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 presence of pneumobilia and small bowel obstruction alongside an ectopic gallstone on imaging strongly suggests which diagnosis?
सही उत्तर: ग) Rigler's Triad
Rigler’s triad – pneumobilia, small bowel obstruction and an ectopic gallstone – is a classic radiological finding indicative of an ectopic pregnancy. The other options represent distinct pathologies that may occasionally present with similar imaging features but do not define the triad.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following bacterial species is most commonly associated with postoperative wound infections following surgical procedures in Nepal?
सही उत्तर: क) *Staphylococcus aureus*
*Staphylococcus aureus* is widely recognized as a leading cause of postoperative wound infections, particularly in hospital settings. The other options represent opportunistic pathogens but are less frequently implicated in clean surgical procedures.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant’s temperature is 36.5°C (97.7°F). The baby demonstrates signs of lethargy and poor feeding. Which intervention should be implemented immediately to prevent neonatal hypothermia?
सही उत्तर: ग) C. Skin-to-skin contact with the mother.
Option C is correct. Skin-to-skin contact facilitates heat transfer from the mother to the baby, effectively raising and stabilizing the infant’s temperature. Options A, B, and D are inappropriate interventions for initial management of neonatal hypothermia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In the context of assessing cervical readiness for labor induction, what is the primary purpose of the Bishop Score?
सही उत्तर: ख) B. To evaluate the degree of dilation, effacement, position, and station of the cervix.
Option B is correct. The Bishop Score is a clinical assessment tool that evaluates five parameters—effacement, dilatation, consistency, position, and cervical transit—to predict the likelihood of successful induction of labor. These factors directly influence how easily the cervix responds to external stimuli. Option A is incorrect as gestational age is determined through ultrasound or fundal height measurement. Options C and D are irrelevant to the core purpose of assessing cervical readiness.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-year-old child is diagnosed with a diffuse, lace-like rash appearing primarily on his limbs after experiencing a mild viral infection. Which of the following conditions is most consistent with this presentation?
सही उत्तर: ग) C. Rubella (German Measles).
Option B is correct. Roseola infantum, commonly known as sixth disease, presents with a characteristic lacy rash following a viral illness in young children. The bright red ‘slapped cheek’ appearance is also typical. Option A is incorrect because Measles produces maculopapular lesions distributed across the body. Option C resembles Rubella but the rash pattern and presentation are less consistent than Roseola. Option D represents Chickenpox which typically involves vesicles, not a lace-like rash.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 32-year-old female presents with severe pelvic pain and vaginal bleeding. Examination reveals a uterus that is significantly smaller than expected for gestational age. Further investigation confirms primary amenorrhea and an absent uterus. What is the most likely diagnosis?
सही उत्तर: ग) C. Mayer-Rokitansky-Kuster-Hauser (MRKH) Syndrome.
Option C is correct. The clinical presentation—primary amenorrhea, absent uterus, and normal breasts—strongly suggests MRKH syndrome. This congenital anomaly disrupts uterine development. Option A is incorrect because ectopic pregnancy typically presents with acute abdominal pain but with a defined gestational age. Option B is less likely given the absence of a uterus. Option D doesn't usually present with these features.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the primary mechanism of action for intravenous fluids administered during initial resuscitation according to WHO’s Plan C?
सही उत्तर: क) A. Administration of isotonic saline to rapidly expand intravascular volume and increase cardiac output.
Option C is correct. Plan C utilizes Ringer’s Lactate, which contains electrolytes in a physiologically balanced ratio, mimicking plasma composition. This helps rehydrate tissues and maintain electrolyte balance effectively. The other options involve solutions with imbalances or mechanisms not aligned with the core principles of initial resuscitation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Following a forceful vomiting episode (Boerhaave syndrome), what immediate complication should the surgical team be most vigilant for?
सही उत्तर: ख) Gastric Rupture
The primary and most life-threatening consequence of Boerhaave syndrome is spontaneous full-thickness rupture of the esophagus, which can lead to mediastinitis and gastric contents entering the chest cavity. The other options are less immediate concerns.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 12-year-old girl presents with intermenstrual bleeding and lower abdominal pain. Pelvic examination reveals a nodule in the right adnexa. Which diagnostic test is MOST helpful in confirming the diagnosis?
सही उत्तर: ग) Hysteroscopy
Hysteroscopy provides direct visualization of the uterine cavity and allows for biopsy of any suspicious lesions, which is the gold standard for diagnosing endometriosis. Ultrasound can show adnexal masses, but it doesn't allow for tissue sampling. MRI is helpful but less readily available than hysteroscopy.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant is exhibiting signs of respiratory distress, including grunting and nasal flaring. Pulse oximetry readings are consistently below 90%. What initial step in resuscitation should be taken?
सही उत्तर: क) Initiate positive pressure ventilation with a bag-mask
With low oxygen saturation, immediate intervention is crucial. Positive pressure ventilation via bag-mask is the standard initial step in resuscitation of a respiratory distress infant. Fluids should be given only after initiation of ventilation.
💬 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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