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স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

পরীক্ষাস্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্সতারিখতারিখ অনির্ধারিতসময়30 minutes
মোট প্রশ্ন৩৯
সিলেবাস
Medicine-01 - Diseases of the gastrointestinal tract: Peptic Ulcer disease and non-ulcer dyspepsia. Malabsorption syndrome. Irritable bowel syndrome and inflammatory bowel disease. Acute viral hepatitis and chronic hepatitis. Abdominal tuberculosis. Pancreatic disease: Acute pancreatitis, chronic pancreatitis: Liver and biliary tract disease: Viral hepatitis, chronic liver disease, Cirrhosis of liver Carcinoma liver, liver abscess. Clinical genetics: Introduction to medical genetics, Modern techniques of medical genetics, Down’s syndrome, Klinefelter’s syndrome, Turner’s syndrome etc.
প্রশ্ন দেখুনঅনুশীলন
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স · তারিখ অনির্ধারিত · ৩৯ প্রশ্ন

১.
Cause of Right iliac fossa mass is?
  1. ক
    ক) Sigmoid colon cancer
  2. খ
    খ) Constipation
  3. গ
    গ) Caecal carcinoma
  4. ঘ
    ঘ) Diverticular mass
ব্যাখ্যা
Explanation: Causes of Right iliac fossa mass are: Caecal carcinoma, Crohn’s disease & Appendix abscess
২.
Which enzyme is responsible for hydrolytic type of pancreatic secration?
  1. ক
    ক) CCK
  2. খ
    খ) Acetylcholine
  3. গ
    গ) Secretin
  4. ঘ
    ঘ) VIP
ব্যাখ্যা
Reference: Davidson 23rd Fig. 21.9
৩.
Which hormone is secreted from Throughout GIT?
  1. ক
    ক) Gastrin
  2. খ
    খ) Somatostatin
  3. গ
    গ) Cholecystokinin
  4. ঘ
    ঘ) Secretin
ব্যাখ্যা
Reference: Davidson 23rd Box 21.2
৪.
Which of the following isn’t a Alarm features in dyspepsia?
  1. ক
    ক) Weight loss
  2. খ
    খ) Anaemia
  3. গ
    গ) Hematuria
  4. ঘ
    ঘ) Vomiting
ব্যাখ্যা
Reference: Davidson 23rd Box 21.15
৫.
Which of the following is the most common GIT emergency?
  1. ক
    ক) Acute upper gastrointestinal haemorrhage
  2. খ
    খ) Severe acute lower gastrointestinal bleeding
  3. গ
    গ) Chronic occult gastrointestinal bleeding
  4. ঘ
    ঘ) Subacute or chronic lower gastrointestinal bleeding
ব্যাখ্যা
Reference: Acute upper gastrointestinal haemorrhage is the most common gastrointestinal emergency
৬.
Elevated blood urea with normal creatinine concentration implies
  1. ক
    ক) AKI
  2. খ
    খ) Severe bleeding.
  3. গ
    গ) impaired liver function
  4. ঘ
    ঘ) Ca Stomach
ব্যাখ্যা
Explanation: An elevated blood urea with normal creatinine concentration implies severe bleeding
৭.
Which one of the following is the most common cause of Upper GIT bleeding?
  1. ক
    ক) Peptic ulcer
  2. খ
    খ) Varices
  3. গ
    গ) Esophagitis
  4. ঘ
    ঘ) Gastric erosions
ব্যাখ্যা
Reference: Davidson 23rd Fig. 21.19 most common cause of Upper GIT bleeding is PUD
৮.
Which one of the following is the most common cause of Chronic or relapsing diarrhea?
  1. ক
    ক) IBD
  2. খ
    খ) IBS
  3. গ
    গ) Giardiasis
  4. ঘ
    ঘ) Ca rectum
ব্যাখ্যা
Explanation: The most common cause of Chronic or relapsing diarrhea is irritable bowel syndrome
৯.
Diarrhoea and weight loss in patients with a normal diet are likely to be caused by which of the following condition?
  1. ক
    ক) IBS
  2. খ
    খ) Small bowel
  3. গ
    গ) Malabsorption
  4. ঘ
    ঘ) Large bowel malignancy
ব্যাখ্যা
Explanation: Diarrhoea and weight loss in patients with a normal diet are likely to be caused by malabsorption.
১০.
All of the following GIT disease Causes weight loss except..
  1. ক
    ক) dysphagia
  2. খ
    খ) Malabsorption
  3. গ
    গ) IBD
  4. ঘ
    ঘ) IBS
ব্যাখ্যা
Reference: Davidson 23rd Fig. 21.24
১১.
Chronic gastric ulcers caused by H.pylori are mostly situated in which of the following area?
  1. ক
    ক) Fundus
  2. খ
    খ) Lesser Curve
  3. গ
    গ) Gereater curve
  4. ঘ
    ঘ) Body
ব্যাখ্যা
Explanation: Chronic gastric ulcer is usually single; 90% are situated on the lesser curve within the antrum or at the junction between body and antral mucosa
১২.
A middle aged female comes to you with persistent daily vomiting, what will be the cause?
  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
১৩.
Which of the following condition is indicated for emergency surgery in peptic ulcer disease?
  1. ক
    ক) Gastric outflow obstruction
  2. খ
    খ) Persistent ulceration despite adequate medical therapy
  3. গ
    গ) Haemorrhage
  4. ঘ
    ঘ) Recurrent ulcer following gastric surgery
ব্যাখ্যা
Reference: Davidson 23rd Box 21.37
১৪.
Which type metabolic abnormality occurs in Gastric outlet obstruction as a consequence of PUD?
  1. ক
    ক) hypochloraemic metabolic alkalosis
  2. খ
    খ) hypochloraemic metabolic acidosis
  3. গ
    গ) hyperchloraemic metabolic alkalosis
  4. ঘ
    ঘ) hyperchloraemic metabolic acidosis
ব্যাখ্যা
Explanation: Loss of acidic gastric contents leads to alkalosis and dehydration with low serum chloride and potassium and raised serum bicarbonate and urea concentrations (hypochloraemic metabolic alkalosis).
১৫.
In a case of abdominal Tuberculosis, which area is most commonly affected?
  1. ক
    ক) Duodenum
  2. খ
    খ) Ccecum
  3. গ
    গ) Ileocaecal
  4. ঘ
    ঘ) Colon
ব্যাখ্যা
Explanation: The area most commonly affected is the ileocaecal region
১৬.
In a case of abdominal Tuberculosis, treatment should be continued for...
  1. ক
    ক) 4 month
  2. খ
    খ) 6 month
  3. গ
    গ) 8 month
  4. ঘ
    ঘ) 12 month
ব্যাখ্যা
Explanation: Treatment duration of abdominal Tuberculosis- 6 months
১৭.
Which is not a histological features of Ulcerative colitis?
  1. ক
    ক) crypt distortion
  2. খ
    খ) cryptitis
  3. গ
    গ) crypt abscesses
  4. ঘ
    ঘ) numerous goblet cells
ব্যাখ্যা
Explanation: histological features of Ulcerative colitis are: Inflammation limited to mucosa, crypt distortion, cryptitis, crypt abscesses, loss of goblet cells,
১৮.
Which disease is greatly associated with Ulcerative colitis?
  1. ক
    ক) PBC
  2. খ
    খ) PSC
  3. গ
    গ) Autoimmune hepatitis
  4. ঘ
    ঘ) RA
ব্যাখ্যা
Explanation: Ulcerative colitis is associated with PSC
১৯.
In a case of Crohn's disease, which area is commonly affected?
  1. ক
    ক) Small intestinal
  2. খ
    খ) Ileal or ileocolonic
  3. গ
    গ) Colon
  4. ঘ
    ঘ) Perianal
ব্যাখ্যা
Explanation: The area most commonly affected is the Ileal or ileocolonic region
২০.
Which one of the following is the cardinal symptom of Ulcerative colitis?
  1. ক
    ক) Abdominal pain
  2. খ
    খ) watery diarrhoea
  3. গ
    গ) rectal bleeding with passage of mucus
  4. ঘ
    ঘ) Vomiting
ব্যাখ্যা
Explanation: The cardinal symptoms are rectal bleeding with passage of mucus and bloody diarrhoea.
২১.
Followings are the major symptoms of Crohn’s disease, excludes..
  1. ক
    ক) abdominal pain
  2. খ
    খ) watery diarrhoea
  3. গ
    গ) Bloddy diarrhoea
  4. ঘ
    ঘ) Weight loss.
ব্যাখ্যা
Explanation: The major symptoms are abdominal pain, diarrhoea and weight loss. Ddiarrhea, which is usually watery and does not contain blood or mucus.
২২.
Which of the following feature is reralted to the activity of inflammatory bowel disease?
  1. ক
    ক) Autoimmune hepatitis
  2. খ
    খ) Primary sclerosing cholangitis
  3. গ
    গ) Conjunctivitis
  4. ঘ
    ঘ) Gallstones
ব্যাখ্যা
Reference: Davidson 23rd Fig. 21.52
২৩.
Which of the followings is the best treatment option after diagnosis of IBS?
  1. ক
    ক) 5 ASA
  2. খ
    খ) Amitryptyline
  3. গ
    গ) Reassuarance
  4. ঘ
    ঘ) Loperamide
ব্যাখ্যা
E E Explanation: The most important steps are to make a positive diagnosis and reassure the patient
২৪.
Which one isn’t correct regarding Glasgow criteria for prognosis of acute pancratitis?
  1. ক
    ক) Age > 50 years
  2. খ
    খ) PO2 < 8 kPa (60 mmHg)
  3. গ
    গ) Glucose > 10 mmol/L
  4. ঘ
    ঘ) Lactate dehydrogenase > 600 U/L
ব্যাখ্যা
Reference: Davidson 23rd, Box-21.78
২৫.
Which one of the following is the most common cause of acute pancreatitis?
  1. ক
    ক) Gallstones
  2. খ
    খ) Alcohol
  3. গ
    গ) Idiopathic causes
  4. ঘ
    ঘ) Post-ERCP
ব্যাখ্যা
Explanation: The most common cause of acute pancreatitis is Gallstones disease
২৬.
Which one is the confirmatory investigation of acute pancreatitis?
  1. ক
    ক) S. amylase
  2. খ
    খ) S.lipase
  3. গ
    গ) USG
  4. ঘ
    ঘ) MRCP
ব্যাখ্যা
Explanation: Ultrasound scanning can confirm the diagnosis of acute pancreatitis
২৭.
Which one is the gold standard investigation for pancreatic function assesment?
  1. ক
    ক) Pancreolauryl test
  2. খ
    খ) Faecal pancreatic elastase
  3. গ
    গ) Secretin stimulation test
  4. ঘ
    ঘ) MRCP
ব্যাখ্যা
Reference: Davidson 23rd, Box-21.84
২৮.
Which one of the following is the Initial test for hepatitis C virus infection?
  1. ক
    ক) HCV antibody
  2. খ
    খ) Liver biopsy
  3. গ
    গ) HCV-RNA
  4. ঘ
    ঘ) LFTs
ব্যাখ্যা
Reference: Davidson 23rd, Box-22.5
২৯.
Hepatitis B virus mainly transmits through which of the following routes?
  1. ক
    ক) Injection drug use
  2. খ
    খ) Sexual transmission
  3. গ
    গ) Vertical transmission
  4. ঘ
    ঘ) Infected unscreened blood products
ব্যাখ্যা
Explanation: Vertical transmission (90%)
৩০.
After immunization of Hepatitis B virus infection which of the serological test become positive?
  1. ক
    ক) HBsAg
  2. খ
    খ) Anti-HBc IgM
  3. গ
    গ) Anti-HBc IgG
  4. ঘ
    ঘ) Anti-HBs
ব্যাখ্যা
Reference: Davidson 23rd, Box-22.38
৩১.
Among Hepatotopic viruses which concern with major risk factor for developing HCC?
  1. ক
    ক) dfx Hepatitis A
  2. খ
    খ) Hepatitis B
  3. গ
    গ) Hepatitis C
  4. ঘ
    ঘ) Hepatitis E
ব্যাখ্যা
Explanation: Chronic hepatitis B infection increases the risk of HCC 100-fold and is the major risk factor worldwide
৩২.
The most common organism responsible for Pyogenic liver abscess?
  1. ক
    ক) E.coli
  2. খ
    খ) S.aureus
  3. গ
    গ) Bacteroides
  4. ঘ
    ঘ) S.epidermidis
ব্যাখ্যা
Explanation: Escherichia coli and various streptococci, particularly Strep. milleri, are the most common organisms
৩৩.
Abdominal pain is the most common symptom of liver abscess which usually in which of the following areas of the liver?
  1. ক
    ক) right lower quadrant
  2. খ
    খ) right upper quadrant
  3. গ
    গ) left upper quadrant
  4. ঘ
    ঘ) left lower quadrant
ব্যাখ্যা
Explanation: Abdominal pain is the most common symptom and is usually in the right upper quadrant, sometimes with radiation to the right shoulder. The pain may be pleuritic in nature.
৩৪.
Which of the following is the most revealing investigation for diagnosis of liver abscess?
  1. ক
    ক) CBC
  2. খ
    খ) USG
  3. গ
    গ) LFT
  4. ঘ
    ঘ) Liver biopsy
ব্যাখ্যা
Explanation: Liver imaging is the most revealing investigation
৩৫.
Early lethality, cleft lip and palate, polydactyly, small head, frequent congenital heart disease. These features are associated with which of the following genetic disorder?
  1. ক
    ক) Down’s syndrome
  2. খ
    খ) Edwards’ syndrome
  3. গ
    গ) Patau’s syndrome
  4. ঘ
    ঘ) Klinefelter’s syndrome
ব্যাখ্যা
Explanation: Features of Patau’s syndrome are Early lethality, cleft lip and palate, polydactyly, small head, frequent congenital heart disease
৩৬.
Which one of the followings is the Numerical chromosomal abnormalities?
  1. ক
    ক) Prader–Willi syndrome
  2. খ
    খ) Angelman’s syndrome
  3. গ
    গ) Turner’s syndrome
  4. ঘ
    ঘ) Di George syndrome
ব্যাখ্যা
Explanation: Turner’s syndrome (45,X) is an example of Numerical chromosomal abnormalities
৩৭.
Haemophilia
  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
৩৮.
Which durug causes dyspepsia?
  1. ক
    ক) Domperidone
  2. খ
    খ) PPI
  3. গ
    গ) NSAID’s
  4. ঘ
    ঘ) Sodium alginate
ব্যাখ্যা
Explanation: durug causes dyspepsia are NSAIDs, Glucocorticoids, Iron and potassium, supplements
৩৯.
Amount of fluid excreated from the body through stool is..
  1. ক
    ক) 100 ml
  2. খ
    খ) 150 ml
  3. গ
    গ) 350 ml
  4. ঘ
    ঘ) 500 ml
ব্যাখ্যা
Reference: Davidson 23rd, Fig. 21.7 (39 BCS Question)