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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A 35-year-old woman presents with a diagnosis of ectopic pregnancy located in the cornual region. Which of the following is the MOST common treatment strategy?
सही उत्तर: ग) C) Medical Management with Methotrexate
Given the location and presentation, surgical removal (salpingectomy) is the standard first-line treatment for a cornual ectopic pregnancy to prevent further bleeding and potential life-threatening complications. Methotrexate is typically reserved for unruptured cases and early rupture.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 16 weeks gestation complains of recurrent painless bleeding and cervical dilatation during the second trimester. Which intervention is MOST appropriate in this scenario?
सही उत्तर: घ) D) Insertion of a Bakri balloon catheter
Recurrent painless second-trimester pregnancy loss with cervical dilatation is typically managed with conservative observation, including serial ultrasounds to evaluate the fetal viability. While other options might be considered in specific circumstances, expectant management aligns best with the clinical presentation. A D&C would carry significant risks.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant presents with jaundice, hyperbilirubinemia, and lethargy. Initial investigations reveal elevated serum bilirubin levels. Which of the following conditions is MOST likely responsible for this presentation?
सही उत्तर: ग) C) Neonatal Jaundice
Neonatal jaundice, often caused by physiological jaundice due to immature liver function and increased bilirubin production, is the most common cause of elevated serum bilirubin in newborns. Phenylketonuria presents with a distinct clinical picture involving metabolic disturbances affecting protein synthesis. Hemolytic anemia would present differently, and sepsis manifests with systemic signs and symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a newborn, the presence of a rapid, irregular, and forceful breathing pattern accompanied by nasal flaring and retractions indicates which condition?
सही उत्तर: ख) b) Respiratory Distress Syndrome (RDS)
Option (a) is correct – the described symptoms are highly characteristic of apnea of prematurity, a common finding in premature infants. Options (b), (c), and (d) present with different clinical presentations or severity levels.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pediatrician is evaluating a newborn infant who has been diagnosed with neonatal hypoglycemia. Which of the following interventions would be MOST appropriate as the initial step in management?
सही उत्तर: ग) c) Frequent monitoring of blood glucose levels and supplementation with breast milk or formula
Option (c) is correct – frequent monitoring of blood glucose levels is crucial in managing neonatal hypoglycemia. Supplementation with breast milk or formula is the initial approach to raising blood sugar. Options (a), (b), and (d) are not the most appropriate initial steps.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-year-old boy presents with delayed puberty. Physical examination reveals normal genitalia, but testicular volume is
सही उत्तर: घ) d) Primary hypogonadism
Option (c) is correct as CAH can cause delayed puberty due to excess androgens, which suppress the normal development of the testes. Options (a), (b), and (d) are less likely given the specific presentation of small testicular volume in a child with delayed pubertal onset.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn is diagnosed with congenital hip dysplasia. Which of the following maneuvers is MOST likely to be used as part of the physical examination to assess for subluxation?
सही उत्तर: क) a) Palpating the greater trochanter and lesser trochanter for symmetry
Option (a) is correct because the Ortolani and Barlow maneuvers, which involve palpating for movement at the hip joint, are standard methods used to detect subluxation in congenital hip dysplasia. Options (b), (c) and (d) are incorrect as they represent other techniques or assessments that may be part of a broader evaluation but aren't the primary tools for identifying hip instability.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 2-year-old child is brought to the clinic with a persistent cough and wheezing. Physical examination reveals symmetrical chest wall movement during expiration. Which finding is MOST consistent with this presentation?
सही उत्तर: क) A) Bronchial asthma.
The correct answer is A - Bronchial asthma frequently presents in young children with wheezing and symmetrical chest wall movement due to bronchial smooth muscle spasm. Pneumonia usually shows consolidation on auscultation; cystic fibrosis has thick, sticky mucus production; and congenital heart disease presents with different signs and symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following findings BEST describes the typical presentation of congenital hip dysplasia in a newborn?
सही उत्तर: क) A) External rotation of the limb with acetabular flattening.
The correct answer is A. Congenital hip dysplasia commonly presents with external rotation of the affected leg and flattening of the acetabulum (hip socket). Options B, C, and D represent normal or severe cases respectively.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-month-old infant presents with recurrent episodes of projectile vomiting and forceful abdominal thrusts. Examination reveals an enlarged tongue. Which of the following conditions is MOST likely?
सही उत्तर: ख) B) Pyloric stenosis.
The correct answer is B. An enlarged tongue in a 6-month old infant with projectile vomiting and forceful abdominal thrusts is highly suggestive of pyloric stenosis – a narrowing of the opening between the stomach and the duodenum. Options A, C, and D are less likely to present with this specific clinical picture.
💬 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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