siowing has cell 1. wich of flowing Pe ponencenasida™ antigen * lab Ja antigen + laboratory 937) 10 : 10447 : 3 ragetum © pun + exocrment on nat cel + conjugation (sex pill) 5. AFB sporesare resistant as they can survive harsh pects af? (« Gyee 172 Feb 2024 (Noon) « Patho rene acest tow 2020 (M) « Gyrae & Mar 2018 » Gynae 7 @ Tuberculin protein D Capsule (© Mme unusual cel wall of mycobacterium tuberculosis Is rich in \pids such as mycolic acié and is likely responsible far its resistance te sesication and is @ Key virulence factor. 4 Regarding Anserobgs infection all are true excecpt? ‘Sry 7 March 2018) - 1D "2223 ® Gangrene O Necrgsis @ ransom formations usualy» teature oterabes infeion) SPO common cause of hosp, acquired Infection would oF (ed 16 hor 2016)= 1B Tze D\noneting catheters oon © WV lines © Respiratory droplets ® home srtite body (indweing catheter) decrease efficiency of Diseases 4 theougit aaa hidiwans is called as? L8t Bnimals to 18) 10 10085, (Surg 1 May 2 D Leonoses © Zoncosis © Zonoarthosac © Anthropozoonosis View References 'N Medicaly App @ zoonoses + Resorc tno wimg (Surg 4 Sep 201 ® . F9M Dosttve bay Gram negative att te Bi Anverobes. © Gram negative bacith ® Nornal flora.of. mouth has mainy 8. Which of fo wing Is not used as Dt 29 Sep 2020) «Sra Woy Zot STORER a & Methylene. opine © Cementum Cotton nbrea @ sin 10 and solution ofaigata a sena7ting Theda whe cotton Nore ae nd meee 9, Remission of symptoms 26 SOON In? (Gye Seo 219 2p, Hdatent period ® Acute phase © Chronic phase Previous phase @ -Sient or atent period ( remission) appearance, symptoms of the disease, but they are vague 10. Virulence of bacteria depends upon? (ia: 10138 2015 et & tri Bi pose of toxin Bre SY ‘Grpe of toxin ONene ot soo 8 © Virulence factors should never be cx the host's defenses the clinical course interaction of viulehce factors with infection in the balance nd host resistance is upset 14, The principal site of re: would be? (Raio 2015 ou) 1D 503 @® sterol Dr'esosome # a © Mitochondria o 1 cleus © mesosomes are the infoldings in are rich in enzymes that helps to 12, Warthin starry stain used for which of the! (+ Patho 16th Feb 2021 + Surg 5016 Pool) = ID hacnace So “Diagnoses of spirochetes, ‘B Chiamydia Oneisseria ® Warthin-starry stain ‘method (a silver stai pirochetes H pylori 13. Which of the following {Radio 23 April 2019) - 10 + coat Fatty Cove B)Slucose containing D None G Protein rich www. Medicail.com:PX/PP ocdiined WILT Udlllotjeakns ent wi Egtridhum toxin Ais foun Statements Stas ee By oom BACNET Sete bots ane toe cs -pinds to opt ss cana tad + Seat sent i 2 a : Oe comet nes roe wna naa en uman disease 3 cis relense of acetvlchollne Gene for botulinum toxi 4 Muscular wetienes mr encoded by bac Doe an ener Bum Botulinum A, 6, ¢ etc es phe. use botulism botulism -> fs formed taxing food. Ratlioumspereaye 4 Viriochoer encoded in Ciysogenic phay Seenenene © 6. calrn 2 ma goa crore © Ebotutinu» Cond fos Botinum a 2 Blacks a ee weeks to months after inoculation sa peter 21. Food polsoning and death occurs due o respiratory ese Secrete lepression in cage of ? (+ Sura 2m ov 2020 hoon) = Anas ‘RTE 2020 («Rado 1h Now ENS) +5 Wed? hy 2025 96 more) aD aogae |” NP ROR MIELN) ® Staph aureus & deutem © Pseudomonas “‘Whcrinomycates sh <1: Infection with Clostridium (Med 1 May 2018)-10:3080 — @ & ¢ botulinum -> Canned food + o ® Transduction Oo, cemten e a ‘D None of the above Es 22, Lecithinase produce in which of the fallawing Organism? (« Hed 8 Moreh 2018 «ENT 20 Po!) 1D: 10282 aim m D clostridium(pertirenges) © Clostridium Tetani can cause which of the following © Clostridium botulinism E.coli 3? (Surg 39 Feb 2015) - 101: 22016 @® 0 Copertringens -+ alpha toxin{lecithinase) > Damages Soma" °© All clostridia areCanaccobice 5 + 2 in issue i O-cipertringens > cO2-+.2 (.scalnynaxia) ‘by,Anaecobic metabolisbin ot www.MediCall.com.pk/apP 2 Scanned with CamSca_o—«X——ttstSsF evdomemrangus.caliecat 24 ar nena 2 un)» Hed 22 ec sridium ace deen iia typhoid Lies 8 salmone! C. perferine ib -+ damage enterocytes toxins A ond -y diarrhea. Bo carmete + tours A ond > pasudomembranus coll use of gas gangrene In tower timb Is ? ae 1D: 21050 em Caer © Staph aureus seed by clotridium perfringens Is Sep 2018) - 1D: 21366 26, Moa of gangrene which of the following Ronan ontosotnare “SB None of above © Ciostrigium perfringens type A strains that produce alpha-toxin hich is ite-threatening infection with fever, cause gas gangrene, wi aim, eoema, myonecrosis and g35 production , most likely used In? (Ned 7 Sep 27. Myperbaric oxygen @ Tetanus (Dow cangrene © botulism D Both A ane 8 1 © in gos gangrene causative organism Clastrdia lack the enzyme. COpuscepsle to dphtherd © Carer of song them incapable of surviving in the ii-rich environment creates 2 hyperbaric chamber for survival © Injected toxn (Obert xide dismutase, 28. About Corynebacterium Diphtherise, which of the fel il be e ‘onus ® Spore forming Breit Fe © Peniciline Resistance ~@ Produce Endotoxin © 0 Corynebacterium diphtheriae(Aerobic G+ve Bacilli) = Diphtheria toxin(extonn) > Inst prota symens Aop-rbosytion ot €F2 Tusse ness» Poeste ees hyrynx, ET As 29. Corynebacterium diphtheria mode of transmission is Which of the following? (« Gynoe 17: Feo 2021 (wpe (018 » Gynae 1 May 2018) - 1D : 10256 On oa D Orofecal Respiratory ) Skin contact 2 planes ‘© Spores re View References in MediCall App Doiontneriae © Upophiicus B Matariae Dcase ©) 0 €. Diphtheria + commen, © Ciminutissinwm + €.Jolaurn + Lass yooe Significant, 31. Young boy with 3 week history of Spent ymph n ® Mnfuenza © Herpes 0 calmnerten exis stutoneni, © Hiinfluenza -» swciien “cherry angen .WA 32. Diphtheria: toxtn hy cra ivy * a5 A major att, + Med 5 Sep 2018» S07 March 2018» nae mason Cx D Brain ® Diphtheria toxin + heart muscle -+ Mye changes -» Circulatory failure + ‘Symptoms appear After 10 to 14 days )j 33. ick’s test indicates aera 5 thatthe person ie exe immune to dptera 9 ® Hypersenste ote anti 34. For the diagnosis of di done among the following? (Gynae 23 Apa G @ Jhroat or skin swab should be sent for smear and cst Blood culture © Sputum test ® Stool cuture e ® throat and Presence of toxin, 3 ran0+ 35. Airborn infection Is (+ es 7 My 229° 40.2 TS aps Gynae 7 day 2020 « Med 26 Feb 2020 + Me ai 2307 2 Gonocaca Qa © Staph aureus ocdlineu WILTFood Palsoning-manites auanenative measure of pathogenicity determined agen) = No. of organiams needed to couse OIseBS= putiag i X/virvlence: Tow 1080 ~ high viewlane needed to cause death _Dental carries are due to which of the following IB! toe? 142. 40 years male presents with productive cough with Bethe yellow spujum.chest xray show bilateral lung jofiitrates BLrcobacitus Tid teft upper tobe consolidation with alr fluid eval int Most likely organism im neutrophils are p 2 Mycoplasma 38. All ofthe following are Mowing are true aboulListeriaxcept? (sus Bact 7373000) ~ 1 Prieumonia = » Cough producing Mucopurulent spullum + High fever « shaking callige occasional hemoptysis, * Prenorted by contaminated pleuriti paln e{Lobar consolidation Weviroabiie oan + Jigents « 5. prevmoniae > Influenza > $, Aureus Causes abortion in pregnancy abe Sinem ‘neonates lof these 143. Pneumonia in.Child who had episode of influenza pravented with cough. Thick vellow.mucoid sputum along Gtk cough is caused by ? (+ Gyrae 25t Nov 2020 (#) « Surg 25 Feb 2030 «Surg 18 Sep 2019) = 19: 26281 A kiebsiea >. Preumonia Os. nwreus Bfrseusomonas 39. Which of the following is cause of death ing ° a staph Aureus ~ Preumoni in Chien ster ise ahd “Gaogreme’ (eS 23 Art 219 » ed Noe 206) = 1D 23008 oor a ae ee pneumoniae ~ Sust- W. lowing Is the most co ; 47. which of the following 1s the Te 2018 + CAT Avg, 2018 "Prosthetic Hip / Knee joint -» | acquired infection ? (+ espa aaa) ENT 2016 Pot) = 1D: 20863 & strep Pneumoniae S Staph aureus 53. Crypt abscess is caused by (+ Med say 20:8 monas. ‘DN. meningitis 2018) - 10 : 12442 17 2018 ¢ Med tay @ strep Pneumoniae BH. intiuenca © k-col onc'S. Auneus are the most common couse of Hospital © Pseudomonas D)stapn aureus cb acquires infections | NNN © 6 causesnflammatory densest (ghscesses, organ SUSresar=y nesanaiey 48. A patient of burn presented with infection which of infection), endocarditis, and osteo tthe following be the cause ? (Med 7 Nov 2018) - ID : 20073 Tyke shock syndrome (TSST=1), scalded | toxin), rapid-onset food poisoning ( s) ® Streptococcus 54, Thorn prick lead to abcess formation would be caused by 7(GVASE7O Feb S019) - 7 @ twtecion in bum vicims + Pseudomonas > S.Aureu+ ® S, aureus. Strep Pneumoniae canaee a oF iver oa 49. What is the most common complication of Staph ‘ureus infection ? (Gynae 1 Mey 2018) - 1D : 16113 & Skin involvement G Sore throat ecies bom sande @paceremia 55. Which test is used to determine subspecies}ot Staphylococci ? (+ Mes'21 Nov 2019 « Surg7 Nov 2018 Sug 715° ZOISs Med 1 May 2018 + Mes 9 Nov 2016) ~ 1D : 20648 Seria Bacteremia occurs secondary to a local abcess B(Coaguiase test ® Non-coaguiative SO 8 wands oa $2. Tex sock syndrome ca Toxic shock syndy used by Staphylococci has ® 0 co-agulase tve 4S. Aureus) ° ef dis +.s haracteristic feature of 7 (« crac won viae 25th Nov 2020 (M) » Gynae o-agulase -ye ~ S. Epdermidis +. @piscrete papuler ras OPustutes Weta 56, Th 1D! s95¢ Toxic shock syndrome is caused by? (Wed 20158)" 7 Qituge, macular, sunburn-ike rash ® Gonococeus © Pseudomonas BSraphyiococcuslk* “B Preumococcus Toxic shock Syndrome to S lock Syndrome toxin (Supera. scanned with Gam.murmur, red sclera and gingival spots. Diagnosis of Acute “Thlective Endocarditis si made WhicH Is the involved. ‘Bacterlay (= Surg 77 hort 2019' Surg 4 Sep 2018) - 1D: 2109) Spleen @ oonorinoee © Host common Causes of I n given stations are ‘oh Native / Healthy valves : Staoh ures (39%) > Strep BERBGLIo= +e and bets nemohte + eaphy> (68) © Injeston Drua Users UBERBhemoivtic + Strep, pyogenes + Strep, StADh Aureus (69%) > Strep Virdons (84%) ~ Prosthetic Valves ( Early PostOp) ~~ Staph Epidermidig (47%) > Staph Auraus (20%) > Strep Viridans T%) Jans (21%) > Staph Epidermidis ors a which of the fotioniog? ‘Strep Viridans (35%) > Staph Epidermidis (25%) > Staph Aureus Breton sw aim) $ in BEcoK - ki Cap raph yococcus Aureus ‘ateaiail © Streptococcus Epigermici> © streptococcus Pyogenes 2, Staphylococcus auraus fers from, : ‘epidermis (surg 7 nay 220) = 1012318 'S (gr naSal packing) + Is coagulase positive Forms white colonies Syncrome-Toxin Fever Nomting.Rash Ek comunesccrun © a (D Causes endocarditis in drug addicts oe DB 0 Co-aguiase +ve + S.Aureus © Co-agulase ve + 'S9. Which. [causes meningitis secondary to = —~ Ce _Srosticlung apscers S020) “10" 1090 $tlemin 5 svn ) Streptococcus pneumonize ie ea is e - shows growth of grain itive shich are Co FL ‘positive and conoulase negative. The most likely Hung Abscess 7 S. Aureus > “Etlological agent is? (« Ned 1sthFep 2021 (Mh) « Anesth 2etn Now jronchopulmonary 3020 (M) « Rado 23 Ape 2019) ~ 10: 2458 @ stapiylococais aurius (@Etapivicoccus epidermidis © Streptococcus pyogenes B Enterococcus "aecais ; x common cause affhcutofatectve Encore fs Radio 23 ASAT ZOIS « Surg 6 Nov 2018 « Gynae Nov @G 4ve, catalase +ve and coagulase -ve + SEpicermidis— ee ee IAs a © Strep Bovis 64. A person is a known case of rheumatic heart disease “ (4D Strep Viridans _Undermoes dental procedure. He develops fever and ch of the folowing organism hemorrhages: W a 7 slood: (« ICAT Aug. 2018 » Surg 170 Caer os pl likely to be present in hi: a (os conmonenes tage er ity toe ree Me aoa : ine ely anes @ 1 drug uses ~~ Fee cy uly 2020 4412 more) ~ 1D 15468 strep Preumoniae Stach Eniderms 1 Staph Aureus especial rep Viridian } @ following dental © 0 Streptococcus Viridans smmon cause of Subacute TE, especially Fos co ae ig Scanned with CamSca@Neisseria.ganorrhea ® Neissey strep Vidians as +18 mening a soon Ave pe. Faecals Cosas © Sweptocoecs reno staph Epidermids . ur (oy-taccals) + © Adil» Staph Aureus > stra Pretoria inosis and Guco) + Bacterial vaginosis o from urinary tract LE acide Dood hy 2020) 10 + 10138 6, alpha hemolytic bacteria arg (Siro 7 (© Neonates = Chlamydia > Staph Aureus Boy had fever palpitations and.so ay ad eee snr fi 3 s pnuemonia {yellow coldred abscess. which organism yor ee w saureus © 5 progent Med 170h Feb 2021 (Mght) « Gyrae 7 iy 2020 « Surg 9g NoPE Dg © s.agalactioe ‘Surg 18 Sep 2019 « Surg 19 Feb 2019 +1 more) - 10: 2ayrg 09 * teria + S pneumoniae , itdgns @ Group B streptococci ® S. Aureus 0 e-hemolytic ba (0 B-hemolytic ba GH.influenza DEcol teria + §. Pyogens - $. Aaalactive , S. Aureus, ® the typical signs and symptoms of streptocoe a sore throat, fever of greater than 38°C (109 exudates (pus on the tonsils), and farge Davidson )~ an mic Pneumoniae is (+ Ned 7 Nov a eespis + Gynae Bar 2018) + 1D ¢ 667. Virulence factor fok Stret ress 73, Toxin involved in the streptococcal toxic shoe , 8 streptolysin S syndrome Is? (Eye 2016 Po) - 1D: 1734 en 0 Pneumalsin € Sreptoisn 0 Byrogenic exotoxin ® Erythrogenic toxin @ wirsence factors » Capsule > Pneumalysin (Exotoxin) ‘© Hemolysin OM Protien Oe eae mans sete ee S @ Pvropene tn re sored Enuntoisin.o/S~ Sxotoxins by Sete hemolytics streptecocg. + streptococcus pyogens that ea ee Syndrome erytrogenic toxin FA page 74, The most common organism amongst the 666. Most important.Atronp!Exgtoxin of.strep, pneumoniais _that that cause pnemonia in(HIV jBurg 20 Nov 2019) ‘which of the following? (Sur 20 Nov 2019) = 1D : 10183, (@Btrep pneumoniae Listeria & Streptolysin S HoTnfluenza (B Staph Aureus 200 a Pneumolysin © Preumolysin «_Exotoxn by Strep Preumoni Streptoiysin 0/5 = Exotoxns by Beta bemolytics 75.The commonest organism ca Te Diagnostic test for steptococus would be? (+ aito Peo =¥D SEIS Sa Fes 22 «Grae 250 Nov 220) « Me? Day 2000 «Sur 7 uly A P0208 2 mere) =D: BSiep-pvocene >t — @ strep, faecalis © Strep, viridans Microaerophilic streptococci = BeI004 cuture DPR or Siceptococcal diaanosis & Culture” 76, Many strains of staphylococci develop resis _Peniclitin through? (ENT 2016 Poo!) - 1D : 379" ® Transformation of plasmid iborn with meningitis, Causative 25 ov 2020) Mes 8 iy 2020 «Surg 20 piesmig @ strep Preumonia ‘© Transduction of bacteriog © Stoo aureue {© Transformation of bactnopsage ~ECo) > ssa Aaalacine (group 6)) © Psi is responsible for 7. Which ulcer is caused a mae ye Suazo horas) nosmumet. rns te frephicasel and I? (Sug 18 Sep 2019)= 1+ 403 in MediCall App ized ocadlineu Wit scapidcos.nistological finding nn ren 2028 (2 Hed Getic with jaw draining a = whieh of te Flowing? Beranvioms with 1 corvetageh sbi a | Ofaireon mi dining sinuses ] -diagnosis will he which of horace lesions -* Granvlogyas and abscesses 2017 %) 1B: 1008 ving gulphur granules cick and View Reference in Medical Aopication \ Jpetic female-had.digcharging.sinus in jam Histology shows Granuloma Most ism wil rhich of the following? (> 2 Tuberculosis {& eseudomonas © Nocardia 1 pletinornye © Discharging sinus in jaw and yallon (suishue aranles ‘Actinomyces. [is Harshonanro.163 £84, The Sulphur granules are positive in? (+ dent 06 uy 2020 {tye tes toth Feb 2001 (i) « ed tein Feb 2021 (NaN) Surg 1B SAD $013 eSurg 39 Ape 2019 +8 more) = 10 : 22969 BRetinomyces @candiaiasis “E iver cancer (D Gall biacder stones ® Sulphur granules + Actinomyces 85. Most predominant constituent of sulfur granulesof jctinemyeasis (Surg § Nov 2038) -1D + 19528 organisms (B Esinophils "© Monacyte and lymphocytes 'D Neutrophils ® constituent of sulfur granules-+ Mass of flaments ‘= Actinomyces (Anaerobic G +e branching filaments). 186, Most dangerous effect of hotullsm toxin is ? (+ Suns 25 Nor2U20{ Wai) + Hed 6 Nov 2018 + Mea Sep 2018) ~1D : 21608 DRespiratory paralysis Gastric ulcer Liver damage D Marrow damage ® Respicatory paralysis is most dangerous effect of botulism Ee neil [A married woman has(ight sided tubulo ovarian yscess Causative organigm? (Su 2016 Poo!) - 10: 107 ® Chiamyaia ® Gardenella © Bacteroides DGonorrhea www.MediCall.com.pk/app Scanned with CamSca—— iceman zane meninges tae 0 10 cemoneie st Fras (Levinson) Tbetenn ohaseun Sean SKeccroa nce factor of Resseria Gonorrhoeas includes 88. Toe ve l= TD! B Virulence Factors of N. Meningitides: a brane proteins @ igh krotease serfease'® tase ng ea nunog ee aes «2 opi «© vwulence factor of N.Gonerehoeas: ay 94. A indy with history of Go yitance sonccgesc05) Quer membran tony ge tr iter! ea as ——— wae" hia 1S ESTO. Gin ona a cron genta aren rented 107 (ovine sep CGI eninais> fom : © Mycobacterium tuberculosis ®S. Pneumoniae 4@-conorthoea © Acinomyeosis (@ peeres on genital + Herpes (HSV-2 > HSV-1 Eas pen © & Paint wicer on genital + Herpes (HSV-2 > HSV-1) seme + Heemophiis ducrey! are . os even HE grea vee) agreed 2 ETE se covers can phco damrnd me sesh ne ae oor nie eae © 2N stain mse © N stain re 8 7 Kcam.nai (Easy) © Gulla ~ for Gonorrhea in woman Sed engi oc ance tions resets to you with fever, neck. Bgons Sonn of meign ema Soe Sito ? iL Neisseria son : Be eee, Toth en aes (ugh «Gyan 26 eB 208) DS ‘organism will be the cause of the above mentioned coc” stricture Cone Might)» Sure 20 Nov 20:8 « Med 1 May 2018 + Hed 9 Nov 2018) 19 5 @ streptococcus pneumonia Streptococcus DG -ve cocci » Neisseria Nesserie meningtides > © Staphylococcus Aureus © couees of eninge: © §. Progenes ~ Neonatal menioats 4 192, Which of following Infect (SIGE IO Wor 2O1T' Gynec Hey 438) 1D tease ne Urinary tract ® skin Born D None of above @®o Leading cause of UTI + €, Coll (6 -ve) of skin © amare of kins 8 nd yale n Aces Wound View References in MediCall App Scanned with CamScar Sep 2018) ® Streptococei )- Meningococei sw fe 1D: 21328, a a DReowwaceninse iNgococci : Ease? Meninaicis) » G2 Diplcoc. fos 108 Soames scala isc ee sed preumona mos common cn ® Legionella pneumo, eumop hia © Streptococcus pyogenes © Hemophis nensssS oe > H. Influenza > S. Aureus 101. Which of the following have got the shortest ® Staph. aureus Mycoplasma Incubation (Redio 2015 Pool) = 1D : 10229, @ Measies. B Rubella. © Chicken pox (DYntsenca virus fz © 0 Influenza Virus + 24 - 48 hour © Measies virus 10 - 14 days © Rubella virus - 14 - 21 days © Chicken pox (Varicella zooster Virus) * 14 - 21 days eer EEE 102. True Regarding pertussis, is which of the following 7 (Surg 2025 Poo!) = 1D : 10223 @ Infants are susceptible from the time of bith ® DPT has no protective value © Nasal and bronchial secretions are hig! @ None of above ly infectious © 0 Immunization in pregnancy Protects neonates © Vaccination = Limited 8 acc ontagious Droplet W3ns Nasopharyngeal swabs ~ For cu er ences in MediCall App value. mnsmission (Air borne), = ‘of organism. view Refe ho gen of pla Tor toris” Pag¥* (Diack death) disease cig Hey Yersinia pestis © Rotavirus 8 Saimonetia 1D Trypanosoma 106. Q fever is caused Teese te town onan ornal 8 Parasite D Rickettsoe @ Rickettsiae (6 © cocobacil pacers) © Ricken rickets + sty Moura toa fever © Coxiella burnetii + Q fever " © Evie craeens» Echos © anavasma pegneyonum = anspasmons Grn rere 107. A man of 70 has recurrent UTI cause (sy 238)- 1D: 10076 ne @ Bacterial © Amoebic ® Fungal ® Leading cause of UTI + E.coli (G © bacteria) (75% of infections) COE as 108. Female presents with fever and dysuria. Gram Negative motile rod shaped organism found that form lactose fermenting (pink) colony on MacConkey agar. ‘They are indole positive and oxidase negative. What is the ‘most common Cause of UTI in community ? (+ Gyoae 7% Feo 2021 (M) « Gynge 17%h Feb 2021 (Neon) « Med 1S» Fe 2023 (N&O0) Fadia 48th Feb 2021 (Noon) » Med 25th Nov 2020 (Noon) +6 mora) ~ 10: 36261 Pseudomonas @ Proteus © Ecolt © Compyledector BH. influenza © 0 Leading cause of UTT in Community +E. Col > S- ‘Saprophyticus www.MediCall.com.pk/apP ee Scanned with CamSca109. Gram -ve infection cause septic shock in which of the following? (Med 9 Nov 2016) - 10 : 10039 B Colon iiary tre Gerda D Urinary tract © Small bowel ation (E.coli GE rod in colon) -* UTI 2 septic shock. - seek omel# No Ascending © 0 Normal flora transioc Acute pyelonephritis + Urosepsl® © Bilary tract ~ communicates with small bo Infcetion in absence of biliary tract pat 1y of the following organism ings whicl 310, Tn hooped or ath Nov 2020 (M) © Gynae 1 May Causes commonty UTI? (+ Ra {8 staphylococcus Aureus @ Kieb D Pseudomonas Aeruginosa © 0 E.coli + Commonly causes UTI (Leading cause) © kiebsiella + Pseudomonas + Nosocomial Pneumonia + UTI quent 111. Which of the following bacteria feb 2019) ~ 1D : 22163, bacteria ? (Gye ® Huinfluenza BE coli © N, meninghs © Sect) + Lactose Fermenter +E.coli + Klebseilla and presented with food posioning stool culture negative organism (alot of pathological ding organism were mentioned? (+ Dent 24th Da 2 Se 2020 (6 «Rado ly 2000» Rado 5 Sep ® Vibrio © Both bande ® streptococcus 1B None of above \Most Common cause & Coll > 5, Miller ‘common + Pseudomon, ve ‘Klebsiella, Enterobacter and 114. Common microorganism in ascitic 2019) 510 810238 M MRCC ta tgp ® Bacteroids Salmonella, ® E.coll © Pseudomonas ® common microorganism n ascitic tp + cay 115, Primigravida in 2nd trimester abdomen severe cramps followed by eacatan discharge. After 2 days delivered a tit ee ‘examination chorion and placenta nace Infiltration tis likely caused by whieh Wy 2090 « Gynae 2016 Poa) = 1D 3th ® Mycobacterium © Toxoplasmosis ‘BHsv BE. con D Treponema ® 0 E.coli (Vaginal Flora) + Acute Cho Infcetion) -» Premature Rupture of Memberane. ‘© TORCH infections = Toxoplasma + Tr > Transplacental Infections. 116. A7 years old child is at risk of severe following splenectomy which organism Is least ‘cause it (ENT Sep 2019) -10 : 24343 @ Haemophitus B Preumococus Decl © Neisseria B Meningococcus ® 0 Least Likely + E.coli t © More likely -» Encapsulated Microbes (S. influenzae> N. Meningitidis) 117. Which of the following has an Oro-fecal 1 May 2018 « Med 7 March 2018) = 1D : 12283 @BHepB 8 Typhoid Fever GHepc Drepd © 0 Salmonelta Typhi -+ Typhoid(Enterc) Transmission, © Hep B,C,D ~+ Blood and Sexual = Hep A and E -> Oro-Fecal Transmission. 118. Food poisoning in female, organism! nei Touttopenia and step ladder pattern ®S. aureus © Saimonetia, BN. meningts ‘D Actinomycetes © sa eaimonella spp. Causes Scanned with CamSca+ excreate causative agent in feces sioned and treated © enteric Fever: ‘= Symptomatic 1 Citmors excrete Caustive agent and Beco ye source of infection carvers should be Isolated and treated: Stoo! culture /Aggtutination test 1G 008 cuture ne Marrow Culture 123. Neutropenia is associated with which of fe lowing? 2 {cynoetthay orn) 10608 Featve i 80% patients nist weak In i roweek pen Diganie |" ya ar Fein 2nd end 3rd weeks -ounraiunie =O staoh aureus gastroentertis without typo bodies = Oh fever.) Typhokd = Typically Laucopenis + Neutrophil < 2,500/H Coan AER an loos @ Alster mentioned cause Levcopenia 35 wal Put ae ge” fat be chosen then prefer Typhod because ts characteristic a Sousy 2020 «Rado 6 uy 2020 0 Neo 17 Sep 20155 Se area maa es S00 219 «Sg nea 19 @ Wel naan wide post ‘Chri nfetion B aaste infecion @ peyer patches Gal bieceer © Pitutary gland B Adrenal glands © ‘The Widal testis postive TO antigen titer is more than 1-360 Parsee infection, or €TH antigen ter is more than £:160 ia ac atachn IN (SES) Ras efecto om immunized pares ‘angle Widal tests of “mucosa > Replicates in Fi clinical relevance due to the high number of cross-reacting infections, including malaria. 4126, Shigella dysentery effects are due to (+ Sug "7 Fee Fee eh garg 25th Now 2020 (M) «Surg 1t Oct 2020) « Su? Jon0 mes Dy 2020 +3 more) = 10 10373 @ Endotoxemia @ Mucosal invasion (© Verotoxin Neurotoxin B Inhibit protein synthesis 4124, Regarding tyohold fever true Statement ix? (tase"s _ @shigella Dysentery: rene 1 Direct Mucosal Invasion (Principal mechanism). BAI patients become carrier @ Rose spots on 7th day T Some strains + Shiga toxin (exotoxin) ‘© Organism is B-hemolytic, nonjactose Pena Osea ed ee 127, An alcoholic presents with yellow suputum and ugh, what will Be seen on culture? («Patho sth Fee 2021 cout A, New 2020 (Nght) « Gyn 25th Nov 2020 (M) « Gynse Sep 2018) Sip: 21875 @ Staph aureus ®H. influenza © kiebsiella 1B Mycoplasma © Pneumonia Associations: icoholic = Thick Mucoid Currant jelly ‘negarding typhoid fever? Wasess? Suesasss droves sputum fee . 8 ik infenza -+ Chronic pulmonary disease, Chitiren below 3 iets: years www.MediCall.com.pk/app in MediCall App ocanneu with Galnscarg abuse o Endoceras aureus * TV dr er one contacts (noses) = young adit Intish, monbloody sputum 9 Mycoolasma ough productive of je organism? 7 19 « Raho Fe wth mt presents piabetic patie ‘Responsible ca ocelot Ie APSE 8 P20 {® Mycoplasma pneumonia @ nents Staph Aureus © Ecol currant-Jelly Like) sputum * Kiebseila present In which of colonies are mary 1021 (Night) © Surg 23 fe Highly MU 129. The Highy ea 16th Fet the following infection? (* 9) - 1D : 22981 ® Ecol & Kiepselis infec Scales oe polysaccharide capsule > Mucoid @ wiedsielia = Very large polysac 130, What is true about Klebsiella? (Mes 5 Sep 2018) - 1D 22 © Gram positive rod community acquired pneumonias & mote © None ofa © wiensietie © Facutative Anzerobe GO @ non motile. . “Wich one of the following is opportunistic (Gye 2036 Poo!) - ID : 3786 B Salmonella O kiebsiia fe coperurisic tection in alcohols and diabetics disease which produces flourescent pigments and ‘2nd antiseptic is which of the 18.03 2020 (Nght) « ENT 2016 Pool) = 1D ; 10207 B Streptococcus © Mycobacterium Pigments Bue colour of pus in 2 wound Wuorescein) - Yellow-green pigment -» Fi worse luoresces Blue-green color colonies w Early detection of Patient admitted in ward high grade fever with Rash is blood catty for pseudomonas, These findings suggest that iew References in MediCall App | disease is a result of excessive (Radio 2016 Poo!) = 10 + 10232 wtsst © Endotoxins © «Endotoxin produced by Pseudomonas jeags shock, pseudomonas produces exotoxin 36 wel gs causes shock and fever by endotoxin ( First Aig relent Of we orgy B Catalase on 'D Exotoxins 134, Diabetic pt. presents to you with limb colour discharge and fruity smell, Which suspect ? (+ Surg 18 Sep 2019 « Gyose 7 Mar 2018) BC. diffcite Spirochete ®S. aureus © P. aeruginosa © Green Colour pus + Fruity odour 135. Which of the following is the most feature of the Pseudomonas infection ? (sun ia a" 10; 22059 B Black crust D Fruity Smet ® Yellow discharge © Yellow crust © S. Aureus = Yellow pus (Carbuncle) + Yellow Bacillus anthracis = Black crust / Eschar Pseudomonas = Fruity Smell (Cutaneous Necrotic lesions (Ecthyma gangrenosum) ® Mycoplasma @©S. Aureus © Streptococcus © Pseudomonas pneumonia (D 0 Pseudomonas + causes sepsis, ‘mostly in Immunocompromised pts like Cy infections (cellulitis) in burn patients and diabetic patients. © Staphylococcus + usually only in 137, If on 12th post operative wound discharging Which of the following could | organism ? (« dent 19 Nov 2019(6) « Med ‘Surg ? July 2020 « Anesthesia ? July « Med 25 Feb 23183 ® Pseudomonas © Staph aureus ® Candidiasis ‘© KLEBSIEL ® + Pseudomonas -» Greenish Pus , Greenish superficial crusts + Ca pureus ~* Pus Is yellow/gold in colour. ocalineu w® Causes dit int of intestines @ Bacteroids B Bloday aiarrhen © Staph aureus © Spread by mater and fod ® Strep pneur Strep preumonia © 0 Causes watery dlarhea(Cholera) only, ® © Pyogente pertontis « Mixed Transmission -+ Pecal contamination, 's = Mixed bacteria includ ater and food, (Ecol) and Anaeroble bacteria Bacterlan agai 7 eae os 139. Which of the following is most _ o 128 en oh toning mot emo eng 1 larrhen caused by: (ed | Maen 2047) 19 ® (e Gynne 25th Gynae 1 May 2018) =20 14 ‘ 5th Nov 2020 (Woon |B Cholera toxin @® Chi = wydia B Bacteroids ao © Staph aureus © Strep Preumoniae tenia + Sec whee + Secretory . Sumo dren aerobic species (N.LH) arses ated nea 140, Aner gynecological surgery which sneerenie Scere CRAIG oe lactamase producing organism causes infection ‘Staph aureus Scouee 82020» Sure 20 Nov 2013 « Gynec 2015 Pea) “ABs easy ee! a BV. cholera ® veaial eeu © Rice water stools + V. Cholera [6 © Curved (comma toc "cus pyogenes © Staph aureus anaes EXD ® Normal flora of colon (Beta-Lactamase Prdoducers): 145. Cause of fatal diarrhea, is which of the secteroies (Strict Anaerobe) > E.ol (Facitatve Anaerobe) ies Sawant a Shree Hn Say Oe 20S oes aes Socteroides ~ found in the vagina of approximately 60% of women, 10065 ae ay CSET © Vio cholera © const btu cra 0 Staph aureus 141. Bartoneliosis is caused by which of the following? 23 Apr 2019) = 1D: 410245 ® 0 V. cholera -» Watery diarhea + Mortality rate 40% B Coccobaccillus B Anaerobes © C. Botulinum -* Botulism © Gram negative bacteria @ All of the above © E.coll and S. Aureus -> Self limiting diarheal diseases ‘© Most common cause of fatal diarrhea is Hospital associated C. © bartonetioss: Group of Diseases caused bys eroup ofc. ci» found n many domes pet eg eats Principal human pathogens ~» Bartonella quintana, B. henselae and 146. V, cholera MOA involves which ofthe following ? ‘ad oe © BE quintana or B. henselae - Bacteraemia and endocarditis in @ ci. channel the homeless. © Bihenselae ~ Cat scratch disease. @ cholera toxin ~ A-B toxin(exotoxin) © 8B. quintana or B, henselae - Bacillary anglomatosis (HIV- ‘@ B-subunit (Binding ) -» Aids in Endocytosis te associated). ‘@ A-subunit (In endoplasmic reticulum) ~ ADP-Ribosylation ; increase © 5. paciliformis + Oroya fever and verruga peruana (Carron’s tain -» Stimulate adenyiate cycase~ Intacetlor ees disease). ‘CAMP -* opens CFTR ~* Release Ci" lon + Osmotic LT oy ne used ine Coa Hed 7 July 2020 + Sug 7 SY = ST ee sme aeruginosa (© Botulism true (+ IAT Jan 2017 © 142. Regarding Vibrio Cholera what Jan 201 eta ‘Surg'20 Nov 2019 © Med i May 2018) I View References in MediCall App ocdineu Wit catestoxin + ADP-ribosylation of Gs Protien - stimulate ae rease in cAMP > Secretory 0 coolers oe recur eens oN erento htheri P. aeruginosa, C. Botulinum +* ADP: @ Exotoxins of C: Di Osan of EF-2 ~ Tnnibkt protein synthe cing iva reer 1 March 2017) “10 : 23044 148, Which of the Cholera ? (2 S92 Synse Nov 2018 6 SU9 @ Resistant to alkaline medium Resistant to Bde medium © complant to alkaline med { None of above sensitive to acidic medium, resistent to lakaline @® v. Cholera = Se 4149. Which of following is Resistant to stomach acid? ynwe Sep 2018) HD: 24819 & Vibrio chotere & H-pylor © Ascons (© Mycobacterium tuberculosis spy wees eas covers eto Armenia > Goer Sic acs Bestar ape 0), aes Peptic ulcer is associated with infection of the 7 p Feb 2039) -10: 22159 @H. pylori © Strep Pneumoniae ter pylori Colonizes mainly « antrum of stoma Peptic ulcers (especially duodenal) for + « peptic ulcer disease « gastric adenocarcinoma 139 year old lady complain of nausea and vomiting ast Sweeks, after endoscopic biopsy reveal plasma macrophage ané t lymphocytes (surg 25 Feb 2020) - 1D : Priori Hopylor = Acute gastritis + Nausea and abdominal or, with vomiting, burping snd ever zation = Mucus layer of epithelia cel on = Lamina propria» Neutopis (Cross et membrane ~ intrepieal locaton -» PX abecesses) (clusters or sheets), Macrophages, Lymphocytes,” id aggregates = Mucore-sssoised lympho n tinal metaplasia (goblet cells and columnar sg References in MediCall App nee nies 152. Most common sexually transmitted dis Feb 2019 + Gynae 20 Feb 2019) ~ 10 : 22794 ‘s ® Trochomonas vaginalis HPV © Chlamydia B Syphilis ® a ‘© Most common STD ® HEV (Human papilloma ‘© Most Common Bacterial STD = Chlamydia ‘noni es) 153. True Statement About chalamydia is? eer Sap 1: 1281 ® Cause choriorretinitis Is aerobic organism (® Cause trachoma DI club shaped ® 0 Chiamydia trachomatis (obligate intracellular b conjunctivitis, trachoma © Toxoplama -» Chorioretinits cee 154, Most common global Infectious cause of | which of the following ? (+ JCAT April 2018 + Gynae 25% (") « Med 1st Oct 2020 (Night) « Surg 20 Nov 2019 « Surg 6 more) 1D : 19345, @® Chlamydia trachomatis GE-coll ® Nisseria gonorrhae: ® Strep pneumoniae ® Most common global Infectious cause of blindness + (Chlamydia trachomatis) Exe vere 155. New born is conjunctivitis because mother had vaginal Possible cause is which of the following ? (+ 0 (©) + Gynae 2016 Poo!) - 1D: 10089 ® chlamydia © Varricella ® Fungus ¥ DAll of the above ® Neonatal conjunctivitis: © Gonococcal conjunctivitis (Opthalmia © Inclusion (chlamydial) conjunctivitis. Cee 156. Young sexually active male presented Penile discharge and painful micturition. He is also! suprapubic as well as testicular pain. urine WBC with no penile lesion, N gonorrhea negative ely organism Is (+ Surg lst Oct 2020 (N) « Gynae 7 MY ‘Med 24 Api 2019 » Med 10 Now 2016 « Gynae 2015 oo)“ ecm Chlamydia a HPV © Heres OCdIneud WMMLC dasa © Pulmonary hbros © conwan vows centhiocerot aimycocerseate) A vloma acuminata 163. Which ts not ruses family) 9 2016 ext)" 1O 10096 Menereum er 3) its (Pv) +c contagiosum virus (ro. 1 in female Urinary Tract infection = aa © Huerta tects ngs ony © Strep meniitis ® st sures LT 164. About Mycobacterium TB. which of fllowing fae? @ criamyaia trachomatis (serovars L1-3) + Lymphoorenuiomé Ace 1 Couses disease on B Favors aerobic condtons. 1D Cause weight loss ———" 159. Chlamydial infection causing chlamydia psittacosis is which of the following? (+ cynse ts eo ost @ Humans are eon atures ween of the oto 2021 (om) yree though ame sna such as ee, en be fected. ® Obligate intracellular bacteria on seaae ih Ls esiecr Pa See a aad BD Bxtraceltor organism 165. The causative organism of Hansen's disease ; b 2015 Poo!) - ID : 10047 a | gate intracelar bacteria in yobacterum Lerae itis + Urethritis, Pneumonia, Conjunctivitis, Mycobacterium Avium M cellular G klebsita adeno vs ise + Atypical pneumonia > Psittacosis ® mycobacterium Leprae + Hansen's disease (Leprosy) 460. 35 year old bird keeper, presented with flu like 166. For leprosy specimen is taken from ? (+ Yes 20 Nov 2038 illness, chest X Ray shows infiltrates. Cause of organism Surg 20 Nov 2019 » Gynae 20 Feb 2019 « Med'S Sep 2028) 1D: 23480 (Med 20 Nov 2019) - ID : 24896 @® Blood culture B urine culture Chlamydia psittacosis Chlamydia trachomatis © Stool cuture (D Nasal scrapings ©H. Infivenze in + Foam ces (Bac in © Skin/nasal scrapings + Acié-fast stai smydia psittaci + Atypical pneumonia lipid laden macrophages) 167, The mode of entry of Mycobacterium Leprae Bacilus a via? (Med 8 March 2018) ~1D : 320 161. Which of the following is the most common cause of ‘the pelvic inflammatory disease? (+ CPs? Demo « Med 25 Feb : ontaieme 2020) - 10: 4086 oor . chlamydia. sem spc: rt id ae © transite bape: + 30-50% PIDs Mycobacterium is non-spore forming, present In dois an acd fost ce not produce endotoxin or exotoxin, i as Surat inflammation: (+ Radio 19 Nov 2019 Radio Bits a0 a ea 'D Drug induced /¢ Surg 6 Nov 2018 + Ophth Nov 2018 + Surg 7 March 2018) « (© Pnew J,com.Pk/aPP www.MediCall in MediCall App scanned with Camsca@ © Chiamydia @ Giemsa stain (Typical intracytoplasmig ; meresnar sc fort) TRUST ogy matous lepros) ines © Lepromatous ota © Mycoplasma © Giemsa stain. + mycobacterium rae B mycobee perc Pry 174, Weil-felix test Is don J the Identifies 10 : 10265 rentification of (sq 169. yours ‘mph node bl Juty 208% 26s padenopathy YPN Socum AFB ts positive, het ty 20 meeting ararulons ty qn 21x 7018) “#09427 a Klebsiella @ Rickettsia coormea ove © Pseudomonas. (B Toxoplasmosis phi B weil-fetix + Detects anti-rickettsial antibodies if thy « in Sarcoidosis and Leprosy agglutination of proteus antigen. @ « cervical ivmphadenots idosis and Leprosy » © wating gremuiome © <7 Sercol a 175, Which of the following organisms causes pn 7 characteristic of Leprosy. enue 5 in Sarcoidosis and may be found colonizing air-condit in Sarcoidosis a z ¢ Distorted Not cot & sputom APB Se si D018 Pool # Med 2015 Poo!) ~ 1D : 10048 SS ee @ Strep Pneumonie ®H Influenza © Legionella D Heerophiue Duro ial cig patient with fever 100°F, dry COUDIY Gee neutrophils, cause is which Jove neutrophils, cause is whicl oss i 0 Now 2016 « Med 2015 \ssociated Pneumoni pneumophilla. int pain WBCS 7.5 with Sap : tose : j Mycoplasma Pneumoniae oneal D Legionella 176. Preterm labour is associated with which of the following? (+ Gynae 20 Nov 2019 « Radio 23 Apr 2019 « Grae Hag on grade Sever (100°), Munster involvement (Ary coUBh, 2018) ~ 1D : 10075 : repent Namal snk (WECS +5 with 70% neutrophils) > @ pacterial vaginosis onvomemeel : sexes © Candidiasis OE. coli = mycoplasma: Le ‘rhe following is true for Mycoplasmas except? (Radio 1D 3605 @® Baxteial vaginosis > higher risk of Preterm: fission 177. Lady had vaginal infection with foul Bete lactam group of antibiotics cells on gram stain.Most likely organism is which following? (+ Gynae 25th Nov 2020 (M) « Surg 2015 Pos) ~ of the ® Chlamydia ® Gonoccocus q + No cet wall + Resistant to f-actam drugs «© Bacterial vaginosis © Giardiasis —— © Gardneretia vaginalis + Bcterial Vaginosis + M8 sme is different from clamydia due to which Cn a . ee Tie features ? (Gyose 1 May 2016) - 1D : 16257 . te i a N20 sn van mth orm fofithe above % > Intraceliular, es | poorly Gram-stained, © 2N Non-intrceliter poorly )Geimse stain. Gram-stained, © 2N 1S? (Radio 2015 Pool) =I @ chancre on penis - Sem eT oe Oct ae ® 0 Primary syphitis: Inocculation -* Multiplicat tender ulcer) in 2-7 weeks. ne ~ Granulomas in Tertiary D Waarthin starry stain View References in MediCall App : www.MediCall.com.pk/aPP .com.pk/app scanned witn Galnscanodules (desert bump) on tensor sur ) © Secondary syphilis» maculopapular rash notably on pains find soul, mole papules on skin ard mucus membranes and ‘eritats (condyiara lta) ‘Systemic ogre + anorexia, weight toss, malaise, low grade - © Tubereulosts }Quinaliymphadenopathy odes on diascopy enital utcers © Sarcoldoste + non -caseating granulomas ™ Chancre (Primary Syphiis) systemic sans n cutaneous TB, Apple jelly t ore ree Syphilis) » Detected by Oar 380. & mother Hansel Series ame geht 184, A bacterial disease that has bean associated with the n teeth) area » rte, rieemetde, and rainfall? ry 170 Fe 2021 veneriat di Neease (eon) «Surg 18 Sp 9019) =H Apr 2019» cyncreorBantom : 0 Laptosorons B reque Dz 23130 °°" 29 Aon 201 © Metiodost D Rodert-one fever ®Treponem. 2 pata OMycoratera genital Syphilis w INSmisslon -» S, saddle nose, rhaga mon) des, snutfies, and frontal bossing saber 185, Which of the following is transmitted by rat urine? (Surg Apo 2016) - 10 3437 Ser ® Leptospira Bustera : Mycoplasma 181. Congenital syphilis are best be diagnosed by? («0 aa a 106 iy 2020 (M1) « Gynae 2015 Poot) “1D +3738 "Pen BiReservoi or Leptospira + Rats and Dogs + Excete sganiem IgMFTAbs B 19GFTAbs Td vor. DTI [ vevinson 0.2060 4 VORL test: BES Daa ody titer in infant > mother » Congenital Syphilis In Tb resistance arises due to which of following ? Fase & titer will decline with time, Rpiatnay ase): fo aaa ise © titer reamains high. & phagocytes in i's cell wall B Cell wall D None of the above © Cell membrane [Ail of the following will cause an ulcer on genitalias = cinema " {Surg 23 April 2019) - 1D : 10072 Saneneen soacns of petbogenic bacteria {tuberculosis typically occurs due to either the accumulation of B Gonorrhea © Condyloma accuminatum neonatal conjuctivits, philis imutations in the genes targeted by the antibiotic. ‘simplex virus is the dias resis.what is gren 2018) - 1D : $5635 www.MediCall.com.pk/aPP ‘al Scanned with CamSca