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 50-year-old male presents with persistent, severe left shoulder pain after a minor fall. Examination reveals tenderness over the costal margins. Imaging reveals a splenic injury. What is the most likely surgical consideration?
सही उत्तर: ख) Liver Resection
The correct answer is Splenectomy (option 1). Left shoulder-tip pain, or referred pain, after splenic trauma is characteristic of Winslow's infarction. The other options – liver resection, gastrectomy, and pancreatectomy - are inappropriate surgical interventions for this presentation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which surgical procedure is typically performed first in the management of acute appendicitis characterized by generalized abdominal pain, nausea, and vomiting?
सही उत्तर: क) Appendectomy
The correct answer is Appendectomy (option 0). This is the standard initial treatment for acute appendicitis. The other options – cholecystectomy (gallbladder removal), colectomy (removal of part of the colon), and colonoscopy - are used for different conditions and not the immediate first step in managing appendicitis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn presents with a large, tense anterior fontanelle that is markedly depressed. Which of the following findings would MOST strongly suggest imminent cephalohematoma formation?
सही उत्तर: ख) B) A firm, non-tender mass beneath the scalp skin
The description of a large, tense anterior fontanelle suggests increased intracranial pressure. Palpable subgaleal hematomas (thin, fluid-filled collections under the scalp) are a common finding in this scenario as blood accumulates around the fontanelle. Options B and D describe alternative findings related to cephalohematoma formation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In the context of neonatal resuscitation, what is the primary purpose of administering oxygen at a rate of 2-3 mL/kg/min via nasal cannula?
सही उत्तर: घ) D) To prevent aspiration of meconium
The administration of 2-3 mL/kg/min via nasal cannula provides supplemental oxygen, aiming for adequate oxygenation and promoting improved oxygen saturation. This is the standard initial approach in neonatal resuscitation. Options A, B, and D describe alternative interventions or their purposes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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According to IADPSG guidelines, what is the key diagnostic criterion for diagnosing gestational diabetes mellitus (GDM) based on a 75g OGTT?
सही उत्तर: ग) C) A 2-hour postprandial value >180mg/dL
IADPSG utilizes a specific two-step protocol: a fasting glucose and then a 1-hour postprandial test. The diagnostic criteria involve a 2-hour value exceeding 180 mg/dL. Options A, C, and D represent alternative approaches used in other diabetic diagnostic guidelines.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the primary function of the Wharton’s duct in neonates?
सही उत्तर: ख) B) Drainage of breast milk into the oral cavity
The Wharton’s ducts are responsible for draining colostrum, the first milk produced by a mother, into the newborn’s mouth. This ensures immediate nutrient and antibody transfer – the primary function. Options A, C, and D describe alternative roles or substances, not the specific drainage mechanism of the Wharton’s duct.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The presence of increased lactic acid levels in muscle tissue during intense exercise is most closely linked to which physiological process?
सही उत्तर: क) Oxidative phosphorylation.
Increased lactic acid production occurs as a result of anaerobic glycolysis – the breakdown of glucose without sufficient oxygen, producing lactate when the demand for ATP exceeds the capacity of oxidative metabolism. The other pathways utilize oxygen and are primarily active under aerobic conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following metabolic pathways is *directly* catalyzed by phosphofructokinase (PFK)?
सही उत्तर: ख) Glycolysis.
Phosphofructokinase is a key regulatory enzyme in glycolysis, catalyzing the phosphorylation of fructose-6-phosphate to fructose-1,6-bisphosphate - this step commits the molecule to further glycolytic metabolism. The other options represent distinct metabolic pathways.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements accurately reflects the role of collagen in connective tissue?
सही उत्तर: क) It provides structural support primarily through tensile strength.
Collagen is a major component of connective tissues, providing significant tensile strength and resisting pulling forces due to its extensive network of interwoven fibers. While collagen is crucial for structural support, the other options describe different cellular functions or biochemical pathways.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Approximately what percentage of cases of Trisomy 21 result from nondisjunction during oogenesis?
सही उत्तर: घ) 80%
Around 80-90% of trisomy 21 cases are due to nondisjunction occurring in the mother's egg cell (oocyte), leading to an extra copy of chromosome 21. The remaining cases occur through nondisjunction during spermatogenesis or fertilization.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
यी अभ्यास प्रश्न हुन्, आधिकारिक प्रश्न होइनन्। पाठ्यक्रम, विज्ञापन र नतिजाका लागि सम्बन्धित निकायको आधिकारिक वेबसाइट हेर्नुहोस्। उत्तरमा गल्ती भेटे प्रश्नमुनिको "टिप्पणी / गल्ती रिपोर्ट" मा लेख्नुहोस्।
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