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 newborn infant presents with respiratory distress, bradycardia, and hypoxemia. Capnography reveals moderate mixed ventilation. What is the MOST appropriate initial intervention?
सही उत्तर: ग) Begin bag-valve-mask ventilation at 40 breaths per minute
Beginning bag-valve-mask ventilation at 40 breaths per minute (option 3) is the standard initial step in neonatal resuscitation for moderate mixed ventilation. Epinephrine and IV fluids are administered concurrently, but ventilation is priority. CPAP is used for milder cases.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following interventions is MOST appropriate for the initial management of preterm labor at 32 weeks gestation where fetal fibronectin testing is negative and there are no signs of rupture?
सही उत्तर: क) Betamethasone
Betamethasone (option 1) is the standard first-line intervention for accelerating fetal lung maturity in preterm labor. The other options – Misoprostol, Terbutaline, and Magnesium Sulfate – are generally reserved for further management or when betamethasone has failed.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A preterm infant presents with abdominal distension, bloody stools and pneumatosis intestinalis on chest radiography. Which of the following is the MOST likely underlying cause?
सही उत्तर: ख) Necrotizing Enterocolitis
Necrotizing enterocolitis (option 1) is a serious condition seen in preterm infants, often manifesting with these symptoms. Meconium ileus, intussusception and volvulus can cause abdominal distention but lack the characteristic pneumatosis intestinalis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant is diagnosed with Cystic Fibrosis based on a sweat chloride concentration of 68 mEq/L. Which of the following findings would be MOST expected in this patient?
सही उत्तर: घ) Hypotrichosis
The correct answer is (option 3). Sweat chloride testing is a key diagnostic tool for CF. A high level (>60 mEq/L) confirms the diagnosis, typically leading to symptoms like reduced hair growth, lung problems due to mucus buildup and airflow resistance.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the primary diagnostic criterion for diagnosing gestational diabetes mellitus according to IADPSG guidelines?
सही उत्तर: ख) Fasting plasma glucose > 130mg/dL with a 2-hour OGTT glucose > 170mg/dL
IADPSG criteria (option 1) use a 75g oral glucose tolerance test (OGTT) with specific time points to identify impaired glucose tolerance, which is the hallmark of gestational diabetes. The other options represent outdated or less precise diagnostic approaches.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A neonate presenting with hepatomegaly, poor feeding, and a markedly enlarged liver is MOST likely indicative of which condition?
सही उत्तर: ख) Kernicterus
Kernicterus (option 1) is the most common cause of hepatomegaly in newborns, particularly when associated with bilirubin encephalopathy and neurological signs. The other options are less likely to present with these specific clinical features simultaneously.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the typical gestational age at which a newborn infant demonstrates full head control?
सही उत्तर: ख) 4-6 weeks
Full head control, defined as the ability to hold the head steady without lag, typically develops around 4-6 weeks of gestation. This is a well-established milestone in neonatal development; options are either premature or delayed.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-month-old infant presents with a fever, rash, and joint pain. According to Jones criteria, which symptom would MOST strongly support a diagnosis of acute rheumatic fever?
सही उत्तर: ग) Arthralgia (Joint Pain)
Arthralgia is a critical component of the Jones criteria for Acute Rheumatic Fever. Swelling lymph nodes or skin lesions are more commonly seen in other conditions; cervical adenitis can be present but isn't as specific to rheumatic fever.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In the context of neonatal jaundice, what is the primary consideration when investigating potential biliary obstruction?
सही उत्तर: ग) Direct Passage of Bile into the Intestine
The 'double bubble' sign on abdominal X-ray, coupled with bilious vomiting in a newborn, strongly suggests biliary obstruction. The direct passage of bile is characteristic of this condition. Elevated bilirubin is common in neonatal jaundice but doesn't confirm the diagnosis; Alpha-fetoprotein and Alkaline Phosphatase levels may be elevated but are not diagnostic of this specific obstruction.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant presents with excessive salivation, failure to thrive, and a prominent tongue. Which condition is MOST likely?
सही उत्तर: घ) Pierre-Robin Sequence
The ‘egg-on-a-string’ cardiac silhouette and excessive salivation are key indicators of the Pierre-Robin Sequence, a congenital anomaly involving tongue protrusion. Pyloric stenosis presents with projectile vomiting; Vocal cord dysfunction doesn't typically cause this presentation; Cystic fibrosis has different clinical characteristics.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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