Medicine-01 -
Approach to common symptoms of disease.
Clinical Methods in the Practice of Medicine - History Taking. Physical Examination. Investigations. Diagnosis. Principles of treatment. Interpersonal skills. Communication skills. Doctor-patient relationship. Ethical Behavior. Referral services. Medical Certificate.
Nutritional metabolic & environmental diseases.
Muscle function and global nutritional status is measured by
ক
ক) Waist : hip ratio
খ
খ) Bio electrical impedance
গ
গ) Hand grip strength
ঘ
ঘ) Triceps skin fold thickness
সঠিক উত্তর: গ
গ) Hand grip strength
উত্তর
সঠিক উত্তর: গ
গ) Hand grip strength
গ
ব্যাখ্যা
( Ref : Davidson 23rd ,p –693 )
৩১.
Which nutrition toxicity can lead to milk alkali syndrome?
ক
ক) Iodine
খ
খ) Calcium
গ
গ) Arsenic
ঘ
ঘ) Zinc
সঠিক উত্তর: খ
খ) Calcium
উত্তর
সঠিক উত্তর: খ
খ) Calcium
খ
ব্যাখ্যা
Reference: Davidson 23rd , Page : 716 Explanation : Too much calcium can lead to constipation , and toxicity has been observed in ‘milk-alkali syndrome’.
৩২.
Which vitamin deficiency is seen in carcinoid syndrome?
ক
ক) Thiamine deficiency
খ
খ) Riboflavin deficiency
গ
গ) Niacin deficiency
ঘ
ঘ) Pyridoxine deficiency
সঠিক উত্তর: গ
গ) Niacin deficiency
উত্তর
সঠিক উত্তর: গ
গ) Niacin deficiency
গ
ব্যাখ্যা
Reference: Davidson 23rd , Page : 1233 Explanation : Niacin deficiency ( Vitamin B3 ) - pellagra can also seem in carcinoid syndrome.
Idiopathic intracranial hypertension may be confirmed by
ক
ক) MRI
খ
খ) EEG
গ
গ) PET CT
ঘ
ঘ) Lumbar puncture
সঠিক উত্তর: ঘ
ঘ) Lumbar puncture
উত্তর
সঠিক উত্তর: ঘ
ঘ) Lumbar puncture
ঘ
ব্যাখ্যা
Reference: Davidson 23rd, Page: 1133 Explanation: The diagnosis may be confirmed by lumbar puncture, which shows raised normal CSF constituents at increased pressure ( usually > 30 cmH2O CSF )
৩৭.
Test to demonstrate anatomy of pancreas prior to surgery
ক
ক) ERCP
খ
খ) MRCP
গ
গ) USG
ঘ
ঘ) CT
সঠিক উত্তর: খ
খ) MRCP
উত্তর
সঠিক উত্তর: খ
খ) MRCP
খ
ব্যাখ্যা
Reference: Davidson 23rd; P-841
৩৮.
Which type of melanoma is more common in dark skinned people ?
ক
ক) Superficial spreading melanoma
খ
খ) Acrallentiginous melanoma
গ
গ) Lentigomaligna melanoma
ঘ
ঘ) Subungual melanoma
সঠিক উত্তর: খ
খ) Acrallentiginous melanoma
উত্তর
সঠিক উত্তর: খ
খ) Acrallentiginous melanoma
খ
ব্যাখ্যা
Reference: Davidson 23rd , Page : 1233 Explanation : Acrallentiginous or palmoplantar melanoma is more common in dark-skinned people.
৩৯.
In subacute thyroiditis radio iodine uptake is
ক
ক) High
খ
খ) Low
গ
গ) Variable
ঘ
ঘ) Normal
সঠিক উত্তর: খ
খ) Low
উত্তর
সঠিক উত্তর: খ
খ) Low
খ
ব্যাখ্যা
Reference: Davidson 23rd, Page : 646
৪০.
Which channel abnormalities occur in hyperkalaemic periodic paralysis?
Which of the following conditions can cause hyponatremia?
ক
ক) Hypothyroidism
খ
খ) Hyperthyroidism
গ
গ) Cushing’s disease
ঘ
ঘ) Pheochromocytoma
সঠিক উত্তর: ক
ক) Hypothyroidism
উত্তর
সঠিক উত্তর: ক
ক) Hypothyroidism
ক
ব্যাখ্যা
Adrenal insufficiency & hypothyroidism may cause hyponatremia. Hypothyroidism decreases cardiac output and GFR and thus increased AVP secretion leading to hyponatremia.
৪২.
Which of the following is a feature of Behçet’s syndrome?
ক
ক) Aphthous oral lesions
খ
খ) Genital ulcers
গ
গ) Hypopyon
ঘ
ঘ) All of the above
সঠিক উত্তর: ঘ
ঘ) All of the above
উত্তর
সঠিক উত্তর: ঘ
ঘ) All of the above
ঘ
ব্যাখ্যা
Aphthous oral lesions, genital ulcers and hypopyon suggest Behçet’s syndrome.