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​MICROBIOLOGY (MEDICAL EDUCATION)


MICROBIOLOGY (MEDICAL EDUCATION)​

1:-Genotype of Hepatitis C Virus with poor response to treatment      
A:-Genotype 1b        B:-Genotype 1a       
C:-Genotype 2        D:-Genotype 3       
Ans: A
 
2:-Highest mortality in pregnancy is associated with       
A:-Hepatitis A        B:-Hepatitis B       
C:-Hepatitis E        D:-Hepatitis D       
Ans: C
 
3:-All are true about Vaccine associated paralytic poliomyelitis except       
A:-Strains similar to oral polio virus        B:-Seen in places where OPV is used extensively       
C:-Common serotype Sabin type 3        D:-High level genetic divergence from OPV strain       
Ans: D
 
4:-True about Antigenic drift      
A:-Point mutation        B:-Results in pandemics      
C:-Occurs in influenza A virus        D:-Occurs every 10-20 years       
Ans: A
 
5:-Koplik's spots are pathognomonic of       
A:-Measles        B:-Mumps        C:-Rubella        D:-Chicken pox       
Ans: A
 
6:-Nipah virus belongs to       
A:-Paramyxovirus        B:-Orthomyxovirus        C:-Picorna virus        D:-Enterovirus       
Ans: A
 
7:-All are true about Negri bodies except
A:-Intracytoplasmic eosinophilic inclusions        B:-Common in cerebellum, hippocampus       
C:-2-10 µ size        D:-Its absence rule out diagnosis of Rabies       
Ans: D
 
8:-Rabies vaccine is prepared from       
A:-Street virus        B:-Fixed virus      
C:-Live virus        D:-Wild virus       
Ans: B
 
9:-All are human prion disease except       
A:-Kuru        B:-Classical Creutzfeldt Jakob disease       
​C:-Sub acute sclerosing panencephalitis        D:-Straussler-Scheinker syndrome       
Ans: C

10:-All are Epstein Barr Virus associated malignancy except       
A:-Burkitt's lymphoma        B:-Hodgkin's lymphoma       
C:-Non-Hodgkin's lymphoma        D:-Hepatocellular carcinoma       
Ans: D

11:-All are true about chickenpox in pregnancy except       
A:-Not terratogenic        B:-Mothers at risk of varicella pneumonia       
C:-Congenital infection more in 2nd half        D:-Congenital infections rare in 1st half       
Ans: A

12:-Characteristic cytopathic effect of herpes simplex       
A:-Diffuse roundening and ballooning        B:-Syncitium or multinucleated giant cells       
C:-Crenation and degeneration        D:-Cytoplasmic vacoulation       
Ans: A

13:-Which serotype of Dengue virus is more dangerous?       
A:-Serotype 1        B:-Serotype 2        C:-Serotype 3        D:-Serotype 4       
Ans: B

14:-All the following are the genotypes of chikungunea virus except       
A:-West African        B:-East African       
C:-Asian        D:-North American       
Ans: D

15:-Commonest clinical presentation of mumps       
A:-Aseptic meningitis        B:-Bilateral parotitis       
C:-Epididymo orchitis        D:-Pancreatitis       
Ans: B

16:-Suckling mouse can be used for viral isolation of       
A:-Coxsackie virus        B:-Mumps virus       
C:-Measles virus        D:-Influenza virus       
Ans: A


17:-All are true about chicken pox vaccine except       
A:-Live vaccine        B:-One dose for adults       
C:-Oka strain given        D:-2 doses for children       
Ans: B

18:-Germ tube test is positive for       
A:-Candida albicans        B:-Candida glabrata       
C:-Candida krusei        D:-Candida tropicalis       
Ans: A

19:-Following are true about Cryptococcus except       
A:-Serotypes of Cryptococcus - A, B, C, D        B:-C.neoformans seen in pigeon droppings       
C:-Capsule is main virulence factor        D:-C.neoformans inhabits in eucalyptus tree       
Ans: D

20:-Virus producing haemorrhagic fever       
A:-Kyasanur forest disease virus        B:-Japanese B.encephalitis virus       
C:-Chandipura virus        D:-West Nile virus       
Ans: A


21:-Decreasing order of ability of antibodies to fix complement is       
A:-IgM > IgG3 > IgG1 > IgG2        B:-IgG1 > IgG2 > IgM > IgG3       
C:-IgG1 > IgM > IgG2 > IgG3        D:-IgG3 > IgG2 > IgG1 > IgM       
Ans: A

22:-The test used for screening pregnant women for antibodies that may cause haemolytic disease of new born is       
A:-Neutralisation test        B:-Direct coombs test       
C:-Indirect coombs test        D:-Immunohistochemistry       
Ans: C

23:-All are true about Type IV hypersensitivity except       
A:-Delayed type of hypersensitivity        B:-Immune mechanism against intracellular microorganisms       
C:-`T_{DTH}`  cells are the principal mediators        D:-Radio-immunosorbent test for serum IgE helps in diagnosis       
Ans: D

24:-Elek's gel precipitation test is an example of       
A:-Oudine procedure        B:-Ouchterlony procedure        
C:-Oakley-Fulthrop procedure        D:-Rocket electrophoresis       
Ans: B

25:-C1 esterase inhibitor deficiency leads to       
A:-Recurrent pyogenic infections        B:-Paroxysmal nocturnal haemoglobinuria       
C:-Collagen vascular diseases        D:-Heriditary angioneurotic oedema       
Ans: D

26:-Type II hypersensitivity reaction is mediated by       
A:-IgG        B:-Antigen-antibody complex       
C:-IgA        D:-IgE       
Ans: A

27:-Which of the following is an antibody dependent pathway?       
A:-Classical pathway        B:-Alternate pathway       
C:-Lectin pathway        D:-None of the above       
Ans: A

28:-Most common bacteria causing neonatal meningitis is       
A:-Streptococcus pneumonia        B:-Haemophilus influenza       
C:-Neisseria meningitidis        D:-Escherichia coli

Ans: D

29:-AIIR is needed in       
A:-Droplet precautions        B:-Airborne precautions       
C:-Contact precautions        D:-None of the above       
Ans: B

30:-According to Biomedical waste management 2018, metallic body implants should be segregated in       
A:-White container (puncture proof box)        B:-Yellow bag with biohazard symbol       
C:-Blue container (puncture proof box)        D:-Red bag with biohazard symbol       
Ans: C

31:-Bundle care approach for prevention of CAUTI is       
A:-Drainage bag must be always above the bladder level        B:-Closed drainage system should be maintained       
C:-Silastic catheters is associated with increased chance of urethritis        D:-Routine prophylactic antimicrobial therapy is advised       
Ans: B

32:-Bundle care of VAP includes all except       
A:-Elevation of head end of the bed to 30-45°        B:-Change ventilator tubings frequently       
C:-Daily interruption of sedation        D:-Prophylaxis for peptic ulcer disease        
Ans: B

33:-Lymphogranuloma Venereum is caused by       
A:-Haemophilus ducreyi        B:-Calymmatobacterium granulomatis       
C:-Chlamydia trachomatis        D:-Gardnerella vaginalis       
Ans: C

34:-All are true about Mucormycosis EXCEPT       
A:-Major risk factor is uncontrolled diabetes mellitus        B:-Posaconazole is effective       
C:-Angioinvasive        D:-Septate hyphae with branched sporangiophores, rhizoids absent       
Ans: D

35:-True about CBNAAT is       
A:-Detects INH resistance        B:-Detection limit of `"10^{4}"` bacilli/ml sputum       
C:-Detects mutations of the rpo B gene        D:-Can further speciate MTB complex       
Ans: C

36:-Modified Faine's criteria is used for the diagnosis of       
A:-Rheumatic fever        B:-Bacterial vaginosis       
C:-Systemic lupus erythematosis        D:-Leptospirosis       
Ans: D

37:-Sorbitol Mac Conkey agar is used for laboratry diagnosis of       
A:-EHEC        B:-ETEC        C:-EPEC        D:-EIEC       
Ans: A

38:-All are true about Gluteraldehyde as disinfectant except       
A:-Exposure monitoring not required        B:-Bactericidal, Virucidal, Sporicidal       
C:-Alkaline solution is active   
D:-Not stains skin proteins       
Ans: A

39:-Flash sterilization is       
A:-Can be used as a routine substituite for autoclave       
B:-Holding period is 132° C at 27-28 lbs for 3-4 minutes       
C:-Can be used for wrapped items       
D:-All of the above       
Ans: B

40:-Concentration of Orthophthaldehyde as chemical sterilant       
A:-3%-6%        B:-2%        C:-0.55%        D:-10%       
Ans: C

41:-Sequence of removing Personal Protective Equipment (PPE)       
A:-Gloves, Gown, Goggles, Mask        B:-Glove, Mask, Goggles, Gown       
C:-Gloves, Goggles, Gown, Mask        D:-Gown, Mask, Gloves, Goggles       
Ans: C

42:-Most sensitive indicator of carbapenemase production is non-susceptibility to       
A:-Meropenem        B:-Doripenem       
C:-Imipenem        D:-Ertapenem       
Ans: D

43:-Which is not a Back End Strategy of Antimicrobial Stewardship programme       
A:-Sustainable than Front end strategy        B:-Prospective audit and feedback is an example       
C:-Formulary restriction        D:-It is labour intensive than Front-end strategy       
Ans: C 


44:-Types of EQA methods include       
A:-Proficiency testing       
B:-Rechecking or Retesting       
C:-On-site evaluation       
D:-All of the above       
Ans: D
 
45:-True about TSI agar is       
A:-Ratio of sucrose to glucose is 1:10       
B:-It can be used only when testing a bacterial species selected from a single colony recovered on primary or selective agar plates       
C:-It is better than KIA for screening stool specimens for Yersinia enterocolitica       
D:-It is more sensitive in the detection of hydrogen sulphide than SIM       
Ans: B
 
46:-Choose the correct statement about toxins produced by Staphylococcus aureus:       
A:-Panton Valentine toxin is associated with HA-MRSA       
B:-β hemolysin of Staphylococcus aureus is also known as synergohymenotropic toxin       
C:-Hot-cold phenomenon is exhibited by α hemolysin       
D:-Enterotoxin is a pyrogenic exotoxin superantigen       
Ans: D
 
47:-Ideally blood levels of vancomycin has to be monitored while treating MRSA infection. What is the trough level of Vancomycin?        A:-4-10 μg/mL       
B:-10-20 μg/mL       
C:-20-30 μg/mL       
D:-30-40 μg/mL       
Ans: B
 
48:-All the tests listed below are useful in differentiating Streptococcus pneumoniae from Viridans streptococci except:
A:-Bacitracin sensitivity       
B:-Bile solubility       
C:-Inulin fermentation       
D:-Optochin sensitivity       
Ans: A
 
49:-Crystal violet blood agar is a selective medium for which bacterium?       
A:-Streptococcus pyogenes       
B:-Bacillus cereus       
C:-Bacteroides fragilis       
D:-Haemophilus ducreyi      
 Ans: A
 
50:-Resistance in Streptococcus pneumonia against β lactams is due to:       
A:-Presence of penicillinase enzymes       
B:-Efflux pumps       
C:-Altered penicillin binding proteins       
D:-Decreased permeability across cell wall       
Ans: C​
51:-Which among the following serogroup of Neisseria menigitidis is not associated with invasive disease?       
A:-A        B:-B       
C:-C        D:-D       
Ans: D
 
52:-Auxotyping is done for:       
A:-Meningococci        B:-Streptococci        C:-Gonococci        D:-Enterococci       
Ans: C
 
53:-Choose the false statement regarding diphtheria toxin:       
A:-The receptor for diphtheria toxin is heparin binding epidermal growth factor       
B:-0.1 μg/kg toxin can be lethal to susceptible individual       
C:-Anti diphtheria antibody titres of ≥ 0.01 U/mL is protective       
D:-Corynebacterium pseudodiphtheriticum produces diphtheria like toxin       
Ans: D
 
54:-Shanghai fever is caused by:       
A:-Burkholderia cepacia        B:-Stenotrophomonas maltophilia       
C:-Pseudomonas auruginosa        D:-Corynebacterium jeikeium       
Ans: C
 
55:-Which secretion system is responsible for the secretion of Exotoxin A by Pseudomonas aeruginosa?       
A:-Type I        B:-Type II        C:-Type III        D:-Type IV       
Ans: B
 
56:-δ-aminolevulinic acid agar test for Haemophilus influenzae is used to:       
A:-Detect requirement of X factor        B:-Select out H.influenzae       
C:-Detect requirement of V factor        D:-Enhance capsule formation       
Ans: A
 
57:-Acinetobacter baumannii is an established hospital pathogen. All the following statements are true regarding this agent EXCEPT:        A:-A.baumannii can be transmitted by airborne route       
B:-Most important mechanism for drug resistance is by expression of β lactamases       
C:-Sulbactum has intrinsic activity against A.baumannii       
D:-Meropenem and ertapenem are effective in treating A.baumannii infections
Ans: D
 
58:-Vibrio cholera toxin acts by       
A:-Glycosylate GTP binding protein        B:-Elevated intracellular cGMP       
C:-ADP ribosylation of G protein        D:-Inhibition of cAMP       
Ans: C
 
​59:-Twenty two year old male who was severely injured following a road traffic accident was brought to casualty. He has completed the course of tetanus toxoid (TT) 10 years back. He should receive:       
A:-TT 1 dose + HTIG        B:-TT 1 dose       
C:-TT complete dose        D:-TT complete dose + HTIG       
Ans: A
 
60:-Preferred test to confirm H.pylori eradication is:       
A:-Culture        B:-Urea breath test        C:-Rapid urease test        D:-Antibody detection       
Ans: B
 
61:-Colicin typing is done for:       
A:-S.dysenteriae        B:-S.flexneri        C:-S.boydii        D:-S.sonnei       
Ans: D
 
62:-Screening for chronic carrier state following S.typhi infection is carried out by:       
A:-Widal test        B:-Demonstrating Vi antigen        C:-Detection of Vi antibodies        D:-Nested PCR of serum sample       
Ans: C
 
63:-XDR TB is defined as:       
A:-Resistance to isoniazid and rifampicin irrespective of resistance to any other drug       
B:-Resistance to more than one drug other than co resistance to INH and rifampicin       
C:-MDR TB that also is resistant to fluoroquinolones and at least one injectable second-line drugs       
D:-MDR TB that is resistant to either one of the injectable second line drugs or fluoroquinolones      
Ans: C
 
64:-Choose the correct statement about the tests used for diagnosis of syphilis:       
A:-RPR and USR tests do not require a microscope to detect flocculation       
B:-In TPPA, tanned RBCs are coated with T.pallidum antigens       
C:-TPHA fails to detect CSF antibodies       
D:-Non treponemal tests are recommended to monitor treatment response       
Ans: D
 
65:-True about Leptospira interrogans:       
A:-It is a facultative anaerobe       
B:-Semisolid Fletcher's medium is useful in cultivating this bacterium       
C:-Levaditi staining is used to demonstrate L.interrogans       
D:-Serovar specific PCR tests are available       
Ans: B
 
66:-Chlamydia trachomatis serotypes D-K causes:       
A:-Genital chlamydiasis        B:-Interstitial pneumonia       
C:-Atherosclerosis        D:-Lymphogranuloma venereum       
Ans: A
 
67:-Choose the true statement regarding Mycoplasma pneumoniae:       
A:-Obligate intracellular parasites       
B:-Mycoplasmas are L forms
C:-Lung biopsy specimen typically lacks signs of inflammation       
D:-Hydrogen peroxide plays a major role in pathogenesis       
Ans: D
 
68:-All the following are true with regards to Coxiella burnetii EXCEPT:       
A:-Most common mode of transmission is by aerosol route       
B:-Endocarditis is a major feature of chronic Q fever       
C:-Anti-phase II IgG titre of > 6400 is diagnostic of chronic Q fever       
D:-Doxycycline + hydroxychoroquine is used for treating Q fever       
Ans: C
 
69:-Transovarian transmission in vectors is seen in:       
A:-Scrub typhus        B:-Endemic typhus        C:-Epidemic typhus        D:-Trench fever       
Ans: A
 
70:-How do catalase test for mycobacteria differ from that done for other bacteria?       
A:-30% `"H_2O_2"` + 10% Tween 80       
B:-1% `"H_2O_2"` + Phosphate buffer at pH 6.4%       
C:-3% `"H_2O_2"` + 10% Tween 80       
D:-10% `"H_2O_2"` + 0.85% saline       
Ans: A
 
71:-Hair perforation test is positive in      
A:-Trichophyton violaceum        B:-Trichophyton mentagrophytes       
C:-Trichophyton audouinii        D:-Trichophyton schoenleinii       
Ans: B
 
72:-Mode of infection of Ascaris lumbricoides       
A:-Penetration of skin by larva        B:-Autoinfection       
C:-Ingestion of eggs        D:-Ingestion of larva       
Ans: C
 
73:-True about microfilariae of Wuchereria bancrofti       
A:-Sheathed, nuclei at the tail tip        B:-Sheathed, no nuclei at tail tip       
C:-Unsheathed, no nuclei at tail tip        D:-Unsheathed and nuclei at tail tip       
Ans: B
 
74:-Dimorphic fungi causing subcutaneous mycosis       
A:-Phialophora verrucosa        B:-Sporothrix schenckii       
C:-Fonsecaea pedrosoi        D:-Cladosporium carrionii      
Ans: B
 
75:-Subtype of human immunodeficiency virus 1 more common in India.       
A:-Subtype A        B:-Subtype B       
C:-Subtype C        D:-Subtype D       
Ans: C
 
76:-Skin test for diagnosis of hydatid cyst       
A:-Casoni's test        B:-Schick test       
C:-Dick test        D:-Frei test       
Ans: A

77. Which blotting technique is used for detection of carbohydrate epitope present on proteins or lipids?
(A) Western blot (B) Northern blot
(C) Eastern blot (D) Southern blot
Ans: C
 
78. Viruses that can remain latent (usually in neurons) for many years are most likely:
(A) Togaviruses (B) Herpesviruses
(C) Enteroviruses (D) Retroviruses
Ans: B

79. Phage typing is employed for typing of following bacteria except:
(A) S. aureus (B) V. cholerae
(C) Streptococcus (D) Brucella
Ans: C
 
80. Malarial parasite can be cultured in
(A) Blood agar (B) HeLa cell culture
(C) RPMI 1640 (D) NNN medium
Ans: C
 
81. Most cost effective method to prevent hospital acquired infections:
(A) Alcohol based hand rub (B) Hand wash
(C) Disinfectant use (D) Use of antibiotics
Ans: B
 
82. Aspergillosis is recognized in tissue by the presence of
(A) Metachromatic granules (B) Psuedohyphae
(C) Septate hyphae (D) Budding cells
Ans: C
 
83. Seborrhic dermatitis- causative agent is
(A) Candida (B) Dermatophytes
(C) Cryptococcus (D) Malassezia furfur
Ans: D
 
84. Fungus which cannot be grown on artificial media/not cultivable fungus is?
(A) Rhinosporidium seeberi (B) Penicillium marneffei
(C) Aspergillus flavus (D) Sporothrix schenckii
Ans: A 
 
85. Asteroid bodies is seen in
(A) Sporotrichosis (B) Blastomycosis
(C) Coccidiomycosis (D) Cryptococcosis
Ans: A 
 
86. Reynolds – Braude phenomenon is seen in:
(A) Candida albicans (B) Candida tropicalis
(C) Histoplasma capsulatum (D) Cryptococcus neoformans
Ans: A 
 
87. Drug of choice of Pneumocystis jirovecii
(A) Cotrimoxazole (B) Penicillin
(C) Amphotericin B (D) Clotrimazole
Ans: A 
 
88. Calabar swelling occurs in infection by :
(A) Mansonella ozzardia (B) Loa loa
(C) Onchocerca volvulus (D) Mansonella perstans
Ans: B 
 
89. Which of following acts as vector of Chaga’s disease:
(A) Tsetse fly (B) Deer fly
(C) Reduviid bug (D) Sandfly
Ans: C 
 
90. Paragonimus westermani affects:
(A) Intestine (B) Lung
(C) Liver (D) Blood vessels
Ans: B 
 
91. The zoological name of beef tapeworm is:
(A) Taenia solium (B) Taenia saginata
(C) Hymenolepsis nana (D) Echinococcus granulosus
Ans: B 
 
92. Hookworm leads to deficiency of:
(A) Vitamin A (B) Iron
(C) Vitamin B12 (D) Folic acid
Ans: B
 
93. In humans, Isospora belli causes:
(A) Meningitis (B) Diarrhea
(C) Pneumonia (D) None of the above
Ans: B 
 
94. Which one of the following factors, released by heating a suspension of sheep erythrocytes, is required for the growth of Haemophilus Influenzae in chocolate agar?
(A) Coagulase (B) Nicotinamide adenine dinucleotide (NAD)
(C) Hemoglobin (D) Hemolysin
Ans: B 
 
95. A patient develops explosive, watery diarrhea 24 hours after eating seafood. What bacterium is most likely involved?
(A) Campylobacter fetus (B) Salmonella typhimurium
(C)  Bacillus cereus (D) Vibrio parahaemolyticus
Ans: D 
 
96. Adenoviridae, Poxviridae , Herpesviridae are :
(A) Single-stranded DNA virus (B) Single-stranded RNA virus
(C) Double-stranded DNA virus (D) Double-stranded RNA virus
Ans: C

97. Immunoprophylaxis for long duration is achieved by :
(A) Using preformed antibodies (B) Using antitoxin
(C) Vaccination (D) Using Immunoglobulin
Ans: C

98. Which of the following is used to demonstrate Agglutination reaction ?
(A) VDRL test (B) Widal test
(C) RPR test (D) CIEP
Ans: B

99. Step catalysed by Taq polymerase enzyme is:
(A) Denaturation (B) Primer annealing
(C) Extension of Primer (D) DNA Extraction
Ans: C

100. Which of the following is true for Treponema pallidum ?
(A) It is acid fast bacillus (B) It is a spiral bacterium
(C) It contains volutin granules (D) It is capsulated diplococcic
Ans: B
​
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