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Respiratory System

মোট প্রশ্ন১৫২এই পাতা১০০প্রতি পাতা১০০
প্রশ্ন দেখুনঅনুশীলন
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

Respiratory System

PrepBank · পাতা ১ / ২ · ১–১০০ / ১৫২

১.
Main component of Spirometry
  1. ক
    FVC
  2. খ
    RV
  3. গ
    TLC
  4. ঘ
    EV
ব্যাখ্যা
Spirometry measures two main components: Forced vital capacity (FVC). FVC is the highest amount of air you can forcefully and completely blow out after taking a deep breath in. Forced expiratory volume (FEV1)
২.
Factors that predispose to pneumonia excludes..
  1. ক
    ক) Cigarette smoking
  2. খ
    খ) Lower respiratory tract Infections
  3. গ
    গ) Alcohol
  4. ঘ
    ঘ) Glucocorticoid therapy
ব্যাখ্যা
Explanation:
৩.
The most frequent symptom of respiratory disease
  1. ক
    Cough
  2. খ
    Chest pain
  3. গ
    Breathlessness
  4. ঘ
    Haemoptysis
ব্যাখ্যা
Reference: Davidson 23rd; P-556
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
৪.
Most common extra pulmonary site of TB
  1. ক
    ক) Lymph node
  2. খ
    খ) Bone
  3. গ
    গ) Gut
  4. ঘ
    ঘ) Brain
ব্যাখ্যা
Reference: Davidson 23rd; P-590
৫.
Initial symptom of High altitude pulmonary oedema is-
  1. ক
    Haemoptysis
  2. খ
    Orthopnoea
  3. গ
    Exertional dyspnoea
  4. ঘ
    Tachycardia
ব্যাখ্যা
Davidson Page 257
৬.
Which investigation is done to detect the marker of severity in CAP
  1. ক
    ক) FBC
  2. খ
    খ) Blood culture
  3. গ
    গ) Sputum cytology
  4. ঘ
    ঘ) CXR
ব্যাখ্যা
Reference: Davidson 23rd; P-584
৭.
A 64-year-old man presents with a chronic non-productive cough and exertional dyspnea. On examination, he has bilateral inspiratory crackles and digital clubbing. Chest X-ray shows reticular opacities in the lower lobes. What is the most likely diagnosis?
  1. ক
    Idiopathic pulmonary fibrosis
  2. খ
    Chronic obstructive pulmonary disease (COPD)
  3. গ
    Congestive heart failure
  4. ঘ
    Bronchiectasis
ব্যাখ্যা
Stem Breakdown:

Chronic non-productive cough and exertional dyspnoea: These are common symptoms of interstitial lung diseases, such as idiopathic pulmonary fibrosis (IPF).
Bilateral inspiratory crackles and digital clubbing: Inspiratory crackles ("Velcro crackles") are a hallmark of IPF, and clubbing is a common associated finding.
Reticular opacities on chest X-ray, especially in the lower lobes: This is characteristic of interstitial lung diseases like IPF.
Option Analysis:

A) Idiopathic pulmonary fibrosis: This is the correct diagnosis. Davidson and Harrison describe idiopathic pulmonary fibrosis (IPF) as a chronic progressive fibrosing interstitial lung disease. It primarily affects the lower lobes of the lungs and presents with exertional dyspnoea, a non-productive cough, and bilateral inspiratory crackles. Clubbing is also commonly seen in these patients.
B) Chronic obstructive pulmonary disease (COPD): COPD is characterised by airflow limitation due to chronic bronchitis or emphysema. It usually presents with a productive cough, wheezing, and hyperinflation on chest X-ray, not the reticular opacities seen in IPF.
C) Congestive heart failure: While heart failure can cause dyspnoea and bilateral crackles due to pulmonary ooedema, it usually presents with signs of fluid overload (e.g., leg ooedema, elevated jugular venous pressure). Additionally, the chest X-ray would show pulmonary congestion rather than reticular opacities.
D) Bronchiectasis: Bronchiectasis causes a chronic productive cough with copious sputum production and recurrent infections. It would show airway dilation (bronchial thickening) on imaging rather than reticular interstitial opacities.
৮.
Which of the following is not a feature of Acute severe asthma?
  1. ক
    ক) PEF 33–50% predicted (< 200 L/min)
  2. খ
    খ) Heart rate ≥ 110 beats/min
  3. গ
    গ) Respiratory rate ≥ 15 breaths/min
  4. ঘ
    ঘ) Inability to complete sentences in 1 breath
ব্যাখ্যা
Explanation:
৯.
Cause of exudative pleural effusion
  1. ক
    ক) CCF
  2. খ
    খ) SLE
  3. গ
    গ) Nephrotic syndrome
  4. ঘ
    ঘ) Cirrhosis of liver
ব্যাখ্যা
Reference: Practical Manual in Clinical Medicine by Professor ABM Abdullah; P-165
১০.
‘Increased translucency’ in x-ray found in which of the following condition?
  1. ক
    ক) Bullae
  2. খ
    খ) Pneumothorax
  3. গ
    গ) Oligaemia
  4. ঘ
    ঘ) All above
১১.
The area most commonly affected in abdominal TB
  1. ক
    Hepatic flexure
  2. খ
    Splenic flexure
  3. গ
    Ileocaecal region
  4. ঘ
    Anorectal region
ব্যাখ্যা
Reference: Davidson 23rd; P-812
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
১২.
Calculate Pack year when Mr X smokes 15 Cigerette for 40 year
  1. ক
    20
  2. খ
    30
  3. গ
    40
  4. ঘ
    60
১৩.
CTPA is the first-line diagnostic test in
  1. ক
    PE
  2. খ
    RA
  3. গ
    BA
  4. ঘ
    SLE
১৪.
Indication for assisted ventilation in acute severe asthma excludes
  1. ক
    ক) Drowsiness
  2. খ
    খ) Delirium
  3. গ
    গ) Hypotension
  4. ঘ
    ঘ) Exhaustion
ব্যাখ্যা
Reference: Davidson 23rd; P-573
১৫.
Which one is a feature of Acute severe asthma?
  1. ক
    ক) PEF 33–50% predicted
  2. খ
    খ) Cyanosis
  3. গ
    গ) Feeble respiratory effort
  4. ঘ
    ঘ) Bradycardia
১৬.
Type of hypersensitivity reaction in TB
  1. ক
    Anaphylactic
  2. খ
    Immune complex mediated
  3. গ
    Delayed
  4. ঘ
    Complement based
ব্যাখ্যা
Reference: Davidson 23rd; P-588
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
১৭.
First line diagnostic test in pulmonary embolism?
  1. ক
    ক) MRA
  2. খ
    খ) CTPA
  3. গ
    গ) CTA
  4. ঘ
    ঘ) Duplex imaging
ব্যাখ্যা
Reference: Davidson 23rd; P-620
১৮.
ILD is not found in
  1. ক
    RA
  2. খ
    SLE
  3. গ
    primary Sjögren syndrome
  4. ঘ
    antiphospholipid syndrome
১৯.
Tuberculin skin test is positive when induration is greater than
  1. ক
    5cm
  2. খ
    5mm
  3. গ
    5inch
  4. ঘ
    0.5 mm
২০.
Schamroth’s window sign is
  1. ক
    Trigone
  2. খ
    diamond shaped
  3. গ
    Circle
  4. ঘ
    None of the above
২১.
The combination of absent breath sounds and a resonant percussion note is diagnostic of which of the following disease?
  1. ক
    ক) Pneumonia
  2. খ
    খ) Fibrosis
  3. গ
    গ) Pneumothorax
  4. ঘ
    ঘ) Lung abscess
ব্যাখ্যা
Explanation: The combination of absent breath sounds and a resonant percussion note is diagnostic of pneumothorax
২২.
In a case of abdominal Tuberculosis, treatment should be continued for...
  1. ক
    ক) 4 month
  2. খ
    খ) 6 month
  3. গ
    গ) 8 month
  4. ঘ
    ঘ) 12 month
ব্যাখ্যা
Explanation: Treatment duration of abdominal Tuberculosis- 6 months
২৩.
Which of the following condition causes central cyanosis?
  1. ক
    ক) Exposure to cold.
  2. খ
    খ) Raynaud’s phenomenon.
  3. গ
    গ) Heart failure.
  4. ঘ
    ঘ) Severe pneumonia
২৪.
EBUS is not used in
  1. ক
    Sarcoidoisis
  2. খ
    Grading of a tumor
  3. গ
    Staging of a tumor
  4. ঘ
    TB
২৫.
occupational irritant for COPD is
  1. ক
    coal dus
  2. খ
    silica
  3. গ
    cadmium
  4. ঘ
    All
২৬.
Which disease occurs less frequently in smokers
  1. ক
    COPD
  2. খ
    Lung cancers
  3. গ
    Sarcoidosis
  4. ঘ
    MI
ব্যাখ্যা
Reference: Davidson 23rd; P-608
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
২৭.
Blood borne dissemination gives rise to
  1. ক
    ক) Primary PTB
  2. খ
    খ) Miliary TB
  3. গ
    গ) Post primary PTB
  4. ঘ
    ঘ) Secondary TB
ব্যাখ্যা
Reference: Davidson 23rd; P-588
২৮.
The most frequent symptom of respiratory disease
  1. ক
    ক) Chest pain
  2. খ
    খ) Breathlessness
  3. গ
    গ) Cough
  4. ঘ
    ঘ) Hemoptysis
ব্যাখ্যা
Reference: Davidson 23rd; P-556
২৯.
Exudative pleural effusion found in which of the following condition?
  1. ক
    ক) Liver failure
  2. খ
    খ) Renal failure
  3. গ
    গ) Cardiac failure
  4. ঘ
    ঘ) Pulmonary infraction
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’ effusion).
৩০.
COPD is diagnosed when post bronchodilator spirometry shows FEV/FVC is less than
  1. ক
    30%
  2. খ
    40%
  3. গ
    50%
  4. ঘ
    70%
ব্যাখ্যা
Reference: Davidson 23rd; P-575
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
৩১.
Which of the following is the best initial diagnostic test for suspected pulmonary embolism?
  1. ক
    D-dimer test
  2. খ
    Ventilation-perfusion (V/Q) scan
  3. গ
    CT pulmonary angiography
  4. ঘ
    Chest X-ray
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.
৩২.
Dignostic criteria of asthma
  1. ক
    FEV, ≥10% (and 200 mL) increase following administration of a bronchodilator
  2. খ
    >10% diurnal variation on ≥3 days in a week for 2 weeks on PEF diary
  3. গ
    >20% diurnal variation on ≥3 days in a week for 2 weeks on PEF diary
  4. ঘ
    FEV, ≥12% decrease after 6 mins of exercise
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
৩৩.
Thick copius purulent mostly suggests
  1. ক
    ক) PTB
  2. খ
    খ) Bronchial carcinoma
  3. গ
    গ) Lung abscess
  4. ঘ
    ঘ) ALVF
৩৪.
Calculation of the BODE index exclude
  1. ক
    FEV1
  2. খ
    Distance walked in 6 hour(m)
  3. গ
    mMRC dyspnoea scale
  4. ঘ
    Body mass index
৩৫.
Absent breath sound with hyper resonant percussion note indicates
  1. ক
    ক) Pneumonia
  2. খ
    খ) Collapse
  3. গ
    গ) Pneumothorax
  4. ঘ
    ঘ) Pleural effusion
ব্যাখ্যা
Reference: Davidson 23rd; P-547
৩৬.
Dose of Oral Prednisolone in COPD is
  1. ক
    10
  2. খ
    20
  3. গ
    30
  4. ঘ
    40
৩৭.
Investigation of choise for Brochiectasis
  1. ক
    ক) CXR
  2. খ
    খ) MRI
  3. গ
    গ) HRCT
  4. ঘ
    ঘ) Brochoscopy
ব্যাখ্যা
Explanation: CT is much more sensitive and shows thickened, dilated airways
৩৮.
Causes of chronic type-2 respiratory failure excludes
  1. ক
    COPD
  2. খ
    Sleep apnoea
  3. গ
    Lobar collapse
  4. ঘ
    Myopathies
ব্যাখ্যা
Reference: Davidson 23rd; P-565
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
৩৯.
‘Stony dull’ Percussion note is a typical examination finding of which of the following?
  1. ক
    ক) Pneumothorax
  2. খ
    খ) Pleural effusion
  3. গ
    গ) Pneumonia
  4. ঘ
    ঘ) Collapse
৪০.
Which one of the following causes unilateral pleural effusion?
  1. ক
    ক) Cardiac failure
  2. খ
    খ) Pulmonary infarction
  3. গ
    গ) Malignant disease
  4. ঘ
    ঘ) Nephrotic syndrome
ব্যাখ্যা
Reference: Davidson 23rd: Box-17.12
৪১.
Source of gut infection from human M. tuberculosis
  1. ক
    ক) Swallowed after coughing
  2. খ
    খ) Abdominal surgery
  3. গ
    গ) Anal coitus
  4. ঘ
    ঘ) Undercooked meat
ব্যাখ্যা
Reference: Davidson 23rd; P-812
৪২.
Most common opportunistic infection in AIDS
  1. ক
    PCP
  2. খ
    TB
  3. গ
    Toxoplasmosis
  4. ঘ
    PML
৪৩.
Arc welding is associated with
  1. ক
    Coal dust
  2. খ
    Beryllium
  3. গ
    Iron oxide
  4. ঘ
    Tin Oxide
৪৪.
Which is not a features of of allergic bronchopulmonary aspergillosis
  1. ক
    Elevated total serum IgE >417 kU/L
  2. খ
    Recovery of A. fumigatus from sputum
  3. গ
    COPD
  4. ঘ
    Proximal bronchiectasis (inner two-thirds of chest CT eld)
৪৫.
Time frame of HAP is at least ----------- hour after admission
  1. ক
    24 hour
  2. খ
    36 hour
  3. গ
    48 hour
  4. ঘ
    72 hour
ব্যাখ্যা

Hospital-acquired pneumonia
Hospital-acquired pneumonia (HAP) is defined as an episode of pneumonia that presents at least 48 hours after admission to hospital and was not incubating at the time of admission. It is the second most common healthcare-associated infection (HAI) after surgical-site infections and the leading cause of HAI-associated death. Older patients are particularly at risk, as are patients in intensive care units. The term ventilator-associated pneumonia (VAP) is used to describe pneumonia that develops in a person who is mechanically ventilated.
৪৬.
‘Small pupil’ is a feature of which of the following poisoning?
  1. ক
    ক) Amphetamines
  2. খ
    খ) Opoids
  3. গ
    গ) Cocaine
  4. ঘ
    ঘ) TCA
৪৭.
D-shaped shadow in CXR indicates
  1. ক
    Pleurisy
  2. খ
    Pleural effusion
  3. গ
    Empyema
  4. ঘ
    Pneumothorax
ব্যাখ্যা
Reference: Davidson 23rd; P-564
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
৪৮.
Which is the most symptom of lung cancer?
  1. ক
    ক) Malaise
  2. খ
    খ) Weight loss
  3. গ
    গ) Cough
  4. ঘ
    ঘ) Hemoptysis
ব্যাখ্যা
Reference: Davidson 23rd; P-599
৪৯.
Fever with chill and rigor, Pleuritic chest pain & Cough
  1. ক
    ক) Bronchial asthma
  2. খ
    খ) COPD
  3. গ
    গ) Pneumonia
  4. ঘ
    ঘ) Lung abscess
ব্যাখ্যা
Fever with chill and rigor, Pleuritic chest pain & Cough: Pneumonia
৫০.
Main test for COPD
  1. ক
    CXR
  2. খ
    ABG
  3. গ
    Biochemical test
  4. ঘ
    Spirometry
ব্যাখ্যা
The main test for COPD is spirometry. Spirometry can detect COPD before symptoms are recognized. Your provider may also use the test results to find out how severe your COPD is and help set your treatment goals. Spirometry is a type of lung function test that measures how much air you breathe out.
৫১.
Bilateral, predominantly basal & peripheral reticular opacities accompanied by honeycombing in HRCT indicates
  1. ক
    ক) Sarcoidosis
  2. খ
    খ) Idiopathic pulmonary fibrosis
  3. গ
    গ) Cystic fibrosis
  4. ঘ
    ঘ) Lung cancer
ব্যাখ্যা
Reference: Davidson 23rd; P-607
৫২.
Common standard regime for abdominal TB excludes
  1. ক
    ক) Isoniazid
  2. খ
    খ) Rifampicin
  3. গ
    গ) Pyrazinamide
  4. ঘ
    ঘ) Ethambutol
ব্যাখ্যা
Reference: Davidson 23rd; P-813
৫৩.
Walks slower than contemporaries on level ground -grade it on MRC scale
  1. ক
    2
  2. খ
    3
  3. গ
    4
  4. ঘ
    5
৫৪.
Investigation of choice in Bronchiectasis
  1. ক
    CXR
  2. খ
    MRI
  3. গ
    HRCT
  4. ঘ
    USG
ব্যাখ্যা
Reference: Davidson 23rd; P-569
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
৫৫.
Straw colored pleural fluid indicates
  1. ক
    ক) CCF
  2. খ
    খ) RA
  3. গ
    গ) SLE
  4. ঘ
    ঘ) TB
ব্যাখ্যা
Reference: Davidson 23rd; P-563
৫৬.
Which anti-TB drug forms the cornerstone of 6-mlnths chemotherapy
  1. ক
    Isoniazid
  2. খ
    Rifampicin
  3. গ
    Pyrazinamide
  4. ঘ
    Ethambutol
ব্যাখ্যা
Reference: Davidson 23rd; P-592
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
৫৭.
Whih of the following is usually causes Peripheral Chest pain?
  1. ক
    ক) Myocardial ischaemia (angina)
  2. খ
    খ) Myocardial infarction
  3. গ
    গ) Pneumonia
  4. ঘ
    ঘ) Myocarditis
ব্যাখ্যা
Explanation: Causes of Central chest pain: Cardiac, aortic, oesophagial, Mediastinal, Pulmonary embolus & Anxiety/emotion. Peripheral chest pain: Lungs/pleura, Musculoskeletal, Neurological.
Ref: Davidson 23rd, Page-177
৫৮.
Left lower lobe has---------- bronchopulmonary segment
  1. ক
    2
  2. খ
    3
  3. গ
    4
  4. ঘ
    None
৫৯.
Definitive diagnosis of TB requires
  1. ক
    ক) Gene xpert
  2. খ
    খ) Culture
  3. গ
    গ) Sputum cytology
  4. ঘ
    ঘ) MT test
ব্যাখ্যা
Reference: Davidson 23rd; P-592
৬০.
Which is the antidote used in Isoniazid poisoning?
  1. ক
    Methionine
  2. খ
    Pyridoxine
  3. গ
    Glucarpidase
  4. ঘ
    Sodium thiosulphate
৬১.
Which is an example of choking agents?
  1. ক
    Nitrogen
  2. খ
    Chlorine
  3. গ
    Novichok agents
  4. ঘ
    Cyanide
৬২.
For the diagnosis of primary pulmonary tuberculosis in children, who often do not expectorate sputum, specimen for culture can be obtained from?
  1. ক
    ক) Nasal secretion
  2. খ
    খ) Throat swab
  3. গ
    গ) Early-morning gastric Lavage
  4. ঘ
    ঘ) Faeces
ব্যাখ্যা
For the diagnosis of primary pulmonary tuberculosis in children, who often do not expectorate sputum, specimens from early-morning gastric lavage may yield positive cultures.
৬৩.
Commonest cause of recurrent pleural effusion?
  1. ক
    ক) Pneumonia
  2. খ
    খ) TB
  3. গ
    গ) Bronchial carcinoma
  4. ঘ
    ঘ) Lymphoma
ব্যাখ্যা
Reference: Practical Manual in Clinical Medicine by Professor ABM Abdullah; P-164
৬৪.
Tools for diagnosis of TB
  1. ক
    Line Probe Assay (LPA)
  2. খ
    Radiological (X-ray) examination of the lungs
  3. গ
    Rapid Molecular Diagnostic Tests (RMDT)
  4. ঘ
    All
ব্যাখ্যা
Tools
CBC
Sputum smear examination
Radiological (X-ray) examination of the lungs
Culture of TB bacilli
Rapid Molecular Diagnostic Tests (RMDT)
Gene Xpert
Line Probe Assay (LPA)
FNAC, Biopsy and Histopathology for EP TB
IGRA
৬৫.
Lupus pernio is a presentation of
  1. ক
    ক) Sarcoidosis
  2. খ
    খ) Idiopathic pulmonary fibrosis
  3. গ
    গ) Cystic fibrosis
  4. ঘ
    ঘ) Lung cancer
ব্যাখ্যা
Reference: Davidson 23rd; P-609
৬৬.
Causes of chronic type-2 respiratory failure excludes
  1. ক
    ক) COPD
  2. খ
    খ) Sleep apnea
  3. গ
    গ) Myopathies
  4. ঘ
    ঘ) Lobar collapse
ব্যাখ্যা
Reference: Davidson 23rd; P-565
৬৭.
Feature suggesting near-fatal asthma
  1. ক
    ক) Cyanosis
  2. খ
    খ) Silent chest
  3. গ
    গ) Exhaustion
  4. ঘ
    ঘ) Raised PaCO2
ব্যাখ্যা
Reference: Davidson 23rd; P-572
৬৮.
Elevation of which enzyme level indicates hepatic involvement in abdominal TB
  1. ক
    ক) AST
  2. খ
    খ) ALT
  3. গ
    গ) ALP
  4. ঘ
    ঘ) GGT
ব্যাখ্যা
Reference: Davidson 23rd; P-813
৬৯.
Example of Chronic type-1 Repiratory failure is..
  1. ক
    ক) Acute asthma
  2. খ
    খ) Pulmonary oedema
  3. গ
    গ) Pneumonia
  4. ঘ
    ঘ) Lung fibrosis
ব্যাখ্যা
Explanation:
৭০.
Non-eosinophilic alveolitis is caused by
  1. ক
    methotrexate
  2. খ
    gold
  3. গ
    mitomycin C
  4. ঘ
    All
৭১.
Blood-stained pleural fluid isn’t found in
  1. ক
    ক) Malignant disease
  2. খ
    খ) Cardiac failure
  3. গ
    গ) Pulmonary infarction
  4. ঘ
    ঘ) Acute pancreatitis
ব্যাখ্যা
Reference: Davidson 23rd; P-563
৭২.
Amber coloured pleural fluid indicates
  1. ক
    ক) TB
  2. খ
    খ) CCF
  3. গ
    গ) RA
  4. ঘ
    ঘ) SLE
ব্যাখ্যা
Reference: Davidson 23rd; P-563
৭৩.
Acute eosinophilic pneumonia is an acute febrile illness (of less than_____________days characterised by diffuse pulmonary infiltrates and hypoxic respiratory failure
  1. ক
    3
  2. খ
    4
  3. গ
    5
  4. ঘ
    6
ব্যাখ্যা
Acute eosinophilic pneumonia is an acute febrile illness (of less than 5 days’ duration), characterised by diffuse pulmonary infilltrates and hypoxic respiratory failure.
৭৪.
Fever, cough, night sweats for 6 weeks is suggestive of
  1. ক
    ক) Br. Carcinoma
  2. খ
    খ) Tuberculosis
  3. গ
    গ) Lymphoma
  4. ঘ
    ঘ) Brochietasis
৭৫.
Abdominal TB most commonly affects
  1. ক
    ক) Gastroduodenal region
  2. খ
    খ) Ileocecal region
  3. গ
    গ) Left colic flexure
  4. ঘ
    ঘ) Right colic flexure
ব্যাখ্যা
Reference: Davidson 23rd; P-812
৭৬.
Less commonn cause of lung cancer
  1. ক
    Adenocarcinoma
  2. খ
    Large-cell
  3. গ
    Squamous
  4. ঘ
    Small-cell
৭৭.
A 25-year-old woman presents with fever, pleuritic chest pain, and hemoptysis. She has a history of recurrent deep vein thrombosis (DVT). What is the most likely diagnosis?
  1. ক
    Pulmonary embolism
  2. খ
    Pneumonia
  3. গ
    Lung cancer
  4. ঘ
    Tuberculosis
ব্যাখ্যা
Stem Breakdown:

Fever, pleuritic chest pain, and haemoptysis: These are common symptoms of pulmonary embolism (PE), particularly when there is pulmonary infarction.
History of recurrent deep vein thrombosis (DVT): DVT is the most common source of emboli in PE, making this history highly suggestive of PE as the cause.
Option Analysis:

A) Pulmonary embolism: This is the correct diagnosis. Davidson and Harrison explain that pulmonary embolism occurs when a thrombus from the venous system (often from the leg veins) embolises to the pulmonary arteries. The combination of pleuritic chest pain, haemoptysis, and a history of DVT strongly suggests PE.
B) Pneumonia: Pneumonia causes fever, cough, and pleuritic chest pain, but it usually presents with productive sputum, not haemoptysis. Additionally, a history of recurrent DVT is not typically associated with pneumonia.
C) Lung cancer: Lung cancer can cause haemoptysis and chest pain, but it is usually a chronic process associated with weight loss and a mass on imaging. This patient's history of recurrent DVT and acute presentation make PE more likely.
D) Tuberculosis: Tuberculosis can cause fever, haemoptysis, and pleuritic chest pain, but it typically presents with chronic symptoms and is associated with a history of exposure or travel to endemic areas. The acute onset and history of DVT make PE more likely.
৭৮.
The combination of absent breath sound and a resonant percussion note is a diagnostic of
  1. ক
    Pleurisy
  2. খ
    Pleural effusion
  3. গ
    Empyema
  4. ঘ
    Pneumothorax
ব্যাখ্যা
Reference: Davidson 23rd; P-626
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
৭৯.
Predictive factors in the identification of hypersensitivity pneumonitis
  1. ক
    Expiratory crackles on examination
  2. খ
    Symptoms occurring 4–8 days after exposure
  3. গ
    Weight gain
  4. ঘ
    Inspiratory crackles on examination
৮০.
Drug cause of Pulmonary eosinophila
  1. ক
    para-aminosalicylic acid (PAS
  2. খ
    sulfasalazine
  3. গ
    nitrofurantoin
  4. ঘ
    All
ব্যাখ্যা
, 
৮১.
Which one in central to the management of breathlessness
  1. ক
    Oxygen
  2. খ
    Bronchodilator
  3. গ
    Steroids
  4. ঘ
    Pulmonary rehabilitation
ব্যাখ্যা
Reference: Davidson 23rd; P-576
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
৮২.
Cough with rusty sputum is found in
  1. ক
    ক) Br asthma
  2. খ
    খ) Lung abscess
  3. গ
    গ) Bronchiactesis
  4. ঘ
    ঘ) Pneumococcal pneumonia
৮৩.
Feature of acute severe asthma
  1. ক
    ক) Coma
  2. খ
    খ) Delirium
  3. গ
    গ) Inability to complete sentence in 1 breath
  4. ঘ
    ঘ) Hypotension
ব্যাখ্যা
Reference: Davidson 23rd; P-572
৮৪.
The majority of pulmonary emboli arise from propagation of
  1. ক
    ক) DVT
  2. খ
    খ) Varicose vein
  3. গ
    গ) Fracture
  4. ঘ
    ঘ) Blunt trauma
ব্যাখ্যা
Reference: Davidson 23rd; P-619
৮৫.
In pott’s disease there is involvement of
  1. ক
    ক) Lymph node
  2. খ
    খ) Bone
  3. গ
    গ) Gut
  4. ঘ
    ঘ) Brain
ব্যাখ্যা
Reference: Davidson 23rd; P-591
৮৬.
Which one is not appropriate finding on bed side examination of pneumonia patient?
  1. ক
    ক) Bronchial breath sounds
  2. খ
    খ) increase vocal resonance
  3. গ
    গ) Percussion-hyper-resonant
  4. ঘ
    ঘ) Tachypnoea
ব্যাখ্যা
Explanation: Percussion-hyper-resonant is a feature of pneumothorax, Davidson 23rd page-547
৮৭.
Carotid body chemoreceptor is activated when arterial PO2 is below
  1. ক
    6
  2. খ
    8
  3. গ
    10
  4. ঘ
    12
৮৮.
Which one of the following is an example of transudative pleural effusion?
  1. ক
    ক) Tuberculosis
  2. খ
    খ) Malignant disease
  3. গ
    গ) Cardiac failure
  4. ঘ
    ঘ) Rheumatoid disease
ব্যাখ্যা
Reference: Davidson 23rd: Box-17.13
৮৯.
CF is -----------------
  1. ক
    AR
  2. খ
    AD
  3. গ
    XLD
  4. ঘ
    XLR
৯০.
Which one is the most common early symptom of lung cancer?
  1. ক
    ক) Weight loss
  2. খ
    খ) Haemoptysis
  3. গ
    গ) Cough
  4. ঘ
    ঘ) Breathlessness
ব্যাখ্যা
Explanation: Cough is the most common early symptom
৯১.
Feature of Macleod’s syndrome
  1. ক
    ক) Unilateral emphysema
  2. খ
    খ) Bilateral emphysema
  3. গ
    গ) Acute bronchitis
  4. ঘ
    ঘ) Chronic bronchitis
ব্যাখ্যা
Reference: Practical Manual in Clinical Medicine by Professor ABM Abdullah; P-162
৯২.
In a case of abdominal Tuberculosis, which area is most commonly affected?
  1. ক
    ক) Duodenum
  2. খ
    খ) Ccecum
  3. গ
    গ) Ileocaecal
  4. ঘ
    ঘ) Colon
ব্যাখ্যা
Explanation: The area most commonly affected is the ileocaecal region
৯৩.
Which is not a hypersrnsitivity reaction in Primary TB
  1. ক
    Phlyctenular conjunctivitis
  2. খ
    Erythema nodosum
  3. গ
    Dactylitis
  4. ঘ
    Obstructive emphysema
৯৪.
Symptoms of asthma worsens in the
  1. ক
    ক) Early morning
  2. খ
    খ) Mid day
  3. গ
    গ) Evening
  4. ঘ
    ঘ) Early night
ব্যাখ্যা
Reference: Davidson 23rd; P-568
৯৫.
Bone marrow finding of miliary TB
  1. ক
    Leukopenia
  2. খ
    Leukocytosis
  3. গ
    Neutrophilia
  4. ঘ
    Thrombocytopenia
ব্যাখ্যা
Miliary TB
Blood-borne dissemination gives rise to miliary TB, which may present acutely but more frequently is characterised by 2–3 weeks of fever, night sweats, anorexia, weight loss and a dry cough. Hepatosplenomegaly may develop and the presence of a headache may indicate coexistent tuberculous meningitis. Auscultation of the chest is frequently normal but
in more advanced disease widespread crackles are evident. Fundoscopy may show choroidal tubercles. The classical appearances on chest X-ray are of ne 1–2 mm lesions (‘millet seed’) distributed throughout the lung elds, although occasionally the appearances are coarser. Anaemia and leucopenia refect bone marrow involvement
৯৬.
Which of the following ion is associated with Investigations in diffuse parenchymal lung disease
  1. ক
    Ca
  2. খ
    K
  3. গ
    Na
  4. ঘ
    Cl
৯৭.
Which of the following is the gold standard for diagnosing obstructive sleep apnea (OSA)?
  1. ক
    Polysomnography
  2. খ
    Multiple sleep latency test
  3. গ
    Arterial blood gas analysis
  4. ঘ
    Spirometry
ব্যাখ্যা
 Polysomnography (sleep study) is the gold standard for diagnosing obstructive sleep apnea (OSA). Davidson explains that polysomnography monitors various physiological parameters, including airflow, respiratory effort, oxygen saturation, and brain activity, to assess for apneic events during sleep. Harrison adds that the severity of OSA is determined by the apnea-hypopnea index (AHI), which is the number of apneas and hypopneas per hour of sleep.
৯৮.
Which one is the gold standard investigation for Tuberculosis?
  1. ক
    ক) CXR
  2. খ
    খ) NAAT
  3. গ
    গ) CT
  4. ঘ
    ঘ) Culture
ব্যাখ্যা
Explanation: Culture is gold standard investigation for Tuberculosis
৯৯.
Which of the following is the most common infecting agent causing Community-acquired pneumonia?
  1. ক
    ক) Streptococcus pneumoniae
  2. খ
    খ) Mycoplasma pneumoniae
  3. গ
    গ) Legionella pneumophila
  4. ঘ
    ঘ) Chlamydia pneumonia
ব্যাখ্যা
Explanation:
১০০.
Central cause of chest pain-
  1. ক
    Pulmonary infarct
  2. খ
    Pulmonary embolus
  3. গ
    Pneumonia
  4. ঘ
    Pneumothorax