Explanation: Chronic lymphocytic leukaemia (CLL) is the most common variety of leukaemia
১০২.
Which of the following is a hallmarks of haemolysis?
ক
ক) ↓Haptoglobin
খ
খ) ↑Methaemalbumin
গ
গ) ↓Haemoglobin
ঘ
ঘ) Positive urinary haemosiderin
১০৩.
Example of direct thrombin inhibitor is?
ক
Abciximab
খ
Rivaroxaban
গ
Dabigatran
ঘ
Ticagrelor
১০৪.
Hodgkin’s lymphoma
ক
ক) Common in older age
খ
খ) More often restricted to lymph nodes in the neck
গ
গ) RS cell absent
ঘ
ঘ) Extra nodal involvement is common
১০৫.
Which one is increased or normal in anemia of chronic disease?
ক
ক) Ferritin
খ
খ) Iron
গ
গ) TIBC
ঘ
ঘ) Transferrin saturation
১০৬.
Most common inherited bleeding disorder is?
ক
Haemophilia A
খ
Haemophilia B
গ
Von Willebrand disease
ঘ
Factor XIII deficiency
১০৭.
Bone Marrow Aspiration Needle parts
ক
Trocar.
খ
Cannula
গ
Adjustable side guard
ঘ
All
ব্যাখ্যা
Bone Marrow Aspiration Needle (Metal, Salah type) – 14, 16, 18G, 5 Cm long
Trocar.
Cannula.
Adjustable side guard: Helps in adjusting the depth of penetration of the needle.
১০৮.
Which type of leukaemia is mainly found in child age group?
ক
ক) acute lymphoblastic leukaemia (ALL)
খ
খ) acute myeloid leukaemia (AML)
গ
গ) chronic lymphocytic leukaemia (CLL)
ঘ
ঘ) chronic myeloid leukaemia (CML)
ব্যাখ্যা
Explanation: Acute lymphoblastic leukaemia shows a peak of incidence in children aged 1–5 years.
১০৯.
In lymphoma how many lesion in CT scan findings is found?
ক
1
খ
2
গ
3
ঘ
4
১১০.
Incase of blood group ‘O’, which antibodies present in Plasma?
ক
ক) Anti-A
খ
খ) Anti-B
গ
গ) Anti-A and anti-B
ঘ
ঘ) None
১১১.
Cellular immunity is mediated by which of the following?
ক
ক) Neutrophil
খ
খ) Basophil
গ
গ) T lymphocyte
ঘ
ঘ) B lymphocyte
ব্যাখ্যা
Explanation: Cellular immunity is mediated by T lymphocytes
১১২.
Inhibition of post-translational modification is done by
ক
Warfarin
খ
Heparin
গ
PC
ঘ
Bivalirudin
ব্যাখ্যা
Innhibition of post-translational modification: Warfarin
১১৩.
Which one is a primary lymphoid organ?
ক
ক) Thymus
খ
খ) Spleen
গ
গ) lymph nodes
ঘ
ঘ) and mucosa-associated lymphoid tissue
১১৪.
All of the following are causes of secondary aplastic anemia except-
ক
Penicillin
খ
Penicillamine
গ
Azathioprine
ঘ
Carbimazole
১১৫.
In iron deficiency anaemia, there is-
ক
Decreased soluble transferrin receptor
খ
Increased transferrin saturation
গ
Increased TIBC
ঘ
Normal ferritin
১১৬.
Von Willebrand factor is synthesised by
ক
ক) Plasma cell
খ
খ) Endothelial cells
গ
গ) Subendothelial collagen
ঘ
ঘ) Platelets
ব্যাখ্যা
Ref: Davidson 23rd; P-974
১১৭.
Basophilic stippling is a feature of
ক
ক) Hemolysis
খ
খ) Hemorrhage
গ
গ) Lead poisoning
ঘ
ঘ) DIC
১১৮.
Pooled immunoglobulin is used in
ক
Measles (exposed child with heart or lung disease)
খ
Hepatitis B
গ
Tetanus
ঘ
Rabies
১১৯.
Which one of the following doesn’t cause eosinophilia?
ক
Parasitic infection
খ
Hay fever
গ
Salmonella
ঘ
Acute myeloid leukaemia
১২০.
Histiocytic disorders is
ক
Langerhans cell histiocytosis (LCH
খ
Cutaneous and mucocutaneous histiocytosis
গ
Malignant histiocytosis (M)
ঘ
All
১২১.
Which immunoglobulin is responsible for mucosal defence?
ক
IgG
খ
IgA
গ
IgM
ঘ
IgE
১২২.
Most common cause of iron deficiency in old age is-
ক
Pernicious anaemia
খ
Anaemia of chronic disease
গ
Gastrointestinal blood loss
ঘ
Malignancy
১২৩.
Most common type of hodgkin lymphoma is?
ক
ক) Nodular sclerosing
খ
খ) Mixed cellularity
গ
গ) Lymphocyte-rich
ঘ
ঘ) Lymphocyte-depleted
১২৪.
Abnormal ribosomal RNA that appear as blue dots are found in-
ক
Sickle cell disease
খ
Post splenectomy
গ
Lead poisoning
ঘ
Haemoglobin C disease
১২৫.
A 30-year-old woman presents with fatigue, easy bruising, and frequent nosebleeds. Laboratory tests show pancytopenia, and a bone marrow biopsy reveals hypocellularity. What is the most likely diagnosis?
ক
Aplastic anemia
খ
Acute myeloid leukemia (AML)
গ
Immune thrombocytopenic purpura (ITP)
ঘ
Myelodysplastic syndrome (MDS)
ব্যাখ্যা
Stem Breakdown:
Fatigue, easy bruising, and frequent nosebleeds: These symptoms suggest bone marrow failure, leading to anaemia (fatigue), thrombocytopenia (bruising, nosebleeds), and possibly leukopenia. Pancytopenia and hypocellular bone marrow: Pancytopenia (low red cells, white cells, and platelets) with a hypocellular bone marrow is characteristic of aplastic anaemia. Option Analysis:
A) Aplastic anaemia: This is the correct diagnosis. Davidson and Harrison describe aplastic anaemia as a condition in which the bone marrow fails to produce sufficient blood cells, leading to pancytopenia. The bone marrow is hypocellular (decreased cell production), and the condition can be caused by autoimmune factors, infections, or exposure to toxins. B) Acute myeloid leukaemia (AML): AML presents with pancytopenia and blasts in the blood or bone marrow, but it is associated with hypercellular bone marrow filled with malignant cells, not hypocellularity. C) Immune thrombocytopenic purpura (ITP): ITP causes isolated thrombocytopenia (low platelet count), leading to easy bruising and bleeding. However, it does not cause anaemia or leukopenia, and the bone marrow is typically normal or shows increased megakaryocytes. D) Myelodysplastic syndrome (MDS): MDS can cause pancytopenia, but the bone marrow in MDS is usually hypercellular with abnormal maturation of blood cells, not hypocellular.
১২৬.
Which is not a phagocytic cell?
ক
ক) Neutrophils
খ
খ) Lymphocyte
গ
গ) monocytes
ঘ
ঘ) Macrophages
ব্যাখ্যা
Explanation: phagocytic cell includes neutrophils, monocytes and macrophages
১২৭.
Which one is an example of mucosal bleeding?
ক
Retroperitoneal heamorrhage
খ
Fundal haemorrhage
গ
Intracranial haemorrhage
ঘ
Haemarthrosis
১২৮.
Indirect Coombs test is used to detect-
ক
Autoimmune haemolytic anaemia
খ
Antibody screen in pre transfusion testing
গ
Haemolytic disease of newborn
ঘ
Transfusion reactions
ব্যাখ্যা
Davidson 24th Ed, Page 957
১২৯.
Which one is the Iron Chelating agent?
ক
ক) Hydroxocobalamin
খ
খ) DMSA
গ
গ) Desferrioxamine
ঘ
ঘ) Dicobalt edetate
১৩০.
Which one of the following is multinucleated cells of haematopoietic origin?
ক
ক) Osteoblasts
খ
খ) Osteoclasts
গ
গ) Osteocytes
ঘ
ঘ) Bone marrow stromal cells
ব্যাখ্যা
Explanation: Osteoclasts are multinucleated cells of haematopoietic origin, responsible for bone resorption. Osteoblasts are mononuclear cells
১৩১.
Spontaneous bleeding in ITP usually occurs when platelet level is at least below
ক
ক) 20000
খ
খ) 30000
গ
গ) 40000
ঘ
ঘ) 50000
ব্যাখ্যা
Ref: Davidson 23rd; P-971
১৩২.
Which of the following is the primary treatment for venous thromboembolism (VTE)?
ক
Aspirin
খ
Heparin
গ
Warfarin
ঘ
Clopidogrel
ব্যাখ্যা
Explanation: Heparin, particularly low-molecular-weight heparin (LMWH), is the primary treatment for venous thromboembolism (VTE). Davidson explains that heparin acts by potentiating antithrombin III, leading to the inhibition of thrombin and factor Xa. Harrison adds that anticoagulation is continued with warfarin or direct oral anticoagulants (DOACs) for long-term management to prevent recurrence.