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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Phototherapy is used to treat hyperbilirubinemia in newborns. Primarily, it reduces serum bilirubin levels by converting it into:
सही उत्तर: ख) Stercobilin
Phototherapy effectively decreases bilirubin levels by converting indirect (unconjugated) bilirubin to direct (conjugated) bilirubin, which is then excreted in the urine as stercobilin. The other options are incorrect pathways of bilirubin metabolism.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 5-year-old child presents with small vesicles on his hands, feet, and oral mucosa. Based on this presentation, what is the MOST probable diagnosis?
सही उत्तर: ग) Hand-foot-and-mouth disease
Hand-foot-and-mouth disease (HFMD) classically presents with vesicles in these locations. Measles typically causes a maculopapular rash primarily on the trunk and extremities, chickenpox has larger blisters, and roseola usually involves a high fever with a small, diffuse pink spot rash.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 28-year-old pregnant woman presents with sudden onset of severe pain in a myomatous polyp during the second trimester. What is the MOST likely explanation for this presentation?
सही उत्तर: क) Acute hemorrhage
Acute hemorrhage is the most common cause of acute pain in a myomatous polyp during the second trimester due to the increased blood flow and potential for uterine contractions. The other options are less likely: Calcification is a chronic process, infection is possible but less frequent, and vascular thrombosis can occur but doesn’t usually present with sudden severe pain.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents with vaginal bleeding and lower abdominal pain at 32 weeks gestation. Initial ultrasound reveals a gestational choriocarcinoma with multiple metastases. Which of the following is the MOST common distant metastasis site for gestational choriocarcinoma?
सही उत्तर: ख) Lungs
The lungs are the most frequent site of distant metastasis for gestational choriocarcinoma (approximately 60-80% of cases). The brain (approximately 20-30%), bone marrow, and liver represent less common sites. The tempting option of ‘Brain’ is plausible due to its vascularity but statistically less likely compared to lung metastases.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with muscle weakness, particularly affecting the eye muscles, alongside symptoms of confusion and ataxia. Which electrolyte imbalance would MOST likely explain this clinical presentation?
सही उत्तर: ग) Hypomagnesemia
Hypokalemia (low potassium) is frequently associated with neuromuscular dysfunction, including muscle weakness, and can affect higher brain functions. Hypercalcemia, hyponatremia, and hypomagnesemia are less directly linked to this specific constellation of symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The process of oxidative phosphorylation primarily occurs in which cellular compartment?
सही उत्तर: ग) Mitochondria
Oxidative phosphorylation, the major ATP-generating pathway, takes place within the inner mitochondrial membrane. The other compartments have distinct roles but aren't directly involved in this process.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following findings would MOST strongly suggest an increased risk of developing Type 2 Diabetes Mellitus?
सही उत्तर: ख) Increased fasting blood glucose levels
Elevated fasting blood glucose is a hallmark feature and primary diagnostic criterion for Type 2 DM. The other options represent unrelated physiological processes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with chronic anal pain and discharge. Examination reveals an external anal opening located 3cm anterior to the midline. Based on Goodall's rule, what is the most likely diagnosis? (2023)
सही उत्तर: ख) B) Fistula-in-ano
Option 1 is correct. Goodall’s rule states that a fistula-in-ano with an external opening anterior to the transverse perineum indicates a left-sided fistula. Hemorrhoids and anal fissures have openings at or posterior to this location, while Crohn's disease would typically present with more diffuse inflammation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following clinical scenarios is most indicative of an extradural hematoma? (2023)
सही उत्तर: क) A) Sudden onset of severe headache accompanied by pupillary signs of anisocoria
Option A is correct. An extradural hematoma typically presents with acute, severe headache often described as ‘the worst headache of my life,’ accompanied by ipsilateral pupil dilation (Horner’s syndrome) due to compression of the oculomotor nerve. Options B and C represent other neurological conditions, and D is not a typical presentation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with sudden onset of severe abdominal pain, nausea, and vomiting after a forceful retching episode. Imaging reveals a dilated stomach and a thickened esophagus. Which condition best describes this clinical presentation? (2023)
सही उत्तर: ख) B) Boerhaave Syndrome
The correct answer is B, Boerhaave syndrome. This condition involves a spontaneous full-thickness rupture of the esophagus following forceful vomiting, leading to esophageal perforation and subsequent complications. Options A, C, and D represent different gastrointestinal disorders that wouldn’t typically present with this specific mechanism.
💬 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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