১.
Slapped cheeked syndrome
সঠিক উত্তর: ক
ক) Parvovirus B19
উত্তর
সঠিক উত্তর: ক
ক) Parvovirus B19
PrepBank · বিষয়ভিত্তিক প্রশ্ন
Infectious Diseases
Infectious Diseases
PrepBank · পাতা ১ / ২ · ১–১০০ / ১৯৬
ক
২.
Weight loss with diarrhoea, lymphadenopathy & opportunistic infection indicates
সঠিক উত্তর: ক
ক) AIDS
উত্তর
সঠিক উত্তর: ক
ক) AIDS
৩.
After swimming in a river a patient developed itching & hematuria . What is the most important treatment for him ?
সঠিক উত্তর: খ
খ) Praziquantel
উত্তর
সঠিক উত্তর: খ
খ) Praziquantel
ব্যাখ্যা
(Ref : Davidson 23rd ,p -296 )
৪.
Rash is found in which type of syphilis
সঠিক উত্তর: খ
2ndary
উত্তর
সঠিক উত্তর: খ
2ndary
৫.
‘Salmonella’ is a -
সঠিক উত্তর: ঘ
ঘ) Gram- negative bacilli
উত্তর
সঠিক উত্তর: ঘ
ঘ) Gram- negative bacilli
ব্যাখ্যা
Explanation: Example of Gram- negative bacilli
Klebsiella pneumoniae
Proteus spp.
Enterobacter spp.
Serratia spp.
Salmonella spp.
Shigella spp.
Yersinia spp.
Vibrio spp.
Pseudomonas aeruginosa
৬.
The most dangerous of the malarias
সঠিক উত্তর: ক
ক) Falciparum
উত্তর
সঠিক উত্তর: ক
ক) Falciparum
৭.
Which of the following bacteria is the most common cause of septic arthritis in young, sexually active adults?
সঠিক উত্তর: খ
Neisseria gonorrhoeae
উত্তর
সঠিক উত্তর: খ
Neisseria gonorrhoeae
ব্যাখ্যা
Explanation: Neisseria gonorrhoeae is the most common cause of septic arthritis in young adults, particularly women. Davidson explains that gonococcal arthritis typically presents with migratory polyarthritis and tenosynovitis. Harrison adds that early recognition and treatment with antibiotics are crucial to prevent joint destruction.
৮.
Incubation period of rabise?
সঠিক উত্তর: ঘ
4 to 8 weeks
উত্তর
সঠিক উত্তর: ঘ
4 to 8 weeks
৯.
Most common cause of osteomyelitis in children is-
সঠিক উত্তর: গ
Haematogenous spread
উত্তর
সঠিক উত্তর: গ
Haematogenous spread
১০.
An 35 year old lady came to OPD with fishy vaginal discharge with intense itching what will be the diagnosis?
সঠিক উত্তর: ক
BV
উত্তর
সঠিক উত্তর: ক
BV
ব্যাখ্যা
An increased discharge without any itch or irritation accompanied by an unpleasant or fishy odour, worse after sexual intercourse and during menstruation, indicates the possibility of BV
১১.
Remittent fever occurs in
সঠিক উত্তর: গ
গ) Acute tonsilitis
উত্তর
সঠিক উত্তর: গ
গ) Acute tonsilitis
ব্যাখ্যা
If the fever fluctuates > 2ºC (3ºF) but does not touch the baseline, it is called remittent.
This is found in any pyogenic infection (pyogenic liver abscess, acute bronchopneumonia, acute tonsillitis, septicemia, acute pyelonephritis), lymphoma.
১২.
All of the following are indicative of PID except
সঠিক উত্তর: খ
খ) Curdy vaginal discharge
উত্তর
সঠিক উত্তর: খ
খ) Curdy vaginal discharge
১৩.
Sodium stibogluconate is used in
সঠিক উত্তর: খ
খ) Kala azar
উত্তর
সঠিক উত্তর: খ
খ) Kala azar
১৪.
Which of the following affects dermis only
সঠিক উত্তর: গ
L. tropica
উত্তর
সঠিক উত্তর: গ
L. tropica
১৫.
Which is not a Clinical Signs of Dengue Shock Syndrome:
সঠিক উত্তর: ঘ
Pulse pressure ≤40 mmHg
উত্তর
সঠিক উত্তর: ঘ
Pulse pressure ≤40 mmHg
ব্যাখ্যা
Dengue Shock Syndrome
Clinical Signs of Dengue Shock Syndrome:
• Cool extremities, delayed capillary refill time
• Lethargy or restlessness (which may be a sign of reduced brain perfusion)
• Tachypnoea or Kussmaul's breathing
• Tachycardia, weak pulse
• Narrow pulse pressure: Pulse pressure ≤20 mmHg with increased diastolic pressure, e.g. 100/80 mmHg •
Hypotension by age, defined as systolic pressure <80 mmHg for those aged <5 years or 80 to 90 mmHg for older children and adults
Clinical Signs of Dengue Shock Syndrome:
• Cool extremities, delayed capillary refill time
• Lethargy or restlessness (which may be a sign of reduced brain perfusion)
• Tachypnoea or Kussmaul's breathing
• Tachycardia, weak pulse
• Narrow pulse pressure: Pulse pressure ≤20 mmHg with increased diastolic pressure, e.g. 100/80 mmHg •
Hypotension by age, defined as systolic pressure <80 mmHg for those aged <5 years or 80 to 90 mmHg for older children and adults
১৬.
Gold standard method for measurement of body temperature-
সঠিক উত্তর: গ
Rectal measurement
উত্তর
সঠিক উত্তর: গ
Rectal measurement
১৭.
Which is the Evidence of Plasma Leakage in dengue?
সঠিক উত্তর: ঘ
All
উত্তর
সঠিক উত্তর: ঘ
All
ব্যাখ্যা
Evidence of Plasma Leakage (key differentiating point between Dengue and Dengue Haemorrhagic Fever)
Rise in Hct.: 20% (eg. In children 35 → 42 and in adults 40→48)
• Circulatory failure: Cold/cold clammy skin, CRFT>2 Sec, tachycardia, weak pulse, narrow pulse pressure <20, hypotension.
• Fluid accumulation - Ascites/ Pleural effusions
• Albumin <3.5 gm/dl
Rise in Hct.: 20% (eg. In children 35 → 42 and in adults 40→48)
• Circulatory failure: Cold/cold clammy skin, CRFT>2 Sec, tachycardia, weak pulse, narrow pulse pressure <20, hypotension.
• Fluid accumulation - Ascites/ Pleural effusions
• Albumin <3.5 gm/dl
১৮.
There are -----------------syndrome in Botulism defined by US CDC
সঠিক উত্তর: ক
3
উত্তর
সঠিক উত্তর: ক
3
১৯.
Not a Clinical feature of tetanus?
সঠিক উত্তর: ঘ
sensory deficits
উত্তর
সঠিক উত্তর: ঘ
sensory deficits
২০.
Plasmodium falciparum is a...
সঠিক উত্তর: গ
গ) Parasite
উত্তর
সঠিক উত্তর: গ
গ) Parasite
ব্যাখ্যা
Explanation: Plasmodium falciparum is a Parasite
২১.
the processing of blood cultures has at least-----steps
সঠিক উত্তর: ঘ
10
উত্তর
সঠিক উত্তর: ঘ
10
২২.
Chancre is a feature of
সঠিক উত্তর: খ
খ) Syphilis
উত্তর
সঠিক উত্তর: খ
খ) Syphilis
২৩.
Amoebiasis is caused by which of the following organism?
সঠিক উত্তর: খ
খ) Entamoeba histolytica
উত্তর
সঠিক উত্তর: খ
খ) Entamoeba histolytica
ব্যাখ্যা
Explanation: Amoebiasis is caused by Entamoeba histolytica
২৪.
Which is not a cancer related virus?
সঠিক উত্তর: ক
HDV
উত্তর
সঠিক উত্তর: ক
HDV
২৫.
Toxic phenomena in typhoid fever is
সঠিক উত্তর: গ
Myocarditis
উত্তর
সঠিক উত্তর: গ
Myocarditis
২৬.
Antibody that is particularly important at mucosal surface
সঠিক উত্তর: খ
খ) IgA
উত্তর
সঠিক উত্তর: খ
খ) IgA
২৭.
rK39 test is used for antigen detection for diagnosis of which of the following disease?
সঠিক উত্তর: গ
গ) Kala-azar
উত্তর
সঠিক উত্তর: গ
গ) Kala-azar
ব্যাখ্যা
Explanation: In endemic regions, a highly sensitive direct agglutination test using stained promastigotes and an equally efficient rapid immunochromatographic k39 strip test have become popular for the Diagnosis of Visceral Leishmaniasis
২৮.
Which of the following is a DNA virus?
সঠিক উত্তর: খ
Hepatitis B virus
উত্তর
সঠিক উত্তর: খ
Hepatitis B virus
২৯.
Organism responsible of frontal lobe abscess?
সঠিক উত্তর: গ
Streptococcus
উত্তর
সঠিক উত্তর: গ
Streptococcus
৩০.
Which one is a candidate for bioterrorism?
সঠিক উত্তর: ক
ক) B. anthracis
উত্তর
সঠিক উত্তর: ক
ক) B. anthracis
৩১.
Features of primary HIV infection excludes..
সঠিক উত্তর: গ
গ) Constipation
উত্তর
সঠিক উত্তর: গ
গ) Constipation
৩২.
Most common cause of septic arthritis-
সঠিক উত্তর: ক
Staphylococcus aureus
উত্তর
সঠিক উত্তর: ক
Staphylococcus aureus
৩৩.
Drug of choice in gonorrhoeic with pregnancy?
সঠিক উত্তর: ক
Cefreiaxone
উত্তর
সঠিক উত্তর: ক
Cefreiaxone
৩৪.
Fever with Relative Bradycardia
সঠিক উত্তর: খ
খ) Enteric fever.
উত্তর
সঠিক উত্তর: খ
খ) Enteric fever.
৩৫.
Pathogenesis of dengue shock syndrome
সঠিক উত্তর: খ
খ) Severe plasma leakage
উত্তর
সঠিক উত্তর: খ
খ) Severe plasma leakage
৩৬.
Gout is an adverse effect of
সঠিক উত্তর: খ
খ) Pyrazinamide
উত্তর
সঠিক উত্তর: খ
খ) Pyrazinamide
ব্যাখ্যা
Reference: Davidson 23rd; P-593
৩৭.
Which is not CBC finding in kala azar ?
সঠিক উত্তর: ঘ
hypoalbuminemia
উত্তর
সঠিক উত্তর: ঘ
hypoalbuminemia
ব্যাখ্যা
•Pancytopenia is common.
•Moderate to severe anaemia develops rapidly and can cause cardiac failure.
•Thrombocytopenia, often compounded by hepatic dysfunction, may result in bleeding from the retina, gastrointestinal tract and nose.
•In advanced illness, hypoalbuminemia may manifest as pedal oedema, ascites and anasarca (gross generalized oedema and swelling).
•Moderate to severe anaemia develops rapidly and can cause cardiac failure.
•Thrombocytopenia, often compounded by hepatic dysfunction, may result in bleeding from the retina, gastrointestinal tract and nose.
•In advanced illness, hypoalbuminemia may manifest as pedal oedema, ascites and anasarca (gross generalized oedema and swelling).
৩৮.
Regime of choice in N meningitidis
সঠিক উত্তর: ক
Cefotaxime
উত্তর
সঠিক উত্তর: ক
Cefotaxime
৩৯.
Which is a nucleic acid vaccines?
সঠিক উত্তর: খ
Ebola virus in trials
উত্তর
সঠিক উত্তর: খ
Ebola virus in trials
ব্যাখ্যা
Nucleic acid vaccines
COVID-19 (RNA vaccines) Ebola virus (DNA in clinical trials)
COVID-19 (RNA vaccines) Ebola virus (DNA in clinical trials)
৪০.
Most commonly used investigations for detection of toxoplasmosis
সঠিক উত্তর: ঘ
ঘ) Sabin-Feldman dye test
উত্তর
সঠিক উত্তর: ঘ
ঘ) Sabin-Feldman dye test
ব্যাখ্যা
( Ref : Davidson 23rd ,p - 281 )
৪১.
Gold standard test for the diagnosis of Helicobacter pylori infection is-
সঠিক উত্তর: গ
Microbiological culture
উত্তর
সঠিক উত্তর: গ
Microbiological culture
৪২.
Kaposi’s sarcoma is caused by
সঠিক উত্তর: গ
গ) HHV-8
উত্তর
সঠিক উত্তর: গ
গ) HHV-8
৪৩.
Example of Intermittent fever is
সঠিক উত্তর: ক
ক) kala-azar
উত্তর
সঠিক উত্তর: ক
ক) kala-azar
ব্যাখ্যা
Explanation:
Bronchopneumonia- Remittent fever
Rheumatic fever- Continued fever
Typhoid fever- Continued fever
৪৪.
Which of the following is not the principle of treatment of leprosy
সঠিক উত্তর: ঘ
Do not Support the patient socially and psychologically
উত্তর
সঠিক উত্তর: ঘ
Do not Support the patient socially and psychologically
৪৫.
Depressed black eschar is a feature of
সঠিক উত্তর: গ
গ) Anthrax
উত্তর
সঠিক উত্তর: গ
গ) Anthrax
৪৬.
HIV infects & kills
সঠিক উত্তর: খ
খ) Helper T cell
উত্তর
সঠিক উত্তর: খ
খ) Helper T cell
৪৭.
Which is the most common cause of acute endocarditis?
সঠিক উত্তর: ক
ক) Staphylococcus aureus
উত্তর
সঠিক উত্তর: ক
ক) Staphylococcus aureus
ব্যাখ্যা
Reference: Davidson 23rd , Page : 528
Explanation : The most common cause of acute endocarditis is Staphylococcus aureus.
Explanation : The most common cause of acute endocarditis is Staphylococcus aureus.
৪৮.
A patient presented with possible infection 4 weeks after haematopoietic stem cell transplantation. What may be the possible cause?
সঠিক উত্তর: খ
Herpes simplex
উত্তর
সঠিক উত্তর: খ
Herpes simplex
৪৯.
Gram negative diplococci in microscopy is indicative of
সঠিক উত্তর: গ
গ) Gonorrhea
উত্তর
সঠিক উত্তর: গ
গ) Gonorrhea
৫০.
Which of the following is the most common cause of genital ulcer?
সঠিক উত্তর: গ
গ) HSV
উত্তর
সঠিক উত্তর: গ
গ) HSV
ব্যাখ্যা
Explanation: The most common cause of ulceration is genital herpes
৫১.
Which one of following is the the most common cause of acute endocarditis?
সঠিক উত্তর: গ
গ) Staph. aureus
উত্তর
সঠিক উত্তর: গ
গ) Staph. aureus
ব্যাখ্যা
Explanation: Staph. aureus has now overtaken streptococci as the most common cause of acute endocarditis
৫২.
True about typhoid diagnosis is
সঠিক উত্তর: ক
Blood culture establishes the diagnosis
উত্তর
সঠিক উত্তর: ক
Blood culture establishes the diagnosis
ব্যাখ্যা
Blood culture establishes the diagnosis and multiple cultures increase the yield
Stool cultures are often positive in the second and third weeks
The Widal test detects antibodies to the O and H antigens but is not specific
Stool cultures are often positive in the second and third weeks
The Widal test detects antibodies to the O and H antigens but is not specific
৫৩.
Route of treatment of of yaws, pinta and bejel
সঠিক উত্তর: ক
IM
উত্তর
সঠিক উত্তর: ক
IM
৫৪.
M. leprae has tropism for which type of cell?
সঠিক উত্তর: ঘ
ঘ) Schwann cells
উত্তর
সঠিক উত্তর: ঘ
ঘ) Schwann cells
ব্যাখ্যা
Explanation: M. leprae has tropism for Schwann cells and skin macrophages.
৫৫.
Which is not included in case definition of kalazr?
সঠিক উত্তর: খ
rk37’ test (+) positive.
উত্তর
সঠিক উত্তর: খ
rk37’ test (+) positive.
ব্যাখ্যা
The diagnosis of Kala-azar will be based on the following criteria in a symptomatic case.
History of fever for more than 2 weeks
Residing/ traveling in endemic areas
Any one of the following symptoms and signs:
1.Splenomegaly
2.Weight loss
3.Anemia
And ‘rk39’ test (+) positive.
History of fever for more than 2 weeks
Residing/ traveling in endemic areas
Any one of the following symptoms and signs:
1.Splenomegaly
2.Weight loss
3.Anemia
And ‘rk39’ test (+) positive.
৫৬.
All stages of RBC is invaded by
সঠিক উত্তর: ক
P. falciparum
উত্তর
সঠিক উত্তর: ক
P. falciparum
ব্যাখ্যা
Red cells infected with malaria undergo haemolysis which is most severe with P. falciparum that invades red cells of all ages.
P. vivax and P. ovale preferentially invade younger cells, and P. malariae normoblasts
P. vivax and P. ovale preferentially invade younger cells, and P. malariae normoblasts
৫৭.
Most common cause of acute infective endocarditis is
সঠিক উত্তর: খ
S. aureus
উত্তর
সঠিক উত্তর: খ
S. aureus
ব্যাখ্যা
Staph. aureus has now overtaken streptococci as the most common cause of acute endocarditis. It originates from skin infections, abscesses or vascular access sites such as intravenous and central lines, or from intravenous drug use.
৫৮.
Retrobulbar neuritis is a major adverse reaction observed in therapy with
সঠিক উত্তর: খ
খ) Ethambutol
উত্তর
সঠিক উত্তর: খ
খ) Ethambutol
ব্যাখ্যা
Reference: Davidson 23rd; P-593
৫৯.
URTI are mostly
সঠিক উত্তর: খ
খ) Viral
উত্তর
সঠিক উত্তর: খ
খ) Viral
ব্যাখ্যা
Reference: Davidson 23rd; P-581
৬০.
Strawberry tongue in
সঠিক উত্তর: গ
গ) Scarlet fever
উত্তর
সঠিক উত্তর: গ
গ) Scarlet fever
৬১.
STI that can transmit through transplacental route
সঠিক উত্তর: গ
গ) Treponema
উত্তর
সঠিক উত্তর: গ
গ) Treponema
৬২.
Cardinal feature of leprosy excludes..
সঠিক উত্তর: গ
গ) hyperpigmented patch
উত্তর
সঠিক উত্তর: গ
গ) hyperpigmented patch
৬৩.
Poor dental hygiene is associated with
সঠিক উত্তর: ক
Actinomyces
উত্তর
সঠিক উত্তর: ক
Actinomyces
ব্যাখ্যা
Infections are usually due to a mixture of anaerobes and aerobes in common with the typical flora encountered in the mouth and upper respiratory tract. Isolates of Prevotella melaninogenica, Fusobacterium necrophorum, anaerobic or microaerophilic cocci and Bacteroides fragili may be identified. When suppurative pneumonia or a pulmonary abscess
occurs in a previously healthy lung, the most likely infecting organisms are Staph. aureus or K. pneumoniae. Actinomyces spp. cause chronic suppurative pulmonary infections, which may be associated with poor dental hygiene.
৬৪.
Regarding T. Gondi which is the following is not true?
সঠিক উত্তর: গ
Oöcysts may survive in dry conditions for weeks or months.
উত্তর
সঠিক উত্তর: গ
Oöcysts may survive in dry conditions for weeks or months.
ব্যাখ্যা
Toxoplasma gondii is an intracellular parasite. The sexual phase of the parasite’s life cycle (Fig. 13.40) occurs in the small intestinal epithelium of the domestic cat. Oöcysts in cat faeces are spread to intermediate hosts (pigs, sheep and also humans) via soil contamination. Oöcysts may survive in moist conditions for weeks or months.
৬৫.
Most sensitive means of diagnosis of kaka-azar?
সঠিক উত্তর: ক
Splenic smear
উত্তর
সঠিক উত্তর: ক
Splenic smear
৬৬.
Which is not a Warning Sign in DHF?
সঠিক উত্তর: ঘ
Haematocrit >30%
উত্তর
সঠিক উত্তর: ঘ
Haematocrit >30%
ব্যাখ্যা
Warning Signs
• No clinical improvement or worsening of the situation just before or during the transition to afebrile phase or as the disease progresses.
• Persistent vomiting.
• Severe abdominal pain.
Lethargy and/or restlessness, sudden behavioural changes.
• Bleeding: Epistaxis , black stool, haematemesis, excessive menstrual bleeding, dark colored urine (haemoglobinuria) or haematuria.
Giddiness.
• Pale, cold and clammy hands and feet.
• Less/no urine output for 4-6 hours
• Liver enlargement > 2cm • Haematocrit >20%
• No clinical improvement or worsening of the situation just before or during the transition to afebrile phase or as the disease progresses.
• Persistent vomiting.
• Severe abdominal pain.
Lethargy and/or restlessness, sudden behavioural changes.
• Bleeding: Epistaxis , black stool, haematemesis, excessive menstrual bleeding, dark colored urine (haemoglobinuria) or haematuria.
Giddiness.
• Pale, cold and clammy hands and feet.
• Less/no urine output for 4-6 hours
• Liver enlargement > 2cm • Haematocrit >20%
৬৭.
Which of the following features suggest severe dengue?
সঠিক উত্তর: ক
ক) Gastrointestinal haemorrhage
উত্তর
সঠিক উত্তর: ক
ক) Gastrointestinal haemorrhage
ব্যাখ্যা
Reference: Davidson 23rd, Box-11.35
৬৮.
Highest eosinophil counts found in
সঠিক উত্তর: গ
গ) Filariasis
উত্তর
সঠিক উত্তর: গ
গ) Filariasis
ব্যাখ্যা
Ref : Davidson 23rd ,p - 291
৬৯.
Which type of malaria invades red cells of all ages
সঠিক উত্তর: ক
ক) Falciparum
উত্তর
সঠিক উত্তর: ক
ক) Falciparum
৭০.
which is a Non Specific treponemal test ?
সঠিক উত্তর: ক
VDRL
উত্তর
সঠিক উত্তর: ক
VDRL
৭১.
HIV mainly transmits through which of the following route?
সঠিক উত্তর: ক
ক) Blood transfusion
উত্তর
সঠিক উত্তর: ক
ক) Blood transfusion
ব্যাখ্যা
Explanation: HIV mainly transmits through Blood transfusion (90%)
৭২.
Acute coryza is the most common URTI and is usually the result of which of the following organism?
সঠিক উত্তর: ঘ
ঘ) Rhinovirus
উত্তর
সঠিক উত্তর: ঘ
ঘ) Rhinovirus
ব্যাখ্যা
Explanation: Acute coryza is the most common URTI and is usually the result of rhinovirus infection
৭৩.
Adverse effect of Quinolones on ECG related to
সঠিক উত্তর: ঘ
QT
উত্তর
সঠিক উত্তর: ঘ
QT
ব্যাখ্যা
Adverse effects Gastrointestinal side-effects in 1%–5%.
Rare skin reactions (phototoxicity). Tendinitis and Achilles tendon rupture, especially in older people. Central nervous system effects (delirium, tremor, dizziness and occasional seizures in 5%–12%), especially in older people.
Reduces clearance of xanthines and theophyllines, potentially inducing insomnia and increased seizure potential.
Prolongation of QT interval on ECG, cardiac arrhythmias. Ciprooxacin use is associated with acquisition of MRSA and strains of C. difcile
Rare skin reactions (phototoxicity). Tendinitis and Achilles tendon rupture, especially in older people. Central nervous system effects (delirium, tremor, dizziness and occasional seizures in 5%–12%), especially in older people.
Reduces clearance of xanthines and theophyllines, potentially inducing insomnia and increased seizure potential.
Prolongation of QT interval on ECG, cardiac arrhythmias. Ciprooxacin use is associated with acquisition of MRSA and strains of C. difcile
৭৪.
Treatment should be continued for how many days for enteric fever?
সঠিক উত্তর: গ
গ) 14 days
উত্তর
সঠিক উত্তর: গ
গ) 14 days
ব্যাখ্যা
Explanation: Treatment should be continued for 14 days
৭৫.
Antimicrobials causing pulmonary eosinophilia except
সঠিক উত্তর: গ
গ) Erythromycin
উত্তর
সঠিক উত্তর: গ
গ) Erythromycin
ব্যাখ্যা
Reference: Davidson 23rd; P-612
৭৬.
Which one is the cardinal feature of leprosy?
সঠিক উত্তর: ক
ক) Skin lesions, typically anaesthetic at tuberculoid end of spectrum
উত্তর
সঠিক উত্তর: ক
ক) Skin lesions, typically anaesthetic at tuberculoid end of spectrum
৭৭.
mRNA synthesis inhibitor
সঠিক উত্তর: ঘ
ঘ) Rifampicin
উত্তর
সঠিক উত্তর: ঘ
ঘ) Rifampicin
৭৮.
Antibiotic of choice in septic arthritis
সঠিক উত্তর: গ
গ) Flucloxacillin
উত্তর
সঠিক উত্তর: গ
গ) Flucloxacillin
ব্যাখ্যা
Ref: Davidson 23rd; P-1020
৭৯.
A 4 year old baby is presented with a are dome-shaped, ‘umbilicated’, skin-coloured papules with central punctum lesion on chest . Her mother is a patient of Atopic Eczema. What will be the probable diagnosis?
সঠিক উত্তর: ক
Molluscum contagiosum
উত্তর
সঠিক উত্তর: ক
Molluscum contagiosum
ব্যাখ্যা
Molluscum contagiosum is caused by a DNA poxvirus skin infection. It is most common in children over the age of 1 year, particularly those with atopic dermatitis. It also occurs frequently in immunosuppressed patients, including those with HIV. Lesions are dome-shaped, ‘umbilicated’, skin-coloured papules with central punctum . They are often multiple and found at sites of apposition, such as the side of the chest and the inner arm.
৮০.
Diseases associated with mosquito bite excludes..
সঠিক উত্তর: গ
গ) Amoebiasis
উত্তর
সঠিক উত্তর: গ
গ) Amoebiasis
ব্যাখ্যা
Explanation: Diseases associated with mosquito bite includes Malaria, dengue fever, Chikungunya, filariasis, tularaemia
৮১.
Fever with rash at 5th day indicates
সঠিক উত্তর: খ
খ) Typhus
উত্তর
সঠিক উত্তর: খ
খ) Typhus
ব্যাখ্যা
Fever with skin rash (according to the day of appearance of rash)—Remember: “Very sick person must take double eggs.”
1st day—Varicella (chicken pox)
2nd day—Scarlet fever
3rd day—Pox (small pox)
4th day—Measles, German measles (rubella)
5th day—Typhus
6th day—Dengue
7th day—Enteric fever (rose spot)
Drug rash may appear anytime.
৮২.
Only notable physical signs in leptospirosis
সঠিক উত্তর: গ
গ) Conjunctival congestion
উত্তর
সঠিক উত্তর: গ
গ) Conjunctival congestion
ব্যাখ্যা
( Ref : Davidson 23rd ,p - 257 )
৮৩.
Duration of treatment of Loa Loa is ------------days
সঠিক উত্তর: ক
21
উত্তর
সঠিক উত্তর: ক
21
ব্যাখ্যা
DEC (see above) is curative, in a dose of 9–12 mg/kg daily, continued for 21 days
৮৪.
Regarding Paromomycin which is not correct?
সঠিক উত্তর: খ
It is significantly absorbed when administered orally
উত্তর
সঠিক উত্তর: খ
It is significantly absorbed when administered orally
ব্যাখ্যা
Paromomycin is an aminoglycoside that is used to treat visceral leishmaniasis and intestinal amoebiasis. It is not significantly absorbed when administered orally, and is therefore given orally for intestinal amoebiasis and by intramuscular injection for leishmaniasis. It showed early promise in the treatment of HIV-associated cryptosporidiosis but subsequent trials have demonstrated that this effect is marginal at best.
৮৫.
Which of the following is the most common bacterial cause of infective endocarditis in patients with pre-existing valvular disease?
সঠিক উত্তর: খ
Streptococcus viridans
উত্তর
সঠিক উত্তর: খ
Streptococcus viridans
ব্যাখ্যা
Justification: In patients with pre-existing valvular abnormalities, such as mitral valve prolapse, streptococcus viridans is the most common cause of infective endocarditis. Davidson emphasizes that viridans streptococci typically enter the bloodstream following dental procedures or minor mucosal trauma. Harrison describes the importance of prophylactic antibiotics in high-risk patients undergoing invasive procedures.
৮৬.
Lung fluukes are
সঠিক উত্তর: ক
Paragonimus spp
উত্তর
সঠিক উত্তর: ক
Paragonimus spp
ব্যাখ্যা
Lung fluukes: Paragonimus spp
৮৭.
Common side effect of H. pylori eradication therapy
সঠিক উত্তর: ক
ক) Diarrhoea
উত্তর
সঠিক উত্তর: ক
ক) Diarrhoea
ব্যাখ্যা
Reference: Davidson 23rd; P-800
৮৮.
Which one is best IV fluid in cholera?
সঠিক উত্তর: ঘ
ঘ) Ringer’s lactate
উত্তর
সঠিক উত্তর: ঘ
ঘ) Ringer’s lactate
৮৯.
In visceral kiladar following organ is primarily involved
সঠিক উত্তর: ঘ
All
উত্তর
সঠিক উত্তর: ঘ
All
ব্যাখ্যা
•In visceral disease, the spleen, liver, bone marrow and lymph nodes are primarily involved
৯০.
Which organism of STI is transmitted through placenta?
সঠিক উত্তর: ক
ক) Treponema pallidum
উত্তর
সঠিক উত্তর: ক
ক) Treponema pallidum
৯১.
Hemolytic anemia is a side effect of
সঠিক উত্তর: ক
Rifampicin
উত্তর
সঠিক উত্তর: ক
Rifampicin
৯২.
Cardinal symptom of immunodeficiency
সঠিক উত্তর: খ
খ) Infection
উত্তর
সঠিক উত্তর: খ
খ) Infection
ব্যাখ্যা
Infection is cardinal symptom of immunodeficiency
৯৩.
Antibody that is highly effective at agglutinating pathogen
সঠিক উত্তর: গ
গ) IgM
উত্তর
সঠিক উত্তর: গ
গ) IgM
৯৪.
Which is not a Cardinal features of leprosy
সঠিক উত্তর: খ
Skin lesions, typically anaesthetic at lepromatous end of spectrum
উত্তর
সঠিক উত্তর: খ
Skin lesions, typically anaesthetic at lepromatous end of spectrum
৯৫.
Preferred therapy for severe malaria is..
সঠিক উত্তর: খ
খ) Artesunate
উত্তর
সঠিক উত্তর: খ
খ) Artesunate
ব্যাখ্যা
Reference: Davidson 23rd, Box-11.55
৯৬.
Dengue comes from ____________ word?
সঠিক উত্তর: ক
African
উত্তর
সঠিক উত্তর: ক
African
৯৭.
Most common organism responsible for septic arthritis in adults is-
সঠিক উত্তর: খ
Staphylococcus aureus
উত্তর
সঠিক উত্তর: খ
Staphylococcus aureus
৯৮.
Sterility due to bilateral orchitis may occur in
সঠিক উত্তর: খ
খ) Mumps
উত্তর
সঠিক উত্তর: খ
খ) Mumps
৯৯.
Cardiovascular presentation of syphilis
সঠিক উত্তর: ঘ
ঘ) Aortitis
উত্তর
সঠিক উত্তর: ঘ
ঘ) Aortitis
১০০.
Which one of the following is the specific investigation for thyphoid fever?
সঠিক উত্তর: ঘ
ঘ) Blood culture
উত্তর
সঠিক উত্তর: ঘ
ঘ) Blood culture
ব্যাখ্যা
Explanation: Blood culture is the specific investigation for thyphoid fever