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

331. A 28-year-old female presents with sudden onset headaches, visual disturbances (amaurosis fugax), and transient neurological deficits. Examination reveals elevated blood pressure. Which of the following is the MOST immediate step in her management?

     कA) Immediate administration of intravenous corticosteroids. खB) Administration of antihypertensive medication to lower blood pressure rapidly. गC) Consultation with a neurologist for suspected cerebral angiography. घD) Initiation of treatment with low-dose aspirin.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

332. Which of the following is the MOST appropriate initial management for a preterm infant diagnosed with pneumatosis intestinalis on abdominal X-ray?

     कInitiate broad spectrum intravenous antibiotics immediately खProvide aggressive nutritional support via nasogastric tube गPerform an exploratory laparotomy to evaluate for bowel perforation घAdminister inhaled bronchodilators to improve gas exchange
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

333. A 2-year-old child presents with a history of recurrent urinary tract infections. Examination reveals a palpable bladder mass. The most appropriate initial investigation is:

     कA) Renal Ultrasound खB) Voiding Cystourethrogram (VCUG) गC) Magnetic Resonance Imaging (MRI) of the Pelvis घD) Urine Culture and Sensitivity
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

334. A 6-month-old infant presents with failure to thrive, developmental delays, and a markedly enlarged liver. Blood tests reveal elevated levels of alpha-fetoprotein. Which condition should be strongly considered?

     कA) Severe Combined Immunodeficiency (SCID) खB) Hepatocellular Carcinoma गC) Cystic Fibrosis घD) Wilson’s Disease
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

335. In a neonate with suspected congenital adrenal hyperplasia (CAH), which laboratory finding would be MOST indicative of the diagnosis?

     कA) Elevated Serum Cortisol Levels खB) Decreased Serum Potassium Levels गC) Increased Serum Testosterone Levels घD) Low Urinary Free Ketone Levels
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

336. A newborn infant presents with severe cyanosis, tachypnea, and a characteristic ‘egg-on-a-string’ appearance on chest radiography. Which of the following is the MOST likely diagnosis?

     कA) Congenital Heart Disease (e.g., Tetralogy of Fallot) खB) Pneumonia गC) Acute Respiratory Distress Syndrome (ARDS) घD) Meconium Aspiration Syndrome
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

337. A pregnant woman at 36 weeks gestation presents with sudden onset of severe lower abdominal pain, vaginal bleeding, and fetal distress. The initial assessment reveals a complete placental abruption. What is the MOST immediate priority in managing this situation?

     कAdminister intravenous antibiotics to prevent infection खInitiate preterm delivery via induction or cesarean section गProvide oxygen supplementation to the mother only घEstablish intrauterine pressure monitoring (IUPM) for continuous assessment
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

338. A 6-week-old infant presents with failure to thrive, delayed milestones, and a slightly enlarged liver. Initial laboratory investigations reveal elevated alpha-fetoprotein levels. Which of the following conditions is MOST likely?

     कTransient Hypercalcemia of infancy खBiliary Atresia गAlactase Syndrome घGalactosemia
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

339. What is the primary diagnostic criterion for diagnosing Bronchiolitis Obliterans (Hissing Cough Syndrome) in a pediatric patient?

     कPersistent wheezing without obstruction खEvidence of airway inflammation confirmed by bronchoalveolar lavage fluid analysis गRadiological findings of mosaic attenuation and/or tapering of airways घClinical presentation of recurrent episodes of acute respiratory distress
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

340. A newborn screened at birth for congenital hypothyroidism uses which test to measure thyroid function?

     कFree T4 assay खSerum TSH assay गThyroid-Stimulating Hormone (TSH) measurement घComplete Blood Count (CBC)
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।