Chapter 22 And 23 Microbiology

25 July 2022
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circulatory system
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The most common route of central nervous system invasion by pathogens is through
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mosquitos
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All of the following microorganisms can directly cause meningitis EXCEPT
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Penicillin is useless against infections of the brain because it is completely incapable of crossing the barrier.
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Which of the following statements concerning the blood-brain barrier is FALSE?
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Mycobacterium leprae.
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All of the following organisms cause meningitis EXCEPT
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false
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CSF contains high levels of complement and circulating antibodies to prevent infection of the brain and spinal cord.
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many antibiotics cannot penetrate the blood-brain barrier.
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Bacterial encephalitis and meningitis are difficult to treat because
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gram-positive anaerobe.
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Which of the following statements about Neisseria meningitis is FALSE?
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Listeria monocytogenes.
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All of the following organisms are transmitted via the respiratory route EXCEPT
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Clostridium botulinum.
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A 30-year-old woman was hospitalized after she experienced convulsions. On examination, she was alert and oriented and complained of a fever, headache, and stiff neck. Any of the following organisms could be responsible for her symptoms EXCEPT
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tetanospasmin.
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The symptoms of tetanus are due to
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tetanus immune globulin
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Initial treatment for tetanus in an unimmunized person with a puncture wound is
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tetanus toxoid.
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Initial treatment for tetanus in a fully immunized person with a puncture wound is
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mild cold symptoms.
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The prodromal (i.e. pre-acute disease stage) symptoms of bacterial meningitis is/are
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Alaskan natives have the lowest rate of botulism in the world
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All of the following are associated with botulism outbreaks EXCEPT
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Gram stain of cerebrospinal fluid
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A 30-year-old woman was hospitalized after she experienced convulsions. On examination, she was alert and oriented and complained of a fever, headache, and stiff neck. Which of the following is most likely to provide rapid identification of the cause of her symptoms?
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streptococcal pneumonia
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Which of the following is treated with antibiotics?
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Listeria
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Microscopic examination of cerebrospinal fluid reveals gram-positive rods. What is the organism?
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supportive care, including respiratory assistance
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On June 30, a 47-year-old man was hospitalized with dizziness, blurred vision, slurred speech, difficulty swallowing, and nausea. Examination revealed facial paralysis. He reported eating home-canned green beans and stew containing roast beef and potatoes 24 hours before onset of symptoms. The patient should be treated with
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botulism.
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Vaccination is available for all the following EXCEPT
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Haemophilus influenzae.
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A one-year-old boy was listless, irritable, and sleepy. Capsulated Gram-negative rods were cultured from his cerebrospinal fluid. His symptoms were caused by
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it has a very short generation time of approximately twelve hours.
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All of the following are true of M. leprae EXCEPT
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Mycobacterium leprae
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Which of the following microbes has NOT been associated with bacterial meningitis?
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true
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Viral meningitis is much more common than bacterial meningitis and tends to cause a milder form of disease
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false
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Autopsy of a stillborn fetus reveals the cause of death to be meningitis. Cultures show the presence of a gram-positive rod. The likely pathogen is Haemophilus influenza.
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cephalosporins
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Which of the following would be an effective treatment for bacterial meningitis?
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None of the above is correct.
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Which of the following characteristics are shared by the causative agents of bacterial meningitis?
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infants and young children
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Which population is most likely to develop bacterial meningitis?
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primary amebic meningoencephalitis (PAM).
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All of the following diseases are caused by arbovirus EXCEPT
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mosquito populations increase.
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Encephalitis is more common in the summer months because
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The Sabin vaccine is slightly more dangerous because it is made from live, attenuated virus, and the virus occasionally reverts back to its pathogenic form.
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Which of the following is an accurate statement concerning the Sabin and Salk vaccines?
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The infection progresses so slowly that there is time for postexposure vaccination to generate immunity.
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Postexposure treatment for rabies includes vaccination and injection of immunoglobulin; why does postexposure vaccination work?
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true
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The most common host of the virus causing eastern equine encephalitis is horses.
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It is a fungus found in dried pigeon droppings. When inhaled, it is especially dangerous to immunocompromised individuals and can cause fatal meningitis.
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Which of the following is an accurate description of Cryptococcus neoformans?
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rabies
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Each of the following is caused by prions EXCEPT
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true
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All lymph that returns to the heart must pass through at least one lymph node.
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false
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Lymph contains red blood cells
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usually is caused by gram-negative bacteria.
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Which of the following statements about sepsis is FALSE?
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septic
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Which of the following is NOT a recognized form of anthrax?
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It occurs only in California.
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Which of the following statements about tularemia is FALSE?
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produces endotoxins
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Which of the following is NOT a characteristic of Bacillus anthracis?
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Streptobacillus
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Which of the following bacterial infections CANNOT be transmitted by dog or cat bites?
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supportive care.
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A patient presents with inflammation of the heart valves, fever, malaise, and subcutaneous nodules at joints. The recommended treatment is
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It is rarely fatal, even when untreated.
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Which of the following statements about rheumatic fever is FALSE?
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Pasteurella cat-scratch disease
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Which of the following pairs is mismatched?
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swollen lymph nodes.
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A characteristic symptom of plague is
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Chagas' disease
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Which of the following CANNOT be transmitted to humans from domestic cats?
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bacterial growth in endothelial cells
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Which of the following leads to all the others?
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treatable with penicillin
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Which of the following is evidence that the arthritis afflicting children in Lyme, Connecticut, was due to bacterial infection?
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tularemia
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patient has a skin ulcer from which a gram-negative bacillus is cultured. This patient has regional lymph nodes that are enlarged and filled with pockets of pus. He reports keeping pet rabbits. Which of the following is a possible diagnosis?
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Jamie is more likely to develop subacute bacterial endocarditis.
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As a child, Jamie suffered from rheumatic fever, which caused some major damage to one of her heart valves. She is OK, in general. However, she's been advised against getting body piercings, and her dentist gives her antibiotics before performing some dental procedures. What is the concern?
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true
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Subacute bacterial endocarditis is commonly the result of infections initially focused on the oral cavity
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false
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Pathogens must be blood-borne in order to initiate sepsis.
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true
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All forms of typhus are associated with arthropod vectors
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cytomegalovirus
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Which of the following can be transmitted from an infected mother to her fetus across the placenta?
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endocarditis.
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Epstein-Barr virus has been implicated in all of the following EXCEPT
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Later symptoms of hemorrhagic viral infection include low-grade fever and severe, crippling joint pains.
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Which statement regarding the emerging viral hemorrhagic fevers is FALSE?
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false
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All viral hemorrhagic fever outbreaks have been confined to the Eastern Hemisphere.
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third
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A patient exhibiting arthritis secondary to Lyme disease is likely in which phase of the infection?
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B. burgdorferi; Ixodes
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Lyme disease is caused by ____________ and is transmitted by __________.
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There is an adaptive immune response.
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Based on the concept map, which of the following must happen during Lyme disease?
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toxoplasmosis
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Which of the following is NOT transmitted in raw milk?
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diagnosis of acute phase serological tests for antibodies
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Which of the following pairs does NOT apply to Chagas' disease?
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leishmaniasis.
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A patient returning from an extended trip into Mexico has the following symptoms: a papule at the site of a previous bug bite and enlarged lymph nodes. Microscopic examination of the papule reveals nucleated cells in white blood cells. The patient most likely has
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toxoplasmosis
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You advise your pregnant friend to not adopt a new kitten from her neighbor because she could contract
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Chagas' disease
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Which disease, resulting in damage to the heart muscle or the nerves controlling peristalsis in the gastrointestinal tract, is transmitted by the reduviid bug?
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true
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Netting modified for sandflies should also be useful in preventing malaria.
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swimmers itch
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Scrapings from a patient's rash reveal cercariae. The disease is most likely
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Francisella gram-positive facultatively anaerobic pleomorphic bacillus
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Which of the following pairs is mismatched?