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Bacterial Infections

মোট প্রশ্ন৯২এই পাতা৯২প্রতি পাতা১০০
ঘনত্ব
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উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

Bacterial Infections

PrepBank · পাতা / · ৯২ / ৯২

.
Rash is found in which type of syphilis
  1. Primary
  2. 2ndary
  3. Latent
  4. Tertiary
.
‘Salmonella’ is a -
  1. ক) Gram-positive cocci
  2. খ) Gram-negative cocci
  3. গ) Gram-positive bacilli
  4. ঘ) Gram- negative bacilli
ব্যাখ্যা

Explanation:  Example of Gram- negative bacilli
Klebsiella pneumoniae
Proteus spp.
Enterobacter spp.
Serratia spp.
Salmonella spp.
Shigella spp.
Yersinia spp.
Vibrio spp.
Pseudomonas aeruginosa

.
Which of the following bacteria is the most common cause of septic arthritis in young, sexually active adults?
  1. Staphylococcus aureus
  2. Neisseria gonorrhoeae
  3. Streptococcus pyogenes
  4. Escherichia coli
ব্যাখ্যা
Explanation: Neisseria gonorrhoeae is the most common cause of septic arthritis in young adults, particularly women. Davidson explains that gonococcal arthritis typically presents with migratory polyarthritis and tenosynovitis. Harrison adds that early recognition and treatment with antibiotics are crucial to prevent joint destruction.
.
Most common cause of osteomyelitis in children is-
  1. Contiguous spread of infection
  2. Sickle cell disease
  3. Haematogenous spread
  4. Staph. aureus
.
An 35 year old lady came to OPD with fishy vaginal discharge with intense itching what will be the diagnosis?
  1. BV
  2. Candidiasis
  3. Trichomoniasis
  4. Streptococcus
ব্যাখ্যা
An increased discharge without any itch or irritation accompanied by an unpleasant or fishy odour, worse after sexual intercourse and during menstruation, indicates the possibility of BV
.
Remittent fever occurs in
  1. ক) Typhoid
  2. খ) Typhus
  3. গ) Acute tonsilitis
  4. ঘ) Rheumatic fever
ব্যাখ্যা

If the fever fluctuates > 2ºC (3ºF) but does not touch the baseline, it is called remittent.
This is found in any pyogenic infection (pyogenic liver abscess, acute bronchopneumonia, acute tonsillitis, septicemia, acute pyelonephritis), lymphoma.

.
All of the following are indicative of PID except
  1. ক) Lower abdominal pain
  2. খ) Curdy vaginal discharge
  3. গ) Dyspareunia
  4. ঘ) Intermenstrual bleeding
.
There are -----------------syndrome in Botulism defined by US CDC
  1. 3
  2. 4
  3. 5
  4. 6
.
Not a Clinical feature of tetanus?
  1. Absence of fever
  2. Patient remains responsive
  3. Normal or slow heart rate and normal blood pressure
  4. sensory deficits
১০.
the processing of blood cultures has at least-----steps
  1. 7
  2. 8
  3. 9
  4. 10
১১.
Chancre is a feature of
  1. ক) Gonorrhea
  2. খ) Syphilis
  3. গ) AIDS
  4. ঘ) Genital herpes
১২.
Toxic phenomena in typhoid fever is
  1. Perforation
  2. Cholecystitis
  3. Myocarditis
  4. Persistent gallbladder carriage
১৩.
Organism responsible of frontal lobe abscess?
  1. Staphylococcus
  2. Pseudomonas
  3. Streptococcus
  4. Clostridium
১৪.
Which one is a candidate for bioterrorism?
  1. ক) B. anthracis
  2. খ) C. albicans
  3. গ) Cl. Tetany
  4. ঘ) Cl. Perfringens
১৫.
Most common cause of septic arthritis-
  1. Staphylococcus aureus
  2. Gonococcal infection
  3. ß-haemolytic streptococci
  4. Gram-negative bacilli
১৬.
Drug of choice in gonorrhoeic with pregnancy?
  1. Cefreiaxone
  2. Azithromycin
  3. Cefixime
  4. Cefotaxime
১৭.
Fever with Relative Bradycardia
  1. ক) Acute rheumatic carditis.
  2. খ) Enteric fever.
  3. গ) Diphtheric myocarditis.
  4. ঘ) Severe TB.
১৮.
Regime of choice in N meningitidis
  1. Cefotaxime
  2. Penicillin
  3. Ceftriaxone
  4. Cefixime
১৯.
Gold standard test for the diagnosis of Helicobacter pylori infection is-
  1. Urea breath test
  2. Rapid urease test
  3. Microbiological culture
  4. Faecal antigen test
২০.
Which of the following is not the principle of treatment of leprosy
  1. Stop the infection with chemotherapy
  2. Treat reactions
  3. Educate the patient about leprosy
  4. Do not Support the patient socially and psychologically
২১.
Depressed black eschar is a feature of
  1. ক) PKDL
  2. খ) Leprosy
  3. গ) Anthrax
  4. ঘ) Shingles
২২.
Which is the most common cause of acute endocarditis?
  1. ক) Staphylococcus aureus
  2. খ) Streptococcus viridans
  3. গ) Staphylococcus epidermidis
  4. ঘ) Streptococcus gallolyticus
ব্যাখ্যা
Reference: Davidson 23rd , Page : 528
Explanation : The most common cause of acute endocarditis is Staphylococcus aureus.
২৩.
Gram negative diplococci in microscopy is indicative of
  1. ক) AIDS
  2. খ) Syphilis
  3. গ) Gonorrhea
  4. ঘ) Chancroid
২৪.
Which one of following is the the most common cause of acute endocarditis?
  1. ক) Enterococcus spp.
  2. খ) Viridans streptococci
  3. গ) Staph. aureus
  4. ঘ) Strep. gallolyticus
ব্যাখ্যা
Explanation: Staph. aureus has now overtaken streptococci as the most common cause of acute endocarditis
২৫.
True about typhoid diagnosis is
  1. Blood culture establishes the diagnosis
  2. Stool cultures are often positive in the 1st week
  3. The Widal test detects antigen to the O and H antigens but is not specific
  4. The Widal test detects antibodies to the O and H antigens and is specific
ব্যাখ্যা
Blood culture establishes the diagnosis  and multiple cultures increase the yield
Stool cultures are often positive in  the  second and third weeks
The Widal test detects antibodies to the O  and H antigens but is not specific
২৬.
Route of treatment of of yaws, pinta and bejel
  1. IM
  2. IV
  3. Oral
  4. Oinment
২৭.
M. leprae has tropism for which type of cell?
  1. ক) RBC
  2. খ) WBC
  3. গ) Platelet
  4. ঘ) Schwann cells
ব্যাখ্যা
Explanation: M. leprae has tropism for Schwann cells and skin macrophages.
২৮.
Most common cause of acute infective endocarditis is
  1. Viridians streptococci
  2. S. aureus
  3. Strep. gallolyticus
  4. Coxiella burnetii
ব্যাখ্যা
Staph. aureus has now overtaken streptococci as the most common cause of acute endocarditis. It originates from skin infections, abscesses or vascular access sites such as intravenous and central lines, or from intravenous drug use. 
২৯.
Strawberry tongue in
  1. ক) Enteric fever
  2. খ) Measles
  3. গ) Scarlet fever
  4. ঘ) Chicken pox
৩০.
STI that can transmit through transplacental route
  1. ক) Neisseria
  2. খ) Chlamydia
  3. গ) Treponema
  4. ঘ) HSV
৩১.
Cardinal feature of leprosy excludes..
  1. ক) Skin lesions, typically anaesthetic at tuberculoid end of spectrum
  2. খ) Thickened peripheral nerves
  3. গ) hyperpigmented patch
  4. ঘ) Acid-fast bacilli on skin smears or biopsy
৩২.
Poor dental hygiene is associated with
  1. Actinomyces
  2. Stap. aureaus
  3. Stap. Epidermidis
  4. Nocardia
ব্যাখ্যা
Infections are usually due to a mixture of anaerobes and aerobes in common with the typical flora encountered in the mouth and upper respiratory tract. Isolates of Prevotella melaninogenica, Fusobacterium necrophorum, anaerobic or microaerophilic cocci and Bacteroides fragili may be identified. When suppurative pneumonia or a pulmonary abscess
occurs in a previously healthy lung, the most likely infecting organisms  are Staph. aureus or K. pneumoniae. Actinomyces spp. cause chronic suppurative pulmonary infections, which may be associated with poor dental hygiene.
৩৩.
which is a Non Specific treponemal test ?
  1. VDRL
  2. EIA
  3. TPHA
  4. TPPA
৩৪.
Treatment should be continued for how many days for enteric fever?
  1. ক) 7 days
  2. খ) 10 days
  3. গ) 14 days
  4. ঘ) 21 days
ব্যাখ্যা
Explanation: Treatment should be continued for 14 days
৩৫.
Which one is the cardinal feature of leprosy?
  1. ক) Skin lesions, typically anaesthetic at tuberculoid end of spectrum
  2. খ) Thickened central nervous system
  3. গ) Hyperpigmented patch
  4. ঘ) Acid-fast bacilli on nerve biopsy
৩৬.
Fever with rash at 5th day indicates
  1. ক) Dengue
  2. খ) Typhus
  3. গ) Typhoid
  4. ঘ) Measles
ব্যাখ্যা

Fever with skin rash (according to the day of appearance of rash)—Remember: “Very sick person must take double eggs.”
 1st day—Varicella (chicken pox)
 2nd day—Scarlet fever
 3rd day—Pox (small pox)
 4th day—Measles, German measles (rubella)
 5th day—Typhus
 6th day—Dengue
 7th day—Enteric fever (rose spot)
 Drug rash may appear anytime.

৩৭.
Only notable physical signs in leptospirosis
  1. ক) Macular rash
  2. খ) Hepatomegaly
  3. গ) Conjunctival congestion
  4. ঘ) Epistaxis
ব্যাখ্যা
( Ref : Davidson 23rd ,p - 257 )
৩৮.
Which of the following is the most common bacterial cause of infective endocarditis in patients with pre-existing valvular disease?
  1. Staphylococcus aureus
  2. Streptococcus viridans
  3. Enterococcus faecalis
  4. Haemophilus species
ব্যাখ্যা
Justification: In patients with pre-existing valvular abnormalities, such as mitral valve prolapse, streptococcus viridans is the most common cause of infective endocarditis. Davidson emphasizes that viridans streptococci typically enter the bloodstream following dental procedures or minor mucosal trauma. Harrison describes the importance of prophylactic antibiotics in high-risk patients undergoing invasive procedures.
৩৯.
Which one is best IV fluid in cholera?
  1. ক) NS
  2. খ) DNS
  3. গ) DA
  4. ঘ) Ringer’s lactate
৪০.
Which organism of STI is transmitted through placenta?
  1. ক) Treponema pallidum
  2. খ) Neisseria gonorrhoeae
  3. গ) Chlamydia trachomatis
  4. ঘ) Human papillomaviruses
৪১.
Which is not a Cardinal features of leprosy
  1. Skin lesions, typically anaesthetic at tuberculoid end of spectrum
  2. Skin lesions, typically anaesthetic at lepromatous end of spectrum
  3. Thickened peripheral nerves
  4. Acid-fast bacilli on skin smears or biopsy
৪২.
Most common organism responsible for septic arthritis in adults is-
  1. Group B streptococcus
  2. Staphylococcus aureus
  3. Neisseria gonorrhoeae
  4. E. Coli
৪৩.
Cardiovascular presentation of syphilis
  1. ক) Pericarditis
  2. খ) Endocarditis
  3. গ) Myocarditis
  4. ঘ) Aortitis
৪৪.
Which one of the following is the specific investigation for thyphoid fever?
  1. ক) CBC
  2. খ) Stool cultures
  3. গ) Widal test
  4. ঘ) Blood culture
ব্যাখ্যা
Explanation: Blood culture is the specific investigation for thyphoid fever
৪৫.
Which investigation will help to differentiate between a Charcot joint and osteomyelitis?
  1. ক) PET scan
  2. খ) CT scan
  3. গ) X-ray
  4. ঘ) MRI
ব্যাখ্যা
Reference: Davidson 23rd; P-762
৪৬.
Predisposing factor for toxic shock syndrome
  1. ক) Vaginal tampons
  2. খ) Improper food storage
  3. গ) Poor skin hygiene
  4. ঘ) IV drug use
৪৭.
Which is not Strict anaerobes?
  1. Bacteroides spp.
  2. Clostridium spp.
  3. Fusobacterium spp.
  4. Treponema pallidum
ব্যাখ্যা
Strict anaerobes
Bacteroides spp.
Clostridioides difficile Clostridium spp.
Fusobacterium spp.
৪৮.
(wool-sorter’s disease) is
  1. Anthrax
  2. Diptheria
  3. TB
  4. Tetanus
৪৯.
In tuberculoid leprosy, which nerves are typically affected ?
  1. Sural
  2. Radial
  3. common peroneal nerve
  4. Tibial
ব্যাখ্যা
In tuberculoid leprosy, ulnar and common peroneal nerves are typically affected.
৫০.
Source of infection in Cerebellum absecess?
  1. Sphnoid sinus
  2. Frontal sinus
  3. Parietal Sinus
  4. Occipital sinus
৫১.
Infection causing secondary immunodeficiency excludes
  1. ক) HIV
  2. খ) Mycobacteria
  3. গ) Syphilis
  4. ঘ) Measles
৫২.
Chancroid usually starts as a
  1. papule
  2. pustule
  3. ulcer
  4. rim of erythema
ব্যাখ্যা
Chancroid usually starts as a small papule that rapidly becomes pustular and eventually ulcerates. The ulcer enlarges, develops ragged undermined borders, and is surrounded by a rim of erythema. Unlike syphilis, lesions are tender and the border of the ulcer is not indurated
৫৩.
Most common cause of traveler’s diarrhoea
  1. ক) EPEC
  2. খ) ETEC
  3. গ) EAEC
  4. ঘ) EHEC
৫৪.
Painful inguinal Lymphadenopathy is a feature of
  1. LGV
  2. Primary syphilis
  3. Chancroid
  4. Herpes
৫৫.
Breast implant infection is caused by following organism
  1. Staphylococcus aureus
  2. Coagulase-negative staphylococci Coliforms
  3. Pseudomonas spp.
  4. Anaerobes
ব্যাখ্যা
Breast implant infection
Staphylococcus aureus
Coagulase-negative staphylococci
Peritoneal dialysis-related peritoniti
Staphylococcus aureus
Coagulase-negative staphylococci Coliforms
Pseudomonas spp.
৫৬.
Complications of meningococcal sepsis
  1. Renal Failure
  2. Respiratory failure
  3. Liver Failure
  4. Heart Failure
৫৭.
Hansen disease is caused by
  1. M lepre
  2. M TB
  3. Plasmodium
  4. Clostridium
ব্যাখ্যা
Leprosy, also known as Hansen's disease, is a chronic infectious disease caused by Mycobacterium leprae. The disease affects the skin, the peripheral nerves, mucosal surfaces of the upper respiratory tract and the eyes.
৫৮.
Treatment of choice for syphilis during pregnancy
  1. ক) Penicillin
  2. খ) Cephalosporin
  3. গ) Macrolides
  4. ঘ) Tetracyclines
৫৯.
Which is not a complication of diptheria
  1. Laryngeal obstruction
  2. Myocarditis
  3. Peripheral neuropathy
  4. Stroke
ব্যাখ্যা
Complications
 Laryngeal obstruction or paralysis
 Myocarditis  Peripheral neuropathy
৬০.
Chancroid is a sexually transmitted infection caused by which of the folloing organism?
  1. ক) Neisseria gonorrhoeae
  2. খ) Treponema pallidum
  3. গ) Chlamydia trachomatis
  4. ঘ) Haemophilus ducreyi
ব্যাখ্যা
Reference: Davidson 23rd, Box-13.12
৬১.
Chlamydia trachomatis is responsible for all of the following except
  1. ক) Trachoma
  2. খ) Cervicitis
  3. গ) Proctitis
  4. ঘ) Psittacosis
৬২.
Koch’s postulates excludes the following
  1. The same organism must be present in every case of the disease
  2. The organism must be isolated from the healthy host and grown in pure culture
  3. The isolate must cause the disease, when inoculated into a healthy, susceptible animal.
  4. The organism must be re-isolated from the inoculated, diseased animal.
৬৩.
Argyll Robertson pupil is found in
  1. Tabes Dorsalis
  2. SLE
  3. RA
  4. COPD
৬৪.
Jaundice with high fever and urinary complain indicates
  1. ক) Leptospirosis
  2. খ) Gilbert’s syndrome
  3. গ) Wilson’s disease
  4. ঘ) Hemochromatosis
ব্যাখ্যা
Persistent mild jaundice indicates Gilbert’s syndrome.
Jaundice with high fever and urinary complain indicates leptospirosis.
Recurrent jaundice with neurological abnormality—Wilson’s disease.
৬৫.
Which is the complication of nerve damage in leprosy?
  1. anaesthesia
  2. dryness
  3. contracture
  4. All
৬৬.
Which one is the Non-invasive test for H.pylori infection?
  1. ক) Histology
  2. খ) Rapid urease test
  3. গ) urea breath test
  4. ঘ) Culture
৬৭.
Which streptococcus causes neonatal sepsis & meningitis?
  1. ক) Pyogenes
  2. খ) Agalactiae
  3. গ) Bovis
  4. ঘ) Viridians
৬৮.
Leptospira interrogans persist indefinitely in
  1. ক) Mucous membrane
  2. খ) Bowman’s capsule
  3. গ) Juxtaglomerular apparatus
  4. ঘ) Convoluted tubules of the kidney
ব্যাখ্যা
Explanation: Leptospirainterrogans persist indefinitely in the convoluted tubules of the kidney.
৬৯.
optochin-sensitive is
  1. Strep. gallolyticus subsp
  2. S. bovis biotype I
  3. Strep Pneumoniae
  4. Strep. agalactiae
৭০.
Barking cough is found in
  1. ক) Lung abscess
  2. খ) Bronchiectasis
  3. গ) Acute epiglottitis
  4. ঘ) ALVF
ব্যাখ্যা
Foul smelling dark colored sputum: lung abscess
Rusty sputum: pneumococcal pneumonia.
Productive cough with frothy sputum occurs in pulmonary edema.
Barking cough: acute epiglottitis.
৭১.
Incubation period of chancroid?
  1. 3-40 days
  2. 3-30 days
  3. 3-20 days
  4. 3-10 days
৭২.
Ehrlichiosis has -------------form
  1. 2
  2. 3
  3. 4
  4. 5
ব্যাখ্যা
Ehrlichiosis is a common co-infection with Lyme disease. Two forms
occur: Anaplasma phagocytophilum, human granulocytic anaplasmosis (HGA); and Ehrlichia chaffeensis, human monocytic ehrlichiosis (HME).
৭৩.
Borrelia burgdorferi causes
  1. polyradiculopathy
  2. meningitis
  3. mononeuritis multiplex
  4. All
৭৪.
Chronic granulomatous lesion in benign tertiary syphilis is called
  1. ক) Chancre
  2. খ) Chancroid
  3. গ) Condylomata lata
  4. ঘ) Gumma
৭৫.
Fever with Coated tongue is the feature of
  1. ক) Dengue fever
  2. খ) Eneteric fever
  3. গ) Yellow fever
  4. ঘ) Malaria
৭৬.
% of latent syphilis turned in tertiary syphilis?
  1. 24
  2. 25
  3. 26
  4. 28
৭৭.
Vaginal discharge from endo cervicitis is not described as
  1. thin
  2. purulent
  3. mildly odorous
  4. thick
ব্যাখ্যা
Vaginal discharge from endocervicitis is the most common presenting symptom of gonorrhea and is usually described as thin, purulent, and mildly odorous. Many patients have minimal or no symptoms from gonococcal cervicitis. Dysuria or a scant urethral discharge may be due to urethritis accompanying cervicitis.
৭৮.
Which organism commonly causes urethritis?
  1. ক) Gonorrhea
  2. খ) Chlamydia
  3. গ) Trichomonas vaginalis,
  4. ঘ) Mycoplasmas
ব্যাখ্যা
Explanation: Neisseria gonorrhoeae is the most common organism causing urethritis
৭৯.
Syphilis is caused by which of the folloing organism?
  1. ক) Neisseria gonorrhoeae
  2. খ) Treponema pallidum
  3. গ) Chlamydia trachomatis
  4. ঘ) Human papillomaviruses
ব্যাখ্যা
Explanation: Syphilis is caused by infection, through abrasions in the skin or mucous membranes, with the spirochaete Treponema pallidum.
৮০.
chronic sinusitis is caused by
  1. Chlamydia trachomatis
  2. Chlamydia psittaci
  3. Chlamydophila (Chlamydia) pneumoniae
  4. None
৮১.
In World Health Organization 2018 guidelines for multidrug therapy (MDT) regimens in leprosy treatment duration is
  1. 6 month
  2. 10 month
  3. 12 month
  4. 18 month
৮২.
Cardinal features of leprosy exclude
  1. ক) Skin lesion
  2. খ) Highly contagious
  3. গ) Thickening of peripheral nerves
  4. ঘ) AFB on skin smears
৮৩.
Mode of transmission of Gonorrhoea
  1. Sexually
  2. Neonate exposed to infected secretions in birth canal
  3. Kissing
  4. Blood
ব্যাখ্যা
Mode of Transmission-Sexually from partner, Neonate  exposed to infected secretions in birth canal
৮৪.
Which is not a sign of Enteric Fever?
  1. Coated tongue
  2. Relative tachycardia
  3. Splenomegaly
  4. Caecal gurgling
ব্যাখ্যা
  Signs
ØCoated tongue
ØRelative bradycardia
ØSplenomegaly ( Just Palpable)
ØCaecal gurgling
৮৫.
Outcome of Neisseria for fetus/neonate
  1. ক) Stillbirth
  2. খ) Miscarriage
  3. গ) Severe conjunctivitis
  4. ঘ) Pneumonia
৮৬.
Pathogen for fried rice associated diarrhoea
  1. ক) E. coli
  2. খ) B. coli
  3. গ) B. cereus
  4. ঘ) B. anthracis
৮৭.
Pseudo membrane are found in infection with
  1. ক) Clostridium difficile
  2. খ) Clostridium perfringens
  3. গ) Clostridium botulinum
  4. ঘ) Clostridium faecalis
৮৮.
Dysentery is caused by
  1. ক) Escherichia
  2. খ) Shigella
  3. গ) Salmonella
  4. ঘ) Klebsiella
৮৯.
Toxic phenomena in thyroid fever is
  1. Nephritis
  2. Perforation
  3. Osteomyelitis
  4. Sepsis
৯০.
Which is the specific test for Syphilis?
  1. ক) VDRL
  2. খ) RPR
  3. গ) TPHA
  4. ঘ) None of the above
৯১.
Investigation of choice in enteric fever
  1. ক) VDRL
  2. খ) Widal test
  3. গ) Blood culture
  4. ঘ) Urine culture
৯২.
‘Chlamydia trachomatis’ causes which of the following?
  1. ক) Atypical pneumonia
  2. খ) Lymphogranuloma venereum
  3. গ) Acute/chronic sinusitis
  4. ঘ) Psittacosis