स्नातकोत्तर मेडिकल प्रवेश (MECEE-PG)

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

1111. A 6-month-old infant presents with a history of intermittent fever (up to 38.5°C) for several days followed by a maculopapular rash. Physical examination reveals no signs of bacterial infection. What is the most likely diagnosis?

      कVaricella Zoster Virus Infection खMeasles गRubella घPityriasis Rosea
      💬 टिप्पणी / गल्ती रिपोर्ट (०)

      छलफल / प्रश्न उत्तरमा गल्ती छ

      पठाउनुहोस्

      टिप्पणी जाँचपछि मात्र देखिन्छ।

1112. Which of the following mechanisms primarily contributes to the therapeutic effect of phototherapy in neonatal jaundice?

      कIncreased excretion of bilirubin via the kidneys खConversion of bilirubin to unconjugated bilirubin which is excreted in bile गStimulation of erythropoiesis, increasing red blood cell production घDirect reduction of bilirubin levels by light energy within the skin
      💬 टिप्पणी / गल्ती रिपोर्ट (०)

      छलफल / प्रश्न उत्तरमा गल्ती छ

      पठाउनुहोस्

      टिप्पणी जाँचपछि मात्र देखिन्छ।

1113. A patient presents with fever, right upper quadrant pain, and jaundice. Ultrasound reveals multiple dilated bile ducts. This clinical presentation is MOST consistent with:

      कAcute Cholecystitis खPancreatitis गCholangitis (Bile Duct Inflammation) घHepatocellular Carcinoma
      💬 टिप्पणी / गल्ती रिपोर्ट (०)

      छलफल / प्रश्न उत्तरमा गल्ती छ

      पठाउनुहोस्

      टिप्पणी जाँचपछि मात्र देखिन्छ।

1114. A 35-year-old male presents with sudden onset of severe pain in the right shoulder after sustaining a blunt abdominal trauma. Physical examination reveals positive findings for Kehr's sign. This symptom is MOST likely due to:

      कDirect irritation of the diaphragm by blood within the abdomen खReferred pain from the inflamed appendix to the shoulder region गPost-operative pain following abdominal surgery घSpinal nerve root compression related to the abdominal trauma
      💬 टिप्पणी / गल्ती रिपोर्ट (०)

      छलफल / प्रश्न उत्तरमा गल्ती छ

      पठाउनुहोस्

      टिप्पणी जाँचपछि मात्र देखिन्छ।

1115. During laparoscopic cholecystectomy, the gallbladder appears unexpectedly normal with no evidence of inflammation or sludge. This finding would MOST likely represent:

      कAcute Cholecystitis खCholedocholithiasis (gallstone in the common bile duct) गCholangitis (inflammation of the biliary tree) घPrimary Sclerosing Cholangitis
      💬 टिप्पणी / गल्ती रिपोर्ट (०)

      छलफल / प्रश्न उत्तरमा गल्ती छ

      पठाउनुहोस्

      टिप्पणी जाँचपछि मात्र देखिन्छ।

1116. A patient presents with severe abdominal pain, fever, and hypotension. The Alvarado score reveals a high white blood cell count, elevated temperature, leukocytosis, and transient nitrates. Which of the following is the MOST appropriate initial management step?

      कImmediate administration of broad-spectrum antibiotics followed by surgical exploration खObservation for 24 hours with intravenous fluids only गInitiation of continuous cardiac monitoring and frequent vital sign assessments घAdministration of intravenous corticosteroids to reduce inflammation
      💬 टिप्पणी / गल्ती रिपोर्ट (०)

      छलफल / प्रश्न उत्तरमा गल्ती छ

      पठाउनुहोस्

      टिप्पणी जाँचपछि मात्र देखिन्छ।

1117. Which of the following findings would MOST strongly suggest a sigmoid diverticulitis diagnosis?

      कPresence of free air under the diaphragm, indicating perforation खLeft lower quadrant pain with guarding and rebound tenderness गA palpable mass in the left lower quadrant without significant inflammation घMild abdominal discomfort accompanied by a normal white blood cell count
      💬 टिप्पणी / गल्ती रिपोर्ट (०)

      छलफल / प्रश्न उत्तरमा गल्ती छ

      पठाउनुहोस्

      टिप्पणी जाँचपछि मात्र देखिन्छ।

1118. Aldosterone is secreted primarily by the zona glomerulosa of the adrenal cortex. This zone responds to angiotensin II and potassium levels, stimulating aldosterone production.

      कZona Fasciculata खZona Medulla गZona Reticularis घCortex Densa
      💬 टिप्पणी / गल्ती रिपोर्ट (०)

      छलफल / प्रश्न उत्तरमा गल्ती छ

      पठाउनुहोस्

      टिप्पणी जाँचपछि मात्र देखिन्छ।

1119. The key laboratory finding associated with Wilson’s Disease is elevated levels of ceruloplasmin in the serum. This is due to the body attempting to compensate for copper deficiency by overproducing this antioxidant protein.

      कElevated Ferritin खLow Transferrin Saturation गHigh Serum Copper घElevated Albumin
      💬 टिप्पणी / गल्ती रिपोर्ट (०)

      छलफल / प्रश्न उत्तरमा गल्ती छ

      पठाउनुहोस्

      टिप्पणी जाँचपछि मात्र देखिन्छ।

1120. A young man with muscle cramps and myoglobinuria on exercise, without significant lactate elevation suggests rhabdomyolysis. Myoglobin released from damaged muscle cells into the bloodstream causes this condition.

      कPeriodic Paralysis खDuchenne Muscular Dystrophy गMyasthenia Gravis घLambert-Eaton Myasthenic Syndrome
      💬 टिप्पणी / गल्ती रिपोर्ट (०)

      छलफल / प्रश्न उत्तरमा गल्ती छ

      पठाउनुहोस्

      टिप्पणी जाँचपछि मात्र देखिन्छ।