ntg

1. MCQ on GIT and
hepatobilliary system
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2. A 35-year-old patient complains of abdominal cramps along with profuse diarrhea. The treating
physician wants to process the stool specimen for isolation of Campylobacter jejuni. Which of the
following is the method of choice for the culture of stool:
a) Culture on TCBS medium incubated at 37°C under aerobic conditions
b) Culture on Skirrow’s medium incubated at 42°C under micro-aerophilic conditions.
c) Culture on MacConkey medium incubated at 42°C under anaerobic conditions
d) Culture on Wilson and Blair’s medium incubated at 37°C under micro-aerophilic conditions
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3. A 24-year–old cook in a hostel mess suffered from enteric fever 2 years
back. The chronic carrier state in this patient can be diagnosed by:
a) Vi agglutination test
b) Blood culture in Brain Heart infusion broth
c) Widal test
d) Bone marrow culture
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4. Pseudomembranous colitis is caused by:
a) Clostridium perfringens
b) Clostridium difficile
c) Clostridium tetani
d) Clostridium botulinum
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5. A 20-year-old man presented with hemorrhagic colitis. The stool
sample grew Escherichia coli in pure culture. The following serotype of
E.coli is likely to be causative agent:
a) O157:H7
b) O159:H9
c) O107:H7
d) O55:H7
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6. Sereny test is employed for laboratory diagnosis of:
a) Enterotoxigenic E. coli
b) Enteropathogenic E. coil
c) Enterohaemorrhagic E. coil
d) Enteroinvasive E. coli
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7. Which one of the following test is not the common laboratory test for
Helicobacter pyroli
a) biopsy test
b) urease test
c) stool antigen test
d) urine test
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8. The following are acid fast except
a) Cryptosporidium
b) Egg of Taneia saginata
c) Head of sperm
d) Toxoplasma
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9. Floppy child syndrome is seen in
a) Staphylococcal food poisining
b) Infant botulism
c) Cholera
d) Mycotoxicosis
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10. Minimum number of bacilli causes bacillary dysentry/shigellosis
a) 1–10 bacilli
b) 10-50
c) <5 bacilli
d) 10–100 bacilli
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11. What is the recommended method for nenonate born to positive
hepatitis B mother
a) Administration of HBIG
b) Administration of Vaccine
c) Both a and b
d) none of the above
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12. A 14 yr old boy with AML relapsed and was referred with a diagnosis of febrile
neutropenia.In the ER he gave c/o fever, abdominal pain,nausea,vomiting and GI
bleed.he also had dysphagia and loss of appetite.Bedside USG was done that showed
multiple hypochondriac lesions variable in size,with bulls eye appearance. A working
diagnosis of fungal liver abscess was made.CT guided pus aspirated was obtained Gram
positive budding yeast with pseudohyphae was seen.
Which statement is true
a) This is opportunistic Candidiasis secondary to haematological malignancy
b) This is a case of hydatid cyst commonly seen in young children with AML
c) This ultrasound picture is classic of cryptococcus, a part od disseminated
cryptococcosis
d) This is a case of iatrogenic candidiasis of the liver
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13. Interpret the following condition
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14. which of the following Hepatitis is transmitted via contaminated water
or food
a) A and E
b) C
c) B
d) All of these
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15. IgM anti-HBc + IgM anti-HDV Indicates..............
IgG anti-HBc + mixture of IgM and IgG anti-HDV Indicates ................
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16. Cholera is predominant in developing countries where there is a lack of clean
drinking water supply.
Name the type of diarrheal infection associated with V. cholerae?
a) Acute watery bloody diarrhea
b) Acute watery rice water diarrhea
c) Mild watery rice water diarrhea
d) Acute watery diarrhea with no blood
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17. How many pairs of flagella does Giardia trophozoite possess?
a) One pair
b) Two pairs
c) Three pairs
d) Four pairs
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18. A 10 year old patient develops vomitting 3-4hrs after eating a meal.
what is the most likely cause?
a) Salmonella enteritidis
b) Staphylococcus aureus
c) Clostridium botulinum
d) Clostridium perfringes
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19. The following stage is observed in the wet mount of stool microscopy
Identify the stage and casuative agent
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20. Triage parasite panel is used for detection of
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21. Identify the eggs
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22. Pin worm is
a) Trichuris trichura
b) Enterobius vermicularis
c) Hook worm
d) Strongyloides stercolaris
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23. Which of the following toxins acts by inhibiting protein synthesis:
a) Cholera toxin
b) Shiga toxin
c) Pertussis toxin
d) LT of Enterotoxigenic E.coli
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24. A patient of Acute lymphocytic leukemia with fever and neutropenia
develops diarrhea after administration of amoxycillin therapy, which of
the following organism is most likely to be the causative agent:
a) Salmonella Typhi
b) Clostridium difficile
c) Clostridium perfringens
d) Shigella flexneri
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25. Infection with hydatid cyst results after
a) Ingesting undercooked liver meat which had hydatid cyst
b) Eating food contaminated with echinococcus egg
c) Swallowing hydatid sand
d) Touching and handling hydatid cyst as a vet.
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26. PAIR is the treatment method recommended for hydatid disease
Expain it.
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