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স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

পরীক্ষাস্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্সতারিখতারিখ অনির্ধারিতসময়20 minutes
মোট প্রশ্ন৪০
সিলেবাস
টপিক: Medicine – 6 Gastroenterology & Hepatology
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

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

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Cholecystokinin is secreted from-
  1. D cells
  2. I cells
  3. K cells
  4. L cells
.
Condition where colonoscopy is not useful-
  1. Chronic diarrhoea
  2. Constipation
  3. Rectal bleeding
  4. Altered bowel habit
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Which is not an alarm feature of dyspepsia?
  1. Anaemia
  2. Age over 55 years
  3. Haematemesis
  4. Palpable abdominal mass
.
Amount of fluid excreted daily in stools-
  1. 100 ml
  2. 150 ml
  3. 200 ml
  4. 300 ml
.
Which one is a feature of chronic small bowel diarrhoea-
  1. Steatorrhoea
  2. Undigested food in stool
  3. Large volume, watery stool
  4. Blood and mucus in stool
.
Acrodermatitis enteropathica is a consequence of which nutrient malabsorption?
  1. Vitamin A
  2. Vitamin C
  3. Zinc
  4. Magnesium
.
Which of the following act as the Pacemaker of the gut?
  1. Migrating motor complexes
  2. Enterochromaffin like cells
  3. Interstitial cells of Cajal
  4. Paneth cells
ব্যাখ্যা

Peristalsis

Peristalsis is a reflex triggered by gut wall distension, which consists of a wave of circular muscle contraction to propel contents from the oesophagus to the rectum. It can be influenced by innervation but functions independently. It results from a basic electrical rhythm originating from the interstitial cells of Cajal in the circular layer of intestinal smooth muscle. These are stellate cells of mesenchymal origin with smooth muscle features, which act as the ‘pacemaker’ of the gut.

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Which test is used to asses pancreatic exocrine function?
  1. Faecal elastase
  2. Faecal calprotectin
  3. 75SeHCAT test
  4. S. Amylase
.
Helicobacter pylori testing is not indicated in-
  1. Past history of PUD
  2. ITP
  3. Unexplained Vitamin B12 deficiency
  4. Gastro-oesophageal reflux disease
১০.
Which of the following is an example of bulk forming laxative?
  1. Lactulose
  2. Magnesium salts
  3. Senna
  4. Methyl cellulose
১১.
Which of the following is true for Ulcerative colitis?
  1. More common in non smokers
  2. Skip lesions
  3. Deep fissuring ulcers
  4. Slight female predominance
১২.
Which of the following drugs is safe for treatment of IBD during pregnancy?
  1. Methotrexate
  2. Tofacitinib
  3. Azathioprine
  4. Ciclosporin
১৩.
Glasgow criteria for prognosis of acute pancreatitis include-
  1. Age <55 yeras
  2. Serum calcium >2 mmol/L
  3. Glucose > 10 mmol/L
  4. Albumin <3.2 g/L
১৪.
Successful eradication of H. Pylori can be confirmed by-
  1. Rapid urease test
  2. Microbiological culture
  3. Urea breath test
  4. Lactose H2 breath test
ব্যাখ্যা
Davidson 24th Ed. Page: 799
১৫.
Histological feature of Crohn’s disease is?
  1. Inflammation is confined to the mucosa
  2. Loss of goblet cells
  3. Non caseating granuloma
  4. Crypt abscesses
১৬.
Cause of chronic pancreatitis-
  1. Gallstones
  2. Post ERCP
  3. Sphincter of Oddi stenosis
  4. Sphincter of Oddi dysfunction
ব্যাখ্যা
Sphincter of Oddi dysfunction is a cause of Acute pancreatitis.
১৭.
Test used to demonstrate anatomy of pancreas prior to surgery-
  1. Ultrasound
  2. MRCP
  3. Computed tomography
  4. Endoscopic ultrasound
১৮.
Which one is a sign of decompression in hepatic cirrhosis?
  1. Splenomegaly
  2. Dilated abdominal wall veins
  3. Bruising
  4. Flapping tremor
১৯.
The functional unit of liver is-
  1. Hepatocyte
  2. Hepatic acinus
  3. Hepatic lobule
  4. Sinusoids
ব্যাখ্যা
Davidson 24th Ed. Page 862

A liver segment is made up of multiple smaller units known as lobules, comprised of a central vein, radiating sinusoids separated from each other by single liver cell (hepatocyte) plates, and peripheral portal tracts containing terminal branches of the hepatic artery, portal vein and bile duct. The functional unit of the liver is the hepatic acinus.
২০.
Which cell play a key role in the development of hepatic fibrosis?
  1. Hepatocytes
  2. NK cells
  3. Stellate cell
  4. Sinusoidal endothelial cell
২১.
Initial test for Haemochromatosis?
  1. Liver biopsy
  2. Transferrin Saturation
  3. HFE gene test
  4. Liver function tests
২২.
Which of the following causes fluctuating jaundice?
  1. Ampullary tumour
  2. Primary biliary cholangitis
  3. Choledocholithiasis
  4. Pancreatic pseudocyst
২৩.
Most common cause of acute liver failure is?
  1. Paracetamol toxicity
  2. Anti tuberculous drugs
  3. Acute viral hepatitis
  4. Cryptogenic acute liver failure
ব্যাখ্যা
Davidson 24th Ed. Page 873.
২৪.
Best screening test for acute Hepatitis B infection is?
  1. HBsAg
  2. Hepatitis B core IgM antibody
  3. Anti HBs
  4. HBeAg
ব্যাখ্যা
Davidson 24th Ed, Page 874

২৫.
Cause of high SAAG ascites?
  1. Nephrotic syndrome
  2. Meigs syndrome
  3. Protein losing enteropathy
  4. Cirrhosis
২৬.
Which of the following does not precipitate hepatic encephalopathy?
  1. Dehydration
  2. Gastrointestinal bleeding
  3. Hypocalcaemia
  4. Constipation
২৭.
Cardinal feature of portal hypertension is?
  1. Palmar erythema
  2. Splenomegaly
  3. Ascites
  4. Hepatomegaly
ব্যাখ্যা
Davidson 24th Ed. Page 881
২৮.
Which of the following is a DNA virus?
  1. Hepatitis A virus
  2. Hepatitis B virus
  3. Hepatitis C virus
  4. Hepatitis E virus
২৯.
Drug causing cholestatic hepatitis?
  1. Rifampicin
  2. Isoniazid
  3. NSAIDs
  4. Amiodarone
৩০.
In autoimmune hepatitis, there is a high serum levels of which immunoglobulin?
  1. IgA
  2. IgM
  3. IgG
  4. IgE
ব্যাখ্যা
Davidson 24th Ed. Page 897
৩১.
Which serological marker for hepatitis B virus infection will be positive in a previously immunised individual?
  1. HBsAg
  2. Anti HBs
  3. Anti HBc IgM
  4. Anti HBc IgG
৩২.
Adverse prognostic criteria in acute liver failure due to paracetamol overdose?
  1. pH > 7.25
  2. Prothrombin time < 100 seconds
  3. Prothrombin time > 100 seconds
  4. Bilirubin >300 micromol/L
৩৩.
Gold standard investigation for Coeliac disease is?
  1. Anti endomysial antibody
  2. Anti tTG antibody
  3. Full blood count
  4. Endoscopic small bowel biopsy
৩৪.
Non invasive test for H. Pylori?
  1. Microbiological culture
  2. Serology
  3. Histology
  4. Rapid urease test
৩৫.
Which one of the following is a feature of Primary sclerosing cholangitis?
  1. Occurs in younger age
  2. Associated with autoimmune thyroid disease
  3. Predominantly intrahepatic bile duct injury
  4. AMA+ve in 90% cases
৩৬.
Which of the following is not stored in liver?
  1. Vitamin A
  2. Vitamin D
  3. Iron
  4. Bilirubin
৩৭.
Which of the following decreases gastric acid secretion?
  1. Gastrin
  2. Secretin
  3. Ghrelin
  4. Vasoactive intestinal peptide
৩৮.
Which of the following acts as a stimulus for secretion of Ghrelin?
  1. Fatty acids
  2. Feeding
  3. Fasting
  4. Product of of protein digestion
৩৯.
Relative contraindication of upper GI endoscopy is?
  1. Recent myocardial infarction
  2. Severe shock
  3. Severe respiratory disease
  4. Possible visceral perforation
৪০.
Milky-white ascitic fluid can be found in?
  1. Infection
  2. Cirrhosis
  3. Malignant disease
  4. Lymphatic obstruction