स्नातकोत्तर मेडिकल प्रवेश (MECEE-PG)

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

1141. The liver's inability to efficiently utilize ketone bodies is largely due to its deficiency in which enzyme?

      कPyruvate carboxylase खAcetyl CoA carboxy ligase गβ-hydroxybutyryl dehydrogenase घCitrate synthase
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1142. Calcitonin hormone is produced by which endocrine gland?

      कThyroid Gland खParathyroid Glands गAdrenal Cortex घPancreas
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1143. Brunner's glands, characterized by their prominent location in the submucosa of the stomach, are primarily involved in what digestive function?

      कSecretion of hydrochloric acid खProduction of mucus for lubrication गSynthesis of intrinsic factor घStorage of gastric secretions
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1144. Within the pyruvate dehydrogenase complex, which enzyme acts as a coenzyme and is directly involved in linking the decarboxylation of pyruvate to its entry into the citric acid cycle?

      कThiamine pyrophosphate (TPP) खNicotinamide adenine dinucleotide (NAD+) गLipoamide घDihydrolipoyl transacetylase
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1145. Methylmalonic aciduria typically arises due to a deficiency in vitamin B12. This deficiency prevents the proper conversion of methylmalonyl-CoA back to succinyl-CoA, leading to its accumulation and subsequent toxic effects. What is the primary role of vitamin B12 in this process?

      कConversion of tryptophan to niacinamide खActivation of folate cofactor गCoenzyme for converting methylmalonyl CoA to succinyl CoA घRegulation of homocysteine metabolism
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1146. Which of the following congenital heart defects is MOST frequently associated with Down syndrome?

      कVentricular Septal Defect (VSD) खAtrioventricular Septal Defect (AVSD) गTetralogy of Fallot घTransposition of the Great Arteries
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1147. A 28-year-old female presents with sudden onset headaches, visual disturbances (amaurosis fugax), and transient neurological deficits. Examination reveals elevated blood pressure. Which of the following is the MOST immediate step in her management?

      कA) Immediate administration of intravenous corticosteroids. खB) Administration of antihypertensive medication to lower blood pressure rapidly. गC) Consultation with a neurologist for suspected cerebral angiography. घD) Initiation of treatment with low-dose aspirin.
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1148. A patient undergoes a laparoscopic cholecystectomy. Post-operatively, they develop symptoms consistent with biliary colic – severe right upper quadrant pain radiating to the back, accompanied by nausea and vomiting. Which of the following is the *most* likely immediate cause?

      कA) Pancreatic Pseudocyst खB) Bile Duct Injury गC) Sphincter of Oddi Dysfunction घD) Chronic Cholecystitis
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1149. What is the primary purpose of performing a Jackson-Edwards catheterization in patients suspected of having cardiac tamponade?

      कA) To measure pulmonary artery pressure खB) To directly assess left ventricular output गC) To determine the degree of fluid accumulation in the pericardial sac and assess hemodynamic status घD) To administer medications intravenously with greater accuracy
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1150. What is the most significant difference between acute cholecystitis and choledocholithiasis?

      कA) Acute cholecystitis involves inflammation of the gallbladder, while choledocholithiasis involves gallstones in the common bile duct खB) Choledocholithiasis always requires surgical intervention, whereas acute cholecystitis can often be managed conservatively गC) Acute cholecystitis presents with right upper quadrant pain and fever, while choledocholithiasis typically causes jaundice and biliary colic घD) There is no significant difference; they represent the same underlying pathological process
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