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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Which of the following is the MOST accurate initial diagnostic step for suspected congenital heart disease in a newborn?
सही उत्तर: क) Echocardiogram
A physical examination, particularly listening for murmurs, is the first and most crucial step. Echocardiography provides detailed visualization of cardiac structures and function, but it's typically performed after initial clinical assessment. CBC and chest x-rays are not specific diagnostic tools in this scenario.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a newborn infant diagnosed with congenital hip dysplasia, what is the PRIMARY goal of Pavlik harness treatment?
सही उत्तर: ख) B. To provide external stabilization and encourage optimal femoral head positioning for remodeling.
Option 1 is correct; Pavlik harness aims at gentle, constant correction by allowing movement while providing external support. Option B describes the long-term outcome but not the mechanism of treatment. Options C and D are entirely incorrect interventions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents with sudden onset of severe lower abdominal pain, vaginal bleeding, and uterine tenderness. Ultrasound reveals a gestational sac containing an abnormal trophoblastic pregnancy. What is the MOST likely diagnosis?
सही उत्तर: ग) C. Hydatidiform mole (gestational trophoblastic neoplasia).
Option 2, hydatidiform mole, is correct because it aligns perfectly with the clinical presentation - abnormal trophoblastic activity and often presents dramatically. Option A describes a threatened abortion without the key finding of an abnormal gestational sac. Option B describes a complete miscarriage but doesn't capture the trophoblastic aspect.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following is a primary risk factor for congenital heart defects in newborns?
सही उत्तर: ग) C. Maternal diabetes mellitus and hypertension.
Option 2 is the most accurate answer because maternal diabetes and hypertension are established risk factors for congenital heart defects due to interference with fetal development. Option A is a general factor, but not specific to cardiac issues. Options C and D don't directly relate to this particular outcome.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant presents with respiratory distress, cyanosis, and a characteristic ‘rat-like’ squeak. Physical examination reveals bilateral nasal flaring and retractions. Which of the following conditions is MOST likely?
सही उत्तर: घ) D. Respiratory Distress Syndrome (RDS) due to surfactant deficiency.”
Option 3, PPHN, is correct as it fits the clinical picture - nasal flaring, retractions, and cyanosis are all hallmarks of this condition characterized by right-to-left shunting of blood. Options A and B present with different symptoms. Option D describes RDS but does not encompass the complete presentation described.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following is the MOST accurate description of oligohydramnios in late pregnancy?
सही उत्तर: ख) B. A decrease in amniotic fluid volume below 300ml, potentially causing fetal distress and complications during labor.
Option B is correct because oligohydramnios refers to a deficiency of amniotic fluid and below 300ml is clinically significant in late pregnancy, potentially causing fetal distress. Option A misinterprets what causes an excessive fluid volume and option C describes polyhydramnios. Option D is incorrect as it states consistent normal levels.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents with symptoms suggestive of gestational diabetes mellitus. Which of the following blood glucose levels, as determined by an IADPSG-compliant 75g OGTT, would confirm the diagnosis?
सही उत्तर: ग) Fasting: 100 mg/dL; 1 hour: 140 mg/dL
According to IADPSG criteria, gestational diabetes is diagnosed when fasting plasma glucose exceeds 95 mg/dL and 1-hour postprandial glucose exceeds 130mg/dL.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following findings on a newborn’s examination would MOST strongly suggest hyperthyroidism?
सही उत्तर: क) Paddling Foot
The ‘paddling foot’ is a classic sign of hyperthyroidism in newborns, due to increased neuromuscular excitability. Cranial synostosis relates to skull development. Frosted appendages refers to cold hands and feet due to vasoconstriction, and a protruding tongue can be associated with many conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 32-year-old female presents with recurrent episodes of painless vaginal bleeding in the second trimester, along with cervical dilatation without any evidence of infection. Which of the following is the MOST likely diagnosis?
सही उत्तर: ख) Cervical Insufficiency
Cervical insufficiency is strongly associated with recurrent painless bleeding and cervical dilatation in the second trimester. Placenta previa involves bleeding from the implantation site, Infection usually presents with signs of infection. Subchorionic hemorrhage can cause bleeding but typically doesn't involve dilation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the pathophysiology of meconium ileus in a newborn with cystic fibrosis?
सही उत्तर: ख) Intestinal Obstruction due to Thickened Meconium
Meconium ileus occurs due to the buildup of thick, sticky meconium within the intestinal lumen. This is a direct consequence of the pancreatic duct obstruction characteristic of cystic fibrosis. Volvulus and Necrotizing enterocolitis are different conditions with different underlying causes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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