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স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

পরীক্ষাস্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্সতারিখতারিখ অনির্ধারিতসময়30 minutes
মোট প্রশ্ন৪২
সিলেবাস
Medicine-01 - Approach to common symptoms of disease. Clinical Methods in the Practice of Medicine - History Taking. Physical Examination. Investigations. Diagnosis. Principles of treatment. Interpersonal skills. Communication skills. Doctor-patient relationship. Ethical Behavior. Referral services. Medical Certificate. Nutritional metabolic & environmental diseases.
প্রশ্ন দেখুনঅনুশীলন
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স · তারিখ অনির্ধারিত · ৪২ প্রশ্ন

১.
Remittent fever occurs in
  1. ক
    ক) Typhoid
  2. খ
    খ) Typhus
  3. গ
    গ) Acute tonsilitis
  4. ঘ
    ঘ) Rheumatic fever
ব্যাখ্যা

If the fever fluctuates > 2ºC (3ºF) but does not touch the baseline, it is called remittent.
This is found in any pyogenic infection (pyogenic liver abscess, acute bronchopneumonia, acute tonsillitis, septicemia, acute pyelonephritis), lymphoma.

২.
Fever with chill and rigor that subsides with sweating
  1. ক
    ক) Septicemia
  2. খ
    খ) Acute pyelonephritis
  3. গ
    গ) Subphrenic abscess
  4. ঘ
    ঘ) Malaria
ব্যাখ্যা

• Fever with chill and rigor—acute pyelonephritis, acute cholangitis, subacute bacterial endocarditis, subphrenic abscess, pyogenic lung abscess, septicemia, lobar pneumonia, pyrogenic reaction after infusion or transfusion.
• Fever with chill and rigor that subsides with sweating—malaria.

৩.
Patient feeling feverish with excessive sweating
  1. ক
    ক) Thyrotoxicosis
  2. খ
    খ) Hypothyroidism
  3. গ
    গ) Diabetes insipidus
  4. ঘ
    ঘ) Lymphoma
ব্যাখ্যা
• Patient feeling feverish with excessive sweating—Thyrotoxicosis.
৪.
Fluent aphasia with poor comprehension & good repetition in
  1. ক
    ক) Wernicke’s aphasia
  2. খ
    খ) Broca’s aphasia
  3. গ
    গ) Transcoortical sensory aphasia
  4. ঘ
    ঘ) Transcortical motor aphasia
ব্যাখ্যা
Reference: Davidson 23rd; P-1088(Fig-25.19)
৫.
Fever with rash at 5th day indicates
  1. ক
    ক) Dengue
  2. খ
    খ) Typhus
  3. গ
    গ) Typhoid
  4. ঘ
    ঘ) Measles
ব্যাখ্যা

Fever with skin rash (according to the day of appearance of rash)—Remember: “Very sick person must take double eggs.”
 1st day—Varicella (chicken pox)
 2nd day—Scarlet fever
 3rd day—Pox (small pox)
 4th day—Measles, German measles (rubella)
 5th day—Typhus
 6th day—Dengue
 7th day—Enteric fever (rose spot)
 Drug rash may appear anytime.

৬.
Left iliac fossa mass commonly indicates all of the following excepts
  1. ক
    ক) Diverticular mass
  2. খ
    খ) Sigmoid colon cancer
  3. গ
    গ) Crohn’s disease
  4. ঘ
    ঘ) Constipation
৭.
Colicky central abdominal pain in a patient with surgical scar mostly indicates
  1. ক
    ক) Perforation
  2. খ
    খ) Intestinal obstruction
  3. গ
    গ) Ruptured aortic aneurysm
  4. ঘ
    ঘ) Acute mesenteric ischemia
৮.
Prune juice like vaginal discharge is found in
  1. ক
    ক) PID
  2. খ
    খ) DUB
  3. গ
    গ) Ruptured ectopic pregnancy
  4. ঘ
    ঘ) Salpingitis
৯.
Relieving factor in acute pancreatitis
  1. ক
    ক) Leaning forward
  2. খ
    খ) Sitting upright
  3. গ
    গ) Eating food
  4. ঘ
    ঘ) NSAIDs
১০.
Causes of under nutrition & weight loss in adults due to impaired energy storage
  1. ক
    ক) Thyrotoxicosis
  2. খ
    খ) DM
  3. গ
    গ) Cancer
  4. ঘ
    ঘ) Pheochromocytoma
১১.
Most common cause of chronic or relapsing diarrhoea
  1. ক
    ক) IBD
  2. খ
    খ) IBS
  3. গ
    গ) Entamoeba infestations
  4. ঘ
    ঘ) Giardiasis
ব্যাখ্যা
Reference: Davidson 23rd; P-783
Explanation : The most common cause is irritable bowel syndrome which can present with increased frequency of defecation and loose , watery or pellety stools.
১২.
Rubbing the buttock & thigh describes
  1. ক
    ক) Renal colic
  2. খ
    খ) Sciatica
  3. গ
    গ) PLID
  4. ঘ
    ঘ) Hip fracture
১৩.
Chest pain with burning chest indicates
  1. ক
    ক) AMI
  2. খ
    খ) UA
  3. গ
    গ) GERD
  4. ঘ
    ঘ) SVT
ব্যাখ্যা
Chest pain with Breathlessness: IHD, pulmonary embolism, pleurisy, anxiety.
Chest pain with Nausea, vomiting or sweating: acute myocardial infarction.
Chest pain with Burning in chest or epigastrium: GERD
১৪.
Headache that is severe in morning & associated with projectile vomiting
  1. ক
    ক) Raised ICP
  2. খ
    খ) Sinusitis
  3. গ
    গ) Migraine
  4. ঘ
    ঘ) Cluster headache
১৫.
Recurrent vertigo with progressive hearing loss & persistent tinnitus is found in
  1. ক
    ক) BPPV
  2. খ
    খ) Meniere’s disease
  3. গ
    গ) Acuostic neuroma
  4. ঘ
    ঘ) Vestibular neuritis
১৬.
Fever with chill and rigor, Pleuritic chest pain & Cough
  1. ক
    ক) Bronchial asthma
  2. খ
    খ) COPD
  3. গ
    গ) Pneumonia
  4. ঘ
    ঘ) Lung abscess
ব্যাখ্যা
Fever with chill and rigor, Pleuritic chest pain & Cough: Pneumonia
১৭.
‘Mumble, Stumble, Tumble’ is a feature of
  1. ক
    ক) Mild hypothermia
  2. খ
    খ) Moderate hypothermia
  3. গ
    গ) Severe hypothermia
  4. ঘ
    ঘ) Trench foot
১৮.
Sudden onset of Unilateral pleuritic chest pain with absent breath sound & resonant hemithorax
  1. ক
    ক) ALVF
  2. খ
    খ) MI
  3. গ
    গ) Tension pneumothorax
  4. ঘ
    ঘ) MS
ব্যাখ্যা
Sudden onset of Unilateral pleuritic chest pain with absent breath sound & resonant hemithorax: Tension pneumothorax.
১৯.
Barking cough is found in
  1. ক
    ক) Lung abscess
  2. খ
    খ) Bronchiectasis
  3. গ
    গ) Acute epiglottitis
  4. ঘ
    ঘ) ALVF
ব্যাখ্যা
Foul smelling dark colored sputum: lung abscess
Rusty sputum: pneumococcal pneumonia.
Productive cough with frothy sputum occurs in pulmonary edema.
Barking cough: acute epiglottitis.
২০.
GIT cause of cough
  1. ক
    ক) PUD
  2. খ
    খ) GERD
  3. গ
    গ) IBD
  4. ঘ
    ঘ) IBS
২১.
Vomiting without nausea is found in
  1. ক
    ক) GOO
  2. খ
    খ) Raised ICP
  3. গ
    গ) PUD
  4. ঘ
    ঘ) GERD
ব্যাখ্যা
Vomiting without nausea–raised intracranial pressure (ICP)
Projectile vomiting–gastric outlet obstruction
Pain abdomen relieved by vomiting–gastric ulcer
Vomiting with absolute constipation–intestinal obstruction
২২.
Anemia with HTN & oedema
  1. ক
    ক) NS
  2. খ
    খ) CLD
  3. গ
    গ) ALL
  4. ঘ
    ঘ) CKD
২৩.
Long standing jaundice with itching, pigmentation of skin
  1. ক
    ক) PSC
  2. খ
    খ) PBC
  3. গ
    গ) Obstructive jaundice
  4. ঘ
    ঘ) Acute viral hepatitis
ব্যাখ্যা
Anorexia, nausea, vomiting–acute viral hepatitis, may be drug induced hepatitis.
Itching with pale or dark pale stool–obstructive jaundice.
Long standing jaundice with itching, pigmentation of skin–primary biliary cirrhosis.
২৪.
Most effective laparoscopic bariatric surgical procedure
  1. ক
    ক) Gastric banding
  2. খ
    খ) Sleeve Gastrectomy
  3. গ
    গ) Roux-en-Y gastric bypass
  4. ঘ
    ঘ) Duodenal switch
২৫.
Essential amino acid excludes
  1. ক
    ক) Phenylalanine
  2. খ
    খ) Methionine
  3. গ
    গ) Protamine
  4. ঘ
    ঘ) Valine
২৬.
Which visualises metabolic activity of tumour cells?
  1. ক
    ক) CT
  2. খ
    খ) MRI
  3. গ
    গ) PET
  4. ঘ
    ঘ) Isotope scanning
ব্যাখ্যা
Reference: Davidson 23rd; P-1323(Imaging)
২৭.
Jaundice with high fever and urinary complain indicates
  1. ক
    ক) Leptospirosis
  2. খ
    খ) Gilbert’s syndrome
  3. গ
    গ) Wilson’s disease
  4. ঘ
    ঘ) Hemochromatosis
ব্যাখ্যা
Persistent mild jaundice indicates Gilbert’s syndrome.
Jaundice with high fever and urinary complain indicates leptospirosis.
Recurrent jaundice with neurological abnormality—Wilson’s disease.
২৮.
Weight loss with pigmentation and hypotension
  1. ক
    ক) Thyrotoxicosis
  2. খ
    খ) DM
  3. গ
    গ) Malabsorption syndrome
  4. ঘ
    ঘ) Addison’s disease
ব্যাখ্যা
Weight loss with low grade evening fever, cough and night sweats indicates tuberculosis.
Weight loss in spite of good appetite or high food intake—thyrotoxicosis, diabetes mellitus, malabsorption syndrome.
Weight loss with pigmentation and hypotension—Addison’s disease.
২৯.
Extreme cachexia in young female with history of diet control, heavy exercise and amenorrhea
  1. ক
    ক) Bulimia nervosa
  2. খ
    খ) Anorexia nervosa
  3. গ
    গ) Malignancy
  4. ঘ
    ঘ) Ectopic pregnancy
ব্যাখ্যা
Extreme cachexia in young female with history of diet control, heavy exercise and amenorrhea – anorexia nervosa.
৩০.
Headache indicates … cause of weight gain?
  1. ক
    ক) Pituitary
  2. খ
    খ) Adrenal
  3. গ
    গ) Ovarian
  4. ঘ
    ঘ) Thyroid
ব্যাখ্যা
Headache indicates pituitary cause of weight gain.
৩১.
Endocrine factors causing weight gain excludes
  1. ক
    ক) Hypothyroidism
  2. খ
    খ) Cushing’s syndrome
  3. গ
    গ) Addison’s disease
  4. ঘ
    ঘ) Insulinoma
৩২.
Minimum BMI for being obese in Asians
  1. ক
    ক) 23
  2. খ
    খ) 25
  3. গ
    গ) 30
  4. ঘ
    ঘ) 40
৩৩.
Pellagra occurs due to deficiency of which vitamin?
  1. ক
    ক) A
  2. খ
    খ) E
  3. গ
    গ) B1
  4. ঘ
    ঘ) B3
৩৪.
Dermatitis is a deficiency feature of vitamin…?
  1. ক
    ক) B6
  2. খ
    খ) B7
  3. গ
    গ) B9
  4. ঘ
    ঘ) B12
৩৫.
Cardiomyopathy results from deficiency of
  1. ক
    ক) Zinc
  2. খ
    খ) Iron
  3. গ
    গ) Cobalt
  4. ঘ
    ঘ) Selenium
৩৬.
Black tongue is a feature of
  1. ক
    ক) CO poisoning
  2. খ
    খ) Lead poisoning
  3. গ
    গ) Bismuth poisoning
  4. ঘ
    ঘ) Calcium excess
ব্যাখ্যা

Tongue:
 Pale – anemia
 Yellow – jaundice
 Bluish – central cyanosis
 Black (Lingua Nigra) – Bismuth poisoning
 Dry – dehydration
 Coated tongue- Enteric fever

৩৭.
‘Corkscrew hairs’ found in
  1. ক
    ক) Vitamin C deficiency
  2. খ
    খ) Vitamin A deficiency
  3. গ
    গ) Severe malnutrition
  4. ঘ
    ঘ) Vitamin B1 deficiency
ব্যাখ্যা
(Ref : Davidson 23rd ,p – 692 )
৩৮.
The tendency towards inaction, rooted in the principle of ‘first do no harm.’ Indicates-
  1. ক
    ক) Omission bias
  2. খ
    খ) Commission bias
  3. গ
    গ) Hindsight bias
  4. ঘ
    ঘ) Confirmation bias
ব্যাখ্যা
Reference: Davidson 23rd; P-8(Fig-1.7).
৩৯.
Splinter hemorrhage in nail indicates
  1. ক
    ক) NS
  2. খ
    খ) PEM
  3. গ
    গ) Psoriasis
  4. ঘ
    ঘ) Subacute bacterial endocarditis
ব্যাখ্যা

Nail:
 Pale – anemia
 Bluish – cyanosis
 Brittle – koilonychia (Due to IDA)
 Leukonychia – CLD, NS, PEM
 Splinter hemorrhage – sub acute bacterial endocarditis
 Mees line – arsenic poisoning
 Onycholysis – psoriasis

৪০.
The hypothalamus normally maintains core temperature at
  1. ক
    ক) 35°C
  2. খ
    খ) 36°C
  3. গ
    গ) 37°C
  4. ঘ
    ঘ) 39°C
ব্যাখ্যা
The hypothalamus normally maintains core temperature at 37°C, but this set-point is altered in fever and may be lost in hypothalamic disease.
৪১.
Characteristic ECG wave in hypothermia
  1. ক
    ক) S
  2. খ
    খ) Delta
  3. গ
    গ) J
  4. ঘ
    ঘ) F
৪২.
Freezing cold injury
  1. ক
    ক) Chilblains
  2. খ
    খ) Frostbite
  3. গ
    গ) Trench foot
  4. ঘ
    ঘ) Immersion foot
ব্যাখ্যা

 Freezing
   Frostbite
 Non freezing
   Trench foot
   Immersion foot
   Chilblains