This document appears to be a sample question paper for a competitive exam for medical laboratory technology in Nepal. It contains 50 multiple choice questions testing knowledge of topics like microbiology, hematology, clinical biochemistry and other areas of medical laboratory science. The questions cover topics such as types of microorganisms, culture media, laboratory tests, blood banking, enzymology and other basic science concepts relevant to medical laboratory technology. The document instructs examinees to write the question paper key (A) on their answer sheet and not to use calculators or electronic devices during the exam.