NONursing Officer HubGandaki Province · Level 7
Paper II · Unit 6 · 10%

Communicable and Non-communicable Diseases

Complete step-by-step revision notes with examiner-focused MCQs and likely subjective questions.

How to use

Read the concept, reproduce the steps from memory, then answer the possible questions.

Revision target

Complete one topic, ten MCQs and one written answer before marking it revised.

Topic 1

Tuberculosis

Core meaning: TB control requires early diagnosis, effective treatment, contact management and adherence support.

Step-by-step learning

Recognise symptoms and risk

Persistent cough and systemic symptoms.

Test

Use current diagnostic algorithm.

Treat

Standard regimen per national guideline.

Support adherence

Counselling and follow-up.

Prevent transmission

Ventilation, cough etiquette and contact evaluation.

Key points to remember

  • Use current national regimen and definitions.
  • Drug resistance is promoted by inadequate treatment.
Possible MCQs
  • What is the purpose of contact tracing?
Possible subjective questions
  • Discuss community TB prevention and the nurse’s role.
Topic 2

Vector-borne diseases: malaria, kala-azar and encephalitis

Core meaning: Vector control combines surveillance, environmental action, personal protection and prompt treatment.

Step-by-step learning

Identify vector and transmission

Know disease-specific route.

Detect case

Clinical suspicion and testing.

Treat/refer

According to guideline.

Control vector

Nets, spraying, source reduction as appropriate.

Educate and monitor

Community participation.

Key points to remember

  • Interventions differ by vector.
  • Travel and geography affect risk.
Possible MCQs
  • Which vector transmits malaria?
Possible subjective questions
  • Compare prevention of malaria, kala-azar and encephalitis.
Topic 3

HIV/AIDS, STI and hepatitis B

Core meaning: Blood/body-fluid and sexual transmission require prevention, testing and treatment.

Step-by-step learning

Assess exposure

Route and timing.

Prevent

Vaccination for hepatitis B, safer sex and standard precautions.

Test with consent

Confidential care.

Treat or refer

ART/STI/hepatitis services.

Post-exposure action

Immediate first aid and protocol-based assessment.

Key points to remember

  • Hepatitis B vaccination protects health workers.
  • Needlestick exposure requires prompt reporting.
Possible MCQs
  • Which vaccine protects against an occupational blood-borne infection?
Possible subjective questions
  • Discuss prevention of HIV, STI and hepatitis B.
Topic 4

Water-borne diseases and COVID-19

Core meaning: Prevention targets transmission routes through water safety, hygiene, surveillance and infection control.

Step-by-step learning

Identify source and route

Water, food, droplets or aerosols depending on disease.

Detect and isolate as required

Apply current guidance.

Treat and support

Rehydration, oxygen or referral as indicated.

Control environment

Water treatment, sanitation and ventilation.

Communicate risk

Accurate and non-stigmatising.

Key points to remember

  • Use current COVID guidance rather than memorising outdated rules.
  • Safe water and sanitation interrupt faeco-oral transmission.
Possible MCQs
  • Which intervention most directly prevents faeco-oral transmission?
Possible subjective questions
  • Explain prevention of water-borne disease outbreaks.
  • Discuss nursing role in respiratory-pandemic preparedness.
Topic 5

Heart disease and hypertension

Core meaning: Cardiovascular NCD prevention focuses on risk reduction, detection, treatment and emergency recognition.

Step-by-step learning

Assess risk

Tobacco, diet, inactivity, diabetes and family history.

Measure correctly

Blood pressure technique and repeat confirmation.

Counsel

Salt, activity, adherence and tobacco cessation.

Treat and monitor

Medicines and complications.

Recognise emergency

Chest pain, stroke signs and severe symptoms.

Key points to remember

  • High blood pressure may be asymptomatic.
  • Lifestyle and medicine are often combined.
Possible MCQs
  • Which is a modifiable cardiovascular risk factor?
Possible subjective questions
  • Discuss prevention and control of hypertension.
Topic 6

Diabetes and cancer

Core meaning: Early detection, risk reduction and continuity of care reduce complications.

Step-by-step learning

Identify risk and warning signs

Family history, obesity, tobacco and symptoms.

Screen appropriately

Use current programme guidance.

Confirm and stage

Refer as needed.

Manage long term

Diet, activity, medicines and monitoring.

Prevent complications

Foot care, screening and palliative support.

Key points to remember

  • Hypoglycaemia requires prompt recognition.
  • Cancer screening depends on age, sex and national guidance.
Possible MCQs
  • What are common hypoglycaemia signs?
Possible subjective questions
  • Discuss community prevention and control of diabetes.
  • Explain cancer warning signs and nursing roles.
Topic 7

Mental-health problems as NCD burden

Core meaning: Mental disorders contribute substantially to disability and require integrated care.

Step-by-step learning

Promote

Reduce stigma and strengthen support.

Detect early

Screen common problems.

Assess safety

Suicide, violence and neglect.

Provide and refer

Basic psychosocial support and specialist pathway.

Rehabilitate

Family and community inclusion.

Key points to remember

  • Mental health should be integrated into PHC.
  • Emergency risk overrides routine follow-up.
Possible MCQs
  • What is the priority in imminent suicide risk?
Possible subjective questions
  • Discuss community mental-health services.