Cracking Community Medicine Spotters

Cracking Community Medicine Spotters

Dr. Surya Parajuli
Dr. Surya Parajuli 02 Jan 2026

#Mentor Guideline: Solving Any Spotter in 2 Minutes

Goal: Identify the item (organism, instrument, scientist, disease sign, etc.) and write high-yield points quickly and accurately.


#Step 1: Quick Observation & Context (10–20 sec)

Action:

  • Look at the image/diagram/model/object carefully.

  • Note distinct features: shape, color, size, parts, background clues.

  • Check labels, arrows, context clues in the figure.

Tips:

  • Break down complex diagrams into 3–4 main visual clues.

  • For instruments: shape + markings.

  • For organisms: morphology + staining patterns.

  • For scientists: clothing, tools, era, lab setup.

  • For clinical signs: location, pattern, associated structures.


#Step 2: Identify the Spotter (0.5–1 mark, 20 sec)

Action:

  • Match clues to your memory:

    • Mnemonic aids help (e.g., “Snow → cholera map; Jenner → cowpox; Pasteur → germ flasks”).

    • Narrow down to era, specialty, category if unsure.

Tips:

  • Even if unsure, eliminate impossible options first.

  • Write the full name or exact term as required by the exam.

  • Include dates or classification if it adds marks.


#Step 3: Recall High-Yield Points (1–1.5 marks, 50–60 sec)

Action:

  • Quickly list key 3–5 points about the spotter.

  • Focus on exam-relevant contributions, features, or functions.

Tips:

  • Use mental categories:

    • Scientists → contributions, discoveries, title.

    • Instruments → purpose, parts, function.

    • Organisms → morphology, pathogenicity, staining, disease caused.

    • Clinical signs → site, appearance, associated condition.

  • Stick to short bullet points; avoid writing paragraphs.

  • Prioritize high-yield, well-known facts.


#Step 4: Write Answer Clearly & Concisely (30–40 sec)

Action:

  • Write the answer in structured bullets.

  • For multi-part answers, number or use dashes for clarity.

  • Keep language simple, precise, and spelling accurate.

Tips:

  • For contributions: 3 points for 1.5 marks is enough.

  • Avoid unnecessary details; examiners value accuracy over quantity.

  • Use abbreviations only if universally accepted.


#Step 5: Quick Self-Check (10–20 sec)

Action:

  • Re-read your answer: check name, term, spelling, points.

  • Ensure points match the spotter; avoid mixing with similar topics.

Tips:

  • Fix minor errors fast; don’t leave the answer ambiguous.

  • If time is short, prioritize accuracy of identification over extra points.


#Time Management Summary (2-Minute Plan)

Step

Task

Time (sec)

1

Observe & note visual clues

10–20

2

Identify the spotter

20

3

Recall high-yield points

50–60

4

Write answer clearly

30–40

5

Quick self-check

10–20

Total

120


#General Tips for Better Performance

  1. Practice visually: Regularly study diagrams, instruments, clinical images.

  2. Use mnemonics & associations: Helps recall faster under time pressure.

  3. Prioritize high-yield points: Focus on what is frequently asked.

  4. Group by category: Scientists, instruments, organisms, clinical signs, etc.

  5. Keep answers neat: Marks are easier to get if your answer is readable.

  6. Simulate exam timing: Train students to stick to 2 minutes per spotter.

  7. Teach spotting patterns: Some clues are repeated in different spotters (e.g., lab tools, classical appearances).

SEMESTER I

Module 1: Human & Medicine

Spotter 1

Q1. Identify the scientist shown in the picture. (0.5)

John Snow (1813-1858)

Q2. Mention any THREE contributions of this scientist to public health. (1.5)

  1. Known as the father of modern epidemiology.

  2. Established that cholera is transmitted through contaminated water, disproving the miasma theory.

  3. Conducted the Broad Street pump investigation (London, 1854) and controlled the outbreak by removal of the pump handle.

Spotter 2

Q1. Identify the scientist shown in the picture. (0.5)
Robert Koch (1843–1910)

Q2. Mention any THREE contributions of this scientist to public health. (1.5)

  1. Formulated Koch’s postulates, providing experimental proof that specific microorganisms cause specific diseases.

  2. Identified the causative agent of Tuberculosis (Mycobacterium tuberculosis) in 1882.

  3. Known as the father of modern bacteriology.

  4. Discovered the causative agents of Cholera (Vibrio cholerae, 1883) and Anthrax (Bacillus anthracis).

Spotter 3

Q1. Identify the scientist shown in the picture. (0.5)
Edward Jenner (1749–1823)

  1. Q2. Mention any THREE contributions of this scientist to public health. (1.5)
    Developed the World’s First Successful Vaccine (Smallpox)

  2. Pioneered the Concept of Immunization (Jenner moved medicine away from "variolation" (infecting people with the actual deadly smallpox virus) to "vaccination" (using a milder, safer relative of the virus).)

  3. Known as the Father of Immunology

Spotter 4

Q1. Identify the scientist shown in the picture. (0.5)
Louis Pasteur (1822–1895)

Q2. Mention any THREE contributions of this scientist to public health. (1.5)

  1. Proposed the germ theory of disease, suggesting microbes cause infectious diseases and can spread between people.

  2. Developed the first vaccines for rabies and anthrax; coined the term “vaccine”.

  3. Demonstrated principles of microbial fermentation and pasteurization.

  4. Disproved the Theory of Spontaneous Generation.

Spotter 5

Q1. Identify the scientist shown in the picture. (0.5)
Hippocrates (460–370 BC)

Q2. Mention any THREE contributions of this scientist to medicine/public health. (1.5)

  1. Known as the Father of Medicine.

  2. Introduced clinical observation and ethical practice (Hippocratic Oath).

  3. Recognized for epidemiologic thinking, described in “Air, Water & Places.”

Spotter 6

Q1. Identify the scientist shown in the picture. (0.5)
James Lind (1716–1794)

Q2. Mention any THREE contributions of this scientist to medicine/public health. (1.5)

  1. Conducted one of the first controlled clinical trials.

  2. Demonstrated that citrus fruits prevent scurvy among sailors.

  3. Laid foundation for evidence-based preventive interventions in public health.

Spotter 7

John LAST | Professor emeritus | University of Ottawa ...

Q1. Identify the scientist shown in the picture. (0.5)
John M. Last (1926–2006)

Q2. Mention any THREE contributions of this scientist to medicine/public health. (1.5)

  1. Renowned epidemiologist and author of “A Dictionary of Epidemiology.”

  2. Contributed significantly to the definition and concepts of epidemiology and public health.

  3. Emphasized evidence-based preventive medicine and population health approaches.

Spotter 8

Q1. Identify the scientist/medical figure shown in the picture. (0.5)
Dhanvantari

Q2. Mention any THREE contributions of this figure to medicine/public health. (1.5)

  1. Known as the Father of Indian Medicine and Ayurveda.

  2. Considered the mythological physician of the gods in Indian tradition.

  3. Represents the roots of traditional medicine in ancient India.

Spotter 9

Q1. Name of the scientist. (0.5)
Anton van Leeuwenhoek (1632–1723)

Q2. Mention any THREE contributions of this figure to medicine/public health. (1.5)

  1. Built skillful microscopes capable of magnifying objects over 200 times.

  2. Observed “animalcules” (microorganisms) in a drop of water.

  3. First person to observe and record microbes, laying the foundation for microbiology and understanding of infectious diseases.

Spotter 10

The Guiding Principles of Ayurveda - The Tridosha

Q1. What does this diagram represent? (0.5)
Tridosha theory of disease

Q2. Name two medical systems which originated in India. (0.5)
Ayurveda and Siddha

Q3. Name the four eminent persons of ancient India who are greatly acknowledged in Ayurveda. (1)
Atreya, Charaka, Sushruta, Vagbata

Spotter 11

Q1. What does this diagram represent? (0.5)
Two principles of Chinese medicine – Yin and Yang

Q2. What does the balance of Yin and Yang indicate? (0.5)
Good health

Q3. Name any two contributions of ancient Chinese physicians. (1)

  • Practised variolation to prevent smallpox.

  • Developed treatments using hygiene, dietetics, hydrotherapy, massage, and drugs.

Spotter 12

Q1. What does this diagram represent? (0.5)
Greek Medicine – Humoral theory

Q2. Name the four humors described in Greek Medicine. (0.5)
Blood, Phlegm, Yellow bile, Black bile

Q3. Name any two contributions of Hippocrates to medicine/public health. (1)

  • Introduced clinical observation and systematic recording of patient symptoms.

  • Established ethical medical practice (Hippocratic Oath).

Spotter 13

Q1. Name two major public health innovations introduced by the Romans. (1)
Aqueducts – ensured clean and continuous water supply
Public baths and sewage systems – improved sanitation and hygiene

Q2. Name any two contributions of Roman physicians to medicine/public health. (1)
• Emphasized hygiene and sanitation for disease prevention
• Developed surgical instruments and techniques, especially for battlefield medicine

Spotter 14

Fig. 1

Q1. What does the symbol on the right represent? (1)
Rod of Asclepius – symbol of medicine; a staff entwined by a single serpent, representing the ancient Greek god of medicine and healing

Q2. Name the symbol on the left and how it differs from the Rod of Asclepius. (1)
The Caduceus – a staff with two serpents entwined and wings; unlike the Rod of Asclepius, it is often incorrectly used as a medical symbol and originally represents commerce and negotiation.

See, Logo of WHO

Spotter 15

Q1. Identify the person shown in the diagram/image. (0.5)
Galen (130–205 A.D.)

Q2. He belonged to which system/period of medicine? (0.5)
Roman (Greek–Roman) medicine

Q3. Mention any two contributions of Galen. (1)

  • Contributed to anatomy and physiology based on animal dissection.

  • Developed pharmacology (Galenic preparations).

SEMESTER I

Module 2: Concept of Health and Disease

Spotter 1

The Iceberg: A Metaphor for Healing in Therapy

Q1. What does this diagram represent? (0.5)
Iceberg phenomenon of disease

Q2. What is the significance of the following? (1.5)

a. Floating tip of the iceberg
Represents clinically apparent / diagnosed cases of disease.

b. Submerged portion of the iceberg
Represents subclinical, undiagnosed, latent, and carrier cases of disease.

c. Water line
Represents the level of clinical detection and diagnostic threshold.

Spotter 2

Q1. What does this diagram represent? (0.5)
Epidemiological triad

Q2. What is the significance of the following? (1.5)

a. Agent
The causative factor responsible for the disease (biological, chemical, physical, or nutritional).

b. Host
The human or animal that harbours the disease, influenced by factors like age, sex, immunity, and genetics.

c. Environment
External conditions that facilitate disease transmission, such as climate, sanitation, housing, and socio-economic factors.

Note: The Epidemiological Triad is a foundational public health model showing disease causation as an interaction between three key elements: the Agent (the pathogen/cause), the Host (the susceptible individual), and the Environment (external factors bringing them together). This triangle framework helps epidemiologists understand how diseases spread and develop interventions, explaining that a disease occurs when these three factors align in a way that promotes infection or illness.  

The Three Components

  • Agent:

    The external factor or organism that causes the disease (e.g., bacteria, virus, chemical, physical factor). 

  • Host:

    The living organism susceptible to the agent, influenced by factors like age, genetics, immunity, and behavior. 

  • Environment:

    The surrounding conditions (physical, biological, social) that influence the agent's survival and the host's susceptibility, like climate, sanitation, or population density. 

How it Works

  • A disease results from a specific relationship where the agent interacts with a susceptible host within a particular environment. 

  • By understanding this dynamic, public health officials can identify points of intervention (e.g., vaccinating the host, controlling the agent, improving the environment) to prevent outbreaks. 

Example: Food Poisoning

  • Agent: Salmonella bacteria.

  • Host: A person who eats the contaminated food.

  • Environment: The restaurant where the food was prepared and the conditions that allowed the bacteria to grow. 

Spotter 3

Q1. What does this diagram represent in context of Pulmonary Tuberculosis? (0.5)
Epidemiological triad of Pulmonary Tuberculosis

Q2. What is the significance of the following? (1.5)

a. Agent
Mycobacterium tuberculosis — the biological agent causing Pulmonary Tuberculosis.

b. Host
Humans with risk factors such as malnutrition, low immunity, HIV infection, diabetes, smoking, alcoholism, and extremes of age.

c. Environment
Conditions facilitating transmission of PTB, including overcrowding, poor ventilation, poor housing, poverty, and unhygienic living conditions.

Spotter 4

JaypeeDigital | eBook Reader

Q1. Identify the diagram? (0.5)
Theory of Multifactorial Causation

Q2. Who gave the concept of this theory? (0.5)
Max von Pettenkofer

Q3. Write two significances of this diagram. (1)

  1. Illustrates the multifactorial causation of complex diseases.

  2. Forms the basis for comprehensive disease prevention and control.

Note: The theory of multifactorial causation of disease was prominently put forward by Max von Pettenkofer in the late 19th century. His ideas were a counterpoint to the prevailing single-cause "germ theory" of disease advocated by Louis Pasteur and Robert Koch at the time. 

Pettenkofer argued that disease was a result of multiple interacting factors, not just a single causative organism. For example, he posited that tuberculosis wasn't solely due to the tubercle bacilli, but also influenced by environmental and social factors like poverty, malnutrition, and overcrowding. 

Spotter 5

Concept of disease. power point presentation | PPTX

Q1. Identify the diagram. (0.5)
Web of Causation of Myocardial Infarction

Q2. Who gave the concept of this diagram? (0.5)
MacMahon and Pugh

Q3. Write two significances of this diagram. (1)

  • It demonstrates the interaction of multiple inter-related risk factors in the causation of myocardial infarction rather than a single cause.

  • It provides a basis for comprehensive prevention and control strategies by targeting multiple modifiable risk factors simultaneously.

Note: The web of causation is a conceptual model in epidemiology that illustrates the complex, interconnected, and multifactorial nature of diseases and health outcomes. It posits that health issues rarely stem from a single cause but rather from a network of interacting biological, environmental, and social determinants. 

This model, first articulated in a 1960 epidemiology textbook by Brian MacMahon and Thomas Pugh, moved the field beyond the "germ theory" single-cause model, especially for chronic diseases where multiple risk factors are involved.

Spotter 6

Q1. What is the name of the given diagram? (0.5)
Natural History of Disease

Q2. Mention the public health importance of this diagram. (1.5)

  • It helps in understanding the sequence of events in disease progression, from the pre-pathogenic phase to the pathogenic phase.

  • It assists in identifying the appropriate levels of prevention—primary, secondary, and tertiary—at different stages of disease.

  • It guides the timely application of preventive and control measures, thereby helping to reduce morbidity, mortality, and overall disease burden.

Note:

Spotter 7

Q1. What is the name of the given diagram? (0.5)
Natural History of Disease

Q2. Enlist the modes of intervention for COVID-19 at each level of prevention. (1.5)

Primary prevention:

  • Health promotion: Health education, mask use, hand hygiene, physical distancing

  • Specific protection: COVID-19 vaccination

Secondary prevention:

  • Early diagnosis: Screening, RT-PCR / Rapid Antigen testing

  • Prompt treatment: Early isolation and supportive care

Tertiary prevention:

  • Disability limitation: Management of complications (e.g., hypoxia, organ involvement)

  • Rehabilitation: Post-COVID care and physiotherapy


Spotter 8

Q1. In the following figure, which point is the usual time of diagnosis? (1)
a. A
b. B
c. X
d. Y

Q2. What is lead time? (1)
Lead time is the period between the onset of a disease (or the earliest detectable stage) and the usual time of diagnosis.

Spotter 9

Q1. Which point in the natural history of disease marks the onset of symptoms? (1)
a. A
b. B
c. C
d. D

Q2. Which study design is best to demonstrate natural history of disease? (1)
Cohort study

Spotter 10

For each of the following, identify the appropriate letter from the timeline in the figure representing the Natural History of Disease. (2)

Match the occurrences with the correct stage:
– Onset of symptoms
– Usual time of diagnosis
– Exposure

Options:
a. A, C, D
b. B, C, D
c. C, D, A
d. D, A, B

Spotter 11

The Ottawa Charter for Health Promotion | WHO (1986 ...

1. Identify the symbol shown in the figure. (0.5)
The Ottawa Charter’s Emblem

2. What is the concept adopted by this? (1.5)

The concept of the Ottawa Charter is to enable, mediate, and advocate for health by focusing on:

  • Build healthy public policy

  • Create supportive environments for health

  • Strengthen community action for health

  • Develop personal skills

  • Reorient health services

Note:

The Ottawa Charter emblem is the official World Health Organization (WHO) Health Promotion logo and features a red circle with three inner wings. It symbolizes the integrated, multi-strategic approach to health promotion outlined in the 1986 Ottawa Charter.

Emblem Components and Meaning

Each part of the emblem represents a key element of the Ottawa Charter's framework: 

  • The Outer Circle: Originally red, the circle represents the goal of "Building Healthy Public Policies", symbolizing the need for policies to hold together and contain all other health promotion efforts.

  • The Inner Spot: The small central circle represents the three basic health promotion strategies: to enable, mediate, and advocate for health.

  • The Three Wings: The wings originating from the inner spot symbolize the five key action areas of health promotion:

    • One wing (the top one) breaks the outer circle, representing the need for action to strengthen community action and develop personal skills; this breaking of the circle symbolizes that policies must constantly adapt to the ever-changing needs of individuals and communities.

    • The middle right wing represents action needed to create supportive environments for health.

    • The bottom wing represents action needed to reorient health services towards preventing diseases and promoting health.

    The emblem's design was slightly modified for subsequent international conferences, such as the Fourth International Conference on Health Promotion in Jakarta in 1997, to reflect the local culture while preserving the core meaning. The Jakarta version used a large blue spot and brick-red wings, all reaching outside the circle to represent a more open and lively approach

Spotter 12

2030 Agenda for Sustainable DevelopmentQ1. How many Millennium Development Goals (MDGs) were there?
8 goals

Q2. How many Sustainable Development Goals (SDGs) are there?
17 goals

Note: MDGs (Millennium Development Goals, 2000-2015) focused on poverty reduction in developing nations (8 goals), while SDGs (Sustainable Development Goals, 2015-2030) are universal, encompassing 17 interconnected goals for all countries, addressing economic, social, and environmental aspects like climate change, inequality, and peace, building on MDG successes but with broader scope and inclusivity. 

Millennium Development Goals (MDGs)

  • Timeframe: 2000-2015.

  • Focus: Primarily on developing countries, tackling poverty, hunger, disease, education, gender, and environment.

  • Goals: 8 specific goals, e.g., eradicate extreme poverty, achieve universal primary education, reduce child mortality. 

Sustainable Development Goals (SDGs)

  • Timeframe: 2015-2030.

  • Focus: Universal, applying to all countries (developed and developing), integrating economic, social, and environmental pillars.

  • Goals: 17 broad goals (e.g., No Poverty, Zero Hunger, Climate Action, Quality Education, Peace & Justice) with 169 targets. 

Key Differences & Improvements

  • Universality: SDGs are for everyone, unlike MDGs which targeted poorer nations.

  • Scope: SDGs are much broader, adding climate, inequality, sustainable cities, energy, etc., recognizing interconnectedness.

  • Inclusivity: SDGs involve all stakeholders (governments, private sector, civil society) and address systemic issues.

  • Foundation: SDGs build on MDG successes but address their limitations, creating a more comprehensive blueprint for sustainable development. 

Spotter 13

Q1. Enlist any four Sustainable Development Goals (SDGs). (1)
SDG 1: No Poverty

SDG 2: Zero Hunger

SDG 3: Good Health and Well-Being

SDG 4: Quality Education

Q2. Mention the SDG which is directly related to health. (1)

SDG 3 – Good Health and Well-Being

SEMESTER I

Module 3 & 4: Nutrition-I & Nutrition-II

Spotter 1

Rice

Q1. Mention the nutritional composition per 100 g of the given food item. (1)
(per 100 g, raw polished rice):

Macronutrients

  • Carbohydrates: ~78 g

  • Protein: ~7 g

  • Fat: ~0.5 g

  • Energy (Calories): ~345 kcal

Micronutrients

  • Calcium: ~10 mg

  • Iron: ~1 mg

  • Phosphorus: ~160 mg

  • Magnesium: ~35 mg

  • Potassium: ~115 mg

  • Thiamine (Vitamin B₁): ~0.07 mg

  • Riboflavin (Vitamin B₂): ~0.02 mg

  • Niacin (Vitamin B₃): ~1.6 mg

Q2. Enlist four diseases associated with its deficiency. (1)
Answer:

  • Marasmus

  • Kwashiorkor

  • Underweight

  • Growth retardation (in children)

#other possible question number 2 will be...........

Q. What is the clinical significance of polished rice? (1)
Polished rice has reduced nutritional value due to loss of the bran and germ, leading to deficiency of B-complex vitamins (especially thiamine) and minerals. It also has a higher glycemic index compared to unpolished (brown) rice, increasing the risk of beriberi, diabetes mellitus, obesity, and other chronic diseases.

Spotter 2

Pulse

Q1. Mention the nutritional composition per 100 g of the given food item. (1)
(per 100 g, dry pulses):

Macronutrients

  • Carbohydrates: ~60 g

  • Protein: ~22 g

  • Fat: ~1.5 g

  • Energy (Calories): ~340 kcal

Micronutrients

  • Calcium: ~75 mg

  • Iron: ~5 mg

  • Phosphorus: ~300 mg

  • Magnesium: ~130 mg

  • Potassium: ~700 mg

  • Thiamine (Vitamin B₁): ~0.5 mg

  • Riboflavin (Vitamin B₂): ~0.2 mg

  • Niacin (Vitamin B₃): ~2 mg

  • Folic acid: ~200 µg


Q2. Write down the prevalent nutritional deficiency disorders in Nepal. (1)
Answer:

  • Iron deficiency anemia

  • Night blindness

  • Goiter

  • Zinc deficiency

  • Rickets / Osteomalacia

Spotter 3

Q 1. List four major differences between Kwashiorkor and Marasmus. (2)

Feature

Marasmus

Kwashiorkor

Primary deficiency

Severe deficiency of total calories (carbohydrates, fats, and proteins)

Predominant protein deficiency with relatively adequate calories

Body appearance

Severe wasting with marked loss of muscle and fat

Edema present, often masking weight loss

Edema

Absent

Present (face, limbs, abdomen)

Appetite

Good / voracious

Poor or absent

Spotter 4

Q1. Mention the nutritional composition of 1 hen egg (approx. 50 g). (1)

Macronutrients

  • Protein: ~6–7 g

  • Fat: ~5–6 g

  • Carbohydrates: ~0.5 g

  • Energy (Calories): ~78 kcal

Micronutrients

  • Calcium: ~25 mg

  • Iron: ~1 mg

  • Phosphorus: ~100 mg

  • Vitamin A: ~70 µg

  • Thiamine (Vitamin B₁): ~0.02 mg

  • Riboflavin (Vitamin B₂): ~0.23 mg

  • Vitamin B₁₂: ~0.55 µg


Q2. Why is egg called a reference protein? (1)
Answer:
A hen egg is called a reference protein because it contains all nine essential amino acids in proportions that closely match human requirements and has high digestibility, making it the standard for comparing protein quality in other foods.

Spotter 5

Soyabean

Q1. Mention the nutritional composition per 100 g of the given food item: Soyabean. (1)

Macronutrients

  • Protein: ~36–40 g

  • Carbohydrates: ~30 g

  • Fat: ~20 g

  • Energy (Calories): ~430 kcal

Micronutrients

  • Calcium: ~277 mg

  • Iron: ~15 mg

  • Phosphorus: ~704 mg

  • Magnesium: ~280 mg

  • Potassium: ~1800 mg

  • Sodium: ~2 mg

  • Thiamine (Vitamin B₁): ~0.87 mg

  • Riboflavin (Vitamin B₂): ~0.87 mg

  • Niacin (Vitamin B₃): ~1.6 mg

  • Folate: ~375 µg


Q2. List all seven methods of nutritional status assessment. (1)
Answer:

  1. Anthropometry – measurement of body size, weight, and proportions

  2. Biochemical investigations – lab tests for nutrient levels in blood, urine, or tissues

  3. Clinical examination – physical signs of nutrient deficiencies or excesses

  4. Assessment of dietary intake – food surveys, 24-hour recall, or food frequency questionnaires

  5. Ecological studies – population-level assessment using food supply or consumption data

  6. Functional assessment – tests of physical or cognitive performance related to nutrition

  7. Vital and health statistics – use of morbidity, mortality, and growth trends to assess nutritional status

Spotter 6

Q1. Define balanced diet. (1)
Answer:
A balanced diet is a diet that contains different types of foods providing all the essential nutrients—carbohydrates, proteins, fats, vitamins, minerals, and water—in the right proportions to meet the daily requirements of the body.


Q2. Define micro and macro nutrients. (1)
Answer:

  • Micronutrients: Vitamins and minerals required in small amounts, ranging from a fraction of a milligram to several grams, essential for growth, development, and metabolism.

  • Macronutrients: Proteins, fats, and carbohydrates, also called proximate principles, which form the main bulk of food and provide energy and structural components for the body.

Spotter 7

Q1. Mention the composition of adult IFA (Iron-Folic Acid) tablets. (1)
Answer:

  • Iron: 100 mg

  • Folic acid: 500 µg


Q2. Which trimester is recommended for iron supplementation in a pregnant woman? (1)
Answer:

  • 2nd trimester

Spotter 8

Q1. Define protein-energy malnutrition (PEM). (1)
Answer:
Protein-Energy Malnutrition (PEM) is a spectrum of conditions caused by insufficient intake or absorption of protein and/or calories, leading to deficits that impair growth, development, and bodily functions. It manifests as:

  • Wasting – Marasmus

  • Swelling (edema) – Kwashiorkor

  • Or a combination – Marasmic Kwashiorkor


Q2. List the major types of protein-energy malnutrition. (1)
Answer:

  • Marasmus

  • Kwashiorkor

  • Marasmic Kwashiorkor

Spotter 9

Kwashiorkor - an overview | ScienceDirect Topics

Q1. Identify the spotter. (0.5)
Answer:

  • Kwashiorkor

Q2. Define the given condition. (1.5)
Answer:
Kwashiorkor is a severe form of protein-energy malnutrition caused by a drastic lack of protein, even when calorie intake may be adequate. It leads to:

  • Edema (swelling of the belly, limbs, and face)

  • Muscle wasting

  • Fatigue and irritability

  • Skin and hair changes (depigmentation, thin brittle hair)

  • Weakened immune system

It primarily affects young children in famine-stricken or low-protein diet regions.

Spotter 10

Man with severe goiter | Stock Image - Science Source Images

Q1. Write the name of the clinical condition. (0.5)
Answer:

  • Goitre


Q2. Enlist three preventive measures for this condition. (1.5)
Answer:

  1. Dietary & Nutrient Focus:

    • Use iodized salt

    • Consume iodine-rich foods like seafood, dairy products, and seaweed

    • Ensure adequate selenium and zinc intake

  2. Avoid goitrogenic foods in excess:

    • Foods like cabbage, cauliflower, and cassava can interfere with iodine uptake

  3. Lifestyle and Public Health Measures:

    • Maintain healthy diet, regular exercise, and stress management

    • Participate in iodine supplementation programs where available

Spotter 11

3,000+ Goitre Disease Stock Photos, Pictures & Royalty-Free Images - iStock

1. Write the name of the given condition. (0.5)
Answer:

  • Goiter


Q2. Mention four major sources of the required micronutrient (iodine) for the above case. (1.5)
Answer:

  1. Seaweed

  2. Seafood

  3. Dairy products and eggs

  4. Iodized salt

Spotter 12

Xerophthalmia: ▪️Ocular manifestations of vitamin A deficiency include not  only the structural changes affecting the conjunctiva, cornea and retina  but also biophysical disorders of retinal rods and cone function. ▪️Vitamin  A deficiency,

Q1. Write the name of the clinical condition. (0.5)
Answer:

  • Xerophthalmia


Q2. Write WHO Classification of Xerophthalmia. (1.5)
Answer:

  1. Night blindness (XN)

  2. Conjunctival xerosis (X1A)

  3. Bitot’s spot (X1B)

  4. Corneal xerosis (X2)

  5. Corneal ulceration (<1/3 of cornea) (X3A)

  6. Corneal ulceration (>1/3 of cornea) (X3B)

  7. Corneal scarring (XS)

  8. Xerophthalmia fundus (XF)

Spotter 13

SmartHeart Analog Body Weight Scale | Mechanical Nepal | Ubuy

Q1. Identify the instrument. (0.5)
Answer:

  • Weighing scale


Q2. What is its use? (0.5)
Answer:

  • To measure body weight


Q3. Calculate your own BMI. (1)
Answer:

  • Formula: BMI = Weight (kg) ÷ Height (m)²

  • Example: If weight = 60 kg and height = 1.65 m:

    BMI=601.652=602.7225≈22.0 kg/m²BMI = \frac{60}{1.65^2} = \frac{60}{2.7225} \approx 22.0 \, \text{kg/m²}BMI=1.65260​=2.722560​≈22.0kg/m²

  • Interpretation (WHO classification):

    • <18.5 → Underweight

    • 18.5–24.9 → Normal

    • 25–29.9 → Overweight

    • ≥30 → Obese

Spotter 14

spastic paraplegia | CHS-SACHETAN

Q1. Which toxin is associated with Lathyrism? (0.5)
Answer:

  • β-ODAP (BOAA) – beta-N-oxalyl-L-alpha, beta-diaminopropionic acid


Q2. List three interventions for the above condition. (1.5)
Answer:

  1. Reduce consumption of Lathyrus sativus (grass pea)

  2. High-protein diet to support recovery

  3. Physiotherapy to manage and improve muscle function

Spotter 15

Marasmus Symptoms, Causes, Prevention and Treatment - Jotscroll

Q1. Write the name of the given condition. (0.5)
Answer:

  • Marasmus


Q2. List all seven methods of nutritional status assessment. (1.5)
Answer:

  1. Anthropometry – measurement of body size, weight, and proportions

  2. Biochemical investigations – lab tests for nutrient levels in blood, urine, or tissues

  3. Clinical examination – physical signs of nutrient deficiencies or excesses

  4. Assessment of dietary intake – 24-hour recall, food frequency questionnaires, or food surveys

  5. Ecological studies – population-level assessment using food supply or consumption data

  6. Functional assessment – tests of physical or cognitive performance related to nutrition

  7. Vital and health statistics – using morbidity, mortality, and growth trends to assess nutritional status

Spotter 16

How to Use MUAC Tape to Measure Mid Upper Arm Circumference – NutriActiva

Q1. Mention the name of the method used in this picture and its interpretation. (1)
Answer:

  • Method: Mid-Upper Arm Circumference (MUAC)

  • Interpretation:

    • Green (≥12.5 cm): Well-nourished

    • Yellow (11.5–12.5 cm): Moderate malnutrition (needs support)

    • Red (<11.5 cm): Severe acute malnutrition (requires urgent treatment)


Q2. Enlist other four anthropometric measurements of nutritional status for a child. (1)
Answer:

  1. Height / Length

  2. Weight

  3. Body Mass Index (BMI)

  4. Head and Chest Circumference

Spotter 17

Mid-Upper Arm Circumference (MUAC) tapes guidelines | UNICEF Indonesia

Q1. Identify the measuring tape in the given picture. (0.5)
Answer:

  • Sakir tape


Q2. Write the value for green, yellow, and red color in the tape. (1.5)
Answer:

  • Green: ≥ 12.5 cm → Normal / Well-nourished

  • Yellow: 11.5–12.5 cm → Moderate acute malnutrition (needs support)

  • Red: < 11.5 cm → Severe acute malnutrition (requires urgent treatment)

Spotter 18

Q1. Enlist four major sources of iron. (1)
Answer:

  1. Red meat, poultry, and seafood (heme iron – easily absorbed)

  2. Legumes (beans, lentils)

  3. Dark leafy greens (spinach, kale)

  4. Nuts, seeds, dried fruits, and fortified cereals


Q2. Mention four common causes of iron deficiency anemia in Nepal. (1)
Answer:

  1. Inadequate intake of iron-rich foods

  2. Hookworm infestation

  3. Pregnancy (increased iron requirement)

  4. Chronic blood loss

Spotter 19

Q1. What are the common causes of Iron Deficiency Anemia in Nepal? (1)
Answer:

  • Inadequate intake of iron-rich foods

  • Hookworm infestation

  • Pregnancy (increased iron requirement)

  • Chronic blood loss


Q2. Write down the prevalent nutritional deficiency disorders in Nepal. (1)
Answer:

  • Protein-Energy Malnutrition (PEM)

  • Night blindness (Vitamin A deficiency)

  • Iron deficiency anemia

  • Iodine deficiency (Goiter)

Spotter 20

Q1. Enlist four sources of vitamin A. (1)
Answer:

  • Plant sources: Green leafy vegetables, carrots

  • Animal sources: Meat, fish


Q2. What is Preformed Vitamin A and Provitamin A? (1)
Answer:

  • Preformed Vitamin A: Retinol and retinoic acid found in animal foods such as dairy products, fish, and meat (especially liver).

  • Provitamin A: Beta-carotene, a substance from plant sources (like carrots and green vegetables) that can be converted by the body into vitamin A.

Spotter 21

Nutritional rickets in immigrant and refugee children | Public Health  Reviews

Q1. Enlist any two bony deformities which characterize this disease (Rickets). (0.5)
Answer:

  • Bowing of legs

  • Rachitic rosary


Q2. Mention two nutritional forms of the vitamin, the deficiency of which causes the disease. (0.5)
Answer:

  • Vitamin D₂ (ergocalciferol)

  • Vitamin D₃ (cholecalciferol)


Q3. Enumerate two preventive measures of it. (1)
Answer:

  1. Sunlight exposure (to stimulate vitamin D synthesis)

  2. Vitamin D supplements and dietary calcium

Spotter 22

Nutrition : Zinc Deficiency In Children : Zinc Deficiency In Children  Patient Education : Diseases and Conditions | Pediatric Oncall

Q1. Identify the picture and comment on its cause. (1)
Answer:

  • Condition: Rashes due to zinc deficiency

  • Cause: Insufficient intake or absorption of zinc, leading to skin lesions, delayed wound healing, growth retardation, and impaired immune function.


Q2. Mention the daily requirement of this element in adults, children, and infants. (1)
Answer:

  • Adult men: 12 mg/day

  • Adult women: 10 mg/day

  • Children: 10 mg/day

  • Infants: 5 mg/day

Spotter 23

Q1. Write two milk-borne bacterial diseases. (1)
Answer:

  1. Infectious diarrhoea – caused by E. coli

  2. Food poisoning – caused by Staphylococcus aureus


Q2. Write the full form of SNF. (0.5)
Answer:

  • SNF: Solid-Not-Fat


Q3. Enlist two common methods of pasteurization of milk. (0.5)
Answer:

  1. Low Temperature Long Time (LTLT) method: 63°C for 30 minutes

  2. High Temperature Short Time (HTST) method: 72°C for 15 seconds

  3. (Optional/Additional) Ultra High Temperature (UHT) method: 135–150°C for 1–4 seconds

Spotter 24


You said:

Enlist any four Sustainable development goals (SDGs). (1) -no poverty -zero hunger - good health and well being -quality education Mention SDG which is directly related to health? (1) SDG 3 : it is directly related to health

ChatGPT said:

Enlist any four Sustainable Development Goals (SDGs): (1)

  • No Poverty

  • Zero Hunger

  • Good Health and Well-Being

  • Quality Education

SDG directly related to health: (1)

  • SDG 3 – Good Health and Well-Being

You said:

make question answer format for my spotter and put goal number too

ChatGPT said:

Q1. Enlist any four Sustainable Development Goals (SDGs). (1)
Answer:

  • SDG 1: No Poverty

  • SDG 2: Zero Hunger

  • SDG 3: Good Health and Well-Being

  • SDG 4: Quality Education

Q2. Mention the SDG which is directly related to health. (1)
Answer:

  • SDG 3 – Good Health and Well-Being

You said:

Mention the nutritional composition per 100 gm of given food item. (1): Rice Enlist 4 diseases associated with its deficiency. (1)

ChatGPT said:

Q1. Mention the nutritional composition per 100 g of the given food item: Rice. (1)
Answer (per 100 g):

  • Carbohydrates: ~78 g

  • Protein: ~7 g

  • Fat: ~0.5 g

  • Energy: ~345 kcal

Q2. Enlist four diseases associated with its deficiency. (1)
Answer:

  • Marasmus

  • Kwashiorkor

  • Underweight

  • Growth retardation (in children)

You said:

add calori too

ChatGPT said:

Q1. Mention the nutritional composition per 100 g of the given food item: Rice. (1)
Answer (per 100 g):

  • Carbohydrates: ~78 g

  • Protein: ~7 g

  • Fat: ~0.5 g

  • Calories (Energy): ~345 kcal

Q2. Enlist four diseases associated with its deficiency. (1)
Answer:

  • Marasmus

  • Kwashiorkor

  • Underweight

  • Growth retardation (in children)

You said:

add all macro and micro elements

ChatGPT said:

Q1. Mention the nutritional composition per 100 g of the given food item: Rice. (1)
Answer (per 100 g, raw polished rice):

Macronutrients

  • Carbohydrates: ~78 g

  • Protein: ~7 g

  • Fat: ~0.5 g

  • Energy (Calories): ~345 kcal

Micronutrients

  • Calcium: ~10 mg

  • Iron: ~1 mg

  • Phosphorus: ~160 mg

  • Magnesium: ~35 mg

  • Potassium: ~115 mg

  • Thiamine (Vitamin B₁): ~0.07 mg

  • Riboflavin (Vitamin B₂): ~0.02 mg

  • Niacin (Vitamin B₃): ~1.6 mg


Q2. Enlist four diseases associated with its deficiency. (1)
Answer:

  • Marasmus

  • Kwashiorkor

  • Underweight

  • Growth retardation (in children)

You said:

Mention the nutritional composition per 100gm of given food item. (1) Write down the prevalent nutritional deficiency disorders in Nepal. (1) Iron deficiency anemia, night blindness, goiter, zinc deficiency. rickets/osteomalacia

ChatGPT said:

Q1. Mention the nutritional composition per 100 g of the given food item. (1)
Answer (per 100 g, rice):

Macronutrients

  • Carbohydrates: ~78 g

  • Protein: ~7 g

  • Fat: ~0.5 g

  • Energy (Calories): ~345 kcal

Micronutrients

  • Calcium: ~10 mg

  • Iron: ~1 mg

  • Phosphorus: ~160 mg

  • Magnesium: ~35 mg

  • Potassium: ~115 mg

  • Thiamine (Vitamin B₁): ~0.07 mg

  • Riboflavin (Vitamin B₂): ~0.02 mg

  • Niacin (Vitamin B₃): ~1.6 mg


Q2. Write down the prevalent nutritional deficiency disorders in Nepal. (1)
Answer:

  • Iron deficiency anemia

  • Night blindness (Vitamin A deficiency)

  • Goiter (Iodine deficiency)

  • Zinc deficiency

  • Rickets / Osteomalacia (Vitamin D deficiency)

You said:

Pulse

ChatGPT said:

Q1. Mention the nutritional composition per 100 g of the given food item: Pulse. (1)
Answer (per 100 g, dry pulses):

Macronutrients

  • Carbohydrates: ~60 g

  • Protein: ~22 g

  • Fat: ~1.5 g

  • Energy (Calories): ~340 kcal

Micronutrients

  • Calcium: ~75 mg

  • Iron: ~5 mg

  • Phosphorus: ~300 mg

  • Magnesium: ~130 mg

  • Potassium: ~700 mg

  • Thiamine (Vitamin B₁): ~0.5 mg

  • Riboflavin (Vitamin B₂): ~0.2 mg

  • Niacin (Vitamin B₃): ~2 mg

  • Folic acid: ~200 µg


Q2. Write down the prevalent nutritional deficiency disorders in Nepal. (1)
Answer:

  • Iron deficiency anemia

  • Night blindness

  • Goiter

  • Zinc deficiency

  • Rickets / Osteomalacia

You said:

List four major differences between Kwashiorkor and Marasmus. (1) Marasmus: Severe lack of total calories (energy), affecting carbohydrates, fats, and protein; Extreme muscle wasting; no edema; good or voracious appetite Kwashiorkor: Predominantly a severe protein deficiency; swelling (edema); especially in the belly and limbs, often masking severe weight loss; poor or absent appetite

ChatGPT said:

Q. List four major differences between Kwashiorkor and Marasmus. (1)

Feature

Marasmus

Kwashiorkor

Primary deficiency

Severe deficiency of total calories (carbohydrates, fats, and proteins)

Predominant protein deficiency with relatively adequate calories

Body appearance

Severe wasting with marked loss of muscle and fat

Edema present, often masking weight loss

Edema

Absent

Present (face, limbs, abdomen)

Appetite

Good / voracious

Poor or absent

You said:

What is the clinical significance of polished rice? (1) reduced nutritional value and higher glycemic index (GI) compared to unpolished (brown) rice, which can lead to various health concerns, including an increased risk of nutrient deficiencies and chronic diseases

ChatGPT said:

Q. What is the clinical significance of polished rice? (1)
Answer:
Polished rice has reduced nutritional value due to loss of the bran and germ, leading to deficiency of B-complex vitamins (especially thiamine) and minerals. It also has a higher glycemic index compared to unpolished (brown) rice, increasing the risk of beriberi, diabetes mellitus, obesity, and other chronic diseases.

You said:

EGG Mention the nutritional composition per 100gm of given food item. (1) Why egg is called a reference protein? (1) because they contain all nine essential amino acids (EAAs) in proportions that closely match human needs, with a digestibility and biological value. This "perfect" balance of amino acids, the building blocks of protein, allows the body to use egg protein with high efficiency for muscle building and other functions, serving as the standard against which other protein sources are measured.

ChatGPT said:

Q1. Mention the nutritional composition per 100 g of the given food item: Egg. (1)
Answer (per 100 g, whole egg):

Macronutrients

  • Protein: ~13 g

  • Fat: ~11 g

  • Carbohydrates: ~1 g

  • Energy (Calories): ~155 kcal

Micronutrients

  • Calcium: ~50 mg

  • Iron: ~2 mg

  • Phosphorus: ~200 mg

  • Vitamin A: ~140 µg

  • Thiamine (Vitamin B₁): ~0.04 mg

  • Riboflavin (Vitamin B₂): ~0.45 mg

  • Niacin (Vitamin B₃): ~0.1 mg

  • Vitamin B₁₂: ~1.1 µg


Q2. Why is egg called a reference protein? (1)
Answer:
Egg is called a reference protein because it contains all nine essential amino acids in proportions that closely match human requirements and has high digestibility and biological value, making it the standard against which the quality of other dietary proteins is measured.

You said:

1 hen ege

ChatGPT said:

Q1. Mention the nutritional composition of 1 hen egg (approx. 50 g). (1)

Macronutrients

  • Protein: ~6–7 g

  • Fat: ~5–6 g

  • Carbohydrates: ~0.5 g

  • Energy (Calories): ~78 kcal

Micronutrients

  • Calcium: ~25 mg

  • Iron: ~1 mg

  • Phosphorus: ~100 mg

  • Vitamin A: ~70 µg

  • Thiamine (Vitamin B₁): ~0.02 mg

  • Riboflavin (Vitamin B₂): ~0.23 mg

  • Vitamin B₁₂: ~0.55 µg


Q2. Why is egg called a reference protein? (1)
Answer:
A hen egg is called a reference protein because it contains all nine essential amino acids in proportions that closely match human requirements and has high digestibility, making it the standard for comparing protein quality in other foods.

You said:

hen ege size, 14, 15, 16

ChatGPT said:

Ah, you’re referring to hen egg sizes by weight in grams. Here’s a standard classification commonly used:

Hen Egg Sizes:

  • Small: 40–45 g

  • Medium: 46–50 g

  • Large: 51–55 g

  • Extra Large: 56–60 g

  • Jumbo: >60 g

So if you mention 14, 15, 16, it seems like you’re asking about weight in some unit, but usually hen eggs are measured in grams per egg. For reference, a large egg is roughly 50–55 g, which is most commonly used in nutrition tables.

If you want, I can make a nutritional composition table for 14 g, 15 g, and 16 g eggs specifically. Do you want me to do that?

You said:

chicken egg size available in nepali market

ChatGPT said:

In the Nepali market, chicken eggs are generally available in different size categories based on weight, which also affects pricing: Kathmandu Post

Common chicken egg sizes available in Nepal

These size categories help buyers and sellers classify and price eggs in crates or per piece in Nepal. Kathmandu Post

You said:

give me details

ChatGPT said:

Here are the common chicken egg sizes available in the Nepali market with details that are actually used for pricing and sale: Kathmandu Post

#Chicken Egg Sizes in Nepal

✔️ Medium eggs

  • Most commonly available size in local markets.

  • Standard weight ~45–50 g per egg (typical range for medium categories).

  • Sold at a lower price compared to large or XL eggs. Kathmandu Post

✔️ Large eggs

  • Bigger and heavier than medium eggs, usually ~50–55 g per egg.

  • Priced higher than medium eggs in the market. Kathmandu Post

✔️ Extra Large (XL) eggs

  • Larger still, often from high‑yield breeds or better fed hens.

  • Highest price category among regular chicken eggs. Ekantipur

✔️ Local/backyard eggs (sometimes labeled as free‑range or “desi”)

  • These are the eggs from backyard indigenous chickens.

  • They tend to be smaller (often ~40–45 g) and sold at variable prices; sometimes preferred for taste or texture. Reddit

#Notes about egg sizing and market

  • In Nepal, eggs are priced per crate (30 eggs) and the cost differs by size — medium < large < XL based on weight and consumer demand. Kathmandu Post

  • Pastured or omega‑3 enriched eggs (specialty) are also available but are more expensive and not mass produced. Kathmandu Post

If you want, I can also provide the approximate weight ranges for each size in grams!

You said:

Soyabean Mention the nutritional composition per 100 gm of given food item. (1) List all seven methods of nutritional status assessment. (1) Anthropometry, biochemical investigations, clinical examination, assessment of dietary intake, ecological studies, functional assessment & vital and health statics

ChatGPT said:

Q1. Mention the nutritional composition per 100 g of the given food item: Soyabean. (1)

Macronutrients

  • Protein: ~36–40 g

  • Carbohydrates: ~30 g

  • Fat: ~20 g

  • Energy (Calories): ~430 kcal

Micronutrients

  • Calcium: ~277 mg

  • Iron: ~15 mg

  • Phosphorus: ~704 mg

  • Magnesium: ~280 mg

  • Potassium: ~1800 mg

  • Sodium: ~2 mg

  • Thiamine (Vitamin B₁): ~0.87 mg

  • Riboflavin (Vitamin B₂): ~0.87 mg

  • Niacin (Vitamin B₃): ~1.6 mg

  • Folate: ~375 µg


Q2. List all seven methods of nutritional status assessment. (1)
Answer:

  1. Anthropometry – measurement of body size, weight, and proportions

  2. Biochemical investigations – lab tests for nutrient levels in blood, urine, or tissues

  3. Clinical examination – physical signs of nutrient deficiencies or excesses

  4. Assessment of dietary intake – food surveys, 24-hour recall, or food frequency questionnaires

  5. Ecological studies – population-level assessment using food supply or consumption data

  6. Functional assessment – tests of physical or cognitive performance related to nutrition

  7. Vital and health statistics – use of morbidity, mortality, and growth trends to assess nutritional status

You said:

Why egg is called a reference protein? (1) because they contain all nine essential amino acids (EAAs) in proportions that closely match human needs, with a digestibility and biological value. This "perfect" balance of amino acids, the building blocks of protein, allows the body to use egg protein with high efficiency for muscle building and other functions, serving as the standard against which other protein sources are measured. What is the nutritive value of egg? (1) A single large egg offers around 78 calories, 6g protein, 5g fat, vitamins, minerals, antioxidants.

ChatGPT said:

Q1. Why is egg called a reference protein? (1)
Answer:
Egg is called a reference protein because it contains all nine essential amino acids (EAAs) in proportions that closely match human requirements. It has high digestibility and biological value, making it a “perfect” protein. This allows the body to efficiently use egg protein for muscle building and other functions, serving as the standard against which other protein sources are measured.


Q2. What is the nutritive value of a hen egg? (1)
Answer (for a single large egg, ~50 g):

  • Calories: ~78 kcal

  • Protein: ~6 g

  • Fat: ~5 g

  • Carbohydrates: ~0.5 g

  • Vitamins: A, B-complex (B₁, B₂, B₁₂), D, E

  • Minerals: Calcium, Iron, Phosphorus, Zinc

  • Other: Antioxidants such as lutein and zeaxanthin

You said:

Define balanced diet. (1) A diet which contains different type of food possessing the nutrients - carbohydrate , protein ,fats , vitamin , minerals and water - in a proportion to meet the daily requirement of the body. Define Micro and Macro nutrients. (1) Micro nutrient - These are vitamins , minerals . They are called micronutrient because they are required in small amounts which may vary from a fraction of a milligram to several grams . Macro nutrient - These are proteins, fats and carbohydrate which are often called “ proximate principle “ because they form the main bulk of food.

ChatGPT said:

Q1. Define balanced diet. (1)
Answer:
A balanced diet is a diet that contains different types of foods providing all the essential nutrients—carbohydrates, proteins, fats, vitamins, minerals, and water—in the right proportions to meet the daily requirements of the body.


Q2. Define micro and macro nutrients. (1)
Answer:

  • Micronutrients: Vitamins and minerals required in small amounts, ranging from a fraction of a milligram to several grams, essential for growth, development, and metabolism.

  • Macronutrients: Proteins, fats, and carbohydrates, also called proximate principles, which form the main bulk of food and provide energy and structural components for the body.

You said:

Mention the composition of adult IFA tablets. Iron (100mg) Folic acid (500mcg) Which trimester is recommended for Iron supplementation in a pregnant women? (1) 2nd trimester

ChatGPT said:

Q1. Mention the composition of adult IFA (Iron-Folic Acid) tablets. (1)
Answer:

  • Iron: 100 mg

  • Folic acid: 500 µg


Q2. Which trimester is recommended for iron supplementation in a pregnant woman? (1)
Answer:

  • 2nd trimester

You said:

Define protein energy malnutrition. (1) Protein-Energy Malnutrition (PEM) is a spectrum of conditions caused by insufficient intake or absorption of protein and/or calories, leading to deficits that impair growth, development, and bodily functions, manifesting as wasting (marasmus) or swelling (kwashiorkor), or a mix of both (marasmic kwashiorkor). List major types of protein-energy malnutrition. (1) Marasmus, kwashiorkor and marasmic kwashiorkor

ChatGPT said:

Q1. Define protein-energy malnutrition (PEM). (1)
Answer:
Protein-Energy Malnutrition (PEM) is a spectrum of conditions caused by insufficient intake or absorption of protein and/or calories, leading to deficits that impair growth, development, and bodily functions. It manifests as:

  • Wasting – Marasmus

  • Swelling (edema) – Kwashiorkor

  • Or a combination – Marasmic Kwashiorkor


Q2. List the major types of protein-energy malnutrition. (1)
Answer:

  • Marasmus

  • Kwashiorkor

  • Marasmic Kwashiorkor

You said:

Identify the spotter. (0.5) Kwashiorkor Define the given condition. (1.5) Kwashiorkor is a severe form of malnutrition caused by a drastic lack of protein, even if calorie intake is adequate, leading to symptoms like edema, muscle loss, fatigue, irritability, skin/hair changes, and a weakened immune system, primarily affecting young children in famine-stricken regions. add with re[resentative photo

ChatGPT said:

Here’s the question-answer format for your spotter with a representative image description:


Q1. Identify the spotter. (0.5)
Answer:

  • Kwashiorkor

Q2. Define the given condition. (1.5)
Answer:
Kwashiorkor is a severe form of protein-energy malnutrition caused by a drastic lack of protein, even when calorie intake may be adequate. It leads to:

  • Edema (swelling of the belly, limbs, and face)

  • Muscle wasting

  • Fatigue and irritability

  • Skin and hair changes (depigmentation, thin brittle hair)

  • Weakened immune system

It primarily affects young children in famine-stricken or low-protein diet regions.

Representative photo:
(Image description: A young child with a swollen belly, thin limbs, edema in legs, and patchy hair loss typical of kwashiorkor.)


If you want, I can generate an actual representative image of Kwashiorkor suitable for your spotter slide or worksheet. Do you want me to do that?

You said:

ok

ChatGPT said:

We’re so sorry, but the image we created may violate our guardrails around nudity, sexuality, or erotic content. If you think we got it wrong, please retry or edit your prompt.

You said:

retry

ChatGPT said:

We’re so sorry, but the prompt may violate our guardrails around nudity, sexuality, or erotic content. If you think we got it wrong, please retry or edit your prompt.

You said:

Write the name of the clinical condition. (0.5) Goitre Enlist 3 preventive measure for this condition. (1.5) Dietary & Nutrient Focus: Iodized salt- sea food, dairy products, sea weeds; selenium; zinc Avoid goitrogenic food in excess Lifestyle Habits: Exercise, Stress Management, Healthy Diet Iodine supplement program

ChatGPT said:

Q1. Write the name of the clinical condition. (0.5)
Answer:

  • Goitre


Q2. Enlist three preventive measures for this condition. (1.5)
Answer:

  1. Dietary & Nutrient Focus:

    • Use iodized salt

    • Consume iodine-rich foods like seafood, dairy products, and seaweed

    • Ensure adequate selenium and zinc intake

  2. Avoid goitrogenic foods in excess:

    • Foods like cabbage, cauliflower, and cassava can interfere with iodine uptake

  3. Lifestyle and Public Health Measures:

    • Maintain healthy diet, regular exercise, and stress management

    • Participate in iodine supplementation programs where available

You said:

Write the name of given condition. (0.5) Goiter Mention four major sources of required micronutrient for above case. (1.5) Seaweed Sea foods Dairy products and eggs Iodized salts

ChatGPT said:

Q1. Write the name of the given condition. (0.5)
Answer:

  • Goiter


Q2. Mention four major sources of the required micronutrient (iodine) for the above case. (1.5)
Answer:

  1. Seaweed

  2. Seafood

  3. Dairy products and eggs

  4. Iodized salt

You said:

Write name of clinical condition.(0.5) Xerophthalmia Write WHO Classification of Xerophthalmia. (1.5) 1.night blindness XN 2.conjunctival xerosis X1A 3. Bitot’s spot X1B 4.corneal xerosis X2 5.corneal ulceration (covering less than 1/3rd of cornea) X3A 6.corneal ulceration (covering more than 1/3rd of cornea) X3B 7.corneal scarring XS 8.xerophthalmia fundus XF

ChatGPT said:

Q1. Write the name of the clinical condition. (0.5)
Answer:

  • Xerophthalmia


Q2. Write WHO Classification of Xerophthalmia. (1.5)
Answer:

  1. Night blindness (XN)

  2. Conjunctival xerosis (X1A)

  3. Bitot’s spot (X1B)

  4. Corneal xerosis (X2)

  5. Corneal ulceration (<1/3 of cornea) (X3A)

  6. Corneal ulceration (>1/3 of cornea) (X3B)

  7. Corneal scarring (XS)

  8. Xerophthalmia fundus (XF)

You said:

Identify the instrument. (0.5) Weighing scale What is its use? (0.5) Calculate weight Calculate your own BMI. (1) BMI= Weight in Kg/ Height in M2

ChatGPT said:

Q1. Identify the instrument. (0.5)
Answer:

  • Weighing scale


Q2. What is its use? (0.5)
Answer:

  • To measure body weight


Q3. Calculate your own BMI. (1)
Answer:

  • Formula: BMI = Weight (kg) ÷ Height (m)²

  • Example: If weight = 60 kg and height = 1.65 m:

    BMI=601.652=602.7225≈22.0 kg/m²BMI=1.65260=2.72256022.0kg/m²

  • Interpretation (WHO classification):

    • <18.5 → Underweight

    • 18.5–24.9 → Normal

    • 25–29.9 → Overweight

    • ≥30 → Obese

You said:

Which toxin is associated with Lathyrism?(0.5) β-ODAP or BOAA (beta-N-oxalyl-L-alpha, beta -diaminopropionic acid) List three interventions for above condition.(1.5) reduce consumption of lathyrus sativus high protein diet Physiotherapy

ChatGPT said:

Q1. Which toxin is associated with Lathyrism? (0.5)
Answer:

  • β-ODAP (BOAA) – beta-N-oxalyl-L-alpha, beta-diaminopropionic acid


Q2. List three interventions for the above condition. (1.5)
Answer:

  1. Reduce consumption of Lathyrus sativus (grass pea)

  2. High-protein diet to support recovery

  3. Physiotherapy to manage and improve muscle function

You said:

Write the name of given condition.(0.5) Marasmus List all seven methods of nutritional status assessment.(1.5) Anthropometry Biochemical investigations Clinical examination Assessment of dietary intake Ecological studies Functional assessment & Vital and health statics

ChatGPT said:

Q1. Write the name of the given condition. (0.5)
Answer:

  • Marasmus


Q2. List all seven methods of nutritional status assessment. (1.5)
Answer:

  1. Anthropometry – measurement of body size, weight, and proportions

  2. Biochemical investigations – lab tests for nutrient levels in blood, urine, or tissues

  3. Clinical examination – physical signs of nutrient deficiencies or excesses

  4. Assessment of dietary intake – 24-hour recall, food frequency questionnaires, or food surveys

  5. Ecological studies – population-level assessment using food supply or consumption data

  6. Functional assessment – tests of physical or cognitive performance related to nutrition

  7. Vital and health statistics – using morbidity, mortality, and growth trends to assess nutritional status

You said:

Mention the name of method used in this picture and its interpretation. (1) Mid upper arm circumference Green (≥12.5 cm) means well-nourished, Yellow (11.5–12.5 cm) indicates moderate malnutrition needing support, and Red (<11.5 cm) signals severe acute malnutrition requiring urgent treatment Enlist other four anthropometric measurements of nutritional status for a child. (1) Height, Weight, BMI, MUAC, Head & chest circumference

ChatGPT said:

Q1. Mention the name of the method used in this picture and its interpretation. (1)
Answer:

  • Method: Mid-Upper Arm Circumference (MUAC)

  • Interpretation:

    • Green (≥12.5 cm): Well-nourished

    • Yellow (11.5–12.5 cm): Moderate malnutrition (needs support)

    • Red (<11.5 cm): Severe acute malnutrition (requires urgent treatment)


Q2. Enlist other four anthropometric measurements of nutritional status for a child. (1)
Answer:

  1. Height / Length

  2. Weight

  3. Body Mass Index (BMI)

  4. Head and Chest Circumference

You said:

Identify the measuring tape in the given picture. (0.5) Sakir tape Write the value for green, yellow and red color in the tape. (1.5) Green- >=12.5cm(normal) Yellow - 11.5-12.5 cm(moderate acute malnutrition) Red -<11.5cm( severe acute malnutrition)

ChatGPT said:

Q1. Identify the measuring tape in the given picture. (0.5)
Answer:

  • Sakir tape


Q2. Write the value for green, yellow, and red color in the tape. (1.5)
Answer:

  • Green: ≥ 12.5 cm → Normal / Well-nourished

  • Yellow: 11.5–12.5 cm → Moderate acute malnutrition (needs support)

  • Red: < 11.5 cm → Severe acute malnutrition (requires urgent treatment)

You said:

Enlist four major sources of iron. (1) animal products like red meat, poultry, and seafood (heme iron, easily absorbed) and plant-based foods such as legumes (beans, lentils), dark leafy greens (spinach, kale), nuts, seeds, dried fruits, and fortified cereals Mention four common causes of iron deficiency anemia in Nepal. (1) Inadequate intake of Iron rich food, Hookworm infestation, Pregnancy, Chronic blood loss

ChatGPT said:

Q1. Enlist four major sources of iron. (1)
Answer:

  1. Red meat, poultry, and seafood (heme iron – easily absorbed)

  2. Legumes (beans, lentils)

  3. Dark leafy greens (spinach, kale)

  4. Nuts, seeds, dried fruits, and fortified cereals


Q2. Mention four common causes of iron deficiency anemia in Nepal. (1)
Answer:

  1. Inadequate intake of iron-rich foods

  2. Hookworm infestation

  3. Pregnancy (increased iron requirement)

  4. Chronic blood loss

You said:

What are the common causes of Iron Deficiency Anemia in Nepal? (1) Inadequate intake of Iron rich food, Hookworm infestation, Pregnancy, Chronic blood loss Write down the prevalent nutritional deficiency disorders in Nepal. (1) Protein energy malnutrition Night blindness Iron deficiency anemia Iodine deficiency (goiter)

ChatGPT said:

Q1. What are the common causes of Iron Deficiency Anemia in Nepal? (1)
Answer:

  • Inadequate intake of iron-rich foods

  • Hookworm infestation

  • Pregnancy (increased iron requirement)

  • Chronic blood loss


Q2. Write down the prevalent nutritional deficiency disorders in Nepal. (1)
Answer:

  • Protein-Energy Malnutrition (PEM)

  • Night blindness (Vitamin A deficiency)

  • Iron deficiency anemia

  • Iodine deficiency (Goiter)

You said:

Enlist four sources of vitamin A. (1) Plant sources - green leafy vegetables , carrots & animal sources - meat , fish. What is Preformed Vitamin A and Provitamin A? (1) Preformed vitamin A are retinol and retinoic acid,found in foods from animal sources, including dairy products, fish, and meat (especially liver). A provitamin A is beta carotene, it is a substance that may be converted within the body to a vitamin. It is found in plant sources such as carrots and green vegetables.

ChatGPT said:

Q1. Enlist four sources of vitamin A. (1)
Answer:

  • Plant sources: Green leafy vegetables, carrots

  • Animal sources: Meat, fish


Q2. What is Preformed Vitamin A and Provitamin A? (1)
Answer:

  • Preformed Vitamin A: Retinol and retinoic acid found in animal foods such as dairy products, fish, and meat (especially liver).

  • Provitamin A: Beta-carotene, a substance from plant sources (like carrots and green vegetables) that can be converted by the body into vitamin A.

You said:

Enlist any two bony deformities which characterizes this disease. (0.5) Bowing of leg Rachitic rosary Mention two nutritional forms of the vitamin, the deficiency of which causes the disease. (0.5) Vitamin D2 (ergocalciferol) Vitamin D3 (cholecalciferol Enumerate two preventive measures of it. (1) Sunlight exposure Vitamin D supplements Dietary calcium and vitamin D

ChatGPT said:

Q1. Enlist any two bony deformities which characterize this disease (Rickets). (0.5)
Answer:

  • Bowing of legs

  • Rachitic rosary


Q2. Mention two nutritional forms of the vitamin, the deficiency of which causes the disease. (0.5)
Answer:

  • Vitamin D₂ (ergocalciferol)

  • Vitamin D₃ (cholecalciferol)


Q3. Enumerate two preventive measures of it. (1)
Answer:

  1. Sunlight exposure (to stimulate vitamin D synthesis)

  2. Vitamin D supplements and dietary calcium

You said:

Identify the picture ,comment on its cause. (1) Rashes due to zinc deficiency Mention the daily requirement of this elements in adult men/ women and children/infant. (1) Recommended daily intake 12 mg/day for men & 10 mg per day for women 10 mg/day for children & 5 mg/day for infants

ChatGPT said:

Q1. Identify the picture and comment on its cause. (1)
Answer:

  • Condition: Rashes due to zinc deficiency

  • Cause: Insufficient intake or absorption of zinc, leading to skin lesions, delayed wound healing, growth retardation, and impaired immune function.


Q2. Mention the daily requirement of this element in adults, children, and infants. (1)
Answer:

  • Adult men: 12 mg/day

  • Adult women: 10 mg/day

  • Children: 10 mg/day

  • Infants: 5 mg/day

You said:

Weight of a woman is 60 kg and height is 165cm. Calculate her BMI. (1) The formula is BMI = weight in Kg/height in M2, where Kg is a person’s weight in kilograms and M2 is their height in metres square. Categorise BMI as per WHO. (1) Normal:18.5-24.9 Kg/M2 Underweight: < 18.5 Kg/M2 Overweight: 25-29.9 Kg/M2 Obese: >30 Kg/M2

ChatGPT said:

Q1. Calculate BMI of a woman with weight 60 kg and height 165 cm. (1)

Given:

  • Weight = 60 kg

  • Height = 165 cm = 1.65 m

Formula:

BMI=Weight (kg)Height (m)2BMI=Height (m)2Weight (kg)BMI=601.652=602.7225≈22.0 kg/m²BMI=1.65260=2.72256022.0kg/m²


Q2. Categorise BMI as per WHO. (1)

  • BMI = 22.0 kg/m²Normal (18.5–24.9 kg/m²)

WHO BMI Classification:

  • Underweight: < 18.5 kg/m²

  • Normal: 18.5–24.9 kg/m²

  • Overweight: 25–29.9 kg/m²

  • Obese: ≥ 30 kg/m²

You said:

Write two milk borne bacterial diseases. (1) Infectious diarrhoea due to E. coli Food poisoning due to Staph. aureus Write the full form of SNF. (0.5) Solid-Not-Fat Enlist two common methods of pasteurization of milk. (0.5) Low temperature long time method (630C for 30 mins) High temperature short time method (720C for 15 mins) Ultra high temperature method (135-1500C for 1-4 secs)

ChatGPT said:

Q1. Write two milk-borne bacterial diseases. (1)
Answer:

  1. Infectious diarrhoea – caused by E. coli

  2. Food poisoning – caused by Staphylococcus aureus


Q2. Write the full form of SNF. (0.5)
Answer:

  • SNF: Solid-Not-Fat


Q3. Enlist two common methods of pasteurization of milk. (0.5)
Answer:

  1. Low Temperature Long Time (LTLT) method: 63°C for 30 minutes

  2. High Temperature Short Time (HTST) method: 72°C for 15 seconds

  3. (Optional/Additional) Ultra High Temperature (UHT) method: 135–150°C for 1–4 seconds

You said:

How many servings of fruits and vegetables per day is required for an adult? (0.5) 5 servings (2 fruits & 3 vegetables)/ day What are the nutrients rich in green vegetables? (1) Vitamins (A,B9,C,K), Minerals (iron, calcium, magnesium, potassium), Dietary fibers & Antioxidants What are the nutrients lack in green vegetables? (0.5) Macronutrients (energy, protein, fats), Vitamins (B12,D), Minerals (zinc)

ChatGPT said:

Q1. How many servings of fruits and vegetables per day are required for an adult? (0.5)
Answer:

  • 5 servings/day (2 fruits + 3 vegetables)


Q2. What are the nutrients rich in green vegetables? (1)
Answer:

  • Vitamins: A, B9 (folate), C, K

  • Minerals: Iron, Calcium, Magnesium, Potassium

  • Others: Dietary fiber and antioxidants


Q3. What are the nutrients lacking in green vegetables? (0.5)
Answer:

  • Macronutrients: Energy, Protein, Fats

  • Vitamins: B12, D

  • Minerals: Zinc

Semester 1

Module 5: Environment Health-I

Spotter 1

An Introduction To Slow Sand Filtration

Q1. Write the name of this diagram. (0.5)
Answer:

  • Slow Sand Filter


Q2. Write two advantages and one disadvantage of the above method. (1.5)

Advantages:

  1. Simple to construct and operate

  2. Cheaper construction cost

  3. Produces high-quality water (physical, biological, and bacteriological)

Disadvantage:

  • Requires a large area to set up; considered an old-fashioned/outdated method

Spotter 2

Slow Sand Filter (Biological Filter) | PSM Made Easy

Q1. Enlist 4 points to differentiate Slow Sand Filter (SSF) and Rapid Sand Filter (RSF). (1.5)

Feature

Slow Sand Filter (SSF)

Rapid Sand Filter (RSF)

Filtration rate

Low (~0.1–0.3 m/h)

High (~5–15 m/h)

Mechanism

Physical, biological & bacteriological purification

Mainly physical filtration; chemical coagulants often needed

Maintenance

Requires scraping of top layer occasionally

Frequent backwashing needed

Area required

Large area required

Smaller area required

Cost

Cheaper to construct

Relatively higher cost


Q2. What is the heart of slow sand filter? (0.5)
Answer:

  • Sand bed – vital layer responsible for biological and physical purification

Spotter 3

Q1. Enlist the methods of small-scale water purification. (1)
Answer:

  1. Boiling

  2. Chlorination (chlorine tablets)

  3. Chemical disinfection (iodine tablets)

  4. Filtration

  5. Ultraviolet (UV) irradiation

  6. Multi-stage reverse osmosis purification


Q2. Enlist the methods of large-scale water purification. (1)
Answer:

  1. Sedimentation / Coagulation-Flocculation

  2. Filtration – slow sand filter or rapid sand filter

  3. Disinfection – chlorination, ozonation, or UV treatment

  4. Softening (if required)

  5. Fluoridation (optional)

Spotter 4

Q1. Identify the specimen. (0.5)
Answer:

  • Chlorination


Q2. Write the phases of chlorination. (1)
Answer:

  1. Adding chlorine to water – initial addition of chlorine

  2. Break point chlorination – point at which chlorine demand is satisfied and free chlorine begins to appear

  3. Superchlorination – addition of chlorine beyond the breakpoint to ensure disinfection

  4. Orthotolidine test – used to detect residual chlorine in water


Q3. How is chlorine demand estimated? (0.5)
Answer:

  • Chlorine demand is the difference between the amount of chlorine added to water and the residual chlorine remaining at the end of a specified contact period, under a given temperature and pH.

Spotter 5

Q1. Identify the specimen. (0.5)
Answer:

  • Chlorination


Q2. How many grams of bleaching powder is required to disinfect 1500 liters of water, where the 4th cup is the 1st cup to show color change? (1.5)
Answer:

  • 2 grams of bleaching powder are required.

Explanation:

  • The orthotolidine test determines the first cup to show color change, which indicates the amount of chlorine needed to satisfy chlorine demand and achieve safe disinfection.

  • Based on the test, for 1500 liters of water, 2 g of bleaching powder is sufficient.

Spotter 6

Q1. Identify the figure. (0.5)
Answer:

  • Modern Sewage Treatment Plant


Q2. Write the components of primary treatment of sewage. (1)
Answer:

  1. Screening – removal of large debris

  2. Grit chamber – settling of sand and grit

  3. Primary sedimentation – settling of suspended solids

  4. Skimming / Scum removal – removal of floating materials


Q3. What is dry weather flow? (0.5)
Answer:

  • Dry weather flow is the flow of sewage in sewers during dry weather conditions (i.e., without rain or stormwater).

Spotter 7

1 Activated Sludge Process (Flow diagram) | Download Scientific Diagram

Q1. Identify the figure. (0.5)
Answer:

  • Activated Sludge Process


Q2. Write the components of primary and secondary treatment of sewage. (1)

Primary Treatment:

  1. Screening

  2. Grit chamber

  3. Primary sedimentation

  4. Skimming / Scum removal

Secondary Treatment:

  1. Activated sludge process

  2. Biofilters / Trickling filters

  3. Rotating biological contactors

  4. Secondary clarifiers


Q3. What is zoogleal layer? (0.5)
Answer:

  • Zoogleal layer is a biological slime layer of microorganisms that develops on the surface of a slow sand filter during water purification. It is also called Schmutzdecke and is crucial for biological purification.

Spotter 8

#Instrument 1

Q1. Name of the instrument: (0.5)

  • Stevenson Screen / Thermometer Screen

Q2. Uses: (1.5)

  • Acts as a storehouse for thermometers, hygrometers, and barometers

  • White color reflects heat; slatted sides and double roof ensure air circulation and reduce solar heat absorption

  • Provides a standard environment for accurate measurement of temperature, humidity, dew point, and atmospheric pressure


#Instrument 2

Q1. Name of the instrument: (0.5)

  • Kata Thermometer

Q2. Uses: (1.5)

  • Ventilation & HVAC: assess air circulation

  • Industrial Safety (Mining): evaluate airflow in mines

  • Meteorology: measure low wind speeds and air currents, complementing anemometers

  • Occupational Health: gauge thermal comfort and heat stress in workplaces

  • Radiant Heat: estimate radiant heat effects


#Instrument 3

Q1. Name of the instrument: (0.5)

  • Globe Thermometer

Q2. Uses: (1.5)

  • Heat Stress Assessment: indicates heat risk in outdoor work, sports, and military operations

  • Thermal Comfort: measures combined effect of radiation and convection on people

  • Building Design: evaluates solar heat gain and loss

  • Environmental Monitoring: measures Mean Radiant Temperature (MRT) to understand thermal environments, from urban heat islands to industrial settings


#Instrument 4

Q1. Name of the instrument: (0.5)

  • Anemometer

Q2. Uses: (1.5)

  • Meteorology & Climatology: used in weather stations for predicting storms, understanding climate patterns, and tracking atmospheric conditions

  • Aviation: pilots use it for safe takeoffs, landings, and flight planning

  • Renewable Energy: measures wind resources to optimize wind turbine placement and operation

  • Aerospace: used in wind tunnels to test vehicle aerodynamics (cars, planes, spacecraft) for better design

Spotter 9

Q1. Which type of ventilation is shown in the picture? (0.5)
Answer:

  • Mechanical Ventilation


Q2. List types of ventilation. (1)
Answer:

  1. Natural ventilation

  2. Mechanical ventilation

  3. Mixed / Hybrid ventilation


Q3. Mention any two effects of inadequate ventilation. (0.5)
Answer:

  1. Accumulation of airborne pathogens

  2. Accumulation of carbon dioxide (CO₂)

Spotter 10

Q1. Mention at least two daylight factors in these areas: (1)

  • Living Room:

    1. Adequate daylight factor for general activities

    2. Proper distribution of sunlight to avoid glare

  • Kitchen:

    1. Sufficient direct sunlight for cooking and cleaning tasks

    2. Even illumination to reduce shadows on work surfaces


Q2. Mention the biological effects of daylight. (1)
Answer:

  1. Vitamin D synthesis in the skin

  2. Reduces eye strain

  3. Boosts mood and reduces stress

  4. Helps in natural disinfection of living spaces

Spotter 11

Q1. Write the name of the given spotter. (0.5)
Answer:

  • Siphon Flush Toilet


Q2. Mention the importance of this item. (1.5)
Answer:

  1. Efficient removal of waste with minimal water usage

  2. Maintains hygiene and odor-free environment due to water seal

  3. Simple and reliable for household use

Spotter 12

Q1. Write the name of the given instrument. (0.5)
Answer:

  • Incinerator


Q2. What is the ideal temperature for processing by this method? (0.5)
Answer:

  • 800–1200 °C


Q3. Enlist 2 drawbacks of this method. (1)
Answer:

  1. Requires high energy/fuel

  2. Produces air pollutants if not properly controlled

  3. Costly equipment and maintenance

Spotter 13

Q1. Write the name of the given instrument. (0.5)
Answer:

  • Incinerator


Q2. What is the ideal temperature for processing by this method? (0.5)
Answer:

  • 800–1200 °C


Q3. Enlist 2 uses of it. (1)
Answer:

  1. Medical waste disposal – used bandages, syringes, anatomical waste

  2. Municipal solid waste management

  3. Hazardous or chemical waste disposal

Spotter 14

Q1. List 3R’s of Health Care Waste Management. (0.5)
Answer:

  • Reduce, Reuse, Recycle


Q2. What is the amount of estimated health care waste generated in Nepal (kg/person/day)? (0.5)
Answer:

  • 1 to 1.7 kg/bed/day


Q3. Mention latest and best technique of waste management for new hospital settings. (1)
Answer:

  • Autoclaving

https://global.noharm.org/news/working-hospitals-sustainable-health-care-waste-management-kathmandu?utm_source=chatgpt.com

Spotter 15

Q1. Enlist the type of waste that is stored in this bin/bag as per latest guidelines for segregation of bio-medical waste. (1)
Answer:

  1. Infected waste: contaminated dressings, bandages, swabs

  2. Pathological and anatomical waste: body parts, tissues, organs


Q2. What is the full form of 3R’s in healthcare waste management? (1)
Answer:

  • Reduce, Reuse, Recycle

##########Q1. Colour of the bin for the above types of biomedical waste:

  • Infected waste & pathological/anatomical waste: Red bin / Red bag

Note:

  • Red bin/bag is used for contaminated, infectious, and sharable non-sharp waste that requires autoclaving, microwaving, or chemical disinfection before final disposal.

  • Yellow bin/bag is generally for anatomical/pathological waste for incineration in some updated guidelines, so always check local regulations.

####################################

Bin/Bag Colour

Type of Waste Stored

Examples

Green

Non‑risk waste (biodegradable)

Food leftovers, garden waste, fruit peels, flowers, etc. (WASH in Health Care Facilities)

Blue / Dark Blue

Non‑risk waste (non‑biodegradable / recyclable)

Plastic bottles, metals, glass, papers, etc. (WASH in Health Care Facilities)

Red

Risk/ infectious and pathological waste

Contaminated dressings/bandages, soiled materials, body parts, organs, sharps after disinfection (context varies) (WASH in Health Care Facilities)

White (Translucent)

Sharps waste (puncture‑proof)

Needles, scalpels, broken glass, blades, etc. (WASH in Health Care Facilities)

Spotter 16

Q1. How many colours of bin are available for waste disposal? (1)
Answer:

  • 4


Q2. Enlist the type of waste that goes in this bin. (1)
Answer:

  1. Infected waste: contaminated dressings, bandages

  2. Pathological and anatomical waste: body parts, tissues, organs

Spotter 17

Q1. Which type of waste is shown in this picture? (0.5)
Answer:

  • Infected / Contaminated waste (e.g., blood‑soaked gauze)


Q2. In which bin will you throw it? (0.5)
Answer:

  • Red bin / Red bag


Q3. Write treatment of this type of waste. (1)
Answer:

  • Disinfection methods: Autoclaving, microwaving, or chemical disinfection

  • Final disposal: After treatment, can be sent for incineration or secure landfill according to biomedical waste management guidelines

Spotter 18

Q1. Mention methods for management of Health Care Waste according to guidelines of Nepal 2071. (1)
Answer:

  1. Waste minimization – reduce the amount of waste generated

  2. Waste segregation – separate waste at the point of generation by type and hazard

  3. Waste collection and storage – use appropriate bins and store safely

  4. Waste transportation – move waste safely to treatment or disposal areas

  5. Waste treatment and disposal – disinfect, recycle, or safely dispose according to type


Q2. Enlist the type of waste that goes in red bin. (1)
Answer:

  • Contaminated but sharpless recyclable wastes: IV tubes & sets, catheters, gloves, syringes, contaminated plastics

Note:

  • Red bin is primarily for infectious or pathological waste requiring disinfection before final disposal.

Spotter 19

Q1. Identify this picture. (0.5)
Answer:

  • Incinerator


Q2. Mention the type of wastes that are treated by this instrument. (1.5)
Answer:

  • Human anatomical waste

  • Animal waste

  • Soiled waste

  • Expired/discarded medicines

  • Sharps


Q3. Write treatment method of infected waste. (0.5)
Answer:

  • Autoclaving, incineration, chemical disinfection, or burial

Spotter 20

Q1. Identify this picture. (0.5)
Answer:

  • Inertization


Q2. Which type of waste is treated by this instrument? (1)
Answer:

  1. Chemical wastes: acids, alkalis, and toxic chemicals

  2. Pharmaceutical waste: hazardous but non-infectious

  3. Radioactive or heavy metals

  4. Sharps after disinfection


Q3. Comment on the mixing of this type of waste with others before treatment. (1)
Answer:

  • Typical inertization mixture:

    • 65% pharmaceutical waste

    • 15% lime

    • 15% cement

    • 5% water

  • This mixture stabilizes and neutralizes the waste before safe disposal

MODULE:6

BIOSTATISTICS - I

Spotter 1

Construct pie chart from the following data. (2) Male=40 Female=50 Transgender=10

Given data:

  • Male = 40

  • Female = 50

  • Transgender = 10

Step 1: Find total population

Total=40+50+10=100\text{Total} = 40 + 50 + 10 = 100Total=40+50+10=100


Step 2: Calculate percentage for each category

  • Male: 40100×100=40%\frac{40}{100} \times 100 = 40\%10040​×100=40%

  • Female: 50100×100=50%\frac{50}{100} \times 100 = 50\%10050​×100=50%

  • Transgender: 10100×100=10%\frac{10}{100} \times 100 = 10\%10010​×100=10%


Step 3: Convert percentage to degrees for pie chart

Angle=Percentage×360/100\text{Angle} = \text{Percentage} \times 360 / 100Angle=Percentage×360/100

  • Male: 40×360/100=144∘40 \times 360 / 100 = 144^\circ40×360/100=144∘

  • Female: 50×360/100=180∘50 \times 360 / 100 = 180^\circ50×360/100=180∘

  • Transgender: 10×360/100=36∘10 \times 360 / 100 = 36^\circ10×360/100=36∘


Step 4: Draw the pie chart

  • Draw a circle.

  • Use a protractor to mark the angles from the center:

    • Male: 144°

    • Female: 180°

    • Transgender: 36°

  • Shade each section differently and label them.

Spotter 2

Q1. Write down the formula to calculate Mean and Standard Deviation. (1)

  • Mean (𝑥̄):

xˉ=∑xin\bar{x} = \frac{\sum x_i}{n} xˉ=n∑xi​​

Where xix_ixi​ = each observation, nnn = number of observations

  • Standard Deviation (SD, s):

s=∑(xi−xˉ)2n−1s = \sqrt{\frac{\sum (x_i - \bar{x})^2}{n-1}} s=n−1∑(xi​−xˉ)2​​

Where xix_ixi​ = each observation, xˉ\bar{x}xˉ = mean, nnn = number of observations


Q2. Calculate Mean from the given values (1):
Values: 10, 16, 14, 22, 19

Step 1: Sum of values

10+16+14+22+19=8110 + 16 + 14 + 22 + 19 = 8110+16+14+22+19=81

Step 2: Number of observations

n=5n = 5n=5

Step 3: Mean

xˉ=815=16.2\bar{x} = \frac{81}{5} = 16.2xˉ=581​=16.2

Answer:

  • Mean = 16.2

Spotter 3

Q1. Identify the spotter. (0.5)
Answer:

  • Normal distribution curve


Q2. Mention the formulae to calculate mean, median, and standard deviation. (1.5)

  • Mean (𝑥̄):

xˉ=∑xin\bar{x} = \frac{\sum x_i}{n} xˉ=n∑xi​​

Where xix_ixi​ = each observation, nnn = number of observations

  • Median (for odd n):

Median=Middle value when data is arranged in ascending order\text{Median} = \text{Middle value when data is arranged in ascending order} Median=Middle value when data is arranged in ascending order

  • Median (for even n):

Median=Middle value 1 + Middle value 22\text{Median} = \frac{\text{Middle value 1 + Middle value 2}}{2} Median=2Middle value 1 + Middle value 2​

  • Standard Deviation (SD, s):

s=∑(xi−xˉ)2n−1s = \sqrt{\frac{\sum (x_i - \bar{x})^2}{n-1}} s=n−1∑(xi​−xˉ)2​​

Where xix_ixi​ = each observation, xˉ\bar{x}xˉ = mean, nnn = number of observations

Spotter 4

Q1. Write the name of the given diagram. (1)
Answer:

  • Pie Chart


Q2. Mention its application. (1)
Answer:

  • Representation of categorical data as proportions or percentages of a whole

  • Useful for visualizing distribution of variables such as gender, age groups, occupation, or any other part-to-whole relationship

  • Commonly used in epidemiology, public health, surveys, and statistics to present data clearly and quickly

Spotter 5

Q1. Write the name of the given diagram. (1)
Answer:

  • Histogram


Q2. Mention its application. (1)
Answer:

  • Representation of continuous data using frequency distribution

  • Useful to visualize the shape of data, such as normal distribution, skewness, or variability

  • Commonly used in epidemiology, statistics, and research to show how often values occur within intervals