লগ ইননিবন্ধন
পরীক্ষা আর্কাইভ

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

পরীক্ষাস্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্সতারিখতারিখ অনির্ধারিতসময়01 hr 00 mins৭৬ বৈধ · ১ অসম্পূর্ণ
মোট প্রশ্ন৭৭
সিলেবাস
Subject Final-01 - Medicine
প্রশ্ন দেখুনঅনুশীলন
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স · তারিখ অনির্ধারিত · ৭৭ প্রশ্ন

১.
Which one is not a stop codon?
  1. ক
    ক) UAA
  2. খ
    খ) UGG
  3. গ
    গ) UAG
  4. ঘ
    ঘ) UGA
ব্যাখ্যা
Explanation: There are 64 different codons with some redundancy in the system: 61 codons encode one of the 20 amino acids, and the remaining three codons – UAA, UAG and UGA (known as stop codons) – cause termination of the growing polypeptide chain.
২.
DNA replication occurs in which step of cell cycle?
  1. ক
    ক) G1
  2. খ
    খ) S
  3. গ
    গ) G2
  4. ঘ
    ঘ) M
ব্যাখ্যা
Explanation: DNA replication occurs in S(synthesis) phase of cell cycle
৩.
Which of the following is an autosomal recessive condition?
  1. ক
    ক) Marfan’s syndrome
  2. খ
    খ) Hereditary spherocytosis
  3. গ
    গ) Sickle cell disease
  4. ঘ
    ঘ) Cystic fibrosis
অনির্ধারিত
ব্যাখ্যা
Autosomal Recessive: Cystic Fibrosis, Sickle Cell Anemia
৪.
Which immunoglobulin can cross the placenta?
  1. ক
    ক) IgA
  2. খ
    খ) IgE
  3. গ
    গ) IgG
  4. ঘ
    ঘ) IgM
ব্যাখ্যা
Explanation: IgG distributed equally between blood and extracellular fluid and transported across placenta.
৫.
Cellular immunity is mediated by which of the following?
  1. ক
    ক) Neutrophil
  2. খ
    খ) Basophil
  3. গ
    গ) T lymphocyte
  4. ঘ
    ঘ) B lymphocyte
ব্যাখ্যা
Explanation: Cellular immunity is mediated by T lymphocytes
৬.
Which of the following is the most important part of the clinical decision-making process?
  1. ক
    ক) History
  2. খ
    খ) General examination
  3. গ
    গ) Systemic examination
  4. ঘ
    ঘ) Investigation
ব্যাখ্যা
Explanation: history remains the most important part of the clinical decision-making process. Studies show that physicians make a diagnosis in 70–90% of cases from the history alone
৭.
ACE inhibitor causes which of the following?
  1. ক
    ক) Cold peripheries
  2. খ
    খ) Bradycardia
  3. গ
    গ) Renal impairment
  4. ঘ
    ঘ) Diarrhoea
ব্যাখ্যা
Explanation: Main side effects of ACE inhibitors are: Renal impairment and Hyperkalemia
৮.
Ideal time for taking antihypertensive drug is?
  1. ক
    ক) Once at night
  2. খ
    খ) Once in the morning
  3. গ
    গ) With food
  4. ঘ
    ঘ) When required
ব্যাখ্যা
Explanation: Blood pressure is higher during the daytime
৯.
Example of type-II hypersensitivity is
  1. ক
    ক) Type 1 diabetes
  2. খ
    খ) Hashimoto’s thyroiditis
  3. গ
    গ) ABO blood transfusion reaction
  4. ঘ
    ঘ) Systemic lupus erythematosus
১০.
‘Salmonella’ is a -
  1. ক
    ক) Gram-positive cocci
  2. খ
    খ) Gram-negative cocci
  3. গ
    গ) Gram-positive bacilli
  4. ঘ
    ঘ) Gram- negative bacilli
ব্যাখ্যা

Explanation:  Example of Gram- negative bacilli
Klebsiella pneumoniae
Proteus spp.
Enterobacter spp.
Serratia spp.
Salmonella spp.
Shigella spp.
Yersinia spp.
Vibrio spp.
Pseudomonas aeruginosa

১১.
‘Small pupil’ is a feature of which of the following poisoning?
  1. ক
    ক) Amphetamines
  2. খ
    খ) Opoids
  3. গ
    গ) Cocaine
  4. ঘ
    ঘ) TCA
১২.
Which of the following is the antidote of Paracetamol poisoning?
  1. ক
    ক) Naloxone
  2. খ
    খ) Acetylcysteine
  3. গ
    গ) Flumazenil
  4. ঘ
    ঘ) Pralidoxime
১৩.
Nicotinic feature of OPC poisoning is -
  1. ক
    ক) Diplopia
  2. খ
    খ) Miosis
  3. গ
    গ) Lacrimation
  4. ঘ
    ঘ) Mydriasis
১৪.
Hypothermia exists when core temperature falls below which of the following?
  1. ক
    ক) 37°C
  2. খ
    খ) 35°C
  3. গ
    গ) 32°C
  4. ঘ
    ঘ) 28°C
ব্যাখ্যা
Explanation: Hypothermia exists when the body’s normal thermal regulatory mechanisms are unable to maintain heat in a cold environment and core temperature falls below 35°C
১৫.
Which of the following is a prominent feature of cardiac chest pain?
  1. ক
    ক) Sharp pain
  2. খ
    খ) Localized
  3. গ
    গ) Provoked by posture
  4. ঘ
    ঘ) Quick response to nitrates
১৬.
Fever with Severe headache and photophobia, neck stiffness usually suggestive of which of the following?
  1. ক
    ক) Tuberculosis
  2. খ
    খ) Infective endocarditis
  3. গ
    গ) Meningitis
  4. ঘ
    ঘ) Enteric fever
ব্যাখ্যা
Explanation: Fever with Severe headache and photophobia, neck stiffnss usually suggestive of meningitis
১৭.
‘Koplik’s spots’ is pathognomonic for which of the following?
  1. ক
    ক) Mumps
  2. খ
    খ) Measles
  3. গ
    গ) German measles
  4. ঘ
    ঘ) Rubella
ব্যাখ্যা
Explanation: ‘Koplik’s spots’ seen on buccal mucosa in the early stages of clinical measles, is pathognomonic for measles
১৮.
‘Flushing faint macular rash’ occurs in which days of dengue virus infection?
  1. ক
    ক) 1-2 days
  2. খ
    খ) 2-3 days
  3. গ
    গ) 3-5 days
  4. ঘ
    ঘ) 5-7 days
ব্যাখ্যা
Explanation: Initial flushing faint macular rash in first 1–2 days. Maculopapular, scarlet morbilliform blanching rash from days 3–5 on trunk, spreading centrifugally and sparing palms and soles; onset often with fever defervescence. May desquamate on resolution or give rise to petechiae on extensor surfaces
১৯.
Treatment should be continued for how many days for enteric fever?
  1. ক
    ক) 7 days
  2. খ
    খ) 10 days
  3. গ
    গ) 14 days
  4. ঘ
    ঘ) 21 days
ব্যাখ্যা
Explanation: Treatment should be continued for 14 days
২০.
Which one is the cardinal feature of leprosy?
  1. ক
    ক) Skin lesions, typically anaesthetic at tuberculoid end of spectrum
  2. খ
    খ) Thickened central nervous system
  3. গ
    গ) Hyperpigmented patch
  4. ঘ
    ঘ) Acid-fast bacilli on nerve biopsy
২১.
‘Chlamydia trachomatis’ causes which of the following?
  1. ক
    ক) Atypical pneumonia
  2. খ
    খ) Lymphogranuloma venereum
  3. গ
    গ) Acute/chronic sinusitis
  4. ঘ
    ঘ) Psittacosis
২২.
Which one is the most common route of HIV transmission?
  1. ক
    ক) Vaginal delivery
  2. খ
    খ) Breastfeeding
  3. গ
    গ) Blood transfusion
  4. ঘ
    ঘ) Sexual
২৩.
Which organism of STI is transmitted through placenta?
  1. ক
    ক) Treponema pallidum
  2. খ
    খ) Neisseria gonorrhoeae
  3. গ
    গ) Chlamydia trachomatis
  4. ঘ
    ঘ) Human papillomaviruses
২৪.
Which of the following is the most common cause of genital ulcer?
  1. ক
    ক) Syphilis
  2. খ
    খ) Gonorrhea
  3. গ
    গ) HSV
  4. ঘ
    ঘ) Candidiasis
ব্যাখ্যা
Explanation: The most common cause of ulceration is genital herpes
২৫.
Maximum Na reabsorption occurs in which part of nephron?
  1. ক
    ক) PCT
  2. খ
    খ) Loop of Henle
  3. গ
    গ) DT
  4. ঘ
    ঘ) CD
ব্যাখ্যা
Explanation: About 65% of the filtered sodium load is reabsorbed in the proximal renal tubule
২৬.
Which is not a component of Hartmann’s solution?
  1. ক
    ক) Lactate−
  2. খ
    খ) K+
  3. গ
    গ) Ca2+
  4. ঘ
    ঘ) Gulcose
২৭.
In which of the following condition euvolaemic hyponatraemia occurs?
  1. ক
    ক) Congestive cardiac failure
  2. খ
    খ) Cirrhosis
  3. গ
    গ) Excessive electrolyte-free water infusion
  4. ঘ
    ঘ) Nephrotic syndrome
২৮.
The presence of leucocytes and nitrites in urine is indicative of which of the following?
  1. ক
    ক) Renal tubular acidosis
  2. খ
    খ) Renal tract infection
  3. গ
    গ) AGN
  4. ঘ
    ঘ) NS
ব্যাখ্যা
Explanation: The presence of leucocytes and nitrites in urine is indicative of renal tract infection
২৯.
Which of the following is the cause of rapidly progressive glomerulonephritis (RPGN)?
  1. ক
    ক) IgA nephropathy
  2. খ
    খ) Alport’s syndrome
  3. গ
    গ) Post-infectious glomerulonephritis
  4. ঘ
    ঘ) All above
৩০.
Which one is the pre-renal cause of AKI?
  1. ক
    ক) Drugs
  2. খ
    খ) Toxins
  3. গ
    গ) Dehydration
  4. ঘ
    ঘ) Prolonged hypotension
৩১.
Which one is not an indication of dialysis?
  1. ক
    ক) Fluid overload
  2. খ
    খ) Metabolic alkalosis
  3. গ
    গ) Uraemia
  4. ঘ
    ঘ) Hyperkalaemia
৩২.
Giant V wave in JVP is found in which of the following condition?
  1. ক
    ক) AF
  2. খ
    খ) TR
  3. গ
    গ) CHB
  4. ঘ
    ঘ) HF
ব্যাখ্যা
Explanation: Tricuspid regurgitation produces giant v waves that coincide with ventricular systole. Davidson 23rd, P-443
৩৩.
Which of the following is the hallmark of angina pectoris?
  1. ক
    ক) Chest pain on rest
  2. খ
    খ) chest pain on effort
  3. গ
    গ) Palpitation
  4. ঘ
    ঘ) Breathlessness
ব্যাখ্যা
Explanation: Chest pain on effort is the hallmark of angina pectoris
৩৪.
Soft first heart sound is found in which of the following condition?
  1. ক
    ক) Pregnancy
  2. খ
    খ) Thyrotoxicosis
  3. গ
    গ) Heart failure
  4. ঘ
    ঘ) Mitral stenosis
৩৫.
Which one of the following is the feature of right heart failure?
  1. ক
    ক) Cardiomegaly
  2. খ
    খ) Pulmonary oedema
  3. গ
    গ) Hepatomegaly
  4. ঘ
    ঘ) Pleural effusion
৩৬.
Physiological cause of Sinus bradycardia is?
  1. ক
    ক) Hypothermia
  2. খ
    খ) Hypothyroidism
  3. গ
    গ) Athletes
  4. ঘ
    ঘ) Cholestatic jaundice
ব্যাখ্যা
Explanation: All are the causes of bradycardia, Option A, B, D are pathological cause.
৩৭.
Which one is a common factors that precipitating angina?
  1. ক
    ক) Vivid dreams
  2. খ
    খ) Lying flat
  3. গ
    গ) Heavy meals
  4. ঘ
    ঘ) Hot weather
৩৮.
Flame-shaped or blot haemorrhages and ‘cotton wool’ exudates are the features of which grade of hyepertensive retinopathy?
  1. ক
    ক) 1
  2. খ
    খ) 2
  3. গ
    গ) 3
  4. ঘ
    ঘ) 4
৩৯.
Which anti-hypertensive is contraindicated in pregnancy?
  1. ক
    ক) Amlodipine
  2. খ
    খ) Ramipril
  3. গ
    গ) Verapamil
  4. ঘ
    ঘ) Atenolol
ব্যাখ্যা
Explanation: ACE inhibitors & ARB are contraindicated in pregnancy
৪০.
Which one is the minor criteria of rheumatic fever?
  1. ক
    ক) Carditis
  2. খ
    খ) Arthralgia
  3. গ
    গ) Chorea
  4. ঘ
    ঘ) Erythema marginatum
৪১.
Murmurs of aortic regargitation
  1. ক
    ক) Early diastolic murmur
  2. খ
    খ) Systolic murmur
  3. গ
    গ) Austin Flint murmur
  4. ঘ
    ঘ) All are found
৪২.
‘Stony dull’ Percussion note is a typical examination finding of which of the following?
  1. ক
    ক) Pneumothorax
  2. খ
    খ) Pleural effusion
  3. গ
    গ) Pneumonia
  4. ঘ
    ঘ) Collapse
৪৩.
‘Increased translucency’ in x-ray found in which of the following condition?
  1. ক
    ক) Bullae
  2. খ
    খ) Pneumothorax
  3. গ
    গ) Oligaemia
  4. ঘ
    ঘ) All above
৪৪.
Productive cough, changes in posture induce sputum production is a typical feature of which of the following?
  1. ক
    ক) Lung cancer
  2. খ
    খ) Tuberculosis
  3. গ
    গ) Bronchiectasis
  4. ঘ
    ঘ) penumonia
ব্যাখ্যা
Explanation: Productive cough, changes in posture induce sputum production is a typical feature of Bronchiectasis
৪৫.
Exudative pleural effusion found in which of the following condition?
  1. ক
    ক) Liver failure
  2. খ
    খ) Renal failure
  3. গ
    গ) Cardiac failure
  4. ঘ
    ঘ) Pulmonary infraction
ব্যাখ্যা
Explanation: pleural fluid accumulates as a result of either increased hydrostatic pressure or decreased osmotic pressure (‘transudative’ effusion, as seen in cardiac, liver or renal failure), or from increased microvascular pressure due to disease of the pleura or injury in the adjacent lung (‘exudative’ effusion).
৪৬.
Which one is the feature of acute severe asthma?
  1. ক
    ক) PEF < 33% predicted
  2. খ
    খ) Heart rate ≥ 90 beats/min
  3. গ
    গ) Respiratory rate ≥ 15 breaths/min
  4. ঘ
    ঘ) Inability to complete sentences in 1 breath
৪৭.
In stage II COPD, predicted FEV1% is
  1. ক
    ক) ≥ 80%
  2. খ
    খ) 50 - 79%
  3. গ
    গ) 30 - 49%
  4. ঘ
    ঘ) < 30%
৪৮.
Which anti-TB drug causes hyperuricaemia?
  1. ক
    ক) Isoniazid
  2. খ
    খ) Rifampicin
  3. গ
    গ) Pyrazinamide
  4. ঘ
    ঘ) Ethambutol
৪৯.
‘Diffuse firm goitre’ is a typical feature of which of the following?
  1. ক
    ক) Subacute thyroiditis
  2. খ
    খ) Hashimoto’s thyroiditis
  3. গ
    গ) Graves’ disease
  4. ঘ
    ঘ) Multinodular goiter
৫০.
Dexamethasone: 0.5 mg is equal to which of the following?
  1. ক
    ক) Hydrocortisone: 25 mg
  2. খ
    খ) Cortisone acetate: 20 mg
  3. গ
    গ) Prednisolone: 5 mg
  4. ঘ
    ঘ) Deflazacort 10 mg
৫১.
Which of the following is an essential amino acid?
  1. ক
    ক) Methionine
  2. খ
    খ) Serine
  3. গ
    গ) Glutamate
  4. ঘ
    ঘ) Choline
৫২.
Deficiency of which vitamin causes pellagra?
  1. ক
    ক) Biotin
  2. খ
    খ) Niacin
  3. গ
    গ) Thiamin
  4. ঘ
    ঘ) Riboflavin
ব্যাখ্যা
Explanation: Niacin Deficiency – pellagra, Thiamin Deficiency – beri-beri
৫৩.
Diabetes is confirmed by which of the following criteria?
  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) Fasting plasma glucose ≥ 7.0 mmol/L
৫৪.
Which one is the indicator of severe DKA?
  1. ক
    ক) Blood ketones > 9 mmol/L
  2. খ
    খ) Bicarbonate < 15 mmol/L
  3. গ
    গ) Venous/arterial pH < 7.3
  4. ঘ
    ঘ) Hypokalaemia on admission
৫৫.
Which hormone stimulates gastric acid secretion?
  1. ক
    ক) Secretin
  2. খ
    খ) GIP
  3. গ
    গ) Gastrin
  4. ঘ
    ঘ) Somatostatin
ব্যাখ্যা
Explanation: Gastrin stimulates gastric acid secretion. Somatostatin, Secretin and GIP inhibits gastric acid secretion.
৫৬.
Which one is the most common cause of upper GIT haemorrhage?
  1. ক
    ক) Oesophagitis
  2. খ
    খ) Varices
  3. গ
    গ) Peptic ulcer
  4. ঘ
    ঘ) Gastric erosions
৫৭.
‘Night blindness’ is the consequence of which of the following vitamin deficiency?
  1. ক
    ক) A
  2. খ
    খ) D
  3. গ
    গ) E
  4. ঘ
    ঘ) K
ব্যাখ্যা
Explanation: Night blindness occurs due to Vitamin A deficiency
৫৮.
Which one is the Non-invasive test for H.pylori infection?
  1. ক
    ক) Histology
  2. খ
    খ) Rapid urease test
  3. গ
    গ) urea breath test
  4. ঘ
    ঘ) Culture
৫৯.
Ulcerative colitis most commonly affects which part of gut?
  1. ক
    ক) Jejunum
  2. খ
    খ) Ileum
  3. গ
    গ) Colon
  4. ঘ
    ঘ) Rectum
৬০.
Which factor can precipitate hepatic encephalopathy?
  1. ক
    ক) Infection
  2. খ
    খ) IV fluid
  3. গ
    গ) Hyperkalaemia
  4. ঘ
    ঘ) Diarrhoea
৬১.
Most common route of HBV transmission is
  1. ক
    ক) Injection drug use
  2. খ
    খ) Infected unscreened blood products
  3. গ
    গ) Sexual transmission
  4. ঘ
    ঘ) Vertical transmission
৬২.
Which drug causes hepatic fibrosis?
  1. ক
    ক) Co-amoxiclav
  2. খ
    খ) Statins
  3. গ
    গ) Methotrexate
  4. ঘ
    ঘ) NSAIDs
৬৩.
Which of the following condition(s) haemoglobin–oxygen dissociation curve is Shifted to the left?
  1. ক
    ক) ↑ 2, 3-BPG
  2. খ
    খ) ↑ pH
  3. গ
    গ) ↑CO2
  4. ঘ
    ঘ) ↑Temperature
৬৪.
Which of the following is the most common type of anaemia worldwide?
  1. ক
    ক) B12 deficiency anaemia
  2. খ
    খ) Haemolytic anaemia
  3. গ
    গ) Sideroblastic anaemia
  4. ঘ
    ঘ) Iron deficiency anaemia
ব্যাখ্যা
Explanation: Iron deficiency anaemia is the most common type of anaemia worldwide.
৬৫.
Which antibody present in plasma in a person with blood group ‘AB’?
  1. ক
    ক) Anti-A
  2. খ
    খ) Anti-B
  3. গ
    গ) Anti-A and anti-B
  4. ঘ
    ঘ) None
৬৬.
Which one is the hallmark of hemolysis?
  1. ক
    ক) ↓Haptoglobin
  2. খ
    খ) ↑Methaemalbumin
  3. গ
    গ) ↑Reticulocytes
  4. ঘ
    ঘ) Haemoglobinuria
৬৭.
Which one is the most common type of leukaemia?
  1. ক
    ক) ALL
  2. খ
    খ) CLL
  3. গ
    গ) AML
  4. ঘ
    ঘ) CML
ব্যাখ্যা
Explanation: Chronic lymphocytic leukaemia (CLL) is the most common variety of leukaemia
৬৮.
Which one causes acute monoarthritis?
  1. ক
    ক) Chronic gout
  2. খ
    খ) Haemarthrosis
  3. গ
    গ) Osteoarthritis
  4. ঘ
    ঘ) Viral arthritis
৬৯.
‘Felty’s syndrome’ is associated with which of the following?
  1. ক
    ক) RA
  2. খ
    খ) SLE
  3. গ
    গ) OA
  4. ঘ
    ঘ) Gout
ব্যাখ্যা
Explanation: Felty’s syndrome is a rare complication of seropositive RA in which splenomegaly occurs in combination with neutropenia and thrombocytopenia
৭০.
Which one is the sign of upper motor neuron lesion?
  1. ক
    ক) Wasting
  2. খ
    খ) Fasciculation
  3. গ
    গ) Clonus present
  4. ঘ
    ঘ) Planter Flexor
৭১.
Which one causes meningitis in pre-school child?
  1. ক
    ক) E coli
  2. খ
    খ) Haemophilus influenza
  3. গ
    গ) Proteus
  4. ঘ
    ঘ) Group B streptococci
৭২.
Which one is an organic mental disorder?
  1. ক
    ক) Schizophrenia
  2. খ
    খ) Sexual dysfunction
  3. গ
    গ) Delirium
  4. ঘ
    ঘ) Autism
ব্যাখ্যা
Explanation: Organic mental disorders: Dementias, Delirium Other mental disorders due to brain damage or disease
৭৩.
Which drug is used for anxiety disorders?
  1. ক
    ক) Antipsychotics
  2. খ
    খ) Antidepressants
  3. গ
    গ) Sedatives
  4. ঘ
    ঘ) No drug is used
ব্যাখ্যা
Explanation: Antidepressants are the drugs of first choice. The therapeutic dose is usually higher for anxiety disorders than for depression
৭৪.
Conversion of 7-dehydrocholesterol to vitamin D occurs in which of the following site?
  1. ক
    ক) Kidney
  2. খ
    খ) Keratinocytes
  3. গ
    গ) Stratum corneum
  4. ঘ
    ঘ) Liver
৭৫.
‘comedone’ is a typical feature of which of the following?
  1. ক
    ক) Scabies
  2. খ
    খ) Eczema
  3. গ
    গ) Acne
  4. ঘ
    ঘ) Dermatitis
ব্যাখ্যা
Explanation: ‘comedone’ is a Hallmark of Acne
৭৬.
CVS cause of haemoptysis is
  1. ক
    ক) AMI
  2. খ
    খ) Right heart failure
  3. গ
    গ) Mitral stenosis
  4. ঘ
    ঘ) unstable angina
৭৭.
SKin prick test is associated with wihich type of hypersensitivity reaction?
  1. ক
    ক) Type-I
  2. খ
    খ) Type-II
  3. গ
    গ) Type-III
  4. ঘ
    ঘ) Type-IV
ব্যাখ্যা
Prick tests are used to investigate cutaneous type I (immediate) hypersensitivity to various antigens such as pollen, house dust mite or dander.