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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Which of the following is the MOST accurate description of a 'Grey Area' Hernia? a) A protrusion through weakened abdominal muscles caused by chronic straining. b) A congenital anomaly involving the diaphragm. c) A hernia where the internal organ is covered by a thin layer of peritoneum. d) A defect in the rectus abdominis muscle wall near the umbilicus.
सही उत्तर: क) a) A protrusion through weakened abdominal muscles caused by chronic straining.
Option (a) accurately describes a Grey Area Hernia, which are often functional defects in the abdominal wall with little or no fat covering. The other options detail different types of hernias – congenital, peritonealized, and umbilical respectively.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 36 weeks gestation presents with sudden onset of severe abdominal pain, vaginal bleeding, and signs of hypovolemia. What immediate diagnostic test should be performed?
सही उत्तर: ख) MRI Scan of the Pelvis
A transvaginal ultrasound is the gold standard for diagnosing an unruptured ectopic pregnancy due to its high sensitivity. Options 2,3 and 4 are not essential in the initial management of suspected ectopic pregnancy.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 32-year-old woman presents with amenorrhea, bilateral galactorrhea, and hirsutism. Physical examination reveals an enlarged clitoris and androgenic alopecia. What is the most likely diagnosis?
सही उत्तर: ग) Hyperprolactinemia
The combination of amenorrhea, galactorrhea, hirsutism, and androgen excess strongly suggests CAH. PCOS can also present with these features but typically has irregular menstruation. Option 3 is less likely given the degree of virilization; option 4 is not commonly associated with such prominent masculinization symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following is a crucial intervention in managing preterm infants with respiratory distress syndrome (RDS)?
सही उत्तर: घ) High-frequency oscillatory ventilation (HFOV)
Prostaglandin E1 is routinely used to treat RDS and promote pulmonary surfactant production. While other options are supportive measures, HFOV is a mechanical ventilation technique and corticosteroids have limited efficacy in preterm infants with RDS. The prone position aims to improve oxygenation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn presents with respiratory distress, poor feeding, and a bulging fontanelle. Laboratory investigations reveal elevated levels of conjugated bilirubin. What is the most likely diagnosis?
सही उत्तर: ख) Persistent Hyperbilirubinemia
Persistent hyperbilirubinemia leads to elevated conjugated bilirubin and neurological sequelae. The 'double bubble' sign on X-ray further supports this diagnosis. Options 2 and 3 describe other causes of jaundice; option 4 presents with unconjugated bilirubin.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary clinical manifestation associated with a diagnosis of congenital adrenal hyperplasia (CAH)?
सही उत्तर: ख) Hypoglycemia and acidosis
Increased androgen levels, a hallmark of CAH, result in virilisation symptoms like precocious puberty and clitoral enlargement. Options 1 and 3 are incorrect as they describe other conditions. Option 2 is related to adrenal insufficiency.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In the context of hepaticojejunostomy (connecting the bile duct to the jejunum), which of the following is considered the MOST critical factor for achieving a successful outcome?
सही उत्तर: ख) B. Complete removal of all gallstones from the common bile duct before surgery
Option 1 is correct; The precise angle of the anastomosis significantly impacts bile flow and reduces the risk of strictures – the primary complication. Option B focuses on pre-operative preparation, C describes a clamping technique which isn't always essential, and D relates to post-operative care.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following vascular anomalies is MOST often associated with a higher risk of strangulation during surgical intervention?
सही उत्तर: घ) D. Left-sided Superior Mesenteric Artery (SMA) Anomalies
Option 3 is correct; Sharp surgical instruments can cause trauma to the mesenteric vessels, leading to potential strangulation of bowel loops. Option A and B describe benign vascular malformations with a lower risk. While option C describes trauma, it's not as specifically related to the inherent risks during surgery.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with acute onset abdominal pain, fever, and rebound tenderness. Initial investigation reveals gallstones in the common bile duct. Which of the following complications is MOST likely to develop?
सही उत्तर: ग) C. Cholangitis caused by ascending bacterial infection
Option 2 is correct; Cholangitis (infection of the bile ducts) arises from blocked common bile duct stones, causing bacteria to ascend and infect the biliary tree. Option A describes a different etiology for pancreatitis. Options B and D are less directly related to the initial presentation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The presence of ‘spur vessels’ during laparoscopic cholecystectomy is MOST frequently associated with which surgical technique?
सही उत्तर: ग) C. Rapid, aggressive dissection around the Calot's triangle during bile duct exploration
Option 2 is correct; rapid dissection in the Calot’s triangle causes trauma and subsequent vessel formation (spur vessels). Option A describes a standard open cholecystectomy. Option D focuses on cauterization, but doesn't directly explain spur vessel development. Option B refers to a specific approach that isn’t universally associated with spur vessels.
💬 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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