Question of BMDC Registration QUALIFYING EXAM, 27th Oct, 2017

1MD KHALED HASSAN (MBBS 2011 MS 2017 HMU)
QUESTION OF BMDC REGISTRATION

QUALIFYING EXAM, 27th oct, 2017
1.Name of antibiotic which is protein synthesis

inhibitor
Mnemonic: ‘ALina is a STrip CLub MAL’
* Inhibit 1: “ALina”
 A minoglycosides
 Li nezolid
* Inhibit 2: “STrip”
 S treptogramins
 T etracyclins
* Inhibit 3: “Club”
 C loramphenicol
* Inhibit 4: "MAL"
 M acrolides
 L incosamides
2. The Indications of beta blocker

- Angina pectoris
- Cardiac arrhythmia
- CHF
- Glaucoma
- HTN
- MI
- Theophylline overdose
3. Rx of chronic Asthma.
# Reliever medications for immediate relief: SABA bronchodilators,
theophylline, aminophylline, salbutamol, formoterol etc.
#Preventer medications for infrequent attack: Anti-inflammatory

agents like fluticasone, oral corticosteroids, leukotriene receptor
antagonists (Montelukast) etc.
4. Name of TCA
- Amitriptyline
- Nortriptyline
- Imipramine
- Desipramine
5. Name of classical antihistamine

Commonly used to treat symptoms such as inflammation &
itching.
- Diphenhydramine
- Fexofenadine
- Cetirizine
- Levocetirizine
- Loratadine
6. c/f of allergic conjunctivitis
7. Cause of stridor
# Congenital:
- Laryngomalacia
- Laryngeal web
- Subglottic stenosis
-hemangioma
# Acquired:
-Afebrile
-injury
-foreign body
-laryngeal edema
# Febrile:
-epiglottis
-acute laryngitis
-diphtheria
-peritonsillar abcess
8. Names of refractive Error
-myopia
-hyperopia
-presbyopia
-astigmatism
9. Name of vit-B1/thiamine deficiency diseases
-Dry beriberi/neurological beriberi: peripheral neuropathy, wrist/foot

drop, korsakoff’s psychosis and Wernicke;s encephalopathy.
-Wet beriberi/cardiac beriberi: generalized edema due to biventricular
heart failure with pulmonary congestion.
10. Name of superficial Fungal Infection
-Ring worm (Tinea capitis & T. corporis)

-Athlete’s foot (Tinea pedis)
-Jock itch (Tinea cruris)
11. Contraindications of beta blocker
- Asthma, COPD
- Prinzmetal angina
- Bradycardia
- heart block
- acute decompensated heart failure
- peripheral vascular disease
12. components of TOF
-VSD
-Pulmonary stenosis
-overriding aorta
-right ventricular hypertrophy
13. Dengue causes and Rx
#Rx
-supportive care: rest and drink plenty of fluids
-IVF (if severely dehydrated)
-mild analgesics and antipyretic therapy: acetaminophen
#Parasite: transmitted by the bite of Aedes aegypti
14. Rx of chikungunya (Caused by the bite of Aedes albopictus and Aedes

aegypti)
 There is no vaccine to prevent or medicine to treat chikungunya
virus.
 No specific treatment for chikungunya is available.
 Supportive care: bed rest, drinking plenty of fluids.
 Symptomatic treatment of fever and joint swelling includes the use
of nonsteroidal anti-inflammatory drugs such as naproxen, non-
aspirin analgesics such as paracetamol (acetaminophen) and maybe
antihistamine for itching.
 Aspirin is not recommended due to the increased risk of bleeding.
15. CT scan in Stroke patient (hemorrhagic and

ischamic)
- Hyperdense (white): Hemorrhagic stroke
- Hypodense (black): ischemic/ infarctive stroke

16. components of GCS
17. causes of raised ESR
 -autoimmune disorders
 -systemic lupus erythematosus
 -rheumatoid arthritis
 -giant cell arthritis
 -polymyalgia rheumatic
 -primary macroglobulinemia
 -hyperfibrinogenemia
 -allergic vasculitis
18. component and function of bile salt
Components: bile acid/salts, phospholipids, cholesterol, bilirubin,

inorganic salts, small amounts of copper and other metals
Function : to solubilize ingested fat & fat soluble vitamins, facilitating

their digestion and absorption.
19. causes of atrial fibrillation
-HTN
-Hyperthyroidism
-Heart attacks
-CAD (MI)
-Abnormal heart valves (especially rheumatic mitral valve disease)
-Heart defects (congenital)
-Cardiomyopathy
-Alcohol, caffeine, tobacco

-Pericardial disease
-PE
20. Function of HDL, LDL
HDL: is involved in reverse cholesterol transport, excessive cholesterol

is eliminated from the body via liver.
LDL: LDL deliver cholesterol to cells, where it is used in membrane. Also

helps in synthesis of steroid hormone.
21. maculopapular rash seen in which disease
-scarlet fever
-Measles
-ebola
-rubella
-syphillis
-chikungunya
-dengue
-zika
22.Name of energy rich food ( Not sure what is this

question asking about)
-Fats
-Proteins
23. Reason of corneal transparency
#Anatomical structures
-Non vascularity
-Regular arrangement of collagen fibers of substantia propria of and of
corneal epithelium
-Non-myelinated nerve fibers running parallel to the collagen fibers.
#mild degree of corneal dehydration
-Achieved by an active endothelial pump (maintenance of corneal fibers
packed together).
24. Calcium necessary for what
-Aids in building strong bone and teeth.

-controls excitability and release of neurotransmitters
-Aids in contraction of muscles.
-Essential in the clotting of blood.
-acts as intracellular second messenger.
-Prevention of osteoporosis.
25. Complication of gallstone
#In the gallbladder

-Biliary colic
-acute cholecystitis
-chronic cholecystitis
- mucocele
-empyema of gall bladder
-perforation
#In the bile ducts
-biliary obstruction
-acute cholangitis
-acute pancreatitis
#In the intestine
-intestinal obstruction (gallstone ileus)
26. C/F of nephrotic Syndrome
#primary glomerular causes:

- focal segmental glomerulosclerosis
- membranous glomerulopathy
- minimal change disease
-membreno-proliferative glomerulopathy
#secondary/sytemic glomerular causes:

-Systemic: DM, amyloidosis, SLE.
-Drugs: NSAIDS, penicillamine.
-Infections: Malaria, syphilis, Hep B & C, AIDS.
-Malignant disease: Carcinoma, lymphoma.
-Miscellaneous: Allergy, hereditary nephritis.
27. complication of DM
Acute
-hypoglycemia
-Diabetes ketoacidosis
-Hyperosmolar hyperglycemic state
Chronic
#Microvascular
-retinopathy
-nephropathy
-peripheral neuropathy
-autonomic neuropathy
-diabetic foot
#Macrovascular
-cardiovascular
-cerebrovascular
-peripheral vascular disease
28. Name of Anaerobic bacteria
These are microorganisms that can live without oxygen.

Facultative anaerobes can live without oxygen but they use it if it
available. Most of the bacteria we know falls in the facultative anaerobes
category (e.g E. Coli).
Obligate anaerobes are harmed by the presence of oxygen and these
usually utilize fermentation to produce their necessary ATP.
Examples of obligate anaerobes:
Actinomyces
Bacteroides
Clostridium
Yet, there's another sub category of anaerobes and these are

called aerotolerant anaerobes. These bugs unlike the obligate ones, are
not harmed in the presence of oxygen.
Examples of aerotolerant anaerobes:
Propionibacterium and Lactobacillus (both are normal human flora)
29.Name of gram negative bacteria
# Escherichia coli (E. coli), Salmonella, Shigella, and other

Enterobacteriaceae, Pseudomonas, Moraxella, Helicobacter,
Stenotrophomonas, Bdellovibrio, acetic acid bacteria, Legionellaetc etc
30.Name of EPI schedule Vaccine in Bangladesh
At the 6th week of age: BCG, Penta 1, OPV 1, PCV 1

At the 10th week of age: Penta 2, OPV 2, PCV 2
At the 14th week of age: Penta 3, OPV 3, IPV
At the 18th week of age: PCV 3
At 9th completed month: MR (Measles and Rubella)
At 15th completed month: MR (Measles and Rubella)
31. complication of kala~azar
-Measles
-Pneumonia
-Bacillary dysentery
-TB
-Septicemia
-Epistaxis
-Severe malnutrition
-PKDL
-skin infection, boils, cellulitis and scabis
-bleeding manifestation(from nose ,GIT, Retina)

-Post kala azar laryngitis & colitis
-post kala azar splenomegaly
-renal: glomerulonephritis, nephrotic syndrome.
32. c/f of typhoid and parathyroid fever

33.cause of microcytic anaemia

“TAILS”
-Thalassaemia
-Anemia of chronic disease
-Iron deficiency anemia
-Lead poisoning
-sideroblastic anemia
34. Causes of splenomegaly/hypersplinsm

“CHICAGO”
-Cancer
-Hematological malignancy (CML, CLL)
-Infection (malaria, EBV, CMV etc)
-Congestion (portal HTN)
-Autoimmune glycogen storage disease
-Others (amyloidosis)
35.Gynaecological emergency cause

-Ectopic pregnancy
-Miscarriage
-Hyperemesis gravidarum
-cervical incompetence
-severe pelvic pain
-massive ‘menstrual’ blood loss
-‘Emergency’ contraception
36. cause of child mortality under 5 years old child
-diarrhea
-pneumonia
-measles
-tetanus
-malaria
-injury
-malnutrition
37.complication of pneumonia under 2 years of age

child
 Pulmonary functioning
 Respiratory distress
 Pulmonary failure including adult respiratory distress
syndrome
 Death
 Acute asthma exacerbation
 Primarily pulmonary parenchyma
 Necrotizing pneumonitis
 Pulmonary abscess
 Pneumatocoele
 Lung cavitation, fibrosis, and bronchiolitis obliterans
 Granuloma formation
 Primarily pleural space
 Pleural effusion with or without loculations
 Empyema
 Pneumothoraces
 Tension pneumothorax with diminished cardiac output
 Infectious disease
 Bacteremia and sepsis
 Secondary bacterial pneumonia after primary viral
pneumonia
38. Rheumatic heart disease criteria
39. Causes of Gastric Cancer
-family history
-diet
-familial polyposis
-gastric adenomas
-helicobector pylori infections
-atrophic gastritis
-tobacco smocking
-menetrier disease
40.causes of per Rectal fresh bleeding

-anal cancer
-angio dysplasia
-colon cancer
-colon polyps
-crohn’s disease
-diarrhea
-diverticulosis
41.Indication of DRE
42.E
tiology of Bronchogenic Carcinoma
43. Cause of metabolic acidosis
-Bicarbonate loss: GIT losses, Renal lossed, dilutional

acidosis
-Increased acid load: organic acidosis, mineral
acidosis
-Impaired and excstion: renal failure , adrenal insufficiency
44. causes of mal-union of Fracture
-Improper seduction
-unchecked muscle pull
-excessive communication
45. Indication and contraindication of gastric lavage
Indication:
Diagnostic: -intra gastric bleed
-pyloric stenosis
-achlorhydia
Thesapeutic: - poisoning
-acute peritonitis
-intestinal obstruction
-gastric surgery
Contraindication:
-caustic or corrosive perforation
-uncontrolled convulsion
-HC & Petroleum Distillate
-cardiac dysrhythmia
46.Name of autosomal dominant disease
47. Fat soluble vitamin
-Vitamin A, D, E, & K
48. Skin penetrating worm name
-Hook worm, helminths, nematode, stercoralis
49. name of classical anti histamine

Commonly used to treat symptoms such as inflammation &
itching.
- Diphenhydramine
- Fexofenadine
- Cetirizine
- Levocetirizine
- Loratadine
50. complication of burn

-shock
-pulmonary complications due to inhalation injury
-acute renal failure
-infection and sepsis
-Fluid & electrolyte disturbance
-injury of blood vessels & nerves
-acute duodenal ulcer (curling ulcer)
-Extensive and disabling scarring
-psychological trauma
51. Generalized metastasis carcinoma name (?)
52. Staphylococcus infected disease

53. Cause of midline neck swelling
-thyroid swellings
-ludwig’s angina
-enlarged lymph node
-thyroglossal cyst
-dermoid cyst
-lipoma
54. Causes of dwarfism
-achondroplasia
-Spondyloepiphyseal dysplasias (SED)
-Diastrophic dysplasia
-genetic
-malnutrition
-kidney disease
55. Organs that do not have lymphatics

-Brain
-Spinal cord
-Bone marrow
-Cartilage
-Eyeball
-Inner ear
56.Anti hypertensive drugs in pregnancy
57. Drugs in Heart failure

-nitroglycerine
-fursemide
-morphine
58. causes of miosis
‘Plz Begin 2 OPEN ur Books’

P-pilocarpine
B-barbiturates
O-organophosphates
P-pontine hemorrhage
E-ethyl alcohol
N-narcotics
B-bromides
59. Rx of severe dehydration
-hospitalization
-lowering blood sugars
-fluid replacement
-treat metabolic imbalances
-treat underlying causes
60. Sign of hepatic encephalopathy
Signs:
-flapping tremor
-inability to perform simple mental arithmetic tasks or
draw objects
-hyper-reflexia and bilateral extensor plantar
response
-fetor hepatitis: a sweet musty odour to the breath
-chronic hepatic encephalopathy gives rise to variable

combinations of cerebellar dysfunction, parkinsonian
syndrome , spastic paraplegia and dementia
Symptoms:
-change of intellect, personality, emotions, and
consciousness
-apathy
-inability to concentrate
-confusion
-disorientation
-drowsiness
-slurring of speech and eventually coma develop
-convulsions sometimes occur
61. causes of PPH
4Ts
-Tone – uterine atony
-Tissues- retained placenta, Invasive placenta
-Trauma- of any part of the genital tract, inverted
uterus
-Thrombin- coagulopathy, DIVC
62. causes of increased bleeding time
Normal Value* : <8 min
Prolonged bleeding time:

-thrombocytopenia/ Anemia (Hct <20%)
-hereditary platelet dysfunction
-von willebrand disease
-severe hypofibrinogenemia
-blood vessels disorders
-uremia
-myeloproliferative disorders
-medication: Aspirin, other antiplatelet drugs.
63.Complication of kala-Aza
-Measles
-Pneumonia
-Bacillary dysentery
-TB
-Septicemia
-Epistaxis
-Severe malnutrition
-PKDL
-skin infection, boils, cellulitis and scabis
-bleeding manifestation(from nose ,GIT, Retina)

-Post kala azar laryngitis & colitis
-post kala azar splenomegaly
-renal: glomerulonephritis, nephrotic syndrome.
64. Growth Hormone (
65. CSF study in meningitis
66. Cause of microcytic anemia

“TAILS”
-Thalassaemia
-Anemia of chronic disease
-Iron deficiency anemia
-Lead poisoning
-sideroblastic anemia
67.Immunity innate and passive
Innate- innate immunity is the resistance of the body

against antigen that exists prior to exposure to the
antigen. It is non-specific
Passive-it is the type of acquired immunity, where the

performed antibody is introduces into host to produce
specific immunity
Advantage- immediate host
Disadvantage- short life span of these antibodies and
risk of type-I and III hypersensitivity reactions.
68. name of feco-oral route hepatitis virus

- Hepatitis A & E
69. Innocent murmur feature
-soft
-mid-systolic
-heard at left sternal edge
-no radiation
-no other cardiac abnormalities
70. active management of 3rd stage labour (AMTSL)
-Administration of uterotonic drug within 1 min of

delivery of baby.
-Delivery of placenta by controlled cord traction.
-Massaging the uterus to make it hard.
71. causes of massive proteinuria.

-Light Chain disease

-Multiple myeloma
-hemoglobinuria
-myoglobinuria
-Amyloidosis
72. how drugs are reabsorbed from GIT
-Passive diffusion
-facilitated diffusion
-active transport
-endocytosis and exocytosis
73. secondary cause of immunosuppression
-malnutrition
-immunosuppressive agents
-infections (measles, AIDS etc)
-malignancies (leukemia, lymphoma etc)
-splenectomy
-aging
-autoimmune disease
-chemotherapy
74. causes of delay wound healing
Local factors
-continued pressure
-desiccation and dehydration
-Trauma and edema
-Infection or heavy
-necrosis
-tissue hypoxia
Systemic factors
-old age
-obesity
-chronic diseases
-malnutrition
-vascular insufficiency
-immunodeficiency
-smocking
-stress
-poor health condition
75. cause of secondary amenorrhoea
-Hypothelamic stress
-Anorexia
-Pituitary tumor
-Hypothyroidism
-Ovarian cyst
-PCOS
-Congenital adrenal hyperplasia
76. s/s of chronic kidney disease

77. UMN lesion features

78. S/S of appendicitis

79. Management of Portal HTN
80.Transudative pleural effusion cause
-CHF
-Nephrotic syndrome
-Liver Cirrhosis
-Hypoproteinaemia
-Hypothyroidism
-Acute rheumatic fever
81.cause of infectious Diarrhea
-Bacterial toxin: Clostridium botulinum, Bacillus

cereus
-Bacteria: Vibrio cholerae , E. coli, Shigella,
Salmonella
-Viruses: Rota virus (most common in children) ,
norovirus, cytomegalovirus.
-Parasites- Entamoeba histolytica, Giardia lambila.
82.Types of malpresentation
-Breech
-face
-brow
-shoulder
-compound
83. causes of Bloody Diarrhoea
-Shigella
-Escherichia coli
-salmonella
-campylobacter
-yarsinia
-entamoeba histolytica
84. common cause of maternal death in BD

-postpartum haemorrhage (31%),
-Eclampsia /pre-eclampsia (20%),
-delayed & obstructed labour (7%),
-Abortion (1%),
-other direct cause (5%) and indirect cause (35%).
85. Risk factors of cervical carcinoma

-HPV 16 and 18
-early child birth
-unprotected sex
-multiple sex partners
-Immunosuppression
-long term OCP
-smocking
-early marriage
-multiple pregnancies
-family history
86.Symptom of congenital Syphilis

Early
-skin lesions, maculopapular tissue
-lymphadenopathy
-hepatosplenomegaly
-failure to thrive
-jaundice, anemia
-osteochondritis
Late
-gummatous ulcers
-bony prominence of forehead
-saddle nose
-short maxilla
-keratitis, 8 nerve deafness and dental deformities
87.Antibiotic of protein synthesis inhibitor

Mnemonic: ‘ALina is a STrip CLub MAL’
* Inhibit 1: “ALina”
 Li nezolid
* Inhibit 2: “STrip”
 S treptogramins
 T etracyclins
* Inhibit 3: “Club”
 C loramphenicol
* Inhibit 4: "MAL"
 M acrolides
 L incosamides
88. Indication of ACE inhibitor
-Hypertension
-Cardiac hypertrophy
-Chronic heart failure
- Post MI in hypertensive & Diabetic patients
-Diabetic nephropathy due to vasoconstriction probably caused by
Angiotensin -II
89. electrolyte change in renal failure

- K+ increase
- Phosphate increase
- Na+ decrease
- Calcium decrease
90. marker of MI
- CK-MB
- Troponin-I and troponin-T

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Question of BMDC Registration QUALIFYING EXAM, 27th Oct, 2017

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1MD KHALED HASSAN (MBBS 2011 MS 2017 HMU)

QUESTION OF BMDC REGISTRATION

1.Name of antibiotic which is protein synthesis

2. The Indications of beta blocker

#Preventer medications for infrequent attack: Anti-inflammatory

5. Name of classical antihistamine

6. c/f of allergic conjunctivitis

8. Names of refractive Error

9. Name of vit-B1/thiamine deficiency diseases

-Dry beriberi/neurological beriberi: peripheral neuropathy, wrist/foot

10. Name of superficial Fungal Infection

-Ring worm (Tinea capitis & T. corporis)

11. Contraindications of beta blocker

- peripheral vascular disease

12. components of TOF

13. Dengue causes and Rx

#Parasite: transmitted by the bite of Aedes aegypti

14. Rx of chikungunya (Caused by the bite of Aedes albopictus and Aedes

15. CT scan in Stroke patient (hemorrhagic and

- Hyperdense (white): Hemorrhagic stroke

- Hypodense (black): ischemic/ infarctive stroke

16. components of GCS

17. causes of raised ESR

18. component and function of bile salt

Components: bile acid/salts, phospholipids, cholesterol, bilirubin,

Function : to solubilize ingested fat & fat soluble vitamins, facilitating

19. causes of atrial fibrillation

-Alcohol, caffeine, tobacco

20. Function of HDL, LDL

HDL: is involved in reverse cholesterol transport, excessive cholesterol

LDL: LDL deliver cholesterol to cells, where it is used in membrane. Also

21. maculopapular rash seen in which disease

22.Name of energy rich food ( Not sure what is this

23. Reason of corneal transparency

24. Calcium necessary for what

-Aids in building strong bone and teeth.

25. Complication of gallstone

#In the gallbladder

26. C/F of nephrotic Syndrome

#primary glomerular causes:

#secondary/sytemic glomerular causes:

28. Name of Anaerobic bacteria

These are microorganisms that can live without oxygen.

Yet, there's another sub category of anaerobes and these are

29.Name of gram negative bacteria

# Escherichia coli (E. coli), Salmonella, Shigella, and other

30.Name of EPI schedule Vaccine in Bangladesh

At the 6th week of age: BCG, Penta 1, OPV 1, PCV 1

31. complication of kala~azar

-bleeding manifestation(from nose ,GIT, Retina)

32. c/f of typhoid and parathyroid fever

33.cause of microcytic anaemia

34. Causes of splenomegaly/hypersplinsm

35.Gynaecological emergency cause

36. cause of child mortality under 5 years old child

37.complication of pneumonia under 2 years of age

38. Rheumatic heart disease criteria

39. Causes of Gastric Cancer

40.causes of per Rectal fresh bleeding

43. Cause of metabolic acidosis

-Bicarbonate loss: GIT losses, Renal lossed, dilutional

44. causes of mal-union of Fracture

45. Indication and contraindication of gastric lavage