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 patient presents with severe abdominal pain, guarding, and rigidity after undergoing extensive burns. The Alvarado score (MANTRELS) would MOST likely demonstrate which of the following findings?
सही उत्तर: ख) B. Elevated temperature, tachycardia, and tenderness to palpation in multiple quadrants.
Option 1 is correct; the Alvarado score typically shows elevated temperature, tachycardia, and abdominal tenderness (MANTRELS), reflecting systemic inflammation associated with severe burns. Options A, B and D show incorrect values for a patient with significant trauma.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The diagnosis of acute appendicitis often relies on a combination of clinical signs and imaging findings. Which finding, when present in conjunction with typical symptoms, strongly suggests acute appendicitis?
सही उत्तर: ग) C. Right lower quadrant pain, rebound tenderness, and a positive McBurney's point.
Option 2 correctly identifies the key sign – a distended appendix with fecal material observed on imaging (CT scan). This is supported by established diagnostic criteria for appendicitis. Options A, B and D represent alternative diagnoses or less specific indicators.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements BEST describes the key difference between a true keloid and a hypertrophic scar?
सही उत्तर: ख) B. Keloids are composed of excessive collagen produced by fibroblasts, while hypertrophic scars involve an inflammatory response.
Option 1 is correct because it highlights the fundamental difference – keloids’ continued growth driven by collagen overproduction versus hypertrophic scars' response to inflammation. Option 2 is tempting as both involve scarring but misses the core distinction. Options C and D present inaccuracies about the morphology and location of these conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 4-year-old child is diagnosed with severe acute malnutrition (SAM) based on a mid-upper arm circumference (MUAC) of 17 cm. What is the most immediate priority in managing this child?
सही उत्तर: ग) Provide nutritional supplements specifically formulated for SAM
The primary goal in managing SAM is referral to a specialized malnutrition clinic where comprehensive nutritional support, including oral rehydration therapy and therapeutic food (e.g., PLOs), can be administered under close medical supervision. Immediate IV fluids without careful assessment of needs are not the optimal first step.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 28-year-old woman presents with a history of recurrent painless second-trimester pregnancy loss (two previous losses). Initial investigation reveals a markedly dilated cervix without any obvious pathology. Which condition is MOST likely?
सही उत्तर: ख) Cervical Incompetence
Recurrent painless second-trimester pregnancy loss with cervical dilatation strongly suggests Cervical Incompetence. This condition results in spontaneous premature labour and delivery, often presenting with a dilated cervix and a failure to visualize the fetus via ultrasound.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 36 weeks gestation presents with lower abdominal pain, vaginal bleeding, and a ruptured amniotic membrane. She is concerned about preterm labor. Which of the following measures would be MOST appropriate as initial management?
सही उत्तर: ग) Close observation and expectant management
In cases of premature rupture of membranes (PROM) at 36 weeks, magnesium sulfate is administered to prevent seizures due to maternal hypoxia and neurological damage. The other options are either less critical or potentially harmful in the immediate setting.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-month-old infant is brought to the clinic complaining of rapid breathing (respiratory rate 40 breaths per minute) and lethargy. Physical examination reveals no signs of infection, but she appears distressed. According to the IMNCI classification, what would be the appropriate assessment category for this child?
सही उत्तर: घ) Category 4
In IMNCI, fast breathing (above 50 breaths/minute) in a child aged 2-12 months is classified as Category 3 (Severe). Categories 1-2 represent moderate and mild malnutrition respectively. The infant’s symptoms align with the diagnostic criteria for category 3.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant presents with persistent tachypnea, cyanosis, and a systolic murmur. Physical examination reveals clubbing of the fingers and toes. Which of the following congenital heart defects is MOST likely in this presentation?
सही उत्तर: ख) Transposition of the Great Arteries
Transposition of the Great Arteries (TGA) is the most common cyanotic congenital heart defect presenting after the neonatal period, often with a systolic murmur and signs of right ventricular hypertrophy. The other options present with different clinical features and/or are less frequently associated with this presentation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary function of the intrinsic factor secreted by parietal cells in the stomach?
सही उत्तर: ग) Binding to vitamin B12 for absorption in the ileum
Intrinsic factor is a glycoprotein essential for the absorption of vitamin B12 from the small intestine. It binds specifically to B12, facilitating its transport across the intestinal lining and into the bloodstream. The other options describe different roles of gastric secretions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The Krebs cycle (Citric Acid Cycle) plays a crucial role in energy production. Which of the following statements correctly identifies its primary output?
सही उत्तर: ग) Formation of NADH and FADH2, which are subsequently used for ATP synthesis
The Krebs cycle is a central metabolic pathway that generates electron carriers (NADH and FADH2) from acetyl-CoA. These reduced coenzymes then feed into the electron transport chain, where most of the ATP is produced. The other options are incorrect regarding the primary products of the Krebs cycle.
💬 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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