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 6-month-old infant presents with significant vomiting and abdominal distension. Physical examination reveals palpation tenderness over the upper abdomen. What is the MOST probable underlying condition?
सही उत्तर: क) Celiac Disease
Infantile hypertrophic pyloric stenosis (IHPS) is a classic presentation with projectile vomiting, abdominal distension, and tenderness over the upper abdomen. Celiac disease can cause vomiting but typically has other gastrointestinal symptoms. GERD does not cause significant abdominal distension or palpable tenderness.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 28-year-old female presents with recurrent painless miscarriage at 16 and 20 weeks' gestation, accompanied by cervical dilatation. Which condition is MOST strongly suspected?
सही उत्तर: क) Cervical Incompetence
Cervical incompetence – characterized by painless miscarriage and cervical dilatation – is the most common etiology for recurrent second-trimester pregnancy loss. While chromosomal abnormalities are a possibility, the description of ‘painless’ makes cervical incompetence the more likely diagnosis. Placenta previa is associated with bleeding, while uterine fibroids rarely cause miscarriage.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant presents with respiratory distress and hyperglycemia shortly after birth. Which of the following conditions is MOST likely responsible?
सही उत्तर: क) Gestational Diabetes Mellitus
Gestational Diabetes Mellitus (GDM) is a well-established risk factor for macrosomia and subsequent neonatal hyperglycemia. The other options – preterm birth, NRDS, or hypoglycemia – are less directly linked to the presentation of a diabetic infant in the immediate post-natal period.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents with persistent vaginal bleeding and cramping at 32 weeks gestation. Initial ultrasound shows a severely dilated cervix. Which of the following conditions is MOST likely?
सही उत्तर: ख) Cervical Incompetence
Cervical incompetence, characterized by painless second-trimester pregnancy loss with cervical dilatation, is a well-established clinical scenario. The other options – placenta previa (bleeding from the lower uterus), hydropic fetus (severe edema), and Vasa previa (bleeding due to fetal blood vessels entering the vagina) – present with different symptoms and findings.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman in her 36th week of gestation experiences vaginal bleeding and rupture of membranes. Which immediate action is MOST critical?
सही उत्तर: ग) Perform a rapid fetal Group B Streptococcus (GBS) screening
With ruptured membranes and vaginal bleeding, the highest priority is to initiate prompt labor induction. This is crucial to deliver the baby before significant complications arise.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The presence of 'red currant jelly' stools in an infant is MOST suggestive of:
सही उत्तर: ग) Giardiasis
’Red currant jelly’ stools are a characteristic presentation of Giardiasis, a parasitic infection of the small intestine. The consistency and color relate to dehydration and inflammation caused by the parasite.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a 6-month-old infant presenting with projectile vomiting and frequent, forceful stools, the most likely diagnosis is:
सही उत्तर: घ) Pyloric Stenosis
Todd’s paralysis presents with intermittent, forceful vomiting, often after feeding, and curdled (peachy) stools. This classic presentation strongly points to pyloric stenosis, a narrowing of the muscle at the outlet of the stomach.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents with preterm labor at 32 weeks gestation. Which of the following corticosteroids would be MOST appropriate to administer to accelerate fetal lung maturation?
सही उत्तर: घ) Magnesium Sulfate
Betamethasone is the most widely used and recommended corticosteroid for accelerating fetal lung maturity in preterm labor due to its superior efficacy and safety profile compared with other options. Terbutaline addresses uterine contractions, nifedipine is a vasodilator, and magnesium sulfate is used for seizure prophylaxis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary goal of therapeutic phlebotomy in severe pre-eclampsia?
सही उत्तर: ग) Remove excess extracellular fluid to counteract hypertension
Decreasing intracranial pressure (option 2) is the primary goal, achieved by reducing cerebral perfusion via removal of extracellular fluid. While other options are secondary benefits, this is the most critical.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements BEST describes the pathophysiology of congenital adrenal hyperplasia (CAH)?
सही उत्तर: घ) Deficient production of cortisol resulting in hyperpigmentation
Decreased cortisol production (option 3) due to adrenal gland dysfunction leads to increased adrenocorticotropic hormone (ACTH), causing hyperpigmentation. The other options represent different endocrine disorders.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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