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Pathology

মোট প্রশ্ন৬৭০এই পাতা১০০প্রতি পাতা১০০
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

Pathology

PrepBank · পাতা / · ৩০১৪০০ / ৬৭০

৩০১.
Which one remains positive for life in syphilis?
  1. ক) VDRL
  2. খ) TPHA
  3. গ) RPR
  4. ঘ) FTA-ABS
সঠিক উত্তর:
ঘ) FTA-ABS
উত্তর
সঠিক উত্তর:
ঘ) FTA-ABS
৩০২.
You are asked to review a 65-year-old lady’s legs preoperatively. You diagnose cellulitis. What is the most common causative organism?
  1. ক) Staphylococcus Aureus
  2. খ) Staphylococcus Epidermidis
  3. গ) Clostridium Perfringens
  4. ঘ) Streptococcus Pyogenes
সঠিক উত্তর:
ঘ) Streptococcus Pyogenes
উত্তর
সঠিক উত্তর:
ঘ) Streptococcus Pyogenes
ব্যাখ্যা
Cellulitis is spreading infection & caused by S. Pyogens. Hyaluronidase is the spreading factor.
৩০৩.
Neuronal tumor of CNS-
  1. ক) Astrocytoma
  2. খ) Gangliocytoma
  3. গ) schwannoma
  4. ঘ) medulloblastoma
সঠিক উত্তর:
খ) Gangliocytoma
উত্তর
সঠিক উত্তর:
খ) Gangliocytoma
ব্যাখ্যা
gangliocytoma is a neuronal tumour of CNS
৩০৪.
Not true about necrosis
  1. ক) Cellular swelling
  2. খ) Disrupted plasma membrane
  3. গ) Intact cellular content
  4. ঘ) Invariably pathological
সঠিক উত্তর:
গ) Intact cellular content
উত্তর
সঠিক উত্তর:
গ) Intact cellular content
৩০৫.
Ultrastructural change in reversible cell injury -
  1. Soft consistency
  2. Nuclear disaggregation of granular and fibrilar elements
  3. Causes some palor, turgor and increase in weight
  4. Cut surface bulges slightly outwards and has gray, parboiled appearence
সঠিক উত্তর:
Nuclear disaggregation of granular and fibrilar elements
উত্তর
সঠিক উত্তর:
Nuclear disaggregation of granular and fibrilar elements
ব্যাখ্যা
Explanation :
The ultrastructural changes of reversible cell injury, visible by
electron microscopy,  include the following:
1. Plasma membrane alterations, such as blebbing, blunting, and loss of microvilli
2. Mitochondrial changes, including swelling and the appearance of small amorphous densities
3. Accumulation of “myelin figures” in the cytosol composed of phospholipids derived from damaged cellular membranes
4. Dilation of the ER, with detachment of polysomes 5. Nuclear alterations, with disaggregation of granular and fibrilar elements.
৩০৬.
Degenerative disease affecting cerebral cortex-
  1. ক) Parkinson's disease
  2. খ) progressive supranuclear palsy
  3. গ) Alzheimer's disease
  4. ঘ) corticobasal degeneration
সঠিক উত্তর:
গ) Alzheimer's disease
উত্তর
সঠিক উত্তর:
গ) Alzheimer's disease
ব্যাখ্যা
Alzheimer’s disease is a degenerative disease affecting cerebral cortex
৩০৭.
Listeria causes more significant infection in all of the following except
  1. ক) Immunocompromised
  2. খ) Pregnant women
  3. গ) Neonate
  4. ঘ) Older adults
সঠিক উত্তর:
গ) Neonate
উত্তর
সঠিক উত্তর:
গ) Neonate
ব্যাখ্যা
Explanation : Listeria causes more significant invasive infection , especially in pregnant women, older adults ( over 55 years ) and the immunocompromised.
৩০৮.
CA 19-9 is related to carcinoma of
  1. ক) Pancreas
  2. খ) Stomach
  3. গ) Liver
  4. ঘ) Breast
সঠিক উত্তর:
ক) Pancreas
উত্তর
সঠিক উত্তর:
ক) Pancreas
৩০৯.
Thick or Thin film are used in diagnosis of:
  1. ক) Toxoplasmosis
  2. খ) Malaria
  3. গ) Amoebiasis
  4. ঘ) Trichomoniasis
সঠিক উত্তর:
ক) Toxoplasmosis
উত্তর
সঠিক উত্তর:
ক) Toxoplasmosis
ব্যাখ্যা
• Diagnosis rests on microscopic examination of blood, using both thick and thin Giemsa-stained smears.
• The thick smear is used to screen for the presence of organisms, and the thin smear is used for species identification.
৩১০.
Which of the following is the most common cause of acute community-acquired pneumonia?
  1. ক) S. aureus
  2. খ) S. pneumoniae
  3. গ) K. pneumoniae
  4. ঘ) L. pneumonia
সঠিক উত্তর:
খ) S. pneumoniae
উত্তর
সঠিক উত্তর:
খ) S. pneumoniae
ব্যাখ্যা
Explanation: Streptococcus pneumoniae or pneumococcus is the most common cause of acute community-acquired pneumonia.
৩১১.
Mediators of pain-
  1. ক) IL-1
  2. খ) Bradykinin
  3. গ) TNF
  4. ঘ) Prostaglandins
সঠিক উত্তর:
খ) Bradykinin
উত্তর
সঠিক উত্তর:
খ) Bradykinin
ব্যাখ্যা
[Robbins 9th 90]
৩১২.
Hypertrophy usually occurs in
  1. ক) Labile cell
  2. খ) Stable cell
  3. গ) Non-dividing cell
  4. ঘ) Dividing cell
সঠিক উত্তর:
গ) Non-dividing cell
উত্তর
সঠিক উত্তর:
গ) Non-dividing cell
ব্যাখ্যা
Hypertrophy usually occurs in non-dividing cell
৩১৩.
Cysts found in stool are following:
  1. ক) Toxoplasma gondii
  2. খ) E. Histolytica
  3. গ) Balantidium coli
  4. ঘ) F. Hepatica
সঠিক উত্তর:
খ) E. Histolytica
উত্তর
সঠিক উত্তর:
খ) E. Histolytica
ব্যাখ্যা
Cyst of E. Histolytica is found in stool
৩১৪.
Disease that allows “selective” loss of albumin is?
  1. ক) Diabetes
  2. খ) Focal segmental glomerulosclerosis (FSGS)
  3. গ) Minimal change disease
  4. ঘ) Hypertension
সঠিক উত্তর:
গ) Minimal change disease
উত্তর
সঠিক উত্তর:
গ) Minimal change disease
ব্যাখ্যা
“Selective” loss of albumin is seen in minimal change disease. Diabetes & FSGS lead to “nonselective” loss of all plasma proteins. Hypertension, CRF cause increased tubular protein loss.
৩১৫.
Ventilator associated pneumonia is caused by
  1. ক) Acinetobacter baumannii
  2. খ) H. influenzae
  3. গ) L. pneumophilia
  4. ঘ) B. pertusis
সঠিক উত্তর:
ক) Acinetobacter baumannii
উত্তর
সঠিক উত্তর:
ক) Acinetobacter baumannii
৩১৬.
Metabolic cause of coma/ unconsciousness -
  1. Subarachnoid haemorrhage
  2. Cerebral contusion
  3. Hypoglycemia
  4. Hypernatremia
সঠিক উত্তর:
Hypoglycemia
উত্তর
সঠিক উত্তর:
Hypoglycemia
ব্যাখ্যা
Explanation -
Common metabolic causes of coma :
Hypoglycemia 
Hyperosmolar nonketotic coma
Diabetic ketoacidosis
Hyponatremia
Uremic coma
Hepatic encephalopathy 
৩১৭.
Chagas' disease is caused due to following parasite:
  1. ক) Plasmodium
  2. খ) D. latum
  3. গ) Larva migrans
  4. ঘ) Trypanosoma cruzi
সঠিক উত্তর:
ঘ) Trypanosoma cruzi
উত্তর
সঠিক উত্তর:
ঘ) Trypanosoma cruzi
ব্যাখ্যা
Chagas disease is caused by T. cruzi
৩১৮.
Ancylostomiasis is caused by which of the following?
  1. ক) Necator americanus
  2. খ) Ascaris lumbricoides
  3. গ) Strongyloides stercoralis
  4. ঘ) Enterobius vermicularis
সঠিক উত্তর:
ক) Necator americanus
উত্তর
সঠিক উত্তর:
ক) Necator americanus
ব্যাখ্যা
Explanation: Ancylostomiasis is caused by Ancylostoma duodenale or Necator americanus
৩১৯.
Clinical menifestation of anaphylaxis except ( type I hypersensitivity) -
  1. Bradycardia
  2. Btonchospasm
  3. Hypotension
  4. Urticaria
সঠিক উত্তর:
Bradycardia
উত্তর
সঠিক উত্তর:
Bradycardia
ব্যাখ্যা
Explanation -
Symptoms
Skin reactions, including hives and itching and flushed or pale skin.
Low blood pressure (hypotension)
Constriction of the airways and a swollen tongue or throat, which can cause wheezing and trouble breathing.
A weak and rapid pulse.
Nausea, vomiting or diarrhea.
Dizziness or fainting.
৩২০.
Pott disease indicates involvement of
  1. ক) Vertebrae
  2. খ) Blood vessel
  3. গ) Nerves
  4. ঘ) Muscles
সঠিক উত্তর:
ক) Vertebrae
উত্তর
সঠিক উত্তর:
ক) Vertebrae
ব্যাখ্যা
• When the vertebrae are affected, the disease is referred to as Pott disease.
৩২১.
Which virus commonly causes viral hepatitis?
  1. ক) Cytomegalovirus
  2. খ) Dengue virus
  3. গ) Mumps
  4. ঘ) Rubella
সঠিক উত্তর:
ক) Cytomegalovirus
উত্তর
সঠিক উত্তর:
ক) Cytomegalovirus
ব্যাখ্যা
Explanation: Hepatitis (A,B,C,D,E), Cytomegalovirus, Epstein–Barr virus, Herpes simplex and Yellow fever virus causes viral hepatitis.
৩২২.
Signs of consolidation -
  1. Excessive chest expansion
  2. Purcussion note : Hyperresonant
  3. Bronchial breadth sound
  4. Decreased vocal resonance
সঠিক উত্তর:
Bronchial breadth sound
উত্তর
সঠিক উত্তর:
Bronchial breadth sound
ব্যাখ্যা
Explanation :
Signs of consolidation -
Inspection - Increased respiratory rate
Palpation- Reduced chest expansion,increased vocal fremitus
Percussion - Dull over affected area
Auscultation - Bronchial bredth sound,Increased vocal resonance 
৩২৩.
Normal Flora of vagina maintained by
  1. ক) Oestrogen
  2. খ) Progesterone
  3. গ) DCP
  4. ঘ) Prostaglandin
সঠিক উত্তর:
ক) Oestrogen
উত্তর
সঠিক উত্তর:
ক) Oestrogen
ব্যাখ্যা
Normal Flora of vagina maintained by Oestrogen
৩২৪.
In which of the following species of plasmodium inefection, fever comes in every alternate days?
  1. ক) Plasmodium knowlesi
  2. খ) Plasmodium vivax
  3. গ) Plasmodium malariae
  4. ঘ) Plasmodium falciparum
সঠিক উত্তর:
খ) Plasmodium vivax
উত্তর
সঠিক উত্তর:
খ) Plasmodium vivax
৩২৫.
Ischemia reperfusion injury causes cell injury by -
  1. ATP depletion
  2. Intracellular calcium overload
  3. Influx of sodium into the cell
  4. Toxic effect of haemoglobin
সঠিক উত্তর:
Intracellular calcium overload
উত্তর
সঠিক উত্তর:
Intracellular calcium overload
ব্যাখ্যা
Explanation :
Ischemia reperfusion injury causes cell injury by :
Reactive oxygen species
IgM complement 
Intracellular calcium deposition
Cytokine 
৩২৬.
Minor manifestation of rheumatic fever
  1. ক) Carditis
  2. খ) Arthalgia
  3. গ) Chorea
  4. ঘ) Erythema marginatum
সঠিক উত্তর:
খ) Arthalgia
উত্তর
সঠিক উত্তর:
খ) Arthalgia
ব্যাখ্যা
Others are major criteria
৩২৭.
Dystrophic calcification occurs in
  1. ক) Sarcoidosis
  2. খ) Thyrotoxicosis
  3. গ) Multiple myeloma
  4. ঘ) Tuberculous lymphnode
সঠিক উত্তর:
ঘ) Tuberculous lymphnode
উত্তর
সঠিক উত্তর:
ঘ) Tuberculous lymphnode
ব্যাখ্যা
Dystrophic calcification occurs in tuberculous lymphnode
৩২৮.
Source of serotonin in acute inflammation -
  1. Mast cell
  2. Basophils
  3. Leucocytes
  4. Neuroendocrine cell
সঠিক উত্তর:
Neuroendocrine cell
উত্তর
সঠিক উত্তর:
Neuroendocrine cell
ব্যাখ্যা
Explanation :
Source of serotonin in acute inflammation -
Platelet 
Neuroendocrine cell
৩২৯.
Lung cancers particularly related to paraneoplastic syndrome
  1. ক) Adenocarcinoma
  2. খ) Squamous cell carcinoma
  3. গ) Small cell carcinoma
  4. ঘ) Large cell carcinoma
সঠিক উত্তর:
গ) Small cell carcinoma
উত্তর
সঠিক উত্তর:
গ) Small cell carcinoma
ব্যাখ্যা
Lung cancers, particularly small cell lung carcinomas, can cause paraneoplastic syndromes.
৩৩০.
Most common type of joint disease
  1. ক) Osteoporosis
  2. খ) Osteoarthritis
  3. গ) Osteomalacia
  4. ঘ) Osteonecrosis
সঠিক উত্তর:
খ) Osteoarthritis
উত্তর
সঠিক উত্তর:
খ) Osteoarthritis
ব্যাখ্যা
Osteoarthritis, also called degenerative joint disease, is characterized by degeneration of cartilage that results in structural and functional failure of synovial joints. It is the most common type of joint disease.
৩৩১.
Lymphogranuloma venereum is caused by
  1. ক) C. trachomatis
  2. খ) C. pneumoniae
  3. গ) C. psittaci
  4. ঘ) T. pallidum
সঠিক উত্তর:
ক) C. trachomatis
উত্তর
সঠিক উত্তর:
ক) C. trachomatis
৩৩২.
Which is not a components of Virchow's triad -
  1. Endothelial injury
  2. Capillary disruption
  3. Stasis of blood flow
  4. Blood hypercoagulability
সঠিক উত্তর:
Capillary disruption
উত্তর
সঠিক উত্তর:
Capillary disruption
৩৩৩.
superoxide is inactivated by
  1. ক) SOD
  2. খ) Glutathione peroxidase
  3. গ) Peroxiredoxins
  4. ঘ) Caspases
সঠিক উত্তর:
ক) SOD
উত্তর
সঠিক উত্তর:
ক) SOD
৩৩৪.
Guillain Barre syndrome -
  1. Disease of CNS
  2. Related to desending paralysis
  3. 2/3rd cases recovered spontaneously
  4. Chronic inflammatory demyelinating polyneuropathy
সঠিক উত্তর:
2/3rd cases recovered spontaneously
উত্তর
সঠিক উত্তর:
2/3rd cases recovered spontaneously
ব্যাখ্যা
Explanation :
Guillain Barre syndrome ( Acute inflammatory demyelinating polyneuropathy) 
Causing ascending paralysis
Disease of perpheral nervous system.
৩৩৫.
HBsAb is positive at
  1. ক) Acute disease
  2. খ) Window phase
  3. গ) Complete recovery
  4. ঘ) Chronic carrier state
সঠিক উত্তর:
গ) Complete recovery
উত্তর
সঠিক উত্তর:
গ) Complete recovery
৩৩৬.
Which of the following is called “cardiac asthma”?
  1. ক) Paroxysmal nocturnal dyspnea (PND)
  2. খ) Orthopnea
  3. গ) Platypnea
  4. ঘ) Trepopnea
সঠিক উত্তর:
ক) Paroxysmal nocturnal dyspnea (PND)
উত্তর
সঠিক উত্তর:
ক) Paroxysmal nocturnal dyspnea (PND)
ব্যাখ্যা
PND is also called cardiac asthma. During night, with recumbency, total blood volume is increased due to fluid mobilization from edematous areas leading to pulmonary congestion.
৩৩৭.
Oncogenic microbes excludes
  1. ক) HTLV-1
  2. খ) HPV
  3. গ) EBV
  4. ঘ) VZV
সঠিক উত্তর:
ঘ) VZV
উত্তর
সঠিক উত্তর:
ঘ) VZV
ব্যাখ্যা

• HTLV-1: adult T-cell leukemia/lymphoma
• HPV: benign warts, cervical cancer, and oropharyngeal cancer
• EBV: Burkitt lymphomas, B-cell lymphomas in patients with T-cell immunosuppression
• Hepatitis B virus and hepatitis C virus: hepatocellular carcinomas
• H. pylori: gastric adenocarcinoma and MALT lymphoma

৩৩৮.
Secondary TB classically involves
  1. ক) Apex
  2. খ) Base
  3. গ) Lingula
  4. ঘ) hilum
সঠিক উত্তর:
ক) Apex
উত্তর
সঠিক উত্তর:
ক) Apex
ব্যাখ্যা
• Secondary pulmonary tuberculosis classically involves the apex of the upper lobes of one or both lungs.
৩৩৯.
Most frequent cause of nephrotic syndrome in children-
  1. ক) minimal change disease
  2. খ) membranous glomerulopathy
  3. গ) iga nephropathy
  4. ঘ) Focal segmental glomerulosclerosis
সঠিক উত্তর:
ক) minimal change disease
উত্তর
সঠিক উত্তর:
ক) minimal change disease
ব্যাখ্যা
Minimal change disease is most frequent cause of nephrotic syndrome in children
৩৪০.
Coombs test is used for detecting -
  1. Haemolytic autoantibody
  2. Fetal aneuploidy
  3. Antigen detection
  4. Hepatitis B viral DNA
সঠিক উত্তর:
Haemolytic autoantibody
উত্তর
সঠিক উত্তর:
Haemolytic autoantibody
ব্যাখ্যা
Explanation :
Direct coombs test - Haemolytic autoantibody 
Indirect coombs test -
Rh antibody.
৩৪১.
Pseudomembranous enterocolitis is caused by-
  1. ক) Cl. Botulinum
  2. খ) Cl. Difficile
  3. গ) Strepto. faecalis
  4. ঘ) Pseudomembranous aeruginosa
সঠিক উত্তর:
খ) Cl. Difficile
উত্তর
সঠিক উত্তর:
খ) Cl. Difficile
ব্যাখ্যা
Pseudomembranous enterocolitis is caused by Cl. Difficile
৩৪২.
Which free radical acts close to the site of production?
  1. ক) Superoxide
  2. খ) Hydroxyl
  3. গ) Nitraite
  4. ঘ) Peroxide
সঠিক উত্তর:
ক) Superoxide
উত্তর
সঠিক উত্তর:
ক) Superoxide
৩৪৩.
Radiographic abnormalities of Rheumatoid arthritis is
  1. ক) Osteophytes
  2. খ) Joint space narrowing
  3. গ) Subchondral sclerosis
  4. ঘ) Joint deformity
সঠিক উত্তর:
খ) Joint space narrowing
উত্তর
সঠিক উত্তর:
খ) Joint space narrowing
ব্যাখ্যা

Radiographic abnormalities of Rheumatoid arthritis are:
 Periarticular osteoporosis
 Marginal joint erosions
 Joint subluxation
 Joint space narrowing

৩৪৪.
Predominant acute inflammatory cell in first 24 hours is
  1. ক) Monocyte
  2. খ) Lymphocyte
  3. গ) Neutrophil
  4. ঘ) Eosinophil
সঠিক উত্তর:
গ) Neutrophil
উত্তর
সঠিক উত্তর:
গ) Neutrophil
ব্যাখ্যা
Predominant acute inflammatory cell in first 24 hours is neutrophil
৩৪৫.
Guardian of the Genome
  1. ক) APC
  2. খ) TP53
  3. গ) RB
  4. ঘ) VHL
সঠিক উত্তর:
খ) TP53
উত্তর
সঠিক উত্তর:
খ) TP53
ব্যাখ্যা
[Robbins 9th 293]
৩৪৬.
Which of the following parasites enters into the body through skin?
  1. ক) Ancylostoma duodenale
  2. খ) Acanthamoeba
  3. গ) W. bancrofti
  4. ঘ) Loa loa
সঠিক উত্তর:
ক) Ancylostoma duodenale
উত্তর
সঠিক উত্তর:
ক) Ancylostoma duodenale
ব্যাখ্যা
A.Duodenale enters through skin penetration
৩৪৭.
Cause of noncaseating granuloma -
  1. Tuberculosis
  2. Sarcoidosis
  3. Brucellusis
  4. Cat scratch disease
সঠিক উত্তর:
Sarcoidosis
উত্তর
সঠিক উত্তর:
Sarcoidosis
৩৪৮.
Childhood tumor occurs in cerebellum -
  1. ক) medulloblastoma
  2. খ) astrocytoma
  3. গ) oligodoendroglioma
  4. ঘ) Meningioma
সঠিক উত্তর:
ক) medulloblastoma
উত্তর
সঠিক উত্তর:
ক) medulloblastoma
ব্যাখ্যা
Medulloblastoma is childhood tumour in cerebellam
৩৪৯.
Causes of physiological giant cell except -
  1. Osteoclast
  2. Anaplastic tumor
  3. Megakaryocytes
  4. Syncytiotrophoblast of placenta
সঠিক উত্তর:
Anaplastic tumor
উত্তর
সঠিক উত্তর:
Anaplastic tumor
ব্যাখ্যা
Explanation :
Physiological giant cell -
Osteoclast
Megakaryocytes
Syncytiotrophoblast of placenta
Pathological giant cell-
Anaplastic tumors
Hodgkin's disease
Choriocarcinoma
Poorly differentiated astrocytoma
Primary billiary cirrhosis
Giant cell of herpes simplex virus 
৩৫০.
Fibrinoid necrosis is seen in
  1. ক) SLE
  2. খ) Brain hypoxia
  3. গ) Tuberculosis
  4. ঘ) Boil
সঠিক উত্তর:
ক) SLE
উত্তর
সঠিক উত্তর:
ক) SLE
ব্যাখ্যা
Fibrinoid necrosis is seen in SLE
৩৫১.
Which is the critical mediator that enables macrophages to contain the M. tuberculosis infection?
  1. ক) IFN- α
  2. খ) IFN- β
  3. গ) IFN-γ
  4. ঘ) IFN- δ
সঠিক উত্তর:
গ) IFN-γ
উত্তর
সঠিক উত্তর:
গ) IFN-γ
ব্যাখ্যা
IFN-γ is the critical mediator that enables macrophages to contain the M. tuberculosis infection.
৩৫২.
Organism produces flaccid paralysis-
  1. ক) Cl. botulinum
  2. খ) Cl. tetani
  3. গ) Bacillus cereus
  4. ঘ) Vibrio cholera
সঠিক উত্তর:
ক) Cl. botulinum
উত্তর
সঠিক উত্তর:
ক) Cl. botulinum
ব্যাখ্যা
Botulinum toxin block the release of acetylcholine & produces descending weakness & paralysis.
৩৫৩.
Hypertensive heart disease is usually affecting which of the following heart chamber?
  1. ক) Right atrium
  2. খ) Right ventricle
  3. গ) Left atrium
  4. ঘ) Left ventricle
সঠিক উত্তর:
ঘ) Left ventricle
উত্তর
সঠিক উত্তর:
ঘ) Left ventricle
ব্যাখ্যা
Explanation: Hypertensive heart disease can affect either the left ventricle or the right ventricle; the latter is called cor pulmonale
৩৫৪.
Bone forming benign tumor -
  1. Myeloma
  2. Osteochondroma
  3. Osteoblastoma
  4. Osteosarcoma
সঠিক উত্তর:
Osteoblastoma
উত্তর
সঠিক উত্তর:
Osteoblastoma
৩৫৫.
Autophagy is related to
  1. ক) Ribosome
  2. খ) Peroxisome
  3. গ) Lysosome
  4. ঘ) Mitochondria
সঠিক উত্তর:
গ) Lysosome
উত্তর
সঠিক উত্তর:
গ) Lysosome
৩৫৬.
T. solium is more dangerous than T. saginata because
  1. ক) length
  2. খ) Nutrient absorption capacity
  3. গ) Reproduce capacity
  4. ঘ) Invasion of CNS
সঠিক উত্তর:
ঘ) Invasion of CNS
উত্তর
সঠিক উত্তর:
ঘ) Invasion of CNS
ব্যাখ্যা
T. solium can affects CNS
৩৫৭.
Consequence of large emboli -
  1. Asymptomatic
  2. Haemoptysis
  3. Sudden death
  4. Cough
সঠিক উত্তর:
Sudden death
উত্তর
সঠিক উত্তর:
Sudden death
ব্যাখ্যা
Explanation -
Most pulmonary emboli (60% to 80%) are clinically silent because they are small. With time they become organized and are incorporated into the vascular wall; in some cases organization of the thromboembolus leaves behind a delicate, bridging fibrous web.

• Sudden death, acute right heart failure (cor pulmonale), or cardiovascular collapse occurs when emboli obstruct 60% or more of the pulmonary circulation( Large emboli). 

• Embolic obstruction of medium-sized arteries with subsequent vascular rupture can result in pulmonary hemorrhage but usually does not cause pulmonary infarction.
• Embolic obstruction of small end-arteriolar pulmonary branches often does produce hemorrhage or infarction.
• Multiple emboli over time may cause pulmonary hypertension and right ventricular failure.
৩৫৮.
Clinical features of Achalasia excludes
  1. ক) Dysphagia for solids and liquids
  2. খ) Low LES pressure on esophageal Manometry
  3. গ) 'Bird-beak' sign on barium swallow study
  4. ঘ) Increased risk for esophageal squamous cell carcinoma
সঠিক উত্তর:
খ) Low LES pressure on esophageal Manometry
উত্তর
সঠিক উত্তর:
খ) Low LES pressure on esophageal Manometry
ব্যাখ্যা

Clinical features of Achalasia:
• Dysphagia for solids and liquids
• Putrid breath
• High LES pressure on esophageal manometry
• 'Bird-beak' sign on barium swallow study
• Increased risk for esophageal squamous cell carcinoma

৩৫৯.
Which type of emphysema is seen in α1-antitrypsin deficiency
  1. ক) Centriacinar
  2. খ) Panacinar
  3. গ) Distal acinar
  4. ঘ) Irregular
সঠিক উত্তর:
খ) Panacinar
উত্তর
সঠিক উত্তর:
খ) Panacinar
ব্যাখ্যা

 Emphysema is a chronic obstructive airway disease characterized by permanent enlargement of air spaces distal to terminal bronchioles.
 It is a component of along with chronic bronchitis.
 Subtypes include centriacinar (most common, smoking related), panacinar (seen in α1-antitrypsin deficiency), distal acinar and irregular.

৩৬০.
Cell number is increased in
  1. ক) Hypertrophy
  2. খ) Hyperplasia
  3. গ) Atrophy
  4. ঘ) Metaplasia
সঠিক উত্তর:
খ) Hyperplasia
উত্তর
সঠিক উত্তর:
খ) Hyperplasia
ব্যাখ্যা

• Hyperplasia is defined as an increase in the number of cells in an organ or tissue in response to a stimulus.
• Hyperplasia is the result of growth factor-driven proliferation of mature cells and, in some cases, by increased output of new cells from tissue stem cells.
• Physiological hyperplasia occurs in – breast during puberty, liver after hepatectomy
• Pathological hyperplasia occurs in – BPH, wart & endometrial tumour

৩৬১.
Mediator of passive immunity
  1. ক) Antibody only
  2. খ) T cells only
  3. গ) Both of them
  4. ঘ) None of them
সঠিক উত্তর:
ক) Antibody only
উত্তর
সঠিক উত্তর:
ক) Antibody only
৩৬২.
MALT lymphoma is associated with
  1. ক) Lichen sclerosis
  2. খ) Barret’s oesophagus
  3. গ) Hashi,oto thyroiditis
  4. ঘ) Opisthorchis
সঠিক উত্তর:
গ) Hashi,oto thyroiditis
উত্তর
সঠিক উত্তর:
গ) Hashi,oto thyroiditis
৩৬৩.
Not true about M. tuberculosis
  1. ক) Lung is the main site of infection
  2. খ) No skin test in common use
  3. গ) Multiple drug therapy used
  4. ঘ) Vaccine available
সঠিক উত্তর:
খ) No skin test in common use
উত্তর
সঠিক উত্তর:
খ) No skin test in common use
৩৬৪.
Amastigote form of leishmania donovani are detected in:
  1. ক) Infected sandfly
  2. খ) polymorphonuclear leucocytes
  3. গ) bone marrow aspirates
  4. ঘ) Sputum
সঠিক উত্তর:
গ) bone marrow aspirates
উত্তর
সঠিক উত্তর:
গ) bone marrow aspirates
ব্যাখ্যা
Amastigote form of leishmania donovani are detected in bone marrow aspirate
৩৬৫.
Extrapyramidal lesion is menifested by -
  1. Fine tremor
  2. Chorioathetosis
  3. Pendular jerk
  4. Clasp like rigidity
সঠিক উত্তর:
Chorioathetosis
উত্তর
সঠিক উত্তর:
Chorioathetosis
ব্যাখ্যা
Explanation :
Features of extrapyramidal lesion -
Corea
Athetosis
Hemibellismus
Bradykinesia
৩৬৬.
Following parasite affect eye is:
  1. ক) Angiostrongylus
  2. খ) Loa loa
  3. গ) D. latum
  4. ঘ) Ascaris
সঠিক উত্তর:
খ) Loa loa
উত্তর
সঠিক উত্তর:
খ) Loa loa
ব্যাখ্যা
Loa loa affects eye
৩৬৭.
Necroptosis false statement -
  1. Is genetically programmed
  2. Is characterized by loss of ATP
  3. Is exclusively pathological
  4. Shows rupture of the cell membrane
সঠিক উত্তর:
Is exclusively pathological
উত্তর
সঠিক উত্তর:
Is exclusively pathological
ব্যাখ্যা
Explanation -
Necroptosis -is a hybrid that shares aspects of both necrosis and apoptosis. Morphologically, and to some extent biochemically, it resembles necrosis, as both are characterized by loss of ATP, swelling of the cell and organelles, generation of reactive oxygen species (ROS), release of lysosomal enzymes, and ultimately rupture of the plasma membrane.
Mechanistically, it is triggered by signal transduction pathways that culminate in cell death, a feature similar to apoptosis. Because of these overlapping features, necroptosis is sometimes called programmed necrosis to distinguish it from forms of necrosis driven passively by toxic or ischemic injury to the cell. 
Can occur both physiology and pathological condition.
৩৬৮.
Which of the following is pathognomonic hallmark of gout?
  1. ক) Acute arthritis
  2. খ) Chronic tophaceous arthritis
  3. গ) Gouty nephropathy
  4. ঘ) Tophi
সঠিক উত্তর:
ঘ) Tophi
উত্তর
সঠিক উত্তর:
ঘ) Tophi
ব্যাখ্যা
Explanation: Tophi in various sites are the pathognomonic hallmark of gout
৩৬৯.
Which is not the feature of tetralogy of fallot -
  1. VSD
  2. An aorta that overrides the VSD
  3. Left ventricular hypertrophy
  4. Obstruction of the right ventricular outflow tract
সঠিক উত্তর:
Left ventricular hypertrophy
উত্তর
সঠিক উত্তর:
Left ventricular hypertrophy
ব্যাখ্যা
Explanation :
The 4 cardinal features of TOF -
1. VSD
2.Obstruction of the right ventricular outflow tract
3.An aorta that overrides the VSD
4.Right ventricular hypertrophy 
৩৭০.
Which is not the cause of portal hypertension -
  1. Cirrhosis
  2. Obstructive thrombosis of portal veins
  3. Massive fatty change
  4. Left heart failure
সঠিক উত্তর:
Left heart failure
উত্তর
সঠিক উত্তর:
Left heart failure
ব্যাখ্যা
Explanation :
Causes of portal hypertension :
Obstructive thtombosis of portal vein
Cirrhosis
Nodular hyperplasia of liver
Massive fatty change
Diffuse granulomatous disease
Right sided heart failure
৩৭১.
Morphologic alterations in reversible cell injury excludes
  1. ক) Cellular swelling
  2. খ) Fatty change
  3. গ) Mitochondrial swelling
  4. ঘ) Nuclear shrinkage
সঠিক উত্তর:
ঘ) Nuclear shrinkage
উত্তর
সঠিক উত্তর:
ঘ) Nuclear shrinkage
৩৭২.
Osteoblastic metastasis occurs in -
  1. Prostate
  2. Kidney
  3. Thyroid
  4. Lung
সঠিক উত্তর:
Prostate
উত্তর
সঠিক উত্তর:
Prostate
ব্যাখ্যা
Explanation :
Causes of -
Osteoblastic metastasis following carcinoma :
Prostate 
Breast ( Mixed)
Osteolytic metastasis following carcinoma :
Kidney
Thyroid
Lung
Breast
৩৭৩.
Exuberant scars that recur after excision are called
  1. ক) Desmoids
  2. খ) Contracture
  3. গ) Hypertrophic scar
  4. ঘ) Wound dehiscence
সঠিক উত্তর:
ক) Desmoids
উত্তর
সঠিক উত্তর:
ক) Desmoids
ব্যাখ্যা
Exuberant scars that recur after excision are called desmoids
৩৭৪.
Which of the following causes radio-opaque renal stone?
  1. ক) oxalate stone
  2. খ) phosphate stone
  3. গ) xanthine stone
  4. ঘ) Uric acid stone
সঠিক উত্তর:
ঘ) Uric acid stone
উত্তর
সঠিক উত্তর:
ঘ) Uric acid stone
ব্যাখ্যা
Explanation: Uric acid stone is radio opaque
৩৭৫.
Location of class I MHC -
  1. RBC
  2. Free in plasma
  3. Platelets
  4. None of the above
সঠিক উত্তর:
Platelets
উত্তর
সঠিক উত্তর:
Platelets
ব্যাখ্যা
Explanation -
Class I - Present in all nucleated cell and platelet
Class II - Present in antigen presenting cell ( Macrophage,B- cell,Dendritic cell) 
Class III - Remains free in plasma.
৩৭৬.
Most common cause of thrombosis is
  1. ক) Endothelial injury
  2. খ) Stasis
  3. গ) Hypercoagulability of blood
  4. ঘ) Turbulent blood flow
সঠিক উত্তর:
ক) Endothelial injury
উত্তর
সঠিক উত্তর:
ক) Endothelial injury
ব্যাখ্যা
Most common cause of thrombosis is endothelial injury
৩৭৭.
Antigen testing of blood and cerebrospinal fluid is most useful in the diagnosis of
  1. ক) histoplasmosis
  2. খ) blastomycosis
  3. গ) cryptococcosis
  4. ঘ) coccidioidomycosis
সঠিক উত্তর:
গ) cryptococcosis
উত্তর
সঠিক উত্তর:
গ) cryptococcosis
ব্যাখ্যা
Antigen testing of blood and cerebrospinal fluid is most useful in the diagnosis of cryptococcosis.
৩৭৮.
Mycobacterium leprae has tropism for
  1. ক) Extraglomerularmesangial cells
  2. খ) Schwann cells
  3. গ) Upper respiratory mucosae
  4. ঘ) Testes
সঠিক উত্তর:
খ) Schwann cells
উত্তর
সঠিক উত্তর:
খ) Schwann cells
ব্যাখ্যা
Explanation : M. Leprae has tropism for Schwann cells & skin macrophages.
৩৭৯.
Example of superantigen -
  1. Verotoxin of E.coli
  2. Enterotoxin of staphylococcus
  3. Shigella toxin
  4. Diphtheria toxin
সঠিক উত্তর:
Enterotoxin of staphylococcus
উত্তর
সঠিক উত্তর:
Enterotoxin of staphylococcus
ব্যাখ্যা
Explanation :
Superantigen -
Enterotoxin of staphylococcus
Toxic shock syndrome toxin of s.aureus
All toxin of steptococcus
Enterotoxin of bacillus
Enterotoxin of clostridium.
৩৮০.
Listeria monocytogenes most frequently causes which of the following infections?
  1. ক) Endocarditis
  2. খ) Peritonitis
  3. গ) Hepatitis
  4. ঘ) Meningitis
সঠিক উত্তর:
ঘ) Meningitis
উত্তর
সঠিক উত্তর:
ঘ) Meningitis
ব্যাখ্যা
Listeria monocytogenes most frequently causes Meningitis
৩৮১.
Pneumothorax is characterized by -
  1. Bronchial breath sound
  2. Reduced breath sound
  3. Hyper - resonant breath sound
  4. Ronchi
সঠিক উত্তর:
Reduced breath sound
উত্তর
সঠিক উত্তর:
Reduced breath sound
ব্যাখ্যা
Explanation -
Pneumothorax -
Inspection - Restricted chest movement
Palpation - Trachea and apex beat shifted to opposite side
Percussion - Resonant percussion note
Auscultation - 
Breath sound absent
No added sound
৩৮২.
Characteristic of kala-azar
  1. ক) Intermittent fever
  2. খ) Skin pigmentation
  3. গ) Massive splenomegaly
  4. ঘ) Bone marrow suppression
সঠিক উত্তর:
গ) Massive splenomegaly
উত্তর
সঠিক উত্তর:
গ) Massive splenomegaly
ব্যাখ্যা

In kala-azar
 Symptoms begin with intermittent fever, weakness, and weight loss.
 Massive enlargement of the spleen is characteristic.
 Hyperpigmentation of the skin is seen in light-skinned patients (kala-azar means black sickness).

৩৮৩.
Common carcinoma occurs in gall bladder-
  1. ক) Adenocarcinoma
  2. খ) Small cell carcinoma
  3. গ) Transitional cell carcinoma
  4. ঘ) squamous cell carcinoma
সঠিক উত্তর:
ক) Adenocarcinoma
উত্তর
সঠিক উত্তর:
ক) Adenocarcinoma
ব্যাখ্যা
Adenocarcinoma is common carcinoma of gallbladder
৩৮৪.
Ground itch is associated with-
  1. ক) Larva of hook worm
  2. খ) Egg of hook worm
  3. গ) Adult from of hook worm
  4. ঘ) Larva of round worm
সঠিক উত্তর:
ক) Larva of hook worm
উত্তর
সঠিক উত্তর:
ক) Larva of hook worm
ব্যাখ্যা
Ancylostoma duodenale larva causes ground itch.
৩৮৫.
Source of free radicals -
  1. Rapid brust of ROS during inflammation
  2. Ceruloplasmin generation
  3. Catalase enzyme
  4. Superoxide dismutase
সঠিক উত্তর:
Rapid brust of ROS during inflammation
উত্তর
সঠিক উত্তর:
Rapid brust of ROS during inflammation
ব্যাখ্যা
Explanation -
• The reduction-oxidation reactions that occur during normal metabolic processes. 
• Absorption of radiant energy (e.g., ultraviolet light, x-rays). 
• Rapid bursts of ROS are produced in activated leukocytes during inflammation. 
•. Defects in leukocytic
superoxide production lead to chronic granulomatous disease.
• Enzymatic metabolism of exogenous chemicals or drugs can generate free radicals
• Transition metals such as iron and copper donate or accept free electrons during intracellular reactions and catalyze free radical formation
৩৮৬.
Most common cause of UTI -
  1. Idiopathic
  2. E.coli
  3. Pseudomonas
  4. Klebsiella
সঠিক উত্তর:
E.coli
উত্তর
সঠিক উত্তর:
E.coli
ব্যাখ্যা
Explanation :
Organism causes UTI :
E.coli (most common) 
Proteus
Staphylococcus saphrophyticus ( Young women)
Staph.epidermidis
Enterococcus
Klebsiella
Pseudomonas
৩৮৭.
Both ESR & CRP raised in which of the following condition?
  1. ক) Multiple myeloma
  2. খ) Acute inflammatory diseases
  3. গ) Pregnancy
  4. ঘ) old age
সঠিক উত্তর:
খ) Acute inflammatory diseases
উত্তর
সঠিক উত্তর:
খ) Acute inflammatory diseases
ব্যাখ্যা
Explanation: In Pregnancy, old age and multiple myeloma, isolated elevation of ESR not CRP.
৩৮৮.
Following which is oncogenic RNA virus -
  1. Human T cell lymphotrophic virus
  2. Hepatitis B virus
  3. Epstein Barr virus
  4. HPV virus
সঠিক উত্তর:
Human T cell lymphotrophic virus
উত্তর
সঠিক উত্তর:
Human T cell lymphotrophic virus
ব্যাখ্যা
Explanation :
Oncogenic RNA Viruses:

1. Human T-cell leukemia virus type 1 (HTLV-1)
– Causes adult T-cell leukemia/lymphoma.


2. Hepatitis C virus (HCV)
– Associated with hepatocellular carcinoma (liver cancer).
৩৮৯.
Which chemical structure is septic shock inducer?
  1. ক) Peptidoglycan
  2. খ) Ribosome
  3. গ) Mesosome
  4. ঘ) Lipopolysaccharide
সঠিক উত্তর:
ঘ) Lipopolysaccharide
উত্তর
সঠিক উত্তর:
ঘ) Lipopolysaccharide
ব্যাখ্যা
Explanation: LPS &teichoic acid are septic shock inducer.
৩৯০.
Local factors that influence tissue repair
  1. ক) Diabetes
  2. খ) Infection
  3. গ) Glucocorticoids (steroids)
  4. ঘ) Nutritional status
সঠিক উত্তর:
খ) Infection
উত্তর
সঠিক উত্তর:
খ) Infection
ব্যাখ্যা
[Robbins 9th 71]
৩৯১.
Atypical organisms excludes
  1. ক) Mycoplasma
  2. খ) Chlamydophila
  3. গ) Coxiella
  4. ঘ) Legionella
সঠিক উত্তর:
ঘ) Legionella
উত্তর
সঠিক উত্তর:
ঘ) Legionella
ব্যাখ্যা
• The term atypical organisms is used for Mycoplasma pneumoniae, Chlamydophila pneumoniae, Coxiella burnetii, and viruses (influenza viruses types A and B, human metapneumovirus)
৩৯২.
Which one is better tolerated in giardiasis?
  1. ক) Metronidazole
  2. খ) Tinidazole
  3. গ) Ornidazole
  4. ঘ) Mebendazole
সঠিক উত্তর:
খ) Tinidazole
উত্তর
সঠিক উত্তর:
খ) Tinidazole
ব্যাখ্যা
• The treatment of choice is either tinidazole or metronidazole.
• Tinidazole is better tolerated.
৩৯৩.
Examples of disease have multifactorial inheritence -
  1. Turners syndrome
  2. Hypertension
  3. Acute diarrhoea
  4. Myotonic dystrophy
সঠিক উত্তর:
Hypertension
উত্তর
সঠিক উত্তর:
Hypertension
ব্যাখ্যা
Explanation :
Multifactorial ( polygenic)  inheritance disorders -
Cleft lip and or palate
Congenital dialocation of hip
Congenital heart defects
Gout
Hypertension 
Diabetes
Neural tube defects
৩৯৪.
Most common differential diagnosis of acute upper abdominal pain -
  1. Peptic ulcer disease
  2. Acute pancreatitis
  3. Acute cholecystitis
  4. Acute anterior MI
সঠিক উত্তর:
Peptic ulcer disease
উত্তর
সঠিক উত্তর:
Peptic ulcer disease
ব্যাখ্যা
Explanation :
Common D/D in acute upper abdominal pain :
Peptic ulcer disease ( most common)
Acute pancreatitis 
Acute cholecystitis 
Acute inferior MI
Diabetic ketoacidosis . 
৩৯৫.
Mechanism of hyperacute transplant rejection -
  1. CD4 and CD8 T lymphocyte
  2. Preformed antibody
  3. T and B lymphocyte
  4. Cytokine related
সঠিক উত্তর:
Preformed antibody
উত্তর
সঠিক উত্তর:
Preformed antibody
ব্যাখ্যা
Explanation :
Hyperacute rejection:
Occurs within minutes to hours 
Due to preformed antibody and complement activation (type II hypersensitivity) 
৩৯৬.
Most gastric adenocarcinoma involves
  1. ক) Antrum
  2. খ) Cardia
  3. গ) Pylorus
  4. ঘ) Body
সঠিক উত্তর:
ক) Antrum
উত্তর
সঠিক উত্তর:
ক) Antrum
ব্যাখ্যা
• Most gastric adenocarcinomas involve the gastric antrum; the lesser curvature is involved more often than the greater curvature.
৩৯৭.
Exudative ascities seen in -
  1. Cirrhosis of liver
  2. Malignant tumor of peritoneum
  3. Malnutrition
  4. Nephrotic syndrome
সঠিক উত্তর:
Malignant tumor of peritoneum
উত্তর
সঠিক উত্তর:
Malignant tumor of peritoneum
ব্যাখ্যা
Explanation -
Causes of transudative oedema :
Protein energy malnutrition 
Liver cirrhosis
Malnutrition 
Protein losing gastroenteropathy

Causes of exudative ascities :
Heart failure
Cirrhosis
Portal vein thrombosis
Tuberculosis
Peritoneal tumor.
৩৯৮.
N. gonorrhoeae causes all of the following except
  1. ক) Meningitis
  2. খ) Gonorrhoea
  3. গ) PID
  4. ঘ) Conjunctivitis
সঠিক উত্তর:
ক) Meningitis
উত্তর
সঠিক উত্তর:
ক) Meningitis
৩৯৯.
CA 15-3 is related to carcinoma of
  1. ক) Pancreas
  2. খ) Colon
  3. গ) Liver
  4. ঘ) Breast
সঠিক উত্তর:
ঘ) Breast
উত্তর
সঠিক উত্তর:
ঘ) Breast
৪০০.
Borrelia burgdorferi causes
  1. ক) Lyme disease
  2. খ) Relapsing fever
  3. গ) Scarlet fever
  4. ঘ) Slapped cheek syndrome
সঠিক উত্তর:
ক) Lyme disease
উত্তর
সঠিক উত্তর:
ক) Lyme disease