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 Rh-negative mother delivers a full-term Rh-positive baby. According to established protocols, what is the primary purpose of administering anti-D immunoglobulin?
सही उत्तर: ग) C. To prevent Rho(D) alloimmunization in the mother
Anti-D immunoglobulin (option C) is administered to Rh-negative mothers to prevent Rho(D) alloimmunization, which occurs when the mother's immune system recognizes the baby’s red blood cells as foreign. Treating existing sensitization isn't its primary function; anti-D prevents it from occurring in the first place.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 28-year-old female is admitted to the hospital with a history of recurrent, painless vaginal bleeding in the third trimester of her pregnancy. The initial examination reveals bright red blood. What is the most likely diagnosis?
सही उत्तर: ग) C. Gestational Carcinoma of the Uterus
Gestational carcinoma of the uterus (option C) can present with painless, bright red vaginal bleeding in the third trimester and is a possibility needing further investigation. Placental abruption (option A) typically presents with abdominal pain, while threatened abortion (option D) would generally cause more significant cramping. Cervical cryptococcosis (option B) doesn’t usually present this way.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant is diagnosed with congenital heart disease characterized by cyanosis and an ‘egg-on-a-string’ appearance on chest radiography. Which of the following conditions is most likely?
सही उत्तर: घ) D. Coarctation of the Aorta
A ventricular septal defect (option C) is frequently associated with a ‘egg-on-a-string’ cardiac silhouette on chest X-ray and presents with cyanosis, particularly in newborns. Tricuspid atresia (option A) and transposition of the great arteries (option B) have distinct radiographic findings. Coarctation of the aorta (option D) usually presents later in life.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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According to Nepali guidelines for Pediatric assessment, a 6-month-old infant is brought in exhibiting signs of respiratory distress. Auscultation reveals a respiratory rate of 40 breaths per minute. Which rate would be considered ‘fast breathing’ according to the IMNCI classification?
सही उत्तर: ख) B. 41-60 breaths per minute
Fast breathing in the IMNCI classification (option B) is defined as a respiratory rate of 41-60 breaths per minute for a child aged 2-12 months. A rate of 30-40 (A), 61-80(C), or 81-100 (D) would be considered normal ranges.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents with sudden onset lower abdominal pain, vaginal bleeding, and uterine tenderness. Based on these findings, which of the following conditions is most likely?
सही उत्तर: ख) B. Ectopic Pregnancy
Ectopic pregnancy (option B) aligns with the patient's symptoms – sudden abdominal pain, vaginal bleeding, and uterine tenderness. Placenta previa (option A) typically presents with painless vaginal bleeding, while threatened abortion (option C) usually involves milder cramping. Normal uterine contractions (option D) wouldn’t present with the severity of bleeding described.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a pregnant woman presenting with vaginal bleeding in the second trimester, what is the MOST important immediate step?
सही उत्तर: ग) c) Transvaginal ultrasound to assess placental location and hemorrhage
Option (c) – transvaginal ultrasound – is crucial for rapidly assessing the cause of bleeding; determining if it's retained products of conception, placenta previa, or another complication. Amniocentesis has a risk of miscarriage. Antibiotics are not indicated and induction of labor isn’t always appropriate given the potentially unstable situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn is diagnosed with Meckel's diverticulum. What is the most common clinical presentation associated with this condition?
सही उत्तर: ख) b) Bilious vomiting and abdominal pain
Option (b) accurately describes the typical presentation of Meckel's diverticulum – bilious vomiting, especially after feeding, coupled with abdominal pain due to bacterial overgrowth. The other options describe unrelated conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary goal of administering intravenous fluids to a preterm neonate with respiratory distress syndrome (RDS)?
सही उत्तर: ख) b) To promote fluid accumulation in the alveoli and ease breathing
Option (b) is correct – intravenous fluids help to expand the small airways and alveolar spaces by promoting fluid accumulation, assisting with gas exchange. Surfactant replacement is a separate intervention. Option (c) is incorrect as it pertains to thyroid hormones; (d) focuses on a different inflammatory pathway.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents with severe headache, visual disturbances, and hypertension at 32 weeks gestation. Which condition is MOST likely?
सही उत्तर: ख) b) Eclampsia
Option (b) – Eclampsia – represents the most probable diagnosis given the classic symptoms of severe hypertension, neurological manifestations (headache, visual disturbances), and gestational age. While pre-eclampsia can also cause hypertension, it typically lacks the accompanying neurological symptoms. Symphysis pubis dysplacia is a musculoskeletal issue, and gestational diabetes has different presenting features.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 4-year-old child is diagnosed with severe acute malnutrition (SAM) based on a mid-upper arm circumference (MUAC) of 17 cm. What is the most immediate priority in managing this child?
सही उत्तर: ग) Provide nutritional supplements specifically formulated for SAM
The primary goal in managing SAM is referral to a specialized malnutrition clinic where comprehensive nutritional support, including oral rehydration therapy and therapeutic food (e.g., PLOs), can be administered under close medical supervision. Immediate IV fluids without careful assessment of needs are not the optimal first step.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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