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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Which of the following statements best describes the role of the sarcomere in muscle contraction?
सही उत्तर: ख) It is the basic structural and functional unit of a muscle fiber, containing myofibrils composed of actin and myosin filaments.
The sarcomere, consisting of actin and myosin filaments, is the fundamental building block of muscle contraction. The other options describe ATP production, extracellular fluid, or muscle tone – but none accurately define the structure responsible for force generation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The Km value of an enzyme reflects its affinity for which substance?
सही उत्तर: क) Substrate concentration
Km (Michaelis-Menten constant) represents the substrate concentration at which the reaction rate is half of Vmax. The other options represent different components involved in enzymatic reactions, but Km specifically relates to the enzyme's binding affinity for its substrate.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements regarding the primary function of erythrocytes is MOST accurate?
सही उत्तर: क) They primarily transport oxygen through hemoglobin
Erythrocytes (red blood cells) are specialized for oxygen transport. Hemoglobin is the key protein responsible for binding and carrying oxygen. The other options describe functions of other cell types – platelets, smooth muscle, and leukocytes respectively.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with significant abdominal pain and distension post-operatively. Imaging reveals widespread dilatation of the colon without evidence of mechanical obstruction. This condition is most frequently observed in:
सही उत्तर: क) Elderly patients following extensive surgery
This presentation is characteristic of spurious colonic dilatation, commonly seen in elderly patients post-operatively due to reduced peristalsis and impaired autonomic reflexes. It’s distinct from obstruction or IBD.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 65-year-old male patient undergoes an exploratory laparotomy for suspected bowel obstruction. Examination reveals a gallstone lodged within the ileum. What is this condition termed?
सही उत्तर: ख) Crohn’s Disease
Gallstone ileus refers to the passage of a gallstone through the gallbladder wall and into the small bowel, typically lodging within the ileum. Crohn's disease can cause obstructions but wouldn’t present with a visible stone. Adhesions or lymphadenitis aren't the primary mechanism for stone entrapment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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During a laparoscopic cholecystectomy, significant bleeding occurs from the cystic artery. The surgeon decides to employ the Pringle maneuver. What anatomical structure is being occluded?
सही उत्तर: ग) Cystic Artery
The Pringle maneuver specifically targets the cystic artery, which supplies blood to the gallbladder and is a frequent source of bleeding during laparoscopic cholecystectomy. The other arteries listed do not typically require selective occlusion during this procedure.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the pathophysiology of post-operative ileus?
सही उत्तर: ग) Transient impairment of gastrointestinal motility secondary to inflammation
Post-operative ileus involves a transient period of decreased GI motility, most likely due to a combination of factors including opioid analgesics, autonomic imbalance, and inflammatory mediators. While adhesions can cause obstruction, they don’t fully explain the initial phase of ileus.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with sudden onset severe pain in the right lower quadrant, guarding, and rebound tenderness. Physical examination reveals positive McBurney’s point sign. What is the MOST likely diagnosis?
सही उत्तर: क) Appendicitis
Appendicitis is the classic presentation with right lower quadrant pain, guarding, and rebound tenderness, aligning perfectly with McBurney's point. Cholecystitis typically presents with right upper quadrant pain, diverticulitis with left lower quadrant symptoms, and a perforated colon leads to generalized peritonitis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with severe hypotension following acute blood loss. Which of the following pharmacological interventions represents the MOST immediate and effective treatment to address the underlying pathophysiology driving this situation?
सही उत्तर: ग) Injecting intravenous epinephrine (adrenaline)
Epinephrine is a sympathetic agonist that directly increases blood pressure by raising heart rate and vasoconstriction. This directly addresses the physiological response to blood loss – reduced venous return and decreased cardiac output. Albumin helps with volume expansion but doesn’t address the primary mechanism of hypotension in acute blood loss; corticosteroids, steroids and iron supplements are not relevant for this scenario.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following pathological findings would MOST strongly indicate an active fungal infection with Aspergillus species, as visualized on bronchoalveolar lavage (BAL) samples?
सही उत्तर: घ) Detection of yeast-like organisms with dichotomous branching septa
Aspergillus infections often present with characteristic septate hyphae (branching septa) which are easily visualized in BAL samples. The presence of yeasts would be expected, but the key feature is the septal morphology. Lymphocyte predominance suggests immune response, crystalline material could indicate another condition, and yeast-like organisms alone aren’t diagnostic of Aspergillus.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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