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 significant jaundice, right upper quadrant pain, and a palpable gallbladder mass. Ultrasound reveals a cystic structure within the gallbladder wall. What is the MOST likely diagnosis?
सही उत्तर: क) A. Acute cholecystitis with gallstone obstruction
The combination of palpable gallbladder mass and a cystic structure within the wall strongly suggests a Meckel's diverticulum, which can mimic an intra-gallbladder cyst. Other options are less likely given this specific presentation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements regarding cholelithiasis (gallstones) is accurate?
सही उत्तर: ख) B. The majority of gallstones are cholesterol-based
Approximately 95% of gallstones are composed of cholesterol, leading to cholelithiasis. Option A is incorrect as gallstones are not directly linked to pancreatitis; option C misrepresents the symptom threshold for gallstone-related pain and D's statement is too broad.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 60-year-old male presents with sudden onset severe abdominal pain, rigidity, and guarding. His vital signs are elevated. Which of the following is the MOST immediate action in managing this patient?
सही उत्तर: ख) B. Immediate exploratory laparotomy to rule out peritonitis
In a critically ill patient presenting with signs of peritonitis, immediate exploratory laparotomy is warranted to identify and address the source of infection. While other options might be part of management, rapid surgical intervention is paramount.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the characteristic radiographic finding in acute appendicitis due to inflammation of the appendix wall with surrounding fat stranding?
सही उत्तर: ख) B. Limbus sign (ring shadow)
The ‘limbus sign’ – a ring-shaped opacity surrounding the inflamed appendix – is the classic radiographic finding in acute appendicitis. Options A and C represent other conditions, while D doesn't specifically relate to the visualization of appendicitis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 3-year-old child presents with acute onset of abdominal pain, fever, and lethargy. Examination reveals hepatomegaly and splenomegaly. Liver function tests are elevated. Which of the following conditions is MOST likely?
सही उत्तर: क) Acute Viral Hepatitis
Elevated liver enzymes combined with enlarged liver and spleen strongly suggests acute viral hepatitis, a common condition in young children. Acute appendicitis typically presents with right lower quadrant pain, congenital heart defects don't usually present this acutely, and sepsis lacks specific organomegaly findings.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a newborn diagnosed with neonatal hyperbilirubinemia (high levels of bilirubin in the blood), which intervention would be MOST appropriate to combat this condition?
सही उत्तर: ख) Phototherapy
Phototherapy utilizes specific wavelengths of light to convert bilirubin into a form that can be excreted by the body. Intravenous fluids address dehydration, frequent feedings don't directly reduce bilirubin levels, and measuring temperature is not treatment for hyperbilirubinemia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 32 weeks gestation presents with vaginal bleeding and pain. Transvaginal ultrasound reveals a viable fetus. What is the MOST likely diagnosis?
सही उत्तर: घ) Threatened Abortion
Vaginal bleeding with a closed cervical os and a viable fetus on ultrasound strongly points towards an iliopsoas-type ectopic pregnancy. Placenta previa typically presents with bright red blood, cervical incompetence involves abnormal discharge, and threatened abortion is characterized by lighter spotting.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-month-old infant presents with persistent vomiting, poor weight gain, and abdominal distension. Examination reveals palpable masses in the right upper quadrant. Which of the following findings would MOST strongly suggest pyloric stenosis?
सही उत्तर: क) Normal stool pattern and appetite
Palpable masses in the RUQ and abdominal distension are key clinical signs of pyloric stenosis. Dilated loops would suggest another intestinal issue, mild anemia is not typically associated, and ascites isn't a primary feature.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following investigations is MOST accurate for diagnosing congenital heart disease in a neonate presenting with cyanosis and a murmur?
सही उत्तर: ख) Echocardiogram
An echocardiogram provides detailed visualization of cardiac structures and function, allowing for accurate diagnosis of congenital heart defects. ECG primarily assesses electrical activity and CBC offers limited information regarding structural abnormalities. The chest x-ray is a general imaging tool but doesn't specifically diagnose the defect.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a newborn infant, what is the typical approximate increase in serum β-hCG levels during early intrauterine pregnancy?
सही उत्तर: ख) Triples every 72 hours
Serum beta-hCG levels generally triple approximately every 72 hours during the first trimester of pregnancy. This exponential increase is used as a key marker for monitoring gestation and detecting potential abnormalities. The other options represent inaccurate or non-representative increases.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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