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

41. Which of the following best describes the primary mechanism of action for intravenous fluids administered during initial resuscitation according to WHO’s Plan C?

    कA. Administration of isotonic saline to rapidly expand intravascular volume and increase cardiac output. खB. Gradual infusion of hypotonic solutions like 0.45% saline to correct dehydration effectively. गC. Continuous administration of Ringer's Lactate to restore electrolyte balance and maintain fluid homeostasis. घD. Initial bolus of crystalloid solution followed by a slow drip of dextrose-containing fluids.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

42. A 12-year-old girl presents with intermenstrual bleeding and lower abdominal pain. Pelvic examination reveals a nodule in the right adnexa. Which diagnostic test is MOST helpful in confirming the diagnosis?

    कUltrasound खMagnetic Resonance Imaging (MRI) गHysteroscopy घSerum CA-125
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

43. A newborn infant is exhibiting signs of respiratory distress, including grunting and nasal flaring. Pulse oximetry readings are consistently below 90%. What initial step in resuscitation should be taken?

    कInitiate positive pressure ventilation with a bag-mask खAdminister intravenous fluids (normal saline) गInsert an orogastric tube घStart phototherapy
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

44. A pregnant woman at 36 weeks gestation complains of severe vaginal bleeding with passage of clots. The fetal heart rate is tachycardic. What is the MOST immediate action to take?

    कAdminister intravenous fluids खPerform an emergency Cesarean section गAdminister oxytocin घStart magnesium sulfate infusion
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

45. A pediatrician is examining a 6-month-old infant who presents with poor feeding, irritability, and lethargy. Physical examination reveals hepatomegaly. Which of the following conditions should be MOST strongly suspected?

    कTransient Spastic Paraparesis खCongenital Heart Disease गCardiomyopathy घHemophagocytic Lymphohistiocytosis
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

46. A 28-year-old female presents with sudden onset lower abdominal pain, vaginal bleeding, and fever. Clinical examination reveals a tender uterus. Which of the following is the MOST likely diagnosis?

    कEctopic pregnancy खPelvic Inflammatory Disease (PID) गThreatened Abortion घPlacenta Previa
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

47. A newborn infant is delivered at term with suspicion of congenital adrenal hyperplasia (CAH). Which of the following findings would be MOST suggestive of CAH? a) Large testes size and elevated dihydrotestosterone (DHT) levels b) Hyperpigmentation of skin and increased androgen levels c) Cardiomyopathy and low cortisol levels d) Increased glycogen storage in liver and normal androgen levels

    कa) Large testes size and elevated dihydrotestosterone (DHT) levels खb) Hyperpigmentation of skin and increased androgen levels गc) Cardiomyopathy and low cortisol levels घd) Increased glycogen storage in liver and normal androgen levels
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

48. A pregnant woman at 36 weeks gestation presents with sudden onset lower abdominal pain and vaginal bleeding. The ultrasound reveals a decidual uterine leiomyoma. What is the MOST immediate concern? a) Risk of preterm labor b) Risk of placental abruption c) Risk of sepsis d) Risk of fetal demise

    कa) Risk of preterm labor खb) Risk of placental abruption गc) Risk of sepsis घd) Risk of fetal demise
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

49. A 2-year-old child presents with persistent vomiting, abdominal distension, and lethargy. Examination reveals hepatomegaly. Which of the following conditions is MOST likely? a) Acute gastroenteritis b) Intussusception c) Omental cyst d) Viral Meningitis

    कa) Acute gastroenteritis खb) Intussusception गc) Omental cyst घd) Viral Meningitis
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

50. A 6-month-old child presents with signs and symptoms suggestive of iron deficiency anemia. Which of the following findings would MOST strongly support a diagnosis of iron deficiency anemia? a) Elevated serum ferritin levels b) Microcytic, hypochromic red blood cell indices c) Increased white blood cell count d) Normal hemoglobin concentration

    कa) Elevated serum ferritin levels खb) Microcytic, hypochromic red blood cell indices गc) Increased white blood cell count घd) Normal hemoglobin concentration
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।