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
-
A 3-month-old infant presents with fever (38.5°C) accompanied by a maculopapular rash that started on the trunk and spread to the extremities. The baby's parents report no prior illnesses. What is the MOST likely diagnosis?
सही उत्तर: घ) D. Measles
The clinical presentation – high fever followed by a maculopapular rash that spreads symmetrically – is characteristic of Kawasaki disease, a vasculitis primarily affecting infants and young children. Roseola is usually associated with afebrile illness; Rubella congenital infection may lead to eye/ear issues but not this presenting symptom pattern.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A 28-year-old female presents to her obstetrician at 16 weeks gestation with a markedly elevated serum alpha-fetoprotein (AFP) level. The ultrasound reveals normal fetal anatomy. What is the MOST important next step in management?
सही उत्तर: ख) B. Referral for further genetic counselling and amniocentesis
Elevated serum AFP levels are a strong indicator of neural tube defects, most commonly Down syndrome. While amniocentesis is an option for confirmation, initial management involves thorough genetic counselling and further evaluation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A 6-year-old boy is brought to the clinic with complaints of painful, shooting leg pain, 'scorbutic rosary', and bluish-grey discoloration of the legs. Physical examination reveals anaemia. What is the MOST likely diagnosis?
सही उत्तर: ख) B. Iron Deficiency Anemia
The clinical presentation – painful subperiosteal hemorrhages, ‘scorbutic rosary’, and bluish discoloration of the legs – strongly suggests iron deficiency anemia. This is because lack of iron impairs collagen synthesis. While acute leukemia can cause pain, it doesn’t typically present with these specific findings.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A 32-year-old woman presents with recurrent episodes of painless miscarriage in the second trimester. Examination reveals a persistently dilated cervix. Which of the following management strategies is MOST appropriate?
सही उत्तर: ख) B. Initiation of expectant management and close monitoring
Expectant management is the standard initial approach for recurrent painless second-trimester pregnancy loss, given the lack of fetal cardiac activity. While D&C may be considered in some cases, it’s not the first line treatment. Antibiotics are generally reserved for suspected infection, and genetic counselling addresses underlying causes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A newborn infant is presenting with respiratory distress, tachypnea, and a history of prematurity. Initial assessment reveals hepatomegaly. Which of the following conditions is MOST likely responsible for this presentation?
सही उत्तर: ख) B. Neonatal Hemochromatosis
Neonatal hemochromatosis, often presenting with hepatomegaly and respiratory distress in premature infants, is the most likely diagnosis given the clinical presentation. While ECMO can cause similar symptoms, it's typically associated with more acute respiratory failure. Congenital Hip Dysplasia primarily presents with hip instability and doesn’t directly cause hepatomegaly.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
Which of the following best describes the most common type of germ cell tumor found in women?
सही उत्तर: ग) Choriocarcinoma
The most commonly diagnosed germ cell tumor in females is the dysgerminoma, a malignant tumor originating from primordial germ cells. Teratomas and choriocarcinomas are less common, while seminomas are typically found in males.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
The primary purpose of Focused Assessment with Sonography for Trauma (FAST) is to rapidly detect which clinical feature?
सही उत्तर: ख) Internal Bleeding
FAST utilizes ultrasound to quickly identify free fluid in the peritoneal cavity, indicating internal bleeding. Options A, B and C are not primary targets of FAST examination.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A 10-year-old boy is diagnosed with nephrotic syndrome characterized by heavy proteinuria, hypoalbuminemia, edema, and elevated serum cholesterol. Laboratory tests reveal a normal complement level. What diagnostic finding would most strongly support the diagnosis of minimal change disease in 2021?
सही उत्तर: क) Diffuse proliferative glomerulonephritis
Minimal Change Disease (MCD) is characterized by light microscopy findings of normal or nearly normal glomeruli with minimal changes. The absence of complement abnormalities further supports this diagnosis as it is a benign form. The other options reflect different pathogenic mechanisms associated with other forms of glomerulonephritis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A 6-month-old infant is brought in for evaluation due to delayed development. Physical examination reveals generalized hypotonia and a failure to reach milestones. The mother reports no family history of neurological disorders. Which of the following conditions should be HIGHLY suspected in 2022?
सही उत्तर: ख) Down Syndrome (Trisomy 21)
Down syndrome is a common cause of delayed development, hypotonia, and failure to reach milestones, particularly with no family history. Cerebral palsy presents with spasticity and movement difficulties, fragile x typically manifests as disproportionate height and intellectual delay and Autism shows different behavioral traits.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A pregnant woman at 36 weeks gestation presents with severe abdominal pain, vaginal bleeding, and a foul-smelling discharge. Examination reveals cervical dilation of 7 cm. What is the MOST immediate concern in 2023?
सही उत्तर: ख) Septic Abortion
Placenta previa, where the placenta covers the cervix, can cause significant bleeding and presents with symptoms similar to this case. Septic abortion is a serious complication but typically presents with more systemic signs. Vaginal trichomoniasis is unlikely to cause such abrupt cervical dilation. Preterm labor would be considered based on other clinical findings.
💬 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।
नमस्ते! पाठ्यक्रम, सामान्य ज्ञान, भाषा परीक्षा वा कुनै प्रश्नको उत्तर बुझ्न सोध्नुहोस्।
AI ले गल्ती गर्न सक्छ। महत्वपूर्ण कुरा आधिकारिक स्रोतमा जाँच्नुहोस्।