प्याथोलोजी, माइक्रोबायोलोजी र फार्माकोलोजी – Pathology, Microbiology & Pharmacology MCQ
प्याथोलोजी, माइक्रोबायोलोजी र फार्माकोलोजी – MD/MS प्रवेश
Pathology, Microbiology & Pharmacology · MECEE-PG – MD/MS/MDS Entrance · ४०८ प्रश्न
४०८ प्रश्न उपलब्ध। मोड छान्नुहोस्:
प्याथोलोजी, माइक्रोबायोलोजी र फार्माकोलोजी: 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 pathological findings is most commonly associated with acute glomerulonephritis?
सही उत्तर: क) Hematuria with proteinuria
Hematuria with proteinuria is the classic presentation of acute glomerulonephritis. The other options represent distinct renal pathologies or syndromes that are not typically linked to this specific inflammatory response.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following drugs' primary mechanism of action involves inhibiting dihydrofolate reductase (DHFR)?
सही उत्तर: ग) _Methotrexate_
_Methotrexate_ is a potent DHFR inhibitor. By blocking this enzyme, it disrupts the synthesis of tetrahydrofolic acid, which is essential for DNA and RNA production – thus inhibiting cell proliferation particularly in rapidly dividing cells like cancer cells. The other options target different biochemical pathways.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient exhibits symptoms including fever, chills, headache, and malaise with laboratory findings indicative of leukocytosis and lymphopenia. Gram stain reveals neutrophils with intracellular gram-negative bacilli. Which of the following conditions is MOST likely associated with this presentation?
सही उत्तर: ग) _Brucellosis_
_Brucellosis_ classically presents with a febrile illness characterized by systemic symptoms and lymphopenia along with neutrophilic predominance. The intracellular gram-negative bacilli are consistent with _Brucella_ infection. While the others can present similarly, they do not typically show this specific Gram stain result.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following cellular events is a hallmark of diabetic nephropathy?
सही उत्तर: ख) _Increased mesangial cell proliferation and extracellular matrix deposition_
_Podocyte loss_ is a critical initiating event in diabetic nephropathy. The subsequent damage to the glomerular basement membrane leads to thickening and ultimately contributes to the progression of the disease. Mesangial cell proliferation and matrix deposition are later stages.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with symptoms of profound bradycardia, hypotension, and AV block. Initial investigation reveals elevated troponin levels. Which pharmacological mechanism is MOST likely contributing to these findings?
सही उत्तर: ग) _Digoxin-induced ventricular effects_
_Digoxin_ primarily exerts its antiarrhythmic effect by slowing conduction through the AV node. This results in bradycardia and hypotension, along with the elevated troponin levels reflecting myocardial damage from prolonged depolarization. The other options are less directly linked to this clinical presentation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following microorganisms is most commonly associated with the pathogenesis of acute necrotizing fasciitis (ANF)?
सही उत्तर: ख) _Escherichia coli_
_Staphylococcus aureus_ is a key pathogen implicated in ANF due to its ability to rapidly invade tissues and produce toxins. While other organisms can be involved, _S. aureus_ represents the most frequent causative agent in this severe infection.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient undergoes a biopsy of their inguinal lymph node and the pathology report reveals clusters of acid-fast bacilli within macrophages. Further testing confirms the presence of Mycobacterium tuberculosis. What laboratory test would be MOST helpful in confirming this diagnosis? (a) Gram stain (b) Prussian blue staining (c) Ziehl-Neelsen staining (d) Lactophenol cotton blue staining
सही उत्तर: घ) Lactophenol cotton blue staining
Option 3 is correct – Ziehl-Neelsen staining specifically detects acid-fast bacilli. A Gram stain would not reliably identify mycobacteria. The other options are less specific and sensitive for this particular diagnosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the pathological characteristic of calciphylaxis? (a) Excessive deposition of collagen in response to systemic inflammation. (b) Thrombotic microangiopathy characterized by platelet aggregation and endothelial damage. (c) Calcification within small-caliber vessels, primarily in the skin, gastrointestinal tract, and kidneys. (d) Granulomatous inflammation secondary to viral infections.
सही उत्तर: घ) Granulomatous inflammation secondary to viral infections.
Option 3 correctly describes calciphylaxis – it’s defined by calcium deposition in microvasculature. Options a, b and d are incorrect as they describe other related conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with altered mental status, pinpoint pupils, and dilated pupils. A pharmacological investigation reveals an elevated level of muscarinic receptor blockade. Which of the following medications is MOST likely responsible for this presentation? (a) Morphine (b) Physostigmine (c) Diazepam (d) Prednisolone
सही उत्तर: ख) Physostigmine
Option 1 is correct. Morphine is a potent muscarinic receptor antagonist which explains the symptoms presented. Physostigmine stimulates muscarinic receptors and would be the opposite effect. Diazepam is an inhibitor of GABA-A receptors, while Prednisolone is a corticosteroid with no specific anticholinergic effects.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following is the MOST accurate description of the role of mitochondrial permeability transition pore (mPTP) in apoptosis? (a) It directly binds to DNA, triggering endonuclease activation and fragmentation. (b) It facilitates the release of cytochrome c from mitochondria into the cytoplasm, initiating caspase activation. (c) It regulates potassium efflux from cells, leading to depolarization and ultimately activating caspases. (d) It prevents oxidative stress by neutralizing reactive oxygen species within the mitochondria.
सही उत्तर: ग) It regulates potassium efflux from cells, leading to depolarization and ultimately activating caspases.
Option 2 is correct – the mPTP's primary function is facilitating cytochrome c release, a crucial step in mitochondrial apoptosis pathways. Options a, c and d are inaccurate as they describe other unrelated cellular functions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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