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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A young man vomits fresh blood after repeated forceful retching following an alcohol binge. Endoscopy shows a linear mucosal tear at the gastro-oesophageal junction. This is:
सही उत्तर: ग) Mallory-Weiss tear
A Mallory-Weiss tear is a mucosal laceration at the gastro-oesophageal junction from forceful vomiting; Boerhaave syndrome is a full-thickness rupture.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Iron deficiency anaemia, dysphagia and a post-cricoid oesophageal web in a middle-aged woman indicate:
सही उत्तर: घ) Plummer-Vinson (Paterson-Brown-Kelly) syndrome
Plummer-Vinson syndrome combines iron deficiency, dysphagia and an upper oesophageal web, and predisposes to post-cricoid carcinoma.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The gold-standard investigation for diagnosing obstructive sleep apnoea is:
सही उत्तर: घ) Overnight polysomnography
Polysomnography records breathing, oxygen saturation and sleep stages overnight and confirms obstructive sleep apnoea.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The recommended site for inserting an intercostal chest drain in an adult is:
सही उत्तर: ख) The 5th intercostal space, just anterior to the mid-axillary line
The 'triangle of safety' in the 5th intercostal space anterior to the mid-axillary line avoids major vessels and organs.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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After chest drain insertion for a traumatic haemothorax, immediate drainage of more than how much blood is an indication for thoracotomy?
सही उत्तर: क) 1500 mL
An initial drainage of more than 1500 mL (or continuing loss of about 200 mL/hour) indicates massive haemothorax requiring thoracotomy.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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An inhaled foreign body in an adult most often lodges in the right main bronchus because it is:
सही उत्तर: घ) Wider, shorter and more vertical than the left
The right main bronchus is wider, shorter and more in line with the trachea, so aspirated objects enter it more often.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Atypical pneumonia in a young adult with a positive cold agglutinin test is most likely due to:
सही उत्तर: ग) Mycoplasma pneumoniae
Mycoplasma pneumoniae induces IgM cold agglutinins, which may cause haemolysis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Pneumonia with high fever, confusion, diarrhoea and hyponatraemia, in a patient exposed to water from air-conditioning cooling towers, suggests infection with:
सही उत्तर: घ) Legionella pneumophila
Legionnaires' disease spreads from contaminated water aerosols and characteristically causes hyponatraemia, diarrhoea and confusion.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A heavy smoker with shoulder pain, wasting of the small muscles of the hand, ptosis and a constricted pupil on the same side most likely has:
सही उत्तर: ख) A Pancoast (superior sulcus) tumour
An apical lung tumour invades the brachial plexus and the sympathetic chain, producing Horner's syndrome (ptosis, miosis, anhidrosis).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Bronchiectasis, chronic sinusitis and situs inversus together suggest:
सही उत्तर: ग) Kartagener's syndrome (primary ciliary dyskinesia)
Kartagener's syndrome is a form of primary ciliary dyskinesia presenting with this triad.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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