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 is a MAJOR Jones criterion for acute rheumatic fever?
सही उत्तर: घ) Erythema marginatum
Major criteria are carditis, polyarthritis, chorea, erythema marginatum and subcutaneous nodules. Fever, arthralgia, raised ESR/CRP and prolonged PR interval are minor criteria.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The standard treatment of Kawasaki disease to reduce coronary artery aneurysms is:
सही उत्तर: क) Intravenous immunoglobulin with aspirin
IVIG given within the first 10 days of illness along with aspirin markedly reduces the risk of coronary aneurysms. Kawasaki disease is a vasculitis, not a bacterial infection, so antibiotics are not useful.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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To keep the ductus arteriosus open in a duct-dependent cyanotic newborn, the drug used is:
सही उत्तर: ख) Prostaglandin E1 (alprostadil)
PGE1 infusion maintains ductal patency until surgery in lesions such as pulmonary atresia. Indomethacin and ibuprofen inhibit prostaglandin synthesis and are used to close a PDA.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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An 'egg-on-a-string' appearance on chest X-ray suggests:
सही उत्तर: ख) Transposition of the great arteries
In TGA the great vessels lie anteroposteriorly, giving a narrow superior mediastinum and an egg-shaped heart. TGA is the commonest cyanotic heart lesion presenting in the neonatal period.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 'boot-shaped' heart on chest X-ray is classically seen in:
सही उत्तर: ग) Tetralogy of Fallot
Right ventricular hypertrophy lifts the apex and a concave pulmonary bay gives the coeur en sabot appearance. Transposition gives an 'egg-on-a-string' and supracardiac TAPVR a 'snowman' appearance.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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'Red currant jelly' stools in an infant with colicky abdominal pain suggest:
सही उत्तर: घ) Intussusception
Intussusception, most often ileocolic in children aged 6-36 months, causes mucosal congestion that produces blood and mucus stools; a sausage-shaped mass may be felt. Meckel diverticulum typically causes painless rectal bleeding.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The gold standard for diagnosing Hirschsprung disease is:
सही उत्तर: क) Rectal biopsy showing absent ganglion cells
Absence of ganglion cells in the submucosal and myenteric plexus on rectal (suction) biopsy confirms the diagnosis. A barium enema showing a transition zone is suggestive but not diagnostic.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The typical metabolic abnormality in infantile hypertrophic pyloric stenosis is:
सही उत्तर: क) Hypochloraemic hypokalaemic metabolic alkalosis
Persistent non-bilious vomiting loses gastric HCl, and renal compensation loses potassium, producing hypochloraemic hypokalaemic alkalosis. This must be corrected before pyloromyotomy.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Pneumatosis intestinalis on abdominal X-ray in a preterm neonate is characteristic of:
सही उत्तर: ख) Necrotising enterocolitis
Intramural gas from bacterial invasion of ischaemic bowel is pathognomonic of NEC. Portal venous gas and pneumoperitoneum indicate more advanced disease.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The usual antenatal corticosteroid regimen to accelerate fetal lung maturity is betamethasone:
सही उत्तर: ग) 12 mg IM, two doses 24 hours apart
Betamethasone 12 mg IM twice, 24 hours apart, (or dexamethasone 6 mg IM 12-hourly for 4 doses) reduces RDS, intraventricular haemorrhage and neonatal death. Benefit is greatest when delivery occurs 24 hours to 7 days after the first dose.
💬 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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