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স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

পরীক্ষাস্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্সতারিখতারিখ অনির্ধারিতসময়30 minutes
মোট প্রশ্ন৪০
সিলেবাস
Pathology-01 - a. Cell biology general concept. b. Inflammation, Degeneration, Necrosis and gangrene. c. Sterilization and disinfection. d. Disorder of growth: Tumors including cancers. e. Radiation, Hazards and prevention.
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স · তারিখ অনির্ধারিত · ৪০ প্রশ্ন

.
Chronic non lethal irritation results in
  1. ক) Hypertrophy
  2. খ) Metaplasia
  3. গ) Necrosis
  4. ঘ) Apoptosis
.
The most common stimulus for hypertrophy of muscle is
  1. ক) Increased workload
  2. খ) Decreased workload
  3. গ) Change in tissue type
  4. ঘ) Unexpected tissue death
ব্যাখ্যা

• Hypertrophy refers to an increase in the size of cells that result in an increase in the size of the affected organ.
• The hypertrophied organ has no new cells, just larger cells.
• The most common stimulus for hypertrophy of muscle is increased workload.
• Hypertrophy is the result of increased production of cellular proteins.

.
Cancers grows by all of the followings except
  1. ক) Infiltration
  2. খ) Invasion
  3. গ) Destruction
  4. ঘ) Cohesion
ব্যাখ্যা
Cancers grow by progressive infiltration, invasion, destruction, and penetration of the surrounding tissue.
.
Cell number is increased in
  1. ক) Hypertrophy
  2. খ) Hyperplasia
  3. গ) Atrophy
  4. ঘ) Metaplasia
ব্যাখ্যা

• Hyperplasia is defined as an increase in the number of cells in an organ or tissue in response to a stimulus.
• Hyperplasia is the result of growth factor-driven proliferation of mature cells and, in some cases, by increased output of new cells from tissue stem cells.
• Physiological hyperplasia occurs in – breast during puberty, liver after hepatectomy
• Pathological hyperplasia occurs in – BPH, wart & endometrial tumour

.
Fatty change of the liver occurs in all of the following except -
  1. ক) Starvation
  2. খ) Protein energy malnutrition
  3. গ) Hemochromatosis
  4. ঘ) Obesity
ব্যাখ্যা
Ref:Robbins/9th/p-62
.
Which one is decreased in atrophy
  1. ক) Cell size
  2. খ) Cell number
  3. গ) None
  4. ঘ) Both
ব্যাখ্যা

• Atrophy is defined as a reduction in the size of an organ or tissue due to a decrease in cell size and number.
• Atrophy results from decreased protein synthesis and increased protein degradation in cells. Protein synthesis decreases because of reduced metabolic activity. The degradation of cellular proteins occurs mainly by the ubiquitin-proteasome pathway.

.
Which one is age related atrophy?
  1. ক) Pressure
  2. খ) Denervation
  3. গ) Senile
  4. ঘ) Disuse
ব্যাখ্যা

• Physiologic atrophy is common during normal development. Some embryonic structures, such as the notochord and thyroglossal duct, undergo atrophy during fetal development. The decrease in the size of the uterus that occurs shortly after parturition is another form of physiologic atrophy.
• Pathologic atrophy occurs due to – disuse atrophy, denervation atrophy, pressure atrophy, senile atrophy, nutritional deficiency atrophy

.
Metaplasia from squamous to columnar type may also occur in
  1. ক) Barrett oesophagus
  2. খ) Apthous ulcer
  3. গ) MALToma
  4. ঘ) Oesophageal varices
ব্যাখ্যা

• Metaplasia from squamous to columnar type may also occur, as in Barrett oesophagus
• Connective tissue metaplasia is the formation of cartilage, bone, or adipose tissue (mesenchymal tissues) in tissues that normally do not contain these elements

.
Abundant tissue stem cells are required in
  1. ক) Atrophy
  2. খ) Hypertrophy
  3. গ) Hyperplasia
  4. ঘ) Metaplasia
১০.
Ischemic necrosis of brain indicates which type of necrosis?
  1. ক) Coagulative
  2. খ) Liquefactive
  3. গ) Caseous
  4. ঘ) Fibrinoid
ব্যাখ্যা

• Coagulative: ischemic necrosis of heart, kidney, liver, adrenal gland & other solid organs; gumma of tertiary syphilis
• Liquefactive: boil, abscess & ischemic necrosis of brain
• Caseous: Granuloma of TB
• Fat: Enzymatic-pancreas, Traumatic- breast
• Fibrinioid: in collagen disease

১১.
Not true about necrosis
  1. ক) Cellular swelling
  2. খ) Disrupted plasma membrane
  3. গ) Intact cellular content
  4. ঘ) Invariably pathological
১২.
Morphologic alterations in reversible cell injury excludes
  1. ক) Cellular swelling
  2. খ) Fatty change
  3. গ) Mitochondrial swelling
  4. ঘ) Nuclear shrinkage
১৩.
Hydroxyl radical is inactivated by
  1. ক) SOD
  2. খ) Glutathione peroxidase
  3. গ) Peroxiredoxins
  4. ঘ) Caspases
১৪.
Which free radical acts close to the site of production?
  1. ক) Superoxide
  2. খ) Hydroxyl
  3. গ) Nitraite
  4. ঘ) Peroxide
১৫.
Characteristics of apoptosis excludes
  1. ক) Initiated by caspases
  2. খ) Enzymatic degradation of proteins
  3. গ) Enzymatic degradation of RNA
  4. ঘ) Removal of dead cells by Phagocytosis
১৬.
Which resembles necrosis morphologically & apoptosis mechanistically?
  1. ক) Pyroptosis
  2. খ) Necroptosis
  3. গ) Aponecrosis
  4. ঘ) Necropyroptosis
১৭.
Autophagy is related to
  1. ক) Ribosome
  2. খ) Peroxisome
  3. গ) Lysosome
  4. ঘ) Mitochondria
১৮.
Cause of metastatic calcification?
  1. ক) Necrosis
  2. খ) Infarcts
  3. গ) Thrombi
  4. ঘ) Milk alkali syndrome
১৯.
Cholesterol deposition occurs in
  1. ক) Neutrophil
  2. খ) Macrophage
  3. গ) Eosinophil
  4. ঘ) Basophil
২০.
Cellular swelling results from all of the following except
  1. ক) Accumulation of RNA damage
  2. খ) Replicative sensencence
  3. গ) Defective protein homeostasis
  4. ঘ) Nutrient sensing system
২১.
Criteria of acute inflammation
  1. ক) Slow onset
  2. খ) Less local signs
  3. গ) Usually mild
  4. ঘ) Cellular infiltrate is Monocyte
২২.
Molecules involved in septic shock
  1. ক) Neutrophils
  2. খ) Eosinophils
  3. গ) Cytokines
  4. ঘ) Monocytes
২৩.
Source of histamine is all of the following except
  1. ক) Mast cell
  2. খ) Basophils
  3. গ) Platelets
  4. ঘ) Plasma
২৪.
Which metabolite of arachidonic acid vasodialator?
  1. ক) Prostacyclin
  2. খ) TXA2
  3. গ) HETE
  4. ঘ) Leukotriens B4
২৫.
Disinfect surgical site prior to surgery
  1. ক) Chlorhexidine
  2. খ) Iodophor
  3. গ) 70% ethanol
  4. ঘ) Tincture of iodine
২৬.
Mediators of fever excludes
  1. ক) IL-1
  2. খ) IL-7
  3. গ) TNF
  4. ঘ) Prostaglandins
২৭.
Procarcinogens excludes
  1. ক) Benzanthene
  2. খ) Cycasin
  3. গ) Clorambucil
  4. ঘ) Benzidine
ব্যাখ্যা
Ref. Robbins 9th p323, T-7.10
২৮.
Bradykinin is a mediator of
  1. ক) Tissue damage
  2. খ) Pain
  3. গ) Fever
  4. ঘ) Chemotaxis
২৯.
TNM staging of a malignant tumour -
  1. ক) Is only a clinical assessment
  2. খ) Cannot be done after surgery
  3. গ) Takes account of the secondary tumour size
  4. ঘ) Is not important for treatment planning
ব্যাখ্যা
Ref: Robbins 9th p 332
৩০.
Which one is malignant tumour?
  1. ক) Leiomyoma
  2. খ) Lymphoma
  3. গ) Fibroma
  4. ঘ) Lipoma
৩১.
Pleomorphic adenoma is a benign tumor of
  1. ক) Thyroid
  2. খ) Placenta
  3. গ) Salivary gland
  4. ঘ) Liver
৩২.
Criteria of malignant tumour excludes
  1. ক) Anaplasia
  2. খ) Erratic growth
  3. গ) Usually cohesive
  4. ঘ) Frequent metastasis
৩৩.
MALT lymphoma is associated with
  1. ক) Lichen sclerosis
  2. খ) Barret’s oesophagus
  3. গ) Hashi,oto thyroiditis
  4. ঘ) Opisthorchis
৩৪.
CA 15-3 is related to carcinoma of
  1. ক) Pancreas
  2. খ) Colon
  3. গ) Liver
  4. ঘ) Breast
৩৫.
Which type of tumour mainly follows heamtogenous spread?
  1. ক) Carcinoma
  2. খ) Sarcoma
  3. গ) Adenoma
  4. ঘ) Fibroma
ব্যাখ্যা

Dissemination of cancers may occur through one of three pathways:
• Direct seeding of body cavities or surfaces,
• Lymphatic spread- mainly carcinoma
• Hematogenous spread- mainly Sarcomas

৩৬.
Oncogenic microbes excludes
  1. ক) HTLV-1
  2. খ) HPV
  3. গ) EBV
  4. ঘ) VZV
ব্যাখ্যা

• HTLV-1: adult T-cell leukemia/lymphoma
• HPV: benign warts, cervical cancer, and oropharyngeal cancer
• EBV: Burkitt lymphomas, B-cell lymphomas in patients with T-cell immunosuppression
• Hepatitis B virus and hepatitis C virus: hepatocellular carcinomas
• H. pylori: gastric adenocarcinoma and MALT lymphoma

৩৭.
Temperature for autoclaving
  1. ক) 99
  2. খ) 101
  3. গ) 110
  4. ঘ) 121
৩৮.
IV solutions are sterilized by
  1. ক) Autoclaving
  2. খ) Chlorhexidine
  3. গ) Filtration
  4. ঘ) Iodophor
৩৯.
Hypertrophy of an organ-
  1. ক) Means increased size due to increased number of cells
  2. খ) Is always a pathological process
  3. গ) Is not seen where permanent cells make up the tissue
  4. ঘ) Is prone to ischaemia
ব্যাখ্যা
Ref. Robbins 9th p-34
৪০.
Morphologic features of chronic inflammation are all of the following except -
  1. ক) Infiltration with macrophages
  2. খ) Fibrosis
  3. গ) Presence of exudates
  4. ঘ) Plasma cell infiltration
ব্যাখ্যা
Ref. Robbins 9th p-93