चिकित्सा स्नातकोत्तर प्रवेश (MECEE-PG) MD / MS / MDS प्रवेश परीक्षा तयारी
चिकित्सा स्नातकोत्तर प्रवेश (MECEE-PG) – MD / MS / MDS प्रवेश परीक्षा
MECEE-PG – MD/MS/MDS · MECEE-PG (MD/MS/MDS)
२,८६५ प्रश्न उपलब्ध। मोड छान्नुहोस्:
MD/MS/MDS प्रवेश: 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 public health survey reveals a statistically significant association between smoking during pregnancy and the occurrence of low birth weight babies. What is the MOST accurate interpretation of this finding?
सही उत्तर: ग) This correlation does not prove causation; it’s possible that mothers who smoke also have other risk factors for low birth weight babies
Option 2 is correct. The phrase ‘statistically significant association’ implies a causal relationship, acknowledging the potential influence of other contributing factors. Options 1 and 3 misinterpret the meaning of correlation; option 4 is incorrect due to not accounting for the statistical significance.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following factors contributes MOST significantly to the high incidence of tuberculosis (TB) in Nepal’s mountainous regions?
सही उत्तर: ख) Limited access to healthcare facilities and poor sanitation conditions
Option 1 is correct. The challenging terrain and limited infrastructure in Nepal’s mountainous regions result in reduced access to healthcare services and prevalent unsanitary living conditions – prime contributors to TB's spread.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The term ‘vertical transmission’ in epidemiology refers to:
सही उत्तर: ग) Transmission of a disease from mother to child during pregnancy, childbirth or breastfeeding
Option 2 is correct as vertical transmission specifically describes the transfer of pathogens from mother to child. The other options describe different types of transmissions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A village health volunteer observes a sudden increase in cases of diarrheal disease among children under five years old following heavy rainfall and contaminated water sources. Which of the following is the MOST appropriate initial intervention?
सही उत्तर: ग) Educating families on proper hygiene practices, including handwashing and safe water storage
Option 2 is correct. Hygiene education directly addresses the root cause – contaminated water sources – which is the most effective initial intervention. Options 1 and 3 are inappropriate; antibiotics aren't a first-line treatment for diarrheal diseases, and referral isn’t initially necessary.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements best describes the primary goal of immunization programs in Nepal’s public health strategy?
सही उत्तर: क) To eradicate all infectious diseases within five years regardless of cost
Option 0 is correct because immunization programs aim to build herd immunity – protecting the entire community through widespread vaccination. The other options are either overly ambitious (timeframe), incomplete (only specific age group) or misrepresent the core purpose of immunization.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A post-mortem examination of an infant reveals the presence of characteristic 'drumstick' shaped spores within macrophages in various organs. The infant was exposed to a teratogen during gestation. Which condition is MOST likely responsible for this finding?
सही उत्तर: ग) C. Histoplasmosis
The 'drumstick' appearance of spores is strongly associated with *Histoplasma capsulatum*, a fungal pathogen that causes disseminated histoplasmosis, particularly in infants exposed to environmental sources.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 65-year-old male presents with symptoms of hypothyroidism, including weight gain, constipation, and cold intolerance. Blood tests confirm low thyroid hormone levels. Which of the following medications is MOST likely to have caused this adverse effect?
सही उत्तर: ग) C. Methimazole
Methimazole is a well-established antithyroid drug that inhibits peripheral conversion of T4 to T3, leading to hypothyroidism. Options A, B and D represent drugs with alternative primary mechanisms or side effects.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A biopsy reveals extensive infiltration of neutrophils into the lung parenchyma accompanied by alveolar hemorrhage and hyaline membranes. The patient has a history of recent influenza infection. What is the primary pathological diagnosis?
सही उत्तर: ख) B. Acute Respiratory Distress Syndrome (ARDS)
The presentation – neutrophil infiltration, alveolar hemorrhage, and hyaline membranes – is characteristic of ARDS, often triggered by viral infections like influenza. *Pneumocystis* primarily causes pneumonia, while tuberculosis and aspergillosis have different histological features.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with a rapidly progressive neurological syndrome characterized by purpura fulminans, microangiopathic hemolytic anemia, and renal failure. Histological examination reveals fibrin thrombi in small blood vessels throughout various organs. Which microbiological etiology is MOST likely?
सही उत्तर: ख) B. Staphylococcus aureus
The clinical presentation described (purpura fulminans, microangiopathic hemolytic anemia) strongly suggests infection with *Staphylococcus aureus*, specifically the toxic shock syndrome toxin-1 (TSST-1), which causes disseminated intravascular coagulation (DIC). Options A, C and D represent other common pathogens.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the primary goal of 'Health for All' initiatives promoted by WHO during the 1970s and 80s?
सही उत्तर: ग) Strengthening primary health care systems at the community level to address basic health needs.
The 'Health for All' initiative (1977) focused on strengthening primary health care services within communities, emphasizing prevention and addressing fundamental health challenges where they occur. Options 1 and 2 represent approaches that were not central to this strategy; option 3 accurately reflects the core objective, while option 4 represents an entirely different developmental focus.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
यी अभ्यास प्रश्न हुन्, आधिकारिक प्रश्न होइनन्। पाठ्यक्रम, विज्ञापन र नतिजाका लागि सम्बन्धित निकायको आधिकारिक वेबसाइट हेर्नुहोस्। उत्तरमा गल्ती भेटे प्रश्नमुनिको "टिप्पणी / गल्ती रिपोर्ट" मा लेख्नुहोस्।
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