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৪৮তম বিশেষ বিসিএস [স্বাস্থ্য] ⎯ মডেল টেস্ট [Archived]

পরীক্ষা৪৮তম বিশেষ বিসিএস [স্বাস্থ্য] ⎯ মডেল টেস্ট [Archived]তারিখতারিখ অনির্ধারিতসময়30 minutes
মোট প্রশ্ন৫৯
সিলেবাস
Exam - 26 Review Test: Surgery, Pathology, Forensic Medicine
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

৪৮তম বিশেষ বিসিএস [স্বাস্থ্য] ⎯ মডেল টেস্ট [Archived]

৪৮তম বিশেষ বিসিএস [স্বাস্থ্য] ⎯ মডেল টেস্ট [Archived] · তারিখ অনির্ধারিত · ৫৯ প্রশ্ন

.
Which investigation is essential before all major surgery?
  1. Echocardiogram
  2. Clotting profile
  3. Full blood count
  4. S. Albumin
ব্যাখ্যা

.
Which drug needs to be stopped before an elective surgery in a patient with cardiac disease?
  1. Beta-blocker
  2. Rivaroxaban
  3. Calcium channel blocker
  4. Digoxin
.
Painful intermittent jaundice is seen in-
  1. Choledocholithiasis
  2. Periampullary carcinoma
  3. Carcinoma head of pancreas
  4. Cholelithiasis
.
Pigment gall stones are not associated with-
  1. Liver cirrhosis
  2. Biliary stent
  3. Hereditary spherocytosis
  4. Excess dietary iron
ব্যাখ্যা


.
Which is the most sensitive biochemical test for acute pancreatitis?
  1. S. amylase
  2. S. lipase
  3. Fecal elastase
  4. Urinary amylase
.
Which is not characteristic of hypovolemic shock?
  1. Low cardiac output
  2. Low mixed venous saturation
  3. Low venous pressure
  4. Low vascular resistance
.
In hemorrhagic shock, how much loss of circulating volume causes hypotension?
  1. 10%
  2. 15%
  3. 20%
  4. 30%
ব্যাখ্যা
In general, loss of around 15% of the circulating blood volume is within normal compensatory mechanisms. Blood pressure is usually well maintained and only falls after 30–40% of circulating volume has been lost. 
.
Which is the surest sign of compartment syndrome?
  1. Paraesthesia
  2. Pain on passive stretching
  3. Paralysis
  4. Pulselessness
ব্যাখ্যা

.
Secondary hemorrhage is caused by-
  1. Dislodgement of clot
  2. Slipped ligature
  3. Sloughing of vessel wall
  4. Vasodilatation
ব্যাখ্যা

Secondary hemorrhage usually occurs 7-14 days after injury.

Cause:Sloughing of the wall of a vessel

Precipitating factors:

- Infection
- Pressure necrosis from drain
- Malignancy 
১০.
Which is an example of dirty wound?
  1. Open fracture
  2. Acute appendicitis
  3. Cholecystectomy
  4. Fecal peritonitis
১১.
Pseudomembranous colitis is caused by-
  1. Clostridium welchii
  2. Clostridium botulinum
  3. Clostridium difficile
  4. Clostridium septicum
১২.
Which is the most common symptom of tetanus?
  1. Trismus
  2. Risus sardonicus
  3. Dysphagia
  4. Hyperacusis
ব্যাখ্যা

১৩.
Which hernia is caused by inadequate muscular strength?
  1. Direct inguinal hernia
  2. Diaphragmatic hernia
  3. Femoral hernia
  4. Indirect inguinal hernia
ব্যাখ্যা

১৪.
Direct inguinal hernia can be differentiated from indirect hernia clinically by-
  1. Cough impulse
  2. Transillumination test
  3. Reducibility
  4. Deep ring occlusion test
১৫.
Superficial burn is characterized by-
  1. Hard leathery feel
  2. Diminished sensation
  3. Blistering
  4. No capillary return
১৬.
Which is the key parameter to monitor while resuscitating a burn patient?
  1. Blood pressure
  2. Pulse rate
  3. Cardiac output
  4. Urine output
১৭.
Which IV fluid contains lactate?
  1. Hartmann solution
  2. Cholera saline
  3. Normal saline
  4. 5% dextrose in aqua
১৮.
Which is the strongest risk factor basal cell carcinoma?
  1. Arsenicosis
  2. Sunlight exposure
  3. Coal tar
  4. Choronic scars
১৯.
Which is the most common site of carcinoid tumour?
  1. Stomach
  2. Vermiform appendix
  3. Rectum
  4. Terminal ileum
২০.
Which is the confirmatory test for gastroesophageal reflux disease?
  1. High resolution manometry
  2. Upper GI endoscopy
  3. Ambulatory pH recording
  4. Barium swallow X-ray
ব্যাখ্যা

২১.
Which is a radiological feature of small bowel obstruction?
  1. Haustral folds
  2. Tyre like shadows
  3. Multiple air-fluid level
  4. Peripheral distension
২২.
Which is not a clinical sign of acute appendicitis?
  1. Psoas sign
  2. Rovsing sign
  3. Cullen's sign
  4. Pointing sign
ব্যাখ্যা

২৩.
Which is not an indication for urethral catheterization?
  1. Chronic retention
  2. Urodynamic study
  3. Acute retention
  4. Urethral injury
২৪.
Contraindication of circumcision is-
  1. Phimosis
  2. Hypospadias
  3. Lichen sclerosis
  4. Recurrent UTI
ব্যাখ্যা
Circumcision is contraindicated in hypospadias because the foreskin is used to reconstruct the urethra during hypospadias surgery. 

All other options here are indications for circumcision.
২৫.
Which one of these surgical procedures has the highest risk of developing DVT?
  1. Cardiothoracic surgery
  2. Inguinal hernia repair
  3. Appendicectomy
  4. Total knee replacement
২৬.
Loss of consciousness with a lucid interval is characteristic of-
  1. Extradural hematoma
  2. Subdoral hematoma
  3. Subarachnoid hemorrhage
  4. Intracerebral hematoma
২৭.
Which is the most common type of renal cell carcinoma?
  1. Papillary RCC
  2. Clear-cell RCC
  3. Chromophobe RCC
  4. Medullary carcinoma
২৮.
Which is the commonest cause of epistaxis in children?
  1. Foreign bodies
  2. Enlarged adenoids
  3. Nose picking
  4. Haemophilia
ব্যাখ্যা

২৯.
Which thyroid swelling cannot be diagnosed by FNAC?
  1. Follicular carcinoma
  2. Medullary carcinoma
  3. Papillary carcinoma
  4. Lymphoma
৩০.
Which is the tumour marker for medullary carcinoma of thyroid?
  1. Calcitonin
  2. Thyroglobulin
  3. TSH-RAb
  4. Thyroxine
৩১.
Which is not routinely done for triple assesment of breast swelling?
  1. Ultrasound
  2. Core biopsy
  3. Clinical examination
  4. MRI
৩২.
Which is the most common cause of breast lump in young women?
  1. Fibroadenoma
  2. Duct ectasia
  3. Mondor's disease
  4. Carcinoma
৩৩.
Which is not a treatment option for hydrocele?
  1. Eversion of sac
  2. Plication
  3. Aspiration
  4. Mesh repair
৩৪.
Which is the most common cause of chronic pancreatitis?
  1. Gall stone
  2. Alcoholism
  3. Trauma
  4. Pancreatic cancer
৩৫.
Which is the most common symptom of esophageal cancer?
  1. Progressive dysphagia
  2. Heartburn
  3. Hoarseness of voice
  4. Hematemesis
৩৬.
Which is the first step in managing a polytrauma patient?
  1. Protect cervical spine
  2. Correct hypovolemia
  3. Exposure
  4. Evaluate neurological status
৩৭.
Which nerve is commonly injured in shoulder dislocation?
  1. Radial nerve
  2. Ulnar nerve
  3. Axillary nerve
  4. Median nerve
৩৮.
Which is the most common site of acute osteomyelitis in children?
  1. Vertebra
  2. Pelvis
  3. Elbow
  4. Upper tibia
ব্যাখ্যা
In children, long bones are commonly affected. Upper end of tibia, lower end of femur and upper end of femur are the commonest sites. 

In adults, vertebra is commonly affected. 
৩৯.
Which is the metabolic abnormality in gastric outlet obstruction?
  1. Hypochloremic hyperkalemic alkalosis
  2. Hypochloremic hypokalemic acidosis
  3. Hyperchloremic hypokalemic alkalosis
  4. Hypochloremic hypokalemic alkalosis
৪০.
Muddy colored nipple discharge is caused by-
  1. Paget's disease
  2. Duct ectasia
  3. Ductal carcinoma
  4. Duct papilloma
৪১.
Which is the permanent cells of human body -
  1. Fibroblast
  2. Epithelial tissue
  3. Neuron
  4. Smooth muscle cell
ব্যাখ্যা
Explanation:
Permanent cells are cells that have lost the ability to divide (i.e., they are non-proliferative after birth).
Once destroyed, they cannot be replaced through mitosis.
These cells remain in the G₀ phase of the cell cycle permanently.

 Examples of Permanent Cells in the Human Body:
1. Neurons (Nerve cells) – Central nervous system neurons do not divide.
2. Cardiac muscle cells – Myocytes in the heart do not regenerate.
3. Skeletal muscle cells – Multinucleated skeletal muscle fibers are also considered permanent, although satellite cells can aid limited repair.
৪২.
Following which is oncogenic RNA virus -
  1. Human T cell lymphotrophic virus
  2. Hepatitis B virus
  3. Epstein Barr virus
  4. HPV virus
ব্যাখ্যা
Explanation :
Oncogenic RNA Viruses:

1. Human T-cell leukemia virus type 1 (HTLV-1)
– Causes adult T-cell leukemia/lymphoma.


2. Hepatitis C virus (HCV)
– Associated with hepatocellular carcinoma (liver cancer).
৪৩.
What is the example of distributive shock -
  1. Myocardial infraction
  2. Intestinal fistula
  3. Anaphylaxis
  4. Thyrotoxic crisis
ব্যাখ্যা
Explanation :
Examples of distribtive shock :
Septic shock
Anaphylaxis 
Spinal cord injury
৪৪.
What is the most reliable diagnostic test for detecting H. pylori infection?
  1. Stool antigen test
  2. Serology
  3. Urea breath test
  4. Endoscopy
ব্যাখ্যা
Explanation:
The urea breath test is highly sensitive and specific for detecting active H. pylori infection.
৪৫.
Following which is example of autosomal recessive trait -
  1. Hemophilia A& B
  2. Alport syndrome
  3. Neurofibromatosis
  4. Galactosemia
৪৬.
Cytokine of acute inflammation -
  1. IL-1
  2. IL-12
  3. Gumma interferon
  4. IL-17
ব্যাখ্যা
Explanation :
Cytokine of acute inflammation :
TNF, IL-1, IL-6, Chemokines
Cytokine of chronic inflammation :
IL-12, Gumma interferon, IL-17, All mediators of acute inflammation 
৪৭.
Which of the following is a complication of gonorrhea in neonates?
  1. Neonatal jaundice
  2. Ophthalmia neonatorum
  3. Neonatal sepsis
  4. Aseptic meningitis
ব্যাখ্যা
Explanation:
Gonorrhea can be transmitted during birth, causing severe conjunctivitis (ophthalmia neonatorum).
৪৮.
Which medication reduces disease flares of SLE -
  1. Hydroxychloroquine
  2. Methotrexate
  3. Prednisolone
  4. Azathioprine
ব্যাখ্যা
Explanation:
Hydroxychloroquine is the mainstay of long-term therapy, reduces flares, and long term survival against SLE.
৪৯.
What is the most common cause of hyperthyroidism?
  1. Toxic multinodular goiter
  2. Thyroid adenoma
  3. Graves’ disease
  4. Subacute thyroiditis
ব্যাখ্যা
Explanation:
Graves’ disease is the most common cause, especially in younger females.
It is an autoimmune condition with TSH receptor-stimulating antibodies.
৫০.
A doctor who observed an accident and is called to court to narrate what he saw is known as:
  1. Expert witness
  2. Common witness
  3. Hostile witness
  4. Anonymous witness
ব্যাখ্যা
A common witness gives facts based on what they have seen, heard, or perceived.
৫১.
Evidence of recent intercourse can be best found by:
  1. Hymenal tear
  2. Presence of semen in vaginal smear
  3. Bruises on thighs
  4. Pubic hair collection
ব্যাখ্যা
Microscopic detection of spermatozoa is crucial in establishing intercourse.
৫২.
According to BPC Section 320, which of the following is not grievous hurt?
  1. Emasculation
  2. Tooth loss
  3. Simple abrasion
  4. Loss of vision in one eye
ব্যাখ্যা
Abrasion is a simple injury; others fall under grievous hurt.
৫৩.
A DNA test result submitted by the forensic lab is categorized under:
  1. Circumstantial evidence
  2. Oral evidence
  3. Primary evidence
  4. Documentary evidence
ব্যাখ্যা
Written reports and scientific findings are considered documentary evidence under the Evidence Act.
৫৪.
A medico-legal report on a rape victim must contain:
  1. Doctor’s opinion on guilt
  2. Mention of “habituated to sex”
  3. Factual findings without interpretation
  4. Statement on whether rape occurred
ব্যাখ্যা
Doctors should report injuries and findings but not conclude whether rape occurred — that is a legal decision.
৫৫.
Barr body identification is useful in:
  1. Estimating age
  2. Sex determination
  3. Time since death
  4. Identity of twins
ব্যাখ্যা
Presence of Barr body (inactive X chromosome) confirms female chromosomal sex (XX).
৫৬.
A patient refuses a life-saving blood transfusion due to religious beliefs. The doctor should:
  1. Proceed anyway to save life
  2. Obtain court permission
  3. Respect the patient’s refusal after informed consent
  4. Call the police
ব্যাখ্যা
Respecting informed refusal is a key aspect of autonomy in medical ethics, even in life-threatening cases.
৫৭.
A medical practitioner must record a dying declaration in the presence of –
  1. Police officer
  2. Relative
  3. Magistrate
  4. Attending nurse
ব্যাখ্যা
A dying declaration should ideally be recorded by a magistrate. However, in the absence of one, a doctor can record it, ensuring voluntariness and mental fitness.
৫৮.
The term “res ipsa loquitur” in medical negligence implies –
  1. The patient is always right
  2. The physician must prove innocence
  3. The thing speaks for itself
  4. A civil suit is mandatory
ব্যাখ্যা
This doctrine implies that the nature of the injury is so evident that negligence is presumed unless proven otherwise.
৫৯.
The most accurate method of sex determination from bones is –
  1. Pelvis examination
  2. Skull measurement
  3. Long bone length
  4. Mandible angle
ব্যাখ্যা
Pelvic bones show the most distinct differences between sexes and are considered the most accurate.