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 6-year-old boy is brought to the clinic with a history of recurrent episodes of painful, bright red vaginal bleeding, typically occurring during his menstrual periods. Examination reveals a normal pelvic exam but the patient reports significant itching. What is the MOST likely underlying cause?
सही उत्तर: घ) Vaginismus
The correct answer is 3. Vaginismus, characterized by involuntary muscle contractions in the pelvic area, often causes painful, recurrent vaginal bleeding and itching during menstruation. PID typically presents with other systemic symptoms, candidiasis shows characteristic discharge, and adenomyosis doesn’t cause external bleeding.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents with severe vaginal bleeding and abdominal pain in her third trimester. Initial ultrasound reveals a large, cystic mass within the uterus. Which histological feature would MOST likely be observed to confirm a diagnosis of gestational trophoblastic neoplasia (GTN)?
सही उत्तर: क) Call–Exner bodies
The correct answer is 0. Call-Exner bodies, characterized by cellular necrosis and inflammatory infiltrate, are a hallmark feature of GTN tumors. Macrophages alone aren't diagnostic, granulomatous inflammation isn’t typical, and fibromuscular stroma wouldn't explain the specific pathology.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following findings MOST strongly suggests a diagnosis of Congenital Hip Dysplasia in a newborn infant?
सही उत्तर: ख) Decreased activity level and preference to lie with legs flexed
The correct answer is 1. Infants with congenital hip dysplasia often demonstrate limited range of motion in the affected hip, preferring to lie with their legs flexed to minimize pain. The other options represent unrelated clinical findings; increased Moro reflex and a bulge at the greater trochanter are not indicative of hip dysplasia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements accurately describes the process of oxidative phosphorylation?
सही उत्तर: ग) The movement of electrons along an electron transport chain, coupled with ATP synthesis
Oxidative phosphorylation represents the final stage of cellular respiration where ATP is generated through a series of redox reactions facilitated by the electron transport chain. The other options describe different phases or processes in metabolism.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Given a patient presenting with persistent hyperkalemia, muscle weakness, and ECG abnormalities, which of the following cellular compartments is most likely contributing to this imbalance?
सही उत्तर: घ) Endoplasmic Reticulum
The sarcoplasmic reticulum (SR) plays a critical role in potassium homeostasis within muscle cells. Hyperkalemia arises from SR dysfunction. The other options have different primary functions and are not directly linked to potassium regulation in this clinical scenario.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The World Health Organization (WHO) recommends a single dose of Vitamin A supplementation for children aged 6-48 months with measles. What is the recommended dosage?
सही उत्तर: घ) 100 mg
The WHO's standard recommendation is 50mg of Vitamin A administered as a single dose to children aged 6-48 months who have experienced measles. Options 1, 2, and 4 present incorrect dosages.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 12 weeks gestation presents with persistent vaginal bleeding. Transvaginal ultrasound reveals a viable fetus. What is the MOST appropriate initial management strategy, considering current guidelines?
सही उत्तर: ख) Administration of intravenous tranexamic acid followed by expectant management
In the case of persistent vaginal bleeding with a viable fetus detected on ultrasound at 12 weeks, the most appropriate initial approach is typically expectant management. This allows for observation and serial ultrasounds to monitor fetal viability and control bleeding. The other options are inappropriate in this scenario.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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According to the 2072 Constitution of Nepal, what is the primary responsibility of the Ministry of Health and Population regarding maternal health services?
सही उत्तर: ख) Establishing and regulating a national system of healthcare facilities
The Constitution outlines that the Ministry of Health and Population is responsible for establishing and regulating a national system of healthcare facilities, including maternal health services. Options 2 and 3 are incorrect because they misrepresent the ministry's duties; option 4 incorrectly limits support to private institutions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a newborn presenting with persistent tachycardia after birth, which of the following is the MOST likely immediate cause based on standard neonatal assessment?
सही उत्तर: ख) Respiratory Distress Syndrome (RDS)
Persistent tachycardia in a neonate is frequently associated with RDS due to pulmonary hypertension and respiratory distress. While hypocalcemia, hyperbilirubinemia, and sepsis can cause neonatal distress, they typically present with different clinical features. RDS is the most common immediate etiology for tachypnea in newborns.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary diagnostic criterion for cervical intraepithelial neoplasia (CIN) Grade 2 based on current guidelines?
सही उत्तर: ख) Biopsy showing dyskeratosis and nuclear atypia
CIN Grade 2 is diagnosed through a biopsy revealing dyskeratosis (abnormal keratinocyte maturation) and nuclear atypia (changes in the nucleus's appearance) within the epithelium. Options 1 and 3 describe less specific findings, while option 2 incorrectly focuses on only one feature.
💬 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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