मेडिकल काउन्सिल (NMCLE) – Medical Council (NMCLE) MCQ
मेडिकल काउन्सिल (NMCLE) – लाइसेन्स परीक्षा
Medical Council (NMCLE) · Nepal Professional License Exams · ५९१ प्रश्न
५९१ प्रश्न उपलब्ध। मोड छान्नुहोस्:
मेडिकल काउन्सिल (NMCLE): प्रश्न र उत्तर
सही लागेको विकल्पमा थिच्नुहोस्। सही भए हरियो, गलत भए रातो देखिन्छ; ३ सेकेन्डपछि सही उत्तर र व्याख्या देखिन्छ।
सही: ० / ०
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Anterograde amnesia with confabulation in a chronic alcoholic, following Wernicke's encephalopathy, is called:
सही उत्तर: ग) Korsakoff's syndrome
Korsakoff's syndrome is a chronic amnestic state due to thiamine deficiency, marked by memory loss and confabulation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Lumbar puncture should be avoided before imaging in a patient with papilloedema and focal neurological signs because of the risk of:
सही उत्तर: घ) Brain herniation (coning)
With raised intracranial pressure due to a mass lesion, removing CSF can cause tonsillar or uncal herniation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Loss of pain and temperature sensation over the shoulders and arms in a 'cape-like' distribution, with preserved touch and joint position sense, suggests:
सही उत्तर: ख) Syringomyelia
A central cervical syrinx damages the crossing spinothalamic fibres, causing dissociated sensory loss in a cape distribution.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Multiple café-au-lait macules, axillary freckling and pigmented iris hamartomas (Lisch nodules) indicate:
सही उत्तर: क) Neurofibromatosis type 1
These are diagnostic features of neurofibromatosis type 1, caused by mutation of the NF1 gene on chromosome 17.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A child with seizures, hypopigmented 'ash-leaf' macules and facial angiofibromas (adenoma sebaceum) most likely has:
सही उत्तर: ग) Tuberous sclerosis
Ash-leaf macules, facial angiofibromas and seizures are classic features of tuberous sclerosis complex.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Infantile spasms with hypsarrhythmia on the EEG and developmental regression constitute:
सही उत्तर: ख) West syndrome
West syndrome is the triad of infantile spasms, hypsarrhythmia and developmental arrest; treatment includes ACTH/steroids or vigabatrin.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient after a stroke understands speech but speaks hesitantly in short, effortful phrases. The lesion most likely involves the:
सही उत्तर: घ) Inferior frontal gyrus of the dominant hemisphere (Broca's area)
Damage to Broca's area produces non-fluent expressive aphasia with relatively preserved comprehension.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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An elderly man has gait disturbance, urinary incontinence and progressive dementia, with enlarged ventricles on CT. The likely diagnosis is:
सही उत्तर: क) Normal pressure hydrocephalus
The triad of gait apraxia, urinary incontinence and dementia with ventriculomegaly suggests normal pressure hydrocephalus, which may improve with a shunt.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The most common cause of dementia in the elderly is:
सही उत्तर: ख) Alzheimer's disease
Alzheimer's disease accounts for the majority of dementia cases in older people.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Huntington's disease is inherited as an autosomal dominant disorder caused by:
सही उत्तर: क) Expansion of a CAG trinucleotide repeat
An expanded CAG repeat in the huntingtin gene on chromosome 4 causes chorea, dementia and psychiatric features, with anticipation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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