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 child presents with persistent cough, fever, and wheezing. Which of the following conditions is MOST likely?
सही उत्तर: क) A. Bronchial Asthma
Bronchial asthma, particularly in a 6-month-old with these symptoms, is the most probable diagnosis considering the recurrent cough, wheezing, and age group. While pneumonia (B) can present similarly, the chronic nature of the symptoms makes asthma more likely. Options C and D are less common causes in this age group.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary reason for administering surfactant to preterm infants with Respiratory Distress Syndrome?
सही उत्तर: ख) B. To prevent alveolar collapse and reduce surface tension in the lungs
Surfactant administration is crucial because it reduces the surface tension in the infant's lungs, preventing alveolar collapse (collapse of the air sacs) which is a primary feature of RDS. Options A, C, and D are incorrect regarding surfactant’s mechanism of action.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents with severe abdominal pain, vaginal bleeding, and a palpable adnexal mass. Ultrasound reveals a gestational sac containing yolk sacs within the fallopian tube. What is the most appropriate initial management?
सही उत्तर: ग) C. Methotrexate injection for medical management
Methotrexate injection is the standard first-line treatment for a small, unruptured tubal ectopic pregnancy in a stable patient. Induction of labor (A) or surgical evacuation (B) carries higher risks of morbidity and mortality. Antibiotics alone (D) are insufficient to address the underlying pathology.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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According to the IMNCI (Integrated Management of Newborn Care) classification, what is the approximate age range for 'Respiratory Distress Syndrome' in newborns?
सही उत्तर: ग) C. Birth - 28 days
The IMNCI categorizes respiratory distress syndrome specifically within the newborn period (Birth – 28 days). Options A and D are age ranges for other conditions. Option B is an inappropriate range for neonatal care.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following anatomical features is most commonly associated with Breech Presentation at term?
सही उत्तर: क) A. Long head restriction
Option A, 'Long head restriction,' is the defining characteristic of a breech presentation at term. The baby's large buttocks and legs are typically engaged before the head. Options B, C, and D are features associated with other presentations like vertex or complete flexion.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 28-year-old woman is diagnosed with cervical intraepithelial neoplasia grade 2. Which of the following management strategies would be MOST appropriate?
सही उत्तर: ग) Cone biopsy for histological examination and potential excision
A cone biopsy is essential to obtain a tissue sample for accurate diagnosis and to assess the extent of the disease. Following a cone biopsy, further treatment (excising the lesion) is usually indicated based on the pathology results. Observation alone isn’t sufficient for grade 2 CIN. Total hysterectomy isn't typically the initial approach.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn is diagnosed with congenital heart disease characterized by a systolic murmur, cyanosis, and tachypnea. Which of the following conditions is MOST commonly associated with this presentation?
सही उत्तर: ख) Transposition of the Great Arteries
Tetralogy of Fallot, a complex cyanotic heart defect, frequently presents with these symptoms – a systolic murmur, cyanosis, and tachypnea. The other conditions present differently in terms of their physical findings. ASD can be asymptomatic or have milder symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a pregnant woman experiencing severe pre-eclampsia, which of the following interventions would be MOST critical to prevent maternal mortality?
सही उत्तर: क) Administration of magnesium sulfate
Magnesium sulfate is the cornerstone in managing seizures associated with severe pre-eclampsia. While other measures might be beneficial, magnesium sulfate directly addresses the most life-threatening complication - status epilepticus. Increased sodium would worsen fluid retention, blood pressure monitoring doesn’t treat the underlying issue, and bed rest alone wouldn't prevent potentially fatal neurological complications.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 32-year-old woman presents with vaginal bleeding, lower abdominal pain, and a foul-smelling discharge. Based on these symptoms, which of the following conditions is MOST likely?
सही उत्तर: ग) Pelvic Inflammatory Disease (PID)
The combination of vaginal bleeding, lower abdominal pain, and foul-smelling discharge strongly suggests Pelvic inflammatory disease (PID). While other options could cause bleeding, the specific symptoms point most strongly to PID. Hydatidiform mole presents with distinct features absent here. Placenta previa results in vaginal bleeding but not typically a discharge. Normal postpartum bleeding is expected but doesn’t usually involve pain and discharge.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following is the MOST appropriate initial management for a neonate presenting with signs and symptoms suggestive of neonatal sepsis?
सही उत्तर: ख) Perform a rapid blood culture and initiate broad-spectrum antibiotic therapy while awaiting results
Rapid blood cultures and initiation of broad-spectrum antibiotics are crucial in managing suspected neonatal sepsis. Delaying treatment can be catastrophic. The other options are inappropriate - immediate antibiotics without investigation risk antibiotic resistance, passive observation is unacceptable, and simply administering fluids doesn’t address the underlying infection.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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