Brucellosis

1.       Most common strain producing brucellosis in India is :

a)      B.melitensis

b)      B.Suis

c)       B.Canis

d)      B.Abortus

 

2.       What is/are the modes of transmission of brucellosis :

a)      Inhalation

b)      Ingestion

c)       Inoculation

d)      Vertical

e)      Breast milk

f)       Bone marrow transplantation

g)      Mucosal

h)      All of the above

 

3.       Most common feature in brucellosis is :

a)      Fever

b)      Lumbago

c)       Peripheral arthritis

d)      Hepato splenomegaly

e)      Convulsions and jerky limbs

 

4.       Most common complication of brucellosis is:

a)      Osteo articular

b)      Neurological

c)       Cardiovascular

d)      Soft tissue abscesses

 

5.       The genetic link for osteo articular manifestations of brucellosis is :

a)      HLA B27

b)      HLA B39

c)       HLA B41

d)      HLA CQ1

 

6.       The most common site of brucella spondylitis is :

a)      L4

b)      L5

c)       C7

d)      T10

 

7.       All are true regarding  osteo articular manifestations of brucellosis EXCEPT:

a)      Lumbar spine is the most common site of involvement in brucella spondylitis

b)      Sacroilitis in brucellosis is usually bilateral

c)       Spondylitis in brucellosis in common in elderly

d)      Lumbago is mostly seen in young people

 

8.       Gold standard specimen for culturing Brucella is :

a)      Blood

b)      Bone marrow

c)       CSF

d)      Tissue

 

9.       All are differentiating features of Brucella from tuberculosis EXCEPT:

a)      Non caseating granulomas in Brucella

b)      Lumbar spine involvement in Brucella

c)       Elevated ADA in CSF in Brucella

d)      Undulating fever in Brucella

 

10.   Most specific and sensitive test for Brucella is :

a)      Rose Bengal test

b)      ELISA

c)       SAT(Standard Agglutination Test)

d)      Complement fixation test

 

11.   All are true in SAT for Brucella EXCEPT:

a)      Most popular test for Brucella

b)      Falling IgM levels is a marker of successful treatment of Brucella

c)       Agglutination tests only identify IgM

d)      Complement tests for Brucella detects both IgG and IgM antibodies

 

12.   Animal vaccination is done with which of the following strains of Brucella:

a)      B.Abortus RB51

b)      B.Melitensis ReV1

c)       B.Abortus S19

d)      All of the above

 

13.   All drugs are used in combination therapy of Bruella except :

a)      Streptomycin

b)      Doxycycline

c)       Rifampicin

d)      Ceftriaxone

e)      Co-trimoxazole

f)       INH




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