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 pediatrician examines a newborn infant who has been diagnosed with severe oligohydramnios, pulmonary hypoplasia, and flattened facies. Which syndrome does this presentation MOST likely reflect?
सही उत्तर: ग) C) Turner Syndrome
The clinical features described – severe oligohydramnios, pulmonary hypoplasia, and flattened facies – are characteristic of the Potter sequence, a form of renal failure in utero that leads to systemic compromise. Each other option has distinct genetic causes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant is showing signs of respiratory distress after an elective caesarean section. The initial assessment reveals tachypnea. Which of the following is the MOST likely explanation for this finding?
सही उत्तर: घ) D) Congenital Heart Disease
Transient Tachypnea of Newborns (TTN), characterized by delayed clearance of fetal lung fluid, is the most common cause of tachypnea in term infants born via elective caesarean section that resolves within 24-48 hours. RDS requires longer duration of symptoms and is more prevalent in preterm infants.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 35-year-old woman presents with a diagnosis of ectopic pregnancy located in the cornual region. Which of the following is the MOST common treatment strategy?
सही उत्तर: ग) C) Medical Management with Methotrexate
Given the location and presentation, surgical removal (salpingectomy) is the standard first-line treatment for a cornual ectopic pregnancy to prevent further bleeding and potential life-threatening complications. Methotrexate is typically reserved for unruptured cases and early rupture.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 16 weeks gestation complains of recurrent painless bleeding and cervical dilatation during the second trimester. Which intervention is MOST appropriate in this scenario?
सही उत्तर: घ) D) Insertion of a Bakri balloon catheter
Recurrent painless second-trimester pregnancy loss with cervical dilatation is typically managed with conservative observation, including serial ultrasounds to evaluate the fetal viability. While other options might be considered in specific circumstances, expectant management aligns best with the clinical presentation. A D&C would carry significant risks.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant presents with jaundice, hyperbilirubinemia, and lethargy. Initial investigations reveal elevated serum bilirubin levels. Which of the following conditions is MOST likely responsible for this presentation?
सही उत्तर: ग) C) Neonatal Jaundice
Neonatal jaundice, often caused by physiological jaundice due to immature liver function and increased bilirubin production, is the most common cause of elevated serum bilirubin in newborns. Phenylketonuria presents with a distinct clinical picture involving metabolic disturbances affecting protein synthesis. Hemolytic anemia would present differently, and sepsis manifests with systemic signs and symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a newborn, the presence of a rapid, irregular, and forceful breathing pattern accompanied by nasal flaring and retractions indicates which condition?
सही उत्तर: ख) b) Respiratory Distress Syndrome (RDS)
Option (a) is correct – the described symptoms are highly characteristic of apnea of prematurity, a common finding in premature infants. Options (b), (c), and (d) present with different clinical presentations or severity levels.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pediatrician is evaluating a newborn infant who has been diagnosed with neonatal hypoglycemia. Which of the following interventions would be MOST appropriate as the initial step in management?
सही उत्तर: ग) c) Frequent monitoring of blood glucose levels and supplementation with breast milk or formula
Option (c) is correct – frequent monitoring of blood glucose levels is crucial in managing neonatal hypoglycemia. Supplementation with breast milk or formula is the initial approach to raising blood sugar. Options (a), (b), and (d) are not the most appropriate initial steps.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-year-old boy presents with delayed puberty. Physical examination reveals normal genitalia, but testicular volume is
सही उत्तर: घ) d) Primary hypogonadism
Option (c) is correct as CAH can cause delayed puberty due to excess androgens, which suppress the normal development of the testes. Options (a), (b), and (d) are less likely given the specific presentation of small testicular volume in a child with delayed pubertal onset.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn is diagnosed with congenital hip dysplasia. Which of the following maneuvers is MOST likely to be used as part of the physical examination to assess for subluxation?
सही उत्तर: क) a) Palpating the greater trochanter and lesser trochanter for symmetry
Option (a) is correct because the Ortolani and Barlow maneuvers, which involve palpating for movement at the hip joint, are standard methods used to detect subluxation in congenital hip dysplasia. Options (b), (c) and (d) are incorrect as they represent other techniques or assessments that may be part of a broader evaluation but aren't the primary tools for identifying hip instability.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements best describes the location and function of the Islets of Langerhans in the pancreas?
सही उत्तर: ख) Synthesize melanin for skin pigmentation
The Islets of Langerhans contain clusters of endocrine cells (beta and alpha cells) that secrete insulin and glucagon respectively, which are vital hormones in the regulation of carbohydrate metabolism and maintaining stable blood glucose concentration.
💬 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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