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স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

পরীক্ষাস্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্সতারিখতারিখ অনির্ধারিতসময়30 minutes
মোট প্রশ্ন৪০
সিলেবাস
টপিক: Common viral & bacterial infections
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স · তারিখ অনির্ধারিত · ৪০ প্রশ্ন

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The virulence of bacteria is related to -
  1. Toxin and enzyme production
  2. The resistance of the patients
  3. The number of bacteria
  4. The portal of entry
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Characteristics of virus -
  1. Facultative intracellular microorganism
  2. Possess a rigid cell wall
  3. Virus have either DNA or RNA
  4. Virus can synthesize protein
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Bacteria that are stained by gram stain are -
  1. Treponema pallidum
  2. Mycoplasma pneumonia
  3. Corynebacterium diphtheria
  4. Mycobacterium bovis
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Following virus have segmented genome -
  1. HIV
  2. Orthomyxovirus
  3. Rabies virus
  4. Calci virus
ব্যাখ্যা
Explanation -
Among viruses that infect vertebrates, those that carry segmented genomes belong to the Arenaviridae, Birnaviridae, Bunyavirales, Orthomyxoviridae, Picobirnaviridae, and Reoviridae.
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Endotoxin producing bacteria -
  1. Staphylococcus saprophyticus
  2. Bacilus anthracis
  3. Clostridium perfringes
  4. Salmonella typhi
ব্যাখ্যা
Explanation -
Endotoxin is produced by -
E.coli
Klebsiella
Salmonella
Shigella
Proteus
.
Inclusion bodies may be produced by following viral infections -
  1. Pox virus
  2. Hepatitis C virus
  3. Dengue virus
  4. Rota virus
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Which is the most common normal flora of vagina -
  1. Staphylococcus aureus
  2. Lactobacillus
  3. Various streptococci
  4. Candida albicans
ব্যাখ্যা
Explanation -
Most common normal flora of vagina -
Lactobacillus
Another -
E.coli
Group B streptococci
Various streptocci
Various gram negetive rods
B.fragilis
C.diphtheroid
C.albicans
.
Non enveloped viruses are -
  1. Herpes virus
  2. Corona virus
  3. Picorna virus
  4. Influenza virus
ব্যাখ্যা
Explanation :
Non enveloped /Nacked virus :
Parbo virus B19
Papilloma virus
Adeno virus
.
Which is not the essential structure of bacteria -
  1. Peptidoglycan of cell wall
  2. Spore
  3. Plasma membrane
  4. Ribosome
১০.
Virus transmitted by the vertical route -
  1. Influenza virus
  2. Rabies virus
  3. Cytomegalovirus
  4. Rota virus
ব্যাখ্যা
Explanation -
Virus transmitted by vertical route :
Cytomegalovirus 
Parvovirus B19
Rubella virus
HIV
HBV
১১.
Methicillin resistant Staphylococcus aureus -
  1. Are sensitive to vancomycin
  2. Causes superficial infection
  3. Is resistant to conventional antistaphylococcal antibiotics
  4. Is sensitive to linezolid
ব্যাখ্যা
Explanation -
MRSA is sensitive to vancomycin, linezolid
Causes deep seated infection
Phase typing is done for epidemiological purpose
১২.
Virus causing latent infection -
  1. Pox virus
  2. Dengue virus
  3. Measles virus
  4. Parbovirus B 19
ব্যাখ্যা
Explanation :
Virus causing latent infection / neurotrophic virus -
Rabies virus 
Polio virus
HSV
VZV
Measles virus,mumps virus
HTCLV
১৩.
Which disease is not associated with streptoccus pyogens -
  1. Erysipelas
  2. Scalded skin syndrome
  3. Necrotizing fascitis
  4. Toxic shock syndrome
ব্যাখ্যা
Explanation -
Disease causes streptoccus pyogens -
Pyogenic - Pharyngitis,cellutis
Toxigenic - Scarlet fever,TSS
Immunogenic - Rheumatic fever,Acute glomerulonephritis.
১৪.
Recombinant vaccine are available against -
  1. Rabies
  2. Rota virus
  3. Human papilloma virus
  4. Yellow fever virus
ব্যাখ্যা
Explanation :
Recombinant / subunit vaccine :
HBV
Influenza
HPV
১৫.
Tetanus -
  1. Caused by non spore bearing organism
  2. Causes abdominal muscle relaxation
  3. Immunization is done by TIG
  4. Characterized by difficulty in diglutation, lock jaw,ophisthotonus
ব্যাখ্যা
Explanation -
Caused by spore bearing organism
Immunization is done by tetanus toxoid
Causes lock jaw,diglutation,ophisthotonus
Is treated by TIG,antibiotics,and antispasmodics
১৬.
Rubella -
  1. Not contagious
  2. Most common abnormality of fetus is hearing loss
  3. No cardiovascular effect of fetus
  4. Rubella vaccine provide lifelong immunity
১৭.
Listeria monocytogens -
  1. Gram negetive and spore forming
  2. Oxidase positive
  3. Are non motile
  4. Can cause neonatal infection
ব্যাখ্যা
Explanation -
Are gram positive organism
Facultative anaerobic
Catalase positive
Produce beta haemolysis on blood agar media
Are motile
১৮.
Infection with the measles virus -
  1. May result in pneumonia
  2. Undergo antigenic drift
  3. May respond to acyclovir
  4. Not prevented by vaccination
১৯.
Neisseria gonorrhoeae -
  1. Is gram positive
  2. Causes septic arthritis
  3. Can penetrate the intact skin
  4. Usually cause bacteraemia
ব্যাখ্যা
Explanation :
Neisseria gonorrhoeae :
Is a fastidious bacterium 
Has many antigenic diversity
Is oxidase positive 
Has many antigenic diversity 
২০.
Following test should done before giving hepatitis B vaccine -
  1. HBsAg
  2. HBeAg
  3. HBV DNA
  4. Anti HBe
ব্যাখ্যা
Explanation :
Following tests are given before hepatitis B vaccine :
Anti HBs
HBsAg
২১.
Regurding mycobacterium tuberculosis -
  1. Obligate intracellular bacteria
  2. Infection rate in our community is nearly 70%
  3. BCG vaccination prevent the disease
  4. Tuberculin skin test is diagnostic
ব্যাখ্যা
Explanation :
Mycobacterium tuberculosis -
Slowly growing,facultative intracellular bacteria
BCG vaccination can not protect the disease
Diagnostic test is Gene expert,NAAT
২২.
During acute stage of HIV infection -
  1. Patient is asymptomatic
  2. High turnover of CD4+ T cells
  3. Virus is not transmissible to others
  4. Viral load is not detected
২৩.
Tuberculoid leprosy -
  1. Symmetrical lesion
  2. Lesions are numerus
  3. There is failure of T helper cell activation
  4. There is early and marked nerve damage
২৪.
Virus causing vesicular rash -
  1. Measles
  2. Rubella
  3. Herpes simplex
  4. Epstein Barr virus
২৫.
Complications of enteric fever are except -
  1. Meningitis
  2. Thyroiditis
  3. Myocarditis
  4. Perforation of hollow viscus
২৬.
CSF findings in viral meningitis include -
  1. Increased pressure
  2. Reduced protein
  3. Turbid colour
  4. Reduced sugar
২৭.
Virus transmitted through breast milk -
  1. CMV
  2. Rubella
  3. HCV
  4. Parbovirus B 19
ব্যাখ্যা
Explanation :
Virus transmitted through breast milk -
CMV
HTCLV
HIV
HBV
২৮.
Causetive of invasive diarrhoea -
  1. Giardia lamblia
  2. Salmonella enteritidis
  3. Rota virus
  4. Vibrio cholera
২৯.
Dengue virus false statement -
  1. Transmitted by ades aegypti
  2. Fever is in saddle back pattern
  3. Hypotension is the main symptoms of plasma leakage
  4. Leucocytosis is the predominant feature
ব্যাখ্যা
Explanation :
symptoms occur, they usually begin 4–10 days after infection and last for 2–7 days. Symptoms may include:
high fever (40°C/104°F)
severe headache
pain behind the eyes
muscle and joint pains
nausea
vomiting
swollen glands
rash
 
Individuals who are infected for the second time are at greater risk of severe dengue.
 
Severe dengue symptoms often come after the fever has gone away:
severe abdominal pain
persistent vomiting
rapid breathing
bleeding gums or nose
fatigue
restlessness
blood in vomit or stool
being very thirsty
pale and cold skin
feeling weak
৩০.
Feature of secondary syphilis -
  1. Chancre
  2. Lymphadenopathy
  3. Condylomata accuminata
  4. Gumma
৩১.
Rota virus -
  1. Single stranded DNA virus
  2. Virus of reovirus family
  3. No serotypic diversity
  4. Causing invasive diarrhoea
ব্যাখ্যা
Explanation -
Rotavirus is a genus of double-stranded RNA viruses in the family Reoviridae. Rotaviruses are the most common cause of diarrhoeal disease among infants and young children.Nearly every child in the world is infected with a rotavirus at least once by the age of five. Immunity develops with each infection, so subsequent infections are less severe. Adults are rarely affected.There are nine species of the genus, referred to as A, B, C, D, F, G, H, I and J. Rotavirus A, the most common species, causes more than 90% of rotavirus infections in humans.
৩২.
Which bacteria is not a causative agent of atypical pneumonia -
  1. Legionella spp
  2. Klebsiella pneumoniae
  3. Mycoplasma spp
  4. Chlamydia pneumoniae
৩৩.
Long term complication of mumps virus infection in male -
  1. Meningitis
  2. Steritiry
  3. Pancreatitis
  4. Transient hearing loss
ব্যাখ্যা
Explanation :
Mumps causing orchitis in male which subsequently causes steritity. 
Immediate complications :
Meningitis
Pancreatitis
Myocarditis
Transient hearing loss
Abortion
৩৪.
Following bacteria causes neonatal meningitis -
  1. N.meningitis
  2. S.pneumooniae
  3. E.coli
  4. S.aureus
৩৫.
Influenza virus -
  1. DNA virus
  2. Influenza A causing pandemic infection
  3. No vaccine available
  4. Viremia common
ব্যাখ্যা
Explanation :
Influenza is a orthomyxovirus - RNA dependent RNA polymerase
Have 8 segment
Influenza A - Pandemic 
Influenza B - Endemic
Viremia rare
৩৬.
Which is not facultative intracellular microorganism -
  1. Salmonella typhi
  2. Chlamydia trachomatis
  3. Listeria monocytogens
  4. Mycoplasma pneumonia
৩৭.
Herpes simplex virus -
  1. Type -1 HSV causing lower genital infection
  2. HSV -2 infection during late trimester of pregnancy is an indication of cesarean section
  3. HHV -8 is Cytomegalovirus
  4. Varicella zoster virus cause infectious mononucleosis
ব্যাখ্যা
Explanation -
HSV -1 causing infection in upper body ( orolabial herpes)
HHV-8 is kaposi sarcoma virus
Primary infection during third trimester need C/S
Epstein Barr virus causing infectious mononucleosis 
৩৮.
Plasmid -
  1. Is chromosomal DNA
  2. Contains linear DNA
  3. Replicate independently of the bacterial chromosome
  4. Contains only gram positive bacteria
৩৯.
Exotoxin -
  1. From the cell wall of gram negetive bacteria
  2. Lipopolysaccharide
  3. Toxoids used as vaccine
  4. Causing fever and shock
৪০.
Which is not capsulated organism
  1. Haemophilus influenzae
  2. Streptococcus pneumoniae
  3. Klebsiella pneumoniae
  4. Staphylococcus saprophyticus