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স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

পরীক্ষাস্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্সতারিখতারিখ অনির্ধারিতসময়30 minutes
মোট প্রশ্ন৪৭
সিলেবাস
Medicine-07 - Neurological disease - Cerebrovascular disease, Meningitis, Encephalitis, Epilepsy, Peripheral neuropathy, Management of unconscious patient. Medical Psychiatry - Anxiety neurosis, Depression, Dissociative disorder, Somatoform, disorder etc.
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স · তারিখ অনির্ধারিত · ৪৭ প্রশ্ন

.
Psychiatric illness that risks suicide
  1. ক) Anxiety disorders
  2. খ) Depressive illness
  3. গ) Somatoform disorder
  4. ঘ) Eating disorder
.
Bell’s palsy
  1. ক) Lower motor neuron lesion of 7th nerve palsy
  2. খ) Upper motor neuron lesion of 7th nerve palsy
  3. গ) Both of them
  4. ঘ) None of them
ব্যাখ্যা
Davidson 23rd; P-1082
.
Mood stabilizing drugs excludes
  1. ক) Lithium
  2. খ) Valproate
  3. গ) Phenothiazine
  4. ঘ) Lamotrigine
.
Which may help to establish type of epilepsy & guide therapy?
  1. ক) ECG
  2. খ) EEG
  3. গ) MRI
  4. ঘ) NCS
ব্যাখ্যা
Davidson 23rd; P-1102
.
Not a negative symptom of schizophrenia
  1. ক) Avolition
  2. খ) Autism
  3. গ) Alogia
  4. ঘ) Anhedonia
.
Most common pathogen of meningitis?
  1. ক) Virus
  2. খ) Bacteria
  3. গ) Fungus
  4. ঘ) Parasite
ব্যাখ্যা
Davidson 23rd; P-1118
.
Adverse effect of antipsychotic drugs due to dopamine blockade
  1. ক) Dry mouth
  2. খ) Constipation
  3. গ) Gynecomastia
  4. ঘ) Impotence
.
Most common virus for meningitis?
  1. ক) HSV-1
  2. খ) HSV-2
  3. গ) Enterovirus
  4. ঘ) VZV
ব্যাখ্যা
Davidson 23rd; P-1118
.
Mood disorders excludes
  1. ক) Unipolar depression
  2. খ) Unipolar mania
  3. গ) Bipolar disorders
  4. ঘ) Dysthymia
১০.
Most serious cause of viral encephalitis
  1. ক) HSV
  2. খ) VZV
  3. গ) Enterovirus
  4. ঘ) EBV
ব্যাখ্যা
Davidson 23rd; P-1121
১১.
Which of the following is persistent?
  1. ক) Phobia
  2. খ) Panic
  3. গ) GAD
  4. ঘ) OCD
১২.
Classical presentation of stroke
  1. ক) Aphasia
  2. খ) Unilateral weakness
  3. গ) Unconsciousness
  4. ঘ) Seizure
ব্যাখ্যা
Davidson 23rd; P-1152
১৩.
Frequent hand washing is an example of
  1. ক) Phobia
  2. খ) Panic
  3. গ) GAD
  4. ঘ) OCD
১৪.
‘Distortion of body image so that patients regard themselves as fat even when grossly underweight’- indicates
  1. ক) Anorexia nervosa
  2. খ) Bulimia nervosa
  3. গ) Depression
  4. ঘ) Mania
১৫.
Most common cause of bacterial meningitis in older child & adult
  1. ক) Escherichia
  2. খ) Listeria
  3. গ) Hemophilus
  4. ঘ) Neisseria
১৬.
1st line drug for absence seizure
  1. ক) Lamotrigine
  2. খ) Valproate
  3. গ) Ethosuximide
  4. ঘ) Levetiracetam
১৭.
2nd line drug for GTCS
  1. ক) Lamotrigine
  2. খ) Valproate
  3. গ) Ethosuximide
  4. ঘ) Levetiracetam
১৮.
Not a feature of LMNL
  1. ক) Wasting
  2. খ) Extensor planter response
  3. গ) Fasciculation
  4. ঘ) Typically focal
১৯.
CSF shows polymorphocytosis in
  1. ক) Acute bacterial meningitis
  2. খ) Viral meningitis
  3. গ) Tubercular meningitis
  4. ঘ) SAH
২০.
Commonest vessel involved in ischemic stroke
  1. ক) ACA
  2. খ) MCA
  3. গ) PCA
  4. ঘ) None of them
২১.
Xanthochromia is a feature of
  1. ক) TIA
  2. খ) Ischemic stroke
  3. গ) SAH
  4. ঘ) Brain abscess
২২.
Choice of investigation in stroke if presented after 7 days
  1. ক) CT
  2. খ) MRI
  3. গ) CTPA
  4. ঘ) MRA
২৩.
Rosier scale is related to
  1. ক) Epilepsy
  2. খ) Stroke
  3. গ) Meningitis
  4. ঘ) Encephalitis
২৪.
A belief that one has special power indicates which type of delusion?
  1. ক) Persecutory
  2. খ) Hypochondriacal
  3. গ) Grandiose
  4. ঘ) Nihilistic
২৫.
Somatic symptom of depression
  1. ক) Loss of interest
  2. খ) Guilt
  3. গ) Anhedonia
  4. ঘ) Fatigue
২৬.
Anxiety mimics
  1. ক) Hypothyroidism
  2. খ) Hypothermia
  3. গ) Hypoglycemia
  4. ঘ) Hypocalcemia
২৭.
Symptoms of anxiety excludes
  1. ক) Worry
  2. খ) Suicidal thinking
  3. গ) Apprehension
  4. ঘ) Irritability
২৮.
‘Constructional apraxia’ occurs due to damage in
  1. ক) Temporal dominant lobe
  2. খ) Temporal non dominant lobe
  3. গ) Parietal dominant lobe
  4. ঘ) Parietal non dominant lobe
ব্যাখ্যা
Reference: Davidson 23rd, Page: 1066 , Box : 25.2
২৯.
Fundamental feature of Parkinson’s disease
  1. ক) Loss of postural reflexes
  2. খ) Rigidity
  3. গ) Resting tremor
  4. ঘ) Akinesia
ব্যাখ্যা
Reference: Davidson 23rd; P- 1112 (Box-25.55)
৩০.
Thunderclap headache is found in
  1. ক) Meningitis
  2. খ) SAH
  3. গ) Brain abscess
  4. ঘ) Brain tumor
ব্যাখ্যা
In SAH the pattern of headache is thunder cap in nature.
৩১.
Brain imaging in Huntington’s disease may show atrophy of
  1. ক) Internal capsule
  2. খ) Caudate nucleus
  3. গ) Amygdala
  4. ঘ) Subthalamic nucleus
ব্যাখ্যা
Reference: Davidson 23rd; P- 1115
৩২.
Patient thinks rope as snake when the patient is in
  1. ক) Delusion
  2. খ) Illusion
  3. গ) Hallucination
  4. ঘ) Perversion
ব্যাখ্যা
Illusion is a false interpretation.
৩৩.
Most common clinical types of stroke
  1. ক) Total anterior circulation stroke
  2. খ) Partial anterior circulation stroke
  3. গ) Lacunar stroke
  4. ঘ) Posterior circulation stroke
ব্যাখ্যা
Reference: Davidson 23rd; P- 1150 (Box-26.1)
৩৪.
Commonest site of subarachnoid haemorrhage
  1. ক) Anterior cerebral artery
  2. খ) Posterior communicating artery
  3. গ) Anterior communicating artery
  4. ঘ) Posterior cerebral artery
ব্যাখ্যা
Reference: Davidson 23rd, Page: 1160
Explanation: most common site of SAH are Anterior communicating artery (30%)
৩৫.
What is the most evident symptom of myasthenia gravis?
  1. ক) Fatigable muscle weakness
  2. খ) Intermittent diplopia
  3. গ) Worsening of symptoms following exercise
  4. ঘ) Respiratory failure
ব্যাখ্যা
Reference: Davidson 23rd, Page: 1141
Explanation: The most evident symptom is fatigable muscle weakness. Worsening of symptoms towards the end of the day or following exercise is characteristic.
৩৬.
Which is the functional somatic syndromes of Ear, nose & throat?
  1. ক) Temporomandibular joint dysfunction
  2. খ) Functional dyspepsia
  3. গ) Globus syndrome
  4. ঘ) Atypical facial pain
ব্যাখ্যা
Reference: Davidson 23rd , Page : 1187 , Box : 28.11
৩৭.
Which is the drug of choice for bipolar disorder?
  1. ক) Lamotrigine
  2. খ) Sodium valproate
  3. গ) Lithium carbonate
  4. ঘ) Risperidone
ব্যাখ্যা
Reference: Davidson 23rd , Page : 1200
Explanation : Lithium carbonate is the drug of first choice for bipolar disorder.
৩৮.
In a psychiatric word a patient complains ‘My head is missing’ , ‘ I am dead’ - what should you suspect ?
  1. ক) Nihilistic delusion
  2. খ) Hypochondriac delusion
  3. গ) Persecutory delusion
  4. ঘ) Delusion of grandiose
ব্যাখ্যা
Reference: Davidson 23rd , Page : 1184
Explanation : Nihilistic delusion- My head is missing , I have no body or I am dead
৩৯.
Color of CSF in viral meningitis
  1. ক) Cloudy
  2. খ) Clear
  3. গ) Blood stained
  4. ঘ) Straw colored
৪০.
Before lumber puncture which investigation should be done?
  1. ক) CT
  2. খ) MRI
  3. গ) Fundoscopy
  4. ঘ) CBC
ব্যাখ্যা
Before doing lumbar puncture, fundoscopy should be done to see papilloedema to exclude raised intracranial pressure.
৪১.
Encephalitis is the inflammation of
  1. ক) Meninges
  2. খ) Brain parenchyma
  3. গ) CSF
  4. ঘ) Venous sinuses
ব্যাখ্যা
Encephalitis is the inflammation of brain parenchyma.
৪২.
Lumber puncture is very useful for diagnosis of
  1. ক) Stroke
  2. খ) Meningitis
  3. গ) Encephalitis
  4. ঘ) Epilepsy
ব্যাখ্যা
CSF is obtained from lumber puncture.
৪৩.
Most common cause of bacterial meningitis in neonate
  1. ক) Escherichia
  2. খ) Listeria
  3. গ) Hemophilus
  4. ঘ) Neisseria
৪৪.
Most common cause of SAH
  1. ক) Rupture of congenital Berry aneurysm
  2. খ) Head injury
  3. গ) Leaking arteriovenous malformation
  4. ঘ) Hemangioma
৪৫.
In a stroke patient oxygen should be given if saturation is below
  1. ক) 99%
  2. খ) 97%
  3. গ) 96%
  4. ঘ) 95%
৪৬.
Nerve involved in carpal tunnel syndrome
  1. ক) Median
  2. খ) Ulnar
  3. গ) Radial
  4. ঘ) Common peroneal
৪৭.
Passive flexion of the neck causes flexion of hips & knees indicates
  1. ক) Neck rigidity
  2. খ) Brudzinsky’s sign
  3. গ) Kernig’s sign
  4. ঘ) Auspitz sign
ব্যাখ্যা
This is a sign of meningitis.