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৪৮তম বিশেষ বিসিএস [স্বাস্থ্য] ⎯ মেডিকেল অংশ [Archived]

পরীক্ষা৪৮তম বিশেষ বিসিএস [স্বাস্থ্য] ⎯ মেডিকেল অংশ [Archived]তারিখতারিখ অনির্ধারিতসময়20 minutes৩৮ বৈধ · অসম্পূর্ণ
মোট প্রশ্ন৩৯
সিলেবাস
Exam - 15 Surgery-01 History, evolution and scope of surgery Assess and prepare patient for surgery Trauma Management of wounds Diagnosis and management of surgical infections Diagnosis and treatment of shock and hemorrhage Hernia and its management Different types of burns and their management Fluid and electrolytes imbalance and management Management of skin tumours and cysts Appropriate measures to prevent hospital infection Understand and comply with ethical principles and clinical practice
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

৪৮তম বিশেষ বিসিএস [স্বাস্থ্য] ⎯ মেডিকেল অংশ [Archived]

৪৮তম বিশেষ বিসিএস [স্বাস্থ্য] ⎯ মেডিকেল অংশ [Archived] · তারিখ অনির্ধারিত · ৩৯ প্রশ্ন

.
Who is considered the father of surgery?
  1. Abu Al-Zahrawi
  2. Sushruta
  3. Joseph Lister
  4. Ambroise Parè
.
Which is an advantage of minimal access surgery?
  1. Improved mobility
  2. 3D vision
  3. Haemostasis
  4. Excellent tactile feedback
.
Which is not a component of preoperative airway assessment?
  1. Mallampati score
  2. Mouth opening
  3. Neck flexion
  4. Thyromental distance
.
What is the guideline for preoperative fasting in adults?
  1. 4 hours for clear fluids
  2. 4 hour for non-clear fluids
  3. 6 hours for solid foods
  4. Minimum 8 hours for solid food
.
Which of the following drugs should be stopped 24 hours prior to an elective surgery in patients with IHD?
  1. Aspirin
  2. Beta-blocker
  3. Statin
  4. Angiotensin receptor blocker
.
Which anticoagulant should be used in the perioperative period in patients with mechanical heart valves?
  1. Unfractionated heparin
  2. Low molecular weight heparin
  3. Warfarin
  4. Rivaroxaban
.
Which is the first step in managing a polytrauma patient?
  1. Airway and cervical spine protection
  2. Control of massive external hemorrhage
  3. Breathing and ventilation
  4. Maintaining circulation
.
Which is the ideal fluid for resuscitation of severely hypovolemic trauma patients?
  1. Normal saline
  2. Whole blood
  3. Hartmann's solution
  4. Fresh frozen plasma
.
Which organ is most commonly injured in blunt abdominal trauma?
  1. Spleen
  2. Liver
  3. Kidney
  4. Transverse colon
১০.
Which is the most common cause of compartment syndrome?
  1. Soft tissue contusion
  2. Tight plaster
  3. Closed fractures
  4. Circumferential burn
১১.
Which of the followings is not associated with impaired wound healing?
  1. Vitamin-C deficiency
  2. Diabetes mellitus
  3. Radiotherapy
  4. Conn's syndrome
ব্যাখ্যা

১২.
Example of clean contaminated wound is-
  1. Herniotomy
  2. Cholecystectomy
  3. Perforated peptic ulcer
  4. Burst appendix
১৩.
Hydrocolloid transparent dressing serves as-
  1. Mechanical debridement
  2. Enzymatic debridement
  3. Autolytic debridement
  4. Biological debridement
১৪.
Which is the first line treatment option for hypertrophic scar?
  1. Intralesional corticosteroid
  2. Cryosurgery
  3. Laser therapy
  4. Silicone gel
ব্যাখ্যা

১৫.
Which is the most common sourse of surgical site infection?
  1. Hospital staff
  2. OT environment
  3. Endogenous organisms
  4. Unsterile instruments
১৬.
Which is the minimum time required to form an abscess after a surgery?
  1. 2 days
  2. 3 days
  3. 5 days
  4. 7 days
১৭.
Which is an immediatele life threatening condition following chest trauma?
  1. Flail chest
  2. Closed aortic injuries
  3. Myocardial contusion
  4. Rupture of the diaphragm
১৮.
Necrotising fasciitis is most commonly associated with-
  1. Staphylococcus aureus
  2. Clostridium perfringenes
  3. Streptococcus pyogenes
  4. Anaeroboic organisms
১৯.
Which of these agents is not routinely used for skin preparation before surgery?
  1. Povidone iodine
  2. Chlorhexidine
  3. 70% ethanol
  4. Cetrimide
২০.
Exotoxin responsible for destruction of the muscle cells in gas gangrene-
  1. Kappa toxin
  2. Alpha-toxin
  3. Phi-toxin
  4. Beta-toxin
২১.
Which is not included in the diagnostic criteria of SIRS?
  1. Temperature <36° C
  2. White cell < 4000/mm³
  3. Heart rate <60/min.
  4. Respiratory rate >20/min.
২২.
All are causes of cardiogenic shock except-
  1. Blunt myocardial injury
  2. Cardiomyopathy
  3. Cardiac arrhythmia
  4. Cardiac tamponade
২৩.
Which is not consistent with compensated shock?
  1. Lactic acidosis
  2. Oliguria
  3. Normal blood pressure
  4. Tachypnea
২৪.
Reactionary hemorrhage is caused by-
  1. Sloughing of the vessel wall
  2. Slippage of ligature
  3. Pressure from drain
  4. Infection
২৫.
Which is the best monitor of adequacy of shock therapy?
  1. Cardiac output
  2. Central venous pressure
  3. Urine output
  4. Invasive blood pressure
২৬.
Which is not a complication of massive blood transfusion?
  1. Hypokalaemia
  2. Hypothermia
  3. Hyperkalaemia
  4. Hypercalcemia
২৭.
Which is an example of biological hemostatic agent?
  1. Bone wax
  2. Tranexamic acid
  3. Gelatin
  4. Absorbable collagen
২৮.
Which does not form the boundary of the Hesselbach's triangle?
  1. Inferior epigastric vessels
  2. Arcuate line
  3. Lateral border of rectus muscle
  4. Inguinal ligament
২৯.
Which is an example of primary ventral hernia?
  1. Inguinal hernia
  2. Incisional hernia
  3. Parastomal hernia
  4. Epigastric hernia
৩০.
Which is not consistent with indirect inguinal hernia?
  1. Is usually complete
  2. Is easily reducible
  3. Deep ring occlusion test is negative
  4. Is always acquired
অনির্ধারিত
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৩১.
Which is the most common immediate cause of death from fire?
  1. Hypovolemic shock
  2. Neurogenic shock
  3. Carbon monoxide poisoning
  4. Airway obstruction
৩২.
Full thickess burn is characterized by-
  1. Reduced sensation
  2. Blistering
  3. Delayed capillary filling
  4. Hard leathery feel
ব্যাখ্যা

৩৩.
What is the crystalloid requirement in the first 24 hours in a 60kg male with 20% burn?
  1. 4800 ml
  2. 7200 ml
  3. 3600 ml
  4. 2400 ml
৩৪.
Which is not a premalignant lesion of the skin?
  1. Giant congenital pigemented naevus
  2. Blue naevus
  3. Extramammary Paget's disease
  4. Dysplastic naevus
৩৫.
Which is the most common form of skin cancer?
  1. Squamous cell carcinoma
  2. Basal cell carcinoma
  3. Malignant melanoma
  4. Sebaceous carcinoma
৩৬.
Which is the most important prognostic indicator in maliganat melanoma?
  1. Tumour size
  2. Change in shape
  3. Breslow thickness
  4. Lympahatic involvement
ব্যাখ্যা

৩৭.
Transillumination test is negative in-
  1. Epididymal cyst
  2. Ranula
  3. Meningocele
  4. Sebaceous cyst
৩৮.
Treatment of hyperkalaemia includes all, but-
  1. Infusion of 10% calcium gluconate
  2. Diuresis by injectable spironolactone
  3. Salvutamol nebulization
  4. Insulin administration
ব্যাখ্যা

৩৯.
Hypokalaemia can occur as a result of-
  1. Renal failure
  2. Adrenal insufficiency
  3. Metabolic acidosis
  4. Ureterosigmoidostomy
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