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 preterm infant with respiratory distress syndrome (RDS) receiving surfactant, exhibits a sudden increase in FiO2 and subsequently develops hyperinflation. Which of the following is the MOST likely immediate consequence? (a) Bronchopulmonary dysplasia (b) Respiratory failure (c) Pneumonia (d) Persistent Pulmonary Hypertension of the Newborn (PPHN)
सही उत्तर: ख) (b) Respiratory failure
Respiratory failure is the most direct consequence of hyperinflation in a preterm infant receiving surfactant. While bronchopulmonary dysplasia, pneumonia and PPHN are potential complications, they develop over time and are not immediately caused by an increase in FiO2. The other options represent chronic conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The Bohr effect demonstrates which relationship between pH and oxygen-binding affinity?
सही उत्तर: ग) C) No correlation exists between pH and oxygen binding affinity.
Option B is correct – the Bohr effect states that lower pH (higher hydrogen ion concentration) reduces the affinity of hemoglobin for oxygen, facilitating its release from the blood. Option A is incorrect; it's the reverse relationship. Options C & D are false.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the role of the epiglottis?
सही उत्तर: ख) B) To prevent food and liquids from entering the larynx during swallowing.
Option B accurately describes the epiglottis’s function – a flap of cartilage that closes over the trachea to prevent aspiration. Option A is incorrect, and Options C & D are related to other anatomical structures.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The primary function of the juxtaglomerular apparatus in the kidney involves detecting which two stimuli?
सही उत्तर: ग) C) Changes in blood volume and altered bicarbonate levels in the filtrate.
Option B is correct; the juxtaglomerular apparatus (JGA) responds to decreased blood pressure (detected by the macula densa) and increased potassium concentration in the distal tubule, stimulating both aldosterone release and renin secretion. Option A describes filtration dynamics, and Options C & D relate to renin-angiotensin system components.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with sudden onset of severe headache, photophobia, and nausea following a motor vehicle accident. Neurological examination reveals left-sided weakness. What is the most concerning immediate diagnosis to consider?
सही उत्तर: ख) B. Subarachnoid Hemorrhage
Option B represents subarachnoid hemorrhage, a life-threatening condition that often presents with an abrupt onset of severe headache (often described as ‘thunderclap’) and neurological deficits, which aligns perfectly with the patient's presentation. Options A and C are less likely given the severity of symptoms, while option D is unrelated.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements regarding appendiceal abscesses is most accurate?
सही उत्तर: ग) C. Drainage via percutaneous catheterization is frequently successful
Option C is correct, as percutaneous drainage has proven effective for many appendiceal abscesses, especially in the uncomplicated cases. Options A and D are either overstatements or misinterpretations. Option B describes a demographic trend rather than the primary management approach.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary clinical sign associated with a Mirzayani hernia?
सही उत्तर: ख) B. Visible peristomal bulge when straining
Option B correctly identifies the key characteristic – a visible peristomal bulge when the patient strains or coughs, due to outpouching of the sigmoid mesentery. Options A and C are incorrect as they describe other types of hernias or associated symptoms. Option D is an oversimplification of the clinical presentation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the pathogenesis of acute pancreatitis?
सही उत्तर: घ) D. Viral infection leading to cell destruction
Option C is correct as excessive alcohol consumption is a primary and well-established cause of acute pancreatitis in many cases. Options A, B, and D represent alternative or less common etiologies. The exact mechanism involves autodigestion by pancreatic enzymes due to acinar cell injury.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the typical hematological finding observed in a neonate diagnosed with cystic fibrosis?
सही उत्तर: ख) Normal anion gap metabolic acidosis
Reduced sweat chloride concentration is the definitive diagnostic test for cystic fibrosis. Elevated ferritin, anion gap acidosis and hypercalcemia can occur in various neonatal conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following correctly describes the role of microtubules in cell division?
सही उत्तर: घ) D. They synthesize proteins required for DNA replication
Microtubules, particularly through motor proteins like kinesin and dynein, are crucial in organizing and moving chromosomes during cell division, ensuring accurate distribution to daughter cells. Option A describes the function of the cytoskeleton's actin filaments. Option B is related to nuclear envelope formation, and option D is linked to DNA replication machinery.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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