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

251. A pregnant woman presents with persistent lower abdominal pain and vaginal bleeding in the third trimester. Ultrasound reveals a fibroid that has undergone necrosis and infarction. What is the MOST appropriate immediate management?

     कA. Conservative management with analgesics and observation खB. Urgent surgical evacuation of the uterus due to risk of sepsis गC. Administering intravenous antibiotics to treat suspected infection घD. Close monitoring for signs of preterm labor
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

252. A 6-month-old infant presents with symptoms of fever, irritability, and a diffuse maculopapular rash. Examination reveals splenomegaly. Which of the following viral infections is MOST likely?

     कA. Rubella virus खB. Cytomegalovirus (CMV) गC. Varicella-Zoster Virus (VZV) घD. Human Parvovirus B19
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

253. In a newborn diagnosed with cystic fibrosis, which of the following respiratory assessments is MOST critical?

     कAuscultation for bronchial breath sounds खMeasurement of peak expiratory flow rate गPulmonary function testing via spirometry घAssessment for signs of pneumothorax
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

254. A preterm infant (30 weeks gestation) presents with persistent vomiting and abdominal distension. Abdominal X-ray reveals pneumatosis intestinalis. Which of the following interventions is MOST appropriate in this scenario?

     कInitiate broad-spectrum intravenous antibiotics खProvide total parenteral nutrition (TPN) immediately गPerform exploratory laparotomy for surgical intervention घAdminister antispasmodic medications to control gastric motility
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

255. Which of the following clinical signs is MOST indicative of congenital heart disease in a newborn?

     कMarkedly increased respiratory rate (tachypnea) खPersistent jaundice after neonatal phototherapy गA murmur heard during cardiac auscultation घLarge for gestational age infant at birth
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

256. A pregnant woman presents with severe vaginal bleeding and abdominal pain at 34 weeks gestation. Initial investigations reveal a placenta previa. Which of the following is the MOST appropriate immediate management step?

     कAdminister intravenous corticosteroids to accelerate fetal lung maturation खPerform an emergency Cesarean section immediately गAttempt to manually relocate the placenta through hysteroscopy घClose the vagina with sutures and monitor for spontaneous placental displacement
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

257. Which of the following interventions is MOST crucial in preventing neonatal hypoglycemia immediately after birth?

     कAdministering intravenous dextrose solution immediately upon arrival खInitiating phototherapy to stimulate glucose production गDelaying feeding until the infant demonstrates signs of hunger घMonitoring blood glucose levels every 15 minutes for the first hour
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

258. A 10-year-old boy presents with fatigue, pallor, and splenomegaly. Laboratory investigations reveal elevated serum iron levels and microcytic anemia. Which of the following is the MOST likely diagnosis?

     कa) Iron Deficiency Anemia. खb) Thalassemia Major. गc) Sickle Cell Disease. घd) Lead Poisoning.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

259. A 6-year-old child presents with recurrent episodes of vomiting and diarrhea leading to dehydration. Physical examination reveals hepatomegaly. Which of the following conditions is MOST likely?

     कCeliac Disease खInflammatory Bowel Disease गGalactosemia घShort Gut Syndrome
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

260. A pregnant woman at 36 weeks gestation presents with vaginal bleeding and abdominal pain. What is the immediate priority in management?

     कAdminister intravenous antibiotics खPerform a dilatation and curettage गInitiate intravenous fluids and monitor vital signs घImmediate ultrasound scan to visualize ectopic pregnancy location
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।