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 newborn presents with respiratory distress, hypotonia, and a “frog-in-a-barrel” posture. Which of the following conditions is MOST likely?
सही उत्तर: क) Congenital Hip Dysplasia
RDS is the most common cause of respiratory distress in preterm infants, presenting with similar symptoms. Pyloric stenosis presents with projectile vomiting and abdominal distension. Congenital hip dysplasia typically doesn’t present with such prominent hypotonia. Transient Bronchopulmonary Osteitis usually involves unilateral lung findings.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following is a key component of assessing gestational age based on ultrasound measurements?
सही उत्तर: ख) Fetal crown-rump length (CRL)
CRL is the most reliable single ultrasound measurement used to estimate gestational age, particularly in the first trimester. The other options are relevant for overall maternal health assessment but not directly related to gestational estimation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The WHO-UNICEF guidelines recommend zinc supplementation for children under five years old primarily to address which nutritional deficiency?
सही उत्तर: ग) Zinc Deficiency
Zinc is crucial for growth and development, particularly in combating diarrhea and preventing malnutrition. It's a key nutrient often deficient in developing countries. While iron and iodine deficiencies are also significant concerns, zinc’s specific role in mucosal integrity makes it the most relevant choice here.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant presents with respiratory distress, rapid breathing, and a weak cry. Which of the following findings would MOST strongly suggest congenital diaphragmatic hernia (CDH)?
सही उत्तर: क) Large abdominal bulge visible on physical examination
A large abdominal bulge is a classic sign of CDH, where abdominal organs protrude through defects in the diaphragm. The other options represent normal or expected findings in a newborn with respiratory distress.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the primary goal of phototherapy in neonatal jaundice?
सही उत्तर: घ) To convert unconjugated bilirubin to a more water-soluble form
Phototherapy uses specific wavelengths of light (blue or amber) to convert bilirubin, which is poorly soluble in water, into isomers that are more readily excreted in the urine and stools. The most tempting answer, increasing bilirubin production, is incorrect because the goal is to *reduce* bilirubin levels.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A female neonate presents with a rapidly growing swelling on her scalp that appears within hours of birth and is limited by the suture lines. Physical examination reveals no signs of infection. What is the MOST likely diagnosis?
सही उत्तर: ग) Subgaleal Hematoma
The correct answer is 2. A rapidly growing scalp swelling, limited by suture lines, in a newborn is highly suggestive of a subgaleal hematoma (SGHS), which is common due to the rapid delivery and fragility of newborn skulls. Craniosynostosis involves premature fusion of cranial sutures, meningitis presents with systemic symptoms, seborrheic dermatitis wouldn't appear so quickly.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements BEST describes the typical presentation of Neonatal Meningitis?
सही उत्तर: ख) Fever, lethargy, irritability, and bulging fontanelles
The correct answer is 1. The classic presentation of neonatal meningitis involves fever, lethargy, irritability, and bulging fontanelles – these are key clinical indicators. Respiratory distress often accompanies severe infections. Circumvallate edema and seizures aren’t typically the initial features of neonatal meningitis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-year-old boy is brought to the clinic with a history of recurrent episodes of painful, bright red vaginal bleeding, typically occurring during his menstrual periods. Examination reveals a normal pelvic exam but the patient reports significant itching. What is the MOST likely underlying cause?
सही उत्तर: घ) Vaginismus
The correct answer is 3. Vaginismus, characterized by involuntary muscle contractions in the pelvic area, often causes painful, recurrent vaginal bleeding and itching during menstruation. PID typically presents with other systemic symptoms, candidiasis shows characteristic discharge, and adenomyosis doesn’t cause external bleeding.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents with severe vaginal bleeding and abdominal pain in her third trimester. Initial ultrasound reveals a large, cystic mass within the uterus. Which histological feature would MOST likely be observed to confirm a diagnosis of gestational trophoblastic neoplasia (GTN)?
सही उत्तर: क) Call–Exner bodies
The correct answer is 0. Call-Exner bodies, characterized by cellular necrosis and inflammatory infiltrate, are a hallmark feature of GTN tumors. Macrophages alone aren't diagnostic, granulomatous inflammation isn’t typical, and fibromuscular stroma wouldn't explain the specific pathology.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following findings MOST strongly suggests a diagnosis of Congenital Hip Dysplasia in a newborn infant?
सही उत्तर: ख) Decreased activity level and preference to lie with legs flexed
The correct answer is 1. Infants with congenital hip dysplasia often demonstrate limited range of motion in the affected hip, preferring to lie with their legs flexed to minimize pain. The other options represent unrelated clinical findings; increased Moro reflex and a bulge at the greater trochanter are not indicative of hip dysplasia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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