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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A cholangiocarcinoma that arises from the bifurcation of the common hepatic duct is clinically known as:
सही उत्तर: क) A. Perihilar Cholangiocarcinoma
Perihilar cholangiocarcinoma (A) is the specific term used to describe a cancer arising from the junction of hepatic ducts, which is the clinical definition given in the question.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following interventions is MOST likely indicated for managing suspected bleeding from a communicating Meckel's diverticulum in a child with significant blood loss?
सही उत्तर: ग) C. Surgical exploration and excision of the diverticulum
Endoscopic clipping (B) is the preferred initial treatment for bleeding Meckel's diverticula due to its minimally invasive nature and ability to directly address the source of bleeding. Observation alone may not be sufficient if significant bleeding persists.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a patient presenting with small bowel obstruction, what key radiological finding would MOST strongly suggest the possibility of an ileus caused by a gallstone?
सही उत्तर: ख) B. Air-fluid levels within the small bowel loops
The presence of air-fluid levels (B) within the small bowel loops, in conjunction with a history of biliary disease, is highly suggestive of ileus caused by a gallstone obstructing the intestinal lumen. The other options represent features common to various causes of small bowel obstruction.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with acute abdominal pain, fever, and rebound tenderness. Which diagnostic imaging modality would be MOST appropriate for the initial investigation of suspected acute cholecystitis?
सही उत्तर: ग) C. Ultrasound of the right upper quadrant
Ultrasound (C) is the standard initial imaging modality for suspected acute cholecystitis due to its ability to directly visualize the gallbladder and identify gallstones. While CT scan can be used, ultrasound offers better sensitivity and avoids radiation exposure in this situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following anatomical structures is MOST consistently associated with the development of an incisional hernia at the umbilical region?
सही उत्तर: ख) B. The umbilical ligament
The umbilical ligament (B) is a remnant of the omoplacental membrane and represents a common site for incisional hernias, particularly at the umbilical region due to its laxity. The other options – external iliac artery, internal inguinal ring and rectus abdominis muscle - are not primary contributors to this type of hernia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary mechanism by which phototherapy reduces hyperbilirubinemia in newborns?
सही उत्तर: ख) Conversion of bilirubin to glucuronide
The correct answer is ‘Conversion of bilirubin to glucuronide.’ Phototherapy uses light energy to convert unconjugated bilirubin (the form that causes jaundice) into conjugated bilirubin, which is water-soluble and easily excreted in urine and stool. The other options represent alternative mechanisms for bilirubin metabolism.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a newborn with suspected sepsis, which of the following laboratory findings would be MOST indicative of infection?
सही उत्तर: ख) Decreased white blood cell count (neutrophilia)
The correct answer is ‘Decreased white blood cell count (neutrophilia)’. A significant neutrophilia is a key indicator of bacterial infection in newborns. Elevated albumin and alkaline phosphatase are not specifically related to acute infection. Normal lactate levels can be seen in various conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 32-year-old woman presents with recurrent miscarriages (3) and a positive phospholipid antibody test. Which intervention is MOST appropriate for her case?
सही उत्तर: ख) Oral antibiotics to treat potential bacterial infections
The correct answer is ‘Intravenous methylprednisolone.’ This medication is a standard treatment for recurrent pregnancy loss due to antiphospholipid syndrome because it suppresses the immune response and reduces antibody production. The other options are not specifically indicated for this condition.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The primary hormone responsible for maintaining blood glucose levels after a meal is:
सही उत्तर: क) Insulin
Following a carbohydrate intake, the pancreas releases insulin which facilitates glucose uptake by cells and glycogen synthesis in the liver. Glucagon promotes glycogen breakdown, Cortisol is involved in stress responses and Epinephrine primarily related to 'fight or flight'.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following accurately explains the concept of isoenzyme specificity?
सही उत्तर: ख) Isoenzymes catalyze the same reaction but exhibit variations in their kinetic parameters (Km, Vmax)
Isoenzyme specificity refers to the slight differences in catalytic efficiency – kinetic parameters like Km and Vmax – between various isoenzymes of the same enzyme. This variation allows for fine-tuning of metabolic regulation.
💬 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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