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

21. A 28-year-old female presents with severe abdominal pain, vaginal bleeding, and a palpable uterus in the late third trimester. Initial laboratory tests reveal significantly elevated levels of progesterone. What is the most likely diagnosis?

    कA) Ectopic Pregnancy – Ruptured Tubal Pregnancy खB) Placenta Previa गC) Ovarian Cyst Rupture with Hemorrhage घD) Fulll Term Intra-Uterine Growth Restriction (IUGR)
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

22. A newborn presents with thick, sticky mucus emanating from the nostrils and mouth, accompanied by a characteristic salty taste on the skin. This clinical presentation strongly suggests what diagnosis?

    कA) Sepsis due to Group B Streptococcus infection खB) Cystic Fibrosis गC) Respiratory Syncytial Virus (RSV) infection घD) Congenital Diaphragmatic Hernia
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

23. A pediatrician is evaluating a newborn infant who was born prematurely (32 weeks gestation). The infant has persistent tachypnea, respiratory distress, and evidence of pulmonary hemorrhage on chest radiography. Which of the following interventions would be MOST beneficial?

    कPlacement in a humidified incubator at 37°C खAdministration of intravenous corticosteroids to reduce inflammation गInitiating mechanical ventilation with high tidal volumes घStarting broad-spectrum antibiotics for suspected sepsis
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

24. A pregnant woman at 36 weeks gestation complains of sudden onset lower back pain, vaginal leakage, and fetal movements that have ceased. What is the most urgent diagnostic measure to confirm the diagnosis?

    कImmediate induction of labor with oxytocin खTransvaginal ultrasound to assess fetal position and amniotic fluid volume गPerineal examination to evaluate cervical dilation and effacement घMagnetic Resonance Imaging (MRI) of the lumbar spine for suspected disc herniation
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

25. A 6-year-old boy presents with a history of recurrent episodes of fever, rash (urticaria), and joint pain. Laboratory tests reveal elevated levels of antinuclear antibodies (ANA). Which of the following diagnoses is MOST likely?

    कAcute Lymphoblastic Leukemia (ALL) खSystemic Lupus Erythematosus (SLE) गJuvenile Idiopathic Arthritis (JIA) घKawasaki Disease
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

26. A newborn infant is exhibiting signs of respiratory distress, including nasal flaring and retractions. The pediatrician suspects meconium aspiration syndrome (MAS). Which intervention would be MOST effective in addressing this immediate threat to life?

    कAdministering intravenous fluids for dehydration खInitiating continuous positive airway pressure (CPAP) ventilation गApplying a warm compress to the infant’s chest घStarting broad-spectrum antibiotics to prevent infection
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

27. The diagnosis of congenital adrenal hyperplasia (CAH) is MOST reliably confirmed by measuring which hormonal level?

    कA. Serum cortisol levels खB. Serum aldosterone levels गC. 17-hydroxyprogesterone levels घD. Serum testosterone levels
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

28. A pregnant woman in her second trimester experiences sudden and significant pain with a rapidly enlarging fibroid. What is the MOST likely underlying mechanism?

    कA. Fibroid degeneration due to increased vascularity खB. Complete separation (rupture) of the fibroid गC. Compression of surrounding structures causing ischemia घD. Rapid hormonal changes inducing growth
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

29. In the context of neonatal diagnosis, what is the primary purpose of measuring Nuchal Translucency (NT) on ultrasound?

    कA. To assess fetal lung development खB. To evaluate cardiac function गC. To detect chromosomal abnormalities like Down Syndrome घD. To determine gestational age accurately
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

30. A 6-month-old infant presents with a high fever for 3 days followed by a maculopapular rash that appears as the fever subsides. This clinical presentation MOST likely indicates:

    कA. Roseola Infantum खB. Rubella Virus Infection गC. Fifth Disease (Parvovirus B19) घD. Measles Virus Infection
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।