus ds fy, muds ?kj ij ,d vPNh
xq.koÙkk okyh LekVZ f'k{kk dk volj çnku djuk gSA
 fo'ks"k :i ls fujk'k vkSj vlQy Nk=ksa dks çsj.kk vkSj ekxZn'kZu çnku djuk vkSj
muds liuksa dks lkdkj djkuk A
vki lHkh ds mTtoy Hkfo"; dh dkeuk djrk gw¡w……!

Jh deys'k lSuh
vfèkoDrk] jktLFkku mPp U;k;ky;]
t;iqj ¼jkt-½
funs'kd] fe'ku gkbZ ufZlZax Dyklst]
t;iqj] jktLFkku

05
 1 Nation
Book FOR CHO Exams

MISSION CHO ¼fgUnh laLdj.k 2022&2023½

izkDdFku || FOREWORD

Hkkjr ljdkj ds ^^vk;q"eku Hkkjr dk;ZØe&2018** dh 'kq:vkr ds lkFk dh ^^lkeqnkf;d LokLF;

vf/kdkjh (CHO)** in dk LokLF; foHkkx esa ltZu gqvk vkSj rc ls gh iqjsa Hkkjro"kZ esas LokLF; ,oa dY;k.k dsUnzksa
(HWC) ¼iqoZ uke mi&LokLF; dsUnz½ ij gtkjksa lkeqnkf;d LokLF; vf/kdkjh (CHO) xzkeh.k leqnk; esa izkFkfed
LokLF; Lrj dh lsok,a ns jgs gSA
orZeku esa yxHkx lHkh jkT;ksa }kjk ^^lkeqnkf;d LokLF; vf/kdkjh (CHO) dh izfr;ksxh HkrhZ ifj{kk,a
vk;ksftr dh tkrh gS] ftlls uflZax {ks= ds vH;fFkZ;ksa dks lathouh feyh gSA
bl iqLrd ds ys[kd fo}ku ,oa usRk`Ro xq.kksa ls ijhiq.kZ jktLFkku jkT; ls foykse djrs gS] ftUgksaus uflZax {ks= ds
mRFkku ds fy, vusd dk;Z fd;s gSA ys[kdksa dk vusd uflZax vf/kdkjh ,oa lkeqnkf;d LokLF; vf/kdkjh (CHO)
izfr;ksxh HkrhZ ijh{kkvksa esa p;u gqvk gSA
;g iqLrd ^^fe'ku CHO 1.0^^ ¼fgUnh laLdj.k½ “Mission CHO 2.0” ¼vaxzsth laLdj.k½ dk v{kj”k% iw.kZr
vuqokfnr :i ugha gS] cfYd bl fgUnh laLdj.k ds izR;sd v/;k; esa gky gh esa vk;ksftr CHO Exams ds isVZu ds
vuqlkj u;s iz”uksa ,oa Key Points dk lekos”k fd;k x;k gSA rFkk bl iqLrd esa dsoy CHO, LVkWQ ulZ ,oa ANM
ds flyscl vuqlkj gh ikB~; lkexzh dks lEefyr fd;k x;k gS ,oa vuko”;d ;k fo"k; dh xgjkbZ rd
ikB~;&lkexzh (Content) lEefyr ugha fd;k x;k gS tks eq[;r% uflZax vf/kdkjh dh HkfrZ;ksa esa iwNk tkrk gSA
Mission CHO ¼vaxzsth laLdj.k½ iqLrd ds izFke laLdj.k&2020 ls gh lHkh lkeqnkf;d LokLF; vf/kdkjh
(CHO) ijh{kkvksa esa Success Rate lokZf/kd jgh gS ftlls gtkjksa uflZax Nk=ksa dk lkeqnkf;d LokLF; vf/kdkjh
(CHO), LVkWQ ulZ ,oa ANM cuus dk liuk lkdkj gqvk gS ,oa lHkh xzkeh.k LokLF; dks lqn`<+ cukus ds fy,
xzkeh.k leqnk; esa fujarj viuh lsok,a ns jgs gSA
^^fe'ku CHO 1.0^^ ¼fgUnh laLdj.k½ iqLrd dks eSa lkeqnkf;d LokLF; vf/kdkjh (CHO), CCH/BPCCHN,
LVkWQ ulZ ,oa ANM HkrhZ ifj{kkvksa dh rS;kjh dj jgs lHkh uflZax Nk=ksa dks vuq”kaflr (Recommended) djrh gqa
D;ksafd ;g iqLrd iw.kZr% flyscl ds vuqlkj fganh ,oa vaxzsth Hkk"kk dk feJ.k djds lHkh fo"k;ksa dks ljy Hkk"kk esa
fy[kh xbZ gSA
bl iqLrd esa 2018 ls vxLr 2022 rd ds yxHkx 30+ CHO ifj{kkvksa ds xr&o"kksZa ds iz”u&i=ksa
(Question Papers) dks gy lfgr (Answer Key) lfgr lEefyr fd;k x;k gSA tks vki lHkh Hkkoh lkeqnkf;d
LokLF; vf/kdkjh;ksa (CHOs) ds fy, CHO ifj{kk&iSVuZ le>us esa jkeck.k lkfcr gksxkA
bl iqLrd esa ys[kd dh ys[kuh vR;ra ljy Hkk"kk esa gS tks detksj ls detksj Nk= dks le>us eas vklkuh
jgsxhA
eSa vk”kk djrh gqa fd ;g iqLrd ^^fe'ku CHO 1.0^^ ¼fgUnh laLdj.k½ lHkh jkT;ksa }kjk vk;ksftr
lkeqnkf;d LokLF; vf/kdkjh (CHO), CCH/BPCCHN, LVkWQ ulZ ,oa ANM HkrhZ ifj{kkvksa ds fy, jkeck.k lkfcr
gksxhA
eSa vki lHkh Hkkoh lkeqnkf;d LokLF; vf/kdkjh;ksa (CHOs) dks
vkids mTtoy Hkfo"; dh 'kqHkdkeuk,a nsrh gq¡A lkFk gh esa bl iqLrd
ds ys[kdksa dks Hkh /kU;okn nsuk pkgrh gqa fd ftUgksus cgqr de le; esa
uflZax {ks= esa u;s vk;ke LFkkfir fd, ,oa bl iqLrd ^^fe'ku CHO
1.0^^ ¼fgUnh laLdj.k½ dh jpuk dj uflZax Nk=ksa ds fy, lkeqnkf;d
LokLF; vf/kdkjh (CHO) dh izfr;ksxh ijh{kkvksa dks vklku cuk;k gSA
eSa bl iqLrd dh lQyrk ds fy, ys[kdksa ,oa fe'ku gkbZ izdk'ku]
t;iqj dks 'kqHkdkeuk,a nsrh gqa !

fiadh yksejksj
lkeqnkf;d LokLF; vf/kdkjh (CHO), tk;y] ukxkSj
jktLFkku ljdkj

06
 1 Nation
Book FOR CHO Exams

MISSION CHO ¼fgUnh laLdj.k 2022&2023½

vuq'ka"kk || RECOMMENDATION

geas fo”okl gS fd vki fe'ku CHO iqLrd ds ys[kdksa ls Hkyh Hkkafr ifjfpr gksaxsA ftUgksus cgqr de le;
esa uflZax {ks= esa u;s vk;ke LFkkfir fd, gSA
Mission CHO iqLrd ¼vaxzsth ek/;e½ dk izFke laLdj.k 2020 esa jkf"Vª; LokLF; fe”ku (NHM) ,oa
IGNOU ds fu/kkZfjr flyscl ds vuqlkj fyf[k xbZ FkhA bl iqLrd dh loksZrerk ds dkj.k ;k jktLFkku CHO
2020 HkrhZ ijh{kk esa 90 ls T;knk iz”ku iwNs tkus ds dkj.k uflZax Nk=ksa] vuqns”kdksa o iqLrd foØsrkvksa }kjk bl
iqLrd dh lHkh jkT;ksa }kjk vk;ksftr lkeqnkf;d LokLF; vf/kdkjh (CHO) dh HkrhZ ijh{kkvksa ds fy, iqjs Hkkjr
o"kZ esa Hkjiwj ekax jgh gSA
bl iqLrd esa CHO Syllabus ds vuqlkj fo”ks"kr% lkeqnkf;d LokLF; uflZax (CHN) fo"k; ij vf/kd tksj
fn;k x;k gS] ftlesa Updated & Revised upto July-2022 rd lkexzh (Content) tSls uohur~e jkf"Vª;
dk;ZØeksa] NFHS-2022, SRS-2022 fjiksVksZ dks CHO izfr;ksxh ifj{kkvksa vuq:i lEefyr fd;k x;k gSA blds
vykok CHN ds lHkh Chapters dks ckfjdh ls le>k;k x;k gSA
blds ckn cky LokLF; uflZax (Pediatric Nursing) ,oa feM~okbQjh uflZax (OBG Nursing) fo"k;ksa dks
izkFkfedrkuqlkj lHkh Chapters dks Key Points ,oa egRoiq.kZ iz”uksarjh ds ek/;e ls le>k;k gqvk gSA
vU; lHkh uflaZx fo"k;ksa tSls esfMdy ,oa lftZdy uflZax (MSN), “kjhj fØ;k ,oa jpuk foKku
(Anatomy & Physiology) ekufld jksx uflZax (Psychiatry Nursing)] QaMkeasVy vkWQ uflZax (FON),
izkFkfed lgk;rk (First Aid), ekbØksck;ksykWth] vkS"kf/k foKku (Pharmacology), ,oa vkink&izca/ku
(Disaster Management) ,oa uflZax fjlpZ ,oa izca/ku dks laf{kIr esa Key Points ,oa egRoiq.kZ iz”uksarjh
(Important MCQs) ds ek/;e ls lEefyr fd;k x;k gSA
fuLlansg% CHO, LVkWQ ulZ ,oa ANM HkrhZ ifj{kkvksa ds fy, cktkj esa vusd iqLrdsa gksxh] ysfdu vf/kdrj
iqLrdsa ;k xkbMl CHO ds flyscl vuqlkj ugha fy[kh xbZ gSA blds vfrfjDr mu iqLrdksa esa uflZax rFkk
vUkko”;d fo"k;ksa dks dkQh foLr`r lEefyr fd;k gqvk gksrk gS tks uflZax vf/kdkjh dh HkfrZ;ksa ds flyscl
vuqlkj gksrs gSA
bl ^fe'ku CHO 1.0^ ¼fgUnh laLdj.k½ esa lHkh uflZax fo"k;ksa dks CHO, LVkWQ ulZ ,oa ANM ds Syllabus
ds vuqlkj laf{kIr esa lEefyr fd;k x;k gSA
;g iqLrd fgUnh ,oa vaxzsth Hkk"kkvksa dk feJ.k djds cgqr gh ljy Hkk"kk esa fo"k; lacaf/k fo”ks"kKksa ds
ekxZn”kZu esa fyf[k xbZ gSA
eq>s iw.kZ fo”okl gS fd ;g iqLrd lHkh jkT;ksa }kjk vk;ksftr
lkeqnkf;d LokLF; vf/kdkjh (CHO), CCH/BPCCHN, LVkWQ ulZ
,oa ANM dh HkrhZ ifj{kkvksa dh rS;kjh dj jgs uflZax Nk=ksa ds
Hkfo"; fuekZ.k esa jkeck.k@ykHkizn gksxhA
bl iqLrd ^^fe'ku CHO 1.0** ¼fgUnh laLdj.k½ dks vksj
lq/kkjus ds fy, lq>ko Hkstus okyksa ds ge vfr vkHkkjh gksaxs rFkk
vkids lq>koksa dks u;s laLdj.k esa 'kkfey djokus ds fy, ys[kd ds
laKku esa yk;k tk;sxkA

xksiky esukfj;k
lkeqnkf;d LokLF; vf/kdkjh (CHO)
mn;iqj] jktLFkku ljdkj

07
 ys[kdx.k || About Authors
M. L. Saini Sir, Qkxh] t;iqj] jktLFkku
flracj 2019 ls ESIC esa ,d uflZax vfèkdkjh ds :i esa dk;Z dj jgs gSaA bUgksaus JIPMER,
ikafMpsjh esa Ms<+ lky rd IykfLVd ltZjh vkSj lftZdy v‚Udksy‚th ICU esa dk;Z fd;k gS vkSj bUgksaus
çf'k{k.k ds nkSjku eksckby vkbZlh;w ,Ecqysal es yxHkx 5 lky jsQjy ;wfuV esa Hkh dk;Z fd;k gS] vkSj
bUgksaus ts,y,u esfMdy dkWyst] vtesj] jktLFkku ls uflZax&izf”k{k.k iwjk fd;k gSA ;g uflZax is'ks esa
,d fo[;kr vkSj jpukRed O;fDr gSaA ;g dbZ HkrhZ ijh{kkvksa esa vOoy (Topper) jgs gSA
bUgksaus 'kh"kZ jSad ds lkFk dbZ uflZax vfèkdkjh vkSj lkeqnkf;d LOkkLF; vfèkdkjh dh
ijh{kk,a ikl dh gS] tks fuEu izdkj gS&

tokgjyky baLVhV~;wV v‚Q iksLVxzstq,V esfMdy ,tqds'ku ,aM fjlpZ] JIPMER] ikafMpsjh AIR-05, twu-2018
iksLV&xzstq,V baLVhV~;wV v‚Q esfMdy ,tqds'ku ,aM fjlpZ] PGIMER] lax:j] paMhx<+] AIR-03, twu-2018
lkeqnkf;d LokLF; vfèkdkjh (CHO)] jk"Vªh; LokLF; fe'ku] mÙkj çns'k] vkxjk] AIR-UR, twu-2018
lhek lqj{kk cy (BSF), lc&baLisDVj ,lvkbZ ¼LVkQ ulZ½] AIR-06, twu-2018
vf[ky Hkkjrh; vk;qfoZKku laLFkku (AIIMS) Hkqous”oj] AIR-208] flracj&2018
lQnjtax vLirky vkSj VMMC esfMdy dkWyst] ubZ fnYyh] AIR-350] ekpZ&2019
deZpkjh jkT; chek fuxe (ESIC) xqtjkr] AIR-1 vkschlh] tqykbZ&2019
vf[ky Hkkjrh; vk;qfoZKku laLFkku ¼,El½ HkfVaMk] AIR-UR, twu-2019
bafnjk xka/kh jk"Vªh; eqDr fo”ofo|ky; (IGNOU)] eqacbZ] AIR-02, twu-2020
uflZax vfèkdkjh HkrhZ lkekU; ik=rk ijh{kk (NORCET)&2020
jktLFkku iqfyl] thMh] 2013 (Proisionally Selected)
dsæah; fjtoZ iqfyl cy (CRPF) thMh] 2014 (Proisionally Selected)

L. R. lksyadh ¼fljoh½ lj] vuwiiqjk] ikyh] jktLFkku

Qjojh 2018 ls CGHS esa uflZax v‚fQlj ds in ij dk;Zjr gSA bUgksaus us'kuy baLVhV~;wV v‚Q
ok;jksy‚th ,uvkbZoh] iq.ks esa dk;Z fd;k gSA bUgksaus vkj,uVh esfMdy dkWyst vkSj ,echth,p mn;iqj]
jktLFkku ljdkj ls uflZax&izf”k{k.k iqjk fd;k gSA budks uflZax izfr;ksxh ijh{kkvksa esa igyh lQyrk
flracj 2017 esa ,uvkbZoh iq.ks esa AIR-03 UR ds lkFk feyhA mlds ckn thou dh ;k=k esa bUgsa dbZ
lQyrk,a feyh tks fuEufyf[kr gSa&
us'kuy baLVhV~;wV v‚Q ok;jksy‚th ,uvkbZoh] iq.ks AIR-03 UR, September-2017
jk"Vªh; LokLF; fe'ku] mÙkj çns'k (UPNHM), gkFkjl ftyk] AIR-01 UR] uoacj&2017
dsaæ ljdkj LokLF; ;kstuk (CGHS)] AIR-09 UR] Qjojh&2018
LVkQ ulZ ijh{kk] neu vkSj nho] AIR-93 UR twu&2018
deZpkjh jkT; chek fuxe (ESIC) xqtjkr] AIR-109 vkschlh] tqykbZ&2019
 Gratitude

fiz; nsorqY; ekrkth vkSj firkth ---

Without the inspiration, drive and support you gave me,
I might not be the person I am today - M.L. Saini

09
 NOTICE
bl fe'ku gkbZ izdk”ku dh fe'ku CHO 1.0* çfr;ksxhrk xkbM ¼fgUnh laLdj.k½ ds fdlh Hkh Hkkx dks fe'ku gkbZ
izdk”ku vkSj ys[kdksa dh fyf[kr iwoZ vuqefr ds fcuk] lwpuk HkaMkj.k vkSj iquçkZfIr ç.kkyh lfgr fdlh Hkh :i esa ;k fdlh Hkh
bysDVªkWfud vkSj ;kaf=d ekè;e ls iqu% çLrqr ;k dkWih isLV ugha fd;k tk ldrk gS] flok; blds fd leh{kdksa }kjk tks ,d
leh{kk esa laf{kIr va'k mn~/k`r dj ldrs gSaA
No part of this Mission High's MISSION CHO 1.0 (Hindi Edition) may be reproduced in any form or by
any electronic and mechanical means, including information storage and retrieval system, without prior
permission in writing from the Mission High's publisher and the Authors, except by reviewers who may
quote brief passages in a review.
;fn dksbZ nqdkunkj ;k foØsrk bl iqLrd dks tsjksDl esa csprs gq, ;k ys[kdksa vkSj çdk'kdksa dh iwoZ vuqefr ds fcuk
bldh QksVksd‚ih djrs gq, ik;k tkrk gS] rks d‚ihjkbV vfèkfu;e ds rgr muds f[kykQ l[r dkuwuh dkjZokbZ dh tk,xhA
If a shopkeeper or seller is found to be selling this book/guide in Xerox or photocopying this book without
prior permission of authors and publisher, then strictly legal action will be taken against them under
copyright act.
izdk”ku ,oa ys[kdksa us bl iqLrd dks Nkius ls igys =qfV;ksa dks de djus ds fy, dbZ çfØ;kvksa dk ikyu fd;k gS] vkSj
,d =qfV eqDr iqLrd ykus dh dksf'k'k dh gS] gkykafd ekuoh; =qfV;ksa ls badkj ugha fd;k tk ldrk gSA blfy, ;fn fdlh
Nk=@ikBd }kjk dksbZ =qfV laKku esa vkrh gS] rks vki gesa lwfpr djsa] ge vxys laLdj.k esa mu =qfV;ksa@xyfr;ksa dh leh{kk
dj lq/kkj djsaxsA
vki viuk lq>ko ,oa QhMcSd fuEu ds ek/;e ls gesa izsf'kr dj ldrs gS&
E-mail : missionhighnurses@gmail.com • missionhighpublication@gmail.com
or Call/W 90790,00426
ISBN: 978-93-90388-78-3
çFke laLdj.k& 2022
ewY;&650/-
lks'ky ehfM;k ij gesa Q‚yks djsa& Mission High Nursing Classes

çdk'ku dk irk%&
fe'ku gkbZ çdk'ku
ç/kku dk;kZy;& IykV ua 117, ekaMh;k fogkj] jsuoky ekath] t;iqj] jktLFkku&303904
“kk[kk dk;kZy;& jkt vkbZVh lsok dsaæ] f'ko d‚yksuh] vpZuk vLirky ds ikl] lkaxkusj Fkkuk] t;iqj
d‚y@OgkV~l,i: 9602554577 / 90790,00426
Email: missionhighpublication@gmail.com
egRoiw.kZ lwpuk
fç; Nk=ksa] vki fe'ku gkbZ çdk'ku dh lHkh iqLrdsa] Nursing Officer/Staff Nurse & CHO Exams ds iqjkus isilZ dks PDF
esa vkSj VsLV lhjht www.missionhighnurses.com ls lh/ks U;wure laHko dher (Minimum Price) ij ys ldrs gSA

10
 xq#ea=
dqN ewY;oku fVIl tks vkids çfr;ksxh ijh{kkvks ds fy, ges'kk vkidh enn djsaxs&
Few Valuable Tips That Shall Help You Always For Your Competitive Exams
ijh{kk j.kuhfr vkSj ;kstuk dSls cuk,a&
 lcls igys vkidks vius vè;;u dh ,d ;kstuk vkSj dk;ZØe cukuk pkfg,] fQj mldk ikyu djus ds fy, 'kiFk ;k n`<+
ladYi ysuk pkfg,A
 ;kn j[ksa fd j.kuhfr ges'kk Kku vkSj çfrHkk ls vfèkd 'kfDr'kkyh gksrh gSA
 ;g t:jh ugha gS fd vki fdrus ?kaVs i<+ jgs gSa] cfYd ;g vfèkd egRoiw.kZ gS fd vki D;k i<+ jgs gSa] vkSj izfrfnu vè;;u dh
fujarjrk (Every Day Study)] lQyrk dh igyh lokZsPp dqath gSA
 vki dkSu lh fdrkcsa i<+ jgs gSa ;g Hkh egRoiw.kZ gS] blfy, vPNh vkSj çkekf.kd iqLrdksa vkSj uksV~l dk p;u djsa] vki fe'ku
gkbZ dh iqLrdsa Hkh yss ldrs gSa vkSj rjg&rjg dh iqLrdksa ds ctk; ,d iqLrd dks j.kuhfr ds lkFk mldk xgu vè;;u dj
ldrs gSaA dgkor gS fd ^100 iqLrdksa dks ,d&,d ckj i<+us ds ctk; ,d iqLrd dks 100 ckj i<++ysuk pkfg,^
 tc Hkh ;k dgha Hkh i<+sa] lsYQ&uksV~l (Self Notes) t:j cuk,a vkSj mudk fjohtu djsa] ;g lQyrk dh nwljh loksZPp
dqath gSA
 ;fn dksbZ Concept le> ugha vk, rc fdrkcksa es my>us ds ctk;] ml Concept dks vius nksLrksa ;k xq:tuksa ds lkFk mu
ij ppkZ dj le>us dh dksf”kl djsaA
 vius csjkstxkjh ds le; esa ;k tc rd vki uflZax v‚fQlj ugha cu tkrs] lkekftd dk;ks± vkSj lks'ky ehfM;k nksuksa ls ftruk
gks lds nwjh cuk, j[ksa] ;k tc vfr vko”;d gks rc gh mi;ksx djsaA ;g lQyrk dh rhljh loksZPp dqath gSA
ijh{kk ds djhc ;k ,d fnu igys dh j.kuhfr&
 lcls igys ßvkidh lQyrk vki ij fuHkZj djrh gS] ges'kk ,d fotsrk dh rjg lkspsa] gkjus okys dh rjg ughaÞ ;g
okD; ges”kk /;ku esa j[ksaA
 ijh{kk ds ,d ;k nks fnu igys] vki vius ifjokj vkSj nksLrksa ds lkFk dherh le; fcrk ldrs gSaA ;g vkidks ijh{kk ds fy,
ldkjkRed Åtk çnku djsxkA
 ;fn laHko gks rks le; ij lks,a vkSj ijh{kk ls ,d jkr igys vPNh uhan ysaA
 lksus ls igys vius djhch ifjokj ds lnL;@vius fe=@vius GF ;k BF ls ckr djsa vkSj muls oknk djsa fd vki ijh{kk esa
viuk loZJs"B nsaxs vkSj ldkjkRed f"Vdks.k j[ksaxsA
 ijh{kk ls igys dqN pqVdqys lquuk vksj i<+uk vkSj dehus nksLrksa ds lkFk xIis yM+kuk vkidk ruko nwj djus es vkidh enn
djsxkA
 ;fn laHko gks rks ijh{kk ds ,d fnu igys 8 ?kaVs dh uhan vo'; ysaA
 Vªsu dh HkhM+&HkkM+ vkSj ijh{kk dsaæ ij fdrkcsa i<+ jgs yksxksa dks ns[kdj ?kcjk,a ughaA ijh{kk dsUnz (Exam Centre) ds ckgj
ijh{kk ls dqN le; igys fdrkcsa ;k ukWV~l [kksydj fpfUrr eqnzk esa i<+kbZ djuk lgh ;k vPNs vad vkSj lQyrk çkIr djus dk
;g ,d vPNk rjhdk ugha gSA ;g ijh{kk ds nkSjku vkids eu esa vR;f/kd Hkze vkSj ?kcjkgV iSnk dj ldrk gS] blfy, de ls
de ijh{kk ds ,d fnu igys vkidks fdrkcsa ;k ukWV~l can dj nsuk pkfg, vkSj ijh{kk&iwoZ ekufld laokn (Mental
Ventilation) ij /;ku nsuk pkfg,A ;g lQyrk dh prqFkZ loksZPp dqath gSA
 ijh{kk ds nks ;k rhu fnu igys ,MfeV dkMZ dk fçaVvkmV ys ysa] lHkh funZs'kksa dks è;ku ls i<+sa vkSj funsZ'kksa ds vuqlkj rS;kjh
djsaA
ijh{kk ds fnu dh j.kuhfr&
 ijh{kk ls igys vius vki ls dgsa fd……… vxj eSa ugha dj ldrk] rks dksbZ ugha dj ldrk……!
 ijh{kk ds fnu dh lqcg [kkyh isV u tk,a vkSj cgqr vfèkd u [kk,a] viuh ilan ds vuqlkj larqfyr Qyksa dk jl vkSj gYdk
uk'rk ysaA
 funs”kksauqlkj viuk QksVks] igpku çek.k] ços'k i= vkSj vko';d LVs'kujh lkFk ys tkuk lqfuf'pr djsaA
 ruko nwj djus ds fy, lqcg ds le; dqN laxhr lqusA
 ijh{kk dsaæ ds fy, ?kj ls tYnh fudysaA
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 ijh{kk dsaæ ij de ls de ,d ?kaVs igys igqapsa] ;g vkidks vuko';d cspSuh vkSj fpark ls cpk,xkA
 ;kn j[ksa fd j.kuhfr ges'kk Kku vkSj çfrHkk ls vfèkd 'kfDr'kkyh gksrh gSA
 var esa vkidk ifj.kke vkids }kjk vuqlj.k dh tkus okyh j.kuhfr;ksa ij fuHkZj djsxk…..!
 blfy, ldkjkRedrk] lqfu;ksftr j.kuhfr vkSj vkRefo”okl ds lkFk ijh{kk g‚y esa ços'k djsa…….!
ijh{kk ds nkSjku ijh{kk esa MCQs dks dSls gy djsa&
 lcls igys vkidks isij esa fn, x, lHkh funZs'kksa dks è;ku ls i<+uk pkfg, vkSj fQj mudk ikyu djuk pkfg,A
 xyr fodYiksa dks è;ku Hkax (Distractors) djus okyk dgk tkrk gS] D;ksafd mudk eq[; mn~ns'; ijh{kkFkhZ dks lgh mÙkj
ls fopfyr djuk gksrk gSA
 mÙkj nsus ls igys fodYiksa dks var rd de ls de 2 ckj è;ku ls i<+saA
 fu/kkZfjr djsa fd ijh{kd okLro esa D;k ç'u iwN jgk gS\ çeq[k 'kCnksa dh ryk'k djsaA
 mUewyu fofèk (Elimination Method) ;k ,d&,d djds fodYiksa dks jn~n djus dk ç;kl djds mu fodYiksa dks rqjar
gVkdj fodYiksa dks laf{kIr djsa] rkfd vkids mÙkj lgh gksus dh vfèkd laHkkouk gks] mnkgj.k ds fy, ;fn vki 4 fodYiksa esa
ls 1 mÙkj dk p;u djrs gSa rks vkidh lQyrk dh laHkkouk 25% gS ysfdu ;fn vki ,d fodYi dks [kkfjt djrs gSa rks
vkidh lQyrk dh laHkkouk 33% gS vkSj ;fn vki 2 fodYiksa dks jn~n djus esa l{ke gSa rks vkidks 'ks"k 2 fodYiksa esa ls
fpfUgr djusa ij vkids iz”u ds lgh fodYi (Right Answer) dh laHkkouk 50% rd gksrh gSA\
 lHkh 4 fodYiksa dks /;ku ls i<a+s fcuk igys] mÙkj dks fpfUgr djus dh xyrh u djsaA
 dqN Hkzfer djus okys 'kCnksa (Distractors) dk /;ku j[ksa tSls & dHkh ugha] ges'kk] lHkh] çR;sd] de ls de] dksbZ ugha] tYnh
;k nsj ls] vko';d] igyh çkFkfedrk] lcls mi;qDr vkSj de ls de mi;qDr] çkjafHkd] lcls vfèkd laHkkouk vkSj de ls
de] çkFkfed vkSj egRoiw.kZA
Be aware of some confusing words like - never, always, all, every, except, at least, none, early or late,
essential, first priority, most appropriate and least appropriate, initial, most likely and least likely,
primary and vital.
 ;fn pquk x;k fodYi lgh mÙkj ugha yxrk gS] rks ç'u dks fQj ls i<+sa] D;ksafd gks ldrk gS fd vkius ç'u esa dqN 'kCn NwV x,
gksaA
 ;fn vki ,d gh Øekafdr mÙkjksa dks ckj&ckj pqurs gSa rks fpark u djsa] ysfdu udkjkRed vadu ds ckjs esa tkx:d jgsaA
 vkidks vklku ç'uksa esa Hkkx ysuk pkfg, vkSj mu ç'uksa dks ysuk pkfg, ftuesa vki igys nkSj esa iwjh rjg ls vk”oLr gSa vkSj
nwljh ckj mu ç'uksa esa Hkkx ysa] tgka vkius de ls de nks fodYiksa dks gVk fn;k gSA
 ;fn vki lgh mÙkj ugha tkurs gSa vkSj vkius igyh ckj dksbZ MCQ ns[kk gS] rks mUgsa [kkyh NksM+ nsaA ;fn usxsfVo ekfdZax gS rks
dHkh Hkh 'TUKKA Method' VªkbZ u djsaA
 çfr;ksxh ijh{kkvksa esa çR;sd iz”u vR;fèkd ewY;oku gksrk gS blfy, fdlh Hkh iz”u dks gYds esa u ysa] pkgs vki fdrus Hkh
vk”oLr gksaA
 ;g cgqr vthc gksrk gS fd T;knkrj Nk= mu ç'uksa ij le; cpkus dh dksf'k'k djrs gSSa ftudk oks mŸkj Li"V tkurs gS vkSj
mu ç'uksa dks vfèkd le; nsrs gSa ftudk oks mŸkj Li"V ugha tkursA okLro esa vkidks mu fo"k;ksa@iz”uksa ij vf/kd /;ku nsuk
pkfg, ftudk mŸkj vki vPNh rjg ls tkurs gSa rFkk mu ç'uksa dks vfèkd le; nsus ds ctk; lko/kkuh ls de le; esa mÙkj nsa
ftudks vkius igyh ckj ns[kk gS] ;k mŸkj ugha tkursA
 losZ esa lkeus vk;k gS fd vfèkdka'k V‚ilZ u, fo"k;ksa@ç'uksa ij mPp Ldksj djus dh rqyuk esa fjihV iz”uksa dks lgh djrs gSaA
 vfUre esa ;gh ckr dgqaxk fd ;fn fdlh iz”u dk mŸkj ugha vk, rks vius vki ls ,d gh ckr dguk&
ßtks vkidks ugha vkrk] le>ks oks fdlh dks ugha vkrkÞ

Hkfo"; ds lHkh fç; ufl±x vfèkdkfj;ksa vkSj lh,pvks dks vkidh vkus okyh ijh{kkvksa ds fy, 'kqHkdkeuk,aA

M. L. Saini Sir L. R. Solanki Sir

uflZax v‚fQlj] JIPMER uflZax v‚fQlj] CGHS

12
 Mission CHO 2.0 Readers Get Top Ranks in All India CHO Exams

Trilok Chand Nagar Jyoti Naresh Bishnoi Hariom Lovevanshi

AIR - 12 AIR- 54 AIR- 48, Haryana CHO AIR- 76
Raj. CHO 2020 Bihar CHO 2021 Formerly selected in UP CHO, Bihar CHO MP CHO 2020

Vishram Gurjar Raghuveer Sahu Neeraj Garg Ramesh Lodha

AIR - 81 AIR - 137 AIR- 104 AIR 158
UP CHO 2021 MP CHO - 2021 MP CHO 2021 MP CHO 2020

Shahrukh Khan Pukhraj Jangid Ramniwas Lamoria Rampal Verma

AIR- 159 AIR- 197 AIR- 210 AIR-. 222
Bihar CHO 2021 Bihar CHO 2020 Bihar CHO 2020 Rajasthan CHO 2020

Susheel Kumar Reshu Rajput

Vishal Kumar Om Prakash Verma
AIR - 210 AIR-262
AIR- 290 AIR- 348
J & K CHO 2022 UP CHO 2022
UP CHO 2021 Rajasthan CHO 2020

Shubham Rathore Sunita Choudhary Meenakshi Aahri Ashok Kumar

AIR - 498 AIR- 450 AIR - 823 AIR- 3600
MP CHO 2022 Rajasthan CHO Raj. CHO 2020 Rajasthan CHO 2020
13
CONTENTS
01 'kjhj fØ;k ,oa jpuk foKku || Anatomy & Physiology 17-39
Briefly Theory with key points 17-25
Important Multiple Choice Questions (MCQs) 26-39
02 lkeqnkf;d LokLF; ufl±x || Community Health Nursing 40- 190
 LokLF; ,oa uflZax Health and Nursing 40
 Hkkjr esa uflZax f'k{kk Nursing Education in India 40
 Millennium Development Goals (MDGs) 41
 Sustainable Development Goals (SDGs) 41
 LokLF; ns[kHkky ds Lrj Level of Health Care 42
 cpko ds Lrj Level of Prevention 42-44
 LokLF; ns[kHkky iz.kkyh Health Care System- SC, PHC, CHC 45-46
 xzkeh.k LokLF; dk;ZdrkZ Ground level health workers 46-47
 noka ,oa midj.k fdV Drugs & Equipment Kit 47
 tSfod lkaf[;dh Vital Statistics- SRS-2018 IMR, MMR, NMR, U5MR, CBR, CDR 48-51
 jk"Vªh; ifjokj LokLF; losZ National Family Health Survey (NFHS)-05 52-58
 SRS-2019 (Report-2022)
 oSf'od Hkw[k lwpdkad Global Hunger Index-2021 60
 ekuo fodkl lwpdkad Human Development Index- Report-2019 and 2022 61
 egkekjh jksx foKku ,oa izfrj{kk Epidemiology & Immunity 62-63
 Vhdkdj.k Immunization 63-70
• BCG Vaccine • Polio Vaccine & VVM • Hepatitis B Vaccine • DPT Vaccine • Measles Vaccine
• Pentavalent Vaccine • Rota Virus Vaccine • Rabies Vaccine • JE Vaccine
 laØked chekfj;ka Communicable Diseases 71-80
• Small Pox • Measles • Chicken Pox • Rubella • Mumps • Swine Flu • Diphtheria
• Pertusis • Tuberculosis (TB) • Polio • Hepatitis A • Cholera • Typhoid • Diarrhoea & ORS
• Malaria • Dengue • JE • Leprosy • Tetanus • Rabies • AIDS
 ifjokj fu;kstu Family Planning- 80-84
 jk"Vªh; LokLF; dk;ZØe National Health Programs 85-99
 iks"k.k Nutrition 100-102
 dqiks"k.k Malnutrition 103-106
 Hardness of water & Chlorination 106
 vUrjkZf"Vª; laxBu International Organisations 106-108
• WHO • UNICEF • UNO • ICN • INC • TNAI • ICJ
• ILO • WORD BANK • UNESCO • ASEAN • SAARC • RED CROSS • BRICKS
 Trending Viral Disease 109
 Bio-Medical Waste Management (BMWM) 110
 Health Planning Committees in India 114
 Other 116-131
 Mission Key Points for Superfast Revision
 Health Legislations Passed in India 119
 Health & Wellness Calender-2022 123
 Important Health Days-2022 with their Themes 124
 Govt. of India, Cabinet Ministries 127
 Multiple Choice Questions (MCQs) 132-190
COVID-19 & Its Vaccine 191-192
 Briefly Theory with Key Points
 Multiple Choice Questions (MCQs)
03 feMokbZQjh uflaZax || Midwifery & Gynaecology Nursing 193- 233
 Briefly Theory with Key Points 193-211
 Female Reproductive Organs- Vagina, Uterus, Fallopian Tube, Ovary and Breast
 ANC Care
 Amniotic Fluid & Amniotic Fluid Index
 Stage of Labor
14
  HPV Vaccine
 Ant-D Vaccine
 Umbilical Cord
 Organogenesis
 Leopold Maneuver
 Placenta Previa & Abruptio Placenta
 Vertex & Breech Presentation
 Uterine Laceration
 Calculation of EDD
 Lochia
 Menstrual Cycle
 MgSO4 Therapy & Oxytocics
 Mission Key Points
 Partograph
 Multiple Choice Questions (MCQs) 211-233
04 cky LokLF; uflZax || Paediatric Nursing 234-255
 Briefly Theory with Key Points 234-240
 Growth & Development
 Stages of Growth & Development
 Pre-Natal Period
 Post-Natal Period
 Child Milestones
 Vital Parameters of the Child
 Weight
 Height
 Head Circumference
 Chest Circumference
 Fried Psychosexual Model
 Erikson Psychosocial Model
 Mission Key Points
 Tabulation
 Multiple Choice Questions (MCQs) 240-255
05 uflZax ds ewyHkwr fl)kUr || Fundamental of Nursing 156-294
 Briefly Theory with Key Points 156-269
 Multiple Choice Questions (MCQs) 270-294
06 esfMdy ,oa lftZdy uflZax || Medical & Surgical Nursing 295-330
 Briefly Theory with Key Points 295-299
 Multiple Choice Questions (MCQs) 300-330
07 euksjksx uflaZx || Psychiatry Nursing 331-351
 Briefly Theory with Key Points 331-339
 Multiple Choice Questions (MCQs) 340-351
08 ekbZØksck;ksykWth || Microbiology 353-364
 Briefly Theory with Key Points 353-357
 Multiple Choice Questions (MCQs) 358-364
09 vkS"k/k foKku || Pharmacology 365-376
 Briefly Theory with Key Points 365-369
 Multiple Choice Questions (MCQs) 370-376
10 izkFkfed lgk;rk || First Aid 337-384
 Theory 337-380
 Multiple Choice Questions (MCQs) 381-384
11 vksudksyksth uflZax || Oncology Nursing 385-387
 Briefly Theory with Key Points 385-387

15
12 Image Based Questions 388-401
 Multiple Choice Questions (MCQs) 388-397
 Logo & Other 398-401
13 2018-2022 CHO Previous Year Solved Question Papers 402-501
1. MP CHO Paper-2018 (Memory Based) 14. MP CHO Paper-2021, S-II (Original Paper)
2. UP CHO Paper-2018 (Memory Based) 15. Punjab CHO Paper-2021, (Memory Based)
3. MP CHO Paper-2019, S-I (Original Paper) 16. UK CHO Paper-2021 (Original Paper)
4. MP CHO Paper-2019, S-II (Original Paper) 17. Bihar CHO Paper, Aug-2021, (Memory Based)
5. MP CHO Paper-2019, S-III (Original Paper) 18. MP CHO Paper-2022, S-I (Original Paper)
6. Bihar CHO Paper-2019, (Memory Based) 19. MP CHO Paper-2022, S-II (Original Paper)
7. MP CHO Paper-2020 (Original Paper) 20. Tripura CHO Paper-2022 (Original Paper)
8. Rajasthan CHO Paper-2020 (Original Paper) 21. Haryana CHO Paper-2022 (Original Paper)
9. Maharashtra CHO Paper-2020 (Original Paper) 22. UP CHO Paper-I, Aug. 2022 (Original Paper)
10. Haryana CHO Paper-2021 (Original Paper) 23. UP CHO Paper-II, Aug. 2022 (Original Paper)
11. Tripura CHO Paper-2021 (Original Paper) 24. UP CHO Paper-III, Aug. 2022 (Original Paper)
12. Bihar CHO Paper, Feb-2021, (Memory Based) 25. UP CHO Paper-IV, Aug. 2022 (Original Paper)
13. MP CHO Paper-2021, S-I (Original Paper) 26. UP CHO Paper-V, Aug. 2022 (Original Paper)
Note : Sr. No. 22 to 26 UP CHO Papers are Available on Our Website : www.missionhighnurses.com

15 CCH/BPCCHN Previous Year Solved Question Papers 502-528

1. UP CCH/BPCCHN-2022 Set-01 Paper, BNS-041 (Original Paper)
2. UP CCH/BPCCHN-2022 Set-02 Paper, BNS-042 (Original Paper)
3. MP CCH/BPCCHN-2022 Set-01 Paper, BNS-041 (Original Paper)
4. MP CCH/BPCCHN-2022 Set-02 Paper, BNS-042 (Original Paper)
5. Rajasthan CCH/BPCCHN-2022 Set-01 Paper, BNS-041 (Original Paper)
6. Rajasthan CCH/BPCCHN-2022 Set-02 Paper, BNS-042 (Original Paper)
7. Rajasthan CCH/BPCCHN-2022 Set-01 Paper, BNS-041 (Original Paper)
8. Rajasthan CCH/BPCCHN-2022 Set-01 Paper, BNS-042 (Original Paper)

Syllabus for Community Health Officer Exams

Name of Subject Expected Weightage
Basics of Human Anatomy & Physiology 05 MCQs
Community Health Nursing (CHN)*** 40-50 MCQs
Pediatric Nursing** 5-10 MCQs
Maternal Health & OBG Nursing** 10-15 MCQs
Fundamental of Nursing/Skill Based 5-7 MCQs
Medical & Surgical Nursing 5-7 MCQs
Nutrition 6-8 MCQs
First Aid, CPR & FBAO, Trauma & Burn 5-6 MCQs
General Awareness- Recent National Health Programs, , Schemes, Abhiyan, Repots, Statics and 5-10 MCQs
Trending topics
General Medicine and Medical emergencies 3-5 MCQs
General Pharmacology & Microbiology 3-5 MCQs
Miscellaneous 3-5 MCQs
 Behavior Change Communication Skills and other soft skills
 Work Management and Administration
 Leadership, Supervision and Monitoring
 Health Management Information System
 Financial Management] Account and Computing
 Records and reports
Note:
* Marked indicate to Highly Weightage Subject
This syllabus is followed by most of states for Community Health Officer Exams but some of the states follows own specific rules
and guidelines for CHO exams so all the student hereby instructed, please follow latest syllabus of concerned state which can be
issued by recruitment agency of the state. 16
 01 ANATOMY & PHYSIOLOGY

ANATOMY & PHYSIOLOGY

'kjhj fØ;k ,oa jpuk foKku
Basic Anatomical Values
Base of the heart fdlds }kjk curk gSA Left and right atria
Apex of the heart fdlds }kjk curk gSA Left ventricle ¼ck;ka fuy;½
ifjlapkjh jDr dh lcls mPp phagocytic cells Neutrophils
'kjhj dk lcls cM+k lymphoid organ Spleen
ân; ds dkSuls chambers dh lcls thinnest wall Right Atrium
lumber puncture site in Adult L3 –L4

E
lumber puncture site in child L4-L5
lcls yach vkSj lcls cMh nerve Sciatic
Skull cuk gksrk gS 22 bones (8 bones cranium + 14 bones facial)

AG
Lebourer's nerve is Median nerve
Musician's nerve is Ulnar nerve
Tailor ekalis'kh gS Sartorius
Boxer ekalis’kh gS Serratus anterior (JIPMER-2017)
Chewing ekalis'kh gS Buccinator
ekuo 'kjhj dh lcls NksVh ekalis'kh EP Stapedius
ekuo 'kjhj fd lcls Strongest ekalis'kh Masseter (Longest muscles-Calf muscles)
'kjhj dh lcls cMh ekalis'kh Gluteus Maximus
'kjhj dh lcls yphyh flexible muscle Tongue
Commmon carotid artery fdl Lrj ij f}Hkkftr C4
(bifurcates) gksrh gS
egk/keuh fdl Lrj ij f}Hkkftr (bifurcates) gksrh gS L4
o;Ldks es Spinal cord terminate gksrh gS L1 or L1 –L2 dh fupyh lhek ds Lrj ij
PL
NksVs cPpks es Spinal cord terminate gksrh gS L3 or L3- L4 dh fupyh lhek ds Lrj ij
Oesophagus terminate gksrh gS T11 ds Lrj ij
lcls NksVh] pkSM+h vkSj lcls ?kqekonkj rib dkSulh gS 1st rib
No. of True Ribs 7 (1st to 7th)
No of False Ribs 3 (8th – 10th ribs)
Floating Ribs 2 (11th and 12th ribs)
M

NksVh vkar dk Smallest part Duodenum

Fallopian tube dk lcls NksVk Hkkx Isthums
Colon dk lcls NksVk Hkkx Ascending colon
ân; dk otu 300 - 310 gm (In males) and 225-250 gm (In females)
SA

Weight of brain 1400 gm (In males) and 1275 gm (In females)

;d`r (liver) dk otu Average wt. is about 1500 gm (In males) 1250 gm (In females)
Kidney dk otu 150 gm
Thyroid gland dk otu 25 gm
Pituitary gland dk otu 0.05 – 0.08 gm (500-800 mg)
Adrenal gland dk otu 5-6 gm
Uterus ¼xHkkZ’k;½ dk otu Non – pregnant -60 gm, pregnant at term – 1000gm or 1 kg
Testes dk otu 20-25 gm
Spleen ¼Iyhgk½ dk otu About 150 gm
Kidney measures 11 cm long x 6 cm wide x 3 cm thick
Heart measures 12 cm (L) x 9 cm (W) x 6 cm (thick)
Uterus measures 7.5 cm x 5cm x 2.5 cm (3 inch x 2 inch x 1inch)
Ovaries ¼vaMk'k;½ measures 2.5-3.5 cm x 1.5-2.0 cm x 1 cm
Visit www.missionhighnurses.com for all old papers & CBT Online Test Series for all Nursing Officer/Staff Nurse/CHO Exams 17
 www.missionhighnurses.com MISSION CHO
ANATOMY & PHYSIOLOGY

[kksiM+h dh ,dek= movable bone Mandible

'kjhj esa ossify djus okyh igyh gM~Mh Clavicle
First cervical vertebra Atlas (second cervical vertebra-Axis)
'kjhj dk lcls cM+k organ Skin
lcls cM+h sesamoid bone Patella
lcls NksVh cranial nerve Trochlear (IVth caranial nerve)
lcls cM+h cranial nerve Vagus (X caranial nerve)
Cranial nerve dk lcls O;kid forj.k (extensive Vagus
distribution)
Capacity of gallbladder 30-40 ml
Capacity of urinary bladder 250-500 ml

E
Capacity of stomach in adults 1.5-2.0. L
Caapaity of stmach in neonates In early new born 30-60 ml and late new born-90 ml
length of small intestine 5-6 meters

AG
length of duodenum 25 cm
length of large intestine 1.5 meters
length of oesophagus 25 cm
length of trachea 10 cm
length of ureter 25 cm
length of male urethra 20 cm
length of female urethra
length of vas deferens
EP 4 cm
45 cm

Mission Bullet Points

 Duct of Sylvius: - bls cerebral aqueduct ds uke ls Hkh tksM+rh gSA
tkuk tkrk gSA tks brain ds 3rd and 4th ventricle dks tksM+rk gSA  Axial skeleton- ¼v{kh; dadky½ ;g skull, vertebral
Sertoli cells: ;s testes dh seminiferous tubules esas column, sternum vkSj ribs ls feydj curk gS blesa 80
PL

lgk;d dksf'kdk,a gksrh gSA bones gksrh gSA
 Kupffer cells: ;g cells liver esa ik;h tkrh gSA ;s  Appendicular skeleton ¼mika=h; dadky½ & blesa 126
Phagocytic ds :i es dk;Z djrh gSA ;s macrophages dk bones gksrh] ftles shoulder girdle, upper limbs, pelvic
type gSA girdle and lower limbs 'kkfey gksrs gSA
M

 Goblet cells: ;s mucous 'ys"ek dksf'kdk,a Respiratory  Ducts of bellini kidney es ik;h tkrh gSA
tract and intestine esa ik;h tkrh gSA  Duets of Rivinu's ;s sublingual glands es ik;h tkrh gS tks
 'C' cells (Parafollicular cells): ;g Thyroid gland esa mouth ds floor ¼ry½esa [kqyrh gSA
ik;h tkrh gS] tks calcitonin L=kfor djrh gS tks blood es Ca+  Wharton's duct: (Submandibular duct) - ;g
SA

level dks de djrk gSA submandibular glands esa ik;h tkrh gS tks e¡qg ds ry ij
 Cells of Leydig: Leydig dh dksf'kdk,a interstitial [kqyrh gSA
dksf'kdkvksa dk leqg gS tks oh;Z ufydkvksa (seminiferous  Stensen's duct - ;g parotid glands esa ik;h tkrh gSA ;g
tubules) ds chp ik;h tkrh gS tks after puberty Åij 2nd molar teeth ds foijhr e¡qg esa [kqyrh gSA
testosterone hormone L=kfor djrh gSA  High intracranial pressure (ICP) causes -
 Schwann cells: Schwann dksf'kdk,a Peripheral Nervous Papilloedema (Oedema at optic disc. .
Systam raf=dk fiber ds myelin sheath dk fuekZ.k djrh gSA  Right kidney, left kidney ls FkksM+h uhps gksrh gSA
 Oligodendrocyte: ;s dksf'kdk,a CNS (Brain + spinal  Spina bifida usually, lumber region esa gksrh gSA
cord) raf=dk fiber ds myelin sheath dk fuekZ.k djrh gSA  Portal vein esa valve ugha gksrh gSA
 Mesentery: Mesentery isfjVksfu;e dh ,d double fold gS  Example of Retroperitoneal organ: Pancreas,
tks jejunum vkSj ileum dh posterior abdominal wall ls kidneys. (BPL AIIMS-2018)
Visit www.missionhighnurses.com for all old papers & CBT Online Test Series for all Nursing Officer/Staff Nurse/CHO Exams 18
 www.missionhighnurses.com MISSION CHO
ANATOMY & PHYSIOLOGY

ANATOMY & PHYSIOLOGY fo"k; ls egRoiw.kZ iz'uksÙkjh

For CHO, CCH, Staff Nurse & ANM Exams Level
1. Ropk dh Åijh lrgh ijr dgykrh gS\ a. Corneum Lucidum Granulosum - Germinative
a. MfeZl b. ,fMiksl c. lcD;wVsfu;l d. ,fiMfeZl b. Corneum Granulosum - Lucidum - Germinative
2. Ropk dk jax fdlds }kjk izHkkfor gksrk gS\ c. Granulosum Corneum Lucidum - Germinative
a. Blood esa fiÙk o.kZd (bile Pigment) dk Lrj d. Germinative Corneum - Lucidum - Granulosum
b. Hb saturation dk Lrj 12. fuEufyf[kr esa ls fdl txg dks NksMdj Sebaceous
glands ¼olke; xzafFk;k½ Ropk esa lcls vf/kd la[;k esa
c. esysfuu d. mijksDr lHkh
gksrh gS\
3. fuEu esa ls dkSulk o.kZd (pigment) tks Ropk ds jax ds

E
a. Axilla b. Groins c. Soles of the feet d. Face
fy, ftEesnkj gS\
13. ,d o;Ld esa 'kjhj ds ikuh dk fdruk izfr'kr gS\ FAQs
a. dsjksfVu b. esykfuu c. yky o.kZd d. mijksDr lHkh

AG
a. 60% b. 40% c. 90% d. 80%
4. Pigment melanin fdlds }kjk L=kfor gksrk gS\
14. ;fn ,d o;Ld ds 'kjhj dk otu 60 kg gS rks body fluid
a. fyaEQkslkbV~l b. Y;wdkslkbV~l dh dqy fdruh ek=k gksxh\
c. bfjFkzkslkbV~l d. esysukslkbV~l a. 24 kg b. 54 kg c. 36 kg d. 48 kg
5. fuEu esa ls Ropk ds dk;Z esa 'kkfey gS\ 15. 'kjhj dh lcls NksVh dk;kZRed bZdkbZ (Functional unit)
a. Vitamin D dk fuEkkZ.k b. lqj{kk (protection) dkSulh gS\

6.
c. 'kjhj ds rkieku dk fu;eu d. mijksDr lHkh
EP
'kjhj ls vf/kdka'k heat loss fdlds ek/;e ls gksrk gS\
a. o`Dd (kidney) b. efLr"d (Brain) 16.
a. dksf'kdk (Cell)
c. mÙkd (Tissue)
b. ijek.kq (Atom)
d. v.kq (Molecule)
dksf'kdk dk lcls cM+k vax (Largest organelle) dkSulk gS\
c. QsQM+s (Lungs) d. Ropk (Skin) a. dsnzd (Nucleus) b. ykblkslkse (Lysosome)
7. rkieku fu;eu dssUnz (Temperature regulation c. jkbckslkse d. Mitochondria
centre) efLr"d ds dksuls Hkkx esa fLFkr gksrk gS\ 17. ,d dksf'kdk dk watery fluid ¼tyh; æo½ ftlesa dbZ
PL
a. gkbiksFkSysel b. lsfjcsye c. FkSysel d. esMqyk vksaOyksxsVk vaxd (organelles) ik, tkrs gS] mls fdl ds :i esa tkuk
8. Ropk dh jDr okfgdkvksa ds vasodilatation ¼okfgdk tkrk gS\
izlkj.k½ dk D;k dkj.k gS\ a. lkbVkslksy b. ØkseksIykLV
a. xehZ dk mRiknu (Heat Production) c. U;wfDylhIykTek d. lkbVksIykTek
b. xehZ dk uqdlku (Heat Loss) dksf'kdk dk og vax tks izksVhu la'ys"k.k (protein
M

18.
synthesizes) djrk gS\ (FAQs)
c. mP; jDr pki (Hypertension)
a. ykblkslkse b. ekbVksdksfUMª;k
d. xehZ dk uqdlku ;k mRiknu ij izHkko ij
c. jkbckslkse d. xkWYth ckWMh
9. fuEu esa ls 'kjhj dk lcls cM+k vax (largest organ)
SA

19. dksf'kdk dk power house fdls dgrs gS\ (FAQs)

dkSulk gS\ (FAQs)
a. Ribosomes b. Lysosomes
a. o`Dd b. efLr"d c. ;d`r d. Ropk
c. Golgi apparatus d. Mitochondria
10. 'kjhj ds dkSuls Hkkx ij ,fiMfeZl lcls eksVh gksrh gS\
20. Mitosis ds nkSjku ,d dksf'kdk }kjk fuEufyf[kr essa ls fdl
a. dksguh (Elbow) b. vaxqyh (Finger) Øe ds pj.kksa dk ikyu fd;k tkrk gS\ (BIHAR CHO- 2018)
c. gFksfy;ksa ,oa ryoksa ij (Palms of the hands & sole of foot) (In following which order of stages is followed by
d. flj (Head) a cell during mitosis)
11. fuEu es ls ckgjh rjQ ls Hkhrjh rjQ ,fiMfeZl dh ijrksa a. Prophase - Telophage - Metaphage - Anaphage
dk dkSulk Øe lgh gS\ b. Prophase - Metaphage - Anaphage - Telophage

Ans. 1.D 2.D 3.B 4.D 5.D 6.D 7.A 8.B 9.D 10.C 11.A 12.C 13.A
Ans. 14.C 15.A 16.A 17.D 18.C 19.D 20.B
Visit www.missionhighnurses.com for all old papers & CBT Online Test Series for all Nursing Officer/Staff Nurse/CHO Exams 26
 02
Community Health Nursing

Community Health Nursing

LokLF; ,oa ufl±x dh laf{kIr tkudkjh
LokLF; (Health)  INC act Hkkjrh; laln esa dc ikl gqvk &1947
Definition of Health according to WHO-  INC act lEiw.kZ Hkkjr esa dc ykxq gqvk &1949
“Health is a state of complete physical mental and  Hkkjr esa TNAI (Trained Nurses Association of India) dh
social well being and not merely an absence of disease 'kq:vkr dc gqbZ &1908
or infirnity.  Hkkjr esa M.Sc. Nursing dh 'kq:vkr dc gqbZ\ 1959-60 at
LokLF; ds vk;ke (Dimentions of Health)

E
RAC, New Delhi
 Physical Dimentaion 'kkjhfjd vk;ke  Hkkjr esa çFke ufl±x Ldwy dh LFkkiuk dgka gqbZ& jktdh; lkekU;
vLirky] eækl T.N. Government General Hospital,

AG
 Mental Dimention ekufld vk;ke
Madrash (Chennai)
 Social Dimention lkekftd vk;ke
 fo'o dh çFke ufl±x Ldwy&Nightingale training school for
 Spiritual Dimention vk/;kfRed vk;ke
Nurses at St. Thomas hospital, Londan in 1860 - vc ;g
 Emotional Dimention HkkoukRed vk;ke school kings collage of London ds vf/ku lapkfyr gks jgh
LokLF; ns[kHkky ds çeq[k fl)kar gSA



Principle of Health Care
Health care should be relevant ¼mfpr½
Health care should be adequate ¼i;kZIr½
EP 
lcds fy, LokLF;/Health for All
bldh vo/kkj.kk 1978 esa WHO dh okf"kZd assembly esa Alma
Ata esa j[kh xbZ FkhA
 Health care should be accessible ¼igqap ;ksX;½  Statement of AIma-Ata conference-1978 - “People's
 Health care should be aceeptable ¼Lohdk;Z½ Health in People's Hand”
PL
 Health care should be social equity ¼leku :i½  Main Goal Essencial health would be achieved for all
people of world by 2000.
 Health care should be effective ¼çHkkoh½
Definition of a Nurse
 Health care should be efficient ¼dq'ky½
According to International Council of Nurses (ICN)
 Health care should on community participation
¼lkeqnkf;d lgHkkfxrk½ “A nurse is a person who has completed a programme
M

of Basic nursing Education and is qualified and

Hkkjr esa ufl±x f'k{kk iz.kkyh
authorised in his/ her country to provide responsible
Nursing Education System in India and comptent propessional service for-
 Hkkjr esa igyh ufl±x LokLF; Ldwy dgka fLFkkfir gqbZ & Lady  To promotion of Health
SA

Reading Health School in New Delhi 1918.

 To prevention of illness
 ufl±x dk igyk ikB~;Øe (Course)- Lady Health Visitor
 To care of the sick & well individuals
(LHV) Course 1918
 To the Rehabilitation services.
 lcls igys Hkkjr esa B.Sc. Nursing course dh 'kq:vkr &RAC
collage of Nursing, New Delhi & CMC Vellore
ifjokj LokLF; ;kstuk,sa (Family Health Services)
collage of NSG, Vellore , 1946  ekr`Ro ,oa cky LokLF; lsok,a (Maternal & Child Health
 Hkkjr esa lcls igys Post Basic B.Sc. Nursing dh 'kq:vkr dgka Services)
gqbZ&Collage of Nursing, Trivandrum, Kerala, 1961-62  ifjokj fu;kstu (Family Planning)
 1977 esa LHV course dks cUn dj fn;k x;k rFkk bl dh txg  iks"k.k (Nutrition)
ANM course dh 'kq:vkr gqbZ  LokLF; f'k{kk (Health Education)

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Qualities of A Nurse lkeqnkf;d LokLF; ufl±x ds fl)kaUr
Qualities Of Professional Nurse Principle of Community Health Nursing
• Truthfulness, loyalty & honesty • Empathy
 leqnk; ds yksxksa ls fujaUrj laEidZ esa jguk rFkk mudk fo'okl
• Love for the fellowmen • Humor
ftrukA
• Caring • Kindness
• Commitment • Morality  leqnk; ds yksxksa dks igpkuuk ,oa mu yksxksa dh LokLF; lac/kh
• Compassion, generosity • Courage leL;kvksa vkSj mudh vko';drk dks igpkuukA
• Acceptance, assertiveness • Accountability  leqnk; ds yksxksa dh LokLF; leL;kvksa dks çkFkfedrk ds vuqlkj
• Punctuality • Authenticity NkaVuk ,oa mipkj djukA
• Fairness • Alertness  LokLF; laEcf/kr leL;kvksa ds mipkj ds fy, ;kstuk,a cukukA
• Self esteem and tolerance • Intelligence
• Appreciation • Efficiency  cukbZ gq;h ;kstukvksa dks Implement ;k ykxq djukA

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• Creativity • Self discipline  ykxq dh x;h ;kstukvksa dk okafNr çHkko (Desired effect) dk
• Imagination • Openness irk djus ds fy, eqYa;kdu (Evaluation) djukA
• Confidence • Independent

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Millennium Developmental Goals (MDGs)
 ;s lHkh MDG's Gools September 2000 esa Declared fd;s x;s FksA bu lHkh Goals dks çkIr djus dk y{; 2015 j[kk x;k FkkA ysfdu ;s
Goals çkIr ugha fd;s tk ldsA
 MDG's Goals dh dqy la[;k 8 gSA (UP CCH-2022)
 ;s lHkh 8 MDG Goals bl çdkj gS&
Goals No. 1. xjhch vkSj eq[kHkjh dk mUewyu djukA
Goals No. 2. oSf'od çkFkfed f'k{kk dks çkIr djukA
EP Eradicate extreme poverty & Hunger
Achieve universal Primary Education
Goals No. 3. ySfxad lekurk vkSj efgykvksa ds l'fDrdj.k dks çksRlkfgr djukA Promote Gender equality and empower women
Goals No. 4. cky eR;qnj dks de djukA Reduce child mortality
Goals No. 5. ekr`Ro LokLF; dks lq/kkjukA Improve Maternal Health
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Goals No. 6. HIV/AIDS, Malaria ;k vU; chekfj;ksa dk eqdkcyk djukA Combat HIV/ AIDS, Malaria and other diseases
Goals No. 7. i;kZoj.kh; fLFkjrk dks c<+kok nsuk A Ensure Environmental Sustainability
Goals No. 8. LokLF; fodkl ds fy, oSf'od lgHkkfxrk dks c<+kok nsukA Develop a global partnership for development

Sustainable Developmental Goals (SDGs)

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 Total Number of SDGs- 17 and 169 Target points (very important)

 bu lHkh 17 Goals dks çkIr djus dk y{; 2015 esa fy;k x;k Fkk ftUgsa 2030 rd çkIr djuk gSA ;g Goals bl çdkj gS&
Goal-1 xjhch dh iw.kZr% lekfIr (No Poverty) (ASAM CHO-2020)
Goal-2 Hkq[kejh dh lekfIr (Zero Hunger) (MP CHO-2019)
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Goal-3 vPNk LokLF; ,oa thou Lrj (Good health & well being)
Goal-4 xq.koŸkkiw.kZ f'k{kk (Quality Education) (UP-CCH 2022)
Goal-5 ySafxd lekurk (Gender Equality)
Goal-6 lkQ ikuh vkSj LoPNrk (Clean water & Sanitation) (Bihar CHO-2020)
Goal-7 lLrh vkSj LoPN ÅtkZ (Affordable & clean energy)
Goal-8 vPNk dke vkSj vkfFkZd fodkl (Decent work & economics growth)
Goal-9 m|ksx uokpkj vkSj cqfu;knh <+kapk dk fodkl (Industry, Innovation & Infrastructure)
Goal-10 vlkekurk esa deh (Reducing Inequality)
Goal-11 fVdkÅ 'kgjh vkSj lkeqnkf;d fodkl (Sustainable cities & communities)
Goal-12 ftEesnkj ds lkFk miHkksx vkSj mRiknu (Responsible consumption & production)

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Goal-13 tyok;q ifjorZu (Climate action)

Goal-14 ikuh esa thou (Life below water)
Goal-15 Hkweh ij thou (Life on land)
Goal-16 'kkafr vkSj U;k; ds fy, laLFkku (Peace, Justice & Strong Institutions)
Goal-17 y{; izkfIr esa lkeqfgd lk>snkjh (Partnership for the goals)
Note: Very important for Exams- Goals No.- 1, 2, 3, 4, 5, 6 & 17.

LokLF; ns[kHkky ds Lrj || Level of Health Care

çkFkfed LokLF; ns[kHkky Lrj r`rh; LokLF; ns[kHkky Lrj
Primary Health Care System Tertiary Level Health Care system

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 bls vfuok;Z LokLF; ns[kHkky Lrj (Essential Health Care  bl Lrj ij vR;Ur tfVy chekfj;ksa dk bZykt fd;k tkrk gSA
level) Hkh dgk tkrk gSA  ;gka Super-Specialist team }kjk bZykt fd;k tkrk gSA

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 ;g çFke vkSj igyk Lrj gS tgka leqnk; ds yksxksa dk LokLF;  ;gka ICU vkSj OT's dh iw.kZ O;oLFkk gksrh gSA
lqfo/kkvksa vkSj fpfdRlk dk lEiadZ gksrk gSA
 ;g Lrj Top Level dk LokLF; ns[kHkky Lrj gSA
 mnkgj.k
 bl Lrj ij Research vkSj Teaching, Managerial skills Hkh
 mi&LokLF; dsUnz/Sub-Centre (HWC)
medical, para-medical and nursing students dks çnku
 çkFkfed LokLF; dsUæ/Primary Health Centre (PHC)
EP dh tkrh gSA
f}rh; LokLF; ns[kHkky Lrj  mnkgj.k&
Secondary Health Care System  {kSf=; vLirky (Regional Hospital)
 bl Lrj ij T;knk xaHkhj vkSj tfVy chekfj;ksa dk bykt fd;k  lqij LisfLyLV vLirky
tkrk gSA  Medical Collage Hospital
 bl Lrj dks First Referal unit (FRU's) Hkh dgrs gSA (FAQ)  Central govt. Institutes like AIIMS, JIPMER,
mnkgj.k%
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 PGIMER-NIMHANS etc.
 lkeqnkf;d LokLF; dsUæ/Community Health Centre (CHC)
 ftyk fpfdRlky;/District Hospital

jksdFkke ds Lrj || Level of Prevention

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ekSfyd jksdFkke çkFkfed Lrfj; jksdFkke ds mik;

Primordial Prevention Primary level of Prevention
 blesa chekjh;ksa ls lEcf/kr Risk factors dks de djds chekfj;ka  bl Level esa chekjh gksus ls igys dk;Z fd;k tkrk gSA
gksus ls cpk;k tk ldrk gSA Focus on reducing Risk factors.
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Action taken prior to onset of diseases

 ;g disease prevention dk u;k concept gS ftlesa cPPkksa dks  It promotes well being & quality of life.
Hkh xyr vknrksa ds fy, discourage fd;k tkrk gSA  Primary level of prevention is applied when risk
 blesa fo'ks"k rkSj ij chronic disease ds prevention ij /;ku factors are present but disease has not yet taken place.
fn;k tkrk gSA  bl Lrj esa jksx ;k LokLF; leL;k dh Pre-pathogenesis
 Primordial prevention is the best level of prevention phase of disease ij dk;Z fd;k tkrk gSA
for non-communcable diseases.  Modes of Intervention-
 Mode of intervention - Individual Education, Mass  Health promotion
Education
 Specific protection
 Example :  To prevent bad food habits
 To prevent smoking and Alcoholism
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LokLF; ns[kHkky iz.kkyh || Health Care System
mi LokLF; dsUnz@Sub-Centre deliveries gksrh gSA
 ;g Health Centre Village level ij gksrk gSA  Type-B PHC → ,slh PHC tgka efgus esa 20 ls T;knk Normal
 ;gka leqnk; ds yksxksa dk Health care system ls igyk lEaidZ Deliveries gksrh gSA
gksrk gSA  u;h PHC LFkkfir djus ds ekunaM &
First contact place between community and primary • igkM+h {ks= (In Hill/Tribal Area) 20,000 population
health care system. • eSnkuh {ks= (In plain Area)- 30,000 population
 Sub-centre nks çdkj ds gksrs gS&  PHC dk supervision & Maintain jkT; ljdkjksa }kjk
 Type-A- provide all Basic services Minimum Basic Need program ds varxZr fd;k tkrk gSA

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 Type-B- provide all basic services + MCH services  lkekU;r ,d PHC ij xaHkhj efjtksa dks HkrhZ djus ds fy, 4 ls 6
including Normal delivery Bed recommended fd;s x;s gSA
 ;gka 3 ;k 4 dk dqy Staff gksrk gSA ,d PHC ds vaUrxZr ;k v/khu 6 sub-centre vkrs gSA

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
 u;k Sub-centre LFkkfir djus ds ekunaM &
 PHC ij 24 ?kaVs vkikrdkyhu lsok,sa iznku dh tkrh gSA
 igkM+h bykds (Hill Area) esa 3000 dh tula[;k ij rFkk
lkeqnkf;d LokLF; dsUæ/Community Health Centre (CHC)
 eSnkuh bykds (Plain Area) eas 5000 dh tula[;k ij dh
tkrh gSA  CHC dks First Refferal Unit (FRUs) Hkh dgk tkrk gSA
(very important) (MP CHO-2019)
 Type-B sub-centre dks MCH Sub-Centres Hkh dgrs gSA
(MP CHO-2020)
EP  CHC ij xaHkhj efjtksa dks HkrhZ djus ds fy, 30 cSM dh O;oLFkk
gksrh gSA
 Sub-centres are suprevied & maintained 100% by
central government.  u;h CHC LFkkfir djus ds ekunaUM&
çkFkfed LokLF; dsaUæ/Primary Health Centre (PHC)  igkM+h {ks= (Hill/Tribal) Area = 80,000 population
 izkFkfed LokLF; dsUnz (PHC) leqnk; ds yksxksa dk Doctor ls  eSnkuh {ks= (Plain Area) = 1,20,000 population
lEidZ dk igyk LokLF; dsUnz gksrk gSA  ,d CHC 4 PHC dks Supervise djrh gS rFkk ,d PHC 6 sub-
centre dks supervise djrh gS
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Primary health centre is first contact between
village community or individual and the medical  1 CHC = 4 PHC or 24 sub-centre
officer or doctor. CHC dk supervision & maintained minimum basic
PHC nks çdkj dh gksrh gS& need program ds state govt ds under gksrk gSA
 Type-A-PHC → ,slh PHC tgka efgus esa 20 ls de Normal
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Staffing Pattern at PHC

Staff TYPE-A PHC TYPE-B PHC
Essential Desirable Essential Desirable
Medical Officer-MBBS 1 1 +1
Medical Officer–AYUSH 1 1
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Accountant/Data Entry Operator 1 1

Pharmacist 1 1
Pharmacist AYUSH 1 1
Nurse- Midwife (Staff Nurse) 3 +1 4 +1
Health Worker (Female) 1 1
Health Assistant (Male) 1 1
Health Assistant (Female) / Lady Health Visitor 1 1
Health Educator 1 1
Laboratory Technician 1 1
Cold Chain and Vaccine Logistic Assistant 1 1
Multi- Skilled Group D worker 2 2
Sanitary worker cum watchman 1 1 +1
Total 13 18 14 21
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tSfod lkaf[;dh || Vital Statistics

Crude death Rate or CDR-  CDR- Number of deaths per 1000 population per year
- Number of deaths per 1000 population per year in a in a given community. (Meghalya CHO-2021)
given community. CDR of India 6.2, Rajasthan-5.9, MP-  IMR is the universally accepted indicator of Health.
6.7, UP-6.6, Bihar-5.8, Highest- Chhattisgarh- 8.0 and (MP CCH-2022)
Lowest- Delhi-3.3  Universally accepted indicator of health status of
Child Mortality Rate or CMR- whole population is IMR and CDR.
- Number of deaths at 1 to 5 year of age in a given this  U5MR is the best or first indicator of socio-economic
same year 1000 children that age group at the development of a country. (Bihar CHO-2020)
midpoint of the year concerned.  IMR is the second-best indicator of socioeconomic

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Neonatal Mortality Rate or NMR- development of a country.
- Total number of deaths under 28 days of age per 1000  *Hkkjr esa IMR dk lcls eq[; dkj.k D;k gS& Pre-matunity
or low birth weight, birth asphyxia ¼f'k'kq dk le; iqoZ

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live births in the same year.
- According to SRS-2018, The institutional delivery tUe ;k de otu½ (MP, UP CHO-2020,2022)
currently is 84% in Rajasthan, while all India is 79%.  fo'o esa f'k'kq e`R;q nj (IMR) dk eq[; dkj.k D;k
In 2016, the institutional delivery in Rajasthan was gS&Pneumonia U;qeksfu;k
79% and all India was 76%.
Infant Mortality Rate/IMR- Deaths among children <1year
EP - Formula IMR = X 1000
- It is rate of death under one year of age in a given year
Number of total live births
divided by total number of live births in the same year
- Numerator- Deaths among children <1year
than multiply 1000. or usually expressed as a rate per
- Denominator- Number of live births
1000 live birth.
States Wise Infant Mortality Rate/IMR, SRS Report-2016-18, Govt of India
Definition of IMR-Rate of death under 1 year of age in a given year divided by total number of live births in the same year than multiply 1000.
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S.N. STATE IMR S.N. STATE IMR S.N. STATE IMR
1 India 32 7 Haryana 30 13 Bihar 32
2 Rajasthan 37 8 Assam 41 14 AndhraPradesh 29
3 Uttar Pradesh 43 9 Gujrat 28 15 Karnataka 23
4 Punjab 20 10 Maharastra 19 16 West Bangal 22
5 Madhya Pradesh (Highest) 48 11 Tamilnadu 15 17 New Delhi 13
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6 Jharkhand 30 12 Kerala (lowest) 7 18 Himachal Pradesh 19

- The current infant mortality rate for India in 2020 is - According to SRS report 2016-18-
29.848 deaths per 1000 live births, a 3.48% decline - Rural IMR of India- 36 and Urban IMR of India- 23
from 2019 and The infant mortality rate for India in 2019 - Rural IMR of Rajasthan- 41 and Urban IMR of Rajasthan-
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was 30.924 deaths per 1000 live births, a 3.36% decline 26

from 2018. (It is not authentic till SRS report of Govt. of - Rural IMR of MP: 51 and Urban IMR of MP- 32
India.) - According to SRS-2016:
- IMR of India in 2017 was 33. - IMR of India in 2016- 34

Maternal Mortality Ratio/MMR- MP-15.9, UP-17.8)

- Maternal Mortality Ratio- Total number of maternal Number of maternal deaths
deaths during antenatal, intra-natal or postnatal period up MMR = X 100000
to 42 days due to pregnancy related problems in a year per Total number of live births during the same year
1,00,000 live births in the same year. - Denominator-Total number of live births during the same year
- Maternal mortality Rate- it is the number of maternal - Numerator- Number of maternal deaths
deaths (direct and indirect) in a given period per 100,000
- The numerator is the top number of a fraction, and the
women of reproductive age during the same time period.
denominator is the bottom number of a fraction.
(according to SRS-2016-2018: India-7.3, Rajasthan-14.5,
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National Family Health Survey (NFHS) || jk"Vªh; ifjokj LokLF; losZ{k.k

Description- To provide information on important emerging
 The NFHS is a large-scale, multi-round survey health and family welfare issues.
conducted in a representative sample of households  losZ{k.k Hkkjr ds fy, jkT; vkSj jk"Vªh; Lrfj; fuEu tkudkjh
throughout India. iznku djrk gS&
 ;g LokLF; vkSj ifjokj dY;k.k ea=ky; (MOHFW)  Fertility
}kjk lapkfyr fd;k tkrk gSA  f”k”kq vkSj cky e`R;q nj
 MOHFW us losZ{k.k (Survey) ds leUo; (Co-  ekr` vkSj f”k”kq LokLF;
ordination) vkSj rduhdh ekxZn”kZu izkIr djus ds fy,  iztuu LokLF;
uksMy ,tsalh ds :Ik esa “International Institute For  iks"k.k

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Population Science (IIOS) Mumbai esa LFkkfir dh gSA  ,fufe;k
y{; (Goal)-  LokLF; vkSj ifjokj fu;kstu lsokvksa dk utilization ¼mi;ksx½

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 NFHS ds izR;sd Successive Round ¼Øfed nkSj½ ds nks fof”k"V vkSj xq.kork (quality)
y{; gS&
 Funding: The funding for different rounds of NFHS
 LokLF; vkSj ifjokj dY;k.k ea=ky; }kjk vko”;d LokLF; has been provided by USAID, the Bill and Melinda
vkSj ifjokj dY;k.k ij vko”;d MkVk iznku djus ds fy,
Gates
vkSj vU; ,atsfl;ks dks uhfr vkSj dk;ZØe ds mís”;ksa ds fy,
 Foundation UNICEF, UNFPA vkSj MOHFW ¼Hkkjr ljdkj½
iznku djuk gSA EP
To provide essential data on health and family
History of NFHS
welfare needed by the Ministry of Health and NFHS-1: The NFHS-1 was conducted in 1992-93.
Family Welfare and other agencies for policy and NFHS-2: The NFHS-2 was conducted in 1998-99
programme purposes. NFHS-3: The NFHS-3 was carried out in 2005-2006.
NFHS-4: The NFHS-4 was conducted in 2014-2015.
 LokLF; vkSj ifjokj dY;k.k ds egRoiw.kZ mHkjrs eqnks ij NFHS-5: The NFHS-5 was conducted in 2019-2021.
tkudkjh iznku djukA
National Family Health Survey-5 (NFHS): 2019-2021
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 The NFHS-5 has captured the data during 2019-20  NFHS-3 2005-2006 esa fyaxkuqikr 1000 Fkk] vFkkZr efgyk
and has been conducted in around 6.1 lakh vkSj iq:"kks dh la[;k esa cjkcj FksA
households.  tUe ds le; fyxkauqikr (Sex Ratio at Birth)
 NFHS5 us 2019-2020 ds nkSjku 6.1 yk[k ?kjksa ls MsVk izkIr  Hkkjr esa igyh ckj 2019&2021 ds chp izfr 1000 iq:"kksa ij
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fd;k x;k gSA 929 efgyk, gSA

 NFNS 5 ds dbZ ladsrd NFHS 4 ds leku gS tks 2015-  However, the data shall not undermine the fact
2016 esa rqyuk djus ds fy, x, FksA that India still has a sex ratio at birth (SRB) more
 NFNS 5 ds losZ{k.k nqljs pj.k esa dksfoM&19 egkekjh ds skewed towards boys than the natural SRB (which
SA

dkj.k nsjh gwbZ gS vkSj blds ifj.kke flraEcj 2021 esa tkjh is 952 girls per 1000 boys).
fd;s x;sA  dqy iztuu nj (Total Fertility Rate TFR)
Important Key Findings of NFHS-5  TFR Hkh ml lhek ls (Threshold) uhps vk x;k gS ftl ij
 fyaxkuqikr (Sex Ratio) tula[;k (population) ds [kqn dks ,d ih<h ls vxyh ih<h
 NFHS-5 ds vkadMks ls irk pyrk gS fd 2019&2021 esa ns”k esa (One Generation to Next Generation) esa cnyus dh
1000 iq:"kksa ij 1020 efgyk,a FkhA mEehn gSA
 NFHS ds tux.kuk ds lHkh loksZ{k.kks esa ;g mPpre  2019-2021 esa TFR 2.0 gS tks Replacement Fertility
fyaxkuqikr gSA Rate ¼izfrLFkkiu iztuu nj½ 2.1 ls Bhd uhps gS
 igyh vk/kqfud ledkyhu tux.kuk (First modern  xzkeh.k {ks=ksa esa TFR vHkh Hkh 2.1 gSA
synchronous census) 1881 esa Conducted dh xbZ FkhA  “kgjh {ks=ksa esa TFR 2015 2016 NFHS-4 esa Replacement
(HR CHO-2022) Fertility Rate ls uhps pyk x;k FkkA
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ekuo fodkl lwpdkad || Human Development Index
 HDI ftlesa thou çR;k'kk] f'k{kk ;k Kku dh igqap vkSj vk; ;k  ,d lH; thou Lrj& çfr O;fä ldy jk"Vªh; vk; &
thou Lrj ds ladsrdks dks 'kkfey fd;k tkrk gS Gross National Income & GNI
 ;g lwpdkad (HDI) Hkkjr vkSj ikfdLrku ds nks çfl)
vFkZ'kkfL=;ksa egRo my gd vkSj veR;Z lsu ¼Hkkjr½ dh nsu gSA DIMENSION INDICATORS DIMENSION INDEX

 HDI ds vk;ke - HDI rhu vk;keksa dk la;kstu gS Long and • Life expectancy at birth • Life expectancy index
healthy life
 yEck vkSj LoLFk thou & tUe ds le; thou çR;k'kk
• Expected years of schooling • Education index HDI
A Long & Healthy Life- life expectancy at birth Knowledge • Mean years of schooling Human
Development
Index

 f'k{kk lwpdkad & Ldwyh f'k{kk ds vkSlr o"kZ vkSj Ldwyh f'k{kk A decent
• GNI per capita (PPP$) • GNI index
ds visf{kr o"kZA Education Index- mean years of standard of

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living
schooling and expected years of schooling
Key Highlights of HDI-2019 (Report 2020)

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 HDI lwpdkad esa ukosZ ¼igys uEcj½ lcls Åij gS mlds ckn vk;jySaM • HDI 2019-20 Theme- Beyond income, beyond averages, beyond
¼nwljk½] fLoV~tjySaM ¼rhljk½ gkxadkxa ¼pkSFkk½ vkSj vkblySaM ¼ik¡pok½ gSA today: inequalities in human development in the 21st Century.

 ;g fjiksVZ la;qä jk"Vª fodkl dk;ZØe (UNDP) }kjk tkjh dh tkrh gSA India HDI Data-2019
 UNDP }kjk tkjh fd;s x;s ekuo fodkl lwpdkad (HDI) 2020 2019 HDI value 0.645
dh fjiksVZ esa 189 ns'kks eas ls Hkkjr 131oas LFkku ij jgk] tcfd mlls HDI change from 2018 +0.003
igys 129 os LFkku ij FkkA EP Life expectancy at birth 69.7 years
 HDI-2019 ds vuqlkj Hkkjr dk eku 0-645 gS] ftlls Hkkjr Expected years of schooling 12.2 years
ns'k e/;e ekuo fodkl Js.kh esa vkrk gSA Mean years of schooling 6.5 years
Gross National income per capita 6681 (constant 2017 PPP)
 Hkkjr esa dsjy jkT; dk HDI lcls vf/kd ¼0-782½ gS mlds ckn paMhx<+
¼0-776½ vkSj lcls de fcgkj ¼0-574½ vkSj mÙkjçns'k ¼0-596½ dk gSA
Key Highlights of HDI-2021 (Report 2022)
 HDI 2021-22 Theme- Uncertain Times, Unsettled Lives: 122nd rank.
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Shaping our Future in a World in Transformation.  Drop in Life Expectancy: A large contributor to the Human
 Top performers countries of HDI-2021-22: Switzerland (1, Development Index's recent decline is a global drop in life
0.962), Norway (2, 0.961), Iceland (3, 0.959), Denmark (6, expectancy, down from 72.8 years in 2019 to 71.4 years in
0.948), Sweden (7, 0.947), Ireland (8, 0.945), Germany (9, 2021.
0.942) and Netherlands (10, 0.941).
 Inequality-adjusted Human Development Index: For India, HDI-2021 (Publish - 2022)
India Rank 132 out of 199 Countries
M

the IHDI value for 2019 is 0.537 (16.8% overall loss).

 Gender Development Index: For India, the GDI value for 2021 India HDI Value 0.633
is 0.490. Life Expectancy at birth 67.2 Years
Expected Years of Schooling 11.9 Years
 Gender Inequality Index:GII presents a composite measure of
Mean Years of Schooling 6.7 Years
gender inequality using three dimensions: Reproductive health,
Gross National Income 6590
SA

Empowerment and The labour market. In GII, India is at the

Vital Statics SRS-2018 Brief Key Points for Superfast Revision
 SRS-2018 fjiksVZ ds vuqlkj Hkkjr dk MMR 113 gSA  Hkkjr ds fdl jkT; dh CDR lcls de gS& fnYyh (3.3)
 SRS-2018 fjiksVZ ds vuqlkj jktLFkku dk MMR 164 gSA  SRS-2018 fjiksVZ ds vuqlkj Hkkjr ds fdl jkT; dh CDR lcls
 SRS-2018 fjiksVZ ds vuqlkj Hkkjr dk IMR 32 gSA vf/kd gS& Nrhlx<+ (8.0)
 SRS-2018 fjiksVZ ds vuqlkj jktLFkku dk IMR 37 gSA  SRS-2018 fjiksVZ ds vuqlkj jktLFkku dk xzkeh.k IMR 41 gSA
 SRS-2018 fjiksVZ ds vuqlkj Hkkjr dk CBR 20 gSA  Hkkjr ds mÙkjk[k.M jkT; dk fyxkauqikr 840 lcls de
 SRS-2018 fjiksVZ ds vuqlkj jktLFkku dk CBR 24 gSA tcfd dsjy jkT; dk fyxkauqikr 957 lcls vf/kd gSA
 SRS-2018 fjiksVZ ds vuqlkj Hkkjr dk CDR 7 gSA  jktLFkku esa 84% laLFkkxr çlo gks jgh gSA
 SRS-2018 fjiksVZ ds vuqlkj jktLFkku dk CDR 5.9 gSA  Hkkjr ds e/;çns'k jkT; dk IMR lcls vf/kd tcfd
 SRS-2018 fjiksVZ ds vuqlkj Hkkjr dh Still Birth Rate 4 gSA fetksje ¼3½ jkT; dk IMR lcls de gSA
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egkekjh jksx foKku || Epidemiology

 ;g leqnk; esa QSyus okyh laØked chekfj;ksa (Communicable egkekjh jksx foKku dk f= vk;keh fla)kUr&
Diseases) dk v/;;u djus okyk foKku gSA  It's also known as Tried theory of Epidemiology
 Epidemiology dks measument djus ds rhu ?kVd (tool)  bl Theory esa rhu dkjd lEefyr gksrs gS&
gS& 1. Agent - jksxdkjd
1. Rate 2. Ratio 3. Proportion 2. Host - 'kj.k nsus okyk
- Endemic - Constant presence of a diseases in a
3. Environment - okrkoj.k
particular geographical area.
Host
- Epidemic- This is usually occurrence of diseases or
presence of diseases in a particular Community.

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- Pandemic
- It is worldwide distribution of a particular

AG
diseases, such as- COVID-19.
- Usually affected proportion of the population,
it may involve several countries. Agent Environment
- Sporadic- It means scattered about Diseases occurs
Ice-Berg Theory of Illness
in an irregular pattern in a community.
EP  bl Theory ds vuqlkj leqnk; esa QSyus okys jksxksa dks ikuh esa
- Zoonosis
rSjrs cQZ ds VqdM+s ls rqyuk dh xbZ gS vFkok &
- A communicable-diseases transmitted from an
⇒ Floating tip fpfUgr jksxh (visible/ Identified cases)
animal to human like as Rabies, Bovine
Tuberculosis etc. ⇒ Submerged portion - vfpfUgr jksxh (Invisible/
- Epizootic- It is outbreak of a diseases in an animal unidentified /undiagnosed/ subclinical cases)
population.
fpfUgr jksxh Death
- Epornithic-outbreak of diseases in a bird population.
PL
VISIBLE CASES
- Infection-entry and development or multi-
Clinical illness
pulication of an infectious agent in the body of human
or animals. INVISIBLE Asymptomatic
 Incidence- ;g leqnk; esa QSyus okyh chekjh ls mRiUu u;s CASES infection
M

jksfx;ksa dks çnf'kZr djrk gS vFkok Incidence → New Cases (carriers)

 Prevelence- ;g u;s rFkk iqjkus Cases dks çnf'kZr djrk gS vfpfUgr
vFkok Prevelence → New + Old cases. jksxh
SA

jksx çfrjks/kd {kerk || Immunity

 Immunity- ;g jksxksa ls yM+us dh {kerk gSA  çfrj{kh (Antibody)- Immune substance that produced
It is an ability of an organism to fight against a disease. by plasma cells in the respouse of antigen.
 ;g nks çdkj dh gksrh gS&  Specific immune response- Humoral immunity &
 tUetkr çfrjks/kd {kerk (Innate Immunity) cellular immunity also comes under active immunity

 vftZr çfrjks/kd {kerk (Aquired Immunity)

 çfrtu (Antigen)- Any substance including allergen
that stimulate prodution of antibidy in body.

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Cell mediated immunity Humoral immunity
 It occurred within cell of immune system  It is concerned with immune response outside of cell and
 It is an immune response that does not involve antibodies. It is present in plasma and body fluids etc.
 Cell mediated immunity is the activation of phagocytosis,  It is come from B cell which proliferate & manufacture
antigen specific cytotoxic, T lymphocytes and the release of specific antibodies or immunoglobulins after antigen
various cytokines in response to antigen. presentation by macrophages.
 CD4 cells or T helper cells provide protection against  Antigen-any substances including allergen, that stimulate
different pathogen. production of antibody in body.
 It also protects by one more action like macrophage and  Antibody- immune substance that produced by plasma
natural killer cell action and stimulating cells to secrete a cells in the response of antigen. Antibodies are gamma
variety of cytokines. globulin molecules, commonly known as immunoglobulin.
 Note- CD4 cells associated with HIV/AIDS  There are five types of immunoglobulin - IgA, IgG, IgM,
IgE, IgD.

E
Immunogibulin ds çdkj
izfrj{kk (Immunity)
 IgA → ;g vkalqvksa] jDr] ykj] Lru nq/k ilhus vkSj ;ksfu ds L=ko

AG
esa izpqj ek=k esa ik;h tkrh gSA (Bihar CHO-2019)
 IgG → ;g lcls T;knk ek=k (75%) esa ik;h tkrh gSA dsoy lgt izfrj{kk mikftZr izfrj{kk
(Innate Immunity) (Acquired Immunity)
IgG gh placenta dks cross djds f'k'kq dks jksxksa ls cpkrh gSA
(MP, UP, CHO & CCH, FAQs)
lfØ; izfrj{kk fuf"Ø; izfrj{kk
 IgM → 'kjhj esa dksbZ Hkh thok.kq ;k laØe.k ds ços'k djus ds ckn (Active Immunity) (Passive Immunity)
IgM lcls igys lfØ; gksdj jksxksa ls cpkrh gSA

Reaction gksus ij mRiUu gksrh gS vFkok Anaphylaxis
EP
IgE → ;g Ig 'kjhj esa ,ythZ gksus ij ;k fdlh nokbZ dh

reaction esa ;g Immunogibulin lfØ; gksrh gSA (Punjab

izkd`frd lfØ;
izfrj{kk
(Natural Active Immunity)

d`f=e lfØ;
d`f=e fuf"Ø;
izfrj{kk
(Artificial Passive Immunity)

izkd`frd fuf"Ø;
CH0-2020) izfrj{kk izfrj{kk
(Artificial Active Immunity) (Artificial Active Immunity)
 IgD → bl Ig dk T;knk Role ugha gksrk gSA
PL
Vhdkdj.k / Vaccination
Cold Chain Cold Chain Equipments
 ;g rS;kj vaccine dks mRiknd LFky ls miHkksDrk LFky rd  Walk in cold Room (WIC) → ;g Regional level ij gksrk
de rkieku ij Store ,oa Transport djus dh çfØ;k gSA gSA
M

It is a system of storage and Transport of vaccines at  Deep Freezers: - ;g District or PHC & CHC ysoy ij
low temperature from the manufracture to the actual gksrk gSS] bldk rkieku -15 ls -25°C rd j[kuk pkfg,A (MP
vaccination site. CCH-2022)
 Polio vkSj Measles vaccine dks Freezer  Ice-Linked Refrigerator (ILR)
SA

compartment esa laxzfgr (storage) djuk pkfg,] D;ksfd  ;g Hkh District, PHC & CHC Level ij gksrk gSA
;g nksuksa oSfDlUl rkieku ds izfr vfr laosnu'khy (Highly  ILR dk rkieku +2 ls 8°C rd j[kuk pkfg,A
heat sensitive)gksrh gSA  Cold boxes
 BCG, TT, DPT, DT, Typhoid vkSj Diluents → bu lHkh  Vaccine carrier
vaccine dks cold compartment esa laxzfgr (storage) djuk  Day Carrier- blesa vaccine dh 6-8 Vial j[kdj ?kj&?kj
pkfg,A
tkdj (door to door vaccination) fd;k tkrk gSA
 Cold chain dk rkieku +2° ls +8°C rd j[kuk pkfg,A  Ice-Packs
(very imp. FAQS)

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Cold Chain Methods And Equipment

Equipment Temperature Storage Duration Location Of Use
Walk-in-freezer (WIF) -15 to -25° C 3 months National, State and Regional vaccine
Walk-in-coolers (WIC) +2° to 8° C store
Large Deep freezer (DF) -15°to-25°C 1 months At District level
Large Ice lined refrigerator +2° to+8°C
(ILR)
Small DF -15° to -25°C 1 months At PHCs level
Small ILR +2 to +8°
Vaccine carriers 4 fully frozen ice packs are 48 to 72 hours At Sub-Centre level, carry 16 to 20 vials
used at a time
Day carrier 2 fully frozen ice packs are 48 to 72 hours At Sub-Centre level, Can carry 6 to 8
used vials for few hours, mainly used in a

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nearby session.
Cold boxes +2 to +8° C 1 to 3 hours Used for transportation of vaccine in all
peripheral centres

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Detailed Explanation about Vaccines yxk;h tkrh gSA
- fo'o dh lcls igyh oSfDlu - Small Pox Vaccine  Dose - 0.05ml tUe ds le; ls 1 ekg rdA 1 ekg i'pkr Dose nks
- Vaccine 'kCn dk lcls igys mi;ksx fdlus fd;k Fkk\ Louis xquh vFkok 0.1ml nsuh pkfg,A
pasture  BCG vaccine Tuberculosis ;k {k;@risfnd uked
- Vaccination 'kCn dk lcls igys mi;ksx fdlus fd;k Fkk\
EP laØked chekjh ls cpkus ds fy, yxkbZ tkrh gSA
Edward Jenner  Type of vaccine - Live attenuated vaccine
- lcls igys vaccine fdlds }kjk cukbZ x;h\ Edward Jenner  BCG vaccine ?kqyus ds ckn (after dissolved) 4 ?ka.Vs ds vUnj
- Louis pasture us dkSu&dkSulh vaccine dh [kkst dh& gh mi;ksx dj ysuh pkfg,A 4 ?ka.Vs i'pkr cph gq;h ?kqfyr oSfDlu
Cholera, Diphtheria, Chickenpox & Rabies dks Discard dj nsuk pkfg,A
YEAR VACCINE  BCG vaccine dks vf/kdre 1 o"kZ dh mez rd ns ldrs gSA
1798 Small pox vaccine (First vaccine in the world) (Haryana CCH-2021)
PL
1885 Rabies vaccine Hepatitis-B vaccine
1892 Cholera vaccine
 ;g oSfDlu Hep-B uked chekjh ls cpko ds fy, yxk;h tkrh gS
1911 Typhoid vaccine
1921 BCG vaccine  ;g tUe ds ckn lcls igys yxkbZ tkuh pkfg, D;ksafd ;g oSDlhu
1923 Diphtheria toxoid gsisVkbZfVl&B ds Vertical trans. ls cpko djrh gSA NORCET-2022
bldh Dose 0.5ml gksrh gS] ftlesa igyh Dose taUe ds le;,
M

1923 Pertussis Vaccine 

1927 Tetanus toxoid nqljh Dose ,d efgus ij rFkk rhljh Dose 6 efgus ij yxk;h
1937 Influenza Vaccine tkrh gSA vFkok (0, 1, 6)
1937 Yellow Fever Vaccine
1949 Mumps Vaccine
 ;g Vaccine IM ;k Intra-Muscular route ls vastus
SA

1955 IPV lateralis musles of mid thigh esa yxk;h tkrh gSA
1961 OPV  uotkr vkSj f'k'kq esa IM route ds fy, Most Common
1960 Measles Vaccine Site dkSulh gksrh gS& Anterio lateral side of mid thigh
1962 Rubella Vaccine usually in left lateral (MP, MH-CHO-2021,2022)
1976 Hepatitis B Vaccine
Polio Vaccine
2006 Live oral Rotavirus vaccine
2007 Human papilloma virus vaccine  ;g Vaccine iksfy;ks uked chekjh ls cpko ds fy, yxkbZ tkrh gSA
2009 H1N1 Influenza A  ;g tUe ls ysdj 5 o"kZ rd ¼0&5 o"kZ½ ds cPpksa dks 2 cqan dh
[kqjk[k eqag ls fiykbZ tkrh gSA
BCG Vaccine
 Polio dh vaccine dks -20°C rkieku ij fÝt esa laxzfgr djds
 Full form of B.C.G. Vaccine - Bacillus Calmette Guerin
j[kuk pkfg,] D;ksafd Polio vaccine rkieku ds izfr vfr
 ;g tUe ds le; Left Arm esa Intra-dermal ;k ID route ls
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 Air borne transmission: - blesa chekjh gok ds ek/;e ls  Sterilization: - ;g jksxdkjd lq{ethoksa ds lkFk lkFk muds
QSy ldrh gS] tSls&TB, Measles etc. va.Mk.kqvksa (spores) dks ekjus dh çfd;k gSA bldk eq[; izdkj
folaØe.k (Disinfection) Autoclave gSA
 Disinfectant:- ;g og inkFkZ gS tks chekjh QSykus okys  Disinfection: ;g jksxdkjd thok.kqvksa dks ekjus dh çfØ;k gSA
thok.kqvksa dks ekjrk gSA ;g eq[;r% futhZo oLrqvksa ij mi;ksx fd;k ;g nks çdkj ls gksrk gS&
tkrk gSA  Con-current disinfection: - jksxh ds vLirky esa HkrhZ
 Antiseptic: - ;g jksxdkjd thok.kqvksa dks ekjus dh çfd;k gS ds nkSjku fd;k tkus okyk disinfection gSA
rFkk ;g thfor txgksa ij mi;ksx fd;k tkrk gSA tSls%& Ropk ij  Terminal Disinfection: - ;g jksxh dh vLirky esa NqV~Vh
vkfnA gksus ds ckn fd;k tkus okyk disinfection gSA
laØked chekjh;ka || Communicable Diseases

E
cM+h ekrk@pspd (Small Pox)  çlkj dk ek/;e (Mode of transmission)- droplet
 vk;qosZn esa pspd dks 'khryk jksx Hkh dgk tkrk gS] ftlds cpko ds  laØe.k dk le;& Ropk ij pdrs mHkjus ds nks fnu igys vkSj 5

AG
fy, jktLFkku esa 'khryk"Veh ds fnu 'khryk ekrk dh iqtk vpZuk fnu ckn esa
dh tkrh gSA  fpduiksDl chekjh dk Incubation period fdruk gksrk gS \14
 Small pox laØked chekjh dk jksxdkjd dk uke D;k gS - ls 16 fnu
Variola virus ¼oSfj;ksyk okbjl½  fpduiksDl chekjh esa skin ij mHkjus okys pdrksa (Rashes) dk
 Small pox laØked chekjh fdl ek/;e (Mode of pattern D;k gksrk gS\- Cantripetal
transmission) ls QSyrh gS\ gok ls ;k [kkalus@ Nhdus ls
EP [kljk /Measles
(Air borne/Droplet brone)  [kljk (Measles) chekjh dk vU; uke gS\ :ch;ksyk (Rubeola)
 Small pox laØked chekjh dk Incubation period fdruk or 4th day fever
gksrk gS\11 ls 14 fnu  Measles laØked chekjh dk jksxdkjd dk uke D;k gS - RNA
 Hkkjr ls bl jksx dk mUewyu (Eradication) dc gqvk Fkk& fetYl okbjl
April 1977 ls  Measles laØked chekjh fdl ek/;e ls QSyrh gS\ Droplet
 WHO ds vuqlkj ;g chekjh iqjh nqfu;k ls dc mUewfyr ;k [kRe gks xbZ Measles laØked chekjh dk laØe.k dky gS\ Ropk ij pdrs
PL

gS& ebZ 1980 ls mHkjus ds 5 fnu igys o 5 fnu ckn
 Pattren of Rashes in smallpox - Centrifugal
 Measles laØked chekjh dk Incubation period fdruk gksrk
NksVh ekrk /Chickenpox gS\ 10 ls 14 fnu
 jksxdkjd& osfjlsyk tksLVj okbjl (Varicell zoster virus),  Measles laØked chekjh dk eq[; tSfod y{k.k gS\ Koplick's
ftls HPV-3 uke ls Hkh tkuk tkrk gSA
M

spot और 3C's (Coryza,Cough,conjuctivia)

 izeq[k y{k.k& cq[kkj] Ropk ij pdrs] Fkdku
Differences Between Smallpox And Chickenpox
Smallpox Chickenpox
SA

1. Incubation period is 11 to 14 days. About 14 to 16 days.

2. Severe prodromal symptoms for about 3 days. Prodromal symptoms mild or absent
3. Rashes appears on the 3rd or 4th day of illness. Rash appears within 24 hours
4. The rashes is centrifugal distribution which first The rashes is Centripetal distribution which first erupted on
erupted on periphery then central. central then periphery.
5. The rash avoids hollow, depressed areas like the axilla. Axilla always affected.
6. The palms are affected. Palms are not affected.
7. The rash in uniform, regular and deep-set in the skin. The rash in superficial.
8. The vesicles are multilocular and umbilicated. The vesicles are un ocular and not umbilicated.
9. The rash progrsses from stage to stage, l.e. The rash occurs in a series of crops, scabs and vesicles.
macules, papules, vesicles, pustules and scab.
10. Death rate 25 to 50 per cent among the unvaccinated Death rate 1 to 2 per cent

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 Koplick's spot - A cordinal sign of measles which in  fMIFksfj;k laØked chekjh ds jksxdkjd dk D;k uke gS\
small bluish white spot on a red base occurs on the dksfjukscSDVsfj;e fMIFksfj;kbZ (Corynebacterium Diphtheria)
inner surface of the checks opposite the moler teeth  fMIFksfj;k laØked chekjh dk Incubation period fdruk gksrk
during prodromal stage of measles. gS\ 2 ls 6 fnu
 Measles chekjh esa dkSuls foVkfeu dh deh gks tkrh gS\ foVkfeu A  fMIFksfj;k eq[; :i ls fdl mez esa T;knk gksrk gS\ 1 ls 5 o"kZ ds
 SSPE-Sub-Acute slerosing Paneucephalitis - ;g cPpksa esa
Measles dk serious complication gSA  fMIFksfj;k laØked chekjh ds eq[; y{k.k gS& cq[kkj] 'kjhj esa
:csyk/ Rubella nnZ] xys esa [kjkl (Pseudo-membrane)
- Rubella dk vU; D;k uke gS\ tjeu fetYl (Germen  xys esa Pseudomembrane fdl chekjh esa curh gS\ fMIFksfj;k
esa
Measles) or 3rd day Measles.

E
 fMIFksfj;k chekjh dk funku dkSuls Test ls fd;k tkrk gS\ Schick
- :csyk laØked chekjh ds jksxdkjd dk uke D;k gS\ Vksxkokbl
Test
QSesyh dk RNA :csyk okbjl

AG
- :csyk laØked chekjh dk Incubation period D;k gS 14 to 21 Schick Test
days. - This is an intradermal test for diphtheria.
- :csyk laØked chekjh dk laØe.k dk ek/;e D;k gS\ Droplet - By this test we can find out those who are immune to
diphtheria, and those who are not
- ;fn :csyk dk laØe.k xHkkZoLFkk ds nkSjku efgyk esa gks tk, rks ;g
Hkzq.k esa dbZ tUetkr foØfr;ka (Conjenital anomalies) dj - Site of injection - forearm
ldrk gS] ftls Conjenital Rubella Syndrome (CRS)
EP - Route - intradermal or ID
dgrs gSA - Volume of substance - 0.1 ml
- Xky?ka.M@xylqvk (Mumps) - Results can be interpreted after 48 to 72 hours as-
 Mumps laØked chekjh ds jksxdkjd dk D;k uke gS\& - Positive: when the test results in a wheal of 5 to 10
iSjkesDlksokbjl ifjokj dk eEIl okbjl mm diameter, reaching its peak in 4-7 days. The
control arm shows no reaction. This indicates that
 Mumps laØked chekjh dk Incubation period fdruk gSA
the subject lacks antibodies against the toxin and
PL
14 to 21 days
hence is susceptible to the disease.
 Mumps laØked chekjh esa 'kjhj dh dkSulh xzfUFk;ka çHkkfor gksrh
- Pseudo-positive: when there is only a red
gS \ iSjksfVM xzfUFk;ka (Parotid Glands)
coloured inflammation (erythema) and it
 Mumps laØked chekjh dk eq[; y{k.k gS \ iSjksfVM xzfUFk esa
disappears within 4 days. This happens on both
lqtu] cq[kkj
the arms since the subject is immune but
M

 Most common complication of Mumps: In children- hypersensitive to the toxin.

Aseptic meningitis vkSj In Adolescants- orchitis ¼o`"k.k esa
- Negative reaction: Indicates that the person
lqtu½
is immune.
Swime Flu-Pandamic Influena- 2009 - Combined reaction: Initial picture is like that
SA

 Lokbu ¶yw chekjh ds jksxdkjd dk D;k uke gS\ H1N1 okbjl of the pseudo-reaction but the erythema fades off
 Lokbu ¶yw dk Incubation period fdruk gksrk gS\ 1 ls 4 fnu after 4 days only in the control arm. It progresses
on the test arm to a typical positive. The subject is
 Lokbu ¶yw chekjh ds eq[; y{k.k D;k gS\ cq[kkj] [kkalh] xys esa
interpreted to be both susceptible and
[kjkl] 'kjhj esa nnZ vkSj detksjh
hypersensitive.
 Lokbu ¶yw chekjh fdl ek/;e ls QSyrh gS\ Droplet
- Control measures- isolation and diphtheria
 Lokbu ¶yw ds fy, nh tkus okyh vaccine fdl ek/;e ls nh tkrh antitoxin.
gS\ ukd ds }kjk (By Nasal) - Prevention - DPT vaccine 0.5 ml through IM at 6, 10
fMIFksfj;k (Diphtheria) and 14 weeks of age in New born.
 fMIFksfj;k laØked chekjh fdl izdkj ds lq{etho ls QSyrh gS\
thok.kq ls (Bacteria)

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Composition of ORS
Reduced Osmolality ORS Gram/Litre Reduced Osmolarity Ors Mmol/L
SODIUM CHLORIDE (NaCl) 2.6 SODIUM 75
GLUCOSE, 13.5 CHLORIDE 65
POTASSIUM CHLORIDE (KCl) 1.5 GLUCOSE, ANHYDROUS 75
TRISODIUM 2.9 POTASSIUM 20
CITRATE, DIHYDRATE CITRATE 10
TOTAL WEIGHT 20.5 TOTAL OSMOLARITY 245

Assessment of Dehydration
Sr. No. Mild Severe
1 Patient’s appearance Thirsty, alert, restless Drowsy, limp, sweaty, may, be comatose
2 Radial pulse Normal rate and volume Rapid, feeble, sometime impalpable

E
3 Blood pressure Normal less than 80 mm Hg; may be unrecordable
4 Skin elasticity Pinch retracts immediately Pinch retracts very slowly (more than 2 seconds)

AG
5 Tongue Moist Very dry
6 Ant. Fontanel Normal Very sunken
7 Urine flow Normal Little or none
8 % body weight loss 4 -5% 10% or none
9 Estimated fluid deficit 10 -50 ml/kg 100 -110 ml/kg
dkWysjk /Cholera  VkbQkbM chekjh ls eq[;r 'kjhj dk dkSulk vax çHkkfor gksrk gS\-
 Cholera chekjh ds jksxdkjd dk uke D;k gS\ ohfcz;ks dksysjh
EP NksVh vkar (Small intestine)
(Vibrio cholerae)  VkbQkbM chekjh esa fdl izdkj dk Qhoj ik;k tkrk gS & Step
 ohfcz;ks dksysjh (Vibrio cholerae) fdl izdkj dk thok.kq gS& Ladder Fever
xzke usxsfVo cSDVsfj;k Msaxw @Dengue fever
 ohfcz;ks dksysjh (Vibrio cholerae) fdl izdkj dh vkd`fr  Msaxw Qhoj dks vU; fdl uke ls tkuk tkrk gS\ gM~Mh rksM+ cq[kkj
(shape) dk thok.kq gS& Comma shaped (Break bone fever)
 Cholera chekjh dk eq[; y{k.k D;k gS\ pkoy ds eka.M tSlk Msaxw chekjh ds jksxdkjd dk uke D;k gS\ Arbovirus/flavi
PL

ey (Rice water stool) virus
 Cholera chekjh dk eq[; dkj.k D;k gS\ nqf"kr ty ,oa Hkkstu  Msaxw chekjh dSls QSyrh gS\ ,fMt ,tsIVkbZ (Aedes aegypti)
 Cholera chekjh dk Incubation period D;k gS\ Hours to day uked ePNj ds dkVus ls
 Cholera chekjh ds eq[; y{k.k D;k&D;k gS\- Severe  ,fMt ,tsIVkbZ (Aedes aegypti) ePNj dks vU; fdl uke ls
diarrhoea, rice water stool, vomiting (mYVh nLr½
M

tkuk tkrk gS& Vkbxj ePNj (Tigor Mosquito)

VkbQkbM@Typhoid Fever  Msaxw chekjh ds eq[; y{k.k D;k gS&
 VkbQkbM chekjh dk vU; uke D;k gS\ vkaU= Toj (Enteric fever)  rst cq[kkj] rst fljnnZ
 VkbQkbM chekjh dks xzkeh.k {ks= esa fdl uke ls tkuk tkrk gS\  eklisa'kh;ksa vkSj tksMksa esa nnZ
SA

ikuh>jk  detksjh] Hkq[k u yxuk] dCt

 VkbQkbM chekjh ds jksxdkjd dk uke D;k gS\ lkYeksusyk VkbQh  Ropk ij pdrs cuuk
(Salmonella Typhi)  Msaxw Qhoj esa eq[;r dkSulh Blood cells çHkkfor gksrh gS\
 VkbQkbM fdl ek/;e ls QSyrh gS\ nqf"kr Hkkstu ,ao ty ls Platlets ¼IysVysVl½
 VkbQkbM chekjh dk Incubation period fdruk gS\ 10 ls 14 fnu  Thrombocytopenia ¼de IysVysVl½ dkSulh chekjh esa ns[kus
dks feyrh gS\ Msaxw esa
 VkbQkbM chekjh ds eq[; y{k.k D;k&D;k gS\
 cq[kkj] Ba.M ds lkFk  flj nnZ ,oa iSj nnZ  Msaxw Qhoj esa eq[;r jDr dh dkSulh tkap izR;sd fnu djokuh gksrh
gS\ Complete Blood Count (CBC)
 Pea-soup tSls nLr yxuk  Rose spots on chest
 Herman's rashes - They are erythematous
 Bradycardia ¼ukMh dh xrh dk de gksuk½
maculopapular or morbilliform eruptions that
 VkbQkbM chekjh ds funku ds fy, dkSulk VsLV fd;k tkrk gS\
develop three to six days from fever onset in dengue.
foMky VsLV (Widal Test)
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 NACO Type Microorganism Infection produced

 Full form - National AIDS Control Organisation. Bacterial Chlamydia trachomatis Genital chlamydial
infection
 Headquarter : New Delhi Chlamydia trachomatis Lymphogranuloma
 Established : 1992, Under MOHFW venereum
Neisseria gonorrhoea Gonorrhoea
 Purpose - To awareness & control of HIV/AIDS Treponema palladium Syphilis
programme. Haemophilus ducreyi Chancroid (soft sore)
 ELISA (Enzyme Linked Immunosorbent Assay) is a Klebsiella granulomatis Granuloma inguinale
screening test for AIDS/HIV. Gardenerella vaginalis Bacterial vaginosis
Viral Herpes simplex I, II Genital herpes
 Western Blot test is confirmative test for Papillomaviruses Ano-genital warts
HIV/AIDS. HIV AIDS

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 CD4 & P24 Antigen Test is considered confirmative Hepatitis Hepatitis A, B & C infection.

diagnosis in children. Protozoa Trichomonas vaginalis Trichomoniasis

Insects Pediculosis pubis phthirus pubis Pediculosis

AG
Ikfjokj fu;kstu@Family Planning
CLASSIFICATION OF CONTRACEPTIVE METHODS Vaginal Contraceptive Sponge (TODAY)
 ;g Nonoxynol-9 uked jklk;fud inkFkZ dk mi;ksx djds cuk;h
Barrier Methods tkrh gSA
 Nonoxynol-9 ,d speamicide dh rjg dk;Z djrk gS tks ;ksuh esa
Intrauterine çosf'kr 'kqØk.kqvksa (sperms) dks ekj nsrk gSA
Devices
EP  oh;Z L[kyu (Ejaculation) ds ckn 6 ?k.Vs rd Today Sponge dks
Spacing Methods Hormonal Method ;ksuh ds vUnj gh j[kuk t:jh gksrk gSA
Post conceptive Rhythm Method/Safe Period
Contraceptive methods
Methods  Ekkgokjh ds ,d lIrkg igys ,oa ,d lIrkg ckn dk le; ;kSu
Miscellaneous
laEc/k ¼laHkksx½ ds fy, lqjf{kr le; (safe period) ekuk tkrk
Male Sterilisation
(Vasectomy) gSA
Terminal Methods
PL
Female Sterilisation
(Tubectomy)
Mechanical Method
 bUgsa vojks/kd xHkZfujks/kd (Barrier Contracptive
çkÑfrd xHkZfujks/kd mik; (Natural Method) Method) Hkh dgk tkrk gSA
 lEiqZ.k ;kSu fØ;k ¼laHkksx½ ls nqj jguk (Abstinence) - Most  Mechanical Methods or Barrier contaceptive methods
Raliable Method xHkZ Bgjus ls cpko ds lkFk&lkFk laHkksx (Sex) ls QSyus okyh
M

 oh;Z L[kyu ls rqjUr igys isful dks ;ksuh ls ckgj fudky ysuk chekfj;ks (STD's) ls Hkh cpkrs gSA (very important)
(withdawal method) bldks coitus interrupts  mnkgj.k&
method Hkh dgk tkrk gSA  Male condom- ;g Hkkjr dk lcls T;knk yksdfç;
 Lruiku ds nkS j ku (Lactional Amennorhea xHkZfujks/kd lk/ku gSA
SA

method/LAM)  Female condom

tSfod xHkZfujks/kd mik; (Biological Method)  Diaphragm - ;g 3 ?ka.Vs laHkksx djus ls igys ,oa 6 ?kaVs
 Calender/ Rhythm method laHkksx djus ds ckn rd iguk tkrk gSA
 Basal Body Temp (BBT) Method  Cervical cap
 Ovulation method  Coutraceptive sponge
 Cervical mucous method varxZHkk'k;h xHkZfujks/kd midj.k@IUCD
jklk;fud xHkZfujks/kd mik; (Chemical Method)  Full form of IUCD: Intra-Uterine Contraceptie Device
 budksa Spermicides ds uke ls Hkh tkuk tkrk gSA (MP CHO-2020)
 buesa eq[; :Ik ls Nonoxynol-9 vkSj octoxynol jklk;fud  ;g T shape dh dkWij ls cuh gq;h gksrh gSA
inkFkZ dk mi;ksx fd;k tkrk gSA  ;g T shape IUD sperms dks ovum rd igqapus ls jksdrh gS ,oa
mnkgj.k&Creams, Jellies & suppositories & foam. sperms dks ekj nsrh gSA
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Hkkjr esa jkf"Vª; LokLF; dk;ZØe || National Health Programm in India
 Hkkjr esa *jkf"Vª; ifjokj fu;kstu dk;ZØe* dh 'kq:vkr dc  lqj{kk dyhfud&NACO ds vUrxZr lapkfyd gks jgh gSA
gqbZ\ 1952  jkf"Vª; vU/krk fuokj.k fu;a=.k dk;ZØe dh 'kq:vkr&1976
 fo'o dk igyk ns'k dkSulk Fkk ftlds }kjk ifjokj fu;kstu ds fy, National programme for control of Blindness (NPCB)-
jkf"Vª; Lrj ij ;kstuk cuk;h x;h\ Hkkjr 1976
 Hkkjr esa dc *jkf"Vª; ifjokj fu;kstu dk;ZØe* dk uke cnydj  Iron Deficiency Disorder Control Programme- 1962
ßjkf"Vª; ifjokj dY;k.k dk;ZØeÞ fd;k x;k\ lu~ 1977 esa
(MP CHO-2021))
 oSf'od Vhdkdj.k dk;ZØe (UIP) dh 'kq:vkr & 1985
 jkf"Vª; eysfj;k fu;a=.k dk;ZØe dh 'kq:vkr &1953 Universal Immunization Programe (UIP): 1985
 jkf"Vª; eysfj;k mUewyu dk;ZØe dh 'kq:vkr &1958  Hkkjr essa foLrkfjr Vhdkdj.k dk;ZØe (EPI) dh 'kq:vkr- 1977

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 jkf"Vª; Qkbysfj;k fu;a=.k dk;ZØe dh 'kq:vkr &1955 Expanded Immunization programme-EPI-1977
 jkf"Vª; ysçkslh ¼dq"B½ fu;a=.k dk;ZØe NLCP dh 'kq:vkr&1955  Note: Expanded Immunization programme-EPI dh
'kq:vkr fo'o esa 1974 dks gqbZ FkhA

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 NLCP dk;ZØe esa ysizkslh ds mipkj ds fy, MTD Fksjsih 1982 esa
'kkfey dh xbZ FkhA  orZeku esa 2005 ls Universal Immunization programme
 jkf"Vª; ysçkslh mUewyu dk;ZØe (NLEP) dh 'kq:vkr &1983 (UIP) NRHM çksxzke ds vUrxZr lapkfyr gks jgk gSA
 jkf"Vª; {k;@Vh-ch- jksx fu;a=.k dk;ZØe &1962  orZeku esa UIP çksxzke ds vUrxZr 12 chekfj;ksa ds çfr
 la'kksf/kr jkf"Vª; T.B. fu;a=.k dk;ZØe dh 'kq:vkr (Revised Vhdkdj.k fd;k tkrk gS&
National T.B. control programme) (RNTCP) 1997 EP  Pneumocacual Vaccine dks UIP dk;ZØe esa dc 'kkfey fd;k
 Full form of DOTS- Direct Observed Treatment Short- x;k &2017
Course  Hepatitis-B dh oSfDlu dks UIP dk;ZØe esa dc 'kkfey dh x;h
 DOTS programme 1997 ls RNTCP çksxzke ds vf/ku &2002-2003
lapkfyr gks jgk gSA  Haemophilus iuflunza type-B dh oSfDlu dks UIP dk;ZØe esa
 2020 esa RNTCP çksxzke *jkf"Vª; {k; jksx mUewyu dk;ZØe* dc 'kkfey dh x;h&2011
(NTEP) ls Replace gks x;kA vr% vc DOTS programme  iYl iksfy;ks Vhdkdj.k dk;ZØe ds vUrxZr fdrus lky rd ds
PL
jkf"Vª; {k; jksx mUewyu dk;ZØe ds vf/ku lapkfyr gks jgk gSA cPpksa dks oSfDlu dh fiykbZ tkrh gS&0 ls 5 lky (MP CHO-2018)
 jkf"Vª; {k; jksx mUewyu (Elimination) dk;ZØe dh 'kq:vkr &  iYl iksfy;ks Vhdkdj.k dk;ZØe ds vUrxZr 0 ls 5 lky rd ds
2020 (National T.B. Elimination programe), ;g cPpksa dks fdruh caqan oSfDlu dh fiykbZ tkrh gS&2 cqan eqag }kjk
programme RNTCP dh txg pyk;k tk jgk gSA  NRHM dh full form D;k gS\& National Rural Health
 fudl; çksxzke (NIKSHAY Programme)- ;g T.B. ds efjtksa dks Mission. (MP CHO-2020)
M

online monitoring djus okyk system gSA  jkf"Vª; xzkeh.k LokLF; dk;ZØe (NRHM) dh 'kq:vkr dc gq;h
 DOTS plus- ;g programme Mutlidrug Restistant TB Fkh&12 vçSy 2005
(MDR-TB) okys efjtksa ds mipkj ds fy, py jgk gSA  Full form of ASHA- Accredited Social Health Activist
 jkf"Vª; ,M~l fu;a=.k dk;ZØe dh 'kq:vkr &1992 ¼ekU;rk çkIr lkekftd LokLF; dk;ZØrkZ½ (Punjab CH0-2021)
SA

 ASHA orZeku esa NRHM dk;ZØe ds vUrxZr dk;Z djrh gSA

 jkf"Vª; ,M~l fu;a=.k laxBu&National AIDS control
Organisation (NACO)  ,d ASHA dh fu;qfDr 1000 dh vkcknh ij dh tkrh gSA
 LFkkiuk o"kZ &1992 (FAQS)
 eq[;ky; & ubZ fnYyh  çtuu ,oa cky LokLF; dk;ZØe (RCH) dh 'kq:vkr dc gq;h Fkh&
1997
 NACO ,d jkf"Vª; ,atslh gS tks HIV/AIDS ds efjtksa dh
fuxjkuh ,oa fu;a=.k djrh gSA  RCH-I Qst &1997
 Full form of NACO- National AIDS control  RCH-I Qst &2005
organisation (NACO)  orZeku esa RCH çksxzke NRHM program ds vUrZxr lapkfyr gks
 Full form of ICTC- Intregrated Counsalling & jgk gSA
Treatment Centre (ICTC) (HP, Punjab CHO-2020)  jkf"Vª; LokLF; dk;ZØe (NHM) dh 'kq:vkr dc gq;h Fkh&
2013
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 Initiatives of Menstral Hygiene Scheme (Tripura lkIrkfgd vk;ju Qksfyd ,flM lIyhesaVs'ku (WIFS)
CHO 2022) dk;ZØe
 Safe disposal of sanitary napkin  LokLF; vkSj ifjokj dY;k.k ea=ky; us fd'kksj yM+fd;ksa vkSj
 Sourcing and procurement of sanitary napkins yM+dksa esa ,uhfe;k dh mPp çlkj vkSj ?kVukvksa dh pqukSrh dks iwjk
 Storage and distribution of sanitary napkins djus ds fy, Weekly Iron & Folic Acid Supplementation
jk"Vªh; fd'kksj LokLF; dk;ZØe || RKSK (WIFS) dk;ZØe 'kq: fd;k gSA
 jk"Vªh; fd'kksj LokLF; dk;ZØe 7 tuojh] 2014 dks 'kq: fd;k  WIFS dk;ZØe 2012 esa 'kq: fd;k x;k FkkA
x;k FkkA  WIFS, IFA Supplementation vkSj f}okf"kZd d`fe fu;a=.k
 ;g dk;ZØe Hkkjr ds lHkh fd'kksjksa dks muds LokLF; vkSj lsgr ds (Biannual Helminthic Control) ds i;Zosf{kr lkIrkfgd
ckjs esa lwfpr djds vkSj ftEesnkjh ls fu.kZ; ysus ds ;ksX; cukdj varxZzg.k ds ek/;e ls fd'kksj yM+fd;ksa vkSj yM+dksa ds chp çpfyr
,uhfe;k dh fLFkfr ds fy, lk{; vk/kkfjr çksxzkesfVd çfrfØ;k gSA

E
mudh {kerkvksa dk mi;ksx djus ds dkfcy cukuk gS vkSj blds
fy, mudh t#jr okyh lsokvksa vkSj lgk;rk dks mu rd igqapkuk  nh?kZdkfyd y{; ,uhfe;k ds varj&ih<+h pØ dks rksM+uk gS]
gSA  ;g dk;ZØe iwjs ns'k esa xzkeh.k vkSj 'kgjh nksuksa {ks=ksa esa ykxw fd;k x;kA

AG
 The key principles of this programme is adolescent  WIFS dk mís';&
participation and leadership] Equity and inclusion]  fd'kksj vkcknh ¼10&19 o"kZ½ esa ,uhfe;k dh O;kidrk vkSj
Gender Equity and strategic partnerships with other xaHkhjrk dks de djukA
sectors and stakeholders-
 yf{kr lewg (Target Groups)-
 RKSK dk;ZØe dk vU; uke& National Adolescent
 6oha ls 12oha d{kk esa Ldwy tkus okyh fd'kksfj;ka vkSj yM+ds
Health Programme. EP (10-19 Years) tks ljdkjh@ljdkjh lgk;rk
 mís';% çkIr@uxjikfydk fo|ky;ksa esa ukekafdr gSaA
 iks"k.k esa lq/kkj School going adolescent girls and boys in 6th to
 ;kSu vkSj çtuu LokLF; esa lq/kkj 12th class enrolled in government/
 ekufld LokLF; esa o`f) djuk government aided/ municipal schools.
 pksVksa vkSj fgalk dks jksduk  Ldwy ls ckgj dh fd'kksfj;k¡ (10-19 Years)
 eknd inkFkksaZ ds nq#i;ksx dks jksduk Out of school adolescent girls.
PL
jk"Vªh; vk;ju Iyl igy  Interventions of WIFS Program-
National Iron Plus Initiative  Administration of supervised Weekly Iron-folic Acid
 LokLF; vkSj ifjokj dY;k.k ea=ky; us iwjs thou pØ esa çpfyr Supplements of 100mg elemental iron and 500ug
vk;ju dh deh ls gksus okys ,uhfe;k dh lkoZtfud LokLF; Folic acid using a fixed day approach for 52 weeks in
pqukSrh ls fuiVus ds fy, ,d O;kid j.kuhfr ds :i esa 2013 esa a year.
M

^^jk"Vªh; vk;ju Iyl igy^^ 'kq: dhA  Screening of target groups for moderate/severe anaemia
 gheksXyksfcu ds Lrj esa lq/kkj vkSj lHkh vk;q lewgksa ds fy, ,uhfe;k and referring these cases to an appropriate health facility.
ds çlkj dks de djus ds fy, vk;ju vkSj Qksfyd ,flM lIyhesaV  Biannual de-worming (Albendazole 400mg), six
vkSj MhokfeaZx ds fy, Albendazole fn;k tkrk gSA months apart] for control of helminthic infestation- It
SA

 yf{kr lewg (Target Groups)& should ideally be administered in month of August

 6&59 ekg ds cPps and the second dose should be given by February (six
months after the first dose).
 5&10 lky ds cPps]
 Information and counselling for improving dietary
 fd'kksj yM+fd;ka vkSj yM+ds ¼11&19½ o"kZ½]
intake and for taking actions for prevention of intestinal
 xHkZorh vkSj Lruiku djkus okyh efgyk,a vkSj çtuu vk;q oxZ worm infestation.
dh efgyk,a ¼20&49 o"kZ½A  Note-The WIFS programme will also cover married
 dk;ZØe dks ljdkjh@ljdkjh lgk;rk çkIr@uxjikfydk adolescent girls, pregnant and lactating adolescent
fo|ky;ksa vkSj vkaxuokM+h dsUæksa ds eap ds ek/;e ls dk;kZfUor fd;k girls will be given IFA supplements, according to current
x;kA guidelines for antenatal and postnatal care through the
existing health system of NRHM.

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vk;q"eku Hkkjr ;kstuk  bl ;kstuk ds rgr ifjokj ds lnL;ksa dh lnL; la[;k dh
dksbZ lhek ugha gSA (Tripura CHO 2022)
Pradhan Mantri Jan Ayogya Yojna (PM-JAY)
 vk;q"eku Hkkjr ;kstuk ;k ç/kkuea=h tu vkjksX; ;kstuk] Hkkjr  PM-JAY is one significant step towards
ljdkj dh ,d LokLF; ;kstuk gSA (Tripura CHO 2022) achievement of Universal Health Coverage (UHC)
 ea=ky;& LokLF; vkSj ifjokj dY;k.k ea=ky; and Sustainable Development Goal - 3 (SDG3).
 iwjk uke& vk;q"eku Hkkjr iz/kkuea=h tu vkjksX; ;kstuk  It aims to provide health protection cover to poor
vU; uke& jkf"Vª; LokLF; lqj{kk ;kstuk (National and vulnerable families against financial risk
Health Protection Scheme) arising out of catastrophic health episodes.
 bl ;kstuk dks ç/kkuea=h ujsUæ eksnh us 14 vçSy 2018 dks Hkhejko jkf"Vª; jksx fu;a=.k dsUnz
vEcsMdj dh t;Urh ds fnu >kj[kaM ds jk¡ph ftys ls vkjEHk fd;k] National Centre for Disease Control (NCDC)
ftls 23 September, 2018 dks iwjs Hkkjr es ykxw fd;k x;kA

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 It is an institute under the Indian Directorate General
 ;g ;kstuk fo'o dh lcls cM+h LokLF; lqj{kk ;kstuk gS] ftlesa 10
of Health Services, MOHFW, GOI.
djksM+ ls Hkh T;knk ifjokj ykHkkfUor gks jgs gSaA
Headquarter: New Delhi

AG

 Ayushman Bharat adopts a continuum of care
 It was previously known as National Institute of
approach, comprising of two inter-related
Communicable Diseases or Malaria Institute of
components, which are
India.
 Establishment of Health and Wellness Centres
 It was established in July 1963 for research in
(HWCs) LokLF; vkSj dY;k.k dsaæ
epidemiology and control of communicable diseases
 Pradhan Mantri Jan Arogya Yojana (PM-JAY) EP and to reorganize the activities of the Malaria Institute
LokLF; vkSj dY;k.k dsaæ of India.
 The first component, pertains to creation of
,dhd`r jksx fuxjkuh dk;ZØe
150,000 Health and Wellness Centres which will bring
Integrated Disease Surveillance Programme (IDSP)
health care closer to the homes of the people.
 It is a nationwide disease surveillance system in India
 One Mid Level Health Provider (MLHP) to be posted
incorporating both the state and central governments
on each HWCs. Till July-2022 more than 94,000
aimed at early detection and long term monitoring of
PL
Community Health Officers (CHOs) are
diseases for enabling efficient policy decisions.
working in all states & UTs.
 It was started in 2004 with the assistance and funded
 Health and Wellness Centres (HWCs) will provide
by World Bank.
Comprehensive Primary Health Care (CPHC)
 Under IDSP, data are collected on epidemic prone
through Mid Level Health Provider (MLHP), also
diseases on weekly basis (Monday-Sunday).
M

known as Community Health Officer (CHO) ,

covering both maternal and child health services and  Presently under IDSP the information is collected
non-communicable diseases, including free on three specified reporting formats-
essential drugs and diagnostic services.  'S' Form - Reporting Format for
Syndromic/suspect cases, filled by Health
SA

Pradhan Mantri Jan Arogya Yojana (PM-JAY)

Workers at Sub Centres. (Haryana, MP CHO-2022)
 vk;q"eku Hkkjr&jk"Vªh; LokLF; lqj{kk ;kstuk] tks 10 djksM+
xjhc vkSj detksj ifjokjksa ¼yxHkx 50 djksM+ ykHkkfFkZ;ksa½ dks  'P' Form- Reporting Format for Presumptive/
doj djsxhA blds vykok ckdh cph vkcknh dks Hkh bl ;kstuk Probable cases, filled by Medical Officer at PHC,
ds vUrxZr ykus dh ;kstuk gSA CHC & Hospital.
 bl ;kstuk dk mís'; vkfFkZd :i ls detksj yksxksa ¼chih,y  'L' Form - Reporting Format for Laboratory
/kkjd½ dks LokLF; chek eqgS;k djkuk gSA confirmed cases, filled by laboratory personnel.
 bl ;kstuk ds rgr gj ifjokj ds fy;s] çfr o"kZ 5 yk[k #i;s  Previoselly were 'L' Form filled in 3 separate forms
rd dk ek/;fed vkSj r`rh;d Lrj (secondary and L1, L2, L3 but all are merged in a single form L
tertiary level treatment) ij vLirky es ns[kHkky ds fy;s forma dnd 'W; form also filled for Water quality
dS'kjfgr LokLF; chek miyC/k djk;k tk jgk gSA (Tripura monitoring but it also discontinued in 2009.
CHO 2022)

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 y{; vkSj mís'; & (Tripura CHO 2022)  Community Based Organizations:
 MAA dk;ZØe dk y{; mPp Lruiku njksa dks çkIr djus ds Representatives of existing community based
fy, LokLF; ç.kkfy;ksa ds ek/;e ls Lruiku çFkkvksa ds çpkj] organisations like Self Help Groups, Forest
laj{k.k vkSj leFkZu dh fn'kk esa ç;klksa dks iquthZfor djuk gSA Management Committees, Youth Committees, etc.
jk"Vªh; iks"k.k lIrkg || National Nutrition Week  Pre-Existing Committees: If there are separate
 jk"Vªh; iks"k.k lIrkg (NNW), Hkkjr ljdkj ds efgyk ,oa cky committees on School Education, Water and
fodkl ea=ky;] [kk| vkSj iks"k.k cksMZ }kjk 'kq: fd;k x;k okf"kZd Sanitation or Nutrition, the first effort should be to
iks"k.k dk;ZØe gSA integrate with VHSNC, if not possible then include
 ;g dk;ZØe iwjs ns'k esa çfro"kZ 1 ls 7 flracj rd euk;k tkrk gSA members as VHSNC members.
 iks"k.k lIrkg eukus dk eq[; mís'; csgÙkj LokLF; ds fy, iks"k.k ds  Service-Users: Pregnant women, lactating
egRo ij tkx:drk c<+kuk gS] ftldk fodkl] mRikndrk] vkfFkZd mothers, mothers with children of up to 3 years of

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fodkl vkSj varr% jk"Vªh; fodkl ij çHkko iM+rk gSA age, and patients with chronic diseases who are
 jk"Vªh; iks"k.k lIrkg 2022 dh Fkhe& lsfyczsV oyZ~M v‚Q ¶ysoj using the public services should also find place

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 jk"Vªh; iks"k.k lIrkg 2021 dh Fkhe& ^'kq: ls gh LekVZ rjhds ls [kk,a^A
 Activities & Outcomes of the VHSNC:
 Frequency of Meeting- Meetings of VHSNC should
xzke LokLF;] LoPNrk ,oa iks"k.k lfefr
be held at least once every month. (UP, MP CCH 2022)
VHSNC Committee
 The ASHA (Member Secretary) and the Panch
 Full form of VHSNC: Village Health Sanitation & (Chairperson) will be responsible for organizing
Nutrition Committee the meeting.
 The VHSNC is to be formed at the level of revenue
village. Where the population of a revenue village is
over 4000 the VHSNC can be at the level of a Ward
Panchayat.
EP  Venue for Meeting: Public facility like AWC,
Panchayat Bhawan or School which is easy to reach
and accessible to all members.
 An untied fund of Rs. 10,000 is given annually to
 The VHSNC should have a minimum of 15 members. the VHSNC
It may have more members.
 In a 15 members committee, minimum quorum
At least 50% should be women members and SCs,
PL
 will be 50% but in large committees the quorum
STs and minorities should be well represented. could be 33%.
 Composition of VHSNC Committee- (MP CCH 2022)  Objectives of monthly meeting- work done, plan
 Elected Gram Panchayat Members: Those future activities, and decide to use of united fund.
members who are residents of the village are to be
preferred, like the women Ward Panch.
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 ASHA of the village (or all ASHA of the village): All Monthly
ASHAs of the village should be on the committee. Meetings
In small villages there would be only one ASHA per VHSNC Village Accounting for
Health the Untied
Planning
 Frontline staff of government health related Village Fund
SA

services: The ANM of the health department, the

Community Management
anganwadi worker of the ICDS, and the school Monitoring of of Unitied
teacher should be included as regular members Health Care Activities Village Health
Facilities
of Fund
only if they are resident in that particular village.
VHSNC
Otherwise they qualify to be special invitees. Facilitating
Service Record
Volunteers/ village level workers of other Delivery in the Maintenance
Village
government departments- eg. The hand pump
Organizing
mechanic of Public Health and Engineering Local Collective Monitoring and
Action for Facilitating
Department (PHED) or the field coordinators of Health Access to
Promotion Essential Public
the MNREGA programme, should also be Services

considered if they are resident in the village.

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iks"k.k || Nutrition
 Micro-Nutrients Vitamin and minerals  dkcksZgkbMªsV rhu rjg dh gksrh gS&
 Macro-Nutrients- Protein, Fat, Carbohydrates (Raj.  eksukslsdsjkbMsl& ÝDVkst] XysDVkst] Xywdkst (Fructos,
CHO-2020) Glactose, Glucose)
çksVhu/Protein  MkblsdsjkbMst& lqØkst] ysDVkst] ekYVkst (Sucrose,
 çksVhu ds dk;Z & Lactose, Maltose)
 Ård fuekZ.k ds fy, /To Tissue Buildirg  ikWyh lsdsjkbMsl& lsywykst] LVkpZ (Cellulose, Starch)
 'kjhj fuekZ.k ds fy, /To Body Building foVkfeu@Vitamin
 o`f) ,oa fodkl ds fy, /To Growth and Development  Vitamin nks rjg ds gksrs gS&

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 ,aVhckWMht ds fuekZ.k ds fy,@To Synthesis of  olk&?kqyu'khy foVkfeu &Vitamin- A, D, E, K
Antibodies  ty&?kqyu'khy foVkfeu Vitamin -B complex & C
 çfrfnu dqy dSyksjh dk 15 ls 20 izfr'kr çksVhu ls feyuk

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 Percusor of vita-A Beta Carotene
vko';d gSA (Raj. CCH-2022)
 Percursor of Vita-C- Glucoronate
 ,d xzke çksVhu ls 4 fdyks fdykSjh çkIr gksrh gSA
 Percursor of vita-D- Cholecalciferol/Vita-D
 nkyksa dh çksVhu dks ßxjhcksa dh çksVhuÞ Hkh dgk tkrk gSA
 Percursor of Vita-E - Tocopherols
 çksVhu ;qDr [kk|; inkFkks± ds uke& nkyas] v.Mk] nq/k] ngh]
iuhj] ekal vkfnA  Percursor of Vita-K - Phylloquinone or Phytomenadione

olk@Fat
EP  Vita-D dh deh ls cPpksa esa dkSulk jksx gksrk gS\& fjdsV~l
(Rickets) (MP-CHO-2019)
 olk (Fat) dSyksjh dk eq[; ?kVd gSA
 Vita-D dh deh ls Adults esa dkSulk jksx gksrk gS&
 ,d xzke QSV ls 9 dSyks dSyksjh feyrh gSA
vksLVh;kseysfl;k (Osteomalacia)
 Fat ls 'kjhj dk rkieku fu;af=r jgrk gSA
 Vita-A dh deh ls dkSulk jksx gksrk gS& jarks/kh (Night
 çfrfnu dqy dSyksjh dk 30-40 çfr'kr dSyksjh QSV ls
Blindness) (Bihar-CH0-2020)
feyuk vko';d gksrk gSA (UP CCH-2022)
 Vita-B1 dh deh ls dkSulk jksx gksrk gS& csjh&csjh
PL
 QSV ;qDr [kk/; inkFkks± ds uke& ?kh] cVj] ngh] eNyh] rSy
vkfnA  Vita-B2 dh deh ls dkSulk jksx gksrk gS& fpyksfll
dkcksZgkbMªsV/Carbohydrate (Chielosis) ¼eqag ds corner ls QV tkrk½
 ;g dSyksjh dk lcls lLrk (Chepeast) L=ksr gSA  Vita-B3 dh deh ls dkSulk jksx gksrk gS& iSysxzk (Pallegra)
 Hkkstu ls feyus okyh dqy dSyksjh dk 50-60%  Vita-C dh deh ls dkSulk jksx gks tkrk gS& LdohZ (Scury)
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dkcksZgkbMªsV ls feyuk pkfg,A (MP NHM-2021)

 ,d xzke dkcksZgkbMªsV ls 4 fdyks dSyksjh feyrh gSA
fofHkUu foVkfeUl ds jklk;fud uke vkSj deh ls gksus okys jksx
deh ls gksus okys jksx dk uke
SA

Sr. No. Name of Vita. Hindi English

1. Vitamin-A jsVhukWy Retinnol jrksa/kh (Night Blindness)
2. Vitamin -B1 Fkkbfeu Thiamine csjh&csjh
3. Vitamin -B2 jkbcks¶ysohu Riboflavin fpyksfll
4. Vitamin -B3 fu;kflu Niacin iSysxzk
5. Vitamin -B5 isUVksFksfud ,flM Pantotnehic Acid -
6. Vitamin -B6 ikbjksMksDMhu Pyrodoxine Neuritis
7. Vitamin -B7 Ckk;ksfVu Biotin -
8. Vitamin -B9 QkSfyd ,flM Folic Acid Pernicious Anaemia
9. Vitamin -B12 Lkkbuks dksckykehu Cyano-Cobalamine Pernicious Anaemia
10. Vitamin -C ,LdkWfcZd ,flM Ascorbic Acid LdohZ
11. Vitamin -D dksysdsfYlQsjkWy Chole Calciferol fjdsV~l
12. Vitamin -E VkWdksQSjkWy Tocoferol uiqla drk
13. Vitamin -K QkbyksD;qukWu Phylloquivone jDr dk FkDdk u teuk

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dqiks"k.k || Malnutrition
 ;g iks"kd rRoksa dh deh ;k vf/kdrk ls gksus okyh jksxtud Malnutrition
fLFkfr gSA
 bldk eq[; izdkj eksVkik ,oa PEM gSA Overnutrition Undernutrition

Obesity Marasmus Kwashiorkor

Various Forms o f Malnutrition

A. Under-nutrition- There are 4 types- wasting, stunting, underweight, and deficiencies in vitamins and minerals.
 Low weight-for-height: it is known as wasting. It usually indicates recent and severe weight loss, such as diarrhea.
 Low height -for-age: it is known as stunting. It is the result of chronic or recurrent under -nutrition, usually associated

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with poor socioeconomic conditions, poor maternal health and nutrition, frequent illness.
 Low weight-for-age: it is known as underweight. A child who is underweight may be stunted, wasted, or both.
B. Over-nutrition: it is a form of imbalance between energy consumed (too much) and energy expended (too l ittle), resulting in

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Overweight and obesity.
C. Micronutrient-related malnutrition- Iodine, vitamin A, and iron are the most important in global public health terms.

Protein Energy Malnutriton (PEM)  irys gkFk&iSj

 ;g eq[; izdkj dk dqiks"k.k (Malnutriton) gSA  lq[kh Ropk
 ;g eq[;r% 5 o"kZ rd ds cPpksa essa vf/kd ik;k tkrk gSA  o`) O;fDr dh rjg fn[kkbZ nsuk
 ;g nks çdkj dk gksrk gS& Kwashiorkar & Marasmas EP IAP Grading of Severity of PEM
MARASMUS KWASHIORKOR
Dof'k;ksjdj (Kwashiorkar) → Grade -I: Loose skin folds of axillla & groin Grade -I: Pedal oedema
Grade -II: Wasting of thigh & buttocks Grade -II: Facial oedema
 ;g izksVhu (Protein) dh deh ls gksrk gSA (UP NHM-2019) Grade -III : Wasting of chest & back Grade -III: Chest & body oedema
 blds eq[; y{k.k gS& Grade -IV :Wasting of Buccal pad of fat Grade -IV: Ascites

 isV ,ao gkFk&isjksa ij lqtu dqiks"k.k ds dkj.k&

 ckyksa dk :[kkiu  xjhch
 de otu]
PL
 izFkfed LokLF; ns[kHkky dh deh
 nLr
 vf'k{kk ,oa tkx:Drk dh deh
 lq[kh Ropk
 cky fodk; ;kstukvksa dk viz;kIr fØ;kUo;u
 ¶ysx lkbu (Flag sign)
 Poor sanitation
ejkLel (Marasmas): -
 Weak public distribution in India
M

 ;g olk (Fat) ,oa dSyksjh dh deh ls gksrk gSA (Haryana

 Severe and frequent infections like as diarrhea and
CCH-2021)
pneumonia
 blds eq[; y{k.k gS&
 Hkkstu esa viz;kIr izksVhu] olk vkSj dkcksZgkbMªsV
 'kjhj esa olk ¼pchZ½ dh deh
 viz;kIr cky ,oa ekr` ns[kHkky
SA

 de otu
Difference Between Marasmus & Kwashiorkor
Clinical Features Marasmus Kwashiorkor
Always Present
Muscle wasting Obvious Sometimes hidden by oedema and fat
Fat wasting Severe loss of subcutaneous fat Fat often retained but not firm
Oedema None Present in lower legs. And usually in face and lower arms
Weight for height Very low Low but may be masked by oedema
Mental changes Sometimes quiet and apathetic Irritable, moaning, apathetic
CLINICAL Sometimes Present
Appetite Usually good Poor
Diarrhoea Often (current and past) Often (current and past)
Skin changes Usually one Diffuse pigmentation, sometimes flaky paint dermatosis
Hair changes Seldom Sparse, silky, easily pulled out
Hepatic enlargement None Sometime, due to accumulation of fat

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Classification of Obesity Based on BMI: Classification of Underweight Based on BMI

CLASSIFICATION BMI CLASSIFICATION BMI
Pre - obese (overweight) 25.0 - 29.99 Grade I Underweight 17.0 - 18.49
Obesity Grade I 30.0 - 34.99 Grade II Underweight 16.0 - 16.99
Obesity Grade II 35.0 - 39.99 Grade III Underweight <16.0
Obesity Grade III (Morbid obesity) ≥40.0
WHO Classification of BMI For Children Ages 2-19 Years
BMI Level Weight Classification
Below 5th Percentile Underweight
5th to 84.9 th Percentile Normal weight
85 th to 94.9 th Percentile Overweight
95 th Percentile or above Obese

ty dh dBksjrk ,oa Dyksfjus'ku || Hardness of Water & Chlorination

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ty dh dBksjrk  ty esa Dyksfju feykus ds ckn ;g Hypochlorus Acid dk fuekZ.k

AG
vLFkk;h dBksjrk (Temporary Hardness): djrh gS] tks ty esa ?kqyu'khy ?kkrd lq{ethoksa dks ekjrk gSA
 ty dh vLFkk;h dBksjrk dSfYl;e ,oa eSXuSf'k;e ds ckbdkcksZusV  Dyksfjus'ku ds ckn ty esa Free Residual chlorine dh ek=kk
ds dkj.k gksrh gSA 0.5 ls 0.8 mg rd gksuh pkfg,A (Raj. CHO-2020)
 vLFkk;h dBksjrk dks mckyus (Boiling) }kjk vklkuh ls nqj dh  Ortho-Todiline Test-;g Test Dyksfjus'ku ds ckn ty esa Free
tk ldrh gSA residual chlorine dh ek=k dk irk yxkus ds fy, fd;k tkrk gSA

LFkk;h dBksjrk (Permanent Hardness): EP  Horrock's Appratus- ;g ,d ;a= gS ftldk mi;ksx

Dyksjhus'ku esa fd;k tkrk gSA
 LFkk;h dBksjrk ty esa dSfY;le ,oa eSfXuf'k;e ds lYQsV] Stages of Water Environmental Air
DyksjkbM ,oa ukbVªsV ds dkj.k gksrh gSA Purification: Composition:
 LFkk;h dBksjrk ty dks mckyus (Boiling) ls nqj ugha dh tk  First: Storage of water  Nitrogen – 78%
ldrhA  Second: Filtration  Oxygen – 21%
 Third: Disinfection of  CO2 – 0.03% &
 LFkk;h dBksjrk dks nqj djus ds fy, ty esa Sodium Water  Other gases-0.7%
bicarbonate ¼lksfM;e ckbdkcksZusV~½ feyk;k tkrk gS ;k FAQs:
PL
Dyksfjus'ku fd;k tkrk gSA  Water Purification dh First stage D;k gksrh gS& Storage of
water
Dyksfjus'ku /Chlorination  Water Purification dh Second stage D;k gksrh gS & Filtration
 ;g NksVs Lrj ij ty 'kks/ku (Water purification) dh igyh  okrkoj.k esa Nitrogen xSl fdruh izfr'kr ik;h tkrh gS & 78%
izfØ;k gSA  okrkoj.k esa Oxygen xSl fdruh izfr'kr ik;h tkrh gS& 21%
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vUrjkZf"Vª; LokLF; laxBu || International Health Organisation

fo'o LokLF; laxBu /WHO WHO Themes - (FAQs)
 Full form of WHO - World Health Organisation • 2016 : Halt the rise : beat diabetes
 LFkkiuk o"kZ&7 vçSy 1948 • 2017 : Depression : Let's talk
SA

 eq[;ky;& ftusok] LohVjtjySaM • 2018 : Universal Health Coverage : everyone,

 fo'o LokLF; fnol& ;g izR;Sd o"kZ 7 vçSy dks euk;k tkrk gSA everywhere
(MP, UP, Bihar, HP, Raj. CHO) • 2019 : Universal Health Coverage : everyone,
 Hkkjr esa WHO dk eq[;ky; ubZ fnYyh esa fLFkr gSA everywhere

 orZeku esa WHO dk Director-Tedros Adhanom ¼VsªMkWl • 2020 : Support nurses and midwives (Important)
vFkue½ gS tks ;qFkksfi;k ns'k ls gSA • 2021 : It's time to build a fairer, healthier world for
everyone, everywhere.
• 2022 : Health Promotion for Well-being, Equity
and Sustainable Development.
• WHO celebrated 2020 as “Nurses & Midwives year”

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COVID-19 Vaccines
 Covaxin is India's first indigenous, whole-virion, inactivated vaccine developed by Bharat Biotech in collaboration with the
Indian Medical Research Council (ICMR) and the National Institute of Virology (NIV), Pune for develop protection against
COVID-19.
 Covishield - Adeno virus spike protein based vaccine, which is manufactured by Serum Institute of Pvt. Ltd Company, India.
 Sputnik - a vector vaccine based on adenovirus DNA, in which the SARS -CoV-2 coronavirus gene is integrated, that developed
by the Gamaleya Research Institute of Epidemiology and Microbiology in Russia.
 Moderna - m-RNA based vaccine, which developed by American company Moderna, the United States National Institute of
Allergy and Infectious Diseases (NIAID) and the Biomedical Advanced Research and Development Authority (BARDA).
 iNCOVACC (BBV154) : Intranasal COVID Vaccine, which is manufactured by Bharat Biotech, under Restricted Use in
Emergency Situation for its intranasal Covid-19 vaccine, for usage in people aged 18 years and older.
 Corbevax: It is a protein subunit COVID-19 vaccine, developed by Texas Children's Hospital Center for Vaccine Development
and Baylor College of Medicine in Houston, Texas and Dynavax technologies based i n Emeryville, California. It is licensed to
Indian biopharmaceutical firm Biological E. Limited (BioE), Hyderabad for development and production. It is used in 5 to

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12 years old children only.
 ZyCoV-D is a DNA plasmid-based COVID-19 vaccine developed by Indian pharmaceutical company Cadila Healthcare,
Ahemdabad with support from the Biotechnology Industry Research Assistance Council. It is approved for emergency use in

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India. World’s first plasmid DNA COVID-19 vaccine which is administered by Intra-dermal route.

Most Important Index & Charts

laØked fcekfj;ka || Communicable Diseases
Disease Causative Incubation Mode of
EP Sign and symptoms Complications
agent period transmission
Rubella RNA virus of 2-3 weeks Droplet Coryza, sore throat, low grade Arthralgia
(Germen toga virus Average 18 fever, lymphadenopathy, rash Thrombocytopenic
measles) family. days purpura
Smallpox Variola virus 11-14 days Droplet Fever, typical rash occur in
centrifugal distribution
Chickenpox Varicella 14- 16 days Person to Vesicular rashes, pattern- Reye’s syndrome: occurs
PL
zoster person by centripetal Pleomorphism is a during recovery from
virus droplet characteristic feature of the viral disease.
rash in chickenpox fever,
Disseminated Intravascular
malaise
Coagulation (DIC) may
occur
M

Measles Measles virus 10-14 days Droplet Fever, coryza, nasal discharge, Otitis media (inflammation
(Rubeola) family of para- cough, redness of eyes, , of inner ear) Pneumonia
myxoviridae vomiting , diarrhoea, koplik’s conjunctivitis
spot, maculopapular rashes
begins behind the ear and
SA

spread rapidly in few hours

over face and neck and
extend down to the body
taking 2-3 days to progress to
the lower extremities
Mumps Genus 2-3 weeks Droplet Pain and swelling in either or Orchitis
rubulavirus usually 18 both parotid gland but may Ovaritis and oophoritis
of the family days also involve sublingual and Pancreatitis (children)
submandibular glands, ear
paramyxoviri
ache, pain and stiffness on
dae opening the mouth

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Suggested Population Norms For Health Personnel

Health Personnel Norm Suggested
Doctor 1 per 1000
Nurse 3 per 1 Doctor
Health worker (male and fe male) – MPW 1 per 5000 (plains) or 3000 (hilly)
Health assistant (male and female) 1 per 30000 ( plains) or 20000 (hilly)
Pharmacist 1 per 10,000
Lab technician 1 per 10,000
ASHA 2 per 1000 (village)
Trained Dai / TBA 1 per 1000 (village)
Village health guide (VHG) 1 per 1000 (village)
Anganwadi worker (AWW) 1 per 400 -800 (plains) or 300-800 (hilly)
Hkkjr dh fofHkUu LokLF; desVh;ksa dk laf{kIr bfrgkl

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Briefly History of Health Planning Committees In India
Year Committee Summery of Recommendations
1946 Hkksj desVh  bl desVh dk v?;{k Sir Joseph Bhore FksA

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Bhore Sir Joseph Bhore was the chairman of bhore committee.
committee  bl desVh dk xBu 1943 rFkk bl dh fjiksVZ 1946 esa izdkflr gqbZ FkhA
It was appointed/established in 1943 and report submitted in 1946.
 bl desVh dk vU; uke gS& LokLF; losZ{k.k ,oa fodkl desVh
It also known as Health Survey and Development committee. (FAQ’s)
Hkksj desVh dh flQkfj’ksa@Recommendations of Bhore Committee-
 Short term recommendation- 1 PHC/40000 Population, 30 beds, 3 Sub-centres and 2 medical
officers. EP
 Long term recommendation- Primary health units- 75 bedded hospital/10-20k population,
Secondary health units- 650 bedded hospital & Regional health units with 2500 beds.
 Comprehensive proposal for the development of national program of Health Services
 Integration of preventive and curative Services all levels
 Development of primary healthcare in 2 stages
 This committee recommended- Compressive health care concepts.
 Recommended ‘3 million plan & social physician’
 Suggested 3 months training for doctors in Preventive & social medicines (PSM).
PL
1962 eqnkfy;j desVh  bl desVh dk vU; uke gS& LokLF; losZ{k.k ,oa ;kstuk desVh
Mudaliar This is also known as Health Survey and Planning Committee. (FAQ’s)
committee eqnkfy;j desVh dh flQkfj’ksa@ Recommendations of Mudaliar Committee-
 It recommended- 1 PHC/40000 Population maximum.
 It recommended regional organisations in each state.
 Advice for the strengthening of existing primary health care centres before now centres were
established
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 Strengthening of the district hospital with specialist services to serve as central base of regional
services
 Integration of medical and health services as recommended by Bhore committee
 Constitution of all India health services on the pattern of Indian administrative services
1963 p<~<k desVh p<~<k desVh dh flQkfj’ksa /Recommendations of Chadha committe-
SA

Chadha  The family planning health assistants were to supervise 3-4 of these basic health workers.
committee  It recommended a Malaria Vigilance Officer.
 1 basic health worker per 1000 population for malaria vigilance, family planning and as well as
collection of vital statics.
 The workers were envisaged as multipurpose workers to look after additional duties of collection
of vital statistics and family planning, in addition to malaria vigilance
 Monthly home visit should be implemented through basic health workers.
1965 eq[kthZ desVh eq[kthZ desVh dh flQkfj’ksa /Recommendations of Mukherjee committee-
Mukherjee  The Mukherjee committee recommended to GOI that separate or bifurcate the malaria activities
committee from family planning.
 The committee also recommended that separate staff for the family planning program.
 It also recommended 1 malaria inspector for 1000 population.
1966 eq[kthZ desVh Recommendations of Mukherjee committee
 The Mukherjee committee-1966 recommended that basic health services should be provided at
block level.

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Mission Bullet Points For Superfast Revision

 gkbZ ikWoj desVh dh LFkkiuk dc gq;h Fkh\ 1989  lkekU; /ofu dh gVZ~t esa jSat fdruh gksrh gS\ 20-20000 Hz
 lsBh desVh dh LFkkiuk dc gq;h Fkh\ 1954  WHO ds vuqlkj vLirky esa /ofu dh vf/kdre ek=k fdruh gksrh
 Hkkjrh; LokLF; ea=ky; dh LFkkiuk dc gq;h Fkh\ 1947 gS\ 40 db
 Hkkjr WHO dk lnL; ns'k dkSuls o"kZ esa cuk Fkk&1949  BCG vaccine dkSuls Route ls nh tkrh gS\ ID (Intra-
 RCH-2 dk;ZØe dh 'kq:vkr dc gq;h Fkh\ 2005 esa dermal)
 Hkkjr esa RTI-Act dc ikl ,oa ykxq gqvk\ 2005 esa  vkaxuckM+h dk;ZdrkZ dkSuls dk;ZØe ds vaUrxZr fu;qDr fd tkrh gS\
 Hkkjr esa Loty/kkjk dk;ZØe dh 'kq:vkr dc gq;h Fkh& 2002 esa lesfdr cky fodkl lsok,a (ICDS) ds rgrA
 fo'o LokLF; laxBu dk eq[;ky; dgka ij fLFkr gS\ ftusok]  ,d vkaxuckM+h dk;ZdrkZ dh fu;qfDr fdruh tula[;k ij dh tkrh
fLoVtjySaM gS\ 1000 tula[;k ij

E
 djrkj flag desVh vU; fdl uke ls tkuh tkrh gS\eYVhijit
 MMR fdl rjg dh vaccine gS\ ykbo oSfDlu
odZj desVhA
 iapk;rjkt dh csfld ;qfuV D;k gS\ xzke lHkk

AG
 UNICEF dk foLrkfjr :i gS&United Nations
 ,d CykWd esa fdrus xkao 'kkfey gksrs gS\ 100 xkao
International children Emergency Fund ¼la;qDr jk"Vª
 Hkkjr esa Village health guide scheme (VHGS) dh 'kq:vkr vaUrjkZf"Vª; vkikrdkyhu cky dks"k½A
dc gq;h\ 2 vDVwcj 1977 esa
 UNICEF dh LFkkiuk fdl o"kZ gq;h Fkh\ 1946
 Recommended maximum level of Noise- 85 db
 :csyk vU; fdl uke ls tkuk tkrk gS\ tjeu fetYl
 MMR oSfDlu dc nh tkrh gS\ 12 ls 15 efguas ij
EP  ijVqfll (Whooping caugh) dk jksxdkjd dk D;k uke gS\
 MMR oSfDlu fdl route ls nh tkrh gS - SC cksjMsVsyk ijVqfll (Bordetella Pertusis)
 MMR oSfDlu dkSu&dkSulh fcekfj;ksa ls lqj{kk çnku djrh gS\  iksfy;ks dk Incubation period fdrus fnu dk gksrk gS\ 7-14
fetYl] eEil] :csyk fnu
 fMIFksfj;k dk jksxdkjd dk D;k uke gS\ dksfjukscSfDVfj;e  OPV vaccine dh [kkst dkSuls oSKkfud us dh Fkh\ lkfcu 1961
fMIFkfj;kbZ (Corynebacterium, Diphtheriae) esaA
 Moist Heat Sterilization dk mnkgj.k gS&Autoclave,  ,d ASHA dh fu;qfDr fdruh tula[;k ij gksrh gS\ 1000 ij
PL
pressure cooker  izR;Sd o"kZ fo'o ,M~l fnol dc euk;k tkrk gS \ 1 fnlEcj
 vkWVksDyso esa le;] rkieku ,oa nkc fdruk gksrk gS \  izR;Sd o"kZ fo'o {k; jksx ¼Vh-ch-½ fnol dc euk;k tkrk gS\ 24
 le; &30 feuV ekpZ
 rkieku &1210C  çkÑfrd xHkZfujks/kd dk mnkgj.k gS\ Breast feeding,
Coitus interrupt
 nkc &15-20 Lbs sq inch
M

 BCG dk foLrkfjr :i gS&Bacilli Calmette Guerin

 ,UMksLdkWi ,oa czksUdksLdkWi dk Sterilizaton djus ds fy, fdldk
 OPV fdl izdkj dh oSfDlu gS&ykbo oSfDlu (Live)
mi;ksx fd;k tkrk gS & 2% Gluteraldehyde
 IPV fdl izdkj dh oSfDlu gS&e`r oSfDlu (Killed)
 ,dek=] ,slh dkSulh Immunoglobulin gS tks vijk
 izR;Sd o"kZ fo'o LokLF; fnol dc euk;k tkrk gS\ 7 vçSy dks
(Placenta) dks ikj dj tkrh gS\ IgG
SA

 Incidence New cases

 Immunoglobulin fdldh cuh gksrh gS\ ykbZiks çksVhu dh
 Prevalence- New cases + old cases.
 lcls T;knk ik;h tkus okyh Immunoglobulin dkSulh gS\ IgG
 Epidemiology-The study of distribution &
 eYVh MªXl FkSjsih (Mutli-Drugs Therapy) fdlds fy, mi;ksx
determinants of Health-related states is termed as
yh tkrh gS\dq"B jksx (Leprosy) chekjh ds fy,A epidemiology.
 dkSulh poisoning esa y{k.k 4 ls 6 ?ka.Vs esa gh fn[kkbZ nsus yxrs gS -  Examples of injectable Harmonal contraception-
Staphylococal poisoning esa DMPA, NET-EN
 csflyl lsjsjl Food Poisoning dkSuls nqf"kr [kk| inkFkZ ds  fetYl ¼[kljk jksx½dk nqljk uke D;k gS\ :ch;ksyk (Rubeola)
lsou ls gksrh gS\ Fried Rice  fVVusl ds jksxdkjd dk uke D;k gS\ DyksfLVªfM~;e fVVsuh
 vf/kdre fdruh Range okyh /ofu dkuksa ds fy, lqjf{kr ekuh  Iyh;kseksjfQTe (Pleomorphism) izdkj ds pdrs dkSulh
tkrh gS\ 25 db rd laØked chekjh esa ik;k tkrk gS\ fpduikWDl esa
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egRoiq.kZ jkf"Vª; LokLF; dk;ZØe || Important National Health Programs

jkf"Vª; LokLF; dk;ZØe dk uke Name of National Health Program Years
jkf"Vª; ifjokj fu;kstu dk;ZØe National Family Planning Programme 1952
jkf"Vª; ifjokj dY;k.k dk;ZØe National Family Welfare Programme 1977
jkf"Vª; eysfj;k fu;a=.k dk;ZØe National Malaria Control Programme (NMCP) 1953
jkf"Vª; eysfj;k mUeqyu dk;ZØe National Malaria Eradication Programme (NMEP) 1958
jkf"Vª; dq"B fu;a=.k dk;ZØe National Leprosy Control Programme (NLCP) 1955
jkf"Vª; dq"B mUeqyu dk;ZØe National Leprosy Eradication Programme (NLEP) 1983
jkf"Vª; {k; fu;a=.k dk;ZØe National Tuberculosis Control Programme (NTCP) 1962
lesfdr cky fodkl lsok,a Integrated Child Development Services (ICDS) Scheme 1975
jkf"Vª; vaU/krk fu;a=.k dk;ZØe National Programme for Control of Blindness (NPCB) 1976

E
jkf"Vª; dkyk vtkj fu;a=.k dk;ZØe Naional Kala Azar Control Programme 1977
jkf"Vª; ekufld LokLF; dk;ZØe National Mental Health Programme 1982
jkf"Vª; ,M~l fu;a=.k dk;ZØe National AIDS Control Programme (NACP) 1987

AG
csch vuqdwy vLirky igy Baby Friendly Hospital Initiative (BFHI) launched by WHO 1991
Hkkjr esa csch vuqdwy vLirky igy Baby Friendly Hospital Initiative (BFHI) launched in India 1993
la’kksf/kr jkf"Vª; {k; jksx fu;a=.k dk;ZØe Revised National Tuberculosis Control Programme (RNTCP) 1997
cky thou j{kk ,oa lqjf{kr ekr`Ro (CSSM) dk;ZØe Child Survival and Safe Motherhood (CSSM) Programme 1992
jkf"Vª; ,M~l fu;a=.k dk;ZØe Phase-I National AIDS Control Programme-I (NACP-I ) 1992-97
jkf"Vª; ,M~l fu;a=.k dk;ZØe Phase-II National AIDS Control Programme-II (NACP-II)
EP 1999-2004
jkf"Vª; ,M~l fu;a=.k dk;ZØe Phase-III National AIDS Control Programme-III (NACP II) 2006-11
jkf"Vª; ,M~l fu;a=.k dk;ZØe Phase-IV National AIDS Control Program-IV (NACP-IV) 2012-17
mUur eysfj;k fu;a=.k ;kstuk Enhanced Malaria Control Project (EMCP) 1997
iztUku ,oa cky LokLF; dk;ZØe Phase-I Reproductive and Child Health Programme-I 1997-2004
iztUku ,oa cky LokLF; dk;ZØe Phase-II Reproductive and Child Health Programme II 2004-09
jkf"Vª; eysfj;k jks/kh dk;ZØe National Anti-Malaria Programme (NAMP) 1999
jkf"Vª; osDVj tfur jksx fu;a=.k dk;ZØe National Vector Borne Disease Control Programme (NVBDCP) 2003-04
PL
jkf"Vª; xzkeh.k LokLF; fe’ku National Rural Health Mission (NRHM) 12 April 2005
jkf"Vª; 'kgjh LokLF; fe’ku National Urban Health Mission (NUHM) 2013
jkf"Vª; LokLF; fe’ku ¼ xzkeh.k & 'kgjh ½ National Health Mission (NRHM + NUHM) 2013
iz/kkuea=h LokLF; lqj{kk ;kstuk Pradhan Mantri Swasthya Suraksha Yojana (PMSSY) 2006
jkf"Vª; rEckdw fu;a=.k dk;ZØe National Tobacco Control Programme (NTCP) 2007-08
M

cqtqxksZa dh LokLF; ns[kHkky ds fy, jkf"Vª; dk;ZØe National Program for Health Care of the Elderly (NPHCE) 2011
iz/kkuea=h tu/ku ;kstuk Pradhan Mantri Jan Dhan Yojana (PMJDY) 2014
iz/kkuea=h lqj{kk chek ;kstuk Pradhan Mantri Suraksha Bima Yojana 2015
iz/kkuea=h thou T;ksfr chek ;kstuk Pradhan Mantri Jeevan Jyoti Bima Yojana 2015
SA

visf{kr Vhdkdj.k dk;ZØe Expected programme for immunization or EPI 1978

lkoZHkkSfed Vhdkdj.k dk;ZØe Universal Immunization Programme or UPI 19 Nov. 1985

Also Remember
 jktLFkku dk dqy {ks=Qy 342]239 oxZ fdyksehVj gSA
 Hkkjr dk dqy {ks=Qy 3287000 oxZ fdyksehVj gS
 2011 dh tux.kuk ds vuqlkj jktLFkku dh Lkk{kjrk nj 66.11% gSA
 2011 dh tux.kuk ds vuqlkj Hkkjr dh lk{kjrk nj 74% gSA
 2011 dh tux.kuk ds vuqlkj jktLFkku dk ?kuRo 201@fdeh gS
 2011 dh tux.kuk ds vuqlkj fcgkj (63.82) jkT; dh lk{kjrk lcls de tcfd dsjy (92%) jkT; dh lk{kjrk nj lcls vf/kd gSA

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IMPORTANT MISSION QUESTIONARIES FOR CHO EXAMS
iz/kkuea=h lqj{kk chek ;kstuk dh 'kq:vkr dc gqbZ Fkh \ 9 May 2015
When was started Pradhanmantri Surksha Bima Yojna?
vVy isa'ku ;kstuk dh 'kq:vkr dc gqbZ Fkh\ 9 May 2015
When was started Atal Pension Yojana?
iz/kkuea=h thou T;ksrh ;kstuk dh 'kq:vkr dc gqbZ Fkh \ 9 May 2015
When was started Pradganmantri Jeevan Jyoti Yojana?
loZ f’k{kk vfHk;ku dh 'kq:vkr dc gqbZ Fkh \ 2001
When was started Sarv Siksha Abhiyan?
LoPN Hkkjr vfHk;ku dh 'kq:vkr dc gqbZ Fkh \ 2 Oct. 2014
When was started Swach Bhaeat Abhiyan?
eh'ku bUnz/kuq"k ;kstuk dh 'kq:vkr dc gqbZ Fkh \ 25 Dec. 2014

E
When was started Mission Inder Dhanush?
eh'ku bUnz/kuq"k ;kstuk dk eq[; mÌs’; D;k gS \ laiq.kZ Vhdkdj.k

AG
What is the main goal of Mission Inder Dhanush Yojana?
tuuh lqj{kk ;kstuk dh 'kq:vkr dc gqbZ Fkh \ 12 April 2005
When was started Janani Surksha Yojana/ JSY?
tuuh f’k’kq lqj{kk ;kstuk dh 'kq:vkr dc gqbZ Fkh \ 1 June 2011
When was started Janani Shishu Surksha Yojana/ JSSY?
iz/kkuea=h LokLF; lqj{kk ;kstuk dh 'kq:vkr dc gqbZ Fkh \ 2003
When was started PradhanMantri Swasthya Suraksha Yojana (PMSSY)?
EP
dSalj] e/kqesg] ân; vkSj LVªksd jksx dh jksdFkke ,oa fu;=.k ds fy, jkf"Vª; dk;ZØe dh 'kq:vkr dc gqbZ Fkh \ 2010 under NRHM
When was started National Programme for Prevention and Control of Cancer, Diabetes,
Cardiovascular diseases and Stroke (NPCDCS) program under NHM?
uotkr f’k’kq lqj{kk dk;ZØe dh 'kq:vkr dc gqbZ Fkh \ Sept. 2009
When was started Navjat Shishu Surksha Karykaram?
lesfdr cky lqj{kk ;kstuk dh 'kq:vkr dc gqbZ Fkh \ 2009-10
When was started Integrated Child Protection Scheme (ICPS)?
PL
cqtqxksZa dh LokLF; ns[kHkky ds fy, jkf"Vª; dk;ZØe dh 'kq:vkr dc gqbZ Fkh \ 2010-11
When was started National Programme for Health Care of the Elderly (NPHCE)?
jkf"Vª; cky LokLF; dk;ZØe dh 'kq:vkr dc gqbZ Fkh \ 2013
When was started Rashtriya Bal Swasthya Karykaram (RBSK)?
jkf"Vª; fd'kksj LokLF; dk;ZØe dh 'kq:vkr dc gqbZ Fkh\ 7 Jan. 2014
When was started Rashtriya Kishore Swasthya Karykaram (RKSK)?
M

orZeku esa fo’o LokLF; laxBu (WHO) dk funs’kd dkSu gS\ Dr. Tendros Adhanum
Who is the director of World Health Organisation WHO?
izFke jkf"Vª; LokLF; iksfylh dc ykWUp gqbZ Fkh \ 1983
When was launched first National Health Policy?
SA

vafre jkf"Vª; LokLF; iksfylh dc ykWUp gqbZ Fkh \ 2017

When was launched last National Health Policy?
izFke iapo"khZ; ;kstuk dh 'kq:vkr dc gqbZ Fkh \ 1951-56
When was started First Five Year Plan?
Hkkjr ljdkj us dc *jkf"Vª; ifjokj fu;kstu dk;ZØe* dk uke cnydj 1977
*jkf"Vª; ifjokj dY;k.k dk;ZØe* fd;k \
When was GOI changed the National Family Planning Program to National Family Welfare Program?
iz/kkuea=h tu vkjksX; ;kstuk ;k vk;q"eku Hkkjr ;kstuk dh 'kq:vkr dc gqbZ Fkh \ 25 Set. 2018 in Jharkhand.
When was launched Pradhanmantri Jan Aarogya Yojana PMJAY or Aayushman Bharat Yojana?
eh'ku ifjokj fodkl ;kstuk dh 'kq:vkr dc gqbZ Fkh \ 11 July 2017 for better family
When was launched Mission Parivar Vikas? planning services.
iz/kkuea=h jkf"Vª; Mk;fyfll dk;ZØe dh 'kq:vkr dc gqbZ Fkh \ 2017
When was started Pradhanmantri National Dialysis Program?
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Important Health Days / Months of

S.N.
2022
2022 Themes-2022
1 World Mental Health Day -2022 10 October Make Mental Health & Well-Being for All a Global Priority
fo'o ekufld LokLF; fnol&2022 lHkh ds fy, ekufld LokLF; vkSj dY;k.k dks oSf'od çkFkfedrk cuk,a
2 World Asthma Day -2022 4 May Closing Gaps in Asthma Care
fo'o vLFkek fnol&2022 vLFkek ns[kHkky esa varjky can djuk
3 World Health day -2022 7 April Our Planet, Our Health
fo'o LokLF; fnol&2022 gekjk xzg] gekjk LokLF;
4 World Population Day 11 July A world of 8 billion: Towar ds a resilient future for all –
Harnessing opportunities and ensuring rights and choices for all
fo'o tula[;k fnol 8 fcfy;u dh nqfu;k% lHkh ds fy, ,d yphyk Hkfo"; dh vksj & voljksa dk nksgu
vkSj lHkh ds fy, vf/kdkj vkSj fodYi lqfuf'pr djuk
5 International Nurses Day-2022 12 May Nurses: A Voice to Lead - Invest in Nursing and respect rights to
secure global health

E
varjkZ"Vªh; ulZt fnol&2022 ulsaZt% , okWbl Vw yhM & uflaZx esa fuos'k djsa vkSj oSf'od LokLF; dks lqjf{kr j[kus ds
vf/kdkjksa dk lEeku djs
6 World Breastfeeding Week -2022 1 to 7 Step Up for Breastfeeding: Educate and Support

AG
August
fo'o Lruiku lIrkg&2022 Lruiku ds fy, dne c<+k,a% f'kf{kr djsa vkSj leFkZu djsa
7 World Environment Day 5 June Only One Earth
fo'o i;kZoj.k fnol dsoy ,d i`Foh
8 International Yoga Day 21 June Yoga for Humanity
varjkZ"Vªh; ;ksx fnol ekuork ds fy, ;ksx
9 World AIDS Day 1 End inequalities, End AIDS, End pandemics
December
EP
fo'o ,M~l fnol vlekurkvksa dks lekIr djsa] ,M~l dks lekIr djsa] egkekfj;ksa dks lekIr djsa
10 World Malaria Day 25 April Harness innovation to reduce the malaria disease burden and save
lives
fo'o eysfj;k fnol eysfj;k jksx ds cks> dks de djus vkSj thou cpkus ds fy, uokpkj dk mi;ksx djsa
11 World Polio Day 24 October Delivering on a Promise (2021)
fo'o iksfy;ks fnol ,d okns dks iwjk djuk ¼2021½
12 World Diabetes Day 14 Nov Education to protect tomorrow
fo'o e/kqesg fnol dy dh j{kk ds fy, f'k{kk
PL
13 World Hypertension Day 17 May Measure Your Blood Pressure, Control i t, Live Longer
fo'o mPp jäpki fnol vius jäpki dks ekisa] bls fu;af=r djsa] yacs le; rd thfor jgsa
14 World Immunization week 24 to 30 Long Life for All
fo'o Vhdkdj.k lIrkg April lHkh ds fy, yack thou
15 National Vaccination/Immunization 16 March , Vaccines work for All
Day
M

jk"Vªh; Vhdkdj.k@çfrj{k.k fnol Vhds lHkh ds fy, dke djrs gSa

16 World Mental Health day 10 October Make Mental Health & Well-Being for All a Global Priority'
fo'o ekufld LokLF; fnol lHkh ds fy, ekufld LokLF; vkSj dY;k.k dks oSf'od çkFkfedrk cuk,a^
17 National Nutrition Week 1 to 7 Feeding smart right from start
jk"Vªh; iks"k.k lIrkg September 'kq: ls gh LekVZ QhfMax
SA

18 National Doctor’s Day 1 July Family Doctors on the Front Line

jk"Vªh; fpfdRld fnol ÝaV ykbu ij QSfeyh M‚DVj
19 World ORS day 29 July 2022: Jodi No.1-ORS and Zinc
2021: Oral Rehydration, No More Dehydration
2022% tksM+h uacj 1 &vksvkj,l vkSj ftad
fo'o vksvkj,l fnol 2021% vksjy fjgkbMªs'ku] uks eksj fMgkbMªs'ku
20 World Thalassemia day 8 May Be Aware. Share. Care: Working with the global community as one
to improve thalassemia knowledge
ifjfpr gksuk] 'ks;j djuk] ns[kHkky% FkSyslhfe;k Kku esa lq/kkj ds fy, oSf'od leqnk; ds
fo'o FkSyslhfe;k fnol lkFk dke djuk
21 World Red Cross day 8 May Be Human Kind
fo'o jsM Ø‚l fnol ekuo n;kyq cusa
22 World Mental Health Awareness 09-15 May 'loneliness
Week
fo'o ekufld LokLF; tkx:drk lIrkg vdsykiu

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Hkkjr ljdkj ds fofHkUu ea=ky;ksa ds v/khu lapkfyr jk"Vªh; dk;ZØe vkSj ;kstuk,a
dk;ZØe@;kstuk dk uke o"kZ ea=ky; dk uke
ç/kkuea=h mTToyk ;kstuk 1 May 2016 isVªksfy;e vkSj çk—frd xSl ea=ky;
ek¡ dk iw.kZ Lusg ^^ek¡^^ dk;ZØe (MAA) 5 Aug. 2016 LokLF; vkSj ifjokj dY;k.k ea=ky;
jk"Vªh; iks"k.k lIrkg (POSHAN) 1-7 Sep. efgyk ,oa cky fodkl ea=ky; (NORCET-2022)
csVh cpkvks csVh i<+kvks (BBBP) 22 Jan. 2015 efgyk vkSj cky fodkl ea=ky;
¼;g ;kstuk 3 ea=ky;ksa ds vf/ku py jgh gS½ LokLF; ,oa ifjokj dY;k.k ea=ky;
(Haryana CHO-2022) ekuo lalk/ku fodkl ea=ky;
LoPN Hkkjr vfHk;ku 2 Oct. 2014 is;ty vkSj LoPNrk ea=ky;
vkRefuHkZj Hkkjr vfHk;ku ;kstuk 12 Nom. 2020 Je vkSj jkstxkj ea=ky;
ç/kkuea=h thou T;ksfr chek ;kstuk 2015 foÙkh; lsok foHkkx A foÙk e=kay;
ç/kkuea=h lqj{kk chek ;kstuk 2015 foÙkh; lsok foHkkx A foÙk e=kay;
v‚ijs'ku eqLdku 2014 x`g ea=ky;

E
iks"k.k iquZokl dsaæ LokLF; ,oa ifjokj dY;k.k ea=ky;
jk"Vªh; ifjokj fu;kstu {kfriwfrZ ;kstuk 2005 LokLF; ,oa ifjokj dY;k.k ea=ky;
lHkh ifjokj fu;kstu lsok,¡ ¼xHkZfujks/kd fof/k;k¡½ LokLF; ,oa ifjokj dY;k.k ea=ky;

AG
,dh—r cky fodkl lsok,a (ICDS) 1975 efgyk vkSj cky fodkl ea=ky;
cky vfLrRo vkSj lqjf{kr ekr`Ro dk;ZØe (CSSM) 1992 LokLF; ,oa ifjokj dY;k.k ea=ky;
çtuu] ekr`] uotkr f'k'kq Iyl fd'kksj LokLF; Feb. 2013 LokLF; ,oa ifjokj dY;k.k ea=ky;
dk;ZØe (RMNCH+A)
jk"Vªh; xzkeh.k LokLF; fe'ku 2005 LokLF; ,oa ifjokj dY;k.k ea=ky;
jk"Vªh; 'kgjh LokLF; fe'ku 2013 LokLF; ,oa ifjokj dY;k.k ea=ky;
vk;q"eku Hkkjr ç/kkuea=h tu vkjksX; ;kstuk 2018 LokLF; ,oa ifjokj dY;k.k ea=ky;
jk’Vªh; cky LokLF; dk;ZØe (RBSK) 2013
EP LokLF; ,oa ifjokj dY;k.k ea=ky;
ç/kkuea=h lqjf{kr ekr`Ro vfHk;ku (PMSMA) 2016 LokLF; ,oa ifjokj dY;k.k ea=ky;
uotkr vkSj cpiu dh chekjh dk ,dh—r çca/ku 2003 LokLF; ,oa ifjokj dY;k.k ea=ky;
(IMNCI)
tuuh f'k'kq lqj{kk ;kstuk (JSSSY) 2005 LokLF; ,oa ifjokj dY;k.k ea=ky;
feM Ms ehy ¼e/;kà Hkkstu½ ;kstuk 1995 ekuo lalk/ku vkSj fodkl ea=ky; ¼u;k uke & f'k{kk ea=ky;½
ekfld /keZ LoPNrk ;kstuk 2011 ekuo lalk/ku vkSj fodkl ea=ky; ¼u;k uke & f'k{kk ea=ky;½
jk"Vªh; fd'kksj LokLF; dk;ZØe 2014 ekuo lalk/ku vkSj fodkl ea=ky; ¼u;k uke & f'k{kk ea=ky;½
Note: feM Ms ehy ;kstuk dk flracj 2021 ls u;k uke & ç/kkuea=h iks"k.k 'kfä fuekZ.k ;kstuk (PM-POSHAN)
PL
Full Form of Various Important Terms
Short Term Full Form Remark
RNTCP la'kksf/kr jk"Vªh; {k; jksx fu;a=.k dk;ZØe || Revised National Tuberculosis Control Program UP Staff Nurse -2017
PPIUCD çloksÙkj varxZHkkZ'k;h xHkZfujks/kd midj.k || Post-Partum Intra-Uterine Contraceptive Device UP CHO-2018
IUCD varxZHkkZ'k;h xHkZfujks/kd midj.k || Intra Uterine Contraceptive Device Raj- CHO-2020
M

RBSK jk"Vªh; cky lqj{kk dk;ZØe || Rahtriya Bal Suraksha Karyakaram UP CCH- 2021
RKSK jk"Vªh; fd'kksjh lqj{kk dk;ZØe || Rashtriya Kishori Suraksha Karyakaram
RMNCH+A çtuu] ekr`] uotkr] cky vkSj fd'kksj LokLF; dk;ZØe Haryana CHO 2021
Reproductive, Maternal, Newborn, Child and Adolescent Health/Program
NPCDCS dSalj] e/kqesg] ân; jksx vkSj LVªksd dh jksdFkke vkSj fu;a=.k ds fy, jk"Vªh; Bihar CHO-2020
SA

National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular MP CHO– 2020
Diseases and Stroke
COPD Ø‚fud v‚ClVªfDVo iYeksujh fMlv‚MZj Bihar CHO-2019)
Chronic Obstructive Pulmonary Disorders (FAQs) MP CHO– 2018, 21
DOTS Mk;jsDV v‚CtoMZ VªhVesaV 'k‚VZ&dkslZ Panjab CHO-2020
Direct Observed Treatment Short –Course (FAQs)
PMSMA ç/kkuea=h lqjf{kr ekr`Ro vfHk;ku || Pradhan Mantri Surakshit Matritva Abhiyan
VVM oSDlhu ok;y e‚fuVj Raj. CHO-2020
Vaccine Vial Monitor MP CHO-2021
BMWM tSo fpfdRlk vif'k"V çca/ku || Bio-Medical Waste Management Bihar CHO-2019
ILR vkbl fyaDM jsfÝtjsVj || Ice Linked Refrigerator
NACO jk"Vªh; ,M~l fu;a=.k laxBu || National AIDS Control Organization Punjab-CHO-2019
ELISA ,atkbe fyaDM bE;wuksl‚csaZV ,Llh || Enzyme Linked Immunosorbent Assay MP NHM
HIV áqeu bE;qquks MsfQfl,aUlh okbjl || Human Immune-deficiency Virus
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 www.missionhighnurses.com MISSION CHO
Community Health Nursing

Hkkjr esa lkoZtfud LokLF; egRo laLFkku || Institute of Public Health Importance in India
us'kuy baLVhVîwV v‚Q ok;jksy‚th National Institute of Virology (NIV), Under ICMR iq.ks
jk"Vªh; jksx fu;a=.k dsaæ National Centre for Disease Control (NCDC) ubZ fnYyh
us'kuy baLVhVîwV v‚Q esaVy gsYFk ,aM National Institute of Mental Health & Neuro-Sciences (NIMHANS) csaxyq#
U;wjks&lkbalst
dsaæh; vkS"kf/k vuqla/kku laLFkku Central Drug Research Institute (CDRI) y[kuÅ
iksLV xzstq,V baLVhVîwV v‚Q esfMdy lkbalst Post-Graduate Institute of Medical Sciences (PGIMER) paMhx<+
jk"Vªh; d‚yjk vkSj vka= jksx laLFkku National Institute of Cholera & Enteric Diseases, Under ICMR dksydkrk
Hkkjrh; fpfdRlk vuqla/kku ifj"kn Indian Council of Medical Research (ICMR) ubZ fnYyh
lat; xka/kh LukrdksÙkj vk;qfoZKku laLFkku Sanjay Gandhi Post-Graduate Institute of Medical Sciences (SGPGI) y[kuÅ
varjkZ"Vªh; Vhdkdj.k dsaæ] n fdax baLVhVîwV v‚Q International Vaccination Centre, King’s Institute of Preventive Medicine, psUubZ
fçosafVo esfMflu ,aM fjlpZ Chennai

E
fuokjd fpfdRlk laLFkku Institute of Preventive Medicine gSnjkckn
jk"Vªh; iks"k.k laLFkku (NIN) National Institute of Nutrition (NIN), Under ICMR gSnjkckn
jk"Vªh; {k; jksx vuqla/kku laLFkku National Institute for Research in Tuberculosis (NIRT), Under ICMR psUubZ

AG
,aVjksok;jl vuqla/kku dsaæ Enterovirus Research Centre (ERC) eqacbZ
jk"Vªh; egkekjh foKku laLFkku National Institute of Epidemiology (NIE), Under ICMR psUubZ
jk"Vªh; dSalj fujks/kd vkSj vuqla/kku laLFkku National Institute of Cancer Prevention and Research (NICPR), Under ICMR uks,Mk
jk"Vªh; eysfj;k vuqla/kku laLFkku National Institute of Malaria Research (NIMR), Under ICMR ubZ fnYyh
çtuu LokLF; esa vuqla/kku ds fy, jk"Vªh; laLFkku National Institute for Research in Reproductive Health (NIRRH), Under ICMR eqacbZ
jk"Vªh; ikjaifjd fpfdRlk laLFkku National Institute of Traditional Medicine (NITM)
EP csyxke
jk"Vªh; ,M~l vuqla/kku laLFkku ¼ukjh½ National AIDS Research Institute (NARI), Under ICMR iq.ks
O;kolkf;d LokLF; ds jk"Vªh; laLFkku National Institute of Occupational Health (NIOH), Under ICMR vgenkckn
us'kuy baLVhVîwV v‚Q iSFkksy‚th National Institute of Pathology (NIP), Under ICMR ubZ fnYyh
osDVj fu;a=.k vuqla/kku dsaæ Vector Control Research Centre (VCRC), Under ICMR iqMqpsjh
i;kZoj.k LokLF; esa vuqla/kku ds fy, jk"Vªh; National Institute for Research in Environmental Health (NIREH), Hkksiky
laLFkku Under ICMR
dq"B vkSj vU; ekbdkscSDVhfj;y jksxksa ds fy, vkxjk
PL
National JALMA Institute for Leprosy & Other Mycobacterial Diseases
jk"Vªh; tyek laLFkku (NJILOMD), Under ICMR
jk"Vªh; çfrj{kk :f/kj foKku laLFkku National Institute of Immunohaemotology (NIIH), Under ICMR eqacbZ
xSj&lapkjh jksxksa ij dk;kZUo;u vuqla/kku ds fy, National Institute for Implementation Research on Non -Communicable tks/kiqj
jk"Vªh; laLFkku Diseases (NIIRNCD), Under ICMR
vkuqoaf'kd vuqla/kku dsaæ Genetic Research Centre (GRC), Under ICMR eqacbZ
M

çtuu fpfdRlk laLFkku Institute of Reproductive Medicine (IRM) dksydkrk

BRIEFLY HISTORY OF OTHER IMPORTANT PROGRAMS

SA

Program Name Description

HRIDAY Yojana Full Name: National Heritage City Development and Augmentation Yojana (HRIDAY).
Launch date: 21 January 2015 Aim: To bringing together urban planning, economic growth and heritage conservation in an inclusive manner to
preserve the heritage character of each Heritage City.
Ministry: Ministry of Housing and Urban Affairs
Pradhan Mantri Fasal Bima It is an insurance service for farmers for their yields.
Yojana (PMFBY) It was formulated in line with One Nation–One Scheme theme by replacing earlier two schemes National
Launch date: 18 Feb. 2016 Agricultural Insurance Scheme (NAIS) and Modified National Agricultural Insurance Scheme (MNAIS)
Ministry: Ministry of Agriculture and Farmers Welfare
National Programme on AMR Strengthen infection control practices and promote rational use of antimicrobials through Antimicrobial
Containment stewardship activities. Generate awareness amongst health care providers and community on antimicrobial
Start: During 12th Five year resistance and rational use of antimicrobials.
plan
National Rabies Control National Rabies Control Programme approved by Ministry of Health and Family Welfare, Govt. of India, is being
Programme(NRCP) implemented in the country since 2013 with an objective to prevent deaths due to Rabies in humans.

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 www.missionhighnurses.com MISSION CHO
Community Health Nursing

Community Health Nursing fo"k; ls egRoiw.kZ iz'uksÙkjh

For CHO, CCH, Staff Nurse & ANM Exams Level
1. Hkksj desVh dc cuh Fkh\ b. lkeqnkf;d LokLF; dsUnz ,oa ftyk fpfdRlky;
a. 1946 b. 1950 c. 1943 d. 1948 c. esfMdy dkWyst d. izkbosV vLirky
2. Hkksj desVh us viuh fjiksVZ dc izLrqr dh\ 12. xzkeh.k LokLF; iks"kkgkj fnol vk;ksftr fd;k tkuk pkfg,\
a. 1946 b. 1943 c. 1947 d. 1948 a. efgus esa ,d ckj b. lIrkg esa ,d ckj
3. CHEB dh Full form D;k gS\ c. lky esa ,d ckj d. efgus esa nks ckj
a. Central Health Education Bereau 13. Type B PHC ij efgus es delivary load fdruk gksrk gS\
b. Central Health Environmental Bereau a. 20 ;k 20 ls T;knk b. 10 ;k 10 ls T;knk

E
c. Central Health Educative Bureau c. 30 ;k 30 ls T;knk d. 25 ;k 25 ls T;knk
d. Central Health Efficiency Bureau 14. Type - A PHC ij efgus esa delivery load fdruk gksrk gS\

AG
4. WHO ds vuqlkj LokLF; ds fdrus vk;ke gS\ a. 20 ;k 20 ls T;knk b. 30 ;k 30 ls T;knk
a. 52 b. 6 c. 4 d. 3 c. 20 ls de d. 30 ls de
5. WHO ds vuqlkj buesa ls dkSulk LokLF; dk vk;ke ugh gS\ 15. izkFkfed LokLF; dsUnz (PHC) fdruh tula[;k ij LFkkfir
a. 'kkjhfjd vk;ke b. ekufld vk;ke dh tkrh gS\
c. vkfFkZd vk;ke d. lkekftd vk;ke a. 20000 tula[;k igkM+h bykds esa ,oa 30000 tula[;k eSnkuh
6. buesa ls dkSulh F;ksjh causation of disease ls laEcf/kr gS\
EP {ks= esa
a. Contagion Theory b. Health Triad b. 25000 tula[;k igkM+h bykds esa ,oa 50000 tula[;k eSnkuh
{kS= esa
c. Pavlov Theory d. Maslow Theory
c. 5000 eSnkuh bykds esa ,oa 3000 igkMh {kS= esa
7. Action which halts the progress of disease at its
d. 120000 eSnkuh {kS= esa ,oa 80000 igkMh {kS= esa
incipient stage and presents complications ;g
dFku dkSuls Lrj ds cpko ls lEcf?kr gS\ 16. lkeqnkf;d LokLF; dsUnz (CHC) fdruh tual[;k ij
LFkkfir dh tkrh gS\
a. izkFkfed cpko b. f}rh; cpko
PL
a. 20000 tula[;k igkM+h bykds esa ,oa 30000 tula[;k eSnkuh
c. r`rh; cpko d. buesa ls dksbZ ugh {ks= esa
8. Health planning ds fy, buesa ls dkSu dkSuls lalk/kuksa b. 25000 tula[;k igkM+h bykds esa ,oa 50000 tula[;k eSnkuh
dh t:jr gksrh gS\ {kS= esa
a. deZpkjh /manpower b. /ku/Money c. 5000 eSnkuh bykds esa ,oa 3000 igkMh {kS= esa
M

c. Material d. mijksDr lHkh d. 120000 eSnkuh {kS= esa ,oa 80000 igkMh {kS= esa
9. NRHM ;kstuk ds rgr esfMdy dkWyst vLirky] Apex 17. Control of water supplies to ensure that they are
vLirky vkfn Health care structure esa dkSuls Lrj ij pure and wholesome ;g dFku fdldk gS\
vkrs gS A
a. fo'o LokLF; laxBu (WHO)
SA

a. izkFkfed Lrj b. f}rh;d Lrj c. r`rh; Lrj d. prqFkZ Lrj

b. iznq"k.k fu;a=.k foHkkx/PCD (Pollutin control department)
10. izkFkfed LokLF; ns[kHkky <+kaps es dkSu dkSuls LokLF;
c. LokLF; foHkkx
laLFkku vkrs gS\
d. ty vkiwfrZ foHkkx / WSD (Water Supply department)
a. mi LokLFk dsUnz ,oa izkFkfed LokLF; dsUnz
18. Orthotodiline Arsenite Test fdlds fy, fd;k tkrk gS\
b. lkeqnkf;d LokLF; dsUnz ,oa ftyk fpfdRlky;
a. Free residual chlorine dk irk yxkus ds fy,
c. esfMdy dkWyst d. izkbosV vLirky
b. ty dh pH dk irk yxkus ds fy,
11. f}fr;d LokLF; ns[kHkky <+kaps esa dkSu & dkSuls LokLF;
laLFkku vkrs gS\ c. ty dh 'kq)rk dk irk yxkus ds fy,
a. mi LokLFk dsUnz ,oa izkFkfed LokLF; dsUnz d. mijksDr lHkh

Ans. 1.C 2.A 3.A 4.A 5.C 6.A 7.B 8.D 9.C 10.A 11.B 12.A 13.A
Ans. 14.C 15.A 16.D 17.A 18.A
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 www.missionhighnurses.com MISSION CHO
Community Health Nursing

783. fuEu esa ls dkSulh Fksjsih ds nkSjku lhje ds Lrj (Serum 792. ,d efgyk ,d ifjokj fu;kstu fDyfud esa tkrh gS vkSj
level) dh ns[kHkky dh vko';drk gksrh gS\ vius xHkZ /kkj.k djus ds fy, loksZÙke le; ds ckjs esa iwNrh
a. yhfFk;e (Lithium) b. ,fefVªIVhfyu (Amitryptylline) gS ulZ/CHO dk dguk gS fd xHkZ/kkj.k dh lcls vPNh
c. gSyksisjhMkWy (Haloperidol) d. yksjkthie (Lorazepam) laHkkouk rc gksrh gS tc\ (MP CHO-2022, S-I)
784. fd'kksj iztuu vkSj ;kSu LokLF; dk;ZØe ds rgr a. izkstsLVsjksu dk Lrj de gksrk gS
fd'kksjks ds fy, iz'kkflr vk;ju dh [kqjkd gS\ (MP b. ,LVªkstu dk Lrj de gksrk gS
CHO-2022, S-I) c. Y;wfVukbftax ãeksZu vf/kd gksrk gS
a. 80 feyhxzke b. 100 feyhxzke d. Y;wfVukbftax ãeksZu de gksrk gS
c. 120 feyhxzke d. 150 feyhxzke 793. fuEu esa ls Communicable disease dk mnkgj.k gS\
785. fd'kksjksa ds fy, lkIrkfgd vk;ju vkSj Qksfyd ,flM a. ân;h foQyrk (Heart failure) b. {k; jksx (Tuberculosis)

E
iqjd dk;ZØe (WIFS) dk nh?kZdkfyd y{; gS\ (MP c. gheksQhfy;k (Hemophilia) d. dSUlj (Cancer)
CHO-2022, S-I)
794. fuEu esa ls Health Education iznku djus dh lcls
a. LoLFk cPps gksa

AG
izpfyr fof/k gS\
b. ,uhfe;k ds varj ih<+h pØ dks rksM+uk a. ysDpj fof/k (Lecture method) b. vfHku; (Role-play)
c. fd'kksjksa esa chekjh dks jksduk c. isuy ppkZ (panel discussion)
d. ;qok yM+fd;ksa ds LokLF; dks c<+kok nsuk d. leqg ppkZ (Group discussion)
786. tu leqnk; esa ew= ekxhZ; laØe.k (UTI) dk eq[; dkjd gS\ 795. fuEu esa ls cMh la[;k esa yksxksa dks Health Education
a. DySclh,yk (Klebsiella) EP iznku djus ds fy, dkSulh fof/k dk mi;ksx ugha fd;k tk
b. dksjkbu cSDVjh;e (Corny bacterium) ldrk gS\
c. bZ&dksykbZ (E-coli) a. Vsyhfotu (Television) b. ysDpj fof/k (Lecture method)
d. lkYeksusyk (Salmonella) c. bUVjusV (Internet) d. jsfM;ks (Radio)
787. vkink izca/ku (Disaster Management) dh vafre 796. ,d efgyk dks Pregnancy ds nkSjku fdruh Extra
voLFkk D;k gS\ calore ;qDr diet ysuh pkfg;s\
a. rS;kjh djuk b. iqufuekZ.k a. 500 kilocalorie per day
PL
c. iquokZl d. e`rdksa dh igpku djuk b. 300 kilocalorie per day
788. fuEu esa ls fdls lkeqnkf;d LokLF; dh ^jh<+ dh gM~Mh^ c. 100 kilocalorie per day
ekuk tkrk gS\ d. dksbZ Extra Diet ysus dh vko”;drk ugha gS
a. x`g eqykdkr (Home visist) b. vFkZO;oLFkk (Economy) 797. ,d Lruiku djus okyh efgyk (Lactating woman) dks
c. O;fDr (Individual ) d. ifjokj (Family) fdruh Kilocalorie ;qDr Extra Diet ysuh pkfg;s\
M

789. ekuoh; vif'k"Vksa ds lkFk dpjs dk fuiVkjk ,d fof/k ds a. 300 kilocalorie per day
}kjk fd;k tkrk gS] ftls dgrs gS\ b. 100 kilocalorie per day
a. MfEiax b. diksfLVax c. fu;fU=r fVfiax d. tykuk c. 400 kilocalorie per day
790. fuEu esa ls Herediatory disease dk mnkgj.k gS\ d. dksbZ Extra Diet ysus dh vko”;drk ugha gS
SA

a. ân;h foQyrk (Heart failure) b. {k; jksx (Tuberculosis) 798. fuEu esa ls batsDVscy xHkZfujks/kd lk/ku (Injectable
c. gheksQhfy;k (Hemophilia) d. All of the above contraceptive device) dk mnkgj.k gS\
791. dksey ekSf[kd xHkZfujks/kd xksyh (OCP) dh ,d [kqjkd ysus a. ,u,loh (NSV) b. Nk;k (chhaya)
ls pwd xbZA ,d lkeqnkf;d LokLF; vf/kdkjh ds :i esa c. vUrjk (Antara) d. izkstsLVklVZ (Progestasert)
dksey ds fy, lcls vPNh izfrfØ;k gksxh\ (MP CHO-2022, S-I) 799. fuEu esa ls dkSulk Combination Vital Sign rFkk mldh
a. cSfj;j fof/k dk iz;ksx djsa Nolrmal Value ds fy, mi;qDr gS\
b. NwVh gqbZ xksyh vHkh ysa vkSj dkslZ tkjh j[ksa a. Pulse Rate 58 Per minute b. Temperature-100°F
c. dkslZ can dj nsa D;ksafd vkslhih dk vc dksbZ vlj ughaa gksxk c. Respiration Rate 18 per minute
d. vxys fnu 2 xksfy;ka ysa vkSj dkslZ tkjh j[ksa d. Normal systolic pressure 80mm of Hg
Ans. 783.A 784.B 785.B 786.C 787.C 788.A 789.D 790.C 791.B 792.C 793.B
Ans. 794.B 795.B 796.B 797.C 798.D 799.C
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 www.missionhighnurses.com MISSION CHO

Community Health Nursing

800. fuEu esa ls dkSulk Health day 24 october dks euk;k 807. izkFkfed LokLF; ns[kHkky lsokvksa (primary health care
tkrk gS\ services) dkeq[; focus fdl izdkj dh lsokvksa ij gksrk gS\
a. fo”o {k;jksx fnol (World T.B. Day) a. mUuk;d (Promotive) b. jksdFkkekRed (preventive)
b. fo”o gsisVkbfVl fnol (World Hepatitis Day) c. iquokZl (Rehabilitative) d. mipkjkRed (Therapeutic)
c. fo”o iksfy;ks fnol (World Polio Day) 808. iquZokl lsokvksa (Rehabilitaition Services) dks fdl
d. fo”o Mk;fcVht fnol (World Diabetes Day) izdkj dh preventive services esa 'kkfey fd;k tkrk gS\
801. IMNCI ds vuqlkj 2 eghus ls 5 o"kZ rd ds cPps esa] a. Secondary level dh b. Primary level dh
vxj cPpk ikuh ihus esa vleFkZ gS vkSj mls ,saBu ;k c. Tertiary level dh d. Zero level dh
xHkhj dqiks"k.k gS cPps dks ---------------- ds :i esa oxhZd`r 809. fo'o LokLF; laxBu (World Health Organization) dh
fd;k x;k gSA (MP CHO-2022, S-I) LFkkiuk dc gqbZ Fkh\

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a. cgqr xaHkhj jksx b. U;weksfu;k a. 7 April, 1948 b. 17 June, 1949
c. dksbZ fueksfu;k ughaa d. LVsVl ,fiyksfIVdl c. 15 April, 1948 d. 15 August, 1947

AG
802. fuEu esa ls dkSulk health day 1st December dks euk;k 810. jk"Vªh; iks"k.k laLFkku fLFkr gS\ (MP CHO-2022, S-I)
tkrk gS\ a. iq.ks b. fnYyh c. xka/khuxj d. gSnjkckn
a. fo”o LokLF; fnol (World Health Day) 811. fuEu esa ls Contraception dk permanent lk/ku gS\
b. fo”o ,M~l fnol (World AIDS Day) a. Nk;k (Chhaya) b. izkstsLVklVZ (Progestasert)
c. fo”o dSaUlj fnol (World Cancer Day) c. Ldsyiy oslsDVkseh (Scalple vasectomy)
d. fo”o eysfj;k fnol (World Malaria Day) EP d. vUrjk (Antara)
803. fuEu esa ls dkSulk Day 14 November dks euk;k tkrk 812. vk;q"eku Hkkjr ;kstuk ds vaUrxZr ljdkj us nks ;kstuk
gS\ tkjh dh Fkh ftldk uke National Health Protection
a. fo”o {k;jksx fnol (World T.B. Day) Scheme vkSj\ (MPCHO-2019)
b. fo”o iksfy;ks fnol (World Polio Day) a. Health Center
c. fo”o gsisVkbfVl fnol (World hepatitis Day) b. Health and Yoga Center
d. fo”o Mk;fcVht fnol (World Diabetes Day) c. Health and Wellness Center
PL
804. fuEu esa ls izHkkoh LokLF; ns[kHkky (Effective health d. Wellness Center
care) ds Characteristics esa 'kkfey ugha gS\ 813. fuEufyf[kr esas ls dkSulk dk;ZØe 1976 esa pkyq gqvk Fkk\
a. Ik;kZIrrk b. O;kidrk (MPCHO-2019)
c. izklafxrk d. ladh.kZrk a. National Tuberculosis Control Program (NTPC)
M

805. fuEu esa ls fdl efgyk dks Tubectomy ds fy, izfjr b. National Malaria Control Program (NMCP)
fd;k tkuk pkfg,\ c. National Program For Control of Blindness (NPCB)
a. ,slh efgyk ftls ,d cPpk gks pqdk gS d. mijksDr esa ls dksbZ ughaa
b. ,slh efgyk tks pregnant gks pqdh gks 814. fe'ku ifjokj fodkl ds varxZr] fuEu esa ls dkSu lh
SA

c. uofookfgr efgyk igy ifjokj fu;kstu dks c<+kok nsrh gSa vkSj
d. ,slh efgyk ftlds nks cPps gS rFkk tks xHkZfujks/ku dk uofookfgr ;qxy dks vk'kk ds ek/;e ls fdV forfjr
permanent method viukuk pkgrh gS dh tkrh gS\ (MP CHO-2022, S-I)
806. de otu ds fy, ÅapkbZ ------------------- ds :i esa tkuk a. ubZ igy b. lkjFkh
tkrk gS vkSj vkerkSj ij gky gh esa vkSj xaHkhj otu c. u;k thou d. u;k losjk
?kVkus dk ladsr nsrk gSA (MP CHO-2022, S-I) 815. WHO ds vuqlkj “Adolescence” dh mez fdruh gS\
a. osfLVax (Wasting) b. LVafVax (Stunting) (MPCHO-2019)
c. lkekU; ls de otu d. PEM a. <10 year b. 11 15 years
c. 10- 19 year d. 20 29 years

Ans. 800.C 801.A 802.B 803.D 804.D 805.D 806.A 807.B 808.C 809.A 810.D
Ans. 811.C 812.C 813.C 814.A 815.C
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Community Health Nursing

dksjksuk ok;jl dh laf{kIRk tkudkjh || Briefly Information about COVID-19
 ;g ,d RNA virus gSA (Raj. CHO-2020)  COVID-19 ds eq[; y{k.k D;k gS&
 bldh QSfeyh dk uke Coronoviride gSA  rst cq[kkj  lq[kh [kkalh
 Full form of SARS- Severe Acute Respiratory  'okl ysus esa dfBukbZ  Fkdku] ekalisf'k;ksa esa nnZ
Syndrome (SARS CoV)  Lokn dk vuqHko u gksuk
 SARS-CoV ;g Coronovirus ifjokj ;k igyk fpfUgr okbjl gSA  COVID-19 ds funku ds fy, dkSuls Tests dk mi;ksx
 SARS-CoV Cat ls Human esa çlkfjr gksrk gSA fd;k tkrk gS&
 Full form of MERS- Middle East Respiratory Syndrome  RT-PCR (Reverase Transcription-Polymerase
 MERS dks vU; uke ls Hkh tkuk tkrk gS& Camel Flu Chain Reaction)
 MERS dk jksxdkjd dk uke D;k gS& MERS-CoV  HRCT (High Resolution Computed Tomograpgy)
 Rapid Antigen Test

E
 SERS dk jksxdkjd dk uke D;k gS& SERS-CoV-I
 COVID-19 dk jksxdkjd dk uke D;k gS& SARS-CoV-2  COVID-19 ls lacaf/kr O;fDr ds room ;k ckFk:e fdl inkFkZ
 COVID-19 dk igyk jksxh dgka feyk Fkk\ oqgku 'kgj] phu ls folaØfer fd;k tkrk gS\&1% lksfM;e gkbiksDyksjkbV~

AG
fnlEcj 2019  COVID Area ;k COVID Isolation esa Floor cleaner ds fy,
 WHO us COVID-19 dks dc oSf'od egkekjh (Pandemic) oLrqvksa tSls% Tables, bins, trolleys & side rails dks lkQ djus
?kksf"kr fd;k\ 11 ekpZ 2020 (JIPMR-2022) ds fy, dkSuls jklk;fud inkFkZ dk mi;ksx fd;k tkrk gS\ 1%
 COVID-19 dk foLrkfjr :i gS& lksfM;e gkbiksDyksjkbV~
 Co-Corona  Vi-Virus  D- Disease-19  WHO ds vuqlkj Corona ds çlkj dks jksdus ds fy, ,d&nqljs ls
 COVID-19 virus dk Clinical uke D;k j[kk Fkk\ Novel Coronavirus
EP ckr djrs le; de ls de fdruh nqjh j[kuh pkfg, \3 QhV
 COVID-19 fdl ek/;e ls ,d O;fDr ls nqljs O;fDr esa lapkfjr  CDC ds vuqlkj Corona ds çlkj dks jksdus ds fy, ,d nqljs ls
gksrk gS\ Respiratory route ls ;k laØfer O;fDr ds ckr djrs le; de ls de fdruh Physical distance j[kuh
Nhdus ;k [kkalus esa ';k Airborne or droplets ls pkfg,\&6 QhV

Covid-19 Important Mission MCQ's

1. According to WHO & Govt guidelines, PPE kit 8. dksjksuk okbjl (COVID-19) ds eq[; y{k.k D;k gS\
should be discarded in which colour of bag? a. cq[kkj b. [kkalh c. 'okl ysus esa dfBukbZ d. mijksDr lHkh
PL
a. Red colour bag b. Yellow colour bag 9. Hkkjr esa Corona Virus dk igyk ejht fdl jkT; esa ntZ
c. Blue colour bag d. Black colour gqvk Fkk\
2. COVID-19 dksfdl laLFkk us oSf'od egkekjh ?kksf"kr fd;k gS\ a. jktLFkku b. egkjk"Vª c. dsjy d. ubZ fnYyh
a. WHO b. UNICEF c. UN d. INC 10. How does Coronavirus transmit?
3. dksjksuk egkekjh dh otg ls Hkkjr ds dkSusls jkT; esa lcls a. When a person sneezes or cough, droplets spread
M

igys laEiq.kZ ykWdMkmu yxk Fkk\ in the air or fall on the ground and nearby surfaces.
a. jktLFkku b. mÙkjka[k.M c. xqtjkr d. iatkc b. If another person is nearby and inhales the
droplets or touches these surfaces and further touches
4. dksjksuk okbjl (COVID-19) 'kgjh ds dkSuls vax dks
his face, eyes or mouth, he or she can get an infection.
vf/kd çHkkfor djrk gS\
SA

c. If the distance is less than 1 meter from the infected

a. ân; b. QSQM+s c. ;Ñr d. fdMuh
person.
5. dksjksuk okbjl (COVID-19) dk Diagnosis djus ds fy, d. All the above are correct
dkSuls test dk mi;ksx fd;k tkrk gS\ 11. Severe acute respiratory 'syndrome' in human is
a. RT-PCR b. ELISA c. GFR Test d. mijksDr esa ls dksbZ ugha caused by?
6. dksjksuk okbjl (COVID-19) dk igyk ejht fdl ns'k esa ntZ a. Arenavirus b. Coronavirus
gqvk Fkk\ c. Picornavirus d. Rhabdoviruses
a. phu b. Hkkjr c. czkthy d. bVyh 12. Middle east respiratory syndrome (MERS) is the
7. Hkkjr ds dkSuls jkT; us lcls igys dksjksuk okbjl type of coronavirus, when was the first case of
(COVID-19) dks Pandemic ¼egkekjh½ ?kks"kr fd;k Fkk\ this virus reported?
a. gfj;k.kk b. jktLFkku c. dukZVd d. dsjy a. 2003 b. 2020 c. 2012 d. 2019
Ans. 1.B 2.A 3.A 4.B 5.A 6.A 7.A 8.D 9.C 10.D 11.B 12.C 13.B
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 Midwifery & Gynecological Nursing
03 Midwifery & Gynecological Nursing
Midwifery ;g LokLF; foKku vkSj LokLF; O;olk; dk Hkkx gS ftlesa Midwifery is the health science and health profession that
xHkkZoLFkk] cPps dk tUe vkSj izlo i'pkr ds le; dk v/;;u djrs gSA deals with pregnancy, childbirth, and the postpartum
lkFk gh blesa iztuu LokLF; dk Hkh v/;;u fd;k tkrk gSA bl LokLF; period (including care of the new born), in addition to the
ds O;olkf;d {kS= esa tukbZ@nkbZ dk dke djus efgyk dks feMokbZQ sexual and reproductive health of women throughout their
dgrs gSA lives. A professional in midwifery is known as a midwife.

eknk iztuu ra= / Female Reproductive System

ckgjh iztuu vax vkaUrfjd iztuu vax - Ampulla- Widest & tortuous parts of the oviduct, 5

E
External Organs Internal Organs cm lengths & usually fertilization occurs here.
 Mons pubis  Vagina
 Labia Majora  Cervix (FAQs)
Isthmus

AG
 Labia Minora  Uterus Ampulla
 Clitoris  Fallopian Tube
 Vestibule  Ovary
Note: Clitoris - ;g iq:"k ds Penis ds leku gksrk gS] tks L=h;ksa esa
Sexual aerosol ds fy, lcls T;knk losan'khy iztuu vax gksrk gSA
Infundibulum
iztuu ufydk ;k ;ksfu@Vagina Fimbriae
- ;g eyk'k; vkSj ew=k'k; ds chp fLFkr gksrk gSA EP va.Mk'k;@Ovary
- ;ksfu dk O;kl 2-5 lseh gksrk gSA
- izR;sd efgyk esa nks va.Mk'k; gksrs gSA
- ;ksfu dh yEckbZ Anteroriorly 7-9 lseh vkSj Posteriorly 10-
- ;g v.Ms dk fuekZ.k djrh gS vkSj mls fMaEcokfguh esa /kdsyrh gSA
12 lseh gksrh gS\
- bl dk vkdkj cknke (large almond) vkd`fr dk gksrk gSA
- ;g Birth canal ,oa Sexual Intercourse dk ekxZ gSA
- va.Mk'k; produce the sex steroids hormones
- ;ksfu dk PH vEyh; (4-5 pH) gksrk gS] D;ksafd blesa
oestrogen & progesterone in response to
PL
Doderlein's Bacillus Bacteria ik;k tkrk gS] tks ysfDVd
,flM dk fuekZ.k djrk gS] ftlls ;ksfu esa laØe.k ugha gksrk gSA pituitary gonadotropin or LH & FSH hormone.
xHkkZ'k; xzhok@Cervix
- ;g xHkkZ'k; dks ;ksfu ls tksMrk gSA
- lkekU; efgyk (non-prgenant) esa bldh yEckbZ 3&4 lseh gksrh
M

gSA
- xHkZorh efgyk (Prgenant) esa bldh yEckbZ 2 lseh gksrh gSA
Clitoris
- ;fn xHkkZ'k; xzhok (Cervix) dh yEckbZ 2 lseh ls de gksrh gSA rc
Labia
le; iwoZ&izlo (Preterm delivery) gksus dk tksf[ke jgrk gSA
SA

Majora Urethra
fMaEcokfguh@Fallopian Tube
Labia Vagina
- fMaEcokfguh ds vU; uke& uterine tube, oviduct &
Minora
Salpinges
- ;g 10&11 lseh yEch gksrh gSA Anus

- blds pkj Hkkx gksrs gSA

- fMaEcokfguh ds gh ,d Hkkx Ampula esa Fertilization gksrk gSA
(Bihar CHO-2021)
- Inflammation of fallopian tubes is called Salpingitis. External Female Reproductive Organs
- Intramural or interstitial- 1.25 cm long & 1 mm
diameter, narrowest part of the oviduct.
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 www.missionhighnurses.com MISSION CHO
Midwifery & Gynecological Nursing

- xHkkZ'k;@Uterus  xHkkZoLFkk ds nkSjku xHkkZ'k; dh vkUrfjd ijr ,UMksesfVª;e dks

 xHkkZ'k; uk'kifr vkdkj (Pear shaped) dk ekalis'kh; iztuu MsflMqvk (Decidua) dgrs gSA (Punjab CHO-2021)
vax gksrk gSA vU; lgk;d iztuu ra= ds vax&
 efgyk ds xHkkZ'k; esa Hkzq.k 9 ekg rd jgrk gS vkSj iks"k.k djrk gS Lru@Breast
rFkk 9 ekg i'pkr fodflr cPps dk tUe gksrk gSA blfy, bl eka  ;g izR;sd efgyk esa nks ik,s tkrs gS rFkk ;g efgyk dh Nkrh ij
dh dks[k (Womb) Hkh dgrs gSA fLFkr gksrs gSA
 vkdkj& uk'kirh vkd`fr dk gksrk gSA  bUgsa Mammary Glands dgrs gSA
 Normal Position Anteverted & Anteflexed  Lru Losn xzfUFk;ka (Sweat Gland) ;k Modified Aporine
 otu& 60 xzke Non-Pregenant efgyk rFkk 1000 xzke otu xzfUFk;ksa dk :i gSA
xHkZorh efgyk esa gksrk gSA (Tripura CHO-2020)  ;g olk esa ,EcsMsM xzfUFk mÙkd ds 15 ls 20 Lobules ls curk gSA

E
 xHkkZ'k; dh nhokj rhu ijrkssa ls cuh gksrh gS&  izR;sd Lobules viuh ySfDVQsjl MDV }kjk fuIiy rd tkrk gSA
 isjheksfVª;e& lcls ckgjh lhjl ijr  fuIiy ds vkl&ikl ds fixeasVsM Hkkx dks ,sjksyk (Areola) dgrs
ek;ksesfVª;e& e/; ijr] ;g lcls eksVh vkSj eldqyj ijr gksrh gSA

AG

gS A ;g ijr Living ligature of the Uterus dk dk;Z djrh gSA  fuIiy vkSj ,sjksyk ds vklikl eksaV~xksesjh xzfUFk;ka
(MP-CHO-2020) (Montgomery's Tubercle) ikbZ tkrh gSA
 ,UMksesfVª;e& ;g lcls vkUrfjd ijr gksrh gSA Hkw.k dk  Lru nqX/k (Breast Milk) esa IgA immunoglobulin izpqj ek=k
Implantation blh ijr esa gksrk gSA (Tripura-CHO-2020) esa ikbZ tkrh gS tks cPps dks laØe.k ls cpkrh gSA (Raj. CCH-2022)

Basic Level Nursing Exams ds fy, laf{kIr esa Important Topics


izlo ds pj.k/Stages of Labor
izlo dk igyk pj.k& ;g pj.k Onset True Pain ls ysdj
EP 
Abnormal Colour of Amniotic Fluid
Green colour-meconium stained, indicate fetal distress
Cervix ds iqjh rjg ls Dilation vkSj Effacement rd gksrk gSA  Golden colour- Rh incompatibility due to excessive
 izlo dk nwljk pj.k& Complete cervical dilation ls ysdj haemolysis
cPps ds tUe rd  Greenish yellow or saffron colour- post maturity or
PL
 izlo dk rhljk pj.k& uotkr tUe ls ysdj vijk ¼IyslsaVk½ ds post term babies.
fudyus rd  Dark red colour- concealed haemorrhage
 izlo dk pkSFkk pj.k& vijk fudyus ls ysdj 2 ?kaVs ckn rdA  Dark brown or tobacco colour- intra uterine death
xHkksZnd /Amoniotic Fluid IUD.
 ;g ,d lqjf{kr lkQ ikuh dh rjg gksrk gS tks ek¡ ds IykTek ls le; ds vuqlkj xHkZikr dh fof/k;ka&
M

L=kfor gksrk gSA  Mifepristone vkSj Misoprostol& 9 lIrkg rd

 ;g xHkkZoLFkk ds nkSjku Hkzq.k dh lqj{kk ,oa iks"k.k iznku djrk  Prostaglandin& 9 ls 12 lIrkg rd tSls dh Carboprost
gSA vkSj Dinoprost
 Amoniotic Fluid dh ek=k 12 lIrkg ij 50 ml gksrh gS rFkk  Vaccume Aspriration (D & V)& 12 lIrkg rd
SA

20 lIrkg ij 400 ml gks tkrh gS  Dilation vkSj CurettagE (D & C) 12 ls 14 lIrkg rd

 Amoniotic Fluid dh ek=k lcls T;knk 36 ls 38 lIrkg ij  lykbu vkWDlhVksflu bU¶;wtu& 12 ls 24 lIrkg rd
1yhVj gks tkrh gSA
 xHkkZ'k; dh 'kY;fØ;k (Hysterectomy) & xHkkZoLFkk ds 16
 izlo ds le; ¼40 lIrkg½ ;k Term ij 600 & 800 ml gksrh lIrkg ds ckn
gSA (Haryana CHO-2020)
HPV Vaccine
 blds ckn ;g yxkrkj de gksrk tkrk gSA rFkk iksLV VeZ ;k 42
 ;g oSfDlu efgykvksa dks Human Pappiloma Virus (HPV) ls
lIrkg ckn ;g 200 ml gh cprk gSA
gksus okys xHkkZ'k; xzhok ds dSalj (Cervical Cancer) ls cpkrh gSA
 Amoniotic Fluid dk fof'k"V xq#Ro& 1.010
(UP NHM, Raj. CCH-2022)
 Amoniotic Fluid dh vksleksysfjVh& 250 mOsm/L ;k
 efgykvksa esa fd'kksjkoLFkk ds nkSjku bl Vaccine dh rhu [kqjkd nh
gkbiksVksfud tkrh gSA
 Amoniotic Fluid fdl izdkj dk nzo gksrk gS& Hypotonic
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 www.missionhighnurses.com MISSION CHO

Midwifery & Gynecological Nursing

Mgso4 FkSjsih OXYTOCICS
 eSXuhf”k;e lYQsV dk jklkfud lq= Mgso4 gSA  v‚DlhVksflu (Oxytocin) dk Synthesis-Hypothalmus esa
 eSXuhf”k;e lYQsV dk lcls vf/kd mi;ksx Eclampsia ds bykt gksrk gS tcfd storage Posterior Pituitary Gland esa gksrk
o Eclampsia ds Prophylaxis ds fy, fd;k tkrk gS ,oa bldk gSA
mi;ksx VksdksykbfVd ds :Ik Hkh gksrk gSA  v‚DlhVksflu (Oxytocin) dks Love Hormone Hkh dgrs gSA
 lkekU;r ;g IM ;k IV Route ls fn;k tkrk gSA  v‚DlhVksflu dh fØ;k dh vof/k (Duration of Action) = 20
 Mgso4 ;g Eclampsia o Pre-eclampsia dh drug of feuV gksrk gSA
choice gSA (UP CHO-2019)  v‚DlhVksflu dk lcls vf/kd mi;ksx Induce Labour esa ,oa
Milk Ejection or Let Down Reflex ds promote esa fd;k tkrk gSA
 ;g (Mgso4) Membrane Stabilizer vkSj U;wjks&çksVsDVj ds
:i esa Hkh dk;Z djrk gSA  v‚DlhVksflu ds 1ml esa 5 Unit ,oa vxj Ampoule 2ml dk gks
rks 10 Unit gksrk gSA (UP CHO-2019)

E
 Mgso4 dk lkekU; lhje Lrj (Normal value) 1-5 to 2-6
 v‚DlhVksflu dk mi;ksx xHkkZ”k; ds ladqpu dks mÙksftr djus ds
mg/dl gksrk gSA
fy, fd;k tkrk gS ,oa PPH dks jksdus ds fy, Hkh bldk mi;ksx
Mgso4 dk fpfdRlh; Lrj (Therapeutic Level) 4 ls

AG

fd;k tkrk gSA
7mEq/L ;k 4.8 ls 8.4 mg/dl gksrk gSA
 v‚DlhVksflu FkSjsih ds nkSjku ges'kk v‚Dlhtu ,oa Emergency
 Mgso4 dh Loading dose - IM Route ls 10 xzke o IV midj.k cSM ds ikl working condition esa miyC/k gksus pkfg,A
Route ls 4 xzke gksrh gSA
 v‚DlhVksflu FkSjsih ds nkSjku çR;sd 30 feuV esa Maternal
 Mgso4 dh Total Loading dose - 14 xzke gksrh gS A (Haryana Vital Sign, FHR check djus pkfg,A
CH0 2022)
EP  v‚DlhVksflu dks dHkh Hkh Bolus ;k lh/ks IV ugha nsuk pkfg,A
 Mgso4 dh Maintenance Dose & 5 xzke Dose IM Route
 Labour Induce or Abortion esa Ergot Derivative like
ls çR;sd 4 ?kaVs esa Alternate Buttock ij tcfd IV Route ls &
methargine dk mi;ksx ugha djuk pkfg,A
1 ls 2 xzke izfr ?ka.Vk gksrh gSA
 Hypertension dh fLFkfr esa Ergot Derivative ugha nsuk
 IV Route ls Mgso4 nsrs le; Mgso4 dh lkanzrk
pkfg, D;ksafd ;g Vaso Constrictive djrh gSA
(Concentration) 20% ls vf/kd ugha gksuh pkfkg,A
 Prostaglandin dks Local Hormone Hkh dgrs gSA
 Mgso4 FkSjsih ds Critical Phase ds nkSjku çR;sd 15 feuV esa ,oa
 PGE1 ftls Mesoprostal Hkh dgrs gS bldk mi;ksx MTP-
PL
Critical Phase ds ckn ;k Stabilization phase esa çR;sd 1
Kit vkSj Induction of Labour esa djrs gSA
?kaVs esa BP ¼jä nkc½ eksfuVj djuk pkfg,A
 Methergine dk mi;ksx mPp jDr pki (Hypertension)
 Mgso4 dh Toxicity esa First Priority uflZax dk;Z D;k gS- Stop
okys efjtksa esa ugha djuk pkfg,A
Mgso4 FkSjsihA
 Ing. Methergine cPps ds tUe i”pkr yxkuk pkfg,A
 Mgso4 dk ,aVhMksV Mother ds fy, Calcium Gluconate
 Oxytocics used for Management of PPH-
M

(10%) ,oa Newborn ds fy, Levallorphan (Lorfan)

gksrk gS vFkkZr Mgso4 dh Toxicity esa ;g nok nsuh pkfg,A Oxytocin
 Calcium Gluconate 10:10:10 dk vFkZ gS fd Calcium  Inj. Oxytocin 20 unit in 1000 ml RL/NS @60
Gluconate 10%, 10ml dks IV Route ls 10 feuV esa nsuk drops per minutes through IV route or
SA

pkfg,A (Haryana CHO 2022)  Inj. Oxytocin 10 unit IM or

 Mgso4 FkSjsih ds nkSjku çR;sd 6 ?kaVs esa Mg dh tkap (Test) ;k Methergene
vkdyu djuk pkfg,A  Inj. Methergene 0.2 mg given Slowly through
 xHkZorh efgyk dks izlo ds nkSjku Supine hypotensive IV route
syndrome ls Prevent djus ds fy, Side Lying position  Repeat 0.2 mg after 15 minutes if required,
nsuh pkfg,A
give 0.2 mg IM/Slow IV every 4 hours
 Maximum dose: 5 dose (1.0 mg ) or
 Per-Oral (PO)- 0.2 mg tablet 3-4 times daily
up to 1 week
 Contraindication- Hypertensive disorder like
Eclampsia, Pre-eclampsia
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Midwifery & Gynecological Nursing

Mission Bullet Points For Superfast Revision

 Dysmenorrhea- nnZukd ekfld /keZ vkSj ,saBuA  Chorionic Villi Sampling (CVS) xHkkZoLFkk ds nkSjku dc fd;k
 Oogenesis- vaMk.kq (Ovum) ds fodkl dh izfØ;k dks tkrk gS& 10 to 12 weeks
vkstusfll dgrs gSA  Amniocentesis xHkkZoLFkk ds nkSjku dc fd;k tkrk gS&16 to 20
 Ovulation- vMk'k; ls f}rh;d vaMk.kq dk foekspu gksrk gSA weeks
mls va.MksRlxZ (Ovulation) dgrs gSA  uotkr f'k'kq dh lkekU; ân; xfr (Normal FHR) fdruh gksrh gS&
 'kqØk.kqtuu (Spermatogenesis)- iq:"k dh tuu dksf'kdkvksa 120 to 160 pbm
ls 'kqØk.kqvksa ds fodkl dh izfØ;k dks 'kqØk.kqtuu dgrs gSA  uotkr f'k'kq dh lkekU; 'olu xfr (Normal RR) fdruh gksrh gS&
 fu"kspu (Fertilization) dgka gksrk gS&QsyksfQ;u V~;wc ds 30 to 60
,Eiqyk esa uotkr f'k'kq esa 'olu dk iSVZu D;k gksrk gS & Irregular

E
 16 lsy LVst QfVZykbt vksoe dks D;k dgrs gS& eks:yk  Fundus of uterus- After birth it is located 2 cm below
 izR;kjksi.k (Implantation) dgka gksrk gS& xHkkZ'k; dh the umbilicus and cannot be felt by 7th to 9th days and

AG
,.MksesfVª;e ijr esa within 15 days fundus will disappear
 izR;kjksi.k (Implantation) dc gksrk gS& fu"kspu ds 6 fnu ckn  lwfrdkoLFkk@Puerperium- ;g izlo i'pkr 6 weeks dh vof/k
dk le; gksrk gS ftlesa iztuu vax viuh xHkkZoLFkk iwoZ fLFkfr esa vkrs gSA
 Decidua fdls dgrs gS& xHkZorh efgyk ds xHkkZ'k; dh
,s.MksesfVª;e dks  Involution- izlo i'pkr iztuu vaxksa dk viuh xHkkZoLFkk iwoZ fLFkfr
esa vkuk
 HCG gkeksZu dkSuls vax ls L=kfor gksrk gS &Placenta dh
 Sub-involution- izlo i'pkr iztuu vaxksa dk viuh xHkkZoLFkk iwoZ
Syncytiotrophoblast cell ls EP fLFkfr esa ugha vkuk
 vijk (Placenta) dk otu fdruk gksrk gS& 500 xzke  Drug of choice for eclampsia Magnesium sulphate
 Oragnogenesis esa IyslsUVk fdrus lIrkgksa esa iwjh rjg ls  Nursing action during magnesium sulphate
fodlhr gks tkrh gS& 12 lIrkg therapy- closely monitoring of vital sign, deep tendon
 xHkZuky (Umbilical Cord) dh lkekU; yEckbZ fdruh gksrh gS& reflexes and urine output, especially respiration rate
yxHkx vkSlr 50 lseh ¼30&100 lseh½ should be checked for magnesium sulphate toxicity.
 Umbilical Cord esa fdruh jDr okfgdk,a gksrh gS& 2 /keuh o 1
PL
 Sausage mass dkSulh chekjh dk tSSfod y{k.k
f'kjk ¼fVªDl- AVA ;k A2V½ gS&Intussusception
 iq:"k esa tokuh (Puberty) dk igyk y{k.k& Testicular  Infant apnoea- cessation of breathing at least 20 sec.
Inlargement in infant and 15 sec. or less in all age group including
 efgyk esa tokuh (Puberty)dk igyk y{k.k& Lruksa dk fodkl adults.
M

(Thelarche)  igys 24 ls 48 ?kaVksa esa tys gq, cPpksa esa ekSr dk çkFkfed dkj.k D;k
 Implantation occurs 7 to 8 days after fertilization in gksrk gS& Shock
endometrium.  48 ?kaVs ds ckn tys gq, cPpksa esa ekSr dk izkFkfed dkj.k D;k gksrk
 Thickest layer of uterus is myometrium. gS& laØe.k (Infection)
SA

 Foramen ovale D;k gksrk gS& Opening between right &  Post-term baby- beyond 42 weeks (ESIC-2016)
left atria in fetus  Pre-term baby- less than 37 weeks
 Pregnancy urine test (UPT) dkSulk mnkgj.k gS xHkkZoLFkk dk  Most common presentation of fetus- vertex
laHkkfor y{k.k (Probable sign of pregnancy)
 Most common type of episiotomy used during labour-
 Confirmatory sign of Pregnancy medio-lateral
- FHR  New born will void (urine & stool) within 24 hours.
- USG  tUe i'pkr uotkr esa izFke ey dks D;k dgrs gS& Meconium
 HCG released/secreted by syncytiotrophoblast of  Lanugo- fine, downy hair growth over entire body,
placenta preterm infant has more lanugo.
 AFP Test xHkkZoLFkk ds nkSjku dc fd;k tkrk gS& 14 to 16  Vernix caseosa- whitish cheesy substance cover
weeks body, more abundant in creases, more in preterm

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 www.missionhighnurses.com MISSION CHO

Midwifery & Gynecological Nursing

Midwifery & Gynecologcial fo"k; ls egRoiw.kZ iz'uksÙkjh
For CHO, CCH, Staff Nurse & ANM Exams Level
1. varxHkkZ'k;h thou (intrauterine life) ds nkSjku eka vkSj 11. czsDlVu fgDl ladqpu dk D;k eryc gS\
Hkwz.k ds chp laca/k LFkkfir djus okyh lajpuk dkSulh gS\ a. xHkkZoLFkk esa xHkkZ'k; dk ladqpu
a. MsflMqvk (Decidua) b. vijk (Placenta) b. og xHkkZ'k; dk ladqpu tks cPps ds tUe ds ckn gksrk gS
c. ;ksuh (Vagina) d. xHkkZ'k; (Uterus) c. xHkkZoLFkk esa àn; ladqpu
2. lkekU; izlo ds le; (At Term) ij (Placenta) dk d. xHkkZoLFkk ds nkSjku ;ksfu ladqpu
otu fdruk gksrk gS\ 12. izlo ds nkSjku Pelvis dh +2 LVs'ku ds nkSjku Hkzw.k ds flj
a. 300 xzke b. 1000 xzke c. 100 xzke d. 500 xzke dh iksft'ku D;k gksrh gS\

E
3. tUe ds le; Placenta vkSj uotkr ds otu dk vuqikr a. blfp;y Likbu ls uhps b. blfp;y Likbu ds ihNs
fdruk gksrk gS\ c. blfp;y Likbu ds vkxs d. isfYod buysV ds vkxs
a. 1 : 6 b. 1 : 5 c. 1 : 4 d. 1 : 3

AG
13. fuEu esa ls dkSulk isfYol lkekU; izlo ds fy, lcls eq[;
4. Fertilized Ovun dk varjkarh; vkjksi.k (Interstitial ,oa vknZ'k ekuk tkrk gS\
implantation) dc iwjk gksrk gS\ a. ,UMªksbM (Android) b. IysVh isyksbM (Platy Pelloid)
a. 5 osa fnu b. 2 osa fnu c. 11 osa fnu d. 20 osa fnu
c. xk;usdksbM (Gynecoid) d. vUFkzksiksbZM (Anthropoid)
5. ifjiDo vijk (Mature Placenta) eas jDr dk vk;ru
14. ,d LoLFk efgyk dk xHkkZoLFkk esa fdruk otu c<+rk gS\
fdruk gksrk gS\
EP a. 6-8 fdyks b. 3-7 fdyks c. 11-14 fdyks d. 5-7 fdyks
a. 500 ml b. 1000 ml c. 50 ml d. 150 ml
15. Human Chorionic Gonadotropin (HCG) gkeksZu dk
6. vUrxHkkZ'k;h thou (Intrauterine Life) ds nkSjku Hkzw.k ds
dk;Z gS\
jDr dk çokg vijk (Placenta) ls fdruk gksrk gS\
a. nw/k dk L=ko.k
a. 1000 ml/ feuV b. 200 ml/ feuV
b. xHkkZoLFkk ds 6 efgus rd dkiZl Y;wfV;e dk lUrqyu cuk;s
c. 800 ml/ feuV d. 400 ml/ feuV
j[krh gS
7. vijk (Placenta) dk dk;Z D;k gS\ c. ;g iq:"k Hkzw.k esa Leyding cells dks mÙksftr djrh gS tks
PL
a. ekW vkSj cPps ds chp esa iks"k.k dh lIykbZ djuk VsLVsLVksjksu ds mRiknu dks c<+krh gS
b. cSfj;j QaD'ku d. nksuksa (B) rFkk (C)
c. tks gkeksZu xHkkZoLFkk ds fy, t:jh gS mudk mRiknu djuk 16. xHkkZoLFkk ds Second Trimester dk eq[; y{k.k D;k gS\
d. mijksDr lHkh a. ,uksjsfDl;k b. Quickening
8. Rh-Incompatibility ds le; Amniotic Fluid dk jax c. ,euksfj;k d. mYVh
M

D;k gksrk gS\ 17. HCG gkeksZu fdlds }kjk L=kfor fd;k tkrk gS\
a. Green-Yello Color b. Pale Straw Color
a. ,UMksesfVª;e ls b. dkiZl Y;wfV;e ls
c. Golden Color d. Dark Brown Color
c. IyklsUVk dh flulkbVksVªksikLykLV dksf'kdkvksa ls
9. Post-Maturity esa ,efu;ksVhd æo dk jax D;k gksrk gS\
SA

d. xzkQh;u QkWfyDyl ls
a. gjk&ihyk b. isy LVªkW dyj
18. 16-20 lIrkg dh xHkZorh efgyk ds }kjk Hkwz.k dh gypy
c. xksYMu d. MkdZ czkÅu dyj eglwl dh tkrh gS mls D;k dgrs gS\
10. yscj ds le; ,efu;ksVhd æo dk D;k dke gS\ a. xHkZLaiUnu (Quickening) b. eksaV~xksesjh V;wcjdqy
a. xHkkZ'k; ldqapu ds nkSjku vijk esa jDr lapj.k esa enn djrk c. cszDlVu fgDl dkUVªsDlu d. xqMy lkbu
gS
19. ;fn efgyk ds eq= esa HCG gkeksZu ik;k tk,s rks og fdldk
b. ;g xHkkZ'k; xzhok ds QSyko esa enn djrk gS egRoiw.kZ lwpd gS\
c. ;g yscj ds nkSjku Birth canal dks lkQ djrk gS a. eSfuUtkbfVl b. ARF
d. lHkh c. xHkkZoLFkk d. jhuy V~;wej

Ans. 1.B 2.D 3.A 4.C 5.A 6.D 7.D 8.C 9.A 10.D 11.A
Ans. 12.A 13.C 14.C 15.D 16.B 17.C 18.A 19.C
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 04 Pediatric Nursing
Pediatric Nursing

o`f) vkSj fodkl

o`f) ¼Growth½ Important Child Developmental Milestones
 'kjhj dh 'kkjhfjd ifjiDork dh izfØ;k ds ifj.kke Lo:i 'kjhj  cPpk lgkjs ds lkFk dc cSB ldrk gS & 6 ls 7 ekg ls
vkSj fofHkUu vaxks ds vkdkj o vkd`fr es o`f) gksukA  cPpk fcuk lgkjs ds lkFk dc cSB ldrk gS & 8 ls 9 ekg ls
 ;g 'kjhj dk ek=kRed (Quantity) ifjorZu gS] ftls bap]  cPpk lgkjs ds lkFk dc [kM+k gks ldrk gS & 9 ls 10 ekg ls
lsaVhehVj vkSj ikamM@fdyksxzke es ekik tkrk gSA  cPpk fcuk lgkjs ds lkFk dc [kM+k gks ldrk gS&10 ls 11 ekg ls
 o`f) thou Hkj ugh pyrh gSA ;s ifjiDrk vkus ds ckn :d tkrh  cPpk vtufc;ksa ls fpark (Stranger Anxiaty) dc fn[kkbZ nsrh gS

E
gSA & 6 ekg ls
 It is not directional  cPpk lkekftd eqLdku (Social Smile) dc ls djus yxrk gS &

AG
fodkl ¼Devlopment½ 2 ls 3 ekg ls
 ;g O;kid o dkWEizsgsaflo 'kCn gS] ftldk lanHkZ O;fDr ds lEiw.kZ  cPpk di ls ikuh ;k nq/k fcuk lgk;rk ds dc ls ih ldrk gS & 12
ifjorZu ;k fodkl ls gS ls 13 ekg ls
 cPpk dc ls fcuk lgk;rk ds vdsyk py ldrk gS & 14 ls 15
 ;g thou Hkj pyrk jgrk gS vkSj ;s izxfr'khy gksrk gS
ekg ls
 ;g xq.kkRed (Qualitative) ekiu gS] ftls ekik ugha tk
fe'ku fo'ks"k fcUnq vkSj vDlj iwNs tkus okys iz'u
ldrk gSA


1-
It is progressive and sequentional.
o`f) vkSj fodkl ds fofHkUu pj.k
izlo iw.kZ vof/k (Pre-Natal Period.
EP 


Hkzw.k dh ØkmUk jai yEckbZ (CRL) fdruh gksrh gS & 4 feyhehVj
Ukotkr dk vkSlr otu fdruk gksrk gS&3 fdyksxzke (2.8-3.5 Kg)
Ukotkr dk 5 ls 6 efgus esa otu nks xq.kk o 1 lky esa rhu
xq.kk gks tkrk gSA
 va.Mk.kq (Ovum) ;k Germinal vof/k & va.MksRlZx
 ew= dks fua;f=r djus es vleFkZrk D;k dgykrh gS & ,U;wfjfll
(Ovulation) ls 14 fnuksa rd dk le; (0-14 days)
(Enuresis)
 Hkwz.k (Embryo) & 15osa fnu ls 8 osa lIrkg rd dk le;
PL
 ey dks fu;af=r djus es vleFkZrk D;k dgykrh gS &
 fQVl & 9osa lIrkg ls tUe rd dk le; ,Udksisjsfll (Encopresis)
2. izloksrj vof/k (Post-Natal Period.  xSj & iks"kd iznkFkZ (Non-Food Items) dk varxzg.k dgykrk
 izkajfHkd uotkr (Early Neonate) & tUe ds ckn 0 ls 7 gS& ikbdk (pica.
fnu rd dk le;
 tUe ds le; uotkr ds flj dh lkekU; ifjf/k (Head
 foyaEc uotkr (Late Neonate) & tUe ds ckn 7 ls 28
M

Circumfrence) fdruh gksrh gS & 33 ls 35 lseh

fnu rd dk le;
 tUe ds le; uotkr ds Nkrh dh lkekU; ifjf/k (Chest
 'kS'kokoLFkk (Infancy) & tUe ds 29osa fnu ls 1 lky
Circumfrence) fdruh gksrh gS & 31 ls 33 lseh
¼365 fnu½ rd dk le;
 Nkrh dh ifjf/k (CC) vkSj flj dh ifjf/k (HC) cjkcj de
 CkPpk (Toddler) - tUe ds 1 lky ls 3 lky rd dk le;
SA

gksrh gS & yxHkx 1 lky dh vk;q ij

 iwoZ&Ldwyh cPpk (Pre school child. & tUe ds 3 lky
Weight Parameters for Low Birth Weight Babies
ls 6 lky rd dk le;
 lkekU; otu & > 2500 xzzke
 Ldwy tkus okyk cPpk (School age) & tUe ds 6 lky ls  tUe ds le; de otu (LBW)& 1500 ls 2500 xzke
12 lky rd dk le;  tUe ds le; cgqr de otu (VLBW) & 1000 ls 1500 xzke
 fd'kksjkoLFkk (Adolescence)& tUe ds 12 lky ls 18  tUe ds le; cgqr cgqr de otu (ELBW) <1000 xzke
lky rd dk le;  uotkr f'k'kq dh lkekU; mapkbZ fdruh gksrh gS & 50 lseh
Note: Accoridng to WHO age of adolescent: 10 to19
 1 lky esa uotkr f'k'kq dh mPkkbZ 50 izfr'kr c<dj 75 lseh
year (MP CHO-2020) o 4 lky esa mpkbZ 100 izfr'kr c<+dj 100 lseh gks tkrh gSA
 fodkl dk euksySfxd fl)kUr (Psychosexual Theory) fdlus
fn;k & flxaeM Qzk;M

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 www.missionhighnurses.com MISSION CHO

Pediatric Nursing Mission Important MCQ's

Pediatric Nursing

1. mRrdkas ds vkdkj (Mass) esa o`f) dks D;k dgrs gS\ 14. fuEu esa ls dkSulk Øe eas cPps ds nk¡r fudyus dk lgh Øe gS\
a. ifjiDork (Maturation) b. izxfr (Progress) a. Lower Central Incisor - Upper Central Incisor -
c. o`f) ¼Growth) d. fodkl (Development) Lateral Incisors - First Molar Teeth - Canine
2. cPpksa ds Maturation of Function or Skill dks D;k b. Lower Central Incisor - Upper Central Incisor - First
dgrs gS\ Molar -Lateral Incisor - Canine
a. izxfr (Progress) b. Increment c. Upper Central Incisor - Lower Central Incisor -
c. o`f) (Growth) d. fodkl (Development) Canine - First Molar Lateral - Incisor
3. VUkZj flUMªkse esa xq.klq=ks dh la[;k fdruh gksrh gS\ d. Lower Central Incisor - Lateral Incisor - Upper

E
a. 46 b. 44 c. 47 d. 45 Central Incisor -Canine - 1st Molar
4. Ekkuo Hkzq.k fdl mez ls FkkbjksfDlu gkeksZu dk L=ko djus 15. Permanent nk¡r fuEu esa ls fdl Øe esa fudyrs gS\
yxrk gS\

AG
a. Canine Central - Lateral Incisors - 1st Molar - 2nd
a. xHkkZoLFkk ds 6 lIrkg b. xHkkZoLFkk ds 16&20 lIrkg
Molar - 3rd Molar
c. xHkkZoLFkk ds 24 lIrkg d. xHkkZoLFkk ds 32 lIrkg
b. 1st Molar -2nd Molar - 3rd Molar -Canine -Central
5. tUe ds le; uotkr dk lkekU; otu fdruk gksrk gS\
and Lateral Incisors
a. 2.5 ls 3 kg b. 3.0 ls 3.5 kg
c. Central Incisors - Lateral Incisors 1st Molar - 2nd
c. 2.0 ls 2.5 kg d. 3.5 ls 4 kgEP Molar 3rd Molar- Canine
6. ;fn fdlh uotkr dk tUe ij otu 3 fdyks gS rks 6 eghus
d. 1 Molar - Central and Lateral Incisors - Canine -
ij ml uotkr dk otu fdruk gksuk pkfg,\
Premolars - 2nd Molars - 3rd Molar
a. 7 fdyksxzke b. 6 fdyksxzke c. 7.5 fdyksxzke d. 5 fdyksxzke
16. cPpks eas LFkkbZ nk¡r fdl mez esa fudyus 'kq: gksrs gS\
7. cPps dk otu tUe ls 3 xq.kk dc gksrk gS\
a. 6-7 lky b. 2-3 lky c. 10-12 lky d. 3-5 lky
a. 9 eghus b. 18 eghus c. 12 eghus d. 15 eghus
17. fuEu esa ls fdl mez esa cPpk lgkjs ds lkFk cSB ldrk gS\
8. cPps dk otu tUe ls 4 xq.kk dc gksrk gS\
a. 10-12 eghus b. 3-4 eghus c. 5-6 eghus d. 8-10 eghus
PL
a. 21 eghus b. 90 eghus c. 15 eghus d. 24 eghus
18. dkSulh mez esa cPpk fcuk lgkjs ds lkFk [kMk gks ldrk gS\
9. tUe ds le; uotkr dh yaEckbZ fdruh gksrh gS\
a. 9 eghus b. 6 eghus c. 15 eghus d. 12 eghus
a. 45 - 51 lseh b. 30 - 35 lseh
19. fdl mez esa cPpk viuh ek¡ dks igpkuuk 'kq: dj nsrk gS\
c. 50 - 60 lseh d. 35 - 40 lseh
a. 2 eghus b. 7 eghus c. 6 eghus d. 3 eghus
fdl mez esa cPps dh yEckbZ tUe dh yEckbZ ls nqxquh gks
M

10.
20. ,d cPps dks Toilet training nsuk dc 'kq: dj nsuk
tkrh gS\
pkfg,\
a. 3 lky b. 5 lky c. 2 lky d. 4 lky
a. 24 eghus b. 18 eghus c. 12 eghus d. 15 eghus
11. tUe ds le; cPps dk Head Circumference (HC)
21. Failure to Thrive (FTT) dk D;k eryc gS\
fdruk gksrk gS\
SA

a. cPpk ikuh ihus esas vleZFk gS b. cPpk pyus es vleFkZ gS

a. 28-30 cm b. 37-40 cm c. 30-32 cm d. 33-35 cm
c. otu c<us dh nj de gS d. yEckbZ c<us dh nj de gS
12. tUe ds le; cPps dk Chest Circumference (CC)
22. Measles vaccine ds fdrus le; ckn immunity curh gS\
fdruk gksrk gS\
a. oSDlhu ds nqljs fnu b. oSDlhu ds 11 oas vkSj 12 oas fnu
a. 37-40 cm b. 31-33 cm c. 28-30 cm d. 33-35 cm
c. oSDlhu ds ,d eghus ckn d. rqjUr
13. fuEu esa ls dkSulh mez esa cPpksa ds nk¡r fudyuk 'kq: gksrs
gS\ 23. Toddler dh mez fdruh gksrh gS\
a. 12 & 14 eghus b. 5 & 6 eghus a. 1 & 3 lky b. 0 & 1 lky
c. 6 & 8 eghus d. 8 & 10 eghus c. 0 & 2 lky d. 3 & 5 lky

Ans. 1.C 2.D 3.D 4.B 5.A 6.B 7.C 8.D 9.A 10.D 11.D 12.B 13.C
Ans. 14.A 15.D 16.A 17.C 18.D 19.A 20.B 21.C 22.B 23.A
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 05 Fundamental of Nursing
Fundamental of Nursing

Nursing dk ifjp;] fl)kUr vkSj Fundamental dh lkekU; tkudkjh

Nursing 'kCn dk 'kkfCnd vFkZ Nurses dh Hkwfedk,sa (Roles of Nurses):
 ;g ,d ysfVu 'kCn gS] ftldk vFkZ gS ^^vf/kd ls vf/kd iks"k.k - Care provider ds :i esa
djuk^^ - Educator ds :i esa
 ;k jksfx;ksa dk iks"k.k djukA
- Advocate ds :i esa
 jksfx;ksa dh ns[kHkky djukA
- Manager ds :i esa
LoLFk vkSj chekj O;fDr;ksa dk mipkj djukA

E

- Collaborator ds :i esa
 ejhtkas dh lsok djukA
NURSE - Leader ds :i esa

AG
N - Nobility, Knowledge - Researcher ds :i esa
U - Usefulness, Understanding ulsZt ds f'k"Vkpkj (Etiquettes of Nurses):
R - Righteousness, Responsibility  ufl±x ,d ukWcy çksQs'ku ¼bekunkj ,oa mPp dksfV dk egku
S - Simplicity, Sympathy O;olk;½ gS blfy, ufl±x is'ks ds dqN çksQs'kuy f'k"Vkpkj fuEu gS&
E - Efficiency - vki ejht dk vfHkoknu dSls djrs gSA

-
Nursing dh ifjHkk"kk,asa
International Nurses Association ds vuqlkj& (PGI-2018)
Nursing encompasses autonomous and collaborative
care of individual of all ages, families, group and
EP - vki ejht ds çfr lEeku dSls fn[kkrs gSA
- vki viuk ifjp; dSls nsrs gSA
- vki ejht ds lkFk dSls Hkjkslsean laca/k cukrs gSA
- vki vU; Professionals ds lkFk dSls [kkrs&firs gSA
communities, sick or well and in all settings. Nursing Four Fundamental Responsiblities of Nurses -
includes the promotion of health, prevention of - LokLF; dks c<+kok nsuk (Promotion of health)
PL
illness, and the care of ill, disabled, and dying people. - jksxksa dh jksdFkke djuk (Prevention of illness)
Advocacy, promotion of safe environment, research
- Health dk Restoration (Restoration of health)
participation in shaping health policy and in patient
- nq%[k nqj djus ds fy, (To alleviate suffering)
and health systems management, and education are
also key nursing roles. Indian Nursing Council (INC)
American Nurses association ds vuqlkj& (PGI-2018) - ;g Hkkjr dh ¼Lopkfyr½ Autonomous laLFkku gS tks LokLF;
M

- Nursing is the protection, promotion and ,oa ifjokj dY;k.k ea=ky; (MOHFW) ds vUrxZr lapkfyr
optimization of health and abilities, prevention of gSA bldk dk;Z uflZax f'k{kk (Nursing Education) esa ,d:irk
çnku djuk gSA
illness and injury, alleviation of suffering through the
- Hkkjr esa INC vfèkfu;e 1947 esa cukA
SA

diagnosis and treatment of human response, and

advocacy in health care for individuals, families, - Hkkjr esa INC vfèkfu;e 1949 esa ykxq gqvkA
communities and populations. - INC vfèkfu;e esa vafre ckj la'kks/ku 2006 esa gqvk FkkA
Florence nightingale ds vuqlkj Nursing dh ifjHkk"kk& INC ds dk;Z
- Þjksxh dks Bhd gksus esa lgk;rk djus ds fy, mlds okrkoj.k dk - Hkkjr esa uflZax ;ksX;rk dks ekU;rk nsukA
mi;ksx djus dk dk;Zß - uflZax ;ksX;rk çnku djukA
- 'The act of utilizing the environment of the patient to - INC ds ikl fuf'pr :i ls Course, Training and
assist him in his recovery”. Examination dh vko';d 'kfä gS ;fn INC dks dksbZ lansg gks
Health dh ifjHkk"kk rks;g fdlh Hkh laLFkku dh ekU;rk jn~n dj ldrh gSA
“Health is a state of complete physical, mental, social - INC ds ikl Course, Training and Examination ls lacf/kr
and spiritual well-being and not merely an absence of fu;e cukus dh 'kfä gSA
diseases or infirmity”.
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 www.missionhighnurses.com MISSION CHO

Lkaf{kIr esa ¶yksjasl ukbfVaxsy dh thouh || Biography of Florence Nightingale

Fundamental of Nursing
 ¶yksjasl ukbfVaxsy dks vk/kqfud uflZx dss tud (Founder “Florence Nightingale School of Nursing & Midwifery.
of Modern Nursing) and Mother of Nurses ekuk tkrk ;g Ldqy fdaXl tkWtZ dkWyst] yaUnu ds vf/ku LFkkfir gqbZ FkhA
gSA  iqjLdkj (Awards):
 Øhfe;k ;qq) (Crimean war-1853 ls 1856) esa lalk/kuksa ds vHkko - Royal red cross award 1883
esa vkx dh yiVksa (yaSEi) ds çdk'k esa lSafudks ds dSEiksa esa tkdj - Lady of grace of the order of St john (LGSTJ) 1904
fnu&jkr ?kk;y lSfudksa dh uflZax ns[kHkky djus dh otg ls bls
- Order of merit & honorary freedom of the city of
Lady with the Lamp ds uke ls Hkh tkuk tkrk gSA
London 1907
 tUe %& 12 ebZ 1820] ¶yksjsl 'kgj] bVyh
- Modern theory of nursing, scientific theory of nursing
 e`R;q% 13 vxLr 1910] ikdZ ySaM] yanu] baXySM

E
and Pioneering modern nursing has given by Florence
 varjkZ"Vªh; ulsZat fnol%& ¶yksjsl ukbfVxsy dk iwjk thou nightingale.
ekuork dks lefiZr gksus ds dkj.k vkSj Øhfe;k ;qq) esa ekuork dh - Environmental theory of nursing 1860 has given by

AG
fe'kky is'k djus ds dkj.k bl egku fo'okRek dh tUe fnukd ds Florence nightingale. Title of this theory: what is it &
volj ij izR;sd o"kZ 12 ebZ] dks euk;k tkrk gSA what is not, on the basis of nursing practice & research.
 Hospital career: vLirky dh LoPNrk] LoPNrk vkSj
- First nursing theorist: Florence nightingale (AIIMS
lkaf[;dh
BHOPAL 2018)
 First proessional training school: Florence
- First professional & Psychiatry nurse of united
nightingale school at St Thomas hospital London but EP
after some times its name changed and known as states (American) linda Richards.

Interational Nurses Day Theme

 2022 - Nurses: A Voice to Lead - Invest in nursing and respect rights to secure global health.
 2021 - Nurses: A voice to lead - A vision for future health care
 2020 - Nurses: A voice to lead - Nursing the world to health
PL
 2019 - Nurses: A voice to lead - Health for all
 2018 - Nurses: A voice to lead - Health is human right UP, MP CHO-2020, 2021, NORCET-2022

Common Route of Drug Administration gS ftlls fny dk nkSjk (Herat attack) ds ejhtksa esa xaHkhj nnZ
Oral Route: rqjar de gks tkrk gSA
Transdermal : through skin like as pain killer transdermal
M

 ;g route most common , lqfo/kktud (convenient &

suitable) , and least expensive gksrk gSA patches.
 Absorption is slow and cause GI irritation. Inhalation:
 ;g Tablets, Capsules, Pills, ikmMj vkSj rjy inkFkZ ds :i esa  Drug inhale into airway through mouth & nose to
produce local & systemic effects.
SA

miyC/k gSA
 Sustained release ;k enteric coated capsules dks dqpyk  Like as bronchodilator through metered-dose inhaler
;k rksMuk ugha pkfg, MDI and nebulization.
 Suspension dks mi;ksx djus ls igys vPNh rjg ls fgykuk Buccal route :
pkfg,A  The drug placed mouth against wall of mucus
Sublingual Route membrane of cheek.
 bl nok dks thHk ds uhps j[kh tkuh pkfg,sA Medication placed  like as naloxone and testosterone
under the tongue Insertion :
 ;g dkQh rsth ls vo'kksf"kr gksrh gS (compare all other  'kjhj ds xqgkvksa (Cavities) esa Bksl nokvksa dks Administered
route, except IV route) vkSj lh/ks jä izokg esa fey tkrh gSA djukA
 tSls VScysV ukbVªks fXyljhu (NTG) 5mg dks thHk ds uhps j[krs  tSls Suppositories dks eyk'k; vkSj ;ksfu esa insert djukA

Visit www.missionhighnurses.com for all old papers & CBT Online Test Series for all Nursing Officer/Staff Nurse/CHO Exams 257
 www.missionhighnurses.com MISSION CHO

Fundamental of Nursing fo"k; ls egRoiw.kZ iz'uksÙkjh

Fundamental of Nursing

For CHO, CCH, Staff Nurse & ANM Exams Level

1. 'kjhj ds rkieku dks ekius dk most reliable method c. Time feuV eas  Time feuV eas = Drop per minute
dkSulk gS\ Drop Factor
a. Elbow b. Rectal c. Axillary d. Oral Time feuV eas  Drop Factor
d. dqy Volume = Drop per minute
2. Endoscopic Catheters dks fdlds }kjk Sterilized 11. fuEu esa ls lkekU;r% Bone marrow Aspiration ds fy,
fd;k tkrk gS\
dkSulh Bone preferred dh tkrh gS\
a. Boiling b. Hot Air oven
a. Iliac crast b. Humerus c. Femur d. Tibia-Fibula
c. 2% gluteraldehyde d. Autoclaving
12. Axila vkSj Rectum ds rkieku esa fdruk 0F dk vUrj jgRkk gS\

E
3. cPpksa esa Drug Dose dk calculation fdl vk/kkj ij
a. 3° F b. 4° F c. 1° F d. 2° F
fd;k tkrk gS\
13. Oedema, pain vkSj coolness at the IV-site
a. Length b. Height c. Age d. Weight

AG
suggests which of the following complication of
4. Knee-Chest Position dks vU; fdl uke ls tkuk tkrk gS\ IV therapy?
a. Left Lateral position b. Lithotomy position a. Air Embolism b. Infection
c. Fowler's position d. Genupectorial c. Infiltration d. Circulatory Overload
5. Enema nsrs le; Enema cane or stand dks Anus ls 14. og Drugs dkSulh gS tks Intestinal Tract ls Gas ds
fdruh Height ij j[kuk pkfg,sA EP fu"dklu ds fy, mi;ksx yh tkrh gS\
a. 25 cm b. 15 cm c. 45 cm d. 25 cm a. Astringent b. Cathartics
6. tc Tracheostomy Suction djrs gS rks Intermittent c. Carminatives d. Emetics
suction apply djus ds maximum fdrus le; esa 15. vka[k dh iqryh (Pupils) dks dilate djus ds fy, dkSulh
catheter withdraw djuk pkfg,\ nokbZ;ka mi;ksx esa yh tkrh gS\
a. 15 Seconds b. 10 Seconds a. Keratolytics b. Scabicides c. Myotics d. Mydriatics
c. 1-2 Minute d. 3-4 Minute 16. Ropk ds Åij ?k"kZ.k ;k ekfyl (friction) }kjk tks nok dk
PL
7. Collapsing pulse dks vU; D;k dgk tkrk gS\ Application fd;k tkrk gS\og tkuk tkrk gS\
a. Bounding Pulse b. Pulse Altermons a. Insertion b. Inunction
c. Bigeminal Pulse d. Water-Hammer Pulse c. Inhalation d. Instillation
8. Dying vkneh dh correct stages D;k gS\ 17. ew= ds uequs esa Benedict's Test fdlds fy, fd;k tkrk gS\
a. Anger-Depression-Bargaining-Denial-Acceptance a. Glucose b. Protein c. Bile salt d. Acetone
M

b. Denial-Depression-Bargaining-Anger-Acceptance 18. Permanent Colostomy ds fy, Colon dk dkSulk

c. Depression-Denial-Anger-Bargaining-Acceptance fgLlk pquk tkrk gS\
d. Denial-Anger- Bargaining-Depression-Acceptance a. Ileum b. Descending colon
9. Collar Bone Fracture eas fuEu esa ls fdl çdkj dh c. Ascending Colon d. Transverse colon
SA

Bandage mi;ksx esa yh tkrh gS 19. 1-ounce fdlds cjkcj gS\

a. Figure of Eight Bandage b. T-Bandage a. 28 gm b. 58 gm c. 48 gm d. 20 gm
c. Spica Cast d. Capline Bandage 20. Florence Nightingate dk tUe dgka gqvk Fkk\
10. Fluid Infusion dh flow rate dk correct formula a. France b. India c. England d. Italy
D;k gS\ 21. Rigidity, Tremors, Akinesia, Monotonous
a. Time feuV esa × Drop factor = Drop per minute speech, Shuffling, Gait vkSj Mask tSlk psgjk ;g fdl
dqy Volume jksx ds tSfod y{k.k gS\
dqy Volume  Drop Factor a. Myasthenia Gravis b. Guillain Barre syndrome
b. = Drop per minute
Time feuV eas c. Cushing's syndrome d. Parkinson's Disease
Ans. 1.B 2.C 3.D 4.B 5.C 6.B 7.D 8.D 9.A 10.B 11.A 12.D 13.C
Ans. 14.C 15.D 16.B 17.A 18.B 19.A 20.D 21.D
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 MEDICAL & SURGICAL NURSING
06 MEDICAL & SURGICAL NURSING
Mission Bullet Points for Superfast Revision
 Cardinal Sign of Inflammation  Stomach dh dkSulh cell HCl & Intrinsic factor dk L=ko
 Redness - Warmth or Heat - Swelling (Secretion) djrh gS&Parietal Cells ¼ikf'Zodk dksf'kdk,sa½
 Pain - Loss of Function  Parietal Cells dks Oxyntic cells ;k delomorphous cells ds
 Subcutaneous connective tissue ds Inflammation dks uke ls Hkh tkuk tkrk gSA
Cellulitis dgrs gSA  Gastric Cell dks zymogenic cell or peptic cell Hkh dgrs gS

E
 ejht dks Pressure ulcer ls cpkus ds fy, izHkkoh uflZax dk;Z tks pepsinogen secrete djrh gSA tks protein ds digestion
gj 2 ?ka.Vs esa ejht dh Position change djuh pkfg,A es lgk;rk djrk gSA
Intrinsic factor dkSuls foVkfeu ds absorption ds fy,

AG
 Gangrene blood supply ,oa v‚Dlhtu fd deh ls mrd dk 
ej tkuk (Tissue death) vko';d gS & Vita B12
 Generalized odema ¼laiq.kZ 'kjhj esa lqtu½ dks  Difficulty In Swallowing ¼fuxyus esa dfBukbZ½ Dysphagia
anasarca Hkh dgrs gSA  Difficulty In Speaking ¼cksyus esa dfBukbZ½ Dysphasia
 Granulation Tissue ;g Tissue soft, pink, fleshy,  Painfull Swallowing ¼fuxyrs le; nnZ gks u k½
Projection, consisting of capillaries surrounded by EP Odynophagia
fibrous collagen gksrh gSA  Indigestion ¼vip½: Dyspepsia
 Granulation tissue- ;g Wound Healing dh  Blood In Sputum ¼cyxe ds lkFk [kwu vkuk½ Haemoptysis
normal/healthy finding gksrh gSA  Blood In Vomiting ¼myVh ds lkFk [kwu vkuk½
 Allergic condition esa dkSulh Immunoglobulin c<rh gS&IgE Haematemesis
 ekuo 'kjhj esa dqy fdruh gfM~M;ka gksrh gS & 206  Mc Burney's point - ;g abdomen ds right lower
 v{kh; dadky (Axial skeleton) fdruh Bones ls cuk gksrk gS& 80 quadrent esa gksrk gSA ;g 1/3 distance from the anterior
PL
 ifjf'k"V dadky (Appendicular skeleton) fdruh Bones ls superior iliac spine to the umbilicus fLFkr gksrk gSA
cuk gksrk gS& 126 McBurney's Point
2/3 of the way from
 ;fn bone iwjh rjg ls VwV dj nks fgLlksa esa foHkkftr gks tkrh gS ;s umbilicus to ASIS
Umbilicus
fdl çdkj dk fracture gS Complete Fracture
M

 ;fn bone dbZ NksVs & NksVs VqdMkas esa VqVs rks og fdl izdkj dk Anterior Superior
Iliac Spine
Fracture gS & Comminuted Fracture
 ;fn ,d bone ,d side ls VqV tk,s vkSj nqljh side esa dsoy
bend gks rks fdl izdkj dk fracture gS&Greenstick Facture  Jelly like stool dkSulh chekjh esa gksrh gS - Instussusception
SA

 cPpksa esa lcls T;knk ik,s tkus okys fracture dk D;k uke gS &  Hirschsprung disease dh most common site dkSulh gS &
Greenstick Fracture Rectum
 Distal radius ds fracture dks D;k dgrs gS&Colle's fracture  Body dh lcls NksVh bone dkSulh gS - Stapes
 Carpopedal spasm or trousseau's sign dkSulh chekjh esa  Infection of middle ear- Otitis Media
fn[kkbZ nsrs gS & Hypocalcemia  Presbyopia-It Is the form of farsighiedness that
 Carpal tunnel syndrome fdl nerve es a pks V occurs as a normal process of aging usually after 40 yr
(compression) ds dkj.k gksrk gS & Median Nerve  Presbycusis - ;g sensorineural hearing loss dk lcls
 Foot drop injury fdl nerve esa pksV (compression) ds eq[; dkj.k gSA tks auditory system fd naturally aging ds
dkj.k gksrh gS & Common Peroneal Nerve dkj.k gksrh gSA
 Stomach dh {kerk fdruh gksrh gS & 1500 ml  Corrective lens for myopia (short sightedness)
Concave Lens
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MEDICAL & SURGICAL NURSING

www.missionhighnurses.com MISSION CHO

MEDICAL & SURGICAL NURSING (MSN) fo"k; ls egRoiw.kZ iz'uksÙkjh

For CHO, CCH, Staff Nurse & ANM Exams Level
1. Father of medicine fdls dgk tkrk gS\ 13. ,d f'kf{kr jksxh vkids Health & Wellness Centre
a. lqJqr b. pjd c. /kuoUrjh d. fgIiksdjsV~l (HWc. ij vkrk gS vkSj og dgrk gS fd eq>s Break Bone
2. Father of surgery fdls dgk tkrk gS\ Fever gqvk gS] vkids (CHO) ds vuqlkj ;g dkSulk jksx gS\
a. lqJqr b. pjd c. /kuoUrjh d. fgIiksdjsV~l a. Typhoid fever b. Malaria
3. flj esa pksV yxus ds ckn Increased ICP dk igyk y{k.k c. Malignant fever d. Dengue fever
(early sign) D;k gksrk gS\ 14. Massive Blood Transfusion ds Complication D;k gS\
a. Pupillary Dilation b. Hemiparesis c. Coma a. Thrombocytopenia b. Hyperkalemia

E
d. Alterd Level of Consciousness c. Air embolism d. mijksDr lHkh
4. fuEu esa ls Hkkjr esa va/ksiu (Blindness) dk lcls eq[; 15. jkr ds le; vR;f/kd Urination gksus dks D;k dgrs gS\
dkj.k D;k gS\ a. Pyuria b. Polyuria c. Nocturia d. Dysuria

AG
a. Cataract b. Glaucoma 16. fuEu esa ls dkSuls Surgical Procedure ds ckn T-Tube
c. Trachoma d. Vit. A Deficiency dke eas ysrs gS\
5. fuEu esa ls fdls NksMdj lHkh Renal Failure dh tfVyrk,sa gS\ a. Cholecystectomy b. Mastodidectomy
a. Hypertension b. Decreased Creatinine Level c. Colostomy d. Lobectomy
c. Hyperkalemia d. Hypocalcemia EP 17. fuEu esa ls dkSulk vax Body eas Fluid Balance dk dke
6. fuEu eas ls Parkinsonism ds y{k.k gS\ djrk gS\
a. Hypokinesia b. Tremors at rest a. Skin b. Heart c. Kidney d. Lung
c. Rigidity d. mijksDr lHkh 18. lkekU; ifjfLFkfr;ksa eas Respiratory Center dks dkSu
Stimulate djrk gS\
7. Most sensitivite marker of body iron store is?
a. Surum Total Iron Binding Capacity a. Oxygen b. Carbon Dioxide
b. Serum Iron c. Lactic Acid d. Calcium ions
PL
c. Serum Feritin d. Serum Transferrin 19. cPpksa eas lkekU;r ik;k tkus okyk fracture dkSulk gS\
8. Liver Dysfunction ds fy, Most Important Test a. Colley's Facture b. Pathological Facture
dkSulh gS\ c. Pott's Facture d. Greenstick Facture
a. Serum Bilirubin b. Surum Albumin 20. fuEu esa ls Liver Cirrhosis dk Complication dkSulk gS\
c. Prothrombin Time d. SGPT a. Ascites b. Hepatic Encephalopathy
M

9. Wound Healing ds fy, Most Important Factor c. Portal Hypertension d. mijksDr lHkh
dkSulk gS\ 21. Cheyne Strokes Respiration D;k gksrk gS\
a. Migration of WBC b. Heamatoma Formation a. Periods of techypenea alternation with periods of
c. Collagen Deposition d. None Of These apenea
SA

10. Pernicious Anemia dkSuls foVkfeu dh deh ds dkj.k b. An Increase in both rate & depth of respiration
gksrk gS\ c. Periods of hyperpnea alternating with periods of
a. foVkfeu B12 b. foVkfeu B1 c. foVkfeu C d. All apenea
11. Acute Myocardial Infarction esa lcls igys dkSulk d. Deep regular and sighing respiration
enzyme c<+rk gS\ 22. fuEu esa ls dkSulk pleurisy dk y{k.k gS\
a. CPK MB b. Troponin T c. SGPT d. SGOT a. Productive Cough
12. fuEu esa ls dkSulk Bone Fracture dk Complication gS\ b. Sharp stabbing pain when breathing
a. Septicaemia b. Hypertension c. Techyardia
c. Fat Embolism d. Haemorrhage d. Cyanotic nailbed
Ans. 1.D 2.A 3.D 4.A 5.B 6.D 7.C 8.A 9.C 10.A 11.B 12.C 13.D
Ans. 14.D 15.C 16.A 17.C 18.B 19.D 20.D 21.C 22.B
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 07 Psychiatry Nursing

Psychiatry Nursing
Briefly Theoy of Psychiatry Nursing
 fyaMk fjpM~Zl fo'o dh igyh euksjksx ulZ ekuh tkrh gSA  ;g vkerkSj ij fltksÝsfu;k esa ik;k tkrk gS
 vk/kqfud euksfoKku ds tud dkSu gS& flxeaM Ýk;M It is commonly seen in schizophrenia
 vk/kqfud euksfpfdRlk ds tud dkSu gS& fQIis fiusy  n`'; efrHkaze (Visual Hallucination)
 euksfo'ys"k.kkRed fl)kUr (Psychoanalytical Theory)  ns[kus dk xyr cks/k
fdlds }kjk izfrikfnr dh x;h gS& flxeaM Ýk;M False or Misinterpreted visual seen
fpjizfrf"d izkuqdwyu fl)kUr (Classecal Canditional  ;g vkerkSj ij vYtkbej jksx esa ik;k tkrk gS

E

Theory) fdlds }kjk nh x;h gS& ikoykso Commonly seen in Alzheimer's diseases
 lapkyd daMh'kfux fl)kUr (Operate Conditioning  ?kzak.k efrHkzae (Olfactory Hallucination)

AG
theory) fdlds }kjk nh x;h gS& fLduj  xa/k dk xyr cks/k vFkkZr xa/k tks ekStwn gh ugha gS
 Hkkjrh; ikxy vf/kfu;e (Indian Lunatic Act) dc ikfjr False or misinterpreted smell odors that do
fd;k x;k Fkk& 1912 not exists
 ekufld LokLF; vf/kfu;e (Mental Health Act) dc ikfjr  xsLVjh efrHkaze (Gustatory Hallucination)
fd;k x;k Fkk& 1987  Lokn dk xyr cks/k



Act ) vf/kfu;e dc ikfjr fd;k x;k Fkk& 1985
EP
NDPSA (Narcotic Drugs and Psychotropic Substance

jk"Vªh; ekufld LokLF; dk;ZØe (NMHP) Hkkjr esa dc 'kq:

fd;k x;k Fkk& 1982
False testes or testes something that is not
present
 ;g vkerkSj ij fMçs'ku esa ns[kk tkrk gS
It is commonly seen in Depression.
 ekufld fodkj (Mental disorder) ;k jksxksa dk vkbZ lh-Mh  Li'kZuh; efrHkze (Tactile Hallucination)
(ICD) jksxksa dk vUrjk"Vªh; oxhZdj.k fdlus fn;k Fkk& WHO  Li'kZ dh xyr laosnuk ;k cks/k
ekufld fodkjksa dk uSnkfud vkSj lkaf[;dh; eSuqvy False touching sensation
PL

(Diagnostic & Statistic Mannual) fdlds }kjk fn;k x;k Delusion
Fkk& vesfjdu lkbdkbVªhd ,lksf'k;u (APA)
 euksjksx foKku esa Hkze dks fuf'pr ,oa >qBs fo'okl ds :i esa
 HkkoukRed igyqvkas (Emotional Aspects) ds fy, efLr"d dk ifjHkkf"kr djuk ftls fdlh Hkh ifjfLFkrh esa cny ugha ldrs gSA
dkSulk Hkkx ftEesnkj gksrk gS& fyfEcd flLVe (Limbic Delusion is defined as fixed, false belief that dosenot
M

System) change in any circumstances.

 feuh ekufld fLFkfr ijh{kk (MMSE) dk dqy vf/kdre Ldksj  Types of delusion-
fdruk gksrk gS& 30
 HkO;rk dk Hkze& blesa euksjksxh dks yxrk gS fd og cgqr
 O;fDr fdl ja{kk ra= (Defence Mechanism) esa cPps tSlk vf/kd 'kfDr'kkyh vkSj cgqr cM+k vkneh gSA
O;ogkj djrk gS& çfrxeu (Regression)
SA

Delusion of Grandiosity- Patient feels more

 fdl j{kk ra= (Defence Mechanism) esa O;fDr viuh xyfr;ksa powerful & Superior.
dh foQyrk ds fy, nwljs O;fDr dks nks"kh Bgjkrk gS& ç{ksi.k  mRihMu dk Hkze& blesa euksjksxh dks yxrk gS fd dksbZ mls
(Projection) ekjus ;k uqdlku igqapkus dh ;kstuk cuk jgs gSA
 okLrfod mnhiu dk xyr cks/k dgykrk gS& Hkze (Illusion) Delusion of Persecution- patient thinks that
 okLrfod míhiu dh vuqifLFkrh esa xyr cks/k dgykrk gS& people are planning to kill or harm him/her
efrHkaze (Hallucination)  csoQkbZ dk Hkze& blesa euksjksxh dks yxrk gS fd mldk
efrHkzae ds çdkj (Type of Hallucianation) thoulkFkh fdlh vU; O;fDr ds lkFk lEc/k esa gSA
 Jo.k efrHkaze (Auditory Hallucination)- Delusion of Infidelity- patient thinks that his/her
 lquus dk xyr cks/k spouse is unfaithful on him/her
False or misinterpreted hearing

Visit www.missionhighnurses.com for all old papers & CBT Online Test Series for all Nursing Officer/Staff Nurse/CHO Exams 331
 www.missionhighnurses.com MISSION CHO

Psychiatry Nursing fo"k; ls egRoiw.kZ iz'uksÙkjh

Psychiatry Nursing

For CHO, CCH, Staff Nurse & ANM Exams Level

1. O;fDrRo (personality) dk og dkSulk çdkj gS] ftlesa 11. okLrfod míhiu (Actual Stimulus) ds vHkko esa míhiu
O;fDr ykpkjh (Helplessness) fujk'kk dk cks/k dgykrk gS\
(Hopelessness) vkSj [kqn dks ges'kk nks"kkjksi.k a. Hkzae (illusion) b. 'kCn'k%(Vebigeration)
(Always blaming themselves) eglql djrk gks\ c. efrHkzae (Hallucination) d. esUusfjTe (Mannerism)
a. gkbiksesfud (Hypomanic) b. iSjkukW;M (Paranoid) 12. okLrfod míhid (Actual Stimuli) dh mifLFkfr esa
c. esykudksfyd (Melancholic) míhiu dk xyr cks/k dks dgk tkrk gS\
d. lkDyksFkkbfed (Cyclothymic) a. Hkze (Illusion) b. efrHkaze (Hallucination)

E
2. O;fDrRo fodkj (Personality Disorder) ftlesa ,d O;fDr c. Verbigeration d. Delirium
dks lansg gksrk gS fd vU; yksx mls uqdlku iagqpkus okys gS\ 13. ,d ekufld fodkj ftlesa jksxh dbZ vuko';d ;k rqPN
a. esykukdksfyd b. lkbDyksFkkbfed ckrs djrk gS ysfdu vafre esa vius mís'; rd igqap tkrk

AG
c. gkbiksesfud d. iSjkukW;M gS\
3. çyki (Delirium) fdl izdkj dk ekufld fodkj a. Tangentiality b. Verbigeration
(Mental Disorder) gS\ c. Perseveration d. Circumstantality
a. Le`fr (Memory) b. lksp (Thinking) 14. ,d ekufld fodkj ftlesa jksxh lacaf/kr fo"k; ds ckjs
c. vuqHkwfr (Perception) d. psruk (Consciousness) fdlh ç'u dk mÙkj nsuk 'kq: dj nsrk gS ysfdu y{; rd
EP dHkh ugha igqaprk gS] mls D;k dgk tkrk gS\
4. Hkaez (Illusion) fdl izdkj dk ekufld fodkj (Mental
a. Tangentiality b. Verbigeration
Disorder) gS\
c. Circumstantamtality d. Perseveration
a. Le`fr b. lksp c. vuqHkwfr d. psruk
15. fopkj lkexzh (Thought content) dk ,d fodkj ftlesa
5. efrHkaze (Hallucination) fdl izdkj dk ekufld fodkj
jksxh >wB cksyrk gS vkSj og vius vki dks ç/kkuea=h ekurk
(Mental Disorder) gS\ gS ;k vius vki dks cgqr vehj ;k cMk vkneh ekurk gS] bl
a. lksp b. Le`fr c. psruk d. vuqHkwfr çdkj ds ekufld fodkj dks D;k dgk tkrk gS\
PL
6. ifjfLFkfrtU; (Circumstantiality) fdldk ekufld a. vijk/k cks/k dk Hkze (Delusion of guilt)
fodkj (Disorder) gS\ b. mRihM+u dk Hkze (Delusion of Persecution)
a. Le`fr (Memory) b. vuqHkwfr (Perception) c. 'kwU;oknh dk Hkaze (Delusion of Nihilistic)
c. psruk (Consciousness) d. lksp (Thought) d. HkO;rk dk Hkzae (Deluion of Grandeur)
7. Perseveration fdl izdkj dk ekufld fodkj (Mental fopkj dk ,d ekufld fodkj ftlesa jksxh dks feF;k ¼>qB½
M

16.
Disorder) gS\ yxrk gS fd mlds ?kj okys mls ekjus dh dksf'k'k ;k
a. Le`fr b. vuqHkwfr c. lksp d. psruk ;kstuk cuk jgs gS\
8. eksVj xfrfof/k dk ,d fodkj ftlesa 'kCnksa ;k okD;ksa dh a. HkO;rk dk Hkzae (Delusion of grandeur)
ckj&ckj iqujko`fr gksrh gS mls fdl :i esa tkuk tkrk gS\ b. mRihM+u dk Hkaze (Delusion of persecution)
SA

a. dSVkIysDlh b. okLrfodrk ls nqj (Negativism) c. 'kwU;oknh dk Hkzae (Delusion of Nihilistic)

c. Verbigeration d. Mannerism d. vijk/k cks/k dk Hkzae (Delusion of guilt)
9. eksVj xfrfof/k (Motor Activity) dk ekufld fodkj ftlesa 17. fcuk fdlh dkj.k ds Å¡ps LFkkuksa ls Hk; yxuk] D;k
O;fDr fcuk fdlh fgys Mqys yxkrkj ,d fLFkfr cuk, j[krk gS\
dgykrk gS\
a. usxsfofVTe (Negativism) b. esusfjTe (Manerism)
a. vYxksQksfc;k (Algophobia)
c. ofcZtsjlu (Verbigeration) d. dSVkIyslh (Cataplesy)
b. ftuksQksfc;k (Zenophobia)
10. fuEu esa ls dkSulk lksp (Thought) dk ekufld fodkj gS\
c. ,ØksQksfc;k (Acrophobia)
a. Compulism b. Delusion
d. vxksZQksfc;k (Agarophobia)
c. Automatism d. mannerism
Ans. 1.C 2.D 3.D 4.C 5.D 6.D 7.C 8.D 9.D 10.B 11.C 12.A 13.D
Ans. 14.A 15.D 16.B 17.C
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 www.missionhighnurses.com MISSION CHO

Microbiology ls laEcfU/kr egRoiq.kZ iz'uksrjh

For CHO, CCH, Staff Nurse & ANM Exams Level
Microbiology

1. Modern microbiology ds firk dkSu gS\ (FAQs) 11. fdl Bacillus dks koch's baccilus ds uke ls tkuk tkrk
a. Robert Koch b. Edward jenner gS\ (AIIMS-2017)
c. Louis Pasteur d. Lister a. Mycobacterium tuberculosis
2. Bacteriology ds firk dkSu gS\ (Staff Nurse) b. Mycobacterium laprae
a. Louis Pasteur b. Antony van leuwenhork c. Bacillus anthracis
c. Robert Koch d. Ronald ross d. Clostridium
3. Antiseptic surgery ds firk dkSu gS\(FAQs) 12. Sterilization technique, stream sterilizer, hot air

E
a. Frankel b. Roux and yersion oven vkSj Autoclave dk o.kZu fdlus fd;k\
c. Louis Pasteur d. Joseph Lister a. Robert Koch b. Louis Pasteur

AG
4. Germ theory disease dk izLrko fdlus fn;k\ (MP, UP c. Lister d. Nall & Ruska
CHO-2018) 13. Penicillin antibiotic ds [kkstdrkZ dkSu gS\ (FAQs)
a. Lister b. Louis Pasteur a. Edward Janer b. Waksmann
c. Robert Koch d. Frankel c. Alexandr Flaming d. None of these
5. Disease dk jksxk.kq fl)kar fdlus iznku fd;k\ 14. Chains esa mifLFkr Sperical bacteria gS\ (FAQs)
a. Mtchinkoff b. Louis Pasteur EP a. Staphylococci b. Styrepto Bacilli
c. Lister d. Robert Koch c. Spirochetes d. Streptococci
6. fuEufyf[kr esa ls fdl dh Louis Pasteur us [kkst ugha 15. Okg Bacteria tks vius food material dks synthesize
dh Fkh\ djus es vleFkZ jgrs gS\ (AIIMS-2019)
a. Techniques of pasteurization a. Heterotrophs b. Autotrophs
b. Process of fermentation c. Saprotrophs d. Parasite
c. Suppuration of staphylococcus 16. og Bacteria tks 200C to 500C temperature ij grow
PL
d. Rabies vaccine djrs gS mUgs D;k dgk tkrk gS\ (FAQs)
7. Human esa jksx iSnk djus okyk igyk bacterium Fkk\ a. Thermophilic b. Mesophlic
a. Mycobacterium tuberculosis c. Psychrophilic d. Hyperthermophilic
b. Mycobacterium laprae 17. vxwaj dh xqPNs esa ik;s tkus okyk xksykdkj bacteria tSls
clusters bacteria dgykrs gS\
M

c. Bacillus anthracis
d. Vibrio cholera a. Staphylococci b. Cocobacilli
8. Vibrio cholerae dh [kkst fdlus fd\ (FAQs) c. Streptococci d. Pneumococci
a. Robert koch b. Ronald ross 18. Hospital esa ejht ds HkrhZ ds nkSjku ;fn dksbZ u;k
Infection gksrk gS rks mls D;k dgk tkrk gS\ (FAQs)
SA

c. Necholaier d. Alexander flaming

9. Mycobacterium leprae bacilli dh [kkst fdlus fd a. Localized infection b. Nosocominal infection
Fkh\ (GJ CHO-2019) c. Reinfection d. Secondary infection
a. Edward janer b. Loeffler 19. Infection gksus ds ckn first symptom ds fn[kus ds chp
c. Yersin d. Hansen ds vUrjky dks D;k dgrs gS\(FAQs)
10. Small pox ds fy, igyk lQy immunization fdlus a. Latent period b. Septic period
fd;k Fkk\ c. Incubation period d. All of the above
a. Louis Pasteur b. Theodar Schwann
c. Edward jenner d. Alexander flaming

Ans. 1.C 2.C 3.D 4.B 5.B 6.C 7.B 8.A 9.D 10.C 11.A
Ans. 12.B 13.C 14.D 15.A 16.B 17.A 18.B 19.C
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 09 vkS"k/kfoKku@Pharmacology

Pharmacology
vkS"k/kfoKku dh lkekU; tkudkjh Toxicology-
Introduction of Pharmacoloy - It is a branch of pharmacology which deal with poison
- It is the Branch of medical science in which study of substance there effect and manner of prevention.
drug and medicine is called pharmacology. Bioavailability-
- Pharmacology-Pharmacon means Drugs & Logos - Amount of drugs present in the systemic circulation
means study. after first pass metabolism for the therapeutic use.
- Father of pharmacology- Oswald Schiedeberg Disease Drugs of Choice

E
- Father of Indian pharmacology - Ramnath Chopra Fever Paracetamol
vkS"k/kfoKku dh 'kk[kk,a@Branch of Pharmacology Anaphylactic shock Adrenaline

AG
Myocardial infarction Morphine
Pharmaco- dynamic-
Epilepsy in pregnancy Phenobarbitone
- Pharmaco means drugs and dynamic means power.
Acute gout Indomethacin
- It is the study of mechanism of action of drugs and
Gastritis/ GERD/ zollingen Omeprazole
their pharmacological effects on the human body.
Ellison syndrome
Pharmacokinetics- EP Rheumatoid arthritis Methotrexate
- Pharmaco means drugs and kinetic means Prophylaxis of MI Aspirin
movements. Breast cancer Temoxifen citrate
- It is the study of absorption, distribution, metabolism Malaria in pregnancy Chloroquine
and excretion of the drugs. Increase ICP Mannitol 20%
Pharmacovigilance- Pre -e clampsia / gestational HTN Methyldopa
- Pharma means drugs and co vigilance means side Eclampsia MgSO4
PL
effects. Typhoid Ceftriaxone
Heart failure Digoxin
- It is the study of side effects of drugs/medicines.
Angina NTG
Genetic
Polymorphisms Cardiogenic shock Dopamine
Chemotherapy induce vomiting Ondansetron
Cholera Tetracycline
M

Pharmacokinetic Pharmacodynamic Bed wetting (enuresis) Imipramine

Mania Lithium Carbonate
Absorbtion Receptors
Excretion Immune Phobia/depression/anorexia Fluexitime
System nervosa/bulimia nervosa /OCD
SA

Distribution Metabolism Ion Channels Enzymes Alcohol withdrawal symptom Chlodiazepoxide

Kala azar Amphotericin B
Terminology Swine flu Oseltamivir
Drugs Supra ventricular Amiodarone HCL
- Any substance taken exogenesis only can affect the
normal physiology of the body it may be therapeutic
and non- therapeutic called as drugs.
Medicine-
- Any substance use for purpose of therapeutic use with
minimum side effect is called as medicine.

Visit www.missionhighnurses.com for all old papers & CBT Online Test Series for all Nursing Officer/Staff Nurse/CHO Exams 365
 www.missionhighnurses.com MISSION CHO

QkekZdksykWth@Pharmacology fo"k; ls egRoiw.kZ iz'uksÙkjh

For CHO, CCH, Staff Nurse & ANM Exams Level
Pharmacology

1. foKku dh og 'kk[kk ftlesa nok o mlds ekuo 'kjhj ij b. lqtujks/kh (Anti-inflammatory)

fØ;k ls laEcf/kr v/;;u dks D;k dgrs gS\
a. foÑr foKku ¼iSFkksykWth½ c. fojks/kh laØed (Anti-Infective)
b. ekbØksck;ykWth (Microbiology) d. ,aVh lsfIVd (Anti-Septic)
c. 'kjhj fØ;k foKku (Physiology) 11. og MªXl tks jDr okfgdkvksa dks QSykrs (Dialate) gS vkSj
jDrpki dks de djrs gS mls D;k dgrs gS\
d. vkS"k/k foKku (Pharmacology)
a. Myotics b. Vaso constrictor
2. nok ds vo'kks"k.k] forj.k] p;kip; vkSj mRltZu ds

E
v/;;u dks fdl uke ls tkuk tkrk gS\ c. Mydriatics d. Vasodilators
a. QkekZdksMk;ukfeDl b. QkekZdksdkbusfVDl 12. ek;ksfVDl MªXl D;k gS\
c. QkesZlh d. QkekZdksih;k a. vk¡[k dh iqryh dks QSykuk

AG
3. foKku dh og 'kk[kk ftlesa nok dh fØ;k vkSj ekuo 'kjhj b. jDrokfgdkvksa dks QSykuk
ij mRiUu gksus okys vkS"k/kh; çHkkoksa ,oa nok ds dk;Z c. jDr okfgdkvksa dks ladqfpr djuk
ç.kkyh dk v/;;u fd;k tkrk gS mls D;k dgrs gS\ d. vka[k dh iqryh dks ladqfpr djuk
a. QkekZdksMk;ukfeDl b. fo"k foKku (Toxiology) 13. xSysDVksxkWt (Galactogauge) nok dk dk;Z gS\
c. vkS"k/k foKku (Pharmocology) d. QkekZdksdkbusfVDl
EP a. jDr 'kdZjk ds Lrj es deh ykrh gS
4. 'kjhj ls vkS"kf/k dk mTltZu fdlds }kjk gksrk gS\ b. jDr 'kdZjk ds Lrj dks c<krh gS
a. vkar b. xqnkZ ¼fdMuh½ c. Lru nq/k L=ko dks c<krh gS d. Hkq[k dks c<krh gS
c. ekW dk nq/k] ykj] ilhuk vkSj fir d. mijksDr lHkh 14. fdl foVkfeu dks cka>iu jks/kh (Anti-Sterlity) foVkfeu
5. ,d nok dks rjy :i esa 'kjhj ds xqgk ;k 'kjhj ds fNæ esa ds :i esa Hkh tkuk tkrk gS\
Mkyuk dkSuls ekxZ dk mnkgj.k gS\ a. foVkfeu&K b. foVkfeu&C
a. Insufflation b. Insertion c. Instillation d. Inhalation c. foVkfeu&E d. foVkfeu&A
PL
6. lkekU; rkSj ij ?k"kZ.k (Friction) }kjk Ropk ij nok ds 15. Intra-Articular Route ls batsD'ku dgka ,MfefuLVªs'ku
mi;ksx dks D;k dgk tkrk gS\ fd;k tkrk gS\
a. Inunction b. Insufflation c. Insertion d. Instillation
a. ,sfVª;k (Atria) b. /kefu;ksa (Arteries)
7. tc nok vfLFk eTtk ds vUnj Mkyh tkrh gS rks bl ekxZ dks
c. tksM+ksa (Joints) d. Aerolar Tissue
D;k dgk tkrk gS\
16. batsD'ku dh lkbV dk p;u fdl vk/kkj ij fuHkZj djrk gS\
M

a. Intra-Venous b. Intra-Medullary
c. Intra-Peritoneal d. Intra-Arterial
a. nh tkus okyh nok dh ek=k b. nh tkus okyh nok dh fo'ks"krk,¡
8. ,d nok dks lqjf{kr :i ls ,MfeLVªsu djus ds fy,] nok ds c. fpfdRld }kjk vknsf'kr ekxZ d. mijksDr lHkh
fdl vkWMZj dks /;kuiwoZd i<+uk pkfg,\ 17. batsD'ku nsus ls igys ulZ dks D;k djuk pkfg,\
a. fpfdRld dh frfFk vkSj gLrk{kj a. lkbV dk 'kh?kzrk vkSj lVhdrk ls p;u djuk
SA

b. nok dh [kqjkd vkSj ,MfeLVªsu dk ekxZ b. okafNr :i ls nok,a rS;kj djuk

c. jksxh dk uke vkSj nok dk uke d. mijksDr lHkh c. mfpr :i ls midj.k dk p;u djuk
9. tgj (Poison) ds çHkko dk çfrdkj (counteract) djus d. mijksDr lHkh
ds fy, ç;qDr inkFkZ dks D;k dgrs gS\ 18. lhfjat vkSj lqbZ dk p;u fdl dkjd ds vk/kkj ij djuk
a. ,usLFksfVDl b. fo"kuk'kd (Antidotes) pkfg,\
c. lqtujks/kh d. lqtu jks/kh (Anti-Intlamatory) a. nok foy;u dh fpifpikgV
10. [kqtyh (Itching) dks nqj djus okyh nok dks D;k dgrs gS\ b. ekxZ dk vkns'k (Route ordered)
c. ç'kkflr gksus okyh nok dh ek=k d. mijksDr lHkh
a. ,aVhçqfjfVd (Anti-Pruritic)
Ans. 1.D 2.B 3.A 4.D 5.C 6.A 7.B 8.D 9.B 10.A 11.D
Ans. 12.D 13.C 14.C 15.C 16.D 17.D 18.D
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 10 çkFkfed lgk;rk || FIRST AID

FIRST AID
çkFkfed lgk;rk dh ifjHkk"kk/Definition of First Aid • çkFkfed mipkj ds mik;ksa dh çkFkfedrk fu/kkZfjr djsaA bl Øe esa
• fdlh Hkh ?kk;y ;k chekj O;fDr dks vLirky rd igq¡pkus ls igys çkFkfed mipkj dh dqN izkFkfedrk,a ABC fu;ekuqlkj fuEu
mldh tku cpkus ds fy, ge tks dqN Hkh dj ldrs gSa] mls izdkj gS&
çkFkfed lgk;rk (First Aid) dgrs gSA bls izFkfed fpfdRlk  A- Airway: Victim dh lkal uyh dks mi;qDr iksft”ku esa
Hkh dgrs gSA j[kuk
• vkikrdky le; esa ?kk;y O;fä (Victim) dh tku cpkus ds fy,  B- Breathing: Victim dh lkal ysus esa dksbZ dfBukbZ gks rks
ge vkl&ikl mifLFkr fdlh Hkh çdkj dh oLrq dk mi;ksx dj mls nqj djuk

E
ldrs gSa ftlls ?kk;y O;fä (Victim) dks vLirky ys tkrs le;  C- Circulation: dkfMZ;d QaD'ku dks Bhd djuk
tYn ls tYn vkjke fey lds A  ejht ds Level of Consciousness (LOC) dk vkdyu

AG
• vkikrdkyhu fLFkfr (Emergency) eas D;k djuk pkfg, mlls djuk
T;knk egRoiw.kZ ;g tkuuk gS fd D;k ugha djuk pkfg, D;ksafd  pksV yxus dh txg ls [kwu cguk can djuk (To stop
xyr izkFkfed lgk;rk rdfudh ls ml Victim dh tku tkus dk bleeding)
[krjk c<+ ldrk gSA • tYnh ls tYnh fpfdRlk lgk;rk dh O;oLFkk djuk
çkFkfed lgk;rk fuEufyf[kr vkikrdkyhu voLFkk esa • jksxh dk fjd‚MZ vkSj ?kVuk dk fooj.k j[kuk
nh tk ldrh gS EP • tgka rd laHko gks ejht dks xeZ vkSj vkjkenk;d j[kuk
• ne ?kqVuk ¼ikuh esa Mwcus ds dkj.k] Qkalh yxus ds dkj.k ;k lk¡l • fof'k"V midj.kksa dh çrh{kk djus ds ctk; lq/kkj djuk
uyh esa fdlh ckgjh pht dk vVd tkuk½
• ;fn jksxh gks'k esa gks rks mls vk'oLr djuk
• ân; xfr :duk&gkVZ vVSd (Myocardial Infarction)
çkFkfed fpfdRlk ds fl)kar/Principle of First Aid
• [kwu cguk (Haemorrhage)
• lkal dh tk¡p djsa vkSj ABC ds fu;e dk ikyu djsaA
• 'kjhj esa tgj dk vlj gksuk (Poisoning)
• vxj pksV yxh gS vkSj jä cg jgk gks rks tYn ls tYn jälzko dks
• ty tkuk(Burn) jksdsaA
PL
• vR;f/kd xehZ ds dkj.k 'kjhj esa ikuh dh deh (Heat Stroke) • vxj ?kk;y O;fä dks lnek yxk gks rks mls le>k,a vkSj lkaRouk
• csgks'k ;k dksek (Unconsciousness) nsaA
• eksp (Sprain & Strain) • vxj O;fä csgks'k gks rks gks'k esa ykus dh dksf'k'k djsaA
• gìh VwVuk (Fracture) • vxj dksbZ gìh VwV x;h gks] rks lh/kk djsa vkSj nnZ dks de djsa ,oa
• fdlh tkuoj ds dkVus ij tSls&Dog Bite, Monkey Bite etc. VqVh gM~Mh dks fgyus Mqyus ls cpkus ds fy, [kiPph (Splint) dk
M

çkFkfed lgk;rk ds mn~ns'; /Aim of First Aid mi;ksx djsaA

• ftruk tYnh gks lds ?kk;y O;fä dks utnhdh vLirky ;k
• ?kk;y O;fDr dh tku cpkuk
fpfdRlky; igqapk,aA
• fcxM+h gkyr ls ckgj fudkyuk
çkFkfed fpfdRlk esa ABC D;k gS@'ABC' of First Aid
SA

• Victim dh rfc;r ds lq/kkj esa c<+kok nsuk

1. A (Airway) 'okluyh dh tk¡p&
çkFkfed lgk;rk ds Lo.kZ fu;e
• 'okluyh esa #dko [kkldj csgks'k yksxksa esa thHk ds dkj.k gks ldrk
Golden Rules of First Aid gSA csgks'kh ds ckn eqg¡ dh ekalisf'k;ksa esa <hyk iM+us ds dkj.k thHk
çkFkfed lgk;rk ds dqN lqugjs fu;e bl çdkj gS& xys ds fiNys Hkkx esa fxj tkrh gS ftlls 'okluyh CykWd gks tkrh
• tYn ls tYn nq?kZVuk LFky ij igq¡puk gSA
• vuko';d ç'u iwNdj le; cckZn u djuk • 'okluyh dh tk¡p djus ds fy, lcls igys viuh m¡xfy;ksa dh
• pksV dk dkj.k tYnh ls irk djuk enn ls thHk dks mldh txg ij f[kap yk;saA CHO dks mlds
• pksV yxus okyh oLrq dks jksxh ls vyx djuk (First i'pkr ;g lqfuf'pr dj ysuk pkfg, dh 'okluyh esa fdlh Hkh
Action)A tSls fxjus okyh e'khujh] vkx] fctyh dk rkj] tgjhys çdkj dk #dko uk gksA
dhM+s ;k dksbZ vU; oLrqA 2. B (Breathing) lkal dh tk¡p&
• irk yxkuk fd D;k ejht ej pqdk gS] thfor ;k csgks'k gSA • lcls igys vius dku dks ?kk;y O;fä ds eqag ds ikl ys tk dj
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 www.missionhighnurses.com MISSION CHO

izkFkfed lgk;rk ls laEcfU/kr egRoiq.kZ iz'uksrjh

For CHO, CCH, Staff Nurse & ANM Exams Level

FIRST AID
1. Medical assistant miyC/k gksus ls iwoZ jksxh dh tku 8. vR;f/kd jDrL+=ko (Excessive bleeding) ds dkj.k jksxh
cpkus gsrq çnku dh tkus okyh ns[kHkky dgykrh gS\ dk (BP)\
(Odisha CHO-2020) a. de gks tkrk gS b. vçHkkfor jgrk gS
a. okLrfod lgk;rk (True aid) c. c<+ tkrk gS
b. çkFkfed lgk;rk (First aid) d. dqN jksfx;ksa esa c<+ tkrk gS tcfd dqN esa de gks tkrk gS
c. vokLrfor lgk;rk (False aid) 9. ÝsDpj (Fracture) dk vFkZ gksrk gS\
d. vkikrdkyhu ns[kHkky (Emergency care) a. gM~Mh dk VwVuk b. ?kko yxuk

E
2. First aid çnku djus dk mn~ns'; gS\ (MP CHO-2020) c. ukd ls [kwu cguk d. iSj dk tyuk
a. O;fDr ds thou dks cpkuk 10. gM~Mh ds VwVus ij fn[kkbZ nsus okyk y{k.k gS\

AG
b. jksxh dks çkFkfed mipkj çnku djuk a. lwtu b. pksV okys LFkku ij nnZ gksuk
c. pksV dks vf/kd c<+us ls jksduk c. lacaf/kr gkFk&iSj dh xfrfof/k dk Lrj de gks tkuk
d. mijksDr lHkh d. mijksDr lHkh
3. fuEu esa ls first aid box esa j[kh tkus okyh lkexzh ugha gS\ 11. Fracture ds nkSjku çnku dh tkus okyh çkFkfed lgk;rk
a. [kiPph b. jksyj csUMst (First aid box) gS\ (UP CHO-2022)
c. FkekZehVj d. gkWV ,;j vksou
EP a. Fracture okys LFkku dks vuko”;d fgyk;sa Mqyk,a ugha
4. ,d jksxh dks iV~Vh ck¡/kus ¼Mªsflax djus½ dk D;k mís'; gS\ b. jksxh dks lkaRouk nsa ,oa mls rqjar vLirky igq¡pkus dh O;oLFkk djsa
a. ?kko esa infection dh jksdFkke djuk c. [kiPph dk mi;ksx djrs gq, fracture okys LFkku dks fLFkj
b. ?kko dks rsth ls Hkjus esa lgk;rk djuk j[ksa
c. Bleeding dks fu;af=r djuk d. mijksDr lHkh
d. mijksDr lHkh 12. tyus ds nkSjku çnku dh tkus okyh çkFkfed lgk;rk
PL
5. ,d ?kko dh iV~Vh djrs le; fdl ckr dk /;ku j[kuk pkfg;s\ (First aid) gS\
a. Strict aseptic technique dk mi;ksx djuk pkfg;s a. jksxh dks tyus ds dkj.k ls nwj gVk;sa
b. iV~Vh ck¡/krs le; appropriate antiseptic solution dk b. vko';drkuqlkj tys gq, Hkkx dks B.Ms ikuh esa Mqcksdj j[ksa
mi;ksx djuk pkfg;s c. ;fn “kjhj ls diM+s fpids gksa rks mUgsa gVk;sa
c. iV~Vh dh pkSM+kbZ rFkk yEckbZ i;kZIr gksuh pkfg;s d. mijksDr lHkh
M

d. mijksDr lHkh 13. Bleeding ds nkSjku nh tkus okyh çkFkfed ns[kHkky esa
6. First aid box esa j[kh tkus okyh [kiPph dk D;k mi;ksx 'kkfey ugha gS\ (UP CHO 2022)
gS\ (MP CHO-2020) a. çHkkfor Hkkx dks heart ds Lrj ls fups j[kuk
a. VwVh gqbZ gM~Mh dks lgkjk çnku djus ds fy, b. jDrca/k yxkuk (touniquate)
SA

b. ?kko dks doj djus ,oa ck¡/kus ds fy, ¼Mªsflax ds fy,½ c. jksxh dks lkaRouk nsuk
c. O;FkZ lkexzh dks ,df=r djus ds fy, d. çHkkfor Hkkx dks Åij mBkuk
d. jksxh dk vPNh rjg ls ijh{k.k djus ds fy, 14. tyus ds jksxh (Burn patient) dks yxk;s tkus okyk
7. fuEu esa ls iV~Vh ck¡/krs ¼Mªsflax djrs½ le; fdl fl)kUr vaccine gS\
dk mi;ksx djuk pkfg;s\ (Bihar CHO-2019) a. BCG b. DPT c. TT d. MMR
a. mi;qDr vkdkj dh iV~Vh dk p;u djuk pkfg;s 15. izkFkfed mipkj dk D;k mÌs'; gS\
b. iV~Vh ck¡/krs le; ,d leku nkc cuk;s j[kuk pkfg;s a. lcls igys mipkj djuk
c. iV~Vh dks T;knk l[rh ls ugha ck¡/kuk pkfg;s b. thou cpkuk rFkk LokLF; ykHk esa lgk;rk djuk
d. mijksDr lHkh
Ans. 1.B 2.D 3.D 4.D 5.D 6.A 7.D 8.A 9.A 10.D 11.D 12.D 13.A
Ans. 14.C 15.D
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 11

ONCOLOGY NURSING
ONCOLOGY NURSING
Basic Description of Oncology  Metastasis- Cancer cells move from their
 Tumours dh study dks Oncology dgrs gSA original location to another sites.
 Oncology is a branch of medicine that deals with the  Most common route of cancer metastasis? -Blood
study, treatment, diagnosis and prevention of cancer. borne metastasis. (FAQs)
 Neoplasm- Abnormal new growth tks fd benign ;k  Biopsy-It is laboratory examination of living cells&
malignant dqN Hkh gks ldrh gS] mls Neoplasm dgrs gSA tissues and it is considered as confirmative diagnosis
of the cancer.
 Tumor- Abnormal growth of cells (out of control), it

E
 Autopsy: it is laboratory examination of dead cells &
may be benign or malignant.
tissues.
General Characteristics of Neoplasm

AG
Characteristics Benign Malignant
1. Speed of growth Slowly Rapidly
2. Mode of growth ;s surrounding tissues dks infilterate ugha djrk gSA ;s surrounding tissues dks infilterate djrk gSA
;s capsule esa jgrk gSA
3. Capsule Cells dks defferntiate dj ldrs gSA ;s capsule ds :i esa ugha jgrk gSA
4. Cell Characteristics Surgically remove djus ij okfil ugha gksrkA
EP ;s Cells poorly defferntiated gSA
5. Re-Occurance ;s Normally Surgically remove djus ij Hkh okfil gks
Never Occur tkrk gSA
6. Metastasis Very good, if surgically removed. Commonly occur.
7. Prognosis (treatment) Depend on cell & spread of disease.

Grading & Staging System of The Cancer

Grading- Staging-
 Grade-1: Cell difference slightly from normal cells and are well differentiated  Stage-0: Carcinoma in situ
PL
or mild dysplasia  Stage-I: Tumor limited to the tissues of
 Grade-2: Cells are more abnormal and are moderately differentiated or origin, localized tumor growth.
moderate dysplasia.  Stage-II: Limited local spread
 Grade-3: Cells are very abnormal and are poorly differentiated or severe  Stage-III: Extensive local & regional
dysplasia. spread
 Grade-4: Cells are immature or Anaplasia & undifferentiated.  Stage-IV: Distant metastasis
M

Warning Sign of Cancer CAUTION

C Change in bowel and bladder habit vka= vkSj ew=k’k; dh vknr esa ifjorZu
A A sore that does not heal ,d ?kko tks Bhd ugha gksrk
U Unusual bleeding or discharge vlkekU; jDrL=ko ;k fuoZgu
SA

T Thickening or lump ¼xk¡B½ in breast or elsewhere Lru ;k vU; txgksa ij eksVk gksuk ;k xkaB
I Indigestion dysphagia (difficulty in swallowing) vip fMLiSfx;k ¼fuxyus esa dfBukbZ½
O Obvious change-wart and mole. Li"V ifjorZu&eLlk vkSj fry
N Nagging cough or hoarseness Lrkrh [kkalh ;k Loj cSBuk

Cancer Acronym
C Comfort vkjke
A Altered body image 'kjhj dh cnyh gqbZ Nfo
N Nutrition iks"k.k
C Chemotherapy dheksFksjih
E Evaluate response to meds esM ds izfr izfrfØ;k dk ewY;kadu djsa
R Respite for care takers ns[kHkky djus okyksa ds fy, jkgr

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 12
IMAGE BASED QUESTION

IMAGE BASED QUESTION

1. Identify the following procedure? (AIIMS Delhi-2018) 5. Identify the item showing in below picture?
(AIIMS Delhi-2018)

a. Disposable thermometer b. Clinical thermometer

E
c. Snellen chart d. Alcohol thermometer
6. Identify the item in below denote Image? (AIIMS
a. Removal of the Placenta by fundal pressure Delhi-2018)

AG
b. Removal of the placenta by controlled cord traction
c. Fundal massage to prevent PPH
d. Fundal massage to relive post partum pain
2. Identify the following image? (AIIMS Delhi-2018)
EP a. Cuffed ET Tube
b. Un-cuffed ET Tube
c. Cuffed Tracheostomy Tube
d. Un-cuffed Tracheostomy
a. Steam inhaler b. Incentive spirometer 7. Identify the following machine? (AIIMS Delhi-2018)
c. Nebulizer d. Compression machine
PL
3. Identify the correct obstetric grip? (AIIMS Delhi-218)
M

a. Pawlik's Grip b. First pelvic grip a. Cardiac Monitor b. Pulse Oximeter

c. Funda grip d. Lateral grip c. USG d. ABG Machine
SA

4. See Below image and Identify the disease? (AIIMS 8. Identify the palpation technique in below denote
Delhi-2018) image? (AIIMS Delhi-2018)

a. Kwashiorkor b. Marasmus a. Leopard Maneuvers b. Helmich maneuver

c. Measles d. Rubella c. Jaw thrust maneuver d. Rington maneuver

Ans 1.A 2.B 3.A 4.A 5.A 6.A 7.A 8.A

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 ANATOMY & PHYSIOLOGY MISSION CHO

IMAGE BASED QUESTION

73. Identify the following gynaecological surgical 74. Identify this instrument, see image?
instrument? (Safdarjung 2018)

a. Cervical biopsy curate

b. Endometrial biopsy curate
a. Hegar uterine dilator b. Cusco's speculum c. Vaginal biopsy curate
c. Vaginal wall retractor d. Sim's speculum d. Ovarian biopsy curate

E
Ans 73.A 74.B

Anopheles mosquito- Aedes aegypti mosquito- Cullex Mosquito Sand Fly

AG
EP IUD
PL
M
SA

Cu-T 200 Multiload 375 Cu-T 380 A LNG IUS

LNG - IUS Insertion Device

Slider Inserter tube with Flange LNG IUD
plunger inside

Mark Scales

Handle

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 ANATOMY & PHYSIOLOGY MISSION CHO
IMAGE BASED QUESTION

LOGO & OTHER

AIDS NPCB-National Programme for Radiation hazards
Control of Blindness, Launched- 1976

E
DOTS Kangaroo Mother Care National Leprosy Eradication
Programme NLEP 1983

AG
Rashtriya Swasthya Bima Yojna
(RSBY) -1 april 2008
EP
Sarva Shiksha Abhiyan
launched 1993-94
National Vector Borne Diseases Control
Programme (NVBDCP) 2003-04
PL
NRHM-National Rural Health Recyclable waste logo- Integrated Diseases Surveillance
Mission, Launched- April 2005 Programme (IDSP)
M
SA

Janani SurkshaYojna Cytotoxic Waste National Programme For Prevention And

Control Of Cancer Diabetes Cardiovascular
Launched 12 April 2005
Disease And Stroke (NPCDS) 2010

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www.missionhighnurses.com MISSION CHO

13
2018 to 2022

CHO
Previous Year's
Question Papers
with Answer Key

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 CHO PREVIOUS YEAR PAPER
National Health Mission (NHM), MP
01 MP CHO PAPER-2018

Memory Based Paper

1. fuEu eas ls dkSulh Communicable Disease gS\ 9. dksulh First Line Anti TB Drug xHkkZoLFkk ds nkSjku
a. Diabetes b. Diphtheria efgyk dks nsuk fu"ks/k gS\
c. Hypertension d. Kwashiorkor a. Streptomycin b. Isoniazid
2. fuEu esa ls dkSulk T.B. dk Common y{k.k ughaa gS\ c. Ethmbutol d. Pyrazinamide
a. Cough for three weeks or more 10. Brain Stroke ds y{k.k gS\

E
b. Fever specially at night a. Confusion and difficulty in speech
c. Weight gain b. Severe headache and dizziness

AG
d. Loss of appetite c. Difficulty in swallowing & face drooping
3. VVM dh Full Form D;k gS\ d. All of these
a. Vaccine verification monitor 11. Gestational diabetes fdleas gksrh gS\
b. Vaccine viability monitor a. Lactating mother b. Adolescent
c. Vaccine Vial monitor c. Elderly population d. Pregnant women
d. None of these EP 12. ekuo 'kjhj esa Cancer dSls QSyrk gS\
4. cPpksa eas DPT Vhdk yxkus dh eq[; Site gS\ a. Through lymphatic system
a. Dorso gluteal muscles b. Through blood stream
b. Gluteus maximus muscles c. Through Skin
c. Vastus laterals muscles d. Both lymphatic system and through blood stream
d. Gluteus medus muscles 13. leqnk; esa Cervical Cancer dh Screening djus ds fy,
5. fuEufyf[kr esa ls lHkh ?kjsyq miyC/k Fluid dks Mk;fj;k Common Method dkSulk gS\
PL
ejht dks fn;k tk ldrk gS flok; ,d\ a. Ultra sound b. Blood smear
a. Lemon water b. Butter milk c. Visual inspection with acetic acid d. CT scan
c. Sugarcane juice d. Coconut water 14. Breast Self Examination esa fdruh Stapes gksrh gS\
6. 9 eghus dh mez esa Vitamin - A dh lq>k;h x;h Dose gS\ a. Four b. Five c. Two d. Three
15. Asthma ls dSls cpk tk ldrk gS\
M

a. 2 Lakh IU b. 3 Lakh IU
c. 1 Lakh IU d. 60,000 IU a. Preventing exposure to allergens
7. Fever, Abdominal Tenderness, Slow Pulse, b. Take vaccine against asthma
Delirium vkSj Rose Colored Rash dkSulh chekjh ds c. Taking medication regularty
eq[; y{k.k gS\
SA

d. None of the above

a. Small pox b. Measles 16. Beta Blocker vkS j ACE Inhibitors fdldk
c. Tetanus d. Chicken pox Management djus ds fy, mi;ksx djrs gS\
8. Leprosy fdl lw{ethok.kq ls gksrh gS\ a. Hypertension b. Diabetes
a. Mycobacterium leprae c. COPD d. None of these
b. Mycobacterium tuberculosis 17. fuEu esa ls olk esa ?kqyu'khy Vitamins gS flok; ,d\
c. Rota virus a. Vitamin - A b. Vitamin - D
d. Mosquito c. Vitamin - E d. Vitamin - C

Ans. 1.B 2.C 3.C 4.C 5.C 6.C 7.B 8.A 9.A 10.D 11.D 12.D 13.C
Ans. 14.B 15.A 16.A 17.D
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CHO PREVIOUS YEAR PAPER

National Health Mission (NHM), UP

02 UP CHO PAPER-2018
Memory Based Paper
1. Thyroid hormone ds vR;f/kd mRiknu dks dgrs gS\ c. Glutaraldehyde d. Sodium hypochlorite
a. Hyperparathyroidism b. Hypoparathyroidism 13. ,d stroke jksxh dks CHO/ulZ dks fd; rjQ [kMs gksdj
c. Hyperthyroidism d. Hypothyroidism lgk;rk djuh pkfg,\
2. vko';d ,feuks vEy (Amino Acid) gS\ a. On weak side b. On strong side
a. Asparagine b. Arginine c. Glutamine d. All of the c. From behind d. From back
14. ;fn CPR ds nkSjku o;Ld jksxh esa Rescue ¼cpkus okys½ nks

E
3. WHO dh LFkkiuk dkSuls o"kZ gq;h Fkh\
a. 1946 b. 1947 c. 1948 d. 1949 CHO/ulZ gS rks Cheat Ventilation dk vuqikr D;k gksuk
pkfg,\
4. UNICEF dh LFkkiuk dkSuls o"kZ gq;h Fkh\

AG
a. 12 : 1 b. 30 : 1 c. 30 : 2 d. 15 : 2
a. 1944 b. 1945 c. 1946 d. 1947
15. Aspermia 'kCn fdldks o.kZu djus ds fy, iz;ksx fd;k
5. White blood corpuscles dk eq[; purpose D;k gS\
tkrk gS\
a. To carry nutrients b. To combat infection
a. Absence of semen b. Absence of red cells
c. To carry oxygen d. To give strength
c. Presence of red cells d. None of the above
6. Tibia Bone dgka ik;h tkrh gS\ EP 16. KFD chekjh fdlls QSyrh gS\
a. Skull b. Arm c. Leg d. Face
a. Monkey b. Tick bites
7. Blood Pressure dh mPpre Highest Point dks D;k
c. Sand fly d. Mosquito
dgrs gS\
17. 'kjhj esa vfrfjDr pchZ dgka tek gks tkrh gS\
a. Systolic pressure b. Diastolic pressure
a. Adipose tissue b. Acrosome
c. Hypotension d. Hypertension
c. Connective tissue d. Bone marrow
8. fuEu eas ls dkSulk inkFkZ Bone and Teeth dk
Lungs dkSulh Membranes ls f?kjs jgrs gS\
PL
18.
Component gS\
a. Veins b. Air sacs
a. Calcium Carbonate b. Calcium Phosphate
c. Pleura d. None of these
c. Calcium Sulphate d. Calcium Nitrate
9. e/kqesg ek¡ ds uotkr f'k'kq dks fuEufyf[kr lHkh ds fy, 19. uotkr f'k'kq esa Hypoglycaemia ds ekeys esa D;k nsrs gS\
[krjk gks ldrk gS flok;\ a. Honey b. Juice c. Glucose d. All of these
M

a. Hypoglycaemia b. Hyperglycaemia 20. Fallopian tube dk lcls ladjk ikVZ gS\

c. Hypocalciumia d. Hyperbilirubinaemia a. Ampulla b. Isthmus
10. fuEu esa ls dkSulk DNA Virus gS\ c. Infundibulum d. Interstitial portion
a. Hepatitis - A b. Hepatitis - B 21. Blood Cells dk fuEkkZ.k dgka gksrk gS\
SA

c. Hepatitis - C d. Hepatitis - D a. Bone marrow b. Thymus

11. CHO/ulZ Lokbu ¶yw ds jksxh dh ns[kHkky dj jgh gS vkSj c. Spleen d. None of these
og tkurh gS fd Lokbu ¶yw ds fy, lcls mi;ksxh@izHkkoh 22. Schick Test dkSulh chekjh dk irk yxkus ds fy, dke eas
nok gS\ ysrs gS\
a. Acyclovir b. Adefovir a. T. B. b. Typhoid
c. Cidofovir d. Oseltamivir (Temi-flu) c. Diphtheria d. Cholera
12. ,d CHO/ulZZ HIV nqf"kr vif'k"V mRikn dks fuEufyf[kr 23. Nursing Process dh egRoiq.kZ Stage dkSulh gS\
esa ls ,d dks NksM+dj lHkh ls 'kq) dj ldrh gS\ a. Evaluation b. Assessment
a. Formaldehyde b. Methanol c. Planning d. Implementation
Ans. 1.C 2.B 3.C 4.C 5.B 6.C 7.A 8.B 9.B 10.B 11.D 12.B 13.B
Ans. 14.C 15.A 16.B 17.A 18.C 19.D 20.B 21.A 22.C 23.B
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CHO PREVIOUS YEAR PAPER

National Health Mission (NHM), Bihar

06 Bihar CHO PAPER-2019

Memory Based Paper

1. India esa tUe&e`R;q iathdj.k vf/kfu;e&1969 ds vuqlkj 11. Stethoscope }kjk cPps dh FHS dc lqu ldrs gS\
(Birth & Death Registration) fdrus fnu esa gks tkuk a. 24 Weeks b. 28 Weeks
pkfg,\ c. 20 Weeks d. 14 Week
a. 14 days b. 18 days 12. Skin ds uhps dksulk Injection Injected fd;k tkrk gS\
c. 21 days d. 24 days a. Intra dermal b. Subcutaneous
Ekkuo 'kjhj dh lcls yach (longest) ekalis'kh dkSulh gS\

E
2. c. Intravenous d. Intramuscular
a. Glutius Maximus b. Gluteus Minimus 13. Cholera fdl ls gksrk gS\
c. Sartorius Muscles d. Deltoid Muscles

AG
a. Salmonela typhe b. Vibrio cholerae (viral)
3. Tubectomy esa 'kjhj ds dkSuls vax dk Hkkx gVkrs gS\ c. Vibrio cholerae (bacterial) d. Streptocoocai
a. Uterus b. Fallopian tube 14. ;fn Menstrual Cycle dh vof/k 28 fnu gS rc
c. Ovary d. Urinary bladder Ovulation dkSuls fnu gksxk\
4. fo'o ân; fnol dc euk;k tkrk gS\ a. 16 days b. 14 days
a. 29 Marche b. 29 October EP c. 20 days d. 18 days
c. 29 September d. 29 December 15. iq:"kksa eas Lru dk vR;f/kd fodkl dgykrk gS\
5. Hkkjr esa LoPN Hkkjr vfHk;ku dc ls pkyq gqvk\ a. Gynecomestia b. Mastitis
a. 2 Sept 2014 b. 2 Oct 2014 c. Klifenter d. Tendersess
c. 2 Nov 2014 d. 10 Oct 2014 16. fuEu esa ls dkSuls izdkj dk Pelvis Baby Birth ds fy,
6. Atherosclerosis esa artery dSlh gks tkrh gS\ vknZ'k gksrk gS\
a. Thick +Hard b. Elastic a. Android Pelvis b. Gynecoid Pelvis
PL
c. Fragile d. Thin c. Platiploid Pelvis d. Anthropoid Pelvis
7. Pregnancy ds nkSjku esa Respiration Rate fdruh gksrh 17. Plasmodium dh dkSulh iztkrh Hkkjr esa ughaa ik;h tkrh
gS\ gS\
a. 20 Rsp/mint b. 30 Rsp/mint a. Plas. falciparum b. Plas. Ovale
c. 14 Rsp/mint d. 10 Rsp/mint c. Plas.vivex d. Plas. Malarize
M

8. Growth D;k gksrh gS\ 18. Polio fdl rjg dh fcekjh gS\
a. Psychological skill developed a. Viral b. Bacterial
b. Physical growth c. Protozoa d. Fungal
c. Progressive growth in size or shape in body parts 19. CPR ds nkSjku Chest dh Depth adult & child esa fdruh
SA

d. Both b & c gksuh pkfg,\

9. Older age esa first priority D;k gS\ a. 2 to 2.5 inch b. 1.5 to 2 inches
a. Mental health b. Carrier counselling c. 1 to 1.5 inch d. 2.5 to 3 inches
c. Physical health d. Iron folic acid supplement 20. cPpk dkSuls eghus esa fcuk lgkjs ds cS< ldrk gS\
10. Neonates esa Blood Sample ysus ds fy, dkSulh txg a. 10 months b. 12 months
lcls mi;qDr ekuh tkrh gS\ c. 8 months d. 6 months
a. Heel b. Hands 21. tUe ds ckn ekrk dk igyk nq/k Colostrum vR;f/kd gS\
c. Neck d. Back a. Expensive b. Non valuable
c. Infectious d. Nutritive
Ans. 1.C 2.C 3.B 4.C 5.B 6.D 7.A 8.D 9.A 10.A 11.C 12.B 13.C
Ans. 14.B 15.A 16.B 17.B 18.A 19.B 20.C 21.D
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CHO PREVIOUS YEAR PAPER

National Health Mission (NHM), Rajasthan

08 Rajasthan CHO PAPER-2020

Original Paper
1. fo'o LokLF; fnol dc euk;k tkrk gS\ 12. vki CHO vius HWC ij ,d N% ekg ds cPps ds fodkl dk
a. 10 ebZ b. 01 fnlEcj c. 11 ekpZ d. 07 vçSy vkdyu dj jgs gSaA lkekU;r% fuEufyf[kr esa ls vki D;k
2. Hkkjr ds orZeku jk"Vªifr dkSu gSa\ mEehn dj ldrs gSa\
a. cPpk NksVs okD; cksy ldrk gS
a. Jh oSadS;k uk;Mw b. Jh ç.ko eq[ktÊ
b. cPpk pEep ls Lo;a [kkuk [kk ldrk gS
c. Jh jkeukFk dksfoUn ¼rRdkfyu½ d. Jh yky ".k vkMok.kh
c. cPpk lgkjs ds lkFk Lo;a cSB ldrk gS

E
3. MTP Act Hkkjrh; laln }kjk dc ykxw fd;k x;k\
d. cPpk Lo;a mB dj [kMk gks ldrk gS
a. 1962 b. 1971 c. 1972 d. 1984
13. Hkkjr esa tUe ds le; uotkr dk otu lkekU;r% fdruk

AG
4. fuEufyf[kr chekfj;ksa esa ls dkSu&lh chekjh dk Hkkjr ls
mUewyu fd;k tk pqdk gS\ gksrk gS\
a. 1-5 ls 2-5 fdyks b. 2-0 ls 3-0 fdyks
a. {k; jksx b. eysfj;k c. iksfy;ks d. ,M~l
c. 2-5 ls 3-5 fdyks d. 3-0 ls 4-0 fdyks
5. Hkkjr esa gfjr ØkfUr (Green Revoluation) dk vkgoku
fdlus fd;k Fkk\ 14. tc daxk: enj ds;j (KMC) çnku dh tkrh gS og ,d
ckj esa de ls de fdrus le; rd çnku djuh pkfg;s\
a. ojxht dqfj;u b. f=Hkqounkl iVsy
EP a. de ls de 15 feuV b. de ls de ,d ?k.Vk
c. ,e-,l- LokehukFku d. ,p-,e- nyk;k
c. de ls de rhu ?k.Vs d. de ls de N% ?k.Vs
6. Hkkjr esa LoPN Hkkjr vfHk;ku dk 'kqHkkajEHk dc fd;k x;k
Fkk\ 15. yscj :e dk rkieku (°C esa) fdruk gksuk pkfg;s\
a. 02 flrEcj 2014 b. 02 vDVwcj 2014 a. 20 - 24 oC b. 26 - 28 oC
c. 15 vxLr 2014 d. 02 vDVwcj 2013 c. 28 - 30 oC d. 34 - 37 oC
7. fuEufyf[kr esa ls dkSu&lh çfØ;k dks (Global 16. fuEufyf[kr esa ls dkSu&lk Immunoglobulin ekuo ds
PL
Warming) dk ftEesnkj Bgjk;k x;k gS\ nwèk (Human Milk) esa ik;k tkrk gS\
a. xzhugkÅl bQsDV b. dks;yk [kknkuksa esa vkx a. IgG b. IgM c. IgE d. IgA
17. BCG oSDlhu dk batsD'ku fdl çdkj yxk;k tkrk gS\
c. lw[kh [ksrh d. ekulwu
a. Intradermal b. Subcutaneous
8. fuEufyf[kr esa ls dkSu&lk jksx Qhdks&vksjy ¼feco-oral½
ekè;e ls ughaa QSyrk gS \ c. Intramiscular d. Intravenous
M

a. [kljk (Measles) b. Vk;QkbM 18. Koplik's spots fdl chekjh esa ns[kus dks feyrs gSa\
c. dksysjk@gStk d. gsisVkbfVl , a. NksVh ekrk (Chickenpox) b. xylqvk (Mumps)
9. nLr jksx esa e`R;q dk eq[; dkj.k dkSu&lk gS\ c. [kljk (Measles) d. iksfy;ks
19. lesfdr cky fodkl lsok;sa ;kstuk (ICDS Scheme) ds
SA

a. mYVh b. isV esa nnZ

ykHkkFkÊ dkSu gSa\
c. futZyhdj.k (Dehydration) d. lqLrh
a. N% o"kZ ls NksVs cPps
10. fuEufyf[kr esa ls 5 o"kZ ls NksVs cPpksa dh e`R;q dk eq[;
dkj.k D;k gS\ b. xHkZorh rFkk Lruiku djkus okyh efgyk;sa
a. nLr jksx b. fueksfu;k c. [kljk d. Nksrh ekrk c. cqtqxZ O;fä
11. cPpksa esa lkekU; dSfiyjh jhfQy le; (Normal d. (A) and (B) nksuksa
Capillary Time) fdruk gksrk gS\ 20. fuEufyf[kr esa ls dSfY'k;e (Calcium) dk lcls cf<;k
a. ,d lSd.M ls de b. rhu lSd.M ls de
L=ksr D;k gS\
a. ekal b. Qy c. nwèk d. lCth
c. ik¡p lSd.M d. lkr lSd.M

Ans. 1.D 2.C 3.C 4.C 5.C 6.B 7.A 8.A 9.C 10.B 11.B 12.C 13.C
Ans. 14.B 15.B 16.D 17.A 18.C 19.D 20.C
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 CHO PREVIOUS YEAR PAPER
National Health Mission (NHM), Maharashtra
09 Maharashtra CHO PAPER Octomber-2020

Original Paper
1. Hkkjr dk izFke ukxfjd dkSu gS ftldks ukscy iqjLdkj feyk 11. PPH dk D;k eryc gS\
gks\ a. 24 ?k.Vs esa 100 ml jDr dh gkfu
a. C.V. jeu b. gfj xksfoUn [kqjkuk b. 24 ?k.Vs esa 1000 ml jDr dh gkfu
c. pUæ'ks[kj d. jfoUæukFk VSxksj c. 24 ?k.Vs esa 500 ml jDr dh gkfu
2. fuEu esa fdl us ekbdkscsDVhfj;e V~;wcjDYkksfll dh [kkst d. 24 ?k.Vs esa 700 ml jDr dh gkfu

E
dh Fkh\ 12. fuEu esa ls dkSulk foVkehu uotkr esa jDr L=ko fcekjh ls
a. jkcVZ dksp b. yqbl ik'pj cpkrk gS\

AG
c. lj jksgu nkl d. lj vydtsUMj ¶yksfex a. K b. D c. E d. A
3. MUHS fo'ofo|ky; dc Established fd;k x;k\ 13. ,d 22 lky dh efgyk vkids HWC ij vkbZ gS tks xHkZorh
a. 3 tqykbZ 1998 b. 3 twu 1997 ughaa gSA ifj{k.k ls irk yxk gS fd mldks :csyk laØe.k gks
c. 3 twu 1999 d. 3 twu 1995 x;k gSA fuEu esa ls CHO dks dkSulh LokLF; f'k{kk
4. 42, 40, 38, 35, 33, 31, 28, ……. ds ckn D;k vk;sxkA (Health Education) ml efgyk dks nsuh pkfg, ftlls
mlds vkus okyh xHkkZoLFkk esa :csyk flaMªkse ughaa gks\
a. 25, 22 b. 26, 23 EP a. ,UVhck;ksfVd nsuk pkfg,
c. 26, 24 d. 25, 23
5. ,d vk;r dh yackbZ vkSj pkSM+kbZ Øe'k% 14 ehVj vkSj 7 b. mls 12 lIrkg rd xHkZofr gksus ls cpuk pkfg,
ehVj gS vf/kdre o`r dk {ks=Qy Kkr dhft,\ c. ,UVh ok;jy Fksjsih nsuk pkfg,
a. 154 oxZ ehVj b. 16.25 oxZ ehVj d. dksbZ ughaa
c. 385 oxZ ehVj d. 616 oxZ ehVj 14. 1 eghus dh mez rd BCG dh fdruh MkWt nsuk pkfg,\
6. fuEu esa ls dkSuls egk}hi esa lcls T;knk ns'k gS\ a. 1.0 ml ID on Left upper Arm
PL
a. ,f'k;k b. ;wjksi b. 2.0 ml ID on Left upper Arm
c. nf{k.kh vesfjdk d. vÝhdk c. 0.5 ml ID on Right Lower Arm
7. Hkkjr dh igyh efgyk yksd lHkk Lihdj dkSu Fkh\ d. 0.05 ml ID on Left upper Arm
a. lq"kek Lojkt b. ehjk dqekj 15. Posterior Fontanelle dc cUn gksrk gS\
a. 1 ls 2 eghus ij b. 4 ls 9 eghus ij
M

c. ehuk dqekjh d. oalq/kjk jkts

8. fuEu esa ls egkjk"Vª ds dkSuls 'kgj esa gkbZdksVZ dh 'kk[kk c. 9 ls 18 eghus ij d. 16 ls 24 eghus ij
ughaa gS\ 16. [kljk@,e vkj osDlhu gS\
a. eqEcbZ b. iq.ks a. xehZ vkSj çdk'k ds çfr laosnu'khy
SA

c. vksjaxkckn d. ukxiqj b. xehZ ds çfr laosnu'khy ysfdu çdk'k ds fy, fLFkj

9. çlo iwoZ fdruh ckj ,UVhusVy foftV djuk vko';d gS\ c. vis{kkÑr xehZ fLFkj ysfdu çdk'k ds çfr laosnu'khy
a. 3 b. 4 c. 2 d. 6 d. xehZ vkSj çdk'k ds fy, fLFkj
10. vkids HWC ij xHkkZoLFkk ds lkrosa eghus dh ,d efgyk 17. ;ksxs'k 17 year iq:"k dh ÅapkbZ 170 lseh vkSj otu 68
,UVhusVy fotV (ANC Visit) ij vkbZ gSA CHO dks ml fdyksxzke gS ;ksxs'k dk BMI D;k gS\
efgyk dks fuEu esa ls dkSulk Vhdk yxkuk pkfg,\ a. 27.2 fdxzk 2 lseh b. 23.72 fdxzk@eh
2

a. TD oSDlhu b. gsisVkbfVl B dk Vhdk c. 40 fdxzk@eh d. 42.5 lseh@fdxzk

c. :csyk d. fVVusl

Ans. 1.D 2.A 3.A 4.C 5.C 6.D 7.B 8.B 9.B 10.D 11.C 12.A 13.B
Ans. 14.D 15.A 16.B 17.B
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CHO PREVIOUS YEAR PAPER

National Health Mission (NHM) Haryana

10 Haryana CHO Paper Feb-2021
Original Paper
1. The most common psychological problem in 9. 0.5% chlorine solution is prepared by using?
adolescent is? a. 30% Bleaching powder b. 10% Bleaching powder
a. Anxiety Disorder b. Depression c. 20% Bleaching powder d. 40% Bleaching powder
c. Frustration d. Excessive irritability 10. Linens & Surgical Instruments are autoclaved for
2. Expanded CPHC service delivery includes? 30 minutes at?
a. Population enumeration and empanelment of a. 15 lbs/sq. inch pressure

E
family at HWC b. 30/lbs/sq, Inch pressure
b. Organization of services and service delivery framework c. 20 lbs/sq. inch pressure

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c. Continuity of care and patient centric care d. 40 lbs/sq. inch pressure
d. All of above 11. Anatomical wastes such as placenta, body parts
3. Sterilization Services cannot be provided to the etc. are segregated in?
following except? a. Red bin. b. Yellow bin.
a. Every married male/female client c. Black bin. d. White/blue bin
b. Widow without children EP 12. Family planning commodities for distribution
c. Live-in couples d. Unmarried women through ASHA at community level includes all
4. Sterilization procedure can be form in all except? except?
a. Women immediately after birth of 1 Child a. Nirodh b. Mala-N, E. pill and Chhaya
b. Women delivered at home c. Tubal Ring. d. PTK.
c. Women not in eligible couple list of that area 13. Important sources of vital statistics are?
d. All of above a. Population census b. Civil Registration System
PL
5. As per GOI guidelines, pre-anesthetic/analgesic c. Sample Registration System d. All of above.
medication recommended before sterilization is/are? 14. According to NHP-2017, 90:90:90 is related to
a. Pethidine b. Pentazocine which disease?
c. Promethazine d. All of above a. AIDS b. Malaria c. IMR & MMR d. TB
6. Technique use to organize the elements of FP 15. Sub centre covering a population of?
M

counseling process is? a. 3000-5000 b. 4000-5000

a. GATHER b. RACE c. RAGE d. AMSTL c. 3000 - 4500 d. 4000 8000
7. IUCD should not be inserted if? 16. The principle of delivery of Comprehensive
a. Cervical movement is painful Primary Health Care Services being “Time to
SA

b. Uterus is enlarged and tender Care" is to be not more than?

c. Cervix is not mobile, hard or bleeds to touch a. 20 Minutes b. 30 Minutes
d. All of the above c. 40 Minutes d. 60 Minutes
8. Following are Appropriate candidate for IUCD except? 17. An urban PHC centers established about--------
a. HIV women without AIDS. Population?
b. HIV women who have developed AIDS. a. 50000. b. 60000 c. 100000. d. 70000
c. AIDS women who are clinically well on anti 18. Number of visits in home based new born care in
retroviral therapy case of home delivery is?
d. None of the above a. 5. b. 7. c. 4. d. 2.
Ans. 1.A 2.D 3.A 4.D 5.D 6.A 7.D 8.C 9.B 10.A 11.B 12.D
Ans. 13.D 14.A 15.A 16.B 17.A 18.B
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CHO PREVIOUS YEAR PAPER

National Health Mission (NHM) Tripura

11 Tripura CHO Paper March-2021
Original Paper
1. When India Government has adopted Family 10. When did Janani Sishu Suraksha Karyakaram
Planning Program? (JSSK) started in India?
a. 1950 b. 1952 a. 2008 b. 2011 c. 2014 d. 2018
c. 1954 d. 1956 11. Vaginal spotting or bleeding between menses is
2. Which one of the following is the main target of called
family welfare programs? a. Premenstrual syndrome b. Menorrhagia

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a. Male after fertile age c. Metrorrhagia d. Dysmenorrhea
b. Couples in the fertile age 12. The nurse is aware that an adaptation of

AG
c. Children below 12 years pregnancy is increased blood supply to pelvic
d. Women after fertile age region thatresults purplish discoloration of
3. Breast feeding week is celebrated in vaginal mucosa known as?
a. 1st week of July b. 1st week of August a. Ladin's sign b. Hegar's sign
c. 1st week of September d. 1st week of November c. Goodell's sign d. Chadwick sign
4. Which of these is a permanent method of
EP 13. A woman is diagnosed to have severe anemia
contraception when the hemoglobin is below?
a. Tubal ligation b. Vasectomy a. 7 gm/dl b. 10 gm/dl
c. MTIP d. Both A & B c. 11gm/dl d. 12 gm/dl
5. How many NFHS has been successfully completed 14. The postnatal period extends upto?
in India till now a. 2 weeks b. 6 weeks
a. 2 b. 3 c. 4 d. 5 c. 4 weeks d. 8 weeks
PL
6. The most common side effect of IUD insertion is 15. The amount of protein provided in the
a. Bleeding b. Pain nutritional supplement program for a lactating
c. Pelvic infection d. Ectopic Pregnancy mother is?
7. Most common method of sterilization practiced a. 10 - 15 gm b. 12 - 15 gm
c. 18 - 20 gm d. 20 - 25 gm
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in India?
a. Male sterilization b. Female sterilization 16. The hormone primarily responsible for the milk
c. Both equally common d. All of the above ejection?
8. How many weeks post delivery is called a. Oestrogen b. Progesterone
c. Prolactin d. Oxytocin
SA

puerperium period?
a. 4 weeks b. 6 weeks 17. White or yellowish white secretions that lasts for
c. 8 weeks d. 10 weeks 10 to 15 days after delivery is called?
9. As per Indian public health standards first a. Lochia rubra b. Lochia serosa
antenatal visit should be done at? c. Lochia alba d. All the above
a. 2 weeks of gestation 18. Leading cause of maternal death in India is
b. Within 12 weeks of gestation a. Anemia b. Hemorrhage
c. Within 14 weeks of gestation c. Sepsis d. Obstructed labour
d. Within 20 weeks of gestation

Ans. 1.B 2.B 3.B 4.D 5.D 6.A 7.B 8.B 9.B 10.B 11.C 12.D 13.A
Ans. 14.B 15.C 16.D 17.C 18.B
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CHO PREVIOUS YEAR PAPER

National Health Mission (NHM), MP

13 MP CHO Paper 27 June-2021
Shift-I/Original Paper
1. Thrombacytopenia dk eryc D;k gS\ 13. tula[;k ds vkadM+ksa dks ekius ds fy, fuEu esa ls 'kkfey
a. Platelat Aggregation dh detksjh ughaa gS\
b. Low Platelet Count a. Population size b. Sex Ratio
c. Increased Platelet Count c. Dependency Ratio d. Morbidity Rate
d. Normal Platelet Count 14. xHkZ/kkj.k dh la[;k dk vuqikr ,d o"kZ esa 15-44 year dh
Married Women dks D;k dgk tkrk gS\

E
2. Flame cell dk D;k dk;Z gS\
a. Excretion b. Digestion c. Respiration d. Reproduction a. Gross Reproduction Rate b. Net Reproduction Rate
3. fuEufyf[kr esa Bleeding Disorder dkSulk gS\ c. Pregnancy Rate d. Marriage Rate

AG
a. Leukaemia b. Anaemia c. Haemophilia d. Leucopenia 15. fdlh Geographical Areas esa dksbZ Disease ;k Infection
4. ykj esa ,d ,atkbe gksrk gS tks fdl iks"kd rRo ij dk;Z fuajrj Presence jgrk gS mls D;k dgk tkrk gS\
djrk gS\ a. Pandemic b. Epidemic c. Endemic d. Sporudic
a. çksVhu b. olk c. LVkpZ d. [kfut (Minerals) 16. og O;fDr] i'kq oLrq ;k inkFkZ ftlls ,d laØked thok.kq
5. Drug Absorption dh nj lcls vf/kd dgka gksrh gS\ lapkfjr gksrk gS\

6.
dgk tkrk gS\
a. Femur b. Pelvic c. Scapula d. Clavicle
EP
a. cM+h vkar b. firk'k; dh FkSyh c. NksVh vkar d. Stomach
fuEufyf[kr eas ls fdl gìh dks dkWyj cksu (Coller Bone)
17.
a. Reservoir
c. Carrier
b. Source
d. Latent Infeciton
tc nks Live vaccines dh t:jr gks rks dSls nsuh pkfg,\
a. ,d lkFk gh fofHkUu LFkyksa ij b. ,d lkFk gh ,d gh lkbV ij
7. fuEu esa ls dkSu lh xazfFk dks Master Gland dgk tkrk gS\ c. nksuksa ,d lkFk I.V. :i esa d. All of These
a. Pancreas b. Pituitary c. Thyrold d. Adrenal 18. tc Antibodies ,d 'kjhj esa iSnk gks gksrh gS vkSj nqljs
PL
8. fuEufyf[kr esa ls dkSu gok dks Lungs ds vUnj tkus nsrk gS\ 'kjhj esa chekjh ds fo#) lqj{kk ds fy, nh tkrh gS ;k
a. Aorta b. Esophagus c. Heart d. Trachea Transfer gksrh gS mls D;k dgk tkrk gS\
9. dkSulh Membrane dku ds Middle Ear ls Auditory a. Active Immunity b. Herd Immunity
Canal dks Separates djrh gS\ c. Passive Immunity d. Cellular Immunity
a. Eustachian Tube b. Tympanic membrane 19. Episiotomy Lobor dh dkSulh stage ds nkSjku fd tkrh gS\
M

c. Labyrinth d. Pinna a. Labour dh igyh stage esa b. Labour dh nwljh stage esa
10. tulkaf[;dh; pØ esa High Stationary Stage fd c. Labour dh Third stage esa d. buesa ls dkbZ ughaa
fo'ks"krk gksrh gS\ 20. ,d efgyk us dHkh Hkh fdlh cPps dks tUe ughaa fn;k gks rks
a. mPp tUe nj vkSj mPp e`R;q nj mls D;k dgk tkrk gS\
SA

b. e`R;q nj ?kVus yxrh gS tcfd tUe nj vifjofrZr jgrh gS a. Nullipara b. Nulli Gravida
c. e`R;q nj esa vHkh vkSj fxjkoV vkbZ gS vkSj tUe nj esa fxjkoV vkbZ gS c. Primipara d. Parturient
d. Low Birth vkSj Low Death Rate 21. dkSulk isIVkbM gkeksZu yxHkx fo'ks"k :i ls Pregnancy
ds nkSjku dkWiZl Y;wfV;e }kjk mRikfnr gksrk gS\S
11. Maternal Mortality Rate fuEu esa ls fdlls
expressed fd;k tkrk gS\ a. Leptin b. Relaxin c. Estrial d. PAPPA
22. Pregnancy ds nkSjku xHkZofr efgyk ds psgjs ij
a. çfr 1000 b. çfr 10,000 c. çfr 100 d. çfr 1,00,000
Pigmentation Increased gksus dks D;k dgk tkrk gS\
12. Hkkjr esa High Birth Rate ds fuEu lHkh dkj.k gS flok, ,d ds\
a. Linea Nigra b. Striae Gravida
a. Early Puberty b. Marriage dh Universality
c. Chloasma d. Caput medussa
c. Early Marriage d. Literacy dh High Level
Ans. 1.B 2.A 3.C 4.C 5.C 6.D 7.B 8.D 9.B 10.A 11.D 12.D 13.D
Ans. 14.C 15.C 16.B 17.A 18.C 19.B 20.A 21.B 22.C
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 CHO PREVIOUS YEAR PAPER
National Health Mission (NHM), Punjab
15 Punjab CHO Paper 2021
Memory Based Paper
1. 0-35 Intelligence Quotient (IQ) fdldks bafxr djrk 14. Covishield fdl çdkj dh oSDlhu gS\
gS\ a. bu,DVhosVsM okbjy oSDlhu b. ykbo ,sfVU;wVsM okbjy oSDlhu
a. Mild MR b. Moderate MR c. A vkSj B nksuksa d. buesa ls dksbZ ughaa
c. Severe MR d. Profound MR 15. Deep Freezer dk rkieku fdruk gksrk gS\
2. Mission Indradhanush dk;ZØe fdl o"kZ pkyw gqvk a. 2 ls 8 °C b. 15 ls 20 °C
Fkk\

E
c. -15ls -20 °C d. buesa ls dksbZ ughaa
a. 2013 b. 2014 c. 2015 d. 2018
16. dkedkth efgyk ds fy, jkstkuk fdruh ÅtkZ dh
3. v/kark dks fu;a=.k djus ds fy, jk"Vªh; dk;ZØe dc ykxw vko';erk gksrh gS\

AG
fd;k x;k Fkk\
a. 1800 k.Cal b. 1900 k.Cal
a. 1963 b. 1972 c. 1982 d. 1976
c. 2220 k.Cal d. 2550 k.Cal
4. Mid-Day Meal dk;ZØe dc Launch gqvk Fkk\
17. dkSulh Drug Contraceptive dh xq.kork dks çHkkfor
a. 1965 b. 1975 c. 1985 d. 1995 djrh gS\
5. Lakshya dk;ZØe fdl o"kZ ykWUp gqvk Fkk\ a. Phenytoin b. PCM c. Antacid d. Metformin
a. 11 fnlEcj 2015 b. 11fnlEcj 2016

6.
c. 11fnlEcj 2017

a. 2015 b. 2014 c. 2010 d. 2012

EP
d. 11fnlEcj 2018
fueZy Hkkjr vfHk;ku dc ykap gqvk Fkk\
18.

19.
f'k'kqvksa dks jkstkuk fdruh ÅtkZ dh vko';drk gksrh gS\
a. 110-120 Kcal/Kg
c. 200-250Kcal/Kg
b. 150-160Kcal/Kg
d. mijksDr lHkh
Triage System eas gjk jax dkSulh ns[kHkky dks bafxr
7. PCM dh Poisoning dk Antidote D;k gS\ djrk gS\
a. Calcium Gluconate b. Flumazenil a. Immediate b. Delayed c. Minimal d. Expectant
PL
c. Acetylcysteine d. Protamine Sulphate 20. Cannabis dks can djus ds fdrus le; ckn Withdrawal
8. Benzodiazepine dk Antidote D;k gS\ y{k.k fn[kus yxrs gS\
a. Calcium Gluconate b. Flumazenil a. 2 fnu b. 2 lIrkg c. 4 lIrkg d. 2 ekg
c. Vit. K d. Protamine Sulphate 21. fuEu esa ls dkSulh ,d oSfDlu dks NksMdj lHkh oSfDlUl
9. Iron overlood dk Antidote D;k gS\ xehZ ds izfr de laosnu'khy gS\
M

a. Deferoxamine b. Glucose a. OPV b. TT c. MMR d. BCG

c. Dimercaprol d. Activated Charcoal 22. B-Type dh PHC ij fdruh Deliveries gksrh gS\
10. fuEu esa ls fdl chekjh ds vUrxZr Negri Bodies ns[kus a. ,d efgus esa 40 ls de Deliveries
dks feyrh gS\ b. ,d efgus esa 40 ls vf/kd Deliveries
SA

a. Brucellosis b. Anthrax c. ,d efgus esa 20 ls vf/kd Deliveries

c. Rabies d. Tuberculosis d. ,d efgus esa 20 ls de Deliveries
11. Tetracycline dk Side effect D;k gS\ 23. BCG oSDlhu dks ,d ckj ?kksyus (constituted) ds ckn
a. isV nnZ b. nkarks dk Discolaration fdrus le; rd mi;ksx esa ys ysuk pkfg,\
c. Bone marrow Depressions d. Red man syndrome a. 3-5 ?ka.Vs esa b. 4-6 ?ka.Vs esa
12. jksVkokbjl oSDlhu dh fdruh Dose dh vko';drk gksrh gS\ c. 12 ?ka.Vs esa d. 24 ?ka.Vs esa
a. 3 b. 1 c. 4 d. 5 24. Vitamin C dh O;Ldksa dks jkstkuk fdruh dose dh
13. ESI (Employee's State Insurance) ,DV dc vk;k Fkk\ vko';drk gksrh gS\
a. 1945 b. 1946 c. 1948 d. 1952 a. 30 mg b. 60mg c. 80mg d. 10mg
Ans. 1.C 2.B 3.D 4.D 5.C 6.D 7.C 8.B 9.A 10.C 11.B 12.A 13.C
Ans. 14.B 15.C 16.B 17.A 18.A 19.C 20.A 21.A 22.C 23.B 24.B
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 CHO PREVIOUS YEAR PAPER
National Health Mission (NHM), Uttarakhand
16 UK CHO Paper 2021
Original Paper
1. ,d jksxh ds Bucks traction yxk gqvk gSA rks ml jksxh ds 7. ,d Nurse/CHO COPD ds ejht dk Care plan cuk jgh
Foot Drop dks jksdus ds fy, ulZ dks D;k djuk pkfg,\ gS rks bles lcls T;knk fdl çdkj dk Acid base
a. rfd, dks ejht ds ,fM;ks ds uhps j[kuk pkfg, Imbalance ns[kus dks feysxk\
b. pknjs fcLrj (Bed) ds iSjks dh vksj Tuck djsa a. Respiratory Acidosis b. Respiratory Alkalosis
c. jksxh dks vkblksesfjd O;k;ke fl[kk,a c. Metabolic Acidosis d. Metabolic Alkalosis
8. Retinal Detachment dk lcls eq[; dkj.k D;k gS\

E
d. 'kjhj dh mfpr position lqfuf'pr djsa
2. ,d ejht ds nksuks Arm ty x;s gks rks uflZx a. Diabetes mellitus / e/kqesg b. Brain Tumours
vf/kdkjh/CHO dks Rule of nine dk mi;ksx djrs gq, c. jsfVuk esa fMtujsfVo cnyko d. Trauma / pksV

AG
x.kuk djuh gS dh mldk fdruk çfr'kr 'kjhj tyk gqvk 9. ,d ejht TPN ij gS mls ?kj ds fy, Discharged fd;k
gS\ x;k gS rks çR;sd Home visit ij Home care Nurse
a. 9% b. 36% c. 18% d. 1% fuEu esa ls fdl Parameter dk izkFkfedrk ls vkdyu
3. tyus ds ckn 48 ?k.Vs rd fluid Resuscitation djus ds djsxh\
ckn Victim dks dSls Evaluated djrs gS\ a. rkieku vkSj otu b. rkieku vkSj B.P

4.
a. Weight
c. Urine Specific gravity
b. Urine output
d. Peripheral Perfusion
,d AIDS dk vfUre voLFkk okyk ejht gS ftldks
suctioning dh t:jr gS tc ge bl Task dks dj jgs gS
EP c. iYl vkSj otu d. iYl vkSj B.P
10. ,d MkWDVj us ejht ds fy, Hypotonic IV solution
prescribe fd;k gS rks /CHONurse fuEu esa ls dkSuls
Solution dk mi;ksx djsxh\
rks Nurse/CHO dks D;k iguuk t#jh gS\ a. 0.45% Saline b. Saline esa 5% Dextrose
a. ,d ekLd vkSj Eye protection c. ikuh esa 10% Dextrose d. 0.9% Saline esa 5% Dextrose.
PL
b. Sterile nLrkusa vkSj Eye protection 11. ,d MkWDVj us 1000 ml NS dks 8 ?k.Vs esa Infuse djus dk
c. ,d ekLd vkSj Sterile nLrkuas Order fn;k gS rks ulZ ,d feuV esa fdruk Drops ij Set
d. ,d ekLd] Eye protection vkSj Sterile nLrkuas djsxh tcdh ,d ml esa 15 drops gS\
5. ,d Nurse/CHO ejhtksa ds Group dh ns[kHkky dj jgh a. 20 Drop/ feuV b. 22Drop/ feuV
gSA CHO ds vuqlkj dkSuls ejht dks Fluid Volume c. 28Drop/ feuV d. 31Drop/ feuV
M

Excess dk tksf[ke T;knk gksuk pkfg,\ 12. ,d Nurse ejht vkSj mlds ifjokj dks nka;h vka[k esa
a. ftl ejht dh fdMuh Failure gS cataract dks removal djus ds ckn Home care ds
b. ftl ejht dks Ileostomy gks j[kh gks lEca/k esa funsZ'k ns jgh gS rks buesa ls efjt dk dkSulk
c. tks ejht Diuretics ys jgk gks Statement Teaching dks effective cukrk gS\
SA

d. ftl ejht dh GT Suctioning gks jgh gks a. eSa viuh nkafguh vkSj ughaa lksÅaxk
6. ,d Nurse/CHO ejht ds Electrolytes dh Lab b. eSa viuh ckabZ vkSj ughaa lksÅaxk
report dks check dj jgh gS vkSj mles iksVsf'k;e dk Lrj c. eSa flj mBkdj ughaa lksÅaxk
& 3.2 mEg/L gS rks Nurse/CHO ECG ifj.kke eas D;k d. eSa viuk p'ek rc rd ughaa iguqxak tc rd fd esjs fpfdRld
Note djsxh\ ;g u dg nsa fd ;g Bhd gS
a. Elevated T Waves b. Absent P waves 13. ,d ulZ Chest Tube dks gVkus ds fy, ,d fpfdRld dh
c. Elevated ST segment d. Prominent U wave lgk;rk dj jgh gS rks fuEu esa ulZ jksxh dks D;k mfpr
funsZ'k nsaxh\
a. fLFkj ,oa 'kkar jgs
b. 'okl vUnj ysa vkSj tYnh ls ckgj fudkysa
Ans. 1.D 2.C 3.B 4.D 5.A 6.D 7.A 8.D 9.A 10.A 11.D 12.A 13.D
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CHO PREVIOUS YEAR PAPER

National Health Mission (NHM), MP

18 MP CHO Paper 2022
Shift-I / Original Paper
1. lwtu dh ,d vfHkO;fDr ftlesa varjkyh; LFkku esa nzo dk 10. ,d nl o"khZ; yM+ds dks xaHkhj yacs le; rd vLFkek ds
LFkkukarj.k gksrk gS mls dgk tkrk gS\ nkSjs ds bfrgkl ds lkFk vkikr fLFkfr esa yk;k x;k tks
a. Mksyj b. dSyj c. Losfyax d. :cksj lkekU; mipkj ds fy, vizfrfØ;k'khy gSA cPps ds fy,
2. ,pvkbZoh laØe.k okys O;fDr dks ew=ekxZ dk candida funku gS\
laØe.k gqvk A;g voljoknh candida laØe.k fuEu esa ls a. tfVy fueksfu;k b. lrr nek
fdl izdkj ds laØe.k dk mnkgj.k gS\ c. U;weksfu;k d. COPD

E
a. LFkkuh;d`r laØe.k b. QSyk gqvk laØe.k 11. ,d lpsr 'okljks/ku okys cPps esa] ilyh fiatj ds Bhd
c. iz.kkyhxr laØe.k d. th.kZ laØe.k uhps ,d fcanq ij eqëh okys gkFk ls Åijh isV ij Åij dh

AG
vksj tksj ¼FkLV½ fn;k tkrk gS] bl fØ;k dks dgk tkrk gS\
3. 'olu ds nkSjku] ok;qeaMyh; ok;q ls vkWDlhtu izkIr djus
vkSj 'kjhj ds Årdkas vkSj vaxksa dks miyC/k djkus dh izfØ;k a. Valsalva Maneuver b. Heimlich maneuver
dgykrh gS\ c. Jaw thrust maneuver d. Chin lift maneuver
a. osafVys'ku b. vkWDlhtus'ku 12. ,d f'k'kq jasxus ls igys ?klhVrk gS] [kM+s gksus ls igys jsaxrk
c. fjlsI'ku d. ,Dllsat
gSA o`f) vkSj fodkl dh bl izo`fÙk dks dgk tkrk gS\
a. fn'kkRed izo`fÙk b. vuqØfed izo`fÙk
4. lkekU; ECG fjiksVZ okys O;fDr esa lkbul dk vuqdwe --------
EP
-------------- esa 'kq: gksrh gSA c. fodkl dh xfr d. fodkl dk;Z
a. ,l, uksM b. ,ch uksM 13. fuEufyf[kr esa ls fdl izdkj dh izfrj{kk izkIr djus ds
c. iqjfdats uksM d. buesa ls dksbZ ughaa
fy, iwjh vkcknh dks dksjksuk ok;jl laØe.k dk Vhdk
yxk;k tkrk gS\
5. ân; dks <dus okyh js'ksnkj FkSyh dks ---------------------- dgk
a. lafØ; jksx{kerk b. fuf"Ø; jksx{kerk
tkrk gSSA
c. lsyqyj jksx{kerk d. gMZ jksx{kerk
a. ,aMksdkfMZ;e b. ek;ksdkfMZ;e
PL
14. fMIFkhfj;k ,d VkWDlksbM Vhdk gS tks tho }kjk rS;kj fd,
c. ,fidkfMZ;e d. issjhdkfMZ;e
x, VkWfDlu dks fMVkWDlhQkbZ djds rS;kj fd;k tkrk gS
6. jDr ls cSDVhfj;k vkSj fo"kkDr inkFkksaZ dks gVkus okyh fuEufyf[kr esa ls dkSulh VkWDlksbM dh fo'ks"krk gS\
Phagocytic xfrfof/k djus okyh dksf'kdk,a gS\
a. izHkko'kkyh ughaa cfYd lqjf{kr izfrj{k.k ,tsaV
a. f'kLVkslkbVªl b. dqIQj dksf'kdk,a
b. vR;f/kd izHkkodkjh vkSj lqjf{kr izfrj{k.k ,tsaV
M

c. U;wjksfXyvy dksf'kdk,a d. edsZy dksf'kdk,a

c. dsoy vR;f/kd izHkkodkjh
7. vXU;k'k; dk gkeksZu L=kfor Hkkx gS\
d. iz'kklu djus esa vklku
a. ihfu;ykslkbVªl b. Islet of Langerhans
15. ,aVhlsjk (Antisera) dh eq[; tfVyrk gS\
c. dqIQj dksf'kdk,a d. ikWyhisVkbM dksf'kdk,a
a. pdrs b. cq[kkj
SA

8. ifj/kh; raf=dk rarw esa raf=dk rarqvksa dh ekbfyusV djus

c. ,suQySfDVd fj,D'ku d. ân; xfr ,duk
okyh dksf'kdk,a gS\
16. fd'kksj iztuu vkSj ;kSu LokLF; dk;ZØe ds rgr fd'kksjks
a. Xyk;y lsy b. Schwan dksf'kdk,a
ds fy, iz'kkflr vk;ju dh [kqjkd gS\
c. ,LVªslkbVl d. vksfyxksMsMªkslkbVl
a. 80 feyhxzke b. 100 feyhxzke
9. 10 o"kZ ds ,d yM+ds dks fpdu ikWDl gks x;k gSA laØe.k ls
c. 120 feyhxzke d. 150 feyhxzke
LokHkkfod :i ls mRiUu gksus okyh izfrj{kk dgykrh gS\
17. fd'kksjksa ds fy, lkIrkfgd vk;ju vkSj Qksfyd ,flM iqjd
a. tUetkr jksx{kerk b. lfØ; vf/kxfgr jksx{kerk
dk;ZØe (WIFS) dk nh?kZdkfyd y{; gS\
c. fuf"Ø; vf/kxfgr izfrj{kk d. izkd`frd jksx{kerk
a. LoLFk cPps gksa

Ans. 1.C 2.A 3.B 4.A 5.D 6.B 7.B 8.B 9.B 10.A 11.B 12.A 13.D
Ans. 14.B 15.C 16.B 17.B
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CHO PREVIOUS YEAR PAPER

National Health Mission (NHM), TRIPURA

20 Tripura CHO, April 17, 2022

Original Paper
1. fuEufyf[kr esa ls dkSulk ifjokj dY;k.k dk;ZØe c. Chloasma d. Caput medusa
(Family welfare programme) dk eq[; y{; gS\ 8. xHkkZoLFkk ds nkSjku] fuEufyf[kr esa ,d dkjd dks NksM+dj
a. Couples in the fertile age lHkh dkjdksa ds dkj.k dCt (Constipation) gks ldrk gS\
b. Children below 12 years a. Dehydration b. Iron supplements
c. Women after fertile age c. Folic acid supplements d. Opiate analgesia

E
d. Male after fertile age 9. Placenta ¼vijk½ ds ek/;e ls Unborn ¼vtUes½ cPps esa
2. vk;q"eku Hkkjr ;kstuk fdrus #i;s rd dk LokLF; doj ekr` ,aVhckWMh dk lapj.k (Transmission) fdldk
çnku djrh gS& mnkgj.k gS\

AG
a. 5 yk[k çfr ifjokj çfr o"kZ a. Passive immunity b. Active immunity
b. ifjokj esa çfr O;fDr 5 yk[k c. Humoral immunity d. Herd immunity
c. 5 yk[k çfr ifjokj çfr 2 o"kZ 10. fuEufyf[kr esa ls dkSu lk 'kCn QSyksfi;u V~;wc dh
d. 5 yk[k çfr ifjokj dsoy ,d ckj Inflamation ¼lwtu½ ls lEcfU/kr gS\
3. dkSu lk laxBu jkT; ds lHkh ftykssa esa ifjokj dY;k.k a. Endometritis b. Vaginitis

a. ftyk ifjokj dY;k.k C;wjks

b. jk"Vªh; ifjokj dY;k.k C;wjks
EP
dk;ZØe ds dk;kZUo;u vkSj jkT; eq[;ky; esa dk;Z djus ds
fy, ,d ç'kklfud bZdkbZ ds :i esa dk;Z djrk gS\ 11.
c. Cervicitis d. Salpingitis
fuEufyf[kr esa Essential Newborn Care ¼vko';d
uotkr ns[kHkky½ ds eq[; ?kVd gS flok;\
a. Resuscitation of new born with hypoxia
c. jkT; ifjokj dY;k.k C;wjks b. Prevention of hypothermia
d. vUrjkZ"Vªh; ifjokj dY;k.k C;wjks c. Prevention of infection
PL
4. WHO ds oxhZdj.k ds vuqlkj] igyh vkSj rhljh frekgh d. Prevention of behavioral problems
(Trimester) esa fgeksXyksfcu dk Lrj fdrus ls de okyh 12. uotkr f'k'kq dks Enteric infection ¼vkarksa ds laØe.k½ ls
xHkZorh efgykvksa dks ,uhfed ekuk tkrk gS\ cpkus (prevent) djus okyk dkSulk bE;wuksXyksfcu gS\
a. 11 g/dl b. 14 g/dl c. 12 g/dl d. 13 g/dl a. IgA b. IgD c. IgG d. IgM
5. ckFkksZfyu xzfUFk;ka efgyk çtuu ra= (Femal 13. fuEufyf[kr esa ls dkSu lk dk;ZØe Basic Newborn care
M

reproductive system) ds egRoiw.kZ vax gS ;g dgka ij ¼cqfu;knh uotkr ns[kHkky½ vkSj Resuscitation esa
fLFkr gksrs gS\ LokLF; dfeZ;ksa ds çf'k{k.k ls lacaf/kr gS\
a. xHkkZ”kk; ds vanj b. vaMk”k; ds vanj a. RKSK b. RBSK c. SUMAN d. NSSK
c. xHkkZ”kk; xzhok ds ckgj d. ;ksfu ds nksuksa vksj 14. Full Term uotkr us igys 24 ?kaVs es esdksfu;e Pass ugha
SA

6. Labour ¼çlo ihM+k½ es efgyk ds fy, [krjs dk ladsr D;k fd;k rks ;g fdl jksx dh fLFkfr esa gksxk\
gS\ a. Intussusception b. Celiac disease
a. Severe headache with blurred vision c. Hirschsprung's disease d. Abdominal wall defect
b. Tiredness 15. Impairment of heart function due to inadequate
c. Bloody sticky discharge blood flow to the heart that is caused due to
obstructive changes in the vessels supplying
d. Painful contractions at regular intervals
blood to the heart is called as?
7. xHkkZoLFkk ds nkSjku psgj ij Increased pigmention dks
D;k dgk tkrk gS\ a. Vasculitis b. Peripheral arterial disease
a. Linea nigra b. Striae gravid c. Ischemia d. Hypertension

Ans. 1.A 2.A 3.A 4.A 5.D 6.A 7.C 8.C 9.A 10.D 11.D 12.A 13.D
Ans. 14.C 15.C
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CHO PREVIOUS YEAR PAPER

National Health Mission (NHM), Haryana

21 HARYANA CHO, April 23, 2022

Original Paper
1. vkWDlhVksflu fdlds fy, mi;ksxh gS\ 10. Richa, a mother of 7-months-old infant, is
a. Induction of labour b. Hyperprolactinemia concerned about motor skills development of her
c. Menorrhagia d. Infertility child. Nurse should explain that the activity,
2. ,d ulZ dks Suspect gS fd Ng eghus ds f'k'kq dks flfLVd infant is most likely to do at his age is ________.
Qkbczksfll gS fuEufyf[kr esa ls dkSu lk ijh{k.k (Test) a. Walk with one hand held
ml funku (Diagnosis) dks confirm djsxk? b. Eat successfully with spoon

E
a. Quantitative collection of stool sample for fecal fat c. Stand without holding on to furniture
b. Pulmonary function studies d. Sit alone using the hands for support

AG
c. Sweat chloride analysis 11. gkbMªksflQsyl ds vUnj flj ij percussion djus ij
d. Serum sample for human leukocyte antigen Cracked pot dh vkokt vkrh gS og dkSulk sign gS\
3. tUe ds rqjUr ckn uotkr (Newborn) dks fuEufyf[kr es a. Chadwick's sign b. Homan's sign
ls dkSu lk Vhdk yxk;k tkrk gS\ c. Kernig's sign d. Macewen's sign,
a. Oral Polio Vaccine, Hepatitis B, BCG 12. 0-5 lky ds mez ds cPpksa esa otu c<+us ds ckjs esa
b. Measles, Oral Polio Vaccine. Hepatitis B
EP fuEufyf[kr esa ls dkSulk dFku xyr gS\
c. Oral Polio Vaccine. BCG, Hepatitis A a. LoLFk cPps dk tUe ds otu dk 6 efgus esa nqxquk gks tkrk gS
d. Hepatitis A, BCG. Injectable Polio Vaccine b. tUe ds otu dk 1 lky esa frxquk gks tkrk gS
4. DPT oSDlhu dks LVksj djus ds fy, vkn'kZ rkieku fdruk c. 2 lky dh mez ds ckn otu de ls de 2 fdyks çfr o"kZ c<+rk gS
gksrk gS\ d. 2.5 fdyksxzke ls de otu okys cPpksa dks tUe ds le; LBW
a. Room temperature b. 2 to 8 °C dh Js.kh esa j[kk tkrk gS
13. 2 eghus ls de mez ds chekj cPpksa ds ,dhÑr çca/ku
PL
c. 0 to 2 °C d. 16 to 22 °C
5. Growth chart ;k Road to Health ;g fdlds fy, (Integrated Management) ds ckjs esa fuEufyf[kr esa ls
mi;ksxh gksrk gS] flok;\ dkSu lk guide lines lgh gS\
a. Height for age b. Weight for height a. Pink color classification indicates urgent referral
c. Height for weight d. MUAC b. A child NOT feeding well should be managed in OPD
M

6. fuEufyf[kr esa ls ,aVhckWM+h dk mRiknu dkSu djrk gS\ c. Jaundice appearing in a baby after 24 hours of age
a. eksukslkbV~l b. ch&fyEQkslkbV and palm of Sole not yellow should Indicate HOME
c. xzSU;wykslkbV~l d. Vh& fyEQkslkbV CARE
d. A child with diarrhea having sluggish movements
7. Kukunaka chekjh fdlls lEcf/kr gS\
SA

indicates HOME CARE

a. flj b. vk¡[k c. xqnk (Anus) d. dku
14. Bell's palsy esa dkSulh Nerve Involed jgrh gS\
8. Lead poisoning ds vUnj cVZu ykbu D;k çnf'kZr djrh gS\
a. Qsfl;y uoZ (Facial Nerve)
a. Bluish purple line on gums
b. osxl uoZ (Vagus Nerve)
b. Greenish coating on gums
c. vCnqdsUl uoZ (Abducens Nerve)
c. Brown stains on teeth
d. Vªkbtsfeuy uoZ (Trigeminal Nerve)
d. Rust colour line on gums
9. fuEu esa foVkfeu&B12 dh deh ds dkj.k D;k gksrk gS\ 15. ,d iq#"k ftldk otu 72 fdyksxzke vkSj Å¡pkbZ 160 lseh
gks rks mldk BMI fdruk gksxk\
a. Night-blindness b. Pernicious anemia'
a. 26 b. 28 c. 30 d. 34
c. Rickets d. Scurry
Ans. 1.A 2.C 3.A 4.B 5.D 3.B 7.B 8.A 9.B 10.D 11.D 12.C 13.A
Ans. 14.A 15.B
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 MISSION CHO
CCH PREVIOUS YEAR PAPER

www.missionhighnurses.com

14
NATIONAL HEALTH MISSION
Indira Gandhi National Open University (IGNOU)

CCH
CERTIFICATE IN COMMUNITY HEALTH FOR NURSES (BPCCHN)

Previous Year's
Question Papers
with Answer Key
1. UP CCH 2022 - BNS 041 – Foundation of Community Health (Set-01)/Original Paper
2. UP CCH 2022 - BNS 042 – Primary Health Care In Common Condition (Set-02)/Original Paper
3. MP CCH 2022 - BNS 041 – Foundation of Community Health (Set-01)/Original Paper
4. MP CCH 2022 - BNS 042 – Primary Health Care In Common Condition (Set-02)/Original Paper
5. Raj. CCH 2022 - BNS 041 – Foundation of Community Health (Set-01)/Original Paper
6. Raj. CCH 2022 - BNS 042 – Primary Health Care In Common Condition (Set-02)/Original Paper
7. Raj. CCH Sept. 2022 - BNS 041 – Foundation of Community Health (Set-01)/Original Paper
8. Raj. CCH Sept. 2022 - BNS 042 – Primary Health Care In Common Condition (Set-02)/Original Paper

Visit www.missionhighnurses.com for all old papers & CBT Online Test Series for all Nursing Officer/Staff Nurse/CHO Exams 502
 CCH PREVIOUS YEAR PAPER
CERTIFICATE IN COMMUNITY HEALTH FOR NURSES
01 UP CCH/BPCCHN PAPER - June 2022
BNS 041 - Foundation of Community Health (Set-01)/Original Paper
1. Secondary prevention controls or halts the 9. og ,fiMsfed ¼egkekjh½ tgka lkFk vkSj LFkku ds laca/k esa
progression of disease? jksx ds gksus dk dksbZ fof'k"V iSVuZ ekStwn ugha gS mls D;k
a. Before onset of disease b. Disability stage dgrs gS&
c. Incipient stage d. Restoration stage a. Endemic b. Sporadic
2. fuEufyf[kr esa ,d dks NksMdj lHkh lkekftd LokLF; c. Periodic epidemic d. Secular epidemic
(Social Health) esa 'kkfey gS\ 10. An individual who has been exposed to harbours

E
a. Supportive social network a disease-causing agent during the recovery
b. Valuing cultural diversity phase of course of illness but is still infectious is

AG
said to be?
c. Interpersonal ties
a. Convalescent carrier b. Healthy carrier
d. Sustainable Lifestyle
c. Temporary carrier d. Chronic carrier
3. fuEufyf[kr esa fdruh vkcknh (Population) ij ,d uxj
11. og egRoiw.kZ vkadM+k (Vital Statistic) tks Hkkjr esa
cksMZ ;k uxjikfydk (Muncipal Board) gksrh gS&
efgykvksa dh tula[;k dk iÙkk yxkus ds fy, ,d ewY;oku
a. 5,000 to 10,000 b. 2 lakhs
EP L=ksr (Valuable Source) gS] og D;k gS\
c. 10,000 to 2 lakhs d. 80,000 to 1.5 lakh
a. Fertility rate b. Birth rate
4. fpfdRlk vkSj tu LokLF; ls lacaf/kr lHkh ekeyksa ij jkT;
c. Population census d. Sex ratio
ljdkj ds eq[; rduhdh lykgdkj dkSu gksrs gS\
12. fuEufyf[kr Surveilliance ¼fuxjkuh½ esa ls dkSulk ,d
a. Director of Health Services b. Regional Director
eysfj;k fuxjkuh dk mnkgj.k gS&
c. Functional Director d. Health Secretary
a. Active surveillance b. Passive surveillance
5. ty 'kks/ku (Water Purification) ds fy, vk;ksMhu dk
c. Sentinel surveillance d. Permanent surveillance
mi;ksx djus ds fy, fuEufyf[kr esa dkSulk ,d ladsr gS&
PL
13. fuEufyf[kr esa dkSuls cSx esa Metalic Body Implant dks
a. During routine use
Qsadk tkrk gS&
b. During emergency conditions
a. Red b. Yellow c. Blue d. Black
c. Improves thyroid activity d. Low cost
14. ,d Health Care Setting esa ,d dks NksM+dj ;g lHkh dh
6. Okk;w iznw"k.k dks de djus ds fy, ifjokj dks ;g lHkh fo'ks"krk gS&
lykg nh tkrh gS flok; ,d\
M

a. Find out areas of irrational antibiotic usage.

a. Getting efficient Chulas
b. Based upon experience of doctors using different
b. Kitchen to be built separate from house types of antibiotics
c. Separating animal sheds from main house c. Proper drug doses
d. Cook in kitchen by involving children
SA

d. Drugs showing resistance are retained

7. fuEu esa ,d dks NksMdj lHkh Septic Tank dh fo'ks"krk,a gS 15. foVkfeu A dk lcls lLrk L=ksr (Cheapest Source)
a. Solids settle out of waste water dkSulk gS&
b. Anaerobic decomposition of organic solids a. Coriander b. Ghee c. Papaya d. Milk
c. Treatment waste water is full 16. ,d Toddler Age group ds cPps ds fy, vkgkj ;kstuk esa
d. Watertight chamber ,d dks NksM+dj ;g lHkh fo'ks"krk,a gS&
8. ,d Cohart Study ¼dksgksVZ v/;;u½ dh fuEu esa ls a. Half the amount of food as adults.
dkSulh ,d fo'ks"krk gS\ b. Shape the eating pattern for whole life.
a. Prospective in nature b. Low-cost study c. Fluids must be restricted.
c. Done after disease occurs d. Easy to organize d. Foods must be easy to eat.
Ans. 1.C 2.D 3.D 4.A 5.D 6.D 7.C 8.A 9.B 10.A 11.C 12.A 13.C
Ans. 14.D 15.A 16.C
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 CCH PREVIOUS YEAR PAPER
CERTIFICATE IN COMMUNITY HEALTH FOR NURSES
02 UP CCH/BPCCHN PAPER - June 2022

BNS 042 – Primary Health Care In Common Condition (Set-02)/Original Paper

1. fuEufyf[kr esa nnZ ds fy, lHkh dFku lR; gS flok; c. Previous history of heart attack d. Stress
,d\ 9. fuEufyf[kr lHkh Investigation vka[kksa dh tkap ls
a. Objective feeling b. Subjective feeling lacaf/kr gS\
c. Radiation d. Severity a. Visual acuity
2. Lumber area ds fdlh Hkh fgLls esa nnZ fdlls lacaf/kr gS b. Intraocular pressure measurement
a. Appendix b. Stomach c. Conjunctival swab for culture

E
c. Colon d. Renal/ureteric causes d. Intracranial pressure measurement
3. fuEufyf[kr esa ,d fLFfr dks NksM+dj ckfd esa jksxh dks rqajr 10. vka[k ds ysal esa fudV n`f"V ds fy, Accommodate

AG
jsQj djuk pkfg,& ¼lek;ksftr½ djus dh {kerk ugha gS mls D;k dgrs gS\
a. Shock b. Nausea and vomiting a. Astigmatism b. Presbyopia
c. Septicemia d. Abdominal tenderness c. Myopia d. Hypermetropia
4. fuEufyf[kr esa ls fdlh ,d dks NksM+dj lHkh ok;jy 11. Skiing Acident essa gfM~M;ksa ds ejksM+us (Twisting) ls
gsisVkbfVl ds Preventive measure ¼fuokjd mik;½ gS& gksus okyk Fracture dSlk gksrk gS&
a. Spiral b. Open
a. Vaccine against hepatitis-A
b. Notifications of cases
c. Avoiding needle stick injury
EP
d. Public education about transmission in endemic areas
12.
c. Transverse d. Comminuted
fuEufyf[kr lHkh Sign vkSj Symptoms, Generalized
seizure esa gksrs gS flok; ,d&
5. Organisms exposed to strong antibiotics and a. Patient suddenly utters a loud cry
developed resistance enters the lungs lead to b. Whole body becomes stiff
pneumonia?
PL
c. Patient becomes hyperactive at the end of fit
a. Fungal b. Viral d. Eyeballs are rolled upwards
c. Bacterial d. Nosocomial 13. One should not induce vomiting in case of?
6. Bronchial Asthma esa mipkjkRed mik; (remedial a. Staphylococcal poisoning
measure) ds :i esa dkSuls foVkfeu dk vf/kd mi;ksx b. Acid poisoning
fd;k tkrk gS\
M

c. Salmonella poisoning
a. Vitamin E and A b. Vitamin B6 and B12 d. Castor oil poisoning
c. Vitamin D and E d. Vitamin B1 and B2 14. fuEufyf[kr fdlh ,d dks NksM+dj lHkh ekuo fufeZr
7. All the following are clinical findings in acute vkink,Wa (Man made Diaster) gS&
SA

myocardial infarction except? a. Road accidents b. Earthquake

a. Hypertension c. Terrorist attack d. Cyber terrorism
b. Strangulating chest pain 15. Fits esa lcls mi;qDr izkFkfed fpfdRlk mik; (First
c. Third heart sound on auscultation aids) D;k gS&
d. Hypotension a. Remove dangerous object from nearby.
8. ân; jksx (Heart Disease) ds fy, fuEufyf[kr lHkh b. Lie the patient down horizontally.
Modifiable Risk Factor ¼ifjorZuh; tksf[kd dkjd½ gS c. Try to restrain the patient.
flok; ,d\ d. Give water to patient by mouth.
a. Obesity b. Unhealthy diet

Ans. 1.A 2.D 3.B 4.B 5.C 6.C 7.A 8.C 9.D 10.B 11.A 12.A 13.B
Ans. 14.B 15.A
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 CCH PREVIOUS YEAR PAPER
CERTIFICATE IN COMMUNITY HEALTH FOR NURSES
03 MP CCH/BPCCHN PAPER - Feb 2022

BNS 041 - Foundation of Community Health (Set-01)/Original Paper

1. tksf[ke ds dkj.k dks jksdus ds fy, dkSulk Prevention 8. ,d fof'k"V HkkSxksfyd {kS= esa ,d fcekjh dh yxkrkj
cksyrs gS\ mifLFkfr gS\
a. çkFkfed jksdFkke b. f}rh; jksdFkke a. egkekjh (Epidemic) b. fNViqV (Sporadic)
c. r`rh; jksdFkke d. izkbZ eksjfM;y cpko c. oSf'od egkekjh (Pandemic) d. LFkkfud (Endemic)
2. O;kolkf;d LokLF; dks fdl :i esa ifjHkkf"kr fd;k tkrk gS\ 9. mEehn ds Åij jksx dh vlkekU; vko`fr dh ?kVuk vko`fr
a. viuh vkSj nqljksa dh Hkkoukvksa dk lkeuk djus dh {kerk dh vko`fr dgykrh gS\

E
b. gekjs O;fDrxr fo'oklksa vkSj ewY;ksa ij /;ku dsfUær djrk gS a. egkekjh (Epidemic) b. fNViqV (Sporadic)
c. fdlh ds thou esa O;fDrxr larqf"V vkSj le`f) dks igpkurk gS c. oSf'od egkekjh (Pandemic) d. LFkkfud (Endemic)

AG
d. dke ds ek/;e ls lh[kuk vkSj xzg ds LokLF; esa ;ksxnku nsuk 10. O;fDr LFkku vkSj le; ds lanHkZ esa jksx vkSj LokLF; laca/kh
3. ,d SHC esa fdruk LVkWi gksuk pkfg,\ ?kVukvksa dh vko`fr vkSj forj.k ds v/;;u dks D;k dgk
a. MO-1, CHD-1, MPWN-1, MPWF-1 tkrk gS\
b. MO-1, MPW-M-1, MPWF-1 a. fo'ys"k.kkRed egkekjh foKku b. o.kZukRed egkekjh foKku
c. CHO-1, MPWM-1, MPWF-1, Lab Tech-1 c. çk;ksfxd egkekjh foKku d. O;ogkfjd egkekjh foKku

4.
d. CHO-1, MPWM-1, MPWF-1
dkSu lk dFku lgh ugha gS\
EP
a. ,d PHC igkM+h {kS= esa 5,000 rFkk eSnkuh {kS= esa 8,000
vkcknh dks iwjk djrk gS
11. lewg v/;;u ds ckjs esa D;k lR; ugha gS\
a. çÑfr esa iwoZO;kih
c. ;g eagxk rFkk le; ysus okyk gS
b. çÑfr esa laHkkfor

d. dsl daVªksy dh rqyuk esa blds dbZ Qk;ns gS

b. ,d PHC igkM+h {kS= esa 20,000 rFkk eSnkuh {kS= esa 30,000 12. IDSP çksxzke ds rgr mi LokLF; dsUæ ij LokLF; ns[kHkky
tula[;k dks iwjk djrk gS dfeZ;ksa }kjk dkSu&lk QkWeZ Hkjk tkrk gS\
PL
c. ,d SHC igkM+h {kS= esa 3,000 rFkk eSnkuh {kS= esa 5,000 dh a. QkeZ Z b. QkeZ S c. QkeZ M d. QkeZ P
tula[;k dks iwjk djrk gS
13. fuEufyf[kr esa ls dkSulk uewuk rduhd ;g lqfuf'r djrh
d. ,d CHC 80,000-1,20,000 dh vkcknh dks iwjk djrk gS gS] dh uewuk tula[;k dks çfrfuf/k djrk gS\
5. vif'k"V vuqdwyu ds fl)kUr D;k gS\ a. xSj&;kn`fPNd uewukdj.k b. ;kn`fPNd uewukdj.k
a. iqu mRi= djs] iqu% mi;ksx djs] iqu%izkIr djsa c. lqfo/kk vk/kkfjr uewukdj.k d. O;kid uewus ysuk
M

b. fQj ls cukuk] iqu% mi;ksx djuk] iqu%çkIr djuk 14. lbVksVkfDld rFkk ,Dlik;jh nokvksa dk fuiVkj.k fdlds
c. rktk djsa] iqu% mi;ksx djs] iqu%çkIr djsa }kjk fd;k tkrk gS\
d. de djsa] iqu% mi;ksx djs] iqu%çkIr djsa a. Mafix b. vkWVksDyso c. tykdj d. jlk;fud dhVk.kq'kks/ku
6. ?kj esa ty'kks/ku dh dkSulh fof/k ugha gS\ 15. ihys cSax ds ckjs esa xyr dFku gS\
SA

a. mckyuk b. Dyksjhu dh 'kqf)dj.k a. os xSj Dyksjhu;qDr IykfLVd lkexzh ls cus gksrs gS

c. ikuh dh cSDVhfj;ksykWftdy xq.kork dk vkdyu b. blesa V;wc rFkk dsFksVj Mkyrs gS
d. iksVsf'k;e ijeSxusV ds lkFk 'kqf)dj.k c. xans fryuk] xns] jDr ls yxs fcLrj] ekLd] xkÅu dks ihys jax
7. fuEu esa ls dkSulk xyr gS\ esa Mkyrs gS
a. egkekjh foKku esa okrkoj.k] czgk ds okgd vkSj L=ksr 'kkfey gS d. flYoj ,Dl js fQYesa] Qsjs x,s QkesZfyu] ckWMh ¶;wM vkfn dks
b. jksx lapj.k ls lacaf/kr vo/kkj.kk gS QksekbV] osDVj] tyk'k; ihys esa Mkyrs gSA
vkSj okgd 16. tks Jfed ck;ksesfMdy osLV dk dke djrs gS] mudks fuEu
c. jksx lapj.k dk lh/kk rjhdk gokbZ] cwUnks rFkk feêh ds lkFk laEidZ gS esa ls dkSulk Vhdk yxokuk pkfg,\
d. jksx lapj.k dk vçR;{k rjhdk gokbZ] tytfur okgu osDVj gS a. HBsAg b. VhVul c. jscht d. fetYl
Ans. 1.A 2.C 3.D 4.A 5.C 6.C 7.A 8.D 9.A 10.B 11.A 12.B 13.B
Ans. 14.C 15.B 16.A
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 CCH PREVIOUS YEAR PAPER
CERTIFICATE IN COMMUNITY HEALTH FOR NURSES
04 MP CCH/BPCCHN PAPER - Feb 2022

BNS 042 – Primary Health Care In Common Condition (Set-02)/Original Paper

1. ,d O;fDr dks Left Hypochondrium Region esa nnZ 8. fuEufyf[kr dk feyku djks
gksus dk fuEu esa ls D;k dkj.k gks ldrk gS\ 1 vk;ju dh deh ls gksus (A) elwMks ls rFkk vkUrfjd vaxksa
a. Nkrh] QsQM+s] isV ls lEcfU/kr rdyhQ b. Mk;Ýkfed tyu okyk ,fufe;k rFkk G2 flLVe ls [kwu vkuk
2 esxkykscykfLVd ,fufe;k (B) ;g fgeksXyksfcu dh deh dh
c. vXuk'k; 'kks/k d. gsisVkbfVl
fcekjh
2. tc fdlh O;fDr dks Åijh 'olu ra= dk lØae.k gks jgk gS 3 viykfLVd ,fufe;k (C) fgeksXyksfcu ds fuekZ.k dks
rks mls CHO }kjk dkSulk vkgkj Hkjiwj ek=k esa nsuk çHkkfor djrk gSA

E
pkfg,\ 4 fldy lsy ,fufe;k (D) cksu esjksa esa mRiknu gksrk gSA
a. foVkfeu bZ &dSfY'k;e b. foVkfeu lh &ftad a. 1-B, 2-A, 3-C, 4-D b. 1-A, 2-D, 3-B, 4-E

AG
c. vk;ju&vk;ksfMu d. foVkfeu B12 c. 1-C, 2-E, 3-A, 4-B d. 1-E, 2-C, 3-D, 4-A
3. ,d 10 lky ds cPps esa isV nnZ gksrk gS rFkk dqN ?ka.Vks ckn 9. Fluoroquinolone dkSuls jksx ds bykt ds fy, igyh
ykbu dh nokbZ gS\
nkafgus bfy;kd Qkslk (Right iliace fossa) esa radiate gks
tkrk gS vkSj c<+rk gh tkrk gS] fuEu esa ls D;k gks ldrk gS\ a. flLVkbfVl b. ;wVhvkbZ ds lkFk xHkkZoLFkk
a. visafMDl 'kks/k (Appendicitis) c. ik;yksusÝkbfVl d. ;wVhvkbZ ds tVhy ekeys
b. firk'k; 'kks/k (Cholecystitis) EP 10. fdldks NksM+dj lHkh nokbZ;ka dhM+s dh Mad ekjus ij dke
es yh tkrh gS\
c. vXuk'k; 'kks/k (Pancreatitis) d. Enteritis
a. dSykekbu yks'ku yxk,
4. fuEufyf[kr esa ls dkSulh csflyjh isfp'k (Bacillary
Dysentery) dh fo'ks"krk ugha gS\ b. ,d fpeVh ls Mad dks gVk,
a. cq[kkj b. ey esa [kqu c. ,ythZ ds fy, ,UVhfgLVfeu nokbZ nsa
c. ey esa cyxe d. pkoy ds ikuh tSlk ey d. xeZ lsd djsa
11. ,d 12 lky ds yM+ds dks lkai us dkV fy;k rFkk mls vk¡[k
PL
5. vip ds çkFkfed çcaU/k esa D;k 'kkfey gS\
[kksyus esa fnDdr gS rFkk lkal ugha ys ik jgk gSA tkapus ij
a. Tab Omeprazole 20mg for 4-6 weeks, Antacids for
dgha Hkh dkVus dk fu'kku ugha feyk rFkk dksbZ vax dh
3weeks, Ranitidine 250mg BD lwtu ugha gS rks vkxs D;k fd;k tk,\
b. Tab Metronidazole 500 mg 10 days, Antacid,
a. jksxh dks vk'oLr dj ds ?kj Hkst nsa
paracetamol 500mg TDS
Reassure the patient and send him home with anxiolytic
M

c. Tab Metoclopramide 100mg OD for 3 weeks,

b. lkai jks/kh] ekal is'kh;ksa ds f'kfFkyu okyh nokbZ nsdj HkrhZ djsa
Ondansetron 8mg BD for 2 weeks, Metronidazole
Administer ASV, neostigmine and observe the patient
500mg 2 weeks
c. jksxh dk fujh{k.k djsa
d. Syrup Alkanol 3tsp BD, Tab Augmentin 650mg BD,
Observe the patient
SA

Tab Domperidone 10mg

d. lkai jks/kh nokbZ nsdj HkrhZ djsa ,oa jksxh dk fujh{k.k djsa
6. vuqipkfjr xzluh'kks/k (Pharyngitis) ds dkj.k gksus okyh
Administer anti-snake venom (ASV) and keep the
lgk;d tfVyrk, gS\
patient in observation
a. jk;ukbfVl b. Xykses:yksusÝkbfVl
12. jklk;fud tyu (chemical Burn) ds ckn ns[kHkky
c. ân; jksx d. vksfVfVl ehfM;k çcU/ku dk Øe lsV djsa\
7. fny ds nkSjs dk rRdky çca/ku D;k gS] flok; ,d\ I. nwf"kr ;k jklk;fud Hkhxs gq, diM+s dks gVk nsa
a. eqag esa 300 mg ,fLçu nsa b. jksxh dks pyus u nsa II. ihfM+r dks fudVre LokLF; lsUVj ij ys tk,a
c. vkWDlhtu ekLd yxkdj vkWDlhtu nsa III. çHkkfor {ks= dks de ls de 20 feuV rd /kks,a
d. njZ ls jkgr ds fy, sorbitrate tab. Sub-lingully nsa IV. laØe.k dks jksdus ds fy, ?kko lkQ diM+s ls Mdsa
Ans. 1.A 2.B 3.A 4.D 5.A 6.D 7.D 8.D 9.C 10.D 11.D 12.A
Ans.
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CCH PREVIOUS YEAR PAPER

05 CERTIFICATE IN COMMUNITY HEALTH FOR NURSES

Raj. CCH/BPCCHN PAPER - Feb 2022

BNS 041 - Foundation of Community Health (Set-01)/Original Paper

1. fuEu esa ls fdl desVh us lHkh Lrjksa ij fuokjd vkSj 11. iq:"k da.Mkse ds D;k ykHk gS\
mipkjkRed lsok ds ,dhdj.k dh flQkfj'k dh Fkh\ a. vklkuh ls miyC/k] lLrk] ys tkus esa vklku
a. eqnkfy;j desVh b. pìk desVh b. STD, xHkkZoLFkk] HIV vkSj lokZbdy dSUlj ds fy, fVªiy
c. Hkksjs desVh d. JhokLro desVh lqj{kk
2. fdldks NksM+dj lHkh LokLF; fu/kkZjd gS\ c. A & B d. dksbZ ugha
a. bVjSD'ku b. fyax c. vkuqokaf'kdh d. okrkoj.k 12. vkWVksDyso djus ls D;k u"V gksrs gS\

E
3. jksx dk 'kh?kz funku gS\ a. lHkh lw{etho b. jksxtud lw{etho
a. iwoZ :X.krk jksdFkke b. çkFkfed jksdFkke c. xSj jksxtud lw{etho d. flQZ ihLV vkSj eksYMl

AG
c. ek/;fed jksdFkke d. r`rh; jksdFkke 13. O;fDr ds iSj ds uhps ds Hkkx dks dkVus ds ckn dkSulh
4. lkeqnkf;d fodkl dk;ZØe 1952 fdl mn~ns'; ls 'kq: iksftlu nsrs gS\
fd;k x;k Fkk\ a. ys¶V ysVjy
a. xzkeh.k {kS=ksa dk lexz fodkl b. lexz LoPNrk b. lqikbZu rFkk lhj ,d lkbM ?kqekrs gq,
c. lqjf{kr ty vkiwfrZ c. lkbM ykbu rFkk dVk gqvk iSj Åij
d. LokLF; lsokvksa dk lexz fodkl d. çksu rFkk dVk gqvk Hkkx Åij
5.

6.
,fiMsfe;ksykWftdy Vªk;M esa D;k 'kkfey ugha gS\
a. jksx (Disease)
c. çfrfuf/k (Host) d. estoku (Agent)
lgk;d i;Zos{k.k çfØ;k esa D;k 'kkfey ugha gS\
EP
b. i;kZoj.k (Environment)
14.

15.
ekuo 'kjhj esa ty dk fdruk izfr'kr gksrk gS\
a. 60%

nsuh pkfg, \
b. 80% c. 35% d. 90%
tujy ,UlFksf'k;k ds Bhd gq, O;fDr dks dkSulh iksftlu

a. gsfYaix b. nafMr c. xkbfMax d. çksRlkfgr djuk a. lqikbu b. QkWDyj c. VsUMjcyZ d. jkbV lkbM ykbu
7. çHkkoh lgk;d i;Zos{kd ds fy, vko';d eq[; lalk/ku gS\ 16. yksdy laØe.k ds D;k y{k.k gS\
a. ifjogu] i;kZIr le;] mi;qDr midj.k] vof/kd leh'kk cSBd a. yky] nnZ rkieku esa deh b. rkieku T;knk] B.P, de
PL
b. HkrhZ] çf'k{k.k] fu;qfDr] osru c. yky] nnZ] lwtu d. nnZ] yky] is'kkc esa deh
c. ltk] osru o`f)] inksUufr NwV 17. vkW[kksa dh tkWp ds fy, fdl ;a= dk mi;ksx fd;k tkrk gS\
d. ctV] ys[kk ijh{kk] ifj.kke ewaY;kdu a. gsej b. vkWVksLdksi c. ba.MksLdksi d. vkIFksyeksLdksi
8. çksVhu O;fDr ds 'kjhj ds fdruk % Hkkj gksrk gS\ 18. vLirky ;k jksxh dh ns[kHkky ds nkSjku gksus okyk laØe.k
a. ,d frgkbZ (One third) b. ,d ikapok (One fifth) D;k dgykrk gS\
M

c. nks frgkbZ (Two third) d. ,d pkSFkkbZ (One fourth) a. voljoknh laØe.k b. vLirky ls mRiUu laØe.k
9. fuEu esa ls dkSulk vko';d vehuksa ,flM ugha gS\ c. bVªkstsfud laØe.k d. vçR;{k laØe.k
a. vkblksY;wlhu b. Y;wlhu 19. olk }kjk fdruh vkgkj ÅtkZ çnku dh tkuh pkfg,\
c. fpuksfyd d. ykbflu a. 1.0 gm/kg body weight b. 50 gm/kg body weight
SA

c. 1.0 gm/cm body weight d. 5.0 gm/kg body weight

10. fuEu esa ls dkSu lk dFku dheksFksjsih esa dksf'kdk o`f) ls
lacfU/kr ugha gS\ 20. vkn'kZ :i ls fdruh vkgkj ÅtkZ olk }kjk çnku dh tkrh
gS\
a. rsth ls c<+us okyh dksf'kdk,sa dheksFksjsih ds çfr de
laosnu'khy gksrh gS a. 30-40% b. 20-30% c. 40-50% d. 250%
b. xSj&foHkkftr dksf'kdk,as dheksFkSjsih ds fy, vfrlaosnu'khy 21. fuEu esa ls fdldks NksM+dj lHkh foVkfeu A ds dk;Z gS\
gksrh gS a. 'kjhj dh laØe.k ls lqj{kk
c. rsth ls c<+us okyh dksf'kdk,sa dheksFkSjsih ds çfr vf/kd b. Ropk rFkk 'ys"ek f>Yyh dh LoLFk j[kuk
laosnu'khy gksrh gS c. vka[kks dh lkekU; n`f"V cuk,s j[kuk
d. /kheh xfr ls c<+us okyh dksf'kdk,sa dheksFkSjsih ds çfr vf/kd d. 'kjhj dh fu;fer mikip; fØ;k
laosnu'khy gksrh gS
Ans. 1.B 2.A 3.B 4.A 5.A 6.B 7.D 8.B 9.C 10.C 11.C 12.A 13.C
Ans. 14.A 15.D 16.C 17.D 18.C 19.A 20.A 21.D
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 CCH PREVIOUS YEAR PAPER
CERTIFICATE IN COMMUNITY HEALTH FOR NURSES
06 Raj. CCH/BPCCHN PAPER - Feb 2022

BNS 042 – Primary Health Care In Common Condition (Set-02)/Original Paper

1. fMlesuksfj;k (Dysmenorrhes) fdrus çdkj dk gksrk gS\ 11. SRS fjiksZV& 2015 ds vuqlkj jktLFkku dh IMR 2015 esa
a. nks b. rhu c. ,d d. dksbZ ugha fdruh Fkh\
2. iqoZ&ekgokjh flaMªkse esa 'kkfey gS\ a. 115/1000 thfor tUe b. 53/1000 thfor tUe
a. 'kkjhfjd xM+cM+h b. euksoSKkfud va'kkfUr c. 37/1000 thfor tUe d. 25/1000 thfor tUe
c. euksn'kk vkSj HkkoukRed ladsr vkSj y{k.k d. mijksDr lHkh 12. cM+h la[;k esa ekr`&f'k'kq e`R;q nj dk D;k dkj.k gS\
a. ns[kHkky djus dk fu.kZ; nsjh ls ysuk

E
3. [kwuh ;k Hkwjs jax dk ;ksfu L=ko dkSuls ;kSu jksx dk ladsr
gks ldrk gS\ b. mfpr LokLF; dsUæ igqapus esa gks jgh nsjh
a. xksusfj;k b. vfu;fer ekfld /keZpØ ;k xzhok dk dSUlj c. LokLF; laLFkku ij xq.korkiwoZd ns[kHkky ugha feyuk

AG
c. Vªkbdkseksfu,fll d. [kehj laØe.k d. mijksDr lHkh
4. ekfLVfVl dk vFkZ gS\ 13. x`g vk/kkfjr uotkr ns[kHkky (HBNC) ;kstuk dc 'kq:
a. fMlesuksfj;k b. isfYod nnZ gqbZ\
c. Lruksas esa lwtu] nnZ rFkk yky d. ;ksfu L=ko a. 1952 b. 2011 c. 2000 d. 2007
5. isfYod vkWxZu çksysIl dk çac/ku fdlls fd;k tk ldrk gS\
EP 14. ;wfuolZy Vhdkdj.k dk;ZØe (UIP) esa 'kkfey Vhds gS\
a. fuokj.k çac/ku b. :<+hoknh çac/ku a. Tuberculosis, DPT, Polio, Measles and Hep. B
c. lftZdy çac/ku d. lHkh b. BCG, DPT, Polio, BCG, Covaxin
6. Hkkjr esa igyk ifjokj fu;kstu dk;ZØe dc 'kq: gqvk\ c. DPT, Polio, BCG, Covishield
a. 1952 b. 1984 c. 2000 d. 2010 d. BCG, DPT, Rubella
7. xHkZ fujks/kdksa ds Kku vkSj mi;ksx ds chp ds varj dks de 15. çloiw.kZ ns[kHkky D;k gS\
djus ds fy, Hkkjr ljdkj dk dkSulk dk;ZØe gS\ a. xHkkZoLFkk ls igys dh xbZ ns[kHkky
PL
a. dqy QVhZfyVh jsV b. xHkkZoLFkk ds nkSjku dh xbZ ns[kHkky
b. jk"Vªh; ifjokj LokLF; losZ c. çlo ds ckn ns[kHkky
c. çtuu] ekr`] uotkr cPps vkSj fd'kksjkoLFkk dk;ZØe d. lHkh
(RMNCH+A) 16. çloiw.kZ igyh ,UVhusVy fofVt dc djuh pkfg,\
d. jk"Vªh; tula[;k uhfr 2000 a. 14-26 lIrkg ds chp b. 28-36 lIrkg ds chp
M

8. ySDVs'kuy ,euksfj;k (ALM) ifjokj fu;kstu dh dkSulh c. 36-38 lIrkg ds chp

fof/k gS\ d. 12 lIrkg ;k xHkkZoLFkk dk lansg gksus ij
a. LFkk;h fof/k b. çkÑfrd fof/k c. Ñf=e fof/k d. lHkh 17. xHkkZoLFkk ds nkSjku lkekU; y{k.kksa esa 'kkfey gS\
CHO }kjk felksçksLVksy nsus ds ckn efgyk dks fdrus fnu
SA

9. a. eryh vkSj mYVh b. isV esa tyu

ckn QkWvksvi ij cqykuk pkfg,\
c. dCt vkSj is'kkc esa o`f) d. mijksDr lHkh
a. 10 b. 5 c. 7 d. 15
18. vkxs dh tfVyrk dks jksdus ds fy, fdl dks NksM+dj lHkh
10. fuEu esa ls ijke'kZ ds fl)kUr gS] flok; ,d\ dh LØhfux dh tkuh pkfg,\
a. l[rh ls ikyu djus ds fy, viuh lykg nsa a. eryh &mYVh b. HIV c. :csyk d. Rh dkjd
b. lVhd tkudkjh nh xbZ gS 19. izlo dks lkekU; dc dgk tkrk gS\
c. xzkgd dks viuh dk;Zokgh pquus dk vf/kdkj gS a. 37 ls 42 lIrkg ij b. Lor% 'kq:vkr gks
d. tkudkfj;ksa dh xksifu;rk cuk, j[ksa c. Hkzq.k dk flj fn[kus yxs d. mijksDr lHkh

Ans. 1.A 2.D 3.B 4.C 5.D 6.A 7.C 8.B 9.D 10.A 11.C 12.D 13.B
Ans. 14.A 15.A 16.D 17.D 18.A 19.D
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 CERTIFICATE IN COMMUNITY HEALTH FOR NURSES
07 RAJ. CCH/BPCCHN (CHO) Paper-I Sep-2022

BNS-041 Foundation Of Community Health (Set-01) Original Pape

1. Hardness of water is expressed as? 13. National programme "NACO" is for?
a. ppm b. mg/L c. mEq/ml d. mg % a. HIV/AIDS b. Leprosy
2. Canned food is mostly associated with which c. Polio d. None of above
bacterial poisoning? 14. Juvenile diabetes is?
a. Salmonella b. Staphylococcal a. Type I IDM b. Type II DM
c. Botulism d. Bacillus c. Gestational DM d. Diabetes Insipidus

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3. Kala azar is caused by? 15. IUD insertion at sub center level is done by?
a. Wocheria Bancrofti b. Plasmodium a. Medical officer b. ASHA

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c. Brugia Malay d. Leshmania Donovani c. ANM/MPW d. LHV
4. Non modifiable risk factor for coronary artery 16. The first census of India was conducted in?
disease is? a. 1911 b. 1901 c. 1891 d. 1881
a. Stress b. Diabetes 17. Fat soluble vitamin is?
c. Elevated serum cholesterol d. Age a. Vitamin B b. Vitamin K
5. The ultimate goal of all communication is to bring
EP c. Vitamin C d. All of above
change in the desired direction at? 18. The most common cause of malaria in India is?
a. Cognitive level b. Affective level a. Plasmodium ovale b. Plasmodium vivax
c. Psychomotor level d. All of the above c. Plasmodium malariae d. None of above
6. The constant presence of a disease or infection 19. Which disease is not covered under NPCDCS?
within a given geographic area is called? a. Cancer b. Diabetes
a. Sporadic b. Endemic c. Pandemic d. Epidemic c. Cardiovascular disease d. Cataract
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7. Pernicious anemia is caused by deficiency of? 20. One ASHA works for a population of?
a. Vitamin B12 b. Folic acid a. 1000 b. 2000 c. 5000 d. 10000
c. Vitamin A d. Niacin 21. The official organs of health system at the national
8. Vaccine preventable disease is? level is?
a. Diphtheria b. Measles a. The Ministry of Health & Family Welfare
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c. Whopping cough d. All of above b. The Directorate General of Health Services

9. Rule of Halves is associated with? c. The Central Council of Heath & Family Welfare
a. Burn b. HIV c. Hypertension d. Rabies d. All of the above
10. Health belief model is given by? 22. Bitot's spots caused by deficiency of?
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a. Robert Koch b. Rosen stock and kegal a. Vitamin B b. Vitamin A

c. Skinner d. Sigmund Freud c. Vitamin C d. Vitamin D
11. A unit of rural planning and development is? 23. Which of following can cause Filarial Disease?
a. Village b. Block c. Town d. District a. Sand fly b. Culex c. Aedes d. None of above
12. Function of food is? 24. HPV is associated with?
a. Energy production a. Cervical Cancer b. Hepatitis
b. Build & maintain body tissues c. Polio d. Plague
c. Safeguarding body against diseases 25. Principle of record writing is?
d. All of the above a. Record should be written clearly, legibly and appropriately
b. Record should be written in front of patient
Ans. 1.A 2.D 3.D 4.D 5.D 6.B 7.A 8.D 9.C 10.B 11.A 12.D 13.A
Ans. 14.A 15.C 16.D 17.B 18.B 19.D 20.A 21.A 22.B 23.B 24.A 25.A
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