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স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

পরীক্ষাস্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্সতারিখতারিখ অনির্ধারিতসময়30 minutes
মোট প্রশ্ন৪২
সিলেবাস
Medicine-05 - Musculoskeletal disorders: Rheumatoid arthritis, Seronegative spondyloarthritis, Low back pain, Osteoarthritis, Gout, Reactive arthritis, etc. Poisoning and drug overdose: Initial evaluation of the patient with the poisoning of a drug overdose. General principles of management. Treatment of common specific poisoning: OPC, sedatives, kerosene, alcohol, methanol, Dutra poisons. Venomous stings, insect bites, poisonous snakes, and insects Neurological disease: Cerebrovascular disease, Meningitis, Encephalitis, Epilepsy, Peripheral neuropathy, Management of unconscious patient Medical Psychiatry: Anxiety neurosis, Depression, Dissociative disorder, Somatoform, a disorder, etc.
প্রশ্ন দেখুনঅনুশীলন
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

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

১.
Which one is the most common form of arthritis?
  1. ক
    ক) Reactive arthritis
  2. খ
    খ) Rheumatoid arthritis
  3. গ
    গ) Osteoarthritis
  4. ঘ
    ঘ) Viral arthritis
ব্যাখ্যা
Explanation: Osteoarthritis (OA) is by far the most common form of arthritis and is a major cause of pain and disability in older people. It is characterised by focal loss of articular cartilage, subchondral osteosclerosis, osteophyte formation at the joint margin, and remodelling of joint contour with enlargement of affected joints.
২.
Gout is caused by deposition of which crystals in and around synovial joints?
  1. ক
    ক) Basic calcium phosphates
  2. খ
    খ) Monosodium urate monohydrate
  3. গ
    গ) Calcium pyrophosphate dehydrate
  4. ঘ
    ঘ) Calcium oxalate
ব্যাখ্যা
Explanation: Gout is the most common inflammatory arthritis in men and in older women. It is caused by deposition of monosodium urate monohydrate crystals in and around synovial joints.
৩.
Which anti-TB drug causes Gout?
  1. ক
    ক) INH
  2. খ
    খ) Rifampicin
  3. গ
    গ) Pyrazinamide
  4. ঘ
    ঘ) Ethambutol
ব্যাখ্যা
Drugs causes gout are: Thiazide and loop diuretics, Low-dose aspirin, Ciclosporin & Pyrazinamide
৪.
X-ray finding of Osteoarthritis includes-
  1. ক
    ক) Vertebral fractures
  2. খ
    খ) Osteopenia
  3. গ
    গ) Joint space narrowing
  4. ঘ
    ঘ) Bone expansion
৫.
Which of the following is a feature of mechanical low back pain?
  1. ক
    ক) Pain varies with physical activity
  2. খ
    খ) clear-cut nerve root distribution
  3. গ
    গ) systemic features
  4. ঘ
    ঘ) poor prognosis
৬.
Which one of the following is multinucleated cells of haematopoietic origin?
  1. ক
    ক) Osteoblasts
  2. খ
    খ) Osteoclasts
  3. গ
    গ) Osteocytes
  4. ঘ
    ঘ) Bone marrow stromal cells
ব্যাখ্যা
Explanation: Osteoclasts are multinucleated cells of haematopoietic origin, responsible for bone resorption. Osteoblasts are mononuclear cells
৭.
Which of the following hormone Inhibits bone formation?
  1. ক
    ক) Glucocorticoid
  2. খ
    খ) Parathyroid hormone
  3. গ
    গ) Thyroid hormone
  4. ঘ
    ঘ) Oestrogen
৮.
Which is not a typical feature of Cauda equina syndrome?
  1. ক
    ক) Difficulty with micturition
  2. খ
    খ) Urinary incontinence
  3. গ
    গ) Saddle anaesthesia
  4. ঘ
    ঘ) Gait disturbance
৯.
Which one is the analgesic of first choice for mild to moderate pain?
  1. ক
    ক) Paracetamol
  2. খ
    খ) Ibuprofen
  3. গ
    গ) Naproxen
  4. ঘ
    ঘ) Indometacin
ব্যাখ্যা
Explanation: Paracetamol (1 g up to 4 times daily) is the oral analgesic of first choice for mild to moderate pain
১০.
Which one is the highly specific investigation for diagnosis Rheumatoid arthritis?
  1. ক
    ক) ANA
  2. খ
    খ) ANCA
  3. গ
    গ) ACPA
  4. ঘ
    ঘ) ESR
ব্যাখ্যা
Explanation: Tests for ACPA are positive in about 70% of cases and are highly specific for RA, occurring in many patients before clinical onset of the disease
১১.
‘Malar rash’ is a Characteristic feature of-
  1. ক
    ক) RA
  2. খ
    খ) SLE
  3. গ
    গ) ankylosing spondylitis
  4. ঘ
    ঘ) Reactive arthritis
ব্যাখ্যা
Explanation: Malar rash in SLE: Fixed erythema, flat or raised, sparing the nasolabial folds
১২.
Which one of the following is 3rd Cranial nerve?
  1. ক
    ক) Optic
  2. খ
    খ) Oculomotor
  3. গ
    গ) Trigeminal
  4. ঘ
    ঘ) Vagus
ব্যাখ্যা
Explanation: Oculomotor nerve is ithe 3rd Cranial nerve
১৩.
Which cells line the cerebral ventricles?
  1. ক
    ক) Oligodendrocytes
  2. খ
    খ) Schwann cells
  3. গ
    গ) Ependymal cells
  4. ঘ
    ঘ) Astrocytes
ব্যাখ্যা
Explanation: Ependymal cells line the cerebral ventricles. Oligodendrocytes are responsible for the formation and maintenance of the myelin sheath. Astrocytes form the structural framework for neurons
১৪.
‘Auditory perception’ is the function of which lobe of cerebral hemispheres?
  1. ক
    ক) Frontal
  2. খ
    খ) Parietal
  3. গ
    গ) Temporal
  4. ঘ
    ঘ) Occipital
ব্যাখ্যা
Explanation: The temporal lobes contain the primary auditory cortex and primary vestibular cortex
১৫.
Which investigation is first line for stroke diagnosis?
  1. ক
    ক) X-rays
  2. খ
    খ) CT
  3. গ
    গ) MRI
  4. ঘ
    ঘ) Duplex scans
ব্যাখ্যা
Explanation: CT is first line for stroke diagnosis
১৬.
High neutrophil count in CSF is diagnostic for which of the following?
  1. ক
    ক) Viral meningitis
  2. খ
    খ) Acute bacterial meningitis
  3. গ
    গ) Subarachnoid haemorrhage
  4. ঘ
    ঘ) Tubercular meningitis
১৭.
First-line treatment for focal onset seizure?
  1. ক
    ক) Lamotrigine
  2. খ
    খ) Carbamazepine
  3. গ
    গ) Levetiracetam
  4. ঘ
    ঘ) Sodium valproate
১৮.
Which one is the most common cause of meningitis?
  1. ক
    ক) Viruses
  2. খ
    খ) Bacteria
  3. গ
    গ) Fungus
  4. ঘ
    ঘ) Protozoa
ব্যাখ্যা
Explanation: Viruses are the most common cause of meningitis, usually resulting in a benign and self-limiting illness requiring no specific therapy. It is much less serious than bacterial meningitis unless there is associated encephalitis. A number of viruses can cause meningitis, the most common being enteroviruses
১৯.
Which organism causes neonatal meningitis?
  1. ক
    ক) Haemophilus influenzae
  2. খ
    খ) Neisseria meningitides
  3. গ
    গ) Escherichia coli
  4. ঘ
    ঘ) H. influenza
২০.
Presenting feature of meningitis includes..
  1. ক
    ক) Headache
  2. খ
    খ) Fever
  3. গ
    গ) Neck stiffness
  4. ঘ
    ঘ) All above
ব্যাখ্যা
Explanation: Headache, drowsiness, fever and neck stiffness are the usual presenting features. In severe bacterial meningitis the patient may be comatose, later developing focal neurological signs
২১.
Investigation of choice for meningitis?
  1. ক
    ক) CBC
  2. খ
    খ) CSF study
  3. গ
    গ) CT
  4. ঘ
    ঘ) MRI
ব্যাখ্যা
Explanation: Lumbar puncture is mandatory unless there are contraindications in a patient of meningitis
২২.
Herpes simplex virus probably reaches the brain via which of the following nerve?
  1. ক
    ক) Optic
  2. খ
    খ) Facial
  3. গ
    গ) Olfactory
  4. ঘ
    ঘ) Trigeminal
ব্যাখ্যা
Explanation: the most serious cause of viral encephalitis is herpes simplex which probably reaches the brain via the olfactory nerves. Varicella zoster is also an important cause.
২৩.
Which one is the initial test for peripheral neuropahty?
  1. ক
    ক) Glucose (fasting)
  2. খ
    খ) Nerve biopsy
  3. গ
    গ) Muscle biopsy
  4. ঘ
    ঘ) NCS
২৪.
Carpal tunnel syndrome develops due to compression of which nerve?
  1. ক
    ক) Ulnar
  2. খ
    খ) Median
  3. গ
    গ) Radial
  4. ঘ
    ঘ) Common peroneal
ব্যাখ্যা
Reference: Davidson 23rd, Box-25.87
২৫.
Which type of stroke is most common?
  1. ক
    ক) Ischaemic
  2. খ
    খ) Venous
  3. গ
    গ) Lacunar
  4. ঘ
    ঘ) Haemorrhagic
ব্যাখ্যা
Explanation: Infarct (85%), Haemorrhage (15%), venous (1%)
২৬.
‘Misperceptions of real stimuli’ is termed as
  1. ক
    ক) Delusion
  2. খ
    খ) Hallucinations
  3. গ
    গ) Illusions
  4. ঘ
    ঘ) Anhedonia
ব্যাখ্যা
Explanation: A delusion is a false belief, Illusions are misperceptions of real stimuli. Hallucinations are sensory perceptions that occur in the absence of external stimuli
২৭.
Which one is a feature of depression?
  1. ক
    ক) Poor concentration
  2. খ
    খ) Suicidal thinking
  3. গ
    গ) Fear of impending disaster
  4. ঘ
    ঘ) Worry
২৮.
Which one is a fature of anxiety disorder?
  1. ক
    ক) Depressed mood
  2. খ
    খ) Palpitations
  3. গ
    গ) Reduced self-esteem
  4. ঘ
    ঘ) Loss of interest
২৯.
Which of the following is a major risk factor for suicide?
  1. ক
    ক) Young age group
  2. খ
    খ) Female
  3. গ
    গ) Joint family
  4. ঘ
    ঘ) Unemployment
৩০.
Which of the following is an antidepressant drug?
  1. ক
    ক) Lithium
  2. খ
    খ) SSRI
  3. গ
    গ) Valproate
  4. ঘ
    ঘ) Lamotrigine
ব্যাখ্যা
Explanation: Lithium, Valproate, Lamotrigine are mood-stabilising drgus
৩১.
Which is not a subtype of mood disorder?
  1. ক
    ক) unipolar depression
  2. খ
    খ) bipolar disorder
  3. গ
    গ) dysthymia
  4. ঘ
    ঘ) bipolar depression
৩২.
Dialated pupil found in which of the following poisoning?
  1. ক
    ক) Opioids
  2. খ
    খ) Clonidine
  3. গ
    গ) Organophosphorus compounds
  4. ঘ
    ঘ) Amphetamines
৩৩.
Hyperthermia occurs in which of the following poisoning?
  1. ক
    ক) Salicylates
  2. খ
    খ) CNS depressant drug
  3. গ
    গ) Opioids
  4. ঘ
    ঘ) Chlorpromazine
৩৪.
Gastric lavage is contraindicated in which of the following poisoning?
  1. ক
    ক) strong acids
  2. খ
    খ) alkalis
  3. গ
    গ) petroleum distillates
  4. ঘ
    ঘ) all above
ব্যাখ্যা
Gastric aspiration and/or lavage is very infrequently indicated in acute poisoning, as it is no more effective than activated charcoal for most substances and complications are common, especially pulmonary aspiration. It is contraindicated if strong acids, alkalis or petroleum distillates have been ingested
৩৫.
Antidote of Paracetamol poisoning is
  1. ক
    ক) Naloxone
  2. খ
    খ) Acetylcysteine
  3. গ
    গ) Atropine
  4. ঘ
    ঘ) Flumazenil
৩৬.
Which one is the Iron Chelating agent?
  1. ক
    ক) Hydroxocobalamin
  2. খ
    খ) DMSA
  3. গ
    গ) Desferrioxamine
  4. ঘ
    ঘ) Dicobalt edetate
৩৭.
ECG finding in TCA poisoning is..
  1. ক
    ক) Narrow QRS complex
  2. খ
    খ) Broad QRS complex
  3. গ
    গ) ST elevation
  4. ঘ
    ঘ) ST depression
৩৮.
Which of the following is an anticonvulsants drug?
  1. ক
    ক) Isoniazid
  2. খ
    খ) Theophylline
  3. গ
    গ) Carbamazepine
  4. ঘ
    ঘ) Chloroquine
ব্যাখ্যা
Explanation: Chloroquine- Antimalarial drug, Isoniazid is anti-TB drug
৩৯.
Which of the following is the muscarinic features of OPC poisoning?
  1. ক
    ক) Tachycardia
  2. খ
    খ) Hypertension
  3. গ
    গ) Bronchorrhoea
  4. ঘ
    ঘ) Fasciculation
৪০.
The World Health Organisation (WHO) guideline value for arsenic content in tube well water is
  1. ক
    ক) 10 ng/L.
  2. খ
    খ) 10 μg/L.
  3. গ
    গ) 10 mg/L.
  4. ঘ
    ঘ) 10 g/L
ব্যাখ্যা
Explanation: The World Health Organisation (WHO) guideline value for arsenic content in tube well water is 10 μg/L
৪১.
Whinch one is the specific benzodiazepine antagonist?
  1. ক
    ক) Naloxone
  2. খ
    খ) Acetylcysteine
  3. গ
    গ) Atropine
  4. ঘ
    ঘ) Flumazenil
ব্যাখ্যা
Explanation: The specific benzodiazepine antagonist flumazenil (0.5 mg IV, repeated if needed) increases conscious level in patients with benzodiazepine overdose
৪২.
Sudden, severe, ‘thunderclap’ headache, these are typical features of which of the following?
  1. ক
    ক) Iscahemic stroke
  2. খ
    খ) Subarachnoid haemorrhage
  3. গ
    গ) Migraine
  4. ঘ
    ঘ) Trigeminal neuralgia
ব্যাখ্যা
Explanation: SAH typically presents with a sudden, severe, ‘thunderclap’ headache (often occipital), which lasts for hours or even days, often accompanied by vomiting, raised blood pressure and neck stiffness or pain. It commonly occurs on physical exertion, straining and sexual excitement.