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
-
A newborn infant has a large, firm, non-tender mass on one side of the neck. The mass is palpable but does not move with respiration. What is the MOST likely diagnosis?
सही उत्तर: ख) Vascular birthmark (cavernous malformation)
A large, firm, non-tender neck mass in a newborn that doesn't move with respiration is most commonly a cavernous malformation, or vascular birthmark. These are congenital vascular abnormalities often presenting shortly after birth. Lymphadenopathy can be present but typically is tender and mobile.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A 6-year-old boy presents with fever, sore throat, and a sandpaper-like rash. Based on these findings, which of the following is the MOST immediate action to take?
सही उत्तर: ग) Perform a rapid strep test to confirm or rule out *Streptococcus pyogenes*
The clinical presentation of fever, sore throat, and sandpaper-like rash is highly suggestive of scarlet fever. A rapid strep test is the quickest and most reliable way to confirm *Streptococcus pyogenes* infection, which necessitates antibiotic therapy. Administering antibiotics immediately is critical in preventing complications.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A 32-year-old female presents to the clinic following a prolonged postpartum hemorrhage (PPH) after vaginal delivery. Initial assessment reveals no evidence of uterine atony, laceration, or retained placental fragments. Laboratory investigations show normal clotting parameters. What is the MOST likely underlying factor contributing to this PPH?
सही उत्तर: क) Uterine myomata (fibroids)
While various factors can contribute to PPH, uterine atony in the absence of obvious lacerations or retained products is frequently linked to subtle hormonal imbalances, specifically involving excess estrogen. Aromatase deficiency leads to decreased estrogen production and consequently, less contractile uterus tone. The other options are either unlikely given the scenario or have more specific presentations.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A newborn presents with respiratory distress, cyanosis, and a bounding pulse. Physical examination reveals a large patent ductus arteriosus (PDA). Which of the following interventions would be MOST appropriate as the initial management?
सही उत्तर: ख) Initiate indomethacin therapy to constrict the ductal smooth muscle
Indomethacin, a prostaglandin analogue, is the standard initial treatment for PDA by inhibiting prostaglandin synthesis and causing vasoconstriction of the ductus arteriosus. The other options are either inappropriate or would only provide symptomatic relief without addressing the underlying problem. This aligns with established guidelines for managing neonatal PDA.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
Which diagnostic test is considered the ‘gold standard’ for confirming a diagnosis of Hirschsprung disease?
सही उत्तर: ग) Anorectal Manometry & Biopsy
Anorectal manometry followed by a biopsy of the distal colon, demonstrating the absence of ganglion cells, is the gold standard test for diagnosing Hirschsprung disease. The other options provide supporting information but are not definitive diagnostic procedures.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A Rh-negative mother delivers a full-term Rh-positive baby. According to established protocols, what is the primary purpose of administering anti-D immunoglobulin?
सही उत्तर: ग) C. To prevent Rho(D) alloimmunization in the mother
Anti-D immunoglobulin (option C) is administered to Rh-negative mothers to prevent Rho(D) alloimmunization, which occurs when the mother's immune system recognizes the baby’s red blood cells as foreign. Treating existing sensitization isn't its primary function; anti-D prevents it from occurring in the first place.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A 28-year-old female is admitted to the hospital with a history of recurrent, painless vaginal bleeding in the third trimester of her pregnancy. The initial examination reveals bright red blood. What is the most likely diagnosis?
सही उत्तर: ग) C. Gestational Carcinoma of the Uterus
Gestational carcinoma of the uterus (option C) can present with painless, bright red vaginal bleeding in the third trimester and is a possibility needing further investigation. Placental abruption (option A) typically presents with abdominal pain, while threatened abortion (option D) would generally cause more significant cramping. Cervical cryptococcosis (option B) doesn’t usually present this way.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A newborn infant is diagnosed with congenital heart disease characterized by cyanosis and an ‘egg-on-a-string’ appearance on chest radiography. Which of the following conditions is most likely?
सही उत्तर: घ) D. Coarctation of the Aorta
A ventricular septal defect (option C) is frequently associated with a ‘egg-on-a-string’ cardiac silhouette on chest X-ray and presents with cyanosis, particularly in newborns. Tricuspid atresia (option A) and transposition of the great arteries (option B) have distinct radiographic findings. Coarctation of the aorta (option D) usually presents later in life.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
According to Nepali guidelines for Pediatric assessment, a 6-month-old infant is brought in exhibiting signs of respiratory distress. Auscultation reveals a respiratory rate of 40 breaths per minute. Which rate would be considered ‘fast breathing’ according to the IMNCI classification?
सही उत्तर: ख) B. 41-60 breaths per minute
Fast breathing in the IMNCI classification (option B) is defined as a respiratory rate of 41-60 breaths per minute for a child aged 2-12 months. A rate of 30-40 (A), 61-80(C), or 81-100 (D) would be considered normal ranges.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A pregnant woman presents with sudden onset lower abdominal pain, vaginal bleeding, and uterine tenderness. Based on these findings, which of the following conditions is most likely?
सही उत्तर: ख) B. Ectopic Pregnancy
Ectopic pregnancy (option B) aligns with the patient's symptoms – sudden abdominal pain, vaginal bleeding, and uterine tenderness. Placenta previa (option A) typically presents with painless vaginal bleeding, while threatened abortion (option C) usually involves milder cramping. Normal uterine contractions (option D) wouldn’t present with the severity of bleeding described.
💬 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।
नमस्ते! पाठ्यक्रम, सामान्य ज्ञान, भाषा परीक्षा वा कुनै प्रश्नको उत्तर बुझ्न सोध्नुहोस्।
AI ले गल्ती गर्न सक्छ। महत्वपूर्ण कुरा आधिकारिक स्रोतमा जाँच्नुहोस्।