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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Primary amenorrhoea with absent uterus and upper vagina, normal breasts, normal pubic hair and 46,XX karyotype suggests:
सही उत्तर: क) Mayer–Rokitansky–Küster–Hauser syndrome
MRKH syndrome is Müllerian agenesis with normal ovaries, so secondary sexual characteristics are normal; it is often associated with renal anomalies.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A phenotypic female with primary amenorrhoea, absent uterus, scanty pubic hair, normal breasts and 46,XY karyotype most likely has:
सही उत्तर: ख) Complete androgen insensitivity syndrome
In CAIS, testes produce testosterone (converted to oestrogen, giving breasts) and AMH (so no uterus), but androgen receptors are non-functional, so pubic hair is scant.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The rise in basal body temperature after ovulation is due to:
सही उत्तर: घ) Progesterone
Progesterone from the corpus luteum has a thermogenic effect, raising basal temperature by about 0.3–0.5 °C in the luteal phase.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Ovulation usually occurs about how long after the onset of the LH surge?
सही उत्तर: ख) 24–36 hours
The LH surge triggers completion of meiosis I and follicle rupture, with ovulation roughly 24–36 hours after its onset.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The type of episiotomy most commonly performed because it reduces the risk of extension into the anal sphincter is:
सही उत्तर: ग) Mediolateral
A mediolateral cut, directed away from the anus, is less likely to extend into a third- or fourth-degree tear than a midline episiotomy.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Colostrum is especially rich in:
सही उत्तर: क) Secretory IgA
Colostrum, secreted in the first days after birth, contains high protein, secretory IgA, leucocytes and vitamin A, protecting the newborn against infection.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The commonest site of distant metastasis of choriocarcinoma is the:
सही उत्तर: ख) Lungs
Choriocarcinoma spreads haematogenously, most often to the lungs ('cannonball' shadows), then vagina, brain and liver.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The drug used for medical management of a small, unruptured tubal ectopic pregnancy in a stable patient is:
सही उत्तर: घ) Methotrexate
Systemic methotrexate, a folate antagonist, destroys rapidly dividing trophoblast in selected stable women with low hCG and no rupture.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Recurrent painless second-trimester pregnancy loss with cervical dilatation is typical of cervical insufficiency, treated by:
सही उत्तर: क) Cervical cerclage (McDonald or Shirodkar stitch)
A cerclage suture placed around the cervix supports a weak cervix; it is removed at about 37 weeks or at the onset of labour.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Vaginal bleeding in early pregnancy with a closed cervical os and a viable fetus on ultrasound is classified as:
सही उत्तर: ग) Threatened miscarriage
In threatened miscarriage the os is closed and the pregnancy continues; an open os indicates inevitable or incomplete miscarriage.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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