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 pediatrician is evaluating a 6-month-old infant presenting with persistent vomiting and signs of dehydration. The initial laboratory findings show elevated levels of serum electrolytes and BUN. What is the MOST probable underlying cause?
सही उत्तर: घ) Todd's Paralysis
Intestinal obstruction, particularly in infants, can lead to significant electrolyte imbalances and elevated BUN due to fluid loss. GERD typically doesn’t cause such marked electrolyte disturbances. Pyloric stenosis is characterized by projectile vomiting with a characteristic halussy fontanelle.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 32-year-old female presents with gestational diabetes diagnosed at 28 weeks of gestation. Which of the following interventions is MOST crucial to minimize potential complications?
सही उत्तर: ग) Restriction of dietary carbohydrates to
Frequent monitoring of fetal heart rate and uterine contractions is paramount in gestational diabetes management to detect and address fetal distress or hyperkalemia. While carbohydrate restriction is often recommended, it’s not the most immediate critical intervention. Insulin administration is generally reserved for severe cases, and induction of labor at 39 weeks isn’t a standard practice.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn presents with respiratory distress, cyanosis, and intravenous fluid losses. Initial investigations reveal elevated levels of conjugated bilirubin. Which of the following conditions is MOST likely?
सही उत्तर: घ) Crigler-Najjar Syndrome
Gilbert’s Syndrome is a common genetic condition causing unconjugated hyperbilirubinemia, often presenting in newborns with jaundice. The other options involve conjugated hyperbilirubinemia and are less likely in this clinical scenario. Haemolytic anemia and G6PD deficiency cause elevated indirect bilirubin production.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 3-year-old child presents with acute onset of abdominal pain, fever, and lethargy. Examination reveals hepatomegaly and splenomegaly. Liver function tests are elevated. Which of the following conditions is MOST likely?
सही उत्तर: क) Acute Viral Hepatitis
Elevated liver enzymes combined with enlarged liver and spleen strongly suggests acute viral hepatitis, a common condition in young children. Acute appendicitis typically presents with right lower quadrant pain, congenital heart defects don't usually present this acutely, and sepsis lacks specific organomegaly findings.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a newborn diagnosed with neonatal hyperbilirubinemia (high levels of bilirubin in the blood), which intervention would be MOST appropriate to combat this condition?
सही उत्तर: ख) Phototherapy
Phototherapy utilizes specific wavelengths of light to convert bilirubin into a form that can be excreted by the body. Intravenous fluids address dehydration, frequent feedings don't directly reduce bilirubin levels, and measuring temperature is not treatment for hyperbilirubinemia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 32 weeks gestation presents with vaginal bleeding and pain. Transvaginal ultrasound reveals a viable fetus. What is the MOST likely diagnosis?
सही उत्तर: घ) Threatened Abortion
Vaginal bleeding with a closed cervical os and a viable fetus on ultrasound strongly points towards an iliopsoas-type ectopic pregnancy. Placenta previa typically presents with bright red blood, cervical incompetence involves abnormal discharge, and threatened abortion is characterized by lighter spotting.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-month-old infant presents with persistent vomiting, poor weight gain, and abdominal distension. Examination reveals palpable masses in the right upper quadrant. Which of the following findings would MOST strongly suggest pyloric stenosis?
सही उत्तर: क) Normal stool pattern and appetite
Palpable masses in the RUQ and abdominal distension are key clinical signs of pyloric stenosis. Dilated loops would suggest another intestinal issue, mild anemia is not typically associated, and ascites isn't a primary feature.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following investigations is MOST accurate for diagnosing congenital heart disease in a neonate presenting with cyanosis and a murmur?
सही उत्तर: ख) Echocardiogram
An echocardiogram provides detailed visualization of cardiac structures and function, allowing for accurate diagnosis of congenital heart defects. ECG primarily assesses electrical activity and CBC offers limited information regarding structural abnormalities. The chest x-ray is a general imaging tool but doesn't specifically diagnose the defect.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a newborn infant, what is the typical approximate increase in serum β-hCG levels during early intrauterine pregnancy?
सही उत्तर: ख) Triples every 72 hours
Serum beta-hCG levels generally triple approximately every 72 hours during the first trimester of pregnancy. This exponential increase is used as a key marker for monitoring gestation and detecting potential abnormalities. The other options represent inaccurate or non-representative increases.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Beta-thalassemia major often manifests clinically around what age?
सही उत्तर: घ) 10-12 years
Symptoms of beta-thalassemia major typically become apparent as the child’s iron stores are depleted and their body can no longer produce enough hemoglobin. This often occurs between 5-7 years of age, though there is variability. The other options represent earlier or later stages.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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