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 65-year-old patient presents with sudden onset of severe abdominal pain, rigidity, guarding, and rebound tenderness. Vital signs include hypotension and tachycardia. What is the MOST immediate concern in this presentation?
सही उत्तर: ग) Perforated Diverticulitis
Reynolds' pentad (rigidity, guarding, hypotension, tachycardia, fever) strongly suggests peritonitis, most commonly due to septic shock secondary to acute mesenteric ischemia. While other conditions could present similarly, the combination of these signs is highly indicative of this critical diagnosis requiring immediate intervention.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following investigations is MOST appropriate for initial assessment of suspected appendicitis based on clinical presentation?
सही उत्तर: ख) Abdominal CT Scan with IV Contrast
Clinical suspicion of appendicitis, coupled with findings like right lower quadrant pain and elevated white blood cell count, points to ultrasound as the most rapid and cost-effective initial investigation. While CT scans are highly accurate, they involve radiation exposure; CBC provides supportive evidence but isn't diagnostic. MRI is generally reserved for complex cases.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 3-year-old child presents with a history of recurrent otitis media. Which of the following is the MOST important preventative measure to reduce the frequency of these infections?
सही उत्तर: घ) Frequent handwashing and avoiding close contact with sick individuals
Promoting good hygiene practices, including frequent handwashing and minimizing exposure to infections, is a cornerstone of preventing recurrent otitis media. While Hib vaccination is important, it does not directly address the underlying predisposition to ear infections, and prophylactic antibiotics can lead to antibiotic resistance.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 32 weeks gestation presents with sudden onset of lower abdominal pain and vaginal bleeding. What is the MOST concerning potential diagnosis?
सही उत्तर: ख) Normal Placental Abruption
Placental abruption, characterized by sudden pain and bleeding, is a serious obstetric emergency with significant risk of maternal and fetal morbidity. While placenta previa can cause vaginal bleeding, it typically doesn't present with acute lower abdominal pain. DIC and gestational diabetes are less immediately life-threatening.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the pathogenesis of neonatal hyperbilirubinemia?
सही उत्तर: ख) Increased bilirubin production by the infant's liver
The primary cause of neonatal hyperbilirubinemia is increased bilirubin production, particularly from the breakdown of fetal hemoglobin as it is replaced by adult hemoglobin. Conjugation processes within the liver are essential for clearing bilirubin; reduced conjugation leads to accumulation. Decreased excretion into the urine doesn't explain the elevated levels.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-year-old child presents with a persistent cough, rhinorrhea, and low-grade fever. Physical examination reveals wheezing. Based on these symptoms, which of the following is the MOST appropriate initial management?
सही उत्तर: ग) Initiation of inhaled bronchodilators such as albuterol
Inhaled bronchodilators (like albuterol) are the standard initial management for wheezing in a child, primarily targeting airway constriction. Amoxicillin is inappropriate without evidence of bacterial infection, epinephrine isn’t appropriate for routine asthma, and simple observation without intervention would delay effective relief.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A one-month-old infant is brought to the clinic with a fever of 38.5°C, irritability, and poor feeding. Physical examination reveals bulging fontanelles and lethargy. Which of the following is the MOST likely diagnosis?
सही उत्तर: क) Sepsis
Sepsis is the most probable diagnosis given the fever, irritability, lethargy, and bulging fontanelles in a newborn. Pneumonia, bronchiolitis, and congenital heart disease are possibilities but don't fully account for the systemic signs present.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 10-year-old child presents with painful urination, frequency, and urgency. Urinalysis reveals microscopic hematuria and pyuria. Which of the following conditions should be considered in the differential diagnosis?
सही उत्तर: क) Acute Otitis Media
The combination of urinary symptoms, hematuria, and pyuria strongly points towards a Urinary Tract Infection (UTI). Options 1, 2, and 3 describe different respiratory illnesses without the key characteristic findings in this case.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant is diagnosed with transposition of the great arteries. Which of the following findings would be MOST characteristic on a chest X-ray?
सही उत्तर: ख) Egg-on-a-string cardiac silhouette
The 'egg-on-a-string' appearance describes the classic radiographic finding in transposition of the great arteries where the pulmonary artery is connected to the aorta and there is a shunt between them. The other options represent normal or abnormal heart shapes but not this specific presentation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following laboratory findings would be MOST suggestive of congenital hypothyroidism in an infant?
सही उत्तर: ख) Low serum TSH and low free T4
Congenital hypothyroidism is characterized by inappropriately high levels of thyroid stimulating hormone (TSH) in the presence of a normal or slightly reduced free thyroxine (T4). Options 2, 3, and 4 are not specific to congenital hypothyroidism.
💬 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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