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স্পেশাল বিসিএস (স্বাস্থ্য)

মোট প্রশ্ন৪,২৮৫এই পাতা১০০প্রতি পাতা১০০
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

স্পেশাল বিসিএস (স্বাস্থ্য)

PrepBank · পাতা / ৪৩ · ৮০১৯০০ / ৪,২৮৫

৮০১.
What nail finding is often associated with psoriasis?
  1. Onychomycosis
  2. Pitting
  3. Clubbing
  4. Beau’s lines
সঠিক উত্তর:
Pitting
উত্তর
সঠিক উত্তর:
Pitting
ব্যাখ্যা
Nail pitting is a common finding in psoriasis, resulting from defective keratinization in the nail matrix. Other nail changes include onycholysis (nail plate separation), subungual hyperkeratosis, and ridging. Nail involvement is more frequent in patients with psoriatic arthritis.
৮০২.
Cardinal features of large intestine except-
  1. ক) Taeniae coli
  2. খ) Sacculations or Haustrations
  3. গ) Valvulae conniventes
  4. ঘ) Appendices epiploicae
সঠিক উত্তর:
গ) Valvulae conniventes
উত্তর
সঠিক উত্তর:
গ) Valvulae conniventes
ব্যাখ্যা
Valvulae conniventes is present in small intestine
৮০৩.
Which is a derivative of the third pharyngeal arch?
  1. Styloglossus
  2. Palatopharyngeus
  3. Thyroid cartilage
  4. Greater cornu of hyoid
সঠিক উত্তর:
Greater cornu of hyoid
উত্তর
সঠিক উত্তর:
Greater cornu of hyoid
৮০৪.
Which of the following is pathognomonic for acute rheumatic fever?
  1. ক) Carditis
  2. খ) Erythema
  3. গ) Aschoff nodules
  4. ঘ) Polyarthritis
সঠিক উত্তর:
গ) Aschoff nodules
উত্তর
সঠিক উত্তর:
গ) Aschoff nodules
ব্যাখ্যা
Explanation: Aschoff nodule is Pathognomonic for acute rheumatic fever
৮০৫.
Which increases GFR?
  1. ক) Norepinephrine
  2. খ) Epinephrine
  3. গ) Endothelin
  4. ঘ) Prostaglandins
সঠিক উত্তর:
ঘ) Prostaglandins
উত্তর
সঠিক উত্তর:
ঘ) Prostaglandins
৮০৬.
Blood supply of liver is
  1. ক) 80% arterial,20% venous
  2. খ) 70% arteria,30% venous
  3. গ) 80% venous,20% arterial
  4. ঘ) 60% arterial,40% venous
সঠিক উত্তর:
গ) 80% venous,20% arterial
উত্তর
সঠিক উত্তর:
গ) 80% venous,20% arterial
ব্যাখ্যা
Ref: BD/7th/vol-2/ page 335
৮০৭.
Major salivary gland excludes
  1. ক) Parotid
  2. খ) Sublingual
  3. গ) Buccal
  4. ঘ) Submandibular
সঠিক উত্তর:
গ) Buccal
উত্তর
সঠিক উত্তর:
গ) Buccal
৮০৮.
B cell of islets of Langerhans secrete
  1. ক) Somatostatin
  2. খ) Insulin
  3. গ) Glucagon
  4. ঘ) PP
সঠিক উত্তর:
খ) Insulin
উত্তর
সঠিক উত্তর:
খ) Insulin
ব্যাখ্যা

Islets of Langerhans consist of four types of cells:
 A cells or α-cells, which secrete glucagon
 B cells or β-cells, which secrete insulin
 D cells or δ-cells, which secrete somatostatin
 F cells or PP cells, which secrete pancreatic polypeptide.

৮০৯.
Which of the followings is not the feature of oculosympathetic palsy?
  1. ক) Ptosis
  2. খ) Swelling of lower eyelid
  3. গ) Miosis
  4. ঘ) Exophthalmos
সঠিক উত্তর:
ঘ) Exophthalmos
উত্তর
সঠিক উত্তর:
ঘ) Exophthalmos
ব্যাখ্যা

Explanation : Horner syndrome is an eye disorder caused by damage to cervical sympathetic nerve. It is also called Bernard-Horner syndrome, Claude- Bernard-Horner syndrome or oculosympathetic palsy. Symptoms of Horner syndrome appear on the affected side. The symptoms are:
1. Ptosis (drooping of upper eyelid)
2. Swelling of lower eyelid
3. Miosis (abnormal constriction of pupil)
4. Enophthalmos (sinking of eyeball into its cavity)
5. Absence of sweating on affected side of the face.

Ref : Sembulingam 6th edition (Page- 998)
৮১০.
COPD is diagnosed when post bronchodilator spirometry shows FEV/FVC is less than
  1. 30%
  2. 40%
  3. 50%
  4. 70%
সঠিক উত্তর:
70%
উত্তর
সঠিক উত্তর:
70%
ব্যাখ্যা
Reference: Davidson 23rd; P-575
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
৮১১.
Preventive drug for gout is
  1. NSAIDs
  2. Febuxostat
  3. Glucocorticoids
  4. Colchicine
সঠিক উত্তর:
Febuxostat
উত্তর
সঠিক উত্তর:
Febuxostat
৮১২.
Which marker is typically positive in chronic myeloid leukemia (CML)?
  1. CD19
  2. Philadelphia chromosome
  3. Bence Jones protein
  4. HLA-B27
সঠিক উত্তর:
Philadelphia chromosome
উত্তর
সঠিক উত্তর:
Philadelphia chromosome
ব্যাখ্যা
The BCR-ABL fusion gene (t(9;22)) is diagnostic of CML and is the target of tyrosine kinase inhibitors like imatinib.
৮১৩.
Which is a nerve of cavernous sinus
  1. 2
  2. 7
  3. 6
  4. 9
সঠিক উত্তর:
6
উত্তর
সঠিক উত্তর:
6
৮১৪.
Exchange of oxygen through the placental membrane takes place by-
  1. Simple diffusion
  2. Facilitated diffusion
  3. Primary active transport
  4. Secondary active transport
সঠিক উত্তর:
Simple diffusion
উত্তর
সঠিক উত্তর:
Simple diffusion
ব্যাখ্যা
*** Exchange of gases such as oxygen, carbon dioxide, and carbon monoxide is accomplished by simple diffusion.


৮১৫.
Heat sensitive surgical instruments are sterilized by
  1. ক) Hot air oven
  2. খ) Ethylene oxide gas, Glutaraldehyde solution
  3. গ) Ionizing radiation
  4. ঘ) Absolute alcohol
সঠিক উত্তর:
খ) Ethylene oxide gas, Glutaraldehyde solution
উত্তর
সঠিক উত্তর:
খ) Ethylene oxide gas, Glutaraldehyde solution
ব্যাখ্যা
Heat sensitive surgical instruments are sterilized by Ethylene oxide gas, Glutaraldehyde solution
৮১৬.
Interstitial disease of kidney -
  1. ক) Pyelonephritis
  2. খ) Glomerulonephritis
  3. গ) Nephrotic syndrome
  4. ঘ) Polycystic kidney disease
সঠিক উত্তর:
ক) Pyelonephritis
উত্তর
সঠিক উত্তর:
ক) Pyelonephritis
ব্যাখ্যা
Pyelonephritis is interstitial disease of kidney
৮১৭.
Immediately after a injury which cell predominates -
  1. Plasma cell
  2. Neutrophil
  3. Platelet
  4. Fibrin and blood clot
সঠিক উত্তর:
Fibrin and blood clot
উত্তর
সঠিক উত্তর:
Fibrin and blood clot
ব্যাখ্যা
Explanation -
Immediately after an injury the narrow incisional space is filled with clotted blood containing fibrin and blood cells. 

Within 24 hours, Neutrophil appear at the margin of the incision moving towards the fibrin clot.
৮১৮.
O2 level in peripheral circulation depends on?
  1. Hb level
  2. O2 dissolving capacity of Hb
  3. CO
  4. Temperature
সঠিক উত্তর:
O2 dissolving capacity of Hb
উত্তর
সঠিক উত্তর:
O2 dissolving capacity of Hb
ব্যাখ্যা
কোন ব্যাখ্যা যোগ হয় নি।
৮১৯.
Which proportion of WBC found maximum:
  1. Macrophage
  2. Monocyte
  3. Neutrophil
  4. Eosinophil
সঠিক উত্তর:
Neutrophil
উত্তর
সঠিক উত্তর:
Neutrophil
৮২০.
Which of the following is the best initial diagnostic test for suspected pulmonary embolism?
  1. D-dimer test
  2. Ventilation-perfusion (V/Q) scan
  3. CT pulmonary angiography
  4. Chest X-ray
সঠিক উত্তর:
CT pulmonary angiography
উত্তর
সঠিক উত্তর:
CT pulmonary angiography
ব্যাখ্যা
CT pulmonary angiography is the best initial diagnostic test for suspected pulmonary embolism. Davidson explains that CT angiography provides direct visualization of thrombi in the pulmonary arteries and is the gold standard for diagnosis. Harrison adds that while the D-dimer test is highly sensitive for detecting clot formation, it lacks specificity, and CT pulmonary angiography should be performed for definitive diagnosis.
৮২১.
Abundant tissue stem cells are required in
  1. ক) Atrophy
  2. খ) Hypertrophy
  3. গ) Hyperplasia
  4. ঘ) Metaplasia
সঠিক উত্তর:
গ) Hyperplasia
উত্তর
সঠিক উত্তর:
গ) Hyperplasia
৮২২.
A bronchopulmonary segment does not have its own-
  1. Segmental bronchus
  2. Segmental pulmonary vein
  3. Segmental pulmonary artery
  4. Lymph vessels
সঠিক উত্তর:
Segmental pulmonary vein
উত্তর
সঠিক উত্তর:
Segmental pulmonary vein
৮২৩.
Dignostic criteria of asthma
  1. FEV, ≥10% (and 200 mL) increase following administration of a bronchodilator
  2. >10% diurnal variation on ≥3 days in a week for 2 weeks on PEF diary
  3. >20% diurnal variation on ≥3 days in a week for 2 weeks on PEF diary
  4. FEV, ≥12% decrease after 6 mins of exercise
সঠিক উত্তর:
>20% diurnal variation on ≥3 days in a week for 2 weeks on PEF diary
উত্তর
সঠিক উত্তর:
>20% diurnal variation on ≥3 days in a week for 2 weeks on PEF diary
ব্যাখ্যা
Compatible clinical history plus either/or,
• FEV, ≥12% (and 200 mL) increase following administration of a bronchodilator/ trial of glucocorticoids. Greater confidence is gained if the increase is >15% and >400 mL
>20% diurnal variation on ≥3 days in a week for 2 weeks on PEF diary
• FEV, ≥15% decrease after 6 mins of exercise
৮২৪.
Risk factors for poor prognosis in ALL patients-
  1. Inversion of t(16;16)
  2. Philadelphia chromosome
  3. Low white count <100*10^9/L
  4. Cytogenetic abnormalities
সঠিক উত্তর:
Philadelphia chromosome
উত্তর
সঠিক উত্তর:
Philadelphia chromosome
৮২৫.
Which is not a component of Hartmann’s solution?
  1. ক) Lactate−
  2. খ) K+
  3. গ) Ca2+
  4. ঘ) Gulcose
সঠিক উত্তর:
ঘ) Gulcose
উত্তর
সঠিক উত্তর:
ঘ) Gulcose
৮২৬.
Differentiated cells of which tissue cannot undergo mitosis?
  1. ক) Epithelium
  2. খ) Bones
  3. গ) Skeletal muscle
  4. ঘ) Nerve
সঠিক উত্তর:
ঘ) Nerve
উত্তর
সঠিক উত্তর:
ঘ) Nerve
ব্যাখ্যা
Most tissues undergo cell turnover with slow cell division and cell death. Nerve tissue and cardiac muscle are exceptions because their differentiated cells cannot undergo mitosis.
৮২৭.
Which of the followings is known as auditopsychic area?
  1. ক) Broca's area 41
  2. খ) Broca's area 42
  3. গ) Wernick's area
  4. ঘ) Broca's area 22
সঠিক উত্তর:
ঘ) Broca's area 22
উত্তর
সঠিক উত্তর:
ঘ) Broca's area 22
ব্যাখ্যা
Explanation : Cortical auditory centers are in the temporal lobe of cerebral cortex. Auditory areas are:
1. Primary auditory area, which includes area 41, area 42 and Wernicke area.
2. Secondary auditory area or auditopsychic area, which includes area 22
Ref : Sembulingam 6th edition (Page- 1014)
৮২৮.
Myobacteria spreads through
  1. ক) Skin
  2. খ) Lung
  3. গ) Blood
  4. ঘ) Urine
সঠিক উত্তর:
খ) Lung
উত্তর
সঠিক উত্তর:
খ) Lung
ব্যাখ্যা
The source of transmission is humans with active tuberculosis who release mycobacteria present in sputum.
৮২৯.
Malignant tumor of skeletal muscle-
  1. ক) Chondrosarcoma
  2. খ) Osteogenic sarcoma
  3. গ) Angiosarcoma
  4. ঘ) Rhabdomyosarcoma
সঠিক উত্তর:
ঘ) Rhabdomyosarcoma
উত্তর
সঠিক উত্তর:
ঘ) Rhabdomyosarcoma
ব্যাখ্যা
[Robbins 9th 268]
৮৩০.
What is the site of Ca2+ storage and release for excitation-contraction coupling?
  1. Thick filament
  2. Thin filament
  3. T tubule
  4. Sarcoplasmic reticulum
সঠিক উত্তর:
Sarcoplasmic reticulum
উত্তর
সঠিক উত্তর:
Sarcoplasmic reticulum
ব্যাখ্যা
Explanations:
Sarcoplasmic reticulum (SR) is the internal tubular structure that is the site of Ca2+ storage and release for excitation-contraction coupling. It has terminal cisternae that make intimate contact with the T tubules in a triad arrangement.
৮৩১.
Rapid reccovery from a syncope(< 1 min) is usually suggestive of
  1. ক) Cardiac syncope
  2. খ) Neurocardiogenic syncope
  3. গ) Seizures
  4. ঘ) Peripheral cause
সঠিক উত্তর:
ক) Cardiac syncope
উত্তর
সঠিক উত্তর:
ক) Cardiac syncope
৮৩২.
Which one is gold standard for measurement of GFR?
  1. ক) Inulin clearance
  2. খ) Sodium clearance
  3. গ) Creatinine clearance
  4. ঘ) Urea clearance
সঠিক উত্তর:
ক) Inulin clearance
উত্তর
সঠিক উত্তর:
ক) Inulin clearance
ব্যাখ্যা

Following can be taken as a measure of GFR:
1. Inulin clearance
2. Creatinine clearance and
3. Urea clearance
Inulin clearance – the gold standard of physiologists - is not practical or necessary in clinical practice. Clinically creatinine clearance is widely used. Urea clearance is not an accurate measure of GFR

৮৩৩.
Cause of distributive shock -
  1. Cardiac temponade
  2. Anaphylaxis
  3. Adrenal crisis
  4. Tension pneumothorax
সঠিক উত্তর:
Anaphylaxis
উত্তর
সঠিক উত্তর:
Anaphylaxis
ব্যাখ্যা
Explanation :
Causes of distributive shock -
Septic shock
Anaphylaxis 
Spinal cord injury
৮৩৪.
Features of reactive arthritis excludes
  1. ক) Urethritis
  2. খ) Arthritis
  3. গ) Conjunctivitis
  4. ঘ) Proctitis
সঠিক উত্তর:
ঘ) Proctitis
উত্তর
সঠিক উত্তর:
ঘ) Proctitis
ব্যাখ্যা
Urethritis + arthritis + conjunctivitis = reactive arthritis
Reactive arthritis >>>> the Pt. can’t see, can’t pee, can’t bend the knee
৮৩৫.
Most common location of secondary tuberculosis of lung is-
  1. ক) Apex
  2. খ) Base
  3. গ) Hilar area
  4. ঘ) Peripheral
সঠিক উত্তর:
ক) Apex
উত্তর
সঠিক উত্তর:
ক) Apex
ব্যাখ্যা
Most common location of secondary tuberculosis of lung is Apex
৮৩৬.
No of Carbon in butyric acid
  1. 1
  2. 2
  3. 3
  4. 4
সঠিক উত্তর:
4
উত্তর
সঠিক উত্তর:
4
৮৩৭.
The low-resistance pathways between myocardial cells that allow for the spread of action potentials are the
  1. ক) Gap junctions
  2. খ) T tubules
  3. গ) Sarcoplasmic reticulum
  4. ঘ) Intercalated disks
সঠিক উত্তর:
ক) Gap junctions
উত্তর
সঠিক উত্তর:
ক) Gap junctions
ব্যাখ্যা
The gap junctions occur at the intercalated disks between cells and are low-resistance sites of current spread.
৮৩৮.
The pulse pressure in the large arteries is directly proportional to
  1. ক) Stroke volume
  2. খ) Heart rate
  3. গ) Total peripheral resistance
  4. ঘ) Compliance of arterial wall
সঠিক উত্তর:
ক) Stroke volume
উত্তর
সঠিক উত্তর:
ক) Stroke volume
ব্যাখ্যা

Pulse pressure (PP)
-PP Directly proportional to SV
-PP inversely proportional to compliance/Arterial elasticity

৮৩৯.
Major location of Dendritic cell is
  1. ক) Skin
  2. খ) CNS
  3. গ) Bone
  4. ঘ) Lymph node
সঠিক উত্তর:
ঘ) Lymph node
উত্তর
সঠিক উত্তর:
ঘ) Lymph node
৮৪০.
Content of deep perineal pouch –
  1. ক) Crus penis
  2. খ) Crus clitoris
  3. গ) Urethra
  4. ঘ) Bartholin gland
সঠিক উত্তর:
গ) Urethra
উত্তর
সঠিক উত্তর:
গ) Urethra
ব্যাখ্যা
Urethra lies in deep perineal pouch.
৮৪১.
Which is the most dependent part of the lung in supine position?
  1. Superior segment of the upper lobe
  2. Posterior basal segment of the lower lobe
  3. Lateral segment of the middle lobe
  4. Superior segment of the lower lobe
সঠিক উত্তর:
Superior segment of the lower lobe
উত্তর
সঠিক উত্তর:
Superior segment of the lower lobe
৮৪২.
Gunylin Receptor is not found in
  1. Intestine
  2. Male reproductive tract
  3. Kideny
  4. Female reproductive tract
সঠিক উত্তর:
Male reproductive tract
উত্তর
সঠিক উত্তর:
Male reproductive tract
৮৪৩.
Which one is the confirmatory investigation of acute pancreatitis?
  1. ক) S. amylase
  2. খ) S.lipase
  3. গ) USG
  4. ঘ) MRCP
সঠিক উত্তর:
গ) USG
উত্তর
সঠিক উত্তর:
গ) USG
ব্যাখ্যা
Explanation: Ultrasound scanning can confirm the diagnosis of acute pancreatitis
৮৪৪.
Cause of reactive thrombocytosis-
  1. Polycythemia rubra vera
  2. CML
  3. Post splenectomy
  4. Primary thrombocythaemia
সঠিক উত্তর:
Post splenectomy
উত্তর
সঠিক উত্তর:
Post splenectomy
৮৪৫.
Which one of the following is pathognomonic for rheumatic fever?
  1. ক) Chorea
  2. খ) Erythema marginatum
  3. গ) Aschoff nodules
  4. ঘ) Subcutaneous nodules
সঠিক উত্তর:
গ) Aschoff nodules
উত্তর
সঠিক উত্তর:
গ) Aschoff nodules
ব্যাখ্যা
Explanation: Aschoff nodules is pathognomonic for rheumatic fever and occur only in the heart
৮৪৬.
Criteria of non cardiac chest pain -
  1. Central diffuse pain
  2. Radiation to jaw,neck
  3. Tight, squeezing
  4. Not relived by rest
সঠিক উত্তর:
Not relived by rest
উত্তর
সঠিক উত্তর:
Not relived by rest
ব্যাখ্যা
Explanation :
Criteria of non cardiac chest pain :
Peripheral localized
No radiation
Sharp, stabbing,catching
Spontaneous 
Not relieved by rest
৮৪৭.
Amount of formed element in blood
  1. ক) 30%
  2. খ) 70%
  3. গ) 45%
  4. ঘ) 55%
সঠিক উত্তর:
গ) 45%
উত্তর
সঠিক উত্তর:
গ) 45%
ব্যাখ্যা
Explanations: Blood = Plasma (55%) + Formed elements (45%)
৮৪৮.
Non specific sign of anemia is-
  1. Tiredness
  2. Lightheadedness
  3. Flow murmurs
  4. Claudication
সঠিক উত্তর:
Flow murmurs
উত্তর
সঠিক উত্তর:
Flow murmurs
৮৪৯.
ECG changes in Hyperkalemia
  1. prominent U wave
  2. ST depression
  3. wide QRS complex
  4. T wave inversion
সঠিক উত্তর:
wide QRS complex
উত্তর
সঠিক উত্তর:
wide QRS complex
৮৫০.
Parts of midbrain-
  1. ক) Crus cerebri
  2. খ) Pons
  3. গ) Cerebellum
  4. ঘ) Medulla oblongata
সঠিক উত্তর:
ক) Crus cerebri
উত্তর
সঠিক উত্তর:
ক) Crus cerebri
ব্যাখ্যা
Pons, Cerebellum, Medulla oblongata-parts of hind brain.
৮৫১.
Thirst centre is stimulated by-?
  1. ক) Intracellular dehydration
  2. খ) Decreased E.C.F tonicity
  3. গ) Hypervolemia
  4. ঘ) Angiotensin-1
সঠিক উত্তর:
ক) Intracellular dehydration
উত্তর
সঠিক উত্তর:
ক) Intracellular dehydration
ব্যাখ্যা

Thirst center is stimulated by-
-Intracellular dehydration
-Hypovolemia
-Angiotensin-2 in circulation

৮৫২.
Most commonly used investigations for detection of toxoplasmosis
  1. ক) MRI
  2. খ) PCR
  3. গ) CSF IgM antibody test
  4. ঘ) Sabin-Feldman dye test
সঠিক উত্তর:
ঘ) Sabin-Feldman dye test
উত্তর
সঠিক উত্তর:
ঘ) Sabin-Feldman dye test
ব্যাখ্যা
( Ref : Davidson 23rd ,p - 281 )
৮৫৩.
Following cardiovascular changes occurs after birth –
  1. ক) Decrease in the system vascular resistance
  2. খ) Pulmonary arterial constriction
  3. গ) Increased in right ventricular pressure
  4. ঘ) Closure of ductus venosus
সঠিক উত্তর:
ঘ) Closure of ductus venosus
উত্তর
সঠিক উত্তর:
ঘ) Closure of ductus venosus
ব্যাখ্যা

Cardiovascular changes following birth are-
-Increase arterial oxygen tension
-Decreased Pulmonary vascular resistance
-Increased Pulmonary blood flow
-Increased systemic vascular resistance
-Closure of Ductus arteriosus and ductus venosus
-closure Foramen ovale

৮৫৪.
Major glucocorticoid in human
  1. ক) Cortisol
  2. খ) Aldosterone
  3. গ) Estradiol
  4. ঘ) Corticosterone
সঠিক উত্তর:
ক) Cortisol
উত্তর
সঠিক উত্তর:
ক) Cortisol
ব্যাখ্যা
Reference: Davidson 23rd; P-665
৮৫৫.
Central tendon of diaphragm is developed from
  1. ক) Pleuroperitonial membrane
  2. খ) Dorsal mesentery of oesophagus
  3. গ) Septum transversum
  4. ঘ) Dorsal mesogastrium
সঠিক উত্তর:
গ) Septum transversum
উত্তর
সঠিক উত্তর:
গ) Septum transversum
৮৫৬.
Gold standard test for the diagnosis of Helicobacter pylori infection is-
  1. Urea breath test
  2. Rapid urease test
  3. Microbiological culture
  4. Faecal antigen test
সঠিক উত্তর:
Microbiological culture
উত্তর
সঠিক উত্তর:
Microbiological culture
৮৫৭.
Which insulates PNS cell bodies?
  1. ক) Ependymal cell
  2. খ) Microglia
  3. গ) Schwan cell
  4. ঘ) Satellite cells
সঠিক উত্তর:
ঘ) Satellite cells
উত্তর
সঠিক উত্তর:
ঘ) Satellite cells
৮৫৮.
Incorrect about Hypothalamus-
  1. ক) Regulate body temperature
  2. খ) Controls emotion and behavior
  3. গ) Has endocrine function
  4. ঘ) Controls voluntary movement
সঠিক উত্তর:
ঘ) Controls voluntary movement
উত্তর
সঠিক উত্তর:
ঘ) Controls voluntary movement
ব্যাখ্যা
Reference-BD Chaurasia’s/7th/vol-4/p-139
৮৫৯.
Function of non dominant side of parietal lobe-
  1. Calculation
  2. Personality
  3. Spatial orientation
  4. Auditory perception
সঠিক উত্তর:
Spatial orientation
উত্তর
সঠিক উত্তর:
Spatial orientation
ব্যাখ্যা
Macleod's Clinical Examination, Page 141

৮৬০.
Direct stimulation of RVLM done by
  1. Cortex
  2. Pain sensation
  3. Brain stem
  4. Hypoxia
সঠিক উত্তর:
Hypoxia
উত্তর
সঠিক উত্তর:
Hypoxia
৮৬১.
Thick copius purulent mostly suggests
  1. ক) PTB
  2. খ) Bronchial carcinoma
  3. গ) Lung abscess
  4. ঘ) ALVF
সঠিক উত্তর:
গ) Lung abscess
উত্তর
সঠিক উত্তর:
গ) Lung abscess
৮৬২.
Skin can be penetrated by
  1. ক) Strongyloides
  2. খ) Trichuris
  3. গ) Ecchinococcus
  4. ঘ) Ascaris
সঠিক উত্তর:
ক) Strongyloides
উত্তর
সঠিক উত্তর:
ক) Strongyloides
ব্যাখ্যা
Skin can be penetrated by Strongyloides
৮৬৩.
Common causes of atrial fibrillation except -
  1. Mitral stenosis
  2. Hypertension
  3. IHD
  4. Cardiomyopathy
সঠিক উত্তর:
Cardiomyopathy
উত্তর
সঠিক উত্তর:
Cardiomyopathy
ব্যাখ্যা
Explanation :
Common causes of AF -
Mitral stenosis 
Hypertension 
Thyrotoxicosis
IHD
Idiopathic / lone AF
৮৬৪.
Site of action of aldosterone
  1. ক) Proximal convoluted tubule
  2. খ) Loop of Henle
  3. গ) Early distal tubule
  4. ঘ) Late distal tubule
সঠিক উত্তর:
ঘ) Late distal tubule
উত্তর
সঠিক উত্তর:
ঘ) Late distal tubule
ব্যাখ্যা
Reference: Davidson 23rd; P-351
৮৬৫.
‘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
সঠিক উত্তর:
ঘ) Parietal non dominant lobe
উত্তর
সঠিক উত্তর:
ঘ) Parietal non dominant lobe
ব্যাখ্যা
Reference: Davidson 23rd, Page: 1066 , Box : 25.2
৮৬৬.
Passive reabsorption in tubules occur for following
  1. Urea
  2. K
  3. Na
  4. Amino acid
সঠিক উত্তর:
Urea
উত্তর
সঠিক উত্তর:
Urea
৮৬৭.
Alkaline fluid containing mucin is secreted from which cell of stomach?
  1. ক) Surface mucous cell
  2. খ) Mucous neck cell
  3. গ) Parietal cell
  4. ঘ) G cell
সঠিক উত্তর:
ক) Surface mucous cell
উত্তর
সঠিক উত্তর:
ক) Surface mucous cell
৮৬৮.
Which one is the analgesic of first choice for mild to moderate pain?
  1. ক) Paracetamol
  2. খ) Ibuprofen
  3. গ) Naproxen
  4. ঘ) Indometacin
সঠিক উত্তর:
ক) Paracetamol
উত্তর
সঠিক উত্তর:
ক) Paracetamol
ব্যাখ্যা
Explanation: Paracetamol (1 g up to 4 times daily) is the oral analgesic of first choice for mild to moderate pain
৮৬৯.
Kaposi’s sarcoma is caused by
  1. ক) HSV-1
  2. খ) HSV-2
  3. গ) HHV-8
  4. ঘ) EBV
সঠিক উত্তর:
গ) HHV-8
উত্তর
সঠিক উত্তর:
গ) HHV-8
৮৭০.
Unilateral cleft lip occurs as a result of failure of fusion between-
  1. Both medial nasal process
  2. Lateral nasal and maxillary process
  3. Medial nasal and maxillary process
  4. Medial and lateral nasal process
সঠিক উত্তর:
Medial nasal and maxillary process
উত্তর
সঠিক উত্তর:
Medial nasal and maxillary process
৮৭১.
Length of each adult kidney is
  1. 10 -13cm
  2. 8-12mm
  3. 10-13 mm
  4. 8-12cm
সঠিক উত্তর:
10 -13cm
উত্তর
সঠিক উত্তর:
10 -13cm
ব্যাখ্যা
Each kidney is approximately 10–13 cm in length in healthy adults;they are located retroperitoneally on either side of the aorta and inferior vena cava between the 12th thoracic and 3rd lumbar vertebrae (Fig. 18.1A). The right kidney is usually a few centimetres lower because the liver lies above it. Both kidneys rise and descend several centimetres with respiration.
৮৭২.
Stimuli that decrease GH secretion
  1. NREM Sleep
  2. REM sleep
  3. Fasting
  4. Protein meal
সঠিক উত্তর:
REM sleep
উত্তর
সঠিক উত্তর:
REM sleep
৮৭৩.
Calculation of the BODE index exclude
  1. FEV1
  2. Distance walked in 6 hour(m)
  3. mMRC dyspnoea scale
  4. Body mass index
সঠিক উত্তর:
Distance walked in 6 hour(m)
উত্তর
সঠিক উত্তর:
Distance walked in 6 hour(m)
৮৭৪.
Which one supports cilia?
  1. ক) Microtubule
  2. খ) Microfilament
  3. গ) Intermediate filament
  4. ঘ) All of them
সঠিক উত্তর:
ক) Microtubule
উত্তর
সঠিক উত্তর:
ক) Microtubule
৮৭৫.
Which blood component is indicated in von Willebrand disease?
  1. Red cell concentrate
  2. Fresh frozen plasma
  3. Cryoprecipitate
  4. Platelet concentrate
সঠিক উত্তর:
Cryoprecipitate
উত্তর
সঠিক উত্তর:
Cryoprecipitate
৮৭৬.
Acute chest pain with nausea and sweating is seggestive of which of the following?
  1. ক) IHD
  2. খ) Acute myocardial infarction
  3. গ) Pulmonary embolism
  4. ঘ) Anxiety.
সঠিক উত্তর:
খ) Acute myocardial infarction
উত্তর
সঠিক উত্তর:
খ) Acute myocardial infarction
৮৭৭.
Example of antiplatelet drug-
  1. Aspirin
  2. Warfarin
  3. Heparin
  4. Rivaroxaban
সঠিক উত্তর:
Aspirin
উত্তর
সঠিক উত্তর:
Aspirin
৮৭৮.
Which is a non-capsulated receptor?
  1. Meissner corpuscle
  2. Merkel cell
  3. Krause end bulb
  4. Pacinian corpuscle
সঠিক উত্তর:
Merkel cell
উত্তর
সঠিক উত্তর:
Merkel cell
৮৭৯.
Neoplastic polyp of gastrointestinal tract-
  1. ক) Hyperplastic polyp
  2. খ) hematomas polyp
  3. গ) tubular adenomas
  4. ঘ) inflammatory polyp
সঠিক উত্তর:
গ) tubular adenomas
উত্তর
সঠিক উত্তর:
গ) tubular adenomas
ব্যাখ্যা
Others are not Neoplastic
৮৮০.
Cardinal feature of portal hypertension is?
  1. Palmar erythema
  2. Splenomegaly
  3. Ascites
  4. Hepatomegaly
সঠিক উত্তর:
Splenomegaly
উত্তর
সঠিক উত্তর:
Splenomegaly
ব্যাখ্যা
Davidson 24th Ed. Page 881
৮৮১.
A 45-year-old woman presents with heat intolerance, palpitations, weight loss, and diarrhea. Her thyroid is diffusely enlarged, and laboratory tests show low TSH and elevated free T4. What is the most likely diagnosis?
  1. Graves’ disease
  2. Subacute thyroiditis
  3. Toxic multinodular goiter
  4. Hashimoto’s thyroiditis
সঠিক উত্তর:
Graves’ disease
উত্তর
সঠিক উত্তর:
Graves’ disease
ব্যাখ্যা
Stem Breakdown:

Heat intolerance, palpitations, weight loss, and diarrhoea: These symptoms are classic for hyperthyroidism, indicating increased metabolism.
Diffusely enlarged thyroid: A diffusely enlarged thyroid without nodularity is characteristic of Graves’ disease.
Low TSH and elevated free T4: These lab findings confirm hyperthyroidism, with low TSH due to feedback inhibition and high free T4 indicating excessive thyroid hormone production.
Option Analysis:

A) Graves’ disease: This is the correct diagnosis. Davidson and Harrison describe Graves’ disease as the most common cause of hyperthyroidism, characterised by a diffusely enlarged thyroid gland, low TSH, and elevated free T4. Graves' disease is caused by autoantibodies that stimulate the TSH receptor, leading to increased thyroid hormone production.
B) Subacute thyroiditis: Subacute thyroiditis can cause transient hyperthyroidism due to the release of preformed thyroid hormone, but it is usually associated with neck pain and tenderness, not a diffusely enlarged thyroid.
C) Toxic multinodular goitre: Toxic multinodular goitre causes hyperthyroidism due to the presence of multiple autonomous thyroid nodules. The thyroid gland is typically irregular and nodular, not diffusely enlarged.
D) Hashimoto’s thyroiditis: Hashimoto's thyroiditis is a common cause of hypothyroidism, not hyperthyroidism. It causes a firm, enlarged thyroid and is associated with high TSH and low T4 levels.
৮৮২.
Stimulant is
  1. heroin
  2. ecstasy
  3. cannabis
  4. amphetamines
সঠিক উত্তর:
amphetamines
উত্তর
সঠিক উত্তর:
amphetamines
৮৮৩.
Which is a cutaneous branch of the cervical plexus?
  1. Ansa cervicalis
  2. Great auricular nerve
  3. Auriculotemporal nerve
  4. Phrenic nerve
সঠিক উত্তর:
Great auricular nerve
উত্তর
সঠিক উত্তর:
Great auricular nerve
৮৮৪.
Cerebellar lesion is characterized by-
  1. Resting tremors
  2. Ataxic gait
  3. Chorea
  4. Muscular hypertonia
সঠিক উত্তর:
Ataxic gait
উত্তর
সঠিক উত্তর:
Ataxic gait
৮৮৫.
Which is not a part of the lower respiratory tract?
  1. Pharynx
  2. Trachea
  3. Larynx
  4. Bronchi
সঠিক উত্তর:
Pharynx
উত্তর
সঠিক উত্তর:
Pharynx
ব্যাখ্যা


[Ref. Junquira}
৮৮৬.
Which is not a feature of Mineralocorticoid insufficiency
  1. Hypotension
  2. Shock
  3. Hyperkalaemia
  4. Hyponatraemia (dilutional)
সঠিক উত্তর:
Hyponatraemia (dilutional)
উত্তর
সঠিক উত্তর:
Hyponatraemia (dilutional)
৮৮৭.
Endocarditis on prosthetic heart valve is caused by
  1. ক) S. aureus
  2. খ) S. epidermidis
  3. গ) S. saprophyticus
  4. ঘ) S. pyogens
সঠিক উত্তর:
খ) S. epidermidis
উত্তর
সঠিক উত্তর:
খ) S. epidermidis
৮৮৮.
Electrolyte imbalance in long QT syndrome excludes
  1. ক) Hypokalaemia
  2. খ) Hyponatremia
  3. গ) Hypomagnesemia
  4. ঘ) Hypocalcaemia
সঠিক উত্তর:
খ) Hyponatremia
উত্তর
সঠিক উত্তর:
খ) Hyponatremia
৮৮৯.
Which hepatitis virus cannont be prevented by vaccine
  1. A
  2. B
  3. C
  4. D
সঠিক উত্তর:
C
উত্তর
সঠিক উত্তর:
C
ব্যাখ্যা
Reference: Davidson 23rd; P-872
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
৮৯০.
Which of the following nerve is commonly compressed due to MPS infiltration?
  1. Ulnar Nerve
  2. Median Nerve
  3. Radial Nerve
  4. Tibial Nerve
সঠিক উত্তর:
Median Nerve
উত্তর
সঠিক উত্তর:
Median Nerve
৮৯১.
Which anti diabetic drugs act on proximal tubules ?
  1. ক) Voglibose
  2. খ) Empagliflogin
  3. গ) Saxagliptin
  4. ঘ) Meglitinides
সঠিক উত্তর:
খ) Empagliflogin
উত্তর
সঠিক উত্তর:
খ) Empagliflogin
ব্যাখ্যা
Reference: Davidson 23rd; P-748
৮৯২.
Example of Intermittent fever is
  1. ক) kala-azar
  2. খ) Bronchopneumonia
  3. গ) Rheumatic fever
  4. ঘ) Typhoid fever
সঠিক উত্তর:
ক) kala-azar
উত্তর
সঠিক উত্তর:
ক) kala-azar
ব্যাখ্যা

Explanation:
Bronchopneumonia- Remittent fever
Rheumatic fever- Continued fever
Typhoid fever- Continued fever

৮৯৩.
During examination of an alleged assailant, the presence of defensive injuries on the dorsum of forearm suggests:
  1. Victim was unconscious during assault
  2. Assailant was caught by someone
  3. Assailant is also a victim
  4. Person tried to defend against attack
সঠিক উত্তর:
Person tried to defend against attack
উত্তর
সঠিক উত্তর:
Person tried to defend against attack
ব্যাখ্যা
Defensive wounds are often found on the hands and forearms if a victim raised them to protect the head and face or to fend off an assault, but may also be present on the feet and legs if a victim attempted defense while lying down and kicking out at an assailant.
Defensive injuries typically occur on forearms or palms when trying to ward off blows. (Nandy)
৮৯৪.
Thirst and hunger control center-
  1. ক) Medial hypothalamic area
  2. খ) Lateral hypothalamic area
  3. গ) Anterior hypothalamic area
  4. ঘ) Posterior hypothalamic area
সঠিক উত্তর:
খ) Lateral hypothalamic area
উত্তর
সঠিক উত্তর:
খ) Lateral hypothalamic area
ব্যাখ্যা
Thirst and hunger control center in lateral hypothalamic area
৮৯৫.
Erythropoitin is consist of.........AA
  1. 135
  2. 145
  3. 155
  4. 165
সঠিক উত্তর:
165
উত্তর
সঠিক উত্তর:
165
৮৯৬.
About what % of human body is fluid?
  1. ক) 40%
  2. খ) 60%
  3. গ) 50 %
  4. ঘ) 65 %
সঠিক উত্তর:
খ) 60%
উত্তর
সঠিক উত্তর:
খ) 60%
ব্যাখ্যা
60% of TBW is fluid where 40% is ICF & 20 is ECF
৮৯৭.
Most common clinical signs found in symmetrical sensory polyneuropathy of diabetes ?
  1. ক) Diminished perception of vibration
  2. খ) Diminished perception of pain and temperature
  3. গ) Burning sensation of the feet
  4. ঘ) Extensor plantar response
সঠিক উত্তর:
ক) Diminished perception of vibration
উত্তর
সঠিক উত্তর:
ক) Diminished perception of vibration
ব্যাখ্যা
Reference: Davidson 23rd; P-758
৮৯৮.
Pathway of cell death that is induced by a tightly regulated suicide program -
  1. ক) Necrosis
  2. খ) Apoptosis
  3. গ) Necroptosis
  4. ঘ) Pyroptosis
সঠিক উত্তর:
খ) Apoptosis
উত্তর
সঠিক উত্তর:
খ) Apoptosis
ব্যাখ্যা
[Robbins 9th 52]
৮৯৯.
Which drug causes angioedema?
  1. ক) ACE inhibitors
  2. খ) Gold, penicillamine
  3. গ) Antimalarials
  4. ঘ) Metformin
সঠিক উত্তর:
ক) ACE inhibitors
উত্তর
সঠিক উত্তর:
ক) ACE inhibitors
ব্যাখ্যা
Explanation: ACE inhibitors causes angioedema
৯০০.
Brown fat-
  1. ক) Richer in mitochondria than ordinary fat
  2. খ) Nucleus is situated at the periphery
  3. গ) Is unilocular
  4. ঘ) Less vascular than ordinary fat
সঠিক উত্তর:
ক) Richer in mitochondria than ordinary fat
উত্তর
সঠিক উত্তর:
ক) Richer in mitochondria than ordinary fat
ব্যাখ্যা
-Nucleus is situated at the periphery in case of yellow fat.
-Yellow fat is unilocular. Brown fat is multilocular.