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স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

পরীক্ষাস্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্সতারিখতারিখ অনির্ধারিতসময়30 minutes
মোট প্রশ্ন৪১
সিলেবাস
Medicine-06 - Approach to common symptoms of disease Clinical Methods in the Practice of Medicine: History Taking. Physical Examination. Investigations. Diagnosis. Principles of treatment. Interpersonal skills. Communication skills. Doctor-patient relationship. Ethical Behavior. Referral services. Medical Certificate Geriatric medicine: General principles of treating elderly, Health problem of the elderly Emergency Medicine: Cardiopulmonary resuscitation. Acute pulmonary oedema and severe acute asthma. Hypertensive emergencies. Diabetic ketoacidosis and hypoglycemia. Status epileptics. Acute myocardial infarction, shock, and anaphylaxis. Upper G.I bleeding and hepatic coma. Diagnosis and management of the comatose patient. Drowning, electrocution. Common Clinical Procedures: Injections. Nebulization. IV infusion. FIRST AID. Intubations. CPR. Hyperpyrexia. ECG Skin Sensitivity Test.
প্রশ্ন দেখুনঅনুশীলন
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

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

১.
Fever with night sweats is usually suggestive of which of the following?
  1. ক
    ক) Meningitis
  2. খ
    খ) Tuberculosis
  3. গ
    গ) Pneumonia
  4. ঘ
    ঘ) Rheumatic fever
ব্যাখ্যা
Explanation: Fever with night sweats is Associated with particular infections (e.g. TB, infective endocarditis)
২.
Whih of the following is usually causes Peripheral Chest pain?
  1. ক
    ক) Myocardial ischaemia (angina)
  2. খ
    খ) Myocardial infarction
  3. গ
    গ) Pneumonia
  4. ঘ
    ঘ) Myocarditis
ব্যাখ্যা
Explanation: Causes of Central chest pain: Cardiac, aortic, oesophagial, Mediastinal, Pulmonary embolus & Anxiety/emotion. Peripheral chest pain: Lungs/pleura, Musculoskeletal, Neurological.
Ref: Davidson 23rd, Page-177
৩.
Tall stature is related to which of the following?
  1. ক
    ক) Turner’s syndrome
  2. খ
    খ) Klinefelter’s syndrome
  3. গ
    গ) Familial
  4. ঘ
    ঘ) Down’s syndrome
৪.
On general examination, Thenar wasting is associated with which of the following?
  1. ক
    ক) ulnar nerve lesion
  2. খ
    খ) median nerve lesion
  3. গ
    গ) indicates C8 lesion
  4. ঘ
    ঘ) indicates T1 lesion
ব্যাখ্যা

Explanation:
• Thenar wasting—indicates median nerve lesion.
• Hypothenar and other muscles wasting (except thenar)— indicates ulnar nerve lesion.
• On the dorsum—wasting with dorsal guttering (interossei) indicates ulnar nerve lesion.
• Generalized wasting—indicates C8 and T1 lesion.

৫.
Which of the following Cardiac disease is associated with finger clubbing?
  1. ক
    ক) Infective endocarditis
  2. খ
    খ) Myocardial infraction
  3. গ
    গ) Heart failure
  4. ঘ
    ঘ) Cardiac tamponade
৬.
Which of the following condition causes central cyanosis?
  1. ক
    ক) Exposure to cold.
  2. খ
    খ) Raynaud’s phenomenon.
  3. গ
    গ) Heart failure.
  4. ঘ
    ঘ) Severe pneumonia
৭.
Example of Intermittent fever is
  1. ক
    ক) kala-azar
  2. খ
    খ) Bronchopneumonia
  3. গ
    গ) Rheumatic fever
  4. ঘ
    ঘ) Typhoid fever
ব্যাখ্যা

Explanation:
Bronchopneumonia- Remittent fever
Rheumatic fever- Continued fever
Typhoid fever- Continued fever

৮.
Fever with Relative Bradycardia
  1. ক
    ক) Acute rheumatic carditis.
  2. খ
    খ) Enteric fever.
  3. গ
    গ) Diphtheric myocarditis.
  4. ঘ
    ঘ) Severe TB.
৯.
Cause of Nonpitting Oedema
  1. ক
    ক) Myxoedema
  2. খ
    খ) CCF
  3. গ
    গ) Nephrotic syndrome
  4. ঘ
    ঘ) Hypoproteinaemia
ব্যাখ্যা
Explanation: Option B,C, D Causes pitting oedema.
১০.
Acute chest pain with nausea and sweating is seggestive of which of the following?
  1. ক
    ক) IHD
  2. খ
    খ) Acute myocardial infarction
  3. গ
    গ) Pulmonary embolism
  4. ঘ
    ঘ) Anxiety.
১১.
What is the initial investigation for a patient with sudden severe chest pain?
  1. ক
    ক) Echo
  2. খ
    খ) ETT
  3. গ
    গ) ECG
  4. ঘ
    ঘ) X-ray
ব্যাখ্যা
Explanation: ECG is the initial investigation for a patient with sudden severe chest pain
১২.
Which one is the most common cause of acute berathlessness of a male smoker?
  1. ক
    ক) Pneumonia
  2. খ
    খ) Psychogenic
  3. গ
    গ) Pulmonary Oedema
  4. ঘ
    ঘ) Acute exacerbation of COPD
১৩.
Rapid reccovery from a syncope(< 1 min) is usually suggestive of
  1. ক
    ক) Cardiac syncope
  2. খ
    খ) Neurocardiogenic syncope
  3. গ
    গ) Seizures
  4. ঘ
    ঘ) Peripheral cause
১৪.
Minimum score on GCS score is
  1. ক
    ক) 0
  2. খ
    খ) 1
  3. গ
    গ) 2
  4. ঘ
    ঘ) 3
১৫.
Cardiac tamponade causes which type of shock?
  1. ক
    ক) Hypovolaemic
  2. খ
    খ) Cardiogenic
  3. গ
    গ) Neurogenic
  4. ঘ
    ঘ) Obstructive
১৬.
ACE inhibitor causes
  1. ক
    ক) Dry cough
  2. খ
    খ) Cough with berathlessness
  3. গ
    গ) Cough with profuse expectoration
  4. ঘ
    ঘ) Cough with postural variation
১৭.
Fever, cough, night sweats for 6 weeks is suggestive of
  1. ক
    ক) Br. Carcinoma
  2. খ
    খ) Tuberculosis
  3. গ
    গ) Lymphoma
  4. ঘ
    ঘ) Brochietasis
১৮.
Weight loss with pigmentation and hypotension is suggestive of which of the followings?
  1. ক
    ক) Thyrotoxicosis
  2. খ
    খ) Diabetes mellitus
  3. গ
    গ) Addison’s disease
  4. ঘ
    ঘ) Malabsorption syndrome.
১৯.
Fever with Coated tongue is the feature of
  1. ক
    ক) Dengue fever
  2. খ
    খ) Eneteric fever
  3. গ
    গ) Yellow fever
  4. ঘ
    ঘ) Malaria
২০.
How many chamber in the heart?
  1. ক
    ক) 2
  2. খ
    খ) 4
  3. গ
    গ) 3
  4. ঘ
    ঘ) 5
ব্যাখ্যা
Explanation: Four chamber. Right & left atrium. Right & left ventricle
২১.
QRS complex of 12 lead ECG represents which of the following?
  1. ক
    ক) atrial depolarization
  2. খ
    খ) atrial repolarization
  3. গ
    গ) ventricular depolarization
  4. ঘ
    ঘ) ventricular repolarization
২২.
Physiological cause of third heart sound is
  1. ক
    ক) heart failure
  2. খ
    খ) mitral regurgitation
  3. গ
    গ) Pregnancy
  4. ঘ
    ঘ) AMI
ব্যাখ্যা
Explanation: Some added sounds are physiological but may also occur in pathological conditions; for example, a third sound is common in young people and in pregnancy but is also a feature of heart failure
Davidson 23rd, Box-16.8
২৩.
First line investigation of stroke is
  1. ক
    ক) CT
  2. খ
    খ) MRI
  3. গ
    গ) ECG
  4. ঘ
    ঘ) EEG
ব্যাখ্যা
Explanation: CT is is the first line investigation of stroke
২৪.
Persistent daily projectile vomiting, is usually due to
  1. ক
    ক) Peptic ulcer disease
  2. খ
    খ) Non-ulcer dypepsia
  3. গ
    গ) gastric outlet obstruction
  4. ঘ
    ঘ) Gastric erosion
ব্যাখ্যা
Explanation: persistent daily vomiting suggests gastric outlet obstruction.
২৫.
Which of the following is responsible for hepatocelluler jaundice?
  1. ক
    ক) Choledocholithiasis
  2. খ
    খ) Parasitic infection
  3. গ
    গ) Paracetamol
  4. ঘ
    ঘ) Traumatic biliary strictures
ব্যাখ্যা
Explanation: Option A,B,D causes obstructive jaundice
২৬.
Jaundice, dark urine, pale stools, Pruritus is suggestive of which type of jaundice?
  1. ক
    ক) Prehepatic
  2. খ
    খ) Congenital
  3. গ
    গ) Hepatic
  4. ঘ
    ঘ) Cholestatic
২৭.
Which of the following is responsible for transudative ascites?
  1. ক
    ক) Acute pancreatitis
  2. খ
    খ) Lymphatic obstruction
  3. গ
    গ) Hepatic cirrhosis
  4. ঘ
    ঘ) Tuberculosis
২৮.
Which of the following is a non specific sign of anaemia?
  1. ক
    ক) Tachycardia
  2. খ
    খ) Tiredness
  3. গ
    গ) Lightheadedness
  4. ঘ
    ঘ) Breathlessness
২৯.
Subtype of Macrocytic anaemia is
  1. ক
    ক) Iron deficiency anaemia
  2. খ
    খ) Thalassaemia
  3. গ
    গ) Vitamin B12 deficiency anaemia
  4. ঘ
    ঘ) Sideroblastic anaemia
৩০.
which of the following is a feature of LVF?
  1. ক
    ক) Hepatomegaly
  2. খ
    খ) Ascites
  3. গ
    গ) Pulmonary oedema
  4. ঘ
    ঘ) Peripheral oedema
৩১.
First step of management of acute heart failure is ‘Sit the patient up’, why this step is taken for?
  1. ক
    ক) Reduces preload
  2. খ
    খ) Reduces afterload
  3. গ
    গ) Combats fluid overload
  4. ঘ
    ঘ) Corrects hypoxia
৩২.
Which one is a feature of Acute severe asthma?
  1. ক
    ক) PEF 33–50% predicted
  2. খ
    খ) Cyanosis
  3. গ
    গ) Feeble respiratory effort
  4. ঘ
    ঘ) Bradycardia
৩৩.
ACS includes..
  1. ক
    ক) ST elevated MI
  2. খ
    খ) NSTMI
  3. গ
    গ) unstable angina
  4. ঘ
    ঘ) All above
ব্যাখ্যা
Explanation: Acute coronary syndrome is a term that encompasses both unstable angina and myocardial infarction
৩৪.
Secondary prevention drug therapy for a myocardial infraction
  1. ক
    ক) Antiplatelet therapy
  2. খ
    খ) ACE inhibitor/ARB
  3. গ
    গ) Statin
  4. ঘ
    ঘ) All above
৩৫.
which of the followings ia a cardinal biochemical feature of diabetic ketoacidosis?
  1. ক
    ক) hyperketonaemia (≥ 6.0 mmol/L)
  2. খ
    খ) ketonuria (more than 2+ on standard urine sticks)
  3. গ
    গ) hyperglycaemia (blood glucose ≥ 30 mmol/L
  4. ঘ
    ঘ) venous pH < 7.1
ব্যাখ্যা

Explanation: The cardinal biochemical features are:
 hyperketonaemia (≥ 3.0 mmol/L) or ketonuria (more than 2+ on standard urine sticks)
 hyperglycaemia (blood glucose ≥ 11 mmol/L (approximately 200 mg/dL))
 metabolic acidosis (venous bicarbonate < 15 mmol/L and/
 venous pH < 7.3 (H+ > 50 nmol/L)).The hyperglycaemia causes a profound osmotic diuresis

৩৬.
which of the following is not a features of hypoglycaemia?
  1. ক
    ক) Sweating
  2. খ
    খ) Trembling
  3. গ
    গ) Depression
  4. ঘ
    ঘ) Pounding heart
৩৭.
Which anti diabetic drug doesn’t cause hypoglycaemia?
  1. ক
    ক) Insulin
  2. খ
    খ) Sulphonylureas
  3. গ
    গ) Metformin
  4. ঘ
    ঘ) Meglitinides
৩৮.
Which of the following factor precipitate hepatic encephalopathy?
  1. ক
    ক) IV fluid
  2. খ
    খ) Diarrhorea
  3. গ
    গ) Infection
  4. ঘ
    ঘ) Hyperkalemia
৩৯.
Which of the following is a first line anti-TB drug?
  1. ক
    ক) Propofol
  2. খ
    খ) INH
  3. গ
    গ) Rifaximin
  4. ঘ
    ঘ) ethosuximide
ব্যাখ্যা
First line anti-TB drugs: INH, Rifampicin, Ethambutol, Pyrazinamide, Streptomycin
৪০.
Which of the following is the Preferred investigation for peptic ulcer disease?
  1. ক
    ক) Rapid urease test
  2. খ
    খ) Urea Breasth test
  3. গ
    গ) Upper GI endoscopy
  4. ঘ
    ঘ) Culture
ব্যাখ্যা
Explanation: Endoscopy is the preferred investigation for diagnosis of peptic ulcer disease
৪১.
which factor other than disease can influence investigation results?
  1. ক
    ক) Body weight
  2. খ
    খ) Malnutrition
  3. গ
    গ) Sex
  4. ঘ
    ঘ) All above
ব্যাখ্যা

A number of factors other than disease influence investigation results:
• age
• ethnicity
• pregnancy
• sex
• spurious (in vitro) results.