MBBS Second Professional Examination April-2024
Subject- Microbiology
Paper- I (new scheme)
Time: 3:00 Hours
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Maximum Marks :100Instructions:
a) Al questions are compulsory
b) Draw diagrams wherever necessary
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c) Answers of Questions and Sub-questions must be written strictly according to serial order of question paper.d) MCQ has to be answered in theory answer book
e) Please write MCQ answer neatly and in serial order with black or blue pen in brackets; for example: - 1. (a) 2. (c)
f)
MCQ has to be answered only once, any kind of repetition or cutting or erasing or whitener wil be considered as malpractice, such answers wil not be
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counted in marks and action wil be taken according to UFM rules of university.g) Subjective answer should be answered in up to 30 words per marks. For example, if a question having 2 marks should answered in up to 60 marks.
Q1. Total MCQs: 10
10 x 1 = 10
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1. India ink staining is used to demonstrate: -(a) Cell wall
(b) Bacterial capsule
(c) Bacterial flagella
(d) Bacterial spore
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2. Active immunity is not acquired by: -(a) Infection
(b) Vaccination
(c) Transplacental
(d) Sub-clinical infection
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Immunoglobulin Transfer3. Which of the following confirms the isolate of V. cholera as Ogawa serotype: -
(a) If agglutinated with
(b) If agglutinated with
(c) If agglutinated with
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(d) If agglutinated withOgawa antiserum
Inaba antiserum
Hikojima antiserum
both Ogawa and Inaba
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antiserum4. Culture media for transport of stool sample in suspected case of Shigellosis: -
(a) Deoxycholate medium (b) Blood agar
(c) Nutrient broth
(d) Buffered glycerol saline
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5. HIV RNA detection (by RT-PCR) reduces the window period to,(a) 1-14 days
(b) 3 weeks
(c) 4 weeks
(d) 8 weeks
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6. In revised Jones criteria for acute rheumatic fever, the major manifestations include all except:(a) Subcutaneous nodules (b) Pan carditis
(c) Arthritis (migrating
(d) Increased ASO
polyarthritis)
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antibodies7. Maltese cross form is seen in:-
(a) Plasmodium vivax
(b) Babesiosis
(c) Brucellosis
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(d) Bartonellosis8. All the following pathogenic bacteria fulfill Koch's postulates, except: -
(a) Treponema pallidum
(b) Yersinia pestis
(c) Bacillus anthracis
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(d) Helicobacter pylori9. Which of the following is associated with cholangiocarcinoma: -
(a) Ascaris
(b) Ancylostoma
(c) Enterobius
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(d) Strongyloides10. Which of the following is associated with cholangiocarcinoma: -
(a) Clonorchis sinensis
(b) Fasciola hepatica
(c) Fasciolopsis buski
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(d) Toxocara canisQ2. Long Answer Questions
2 x 20 = 40
a. A 14-year-old boy presented with a history of fever with headache, malaise, and abdominal discomfort for the last
8 days. Fever was of the remittent type, with a gradual rise in a step-ladder fashion. On examination, he was
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febrile & temperature of 101 ?C, along with relative bradycardia, a coated tongue, & soft, palpable spleen.(3+5+8+4)
I. What wil be the most common probable diagnosis & etiological agent?
II. Describe the pathogenesis of this condition in detail.
II . Make a plan for sample col ection & laboratory diagnosis of this disease.
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IV. Add a note on prophylactic measures for this disease.b. Define antimicrobial resistance & its types. Discuss in detail the mechanism of antimicrobial drug resistance in
bacteria. Add a note on the various methods used for antimicrobial susceptibility testing. (5+7+8)
Q3. Brief Answer Questions
6 x 05 = 30
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a. Write about the pathogenesis and lab diagnosis of Shigel osis.b. Explain blood culture method for detection of Infective Endocarditis.
c. Discuss the laboratory diagnosis of HIV with a special mention of strategies for diagnosis during the window
period.
d. Describe life cycle of Echinococcus granulosus. Discuss pathogenesis & laboratory diagnosis of Echinococcosis.
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e. Discuss pathogenesis, clinical features and laboratory diagnosis of Histoplasmosis.f. Describe and discuss the role of beneficence & autonomy as guiding principles in patient care. List a few scenarios
in which conflict between beneficence & autonomy may arise.
Q4. Short Answer Questions
10 x 2 = 20
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a. Enumerate 4 differences between exotoxins & endotoxins.b. Name 4 live attenuated vaccine.
c. Enumerate any 4 examples of Type I I hypersensitivity reactions.
d. Passive agglutination test.
e. Bacterial growth curve.
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b. Enumerate HACEK group of microorganisms.c. Name 4 trematodes.
d. Name 4 cardinal principle of Bioethics.
e. Draw life cycle of Entamoeba histolytica.
f. Enlist complications of Plasmodium falciparum infection.
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