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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Which of the following is a crucial initial step in managing suspected sepsis in a neonate?
सही उत्तर: ग) Monitoring urine output closely
Prompt administration of broad-spectrum antibiotics is essential for treating sepsis. The other options are important aspects of care but do not address the immediate need to combat infection.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-week-old infant is brought in with pale stools. Examination reveals a positive Addis-Smith reaction. What does this most likely indicate?
सही उत्तर: ख) Salmonella infection
The Addis-Smith reaction (presence of neutrophils in the stool) is indicative of bacterial overgrowth and inflammation within the small intestine, most commonly seen in conditions like Salmonella infection. Giardiasis would present with greasy stools.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant presents with bilious vomiting and abdominal distension. Based on these clinical findings, which of the following is MOST likely?
सही उत्तर: ग) Duodenal atresia
Bilious vomiting in a newborn strongly suggests an obstruction higher up in the gastrointestinal tract, such as pyloric stenosis. Necrotising entercolitits is characterised by watery stool, duodenel atresia is characterised by blood and Duodenal reflux disease presents with non-bilious vomiting.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following developmental milestones is typically achieved around 6 months of age?
सही उत्तर: घ) Rolling over
Babies generally begin to walk with support around this age. The other options – sitting independently (around 4-5 months), crawling (around 7-10 months), and rolling over – are achieved earlier.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the most common cause of neonatal apnea?
सही उत्तर: ग) C. Transient neonatal tachypnea syndrome (TNTs).
Option C, TNTs, is the most frequent etiology of apnea in newborns, particularly in term infants with transient airway obstruction. The other options represent alternative conditions that might cause respiratory distress but are less likely to directly cause apnea.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn is diagnosed with persistent pulmonary hypertension of the newborn (PPHN). Which of the following interventions would be MOST appropriate as a first-line treatment?
सही उत्तर: ख) B. Initiation of mechanical ventilation with positive end-expiratory pressure (PEEP).
Option B is correct as PPHN management relies heavily on maintaining adequate ventilation with high PEEP, which stabilizes pulmonary vascular beds. Options A and C are secondary interventions, while D is a palliative measure.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-month-old infant presents with symptoms including poor weight gain, failure to thrive, and a prominent forehead (frontal bossing). Which of the following conditions is MOST likely?
सही उत्तर: ख) B. Turner syndrome.
Option B (Turner Syndrome) best fits the clinical presentation - frontal bossing, growth retardation, and failure to thrive are common features. Options A, C and D have different primary symptoms that don't align with the described infant’s symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The pathogenesis of pre-term labor is multifactorial. Which of the following mechanisms is MOST directly associated with premature rupture of membranes (PROM)?
सही उत्तर: ग) C. Dysregulation of collagen synthesis within the decidua basalis, weakening the amniotic membrane.
Option C accurately describes how decreased collagen production weakens the amniotic membranes, predisposing them to rupture. Options A, B and D represent other potential contributing factors but are not the *most* directly involved in PROM’s development.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A mother reports her newborn has significant abdominal distension, vomiting, and failure to thrive. Physical examination reveals hepatomegaly. Which of the following conditions is most consistent with this presentation?
सही उत्तर: ख) B) Cystic Fibrosis
The correct answer is B. The symptoms – abdominal distension, vomiting, hepatomegaly, and failure to thrive – are strongly suggestive of cystic fibrosis due to pancreatic insufficiency leading to malabsorption and liver congestion. Options A, C, and D may present with similar non-specific symptoms but do not explain the entire clinical picture.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In the context of assessing contraceptive methods for women, the Pearl Index primarily measures what?
सही उत्तर: क) A) The average number of unintended pregnancies per 100 women using the method over one year
The correct answer is A. The Pearl Index, also known as the Typical Pregnancy Rate (TPR), quantifies the average number of unintended pregnancies per 100 women who use a specific contraceptive method over a one-year period. Options B and C measure different aspects, while option D addresses cost analysis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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