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স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

পরীক্ষাস্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্সতারিখতারিখ অনির্ধারিতসময়30 minutes
মোট প্রশ্ন৫০
সিলেবাস
Medicine-09 - Diseases of the blood - Anemia: iron deficiency. Common Hemolytic anemia (Thalassemia and acquired hemolytic anemia). Common bleeding disorders (Thrombocytopenia and hemophilia). Agranulocytosis and aplastic anemia. Leukemia: Acute and chronic. Lymphomas. Multiple myelomas. Blood transfusion. Musculoskeletal disorders - Rheumatoid arthritis, Seronegative spondyloarthritis, Low back pain, Osteoarthritis, Gout, Reactive arthritis etc.
প্রশ্ন দেখুনঅনুশীলন
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স · তারিখ অনির্ধারিত · ৫০ প্রশ্ন

১.
Bamboo spine is a feature of
  1. ক
    ক) RA
  2. খ
    খ) SLE
  3. গ
    গ) AS
  4. ঘ
    ঘ) OA
২.
Monosodium urate monohydrate crystals are associated with
  1. ক
    ক) Acute gout
  2. খ
    খ) Acute pseudogout
  3. গ
    গ) Calcinosis
  4. ঘ
    ঘ) Chondrocalcinosis
৩.
Maternal antibody associated with neonatal lupus & congenital heart block
  1. ক
    ক) Anti Sm
  2. খ
    খ) Anti Ro
  3. গ
    গ) Anti RNP
  4. ঘ
    ঘ) Anti SS-B
৪.
Morphology of monosodium urate crystals
  1. ক
    ক) Rhomboidal
  2. খ
    খ) Needle shaped
  3. গ
    গ) Polyhedral
  4. ঘ
    ঘ) Wedged shaped
৫.
Benz zones proteinuria
  1. ক
    ক) Leukemia
  2. খ
    খ) Lymphoma
  3. গ
    গ) Polycythemia
  4. ঘ
    ঘ) Multiple myeloma
৬.
Which one is increased or normal in anemia of chronic disease?
  1. ক
    ক) Ferritin
  2. খ
    খ) Iron
  3. গ
    গ) TIBC
  4. ঘ
    ঘ) Transferrin saturation
৭.
Red cell antigen in ‘o’ blood group
  1. ক
    ক) A
  2. খ
    খ) B
  3. গ
    গ) A & B
  4. ঘ
    ঘ) None
৮.
CBC finding in asthma
  1. ক
    ক) Neutrophilia
  2. খ
    খ) Neutropenia
  3. গ
    গ) Eosinophilia
  4. ঘ
    ঘ) Lymphopenia
৯.
Drug induced lupus is associated with following antibodies
  1. ক
    ক) anti-Ro antibody
  2. খ
    খ) anti-La antibody
  3. গ
    গ) anti-histone antibody
  4. ঘ
    ঘ) anti-RNP antibody
ব্যাখ্যা
Ref: Davidson 23rd; P-992 , box : 24.10
১০.
‘Watermelon’ stomach is found in
  1. ক
    ক) Systemic sclerosis
  2. খ
    খ) Dermatomyositis
  3. গ
    গ) Kawasaki disease
  4. ঘ
    ঘ) Polyarteritis nodosa
ব্যাখ্যা
Ref: Davidson 23rd; P-1038
১১.
Features of reactive arthritis excludes
  1. ক
    ক) Urethritis
  2. খ
    খ) Arthritis
  3. গ
    গ) Conjunctivitis
  4. ঘ
    ঘ) Proctitis
ব্যাখ্যা
Urethritis + arthritis + conjunctivitis = reactive arthritis
Reactive arthritis >>>> the Pt. can’t see, can’t pee, can’t bend the knee
১২.
Triad of anemia, jaundice & splenomegaly are found in
  1. ক
    ক) Iron deficiency anemia
  2. খ
    খ) Hemolytic anemia
  3. গ
    গ) Megaloblastic anemia
  4. ঘ
    ঘ) Sideroblastic anemia
১৩.
Visual function monitoring is required in which type of DMARDs
  1. ক
    ক) Sulfasalazine
  2. খ
    খ) Hydroxychloroquine
  3. গ
    গ) Mycophenolate mofetil
  4. ঘ
    ঘ) Azathioprine
ব্যাখ্যা
Ref: Davidson 23rd; P-1004 , box : 24.34
১৪.
The most important risk factors for NSAID-induced ulcers
  1. ক
    ক) High risk NSAID use
  2. খ
    খ) Concomitant glucocorticoid use
  3. গ
    গ) Past history of adverse event with NSAID
  4. ঘ
    ঘ) Past history of peptic ulcer
ব্যাখ্যা
Ref: Davidson 23rd; P-1003 , box : 24.31
১৫.
Antibiotic of choice in septic arthritis
  1. ক
    ক) Vancomycin
  2. খ
    খ) Clindamycin
  3. গ
    গ) Flucloxacillin
  4. ঘ
    ঘ) Ciprofloxacin
ব্যাখ্যা
Ref: Davidson 23rd; P-1020
১৬.
Type of Hodgkin’s lymphoma with best prognosis
  1. ক
    ক) Nodular sclerosing
  2. খ
    খ) Mixed cellularity
  3. গ
    গ) Lymphocyte depletion
  4. ঘ
    ঘ) Lymphocyte predominant
১৭.
Highly specific for RA
  1. ক
    ক) ANA
  2. খ
    খ) RA
  3. গ
    গ) Anti CCP antibodies
  4. ঘ
    ঘ) Anti-ds DNA
ব্যাখ্যা
Anti-CCP antibodies are associated with rheumatoid arthritis (highly specific)
১৮.
Anisocytosis is related to which feature of RBC?
  1. ক
    ক) Size
  2. খ
    খ) Shape
  3. গ
    গ) Number
  4. ঘ
    ঘ) Colour
ব্যাখ্যা
Variations in red cell size is called anisocytosis.
১৯.
Highly specific for SLE
  1. ক
    ক) ANA
  2. খ
    খ) RA
  3. গ
    গ) Anti CCP antibodies
  4. ঘ
    ঘ) Anti-ds DNA antibodies
ব্যাখ্যা
Anti-dsDNA antibodies are highly specific (100%) for diagnosis of SLE. Its level correlates with lupus activity.
২০.
Chronic lymphocytic leukaemia is mostly due to
  1. ক
    ক) Polyclonal proliferation of B-cell lymphocytes
  2. খ
    খ) Monoclonal proliferation of B-cell lymphocytes
  3. গ
    গ) Monoclonal proliferation of T-cell lymphocytes
  4. ঘ
    ঘ) Polyclonal proliferation of T-cell lymphocytes
ব্যাখ্যা
CLL is caused by a monoclonal proliferation of B-cell lymphocytes
২১.
Denatured hemoglobin in G6PD deficiency is visible as
  1. ক
    ক) Bite cells
  2. খ
    খ) Blister cells
  3. গ
    গ) Heinz bodies
  4. ঘ
    ঘ) Basophilic stippling
ব্যাখ্যা
Ref: Davidson 23rd; P-949 (Box-23.38)
২২.
Most common variety of leukaemia
  1. ক
    ক) AML
  2. খ
    খ) CML
  3. গ
    গ) ALL
  4. ঘ
    ঘ) CLL
ব্যাখ্যা
Ref: Davidson 23rd; P- 959
২৩.
Dimorphic blood picture mostly suggests
  1. ক
    ক) Anaemia of chronic disease
  2. খ
    খ) Sideroblastic anaemia
  3. গ
    গ) Beta thalassaemia
  4. ঘ
    ঘ) Iron deficiency anaemia
ব্যাখ্যা
Ref: Davidson 23rd; P- 924 (Fig-23.10)
২৪.
LMWHs preferentially augment antithrombin activity against factor
  1. ক
    ক) Xa
  2. খ
    খ) X
  3. গ
    গ) Va
  4. ঘ
    ঘ) IXa
ব্যাখ্যা
Ref: Davidson 23rd; P- 938
২৫.
Which is a measure of iron stores in tissues?
  1. ক
    ক) Serum iron
  2. খ
    খ) Serum ferritin
  3. গ
    গ) Transferrin saturation
  4. ঘ
    ঘ) Soluble transferrin receptor
ব্যাখ্যা
Ref: Davidson 23rd; P- 941
২৬.
Howell–Jolly bodies are found in all of the following except
  1. ক
    ক) Hyposplenism
  2. খ
    খ) Post-splenectomy
  3. গ
    গ) Myelofibrosis
  4. ঘ
    ঘ) Dyshaematopoiesis
ব্যাখ্যা
Ref: Davidson 23rd; P- 921(Box-23.2)
২৭.
Causes of non thrombocytopenic purpura does not include
  1. ক
    ক) Vasculitis
  2. খ
    খ) IgA nephropathy
  3. গ
    গ) Senile purpura
  4. ঘ
    ঘ) Paraproteinaemias
ব্যাখ্যা
Ref: Davidson 23rd; P-928, box: 23.13
২৮.
Blood film of megaloblastic anaemia
  1. ক
    ক) Target cells
  2. খ
    খ) Neutrophil hypersegmentation
  3. গ
    গ) Heinz bodies
  4. ঘ
    ঘ) Basophilic stippling
ব্যাখ্যা
Ref: Davidson 23rd; P-944, box: 23.32
২৯.
Hallmarks of haemolysis includes
  1. ক
    ক) Increased LDH
  2. খ
    খ) Haemoglobinuria
  3. গ
    গ) Increased Methaemalbumin
  4. ঘ
    ঘ) Decreased haptoglobin
ব্যাখ্যা
Ref: Davidson 23rd; P-946, box: 23.36
৩০.
Features of beta - thalassaemia minor
  1. ক
    ক) Erythroblastosis
  2. খ
    খ) Raised level of Haemoglobin F
  3. গ
    গ) Punctate basophilia
  4. ঘ
    ঘ) Normocytic normochromic erythrocytes
ব্যাখ্যা
Ref: Davidson 23rd; P-954, box - 23.40
৩১.
Von Willebrand factor is synthesised by
  1. ক
    ক) Plasma cell
  2. খ
    খ) Endothelial cells
  3. গ
    গ) Subendothelial collagen
  4. ঘ
    ঘ) Platelets
ব্যাখ্যা
Ref: Davidson 23rd; P-974
৩২.
Investigation used to monitor disease activity of RA is-
  1. ক
    ক) Rheumatoid factor
  2. খ
    খ) Anti-citrullinated peptide antibodies
  3. গ
    গ) X-rays
  4. ঘ
    ঘ) Erythrocyte sedimentation rate
ব্যাখ্যা
Ref: Davidson 23rd; Box- 24.55
৩৩.
Low MCH with target cells & increased HbA2 in Hb electrophoresis indicates
  1. ক
    ক) Beta thalassemia trait
  2. খ
    খ) Alpha thalassemia trait
  3. গ
    গ) Sideroblastic anemia
  4. ঘ
    ঘ) Anemia of chronic disease
৩৪.
Hemophilia A results from deficiency of
  1. ক
    ক) Factor-7
  2. খ
    খ) Factor-8
  3. গ
    গ) Factor-9
  4. ঘ
    ঘ) Factor-10
ব্যাখ্যা
Ref: Davidson 23rd; P-971
৩৫.
Basophilic stippling is a feature of
  1. ক
    ক) Hemolysis
  2. খ
    খ) Hemorrhage
  3. গ
    গ) Lead poisoning
  4. ঘ
    ঘ) DIC
৩৬.
Spontaneous bleeding in ITP usually occurs when platelet level is at least below
  1. ক
    ক) 20000
  2. খ
    খ) 30000
  3. গ
    গ) 40000
  4. ঘ
    ঘ) 50000
ব্যাখ্যা
Ref: Davidson 23rd; P-971
৩৭.
Feature of AML
  1. ক
    ক) Auer rod always present
  2. খ
    খ) Lymphoblast always present
  3. গ
    গ) Organ infiltration more common
  4. ঘ
    ঘ) Bone & joint pain more common
৩৮.
Heberden & Bouchard nodes in
  1. ক
    ক) RA
  2. খ
    খ) SLE
  3. গ
    গ) AS
  4. ঘ
    ঘ) OA
ব্যাখ্যা
Ref: Davidson 23rd; P-982
৩৯.
Hodgkin’s lymphoma
  1. ক
    ক) Common in older age
  2. খ
    খ) More often restricted to lymph nodes in the neck
  3. গ
    গ) RS cell absent
  4. ঘ
    ঘ) Extra nodal involvement is common
৪০.
Estimation of BMD has a key role in diagnosis & management of
  1. ক
    ক) RA
  2. খ
    খ) SLE
  3. গ
    গ) AS
  4. ঘ
    ঘ) Osteoporosis
ব্যাখ্যা
Ref: Davidson 23rd; P-989
৪১.
Most common form of Hodgkin’s lymphoma
  1. ক
    ক) Nodular sclerosing
  2. খ
    খ) Mixed cellularity
  3. গ
    গ) Lymphocyte depletion
  4. ঘ
    ঘ) Lymphocyte predominant
৪২.
Investigation of choice in LBP
  1. ক
    ক) Xray
  2. খ
    খ) CT
  3. গ
    গ) MRI
  4. ঘ
    ঘ) BMD
ব্যাখ্যা
Ref: Davidson 23rd; P-997
৪৩.
Acute leukemia is confirmed by
  1. ক
    ক) PBF
  2. খ
    খ) CBC
  3. গ
    গ) Bone marrow examination
  4. ঘ
    ঘ) Blood culture
৪৪.
Philadephia chromosome is associated with
  1. ক
    ক) AML
  2. খ
    খ) ALL
  3. গ
    গ) CML
  4. ঘ
    ঘ) CLL
৪৫.
A 65 years male came with anemia, weight loss, night sweats & painless lymphadenopathy. Which will be most probable diagnosis?
  1. ক
    ক) AML
  2. খ
    খ) ALL
  3. গ
    গ) CML
  4. ঘ
    ঘ) CLL
৪৬.
Mode of inheritance in sickle cell disease
  1. ক
    ক) Autosomal dominant
  2. খ
    খ) Autosomal recessive
  3. গ
    গ) X-linked recessive
  4. ঘ
    ঘ) Mitochondrial
৪৭.
PBF finding in CKD
  1. ক
    ক) Heinz body
  2. খ
    খ) Spur cell
  3. গ
    গ) Burr cell
  4. ঘ
    ঘ) Schistocyte
৪৮.
Drug of 1st choice in prophylaxis of Gout
  1. ক
    ক) Colchicine
  2. খ
    খ) NSAIDs
  3. গ
    গ) Steroids
  4. ঘ
    ঘ) Allopurinol
ব্যাখ্যা
Ref: Davidson 23rd; P-1015
৪৯.
Neurological changes are common in
  1. ক
    ক) Iron deficiency anemia
  2. খ
    খ) Hemolytic anemia
  3. গ
    গ) Megaloblastic anemia
  4. ঘ
    ঘ) Sideroblastic anemia
৫০.
1st line treatment for osteoporosis
  1. ক
    ক) NSAIDs
  2. খ
    খ) Corticosteroids
  3. গ
    গ) Bisphosphonates
  4. ঘ
    ঘ) DMARD
ব্যাখ্যা
Ref: Davidson 23rd; P-1047