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

691. A patient presents with edema predominantly in the lower extremities accompanied by shortness of breath, a history of prolonged standing, and mild hypertension. Which of the following physiological mechanisms is MOST likely contributing to this presentation?

     कIncreased sympathetic nervous system activity leading to vasoconstriction खDecreased aldosterone production resulting in reduced sodium reabsorption गIncreased atrial natriuretic peptide (ANP) secretion promoting diuresis घEnhanced venous return due to orthostatic hypotension
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

692. Which of the following metabolic pathways is primarily driven by pyruvate oxidation?

     कKrebs Cycle खBeta-oxidation of fatty acids गGlycolysis घGluconeogenesis
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

693. During open cholecystectomy, the surgeon identifies a communicating cyst within the gallbladder wall that extends into the common bile duct. Which of the following approaches would be MOST appropriate for definitive management?”

     कA) Simple cholecystectomy with drainage of the communicating cyst खB) Cholangiography followed by percutaneous drainage of the cyst गC) Roux-en-Y hepaticojejunostomy with removal of the gallbladder घD) Endoscopic sphincterotomy and balloon dilation
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

694. A patient presents with severe abdominal pain, distension, and signs of peritonitis. Examination reveals a palpable mass in the right lower quadrant. Which of the following conditions should be MOST urgently considered?”

     कA) Diverticulitis खB) Appendicitis गC) Mesenteric Adenitis घD) Crohn’s Disease
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

695. What is the primary anatomical consideration when performing a Billroth II gastrectomy?”

     कA) Preservation of the antrum and pylorus खB) Creation of an alimentary canal with a stomach stump and jejunum गC) Reconstruction using a Roux-en-Y technique for biliary drainage घD) Detachment of the greater omentum to minimize bleeding
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

696. A 50-year-old male presents with intermittent abdominal pain, nausea, and vomiting. Physical examination reveals guarding. Imaging shows inflammation and edema within the splenic capsule. Based on these findings, what is the MOST likely initial surgical intervention?”

     कA) Laparoscopic Splenectomy खB) Exploratory Laparotomy with partial splenectomy गC) Percutaneous aspiration of hematoma घD) Endoscopic sclerotherapy
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

697. Which of the following surgical approaches is MOST commonly associated with a higher incidence of recurrence in patients undergoing treatment for Stage I breast cancer involving the central chest?”

     कA) Lumpectomy followed by radiation therapy खB) Mastectomy with axillary lymph node dissection गC) Breast-conserving surgery (BCS) with sentinel lymph node biopsy and radiation therapy घD) Skin paddle excision followed by wide local excision
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

698. A newborn presents with severe respiratory distress, cyanosis, and a heart rate of 180 bpm. Physical examination reveals a persistent ductus arteriosus. Which intervention is MOST appropriate for this infant? (a) Administration of indomethacin to close the PDA. (b) Immediate initiation of mechanical ventilation with high-flow oxygen. (c) IV fluids and monitoring for spontaneous closure of the PDA. (d) Prostaglandin analogue administration to maintain patency of the ductus arteriosus.

     कAdministration of indomethacin to close the PDA. खImmediate initiation of mechanical ventilation with high-flow oxygen. गIV fluids and monitoring for spontaneous closure of the PDA. घProstaglandin analogue administration to maintain patency of the ductus arteriosus.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

699. Which of the following statements best describes the role of pancreatic lipase in digestion?

     कa) It breaks down triglycerides into glycerol and fatty acids खb) It converts carbohydrates into monosaccharides गc) It hydrolyzes proteins into peptides घd) It synthesizes bile salts for fat emulsification
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

700. The presence of high concentrations of bicarbonate ions (HCO3-) in the extracellular fluid is primarily maintained by which renal process?

     कa) Active secretion of hydrogen ions into the distal tubule खb) Parathyroid hormone-stimulated reabsorption of calcium in the ascending limb of Henle's loop गc) Filtration of plasma bicarbonate at the glomerulus followed by reabsorption in the proximal tubule घd) Redistribution of potassium ions from the collecting duct
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।