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 10-year-old boy presents with a sudden onset 'slapped cheek' rash, accompanied by a lacy rash extending down his limbs. Which of the following conditions is MOST likely?
सही उत्तर: घ) Rubella
The characteristic features – ‘slapped cheek’ rash and a lacy rash on the extremities - are highly indicative of rubella (German measles). Roseola presents differently, Hand-foot-and-mouth is typically associated with oral lesions and Measles has distinct systemic symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents with severe abdominal pain and vaginal bleeding. Initial investigations reveal a stable hemodynamically, but there is evidence of an ectopic pregnancy. What medication would be the MOST appropriate first-line treatment?
सही उत्तर: ख) Methotrexate
Misoprostol (a prostaglandin analogue) is the standard initial treatment for unruptured ectopic pregnancies, inducing uterine contractions to expel the pregnancy. Methotrexate targets rapidly dividing cells and would be reserved for later stages of management. Hydrocortisone and tranexamic acid are used in different situations.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a newborn infant demonstrating signs of respiratory distress, what is the generally accepted initial rate for positive pressure ventilation delivered via nasal cannulae?
सही उत्तर: ख) 40-45 breaths per minute
The initial rate for positive pressure ventilation in neonatal resuscitation, as per current guidelines (e.g., 2020), is typically between 30-35 breaths per minute. This ensures adequate oxygen delivery while minimizing the risk of overdistension.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following hormonal imbalances is MOST commonly associated with primary amenorrhoea in a female presenting with absent uterus and scanty pubic hair?
सही उत्तर: ग) Elevated levels of Oestrogen
Elevated oestrogen levels are strongly linked to primary amenorrhoea, particularly when accompanied by the clinical presentation described – absent uterus and scanty pubic hair. Testosterone and hCG have different roles in female reproductive function, while progesterone is typically involved in maintaining menstruation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The term ‘engagement’ in obstetrics refers to which of the following?
सही उत्तर: ख) The descent of the fetal head to the level of the ischial spines
Engagement refers specifically to the downward movement and subsequent positioning of the fetal head within the bony pelvis. The other options describe different aspects of labor progression or pelvic anatomy. It is a crucial step for successful vaginal delivery.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-month-old infant presents with persistent watery diarrhoea, vomiting, and dehydration. Physical examination reveals a palpable mass in the abdomen. Which of the following conditions is MOST likely?
सही उत्तर: ग) Polycystic Ovary Syndrome (PCOS)
Intrauterine adhesions after D&C can lead to scarring and subsequent secondary amenorrhea due to disruption of the normal endometrial lining. Endometrial adenocarcinoma is a recognized complication of uterine trauma, especially with significant scarring and inflammation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pediatrician is evaluating a 6-month-old infant with failure to thrive. Which of the following investigations would MOST likely reveal evidence of iron deficiency anemia?
सही उत्तर: क) Serum IgE level
Iron deficiency anemia is most commonly diagnosed by a low hemoglobin level, which a CBC will detect. IgE levels are used to assess allergic conditions, urinalysis assesses metabolic disorders, and liver function tests evaluate hepatic health.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a pregnant woman presenting with symptoms of preterm labor at 34 weeks gestation, what is the PRIMARY initial intervention based on current WHO guidelines?
सही उत्तर: ख) Magnesium sulfate for tocolysis
WHO Plan C involves administering corticosteroids (betamethasone) to accelerate fetal lung maturation – this is the most crucial initial intervention in preterm labor at 34 weeks. Magnesium sulfate is used later, while bed rest and antibiotics are not primary treatments.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following is a key characteristic of neonatal hyperbilirubinemia?
सही उत्तर: घ) Rapid decline in indirect bilirubin
Neonatal jaundice (hyperbilirubinemia) is primarily due to an accumulation of *indirect* or unconjugated bilirubin. The normal response involves increased conjugation and excretion of bilirubin.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The primary purpose of administering Vitamin K to a newborn immediately after birth is to prevent:
सही उत्तर: ख) Bleeding disorders
Vitamin K supplementation prevents haemorrhagic disease of the newborn (HDN) by providing the necessary cofactor for blood clotting. Hypoglycemia, respiratory distress, and infection are not directly addressed by Vitamin K administration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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