বিষয়সমূহ

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স্পেশাল বিসিএস (স্বাস্থ্য)

মোট প্রশ্ন৪,২৮৫এই পাতা১০০প্রতি পাতা১০০
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

স্পেশাল বিসিএস (স্বাস্থ্য)

PrepBank · পাতা ১১ / ৪৩ · ১,০০১১,১০০ / ৪,২৮৫

১,০০১.
Dose of Oral Prednisolone in COPD is
  1. 10
  2. 20
  3. 30
  4. 40
১,০০২.
The fetal membrane that is ruptured during labor –
  1. ক) Amnio chorionic membrane
  2. খ) Chorion
  3. গ) Amnion
  4. ঘ) Decidua
ব্যাখ্যা
The fetal membrane that is ruptured during labor – Amnio chorionic membrane
১,০০৩.
Which lung cancer is common in women?
  1. ক) Adenocarcinoma
  2. খ) Squamous cell carcinoma
  3. গ) Small cell carcinoma
  4. ঘ) Large cell carcinoma
ব্যাখ্যা
Smoking is the most important risk factor for lung cancer; in women and nonsmokers, adenocarcinomas are the most common cancers.
১,০০৪.
Monzygotic twins-
  1. are genetically not identical
  2. are mostly diamniotic
  3. have two placenta
  4. may be of different sex
১,০০৫.
Glucose present in 1L 5% dextrose is?
  1. ক) 5g
  2. খ) 50g
  3. গ) 100g
  4. ঘ) 500g
১,০০৬.
Which is the main factor responsible for the descent of the testis?
  1. Fetal testosterone
  2. Gubernaculum testis
  3. Processus vaginalis
  4. Intraabdominal pressure
ব্যাখ্যা
Factors responsible for descent of testis:
1. Gubernaculum testis (main factor)
2. Differential growth of the posterior abdominal wall
3. Intraabdominal pressure
4. Intraabdominal temperature
5. Uncurling of the fetal curves
6. Arched fibres of internal oblique
7. Male sex hormones (fetal testosterone)
১,০০৭.
Whuch of the following not involved in Maintenance stage of metabolic alkalosis
  1. Hypovolemia
  2. Hypocloremia
  3. Hypokalemia
  4. Primary hypoaldosteronism
ব্যাখ্যা
ABC of Biochemistry 6th - P: 376

Maintenance stage of metabolic alkalosis
1.Hypovolemia
2.Hypocloremia
3.Hypokalemia
4.Primary hyperaldosteronism
১,০০৮.
The normal set point in core temperature is-
  1. 35 ± 0.5°C
  2. 36 ± 0.5°C
  3. 37 ± 0.5°C
  4. 38 ± 0.5°C
১,০০৯.
Cartilaginous joint
  1. ক) Gomphosis
  2. খ) Suture
  3. গ) Symphysis
  4. ঘ) Synovial
১,০১০.
Generalized atrophy occurs in
  1. ক) Senile atrophy
  2. খ) Hormonal atrophy
  3. গ) Disuse atrophy
  4. ঘ) Pressure atrophy
ব্যাখ্যা
Generalized atrophy occurs in senile atrophy
১,০১১.
Non metastatic extra pulmonary effect that is usually associated with small-cell lung cancer
  1. ক) Carcinoid syndrome
  2. খ) Gynaecomastia
  3. গ) SIADH
  4. ঘ) Hypercalcaemia
ব্যাখ্যা
Reference: Davidson 23rd; P-601
১,০১২.
Peroxisomal enzyme that neutralize intracellular hydrogen peroxide-
  1. Catalase
  2. Urate oxidase
  3. Hydrolase
  4. Hydroxyacid oxidase
ব্যাখ্যা
Peroxisomes are spherical organelles enclosed by a single membrane and named for their enzymes producing and degrading hydrogen peroxide, H2O2

Enzymes of peroxisomes:
Catalase, D-and L-amino oxidases, urate oxidase, hydroxyacid oxidase

Functions of peroxisome:
1. Peroxisomes contain oxidative enzymes that are required for amino acid oxidation and ß-oxidation of fatty acids.
2. Inracellular hydrogen peroxide H2O2 is eliminated by the enzyme catalase which is present in the peroxisomes.
3. Catalase also degrades several toxic molecules and drugs, particularly in liver and kidney peroxisomes
১,০১৩.
Prerenal cause of of acute renal failure-
  1. ক) renal artery stenosis
  2. খ) primary glomerular disease
  3. গ) acute tubular necrosis
  4. ঘ) interstitial disease
ব্যাখ্যা
RAS is a pre renal cause of acute renal failure
১,০১৪.
Renal autoregulation is important to maintain the
  1. ক) RPF
  2. খ) GFR
  3. গ) BP
  4. ঘ) Osmolarity
ব্যাখ্যা
Renal autoregulation is important to maintain the glomerular filtration rate (GFR). Blood flow to kidneys remains normal even when the mean arterial blood pressure vary widely between 60 mm Hg and 180 mmHg. This helps to maintain normal GFR.
১,০১৫.
Component absent in serum:
  1. Fibrinogen
  2. Thrombin
  3. Plasmin
  4. Neutrophil
১,০১৬.
‘Corkscrew hairs’ found in
  1. ক) Vitamin C deficiency
  2. খ) Vitamin A deficiency
  3. গ) Severe malnutrition
  4. ঘ) Vitamin B1 deficiency
ব্যাখ্যা
(Ref : Davidson 23rd ,p – 692 )
১,০১৭.
Epithelial cells are bound to the basal lamina by-
  1. Hemidesmosomes
  2. Tight junctions
  3. Zonulae adherens
  4. Desmosomes
ব্যাখ্যা

১,০১৮.
Live bacterial vaccine -
  1. Varicella
  2. Plague
  3. Mumps
  4. Typhoid
ব্যাখ্যা
Explanation :
Live bacterial vaccine -
BCG,Live cholera vaccine,Typhoid vaccine
Live viral vaccine -
MMR,Varicella,Influenza,Rota virus,OPV,Small pox, Adeno virus,Yellow fever vaccine.
১,০১৯.
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
১,০২০.
UTI in young women is mostly caused by
  1. ক) S. aureus
  2. খ) S. epidermidis
  3. গ) S. saprophyticus
  4. ঘ) S. pyogens
১,০২১.
Most common side effect H. Pylori eradication therapy
  1. Nausea
  2. Vomiting
  3. Diarrhoea
  4. Abdominal cramp
ব্যাখ্যা
Reference: Davidson 23rd; P-800
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
১,০২২.
Which is not lacunar syndrome?
  1. sensorimotor stroke
  2. pure motor hemiparesis
  3. pure sensory stroke
  4. ataxic hemiparesis
ব্যাখ্যা
The 5 classic lacunar syndromes, established by Fisher in the 1960s and 1970s, are pure motor hemiparesis, pure sensory stroke, sensorimotor stroke, ataxic hemiparesis, and clumsy-hand dysarthria.
১,০২৩.
Intermediate filaments present in muscle cells-
  1. Cytokeratin
  2. Synemin
  3. Peripherin
  4. Vimentin
ব্যাখ্যা


[Ref, Junqueira 15th, 47] 
১,০২৪.
Smooth endoplasmic reticulum is abundant in-
  1. Follicular cells of thyroid
  2. Plasma cells
  3. Nephrons
  4. Cells of adrenal cortex
১,০২৫.
Foot drop occur due to injury of
  1. Femoral N
  2. Sciatic N
  3. Common peroneal N
  4. Lat Cutaneous Nerve of Leg
১,০২৬.
Which of the following DMARDs must be avoided in pregnancy?
  1. Sulfasalazine
  2. Azathioprine
  3. Methotrexate
  4. Hydroxichloroquin
১,০২৭.
Which of the following is the most sensitive test for detecting early diabetic nephropathy?
  1. Urine microalbumin
  2. Serum creatinine
  3. Urine protein dipstick
  4. Renal ultrasound
ব্যাখ্যা

Microalbuminuria is the earliest marker of diabetic nephropathy before overt proteinuria develops.

১,০২৮.
Which is the most common cause of acute endocarditis?
  1. ক) Staphylococcus aureus
  2. খ) Streptococcus viridans
  3. গ) Staphylococcus epidermidis
  4. ঘ) Streptococcus gallolyticus
ব্যাখ্যা
Reference: Davidson 23rd , Page : 528
Explanation : The most common cause of acute endocarditis is Staphylococcus aureus.
১,০২৯.
False localising signs affects _____ CN unilaterally
  1. 6
  2. 7
  3. 8
  4. 3
১,০৩০.
Common clinical features of syphilitic chancre
  1. ক) Bleeding on touch
  2. খ) Multiple ulcer
  3. গ) Painful ulcer
  4. ঘ) Shallow and punched out ulcer
ব্যাখ্যা
Shallow and punched out ulcer is found in chancre
১,০৩১.
Which is an autosomal dominant disorder?
  1. Homocystinuria
  2. Osteogenesis imperfecta
  3. Vitamin-D resistant rickets
  4. Spinal muscular atrophy
১,০৩২.
1st choice of antibiotics in pyelonephritis
  1. ক) Cefalexin
  2. খ) Cefuroxime
  3. গ) Nitrofurantoin
  4. ঘ) Ceftriaxone
ব্যাখ্যা
Reference: Davidson 23rd; P-429
১,০৩৩.
When ascites is out of proportion to peripheral edema, which of the following should be suspected?
  1. ক) Tricuspid regurgitation
  2. খ) Budd Chiari Syndrome
  3. গ) Constrictive pericarditis
  4. ঘ) Cirrhosis liver
ব্যাখ্যা
Constrictive pericarditis is a possibility when ascites is out of proportion to peripheral edema.
১,০৩৪.
Maximum calories (/g) is derived from
  1. Carbohydrate
  2. Protein
  3. Lipid
  4. Alcohol
১,০৩৫.
Length of esophagus-
  1. ক) 15 cm
  2. খ) 25 cm
  3. গ) 35 cm
  4. ঘ) 40 cm
ব্যাখ্যা
Length of esophagus is 25cm
১,০৩৬.
Largeset dural fold is
  1. The falx cerebri
  2. The cerebelli
  3. The tentorium cerebelli
  4. The diaphragma sellae
ব্যাখ্যা
The falx cerebri is Largeset dural fold which seperates two separtes two cerebral hemisphere

Snell 8th - 431

 Falx cerebri: separates left and right cerebral hemispheres. Located in the longitudinal cerebral fissure
- Tentorium cerebelli: Separates the cerebrum from the cerebellum
- Diaphragma sellae: Forms a lid or roof over the hypophysial fossa of sphenoid, covering the pituitary gland.
১,০৩৭.
Which is not an event of the first week of development in embryo?
  1. Formation of morula
  2. Implantation
  3. Formation of blastocyst
  4. Gastrulation
ব্যাখ্যা
After fertilization, important events that take place in the first week of development-
1. Cleavage  
2. Formation of morula (16-cell stage)
3. Blastocyst formation
4. Migration of the zygote
5. Implantation

2nd week: Formation of bilaminar germ disc
The 2nd week of development is known as the week of 2's:
a) The trophoblast differentiates into 2 layers; the cytotrophoblast and syncytiotropho-blast.
b) The embryoblast forms 2 layers; the epiblast and hypoblast.
c) The extraembryonic mesoderm splits into 2 layers; the somatic and splanchnic layers.
d) 2 cavities form; the amniotic and yolk sac cavities.

3rd week: Formation of trilaminar germ disc
- Gastrulation: The process of formation of three germ layers is called gastrulation.
১,০৩৮.
Which of the following isn’t a Alarm features in dyspepsia?
  1. ক) Weight loss
  2. খ) Anaemia
  3. গ) Hematuria
  4. ঘ) Vomiting
ব্যাখ্যা
Reference: Davidson 23rd Box 21.15
১,০৩৯.
Ovulation occurs at day
  1. ক) 1
  2. খ) 5
  3. গ) 14
  4. ঘ) 28
১,০৪০.
Preformed chemical mediator -
  1. Prostaglandin
  2. Histamin
  3. Bradykinin
  4. Cytokine
ব্যাখ্যা
Explanation -
Preformed chemical mediators :
Histamine 
Serotonin
Lysosomal enzyme 
১,০৪১.
Bone used to assess age between 16 and 18 years in Bangladesh is:
  1. Clavicle
  2. Lower end of radius
  3. Iliac crest
  4. Lower end of femur
১,০৪২.
Which is a ECG findings in eating disorder
  1. QTc interval
  2. T-wave inversion
  3. ST depression
  4. All
ব্যাখ্যা
ECG abnormalities: T-wave inversion, ST depression and prolonged QTc interval
১,০৪৩.
In smooth muscle acetylcholine bind with___ receptors.
  1. ক) Muscarinic
  2. খ) Nicotinic
  3. গ) D1
  4. ঘ) M2
ব্যাখ্যা
[Ganong 24th p-115]
১,০৪৪.
Right-to-left shunts occur in which of the following?
  1. ক) ASD
  2. খ) VSD
  3. গ) PDA.
  4. ঘ) Eisenmenger syndrome
ব্যাখ্যা
No explanation added.
১,০৪৫.
The most common type of cardiac septal defect is :
  1. ক) Muscular type ventricular septal defect or VSD
  2. খ) Secudum type atrial septal defect or ASD
  3. গ) Membrenous type VSD
  4. ঘ) Primum type ASD
ব্যাখ্যা
Explanation: Membrenous type VSD . Although the most common atrial septal defect is the secondum type ASD, the overall most common cardiac septal defect is the Membrenous type VSD.
১,০৪৬.
Most dilated part of GIT—
  1. ক) Stomach
  2. খ) Rectum
  3. গ) Sigmoid colon
  4. ঘ) Anus
ব্যাখ্যা
Stomach is the most dialated part of GIT.
১,০৪৭.
Derivative of the second aortic arch-
  1. Hyoid artery
  2. Common carotid artery
  3. Right subclavian artery
  4. Left pulmonary artery
১,০৪৮.
The most common cause of “traveler’s diarrhea” is
  1. ক) Staphylococcus aureus
  2. খ) Clostridium perfringens
  3. গ) Escherichia coli
  4. ঘ) Rotavirus
ব্যাখ্যা
The most common cause of “traveler’s diarrhea” is Escherichia coli
১,০৪৯.
Chest pain with burning chest indicates
  1. ক) AMI
  2. খ) UA
  3. গ) GERD
  4. ঘ) SVT
ব্যাখ্যা
Chest pain with Breathlessness: IHD, pulmonary embolism, pleurisy, anxiety.
Chest pain with Nausea, vomiting or sweating: acute myocardial infarction.
Chest pain with Burning in chest or epigastrium: GERD
১,০৫০.
Regarding cells of mononuclear phagocytic system, which of these are true?
  1. ক) Skin-Langhans cells
  2. খ) Bone-osteoblast
  3. গ) Brain-astrocyte
  4. ঘ) Liver-kupffer cells
ব্যাখ্যা

-Skin-Langerhans cells
-Bone-osteoclast
-Brain-microglia

১,০৫১.
A patient came to you with H/O. a firm 12mm ulcerated lesion with smooth edges to the penis. The patient denies any pain. what will be the cause?
  1. ক) Herpes Simplex Type 1
  2. খ) Herpes Simplex Type 2
  3. গ) Neisseria gonorrhoeae
  4. ঘ) Treponema pallidum
ব্যাখ্যা
Scenario reveals primary syphilis chancre which is painless.
১,০৫২.
In court, a medical officer is asked about a fracture he failed to mention in the initial report. He discovers it was missed during the first examination. What should he do?
  1. Deny responsibility
  2. Admit the oversight and explain how the injury might have developed or been missed
  3. Blame the technician
  4. Refuse to respond
ব্যাখ্যা
Ethical responsibility requires honesty. Admitting human error and explaining it rationally maintains the doctor’s credibility and upholds legal standards.
১,০৫৩.
Which one is the most common cause of upper GIT haemorrhage?
  1. ক) Oesophagitis
  2. খ) Varices
  3. গ) Peptic ulcer
  4. ঘ) Gastric erosions
১,০৫৪.
Acrosome in the spermatozoa is synthesized by-
  1. Ribosome
  2. Mitochondria
  3. Endoplasmic reticulum
  4. Golgi apparatus
ব্যাখ্যা
Functions of Golgi apparatus:
1. Post-translational modification of proteins:
Freshly synthesized proteins are transferred from RER to the Golgi apparatus. These proteins are modified by the Golgi apparatus. This is done by glycosylation, sulfation, phosphorylation, and limited proteolysis of proteins.
2. Packaging Enzymes for lysosomes and proteins for secretion
3. Storing of all materials for lysosomes, secretion, and incorporation into the plasma membrane.
4. Lysosome may be produced in the Golgi complex.
5. It is necessary for the synthesis of acrosome in the spermatozoa.
১,০৫৫.
The cloaca is divided into the anorectal canal & the primitive urogenital sinus by the :
  1. ক) urogenital membrane
  2. খ) urorectal septum
  3. গ) anal membrane
  4. ঘ) cloacal membrane
ব্যাখ্যা
(Ref: medical examination review anatomy P:213)
১,০৫৬.
Antigenic shift & drift occurs in
  1. ক) Influenza virus
  2. খ) RSV
  3. গ) Measles
  4. ঘ) Mumps
১,০৫৭.
Which one is the initial test for peripheral neuropahty?
  1. ক) Glucose (fasting)
  2. খ) Nerve biopsy
  3. গ) Muscle biopsy
  4. ঘ) NCS
১,০৫৮.
Which is not a part of the membranous labyrinth?
  1. Cochlear duct
  2. Vestibule
  3. Semicircular ducts
  4. Saccule
১,০৫৯.
Which type of papillae contains most taste bud
  1. ক) Filiform
  2. খ) Fungiform
  3. গ) Foliate
  4. ঘ) Circumvallate
ব্যাখ্যা
Circumvallate papillae-largest & contains most taste bud
১,০৬০.
Haemolytic jaundice is characterized by -
  1. Unconjugated hyperbilirubinemia
  2. Raised ALP
  3. High rise of ALT
  4. Increased urobilinogen
১,০৬১.
Transudative pleural effusion occurs in which of the following condition?
  1. ক) Malignancy
  2. খ) Cardiac failure
  3. গ) Tuberculosis
  4. ঘ) Pneumonia
ব্যাখ্যা
Explanation: pleural fluid accumulates as a result of either increased hydrostatic pressure or decreased osmotic pressure (‘transudative’ effusion, as seen in cardiac, liver or renal failure), or from increased microvascular pressure due to disease of the pleura or injury in the adjacent lung(exudative)
১,০৬২.
Ischemic necrosis of brain indicates which type of necrosis?
  1. ক) Coagulative
  2. খ) Liquefactive
  3. গ) Caseous
  4. ঘ) Fibrinoid
ব্যাখ্যা

• Coagulative: ischemic necrosis of heart, kidney, liver, adrenal gland & other solid organs; gumma of tertiary syphilis
• Liquefactive: boil, abscess & ischemic necrosis of brain
• Caseous: Granuloma of TB
• Fat: Enzymatic-pancreas, Traumatic- breast
• Fibrinioid: in collagen disease

১,০৬৩.
SGLT 2 is found in
  1. Renal tubule
  2. Renal medulla
  3. Renal cortex
  4. Glomerulus
১,০৬৪.
Which is the largest of neuroglial cells?
  1. Ependymocytes
  2. Astrocytes
  3. Oligodendrocytes
  4. Schwann cells
১,০৬৫.
Passive motion of an extremity meets with a dead resistance in Parkinsonism is called
  1. Lead pipe rigidity
  2. Cogwheel rigidity
  3. Akinesia
  4. Tremor at rest
১,০৬৬.
Smooth part of right ventricle is derived from
  1. ক) Truncus arteriosus
  2. খ) Bulbus cordis
  3. গ) Primitive ventricle
  4. ঘ) Sinus venosus
১,০৬৭.
Acute leukemia is confirmed by
  1. ক) PBF
  2. খ) CBC
  3. গ) Bone marrow examination
  4. ঘ) Blood culture
১,০৬৮.
Which modulates satiety?
  1. GLP-1
  2. VIP
  3. GIP
  4. Peptide YY
ব্যাখ্যা
Reference: Davidson 23rd; P-772
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
১,০৬৯.
Contents of umbilical cord except
  1. ক) Two arteries
  2. খ) Two vein
  3. গ) Allantois
  4. ঘ) Wharton's jelly
ব্যাখ্যা
Umbilical cord contain one vein.
১,০৭০.
A patient presented with possible infection 4 weeks after haematopoietic stem cell transplantation. What may be the possible cause?
  1. Herpes zoster
  2. Herpes simplex
  3. Varicella zoster
  4. Cytomegalovirus
১,০৭১.
Which of the following Cardiac disease is associated with finger clubbing?
  1. ক) Infective endocarditis
  2. খ) Myocardial infraction
  3. গ) Heart failure
  4. ঘ) Cardiac tamponade
১,০৭২.
Investigation of choise for Brochiectasis
  1. ক) CXR
  2. খ) MRI
  3. গ) HRCT
  4. ঘ) Brochoscopy
ব্যাখ্যা
Explanation: CT is much more sensitive and shows thickened, dilated airways
১,০৭৩.
Which is an example of multipolar neuron?
  1. Dorsal root ganglia
  2. Sensory ganglia of facial nerve
  3. Purkinje cell
  4. Bipolar cells of retina
১,০৭৪.
Not the feature of SLE -
  1. Discoid rash
  2. Tenosynuvitis
  3. Serositis
  4. Oral ulcer
১,০৭৫.
Which lab finding would provide the strongest evidence for a hemolytic anemia?
  1. Low haptoglobin
  2. Elevated serum iron
  3. Normal mean corpuscular volume (MCV)
  4. Positive antinuclear antibody (ANA)
ব্যাখ্যা
Hemolytic anemia is characterized by premature destruction of red blood cells. Haptoglobin is a protein that binds to free hemoglobin released during red blood cell destruction.
১,০৭৬.
Largest vein of the heart-
  1. ক) The middle cardiac vein
  2. খ) Anterior Cardiac Veins
  3. গ) The great cardiac vein
  4. ঘ) Coronary Sinus
ব্যাখ্যা
Coronary Sinus is the largest vein of the heart
১,০৭৭.
‘Watermelon’ stomach is found in
  1. ক) Systemic sclerosis
  2. খ) Dermatomyositis
  3. গ) Kawasaki disease
  4. ঘ) Polyarteritis nodosa
ব্যাখ্যা
Ref: Davidson 23rd; P-1038
১,০৭৮.
Pathognomonic for acute rheumatic fever
  1. ক) Pericarditis
  2. খ) Pancarditis
  3. গ) Aschoff nodules
  4. ঘ) Fibrinoid degeneration
ব্যাখ্যা
Reference: Davidson 23rd; P-515
১,০৭৯.
Long-acting insulin preparation
  1. ক) Lispro
  2. খ) Aspart
  3. গ) Lente
  4. ঘ) Degludec
ব্যাখ্যা
Reference: Davidson 23rd; P-749
১,০৮০.
west heaven is related to
  1. Liver
  2. Kidney
  3. Heart
  4. Lung
১,০৮১.
Most of thyroid hormone is bound to plasma protein...?
  1. Albumin
  2. Fibrinogen
  3. TBG
  4. TBPA
ব্যাখ্যা
Both T4 & T3 are mostly bound to thyroxine binding Globulin (TBG)
১,০৮২.
Which one of the following is coronary artery disease?
  1. Aortic stenosis
  2. Myocardial ischaemia
  3. Dilated cardiomyopathy
  4. WPW syndrome
১,০৮৩.
Which is the most common histological subtype of renal cell carcinoma ?
  1. ক) Chromophobe
  2. খ) Papillary
  3. গ) Clear cell
  4. ঘ) Multilocular cystic
ব্যাখ্যা
Reference: Davidson 23rd; P-434
১,০৮৪.
Bacterial cause of meningitis in neonate
  1. ক) E coli
  2. খ) haemophilus influenzae
  3. গ) neisseria meningitidis
  4. ঘ) Streptococcus pneumoniae
ব্যাখ্যা
E coli causes meningitis in neonate
১,০৮৫.
You are told by your registrar that one of your inpatients has been diagnosed with primary sclerosing cholangitis (PSC). Your registrar suspects that the patient may have an associated condition. Primary sclerosing cholangitis is associated with which of the following diseases?
  1. Thyroid disease
  2. Systemic sclerosis
  3. Rheumatoid arthritis
  4. Ulcerative colitis
ব্যাখ্যা
Primary sclerosing cholangitis
28 D Eighty to 100 per cent of patients with PSC will have ulcerative colitis (D). On the other hand, 3 per cent of patients with ulcerative colitis will have PSC. Thyroid disease (A), systemic sclerosis (B) and rheumatoid arthritis (C) are associated with primary biliary cirrhosis.
১,০৮৬.
Which type of papillae contains most taste bud
  1. ক) Filiform
  2. খ) Fungiform
  3. গ) Foliate
  4. ঘ) Circumvallate
ব্যাখ্যা
Circumvallate papillae-largest & contains most taste bud
১,০৮৭.
Gross hematuria occurs in
  1. IgA nephropathy
  2. Alport syndrome
  3. Tumor
  4. All
ব্যাখ্যা
GROSS  HEMATURIA
•Trauma
•Tumor
•IgA nephropathy
•Alport syndrome
১,০৮৮.
Ascending tract of posterior column
  1. ক) Fasciculus gracillis
  2. খ) Spinothalamic tract
  3. গ) Spin0reticular tract
  4. ঘ) Spino-olivary tract
১,০৮৯.
Causes of chronic type-2 respiratory failure excludes
  1. COPD
  2. Sleep apnoea
  3. Lobar collapse
  4. Myopathies
ব্যাখ্যা
Reference: Davidson 23rd; P-565
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
১,০৯০.
Mechanism of heart failure following MI
  1. ক) Reduced ventricular contractility
  2. খ) Ventricular outflow obstruction
  3. গ) Ventricular inflow obstruction
  4. ঘ) Ventricular volume overload
ব্যাখ্যা
Heart failure occurs following MI due to reduced ventricular contractility
১,০৯১.
Corticospinal tract lesion leads to
  1. ক) Exaggerate knee jerk
  2. খ) Loss of all tendon reflexes
  3. গ) Decreased muscle tone
  4. ঘ) Weakness of distal group of muscles of hands and feet
ব্যাখ্যা

Corticospinal tract lesion leads to develp features of upper motor neuron lesion.
Features of Upper motor neuron lesion-
-Increased muscle tone with clonus
-Spastic paralysis
-Superficial reflexes are absent
-Deep tendon reflexes are increased
-Planter response extensor

১,০৯২.
Normal GFR is .... L/day?
  1. ক) 125
  2. খ) 625
  3. গ) 180
  4. ঘ) 290
ব্যাখ্যা
Normally, GFR is about 180 L/day, and tubular reabsorption is 178.5 L/day, leaving 1.5 L/day of fluid to be excreted in the urine.
১,০৯৩.
Gram negative diplococci in microscopy is indicative of
  1. ক) AIDS
  2. খ) Syphilis
  3. গ) Gonorrhea
  4. ঘ) Chancroid
১,০৯৪.
Which play an important role in the defence mechanism of the body against the parasites?
  1. ক) Neutrophil
  2. খ) Basophil
  3. গ) Eosinophils
  4. ঘ) Monocyte
ব্যাখ্যা
Explanations:
Eosinophils play an important role in the defence mechanism of the body against the parasites. During parasitic infections, there is a production of a large number of eosinophils which move towards the tissues affected by parasites. Eosinophil count increases also during allergic diseases like asthma.
১,০৯৫.
Nerve involved in carpal tunnel syndrome
  1. ক) Median
  2. খ) Ulnar
  3. গ) Radial
  4. ঘ) Common peroneal
১,০৯৬.
Which is a common symptom of MS
  1. Lhermitte’s symptom
  2. Afferent pupillary defect and optic atrophy
  3. Transverse myelitis
  4. Trigeminal neuralgia under the age of 50
১,০৯৭.
Which nerve is most commonly injured in fracture neck of fibula?
  1. Deep peroneal nerve
  2. Superficial peroneal nerve
  3. Saphenous nerve
  4. Common peroneal nerve
১,০৯৮.
Dialated pupil found in which of the following poisoning?
  1. ক) Opioids
  2. খ) Clonidine
  3. গ) Organophosphorus compounds
  4. ঘ) Amphetamines
১,০৯৯.
In ECF following level are lower except
  1. Amino acids
  2. fats
  3. pH
  4. Proteins
১,১০০.
Regarding myxedema which is not fitted
  1. Pot belly= absent
  2. GH retardation= Present
  3. Mental Retardation= absent
  4. Edema= absent