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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Which of the following conditions is MOST commonly associated with a 'cottage cheese' vaginal discharge and intense pruritus?
सही उत्तर: ख) B. Candidiasis (Yeast infection)
Candida overgrowth is the primary cause of 'cottage cheese' discharge and intense itching. While bacterial vaginosis and trichomoniasis can present with abnormal vaginal discharge, they typically have different characteristics. Actinomyces is associated with a distinct microscopic appearance.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pediatrician is evaluating a newborn infant born at 37 weeks gestation who has been experiencing difficulty breathing since birth. The baby’s mother reports that she was diagnosed with gestational diabetes during pregnancy. Which of the following complications is MOST concerning in this infant?
सही उत्तर: ख) Hypoglycemia
Newborns of diabetic mothers are at significantly increased risk for developing Respiratory Distress Syndrome (RDS) due to fetal exposure to high levels of insulin, leading to impaired surfactant production and alveolar collapse.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 3-year-old child presents with severe diarrhea and dehydration. Examination reveals pale skin, sunken eyes, and delayed capillary refill. Which electrolyte imbalance is MOST likely present?
सही उत्तर: ग) Hyponatremia
In cases of severe diarrhea, the primary loss is through the gastrointestinal tract, leading to significant potassium depletion and subsequent hypokalemia. Other electrolyte imbalances are less commonly associated with acute diarrheal illness.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant born via vaginal delivery presents with respiratory distress after birth. A chest X-ray reveals a 'stem sign' (thumbprint appearance). This finding is MOST suggestive of:
सही उत्तर: ख) Pneumonia
The ‘stem sign’ on chest X-ray, representing a finger-like projection from the trachea into the right lung field, is a classic finding in Transient Tachypnea of the Newborn (TTN) due to fluid accumulation in the alveoli.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 15-year-old female presents with secondary amenorrhea. Examination reveals a normal uterus size, upper vagina, and breasts, but absent pubic hair. Serum hormone levels show elevated levels of LH and FSH. What is the MOST likely diagnosis?
सही उत्तर: घ) Turner syndrome
Turner Syndrome (46,XX mosaic) frequently presents with secondary amenorrhea due to gonadal dysgenesis resulting in absent or poorly developed pubic hair. PCOS is less likely given the normal hormone profile and absence of polycystic ovaries, while premature ovarian failure typically shows a significantly lower LH/FSH ratio.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-month-old infant presents with projectile vomiting and abdominal distension. Physical examination reveals olive-shaped masses in the umbilical region. Which of the following is the MOST likely diagnosis?
सही उत्तर: ख) Infantile pyloric stenosis
Infantile pyloric stenosis, characterized by olive-shaped masses in the umbilical region, is a common presentation in infants of this age. Reflux and intussusception present with different symptoms, while Meckel’s diverticulum typically presents with painless rectal bleeding.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant’s temperature is 36.5°C (97.7°F). The baby demonstrates signs of lethargy and poor feeding. Which intervention should be implemented immediately to prevent neonatal hypothermia?
सही उत्तर: ग) C. Skin-to-skin contact with the mother.
Option C is correct. Skin-to-skin contact facilitates heat transfer from the mother to the baby, effectively raising and stabilizing the infant’s temperature. Options A, B, and D are inappropriate interventions for initial management of neonatal hypothermia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In the context of assessing cervical readiness for labor induction, what is the primary purpose of the Bishop Score?
सही उत्तर: ख) B. To evaluate the degree of dilation, effacement, position, and station of the cervix.
Option B is correct. The Bishop Score is a clinical assessment tool that evaluates five parameters—effacement, dilatation, consistency, position, and cervical transit—to predict the likelihood of successful induction of labor. These factors directly influence how easily the cervix responds to external stimuli. Option A is incorrect as gestational age is determined through ultrasound or fundal height measurement. Options C and D are irrelevant to the core purpose of assessing cervical readiness.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-year-old child is diagnosed with a diffuse, lace-like rash appearing primarily on his limbs after experiencing a mild viral infection. Which of the following conditions is most consistent with this presentation?
सही उत्तर: ग) C. Rubella (German Measles).
Option B is correct. Roseola infantum, commonly known as sixth disease, presents with a characteristic lacy rash following a viral illness in young children. The bright red ‘slapped cheek’ appearance is also typical. Option A is incorrect because Measles produces maculopapular lesions distributed across the body. Option C resembles Rubella but the rash pattern and presentation are less consistent than Roseola. Option D represents Chickenpox which typically involves vesicles, not a lace-like rash.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 32-year-old female presents with severe pelvic pain and vaginal bleeding. Examination reveals a uterus that is significantly smaller than expected for gestational age. Further investigation confirms primary amenorrhea and an absent uterus. What is the most likely diagnosis?
सही उत्तर: ग) C. Mayer-Rokitansky-Kuster-Hauser (MRKH) Syndrome.
Option C is correct. The clinical presentation—primary amenorrhea, absent uterus, and normal breasts—strongly suggests MRKH syndrome. This congenital anomaly disrupts uterine development. Option A is incorrect because ectopic pregnancy typically presents with acute abdominal pain but with a defined gestational age. Option B is less likely given the absence of a uterus. Option D doesn't usually present with these features.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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