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 pregnant woman at 36 weeks gestation complains of severe vaginal bleeding with passage of clots. The fetal heart rate is tachycardic. What is the MOST immediate action to take?
सही उत्तर: ख) Perform an emergency Cesarean section
Severe vaginal bleeding with a tachycardic fetal heart rate in late pregnancy signifies placental abruption. An emergency Cesarean section is the most immediate life-saving intervention to address this potentially fatal complication.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pediatrician is examining a 6-month-old infant who presents with poor feeding, irritability, and lethargy. Physical examination reveals hepatomegaly. Which of the following conditions should be MOST strongly suspected?
सही उत्तर: घ) Hemophagocytic Lymphohistiocytosis
Hepatosplenomegaly in a young infant is highly suggestive of Hemophagocytic Lymphohistiocytosis (HLH), which frequently presents with irritability, poor feeding, and hepatomegaly. Transient Spastic Paraparesis typically has different neurological findings. Cardiomyopathy rarely presents this early, and Congenital Heart Disease usually has characteristic cardiac murmurs.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 28-year-old female presents with sudden onset lower abdominal pain, vaginal bleeding, and fever. Clinical examination reveals a tender uterus. Which of the following is the MOST likely diagnosis?
सही उत्तर: क) Ectopic pregnancy
Ectopic pregnancy presents with acute abdominal pain and vaginal bleeding – this aligns with the scenario. PID typically involves lower abdominal tenderness and discharge but usually doesn’t present with fever as acutely. Threatened abortion is associated with spotting and uterine contractions whereas placenta previa causes bleeding during labor.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant is delivered at term with suspicion of congenital adrenal hyperplasia (CAH). Which of the following findings would be MOST suggestive of CAH? a) Large testes size and elevated dihydrotestosterone (DHT) levels b) Hyperpigmentation of skin and increased androgen levels c) Cardiomyopathy and low cortisol levels d) Increased glycogen storage in liver and normal androgen levels
सही उत्तर: ख) b) Hyperpigmentation of skin and increased androgen levels
CAH typically presents with virilization, characterized by large testes size and elevated DHT levels due to adrenal hyperplasia. This causes an excess of androgens. The other options represent features associated with different congenital conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 36 weeks gestation presents with sudden onset lower abdominal pain and vaginal bleeding. The ultrasound reveals a decidual uterine leiomyoma. What is the MOST immediate concern? a) Risk of preterm labor b) Risk of placental abruption c) Risk of sepsis d) Risk of fetal demise
सही उत्तर: घ) d) Risk of fetal demise
Decidual leiomyomas, particularly when they become acutely painful and cause bleeding in late pregnancy, carry a significant risk of uterine rupture. This can lead to life-threatening complications such as sepsis or fetal demise. The other choices are possible but less directly related to the immediate presentation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 2-year-old child presents with persistent vomiting, abdominal distension, and lethargy. Examination reveals hepatomegaly. Which of the following conditions is MOST likely? a) Acute gastroenteritis b) Intussusception c) Omental cyst d) Viral Meningitis
सही उत्तर: ख) b) Intussusception
The clinical presentation—vomiting, abdominal distension, hepatomegaly, and lethargy—is highly suggestive of intussusception. This condition involves telescoping of the bowel, leading to obstruction and inflammation. The other options have different primary symptoms or findings.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-month-old child presents with signs and symptoms suggestive of iron deficiency anemia. Which of the following findings would MOST strongly support a diagnosis of iron deficiency anemia? a) Elevated serum ferritin levels b) Microcytic, hypochromic red blood cell indices c) Increased white blood cell count d) Normal hemoglobin concentration
सही उत्तर: ख) b) Microcytic, hypochromic red blood cell indices
Microcytic and hypochromic red blood cells (as indicated by low MCV and MCH values) are the hallmark of iron deficiency anemia. Elevated ferritin levels indicate stores are depleted. Increased WBCs don't relate to this condition.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant is diagnosed with congenital hip dysplasia. Which of the following investigations would be MOST appropriate for confirming the diagnosis and assessing its severity? a) Amniocentesis b) Ultrasound of the pelvis c) Serum electrolyte analysis d) Liver function tests
सही उत्तर: ख) b) Ultrasound of the pelvis
Ultrasound of the pelvis is the standard initial investigation for suspected congenital hip dysplasia due to its ability to visualize the femoral head and surrounding structures. The other options (amniotic fluid analysis, serum electrolytes, and liver function tests) are not directly relevant to diagnosing or assessing the severity of hip dysplasia. This diagnosis relies on imaging.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary diagnostic tool used to differentiate between a true Meckel’s diverticulum and an ingested foreign body mimicking its appearance?
सही उत्तर: ग) C) Plain Radiograph (X-ray) of the abdomen
Option B is correct. Gastroscopy allows direct visualization and, crucially, the ability to take a biopsy for histological confirmation of Meckel’s diverticulum versus other ingested material.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In the context of trauma management, what does ‘Battle’s sign’ classically indicate?
सही उत्तर: ग) C) Scalp Fracture or Cephalocranial Distortion
Option C is correct; Battle's sign (bruising behind the ear) is a historical indicator of temporal bone fracture due to blunt head trauma. Options A, B, and D represent other common traumatic injuries.
💬 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।
नमस्ते! पाठ्यक्रम, सामान्य ज्ञान, भाषा परीक्षा वा कुनै प्रश्नको उत्तर बुझ्न सोध्नुहोस्।
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