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স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

পরীক্ষাস্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্সতারিখতারিখ অনির্ধারিতসময়20 minutes
মোট প্রশ্ন৩৯
সিলেবাস
টপিক: Medicine – 2 Endocrinology
প্রশ্ন দেখুনঅনুশীলন
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স · তারিখ অনির্ধারিত · ৩৯ প্রশ্ন

১.
Which is not a inspectory finding in Graves’ ophthalmopathy
  1. ক
    Lid lag
  2. খ
    Lid retraction
  3. গ
    chemosis
  4. ঘ
    Corneal ulceration
২.
Find the odd out?
  1. ক
    Diffuse soft goitre with bruit -Graves’ disease
  2. খ
    Diffuse firm goitre-Hashimoto’s thyroiditis
  3. গ
    Diffuse tender goitre- Subacute thyroiditis
  4. ঘ
    Diplopia on medial gaze- GGraves’ disease rave
৩.
Thyroid hormone registance occurs in
  1. ক
    Atrophic hypothyroidism
  2. খ
    5 -monodeiodinase deficiency
  3. গ
    Hashimoto’s thyroiditis
  4. ঘ
    Subacute thyroiditis
৪.
Which is an integral part of monodeiodinase enzymes?
  1. ক
    Se
  2. খ
    Zn
  3. গ
    Fe
  4. ঘ
    Cr
৫.
In OCP lab finding is corrrect?
  1. ক
    Increased TBG, Normal Total T3,T4,Increased Free thyroid hormone
  2. খ
    Increased TBG, Normal Total T3, Increased T4,Increased Free thyroid hormone
  3. গ
    Increased TBG, Normal Total T3,T4, Normal Free thyroid hormone
  4. ঘ
    Increased TBG, Increased Total T3,T4,Normal Free thyroid hormone
৬.
Lab diagnosis not compatible with Amiodarone therapy
  1. ক
    TSH- Indetectable
  2. খ
    TSH- Low
  3. গ
    T3- Raised
  4. ঘ
    T4-Raised
৭.
Atrial fibrillation occurs in about ____________ % of patients with thyrotoxicosis
  1. ক
    10
  2. খ
    20
  3. গ
    30
  4. ঘ
    40
৮.
Less common sign in Hyperthyroidism
  1. ক
    Periorbital oedema
  2. খ
    Systolic hypertension
  3. গ
    Hyper-reexia
  4. ঘ
    Proximal myopathy
ব্যাখ্যা
Less common sign in hypothyroidism
Goitre with bruit
Atrial fibrillation
Systolic hypertension/increased
pulse pressure
Cardiac failure
Hyper-reexia
Ill-sustained clonus
Proximal myopathy
Bulbar myopathy

Less common sign in hyperthyroidism
Hoarse voice
Facial features:
Purplish lips
Malar flush
Periorbital oedema
Loss of lateral eyebrows
Anaemia
Carotenaemia
Erythema ab igne
Bradycardia hypertension
Delayed relaxation of reexes
Dermal myxoedema
৯.
Which of the following nerve is commonly compressed due to MPS infiltration?
  1. ক
    Ulnar Nerve
  2. খ
    Median Nerve
  3. গ
    Radial Nerve
  4. ঘ
    Tibial Nerve
১০.
Drugs causing hypothyroidism
  1. ক
    Amiodarone
  2. খ
    Carbimazole
  3. গ
    Lithium
  4. ঘ
    All
ব্যাখ্যা
Drugs causing hypothyroidism
Carbimazole, methimazole, popylthiouracil
Amiodarone
Lithium
১১.
Anti TPO antibody negative in
  1. ক
    Radioactive iodine ablation
  2. খ
    Spontaneous atrophic hypothyroidism
  3. গ
    Riedel’s thyroiditis
  4. ঘ
    Post-partum thyroiditis
১২.
Transient hypothyroidism may be seen in
  1. ক
    during the 1st 6 months after 131 I treatment of Graves’ disease
  2. খ
    during the 1st 3 months after 131 I treatment of Graves’ disease
  3. গ
    during the 1st 1 month after 131 I treatment of Graves’ disease
  4. ঘ
    during the 1st 12 months after 131 I treatment of Graves’ disease
১৩.
The World Health Organization (WHO) recommends a minimum intake of --- μg/day iodine
  1. ক
    150
  2. খ
    250
  3. গ
    350
  4. ঘ
    450
১৪.
Antithyroid drug safe in 3rd Trimester of pregnancy
  1. ক
    Levothyroxine
  2. খ
    Carbimazole
  3. গ
    PTU
  4. ঘ
    Lithium
১৫.
Interfere with intestinal T4 absorption occur in following drug
  1. ক
    sertraline
  2. খ
    carbamazepine
  3. গ
    sucralfate
  4. ঘ
    phenobarbital
১৬.
A 78 year old patient has come to OPD with depressed consciousness . LP was performed. Which of the following is correct CSF finding of this patient?
  1. ক
    Cell Count- Normal
  2. খ
    Glucose- Raised
  3. গ
    Pressure- Normal
  4. ঘ
    Protein- Raised
১৭.
Goitre likely to shrink with levothyroxine therapy
  1. ক
    Riedel’s thyroiditis
  2. খ
    Graves’ disease
  3. গ
    Hashimoto’s thyroiditis
  4. ঘ
    Transient thyroiditis
১৮.
Which is not going with Testosterone therapy
  1. ক
    can aggravate prostatic carcinoma
  2. খ
    prostate-specic antigen (PSA) should be measured before commencing testosterone therapy in men older than 50 years
  3. গ
    can cause polycythaemia
  4. ঘ
    Testosterone replacement stimulates spermatogenesis;
১৯.
In its classical painful form, subacute thyroiditis is a transient inflammationof the thyroid gland does not occurring after infection with
  1. ক
    Coxsackie
  2. খ
    adenoviruses.
  3. গ
    mumps
  4. ঘ
    measles
২০.
The structure of amiodarone is similar with
  1. ক
    T3
  2. খ
    T4
  3. গ
    TSH
  4. ঘ
    TRH
২১.
Albright’s hereditary osteodystrophy consists of
  1. ক
    short third metacarpals
  2. খ
    hypercalcaemia
  3. গ
    hyporphosphataemia
  4. ঘ
    short statue
২২.
Which is not a cause of pseudo-Cushing’s syndrome
  1. ক
    Alcohol excess
  2. খ
    McCune–Albright syndrome
  3. গ
    Major depressive illness
  4. ঘ
    Primary obesity
২৩.
The diagnosis of cushing syndrome is -----------way process
  1. ক
    1
  2. খ
    2
  3. গ
    3
  4. ঘ
    4
২৪.
Secondary (↓ACTH) occurs following
  1. ক
    ketoconazole
  2. খ
    metyrapone
  3. গ
    Withdrawal of suppressive glucocorticoid therapy
  4. ঘ
    etomidate
২৫.
Which is not a feature of Mineralocorticoid insufficiency
  1. ক
    Hypotension
  2. খ
    Shock
  3. গ
    Hyperkalaemia
  4. ঘ
    Hyponatraemia (dilutional)
২৬.
Paragangliomas are particularly associated
  1. ক
    SDHA
  2. খ
    the succinate dehydrogenas
  3. গ
    TMEN127
  4. ঘ
    MAX
২৭.
Whipple’s triad is confirmed by
  1. ক
    Patient had symptoms of hypoglycaemia
  2. খ
    Low blood glucose measured at the time of symptoms
  3. গ
    Symptoms resolved on correction of hypoglycaemia
  4. ঘ
    All
ব্যাখ্যা
Whipple’s triad confirmed
Patient had symptoms of hypoglycaemia
Low blood glucose measured at the time of symptoms
Symptoms resolved on correction of hypoglycaemia
২৮.
Clinical features of the carcinoid syndrome is
  1. ক
    TR
  2. খ
    MR
  3. গ
    PR
  4. ঘ
    AR
২৯.
Increased Insulin , increased C-peptide occur in
  1. ক
    Primary adrenocortical failure
  2. খ
    Insulinoma
  3. গ
    Inborn errors of metabolism
  4. ঘ
    Exogenous insulin
৩০.
VIPoma is related to following electrolyte
  1. ক
    Na
  2. খ
    Ca
  3. গ
    Mg
  4. ঘ
    K
৩১.
Kallman syndrome is a deficiency of
  1. ক
    GnRH
  2. খ
    Prolactin
  3. গ
    Growth Hormone
  4. ঘ
    TSH
৩২.
GH levels are commonly undetectable, so a choice from the range of ‘stimulation’ tests is required:. Which is not a GH stimulation test
  1. ক
    Insulin-induced hypoglycaemia
  2. খ
    Glucagon
  3. গ
    Arginine
  4. ঘ
    Clonidine (in adult)
৩৩.
Dose of insulin in insulin tolerance test?
  1. ক
    0.20 U/kg body weight soluble insulin
  2. খ
    0.25 U/kg body weight soluble insulin
  3. গ
    0.15 U/kg body weight soluble insulin
  4. ঘ
    0.05 U/kg body weight soluble insulin
৩৪.
Cavernous sinus not consist of ________CN
  1. ক
    3rd
  2. খ
    4th
  3. গ
    5th
  4. ঘ
    6th
ব্যাখ্যা
Extension of pituitary tumor into avernous sinus with subsequent compression of the 3rd, 4th or 6th  cranial nerve may cause diplopia and strabismus, but in anterior pituitary  tumours this is an unusual presentation.

Davidson 24th-695
৩৫.
Dopamine-depleting drug is
  1. ক
    OCP
  2. খ
    Methyldopa
  3. গ
    metoclopramide
  4. ঘ
    Antidepressants
৩৬.
Acromegaly is associated with following cancer
  1. ক
    Colon
  2. খ
    Rectum
  3. গ
    Stomach
  4. ঘ
    Skin
৩৭.
Which is known as Sipple syndrome ?
  1. ক
    MEN 1
  2. খ
    MEN2a
  3. গ
    MEN2b
  4. ঘ
    MEN4
৩৮.
DDAVP nasal dose ----- μg in the morning
  1. ক
    2
  2. খ
    3
  3. গ
    4
  4. ঘ
    5
ব্যাখ্যা
DDAVP nasal dose 5 μg in the morning and 10 μg at night).
৩৯.
Regarding the The most common is APS which is less correct
  1. ক
    The most common is APS type 2
  2. খ
    typically presents in men between the ages of 20 and 60.
  3. গ
    The mode of inheritance is autosomal dominant
  4. ঘ
    strong association with HLA-DR3 and CTLA-4
ব্যাখ্যা
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