स्नातकोत्तर मेडिकल प्रवेश (MECEE-PG)
स्नातकोत्तर मेडिकल प्रवेश (MECEE-PG)
MECEE-PG – MD/MS/MDS Entrance · २,८६५ प्रश्न
२,८६५ प्रश्न उपलब्ध। मोड छान्नुहोस्:
MD/MS प्रवेश: 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 newborn is diagnosed with Meckel's diverticulum. What is the most common clinical presentation associated with this condition?
सही उत्तर: ख) b) Bilious vomiting and abdominal pain
Option (b) accurately describes the typical presentation of Meckel's diverticulum – bilious vomiting, especially after feeding, coupled with abdominal pain due to bacterial overgrowth. The other options describe unrelated conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary goal of administering intravenous fluids to a preterm neonate with respiratory distress syndrome (RDS)?
सही उत्तर: ख) b) To promote fluid accumulation in the alveoli and ease breathing
Option (b) is correct – intravenous fluids help to expand the small airways and alveolar spaces by promoting fluid accumulation, assisting with gas exchange. Surfactant replacement is a separate intervention. Option (c) is incorrect as it pertains to thyroid hormones; (d) focuses on a different inflammatory pathway.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents with severe headache, visual disturbances, and hypertension at 32 weeks gestation. Which condition is MOST likely?
सही उत्तर: ख) b) Eclampsia
Option (b) – Eclampsia – represents the most probable diagnosis given the classic symptoms of severe hypertension, neurological manifestations (headache, visual disturbances), and gestational age. While pre-eclampsia can also cause hypertension, it typically lacks the accompanying neurological symptoms. Symphysis pubis dysplacia is a musculoskeletal issue, and gestational diabetes has different presenting features.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient sustains severe burns presenting with dry, leathery skin and no blanching on palpation. What is the MOST likely diagnosis?
सही उत्तर: ख) B. Pressure Ulcers.
The 'peau d’orange' appearance (smooth, orange-colored skin) and dry, leathery surface suggest a severe burn injury that is primarily characterized by dehydration and keratinization of the skin. This presentation is characteristic of deep burns.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with severe abdominal pain and jaundice following an upper GI bleed. Which clinical triad is MOST indicative of this condition?
सही उत्तर: ख) B. Charcot’s Triad (Fever, Jaundice, Right Upper Quadrant Pain).
The ‘Charcot’s triad’ – fever, jaundice, and right upper quadrant pain – is a classic presentation of acute cholangitis (inflammation of the bile ducts), most often caused by ascending bacterial infection following an upper GI bleed. Option 2 is correct as it describes this specific triad.”},{
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The key diagnostic feature of Hirschsprung's disease is:
सही उत्तर: ख) B. Absence of enteric ganglia along the bowel wall.
The hallmark of Hirschsprung’s disease is the absence of enteric ganglia, which are crucial for peristaltic movements in the colon. The thickened submucosal glands (a compensatory response) are a direct result of this ganglion loss, making option 1 correct.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following organisms is MOST commonly implicated as the causative agent of overwhelming post-splenectomy infection (OPSI)?
सही उत्तर: ग) C. *Neisseria meningitidis* .
*Streptococcus pneumoniae* is the most frequent cause of OPSI, largely due to its ability to cross the blood-brain barrier and infect the central nervous system. It’s important to note that this is the most common organism – while other organisms can cause infection post-splenectomy, *S. pneumoniae* is statistically dominant.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with severe, sudden onset abdominal pain following forceful vomiting. Clinical examination reveals guarding, rigidity, and percussion tenderness. The most likely diagnosis in this scenario is:
सही उत्तर: ख) B. Boerhaave syndrome.
Boerhaave syndrome (spontaneous esophageal rupture) is precisely indicated by the presentation of severe abdominal pain, guarding, rigidity, and percussion tenderness following forceful vomiting – all typical findings. The other options have different mechanisms for causing this type of presentation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The presence of 'Battle’s sign' - bruising behind the ear – in a patient following blunt head trauma suggests which potential finding?
सही उत्तर: ख) B. Intracranial hemorrhage into the basal ganglia.
Battle's sign is classically associated with a fracture of the temporal bone, specifically the pterion (the bony angle of the skull). Other options reflect different potential head injuries.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following conditions presents with 'Peau d’orange' appearance on examination of the breast?
सही उत्तर: घ) D. Medullary carcinoma.
'Peau d'orange' (orange peel) refers to a smooth, orange-colored skin appearance, and is most commonly associated with fibrocystic breast changes due to edema within the tissue. While other cancers can present similarly, this manifestation is primarily linked to fibro cystic changes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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