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 presents with a 'snowman' (figure-of-eight) cardiac silhouette on chest X-ray. What is the most likely diagnosis?
सही उत्तर: ख) Coarctation of the Aorta
The ‘snowman’ appearance on chest radiography is a classic indicator of coarctation of the aorta, where the ascending aorta is narrowed. The other options represent different cardiac abnormalities.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A preterm infant delivered at 28 weeks gestation is experiencing respiratory distress. Chest X-ray reveals bilateral ground-glass opacities. Which of the following conditions is MOST likely? A) Bronchopulmonary Dysplasia (BPD) B) Respiratory Distress Syndrome (RDS) C) Pneumonia D) Meconium aspiration syndrome
सही उत्तर: ख) B) Respiratory Distress Syndrome (RDS)
Ground-glass opacities on chest X-ray in a preterm infant at 28 weeks gestation are highly suggestive of Bronchopulmonary Dysplasia (BPD), a common complication associated with prematurity.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following findings would be MOST suggestive of congenital hip dysplasia in a newborn infant? A) Increased femoral head diameter on ultrasound B) Painful movement of the hips C) Limited range of motion in the hips D) Absence of palpable femoral pulses
सही उत्तर: घ) D) Absence of palpable femoral pulses
Limited range of motion (ROM) of the hips is a classic finding in congenital hip dysplasia. An increased femoral head diameter on ultrasound is often seen but doesn't definitively diagnose dysplasia without ROM limitations.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-month-old infant presents with poor weight gain and delayed developmental milestones. Screening reveals elevated levels of serum phenylalanine. Which metabolic disorder is MOST likely? A) Galactosemia B) Phenylketonuria (PKU) C) Maple Syrup Urine Disease D) Tyrosinemia
सही उत्तर: ख) B) Phenylketonuria (PKU)
Elevated phenylalanine levels strongly suggest Phenylketonuria (PKU), a genetic disorder where the body cannot properly break down phenylalanine. Galactosemia is characterized by elevated galactose levels.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following findings would MOST strongly suggest gestational diabetes mellitus in a pregnant woman? A) Elevated serum creatinine B) Positive urine dipstick for glucose C) Increased serum uric acid D) Prolonged QT interval on ECG
सही उत्तर: ख) B) Positive urine dipstick for glucose
A positive urine dipstick test for glucose is the most common and readily available indicator of elevated blood glucose levels during pregnancy, strongly suggesting gestational diabetes. The other options are not typically associated with this condition.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 30-year-old female is diagnosed with a Krukenberg tumor arising from her ovary. What is the MOST likely primary site of origin?
सही उत्तर: ग) C) Ovarian surface epithelium.
Option B is correct; Krukenberg tumors are classically metastatic ovarian cancers originating from endometrial adenocarcinoma, most commonly the fallopian tube. Options A and C represent less frequent primary sites for this metastasis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the characteristic chromosomal makeup typically observed in a complete hydatidiform mole?
सही उत्तर: ख) B) 47, XX,+21 (trisomy 21 present).
Option B is correct; a complete hydatidiform mole presents as a chimerism of placental trophoblast cells that have multiple sets of chromosomes, most commonly +21 (Down Syndrome). Options A and C are incorrect karyotypes for this condition. Option D represents the mosaicism seen in partial moles.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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During a fetal ultrasound examination, the measurement of the pelvic inlet diameter reveals a notably narrow anterior-posterior dimension. What does this typically indicate?
सही उत्तर: ख) B) A small pelvic size presenting challenges for vaginal delivery.
Option B is correct; a narrow anteroposterior diameter suggests the fetal head may have difficulty passing through the constricted pelvic inlet, potentially leading to cephalopelvic disproportion. Options A and C are less likely given the description, while option D refers to an anatomical issue.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 35-year-old woman presents with postmenopausal bleeding. Which of the following is the MOST significant risk factor associated with endometrial carcinoma?
सही उत्तर: ग) C) Increasing age and obesity.
Option C is correct, as increasing age and obesity are the strongest identified risk factors for endometrial carcinoma. Options A, B, and D are less directly linked to the development of this cancer.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements accurately describes the primary management strategy for a hemodynamically stable patient presenting with an unruptured ectopic pregnancy?
सही उत्तर: ग) C) Medical management with Methotrexate, followed by careful observation.
Option C is correct; Methotrexate is a commonly used medication for managing unruptured ectopic pregnancies in stable patients. Options A and D represent invasive procedures not typically initiated first. Option B describes supportive care, but doesn't specify the specific treatment for ectopic pregnancy.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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