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স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

পরীক্ষাস্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্সতারিখতারিখ অনির্ধারিতসময়30 minutes
মোট প্রশ্ন৪২
সিলেবাস
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.
প্রশ্ন দেখুনঅনুশীলন
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স · তারিখ অনির্ধারিত · ৪২ প্রশ্ন

১.
Onycholysis is present in
  1. ক
    ক) CKD
  2. খ
    খ) SLE
  3. গ
    গ) IDA
  4. ঘ
    ঘ) Psoriasis
২.
Nail change in infective endocarditis
  1. ক
    ক) Beau’s line
  2. খ
    খ) Lindsay’s nails
  3. গ
    গ) Muehrcke’s lines
  4. ঘ
    ঘ) Splinter haemorrhage
৩.
Facial expression in hyperthyroidism
  1. ক
    ক) Poverty of expression
  2. খ
    খ) Startled expression
  3. গ
    গ) Apathy
  4. ঘ
    ঘ) Agitated
৪.
Delayed relaxation of grip indicates
  1. ক
    ক) Myotonic dystrophy
  2. খ
    খ) Hypothyroidism
  3. গ
    গ) Depression
  4. ঘ
    ঘ) Anxiety
৫.
Coffee is a rich source of
  1. ক
    ক) Sodium
  2. খ
    খ) Potassium
  3. গ
    গ) Calcium
  4. ঘ
    ঘ) Magnesium
৬.
Drugs that precipitates scurvy excludes
  1. ক
    ক) Aspirin
  2. খ
    খ) Indometacin
  3. গ
    গ) Tetracycline
  4. ঘ
    ঘ) Carbamazepin
৭.
Urinary metabolites are used for biochemical assessment of vitamin
  1. ক
    ক) B1
  2. খ
    খ) B2
  3. গ
    গ) B3
  4. ঘ
    ঘ) B6
৮.
Milk is a rich source of vitamin
  1. ক
    ক) B1
  2. খ
    খ) B2
  3. গ
    গ) B3
  4. ঘ
    ঘ) B6
৯.
Causes of under nutrition & weight loss in adults due to impaired energy storage
  1. ক
    ক) Thyrotoxicosis
  2. খ
    খ) DM
  3. গ
    গ) Cancer
  4. ঘ
    ঘ) Pheochromocytoma
১০.
BMI indicating adequate nutrition
  1. ক
    ক) >16
  2. খ
    খ) >17
  3. গ
    গ) >20
  4. ঘ
    ঘ) >19
১১.
Overweight BMI cut off for Asian
  1. ক
    ক) 18.5
  2. খ
    খ) 23
  3. গ
    গ) 25
  4. ঘ
    ঘ) 30
১২.
Drugs causing weight gain excludes
  1. ক
    ক) Olanzepine
  2. খ
    খ) Pizotifen
  3. গ
    গ) Steroids
  4. ঘ
    ঘ) NSAIDs
১৩.
Pulmonary complications of obesity excludes
  1. ক
    ক) Exercise intolerance
  2. খ
    খ) Obstructive sleep apnoea
  3. গ
    গ) Asthma
  4. ঘ
    ঘ) COPD
১৪.
J wave in ECG is a feature
  1. ক
    ক) Hypothermia
  2. খ
    খ) Hyperthermia
  3. গ
    গ) Radiation exposure
  4. ঘ
    ঘ) Wet drowning
১৫.
Mechanism of heat loss excludes
  1. ক
    ক) Conduction
  2. খ
    খ) Convection
  3. গ
    গ) Evaporation
  4. ঘ
    ঘ) BMR
১৬.
‘Mumble, Stumble, Tumble’ is a feature of
  1. ক
    ক) Mild hypothermia
  2. খ
    খ) Moderate hypothermia
  3. গ
    গ) Severe hypothermia
  4. ঘ
    ঘ) Trench foot
১৭.
Weight loss with diarrhoea, lymphadenopathy & opportunistic infection indicates
  1. ক
    ক) AIDS
  2. খ
    খ) Thyrotoxicosis
  3. গ
    গ) Leukaemia
  4. ঘ
    ঘ) Aplastic anaemia
১৮.
Unilateral headache with photophobia and photoiphonia indicates
  1. ক
    ক) Migraine
  2. খ
    খ) Sinusitis
  3. গ
    গ) Post traumatic headache
  4. ঘ
    ঘ) Meningitis
১৯.
Old male with anaemia & HTN mostly suggests
  1. ক
    ক) Aplastic anaemia
  2. খ
    খ) Leukaemia
  3. গ
    গ) CKD
  4. ঘ
    ঘ) ITP
২০.
Ascites with jaundice mostly indicates
  1. ক
    ক) CKD
  2. খ
    খ) CLD
  3. গ
    গ) NS
  4. ঘ
    ঘ) CCF
২১.
Fresh per rectal bleeding after defecation indicates
  1. ক
    ক) Haemorrhoids
  2. খ
    খ) Rectal carcinoma
  3. গ
    গ) Colon cancer
  4. ঘ
    ঘ) Rectal polyp
২২.
Thick copius purulent mostly suggests
  1. ক
    ক) PTB
  2. খ
    খ) Bronchial carcinoma
  3. গ
    গ) Lung abscess
  4. ঘ
    ঘ) ALVF
২৩.
Cough with rusty sputum is found in
  1. ক
    ক) Br asthma
  2. খ
    খ) Lung abscess
  3. গ
    গ) Bronchiactesis
  4. ঘ
    ঘ) Pneumococcal pneumonia
২৪.
Breathlessness with orthopnoea suggests
  1. ক
    ক) ALVF
  2. খ
    খ) CCF
  3. গ
    গ) COPD
  4. ঘ
    ঘ) Br asthma
২৫.
Vomiting with jaundice tender hepatomegaly
  1. ক
    ক) CCF
  2. খ
    খ) ICSOL
  3. গ
    গ) ALVF
  4. ঘ
    ঘ) Acute viral hepatitis
২৬.
Abdominal pain, vomiting, distension & constipation suggests
  1. ক
    ক) Perforation
  2. খ
    খ) Intestinal obstruction
  3. গ
    গ) Inferior MI
  4. ঘ
    ঘ) Diverticulitis
২৭.
Obesity is a feature of which genetic disorder
  1. ক
    ক) Edward syndrome
  2. খ
    খ) Prader-Willi syndrome
  3. গ
    গ) Down’s syndrome
  4. ঘ
    ঘ) Patau syndrome
ব্যাখ্যা
( Ref : Davidson 23rd ,p – 700 )
২৮.
Which anti diabetic drugs has been shown to reduce the risk of diabetes in patients with pre-diabetes
  1. ক
    ক) Glimepiride
  2. খ
    খ) Acarbose
  3. গ
    গ) Saxagliptin
  4. ঘ
    ঘ) Liraglutide
ব্যাখ্যা
(Ref : Davidson 23rd ,p-703 )
২৯.
Biochemical assessment of thiamin deficiency is assessed
  1. ক
    ক) Urinary metabolite : 1 - methylnicotinamide
  2. খ
    খ) Red blood cell transketolase activity
  3. গ
    গ) Serum tocopherol : cholesterol ratio
  4. ঘ
    ঘ) Erythrocyte transaminase activation coefficient
ব্যাখ্যা
( Ref : Davidson 23rd ,p - 712 , box : 19.32 )
৩০.
Muscle function and global nutritional status is measured by
  1. ক
    ক) Waist : hip ratio
  2. খ
    খ) Bio electrical impedance
  3. গ
    গ) Hand grip strength
  4. ঘ
    ঘ) Triceps skin fold thickness
ব্যাখ্যা
( Ref : Davidson 23rd ,p –693 )
৩১.
Which nutrition toxicity can lead to milk alkali syndrome?
  1. ক
    ক) Iodine
  2. খ
    খ) Calcium
  3. গ
    গ) Arsenic
  4. ঘ
    ঘ) Zinc
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?
  1. ক
    ক) Thiamine deficiency
  2. খ
    খ) Riboflavin deficiency
  3. গ
    গ) Niacin deficiency
  4. ঘ
    ঘ) Pyridoxine deficiency
ব্যাখ্যা
Reference: Davidson 23rd , Page : 1233
Explanation : Niacin deficiency ( Vitamin B3 ) - pellagra can also seem in carcinoid syndrome.
৩৩.
Iodine is rich in
  1. ক
    ক) Liver
  2. খ
    খ) Shellfish
  3. গ
    গ) Sea food
  4. ঘ
    ঘ) Edible seaweeds
ব্যাখ্যা
Reference: Davidson 23rd , Page : 717 , Box : 19.34
৩৪.
Which deficiency leads to keshan’sdisease?
  1. ক
    ক) Vitamin B6
  2. খ
    খ) Selenium
  3. গ
    গ) Fluoride
  4. ঘ
    ঘ) Vitamin C
ব্যাখ্যা
Reference: Davidson 23rd , Page : 718
Explanation : keshan’s disease ( cardiomyopathy in children ) occurs due to selenium deficiency .
৩৫.
Biochemical assessment of vitamin B2 deficiency is assessed by
  1. ক
    ক) Erythrocyte transaminase activation coefficient
  2. খ
    খ) Serum tocopherol: cholesterol ratio
  3. গ
    গ) Red blood cell glutathione reductase activity
  4. ঘ
    ঘ) Red blood cell transketolase activity
ব্যাখ্যা
Reference: Davidson 23rd , Page : 712 , Box : 29.32
৩৬.
Idiopathic intracranial hypertension may be confirmed by
  1. ক
    ক) MRI
  2. খ
    খ) EEG
  3. গ
    গ) PET CT
  4. ঘ
    ঘ) Lumbar puncture
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
  1. ক
    ক) ERCP
  2. খ
    খ) MRCP
  3. গ
    গ) USG
  4. ঘ
    ঘ) CT
ব্যাখ্যা
Reference: Davidson 23rd; P-841
৩৮.
Which type of melanoma is more common in dark skinned people ?
  1. ক
    ক) Superficial spreading melanoma
  2. খ
    খ) Acrallentiginous melanoma
  3. গ
    গ) Lentigomaligna melanoma
  4. ঘ
    ঘ) Subungual melanoma
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
  1. ক
    ক) High
  2. খ
    খ) Low
  3. গ
    গ) Variable
  4. ঘ
    ঘ) Normal
ব্যাখ্যা
Reference: Davidson 23rd, Page : 646
৪০.
Which channel abnormalities occur in hyperkalaemic periodic paralysis?
  1. ক
    ক) Magnesium
  2. খ
    খ) Potassium
  3. গ
    গ) Sodium
  4. ঘ
    ঘ) Chloride
ব্যাখ্যা
Reference: Davidson 23rd , Page : 1145, Box : 25.94
৪১.
Which of the following conditions can cause hyponatremia?
  1. ক
    ক) Hypothyroidism
  2. খ
    খ) Hyperthyroidism
  3. গ
    গ) Cushing’s disease
  4. ঘ
    ঘ) Pheochromocytoma
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?
  1. ক
    ক) Aphthous oral lesions
  2. খ
    খ) Genital ulcers
  3. গ
    গ) Hypopyon
  4. ঘ
    ঘ) All of the above
ব্যাখ্যা
Aphthous oral lesions, genital ulcers and hypopyon suggest Behçet’s syndrome.