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 60-year-old male presents with symptoms of fever, cough, and chest pain. He has a history of smoking and hypertension. Which of the following is the MOST appropriate initial diagnostic test to investigate his condition?
सही उत्तर: ख) Chest X-ray
A Chest X-Ray would be the most immediately appropriate step given the patient's symptoms and risk factors, as it could reveal pneumonia or other lung abnormalities. While CBC and urine analysis provide general information, they don’t directly address the key respiratory concerns. Blood culture is used for bacterial infections that require further investigation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The primary goal of ‘Health Education’ within a community medicine program is best described as:
सही उत्तर: ख) Promoting behavior change through knowledge and skills
Health education focuses on empowering individuals with the information and skills needed to make informed decisions about their health. The other options represent different approaches within the broader healthcare system, but not the core purpose of health education itself.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following risk factors is MOST strongly associated with an increased incidence of rheumatic heart disease in Nepal?
सही उत्तर: ग) Poor sanitation and lack of access to clean water
Poor sanitation and limited access to clean water are major contributors to the spread of infections like streptococcus, which lead to rheumatic heart disease. The other options represent healthy lifestyle factors that would *decrease* the risk.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A cluster of cases of acute gastroenteritis is observed among children attending a daycare center. Epidemiological investigation reveals that several parents recently traveled from an area with suspected contaminated food supply. This scenario best illustrates which principle of disease transmission?
सही उत्तर: क) Person-to-person transmission
Person-to-person transmission, specifically through fecal-oral route due to the infected parents’ travel and subsequent contact with children at the daycare center is the most accurate explanation. The other options are less likely given the provided scenario (environmental contaminants don't typically involve direct parent-child contact).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following diseases is MOST likely to be transmitted through contaminated water sources in a rural community setting, particularly during monsoon season?
सही उत्तर: ख) Typhoid Fever
Typhoid fever, caused by Salmonella typhi, is commonly spread via fecal-oral route and thrives in environments with inadequate sanitation. While tuberculosis, influenza, and cholera can be transmitted through water, typhoid’s link to poor hygiene makes it the most probable answer in a rural setting.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A biopsy specimen from the lung shows collections of amorphous eosinophilic material surrounding blood vessels, accompanied by inflammatory cell infiltration. Which histological finding most strongly suggests a diagnosis of Pneumocystis pneumonia (PCP)?
सही उत्तर: ग) Observation of characteristic 'net-like' aggregates of yeast-like organisms
The description – amorphous eosinophilic material surrounding vessels with inflammatory cells – is classic for PCP. The ‘net-like’ aggregates of *Pneumocystis jirovecii* (formerly *Pneumocystis carinii*) are a hallmark finding in lung biopsies, confirming the diagnosis. Options 1 and 3 represent other conditions; option 2 describes pulmonary hemorrhage.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In the context of clinical microbiology, what is the significance of a 'delicate' or ‘string test’ performed on an indole-positive bacterial culture?
सही उत्तर: क) It indicates the presence of acetoin formation and fermentation
The ‘delicate’ or ‘string test’ relies on the production of indigo dye by indole-producing bacteria. The blue color produced is a visual indicator of fermentation activity, linked to acetoin formation, which confirms indole positivity. Options 2 and 3 are incorrect. pH measurement is used for other tests.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following cellular changes is MOST consistently observed in chronic myeloid leukemia (CML)?
सही उत्तर: क) Hypercellularity of the bone marrow with small lymphocytes
CML is characterized by the Philadelphia chromosome translocation, leading to the BCR-ABL fusion gene. This drives uncontrolled proliferation of myeloid progenitor cells. Hypercellularity with specific blast features – small lymphocytes – supports this. Options 2, 3, and 4 reflect other hematological disorders.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A bacterial culture exhibits a positive catalase test. What does this indicate about the organism?
सही उत्तर: ख) The bacteria lacks enzymes to break down hydrogen peroxide
Catalase is an enzyme that breaks down hydrogen peroxide (H2O2). A positive catalase test indicates the presence of this enzyme, which is commonly found in Gram-negative bacteria. The other options relate to different bacterial characteristics or metabolic processes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the primary function of lysosomes within a eukaryotic cell?
सही उत्तर: ख) Digestion of cellular waste and debris
Lysosomes are responsible for breaking down complex molecules, including cellular waste. The other options represent functions of different organelles – protein synthesis, energy production, and gene regulation respectively. This aligns with the established role of lysosomes as the cell's ‘recycling center’.
💬 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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