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

641. A 6-month-old infant is brought in for evaluation of failure to thrive. Physical examination reveals hepatomegaly, ascites, and a palpable abdominal mass. What is the MOST likely diagnosis?

     कCeliac Disease खGalactosemia गInflammatory Bowel Disease घInfantile Liver Hemangioma
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

642. In a pregnant woman presenting with severe vomiting and dehydration, which biochemical parameter would be MOST indicative of hyperemesis gravidarum?

     कElevated serum uric acid levels. खDecreased serum albumin concentration. गSignificantly elevated serum ketones. घIncreased urinary sodium excretion.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

643. A newborn infant presents with persistent tachycardia, tachypnea, and respiratory distress. Auscultation reveals harsh upper airway sounds. Which condition is MOST likely?

     कTransient Tachypnea of the Newborn (TTN) खPneumonia गPersistent Pulmonary Hypertension of the Newborn (PPHN) घApnea of Prematurity
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

644. Which of the following statements regarding preterm labour management is MOST accurate?

     कAdministering intravenous antibiotics prophylactically reduces the risk of neonatal sepsis. खBetamethasone administration significantly decreases the incidence of respiratory distress syndrome in preterm infants. गRegular fetal biophysical monitoring can reliably predict impending preterm labour. घFrequent vaginal exams are recommended to detect early signs of cervical dilation.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

645. Which of the following statements accurately describes the role of melanin in human skin?

     कA) Melanin absorbs ultraviolet radiation, protecting underlying tissues from damage. खB) Melanin is produced by keratinocytes and contributes to skin elasticity. गC) Melanin increases blood flow to the skin surface, promoting heat dissipation. घD) Melanin inhibits vitamin D synthesis in the skin.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

646. The term 'red herring' in relation to medical diagnostics refers to:

     कA) A rare blood disorder characterized by pallor and anemia. खB) A misleading clue or irrelevant piece of information intended to distract attention. गC) The reddish tinge observed in venous blood due to hemoglobin absorption. घD) A specific type of intravenous fluid used to treat dehydration.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

647. The primary function of the sinoatrial node is to:

     कA) Conduct electrical impulses from the atria to the ventricles. खB) Control heart rate based on body demands. गC) Initiate and regulate the heartbeat through spontaneous depolarization. घD) Filter blood entering the left atrium.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

648. Which of the following statements regarding appendicitis is MOST accurate according to current diagnostic criteria (2023)? (a) Diagnosis relies solely on clinical presentation and physical examination findings. (b) A normal neutrophil count reliably excludes the diagnosis of acute appendicitis. (c) The presence of a mobile, mildly tender appendix on palpation confirms the diagnosis. (d) Imaging studies (CT scan or ultrasound) are generally not required unless clinical suspicion is high.

     क(a) Diagnosis relies solely on clinical presentation and physical examination findings. ख(b) A normal neutrophil count reliably excludes the diagnosis of acute appendicitis. ग(c) The presence of a mobile, mildly tender appendix on palpation confirms the diagnosis. घ(d) Imaging studies (CT scan or ultrasound) are generally not required unless clinical suspicion is high.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

649. A pregnant woman presents with severe lower abdominal pain, vaginal bleeding, and premature labor at 36 weeks gestation. Ultrasound reveals a gestational trophoblastic disease (GTD). What is the MOST appropriate initial management strategy?

     कA. Immediate surgical evacuation of the pregnancy and subsequent methotrexate administration खB. Observation and expectant management, monitoring for spontaneous regression गC. Initiation of intravenous corticosteroids to prepare the baby for preterm birth घD. Referral to a neurologist for possible neurological complications
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

650. Which of the following findings is MOST indicative of fetal congenital heart disease requiring immediate intervention?

     कA. Mild nuchal translucency measurement खB. Normal ventricular septation and great vessel sizes on ultrasound screening गC. Significant nuchal translucency exceeding 3mm with cardiothoracic ratio >25% घD. A solitary parietal lobe measuring >7mm
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।