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COLLEGE OF MEDICINE
REFRESHER COURSE EXAMINATION
MICROBIOLOGY AND PARASITOLOGY
January 09, 2004
Name: _________________________________
SCORE: ________________
Mycobacterial lipid:
A. Responsible for the acid fastness of the organism
B. Makes the organism resistant to the effects of the complement and antibodies
C. Responsible for their serpentine growth
D. All of the above
_____ 2.
In primary tuberculosis
A. The person becomes sensitie to the tuberculo protein of the organism
B. When the infection resolves, the Gohn complex is seen in the hilar region of
the lungs
C. Dormant bacilli are establish
D. All of the above
_____ 3.
_____ 4.
The most definitive tool in the diagnosis of tuberculosis due to M. tuberculosis is:
A. Acid-fast staining
C. Culture
B. Chest X-ray
D. Serology
_____ 5.
_____ 6.
_____ 7.
The advantage of the Bactec method over the conventional culture for TB is:
A. It is highly specific for M. tuberculosis
C. It is a rapid test
B. It is cheap
D. All of the above
_____ 8.
_____ 9.
_____10.
_____11.
The decline in the antibodies against this HIV marker heralds the beginning of
AIDS symptoms:
A. Anti-p24
C. Anti-gp41
B. Anti-gp120
D. None of the above
_____12.
_____13.
_____14.
_____15.
_____16.
_____17.
_____18.
Characteristics of nematodes:
A. They are roundworms
B. They are flatworms
C. Pneumonitis
D. Rectal prolapse
Enterobiasis:
A. Common cause of pruritus ani
B. Diagnosed by direct fecal smear
_____19.
_____20.
_____21.
_____22.
_____23.
_____24.
A 2-year-old passed out a big worm that looks like an earthworm. Most likely
diagnosis:
A. Ascaris lumbricoides
C. Trichuris trichiura
B. Enterobius vermicularis
D. Strongyloides stercoralis
_____25.
_____26.
C. EIEC
D. Vibrio cholerae
_____27.
_____28.
_____29.
_____30.
_____31.
The best specimen to collect during the 1st week of typhoid fever is:
A. Blood
C. Both A and B
B. Stool
D. Either A or B
_____32.
_____33.
_____34.
_____35.
_____36.
C. Strongyloides stercoralis
D. Ancylostoma duodenale
_____37.
_____38.
_____39.
_____40.
_____41.
_____42.
Food poisoning due to which organism is most likely to cause a flaccid muscle
paralysis?
A. Clostiridum botulinum
B. Staphylococcus aureus
C. Bacillus cereus growing in cooked meat
D. Clostridium perfringens
_____43.
A 4-year-old female presents with a history of diarrhea and violent vomiting that
occurred last night as well as one night a week ago. No gastrointestinal disease
symptoms were noted in between the two events. The childs meal last night
consisted of ham and cheesy-potato leftovers. The child also shows honeycrusted dried lesions below her nose and in the near facial vicinity. You are not
pleased with the childs level of hygiene and the mothers obvious personal
problem with folliculitis on her face and lower arms. Culture of a fecal swab from
the child produces a few pinkish-red colonies on MacConkey agar that were later
shown to be negative for both citrate utilization and urease production. Based on
the data available, which etiologic agent seems most likely to have caused the
childs emesis?
A. Bacillus cereus
C. Streptococcus pyogenes
B. Escherichia coli
D. Staphylococcus aureus
_____44.
_____45.
_____46.
_____47.
_____48.
_____49.
_____50.
_____51.
_____52.
_____53.
When baby is born to a mother who is HBV carrier, which of the following should
be immediately done?
A. Immunized with Hep B vaccine within few hours after deliver
B. If mother is Hbe Ag positive, simultaneously give passive immunization at
different site
C. Isolate the baby
D. Only A and B are correct
_____54.
_____55.
_____56.
Which of the following hepatitis is also a flavivirus, but antigencially distinct from
HCV, is transmitted by blood transfusion and its role in disease is still uncertain.
A. HDV
C. HFV
B. HEV
D. HGV
_____57.
_____58.
Though there is not enough evidence yet, this virus is regarded as mutant of
HBV:
A. HDV
C. HFV
B. HEV
D. HGV
_____59.
Pathology seen in women with this virus is similar to drug induced hepatotoxicity:
A. Hep A
C. Hep F
B. Hep C
D. Hep E
_____60.
_____61.
_____62.
The first choice of drug for the treatment of amebic liver abscess:
A. Mebendazole
C. Diethylcarbamazine
B. Emetine HCl
D. Metronidazole
_____63.
_____64.
_____55.
_____56.
_____57.
C. Promastigote
D. Cyst
C. Promastigote
D. Cyst
_____58.
_____59.
_____60.
_____61.
_____62.
C. Clonorchis sinensis
D. Opisthorchis felineus
_____63.
_____64.
_____65.
_____66.
The alpha viruses and flavi viruses are classified based on:
A. Neutralization
C. Complement fixation assay
B. Hemagglutination inhibition
D. All of the above
_____67.
_____68.
_____69.
_____70.
_____71.
_____72.
_____73.
_____74.
_____75.
_____76.
_____77.
_____78.
_____79.
_____80.
_____81.
_____82.
_____83.
_____84.
Which of the following is associated with dental caries and subacute bacterial
endocarditis?
A. S. aureus
C. S. epidermis
B. Viridans strep
D. S. fecalis
_____85.
_____86.
_____87.
_____88.
_____89.
_____90.
_____91.
_____92.
_____93.
_____94.
_____95.
_____96.
_____97.
_____98.
C. Burkitts syndrome
D. None of the above
C. 1960
D. 1957
_____99.
_____100.