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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Anti-centromere antibodies are most characteristic of:
सही उत्तर: क) Limited cutaneous systemic sclerosis (CREST)
Anti-centromere antibodies mark limited cutaneous SSc (calcinosis, Raynaud's, oesophageal dysmotility, sclerodactyly, telangiectasia); anti-Scl-70 marks diffuse disease.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Anti-histone antibodies are characteristic of:
सही उत्तर: घ) Drug-induced lupus
Drug-induced lupus (e.g. procainamide, isoniazid) is associated with anti-histone antibodies and usually spares the kidneys and CNS.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which autoantibody correlates best with disease activity and nephritis in systemic lupus erythematosus?
सही उत्तर: ख) Anti-double-stranded DNA
Anti-dsDNA levels rise with active disease, especially lupus nephritis, and are used to monitor SLE; anti-Sm is highly specific but does not track activity.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Acute intermittent porphyria, with abdominal pain, neuropsychiatric symptoms and urine darkening on standing, is due to deficiency of:
सही उत्तर: क) Porphobilinogen deaminase (hydroxymethylbilane synthase)
AIP is an autosomal dominant deficiency of PBG deaminase; attacks can be precipitated by drugs such as barbiturates and are treated with haem and glucose.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Glycated haemoglobin (HbA1c) reflects average blood glucose over approximately the preceding:
सही उत्तर: ग) 2–3 months
HbA1c reflects glycaemia over the red cell lifespan, weighted towards the last 8–12 weeks.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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An elderly patient with type 2 diabetes presents with extreme hyperglycaemia, very high plasma osmolality, severe dehydration and minimal ketosis. The diagnosis is:
सही उत्तर: ख) Hyperosmolar hyperglycaemic state
HHS typically affects older people with type 2 diabetes; residual insulin prevents significant ketosis while marked glucose and osmolality rises cause dehydration and confusion.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Recurrent hypoglycaemia with high serum insulin but LOW C-peptide suggests:
सही उत्तर: घ) Surreptitious injection of exogenous insulin
Endogenous insulin is secreted with C-peptide; exogenous insulin suppresses beta cells, so C-peptide is low. Insulinoma and sulfonylureas raise both.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The most common cause of hypercalcaemia in an otherwise well outpatient is:
सही उत्तर: ग) Primary hyperparathyroidism
Primary hyperparathyroidism accounts for most hypercalcaemia in ambulatory patients, while malignancy is the leading cause in hospitalised patients.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Euvolaemic hyponatraemia with inappropriately concentrated urine and high urinary sodium, with normal thyroid and adrenal function, suggests:
सही उत्तर: क) Syndrome of inappropriate ADH secretion (SIADH)
In SIADH, water retention dilutes plasma while urine osmolality stays inappropriately high and urine sodium is high; hypothyroidism and adrenal insufficiency must be excluded.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The immediate treatment of an acute adrenal (Addisonian) crisis is:
सही उत्तर: ग) Intravenous hydrocortisone with saline
Adrenal crisis is treated urgently with parenteral hydrocortisone and intravenous 0.9% saline (with dextrose if hypoglycaemic).
💬 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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