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 pregnant woman at 32 weeks gestation presents with sudden onset of torrential vaginal bleeding. Initial investigations reveal a complete placental abruption. Which of the following fetal findings would MOST likely be associated with this condition? a) Normal amniotic fluid volume. b) Fetal bradycardia and meconium staining of the amniotic fluid. c) Evidence of polyhydramnios. d) Absence of fetal movements.
सही उत्तर: ग) c
Option B is correct. Placental abruption often presents with meconium-stained amniotic fluid due to disruption of fetal bowel contents and fetal distress related to decreased oxygen supply. Option A is typically normal, C represents a distinct condition and D reflects the mother’s state.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following is the MOST accurate initial management for a newborn presenting with meconium aspiration syndrome (MAS)? a) Immediate administration of surfactant via endotracheal tube. b) Observation and supportive care, including nasal suctioning and oxygen supplementation. c) Intravenous antibiotics to prevent sepsis. d) Forced expiratory maneuvers to clear the airways.
सही उत्तर: ख) b
Option B is correct. Initial management of MAS focuses on supportive measures like oxygen, nasal suctioning, and monitoring. Option A (surfactant) is typically used in severe cases, but observation and support are crucial first steps. Options C and D are not primary interventions for MAS.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A female infant presents with primary amenorrhea, short stature, and delayed pubarche. Investigations reveal elevated levels of luteinizing hormone (LH) and follicle-stimulating hormone (FSH). Which of the following conditions is MOST likely in this patient?
सही उत्तर: क) Turner Syndrome
Turner syndrome (option 0) is characterized by primary amenorrhea, short stature, and elevated LH/FSH levels due to a chromosomal abnormality (45,X). The other options represent distinct genetic conditions with different presentations. This aligns with the clinical picture described.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A female patient presents with irregular menstrual cycles and amenorrhea. Examination reveals a small, non-palpable uterus. What syndrome is she MOST likely suffering from?
सही उत्तर: ख) Mayer-Rokitansky-Kuster-Hauser (MRKH) Syndrome
Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome (option 1) is defined by the absence of a uterus and vagina. PCOS (option 2) causes irregular menstrual cycles but does not typically result in absent uterus development. Thyroid dysfunction (option 3) can lead to menstrual irregularities, but not an absent uterus. Androgen Insensitivity Syndrome (option 4) results from the body's inability to respond to androgens.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a premature infant with respiratory distress syndrome, which of the following findings on chest radiography would MOST strongly suggest severe disease?
सही उत्तर: ख) Air bronchograms
Smooth lung fields (option 1) are characteristic of mild respiratory distress syndrome. Air bronchograms (option 2) can be present but are not always indicative of severe disease. Consolidation in the lower lobes (option 3) suggests pneumonia, while increased heart size (option 4) is not a primary finding in RDS.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant is diagnosed with kernicterus. What is the primary pathological mechanism behind this condition?
सही उत्तर: ग) Deposition of unconjugated bilirubin in the basal ganglia
Deposition of unconjugated bilirubin (option 2) within the basal ganglia is the fundamental cause of kernicterus. Increased bilirubin production (option 1) and immune responses (option 3) contribute to the overall situation but are not the direct mechanism of neuronal damage. A uridine reductase deficiency (option 4) can contribute, but the primary issue is bilirubin deposition.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents with severe headache, visual disturbances, and edema. Her urine protein level is elevated. Which of the following conditions is she MOST likely experiencing?
सही उत्तर: ख) Pre-eclampsia
Pre-eclampsia (option 1) is characterized by new-onset hypertension coupled with proteinuria and/or end-organ dysfunction, fitting the clinical presentation perfectly. Gestational diabetes mellitus (option 2), while possible, doesn't explain the hypertensive component. Thrombophlebitis (option 3) would not cause these systemic symptoms. Hypothyroidism (option 4) is unlikely to present with such severe hypertension and proteinuria.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A female patient presents with severe abdominal pain, nausea, vomiting, and constipation. Abdominal examination reveals guarding. An ultrasound shows dilated bowel loops filled with gas. Which of the following is the MOST likely diagnosis? (a) Appendicitis (b) Small Bowel Obstruction (c) Gastroenteritis (d) Irritable Bowel Syndrome (IBS)
सही उत्तर: ख) (b) Small Bowel Obstruction
The clinical presentation of severe abdominal pain, guarding, nausea, vomiting, and constipation, along with dilated bowel loops on ultrasound strongly suggests small bowel obstruction. Appendicitis typically presents with localized tenderness and fever, while gastroenteritis causes watery diarrhea. IBS is a chronic condition characterized by altered bowel habits but doesn't present with acute, severe symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant is diagnosed with congenital hypothyroidism following screening at birth. The primary goal of treatment in this infant is to: (a) Prevent corneal opacities. (b) Promote rapid weight gain and neurological development. (c) Reduce the risk of respiratory distress syndrome. (d) Minimize the risk of sudden infant death syndrome (SIDS).
सही उत्तर: ख) (b) Promote rapid weight gain and neurological development.
Congenital hypothyroidism can lead to severe intellectual disability and growth retardation if left untreated. Prompt thyroid hormone replacement therapy is crucial for optimal neurological development and overall growth. While corneal opacities are a potential complication of iodine deficiency, they're not the primary goal of treatment in congenital hypothyroidism.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman in her third trimester experiences recurrent episodes of painless vaginal bleeding and cervical dilatation. She has a history of multiple miscarriages. Which of the following conditions is most likely? (a) Placenta Previa (b) Cervical Insufficiency (c) Gestational Trophoblastic Disease (GTD) (d) Uterine Rupture
सही उत्तर: ग) (c) Gestational Trophoblastic Disease (GTD)
The combination of painless bleeding and cervical dilatation is highly suggestive of GTD, specifically a gestational trophoblastic neoplasm. Placenta previa involves bleeding from the implantation site without dilation. Cervical insufficiency can cause bleeding but typically presents with contractions. Uterine rupture is usually associated with trauma or previous uterine surgery.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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