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স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

পরীক্ষাস্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্সতারিখতারিখ অনির্ধারিতসময়30 minutes
মোট প্রশ্ন৪১
সিলেবাস
Medicine-03 - Immunologic disorders: Basic facts of Immunology, Immunologic deficiency diseases Sexually transmitted disease: Gonorrhoea, Syphilis, Non-Gonococcal urethritis. Diseases due to infections: Approach to infectious diseases-diagnostic and therapeutic principles. General principles and rational use of antibiotics. Dengue. Enteric fever. Amoebiasis, Giardiasis. Kala-azar. Malaria. Filariasis. Rabies. Tuberculosis. HIV/AIDS. Leprosy. Cholera, Diarrheal Disease. Nephrology & Urinary System: Nephritic & Nephrotic Illness. UTI/Pyelonephritis. ARF, CRF Nutritional metabolic & environmental diseases
প্রশ্ন দেখুনঅনুশীলন
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স · তারিখ অনির্ধারিত · ৪১ প্রশ্ন

১.
Diseases associated with mosquito bite excludes..
  1. ক
    ক) Malaria
  2. খ
    খ) dengue fever
  3. গ
    গ) Amoebiasis
  4. ঘ
    ঘ) Filariasis
ব্যাখ্যা
Explanation: Diseases associated with mosquito bite includes Malaria, dengue fever, Chikungunya, filariasis, tularaemia
২.
Which of the following features suggest severe dengue?
  1. ক
    ক) Gastrointestinal haemorrhage
  2. খ
    খ) Abdominal pain or tenderness
  3. গ
    গ) Persistent vomiting
  4. ঘ
    ঘ) pleural effusion or ascites
ব্যাখ্যা
Reference: Davidson 23rd, Box-11.35
৩.
Which one of the following is the specific investigation for thyphoid fever?
  1. ক
    ক) CBC
  2. খ
    খ) Stool cultures
  3. গ
    গ) Widal test
  4. ঘ
    ঘ) Blood culture
ব্যাখ্যা
Explanation: Blood culture is the specific investigation for thyphoid fever
৪.
Cardinal feature of leprosy excludes..
  1. ক
    ক) Skin lesions, typically anaesthetic at tuberculoid end of spectrum
  2. খ
    খ) Thickened peripheral nerves
  3. গ
    গ) hyperpigmented patch
  4. ঘ
    ঘ) Acid-fast bacilli on skin smears or biopsy
৫.
M. leprae has tropism for which type of cell?
  1. ক
    ক) RBC
  2. খ
    খ) WBC
  3. গ
    গ) Platelet
  4. ঘ
    ঘ) Schwann cells
ব্যাখ্যা
Explanation: M. leprae has tropism for Schwann cells and skin macrophages.
৬.
Plasmodium falciparum is a...
  1. ক
    ক) Virus
  2. খ
    খ) Bacteria
  3. গ
    গ) Parasite
  4. ঘ
    ঘ) Fungus
ব্যাখ্যা
Explanation: Plasmodium falciparum is a Parasite
৭.
Preferred therapy for severe malaria is..
  1. ক
    ক) Co-artemether
  2. খ
    খ) Artesunate
  3. গ
    গ) Quinine
  4. ঘ
    ঘ) Chloroquine
ব্যাখ্যা
Reference: Davidson 23rd, Box-11.55
৮.
rK39 test is used for antigen detection for diagnosis of which of the following disease?
  1. ক
    ক) Malaria
  2. খ
    খ) Dengue
  3. গ
    গ) Kala-azar
  4. ঘ
    ঘ) Schistosomiasis
ব্যাখ্যা
Explanation: In endemic regions, a highly sensitive direct agglutination test using stained promastigotes and an equally efficient rapid immunochromatographic k39 strip test have become popular for the Diagnosis of Visceral Leishmaniasis
৯.
Amoebiasis is caused by which of the following organism?
  1. ক
    ক) Ancylostoma duodenale
  2. খ
    খ) Entamoeba histolytica
  3. গ
    গ) Ascaris lumbricoides
  4. ঘ
    ঘ) Enterobius vermicularis
ব্যাখ্যা
Explanation: Amoebiasis is caused by Entamoeba histolytica
১০.
Which of the following is not a first line anti TB drug?
  1. ক
    ক) Isoniazid
  2. খ
    খ) Rifampicin
  3. গ
    গ) Metformin
  4. ঘ
    ঘ) Ethambutol
ব্যাখ্যা
Explanation: Metformin- is an oral anti diabetic drug
১১.
HIV mainly transmits through which of the following route?
  1. ক
    ক) Blood transfusion
  2. খ
    খ) Anal intercourse
  3. গ
    গ) Vaginal delivery
  4. ঘ
    ঘ) sharing needles
ব্যাখ্যা
Explanation: HIV mainly transmits through Blood transfusion (90%)
১২.
Features of primary HIV infection excludes..
  1. ক
    ক) Fever
  2. খ
    খ) Maculopapular rash
  3. গ
    গ) Constipation
  4. ঘ
    ঘ) Pharyngitis
১৩.
Which organism commonly causes urethritis?
  1. ক
    ক) Gonorrhea
  2. খ
    খ) Chlamydia
  3. গ
    গ) Trichomonas vaginalis,
  4. ঘ
    ঘ) Mycoplasmas
ব্যাখ্যা
Explanation: Neisseria gonorrhoeae is the most common organism causing urethritis
১৪.
Syphilis is caused by which of the folloing organism?
  1. ক
    ক) Neisseria gonorrhoeae
  2. খ
    খ) Treponema pallidum
  3. গ
    গ) Chlamydia trachomatis
  4. ঘ
    ঘ) Human papillomaviruses
ব্যাখ্যা
Explanation: Syphilis is caused by infection, through abrasions in the skin or mucous membranes, with the spirochaete Treponema pallidum.
১৫.
Which is the specific test for Syphilis?
  1. ক
    ক) VDRL
  2. খ
    খ) RPR
  3. গ
    গ) TPHA
  4. ঘ
    ঘ) None of the above
১৬.
Chancroid is a sexually transmitted infection caused by which of the folloing organism?
  1. ক
    ক) Neisseria gonorrhoeae
  2. খ
    খ) Treponema pallidum
  3. গ
    গ) Chlamydia trachomatis
  4. ঘ
    ঘ) Haemophilus ducreyi
ব্যাখ্যা
Reference: Davidson 23rd, Box-13.12
১৭.
Which of the following isa cell of of the adaptive immune system
  1. ক
    ক) T lymphocyte
  2. খ
    খ) Neutrophil
  3. গ
    গ) Eosinophil
  4. ঘ
    ঘ) Mast cell
১৮.
Which is not a phagocytic cell?
  1. ক
    ক) Neutrophils
  2. খ
    খ) Lymphocyte
  3. গ
    গ) monocytes
  4. ঘ
    ঘ) Macrophages
ব্যাখ্যা
Explanation: phagocytic cell includes neutrophils, monocytes and macrophages
১৯.
Which one is a primary lymphoid organ?
  1. ক
    ক) Thymus
  2. খ
    খ) Spleen
  3. গ
    গ) lymph nodes
  4. ঘ
    ঘ) and mucosa-associated lymphoid tissue
২০.
Humoral immunity is mediated by which of the following cell?
  1. ক
    ক) T lymphocyte
  2. খ
    খ) B lymphocyte
  3. গ
    গ) Neutrophil
  4. ঘ
    ঘ) Eosinophil
ব্যাখ্যা
Explanation: Humoral immunity is mediated by B lymphocytes, which differentiate from haematopoietic stem cells in the bone marrow.
২১.
Both ESR & CRP raised in which of the following condition?
  1. ক
    ক) Systemic lupus erythematosus
  2. খ
    খ) Sjögren’s syndrome
  3. গ
    গ) Crohn’s disease
  4. ঘ
    ঘ) Ulcerative colitis
ব্যাখ্যা
Reference: Davidson 23rd, Box-4.4
২২.
Which of the following is an example of type-II hypersensitivity?
  1. ক
    ক) Allergic disease
  2. খ
    খ) Autoimmune haemolytic anaemia
  3. গ
    গ) Systemic lupus erythematosus
  4. ঘ
    ঘ) Hashimoto’s thyroiditis
২৩.
Most common type of graft rejection?
  1. ক
    ক) Hyperacute rejection
  2. খ
    খ) Acute cellular rejection
  3. গ
    গ) Acute vascular rejection
  4. ঘ
    ঘ) Chronic allograft failure
ব্যাখ্যা
Acute cellular rejection is the most common form of graft rejection.
২৪.
The presence of leucocytes and nitrites in urine is indicative of
  1. ক
    ক) UTI
  2. খ
    খ) AKI
  3. গ
    গ) NS
  4. ঘ
    ঘ) AGN
২৫.
Oliguria is defined as being present when less than which ammount of urine is passed per day?
  1. ক
    ক) 200ml
  2. খ
    খ) 300ml
  3. গ
    গ) 400ml
  4. ঘ
    ঘ) 500ml
ব্যাখ্যা
Explanation: Oliguria is defined as being present when less than 400 mL of urine is passed per day, whereas anuria is deemed to exist when less than 100 mL of urine is passed per day
২৬.
Which of the following is not a feature of nephritic syndrome?
  1. ক
    ক) Oedema and generalised fluid retention
  2. খ
    খ) polyurea
  3. গ
    গ) Haematuria
  4. ঘ
    ঘ) Reduced renal function
ব্যাখ্যা
EXplanation: The nephritic syndrome is characterised by the presence of haematuria in association with hypertension, oliguria, fluid retention and reduced/declining renal function
২৭.
Which one is a prominent feature of nephrotic syndrome?
  1. ক
    ক) Haematuria
  2. খ
    খ) Hypertension
  3. গ
    গ) Reduced renal function
  4. ঘ
    ঘ) Overt proteinuria
২৮.
Which type of nephrotic syndrome is more common in children?
  1. ক
    ক) Minimal change disease
  2. খ
    খ) Focal segmental glomerulosclerosis
  3. গ
    গ) Membranous nephropathy
  4. ঘ
    ঘ) Diabetic nephropathy
ব্যাখ্যা
Reference: Davidson 23rd, Box-15.10
২৯.
Complication of nephrotic syndrome includes?
  1. ক
    ক) Hypoalbuminaemia
  2. খ
    খ) Avid sodium retention
  3. গ
    গ) Hypercholesterolaemia
  4. ঘ
    ঘ) All above
ব্যাখ্যা
Reference: Davidson 23rd, Box-15.11
৩০.
Which of the following is a pre-renal cause of AKI?
  1. ক
    ক) Drugs
  2. খ
    খ) Toxins
  3. গ
    গ) Cardiac failure
  4. ঘ
    ঘ) Infection
৩১.
Which is not a usual examination finding of pre-renal AKI?
  1. ক
    ক) Tachycardia
  2. খ
    খ) Hypertension
  3. গ
    গ) Weight decrease
  4. ঘ
    ঘ) Dry mucous membranes
ব্যাখ্যা
Reference: In pre-renal AKI, usually develops hypotension not hypertension. Davidson 23rd, Box-15.25
৩২.
CKD usually develops over a period of
  1. ক
    ক) Days
  2. খ
    খ) weeks
  3. গ
    গ) Months
  4. ঘ
    ঘ) Years
ব্যাখ্যা
Explanation: Chronic kidney disease (CKD) refers to an irreversible deterioration in renal function that usually develops over a period of years Initially, it manifests only as a biochemical abnormality but, eventually, loss of the excretory, metabolic and endocrine functions of the kidney leads to the clinical symptoms and signs of renal failure, collectively referred to as uraemia
৩৩.
Followings are Essential amino acid, excludes?
  1. ক
    ক) Tryptophan
  2. খ
    খ) Histidine
  3. গ
    গ) Serine
  4. ঘ
    ঘ) Methionine
৩৪.
Obesity is regarded as a..?
  1. ক
    ক) Epidemic
  2. খ
    খ) Pandemic
  3. গ
    গ) Outbreak
  4. ঘ
    ঘ) Cluster
ব্যাখ্যা
Explanation: Obesity is regarded as a pandemic, with potentially disastrous consequences for human health.
৩৫.
Among Asians, BMI > 25.5 indicates...
  1. ক
    ক) Reference range
  2. খ
    খ) Overweight
  3. গ
    গ) Obese
  4. ঘ
    ঘ) Under weight
ব্যাখ্যা
Explanation: among Asians, BMI > 23.0 is overweight and > 25.0 is obese.
৩৬.
Which one is a water-soluble vitamin?
  1. ক
    ক) A
  2. খ
    খ) B
  3. গ
    গ) D
  4. ঘ
    ঘ) E
ব্যাখ্যা
Explanation: Vitamins are organic substances with key roles in certain metabolic pathways, and are categorised into those that are fat-soluble (vitamins A, D, E and K) and those that are water-soluble (vitamins of the B complex group and vitamin C).
৩৭.
Which one is a rich source of vitamin C?
  1. ক
    ক) Citrus fruit
  2. খ
    খ) Fresh fruit
  3. গ
    গ) fresh and frozen vegetables
  4. ঘ
    ঘ) Liver
ব্যাখ্যা
Davidson 23rd, Box-19.28
৩৮.
Defficiency of folate level is best assessed by which of the following invstigation?
  1. ক
    ক) RBC folate level
  2. খ
    খ) S.Ferritin
  3. গ
    গ) Plasma folate level
  4. ঘ
    ঘ) Bone marrow folote level
ব্যাখ্যা
Explanation: Red cell folate levels are a more accurate indicator of folate stores and tissue folate deficiency.
৩৯.
Wernicke’s encephalopathy is caused by which of the following vitamin deficiency?
  1. ক
    ক) Thiamin
  2. খ
    খ) Riboflavin
  3. গ
    গ) Niacin
  4. ঘ
    ঘ) Pyridoxine
ব্যাখ্যা
Explanation: Dry (or neurological) beri-beri manifests with chronic peripheral neuropathy and with wrist and/or foot drop, and may cause Korsakoff’s psychosis and Wernicke’s encephalopathy
৪০.
which of the following is required for synthesis of thyroid hormones?
  1. ক
    ক) Calcium
  2. খ
    খ) Iron
  3. গ
    গ) Iodine
  4. ঘ
    ঘ) Sodium
ব্যাখ্যা
Explanation: Iodine is required for synthesis of thyroid hormones
৪১.
Which of the following is the most abundant cation in the body?
  1. ক
    ক) Calcium
  2. খ
    খ) Iron
  3. গ
    গ) Iodine
  4. ঘ
    ঘ) Sodium
ব্যাখ্যা
Explanation: Calcium is the most abundant cation in the body and powerful homeostatic mechanisms control circulating ionised calcium levels.