চা
Job Scholar
ফিরে যান
48th BCS (Medical Part)
প্রশ্ন 51
সঠিক উত্তর: A
Which one is derived from mesoderm?
A. Muscle
B. Skin
C. Nail
D. Mucous membrane
Explanation:
Skeletal, cardiac and smooth muscle develop from the mesodermal germ layer, whereas skin, nails and mucous membranes are largely ectodermal or endodermal derivatives. Copyright © JobScholar. All rights reserved.
প্রশ্ন 52
সঠিক উত্তর: A
Secondary hypertension is caused by
A. Conn's Syndrome
B. Bum
C. Renal ischemia
D. Septic Shock
Explanation:
Conn's syndrome (primary hyperaldosteronism) causes sodium and water retention leading to a well-recognized secondary, endocrine cause of hypertension. Copyright © JobScholar. All rights reserved.
প্রশ্ন 53
সঠিক উত্তর: A
Choice of intravenous fluid in burn patient is
A. Hartman's solution
B. 5% Dextrose in Aqua
C. 5% Dextrose in normal saline
D. Hypertonic Normal saline
Explanation:
Hartmann's (Ringer's lactate) solution is the standard fluid used for burn resuscitation as it closely matches extracellular fluid composition and corrects hypovolaemia. Copyright © JobScholar. All rights reserved.
প্রশ্ন 54
সঠিক উত্তর: A
Which one of the following is reproductive organ?
A. Uterus
B. Urinary bladder
C. Urethra
D. Bone
Explanation:
The uterus is a female reproductive organ, unlike the bladder, urethra and bone, which belong to other systems. Copyright © JobScholar. All rights reserved.
প্রশ্ন 55
সঠিক উত্তর: A
In ECG, which feature is indicative for thrombolytic therapy?
A. New onset LBBB
B. ST depression
C. Appearance of Q wave
D. T inversion
Explanation:
New-onset left bundle branch block with a history suggestive of myocardial infarction is a recognized indication for thrombolytic therapy, similar to ST elevation. Copyright © JobScholar. All rights reserved.
প্রশ্ন 56
সঠিক উত্তর: C
Criteria of an ideal suture material is
A. Shrimable
B. Non Predictable tissue behavior
C. Non Electrolyte
D. Carcinogenic
Explanation:
An ideal suture material should be biologically inert and non-electrolytic so it does not provoke unwanted tissue reactions, unlike the other listed (undesirable) properties. Copyright © JobScholar. All rights reserved.
প্রশ্ন 57
সঠিক উত্তর: D
Congenital malformation can be attributed to maternal infection with
A. poliomyelitis
B. Measles
C. Chicken Pox
D. Toxoplasmosis
Explanation:
Maternal toxoplasmosis infection, especially in early pregnancy, is a well-known TORCH infection causing congenital malformations such as hydrocephalus and chorioretinitis. Copyright © JobScholar. All rights reserved.
প্রশ্ন 58
সঠিক উত্তর: C
Which of the following is not a feature of acute type II respiratory failure
A. P2O, 1.0 kpa
B. P,Co,> 6 kpa
C. HCO, is increased
D. H is increased
Explanation:
In acute type II respiratory failure, renal compensation has not yet occurred, so bicarbonate remains essentially normal rather than raised, unlike in chronic compensated cases. Copyright © JobScholar. All rights reserved.
প্রশ্ন 59
সঠিক উত্তর: A
Detection of hidden disease among apparently healthy population is done by
A. Screening
B. latervention
C. Contact tracing
D. Follow-up
Explanation:
Screening is the public health tool specifically used to detect unrecognized disease in apparently healthy individuals. Copyright © JobScholar. All rights reserved.
প্রশ্ন 60
সঠিক উত্তর: B
Majority of body fluid remains in
A. Blood
B. Intra cellular fluid
C. Interstitial fluid
D. Lymph
Explanation:
Of total body water, roughly two-thirds is intracellular fluid, making it the largest body fluid compartment. Copyright © JobScholar. All rights reserved.
প্রশ্ন 61
সঠিক উত্তর: A
Consent become invalid if taken from
A. Insane person
B. Elderly person
C. Illiterate person
D. Sick person
Explanation:
Valid consent requires the capacity to understand information and make a decision; a person of unsound mind (insane) lacks this legal capacity, invalidating their consent. Copyright © JobScholar. All rights reserved.
প্রশ্ন 62
সঠিক উত্তর: C
Feature of a malignant ulcer is
A. Undermined edge
B. Punched out edge
C. Everted edge
D. sloping edge
Explanation:
A malignant ulcer classically has an everted (rolled-out) edge due to rapid, irregular tumour growth pushing the margins outward. Copyright © JobScholar. All rights reserved.
প্রশ্ন 63
সঠিক উত্তর: C
Universally accepted indicator of health status of a population is
A. Child death rate
B. Case fatality rate
C. Infant mortality rat
D. Under-5 mortality rate
Explanation:
Infant mortality rate is widely used as a sensitive, universally accepted indicator reflecting the overall health status and socioeconomic development of a population. Copyright © JobScholar. All rights reserved.
প্রশ্ন 64
সঠিক উত্তর: D
Cause of acute starvation is
A. Self refusal
B. Dysphasia
C. Anorexia
D. Entrapment in mine
Explanation:
Acute starvation refers to sudden, involuntary deprivation of food such as occurs when a person is entrapped (e.g., in a mine), distinct from chronic or voluntary causes. Copyright © JobScholar. All rights reserved.
প্রশ্ন 65
সঠিক উত্তর: C
Which of the following is not a typical presentation of pain in acute pancreatitis?
A. Severe constant upper abdominal pain
B. Radiation pain to back
C. Absent muscle guarding
D. Presence of rebound tendemess
Explanation:
Acute pancreatitis typically causes marked epigastric tenderness with guarding; the absence of muscle guarding would be atypical for this condition. Copyright © JobScholar. All rights reserved.
প্রশ্ন 66
সঠিক উত্তর: C
The most reliable clinical feature of strangulaed inguinal hernis is
A. Pain
B. Fever
C. Tense and tender lump in the inguinal region
D. Vomiting
Explanation:
A tense, tender, irreducible lump in the inguinal region is the most reliable physical sign pointing toward strangulation, as pain, fever and vomiting are less specific. Copyright © JobScholar. All rights reserved.
প্রশ্ন 67
সঠিক উত্তর: C
Solid tumor of ovary is
A. Chocolate cyst of ovary
B. Theca Lutein cyst
C. Fibroma
D. Parovarian cyst
Explanation:
Ovarian fibroma is a solid stromal tumour, in contrast to the other listed lesions, which are cystic. Copyright © JobScholar. All rights reserved.
প্রশ্ন 68
সঠিক উত্তর: B
Component of secondary survey in a traumatic patient is
A. Airway and cervical spine control
B. Head to toe examination
C. Breathing and ventilation
D. Circulation and control of haemorrhage
Explanation:
The secondary survey follows the primary survey (ABC) and involves a detailed head-to-toe examination to identify further injuries once the patient is stabilized. Copyright © JobScholar. All rights reserved.
প্রশ্ন 69
সঠিক উত্তর: C
Common feature to all Spondylo arthritis is
A. Symmetrical poly arthritis
B. Conjunctivitis
C. Positive HLA B₂,
D. Oral Ulceration
Explanation:
The seronegative spondyloarthropathies share a strong association with the HLA-B27 antigen, making it a common immunogenetic feature across this disease group. Copyright © JobScholar. All rights reserved.
প্রশ্ন 70
সঠিক উত্তর: A
Fibrinolysis is done by
A. Plasminogen
B. Prothrombin
C. Fibrinogen
D. Haptoglobin
Explanation:
Plasminogen is activated to plasmin, the enzyme responsible for breaking down fibrin clots during fibrinolysis. Copyright © JobScholar. All rights reserved.
প্রশ্ন 71
সঠিক উত্তর: C
Which of the following is true for wound healing by secondary intention
A. Takes place is clean wound
B. Fine scar formation
C. Applicable for infected wound
D. Less evidence of inflammation.
Explanation:
Wounds that are infected, have tissue loss, or gaping edges heal by secondary intention, involving granulation tissue formation and a more prolonged inflammatory phase. Copyright © JobScholar. All rights reserved.
প্রশ্ন 72
সঠিক উত্তর: A
Example of probability sampling is
A. Stratified random sampling
B. Quota sampling
C. Purposive sampling
D. Accidental sampling
Explanation:
Stratified random sampling gives every unit in each stratum a known, non-zero chance of selection, making it a true probability sampling method, unlike the other non-random techniques. Copyright © JobScholar. All rights reserved.
প্রশ্ন 73
সঠিক উত্তর: A
Late sign of death is
A. adipocere formation
B. cooling of body
C. dilatation of pupil
D. rigor mortis
Explanation:
Adipocere formation is a late post-mortem change that develops over weeks in favourable conditions, unlike early signs such as body cooling, pupil changes and rigor mortis. Copyright © JobScholar. All rights reserved.
প্রশ্ন 74
সঠিক উত্তর: D
Absolute indication of splenectomy is
A. Lymphoma
B. Thelassemi
C. Leukemia
D. Grade V spleen injury
Explanation:
A grade V (shattered/devascularized) splenic injury is an absolute indication for splenectomy due to uncontrollable haemorrhage risk, unlike the haematological conditions listed which are managed medically first. Copyright © JobScholar. All rights reserved.
প্রশ্ন 75
সঠিক উত্তর: B
Causative Organism responsible for Cervical cancer
A. HSV
B. HPV
C. Chlamydia
D. Herpes zoster
Explanation:
Persistent infection with high-risk strains of Human Papillomavirus (HPV) is the established causative factor for cervical cancer. Copyright © JobScholar. All rights reserved.
প্রশ্ন 76
সঠিক উত্তর: C
A 35-year-old man came to you with following reports HbsAg (-VE), Anti HBe IgG (+VE), Anti HBc IgM(-VE), Anti HBs (+VE) which senario will match with the above mentioned reports
A. Acute hepatitis (early)
B. Convalescence
C. Post infection
D. Immunization without infection
Explanation:
Negative HBsAg with positive Anti-HBs, Anti-HBe and Anti-HBc IgG reflects resolved past infection with acquired immunity, i.e. a post-infection state. Copyright © JobScholar. All rights reserved.
প্রশ্ন 77
সঠিক উত্তর: A
In normal pregnancy
A. Factor X increases
B. Anti thrombin III concentration increases
C. Venous pressure falls
D. Iron hinding capacity falls
Explanation:
Pregnancy is a physiologically hypercoagulable state with increased levels of several clotting factors, including Factor X, to prepare for delivery haemostasis. Copyright © JobScholar. All rights reserved.
প্রশ্ন 78
সঠিক উত্তর: A
The EPI vaccine given at birth is
A. BCG
B. Diphtheria
C. Measles
D. Tetanus
Explanation:
In Bangladesh's Expanded Programme on Immunization schedule, BCG vaccine is administered to the newborn at or soon after birth. Copyright © JobScholar. All rights reserved.
প্রশ্ন 79
সঠিক উত্তর: A
Complication of Caesarean section is
A. Postpartum Hemorrhage
B. Vaginal stenosis
C. Low platelet count
D. Injury to liver
Explanation:
Postpartum haemorrhage is a recognized and relatively common complication following Caesarean section due to uterine atony or surgical bleeding. Copyright © JobScholar. All rights reserved.
প্রশ্ন 80
সঠিক উত্তর: A
Cause of severe dysmenorrhea in an adolescent girl is
A. Endometriosis
B. Polycystic ovary disease
C. Adenomyosis
D. Trichomomiasis
Explanation:
Endometriosis is a well-recognized cause of severe, often progressive dysmenorrhoea even in adolescent girls. Copyright © JobScholar. All rights reserved.
প্রশ্ন 81
সঠিক উত্তর: C
Which of the following is a compelling indication of calcium channel blocker in the management of Hypertension?
A. Heart failure
B. Secondary stroke prevention
C. Older patient
D. Left ventricular dysfunction
Explanation:
Calcium channel blockers are particularly effective for isolated systolic hypertension common in older patients, making advanced age a compelling indication for their use. Copyright © JobScholar. All rights reserved.
প্রশ্ন 82
সঠিক উত্তর: C
CA-125 is the tumor marker for-
A. Breast Cancer
B. Colon cancer
C. Ovarian cancer
D. Pancreatic cancer
Explanation:
CA-125 is the classic tumour marker used in the evaluation and monitoring of epithelial ovarian cancer. Copyright © JobScholar. All rights reserved.
প্রশ্ন 83
সঠিক উত্তর: C
Adverse drug reaction includes-
A. synergism
B. Antagonism
C. Idiosyncracy
D. Enzyme induction
Explanation:
Idiosyncrasy refers to an unpredictable, abnormal drug reaction peculiar to an individual, which is classified as a type of adverse drug reaction, unlike the pharmacological interactions listed in the other options. Copyright © JobScholar. All rights reserved.
প্রশ্ন 84
সঠিক উত্তর: C
Irreversible sing of Vitamin-A deficiency is-
A. Bitot's spot
B. Xerosis Conjunctive
C. Keratomalacia
D. Night Blindness
Explanation:
Keratomalacia involves corneal melting and destruction, causing permanent, irreversible damage/blindness, unlike the earlier, reversible stages of vitamin A deficiency. Copyright © JobScholar. All rights reserved.
প্রশ্ন 85
সঠিক উত্তর: D
Fever is mediated by-
A. Bradykinin
B. Complements
C. Hageman factor
D. Interleukin-1
Explanation:
Interleukin-1 is a key endogenous pyrogen that acts on the hypothalamus to reset the body's temperature set-point, producing fever. Copyright © JobScholar. All rights reserved.
প্রশ্ন 86
সঠিক উত্তর: A
Which of the following is a common complication of SGLT2 inhibitors?
A. Genital infection
B. Lactic acidosis
C. Fluid retention
D. Peripheral neuropathy
Explanation:
By increasing urinary glucose excretion, SGLT2 inhibitors predispose to genital mycotic infections, a well-documented common side effect. Copyright © JobScholar. All rights reserved.
প্রশ্ন 87
সঠিক উত্তর: A
In Bangladesh minimum recommended number of antenatal care (ANC) visit is-
A. four
B. six
C. eight
D. twelve
Explanation:
The long-standing minimum recommended schedule in Bangladesh's maternal health programme is four antenatal care visits during pregnancy. Copyright © JobScholar. All rights reserved.
প্রশ্ন 88
সঠিক উত্তর: A
Respiratory Center is Located in-
A. Medulla
B. Spinal Cord
C. Brain Cortex
D. Cerebellum
Explanation:
The primary respiratory rhythm-generating centres are located in the medulla oblongata of the brainstem. Copyright © JobScholar. All rights reserved.
প্রশ্ন 89
সঠিক উত্তর: C
Forensic radiology deals with determination of-
A. Poison
B. Foreign body
C. Age
D. Pregnancy
Explanation:
Forensic radiology commonly uses skeletal imaging (e.g., ossification centres, epiphyseal fusion) to estimate age in medico-legal cases. Copyright © JobScholar. All rights reserved.
প্রশ্ন 90
সঠিক উত্তর: B
Leukocyte induced acute tissue injury is-
A. Arthritis
B. Asthma
C. Atherosclerosis
D. Pulmonary fibrosis
Explanation:
Acute asthma exacerbations involve eosinophil and other leukocyte-mediated airway inflammation and injury, whereas atherosclerosis and pulmonary fibrosis represent chronic leukocyte-driven processes. Copyright © JobScholar. All rights reserved.
প্রশ্ন 91
সঠিক উত্তর: D
Oligo hydromnios is sever in-
A. Gestational Diabetes
B. Anencephaly
C. Nulliparous women
D. Renal agenesis of fetus
Explanation:
Fetal renal agenesis prevents fetal urine production, which is the main contributor to amniotic fluid in later pregnancy, causing severe oligohydramnios. Copyright © JobScholar. All rights reserved.
প্রশ্ন 92
সঠিক উত্তর: B
Which of the following drug can be used in a pregnant lady with Rheumatoid Arthritis?
A. Methotrexate
B. Salfasalazine
C. Leflunamide
D. Mycophenolate Mofetil
Explanation:
Sulfasalazine is considered relatively safe for use during pregnancy, unlike methotrexate, leflunomide and mycophenolate mofetil, which are teratogenic and contraindicated. Copyright © JobScholar. All rights reserved.
প্রশ্ন 93
সঠিক উত্তর: D
Programmed cell death is regulated by-
A. Endoplasmic reticulum
B. Golgi apparatus
C. Lysosome
D. Mitochondria
Explanation:
Mitochondria play a central role in apoptosis by releasing cytochrome c and activating the intrinsic caspase pathway that drives programmed cell death. Copyright © JobScholar. All rights reserved.
প্রশ্ন 94
সঠিক উত্তর: A
Symptoms of mild shock is-
A. Rise of respiratory rate
B. Fall of blood pressure
C. Reduced Urinary output
D. Coma
Explanation:
In early (mild/compensated) shock, tachypnoea (raised respiratory rate) is often an early compensatory sign, appearing before more severe features like hypotension or altered consciousness. Copyright © JobScholar. All rights reserved.
প্রশ্ন 95
সঠিক উত্তর: D
Lining of urinary tract is-
A. Ciliated Columnar epithelium
B. Endothelium
C. Mesothelium
D. Transitional epithelium
Explanation:
The urinary tract from renal pelvis to bladder is lined by transitional epithelium (urothelium), which accommodates distension. Copyright © JobScholar. All rights reserved.
প্রশ্ন 96
সঠিক উত্তর: D
Which of the following signs is characteristic for stevens-Jhonson syndrome?
A. Koebner phenomenon
B. Auspitz sing
C. Dimple sing
D. Nikolsky sing
Explanation:
Stevens-Johnson syndrome involves epidermal detachment, demonstrated clinically by a positive Nikolsky sign, where gentle lateral pressure causes the skin to slough. Copyright © JobScholar. All rights reserved.
প্রশ্ন 97
সঠিক উত্তর: D
Indication of Circumcision-
A. Epispadias
B. Hypospadias
C. Undescended Testes
D. Phimosis
Explanation:
Phimosis, a tight non-retractable foreskin causing symptoms, is a standard clinical indication for circumcision; hypospadias is actually a contraindication as the foreskin may be needed for later repair. Copyright © JobScholar. All rights reserved.
প্রশ্ন 98
সঠিক উত্তর: D
A 35-year-old woman presented with palpitation, excessive sweating and heat intolerence for 02 weeks; her serum thyroid hormone levels were high and TSH level was undetectable; radio iodine uptake of thyroid gland was low. The most likely diagnosis is-
A. Graves disease
B. Toxic adenoma
C. Toxic multi-noduler goitre
D. Sub acute thyroiditis
Explanation:
Thyrotoxic symptoms with high thyroid hormones, suppressed TSH but LOW radioiodine uptake points away from Graves' disease or nodular causes (which show high uptake) and instead fits subacute thyroiditis, where inflamed follicles leak preformed hormone rather than actively trapping iodine. Copyright © JobScholar. All rights reserved.
প্রশ্ন 99
সঠিক উত্তর: A
Cause of intrauterine death (IUD) is-
A. Diabetes Mellutus
B. Respiratory distress syndrome
C. Breech presentation
D. Bicornuate Uterus
Explanation:
Poorly controlled maternal diabetes mellitus is a well-recognized risk factor for intrauterine fetal death due to placental insufficiency and metabolic derangement. Copyright © JobScholar. All rights reserved.
প্রশ্ন 100
সঠিক উত্তর: A
Carpal tunnel consists of-
A. Median nerve
B. Musculocutaneous nerve
C. Radial nerve
D. Ulnar nerve
Explanation:
The carpal tunnel at the wrist transmits the median nerve along with the flexor tendons; the ulnar and radial nerves pass outside this tunnel. Copyright © JobScholar. All rights reserved.