লগ ইননিবন্ধন
পরীক্ষা আর্কাইভ

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

পরীক্ষাস্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্সতারিখতারিখ অনির্ধারিতসময়30 minutes
মোট প্রশ্ন৪১
সিলেবাস
Medicine-04 - Endocrine and Metabolic diseases: Diabetes mellitus. Thyrotoxicosis. Hypothyroidism and Iodine deficiency state. Cushing’s syndrome and Addison’s disease, water and electrolytes, and acid-base homeostasis 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 Skin disease: Scabies, Superficial fungal infection, Dermatitis, Psoriasis, Drug reaction, etc.
প্রশ্ন দেখুনঅনুশীলন
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স · তারিখ অনির্ধারিত · ৪১ প্রশ্ন

১.
What is the main difference in composition between the plasma and interstitial fluid?
  1. ক
    ক) presence of protein
  2. খ
    খ) presence of Sodium
  3. গ
    গ) presence of Calcium
  4. ঘ
    ঘ) presence of lipid
২.
Glucose present in 1L 5% dextrose is?
  1. ক
    ক) 5g
  2. খ
    খ) 50g
  3. গ
    গ) 100g
  4. ঘ
    ঘ) 500g
৩.
Cause of euvolaemic hyponatraemia is?
  1. ক
    ক) Vomiting
  2. খ
    খ) Diarrhoea
  3. গ
    গ) SIADH
  4. ঘ
    ঘ) Burns
৪.
Which of the following drug causes hypokalaemia?
  1. ক
    ক) ACE inhibitors
  2. খ
    খ) Spironolactone
  3. গ
    গ) Insulin
  4. ঘ
    ঘ) Heparin
ব্যাখ্যা
Explanation: Insulin causes hypokalaemia, option A,B,D Drugs causes hyperkalaemia
৫.
Which of the following causes normal anion gap metabolic acidosis?
  1. ক
    ক) Renal tubular acidosis
  2. খ
    খ) Starvation ketosis
  3. গ
    গ) Alcoholic ketoacidosis
  4. ঘ
    ঘ) Lactic acidosis
৬.
Diffuse soft goitre with bruit, these are typical presentation of
  1. ক
    ক) Hashimoto’s thyroiditis
  2. খ
    খ) Graves’ disease
  3. গ
    গ) Multinodular goiter
  4. ঘ
    ঘ) Subacute thyroiditis
৭.
Which of the following endocrine gland isn’t uder pituitary control?
  1. ক
    ক) Thyroid
  2. খ
    খ) parathyroid glands
  3. গ
    গ) Gonads
  4. ঘ
    ঘ) adrenal medulla
ব্যাখ্যা
Some major endocrine glands are not controlled by the pituitary. These include the parathyroid glands (regulated by calcium concentrations), the adrenal zona glomerulosa (regulated by the renin–angiotensin system) and the endocrine Pancreas
৮.
Which endocrine disorder causes weight gain?
  1. ক
    ক) Thyrotoxicosis
  2. খ
    খ) adrenal insufficiency
  3. গ
    গ) Hypothyroidism
  4. ঘ
    ঘ) diabetes mellitus
ব্যাখ্যা
Hypothyroidism causes weight gain, all other disorder in the option causes weight loss
৯.
Which of the following feature isn’t related to hypothyroidism?
  1. ক
    ক) Weight gain
  2. খ
    খ) Heat intolerance
  3. গ
    গ) Fatigue
  4. ঘ
    ঘ) somnolence
ব্যাখ্যা
It will be cold intolerance , Reference: Davidson 23rd, Box-18.7
১০.
Most common cause of hypothyroidism is?
  1. ক
    ক) Hashimoto’s thyroiditis
  2. খ
    খ) Spontaneous atrophic hypothyroidism
  3. গ
    গ) Amyloidosis
  4. ঘ
    ঘ) Riedel’s thyroiditis
ব্যাখ্যা
Reference: Davidson 23rd, Box-18.11
১১.
Which of the following is a most common cause of hypocalcaemia?
  1. ক
    ক) Alkalosis
  2. খ
    খ) Hypoalbuminaemia
  3. গ
    গ) Vitamin D deficiency
  4. ঘ
    ঘ) Hypomagnesaemia
ব্যাখ্যা
Explanation: The most common cause of hypocalcaemia is a low serum albumin with normal ionised calcium concentration. For details, please see Davidson 23rd, Box-18.33
১২.
Which one is not a feature of Cushing’s syndrome?
  1. ক
    ক) Hyperglycaemia
  2. খ
    খ) Menstrual disturbance
  3. গ
    গ) Osteoporosis
  4. ঘ
    ঘ) Hypotension
১৩.
Hydrocortisone: 20 mg is equvalent to which of the following?
  1. ক
    ক) Cortisone acetate: 5 mg
  2. খ
    খ) Prednisolone: 25 mg
  3. গ
    গ) Prednisolone: 5 mg
  4. ঘ
    ঘ) Dexamethasone: 0.25 mg
১৪.
Features of an acute adrenal crisis excludes?
  1. ক
    ক) Hypertension
  2. খ
    খ) Hyponatraemia
  3. গ
    গ) circulatory shock
  4. ঘ
    ঘ) hyperkalaemia
ব্যাখ্যা
Explanation: Features of an acute adrenal crisis include circulatory shock with severe hypotension, hyponatraemia, hyperkalaemia and, in some instances, hypoglycaemia and hypercalcaemia.
১৫.
Acromegaly is caused by excessive secretion of which of the following hormone?
  1. ক
    ক) Growth hormone
  2. খ
    খ) prolactin
  3. গ
    গ) Gonadotrophins
  4. ঘ
    ঘ) ACTH
ব্যাখ্যা
Explanation: Acromegaly is caused by growth hormone (GH) secretion from a pituitary tumour, usually a macroadenoma, and carries an approximate twofold excess mortality when untreated.
১৬.
When we comment ‘Pre-diabetes’ from plasma glucose level of a patient?
  1. ক
    ক) fasting plasma glucose ≥ 6.1 mmol/L
  2. খ
    খ) fasting plasma glucose < 7.0 mmol/L
  3. গ
    গ) 2-hr glucose after 75 g oral glucose drink 7.8–11.1 mmol/L
  4. ঘ
    ঘ) All information true
১৭.
Anti-insulin hormone
  1. ক
    ক) Growth hormone
  2. খ
    খ) Mineralocorticoids
  3. গ
    গ) Prathyroid hormone
  4. ঘ
    ঘ) ADH
১৮.
The cardinal biochemical features of diabetic ketoacidosis excludes
  1. ক
    ক) Hyperketonaemia
  2. খ
    খ) Hyperglycaemia
  3. গ
    গ) Hyperkalaemia
  4. ঘ
    ঘ) Metabolic acidosis
১৯.
Symptom of hypoglycaemia is..
  1. ক
    ক) Polyuria
  2. খ
    খ) predilection for sweet foods
  3. গ
    গ) Nocturia
  4. ঘ
    ঘ) Sweating
২০.
Which drug is used as first-line therapy for type 2 diabetes in non-obese patient?
  1. ক
    ক) Insulin
  2. খ
    খ) Metformin
  3. গ
    গ) Sulphonylureas
  4. ঘ
    ঘ) Gliptins
ব্যাখ্যা
Explanation: Metformin is used as first-line therapy for type 2 diabetes, irrespective of body weight
২১.
Which one is short acting insulin?
  1. ক
    ক) Glargine
  2. খ
    খ) Detemir
  3. গ
    গ) Degludec
  4. ঘ
    ঘ) Glulisine
২২.
Which one is macrovascular complication DM?
  1. ক
    ক) Nephropathy
  2. খ
    খ) Peripheral neuropathy
  3. গ
    গ) Myocardial ischaemia
  4. ঘ
    ঘ) Foot disease
২৩.
Which is not a coagulation screening test?
  1. ক
    ক) Platelet count
  2. খ
    খ) BT
  3. গ
    গ) PT
  4. ঘ
    ঘ) APTT
ব্যাখ্যা
Explanation: coagulation screening tests are Platelet count, PT, APTT & Fibrinogen concentration
২৪.
Most common type of anaemia is
  1. ক
    ক) Iron deficiency anaemia
  2. খ
    খ) Thalassaemia
  3. গ
    গ) Sideroblastic anaemia
  4. ঘ
    ঘ) Vitamin B12 or folate deficiency anaemia
ব্যাখ্যা
Explanation: Iron deficiency anaemia is the most common type of anaemia worldwide. A thorough gastrointestinal history is important, looking in particular for symptoms of blood loss. Menorrhagia is a common cause of anaemia in pre-menopausal females, so women should always be asked about their periods
২৫.
Fresh frozen plasma is indicated in which of the follwoing condition?
  1. ক
    ক) Severe anaemia
  2. খ
    খ) Thrombocytopenia
  3. গ
    গ) Replace acute blood loss
  4. ঘ
    ঘ) Replacement of coagulation factor deficiency
ব্যাখ্যা
Reference: Davidson 23rd, Box-23.17
২৬.
Incase of blood group ‘O’, which antibodies present in Plasma?
  1. ক
    ক) Anti-A
  2. খ
    খ) Anti-B
  3. গ
    গ) Anti-A and anti-B
  4. ঘ
    ঘ) None
২৭.
Which of the following is an antiplatelet drug?
  1. ক
    ক) Warfarin
  2. খ
    খ) Ticagrelor
  3. গ
    গ) Rivaroxaban
  4. ঘ
    ঘ) Heparin
ব্যাখ্যা
Explanation: Ticagrelor is an antiplatelet drug. Warfarin, Rivaroxaban, Heparin are anticoagulants
২৮.
Which of the following is common finding of Iron deficiency anaemia in blood film?
  1. ক
    ক) Macrocytosis
  2. খ
    খ) Microcytosis
  3. গ
    গ) Fragmented RBC
  4. ঘ
    ঘ) Target cell
ব্যাখ্যা
Reference: Davidson 23rd, Fig-23.17
২৯.
Which of the following is a hallmarks of haemolysis?
  1. ক
    ক) ↓Haptoglobin
  2. খ
    খ) ↑Methaemalbumin
  3. গ
    গ) ↓Haemoglobin
  4. ঘ
    ঘ) Positive urinary haemosiderin
৩০.
Indirect antiglobulin test (IAT) (indirect Coombs test) is positive in
  1. ক
    ক) Autoimmune haemolytic anaemia
  2. খ
    খ) Haemolytic disease of newborn
  3. গ
    গ) Antibody screen in pre-transfusion testing
  4. ঘ
    ঘ) Transfusion reactions
৩১.
Thalassaemia is a/an
  1. ক
    ক) Autosomal dominant conditions
  2. খ
    খ) Autosomal recessive conditions
  3. গ
    গ) X-linked recessive conditions
  4. ঘ
    ঘ) X-linked dominant Condition
ব্যাখ্যা
Reference: Davidson 23rd, Box-3.4
৩২.
Which type of leukaemia is mainly found in child age group?
  1. ক
    ক) acute lymphoblastic leukaemia (ALL)
  2. খ
    খ) acute myeloid leukaemia (AML)
  3. গ
    গ) chronic lymphocytic leukaemia (CLL)
  4. ঘ
    ঘ) chronic myeloid leukaemia (CML)
ব্যাখ্যা
Explanation: Acute lymphoblastic leukaemia shows a peak of incidence in children aged 1–5 years.
৩৩.
Most common type of hodgkin lymphoma is?
  1. ক
    ক) Nodular sclerosing
  2. খ
    খ) Mixed cellularity
  3. গ
    গ) Lymphocyte-rich
  4. ঘ
    ঘ) Lymphocyte-depleted
৩৪.
Which one of the following is a causative factor for developing aplastic anaemia?
  1. ক
    ক) Radiation
  2. খ
    খ) Viral hepatitis
  3. গ
    গ) Pregnancy
  4. ঘ
    ঘ) Above all
৩৫.
Haemophilia A occurs due to deficiency of
  1. ক
    ক) Factor VII
  2. খ
    খ) Factor VIII
  3. গ
    গ) Factor IX
  4. ঘ
    ঘ) Factor X
ব্যাখ্যা
Explanation: Factor VIII deficiency resulting in haemophilia A affects 1/10 000 individuals. It is the most common congenital coagulation factor deficiency
৩৬.
Conversion of thyroxine (T4) to triiodothyronine (T3) occurs in which of the following site?
  1. ক
    ক) Hair follicles
  2. খ
    খ) sebaceous glands
  3. গ
    গ) Keratinocytes
  4. ঘ
    ঘ) Stratum corneum
ব্যাখ্যা
Reference: Davidson 23rd, Box-29.1
৩৭.
Most common organism causing Pityriasis versicolor is
  1. ক
    ক) Malassezia globosa
  2. খ
    খ) M. sympadialis
  3. গ
    গ) M. furfur
  4. ঘ
    ঘ) T. mentagrophytes
ব্যাখ্যা
Explanation: Pityriasis versicolor is a persistent, superficial skin condition caused by various species of the commensal yeast Malassezia, most commonly Malassezia globosa, but sometimes M. sympadialis or M. furfur
৩৮.
Comedone is a Characteristic feature of
  1. ক
    ক) Acne vulgaris
  2. খ
    খ) Scabies
  3. গ
    গ) Head lice
  4. ঘ
    ঘ) Body lice
ব্যাখ্যা
Explanation: Acne usually affects the face and often the trunk. Greasiness of the skin may be obvious (seborrhoea). The hallmark is the comedone
৩৯.
Histological feature of psoriasis excludes:
  1. ক
    ক) Micro-abscess
  2. খ
    খ) Supra-papillary plate thinning
  3. গ
    গ) Hypokeratosis
  4. ঘ
    ঘ) Parakeratosis
৪০.
Which drug causes angioedema?
  1. ক
    ক) ACE inhibitors
  2. খ
    খ) Gold, penicillamine
  3. গ
    গ) Antimalarials
  4. ঘ
    ঘ) Metformin
ব্যাখ্যা
Explanation: ACE inhibitors causes angioedema
৪১.
Which is not a granulocyte?
  1. ক
    ক) Neutrophil
  2. খ
    খ) Eiosinophil
  3. গ
    গ) Basophil
  4. ঘ
    ঘ) Monocyte
ব্যাখ্যা
Explanation: Monocyte & Lymphocytes are agranulocytic white blood cell.