स्नातकोत्तर मेडिकल प्रवेश (MECEE-PG)
स्नातकोत्तर मेडिकल प्रवेश (MECEE-PG)
MECEE-PG – MD/MS/MDS Entrance · २,८६५ प्रश्न
२,८६५ प्रश्न उपलब्ध। मोड छान्नुहोस्:
MD/MS 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 cell types is primarily responsible for maintaining colloid osmotic pressure in the blood?
सही उत्तर: ख) Plasma Proteins
Plasma proteins, particularly albumin, are the major contributors to colloid osmotic pressure (oncotic pressure) within the bloodstream. The other options – red blood cells, white blood cells, and platelets – have different primary functions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following serum enzymes is MOST reliably elevated in acute pancreatitis, providing strong evidence for pancreatic inflammation?
सही उत्तर: घ) Lipase
Lipase is produced specifically by pancreatic acinar cells and remains elevated long after the inflammatory process subsides, making it the most specific marker. Amylase, while elevated, can be found in other conditions and diminishes faster. The other options are general renal function markers.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 10-year-old boy presents with a painful rash characterized by purpura on his buttocks and legs, accompanied by joint pain and abdominal discomfort. Laboratory tests reveal microscopic hematuria (blood in the urine). Which of the following conditions is MOST likely?
सही उत्तर: ख) Henoch-Schönlein Purpura
The combination of purpuric rash, arthralgia, abdominal pain and hematuria is the classic presentation of Henoch-Schönlein Purpura (HSP). Systemic lupus erythematosus presents with more systemic symptoms; juvenile rheumatoid arthritis primarily affects joints; Kawasaki disease has a characteristic rash but lacks the hematuria.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant is presenting with significant jaundice (high serum bilirubin levels) and lethargy. Phototherapy is initiated. What physiological process explains why phototherapy reduces bilirubin levels in this infant?
सही उत्तर: ग) Increased Hepatic Excretion of Bilirubin
Phototherapy works by converting the indirect (unconjugated) bilirubin into direct (conjugated) bilirubin, which is water-soluble and can be excreted in urine and stool. The other options do not directly explain this mechanism.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 32-year-old woman in her first trimester complains of severe vaginal bleeding accompanied by pain. A pelvic examination reveals friable, pinpoint bleeding spots on the cervix. Which of the following is the MOST likely diagnosis?
सही उत्तर: घ) Vasa previa
The ‘strawberry’ appearance of the cervical lesions and vaginal bleeding strongly indicates an incomplete abortion, commonly referred to as a missed abortion. Placenta previa presents with painless bleeding; septic abortion is associated with infection; Vasa previa involves bleeding from the fetal vessels.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-year-old boy is brought to the clinic complaining of recurrent episodes of vomiting and intense abdominal pain, particularly after meals. Physical examination reveals a palpable, sausage-shaped mass in his abdomen. What is the MOST likely diagnosis?
सही उत्तर: ख) Infantile Pyloric Stenosis
The presentation – recurrent vomiting, abdominal pain, and a palpable mass – is highly suggestive of infantile pyloric stenosis. Celiac disease typically presents with diarrhea; Henoch-Schönlein purpura causes arthritis and rash, not primarily vomiting; cow’s milk allergy may cause similar symptoms but lacks the distinct abdominal mass.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents with vaginal bleeding and lower abdominal pain. Her ultrasound reveals a gestational sac with a yolk sac edema. What is the MOST likely diagnosis?
सही उत्तर: ग) Hydatidiform Mole
The description – gestational sac, yolk sac edema – strongly suggests a hydatidiform mole (also known as molar pregnancy). The other options don’t fit the classic presentation. Miscarriage can occur at any stage but lacks the specific ultrasound finding; ectopic pregnancy presents with pain and bleeding but without the characteristic mass; placental abruption causes sudden severe pain.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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During an exploratory laparotomy for suspected strangulated hernia, the surgeon unexpectedly discovers a large, necrotic abscess in the right lower quadrant. The patient also presents with significant guarding and rebound tenderness. What is the most appropriate immediate surgical intervention?
सही उत्तर: ख) Small Bowel Resection
The correct answer is Small Bowel Resection (option 1). This presentation – a large, necrotic abscess associated with strangulated hernia– indicates intestinal ischemia and potential perforation. Rapid small bowel resection is crucial to prevent further contamination and reduce morbidity. The other options are less appropriate given the primary issue is bowel necrosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with severe abdominal pain, hypotension, dusky skin, and distant heart sounds - the ‘Beck’s Triad’. Which of the following is the MOST likely diagnosis?
सही उत्तर: क) Mesenteric Ischemia
The correct answer is Mesenteric Ischemia (option 0). The ‘Beck’s triad’ is a classic clinical presentation indicating intestinal ischemia, most commonly due to mesenteric artery occlusion. The other options - perforated ulcer, bowel obstruction and diverticulitis – can cause abdominal pain but do not typically present with this specific triad.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following conditions is MOST likely to present with Rigler’s triad (pneumobilia, small bowel obstruction, and an ectopic gallstone)?
सही उत्तर: घ) Celiac Disease
The correct answer is Meckel's Diverticulum (option 3). Rigler’s triad represents the classic radiological findings associated with this congenital anomaly. Crohn’s, Ulcerative colitis and Celiac disease do not typically present with these specific imaging features.
💬 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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