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স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

পরীক্ষাস্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্সতারিখতারিখ অনির্ধারিতসময়30 minutes
মোট প্রশ্ন৪২
সিলেবাস
Medicine-02 - Diseases of the cardiovascular system: Ischemic heart disease. Rheumatic fever and Rheumatic heart disease. Valvular diseases of the heart. Infective endocarditis. Hypertension and hypertensive heart diseases. Cardiac arrhythmias (common). Heart failure – Acute–chronic, Acute and chronic pericarditis, pericardial effusion & cardiac tamponade Diseases of the respiratory system: Upper respiratory tract infections. Pneumonia. Tuberculosis. Lung abscess and bronchiectasis. Diseases of the pleura: Pleurisy, Pleural effusion & empyema. Pneumothorax. Chronic Obstructive lung diseases and cor pulmonale. Bronchial asthma & pulmonary eosinophilia. Acute and chronic respiratory failure. Neoplasm of the lung.
প্রশ্ন দেখুনঅনুশীলন
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

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

১.
In a hypertensive patient, which type of apex beat typically found?
  1. ক
    ক) Heaving
  2. খ
    খ) Thrusting
  3. গ
    গ) Dyskinetic
  4. ঘ
    ঘ) Normal
ব্যাখ্যা
Explanation: heaving apex beat found in: Pressure overload, such as aortic stenosis, hypertension
২.
Absent a wave in JVP is found in which of the following condition?
  1. ক
    ক) Tricuspid regurgitation
  2. খ
    খ) Atrial fibrillation
  3. গ
    গ) ASD
  4. ঘ
    ঘ) VSD
ব্যাখ্যা
Explanation: Absent a wave in JVP is found in Atrial fibrillation, Tricuspid regurgitation produces giant v waves
৩.
Regarding Hemodynamic effects during inspiration, which information is correct?
  1. ক
    ক) JVP-Rises
  2. খ
    খ) Blood pressure- Rises
  3. গ
    গ) Heart rate- Slows
  4. ঘ
    ঘ) Second heart sound-Splits
ব্যাখ্যা
Explanation
৪.
In a 12-lead ECG, P wave represents..
  1. ক
    ক) atrial depolarization
  2. খ
    খ) atrial repolarisation
  3. গ
    গ) ventricular Depolarization
  4. ঘ
    ঘ) Ventricular repolarization
৫.
Which of the following feature is closely related to left heart failure?
  1. ক
    ক) Raised JVP
  2. খ
    খ) Ascites
  3. গ
    গ) Hepatomegaly
  4. ঘ
    ঘ) Pulmonary oedema
ব্যাখ্যা
Explanation:
৬.
Which of the following feature is closely related to Right heart failure?
  1. ক
    ক) Pleural effusions
  2. খ
    খ) Pulmonary oedema
  3. গ
    গ) Cardiomegaly
  4. ঘ
    ঘ) Peripheral pitting oedema
ব্যাখ্যা
Explanation: see question no: 5
৭.
Physiological cause of bradycardia is?
  1. ক
    ক) MI
  2. খ
    খ) Athletes
  3. গ
    গ) Hypothermia
  4. ঘ
    ঘ) Hypothyroidism
ব্যাখ্যা
Explanation:
৮.
Pathological causes of trachcardia is..
  1. ক
    ক) Exercise
  2. খ
    খ) Emotion
  3. গ
    গ) Fever
  4. ঘ
    ঘ) Pregnancy
ব্যাখ্যা
Explanation: see question no: 7
৯.
What is the most important modifiable risk factor for coronary artery disease?
  1. ক
    ক) Age and sex
  2. খ
    খ) Alcohol
  3. গ
    গ) Smoking
  4. ঘ
    ঘ) Hypertension
ব্যাখ্যা
Explanation: smoking is probably the most important modifiable risk factor.
১০.
A patient with severe chest pain for 30 minutes, waht will be the most initial investigation?
  1. ক
    ক) Echocardiography
  2. খ
    খ) Excercise ECG
  3. গ
    গ) 12-lead ECG
  4. ঘ
    ঘ) Troponin I
ব্যাখ্যা
Explanation: 12-lead ECG is the initial investigation for acute onset chest pain.
১১.
Acute coronary syndrome includes all of the following, except...
  1. ক
    ক) Unstable angina
  2. খ
    খ) Stable angina
  3. গ
    গ) ST elevated MI
  4. ঘ
    ঘ) Non ST elevated MI
ব্যাখ্যা
Explanation: Acute coronary syndrome is a term that encompasses both unstable angina and myocardial infarction
১২.
Acute coronary syndrome almost always occurs in patients who have which of the following condition?
  1. ক
    ক) DM
  2. খ
    খ) HTN
  3. গ
    গ) Vulvular heart disease
  4. ঘ
    ঘ) Atherosclerosis
ব্যাখ্যা
Explanation: Acute coronary syndrome almost always occurs in patients who have atherosclerosis, The culprit lesion.
১৩.
Normal systolic Blood pressure is..
  1. ক
    ক) < 120 mmHg
  2. খ
    খ) < 130 mmHg
  3. গ
    গ) 120-139 mmHg
  4. ঘ
    ঘ) 130-139 mmHg
ব্যাখ্যা
Explanation
১৪.
Which antihypertensive is contraindicated in pregnancy?
  1. ক
    ক) β-blockers
  2. খ
    খ) ACE inhibitors
  3. গ
    গ) Calcium channel blockers
  4. ঘ
    ঘ) All above
ব্যাখ্যা
Reference: Davidson 23rd, Box-16.72
১৫.
which one of the following is a Minor manifestation of rheumatic fever.
  1. ক
    ক) Fever
  2. খ
    খ) Carditis
  3. গ
    গ) Polyarthritis
  4. ঘ
    ঘ) Chorea
১৬.
Which one of the following is pathognomonic for rheumatic fever?
  1. ক
    ক) Chorea
  2. খ
    খ) Erythema marginatum
  3. গ
    গ) Aschoff nodules
  4. ঘ
    ঘ) Subcutaneous nodules
ব্যাখ্যা
Explanation: Aschoff nodules is pathognomonic for rheumatic fever and occur only in the heart
১৭.
Loud first heart sound, opening snap, Mid-diastolic murmur. These are the feature of which type of vulvular heat disease?
  1. ক
    ক) Mitral stenosis
  2. খ
    খ) Tricuspid stenosis
  3. গ
    গ) Aortic stenosis
  4. ঘ
    ঘ) Pulmonary stenosis
ব্যাখ্যা
Explanation: Loud first heart sound, opening snap Mid-diastolic murmur. These are the Auscultation finding of MS
১৮.
Which of the following is the preferred investigation for vulvular heat disease?
  1. ক
    ক) Echocardiography
  2. খ
    খ) ECG
  3. গ
    গ) ETT
  4. ঘ
    ঘ) CT chest
ব্যাখ্যা
Explanation: Echocardiography is a pivotal investigation for vulvular heat disease
১৯.
Which one of following is the the most common cause of acute endocarditis?
  1. ক
    ক) Enterococcus spp.
  2. খ
    খ) Viridans streptococci
  3. গ
    গ) Staph. aureus
  4. ঘ
    ঘ) Strep. gallolyticus
ব্যাখ্যা
Explanation: Staph. aureus has now overtaken streptococci as the most common cause of acute endocarditis
২০.
Which of the following is the pivotal investigation for infective endocarditis?
  1. ক
    ক) Echocardiography
  2. খ
    খ) ECG
  3. গ
    গ) ETT
  4. ঘ
    ঘ) Blood culture
ব্যাখ্যা
Explanation: Blood culture is the pivotal investigation to identify the organism that is the cause of the infection and to guide antibiotic therapy.
২১.
Which one is not appropriate finding on bed side examination of pneumonia patient?
  1. ক
    ক) Bronchial breath sounds
  2. খ
    খ) increase vocal resonance
  3. গ
    গ) Percussion-hyper-resonant
  4. ঘ
    ঘ) Tachypnoea
ব্যাখ্যা
Explanation: Percussion-hyper-resonant is a feature of pneumothorax, Davidson 23rd page-547
২২.
The accumulation of serous fluid within the pleural space is termed as..
  1. ক
    ক) Empyema
  2. খ
    খ) Haemothorax
  3. গ
    গ) pleural effusion.
  4. ঘ
    ঘ) chylothorax
ব্যাখ্যা
Explanation: The accumulation of serous fluid within the pleural space is termed pleural effusion. The accumulation of frank pus is termed empyema (that of blood is haemothorax, and that of chyle is a chylothorax
২৩.
Which one of the following causes unilateral pleural effusion?
  1. ক
    ক) Cardiac failure
  2. খ
    খ) Pulmonary infarction
  3. গ
    গ) Malignant disease
  4. ঘ
    ঘ) Nephrotic syndrome
ব্যাখ্যা
Reference: Davidson 23rd: Box-17.12
২৪.
Which one of the following is an example of transudative pleural effusion?
  1. ক
    ক) Tuberculosis
  2. খ
    খ) Malignant disease
  3. গ
    গ) Cardiac failure
  4. ঘ
    ঘ) Rheumatoid disease
ব্যাখ্যা
Reference: Davidson 23rd: Box-17.13
২৫.
Example of Chronic type-1 Repiratory failure is..
  1. ক
    ক) Acute asthma
  2. খ
    খ) Pulmonary oedema
  3. গ
    গ) Pneumonia
  4. ঘ
    ঘ) Lung fibrosis
ব্যাখ্যা
Explanation:
২৬.
A diurnal variation in PEF of more than 20% is considered diagnostic of which of the following condition?
  1. ক
    ক) Br. Asthma
  2. খ
    খ) COPD
  3. গ
    গ) Lung fibrosis
  4. ঘ
    ঘ) Empyema
ব্যাখ্যা
Explanation: A diurnal variation in PEF of more than 20% is considered diagnostic for Bronchial asthma
২৭.
Which of the following is not a feature of Acute severe asthma?
  1. ক
    ক) PEF 33–50% predicted (< 200 L/min)
  2. খ
    খ) Heart rate ≥ 110 beats/min
  3. গ
    গ) Respiratory rate ≥ 15 breaths/min
  4. ঘ
    ঘ) Inability to complete sentences in 1 breath
ব্যাখ্যা
Explanation:
২৮.
Which teratment option is central to the management of breathlessness in a COPD patient?
  1. ক
    ক) O2 inhalation
  2. খ
    খ) Brochodialator
  3. গ
    গ) Oral glucocorticoids
  4. ঘ
    ঘ) Pulmonary rehabilitation
ব্যাখ্যা
Explanation: Bronchodilator therapy is central to the management of breathlessness
২৯.
Which of the following is the most common cause of Brochiectasis?
  1. ক
    ক) Suppurative pneumonia
  2. খ
    খ) Pulmonary tuberculosis
  3. গ
    গ) Lung abscess
  4. ঘ
    ঘ) Empyema
ব্যাখ্যা
Explanation: Tuberculosis is the most common cause worldwide
৩০.
Investigation of choise for Brochiectasis
  1. ক
    ক) CXR
  2. খ
    খ) MRI
  3. গ
    গ) HRCT
  4. ঘ
    ঘ) Brochoscopy
ব্যাখ্যা
Explanation: CT is much more sensitive and shows thickened, dilated airways
৩১.
Acute coryza is the most common URTI and is usually the result of which of the following organism?
  1. ক
    ক) S. Aureus
  2. খ
    খ) S. penumoniae
  3. গ
    গ) H. influenzae
  4. ঘ
    ঘ) Rhinovirus
ব্যাখ্যা
Explanation: Acute coryza is the most common URTI and is usually the result of rhinovirus infection
৩২.
Factors that predispose to pneumonia excludes..
  1. ক
    ক) Cigarette smoking
  2. খ
    খ) Lower respiratory tract Infections
  3. গ
    গ) Alcohol
  4. ঘ
    ঘ) Glucocorticoid therapy
ব্যাখ্যা
Explanation:
৩৩.
Which of the following is the most common infecting agent causing Community-acquired pneumonia?
  1. ক
    ক) Streptococcus pneumoniae
  2. খ
    খ) Mycoplasma pneumoniae
  3. গ
    গ) Legionella pneumophila
  4. ঘ
    ঘ) Chlamydia pneumonia
ব্যাখ্যা
Explanation:
৩৪.
Which one isn’t correct regarding CURB-65 score of pneumonia?
  1. ক
    ক) Confusion
  2. খ
    খ) Urea > 11 mmol/L
  3. গ
    গ) Respiratory rate > 30/min
  4. ঘ
    ঘ) Blood pressure (systolic < 90 mmHg or diastolic < 60 mmHg)
ব্যাখ্যা
Explanation:
৩৫.
What is the Common complication of pneumonia?
  1. ক
    ক) Para-pneumonic effusion
  2. খ
    খ) Empyema
  3. গ
    গ) Retention of sputum causing lobar collapse
  4. ঘ
    ঘ) Deep vein thrombosis and pulmonary embolism
ব্যাখ্যা
Explanation:
৩৬.
Night sweats is a clinical feature of which of the following condition?
  1. ক
    ক) Infective endocarditis
  2. খ
    খ) Heart failure
  3. গ
    গ) Cardiac temponade
  4. ঘ
    ঘ) Enteric fever
ব্যাখ্যা
Explanation: Night sweats is common in TB & infective endocarditis
৩৭.
Which one is the gold standard investigation for Tuberculosis?
  1. ক
    ক) CXR
  2. খ
    খ) NAAT
  3. গ
    গ) CT
  4. ঘ
    ঘ) Culture
ব্যাখ্যা
Explanation: Culture is gold standard investigation for Tuberculosis
৩৮.
Which anti-TB drug cause Peripheral neuropathy?
  1. ক
    ক) Isoniazid
  2. খ
    খ) Rifampicin
  3. গ
    গ) Pyrazinamide
  4. ঘ
    ঘ) Streptomycin
ব্যাখ্যা
Explanation:
৩৯.
Which anti-TB drug cause Hyperuricaemia?
  1. ক
    ক) Isoniazid
  2. খ
    খ) Rifampicin
  3. গ
    গ) Pyrazinamide
  4. ঘ
    ঘ) Streptomycin
ব্যাখ্যা
Explanation: please see question 45
৪০.
Which one is responsible for most common cause of death from cancer worldwide?
  1. ক
    ক) Breast Cancer
  2. খ
    খ) Ovarian cancer
  3. গ
    গ) Lung Cancer
  4. ঘ
    ঘ) Liver Cancer
ব্যাখ্যা
Explanation: Lung cancer is the most common cause of death from cancer worldwide
৪১.
Which one is the most common early symptom of lung cancer?
  1. ক
    ক) Weight loss
  2. খ
    খ) Haemoptysis
  3. গ
    গ) Cough
  4. ঘ
    ঘ) Breathlessness
ব্যাখ্যা
Explanation: Cough is the most common early symptom
৪২.
The combination of absent breath sounds and a resonant percussion note is diagnostic of which of the following disease?
  1. ক
    ক) Pneumonia
  2. খ
    খ) Fibrosis
  3. গ
    গ) Pneumothorax
  4. ঘ
    ঘ) Lung abscess
ব্যাখ্যা
Explanation: The combination of absent breath sounds and a resonant percussion note is diagnostic of pneumothorax