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

261. A 6-year-old child presents with fever, rash, strawberry tongue, and conjunctivitis. Which diagnostic test would be MOST helpful in confirming the diagnosis?

     कComplete Blood Count (CBC) खUrinalysis गThroat Culture for Streptococcus pyogenes घSerological testing for Coxsackie B virus
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

262. What is the primary mechanism of action for ibuprofen when treating postpartum pain?

     कSelective Serotonin Reuptake Inhibition खNon-steroidal Anti-inflammatory Drug (NSAID) activity reducing prostaglandin synthesis गAnticonvulsant effect inhibiting neuronal firing घOpioid receptor agonism
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

263. A newborn infant presents with severe respiratory distress, cyanosis, and a characteristic 'olive-shaped' liver. Which of the following congenital heart defects is most likely?

     कTetralogy of Fallot खTransposition of the Great Arteries गCoarctation of the Aorta घHypoplastic Left Heart Syndrome
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

264. Which of the following conditions typically presents with a 'bull's eye' rash characterized by central clearing and subsequent peripheral edema?

     कGonorrhea खMeasles गRubella घScarlet Fever
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

265. In a pregnant woman diagnosed with gestational diabetes mellitus (GDM) at 24 weeks gestation, which of the following metabolic profiles would indicate the need for immediate intervention?

     कFasting plasma glucose: 90 mg/dL; HbA1c: 5.5% खFasting plasma glucose: 130 mg/dL; HbA1c: 6.0% गFasting plasma glucose: 180 mg/dL; HbA1c: 7.0% घFasting plasma glucose: 120 mg/dL; HbA1c: 6.5%
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

266. A newborn infant has a large, firm, non-tender mass on one side of the neck. The mass is palpable but does not move with respiration. What is the MOST likely diagnosis?

     कThyroid cyst खVascular birthmark (cavernous malformation) गLymphadenopathy due to infection घBranchial cleft anomaly
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

267. A 6-year-old boy presents with fever, sore throat, and a sandpaper-like rash. Based on these findings, which of the following is the MOST immediate action to take?

     कAdminister oral amoxicillin for suspected bacterial pharyngitis खInitiate intravenous ceftriaxone for possible streptococcal infection गPerform a rapid strep test to confirm or rule out *Streptococcus pyogenes* घStart treatment with antihistamines for allergic reaction
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

268. A 32-year-old female presents to the clinic following a prolonged postpartum hemorrhage (PPH) after vaginal delivery. Initial assessment reveals no evidence of uterine atony, laceration, or retained placental fragments. Laboratory investigations show normal clotting parameters. What is the MOST likely underlying factor contributing to this PPH?

     कUterine myomata (fibroids) खAromatase deficiency गCoagulation factor VIII deficiency घPostpartum thyroiditis
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

269. A newborn presents with respiratory distress, cyanosis, and a bounding pulse. Physical examination reveals a large patent ductus arteriosus (PDA). Which of the following interventions would be MOST appropriate as the initial management?

     कAdminister intravenous corticosteroids to reduce inflammation around the PDA खInitiate indomethacin therapy to constrict the ductal smooth muscle गProvide oxygen via nasal cannula at 2-3 liters per minute घPerform a Foley catheter placement to monitor pulmonary artery pressure
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

270. Which diagnostic test is considered the ‘gold standard’ for confirming a diagnosis of Hirschsprung disease?

     कUltrasound खMagnetic Resonance Imaging (MRI) गAnorectal Manometry & Biopsy घEndosonography
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।