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 a crucial intervention in managing preterm infants with respiratory distress syndrome (RDS)?
सही उत्तर: घ) High-frequency oscillatory ventilation (HFOV)
Prostaglandin E1 is routinely used to treat RDS and promote pulmonary surfactant production. While other options are supportive measures, HFOV is a mechanical ventilation technique and corticosteroids have limited efficacy in preterm infants with RDS. The prone position aims to improve oxygenation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn presents with respiratory distress, poor feeding, and a bulging fontanelle. Laboratory investigations reveal elevated levels of conjugated bilirubin. What is the most likely diagnosis?
सही उत्तर: ख) Persistent Hyperbilirubinemia
Persistent hyperbilirubinemia leads to elevated conjugated bilirubin and neurological sequelae. The 'double bubble' sign on X-ray further supports this diagnosis. Options 2 and 3 describe other causes of jaundice; option 4 presents with unconjugated bilirubin.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary clinical manifestation associated with a diagnosis of congenital adrenal hyperplasia (CAH)?
सही उत्तर: ख) Hypoglycemia and acidosis
Increased androgen levels, a hallmark of CAH, result in virilisation symptoms like precocious puberty and clitoral enlargement. Options 1 and 3 are incorrect as they describe other conditions. Option 2 is related to adrenal insufficiency.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-week-old infant is diagnosed with neonatal sepsis based on clinical signs (fever, irritability) and elevated white blood cell count. Which laboratory test is MOST crucial for identifying the causative organism?
सही उत्तर: ग) C. Blood Culture
Option C, a Blood Culture, is essential as it directly identifies the bacterial pathogen causing the infection. While CBC provides supporting information, it doesn't identify the specific organism. Options B and D are ancillary tests not for diagnosis of sepsis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the key clinical feature that distinguishes meconium ileus in premature infants from other causes of abdominal distension?
सही उत्तर: ग) C. Radiographic evidence of gas-filled bowel loops containing meconium
Option C is correct as 'Meconium ileus' specifically presents with characteristic radiographic findings – gas-filled bowel loops filled with meconium, a hallmark of cystic fibrosis. Options A and B can occur in other conditions, while option D would be indicative of another underlying pathology.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a pregnant woman experiencing significant vaginal bleeding during the third trimester, what is the MOST immediate diagnostic step to determine the cause?
सही उत्तर: ग) C. Blood tests including coagulation studies and hemoglobin level
Option B is correct because a transvaginal ultrasound allows visualization of the placenta's position, crucial in diagnosing retained products of conception (placenta previa) or other placental abnormalities causing bleeding. Option A involves antibiotics with no direct connection to the primary diagnosis; option C provides supporting information but isn’t the initial action, and option D could exacerbate the situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant presents with conjugated hyperbilirubinemia (jaundice) appearing within 24 hours of birth. Which of the following is the MOST likely etiology?
सही उत्तर: घ) D. Physiological neonatal jaundice
Option C, Crigler-Najjar syndrome, is a rare but serious genetic condition causing severe unconjugated hyperbilirubinemia in newborns. While physiological jaundice (option D) is common, it typically appears later than 24 hours. Options A and B are causes of bilirubin elevation but don't specifically explain the rapid onset seen here.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the primary mechanism behind postpartum hemorrhage after vaginal delivery?
सही उत्तर: ख) B. Coagulation abnormalities stemming from placental separation complications
Option B is correct as excessive bleeding after delivery often involves disruptions in the coagulation cascade due to factors released during placental separation. Option A describes oxytocin’s role in contraction, not the mechanism for hemorrhage; option C reflects prolonged labor complications, and option D describes uterine atony.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary nutritional component that colostrum provides to newborns, particularly important for immune development?
सही उत्तर: ख) Antibodies (Immunoglobulins)
Colostrum is renowned for its high concentration of antibodies, primarily Immunoglobulin A (IgA), which protects the newborn’s immature digestive system and provides passive immunity. The other options – Vitamin C, Iron, and Folic Acid – are present in colostrum but not as the primary, defining characteristic.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 10-year-old boy is brought in by his parents who report he has been ‘climbing up’ when he stands up from a lying position. On examination, the physician notes that he exhibits a positive Gowers’ sign. What is the MOST likely underlying diagnosis?
सही उत्तर: ख) Spinal muscular atrophy (SMA)
A positive Gowers' sign – where the child flexes their hips and knees to lift their hands up as they stand - is strongly associated with Spinal Muscular Atrophy (SMA). This indicates muscle weakness due to nerve damage. The other options are unrelated to this specific physical finding.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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