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-month-old infant presents with a fever of 38.5°C, lethargy, and irritability. Physical examination reveals a maculopapular rash starting on the trunk and spreading outwards. Which of the following infectious diseases is MOST likely?
सही उत्तर: ग) C. Varicella (Chickenpox)
Option C (Varicella) is correct. The presentation – fever followed by a maculopapular rash starting on the trunk and spreading outwards—is highly characteristic of varicella. Options A and B represent other viral illnesses with potentially similar, but distinct symptoms. Option D typically presents in younger infants.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a newborn diagnosed with congenital diaphragmatic hernia (CDH), what is the most critical immediate management concern related to pulmonary function?
सही उत्तर: ख) B. Immediate placement on mechanical ventilation to support respiratory drive and oxygenation
Option B is correct; in CDH, the diaphragm prevents lung expansion, leading to pulmonary hypertension and hypoplasia. Prompt ventilation supports respiratory effort and attempts to normalize PVR. Option A addresses dehydration but doesn’t tackle the primary physiological problem. Option C neglects critical intervention while option D is irrelevant to the immediate issue.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The hormone calcitonin, produced by the C-cells of the thyroid gland, plays a role in regulating calcium homeostasis. Which of the following is its *primary* mechanism of action?
सही उत्तर: ग) Directly lowering blood calcium levels
Option 2 (Stimulating osteoblast activity) is correct. Calcitonin inhibits osteoclast activity, reducing bone breakdown and thus decreasing serum calcium concentrations. Options 1, 3, and 4 describe incorrect effects or actions of this hormone.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following processes is *primarily* responsible for maintaining glucose homeostasis in the body?
सही उत्तर: घ) Hormonal regulation by insulin and glucagon
Option 3 (Hormonal regulation by insulin and glucagon) is correct. Insulin and glucagon are key hormones that regulate blood glucose levels by facilitating uptake or release of glucose, respectively. Options 1, 2, and 4 describe other transport mechanisms or digestive processes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements accurately describes the location and function of the epiphysis in long bones?
सही उत्तर: ख) The growth plate responsible for longitudinal bone lengthening
Option 1 (The growth plate responsible for longitudinal bone lengthening) is correct. The epiphyses are associated with the epiphyseal plates, also known as the growth plates, where cartilage cells proliferate and eventually replace spongy bone, leading to lengthening of the bone. Options 2 and 3 are incorrect descriptions relating to other parts of the long bone.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The primary function of the juxtaglomerular apparatus within the renal cortex is to regulate blood pressure and urine production. Which component *directly* detects changes in arterial blood pressure and responds by releasing renin?
सही उत्तर: क) Renin
Option 1 (Renin) is correct – the juxtaglomerular cells, specifically macula densa cells, contain specialized cells that sense changes in blood pressure and release renin. The other options are incorrect as they represent different parts of the kidney involved in filtration or urine collection but do not initiate renin secretion.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant presents with profound respiratory distress, persistent cyanosis, and bilateral effusions on chest X-ray. The mother reports an uncomplicated pregnancy. What is the MOST likely underlying cause? a) Respiratory Syncytial Virus (RSV) infection. b) Persistent Pulmonary Hypertension of the Newborn (PPHN). c) Meconium aspiration syndrome (MAS). d) Transient Bronchopulmonary Osteitis (TBPO).
सही उत्तर: ख) b
Option B is correct. PPHN, characterized by impaired pulmonary vascular adaptation and right-to-left shunt, presents with the described symptoms - respiratory distress, cyanosis, and effusions. Options A, C, and D are all possible but do not fully explain the severity of the presentation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-month-old infant presents with irritability, poor feeding, and a bulging fontanelle. Examination reveals hepatomegaly and splenomegaly. Which of the following is the MOST likely diagnosis? a) Acute gastroenteritis. b) Congenital hypothyroidism. c) Henoch-Schönlein purpura (HSP). d) Viral encephalitis.
सही उत्तर: घ) d
Option C is correct. The described symptoms – irritability, poor feeding, hepatosplenomegaly, and bulging fontanelle – are classic signs of HSP, a systemic vasculitis primarily affecting children. Options A, B, and D represent alternative diagnoses with differing presentations.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the pathogenesis of congenital adrenal hyperplasia (CAH)? a) Excessive production of estrogen by the ovaries. b) Deficiency in 21-hydroxylase leading to increased androgen synthesis. c) Reduced levels of thyroid hormones affecting fetal development. d) Increased insulin resistance causing gestational diabetes.
सही उत्तर: ख) b
Option B is correct. CAH results from a deficiency in the enzyme 21-hydroxylase, which disrupts cortisol and aldosterone synthesis and subsequently leads to increased androgen production. Options A, C, and D represent other conditions with different etiologies.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 32 weeks gestation presents with sudden onset of torrential vaginal bleeding. Initial investigations reveal a complete placental abruption. Which of the following fetal findings would MOST likely be associated with this condition? a) Normal amniotic fluid volume. b) Fetal bradycardia and meconium staining of the amniotic fluid. c) Evidence of polyhydramnios. d) Absence of fetal movements.
सही उत्तर: ग) c
Option B is correct. Placental abruption often presents with meconium-stained amniotic fluid due to disruption of fetal bowel contents and fetal distress related to decreased oxygen supply. Option A is typically normal, C represents a distinct condition and D reflects the mother’s state.
💬 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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