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 is diagnosed with persistent ductus arteriosus. Which medication would be MOST appropriate to maintain patency of the ductus arteriosus in this case?
सही उत्तर: ग) Prostaglandin E1
Prostaglandin E1 (PGE1) is a commonly used drug to maintain patency of the PDA by stimulating smooth muscle relaxation. Diazepam and Nifedipine are vasodilators, Enalapril is an ACE inhibitor.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-year-old child presents with intermittent episodes of fever, rash, joint pain, and heart murmur. Based on the Jones criteria, which of the following is considered a MAJOR criterion for diagnosing acute rheumatic fever?
सही उत्तर: ख) History of recent streptococcal infection
Evidence of carditis is a major criterion in the Jones criteria, indicating heart damage caused by rheumatic fever. While other options are associated with rheumatic fever, they are only minor or supportive criteria.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following clinical presentations is MOST suggestive of congenital hypothyroidism?
सही उत्तर: ख) Growth failure and delayed mental development
Growth failure and delayed mental development are classic signs of congenital hypothyroidism. The other options represent symptoms associated with different conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary mechanism of action of intravenous immunoglobulin (IVIG) in preventing Rh hemolytic disease of the newborn in an Rh-negative mother carrying an Rh-positive fetus?
सही उत्तर: घ) D. It promotes the clearance of fetal red blood cell fragments
IVIG works by providing passively acquired anti-Rh IgG antibodies, which bind to the fetal red blood cells and prevent them from triggering an immune response in the mother. Options A, B, and D are incorrect; IVIG doesn’t directly destroy cells or stimulate antibody production.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pediatrician is examining a 6-month-old infant who exhibits poor weight gain and delayed motor milestones. Blood tests reveal elevated levels of conjugated bilirubin. What is the most likely underlying cause?
सही उत्तर: ग) C. Newborn Jaundice
Elevated conjugated bilirubin in a 6-month-old infant, coupled with poor weight gain and developmental delay, strongly suggests Gilbert's Syndrome, a genetic condition characterized by impaired bilirubin metabolism leading to increased conjugated bilirubin levels. Option A is unrelated, Option C describes the acute phase of jaundice and Option D is an inflammatory process.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a newborn infant diagnosed with congenital hypothyroidism, what is the primary long-term concern if diagnosis and treatment are delayed?
सही उत्तर: ख) B. Risk of irreversible neurological damage
Delayed diagnosis of congenital hypothyroidism in newborns can lead to severe, irreversible neurological damage due to the critical role of thyroid hormone in brain development. Option A is a possible complication but not the primary concern. Option C and D are unrelated issues.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 32-year-old woman presents with recurrent vaginal bleeding after intercourse. Examination reveals a thickened, inflamed cervix and a positive Schiller’s test. Which of the following is the most likely diagnosis?
सही उत्तर: ग) C. Endometrial Hyperplasia
The combination of recurrent bleeding after intercourse, a thickened cervix, and a positive Schiller’s test strongly suggests cervical cancer. While endometrial hyperplasia (Option C) can cause abnormal bleeding, the presentation is more indicative of malignancy. Adenomyosis (Option A) typically presents with dysmenorrhea, not post-coital bleeding.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following describes the primary function of the fontanelles in a newborn infant’s skull?
सही उत्तर: ख) B. To allow for brain growth and movement during infancy
The fontanelles, or gaps between the skull bones in newborns, are crucial for accommodating brain growth and allowing slight movement of the skull during birth. Option A is incorrect because the bones themselves provide primary structural support. Option C is wrong as fontanelles allow passage of fluids but do not prevent infection.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a newborn presenting with bilious vomiting and abdominal distension, what is the MOST likely diagnosis?
सही उत्तर: ख) B. Intestinal Atresia
The combination of bilious vomiting and abdominal distension, particularly in a newborn, is highly suggestive of pyloric stenosis due to the obstruction of food within the enlarged pylorus. The 'double bubble' sign on X-ray further supports this diagnosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant is diagnosed with persistent pulmonary hypertension (PPHN). Which of the following medications is MOST commonly used to treat PPHN?
सही उत्तर: ख) B. Prostaglandin E1 (PGE1)
Prostaglandin E1 (PGE1) is the mainstay of treatment for PPHN, as it stimulates vasoconstriction and promotes pulmonary vascular closure. Magnesium sulfate is used for preterm labor, terbutaline for bronchopulmonary dysplasia, and phenobarbital is an anticonvulsant.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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