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স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

পরীক্ষাস্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্সতারিখতারিখ অনির্ধারিতসময়30 minutes
মোট প্রশ্ন৪৬
সিলেবাস
Medicine-02 - Diseases of the cardiovascular system - Ischemic heart disease. Rheumatic fever and Rheumatic heart disease. Valvular diseases of heart. Infective endocarditis. Hypertension and hypertensive heart diseases. Cardiac arrhythmias (common). Heart failure – Acute–chronic Acute and chronic pericarditis, pericardial effusion & cardiac tamponade Geriatric medicine - General principles of treating elderly, Health problem of the elderly.
প্রশ্ন দেখুনঅনুশীলন
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স · তারিখ অনির্ধারিত · ৪৬ প্রশ্ন

১.
Which forms a conduction barrier between atria & ventricle?
  1. ক
    ক) Bundle of His
  2. খ
    খ) Annulus fibrosus
  3. গ
    গ) Purkinje fiber
  4. ঘ
    ঘ) Papillary muscle
২.
When ascites is out of proportion to peripheral edema, which of the following should be suspected?
  1. ক
    ক) Tricuspid regurgitation
  2. খ
    খ) Budd Chiari Syndrome
  3. গ
    গ) Constrictive pericarditis
  4. ঘ
    ঘ) Cirrhosis liver
ব্যাখ্যা
Constrictive pericarditis is a possibility when ascites is out of proportion to peripheral edema.
৩.
Which of the following doesn’t match with hemodynamic effect of inspiration?
  1. ক
    ক) JVP falls
  2. খ
    খ) BP falls
  3. গ
    গ) HR accelerates
  4. ঘ
    ঘ) Second heart sound fuses
৪.
JVP waveforms reflect pressure changes in which of the following cardiac chambers?
  1. ক
    ক) Right atrium
  2. খ
    খ) Right ventricle
  3. গ
    গ) Left atrium
  4. ঘ
    ঘ) Left ventricle
ব্যাখ্যা
JVP reflects phasic pressure changes in right atrium and consists of a, c and v positive waves and x and y negative waves.
৫.
Measurement of NT-proBNP are indicated for diagnosis of
  1. ক
    ক) LA dysfunction
  2. খ
    খ) LV dysfunction
  3. গ
    গ) RA dysfunction
  4. ঘ
    ঘ) RV dysfunction
৬.
Fixed splitting of second heart sound diagnostic of?
  1. ক
    ক) ASD
  2. খ
    খ) VSD
  3. গ
    গ) PDA
  4. ঘ
    ঘ) Tetralogy of Fallot
ব্যাখ্যা
Due to volume and duration of right ventricular ejection remaining the same during inspiration and expiration, there is little inspiratory exaggeration of the splitting of S2 in ASD.
৭.
Echocardiography is commonly indicated for assessment of function of
  1. ক
    ক) RA
  2. খ
    খ) RV
  3. গ
    গ) LA
  4. ঘ
    ঘ) LV
৮.
Differential cyanosis is best related to?
  1. ক
    ক) ASD
  2. খ
    খ) VSD
  3. গ
    গ) Patent ductus arteriosus
  4. ঘ
    ঘ) Tetralogy of Fallot
ব্যাখ্যা
In PDA, severe pulmonary vascular disease results in reversal of flow through ductus thereby unoxygenated blood is shunted to descending aorta leading to cyanosis and clubbing of the toes, but not fingers. This is called differential cyanosis.
৯.
Features of innocent murmur excludes
  1. ক
    ক) Soft
  2. খ
    খ) No radiation
  3. গ
    গ) Mid diastolic
  4. ঘ
    ঘ) Heard at left sternal edge
১০.
Which of the following is the most common primary tumor of heart in adults?
  1. ক
    ক) Myxoma
  2. খ
    খ) Rhabdomyoma
  3. গ
    গ) Fibroma
  4. ঘ
    ঘ) Hemangioma
ব্যাখ্যা
Myxomas are the most common type of primary cardiac tumor in all age groups, most commonly in third to sixth decade, with a female predilection.
১১.
Pansystolic murmur
  1. ক
    ক) VSD
  2. খ
    খ) ASD
  3. গ
    গ) PDA
  4. ঘ
    ঘ) TOF
১২.
Which of the following drugs should be avoided while managing hypertension in acute aortic dissection?
  1. ক
    ক) Labetalol
  2. খ
    খ) Sodium nitroprusside
  3. গ
    গ) Hydralazine
  4. ঘ
    ঘ) Verapamil
ব্যাখ্যা
For acute dissection, parenteral beta-adrenergic blockers (IV propranolol, metoprolol, labetalol or esmolol) should be administered to achieve a heart rate of ~60 beats/min. Sodium nitroprusside infusion is used to lower SBP to <120 mmHg. Verapamil, diltiazem or enalaprilat may be used parenterally. Isolated use of direct vasodilators like diazoxide and hydralazine is contraindicated because these agents can increase hydraulic shear and may propagate dissection.
১৩.
Feature of left heart failure
  1. ক
    ক) Cardiomegaly
  2. খ
    খ) Hepatomegaly
  3. গ
    গ) Ascites
  4. ঘ
    ঘ) Splenomegaly
১৪.
Which of the following is the most common symptom attributable to pulmonary hypertension ?
  1. ক
    ক) Fatigue
  2. খ
    খ) Exertional dyspnea
  3. গ
    গ) Syncope
  4. ঘ
    ঘ) Peripheral edema
ব্যাখ্যা
Most common symptom attributable to pulmonary hypertension is exertional dyspnea. Other symptoms are fatigue, angina pectoris (RV ischemia), syncope, near syncope & peripheral edema.
১৫.
Pathognomonic feature of VT
  1. ক
    ক) History of MI
  2. খ
    খ) Extreme LAD
  3. গ
    গ) Extreme RAD
  4. ঘ
    ঘ) Fusion beats
১৬.
Which enzyme breaks down ANP & BNP?
  1. ক
    ক) Adenosine
  2. খ
    খ) Bradykinin
  3. গ
    গ) Neprilysin
  4. ঘ
    ঘ) Endothelin 1
ব্যাখ্যা
Reference: Davidson 23rd , Page : 447
Explanation : Neprilysin breaks down ANP , BNP & other proteins.
১৭.
Electrolyte imbalance in long QT syndrome excludes
  1. ক
    ক) Hypokalaemia
  2. খ
    খ) Hyponatremia
  3. গ
    গ) Hypomagnesemia
  4. ঘ
    ঘ) Hypocalcaemia
১৮.
Giant V wave is found in
  1. ক
    ক) Tricuspid stenosis
  2. খ
    খ) Tricuspid regurgitation
  3. গ
    গ) Aortic stenosis
  4. ঘ
    ঘ) Aortic regurgitation
ব্যাখ্যা
Reference: Davidson 23rd , Page : 443, Box : 5
১৯.
Causes of RBBB excludes
  1. ক
    ক) PE
  2. খ
    খ) ASD
  3. গ
    গ) CAD
  4. ঘ
    ঘ) HTN
২০.
What is the most powerful independent risk factor for atherosclerosis?
  1. ক
    ক) Hypertension
  2. খ
    খ) Genetics
  3. গ
    গ) Age
  4. ঘ
    ঘ) Smoking
ব্যাখ্যা
Reference: Davidson 23rd , Page : 486
Explanation : Age is the most powerful independent risk factor for atherosclerosis.
২১.
Anti-arrhythmic acting on SA node excludes
  1. ক
    ক) Atropine
  2. খ
    খ) Verapamil
  3. গ
    গ) Lidocaine
  4. ঘ
    ঘ) Diltiazem
২২.
Effects of adenosine is greatly potentiated by
  1. ক
    ক) Digoxin
  2. খ
    খ) Dipyridamole
  3. গ
    গ) Theophylline
  4. ঘ
    ঘ) Nicorandil
ব্যাখ্যা
Reference: Davidson 23rd , Page : 482
Explanation : Adenosine effects are greatly potentiated by dipyridamole and inhibited by theophylline.
২৩.
Which form of GTN has longest duration of action?
  1. ক
    ক) Sublingual
  2. খ
    খ) Buccal
  3. গ
    গ) Transdermal
  4. ঘ
    ঘ) Oral
২৪.
Which scoring system is used for assessment of bleeding risk in patients receiving oral anticoagulation ?
  1. ক
    ক) Ranson score
  2. খ
    খ) CHA2DS2-VASc
  3. গ
    গ) HAS-BLED
  4. ঘ
    ঘ) Blatchford score
ব্যাখ্যা
Reference: Davidson 23rd , Page : 473 , Box : 16.24
২৫.
Which is the best way of establishing diagnosis of abdominal aneurysm?
  1. ক
    ক) CTA
  2. খ
    খ) MRA
  3. গ
    গ) Duplex imaging
  4. ঘ
    ঘ) USG
২৬.
Which is the most effective drug currently available for controlling paroxysmal atrial fibrillation?
  1. ক
    ক) Sotalol
  2. খ
    খ) Flecainide
  3. গ
    গ) Amiodarone
  4. ঘ
    ঘ) Digoxin
ব্যাখ্যা
Reference: Davidson 23rd , Page : 481
Explanation : Amiodarone is probably the most effective drug currently available for controlling paroxysmal AF.
২৭.
Most common risk factor of aortic dissection?
  1. ক
    ক) HTN
  2. খ
    খ) DM
  3. গ
    গ) Atherosclerosis
  4. ঘ
    ঘ) Coarctation
২৮.
What is the most common major manifestation of rheumatic fever?
  1. ক
    ক) Carditis
  2. খ
    খ) Arthritis
  3. গ
    গ) Subcutaneous nodules
  4. ঘ
    ঘ) Fever
ব্যাখ্যা
Reference: Davidson 23rd , Page : 516
Explanation : The most common major manifestation of rheumatic fever is arthritis.
২৯.
What is the specific indicator of acute pericarditis in ECG?
  1. ক
    ক) ST depression
  2. খ
    খ) ST elevation with upward concavity
  3. গ
    গ) ST elevation with upward convexity
  4. ঘ
    ঘ) PR interval depression
ব্যাখ্যা
Reference: Davidson 23rd , Page : 542
Explanation : Specific indicator of acute pericarditis in ECG is PR interval depression .
৩০.
The optimum BP for reduction of cardiovascular events has been found to be
  1. ক
    ক) 120/80
  2. খ
    খ) 130/90
  3. গ
    গ) 128/88
  4. ঘ
    ঘ) 139/83
৩১.
Which condition should be suspected in a patient with unexplained right heart failure and a small heart ?
  1. ক
    ক) Rrstrictive cardiomyopathy
  2. খ
    খ) Chronic constrictive pericarditis
  3. গ
    গ) Acute pericarditis
  4. ঘ
    ঘ) Cardiac tamponade
ব্যাখ্যা
Reference: Davidson 23rd , Page : 543
Explanation : chronic constrictive pericarditis is sometimes overlooked but should be suspected in any patient with unexplained right heart failure and a small heart.
Differential diagnosis of small heart : Chronic constrictive pericarditis,Addison’s disease, Starvation.
৩২.
Which is the most common cause of acute endocarditis?
  1. ক
    ক) Staphylococcus aureus
  2. খ
    খ) Streptococcus viridans
  3. গ
    গ) Staphylococcus epidermidis
  4. ঘ
    ঘ) Streptococcus gallolyticus
ব্যাখ্যা
Reference: Davidson 23rd , Page : 528
Explanation : The most common cause of acute endocarditis is Staphylococcus aureus.
৩৩.
Drug of choice in treatment resistant HTN
  1. ক
    ক) CCB
  2. খ
    খ) ARB
  3. গ
    গ) Spironolactone
  4. ঘ
    ঘ) Frusemide
৩৪.
What is the most common cause of aortic aneurysm?
  1. ক
    ক) Hyperlipidaemia
  2. খ
    খ) Atherosclerosis
  3. গ
    গ) Hypertension
  4. ঘ
    ঘ) Diabetes Mellitus
ব্যাখ্যা
Reference: Davidson 23rd , Page : 505
Explanation : The most common cause of aortic aneurysm is atherosclerosis.
৩৫.
Most common congenital cardiac malformation?
  1. ক
    ক) ASD
  2. খ
    খ) VSD
  3. গ
    গ) TOF
  4. ঘ
    ঘ) PDA
৩৬.
The earliest change in ECG of MI is
  1. ক
    ক) T inversion
  2. খ
    খ) ST deviation
  3. গ
    গ) Pathological Q
  4. ঘ
    ঘ) Tall T
ব্যাখ্যা
Reference: Davidson 23rd; P-496
৩৭.
Most common form of cardiomyopathy?
  1. ক
    ক) Dilated
  2. খ
    খ) Hypertrophic
  3. গ
    গ) Constrictive
  4. ঘ
    ঘ) Idiopathic
৩৮.
Pathognomonic for acute rheumatic fever
  1. ক
    ক) Pericarditis
  2. খ
    খ) Pancarditis
  3. গ
    গ) Aschoff nodules
  4. ঘ
    ঘ) Fibrinoid degeneration
ব্যাখ্যা
Reference: Davidson 23rd; P-515
৩৯.
Nausea & vomiting are more in
  1. ক
    ক) Anterior MI
  2. খ
    খ) Inferior MI
  3. গ
    গ) Lateral MI
  4. ঘ
    ঘ) Posterior MI
৪০.
Common cause of acute pericarditis?
  1. ক
    ক) Viral
  2. খ
    খ) Bacterial
  3. গ
    গ) Post MI
  4. ঘ
    ঘ) ARF
৪১.
HTN with radiofemoral delay indicates
  1. ক
    ক) Renal artery stenosis
  2. খ
    খ) Polycystic kidney disease
  3. গ
    গ) Coarctation of aorta
  4. ঘ
    ঘ) Cushing’s syndrome
ব্যাখ্যা
Reference: Davidson 23rd; P-509
৪২.
Most common cause of pericardial effusion
  1. ক
    ক) Staphylococcus
  2. খ
    খ) Streptococcus
  3. গ
    গ) Viral
  4. ঘ
    ঘ) TB
৪৩.
Antihypertensive contraindicated in gout
  1. ক
    ক) Thiazide
  2. খ
    খ) ARB
  3. গ
    গ) Beta blocker
  4. ঘ
    ঘ) Alpha blocker
ব্যাখ্যা
Reference: Davidson 23rd; P-514
৪৪.
Diagnostic investigation of hypertrophic cardiomyopathy
  1. ক
    ক) CXR
  2. খ
    খ) ECG
  3. গ
    গ) Echo
  4. ঘ
    ঘ) Cardiac MR
৪৫.
Altered colour vision is associated with toxicity of
  1. ক
    ক) Digoxin
  2. খ
    খ) Amiodarone
  3. গ
    গ) Verapamil
  4. ঘ
    ঘ) ACEi
ব্যাখ্যা
Reference: Davidson 23rd; P-482
৪৬.
Murmur in MS
  1. ক
    ক) Ejection systolic
  2. খ
    খ) Pan systolic
  3. গ
    গ) Early diastolic
  4. ঘ
    ঘ) Mid diastolic