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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AL amyloidosis, frequently associated with plasma cell dyscrasias, originates from: (a) Bacterial colonization of the bloodstream (b) Degradation products of fibrillar collagen (c) Lipid peroxidation resulting from oxidative stress (d) Viral nucleic acids replicating within cells
सही उत्तर: ख) (b) Degradation products of fibrillar collagen
AL amyloid is composed of misfolded and aggregated immunoglobulin light chains, primarily derived from degraded fibrillar collagen. This process is common in conditions like multiple myeloma. Options (a), (c) and (d) represent distinct pathological mechanisms not directly linked to AL amyloid formation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following hematological findings is MOST characteristic of iron deficiency anemia? (a) Elevated serum ferritin levels (b) Increased mean corpuscular volume (MCV) (c) Pancytopenia with leukoerythrocytosis (d) Normal peripheral blood smear with no abnormalities
सही उत्तर: क) (a) Elevated serum ferritin levels
Elevated serum ferritin is a hallmark of iron deficiency anemia. The body attempts to compensate for low iron stores by producing more ferritin, which is then released into the circulation. Options (b), (c) and (d) represent other conditions or normal findings, making elevated ferritin the most specific indicator.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A researcher wants to determine the prevalence of hypertension among adults aged 30-60 years in Kathmandu Valley. Which data collection method would yield the MOST representative sample for this study?
सही उत्तर: ख) Stratified Random Sampling based on income level
Stratified random sampling, where the population is divided into strata (e.g., income levels) and then randomly selected within each stratum, ensures proportional representation and provides a more accurate estimate of prevalence across different groups.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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According to Nepali public health guidelines, what is the primary objective of the Vitamin A supplementation program for children aged 6-59 months?
सही उत्तर: ख) To provide a preventative dose to bolster immune defenses against infections
The Vitamin A supplementation program focuses on prevention by giving a prophylactic dose, aiming to strengthen the immune system and reduce susceptibility to infections, especially in young children vulnerable to vitamin A deficiency.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A community health worker identifies a cluster of suspected measles cases in a remote village. Which epidemiological study design would BEST allow them to investigate the temporal association between exposure to a particular environmental factor (e.g., water source) and the onset of illness?
सही उत्तर: ख) Case-Control Study
A case-control study is ideal for investigating potential exposures related to a disease outbreak, particularly when looking at past exposure events. The cases (affected individuals) and controls (unaffected individuals) are compared regarding their exposure history.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The term 'herd immunity' describes which of the following scenarios in a community regarding infectious diseases?
सही उत्तर: ख) A sufficient proportion of the population is immune to an infectious agent, providing indirect protection to those who are not immune
Herd immunity refers to the protective effect gained when a significant portion of a population is immune to an illness, limiting transmission even among vulnerable, unvaccinated individuals. It’s crucial for controlling outbreaks and protecting those unable to be vaccinated.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following is the MOST effective strategy for preventing diarrheal diseases in young children in Nepal, based on WHO guidelines?
सही उत्तर: घ) Educating mothers about handwashing with soap and safe water sources
Providing access to clean water and promoting good hygiene practices (handwashing) is the cornerstone of diarrheal disease prevention. While breastfeeding is beneficial, it doesn't directly address contamination. Introducing complementary foods without hygiene can exacerbate the problem.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with a history of chronic liver disease and demonstrates amyloid deposition in his kidney biopsy. What is the most likely underlying etiology for this finding? (A) Alcoholic hepatitis. (B) Non-alcoholic steatohepatitis (NASH). (C) Primary Amyloidosis. (D) Viral Hepatitis.
सही उत्तर: घ) (D) Viral Hepatitis.
Primary amyloidosis (AL amyloid) is characterized by the production of abnormal amyloid proteins and is frequently associated with plasma cell dyscrasias like multiple myeloma, which can manifest as kidney amyloid deposits. The other conditions listed don't typically cause primary amyloid deposition.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following describes the pathogenesis of diabetic retinopathy? (A) Chronic inflammation caused by immune cell infiltration. (B) Microvascular thrombosis leading to tissue ischemia. (C) Hyperglycemia-induced angiogenesis and vascular leakage. (D) Autoimmune attack against retinal capillaries.
सही उत्तर: घ) (D) Autoimmune attack against retinal capillaries.
Hyperglycemia drives the key pathological processes of diabetic retinopathy: increased vascular permeability, neovascularization (angiogenesis), and ultimately microvascular damage due to ischemia. Inflammation is secondary; thrombosis and autoimmunity aren't central to the disease's initiation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is diagnosed with acute pancreatitis. Which of the following pharmacological interventions would be most effective in reducing further pancreatic damage? (A) Administration of corticosteroids to reduce inflammation. (B) Concurrent administration of broad-spectrum antibiotics to combat infection. (C) Initiation of intravenous somatostatin to inhibit digestive enzyme secretion. (D) Application of topical cooling pads to lower pancreatic temperature.
सही उत्तर: ग) (C) Initiation of intravenous somatostatin to inhibit digestive enzyme secretion.
Somatostatin directly inhibits the release of digestive enzymes from the pancreas, which is a primary mechanism causing damage in acute pancreatitis. Corticosteroids and antibiotics have limited efficacy, and lowering temperature isn't effective as a pharmaceutical intervention.
💬 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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