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Respiratory System

মোট প্রশ্ন১৫২এই পাতা৫২প্রতি পাতা১০০
প্রশ্ন দেখুনঅনুশীলন
ঘনত্ব
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উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

Respiratory System

PrepBank · পাতা ২ / ২ · ১০১–১৫২ / ১৫২

১০১.
Which of the following is the muscarinic features of OPC poisoning?
  1. ক
    ক) Tachycardia
  2. খ
    খ) Hypertension
  3. গ
    গ) Bronchorrhoea
  4. ঘ
    ঘ) Fasciculation
১০২.
Feature of massive pulmonary embolus-
  1. ক
    Pleural effusion
  2. খ
    Oligaemic lung field
  3. গ
    Hyperinflation
  4. ঘ
    Cardiomegaly
১০৩.
Exposure to beryllium is encountered in
  1. ক
    the aerospace
  2. খ
    engineering
  3. গ
    telecommunications
  4. ঘ
    ALL
১০৪.
Which is not a biochemocal marker for empyena?
  1. ক
    Glucose
  2. খ
    Protein
  3. গ
    pH
  4. ঘ
    LDH
১০৫.
Which of the following is not included in Light's Criteria?
  1. ক
    Pleural fluid protein:serum protein ratio >0.5
  2. খ
    Pleural fluid LDH:serum LDH ratio >0.6
  3. গ
    Pleural fluid LDH > two-thirds of the upper limit of normal serum LDH
  4. ঘ
    Serum LDH : Pleural fluid LDH ratio >0.6
১০৬.
Which is the most significant risk factor for COPD
  1. ক
    Cigarette smoking
  2. খ
    Indoor air pollution
  3. গ
    Dust exposure
  4. ঘ
    Alpha-1 antitrypsin deficiency
ব্যাখ্যা
Reference: Davidson 23rd; P-574
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
১০৭.
Maple bark stripper’s lung is found i n
  1. ক
    Aspergillus fumigatus
  2. খ
    Saccharopolyspora
  3. গ
    Cryptostroma corticale
  4. ঘ
    Cotton
১০৮.
CURB-65 scoring system is related to
  1. ক
    Asthma
  2. খ
    COPD
  3. গ
    Pneumonia
  4. ঘ
    Bronchiectasis
ব্যাখ্যা
Reference: Davidson 23rd; P-583
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
১০৯.
The most frequent symptom of respiratory disease
  1. ক
    ক) Cough
  2. খ
    খ) Chest pain
  3. গ
    গ) Breathlessness
  4. ঘ
    ঘ) Haemoptysis
ব্যাখ্যা
Reference: Davidson 23rd; P-556
১১০.
Most common cell type of lung cancer
  1. ক
    ক) Adenocarcinoma
  2. খ
    খ) Squamous cell
  3. গ
    গ) Small-cell
  4. ঘ
    ঘ) Large-cell
ব্যাখ্যা
Reference: Davidson 23rd; P-599
১১১.
Causes of chronic type-2 respiratory failure excludes
  1. ক
    ক) COPD
  2. খ
    খ) Sleep apnoea
  3. গ
    গ) Lobar collapse
  4. ঘ
    ঘ) Myopathies
ব্যাখ্যা
Reference: Davidson 23rd; P-565
১১২.
Regular preventer for Asthma
  1. ক
    Low dose ICS
  2. খ
    LTRA
  3. গ
    inhaled LABA
  4. ঘ
    Short-acting B2 agonists
১১৩.
Most common manifestation of past asbestosis exposure
  1. ক
    ক) Pleural plaque
  2. খ
    খ) Pleurisy
  3. গ
    গ) Mesothelioma
  4. ঘ
    ঘ) DPLD
ব্যাখ্যা
Reference: Davidson 23rd; P-617
১১৪.
Which of the following is not a first line anti TB drug?
  1. ক
    ক) Isoniazid
  2. খ
    খ) Rifampicin
  3. গ
    গ) Metformin
  4. ঘ
    ঘ) Ethambutol
ব্যাখ্যা
Explanation: Metformin- is an oral anti diabetic drug
১১৫.
Whispering pectoriloquy is a feature of
  1. ক
    ক) Pneumonia
  2. খ
    খ) Collapse
  3. গ
    গ) Pneumothorax
  4. ঘ
    ঘ) Pleural effusion
ব্যাখ্যা
Reference: Davidson 23rd; P-547
১১৬.
Which one is the most common cause of acute berathlessness of a male smoker?
  1. ক
    ক) Pneumonia
  2. খ
    খ) Psychogenic
  3. গ
    গ) Pulmonary Oedema
  4. ঘ
    ঘ) Acute exacerbation of COPD
১১৭.
Which one is the feature of acute severe asthma?
  1. ক
    ক) PEF < 33% predicted
  2. খ
    খ) Heart rate ≥ 90 beats/min
  3. গ
    গ) Respiratory rate ≥ 15 breaths/min
  4. ঘ
    ঘ) Inability to complete sentences in 1 breath
১১৮.
The accumulation of serous fluid within the pleural space is termed as..
  1. ক
    ক) Empyema
  2. খ
    খ) Haemothorax
  3. গ
    গ) pleural effusion.
  4. ঘ
    ঘ) chylothorax
ব্যাখ্যা
Explanation: The accumulation of serous fluid within the pleural space is termed pleural effusion. The accumulation of frank pus is termed empyema (that of blood is haemothorax, and that of chyle is a chylothorax
১১৯.
Gene of CFTR is situated in chromosome
  1. ক
    7
  2. খ
    8
  3. গ
    9
  4. ঘ
    6
ব্যাখ্যা
CF is the result of pathogenic variants affecting a gene on the long arm of chromosome 7, which codes for a chloride channel known as cystic brosis transmembrane conductance regulator (CFTR); this infuences salt and water movement across epithelial cell membranes.
১২০.
ß-1,3-D-glucan levels are characteristically elevated in
  1. ক
    P. jirovecii pneumonia
  2. খ
    Strep Pneumonia
  3. গ
    Virus
  4. ঘ
    Legionella
ব্যাখ্যা
ß-1,3-D-glucan levels are characteristically elevated in P. jirovecii pneumonia.
Focal unilateral airspace opacication favours bacterial infection,mycobacteria or Nocardia.
Bilateral opacication favours P. jirovecii pneumonia, fungi, viruses and unusual bacteria, e.g. Nocardia
cavitation may be seen with N. asteroides, mycobacteria and fungi  the presence of a ‘halo sign’ (a zone of intermediate attenuation between the nodule and the lung parenchyma) may suggest aspergillosis or other invasive fungal infection  pleural effusions suggest pyogenic bacterial infections and are uncommon in P. jirovecii pneumonia.
১২১.
Which teratment option is central to the management of breathlessness in a COPD patient?
  1. ক
    ক) O2 inhalation
  2. খ
    খ) Brochodialator
  3. গ
    গ) Oral glucocorticoids
  4. ঘ
    ঘ) Pulmonary rehabilitation
ব্যাখ্যা
Explanation: Bronchodilator therapy is central to the management of breathlessness
১২২.
Removal of more than ... L of pleural fluid at a time may risk re-expansion pulmonary injury?
  1. ক
    0.1
  2. খ
    0.5
  3. গ
    1.0
  4. ঘ
    1.5
ব্যাখ্যা
Reference: Davidson 23rd; P-564
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
১২৩.
There are __________ stages in CXR of a sarcoidoisis Patient
  1. ক
    3
  2. খ
    4
  3. গ
    5
  4. ঘ
    6
১২৪.
Which one is responsible for most common cause of death from cancer worldwide?
  1. ক
    ক) Breast Cancer
  2. খ
    খ) Ovarian cancer
  3. গ
    গ) Lung Cancer
  4. ঘ
    ঘ) Liver Cancer
ব্যাখ্যা
Explanation: Lung cancer is the most common cause of death from cancer worldwide
১২৫.
Lining of traca is
  1. ক
    ciliated pseudostratified columnar epithelium
  2. খ
    pseudostratified columnar epithelium
  3. গ
    columnar epithelium
  4. ঘ
    Squamous epithelium
ব্যাখ্যা
n general, the trachea is lined with ciliated pseudostratified columnar epithelium. However, the cellular composition and thickness of this lining varies with position along the proximal–distal and dorsal–ventral axes, and among species.
১২৬.
Which of the following is a first line anti-TB drug?
  1. ক
    ক) Propofol
  2. খ
    খ) INH
  3. গ
    গ) Rifaximin
  4. ঘ
    ঘ) ethosuximide
ব্যাখ্যা
First line anti-TB drugs: INH, Rifampicin, Ethambutol, Pyrazinamide, Streptomycin
১২৭.
Which of the following is used to stage apical tumors?
  1. ক
    EBUS
  2. খ
    Thoracoscope
  3. গ
    Bronchoscope
  4. ঘ
    Laryngoscope
১২৮.
Which of the following is the most common cause of Brochiectasis?
  1. ক
    ক) Suppurative pneumonia
  2. খ
    খ) Pulmonary tuberculosis
  3. গ
    গ) Lung abscess
  4. ঘ
    ঘ) Empyema
ব্যাখ্যা
Explanation: Tuberculosis is the most common cause worldwide
১২৯.
Productive cough, changes in posture induce sputum production is a typical feature of which of the following?
  1. ক
    ক) Lung cancer
  2. খ
    খ) Tuberculosis
  3. গ
    গ) Bronchiectasis
  4. ঘ
    ঘ) penumonia
ব্যাখ্যা
Explanation: Productive cough, changes in posture induce sputum production is a typical feature of Bronchiectasis
১৩০.
Most common infecting agent in CAP
  1. ক
    ক) Staphylococcus
  2. খ
    খ) Mycoplasma
  3. গ
    গ) Legionella
  4. ঘ
    ঘ) Streptococcus
ব্যাখ্যা
Reference: Davidson 23rd; P-582
১৩১.
Stony dull percussion note
  1. ক
    ক) Pneumonia
  2. খ
    খ) Collapse
  3. গ
    গ) Pneumothorax
  4. ঘ
    ঘ) Pleural effusion
ব্যাখ্যা
Reference: Davidson 23rd; P-547
১৩২.
Nerve supply of lung
  1. ক
    SNS
  2. খ
    PNS
  3. গ
    Phrenic N
  4. ঘ
    All
ব্যাখ্যা
The lung receives innervation from two main sources: the pulmonary plexus (a combination of parasympathetic and sympathetic innervation) and the phrenic nerve. The pulmonary plexus is at the root of the lung and consists of efferent and afferent autonomic nerve fibers.
১৩৩.
Which drug is added in initial add-on therapy step of management of asthma
  1. ক
    ক) Low dose ICS
  2. খ
    খ) Inhaled LABA
  3. গ
    গ) LTRA
  4. ঘ
    ঘ) LAMA
ব্যাখ্যা
Reference: Davidson 23rd; P-571
১৩৪.
In stage II COPD, predicted FEV1% is
  1. ক
    ক) ≥ 80%
  2. খ
    খ) 50 - 79%
  3. গ
    গ) 30 - 49%
  4. ঘ
    ঘ) < 30%
১৩৫.
A diurnal variation in PEF of more than 20% is considered diagnostic of which of the following condition?
  1. ক
    ক) Br. Asthma
  2. খ
    খ) COPD
  3. গ
    গ) Lung fibrosis
  4. ঘ
    ঘ) Empyema
ব্যাখ্যা
Explanation: A diurnal variation in PEF of more than 20% is considered diagnostic for Bronchial asthma
১৩৬.
Which one isn’t correct regarding CURB-65 score of pneumonia?
  1. ক
    ক) Confusion
  2. খ
    খ) Urea > 11 mmol/L
  3. গ
    গ) Respiratory rate > 30/min
  4. ঘ
    ঘ) Blood pressure (systolic < 90 mmHg or diastolic < 60 mmHg)
ব্যাখ্যা
Explanation:
১৩৭.
What is the Common complication of pneumonia?
  1. ক
    ক) Para-pneumonic effusion
  2. খ
    খ) Empyema
  3. গ
    গ) Retention of sputum causing lobar collapse
  4. ঘ
    ঘ) Deep vein thrombosis and pulmonary embolism
ব্যাখ্যা
Explanation:
১৩৮.
CBC finding in asthma
  1. ক
    ক) Neutrophilia
  2. খ
    খ) Neutropenia
  3. গ
    গ) Eosinophilia
  4. ঘ
    ঘ) Lymphopenia
১৩৯.
HRCT finding of DPLD
  1. ক
    ground glass changes
  2. খ
    reticulonodular shadowing
  3. গ
    honeycomb cysts
  4. ঘ
    ALL
১৪০.
Which anti-TB drug cause Peripheral neuropathy?
  1. ক
    ক) Isoniazid
  2. খ
    খ) Rifampicin
  3. গ
    গ) Pyrazinamide
  4. ঘ
    ঘ) Streptomycin
ব্যাখ্যা
Explanation:
১৪১.
Amber coloured pleural fluid indicates
  1. ক
    TB
  2. খ
    CCF
  3. গ
    RA
  4. ঘ
    SLE
ব্যাখ্যা
Reference: Davidson 23rd; P-563
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
১৪২.
Fever with night sweats is usually suggestive of which of the following?
  1. ক
    ক) Meningitis
  2. খ
    খ) Tuberculosis
  3. গ
    গ) Pneumonia
  4. ঘ
    ঘ) Rheumatic fever
ব্যাখ্যা
Explanation: Fever with night sweats is Associated with particular infections (e.g. TB, infective endocarditis)
১৪৩.
Cause of type-2 respiratory failure
  1. ক
    ক) Acute asthma
  2. খ
    খ) COPD
  3. গ
    গ) Pneumonia
  4. ঘ
    ঘ) ARDS
ব্যাখ্যা
Reference: Davidson 23rd; P-565
১৪৪.
The combination of absent breath sound and a resonant percussion note is a diagnostic of
  1. ক
    ক) Pleurisy
  2. খ
    খ) Pleural effusion
  3. গ
    গ) Empyema
  4. ঘ
    ঘ) Pneumothorax
ব্যাখ্যা
Reference: Davidson 23rd; P-626
১৪৫.
X-ray chest shows cavity with air–fluid level
  1. ক
    ক) Pneumonia
  2. খ
    খ) Lung abscess
  3. গ
    গ) Bronchiectasis
  4. ঘ
    ঘ) Lung cancer
ব্যাখ্যা
Reference: Practical Manual in Clinical Medicine by Professor ABM Abdullah; P-168
১৪৬.
Sudden onset of Unilateral pleuritic chest pain with absent breath sound & resonant hemithorax
  1. ক
    ক) ALVF
  2. খ
    খ) MI
  3. গ
    গ) Tension pneumothorax
  4. ঘ
    ঘ) MS
ব্যাখ্যা
Sudden onset of Unilateral pleuritic chest pain with absent breath sound & resonant hemithorax: Tension pneumothorax.
১৪৭.
Optic neuritis occurs in carcinoma of
  1. ক
    breast
  2. খ
    SCLC
  3. গ
    thymoma
  4. ঘ
    teratoma
১৪৮.
Common complication of pneumonia
  1. ক
    Para-pneumonic effusion
  2. খ
    Empyema
  3. গ
    ARDS
  4. ঘ
    Pneumothorax
ব্যাখ্যা
Reference: Davidson 23rd; P-585
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
১৪৯.
Which one is central to the management of breathlessness in COPD?
  1. ক
    ক) Oxygen
  2. খ
    খ) Bronchodilator
  3. গ
    গ) Steroids
  4. ঘ
    ঘ) Pulmonary rehabilitation
ব্যাখ্যা
Reference: Davidson 23rd; P-577
১৫০.
The principal of management of type 2 respiratory failure to achive PO2
  1. ক
    >52mm Hg
  2. খ
    >42 mmHg
  3. গ
    >32 mmHg
  4. ঘ
    >55 mm Hg
১৫১.
Early feature of carbon monoxide poisoning-
  1. ক
    Ataxia
  2. খ
    Tachypnoea
  3. গ
    Nystagmus
  4. ঘ
    Drowsiness
ব্যাখ্যা
Davidson Page 231
১৫২.
Falsely elevated SpO2 is found in-
  1. ক
    Carboxyhaemoglobin
  2. খ
    Methaemoglobinaemia
  3. গ
    Severe tricuspid regurgitation
  4. ঘ
    Hyperbilirubinaemia