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

পরীক্ষা৪৮তম বিশেষ বিসিএস [স্বাস্থ্য] ⎯ মেডিকেল অংশ [Archived]তারিখতারিখ অনির্ধারিতসময়20 minutes
মোট প্রশ্ন৩৯
সিলেবাস
Exam - 16 Surgery-02 Management of: 1. Common surgical diseases of alimentary system 2. Acute retention of urine 3. Acute epididymo-orchitis 4. Torsion testis, Paraphimosis / Phimosis 5. DVT (Deep Vein Thrombosis) 6. Head injury 7. Osteomyelitis 8. Gastric outlet obstruction 9. Sub-acute intestinal obstruction 10. Common malignancies 11. Epistaxis Acute abdomen
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

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

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

.
Which is the most common cause of acute retention of urine in male?
  1. Phimosis
  2. Urethral stricture
  3. Bladder outlet obstruction
  4. Acute prostatitis
.
What is the standard urethral catheter size for adult male for uncomplicated catheterization?
  1. 12 Fr
  2. 14 Fr
  3. 16 Fr
  4. 18 Fr
.
Which is the most common pathogen responsible for acute epididymo-orchitis?
  1. Neisseria gonorrhoeae
  2. Chlamydia trachomatis
  3. Escherichia coli
  4. Ureaplasma urelyticum
.
Which is the most common cause of testicular torsion in adolescents?
  1. High investement of tunica vaginalis
  2. Inversion of the testis
  3. Separation of the epididymis from testis
  4. Persistent processus vaginalis
.
For testicular salvage, surgery in testicular torsion should be performed within-
  1. 12 hours
  2. 8 hours
  3. 4 hours
  4. 6 hours
.
Which is not a cause of phimosis in adults?
  1. Urinary tract infection
  2. Lichen sclerosis
  3. Posthitis
  4. Balanitis
.
Which is not a recognised treatment option for paraphimosis?
  1. Injection of hyaluronidase
  2. Ventral slit of prepuce
  3. Circumcision
  4. Gentle manual compression
.
Which is not a component of Virchow's triad?
  1. Thrombophilia
  2. Stasis
  3. Endothelial injury
  4. Thrombocytopenia
.
The risk of thrombosis is increased by-
  1. Exercise
  2. Factor-V Leiden
  3. Antithrombin-III
  4. Protein-C
১০.
Which is the following tests is most sensitive to rule out DVT?
  1. APTT
  2. Prothrombin time
  3. Platelet count
  4. D-dimer
১১.
Which is the first line treatment for established deep vein thrombosis?
  1. Warfarin
  2. Low molecular weight heparin
  3. Rivaroxaban
  4. Dabigatran
ব্যাখ্যা

১২.
Extradural hematoma is most commonly caused by rupture of the-
  1. Superficial temporal artery
  2. Accessory meningeal artery
  3. Middle meningeal artery
  4. Bridging dural veins
১৩.
Which is the ideal treatment option for acute subdural hemorrhage?
  1. Burr hole surgery
  2. Craniotomy
  3. Conservative
  4. Calcium channel blockers
১৪.
A major head injury is defined as-
  1. GCS <10
  2. GCS 3-8
  3. GCS <5
  4. GCS 9-13
১৫.
Which is an indication of performing CT within 1 hour of head injury?
  1. More than one episode of vomiting
  2. Age >65 years
  3. Fall from height
  4. Retrograde amnesia >30 minutes
১৬.
Which is the most common cause of acute osteomyelitis in children?
  1. Streptococcus pyogenes
  2. Kingella kingae
  3. Staphylococcus aureus
  4. Streptococcus pneumonae
ব্যাখ্যা
Most common organism for acute osteomyelitis in all settings and all age groups is Staphylococcus aureus.
১৭.
Which is the imaging of choice acute osteomyelitis?
  1. Plain radiograph
  2. Ultrasound
  3. CT scan
  4. MRI
১৮.
Which is the gold standard investigation for diagnosis of achalasia cardia?
  1. Endoluminal ultrasound
  2. Ambulatory pH recording
  3. High resolution manometry
  4. Upper GI endoscopy
১৯.
Which is the most common type of hiatus hernia?
  1. Sliding hernia
  2. Mixed hernia
  3. Rolling hernia
  4. Herniation of small intestine
২০.
Which part of the GIT is most commonly affected by peptic ulcer?
  1. Lesser curvature of the stomach
  2. Meckel's diverticulum
  3. Intestinal stomas
  4. First part of duodenum
২১.
Which is the first line investigation for suspected hollow viscus perforation?
  1. Supine abdominal radiograph
  2. Ultrasound of the abdomen
  3. Endoscopy
  4. Erect chest radiograph
২২.
Metabolic finding not consisten with gastric outlet obstruction is-
  1. Hypochloremia
  2. Metabolic alkalosis
  3. Hypokalaemia
  4. Production of alkaline urine
২৩.
The vomiting in gastric outlet obstruction-
  1. is non projectile
  2. contains digested food
  3. has no bile
  4. is scanty
২৪.
Which is the earliest feature of large gut obstruction?
  1. Abdominal distension
  2. Vomiting
  3. Abdominal pain
  4. Absolute constipation
২৫.
Which is a risk factor for squamous cell carcinoma of esophagus?
  1. Gastroesophageal reflux disease
  2. Smoking
  3. Barret's esophagus
  4. Obesity
২৬.
Which organ is most commonly affected by hematogenous spread from Ca. stomach?
  1. Lung
  2. Liver
  3. Pancreas
  4. Transverse colon
২৭.
Which of the followings is associated with increased risk of gastric cancer?
  1. Gastric adenomatous polyp
  2. Hyperplastic gastric polyp
  3. Aspirin
  4. Excess fibre in diet
২৮.
Which is the most common etiological factor for hepatocellular carcinoma?
  1. Alcohol consumption
  2. Hepatitis-C
  3. Primary biliary cirrhosis
  4. Hepatitis-B
২৯.
Mutation in which gene is responsible for familial adenomatous polyposis?
  1. FAP
  2. BRCA1
  3. HER2
  4. APC
৩০.
Which is the most common site of colorectal cancer?
  1. Sigmoid colon
  2. Rectum
  3. Left colic flexure
  4. Ascending colon
৩১.
Which is the most common site of distant metastasis from renal cell carcinoma?
  1. Lumbar vertebra
  2. Brain
  3. Lungs
  4. Liver
৩২.
Which is the most common type of bladder cancer?
  1. Squamous cell carcinoma
  2. Adenocarcinoma
  3. Transitional cell carcinoma
  4. Clear cell carcinoma
৩৩.
Which is the earliest symptom of rectal cancer?
  1. Tenesmus
  2. Per-rectal bleeding
  3. Early morning diarrhoea
  4. Proctitis
৩৪.
Which is the most common risk factor for cholangiocarcinoma?
  1. Clonorchis sinensis
  2. Choledochal cyst
  3. Budd-Chiari syndrome
  4. Primary sclerosing cholangitis
৩৫.
Which of the following arteries does not supply the Little's area of the nasal septum?
  1. Anterior ethmoidal artery
  2. Posterior ethmoidal artery
  3. Sphenopalatine artery
  4. Greater palatine artery
৩৬.
Which is a common cause of epistaxis in the elderly?
  1. Noise picking
  2. Foreign body
  3. Anticoagulant therapy
  4. Juvenile angiofibroma
ব্যাখ্যা
The most common site of bleeding is from Kiesselbach’s plexus in Little’s area of the anterior portion of the septum.

Anterior bleeding is common in children and young adults owing to nose blowing or picking.

In the elderly, anticoagulants and hypertension are the underlying causes of arterial bleeding from the posterior part of the nose.
৩৭.
Which artery is commonly ligated in persistent epistaxis after failed anterior and posterior nasal packing?
  1. Sphenopalatine artery
  2. Greater palatine artery
  3. External carotid artery
  4. Maxillary artery
ব্যাখ্যা
Postnasal packing may be required in refractory cases whereby a gauze pack is positioned in the nasopharynx under general anaesthesia.

Endoscopic sphenopalatine artery clipping is an effective treatment for signifcant epistaxis not responding to direct cautery or nasal packing.

৩৮.
Which is the most common cause of upper GI bleeding?
  1. Ulcer
  2. Mallory-Weiss tear
  3. Ruptured esophageal varices
  4. Esophageal erosion
৩৯.
Which is not true regarding symptoms of hemorrhoids?
  1. Pruritus
  2. Painful
  3. Bright red bleeding
  4. Mucus discharge