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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The World Health Organization (WHO) recommends a single dose of Vitamin A supplementation for children aged 6-48 months with measles. What is the recommended dosage?
सही उत्तर: घ) 100 mg
The WHO's standard recommendation is 50mg of Vitamin A administered as a single dose to children aged 6-48 months who have experienced measles. Options 1, 2, and 4 present incorrect dosages.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 12 weeks gestation presents with persistent vaginal bleeding. Transvaginal ultrasound reveals a viable fetus. What is the MOST appropriate initial management strategy, considering current guidelines?
सही उत्तर: ख) Administration of intravenous tranexamic acid followed by expectant management
In the case of persistent vaginal bleeding with a viable fetus detected on ultrasound at 12 weeks, the most appropriate initial approach is typically expectant management. This allows for observation and serial ultrasounds to monitor fetal viability and control bleeding. The other options are inappropriate in this scenario.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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According to the 2072 Constitution of Nepal, what is the primary responsibility of the Ministry of Health and Population regarding maternal health services?
सही उत्तर: ख) Establishing and regulating a national system of healthcare facilities
The Constitution outlines that the Ministry of Health and Population is responsible for establishing and regulating a national system of healthcare facilities, including maternal health services. Options 2 and 3 are incorrect because they misrepresent the ministry's duties; option 4 incorrectly limits support to private institutions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a newborn presenting with persistent tachycardia after birth, which of the following is the MOST likely immediate cause based on standard neonatal assessment?
सही उत्तर: ख) Respiratory Distress Syndrome (RDS)
Persistent tachycardia in a neonate is frequently associated with RDS due to pulmonary hypertension and respiratory distress. While hypocalcemia, hyperbilirubinemia, and sepsis can cause neonatal distress, they typically present with different clinical features. RDS is the most common immediate etiology for tachypnea in newborns.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary diagnostic criterion for cervical intraepithelial neoplasia (CIN) Grade 2 based on current guidelines?
सही उत्तर: ख) Biopsy showing dyskeratosis and nuclear atypia
CIN Grade 2 is diagnosed through a biopsy revealing dyskeratosis (abnormal keratinocyte maturation) and nuclear atypia (changes in the nucleus's appearance) within the epithelium. Options 1 and 3 describe less specific findings, while option 2 incorrectly focuses on only one feature.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements regarding congenital adrenal hyperplasia (CAH) is MOST accurate? a) CAH is primarily caused by deficiencies in vitamin D levels. b) CAH results from an excess of adrenocorticotropic hormone (ACTH). c) CAH typically presents with ambiguous genitalia and hypernatremia in males. d) CAH can be diagnosed solely based on maternal dietary intake during pregnancy.
सही उत्तर: ग) c) CAH typically presents with ambiguous genitalia and hypernatremia in males.
CAH is caused by excessive cortisol production, which leads to adrenal hyperplasia. This excess cortisol results in an excess of ACTH stimulation, causing the symptoms. The other options describe incorrect causes or diagnostic approaches.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary mechanism by which phototherapy reduces hyperbilirubinemia in newborns?
सही उत्तर: ख) Conversion of bilirubin to glucuronide
The correct answer is ‘Conversion of bilirubin to glucuronide.’ Phototherapy uses light energy to convert unconjugated bilirubin (the form that causes jaundice) into conjugated bilirubin, which is water-soluble and easily excreted in urine and stool. The other options represent alternative mechanisms for bilirubin metabolism.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a newborn with suspected sepsis, which of the following laboratory findings would be MOST indicative of infection?
सही उत्तर: ख) Decreased white blood cell count (neutrophilia)
The correct answer is ‘Decreased white blood cell count (neutrophilia)’. A significant neutrophilia is a key indicator of bacterial infection in newborns. Elevated albumin and alkaline phosphatase are not specifically related to acute infection. Normal lactate levels can be seen in various conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 32-year-old woman presents with recurrent miscarriages (3) and a positive phospholipid antibody test. Which intervention is MOST appropriate for her case?
सही उत्तर: ख) Oral antibiotics to treat potential bacterial infections
The correct answer is ‘Intravenous methylprednisolone.’ This medication is a standard treatment for recurrent pregnancy loss due to antiphospholipid syndrome because it suppresses the immune response and reduces antibody production. The other options are not specifically indicated for this condition.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which physiological change primarily contributes to the development of anemia during pregnancy?
सही उत्तर: ख) Decreased plasma volume
The most significant factor contributing to physiological pregnancy anemia is a decrease in plasma volume (hypovolemia), leading to a lower concentration of hemoglobin. This results in a reduced oxygen-carrying capacity of the blood.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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