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Bmlt 1st year Microbiology paper 2017 solution






Madhya Pradesh Medical Science University, Jabalpur 
BMLT First Year Examination 2017 
Subject-microbiology

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Time-3 hours.             Maximum Marks: 100


Instruction-

1) All questions are compulsory.

2) Draw diagram wherever necessary.

3) Answer of questions and sub question must be written strictly according to serial order of question papers.


Q.1 Very short answer the question (Maximum 50-60 words )  10×2 = 20 


1) MacConkey agar media: 

It is a selective and used to differentiate different characteristics of Bacteria.

 Example - on Mac Conkey's agar the Lactose fermenters shows Pink Caloured Colonies where as Non-Lactose fermenters produces Colourless or pale colonies.



2) Indole test: 

 It determines the ability of an organism to Decompore amino acid tryptophan into indole. Tryptophan is decomposed by an enzyme tryptophanase pecduced by Certain Bacteria


Indole positive A Red Coloured Ring near the surface of the medium. Ring

ex- E.Coli, proteus sp.


Indole Negative - yellow Caloured Ring near the surface of the medium

ex-: Klebsiella SP, proteus mirabilis




3) IgG antibody: 

IgG is the major serum globulin constituting Approximately 75% of total immuglobin. It provides long-term immunity, crosses the placenta to protect newborns, and plays a key role in secondary immune responses.



4) Incineration: 

It is a waste disposal method that involves burning biological and hazardous materials at high temperatures to destroy pathogens and reduce waste volume.



5) Enumerate different types of microscopes and their uses:


Light microscope: Used for observing stained and living specimens.


Electron microscope: Provides high-resolution images of cell structures.


Fluorescence microscope: Detects fluorescently labeled molecules in cells.




6) Sodium hypochlorite: 

It is a disinfectant and bleaching agent commonly used for sterilization, surface cleaning, and water purification.



7) Name 3 important protozoa and disease caused by them :


Plasmodium spp. – Malaria


Entamoeba histolytica – Amoebiasis


Trypanosoma spp. – Sleeping sickness




8) Draw a well labeled diagram of plasmodium vivax in peripheral : 

A well-labeled diagram should include ring forms, trophozoites, schizonts, and gametocytes in peripheral blood.



9) Name five RNA virus and disease caused by them :


HIV – AIDS


Influenza virus – Flu


Rabies virus – Rabies


Hepatitis C virus – Hepatitis C


SARS-CoV-2 – COVID-19




10) What precaution you would take to prevent needle stick injury while drawing blood from a patient:


Use safety-engineered needles, avoid recapping needles, dispose of used needles in puncture-proof containers, wear gloves, and follow proper handling protocols.



Q.2 Short type question (Maximum 250-300 words)  5x10-50


1) VDRL Test :
The Venereal Disease Research Laboratory (VDRL) test is a screening test for syphilis, a sexually transmitted infection caused by Spirochaete Treponema pallidum ,it is a commonly used laboratory test requires very small amount of serum.

Principle :
The VDRL test is based on the flocculation reaction, where antibodies in the patient’s serum or cerebrospinal fluid (CSF) react with cardiolipin-lecithin-cholesterol antigen. This reaction produces microscopic clumps, indicating a positive result.

Procedure:
It is most widely used as it is simple and rapid test requiring very small quantity of serum. 0.05 ml inactivated serum is taken in special slide with ring (14 mm diameter). One drop of antigen is added with a syringe delivering 60 drops in 1 ml. Slide is rotated at 120 revolutions per minute for four minutes. It is studied under microscope. Uniformly distributed needles show negative results (non-reactive). Presence of clumps means reactive serum. In reactive serum further dilution is done to obtain reactive titer.

Limitations :
False Positives: Can occur in pregnancy, autoimmune diseases, malaria, tuberculosis, and recent vaccinations.

False Negatives: May occur in the prozone phenomenon or late-stage syphilis.
  


2) Bacterial Growth Curve :

When a bacterium is inoculated into a suitable  fluid medium and incubated, its growth follows a definite course. When bacterial count of such culture is determined at different intervals and plotted in relation to time, a growth curve is obtained ,The growth curve has four phases. 


1. Lag Phase:

This is the initial phase where bacteria adapt themself in a new environment.


There is increase in the size of the cells but there is no  increase in numbers. 


Enzymes and other molecules required for growth are synthesized.


2. Log (Exponential) Phase:

Bacteria multiply at a constant and rapid rate through binary fission.


The population doubles at regular intervals, showing a characteristic exponential growth pattern.


This phase is ideal for antibiotic susceptibility testing as bacteria are most metabolically active.




3. Stationary Phase:

Growth slows down due to exhaustion of nutrient  and accumulation of toxic byproducts.


The rate of bacterial reproduction equals the rate of bacterial death.



4. Death (Decline) Phase:

The number of dying bacterial cell increases


Nutrients are exhausted, and toxic waste accumulates, leading to a decline in the population.

  

3) Anaerobic culture method :

Anaerobic bacteria grow only in the absence of oxygen (anaerobic conditions). These anaerobic conditions or anaerobiosis can be established by various methods. Methods of Anaerobiosis 


1.Displacement of oxygen.  

2. By displacement and combustion of oxygen.

3.Absorption of oxygen by chemical or biological methods. 

4. By reducing agent 

5.Anaerobic chamber.


1. Displacement of Oxygen : 

Displacement of oxygen by inert gases like hydrogen, nitrogen, carbon dioxide or helium is sometimes employed. Oxygen can never be removed completely by this method. A popular, but ineffective, method is the use of candle. A lighted candle is kept in a large air tight container loaded with inoculated plates. It is expected that burning candle will use up all the oxygen inside before it is extinguished but some amount of oxygen is always left behind. 


2. By Displacement and Combustion of Oxygen :

 Anaerobiosis obtained by "McIntosh and Fildes anaerobic jar  is the most dependable and mostly used method 


Method-

The culture plates are placed inside a sealed jar.


A GasPak containing chemicals that react to remove oxygen is used.


An indicator strip (e.g., methylene blue) confirms anaerobic conditions.


3.Absorption of Oxygen by Chemical or Biological Methods :


CHEMICAL METHODS -

(A) Pyrogallol 

(B)Chromium and sulfuric acid

(C) Gas-pak 


 4. By Reducing Agents

Oxygen in culture media can be reduced by various agents similar as glucose, thioglycollate, cooked meat pieces, cysteine and ascorbic acid.

the two most extensively employed anaerobic liquid culture media are


(A) THIOGLYCOLLATE BROTH - It contains nutrient broth and 1 % thioglycollate.


(B) COOKED MEAT BROTH( CMB)- It's also known as Robertson's cooked meat( RCM) medium. It contains nutrient broth and pieces cooked meat of ox heart


5.Anaerobic Chamber : 

It's an anaerobic incubation system. It provides oxygen free terrain for enduing culture media and for their incubation. It's fitted with watertight rubber gloves to fit hands for working with samples. These anaerobic chambers contain a catalyst, dessicant, hydrogen gas, carbon dioxide gas, nitrogen gas and an indicater.




4) Principle and Method of Gram Staining :


Principle of Gram Stain :

Gram staining is a differential staining technique developed by Christian Gram in 1884. It categorizes bacteria into Gram-positive and Gram-negative, based on their cell wall structure. Gram-positive bacteria have a thick peptidoglycan layer that retains the crystal violet-iodine complex, whereas Gram-negative bacteria have a thinner peptidoglycan layer and an outer membrane that allows the stain to be washed away during decolorization.


Requirement for gram Staining :

1) Crystal violet (primary stain)

2) Iodine (mordant)

3) 95% Ethanol (decolorizer)

4) Safranin

5) Glass slide

6) Inoculating loop

7) Burner



Method of Gram Staining :


1. Smear Preparation: A thin bacterial smear is prepared on a clean glass slide, air-dried, and heat-fixed.


2. Primary Staining (Crystal Violet): The smear is flooded with crystal violet for 1 minute and then gently washed with distilled water.


3. Mordant (Iodine Treatment): The slide is treated with Gram's iodine for 1 minute to form a crystal violet-iodine complex, followed by washing with distilled water.


4. Decolorization:

The smear is washed with 95% alcohol or acetone for 10–30 seconds until no more purple dye is removed.


The slide is immediately rinsed with distilled water to stop decolorization.


5. Counterstaining (Safranin): The smear is stained with safranin for 30–60 seconds and then washed with distilled water.


6. Drying and Microscopy: The slide is air-dried or blot-dried with absorbent paper and examined under a microscope using oil immersion (100x objective lens).


Interpretation :


-Gram-positive bacteria appear purple/violet due to the retention of crystal violet.


-Gram-negative bacteria appear pink/red due to the uptake of safranin.




5) Enterobius Vermicularis :

1. It is an intestinal nematode → present in the cecum and vermiform appendix of humans
2. Common names for it are threadworm, pinworm, or seatworm.

Morphology:

Adult Worm:
1. The adult worm is small and white in color.
2. It resembles a short piece of thread.

Male Measures:
2 to 4 mm in length.

0.1 to 0.2 mm across its girth.

3. The posterior end of the body is curved in males but straight in females.

4. Size of Female:
8 to 12 mm in length.

0.3 to 0.5 mm across its thickest part.

Eggs: 
characteristic of egg are as follows -
1. Colorless, i.e., not bile-stained.

2. Planoconvex in shape:
Flattened on the ventral side and convex on the dorsal side.

3. Size:
50 to 60 µm × 30 µm (length × breadth).

4. Contents:
Contains a tadpole-like larva.

5. Floatation Test:
Floats in a saturated solution of common salt.

Life Cycle:

1. Infection occurs by ingestion of eggs, which contain larvae.

2. These eggs are laid on perianal skin, and contamination of fingers with these eggs occurs during scratching.

3. These eggs are in the infective stage. When ingested by humans, they pass through the stomach to the duodenum, where they hatch.

4. The immature worms remain in the small intestine, undergoing 2 molts.

5. On becoming adults, they migrate to the large intestine, where the females attach to the mucosa until they are fully gravid (gravid means pregnant).

6. Male worms die after fertilizing the female worm.

7. The fertilized female then wanders down and comes out of the anus during the night (after the patient has gone to bed) to deposit eggs on the perianal skin (located around the anus).

8. These eggs are again swallowed by contamination of fingers during scratching, and the cycle is repeated. Hence, no intermediate host is required.


Mode of Infection:

1. Contaminated food and drink

2. Autoinfection – By carrying the eggs on fingers while scratching the affected perianal area.

3.Retrograde Infection:
The eggs laid on the perianal skin immediately hatch into the infective-stage larvae and migrate through the anus to develop into worms in the colon.

Disease:
1. Enterobiasis
2. Pruritus ani (itching around the anus)
3. Nocturnal enuresis (bedwetting at night)
4. Children are usually affected.


Laboratory Diagnosis:

1. Finding of Adult Worms:
Worms detected by the patient himself or by the parents of the children.

2. Demonstration of Eggs:
Eggs are demonstrated in the scraping from perianal skin using an NIH swab.the swab should be taken immediately after the patient wakes up in the morning.





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