स्त्री तथा प्रसूति र बाल रोग – ObGyn & Pediatrics MCQ
स्त्री तथा प्रसूति र बाल रोग – MD/MS प्रवेश
ObGyn & Pediatrics · MECEE-PG – MD/MS/MDS Entrance · ५९० प्रश्न
५९० प्रश्न उपलब्ध। मोड छान्नुहोस्:
स्त्री तथा प्रसूति र बाल रोग: 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 a newborn with respiratory distress syndrome (RDS), which of the following diagnostic tests is most commonly used to confirm the diagnosis?
सही उत्तर: ख) Blood gas analysis
While other tests may be involved in assessing a newborn with RDS, blood gas analysis (specifically measuring PaO2 and PCO2) is the cornerstone diagnostic test. It confirms hypoxemia, a defining feature of RDS.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 28 weeks gestation presents with severe abdominal pain, vaginal bleeding, and uterine tenderness. Initial ultrasound reveals a significantly enlarged uterus with fetal non-station. What is the immediate management step?
सही उत्तर: ग) Perform an emergency Cesarean section
Given the presentation of severe preterm labor, uterine distention, and fetal non-station, an emergency Cesarean section is the appropriate initial intervention to deliver the baby urgently and address potential complications like placental abruption or umbilical cord compression.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-month-old infant presents with a high fever (39.5°C) for 72 hours accompanied by a maculopapular rash that started on the trunk and spread symmetrically. What is the most likely diagnosis?
सही उत्तर: क) Measles
The described symptoms – high fever followed by a maculopapular rash spreading symmetrically – are classic clinical features of measles. Rubella presents similarly but with milder symptoms, roseola is characterized by intermittent fever and small papules, and varicella involves vesicular lesions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following is the primary function of colostrum during early infancy?
सही उत्तर: घ) Increased absorption of lactose
Colostrum is exceptionally rich in antibodies (immunoglobulins), particularly IgA, which provides crucial passive immunity to the newborn. The other options represent incorrect physiological functions associated with colostrum.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn presents with a markedly enlarged liver and evidence of jaundice. Further investigation reveals a chromosomal abnormality. Which fetal anomaly is MOST likely?
सही उत्तर: ख) Vascular Malformations
Polyhydramnios is frequently associated with vascular malformations, particularly omphalocele or gastroschisis. Trisomy 18 and duodenal atresia are typically linked to other associated findings. Cardiac defects may be present but are not the most common association; this was implemented in 2023.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-month-old infant presents with signs of dehydration (poor skin turgor, decreased tears during crying). What is the approximate daily fluid requirement (in ml) according to the Holliday-Segar formula?
सही उत्तर: ग) 130-150 ml
The Holliday-Segar formula is used to calculate fluid requirements in infants. For a 6-month-old weighing 7 kg, the approximate daily maintenance fluid requirement is between 100 and 120ml per kilogram of body weight. The other options represent different formulas or ranges that are not accurate for this infant's age and weight; this was implemented in 2023.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A female patient presents with recurrent first-trimester miscarriages. Initial investigations reveal no significant abnormalities in her uterine cavity. Which of the following interventions is MOST appropriate as a first-line treatment?
सही उत्तर: घ) Timed Intercourse
Given the presentation of recurrent pregnancy loss with no identifiable uterine abnormalities, timed intercourse is the most appropriate initial management strategy. It addresses the underlying issue of irregular ovulation cycles which are a frequent cause of early miscarriage. The other options involve more invasive procedures and aren't typically initiated as first line; this was implemented in 2023.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In the setting of a premature infant with meconium aspiration syndrome, what is the primary diagnostic tool used to assess pulmonary function and guide respiratory support?
सही उत्तर: क) Ventilatory Phase Index (VFI)
The Ventilatory Phase Index (VFI), calculated as the ratio of the late to early phase of chest movement, is a key assessment tool in premature infants with meconium aspiration. It directly reflects the effectiveness of each breath. PEFR is influenced by lung compliance and doesn't isolate this condition specifically; ACI is used for assessing fluid overload, while blood gas analysis provides comprehensive data but isn’t the initial screening tool. This was implemented in 2023.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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According to WHO guidelines, what is the initial fluid bolus volume (in ml) administered intravenously to a dehydrated neonate during Plan C resuscitation?
सही उत्तर: ख) 20 ml/kg
The WHO Plan C protocol recommends an initial fluid bolus of 10 ml/kg of intravenous crystalloid (typically Ringer's Lactate) to rapidly rehydrate a severely dehydrated neonate. The other options represent different standard fluid resuscitation volumes, making them incorrect in the context of this specific protocol. This was implemented in 2023.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents with lower abdominal pain and vaginal bleeding. Initial ultrasound findings reveal a small, unruptured ectopic pregnancy within the fallopian tube. Which medication is typically used for initial medical management?
सही उत्तर: ग) Tranexamic acid
Methotrexate is the first-line pharmacological agent utilized in stable cases of unruptured tubal ectopic pregnancies due to its targeted action on rapidly dividing cells. Misoprostol promotes uterine contractions and might cause miscarriage.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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