मेडिकल काउन्सिल (NMCLE) – Medical Council (NMCLE) MCQ

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

61. Proximal muscle weakness that improves with repeated effort, in a smoker with small cell lung cancer, suggests Lambert-Eaton syndrome, caused by antibodies against:

    कPostsynaptic acetylcholine receptors खPresynaptic voltage-gated calcium channels गMuscle-specific kinase only घMyelin basic protein
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

62. After a difficult delivery with traction on the head, a newborn's arm hangs by the side, adducted and internally rotated with the forearm pronated ('waiter's tip'). The nerve roots injured are:

    कT2 and T3 खC8 and T1 (Klumpke's palsy) गC7 only घC5 and C6 (Erb's palsy)
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

63. Facial palsy with painful vesicles in the external ear canal is called Ramsay Hunt syndrome and is caused by:

    कBacterial otitis externa खHerpes simplex virus type 2 गCytomegalovirus घVaricella-zoster virus reactivation in the geniculate ganglion
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

64. Whipple's triad (symptoms of hypoglycaemia, low plasma glucose at that time and relief after glucose) is used to confirm:

    कA true hypoglycaemic disorder, such as insulinoma खDiabetic ketoacidosis गPhaeochromocytoma घCarcinoid syndrome
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

65. The earliest clinically detectable sign of diabetic nephropathy is:

    कNephrotic-range proteinuria खRaised serum creatinine गModerately increased albuminuria (microalbuminuria) घSmall, shrunken kidneys on ultrasound
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

66. Hyperpigmentation of the skin, palmar creases and buccal mucosa in primary adrenal insufficiency is due to:

    कRaised aldosterone खLow cortisol directly stimulating melanocytes गRaised ACTH and related pro-opiomelanocortin peptides घRaised adrenaline
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

67. Multiple endocrine neoplasia type 2A comprises:

    कPapillary thyroid carcinoma, adrenal adenoma and insulinoma खPituitary adenoma, pancreatic islet tumour and parathyroid hyperplasia गMedullary thyroid carcinoma, phaeochromocytoma and parathyroid hyperplasia घMedullary thyroid carcinoma, marfanoid habitus and gastrinoma
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

68. After a massive postpartum haemorrhage, a woman fails to lactate and later develops amenorrhoea and fatigue. The most likely diagnosis is:

    कAsherman's syndrome खSheehan's syndrome गPolycystic ovary syndrome घProlactinoma
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

69. Newborn screening for congenital hypothyroidism is usually done by measuring:

    कTSH in a heel-prick blood spot खSerum calcium in cord blood गUrinary iodine घThyroid ultrasound in the first week
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

70. The antibodies most characteristic of Hashimoto's thyroiditis are directed against:

    कTSH receptor खThyroid peroxidase (TPO) गAcetylcholine receptor घIntrinsic factor
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।