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 female patient presents with primary amenorrhoea accompanied by an absent uterus and upper vagina, normal breasts, and normal pubic hair. The karyotype reveals a 46,XX chromosomal makeup. What is the MOST likely diagnosis?
सही उत्तर: क) Turner Syndrome
The presentation of primary amenorrhea with an absent uterus and upper vagina, along with a normal 46,XX karyotype strongly suggests Turner syndrome. In this condition, the presence of ovaries is confirmed, but they fail to develop properly.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Colostrum is particularly rich in which of the following substances essential for newborn infant health?
सही उत्तर: ग) IgA (Immunoglobulin A)
Colostrum is exceptionally high in IgA, a crucial antibody that provides passive immunity to the newborn. While it contains other nutrients, the concentration of IgA is far higher than found in later lactation periods.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 5-year-old child presents with fever, lethargy, and a history of recent upper respiratory infection. Physical examination reveals palpable purpura on their buttocks and legs, along with arthralgia and abdominal pain. Which of the following is the MOST likely diagnosis?
सही उत्तर: ख) Henoch-Schönlein Purpura
Henoch-Schönlein Purpura (HSP) is the most common vasculitis in children and classically presents with purpura, arthralgia, abdominal pain, and hematuria. It’s characterized by inflammation of small blood vessels. While the other conditions can have overlapping symptoms, HSP aligns best with this presentation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following accurately describes the typical timing of ovulation after the onset of a sustained LH surge?
सही उत्तर: ख) Approximately 36-48 hours later
Ovulation typically occurs around 24-48 hours following a sustained LH surge. The LH surge triggers ovulation, and the oocyte is usually released within this timeframe. A sustained surge indicates sufficient stimulation for ovulation to occur.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What diagnostic test is MOST useful in determining the gestational age of a fetus based on its biparietal diameter (BPD)?
सही उत्तर: ग) C) Biparietal diameter (BPD)
Option C is correct. The BPD, measured on ultrasound, is the most reliable and commonly used parameter for estimating gestational age in fetuses, particularly in the second trimester. AFI and SPM are less accurate, while CRL becomes more variable later in pregnancy.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following findings would MOST likely indicate a diagnosis of congenital heart disease in a newborn infant?
सही उत्तर: ग) C. Absence of Peripheral Pulses
Option B is incorrect because normal variability in heart rate is common in newborns. Option C is incorrect as the absence of peripheral pulses would suggest severe circulatory compromise. The correct answer, option 2 (Persistent Murmur), is a common finding associated with congenital heart defects, indicating abnormal blood flow patterns. Option D is an expected physiological finding in a healthy newborn.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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During a cardiotocography (CTG) monitoring session, a healthcare provider observes late decelerations. What does this pattern MOST likely indicate?
सही उत्तर: घ) Umbilical cord compression
Late decelerations on a CTG represent a decrease in the fetal heart rate amplitude coinciding with contractions. This is almost always due to umbilical cord compression by the presenting part of the fetus. Normal descent shows an increase in FHR amplitude throughout contraction.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Approximately how long after birth does a mature pincer grasp (thumb and index finger tip) typically develop in an infant?
सही उत्तर: ग) 7-10 months
A true pincer grasp, involving the coordinated movement of the thumb and index finger to pick up small objects, typically emerges between 4 and 6 months. This ability reflects fine motor skill development.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 28-year-old female presents with recurrent painless second-trimester pregnancy loss characterized by cervical dilatation. Which of the following conditions is MOST likely associated with this presentation?
सही उत्तर: ग) Cervical incompetence
Uterine fibroids can cause cervical dilatation and disruption of the placental implantation site, leading to recurrent painless losses. While other options could contribute to pregnancy loss, uterine fibroids are the most commonly associated factor with cervical dilatation in this scenario.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following uterotonics is most commonly used for active management of the third stage of labour to prevent postpartum haemorrhage?
सही उत्तर: ग) Dinoprostona
Oxytocin remains the gold standard uterotonic agent for active management. It stimulates uterine contractions effectively. Misoprostol and Dinoprostona are prostaglandin analogues that can be used but Oxytocin is preferred in most settings. Carbetocin is a longer-acting synthetic analogue.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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