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 anatomical landmark is consistently located at the intersection of lines drawn from the anterior superior iliac spine to the umbilicus and from the anterior superior iliac spine to the pubic tubercle?
सही उत्तर: क) McBurney's point
McBurney’s point is precisely defined by these lines. The other options represent different anatomical regions involved in abdominal pain and pathology.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pediatrician is evaluating a newborn infant born at 37 weeks gestation who has been experiencing difficulty breathing since birth. The baby’s mother reports that she was diagnosed with gestational diabetes during pregnancy. Which of the following complications is MOST concerning in this infant?
सही उत्तर: ख) Hypoglycemia
Newborns of diabetic mothers are at significantly increased risk for developing Respiratory Distress Syndrome (RDS) due to fetal exposure to high levels of insulin, leading to impaired surfactant production and alveolar collapse.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 3-year-old child presents with severe diarrhea and dehydration. Examination reveals pale skin, sunken eyes, and delayed capillary refill. Which electrolyte imbalance is MOST likely present?
सही उत्तर: ग) Hyponatremia
In cases of severe diarrhea, the primary loss is through the gastrointestinal tract, leading to significant potassium depletion and subsequent hypokalemia. Other electrolyte imbalances are less commonly associated with acute diarrheal illness.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant born via vaginal delivery presents with respiratory distress after birth. A chest X-ray reveals a 'stem sign' (thumbprint appearance). This finding is MOST suggestive of:
सही उत्तर: ख) Pneumonia
The ‘stem sign’ on chest X-ray, representing a finger-like projection from the trachea into the right lung field, is a classic finding in Transient Tachypnea of the Newborn (TTN) due to fluid accumulation in the alveoli.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 15-year-old female presents with secondary amenorrhea. Examination reveals a normal uterus size, upper vagina, and breasts, but absent pubic hair. Serum hormone levels show elevated levels of LH and FSH. What is the MOST likely diagnosis?
सही उत्तर: घ) Turner syndrome
Turner Syndrome (46,XX mosaic) frequently presents with secondary amenorrhea due to gonadal dysgenesis resulting in absent or poorly developed pubic hair. PCOS is less likely given the normal hormone profile and absence of polycystic ovaries, while premature ovarian failure typically shows a significantly lower LH/FSH ratio.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-month-old infant presents with projectile vomiting and abdominal distension. Physical examination reveals olive-shaped masses in the umbilical region. Which of the following is the MOST likely diagnosis?
सही उत्तर: ख) Infantile pyloric stenosis
Infantile pyloric stenosis, characterized by olive-shaped masses in the umbilical region, is a common presentation in infants of this age. Reflux and intussusception present with different symptoms, while Meckel’s diverticulum typically presents with painless rectal bleeding.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which one of the following enzymes plays a crucial role in the urea cycle, facilitating the removal of ammonia from the body?
सही उत्तर: क) Creatine Kinase
Carbamoyl phosphate synthetase I is the rate-limiting enzyme and primary catalyst in the urea cycle, responsible for converting ammonia to urea. The other options are involved in different metabolic pathways – creatine kinase in muscle contraction, lactate dehydrogenase in anaerobic glycolysis, and phosphofructokinase in glycolysis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary distinguishing factor between a pancreatic pseudocyst and a true cyst?
सही उत्तर: ख) *A pseudocyst contains inflammatory fluid, whereas a true cyst does not*
The key difference lies in the presence of inflammatory exudate within the wall of a pancreatic pseudocyst. A true cyst is defined by its epithelial lining and typically lacks this inflammatory component.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the typical presentation of infantile hypertrophic pyloric stenosis?
सही उत्तर: ख) *Marked abdominal distension and vomiting in a neonate*
The classic signs are marked abdominal distension and projectile vomiting in a neonate due to pyloric muscle hypertrophy obstructing gastric outflow. The other options represent alternative presentations of neonatal gastrointestinal distress.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with acute abdominal pain, vomiting, and palpable abdominal mass. Examination reveals a prominent Meckel's diverticulum. Which of the following findings would be most consistent with this diagnosis?
सही उत्तर: ख) *Presence of fecal matter within the sac*
The presence of fecal matter within the Meckel's diverticulum sac is a hallmark finding. Elevated amylase suggests pancreatitis, normal alpha-fetoprotein doesn’t necessarily rule out the condition and increased gastric motility wouldn’t be directly related to the diverticulum.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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