2009-2024 Merged Micro.
2009-2024 Merged Micro.
@AMRITA
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SECOND PROFESSIONAL MBBS DEGREE EXAMINATION
JAN UARY/ FE B RUARY-20 23
Time: 3 hrs Max. Marks -10O
Date: 23lOL/2023
SECTION -A
I. Multiple Choice Questions (Separate question paper and answer sheet attached
[1O Marks]
II. A 1S-year-old male presents to casualty with breathlessness, edema of the tongue
and lips an hour after consumption of prawns from a restaurant.
A. What is the probable diagnosis?
B. Discuss the pathogenesis of this condition
C. How is it diagnosed?
D. Discuss the treatment of this condition
t1+6+1+2 = 1O Marksl
III. Short Notes On:
A. Tabulate the differences between exotoxins and endotoxin [5 Marksl
B. What are the methods of genetic transfer in bacteria. Discuss one in detail
[r+4 = 5]
C. Name two infections that are airborne. Write a short note on airborne
precautions [1+4= SMarks]
D. Draw the structure of immunoglobulin. Write a short note on IgM
t2*3 = 5 Marksl
E, Types of cell lines
[5 Marks]
ry. Answer in brief:
A. Name 4 systemic autoimmune disorders
B. Define a pandemic. Give 2 examples
C. What is pasteurization?
D. What is prozone phenomenon?
E. Name 4 items of biomedical waste that are discarded into red non-
chlorinated plastic bags [2 marks each = 1O Marks]
P.T.O
SECTION -B
V. A 23-year-old male from Orissa presents with high grade fever, chills and sweating
of 7 days duration. A peripheral blood smear shows ring forms in the RBCs.
[Link]?
B. Describe the pathogenesis of this disease
C. Describe the laboratory diagnosis in detail
D. Write a short note on prevention of this infection Marksl
t2+2+4+2 = 1O
VI. Short Notes On:
A. Write a short note on active and. passive immunization against hepatitis B
B. Describe the epidemiology, pathogenesis and clinical features of cholera
C. Write ashort note on viral gastroenteritis
D. What are the non-suppurative complications of group A streptococcal
infections?
E' scrub typhus
[5 marks each = 25 Marks]
VII. Answer in brief:
A. What are the clinical features of histoplasmosis?
B. Name 4 fungal opportunistic infections that occur in HIV-AIDS
C. Write a short note on amoebic liver abscess
D. What is pseudomembranous colitis?
E. What is window period in HIV? [2 marks each = 1O Marks]
Hall Ticket No.. Code No. ECD KFM llOZ 02 23 1 R
@AMRITA
ffiVISHWA VIDYAPEETHAM
Instructions: -
P.T.O
7. Widal test is a examPle of
A. Agglutination test B. Precipitation test
C. Flocculation test D. Neutralisation test
B. Coagulase is Produced bY
A. StaphYlococcus aureus B. Streptococcus PYogenes
C. Gonococcus D. Meningococcus
9. Arthus reaction is
A. TyPe-I hYPersensitivitY B. Type-II hYPer sensitivitY
C. TyPe-III hYPersensitivitY D. Type-IV hYPersensitivitY
is present in cultures
10. L-Forms of bacteria are likely to occur if the following antibiotic
A. StrePtomYcin B. ErythromYcin
C. Penicillin D. ChloromYcetin
Hall Ticket No. Code No. ECD KFM 1102 01 23 1 R
@AMRITA
HffiVISHWA VIDYAPEETHAM
Instructions: -
P.T.O
7. Milk ring test is performed to detect the presence of which bacteria in milk?
A. Mycobacterium tuberculosis B. Brucella species
C. Mycobacterium bovis D. Coxiella burnetti
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VISHWA VIDYAPEETHAM
SECOND PROFESSIONAL MBBS DEGREE EXAMINATION
JANUARY/ FEBRUARY. 2023
Time: 3 hrs Max. Marks -1O0
Date:25/Ol/2023
Instructions: -
) Draw labeled diagrams/flow chart wherever necessary.
SECTION -A
L Multiple Choice Questions (Separate question paper and answer sheet attached
[1O Marks]
II; A.32 year old nurse working in COVID ward presents with fever, headache, myalgia,
dty cough, loss of taste and smell.
A. What is your diagnosis?
B. Discuss the specimen collection and laboratory diagnosis of the condition
C, Write a short note on the various types of vaccines available for the
condition
D. Name 4 other respiratory viruses
lL+4+3+2 = 1O Marksl
iII. Short Notes On:
A. Describe the clinical features and laboratory diagnosis of gas gangrene
[2+g = 5 Marks]
B. Write a short note on the laboratory diagnosis of pulmonary tuberculosis
Instructions: -
P.T.O
B. Infection of hepatitis B virus is commonly diagnosed by:
A. HBeAg B. HBV DNA
C. HBsAg D. Anti HBsAg
[Link] most common organism amongst the following that causes meningitis in an AIDS
patient is:
A. Streptococcus Pneumoniae Streptococcus a ga lactiae
C. Cryptococcus neoformans Listeria monocytogenes
Hall Ticket No Code No. ECD KFM 1102 07 23 1 S
ffi#VISHWA VIDYAPEETHAM
SECOND PROFESSIONAL MBBS DEGREE EXAMINATION
J U LYIAUGUST-2023 [SU PPLE M E NTARY]
SECTION .A
I. Multiple Choice Questions (Separate question paper and answer sheet attached
[1O Marks]
II. Structured Essay:
A. Define autoimmunity
B. Describe the pathogenesis and clinical features of systemic lupus
erythematosus
C. How is it diagnosed and treated?
[2+5+3 = 1O Marks]
III. Write short notes On:
A. Enrichment media and its uses
C. Autoclave
D. Live attenuated vaccines
P.T.O
SECTION -B
V. A 15 year old student presented with history of fever spikes, abdominal pain and
diarrhea for the past 2 days. On examination the patient had a coated tongue and
hepatomegaly. The temperature chart showed a step ladder pattern and his
hemogram showed leucoPenia
A. What is the likelY diagnosis?
B. Describe the various tests for laboratory diagnosis of this disease
C, List the preventive measures against thls disease
D. Briefly describe the treatment
[1+5+2+2 = 1O Marks]
VL Write short notes on:
A. Etiology, pathogenesis and laboratory diagnosis of acute rheumatic fever
B, Laboratory diagnosis of hepatitis B
C, Visceral leishmaniasis; Lab diagnosis and treatment
D. Clinical features and lab diagnosis of helicobacter pylori infection
E, Hydatid cyst of liver: Lab diagnosis and treatment
[5 marks each = 25 Marks]
VIL Answer in brief:
A. Name four parasites infecting the liver
B. What are the clinical features of hook worm infection?
C. List the clinical stages of HIV infection
D. Name 4 causative agents for viral hemorrhagic fever
E. Name bacterial agents causing dysentery
[2 marks each = 1O Marks]
Hall Ticket No... Code No. ECD KFM 1102 01 23 1 S
@AMR'X&
MVISHWA VIDYAPEETHAM
Instructions: -
5. In a patient with typhoid, diagnosis after 15 days of onset of fever is best done by
A. Blood culture B. Widal
C. Stool culture D. Urine culture
6. Which type of malaria is associated with nephrotic syndrome and renal failure?
A. [Link] B. [Link]
C. [Link] D. [Link]
P.T.O
7. Weil's disease is caused bY?
A. LeptosPira B, Plague
C. Yersinia D. Rickettsial fever
V
@)AAARIT&
MVISHWA VIDYAPETTHAM
SECOND PROFESSIONAL MBBS DEGREE EXAMINATION
JU LylAUGUST- 2023[SU PPLEM ENTARY]
Time: 3 hrs Max. Marks -1OO
Date: 24/07 /2023
Instructions: -
> Draw labeled diagrams/flow chart wherever necessary.
SECTION -A
L Multiple Choice Questions (Separate question paper and answer sheet attached
[10 Marks]
II. A 23 year old boy complains of fever, body ache, nasal stuffiness and loss of taste
and smell for the past three days
A. What is the most likely diagnosis?
B. How is it diagnosed in the laboratory?
C, Describe in brief treatment and prevention of the infection
D. List three causes of seasonal flu
[1+3+3+3 = 1O Marks]
III. Short notes on:
A. Staphylococcal scalded skin syndrome and toxic shock syndrome
E.
Rubella: clinical features, congenital anomalies and prevention
[5 marks each = 25 Marks]
IV. Answer in brief:
A. Name 2 agents of cutaneous larva migrans
B. Culture of mycobacterium tuberculosis
C. Tropical pulmonary eosinophilia
D, Chromoblastomycosis
E. Measles vaccine
[2 marks each = 1O Marks]
P.T,O
I
SECTION -B
V. A 13 year old girl complains of fever, burning micturition, dysuria and increase in
frequency for the past three days, Urine routine examination showed plenty of pus
cells and nitrate PositivitY.
A. What is the likelY diagnosis?
B. Describe the pathogenesis of this disease
C. How is it diagnosed in the laboratory? Which is the most common etiological
agent?
D. Describe in brief treatment and prevention of the condition
12+2+4+2 = 1O Marksl
VI. Write short notes on:
A. Monkey pox: Etiology, clinical features and lab diagnosis
E. Polio vaccines
[5 marks each = 25 Marks]
VIL Answer in brief:
A. Name 4 features of congenital syphilis
B. National tuberculosis elimination program
C. Name 4 etiological agents of viral encephalitis
D. Name 4 parasitic infections of the brain
E. Role of informed consent in patient care
[2 marks each = 1O Marks]
Hall Ticket No Code No, ECD KFM 7702 02 24 L R
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SECTION -A
I. Multiple Choice Questions (Separate question paper and answer sheet attached
[10 Marks]
IL Structured Essay:
A. Define hospital acquired tnfection
B. Describe in brief the different types of hospital acquired infection
C. List measures to prevent hospital acquired infection
[2+5+3 = 1O Marks]
iII. Short Notes On:
P.T,O
SECTION -B
A 45 year old male from Cherthala, Kerala, presented with swelling in bo:h ihe lower
limbs for the past five months. He gave history of episodes of acute nfia'r'ratron of
lymphatic vessels along with high temperatures, shaking chills, body acl'es arc
swollen lymph nodes. On examination the limbs exhibited non-pitting eceoa i,1i tr
hardening of the surrounding tissues. His hemogram showed eos noph e.
A. What is the likely diagnosis?
B. Describe the various tests for laboratory diagnosis of this disease
C. List the preventive measures against this disease
D. Briefly describe the treatment
[1+5+2*2 = 10 Marks]
VI. Short Notes On:
A. Life cycle and laboratory diagnosis of falciparum Malaria
B. Transmission, clinical manifestations and lab diagnosis of hepatitis C
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@AMRITA
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Instructions: -
> Mark your answers in the answer sheet provided separately
P.T.O
6. Which of the following is a live attenuated vaccine?
A. BCG
B. DPT
C. Covaxin
D. Pneumococcal conjugate vaccine
7. Which of the following has an incubation period of 2-6 hours?
A. Cholera
B. Rotaviral diarrhea
C. Staphylococcal food poisoning
D. Amoebiasis
B. Puncture, aspiration, injection and reaspiration(PAIR) is used to treat
A. Amoebic liver abscess
B. Cysticercosis
C. Schistosomiasis
D. Hydatid disease
9. Zoonotic diseases are all except:
A. Typhoid
B. Anthrax
C. Rabies
D. Q fever
10. All are mosquito borne viral fevers except:
A. Dengue
B. Kysanur forest disease
C. Yellow fever
D. Japanese encephalitis
Hall Ticket No........ Code No. ECD KFM 1102 01 24 2 R
.@A^^RITA
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SECOND PROFESSIONAL MBBS DEGREE EXAMINATION FEBRUARY' 2024
Time: 3 hrs Max. Marks -1OO
Date: O8/O2/2024
Instructions: -
r Answer Section A and Section B in separate answer sheets
'ii Draw labeled diagrams/flow chart wherever necessary.
Do not write anything on the question paper other than your Hall Ticket No on Top left.
SECTION -A
i. Multiple Choice Questions (Separate question paper and answer sheet attached
[1O Marks]
IL A 40 year old patient with HIV-AIDS presents with headache, low-grade fever,
altered sensorium and neck stiffness. CSF sent for microscopy and culture shows
round capsulated budding yeast cells
A. What is the Probable diagnosis?
B. What are the virulence factors of the causative organism?
C. Describe the laboratory diagnosis of this condition
D. Name 4 other opportunistic fungi
ll+2+5+2 = 1O Marksl
IiI. Short Notes On:
A. Mycetoma: Etiology, risk factors and lab diagnosis
B. Atypical pneumonia: etiology, risk factors and lab diagnosis
C. Methicillin resistant staphylococcus aureus: Laboratory identification and
treatment oPtions
D. Sporotrichosis: Risk factors, clinical features and lab diagnosis
E. Lab diagnosis of pulmonary tuberculosis
[5 marks each = 25 Marks]
IV. Answer in brief:
A, Lung fluke
B. Complications of recurrent group A streptococcal throat infection
C. Infectious mononucleosis
D. Name four dermatophYtes
E. Clinical features of herpes zoster infection(shingles)
[2 marks each = 1O Marks]
P.T.O
SECTION -B
V. A 45-year old female was admitted with weakness, fever and headache which
progressed to anxiety, confusion, agitation, photophobia and hydrophobia, The
patient gave a history of being scratched by a stray cat one month ago for which no
treatment was sought.
A. What is the likely diagnosis?
B. Describe the pathogenesis of this disease
C. How is it diagnosed in the laboratory?
D. Write a short note on treatment and prevention of the condition
f2+2+3+3 = 10 Marksl
VL Short Notes on:
R. Clinical features of anthrax
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Instructions: -
'r Write your Hall Ticket Number in this question paper on top left
.r Mark your answers in the answer sheet provided separately
P.T.O
6. In Japanese Encephalitis, pigs acts as:
A. Intermediate host
B. Definitive host
C. Amplifier host
D. Reservoir host
7. Metachromatic granules seen in:
A. [Link]
B. Mycoplasma
C. Gardnerella
D. Chlamydia
A. Measles
B. Mumps
C. Rubella
D, Diphtheria
9. A 16 year old male patient presents with headache, fever and neck stiffness for the
past 24 hours. CSF analysis shows WBC count-400/ml, with 90% neutrophils. Gram
staining shows gram negative intracellular diplococci. What could be the most
pro ba b le orga n ism :
A. Streptococcus pneumoniae
B. H influenza
C. [Link]
D, [Link]
10. Neonatal meningitis acquired during passage through birth canal is due to
A. Streptococcus agalactiae
B. Streptococcus equisimilis
C. Streptococcus pyogenes
D. Streptococcus pneumoniae
Hail Tlcket No Code No. ECD KFM LLOZ 04 24 L S
SECTION -A
I. Multiple Choice Questions (Separate question paper and answer sheet attached
[10 Marks]
II. Structured Essay:
A. Define an antigen
B. Describe the factors influencing Immunogenicity
C. Define heterophile antigens and its diagnostic application^
[2+5+3 = 1o Marks]
III. Short Notes On:
P.T.O
SECTION -B
V. A 15- year old student presented with history of fever spikes, abdominal pain and
dysentery for the past 2 days. Stool cultures were sent to the Iaboratory. On the 5Yo
sheep blood agar plate, non-hemolytic colonies appeared. On MacConkey agar the .
colonies were noted to be non-lactose fermenting. Gram negative bacilli, catalase
positive and oxidase negative.
A. What is the likely diagnosis?
B. Describe the pathogenesis of this disease
C. Describe the lab diagnosis
D. List the preventive measures against this disease
[1+5+2+2 = 1O Marks]
VI. Short Notes On:
A. Etiology, clinical features and laboratory diagnosis of acute infective
endocard itis
B. Laboratory diagnosis of hepatitis B
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SECOND PROFESSIONAL MBBS DEGREE EXAMINATION
APRrL/M AY- 2024 [SUPPLEMENTARY]
Time: 1O minutes Max. Marks -1O
Date: 27 /O4/2024
MICROBIOLOGY- PAPER ONE
Instructions: -
> Write your Hall Ticket Number in this question paper on top left
i Mark your answers in the answer sheet provided separately
P.T.O
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Instructions: -
'/ Answer Section A and Section B in separate answer sheets
> Draw Iabeled diagrams/flow chart wherever necessary.
SECTION -A
I. Multiple Choice Questions (Separate question paper and answer sheet attached
[ 1O Marks]
IL A 16 -year old girl presented with symptoms of conjunctival suffusion, photophobia,
non-bloody, watery stools and dark tea colored urine. The patient also noticed
yellowing of his eyes and face and onset of abdominal pain. The patient reported
walking in muddy water in a nearby rat infested rice field 2 weeks prior to
admission. An abrasion was noticed on her Ieft leg'
A. What is the most likely clinical diagnosis and give reasons thereof?
B. Describe the pathogenesis of this disease
C. How is the condition diagnosed in the laboratory?
D. Describe in brief treatment and prevention of the infection
[1+2+5+2 = 1O Marks]
III. Short Notes On:
A. Methicillin resistant staphylococcus aureus
B. Pneumocystis pneumonia: risk factors, Iab diagnosis and treatment
C. Cryptococcal meningitis: risk factors, lab diagnosrs and treatment
D. Anthrax: etiology, clinical types and lab diagnosis
E. Gonorrhea: Etiology, clinical features, complications and treatment
[5 marks each = 25 Marks]
IV. Answer in brief :
P.T,O
SECTION -B
A 10 year old male child with unknown immunization history, llving away from his
parents presented with high-grade fever, cough with expectoration, and mild
swelling of the neck. On examination the tonsils were congested, partially covered
with a grayish-white membrane and severely tender.
A. What is the most likely clinical diagnosis and give reasons thereof?
B. Describe the pathogenesis of this disease
C. How is the condition diagnosed in the Iaboratory?
D. Describe in brief treatment and prevention of the infection
12+2+4+2 = 1O Marksl
VI Short Notes on:
A. Plague: etiology, clinical types and lab diagnosis
E. Oncogenic viruses
[5 marks each = 25 Marks]
Vll. Answer in brief:
Instructions: -
> Write your Hall Ticket Number in this question paper on top teft
4. A patient presented with trismus and opisthotonus posture, What is the probable
cause?
A. Clostridium tetani
B. Plasmodium falciparum
C. Rabies virus
D. Nisseria meningitidis
P.T.O
/
B. A 25-year old female presented to the hospital on the third day of menstruation with
complaints of high fever, vomiting and rash on her trunk and extremities. On
investigation she had Ieucocytosis and a negative blood culture. She is diagnosed as:
A. Staphylococcal food Poisoning
B. Scalded skin sYndrome
C. Toxic shock syndrome
D. Varicella zoster infection
9. Chancre is a feature of
A. Primary syphilis
B. Secondary syPhilis
C. Neuro syphilis
D. Tertiary syPhilis
10. Mycobacteria tuberculosis is considered as multi drug resistant if it is resistant to?
A. Isoniazid +Ethambutol
B. Isoniazid+ Ethambutol+rtfampicin
C. Isoniazid+rifamPicin
D. isoniazid+ Ethambutol+levofloxacin