स्त्री तथा प्रसूति र बाल रोग – ObGyn & Pediatrics MCQ

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

281. A 28-year-old woman presents with a history of recurrent painless second-trimester pregnancy loss (two previous losses). Initial investigation reveals a markedly dilated cervix without any obvious pathology. Which condition is MOST likely?

     कPlacental Insufficiency खCervical Incompetence गChromosomal Abnormalities in the Embryo घSubchorionic Hemorrhage
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

282. A pregnant woman at 36 weeks gestation presents with lower abdominal pain, vaginal bleeding, and a ruptured amniotic membrane. She is concerned about preterm labor. Which of the following measures would be MOST appropriate as initial management?

     कImmediate induction of labour with oxytocin खMagnesium sulfate administration for seizure prophylaxis गClose observation and expectant management घInitiation of intravenous antibiotics
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

283. A 6-month-old infant is brought to the clinic complaining of rapid breathing (respiratory rate 40 breaths per minute) and lethargy. Physical examination reveals no signs of infection, but she appears distressed. According to the IMNCI classification, what would be the appropriate assessment category for this child?

     कCategory 1 खCategory 2 गCategory 3 घCategory 4
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

284. A newborn infant presents with persistent tachypnea, cyanosis, and a systolic murmur. Physical examination reveals clubbing of the fingers and toes. Which of the following congenital heart defects is MOST likely in this presentation?

     कTetralogy of Fallot खTransposition of the Great Arteries गCoarctation of the Aorta घPulmonary Stenosis
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

285. A newborn infant is diagnosed with cystic fibrosis based on a sweat chloride concentration exceeding a specific threshold. Which biochemical defect underlies this condition?

     कDeficiency of alpha-1 antitrypsin खMutation in the CFTR gene गImpaired production of surfactant घReduced activity of peroxiredoxin
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

286. A 15-year-old female presents with primary amenorrhea, an absent uterus, normal breasts, and pubic hair. Her karyotype is 46,XX. What is the MOST likely diagnosis?

     कTurner Syndrome (45,X) खCongenital Adrenal Hyperplasia (CAH) गComplete Duodenal Atresia घMcCune-Albright Syndrome
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

287. A 10-year-old boy presents with a painful rash characterized by purpura on his buttocks and legs, accompanied by joint pain and abdominal discomfort. Laboratory tests reveal microscopic hematuria (blood in the urine). Which of the following conditions is MOST likely?

     कSystemic Lupus Erythematosus खHenoch-Schönlein Purpura गJuvenile Rheumatoid Arthritis घKawasaki Disease
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

288. A newborn infant is presenting with significant jaundice (high serum bilirubin levels) and lethargy. Phototherapy is initiated. What physiological process explains why phototherapy reduces bilirubin levels in this infant?

     कIncreased Erythropoietin Production खConversion of Bilirubin to Urobilinoid गIncreased Hepatic Excretion of Bilirubin घDecreased Red Blood Cell Breakdown
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

289. A 32-year-old woman in her first trimester complains of severe vaginal bleeding accompanied by pain. A pelvic examination reveals friable, pinpoint bleeding spots on the cervix. Which of the following is the MOST likely diagnosis?

     कPlacenta Previa खSeptic Abortion गIncomplete Abortion (Missed Abortion) घVasa previa
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

290. A 6-year-old boy is brought to the clinic complaining of recurrent episodes of vomiting and intense abdominal pain, particularly after meals. Physical examination reveals a palpable, sausage-shaped mass in his abdomen. What is the MOST likely diagnosis?

     कCeliac Disease खInfantile Pyloric Stenosis गHenoch-Schönlein Purpura घCow's Milk Allergy
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।