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 pediatrician is examining a 6-month-old infant who presents with symptoms including failure to thrive, developmental delay, and evidence of excessive phenylalanine in the urine. Which of the following conditions should be suspected? a) Turner Syndrome. b) Cystic Fibrosis. c) Phenylketonuria (PKU). d) Down Syndrome
सही उत्तर: ग) c
Phenylketonuria (c), caused by a deficiency of the enzyme phenylalanine hydroxylase, results in elevated levels of phenylalanine in the urine. This condition causes neurological problems if untreated during infancy, leading to developmental delays and failure to thrive. The other options are unrelated.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary purpose of administering Erythromycin to newborns immediately after birth? a) To prevent prematurity. b) To treat neonatal sepsis. c) To reduce the risk of ophthalmia neonatorum. d) To accelerate fetal lung maturation.
सही उत्तर: ग) c
Erythromycin is routinely administered to newborns (c) to prevent ophthalmia neonatorum – an infection of the newborn’s eyes caused by Staphylococcus aureus. The bacteria often carried by hands can transfer to the baby's eyes during delivery and cause a serious infection. The other options are incorrect treatments for this scenario.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents with symptoms including proteinuria, hematuria, and hypertension. Her urine analysis shows red blood cell casts. Based on these findings, which of the following conditions is MOST likely? a) Pre-eclampsia. b) Gestational Diabetes Mellitus. c) Preeclampsia. d) Hyperemesis Gravidarum
सही उत्तर: घ) d
The combination of proteinuria, hematuria, and hypertension with red blood cell casts strongly suggests preeclampsia (c), a serious pregnancy-related hypertensive disorder. While pre-eclampsia shares some symptoms with other conditions, the presence of casts is highly indicative of this diagnosis. Preeclampsia is often caused by gestational hypertension.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following is a crucial factor in preventing neonatal hypoglycemia immediately after birth? a) Administration of intravenous insulin. b) Frequent breastfeeding or formula feeding. c) Monitoring blood glucose levels every 4 hours. d) Strict bed rest for the infant’s mother.
सही उत्तर: ख) b
Frequent breastfeeding or formula feeding (b) is the most effective method to rapidly raise blood glucose levels in a newborn. Insulin administration (a), while sometimes necessary later, isn't an immediate solution. Monitoring (c) is important but doesn’t directly address hypoglycemia. Bed rest (d) has no impact on neonatal glucose regulation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a pregnancy diagnosed with Down syndrome, which second-trimester maternal serum marker is commonly elevated?
सही उत्तर: ग) Pregnancy-Associated Plasma Protein A (PAPP-A)
Elevated levels of PAPP-A are a key feature in the first and second trimesters for assessing the risk of Down syndrome. The other markers have different roles in pregnancy monitoring.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A primigravida is typically expected to first perceive fetal movements (quickening) around:
सही उत्तर: ख) 24-28 weeks gestation
Fetal movement sensation, known as 'quickening,' is typically first noticed between 24 and 28 weeks of gestation in a primigravida. Earlier detection is less common.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 32-year-old female presents with vaginal bleeding, pelvic pain, and abnormal uterine bleeding. Initial investigations reveal elevated levels of CA-125. What is the MOST likely diagnosis?
सही उत्तर: क) Multiple Sclerosis
Elevated CA-125 is a commonly used tumour marker in epithelial ovarian cancer, making it the most likely explanation for her symptoms. The other options present with different symptom profiles and biomarkers.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary goal of administering Misoprostol in obstetrics?
सही उत्तर: क) To stimulate uterine contractions for labor induction
Misoprostol is a synthetic prostaglandin analogue primarily used to induce uterine contractions and terminate pregnancy. Its mechanism mimics that of naturally occurring prostaglandins involved in labor.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 32 weeks gestation presents with sudden onset vaginal bleeding and severe lower abdominal pain. Clinical examination reveals a closed cervical os. Ultrasonography shows a viable fetus. What is the MOST likely diagnosis?
सही उत्तर: ख) Abruptio Placentae
Abruptio placentae is characterized by premature placental separation, causing bleeding and pain. While placenta previa involves the placenta covering the cervix, it typically presents with lighter bleeding and a higher chance of successful delivery. The other options are less likely in this clinical scenario.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a newborn infant experiencing respiratory distress syndrome (RDS), which of the following interventions would be MOST immediately implemented?
सही उत्तर: ख) Initiating continuous positive airway pressure (CPAP)
Continuous Positive Airway Pressure (CPAP) is the first-line treatment for RDS, providing lung support and improving gas exchange. While other interventions are important in management, CPAP addresses the primary problem of surfactant deficiency.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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