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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The most common type of hiatus hernia typically presents with symptoms of which of the following?
सही उत्तर: ख) Dysphagia and Retrosternal Chest Pain
Option 1 is correct. The classic presentation of a hiatus hernia involves dysphagia (difficulty swallowing) and retrosternal chest pain, frequently accompanied by heartburn. Options 2,3 and 4 describe symptoms associated with other gastrointestinal conditions, not typically linked to a simple hiatus hernia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What constitutes the 'Saint's Triad' for diagnosing Acute Pancreatitis?
सही उत्तर: ख) Elevated Serum Lipase, Abdominal Pain, Absence of Fever
Option 1 is correct. The Saint's triad – abdominal pain, elevated serum lipase, and absence of fever – provides strong evidence for acute pancreatitis. Lipase is more specific than amylase. The other options contain elements but do not form the complete clinical picture.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The bluish discoloration of the flanks observed in severe acute hemorrhagic pancreatitis is primarily due to what physiological mechanism?
सही उत्तर: ख) Capillary leak leading to fluid accumulation in the peritoneal cavity
The correct answer is 1. Capillary leak leading to fluid accumulation in the peritoneal cavity is the primary cause of bluish flank discoloration due to edema and subsequent vascular congestion. The other options represent alternative mechanisms but are not directly associated with this specific presentation. Options 2 & 3 describe processes unrelated to pancreatitis, while option 4 describes lymphatic drainage which isn't the dominant issue.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant is found to have a persistent, loud clicking sound heard during auscultation over the cardiac apex. This finding is MOST consistent with:
सही उत्तर: ख) Patent Ductus Arteriosus
A 'boot-shaped' heart on chest X-ray classically indicates patent ductus arteriosus (PDA), due to the increased blood flow around the unclosed shunt. The other conditions present with distinct and less typical radiological findings.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 3-year-old boy is diagnosed with acute lymphoblastic leukemia (ALL). Which of the following chemotherapy regimens is MOST commonly used as a first-line treatment in Nepal?
सही उत्तर: ग) VRHS (Vincristine, Prednisone, Dexamethasone, High-dose Methotrexate)
VRHS is the most frequently utilized first-line chemotherapy regimen for ALL in Nepal's pediatric oncology centers. While other regimens are available, VRHS has demonstrated favourable efficacy and tolerability within the local context of patient demographics and treatment resources.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 32 weeks gestation presents with vaginal bleeding and abdominal pain. Transvaginal ultrasound reveals a gestational sac within the fallopian tube. The immediate management should prioritize:
सही उत्तर: घ) Surgical evacuation of the ectopic pregnancy
Methotrexate is the standard first-line pharmacological treatment for unruptured ectopic pregnancies in haemodynamically stable women. While other interventions may be needed later, methotrexate offers a targeted approach to reduce trophoblastic tissue growth. The other options address different aspects of management but are not the initial priority.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-month-old infant presents with intermittent fever, poor weight gain, and a slightly enlarged liver. Laboratory tests reveal elevated levels of alpha-fetoprotein. Which of the following conditions should be MOST strongly considered?
सही उत्तर: घ) Wilson’s Disease
Elevated alpha-fetoprotein is a key diagnostic marker for Wilson's disease, a genetic disorder characterized by copper accumulation. Pyoia, galactosemia and hemochromatosis present with different clinical presentations which do not align with the provided symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements best describes the primary function of the sinoatrial node (SA node)? (a) To filter blood returning to the heart. (b) To initiate and regulate the heartbeat through spontaneous electrical impulses. (c) To receive signals from baroreceptors and adjust heart rate accordingly. (d) To store calcium ions for muscle contraction.
सही उत्तर: ख) (b) To initiate and regulate the heartbeat through spontaneous electrical impulses.
The SA node, also known as the pacemaker of the heart, generates electrical impulses that trigger each heartbeat. This is achieved through spontaneous depolarization, making (b) the correct answer. Options (a), (c), and (d) describe other functions related to cardiovascular control or calcium regulation but aren't the primary role of the SA node.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 42-year-old male undergoes exploration laparotomy following blunt abdominal trauma. The surgeon identifies a significant hematoma involving the spleen and left kidney. Which of the following is MOST important to assess immediately?
सही उत्तर: ख) Splenic Infarction
Splenic infarction, often occurring due to decreased blood flow secondary to trauma, is a common complication following splenic rupture and significantly impacts patient prognosis. While other injuries are possible, splenic infarction needs immediate attention.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which surgical procedure is MOST frequently used for the treatment of symptomatic mitral valve stenosis?
सही उत्तर: क) Percutaneous Balloon Valvuloplasty (PBV)
Percutaneous Balloon Valvuloplasty (PBV) is the standard initial treatment for symptomatic mitral valve stenosis, aiming to widen the narrowed valve opening. While other procedures may be considered later, PBV offers a less invasive and often effective solution.
💬 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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