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NHPC Examination
General Medicine - Health Assistant License Exam (NHPC)
The official computer-based licensing exam conducted by the Nepal Health Professional Council (NHPC) for graduates of the Health Assistant (PCL General Medicine) program.
Exam Overview
Key details about the NHPC Health Assistant License Exam
Format & Scoring
Conducted by: Nepal Health Professional Council (NHPC)
Computer-based licensing exam
Total Questions: 100 objective multiple-choice
Total Marks: 100
Pass Mark: 50
Duration: 2 hours
No negative marking
Fast Track Exam Preparation
Boost your readiness for the HA License Exam
FAST TRACK: Health Assistant LICENSE Exam Preparation (2 MONTHS)
ONLY 2 MONTHS | TIME: 7:00 PM – 9:00 PM (SUNDAY TO FRIDAY)
Includes:
- Mock Tests with 20 most probable questions
- Recorded lecture access for revision
- Class notes and PDF study materials provided
- Question Answer Discussion sessions after each subject
- MCQ discussion after every topics to reinforce learning
- Topic-wise question bank included
PLATFORM: ZOOM + WHATSAPP GROUP
Instructor: Dr. Mukunda Thakur (MBBS)
TO REGISTER
+977-9801789080Fee: Rs. 6999 | With Book: Rs. 7,999
First 25 students: Rs. 4999 | with book: 5999 only
Subject-Wise Mark Distribution
Weightage of different subject areas in the exam
| Subject Area | Weight (%) |
|---|---|
| Community Health | 25% |
| General Medicine | 25% |
| General Surgery | 25% |
| Anatomy & Physiology | 10% |
| Pharmacology & Pharmacy | 10% |
| Clinical Pathology | 5% |
| Total | 100% |
Syllabus for Licensing Examination
Certificate Level in General Medicine (Health Assistant) - Nepal Health Professional Council, 2021
1. Anatomy and Physiology (10%)
1.1 Introduction to Anatomy and Physiology
- Overview of human anatomy: Levels of organization from cells to organ systems
- Physiology fundamentals: Homeostasis, feedback mechanisms, and physiological processes
- Anatomical terminology: Directional terms, planes, and body cavities
1.2 Skin and Integumentary System
- Structure: Epidermis, dermis, hypodermis, hair, nails, sweat and sebaceous glands
- Functions: Barrier protection, thermoregulation, sensory reception, vitamin D synthesis
- Clinical applications: Wound healing, burns, skin infections
1.3 Skeletal System
- Bone structure: Compact and spongy bone, bone marrow, periosteum, endosteum
- Bone types: Long, short, flat, irregular, sesamoid bones
- Joints: Synovial, cartilaginous, fibrous; range of motion
- Functions: Structural support, movement, mineral storage, blood cell production
- Clinical conditions: Fractures, osteoporosis, osteoarthritis
1.4 Muscular System
- Muscle types: Skeletal, smooth, cardiac; histological differences
- Physiology: Muscle contraction, sliding filament theory, neuromuscular junction
- Major muscles: Functions in locomotion, posture, and organ support
- Clinical conditions: Muscle strains, cramps, myopathies
1.5 Nervous System
- Central nervous system: Brain (cerebrum, cerebellum, brainstem), spinal cord
- Peripheral nervous system: Somatic and autonomic divisions, cranial and spinal nerves
- Neuron anatomy: Axons, dendrites, synapses, myelin sheath
- Functions: Sensory processing, motor control, reflex arcs
- Clinical conditions: Stroke, epilepsy, peripheral neuropathy
1.6 Somatic and Special Senses
- Somatic senses: Touch, pain, temperature, proprioception mechanisms
- Special senses: Vision (retina, optic nerve), hearing (cochlea, auditory nerve)
- Olfaction and gustation: Smell and taste pathways
- Clinical conditions: Visual impairments, hearing loss, sensory deficits
1.7 Endocrine System
- Glands: Pituitary, thyroid, parathyroid, adrenals, pancreas, gonads
- Hormones: Secretion, target organs, feedback loops
- Functions: Metabolism regulation, growth, stress response, reproduction
- Clinical conditions: Diabetes mellitus, hypothyroidism, hyperthyroidism
1.8 Blood
- Composition: Plasma, erythrocytes, leukocytes, platelets
- Functions: Oxygen transport, immune defense, hemostasis
- Blood groups: ABO, Rh factor, transfusion principles
- Clinical conditions: Anemia, leukopenia, thrombocytopenia
1.9 Cardiovascular System
- Heart: Chambers, valves, coronary arteries, pericardium
- Blood vessels: Arteries, veins, capillaries; structural adaptations
- Circulation: Systemic, pulmonary, coronary circuits
- Physiology: Cardiac cycle, heart rate, blood pressure regulation
- Clinical conditions: Hypertension, myocardial infarction, heart failure
1.10 Lymphatic System and Immunity
- Structures: Lymph nodes, spleen, thymus, lymphatic vessels
- Functions: Lymph filtration, immune surveillance, lipid absorption
- Immunity: Innate (barriers, phagocytes), adaptive (B and T cells)
- Clinical conditions: Lymphedema, lymphadenitis, autoimmune diseases
1.11 Digestive System
- Organs: Mouth, esophagus, stomach, small and large intestines
- Accessory organs: Liver, pancreas, gallbladder, salivary glands
- Physiology: Digestion, nutrient absorption, peristalsis
- Clinical conditions: Gastritis, peptic ulcers, malabsorption
1.12 Respiratory System
- Anatomy: Nasal cavity, pharynx, larynx, trachea, bronchi, lungs
- Physiology: Ventilation, gas exchange, respiratory control
- Mechanics: Lung volumes, tidal volume, inspiratory/expiratory reserve
- Clinical conditions: Asthma, chronic obstructive pulmonary disease, pneumonia
1.13 Urinary System
- Anatomy: Kidneys, ureters, bladder, urethra
- Physiology: Filtration, reabsorption, secretion, urine formation
- Functions: Waste excretion, electrolyte balance, acid-base regulation
- Clinical conditions: Urinary tract infections, nephrolithiasis, renal failure
1.14 Male Reproductive System
- Anatomy: Testes, epididymis, vas deferens, seminal vesicles, prostate
- Physiology: Spermatogenesis, testosterone production, hormonal control
- Functions: Reproduction, secondary sexual characteristics
- Clinical conditions: Testicular torsion, prostate disorders, infertility
1.15 Female Reproductive System
- Anatomy: Ovaries, fallopian tubes, uterus, vagina, external genitalia
- Physiology: Oogenesis, menstrual cycle, ovulation, hormonal regulation
- Functions: Reproduction, pregnancy, lactation support
- Clinical conditions: Polycystic ovary syndrome, endometriosis, menstrual irregularities
1.16 Human Growth and Development
- Developmental stages: Embryonic, fetal, neonatal, childhood, adolescence
- Milestones: Physical growth, motor skills, cognitive development
- Hormonal influences: Growth hormone, thyroid hormones, sex hormones
- Clinical conditions: Growth retardation, precocious puberty, developmental disorders
2. Community Health (25%)
2.1 Health Education and Health Promotion
- Overview of health education principles
- Fundamental factors, methods, and media of health education
- Planning, implementation, and evaluation of health education programs
- Health promotion strategies and applied health education
2.2 Environmental Health
- Water purification and waste management
- Food hygiene and sanitation of public places
- Health hazards and sanitary latrines
- Control of rodents, vectors, and insects
2.3 Primary Health Care (PHC) and Family Health
- Concepts, determinants, and indicators of health
- PHC, community participation, and challenges in Nepal
- Role of Health Post In-charge in PHC
- Family planning, adolescent health, and demography
- Common neonatal and child health issues (CDD, ARI, malaria, malnutrition)
- Nutritional interventions, immunizations, and safe motherhood
- Community mobilization: FCHVs, mother’s groups, outreach clinics
2.4 Epidemiology and Disease Control
- Definition, scope, and causes of diseases and infections
- Management of disasters and epidemics
- Causes, symptoms, management, and prevention of gastroenteritis, cholera, typhoid, malaria, filariasis, encephalitis, kala-azar, dengue, scabies, chickenpox, influenza, mumps, rabies, hepatitis, leprosy, tuberculosis, HIV/AIDS, STIs, COVID-19
2.5 Nutrition
- Proteins, fats, carbohydrates, vitamins, and minerals
- Balanced diet and nutritional status assessment
- Public health nutritional problems and interventions
- Nutrition factors in diseases, education, and food taboos
2.6 Community Diagnosis
- Culture and health concepts
- Data collection, processing, and community presentation
- Micro health project development
2.7 Health Management
- Community health diagnosis and health profile
- Micro planning, supervision, monitoring, and evaluation
- Health Management Information System (HMIS)
- Planning and management of health camps and cold chain
- Health training and logistic management
- Organizational structure: MoHP, DoHS, PHD, HO, PHCC, HP, BHSC
- NHPC Act 2053 and Regulation 2056
3. General Medicine (25%)
3.1 Clinical Methods
- History taking and physical examination
- Principles and procedures for clinical data collection
- General and systemic examination techniques
- Bedside history and clinical examination practice
3.2 Systemic Diseases
- Hematological and cardiovascular conditions
- Respiratory and gastrointestinal disorders
- Endocrine and hepatic disorders
- Central nervous system disorders
3.3 Pediatrics and Neonatology
- Pediatric examination techniques
- Neonatal conditions and disorders
- Infectious diseases: mumps, diphtheria, whooping cough, rheumatic fever, poliomyelitis
- Skin disorders, helminthes infestations, nutritional disorders
- Integrated Management of Childhood Illness (IMCI)
- Infection prevention in pediatrics
3.4 Skin Diseases
- Introduction to dermatology
- Bacterial, fungal, viral, and parasitic skin infections
- Allergic conditions, acne vulgaris, psoriasis, vitiligo, miliaria
3.5 Venereal Diseases
- Gonorrhea, chlamydia, syphilis, chancroid
- Venereal warts and genital herpes
- Syndromic case management of STIs
3.6 Psychiatry
- Mental health services in Nepal
- Psychiatric assessment and causes of mental illness
- Psychosis, neurosis (anxiety, depression), bipolar disorder
- Alcohol and drug abuse
- Childhood mental disorders, psychosexual disorders, psychological trauma
- Epilepsy and mental retardation
4. Pharmacology and Pharmacy (10%)
4.1 Clinical Pharmacology
- Introduction to pharmacology
- Locally acting drugs and antimicrobial agents
- Anti-cancer drugs, GI, and respiratory medications
- Rehydration therapy, vaccines, antisera, immunoglobulins
- Vitamins, minerals, NSAIDs, hormones
- CNS-acting and cardiovascular drugs, diuretics
4.2 Pharmacy
- Pharmacodynamics and pharmacokinetics
- Rational drug therapy and inventory management
- Packing, labeling, and dispensing medications
- Preparation of solutions, lotions, ointments, suspensions (e.g., gentian violet, mercurochrome, potassium permanganate, Whitfield ointment)
5. General Surgery (25%)
5.1 Basic Surgery
- Management of hemorrhage, inflammation, septicemia, toxemia
- Sinus, fistula, gangrene, and wound care
- Tetanus, acute abdominal pain, hernia, piles
- Urinary issues: acute retention, hematuria, rupture of urethra
- Phimosis, paraphimosis, hydrocele, head injury, osteomyelitis
- Local anesthesia and sterilization of surgical instruments
5.2 First Aid and Emergency Care
- Management of shock, poisoning, and external bleeding
- Thermal and chemical burns, fractures, dislocations
- Frostbite, insect, animal, and snake bites
- Drowning, abscess, and cellulitis
5.3 Obstetrics and Gynecology
- Male and female reproductive systems
- Mechanism of menstruation and conception
- Vaginal discharge, per vaginal bleeding, postmenopausal bleeding
- Uterine prolapse, pelvic inflammatory diseases, ectopic pregnancy
- Management of mastitis, breast abscess, and normal labor
- Early diagnosis and referral of complicated pregnancy, labor, puerperium
- Safe abortions, permanent and temporary contraceptives
5.4 Eye, ENT, and Oral Health
- Examination of eye, ear, nose, and throat
- Eyelid complications, red eyes, trachoma, corneal ulcer, night blindness
- Cataract, pterygium, iridocyclitis, xerophthalmia, glaucoma
- Foreign body removal in eyes, wax removal in ears
- Otitis media, otitis externa, hearing problem referrals
- Deviated nasal septum, nasal polyps, epistaxis, sinusitis
- Acute tonsillitis, pharyngitis, laryngitis
- Dental plaques, calculus, caries, periodontitis, periodontal abscess
- Importance and maintenance of oral hygiene
6. Clinical Pathology (5%)
6.1 Biochemistry
- Carbohydrates, proteins, lipids
- Enzymes and vitamins
6.2 Microbiology
- Introduction to microbiology
- Basic bacteriological investigations
- Bacterial growth and sterilization techniques
6.3 Parasitology
- Intestinal parasites: Ascaris, hookworm, Trichuris, Enterobius, Taenia, Echinococcus, Hymenolepis, Entamoeba, Giardia, Trichomonas
- Blood and tissue parasites
- Modes of infection, pathogenicity, laboratory diagnosis
- Prevention of parasitic infections
6.4 Hematology
- Blood characteristics and anticoagulants
- Hematological tests and blood collection techniques
- Hormones in hematology
Exam Day Guidelines
Important rules and procedures for exam day
What to Expect
Essential information for candidates
Arrival Timing: Arrive ~2 hours before the exam
To complete ID, photo, signature, and fingerprint verification. No entry after 15 minutes of exam commencement.
Prohibited Items:
Electronic devices (phones, calculators, smart watches), jewelry—none are allowed inside the exam hall. IDs must be government-issued originals.
Fee Policy:
Fees are non-refundable if the exam is missed.
PREPARE FOR SUCCESS
Prepare for Your Health Assistant License Exam!
Join our intensive online preparation classes. Get focused help with the syllabus, practice questions, and doubt-clearing sessions by experienced medical professionals.
Result & Re-exam Policy
Information on results and re-examination
Post-Exam Procedures
What happens after you take the exam
Result Publication:
Exam results are published after all scheduled exams for that batch level are completed.
Re-examination Policy:
Candidates unsatisfied with results may apply for re-examination within 30 days; results will be released within 7 days after the final application date.
License & Registration Certificate
Steps to obtain your professional certificate
Obtaining Your Certificate
Required documents and process
Application:
After passing, apply online via NHPC’s official site to obtain your full name registration certificate.
Required Documents:
- Exam fee vouchers
- ID card (citizenship/passport)
- Academic transcripts
- Character certificates
- Equivalence certificates (for foreign-educated students)
- Exam admission card
Document submission is typically completed using notarized or original copies; the certificate is issued the following day after submission (subject to verification).
Application & Fee Details
Latest form-filling notice and payment information
Fees & Process
How to apply and pay for the exam
Latest Notice:
NHPC has released notices for the 13th Licensing Exam (covering certificate, bachelor, and postgraduate levels).
Registration Fee:
Standard: Rs 3,000 (early window)
Late submissions: Rs 6,000
Payment & Application:
Payment is to be deposited in specified banks (e.g., Nepal SBI, Rastriya Banijya Bank, Himalayan Bank) then applied through NHPC’s site using a Gmail account.
Candidates who applied in earlier exams must follow specific instructions—some may need to use a new Gmail ID to register for retakes. Forms not verified with old vouchers may be rejected.
Exam Summary
Quick overview of the Health Assistant License Exam
| Item | Details |
|---|---|
| Exam | 100 MCQs, 2 hrs, no negative marking, pass ≥ 50 marks |
| Subjects | Community Health, Medicine, Surgery, Anatomy, Pharma, Pathology |
| Day-of-rules | ID verification, no late entry, no electronics allowed |
| After passing | Submit documentation to NHPC for certificate issuance |
| Form-filling | Online registration with fee deposit; specific deadlines and fee structure to note |
Effective Preparation Tips
Understand the Syllabus
Thoroughly review the official NHPC syllabus to identify all topics and their weightage.
Structured Study Plan
Create a realistic study schedule, allocating sufficient time for each subject based on its complexity and importance.
Focus on Core Concepts
Master fundamental principles in Anatomy, Physiology, Pharmacology, and Public Health.
Practice MCQs
Solve as many multiple-choice questions as possible from previous years' papers and sample tests.
Revision is Key
Regularly revise all subjects to reinforce learning and improve retention.
Join Coaching Classes
Consider enrolling in specialized coaching classes for expert guidance and mock exams.
How Khwopa Academy Helps You
Comprehensive Study Materials
Access to curated notes, practice questions, and mock exams aligned with the NHPC syllabus.
Expert Tutors
Learn from experienced medical professionals who provide in-depth explanations and clarify doubts.
Strategic Preparation
Guidance on exam patterns, time management, and effective study techniques to maximize your score.
Mock Exam Series
Regular mock tests to simulate exam conditions and track your progress.
Doubt Clearing Sessions
Dedicated sessions to address your specific questions and challenging topics.
Post-Exam Guidance
Support for certificate application and career planning after passing the licensing exam.
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