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 6-month-old infant presents with persistent diarrhoea, abdominal distension, and failure to thrive. Physical examination reveals a palpable mass in the abdomen. Which of the following investigations would be MOST appropriate to evaluate for this presentation? (a) Complete Blood Count (CBC) (b) Ultrasound of the Abdomen (c) Serum Electrolytes only (d) Urine Analysis
सही उत्तर: ख) (b) Ultrasound of the Abdomen
An ultrasound of the abdomen is the most appropriate initial investigation to look for intestinal obstruction, which is a likely diagnosis given the presentation. A CBC would not be sufficient to evaluate for an abdominal mass and serum electrolytes alone will not provide enough information. Urine analysis would only rule out dehydration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a pregnant woman presenting with severe vomiting for more than 24 hours resulting in weight loss, electrolyte imbalance, and fetal distress, which of the following is the MOST appropriate initial diagnostic investigation? (a) Amniocentesis (b) Doppler ultrasound of the umbilical artery (c) Magnetic Resonance Imaging (MRI) (d) Maternal serum β-hCG level
सही उत्तर: ख) (b) Doppler ultrasound of the umbilical artery
A Doppler ultrasound of the umbilical artery is essential to assess fetal well being and rule out intrauterine growth restriction, which is a key concern in this scenario. Amniocentesis investigates chromosomal abnormalities, MRI is invasive and not routinely used for acute pregnancy complications and a maternal serum beta-hCG level is not specific enough to diagnose hyperemesis gravidarum.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A preterm infant with respiratory distress syndrome (RDS) receiving surfactant, exhibits a sudden increase in FiO2 and subsequently develops hyperinflation. Which of the following is the MOST likely immediate consequence? (a) Bronchopulmonary dysplasia (b) Respiratory failure (c) Pneumonia (d) Persistent Pulmonary Hypertension of the Newborn (PPHN)
सही उत्तर: ख) (b) Respiratory failure
Respiratory failure is the most direct consequence of hyperinflation in a preterm infant receiving surfactant. While bronchopulmonary dysplasia, pneumonia and PPHN are potential complications, they develop over time and are not immediately caused by an increase in FiO2. The other options represent chronic conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the typical hematological finding observed in a neonate diagnosed with cystic fibrosis?
सही उत्तर: ख) Normal anion gap metabolic acidosis
Reduced sweat chloride concentration is the definitive diagnostic test for cystic fibrosis. Elevated ferritin, anion gap acidosis and hypercalcemia can occur in various neonatal conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents with a sudden onset of severe lower abdominal pain, vaginal bleeding, and signs of hypovolemic shock. Initial assessment reveals fetal tachycardia and fetal distress. What is the immediate priority?
सही उत्तर: ख) Initiate induction of labour
An emergency Cesarean section (option 1) is the priority in this situation due to the high risk of fetal demise and maternal morbidity associated with a ruptured uterus. While fluids, induction, and oxytocin might be part of the overall management, immediate delivery of the baby is crucial.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a newborn diagnosed with Down Syndrome, which of the following maternal serum markers would typically be elevated?
सही उत्तर: ग) Triple Marker Panel (TFP)
The Triple Marker Panel (TFP) (option 2) consistently shows elevated levels of free beta-hCG and trisomy 21 related markers in pregnancies affected by Down Syndrome. While hCG is generally elevated in pregnancy, it’s the combination with other TFP components that is diagnostic.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary diagnostic criterion for diagnosing Cystic Fibrosis based on pulmonary function tests?
सही उत्तर: क) Reduced FEV1/FVC ratio
A reduced FEV1/FVC (Forced Expiratory Volume in 1 second / Forced Vital Capacity) ratio (option 0) is a hallmark finding in Cystic Fibrosis due to airway obstruction. The other options represent normal or atypical pulmonary function results.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-year-old boy presents with chronic diarrhea, abdominal pain, and failure to thrive. Examination reveals a palpable intestinal mass. Which of the following is the MOST likely diagnosis?
सही उत्तर: ग) Hirschsprung's Disease
Hirschsprung’s disease (option 2) is characterized by an absence of ganglion cells in the distal colon, leading to a palpable intestinal mass and chronic constipation/diarrhea. While Celiac disease, IBD, and microscopic colitis can cause similar symptoms, they typically don't present with a palpable mass.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following conditions is MOST commonly associated with the ‘scorbutic rosary’ presentation in infants?
सही उत्तर: ग) Scurvy
Scurvy (option 2) classically presents with subperiosteal hemorrhages leading to ‘pseudoparalysis’ and the characteristic 'scorbutic rosary'. The other options – Vitamin D deficiency, Iron deficiency anemia, and Zinc deficiency – can cause various symptoms but don't directly manifest as this specific skeletal finding.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 3-year-old child presents with ‘red currant jelly’ stools, excessive crying, and abdominal distension. Which of the following conditions is MOST likely?
सही उत्तर: ख) Infectious diarrhea (rotavirus)
‘Red currant jelly’ stools are characteristic of viral gastroenteritis, often caused by rotavirus. The other options present with different symptom profiles.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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