FirstRanker Logo

FirstRanker.com - FirstRanker's Choice is a hub of Question Papers & Study Materials for B-Tech, B.E, M-Tech, MCA, M.Sc, MBBS, BDS, MBA, B.Sc, Degree, B.Sc Nursing, B-Pharmacy, D-Pharmacy, MD, Medical, Dental, Engineering students. All services of FirstRanker.com are FREE

📱

Get the MBBS Question Bank Android App

Access previous years' papers, solved question papers, notes, and more on the go!

Install From Play Store

Download University of Jaffna MBBS 2013 May Microbiology Question Paper

Download University of Jaffna (University of Sri Lanka) MBBS (Bachelor of Medicine and Bachelor of Surgery) 2013 May Microbiology Previous Question Paper

This post was last modified on 19 October 2021

UNIVERSITY OF JAFFNA, SRI LANKA

SECOND EXAMINATION FOR MEDICAL DEGREES (PART 1

Microbiology

Date :20.05.2013 Time allowed: 2 hours

Answer all four questions

--- Content provided by FirstRanker.com ---

  1. 1.1 Describe briefly how you would
    1. 1.1.1 clean an accidental blood spillage during venepuncture in a patient in the ward (25marks)
    2. 1.1.2 instruct a female patient with urinary tract infection to collect urine for culture (25marks)
    3. 1.1.3 collect, store and transport blood for culture from a patient suspected to have typhoid fever (25marks)

    1.2 Discuss briefly the factors that decide your choice of an antibiotic. (25marks)
  2. --- Content provided by FirstRanker.com ---


  3. A 4 year old girl was admitted to the Jaffna Teaching Hospital with a history of fever for 3 days associated with headache, vomiting, neck pain and left ear pain. On the night before admission she became drowsy. During the previous week she and her 2 month old brother had upper respiratory tract infections with nasal congestion. Her medical history was otherwise unremarkable. She had a poor immunization history.

    On examination she was lethargic and had a stiff neck. Her white blood cell count (WBC) was 11,300/111, 93% being neutrophils. Random blood sugar was 128mgicil.

    --- Content provided by FirstRanker.com ---

    Her CSF report was as follows; appearance - turbid, WBC count 1300411, neutrophils 87%, red blood cells 163411, CSF sugar 29mg/dl and CSF protein 155mg/c11. CSF microscopy revealed Gram negative short bacilli.
    1. 2.1 What is the most probable diagnosis and the causative microorganism? (4marks)
    2. 2.2 Explain how you arrived at your diagnosis. (15marks)
    3. 2.3 Mention 3 other bacteria that cause the illness you mentioned in 2.1. (6marks)
    4. 2.4 Describe the mode of transmission of the organism you mentioned in 2.1 and the role of its major virulence factor. (20marks)
    5. 2.5 Discuss the measures which will reduce the risk of a similar illness in her younger brother. (20marks)
    6. --- Content provided by FirstRanker.com ---

    7. 2.6 Describe briefly how to collect, store and transport a CSF specimen to the laboratory (35marks)

  4. A 46 year old man, recently returned from Indonesia, was admitted to the medical ward with a history of loss of appetite, and nausea for 3 weeks. He did not have fever or jaundice. His physician wants to exclude hepatitis B viral infection.
    1. 3.1 Mention 5 viruses other than hepatitis B virus that can cause hepatitis. (10marks)
    2. 3.2 Describe the microbiological diagnosis of hepatitis B infection. (30marks)
    3. --- Content provided by FirstRanker.com ---

    4. 3.3 Describe briefly the mode of transmission of hepatitis B virus. (30marks)
    5. 3.4 Discuss the preventive measures for hepatitis B infection (30marks)

  5. A 10 year old girl was admitted to the Jaffna Teaching Hospital with a history of fever for 4 days associated with migrating polyarthritis. Pain and swelling initially affected the left knee joint, then progressed to the right elbow followed by the right ankle and then the left elbow. On examination her painful joint was very tender and warm. On inquiry she remembered having had throat pain 2 weeks before.

    --- Content provided by FirstRanker.com ---


    Her ESR was 92mm in the Phr. The ASOT was 400unitsiml. Her throat swab for culture yielded Gram positive cocci in chains which on grouping belonged to group A.
    1. 4.1 What is the most probable diagnosis? (5marks)
    2. 4.2 Mention the causative agent (species) for this illness. (5marks)
    3. 4.3 Describe briefly the pathogenesis of the illness you mentioned in 4.1 (30marks)
    4. 4.4 Discuss briefly the use of antibiotics in the management of the illness you mentioned in 4.1 (30marks)
    5. --- Content provided by FirstRanker.com ---

    6. 4.5 Mention 5 other illnesses caused by the organism you mentioned in 4.2 (10marks)
    7. 4.6 Name 5 other Gram positive cocci and 3 illnesses caused by each of them. (20marks)

Visit FirstRanker.com for more information.


--- Content provided by FirstRanker.com ---