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

411. A 65-year-old male presents with sudden onset of severe abdominal pain, rigidity, and guarding. Physical examination reveals rebound tenderness in the right lower quadrant. Based on these findings, what is the most likely diagnosis? a) Viral Gastroenteritis b) Acute Cholecystitis c) Small Bowel Obstruction d) Diverticulitis

     कa) Viral Gastroenteritis खb) Acute Cholecystitis गc) Small Bowel Obstruction घd) Diverticulitis
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

412. Which of the following statements accurately reflects the typical presentation and initial management of acute appendicitis? a) Delayed diagnosis due to atypical symptoms often leading to spontaneous resolution. b) Immediate administration of broad-spectrum antibiotics followed by exploratory laparotomy. c) Right lower quadrant pain, nausea, vomiting, anorexia, and a positive McBurney's point – often managed conservatively with IV fluids and analgesics initially. d) Atypical presentations involving diffuse abdominal pain, requiring imaging studies like CT scans for diagnosis.

     कa) Delayed diagnosis due to atypical symptoms often leading to spontaneous resolution. खb) Immediate administration of broad-spectrum antibiotics followed by exploratory laparotomy. गc) Right lower quadrant pain, nausea, vomiting, anorexia, and a positive McBurney's point – often managed conservatively with IV fluids and analgesics initially. घd) Atypical presentations involving diffuse abdominal pain, requiring imaging studies like CT scans for diagnosis.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

413. The primary goal of a Jackson-Edwards suction technique during exploratory laparotomy is to reduce intra-abdominal pressure and facilitate visualization. Which of the following best describes its application? a) To directly remove blood clots from surgical fields. b) To create a vacuum effect for efficient fluid removal. c) To assist in hemostasis by suctioning away bleeding points. d) To minimize contamination during procedures involving open wounds.

     कa) To directly remove blood clots from surgical fields. खb) To create a vacuum effect for efficient fluid removal. गc) To assist in hemostasis by suctioning away bleeding points. घd) To minimize contamination during procedures involving open wounds.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

414. A pediatrician is evaluating a newborn infant who was born prematurely (32 weeks gestation). The infant has persistent tachypnea, respiratory distress, and evidence of pulmonary hemorrhage on chest radiography. Which of the following interventions would be MOST beneficial?

     कPlacement in a humidified incubator at 37°C खAdministration of intravenous corticosteroids to reduce inflammation गInitiating mechanical ventilation with high tidal volumes घStarting broad-spectrum antibiotics for suspected sepsis
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

415. A pregnant woman at 36 weeks gestation complains of sudden onset lower back pain, vaginal leakage, and fetal movements that have ceased. What is the most urgent diagnostic measure to confirm the diagnosis?

     कImmediate induction of labor with oxytocin खTransvaginal ultrasound to assess fetal position and amniotic fluid volume गPerineal examination to evaluate cervical dilation and effacement घMagnetic Resonance Imaging (MRI) of the lumbar spine for suspected disc herniation
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

416. A 6-year-old boy presents with a history of recurrent episodes of fever, rash (urticaria), and joint pain. Laboratory tests reveal elevated levels of antinuclear antibodies (ANA). Which of the following diagnoses is MOST likely?

     कAcute Lymphoblastic Leukemia (ALL) खSystemic Lupus Erythematosus (SLE) गJuvenile Idiopathic Arthritis (JIA) घKawasaki Disease
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

417. A newborn infant is exhibiting signs of respiratory distress, including nasal flaring and retractions. The pediatrician suspects meconium aspiration syndrome (MAS). Which intervention would be MOST effective in addressing this immediate threat to life?

     कAdministering intravenous fluids for dehydration खInitiating continuous positive airway pressure (CPAP) ventilation गApplying a warm compress to the infant’s chest घStarting broad-spectrum antibiotics to prevent infection
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

418. Which surgical technique is MOST commonly utilized for the treatment of a gallbladder impacted by gallstones?

     कLaparoscopic Cholecystectomy खHepatoporto-jejunostomy गCholecystography घTranshepatic Gallstone Extraction (TGE)
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

419. What is the primary anatomical consideration when performing a laparoscopic Heller myotomy for achalasia?

     कDirect visualization of the esophageal sphincter muscle layer with high magnification खMinimally invasive dissection of the gastric antrum to create a channel गAssessment of the calibre and patency of the distal esophagus घConfirmation of oesophageal motility using impedance catheterization
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

420. A 60-year-old male presents with severe abdominal pain, nausea, and vomiting. Initial investigations reveal elevated amylase and lipase levels. Which of the following surgical procedures would be the MOST appropriate initial management?

     कLaparoscopic Cholecystectomy खSplenectomy गSurgical Decompression (e.g., percutaneous drainage) घTotal Hip Replacement
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।