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স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

পরীক্ষাস্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্সতারিখতারিখ অনির্ধারিতসময়20 minutes৩৬ বৈধ · অসম্পূর্ণ
মোট প্রশ্ন৩৮
সিলেবাস
টপিক: Systemic Pathology: GIT, HBS, CVS, Respiratory & Renal Diseases
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স · তারিখ অনির্ধারিত · ৩৮ প্রশ্ন

.
Lower urinary tract symptoms -
  1. Nocturia
  2. Loin pain
  3. Frequency and urgency
  4. Oliguria
সঠিক উত্তর:
Frequency and urgency
উত্তর
সঠিক উত্তর:
Frequency and urgency
ব্যাখ্যা
Explanation -
Lower urinary tract symptoms :
Dysuria,Frequency, Urgency 
Impaired urinary flow,Hesitency,Dribbling of urine,Incomplete emptying of bladder
Urinary retention
Incontinence
.
Asthma -
  1. Acute airway disorder
  2. Episodic bronchoconstriction
  3. Episodes mostly in evening
  4. Type III hypersensitivity
সঠিক উত্তর:
Episodic bronchoconstriction
উত্তর
সঠিক উত্তর:
Episodic bronchoconstriction
ব্যাখ্যা
Explanation -
Asthma is a chronic disorder of the conducting airways,usually caused by immunological reaction,is marked by episodic bronchoconstriction. 
Menifested by recurrent episodes of wheezing,breathlessness,chest tightness,Cough
.
Hepatitis B related infection -
  1. ssRNA
  2. Flaviviridae
  3. Parenteral, sexual contact
  4. Frequency of chronic liver disease >80%
সঠিক উত্তর:
Parenteral, sexual contact
উত্তর
সঠিক উত্তর:
Parenteral, sexual contact
ব্যাখ্যা
Explanation :
Hepatitis B related infection :
Partially dsDNA
Hepadna virus
Route of transmission  : Parenteral, sexual contact,Perinatal
Frequency of chronic liver disease : 5-10%
.
What is the pre renal cause of acute renal failure -
  1. Glomerulonephritis
  2. Drugs
  3. Dehydration
  4. Urinary calculi
সঠিক উত্তর:
Dehydration
উত্তর
সঠিক উত্তর:
Dehydration
ব্যাখ্যা
Explanation :
Pre renal cause of acute renal failure :
Cardiac failure
Sepsis
Blood loss
Dehydration
Vascular occlusion 
.
Drug induced hepatitis is caused by except -
  1. INH
  2. Ethambutol
  3. Rifampicin
  4. Pyrazinamide
সঠিক উত্তর:
Ethambutol
উত্তর
সঠিক উত্তর:
Ethambutol
ব্যাখ্যা
Drug causing hepatitis -
Isoniazide
Rifampicin
NSAID
Co-amoxiclav
Chrorpromazine
Statins
.
Which is not the cause of bronchiectasis -
  1. Congenital cystic fibrosis
  2. Infections
  3. Bronchial obstruction
  4. Long standing asthma
সঠিক উত্তর:
Long standing asthma
উত্তর
সঠিক উত্তর:
Long standing asthma
ব্যাখ্যা
Explanation :
Causes of bronchiactasis :
Congenital or hereditary conditions
Infections
Bronchial obstruction
Rheumatoid arthritis,SLE,Inflammatory bowel disease,COPD,Post transplantation
.
Causes of painless haematuria -
  1. Glomerulonephritis
  2. UTI
  3. Renal calculi
  4. Reflux nephropathy
সঠিক উত্তর:
Glomerulonephritis
উত্তর
সঠিক উত্তর:
Glomerulonephritis
ব্যাখ্যা
Explanation -
Painless haematuria :
Glomerulonephritis 
Tumors of the kidney,ureter,bladder or prostate
Tuberculosis
Interstitial nephritis
Coagulation disorder

Painful haematuria :
Urinary tract infections
Renal calculi
Loin pain haematuria syndrome 
.
Indication of renal replacement therapy -
  1. K+ level <2.5 mmol/L
  2. S. creatinine - >1.5 mg/dl
  3. Metabolic alkalosis
  4. Pulmonary oedema
সঠিক উত্তর:
Pulmonary oedema
উত্তর
সঠিক উত্তর:
Pulmonary oedema
ব্যাখ্যা
Explanation :
Indications of renal replacement therapy -
K+ level >6 mmol/L
Fluid overload
Pulmonary oedema
S.creatinine >6.8 mg/dl
Plasma urea level >30 mmol/L
Metabolic acidosis
.
Metabolic syndrome excludes -
  1. Diabetes malitus
  2. High blood pressure
  3. Dyslipidemia
  4. Chronic pancreatitis
সঠিক উত্তর:
Chronic pancreatitis
উত্তর
সঠিক উত্তর:
Chronic pancreatitis
ব্যাখ্যা
Explanation :
WHO criteria for metabolic syndrome -
Diabetes malitus
Blood pressure >140 /90
Dyslipidemia
Central obesity
Microalbuminuria
১০.
Features of consolidation -
  1. Crepitation
  2. Diminised breath sound
  3. Diminished vocal resonance
  4. Mediastinal shifting
সঠিক উত্তর:
Crepitation
উত্তর
সঠিক উত্তর:
Crepitation
ব্যাখ্যা
Features of consolidation -
Crepitation
Bronchial breath sound
১১.
Most common cause of hematemesis -
  1. Laceration
  2. Esophageal perforation
  3. Varices
  4. Barrett esophagus
সঠিক উত্তর:
Varices
উত্তর
সঠিক উত্তর:
Varices
ব্যাখ্যা
Explanation :
Esophageal causes of hematemesis -
Laceration( Mallory weiss syndrome) 
Esophageal perforation
Varices ( cirrhosis)  most common
Chemical esophagitis
Esophageal ulcer
১২.
Causes of conjugated hyperbulirubinemia -
  1. Hemolytic anaemia
  2. Gilbert syndrome
  3. Physiologic jaundice
  4. Autoimmune cholangiopathies
সঠিক উত্তর:
Autoimmune cholangiopathies
উত্তর
সঠিক উত্তর:
Autoimmune cholangiopathies
ব্যাখ্যা
Explanation :
Unconjugated hyperbilirubinemia -
Haemolytic anaemia
Ineffective erythropoiesis
Reduced hepatic uptake
Breast milk jaundice
Physiologic jaundice
Gilbert syndrome
Conjugated hyperbilirubinemia -
Dublin johnson syndrome
Autoimmune cholangiopathies
১৩.
Criteria of non cardiac chest pain -
  1. Central diffuse pain
  2. Radiation to jaw,neck
  3. Tight, squeezing
  4. Not relived by rest
সঠিক উত্তর:
Not relived by rest
উত্তর
সঠিক উত্তর:
Not relived by rest
ব্যাখ্যা
Explanation :
Criteria of non cardiac chest pain :
Peripheral localized
No radiation
Sharp, stabbing,catching
Spontaneous 
Not relieved by rest
১৪.
H.pylori associated gastritis -
  1. Location : Gastric body
  2. Gastrin secretion increased
  3. Sequelae is pernicious anaemia
  4. Acid production increased to slightly decreased
সঠিক উত্তর:
Acid production increased to slightly decreased
উত্তর
সঠিক উত্তর:
Acid production increased to slightly decreased
ব্যাখ্যা
Explanation :
H.pylori associated gastritis -
Inflammatory infiltrate - Neutrophil, plasma cell
Location - Antrum
Acid production - Increased to slightly decreased 
Gastrin - Normal to drcreased
Sequelae - Peptic ulcer,Adenocarcinoma,MALToma
১৫.
Factor associated with peptic ulcer disease -
  1. Smoking
  2. Gastroesophageal reflux
  3. Tape worm infection
  4. Progesterone only pill
সঠিক উত্তর:
Smoking
উত্তর
সঠিক উত্তর:
Smoking
ব্যাখ্যা
Explanation :
Factors associated with PUD -
H.pylori
OCP
Smoking
Alcohol
Drugs - NSAID
Psychological
১৬.
Causes of malena -
  1. Ulcerative colitis
  2. Gastric erosion
  3. Crohns disease
  4. Salminella infection
সঠিক উত্তর:
Gastric erosion
উত্তর
সঠিক উত্তর:
Gastric erosion
ব্যাখ্যা
Explanation :
Gastric ulcer
Ruptures oesophageal varices
Carcinoma of stomach
Ruptured oesophageal varices
১৭.
Most common type of bronchogenic carcinoma in smoker male -
  1. Adenocarcinoma
  2. Squamous cell carcinoma
  3. Small cell carcinoma
  4. Large cell carcinoma
সঠিক উত্তর:
Squamous cell carcinoma
উত্তর
সঠিক উত্তর:
Squamous cell carcinoma
ব্যাখ্যা
Explanation :
Most common bronchogenic carcinoma :
Male - Squamous cell carcinoma
Female - Adenocarcinoma
১৮.
Which is the most common congenital heart malformation -
  1. VSD
  2. ASD
  3. PDA
  4. Truncus arteriosus
সঠিক উত্তর:
VSD
উত্তর
সঠিক উত্তর:
VSD
ব্যাখ্যা
Explanation :
Frequencies -
VSD - 42%
ASD - 10%
১৯.
Pathological cause of palpitation -
  1. Anxiety
  2. Emotion
  3. Atrial fibrillation
  4. Excitement
সঠিক উত্তর:
Atrial fibrillation
উত্তর
সঠিক উত্তর:
Atrial fibrillation
ব্যাখ্যা
Explanation :
Payhological cause of palpitation :
Atrial fibrillation
SVT
Ventricular extrasystole
Atrial extrasyatole
Dropped beats
Thyrotoxicosis
২০.
Most common complications of peptic ulcer disease -
  1. Bledding
  2. Perforation
  3. Obstruction
  4. Neoplasm
সঠিক উত্তর:
Bledding
উত্তর
সঠিক উত্তর:
Bledding
ব্যাখ্যা
Explanation :
Complications of peptic ulcer disease -
Bleeding (15-20%) 
Perforation (5%)
Obstruction (2%)
২১.
Diet does not reduce risk for colorectal carcinoma -
  1. Red meat
  2. Calcium
  3. Folic acid
  4. Omega 3 fatty acid
সঠিক উত্তর:
Red meat
উত্তর
সঠিক উত্তর:
Red meat
ব্যাখ্যা
Explanation -
Diatary factors reduce risk for colorectal carcinoma -
Folic acid
Fibers
Calcium
Omega 3 fatty acid
২২.
Most common cause of acute appendicitis -
  1. Gall stone
  2. Alcoholism
  3. Cirrhosis
  4. Hyperlipidemia
অনির্ধারিত
ব্যাখ্যা
In this question, insteed of the word 'appendicitis' it should be 'pancreatitis'.
The question is canceled due to wrong word apearance in question.

Explanation :
Most common cause of acute pancreatitis is gall stone
২৩.
Which is not the feature of tetralogy of fallot -
  1. VSD
  2. An aorta that overrides the VSD
  3. Left ventricular hypertrophy
  4. Obstruction of the right ventricular outflow tract
সঠিক উত্তর:
Left ventricular hypertrophy
উত্তর
সঠিক উত্তর:
Left ventricular hypertrophy
ব্যাখ্যা
Explanation :
The 4 cardinal features of TOF -
1. VSD
2.Obstruction of the right ventricular outflow tract
3.An aorta that overrides the VSD
4.Right ventricular hypertrophy 
২৪.
Organism causing nosochomial pneumonia most commonly -
  1. Streptococcus pneumoniae
  2. Klebsiella
  3. E.coli
  4. Pseudomonas
সঠিক উত্তর:
E.coli
উত্তর
সঠিক উত্তর:
E.coli
ব্যাখ্যা
Explanation :
Most common cause of community acquired pneumonia -
Streptococcus pneumoniae
Nosochomial / hospital acquired pneumonia -
E.coli
২৫.
Common causes of atrial fibrillation except -
  1. Mitral stenosis
  2. Hypertension
  3. IHD
  4. Cardiomyopathy
সঠিক উত্তর:
Cardiomyopathy
উত্তর
সঠিক উত্তর:
Cardiomyopathy
ব্যাখ্যা
Explanation :
Common causes of AF -
Mitral stenosis 
Hypertension 
Thyrotoxicosis
IHD
Idiopathic / lone AF
২৬.
Dominant pathogenesis of ischemic heart disease -
  1. Coagulopathy
  2. Myocardial endocardial damage
  3. Insufficient coronary perfusion
  4. Mediators related
সঠিক উত্তর:
Insufficient coronary perfusion
উত্তর
সঠিক উত্তর:
Insufficient coronary perfusion
ব্যাখ্যা
Explanation :
The dominant cause of IHD syndrome is insufficient coronary perfusion relative to myocardial demand, due to chronic, progressive atherosclerotic narrowing of the epicardial coronary arteries
২৭.
Causes of SAAG -
  1. Tuberculosis
  2. Portal hypertension
  3. Pancreatitis
  4. Serositis
অনির্ধারিত
ব্যাখ্যা
In this question, insteed of the word 'SAAG ' it should be 'High SAAG'.
The question is canceled due to linguistic issues in the question.

Explanation :
High SAAG -
Portal hypertension 
Heart failure
Nephrotic syndrome 
Hepatic venous obstruction
Constrictive pericarditis
Kwashiorkor 
Low SAAG -
Infection
Hepatocellular carcinoma
Pancreatitis
Serositis
Hypothyroidism
২৮.
Which is not glomerular syndrome -
  1. Nephritic syndrome
  2. Nephrotic syndrome
  3. Chronic renal failure
  4. IgA nephropathy
সঠিক উত্তর:
IgA nephropathy
উত্তর
সঠিক উত্তর:
IgA nephropathy
ব্যাখ্যা
Explanation :
Glomerular syndrome :
Nephritic syndrome
Rapidly progressive glomerulonephritis 
Nephrotic syndrome 
Chronic renal failure
Isolated urinary abnormalities
২৯.
IBS -
  1. Acute relapsing pain,bloating
  2. Psychological stress interplay a role
  3. Common age group is above 50 years
  4. Related to menopause of women
সঠিক উত্তর:
Psychological stress interplay a role
উত্তর
সঠিক উত্তর:
Psychological stress interplay a role
ব্যাখ্যা
Explanation :
IBS is characterized by chronic,relapsing,abdominal pain,bloating,and changes in bowel habits.
Peak prevalence 20-40 years
Related to menstruation of a women
৩০.
Which is not the target organ damage by hypertension -
  1. Blood vessels
  2. CNS
  3. Liver
  4. Kidneys
সঠিক উত্তর:
Liver
উত্তর
সঠিক উত্তর:
Liver
ব্যাখ্যা
Explanation :
Target organ damage by hypertension -
Blood vessels
Central nervous system 
Retina
Heart
Kidneys
৩১.
Pathophysiology of nephrotic syndrome -
  1. Derangement in glomerular capillary walls
  2. Defect in renal tubules
  3. Chronic persistant nephropathy
  4. Prolonged pressure in renal tract
সঠিক উত্তর:
Derangement in glomerular capillary walls
উত্তর
সঠিক উত্তর:
Derangement in glomerular capillary walls
ব্যাখ্যা
Explanation :
Pathophysiology of nephrotic syndrome -
Caused by a derangement in glomerular capillary walls resulting in increased permeability to plasma proteins
৩২.
Which is not the features of chronic liver disease -
  1. Loss of libido
  2. Spider telangiectecsia
  3. Ascities
  4. Cerebellar ataxia
সঠিক উত্তর:
Cerebellar ataxia
উত্তর
সঠিক উত্তর:
Cerebellar ataxia
ব্যাখ্যা
Explanation :
Clinical features of cirthosis of liver -
Jaundice
Ascitis
Hepatomegaly
Spider nevi
Gynaecomastia
Loss of libido
৩৩.
Which is not the cause of sudden cardiac death -
  1. Mitral valve prolapse
  2. Pulmonary hypertension
  3. Myocarditis
  4. Corrected MS
সঠিক উত্তর:
Corrected MS
উত্তর
সঠিক উত্তর:
Corrected MS
ব্যাখ্যা
Explanation :
Causes of sudden cardiac death -
Heriditary or acquired abnormalities of the cardiac conduction system
Congenital coronary artery abnormalities
Mitral valve prolapse
Myocarditis or sarcoidosis
Dilated cardiomyopathy
Pulmonary hypertension
Myocardial hypertrophy 
৩৪.
Obstructive airway disease -
  1. Asthma
  2. Pneumonia
  3. ARDS
  4. Interstitial lung disease
সঠিক উত্তর:
Asthma
উত্তর
সঠিক উত্তর:
Asthma
ব্যাখ্যা
Explanation :
Obstructive pulmonary disease -
Asthma
COPD
৩৫.
Major criteria of rheumatic fever -
  1. Fever
  2. Arthalgia
  3. Chorea
  4. Raised ESR
সঠিক উত্তর:
Chorea
উত্তর
সঠিক উত্তর:
Chorea
ব্যাখ্যা
Explanation :
Major criteria of rheumatic fever :
Carditis 
Polyarthritis( migratory) 
Chorea
Erythema marginatum
Subcutaneous nodules
Minor criteria :
Fever
Arthalgia
Previous rheumatic fever
Raised ESR
Leucocytosis
First degree AV block
৩৬.
Crohns disease -
  1. Affect colon only
  2. Skip lesion
  3. Diffuse
  4. Limited to mucosa
সঠিক উত্তর:
Skip lesion
উত্তর
সঠিক উত্তর:
Skip lesion
ব্যাখ্যা
Explanation :
Crohns disease -
Bowel region : Ileum + colon
Distribution : Skip lesion
Stricture present
Transmural inflammation 
Lymphoid reaction : Marked
৩৭.
AGN -
  1. History of previous pharyngitis
  2. Age :2-6 years
  3. Haematuria - Absent
  4. Massive proteinuria
সঠিক উত্তর:
History of previous pharyngitis
উত্তর
সঠিক উত্তর:
History of previous pharyngitis
ব্যাখ্যা
Explanation :
AGN -
Age group : 6-12 years
Haematuria : Present
Hypertension : Present
Mild to moderate proteiniurea
৩৮.
Which is not the cause of portal hypertension -
  1. Cirrhosis
  2. Obstructive thrombosis of portal veins
  3. Massive fatty change
  4. Left heart failure
সঠিক উত্তর:
Left heart failure
উত্তর
সঠিক উত্তর:
Left heart failure
ব্যাখ্যা
Explanation :
Causes of portal hypertension :
Obstructive thtombosis of portal vein
Cirrhosis
Nodular hyperplasia of liver
Massive fatty change
Diffuse granulomatous disease
Right sided heart failure