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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What is the characteristic change seen on examination of a patient presenting with acute cholecystitis?
सही उत्तर: ख) B) Localized tenderness in the right upper quadrant accompanied by fever and guarding
Option B is correct. Right upper quadrant tenderness, fever, and guarding are classic signs of acute cholecystitis due to inflammation and infection in the gallbladder. Options A, C, and D represent other conditions presenting with abdominal pain.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with acute abdominal pain localized to McBurney's point, fever, and rebound tenderness. Which diagnostic test is MOST likely to confirm the diagnosis?
सही उत्तर: ख) B) Ultrasound examination of the right lower quadrant
Option B, ultrasound examination of the right lower quadrant, is the most appropriate initial diagnostic test. It's non-invasive and highly sensitive for detecting an inflamed appendix at McBurney’s point. CT scan would be a later step if ultrasound inconclusive, MRI and ascitic fluid analysis are less efficient in this specific scenario.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary objective of applying a Pringle maneuver during liver surgery?
सही उत्तर: क) A) To decrease intrahepatic venous pressure and reduce bleeding
Option A is correct. The Pringle maneuver involves temporary occlusion of the hepatic veins, thus decreasing intrahepatic venous pressure and consequently reducing blood flow from the liver into the vena cava, which subsequently reduces bleeding. Options B, C, and D are incorrect as they misrepresent the mechanism and purpose of the procedure.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The presence of ‘Kernig’s sign’ (pain with leg flexion when hip is extended) strongly suggests what underlying neurological condition?
सही उत्तर: ख) B) Cauda equina syndrome
Option B, Cauda equina syndrome, is the correct answer. The Kernig’s sign arises from irritation of the L2-L4 nerve roots due to compression in this area, causing pain with hip extension and leg flexion. Options A, C, and D represent alternative neurological conditions but lack the specific clinical presentation associated with the Kernig's sign.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the pathophysiology of strangulated bowel leading to ischemia and necrosis?
सही उत्तर: ख) B) Microcirculatory dysfunction resulting in reduced blood flow to the intestinal wall
Option B is correct. Strangulated bowel often results from vascular compression, leading to microcirculatory failure – a disruption of the small blood vessels supplying the bowel wall. This severely reduces oxygen delivery, causing ischemia and subsequent necrosis. Options A, C, and D are plausible but misinterpret the primary mechanism of intestinal ischemia in strangulation scenarios.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a newborn presenting with bilious vomiting and abdominal distension, what is the MOST likely diagnosis?
सही उत्तर: ख) B. Intestinal Atresia
The combination of bilious vomiting and abdominal distension, particularly in a newborn, is highly suggestive of pyloric stenosis due to the obstruction of food within the enlarged pylorus. The 'double bubble' sign on X-ray further supports this diagnosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant is diagnosed with persistent pulmonary hypertension (PPHN). Which of the following medications is MOST commonly used to treat PPHN?
सही उत्तर: ख) B. Prostaglandin E1 (PGE1)
Prostaglandin E1 (PGE1) is the mainstay of treatment for PPHN, as it stimulates vasoconstriction and promotes pulmonary vascular closure. Magnesium sulfate is used for preterm labor, terbutaline for bronchopulmonary dysplasia, and phenobarbital is an anticonvulsant.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents with persistent lower abdominal pain and vaginal bleeding in the third trimester. Ultrasound reveals a fibroid that has undergone necrosis and infarction. What is the MOST appropriate immediate management?
सही उत्तर: घ) D. Close monitoring for signs of preterm labor
The described scenario – a necrotic fibroid – indicates severe ischemia and infarction, which significantly increases the risk of uterine rupture and sepsis. While conservative management is sometimes an option, prompt antibiotic administration is crucial in this situation. Surgical evacuation may be necessary but should be considered cautiously given the high risk.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-month-old infant presents with symptoms of fever, irritability, and a diffuse maculopapular rash. Examination reveals splenomegaly. Which of the following viral infections is MOST likely?
सही उत्तर: क) A. Rubella virus
The presentation – fever, maculopapular rash, and splenomegaly – strongly suggests rubella infection. While CMV and VZV can cause rashes, they typically don’t present with splenomegaly as prominently. Parvovirus B19 is associated with Fifth Disease but not usually this intense of a systemic illness.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the role of carbonic anhydrase in erythropoiesis (red blood cell formation)?
सही उत्तर: ख) It catalyzes the conversion of bicarbonate to carbon dioxide, facilitating oxygen transport.
Carbonic anhydrase is essential for maintaining proper pH balance and enabling the efficient uptake of carbon dioxide, which is then utilized in oxygen binding and release within red blood cells. Options 2, 3 and 4 misrepresent the function of carbonic anhydrase.
💬 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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