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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A patient presents with symptoms suggestive of a severe bacterial infection. Laboratory tests reveal elevated levels of lipase and amylase in the serum. Which of the following microbial mechanisms is most likely responsible for this clinical presentation? (A) Production of exotoxins by Staphylococcus aureus. (B) Bacterial invasion and enzymatic degradation by Pseudomonas aeruginosa. (C) Release of endotoxin by Escherichia coli. (D) Formation of biofilms by Streptococcus pneumoniae.
सही उत्तर: ग) (C) Release of endotoxin by Escherichia coli.
Pseudomonas aeruginosa is known for its ability to produce lipases that degrade lipids, leading to elevated serum lipase and amylase levels. Endotoxins cause systemic inflammation but don't directly elevate these enzymes. Staphylococcus aureus produces exotoxins, not lipases, and biofilms aren't a primary cause of this enzyme elevation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A health educator is designing a public health campaign to reduce smoking rates. Which of the following approaches would be MOST effective, based on established behavioral change models?
सही उत्तर: ग) C. Utilizing persuasive messaging that highlights the negative consequences of smoking and promotes cessation strategies.
Option C reflects behavioral change theories emphasizing social cognition, perceived risk, and support for behavior modification. The other options represent more punitive or limited approaches that are unlikely to lead to sustained behavior change.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What does ‘Case Fatality Rate’ (CFR) measure?
सही उत्तर: ख) B. The ratio of deaths to total number of cases of a disease.
The Case Fatality Rate (CFR) represents the percentage of confirmed cases that result in death, providing a critical metric for assessing disease severity and control efforts. Options A, C, and D represent different measures of disease burden.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following factors would MOST significantly contribute to the spread of Dengue Fever in a tropical climate?
सही उत्तर: क) A. Frequent heavy rainfall events that promote mosquito breeding.
Dengue transmission is heavily influenced by *Aedes* mosquito populations, which thrive in warm conditions. Frequent rainfall provides breeding sites. Options B and C are mitigating factors, not drivers of spread.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The World Health Organization (WHO) defines 'herd immunity' as:
सही उत्तर: ख) B. The protection afforded to individuals within a population when a sufficiently high percentage are immune to an infectious agent.
Herd immunity describes the indirect protection conferred by widespread vaccination, where a critical mass of immune individuals reduces transmission. Options A and C are oversimplifications, while option D relates to epidemic characteristics.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the primary purpose of Sentinel Surveillance in public health?
सही उत्तर: ख) B. To continuously monitor the incidence and distribution of specific diseases or conditions in a defined population.
Sentinel surveillance focuses on tracking key health events – usually disease outbreaks – within a specified group, providing timely information for rapid response and preventative measures. Options A, C, and D represent different aspects of public health research or diagnostics rather than continuous monitoring as in sentinel surveillance.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The presence of ‘ground glass’ appearance on chest CT scans is frequently seen in pulmonary infections. Which of the following microorganisms is MOST commonly associated with this finding?
सही उत्तर: ग) Mycobacterium tuberculosis
‘Ground glass’ appearance on chest CT scans represents alveolar filling with amorphous material, most frequently due to granulomatous inflammation from *M. tuberculosis*. The other organisms listed typically present with different imaging and histopathological patterns.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient diagnosed with systemic lupus erythematosus (SLE) exhibits proteinuria and cylindruria. Which histological feature within the glomerulus is MOST likely to be found in this case?
सही उत्तर: ग) Endothelial cell swelling
Subepithelial humps are characteristic of immune complex-mediated glomerular injury, a hallmark of SLE. These humps result from deposition of complement components and antibodies beneath the epithelial cells. While other findings can occur in glomerulonephritis, subepithelial humps are most strongly associated with SLE’s pathogenesis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following pharmacological mechanisms is primarily responsible for the therapeutic effect of penicillin in bacterial infections?
सही उत्तर: ख) Disruption of cell membrane integrity
Penicillin inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins (PBPs), leading to a weakened cell wall and ultimately cell lysis. This directly disrupts cell membrane integrity. Inhibition of DNA synthesis is the mechanism of action for other antibiotics such as tetracycline.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with extensive fungal pneumonia exhibiting septate hyphae on microscopic examination. Which of the following organisms is most likely responsible for this infection?
सही उत्तर: ग) Aspergillus fumigatus
Septate hyphae are a key characteristic of *Aspergillus* species. These fungi commonly cause invasive pulmonary infections. *S. pneumoniae*, *C. albicans*, and *H. influenzae* do not typically exhibit this morphology.
💬 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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