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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In the context of neonatal jaundice, what is the primary consideration when investigating potential biliary obstruction?
सही उत्तर: ग) Direct Passage of Bile into the Intestine
The 'double bubble' sign on abdominal X-ray, coupled with bilious vomiting in a newborn, strongly suggests biliary obstruction. The direct passage of bile is characteristic of this condition. Elevated bilirubin is common in neonatal jaundice but doesn't confirm the diagnosis; Alpha-fetoprotein and Alkaline Phosphatase levels may be elevated but are not diagnostic of this specific obstruction.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant presents with excessive salivation, failure to thrive, and a prominent tongue. Which condition is MOST likely?
सही उत्तर: घ) Pierre-Robin Sequence
The ‘egg-on-a-string’ cardiac silhouette and excessive salivation are key indicators of the Pierre-Robin Sequence, a congenital anomaly involving tongue protrusion. Pyloric stenosis presents with projectile vomiting; Vocal cord dysfunction doesn't typically cause this presentation; Cystic fibrosis has different clinical characteristics.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient undergoes a total hip replacement. Which of the following immediate complications should the surgical team be most vigilant for?
सही उत्तर: क) Deep Vein Thrombosis (DVT)
Option 0 (Deep Vein Thrombosis – DVT) is a high risk complication following total hip replacement, and can lead to serious consequences. Options 1, 2, and 3 represent other post-operative complications that are less likely in this specific scenario.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following nerve plexuses is primarily responsible for causing Frey’s syndrome after parotid surgery?
सही उत्तर: क) Vagus Nerve (CN X)
Option 0 (Vagus nerve – CN X) is the most common cause of Frey's Syndrome, as it innervates the parotid gland. The aberrant stimulation leads to gustatory sweating and flushing when stimulated by food or drink. Options 1, 2 & 3 represent other neural structures involved in different processes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with severe right upper quadrant pain radiating to the back, accompanied by fever and jaundice. Which of the following is the most likely diagnosis?
सही उत्तर: ग) Hepatocellular carcinoma
Option 2 (Hepatocellular carcinoma) is the classic presentation aligning with Charcot's Triad - fever, jaundice and RUQ pain. Options 1, 3, and 4 represent alternative diagnoses that do not consistently present with this combination of symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The most common presentation of acute appendicitis in adults is characterized by which symptom?
सही उत्तर: क) Right lower abdominal pain with rebound tenderness
Option 0 (Right lower abdominal pain with rebound tenderness) is the classic presentation of acute appendicitis, often described as peritonitis. Options 1, 2, and 3 represent atypical presentations or other gastrointestinal conditions. This aligns with standard surgical textbook descriptions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant presents with a 'snowman' (figure-of-eight) cardiac silhouette on chest X-ray. What is the most likely diagnosis?
सही उत्तर: ख) Coarctation of the Aorta
The ‘snowman’ appearance on chest radiography is a classic indicator of coarctation of the aorta, where the ascending aorta is narrowed. The other options represent different cardiac abnormalities.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the role of carbonic anhydrase in mammalian physiology?
सही उत्तर: ख) B. Facilitating the conversion of carbon dioxide and water to bicarbonate ions
Carbonic anhydrase is essential for maintaining acid-base balance by catalyzing the reversible reaction between carbon dioxide and water, producing carbonic acid (H2CO3) which then dissociates into bicarbonate ions (HCO3-) and hydrogen ions (H+). Options A, C, and D represent other enzymatic reactions or physiological processes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with symptoms of muscle weakness and elevated creatine kinase (CK) levels. Further investigation reveals myoglobinuria. Which biochemical pathway's dysfunction could best explain these findings?
सही उत्तर: घ) D. Urea Cycle
Myoglobinuria and elevated CK levels are strongly associated with mitochondrial dysfunction within the electron transport chain, often seen in conditions like muscular dystrophy. The disruption of oxidative phosphorylation leads to leakage of myoglobin into urine and increased muscle breakdown (indicated by high CK). Options A, B, and C describe alternative metabolic pathways.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The Cori cycle plays a crucial role in glucose homeostasis. Which of the following accurately describes its primary function?
सही उत्तर: ख) B. Transporting ammonia from muscle tissue to the liver for urea synthesis
The Cori cycle involves transporting lactate (produced in muscles during intense exercise) to the liver, where it's converted back into glucose. This replenished glucose is then returned to the muscles. Options A, C, and D are incorrect; they describe alternative metabolic pathways or glucose regulation strategies.
💬 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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