Q.P. Code: MBN206
M.B.B.S. 2nd Prof.
(New Scheme w.e.f. 2019 admission onwards)
BF/2023/06
--- Content provided by FirstRanker.com ---
Microbiology ? BM.M. : 100
Time : 3 Hours(First 30 Min. for MCQs)
Note: 1.
--- Content provided by FirstRanker.com ---
Use OMR Sheet to answer Multiple Choice Questions(MCQs).2.
Attempt all questions. Illustrate your answers with suitable diagrams
3.
NO SUPPLEMENTARY SHEET SHALL BE ALLOWED/PROVIDED
--- Content provided by FirstRanker.com ---
4.The student must write Q.P. Code in the space provided on OMR Sheet and the Title page of
the Answer Book.
Q.1
MCQs (Attempt on OMR sheet)
--- Content provided by FirstRanker.com ---
[1x20]Tick the most appropriate answer:
1.
A serum sample from 23 year old female has tested positive for hepatitis B. Her friend is requested
you to disclose the report to him without her consent. This is known as ?
--- Content provided by FirstRanker.com ---
a.Breech in confidentiality
b.
Maintain of beneficence
c.
--- Content provided by FirstRanker.com ---
Maleficenced.
Autonomy
2.
Characteristic anaerobic bacterial infections is
--- Content provided by FirstRanker.com ---
a.Foul smelling discharge
b.
Deep seated
c.
--- Content provided by FirstRanker.com ---
Gas in tissued.
All of the above
3.
A 30 year old man presented to OPD with a black eschar had formed on the dorsal surface of the hand.
--- Content provided by FirstRanker.com ---
A superficial tangential escharectomy was performed for a suspected cutaneous anthrax. What is theother name of this disease?
a.
Wool sorter's disease
b.
--- Content provided by FirstRanker.com ---
Hide porter's diseasec.
Darling's disease
d.
Hansen's disease
--- Content provided by FirstRanker.com ---
4.A 28 year old patient resident of West Rajasthan presented with a lesion located on the upper lip. The
biopsy revealed amatogote forms in the macrophages suspected to be of oriental sore. Which of the
following is the causative agent:
a.
--- Content provided by FirstRanker.com ---
Leishmania mexicanab.
Leishmania braziliensis
c.
Leishmania tropica
--- Content provided by FirstRanker.com ---
d.Leishmania chagasi
5.
The sequence of assessment of affective domains is:
a.
--- Content provided by FirstRanker.com ---
Knows, knows how, shows how, Doesb.
Knows, Shows how, Does, Knows how
c.
Shows how, knows how, Knows, Does
--- Content provided by FirstRanker.com ---
d.Does, Shows how, Knows how, Knows
6.
A sexually active 28 year old woman comes to the casualty with 2 day history of pain near the
genitals. Pelvic examination shows shallow, small, extremely tender ulcers with red bases in the vulvar
--- Content provided by FirstRanker.com ---
and vaginal regions. A Tzanck smear shows the presence of multinucleated giant cells. Which of thefollowing infectious agents is the most likely cause of these findings?
a.
Candida albicans
b.
--- Content provided by FirstRanker.com ---
Chlamydia trachomatisc.
Herpes simplex virus
d.
Treponema pallidum
--- Content provided by FirstRanker.com ---
7.
A 55 year old male reports to OPD with a 3 day history of painful rash over his left back preceeded by
severe pain for few days in the same area. On examination several clustered lesions which had
--- Content provided by FirstRanker.com ---
erythematous base and crushed in a band like area seen on the left flank. Which of the following is themost probable agent.
a.
Cytomegalovirus
b.
--- Content provided by FirstRanker.com ---
Epstein-Barr virusc.
Human papillomavirus
d.
Varicella-zoster virus
--- Content provided by FirstRanker.com ---
Page 1 of 2
8.
A 40 year old male is suspected to have malaria. He is treated with a full course of chloroquine. Later
he continued to have fever and developed encephalitis. A peripheral blood smear shows ring multiple
--- Content provided by FirstRanker.com ---
forms in her erythrocytes. Which of the following species of plasmodium is most likely cause of thedisease?
a.
P. falciparum
b.
--- Content provided by FirstRanker.com ---
P. knowlesiic.
P. malariae
d.
P. vivax
--- Content provided by FirstRanker.com ---
9.A 30 year old male was admitted with facial swelling and pain during the past week. He was diabetic for 10
years. There was expulsion of black eschar from the left nose. On microscopic examination of nasal tissue
showed broad, nonseptat hyphae with branches at right angles. Which of the following is the most likely cause?
a.
--- Content provided by FirstRanker.com ---
Histoplasma oryzaeb.
Rhizopus oryzae
c.
Sporothrix schenchkii
--- Content provided by FirstRanker.com ---
d.Torulopsis glabrata
10.
A 22 year old promiscuous female with a history of multiple sexual partners visited the OPD with
complaints of mucopurulent discharge, uretheral and lower abdominal pain for the past one month.
--- Content provided by FirstRanker.com ---
Gram stain of urethral discharge revealed pus cells > 20/OIF with unique compact inclusion bodies.Which of the following is the most probable diagnosis and true about the inclusion body?
a.
Lymphogranuloma venerum with Miyagawa corpuscle
b.
--- Content provided by FirstRanker.com ---
Chlamydia trachomatis with replicating reticulate (H-P) bodyc.
Chlamydia psittaci with LCL elementary body
d.
Mycoplasma genitallium with intracellular cowdry body
--- Content provided by FirstRanker.com ---
11.A 5 year old child presented with fever, neck rigidity, vomiting, tonic clonic seizures. She also
developed sore throat with cough and chest xray showed bilateral pneumonia. A throat swab was
subjected to gram staining showed pleomorphic gram negative coccobacilli and culture of the
organism required essential factors in the media. Which of the following statement is true for the
--- Content provided by FirstRanker.com ---
growth of such organism?a.
Coagulase for the growth of staphylococcus aureus
b.
Haemolysin for the growth of streptococcus pneumonia
--- Content provided by FirstRanker.com ---
c.Nicotinamide adenine dinucleotide for growth of haemophilus influenzae
d.
Haemoglobin for the growth of Escherichia coli
12.
--- Content provided by FirstRanker.com ---
A 10 day old newborn presented with fever 3 days, nasal congestion and discharge per both eyes. Theinfant was born by vaginal delivery without premature rupture of me membrane at the gestational age
of 38 weeks. Chest x-ray demonstrated hyperaeration and peri-hilar infiltration. Nasopharyngeal
aspirate on indirect immuneofluroscene detected coarse elementary bodies in the cytoplasm. What is
the most probable diagnosis?
--- Content provided by FirstRanker.com ---
a.Mycoplasma pneumonia
b.
Chlamydiae trachomatis
c.
--- Content provided by FirstRanker.com ---
Legionella pneumophillad.
Chlamydophila pneumoniae
13.
A 50 year old male environmentalist by profession was admitted to ICU after he returned from a
--- Content provided by FirstRanker.com ---
prolonged stay at rural part of Manipur. He developed fever with warty skin lesions, weight loss, acutebreathlessness, hepatoplenomegaly. Histopathological staining of tissue sections showed elliptical
yeast cells with central septation. What could be the probable etiological agent?
a.
Coccidioides immitis
--- Content provided by FirstRanker.com ---
b.Cryptococcus neoformans
c.
Pneumocystis jirovecii
d.
--- Content provided by FirstRanker.com ---
Penicillium marneffei14.
A 30 year old male fisherman by profession complained of blurred vision with severe headaches. On
examination he has developed ulcerative keratitis with punctuate keratopathy. On culture over non-
nutrient agar saline plate seeded with E. coli produced tracks of a suspected motile microbial agent.
--- Content provided by FirstRanker.com ---
Identify which of the following could be the most probable organism?a.
Acanthamoeba
b.
Naegleria fowleri
--- Content provided by FirstRanker.com ---
c.Giardia lamblia
d.
Balamuthia
15.
--- Content provided by FirstRanker.com ---
A pregnant mother had been admitted at the 15th week of her pregnancy on account of a febrile illness,symptoms of common cold and enlargement of submandibular lymph nodes. A fetal scan showed an
anomaly in fetus including mild hydrocephaly. Termination of the pregnancy was suggested by the
physician and pregnancy was terminated 178 days after conception. Which of the following can be
transmitted transplacentally and be detected by amniotic fluid analysis?
--- Content provided by FirstRanker.com ---
a.Taenia solium
b.
Echinococcus granulosus
c.
--- Content provided by FirstRanker.com ---
Toxoplasma gondiid.
Plasmodium falciparum
Page 2 of 3
--- Content provided by FirstRanker.com ---
16.
A 32 year old male tourist travelled to west Africa for 1 month. During the trip he swam in the Gambia
river. Two months later he developed intermittent lower abdominal pain with dysuria. Laboratory
results of ova and parasites revealed eggs with a terminal spine. Which of the following parasites is the
cause of the patient's symptoms?
--- Content provided by FirstRanker.com ---
a.Toxoplasma gondii
b.
Schistosoma mansoni
c.
--- Content provided by FirstRanker.com ---
Schistosoma haematobiumd.
Ascaris lumbricoides
17.
A healthy newborn baby was born at term. His mother had confirmed acute hepatitis B during
--- Content provided by FirstRanker.com ---
pregnancy. What preventative intervention should be given to the baby?a.
The full course of hepatitis B vaccine
b.
Full course of hepatitis B vaccine and hepatitis B immunoglobulin
--- Content provided by FirstRanker.com ---
c.Hepatitis B immunoglobulin
d.
Hepatitis B vaccine as a single dose
18.
--- Content provided by FirstRanker.com ---
A 35 year old female presented to the OPD with vaginal discharge adherent to the vaginal mucosadysuria with a typical fishy odour. The Wiff test of the discharge was positive. What is the probable
diagnosis?
a.
Chlamydial infection
--- Content provided by FirstRanker.com ---
b.Bacterial vaginosis
c.
Trichomonasis
d.
--- Content provided by FirstRanker.com ---
Candida vaginitis19.
The IMG stands?
a.
International Medical Graduates
--- Content provided by FirstRanker.com ---
b.Indian Medical Graduates
c.
Indian Military Graduates
d.
--- Content provided by FirstRanker.com ---
None of the above20.
A 50 year old male farmer by profession owns a few cattle presented with difficulty in breathing, pain
abdomen for 6 months. USG revealed single space-occupying lesion on the upper quadrant of the liver.
He gave the most probable diagnosis is
--- Content provided by FirstRanker.com ---
a.Taenia solium
b.
Echinococcus granulosus
c.
--- Content provided by FirstRanker.com ---
Hymenolepis nanad.
Histolytica
Q.2.
A 40 year old male presented to Skin/VD OPD was chief complaint of a lesion over penis. On history
--- Content provided by FirstRanker.com ---
taking and clinical examination the probable diagnosis of Syphilis was madea.
Name the causative agent.
b.
Discuss different stateges of Syphilis.
--- Content provided by FirstRanker.com ---
c.Discuss the lab diagnosis.
[2+4+6]
Q.3.
Describe briefly:
--- Content provided by FirstRanker.com ---
[5x4]a.
Atypical pneumonia
b.
Classification of atypical mycobacterium
--- Content provided by FirstRanker.com ---
c.Post-exposure prophylaxis in dog bite
d.
Discuss the laboratory diagnosis of diphtheria
Q.4.
--- Content provided by FirstRanker.com ---
Write briefly: -[3x5]
a.
HIV infections in immunocopromised patient
b.
--- Content provided by FirstRanker.com ---
Nocardiosisc.
Methicilin Resistant staphylococcus aureus (MRSA)
d.
Cryptococcal meningitis
--- Content provided by FirstRanker.com ---
e.Leishmaniasis
Q.5.
Discuss briefly: -
[6x3]
--- Content provided by FirstRanker.com ---
a.Scrub typhus and its diagnosis
b.
Write a note on TORCH infections. Discuss in brief their laboratory diagnosis
c.
--- Content provided by FirstRanker.com ---
Categories of biomedical waste.Q.6.
Write short notes: -
[5x3]
a.
--- Content provided by FirstRanker.com ---
Laboratory diagnosis of HIVb.
Post-exposure prophylaxis for hepatitis B
c.
Strategies of antimicrobial stewardship program
--- Content provided by FirstRanker.com ---
-------------------Page 3 of 3