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Objective Questions

Latest NHM Bihar CHO Exam Question (Objective Questions), MCQ in English

Subjects : Child Health, Adolescent Health, Maternal Health, Family Planning, Communicable & Non – Communicable Diseases

Question Bank NHM Bihar CHO Exam - English
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Child Health

Question 1Single Answer
By what age does a child usually triple its birth weight?
  1. A
    6 months
  2. B
    9 months
  3. C
    1 year
  4. D
    2 years
Question 2Single Answer
What is the normal head circumference of a newborn?
  1. A
    30–33 cm
  2. B
    33–35 cm
  3. C
    36–38 cm
  4. D
    25–28 cm
Question 3Single Answer
Fontanelle closure usually completes by the age of:
  1. A
    6 months
  2. B
    12 months
  3. C
    18 months
  4. D
    24 months
Question 4Single Answer
At what age does a child usually start to walk without support?
  1. A
    6 months
  2. B
    9 months
  3. C
    12–15 months
  4. D
    18 months
Question 5Single Answer
The first tooth eruption typically occurs at:
  1. A
    4–6 months
  2. B
    6–8 months
  3. C
    10–12 months
  4. D
    1 year
Question 6Single Answer
The head circumference and chest circumference become equal at:
  1. A
    Birth
  2. B
    6 months
  3. C
    1 year
  4. D
    2 years
Question 7Single Answer
The average height of a 1-year-old child is approximately:
  1. A
    50 cm
  2. B
    60 cm
  3. C
    75 cm
  4. D
    90 cm
Question 8Single Answer
The first social smile appears by the age of:
  1. A
    1 week
  2. B
    1 month
  3. C
    2 months
  4. D
    6 months
Question 9Single Answer
A 6-month-old baby should be able to:
  1. A
    Sit with support
  2. B
    Crawl
  3. C
    Walk
  4. D
    Speak 2–3 words
Question 10Single Answer
A child is expected to double its birth weight by:
  1. A
    1 month
  2. B
    3 months
  3. C
    5 months
  4. D
    8 months

Adolescent Health

Question 11Single Answer
What is an early warning sign of postpartum psychosis in adolescents?
  1. A
    Feeling overwhelmed
  2. B
    Difficulty concentrating
  3. C
    Occasional mood swings
  4. D
    Changes in sleep patterns
Question 12Single Answer
Which of the following is NOT a common perinatal mental health condition that can impact adolescent mothers?
  1. A
    Depression
  2. B
    Anxiety
  3. C
    Obsessive-Compulsive Disorder (OCD)
  4. D
    Postpartum Psychosis
Question 13Single Answer
Which of the following factors can contribute to perinatal mental health issues in adolescents?
  1. A
    Lack of social support
  2. B
    Financial difficulties
  3. C
    Limited access to healthcare
  4. D
    All of the above
Question 14Single Answer
Early identification and intervention for perinatal mental health issues in adolescents can:
  1. A
    Improve maternal well-being
  2. B
    Enhance infant development
  3. C
    Reduce risk of postpartum depression
  4. D
    All of the above
Question 15Single Answer
What is a common symptom of perinatal anxiety in adolescents?
  1. A
    Excessive worrying
  2. B
    Difficulty sleeping
  3. C
    Changes in appetite
  4. D
    All of the above
Question 16Single Answer
A 16-year-old pregnant girl expresses fear of giving birth. This is most likely indicative of:
  1. A
    Postpartum depression
  2. B
    Perinatal anxiety
  3. C
    Postpartum psychosis (incorrect timing)
  4. D
    None of the above
Question 17Single Answer
Fathers of adolescent mothers can play a significant role in:
  1. A
    Reducing stress
  2. B
    Providing emotional support
  3. C
    Encouraging healthy coping mechanisms
  4. D
    All of the above
Question 18Single Answer
Perinatal mental health concerns in adolescents can be effectively treated with:
  1. A
    Medication alone
  2. B
    Therapy alone
  3. C
    A combination of medication and therapy
  4. D
    There is no effective treatment.
Question 19Single Answer
Adolescent mothers with perinatal depression are more likely to:
  1. A
    Engage in healthy prenatal care
  2. B
    Experience bonding difficulties with their baby
  3. C
    Have a higher self-esteem
  4. D
    Report greater satisfaction with motherhood
Question 20Single Answer
School-based programs can be beneficial for adolescents by:
  1. A
    Providing education on perinatal mental health
  2. B
    Offering peer support groups
  3. C
    Connecting students with mental health resources
  4. D
    All of the above

Maternal Health

Question 21Single Answer
The recommended age for a woman to begin regular mammograms for breast cancer screening is:
  1. A
     20 years old
  2. B
    30 years old
  3. C
    40 years old
  4. D
    50 years old
Question 22Single Answer
A Pap smear is a test used to screen for:
  1. A
    Breast cancer
  2. B
     Cervical cancer
  3. C
    Ovarian cancer
  4. D
    Uterine cancer
Question 23Single Answer
The recommended age for a woman to begin regular Pap smear tests is:
  1. A
    18 years old
  2. B
    21 years old 
  3. C
     25 years old
  4. D
     30 years old
Question 24Single Answer
A woman who has never been sexually active:
  1. A
    Does not need cervical cancer screening.
  2. B
    Needs annual Pap smears regardless of age.
  3. C
    Should start Pap smears after the age of 30.
  4. D
    Needs a Pap smear every other year.
Question 25Single Answer
Which of the following is a symptom of cervical cancer?
  1. A
    No symptoms in early stages
  2. B
    Unusual vaginal bleeding
  3. C
    Persistent pain in the lower abdomen
  4. D
     Difficulty breathing
Question 26Single Answer
Early detection of breast cancer is important because:
  1. A
    Treatment options are more limited.
  2. B
    Treatment is more effective and has a higher cure rate.
  3. C
    There are no effective treatments for early-stage breast cancer.
  4. D
     Breast cancer is always fatal.
Question 27Single Answer
During a Pap smear, a healthcare provider collects a sample of cells from the:
  1. A
     Ovaries
  2. B
    Uterus
  3. C
     Vagina
  4. D
    Fallopian tubes
Question 28Single Answer
A woman with a family history of cervical cancer should discuss screening options with her doctor:
  1. A
     Never
  2. B
    Always
  3. C
    Only if she has symptoms
  4. D
    After the age of 40
Question 29Single Answer
Clinical breast exams are performed by a healthcare professional to check for:
  1. A
     Changes in breast size or shape
  2. B
     Lumps or masses
  3. C
    Skin dimpling or nipple retraction
  4. D
     All of the above
Question 30Single Answer
There are different types of mammograms available. Which type is typically used for women with dense breasts?
  1. A
    Digital mammogram 
  2. B
    Ultrasound
  3. C
     MRI
  4. D
    All of the above

Family Planning

Question 31Single Answer
Which of the following is a natural method of family planning ?
  1. A
    Barrier methods
  2. B
    Hormonal methods
  3. C
    Surgical methods
  4. D
    Abstinence
Question 32Single Answer
Which of the following is a long - acting reversible contraceptive method ?
  1. A
    Intrauterine device (IUD)
  2. B
    Combined oral contraceptive pill (COCP)
  3. C
    Condom
  4. D
    Diaphragm
Question 33Single Answer
Which of the following is a permanent method of family planning ?
  1. A
    Tubal ligation
  2. B
    Vasectomy
  3. C
    Both (a) & (b)
  4. D
    Combined oral contraceptive pill (COCP)
Question 34Single Answer
Which of the following is a side effect of combined oral contraceptive pill (COCP) ?
  1. A
    Nausea and vomiting
  2. B
    Breast tenderness
  3. C
    Irregular bleeding
  4. D
    All of the above
Question 35Single Answer
Which of the following is a risk factor for deep vein thrombosis (DVT) in women taking combined oral contraceptive pill (COCP) ?
  1. A
    Age over 35 years
  2. B
    Smoking
  3. C
    Obesity
  4. D
    All of the above
Question 36Single Answer
Which of the following is a side effect of progestin - only pills (POP) ?
  1. A
    Weight gain
  2. B
    Acne
  3. C
    Irregular bleeding
  4. D
    All of the above
Question 37Single Answer
Which of the following is a side effect of injectable contraceptives ?
  1. A
    Amenorrhea
  2. B
    Weight gain
  3. C
    Mood changes
  4. D
    All of the above
Question 38Single Answer
Which of the following is a side effect of intrauterine device (IUD) ?
  1. A
    Heavy menstrual bleeding
  2. B
    Spotting or bleeding between periods
  3. C
    Pelvic cramps
  4. D
    All of the above
Question 39Single Answer
Which of the following is a side effect of male condoms ?
  1. A
    Allergic reaction to latex
  2. B
    Decreased sensitivity
  3. C
    Breakage
  4. D
    All of the above
Question 40Single Answer
Which of the following is a side effect of female condoms ?
  1. A
    Insertion difficulty
  2. B
    Discomfort during intercourse
  3. C
    Breakage
  4. D
    All of the above

Communicable & Non – Communicable Diseases

Question 41Single Answer
Chronic kidney disease (CKD) is classified as a:
  1. A
    Communicable disease
  2. B
     Non-communicable disease
  3. C
     Autoimmune disease
  4. D
    Blood disorder
Question 42Single Answer
The main function of the kidneys is to:
  1. A
    Produce red blood cells
  2. B
     Filter waste products from the blood  
  3. C
     Fight infection
  4. D
    Regulate body temperature
Question 43Single Answer
The primary mechanism of bone loss in osteoporosis is:
  1. A
    Increased bone mineralization
  2. B
    Enhanced bone density
  3. C
    Imbalance between bone formation and resorption
  4. D
    Reduced calcium absorption
Question 44Single Answer
The leading causes of chronic kidney disease globally are:
  1. A
    Bacterial infections
  2. B
    Diabetes and high blood pressure 
  3. C
    Viral infections
  4. D
    Parasites
Question 45Single Answer
Which of the following is a common risk factor for osteoporosis?
  1. A
    High calcium intake
  2. B
    Regular weight-bearing exercise
  3. C
    Smoking
  4. D
    Adequate vitamin D levels
Question 46Single Answer
Early stages of CKD often have:
  1. A
    Very noticeable symptoms
  2. B
     No symptoms 
  3. C
    Severe pain
  4. D
    All of the above
Question 47Single Answer
Potential complications of advanced CKD include:
  1. A
     Heart disease
  2. B
    Weak bones
  3. C
    Anemia 
  4. D
    All of the above
Question 48Single Answer
How does estrogen deficiency contribute to osteoporosis in women?
  1. A
    It improves bone density
  2. B
    It reduces bone resorption
  3. C
    It promotes bone formation
  4. D
    It accelerates bone loss
Question 49Single Answer
Risk factors for developing CKD include:
  1. A
    Family history of CKD 
  2. B
    Unhealthy diet 
  3. C
    Smoking
  4. D
     All of the above
Question 50Single Answer
The most common fracture associated with osteoporosis occurs in which bone?
  1. A
    Skull
  2. B
    Femur (thigh bone)
  3. C
    Humerus (upper arm bone)
  4. D
    Radius (forearm bone)
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