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 newborn infant is diagnosed with congenital hip dysplasia. Which of the following investigations would be MOST appropriate for confirming the diagnosis and assessing its severity? a) Amniocentesis b) Ultrasound of the pelvis c) Serum electrolyte analysis d) Liver function tests
सही उत्तर: ख) b) Ultrasound of the pelvis
Ultrasound of the pelvis is the standard initial investigation for suspected congenital hip dysplasia due to its ability to visualize the femoral head and surrounding structures. The other options (amniotic fluid analysis, serum electrolytes, and liver function tests) are not directly relevant to diagnosing or assessing the severity of hip dysplasia. This diagnosis relies on imaging.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 12-year-old female presents with irregular menstrual cycles, low energy levels, and hot flashes. Which of the following investigations would be MOST appropriate at this stage?
सही उत्तर: ग) Serum Hormonal Profile (FSH, LH, Estradiol)
A serum hormonal profile is crucial to evaluate for potential causes of secondary amenorrhea in adolescents, such as ovarian dysfunction or pituitary abnormalities. Hysteroscopy and MRI would be considered later if other investigations are inconclusive.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a pregnant woman experiencing premature labor at 34 weeks gestation, which intervention would be MOST effective in delaying preterm birth?
सही उत्तर: ख) Magnesium sulfate administration
Intravenous corticosteroids are the cornerstone of management for preterm labor, as they rapidly accelerate fetal lung maturation and reduce the risk of respiratory distress syndrome. Magnesium sulfate primarily addresses seizure control; amniotomy is a procedure to break the amniotic sac but doesn't address the underlying cause of premature labor.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant presents with respiratory distress, cyanosis, and a heart rate of 180 bpm. Which of the following is the MOST likely immediate diagnosis?
सही उत्तर: ख) Transient Tachypnea of Newborns (TTN)
TTN is the most common cause of respiratory distress in newborns, characterized by delayed lung clearance and tachypnea. The other options are less likely given the presentation - pneumonia typically presents with fever and purulent sputum; cardiac tamponade causes hypotension and muffled heart sounds; sepsis usually has signs of systemic inflammation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 3-month-old infant presents with fever (38.5°C) accompanied by a maculopapular rash that started on the trunk and spread to the extremities. The baby's parents report no prior illnesses. What is the MOST likely diagnosis?
सही उत्तर: घ) D. Measles
The clinical presentation – high fever followed by a maculopapular rash that spreads symmetrically – is characteristic of Kawasaki disease, a vasculitis primarily affecting infants and young children. Roseola is usually associated with afebrile illness; Rubella congenital infection may lead to eye/ear issues but not this presenting symptom pattern.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 28-year-old female presents to her obstetrician at 16 weeks gestation with a markedly elevated serum alpha-fetoprotein (AFP) level. The ultrasound reveals normal fetal anatomy. What is the MOST important next step in management?
सही उत्तर: ख) B. Referral for further genetic counselling and amniocentesis
Elevated serum AFP levels are a strong indicator of neural tube defects, most commonly Down syndrome. While amniocentesis is an option for confirmation, initial management involves thorough genetic counselling and further evaluation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-year-old boy is brought to the clinic with complaints of painful, shooting leg pain, 'scorbutic rosary', and bluish-grey discoloration of the legs. Physical examination reveals anaemia. What is the MOST likely diagnosis?
सही उत्तर: ख) B. Iron Deficiency Anemia
The clinical presentation – painful subperiosteal hemorrhages, ‘scorbutic rosary’, and bluish discoloration of the legs – strongly suggests iron deficiency anemia. This is because lack of iron impairs collagen synthesis. While acute leukemia can cause pain, it doesn’t typically present with these specific findings.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 32-year-old woman presents with recurrent episodes of painless miscarriage in the second trimester. Examination reveals a persistently dilated cervix. Which of the following management strategies is MOST appropriate?
सही उत्तर: ख) B. Initiation of expectant management and close monitoring
Expectant management is the standard initial approach for recurrent painless second-trimester pregnancy loss, given the lack of fetal cardiac activity. While D&C may be considered in some cases, it’s not the first line treatment. Antibiotics are generally reserved for suspected infection, and genetic counselling addresses underlying causes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant is presenting with respiratory distress, tachypnea, and a history of prematurity. Initial assessment reveals hepatomegaly. Which of the following conditions is MOST likely responsible for this presentation?
सही उत्तर: ख) B. Neonatal Hemochromatosis
Neonatal hemochromatosis, often presenting with hepatomegaly and respiratory distress in premature infants, is the most likely diagnosis given the clinical presentation. While ECMO can cause similar symptoms, it's typically associated with more acute respiratory failure. Congenital Hip Dysplasia primarily presents with hip instability and doesn’t directly cause hepatomegaly.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the most common type of germ cell tumor found in women?
सही उत्तर: ग) Choriocarcinoma
The most commonly diagnosed germ cell tumor in females is the dysgerminoma, a malignant tumor originating from primordial germ cells. Teratomas and choriocarcinomas are less common, while seminomas are typically found in males.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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