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 patient presents with dysphagia and difficulty swallowing. A barium swallow reveals a dilated esophagus with impaired peristalsis and a weakened lower esophageal sphincter. This presentation is MOST consistent with which diagnosis?
सही उत्तर: ख) B. Achalasia Cardia
Option B (Achalasia Cardia) accurately describes the key findings of a dilated esophagus, impaired peristalsis and a relaxed lower esophageal sphincter – all characteristic features of achalasia. Options A, C, and D represent different conditions with distinct clinical presentations and radiological findings.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which anatomical structure is typically affected by an ileus?
सही उत्तर: ग) C. The sigmoid colon
Option B (transverse colon) represents the most common location for ileus, a temporary paralysis of intestinal motility, often due to inflammation or post-surgical factors. While all listed structures can experience motility issues, the transverse colon is statistically the most frequently affected area.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the defining characteristic of a Whipple's procedure (pancreaticoduodenectomy)?
सही उत्तर: ख) B. Complete resection of the head of the pancreas, duodenum, distal common bile duct, and proximal jejunum
Option B is correct as a Whipple’s procedure involves the surgical removal of precisely the structures listed – head of pancreas, duodenum, bile duct, and proximal jejunum. Options A, C, and D are incorrect because they describe alternative or less specific surgical interventions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with sudden onset abdominal pain localized to the right iliac fossa accompanied by guarding and rebound tenderness. Examination reveals positive psoas and obturator signs. Which of the following conditions is most likely?
सही उत्तर: ख) B. Acute Appendicitis
Option B (Acute Appendicitis) is correct because the symptoms described – right lower quadrant pain, guarding, rebound tenderness, and positive psoas and obturator signs – are strongly indicative of appendiceal inflammation. Options A, C, and D represent other abdominal conditions with similar but less specific presentations.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following is the primary pathological change observed in cirrhosis leading to portal hypertension?
सही उत्तर: ख) B. Dilatation of hepatic veins due to increased resistance
Option B is correct as dilation of hepatic veins resulting from increased resistance in portal venous flow is a hallmark of cirrhosis-induced portal hypertension. Options A, C, and D represent other processes that might be present but are not the primary driver of the condition.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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During a cardiotocography (CTG) monitoring session, a healthcare provider observes late decelerations. What does this pattern MOST likely indicate?
सही उत्तर: घ) Umbilical cord compression
Late decelerations on a CTG represent a decrease in the fetal heart rate amplitude coinciding with contractions. This is almost always due to umbilical cord compression by the presenting part of the fetus. Normal descent shows an increase in FHR amplitude throughout contraction.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Approximately how long after birth does a mature pincer grasp (thumb and index finger tip) typically develop in an infant?
सही उत्तर: ग) 7-10 months
A true pincer grasp, involving the coordinated movement of the thumb and index finger to pick up small objects, typically emerges between 4 and 6 months. This ability reflects fine motor skill development.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 28-year-old female presents with recurrent painless second-trimester pregnancy loss characterized by cervical dilatation. Which of the following conditions is MOST likely associated with this presentation?
सही उत्तर: ग) Cervical incompetence
Uterine fibroids can cause cervical dilatation and disruption of the placental implantation site, leading to recurrent painless losses. While other options could contribute to pregnancy loss, uterine fibroids are the most commonly associated factor with cervical dilatation in this scenario.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following uterotonics is most commonly used for active management of the third stage of labour to prevent postpartum haemorrhage?
सही उत्तर: ग) Dinoprostona
Oxytocin remains the gold standard uterotonic agent for active management. It stimulates uterine contractions effectively. Misoprostol and Dinoprostona are prostaglandin analogues that can be used but Oxytocin is preferred in most settings. Carbetocin is a longer-acting synthetic analogue.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pediatrician is examining a 6-month-old infant presenting with acute diarrhea. Based on current WHO guidelines, what zinc supplementation dosage would be recommended for this child?
सही उत्तर: ख) 20 mg/day
WHO recommends a daily dose of 20 mg of zinc sulfate for children with acute diarrhea above six months. This is due to zinc's role in supporting the immune system and inhibiting diarrheal pathogens. A higher dosage (30 or 40mg) could be toxic while a lower one (10mg) may not provide sufficient benefit.
💬 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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