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স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

পরীক্ষাস্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্সতারিখতারিখ অনির্ধারিতসময়30 minutes৩৯ বৈধ · ১ অসম্পূর্ণ
মোট প্রশ্ন৪০
সিলেবাস
টপিক: Physiology - 3 Digestion, Metabolism & Nutrition, Kidney & body fluids
প্রশ্ন দেখুনঅনুশীলন
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

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

১.
Regarding Osmoregulation which one is incorrect
  1. ক
    Sensor- Baro receptor
  2. খ
    Effector organ-Kidney
  3. গ
    Effector-GFR
  4. ঘ
    Pattern of response -Quick
ব্যাখ্যা
ABC of Biochemistry 6th -308
২.
Hypertonic Hypervolemia occur in
  1. ক
    CLD
  2. খ
    NS
  3. গ
    Conn's Syndrome
  4. ঘ
    CCF
ব্যাখ্যা
ABC of Biochemistry 6th - P:310
৩.
Regarding Primary Polydipsia which is incorrect
  1. ক
    Decreasec serum ADH
  2. খ
    Low urine osmolarity
  3. গ
    Urine Na > 20 mmol/l
  4. ঘ
    intake is >20 L /d
ব্যাখ্যা
ABC of Biochemistry 6th - P:318
৪.
Chronic hyponatremia shows -----% mortatility
  1. ক
    6
  2. খ
    29
  3. গ
    4
  4. ঘ
    50
ব্যাখ্যা
ABC of Biochemistry 6th - P:319
৫.
Calculate HCO3 deficit in a 70 kg man,measured HCO3=20 mmol/l
  1. ক
    140
  2. খ
    150
  3. গ
    110
  4. ঘ
    160
ব্যাখ্যা
HCO3 deficit= ( Normal HCO3- Measured HCO3)* HCO3 space

HCO3 space=30-50 % of TBW
৬.
Calcium binding capacity of albumin is ------ mmol/g
  1. ক
    0.01Calcium binding capacity of albumin is ------ mmol/g
  2. খ
    0.02
  3. গ
    0.08
  4. ঘ
    0.8
ব্যাখ্যা
Calcium binding capacity of albumin is  0.02 mmol/g or 0.8 mg/g

ABC of Biochemistry 6th - P:334
৭.
Calcute adjusted total Ca (mmol/L) when measured total Ca 2 mmol/l and albumin conc 37g/L
  1. ক
    2.2
  2. খ
    1.8
  3. গ
    2.1
  4. ঘ
    1.6
অনির্ধারিত
ব্যাখ্যা
Adjusted total Ca (mmol/L)= measured total Ca +0.02 (47-alb g/l)


ABC of Biochemistry 6th - P:336
৮.
Clinical safe range of pH is
  1. ক
    4.5-6
  2. খ
    5.5-8
  3. গ
    7-8
  4. ঘ
    7.3-7.5
ব্যাখ্যা
Clinical safe range of pH is 7.3-7.5

ABC of Biochemistry 6th - P:342
৯.
Regarding high capacity system for acid excretion from our body which is incorrect
  1. ক
    Ranal route
  2. খ
    normaly excret Volatile acid
  3. গ
    unidirectional
  4. ঘ
    Funtional reserve upto 20 times normal
ব্যাখ্যা
ABC of Biochemistry 6th - P:344
১০.
Which pair is correct regarding working site of buffer
  1. ক
    Bicorbonate- mostly ICF
  2. খ
    Phoaphate- mostly ECF
  3. গ
    Protein-Mostly ICF
  4. ঘ
    Ammonia-Mostly ECF
ব্যাখ্যা
ABC of Biochemistry 6th - P:345
১১.
Lactate is not the major product exported from
  1. ক
    Brain
  2. খ
    Muscle
  3. গ
    RBC
  4. ঘ
    Kidney
ব্যাখ্যা
ABC of Biochemistry 6th - P: 187

Lactate is the major product exported from
Brain
Muscle
RBC
১২.
Which is the open end buffer system of our body
  1. ক
    Phosphate
  2. খ
    Bicarbonate
  3. গ
    Hb
  4. ঘ
    Protein
ব্যাখ্যা
ABC of Biochemistry 6th - P: 349
১৩.
Standard scale to measure Plasma Bicarbonate Conc
  1. ক
    Temp 37 C
  2. খ
    Venous PCO2 40 mmHg
  3. গ
    Hb Conc 15 mg/dl
  4. ঘ
    O2 saturation 94%
ব্যাখ্যা
ABC of Biochemistry 6th - P: 352
১৪.
Calculate HCO3 space in a 70 kg man when HCO3 conc 24 mmol/l
  1. ক
    33
  2. খ
    32
  3. গ
    31
  4. ঘ
    40
ব্যাখ্যা
HCO3 space= (0.36+ 2.44/HCO3 conc) * BW

ABC of Biochemistry 6th - P:352
১৫.
Regarding Respiratory acidosis which is not suitable
  1. ক
    Primary event - Incrased PCO2
  2. খ
    2nadary event - Incrased HCO3
  3. গ
    M/A of compensation occur in CD
  4. ঘ
    Decreased plasma HCO3 after compensation
ব্যাখ্যা
 ABC of Biochemistry 6th - P: 359
১৬.
Parameter in venous blood
  1. ক
    pH 7.4
  2. খ
    PCO2 46 mmHg
  3. গ
    PCO2 95 mm Hg
  4. ঘ
    O2 saturation > 95 %
ব্যাখ্যা
ABC of Biochemistry 6th - P:362
১৭.
Common unmeasured anion in plasma is _________________meq/L
  1. ক
    10
  2. খ
    15
  3. গ
    20
  4. ঘ
    25
ব্যাখ্যা
ABC of Biochemistry 6th - P: 366
১৮.
Most common site of lactic acid production is
  1. ক
    Gut
  2. খ
    Skin
  3. গ
    Skeletal muscle
  4. ঘ
    RBC
ব্যাখ্যা
Gut 50 %


ABC of Biochemistry 6th - P: 371
১৯.
Relative hypoxia occurs in
  1. ক
    Shock
  2. খ
    Seizure
  3. গ
    Pulmonary embolism
  4. ঘ
    DM
ব্যাখ্যা
Relative hypoxia ( Type 1 B Lactic Acidosis)
1.Seizure
2.Severe Exercise

ABC of Biochemistry 6th - P: 371
২০.
Which is not a biochemical defect in RTA
  1. ক
    Decreased tubular hydrogen ion secretion
  2. খ
    Failure of ammmoniagenesis
  3. গ
    Failure of volatile acid secretion
  4. ঘ
    Failure of HCO3 reabsorption
ব্যাখ্যা
ABC of Biochemistry 6th - P: 373
২১.
Last and Least choice for heart as metabolic fuel
  1. ক
    Ketone body
  2. খ
    Glucose
  3. গ
    Fatty acid
  4. ঘ
    Lactate
ব্যাখ্যা
ABC of Biochemistry 6th - P: 232

Last and Least choice for heart as metabolic fuel is glucose
২২.
Cause of metabolic alkalosis
  1. ক
    Chronic hyperkalemia
  2. খ
    Hypercloremia
  3. গ
    Bartter syndrome
  4. ঘ
    CAI
ব্যাখ্যা
ABC of Biochemistry 6th - P: 374
২৩.
Whuch of the following not involved in Maintenance stage of metabolic alkalosis
  1. ক
    Hypovolemia
  2. খ
    Hypocloremia
  3. গ
    Hypokalemia
  4. ঘ
    Primary hypoaldosteronism
ব্যাখ্যা
ABC of Biochemistry 6th - P: 376

Maintenance stage of metabolic alkalosis
1.Hypovolemia
2.Hypocloremia
3.Hypokalemia
4.Primary hyperaldosteronism
২৪.
In respiratory acidosis,renal compensation is not done by
  1. ক
    Complete reabsorption of filtrated HCO3
  2. খ
    increased renal acid excretion
  3. গ
    increased renal acid secretion
  4. ঘ
    Increased ammoniagenesis
ব্যাখ্যা
ABC of Biochemistry 6th - P: 382
২৫.
Which is acceptable in bile acid metabolism
  1. ক
    Site- Kidney
  2. খ
    Compartment- Mitochondria
  3. গ
    Rate limiting enzyme- 7-a- hydroxylase
  4. ঘ
    2 ATP is produced
ব্যাখ্যা
Bile acid metabolism
1. Site- Liver
2. Compartment- Cytoplasm
3. Rate limiting enzyme- 7-a- hydroxylase
4. No ATP is produced/used


ABC of Biochemistry 6th - P: 205

২৬.
Fish oil contain ___________ fatty acid
  1. ক
    w3
  2. খ
    w6
  3. গ
    w9
  4. ঘ
    None of the above
ব্যাখ্যা
Fish oil contain omega 3 fatty acid
২৭.
Which of the following not favour RCT
  1. ক
    Apo B
  2. খ
    HL
  3. গ
    CETP
  4. ঘ
    LCAT
ব্যাখ্যা
Factor favour RCT
1. HDL receptors on peripheral tissue /hepatocytes
2. Apo A
3. LCAT
4. CETP
5. HL

ABC of Biochemistry 6th - P: 221
২৮.
Which is not a part of HDL
  1. ক
    Apo A
  2. খ
    Apo B
  3. গ
    Apo C
  4. ঘ
    Apo E
ব্যাখ্যা
Composition of HDL
Apoprotein 50 %
Apo A
Apo C
Apo E

Lipid 50%


ABC of Biochemistry 6th - P: 218
২৯.
No of ATP is produced from EM pathway
  1. ক
    4
  2. খ
    6
  3. গ
    8
  4. ঘ
    12
ব্যাখ্যা
ABC of Biochemistry 6th - P: 147

ATP( Aerobic)-8
ATP( Anerobic)-2
৩০.
Rate limiting enzyme of Glycolysis
  1. ক
    Phosphofructokinase
  2. খ
    Hexokinase
  3. গ
    Glucokinase
  4. ঘ
    Isocitrare dehydrogenase
ব্যাখ্যা
ABC of Biochemistry 6th - P: 149

Rate limiting enzyme of Glycolysis- Phosphofructokinase
৩১.
Rapaport-Leubering cycle occur in
  1. ক
    WBC
  2. খ
    Skin
  3. গ
    Kidney
  4. ঘ
    RBC
ব্যাখ্যা
ABC of Biochemistry 6th - P: 151


Rapaport-Leubering cycle occur in - RBC

৩২.
TCA cycle is inhibited by
  1. ক
    NAD
  2. খ
    Citrate
  3. গ
    Insulin
  4. ঘ
    ADP
ব্যাখ্যা
ABC of Biochemistry 6th - P: 152


TCA cycle
Inhibition- ATP, NADH, Citratrate
Stimulation- ADP, NAD,Insulin
৩৩.
Which is allosteric stimulator of Isocitrate dehydrogenase
  1. ক
    ADP
  2. খ
    ATP
  3. গ
    NADH
  4. ঘ
    Insulin
ব্যাখ্যা
ABC of Biochemistry 6th - P: 157

A.  Allosteric stimulator of Isocitrate dehydrogenase- ADP
B.  Allosteric inhibitor of Isocitrate dehydrogenase- ATP
৩৪.
Most common site of gluconeogenesis
  1. ক
    Skin
  2. খ
    Skeletal muscle
  3. গ
    Kidney
  4. ঘ
    LIver
ব্যাখ্যা
ABC of Biochemistry 6th - P: 158

Site of gluconeogenesis: a.Liver  90%
                                           b.Kidney 10%
৩৫.
Glucogenic AA make their entry into glucogenic pathway through ___________________ 5 points
  1. ক
    5
  2. খ
    6
  3. গ
    4
  4. ঘ
    8
ব্যাখ্যা
Glucogenic AA make their entry into glucogenic pathway through  5 points

ABC of Biochemistry 6th - P: 159
৩৬.
Few mitochondria present in
  1. ক
    RBC
  2. খ
    Lens
  3. গ
    Cornea
  4. ঘ
    Renal medulla
ব্যাখ্যা
Few mitochondria present in WBC, Renal Medulla, Retina


ABC of Biochemistry 6th - P: 162
৩৭.
No of ATP directly produced from HMP shunt
  1. ক
    0
  2. খ
    2
  3. গ
    4
  4. ঘ
    8
ব্যাখ্যা
No ATP is directly consumped or produced

ABC of Biochemistry 6th - P: 163

৩৮.
Periodic paralysis occur due to deficiency of following enzyme
  1. ক
    Pyruvate kinase
  2. খ
    Aldolase
  3. গ
    Phosphofructokinase
  4. ঘ
    Glucose 6-P dehydrogenase
ব্যাখ্যা
ABC of Biochemistry 6th - P: 166

Periodic paralysis occur due to deficiency of Glucose 6-P dehydrogenase enzyme
৩৯.
Uric Acid production in case of Normal Protein intake
  1. ক
    2
  2. খ
    1
  3. গ
    2.6
  4. ঘ
    10
ব্যাখ্যা
Uric Acid production in case  of Normal Protein intake- 2 %

ABC of Biochemistry 6th - P: 177
৪০.
Fumerate is produced from
  1. ক
    Val
  2. খ
    Ile
  3. গ
    Phe
  4. ঘ
    Leu
ব্যাখ্যা
Fumerate is produced from Phe, Tyr

ABC of Biochemistry 6th - P: 182