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 findings would MOST strongly suggest an incarcerated inguinal hernia?
सही उत्तर: क) A. Palpable bulge in the lower abdomen without a palpable femoral pulse
Option A is correct as incarceration implies the bowel loop has become trapped, causing a non-reducible mass and potential complications like strangulation. Options B, C, and D represent other hernia types or associated symptoms that don't definitively indicate incarceration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-week-old infant is diagnosed with neonatal sepsis based on clinical signs (fever, irritability) and elevated white blood cell count. Which laboratory test is MOST crucial for identifying the causative organism?
सही उत्तर: ग) C. Blood Culture
Option C, a Blood Culture, is essential as it directly identifies the bacterial pathogen causing the infection. While CBC provides supporting information, it doesn't identify the specific organism. Options B and D are ancillary tests not for diagnosis of sepsis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the key clinical feature that distinguishes meconium ileus in premature infants from other causes of abdominal distension?
सही उत्तर: ग) C. Radiographic evidence of gas-filled bowel loops containing meconium
Option C is correct as 'Meconium ileus' specifically presents with characteristic radiographic findings – gas-filled bowel loops filled with meconium, a hallmark of cystic fibrosis. Options A and B can occur in other conditions, while option D would be indicative of another underlying pathology.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a pregnant woman experiencing significant vaginal bleeding during the third trimester, what is the MOST immediate diagnostic step to determine the cause?
सही उत्तर: ग) C. Blood tests including coagulation studies and hemoglobin level
Option B is correct because a transvaginal ultrasound allows visualization of the placenta's position, crucial in diagnosing retained products of conception (placenta previa) or other placental abnormalities causing bleeding. Option A involves antibiotics with no direct connection to the primary diagnosis; option C provides supporting information but isn’t the initial action, and option D could exacerbate the situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant presents with conjugated hyperbilirubinemia (jaundice) appearing within 24 hours of birth. Which of the following is the MOST likely etiology?
सही उत्तर: घ) D. Physiological neonatal jaundice
Option C, Crigler-Najjar syndrome, is a rare but serious genetic condition causing severe unconjugated hyperbilirubinemia in newborns. While physiological jaundice (option D) is common, it typically appears later than 24 hours. Options A and B are causes of bilirubin elevation but don't specifically explain the rapid onset seen here.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the primary mechanism behind postpartum hemorrhage after vaginal delivery?
सही उत्तर: ख) B. Coagulation abnormalities stemming from placental separation complications
Option B is correct as excessive bleeding after delivery often involves disruptions in the coagulation cascade due to factors released during placental separation. Option A describes oxytocin’s role in contraction, not the mechanism for hemorrhage; option C reflects prolonged labor complications, and option D describes uterine atony.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following is the MOST appropriate initial management step for a patient presenting with signs of acute intestinal obstruction?
सही उत्तर: घ) Surgical exploration (laparotomy) without delay
In suspected acute intestinal obstruction, prompt surgical intervention is often crucial due to the risk of bowel ischemia and perforation. While other measures like nasogastric decompression or antibiotics might be part of the overall management plan, immediate surgical exploration is the priority.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary purpose of performing a Jackson-Pratt procedure for treating an ileus?
सही उत्तर: ख) Reduction of gastric distention by diverting stomach contents into the abdominal cavity
The Jackson-Pratt procedure involves creating a communication between the duodenum and the right atrial end of the inferior vena cava. This allows for continuous drainage of gastric contents, relieving pressure and facilitating bowel rest necessary for recovery from ileus.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Following a traumatic splenic rupture, which of the following vital signs is MOST likely to be affected?
सही उत्तर: ख) Diastolic Blood Pressure
Splenic rupture frequently leads to significant hemorrhage and subsequent hypovolemic shock. This typically manifests as a drop in diastolic blood pressure, reflecting reduced intravascular volume. While other parameters can be affected, the blood pressure change is the most immediate and critical sign.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the primary surgical technique used for open repair of an inguinal hernia?
सही उत्तर: क) Lichtenstein Repair
The Lichtenstein repair is the most common and widely accepted open surgical procedure for inguinal hernias. It involves a horizontal incision, mesh placement, and meticulous suture techniques. The other options represent alternative approaches that are not standard or primarily used for inguinal hernia repair.
💬 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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