NEET-PG 2015 — Microbiology

Q: In the context of immune response, which of the following cell types does not express MHC class II molecules?

NK cells. ***NK cells*** - **Natural Killer (NK) cells)** are innate lymphocytes that do **NOT express MHC class II molecules** under any circumstances. - NK cells use alternative recognition mechanisms (KIRs, activating receptors) to detect target cells, primarily recognizing the **absence of MHC class I** or stress-induced ligands. - They function in innate immunity without antigen presentation capability. - **This is the best answer** as NK cells never express MHC class II, making them distinctly different from professional APCs. *Cortical macrophages* - **Cortical macrophages** in lymphoid organs are professional **antigen-presenting cells (APCs)** that constitutively express **MHC class II molecules**. - They present processed antigens to CD4+ T helper cells, playing a crucial role in initiating adaptive immune responses. *Medullary macrophages* - **Medullary macrophages** are also professional APCs that constitutively express **MHC class II molecules**. - They participate in antigen presentation and immune surveillance within the medullary regions of lymphoid tissues. *Neutrophils* - Neutrophils are granulocytes that **typically do not constitutively express MHC class II molecules** in their resting state. - However, under certain inflammatory conditions with prolonged stimulation (IFN-γ, GM-CSF), neutrophils can be induced to express low levels of MHC class II. - While neutrophils generally lack MHC class II, **NK cells are the more definitive answer** as they never express MHC class II under any physiological or pathological conditions. [Practice more Microbiology PYQs on OnCourse]

Q: Interleukin 2 is produced by

T helper cells 1. ***T helper cells 1*** - **T helper 1 (Th1) cells** are a primary source of **interleukin-2 (IL-2)**, which is crucial for the proliferation and survival of T cells. - IL-2 acts as a **T-cell growth factor**, promoting the expansion of activated T cells, including cytotoxic T lymphocytes. *T helper cells 2* - **T helper 2 (Th2) cells** primarily produce cytokines like **IL-4, IL-5, IL-6, IL-10, and IL-13**, which are involved in humoral immunity and allergic responses. - While Th2 cells are important for immune responses, they are not major producers of IL-2. *Natural killer cells* - **Natural killer (NK) cells** are part of the innate immune system and produce cytokines such as **interferon-gamma (IFN-$\gamma$)** and **tumor necrosis factor-alpha (TNF-$\alpha$)**. - They are not a significant source of IL-2, which is primarily a T-cell derived growth factor. *Basophils* - **Basophils** are granulocytes involved in allergic reactions and anti-parasitic immunity, producing mediators like **histamine** and cytokines such as **IL-4** and **IL-13**. - Basophils do not produce IL-2; their role is distinct in the immune response compared to T cells. [Practice more Microbiology PYQs on OnCourse]

Q: "Citron bodies" are boat- or leaf-shaped pleomorphic organisms found in exudates. This is a characteristic feature of which organism?

Cl. septicum. ***Cl. septicum*** - *Clostridium septicum* characteristically forms **"Citron bodies"** - boat-shaped or leaf-shaped pleomorphic organisms in exudates - These spindle-shaped, cigar-like forms are a **distinctive morphological feature** of this organism - Associated with **gas gangrene** and spontaneous myonecrosis, particularly in patients with underlying malignancy or neutropenia - The pleomorphic morphology distinguishes it from other clostridial species *Cl. welchii* - *Clostridium perfringens* (formerly *Cl. welchii*) appears as **large, rectangular, "boxcar-shaped" Gram-positive rods** - Does **not** form citron bodies or show the characteristic boat/leaf-shaped pleomorphism - Most common cause of gas gangrene but has different morphological appearance *Cl. edematiens* - *Clostridium oedematiens* (now *Clostridium novyi*) appears as **large, Gram-positive rods** with subterminal spores - Does not form citron bodies - Associated with gas gangrene but lacks the pleomorphic morphology described *Cl. tetani* - *Clostridium tetani* has characteristic **terminal spores** giving a "drumstick" or "tennis racket" appearance - Does not form citron bodies or pleomorphic shapes - Morphologically distinct with its terminal spore appearance [Practice more Microbiology PYQs on OnCourse]

Q: IFN-gamma is produced by

T-cells. ***T-cells*** - **Interferon-gamma (IFN-γ)** is a crucial cytokine primarily produced by **activated T-lymphocytes**, especially **Th1 cells** and **cytotoxic T lymphocytes (CTLs)**. - Natural killer (NK) cells also produce **IFN-γ**, which plays a key role in **antiviral** and **antitumor immunity**, as well as in promoting **Type 1 immune responses**. *Macrophages* - While macrophages are **responsive to IFN-γ** (e.g., becoming activated), they are not the primary producers of this cytokine. - Macrophages primarily produce other cytokines such as **IL-1, IL-6, TNF-alpha**, and **IL-12** in response to infection or inflammation. *Neutrophils* - **Neutrophils** are key phagocytes in the innate immune system and are primarily involved in engulfing and killing pathogens. - They are not known to be a significant source of **IFN-γ** production; their main defensive mechanisms involve **phagocytosis**, **degranulation**, and **NETosis**. *B-cells* - **B-cells** are central to humoral immunity, specializing in **antibody production** and acting as **antigen-presenting cells**. - They generally do not produce **IFN-γ**; instead, their cytokine repertoire includes **IL-10**, **IL-6**, and **lymphotoxin**. [Practice more Microbiology PYQs on OnCourse]

Q: Bacteria most commonly involved in bowel decomposition after death is?

Clostridium perfringens. ***Clostridium perfringens*** - This bacterium is a ubiquitous **anaerobe** in the gut and is known for its rapid proliferation after death, producing gases that contribute to **bloating and decomposition**. - It is a primary cause of **gas gangrene** in living individuals, reflecting its tissue-destructive capabilities, which extend to post-mortem changes. - Produces large amounts of **hydrogen and CO2**, making it the most significant contributor to post-mortem gas formation and putrefaction. *Streptococcus pyogenes* - While a significant pathogen in life, causing conditions like **strep throat** and **necrotizing fasciitis**, it is not the primary agent of putrefaction. - Its role in post-mortem decomposition is generally less prominent compared to anaerobic gut flora. *Pseudomonas aeruginosa* - This bacterium is an opportunistic pathogen often associated with infections in immunocompromised individuals or in healthcare settings. - It is not typically identified as the most common or primary bacterium involved in the initial stages of post-mortem **bowel decomposition**, though it can be present in later stages. *Escherichia coli* - While *E. coli* is abundant in the bowel and participates in post-mortem decomposition, it is not the **most common** agent responsible for gas production and tissue decomposition. - *Clostridium perfringens* proliferates more rapidly and produces significantly more gas, making it the predominant bacterium in bowel putrefaction. [Practice more Microbiology PYQs on OnCourse]

87 Previous Year Questions with Answers & Explanations

Questions

In the context of immune response, which of the following cell types does not express MHC class II molecules?

Interleukin 2 is produced by

"Citron bodies" are boat- or leaf-shaped pleomorphic organisms found in exudates. This is a characteristic feature of which organism?

IFN-gamma is produced by

Bacteria most commonly involved in bowel decomposition after death is?

The process by which antigen-specific B lymphocytes are selected and activated to proliferate and produce antibodies is called:

Which medium is most commonly used for antibiotic sensitivity testing?

Multiple drug resistance is transferred through -

Which of the following is an example of the transfer of drug resistance by conjugation?

Q10

Which bacteria can be isolated using crystal violet blood agar?

NEET-PG 2015 - Microbiology NEET-PG Practice Questions and MCQs

Question 1: In the context of immune response, which of the following cell types does not express MHC class II molecules?

A. Cortical macrophages
B. Neutrophils
C. Medullary macrophages
D. NK cells (Correct Answer)

Explanation: ***NK cells*** - **Natural Killer (NK) cells)** are innate lymphocytes that do **NOT express MHC class II molecules** under any circumstances. - NK cells use alternative recognition mechanisms (KIRs, activating receptors) to detect target cells, primarily recognizing the **absence of MHC class I** or stress-induced ligands. - They function in innate immunity without antigen presentation capability. - **This is the best answer** as NK cells never express MHC class II, making them distinctly different from professional APCs. *Cortical macrophages* - **Cortical macrophages** in lymphoid organs are professional **antigen-presenting cells (APCs)** that constitutively express **MHC class II molecules**. - They present processed antigens to CD4+ T helper cells, playing a crucial role in initiating adaptive immune responses. *Medullary macrophages* - **Medullary macrophages** are also professional APCs that constitutively express **MHC class II molecules**. - They participate in antigen presentation and immune surveillance within the medullary regions of lymphoid tissues. *Neutrophils* - Neutrophils are granulocytes that **typically do not constitutively express MHC class II molecules** in their resting state. - However, under certain inflammatory conditions with prolonged stimulation (IFN-γ, GM-CSF), neutrophils can be induced to express low levels of MHC class II. - While neutrophils generally lack MHC class II, **NK cells are the more definitive answer** as they never express MHC class II under any physiological or pathological conditions.

Question 2: Interleukin 2 is produced by

A. T helper cells 1 (Correct Answer)
B. T helper cells 2
C. Natural killer cells
D. Basophils

Explanation: ***T helper cells 1*** - **T helper 1 (Th1) cells** are a primary source of **interleukin-2 (IL-2)**, which is crucial for the proliferation and survival of T cells. - IL-2 acts as a **T-cell growth factor**, promoting the expansion of activated T cells, including cytotoxic T lymphocytes. *T helper cells 2* - **T helper 2 (Th2) cells** primarily produce cytokines like **IL-4, IL-5, IL-6, IL-10, and IL-13**, which are involved in humoral immunity and allergic responses. - While Th2 cells are important for immune responses, they are not major producers of IL-2. *Natural killer cells* - **Natural killer (NK) cells** are part of the innate immune system and produce cytokines such as **interferon-gamma (IFN-$\gamma$)** and **tumor necrosis factor-alpha (TNF-$\alpha$)**. - They are not a significant source of IL-2, which is primarily a T-cell derived growth factor. *Basophils* - **Basophils** are granulocytes involved in allergic reactions and anti-parasitic immunity, producing mediators like **histamine** and cytokines such as **IL-4** and **IL-13**. - Basophils do not produce IL-2; their role is distinct in the immune response compared to T cells.

Question 3: "Citron bodies" are boat- or leaf-shaped pleomorphic organisms found in exudates. This is a characteristic feature of which organism?

A. Cl. edematiens
B. Cl. septicum (Correct Answer)
C. Cl. tetani
D. Cl. welchii

Explanation: ***Cl. septicum*** - *Clostridium septicum* characteristically forms **"Citron bodies"** - boat-shaped or leaf-shaped pleomorphic organisms in exudates - These spindle-shaped, cigar-like forms are a **distinctive morphological feature** of this organism - Associated with **gas gangrene** and spontaneous myonecrosis, particularly in patients with underlying malignancy or neutropenia - The pleomorphic morphology distinguishes it from other clostridial species *Cl. welchii* - *Clostridium perfringens* (formerly *Cl. welchii*) appears as **large, rectangular, "boxcar-shaped" Gram-positive rods** - Does **not** form citron bodies or show the characteristic boat/leaf-shaped pleomorphism - Most common cause of gas gangrene but has different morphological appearance *Cl. edematiens* - *Clostridium oedematiens* (now *Clostridium novyi*) appears as **large, Gram-positive rods** with subterminal spores - Does not form citron bodies - Associated with gas gangrene but lacks the pleomorphic morphology described *Cl. tetani* - *Clostridium tetani* has characteristic **terminal spores** giving a "drumstick" or "tennis racket" appearance - Does not form citron bodies or pleomorphic shapes - Morphologically distinct with its terminal spore appearance

Question 4: IFN-gamma is produced by

A. Macrophages
B. T-cells (Correct Answer)
C. Neutrophils
D. B-cells

Explanation: ***T-cells*** - **Interferon-gamma (IFN-γ)** is a crucial cytokine primarily produced by **activated T-lymphocytes**, especially **Th1 cells** and **cytotoxic T lymphocytes (CTLs)**. - Natural killer (NK) cells also produce **IFN-γ**, which plays a key role in **antiviral** and **antitumor immunity**, as well as in promoting **Type 1 immune responses**. *Macrophages* - While macrophages are **responsive to IFN-γ** (e.g., becoming activated), they are not the primary producers of this cytokine. - Macrophages primarily produce other cytokines such as **IL-1, IL-6, TNF-alpha**, and **IL-12** in response to infection or inflammation. *Neutrophils* - **Neutrophils** are key phagocytes in the innate immune system and are primarily involved in engulfing and killing pathogens. - They are not known to be a significant source of **IFN-γ** production; their main defensive mechanisms involve **phagocytosis**, **degranulation**, and **NETosis**. *B-cells* - **B-cells** are central to humoral immunity, specializing in **antibody production** and acting as **antigen-presenting cells**. - They generally do not produce **IFN-γ**; instead, their cytokine repertoire includes **IL-10**, **IL-6**, and **lymphotoxin**.

Question 5: Bacteria most commonly involved in bowel decomposition after death is?

A. Streptococcus pyogenes
B. Pseudomonas aeruginosa
C. Clostridium perfringens (Correct Answer)
D. Escherichia coli

Explanation: ***Clostridium perfringens*** - This bacterium is a ubiquitous **anaerobe** in the gut and is known for its rapid proliferation after death, producing gases that contribute to **bloating and decomposition**. - It is a primary cause of **gas gangrene** in living individuals, reflecting its tissue-destructive capabilities, which extend to post-mortem changes. - Produces large amounts of **hydrogen and CO2**, making it the most significant contributor to post-mortem gas formation and putrefaction. *Streptococcus pyogenes* - While a significant pathogen in life, causing conditions like **strep throat** and **necrotizing fasciitis**, it is not the primary agent of putrefaction. - Its role in post-mortem decomposition is generally less prominent compared to anaerobic gut flora. *Pseudomonas aeruginosa* - This bacterium is an opportunistic pathogen often associated with infections in immunocompromised individuals or in healthcare settings. - It is not typically identified as the most common or primary bacterium involved in the initial stages of post-mortem **bowel decomposition**, though it can be present in later stages. *Escherichia coli* - While *E. coli* is abundant in the bowel and participates in post-mortem decomposition, it is not the **most common** agent responsible for gas production and tissue decomposition. - *Clostridium perfringens* proliferates more rapidly and produces significantly more gas, making it the predominant bacterium in bowel putrefaction.

Question 6: The process by which antigen-specific B lymphocytes are selected and activated to proliferate and produce antibodies is called:

A. Clonal selection (Correct Answer)
B. Class switching
C. Group switching
D. Hybridisation

Explanation: ***Clonal selection*** - **Clonal selection** is the fundamental process by which an antigen-specific B lymphocyte is **selected** when its B cell receptor (BCR) recognizes and binds to a matching antigen. - This binding triggers the B cell to become **activated**, **proliferate** (undergo clonal expansion), and **differentiate** into plasma cells that produce antibodies specific to that antigen. - This process is the cornerstone of **adaptive immunity**, ensuring that only B cells with receptors matching the encountered antigen are stimulated to respond. *Class switching* - **Class switching** (isotype switching) occurs AFTER clonal selection and activation. - It allows already-activated B cells to change the **antibody class** they produce (from IgM to IgG, IgA, or IgE) while maintaining the **same antigen specificity**. - This process modifies effector functions but does NOT involve the initial selection and activation of antigen-specific B cells. *Group switching* - This is not a recognized term in immunology. - It does not describe any standard process of B cell activation or antibody production. *Hybridisation* - **Hybridization** refers to the formation of double-stranded nucleic acids from complementary strands or the creation of hybrid cells (e.g., hybridomas for monoclonal antibody production). - It is not the physiological process by which B lymphocytes are selected and activated in response to antigen exposure.

Question 7: Which medium is most commonly used for antibiotic sensitivity testing?

A. CLED agar
B. Mueller-Hinton agar (Correct Answer)
C. Blood agar
D. MacConkey agar

Explanation: ***Mueller-Hinton agar*** - It is specifically formulated to provide optimal conditions for bacterial growth and **diffusion of antibiotics**, ensuring accurate and reproducible results for sensitivity testing. - Its **low concentration of sulfonamide inhibitors (thymidine and thymine)** and proper calcium and magnesium levels are crucial for accurate results for particular antibiotics. - It is the **gold standard medium** recommended by CLSI (Clinical and Laboratory Standards Institute) for the Kirby-Bauer disk diffusion method. *Blood agar* - Blood agar is a **general-purpose enrichment medium** that supports the growth of a wide range of fastidious microorganisms and is used to detect hemolytic reactions. - While many bacteria grow on blood agar, its composition and opacity can **interfere with precise zone of inhibition measurements** in antibiotic susceptibility testing. *MacConkey agar* - MacConkey agar is a **selective and differential medium** used for the isolation of Gram-negative enteric bacteria and differentiation based on lactose fermentation. - Its selective agents (bile salts and crystal violet) and pH indicators would **interfere with the standardized conditions** required for accurate antibiotic sensitivity testing. *CLED agar* - **Cystine-Lactose-Electrolyte-Deficient (CLED) agar** is primarily used for the isolation and enumeration of urinary tract pathogens, as it prevents the swarming of *Proteus* species and differentiates lactose fermenters from non-fermenters. - It is **not optimized** for antibiotic diffusion or inhibition of bacterial growth in the same way Mueller-Hinton is.

Question 8: Multiple drug resistance is transferred through -

A. Transduction
B. Transformation
C. Conjugation (Correct Answer)
D. Mutation

Explanation: ***Conjugation*** - Conjugation is a primary mechanism for the spread of **antibiotic resistance genes** among bacteria, including those responsible for multiple drug resistance. - It involves the direct transfer of **plasmids** (which often carry resistance genes) from one bacterial cell to another through a pilus. *Transduction* - Transduction is the process where bacteria acquire foreign DNA, including resistance genes, via a **bacteriophage (virus)**. - While it can transfer resistance, conjugation is a more common and clinically significant route for **multidrug resistance** spread. *Transformation* - Transformation involves the uptake of **naked DNA** from the environment by a bacterial cell. - While bacteria can acquire resistance genes this way, it is less efficient for widespread, rapid transfer of **multiple resistance traits** compared to conjugation. *Mutation* - Mutation refers to a change in the bacterial organism's own DNA, which can lead to the development of **drug resistance**. - However, mutation explains the *origin* of resistance in a single bacterium, not the *transfer* of resistance genes (especially multiple resistance) between different bacteria.

Question 9: Which of the following is an example of the transfer of drug resistance by conjugation?

A. Staphylococci to rifampicin
B. Pneumococcus to penicillin G
C. M tuberculosis to antitubercular drugs
D. E coli to streptomycin (Correct Answer)

Explanation: **E coli to streptomycin** - The transfer of **streptomycin resistance** in *E. coli* is a classic example of **conjugation**, mediated by **transferable R-plasmids**. - **Conjugation** involves direct cell-to-cell contact and the transfer of genetic material via a **pilus**, allowing for efficient spread of resistance genes. *Staphylococci to rifampicin* - **Rifampicin resistance** in *Staphylococci* (e.g., MRSA) primarily results from **chromosomal mutations** in the *rpoB* gene, which alters the drug's binding site. - This type of resistance usually arises through **spontaneous mutation and selection**, rather than active transfer via conjugation. *Pneumococcus to penicillin G* - **Penicillin resistance** in *Pneumococcus* (e.g., **PEN-R *S. pneumoniae***) is often due to alterations in **penicillin-binding proteins (PBPs)**, acquired through **transformation**. - Transformation involves the uptake of **naked DNA** from the environment, not direct cell-to-cell contact as in conjugation. *M tuberculosis to antitubercular drugs* - **Drug resistance** in *Mycobacterium tuberculosis* to antitubercular drugs (such as isoniazid and rifampicin) is predominantly mediated by **chromosomal mutations**. - These mutations occur within genes encoding drug targets or drug-activating enzymes, leading to altered drug sensitivity.

Question 10: Which bacteria can be isolated using crystal violet blood agar?

A. Corynebacterium diphtheriae
B. Staph aureus
C. Meningococcus
D. β-hemolytic streptococci (Correct Answer)

Explanation: ***β-hemolytic streptococci*** - **Crystal violet blood agar** is a selective medium that inhibits the growth of most Gram-positive bacteria, except for **beta-hemolytic streptococci**. - The crystal violet dye suppresses the growth of competing flora, allowing for better isolation and identification of these bacteria, which exhibit **complete hemolysis (beta-hemolysis)** on blood agar. *Corynebacterium diphtheriae* - This bacterium requires more specialized media, such as **Tinsdale agar** or **Loeffler's serum agar**, for optimal growth and identification due to specific nutritional requirements and colony morphology. - Crystal violet blood agar is not the primary medium used for its isolation. *Staph aureus* - **Staphylococcus aureus** is a common contaminant that is typically inhibited by the crystal violet in the medium. - It grows well on routine blood agar but is not selectively grown or isolated using crystal violet blood agar. *Meningococcus* - **Neisseria meningitidis** (Meningococcus) requires enriched media like **chocolate agar** or **Thayer-Martin agar** for successful isolation, as it is a fastidious organism. - Crystal violet blood agar is not suitable for its growth due to its inhibitory properties and lack of necessary nutrients.